K2M Group Holdings, Inc.
Mar 3, 2016

K2M Group Holdings, Inc. Reports Record Revenue for Fiscal Year 2015, with Complex Spine Growth of 17%

LEESBURG, Va., March 03, 2016 (GLOBE NEWSWIRE) -- K2M Group Holdings, Inc. (Nasdaq:KTWO) (the "Company" or "K2M"), a global medical device company focused on designing, developing and commercializing innovative and proprietary complex spine and minimally invasive technologies and techniques, today reported financial results for the fiscal year and fourth quarter ended December 31, 2015.

Fiscal Year 2015 Financial Summary:

Fourth Quarter 2015 Financial Summary:

Fourth Quarter 2015 Highlights:

"2015 marked another year of strong revenue performance and significant product innovation for K2M," said President and Chief Executive Officer, Eric Major.  "We achieved 17% revenue growth on a constant currency basis and we obtained 510(k) clearances for eight strategically or commercially significant products and product line extensions. This was an important year for our Complex Spine business in particular, as defined by the new product releases of our MESA® 2 Deformity Spinal System for Adolescent Idiopathic Scoliosis patients, our EVEREST® Deformity Spinal System for adult deformity patients, our NILE™ Alternative Fixation System and our CAPRI™ Corpectomy Cage System."

Mr. Major continued, "Looking forward, our significant product innovation in 2015 will drive the strong revenue growth we expect in fiscal year 2016, which is reflected in our full-year revenue guidance of 14% to 16% growth on an as reported basis. Importantly, we are also focused on improving the profitability of our Company—evidenced by our improved EBITDA performance in fiscal year 2015—and we remain committed to generating GAAP net income during fiscal year 2017."

Fiscal Year 2015 Financial Results

Total revenue for fiscal year 2015 increased $29.3 million, or 15.7%, to $216.0 million, compared to $186.7 million in fiscal year 2014. Total revenue increased 16.9% year-over-year on a constant currency basis. The increase was primarily driven by $22.2 million in greater sales volume in the United States due to continued expansion of the Company's customer base and new product introductions representing revenue of $11.2 million in the United States, and $5.2 million in growth in the Company's international distributor markets.

Revenue in the United States increased $22.2 million, or 16.7% year-over-year, to $155.3 million, and international revenue increased $7.2 million, or 13.4% year-over-year, to $60.7 million. Fiscal year 2015 international revenue increased 17.7% year-over-year on a constant-currency basis.

By procedure category, U.S. revenue in the Company's Complex Spine, MIS and degenerative categories represented 40.8%, 15.2% and 44.0% of U.S. revenue, respectively, for the twelve months ended December 31, 2015.

Gross profit for fiscal year 2015 increased 16.4% to $144.2 million, compared to $123.9 million for fiscal year 2014.  Gross margin increased to 66.8% from 66.4% last year, due to decreased expenses associated with our custom instruments and a reduction in our medical device excise tax due to expected prior period recoveries.

Operating expenses for fiscal year 2015 increased $8.7 million, or 5.0%, to $180.5 million, compared to $171.8 million for fiscal year 2014. The increase in operating expenses was driven primarily by increased sales and marketing expenses due to the hiring of direct sales employees and an increase in R&D expenses related to development activities in the product pipeline, offset partially by lower amortization expense on intangible assets.

Fourth Quarter Financial Results

Total reported revenue increased $4.9 million, or 10.0% to $54.2 million, compared to $49.3 million in the same period of the prior year.  Total revenue for the fourth quarter ended December 31, 2015 increased 10.7% year-over-year on a constant currency basis.  Geographically, revenue in the United States increased $3.5 million, or 9.8% year-over-year, to $39.2 million, and international revenue increased $1.4 million, or 10.4% year-over-year, to $15.0 million. Foreign currency exchange impacted fourth quarter international revenue by approximately $0.3 million, representing approximately 270 basis points of international growth year-over-year.

  Three Months Ended December 31, Increase / Decrease  
($ in thousands) 2015 2014 $ Change % Change % Change
        (as reported)  (constant currency)
United States $39,236  $35,739  $3,497  9.8% 9.8%
International 14,984  13,570  1,414  10.4% 13.1%
Total Revenue: $54,220  $49,309  $4,911  10.0% 10.7%

By procedure category, U.S. revenue in the Company's Complex Spine, MIS and degenerative categories represented 38.7%, 15.0% and 46.3% of U.S. revenue, respectively, for the three months ended December 31, 2015; and 38.2%, 13.7% and 48.1% of U.S. revenue, respectively, for the three months ended December 31, 2014.

The following table represents domestic revenue by procedure category.  In the fourth quarter of 2015, the Company refined its reporting of procedure revenue that included the sale of certain single-use MIS products, which are sold in support of degenerative surgical procedures as degenerative revenue. Historically, these sales were reflected in the MIS product category.  The impact of the change on the year-over-year growth rate by procedure category was not significant.  As a result of this change, historically reported MIS revenue has decreased and degenerative revenue has increased by approximately $629 thousand for 2014 to conform to the current year presentation below:

  Three Months Ended December 31, Increase / Decrease
($ in thousands) 2015 2014 $ Change % Change
Complex Spine $15,194  $13,655  $1,539  11.3%
Minimally Invasive 5,867  4,903  964  19.7%
Degenerative 18,175  17,181  994  5.8%
U.S Revenue: $39,236  $35,739  $3,497  9.8%

Gross profit for the fourth quarter of 2015 increased $2.8 million, or 8.6% year-over-year, to $35.9 million, or 66.3% of sales, compared to $33.1 million, or 67.1% of sales last year.  The decrease in gross profit as a percentage of revenue is primarily due to the product and geographical mix of revenue during the quarter, increased inventory reserve expense, and increased amortization expense associated with our surgical instruments.  Gross profit includes amortization expense on investments in surgical instruments and the U.S. medical device excise tax.  Instrument amortization expense increased $0.5 million to $3.2 million, or 5.9% of sales, for the three months ended December 31, 2015, compared to $2.7 million, or 5.5% of sales, last year.  Fourth quarter of fiscal 2015 cost of goods included a credit from the medical device excise tax expected recovery of prior period over payments of $0.9 million, or 1.7% of total Company sales, compared to medical device excise tax of $0.6 million, or 1.2% of total Company sales, last year.

Operating expenses for the fourth quarter of 2015 increased $1.9 million, or 4.5% year-over-year, to $43.5 million, compared to $41.6 million for the same period last year. The increase in operating expenses in the current period as compared to the same period last year was driven by a 13.8% increase in research and development expenses, a 7.9% increase in sales and marketing expenses offset partially by a 5.0% decrease in general and administrative expenses.

Loss from operations for the fourth quarter of 2015 was $7.6 million, compared to a loss from operations of $8.6 million last year. Loss from operations included intangible amortization of $2.6 million and $2.8 million for the fourth quarters of 2015 and 2014, respectively.  Net loss attributable to common stockholders for the fourth quarter of 2015 was $8.5 million, or $(0.21) per diluted share, compared to $11.1 million, or $(0.30) per diluted share, for the fourth quarter of 2014.  Net loss attributable to common stockholders in the fourth quarter of fiscal 2014 included the impact of foreign currency transaction losses of $2.6 million, or $(0.07) per diluted share compared to an immaterial amount in the fourth quarter of 2015, due to significantly lower intercompany balances in 2015. Foreign currency losses impacted operating results last year due to changes in the average exchange rates of the U.S. Dollar, Pound Sterling and Euro applied to intercompany balances in both periods.  Loss per share in the fourth quarter of 2015 benefited in part due to the increased number of shares outstanding resulting from the Company's follow-on public offerings in February 2015 and July 2015 which represented approximately $0.02 per share compared to last year.

As of December 31, 2015, cash and cash equivalents were $34.6 million, compared to $11.4 million as of December 31, 2014 and the Company had no outstanding indebtedness. Working capital was $107.4 million, compared to working capital of $66.3 million as of December 31, 2014.

2016 Outlook

For the full year 2016, the Company expects:

Conference Call

Management will host a conference call at 5:00 p.m. Eastern Time today to discuss the results of the quarter and to host a question and answer session. Those who would like to participate may dial 888-438-5491 (719-457-2648 for international callers) and provide access code 8445225 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 8445225. 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 medical device company focused on designing, developing and commercializing innovative complex spine and minimally invasive spine technologies and techniques used by spine surgeons to treat some of the most difficult and challenging spinal pathologies. K2M has leveraged these core competencies to bring to market an increasing number of products for patients suffering from degenerative spinal conditions. These technologies and techniques, in combination with a robust product pipeline, enable the Company in the global spinal surgery market. Additional information is available online at www.K2M.com.

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.  In some cases, you can identify these forward-looking statements by the use of words such as "outlook," "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; our ability to successfully demonstrate the merits of our technologies; pricing pressure from our competitors, hospitals and changes in third-party coverage and reimbursement; competition and our ability to develop and commercialize new products; aggregation of hospital purchasing from collaboration and consolidation; hospitals and other healthcare providers may be unable to obtain adequate coverage and reimbursement for procedures performed using our products; the safety and efficacy of our products is not yet supported by long-term clinical data; our 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; the proliferation of physician-owned distributorships; concentration of sales from a limited number of spinal systems or products that incorporate these technologies; loss of the services of key members of our senior management, consultants or personnel; ability to enhance our product offerings through our research and development efforts; failure to properly manage our anticipated growth; acquisitions of or investments in new or complementary businesses, products or technologies; ability to train surgeons on the safe and appropriate use of our products; requirements to maintain high levels of inventory; impairment of our goodwill or intangible assets; disruptions in our information technology systems; any disruption or delays in operations at our facilities, including our new headquarter facility; or  facility or an ability to ship a sufficient number of our products to meet demand; ability to strengthen our brand; fluctuations in insurance cost and availability; extensive governmental regulation; in the United States and foreign jurisdictions; failure to obtain or maintain regulatory approvals and clearances; requirements for new 510(k) clearances, premarket approvals or new or amended CE Certificates of Conformity; medical device reporting regulations in the United States and foreign jurisdictions; voluntary corrective actions or agency enforcement actions; a recall of our products; withdrawal or restrictions on our products or the discovery of serious safety issues with our products; possible enforcement action if we engage in improper marketing or promotion of our products; the misuse or off-label use of our products; delays or failures in any future clinical trials;  the results of clinical trials; procurement and use of allograft bone tissue; environmental laws and regulations; compliance by us or our sales representatives with FDA regulations or fraud and abuse laws; U.S. legislative or regulatory healthcare reforms; medical device tax provisions in the healthcare reform laws; our need to generate significant sales to become profitable; potential fluctuations in sales volumes and our results of operations may fluctuate over the course of the year; uncertainty in our future capital needs; failure to comply with restrictions in our revolving credit facility; continuing worldwide economic instability; our inability to protect our intellectual property rights; our reliance on patent rights that we either license from others or have obtained through assignments; our patent litigation; the outcome of potential claims that we, our employees, our independent sales agencies or our distributors have wrongfully used or disclosed alleged trade secrets or are in breach of non-competition or non-solicitation agreements with our competitors; potential product liability lawsuits; operating risks relating to our international operations; foreign currency fluctuations; our ability to comply with the Foreign Corrupt Practices Act and similar laws associated with our activities outside the United States; possible conflicts of interest with our large shareholders; increased costs and additional regulations and requirements as a result of becoming a public company; our ability to implement and maintain effective internal control over financial reporting in the future; the potential impact of any future acquisitions, mergers, dispositions, joint ventures, investments or other strategic transactions we may make; 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.

(In Thousands, Except Share and Per Share Data)
  December 31,
   2015   2014 
Current Assets:    
Cash and cash equivalents $34,646  $11,411 
Accounts receivable, net  38,773   33,937 
Inventory, net  62,002   52,617 
Prepaid expenses and other current assets  19,820   3,911 
Total current assets  155,241   101,876 
Property, plant and equipment, net  38,318   4,220 
Goodwill  121,814   121,814 
Intangible assets, net  33,123   41,609 
Other assets, net  26,016   29,672 
Total assets $  374,512   $  299,191  
Current liabilities:    
Current maturities under capital lease obligation $284  $- 
Accounts payable  22,483   14,018 
Accrued expenses  13,559   10,077 
Accrued payroll liabilities  11,507   11,488 
Total current liabilities  47,833   35,583 
Capital lease obligation, net of current maturities  34,140   - 
Deferred income taxes, net  5,042   5,042 
Other liabilities  835   112 
Total liabilities    87,850      40,737  
Stockholders' equity:    
Common stock, $0.001 par value, 750,000,000 shares authorized: 41,337,692 and  37,366,098 shares issued and outstanding at December 31, 2015 and at December 31, 2014, respectively  41   37 
Additional paid-in capital  454,153   386,795 
Accumulated other comprehensive income  1,889   1,827 
Accumulated deficit  (169,421)  (130,205)
Total stockholders' equity  286,662   258,454 
Total liabilities and stockholders' equity $  374,512   $  299,191  


(In Thousands, Except Share and Per Share Data)
 Three Months Ended Year Ended
 December 31, December 31,
  2015   2014   2015   2014 
Revenue$54,220  $49,309  $216,007  $186,672 
Cost of revenue 18,284   16,217   71,791   62,800 
Gross profit 35,936   33,092   144,216   123,872 
Operating expenses:       
Research and development 5,060   4,448   19,868   16,302 
Sales and marketing 26,047   24,138   105,635   95,323 
General and administrative 12,408   13,058   54,983   60,216 
Total operating expenses 43,515   41,644   180,486   171,841 
Loss from operations (7,579)  (8,552)  (36,270)  (47,969)
Other expense, net:       
Foreign currency transaction loss (261)  (2,621)  (1,813)  (4,752)
Discount on prepayment of notes to stockholders -   -   -   (4,825)
Interest expense (587)  (90)  (941)  (2,205)
Total other expense, net (848)  (2,711)  (2,754)  (11,782)
Loss before income taxes (8,427)  (11,263)  (39,024)  (59,751)
Income Tax expense (benefit) 67   (196)  192   (114)
Net loss (8,494)  (11,067)  (39,216)  (59,637)
Accretion and adjustment of preferred stock to fair value -   -   -   6,879 
Net loss attributable to common stockholders$(8,494) $(11,067) $(39,216) $(52,758)
Net loss per share attributable to common stockholders:       
Basic and diluted$(0.21) $(0.30) $(0.97) $(1.65)
Weighted average shares outstanding:       
Basic and diluted 41,263,912   37,237,759   40,237,848   31,887,246 


(In Thousands)
 Year Ended
December 31,
  2015   2014 
Operating activities   
Net loss$(39,216) $(59,637)
Adjustments to reconcile net loss to net cash used in operating activities:   
Depreciation and amortization 24,940   33,324 
Provision for allowance for doubtful accounts 319   469 
Provision for inventory reserve 1,680   583 
Stock-based compensation 11,188   5,807 
Amortization of issuance and discount costs included in interest expense -   4,928 
Deferred income taxes -   (218)
Changes in operating assets and liabilities:   
Accounts receivable (5,082)  (2,860)
Inventory (8,766)  (13,660)
Prepaid expenses and other assets (9,738)  (8,450)
Accounts payable, accrued expenses, and accrued payroll liabilities 6,365   9,552 
Net cash used in operating activities (18,310)  (30,162)
Investing activities   
Purchase of surgical instruments (10,905)  (12,848)
Purchase of property, plant and equipment (2,787)  (2,905)
Amounts placed in escrow for new corporate headquarters -   (6,667)
Purchase of intangible assets (588)  (118)
Net cash used in investing activities (14,280)  (22,538)
Financing activities   
Borrowings on bank line of credit 25,000   - 
Payments on bank line of credit (25,000)  (23,500)
Proceeds from issuance of notes to stockholders -   14,634 
Prepayments of notes to stockholders -   (39,212)
Payment of dividends on Series A and Series B redeemable convertible preferred stock -   (18,547)
Proceeds from issuance of common stock, net of issuance costs 54,209   121,898 
Issuances and exercise of stock-based compensation benefit plans, net of income tax 2,017   1,563 
Net cash provided by financing activities 56,226   56,836 
Effect of exchange rate changes in cash and cash equivalents (401)  (144)
Net increase in cash and cash equivalents 23,235   3,992 
Cash and cash equivalents at beginning of period 11,411   7,419 
Cash and cash equivalents at end of period$34,646  $11,411 
Significant non-cash investing activities   
Buildings under capital lease$26,469  $- 
Leasehold improvements under capital lease$6,884  $- 
Significant non-cash financing activities   
Capital lease obligation$33,938  $- 
Accretion of Series A redeemable convertible preferred stock$-  $1,195 
Accretion of Series B redeemable convertible preferred stock$-  $(15)
Adjustment of preferred stock to fair value$-  $(8,059)
Deferred offering costs$52  $- 
Cash Paid for:   
Income taxes$126  $132 
Interest$428  $6,690 

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 our 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 and medical device excise tax expense.  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 as well as the medical device tax.  The Company believes that Adjusted Gross Profit is useful to investors because it is frequently used by analysts, investors and other interested parties to evaluate companies in its industry.

Adjusted EBITDA represents net loss plus interest expense, discount on prepayment of notes to stockholders, income tax expense, depreciation and amortization, stock-based compensation expense and foreign currency transaction (gain) loss.  In 2016, adjusted EBITDA will also include a deduction for cash payments made for rent on the Company's new headquarters and operations facilities under the capital lease agreement.

Adjusted EBITDA is presented because the Company believes it is a useful indicator of its operating performance.  Management uses the measure 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.  The Company believes Adjusted EBITDA is useful to investors because it is frequently used by analysts, investors and other interested parties to evaluate companies in its industry.  The Company believes Adjusted EBITDA is useful to its management and investors as a measure of comparative operating performance from period to period.

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, 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 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 our 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 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 Adjusted EBITDA on a supplemental basis.  The Company's definition of this measure 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 December 31, Year Ended December 31,
Reconciliation from Gross Profit to Adjusted Gross Profit 2015   2014   2015   2014 
Gross Profit$35,936  $33,092  $144,216  $123,872 
Instrument amortization 3,188   2,725   12,334   8,727 
Medical device excise tax (695)  585   514   2,140 
Adjusted Gross Profit (a Non-GAAP Measure)$38,429  $36,402  $157,064  $134,739 
 Three Months Ended December 31, Year Ended December 31,
Reconciliation from Net Loss to Adjusted EBITDA 2015   2014   2015   2014 
Net loss$(8,494) $(11,067) $(39,216) $(59,637)
Interest expense 587   90   941   2,205 
Discount on prepayment of notes to stockholders -   -   -   4,825 
Income tax expense (benefit) 67   (196)  192   (114)
Depreciation and amortization 6,544   5,985   24,940   33,324 
Stock-based compensation expense 2,325   1,977   11,188   5,807 
Foreign currency transaction loss 261   2,621   1,813   4,752 
Adjusted EBITDA$1,290  $(590) $(142) $(8,838)

The following table presents a reconciliation of net loss to Adjusted EBITDA for our 2016 guidance:

 Year Ended
December 31,
Net loss$(37,400)
Interest expense2,300 
Income tax expense 
Depreciation and amortization32,000 
Stock-based compensation expense8,200 
Foreign currency transaction loss1,000 
Cash-based rent payments (1)(1,100)
Adjusted EBITDA$5,000 

The reconciliation assumes the mid-point of the Adjusted EBITDA range and the midpoint of each component of the reconciliation, corresponding to guidance of $4.0 million to $6.0 million for 2016.

(1) Represents expected cash payments for rent on the Company's new headquarters and operations facilities under the capital lease agreement, which begin in September 2016.

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