Orthopediatrics Corp. · NASDAQ:KIDS
Orthopediatrics — Investor Presentation (November 2020)
29 slides from Orthopediatrics's investor presentation, Nov 10, 2020
Slide 1: OrthoPediatrics Corp. November 2020
Mark Throdahl, CEO OrthoPediatrics Corp. Fred Hite, COO & CFO November 2020 Dave Bailey, President
Slide 2: Disclaimer
Disclaimer Forward-Looking Statements This presentation includes "forward-looking statements" within the meaning of U.S. federal securities laws. You can identify forward-looking statements by the use of words such as "may," "might," "will," "should," "expect," "plan," "anticipate," "could," "believ
Slide 3: Highlights
Highlights Large Market Proprietary Technology Scalable Business Diversified medical device company focused exclusively on pediatric orthopedics Protected market opportunity: $1.4 billion U.S., $3.2 billion globally (2019 estimates) High U.S. procedure concentration: <300 hospitals and ~1,400 surgeo
Slide 4: COVID-19 Update
COVID-19 Update Procedure trends in the U.S. continued recovery momentum in every month during 3Q 2020. International recovery lags the U.S. recovery Closely monitoring the fall and winter months Environment Product development has not been affected and proceeds at normal pace and Accelerated availa
Slide 5: OP Today: A Company Built on a Cause
OP Today A Company Built on a CAUSE Cause Company Snapshot Improving the lives of children Treated >188,000 patients since inception with orthopedic conditions 35 surgical systems; ~7,800 SKUs; strong pipeline 6 additional systems from Orthex and ApiFix acquisitions 109 direct employees; 166 focused
Slide 6: Our Key Idea: Children Are Not Small Adults
Our Key Idea Children Are Not Small Adults Superior Clinical Outcomes OP’s Market Impact Re-Purposed Adult Plate OP’s Solution Address orthopedic industry’s lack of focus on product development, clinical education, and sales presence Implants and instruments avoid complications of re-purposed adult
Slide 7: Large and Focused Market
Large and Focused Market OP’S $3.2 Billion Current Addressable Global Market1 $1.4 Billion U.S. Addressable Market1 High Concentration of Pediatric Trauma & Deformity and Scoliosis Procedures 3,157 U.S. Sports Hospitals Medicine Smart $170M Implants $363M 38% Scoliosis Procedures $308M (%) 62% Traum
Slide 8: Product Line & Growth Diversification
Product Line & Growth Diversification 2019 Revenue by Segment (% Total) $72.6 million sales in 2019, increasing 26% Scoliosis Well diversified product sales and sources of 30% growth Trauma & All major product families contributed to 2% Deformity revenue growth Sports 68% Medicine/ All products have
Slide 9: A Proven Strategy Since 2011
A Proven Strategy Since 2011 Sales Focus on Teaching Deploy Expand Expand Clinical Institutions and Instrument Addressable Education High Volume Sets Procedures Programs Hospitals Goals Accelerate sales growth Develop and acquire novel technologies 9
Slide 10: New Systems & Product Launches (2017-2018)
New Systems & Product Launches (2017-2018) Titanium PediPlates® Clavicle Plate Wrist Fusion Plate PediFlex Pediatric Nailing System System System Advanced Platform | FEMUR (Expands physeal (First pediatric (First pediatric (Expands into tethering offering) specific system) specific system) adolescen
Slide 11: Internal Developments & Select Acquisitions
Internal Developments & 2 Select Acquisitions Acquired Launched Launched Launched Launched Launching Launching June’19 Sept’19 Nov’19 Dec’19 Mar’20 2020 2020 / 2021 Trauma & & Deformity Trauma Orthex Next Generation PediFoot QuickPack™ Large Fragment PediFoot Orthex (External fixation Cannulated (Fi
Slide 12: Strong Pipeline Expanding Our Addressable Market
Strong Pipeline Expanding Our Addressable Market CMF Clavicle Demonstrated ability to Proximal Rib expand portfolio to full Humerus Spine array of pediatric surgeries Elbow Growing Rods Hand & Wrist OP Today OP Tomorrow Now Under Development Pelvis Hip & Long Bone Knee (Sports Medicine) Foot & Ankle
Slide 13: Leading Edge Systems in Development
Leading Edge Systems in Development Smart Implants Early Onset Scoliosis Proof of concept established in 2018 with Emerging surgical trends not being pursued by substantial development in 2019 major spine companies Intervention in patients as young as 10 2 embodiments: (1) scoliosis (2) intramedulla
Slide 14: Global Sales Coverage
Global Sales Coverage United States International 76% of 2019 24% of 2019 Revenue Revenue 36 Sales Agencies, 9 Sales Agencies most of which are + 40 Stocking exclusive* Distributors* Direct in UK, IRE, AUS, NZ, CAN, BE, NL, IT * Data as of September 2020 Currently selling to major children’s hospita
Slide 15: Vilex Acquisition Transaction Details
Vilex Acquisition Transaction Details Acquisition: In June 2019 OP purchased Vilex1 and its Orthex Hexapod2 system with proprietary point-and-click planning software, for $60 million ($50 million cash + $10 million shares) Divestiture: In December 2019 OP sold the adult assets and Orthex license for
Slide 16: Orthex Advantages
Orthex Advantages Disruptive Technology Construct allows 90° angulation Unique calibrated structs and HA-coated pins Patented point and click software Significantly simplifies surgery planning and subsequent alignments Dror Paley, MD – Pediatric orthopedic KOL Introduced Ilizarov method in U.S. Defe
Slide 17: ApiFix Acquisition Transaction Details
ApiFix Acquisition Transaction Details ApiFix Acquisition: In April 2020, OP purchased ApiFix1 and its MID-C minimally invasive deformity correction system, for 934,768 shares Procedure of common stock and $2 million in cash paid at closing, plus milestone payments and an earnout over a period of fo
Slide 18: A Novel Surgical Option
A Novel Surgical Option ApiFix is a Viable Alternative to Failed Bracing and Spinal Fusion for the Treatment of Progressive Scoliosis Exercise Brace ApiFix System Fusion Surgery Curves < 25º Curves 25º- 40º Curves 35º - 60º Curves > 50º 18
Slide 19: MID-C System Advantages
MID-C System Advantages Minimally Invasive Deformity Correction (MID-C) System for Scoliosis • Viable alternative to failed bracing and spinal fusion with motion-preserving technique - Self-adjusting rod and novel polyaxial joints • Least invasive surgical solution - Placed posteriorly and unilatera
Slide 20: Competitive Landscape
Competitive Landscape New Competitors Would Face Formidable Obstacles Product breadth Surgeon relationships Sales and distribution network Clinical education programs Pediatric brand equity Reputation with pediatric orthopedic societies Dynamic culture “The ship has sailed.” 20
Slide 21: What Does Category Leadership Mean?
What Does Category Leadership Mean? Surgeon relationships and Broadest, most innovative clinical education product offering Relationships with surgeons who use 13 years’ clinical understanding entire portfolio New product pipeline Major provider of clinical education Pediatric Market Gateway for Lea
Slide 22: Financial Review
Financial Review
Slide 23: Consistent 20+% Revenue Growth Since Inception
Consistent 20+% Revenue Growth Since Inception $95 $90 $85 $80 $75 $72.6 $72.6* $70 $65 $17.5 $60 $57.6 $55 $50 $45.6 $14.1 $45 $40 $37.3 $10.7 $35 $31.0 $8.5 Revenue in Millions) ($ Revenue $30 $23.7 $6.1 $55.1 $25 $19.6 $20 $16.1 $5.3 $43.5 $3.9 $34.9 $15 $2.8 $28.8 $10.2 $24.9 $10 $7.1 $18.4 $3.0
Slide 24: Category Revenue Summary
Category Revenue Summary $80 $1.7 $1.3 $1.7 $70 $60 $1.2 $21.5 $16.6 $14.1 $50 $1.2 $16.7 $1.1 $40 $11.6 $1.1 $30 $9.4 $0.8 $7.4 $49.4 $35.7 $36.4 Revenue ($ Millions)in Revenue $20 $3.6 $39.7 $32.8 $26.8 $10 $19.3 $22.5 $0 2014 2015 2016 2017 2018 2019 9M 2019 9M 2020 Trauma & Deformity Scoliosis S
Slide 25: Revenue Seasonality
Revenue Seasonality Seasonality Drives Stronger Performance in Summer Months and Holiday Periods 35% 29% 30% 27% 27% 26% 26% 27% 26% 26% 26% 25% 25% 25% 25% 22% 21% 21% 20% 20% 15% 10% Revenue as % of Total Year as of % Total Revenue 5% 0% 1Q 2Q 3Q 4Q 1Q 2Q 3Q 4Q 1Q 2Q 3Q 4Q 1Q 2Q 3Q 4Q 2016 2016 20
Slide 26: Income Statement Summary
Income Statement Summary ($ in Millions) FY 2016 FY 2017 FY 2018 FY 2019 9M 2019 9M 2020 Revenue $37.3 $45.6 $57.6 $72.6 $53.6 $52.2 Growth % 20% 22% 26% 26% 25% (3%) Gross Profit $26.4 $34.5 $42.7 $54.6 $40.2 $39.9 Margin % 71% 76% 74% 75% 75% 76% Operating Expenses $32.5 $40.9 $52.2 $63.7 $46.2 $5
Slide 27: Adjusted EBITDA Reconciliation
Adjusted EBITDA Reconciliation ($ in Millions) Nine Months Ended September 30, 2019 2020 Net loss ($8.3) ($18.9) Interest expense, net 2.2 2.8 Other expense 0.1 0.3 Depreciation and amortization 3.2 5.7 Stock-based compensation 1.9 4.7 Fair value adjustment of contingent consideration - 1.8 Acquisit
Slide 28: Balance Sheet
Balance Sheet ($ in Millions) As of September 30, 2020 Assets Liabilities Cash & Restricted Cash $89.7 Accounts payable $6.9 Accounts receivable 17.1 Debt 1.2 Inventory (net) 52.0 Accrued expenses 4.8 Other current assets 2.5 All other liabilities 55.7 PP&E (net) 24.3 Paid-in capital 387.1 Intangibl
Slide 29: Summary
Summary Surgeon relationships and Broadest, most innovative clinical education product offering Robust organic growth Attractive growth and opportunities margin profile 29
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