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OrthoPediatrics Corp. Reports Fourth Quarter and Full Year 2018 Financial Results

Key Takeaway: WARSAW, Indiana, March 06, 2019 (GLOBE NEWSWIRE) -- OrthoPediatrics Corp. (NASDAQ:KIDS), a company exclusively focused on advancing the field of pediatric orthopedics, announced today its financial results for the fourth quarter and full year ended December 31, 2018. Fourth Quar

Full Press Release Details

WARSAW, Indiana, March 06, 2019 (GLOBE NEWSWIRE) -- OrthoPediatrics Corp. (NASDAQ:KIDS), a company exclusively focused on advancing the field of pediatric orthopedics, announced today its financial results for the fourth quarter and full year ended December 31, 2018.
Fourth Quarter / Full Year 2018 and Recent Highlights
Reported total revenue of $14.6 million for fourth quarter 2018, up from $11.7 million or 24.7% year-over-year, respectively.
Record setting $57.6 million for full year 2018, up from $45.6 million or 26.2% year-over-year, respectively.
Generated adjusted EBITDA of $518 thousand for full year 2018, up from negative $58 thousand for full year 2017. (See below for additional information and a reconciliation of non-GAAP financial information.)
Strengthened global footprint with the conversion of stocking distributors to sales agencies in Canada during 2018 and Belgium and the Netherlands at the beginning of 2019.
Deployed $12.0 million in consignment sets and expanded product portfolio offering to 26 surgical systems in 2018.
Bolstered cash position with $43.4 million net follow-on offering in December 2018.
Provided full year 2019 revenue growth guidance to be in a range of 21.0% to 23.0% and investment in consignment sets to be in a range of $15.0 million to $17.0 million.
Mark Throdahl, President and Chief Executive Officer of OrthoPediatrics, commented, “We delivered another year of record performance in 2018 with 26% annual revenue growth and $12 million deployed in consignment sets. Our tenth consecutive year of 20%+ annual revenue growth was supported by increased investments in consigned sets, product innovation, ongoing conversions of international sales agencies, and clinical education. Furthermore, while increasing our investment in these four areas, we also demonstrated our initial ability to deliver positive adjusted EBITDA of $518 thousand for the full year 2018. With an expanded product portfolio of 26 surgical systems, we remain dedicated to advancing the field of pediatric orthopedics and are delighted that our accomplishments have helped approximately 150,000 children to date.”
Mr. Throdahl continued, “In addition to our revenue and profitability achievements in 2018, our strengthened balance sheet following a successful secondary raise in December positions us well for sustainable future growth. This capital supports our increased investment in consignment set deployment to a range of $15 million to $17 million for 2019 and provides us with the opportunity to welcome new technologies that could expand our product offering and growth outlook. Based on strong execution across our key initiatives, we head into 2019 feeling confident in achieving our full year 2019 revenue growth guidance of 21% to 23%.”
Fourth Quarter and Full Year 2018 Financial Results
Total revenue for the fourth quarter of 2018 was $14.6 million, a 24.7% increase compared to $11.7 million for the same period last year. U.S. revenue for the fourth quarter of 2018 was $10.9 million, a 23.9% increase compared to $8.8 million for the same period last year, representing 75.0% of total revenue. International revenue for the fourth quarter of 2018 was $3.6 million, a 27.4% increase compared to $2.9 million for the same period last year, representing 25.0% of total revenue.
Total revenue for 2018 was $57.6 million, a 26.2% increase compared to $45.6 million for 2017. Our U.S. revenue for 2018 was $43.5 million, a 24.5% increase compared to $34.9 million for 2017, representing 75.5% of total revenue. Our international revenue for 2018 was $14.1 million, a 31.6% increase compared to $10.7 million for 2017, representing 24.5% of total revenue.
Trauma and Deformity revenue for the fourth quarter of 2018 was $10.2 million, a 19.9% increase compared to $8.5 million for the same period last year. Scoliosis revenue for the fourth quarter of 2018 was $4.1 million, a 38.2% increase compared to $2.9 million for the same period last year. Sports Medicine/Other revenue for the fourth quarter of 2018 was $365 thousand, a 27.6% increase compared to $286 thousand for the same period last year.
Trauma and Deformity revenue for 2018 was $39.7 million, a 21.0% increase compared to $32.8 million for 2017. Scoliosis revenue for 2018 was $16.7 million, a 43.8% increase compared to $11.6 million for 2017. Sports medicine/other revenue for 2018 was $1.2 million, a 2.6% decrease compared to the same period in 2017.
Gross profit for the fourth quarter of 2018 was $10.5 million, a 19.0% increase compared to $8.8 million for the same period last year, and $42.7 million for 2018, a 23.9% increase compared to $34.5 million for 2017. Gross profit margin for the fourth quarter of 2018 was 72.2%, compared to 75.6% for the same period last year, and was 74.2% for 2018, compared to 75.5% for 2017 due to an increase in international and distributed product sales.
Total operating expenses for the fourth quarter of 2018 were $12.4 million, a 5.0% decrease compared to $13.0 million for the same period last year, which included $2.0 million of expense related to the accelerated vesting of restricted stock.  Full year operating expenses of $52.2 million for 2018, a 27.6% increase compared to $40.9 million for 2017. Operating expenses for both fourth quarter and full year 2018 included increased research and development expenses of 35.7% and 38.2% year-over-year, respectively, as well as increased sales and marketing expenses. Operating loss for the fourth quarter of 2018 was ($1.9) million, a 55.6% decrease in loss realized compared to ($4.2) million for the same period last year. Operating loss for 2018 was ($9.6) million, a 47.6% increase in loss realized compared to ($6.5) million for 2017.
Interest expense for the fourth quarter of 2018 was $533 thousand, a 15.8% decrease compared to $633 thousand dollars for the same period last year, and was $2.3 million for 2018, a 9.4% decrease compared to $2.5 million for 2017.
Net loss for the fourth quarter of 2018 was ($2.5) million, compared to ($4.8) million for the same period last year. Net loss per share attributable to common stockholders for the fourth quarter of 2018 was ($0.19) per basic and diluted share, compared to ($1.41) per basic and diluted share for the same period last year. Adjusted EBITDA for the fourth quarter of 2018 was negative $125 thousand as compared to negative $658 thousand for the fourth quarter of 2017.
Net loss for 2018 was ($12.0) million, compared to ($8.9) million for 2017. Net loss per share attributable to common stockholders for 2018 was ($0.96), compared to ($5.86) per basic and diluted share for 2017. Adjusted EBITDA for the full year 2018 turned to a positive $518 thousand from negative $58 thousand for the full year 2017. See below for additional information and a reconciliation of non-GAAP financial information.
The weighted average number of diluted shares outstanding for the year ended December 31, 2018 was 12,567,387 shares.
In the fourth quarter of 2018, we had more than 130 sales representatives, compared to more than 110 in 2017.
The change in property and equipment during the fourth quarter of 2018 was negative $58 thousand, as compared to $1.3 million for the same period last year, and $5.3 million for 2018, a 0.9% increase compared to $5.2 million for 2017.
As of December 31, 2018, cash and cash equivalents were $60.7 million, compared to $24.5 million as of September 30, 2018, and the Company had approximately $21.3 million in total outstanding indebtedness, with no balance outstanding under the revolving credit facility.
Capitalization Update
On December 11, 2018, the Company completed a public offering selling 1,725,000 shares at a price of $27.00 per share, including 225,000 shares sold to the underwriters upon exercise of the option to purchase additional shares. The public offering generated net proceeds of approximately $43.4 million, after deducting the underwriting discount and commissions and offering expenses payable by OrthoPediatrics.
Full Year 2019 Financial Guidance
OrthoPediatrics is providing financial guidance for the full year 2019, as follows:
Revenue growth in a range of 21.0% to 23.0%
Consigned set investments in a range of $15.0 million to $17.0 million
OrthoPediatrics will host a conference call on Thursday, March 7, 2019, at 8:00 a.m. ET to discuss its financial results. The dial-in numbers are (855) 289-4603 for domestic callers and (614) 999-9389 for international callers. The conference ID number is 7091308. A live webcast of the conference call will be available online from the investor relations page of the OrthoPediatrics’ corporate website at www.orthopediatrics.com.
A replay of the webcast will remain available on OrthoPediatrics’ website, www.orthopediatrics.com, until OrthoPediatrics releases its first quarter 2019 financial results. In addition, a telephonic replay of the conference call will be available until March 14, 2019. The replay dial-in numbers are (855) 859-2056 for domestic callers and (404) 537-3406 for international callers. Please use the replay conference ID number 7091308.
Forward-Looking Statements
This press release includes "forward-looking statements" within the meaning of U.S. federal securities laws. You can identify forward-looking statements by the use of words such as "may," "might," "will," "should," "expect," "plan," "anticipate," "could," "believe," "estimate," "project," "target," "predict," "intend," "future," "goals," "potential,” "objective," "would" and other similar expressions. Forward-looking statements involve risks and uncertainties, many of which are beyond OrthoPediatrics’ control. Important factors could cause actual results to differ materially from those in the forward-looking statements, including, among others, the risks, uncertainties and factors set forth under "Risk Factors" in OrthoPediatrics’ Annual Report on Form 10-K filed with the SEC on March 15, 2018 and its most recent Quarterly Report on Form 10-Q. Forward-looking statements speak only as of the date they are made. OrthoPediatrics assumes no obligation to update forward-looking statements to reflect actual results, subsequent events, or circumstances or other changes affecting such statements except to the extent required by applicable securities laws.
Use of Non-GAAP Financial Measures
This press release includes the non-GAAP financial measure of Adjusted EBITDA, which differs from financial measures calculated in accordance with U.S. generally accepted accounting principles (“GAAP”).  Adjusted EBITDA in this release represents net loss, plus interest expense (income), net plus other expense (income), depreciation and amortization, stock-based compensation expense, accelerated vesting of restricted stock upon our IPO, public company costs and initial public offering costs. Adjusted EBITDA is presented because the Company believes it is a useful indicator of its operating performance. Management uses the measure as a measure of the Company’s operating performance and for planning purposes, including financial projections. The Company believes this measure is useful to investors as supplemental information because it is frequently used by analysts, investors and other interested parties to evaluate companies in its industry.  The Company believes Adjusted EBITDA is useful to its management and investors as a measure of comparative operating performance from period to period.  Adjusted EBITDA is a non-GAAP financial measure and should not be considered as an alternative to, or superior to, net income or loss as a measure of financial performance or cash flows from operations as a measure of liquidity, or any other performance measure derived in accordance with GAAP, and it should not be construed to imply that the Company’s future results will be unaffected by unusual or non-recurring items. In addition, the measure is not intended to be a measure of free cash flow for management’s discretionary use, as it does not reflect certain cash requirements such as debt service requirements, capital expenditures and other cash costs that may recur in the future. Adjusted EBITDA contains certain other limitations, including the failure to reflect our cash expenditures, cash requirements for working capital needs and other potential cash requirements. In evaluating Adjusted EBITDA, you should be aware that in the future the Company may incur expenses that are the same or similar to some of the adjustments in this presentation. The Company’s presentation of Adjusted EBITDA should not be construed to imply that its future results will be unaffected by any such adjustments. Management compensates for these limitations by primarily relying on the Company’s GAAP results in addition to using Adjusted EBITDA on a supplemental basis. The Company’s definition of this measure is not necessarily comparable to other similarly titled captions of other companies due to different methods of calculation. The schedules below contain a reconciliation of Adjusted EBITDA to Net Loss.
About OrthoPediatrics Corp.
Founded in 2006, OrthoPediatrics is an orthopedic company focused exclusively on providing a comprehensive product offering to the pediatric orthopedic market to improve the lives of children with orthopedic conditions. OrthoPediatrics currently markets 26 surgical systems that serve three of the largest categories within the pediatric orthopedic market. This offering spans trauma & deformity, scoliosis, and sports medicine/other procedures. OrthoPediatrics’ global sales organization is focused exclusively on pediatric orthopedics and distributes its products in the United States and 39 countries outside the United States.
Tram Bui / Emma Poalillo
(646) 536-7035 / 7024
ORTHOPEDIATRICS CORP.
CONDENSED CONSOLIDATED BALANCE SHEETS
(In Thousands, Except Share Data)
As of December 31,
2018 2017
Current assets:
Cash $ 60,691 $ 42,582
Accounts receivable - trade, less allowance for doubtful accounts of $134 and $143, respectively 8,999 5,603
Inventories, net 25,541 19,498
Inventories held by international distributors, net 167 1,047
Notes Receivable 502 -
Prepaid expenses and other current assets 1,256 831
Total current assets 97,156 69,561
Property and equipment, net 12,768 10,391
Other assets:
Amortizable intangible assets, net 1,921 2,089
Other intangible assets 260 260
Total other assets 2,181 2,349
Total assets $ 112,105 $ 82,301
Current liabilities:
Accounts payable - trade $ 3,971 $ 5,495
Accrued compensation and benefits 3,552 2,905
Current portion of long-term debt with affiliate 118 113
Other current liabilities 1,576 954
Total current liabilities 9,217 9,467
Long-term liabilities:
Long-term debt with affiliate, net of current portion 21,156 21,418
Revolving credit facility with affiliate - 3,921
Total long-term liabilities 21,156 25,339
Total liabilities 30,373 34,806
Commitments and contingencies
Stockholders' equity:
Common stock, $0.00025 par value; 50,000,000 shares authorized at December 31, 2018 and 2017, respectively; 14,538,202 shares and 12,621,781 shares issued and outstanding as of December 31, 2018 and 2017, respectively 4 2
Additional paid-in capital 197,442 150,424
Accumulated deficit (115,091 ) (103,066 )
Accumulated other comprehensive (loss) income (623 ) 135
Total stockholders' equity 81,732 47,495
Total liabilities and stockholders' equity $ 112,105 $ 82,301
ORTHOPEDIATRICS CORP.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(In Thousands, Except Share and Per Share Data)
Three Months Ended December 31, Year Ended December 31,
2018 2017 2018 2017
Net revenue $ 14,568 $ 11,681 $ 57,559 $ 45,620
Cost of revenue 4,054 2,849 14,879 11,170
Gross profit 10,514 8,832 42,680 34,450
Operating expenses:
Sales and marketing 6,558 5,405 26,563 20,527
General and administrative 4,545 6,690 20,938 16,972
Research and development 1,277 941 4,732 3,423
Total operating expenses 12,380 13,036 52,233 40,922
Operating loss (1,866 ) (4,204 ) (9,553 ) (6,472 )
Other expenses:
Interest expense 533 633 2,255 2,490
Other expense (income) 69 8 217 (30 )
Total other expenses 602 641 2,472 2,460
Net loss from continuing operations (2,468 ) (4,845 ) (12,025 ) (8,932 )
Net loss $ (2,468 ) $ (4,845 ) $ (12,025 ) $ (8,932 )
Net loss attributable to common stockholders $ (2,468 ) $ (15,078 ) $ (12,025 ) $ (23,530 )
Weighted average common shares - basic and diluted 13,010,761 10,731,478 12,567,387 4,017,330
Net loss per share attributable to common stockholders - basic and diluted $ (0.19 ) $ (1.41 ) $ (0.96 ) $ (5.86 )
ORTHOPEDIATRICS CORP.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
Year Ended December 31,
2018 2017
OPERATING ACTIVITIES
Net loss $ (12,025 ) $ (8,932 )
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation and amortization 2,892 2,405
Stock-based compensation 3,185 3,478
Changes in certain current assets and liabilities:
Accounts receivable - trade (3,801 ) (1,505 )
Inventories (5,681 ) (4,287 )
Inventories held by international distributors 880 (123 )
Prepaid expenses and other current assets (425 ) (598 )
Accounts payable - trade (1,524 ) 1,952
Accrued expenses and other liabilities 947 258
Other (31 ) 135
Net cash used in operating activities (15,583 ) (7,217 )
INVESTING ACTIVITIES
Purchases of licenses (210 ) (1,337 )
Purchases of property and equipment (5,253 ) (5,207 )
Purchase of notes receivable (502 ) -
Net cash used in investing activities (5,965 ) (6,544 )
FINANCING ACTIVITIES
Proceeds from issuance of debt with affiliate - 7,992
Payment of revolving credit facility with affiliate (4,065 ) -
Proceeds from issuance of common stock, net of issuance costs 43,425 53,775
Proceeds from exercise of stock options 410 -
Payment of preferred stock dividends - (5,965 )
Shares surrendered by employees to pay taxes on restricted stock - (990 )
Payments on mortgage notes (113 ) (78 )
Net cash provided by financing activities 39,657 54,734
NET INCREASE IN CASH 18,109 40,973
Cash, beginning of year 42,582 1,609
Cash, end of period $ 60,691 $ 42,582
SUPPLEMENTAL DISCLOSURES
Cash paid for interest $ 2,255 $ 2,490
Accretion of redeemable convertible preferred stock $ - $ 4,563
Transfer of instruments from property and equipment to inventory $ 362 $ 1,249
ORTHOPEDIATRICS CORP.
NET REVENUE BY GEOGRAPHY AND PRODUCT CATEGORY
Three Months Ended December 31, Year Ended December 31,
Product sales by geographic location: 2018 2017 2018 2017
U.S. $ 10,929 $ 8,824 $ 43,461 $ 34,909
International 3,639 2,857 14,098 10,711
Total $ 14,568 $ 11,681 $ 57,559 $ 45,620
Three Months Ended December 31, Year Ended December 31,
Product sales by category: 2018 2017 2018 2017
Trauma and deformity $ 10,150 $ 8,462 $ 39,695 $ 32,801
Scoliosis 4,053 2,933 16,662 11,585
Sports medicine/other 365 286 1,202 1,234
Total $ 14,568 $ 11,681 $ 57,559 $ 45,620
ORTHOPEDIATRICS CORP.
RECONCILIATION OF NET LOSS TO NON-GAAP ADJUSTED EBITDA
Three Months Ended December 31, Year Ended December 31,
2018 2017 2018 2017
Net loss $ (2,468 ) $ (4,845 ) $ (12,025 ) $ (8,932 )
Interest expense 533 634 2,255 2,490
Other expense (income) 69 8 217 (30 )
Depreciation and amortization 715 657 2,892 2,405
Stock-based compensation 287 308 1,199 1,429
Accelerated vesting of restricted stock upon our IPO - 2,049 1,986 2,049
Public company costs 351 531 1,365 531
Non-Recurring Professional Services Fees 388 - 2,629 -
Adjusted EBITDA $ (125 ) $ (658 ) $ 518 $ (58 )
Last updated: Mar 6, 2019