News Release

OrthoPediatrics Corp. Reports Third Quarter 2022 Financial Results and Updates 2022 Revenue Guidance

Oct 31, 2022
Third Quarter 2022 Record Revenue Increased 39% Year-over-Year

WARSAW, Ind., Oct. 31, 2022 (GLOBE NEWSWIRE) -- OrthoPediatrics Corp. (“OrthoPediatrics” or the “Company”) (Nasdaq: KIDS), a company focused exclusively on advancing the field of pediatric orthopedics, announced today its financial results for the third quarter ended September 30, 2022.

Third Quarter 2022 and Recent Business Highlights

  • Helped over 17,000 children in the third quarter 2022, bringing total to more than 610,000 since the inception of OrthoPediatrics when combined with MD Orthopaedics ("MD Ortho") and Pega Medical
  • Generated total revenue of $35.0 million for third quarter 2022, up 39% from $25.1 million in third quarter 2021
  • Grew worldwide Trauma & Deformity revenue 42%, organic worldwide Scoliosis revenue 37%, worldwide Sports Medicine/Other revenue 8% in the third quarter 2022 compared to the third quarter 2021
  • Enhanced competitive position with the acquisition of Pega Medical in July
  • Completed follow-on public offering raising gross proceeds of $144 million dollars in August
  • Appointed supply chain operations veteran, Jimmy D. McDonald, to Board of Directors in October

“We’re pleased with our commercial and operational execution during the quarter, though in September, the pediatric orthopedic market faced additional headwinds beyond continued staffing shortages. Specifically, RSV infections acutely impacted case volumes in certain regions,” said David Bailey, President & CEO of OrthoPediatrics. “Despite these factors, our competitive position is as strong as ever. We remain confident in our ability to continue to drive sustainable revenue growth through increased adoption of our ever-expanding product portfolio.”

Third Quarter 2022 Financial Results
Total revenue for the third quarter of 2022 was $35.0 million, a 39% increase compared to $25.1 million for the same period last year. The increase in revenue in the third quarter of 2022 includes $4.4 million of revenue contribution from MD Ortho and Pega Medical. Excluding MD Ortho and Pega Medical, third quarter organic revenue growth was approximately 22% compared to the prior year period. U.S. revenue for the third quarter of 2022 was $26.5 million, a 37% increase compared to $19.4 million for the same period last year, representing 75.9% of total revenue. The increase in revenues in the third quarter of 2022 was driven primarily by organic growth across Scoliosis and Trauma and Deformity as well as the addition of MD Ortho and Pega Medical. International revenue for the third quarter of 2022 was $8.4 million, a 47% increase compared to $5.7 million for the same period last year, representing 24.1% of total revenue. Growth in the quarter was primarily driven by increased volumes, increased set sales to international stocking distributors in Scoliosis and Trauma and Deformity, as well as the addition of MD Ortho and Pega Medical.

Trauma and Deformity revenue for the third quarter of 2022 was $23.9 million, a 42% increase compared to $16.8 million for the same period last year. Revenue was driven by organic growth from external fixation, the PNP | Femur system, and cannulated screws as well as non-organic revenue from MD Ortho and Pega Medical of $4.4 million. Scoliosis revenue was $10.0 million, a 37% organic increase compared to $7.3 million for the third quarter of 2021. Scoliosis growth was driven primarily by increased sales of our RESPONSE™ fusion system and ApiFix non-fusion system as well as increased set sales to international stocking distributors. Sports Medicine/Other revenue for the third quarter of 2022 was $1.1 million, an 8% increase compared to $1.0 million for the same period last year.

Gross profit for the third quarter of 2022 was $25.9 million, a 40% increase compared to $18.6 million for the same period last year. Gross profit margin for the third quarter of 2022 increased to 74.1%, compared to 74.0% for the same period last year.

Total operating expenses for the third quarter of 2022 were $32.9 million, a 48% increase compared to $22.2 million for the same period last year.

Sales and marketing expenses increased $2.1 million, or 21%, to $11.9 million in the third quarter of 2022. The increase was driven primarily by increased sales commission expenses coupled with the addition of recent acquisitions.

General and administrative expenses increased $4.1 million, or 37%, to $15.1 million in the third quarter of 2022. The increase was driven primarily by the addition of personnel and resources to support the continued expansion of the business and an increase in legal expenses associated with recent acquisitions.

Total other income was $21.4 million for the third quarter of 2022, compared to $1.2 million for the same period last year. In the third quarter of 2022, we realized a $23.0 million fair value adjustment benefit which was driven by the decrease in forecasted revenue that was lower in comparison to the same period last year. In the third quarter of 2021, the Company reported a $1.4 million change.

Net income for the third quarter of 2022 was $18.5 million, compared to ($2.2) million net loss for the same period last year. Net income per share for the period was $0.88 per basic share and $0.87 per diluted share, compared to ($0.11) loss per basic and diluted share for the same period last year.

Adjusted EBITDA for the third quarter of 2022 was a gain of $1.9 million as compared to $0.5 million for the third quarter of 2021.

As of September 30, 2022, cash, short-term investments and restricted cash were $121.6 million compared to $52.5 million as of June 30, 2022, with no balance outstanding under the $50.0 million line of credit.

Full Year 2022 Financial Guidance
For full year 2022, the Company now expects its full year revenue to be in the range of $124 million to $125 million, updated from its previous guidance range of $127 million to $130 million, representing growth of 26% to 27% over 2021 revenue. The Company now expects its full year revenue, excluding recent acquisitions, to be in the range of $113 million to $114 million, representing growth of 15% to 16% over 2021 revenue. The guidance assumes roughly $11 million of combined revenue contribution from MD Ortho and Pega Medical. The Company also updated its annual set deployment to be in a range of $20 million to $24 million and continues to expect to generate several million dollars of adjusted EBITDA for full year 2022.

Conference Call

OrthoPediatrics will host a conference call on Tuesday, November 1, 2022, at 8:00 a.m. ET to discuss the results. Investors interested in listening to the conference call may do so by accessing a live and archived webcast of the event at www.orthopediatrics.com, on the Investors page in the Events & Presentations section. The webcast will be available for replay for at least 90 days after the event.

Forward-Looking Statements

This press release includes "forward-looking statements" within the meaning of U.S. federal securities laws. You can identify forward-looking statements by the use of words such as "may," "might," "will," "should," "expect," "plan," "anticipate," "could," "believe," "estimate," "project," "target," "predict," "intend," "future," "goals," "potential,” "objective," "would" and other similar expressions. Forward-looking statements involve risks and uncertainties, many of which are beyond OrthoPediatrics’ control. Important factors could cause actual results to differ materially from those in the forward-looking statements, including, among others: the risks related to COVID-19, the impact such pandemic may have on the demand for our products, and our ability to respond to the related challenges; and the risks, uncertainties and factors set forth under "Risk Factors" in OrthoPediatrics’ Annual Report on Form 10-K filed with the SEC on March 3, 2022, as updated and supplemented by our other SEC reports filed from time to time. Forward-looking statements speak only as of the date they are made. OrthoPediatrics assumes no obligation to update forward-looking statements to reflect actual results, subsequent events, or circumstances or other changes affecting such statements except to the extent required by applicable securities laws.

Use of Non-GAAP Financial Measures

This press release includes certain non-GAAP financial measures such as organic revenue, adjusted diluted earnings (loss) per share and Adjusted EBITDA, which differ from financial measures calculated in accordance with U.S. generally accepted accounting principles (“GAAP”).  Sales on an organic basis excludes from our reported net revenue growth the impacts of revenue from any acquired business that have been owned for less than one year. We believe that providing the non-GAAP organic revenue is useful as a way to measure and evaluate our underlying performance consistently across the periods presented. Adjusted earnings (loss) per share in this press release represents diluted earnings (loss) per share on a GAAP basis, plus the accreted interest attributable to acquisition installment payables, the fair value adjustment of contingent consideration, trademark impairment, acquisition related costs, non-recurring professional fees, accrued legal settlement costs and minimum purchase commitment costs. The fair value adjustment of contingent consideration is associated with our estimates of the value of earn-outs in connection with certain acquisitions and the non-recurring professional fees are related to our response to a previously disclosed SEC review. We believe that providing the non-GAAP diluted earnings (loss) per share excluding these expenses, as well as the GAAP measures, assists our investors because such expenses are not reflective of our ongoing operating results. Adjusted EBITDA in this release represents net loss, plus interest expense, net plus other expense, provision for income taxes (benefit), depreciation and amortization, trademark impairment, stock-based compensation expense, fair value adjustment of contingent consideration, acquisition related costs, nonrecurring professional fees, accrued legal settlements costs, and the cost of minimum purchase commitments. The Company believes the non-GAAP measures provided in this earnings release enable it to further and more consistently analyze the period-to-period financial performance of its core business operating performance. Management uses these metrics as a measure of the Company’s operating performance and for planning purposes, including financial projections. The Company believes these measures are useful to investors as supplemental information because they are frequently used by analysts, investors and other interested parties to evaluate companies in its industry. Adjusted EBITDA is a non-GAAP financial measure and should not be considered as an alternative to, or superior to, net income or loss as a measure of financial performance or cash flows from operations as a measure of liquidity, or any other performance measure derived in accordance with GAAP, and it should not be construed to imply that the Company’s future results will be unaffected by unusual or non-recurring items. In addition, the measure is not intended to be a measure of free cash flow for management’s discretionary use, as it does not reflect certain cash requirements such as debt service requirements, capital expenditures and other cash costs that may recur in the future. Adjusted EBITDA contains certain other limitations, including the failure to reflect our cash expenditures, cash requirements for working capital needs and other potential cash requirements. In evaluating these non-GAAP measures, you should be aware that in the future the Company may incur expenses that are the same or similar to some of the adjustments in this presentation. The Company’s presentation of non-GAAP diluted earnings (loss) per share or Adjusted EBITDA should not be construed to imply that its future results will be unaffected by any such adjustments. Management compensates for these limitations by primarily relying on the Company’s GAAP results in addition to using these adjusted measures on a supplemental basis. The Company’s definition of these measures is not necessarily comparable to other similarly titled captions of other companies due to different methods of calculation. The schedules below contain reconciliations of reported GAAP net revenue to non-GAAP organic revenue, GAAP diluted earnings (loss) per share to non-GAAP diluted earnings (loss) and net loss to non-GAAP Adjusted EBITDA.

About OrthoPediatrics Corp.

Founded in 2006, OrthoPediatrics is an orthopedic company focused exclusively on advancing the field of pediatric orthopedics. As such it has developed the most comprehensive product offering to the pediatric orthopedic market to improve the lives of children with orthopedic conditions. OrthoPediatrics currently markets 46 surgical systems that serve three of the largest categories within the pediatric orthopedic market. This product offering spans trauma and deformity, scoliosis, and sports medicine/other procedures. OrthoPediatrics’ global sales organization is focused exclusively on pediatric orthopedics and distributes its products in the United States and over 70 countries outside the United States. For more information, please visit www.orthopediatrics.com.

Investor Contact
Philip Taylor
Gilmartin Group
philip@gilmartinir.com
415-937-5406



ORTHOPEDIATRICS CORP.
CONDENSED CONSOLIDATED BALANCE SHEETS
(Unaudited)
(In Thousands, Except Share Data)

  September 30, 2022   December 31, 2021
       
ASSETS
Current assets:      
Cash $ 35,423     $ 7,641  
Restricted cash   1,449       1,365  
Short term investments   84,710       45,902  
Accounts receivable - trade, less allowance for doubtful accounts of $608 and $347, respectively   26,184       17,942  
Inventories, net   74,041       57,569  
Prepaid expenses and other current assets   2,751       3,229  
Total current assets   224,558       133,648  
       
Property and equipment, net   36,313       28,515  
       
Other assets:      
Amortizable intangible assets, net   66,285       55,494  
Goodwill   88,044       72,349  
Other intangible assets   14,854       14,268  
Total other assets   169,183       142,111  
       
Total assets $ 430,054     $ 304,274  
       
LIABILITIES AND STOCKHOLDERS' EQUITY
Current liabilities:      
Accounts payable - trade   10,881       9,325  
Accrued compensation and benefits   6,323       5,351  
Current portion of long-term debt with affiliate   143       137  
Current portion of acquisition installment payable   7,630       12,862  
Other current liabilities   3,769       2,040  
Total current liabilities   28,746       29,715  
       
Long-term liabilities:      
Long-term debt with affiliate, net of current portion   799       907  
Acquisition installment payment, net of current portion   7,822       14,309  
Contingent consideration   3,460       28,910  
Deferred income taxes   5,457       4,771  
Other long-term liabilities   440       293  
Total long-term liabilities   17,978       49,190  
       
Total liabilities   46,724       78,905  
       
Stockholders' equity:      
Common stock, $0.00025 par value; 50,000,000 shares authorized; 22,896,031 shares and 19,677,214 shares issued as of September 30, 2022 (unaudited) and December 31, 2021, respectively   6       5  
Additional paid-in capital   559,339       394,899  
Accumulated deficit   (168,920 )     (178,026 )
Accumulated other comprehensive income   (7,095 )     8,491  
Total stockholders' equity   383,330       225,369  
       
Total liabilities and stockholders' equity $ 430,054     $ 304,274  
       
       



ORTHOPEDIATRICS CORP.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(Unaudited)
(In Thousands, Except Share and Per Share Data)

  Three Months Ended September 30,   Nine Months Ended September 30,
    2022       2021       2022       2021  
Net revenue $ 34,950     $ 25,079     $ 91,295     $ 73,236  
Cost of revenue   9,061       6,525       21,859       17,914  
Gross profit   25,889       18,554       69,436       55,322  
               
Operating expenses:              
Sales and marketing   11,919       9,862       34,108       29,687  
General and administrative   15,116       11,034       42,829       34,163  
Trademark impairment   3,609             3,609        
Research and development   2,206       1,302       5,980       3,935  
Total operating expenses   32,850       22,198       86,526       67,785  
               
Operating loss   (6,961 )     (3,644 )     (17,090 )     (12,463 )
               
Other expenses:              
Interest expense, net   708       542       2,485       1,851  
Fair value adjustment of contingent consideration   (23,010 )     (1,430 )     (25,450 )     3,710  
Other income   945       (267 )     1,668       (802 )
Total other expenses   (21,357 )     (1,155 )     (21,297 )     4,759  
               
Income (loss) before income taxes $ 14,396     $ (2,489 )     4,207       (17,222 )
Provision for income taxes (benefit)   (4,143 )     (292 )     (4,899 )     (890 )
Net income (loss) $ 18,539     $ (2,197 )   $ 9,106     $ (16,332 )
Weighted average shares outstanding              
Basic   21,150,219       19,291,374       20,703,883       19,256,128  
Diluted   21,295,323       19,291,374       20,958,503       19,256,128  
Net income (loss) per share              
Basic $ 0.88     $ (0.11 )   $ 0.44     $ (0.85 )
Diluted $ 0.87     $ (0.11 )   $ 0.43     $ (0.85 )



ORTHOPEDIATRICS CORP.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited)(In Thousands)

  Nine Months Ended September 30,
    2022       2021  
OPERATING ACTIVITIES  
Net income (loss) $ 9,106     $ (16,332 )
Adjustments to reconcile net loss to net cash used in operating activities:      
Depreciation and amortization   9,579       7,870  
Stock-based compensation   4,978       4,170  
Trademark Impairment   3,609        
Fair value adjustment of contingent consideration   (25,450 )     3,710  
Acquisition installment payable   1,926       1,701  
Deferred income taxes   (4,804 )     (890 )
Changes in certain current assets and liabilities:      
Accounts receivable - trade   (5,567 )     (716 )
Inventories   (14,812 )     (3,244 )
Prepaid expenses and other current assets   696       (138 )
Accounts payable - trade   (389 )     (956 )
Accrued legal settlements         (6,342 )
Accrued expenses and other liabilities   1,800       (168 )
Other   903       (493 )
Net cash used in operating activities   (18,425 )     (11,828 )
       
INVESTING ACTIVITIES      
Acquisition of MD Ortho, net of cash acquired   (8,360 )      
Acquisition of Pega, net of cash acquired   (31,730 )      
Sale of short-term marketable securities   45,529       4,000  
Purchases of licenses         (7,908 )
Purchase of short-term marketable securities   (85,029 )      
Purchases of property and equipment   (10,554 )     (6,468 )
Net cash used in investing activities   (90,144 )     (10,376 )
       
FINANCING ACTIVITIES      
Proceeds from issuance of debt with affiliate   31,000        
Payments on debt with affiliate   (31,000 )      
Installment payment for ApiFix   (3,234 )      
Proceeds from issuance of common stock, net of issuance costs   139,282        
Proceeds from exercise of stock options   63       137  
Payments on mortgage notes   (102 )     (97 )
Net cash provided by financing activities   136,009       40  
       
Effect of exchange rate changes on cash   426       (266 )
       
NET INCREASE (DECREASE) IN CASH AND RESTRICTED CASH   27,866       (22,430 )
       
Cash and restricted cash, beginning of period $ 9,006     $ 30,132  
Cash and restricted cash, end of period $ 36,872     $ 7,702  
       
       
       
SUPPLEMENTAL DISCLOSURES      
Cash paid for interest $ 512     $ 43  
Transfer of instruments from property and equipment to inventory $ (193 )   $ 80  
Issuance of common shares to acquire MD Ortho $ 9,707     $  
Issuance of common shares for ApiFix installment $ 10,410     $  



ORTHOPEDIATRICS CORP.
NET REVENUE BY GEOGRAPHY AND PRODUCT CATEGORY
(Unaudited)
(In Thousands)

  Three Months Ended September 30,   Nine Months Ended September 30,
Product sales by geographic location:   2022       2021       2022       2021  
U.S. $ 26,539     $ 19,354     $ 69,687       57,930  
International   8,411       5,725       21,608       15,306  
Total $ 34,950     $ 25,079     $ 91,295     $ 73,236  
               
  Three Months Ended September 30,   Nine Months Ended September 30,
Product sales by category:   2022       2021       2022       2021  
Trauma and deformity $ 23,892     $ 16,817       62,976       49,302  
Scoliosis   9,979       7,266       25,383       20,874  
Sports medicine/other   1,079       996       2,936       3,060  
Total $ 34,950     $ 25,079     $ 91,295     $ 73,236  



ORTHOPEDIATRICS CORP.
RECONCILIATION OF NET REVENUE TO NON-GAAP ORGANIC REVENUE
(Unaudited)
(In Thousands)

  Three Months Ended September 30,   Nine Months Ended September 30,
Product sales by geographic location:   2022       2021       2022       2021  
As reported:              
U.S. $ 26,539     $ 19,354     $ 69,687       57,930  
International   8,411       5,725       21,608       15,306  
Less impact from acquisitions:              
U.S.   2,275             3,620        
International   2,119             3,386        
Organic revenue:              
U.S.   24,264       19,354       66,067       57,930  
International   6,292       5,725       18,222       15,306  
Total organic revenue $ 30,556     $ 25,079     $ 84,289     $ 73,236  
               
  Three Months Ended September 30,   Nine Months Ended September 30,
Product sales by category:   2022       2021       2022       2021  
As reported:              
Trauma and deformity $ 23,892     $ 16,817       62,976       49,302  
Scoliosis   9,979       7,266       25,383       20,874  
Sports medicine/other   1,079       996       2,936       3,060  
Less: impact from acquisitions              
Trauma and deformity   4,394             7,006        
Scoliosis                      
Sports medicine/other                      
Organic revenue:              
Trauma and deformity   19,498       16,817       55,970       49,302  
Scoliosis   9,979       7,266       25,383       20,874  
Sports medicine/other   1,079       996       2,936       3,060  
Total organic revenue $ 30,556     $ 25,079     $ 84,289     $ 73,236  



ORTHOPEDIATRICS CORP.
RECONCILIATION OF NET LOSS TO NON-GAAP ADJUSTED EBITDA
(Unaudited)
(In Thousands)

  Three Months Ended September 30,   Nine Months Ended September 30,
    2022       2021       2022       2021  
Net income (loss) $ 18,539     $ (2,197 )   $ 9,106     $ (16,332 )
Interest expense, net   708       542       2,485       1,851  
Other income   945       (267 )     1,668       (802 )
Provision for income taxes (benefit)   (4,143 )     (292 )     (4,899 )     (890 )
Depreciation and amortization   3,287       2,723       9,579       7,870  
Trademark impairment   3,609             3,609        
Stock-based compensation   1,813       1,440       5,109       4,170  
Fair value adjustment of contingent consideration   (23,010 )     (1,430 )     (25,450 )     3,710  
Acquisition related costs   54             818        
Nonrecurring professional fees                     658  
Accrued legal settlements costs                     150  
Minimum purchase commitment cost   101             442        
Adjusted EBITDA $ 1,903     $ 519     $ 2,467     $ 385  



ORTHOPEDIATRICS CORP.
RECONCILIATION OF DILUTED EARNINGS (LOSS) PER SHARE TO NON-GAAP ADJUSTED DILUTED EARNINGS (LOSS) PER SHARE
(Unaudited)

  Three Months Ended September 30,   Nine Months Ended September 30,
    2022       2021       2022       2021  
Earnings (loss) per share, diluted (GAAP) $ 0.87     $ (0.11 )   $ 0.43     $ (0.85 )
Accretion of interest attributable to acquisition installment payable   0.02       0.03       0.09       0.09  
Fair value adjustment of contingent consideration   (1.12 )     (0.07 )     (1.24 )     0.19  
Trademark impairment   0.18             0.18        
Acquisition related costs               0.04        
Nonrecurring professional fees                     0.03  
Accrued legal settlements costs                     0.01  
Minimum purchase commitment cost               0.02        
Earnings (loss) per share, diluted (non-GAAP) $ (0.05 )   $ (0.15 )   $ (0.48 )   $ (0.53 )

 


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Source: OrthoPediatrics Corp.