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      Nevro Reports Third Quarter 2019 Financial Results

      Company Raises 2019 Guidance, Announces CFO Retirement Plans

      Third Quarter 2019 and Recent Highlights

      - U.S. Patient Trials and Permanent Implants Each Grew 18% Over Prior Year

      - Senza® Omnia™ SCS System Commercially Launched in U.S.

      - Patient Enrollment in Painful Diabetic Neuropathy RCT Completed

      - Chief Commercial Officer and Chief Human Resources Officer Named

      - Preliminary Injunction Against Competitor Granted

      .

      News provided by

      Nevro Corp.

      Nov 06, 2019, 16:10 ET

      Share this article

      Share this article


      REDWOOD CITY, Calif., Nov. 6, 2019 /PRNewswire/ -- Nevro Corp. (NYSE: NVRO), a global medical device company that is providing innovative, evidence-based solutions for the treatment of chronic pain, today reported financial results for the third quarter ended September 30, 2019.

      Continue Reading
      Senza® Omnia™ is the first and only spinal cord stimulation (SCS) system designed to deliver Nevro’s proprietary HF10® therapy and all SCS frequencies between 2 and 10,000 Hz.
      Senza® Omnia™ is the first and only spinal cord stimulation (SCS) system designed to deliver Nevro’s proprietary HF10® therapy and all SCS frequencies between 2 and 10,000 Hz.

      Revenue for the third quarter of 2019 was $100.2 million, a 5% increase compared to $95.6 million during the prior year period. U.S. revenue for the third quarter of 2019 was $84.2 million, a 6% increase compared to $79.6 million in the prior year period. The year-over-year increase in U.S. revenue was primarily driven by SCS procedure growth which was partially offset by the impact of the Company's previously announced decision to alter its practice regarding certain high-volume product orders.  International revenue was $16.0 million compared to $16.0 million in the prior year period. While flat on an as-reported basis, this represents a 5% increase on a constant currency basis.

      "Our strong third quarter 2019 financial results demonstrate our continued improvement in commercial focus and execution across the organization.  In the U.S., we saw an 18% year-over-year increase in both patient trial procedures and permanent implant procedures," said D. Keith Grossman, Chairman, CEO and President. "Yesterday we announced the commercial launch of our groundbreaking Senza Omnia system, the only SCS system that offers HF10 therapy in addition to all other SCS frequencies, as well as frequency pairing with HF10.  We're excited by the early customer feedback we've received, and we believe this new product introduction, along with our ongoing operational initiatives, positions us for continued growth in 2020 and beyond."

      Gross profit for the third quarter of 2019 was $69.9 million, a 4% increase compared to $67.2 million in the prior year period. Gross margin was 69.8% in the third quarter of 2019 compared to 70.3% in the prior year period.

      Operating expenses for the third quarter of 2019 were $85.9 million, a 12% increase compared to $76.5 million in the prior year period. The year-over-year increase in operating expenses was primarily driven by U.S. sales and marketing personnel costs. Legal expenses associated with patent litigation were $1.9 million for the third quarter of 2019, compared to $3.5 million in the prior year period.

      Net loss from operations for the third quarter of 2019 was $16.0 million, compared to a loss of $9.2 million in the prior year period.  Adjusted EBITDA for the third quarter of 2019 was a loss of $2.0 million, compared to a positive $5.2 million in the prior year period. Adjusted EBITDA excludes certain litigation expenses, interest, taxes and non-cash items such as stock-based compensation and depreciation and amortization.  Please see below for GAAP to Non-GAAP reconciliations.

      Cash, cash equivalents and short-term investments totaled $232.8 million as of September 30, 2019. Net cash used during the third quarter of 2019 was $1.2 million and $31.8 million for the nine months ended September 30, 2019.

      Full Year 2019 Financial Guidance
      Following the Company's third quarter 2019 financial results, Nevro management is increasing its financial guidance for 2019 worldwide revenue from $368-$374 million to $383-$386 million.  Gross margin is expected to be in the 68-70% range as a percentage of revenue.

      CFO Retirement and Transition Plan
      The Company also announced that Andrew Galligan has decided to retire after nearly a decade with Nevro.  Mr. Galligan will remain Chief Financial Officer (CFO) through the appointment of a successor.  Mr. Galligan will serve in a transitional role for some period of time thereafter.  Nevro is initiating a search to identify the Company's next CFO.

      "Andrew has played a very significant role in Nevro's growth as he oversaw the Company's evolution from its early days as a small private company," Grossman continued. "Since my arrival in March of 2019, Andrew has not only been an exceptional leader, but on a personal level he has been an invaluable partner to me.  I want to thank Andrew for his many contributions and I look forward to continuing to benefit from his perspective in the coming months." 

      Webcast and Conference Call Information
      Management will host a conference call today beginning at 1:30 p.m. PT / 4:30 p.m. ET.  Investors interested in listening to the conference call may do so by dialing (833) 286-5807 in the U.S. or (647) 689-4452 internationally, using Conference ID: 4787437.  In addition, a live webcast will be available on the "Investors" section of the Company's website at www.nevro.com, as well as an archived recording.

      About Nevro
      Headquartered in Redwood City, California, Nevro is a global medical device company focused on providing innovative products that improve the quality of life of patients suffering from debilitating chronic pain. Nevro has developed and commercialized the Senza spinal cord stimulation (SCS) system, an evidence-based, non-pharmacologic neuromodulation platform for the treatment of chronic pain. HF10 therapy has demonstrated the ability to reduce or eliminate opioids in ≥65% of patients across six peer-reviewed clinical studies. The Senza® System, Senza II™ System, and the Senza® Omnia™ System are the only SCS systems that deliver Nevro's proprietary HF10® therapy. Senza, Senza II, Senza Omnia, HF10, Nevro and the Nevro logo are trademarks of Nevro Corp.

      For more information about the Omnia system, please visit www.nevro.com/Omnia.
      To learn more about Nevro, connect with us on LinkedIn, Twitter, Facebook and Instagram.

      Forward-Looking Statements
      In addition to historical information, this press release contains forward-looking statements with respect to our business, capital resources,  gross margin and expense projections,  expectations for worldwide revenue in 2019, strategic initiatives and continued growth, reflecting the current beliefs and expectations of management made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995, including continuing adoption of, and interest in, Senza and Omnia in the U.S. and international markets. These forward-looking statements are based upon information that is currently available to us or our current expectations, speak only as of the date hereof, and are subject to numerous risks and uncertainties, including our ability to successfully commercialize our products; our ability to manufacture our products to meet demand; the level and availability of third-party payor reimbursement for our products; our ability to effectively manage our anticipated growth; our ability to protect our intellectual property rights and proprietary technologies; our ability to operate our business without infringing the intellectual property rights and proprietary technology of third parties; competition in our industry; additional capital and credit availability; our ability to attract and retain qualified personnel; and product liability claims. These factors, together with those that are described in greater detail in our quarterly report on Form 10-Q that we expect to file on November 6, 2019, as well as any reports that we may file with the SEC in the future, may cause our actual results, performance or achievements to differ materially and adversely from those anticipated or implied by our forward-looking statements. We expressly disclaim any obligation, except as required by law, or undertaking to update or revise any such forward-looking statements. Our results for the quarter ended September 30, 2019 are not necessarily indicative of our operating results for any future periods.

      Investor Relations Contact:
      Juliet Cunningham
      Vice President, Investor Relations
      650-433-3247
      ir@nevro.com

      Nevro Corp.

      Consolidated Statements of Operations and Comprehensive Loss

      (in thousands, except share and per share data)




      Three Months Ended



      Nine Months Ended




      September 30,



      September 30,




      2019



      2018



      2019



      2018




      (unaudited)



      (unaudited)


      Revenue


      $

      100,162



      $

      95,630



      $

      275,881



      $

      279,345


      Cost of revenue



      30,222




      28,382




      88,789




      82,175


      Gross profit



      69,940




      67,248




      187,092




      197,170


      Operating expenses:

















      Research and development



      13,019




      12,478




      42,084




      34,979


      Sales, general and administrative



      72,905




      64,007




      229,806




      195,331


      Total operating expenses



      85,924




      76,485




      271,890




      230,310


      Loss from operations



      (15,984)




      (9,237)




      (84,798)




      (33,140)


      Other income (expense):

















      Interest income (expense), net



      (1,152)




      (1,347)




      (3,512)




      (4,336)


      Other income (expense), net



      (291)




      (130)




      (516)




      (845)


      Loss before income taxes



      (17,427)




      (10,714)




      (88,826)




      (38,321)


      Provision for income taxes



      420




      551




      1,118




      1,277


      Net loss



      (17,847)




      (11,265)




      (89,944)




      (39,598)


      Changes in foreign currency translation adjustment



      200




      (155)




      99




      104


      Changes in unrealized gains (losses) on short-term investments



      —




      269




      440




      191


      Net change in other comprehensive loss



      200




      114




      539




      295


      Comprehensive Loss


      $

      (17,647)



      $

      (11,151)



      $

      (89,405)



      $

      (39,303)


      Net loss per share, basic and diluted


      $

      (0.58)



      $

      (0.37)



      $

      (2.93)



      $

      (1.32)


      Weighted average shares used to compute net loss per share, basic and diluted



      30,929,938




      30,123,188




      30,659,117




      29,997,201


      Nevro Corp.

      Consolidated Balance Sheets

      (in thousands, except share and per share data)




      September 30,



      December 31,




      2019



      2018




      (unaudited)






      Assets









      Current assets









      Cash and cash equivalents


      $

      49,338



      $

      51,266


      Short-term investments



      183,429




      213,281


      Accounts receivable, net



      70,807




      80,656


      Inventories, net



      90,730




      92,035


      Prepaid expenses and other current assets



      6,497




      6,621


      Total current assets



      400,801




      443,859


      Property and equipment, net



      11,721




      12,801


      Operating lease assets



      22,348




      —


      Other assets



      11,912




      5,850


      Restricted cash



      956




      606


      Total assets


      $

      447,738



      $

      463,116


      Liabilities and stockholders' equity









      Current liabilities









      Accounts payable


      $

      19,770



      $

      23,505


      Accrued liabilities and other



      48,557




      38,909


      Total current liabilities



      68,327




      62,414


      Long-term debt



      158,278




      152,394


      Long-term operating lease liabilities



      21,324




      —


      Other long-term liabilities



      1,712




      2,825


      Total liabilities



      249,641




      217,633


      Stockholders' equity









      Common stock, $0.001 par value, 290,000,000 shares authorized, 30,994,005 and 30,263,536 shares issued and outstanding at September 30, 2019 and December 31, 2018, respectively



      31




      30


      Additional paid-in capital



      594,630




      552,612


      Accumulated other comprehensive loss



      (538)




      (1,077)


      Accumulated deficit



      (396,026)




      (306,082)


      Total stockholders' equity



      198,097




      245,483


      Total liabilities and stockholders' equity


      $

      447,738



      $

      463,116


      Nevro Corp.

      GAAP to Adjusted EBIDTA Reconciliation

      (in thousands)

      The following table presents a reconciliation of GAAP net loss, as prepared in accordance with U.S. Generally Accepted Accounting Principles ("GAAP"), to Adjusted EBITDA, a non-GAAP financial measure. 




      Three Months Ended



      Nine Months Ended




      September 30,



      September 30,




      2019



      2018



      2019



      2018




      (unaudited)



      (unaudited)


      GAAP Net loss


      $

      (17,847)



      $

      (11,265)



      $

      (89,944)



      $

      (39,598)


      Non-GAAP Adjustments:

















      Interest (income) expense, net



      1,152




      1,347




      3,512




      4,336


      Provision for income taxes



      420




      551




      1,118




      1,277


      Depreciation and amortization



      1,152




      1,118




      3,428




      2,967


      Stock-based compensation expense



      11,197




      9,454




      31,320




      27,018


      Litigation related expenses



      1,930




      3,962




      8,731




      18,507


      Adjusted EBIDTA


      $

      (1,996)



      $

      5,167



      $

      (41,835)



      $

      14,507


      Management uses supplemental non-GAAP financial measures, including Adjusted EBITDA, to evaluate operating performance period over period, analyze the underlying business trends, assess performance relative to competitors and establish operational objectives.

      Management believes it is important to provide investors with the same non-GAAP metrics it uses regarding the performance and underlying trends of the Company's business operations to facilitate comparisons to its historical operating results and evaluate the effectiveness of its operating strategies. Disclosure of these non-GAAP financial measures also facilitates comparisons of the Company's underlying operating performance with other companies in the industry that also supplement their GAAP results with non-GAAP financial measures.

      EBIDTA is a non-GAAP financial measure, which is calculated by adding interest income and expense, net; provision for income taxes; and depreciation and amortization to net income.  In calculating Adjusted EBIDTA, the Company further adjusts for the following items:

      Stock-based compensation expense – non-cash costs related to the Company's stock-based plans, which include stock options, restricted stock units and performance-based restricted stock units.

      Litigation related expenses – legal and professional fees associated with certain legal matters which management considers not related to the Company's underlying operating performance.

      The non-GAAP financial measure should not be considered in isolation from, or as a replacement for, the most directly comparable GAAP financial measures, as it is not prepared in accordance with U.S. GAAP.

      SOURCE Nevro Corp.

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