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Hyperfine(HYPR) - 2022 Q4 - Annual Report

Market Opportunity - The Swoop® system targets a 28billionimagingmarket,expectedtogrowata4.928 billion imaging market, expected to grow at a 4.9% CAGR from 2022 to 2030[29] - The global imaging market is estimated to exceed 20 billion, with over 100,000 potential installation sites for the Swoop® system[40] - The aging population and rising prevalence of neurological conditions are driving increased demand for MRI technology[40] - The Swoop® system aims to improve access to MRI for 90% of the world's population who have limited or no access to conventional MRI[59] Product Features and Benefits - The Swoop® system reduces the average conventional MRI process time from 11.7 hours to between 0.5 to 5.3 hours, achieving a workflow time reduction of 55% or greater[35] - The Swoop® system can potentially improve access to MRI for approximately 15 million new stroke sufferers annually, avoiding the risks associated with ionizing radiation from CT scans[34] - The use of the Swoop® system has resulted in a 20% increase in the utilization of existing MRI suites for additional outpatient procedures[35] - The Swoop® system is designed to be user-friendly, requiring minimal training and allowing operation via a tablet or smartphone[35] - The Swoop® system provides diagnostic-quality images with higher contrast resolution than conventional portable medical neuroimaging systems, achieving image resolution of 1.5 x 1.5 x 5 mm compared to 1.0 x 1.0 x 5 mm for traditional MRI[59] - The Swoop® system operates with an ultra-low-field magnet of 0.064T, allowing for portable MRI without the need for specialized facilities[52] - Approximately 30% of conventional MRI scans suffer from moderate to severe image quality issues due to patient motion, which the Swoop® system addresses with motion compensation technology[55] - The Swoop® system's design allows for easy mobility within hospitals, featuring a powered drive system and a zero-turn radius for positioning in tight spaces[65] Regulatory Approvals and Compliance - The company has received multiple regulatory approvals, including Medical Device License from Health Canada and CE marking in the EU, to expand its international market presence[38] - The company must develop a diversity action plan for clinical trials as mandated by the Consolidated Appropriations Act for 2023[131] - The medical devices developed by the company are subject to extensive regulation by the FDA and other international regulatory agencies, requiring compliance with various laws governing development and marketing[110][111] - The company is subject to the Physician Payments Sunshine Act, requiring annual reporting of payments to U.S.-licensed physicians, with significant penalties for violations[149] Financial Performance and Funding - The company has raised over 160millioninequityinvestmentsandpartnershipmilestonesfrominstitutionalinvestorsandgrants,includinga160 million in equity investments and partnership milestones from institutional investors and grants, including a 1.6 million grant from the Bill & Melinda Gates Foundation[28] - The company incurred net losses of 73.2millionand73.2 million and 64.9 million for the years ended December 31, 2022 and 2021, respectively, with an accumulated deficit of 209.5millionasofDecember31,2022[175]Thecompanyhasgeneratedlimitedrevenuefromproductsalestodateandhasnotachievedwidemarketacceptanceforitsproducts,makingfutureperformancepredictionsuncertain[176]Thecompanymayneedtoraiseadditionalcapitaltofundcommercializationplans,includingmanufacturingandsalesactivities,aswellasresearchanddevelopment[178]CompetitionandMarketPositionThecompanyviewscompetitioninthemedicalimagingmarketassignificant,withmajorplayerslikeGeneralElectricandSiemens,butseesitstechnologyascomplementarytoexistinghighfieldMRIsystems[99]Thecompanyfacessignificantcompetitionfromestablishedplayersinthemedicalimagingmarket,includingGeneralElectric,Siemens,andPhilips,whichmayaffectitsmarketposition[190]Thecompanysfuturesuccessdependsontheacceptanceofitsproductsinthehealthcaremarket,whichmaynotbereceptivecomparedtoconventionalMRIsystems[184]SupplyChainandManufacturingRisksThecompanyreliesonalimitednumberofsuppliers,increasingrisksassociatedwithpotentialinterruptionsinsupply[211]Thecompanyreliesonasinglecontractmanufacturer,BenchmarkElectronics,whichposesrisksiftheyfailtomeetobligations[210]Thecompanyhasincurredincreasedcostsforthemagnet,akeycomponentintheSwoop®system,duetorelianceonasinglesourcesupplierinEurope[196]Thecompanyisworkingtoaddanadditionalmagnetsuppliertomitigaterisksassociatedwithrelianceonasinglesupplier[93]ResearchandDevelopmentThecompanyplanstocontinuedevelopingitstechnologytoexpandintonewimagingapplicationsandenhanceitsMRIsystemforbroaderdiagnosticcapabilities[37]Themarketischaracterizedbyrapidtechnologicalchangesandevolvingcustomerdemands,necessitatingsubstantialinvestmentinresearchanddevelopment[222]Theintroductionofnewtechnologiesmayrenderexistingproductsobsolete,impactingmarketabilityandrevenue[222]ComplianceandLegalRisksNoncompliancewithvariousstateandfederalfraudandabuselawscanleadtosubstantialfinesandcriminalsanctions,increasingtheriskoflitigation[146]ThefederalAntiKickbackStatuteprohibitsremunerationtoinducereferralsforservicespayableundergovernmenthealthcareprograms,withpenaltiesincludingimprisonmentandfinesupto209.5 million as of December 31, 2022[175] - The company has generated limited revenue from product sales to date and has not achieved wide market acceptance for its products, making future performance predictions uncertain[176] - The company may need to raise additional capital to fund commercialization plans, including manufacturing and sales activities, as well as research and development[178] Competition and Market Position - The company views competition in the medical imaging market as significant, with major players like General Electric and Siemens, but sees its technology as complementary to existing high-field MRI systems[99] - The company faces significant competition from established players in the medical imaging market, including General Electric, Siemens, and Philips, which may affect its market position[190] - The company’s future success depends on the acceptance of its products in the healthcare market, which may not be receptive compared to conventional MRI systems[184] Supply Chain and Manufacturing Risks - The company relies on a limited number of suppliers, increasing risks associated with potential interruptions in supply[211] - The company relies on a single contract manufacturer, Benchmark Electronics, which poses risks if they fail to meet obligations[210] - The company has incurred increased costs for the magnet, a key component in the Swoop® system, due to reliance on a single source supplier in Europe[196] - The company is working to add an additional magnet supplier to mitigate risks associated with reliance on a single supplier[93] Research and Development - The company plans to continue developing its technology to expand into new imaging applications and enhance its MRI system for broader diagnostic capabilities[37] - The market is characterized by rapid technological changes and evolving customer demands, necessitating substantial investment in research and development[222] - The introduction of new technologies may render existing products obsolete, impacting marketability and revenue[222] Compliance and Legal Risks - Non-compliance with various state and federal fraud and abuse laws can lead to substantial fines and criminal sanctions, increasing the risk of litigation[146] - The federal Anti-Kickback Statute prohibits remuneration to induce referrals for services payable under government healthcare programs, with penalties including imprisonment and fines up to 100,000 per violation[141] - The company must maintain a robust compliance program to meet diverse regulatory requirements, which increases the risk of potential violations and associated penalties[150] Workforce and Organizational Changes - As of February 15, 2023, the company employed 136 full-time employees, with 92 in research, development, manufacturing, and operations, and 133 located in the United States[72] - Approximately 13% of the global workforce was terminated as part of an organizational restructuring aimed at decreasing costs and streamlining operations[203] - Attracting and retaining key personnel is critical for the company's future success, given the intense competition in the medical device industry[204]