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    Penumbra, Inc. Reports Fourth Quarter and Full Year 2023 Financial Results

    2/22/24 4:05:00 PM ET
    $PEN
    Medical/Dental Instruments
    Health Care
    Get the next $PEN alert in real time by email

    ALAMEDA, Calif., Feb. 22, 2024 /PRNewswire/ -- Penumbra, Inc. (NYSE:PEN), a global healthcare company focused on innovative therapies, today reported financial results for the fourth quarter and full year ended December 31, 2023.

    Penumbra, Inc. Logo (PRNewsFoto/Penumbra, Inc.)

    Financial Highlights:

    • Revenue of $284.7 million for the fourth quarter of 2023, an increase of 28.7% or 27.9% in constant currency1 compared to the fourth quarter of 2022. Revenue of $1,058.5 million for the full year 2023, an increase of 25.0% or 24.7% in constant currency1 compared to the full year 2022.

       
    • Revenue of $190.8 million from sales of our thrombectomy products in the fourth quarter of 2023, an increase of 42.4%, compared to the fourth quarter of 2022. Full year revenue of $677.3 million from sales of our thrombectomy products, an increase of 32.5% compared to the full year 2022.

        
    • Income from operations of $35.0 million and Non-GAAP income from operations1 of $37.4 million in the fourth quarter of 2023.

        
    • Income from operations of $73.6 million and Non-GAAP income from operations1 of $101.3 million for the full year 2023.

        
    • Net income of $54.2 million and adjusted EBITDA1 of $53.4 million or adjusted EBITDA margin of 18.8% in the fourth quarter of 2023. Net income of $91.0 million and adjusted EBITDA1 of $170.6 million or adjusted EBITDA margin of 16.1% for the full year 2023.

        
    • Cash and marketable investments increased $40.3 million in the fourth quarter of 2023 compared to the third quarter of 2023 driven by an increase in profitability and improvements in working capital.

        
    • In 2024, Penumbra projects total revenue growth of 16% to 20%. The Company projects U.S. thrombectomy growth of 27% to 30%. Gross margin expansion is expected to be 100 to 150 basis points, and non-GAAP operating margin expansion is expected to be 100 to 200 basis points, compared to full year 2023.

    In the fourth quarter of 2023, the Company made changes to its product revenue categories to provide investors with more meaningful information to understand the performance of its business and strategic direction. The Company will now report its product revenues in the following categories: thrombectomy and embolization and access. The Company is also providing its neuro and vascular product revenues for the fourth quarter and full year 2023 for the last time.

    As a one-time appendix to this press release, the Company has included its previously reported revenue for each quarter and year-to-date period of 2023 and 2022 reclassified into these new product categories, including supplemental geographic information.

    Fourth Quarter 2023 Financial Results

    Total revenue increased to $284.7 million for the fourth quarter of 2023 compared to $221.2 million for the fourth quarter of 2022, an increase of 28.7%, or 27.9% in constant currency1. The United States represented 71.5% of total revenue and international represented 28.5% of total revenue for the fourth quarter of 2023. Revenue from the U.S. increased 29.6% while revenue from our international regions increased 26.4%, or 23.5% in constant currency1. We achieved record revenue from the sales of our global thrombectomy products which grew to $190.8 million for the fourth quarter of 2023, an increase of 42.4%, or 41.6% in constant currency1 over the same period a year ago, driven primarily by the sales of our U.S. thrombectomy products which increased by 46.4% over the same period a year ago. Revenue from the sales of our global embolization and access products grew to $93.9 million for the fourth quarter of 2023, an increase of 7.6%, or 6.7% in constant currency1 from the same period a year ago.

    Gross profit for the fourth quarter of 2023 was $187.0 million, or 65.7% of total revenue compared to $138.4 million, or 62.6% of total revenue, for the fourth quarter of 2022. Gross margin is impacted by product mix, regional mix, and production initiatives to support demand and create future efficiencies. As such, with favorable product mix, improvement in productivity, and by leveraging our fixed costs on higher volume of new product sales during the year, our gross margin may be positively impacted in the future.

    Total operating expenses, including a $2.4 million amortization expense of finite lived intangible assets acquired in connection with the Sixense acquisition for both periods, were $152.0 million, or 53.4% of total revenue for the fourth quarter of 2023, and $133.6 million, or 60.4% of total revenue for the fourth quarter of 2022. Excluding the charge noted above for both periods, total non-GAAP operating expenses1 were $149.6 million, or 52.5% of total revenue for the fourth quarter of 2023, and $131.2 million, or 59.3% of total revenue for the fourth quarter of 2022.

    Income from operations was $35.0 million for the fourth quarter of 2023 compared to income from operations of $4.8 million for the fourth quarter of 2022. Excluding the amortization expense of finite lived intangible assets acquired in connection with the Sixense acquisition of $2.4 million for both periods, non-GAAP income from operations1 was $37.4 million for the fourth quarter of 2023 compared to $7.2 million for the fourth quarter of 2022.

    Full Year 2023 Financial Results

    Total revenue increased to $1,058.5 million for the year ended December 31, 2023 compared to $847.1 million for the year ended December 31, 2022, an increase of 25.0%, or 24.7% in constant currency1. The United States represented 71.5% of total revenue and international represented 28.5% of total revenue for the year ended December 31, 2023. Revenue from the U.S. increased 28.0% while revenue from our international regions increased 18.0%, or 17.3% in constant currency1. Revenue from the sales of our global thrombectomy products grew to $677.3 million for the year ended December 31, 2023, an increase of 32.5%, or 32.3% in constant currency1 over the same period a year ago, driven primarily by sales of our U.S. vascular thrombectomy products which increased 45.2% over the same period a year ago. Revenue from the sales of our global embolization and access products grew to $381.2 million for the year ended December 31, 2023, an increase of 13.4%, or 13.2% in constant currency1 compared to the year ended December 31, 2022.

    Gross profit for the year ended December 31, 2023 was $682.6 million, or 64.5% of total revenue, compared to $535.2 million, or 63.2% of total revenue, for the year ended December 31, 2022. Gross margin is impacted by product mix, regional mix, and production initiatives to support demand and create future efficiencies. As such, with favorable product mix, improvement in productivity, and by leveraging our fixed costs on higher volume of new product sales during the year, our gross margin may be positively impacted in the future.

    Total operating expenses for the year ended December 31, 2023 were $609.1 million, or 57.5% of total revenue, which included a one-time $18.2 million expense associated with the acquisition of in-process research and development ("IPR&D") and a $9.5 million amortization expense of finite lived intangible assets acquired in connection with the Sixense acquisition. This compares to total operating expenses of $529.1 million, or 62.5% of total revenue, for the year ended December 31, 2022, which included a $8.3 million amortization expense of finite lived intangible assets acquired in connection with the Sixense acquisition. Excluding the charges noted above, total non-GAAP operating expenses1 were $581.4 million, or 54.9% of total revenue during the year ended December 31, 2023, and $520.8 million, or 61.5% of total revenue during the year ended December 31, 2022. R&D expenses were $84.4 million for the year ended December 31, 2023, compared to $79.4 million for the year ended December 31, 2022. SG&A expenses were $506.5 million for the year ended December 31, 2023, compared to $449.7 million for the year ended December 31, 2022.

    Income from operations was $73.6 million for the year ended December 31, 2023 compared to income from operations of $6.1 million for the year ended December 31, 2022. Excluding the one-time expense associated with the acquired IPR&D of $18.2 million and the amortization expense of finite lived intangible assets acquired in connection with the Sixense acquisition of $9.5 million, non-GAAP income from operations1 was $101.3 million for the year ended December 31, 2023. This compares to non-GAAP income from operations1 of $14.4 million for the year ended December 31, 2022, excluding the amortization expense of finite lived intangible assets acquired in connection with the Sixense acquisition of $8.3 million.

    Full Year 2024 Financial Outlook

    The Company projects total revenue for 2024 to be in the range of $1,230.0 million to $1,270.0 million, representing year over year growth of 16% to 20% compared to 2023 revenue of $1,058.5 million. The Company also projects the U.S. thrombectomy franchise will grow 27% to 30% year-over-year, primarily driven by its Computer-Assisted Vacuum Thrombectomy ("CAVT") products. The Company also expects gross margin expansion in the range of 100 to 150 basis points and total non-GAAP operating margin expansion in the range of 100 to 200 basis points in 2024 compared to full year 2023.

    _______________________________

    1
    See "Non-GAAP Financial Measures" for important information about our use of non-GAAP measures.

    Webcast and Conference Call Information

    Penumbra, Inc. will host a conference call to discuss financial results for the fourth quarter and year ended December 31, 2023 after market close on Thursday, February 22, 2024 at 4:30 PM Eastern Time. The conference call can be accessed live over the phone by dialing (888) 596-4144 for domestic and international callers (conference id: 4604622), or the webcast can be accessed on the "Events and Presentations" section under the "Investors" tab of the Company's website at: www.penumbrainc.com. The webcast will be available on the Company's website for at least two weeks following the completion of the call.

    About Penumbra

    Penumbra, Inc., headquartered in Alameda, California, is a global healthcare company focused on innovative therapies. Penumbra designs, develops, manufactures and markets novel products and has a broad portfolio that addresses challenging medical conditions in markets with significant unmet need. Penumbra supports healthcare providers, hospitals and clinics in more than 100 countries. The Penumbra logo is a trademark of Penumbra, Inc. For more information, visit www.penumbrainc.com and connect on Twitter and LinkedIn.

    Non-GAAP Financial Measures

    In addition to financial measures prepared in accordance with U.S. generally accepted accounting principles ("GAAP"), the Company uses the following non-GAAP financial measures in this press release: a) constant currency, b) non-GAAP operating expenses, non-GAAP income from operations, non-GAAP net income and non-GAAP diluted earnings per share ("EPS") and c) adjusted EBITDA.

    Constant Currency. The Company's constant currency revenue disclosures estimate the impact of changes in foreign currency rates on the translation of the Company's current period revenue as compared to the applicable comparable period in the prior year. This impact is derived by taking the current local currency revenue and translating it into U.S. dollars based upon the foreign currency exchange rates used to translate the local currency revenue for the applicable comparable period in the prior year, rather than the actual exchange rates in effect during the current period. It does not include any other effect of changes in foreign currency rates on the Company's results or business.

    Non-GAAP operating expenses, non-GAAP income from operations, non-GAAP net income and non-GAAP diluted EPS. The adjustments to the GAAP financial measures reflect the exclusion of:

    • the one-time expense associated with the acquisition of IPR&D in the third quarter of 2023;
    • the effect of the amortization of finite lived intangible assets acquired in connection with the Sixense acquisition over their estimated useful lives;
    • the excess tax benefits or tax deficiencies associated with share-based compensation arrangements; and
    • the release of the valuation allowance associated with Federal R&D tax credits and partial release of the valuation allowance associated with California deferred tax assets.

    Adjusted EBITDA. The Company's adjusted EBITDA reflects the exclusion from GAAP net income (loss) of:

    • non-cash operating charges such as stock-based compensation and depreciation and amortization; and
    • non-operating items such as the one-time expense associated with the acquisition of IPR&D, interest income, interest expense, and provision for (benefit from) income taxes.

    Full reconciliation of these non-GAAP measures to the most comparable GAAP measures is set forth in the tables below.

    Our management believes the non-GAAP financial measures disclosed in this press release are useful to investors in assessing the operating performance of our business and provide meaningful comparisons to prior periods and thus a more complete understanding of our business than could be obtained absent this disclosure. Specifically, we consider the change in constant currency revenue as a useful metric as it provides an alternative framework for assessing how our underlying business performed excluding the effect of foreign currency rate fluctuations. We consider non-GAAP operating expenses, non-GAAP income from operations, non-GAAP net income and non-GAAP diluted EPS useful metrics as they provide an alternative framework for assessing how our underlying business performed excluding the one-time expense associated with the acquisition of IPR&D in the third quarter of 2023, the amortization expense of finite lived intangible assets acquired in connection with the Sixense acquisition, the excess tax benefits or tax deficiencies associated with share-based compensation arrangements, and the release of the valuation allowance release associated with Federal R&D tax credits and partial release of the valuation allowance associated with California deferred tax assets. Further, we consider adjusted EBITDA a useful metric as it provides an alternative framework for assessing how our underlying business performed excluding non-cash operating charges such as stock-based compensation and depreciation and amortization and non-operating items such as the one-time expense associated with the acquisition of IPR&D, interest income, interest expense, and provision for (benefit from) income taxes.

    The non-GAAP financial measures included in this press release may be different from, and therefore may not be comparable to, similarly titled measures used by other companies. These non-GAAP measures should not be considered in isolation or as alternatives to GAAP measures. We urge investors to review the reconciliation of these non-GAAP financial measures to the comparable GAAP financial measures included in this press release, and not to rely on any single financial measure to evaluate our business.

    Forward-Looking Statements

    Except for historical information, certain statements in this press release are forward-looking in nature and are subject to risks, uncertainties and assumptions about us. Our business and operations are subject to a variety of risks and uncertainties and, consequently, actual results may differ materially from those projected by any forward-looking statements. Factors that could cause actual results to differ from those projected include, but are not limited to: failure to sustain or grow profitability or generate positive cash flows; failure to effectively introduce and market new products; delays in product introductions; significant competition; inability to further penetrate our current customer base, expand our user base and increase the frequency of use of our products by our customers; inability to achieve or maintain satisfactory pricing and margins; manufacturing difficulties; permanent write-downs or write-offs of our inventory; product defects or failures; unfavorable outcomes in clinical trials; inability to maintain our culture as we grow; fluctuations in foreign currency exchange rates; potential adverse regulatory actions; and the potential impact of any acquisitions, mergers, dispositions, joint ventures or investments we may make. These risks and uncertainties, as well as others, are discussed in greater detail in our filings with the Securities and Exchange Commission ("SEC"), including our Annual Report on Form 10-K for the year ended December 31, 2023, which we expect to file with the SEC on or before February 29, 2024. There may be additional risks of which we are not presently aware or that we currently believe are immaterial which could have an adverse impact on our business. Any forward-looking statements are based on our current expectations, estimates and assumptions regarding future events and are applicable only as of the dates of such statements. We make no commitment to revise or update any forward-looking statements in order to reflect events or circumstances that may change.

     

    Penumbra, Inc.

    Condensed Consolidated Balance Sheets

    (unaudited)

    (in thousands)







    December 31,





    2023



    2022

    Assets









    Current assets:









         Cash and cash equivalents



    $           167,486



    $             69,858

         Marketable investments



    121,701



    118,172

         Accounts receivable, net



    201,768



    203,384

         Inventories



    388,023



    334,006

         Prepaid expenses and other current assets



    36,424



    30,279

              Total current assets



    915,402



    755,699

    Property and equipment, net



    72,691



    65,015

    Operating lease right-of-use assets



    188,756



    192,636

    Finance lease right-of-use assets



    31,092



    33,323

    Intangible assets, net



    71,056



    81,161

    Goodwill



    166,270



    166,046

    Deferred taxes



    85,158



    64,213

    Other non-current assets



    25,880



    12,793

              Total assets



    $        1,556,305



    $        1,370,886

    Liabilities and Stockholders' Equity









    Current liabilities:









         Accounts payable



    $             27,155



    $             26,679

         Accrued liabilities



    110,555



    106,300

         Current operating lease liabilities



    11,203



    10,033

         Current finance lease liabilities



    2,231



    1,920

              Total current liabilities



    151,144



    144,932

    Non-current operating lease liabilities



    197,229



    198,955

    Non-current finance lease liabilities



    23,680



    24,865

    Other non-current liabilities



    5,308



    3,276

              Total liabilities



    377,361



    372,028

    Stockholders' equity:









    Preferred stock



    —



    —

    Common stock



    39



    38

    Additional paid-in capital



    1,047,198



    963,040

    Accumulated other comprehensive loss



    (3,151)



    (8,124)

    Retained earnings



    134,858



    43,904

    Total stockholders' equity



    1,178,944



    998,858

    Total liabilities and stockholders' equity



    $        1,556,305



    $        1,370,886

     

     

    Penumbra, Inc.

    Condensed Consolidated Statements of Operations

    (unaudited)

    (in thousands, except share and per share amounts)







    Three Months Ended December 31,



    Year Ended December 31,





    2023



    2022



    2023



    2022

    Revenue



    $           284,679



    $           221,216



    $        1,058,522



    $           847,133

    Cost of revenue



    97,687



    82,789



    375,879



    311,926

         Gross profit



    186,992



    138,427



    682,643



    535,207

    Operating expenses:

















         Research and development



    21,942



    17,964



    84,423



    79,407

         Sales, general and administrative



    130,021



    115,630



    506,454



    449,718

         Acquired in-process research and development



    —



    —



    18,215



    —

              Total operating expenses



    151,963



    133,594



    609,092



    529,125

    Income from operations



    35,029



    4,833



    73,551



    6,082

    Interest and other income (expense), net



    3,129



    2,295



    6,099



    (2,190)

    Income before income taxes



    38,158



    7,128



    79,650



    3,892

    (Benefit from) provision for income taxes



    (16,060)



    3,251



    (11,304)



    5,894

    Consolidated net income (loss)



    $             54,218



    $                3,877



    $             90,954



    $              (2,002)

    Net income (loss) attributable to Penumbra, Inc.



    $             54,218



    $                3,877



    $             90,954



    $              (2,002)



















    Net income (loss) attributable to Penumbra, Inc. per share:

















    Basic



    $                  1.40



    $                  0.10



    $                  2.37



    $                (0.05)

    Diluted



    $                  1.38



    $                  0.10



    $                  2.32



    $                (0.05)

    Weighted average shares outstanding:

















    Basic



    38,628,565



    38,030,344



    38,401,171



    37,841,874

    Diluted



    39,291,044



    38,896,940



    39,216,564



    37,841,874

     

     

    Penumbra, Inc.

    Reconciliation of GAAP Operating Expenses and GAAP Income from Operations to Non-GAAP Operating Expenses and Non-GAAP Income from Operations1

    (unaudited)

    (in thousands)







    Three Months Ended December 31,



    Year Ended December 31,





    2023



    2022



    2023



    2022



















    GAAP operating expenses



    $             151,963



    $             133,594



    $             609,092



    $             529,125

    GAAP operating expenses includes the effect of the following items:

















    Amortization of finite lived intangible assets acquired2



    2,380



    2,380



    9,519



    8,329

    Acquired IPR&D3



    —



    —



    18,215



    —

    Non-GAAP operating expenses



    $             149,583



    $             131,214



    $             581,358



    $             520,796



















    GAAP income from operations



    $               35,029



    $                 4,833



    $               73,551



    $                 6,082

    GAAP income from operations includes the effect of the following items:

















    Amortization of finite lived intangible assets acquired2



    2,380



    2,380



    9,519



    8,329

    Acquired IPR&D3



    —



    —



    18,215



    —

    Non-GAAP income from operations



    $               37,409



    $                 7,213



    $             101,285



    $               14,411

     

    _______________________________

    1See "Non-GAAP Financial Measures" for important information about our use of non-GAAP measures.



    2Amortization expense for the year ended December 31, 2023 includes an additional $1.2 million relative to the prior year-to-date period, as the company reclassified the $20.8 million in-process research and development ("IPR&D") asset acquired in connection with the Sixense acquisition to a finite-lived developed technology intangible asset upon the completion of the IPR&D project during the three months ended September 30, 2022.



    3Represents a one-time $18.2 million expense associated with the acquisition of IPR&D during the three months ended September 30, 2023.

     

     

    Penumbra, Inc.

    Reconciliation of GAAP Net Income (Loss) and GAAP Diluted EPS to Non-GAAP Net Income and Non-GAAP Diluted EPS1

    (unaudited)

    (in thousands, except share and per share amounts)







    Three Months Ended

    December 31, 2023



    Three Months Ended

    December 31, 2022



    Year Ended

    December 31, 2023



    Year Ended

    December 31, 2022





    Net

    income



    Diluted

    EPS



    Net

    income



    Diluted

    EPS



    Net

    income



    Diluted

    EPS



    Net (loss)

    income



    Diluted

    EPS

    GAAP net income (loss)



    $    54,218



    $       1.38



    $      3,877



    $       0.10



    $    90,954



    $       2.32



    $    (2,002)



    $      (0.05)

    GAAP net income (loss) includes the effect of the

    following items:

































    Amortization of finite lived intangible assets

    acquired2



    2,380



    0.06



    2,380



    0.06



    9,519



    0.25



    8,329



    0.21

    Acquired IPR&D3



    —



    —



    —



    —



    18,215



    0.46



    —



    —

    Tax effect on the non-GAAP adjustments above4



    (573)



    (0.01)



    (558)



    (0.01)



    (2,293)



    (0.06)



    (1,952)



    (0.05)

    (Excess tax benefits) tax deficiencies related to 

    stock compensation awards



    (648)



    (0.02)



    341



    0.01



    (9,020)



    (0.23)



    2,007



    0.05

    Valuation allowance release5



    (25,493)



    (0.65)



    —



    —



    (25,493)



    (0.65)



    —



    —

    Non-GAAP net income



    $    29,884



    $       0.76



    $      6,040



    $       0.16



    $    81,882



    $       2.09



    $      6,382



    $       0.16



































    GAAP diluted EPS







    $       1.38







    $       0.10







    $       2.32







    $      (0.05)

    Non-GAAP diluted EPS6







    $       0.76







    $       0.16







    $       2.09







    $       0.16



































    Weighted average shares outstanding used to compute:

































    GAAP diluted EPS



    39,291,044



    38,896,940



    39,216,564



    37,841,874

    Non-GAAP diluted EPS6



    39,291,044



    38,896,940



    39,216,564



    38,789,291

     

    _______________________________

    1See "Non-GAAP Financial Measures" for important information about our use of non-GAAP measures.



    2Amortization expense for the year ended December 31, 2023 includes an additional $1.2 million relative to the prior year-to-date period, as the company reclassified the $20.8 million IPR&D asset acquired in connection with the Sixense acquisition to a finite-lived developed technology intangible asset upon the completion of the IPR&D project during the three months ended September 30, 2022.



    3Represents a one-time $18.2 million expense associated with the acquisition of IPR&D during the three months ended September 30, 2023.



    4For the three and twelve months ended December 31, 2023, management used a combined federal and state tax rate of 24.09% to compute the tax effect of non-GAAP measures. For the three and twelve months ended December 31, 2022, management used a combined federal and state tax rate of 23.44% to compute the tax effect of non-GAAP measures.



    5The Company released a valuation allowance against its Federal R&D tax credits and partially released a valuation allowance against its California deferred tax assets, resulting in a tax benefit of $25.5 million during the three and twelve months ended December 31, 2023.



    6For the purposes of calculating Non-GAAP diluted EPS for the year ended December 31, 2022, non-GAAP diluted weighted average shares outstanding of 38,789,291 was used, as the Company had non-GAAP net income during the period.

     

     

    Penumbra, Inc.

    Reconciliation of GAAP Net Income (Loss) to Adjusted EBITDA and Adjusted EBITDA Margin1

    (unaudited)

    (in thousands, except for percentages)







    Three Months Ended December 31,



    Year Ended December 31,





    2023



    2022



    2023



    2022

    GAAP net income (loss)



    $          54,218



    $            3,877



    $          90,954



    $          (2,002)

    Adjustments to GAAP net income (loss):

















    Depreciation and amortization expense



    7,039



    6,441



    27,257



    24,321

    Interest income, net



    (2,570)



    (299)



    (5,086)



    (137)

    (Benefit from) provision for income taxes



    (16,060)



    3,251



    (11,304)



    5,894

    Stock-based compensation expense



    10,791



    9,997



    50,516



    37,378

    Acquired IPR&D2



    —



    —



    18,215



    —

    Adjusted EBITDA



    $          53,418



    $          23,267



    $        170,552



    $          65,454



















    Revenue



    $        284,679



    $        221,216



    $    1,058,522



    $        847,133

    Adjusted EBITDA



    $          53,418



    $          23,267



    $        170,552



    $          65,454

    Adjusted EBITDA margin



    18.8 %



    10.5 %



    16.1 %



    7.7 %

     

    _______________________________

    1See "Non-GAAP Financial Measures" for important information about our use of non-GAAP measures. 



    2Represents a one-time $18.2 million expense associated with the acquisition of IPR&D during the three months ended September 30, 2023.

     

    Penumbra, Inc.

    Reconciliation of Revenue Change by Geographic Regions to Constant Currency Revenue Growth1

    (unaudited)

    (in thousands, except for percentages)







    Three Months Ended

    December 31,



    Reported Change



    FX Impact



    Constant Currency Change





    2023



    2022



    $



    %



    $



    $



    %

    United States



    $       203,684



    $       157,132



    $         46,552



    29.6 %



    $                —



    $         46,552



    29.6 %

    International



    80,995



    64,084



    16,911



    26.4 %



    (1,830)



    15,081



    23.5 %

    Total



    $       284,679



    $       221,216



    $         63,463



    28.7 %



    $         (1,830)



    $         61,633



    27.9 %







    Year Ended December 31,



    Reported Change



    FX Impact



    Constant Currency Change





    2023



    2022



    $



    %



    $



    $



    %

    United States



    $       757,151



    $       591,715



    $       165,436



    28.0 %



    $                —



    $       165,436



    28.0 %

    International



    301,371



    255,418



    45,953



    18.0 %



    (1,790)



    44,163



    17.3 %

    Total



    $    1,058,522



    $       847,133



    $       211,389



    25.0 %



    $         (1,790)



    $       209,599



    24.7 %

     

     

    Penumbra, Inc.

    Reconciliation of Revenue Change by Product Categories and Geographic Regions to Constant Currency Revenue Growth1

    (unaudited)

    (in thousands, except for percentages)







    Three Months Ended

    December 31,



    Reported Change



    FX Impact



    Constant Currency Change





    2023



    2022



    $



    %



    $



    $



    %

    Thrombectomy



    $       190,780



    $       133,963



    $         56,817



    42.4 %



    $         (1,025)



    $         55,792



    41.6 %

    Embolization and Access



    93,899



    87,253



    6,646



    7.6 %



    (805)



    5,841



    6.7 %

    Total



    $       284,679



    $       221,216



    $         63,463



    28.7 %



    $         (1,830)



    $         61,633



    27.9 %









    Year Ended December 31,



    Reported Change



    FX Impact



    Constant Currency Change





    2023



    2022



    $



    %



    $



    $



    %

    Thrombectomy



    $       677,343



    $       511,137



    $       166,206



    32.5 %



    $         (1,044)



    $       165,162



    32.3 %

    Embolization and Access



    381,179



    335,996



    45,183



    13.4 %



    (746)



    44,437



    13.2 %

    Total



    $    1,058,522



    $       847,133



    $       211,389



    25.0 %



    $         (1,790)



    $       209,599



    24.7 %









    Three Months Ended

    December  31,



     Change



    FX Impact



    Constant Currency Change





    2023



    2022



    $



    %



    $



    $



    %

    Thrombectomy





























    United States



    $      141,891



    $         96,890



    $         45,001



    46.4 %



    $                —



    $         45,001



    46.4 %

    International



    48,889



    37,073



    11,816



    31.9 %



    (1,025)



    10,791



    29.1 %

    Total Thrombectomy



    190,780



    133,963



    56,817



    42.4 %



    (1,025)



    55,792



    41.6 %

    Embolization and Access





























    United States



    61,793



    60,242



    1,551



    2.6 %



    —



    1,551



    2.6 %

    International



    32,106



    27,011



    5,095



    18.9 %



    (805)



    4,290



    15.9 %

    Total Embolization and Access



    93,899



    87,253



    6,646



    7.6 %



    (805)



    5,841



    6.7 %

    Total



    $      284,679



    $       221,216



    $         63,463



    28.7 %



    $         (1,830)



    $         61,633



    27.9 %









    Year Ended December  31,



     Change



    FX Impact



    Constant Currency Change





    2023



    2022



    $



    %



    $



    $



    %

    Thrombectomy





























    United States



    $      509,886



    $       370,617



    $       139,269



    37.6 %



    $                —



    $       139,269



    37.6 %

    International



    167,457



    140,520



    26,937



    19.2 %



    (1,044)



    25,893



    18.4 %

    Total Thrombectomy



    677,343



    511,137



    166,206



    32.5 %



    (1,044)



    165,162



    32.3 %

    Embolization and Access





























    United States



    247,265



    221,098



    26,167



    11.8 %



    —



    26,167



    11.8 %

    International



    133,914



    114,898



    19,016



    16.6 %



    (746)



    18,270



    15.9 %

    Total Embolization and Access



    381,179



    335,996



    45,183



    13.4 %



    (746)



    44,437



    13.2 %

    Total



    $   1,058,522



    $       847,133



    $       211,389



    25.0 %



    $         (1,790)



    $       209,599



    24.7 %









    Three Months Ended

    December 31,



    Reported Change



    FX Impact



    Constant Currency Change





    2023



    2022



    $



    %



    $



    $



    %

    Vascular



    $       185,506



    $       129,676



    $         55,830



    43.1 %



    $            (513)



    $         55,317



    42.7 %

    Neuro



    99,173



    91,540



    7,633



    8.3 %



    (1,317)



    6,316



    6.9 %

    Total



    $       284,679



    $       221,216



    $         63,463



    28.7 %



    $         (1,830)



    $         61,633



    27.9 %







    Year Ended December 31,



    Reported Change



    FX Impact



    Constant Currency Change





    2023



    2022



    $



    %



    $



    $



    %

    Vascular



    $       652,446



    $       499,389



    $       153,057



    30.6 %



    $              (45)



    $       153,012



    30.6 %

    Neuro



    406,076



    347,744



    58,332



    16.8 %



    (1,745)



    56,587



    16.3 %

    Total



    $    1,058,522



    $       847,133



    $       211,389



    25.0 %



    $         (1,790)



    $       209,599



    24.7 %

     

    _______________________________

    1See "Non-GAAP Financial Measures" for important information about our use of non-GAAP measures.

     

    Penumbra, Inc.

    Appendix

    Reconciliation of Revenue by Product Categories for Thrombectomy and Embolization and Access Products

    (in thousands)







    Three Months Ended

    March 31, 2023



    Three Months Ended

    June 30, 2023



    Three Months Ended

    September 30, 2023



    Three Months Ended

    December 31, 2023

    Thrombectomy

















    United States



    $                     111,189



    $                     123,050



    $                     133,755



    $                     141,891

    International



    33,791



    39,452



    45,325



    48,889

    Total Thrombectomy



    144,980



    162,502



    179,080



    190,780

    Embolization and Access

















    United States



    60,690



    63,722



    61,061



    61,793

    International



    35,728



    35,275



    30,805



    32,106

    Total Embolization and Access



    96,418



    98,997



    91,866



    93,899

    Total



    $                     241,398



    $                     261,499



    $                     270,946



    $                     284,679























    Three Months Ended

    March 31, 2023



    Six Months Ended

    June 30, 2023



    Nine Months Ended

    September 30, 2023



    Year Ended

     December 31, 2023

    Thrombectomy

















    United States



    $                     111,189



    $                     234,239



    $                     367,994



    $                     509,886

    International



    33,791



    73,243



    118,569



    167,457

    Total Thrombectomy



    144,980



    307,482



    486,563



    677,343

    Embolization and Access

















    United States



    60,690



    124,412



    185,473



    247,265

    International



    35,728



    71,003



    101,807



    133,914

    Total Embolization and Access



    96,418



    195,415



    287,280



    381,179

    Total



    $                     241,398



    $                     502,897



    $                     773,843



    $                  1,058,522























    Three Months Ended

    March 31, 2022



    Three Months Ended

    June 30, 2022



    Three Months Ended

    September 30, 2022



    Three Months Ended

    December 31, 2022

    Thrombectomy

















    United States



    $                       92,263



    $                       87,329



    $                       94,136



    $                       96,890

    International



    31,026



    36,802



    35,619



    37,073

    Total Thrombectomy



    123,289



    124,131



    129,755



    133,963

    Embolization and Access

















    United States



    52,045



    54,127



    54,683



    60,242

    International



    28,561



    30,086



    29,240



    27,011

    Total Embolization and Access



    80,606



    84,213



    83,923



    87,253

    Total



    $                     203,895



    $                     208,344



    $                     213,678



    $                     221,216























    Three Months Ended

    March 31, 2022



    Six Months Ended

    June 30, 2022



    Nine Months Ended

    September 30, 2022



    Year Ended

     December 31, 2022

    Thrombectomy

















    United States



    $                     92,263



    $                   179,592



    $                   273,728



    $                   370,617

    International



    31,026



    67,828



    103,446



    140,520

    Total Thrombectomy



    123,289



    247,420



    377,174



    511,137

    Embolization and Access

















    United States



    52,045



    106,172



    160,855



    221,098

    International



    28,561



    58,647



    87,888



    114,898

    Total Embolization and Access



    80,606



    164,819



    248,743



    335,996

    Total



    $                   203,895



    $                   412,239



    $                   625,917



    $                   847,133

     

     

    Investor Relations

    Penumbra, Inc.

    510-995-2461

    investors@penumbrainc.com

    Cision View original content to download multimedia:https://www.prnewswire.com/news-releases/penumbra-inc-reports-fourth-quarter-and-full-year-2023-financial-results-302069243.html

    SOURCE Penumbra, Inc.

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