Sientra, Inc. (NASDAQ: SIEN) (“Sientra” or the “Company”), a diversified medical aesthetics company, today announced its financial results for the fourth quarter and full year ended December 31, 2019.

Jeff Nugent, Sientra’s Chairman and Chief Executive Officer, said, “2019 was a pivotal year of growth and strategic transformation for Sientra. We achieved important vertical integration through our fourth-quarter acquisition of OPUS® breast implant manufacturing operations from Vesta, which complements our innovation lab, enables us to directly control our manufacturing and product development efforts, and increases our speed-to-market. At the same time, we continued to gain market share in Breast Products, growing full year 2019 net sales by 25% over 2018 through continued strong growth in cosmetic procedures and record growth in our tissue expander business. In addition, we had a record year in our miraDry segment, which grew full year 2019 net sales by 20% over 2018, reflecting record system placements in North America and continued growth in bioTips utilization, as well as our targeted, cost-effective global marketing campaign.”  

Mr. Nugent added, “We remain focused on strengthening our balance sheet and were pleased to announce today that we have raised $60 million through a convertible debt financing with Deerfield Management. This infusion of capital provides us with enhanced financial flexibility to execute on our strategic initiatives as we continue on our path to aesthetics market leadership.”

Mr. Nugent concluded, “Looking ahead, we remain focused on driving growth in net sales and profitability by continuing to gain market share in Breast Products, leveraging the significant brand value of miraDry, executing on our operational efficiency initiatives and realizing the full benefits of our OPUS® implant manufacturing acquisition. I am confident our recent achievements, well-capitalized balance sheet, talented team and commitment to innovation will drive significant value for our shareholders and other stakeholders in 2020 and beyond.”

Fourth Quarter and Full Year 2019 Financial ReviewTotal net sales for the fourth quarter 2019 were $23.2 million, an increase of 22% compared to total net sales of $19.0 million for the same period in 2018. Total net sales for full year 2019 were $83.7 million, an increase of 23% compared to total net sales of $68.1 million for full year 2018.

Net sales for the Breast Products segment totaled $12.8 million in the fourth quarter 2019, a 22% increase compared to $10.4 million for the same period in 2018. Net sales for the Breast Products segment in full year 2019 totaled $46.4 million, representing a 25% increase compared to $37.0 million in full year 2018. Breast Products sales growth was primarily driven by continued market share growth resulting from the Company’s new customer conversion programs and deeper penetration of existing accounts.

Net sales for the miraDry segment totaled $10.4 million in the fourth quarter 2019, a 22% increase compared to $8.6 million for the same period in 2018. Net sales for the miraDry segment in full year 2019 totaled $37.3 million, representing a 20% increase compared to $31.1 million in full year 2018. miraDry sales growth was driven by continued momentum in both systems placements and consumables utilization, as well as the Company’s cost-effective global marketing and brand awareness initiatives, which led to more than 2.7 million visits to miraDry.com and more than 100,000 new patient leads for providers in 2019.

Gross profit for the fourth quarter 2019 was $14.2 million, or 61.3% of sales, compared to gross profit of $11.4 million, or 59.7% of sales, for the same period in 2018. Gross profit for the full year 2019 was $50.7 million, or 60.6% of sales, compared to gross profit of $41.3 million, or 60.6% of sales, for full year 2018.

With respect to Sientra’s organizational efficiency initiative, the Company remains on track to reduce annual pre-tax operating expenses by approximately $10 million in 2020 and another $5 million in 2021. Sientra is in the process of closing miraDry's Santa Clara facility, outsourcing miraDry product assembly and consolidating a number of business support functions at Sientra’s Santa Barbara headquarters.

Excluding $1.1 million of restructuring charges related to Sientra’s organizational efficiency initiative, operating expenses for the fourth quarter 2019 were $32.4 million, compared to $35.7 million of operating expenses for the same period in 2018.

Net loss for the fourth quarter 2019 was ($20.2) million, or ($0.41) per share, compared to a net loss of ($24.6) million, or ($0.86) per share, for the same period in 2018. Net loss for the full year of 2019 was ($106.8) million, or ($2.63) per share, compared to a net loss of ($82.6) million, or ($3.25) per share, for full year 2018.

On a non-GAAP basis, the Company reported an adjusted EBITDA loss of ($14.0) million and ($72.8) million for the fourth quarter and full year 2019, respectively, compared to a loss of ($19.4) million and ($60.0) million for the fourth quarter and full year 2018, respectively.

Net cash and cash equivalents as of December 31, 2019 were $88 million, compared to $121 million as of September 30, 2019. Uses of cash in the quarter included a $14 million upfront payment for the Vesta manufacturing operations to Lubrizol Life Science and $5 million of working capital investments associated with the acquisition of the OPUS® manufacturing operation. Subsequent to year-end and as announced on March 11, 2020, Sientra completed a $60 million convertible financing with Deerfield Management.

2020 Net Sales OutlookFor full year 2020, the Company expects to achieve total net sales of $94 million to $98 million, representing growth of 12% to 17% compared to net sales of $83.7 million in 2019.

  • Breast Products net sales of $55 to $57 million; and
  • miraDry net sales of $39 to $41 million.

The current 2020 net sales outlook factors in anticipated impact from COVID-19.  There is a significant level of uncertainty with this dynamic and evolving situation, and the Company will provide a financial and operational update if its 2020 outlook changes.

Conference Call

Sientra will hold a conference call today, March 11, 2020 at 5:00 pm ET to discuss fourth quarter results. The dial-in numbers are 844-464-3933 for domestic callers and 765-507-2612 for international callers. The conference ID is 9744698. A live webcast of the conference call will be available on the Investor Relations section of the Company's website at www.sientra.com. The webcast will be archived on the website following the completion of the call.  

Use of Non-GAAP Financial MeasuresSientra 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 SientraHeadquartered 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.

Sientra uses its investor relations website to publish important information about the Company, including information that may be deemed material to investors. Financial and other information about Sientra is routinely posted and is accessible on the Company’s investor relations website at www.sientra.com.

(*) Data on file

Forward-Looking StatementsThis 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 are made only as of the date of this release. 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. Forward-looking statements may include information concerning the Company’s possible or assumed future results of operations, including descriptions of the Company’s revenues, profitability, outlook and overall business strategy. Such statements are subject to risks and uncertainties, including the 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, and the Company’s ability to realize the expected benefits of its organizational efficiency initiative. 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. You are cautioned not to place undue reliance on these forward-looking statements, and such 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. Actual results may differ from those set forth in this press release due to the risks and uncertainties inherent in the Company’s business.

Sientra, Inc 
Consolidated Statements of Operations 
(In thousands, except per share and share amounts) 
(Unaudited) 
                 
  Three Months Ended  Year Ended 
  December 31,  December 31, 
  2019  2018  2019  2018 
Net sales $23,210  $19,022  $83,699  $68,126 
Cost of goods sold  8,971   7,668   33,012   26,822 
Gross profit  14,239   11,354   50,687   41,304 
Operating expenses:                
Sales and marketing  19,202   21,725   80,189   67,715 
Research and development  4,011   3,015   13,537   10,945 
General and administrative  9,233   10,999   46,771   42,418 
Restructuring  1,083      1,083    
Goodwill and other intangible impairment        12,674    
Total operating expenses  33,529   35,739   154,254   121,078 
Loss from operations  (19,290)  (24,385)  (103,567)  (79,774)
Other income (expense), net:                
Interest income  323   318   1,406   532 
Interest expense  (1,292)  (954)  (4,568)  (3,428)
Other income (expense), net  46   386   (55)  39 
Total other income (expense), net  (923)  (250)  (3,217)  (2,857)
Loss before income taxes  (20,213)  (24,635)  (106,784)  (82,631)
Income tax (benefit) expense  34   (4)  34   (4)
Net loss $(20,247) $(24,631) $(106,818) $(82,627)
Basic and diluted net loss per share attributable to common stockholders $(0.41) $(0.86) $(2.63) $(3.25)
Weighted average outstanding common shares used for net loss per share attributable to common stockholders:                
Basic and diluted  49,506,169   28,623,232   40,654,272   25,402,241 
                 

Sientra, Inc 
Condensed Consolidated Balance Sheets 
(In thousands) 
(Unaudited) 
         
         
  December 31,  December 31, 
  2019  2018 
Assets        
Current assets:        
Cash and cash equivalents $87,608  $86,899 
Accounts receivable, net  27,548   22,527 
Inventories, net  39,612   24,085 
Prepaid expenses and other current assets  2,489   2,612 
Total current assets  157,257   136,123 
Property and equipment, net  12,314   2,536 
Goodwill  9,202   12,507 
Other intangible assets, net  17,390   16,495 
Other assets  8,241   698 
Total assets $204,404  $168,359 
Liabilities and Stockholders’ Equity        
Current liabilities:        
Current portion of long-term debt $6,508  $6,866 
Accounts payable  9,352   13,184 
Accrued and other current liabilities  32,551   27,697 
Legal settlement payable     410 
Customer deposits  13,943   9,936 
Sales return liability  8,116   6,048 
Total current liabilities  70,470   64,141 
Long-term debt, net of current portion  38,248   27,883 
Deferred and contingent consideration  5,177   6,481 
Warranty reserve and other long-term liabilities  8,627   2,976 
Total liabilities  122,522   101,481 
Stockholders’ equity:        
Total stockholders’ equity  81,882   66,878 
Total liabilities and stockholders’ equity $204,404  $168,359 
         

Sientra, Inc 
Condensed Consolidated Statements of Cash Flows 
(In thousands) 
(Unaudited) 
         
         
  Year Ended December 31, 
  2019  2018 
Cash flows from operating activities:        
Net loss $(106,818) $(82,627)
Adjustments to reconcile net loss to net cash used in operating activities:        
Goodwill impairment  7,629    
Intangible asset impairment  5,045    
Depreciation and amortization  3,524   3,321 
Provision for doubtful accounts  2,298   2,043 
Provision for warranties  929   325 
Provision for inventory  2,626   955 
Amortization of right-of-use assets  4,174    
Lease liability accretion  1,627    
Change in fair value of warrants  (75)  (81)
Change in fair value of deferred consideration  100   24 
Change in fair value of contingent consideration  1,044   2,528 
Change in deferred revenue  1,124   627 
Non-cash portion of debt extinguishment loss  53    
Amortization of debt discount and issuance costs  359   174 
Stock-based compensation expense  12,478   13,824 
Loss on disposal of property and equipment  119   74 
Deferred income taxes  18   (8)
Payments of contingent consideration liability in excess of acquisition-date fair value  (1,968)  (320)
Restructuring charges  1,083    
Changes in assets and liabilities:        
Accounts receivable  (7,320)  (14,094)
Inventories  (10,921)  (4,144)
Prepaid expenses, other current assets and other assets  (11,102)  (1,302)
Insurance recovery receivable     39 
Accounts payable  (2,225)  8,502 
Accrued and other liabilities  3,500   7,885 
Legal settlement payable  (410)  (590)
Customer deposits  4,008   4,513 
Sales return liability  2,068   2,142 
Net cash used in operating activities  (87,033)  (56,190)
Cash flows from investing activities:        
Purchase of property and equipment  (4,071)  (855)
Business acquisitions, net of cash and restricted cash acquired  (17,943)   
Net cash used in investing activities  (22,014)  (855)
Cash flows from financing activities:        
Net proceeds from issuance of common stock  107,734   107,551 
Proceeds from exercise of stock options  125   1,149 
Proceeds from issuance of common stock under ESPP  1,216   993 
Tax payments related to shares withheld for vested restricted stock units (RSUs)  (3,064)  (1,635)
Gross borrowings under the Term Loan  5,000   10,000 
Gross borrowings under the Revolving Loan  22,296   12,109 
Repayment of the Revolving Loan  (15,788)  (12,109)
Payments of contingent consideration up to acquisition-date fair value  (5,766)  (680)
Deferred financing costs  (1,997)  (22)
Net cash provided by financing activities  109,756   117,356 
Net increase in cash, cash equivalents and restricted cash  709   60,311 
Cash, cash equivalents and restricted cash at:        
Beginning of period  87,242   26,931 
End of period $87,951  $87,242 
         
Reconciliation of cash, cash equivalents, and restricted cash to the consolidated balance sheets        
Cash and cash equivalents $87,608  $86,899 
Restricted cash included in other assets  343   343 
Total cash, cash equivalents and restricted cash $87,951  $87,242 
         

Sientra, Inc. 
Reconciliation of Net Loss to Non-GAAP Adjusted EBITDA 
(Unaudited) 
                 
  Three Months Ended  Year Ended 
  December 31,  December 31, 
Dollars, in thousands 2019  2018  2019  2018 
Net loss, as reported $(20,247) $(24,631) $(106,818) $(82,627)
Adjustments to net loss:                
Interest (income) expense and other, net  923   250   3,217   2,857 
Provision for income taxes  34   (4)  34   (4)
Depreciation and amortization  986   821   3,524   3,427 
Accretion in fair value adjustments to contingent consideration  454   368   1,044   2,528 
Stock-based compensation  2,797   3,748   12,478   13,824 
Restructuring  1,083      1,083    
Goodwill and other intangible impairment        12,674    
Total adjustments to net loss  6,277   5,183   34,054   22,632 
Adjusted EBITDA $(13,970) $(19,448) $(72,764) $(59,995)
                 
                 
                 
  Three Months Ended  Year Ended 
  December 31,  December 31, 
As a Percentage of Revenue** 2019  2018  2019  2018 
Net loss, as reported  (87.2%)  (129.5%)  (127.6%)  (121.3%)
Adjustments to net loss:                
Interest (income) expense and other, net  4.0%  1.3%  3.8%  4.2%
Provision for income taxes  0.1%  0.0%  0.0%  0.0%
Depreciation and amortization  4.2%  4.3%  4.2%  5.0%
Accretion in fair value adjustments to contingent consideration  2.0%  1.9%  1.2%  3.7%
Stock-based compensation  12.1%  19.7%  14.9%  20.3%
Restructuring  4.7%  0.0%  1.3%  0.0%
Goodwill and other intangible impairment  0.0%  0.0%  15.1%  0.0%
Total adjustments to net loss  27.0%  27.2%  40.7%  33.2%
Adjusted EBITDA  (60.2%)  (102.2%)  (86.9%)  (88.1%)
                 
** Adjustments may not add to the total figure due to rounding 
  
Contact
Investor Relations
805-679-8885

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