Sientra Reports First Quarter 2018 Financial Results


Achieves Highest Net Sales in Company’s History

Received FDA Approval of PMA Supplement

Launched OPUS™ Branded Breast Products and miraDry fresh™ Enhanced Protocol

Completed Upsized Follow-on Public Offering of Common Stock for
Net Proceeds of Approximately $108 Million

SANTA BARBARA, Calif., May 09, 2018 (GLOBE NEWSWIRE) -- Sientra, Inc. (NASDAQ:SIEN) (“Sientra” or the “Company”), a medical aesthetics company, today announced its financial results for the first quarter ended March 31, 2018.

Jeffrey M. Nugent, Chairman and Chief Executive Officer of Sientra, said, “We achieved the highest net revenue in the Company’s history which further reinforced our diversification strategy and will serve as the foundation for another transformational year of growth and expansion.  With the recent FDA approval of our PMA supplement, we anticipate that the commercialization of our OPUS-branded silicone breast implants with strong 10-year clinical data and our new Sientra Platinum20™ warranty program will drive market share gains as we strengthen our commitment to the safety, reliability and quality of our products. We also expect that the enhanced protocol for miraDry fresh combined with our recently launched digital marketing campaign will drive meaningful contributions under an expanded commercial organization. Looking ahead, we are excited to continue leveraging our exceptional products, people, and relationships to take share across segments and drive value as a diversified global aesthetics company.”

Mr. Nugent concluded, “Over the last two years, we have successfully navigated through the key initiatives needed to put Sientra in a better position today to capture and drive market share growth.  Following a successful follow-on equity offering which generated net proceeds of approximately $108 million, the Company is now well capitalized to execute on our strategic growth initiatives.”

First Quarter 2018 Financial Review

Total net sales for the first quarter 2018 were $14.7 million, an increase of 96% compared to total net sales of $7.5 million for the same period in 2017.  Total net sales increased 30% on a pro forma basis year over year compared to pro forma total net sales of $11.3 million in first quarter 2017. 

Net sales for the Breast Products segment totaled $8.5 million in the first quarter 2018, a 14% increase compared to $7.5 million for first quarter 2017, driven primarily by the continued strong performance of the Company’s breast tissue expanders and record sales of our BIOCORNEUM® scar management product.

Net sales for the miraDry segment totaled $6.1 million in the first quarter 2018.  There were no sales on a GAAP basis in the first quarter 2017 and there were $3.8 million on a pro forma basis.  On a pro forma basis this represents a 61% increase for the miraDry segment.

Gross profit for the first quarter of 2018 was $8.6 million, or 58% of sales, compared to gross profit of $5.2 million, or 69% of sales, for the same period in 2017.  The decrease in gross margin was primarily due to the inclusion of miraDry and the higher mix of capital and international sales which carry a lower gross margin than Breast Products.  

Operating expenses for the first quarter of 2018 were $27.5 million, an increase of $10.9 million or 66%, compared to operating expenses of $16.6 million for the same period in 2017.  Operating expenses in the first quarter 2018 were driven higher primarily by the inclusion of miraDry and the significant investment in its sales and marketing teams.

Net loss for the first quarter of 2018 was ($19.4) million, or ($0.99) per share, compared to a net loss of ($11.4) million, or ($0.61) per share, for the same period in 2017.

On a non-GAAP basis, the Company reported adjusted EBITDA loss of $(15.4) million for the first quarter 2018, compared to a loss of $(9.3) million for the first quarter 2017. The year over year increase can be mainly attributed to the inclusion of miraDry.

Net cash and cash equivalents as of March 31, 2018 were $16.1 million compared to $26.6 million at the end of the fourth quarter 2017. Cash and cash equivalents as of March 31, 2018 do not include total net proceeds of approximately $108 million from the Company’s recently completed follow-on common stock offering nor does the figure include $10.0 million of cash from the drawdown of the Company’s remaining tranche of term debt under its credit facility with MidCap Financial Services and Silicon Valley Bank following FDA PMA supplement approval.

Additional information on the Company’s financial results can be found in Sientra’s Supplemental Financial and Operational Information schedule by visiting the Investor Relations section of Sientra’s website at

Conference Call

Sientra will hold a conference call on Wednesday, May 9, 2018 at 1:30 p.m. PT/4:30 p.m. ET to discuss the results.

The dial-in numbers are (844) 464-3933 for domestic callers and (765) 507-2612 for international callers. The conference ID is 6447955.  A live webcast of the conference call will be available on the Investor Relations section of the Company's website at

A replay of the call will be available starting on May 9, 2018 at 4:30 p.m. PT/7:30 p.m. ET, through May 16, 2018 at 8:59 p.m. PT/11:59 p.m. ET.  To access the replay, dial (855) 859-2056 for domestic callers and (404) 537-3406 for international callers and use the replay conference ID 6447955.  The webcast will be available on the Investor Relations section of the Company’s website for 30 days following the completion of the call.  

Use of Non-GAAP Financial Measures
Sientra has supplemented its US GAAP net income (loss) with a non-GAAP measure of Adjusted EBITDA. Management believes that this non-GAAP financial measure provides useful supplemental information to management and investors regarding the performance of the Company, facilitates a more meaningful comparison of results for current periods with previous operating results, and assists management in analyzing future trends, making strategic and business decisions and establishing internal budgets and forecasts. A reconciliation of non-GAAP Adjusted EBITDA to GAAP net income (loss), the most directly comparable GAAP measure, is provided in the schedule below.

There are limitations in using this non-GAAP financial measure because it is not prepared in accordance with GAAP and may be different from non-GAAP financial measures used by other companies. This non-GAAP financial measure should not be considered in isolation or as a substitute for GAAP financial measures. Investors and potential investors should consider non-GAAP financial measures only in conjunction with Sientra’s financial statements prepared in accordance with GAAP and the reconciliations of the non-GAAP financial measure provided in the schedule below.

About Sientra

Headquartered in Santa Barbara, California, Sientra is a medical aesthetics company committed to making a difference in patients’ lives by enhancing their body image, growing their self-esteem and restoring their confidence. The Company was founded to provide greater choice to board-certified plastic surgeons and patients in need of medical aesthetics products. The Company has developed a broad portfolio of products with technologically differentiated characteristics, supported by independent laboratory testing and strong clinical trial outcomes. The Company sells its OPUS™ brand of breast implants and breast tissue expanders exclusively to board-certified and board-admissible plastic surgeons and tailors its customer service offerings to their specific needs.  The Company also offers a range of other aesthetic and specialty products including BIOCORNEUM®, the professional choice in scar management, and miraDry®, the only FDA-cleared device to reduce underarm sweat, odor and permanently reduce hair of all colors.

Forward- looking statements
This press release contains “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, based on management’s current assumptions and expectations of future events and trends, which affect or may affect the Company’s business, strategy, operations or financial performance, and actual results may differ materially from those expressed or implied in such statements due to numerous risks and uncertainties.  Forward-looking statements include, but are not limited to, statements regarding  the Company’s expected net sales for the quarter ended, and its net cash and cash equivalents as of, March 31, 2018, the Company’s ability to regain share in the U.S. breast implant market, the Company’s ability to meet customer demand, the expected growth of the Company’s current customer base and acquisition of new customers, the Company’s ability to deliver value and become a world class, diversified aesthetics organization, and the Company’s ability to finance its near and long-term strategic growth initiatives. Such statements are subject to risks and uncertainties, including the dependence on conclusion of review procedures for the quarter ended March 31, 2018 by the Company’s independent auditors, positive reaction from plastic surgeons and their patients to Sientra’s breast products, risks associated with contracting with any third-party manufacturer and supplier, including uncertainties that such parties will be able to meet consumer demand, that the integration of recently acquired product lines will not achieve the anticipated benefits, and the ability to obtain additional capital on acceptable terms.  Additional factors that could cause actual results to differ materially from those contemplated in this press release can be found in the Risk Factors section of Sientra’s Annual Report on Form 10-K for the year ended December 31, 2017.  All statements other than statements of historical fact are forward-looking statements. The words "believe," "may," "might," "could," "will," "aim," "estimate," "continue," "anticipate," "intend," "expect," "plan," or the negative of those terms, and similar expressions that convey uncertainty of future events or outcomes are intended to identify estimates, projections and other forward-looking statements. Estimates, projections and other forward-looking statements speak only as of the date they were made, and, except to the extent required by law, the Company undertakes no obligation to update or review any estimate, projection or forward-looking statement.

Investor Contacts:

Patrick F. Williams
Sientra, Chief Financial Officer
(619) 675-1047

Tram Bui / Brian Johnston
The Ruth Group
(646) 536-7035 / (646) 536-7028

Sientra, Inc.
Condensed Consolidated Statements of Operations
(In thousands, except per share and share amounts)
  Three Months Ended
  March 31,
   2018   2017 
Net sales $  14,676  $  7,489 
Cost of goods sold    6,097     2,322 
Gross profit    8,579     5,167 
Operating expenses:        
Sales and marketing    15,256     6,955 
Research and development    2,751     3,194 
General and administrative    9,499     6,436 
Total operating expenses    27,506     16,585 
Loss from operations    (18,927)    (11,418)
Other income (expense), net:        
Interest income    40     22 
Interest expense    (655)    (9)
Other income (expense), net    119     8 
Total other income (expense), net    (496)    21 
Loss before income taxes    (19,423)    (11,397)
Income taxes    -      25 
Net loss $  (19,423) $  (11,422)
Basic and diluted net loss per share
  attributable to common stockholders
 $  (0.99) $  (0.61)
Weighted average outstanding common
  shares used for net loss per share
  attributable to common stockholders:
Basic and diluted    19,613,417     18,772,965 
*The 3 months ended March 31, 2018 includes the results of miraDry, acquired on 7/25/17


Sientra, Inc.
Condensed Consolidated Balance Sheets
(In thousands)
  March 31, December 31,
  2018 2017
Current assets:      
Cash and cash equivalents $16,059 $26,588
Accounts receivable, net  12,072  6,569
Inventories, net  21,829  20,896
Prepaid expenses and other current assets  2,374  1,512
Total current assets  52,334  55,565
Property and equipment, net  4,934  4,763
Goodwill  12,507  12,507
Other intangible assets, net  18,223  18,803
Other assets  719  575
Total assets $88,717 $92,213
Liabilities and Stockholders’ Equity      
Current liabilities:      
Current portion of long-term debt $5,256 $24,639
Accounts payable  10,487  5,811
Accrued and other current liabilities  16,535  13,474
Legal settlement payable  1,000  1,000
Customer deposits  5,431  5,423
Refund liability  4,400  
Total current liabilities  43,109  50,347
Long-term debt  22,735  
Deferred and contingent consideration  11,338  12,597
Warranty reserve and other long-term liabilities  1,692  1,646
Total liabilities  78,874  64,590
Stockholders’ equity:      
Total stockholders’ equity  9,843  27,623
Total liabilities and stockholders’ equity $88,717 $92,213


Sientra, Inc.
Condensed Consolidated Statements of Cash Flows
(In thousands)
 Three Months Ended
 March 31,
  2018   2017 
Cash flows from operating activities:       
Net loss$(19,423) $(11,422)
Adjustments to reconcile net loss to net cash used in operating activities:       
Depreciation and amortization 880   570 
Provision for doubtful accounts 233   8 
Provision for warranties 183   57 
Provision for inventory 199   107 
Amortization of acquired inventory step-up 59   201 
Change in fair value of warrants (121)  (9)
Change in fair value of deferred and contingent consideration 621   64 
Change in deferred revenue (99)   
Amortization of debt discount and issuance costs 51    
Non-cash interest expense    8 
Stock-based compensation expense 2,548   1,360 
Deferred income taxes    25 
Changes in assets and liabilities, net of effects from acquisitions:       
Accounts receivable (5,735)  365 
Inventories (1,191)  977 
Prepaid expenses, other current assets and other assets (1,009)  (1,420)
Insurance recovery receivable (10)  9,301 
Accounts payable 4,684   (856)
Accrued and other liabilities 948   3,040 
Legal settlement payable    (10,900)
Customer deposits 8   335 
Refund liability 4,400    
Net cash used in operating activities (12,774)  (8,189)
Cash flows from investing activities:       
Purchase of property and equipment (142)  (952)
Net cash used in investing activities (142)  (952)
Cash flows from financing activities:       
Proceeds from exercise of stock options    752 
Proceeds from issuance of common stock under ESPP 391   324 
Tax payments related to shares withheld for vested restricted stock units (RSUs) (1,296)  (390)
Gross borrowings under the Revolving Line of Credit 9,033    
Payment on the Revolving Line of Credit (5,735)   
Deferred financing costs (6)   
Net cash provided by financing activities 2,387   686 
Net decrease in cash and cash equivalents (10,529)  (8,455)
Cash and cash equivalents at:       
Beginning of period 26,588   67,212 
End of period$16,059  $58,757 
Supplemental disclosure of cash flow information:       
Interest paid$586  $ 
Supplemental disclosure of non-cash investing and financing activities:       
Property and equipment in accounts payable and accrued liabilities 1,530   214 
Fair Value of warrants to be issued    88 
*The 3 months ended March 31, 2018 includes the results of miraDry, acquired on 7/25/17 


Sientra, Inc.
Reconciliation of Net Loss to Non-GAAP Adjusted EBITDA
  Three Months Ended
  March 31,
Dollars, in thousands 2018 2017
Net loss, as reported $(19,423) $(11,422)
Adjustments to net loss:    
Interest (income) expense and other, net  496   (21)
Provision for income taxes  -   25 
Depreciation and amortization - COGS  148   203 
Depreciation and amortization - G&A  610   460 
Depreciation and amortization - S&M  33   38 
Depreciation and amortization - R&D  148   70 
Stock-based compensation  2,548   1,360 
Total adjustments to net loss  3,983   2,135 
Adjusted EBITDA $(15,440) $(9,287)
  Three Months Ended
  March 31,
As a Percentage of Revenue**  2018   2017 
Net loss, as reported  (132.3%)  (152.5%)
Adjustments to net loss:    
Interest (income) expense and other, net  3.4%  (0.3%)
Provision for income taxes  0.0%  0.3%
Depreciation and amortization - COGS  1.0%  2.7%
Depreciation and amortization - G&A  4.2%  6.1%
Depreciation and amortization - S&M  0.2%  0.5%
Depreciation and amortization - R&D  1.0%  0.9%
Stock-based compensation  17.4%  18.2%
Total adjustments to net loss  27.1%  28.5%
Adjusted EBITDA  (105.2%)  (124.0%)
*The 3 months ended March 31, 2018 includes the results of miraDry, acquired on 7/25/17
** Adjustments may not add to the total figure due to rounding 
Sientra, Inc.  
Non-GAAP Pro Forma Net Sales  
   Three Months Ended
   March 31,
Dollars, in thousands  2018   2017
Net sales - pro forma $14,676  $11,304  

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Source: Sientra, Inc.

Nasdaq: SIEN

Stock Quote: NASD

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