Outset Medical Reports Third Quarter 2021 Financial Results

By: Outset Medical, Inc. via Business Wire

November 03, 2021 at 16:05 PM EDT

2021 Revenue Guidance Range Elevated to $99 million to $101 million

Outset Medical, Inc. (Nasdaq: OM) (“Outset” or the “Company”), a medical technology company pioneering a first-of-its-kind technology to reduce the cost and complexity of dialysis, today reported financial results for the third quarter ended September 30, 2021.

Recent Highlights

Recorded net revenue of $26.3 million in the third quarter of 2021, a 91.3% increase compared to $13.8 million in the third quarter of 2020
Achieved gross margin of 11.2% in the third quarter of 2021 compared to (37.3%) in the third quarter of 2020
Received favorable decision for Tablo under the Transitional Add-on Payment Adjustment for New and Innovative Equipment and Supplies (TPNIES) program
Four clinical abstracts outlining Tablo’s clinical performance in both Home and Acute settings to be shared at the American Society of Nephrology’s Kidney Week Meeting

“Our strong third quarter performance further reinforces our confidence in our business and in our expectations for growth,” said Leslie Trigg, President and Chief Executive Officer. “We are also very pleased to have secured a positive decision on our TPNIES application, which we believe validates Tablo’s value to patients and providers and makes Tablo the first and only technology to receive a TPNIES approval.”

Third Quarter 2021 Financial Results

Revenue for the third quarter of 2021 was $26.3 million, representing an increase of 91.3% compared to $13.8 million in the third quarter of 2020. Product revenue for the third quarter of 2021 was $21.8 million, representing an increase of 101.9% compared to $10.8 million in the third quarter of 2020. Service and other revenue for the third quarter of 2021 was $4.5 million, representing an increase of 52.6% compared to $2.9 million in the third quarter of 2020.

Total gross profit for the third quarter of 2021 was $2.9 million, compared to a gross loss of ($5.1) million for the third quarter of 2020. Total gross margin for the third quarter of 2021 was 11.2%, compared to (37.3%) in the third quarter of 2020. Product gross profit for the third quarter of 2021 was $1.3 million, compared to ($6.5) million of product gross loss in the third quarter of 2020. Product gross margin for the third quarter of 2021 was 5.9%, compared to (59.7%) in the third quarter of 2020. Service and other gross profit for the third quarter of 2021 was $1.6 million, compared to $1.3 million of service and other gross profit in the third quarter of 2020. Service and other gross margin for the third quarter of 2021 was 36.7%, compared to 45.1% in the third quarter of 2020.

Operating expenses for the third quarter of 2021 were $33.1 million, including research and development (R&D) expenses of $9.7 million, sales and marketing (S&M) expenses of $15.7 million, and general and administrative (G&A) expenses of $7.6 million. This compared to operating expenses of $35.6 million, including R&D expenses of $9.2 million, S&M expenses of $13.3 million, and G&A expenses of $13.1 million in the third quarter of 2020.

Excluding stock-based compensation expense, non-GAAP operating expenses for the third quarter of 2021 were $30.3 million, including R&D expenses of $9.0 million, S&M expenses of $14.5 million, and G&A expenses of $6.8 million.

Third quarter 2021 net loss was ($30.5) million, or ($0.65) per share, compared to net loss of ($42.3) million, or ($3.44) per share, for the same period in 2020. On a non-GAAP basis, net loss for the third quarter of 2021 was ($27.6) million, or ($0.59) per share, compared to non-GAAP net loss of ($28.4) million, or ($2.31) per share for the same period in 2020.

Total cash, including restricted cash, cash equivalents and short-term investments, was $406.4 million as of September 30, 2021.

Full Year 2021 Financial Guidance

Outset projects revenue for the full year 2021 to range from $99 million to $101 million, which represents approximately 98% to 102% growth over the Company’s fiscal year 2020 revenue. This updated guidance compares to prior 2021 revenue guidance of $97 million to $100 million.

Webcast and Conference Call Details

Outset will host a conference call today, November 3, 2021, at 2:00 p.m. PT / 5:00 p.m. ET to discuss its third quarter 2021 financial results. The dial-in numbers are (833) 614-1409 for domestic callers and (914) 987-7130 for international callers. The conference ID is 7975557. A live webcast of the conference call will be available on the Investor Relations section of the Company's website at https://investors.outsetmedical.com. The webcast will be archived on the website following the completion of the call.

Use of Non-GAAP Financial Measures

The Company may report non‐GAAP results for gross profit/loss, gross margin, operating expenses, operating margins, net income/loss, basic and diluted net income/loss per share, other income/loss, and cash flows. These non-GAAP financial measures are in addition to, and not a substitute for, or superior to, financial measures calculated in accordance with GAAP. The Company’s financial measures under GAAP include stock-based compensation expense, as listed in the itemized reconciliations between GAAP and non‐GAAP financial measures included in this press release. Management has excluded the effects of this non-cash expense item in non‐GAAP measures to assist investors in analyzing and assessing past and future operating performance and period-to-period comparisons. There are limitations related to the use of non-GAAP financial measures because they are not prepared in accordance with GAAP, may exclude significant expenses required by GAAP to be recognized in the Company’s financial statements, and may not be comparable to non-GAAP financial measures used by other companies. The Company encourages investors to carefully consider its results under GAAP, as well as its supplemental non‐GAAP information and the reconciliation between these presentations, to more fully understand its business. Reconciliations between GAAP and non‐GAAP results are presented in the Appendix A of this press release.

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. All statements other than statements of historical fact are forward-looking statements. Forward-looking statements are 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 and other events 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 about the Company’s possible or assumed future results of operations and financial position, including expectations regarding projected revenues, profitability and outlook, statements regarding the Company’s overall business strategy, plans and objectives of management, the Company’s expectations with respect to anticipated benefits of the TPNIES approval, as well as the Company’s expectations regarding the continuing impact of the COVID-19 pandemic on the Company and its operations as well as the impact on its customers and suppliers. Forward-looking statements are inherently subject to risks and uncertainties, some of which cannot be predicted or quantified. Factors that could cause actual results or other events to differ materially from those contemplated in this press release can be found in the Risk Factors section of Outset’s public filings with the Securities and Exchange Commission, including Outset’s latest annual and quarterly reports. Because forward-looking statements are inherently subject to risks and uncertainties, you should not rely on these forward-looking statements as predictions of future events. These forward-looking statements speak only as of their date and, except to the extent required by law, the Company undertakes no obligation to update these statements, whether as a result of any new information, future developments or otherwise.

About Outset Medical, Inc.

Outset is a medical technology company pioneering a first-of-its-kind technology to reduce the cost and complexity of dialysis. The Tablo® Hemodialysis System, FDA cleared for use from the hospital to the home, represents a significant technological advancement that transforms the dialysis experience for patients and operationally simplifies it for providers. Tablo serves as a single enterprise solution that can be utilized across the continuum of care, allowing dialysis to be delivered anytime, anywhere and by anyone. The integration of water purification and on-demand dialysate production enables Tablo to serve as a dialysis clinic on wheels, with 2-way wireless data transmission and a proprietary data analytics platform powering a new holistic approach to dialysis care. Tablo is a registered trademark of Outset Medical, Inc.

Outset Medical, Inc.
Condensed Statements of Operations
(in thousands, except per share amounts)
(unaudited)

	Three Months Ended								Nine Months Ended
	September 30,								September 30,
	2021				2020				2021				2020
Revenue:
Product revenue	$	21,824			$	10,812			$	60,662			$	26,435
Service and other revenue		4,494				2,944				13,788				6,253
Total revenue		26,318				13,756				74,450				32,688
Cost of revenue:
Cost of product revenue⁽²⁾		20,526				17,265				63,180				42,118
Cost of service and other revenue		2,846				1,617				6,983				4,024
Total cost of revenue		23,372				18,882				70,163				46,142
Gross profit ⁽¹⁾		2,946				(5,126	)			4,287				(13,454	)
Gross margin ⁽¹⁾		11.2		%		(37.3	)	%		5.8		%		(41.2	)	%
Operating expenses:
Research and development ⁽²⁾		9,729				9,175				25,331				21,066
Sales and marketing ⁽²⁾		15,726				13,344				42,079				29,870
General and administrative⁽²⁾		7,629				13,088				26,597				21,462
Total operating expenses		33,084				35,607				94,007				72,398
Loss from operations		(30,138	)			(40,733	)			(89,720	)			(85,852	)
Other income (expense):
Interest income and other income, net		99				(3	)			375				524
Interest expense		(431	)			(428	)			(1,284	)			(2,461	)
Change in fair value of redeemable convertible preferred stock warrant liability		—				437				—				(93	)
Loss on extinguishment of term loan		—				(1,567	)			—				(1,567	)
Loss before provision for income taxes		(30,470	)			(42,294	)			(90,629	)			(89,449	)
Provision for income taxes		—				—				74				—
Net loss	$	(30,470	)		$	(42,294	)		$	(90,703	)		$	(89,449	)

Net loss attributable to common stockholders, basic and diluted ⁽³⁾	$	(30,470	)		$	(42,294	)		$	(90,703	)		$	(47,281	)
Net loss per share attributable to common stockholders, basic and diluted	$	(0.65	)		$	(3.44	)		$	(1.96	)		$	(6.30	)
Weighted-average shares used in computing net loss per share attributable to common stockholders, basic and diluted		46,588				12,299				46,252				7,508

______________________________________
⁽¹⁾ Gross profit and gross margin by source consisted of the following:

	Three Months Ended								Nine Months Ended
	September 30,								September 30,
	2021				2020				2021				2020
Gross profit
Product revenue	$	1,298			$	(6,453	)		$	(2,518	)		$	(15,683	)
Service and other revenue		1,648				1,327				6,805				2,229
Total gross profit	$	2,946			$	(5,126	)		$	4,287			$	(13,454	)
Gross margin
Product revenue		5.9		%		(59.7	)	%		(4.2	)	%		(59.3	)	%
Service and other revenue		36.7		%		45.1		%		49.4		%		35.6		%
Total gross margin		11.2		%		(37.3	)	%		5.8		%		(41.2	)	%

⁽²⁾ Include stock-based compensation expenses as follows:

	Three Months Ended								Nine Months Ended
	September 30,								September 30,
	2021				2020				2021				2020
Cost of revenue	$	64			$	142			$	201			$	181
Research and development		760				3,074				2,568				3,326
Sales and marketing		1,207				2,645				4,001				2,828
General and administrative		833				8,047				5,883				8,836
Total stock-based compensation expenses	$	2,864			$	13,908			$	12,653			$	15,171

⁽³⁾ A reconciliation of the net loss to net loss attributable to common stockholders is as follows:

	Three Months Ended								Nine Months Ended
	September 30,								September 30,
	2021				2020				2021				2020
Net loss	$	(30,470	)		$	(42,294	)		$	(90,703	)		$	(89,449	)
Adjustment to redemption value on redeemable convertible preferred stock		—				—				—				(362	)
Deemed dividend on settlement of accrued dividend*		—				—				—				42,530
Net loss attributable to common stockholders, basic and diluted	$	(30,470	)		$	(42,294	)		$	(90,703	)		$	(47,281	)

* Deemed dividend on settlement of accrued dividend arose as a result of the terms and conditions associated with the Company's redeemable convertible preferred stock outstanding prior to the Company's initial public offering ("IPO"). These terms and conditions were described in the Company's previous SEC filings, including the 424(b) prospectus filed on September 16, 2020 in connection with the IPO.

Outset Medical, Inc.
Condensed Balance Sheets
(in thousands, except per share amounts)

	September 30,			December 31,
	2021			2020
	(Unaudited)
Assets
Current assets:
Cash and cash equivalents	$	230,508		$	294,972
Short-term investments		142,535			19,898
Accounts receivable, net		19,302			6,468
Inventories		34,297			18,384
Prepaid expenses and other current assets		6,659			6,189
Total current assets		433,301			345,911
Restricted cash		33,311			33,311
Property and equipment, net		14,532			14,998
Operating lease right-of-use assets		7,494			8,253
Other assets		166			1,356
Total assets	$	488,804		$	403,829
Liabilities and stockholders' equity
Current liabilities:
Accounts payable	$	2,702		$	4,948
Accrued compensation and related benefits		17,759			16,845
Accrued expenses and other current liabilities		11,389			7,903
Accrued warranty liability		3,234			2,913
Deferred revenue, current		5,212			3,201
Operating lease liabilities, current		1,109			882
Total current liabilities		41,405			36,692
Accrued interest, noncurrent		600			240
Deferred revenue, noncurrent		109			570
Operating lease liabilities, noncurrent		7,199			8,044
Term loan, noncurrent		29,740			29,674
Total liabilities		79,053			75,220
Commitments and contingencies
Stockholders' equity:
Preferred stock, $0.001 par value; 5,000 shares authorized, and no shares issued and outstanding as of September 30, 2021 and December 31, 2020		—			—
Common stock, $0.001 par value; 300,000 shares authorized as of September 30, 2021 and December 31, 2020; 47,018 and 42,722 shares issued and outstanding as of September 30, 2021 and December 31, 2020, respectively		47			43
Additional paid-in capital		994,486			822,624
Accumulated other comprehensive (loss) income		(20	)		1
Accumulated deficit		(584,762	)		(494,059	)
Total stockholders' equity		409,751			328,609
Total liabilities and stockholders' equity	$	488,804		$	403,829

Outset Medical, Inc.
Condensed Statements of Cash Flows
(in thousands)
(unaudited)

	Nine Months Ended September 30,
	2021			2020
Net cash used in operating activities	$	(97,588	)	$	(73,175	)
Net cash used in investing activities		(126,089	)		(6,411	)
Net cash provided by financing activities		159,213			386,555
Net (decrease) increase in cash, cash equivalents and restricted cash		(64,464	)		306,969
Cash, cash equivalents and restricted cash at beginning of the period		328,283			37,669
Cash, cash equivalents and restricted cash at end of the period ⁽¹⁾	$	263,819		$	344,638
______________________________________
⁽¹⁾ The following table provides a reconciliation of cash, cash equivalents and restricted cash reported within the accompanying condensed balance sheets that sum to the total of the amounts shown in the accompanying condensed statements of cash flows (in thousands):

	September 30,
	2021			2020
Cash and cash equivalents	$	230,508		$	311,327
Restricted cash		33,311			33,311
Total cash, cash equivalents and restricted cash^*	$	263,819		$	344,638

* The total cash, including restricted cash, cash equivalents and investment securities as of September 30, 2021 was $406.4 million; compared to $377.5 million as of September 30, 2020.

Appendix A
Outset Medical, Inc.
Results of Operations – Non-GAAP
(in thousands, except per share amounts)
(unaudited)

Reconciliation between GAAP and non-GAAP net loss per share attributable to common stockholders:

	Three Months Ended								Nine Months Ended
	September 30,								September 30,
	2021				2020				2021				2020
GAAP net loss per share to common stockholders, diluted	$	(0.65	)		$	(3.44	)		$	(1.96	)		$	(6.30	)
Stock-based compensation expense		0.06				1.13				0.27				2.02
Non-GAAP net loss per share to common stockholders, diluted	$	(0.59	)		$	(2.31	)		$	(1.69	)		$	(4.28	)

Reconciliation between GAAP and non-GAAP net loss attributable to common stockholders:

	Three Months Ended								Nine Months Ended
	September 30,								September 30,
	2021				2020				2021				2020
GAAP net loss attributable to common stockholders, diluted	$	(30,470	)		$	(42,294	)		$	(90,703	)		$	(47,281	)
Stock-based compensation expense		2,864				13,908				12,653				15,171
Non-GAAP net loss per share attributable to common stockholders, diluted	$	(27,606	)		$	(28,386	)		$	(78,050	)		$	(32,110	)

Reconciliation between GAAP and non-GAAP results of operations:

	Three Months Ended								Nine Months Ended
	September 30,								September 30,
	2021				2020				2021				2020
GAAP gross profit	$	2,946			$	(5,126	)		$	4,287			$	(13,454	)
Stock-based compensation expense		64				142				201				181
Non-GAAP gross profit	$	3,010			$	(4,984	)		$	4,488			$	(13,273	)

GAAP gross margin		11.2		%		(37.3	)	%		5.8		%		(41.2	)	%
Stock-based compensation expense		0.2				1.0				0.3				0.6
Non-GAAP gross margin		11.4		%		(36.3	)	%		6.1		%		(40.6	)	%

GAAP research and development expense	$	9,729			$	9,175			$	25,331			$	21,066
Stock-based compensation expense		(760	)			(3,074	)			(2,568	)			(3,326	)
Non-GAAP research and development expense	$	8,969			$	6,101			$	22,763			$	17,740

GAAP sales and marketing expense	$	15,726			$	13,344			$	42,079			$	29,870
Stock-based compensation expense		(1,207	)			(2,645	)			(4,001	)			(2,828	)
Non-GAAP sales and marketing expense	$	14,519			$	10,699			$	38,078			$	27,042

GAAP general and administrative expense	$	7,629			$	13,088			$	26,597			$	21,462
Stock-based compensation expense		(833	)			(8,047	)			(5,883	)			(8,836	)
Non-GAAP general and administrative expense	$	6,796			$	5,041			$	20,714			$	12,626

GAAP total operating expense	$	33,084			$	35,607			$	94,007			$	72,398
Stock-based compensation expense		(2,800	)			(13,766	)			(12,452	)			(14,990	)
Non-GAAP total operating expense	$	30,284			$	21,841			$	81,555			$	57,408

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Contacts

Investor Contact

Lynn Lewis or Brian Johnston

Gilmartin Group

investors@outsetmedical.com

Media Contact

Nicole Shannon

Director, Marketing Communications for Outset Medical

nshannon@outsetmedical.com