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STRATA Skin Sciences Reports Fourth Quarter and Full Year 2020 Financial Results

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STRATA Skin Sciences (SSKN) reported Q4 2020 revenues of $6.7 million, a 24.5% drop from Q4 2019. Global recurring revenue fell by 22.7% to $5.1 million, though it showed a 32.4% increase from Q3 2020. Gross profit margin was 67.6%, down from 68.8% year-over-year. For the full year, total revenue declined to $23.1 million from $31.6 million in 2019, with a net loss widening to $4.4 million. The company ended the year with $18.1 million in cash and a 30-device increase in its XTRAC device base to 860.

Positive
  • Global recurring revenue base increased to 860 XTRAC devices, up 30 year-over-year.
  • Gross domestic recurring billings rose by 13.7% over Q3 2020.
Negative
  • Total revenue decreased by 24.5% year-over-year in Q4 2020.
  • Full year revenue fell to $23.1 million, down from $31.6 million in 2019.
  • Gross profit decreased to 61.2% for the full year 2020, from 64.2% in 2019.

HORSHAM, Pa., March 24, 2021 (GLOBE NEWSWIRE) -- STRATA Skin Sciences, Inc. (NASDAQ: SSKN) (“STRATA” or the “Company”), a medical technology company dedicated to developing, commercializing, and marketing innovative products for the treatment of dermatologic conditions, today announced financial results for the quarter and full year ended December 31, 2020.

Recent Highlights

  • Total revenue for the fourth quarter of 2020 was $6.7 million, a decrease of 24.5% over the fourth quarter of 2019
    • Global recurring revenue for the fourth quarter of 2020 was $5.1 million, a 22.7% decrease over the fourth quarter of 2019 and a 32.4% increase over the third quarter of 2020
    • Gross domestic recurring billings were $5.4 million, a 13.7% increase over the third quarter 2020 (See Reconciliation of Non-GAAP measures below)
  • Total gross margins in the fourth quarter of 2020 were 67.6%, a 1.2% decrease over the fourth quarter of 2019
  • Cash, cash equivalents and restricted cash at December 31, 2020 were $18.1 million
  • Concluded the quarter with a global recurring revenue installed base of 860 XTRAC devices, an increase of 30 over the fourth quarter of 2019
  • Results of peer-reviewed study entitled, “Therapies for Psoriasis: Clinical and Economic Comparisons,” published in the Journal of Drugs in Dermatology; XTRAC® was found to be most effective and economical treatment for plaque psoriasis compared to other therapies
  • Cigna, a global health company insuring over 20 million people in the United States, added medical coverage policy statements, effective September 2020, insuring the previously uncovered condition of vitiligo

“I am excited to join the STRATA Skin Sciences team. There is a large unmet need to treat the estimated 31 million people in the U.S. alone that are affected by psoriasis, vitiligo and atopic dermatitis. I believe that our XTRAC excimer laser is a clear solution for both patients and providers to safely and effectively treat these conditions,” said Bob Moccia, Chief Executive Officer of STRATA Skin Sciences. “While this past year has been unquestionably challenging, we plan to continue to focus on driving awareness and improved utilization with recurring revenue, which we believe will lead to durable growth over the long term.”

Fourth Quarter 2020 Financial Results
Revenues for the fourth quarter of 2020 were $6.7 million, as compared to revenues of $8.9 million for the fourth quarter of 2019. Global recurring revenues for the fourth quarter of 2020 were $5.1 million, as compared to global recurring revenues of $6.6 million for the fourth quarter of 2019. Equipment revenues were $1.6 million for the fourth quarter of 2020, as compared to $2.3 million for the fourth quarter of 2019. Revenues were negatively impacted by the COVID-19 pandemic.

Gross profit for the fourth quarter of 2020 was $4.5 million, or 67.6% of revenues, as compared to $6.1 million, or 68.8% of revenues, for the fourth quarter of 2019. Gross profit on recurring revenues for the fourth quarter of 2020 was $3.8 million, or 74.4% of revenues, as compared to $5.0 million, or 76.5% of revenues, for the fourth quarter of 2019. The decrease in gross profit is the result of lower sales due to the effects of the COVID-19 pandemic and unapplied costs partially offset by lower depreciation on laser placements.

Selling and marketing costs for the fourth quarter of 2020 were $2.6 million, as compared to $3.1 million for the fourth quarter of 2019, primarily as a result of cost management due to lower revenue, lower tradeshow costs, travel, direct to consumer advertising and compensation. General and administrative costs for the fourth quarter of 2020 were $2.0 million, as compared to $2.9 million for the fourth quarter of 2019, as a result of lower legal, consulting and accounting fees.

Other expense for the fourth quarter of 2020 was $0.02 million, compared to $0.5 million for the fourth quarter of 2019, as a result of lower interest expense and additional cost in 2019 for the extinguishment of long-term debt.

Net loss for fourth quarter 2020 was $0.4 million, or a loss of $0.01 per basic and diluted common share, as compared to the net loss for the fourth quarter of 2019 of $0.5 million, or a net loss of $0.02 per basic and diluted common share.

Full Year 2020 Financial Results
Revenues for the full year 2020 were $23.1 million, as compared to revenues of $31.6 million for the full year 2019. Global recurring revenues for the full year 2020 were $17.4 million, as compared to global recurring revenues of $23.7 million for the full year 2019. Equipment revenues were $5.7 million for the full year 2020, as compared to $7.9 million for the full year 2019.

Gross profit for the full year 2020 was $14.1 million, or 61.2% of revenues, as compared to $20.3 million, or 64.2% of revenues, for the full year 2019. Gross profit on recurring revenues for the full year 2020 was $11.6 million, or 66.5% of revenues, as compared to $16.7 million, or 70.3% of revenues, for the full year 2019. The decrease in gross profit is the result of lower sales due to the effects of the COVID-19 pandemic and unapplied costs partially offset by lower depreciation on laser placements.

Selling and marketing costs for the full year 2020 were $9.0 million, as compared to $12.0 million for the full year 2019, primarily as a result of cost management due to lower revenue, lower tradeshow costs, travel, direct to consumer advertising and compensation. General and administrative costs for the full year 2020 were $7.9 million, as compared to $10.3 million for the full year 2019, as a result of lower legal, consulting and accounting fees.

Other expense for the full year 2020 was $0.06, compared to $0.9 for the full year 2019, as a result of higher interest income, lower interest expense and additional cost in 2019 for the extinguishment of long-term debt.

Net loss for full year 2020 was $4.4 million, or a loss of $0.13 per basic and diluted common share, as compared to the net loss for the full year 2019 of $3.8 million, or a net loss of $0.11 per basic and diluted common share.

Webcast and Conference Call Information
STRATA management will host a conference call today, beginning at 4:30 p.m. Eastern. The conference call will be concurrently webcast. The link to the webcast is available on the Company website www.strataskinsciences.com under the investor relations section and will be archived for future reference. To listen to the conference call, please dial 1-877-451-6152 (US/Canada), 1-201-389-0879 (International), or 1 809 406 247 (Israel) and use the conference ID number 13717061.

Reconciliation of Non-GAAP Measures
To supplement the Company’s consolidated financial statements, prepared in accordance with accounting principles generally accepted in the United States of America (“GAAP”), the Company provides certain non-GAAP measures of financial performance, including non-GAAP adjusted EBITDA and Gross Domestic Recurring Billings.

The Company’s reference to these non-GAAP measures should be considered in addition to results prepared under current accounting standards, but is not a substitute for, nor superior to, GAAP results. These non-GAAP measures are provided to enhance investors’ overall understanding of our current financial performance and to provide further information for comparative purposes.

Specifically, the Company believes the non-GAAP measures provide useful information to both management and investors by isolating certain expenses, gains and losses that may not be indicative of the Company’s core operating results and business outlook. In addition, the Company believes non-GAAP measures enhance the comparability of results against prior periods. Reconciliation of the GAAP measures of net loss to non-GAAP measures included in this press release is as follows (in thousands) (unaudited):

  For the Three Months Ended
December 31,
 For the Year Ended
December 31,
   2020   2019   2020   2019 
Net loss $(443) $(515) $(4,412) $(3,790)
             
Adjustments:            
Income taxes  68   (38)  275   (149)
Depreciation and amortization  876   1,144   3,911   4,821 
Interest expense, net  23   82   61   515 
Non-GAAP EBITDA  524   673   (165)  1,397 
             
Stock-based compensation expense  390   312   1,633   1,195 
Impairment of lasers placed-in-service  24   30   24   30 
Loss on extinguishment of debt  -   414   -   414 
Non-GAAP adjusted EBITDA $938  $1,429  $1,492  $3,036 

Gross Domestic Recurring Billings

Gross domestic recurring billings represent the amount invoiced to partner clinics when treatment codes are sold to the physician. It does not include normal GAAP adjustments which are deferred revenue from prior quarters recorded as revenue in the current quarter, the deferral of revenue from the current quarter recorded as revenue in future quarters, adjustments for co-pay and other discounts. This excludes international recurring revenues.

Gross domestic recurring billings for October, November and December 2020 were $1.6 million, $1.5 million, and $2.3 million, respectively. The total gross domestic recurring billings for the fourth quarter of 2020 was $5.4 million, compared to $6.9 million for the fourth quarter of 2019.

The following is a reconciliation of non-GAAP gross domestic billings to domestic recorded revenue for the fourth quarter of 2020 (in thousands):

Gross domestic recurring billings$5,400  
Co-Pay adjustments (70) 
Other discounts (20) 
Deferred revenue from prior quarters 1,390  
Deferral of revenue to future quarters (1,800) 
GAAP Recorded domestic revenue$4,900  

About STRATA Skin Sciences, Inc. 

STRATA Skin Sciences is a medical technology company in dermatology and plastic surgery dedicated to developing, commercializing and marketing innovative products for the treatment of dermatologic conditions. Its products include the XTRAC® excimer laser and VTRAC® lamp systems utilized in the treatment of psoriasis, vitiligo and various other skin conditions.

The Company’s proprietary XTRAC excimer laser delivers a highly targeted therapeutic beam of UVB light to treat psoriasis, vitiligo, eczema, atopic dermatitis and leukoderma, diseases which impact over 31 million patients in the United States alone. The technology is covered by multiple patents.

STRATA’s unique business model leverages targeted Direct to Consumer (DTC) advertising to generate awareness and utilizes its in-house call center and insurance advocacy teams to increase volume for the Company’s partner dermatology clinics.

The XTRAC business has used this proven DTC model to grow its domestic dermatology partner network to over 832 clinics, with a worldwide installed base of over 2,300 devices. The Company is able to offer 90% of DTC patients an introduction to physicians prescribing a reimbursable solution, using XTRAC, within a 10-mile radius of their house. The Company is a leader in dermatology in-clinic business generation for its partners.

The Company has now introduced its Home by XTRAC™ business, leveraging in-house resources; including DTC advertising, in-house call center and its insurance reimbursement team to provide an at-home, insurance-reimbursed treatment option for patients with certain skin diseases that do not qualify for in-office treatments.

Safe Harbor
This press release includes “forward-looking statements” within the meaning of the Securities Litigation Reform Act of 1995. These statements include but are not limited to the Company’s plans, objectives, expectations and intentions and may contain words such as “will,” “may,” “seeks,” and “expects,” that suggest future events or trends. These statements, the Company’s ability to generate the growth in its core business, the Company’s ability to develop social media marketing campaigns, the Company’s ability to build a leading franchise in dermatology and aesthetics, and the Company’s ability to develop a home-based treatment of skin disease are based on the Company’s current expectations and are inherently subject to significant uncertainties and changes in circumstances. Actual results may differ materially from the Company’s expectations due to financial, economic, business, competitive, market, regulatory, adverse market conditions or supply chain interruptions resulting from the coronavirus and political factors or conditions affecting the Company and the medical device industry in general, future responses to and effects of COVID-19 pandemic, as well as more specific risks and uncertainties set forth in the Company’s SEC reports on Forms 10-Q and 10-K. Given such uncertainties, any or all these forward-looking statements may prove to be incorrect or unreliable. The statements in this press release are made as of the date of this press release, even if subsequently made available by the Company on its website or otherwise. The Company does not undertake any obligation to update or revise these statements to reflect events or circumstances occurring after the date of this press release. The Company urges investors to carefully review its SEC disclosures available at www.sec.gov and www.strataskinsciences.com.

Investor Contact

Leigh Salvo  
(415) 937-5404  
ir@strataskin.com  



STRATA SKIN SCIENCES, INC. AND SUBSIDIARY
CONSOLIDATED BALANCE SHEETS
(In thousands, except share and per share amounts)
(unaudited)

  December 31, 2020  December 31, 2019
ASSETS       
Current assets:       
Cash and cash equivalents $10,604   $8,129 
Restricted cash  7,508    7,500 
Accounts receivable, net  2,944    4,386 
Inventories  3,444    3,027 
Prepaid expenses and other current assets  331    513 
Total current assets  24,831    23,555 
        
Property and equipment, net  5,529    5,369 
Operating lease right-of-use assets  988    1,314 
Intangible assets, net  6,345    7,955 
Goodwill  8,803    8,803 
Other assets  282    347 
Total assets $46,778   $47,343 
        
LIABILITIES AND STOCKHOLDERS’ EQUITY       
Current liabilities:       
Note payable $7,275   $7,275 
Current portion of long-term debt  1,478    - 
Accounts payable  2,764    1,880 
Other accrued liabilities  4,690    5,134 
Deferred revenues  2,262    2,832 
Current portion of operating lease liabilities  369    313 
Total current liabilities  18,838    17,434 
        
Long-term liabilities:       
Long-term debt, net  1,050    - 
Long-term operating lease liabilities; net  710    1,078 
Deferred tax liability  254    - 
Other liabilities  34    178 
Total liabilities  20,886    18,690 
        
Commitments and contingencies (see Note 11)       
        
Stockholders’ equity:       
Series C Convertible Preferred Stock, $.10 par value, 10,000,000 shares authorized; 0 and 2,103 shares issued and outstanding as of December 31, 2020 and 2019, respectively  -    1 
Common Stock, $.001 par value, 150,000,000 shares authorized; 33,801,045 and 32,932,273 shares issued and outstanding as of December 31, 2020 and 2019, respectively  34    33 
Additional paid-in capital  244,831    243,180 
Accumulated deficit  (218,973)   (214,561)
Total stockholders’ equity  25,892    28,653 
Total liabilities and stockholders’ equity $46,778   $47,343 



STRATA SKIN SCIENCES, INC. AND SUBSIDIARY
CONSOLIDATED STATEMENTS OF OPERATIONS
(In thousands, except share and per share amounts)
(unaudited)

 For the Three Months Ended December 31,
  2020    2019 
Revenues, net$6,717   $8,898 
Cost of revenues 2,176    2,772 
Gross profit 4,541    6,126 
Operating expenses:      
Engineering and product development 324    214 
Selling and marketing 2,592    3,092 
General and administrative 1,977    2,877 
  4,893    6,183 
Loss from operations (352)   (57)
Other (expense) income, net:      
Interest expense, net (23)   (82)
Loss on extinguishment of debt -    (414)
  (23)   (496)
Loss before income taxes (375)   (553)
Income tax (expense) benefit (68)   38 
Net loss$(443)  $(515)
Loss attributable to common shares$(443)   (503)
Loss attributable to Preferred Series C shares$-    (12)
Loss Earnings per common share:      
Basic$(0.01)  $(0.02)
Diluted$(0.01)  $(0.02)
       
Loss per Preferred Series C share - basic and diluted$-   $(5.75)



STRATA SKIN SCIENCES, INC. AND SUBSIDIARY
CONSOLIDATED STATEMENTS OF OPERATIONS
(In thousands, except share and per share amounts)
(unaudited)

 For the Year Ended December 31,
  2020    2019 
Revenues, net$23,090   $31,586 
Cost of revenues 8,956    11,316 
Gross profit 14,134    20,270 
Operating expenses:      
Engineering and product development 1,274    1,002 
Selling and marketing 9,038    12,003 
General and administrative 7,898    10,275 
  18,210    23,280 
Loss from operations (4,076)   (3,010)
Other (expense) income, net:      
Interest expense, net (61)   (515)
Loss on extinguishment of debt -    (414)
  (61)   (929)
Loss before income taxes (4,137)   (3,939)
Income tax (expense) benefit (275)   149 
Net loss$(4,412)  $(3,790)
Loss attributable to common shares$(4,394)  $(3,597)
Loss attributable to Preferred Series C shares$(18)  $(193)
Loss per common share:      
Basic$(0.13)  $(0.11)
Diluted$(0.13)  $(0.11)
Shares used in computing loss per common share:      
Basic 33,609,922    31,978,665 
Diluted 33,609,922    31,978,665 
       
Loss per Preferred Series C share - basic and diluted$(48.59)  $(42.24)
Shares used in computing loss per basic and diluted Preferred Series C shares 368    4,577 



STRATA SKIN SCIENCES, INC. AND SUBSIDIARY
CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS’ EQUITY
FOR THE YEARS ENDED DECEMBER 31, 2020 AND 2019
(In thousands, except share amounts)
(unaudited)

 Convertible Preferred Stock – Series CCommon StockAdditional Paid-Accumulated 
 SharesAmountSharesAmountIn CapitalDeficitTotal
BALANCE, JANUARY 1, 20199,968 $1 29,943,086$30$241,988 $(210,771)$31,248 
Stock-based compensation-  - - - 1,195  -  1,195 
Conversion of convertible preferred stock into common stock(7,865) - 2,923,791 3 (3) -  - 
Exercise of stock options-  - 36,410 - -  -  - 
Issuance of restricted stock-  - 28,986 - -  -  - 
Net loss-  - - - -  (3,790) (3,790)
BALANCE, DECEMBER 31, 20192,103 $1 32,932,273$33$243,180 $(214,561)$28,653 
Stock-based compensation-  - - - 1,633  -  1,633 
Conversion of grantable preferred stock into common stock(2,103) (1)782,089 1 -  -  - 
Exercise of stock options-  - 15,000 - 18  -  18 
Issuance of restricted stock-  - 71,683 - -  -  - 
Net loss-  - - - -  (4,412) (4,412)
BALANCE, DECEMBER 31, 2020- $- 33,801,045$34$244,831 $(218,973)$25,892 



STRATA SKIN SCIENCES, INC. AND SUBSIDIARY
CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands)
(unaudited)

  For the Year Ended December 31,
   2020   2019 
Cash Flows From Operating Activities:      
Net loss $(4,412) $(3,790)
Adjustments to reconcile net loss to net cash provided by operating activities:      
Depreciation and amortization  3,585   4,503 
Amortization of right-of-use assets  326   318 
Provision for doubtful accounts  90   43 
Impairment of lasers placed-in-service  24   30 
Stock-based compensation  1,633   1,195 
Deferred taxes  254   (111)
Amortization of deferred financing costs and debt discount  -   174 
Changes in operating assets and liabilities:      
Accounts receivable  1,352   (1,036)
Inventories  (417)  (233)
Prepaid expenses and other assets  247   104 
Accounts payable  884   116 
Other accrued liabilities  (444)  634 
Other liabilities  (144)  (210)
Operating lease liabilities  (312)  (241)
Deferred revenues  (570)  733 
Net cash provided by operating activities  2,096   2,229 
       
Cash Flows From Investing Activities:      
Lasers placed-in-service  (2,133)  (2,676)
Purchases of property and equipment  (26)  (115)
Net cash used in investing activities  (2,159)  (2,791)



STRATA SKIN SCIENCES, INC. AND SUBSIDIARY
CONSOLIDATED STATEMENTS OF CASH FLOWS
(continued)
(In thousands)
(unaudited)

  For the Year Ended December 31,
     
Cash Flows From Financing Activities: 2020 2019
Proceeds from exercise of stock options $18 $- 
Repayments of long-term debt  -  (7,571)
Proceeds on notes payable  2,528  7,275 
Net cash provided by (used in) financing activities  2,546  (296)
       
Net increase (decrease) in cash and cash equivalents and restricted cash  2,483  (858)
Cash and cash equivalents and restricted cash, beginning of period  15,629  16,487 
Cash and cash equivalents and restricted cash, end of period $18,112 $15,629 
Cash and cash equivalents $10,604 $8,129 
Restricted cash  7,508  7,500 
  $18,112 $15,629 

 


FAQ

What were STRATA Skin Sciences' Q4 2020 financial results?

STRATA reported Q4 2020 revenues of $6.7 million, a decrease of 24.5% compared to Q4 2019.

How did recurring revenue perform for STRATA in 2020?

Global recurring revenue decreased by 22.7% to $5.1 million in Q4 2020 compared to the prior year.

What was the net loss for STRATA Skin Sciences for the full year 2020?

The net loss for 2020 was $4.4 million, compared to a net loss of $3.8 million in 2019.

How is STRATA's XTRAC device sales trend?

The company ended Q4 2020 with an installed base of 860 XTRAC devices, an increase of 30 devices from Q4 2019.

What is the current cash position of STRATA Skin Sciences?

STRATA reported cash, cash equivalents, and restricted cash of $18.1 million as of December 31, 2020.

Strata Skin Sciences, Inc.

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