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Apollo Endosurgery, Inc. Reports Fourth Quarter and Full Year 2019 Results

AUSTIN, TX / ACCESSWIRE / March 26, 2020 / Apollo Endosurgery, Inc. ("Apollo") (NASDAQ:APEN), a global leader in less invasive medical devices for gastrointestinal and bariatric procedures, today announced financial results for the fourth quarter and year ended December 31, 2019. The Company will hold a conference call today at 3:30 p.m. CT / 4:30 p.m. ET to discuss its results.

Highlights

  • Fourth quarter U.S. OverStitch™ Endoscopic Suturing System ("ESS") sales increased 33% to $4.4 million
  • Fourth quarter U.S. Endoscopy sales increased 31% to $5.6 million
  • Worldwide ESS sales for the full year 2019 increased 21% (23% in constant currency) to $28.3 million, representing 63% of our Endoscopy sales
  • Fourth quarter Orbera® Intragastric Balloon System ("IGB") sales increased 23% in the U.S. and 11% (13% in constant currency) worldwide

Todd Newton, CEO of Apollo, said, "The Endoscopic Suturing market developed rapidly in 2019 as evidenced by Apollo's 36% revenue growth for ESS products in the U.S. and 21% growth worldwide. Clinical publications providing evidence of the many applications for our ESS technology continued to expand during 2019, and Apollo's new single channel OverStitch device introduced in November 2018 is taking our technology to a broader group of physicians and locations. Our strategy in the near term is to withstand the unprecedented challenges presented by the COVID-19 pandemic, and then return our focus as swiftly as possible to increasing the user base of our technology and to improve our operating efficiency as we continue to scale the business."

Due to unprecedented global economic conditions and uncertainty resulting from the COVID-19 pandemic, the Company will not be providing an outlook for 2020 at this time. We are closely monitoring the global impact to the health systems where we conduct business and the slowdown in business activity related to COVID-19, and hope to provide better clarity about our outlook for 2020 on our first quarter results call. In response to the rapidly changing conditions resulting from the COVID-19 pandemic, we have taken steps to limit business activities, to limit spending and maintain only key business functions in order to continue to fulfill product orders and support our customers while also taking proactive measures to protect the health and safety of our employees and their families consistent with local guidelines.

U.S. ESS product sales increased 33% to $4.4 million in the fourth quarter of 2019 and 36% to $14.9 million in the full year of 2019. Outside the U.S. ("OUS") ESS product sales decreased 15% (13% in constant currency) to $3.0 million for the fourth quarter of 2019 due primarily to the timing of distributor orders, while increasing 8% (13% in constant currency) to $13.4 million in the full year of 2019. Worldwide, ESS product sales increased 8% (9% in constant currency) and 21% (23% in constant currency) for the fourth quarter and full year of 2019, respectively.

U.S. IGB sales increased 23% to $1.2 million for the fourth quarter of 2019 and decreased 4% to $5.2 million for the full year of 2019. OUS IGB product sales increased 7% (9% in constant currency) to $3.1 million and decreased 5% (2% in constant currency) to $11.7 million for the fourth quarter and full year of 2019, respectively. Our efforts to expand IGB therapy in the U.S. market and advance twelve-month therapy OUS improved in the fourth quarter leading to reported growth in both regions and lifting our full year results close to break even with the prior year. Worldwide, IGB sales increased 11% (13% in constant currency) and decreased 5% (3% in constant currency) for the fourth quarter and full year of 2019, respectively.

Worldwide Endoscopy product sales increased 9% (10% in constant currency) and 10% (12% in constant currency) for the fourth quarter and full year of 2019, respectively. ESS product sales represented 64% and 63% of total Endoscopy sales for the fourth quarter and full year of 2019, respectively. In the U.S., Endoscopy sales increased 31% to $5.6 million and 22% to $20.1 million for the fourth quarter and full year of 2019, respectively.

The divestiture of our Surgical products in December of 2018 reduced total revenues by $4.1 million and $13.7 million for the fourth quarter and full year of 2019, respectively. We divested the Surgical products line in order to strengthen Apollo's focus on our Endoscopy products, which we believe have high growth potential.

Gross margin for the fourth quarter of 2019 was 49%, compared to 47% for the fourth quarter of 2018. Gross margin for the full year of 2019 decreased to 51% compared to 55% for the full year of 2018 as a result of a greater proportion of our overall product sales coming from our ESS products, which realize a lower gross margin than our other products. Management has previously discussed its ongoing gross margin improvement initiative.

Total operating expenses decreased $11.2 million to $12.7 million for the fourth quarter of 2019 and decreased $24.1 million to $49.2 million for the full year of 2019 compared to the same periods of 2018. Excluding the one-time $7.8 million loss on divestiture of our Surgical products in December of 2018, the subsequent reduction in intangible asset amortization expense of $1.2 million and $5.0 million for the fourth quarter and full year of 2019, respectively resulting from this divestiture and a one-time $5.6 million settlement gain reported in the first quarter of 2019, total operating expenses decreased $2.3 million and $5.7 million for the fourth quarter and full year of 2019, respectively. This reduction in recurring operating expenses was the result of lower U.S. direct to consumer advertising and lower clinical trial costs as enrollment or other milestones were reached on the clinical studies that the Company is funding.

Net loss for the fourth quarter of 2019 was $7.2 million compared to $18.4 million for the fourth quarter 2018. For the full year, net loss was $27.4 million in 2019 compared to $45.8 million in 2018.

Cash, cash equivalents and restricted cash were $30.9 million as of December 31, 2019.

Conference Call

Apollo will host a conference call on March 26, 2020 at 3:30 p.m. Central Time / 4:30 p.m. Eastern Time to discuss Apollo's operating results for the fourth quarter and year ended December 31, 2019.

To participate in the conference call dial 844-369-8770 for domestic callers and +1-862-298-0840 for international callers. A live webcast of the conference call will be made available on the "Events and Presentations" section of our Investor Relations website: ir.apolloendo.com.

A replay of the webcast will remain available on Apollo's website, www.apolloendo.com, following the call.

Non-GAAP Financial Measures

To supplement our financial results, we are providing a non-GAAP financial measure, percentage revenue change in constant currency, which removes the impact of changes in foreign currency exchange rates that affect the comparability and trend of revenues compared to the same period of the prior year. Percentage revenue change in constant currency is calculated by translating current foreign currency sales at last year's exchange rate. This supplemental measure of our performance is not required by, and is not determined in accordance with GAAP.

We believe the non-GAAP financial measure included herein is helpful in understanding our current financial performance. We use this supplemental non-GAAP financial measure internally to understand, manage and evaluate our business, and make operating decisions. We believe that making non-GAAP financial information available to investors, in addition to GAAP financial information, may facilitate more consistent comparisons between the company's performance over time with the performance of other companies in the medical device industry, which may use similar financial measures to supplement their GAAP financial information. However, our non-GAAP financial measure is not meant to be considered in isolation or as a substitute for the comparable GAAP metric.

About Apollo Endosurgery, Inc.

Apollo Endosurgery, Inc. is a medical technology company focused on less invasive therapies to treat various gastrointestinal conditions, ranging from gastrointestinal complications to the treatment of obesity. Apollo's device-based therapies are an alternative to invasive surgical procedures, thus lowering complication rates and reducing total healthcare costs. Apollo's products are offered in over 75 countries today and include the OverStitch™ Endoscopic Suturing System, the OverStitch Sx™ Endoscopic Suturing System, and the ORBERA® Intragastric Balloon.

Apollo's common stock is traded on Nasdaq Global Market under the symbol "APEN". For more information regarding Apollo Endosurgery, go to: www.apolloendo.com.

Cautionary Note on Forward-Looking Statements

Certain statements in this press release are forward-looking statements that are subject to risks and uncertainties that could cause results to be materially different than expectations. In addition, there is uncertainty about the spread of the COVID-19 virus and the impact it may have on the Company's operations, the demand for the Company's products, global supply chains and economic activity in general. Important factors that could cause actual results to differ materially include: the advancement of Apollo products; development of enhancements to Apollo's existing products and technologies; market acceptance of Apollo's products; the execution of our gross margin improvement projects; the ability to collect future payments from ReShape; statements relating to the availability of cash for Apollo's future operations; and Apollo's ability to support the adoption of its products and broaden its product portfolio as well as other factors detailed in Apollo's periodic reports filed with the Securities and Exchange Commission, or SEC, including its Form 10-K for the year ended December 31, 2019. Copies of reports filed with the SEC are posted on Apollo's website and are available from Apollo without charge. These forward-looking statements are not guarantees of future performance and speak only as of the date hereof, and, except as required by law, Apollo disclaims any obligation to update these forward-looking statements to reflect future events or circumstances.

Disclosure Information

Apollo uses the investor relations section of its website as a means of complying with its disclosure obligations under Regulation FD. Accordingly, we recommend that investors should monitor Apollo's investor relations website in addition to following Apollo's press releases, SEC filings, and public conference calls and webcasts.

APOLLO ENDOSURGERY, INC. AND SUBSIDIARIES
Condensed Consolidated Statements of Operations

(In thousands, except for share data)

   Three Months Ended
December 31,
    Year Ended
December 31,
 
   2019    2018    2019    2018 
   (Unaudited)    (Unaudited)           
Revenues (1)  11,989    15,182    50,713    60,854 
Cost of sales    6,154      8,100      25,038      27,660 
Gross margin    5,835      7,082      25,675      33,194 
Operating expenses:                               
Sales and marketing    6,735      7,753      28,730      32,831 
General and administrative    3,369      3,847      13,588      13,436 
Research and development    2,139      2,895      10,384      12,176 
Amortization of intangible assets    504      1,663      2,095      7,074 
Settlement gain    -      -      (5,609)    - 
Loss on divestiture    -      7,770      -      7,770 
Total operating expenses    12,747      23,928      49,188      73,287 
Loss from operations    (6,912)    (16,846)    (23,513)    (40,093)
Other expenses:                               
Interest expense, net    1,203      1,083      4,052      4,063 
Other (income) expense    (1,063)    355      (408)    1,440 
Net loss before income taxes    (7,052)    (18,284)    (27,157)    (45,596)
Income tax expense    144      69      275      191 
Net loss  (7,196)  (18,353)  (27,432)  (45,787)
Net loss per share, basic and diluted  (0.34)  (0.84)  (1.27)  (2.31)
Shares used in computing net loss per share, basic and diluted (2)    20,946,035      21,895,133      21,542,284      19,789,867 
                 


(1) Revenue between periods declined $4.1 million for the three months ended December 31, 2019 and $13.7 million for the year ended December 31, 2019 due to the divestiture of the Surgical product line in December 2018. See the product sales table for additional information by product group and geographic market.
(2) In June 2018, 4.3 million common shares were issued upon completion of a public offering. In August 2019, 1.0 million outstanding common shares were exchanged for a pre-funded warrant.

APOLLO ENDOSURGERY, INC. AND SUBSIDIARIES
Product Sales by Product Group and Geographic Market

Unaudited (In thousands)

   Three Months Ended
December 31, 2019
    Three Months Ended
December 31, 2018
    % Increase / (Decrease) 
   U.S.    OUS    Total Revenues    U.S.    OUS    Total Revenues    U.S.    OUS    Total Revenues 
ESS  4,446    3,026    7,472    3,353    3,571    6,924      32.6%    (15.3)%    7.9%
IGB    1,157      3,126      4,283      939      2,914      3,853      23.2%    7.3%    11.2%
Total Endoscopy    5,603       6,152       11,755       4,292       6,485       10,777       30.5%    (5.1)%    9.1%
% Endoscopy    47.7%    52.3%            39.8%    60.2%                               
Surgical    -      42      42      2,436      1,703      4,139      (100.0)%    (97.5)%    (99.0)%
Other    183      9      192      260      6      266      (29.6)%    50.0%    (27.8)%
Total revenues  5,786    6,203    11,989    6,988    8,194    15,182      (17.2)%    (24.3)%    (21.0)%
                                     
   Year Ended
December 31, 2019
    Year Ended
December 31, 2018
    % Increase / (Decrease) 
   U.S.    OUS    Total Revenues    U.S.    OUS    Total Revenues    U.S.    OUS    Total Revenues 
ESS  14,944    13,365    28,309    11,016    12,364    23,380      35.7%    8.1%    21.1%
IGB    5,162      11,678      16,840      5,400      12,339      17,739      (4.4)%    (5.4)%    (5.1)%
Total Endoscopy    20,106       25,043       45,149       16,416       24,703       41,119       22.5%    1.4%    9.8%
% Endoscopy    44.5%    55.5%            39.9%    60.1%                               
Surgical    -      3,712      3,712      10,795      7,913      18,708      (100.0)%    (53.1)%    (80.2)%
Other (1)    1,815      37      1,852      995      32      1,027      82.4%    15.6%    80.3%
Total revenues  21,921    28,792    50,713    28,206    32,648    60,854      (22.3)%    (11.8)%    (16.7)%


(1) Other U.S. revenue includes $1.3 million of transition and manufacturing services provided to ReShape for the year ended December 31, 2019.

Product sales percentage change in constant currency were as follows:

   Three Months Ended
December 31, 2019
    Year Ended
December 31, 2019
 
   % Increase/Decrease
in Constant Currency
    % Increase/Decrease
in Constant Currency
 
   OUS    Total Revenues    OUS    Total Revenues 
ESS    (13.1)%    9.1%    12.5%    23.4%
IGB    9.2%    12.6%    (1.6)%    (2.5)%
Total Endoscopy    (3.1)%    10.3%    5.5%    12.3%
Surgical    (97.5)%    (99.0)%    (50.2)%    (79.0)%
Other    33.8%    (27.2)%    23.9%    80.6%
Total revenues    (22.7)%    (20.1)%    (8.0)%    (14.6)%


Contacts:

Apollo Endosurgery, Inc.
Stefanie Cavanaugh, 512-279-5100
investor-relations@apolloendo.com

Darrow Associates Investor Relations
Matt Kreps, 214-597-8200
mkreps@darrowir.com

SOURCE: Apollo Endosurgery, Inc.



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