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Silk Road Medical Reports Fourth Quarter and Full Year 2021 Financial Results and Provides 2022 Financial Outlook

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SUNNYVALE, Calif., Feb. 24, 2022 (GLOBE NEWSWIRE) -- Silk Road Medical, Inc. (Nasdaq: SILK), a company focused on reducing the risk of stroke and its devastating impact, today reported financial results for the three months and full year ended December 31, 2021.

“Our team and physicians had a tremendous impact in 2021, performing nearly 14,000 cases and driving record annual revenue of $101.5 million,” said Erica Rogers, President and Chief Executive Officer of Silk Road Medical. “We drove measurable progress on regulatory and clinical fronts in anticipation of standard surgical risk approval in the U.S., entry into Japan and China, and development of our long-term pipeline, and we are well positioned to continue establishing TCAR as the new standard of care in carotid artery disease through 2022 and beyond.”

Fourth Quarter 2021 Financial Results
Revenue for the fourth quarter of 2021 was $28.3 million, an increase of $7.1 million or 34%, compared to the fourth quarter of 2020. Growth was driven primarily by increased procedures per trained physician, sequentially and year over year, as well as an expanding base of hospital accounts, trained physicians, and active sales territories, partially offset by ongoing regional headwinds related to COVID-19.

Gross profit for the fourth quarter of 2021 was $21.0 million compared to $15.9 million for the fourth quarter of 2020. Gross margin for the fourth quarter of 2021 declined to 74.4% compared to 75.3% for the fourth quarter of 2020, due to manufacturing expansion costs in Minnesota.

Operating expenses were $35.1 million for the fourth quarter of 2021, compared to $30.9 million in the comparable prior year period, which represents an increase of 14%. The increase was driven by selling, general and administrative expenses related to growth in personnel and continued commercialization initiatives.

Net loss was $14.7 million in the fourth quarter of 2021, or a loss of $0.42 per share, as compared to a loss of $16.8 million, or $0.49 per share, in the corresponding period of the prior year.

Full Year 2021 Financial Results
Revenue for the full year 2021 was $101.5 million, an increase of $26.2 million or 35%, compared to 2020. The increase was driven primarily by growing adoption of TCAR across an expanded base of hospital accounts, trained physicians, and sales territories. Second quarter revenue in 2020 included the recognition of $1.3 million in deferred revenue due to a decrease in the provision for sales returns related to certain prior sales with a shorter shelf life, coupled with the downward trend in the company’s historical returns rate. Excluding the contribution of the $1.3 million in 2020, full year 2021 results of $101.5 million represent an increase of $27.5 million or 37% compared to 2020.

Gross profit for the full year 2021 was $76.0 million compared to $53.9 million for 2020. Gross margin for the full year 2021 increased to 74.9% compared to 71.7% in 2020. The increase in gross margin was driven by broader utilization across our manufacturing operations as compared to the prior year.

Operating expenses were $123.5 million for the full year 2021, compared to $96.8 million in the corresponding prior year period, which represents an increase of 28%. The increase was driven by new and ongoing R&D programs, growth in personnel and continued commercialization initiatives, as well as the resumption of travel, tradeshow, and other expenses.

Net loss was $49.8 million in the full year 2021, or a loss of $1.44 per share, as compared to a loss of $47.4 million, or $1.44 per share, in the prior year.

Cash and cash equivalents were $110.2 million as of December 31, 2021.

2022 Financial Guidance
Silk Road Medical projects revenue for the full year 2022 to range from $126 million to $132 million.

Conference Call
Silk Road Medical will host a conference call at 1:30 p.m. PT / 4:30 p.m. ET on Thursday, February 24, 2022, to discuss its fourth quarter and full year 2021 financial results. The call may be accessed through an operator by calling (844) 883-3861 for domestic callers and (574) 990-9820 for international callers using conference ID: 2046067. A live and archived webcast of the event will be available at https://investors.silkroadmed.com/.  

About Silk Road Medical
Silk Road Medical, Inc. (NASDAQ: SILK), is a medical device company located in Sunnyvale, California, and Plymouth, Minnesota, that is focused on reducing the risk of stroke and its devastating impact. The company has pioneered a new approach for the treatment of carotid artery disease called TransCarotid Artery Revascularization (TCAR). TCAR is a clinically proven procedure combining surgical principles of neuroprotection with minimally invasive endovascular techniques to treat blockages in the carotid artery at risk of causing a stroke. For more information on how Silk Road Medical is delivering brighter patient outcomes through brighter clinical thinking, visit www.silkroadmed.com and connect on Twitter, LinkedIn and Facebook.

Forward-Looking Statements
This press release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934 and the Private Securities Litigation Reform Act of 1995. These statements include statements regarding the impact of COVID-19 on our business, financial guidance, progress made on achieving our corporate goals, and the overall strength of our business and culture. Such statements are based on current assumptions that involve risks and uncertainties that could cause actual outcomes and results to differ materially. These risks and uncertainties, many of which are beyond our control, include risks described in the section entitled Risk Factors and elsewhere in our filing made with the Securities and Exchange Commission in Silk Road’s Quarterly Report on Form 10-Q filing made with the Securities and Exchange Commission on November 9, 2021. These forward-looking statements speak only as of the date hereof and should not be unduly relied upon. Silk Road Medical disclaims any obligation to update these forward-looking statements.

Investor Contact:
Lynn Lewis or Marissa Bych
Gilmartin Group
investors@silkroadmed.com

Media:
Michael Fanucchi
Silk Road Medical
mfanucchi@silkroadmed.com


SILK ROAD MEDICAL, INC.  
Statements of Operations Data  
(unaudited, in thousands, except share and per share data)
 
 Three Months Ended December 31, Year Ended December 31,
 2021  2020  2021  2020
Revenue$28,265  $21,133  $101,475  $75,227 
Cost of goods sold 7,233   5,217   25,446   21,291 
Gross profit 21,032   15,916   76,029   53,936 
Operating expenses:           
Research and development 7,499   10,036   27,110   21,271 
Selling, general and administrative 27,595   20,872   96,387   75,524 
Total operating expenses 35,094   30,908   123,497   96,795 
Loss from operations (14,062)  (14,992)  (47,468)  (42,859)
Interest income 15   152   198   1,104 
Interest expense (634)  (791)  (2,518)  (4,411)
Loss on debt extinguishment    (1,119)     (1,119)
Other income (expense), net (12)  (6)  (23)  (80)
            
Net loss (14,693)  (16,756)  (49,811)  (47,365)
            
Other comprehensive loss:           
Change in unrealized gain (loss) on investments, net (1)  (113)  (39)  37 
Net change in other comprehensive loss (1)  (113)  (39)  37 
             
Net loss and comprehensive loss$(14,694) $(16,869) $(49,850) $(47,328)
            
            
Net loss per share, basic and diluted$(0.42) $(0.49) $(1.44) $(1.44)
            
Weighted average common shares used to compute net loss per share, basic and diluted 34,927,283   34,063,121   34,635,358   32,965,539 

SILK ROAD MEDICAL, INC.
Balance Sheets Data
(Unaudited, in thousands)

  December 31, 2021 December 31, 2020
Assets      
Current assets:      
Cash and cash equivalents $110,231  $69,466 
Short-term investments     78,016 
Accounts receivable, net  11,832   9,070 
Inventories  17,851   9,989 
Prepaid expenses and other current assets  3,412   6,787 
Total current assets  143,326   173,328 
Property and equipment, net  7,697   2,844 
Restricted cash  232   310 
Other non-current assets  5,370   2,832 
Total assets $156,625  $179,314 
Liabilities and stockholders' equity      
Current liabilities:      
Accounts payable $2,379  $2,598 
Accrued liabilities  19,802   16,957 
Short-term debt  3,905    
Total current liabilities  26,086   19,555 
Long-term debt  44,786   48,533 
Other liabilities  6,513   3,726 
Total liabilities  77,385   71,814 
       
Stockholders' equity:      
Preferred stock, $0.001 par value      
Common stock, $0.001 par value  35   34 
Additional paid-in capital  367,907   346,318 
Accumulated other comprehensive income     39 
Accumulated deficit  (288,702)  (238,891)
Total stockholders' equity  79,240   107,500 
Total liabilities and stockholders' equity $156,625  $179,314 
       

Silk Road Medical Inc

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Surgical and Medical Instrument Manufacturing
Manufacturing
Link
Medical Specialties, Health Technology, Manufacturing, Surgical and Medical Instrument Manufacturing
United States
Sunnyvale

About SILK

silk road medical, inc. is a privately held company located in sunnyvale, california, dedicated to preventing the devastating burden of stroke through surgical innovation. the company develops and manufactures less-invasive medical devices to improve the treatment of vascular disease through proprietary transcarotid therapies. by innovating around proven surgical principles and developing breakthrough technology for vascular specialists, we can improve the lives of people with carotid artery disease. our history is one of deep collaboration with vascular specialists and our future will be guided by continuous learning, observation and improvement. for more information on the company, visit our website at http://silkroadmed.com/. the transcarotid artery revascularization (tcar) procedure is a clinically proven procedure combining surgical principles of neuroprotection with minimally invasive endovascular techniques to treat blockages in the carotid artery at risk of causing a stroke. th