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PROCEPT BioRobotics Reports Fourth Quarter and Full Year 2021 Financial Results

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PROCEPT BioRobotics (Nasdaq: PRCT) reported strong financial results for Q4 and full year 2021, with revenues reaching $10.1 million for Q4 and $34.5 million for the full year, up from $3.2 million and $7.7 million in 2020. The company's U.S. system and rental revenue increased to $5.0 million in Q4. Despite a net loss of $18.3 million in Q4, the company issued revenue guidance of $54.0 million to $58.0 million for 2022. Key achievements included a nearly doubled sales force and positive results from the WATER Study supporting Aquablation therapy.

Positive
  • Revenue increased to $10.1 million in Q4 2021 from $3.2 million in Q4 2020.
  • Full year 2021 revenue grew to $34.5 million compared to $7.7 million in 2020.
  • Gross margin for Q4 2021 improved to 44.5% from 14.6% year-over-year.
  • Guidance for 2022 revenue is projected at $54.0 million to $58.0 million.
Negative
  • Net loss for Q4 2021 was $18.3 million, compared to $15.3 million in Q4 2020.
  • Operating expenses increased to $21.3 million in Q4 2021 from $13.7 million in Q4 2020.
  • Full year net loss of $59.9 million in 2021, up from a $53.0 million loss in 2020.
  • Operating expenses projected to reach approximately $105.0 million in 2022.

REDWOOD CITY, Calif., March 08, 2022 (GLOBE NEWSWIRE) -- PROCEPT® BioRobotics (Nasdaq: PRCT) (the “Company”), a surgical robotics company focused on advancing patient care by developing transformative solutions in urology, today reported financial results for the fourth quarter and full year ended December 31, 2021.

Recent Highlights

  • Revenue of $10.1 million for the fourth quarter of 2021 and $34.5 million for the full year of 2021, compared to $3.2 million and $7.7 million, respectively, from the same periods of 2020
  • U.S. system and rental revenue of $5.0 million for the fourth quarter of 2021, compared to $1.2 million in the prior year period
  • U.S. handpiece and consumables revenue of $3.4 million for the fourth quarter of 2021, compared to $0.8 million in the prior year period
  • Announced positive 5-year WATER Study data on February 14, 2022
  • Issued 2022 total revenue guidance range of $54.0 million to $58.0 million

“We are very pleased with the results we delivered in 2021 and continue to see positive momentum in the first quarter of 2022,” said Reza Zadno, Chief Executive Officer. “We also achieved a number of critical milestones over the last few months, including approximately doubling the size of our field-based sales force and announcing 5-year WATER Study data - which highlights the durability, safety and efficacy of Aquablation therapy and demonstrates IPSS superiority compared to TURP in prostates larger than 50 mL. We believe these catalysts will accelerate the adoption of our technology to become the standard of care for BPH.”

Fourth Quarter 2021 Financial Results

Revenue for the fourth quarter of 2021 was $10.1 million, compared to $3.2 million in the fourth quarter of 2020. The increase was primarily driven by system sales to new hospital customers and increased utilization among existing customers. U.S. system revenue was $5.0 million, compared to $1.2 million in the prior year period. As of December 31, 2021, the install base of Aquabeam Robotic Systems in the U.S. was 78 units. U.S. handpiece and consumable revenue was $3.4 million, compared to $0.8 million in the fourth quarter of 2020. International revenue was $1.4 million, compared to $1.2 million in the prior year period.

Gross margin for the fourth quarter 2021 was 44.5% compared to 14.6% in the prior year period. Gross margin improvement was primarily attributable to the growth in revenues, which allowed the Company to spread the fixed portion of its manufacturing and overhead costs over more production units.

Operating expenses in the fourth quarter of 2021 were $21.3 million, compared with $13.7 million in the prior year period. The increase was primarily driven by increased selling, general and administrative expenses to expand the sales organization and increased expenses associated with being a public company.

Net loss was ($18.3) million for the fourth quarter of 2021, compared to ($15.3) million in the prior year period.

Cash and short-term investments as of December 31, 2021 totaled $304.3 million, while long-term borrowings totaled $50.0 million.

Full Year 2021 Financial Results

Revenue for the full year 2021 was $34.5 million, compared to $7.7 million for the full year 2020. The growth was primarily driven by increases in U.S. revenues, attributable to the expansion of the U.S. sales force and improved U.S. reimbursement coverage in 2021.

Gross margin for full year 2021 was 46.0%, compared to a negative 16.3% for the full year 2020. Gross margin improvement was primarily attributable to the growth in revenues.

Operating expenses were $70.0 million for the full year 2021, compared to $46.5 million for the full year 2020, an increase of 50.5% driven primarily by headcount increases and public company operating costs.

Net loss was ($59.9) million for the full year 2021, compared to ($53.0) million for the full year 2020.

First Quarter 2022 Revenue Guidance

  • The Company projects revenue for the first quarter of 2022 to be in the range of $12.0 million to $12.5 million

Full Year 2022 Financial Guidance

  • The Company projects full year 2022 revenue to be in the range of $54.0 million to $58.0 million and gross margin to be in the range of 47.0% to 49.0%
  • Full year 2022 operating expenses projected to be approximately $105.0 million, which includes approximately $12.5 million in stock-based compensation expense
  • Full year 2022 Adjusted EBITDA loss expected to be in the range of ($63.0) million to ($60.0) million

Adjusted EBITDA is a financial measure that is not prepared in accordance with generally accepted accounting principles in the United States (GAAP). For more information about the Company’s use of non-GAAP financial measures, please see the section below titled “Use of Non-GAAP Financial Measures (Unaudited).”

Webcast and Conference Call Information
PROCEPT BioRobotics will host a conference call to discuss the fourth quarter 2021 financial results after the market close on Tuesday, March 8th, 2022, at 5:00 a.m. Pacific Time / 8:00 a.m. Eastern Time. Investors interested in listening to the conference call may do so by dialing (800) 306-0005 for domestic callers or (209) 905-5968 for international callers, using conference ID: 2515587. Live audio of the webcast will be available on the “Investors” section of the Company’s website at: https://ir.procept-biorobotics.com. The webcast will be archived and available for replay for at least 90 days after the event.

About PROCEPT BioRobotics Corporation
PROCEPT is a surgical robotics company focused on advancing patient care by developing transformative solutions in urology. PROCEPT develops, manufactures and sells the AquaBeam Robotic System, an advanced, image-guided, surgical robotic system for use in minimally invasive urologic surgery with an initial focus on treating benign prostatic hyperplasia, or BPH. BPH is the most common prostate disease and impacts approximately 40 million men in the United States. PROCEPT designed Aquablation therapy to deliver effective, safe and durable outcomes for males suffering from lower urinary tract symptoms, or LUTS, due to BPH that are independent of prostate size and shape or surgeon experience. PROCEPT has developed a significant and growing body of clinical evidence, which includes nine clinical studies and over 100 peer-reviewed publications, supporting the benefits and clinical advantages of Aquablation therapy.

Use of Non-GAAP Financial Measures (Unaudited)
This press release references Adjusted EBITDA, a financial measure that is not prepared in accordance with generally accepted accounting principles in the United States (GAAP). The Company defines Adjusted EBITDA as earnings before interest expense, taxes, depreciation and amortization and stock-based compensation. Non-GAAP financial measures are not a substitute for or superior to measures of financial performance prepared in accordance with GAAP and should not be considered as an alternative to any other performance measures derived in accordance with GAAP.

The Company believes that presenting Adjusted EBITDA provides useful supplemental information to investors about the Company in understanding and evaluating its operating results, enhancing the overall understanding of its past performance and future prospects, and allowing for greater transparency with respect to key financial metrics used by its management in financial and operational decision making. However, there are a number of limitations related to the use of non-GAAP measures and their nearest GAAP equivalents. For example, other companies may calculate non-GAAP measures differently, or may use other measures to calculate their financial performance, and therefore any non-GAAP measures the Company uses may not be directly comparable to similarly titled measures of other companies.

Forward Looking Statements
This release contains forward‐looking statements within the meaning of federal securities laws, including with respect to the Company’s projected financial performance for the first quarter and full year 2022, statements regarding the potential utilities, values, benefits and advantages of Aquablation® therapy performed using PROCEPT’s products, including AquaBeam® Robotic System, which involve risks and uncertainties that could cause the actual results to differ materially from the anticipated results and expectations expressed in these forward-looking statements. 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 may include statements regarding financial guidance, market opportunity and penetration, the Company’s possible or assumed future results of operations, including descriptions of the Company’s revenues, gross margin, profitability, operating expenses, installed base growth, commercial momentum, overall business strategy, or information regarding the impact of the COVID-19 pandemic on the Company and its operations. 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 PROCEPT’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 PROCEPT’s filings with the Securities and Exchange Commission (the “SEC”), including PROCEPT’s quarterly report on From 10-Q filed with the SEC on November 5, 2021. PROCEPT 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 PROCEPT’s views as of any date subsequent to the date of this press release.

Investor Contact:
Gilmartin Group
Matt Bacso, CFA
Matt.bacso@gilmartinir.com


PROCEPT BioRobotics Corporation
CONSOLIDATED STATEMENTS OF OPERATIONS
(in thousands, except per share data)
(unaudited)

     
  Three Months Ended December 31, Twelve Months Ended December 31,
   2020   2021   2020   2021 
Revenue $3,221  $10,138  $7,717  $34,473 
Cost of sales  2,752   5,622   8,972   18,608 
Gross profit  469   4,516   (1,255)  15,865 
Operating expenses:        
Research and development  4,543   5,076   16,275   18,993 
Selling, general and administrative  9,133   16,271   30,272   51,036 
Total operating expenses  13,676   21,347   46,547   70,029 
Loss from operations  (13,207)  (16,831)  (47,802)  (54,164)
Interest expense  (1,772)  (1,441)  (5,261)  (5,810)
Interest and other income (expense), net  (299)  (76)  44   121 
Net loss $(15,278) $(18,348) $(53,019) $(59,853)
Net loss per share, basic and diluted $(3.28) $(0.42) $(14.47) $(3.63)
Weighted-average common shares used to        
Compute net loss per share attributable to        
Common shareholders, basic and diluted  4,663   43,540   3,663   16,480 
                 

PROCEPT BioRobotics Corporation
CONDENSED CONSOLIDATED BALANCE SHEETS
(in thousands)
(unaudited)

  December 31,
   2021   2020 
Assets    
Current assets:    
Cash and cash equivalents $304,320  $100,130 
Accounts receivable, net  4,464   1,549 
Inventory  13,147   6,924 
Prepaid expenses and other current assets  4,242   1,653 
Total current assets  326,173   110,256 
Restricted cash  777   777 
Property and equipment, net  5,045   8,274 
Operating lease right-of-use assets, net  3,279   4,641 
Intangible assets, net  1,750   2,023 
Total assets $337,024  $125,971 
Liabilities, Redeemable Convertible Preferred Stock and Stockholders' Equity (Deficit)    
Current liabilities:    
Accounts payable $2,029  $1,240 
Accrued compensation  6,475   4,640 
Deferred revenue  1,025   233 
Note payable – current portion     4,551 
Operating lease – current portion  2,105   1,708 
Convertible preferred stock warrant liability     177 
Other current liabilities  4,607   1,977 
Total current liabilities  16,241   14,526 
Note payable – non-current portion  50,004   44,407 
Operating lease – non-current portion  1,991   4,096 
Loan facility derivative liability  1,496   1,782 
Other non-current liabilities  200   200 
Total liabilities  69,932   65,011 
Redeemable convertible preferred stock     243,854 
Stockholders’ equity (deficit):    
Additional paid-in capital  528,666   18,788 
Accumulated other comprehensive loss  (53)  (14)
Accumulated deficit  (261,521)  (201,668)
Total stockholders’ equity (deficit)  267,092   (182,894)
Total liabilities, convertible redeemable preferred stock and stockholders’ equity (deficit) $337,024  $125,971 
         

PROCEPT BioRobotics Corporation
REVENUE BY TYPE AND GEOGRAPHY
(in thousands)
(unaudited)

     
  Three Months Ended December 31,  Twelve Months Ended December 31,
   2020   2021   2020   2021 
U.S.        
System sales and rentals $1,229  $5,007  $2,334  $19,375 
Handpieces and other consumables  769   3,435   1,699   8,893 
Service  40   302   67   680 
Total U.S. revenue  2,038   8,744   4,100   28,948 
Outside of U.S.        
System sales and rentals  714   768   1,824   2,493 
Handpieces and other consumables  443   475   1,722   2,634 
Service  26   151   71   398 
Total outside of U.S. revenue  1,183   1,394   3,617   5,525 
Total revenue $3,221  $10,138  $7,717  $34,473 
                 

PROCEPT BioRobotics Corporation
Reconciliation of GAAP Net Loss to Adjusted 2022 EBITDA Guidance
(in thousands)
(unaudited)

 Low  High
Net loss($85,000)  ($82,000)
Depreciation and amortization expense 3,900    3,900 
Stock-based compensation expense 12,500    12,500 
Interest and other expense, net 5,600    5,600 
Adjusted EBITDA$(63,000)  $(60,000)

 


FAQ

What were PROCEPT BioRobotics' Q4 2021 financial results?

PROCEPT BioRobotics reported Q4 2021 revenue of $10.1 million, a significant increase from $3.2 million in Q4 2020.

What is the revenue guidance for PROCEPT BioRobotics in 2022?

The company projects 2022 revenue to be in the range of $54.0 million to $58.0 million.

What was the net loss for PROCEPT BioRobotics in Q4 2021?

The net loss for Q4 2021 was $18.3 million, compared to $15.3 million in Q4 2020.

How did PROCEPT BioRobotics' gross margin change in 2021?

Gross margin improved to 44.5% in Q4 2021 from 14.6% in Q4 2020, and for the full year 2021 it was 46.0%.

What are the projected operating expenses for PROCEPT BioRobotics in 2022?

Operating expenses for 2022 are projected to be approximately $105.0 million.

PROCEPT BioRobotics Corporation

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