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    Myomo Inc (MYO)

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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.

    NamePositionStart DateShort Bio
    Paul R. GudonisChairman, CEO, and PresidentJuly 2011 (CEO), August 2016 (Chairman), February 2017 (President)Brings 40 years of experience in launching technology-based products and services across software, telecommunications, internet services, and robotics. Holds degrees from Northwestern University and Harvard University.
    David A. HenryChief Financial OfficerFebruary 2019Has over 35 years of financial leadership experience in high-tech manufacturing. Previously served as CFO at AMI Semiconductor and American Semiconductor Corporation. Holds an MBA from Santa Clara University.
    Micah J. MitchellChief Commercial OfficerJuly 2018Previously served as VP of N.A. Commercial Operations at Invacare Corporation. Held leadership roles at Numotion and Alliance Seating & Mobility. Holds an MBA from the University of Texas at Austin.
    Harry Kovelman, M.D.Chief Medical OfficerNovember 2020Brings over 25 years of experience in medical devices and pharmaceuticals. Previously served as SVP of Medical Affairs at Helius Medical Technologies and VP of Medical Affairs at Pacira Pharmaceuticals.
    Heather GetzClass II Director, Chair of Audit CommitteeMarch 26, 2024 (expected)Brings over 25 years of experience in finance, healthcare leadership, and strategic planning. Currently EVP, CFO, and COO at Butterfly Network, Inc. Designated as an "audit committee financial expert" by the SEC.
    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?