LDR Holding Corporation Reports Third Quarter 2013 Results

Revenue Increased 29.8% Year-Over-Year to $27.2 Million


AUSTIN, Texas, Nov. 6, 2013 (GLOBE NEWSWIRE) -- LDR Holding Corporation (Nasdaq:LDRH), a global medical device company focused on designing and commercializing novel and proprietary surgical technologies for the treatment of patients suffering from spine disorders, today reported its financial results for the third quarter and nine months ended September 30, 2013. 

Third Quarter 2013 Revenue Highlights

  • Total revenue for the quarter ended September 30, 2013 increased 29.8% to $27.2 million, compared to $20.9 million for the quarter ended September 30, 2012. 
     
  • Revenue from exclusive technology products grew 36.7% to $22.9 million, compared to the third quarter of 2012.
     
  • Revenue in the United States increased 29.8% to $20.1 million, compared to $15.5 million in the third quarter of 2012, and represented 73.8% of total revenue.
     
  • International revenue increased 29.8% for the third quarter of 2013 to $7.1 million, representing 26.2% of total revenue. 

Total revenue for the third quarter of 2013 increased 29.8% to $27.2 million, compared to $20.9 million for the third quarter of 2012. LDR's revenue from exclusive technology products grew 36.7% to $22.9 million in the third quarter of 2013, while revenue from traditional fusion products increased 2.2% to $4.3 million. Revenue from LDR's exclusive lumbar products in the third quarter increased 57%, compared with the third quarter of 2012, in part due to the FDA approval of the Avenue L Lateral lumbar fusion interbody device that was introduced in the United States in September 2012. Additionally, revenue from the Company's exclusive cervical products grew 27% in the third quarter of 2013, compared with the third quarter of 2012.

Gross profit for the third quarter of 2013 was $23.1 million and gross margin was 84.9%, compared to a gross profit of $17.4 million and a gross margin of 82.9% for the third quarter of 2012. Gross margin was favorably impacted by a higher mix of exclusive technology products and geographic distribution.

For the nine months ended September 30, 2013, LDR's total revenue was $79.6 million, an increase of 21%, compared to $66.0 million for the same period a year ago. For this same period, revenue from LDR's exclusive technology products grew 25.4% to $65.4 million, while revenue from traditional fusion products increased 3.2% to $14.2 million.

Gross profit for the nine months ended September 30, 2013 was $67.1 million and gross margin was 84.2%, compared to a gross profit of $55.2 million and a gross margin of 83.8% for the same period in 2012. Gross margin was favorably impacted by a higher mix of exclusive technology products and geographic distribution.

Christophe Lavigne, President and Chief Executive Officer of LDR Holding, commented, "We are pleased with our accomplishments to date, marked by the FDA Premarket Approval (PMA) in August for Mobi-C®, the first and only cervical disc replacement device to receive FDA approval to treat both one-level and two-level cervical disc disease. Based on results of an FDA pivotal clinical trial which enrolled 575 patients, Mobi-C® is the only cervical disc technology to demonstrate overall clinical superiority as compared to two-level traditional fusion. This is an outstanding accomplishment for LDR which validates our research and development strategies and our commitment to provide highly innovative products to surgeons and patients around the world. We look forward to leveraging our clinical and commercial knowledge based on over 17,000 Mobi-C® implantations completed in international markets to date."

On a geographic basis, for the third quarter of 2013, LDR's revenue in the United States increased 29.8% to $20.1 million, compared to $15.5 million in the third quarter of 2012, and represented 73.8% of total revenue. LDR's international revenue increased 29.8% for the third quarter of 2013 to $7.1 million, representing 26.2% of total revenue. 

For the nine months ended September 30, 2013, LDR's revenue in the United States increased 23.0% to $57.5 million, compared to $46.7 million for the same period a year ago. International revenue increased 15.1% to $22.2 million, compared to $19.3 million for the same period a year ago.

Net loss for the third quarter of 2013 totaled $8.0 million, or $1.68 per share, which included $4.7 million in noncash expenses associated with the revaluation of warrants leading up to the IPO, compared to a net loss of $3.1 million, or $0.66 per share, for the same quarter a year ago. After reflecting the increase in shares outstanding and other transactions that resulted from the Company's IPO, pro forma net loss for the third quarter of 2013 totaled $6.8 million, or $0.29 per pro forma diluted share.

For the nine months ended September 30, 2013, net loss totaled $12.8 million, or $2.72 per diluted share, which included $5.6 million in noncash expenses associated with the revaluation of warrants leading up to the IPO, compared to a net loss of $7.3 million, or $1.58 per diluted share, for the same period a year ago. After reflecting the increase in shares outstanding and other transactions that resulted from the Company's IPO, pro forma net loss for the nine months ended September 30, 2013, totaled $9.4 million, or $0.40 per pro forma diluted share.

Adjusted EBITDA for the third quarter of 2013 was $(0.1) million, compared to an adjusted EBITDA of $(0.3) million for the third quarter of 2012. For the nine months ended September 30, 2013, adjusted EBITDA was $1.5 million, compared to an adjusted EBITDA of $0.6 million for the same period a year ago.

Mr. Lavigne added, "We believe that our highly differentiated technologies that focus on surgeon and patient needs, our participation in some of the fastest growing segments of the spine market and our investments in sales and marketing infrastructure enhance LDR's competitive position and growth profile."

Balance Sheet and Liquidity

As of September 30, 2013, LDR had $11.6 million in cash and cash equivalents, $10.3 million in working capital and $53.2 million in debt. Subsequent to the close of the quarter, LDR completed an initial public offering of its common stock that closed on October 15, 2013. In the IPO, LDR raised net proceeds of approximately $77.0 million after the underwriting discount and offering expenses. Information on the use of the proceeds of the Company's IPO was contained in the prospectus filed with the Securities and Exchange Commission on October 8, 2013.

Conference Call

LDR Holding Corporation will host a conference call today at 5:00 p.m. Eastern Time to discuss its third quarter 2013 financial results. The conference call will be available to interested parties through a live audio webcast available through LDR's website at www.ldr.com. Those without internet access may join the call from within the United States by dialing (877) 312-5637; outside the United States, by dialing (253) 237-1149.

A telephone replay will be available for two weeks following the call by dialing (855) 859-2056 for domestic participants and (404) 537-3406 for international participants. When prompted, please enter the replay pin number 90494072. For those who are not available to listen to the live webcast, the call will be archived for 90 days on LDR Holding's website.

Forward-Looking Statements

This press release contains statements that constitute forward-looking statements within the meaning of the Securities Act of 1933 and the Securities Exchange Act of 1934, as amended by the Private Securities Litigation Reform Act of 1995. Forward-looking statements contained in this press release include the intent, belief or current expectations of LDR and members of its management team with respect to LDR's future business operations as well as the assumptions upon which such statements are based. Forward-looking statements include specifically, but are not limited to, LDR's market opportunities, growth, future products, market acceptance of its products, sales and financial results and such statements are subject to risks and uncertainties such as the timing and success of new product introductions, physician acceptance, endorsement, and use of LDR's products, regulatory matters, competitor activities, changes in and adoption of reimbursement rates, potential product recalls, effects of global economic conditions and changes in foreign currency exchange rates. Additional factors that could cause actual results to differ materially from those contemplated within this press release can also be found in LDR's Risk Factors disclosure in its Registration Statement on Form S-1/A, dated October 8, 2013, and in LDR's other filings with the SEC. LDR disclaims any responsibility to update any forward-looking statements.

About LDR Holding Corporation

LDR Holding Corporation is a global medical device company focused on designing and commercializing novel and proprietary surgical technologies for the treatment of patients suffering from spine disorders. LDR's primary products are based on its exclusive VerteBRIDGE® fusion and Mobi® non-fusion technology platforms and are designed for applications in the cervical and lumbar spine. These technologies enable products that are less invasive, provide greater intra-operative flexibility, offer simplified surgical techniques and promote improved clinical outcomes for patients as compared to existing alternatives. LDR recently received approval from the U.S. Food and Drug Administration (FDA) for the Mobi-C® cervical disc replacement device, the first and only cervical disc replacement device to receive FDA approval to treat both one-level and two-level cervical disc disease. For more information regarding LDR Holding, visit www.ldr.com.

Use of Non-GAAP Financial Measures

To supplement LDR's consolidated financial statements prepared in accordance with U.S. generally accepted accounting principles (GAAP), LDR uses certain non-GAAP financial measures in this release, including adjusted earnings before interest, taxes, depreciation and amortization (EBITDA) and adjusted EBITDA. A reconciliation of the non-GAAP financial measures used in this release to the most comparable U.S. GAAP measures for the respective periods can be found in a table later in this release immediately following the condensed consolidated statements of cash flows.

Management defines EBITDA as net income (loss) plus interest (income) expense, net, income tax expense and depreciation and amortization. Management defines Adjusted EBITDA as EBITDA plus stock-based compensation expense and change in fair value of common stock warrants. The Company presents Adjusted EBITDA because management believes it is a useful indicator of operating performance. LDR's management uses Adjusted EBITDA principally as a measure of operating performance and believes that Adjusted EBITDA is useful to investors because it is frequently used by securities analysts, investors and other interested parties in their evaluation of the operating performance of companies in industries similar to LDR. Management also uses Adjusted EBITDA for planning purposes, including the preparation of the annual operating budget and financial projections.

Adjusted EBITDA should not be considered in isolation or as a substitute for a measure of the Company's liquidity or operating performance prepared in accordance with GAAP and is not indicative of net income (loss) from operations as determined under GAAP. Adjusted EBITDA and other non-GAAP financial measures have limitations that should be considered before using these measures to evaluate the Company's liquidity or financial performance. Adjusted EBITDA does not include certain expenses that may be necessary to review LDR's operating results and liquidity requirements. Management's definition and calculation of Adjusted EBITDA may differ from that of other companies.

     
     
 LDR HOLDING CORPORATION AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS
(in thousands, except share and per share amounts)
     
  September 30,
2013
December 31,
2012
  Unaudited  
ASSETS    
Current assets:    
Cash and cash equivalents  $ 11,632  $ 19,135
Accounts receivable, net 18,640 16,309
Inventory, net 16,108 16,772
Other current assets 4,355 3,768
Prepaid expenses 2,401 806
Total current assets 53,136 56,790
Property and equipment, net 12,261 12,296
Goodwill 6,621 6,621
Intangible assets, net 2,742 2,619
Restricted cash 2,000 2,000
Related party notes receivable 270
Deferred tax assets 539 554
Other assets 354 441
Total assets  $ 77,653  $ 81,591
LIABILITIES, REDEEMABLE PREFERRED STOCK AND STOCKHOLDERS' DEFICIT    
Current liabilities:    
Current portion of long-term debt  $ 1,900  $ 1,903
Line of credit, net of discount 18,215
Current portion of capital lease payable 14 32
Accounts payable 6,276 7,855
Accrued expenses 13,102 10,727
Short-term financing 2,747 1,772
Deferred tax liabilities 533 542
Total current liabilities 42,787 22,831
Line of credit, net of discount 18,985
Long-term debt, net of discount and current portion 30,363 30,326
Warrant liability 9,760 4,167
Long-term capital lease payable, net of current portion 8 9
Other long-term liabilities 1,922 904
Total liabilities 84,840 77,222
Commitments and contingencies    
Series C redeemable convertible preferred stock 35,000 35,000
Stockholders' deficit:    
Series A-1 convertible preferred stock 11 11
Series A-2 convertible preferred stock 18 18
Series B convertible preferred stock 15 15
Common stock 5 5
Additional paid-in capital 26,332 25,603
Accumulated other comprehensive loss 88 (457)
Accumulated deficit (68,656) (55,826)
Total stockholders' deficit (42,187) (30,631)
Total liabilities, redeemable preferred stock and stockholders' deficit  $ 77,653  $ 81,591
         
         
LDR HOLDING CORPORATION AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS
(in thousands, except per share amounts)
(Unaudited)
         
  Three Months Ended 
September 30,
Nine Months Ended
September 30,
  2013 2012 2013 2012
Revenue  $ 27,195  $ 20,948  $ 79,616  $ 65,952
Cost of goods sold 4,093 3,577 12,561 10,709
Gross profit 23,102 17,371 67,055 55,243
Operating expenses:        
Research and development 2,473 2,252 7,215 8,537
Sales and marketing 16,810 12,440 47,761 37,478
General and administrative 4,725 3,443 13,498 10,682
Total operating expenses 24,008 18,135 68,474 56,697
Operating income (loss) (906) (764) (1,419) (1,454)
Other operating income (expense):        
Other income (expense) (523) (420) (478) (464)
Interest income 3 12 10 20
Interest expense (1,516) (1,409) (4,379) (3,216)
Change in fair value of common stock warrants (4,739) (235) (5,593) (1,458)
Total other income (expense), net (6,775) (2,052) (10,440) (5,118)
Loss before income taxes (7,681) (2,816) (11,859) (6,572)
Income tax expense (303) (234) (971) (703)
Net loss (7,984) (3,050) (12,830) (7,275)
Other comprehensive income ( loss):        
Foreign currency translation 984 545 545 24
Comprehensive loss  $ (7,000)  $ (2,505)  $ (12,285)  $ (7,251)
Net loss per common share:        
Basic and diluted  $ (1.68)  $ (0.66)  $ (2.72)  $ (1.58)
Weighted average number of shares outstanding:        
Basic and diluted 4,754,997 4,616,916 4,721,601 4,610,710
Pro forma net loss per share:        
Basic and diluted  $ (0.34)    $ (0.55)  
Weighted average number of shares used in computing pro forma net loss per share:        
Basic and diluted 23,422,862   23,389,466  
         
         
LDR HOLDING CORPORATION AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(in thousands)
(Unaudited)
         
  Three Months Ended 
September 30,
Nine Months Ended 
September 30,
  2013 2012 2013 2012
Operating activities:        
 Net loss (7,984) (3,050) (12,830) (7,275)
 Adjustments to reconcile net loss to net cash used in operating activities:        
 Bad debt expense 141 332 375 332
 Provision for excess and obsolete inventories 222 333 789 848
 Depreciation and amortization 1,010 810 2,930 2,264
 Stock-based compensation 350 77 498 214
 Accretion related to warrants and discounts on long-term debt 506 497 1,353 901
 Change in fair value of common stock warrants 4,739 235 5,593 1,458
 Deferred income tax benefit
 Loss on disposal of assets 13 25 38 99
 Unrealized foreign currency loss (gains) 515 446 415 365
 Changes in operating assets and liabilities:        
 Cash restricted for line of credit agreement (1,000)
 Accounts receivable 161 676 (2,675) (2,292)
 Prepaid expenses and other current assets (1,544) 249 (2,013) 197
 Inventory 114 (673) 29 (3,973)
 Other assets 283 32 341 42
 Accounts payable (286) (923) (1,730) 155
 Accrued expenses 935 339 2,285 2,394
 Other long-term liabilities 348 490 1,030 546
 Net cash used in operating activities (477) (105) (3,572) (4,725)
 Investing activities:        
 Proceeds from sale of property and equipment 31 53 31
 Purchase of intangible assets (144) (193) (374) (550)
 Purchase of property and equipment (1,334) (1,976) (2,613) (4,186)
Net cash used in investing activities (1,478) (2,138) (2,934) (4,705)
 Financing activities:        
 Exercise of stock options 8 (2) 175 132
 Payments on capital leases (4) (26) (16) (156)
 Net proceeds (payments) on short-term financings (116) (11) 921 435
 Proceeds from line of credit 2,800
 Payments from line of credit (778) (778)
 Proceeds from long-term debt 15,000
 Payments on long-term debt (474) (390) (1,408) (4,225)
 Debt issuance costs (144)
 Proceeds from issuance of common stock 9 9
 Proceeds from exercise of preferred stock warrants
 Net cash used in financing activities (1,364) (420) (1,106) 13,851
 Effect of exchange rate on cash 154 (60) 109 (184)
 Net change in cash and cash equivalents (3,165) (2,723) (7,503) 4,237
 Cash and cash equivalents, beginning of period 14,797 12,559 19,135 5,599
 Cash and cash equivalents, end of period 11,632 9,836 11,632 9,836
         
         
LDR HOLDING CORPORATION AND SUBSIDIARIES
RECONCILIATION OF NET LOSS TO NON-GAAP FINANCIAL MEASURES
(in thousands, except per share amounts)
(Unaudited)
         
  Three Months Ended
September 30,
Nine Months Ended 
September 30,
  2013 2012 2013 2012
Revenue, as reported  $ 27,195  $ 20,948  $ 79,616  $ 65,952
Net loss, as reported  $ (7,984)  $ (3,050)  $ (12,830)  $ (7,275)
Interest income (3) (12) (10) (20)
Interest expense 1,516 1,409 4,379 3,216
Income tax expense 303 234 971 703
Depreciation and amortization 1,010 810 2,930 2,264
Subtotal non-GAAP EBITDA (5,158) (609) (4,560) (1,112)
Change in fair value of common stock warrants 4,739 235 5,593 1,458
Share-based compensation 350 77 498 214
Non-GAAP adjusted EBITDA  $ (69.0)  $ (297.0)  $ 1,531.0  $ 560.0
Non-GAAP adjusted EBITDA margin —% (1)% 2% 1%
     
     
LDR HOLDING CORPORATION AND SUBSIDIARIES
RECONCILIATION OF GAAP NET LOSS PER SHARE TO PRO FORMA NET LOSS PER SHARE
(in thousands)
(Unaudited)
     
  Three Months
Ended 
September 30,
2013
Nine Months
Ended
September 30, 
2013
Numerator    
GAAP net loss attributable to common stockholders  $ (7,984)  $ (12,830)
Interest expense for convertible notes that converted to common shares upon the IPO 833 2,318
Interest expense for loan facility that was paid in full with the proceeds from the IPO 380 1,130
Pro forma net loss  $ (6,771)  $ (9,382)
     
Denominator    
GAAP weighted average shares outstanding - basic and diluted 4,755 4,722
Conversion of preferred stock upon the IPO 10,978 10,978
Conversion of convertible notes upon the IPO 1,929 1,929
Common shares issued in the IPO 5,750 5,750
Common shares issued in the exercise of the preferred stock warrant during the IPO 11 11
Weighted average number of shares used in computing pro forma net loss per share - basic and diluted 23,423 23,390
     
Pro forma net loss per share - basic and diluted  $ (0.29)  $ (0.40)


            

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