Sientra Reports Third Quarter 2020 Financial Results


Reports record Breast Products net sales of $15.3 million, representing 54% sequential growth and 21% year over year growth

Results driven by U.S. recovery and market outperformance in the core breast products segment

SANTA BARBARA, Calif., Nov. 09, 2020 (GLOBE NEWSWIRE) -- Sientra, Inc. (NASDAQ: SIEN) (“Sientra” or the “Company”), a diversified medical aesthetics company, today announced its financial results for the third quarter ended September 30, 2020.

Jeff Nugent, Sientra’s Chairman and Chief Executive Officer, said, “Sientra recorded exceptional results in Q3, posting 54% sequential quarter over quarter sales growth from Q2’20, despite the strong headwinds our business and the industry have faced from COVID-19.   The third quarter represented significant improvement in net sales in our Breast Products segment. Our pivot to focus increasingly on our breast business has been validated by our third quarter results and has put us in a position of strength as we continue to take share from competitors. We believe our share gains have been driven by the durability of demand for our OPUS® breast implants and tissue expanders and by our ability to partner with customers through our Drive the Recovery initiatives.”

Mr. Nugent concluded, “Our miraDry business continued to perform in line with our expectations as we are now two quarters into our successful transition from a bifurcated sales model, and our refocus on high-margin bioTip sales.”

Third Quarter 2020 Financial Results

  • Total net sales for the third quarter 2020 were $19.2 million, a decrease of 14% compared to total net sales of $22.4 million for the same period in 2019.

  • Net sales for the Breast Products segment totaled $15.3 million in the third quarter 2020, an increase of 21% compared to $12.6 million for the same period in 2019.

  • Net sales for the miraDry segment totaled $3.9 million in the third quarter 2020, a 60% decrease compared to $9.8 million for the same period in 2019.

  • Gross profit for the third quarter 2020 was $10.8 million, or 56.3% of sales, compared to gross profit of $12.7 million, or 56.5% of sales, for the same period in 2019.  

  • Operating expenses decreased by 27% to $24.8 million from $34.1 million for the same period in 2019.

  • Net loss for the third quarter 2020 was ($5.8) million, or ($0.12) per share, compared to a net loss of ($22.4) million, or ($0.45) per share, for the same period in 2019.

  • On a non-GAAP basis, adjusted EBITDA loss decreased by 34% to ($11.4) million from ($17.3) million for the same period in 2019.

  • Net cash and cash equivalents as of September 30, 2020 were $63.5 million, compared to $71.8 million as of June 30, 2020.

Key 2020 Business Highlights

  • Launched commercial efforts to sell Sientra implants in Japan following PDMA approval on August 21, 2020. The first patient in Japan was implanted with a Sientra implant on October 6, 2020.

2020 Financial Outlook

While the COVID-19 pandemic continues to pose a risk of uncertainty, given performance to date and visibility through the fourth quarter, the Company is reinstating guidance for full year 2020. The Company expects total net sales in the range of $63 million to $66 million, compared to sales of $83.7 million in 2019.

Conference Call

Sientra will hold a conference call today, November 09, 2020 at 4:30 pm ET to discuss third quarter results. The dial-in numbers are 844-464-3933 for domestic callers and 765-507-2612 for international callers. The conference ID is 6092021. 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, comprised of its miraDry® system, is approved for sale in over 56 international markets and is the only non-surgical, FDA-cleared device indicated for the permanent reduction of underarm sweat and hair and may also reduce odor.

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 impact of the COVID-19 pandemic on the Company and its operations, 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 scope and duration of the COVID-19 pandemic, the Company’s ability to recapture delayed procedures resulting from the COVID-19 pandemic, the positive reaction from plastic surgeons and their patients to Sientra’s Breast Products, the ability to meet consumer demand, the growth of the sale of bioTips in its miraDry segment, and the Company’s ability to manage its operating expenses and cash balance. 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.

Contact
Investor Relations
805-679-8885

Sientra, Inc 
Consolidated Statements of Operations 
(In thousands, except per share and share amounts) 
(Unaudited) 
                
 Three Months Ended  Nine Months Ended 
 September 30,  September 30, 
 2020  2019  2020  2019 
Net sales$19,217  $22,412  $48,597  $60,489 
Cost of goods sold 8,391   9,754   20,733   24,041 
Gross profit 10,826   12,658   27,864   36,448 
Operating expenses:               
Sales and marketing 12,872   18,668   37,614   60,987 
Research and development 2,060   3,201   7,747   9,526 
General and administrative 10,238   12,249   27,500   37,538 
Restructuring (386)     1,849    
Impairment       6,432   12,674 
Total operating expenses 24,784   34,118   81,142   120,725 
Loss from operations (13,958)  (21,460)  (53,278)  (84,277)
Other income (expense), net:               
Interest income 5   510   203   1,083 
Interest expense (2,059)  (1,344)  (7,289)  (3,276)
Change in fair value of derivative liability 10,090      (8,420)   
Other income (expense), net 101   (139)  74   (101)
Total other income (expense), net 8,137   (973)  (15,432)  (2,294)
Loss before income taxes (5,821)  (22,433)  (68,710)  (86,571)
Income tax           
Net loss$(5,821) $(22,433) $(68,710) $(86,571)
Basic and diluted net loss per share attributable to common stockholders$(0.12) $(0.45) $(1.37) $(2.30)
Weighted average outstanding common shares used for net loss per share attributable to common stockholders:               
Basic and diluted 50,394,858   49,401,094   50,155,623   37,671,215 
 


Sientra, Inc 
Condensed Consolidated Balance Sheets 
(In thousands) 
(Unaudited) 
        
 September 30,  December 31, 
 2020  2019 
Assets       
Current assets:       
Cash and cash equivalents$63,483  $87,608 
Accounts receivable, net 23,637   27,548 
Inventories, net 48,467   39,612 
Prepaid expenses and other current assets 2,113   2,489 
Total current assets 137,700   157,257 
Property and equipment, net 12,742   12,314 
Goodwill 9,202   9,202 
Other intangible assets, net 9,719   17,390 
Other assets 8,441   8,241 
Total assets$177,804  $204,404 
Liabilities and Stockholders’ Equity       
Current liabilities:       
Current portion of long-term debt$928  $6,508 
Accounts payable 4,071   9,352 
Accrued and other current liabilities 26,679   32,551 
Customer deposits 15,490   13,943 
Sales return liability 10,079   8,116 
Total current liabilities 57,247   70,470 
Long-term debt, net of current portion 63,330   38,248 
Derivative liability 24,520    
Deferred and contingent consideration 5,342   5,177 
Warranty reserve and other long-term liabilities 9,281   8,627 
Total liabilities 159,720   122,522 
Stockholders’ equity:       
Total stockholders’ equity 18,084   81,882 
Total liabilities and stockholders’ equity$177,804  $204,404 
 


Sientra, Inc 
Condensed Consolidated Statements of Cash Flows 
(In thousands) 
(Unaudited) 
        
        
 Nine Months Ended September 30, 
 2020  2019 
Cash flows from operating activities:       
Net loss$(68,710) $(86,571)
Adjustments to reconcile net loss to net cash used in operating activities:       
Impairment 6,432   12,674 
Depreciation and amortization 2,996   2,538 
Provision for doubtful accounts 4,665   1,804 
Provision for warranties 711   843 
Provision for inventory 1,774   2,209 
Fair value adjustments to derivative liability 8,420    
Fair value adjustments of other liabilities held at fair value 29   480 
Amortization of debt discount and issuance costs 3,430   223 
Stock-based compensation expense 5,465   9,681 
Payments of contingent consideration liability in excess of acquisition-date fair value    (1,968)
Other non-cash adjustments 198   181 
Changes in assets and liabilities:       
Accounts receivable (720)  (4,068)
Inventories (10,801)  (8,329)
Prepaid expenses, other current assets and other assets 537   2,735 
Accounts payable, accrueds, and other liabilities (10,642)  (8,790)
Customer deposits 1,547   1,750 
Sales return liability 1,930   1,515 
Legal settlement payable    (410)
Net cash used in operating activities (52,739)  (73,503)
Cash flows from investing activities:       
Purchase of property and equipment (3,192)  (3,180)
Net cash used in investing activities (3,192)  (3,180)
Cash flows from financing activities:       
Proceeds from option exercises and employee stock purchase plan 852   1,332 
Net proceeds from issuance of common stock 264   107,734 
Tax payments related to shares withheld for vested restricted stock units (RSUs) (1,496)  (2,956)
Gross borrowings under the Term Loan    5,000 
Repayments under the Term Loan (25,000)   
Gross borrowings under the PPP loan 6,652    
Gross borrowings under the Revolving Loan    15,788 
Repayment of the Revolving Loan (6,508)  (8,436)
Net proceeds from issuance of the Convertible Note 60,000    
Payments of contingent consideration up to acquisition-date fair value    (5,766)
Deferred financing costs (2,958)  (1,997)
Net cash provided by financing activities 31,806   110,699 
Net increase (decrease) in cash, cash equivalents and restricted cash (24,125)  34,016 
Cash, cash equivalents and restricted cash at:       
Beginning of period 87,951   87,242 
End of period$63,826  $121,258 
        
Reconciliation of cash, cash equivalents, and restricted cash to the consolidated balance sheets       
Cash and cash equivalents$63,483  $120,915 
Restricted cash included in other assets 343   343 
Total cash, cash equivalents and restricted cash$63,826  $121,258 
 


Sientra, Inc. 
Reconciliation of Net Loss to Non-GAAP Adjusted EBITDA 
(Unaudited) 
             
 Three Months Ended Nine Months Ended 
 September 30, September 30, 
Dollars, in thousands2020 2019 2020 2019 
Net loss, as reported$(5,821)$(22,433)$(68,710)$(86,571)
Adjustments to net loss:            
Interest (income) expense and other, net 1,953  973  7,012  2,294 
Depreciation and amortization 1,316  813  2,996  2,538 
Fair value adjustments to contingent consideration 51  301  67  590 
Fair value adjustments to derivative liability (10,090)   8,420   
Stock-based compensation 1,574  3,079  5,465  9,681 
Restructuring (386)   1,849   
Impairment     6,432  12,674 
Total adjustments to net loss (5,582) 5,166  32,241  27,777 
Adjusted EBITDA$(11,403)$(17,267)$(36,469)$(58,794)
             
             
             
 Three Months Ended Nine Months Ended 
 September 30, September 30, 
As a Percentage of Revenue**2020 2019 2020 2019 
Net loss, as reported (30.3%) (100.1%) (141.4%) (143.1%)
Adjustments to net loss:            
Interest (income) expense and other, net 10.2% 4.3% 14.4% 3.8%
Depreciation and amortization 6.8% 3.6% 6.2% 4.2%
Fair value adjustments to contingent consideration 0.3% 1.3% 0.1% 1.0%
Fair value adjustments to derivative liability (52.5%) 0.0% 17.3% 0.0%
Stock-based compensation 8.2% 13.7% 11.2% 16.0%
Restructuring (2.0%) 0.0% 3.8% 0.0%
Impairment 0.0% 0.0% 13.2% 21.0%
Total adjustments to net loss (29.0%) 23.1% 66.3% 45.9%
Adjusted EBITDA (59.3%) (77.0%) (75.0%) (97.2%)
             
** Adjustments may not add to the total figure due to rounding