Paragon 28 Reports Fourth Quarter and Full Year 2023 Financial Results and Provides 2024 Net Revenue Guidance
- Strong financial results for Q4 and FY 2023 with significant net revenue growth
- U.S. net revenue increased by 14.1% in Q4 and 16.1% for the full year
- International net revenue grew by 43.1% in Q4 and 41.3% for the full year
- Gross profit margin decreased due to inventory write-downs
- Research and development expenses and selling, general, and administrative expenses increased
- Net loss improved in Q4 and FY 2023
- Adjusted EBITDA negatively impacted but showed improvement
- Provided a 2024 Net Revenue guidance of $249 million to $259 million
- Gross profit margin decreased due to inventory write-downs
- Increased research and development expenses and selling, general, and administrative expenses
- Net loss in FY 2023 was $47.8 million
- Adjusted EBITDA showed a loss for both Q4 and FY 2023
Insights
Paragon 28's reported net revenue growth for both the fourth quarter and full year of 2023 reflects a positive trajectory in the company's sales performance, particularly noting the robust growth in the international market. The revenue guidance for 2024 suggests a continuation of this growth trend, although at a slightly moderated pace. Investors should note the company's reliance on constant currency growth figures, which strip out the effects of currency fluctuations and provide a clearer picture of the company's operational performance.
However, the substantial net losses reported, despite narrowing from the previous year and the decrease in gross profit margins could be areas of concern. The inventory write-downs, which have negatively impacted both gross margins and adjusted EBITDA, indicate potential issues with inventory management or market demand forecasting. While R&D and SG&A expenses have increased due to investment in new products and infrastructure, the effectiveness of these investments will be critical to future profitability and market competitiveness.
The foot and ankle orthopedic market is a specialized segment within medical devices and Paragon 28's exclusive focus on this area allows for targeted innovation and marketing strategies. The launch of new high-impact solutions is indicative of the company's commitment to addressing the unmet needs within this niche market. The company's ability to innovate and improve patient outcomes can be a significant driver of demand and market share growth.
Despite the growth in revenue, the decline in gross profit margin year-over-year, attributed to inventory write-downs, suggests potential overestimation of demand or issues with product lifecycle management. This is a critical aspect as it can affect the company's long-term operational efficiency and financial health. The medical device industry often faces stringent regulatory environments and the ability to manage product inventory effectively while navigating these regulations is key to maintaining profitability.
From an economic perspective, the company's performance and guidance should be contextualized within the broader economic environment, including foreign currency exchange rates and global economic conditions. The assumption that foreign currency translation rates will remain consistent is an important caveat in their 2024 revenue guidance, as fluctuations could materially affect reported revenues. The international market's strong performance may also be subject to geopolitical risks and trade policies that can influence future growth.
The company's strategy to invest heavily in R&D and marketing amidst a challenging economic climate could be a double-edged sword. While it positions Paragon 28 for future growth and market penetration, it also increases the company's exposure to economic downturns, which could impact healthcare spending and, ultimately, the company's financial performance.
Fourth Quarter and Full Year 2023 Financial Results
-
Consolidated net revenue for the fourth quarter of 2023 was
, representing$60.6 million 17.6% and17.3% reported and constant currency growth, respectively, compared to the fourth quarter of 2022. Consolidated net revenue for the full year 2023 was , representing$216.4 million 19.3% and19.7% reported and constant currency growth, respectively, compared to the full year 2022.-
U.S. net revenue for the fourth quarter and full year 2023 was and$51.7 million , respectively, representing$183.5 million 14.1% and16.1% reported growth, respectively, compared to the prior year periods. -
International net revenue for the fourth quarter and full year 2023 was
and$8.9 million , respectively, representing$32.9 million 43.1% and41.3% reported growth, respectively, and40.7% and44.1% constant currency growth, respectively, compared to the prior year periods.
-
-
Gross profit margin was
74.5% for the fourth quarter of 2023 compared to81.5% in the fourth quarter of 2022. Gross profit margin was79.9% for the full year 2023, compared to82.1% for the full year 2022. Related to the recent inventory stockpiling, during the fourth quarter of 2023 the Company recorded inventory write-downs totaling which reduced fourth quarter and full year 2023 gross profit margins by 6.6 and 1.8 percentage points, respectively.$4.0 million -
Research and development expenses and selling, general, and administrative expenses increased by
10.5% to for the fourth quarter of 2023, compared to$56.4 million for the fourth quarter of 2022. Research and development expenses and selling, general, and administrative expenses increased by$51.0 million 14.2% to for the full year 2023, compared to$210.1 million for the fourth quarter of 2022. The increase in both periods was driven by further investments in new product development, selling and marketing initiatives, as well as investments in corporate and operations infrastructure.$184.0 million -
Net loss was
for the fourth quarter of 2023, compared to a net loss of$19.6 million for the fourth quarter of 2022. Net loss was$38.8 million for the full year 2023, compared to a net loss of$47.8 million for the full year 2022.$67.3 million -
Adjusted EBITDA for the fourth quarter of 2023, negatively impacted by the
of inventory write-downs, was a$4.0 million loss compared to a$4.4 million loss in the fourth quarter of 2022. Adjusted EBITDA for the full year 2023, negatively impacted by the$1.5 million of inventory write-downs during the fourth quarter 2023, was a$4.0 million loss compared to a$9.7 million loss for the full year 2022.$10.7 million
“Our team ended the year with solid performances across each foot and ankle segment both in the
2024 Net Revenue Guidance
The Company expects 2024 net revenue to be
The Company’s 2024 net revenue guidance assumes foreign currency translation rates remain consistent with current foreign currency translation rates.
Webcast and Conference Call Information
Paragon 28 will host a conference call to discuss fourth quarter and full year 2023 financial results on Thursday, February 29, 2024, at 2:30 p.m. Mountain Time / 4:30 p.m. Eastern Time. Investors interested in listening to the conference call may do so by dialing (833-470-1428) for domestic callers or (404-975-4839) for international callers, using conference ID: 593140. Live audio of the webcast will be available on the “Investors” section of the company’s website at: ir.paragon28.com. The webcast will be archived and available for replay for at least 90 days after the event.
About Paragon 28, Inc.
Based in
Forward Looking Statements
Except for the historical information contained herein, the matters set forth in this press release are forward-looking statements within the meaning of the "safe harbor" provisions of the Private Securities Litigation Reform Act of 1995, including, but not limited to: Paragon 28’s potential to shape a better future for foot and ankle patients and its estimated net revenue for full year 2024. You are cautioned not to place undue reliance on these forward-looking statements. Forward-looking statements are only predictions based on our current expectations, estimates, and assumptions, valid only as of the date they are made, and subject to risks and uncertainties, some of which we are not currently aware. Forward‐looking statements should not be read as a guarantee of future performance or results and may not necessarily be accurate indications of the times at, or by, which such performance or results will be achieved. These forward‐looking statements are based on Paragon 28’s current expectations and inherently involve significant risks and uncertainties. Actual results and the timing of events could differ materially from those anticipated in such forward‐looking statements as a result of these risks and uncertainties. These risks and uncertainties are described more fully in the section titled “Risk Factors” in Paragon 28’s filings with the Securities and Exchange Commission (the “SEC”), including Paragon 28’s annual report on Form 10-K filed with the SEC on February 29, 2024. Paragon 28 does not undertake any obligation to update forward‐looking statements and expressly disclaims any obligation or undertaking to release publicly any updates or revisions to any forward‐looking statements contained herein. These forward-looking statements should not be relied upon as representing Paragon 28’s views as of any date subsequent to the date of this press release. Paragon 28’s results for the quarter ended December 31, 2023 are not necessarily indicative of our operating results for any future periods.
Use of Non-GAAP Financial Measures and Their Limitations
In addition to our results and measures of performance determined in accordance with
Adjusted EBITDA is a key performance measure that our management uses to assess our financial performance and is also used for internal planning and forecasting purposes. We define Adjusted EBITDA as earnings (loss) before interest expense, income tax expense (benefit), depreciation and amortization, stock-based compensation expense, employee stock purchase plan expense, non-recurring expenses and certain other non-cash expenses.
We believe that Adjusted EBITDA, together with a reconciliation to net income, helps identify underlying trends in our business and helps investors make comparisons between our company and other companies that may have different capital structures, tax rates, or different forms of employee compensation. Accordingly, we believe that Adjusted EBITDA provides useful information to investors and others in understanding and evaluating our operating results, enhancing the overall understanding of our past performance and future prospects, and allowing for greater transparency with respect to a key financial metric used by our management in its financial and operational decision-making. Our use of Adjusted EBITDA has limitations as an analytical tool, and you should not consider these measures in isolation or as a substitute for analysis of our financial results as reported under
- other companies, including companies in our industry which have similar business arrangements, may report Adjusted EBITDA, or similarly titled measures but calculate them differently, which reduces their usefulness as comparative measures;
- although depreciation and amortization expenses are non-cash charges, the assets being depreciated and amortized may have to be replaced in the future, and Adjusted EBITDA does not reflect cash capital expenditures for such replacements or for new capital expenditure requirements;
- Adjusted EBITDA also does not reflect changes in, or cash requirements for, our working capital needs or the potentially dilutive impact of stock-based compensation; and
- Adjusted EBITDA does not reflect the interest expense, or the cash requirements necessary to service interest or principal payments, on our debt that we may incur.
Additionally, we report revenue growth on a constant-currency basis in order to facilitate period-to-period comparisons of results without regard to the impact of fluctuating foreign currency exchange rates. The term foreign currency exchange rates refers to the exchange rates used to translate the company's operating results for all countries where the functional currency is not the
The company believes disclosure of constant-currency revenue growth rates is helpful to investors because it facilitates period-to-period comparisons. However, constant-currency revenue growth rates are non-GAAP financial measures and are not meant to be considered as an alternative or substitute for comparable measures prepared in accordance with GAAP. Constant-currency growth has no standardized meaning prescribed by GAAP and should be read in conjunction with our consolidated financial statements prepared in accordance with GAAP. We calculate constant-currency growth rates by translating local currency amounts in the current period at actual foreign exchange rates for the prior period.
Because of these and other limitations, you should consider our non-GAAP measures only as supplemental to other GAAP-based financial measures.
PARAGON 28, INC. AND SUBSIDIARIES |
||||||||
CONSOLIDATED BALANCE SHEETS |
||||||||
(in thousands) |
||||||||
|
|
December 31, 2023 |
|
December 31, 2022 |
||||
ASSETS |
|
|
|
|
||||
Current assets: |
|
|
|
|
||||
Cash |
|
$ |
75,639 |
|
|
$ |
38,468 |
|
Trade receivables |
|
|
37,323 |
|
|
|
37,687 |
|
Inventories, net |
|
|
98,062 |
|
|
|
60,948 |
|
Income taxes receivable |
|
|
794 |
|
|
|
615 |
|
Other current assets |
|
|
3,997 |
|
|
|
4,658 |
|
Total current assets |
|
|
215,815 |
|
|
|
142,376 |
|
|
|
|
|
|
||||
Property and equipment, net |
|
|
74,122 |
|
|
|
61,938 |
|
Intangible assets, net |
|
|
21,674 |
|
|
|
22,387 |
|
Goodwill |
|
|
25,465 |
|
|
|
25,465 |
|
Deferred income taxes |
|
|
705 |
|
|
|
148 |
|
Other assets |
|
|
2,918 |
|
|
|
1,795 |
|
Total assets |
|
$ |
340,699 |
|
|
$ |
254,109 |
|
|
|
|
|
|
||||
LIABILITIES & STOCKHOLDERS' EQUITY |
|
|
|
|
||||
Current liabilities: |
|
|
|
|
||||
Accounts payable |
|
$ |
21,696 |
|
|
$ |
14,939 |
|
Accrued expenses |
|
|
27,781 |
|
|
|
26,807 |
|
Accrued legal settlement |
|
|
— |
|
|
|
22,000 |
|
Other current liabilities |
|
|
883 |
|
|
|
3,844 |
|
Current maturities of long-term debt |
|
|
640 |
|
|
|
728 |
|
Income taxes payable |
|
|
243 |
|
|
|
184 |
|
Total current liabilities |
|
|
51,243 |
|
|
|
68,502 |
|
|
|
|
|
|
||||
Long-term liabilities: |
|
|
|
|
||||
Long-term debt net, less current maturities |
|
|
109,799 |
|
|
|
42,182 |
|
Other long-term liabilities |
|
|
1,048 |
|
|
|
1,628 |
|
Deferred income taxes |
|
|
233 |
|
|
|
342 |
|
Income taxes payable |
|
|
635 |
|
|
|
527 |
|
Total liabilities |
|
|
162,958 |
|
|
|
113,181 |
|
|
|
|
|
|
||||
Stockholders' equity: |
|
|
|
|
||||
Common stock, |
|
|
827 |
|
|
|
776 |
|
Additional paid in capital |
|
|
298,394 |
|
|
|
213,956 |
|
Accumulated deficit |
|
|
(115,630 |
) |
|
|
(67,789 |
) |
Accumulated other comprehensive income (loss) |
|
|
132 |
|
|
|
(33 |
) |
Treasury stock, at cost; 913,519 shares as of December 31, 2023 and December 31, 2022 |
|
|
(5,982 |
) |
|
|
(5,982 |
) |
Total stockholders' equity |
|
|
177,741 |
|
|
|
140,928 |
|
Total liabilities & stockholders' equity |
|
$ |
340,699 |
|
|
$ |
254,109 |
|
PARAGON 28, INC. AND SUBSIDIARIES |
||||||||||||||||
CONSOLIDATED STATEMENTS OF OPERATIONS |
||||||||||||||||
(in thousands) |
||||||||||||||||
|
|
Three Months Ended |
|
Year Ended |
||||||||||||
|
|
December 31, |
|
December 31, |
||||||||||||
|
|
2023 |
|
|
2022 |
|
|
2023 |
|
|
2022 |
|
||||
Net revenue |
|
$ |
60,561 |
|
|
$ |
51,508 |
|
|
$ |
216,389 |
|
|
$ |
181,383 |
|
Cost of goods sold |
|
|
15,440 |
|
|
|
9,537 |
|
|
|
43,598 |
|
|
|
32,457 |
|
Gross profit |
|
|
45,121 |
|
|
|
41,971 |
|
|
|
172,791 |
|
|
|
148,926 |
|
|
|
|
|
|
|
|
|
|
||||||||
Operating expenses: |
|
|
|
|
|
|
|
|
||||||||
Research and development costs |
|
|
8,102 |
|
|
|
6,550 |
|
|
|
30,078 |
|
|
|
24,650 |
|
Selling, general, and administrative |
|
|
48,249 |
|
|
|
44,466 |
|
|
|
180,022 |
|
|
|
159,323 |
|
Legal settlement |
|
|
— |
|
|
|
27,000 |
|
|
|
— |
|
|
|
27,000 |
|
Total operating expenses |
|
|
56,351 |
|
|
|
78,016 |
|
|
|
210,100 |
|
|
|
210,973 |
|
Operating loss |
|
|
(11,230 |
) |
|
|
(36,045 |
) |
|
|
(37,309 |
) |
|
|
(62,047 |
) |
|
|
|
|
|
|
|
|
|
||||||||
Other income (expense): |
|
|
|
|
|
|
|
|
||||||||
Other (expense) income |
|
|
(860 |
) |
|
|
(1,824 |
) |
|
|
154 |
|
|
|
(1,214 |
) |
Loss on early extinguishment of debt |
|
|
(5,308 |
) |
|
|
— |
|
|
|
(5,308 |
) |
|
|
— |
|
Interest expense, net |
|
|
(2,038 |
) |
|
|
(1,264 |
) |
|
|
(5,165 |
) |
|
|
(4,129 |
) |
Total other expense |
|
|
(8,206 |
) |
|
|
(3,088 |
) |
|
|
(10,319 |
) |
|
|
(5,343 |
) |
Loss before income taxes |
|
|
(19,436 |
) |
|
|
(39,133 |
) |
|
|
(47,628 |
) |
|
|
(67,390 |
) |
Income tax expense (benefit) |
|
|
123 |
|
|
|
(370 |
) |
|
|
213 |
|
|
|
(64 |
) |
Net loss |
|
$ |
(19,559 |
) |
|
$ |
(38,763 |
) |
|
$ |
(47,841 |
) |
|
$ |
(67,326 |
) |
PARAGON 28, INC. AND SUBSIDIARIES |
||||||||
CONSOLIDATED STATEMENTS OF CASH FLOWS |
||||||||
(in thousands) |
||||||||
|
|
Year Ended December 31, |
||||||
|
|
2023 |
|
|
2022 |
|
||
Cash flows from operating activities |
|
|
|
|
||||
Net loss |
|
$ |
(47,841 |
) |
|
$ |
(67,326 |
) |
Adjustments to reconcile net loss to net cash used in operating activities: |
|
|
|
|
||||
Depreciation and amortization |
|
|
15,542 |
|
|
|
13,728 |
|
Allowance for doubtful accounts |
|
|
614 |
|
|
|
155 |
|
Excess and obsolete inventories |
|
|
(352 |
) |
|
|
485 |
|
Loss on early extinguishment of debt |
|
|
1,881 |
|
|
|
— |
|
Stock-based compensation |
|
|
12,364 |
|
|
|
10,365 |
|
Change in fair value |
|
|
(791 |
) |
|
|
1,280 |
|
Other |
|
|
984 |
|
|
|
704 |
|
Changes in other assets and liabilities, net of acquisitions: |
|
|
|
|
||||
Accounts receivable |
|
|
(161 |
) |
|
|
(12,013 |
) |
Inventories |
|
|
(36,595 |
) |
|
|
(21,512 |
) |
Accounts payable |
|
|
6,742 |
|
|
|
1,895 |
|
Accrued expenses |
|
|
6,428 |
|
|
|
2,317 |
|
Accrued legal settlement |
|
|
(22,000 |
) |
|
|
22,000 |
|
Income tax receivable/payable |
|
|
(50 |
) |
|
|
391 |
|
Other assets and liabilities |
|
|
(655 |
) |
|
|
(1,650 |
) |
Net cash used in operating activities |
|
|
(63,890 |
) |
|
|
(49,181 |
) |
|
|
|
|
|
||||
Cash flows from investing activities |
|
|
|
|
||||
Purchase of office building |
|
|
— |
|
|
|
(18,300 |
) |
Purchases of property and equipment |
|
|
(26,716 |
) |
|
|
(22,813 |
) |
Proceeds from sale of property and equipment |
|
|
1,043 |
|
|
|
897 |
|
Purchases of intangible assets |
|
|
(1,314 |
) |
|
|
(1,973 |
) |
Acquisitions, net of cash received |
|
|
— |
|
|
|
(18,504 |
) |
Net cash used in investing activities |
|
|
(26,987 |
) |
|
|
(60,693 |
) |
|
|
|
|
|
||||
Cash flows from financing activities |
|
|
|
|
||||
Proceeds from draw on term loan |
|
|
— |
|
|
|
20,000 |
|
Proceeds from issuance of long-term debt |
|
|
100,000 |
|
|
|
16,000 |
|
Payments on long-term debt |
|
|
(30,727 |
) |
|
|
(570 |
) |
Payments of debt issuance costs |
|
|
(4,423 |
) |
|
|
(732 |
) |
Proceeds from issuance of common stock, net of issuance costs |
|
|
68,453 |
|
|
|
— |
|
Proceeds from exercise of stock options |
|
|
2,406 |
|
|
|
5,271 |
|
Proceeds from employee stock purchase plan |
|
|
944 |
|
|
|
518 |
|
Payments on earnout liability |
|
|
(8,000 |
) |
|
|
(1,000 |
) |
Net cash provided by financing activities |
|
|
128,653 |
|
|
|
39,487 |
|
|
|
|
|
|
||||
Effect of exchange rate changes on cash |
|
|
(605 |
) |
|
|
(497 |
) |
Net increase (decrease) in cash |
|
|
37,171 |
|
|
|
(70,884 |
) |
Cash at beginning of period |
|
|
38,468 |
|
|
|
109,352 |
|
Cash at end of period |
|
$ |
75,639 |
|
|
$ |
38,468 |
|
PARAGON 28, INC. AND SUBSIDIARIES |
||||||||||||||||
RECONCILIATION OF NET LOSS TO NON-GAAP ADJUSTED EBITDA |
||||||||||||||||
(in thousands, unaudited) |
||||||||||||||||
|
||||||||||||||||
|
|
Three Months Ended |
|
Year Ended |
||||||||||||
|
|
December 31, |
|
December 31, |
||||||||||||
|
|
2023 |
|
|
2022 |
|
|
2023 |
|
|
2022 |
|
||||
|
|
(in thousands) |
||||||||||||||
Net loss |
|
$ |
(19,559 |
) |
|
$ |
(38,763 |
) |
|
$ |
(47,841 |
) |
|
$ |
(67,326 |
) |
Interest expense, net |
|
|
2,038 |
|
|
|
1,264 |
|
|
|
5,165 |
|
|
|
4,129 |
|
Income tax expense (benefit) |
|
|
123 |
|
|
|
(370 |
) |
|
|
213 |
|
|
|
(64 |
) |
Depreciation and amortization expense |
|
|
4,940 |
|
|
|
4,104 |
|
|
|
15,542 |
|
|
|
13,728 |
|
Stock based compensation expense |
|
|
2,070 |
|
|
|
3,313 |
|
|
|
12,364 |
|
|
|
10,365 |
|
Employee stock purchase plan expense |
|
|
54 |
|
|
|
113 |
|
|
|
322 |
|
|
|
213 |
|
Loss on early extinguishment of debt (1) |
|
|
5,308 |
|
|
|
— |
|
|
|
5,308 |
|
|
|
— |
|
Change in fair value (2) |
|
|
603 |
|
|
|
1,855 |
|
|
|
(791 |
) |
|
|
1,280 |
|
Legal Settlement (3) |
|
|
— |
|
|
|
27,000 |
|
|
|
— |
|
|
|
27,000 |
|
Adjusted EBITDA |
|
$ |
(4,423 |
) |
|
$ |
(1,484 |
) |
|
$ |
(9,718 |
) |
|
$ |
(10,675 |
) |
(1) | Represents non-recurring expenses related to the write-off of unamortized debt issuance costs and fees incurred to exit the MidCap Credit Agreements early |
|
(2) | Represents a non-cash change in the fair value of earnout liabilities for all periods presented and interest rate swap contract for the three months and year ended December 31, 2023 |
|
(3) | Represents non-recurring expenses in connection with the Wright Medical litigation settlement |
PARAGON 28, INC. AND SUBSIDIARIES |
|||||||||||||||||||||
Constant-Currency Revenue Growth |
|||||||||||||||||||||
(in thousands, unaudited) |
|||||||||||||||||||||
|
|
Three Months Ended |
|
|
|
Year Ended |
|
|
|||||||||||||
|
|
December 31, |
|
Change |
|
December 31, |
|
Change |
|||||||||||||
|
|
2023 |
|
|
2022 |
|
% |
|
2023 |
|
2022 |
|
% |
||||||||
Total Consolidated Revenues |
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||
As Reported |
|
$ |
60,561 |
|
|
$ |
51,508 |
|
|
17.6 |
% |
|
$ |
216,389 |
|
$ |
181,383 |
|
|
19.3 |
% |
Impact of foreign currency exchange rates |
|
|
(151 |
) |
|
|
— |
|
* |
|
|
|
652 |
|
|
— |
|
* |
|
||
Constant-currency net revenues |
|
$ |
60,410 |
|
|
$ |
51,508 |
|
|
17.3 |
% |
|
$ |
217,041 |
|
$ |
181,383 |
|
|
19.7 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||
Total International Revenues |
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||
As Reported |
|
$ |
8,849 |
|
|
$ |
6,184 |
|
|
43.1 |
% |
|
$ |
32,884 |
|
$ |
23,278 |
|
|
41.3 |
% |
Impact of foreign currency exchange rates |
|
|
(151 |
) |
|
|
— |
|
* |
|
|
|
652 |
|
|
— |
|
* |
|
||
Constant-currency net revenues |
|
$ |
8,698 |
|
|
$ |
6,184 |
|
|
40.7 |
% |
|
$ |
33,536 |
|
$ |
23,278 |
|
|
44.1 |
% |
* Not Meaningful |
View source version on businesswire.com: https://www.businesswire.com/news/home/20240229979521/en/
Investor Contact:
Matt Brinckman
Senior Vice President, Strategy and Investor Relations
mbrinckman@paragon28.com
Source: Paragon 28, Inc.
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