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    Outset Medical Reports Third Quarter 2023 Financial Results

    11/7/23 4:05:00 PM ET
    $OM
    Biotechnology: Electromedical & Electrotherapeutic Apparatus
    Health Care
    Get the next $OM alert in real time by email

    Reiterates Updated 2023 Revenue Guidance of Approximately $130 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, 2023.

    Revenue for the third quarter was $30.4 million, a 9% increase over revenue of $27.8 million in the third quarter of 2022, and gross margin was 23.6%, or 25.6% on a non-GAAP basis, compared to 16.4% on a non-GAAP basis in the third quarter of 2022. Total cash, including restricted cash, cash equivalents and short-term investments, was $197 million as of September 30, 2023.

    "Our third quarter results were in line with the expectations we set in October, and our focus remains on ensuring the benefits of Tablo reach as many providers and patients as possible this year and well into the future," said Leslie Trigg, Chair and Chief Executive Officer. "All of the structural tailwinds for Tablo remain firmly in place, and we have high confidence in our ability to generate sustained long-term growth, achieve our gross margin goals, and reach profitability."

    Third Quarter 2023 Financial Results

    Revenue for the quarter was $30.4 million, including product revenue of $23.5 million, an increase of 8.2% compared to $21.7 million in the third quarter of 2022, and service and other revenue of $6.8 million, an increase of 13.4% compared to $6.0 million in the third quarter of 2022.

    Total gross profit was $7.2 million, compared to $4.3 million for the third quarter of 2022. Total gross margin was 23.6%, compared to 15.6% in the third quarter of 2022. On a non-GAAP basis, gross margin improved to 25.6% from 16.4% in the third quarter of 2022. Product gross profit was $6.7 million, compared to $2.1 million of product gross profit in the third quarter of 2022. Product gross margin was 28.4%, compared to 9.7% in the third quarter of 2022. Service and other gross profit was $0.5 million, compared to $2.2 million of service and other gross profit in the third quarter of 2022. Service and other gross margin was 6.8%, compared to 37.0% in the third quarter of 2022.

    Operating expenses were $52.6 million, including research and development (R&D) expenses of $16.1 million, sales and marketing (S&M) expenses of $24.7 million, and general and administrative (G&A) expenses of $11.8 million. This compared to operating expenses of $45.3 million, including R&D expenses of $13.1 million, S&M expenses of $22.3 million, and G&A expenses of $10.0 million in the third quarter of 2022.

    Excluding stock-based compensation expense, non-GAAP operating expenses were $42.3 million, including R&D expenses of $13.3 million, S&M expenses of $21.0 million, and G&A expenses of $8.1 million.

    Net loss was ($46.2) million, or ($0.93) per share, compared to net loss of ($40.8) million, or ($0.85) per share, for the same period in 2022. On a non-GAAP basis, net loss was ($35.3) million, or ($0.71) per share, compared to non-GAAP net loss of ($33.4) million, or ($0.70) per share for the same period in 2022.

    Full Year 2023 Financial Guidance

    Outset reiterated its 2023 revenue guidance of approximately $130 million and its previous gross margin guidance for the year to be in the low-20% range, exiting the fourth quarter in the mid-20% range.

    Webcast and Conference Call Details

    Outset will host a conference call today, November 7, 2023, at 2:00 p.m. PT / 5:00 p.m. ET to discuss its third quarter 2023 financial results. Those interested in listening to the conference call may do so by registering online. Once registered, participants will receive dial-in numbers and a unique pin to join the call. Participants are encouraged to register more than 15 minutes before the start of the call. 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, gross margin, operating expenses, capital expenditures, cash burn, profitability and outlook; statements regarding the Company's overall business strategy, plans and objectives of management; the Company's expectations regarding the market sizes and growth potential for Tablo and the total addressable market opportunities for Tablo; continued execution of the Company's initiatives designed to expand gross margins; our ability to respond to and resolve any reports, observations or other actions by the Food and Drug Administration (FDA) or other regulators in a timely and effective manner; as well as the Company's expectations regarding the impact of macroeconomic factors on the Company, 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 the Company's public filings with the Securities and Exchange Commission, including its 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,

     

     

     

    2023

     

     

    2022

     

     

    2023

     

     

    2022

     

    Revenue:

     

     

     

     

     

     

     

     

     

     

     

     

    Product revenue

     

    $

    23,531

     

     

     

    $

    21,739

     

     

     

    $

    80,640

     

     

     

    $

    67,024

     

     

    Service and other revenue

     

     

    6,831

     

     

     

     

    6,022

     

     

     

     

    19,229

     

     

     

     

    16,344

     

     

    Total revenue

     

     

    30,362

     

     

     

     

    27,761

     

     

     

     

    99,869

     

     

     

     

    83,368

     

     

    Cost of revenue:

     

     

     

     

     

     

     

     

     

     

     

     

    Cost of product revenue (2)

     

     

    16,837

     

     

     

     

    19,632

     

     

     

     

    59,866

     

     

     

     

    60,460

     

     

    Cost of service and other revenue

     

     

    6,368

     

     

     

     

    3,793

     

     

     

     

    18,715

     

     

     

     

    10,348

     

     

    Total cost of revenue

     

     

    23,205

     

     

     

     

    23,425

     

     

     

     

    78,581

     

     

     

     

    70,808

     

     

    Gross profit (1)

     

     

    7,157

     

     

     

     

    4,336

     

     

     

     

    21,288

     

     

     

     

    12,560

     

     

    Gross margin (1)

     

     

    23.6

     

    %

     

     

    15.6

     

    %

     

     

    21.3

     

    %

     

     

    15.1

     

    %

    Operating expenses:

     

     

     

     

     

     

     

     

     

     

     

     

    Research and development (2)

     

     

    16,076

     

     

     

     

    13,059

     

     

     

     

    44,775

     

     

     

     

    37,411

     

     

    Sales and marketing (2)

     

     

    24,720

     

     

     

     

    22,276

     

     

     

     

    74,038

     

     

     

     

    65,851

     

     

    General and administrative (2)

     

     

    11,815

     

     

     

     

    10,000

     

     

     

     

    34,892

     

     

     

     

    30,493

     

     

    Total operating expenses

     

     

    52,611

     

     

     

     

    45,335

     

     

     

     

    153,705

     

     

     

     

    133,755

     

     

    Loss from operations

     

     

    (45,454

    )

     

     

     

    (40,999

    )

     

     

     

    (132,417

    )

     

     

     

    (121,195

    )

     

    Interest income and other income, net

     

     

    2,573

     

     

     

     

    805

     

     

     

     

    7,889

     

     

     

     

    1,384

     

     

    Interest expense

     

     

    (3,213

    )

     

     

     

    (567

    )

     

     

     

    (9,258

    )

     

     

     

    (1,470

    )

     

    Loss before provision for income taxes

     

     

    (46,094

    )

     

     

     

    (40,761

    )

     

     

     

    (133,786

    )

     

     

     

    (121,281

    )

     

    Provision for income taxes

     

     

    86

     

     

     

     

    20

     

     

     

     

    411

     

     

     

     

    231

     

     

    Net loss

     

    $

    (46,180

    )

     

     

    $

    (40,781

    )

     

     

    $

    (134,197

    )

     

     

    $

    (121,512

    )

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Net loss per share, basic and diluted

     

    $

    (0.93

    )

     

     

    $

    (0.85

    )

     

     

    $

    (2.72

    )

     

     

    $

    (2.54

    )

     

    Shares used in computing net loss per share, basic and diluted

     

     

    49,913

     

     

     

     

    48,129

     

     

     

     

    49,364

     

     

     

     

    47,835

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

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

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Three Months Ended

     

     

    Nine Months Ended

     

     

     

    September 30,

     

     

    September 30,

     

     

     

    2023

     

     

    2022

     

     

    2023

     

     

    2022

     

    Gross profit

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Product revenue

     

    $

    6,694

     

     

     

    $

    2,107

     

     

     

    $

    20,774

     

     

     

    $

    6,564

     

     

    Service and other revenue

     

     

    463

     

     

     

     

    2,229

     

     

     

     

    514

     

     

     

     

    5,996

     

     

    Total gross profit

     

    $

    7,157

     

     

     

    $

    4,336

     

     

     

    $

    21,288

     

     

     

    $

    12,560

     

     

    Gross margin

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Product revenue

     

     

    28.4

     

    %

     

     

    9.7

     

    %

     

     

    25.8

     

    %

     

     

    9.8

     

    %

    Service and other revenue

     

     

    6.8

     

    %

     

     

    37.0

     

    %

     

     

    2.7

     

    %

     

     

    36.7

     

    %

    Total gross margin

     

     

    23.6

     

    %

     

     

    15.6

     

    %

     

     

    21.3

     

    %

     

     

    15.1

     

    %

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

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

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Three Months Ended

     

     

    Nine Months Ended

     

     

     

    September 30,

     

     

    September 30,

     

     

     

    2023

     

     

    2022

     

     

    2023

     

     

    2022

     

    Cost of revenue

     

    $

    620

     

     

     

    $

    210

     

     

     

    $

    1,381

     

     

     

    $

    493

     

     

    Research and development

     

     

    2,793

     

     

     

     

    1,919

     

     

     

     

    8,232

     

     

     

     

    4,885

     

     

    Sales and marketing

     

     

    3,765

     

     

     

     

    2,870

     

     

     

     

    9,908

     

     

     

     

    7,440

     

     

    General and administrative

     

     

    3,715

     

     

     

     

    2,431

     

     

     

     

    10,015

     

     

     

     

    7,032

     

     

    Total stock-based compensation expense

     

    $

    10,893

     

     

     

    $

    7,430

     

     

     

    $

    29,536

     

     

     

    $

    19,850

     

     

     
     

    Outset Medical, Inc.

    Condensed Balance Sheets

    (in thousands, except per share amounts)

     

     

     

    September 30,

     

    December 31,

     

     

    2023

     

    2022

     

     

    (Unaudited)

     

     

    Assets

     

     

     

     

    Current assets:

     

     

     

     

    Cash and cash equivalents

     

    $

    36,297

     

     

    $

    73,222

     

    Short-term investments

     

     

    157,701

     

     

     

    214,280

     

    Accounts receivable, net

     

     

    35,493

     

     

     

    28,070

     

    Inventories

     

     

    48,257

     

     

     

    51,476

     

    Prepaid expenses and other current assets

     

     

    6,026

     

     

     

    6,597

     

    Total current assets

     

     

    283,774

     

     

     

    373,645

     

    Restricted cash

     

     

    3,329

     

     

     

    3,311

     

    Property and equipment, net

     

     

    13,774

     

     

     

    15,876

     

    Operating lease right-of-use assets

     

     

    5,713

     

     

     

    6,117

     

    Other assets

     

     

    961

     

     

     

    1,166

     

    Total assets

     

    $

    307,551

     

     

    $

    400,115

     

    Liabilities and stockholders' equity

     

     

     

     

    Current liabilities:

     

     

     

     

    Accounts payable

     

    $

    2,880

     

     

    $

    603

     

    Accrued compensation and related benefits

     

     

    21,544

     

     

     

    21,519

     

    Accrued expenses and other current liabilities

     

     

    12,160

     

     

     

    16,227

     

    Accrued warranty liability

     

     

    4,068

     

     

     

    3,620

     

    Deferred revenue, current

     

     

    10,828

     

     

     

    8,662

     

    Operating lease liabilities, current

     

     

    1,544

     

     

     

    1,318

     

    Total current liabilities

     

     

    53,024

     

     

     

    51,949

     

    Accrued interest

     

     

    680

     

     

     

    113

     

    Deferred revenue

     

     

    99

     

     

     

    151

     

    Operating lease liabilities

     

     

    4,901

     

     

     

    5,576

     

    Term loan

     

     

    96,784

     

     

     

    96,336

     

    Total liabilities

     

     

    155,488

     

     

     

    154,125

     

    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, 2023 and December 31, 2022

     

     

    —

     

     

     

    —

     

    Common stock, $0.001 par value; 300,000 shares authorized as of September 30, 2023 and December 31, 2022; 50,173 and 48,465 shares issued and outstanding as of September 30, 2023 and December 31, 2022, respectively

     

     

    50

     

     

     

    48

     

    Additional paid-in capital

     

     

    1,075,413

     

     

     

    1,035,456

     

    Accumulated other comprehensive loss

     

     

    (253

    )

     

     

    (564

    )

    Accumulated deficit

     

     

    (923,147

    )

     

     

    (788,950

    )

    Total stockholders' equity

     

     

    152,063

     

     

     

    245,990

     

    Total liabilities and stockholders' equity

     

    $

    307,551

     

     

    $

    400,115

     

     

    Outset Medical, Inc.

    Condensed Statements of Cash Flows

    (in thousands)

    (unaudited)

     

     

     

    Nine Months Ended September 30,

     

     

    2023

     

    2022

    Net cash used in operating activities

     

    $

    (106,931

    )

     

    $

    (111,222

    )

    Net cash provided by (used in) investing activities

     

     

    59,601

     

     

     

    (14,547

    )

    Net cash provided by financing activities

     

     

    10,423

     

     

     

    7,298

     

    Net decrease in cash, cash equivalents and restricted cash

     

     

    (36,907

    )

     

     

    (118,471

    )

    Cash, cash equivalents and restricted cash at beginning of the period

     

     

    76,533

     

     

     

    215,659

     

    Cash, cash equivalents and restricted cash at end of the period (1)

     

    $

    39,626

     

     

    $

    97,188

     

     

     

     

     

     

     

     

     

     

     

    (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,

     

     

    2023

     

    2022

    Cash and cash equivalents

     

    $

    36,297

     

     

    $

    63,877

     

    Restricted cash

     

     

    3,329

     

     

     

    33,311

     

    Total cash, cash equivalents and restricted cash*

     

    $

    39,626

     

     

    $

    97,188

     

     

     

     

     

     

    * The total cash, including restricted cash, cash equivalents and investment securities as of September 30, 2023 was $197.3 million; compared to $260.8 million as of September 30, 2022.

    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:

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Three Months Ended

     

     

    Nine Months Ended

     

     

     

    September 30,

     

     

    September 30,

     

     

     

    2023

     

     

    2022

     

     

    2023

     

     

    2022

     

    GAAP net loss per share, diluted

     

    $

    (0.93

    )

     

     

    $

    (0.85

    )

     

     

    $

    (2.72

    )

     

     

    $

    (2.54

    )

     

    Stock-based compensation expense

     

     

    0.22

     

     

     

     

    0.15

     

     

     

     

    0.60

     

     

     

     

    0.41

     

     

    Non-GAAP net loss per share, diluted

     

    $

    (0.71

    )

     

     

    $

    (0.70

    )

     

     

    $

    (2.12

    )

     

     

    $

    (2.13

    )

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Reconciliation between GAAP and non-GAAP net loss:

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Three Months Ended

     

     

    Nine Months Ended

     

     

     

    September 30,

     

     

    September 30,

     

     

     

    2023

     

     

    2022

     

     

    2023

     

     

    2022

     

    GAAP net loss, diluted

     

    $

    (46,180

    )

     

     

    $

    (40,781

    )

     

     

    $

    (134,197

    )

     

     

    $

    (121,512

    )

     

    Stock-based compensation expense

     

     

    10,893

     

     

     

     

    7,430

     

     

     

     

    29,536

     

     

     

     

    19,850

     

     

    Non-GAAP net loss, diluted

     

    $

    (35,287

    )

     

     

    $

    (33,351

    )

     

     

    $

    (104,661

    )

     

     

    $

    (101,662

    )

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Reconciliation between GAAP and non-GAAP results of operations:

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Three Months Ended

     

     

    Nine Months Ended

     

     

     

    September 30,

     

     

    September 30,

     

     

     

    2023

     

     

    2022

     

     

    2023

     

     

    2022

     

    GAAP gross profit

     

    $

    7,157

     

     

     

    $

    4,336

     

     

     

    $

    21,288

     

     

     

    $

    12,560

     

     

    Stock-based compensation expense

     

     

    620

     

     

     

     

    210

     

     

     

     

    1,381

     

     

     

     

    493

     

     

    Non-GAAP gross profit

     

    $

    7,777

     

     

     

    $

    4,546

     

     

     

    $

    22,669

     

     

     

    $

    13,053

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    GAAP gross margin

     

     

    23.6

     

    %

     

     

    15.6

     

    %

     

     

    21.3

     

    %

     

     

    15.1

     

    %

    Stock-based compensation expense

     

     

    2.0

     

     

     

     

    0.8

     

     

     

     

    1.4

     

     

     

     

    0.6

     

     

    Non-GAAP gross margin

     

     

    25.6

     

    %

     

     

    16.4

     

    %

     

     

    22.7

     

    %

     

     

    15.7

     

    %

     

     

     

     

     

     

     

     

     

     

     

     

     

    GAAP research and development expense

     

    $

    16,076

     

     

     

    $

    13,059

     

     

     

    $

    44,775

     

     

     

    $

    37,411

     

     

    Stock-based compensation expense

     

     

    (2,793

    )

     

     

     

    (1,919

    )

     

     

     

    (8,232

    )

     

     

     

    (4,885

    )

     

    Non-GAAP research and development expense

     

    $

    13,283

     

     

     

    $

    11,140

     

     

     

    $

    36,543

     

     

     

    $

    32,526

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    GAAP sales and marketing expense

     

    $

    24,720

     

     

     

    $

    22,276

     

     

     

    $

    74,038

     

     

     

    $

    65,851

     

     

    Stock-based compensation expense

     

     

    (3,765

    )

     

     

     

    (2,870

    )

     

     

     

    (9,908

    )

     

     

     

    (7,440

    )

     

    Non-GAAP sales and marketing expense

     

    $

    20,955

     

     

     

    $

    19,406

     

     

     

    $

    64,130

     

     

     

    $

    58,411

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    GAAP general and administrative expense

     

    $

    11,815

     

     

     

    $

    10,000

     

     

     

    $

    34,892

     

     

     

    $

    30,493

     

     

    Stock-based compensation expense

     

     

    (3,715

    )

     

     

     

    (2,431

    )

     

     

     

    (10,015

    )

     

     

     

    (7,032

    )

     

    Non-GAAP general and administrative expense

     

    $

    8,100

     

     

     

    $

    7,569

     

     

     

    $

    24,877

     

     

     

    $

    23,461

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    GAAP total operating expense

     

    $

    52,611

     

     

     

    $

    45,335

     

     

     

    $

    153,705

     

     

     

    $

    133,755

     

     

    Stock-based compensation expense

     

     

    (10,273

    )

     

     

     

    (7,220

    )

     

     

     

    (28,155

    )

     

     

     

    (19,357

    )

     

    Non-GAAP total operating expense

     

    $

    42,338

     

     

     

    $

    38,115

     

     

     

    $

    125,550

     

     

     

    $

    114,398

     

     

     

    View source version on businesswire.com: https://www.businesswire.com/news/home/20231107814356/en/

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