K2M Group Holdings, Inc.
Aug 1, 2017

K2M Group Holdings, Inc. Reports Second Quarter 2017 Financial Results; Reaffirms Fiscal Year 2017 Outlook

LEESBURG, Va., Aug. 01, 2017 (GLOBE NEWSWIRE) -- K2M Group Holdings, Inc. (Nasdaq:KTWO) (the "Company" or "K2M"), a global leader of complex spine and minimally invasive solutions focused on achieving three-dimensional Total Body Balance, today reported financial results for its second fiscal quarter ended June 30, 2017.

Second Quarter 2017 Financial Summary:

 Recent Product Introductions:

Recent Strategic Highlights:

"Our second quarter product launches and strategic accomplishments reflect continued progress toward our strategic goals of introducing innovative spine surgery technologies, expanding our selling presence and improving our selling productivity which, together, help K2M to increase our share of the global spine market," said President and Chief Executive Officer, Eric Major. "Revenue growth in the second quarter was driven by double-digit growth in the U.S. and high single-digit constant currency growth outside the U.S.  During the quarter, we also made progress toward achieving profitability, generating $0.6 million in Adjusted EBITDA, compared to an Adjusted EBITDA loss of $0.3 million last year. We have reaffirmed our full year financial outlook—including constant currency revenue growth of 12%-15% year-over-year and Adjusted EBITDA of $6 million to $10 million—and continue to expect improving results over the balance of 2017."

Second Quarter 2017 Financial Results

  Three Months Ended June 30, Increase / Decrease
  2017 2016 $ Change % Change % Change
($ in thousands)       (as reported) (constant currency)
United States $50,775  $45,238  $5,537  12.2% 12.2%
International 14,917  13,989  928  6.6% 9.3%
Total Revenue: $65,692  $59,227  $6,465  10.9% 11.6%

Total revenue for the second quarter of 2017 increased $6.5 million, or 10.9%, to $65.7 million, compared to $59.2 million for the second quarter of 2016. Total revenue increased 11.6% year-over-year on a constant currency basis. The increase in revenue was primarily driven by greater sales volume from primarily domestic new surgeon users and newer product offerings, offset primarily by customer declines and lower sales in certain international direct markets as compared to last year.

Revenue in the United States increased $5.5 million, or 12.2% year-over-year, to $50.8 million, and international revenue increased $0.9 million, or 6.6% year-over-year, to $14.9 million. Second quarter 2017 international revenue increased 9.3% year-over-year on a constant currency basis. Foreign currency exchange impacted second quarter international revenue by approximately $0.3 million, representing approximately 265 basis points of 2017 international growth year-over-year.

The following table represents domestic revenue by procedure category. 

  Three Months Ended June 30, Increase / Decrease
  2017 2016 $ Change % Change
($ in thousands)        
Complex Spine $20,342  $18,535  $1,807  9.7%
Minimally Invasive 8,785  7,005  1,780  25.4%
Degenerative 21,648  19,698  1,950
U.S. Revenue: $50,775  $45,238  $5,537  12.2%

By procedure category, U.S. revenue in the Company's complex spine, MIS and degenerative categories represented 40.1%, 17.3% and 42.6% of U.S. revenue, respectively, for the three months ended June 30, 2017.

Gross profit for the second quarter of 2017 increased 9.0% to $43.2 million, compared to $39.6 million for the second quarter of 2016.  Gross margin was 65.7% for the second quarter of 2017, compared to 66.9% for the prior year period. Gross profit includes amortization expense on investments in surgical instruments of $3.6 million, or 5.5% of sales, for the three months ended June 30, 2017, compared to $3.4 million, or 5.8% of sales, for the comparable period last year.

Operating expenses for the second quarter of 2017 increased $2.4 million, or 4.9%, to $51.3 million, compared to $48.9 million for the second quarter of 2016. The increase in operating expenses was driven primarily by a $2.2 million increase in sales and marketing expenses, compared to the comparable period last year.

Loss from operations for the second quarter of 2017 improved $1.1 million, to $8.2 million, compared to a loss from operations of $9.3 million for the comparable period last year. Loss from operations included intangible amortization of $2.4 million and $2.6 million for the second quarters of 2017 and 2016, respectively. 

Total other expenses for the second quarter of 2017 decreased $0.8 million to $0.9 million, compared to $1.7 million last year. The decrease in other expense, net, was primarily attributable to an increase of $1.8 million in unrealized gains from foreign currency remeasurement on intercompany payable balances, partially offset by an increase in interest expense of $1.0 million from the Convertible Senior Notes issued in August 2016.    

Net loss for the second quarter of 2017 was $9.1 million, or $(0.21) per diluted share, compared to a loss of $11.1 million, or $(0.27) per diluted share, for the second quarter of 2016. 

Six-Months 2017 Financial Results

  Six Months Ended June 30, Increase / Decrease
  2017 2016 $ Change % Change % Change
($ in thousands)       (as reported) (constant currency)
United States $96,982  $87,431  $9,551  10.9% 10.9%
International 30,595  28,102  2,493  8.9% 11.8%
Total Revenue: $127,577  $115,533  $12,044  10.4% 11.1%

For the six months ended June 30, 2017, total revenue increased $12.1 million, or 10.4%, to $127.6 million, compared to $115.5 million for the six months ended June 30, 2016. Total revenue increased 11.1% year-over-year on a constant currency basis. U.S. revenue increased $9.6 million, or 10.9%, to $97.0 million for the first six months of 2017, compared to $87.4 million last year. International revenue increased $2.5 million, or 8.9%, to $30.6 million for the first six months of 2017, compared to $28.1 million last year. International revenue increased 11.8% year-over-year on a constant currency basis.

  Six Months Ended June 30, Increase / Decrease
  2017 2016 $ Change % Change
($ in thousands)               
Complex Spine $37,478  $34,465  $3,013  8.7%
Minimally Invasive 16,657  13,886  2,771  20.0%
Degenerative 42,847  39,080  3,767  9.6%
U.S. Revenue: $96,982  $87,431  $9,551  10.9%

Sales in our complex spine, MIS and degenerative categories represented 38.6%, 17.2% and 44.2% of U.S. revenue, respectively, for the first six months of 2017.

As of June 30, 2017, we had cash and cash equivalents of $36.5 million as compared to $45.5 million as of December 31, 2016. We had working capital of $111.3 million as of June 30, 2017 as compared to $115.9 million as of December 31, 2016.

At June 30, 2017, outstanding long-term indebtedness included the carrying value of the Convertible Senior Notes of $38.0 million and the capital lease obligation of $34.4 million. The Company had no borrowings outstanding on the revolving credit facility as of June 30, 2017.

2017 Outlook

The Company is reaffirming its fiscal year 2017 guidance expectations. The Company continues to expect:

Conference Call

Management will host a conference call at 5:00 p.m. Eastern Time on August 1st to discuss the results of the second quarter, and to host a question and answer session. Those who would like to participate may dial 888-505-4378 (719-457-1513 for international callers) and provide access code 1117408 approximately 10 minutes prior to the start of the call. A live webcast of the call will also be provided on the investor relations section of the Company's website at http://Investors.K2M.com/.

For those unable to participate, a replay of the call will be available for two weeks at 888-203-1112 (719-457-0820 for international callers); access code 1117408. The webcast will be archived on the investor relations section of the Company's website.

About K2M Group Holdings, Inc.

K2M Group Holdings, Inc. is a global leader of complex spine and minimally invasive solutions focused on achieving three-dimensional Total Body Balance. Since its inception, K2M has designed, developed, and commercialized innovative complex spine and minimally invasive spine technologies and techniques used by spine surgeons to treat some of the most complicated spinal pathologies. K2M has leveraged these core competencies into Balance ACS, a platform of products, services, and research to help surgeons achieve three-dimensional spinal balance across the axial, coronal, and sagittal planes, with the goal of supporting the full continuum of care to facilitate quality patient outcomes. The Balance ACS platform, in combination with the Company's technologies, techniques, and leadership in the 3D-printing of spinal devices, enable K2M to compete favorably in the global spinal surgery market. For more information, visit www.K2M.com and connect with us on Facebook, Twitter, Instagram, LinkedIn, and YouTube.

Forward-Looking Statements

This press release contains forward-looking statements that reflect current views with respect to, among other things, operations and financial performance.  Forward-looking statements include all statements that are not historical facts such as our statements about our expected financial results and guidance and our expectations for future business prospects.  In some cases, you can identify these forward-looking statements by the use of words such as, "outlook," "guidance," "believes," "expects," "potential," "continues," "may," "will," "should," "could," "seeks," "predicts," "intends," "plans," "estimates," "anticipates" or the negative version of these words or other comparable words.  Such forward-looking statements are subject to various risks and uncertainties including, among other things: our ability to achieve or sustain profitability in the future; our ability to demonstrate to spine surgeons the merits of our products; pricing pressures and our ability to compete effectively generally; collaboration and consolidation in hospital purchasing; inadequate coverage and reimbursement for our products from third-party payors; lack of long-term clinical data supporting the safety and efficacy of our products; dependence on a limited number of third-party suppliers; our ability to maintain and expand our network of direct sales employees, independent sales agencies and international distributors and their level of sales or distribution activity with respect to our products; proliferation of physician-owned distributorships in the industry; decline in the sale of certain key products; loss of key personnel; our ability to enhance our product offerings through research and development; our ability to manage expected growth; our ability to successfully acquire or invest in new or complementary businesses, products or technologies; our ability to educate surgeons on the safe and appropriate use of our products; costs associated with high levels of inventory; impairment of our goodwill and intangible assets; disruptions in our main facility or information technology systems;  our ability to ship a sufficient number of our products to meet demand; our ability to strengthen our brand; fluctuations in insurance cost and availability; our ability to comply with extensive governmental regulation within the United States and foreign jurisdictions; our ability  to maintain or obtain regulatory approvals and clearances within the United States and foreign jurisdictions; voluntary corrective actions by us or our distribution or other business partners or agency enforcement actions; recalls or serious safety issues with our products; enforcement actions by regulatory agencies for improper marketing or promotion; misuse or off-label use of our products; delays or failures in clinical trials and results of clinical trials; legal restrictions on our procurement, use, processing, manufacturing or distribution of allograft bone tissue; negative publicity concerning methods of tissue recovery and screening of donor tissue; costs and liabilities relating to environmental laws and regulations;  our failure or the failure of our agents to comply with fraud and abuse laws; U.S. legislative or Food and Drug Administration regulatory reforms; adverse effects of medical device tax provisions; potential tax changes in jurisdictions in which we conduct business; our ability to generate significant sales; potential fluctuations in sales volumes and our results of operations over the course of the year; uncertainty in future capital needs and availability of capital to meet our needs; our level of indebtedness and the availability of borrowings under our credit facility; restrictive covenants and the impact of other provisions in the indenture governing our convertible  senior notes and our credit facility;  continuing worldwide economic instability; our ability to protect our intellectual property rights; patent litigation and product liability lawsuits; damages relating to trade secrets or non-competition or non-solicitation agreements; risks associated with operating internationally; fluctuations in foreign currency exchange rates; our ability to comply with the Foreign Corrupt Practices Act and similar laws; our ability to implement and maintain effective internal control over financial reporting; potential volatility in our stock due; our lack of current plans to pay cash dividends; our ability to take advantage of certain reduced disclosure requirements and exemptions as a result of being an emerging growth company; increased costs and additional regulations and requirements as a result of no longer qualifying as an emerging growth company as of December 31, 2017; potential dilution by the future issuances of additional common stock in connection with our incentive plans, acquisitions or otherwise; anti-takeover provisions in our organizational documents and our ability to issue preferred stock without shareholder approval; potential limits on our ability to use our net operating loss carryforwards; and other risks and uncertainties, including those described under the section entitled "Risk Factors" in our most recent Annual Report on Form 10-K filed with the SEC, as such factors may be updated from time to time in our periodic filings with the SEC, which are accessible on the SEC's website at www.sec.gov.  Accordingly, there are or will be important factors that could cause actual outcomes or results to differ materially from those indicated in these statements.  These factors should not be construed as exhaustive and should be read in conjunction with the other cautionary statements that are included in this release and our filings with the SEC.

We operate in a very competitive and challenging environment.  New risks and uncertainties emerge from time to time, and it is not possible for us to predict all risks and uncertainties that could have an impact on the forward-looking statements contained in this release.  We cannot assure you that the results, events and circumstances reflected in the forward-looking statements will be achieved or occur, and actual results, events or circumstances could differ materially from those described in the forward-looking statements.

The forward-looking statements made in this press release relate only to events as of the date on which the statements are made.  We undertake no obligation to publicly update or review any forward-looking statement, whether as a result of new information, future developments or otherwise, except as required by law.  We may not actually achieve the plans, intentions or expectations disclosed in our forward-looking statements and you should not place undue reliance on our forward-looking statements. Unless specifically stated otherwise, our forward-looking statements do not reflect the potential impact of any future acquisitions, mergers, dispositions, joint ventures, investments or other strategic transactions we may make.

(In Thousands, Except Share and Per Share Data)
  June 30, December 31,
  2017 2016
Current assets:    
Cash and cash equivalents $36,546   $45,511
Accounts receivable, net 50,092   46,430
Inventory, net 66,751   61,897
Prepaid expenses and other current assets 7,039   6,147
Total current assets 160,428   159,985
Property, plant and equipment, net 50,938   50,714
Goodwill 121,814   121,814 
Intangible assets, net 18,076   22,758
Other assets, net 30,725   28,254
Total assets $381,981   $383,525
Current liabilities:    
Current maturities under capital lease obligation $1,046   $973 
Accounts payable 21,708   15,367
Accrued expenses 16,339   15,673
Accrued payroll liabilities 10,001   12,068
Total current liabilities 49,094   44,081
Convertible senior notes
 38,003   36,894 
Capital lease obligation, net of current maturities 34,392   34,933 
Deferred income taxes, net 5,017   5,017
Other liabilities 1,069   1,032
Total liabilities 127,575   121,957 
Stockholders' equity:    
Common stock, $0.001 par value, 750,000,000 shares authorized; 43,277,400 and
42,291,352 shares issued and 43,268,789 and 42,282,741 shares outstanding, respectively
 43   42 
Additional paid-in capital 485,713   474,512 
Accumulated deficit (231,013)  (211,081)
Accumulated other comprehensive loss (203)  (1,771)
Treasury stock, at cost, 8,611 and 8,611 shares, respectively (134)  (134)
Total stockholders' equity 254,406   261,568 
Total liabilities and stockholders' equity $381,981   $383,525 

(In Thousands, Except Share and Per Share Data)
  Three Months Ended June 30, Six Months Ended June 30,
  2017 2016 2017 2016
Revenue $65,692  $59,227  $127,577  $115,533 
Cost of revenue 22,522  19,631  44,001  39,235 
Gross profit 43,170  39,596  83,576  76,298 
Operating expenses:        
Research and development 5,560  5,762  10,810  10,790 
Sales and marketing 31,242  28,993  61,716  56,748 
General and administrative 14,524  14,183  28,278  28,031  
Total operating expenses 51,326  48,938  100,804  95,569 
Loss from operations (8,156) (9,342) (17,228) (19,271)
Other expense, net:        
Foreign currency transaction gain (loss) 874    (972) 847  (552)
Interest expense (1,731)   (735) (3,463) (1,386)
Total other expense, net (857)   (1,707) (2,616) (1,938)
Loss before income taxes (9,013) (11,049) (19,844) (21,209)
Income tax expense 46  49  88  74 
Net loss $(9,059) $(11,098) $(19,932) $(21,283)
Basic and diluted $(0.21) $(0.27) $(0.47) $(0.51)
Weighted average shares outstanding:        
Basic and diluted 42,641,585  41,622,027  42,434,311  41,487,575 

 (In Thousands)
  Six Months Ended June 30,
  2017 2016
Operating activities    
Net loss $(19,932)  $(21,283)
Adjustments to reconcile net loss to net cash used in operating activities:    
Depreciation and amortization 14,614   14,037 
Provision for inventory reserves 2,192   1,876 
Provision for allowance for doubtful accounts 50   (29)
Stock-based compensation expense 2,880   3,855 
Accretion of discounts and amortization of issuance costs of convertible senior notes 1,109    
Other 3    
Changes in operating assets and liabilities:    
Accounts receivable (2,924)  (7,733)
Inventory (3,523)  (7,254)
Prepaid expenses and other assets (5,583)  (5,796)
Accounts payable, accrued expenses, and accrued payroll liabilities 2,929   6,270 
Net cash used in operating activities (8,185)  (16,057)
Investing activities    
Purchase of surgical instruments (6,442)  (7,812)
Purchase of property, plant and equipment (2,571)  (14,275)
Changes in cash restricted for leasehold improvements 61   4,449 
Purchase of intangible assets (50)  (1,282)
Net cash used in investing activities (9,002)  (18,920)
Financing activities    
Borrowings on bank line of credit    19,500 
Principal payments under capital lease (469)   
Issuances and exercise of stock-based compensation benefit plans, net of income tax 8,322   876 
Net cash provided by financing activities 7,853   20,376 
Effect of exchange rate changes on cash and cash equivalents 369   (209)
Net decrease in cash and cash equivalents (8,965)  (14,810)
Cash and cash equivalents at beginning of period 45,511   34,646 
Cash and cash equivalents at end of period $36,546   $19,836 
Significant non-cash investing activities    
Leasehold improvements under capital lease $   $2,603 
Additions to property, plant and equipment $500     
Cash paid for:    
Income taxes $131   $175 
Interest $1,124   $171 

Reconciliation of GAAP to Non-GAAP Measures
 (In Thousands)

Use of Non-GAAP Financial Measures

This press release includes the non-GAAP financial measures of revenue in constant currency, Adjusted Gross Profit, and Adjusted EBITDA.

The Company presents these non-GAAP measures because it believes these measures are useful indicators of the Company's operating performance.  Management uses these non-GAAP measures principally as a measure of the Company's operating performance and believes that these measures are useful to investors because they are frequently used by analysts, investors and other interested parties to evaluate companies in the Company's industry.  The Company also believes that these measures are useful to its management and investors as a measure of comparative operating performance from period to period.

Constant currency information compares results between periods as if exchange rates had remained constant period-to-period.  We calculate constant currency by converting the prior-year results using current-year foreign currency exchange rates.

Adjusted Gross Profit represents Gross Profit less amortization expense of surgical instruments.  The Company presented Adjusted Gross Profit because it believes it is a useful measure of the Company's gross profit and operating performance because the measure is not burdened by the timing impact of instrument purchases and related amortization. 

Adjusted EBITDA represents net loss plus interest expense, income tax expense, depreciation and amortization, stock-based compensation expense and foreign currency transaction (gain) loss.

The Company presents Adjusted EBITDA because it believes it is a useful indicator of the Company's operating performance.  Management uses Adjusted EBITDA principally as a measure of the Company's operating performance and for planning purposes, including the preparation of the Company's annual operating budget and financial projections. 

Adjusted EBITDA is a non-GAAP financial measure and should not be considered as an alternative to net 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 as an inference that the Company's future results will be unaffected by unusual or non-recurring items.  In addition, Adjusted EBITDA 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 tax payments, debt service requirements, capital expenditures and certain other cash costs that may recur in the future.  Adjusted EBITDA contains certain other limitations, including the failure to reflect the Company's cash expenditures, cash requirements for working capital needs and cash costs to replace assets being depreciated and amortized.  In evaluating Adjusted EBITDA, you should be aware that in the future the Company may incur expenses that are the same as or similar to some of the adjustments in this presentation.  The Company's presentation of Adjusted EBITDA should not be construed to imply that the Company's future results will be unaffected by any such adjustments.  Management compensates for these limitations by primarily relying on its GAAP results in addition to using Adjusted EBITDA supplementally.  The Company's definition of Adjusted EBITDA is not necessarily comparable to other similarly titled captions of other companies due to different methods of calculation.

The following table presents reconciliations of gross profit to adjusted gross profit and net loss to Adjusted EBITDA for the periods presented.

  Three Months Ended June 30, Six Months Ended June 30,
  2017 2016 2017 2016
Reconciliation from Gross Profit to Adjusted Gross Profit        
Gross profit $43,170  $39,596  $83,576  $76,298 
Surgical instrument amortization 3,605  3,425  7,069  6,697 
Adjusted gross profit (a Non-GAAP Measure) $46,775  $43,021  $90,645  $82,995 

  Three Months Ended June 30, Six Months Ended June 30,
  2017 2016 2017 2016
Reconciliations from Net Loss to Adjusted EBITDA  
Net loss $(9,059)  $(11,098)  $(19,932)  $(21,283) 
Interest expense 1,731   735   3,463   1,386  
Income tax expense 46   49   88   74  
Depreciation and amortization 7,419   7,294   14,614   14,037  
Stock-based compensation expense 1,339   1,749   2,880   3,855  
Foreign currency transaction (gain) loss (874)  972   (847)  552  
Adjusted EBITDA (a Non-GAAP Measure) $602   $(299)  $266   $(1,379) 

The following table presents a reconciliation of net loss to Adjusted EBITDA for our 2017 guidance:

  Year Ended
December 31,
Net loss $(32,450)
Interest expense 6,700 
Income tax expense 100 
Depreciation and amortization 27,500 
Stock-based compensation expense 6,150 
Foreign currency transaction loss - 
Adjusted EBITDA $8,000 

The reconciliation assumes the mid-point of the Adjusted EBITDA range and the mid-point of each component of the reconciliation, corresponding to guidance of $6.0 million to $10.0 million for 2017.

Investor Contact:
Westwicke Partners on behalf of K2M Group Holdings, Inc.
Mike Piccinino, CFA