Table of Contents

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q

(Mark One)

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended June 30, 2020

OR

TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from to

Commission file number: 001-37526

TELA Bio, Inc.

(Exact name of registrant as specified in its charter)

Delaware
(State or other jurisdiction of
incorporation or organization)

    

45-5320061

(I.R.S. Employer
Identification Number) 

1 Great Valley Parkway, Suite 24

Malvern, Pennsylvania
(Address of principal executive offices)

19355

(Zip Code) 

(484) 320-2930
(Registrant’s telephone number, including area code)

Securities registered pursuant to Section 12(b) of the Act:

Title of each class:

    

Trading Symbol

    

Name of each exchange on which registered:

Common Stock, $0.001 par value per share

    

TELA

    

The Nasdaq Global Market

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes No

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files). Yes No

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

Large accelerated filer

    

Accelerated filer

Smaller reporting company  

Non-accelerated filer  

Emerging growth company

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes No

As of August 4, 2020, the registrant had 14,414,194 shares of Common Stock, $0.001 par value per share, outstanding.


Table of Contents

TABLE OF CONTENTS

PART I FINANCIAL INFORMATION

Item 1.

Financial Statements

4

Item 2.

Management’s Discussion and Analysis of Financial Condition and Results of Operations

18

Item 3.

Quantitative and Qualitative Disclosures About Market Risk

29

Item 4.

Controls and Procedures

29

PART II OTHER INFORMATION

Item 1.

Legal Proceedings

30

Item 1A.

Risk Factors

30

Item 2.

Unregistered Sales of Equity Securities and Use of Proceeds

30

Item 3.

Defaults Upon Senior Securities

31

Item 4.

Mine Safety Disclosures

31

Item 5.

Other Information

31

Item 6.

Exhibits

31

Signatures

32

1


Table of Contents

CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS

Statements made in this Quarterly Report on Form 10-Q for the quarter ended June 30, 2020 (“Quarterly Report”) that are not statements of historical or current facts, such as those under the heading “Management’s Discussion and Analysis of Financial Condition and Results of Operations,” are “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements discuss our business, operations and financial performance and conditions, as well as our plans, objectives and expectations for our business operations and financial performance and condition. In some cases, you can identify forward-looking statements by terminology such as “aim,” “anticipate,” “assume,” “believe,” “contemplate,” “continue,” “could,” “design,” “due,” “estimate,” “expect,” “goal,” “intend,” “may,” “objective,” “plan,” “predict,” “positioned,” “potential,” “seek,” “should,” “target,” “will,” “would” and other similar expressions that are predictions of or indicate future events and future trends, or the negative of these terms or other comparable terminology. In addition, statements that “we believe” or similar statements reflect our beliefs and opinions on the relevant subject. These forward-looking statements, which are subject to risks, uncertainties and assumptions about us, may include projections of our future financial performance, our anticipated growth strategies and anticipated trends in our business.

You should understand that the following important factors could affect our future results and could cause those results or other outcomes to differ materially from those expressed or implied in our forward-looking statements:

estimates regarding future results of operations, financial position, research and development costs, capital requirements and our needs for additional financing;
the commercial success and the degree of market acceptance of our products;
our ability to expand, manage and maintain our direct sales and marketing organization and to market and sell our products in the United States;
the full extent to which the novel coronavirus pandemic and the disease it causes (“COVID-19”) will, directly or indirectly, impact our business, results of operations and financial condition, including our revenue (resulting from deferrals of elective procedures using our products), expenses, manufacturing capability, supply chain integrity, research and development activities, and employee-related matters, including compensation;
any future developments around COVID-19 and the uncertainty of COVID-19, including new information that may emerge, changes in the rate of COVID-19 transmission and infection resulting from changes in the level of restrictions imposed by governmental authorities (and the resulting impact on the frequency of surgical procedures using our products), other actions taken to contain or treat COVID-19, as well as the economic impact on regional, national and international customers and markets;
the performance of Aroa Biosurgery Ltd. (“Aroa”), in connection with the development and production of our products;
our ability to compete successfully with larger competitors in our highly competitive industry;
our ability to achieve and maintain adequate levels of coverage or reimbursement to our current and any future products we may seek to commercialize;
our ability to enhance our products, expand our indications and develop and commercialize additional products;
the development, regulatory approval, efficacy and commercialization of competing products;
our business model and strategic plans for our products, technologies and business, including our implementation thereof;
the size of the markets for our current and future products;
our ability to attract and retain senior management and other highly qualified personnel;
our ability to obtain additional capital to finance our planned operations;
our ability to commercialize or obtain regulatory approvals for our products, or the effect of delays in commercializing or obtaining regulatory approvals;
regulatory developments in the United States and internationally;
our ability to develop and maintain our corporate infrastructure, including our internal controls;
our ability to establish and maintain intellectual property protection for our products, as well as our ability to operate our business without infringing the intellectual property rights of others;
our expectations regarding the use of proceeds from our public offerings of common stock;

2


Table of Contents

the occurrence of adverse safety events, restrictions on use with our products or product liability claims; and
other risks and uncertainties, including those listed under the caption “Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2019 (our “Annual Report”) and the other documents we file with the Securities and Exchange Commission (the “SEC”).

These forward-looking statements are based on management's current expectations, estimates, forecasts and projections about our business and the industry in which we operate, and management's beliefs and assumptions are not guarantees of future performance or development and involve known and unknown risks, uncertainties and other factors that are in some cases beyond our control. In light of the significant uncertainties in these forward-looking statements, you should not rely upon forward-looking statements as predictions of future events. Although we believe the expectations reflected in the forward-looking statements are reasonable, the future results, levels of activity, performance or events and circumstances reflected in the forward-looking statements may not be achieved or occur at all. The factors that could cause or contribute to such differences include, but are not limited to, those discussed in this Quarterly Report, in our Quarterly Report for the quarter ended March 31, 2020, as filed with the SEC on May 15, 2020 and in our Annual Report, and, in particular, the risks and uncertainties discussed therein under the caption “Risk Factors.” Except as required by law, we undertake no obligation to publicly update any forward-looking statements, whether as a result of new information, future events or otherwise after the date of this Quarterly Report on Form 10-Q or to reflect the occurrence of any unanticipated events. Comparisons of results for current and any prior periods are not intended to express any future trends on indications of future performance, unless expressed as such, and should only be viewed as historical data.

3


Table of Contents

PART I — FINANCIAL INFORMATION

Item 1. Financial Statements

TELA Bio, Inc.

Consolidated Balance Sheets

(In thousands, except share and per share amounts)

(Unaudited)

June 30, 

December 31, 

    

2020

    

2019

Assets

 

  

 

  

Current assets:

 

  

 

  

Cash and cash equivalents

$

85,471

$

45,302

Short-term investments

9,285

Accounts receivable, net

 

2,586

 

2,836

Inventory

 

4,572

 

4,603

Prepaid expenses and other assets

 

1,484

 

2,308

Total current assets

 

94,113

 

64,334

Property and equipment, net

 

678

 

677

Intangible assets, net

 

2,759

 

2,911

Total assets

$

97,550

$

67,922

Liabilities and stockholders’ equity

 

  

 

  

Current liabilities:

 

  

 

  

Accounts payable

$

948

$

3,171

Accrued expenses and other current liabilities

 

2,675

 

3,542

Total current liabilities

 

3,623

 

6,713

Long‑term debt with related party

 

30,524

 

30,243

Other long‑term liabilities

 

 

4

Total liabilities

 

34,147

 

36,960

Stockholders’ equity:

 

  

 

  

Preferred stock; $0.001 par value: 10,000,000 shares authorized; no shares issued and outstanding

Common stock; $0.001 par value: 200,000,000 shares authorized; 14,413,015 and 11,406,976 shares issued and 14,412,690 and 11,406,221 shares outstanding at June 30, 2020 and December 31, 2019, respectively

 

14

 

11

Additional paid-in capital

244,537

198,829

Accumulated other comprehensive income (loss)

 

12

 

(19)

Accumulated deficit

 

(181,160)

 

(167,859)

Total stockholders’ equity

 

63,403

 

30,962

Total liabilities and stockholders’ equity

$

97,550

$

67,922

See accompanying notes to unaudited interim consolidated financial statements.

4


Table of Contents

TELA Bio, Inc.

Consolidated Statements of Operations and Comprehensive Loss

(In thousands, except share and per share amounts)

(Unaudited)

Three months ended

Six months ended

June 30, 

June 30, 

2020

    

2019

    

2020

    

2019

    

Revenue

$

3,507

$

3,303

$

7,233

$

6,609

Cost of revenue (excluding amortization of intangible assets)

 

1,346

 

1,320

 

2,796

 

2,752

Amortization of intangible assets

 

76

 

76

 

152

 

152

Gross profit

 

2,085

 

1,907

 

4,285

 

3,705

Operating expenses:

 

  

 

  

 

  

 

  

Sales and marketing

 

4,123

 

3,947

 

9,392

 

7,942

General and administrative

 

2,149

 

1,205

 

4,667

 

2,529

Research and development

 

979

 

1,055

 

1,891

 

2,714

Total operating expenses

 

7,251

 

6,207

 

15,950

 

13,185

Loss from operations

 

(5,166)

 

(4,300)

 

(11,665)

 

(9,480)

Other (expense) income:

 

  

 

  

 

  

 

  

Interest expense

 

(884)

 

(914)

 

(1,763)

 

(1,826)

Change in fair value of preferred stock warrant liability

 

 

(74)

 

 

(38)

Other (expense) income

 

(31)

 

27

 

127

 

117

Total other (expense) income

 

(915)

 

(961)

 

(1,636)

 

(1,747)

Net loss

 

(6,081)

 

(5,261)

 

(13,301)

 

(11,227)

Accretion of redeemable convertible preferred stock to redemption value

 

 

(2,762)

 

 

(4,787)

Net loss attributable to common stockholders

$

(6,081)

$

(8,023)

$

(13,301)

$

(16,014)

Net loss per common share, basic and diluted

$

(0.53)

$

(27.06)

$

(1.16)

$

(54.06)

Weighted average common shares outstanding, basic and diluted

 

11,443,122

 

296,467

 

11,424,952

 

296,231

Comprehensive loss:

 

  

 

  

 

  

 

  

Net loss

$

(6,081)

$

(5,261)

$

(13,301)

$

(11,227)

Foreign currency translation adjustment

 

4

 

1

 

31

 

(3)

Comprehensive loss

$

(6,077)

$

(5,260)

$

(13,270)

$

(11,230)

See accompanying notes to unaudited interim consolidated financial statements.

5


Table of Contents

TELA Bio, Inc.

Consolidated Statements of Stockholders’ Equity

Three and Six Months Ended June 30, 2020

(In thousands, except share amounts)

(Unaudited)

    

    

    

Accumulated

    

    

Additional

other

Common stock

paidin

comprehensive

Accumulated

    

Shares

    

Amount

    

capital

    

income

    

deficit

    

Total

Balance at April 1, 2020

 

11,407,600

$

11

$

199,287

$

8

$

(175,079)

$

24,227

Vesting of common stock previously subject to repurchase

 

73

 

 

1

 

 

 

1

Exercise of stock options

 

5,017

 

 

36

 

 

 

36

Foreign currency translation adjustment

 

 

 

 

4

 

 

4

Stock‑based compensation expense

 

 

 

494

 

 

 

494

Issuance of common stock upon follow-on offering, net of underwriting discounts, commissions and offering costs

3,000,000

3

44,719

44,722

Net loss

 

 

 

 

 

(6,081)

 

(6,081)

Balance at June 30, 2020

 

14,412,690

$

14

$

244,537

$

12

$

(181,160)

$

63,403

    

    

    

    

Accumulated

    

    

Additional

other

Common stock

paidin

comprehensive

Accumulated

    

Shares

    

Amount

    

capital

    

income (loss)

    

deficit

    

Total

Balance at January 1, 2020

 

11,406,221

$

11

$

198,829

$

(19)

$

(167,859)

$

30,962

Vesting of common stock previously subject to repurchase

 

163

 

 

2

 

 

 

2

Exercise of stock options

 

6,306

 

 

44

 

 

 

44

Foreign currency translation adjustment

 

 

 

 

31

 

 

31

Stock‑based compensation expense

 

 

 

943

 

 

 

943

Issuance of common stock upon follow-on offering, net of underwriting discounts, commissions and offering costs

3,000,000

3

44,719

44,722

Net loss

 

 

 

 

 

(13,301)

 

(13,301)

Balance at June 30, 2020

 

14,412,690

$

14

$

244,537

$

12

$

(181,160)

$

63,403

See accompanying notes to unaudited interim consolidated financial statements.

6


Table of Contents

TELA Bio, Inc.

Consolidated Statements of Redeemable Convertible Preferred Stock and Stockholders’ Deficit

Three and Six Months Ended June 30, 2019

(In thousands, except share amounts)

(Unaudited)

Redeemable Convertible Preferred Stock

Stockholders’ Deficit

    

    

    

    

    

    

Accumulated

    

Additional

other

Series A

Series B

Common stock

paidin

comprehensive

Accumulated

    

Shares

    

Amount

    

Shares

    

Amount

  

  

Shares

    

Amount

    

capital

    

income (loss)

deficit

    

Total

Balance at April 1, 2019

 

22,501,174

$

33,556

 

63,463,534

$

93,100

 

296,245

$

$

$

(4)

$

(145,788)

$

(145,792)

Vesting of common stock previously subject to repurchase

 

 

 

 

 

165

 

 

3

 

 

3

Exercise of stock options

 

 

 

 

 

1,092

 

 

5

 

 

5

Foreign currency translation adjustment

1

1

Sale of Series B redeemable convertible preferred stock, net of stock issue costs of $98

 

 

10,123,480

 

11,645

 

 

 

 

Stock‑based compensation expense

 

 

 

 

 

 

 

59

 

 

59

Accretion of redeemable convertible preferred stock to redemption value

 

 

449

 

 

2,313

 

 

 

(67)

 

(2,695)

 

(2,762)

Net loss

 

 

 

 

 

 

 

 

(5,261)

 

(5,261)

Balance at June 30, 2019

 

22,501,174

$

34,005

 

73,587,014

$

107,058

 

297,502

$

$

$

(3)

$

(153,744)

$

(153,747)

Redeemable Convertible Preferred Stock

Stockholders’ Deficit

Accumulated

Additional

other

Series A

Series B

Common stock

paidin

comprehensive

Accumulated

    

Shares

    

Amount

    

Shares

    

Amount

  

  

Shares

    

Amount

    

capital

    

loss

deficit

    

Total

Balance at January 1, 2019

 

22,501,174

$

33,112

 

63,032,500

$

91,038

 

295,717

$

$

$

$

(137,860)

$

(137,860)

Vesting of common stock previously subject to repurchase

 

 

 

 

 

295

 

 

3

 

 

 

3

Exercise of stock options

 

 

 

 

 

1,490

 

 

8

 

 

 

8

Foreign currency translation adjustment

(3)

(3)

Sale of Series B redeemable convertible preferred stock, net of stock issue costs of $117

 

 

 

10,554,514

 

12,126

 

 

 

 

 

 

Stock‑based compensation expense

 

 

 

 

 

 

 

119

 

 

 

119

Accretion of redeemable convertible preferred stock to redemption value

 

 

893

 

 

3,894

 

 

 

(130)

 

 

(4,657)

 

(4,787)

Net loss

 

 

 

 

 

 

 

 

 

(11,227)

 

(11,227)

Balance at June 30, 2019

 

22,501,174

$

34,005

 

73,587,014

$

107,058

 

297,502

$

$

$

(3)

$

(153,744)

$

(153,747)

See accompanying notes to unaudited interim consolidated financial statements.

7


Table of Contents

TELA Bio, Inc.

Consolidated Statements of Cash Flows

(In thousands)

(Unaudited)

Six months ended June 30, 

    

2020

2019

Cash flows from operating activities:

Net loss

$

(13,301)

$

(11,227)

Adjustments to reconcile net loss to net cash used in operating activities:

Depreciation expense

 

95

 

135

Noncash interest expense

 

281

 

244

Amortization of intangible assets

 

152

 

152

Inventory excess and obsolescence charge

 

767

 

916

Change in fair value of warrants

 

 

38

Stock‑based compensation expense

 

943

 

119

Change in operating assets and liabilities:

Accounts receivable

 

238

 

(599)

Inventory

 

(750)

 

(1,169)

Prepaid expenses and other assets

 

823

 

(156)

Accounts payable

 

(2,096)

 

(1,312)

Accrued expenses and other liabilities

 

(859)

 

(123)

Foreign currency remeasurement loss

45

Net cash used in operating activities

 

(13,662)

 

(12,982)

Cash flows from investing activities:

Proceeds from the sale and maturity of short-term investments

9,289

Payment for intangible asset

 

 

(500)

Purchase of property and equipment

 

(96)

 

(89)

Net cash provided by (used in) investing activities

 

9,193

 

(589)

Cash flows from financing activities:

Proceeds from underwritten public offering, net of underwriting discounts, commissions and offering costs

45,120

Payment of initial public offering costs

(522)

Proceeds from issuance of Series B redeemable convertible preferred stock, net of offering costs

 

 

12,158

Proceeds from exercise of stock options

 

44

 

8

Net cash provided by financing activities

 

44,642

 

12,166

Effect of exchange rate on cash

 

(4)

 

Net increase (decrease) in cash and cash equivalents

 

40,169

 

(1,405)

Cash and cash equivalents, beginning of period

 

45,302

 

17,278

Cash and cash equivalents, end of period

$

85,471

$

15,873

Supplemental disclosure of cash flow information:

Cash paid during the period for interest

$

1,482

$

1,582

Supplemental disclosures of noncash investing and financing activities:

Accretion of redeemable convertible preferred stock

$

$

4,787

Offering costs in accounts payable and accrued expense and other current liabilities

$

398

$

32

Intangible assets in accrued expenses and other liabilities

$

$

2,000

Issuance of common stock for early exercised stock options

$

2

$

3

See accompanying notes to unaudited interim consolidated financial statements.

8


Table of Contents

TELA Bio, Inc.

Notes to Unaudited Interim Consolidated Financial Statements

(1) Background

TELA Bio, Inc. (the “Company”) was incorporated in the state of Delaware on April 17, 2012 and wholly owns TELA Bio Limited, a company incorporated in the United Kingdom. The Company is focused on the commercialization and sale of OviTex Reinforced Tissue Matrix, which utilizes surgical reconstruction medical device technology licensed from a strategic partner and on the research and development of additional medical devices with this strategic partner and on other internally developed technologies. The Company’s principal corporate office and research facility is located in Malvern, Pennsylvania.

(2) Risks and Liquidity

The Company’s operations to date have focused on commercializing products, developing and acquiring technology and assets, business planning, raising capital and organization and staffing. The Company has incurred recurring losses and negative cash flows from operations since inception and has an accumulated deficit of $181.2 million as of June 30, 2020. The Company anticipates incurring additional losses until such time, if ever, it can generate sufficient revenue from its products to cover its expenses.

In November 2019, the Company closed its initial public offering (“IPO”) in which the Company issued and sold 4,398,700 shares of its common stock at a public offering price of $13.00 per share, including 398,700 shares of the Company’s common stock sold pursuant to the underwriters’ option to purchase additional shares. The Company received net proceeds of $50.6 million after deducting underwriting discounts, commissions and other offering expenses.

In June 2020, the Company completed an underwritten public offering in which the Company issued and sold 3,000,000 shares of its common stock at a public offering price of $16.00 per share. The Company received net proceeds of $44.7 million after deducting underwriting discounts, commissions and other offering expenses.

The operations of the Company are subject to certain risks and uncertainties including, among others, uncertainty of product development, the impact of COVID-19, the ongoing economic uncertainty, technological uncertainty, commercial acceptance of any developed products, alternative competing technologies, dependence on collaborative partners, uncertainty regarding patents and proprietary rights, comprehensive government regulations, and dependence on key personnel.

(3) Summary of Significant Accounting Policies

The Company’s complete summary of significant accounting policies can be found in “Note 3, Summary of Significant Accounting Policies” in the December 31, 2019 consolidated financial statements included in the Company’s Annual Report. Any reference in these notes to applicable guidance is meant to refer to generally accepted accounting principles (“GAAP”) in the United States as found in the Accounting Standards Codification (“ASC”) and Accounting Standards Updates (“ASU”) promulgated by the Financial Accounting Standards Board (“FASB”).

Interim Financial Statements

The accompanying unaudited interim consolidated financial statements have been prepared from the books and records of the Company in accordance with GAAP for interim financial information and Rule 10-01 of Regulation S-X promulgated by the SEC, which permits reduced disclosures for interim periods. All adjustments, consisting only of normal recurring adjustments, necessary for a fair presentation of the accompanying consolidated balance sheets and statements of operations and comprehensive loss, redeemable convertible preferred stock and stockholders’ equity (deficit) and cash flows have been made. Although these interim consolidated financial statements do not include all of the information and footnotes required for complete annual consolidated financial statements, management believes the disclosures are adequate to make the information presented not misleading. Unaudited interim results of operations and cash flows are not necessarily indicative of the results that may be expected for the full year. Unaudited interim

9


Table of Contents

TELA Bio, Inc.

Notes to Unaudited Interim Consolidated Financial Statements (Continued)

consolidated financial statements and footnotes should be read in conjunction with the December 31, 2019 consolidated financial statements and footnotes included in the Annual Report.

Use of Estimates

The preparation of consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and contingent liabilities at the date of the consolidated financial statements and the reported amounts of revenue and expenses during the reporting period. The most significant judgments are employed in estimates used to determine the fair value of stock-based awards issued and recoverability of the carrying value of the Company’s inventory. As future events and their effects cannot be determined with precision, actual results may differ significantly from these estimates.

The full extent to which the COVID-19 pandemic will directly or indirectly impact the Company’s business, results of operations and financial condition, including revenue, expenses, manufacturing, research and development costs and employee-related compensation, will depend on future developments that are highly uncertain, including new information that may emerge concerning COVID-19 and the actions taken to mitigate the spread of or treat COVID-19, as well as the economic impact on local, regional, national and international customers and markets. Management has made estimates of the impact of COVID-19 within the Company’s consolidated financial statements and there may be changes to those estimates in future periods. Actual results may differ from these estimates.

Short-Term Investments

Short-term investments consisted of investments in corporate debt securities with a maturity of greater than three months when acquired. The Company classified these investments as available-for-sale securities. These investments were reported at fair value with the related unrealized gains and losses included in accumulated other comprehensive income (loss), a component of stockholders’ equity. The Company had no short-term investments as of June 30, 2020.

Short-term investments at December 31, 2019 consisted of the following (in thousands):

Estimated

Amortization/

Unrealized

Fair

    

Cost

    

Accretion

Gains/(Losses)

    

Value

Corporate debt securities

 

$

9,284

 

$

5

$

(4)

 

$

9,285

Revenue Recognition

Under ASC Topic 606, Revenue from Contracts with Customers, an entity recognizes revenue when its customer obtains control of the promised good, in an amount that reflects the consideration that the entity expects to be entitled in exchange for those goods. The Company performs the following five steps to recognize revenue under ASC Topic 606: (i) identify the contract(s) with a customer, (ii) identify the performance obligations in the contract, (iii) determine the transaction price, (iv) allocate the transaction price to the performance obligations in the contract, and (v) recognize revenue when (or as) the entity satisfies a performance obligation. The Company only recognizes revenue when it is probable that it will collect the consideration to which it is entitled in exchange for the goods or services that will be transferred to the customer.

A significant portion of the Company’s revenue is generated from product shipped to a customer or from consigned inventory maintained at hospitals. Revenue from the sale of consigned products is recognized when control is transferred to the customer, which occurs at the time the product is used in a surgical procedure. For product that is not held on consignment, the Company recognizes revenue when control transfers to the customer which occurs at the time the product is shipped or delivered. For all of the Company’s contracts, the only identified performance obligation is providing the product to the customer.

10


Table of Contents

TELA Bio, Inc.

Notes to Unaudited Interim Consolidated Financial Statements (Continued)

Payment terms with customers do not exceed one year and, therefore, the Company does not account for a financing component in its arrangements. There are no incremental costs of obtaining a contract that would rise to or enhance an asset other than product costs, which are a component of inventory. The Company expenses incremental costs of obtaining a contract with a customer (e.g., sales commissions) when incurred as the period of benefit is less than one year. Fees charged to customers for shipping are recognized as revenue.

The following table presents revenue disaggregated by our portfolio of products (in thousands):

Three months ended June 30, 

Six months ended June 30, 

2020

2019

2020

2019

OviTex

$

2,942

$

3,212

$

6,181

$

6,518

OviTex PRS

565

91

1,052

91

Total revenue

$

3,507

$

3,303

$

7,233

$

6,609

Sales outside of the United States are immaterial for both the three and six months ended June 30, 2020 and 2019.

Fair value of financial instruments

Fair value is the price that could be received to sell an asset or paid to transfer a liability in an orderly transaction among market participants. Fair value determination in accordance with applicable accounting guidance requires that a number of significant judgments are made. Additionally, fair value is used on a nonrecurring basis to evaluate assets for impairment or as required for disclosure purposes by applicable accounting guidance on disclosures about fair value of financial instruments. Depending on the nature of the assets and liabilities, various valuation techniques and assumptions are used when estimating fair value. The carrying amounts of certain of the Company’s financial instruments, including cash and cash equivalents, accounts receivable and other assets, and accounts payable are shown at cost, which approximates fair value due to the short-term nature of these instruments. Due to the related-party relationship of the credit facility (the “OrbiMed Credit Facility”) with OrbiMed Royalty Opportunities IP, LP (“OrbiMed”) (Note 5), it is impractical to determine the fair value of the debt.

The Company follows the provisions of FASB ASC Topic 820, Fair Value Measurement, for financial assets and liabilities measured on a recurring basis. The guidance requires fair value measurements be classified and disclosed in one of the following three categories:

Level 1: Unadjusted quoted prices in active markets that are accessible at the measurement date for identical, unrestricted assets or liabilities.
Level 2: Quoted prices in markets that are not active, or inputs which are observable, either directly or indirectly, for substantially the full term of the asset or liabilities.
Level 3: Prices or valuation techniques that require inputs that are both significant to the fair value measurement and unobservable (i.e., supported by little or no market activity).

11


Table of Contents

TELA Bio, Inc.

Notes to Unaudited Interim Consolidated Financial Statements (Continued)

The following fair value hierarchy table presents information about each major category of the Company’s financial assets and liabilities measured at fair value on a recurring basis (in thousands):

Fair value measurement at reporting date using

Quoted prices in

active markets

Significant other

Significant

for identical

observable

unobservable

assets

inputs

inputs

    

(Level 1)

    

(Level 2)

    

(Level 3)

June 30, 2020:

Assets:

Cash equivalents – money market fund

$

84,879

$

$

December 31, 2019:

Assets:

Cash equivalents – money market fund

$

34,918

$

$

Cash equivalents – corporate debt securities

$

$

8,850

$

Cash equivalents – government agency securities

$

$

1,000

$

Short-term investments – corporate debt securities

$

$

9,285

$

At June 30, 2019, preferred stock warrants were outstanding and were a level 3 measurement. A rollforward of the warrant liability is as follows (in thousands):

January 1, 2019

$

1,640

Change in fair value of warrants

38

June 30, 2019

$

1,678

Net loss per share

Basic and diluted net loss per common share is determined by dividing net loss attributable to common stockholders by the weighted-average shares of common stock outstanding during the reporting period. The Company’s outstanding redeemable convertible preferred stock contractually entitled the holders of such shares to participate in distributions but contractually did not require the holders of such shares to participate in losses of the Company. Accordingly, in periods in which the Company reports a net loss attributable to common stockholders, diluted net loss per share attributable to common stockholders is the same as basic net loss per share attributable to common stockholders since dilutive shares are not assumed to have been issued if their effect is antidilutive. Therefore, the weighted-average shares used to calculate both basic and diluted loss per share are the same.

The following potentially dilutive securities have been excluded from the computation of diluted weighted-average shares outstanding for the periods presented, as they would be antidilutive.

Three and six months ended June 30,

2020

2019

Series A redeemable convertible preferred stock

 

 

911,336

Series B redeemable convertible preferred stock

 

 

2,980,387

Stock options (including shares subject to repurchase)

1,538,954

 

530,463

Series B redeemable convertible preferred stock warrants

 

 

88,556

Common stock warrants

88,556

Total

 

1,627,510

 

4,510,742

Amounts in the above table reflect the common stock equivalents of the noted instrument.

12


Table of Contents

TELA Bio, Inc.

Notes to Unaudited Interim Consolidated Financial Statements (Continued)

Recently Issued Accounting Pronouncements

In February 2016, the FASB issued ASU No. 2016-02, Leases, which requires a lessee to record a right-of-use asset and a corresponding lease liability on the balance sheet for all leases with terms longer than 12 months. A modified retrospective transition approach is required, applying the new standard to all leases existing at the date of initial application. An entity may choose to use either (1) its effective date or (2) the beginning of the earliest comparative period presented in the consolidated financial statements as its date of initial application. If an entity chooses the second option, the transition requirements for existing leases also apply to leases entered into between the date of initial application and the effective date. The standard is effective for the Company beginning January 1, 2022, with early adoption permitted. The Company plans to adopt this standard on January 1, 2022 and is currently evaluating the expected impact that the standard could have on its consolidated financial statements and related disclosures.

In June 2018, the FASB issued ASU No. 2018-07, Compensation—Stock Compensation (Topic 718) Improvements to Nonemployee Share-Based Payment Accounting. The amendments in this update expand the scope of Topic 718 to include stock-based payment transactions for acquiring goods and services from nonemployees. Under this ASU, an entity should apply the requirements of Topic 718 to nonemployee awards except for specific guidance on inputs to an option pricing model and the attribution of costs (i.e., the period of time over which stock-based payment awards vest and the pattern of cost recognition over that period). The guidance is effective for the Company beginning January 1, 2020, with early adoption permitted. The adoption of this guidance did not have any impact on the consolidated financial statements and related disclosures.

In August 2018, the FASB issued ASU No. 2018-13, Disclosure Framework—Changes to the Disclosure Requirements for Fair Value Measurements, which changes the fair value measurement disclosure requirements of ASC Topic 820. The goal of the ASU is to improve the effectiveness of ASC Topic 820's disclosure requirements. The standard is effective for the Company beginning January 1, 2020. The adoption of this guidance did not have any impact on the consolidated financial statements and related disclosures.

(4) Accrued Expenses and Other Current Liabilities

Accrued expenses and other current liabilities consisted of the following (in thousands):

June 30, 

December 31, 

    

2020

    

2019

Compensation and related benefits

$

1,092

$

2,314

Interest

 

40

 

41

Third-party and professional fees

 

1,206

 

641

Research and development expenses

 

 

35

Other

 

337

 

511

$

2,675

$

3,542

13


Table of Contents

TELA Bio, Inc.

Notes to Unaudited Interim Consolidated Financial Statements (Continued)

(5) Long-term Debt

Long-term debt consisted of the following (in thousands):

June 30, 

December 31, 

    

2020

    

2019

OrbiMed Term Loan (related party)

$

30,000

$

30,000

End of term charge

 

3,000

 

3,000

Unamortized end of term charge and issuance costs

 

(2,476)

 

(2,757)

Long-term debt with related party

$

30,524

$

30,243

OrbiMed Term Loan (Related Party)

Pursuant to the OrbiMed Credit Facility, which consists of up to $35.0 million in term loans (the “OrbiMed Term Loans”), the Company provided a first priority security interest in all existing and future acquired assets, excluding intellectual property and certain other assets, owned by the Company. The OrbiMed Term Loans consist of two tranches, a $30.0 million Tranche 1 (“Tranche 1”) and a $5.0 million Tranche 2 (“Tranche 2”). In November 2018, the Company borrowed $30.0 million of Tranche 1 and used a portion of the proceeds to repay the MidCap Credit Facility and will use the remaining proceeds to fund operations and capital expenditures. The Company elected not to borrow Tranche 2 prior to its expiration on December 31, 2019.

The OrbiMed Credit Facility contains a negative pledge on intellectual property owned by the Company. The OrbiMed Credit Facility also contains customary indemnification obligations and customary events of default, including, among other things, (i) nonpayment, (ii) breach of warranty, (iii) nonperformance of covenants and obligations, (iv) default on other indebtedness, (v) judgments, (iv) change of control, (vii) bankruptcy and insolvency, (viii) impairment of security, (ix) key permit events, (x) key person event, (xi) regulatory matters, (xii) and key contracts. In addition, the Company must maintain a minimum cash balance of $2.0 million. In the event of default under the OrbiMed Credit Facility, the Company would be required to pay interest on principal and all other due and unpaid obligations at the current rate in effect plus 3%.

The OrbiMed Term Loan matures on November 16, 2023 and bears interest at a rate equal to 7.75% plus the greater of one-month LIBOR or 2.0%. At June 30, 2020, the interest rate was 9.75%. The Company is required to make 60 monthly interest payments beginning on November 30, 2018, with the entire principal payment due at maturity. The OrbiMed Term Loans have a prepayment penalty equal to 10.0% of the prepaid principal amount prior to the second anniversary of the Term Loans, 5.0% of the prepaid principal amount after the second anniversary but prior to the third anniversary and 2.5% of the prepaid principal amount after the third anniversary. The Company is also required to pay an exit fee at the time of maturity or prepayment event equal to 10.0% of all principal borrowings (the “End of Term Charge”) and an administration fee equal to $10,000 on the last day of each quarter until all obligations have been paid in full. In conjunction with the closing of the OrbiMed Term Loans, the Company incurred $0.3 million of third-party and lender fees, which along with the End of Term charge of $3.0 million were recorded as debt issuance costs, and are being recognized as interest expense over the term of the loan using the effective-interest method. Interest expense associated with the OrbiMed Credit Facility recorded for the six months ended June 30, 2020 was $1.8 million, of which $0.3 million was related to the amortization of debt issuance costs. Interest expense associated with the OrbiMed Credit Facility recorded for the six months ended June 30, 2019 was $1.8 million, of which $0.2 million was related to the amortization of debt issuance costs.

(6) Stockholders’ Equity (Deficit)

In November 2019, the Company closed its IPO in which the Company issued and sold 4,398,700 shares of its common stock at a public offering price of $13.00 per share, including 398,700 shares of the Company’s common stock sold pursuant to the underwriters’ option to purchase additional shares. The Company received net proceeds of $50.6 million after deducting underwriting discounts, commissions and other offering expenses. In addition, immediately prior to the

14


Table of Contents

TELA Bio, Inc.

Notes to Unaudited Interim Consolidated Financial Statements (Continued)

closing of the IPO, all of the Company’s outstanding shares of redeemable convertible preferred stock, including accrued dividends payable converted into an aggregate of 6,708,649 shares of common stock and the Company’s outstanding warrants to purchase shares of preferred stock were automatically converted into warrants to purchase an aggregate of 88,556 shares of common stock.

In June 2020, the Company closed an underwritten public offering in which the Company issued and sold 3,000,000 shares of its common stock at a public offering price of $16.00 per share. The Company received net proceeds of $44.7 million after deducting underwriting discounts, commissions and other offering expenses.

Warrants

The Company had the following warrants outstanding to purchase common stock at June 30, 2020:

Exercise

Expiration

    

Outstanding

    

price

    

dates

Common stock warrants issued to MidCap

 

8,379

$

28.65

 

2028

Common stock warrants issued to note payable holders

 

15,712

 

28.65

 

2027

Common stock warrants issued to convertible promissory note holders

 

64,465

$

28.65

 

2027

 

88,556

(7) Stock-Based Compensation

The Company has two equity incentive plans: the 2012 Stock Incentive Plan and the Amended and Restated 2019 Equity Incentive Plan. New awards can only be granted under the Amended and Restated 2019 Equity Incentive Plan (the “Plan”). At June 30, 2020, 753,175 shares were available for future issuances. The Plan provides for the grant of incentive stock options, nonqualified stock options, restricted stock awards, restricted stock units and/or stock appreciation rights to employees, directors, and other persons, as determined by the Company’s board of directors. The Company’s stock options vest based on the terms in each award agreement and generally vest over four years and have a term of 10 years. The Company estimates forfeitures that it expects will occur and adjusts expense for actual forfeitures in the periods they occur.

The Company measures employee and nonemployee stock-based awards at grant-date fair value and records compensation expense on a straight-line basis over the vesting period of the award. The Company recorded stock-based compensation expense in the following expense categories of its accompanying consolidated statements of operations and comprehensive loss (in thousands):

Three months ended June 30, 

    

Six months ended June 30, 

    

2020

    

2019

    

2020

2019

Sales and marketing

$

172

$

14

$

333

$

29

General and administrative

 

240

 

39

 

449

 

73

Research and development

 

82

 

6

 

161

 

17

Total stock‑based compensation

$

494

$

59

$

943

$

119

15


Table of Contents

TELA Bio, Inc.

Notes to Unaudited Interim Consolidated Financial Statements (Continued)

The following table summarizes stock option activity for the Plan:

Weighted

average

Weighted

remaining

Number of

average exercise

contractual term

    

shares

    

price per share

    

(years)

Outstanding at January 1, 2020

 

1,420,942

$

10.35

 

  

Granted

 

148,566

 

15.14

 

  

Exercised

 

(6,306)

 

6.97

 

  

Canceled/forfeited

 

(24,573)

 

12.41

 

  

Outstanding at June 30, 2020

 

1,538,629

 

10.79

 

8.40

Vested and expected to vest at June 30, 2020

 

1,452,555

$

10.70

 

8.35

Exercisable at June 30, 2020

 

416,174

$

5.97

 

6.01

The 2012 Stock Incentive Plan and the Amended and Restated 2019 Equity Incentive Plan provide the holders of stock options an election to early exercise prior to vesting. The Company has the right, but not the obligation, to repurchase early exercised options without transferring any appreciation to the employee if the employee terminates employment before the end of the original vesting period. The repurchase price is the lesser of the original exercise price or the then fair value of the common stock. At June 30, 2020, $2,000 of proceeds from early exercised options are recognized as a current liability in other current liabilities in the accompanying consolidated balance sheet.

The following table summarizes activity relating to early exercise of stock options:

Number of

    

shares

Unvested balance at January 1, 2020

 

755

Vested

 

(163)

Forfeited

(267)

Unvested balance at June 30, 2020

 

325

The weighted average grant-date fair value per share of options granted was $8.10 during the six months ended June 30, 2020. The aggregate intrinsic value of options exercised was $30,000 and $42,000 for the three and six months ended June 30, 2020, respectively. At June 30, 2020, the total unrecognized compensation expense related to unvested employee and nonemployee stock option awards was $5.9 million, which is expected to be recognized in expense over a weighted-average period of approximately 2.94 years.

Estimating Fair Value of Stock Options

The fair value of each grant of stock options was determined by the Company using the methods and assumptions discussed below. Certain of these inputs are subjective and generally requires judgment to determine.

Expected term – The expected term of stock options represents the weighted average period the stock options are expected to be outstanding. The Company uses the simplified method for estimating the expected term as provided by the Securities and Exchange Commission. The simplified method calculates the expected term as the average time to vesting and the contractual life of the options.

Expected volatility – Due to the Company’s limited operating history and lack of company-specific historical or implied volatility, the expected volatility assumption was determined by examining the historical volatilities of a group of industry peers whose share prices are publicly available.

16


Table of Contents

TELA Bio, Inc.

Notes to Unaudited Interim Consolidated Financial Statements (Continued)

Risk-free interest rate – The risk-free rate assumption is based on the U.S. Treasury instruments, the terms of which were consistent with the expected term of the Company’s stock options.

Expected dividend – The Company has not paid and does not intend to pay dividends.

The fair value of each option was estimated on the date of grant using the weighted average assumptions in the table below:

Six months ended

 

    

June 30, 2020

 

Expected dividend yield

 

Expected volatility

 

58.3

%

Risk‑free interest rate

 

0.95

%

Expected term

 

5.93

Years

(8) Related-Party Transactions

On November 16, 2018, the Company entered into a senior secured term loan facility with OrbiMed, an entity affiliated with an owner of a material amount of the Company’s outstanding voting securities. The terms of the debt and related components are further described in more detail in Note 5.

17


Table of Contents

Item 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

The following Management’s Discussion and Analysis of Financial Condition and Results of Operations, as well as other sections in this Quarterly Report on Form 10-Q for the quarter ended June 30, 2020 (the “Quarterly Report”), should be read in conjunction with our unaudited interim consolidated financial statements and related notes thereto included elsewhere herein and the consolidated financial statements and notes thereto for the year ended December 31, 2019 and the related Management’s Discussion and Analysis of Financial Condition and Results of Operation, both of which are contained in our Annual Report on Form 10-K for the year ended December 31, 2019 (the “Annual Report”) filed with the Securities and Exchange Commission (“SEC”) on March 30, 2020. In addition to historical financial information, some of the information contained in the following discussion and analysis contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. All statements other than statements of historical facts, including statements regarding our future results of operations and financial position, business strategy, current and prospective products, product approvals, research and development costs, current and prospective collaborations, timing and likelihood of success, plans and objectives of management for future operations and future results of current and anticipated products, are forward-looking statements. These statements involve known and unknown risks, uncertainties, assumptions and other important factors that may cause our actual results, performance or achievements to be materially different from any future results, performance or achievements expressed or implied by the forward-looking statements.

Overview

We are a commercial-stage medical technology company focused on designing, developing and marketing a new category of tissue reinforcement materials to address unmet needs in soft tissue reconstruction. We offer a portfolio of advanced reinforced tissue matrices that improve clinical outcomes and reduce overall costs of care in hernia repair, abdominal wall reconstruction and plastic and reconstructive surgery. Our products are an innovative solution that integrate multiple layers of minimally-processed biologic material with interwoven polymers in a unique embroidered pattern, which we refer to as reinforced tissue matrices.

Our first portfolio of products, the OviTex Reinforced Tissue Matrix (“OviTex”), addresses unmet needs in hernia repair and abdominal wall reconstruction by combining the benefits of biologic matrices and polymer materials while minimizing their shortcomings, at a cost-effective price. Our OviTex products have received 510(k) clearance from the U.S. Food and Drug Administration (“FDA”), which clearance was obtained and is currently held by Aroa Biosurgery Ltd. (“Aroa”), our exclusive manufacturer and supplier, and have demonstrated safety and clinical effectiveness in our ongoing prospective, single arm, multicenter post-market clinical study, which we refer to as our BRAVO study, which was fully enrolled at 92 patients. On July 9, 2020, we announced the results of an interim analysis from our BRAVO study evaluating the clinical performance of OviTex for the treatment of ventral hernias. The interim analysis includes patient cohorts at the 90-day, 12-month and 24-month follow-up periods. At 90 days post-op, there were no recurrences, reoperations, or implant removals among the 85 patients analyzed. At 12 months, 57 patients have been assessed, with only one patient experiencing a recurrence. Notably, this recurrence occurred in a location adjacent to the original repair in an area of abdominal weakness and the initial repair using OviTex remained intact. Of the 20 patients that have reached 24-month follow-up, none experienced a recurrence or long-term complication. Our second portfolio of products, the OviTex PRS Reinforced Tissue Matrix (“OviTex PRS”), addresses unmet needs in plastic and reconstructive surgery. In April 2019, our OviTex PRS products received 510(k) clearance from the FDA, which clearance was obtained by Aroa and is currently held by us.

We began commercialization of our OviTex products in the United States in July 2016 and they are now sold to more than 270 hospital accounts. Our OviTex portfolio consists of multiple products for hernia repair and abdominal wall reconstruction, inguinal hernia repair and hiatal hernia repair. In addition, to address the significant increase in the number of robotic-assisted hernia repairs over the last several years, we have designed an OviTex product line for use in laparoscopic and robotic-assisted surgery (“OviTex LPR”), which we began commercializing in November 2018. We subsequently expanded the OviTex LPR product line in December 2019.

18


Table of Contents

OviTex PRS is indicated for use in implantation to reinforce soft tissue where weakness exists in patients requiring soft tissue repair or reinforcement in plastic and reconstructive surgery. We commenced a limited launch in May 2019 and have gathered clinical feedback from our initial surgeon users. Based on this feedback, we expanded our commercial launch in June 2020 and expect to continue to expand our surgeon network. We also intend to engage in discussions with the FDA regarding an Investigational Device Exemption protocol to study the safety and effectiveness of our OviTex PRS product for an indication in breast reconstruction surgery.

We market our products through a single direct sales force, predominantly in the United States. We have invested in our direct sales and marketing infrastructure in order to expand our presence and to promote awareness and adoption of our products. As of June 30, 2020, we had 41 sales territories in the U.S. As part of our commercial strategy, we plan to continue to invest in our commercial organization by hiring additional account managers, clinical development specialists and administrative support staff in order to cover the highest potential of accounts for soft tissue reconstruction procedures.

We are currently devoting research and development resources to develop additional versions of our OviTex hernia product lines, including self-adhering technology to further enhance product compatibility in robotic procedures, as well as additional versions of our OviTex PRS product lines. We are also working to develop new product features and designs for both our existing OviTex and OviTex PRS products. Additionally, we are exploring new packaging technology to increase the shelf life of our OviTex and OviTex PRS products. We intend to continue to make investments in research and development efforts to develop improvements and enhancements.

Our products are manufactured by Aroa at their FDA registered and ISO 13485 facility in Auckland, New Zealand. We maintain our Aroa License for the exclusive supply of ovine rumen and manufacture of our reinforced tissue matrices under which we purchase product from Aroa at a fixed cost equal to 27% of our net sales of licensed products. This revenue sharing arrangement allows us to competitively price our products and pass along cost-savings to our customers.

Substantially all of our revenue to date has been generated by the sale of our OviTex products. Our revenue increased by $0.2 million, or 6%, from $3.3 million for the three months ended June 30, 2019 to $3.5 million for the three months ended June 30, 2020, and by $0.6 million, or 9%, from $6.6 million for the six months ended June 30, 2019 to $7.2 million for the six months ended June 30, 2020. We incurred net losses of $6.1 million and $13.3 million for the three and six months ended June 30, 2020, respectively, as compared to $5.3 million and $11.2 million for the three and six months ended June 30, 2019, respectively. We have not been profitable since inception and as of June 30, 2020, we had an accumulated deficit of $181.2 million. We expect to incur losses for the foreseeable future.

Business Update Regarding COVID-19

Our business has been impacted by the COVID-19 pandemic. We continue to closely monitor developments related to the COVID-19 pandemic and our decisions will continue to be driven by the health and well-being of our employees, hospital and physician customers, and their patients while maintaining operations to support our customers and their patients in the near-term. These developments include:

Surgery Deferrals: To date, among other impacts on our business related to the pandemic, physicians and their patients are required by state mandates, or are choosing, to defer elective surgery procedures in which our products otherwise would be used. We began to see an adverse impact on the number of surgical procedures using our OviTex products in the second half of March 2020. Since mid-April 2020, the number of procedures using our products and our corresponding sales have increased in a gradual, non-linear fashion. The extent of future elective surgery deferrals and the timing and extent of the economic impact of the pandemic, and the pace at which the economy recovers therefrom, cannot be determined at this time. We continue to work closely with our hospital and physician customers and suppliers to navigate through this unforeseen event while maintaining flexible operations.
Operations: Our sales, marketing and research and development efforts have continued since the outbreak of the pandemic, but steps we have taken in response to the pandemic have adversely affected our business. For example, most of our sales professionals currently are using a virtual selling program, which includes virtual

19


Table of Contents

sales calls with physicians, peer-to-peer discussions with key opinion leaders, physician webinars and sales professional training, instead of in-person sales and marketing programs. We expect to continue to adapt our sales and marketing plans as we better understand the effects of the COVID-19 pandemic on our business. As Aroa is located and headquartered in Auckland, New Zealand, where COVID-19 mitigation efforts have been effective, our manufacturing and supply chain has largely been uninterrupted. However, it could be disrupted in the future as a result of the pandemic because of staffing shortages, production slowdowns, stoppages or disruptions in delivery systems.
Cost Containment: We initiated actions in April 2020 to generate savings in areas such as travel, events, and consulting. Additionally, for the period from April 16, 2020 to July 15, 2020, we reduced the base salaries of our employees. The base salaries of each of our senior executives were reduced by 30% and the base salaries of each of our vice presidents were reduced by 25%. In addition, certain senior executives volunteered to reduce their salaries by an additional 5%, for a total reduction of 35% for those individuals. Reductions in salary for other employees varied from 5% to 20%. In addition, we suspended our matching contributions to all participants under our 401(k) Retirement Plan. The matching contributions program was reinstated in August 2020. These comprehensive spending cuts were necessary to protect our financial strength in the face of near-term challenges. Despite those challenges, we remain focused on managing the business for the long-term, including preserving full time jobs to support the expected rebound in surgical procedure volumes.

Product Development: We continue to evaluate the timing and scope of planned next generation product development and commercialization initiatives and we plan to continue to prioritize and invest in our critical R&D and clinical programs.

Second Quarter and Year to Date 2020 Results. Though our revenue increased over the prior year periods, it was impacted by lower than expected procedure volumes due to hospitals and patients deferring elective procedures and other factors related to the COVID-19 pandemic. Our revenues were affected by a decrease in the number of daily procedures using our products. Our average daily sales, at their lowest point in the first half of April 2020, were more than 70% below our average daily sales prior to the beginning of the COVID-19 pandemic. However, throughout May and June, our daily sales experienced steady improvement, and in late June, our volumes exceeded our pre-COVID-19 levels. However, the timing, extent and continuation of any further increase in procedures, and any corresponding increase in sales of our products, and whether there could be a future decrease in the current level of procedures, remain uncertain and are subject to a variety of factors, including:
oGovernment restrictions on elective procedures may change over time and may vary in different geographic locations due to localized increases or decreases of COVID-19 cases.
oA material increase in COVID-19 cases in one or more locations may result in an increase in hospitalizations and a corresponding decrease in elective procedures in such impacted locations.
oPatients may elect to defer or avoid treatment for elective procedures due to concerns about being exposed to COVID-19, loss of employer-sponsored health insurance related to the high levels of unemployment in the United States or other reasons.
oHospitals may reserve increased space, personal protective equipment and staff for potential COVID-19 patients, especially if the number of COVID-19 cases spikes, limiting the space and resources allocated to inpatient and outpatient elective procedures.
oHospitals may continue to preserve cash and may not immediately replenish their inventories of our products, which would impact our future sales and revenue.

We cannot predict with certainty the extent to which the COVID-19 pandemic will impact procedures and our revenues in the third quarter and beyond.

20


Table of Contents

Outlook. There is considerable uncertainty and lack of visibility regarding our near-term revenue growth prospects and product development plans due to the rapidly evolving environment and continued uncertainties resulting from the COVID-19 pandemic. At this time, the full extent of the impact of the COVID-19 pandemic on our business, financial condition and results of operations is uncertain and cannot be predicted with reasonable accuracy and will depend on future developments that are also uncertain and cannot be predicted with reasonable accuracy.

Components of Our Results of Operations

Revenue

Substantially all of our revenue consists of direct sales of our products to hospital accounts in the United States. Depending on the terms of our agreements with our customers, we recognize revenue related to product sales either when control transfers, which generally occurs when the product is shipped to the customer, or when the product is utilized in a surgical procedure in the case of consignment agreements. Fees charged to customers for shipping are recognized as revenue. Recent revenue growth has been driven by increasing revenue from product sales due to our expanding customer base, although it is unclear at this point what long-term effect, if any, the COVID-19 pandemic will have on our ability to continue to generate revenue and expand our customer base.

Cost of Revenue

Cost of revenue primarily consists of the costs of licensed products purchased from Aroa, charges related to excess and obsolete inventory adjustments and costs related to shipping. We purchase product from Aroa at a fixed cost equal to 27% of our net sales of licensed products. The initial term of our Aroa License terminates on the later of (i) August 3, 2022, or (ii) the expiration of the last patent covering bovine and ovine products, with an option to extend for an additional ten-year period. We expect our cost of revenue to increase in absolute dollars as, and to the extent, our sales volume grows, although it is unclear at this point what long-term effect, if any, the COVID-19 pandemic will have on product demand which could lead to additional charges to excess and obsolete inventory.

Amortization of Intangible Assets

Amortization of intangible assets relates to the amortization of capitalized milestone amounts paid or probable to be paid to Aroa related to license fees or commercialization rights after future economic benefit has been established for a product. These capitalized milestone amounts relate to regulatory clearances, the receipt of certain supply quantities of product, and amounts based upon aggregate net sales thresholds within a specified territory and are amortized over the remaining useful life of the intellectual property.

Gross Profit and Gross Margin

Our gross profit is calculated by subtracting our cost of revenue and amortization of intangible assets from our revenue. We calculate our gross margin percentage as our gross profit divided by our revenue. Our gross profit has been, and we expect it will continue to be, affected by a variety of factors, including sales volume and excess and inventory obsolescence costs. Our gross profit may increase to the extent our revenue grows.

Sales and Marketing Expenses

Sales and marketing expenses consist of market research and commercial activities related to the sale of OviTex and OviTex PRS and salaries and related benefits, sales commissions and stock-based compensation for employees focused on these efforts. Other significant sales and marketing expenses include costs incurred with post-market clinical studies, conferences and trade shows, promotional and marketing activities, as well as travel and training expenses.

Over time we expect our sales and marketing expenses to increase in absolute dollars as we continue to expand our commercial organization to both drive and support our planned growth in revenue. It is unclear at this point, however,

21


Table of Contents

what long-term effect, if any, the COVID-19 pandemic will have on these expansion plans. We expect our sales and marketing expenses to decrease as a percentage of revenue primarily as, and to the extent, our revenue grows.

General and Administrative Expenses

General and administrative expenses consist primarily of salaries and related benefits, including stock-based compensation for personnel in executive, finance, information technology and administrative functions. General and administrative expenses also include professional service fees for legal, accounting, consulting, investor and public relations, insurance costs and direct and allocated facility-related costs.

We expect that our general and administrative expenses will increase in absolute dollars as we expand our headcount to support our growth and incur additional expenses related to operating as a public company, including director and officer insurance coverage, legal costs, accounting costs, costs related to exchange listing and costs related to the SEC, compliance and investor relations. It is unclear at this point, however, what long-term effect, if any, the COVID-19 pandemic will have on these expansion plans. We expect our general and administrative expenses to decrease as a percentage of revenue primarily as, and to the extent, our revenue grows.

Research and Development Expenses

Research and development expenses consist primarily of product research, engineering, product development, regulatory compliance and clinical development. These expenses include salaries and related benefits, stock-based compensation, consulting services, costs associated with our preclinical studies, costs incurred with our manufacturing partner under development agreements related to technology transfer, laboratory materials and supplies and an allocation of related facilities costs. We expense research and development costs as they are incurred.

We expect that our research and development expenses in absolute dollars will increase in the future as we develop new products and enhance existing products although it is unclear at this point what long-term effect, if any, the COVID-19 pandemic will have on these development plans. We expect research and development expenses as a percentage of revenue to vary over time depending on the level and timing of new product development initiatives.

Interest Expense

Interest expense consists of cash interest under our credit facilities, non-cash interest attributable to the accrual of final payment fees and the amortization of deferred financing costs related to our indebtedness.

Change in Fair Value of Preferred Stock Warrant Liability

Prior to our initial public offering (“IPO”), our outstanding warrants to purchase shares of our preferred stock were classified as liabilities, recorded at fair value and were subject to remeasurement at each balance sheet date until they were exercised, expired or were otherwise settled. The change in fair value of our preferred stock warrant liability reflected a non-cash charge primarily driven by changes in the fair value of our underlying Series B preferred stock. All outstanding warrants to purchase shares of our preferred stock were converted into warrants to purchase shares of our common stock upon consummation of our IPO.

Other (Expense) Income

Other (expense) income consists primarily of miscellaneous tax expenses and foreign currency exchange gains and losses offset by income earned on our cash, cash equivalents and short-term investments.

22


Table of Contents

Results of Operations

Comparison of the Three Months Ended June 30, 2020 and 2019

Three Months Ended June 30, 

Change

 

    

2020

    

2019

    

Dollar

    

Percentage

 

(in thousands, except percentages)

 

Revenue

$

3,507

$

3,303

$

204

 

6

%

Cost of revenue (excluding amortization of intangible assets)

 

1,346

 

1,320

 

26

 

2

%

Amortization of intangible assets

 

76

 

76

 

 

%

Gross profit

 

2,085

 

1,907

 

178

 

9

%

Gross margin

 

59

%  

 

58

%  

 

  

 

  

Operating expenses:

 

  

 

  

 

  

 

  

Sales and marketing

 

4,123

 

3,947

 

176

 

4

%

General and administrative

 

2,149

 

1,205

 

944

 

78

%

Research and development

 

979

 

1,055

 

(76)

 

(7)

%

Total operating expenses

 

7,251

 

6,207

 

1,044

 

17

%

Loss from operations

 

(5,166)

 

(4,300)

 

(866)

 

20

%

Other (expense) income:

 

  

 

  

 

  

 

  

Interest expense

 

(884)

 

(914)

 

30

 

(3)

%

Change in fair value of preferred stock warrant liability

 

 

(74)

 

74

 

(100)

%

Other (expense) income

 

(31)

 

27

 

(58)

 

(215)

%

Total other (expense) income

 

(915)

 

(961)

 

46

 

(5)

%

Net loss

$

(6,081)

$

(5,261)

$

(820)

 

16

%

Revenue

Revenue increased by $0.2 million, or 6%, to $3.5 million for the three months ended June 30, 2020 from $3.3 million for the three months ended June 30, 2019. Though our revenue increased over the prior year period, it was impacted by lower than expected procedure volumes due to hospitals and patients deferring elective procedures and other factors related to the COVID-19 pandemic. During the three months ended June 30, 2020, we sold 869 units of OviTex compared to 874 units of OviTex during the three months ended June 30, 2019, an 1% decrease in unit sales volume. We commenced a limited launch of OviTex PRS in May 2019, selling 115 units during the three months ended June 30, 2020 as compared to 13 units during the three months ended June 30, 2019.

Cost of Revenue

Cost of revenue (excluding amortization of intangible assets) was $1.3 million for both the three months ended June 30, 2020 and 2019. The slight increase in cost of revenue for the three months ended June 30, 2020 was primarily the result of higher revenue which was partially offset by a small decrease in our excess and obsolete inventory adjustment.

Amortization of Intangible Assets

Amortization of intangible assets was $76,000 for both the three months ended June 30, 2020 and 2019.

Gross Margin

Gross margin increased to 59% for the three months ended June 30, 2020 from 58% for the three months ended June 30, 2019. The increase was primarily due to the decrease in the charge recognized for excess and obsolete inventory adjustments as a percentage of revenue for the three months ended June 30, 2020 as compared to the prior year period.

23


Table of Contents

Sales and Marketing

Sales and marketing expenses increased by $0.2 million, or 4%, to $4.1 million for the three months ended June 30, 2020 from $3.9 million for the three months ended June 30, 2019. The increase was primarily due to higher salary, benefits and commission costs driven by an increase in headcount which was offset by the salary reductions, lower travel and consulting expenses resulting from the cost containment actions taken in response to the COVID-19 pandemic.

General and Administrative

General and administrative expenses increased by $0.9 million, or 78%, to $2.1 million for the three months ended June 30, 2020 from $1.2 million for the three months ended June 30, 2019. The increase was primarily due to a $0.5 million increase in insurance costs, higher professional fees of $0.3 million and higher non-cash stock-based compensation expense of $0.2 million which was offset by the salary reductions and reduced spending from the cost containment actions taken in response to the COVID-19 pandemic.

Research and Development

Research and development expenses decreased by $76,000, or 7%, to $1.0 million for the three months ended June 30, 2020 from $1.1 million for the three months ended June 30, 2019. The slight decrease of $76,000, or 7%, for the three months ended June 30, 2020 was primarily due to reduced outside development expenses and a lower level of laboratory spend.

Interest Expense

Interest expense was $0.9 million for both the three months ended June 30, 2020 and 2019. The slight decrease of $30,000 or 3%, for the three months ended June 30, 2020 was primarily due a lower interest rate during the period as compared to the prior year period.

Change in Fair Value of Preferred Stock Warrant Liability

For the three months ended June 30, 2019, we recognized a loss of $74,000 due to the change in the fair value of the preferred stock warrant liability.

Other (Expense) Income

Other (expense) income decreased by $58,000 to $31,000 of expense for the three months ended June 30, 2020 from $27,000 of income in the three months ended June 30, 2019 primarily due additional franchise taxes and lower interest income.

24


Table of Contents

Comparison of the Six Months Ended June 30, 2020 and 2019

Six months ended June 30, 

Change

 

    

2020

    

2019

    

Dollar

    

Percentage

 

(in thousands, except percentages)

 

Revenue

$

7,233

$

6,609

$

624

 

9

%

Cost of revenue (excluding amortization of intangible assets)  

 

2,796

 

2,752

 

44

 

2

%

Amortization of intangible assets

 

152

 

152

 

 

%

Gross profit

 

4,285

 

3,705

 

580

 

16

%

Gross margin

 

59

%  

 

56

%  

 

  

Operating expenses:

 

 

  

 

  

 

  

Sales and marketing

 

9,392

 

7,942

 

1,450

 

18

%

General and administrative

 

4,667

 

2,529

 

2,138

 

85

%

Research and development

 

1,891

 

2,714

 

(823)

 

(30)

%

Total operating expenses

 

15,950

 

13,185

 

2,765

 

21

%

Loss from operations

 

(11,665)

 

(9,480)

 

(2,185)

 

23

%

Other (expense) income:

 

 

  

 

  

 

  

Interest expense

 

(1,763)

 

(1,826)

 

63

 

(3)

%

Change in fair value of preferred stock warrant liability

 

 

(38)

 

38

 

(100)

%

Other income

 

127

 

117

 

10

 

9

%

Total other (expense) income

 

(1,636)

 

(1,747)

 

111

 

(6)

%

Net loss

$

(13,301)

$

(11,227)

$

(2,074)

 

18

%

Revenue

Revenue increased by $0.6 million, or 9%, to $7.2 million for the six months ended June 30, 2020 from $6.6 million for the six months ended June 30, 2019. The increase in revenue was primarily driven by an increase in unit sales of our products due to the expansion of our commercial organization and increased penetration within existing customer accounts. Though our revenue increased over the prior year period, it was impacted by lower than expected procedure volumes due to hospitals and patients deferring elective procedures and other factors related to the COVID-19 pandemic. During the six months ended June 30, 2020, we sold 1,950 units of OviTex compared to 1,694 units of OviTex during the six months ended June 30, 2019, a 15% increase in unit sales volume. We commenced a limited launch of OviTex PRS in May 2019, selling 216 units during the six months ended June 30, 2020 compared to 13 units during the six months ended June 30, 2019.

Cost of Revenue

Cost of revenue (excluding amortization of intangible assets) was $2.8 million for both the six months ended June 30, 2020 and 2019. The slight increase in cost of revenue for the six months ended June 30, 2020 was primarily the result of higher revenue, which was partially offset by a decrease of $0.1 million in our excess and obsolete inventory adjustment.

Amortization of Intangible Assets

Amortization of intangible assets was $0.2 million for both the six months ended June 30, 2020 and 2019.

Gross Margin

Gross margin increased to 59% for the six months ended June 30, 2020 from 56% for the six months ended June 30, 2019. The increase was primarily due to the decrease in the charge recognized for excess and obsolete inventory adjustments as a percentage of revenue for the six months ended June 30, 2020 as compared to the prior year period.

25


Table of Contents

Sales and Marketing

Sales and marketing expenses increased by $1.5 million, or 18%, to $9.4 million for the six months ended June 30, 2020 from $7.9 million for the six months ended June 30, 2019. The increase was primarily due to higher salary, benefits and commission costs driven by an increase in headcount which was offset by the salary reductions and lower travel expenses resulting from the cost containment actions taken in response to the COVID-19 pandemic.

General and Administrative

General and administrative expenses increased by $2.1 million, or 85%, to $4.7 million for the six months ended June 30, 2020 from $2.5 million for the six months ended June 30, 2019. The increase was primarily due to a $1.0 million increase in insurance costs, higher professional and board fees of $0.6 million, higher non-cash stock based compensation expense of $0.4 million and additional bad debt expense of $0.2 million which was offset by the salary reductions and reduced spending from the cost containment actions taken in response to the COVID-19 pandemic.

Research and Development

Research and development expenses decreased by $0.8 million, or 30%, to $1.9 million for the six months ended June 30, 2020 from $2.7 million for the six months ended June 30, 2019 primarily due to a decrease in licensing payments of $0.5 million, reduced outside development expenses and a lower level of laboratory spend.

Interest Expense

Interest expense was $1.8 million for both the six months ended June 30, 2020 and 2019. The slight decrease of $63,000, or 3%, for the six months ended June 30, 2020 was primarily due a lower interest rate during the six months ended June 30, 2020 compared to the prior period.

Change in Fair Value of Preferred Stock Warrant Liability

For the six months ended June 30, 2019, we recognized a loss of $38,000 due to the change in the fair value of the preferred stock warrant liability.

Other Income

Other income was $0.1 million for the six months ended June 30, 2020 and 2019.

Liquidity and Capital Resources

Overview

As of June 30, 2020, we had cash and cash equivalents of $85.5 million, working capital of $90.5 million and an accumulated deficit of $181.2 million. As of December 31, 2019, we had cash, cash equivalents and short-term investments of $54.6 million, working capital of $57.6 million and an accumulated deficit of $167.9 million.

On November 13, 2019, we closed our IPO in which we issued and sold 4,398,700 shares of our common stock at a public offering price of $13.00 per share, which included 398,700 shares of our common stock sold pursuant to the underwriters’ option to purchase additional shares. We received net proceeds of $50.6 million after deducting underwriting discounts and commissions and other expenses.

On June 30, 2020, we closed an underwritten public offering in which we issued and sold 3,000,000 shares of our common stock at a public offering price of $16.00 per share. We received net proceeds of $44.7 million after deducting underwriting discounts, commissions and other offering expenses.

26


Table of Contents

We have incurred operating losses since our inception, and we anticipate that our operating losses will continue in the near term as we seek to invest in our sales and marketing initiatives to support our growth in existing and new markets and in additional research and development activities. We will also continue to incur additional costs operating as a public company. As of June 30, 2020, we had $30.0 million of borrowings outstanding under our credit facility ( the “OrbiMed Credit Facility”) with OrbiMed Royalty Opportunities IP, LP (“OrbiMed”). The OrbiMed Credit Facility matures in November 2023 and requires that we maintain a minimum cash balance of $2.0 million.

Based on our current business plan, we believe that our existing cash resources and short-term investments will be sufficient to meet our capital requirements and fund our operations for at least the next 12 months from the issuance of this Quarterly Report. If these sources are insufficient to satisfy our liquidity requirements, we may seek to sell additional common or preferred equity or debt securities or enter into a new credit facility. If we raise additional funds by issuing equity or equity-linked securities, our stockholders would experience dilution and any new equity securities could have rights, preferences and privileges superior to those of holders of our common stock. Debt financing, if available, may involve covenants restricting our operations or our ability to incur additional debt. We cannot be assured that additional equity, equity-linked or debt financing will be available on terms favorable to us or our stockholders, or at all, including as a result of market volatility following the COVID-19 pandemic. If we are unable to obtain adequate financing, we may be required to delay the development, commercialization and marketing of our products.

Cash Flows

The following table summarizes our sources and uses of cash for each of the periods presented:

    

Six months ended June 30, 

(in thousands)

    

2020

    

2019

Cash used in operating activities

$

(13,662)

$

(12,982)

Cash provided by (used in) investing activities

 

9,193

 

(589)

Cash provided by financing activities

 

44,642

 

12,166

Effect of exchange rate on cash

(4)

Net increase (decrease) in cash and cash equivalents

$

40,169

$

(1,405)

Operating Activities

During the six months ended June 30, 2020, we used $13.7 million of cash in operating activities, resulting from our net loss of $13.3 million and the change in operating assets and liabilities of $2.6 million, offset by non-cash charges of $2.2 million. Our non-cash charges were comprised of stock-based compensation expense of $0.9 million, our excess and obsolete inventory charge of $0.8 million, interest expense of $0.3 million and depreciation and amortization expense of $0.2 million. The change in our operating assets and liabilities was primarily related to a decrease in our accounts payable and accrued expenses and other liabilities.

During the six months ended June 30, 2019, we used $13.0 million of cash in operating activities, resulting from our net loss of $11.2 million and the change in operating assets and liabilities of $3.4 million, offset by non-cash charges of $1.6 million. Our non-cash charges were comprised of our excess and obsolete inventory charge of $0.9 million, interest expense of $0.2 million, depreciation and amortization expense of $0.3 million and stock-based compensation expense of $0.1 million. The change in our operating assets was primarily related to a $0.6 million increase in our accounts receivable, a $1.2 million increase in inventory and a $1.4 million decrease in our accounts payable and accrued expenses and other liabilities.

Investing Activities

During the six months ended June 30, 2020, cash provided by investing activities was $9.2 million consisting primarily of the proceeds from the sale and maturity of short-term investments.

During the six months ended June 30, 2019, cash used in investing activities was $0.6 million, consisting of payments of $0.5 million for our intangible asset and $0.1 million of purchases of property and equipment.

27


Table of Contents

Financing Activities

During the six months ended June 30, 2020, cash provided by financing activities was $44.6 million, consisting primarily of the net proceeds received from an underwritten public offering of our common stock.

During the six months ended June 30, 2019, cash provided by financing activities was $12.2 million, consisting of the net proceeds received from the issuance of our Series B preferred stock.

Indebtedness

In November 2018, we entered into the OrbiMed Credit Facility, which consists of up to $35.0 million in term loans (the “OrbiMed Term Loans”). The OrbiMed Term Loans consist of two tranches, a $30.0 million Tranche 1 (“Tranche 1”) and a $5.0 million Tranche 2 (“Tranche 2”). Upon closing, we borrowed $30.0 million of Tranche 1 and used a portion of the proceeds to repay borrowings under our credit facility with MidCap and intend to use the remaining proceeds to fund operations and capital expenditures. We elected not to borrow Tranche 2 prior to its expiration on December 31, 2019.

Pursuant to the OrbiMed Credit Facility, we provided a first priority security interest in all existing and future acquired assets, excluding intellectual property and certain other assets, owned by us. The OrbiMed Credit Facility contains a negative pledge on intellectual property owned by us. The OrbiMed Credit Facility also contains customary indemnification obligations and customary events of default, including, among other things, (i) non-payment, (ii) breach of warranty, (iii) non-performance of covenants and obligations, (iv) default on other indebtedness, (v) judgments, (iv) change of control, (vii) bankruptcy and insolvency, (viii) impairment of security, (ix) key permit events, (x) key person event, (xi) regulatory matters, and (xii) key contracts. In addition, we must maintain a minimum cash balance of $2.0 million. In the event of default under the OrbiMed Credit Facility, we would be required to pay interest on principal and all other due and unpaid obligations at the current rate in effect plus 3%.

The OrbiMed Term Loans mature on November 16, 2023 and bear interest at a rate equal to 7.75% plus the greater of one-month LIBOR or 2.0%. We are required to make 60 monthly interest payments beginning on November 30, 2018 with the entire principal payment due at maturity. The OrbiMed Term Loans have a prepayment penalty equal to 10.0% of the prepaid principal amount prior to the second anniversary of the OrbiMed Term Loans, 5.0% of the prepaid principal amount after the second anniversary but prior to the third anniversary and 2.5% of the prepaid principal amount after the third anniversary. We are also required to pay an exit fee at the time of maturity or prepayment event equal to 10% of all principal borrowings and an administration fee equal to $10,000 on the last day of each quarter until all obligations have been paid in full.

Contractual Obligations and Commitments

As of June 30, 2020, there were no significant changes to our commitments and future minimum contractual obligations as set forth in our Annual Report.

Critical Accounting Policies and Significant Judgments and Estimates

The Critical Accounting Policies and Significant Judgements and Estimates included in our Annual Report have not materially changed.

Off-Balance Sheet Arrangements

We did not have during the periods presented, and we do not currently have, any off-balance sheet arrangements, as defined in the rules and regulations of the SEC.

28


Table of Contents

Internal Controls over Financial Reporting

Our management is responsible for establishing and maintaining adequate internal control over financial reporting. Internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of consolidated financial statements in accordance with GAAP. As a result of becoming a public company, we will be required, under Section 404 of the Sarbanes-Oxley Act of 2002, as amended (the “Sarbanes-Oxley Act”), to furnish a report by management on, among other things, the effectiveness of our internal control over financial reporting beginning with our Annual Report on Form 10-K for the year ending December 31, 2020. This assessment will need to include disclosure of any material weaknesses identified by our management in our internal control over financial reporting. The SEC defines a material weakness as a deficiency, or combination of deficiencies, in internal control over financial reporting such that there is a reasonable possibility that a material misstatement of a company’s annual or interim consolidated financial statements will not be detected or prevented on a timely basis.

In accordance with the provisions of the Sarbanes-Oxley Act, neither we nor our independent registered public accounting firm has performed an evaluation of our internal control over financial reporting during any period included in this Quarterly Report.

Item 3. Quantitative and Qualitative Disclosures About Market Risk

Our cash is held on deposit in demand accounts at high credit quality financial institutions in amounts in excess of the Federal Deposit Insurance Corporation (“FDIC”) insurance coverage limit of $250,000 per depositor, per FDIC-insured bank, per ownership category. We have reviewed the consolidated financial statements of these institutions and believe they have sufficient assets and liquidity to conduct their operations in the ordinary course of business with little or no credit risk to us.

Financial instruments that potentially subject us to concentrations of credit risk principally consist of cash equivalents and accounts receivable. We limit our credit risk associated with cash equivalents by placing investments in highly-rated money market funds. We limit our credit risk with respect to accounts receivable by performing credit evaluations when deemed necessary, but we do not require collateral to secure amounts owed to us by our customers.

As discussed above in the section entitled “Liquidity and Capital Resources — Indebtedness,” the OrbiMed Credit Facility bears interest at a floating rate of interest, which resets monthly and is equal to 7.75% plus the greater of one-month LIBOR or 2.0%. As of June 30, 2020, LIBOR was below 1.0%. Therefore, a 1.0% increase in interest rates would not increase the annual interest payments.

Inflationary factors, such as increases in our cost of revenue and operating expenses, may adversely affect our operating results. Although we do not believe inflation has had a material impact on our financial condition, results of operations or cash flows to date, a high rate of inflation in the future may have an adverse effect on our ability to maintain and increase our gross margin or decrease our operating expenses as a percentage of our revenue if our selling prices of our products do not increase as much or more than our costs increase.

We do not currently have any material exposure to foreign currency fluctuations and do not engage in any hedging activities as part of our normal course of business.

Item 4. Controls and Procedures.

Evaluation of Disclosure Controls and Procedures

Our management, with the participation and supervision of our Chief Executive Officer and our Chief Financial Officer, have evaluated our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended (the “Exchange Act”) as of the end of the period covered by this Quarterly Report. Based on that evaluation, our Chief Executive Officer and Chief Financial Officer have concluded that, as of the end of

29


Table of Contents

the period covered by this Quarterly Report, our disclosure controls and procedures are effective to provide reasonable assurance that information we are required to disclose in reports that we file or submit under the Exchange Act is recorded, processed, summarized, and reported within the time periods specified in SEC rules and forms, and that such information is accumulated and communicated to our management, including our Chief Executive Officer and Chief Financial Officer, as appropriate, to allow timely decisions regarding required disclosure.

Changes in Internal Control Over Financial Reporting

There was no change in our internal control over financial reporting identified in connection with the evaluation required by Rule 13a-15(d) and 15d-15(d) of the Exchange Act that occurred during the period covered by this Quarterly Report that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

PART II—OTHER INFORMATION

Item 1. Legal Proceedings.

We are not currently subject to any material legal proceedings.

Item 1A. Risk Factors.

You should carefully consider the risk factors described in our Annual Report and in our Quarterly Report on Form 10-Q for the quarter ended March 31, 2020, under the caption “Item 1A. Risk Factors.” There have been no material changes in our risk factors disclosed in our Annual Report or in our Quarterly Report on Form 10-Q for the quarter ended March 31, 2020.

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds.

Recent Sales of Unregistered Securities

None.

Use of Proceeds

The registration statement on Form S-1 (File No. 333-234217) relating to the IPO of shares of our common stock, became effective on November 7, 2019. The registration statement registered the offer and sale of 4,000,000 shares of our common stock (including 600,000 shares of our common stock subject to the underwriters’ option to purchase additional shares). In November 2019, we completed the sale of 4,398,700 of the shares of our common stock registered thereunder at an initial public offering price of $13.00 per share for an aggregate offering price of approximately $57.2 million, which included 398,700 shares of our common stock pursuant to the underwriters’ option to purchase additional shares. The underwriters of the offering were Jefferies LLC, Piper Sandler Companies (formerly Piper Jaffray & Co.), Canaccord Genuity LLC and JMP Securities LLC. Following the sale of the shares in connection with the closing of the IPO, the offering terminated.

We received net proceeds of approximately $50.6 million after deducting underwriting discount and commissions of $4.0 million and offering costs of $2.6 million. No payments for such expenses were made directly or indirectly to (i) any of our officers or directors or their associates, (ii) any persons owning 10% or more of any class of our equity securities, or (iii) any of our affiliates.

As of June 30, 2020, we have used approximately $10.8 million of the net proceeds from our IPO for working capital and general corporate purposes, including hiring additional sales and marketing personnel and expanding marketing activities to support the ongoing commercialization of our OviTex and OviTex PRS product lines and to fund product development and research and development activities. No amount of the net proceeds from our IPO have been paid directly or indirectly to (i) our directors, officers or any of their associates; (ii) persons owning 10% or more of our common stock; or (iii) our affiliates, other than payments in the ordinary course of business to officers for salaries and to

30


Table of Contents

non-employee directors as compensation for board and board committee service. There has been no material change in the planned use of proceeds from our IPO from that described in our prospectus dated November 7, 2019 as filed with the SEC pursuant to Rule 424(b)(4).

Purchase of Equity Securities

None.

Item 3. Defaults Upon Senior Securities.

None.

Item 4. Mine Safety Disclosures.

Not applicable.

Item 5. Other Information.

Not applicable.

Item 6. Exhibits.

The following exhibits are being filed herewith:

EXHIBIT INDEX

Exhibit No.

    

Exhibit

10.1

TELA Bio, Inc. Amended and Restated 2019 Equity Incentive Plan (filed as Exhibit 10.1 to the Registrant’s Current Report on Form 8-K filed with the Securities and Exchange Commission on June 8, 2020 and incorporated by reference herein).

31.1

Certification of Chief Executive Officer pursuant to Rules 13a-14(a) or 15d-14(a) of the Securities Exchange Act of 1934, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 (filed herewith).

31.2

Certification of Chief Financial Officer pursuant to Rules 13a-14(a) or 15d-14(a) of the Securities Exchange Act of 1934, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 (filed herewith).

32.1

Certification of Chief Executive Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 (furnished herewith).

32.2

Certification of Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 (furnished herewith).

101 INS

XBRL Instance Document (filed herewith).

101 SCH

XBRL Taxonomy Extension Schema Document (filed herewith).

101 CAL

XBRL Taxonomy Extension Calculation Linkbase Document (filed herewith).

101 DEF

XBRL Taxonomy Extension Definition Linkbase Document (filed herewith).

101 LAB

XBRL Taxonomy Extension Label Linkbase Document (filed herewith).

101 PRE

XBRL Taxonomy Extension Presentation Linkbase Document (filed herewith).

31


Table of Contents

SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

TELA BIO, INC.

Date: August 13, 2020

By:

/s/ ANTONY KOBLISH

Antony Koblish

President and Chief Executive Officer

(Principal executive officer)

Date: August 13, 2020

By:

/s/ NORA BRENNAN

Nora Brennan

Chief Financial Officer

(Principal financial and accounting officer)

32


EXHIBIT 31.1

CERTIFICATION

Pursuant to Rule 13a-14(a) under the Securities Exchange Act of 1934,

as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002

I, Antony Koblish, certify that:

1.    I have reviewed this Form 10-Q of TELA Bio, Inc.;

2.    Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3.    Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4.    The registrant's other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) for the registrant and have:

(a)   Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

(b)   Evaluated the effectiveness of the registrant's disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

(c)   Disclosed in this report any change in the registrant's internal control over financial reporting that occurred during the registrant's most recent fiscal quarter (the registrant's fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant's internal control over financial reporting; and

5.    The registrant's other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant's auditors and the audit committee of the registrant's board of directors (or persons performing the equivalent functions):

(a)   All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant's ability to record, process, summarize and report financial information; and

(b)   Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal control over financial reporting.

Date: August 13, 2020

/s/ Antony Koblish

Antony Koblish

President and Chief Executive Officer

(Principal Executive Officer)


EXHIBIT 31.2

CERTIFICATION

Pursuant to Rule 13a-14(a) under the Securities Exchange Act of 1934,

as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002

I, Nora Brennan, certify that:

1.    I have reviewed this Form 10-Q of TELA Bio, Inc.;

2.    Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3.    Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4.    The registrant's other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) for the registrant and have:

(a)   Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

(b)   Evaluated the effectiveness of the registrant's disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

(c)   Disclosed in this report any change in the registrant's internal control over financial reporting that occurred during the registrant's most recent fiscal quarter (the registrant's fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant's internal control over financial reporting; and

5.    The registrant's other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant's auditors and the audit committee of the registrant's board of directors (or persons performing the equivalent functions):

(a)   All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant's ability to record, process, summarize and report financial information; and

(b)   Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal control over financial reporting.

Date: August 13, 2020

/s/ Nora Brennan

Nora Brennan

Chief Financial Officer

(Principal Financial Officer)


EXHIBIT 32.1

CERTIFICATION

Pursuant to 18 U.S.C. Section 1350,

as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002

Pursuant to the requirement set forth in Rule 13a-14(b) of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), and Section 1350 of Chapter 63 of Title 18 of the United States Code (18 U.S.C. §1350), that: Antony Koblish, Chief Executive Officer of TELA Bio, Inc. (the “Company”), hereby certifies that, to the best of his knowledge:

(1)   The Company’s Quarterly Report on Form 10-Q for the period ended June 30, 2020, to which this Certification is attached as Exhibit 32.1 (the “Periodic Report”), fully complies with the requirements of Section 13(a) or Section 15(d) of the Exchange Act; and

(2)   The information contained in the Periodic Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

Date: August 13, 2020

/s/ Antony Koblish

Antony Koblish

President and Chief Executive Officer

(Principal Executive Officer)


EXHIBIT 32.2

CERTIFICATION

Pursuant to 18 U.S.C. Section 1350,

as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002

Pursuant to the requirement set forth in Rule 13a-14(b) of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), and Section 1350 of Chapter 63 of Title 18 of the United States Code (18 U.S.C. §1350), that: Nora Brennan, Chief Financial Officer of TELA Bio, Inc. (the “Company”), hereby certifies that, to the best of her knowledge:

(1)   The Company’s Quarterly Report on Form 10-Q for the period ended June 30, 2020, to which this Certification is attached as Exhibit 32.2 (the “Periodic Report”), fully complies with the requirements of Section 13(a) or Section 15(d) of the Exchange Act; and

(2)   The information contained in the Periodic Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

Date: August 13, 2020

/s/ Nora Brennan

Nora Brennan

Chief Financial Officer

(Principal Financial Officer)


v3.20.2
Document and Entity Information - shares
6 Months Ended
Jun. 30, 2020
Aug. 04, 2020
Document and Entity Information    
Document Type 10-Q  
Document Period End Date Jun. 30, 2020  
Entity Registrant Name TELA Bio, Inc.  
Entity Current Reporting Status Yes  
Entity Interactive Data Current Yes  
Entity Filer Category Non-accelerated Filer  
Entity Small Business true  
Entity Emerging Growth Company true  
Entity Ex Transition Period false  
Entity Shell Company false  
Entity Common Stock, Shares Outstanding   14,414,194
Entity Central Index Key 0001561921  
Current Fiscal Year End Date --12-31  
Document Fiscal Year Focus 2020  
Document Fiscal Period Focus Q2  
Amendment Flag false  
v3.20.2
Consolidated Balance Sheets - USD ($)
$ in Thousands
Jun. 30, 2020
Dec. 31, 2019
Current assets:    
Cash and cash equivalents $ 85,471 $ 45,302
Short-term investments 0 9,285
Accounts receivable, net 2,586 2,836
Inventory 4,572 4,603
Prepaid expenses and other assets 1,484 2,308
Total current assets 94,113 64,334
Property and equipment, net 678 677
Intangible assets, net 2,759 2,911
Total assets 97,550 67,922
Current liabilities:    
Accounts payable 948 3,171
Accrued expenses and other current liabilities 2,675 3,542
Total current liabilities 3,623 6,713
Long‑term debt with related party 30,524 30,243
Other long‑term liabilities   4
Total liabilities 34,147 36,960
Stockholders’ equity:    
Preferred stock; $0.001 par value: 10,000,000 shares authorized; no shares issued and outstanding
Common stock; $0.001 par value: 200,000,000 shares authorized; 14,413,015 and 11,406,976 shares issued and 14,412,690 and 11,406,221 shares outstanding at June 30, 2020 and December 31, 2019, respectively 14 11
Additional paid-in capital 244,537 198,829
Accumulated other comprehensive income (loss) 12 (19)
Accumulated deficit (181,160) (167,859)
Total stockholders’ equity 63,403 30,962
Total liabilities and stockholders’ equity $ 97,550 $ 67,922
v3.20.2
Consolidated Balance Sheets (Parenthetical) - $ / shares
Jun. 30, 2020
Dec. 31, 2019
Consolidated Balance Sheets    
Preferred stock, Par value (in dollars per share) $ 0.001 $ 0.001
Preferred stock, shares authorized (in shares) 10,000,000 10,000,000
Preferred stock, shares issued (in shares) 0 0
Preferred stock, shares outstanding (in shares) 0 0
Common stock, Par value (in dollars per share) $ 0.001 $ 0.001
Common stock, shares authorized (in shares) 200,000,000 200,000,000
Common stock, shares issued (in shares) 14,413,015 11,406,976
Common stock, shares outstanding (in shares) 14,412,690 11,406,221
v3.20.2
Consolidated Statements of Operations and Comprehensive Loss - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Consolidated Statements of Operations and Comprehensive Loss        
Revenue $ 3,507 $ 3,303 $ 7,233 $ 6,609
Cost of revenue (excluding amortization of intangible assets) 1,346 1,320 2,796 2,752
Amortization of intangible assets 76 76 152 152
Gross profit 2,085 1,907 4,285 3,705
Operating expenses:        
Sales and marketing 4,123 3,947 9,392 7,942
General and administrative 2,149 1,205 4,667 2,529
Research and development 979 1,055 1,891 2,714
Total operating expenses 7,251 6,207 15,950 13,185
Loss from operations (5,166) (4,300) (11,665) (9,480)
Other (expense) income:        
Interest expense (884) (914) (1,763) (1,826)
Change in fair value of preferred stock warrant liability   (74)   (38)
Other (expense) income (31) 27 127 117
Total other (expense) income (915) (961) (1,636) (1,747)
Net loss (6,081) (5,261) (13,301) (11,227)
Accretion of redeemable convertible preferred stock to redemption value   (2,762)   (4,787)
Net loss attributable to common stockholders $ (6,081) $ (8,023) $ (13,301) $ (16,014)
Net loss per common share, basic and diluted $ (0.53) $ (27.06) $ (1.16) $ (54.06)
Weighted average common shares outstanding, basic and diluted 11,443,122 296,467 11,424,952 296,231
Comprehensive loss:        
Net loss $ (6,081) $ (5,261) $ (13,301) $ (11,227)
Foreign currency translation adjustment 4 1 31 (3)
Comprehensive Income (Loss), Net of Tax, Attributable to Parent, Total $ (6,077) $ (5,260) $ (13,270) $ (11,230)
v3.20.2
Consolidated Statements of Redeemable Convertible Preferred Stock and Stockholders’ Equity (Deficit) - USD ($)
$ in Thousands
Series A Redeemable convertible preferred stock
Preferred Stock [Member]
Series B Redeemable convertible preferred stock
Preferred Stock [Member]
Common stock
Additional paid-in capital
Accumulated other comprehensive income
Accumulated deficit
Total
Balance at Beginning of period at Dec. 31, 2018 $ 33,112 $ 91,038          
Balance at Beginning of period (in shares) at Dec. 31, 2018 22,501,174 63,032,500          
Increase (Decrease) in Temporary Equity [Roll Forward]              
Sale of Series B redeemable convertible preferred stock, net of stock issue costs   10,554,514          
Sale of Series B redeemable convertible preferred stock, net of stock issue costs   $ 12,126          
Accretion of redeemable convertible preferred stock to redemption value $ 893 3,894          
Balance at Ending period at Jun. 30, 2019 $ 34,005 $ 107,058          
Balance at Ending period (in shares) at Jun. 30, 2019 22,501,174 73,587,014          
Balance at Beginning of period at Dec. 31, 2018           $ (137,860) $ (137,860)
Balance at Beginning of period (in shares) at Dec. 31, 2018     295,717        
Increase (Decrease) in Temporary Equity [Roll Forward]              
Vesting of common stock previously subject to repurchase (in shares)     295        
Vesting of common stock previously subject to repurchase       $ 3     3
Exercise of stock options (in shares)     1,490        
Exercise of stock options       8     8
Foreign currency translation adjustment         $ (3)   (3)
Stock-based compensation expense       119     119
Accretion of redeemable convertible preferred stock to redemption value       (130)   (4,657) (4,787)
Net loss           (11,227) (11,227)
Balance at Ending period at Jun. 30, 2019         (3) (153,744) (153,747)
Balance at Ending period (in shares) at Jun. 30, 2019     297,502        
Balance at Beginning of period at Mar. 31, 2019 $ 33,556 $ 93,100          
Balance at Beginning of period (in shares) at Mar. 31, 2019 22,501,174 63,463,534          
Increase (Decrease) in Temporary Equity [Roll Forward]              
Sale of Series B redeemable convertible preferred stock, net of stock issue costs   10,123,480          
Sale of Series B redeemable convertible preferred stock, net of stock issue costs   $ 11,645          
Accretion of redeemable convertible preferred stock to redemption value $ 449 2,313          
Balance at Ending period at Jun. 30, 2019 $ 34,005 $ 107,058          
Balance at Ending period (in shares) at Jun. 30, 2019 22,501,174 73,587,014          
Balance at Beginning of period at Mar. 31, 2019         (4) (145,788) (145,792)
Balance at Beginning of period (in shares) at Mar. 31, 2019     296,245        
Increase (Decrease) in Temporary Equity [Roll Forward]              
Vesting of common stock previously subject to repurchase (in shares)     165        
Vesting of common stock previously subject to repurchase       3     3
Exercise of stock options (in shares)     1,092        
Exercise of stock options       5     5
Foreign currency translation adjustment         1   1
Stock-based compensation expense       59     59
Accretion of redeemable convertible preferred stock to redemption value       (67)   (2,695) (2,762)
Net loss           (5,261) (5,261)
Balance at Ending period at Jun. 30, 2019         (3) (153,744) (153,747)
Balance at Ending period (in shares) at Jun. 30, 2019     297,502        
Balance at Beginning of period at Dec. 31, 2019     $ 11 198,829 (19) (167,859) 30,962
Balance at Beginning of period (in shares) at Dec. 31, 2019     11,406,221        
Increase (Decrease) in Temporary Equity [Roll Forward]              
Vesting of common stock previously subject to repurchase (in shares)     163        
Vesting of common stock previously subject to repurchase       2     $ 2
Exercise of stock options (in shares)     6,306       6,306
Exercise of stock options       44     $ 44
Issuance of stock     $ 3 44,719     44,722
Issuance of stock (in shares)     3,000,000        
Foreign currency translation adjustment         31   31
Stock-based compensation expense       943     943
Net loss           (13,301) (13,301)
Balance at Ending period at Jun. 30, 2020     $ 14 244,537 12 (181,160) 63,403
Balance at Ending period (in shares) at Jun. 30, 2020     14,412,690        
Balance at Beginning of period at Mar. 31, 2020     $ 11 199,287 8 (175,079) 24,227
Balance at Beginning of period (in shares) at Mar. 31, 2020     11,407,600        
Increase (Decrease) in Temporary Equity [Roll Forward]              
Vesting of common stock previously subject to repurchase (in shares)     73        
Vesting of common stock previously subject to repurchase       1     1
Exercise of stock options (in shares)     5,017        
Exercise of stock options       36     36
Issuance of stock     $ 3 44,719     44,722
Issuance of stock (in shares)     3,000,000        
Foreign currency translation adjustment         4   4
Stock-based compensation expense       494     494
Net loss           (6,081) (6,081)
Balance at Ending period at Jun. 30, 2020     $ 14 $ 244,537 $ 12 $ (181,160) $ 63,403
Balance at Ending period (in shares) at Jun. 30, 2020     14,412,690        
v3.20.2
Consolidated Statements of Redeemable Convertible Preferred Stock and Stockholders’ Equity (Deficit) (Parenthetical) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2019
Jun. 30, 2019
Series B Redeemable convertible preferred stock    
Stock issue costs $ 98 $ 117
v3.20.2
Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Cash flows from operating activities:    
Net loss $ (13,301) $ (11,227)
Adjustments to reconcile net loss to net cash used in operating activities:    
Depreciation expense 95 135
Noncash interest expense 281 244
Amortization of intangible assets 152 152
Inventory excess and obsolescence charge 767 916
Change in fair value of warrants   38
Stock‑based compensation expense 943 119
Change in operating assets and liabilities:    
Accounts receivable 238 (599)
Inventory (750) (1,169)
Prepaid expenses and other assets 823 (156)
Accounts payable (2,096) (1,312)
Accrued expenses and other liabilities (859) (123)
Foreign currency remeasurement loss 45  
Net cash used in operating activities (13,662) (12,982)
Cash flows from investing activities:    
Proceeds from the sale and maturity of short-term investments 9,289  
Payment for intangible asset   (500)
Purchase of property and equipment (96) (89)
Net cash provided by (used in) investing activities 9,193 (589)
Cash flows from financing activities:    
Proceeds from underwritten public offering, net of underwriting discounts, commissions and offering costs 45,120  
Payment of initial public offering costs (522)  
Proceeds from issuance of Series B redeemable convertible preferred stock, net of offering costs   12,158
Proceeds from exercise of stock options 44 8
Net cash provided by financing activities 44,642 12,166
Effect of exchange rate on cash (4)  
Net increase (decrease) in cash and cash equivalents 40,169 (1,405)
Cash and cash equivalents, beginning of period 45,302 17,278
Cash and cash equivalents, end of period 85,471 15,873
Supplemental disclosure of cash flow information:    
Cash paid during the period for interest 1,482 1,582
Supplemental disclosures of noncash investing and financing activities:    
Accretion of redeemable convertible preferred stock   4,787
Offering costs in accounts payable and accrued expense and other current liabilities 398 32
Intangible assets in accrued expenses and other liabilities   2,000
Issuance of common stock for early exercised stock options $ 2 $ 3
v3.20.2
Background
6 Months Ended
Jun. 30, 2020
Background  
Background

(1) Background

TELA Bio, Inc. (the “Company”) was incorporated in the state of Delaware on April 17, 2012 and wholly owns TELA Bio Limited, a company incorporated in the United Kingdom. The Company is focused on the commercialization and sale of OviTex Reinforced Tissue Matrix, which utilizes surgical reconstruction medical device technology licensed from a strategic partner and on the research and development of additional medical devices with this strategic partner and on other internally developed technologies. The Company’s principal corporate office and research facility is located in Malvern, Pennsylvania.

v3.20.2
Risks and Liquidity
6 Months Ended
Jun. 30, 2020
Risks and Liquidity  
Risks and Liquidity

(2) Risks and Liquidity

The Company’s operations to date have focused on commercializing products, developing and acquiring technology and assets, business planning, raising capital and organization and staffing. The Company has incurred recurring losses and negative cash flows from operations since inception and has an accumulated deficit of $181.2 million as of June 30, 2020. The Company anticipates incurring additional losses until such time, if ever, it can generate sufficient revenue from its products to cover its expenses.

In November 2019, the Company closed its initial public offering (“IPO”) in which the Company issued and sold 4,398,700 shares of its common stock at a public offering price of $13.00 per share, including 398,700 shares of the Company’s common stock sold pursuant to the underwriters’ option to purchase additional shares. The Company received net proceeds of $50.6 million after deducting underwriting discounts, commissions and other offering expenses.

In June 2020, the Company completed an underwritten public offering in which the Company issued and sold 3,000,000 shares of its common stock at a public offering price of $16.00 per share. The Company received net proceeds of $44.7 million after deducting underwriting discounts, commissions and other offering expenses.

The operations of the Company are subject to certain risks and uncertainties including, among others, uncertainty of product development, the impact of COVID-19, the ongoing economic uncertainty, technological uncertainty, commercial acceptance of any developed products, alternative competing technologies, dependence on collaborative partners, uncertainty regarding patents and proprietary rights, comprehensive government regulations, and dependence on key personnel.

 

v3.20.2
Summary of Significant Accounting Policies
6 Months Ended
Jun. 30, 2020
Summary of Significant Accounting Policies  
Summary of Significant Accounting Policies

(3) Summary of Significant Accounting Policies

The Company’s complete summary of significant accounting policies can be found in “Note 3, Summary of Significant Accounting Policies” in the December 31, 2019 consolidated financial statements included in the Company’s Annual Report. Any reference in these notes to applicable guidance is meant to refer to generally accepted accounting principles (“GAAP”) in the United States as found in the Accounting Standards Codification (“ASC”) and Accounting Standards Updates (“ASU”) promulgated by the Financial Accounting Standards Board (“FASB”).

Interim Financial Statements

The accompanying unaudited interim consolidated financial statements have been prepared from the books and records of the Company in accordance with GAAP for interim financial information and Rule 10‑01 of Regulation S‑X promulgated by the SEC, which permits reduced disclosures for interim periods. All adjustments, consisting only of normal recurring adjustments, necessary for a fair presentation of the accompanying consolidated balance sheets and statements of operations and comprehensive loss, redeemable convertible preferred stock and stockholders’ equity (deficit) and cash flows have been made. Although these interim consolidated financial statements do not include all of the information and footnotes required for complete annual consolidated financial statements, management believes the disclosures are adequate to make the information presented not misleading. Unaudited interim results of operations and cash flows are not necessarily indicative of the results that may be expected for the full year. Unaudited interim consolidated financial statements and footnotes should be read in conjunction with the December 31, 2019 consolidated financial statements and footnotes included in the Annual Report. 

Use of Estimates

The preparation of consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and contingent liabilities at the date of the consolidated financial statements and the reported amounts of revenue and expenses during the reporting period. The most significant judgments are employed in estimates used to determine the fair value of stock‑based awards issued and recoverability of the carrying value of the Company’s inventory. As future events and their effects cannot be determined with precision, actual results may differ significantly from these estimates.

The full extent to which the COVID-19 pandemic will directly or indirectly impact the Company’s business, results of operations and financial condition, including revenue, expenses, manufacturing, research and development costs and employee-related compensation, will depend on future developments that are highly uncertain, including new information that may emerge concerning COVID-19 and the actions taken to mitigate the spread of or treat COVID-19, as well as the economic impact on local, regional, national and international customers and markets. Management has made estimates of the impact of COVID-19 within the Company’s consolidated financial statements and there may be changes to those estimates in future periods. Actual results may differ from these estimates.

Short-Term Investments

Short-term investments consisted of investments in corporate debt securities with a maturity of greater than three months when acquired. The Company classified these investments as available-for-sale securities. These investments were reported at fair value with the related unrealized gains and losses included in accumulated other comprehensive income (loss), a component of stockholders’ equity. The Company had no short-term investments as of June 30, 2020.

Short-term investments at December 31, 2019 consisted of the following (in thousands):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Estimated

 

 

 

 

 

Amortization/

 

Unrealized

 

Fair

 

    

Cost

    

Accretion

 

Gains/(Losses)

    

Value

Corporate debt securities

 

$

9,284

 

$

 5

 

$

(4)

 

$

9,285

 

Revenue Recognition

Under ASC Topic 606, Revenue from Contracts with Customers, an entity recognizes revenue when its customer obtains control of the promised good, in an amount that reflects the consideration that the entity expects to be entitled in exchange for those goods. The Company performs the following five steps to recognize revenue under ASC Topic 606: (i) identify the contract(s) with a customer, (ii) identify the performance obligations in the contract, (iii) determine the transaction price, (iv) allocate the transaction price to the performance obligations in the contract, and (v) recognize revenue when (or as) the entity satisfies a performance obligation. The Company only recognizes revenue when it is probable that it will collect the consideration to which it is entitled in exchange for the goods or services that will be transferred to the customer.

A significant portion of the Company’s revenue is generated from product shipped to a customer or from consigned inventory maintained at hospitals. Revenue from the sale of consigned products is recognized when control is transferred to the customer, which occurs at the time the product is used in a surgical procedure. For product that is not held on consignment, the Company recognizes revenue when control transfers to the customer which occurs at the time the product is shipped or delivered. For all of the Company’s contracts, the only identified performance obligation is providing the product to the customer.

Payment terms with customers do not exceed one year and, therefore, the Company does not account for a financing component in its arrangements. There are no incremental costs of obtaining a contract that would rise to or enhance an asset other than product costs, which are a component of inventory. The Company expenses incremental costs of obtaining a contract with a customer (e.g., sales commissions) when incurred as the period of benefit is less than one year. Fees charged to customers for shipping are recognized as revenue.

The following table presents revenue disaggregated by our portfolio of products (in thousands):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended June 30, 

 

Six months ended June 30, 

 

 

2020

 

2019

 

2020

 

2019

OviTex

 

$

2,942

 

$

3,212

 

$

6,181

 

$

6,518

OviTex PRS

 

 

565

 

 

91

 

 

1,052

 

 

91

Total revenue

 

$

3,507

 

$

3,303

 

$

7,233

 

$

6,609

Sales outside of the United States are immaterial for both the three and six months ended June 30, 2020 and 2019.

Fair value of financial instruments

Fair value is the price that could be received to sell an asset or paid to transfer a liability in an orderly transaction among market participants. Fair value determination in accordance with applicable accounting guidance requires that a number of significant judgments are made. Additionally, fair value is used on a nonrecurring basis to evaluate assets for impairment or as required for disclosure purposes by applicable accounting guidance on disclosures about fair value of financial instruments. Depending on the nature of the assets and liabilities, various valuation techniques and assumptions are used when estimating fair value. The carrying amounts of certain of the Company’s financial instruments, including cash and cash equivalents, accounts receivable and other assets, and accounts payable are shown at cost, which approximates fair value due to the short‑term nature of these instruments. Due to the related‑party relationship of the credit facility (the “OrbiMed Credit Facility”) with OrbiMed Royalty Opportunities IP, LP (“OrbiMed”) (Note 5), it is impractical to determine the fair value of the debt.

The Company follows the provisions of FASB ASC Topic 820, Fair Value Measurement, for financial assets and liabilities measured on a recurring basis. The guidance requires fair value measurements be classified and disclosed in one of the following three categories:

·

Level 1:  Unadjusted quoted prices in active markets that are accessible at the measurement date for identical, unrestricted assets or liabilities.

·

Level 2:  Quoted prices in markets that are not active, or inputs which are observable, either directly or indirectly, for substantially the full term of the asset or liabilities.

·

Level 3:  Prices or valuation techniques that require inputs that are both significant to the fair value measurement and unobservable (i.e., supported by little or no market activity).

The following fair value hierarchy table presents information about each major category of the Company’s financial assets and liabilities measured at fair value on a recurring basis (in thousands):

 

 

 

 

 

 

 

 

 

 

 

 

 

Fair value measurement at reporting date using

 

 

Quoted prices in

 

 

 

 

 

 

 

 

active markets

 

Significant other

 

Significant

 

 

for identical

 

observable

 

unobservable

 

 

assets

 

inputs

 

inputs

 

    

(Level 1)

    

(Level 2)

    

(Level 3)

June 30, 2020:

 

 

 

 

 

 

 

 

 

Assets:

 

 

 

 

 

 

 

 

 

Cash equivalents – money market fund

 

$

84,879

 

$

 —

 

$

 —

 

 

 

 

 

 

 

 

 

 

December 31, 2019:

 

 

 

 

 

 

 

 

 

Assets:

 

 

 

 

 

 

 

 

 

Cash equivalents – money market fund

 

$

34,918

 

$

 —

 

$

 —

Cash equivalents – corporate debt securities

 

$

 —

 

$

8,850

 

$

 —

Cash equivalents – government agency securities

 

$

 —

 

$

1,000

 

$

 —

Short-term investments – corporate debt securities

 

$

 —

 

$

9,285

 

$

 —

 

At June 30, 2019, preferred stock warrants were outstanding and were a level 3 measurement. A rollforward of the warrant liability is as follows (in thousands):

 

 

 

 

January 1, 2019

 

$

1,640

Change in fair value of warrants

 

 

38

June 30, 2019

 

$

1,678

 

Net loss per share

Basic and diluted net loss per common share is determined by dividing net loss attributable to common stockholders by the weighted‑average shares of common stock outstanding during the reporting period. The Company’s outstanding redeemable convertible preferred stock contractually entitled the holders of such shares to participate in distributions but contractually did not require the holders of such shares to participate in losses of the Company. Accordingly, in periods in which the Company reports a net loss attributable to common stockholders, diluted net loss per share attributable to common stockholders is the same as basic net loss per share attributable to common stockholders since dilutive shares are not assumed to have been issued if their effect is antidilutive. Therefore, the weighted‑average shares used to calculate both basic and diluted loss per share are the same.

The following potentially dilutive securities have been excluded from the computation of diluted weighted‑average shares outstanding for the periods presented, as they would be antidilutive.

 

 

 

 

 

 

 

 

Three and six months ended June 30,

 

 

2020

 

2019

Series A redeemable convertible preferred stock

 

 —

 

911,336

Series B redeemable convertible preferred stock

 

 —

 

2,980,387

Stock options (including shares subject to repurchase)

 

1,538,954

 

530,463

Series B redeemable convertible preferred stock warrants

 

 —

 

88,556

Common stock warrants

 

88,556

 

 —

Total

 

1,627,510

 

4,510,742

 

 

 

Amounts in the above table reflect the common stock equivalents of the noted instrument.

 

Recently Issued Accounting Pronouncements

In February 2016, the FASB issued ASU No. 2016-02, Leases, which requires a lessee to record a right-of-use asset and a corresponding lease liability on the balance sheet for all leases with terms longer than 12 months. A modified retrospective transition approach is required, applying the new standard to all leases existing at the date of initial application. An entity may choose to use either (1) its effective date or (2) the beginning of the earliest comparative period presented in the consolidated financial statements as its date of initial application. If an entity chooses the second option, the transition requirements for existing leases also apply to leases entered into between the date of initial application and the effective date. The standard is effective for the Company beginning January 1, 2022, with early adoption permitted. The Company plans to adopt this standard on January 1, 2022 and is currently evaluating the expected impact that the standard could have on its consolidated financial statements and related disclosures.

In June 2018, the FASB issued ASU No. 2018-07, Compensation—Stock Compensation (Topic 718) Improvements to Nonemployee Share-Based Payment Accounting. The amendments in this update expand the scope of Topic 718 to include stock-based payment transactions for acquiring goods and services from nonemployees. Under this ASU, an entity should apply the requirements of Topic 718 to nonemployee awards except for specific guidance on inputs to an option pricing model and the attribution of costs (i.e., the period of time over which stock-based payment awards vest and the pattern of cost recognition over that period). The guidance is effective for the Company beginning January 1, 2020, with early adoption permitted. The adoption of this guidance did not have any impact on the consolidated financial statements and related disclosures.

In August 2018, the FASB issued ASU No. 2018-13, Disclosure Framework—Changes to the Disclosure Requirements for Fair Value Measurements, which changes the fair value measurement disclosure requirements of ASC Topic 820. The goal of the ASU is to improve the effectiveness of ASC Topic 820's disclosure requirements. The standard is effective for the Company beginning January 1, 2020. The adoption of this guidance did not have any impact on the consolidated financial statements and related disclosures.

v3.20.2
Accrued Expenses and Other Current Liabilities
6 Months Ended
Jun. 30, 2020
Accrued Expenses and Other Current Liabilities  
Accrued Expenses and Other Current Liabilities

(4) Accrued Expenses and Other Current Liabilities

Accrued expenses and other current liabilities consisted of the following (in thousands):

 

 

 

 

 

 

 

 

 

 

June 30, 

 

December 31, 

 

    

2020

    

2019

Compensation and related benefits

 

$

1,092

 

$

2,314

Interest

 

 

40

 

 

41

Third-party and professional fees

 

 

1,206

 

 

641

Research and development expenses

 

 

 —

 

 

35

Other

 

 

337

 

 

511

 

 

$

2,675

 

$

3,542

 

v3.20.2
Long term Debt
6 Months Ended
Jun. 30, 2020
Long term Debt  
Long term Debt

(5) Long‑term Debt

Long‑term debt consisted of the following (in thousands):

 

 

 

 

 

 

 

 

 

 

June 30, 

 

December 31, 

 

    

2020

    

2019

OrbiMed Term Loan (related party)

 

$

30,000

 

$

30,000

End of term charge

 

 

3,000

 

 

3,000

Unamortized end of term charge and issuance costs

 

 

(2,476)

 

 

(2,757)

Long-term debt with related party

 

$

30,524

 

$

30,243

 

OrbiMed Term Loan (Related Party)

Pursuant to the OrbiMed Credit Facility, which consists of up to $35.0 million in term loans (the “OrbiMed Term Loans”), the Company provided a first priority security interest in all existing and future acquired assets, excluding intellectual property and certain other assets, owned by the Company. The OrbiMed Term Loans consist of two tranches, a $30.0 million Tranche 1 (“Tranche 1”) and a $5.0 million Tranche 2 (“Tranche 2”). In November 2018, the Company borrowed $30.0 million of Tranche 1 and used a portion of the proceeds to repay the MidCap Credit Facility and will use the remaining proceeds to fund operations and capital expenditures. The Company elected not to borrow Tranche 2 prior to its expiration on December 31, 2019.

The OrbiMed Credit Facility contains a negative pledge on intellectual property owned by the Company. The OrbiMed Credit Facility also contains customary indemnification obligations and customary events of default, including, among other things, (i) nonpayment, (ii) breach of warranty, (iii) nonperformance of covenants and obligations, (iv) default on other indebtedness, (v) judgments, (iv) change of control, (vii) bankruptcy and insolvency, (viii) impairment of security, (ix) key permit events, (x) key person event, (xi) regulatory matters, (xii) and key contracts. In addition, the Company must maintain a minimum cash balance of $2.0 million. In the event of default under the OrbiMed Credit Facility, the Company would be required to pay interest on principal and all other due and unpaid obligations at the current rate in effect plus 3%.

The OrbiMed Term Loan matures on November 16, 2023 and bears interest at a rate equal to 7.75% plus the greater of one‑month LIBOR or 2.0%. At June 30, 2020, the interest rate was 9.75%. The Company is required to make 60 monthly interest payments beginning on November 30, 2018, with the entire principal payment due at maturity. The OrbiMed Term Loans have a prepayment penalty equal to 10.0% of the prepaid principal amount prior to the second anniversary of the Term Loans, 5.0% of the prepaid principal amount after the second anniversary but prior to the third anniversary and 2.5% of the prepaid principal amount after the third anniversary. The Company is also required to pay an exit fee at the time of maturity or prepayment event equal to 10.0% of all principal borrowings (the “End of Term Charge”) and an administration fee equal to $10,000 on the last day of each quarter until all obligations have been paid in full. In conjunction with the closing of the OrbiMed Term Loans, the Company incurred $0.3 million of third‑party and lender fees, which along with the End of Term charge of $3.0 million were recorded as debt issuance costs, and are being recognized as interest expense over the term of the loan using the effective‑interest method. Interest expense associated with the OrbiMed Credit Facility recorded for the six months ended June 30, 2020 was $1.8 million, of which $0.3 million was related to the amortization of debt issuance costs. Interest expense associated with the OrbiMed Credit Facility recorded for the six months ended June 30, 2019 was $1.8 million, of which $0.2 million was related to the amortization of debt issuance costs.

v3.20.2
Stockholders’ Equity (Deficit)
6 Months Ended
Jun. 30, 2020
Stockholders’ Equity (Deficit)  
Stockholders’ Equity (Deficit)

(6) Stockholders’ Equity (Deficit)

In November 2019, the Company closed its IPO in which the Company issued and sold 4,398,700 shares of its common stock at a public offering price of $13.00 per share, including 398,700 shares of the Company’s common stock sold pursuant to the underwriters’ option to purchase additional shares.  The Company received net proceeds of $50.6 million after deducting underwriting discounts, commissions and other offering expenses. In addition, immediately prior to the closing of the IPO, all of the Company’s outstanding shares of redeemable convertible preferred stock, including accrued dividends payable converted into an aggregate of 6,708,649 shares of common stock and the Company’s outstanding warrants to purchase shares of preferred stock were automatically converted into warrants to purchase an aggregate of 88,556 shares of common stock.

In June 2020, the Company closed an underwritten public offering in which the Company issued and sold 3,000,000 shares of its common stock at a public offering price of $16.00 per share. The Company received net proceeds of $44.7 million after deducting underwriting discounts, commissions and other offering expenses.

Warrants

The Company had the following warrants outstanding to purchase common stock at June 30, 2020:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Exercise

 

Expiration

 

    

Outstanding

 

    

price

    

dates

Common stock warrants issued to MidCap

 

8,379

 

$

28.65

 

2028

Common stock warrants issued to note payable holders

 

15,712

 

 

28.65

 

2027

Common stock warrants issued to convertible promissory note holders

 

64,465

 

$

28.65

 

2027

 

 

88,556

 

 

 

 

 

 

v3.20.2
Stock-Based Compensation
6 Months Ended
Jun. 30, 2020
Stock-Based Compensation  
Stock-Based Compensation

(7) Stock‑Based Compensation

The Company has two equity incentive plans: the 2012 Stock Incentive Plan and the Amended and Restated 2019 Equity Incentive Plan. New awards can only be granted under the Amended and Restated 2019 Equity Incentive Plan (the “Plan”). At June 30, 2020, 753,175 shares were available for future issuances. The Plan provides for the grant of incentive stock options, nonqualified stock options, restricted stock awards, restricted stock units and/or stock appreciation rights to employees, directors, and other persons, as determined by the Company’s board of directors. The Company’s stock options vest based on the terms in each award agreement and generally vest over four years and have a term of 10 years. The Company estimates forfeitures that it expects will occur and adjusts expense for actual forfeitures in the periods they occur.

The Company measures employee and nonemployee stock‑based awards at grant‑date fair value and records compensation expense on a straight‑line basis over the vesting period of the award. The Company recorded stock‑based compensation expense in the following expense categories of its accompanying consolidated statements of operations and comprehensive loss (in thousands):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended June 30, 

    

Six months ended June 30, 

 

    

2020

    

2019

    

2020

 

2019

Sales and marketing

 

$

172

 

$

14

 

$

333

 

$

29

General and administrative

 

 

240

 

 

39

 

 

449

 

 

73

Research and development

 

 

82

 

 

 6

 

 

161

 

 

17

Total stock‑based compensation

 

$

494

 

$

59

 

$

943

 

$

119

 

The following table summarizes stock option activity for the Plan:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted

 

 

 

 

 

 

 

average

 

 

 

 

Weighted

 

remaining

 

 

Number of

 

average exercise

 

contractual term

 

    

shares

    

price per share

    

(years)

Outstanding at January 1, 2020

 

1,420,942

 

$

10.35

 

  

Granted

 

148,566

 

 

15.14

 

  

Exercised

 

(6,306)

 

 

6.97

 

  

Canceled/forfeited

 

(24,573)

 

 

12.41

 

  

Outstanding at June 30, 2020

 

1,538,629

 

 

10.79

 

8.40

Vested and expected to vest at June 30, 2020

 

1,452,555

 

$

10.70

 

8.35

Exercisable at June 30, 2020

 

416,174

 

$

5.97

 

6.01

 

The 2012 Stock Incentive Plan and the Amended and Restated 2019 Equity Incentive Plan provide the holders of stock options an election to early exercise prior to vesting. The Company has the right, but not the obligation, to repurchase early exercised options without transferring any appreciation to the employee if the employee terminates employment before the end of the original vesting period. The repurchase price is the lesser of the original exercise price or the then fair value of the common stock. At June 30, 2020, $2,000 of proceeds from early exercised options are recognized as a current liability in other current liabilities in the accompanying consolidated balance sheet.

The following table summarizes activity relating to early exercise of stock options:

 

 

 

 

 

 

Number of

 

    

shares

Unvested balance at January 1, 2020

 

755

Vested

 

(163)

Forfeited

 

(267)

Unvested balance at June 30, 2020

 

325

 

The weighted average grant‑date fair value per share of options granted was $8.10 during the six months ended June 30, 2020. The aggregate intrinsic value of options exercised was $30,000 and $42,000 for the three and six months ended June 30, 2020, respectively. At June 30, 2020, the total unrecognized compensation expense related to unvested employee and nonemployee stock option awards was $5.9 million, which is expected to be recognized in expense over a weighted‑average period of approximately 2.94 years.

Estimating Fair Value of Stock Options

The fair value of each grant of stock options was determined by the Company using the methods and assumptions discussed below. Certain of these inputs are subjective and generally requires judgment to determine.

Expected term – The expected term of stock options represents the weighted average period the stock options are expected to be outstanding. The Company uses the simplified method for estimating the expected term as provided by the Securities and Exchange Commission. The simplified method calculates the expected term as the average time to vesting and the contractual life of the options.

Expected volatility – Due to the Company’s limited operating history and lack of company‑specific historical or implied volatility, the expected volatility assumption was determined by examining the historical volatilities of a group of industry peers whose share prices are publicly available.

Risk‑free interest rate – The risk‑free rate assumption is based on the U.S. Treasury instruments, the terms of which were consistent with the expected term of the Company’s stock options.

Expected dividend – The Company has not paid and does not intend to pay dividends.

The fair value of each option was estimated on the date of grant using the weighted average assumptions in the table below:

 

 

 

 

 

 

 

Six months ended

 

 

    

June 30, 2020

 

Expected dividend yield

 

 —

 

Expected volatility

 

58.3

%

Risk‑free interest rate

 

0.95

%

Expected term

 

5.93

Years

 

v3.20.2
Related-Party Transactions
6 Months Ended
Jun. 30, 2020
Related-Party Transactions  
Related-Party Transactions

(8) Related‑Party Transactions

On November 16, 2018, the Company entered into a senior secured term loan facility with OrbiMed, an entity affiliated with an owner of a material amount of the Company’s outstanding voting securities. The terms of the debt and related components are further described in more detail in Note 5.

 

v3.20.2
Summary of Significant Accounting Policies (Policies)
6 Months Ended
Jun. 30, 2020
Summary of Significant Accounting Policies  
Interim Financial Statements

Interim Financial Statements

The accompanying unaudited interim consolidated financial statements have been prepared from the books and records of the Company in accordance with GAAP for interim financial information and Rule 10‑01 of Regulation S‑X promulgated by the SEC, which permits reduced disclosures for interim periods. All adjustments, consisting only of normal recurring adjustments, necessary for a fair presentation of the accompanying consolidated balance sheets and statements of operations and comprehensive loss, redeemable convertible preferred stock and stockholders’ equity (deficit) and cash flows have been made. Although these interim consolidated financial statements do not include all of the information and footnotes required for complete annual consolidated financial statements, management believes the disclosures are adequate to make the information presented not misleading. Unaudited interim results of operations and cash flows are not necessarily indicative of the results that may be expected for the full year. Unaudited interim consolidated financial statements and footnotes should be read in conjunction with the December 31, 2019 consolidated financial statements and footnotes included in the Annual Report.

Use of Estimates

Use of Estimates

The preparation of consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and contingent liabilities at the date of the consolidated financial statements and the reported amounts of revenue and expenses during the reporting period. The most significant judgments are employed in estimates used to determine the fair value of stock‑based awards issued and recoverability of the carrying value of the Company’s inventory. As future events and their effects cannot be determined with precision, actual results may differ significantly from these estimates.

The full extent to which the COVID-19 pandemic will directly or indirectly impact the Company’s business, results of operations and financial condition, including revenue, expenses, manufacturing, research and development costs and employee-related compensation, will depend on future developments that are highly uncertain, including new information that may emerge concerning COVID-19 and the actions taken to mitigate the spread of or treat COVID-19, as well as the economic impact on local, regional, national and international customers and markets. Management has made estimates of the impact of COVID-19 within the Company’s consolidated financial statements and there may be changes to those estimates in future periods. Actual results may differ from these estimates.

Short-Term Investments

Short-Term Investments

Short-term investments consisted of investments in corporate debt securities with a maturity of greater than three months when acquired. The Company classified these investments as available-for-sale securities. These investments were reported at fair value with the related unrealized gains and losses included in accumulated other comprehensive income (loss), a component of stockholders’ equity. The Company had no short-term investments as of June 30, 2020.

Short-term investments at December 31, 2019 consisted of the following (in thousands):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Estimated

 

 

 

 

 

Amortization/

 

Unrealized

 

Fair

 

    

Cost

    

Accretion

 

Gains/(Losses)

    

Value

Corporate debt securities

 

$

9,284

 

$

 5

 

$

(4)

 

$

9,285

 

Revenue Recognition

Revenue Recognition

Under ASC Topic 606, Revenue from Contracts with Customers, an entity recognizes revenue when its customer obtains control of the promised good, in an amount that reflects the consideration that the entity expects to be entitled in exchange for those goods. The Company performs the following five steps to recognize revenue under ASC Topic 606: (i) identify the contract(s) with a customer, (ii) identify the performance obligations in the contract, (iii) determine the transaction price, (iv) allocate the transaction price to the performance obligations in the contract, and (v) recognize revenue when (or as) the entity satisfies a performance obligation. The Company only recognizes revenue when it is probable that it will collect the consideration to which it is entitled in exchange for the goods or services that will be transferred to the customer.

A significant portion of the Company’s revenue is generated from product shipped to a customer or from consigned inventory maintained at hospitals. Revenue from the sale of consigned products is recognized when control is transferred to the customer, which occurs at the time the product is used in a surgical procedure. For product that is not held on consignment, the Company recognizes revenue when control transfers to the customer which occurs at the time the product is shipped or delivered. For all of the Company’s contracts, the only identified performance obligation is providing the product to the customer.

Payment terms with customers do not exceed one year and, therefore, the Company does not account for a financing component in its arrangements. There are no incremental costs of obtaining a contract that would rise to or enhance an asset other than product costs, which are a component of inventory. The Company expenses incremental costs of obtaining a contract with a customer (e.g., sales commissions) when incurred as the period of benefit is less than one year. Fees charged to customers for shipping are recognized as revenue.

The following table presents revenue disaggregated by our portfolio of products (in thousands):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended June 30, 

 

Six months ended June 30, 

 

 

2020

 

2019

 

2020

 

2019

OviTex

 

$

2,942

 

$

3,212

 

$

6,181

 

$

6,518

OviTex PRS

 

 

565

 

 

91

 

 

1,052

 

 

91

Total revenue

 

$

3,507

 

$

3,303

 

$

7,233

 

$

6,609

Sales outside of the United States are immaterial for both the three and six months ended June 30, 2020 and 2019.

Fair value of financial instruments

Fair value of financial instruments

Fair value is the price that could be received to sell an asset or paid to transfer a liability in an orderly transaction among market participants. Fair value determination in accordance with applicable accounting guidance requires that a number of significant judgments are made. Additionally, fair value is used on a nonrecurring basis to evaluate assets for impairment or as required for disclosure purposes by applicable accounting guidance on disclosures about fair value of financial instruments. Depending on the nature of the assets and liabilities, various valuation techniques and assumptions are used when estimating fair value. The carrying amounts of certain of the Company’s financial instruments, including cash and cash equivalents, accounts receivable and other assets, and accounts payable are shown at cost, which approximates fair value due to the short‑term nature of these instruments. Due to the related‑party relationship of the credit facility (the “OrbiMed Credit Facility”) with OrbiMed Royalty Opportunities IP, LP (“OrbiMed”) (Note 5), it is impractical to determine the fair value of the debt.

The Company follows the provisions of FASB ASC Topic 820, Fair Value Measurement, for financial assets and liabilities measured on a recurring basis. The guidance requires fair value measurements be classified and disclosed in one of the following three categories:

·

Level 1:  Unadjusted quoted prices in active markets that are accessible at the measurement date for identical, unrestricted assets or liabilities.

·

Level 2:  Quoted prices in markets that are not active, or inputs which are observable, either directly or indirectly, for substantially the full term of the asset or liabilities.

·

Level 3:  Prices or valuation techniques that require inputs that are both significant to the fair value measurement and unobservable (i.e., supported by little or no market activity).

The following fair value hierarchy table presents information about each major category of the Company’s financial assets and liabilities measured at fair value on a recurring basis (in thousands):

 

 

 

 

 

 

 

 

 

 

 

 

 

Fair value measurement at reporting date using

 

 

Quoted prices in

 

 

 

 

 

 

 

 

active markets

 

Significant other

 

Significant

 

 

for identical

 

observable

 

unobservable

 

 

assets

 

inputs

 

inputs

 

    

(Level 1)

    

(Level 2)

    

(Level 3)

June 30, 2020:

 

 

 

 

 

 

 

 

 

Assets:

 

 

 

 

 

 

 

 

 

Cash equivalents – money market fund

 

$

84,879

 

$

 —

 

$

 —

 

 

 

 

 

 

 

 

 

 

December 31, 2019:

 

 

 

 

 

 

 

 

 

Assets:

 

 

 

 

 

 

 

 

 

Cash equivalents – money market fund

 

$

34,918

 

$

 —

 

$

 —

Cash equivalents – corporate debt securities

 

$

 —

 

$

8,850

 

$

 —

Cash equivalents – government agency securities

 

$

 —

 

$

1,000

 

$

 —

Short-term investments – corporate debt securities

 

$

 —

 

$

9,285

 

$

 —

 

At June 30, 2019, preferred stock warrants were outstanding and were a level 3 measurement. A rollforward of the warrant liability is as follows (in thousands):

 

 

 

 

January 1, 2019

 

$

1,640

Change in fair value of warrants

 

 

38

June 30, 2019

 

$

1,678

 

Net loss per share

Net loss per share

Basic and diluted net loss per common share is determined by dividing net loss attributable to common stockholders by the weighted‑average shares of common stock outstanding during the reporting period. The Company’s outstanding redeemable convertible preferred stock contractually entitled the holders of such shares to participate in distributions but contractually did not require the holders of such shares to participate in losses of the Company. Accordingly, in periods in which the Company reports a net loss attributable to common stockholders, diluted net loss per share attributable to common stockholders is the same as basic net loss per share attributable to common stockholders since dilutive shares are not assumed to have been issued if their effect is antidilutive. Therefore, the weighted‑average shares used to calculate both basic and diluted loss per share are the same.

The following potentially dilutive securities have been excluded from the computation of diluted weighted‑average shares outstanding for the periods presented, as they would be antidilutive.

 

 

 

 

 

 

 

 

Three and six months ended June 30,

 

 

2020

 

2019

Series A redeemable convertible preferred stock

 

 —

 

911,336

Series B redeemable convertible preferred stock

 

 —

 

2,980,387

Stock options (including shares subject to repurchase)

 

1,538,954

 

530,463

Series B redeemable convertible preferred stock warrants

 

 —

 

88,556

Common stock warrants

 

88,556

 

 —

Total

 

1,627,510

 

4,510,742

 

 

 

Amounts in the above table reflect the common stock equivalents of the noted instrument.

Recently Issued Accounting Pronouncement

Recently Issued Accounting Pronouncements

In February 2016, the FASB issued ASU No. 2016-02, Leases, which requires a lessee to record a right-of-use asset and a corresponding lease liability on the balance sheet for all leases with terms longer than 12 months. A modified retrospective transition approach is required, applying the new standard to all leases existing at the date of initial application. An entity may choose to use either (1) its effective date or (2) the beginning of the earliest comparative period presented in the consolidated financial statements as its date of initial application. If an entity chooses the second option, the transition requirements for existing leases also apply to leases entered into between the date of initial application and the effective date. The standard is effective for the Company beginning January 1, 2022, with early adoption permitted. The Company plans to adopt this standard on January 1, 2022 and is currently evaluating the expected impact that the standard could have on its consolidated financial statements and related disclosures.

In June 2018, the FASB issued ASU No. 2018-07, Compensation—Stock Compensation (Topic 718) Improvements to Nonemployee Share-Based Payment Accounting. The amendments in this update expand the scope of Topic 718 to include stock-based payment transactions for acquiring goods and services from nonemployees. Under this ASU, an entity should apply the requirements of Topic 718 to nonemployee awards except for specific guidance on inputs to an option pricing model and the attribution of costs (i.e., the period of time over which stock-based payment awards vest and the pattern of cost recognition over that period). The guidance is effective for the Company beginning January 1, 2020, with early adoption permitted. The adoption of this guidance did not have any impact on the consolidated financial statements and related disclosures.

In August 2018, the FASB issued ASU No. 2018-13, Disclosure Framework—Changes to the Disclosure Requirements for Fair Value Measurements, which changes the fair value measurement disclosure requirements of ASC Topic 820. The goal of the ASU is to improve the effectiveness of ASC Topic 820's disclosure requirements. The standard is effective for the Company beginning January 1, 2020. The adoption of this guidance did not have any impact on the consolidated financial statements and related disclosures

v3.20.2
Summary of Significant Accounting Policies (Tables)
6 Months Ended
Jun. 30, 2020
Summary of Significant Accounting Policies  
Schedule Of Cash And Cash Equivalents And Short Term Investments

Short-term investments at December 31, 2019 consisted of the following (in thousands):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Estimated

 

 

 

 

 

Amortization/

 

Unrealized

 

Fair

 

    

Cost

    

Accretion

 

Gains/(Losses)

    

Value

Corporate debt securities

 

$

9,284

 

$

 5

 

$

(4)

 

$

9,285

 

Disaggregation of Revenue

The following table presents revenue disaggregated by our portfolio of products (in thousands):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended June 30, 

 

Six months ended June 30, 

 

 

2020

 

2019

 

2020

 

2019

OviTex

 

$

2,942

 

$

3,212

 

$

6,181

 

$

6,518

OviTex PRS

 

 

565

 

 

91

 

 

1,052

 

 

91

Total revenue

 

$

3,507

 

$

3,303

 

$

7,233

 

$

6,609

 

Schedule of fair value of assets and liabilities measured on recurring basis

The following fair value hierarchy table presents information about each major category of the Company’s financial assets and liabilities measured at fair value on a recurring basis (in thousands):

 

 

 

 

 

 

 

 

 

 

 

 

 

Fair value measurement at reporting date using

 

 

Quoted prices in

 

 

 

 

 

 

 

 

active markets

 

Significant other

 

Significant

 

 

for identical

 

observable

 

unobservable

 

 

assets

 

inputs

 

inputs

 

    

(Level 1)

    

(Level 2)

    

(Level 3)

June 30, 2020:

 

 

 

 

 

 

 

 

 

Assets:

 

 

 

 

 

 

 

 

 

Cash equivalents – money market fund

 

$

84,879

 

$

 —

 

$

 —

 

 

 

 

 

 

 

 

 

 

December 31, 2019:

 

 

 

 

 

 

 

 

 

Assets:

 

 

 

 

 

 

 

 

 

Cash equivalents – money market fund

 

$

34,918

 

$

 —

 

$

 —

Cash equivalents – corporate debt securities

 

$

 —

 

$

8,850

 

$

 —

Cash equivalents – government agency securities

 

$

 —

 

$

1,000

 

$

 —

Short-term investments – corporate debt securities

 

$

 —

 

$

9,285

 

$

 —

 

Schedule of warrant liability

At June 30, 2019, preferred stock warrants were outstanding and were a level 3 measurement. A rollforward of the warrant liability is as follows (in thousands):

 

 

 

 

January 1, 2019

 

$

1,640

Change in fair value of warrants

 

 

38

June 30, 2019

 

$

1,678

 

Schedule of dilutive securities excluded

 

 

 

 

 

 

 

Three and six months ended June 30,

 

 

2020

 

2019

Series A redeemable convertible preferred stock

 

 —

 

911,336

Series B redeemable convertible preferred stock

 

 —

 

2,980,387

Stock options (including shares subject to repurchase)

 

1,538,954

 

530,463

Series B redeemable convertible preferred stock warrants

 

 —

 

88,556

Common stock warrants

 

88,556

 

 —

Total

 

1,627,510

 

4,510,742

 

v3.20.2
Accrued Expenses and Other Current Liabilities (Tables)
6 Months Ended
Jun. 30, 2020
Accrued Expenses and Other Current Liabilities  
Accrued Expenses

Accrued expenses and other current liabilities consisted of the following (in thousands):

 

 

 

 

 

 

 

 

 

 

June 30, 

 

December 31, 

 

    

2020

    

2019

Compensation and related benefits

 

$

1,092

 

$

2,314

Interest

 

 

40

 

 

41

Third-party and professional fees

 

 

1,206

 

 

641

Research and development expenses

 

 

 —

 

 

35

Other

 

 

337

 

 

511

 

 

$

2,675

 

$

3,542

 

v3.20.2
Long term Debt (Tables)
6 Months Ended
Jun. 30, 2020
Long term Debt  
Schedule of long term debt

Long‑term debt consisted of the following (in thousands):

 

 

 

 

 

 

 

 

 

 

June 30, 

 

December 31, 

 

    

2020

    

2019

OrbiMed Term Loan (related party)

 

$

30,000

 

$

30,000

End of term charge

 

 

3,000

 

 

3,000

Unamortized end of term charge and issuance costs

 

 

(2,476)

 

 

(2,757)

Long-term debt with related party

 

$

30,524

 

$

30,243

 

v3.20.2
Stockholders’ Equity (Deficit) (Tables)
6 Months Ended
Jun. 30, 2020
Stockholders’ Equity (Deficit)  
Schedule of warrants outstanding to purchase common stock

 

 

 

 

 

 

 

 

 

 

 

 

 

Exercise

 

Expiration

 

    

Outstanding

 

    

price

    

dates

Common stock warrants issued to MidCap

 

8,379

 

$

28.65

 

2028

Common stock warrants issued to note payable holders

 

15,712

 

 

28.65

 

2027

Common stock warrants issued to convertible promissory note holders

 

64,465

 

$

28.65

 

2027

 

 

88,556

 

 

 

 

 

 

v3.20.2
Stock-Based Compensation (Tables)
6 Months Ended
Jun. 30, 2020
Stock-Based Compensation  
Schedule of stock based compensation expense categories in statement of operations

The Company recorded stock‑based compensation expense in the following expense categories of its accompanying consolidated statements of operations and comprehensive loss (in thousands):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended June 30, 

    

Six months ended June 30, 

 

    

2020

    

2019

    

2020

 

2019

Sales and marketing

 

$

172

 

$

14

 

$

333

 

$

29

General and administrative

 

 

240

 

 

39

 

 

449

 

 

73

Research and development

 

 

82

 

 

 6

 

 

161

 

 

17

Total stock‑based compensation

 

$

494

 

$

59

 

$

943

 

$

119

 

Schedule of stock option activity

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted

 

 

 

 

 

 

 

average

 

 

 

 

Weighted

 

remaining

 

 

Number of

 

average exercise

 

contractual term

 

    

shares

    

price per share

    

(years)

Outstanding at January 1, 2020

 

1,420,942

 

$

10.35

 

  

Granted

 

148,566

 

 

15.14

 

  

Exercised

 

(6,306)

 

 

6.97

 

  

Canceled/forfeited

 

(24,573)

 

 

12.41

 

  

Outstanding at June 30, 2020

 

1,538,629

 

 

10.79

 

8.40

Vested and expected to vest at June 30, 2020

 

1,452,555

 

$

10.70

 

8.35

Exercisable at June 30, 2020

 

416,174

 

$

5.97

 

6.01

 

Schedule of activity relating to early exercise of stock options

 

 

 

 

 

Number of

 

    

shares

Unvested balance at January 1, 2020

 

755

Vested

 

(163)

Forfeited

 

(267)

Unvested balance at June 30, 2020

 

325

 

Schedule of weighted average assumptions

 

 

 

 

 

 

Six months ended

 

 

    

June 30, 2020

 

Expected dividend yield

 

 —

 

Expected volatility

 

58.3

%

Risk‑free interest rate

 

0.95

%

Expected term

 

5.93

Years

 

v3.20.2
Risks and Liquidity (Details) - USD ($)
$ / shares in Units, $ in Thousands
1 Months Ended
Jun. 30, 2020
Nov. 30, 2019
Dec. 31, 2019
Unusual Risk or Uncertainty [Line Items]      
Accumulated deficit $ (181,160)   $ (167,859)
Received net proceeds of after deducting underwriting discounts, commissions and other offering expenses   $ 50,600  
IPO      
Unusual Risk or Uncertainty [Line Items]      
Stock Issued During Period, Shares, New Issues   4,398,700  
Shares Issued, Price Per Share   $ 13.00  
Over-Allotment Option      
Unusual Risk or Uncertainty [Line Items]      
Stock Issued During Period, Shares, New Issues   398,700  
Second Underwritten Public Offering [Member]      
Unusual Risk or Uncertainty [Line Items]      
Stock Issued During Period, Shares, New Issues 3,000,000    
Shares Issued, Price Per Share $ 16.00    
Received net proceeds of after deducting underwriting discounts, commissions and other offering expenses $ 44,700    
v3.20.2
Summary of Significant Accounting Policies - Short-Term Investments (Details) - USD ($)
$ in Thousands
Jun. 30, 2020
Dec. 31, 2019
Cash and Cash Equivalents [Line Items]    
Short-term Investments $ 0 $ 9,285
Corporate debt securities    
Cash and Cash Equivalents [Line Items]    
Cost   9,284
Amortization/ Accretion   5
Unrealized Gains/(Losses)   (4)
Estimated Fair Value   $ 9,285
v3.20.2
Summary of Significant Accounting Policies - Revenue Recognition (Details)
$ in Millions
6 Months Ended
Jun. 30, 2020
USD ($)
Summary of Significant Accounting Policies  
Incremental costs of obtaining a contract $ 0.0
v3.20.2
Summary of Significant Accounting Policies - Revenue Disaggregated (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Disaggregation of Revenue [Line Items]        
Revenue $ 3,507 $ 3,303 $ 7,233 $ 6,609
OviTex [Member]        
Disaggregation of Revenue [Line Items]        
Revenue 2,942 3,212 6,181 6,518
OviTex PRS [Member]        
Disaggregation of Revenue [Line Items]        
Revenue $ 565 $ 91 $ 1,052 $ 91
v3.20.2
Summary of Significant Accounting Policies - Fair value of financial instruments (Details) - Recurring - USD ($)
$ in Thousands
Jun. 30, 2020
Dec. 31, 2019
Level 1 | Money market funds    
Fair value of financial instruments    
Cash equivalents $ 84,879 $ 34,918
Level 2 | Corporate debt securities    
Fair value of financial instruments    
Cash equivalents   8,850
Short-term investment – corporate debt securities   9,285
Level 2 | Agency securities    
Fair value of financial instruments    
Cash equivalents   $ 1,000
v3.20.2
Summary of Significant Accounting Policies - Warrant liability (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2019
Jun. 30, 2019
Summary of Significant Accounting Policies    
Beginning balance   $ 1,640
Change in fair value of warrants $ 74 38
Ending balance $ 1,678 $ 1,678
v3.20.2
Summary of Significant Accounting Policies - Potentially dilutive securities (Details) - shares
6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Potentially dilutive securities    
Potentially dilutive securities excluded from computation of diluted weighted average shares 1,627,510 4,510,742
Stock Options    
Potentially dilutive securities    
Potentially dilutive securities excluded from computation of diluted weighted average shares 1,538,954 530,463
Series A    
Potentially dilutive securities    
Potentially dilutive securities excluded from computation of diluted weighted average shares   911,336
Series B    
Potentially dilutive securities    
Potentially dilutive securities excluded from computation of diluted weighted average shares   2,980,387
Series B Redeemable Convertible Preferred Stock Warrants | Warrants    
Potentially dilutive securities    
Potentially dilutive securities excluded from computation of diluted weighted average shares   88,556
Common Stock Warrants    
Potentially dilutive securities    
Potentially dilutive securities excluded from computation of diluted weighted average shares 88,556  
v3.20.2
Accrued Expenses and Other Current Liabilities (Details) - USD ($)
$ in Thousands
Jun. 30, 2020
Dec. 31, 2019
Accrued Expenses and Other Current Liabilities    
Compensation and related benefits $ 1,092 $ 2,314
Interest 40 41
Professional fees 1,206 641
Research and development expenses   35
Other 337 511
Accrued Expenses, Total $ 2,675 $ 3,542
v3.20.2
Long term Debt - Schedule of long term debt (Details) - USD ($)
$ in Thousands
Jun. 30, 2020
Dec. 31, 2019
Debt    
Long-term Debt $ 30,524 $ 30,243
OrbiMed Term Loans (related party)    
Debt    
Long Term Debt 30,000 30,000
End of term charge 3,000 3,000
Unamortized issuance costs (2,476) (2,757)
Long-term Debt $ 30,524 $ 30,243
v3.20.2
Long term Debt - OrbiMed Term Loan (related party) (Details)
6 Months Ended
Jun. 30, 2020
USD ($)
tranche
Jun. 30, 2019
USD ($)
Nov. 30, 2018
USD ($)
OrbiMed Term Loans (related party)      
Debt      
Number of Tranches | tranche 2    
Minimum Cash Balance $ 2,000,000    
Interest due to unpaid obligation 3.00%    
Interest Rate (as a percent) 9.75%   7.75%
Number of Installment 60 months    
Exit fee (as a percent) 10.00%    
Administration Fees $ 10,000    
Debt issuance costs 300,000    
Interest Expenses 1,800,000 $ 1,800,000  
End of term charge 3,000,000    
Amortization of debt issuance costs $ 300,000 $ 200,000  
OrbiMed Term Loans (related party) | Prior to second anniversary      
Debt      
Percentage of prepayment penalty on prepaid principal amount 10.00%    
OrbiMed Term Loans (related party) | After second anniversary but prior to third anniversary      
Debt      
Percentage of prepayment penalty on prepaid principal amount 5.00%    
OrbiMed Term Loans (related party) | After third anniversary      
Debt      
Percentage of prepayment penalty on prepaid principal amount 2.50%    
OrbiMed Term Loans (related party) | LIBOR      
Debt      
Variable Interest Rate (as a percent) 2.00%    
OrbiMed Term Loans (related party) | Maximum      
Debt      
Debt Amount $ 35,000,000    
Tranche One      
Debt      
Debt Amount 30,000,000   $ 30,000,000
Tranche Two      
Debt      
Debt Amount $ 5,000,000    
v3.20.2
Stockholders’ Equity (Deficit) - IPO (Details) - USD ($)
$ / shares in Units, $ in Millions
1 Months Ended
Jun. 30, 2020
Nov. 30, 2019
Redeemable Convertible Preferred Stock and Stockholders’ Deficit    
Received net proceeds of after deducting underwriting discounts, commissions and other offering expenses   $ 50.6
IPO    
Redeemable Convertible Preferred Stock and Stockholders’ Deficit    
Stock Issued During Period, Shares, New Issues   4,398,700
Shares Issued, Price Per Share   $ 13.00
Over-Allotment Option    
Redeemable Convertible Preferred Stock and Stockholders’ Deficit    
Stock Issued During Period, Shares, New Issues   398,700
Second Underwritten Public Offering [Member]    
Redeemable Convertible Preferred Stock and Stockholders’ Deficit    
Stock Issued During Period, Shares, New Issues 3,000,000  
Shares Issued, Price Per Share $ 16.00  
Received net proceeds of after deducting underwriting discounts, commissions and other offering expenses $ 44.7  
Convertible Preferred Stock | IPO    
Redeemable Convertible Preferred Stock and Stockholders’ Deficit    
Aggregate of common stock   6,708,649
Warrants | IPO    
Redeemable Convertible Preferred Stock and Stockholders’ Deficit    
Aggregate of common stock   88,556
v3.20.2
Stockholders’ Equity (Deficit) - Warrants outstanding (Details)
Jun. 30, 2020
$ / shares
shares
Redeemable Convertible Preferred Stock and Stockholders’ Deficit  
Warrants outstanding 88,556
MidCap Credit Facility | Warrants  
Redeemable Convertible Preferred Stock and Stockholders’ Deficit  
Warrants outstanding 8,379
warrants exercise price | $ / shares $ 28.65
Notes payable | Warrants  
Redeemable Convertible Preferred Stock and Stockholders’ Deficit  
Warrants outstanding 15,712
warrants exercise price | $ / shares $ 28.65
Convertible promissory notes | Warrants  
Redeemable Convertible Preferred Stock and Stockholders’ Deficit  
Warrants outstanding 64,465
warrants exercise price | $ / shares $ 28.65
v3.20.2
Stock-Based Compensation - Expenses (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Stock-Based Compensation        
Total stock-based compensation $ 494 $ 59 $ 943 $ 119
Sales and marketing        
Stock-Based Compensation        
Total stock-based compensation 172 14 333 29
General and administrative        
Stock-Based Compensation        
Total stock-based compensation 240 39 449 73
Research and development        
Stock-Based Compensation        
Total stock-based compensation $ 82 $ 6 $ 161 $ 17
v3.20.2
Stock-Based Compensation - Stock Option Activity (Details) - $ / shares
6 Months Ended
Jun. 30, 2020
Number of shares  
Balance at beginning of period 1,420,942
Granted 148,566
Exercised (6,306)
Canceled/forfeited (24,573)
Balance at end of period 1,538,629
Vested and expected to vest at end of period 1,452,555
Exercisable at end of period 416,174
Weighted average exercise price per share  
Balance at beginning of period (in dollars per share) $ 10.35
Granted ( in dollars per share) 15.14
Exercised (in dollars per share) 6.97
Canceled/forfeited (in dollars per share) 12.41
Balance at end of period (in dollars per share) 10.79
Vested and expected to vest at end of period (in dollars per share) 10.70
Exercisable at end of period (in dollars per share) $ 5.97
Weighted average remaining contractual term  
Weighted average remaining contractual term, outstanding 8 years 4 months 24 days
Weighted average remaining contractual term, Vested and expected to vest 8 years 4 months 6 days
Weighted average remaining contractual term, Exercisable 6 years 4 days
v3.20.2
Stock-Based Compensation - Early Exercise Of Stock Options (Details)
6 Months Ended
Jun. 30, 2020
shares
Stock-Based Compensation  
Unvested balance at beginning of period 755
Vested (163)
Forfeited (267)
Unvested balance at end of period 325
v3.20.2
Stock-Based Compensation - Weighted average assumptions (Details)
6 Months Ended
Jun. 30, 2020
Stock-Based Compensation  
Expected volatility 58.30%
Risk-free interest rate 0.95%
Expected term 5 years 11 months 5 days
v3.20.2
Stock-Based Compensation - Narratives (Details)
3 Months Ended 6 Months Ended
Jun. 30, 2020
USD ($)
shares
Jun. 30, 2020
USD ($)
$ / shares
shares
Stock-Based Compensation    
Weighted Average Grant Date Fair Value per share | $ / shares   $ 8.10
Aggregate intrinsic value $ 30,000 $ 42,000
2012 Stock Incentive Plan    
Stock-Based Compensation    
Unrecognized compensation expense $ 5,900,000 $ 5,900,000
Weighted Average period for recognition of unrecognized expenses   2 years 11 months 9 days
2012 Stock Incentive Plan | Current Liability    
Stock-Based Compensation    
Proceeds from early exercise of option   $ 2,000
2019 Equity Incentive Plan    
Stock-Based Compensation    
Shares available for future issuance | shares 753,175 753,175
Vesting Period   4 years
Vesting Term   P10Y