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Penumbra, Inc. Reports First Quarter 2024 Financial Results

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Penumbra, Inc. reported strong financial results for the first quarter of 2024, with revenue reaching $278.7 million, a 15.4% increase over the previous year. The company's U.S. thrombectomy revenue saw a significant growth of 35.2%. The non-GAAP income from operations was $19.3 million, and adjusted EBITDA was $37.6 million with a margin of 13.5%. Penumbra's total revenue growth and U.S. thrombectomy revenue guidance for the full year 2024 are 16-20% and 27-30%, respectively. The company expects continued growth in revenue and gross margin expansion for the year.

Positive
  • Revenue increased by 15.4% to $278.7 million in the first quarter of 2024 compared to the previous year.

  • U.S. thrombectomy revenue grew by 35.2% in the first quarter of 2024.

  • Non-GAAP income from operations reached $19.3 million in the first quarter of 2024.

  • Adjusted EBITDA was $37.6 million with a margin of 13.5% in the first quarter of 2024.

  • The company's revenue and U.S. thrombectomy revenue guidance for full year 2024 are 16-20% and 27-30%, respectively.

  • Penumbra expects gross margin expansion and total non-GAAP operating margin expansion in the range of 100 to 150 basis points and 100 to 200 basis points, respectively, in 2024 compared to the previous year.

Negative
  • None.

Insights

The observed revenue growth for Penumbra in the first quarter, primarily led by its U.S. thrombectomy products, indicates robust demand in this niche segment. The increase of $37.3 million in revenue aligns with the broader trend of healthcare innovation driving sales. A detail that warrants attention is the gross margin improvement to 65%, up from 62.6%. This improvement suggests effective cost management and may indicate scalability benefits as the company grows.

However, investors should note the decline in revenue from global embolization and access products, especially internationally. This mixed performance could signal competitive pressures or market saturation in specific regions. The $24.3 million rise in cash and marketable investments suggests liquidity is not currently a concern, potentially providing flexibility for future investments or innovation.

Looking forward, Penumbra's reaffirmation of its full-year guidance suggests confidence in its growth trajectory. It is essential, though, for investors to monitor the company's ability to maintain growth rates within the projected ranges of 16% to 20% for total revenue and notably the 27% to 30% for the U.S. thrombectomy franchise.

Penumbra's specific mention of Computer-Assisted Vacuum Thrombectomy (CAVT) products as a growth driver is significant, highlighting the increasing adoption of advanced medical technologies. The market's favorable response to such innovation is a testament to the evolving healthcare landscape where precision and minimally invasive procedures are highly valued. This trend is expected to continue, potentially benefiting Penumbra's long-term position within the industry.

Another aspect for investors to consider is the anticipated gross margin and operating margin expansion, which signals operational efficiency and possible economies of scale. If achieved, these improvements could reflect positively on Penumbra's profitability and appeal to value-oriented investors. Understanding the balance between R&D investments, which have increased year-on-year and profitability will be critical for assessing the sustainability of Penumbra's growth model.

The decrease in international embolization and access product sales surfaces a potential area of concern. It's important to investigate the cause—whether it's due to regulatory challenges, market dynamics, or competitive disruptions. This issue could have implications for international market strategy and requires strategic adjustments to avoid prolonged negative growth in this segment.

Nonetheless, Penumbra's performance in the highly competitive U.S. market, especially around thrombectomy products, is commendable. This success is indicative of strong product adoption and market penetration. Investors should watch for trends in healthcare spending, regulatory changes and technological advancements as these factors will heavily influence Penumbra's market share and financial performance moving forward.

ALAMEDA, Calif., May 7, 2024 /PRNewswire/ -- Penumbra, Inc. (NYSE: PEN), a global healthcare company focused on innovative therapies, today reported financial results for the first quarter ended March 31, 2024.

  • Revenue of $278.7 million in the first quarter of 2024, an increase of 15.4% or 15.2% in constant currency1, compared to the first quarter of 2023.
  • U.S. thrombectomy revenue of $150.3 million in the first quarter of 2024 increased 35.2% compared to the first quarter of 2023.
  • Non-GAAP income from operations1 of $19.3 million in the first quarter of 2024.
  • Adjusted EBITDA1 of $37.6 million and adjusted EBITDA margin of 13.5% in the first quarter of 2024.
  • Cash and marketable investments increased $24.3 million in the first quarter of 2024 compared to the fourth quarter of 2023 driven by an increase in profitability and improvements in working capital.
  • Strong growth trends in the first quarter reinforce our total revenue and U.S. thrombectomy revenue guidance ranges of 16-20% and 27-30%, respectively, for full year 2024.

First Quarter 2024 Financial Results
Total revenue increased to $278.7 million for the first quarter of 2024 compared to $241.4 million for the first quarter of 2023, an increase of 15.4%, or 15.2% in constant currency1. The United States represented 75.2% of total revenue and international represented 24.8% of total revenue for the first quarter of 2024. Revenue from the U.S. increased 22.0% while revenue from our international regions decreased 0.7%, or 1.7% in constant currency1. Revenue from sales of our global thrombectomy products grew to $187.7 million in the first quarter of 2024, an increase of 29.5%, or 29.3% in constant currency1 over the same period a year ago, driven primarily by the sales of our U.S. thrombectomy products which increased by 35.2% over the same period a year ago. Revenue from sales of our global embolization and access products declined to $91.0 million for the first quarter of 2024, a decrease of 5.7%, or 6.0% in constant currency1 from the same period a year ago, driven primarily by our international embolization and access products which decreased by 11.6% over the same period a year ago.

Gross profit for the first quarter of 2024 was $181.1 million, or 65.0% of total revenue compared to $151.1 million, or 62.6% of total revenue, for the first quarter of 2023. Gross margin is impacted by product mix, regional mix, and production initiatives to support demand and create future efficiencies. As such, with favorable product mix, improvement in productivity, and by leveraging our fixed costs on higher volume of new product sales during the year, our gross margin may be positively impacted in the future.

Total operating expenses, including a $2.4 million amortization expense of finite lived intangible assets acquired in connection with the Sixense acquisition for both periods and $4.8 million in non-recurring litigation related expenses for the first quarter of 2024, were $169.0 million, or 60.7% of total revenue for the first quarter of 2024, and $143.1 million, or 59.3% of total revenue, for the first quarter of 2023. Excluding the charges noted above, total non-GAAP operating expenses1 were $161.8 million, or 58.1% of total revenue, for the first quarter of 2024, and $140.7 million, or 58.3% of total revenue for the first quarter of 2023, respectively. R&D expenses were $24.6 million for the first quarter of 2024, compared to $20.0 million for the first quarter of 2023. SG&A expenses were $144.4 million for the first quarter of 2024, compared to $123.1 million for the first quarter of 2023.

Income from operations was $12.1 million for the first quarter of 2024, compared to income from operations of $8.0 million for the first quarter of 2023. Excluding the amortization expense of finite lived intangible assets acquired in connection with the Sixense acquisition of $2.4 million for both periods and $4.8 million in non-recurring litigation related expenses for the first quarter of 2024, non-GAAP income from operations1 was $19.3 million for the first quarter of 2024 compared to non-GAAP income from operations of $10.4 million for the first quarter of 2023.

Full Year 2024 Financial Outlook
The Company reiterates guidance for total revenue for 2024 to be in the range of $1,230.0 million to $1,270.0 million, representing year over year growth of 16% to 20% compared to 2023 revenue of $1,058.5 million. The Company also continues to project the U.S. thrombectomy franchise will grow 27% to 30% year-over-year, primarily driven by its Computer-Assisted Vacuum Thrombectomy ("CAVT") products. The Company also continues to expect gross margin expansion in the range of 100 to 150 basis points and total non-GAAP operating margin expansion in the range of 100 to 200 basis points in 2024 compared to full year 2023.

1See "Non-GAAP Financial Measures" for important information about our use of non-GAAP measures.

Webcast and Conference Call Information
Penumbra, Inc. will host a conference call to discuss the first quarter 2024 financial results after market close on Tuesday, May 7, 2024 at 4:30 PM Eastern Time. The conference call can be accessed live over the phone by dialing (888) 596-4144 for domestic and international callers (conference id: 7567226), or the webcast can be accessed on the "Events and Presentations" section under the "Investors" tab of the Company's website at: www.penumbrainc.com. The webcast will be available on the Company's website for at least two weeks following the completion of the call.

About Penumbra
Penumbra, Inc., headquartered in Alameda, California, is a global healthcare company focused on innovative therapies. Penumbra designs, develops, manufactures and markets novel products and has a broad portfolio that addresses challenging medical conditions in markets with significant unmet need. Penumbra supports healthcare providers, hospitals and clinics in more than 100 countries. For more information, visit www.penumbrainc.com and connect on Twitter and LinkedIn.

Non-GAAP Financial Measures
In addition to financial measures prepared in accordance with U.S. generally accepted accounting principles ("GAAP"), the Company uses the following non-GAAP financial measures in this press release: a) constant currency, b) non-GAAP operating expenses, non-GAAP income from operations, non-GAAP net income, and non-GAAP diluted earnings per share ("EPS") and c) adjusted EBITDA.

Constant Currency. The Company's constant currency revenue disclosures estimate the impact of changes in foreign currency rates on the translation of the Company's current period revenue as compared to the applicable comparable period in the prior year. This impact is derived by taking the current local currency revenue and translating it into U.S. dollars based upon the foreign currency exchange rates used to translate the local currency revenue for the applicable comparable period in the prior year, rather than the actual exchange rates in effect during the current period. It does not include any other effect of changes in foreign currency rates on the Company's results or business.

Non-GAAP operating expenses, non-GAAP income from operations, non-GAAP net income, and non-GAAP diluted EPS. The adjustments to the GAAP financial measures reflect the exclusion of:

  • the effect of the amortization of finite lived intangible assets acquired in connection with the Sixense acquisition over their estimated useful lives;
  • the excess tax benefits associated with share-based compensation arrangements; and
  • non-recurring litigation related expenses.

Adjusted EBITDA. The Company's adjusted EBITDA reflects the exclusion from GAAP net income of:

  • non-cash operating charges such as stock-based compensation and depreciation and amortization;
  • non-operating items such as interest income, interest expense, and provision for (benefit from) income taxes; and
  • non-recurring litigation related expenses.

Full reconciliation of these non-GAAP measures to the most comparable GAAP measures is set forth in the tables below.

Our management believes the non-GAAP financial measures disclosed in this press release are useful to investors in assessing the operating performance of our business and provide meaningful comparisons to prior periods and thus a more complete understanding of our business than could be obtained absent this disclosure. Specifically, we consider the change in constant currency revenue as a useful metric as it provides an alternative framework for assessing how our underlying business performed excluding the effect of foreign currency rate fluctuations. We consider non-GAAP operating expenses, non-GAAP income from operations, non-GAAP net income, and non-GAAP diluted EPS useful metrics as they provide an alternative framework for assessing how our underlying business performed excluding the amortization expense of finite lived intangible assets acquired in connection with the Sixense acquisition, the excess tax benefits associated with share-based compensation arrangements, and expenses related to certain litigation matters that we have determined are not a normal or recurring part of our business, including settlement costs and legal fees. Further, we consider adjusted EBITDA a useful metric as it provides an alternative framework for assessing how our underlying business performed excluding non-cash operating charges such as stock-based compensation and depreciation and amortization, non-operating items such as interest income, interest expense, and provision for (benefit from) income taxes and non-recurring litigation related expenses.

The non-GAAP financial measures included in this press release may be different from, and therefore may not be comparable to, similarly titled measures used by other companies. These non-GAAP measures should not be considered in isolation or as alternatives to GAAP measures. We urge investors to review the reconciliation of these non-GAAP financial measures to the comparable GAAP financial measures included in this press release, and not to rely on any single financial measure to evaluate our business.

Forward-Looking Statements
Except for historical information, certain statements in this press release are forward-looking in nature and are subject to risks, uncertainties and assumptions about us. Our business and operations are subject to a variety of risks and uncertainties and, consequently, actual results may differ materially from those projected by any forward-looking statements. Factors that could cause actual results to differ from those projected include, but are not limited to: failure to sustain or grow profitability or generate positive cash flows; failure to effectively introduce and market new products; delays in product introductions; significant competition; inability to further penetrate our current customer base, expand our user base and increase the frequency of use of our products by our customers; inability to achieve or maintain satisfactory pricing and margins; manufacturing difficulties; permanent write-downs or write-offs of our inventory; product defects or failures; unfavorable outcomes in clinical trials; inability to maintain our culture as we grow; fluctuations in foreign currency exchange rates; potential adverse regulatory actions; and the potential impact of any acquisitions, mergers, dispositions, joint ventures or investments we may make. These risks and uncertainties, as well as others, are discussed in greater detail in our filings with the Securities and Exchange Commission ("SEC"), including our Annual Report on Form 10-K for the year ended December 31, 2023 filed with the SEC on February 22, 2024. There may be additional risks of which we are not presently aware or that we currently believe are immaterial which could have an adverse impact on our business. Any forward-looking statements are based on our current expectations, estimates and assumptions regarding future events and are applicable only as of the dates of such statements. We make no commitment to revise or update any forward-looking statements in order to reflect events or circumstances that may change.

Penumbra, Inc.

Condensed Consolidated Balance Sheets

(unaudited)

(in thousands)




March 31, 2024


December 31, 2023

Assets





Current assets:





     Cash and cash equivalents


$                  223,114


$                  167,486

     Marketable investments


90,360


121,701

     Accounts receivable, net


191,989


201,768

     Inventories


398,366


388,023

     Prepaid expenses and other current assets


31,194


36,424

          Total current assets


935,023


915,402

Property and equipment, net


75,744


72,691

Operating lease right-of-use assets


185,845


188,756

Finance lease right-of-use assets


30,234


31,092

Intangible assets, net


68,421


71,056

Goodwill


166,103


166,270

Deferred taxes


84,661


85,158

Other non-current assets


33,814


25,880

         Total assets


$               1,579,845


$               1,556,305

Liabilities and Stockholders' Equity





Current liabilities:





     Accounts payable


$                    32,454


$                    27,155

     Accrued liabilities


106,549


110,555

  Current operating lease liabilities


11,520


11,203

  Current finance lease liabilities


2,280


2,231

          Total current liabilities


152,803


151,144

Non-current operating lease liabilities


194,537


197,229

Non-current finance lease liabilities


23,098


23,680

Other non-current liabilities


5,876


5,308

          Total liabilities


376,314


377,361

Stockholders' equity:





Common stock


39


39

Additional paid-in capital


1,062,470


1,047,198

Accumulated other comprehensive loss


(4,838)


(3,151)

Retained earnings


145,860


134,858

Total stockholders' equity


1,203,531


1,178,944

Total liabilities and stockholders' equity


$               1,579,845


$               1,556,305

 

Penumbra, Inc.

Condensed Consolidated Statements of Operations

(unaudited)

(in thousands, except share and per share amounts)




Three Months Ended March 31,



2024


2023

Revenue


$                  278,655


$                  241,398

Cost of revenue


97,516


90,326

Gross profit


181,139


151,072

Operating expenses:





Research and development


24,626


19,986

Sales, general and administrative


144,412


123,078

Total operating expenses


169,038


143,064

Income from operations


12,101


8,008

Interest and other income, net


2,525


644

Income before income taxes


14,626


8,652

Provision for income taxes


3,624


90

Net income


$                    11,002


$                      8,562






Net income per share:





Basic


$                         0.28


$                         0.22

Diluted


$                         0.28


$                         0.22

Weighted average shares outstanding:





Basic


38,717,334


38,186,342

Diluted


39,387,359


39,075,388

 

Penumbra, Inc.

Reconciliation of GAAP Operating Expenses and GAAP Income from Operations to Non-GAAP Operating Expenses and Non-GAAP
Income from Operations1

(unaudited)

(in thousands)




Three Months Ended March 31,



2024


2023

GAAP operating expenses


$            169,038


$            143,064

GAAP operating expenses includes the effect of the following items:





Non-recurring litigation related expenses


4,823


Amortization of finite lived intangible assets acquired


2,380


2,380

Non-GAAP operating expenses


$            161,835


$            140,684






GAAP income from operations


$              12,101


$                8,008

GAAP income from operations includes the effect of the following items:





Non-recurring litigation related expenses


4,823


Amortization of finite lived intangible assets acquired


2,380


2,380

Non-GAAP income from operations


$              19,304


$              10,388






1See "Non-GAAP Financial Measures" for important information about our use of non-GAAP measures.

 

Penumbra, Inc.

Reconciliation of GAAP Net Income and GAAP Diluted EPS to Non-GAAP Net Income and Non-GAAP Diluted EPS1

(unaudited)

(in thousands, except share and per share amounts)




Three Months Ended

March 31, 2024


Three Months Ended

March 31, 2023



Net income


Diluted EPS


Net income


Diluted EPS

GAAP net income


$             11,002


$                 0.28


$               8,562


$                0.22

GAAP net income includes the effect of the following items:









Non-recurring litigation related expenses


4,823


0.12



Amortization of finite lived intangible assets acquired


2,380


0.06


2,380


0.06

Tax effect on the non-GAAP adjustments above2


(1,736)


(0.04)


(558)


(0.01)

Excess tax benefits related to stock compensation awards


(287)


(0.01)


(1,440)


(0.04)

Non-GAAP net income


$             16,182


$                 0.41


$               8,944


$                0.23










GAAP diluted EPS




$                 0.28




$                0.22

Non-GAAP diluted EPS




$                 0.41




$                0.23










Weighted average shares outstanding used to compute:









GAAP diluted EPS


39,387,359


39,075,388

Non-GAAP diluted EPS


39,387,359


39,075,388






1See "Non-GAAP Financial Measures" for important information about our use of non-GAAP measures. 

2For the three months ended March 31, 2024 and 2023, management used a combined federal and state tax rate of 24.10% and 23.44%, respectively, to compute the tax effect of non-GAAP adjustments.

 

Penumbra, Inc.

Reconciliation of GAAP Net Income to Adjusted EBITDA and Adjusted EBITDA Margin1

(unaudited)

(in thousands, except for percentages)




Three Months Ended March 31,



2024


2023

GAAP net income


$          11,002


$             8,562

Adjustments to GAAP net income:





Depreciation and amortization expense


7,519


6,575

Interest income, net


(2,891)


(554)

Provision for income taxes


3,624


90

Stock-based compensation expense


13,569


12,766

Non-recurring litigation related expenses


4,823


Adjusted EBITDA


$          37,646


$          27,439






Revenue


$        278,655


$        241,398

Adjusted EBITDA


$          37,646


$          27,439

Adjusted EBITDA margin


13.5 %


11.4 %






1See "Non-GAAP Financial Measures" for important information about our use of non-GAAP measures. 

 

Penumbra, Inc.

Reconciliation of Revenue Growth by Geographic Regions to Constant Currency Revenue Growth1

(unaudited)

(in thousands, except for percentages)




Three Months Ended March 31,


Reported Change


FX Impact


Constant Currency Change



2024


2023


$


%


$


$


%

United States


$      209,644


$      171,879


$       37,765


22.0 %


$               —


$       37,765


22.0 %

International


69,011


69,519


(508)


(0.7) %


(640)


(1,148)


(1.7) %

Total


$      278,655


$      241,398


$       37,257


15.4 %


$           (640)


$       36,617


15.2 %

 

Penumbra, Inc.

Reconciliation of Revenue Change by Product Categories and Geographic Regions to Constant Currency Revenue Growth1

(unaudited)

(in thousands, except for percentages)




Three Months Ended March 31,


Reported Change


 FX Impact


Constant Currency Change



2024


2023


$


%


$


$


%

Thrombectomy


$       187,703


$      144,980


$       42,723


29.5 %


$          (309)


$       42,414


29.3 %

Embolization and Access


90,952


96,418


(5,466)


(5.7) %


(331)


(5,797)


(6.0) %

Total


$       278,655


$      241,398


$       37,257


15.4 %


$          (640)


$       36,617


15.2 %




Three Months Ended March 31,


Reported Change


 FX Impact


Constant Currency Change



2024


2023


$


%


$


$


%

Thrombectomy















United States


$        150,284


$       111,189


$         39,095


35.2 %


$                —


$         39,095


35.2 %

International


37,419


33,791


3,628


10.7 %


(309)


3,319


9.8 %

  Total Thrombectomy


187,703


144,980


42,723


29.5 %


(309)


42,414


29.3 %

Embolization and Access















United States


59,360


60,690


(1,330)


(2.2) %




(1,330)


(2.2) %

International


31,592


35,728


(4,136)


(11.6) %


(331)


(4,467)


(12.5) %

  Total Embolization and Access


90,952


96,418


(5,466)


(5.7) %


(331)


(5,797)


(6.0) %

Total


$        278,655


$       241,398


$         37,257


15.4 %


$            (640)


$         36,617


15.2 %






1See "Non-GAAP Financial Measures" for important information about our use of non-GAAP measures.

 

Investor Relations
Penumbra, Inc.
510-995-2461
investors@penumbrainc.com 

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SOURCE Penumbra, Inc.

FAQ

What was Penumbra, Inc.'s revenue in the first quarter of 2024?

Penumbra, Inc. reported revenue of $278.7 million in the first quarter of 2024.

How much did the U.S. thrombectomy revenue grow in the first quarter of 2024?

The U.S. thrombectomy revenue grew by 35.2% in the first quarter of 2024.

What was the non-GAAP income from operations in the first quarter of 2024?

The non-GAAP income from operations was $19.3 million in the first quarter of 2024.

What was Penumbra's adjusted EBITDA in the first quarter of 2024?

Penumbra's adjusted EBITDA was $37.6 million with a margin of 13.5% in the first quarter of 2024.

What is Penumbra's revenue guidance for the full year 2024?

Penumbra's revenue guidance for the full year 2024 is a growth of 16-20% compared to the previous year.

Penumbra, Inc.

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