Alphatec Reports Second Quarter 2019 Financial Results and Corporate Highlights

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Full Year 2019 Revenue Guidance Increased 
Following 28% Q2 U.S. Revenue Growth 

CARLSBAD, Calif., July 24, 2019 (GLOBE NEWSWIRE) -- Alphatec Holdings, Inc. ("ATEC" or the "Company") ATEC, a provider of innovative spine surgery solutions dedicated to revolutionizing the approach to spine surgery, today announced financial results for the quarter ended June 30, 2019, and recent corporate highlights.

Second Quarter 2019 Financial Highlights

  • Total net revenue of $27.3 million; U.S. revenue of $26.1 million, up approximately 28% compared to the second quarter of 2018;
  • U.S. gross margin of 72.2%; and
  • Cash and cash equivalents of $18.6 million as of June 30, 2019.

Second Quarter-to-Date Commercial, Product, and Organizational Highlights

  • Enhanced clinical distinction of portfolio with four new commercial releases: the IdentiTi™ TLIF system, the IdentiTi ALIF system, the InVictus™ MIS Fixation System and the InVictus Open Fixation System;
  • Increased contribution from new products to 32% of Q2 2019 U.S. revenue;
  • Expanded percentage of revenue driven by strategic distribution network to 88% of U.S. revenue in Q2 2019 compared to 80% in Q2 2018; and
  • Increased U.S. revenue per distributor by more than 45% and increased U.S. revenue per case by 15% in Q2 2019 compared to Q2 2018.     

"Through the first half of 2019, execution against our strategic commitments has been solid," said Pat Miles, Chairman and Chief Executive Officer.  "That execution drove the highest rate of quarterly U.S. revenue growth this company has achieved in the past 10 years.  Based upon our performance in the first half of 2019 we are increasing full-year revenue guidance, which speaks to the impact of spine's new Organic Innovation Machine.  We are just getting started."

Comparison of Selected GAAP and Non-GAAP Financial Results for the Second Quarter 2019 to Second Quarter 2018

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 Three Months Ended Change
 June 30, 2019 June 30, 2018 $ %
 (unaudited) (unaudited)    
        
Revenue from U.S. products$26,093  $20,409  $5,684  28%
Gross profit from U.S. products 18,841   15,462   3,379  22%
Gross margin from U.S. products 72.2%  75.8%    
        
Operating Expenses       
Research and development$3,360  $2,009  $1,351  67%
Sales, general and administrative 24,568   17,538   7,030  40%
Litigation-related expenses 1,200   2,234   (1,034) (46%)
Amortization of intangible assets 172   187   (15) (8%)
Transaction-related expenses -   (62)  62  (100%)
Restructuring -   193   (193) (100%)
Total operating expenses$29,300  $22,099  $7,201  33%
        
Operating loss$(10,414) $(6,545) $(3,869) 59%
        
Non-GAAP operating loss$(4,663) $(2,578) $(2,085) 81%
        
Non-GAAP adjusted EBITDA$(3,018) $(989) $(2,029) 205%

Revenue from U.S. products for the second quarter 2019 was $26.1 million, up 28% compared to $20.4 million in the second quarter 2018. Revenue growth generated by new product momentum and the strategic distribution channel is increasingly outpacing the continued revenue impacts of transitioning or discontinuing non-strategic distributor relationships.

Gross profit and gross margin from U.S. products for the second quarter 2019 were $18.8 million and 72.2%, respectively, compared to $15.5 million and 75.8%, respectively, for the second quarter 2018. U.S. gross margin was impacted by increased non-cash excess and obsolete write-offs related to legacy products. On a non-GAAP basis, excluding non-cash excess and obsolete charges, U.S. gross margin was 80.6% in the second quarter of 2019, up from 77.5% in the second quarter of 2018.

Total operating expenses for the second quarter 2019 were $29.3 million compared to $22.1 million in the second quarter 2018.  On a non-GAAP basis, excluding restructuring charges, stock-based compensation, transaction-related expenses, litigation-related expenses, restructuring and fair value adjustments, total operating expenses in the second quarter 2019 increased to $25.8 million from $18.5 million in 2018, reflecting increased investments in organic product development to support new product launches and increased selling costs from U.S. revenue growth.

Non-GAAP operating loss which excludes restructuring charges, stock-based compensation, transaction-related expenses, litigation-related expenses, restructuring, fair value adjustments and excess and obsolescence charges, was $4.7 million for the second quarter 2019, compared to a loss of $2.6 million for the second quarter 2018. 

Non-GAAP adjusted EBITDA in the second quarter was a loss of $3.0 million, compared to a loss of $1.0 million in the second quarter 2018. 

For more detailed information on non-GAAP operating expenses, non-GAAP operating loss and non-GAAP adjusted EBITDA, please refer to the table, "Alphatec Holdings, Inc. Reconciliation of Non-GAAP Financial Measures," that follows.

Current and long-term debt includes $45.0 million in term debt and $10.7 million outstanding under the Company's revolving credit facility at June 30, 2019, with cash and cash equivalents of $18.6 million. In March 2019, the Company closed its expanded credit facility with Squadron Medical Finance Solutions, providing for up to $30 million in additional financing, as needed. During the second quarter 2019, the Company drew $10 million against the credit facility.

Updated 2019 Financial Outlook

Full Year 2019PreviousUpdated
 Guidance ($M)YoY GrowthGuidance ($M)YoY Growth
U.S. Product Revenue$94 to $9812% to 17%$100 to $10420% to 24%
International Supply Agreement$4 to $5(38%) to (50%)No changeNo change
Total Revenue$98 to $1037% to 12%$104 to $10913% to 19%

Investor Conference Call

ATEC will present the results via a live webcast today at 1:30 p.m. PT / 4:30 p.m. ET to discuss the results. At that time, please click here to access the live webcast.  An audiocast of the presentation will be also be available domestically at (877) 556-5251 and internationally at (720) 545-0036. The conference ID number is 6098197.

Non-GAAP Financial Information

To supplement the Company's financial statements presented in accordance with U.S. generally accepted accounting principles (GAAP), the Company reports certain non-GAAP financial measures, including non-GAAP U.S. gross margin, non-GAAP operating expenses, non-GAAP operating loss, and non-GAAP adjusted EBITDA. The Company believes that these non-GAAP financial measures provide investors with an additional tool for evaluating the Company's core performance, which management uses in its own evaluation of continuing operating performance, and a baseline for assessing the future earnings potential of the Company. The Company's non-GAAP financial measures may not provide information that is directly comparable to that provided by other companies in the Company's industry, as other companies in the industry may calculate non-GAAP financial results differently, particularly related to non-recurring, unusual items. Non-GAAP financial results should be considered in addition to, and not as a substitute for, or superior to, financial measures calculated in accordance with GAAP. Included below are reconciliations of the non-GAAP financial measures to the comparable GAAP financial measures.

About Alphatec Holdings, Inc.

Alphatec Holdings, Inc., through its wholly-owned subsidiaries, Alphatec Spine, Inc. and SafeOp Surgical, Inc., is a provider of innovative spine surgery solutions dedicated to revolutionizing the approach to spine surgery. ATEC designs, develops and markets spinal fusion technology products and solutions for the treatment of spinal disorders associated with disease and degeneration, congenital deformities and trauma.  The Company markets its products in the U.S. via independent sales agents and a direct sales force.

Additional information can be found at www.atecspine.com.

Forward Looking Statements

This press release contains "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of 1995 that involve risks and uncertainty. Such statements are based on management's current expectations and are subject to a number of risks and uncertainties that could cause actual results to differ materially from those described in the forward-looking statements. The Company cautions investors that there can be no assurance that actual results or business conditions will not differ materially from those projected or suggested in such forward-looking statements as a result of various factors. Forward-looking statements include the references to the Company's revenue and growth outlook, planned commercial launches and product introductions, the Company's strategy in significantly repositioning the ATEC brand, turning the Company into a growth organization and creating future market disruption, and the Company's future ability to finance its operations. The important factors that could cause actual operating results to differ significantly from those expressed or implied by such forward-looking statements include, but are not limited to: the uncertainty of success in developing new products or products currently in the Company's pipeline; the uncertainties in the Company's ability to execute upon its strategic operating plan; the uncertainties regarding the ability to successfully license or acquire new products, and the commercial success of such products; failure to achieve acceptance of the Company's products by the surgeon community; failure to obtain FDA or other regulatory clearance or approval for new products, or unexpected or prolonged delays in the process; continuation of favorable third party reimbursement for procedures performed using the Company's products; unanticipated expenses or liabilities or other adverse events affecting cash flow or the Company's ability to successfully control its costs or achieve profitability; uncertainty of additional funding; the Company's ability to compete with other products and with emerging new technologies; product liability exposure; an unsuccessful outcome in any litigation in which the Company is a defendant; patent infringement claims; claims related to the Company's intellectual property and the Company's ability to meet its financial obligations under its credit agreements and the OrthoTec LLC settlement agreement. The words "believe," "will," "should," "expect," "intend," "estimate," "look forward" and "anticipate," variations of such words and similar expressions identify forward-looking statements, but their absence does not mean that a statement is not a forward-looking statement. A further list and description of these and other factors, risks and uncertainties can be found in the Company's most recent annual report, and any subsequent quarterly and current reports, filed with the Securities and Exchange Commission. ATEC disclaims any intention or obligation to update or revise any forward-looking statements, whether as a result of new information, future events, or otherwise, unless required by law.

Investor/Media Contact:

Tina Jacobsen
Investor Relations
(760) 494-6790
ir@atecspine.com

Company Contact:

Jeff Black
Chief Financial Officer
ir@atecspine.com 

ALPHATEC HOLDINGS, INC.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
  (in thousands, except per share amounts - unaudited)
          
          
  Three Months Ended Six Months Ended 
  June 30, June 30, 
   2019   2018   2019   2018  
          
 Revenues:        
 Revenue from U.S. products$26,093  $20,409  $49,048  $39,610  
 Revenue from international supply agreement 1,226   1,633   2,826   3,739  
 Total revenues 27,319   22,042   51,874   43,349  
 Cost of revenues 8,433   6,488   16,420   12,890  
 Gross profit 18,886   15,554   35,454   30,459  
          
 Operating expenses:        
 Research and development 3,360   2,009   6,829   3,795  
 Sales, general and administrative 24,568   17,538   45,568   34,795  
 Litigation-related expenses 1,200   2,234   3,823   2,814  
 Amortization of intangible assets 172   187   354   364  
 Transaction-related expenses -   (62)  -   1,480  
 Gain on settlement -   -   -   (6,168) 
 Restructuring expenses -   193   60   591  
 Total operating expenses 29,300   22,099   56,634   37,671  
 Operating loss (10,414)  (6,545)  (21,180)  (7,212) 
 Total other expenses, net (1,921)  (1,784)  (4,040)  (3,429) 
 Loss from continuing operations before taxes (12,335)  (8,329)  (25,220)  (10,641) 
 Income tax (benefit) provision 71   (1,265)  102   (1,723) 
 Loss from continuing operations (12,406)  (7,064)  (25,322)  (8,918) 
 Loss from discontinued operations (30)  (12)  (82)  (74) 
 Net loss$(12,436) $(7,076) $(25,404) $(8,992) 
          
          
 Net loss per share, basic and diluted:        
 Continuing operations$(0.26) $(0.21) $(0.55) $(0.32) 
 Discontinued operations (0.00)  (0.00)  (0.00)  (0.00) 
 Net loss per share, basic and diluted$(0.27) $(0.21) $(0.55) $(0.33) 
          
 Shares used in calculating basic and diluted net loss per share 46,880   34,030   45,957   27,656  
          
 Stock-based compensation included in:        
 Cost of revenue$28  $11  $56  $33  
 Research and development 293   129   533   13  
 Sales, general and administrative 2,030   1,008   3,374   1,721  
  $2,351  $1,148  $3,963  $1,767  
                  


 ALPHATEC HOLDINGS, INC.
 CONDENSED CONSOLIDATED BALANCE SHEETS
 (in thousands)
     
     
  June 30, December 31,
  2019 2018
  (Unaudited)  
 ASSETS
 Current assets:   
 Cash$18,570 $29,054
 Accounts receivable, net 13,642  15,095
 Inventories, net 32,605  28,765
 Prepaid expenses and other current assets 10,904  2,380
 Current assets of discontinued operations 225  242
 Total current assets 75,946  75,536
     
 Property and equipment, net 15,090  13,235
 Right-of-use asset 2,170  -
 Goodwill 13,897  13,897
 Intangibles, net 26,054  26,408
 Other assets 222  347
 Noncurrent assets of discontinued operations 53  54
 Total assets$133,432 $129,477
     
 LIABILITIES AND STOCKHOLDERS' EQUITY
 Current liabilities:   
 Accounts payable$8,178 $4,399
 Accrued expenses 20,831  22,316
 Current portion of long-term debt 286  3,276
 Current portion of lease liability 1,173  -
 Current liabilities of discontinued operations 538  621
 Total current liabilities 31,006  30,612
     
 Total long term liabilities 64,662  57,688
     
 Redeemable preferred stock 23,603  23,603
 Stockholders' equity 14,161  17,574
 Total liabilities and stockholders' equity$133,432 $129,477
     


ALPHATEC HOLDINGS, INC.
RECONCILIATION OF NON-GAAP FINANCIAL MEASURES
(in thousands - unaudited)
           
   Three Months Ended Six Months Ended 
   June 30, June 30, 
    2019   2018   2019   2018  
           
           
 Operating expenses  29,300   22,099   56,634   37,671  
 Adjustments:         
 Stock-based compensation  (2,323)  (1,137)  (3,907)  (1,734) 
 Contingent consideration fair value adjustment  -   (100)  (289)  (100) 
 Litigation-related expenses  (1,200)  (2,234)  (3,823)  (2,814) 
 Restructuring  -   (193)  (60)  (591) 
 Transaction-related expenses  -   62   -   (1,480) 
 Gain on settlement  -   -   -   6,168  
 Non-GAAP operating expenses $25,777  $18,497  $48,555  $37,120  
           
           
   Three Months Ended Six Months Ended 
   June 30, June 30, 
    2019   2018   2019   2018  
           
 Operating loss, as reported $(10,414) $(6,545) $(21,180) $(7,212) 
 Add back significant items:         
 Stock-based compensation  2,351   1,148   3,963   1,767  
 Contingent consideration fair value adjustment  -   100   289   100  
 Litigation-related expenses  1,200   2,234   3,823   2,814  
 Restructuring  -   193   60   591  
 Transaction-related expenses  -   (62)  -   1,480  
 Excess & obsolete charges  2,200   354   4,175   1,272  
 Gain on settlement  -   -   -   (6,168) 
 Non-GAAP operating loss  (4,663)  (2,578)  (8,870)  (5,356) 
           
           
 Operating loss, as reported $(10,414) $(6,545) $(21,180) $(7,212) 
 Depreciation  1,473   1,457   3,076   3,049  
 Amortization of intangible assets  172   132   354   426  
 EBITDA  (8,769)  (4,956)  (17,750)  (3,737) 
 Add back significant items:         
 Stock-based compensation  2,351   1,148   3,963   1,767  
 Contingent consideration fair value adjustment  -   100   289   100  
 Litigation-related expenses  1,2a00   2,234   3,823   2,814  
 Restructuring  -   193   60   591  
 Transaction-related expenses  -   (62)  -   1,480  
 Excess & obsolete charges  2,200   354   4,175   1,272  
 Gain on settlement  -   -   -   (6,168) 
 Non-GAAP adjusted EBITDA $(3,018) $(989) $(5,440) $(1,881) 
           


ALPHATEC HOLDINGS, INC. 
RECONCILIATION OF GEOGRAPHIC SEGMENT REVENUES AND GROSS PROFIT 
(in thousands, except percentages - unaudited)  
          
          
  Three Months Ended Six Months Ended 
  June 30, June 30, 
   2019   2018   2019   2018  
 Revenues by source        
 Revenue from U.S. products$26,093  $20,409  $49,048  $39,610  
 Revenue from international supply agreement 1,226   1,633   2,826   3,739  
 Total revenues$27,319  $22,042  $51,874  $43,349  
          
 Gross profit by source        
 Revenue from U.S. products$18,841  $15,462  $35,235  $30,229  
 Revenue from international supply agreement 45   92   219   230  
 Total gross profit$18,886  $15,554  $35,454  $30,459  
          
 Gross profit margin by source        
 Revenue from U.S. products 72.2%   75.8%   71.8%   76.3%  
 Revenue from international supply agreement 3.7%   5.6%   7.7%   6.2%  
 Total gross profit margin 69.1%   70.6%   68.3%   70.3%  
          
          
 RECONCILIATION OF GAAP TO NON-GAAP GROSS PROFIT AND GROSS MARGIN FROM U.S. PRODUCTS
(in thousands, except percentages - unaudited)  
          
  Three Months Ended Six Months Ended 
  June 30, June 30, 
   2019   2018   2019   2018  
          
 GAAP-based gross profit from U.S. products$18,841  $15,462  $35,235  $30,229  
 Add: non-cash excess and obsolete charges 2,200   354   4,175   1,272  
 Non-GAAP gross profit from U.S. products$21,041  $15,816  $39,410  $31,501  
          
 GAAP-based gross margin from U.S. products 72.2%   75.8%   71.8%   76.3%  
 Add: non-cash excess and obsolete charges 8.4%   1.7%   8.5%   3.2%  
 Non-GAAP gross margin from U.S. products 80.6%   77.5%   80.3%   79.5%  
          

 

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