Sientra, Inc. (NASDAQ: SIEN), a medical aesthetics company, announced today its financial results for the second quarter ended June 30, 2019.

Jeff Nugent, Chairman and Chief Executive Officer of Sientra, commented, “In the second quarter, we achieved record net sales of $20.5 million, a 17% increase compared to the year-ago period. This quarterly performance was driven by strong growth in both our Breast Products and miraDry segments and represents solid progress towards achieving our 2019 objectives.”

Mr. Nugent added, “Our Breast Products segment grew net sales 19% year over year, strong evidence of market share gains from our targeted new customer conversion programs as well as deeper penetration of existing accounts. We believe the superior safety profile and industry-leading warranty of our OPUS® implants is clearly resonating with board-certified plastic surgeons and their patients.”

Mr. Nugent concluded, “miraDry delivered another strong quarter, achieving record net sales of $9.3 million. Our brand awareness and market activation initiatives have positioned miraDry to be a significant growth driver for Sientra in 2019 and beyond.”

Second Quarter 2019 Financial Review

Total net sales for the second quarter 2019 were $20.5 million, an increase of 17% compared to total net sales of $17.6 million for the same period in 2018.

Net sales for the Breast Products segment totaled $11.2 million in the second quarter 2019, a 19% increase compared to $9.4 million for the same period 2018. Breast Products sales growth was primarily driven by new customer conversion programs and continued strong performance of the tissue expander portfolio.

Net sales for the miraDry segment totaled $9.3 million in the second quarter 2019, a 15% increase compared to $8.1 million for the same period 2018. miraDry sales growth was driven by an increase in sales of consoles and consumables globally, with a particularly strong U.S. performance.

Gross profit for the second quarter 2019 was $12.7 million, or 61.9% of sales, compared to gross profit of $10.9 million, or 62.1% of sales, for the same period 2018.

Operating expenses for the second quarter 2019 were $52.8 million, compared to $27.8 million of expenses for the same period 2018. Excluding a $15.8 million non-cash impairment of certain goodwill and intangibles related to miraDry, operating expenses increased $9.2 million, primarily driven by increased investments in sales and marketing.

Net loss for the second quarter 2019 was ($40.8) million, or ($1.19) per share, compared to a net loss of ($18.0) million, or ($0.73) per share, for the same period 2018.

On a non-GAAP basis, the Company reported a second quarter 2019 adjusted EBITDA loss of ($20.4) million compared to a loss of ($11.8) million for the same period 2018.

Net cash and cash equivalents as of June 30, 2019 were $146 million, compared to $62 million as of March 31, 2019. 

2019 Net Sales Outlook

For 2019, the Company reiterates its outlook for net sales in the range of $79 million to $83 million, representing growth of 16% to 22% year over year, compared to net sales of $68 million in 2018.

2019 segment net sales outlook:

  • Breast Products net sales of $44 to $46 million
  • miraDry net sales of $35 to $37 million

Conference Call

Sientra will hold a conference call today, August 8, 2019 at 4:30 p.m. ET to discuss second quarter results.

The dial-in numbers are 844-464-3933 for domestic callers and 765-507-2612 for international callers. The conference ID is 8084147. A live webcast of the conference call will be available on the Investor Relations section of the Company's website at

A replay of the call will be available starting on August 8, 2019 at 7:30 p.m. ET through August 15, 2019 at 7:30 p.m. ET.  To access the replay, dial 855-859-2056 for domestic callers and 404-537-3406 for international callers and use the replay conference ID 8084147. The webcast will be available on the Investor Relations section of the Company’s website following the completion of the call.  

Use of Non-GAAP Financial Measures

Sientra has supplemented its US GAAP net income (loss) with a non-GAAP measure of Adjusted EBITDA. Management believes that this non-GAAP financial measure provides useful supplemental information to management and investors regarding the performance of the Company, facilitates a more meaningful comparison of results for current periods with previous operating results, and assists management in analyzing future trends, making strategic and business decisions and establishing internal budgets and forecasts. A reconciliation of non-GAAP Adjusted EBITDA to GAAP net income (loss), the most directly comparable GAAP measure, is provided in the schedule below.

There are limitations in using this non-GAAP financial measure because it is not prepared in accordance with GAAP and may be different from non-GAAP financial measures used by other companies. This non-GAAP financial measure should not be considered in isolation or as a substitute for GAAP financial measures. Investors and potential investors should consider non-GAAP financial measures only in conjunction with Sientra’s financial statements prepared in accordance with GAAP and the reconciliations of the non-GAAP financial measure provided in the schedule below.

About Sientra

Headquartered in Santa Barbara, California, Sientra is a diversified global medical aesthetics company and a leading partner to aesthetic physicians. The Company offers a suite of products designed to make a difference in patients' lives by enhancing their body image, growing their self-esteem, and restoring their confidence. Sientra has developed a broad portfolio of products with technologically differentiated characteristics, supported by independent laboratory testing and strong clinical trial outcomes. The Company’s Breast Products Segment includes its OPUS™ breast implants, the first fifth generation breast implants approved by the FDA for sale in the United States, its ground-breaking Allox2® breast tissue expander with patented dual-port and integral drain technology, and BIOCORNEUM® the #1 performing, preferred and recommended scar gel of plastic surgeons(*). The Company’s miraDry Segment, comprises its miraDry® system, which is approved for sale in over 40 international markets, and is the only non-surgical FDA-cleared device for the permanent reduction of underarm sweat, odor and hair of all colors.

(*) Data on file

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, based on management’s current assumptions and expectations of future events and trends, which affect or may affect the Company’s business, strategy, operations or financial performance, and actual results may differ materially from those expressed or implied in such statements due to numerous risks and uncertainties.  Forward-looking statements include, but are not limited to, statements regarding the Company’s expected net sales for the year ended December 31, 2019, the expected growth of the Company’s current customer base and acquisition of new customers, the Company’s ability to achieve sustainable, long-term growth across its business segments, and the Company’s ability to drive increased brand awareness and market activation. Such statements are subject to risks and uncertainties, including the dependence on conclusion of the review procedures for the quarter ended June 30, 2019 by the Company’s independent auditors, positive reaction from plastic surgeons and their patients to Sientra’s Breast Products, the ability to meet consumer demand, the acceptance and growth of its miraDry segment.  Additional factors that could cause actual results to differ materially from those contemplated in this press release can be found in the Risk Factors section of Sientra’s public filings with the Securities and Exchange Commission.  All statements other than statements of historical fact are forward-looking statements. The words ‘‘believe,’’ ‘‘may,’’ ‘‘might,’’ ‘‘could,’’ ‘‘will,’’ ‘‘aim,’’ ‘‘estimate,’’ ‘‘continue, ‘‘anticipate,’’ ‘‘intend,’’ ‘‘expect,’’ ‘‘plan,’’ ‘‘position,” or the negative of those terms, and similar expressions that convey uncertainty of future events or outcomes are intended to identify estimates, projections and other forward-looking statements. Estimates, projections and other forward-looking statements speak only as of the date they were made, and, except to the extent required by law, the Company undertakes no obligation to update or review any estimate, projection or forward-looking statement.

Investor Contact:

Neil Bhalodkar 805-679-8885

Sientra, Inc 
Consolidated Statements of Operations 
(In thousands, except per share and share amounts) 
  Three Months Ended  Six Months Ended 
  June 30,  June 30, 
  2019  2018  2019  2018 
Net sales $20,525  $17,554  $38,077  $32,229 
Cost of goods sold  7,813   6,660   14,287   12,756 
Gross profit  12,712   10,894   23,790   19,473 
Operating expenses:                
Sales and marketing  21,918   15,477   42,319   30,733 
Research and development  3,270   2,301   6,325   5,052 
General and administrative  11,814   10,014   25,289   19,514 
Goodwill and other intangible impairment  15,774      15,774    
Total operating expenses  52,776   27,792   89,707   55,299 
Loss from operations  (40,064)  (16,898)  (65,917)  (35,826)
Other income (expense), net:                
Interest income  269   40   573   80 
Interest expense  (982)  (867)  (1,932)  (1,521)
Other income (expense), net  23   (303)  38   (184)
Total other income (expense), net  (690)  (1,130)  (1,321)  (1,625)
Loss before income taxes  (40,754)  (18,028)  (67,238)  (37,451)
Income tax (benefit) expense            
Net loss $(40,754) $(18,028) $(67,238) $(37,451)
Basic and diluted net loss per share attributable to  common stockholders $(1.19) $(0.73) $(2.12) $(1.69)
Weighted average outstanding common shares used for  net loss per share attributable to common stockholders:                
Basic and diluted  34,290,073   24,761,117   31,709,067   22,202,565 

Sientra, Inc 
Condensed Consolidated Balance Sheets 
(In thousands) 
  June 30,  December 31, 
  2019  2018 
Current assets:        
Cash and cash equivalents $146,088  $86,899 
Accounts receivable, net  23,887   22,527 
Inventories, net  29,864   24,085 
Prepaid expenses and other current assets  4,017   2,612 
Total current assets  203,856   136,123 
Property and equipment, net  3,686   2,536 
Goodwill  4,878   12,507 
Other intangible assets, net  7,190   16,495 
Other assets  23,235   698 
Total assets $242,845  $168,359 
Liabilities and Stockholders’ Equity        
Current liabilities:        
Current portion of long-term debt $18,144  $6,866 
Accounts payable  14,600   13,184 
Accrued and other current liabilities  36,280   27,697 
Legal settlement payable     410 
Customer deposits  11,579   9,936 
Sales return liability  7,020   6,048 
Total current liabilities  87,623   64,141 
Long-term debt, net of current portion  20,938   27,883 
Deferred and contingent consideration  364   6,481 
Warranty reserve and other long-term liabilities  21,847   2,976 
Total liabilities  130,772   101,481 
Stockholders’ equity:        
Total stockholders’ equity  112,073   66,878 
Total liabilities and stockholders’ equity $242,845  $168,359 

Sientra, Inc 
Condensed Consolidated Statements of Cash Flows 
(In thousands) 
  Six Months Ended June 30, 
  2019  2018 
Cash flows from operating activities:        
Net loss $(67,238) $(37,451)
Adjustments to reconcile net loss to net cash used in operating activities:        
Goodwill impairment  7,629    
Intangible asset impairment  8,145    
Depreciation and amortization  1,725   1,700 
Provision for doubtful accounts  845   489 
Provision for warranties  674   572 
Provision for inventory  790   709 
Amortization of acquired inventory step-up     106 
Amortization of right-of-use assets  2,356    
Lease liability accretion  927    
Change in fair value of warrants  (110)  164 
Change in fair value of deferred consideration  9   18 
Change in fair value of contingent consideration  289   1,708 
Change in deferred revenue  270   (161)
Amortization of debt discount and issuance costs  99   85 
Stock-based compensation expense  6,611   5,686 
Loss on disposal of property and equipment  20    
Payments of contingent consideration liability in excess of acquisition-date fair value  (630)   
Changes in assets and liabilities:        
Accounts receivable  (2,206)  (6,343)
Inventories  (6,445)  (2,405)
Prepaid expenses, other current assets and other assets  (1,435)  (2,518)
Insurance recovery receivable     33 
Accounts payable  2,256   4,230 
Accrued and other liabilities  (5,416)  1,643 
Legal settlement payable  (410)  (1,000)
Customer deposits  1,643   602 
Sales return liability  972   976 
Net cash used in operating activities  (48,630)  (31,157)
Cash flows from investing activities:        
Purchase of property and equipment  (2,056)  (160)
Net cash used in investing activities  (2,056)  (160)
Cash flows from financing activities:        
Net proceeds from issuance of common stock  108,028   107,850 
Proceeds from exercise of stock options  106   410 
Proceeds from issuance of common stock under ESPP  683   391 
Tax payments related to shares withheld for vested restricted stock units (RSUs)  (2,825)  (1,297)
Gross borrowings under the Term Loan     10,000 
Gross borrowings under the Revolving Loan  8,436   12,109 
Repayment of the Revolving Loan  (4,183)  (12,109)
Payments of contingent consideration up to acquisition-date fair value  (370)   
Deferred financing costs     (6)
Net cash provided by financing activities  109,875   117,348 
Net increase in cash, cash equivalents and restricted cash  59,189   86,031 
Cash, cash equivalents and restricted cash at:        
Beginning of period  87,242   26,931 
End of period $146,431  $112,962 
Reconciliation of cash, cash equivalents, and restricted cash to the consolidated balance sheets        
Cash and cash equivalents $146,088  $112,619 
Restricted cash included in other assets  343   343 
Total cash, cash equivalents and restricted cash $146,431  $112,962 

Sientra, Inc. 
Reconciliation of Net Loss to Non-GAAP Adjusted EBITDA 
  Three Months Ended  Six Months Ended 
  June 30,  June 30, 
Dollars, in thousands 2019  2018  2019  2018 
Net loss, as reported $(40,754) $(18,028) $(67,238) $(37,451)
Adjustments to net loss:                
Interest (income) expense and other, net  690   1,130   1,321   1,625 
Depreciation and amortization  894   868   1,725   1,806 
Accretion in fair value adjustments to contingent consideration  104   1,087   289   1,708 
Stock-based compensation  2,911   3,138   6,611   5,686 
Goodwill and other intangible impairment  15,774      15,774    
Total adjustments to net loss  20,373   6,223   25,720   10,825 
Adjusted EBITDA $(20,381) $(11,805) $(41,518) $(26,626)
  Three Months Ended  Six Months Ended 
  June 30,  June 30, 
As a Percentage of Revenue** 2019  2018  2019  2018 
Net loss, as reported  (198.6%)  (102.7%)  (176.6%)  (116.2%)
Adjustments to net loss:                
Interest (income) expense and other, net  3.4%  6.4%  3.5%  5.0%
Depreciation and amortization  4.4%  4.9%  4.5%  5.6%
Accretion in fair value adjustments to contingent consideration  0.5%  6.2%  0.8%  5.3%
Stock-based compensation  14.2%  17.9%  17.4%  17.6%
Goodwill and other intangible impairment  76.9%  0.0%  41.4%  0.0%
Total adjustments to net loss  99.3%  35.5%  67.5%  33.6%
Adjusted EBITDA  (99.3%)  (67.2%)  (109.0%)  (82.6%)
** Adjustments may not add to the total figure due to rounding 

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