INSULET CORP annual report, FY2013

Insulet Corporation (NASDAQ: PODD) — FY 2013 Form 10-K

Reporting period: Fiscal year ended December 31, 2013. The filing also reports fourth-quarter results. All financial figures are in U.S. dollars.

Business context

Insulet develops, manufactures and sells the OmniPod tubeless insulin-management system, alongside diabetes supplies distributed through its Neighborhood Diabetes business. U.S. sales of the smaller, lighter next-generation OmniPod began in 2013; the U.S. customer transition was completed by year-end. The company also sells internationally through distributors.

Financial performance and liquidity

MetricFY 2013FY 2012
Revenue$247.1 million$211.4 million
Gross profit / gross margin$112.4 million / 45.5%$92.3 million / 43.7%
Operating loss / operating margin$29.1 million / 11.8% of revenue$36.0 million / 17.0% of revenue
Net loss$45.0 million$51.9 million
Net loss per share$0.83$1.08
Cash provided by (used in) operations$3.3 million($29.1 million)
Capital expenditures$7.3 million$11.0 million
Cash and cash equivalents at year-end$149.7 million$57.3 million
Working capital at year-end$155.8 million$61.7 million

Revenue grew 17%, driven mainly by continued OmniPod adoption in the U.S. and internationally; this was partly offset by lost Medicare mail-order testing-supply sales. Gross margin improved as OmniPod unit costs declined with raw-material savings, volume discounts and higher manufacturing overhead absorption. Operating expenses rose 10%, including higher legal and administrative costs. Net loss improved, but the company remained unprofitable.

At year-end, principal outstanding on the 3.75% convertible notes was $143.8 million, due in June 2016; their reported carrying value was $113.7 million after debt discount. Capital-lease obligations were $8.0 million. The company says cash, together with expected product-sale cash generation, should cover projected operating and debt-service requirements for at least the next twelve months. It also identifies the 2016 note repayment as a potential financing need.

Fourth quarter: Revenue was $68.5 million, gross profit $33.0 million, and net loss $2.5 million, compared with revenue of $57.8 million, gross profit of $25.3 million, and net loss of $10.2 million in Q4 2012. Q4 2013 net loss included $1.4 million of other income from the fair-value change in a notes call feature.

Changes, outlook and material matters

  • Neighborhood Diabetes was excluded from the Medicare competitive-bidding program for certain mail-order testing supplies from July 1, 2013. Management says this reduced 2013 results and will continue to affect results in 2014 and beyond.
  • In 2013, Insulet raised approximately $92.8 million net through a common-stock offering. Shares outstanding increased, and the company also issued shares in connection with extinguishing the remaining 5.375% notes.
  • A Medtronic patent dispute was settled in September 2013. Insulet recorded approximately $10 million of expense for the one-time payment and related legal fees. It also recorded a $2.5 million charge for manufacturing equipment no longer expected to be used. The 5.375% notes were repaid in full during 2013.
  • Management expects 2014 revenue to increase with U.S. customer growth and international expansion, while noting dependence on sales execution and sufficient OmniPod production. It expects R&D and sales and marketing spending to rise, G&A to decline from 2013, and near-term net losses to continue. Manufacturing capacity was described as sufficient for expected 2014 demand.
  • Development priorities include LifeScan OneTouch integration (510(k) filing made in Q1 2014), a concentrated-insulin Type 2 product with Eli Lilly (targeting a 510(k) filing in the second half of 2014), continuous sensing, a new PDM and pharmaceutical delivery partnerships.
  • Key risks include reliance on a principal product and third-party manufacturing in China, sole-source suppliers, reimbursement and regulatory changes, competition, patient retention and collection risk. The filing reports a Massachusetts Attorney General inquiry into historical Neighborhood Diabetes prescription-refill practices; management said an adverse outcome was not probable at year-end, but could not assess the ultimate outcome. Insulet also reported no material financial exposure from the remaining BD patent claims, while noting litigation uncertainty.
  • Ernst & Young issued an unqualified opinion on the financial statements and internal controls. Management concluded disclosure controls and internal control over financial reporting were effective as of year-end.

Important facts for investors to verify

  • Whether revenue growth and unit-cost reductions continue to improve gross margin and move the business toward operating profitability.
  • The magnitude of the ongoing Medicare competitive-bidding impact on Neighborhood Diabetes, and the business’s exposure to reimbursement rates and payor concentration.
  • Cash generation, capital needs and the company’s plan to address the $143.8 million notes due in 2016, including potential conversion or refinancing.
  • Execution and regulatory timing for the planned product developments, and whether manufacturing capacity and supplier arrangements can support growth.
  • Developments in the Massachusetts inquiry and any remaining litigation or other contingencies.