Outset Medical Reports Second Quarter 2024 Financial Results
“During the quarter, the number of treatments performed each month on Tablo continued at record levels, as utilization remained high and gross margin materially expanded as it has each quarter for more than 3 years,” said
“At the same time, new console placements were below our expectations and will be lower than we originally forecasted for the year. We are taking clear steps to improve our execution and grow the business over the long term to bring the benefits of Tablo to even more providers and dialysis patients.”
Second Quarter 2024 Financial Results
Revenue for the second quarter was
Total gross profit was
Operating expenses declined 21% from the prior-year period to
Excluding stock-based compensation expense and severance and related charges, net of adjustments to compensation accrual, non-GAAP operating expenses were
Net loss was
Total cash, including restricted cash, cash equivalents and short-term investments, was
Full Year 2024 Financial Guidance
Outset now expects 2024 revenue to be approximately
Webcast and Conference Call Details
Outset will host a conference call today,
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. As listed in the itemized reconciliations between GAAP and non-GAAP financial measures included in this press release, the Company’s GAAP financial measures include stock-based compensation expense, as well as severance and related charges net of the reversal of compensation accruals for impacted employees. Stock-based compensation is a non-cash expense, and severance and related charges arise outside the ordinary course of continuing operations and are not reflective of the Company's current operating performance. As such, management has excluded the effects of these items 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, cash position, profitability and outlook; statements regarding the anticipated impacts and benefits of the Company’s cost reduction actions, initiatives to optimize the commercial organization and restructurings; 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; the Company’s ability to respond to and resolve any reports, observations or other actions by the
About
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
Condensed Statements of Operations (in thousands, except per share amounts) (unaudited) |
||||||||||||||||||||
|
|
Three Months Ended |
|
|
Six Months Ended |
|
||||||||||||||
|
|
|
|
|
|
|
||||||||||||||
|
|
2024 |
|
|
2023 |
|
|
2024 |
|
|
2023 |
|
||||||||
Revenue: |
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
Product revenue |
|
$ |
19,238 |
|
|
|
$ |
29,330 |
|
|
|
$ |
39,666 |
|
|
|
$ |
57,109 |
|
|
Service and other revenue |
|
|
8,150 |
|
|
|
|
6,710 |
|
|
|
|
15,890 |
|
|
|
|
12,398 |
|
|
Total revenue |
|
|
27,388 |
|
|
|
|
36,040 |
|
|
|
|
55,556 |
|
|
|
|
69,507 |
|
|
Cost of revenue: |
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
Cost of product revenue (2) |
|
|
10,567 |
|
|
|
|
22,212 |
|
|
|
|
23,148 |
|
|
|
|
43,029 |
|
|
Cost of service and other revenue |
|
|
7,039 |
|
|
|
|
6,125 |
|
|
|
|
14,411 |
|
|
|
|
12,347 |
|
|
Total cost of revenue |
|
|
17,606 |
|
|
|
|
28,337 |
|
|
|
|
37,559 |
|
|
|
|
55,376 |
|
|
Gross profit (1) |
|
|
9,782 |
|
|
|
|
7,703 |
|
|
|
|
17,997 |
|
|
|
|
14,131 |
|
|
Gross margin (1) |
|
|
35.7 |
|
% |
|
|
21.4 |
|
% |
|
|
32.4 |
|
% |
|
|
20.3 |
|
% |
Operating expenses: |
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
Research and development (2) |
|
|
9,734 |
|
|
|
|
14,906 |
|
|
|
|
22,369 |
|
|
|
|
28,699 |
|
|
Sales and marketing (2) |
|
|
18,128 |
|
|
|
|
24,985 |
|
|
|
|
39,176 |
|
|
|
|
49,318 |
|
|
General and administrative (2) |
|
|
12,684 |
|
|
|
|
11,290 |
|
|
|
|
24,128 |
|
|
|
|
23,077 |
|
|
Total operating expenses |
|
|
40,546 |
|
|
|
|
51,181 |
|
|
|
|
85,673 |
|
|
|
|
101,094 |
|
|
Loss from operations |
|
|
(30,764 |
) |
|
|
|
(43,478 |
) |
|
|
|
(67,676 |
) |
|
|
|
(86,963 |
) |
|
Interest income and other income, net |
|
|
2,471 |
|
|
|
|
2,668 |
|
|
|
|
5,569 |
|
|
|
|
5,316 |
|
|
Interest expense |
|
|
(6,010 |
) |
|
|
|
(3,103 |
) |
|
|
|
(11,978 |
) |
|
|
|
(6,045 |
) |
|
Loss before provision for income taxes |
|
|
(34,303 |
) |
|
|
|
(43,913 |
) |
|
|
|
(74,085 |
) |
|
|
|
(89,059 |
) |
|
Provision for income taxes |
|
|
151 |
|
|
|
|
133 |
|
|
|
|
313 |
|
|
|
|
325 |
|
|
Net loss |
|
$ |
(34,454 |
) |
|
|
$ |
(44,046 |
) |
|
|
$ |
(74,398 |
) |
|
|
$ |
(89,384 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
Net loss per share, basic and diluted |
|
$ |
(0.66 |
) |
|
|
$ |
(0.90 |
) |
|
|
$ |
(1.45 |
) |
|
|
$ |
(1.79 |
) |
|
Shares used in computing net loss per share, basic and diluted |
|
|
51,880 |
|
|
|
|
48,951 |
|
|
|
|
51,391 |
|
|
|
|
49,085 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
(1) Gross profit and gross margin by source consisted of the following: |
|
|
|
|
|
|
|
|
|
|
||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
|
|
Three Months Ended |
|
|
Six Months Ended |
|
||||||||||||||
|
|
|
|
|
|
|
||||||||||||||
|
|
2024 |
|
|
2023 |
|
|
2024 |
|
|
2023 |
|
||||||||
Gross profit |
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
Product revenue |
|
$ |
8,671 |
|
|
|
$ |
7,118 |
|
|
$ |
16,518 |
|
|
$ |
14,080 |
|
|||
Service and other revenue |
|
|
1,111 |
|
|
|
|
585 |
|
|
|
|
1,479 |
|
|
|
|
51 |
|
|
Total gross profit |
|
$ |
9,782 |
|
|
|
$ |
7,703 |
|
|
|
$ |
17,997 |
|
|
|
$ |
14,131 |
|
|
Gross margin |
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
Product revenue |
|
|
45.1 |
|
% |
|
|
24.3 |
|
% |
|
|
41.6 |
|
% |
|
|
24.7 |
|
% |
Service and other revenue |
|
|
13.6 |
|
% |
|
|
8.7 |
|
% |
|
|
9.3 |
|
% |
|
|
0.4 |
|
% |
Total gross margin |
|
|
35.7 |
|
% |
|
|
21.4 |
|
% |
|
|
32.4 |
|
% |
|
|
20.3 |
|
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
(2) Include stock-based compensation expense and severance and related charges, net as follows: |
|
|||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
|
|
Three Months Ended |
|
|
Six Months Ended |
|
||||||||||||||
Stock-based compensation expense |
|
|
|
|
|
|
||||||||||||||
|
|
2024 |
|
|
2023 |
|
|
2024 |
|
|
2023 |
|
||||||||
Cost of revenue |
|
$ |
531 |
|
|
|
$ |
403 |
|
|
|
$ |
796 |
|
|
|
$ |
761 |
|
|
Research and development |
|
|
2,293 |
|
|
|
|
2,824 |
|
|
|
|
4,625 |
|
|
|
|
5,439 |
|
|
Sales and marketing |
|
|
2,494 |
|
|
|
|
3,545 |
|
|
|
|
3,953 |
|
|
|
|
6,143 |
|
|
General and administrative |
|
|
4,502 |
|
|
|
|
3,333 |
|
|
|
|
8,649 |
|
|
|
|
6,300 |
|
|
Total stock-based compensation expense |
|
$ |
9,820 |
|
|
|
$ |
10,105 |
|
|
|
$ |
18,023 |
|
|
|
$ |
18,643 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
|
|
Three Months Ended |
|
|
Six Months Ended |
|
||||||||||||||
Severance and related charges, net* |
|
|
|
|
|
|
||||||||||||||
|
|
2024† |
|
|
2023 |
|
|
2024 |
|
|
2023 |
|
||||||||
Cost of revenue |
|
$ |
(78 |
) |
|
|
$ |
— |
|
|
|
$ |
201 |
|
|
|
$ |
— |
|
|
Research and development |
|
|
(29 |
) |
|
|
|
— |
|
|
|
|
963 |
|
|
|
|
— |
|
|
Sales and marketing |
|
|
99 |
|
|
|
|
— |
|
|
|
|
892 |
|
|
|
|
— |
|
|
General and administrative |
|
|
(41 |
) |
|
|
|
— |
|
|
|
|
370 |
|
|
|
|
— |
|
|
Total severance and related charges, net |
|
$ |
(49 |
) |
|
|
$ |
— |
|
|
|
$ |
2,426 |
|
|
|
$ |
— |
|
|
* Net of adjustments to compensation accrual |
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
† These amounts represent the change in estimated accrual from |
|
|
|
|
|
|
|
|
|
|
|
|
Condensed Balance Sheets (in thousands, except per share amounts) |
||||||||
|
|
|
|
|
||||
|
|
2024 |
|
2023 |
||||
|
|
(Unaudited) |
|
|
||||
Assets |
|
|
|
|
||||
Current assets: |
|
|
|
|
||||
Cash and cash equivalents |
|
$ |
37,859 |
|
|
$ |
68,509 |
|
Short-term investments |
|
|
156,989 |
|
|
|
134,815 |
|
Accounts receivable, net |
|
|
34,121 |
|
|
|
32,980 |
|
Inventories |
|
|
61,599 |
|
|
|
49,215 |
|
Prepaid expenses and other current assets |
|
|
4,569 |
|
|
|
5,700 |
|
Total current assets |
|
|
295,137 |
|
|
|
291,219 |
|
Restricted cash |
|
|
3,329 |
|
|
|
3,329 |
|
Property and equipment, net |
|
|
10,873 |
|
|
|
13,273 |
|
Operating lease right-of-use assets |
|
|
4,675 |
|
|
|
5,375 |
|
Other assets |
|
|
520 |
|
|
|
605 |
|
Total assets |
|
$ |
314,534 |
|
|
$ |
313,801 |
|
Liabilities and stockholders' equity |
|
|
|
|
||||
Current liabilities: |
|
|
|
|
||||
Accounts payable |
|
$ |
5,255 |
|
|
$ |
5,827 |
|
Accrued compensation and related benefits |
|
|
11,431 |
|
|
|
19,005 |
|
Accrued expenses and other current liabilities |
|
|
9,747 |
|
|
|
13,459 |
|
Accrued warranty liability |
|
|
2,199 |
|
|
|
3,712 |
|
Deferred revenue, current |
|
|
13,108 |
|
|
|
11,727 |
|
Operating lease liabilities, current |
|
|
1,693 |
|
|
|
1,593 |
|
Total current liabilities |
|
|
43,433 |
|
|
|
55,323 |
|
Accrued interest |
|
|
1,762 |
|
|
|
896 |
|
Deferred revenue |
|
|
130 |
|
|
|
101 |
|
Operating lease liabilities |
|
|
3,616 |
|
|
|
4,482 |
|
Term loans |
|
|
196,994 |
|
|
|
130,113 |
|
Total liabilities |
|
|
245,935 |
|
|
|
190,915 |
|
Commitments and contingencies |
|
|
|
|
||||
Stockholders' equity: |
|
|
|
|
||||
Preferred stock, |
|
|
— |
|
|
|
— |
|
Common stock, |
|
|
52 |
|
|
|
50 |
|
Additional paid-in capital |
|
|
1,104,994 |
|
|
|
1,084,515 |
|
Accumulated other comprehensive income (loss) |
|
|
(302 |
) |
|
|
68 |
|
Accumulated deficit |
|
|
(1,036,145 |
) |
|
|
(961,747 |
) |
Total stockholders' equity |
|
|
68,599 |
|
|
|
122,886 |
|
Total liabilities and stockholders' equity |
|
$ |
314,534 |
|
|
$ |
313,801 |
|
Condensed Statements of Cash Flows (in thousands) (unaudited) |
||||||||
|
|
Six Months Ended |
||||||
|
|
2024 |
|
2023 |
||||
Net cash used in operating activities |
|
$ |
(79,247 |
) |
|
$ |
(72,932 |
) |
Net cash (used in) provided by investing activities |
|
|
(20,090 |
) |
|
|
29,796 |
|
Net cash provided by financing activities |
|
|
68,687 |
|
|
|
6,320 |
|
Net decrease in cash, cash equivalents and restricted cash |
|
|
(30,650 |
) |
|
|
(36,816 |
) |
Cash, cash equivalents and restricted cash at beginning of the period |
|
|
71,838 |
|
|
|
76,533 |
|
Cash, cash equivalents and restricted cash at end of the period (1) |
|
$ |
41,188 |
|
|
$ |
39,717 |
|
|
|
|
|
|
||||
|
|
|
|
|
||||
(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): |
||||||||
|
||||||||
|
|
|
||||||
|
|
2024 |
|
2023 |
||||
Cash and cash equivalents |
|
$ |
37,859 |
|
|
$ |
36,388 |
|
Restricted cash |
|
|
3,329 |
|
|
|
3,329 |
|
Total cash, cash equivalents and restricted cash* |
|
$ |
41,188 |
|
|
$ |
39,717 |
|
|
|
|
|
|
||||
* The total cash, including restricted cash, cash equivalents and investment securities as of |
Appendix A |
||||||||||||||||||||
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 |
|
|
Six Months Ended |
|
||||||||||||||
|
|
|
|
|
|
|
||||||||||||||
|
|
2024 |
|
|
2023 |
|
|
2024 |
|
|
2023 |
|
||||||||
GAAP net loss per share, diluted |
|
$ |
(0.66 |
) |
|
|
$ |
(0.90 |
) |
|
|
$ |
(1.45 |
) |
|
|
$ |
(1.79 |
) |
|
Stock-based compensation expense |
|
|
0.19 |
|
|
|
|
0.21 |
|
|
|
|
0.35 |
|
|
|
|
0.38 |
|
|
Severance and related charges, net |
|
|
— |
|
|
|
|
— |
|
|
|
|
0.05 |
|
|
|
|
— |
|
|
Non-GAAP net loss per share, diluted |
|
$ |
(0.47 |
) |
|
|
$ |
(0.69 |
) |
|
|
$ |
(1.05 |
) |
|
|
$ |
(1.41 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
Reconciliation between GAAP and non-GAAP net loss: |
|
|||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
|
|
Three Months Ended |
|
|
Six Months Ended |
|
||||||||||||||
|
|
|
|
|
|
|
||||||||||||||
|
|
2024 |
|
|
2023 |
|
|
2024 |
|
|
2023 |
|
||||||||
GAAP net loss, diluted |
|
$ |
(34,454 |
) |
|
|
$ |
(44,046 |
) |
|
|
$ |
(74,398 |
) |
|
|
$ |
(89,384 |
) |
|
Stock-based compensation expense |
|
|
9,820 |
|
|
|
|
10,105 |
|
|
|
|
18,023 |
|
|
|
|
18,643 |
|
|
Severance and related charges, net |
|
|
(49 |
) |
|
|
|
— |
|
|
|
|
2,426 |
|
|
|
|
— |
|
|
Non-GAAP net loss, diluted |
|
$ |
(24,683 |
) |
|
|
$ |
(33,941 |
) |
|
|
$ |
(53,949 |
) |
|
|
$ |
(70,741 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
Reconciliation between GAAP and non-GAAP results of operations: |
||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
|
|
Three Months Ended |
|
|
Six Months Ended |
|
||||||||||||||
|
|
|
|
|
|
|
||||||||||||||
|
|
2024 |
|
|
2023 |
|
|
2024 |
|
|
2023 |
|
||||||||
GAAP gross profit |
|
$ |
9,782 |
|
|
|
$ |
7,703 |
|
|
|
$ |
17,997 |
|
|
|
$ |
14,131 |
|
|
Stock-based compensation expense |
|
|
531 |
|
|
|
|
403 |
|
|
|
|
796 |
|
|
|
|
761 |
|
|
Severance and related charges, net |
|
|
(78 |
) |
|
|
|
— |
|
|
|
|
201 |
|
|
|
|
— |
|
|
Non-GAAP gross profit |
|
$ |
10,235 |
|
|
|
$ |
8,106 |
|
|
|
$ |
18,994 |
|
|
|
$ |
14,892 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
GAAP gross margin |
|
|
35.7 |
|
% |
|
|
21.4 |
|
% |
|
|
32.4 |
|
% |
|
|
20.3 |
|
% |
Stock-based compensation expense |
|
|
1.9 |
|
|
|
|
1.1 |
|
|
|
|
1.4 |
|
|
|
|
1.1 |
|
|
Severance and related charges, net |
|
|
(0.3 |
) |
|
|
|
— |
|
|
|
|
0.4 |
|
|
|
|
— |
|
|
Non-GAAP gross margin |
|
|
37.3 |
|
% |
|
|
22.5 |
|
% |
|
|
34.2 |
|
% |
|
|
21.4 |
|
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
GAAP research and development expense |
|
$ |
9,734 |
|
|
|
$ |
14,906 |
|
|
|
$ |
22,369 |
|
|
|
$ |
28,699 |
|
|
Stock-based compensation expense |
|
|
(2,293 |
) |
|
|
|
(2,824 |
) |
|
|
|
(4,625 |
) |
|
|
|
(5,439 |
) |
|
Severance and related charges, net |
|
|
29 |
|
|
|
|
— |
|
|
|
|
(963 |
) |
|
|
|
— |
|
|
Non-GAAP research and development expense |
|
$ |
7,470 |
|
|
|
$ |
12,082 |
|
|
|
$ |
16,781 |
|
|
|
$ |
23,260 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
GAAP sales and marketing expense |
|
$ |
18,128 |
|
|
|
$ |
24,985 |
|
|
|
$ |
39,176 |
|
|
|
$ |
49,318 |
|
|
Stock-based compensation expense |
|
|
(2,494 |
) |
|
|
|
(3,545 |
) |
|
|
|
(3,953 |
) |
|
|
|
(6,143 |
) |
|
Severance and related charges, net |
|
|
(99 |
) |
|
|
|
— |
|
|
|
|
(892 |
) |
|
|
|
— |
|
|
Non-GAAP sales and marketing expense |
|
$ |
15,535 |
|
|
|
$ |
21,440 |
|
|
|
$ |
34,331 |
|
|
|
$ |
43,175 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
GAAP general and administrative expense |
|
$ |
12,684 |
|
|
|
$ |
11,290 |
|
|
|
$ |
24,128 |
|
|
|
$ |
23,077 |
|
|
Stock-based compensation expense |
|
|
(4,502 |
) |
|
|
|
(3,333 |
) |
|
|
|
(8,649 |
) |
|
|
|
(6,300 |
) |
|
Severance and related charges, net |
|
|
41 |
|
|
|
|
— |
|
|
|
|
(370 |
) |
|
|
|
— |
|
|
Non-GAAP general and administrative expense |
|
$ |
8,223 |
|
|
|
$ |
7,957 |
|
|
|
$ |
15,109 |
|
|
|
$ |
16,777 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
GAAP total operating expense |
|
$ |
40,546 |
|
|
|
$ |
51,181 |
|
|
|
$ |
85,673 |
|
|
|
$ |
101,094 |
|
|
Stock-based compensation expense |
|
|
(9,289 |
) |
|
|
|
(9,702 |
) |
|
|
|
(17,227 |
) |
|
|
|
(17,882 |
) |
|
Severance and related charges, net |
|
|
(29 |
) |
|
|
|
— |
|
|
|
|
(2,225 |
) |
|
|
|
— |
|
|
Non-GAAP total operating expense |
|
$ |
31,228 |
|
|
|
$ |
41,479 |
|
|
|
$ |
66,221 |
|
|
|
$ |
83,212 |
|
|
View source version on businesswire.com: https://www.businesswire.com/news/home/20240807985057/en/
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