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Pacira BioSciences Reports Full-Year and Fourth Quarter 2022 Financial Results

February 28, 2023 8:00 AM

— Record revenues of $667 million in 2022 —

— Full-year GAAP net income of $16 million and adjusted EBITDA of $213 million —

— EXPAREL surpasses the 12 million patient mark —

— Conference call today at 8:30 a.m. ET —

TAMPA, Fla., Feb. 28, 2023 (GLOBE NEWSWIRE) -- Pacira BioSciences, Inc. (Nasdaq: PCRX), the industry leader in its commitment to non-opioid pain management and regenerative health solutions, today reported financial results for the fourth quarter and full-year of 2022.

“2022 was a solid year for Pacira as we posted record revenue and significant adjusted EBITDA, recently surpassed our twelve millionth patient with EXPAREL, and advanced our product portfolio into new and exciting indications,” said Dave Stack, chairman and chief executive officer of Pacira BioSciences. “We enter 2023 in a strong position with significant and durable cash flows that we believe will allow us to leverage our balance sheet to self-fund our growth and expansion. In the coming year we expect to achieve a variety of value-driving milestones including growing product revenue, developing new indications for our commercial offering, advancing our clinical pipeline, improving gross margins, increasing cash flow, and pre-paying significant portions of our term loan B debt, which would further strengthen our balance sheet.”

“The need for non-opioid pain management remains a global imperative and our continued progress further solidifies our leadership role in this important work,” added Mr. Stack.

2022 Full-Year and Fourth Quarter Financial Highlights

See “Non-GAAP Financial Information” below.

Recent Business Highlights

Fourth Quarter 2022 Financial Results

See “Non-GAAP Financial Information” below.

Full-Year 2022 Financial Results

See “Non-GAAP Financial Information” below.

2023 Financial Guidance

Today the company is providing full-year 2023 financial guidance as follows:

See “Non-GAAP Financial Information” below.

Today’s Conference Call and Webcast Reminder

The Pacira management team will host a conference call to discuss the company’s financial results and recent developments today, Tuesday, February 28, 2023, at 8:30 a.m. ET. For listeners who wish to participate in the question-and-answer session via telephone, please pre-register at investor.pacira.com/upcoming-events. All registrants will receive dial-in information and a PIN allowing them to access the live call. In addition, a live audio of the conference call will be available as a webcast. Interested parties can access the event through the “Events” page on the Pacira website at investor.pacira.com.

For those unable to participate in the live call, a replay of the webcast will be available on the Pacira website for approximately two weeks following the call.

Non-GAAP Financial Information

This press release contains financial measures that do not comply with U.S. generally accepted accounting principles (GAAP), such as non-GAAP gross margin, non-GAAP cost of goods sold, non-GAAP research and development (R&D) expense, non-GAAP selling, general and administrative (SG&A) expense, non-GAAP net income, non-GAAP net income per common share, non-GAAP weighted average diluted common shares outstanding, EBITDA (earnings before interest, taxes, depreciation and amortization) and adjusted EBITDA, because these non-GAAP financial measures exclude the impact of items that management believes affect comparability or underlying business trends.

These measures supplement the company’s financial results prepared in accordance with GAAP. Pacira management uses these measures to estimate its future cost of goods sold, R&D expense and SG&A expense outlook and to better analyze its financial results and help make managerial decisions. In management’s opinion, these non-GAAP measures are useful to investors and other users of our financial statements by providing greater transparency into the ongoing operating performance of Pacira and its future outlook. Such measures should not be deemed to be an alternative to GAAP requirements or a measure of liquidity for Pacira. Non-GAAP measures are also unlikely to be comparable with non-GAAP disclosures released by other companies. See the tables below for a reconciliation of GAAP to non-GAAP measures.

About Pacira

Pacira BioSciences, Inc. (Nasdaq: PCRX) is committed to providing a non-opioid option to as many patients as possible to redefine the role of opioids as rescue therapy only. The company is also developing innovative interventions to address debilitating conditions involving the sympathetic nervous system, such as cardiac electrical storm, chronic pain, and spasticity. Pacira has three commercial-stage non-opioid treatments: EXPAREL® (bupivacaine liposome injectable suspension), a long-acting local analgesic currently approved for infiltration, fascial plane block, and as an interscalene brachial plexus nerve block for postsurgical pain management; ZILRETTA® (triamcinolone acetonide extended-release injectable suspension), an extended-release, intra-articular injection indicated for the management of osteoarthritis knee pain; and ioveraº®, a novel, handheld device for delivering immediate, long-acting, drug-free pain control using precise, controlled doses of cold temperature to a targeted nerve. To learn more about Pacira, including the corporate mission to reduce overreliance on opioids, visit www.pacira.com.

About EXPAREL®

EXPAREL (bupivacaine liposome injectable suspension) is indicated in patients 6 years of age and older for single-dose infiltration to produce postsurgical local analgesia, and in adults as an interscalene brachial plexus nerve block to produce postsurgical regional analgesia. Safety and efficacy have not been established in other nerve blocks. The product combines bupivacaine with multivesicular liposomes, a proven product delivery technology that delivers medication over a desired time period. EXPAREL represents the first and only multivesicular liposome local anesthetic that can be utilized in the peri- or postsurgical setting. By utilizing the multivesicular liposome platform, a single dose of EXPAREL delivers bupivacaine over time, providing significant reductions in cumulative pain scores with up to a 78 percent decrease in opioid consumption; the clinical benefit of the opioid reduction was not demonstrated. Additional information is available at www.EXPAREL.com.

Important Safety Information about EXPAREL for Patients

EXPAREL should not be used in obstetrical paracervical block anesthesia. In studies in adults where EXPAREL was injected into a wound, the most common side effects were nausea, constipation, and vomiting. In studies in adults where EXPAREL was injected near a nerve, the most common side effects were nausea, fever, and constipation. In the study where EXPAREL was given to children, the most common side effects were nausea, vomiting, constipation, low blood pressure, low number of red blood cells, muscle twitching, blurred vision, itching, and rapid heartbeat. EXPAREL can cause a temporary loss of feeling and/or loss of muscle movement. How much and how long the loss of feeling and/or muscle movement depends on where and how much of EXPAREL was injected and may last for up to 5 days. EXPAREL is not recommended to be used in patients younger than 6 years old for injection into the wound, for patients younger than 18 years old for injection near a nerve, and/or in pregnant women. Tell your health care provider if you or your child has liver disease, since this may affect how the active ingredient (bupivacaine) in EXPAREL is eliminated from the body. EXPAREL should not be injected into the spine, joints, or veins. The active ingredient in EXPAREL can affect the nervous system and the cardiovascular system; may cause an allergic reaction; may cause damage if injected into the joints; and can cause a rare blood disorder.

About ZILRETTA®

On October 6, 2017, ZILRETTA (triamcinolone acetonide extended-release injectable suspension) was approved by the U.S. Food and Drug Administration as the first and only extended-release intra-articular therapy for patients confronting osteoarthritis (OA)- related knee pain. ZILRETTA employs proprietary microsphere technology combining triamcinolone acetonide—a commonly administered, short-acting corticosteroid—with a poly lactic-co-glycolic acid (PLGA) matrix to provide extended pain relief. The pivotal Phase 3 trial on which the approval of ZILRETTA was based showed that ZILRETTA significantly reduced OA knee pain for 12 weeks, with some people experiencing pain relief through Week 16. Learn more at www.zilretta.com.

Indication and Select Important Safety Information for ZILRETTA

Indication: ZILRETTA is indicated as an intra-articular injection for the management of OA pain of the knee. Limitation of Use: The efficacy and safety of repeat administration of ZILRETTA have not been demonstrated.

Contraindication: ZILRETTA is contraindicated in patients who are hypersensitive to triamcinolone acetonide, corticosteroids or any components of the product.

Warnings and Precautions:

Adverse Reactions: The most commonly reported adverse reactions (incidence ≥1%) in clinical studies included sinusitis, cough, and contusions.

Please see ZILRETTALabel.com for full Prescribing Information.

About iovera°®

The iovera° system uses the body’s natural response to cold to treat peripheral nerves and immediately reduce pain without the use of drugs. Treated nerves are temporarily stopped from sending pain signals for a period of time, followed by a restoration of function. Treatment with iovera° treatment works by applying targeted cold to a peripheral nerve. A precise cold zone is formed under the skin that is cold enough to immediately prevent the nerve from sending pain signals without causing damage to surrounding structures. The effect on the nerve is temporary, providing pain relief until the nerve regenerates and function is restored. Treatment with iovera° does not include injection of any substance, opioid, or any other drug. The effect is immediate and can last up to 90 days. The iovera° system is not indicated for treatment of central nervous system tissue. Additional information is available at www.iovera.com.

Important Safety Information for iovera°®

The iovera° system is contraindicated for use in patients with the following: Cryoglobulinemia; Paroxysmal cold hemoglobinuria; cold urticaria; Raynaud’s disease; open and/or infected wounds at or near the treatment line. Potential complications: As with any surgical treatment that uses needle-based therapy, there is potential for temporary site-specific reactions, including but not limited to: bruising (ecchymosis); swelling (edema); inflammation and/or redness (erythema); pain and/or tenderness; altered sensation (localized dysesthesia). Typically, these reactions resolve with no physician intervention. Patients may help the healing process by applying ice packs to the affected sites, and by taking over-the-counter analgesics.

Forward-Looking Statements

Any statements in this press release about Pacira’s future expectations, plans, trends, outlook, projections and prospects, and other statements containing the words “believes,” “anticipates,” “plans,” “estimates,” “expects,” “intends,” “may,” “will,” “would,” “could,” “can” and similar expressions, constitute forward-looking statements within the meaning of Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), and the Private Securities Litigation Reform Act of 1995, including, without limitation, statements related to our growth and future operating results and trends, our strategy, plans, objectives, expectations (financial or otherwise) and intentions, future financial results and growth potential, including our plans with respect to the repayment of our indebtedness, anticipated product portfolio, development programs, patent terms, development of products, strategic alliances and intellectual property and other statements that are not historical facts. For this purpose, any statement that is not a statement of historical fact should be considered a forward-looking statement. We cannot assure you that our estimates, assumptions and expectations will prove to have been correct. Actual results may differ materially from those indicated by such forward-looking statements as a result of various important factors, including risks relating to, among others: risks associated with acquisitions, such as the risk that the businesses will not be integrated successfully, that such integration may be more difficult, time-consuming or costly than expected or that the expected benefits of the transaction will not occur; risks related to future opportunities and plans for Flexion and its products, including uncertainty of the expected financial performance of Flexion and its products; the possibility that if we do not achieve the perceived benefits of the Flexion acquisition as rapidly or to the extent anticipated by financial analysts or investors, the market price of our common stock could decline; the impact of the COVID-19 pandemic on elective surgeries, our manufacturing and supply chain, global and U.S. economic conditions (including inflation and rising interest rates), and our business, including our revenues, financial condition, cash flow and results of operations; the success of our sales and manufacturing efforts in support of the commercialization of EXPAREL, ZILRETTA and iovera°; the rate and degree of market acceptance of EXPAREL, ZILRETTA and iovera°; the size and growth of the potential markets for EXPAREL, ZILRETTA and iovera° and our ability to serve those markets; our plans to expand the use of EXPAREL, ZILRETTA and iovera° to additional indications and opportunities, and the timing and success of any related clinical trials for EXPAREL, ZILRETTA and iovera°; the commercial success of EXPAREL, ZILRETTA and iovera°; the related timing and success of U.S. Food and Drug Administration supplemental New Drug Applications and premarket notification 510(k)s; the related timing and success of European Medicines Agency Marketing Authorization Applications; our plans to evaluate, develop and pursue additional product candidates utilizing our proprietary multivesicular liposome (“pMVL”) drug delivery technology; the approval of the commercialization of our products in other jurisdictions; clinical trials in support of an existing or potential pMVL-based product; our commercialization and marketing capabilities; our ability to successfully complete an EXPAREL capacity expansion project in San Diego, California; our ability to successfully complete a ZILRETTA capital project in Swindon, England; the outcome of any litigation; the ability to successfully integrate Flexion or any future acquisitions into our existing business; the recoverability of our deferred tax assets; assumptions associated with contingent consideration payments; and factors discussed in the “Risk Factors” of our most recent Annual Report on Form 10-K and in other filings that we periodically make with the Securities and Exchange Commission (the “SEC”). In addition, the forward-looking statements included in this press release represent our views as of the date of this press release. Important factors could cause actual results to differ materially from those indicated or implied by forward-looking statements, and as such we anticipate that subsequent events and developments will cause our views to change. Except as required by applicable law, we undertake no intention or obligation to update or revise any forward-looking statements, whether as a result of new information, future events or otherwise, and readers should not rely on these forward-looking statements as representing our views as of any date subsequent to the date of this press release.

These forward-looking statements involve known and unknown risks, uncertainties and other factors that may cause our actual results, levels of activity, performance or achievements to differ materially from those expressed or implied by these statements. These factors include the matters discussed and referenced in the “Risk Factors” of our most recent Annual Report on Form 10-K and in other filings that we periodically make with the SEC.

(Tables to Follow)

Pacira BioSciences, Inc.Condensed Consolidated Balance Sheets(in thousands)(unaudited)

December 31,2022 December 31,2021
ASSETS
Current assets:
Cash and cash equivalents$104,139 $585,578
Short-term available-for-sale investments 184,512 70,831
Accounts receivable, net 98,397 96,318
Inventories, net 96,063 98,550
Prepaid expenses and other current assets 15,223 14,771
Total current assets 498,334 866,048
Noncurrent available-for-sale investments 37,209
Fixed assets, net 183,512 188,401
Right-of-use assets, net 70,877 76,410
Goodwill 163,243 145,175
Intangible assets, net 540,546 623,968
Deferred tax assets 160,309 153,364
Investments and other assets 27,170 21,987
Total assets$1,681,200 $2,075,353
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
Accounts payable$15,220 $10,543
Accrued expenses 89,785 127,555
Lease liabilities 9,121 7,891
Convertible senior notes, net 350,466
Current portion of long-term debt, net 33,648 24,234
Income taxes payable 429
Total current liabilities 147,774 521,118
Convertible senior notes, net 404,767 339,267
Long-term debt, net 251,056 335,263
Lease liabilities 64,802 71,727
Contingent consideration 28,122 57,598
Other liabilities 9,669 19,972
Total stockholders’ equity 775,010 730,408
Total liabilities and stockholders’ equity$1,681,200 $2,075,353

Pacira BioSciences, Inc.Consolidated Statements of Operations(in thousands, except per share amounts)(unaudited)

Three Months Ended Year Ended
December 31, December 31,
2022 2021 2022 2021
Net product sales:
EXPAREL$138,045 $139,852 $536,899 $506,515
ZILRETTA(1) 27,971 12,683 105,517 12,683
iovera° 4,564 4,898 15,258 16,162
Bupivacaine liposome injectable suspension 1,007 1,141 6,476 3,606
Total net product sales 171,587 158,574 664,150 538,966
Royalty revenue 368 620 2,673 2,442
Collaborative licensing and milestone revenue 125
Total revenues 171,955 159,194 666,823 541,533
Operating expenses:
Cost of goods sold 61,916 39,007 199,295 140,255
Research and development 17,505 15,514 84,797 55,545
Selling, general and administrative 63,970 52,154 254,516 199,345
Amortization of acquired intangible assets 14,322 7,653 57,288 13,553
Acquisition-related charges (gains), impairment and other 24,135 40,654 10,903 42,911
Total operating expenses 181,848 154,982 606,799 451,609
(Loss) income from operations (9,893) 4,212 60,024 89,924
Other (expense) income:
Interest income 2,785 79 4,542 896
Interest expense (11,041) (10,423) (39,976) (31,750)
Other, net 81 (65) (11,288) (2,666)
Total other expense, net (8,175) (10,409) (46,722) (33,520)
(Loss) income before income taxes (18,068) (6,197) 13,302 56,404
Income tax benefit (expense) 7,966 1,068 2,607 (14,424)
Net (loss) income$(10,102) $(5,129) $15,909 $41,980
Net (loss) income per share:
Basic net (loss) income per common share$(0.22) $(0.12) $0.35 $0.95
Diluted net (loss) income per common share$(0.22) $(0.12) $0.34 $0.92
Weighted average common shares outstanding:
Basic 45,882 44,594 45,521 44,262
Diluted 45,882 44,594 46,538 45,630
(1) Pacira began recognizing sales of ZILRETTA in November 2021 after completing its acquisition of Flexion.

Pacira BioSciences, Inc.Reconciliation of GAAP to Non-GAAP Financial Information(in thousands, except per share amounts)(unaudited)

Three Months Ended Year Ended
December 31, December 31,
2022 2021 2022 2021
GAAP net (loss) income$(10,102) $(5,129) $15,909 $41,980
Non-GAAP adjustments:
Milestone revenue (125)
Acquisition-related charges (gains), impairment and other 24,135 40,654 10,903 42,911
Stock-based compensation 12,677 10,890 48,092 42,246
Amortization of debt discount 700 5,907 2,807 23,152
Amortization of acquired intangible assets 14,322 7,653 57,288 13,553
Step-up of acquired Flexion fixed assets and inventory to fair value 2,169 581 7,927 581
Accelerated depreciation 10,545 10,545
Impairment on investment 10,000
Loss on investment 2,585
Tax impact of non-GAAP adjustments (17,454) (16,199) (42,728) (30,207)
Total Non-GAAP adjustments 47,094 49,486 104,834 94,696
Non-GAAP net income$36,992 $44,357 $120,743 $136,676
GAAP basic net (loss) income per common share$(0.22) $(0.12) $0.35 $0.95
GAAP diluted net (loss) income per common share$(0.22) $(0.12) $0.34 $0.92
Non-GAAP basic net income per common share$0.81 $0.99 $2.65 $3.09
Non-GAAP diluted net income per common share$0.80 $0.97 $2.59 $3.00
Weighted average common shares outstanding - basic 45,882 44,594 45,521 44,262
Weighted average common shares outstanding - diluted 45,882 44,594 46,538 45,630
Non-GAAP weighted average common shares outstanding - diluted(1) 46,318 45,500 46,538 45,630
(1) Upon adoption of ASU 2020-06 on January 1, 2022, diluted net income per common share was calculated using the “if-converted” method associatedwith the Company’s convertible senior notes. For the three months and the year ended December 31, 2022, GAAP diluted net income per common share does not include any dilution from the convertible senior notes, which were determined to be antidilutive using the “if-converted” method. On a non-GAAP basis, the “if-converted” method was modified so that interest expense is not added back to the numerator, and the denominator only includes any incremental shares that would be issued for the conversion premium as the Company intends to settle the principal amount of its 2025 convertible senior notes in cash. For the three months and the year ended December 31, 2022, non-GAAP diluted net income per common share does not include any incremental shares related to the conversion premium.

Pacira BioSciences, Inc.Reconciliation of GAAP to Non-GAAP Financial Information (continued)(in thousands, except per share amounts)(unaudited)

Three Months Ended Year Ended
December 31, December 31,
2022 2021 2022 2021
Cost of goods sold reconciliation:
GAAP cost of goods sold$61,916 $39,007 $199,295 $140,255
Stock-based compensation (1,538) (1,461) (5,967) (5,891)
Step-up of acquired Flexion fixed assets and inventory to fair value (2,169) (581) (7,927) (581)
Accelerated depreciation (10,545) (10,545)
Non-GAAP cost of goods sold$47,664 $36,965 $174,856 $133,783
Research and development reconciliation:
GAAP research and development$17,505 $15,514 $84,797 $55,545
Stock-based compensation (1,833) (1,873) (6,594) (5,465)
Non-GAAP research and development$15,672 $13,641 $78,203 $50,080
Selling, general and administrative reconciliation:
GAAP selling, general and administrative$63,970 $52,154 $254,516 $199,345
Stock-based compensation (9,306) (7,556) (35,531) (30,890)
Non-GAAP selling, general and administrative$54,664 $44,598 $218,985 $168,455
Weighted average shares outstanding - diluted reconciliation:
GAAP weighted average common shares outstanding - diluted 45,882 44,594 46,538 45,630
Additional dilutive shares(1) 436 906
Non-GAAP weighted average common shares outstanding - diluted 46,318 45,500 46,538 45,630
(1) As the Company reported a GAAP net loss for the three months ended December 31, 2022 and 2021, potential common shares were excluded as the impact to diluted net loss per share would be antidilutive, whereas these potential securities resulted in a dilutive impact on net income reported on a non-GAAP basis.

Pacira BioSciences, Inc.Reconciliation of GAAP Net (Loss) Income to Adjusted EBITDA (Non-GAAP)(in thousands)(unaudited)

Three Months Ended Year Ended
December 31, December 31,
2022 2021 2022 2021
GAAP net (loss) income$(10,102) $(5,129) $15,909 $41,980
Interest income (2,785) (79) (4,542) (896)
Interest expense(1) 11,041 10,423 39,976 31,750
Income tax (benefit) expense (7,966) (1,068) (2,607) 14,424
Depreciation expense 16,083 5,417 34,213 14,995
Amortization of acquired intangible assets 14,322 7,653 57,288 13,553
EBITDA 20,593 17,217 140,237 115,806
Other adjustments:
Milestone revenue (125)
Acquisition-related charges (gains), impairment and other(2) 24,135 40,654 9,698 42,911
Stock-based compensation 12,677 10,890 48,092 42,246
Step-up of acquired Flexion inventory to fair value 1,366 581 4,719 581
Impairment on investment 10,000
Loss on investment 2,585
Adjusted EBITDA$58,771 $69,342 $212,746 $204,004
(1) Includes amortization of debt discount(2) Excludes any depreciation expense included in EBITDA above

Adjusted earnings before interest, taxes, depreciation and amortization (EBITDA) includes GAAP to non-GAAP adjustments that reflect how the Company’s management analyzes its financial results. The adjusted EBITDA figures presented here are unlikely to be comparable with adjusted EBITDA disclosures released by other companies.

Pacira BioSciences, Inc.Reconciliation of GAAP to Non-GAAP 2023 Financial Guidance(dollars in millions)

GAAP to Non-GAAP Guidance GAAP Stock-Based Compensation Non-GAAP
EXPAREL net product sales $570 to $580
ZILRETTA net product sales $115 to $125
iovera° net product sales $17 to $20
Gross margin 75% to 77% Approx. 1% 76% to 78%
Research and development expense $78 to $89 $8 to $9 $70 to $80
Selling, general and administrative expense $257 to $278 $37 to $39 $220 to $230
Stock-based compensation $51 to $54

Investor Contact:
Susan Mesco, (973) 451-4030
[email protected]

Media Contact:
Coyne Public Relations
Kristin Capone, (973) 588-2108
[email protected]

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Source: Pacira BioSciences

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