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Apollo Endosurgery, Inc. Reports Record Endoscopy Revenue in Second Quarter, Raises Full-Year Outlook Conference Call to Discuss Results Today at 3:30 p.m. CT / 4:30 p.m. ET

AUSTIN, TX / ACCESSWIRE / August 3, 2021 / Apollo Endosurgery, Inc. ("Apollo") (Nasdaq:APEN), a global leader in less invasive medical devices for gastrointestinal and bariatric procedures, today announced financial results for the second quarter ended June 30, 2021.


  1. Achieved total revenue of $16.6 million, an increase of 194% compared to the second quarter of 2020, and a new revenue record for the Company*
  2. Increased Endoscopic Suturing System (ESS) revenue 23% and Intragastric Balloon (IGB) revenue 16% on a sequential basis compared to the first quarter of 2021
  3. Realized gross margin of 55% on favorable product mix
  4. Continued rollout of X-Tack™ with now more than 120 active sites, demonstrating excellent product performance, a short learning curve, and utility in a diverse range of upper and lower GI applications
  5. Reported that the Multi-Center ESG Randomized Interventional Trial (MERIT) study investigators announced successful achievement of the study's primary efficacy and safety endpoints
  6. Strengthened the Apollo leadership team with the additions of Kirk Ellis as Vice President of Sales, Steve Bosrock as Vice President of Marketing & Medical Education, and Jeffrey Black as Chief Financial Officer

2021 Outlook

Based on results in the first half of 2021, the Company is increasing its guidance for the full year 2021 and now expects revenue between $61-$63 million, compared to its prior guidance of $55-$57 million.

"In the second quarter, Apollo continued to build momentum by delivering strong financial performance, including record revenue and increased gross margin," said Chas McKhann, Apollo's Chief Executive Officer. "We also achieved a number of strategic milestones, including sequential growth in our ESS and IGB business lines, positive early indication on MERIT study outcomes and a significant expansion of our X-Tack user base. We believe that these accomplishments plus additions to our leadership team and commercial organization position us well for the future."

Second Quarter Results

Total revenues were $16.6 million for the second quarter of 2021, a new record for the Company's endoscopy business. Revenue increased $11.0 million or 194% compared to $5.6 million in revenue during the second quarter of 2020 which was impacted by the onset of the COVID-19 pandemic.

Compared to the second quarter of 2020, total ESS product sales increased $7.0 million or 196% and total IGB product sales increased $4.0 million or 220% due to the improvement in demand for our products as the impact of the pandemic continued to dissipate.

Gross margin increased to 55% for the second quarter of 2021 from 43% in the second quarter of 2020 due to higher sales, improved mix of higher variable gross margin products including the new X-Tack device, and unabsorbed overhead costs from reduced production volumes in the prior year quarter as a result of the COVID-19 pandemic.

Total operating expenses increased $7.6 million compared to the second quarter of 2020. The increase was due to the normalization of temporary cost controls that we implemented in response to the pandemic. It also was impacted by higher stock-based compensation expense in the second quarter of 2021.

Net loss for the second quarter of 2021 was $3.0 million compared to $6.3 million for the second quarter of 2020. Excluding the $2.9 million gain on forgiveness of the PPP loan for the second quarter of 2021, and non-cash stock-based compensation expense of $2.5 million and $0.5 million for the second quarter of 2021 and 2020, respectively, net loss for the second quarter of 2021 improved 42% from the second quarter of 2020.

Cash, cash equivalents and restricted cash were $31.2 million as of June 30, 2021, representing a decrease of $1.4 million in cash for the quarter.

* Excluding divested product lines.

Conference Call

Apollo will host a conference call on August 3, 2021 at 3:30 p.m. Central Time / 4:30 p.m. Eastern Time to discuss Apollo's operating results for the second quarter ended June 30, 2021. To join the conference call by telephone, please dial +1-973-528-0011. A live webcast of the conference call will be made available on the "Events and Presentations" section of our Investor Relations website:

A replay of the webcast will be made available on Apollo's website, following the call.

Non-GAAP Financial Measures

To supplement our financial results, we are providing a non-GAAP financial measure, product sales percentage change in constant currency, which removes the impact of changes in foreign currency exchange rates that affect the comparability and trend of revenues compared to the same period of the prior year. Product sales percentage change in constant currency is calculated by translating current foreign currency sales at last year's exchange rate. This supplemental measure of our performance is not required by, and is not determined in accordance with GAAP.

We believe the non-GAAP financial measure included herein is helpful in understanding our current financial performance. We use this supplemental non-GAAP financial measure internally to understand, manage and evaluate our business, and make operating decisions. We believe that making non-GAAP financial information available to investors, in addition to GAAP financial information, may facilitate more consistent comparisons between the company's performance over time with the performance of other companies in the medical device industry, which may use similar financial measures to supplement their GAAP financial information. However, our non-GAAP financial measure is not meant to be considered in isolation or as a substitute for the comparable GAAP metric.

About Apollo Endosurgery, Inc.

Apollo Endosurgery, Inc. is a medical technology company focused on development of next-generation, less invasive devices to advance therapeutic endoscopy designed to treat a variety of gastrointestinal conditions including closure of gastrointestinal defects, managing gastrointestinal complications and the treatment of obesity. Apollo's device-based therapies are an alternative to invasive surgical procedures, thus lowering complication rates and reducing total healthcare costs. Apollo's products are offered in over 75 countries today and include the OverStitch™ Endoscopic Suturing System, the OverStitch Sx™ Endoscopic Suturing System, X-Tack TM Endoscopic HeliX Tacking System and the ORBERA® Intragastric Balloon.

Apollo's common stock is traded on the Nasdaq Global Market under the symbol "APEN". For more information regarding Apollo Endosurgery, go to:

Cautionary Note on Forward-Looking Statements

Certain statements in this press release are forward-looking statements that are subject to risks and uncertainties that could cause results to be materially different than expectations. In addition, there is uncertainty about the spread of the COVID-19 virus and the impact it may have on the Company's operations, the demand for the Company's products, the Company's liquidity position, global supply chains and economic activity in general. Important factors that could cause actual results to differ materially include: reports of adverse events related to our products, outcomes of clinical studies related to our products, development of competitive medical products by competitors, regulatory approvals and extensive regulatory oversight by the FDA or other regulatory authorities, unfavorable media coverage related to our products or related procedures, coverage and reimbursement decisions by private or government payors, Apollo's ability to support the adoption of its products and broaden its product portfolio; the potential size of Apollo's addressable markets; the execution of our gross margin improvement projects; the ability to collect future payments from ReShape; and the availability of cash for Apollo's future operations as well as other factors detailed in Apollo's periodic reports filed with the Securities and Exchange Commission, or SEC, including its Form 10-K for the year ended December 31, 2020 and its Form 10-Q for the period ending June 30, 2021. Copies of reports filed with the SEC are posted on Apollo's website and are available from Apollo without charge. These forward-looking statements are not guarantees of future performance and speak only as of the date hereof, and, except as required by law, Apollo disclaims any obligation to update these forward-looking statements to reflect future events or circumstances.

Disclosure Information

Apollo uses the investor relations section of its website as a means of complying with its disclosure obligations under Regulation FD. Accordingly, we recommend that investors monitor Apollo's investor relations website in addition to following Apollo's press releases, SEC filings, and public conference calls and webcasts.


Apollo Endosurgery, Inc.

Darrow Associates Investor Relations
Matt Kreps, 214-597-8200

Condensed Consolidated Statements of Operations 
(In thousands, except for share data) 


Three Months Ended 
June 30,


Six Months Ended 
June 30,

  2020  2021 
 $16,610  $5,644  $30,467  $16,362 
Cost of sales
  7,487   3,215   13,837   8,296 
Gross margin
  9,123   2,429   16,630   8,066 
Operating expenses:
Sales and marketing
  6,005   2,265   10,795   8,595 
General and administrative
  5,338   2,157   9,407   5,496 
Research and development
  2,550   1,815   4,478   3,962 
Amortization of intangible assets
  471   490   945   986 
Total operating expenses
  14,364   6,727   25,625   19,039 
Loss from operations
  (5,241)  (4,298)  (8,995)  (10,973)
Other (income) expenses:
Interest expense, net
  1,334   1,316   2,686   2,560 
Gain on forgiveness of PPP loan
  (2,852)  -   (2,852)  - 
Other (income) expense, net
  (775)  633   (1,339)  2,927 
Net loss before income taxes
  (2,948)  (6,247)  (7,490)  (16,460)
Income tax expense
  71   6   130   49 
Net loss
 $(3,019) $(6,253) $(7,620) $(16,509)
Net loss per share, basic and diluted
 $(0.11) $(0.30) $(0.28) $(0.78)
Shares used in computing net loss per share, basic and diluted
  27,269,838   21,152,937   26,790,801   21,135,032 

Product Sales by Product Group and Geographic Market 
Unaudited (In thousands)


 Three Months Ended 
June 30, 2021
  Three Months Ended 
June 30, 2020
  % Increase/ (Decrease) 

 U.S.  OUS  Total Revenues  U.S.  OUS  Total Revenues  U.S.  OUS  Total Revenues 
 $6,860  $3,764  $10,624  $2,384  $1,206  $3,590   187.8%  212.1%  195.9%
  2,094   3,659   5,753   760   1,039   1,799   175.5%  252.2%  219.8%
  232   1   233   255   -   255   (9.0)%  100.0%  (8.6)%
Total revenues
 $9,186  $7,424  $16,610  $3,399  $2,245  $5,644   170.3%  230.7%  194.3%

 Six Months Ended 
June 30, 2021
  Six Months Ended 
June 30, 2020
  % Increase/ (Decrease) 

 U.S.  OUS  Total Revenues  U.S.  OUS  Total Revenues  U.S.  OUS  Total Revenues 
 $12,255  $7,008  $19,263  $6,139  $4,283  $10,422   99.6%  63.6%  84.8%
  3,564   7,152   10,716   1,658   3,667   5,325   115.0%  95.0%  101.2%
  474   14   488   582   33   615   (18.6)%  (57.6)%  (20.7)%
Total revenues
 $16,293  $14,174  $30,467  $8,379  $7,983  $16,362   94.5%  77.6%  86.2%

Non-GAAP product sales percentage change in constant currency were as follows:


 Three Months Ended 
June 30, 2021
  Six Months Ended 
June 30, 2021

 % Increase/Decrease in Constant Currency  % Increase/Decrease in Constant Currency 

 OUS  Total Revenues  OUS  Total Revenues 
  191.3%  189.0%  55.5%  81.5%
  229.6%  206.8%  84.2%  93.8%
Total revenues
  209.0%  185.7%  67.2%  72.8%

SOURCE: Apollo Endosurgery, Inc.


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