Establishment Labs Reports Third Quarter 2020 Financial Results

SANTA BARBARA, Calif., Nov. 09, 2020 (GLOBE NEWSWIRE) -- Establishment Labs Holdings Inc. (NASDAQ: ESTA), a medical technology company focused on women’s health, initially in the breast aesthetics and reconstruction market, today announced its financial results for the third quarter ended September 30, 2020.

Third Quarter Highlights and Outlook

  • Worldwide sales of $22.8 million, in line with preannounced range
  • Full year 2020 revenue expected to be $80 to $82 million
  • Reduced operating expenses by 23% compared to the third quarter of 2019
  • Strong cash balance of $81.4 million at September 30
  • Encouraging feedback from early patient experience with Motiva Flora tissue expander
  • CE mark for Motiva Ergonomix2 expected in fourth quarter
  • Motiva Mia patient series in Thailand IRB approved; additional series in Latin America planned to begin by year-end

“As we guided to in our October pre-announcement, total revenue in the third quarter was $22.8 million, which is comparable to the $22.9 million reported in the third quarter of 2019, and more than double the sales reported for the second quarter this year,” said Juan José Chacón-Quirós, Chief Executive Officer. “With a strong recovery from the pandemic well underway, we are comfortable issuing full year 2020 revenue guidance of $80 million to $82 million.

“In addition to strong top line sales this quarter, our focus on lowering expenses and driving efficiencies led to a continued decrease in our operating cash burn,” Mr. Chacón-Quirós continued. “As we look to 2021, we have truly differentiated technologies coming that will expand our comprehensive portfolio. We expect continued market share gains, both from expanding our presence in breast reconstruction, and developing new product categories like minimally invasive augmentation. These will help support our growth next year and for many years to come while we continue to plan our entry into the U.S. and China.”

Third Quarter 2020 Financial Results
Total revenue for the quarter ended September 30, 2020 was $22.8 million compared to $22.9 million for the same period in 2019. Direct sales comprised approximately 40% of total sales while distributor sales made up the balance.

Gross profit for the third quarter was $15.1 million, or 66.6% of revenue, compared to $14.2 million, or 62.3% of revenue, for the same period in 2019. The year over year increase was due to the benefit of geographic mix, greater operating efficiencies, and enhanced manufacturing planning capabilities.

Total operating expenses for the third quarter were $17.7 million, a decrease of $5.3 million or 22.9%, compared to $23.0 million in the third quarter of 2019.

SG&A expenses for the third quarter declined $4.2 million, or 21.9%, to $15.0 million compared to $19.2 million in the third quarter of 2019. The majority of this decrease resulted from the Company’s commitment to preserve cash by controlling expenses, including lower consulting fees, lower sales and marketing expenses, and reductions in other discretionary expense categories.

R&D expenses decreased $1.1 million to $2.7 million in the third quarter compared to $3.8 million for the same quarter a year ago. Most of the reduction was due to the timing of clinical trial expenses and the reprioritization of certain projects. Strengthening its product portfolio to drive future growth remains a top priority, and the Company will continue to invest in research and development with discipline and focus.

Net loss from operations for the third quarter was $2.6 million compared to a net loss of $8.8 million in the year ago period.

The Company’s cash balance at September 30, 2020 was $81.4 million. Cash used in operations was $3.0 million in the third quarter compared to $6.1 million for the second quarter of 2020, and $10.9 million for the third quarter of 2019.

Other Developments
The Company is continuing to collect early patient experience with its Motiva Flora® tissue expander in advance of a broad commercial launch in Europe early next year. Early feedback has been very encouraging, with surgeons commenting on its ease of use, and patients reporting overall satisfaction and comfort. The Company believes the market will be receptive to the advancements offered by Flora including a proprietary integrated RFID port and its SmoothSilk® bioengineered surface. Although its Motiva implants are already used in breast reconstruction procedures in Europe, the ability to pair them with one of the most advanced tissue expanders available means Establishment Labs will be able to fully access this important market segment.

The Company continues to expect receipt of a CE mark in Europe for its Motiva Ergonomix2® platform in the fourth quarter of 2020. Ergonomix2 builds upon its successful Ergonomix implant, which has become the Company’s best-selling and most premium offering in many markets including Europe and Asia Pacific. The features of this innovative new product, including enhanced mechanical properties, advanced chemistry and improved ergonomics, should result in even greater patient satisfaction.

The Company’s Motiva Mia® minimally invasive breast augmentation program continues to make good progress and is being expanded to include an IRB approved patient series in Thailand. Commencement of an additional patient series in Latin America is planned for the end of the year. Establishment Labs is excited by the opportunity to expand the addressable market for breast aesthetics by creating a new product category with its unique, proprietary technology. The Company continues to believe there are a large number of women who would be interested in a less invasive breast procedure, which if successful, would contribute meaningfully to its growth and further differentiate it in the market.

Submission timelines to gain regulatory clearance and begin selling Motiva Implants® in the U.S. and Chinese markets remain on track. These two geographies would significantly expand the addressable market for the company’s Motiva® product portfolio.

Outlook
Mr. Chacón-Quirós concluded, “I would like to express my gratitude to our plastic surgeons and business partners for their ongoing commitment to Establishment Labs. I also want to acknowledge and thank the employees of Establishment Labs for their tremendous effort and resilience, which has enabled us to successfully navigate a challenging year while meeting our operating and financial commitments. Establishment Labs has a very bright future, and we are excited about our ability to grow and create value for our shareholders.”

Conference Call and Webcast Information
Establishment Labs will host a conference call and webcast today at 5:00 p.m. Eastern Time to discuss its financial results. The conference call can be accessed by dialing (877) 376-9925 (U.S. and Canada) or (629) 228-0732 (international) and using conference ID number 9187774. In addition, the live and archived webcast will be available on the Investor Relations section of the Company's website at www.establishmentlabs.com.

About Establishment Labs
Establishment Labs Holdings Inc. (NASDAQ: ESTA) is a global medical technology company focused on women’s health, initially in the breast aesthetics and reconstruction market, by designing, developing, manufacturing and marketing an innovative portfolio of silicone gel-filled breast implants, branded as Motiva Implants®, the centerpiece of the MotivaImagine® platform. Motiva Implants® are produced at our two manufacturing sites that are compliant with ISO13485:2016, FDA 21 CFR 820 under the MDSAP program, and are currently commercially available in more than 80 countries through exclusive distributors or the Company’s direct salesforce. In March 2018, Establishment Labs received approval for an investigational device exemption (IDE) from the FDA and initiated the Motiva Implant® clinical trial in the United States in April 2018. In addition to Motiva Implants®, Establishment Labs’ product and technologies portfolio includes the Divina® 3D Simulation System and other products and services. Please visit our website for additional information at www.establishmentlabs.com.

Forward-Looking Statements
This press release 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 (the “Exchange Act”). You can find many (but not all) of these statements by looking for words such as “approximates,” “believes,” “expects,” “anticipates,” “estimates,” “intends,” “plans,” “would,” “may” or other similar expressions in this press release. Any statements that refer to projections of our future financial or operating performance, anticipated trends in our business, our goals, strategies, focus and plans, and other characterizations of future events or circumstances, including statements expressing general optimism about future operating results, related to the Company’s performance, including fourth quarter and fiscal year 2020 revenue, Motiva Mia, Motiva Flora, and Motiva U.S. pivotal clinical trial and China regulatory approval, are forward-looking statements. We claim the protection of the safe harbor contained in the Private Securities Litigation Reform Act of 1995. We caution investors that any forward-looking statements presented in this report, or that we may make orally or in writing from time to time, are expressions of our beliefs and expectations based on currently available information at the time such statements are made. Such statements are based on assumptions, and the actual outcome will be affected by known and unknown risks, trends, uncertainties and factors that are beyond our control. Although we believe that our assumptions are reasonable, we cannot guarantee future performance, and some will inevitably prove to be incorrect. As a result, our actual future results may differ from our expectations, and those differences may be material. Factors that could cause or contribute to these differences include, among others, those risks and uncertainties discussed in the Company’s annual report on Form 10-K filed on March 16, 2020, quarterly reports on Form 10-Q, and other filings made by the Company with the Securities and Exchange Commission. The risks included in those documents are not exhaustive, and additional factors could adversely affect our business and financial performance. We operate in a very competitive and rapidly changing environment. New risk factors emerge from time to time, and it is not possible for us to predict all such risk factors, nor can we assess the impact of all such risk factors on our business or the extent to which any factor, or combination of factors, may cause actual results to differ materially from those contained in any forward-looking statements. We are not undertaking any obligation to update any forward-looking statements. Accordingly, investors should use caution in relying on past forward-looking statements, which are based on known results and trends at the time they are made, to anticipate future results or trends.


 

ESTABLISHMENT LABS HOLDINGS INC.

Consolidated Statements of Operations
(In thousands, except share and per share data)
(Unaudited)

                 
    Three Months Ended
September 30,
  Nine Months Ended
September 30,
    2020   2019   2020   2019
                 
Revenue   $ 22,758       $ 22,854       $ 57,713       $ 65,316    
Cost of revenue   7,612       8,616       19,855       26,814    
Gross profit   15,146       14,238       37,858       38,502    
Operating expenses:                
Sales, general and administrative   15,008       19,227       48,430       53,677    
Research and development   2,729       3,776       9,327       11,361    
Total operating expenses   17,737       23,003       57,757       65,038    
Loss from operations   (2,591 )     (8,765 )     (19,899 )     (26,536 )  
Interest income   2       3       12       13    
Interest expense   (2,886 )     (1,805 )     (7,162 )     (6,568 )  
Change in fair value of derivative instruments   879       235       442       2,843    
Change in fair value of contingent consideration   5       205       304       567    
Other income (expense), net   525       (2,340 )     (5,568 )     (2,526 )  
Loss before income taxes   (4,066 )     (12,467 )     (31,871 )     (32,207 )  
Provision for income taxes   (181 )     (308 )     (606 )     (387 )  
Net loss   $ (4,247 )     $ (12,775 )     $ (32,477 )     $ (32,594 )  
                 
Basic and diluted net loss per share   $ (0.18 )     $ (0.62 )     $ (1.40 )     $ (1.59 )  
Weighted average outstanding shares used for basic and diluted net loss per share   23,611,925       20,620,828       23,184,322       20,478,603    
                 


 

ESTABLISHMENT LABS HOLDINGS INC.
Consolidated Balance Sheets
(In thousands)

   
  September 30,
2020
  December 31,
2019
  (Unaudited)    
Assets      
Current assets:      
Cash $ 81,431     $ 37,655  
Accounts receivable, net of allowance for doubtful accounts of $1,665 and $1,026 18,756     22,767  
Inventory, net 28,400     28,660  
Prepaid expenses and other current assets 5,431     6,757  
Total current assets 134,018     95,839  
Long-term assets:      
Property and equipment, net of accumulated depreciation 16,263     16,418  
Goodwill 465     465  
Intangible assets, net of accumulated amortization 3,537     3,441  
Other non-current assets 401     368  
Total assets $ 154,684     $ 116,531  
Liabilities and shareholders’ equity      
Current liabilities:      
Accounts payable $ 6,954     $ 10,366  
Accrued liabilities 12,092     10,677  
Other liabilities, short term 1,095     2,199  
Total current liabilities 20,141     23,242  
Long-term liabilities:      
Note payable, Madryn, net of debt discount and issuance costs 49,374     48,142  
Madryn put option 2,630     3,072  
Other liabilities, long term 2,582     2,461  
Total liabilities 74,727     76,917  
Shareholders’ equity:      
Total shareholders’ equity 79,957     39,614  
Total liabilities and shareholders’ equity $ 154,684     $ 116,531  
       

 

Investor/Media Contact: David K. Erickson 949-447-6671 derickson@establishmentlabs.com

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