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8-K - FORM 8-K - CONCEPTUS INC | d8k.htm |
EX-99.1 - PRESS RELEASE - CONCEPTUS INC | dex991.htm |
Conceptus Inc.
Quarterly Results
Fourth Quarter 2010
©
2011 Conceptus, Inc. All rights reserved.
February 24, 2011
Exhibit 99.2 |
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2 -
Safe Harbor
Except for the historical information contained herein, the matters discussed in
this presentation include forward-looking statements, the accuracy of
which is subject to risks and uncertainties. These forward-looking
statements include discussions regarding: projected net sales and earnings
before interest, taxes, depreciation, amortization and equity-based
compensation (EBITDA) for the full year 2011, and the expected
impact of the economy on consumer spending on non-urgent medical procedures
such as Essure®, trends in and market share related to competitive trialing,
growth in physician metrics, our ability to increase utilization of Essure
through the promotion of a compatible
endometrial ablation product, and the expected attainment of strategic initiatives
intended to grow the business.
These discussions and other forward-looking statements included herein may
differ significantly from actual results. Such differences may be based upon
factors such as changes in strategic planning decisions by management,
re-allocation of internal resources, changes in the impact of
recessionary pressures, decisions by insurance companies, scientific advances by
third parties, litigation risks, effect of regulations promulgated pursuant
to the Health Care Reform Act, and the introduction of competitive products,
as well as those factors set forth in the Company's most recent Annual
Report on Form 10-K and most recent Quarterly Report on Form 10-Q, and other
filings with the Securities and Exchange Commission. These
forward-looking statements speak only as to the date on which the
statements were made. We undertake no obligation to update or revise
publicly any forward-looking statements, whether as a result of new information, future
events, or otherwise.
©
2011 Conceptus, Inc. All rights reserved. |
2010 Highlights
Mark Sieczkarek
President and Chief Executive Officer
©
2011 Conceptus, Inc. All rights reserved. |
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4 -
Key Challenges
©
2011 Conceptus, Inc. All rights reserved.
Macro-economic
pressures = fewer
OB/GYN office visits and
elective procedures
Growth moderated in
U.S. transcervical
sterilization market
Competitor trialing
reduced physician
metric growth |
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5 -
Drove Strategic Initiatives
©
2011 Conceptus, Inc. All rights reserved.
Expanded sales force
coverage by 50% to minimize
competitive impact
Provided GYNs value-add
services to facilitate Essure
®
adoption and utilization
Leveraged in-office channel
strength: promote GYNECARE
THERMACHOICE
®(1)
(1)
Global endometrial ablation (GEA) product manufactured for and marketed by
ETHICON
Womens Health & Urology, a division of Ethicon, Inc.
|
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In-Office Channel Strength
Core competency: have successfully
developed physician office as the
preferred site-of-service for Essure
Office-based procedures as % of total volume
70% in Q410
©
2011 Conceptus, Inc. All rights reserved. |
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7 -
Challenge: Reduced Office Visits
(1) IMS Data provided by Credit Suisse Healthcare Team
Monthly
Y/Y
Change:
Domestic
OB/GYN
office
visits
(1)
2010: Average Y/Y decrease = -14%
Macro-economic trends contributed to the Y/Y decrease in
domestic OB/GYN office visits in 2010 |
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Challenge: Moderating Growth
U.S. hysteroscopic sterilization market
In $ millions
Q3 09
Q4 09
Q1 10
Q2 10
(1)
Q3 10
Q4 10
U.S. Essure
Sales
$28.0
$28.8
$25.4
$28.0
$27.3
$28.6
Competitors
Estimated
Sales
(2)
$0.6
$1.5
$2.1
$3.8
$5.2
$5.3
Transcervical
Sterilization
Market
$28.6
$30.3
$27.5
$31.8
$32.5
$33.9
Y/Y
35%
34%
30%
22%
14%
12%
©
2011 Conceptus, Inc. All rights reserved.
(1)
Competitors national sales launch in April 2010
(2)
Competitors estimated net sales includes data from third party research
|
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2010 Accomplishments
©
2011 Conceptus, Inc. All rights reserved.
Expanded field sales coverage
Achieved 1-3 year account agreements
Improved physician metric growth in Q3 and Q4
Provided physicians innovative training and marketing
Secured new strategic opportunity to promote
GYNECARE THERMACHOICE®
to physician offices
Gained state Medicaid wins for in-office
reimbursement |
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Expanded sales coverage and increased sales territories
to
better
align
resources:
160
sales
personnel
in
the
field,
with
120
in
direct
sales
Focus on competitive defense, physician metric growth,
and increased Essure utilization
Emphasis on increased productivity and territory growth
We are one of the industrys largest medical device
sales teams dedicated to OB/GYN physicians
Expanded Field Sales Coverage
©
2011 Conceptus, Inc. All rights reserved. |
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In $ millions
Q3 09
Q4 09
Q1 10
Q2 10
(1)
Q3 10
Q4 10
U.S. Essure
Sales
$28.0
$28.8
$25.4
$28.0
$27.3
$28.6
Competitors
Estimated
Sales
(2)
$0.6
$1.5
$2.1
$3.8
$5.2
$5.3
Transcervical
Sterilization
Market
$28.6
$30.3
$27.5
$31.8
$32.5
$33.9
Competitors
Share
2.1%
5.0%
7.6%
11.9%
16.0%
15.6%
Competitor Market Share Flattened
U.S. hysteroscopic sterilization market
©
2011 Conceptus, Inc. All rights reserved.
(1)
Competitors national sales launch in April 2010
(2)
Competitors estimated net sales includes data from third party research
|
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Status of Competitive Trialing
©
2011 Conceptus, Inc. All rights reserved.
1,000
accounts
have
trialed
to
date
out
of
1,500
to
2,000
accounts anticipated to trial
Pace has slowed: The number of accounts entering trialing
and the number of competitor cases has decelerated in
recent months
Trialing expected to last
12 to
15 months at a rate of
200
accounts entering trialing per quarter + one year to trial
300+ accounts signed 1-3 year agreements by the end of
Q410 |
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Physician Metric Growth Improved
Q410
Q310
Q210
Q109
Q409
Current Period Activity:
Physicians entering preceptorship
413
375
387
423
401
Physicians becoming certified
458
324
335
406
409
Physicians transitioning to office
202
185
163
243
464
Physician Base:
12,530
12,117
11,742
11,355
10,932
©
2011 Conceptus, Inc. All rights reserved.
U.S. physician metrics grew in Q410 |
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Provided Innovative Physician Services
VirtaMeds state-of-the-art
EssureSim
(TM)
simulates
the Essure hysteroscopic
procedure
©
2011 Conceptus, Inc. All rights reserved.
Value-add services drive Essure adoption and utilization
Assist individual physicians in
building their Essure practice
Educate physician office support
personnel on Essures benefits
Test new ways to identify
potential Essure candidates for
physicians
Training
Marketing |
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Secured Strategic Partnership
Essure and GYNECARE THERMACHOICE®
are compatible in-
office procedures
Patients are strongly advised not to get pregnant if they have a
GEA procedure, making Essure medically necessary
An estimated 50% of GEA patients do not have permanent birth
control
We began promoting
GYNECARE THERMACHOICE®
in U.S.
physician offices in early 2011
Goal: Leverage our in-office channel strength to
increase physician utilization of Essure
©
2011 Conceptus, Inc. All rights reserved. |
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GEA In-Office Opportunity
GYNECARE THERMACHOICE
procedures by site-of-service
In-office
procedures
Hospital
procedures
$400 million annual GEA market in U.S.
©
2011 Conceptus, Inc. All rights reserved.
Based on company estimates
15%
All GEA brands
18% |
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Partnership Synergies
Benefits for Ethicon: Increase in-office procedures
Establish larger in-office market share by leveraging Conceptus
in-office channel strength
Benefits for Conceptus: Increase utilization of Essure
Accounts
perform
3
to
4
GEA
procedures
per
month
Opportunity
is
50%
of
patients
who
do
not
already
have
permanent birth control: utilization of Essure could increase
from
1
to
2
procedure(s)
per
month
©
2011 Conceptus, Inc. All rights reserved. |
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Gained Additional Medicaid Wins
©
2011 Conceptus, Inc. All rights reserved.
33 states provided Essure Medicaid fee-for-service office
reimbursement of at least $1,700 as of 12/31/10
9 states improved Medicaid reimbursement in 2010: Colorado, Connecticut,
Illinois, Indiana, North Dakota, Ohio, Texas, Utah and Wisconsin
AK
WA
OR
CA
NV
ID
MT
WY
UT
CO
AZ
NM
TX
OK
KS
NE
SD
ND
MN
IA
MO
AR
LA
MS
WI
IN
MI
OH
KY
TN
AL
GA
FL
SC
NC
VA
WV
PA
NY
ME
IL
NH
VT
MD
DE
NJ
MA
CT
RI
HI |
Fourth Quarter 2010 Financials
Greg Lichtwardt
Executive Vice President, Operations and
Chief Financial Officer
©
2011 Conceptus, Inc. All rights reserved. |
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Q410 Snapshot
Net Sales
($mm)
Gross Margin
(%)
Diluted GAAP
EPS
Operating
Margin (%)
Q409
Q410
Q409
Q410
Q409
Q410
Q409
Q410
Q409
Q410
$37.0
82.2%
81.9%
$36.6
22.2%
16.8%
$0.21
$2.66
(2)
$11.9
EBITDA
(1)
($mm)
(1)
Earnings before interest, taxes, depreciation, amortization and equity-
based compensation. See reconciliation in Appendix
(2)
Includes benefit of $2.52 primarily due to the release of the
Company's deferred tax valuation allowance
©
2011 Conceptus, Inc. All rights reserved.
$10.1 |
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Worldwide Sales
Q410 Net Sales (in million $)
Q410 Units (in
thousands): $37.0
Q409
Q410
$28.8
(78%)
$36.6
$28.6
(78%)
31.9
Q409
Q410
20.9
(66%)
11.0
(34%)
32.4
21.0
(65%)
11.4
(35%)
Domestic
International
$8.0
(22%)
$8.2
(22%)
©
2011 Conceptus, Inc. All rights reserved. |
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Q410
Q409
Y/Y
Change
Q310
Q/Q
Change
Net Sales
$36.6
$37.0
(1.1 %)
$33.9
8.0%
Gross Profit Margin
81.9%
82.2%
nm
80.6%
nm
Operating Expenses
$23.8
$22.2
7.2%
$24.6
(3.3%)
EBITDA
(1)
$10.1
$11.9
(15.1%)
$6.6
53.0%
Other Income / (Expense)
($1.6)
($1.6)
nm
($1.6)
nm
Tax Provision (benefit)
($79.2)
($0.15)
nm
$0.2
nm
NEAT
$83.7
(2)
$6.6
nm
$1.0
nm
GAAP EPS (diluted)
$2.66
(3)
$0.21
nm
$0.03
nm
Q410 Results
In million $ except for EPS
(1)
Earnings before interest, taxes, depreciation, amortization and equity-based
compensation. See appendix.
(2)
Net earnings after taxes includes a net income tax benefit of $79.2 million
primarily due to the release of the Company's deferred tax valuation
allowance (3)
Diluted GAAP EPS includes a net income tax benefit of $2.52 primarily due to the
release of the Company's deferred tax valuation allowance
©
2011 Conceptus, Inc. All rights reserved. |
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Q410 EBITDA
EBITDA
$10.1
Amortization
of intangibles
Equity-based
compensation
$1.3
$0.8
$1.8
$6.2
Operating
income
See reconciliation in appendix
©
2011 Conceptus, Inc. All rights reserved.
Depreciation
expense
$ millions |
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2010 EBITDA
EBITDA
$24.8
Amortization
of intangibles
Equity-based
compensation
$4.7
$3.3
$7.3
$9.5
Operating
income
See reconciliation in appendix
©
2011 Conceptus, Inc. All rights reserved.
Depreciation
expense
$ millions |
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Balance Sheet
Cash & cash equivalents
Investments
and
put
option
(1)
A/R, inventories & other
current assets
PP&E
Intangible and other assets
Goodwill
Deferred tax asset
Total assets
ASSETS
18.4
72.5
29.7
10.1
25.2
16.0
78.8
250.7
61.7
43.5
25.7
9.8
29.1
17.3
0.0
187.1
12/31/10
A/P & other accrued ST
liabilities
Notes payable
(2)
Line
of
credit
(3)
Other accrued LT liabilities
Total Equity
Total liabilities & equity
LIABILITIES &
EQUITY
12/31/09
18.1
76.5
29.2
2.4
60.9
187.1
12/31/10
12/31/09
15.8
81.0
0.0
2.4
151.5
250.7
$ millions
(1)
Put option for 12/31/09 only
(2)
Notes payable is a current liability as of 12/31/10
(3)
Used proceeds from redemption of all outstanding
auction rate securities to pay down line of credit in full
©
2011 Conceptus, Inc. All rights reserved. |
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Guidance
FY11E
FY10A
Net Sales
$135mm to
$150mm
$140.7mm
Gross Profit Margin
82.0% to
82.5%
80.9%
Operating Expenses
$102mm to
$105mm
$104.3mm
EBITDA
(1)
$24.7mm to
$34.7mm
$24.8mm
(1)
See appendix
©
2011 Conceptus, Inc. All rights reserved. |
2011:
Vision, Strategy and Growth Drivers
Mark Sieczkarek
President and Chief Executive Officer
©
2011 Conceptus, Inc. All rights reserved. |
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Who We Are
Mission:
Revolutionizing womens healthcare
with innovative solutions
Vision:
Make Essure standard of care in
permanent birth control market
©
2011 Conceptus, Inc. All rights reserved. |
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Our Approach in 2011
1.
Successfully
navigate
the
new
normal
economy
Assume continued high unemployment
Assume high deductible insurance plans remain
popular and patient utilization rates remain low,
especially for non-urgent procedures like Essure
2.
Minimize impact of competition
Continue to educate physicians on Essures superior
efficacy
©
2011 Conceptus, Inc. All rights reserved. |
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Our Approach in 2011
3.
Accelerate Essure sales by leveraging GEA in-
office synergy
4.
Drive market awareness and adoption of Essure
through cost effective direct-to-consumer marketing
initiatives
Online, digital, viral
Patient education
©
2011 Conceptus, Inc. All rights reserved. |
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Our Approach in 2011
5.
Expand our presence in international markets
France: Age 40+ market
China and India
WomanCare Global to distribute Essure in Ghana,
Kenya, Mexico, Puerto Rico, and Turkey
6.
Washington DC focus and reimbursement issues
Inclusion of contraception in the Preventative Services
for Womens healthcare package
Medicaid reimbursement and cost savings issues
ACOG recognition of hysteroscopic sterilization as
standard of care
©
2011 Conceptus, Inc. All rights reserved. |
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32 -
Our Approach in 2011
7.
Create a pipeline of womens health products and
services that accelerate adoption of Essure
Therapeutic
Prefer office site-of-service
8.
Product enhancements
Begin clinical trials of fifth generation Essure
Seek FDA approval of transvaginal ultrasound (TVU) for
Essure confirmation instead of HSG
©
2011 Conceptus, Inc. All rights reserved. |
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Growth Drivers
Increasing sales force productivity
Competitive trialing slowdown
Increase utilization of Essure through the promotion
of ThermaChoice in U.S. physician offices
Leverage marketing synergies between physician
and consumer audiences
Continue to build relationships with OB/GYN
communities
©
2011 Conceptus, Inc. All rights reserved. |
Appendix
©
2011 Conceptus, Inc. All rights reserved. |
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35 -
Use of Non-GAAP Financial Measures
©
2011 Conceptus, Inc. All rights reserved.
The Company has supplemented its GAAP operating income with a non-GAAP
measure of earnings before interest, taxes, depreciation, amortization and
equity-based compensation (EBITDA). Management believes that this
non- GAAP financial measure provides useful supplemental information to
management and investors regarding the performance of the Companys
business operations, facilitates a better comparison of results for current
periods with the Companys previous operating results, and assists
management in analyzing future trends, making strategic and business
decisions and establishing internal budgets and forecasts. A reconciliation of
non-GAAP EBITDA to GAAP net income in the most directly comparable GAAP
measure, is provided in the below schedule.
There are limitations in using these non-GAAP financial measures because
they are not prepared in accordance with GAAP and may be different from
non- GAAP financial measures used by other companies. These
non-GAAP financial measures should not be considered in isolation or as a
substitute for GAAP financial measures. Investors and potential investors
should consider non- GAAP financial measures only in conjunction with the
Companys consolidated financial statements prepared in accordance with
GAAP and the reconciliations of the non-GAAP financial measures provided
in the below schedules. |
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36 -
GAAP to Non-GAAP Reconciliation
©
2011 Conceptus, Inc. All rights reserved.
2010
2009
2010
2009
Operating income, as reported
6,148
$
8,195
$
9,549
$
14,643
$
Adjustments to net income:
Amortization of intangibles (a)
817
829
3,254
1,387
Equity-based compensation (b)
1,833
1,726
7,246
6,282
Depreciation expense (c)
1,283
1,124
4,701
4,101
Adjustments to operating income
3,933
3,679
15,201
11,770
Non-GAAP EBITDA
10,081
$
11,874
$
24,750
$
26,413
$
(a) Consists of amortization of intangible assets, primarily licenses and customer relationships
(b) Consists of equity-based compensation in accordance with ASC 718
(c) Consists of depreciation, primarily on property, plant and equipment
(In thousands)
Conceptus, Inc.
December 31,
Three Months Ended
Twelve Months Ended
December 31,
Reconciliation of Operating Income to Earnings Before Interest, Taxes, Depreciation, Amortization
and Equity-Based Compensation
(EBITDA) (Unaudited) |
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37 -
©
2011 Conceptus, Inc. All rights reserved.
GAAP to Non-GAAP Reconciliation
From
To
Operating Income Guidance
8,592
$
18,592
$
Estimated Non-GAAP Guidance
Amortization of intangibles (a)
3,261
$
3,261
$
Equity-based compensation (b)
7,571
$
7,571
$
Depreciation expense (c)
5,250
$
5,250
$
Adjustments to operating income
16,082
$
16,082
$
Non-GAAP EBITDA Guidance
24,674
$
34,674
$
(a) Consists of amortization of intangible assets, primarily licenses and customer relationships
(b) Consists of equity-based compensation in accordance with ASC 718
(c) Consists of depreciation, primarily on property, plant and equipment
December 31, 2011
Conceptus, Inc.
To Projected GAAP Operating Income
(Unaudited)
Twelve Months Ending |
Thank You
©
2011 Conceptus, Inc. All rights reserved.
CC-2642 24FEB11F |