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    Myomo Inc (MYO)

    Material Definitive Agreement

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    Myomo, Inc. (MYO) is a wearable medical robotics company that develops and markets advanced myoelectric orthotics for individuals with neuromuscular disorders and upper limb paralysis. The company’s primary product, the MyoPro, is a custom-fabricated device designed to help patients regain functional use of their arms and hands by leveraging their own muscle signals. Myomo operates through direct billing to insurance companies, partnerships with orthotics and prosthetics providers, and distribution in international markets.

    1. Product Revenue - Generates income from the sale of MyoPro, a myoelectric-controlled upper limb orthosis that supports weak or paralyzed arms, enabling functional activities of daily living. The device is custom-fabricated for each user and prescribed by physicians.

    2. License Revenue - Earns revenue from licensing agreements, although this segment contributes minimally or is absent in certain periods.

    NamePositionExternal RolesShort BioStart Date

    Paul R. Gudonis

    ExecutiveBoard

    President, CEO, and Chairman

    Advisory roles at Northwestern University (Dean’s Advisory Council, Biomedical Engineering Dept., NUvention program)

    Over 40 years of experience in launching technology-based products and services. Previously CEO of Centra Software and Genuity, and President of FIRST Robotics. Holds an MBA from Harvard and a degree in electrical engineering from Northwestern.

    July 2012 (CEO), February 2017 (President)

    David A. Henry

    Executive

    Chief Financial Officer

    None

    Over 35 years of financial leadership experience. Former CFO at AMI Semiconductor, American Semiconductor Corporation, and Eos Energy Storage. CPA with an MBA from Santa Clara University and a BS from UC Berkeley.

    February 2019

    Harry Kovelman, M.D.

    Executive

    Chief Medical Officer

    None

    Over 25 years of experience in medical devices and pharmaceuticals. Former SVP at Helius Medical Technologies and VP at Pacira BioSciences. Holds an MD from the University of Maryland.

    November 2020

    Micah J. Mitchell

    Executive

    Chief Commercial Officer

    None

    Extensive experience in sales and business development in healthcare. Previously VP at Invacare Corporation and Regional VP at Numotion. Founded Wheelchair Vans, LLC.

    July 2018

    Amy Knapp

    Board

    Director

    Board member at The Commons Project and The Smart Health Network, PBC

    Over 40 years of experience in healthcare. Former National President, Markets for Bright HealthCare, where she grew ACA membership significantly. Holds an MBA from USC.

    July 2016

    Heather C. Getz

    Board

    Director, Chair of Audit Committee

    EVP and CFO/COO at Butterfly Network, Inc.

    Over 25 years of experience in finance and healthcare leadership. Former CFO at BioTelemetry. CPA with an MBA from Villanova University.

    March 2024

    Milton M. Morris, Ph.D.

    Board

    Director

    Trustee at Northwestern University, Board member at Embecta Corp. and Nordson Corporation

    Over 30 years of experience in medical device commercialization. Former CEO of Neuspera Medical. Holds a Ph.D. in biomedical engineering.

    June 2021

    Thomas F. Kirk

    Board

    Lead Independent Director

    Chairman of the Board at American Medical Staffing, Inc. and American Surgical Professionals

    Extensive experience in finance, strategic planning, and business development. Former CEO of Hanger Orthopedic Group. Registered professional engineer.

    September 2014 (Director), October 2016 (Lead Independent Director)

    Yitzchak Jacobovitz

    Board

    Director

    Partner and lead healthcare analyst at AIGH Capital Management LLC

    Partner at AIGH Capital Management since 2014. Former managing director at Capstone and analyst at Leap Tide Capital Management. Holds an MBA from Johns Hopkins University and is a CFA.

    January 2023

    1. Given the substantial increase in operating expenses, particularly due to higher headcount and advertising spend, how do you plan to achieve operating cash flow breakeven in the fourth quarter, especially if there are potential delays in payments or supply chain disruptions?
    2. With the expansion into the O&P channel expected to lower ASPs due to the mix, how will this impact your gross margins, and what strategies do you have in place to mitigate any potential erosion of profitability as this channel grows?
    3. Considering the challenges you've faced with Medicare Advantage plans, including lower success rates in obtaining preauthorizations and more denials leading to administrative law judge hearings, how are you addressing these issues to improve authorization rates and reduce the administrative burden?
    4. Your international expansion seems to be on hold due to the investment required and long timelines, particularly in markets like France and Italy taking 2 to 3 years. How do you plan to accelerate international growth and capitalize on these markets without significantly increasing expenditures?
    5. Given that the R&D enhancements to the MyoPro 2+ have been delayed to include additional features, which pushes the release to Q1 2025, how might this delay affect your competitive positioning and ability to meet patient needs in the interim?
    CustomerRelationshipSegmentDetails

    CMS (Centers for Medicare & Medicaid Services)

    Primary public healthcare payer

    All

    49% of 2024 product revenues ($15.55M) ; 36% of 2024 A/R ($1.38M)

    U.S. commercial insurer and affiliates

    Key commercial insurance payer

    All

    18% of 2024 product revenues ($5.86M) ; 19% of 2024 A/R ($0.73M) ; 38% of 2023 product revenues ; 71% of 2023 A/R

    Recent developments and announcements about MYO.

    Earnings

    • New Earnings (Q4 2024)

      ·
      16 hours ago

      Myomo guides 2025 revenue of $50–$53M (+54% to +66% YoY) with pipeline growth and O&P expansion fueling demand. Gross margins ~70%. Yet operating expenses could exceed $10M per quarter, raising profitability concerns. Denials remain a hurdle as appeals success dips.

      View full earnings summary →

    8-K Filings

    • 8-K Filing

      ·
      Feb 20, 2025, 11:16 AM
      Financial Exhibits
      Financial Obligation Triggered
      Material Definitive Agreement

      Myomo amended its loan agreement with Silicon Valley Bank, adding a term loan facility up to $3,000,000. The Term Loan Advances will be repaid in 36 monthly installments starting March 2026, with interest at the greater of 5% or prime minus 1%.

      View full 8-K filing →