TherapeuticsMD Announces Fourth Quarter and Full-Year 2020 Financial Results

Rhea-AI Summary

TherapeuticsMD reported record net product revenue for Q4 2020 and the full year, driven by strong sales of its products. Total revenue for Q4 was $22.6 million, a rise from $15.9 million in Q4 2019. The company recorded a net loss of $42.1 million for Q4, an improvement from $49.4 million a year earlier. Operating expenses increased to $51.6 million in Q4, mainly attributed to ongoing product launches and brand management. The cash on hand at year-end was $80.5 million. The company is adjusting its revenue covenants and plans further debt repayments in 2021.

Positive

• Record Q4 2020 net product revenue of $22.6 million, up from $15.9 million in Q4 2019.
• ANNOVERA's Q4 revenue increased by 42% compared to Q3 2020.
• Reduction in net loss for Q4 to $42.1 million from $49.4 million year-over-year.
• Cash on hand increased to $80.5 million as of December 31, 2020.

Negative

• Net loss for full-year 2020 was $183.5 million, up from $176.1 million in 2019.
• Q4 operating expenses increased to $51.6 million from $41.0 million in Q4 2019.
• Gross margin decreased to 75% in Q4 due to inventory write-downs.

TherapeuticsMD, Inc. (NASDAQ: TXMD), an innovative, leading women’s healthcare company, today reported financial results for the full-year and fourth quarter ended December 31, 2020 and provided a business update.

“We delivered a strong year and quarter with record total net product revenue for our Company,” said Robert G. Finizio, Chief Executive Officer of TherapeuticsMD. “The Company successfully executed on multiple priorities, demonstrating operational agility while maintaining a strict focus on commercial execution and financial discipline. We have lowered our operating expenses, updated our net revenue covenants for the remainder of the term of our loan, and strengthened our balance sheet through a series of equity capital raises and a reduction in our debt.” Mr. Finizio continued, “We believe these actions position us well to continue to invest in our products and deliver on our growth objectives.”

Fourth Quarter and Full-Year Revenue
		Three Months Ended December 31,						Three Months Ended September 30,			Twelve Months Ended December 31,
		2020			2019			2020			2020			2019
IMVEXXY		$	8,820,005		$	6,347,301		$	6,841,592		$	27,139,387		$	16,252,045
BIJUVA			2,244,039			1,211,456			1,646,320			6,353,963			1,836,443
ANNOVERA			9,084,074			5,766,604			6,418,990			19,611,286			6,166,556
Prenatal vitamins			2,429,667			2,576,319			2,435,903			9,767,644			9,885,493
License revenue			-			-			2,000,000			2,000,000			15,506,400
Net revenue		$	22,577,785		$	15,901,680		$	19,342,805		$	64,872,280		$	49,646,937

ANNOVERA (segesterone acetate and ethinyl estradiol vaginal system)

• ANNOVERA net product revenue increased 42% to $9.1 million for the fourth quarter of 2020 as compared to $6.4 million for the third quarter of 2020. Net revenue per unit, calculated from sales to wholesalers and pharmacies, was $1,336 for the fourth quarter of 2020.
• Approximately 6,000 ANNOVERA prescriptions were dispensed during the fourth quarter of 2020. ANNOVERA total prescription volume increased 15% for the fourth quarter of 2020 as compared to the third quarter of 2020. Strong refill rates continued with eligible patients.

IMVEXXY^® (estradiol vaginal inserts)

• IMVEXXY net product revenue increased 29% to $8.8 million for the fourth quarter of 2020 as compared to $6.8 million for the third quarter of 2020. Net revenue per unit, calculated from sales to wholesalers and pharmacies, was approximately $54 for the fourth quarter of 2020. Strong IMVEXXY refill rates continued with patients adhering to therapy.
• Approximately 123,500 IMVEXXY prescriptions were dispensed during the fourth quarter of 2020. IMVEXXY new prescription volume increased 3% for the fourth quarter of 2020 as compared to the third quarter of 2020, which should positively impact total prescriptions going forward. IMVEXXY total prescriptions declined 6% for the fourth quarter of 2020 as compared to the third quarter of 2020 due to the pandemic.

BIJUVA^® (estradiol and progesterone)

• BIJUVA net product revenue increased 36% to $2.2 million for the fourth quarter of 2020 as compared to $1.6 million for the third quarter of 2020. Net revenue per unit, calculated from sales to wholesalers and pharmacies, was approximately $52 for the fourth quarter of 2020.
• Approximately 33,000 BIJUVA prescriptions were dispensed in the fourth quarter of 2020. BIJUVA new prescription volume for the fourth quarter of 2020 remained consistent with the third quarter of 2020. Total prescriptions increased 3% during the same period.

Cost of Goods Sold/Gross Margin

• Cost of goods sold increased $9.6 million to $15.9 million for the full-year 2020 compared to $6.3 million for the full-year 2019. Cost of goods sold increased $2.7 million to $5.6 million for the fourth quarter of 2020 compared to $2.9 million for the fourth quarter of 2019.
• Cost of goods sold increased $2.3 million to $5.6 million for the fourth quarter of 2020 compared to $3.3 million for the third quarter of 2020.
  • The increase in cost of goods sold as compared to the third quarter is attributable to a 30% increase in product revenue, as well as an increase of $1.7 million in inventory write-downs of ANNOVERA, IMVEXXY and BIJUVA.
• Gross margin percentage decreased to 75% for the fourth quarter of 2020 as compared to 83% for the third quarter of 2020, primarily as a result of the inventory write-downs recorded in the fourth quarter of 2020.

Expense, EPS and Related Information

• Total operating expenses for the full-year 2020 increased to $204.4 million compared with $194.5 million for full-year 2019.
• Total operating expenses for the second half of 2020 were $92.6 million, meeting the Company’s target of $80 million excluding non-cash items and performance-based retention incentives, which totaled $13 million.
• Total operating expenses for the fourth quarter of 2020 increased by $10.6 million to $51.6 million as compared to $41.0 million for the fourth quarter of 2019.
  • The increase in operating expenses was primarily a result of increased spending focused on delivering the necessary resources to support the launch of ANNOVERA, continued ramp-up of IMVEXXY, and ongoing brand management of BIJUVA.
• Net loss for the full-year 2020 was $183.5 million, or $0.67 per basic and diluted share, compared with $176.1 million, or $0.72 per basic and diluted share, for full-year 2019. For the fourth quarter of 2020 compared to the prior year period, net loss decreased to $42.1 million, or $0.15 per basic and diluted share, compared with $49.4 million, or $0.19 per basic and diluted share. For the fourth quarter of 2020 compared to the quarter ended September 30, 2020, net loss increased to $42.1 million, or $0.15 per basic and diluted share, compared with $32.6 million, or $0.12 per basic and diluted share.

Balance Sheet

• As of December 31, 2020, the Company’s cash on hand totaled $80.5 million, compared with $79.6 million as of September 30, 2020.
• Subsequent to year-end, the Company received approximately $147.9 million in net proceeds from its at-the-market and underwritten equity offerings and repaid $15.0 million in principal under its Financing Agreement, plus a 5% prepayment fee.

Sixth Street Partners Additional Information

• In connection with the adjustment to the Sixth Street Partners total minimum net revenue covenant, the Company paid down $15 million in principal under its Financing Agreement on March 1, 2021, and agreed to pay down an additional $35 million in principal by the earlier of March 31, 2021 or the closing of the previously announced potential divestiture of the Company’s vitaCare Prescription Services business, in each case plus a 5% prepayment fee. The lenders also consented to a framework for the potential vitaCare disposition.
• The total minimum net revenue requirement for ANNOVERA, IMVEXXY, and BIJUVA in 2021 is now $17 million, $20 million, $23 million, and $26.5 million for the first, second, third, and fourth quarters, respectively, the first quarter of 2022 is $30 million then increasing by $5 million per quarter thereafter.
• The Company and the lenders also revised the amortization and prepayment fee schedules under the Financing Agreement to provide for repayments in an aggregate amount of $35 million of principal from the first quarter of 2022 through the first quarter of 2023, with the remaining balance of the loan payable in equal payments over the following four quarters.

Conference Call and Webcast Details

TherapeuticsMD will host a conference call and live audio webcast today at 8:30 a.m. ET to discuss these financial results and provide a business update.

Date:			Tuesday, March 2, 2021
Time:			8:30 a.m. ET
Telephone Access (US):			866-665-9531
Telephone Access (International):			724-987-6977
Access Code for All Callers:			6184646

A live webcast and audio archive for the event may be accessed on the home page or from the “Investors & Media” section of the TherapeuticsMD website at www.therapeuticsmd.com. Please connect to the website prior to the start of the presentation to ensure adequate time for any software downloads that may be necessary to listen to the webcast. A replay of the webcast will be archived on the website for at least 30 days. In addition, a digital recording of the conference call will be available for replay beginning two hours after the call's completion and for at least 30 days with the dial-in 855-859-2056 or international 404-537-3406 and Conference ID: 6184646.

Please see the Full Prescribing Information, including indication and Boxed WARNING, for each TherapeuticsMD product as follows:

• IMVEXXY (estradiol vaginal inserts) at https://imvexxy.com/pi.pdf
• BIJUVA (estradiol and progesterone) capsules at https://www.bijuva.com/pi.pdf
• ANNOVERA (segesterone acetate and ethinyl estradiol vaginal system) at www.annovera.com/pi.pdf

Forward-Looking Statements

This press release by TherapeuticsMD, Inc. may contain forward-looking statements. Forward-looking statements may include, but are not limited to, statements relating to TherapeuticsMD’s objectives, plans and strategies as well as statements, other than historical facts, that address activities, events or developments that the company intends, expects, projects, believes or anticipates will or may occur in the future. These statements are often characterized by terminology such as "believes," "hopes," "may," "anticipates," "should," "intends," "plans," "will," "expects," "estimates," "projects," "positioned," "strategy" and similar expressions and are based on assumptions and assessments made in light of management’s experience and perception of historical trends, current conditions, expected future developments and other factors believed to be appropriate. Forward-looking statements in this press release are made as of the date of this press release, and the company undertakes no duty to update or revise any such statements, whether as a result of new information, future events or otherwise. Forward-looking statements are not guarantees of future performance and are subject to risks and uncertainties, many of which are outside of the company’s control. Important factors that could cause actual results, developments and business decisions to differ materially from forward-looking statements are described in the sections titled "Risk Factors" in the company’s filings with the Securities and Exchange Commission, including its most recent Annual Report on Form 10-K and Quarterly Reports on Form 10-Q, as well as reports on Form 8-K, and include the following: the effects of the COVID-19 pandemic; the company’s ability to maintain or increase sales of its products; the company’s ability to develop and commercialize IMVEXXY^®, ANNOVERA^®, and BIJUVA^® and obtain additional financing necessary therefor; whether the company will be able to comply with the covenants and conditions under its term loan facility; whether the company will be able to successfully divest its vitaCare business and how the proceeds that may be generated by any such divestiture will be utilized; the potential of adverse side effects or other safety risks that could adversely affect the commercialization of the company’s current or future approved products or preclude the approval of the company’s future drug candidates; whether the FDA will approve the lower dose of BIJUVA; the company’s ability to protect its intellectual property, including with respect to the Paragraph IV notice letters the company received regarding IMVEXXY and BIJUVA; the length, cost and uncertain results of future clinical trials; the company’s reliance on third parties to conduct its manufacturing, research and development and clinical trials; the ability of the company’s licensees to commercialize and distribute the company’s products; the ability of the company’s marketing contractors to market ANNOVERA; the availability of reimbursement from government authorities and health insurance companies for the company’s products; the impact of product liability lawsuits; the influence of extensive and costly government regulation; the volatility of the trading price of the company’s common stock and the concentration of power in its stock ownership.

THERAPEUTICSMD, INC. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
		December 31,
		2020				2019
ASSETS
Current Assets:
Cash		$	80,485,784			$	160,829,713
Accounts receivable, net of allowance for doubtful accounts of $1,117,854 and $904,040, respectively			32,381,701				24,395,958
Inventory, net			7,993,087				11,860,716
Other current assets			7,543,397				11,329,793
Total current assets			128,403,969				208,416,180
Fixed assets, net			1,942,224				2,507,775
Other Assets:
License rights, net			36,196,916				39,221,308
Intangible assets, net			5,247,723				5,258,211
Right of use assets			9,565,700				10,109,154
Other current assets			253,121				473,009
Total other assets			51,263,460				55,061,682
Total assets		$	181,609,653			$	265,985,637
LIABILITIES AND STOCKHOLDERS' (DEFICIT) EQUITY
Current Liabilities:
Accounts payable		$	21,068,327			$	19,181,212
Other current liabilities			38,169,869				33,823,613
Total current liabilities			59,238,196				53,004,825
Long-Term Liabilities:
Long-term debt			237,697,531				194,634,643
Operating lease liability			8,675,477				9,145,049
Total long-term liabilities			246,373,008				203,779,692
Total liabilities			305,611,204				256,784,517
Commitments and Contingencies
Stockholders' (Deficit) Equity:
Preferred stock - par value $0.001; 10,000,000 shares authorized; no shares issued and outstanding			-				-
Common stock - par value $0.001; 600,000,000 and 350,000,000 shares authorized: 299,765,396 and 271,177,076 issued and outstanding, respectively			299,765				271,177
Additional paid-in capital			754,644,100				704,351,222
Accumulated deficit			(878,945,416	)			(695,421,279	)
Total stockholders' (deficit) equity			(124,001,551	)			9,201,120
Total liabilities and stockholders' (deficit) equity		$	181,609,653			$	265,985,637

THERAPEUTICSMD, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF OPERATIONS
														Year Ended December 31,
		Three Months Ended December 31,								Three Months Ended September 30,
		2020				2019				2020				2020				2019				2018
Product revenues, net		$	22,577,785			$	15,901,680			$	17,342,805			$	62,872,280			$	34,140,537			$	16,099,460
License revenue			-				-				2,000,000				2,000,000				15,506,400				-
Total revenue, net			22,577,785				15,901,680				19,342,805				64,872,280				49,646,937				16,099,460
Cost of goods sold			5,580,832				2,878,590				3,278,609				15,974,977				6,334,585				2,737,652
Gross profit			16,996,953				13,023,090				16,064,196				48,897,303				43,312,352				13,361,808
Operating expenses:
Sales, general, and administrative			48,945,068				52,734,093				38,751,250				192,963,967				174,112,612				115,988,954
Research and development			2,393,851				4,432,224				2,027,195				10,431,907				19,792,212				27,299,138
Depreciation and amortization			264,832				248,830				258,787				1,042,170				612,786				293,886
Total operating expenses			51,603,751				57,415,147				41,037,232				204,438,044				194,517,610				143,581,978
Operating loss			(34,606,798	)			(44,392,057	)			(24,973,036	)			(155,540,741	)			(151,205,258	)			(130,220,170	)
Other (expense) income
Loss on extinguishment of debt			-				-				-				-				(10,057,632	)			-
Miscellaneous income			131,902				621,126				41,405				597,647				2,500,106				2,280,844
Interest expense			(7,612,701	)			(5,664,583	)			(7,679,443	)			(28,581,043	)			(17,382,215	)			(4,677,834	)
Total other expense			(7,480,799	)			(5,043,457	)			(7,638,038	)			(27,983,396	)			(24,939,741	)			(2,396,990	)
Loss before income taxes			(42,087,597	)			(49,435,514	)			(32,611,074	)			(183,524,137	)			(176,144,999	)			(132,617,160	)
Provision for income taxes															-				-				-
Net loss		$	(42,087,597	)		$	(49,435,514	)		$	(32,611,074	)		$	(183,524,137	)		$	(176,144,999	)		$	(132,617,160	)
Loss per share, basic and diluted:
Net loss per share, basic and diluted		$	(0.15	)		$	(0.19	)		$	(0.12	)		$	(0.67	)		$	(0.72	)		$	(0.59	)
Weighted average number of common shares outstanding, basic and diluted			286,607,277				261,752,076				272,564,635				275,648,552				246,353,318				225,026,300

THERAPEUTICSMD, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS
		Year Ended December, 31,
		2020				2019				2018
CASH FLOWS FROM OPERATING ACTIVITIES
Net loss		$	(183,524,137	)		$	(176,144,999	)		$	(132,617,160	)
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation of fixed assets			772,624				415,193				181,412
Amortization of intangible assets			269,546				197,593				112,474
Write off of patent and trademark cost			1,131,776				78,864				-
Write off of deferred financing fees			275,379				-				-
Non-cash operating lease expense			1,405,443				1,062,318				-
Provision for doubtful accounts			213,814				307,438				216,022
Lease impairment			136,832			.					-
Inventory charge			7,204,818				-				-
Loss on extinguishment of debt			-				10,057,632				-
Share-based compensation			10,678,992				10,693,662				8,661,967
Amortization of intellectual property license fee			3,024,391				778,692				-
Amortization of deferred financing costs			2,256,429				856,302				269,859
Changes in operating assets and liabilities:
Accounts receivable			(8,199,558	)			(13,639,575	)			(6,951,041	)
Inventory			(3,337,189	)			(8,593,046	)			(1,782,312	)
Other assets			3,429,443				(1,880,048	)			(2,657,190	)
Accounts payable			1,887,115				(3,562,629	)			18,646,241
Accrued expenses and other liabilities			2,903,947				13,675,008				9,107,947
Net cash used in operating activities			(159,470,335	)			(165,697,595	)			(106,811,781	)
CASH FLOWS FROM INVESTING ACTIVITIES
Payment for intellectual property license			-				(20,000,000	)			(20,000,000	)
Patent costs			(1,390,834	)			(1,441,989	)			(1,105,407	)
Purchase of fixed assets			(207,073	)			(2,450,285	)			(217,040	)
Payment of security deposit			-				(20,420	)			(175,410	)
Net cash used in investing activities			(1,597,907	)			(23,912,694	)			(21,497,857	)
CASH FLOWS FROM FINANCING ACTIVITIES
Proceeds from exercise of options and warrants			271,678				108,656				1,666,208
Proceeds from sale of common stock, net of costs			31,702,635				77,031,258				89,907,797
Proceeds from Financing Agreement			50,000,000				200,000,000				-
Proceeds from Credit Agreement			-				-				75,000,000
Payment of deferred financing fees			(1,250,000	)			(6,652,270	)			(3,786,918	)
Repayment of Credit Agreement			-				(81,660,719	)			-
Net cash provided by financing activities			80,724,313				188,826,925				162,787,087
(Decrease) increase in cash			(80,343,929	)			(783,364	)			34,477,449
Cash, beginning of period			160,829,713				161,613,077				127,135,628
Cash, end of period		$	80,485,784			$	160,829,713			$	161,613,077
Supplemental disclosure of cash flow information
Interest paid		$	25,849,236			$	17,787,903			$	1,890,166
Non-cash investing activity
Warrant granted in relation to Financing Agreement		$	7,668,161			$	-			$	-

 

View source version on businesswire.com: https://www.businesswire.com/news/home/20210302005416/en/

FAQ

What were TherapeuticsMD's Q4 2020 financial results?

TherapeuticsMD reported Q4 2020 net revenue of $22.6 million, a significant increase from $15.9 million in Q4 2019.

How did TherapeuticsMD's revenue perform in 2020?

The total revenue for 2020 was $64.9 million, up from $49.6 million in 2019.

What was the net loss for TherapeuticsMD in Q4 2020?

The net loss for Q4 2020 was $42.1 million, an improvement from $49.4 million in Q4 2019.

What is the current cash position of TherapeuticsMD as of December 2020?

As of December 31, 2020, TherapeuticsMD had $80.5 million in cash.

What changes were made to TherapeuticsMD's revenue covenants?

The company adjusted its minimum net revenue requirements for 2021, increasing targets for each quarter.