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Sientra Reports Fourth Quarter and Full Year 2019 Financial Results

Achieves Record Fourth Quarter Net Sales and Strong Growth Across Both Business Segments

Well-Capitalized Balance Sheet Provides Enhanced Flexibility to Execute on Strategic Initiatives

Q4 and Full Year 2019 Highlights:

  • Record Q4 total net sales of $23.2 million, growth of 22% year-over-year
  • Breast Products Q4 net sales of $12.8 million, growth of 22% year-over-year
  • Record miraDry Q4 net sales of $10.4 million, growth of 22% year-over-year
  • Record full year 2019 consolidated net sales of $83.7 million, growth of 23% year-over-year

SANTA BARBARA, Calif., March 11, 2020 (GLOBE NEWSWIRE) -- Sientra, Inc. (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 Review
Total 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 Outlook
For 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 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.

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 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 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