You should read the following discussion and analysis of our financial condition
and results of operations together with the section of this report entitled
"Selected Consolidated Financial Data" and our consolidated financial statements
and related notes included elsewhere in this Annual Report on Form 10-K. This
discussion and other parts of this report contain forward-looking statements
that involve risk and uncertainties, such as statements of our plans,
objectives, expectations, and intentions. As a result of many factors, including
those factors set forth in the "Risk Factors" section of this Annual Report on
Form 10-K, our actual results could differ materially from the results described
in or implied by these forward-looking statements.
Overview
Penumbra is a global healthcare company focused on innovative therapies. We
design, develop, manufacture and market novel products and have a broad
portfolio that addresses challenging medical conditions in markets with
significant unmet need. Our team focuses on developing, manufacturing and
marketing medical devices for use by specialist physicians and healthcare
providers to drive improved clinical outcomes. We believe that the
cost-effectiveness of our products is attractive to our customers.
Since our founding in 2004, we have invested heavily in our product development
capabilities in our major markets: neuro and vascular. We have successfully
developed, obtained regulatory clearance or approval for, and introduced
products into the neurovascular market since 2007, vascular market since 2013
and neurosurgical market since 2014. We continue to expand our portfolio of
product offerings, while developing and iterating on our currently available
products.
We expect to continue to develop and build our portfolio of products, including
our thrombectomy, embolization and access technologies. Generally, when we
introduce a next generation product or a new product designed to replace a
current product, sales of the earlier generation product or the product replaced
decline. Our research and development activities are centered around the
development of new products and clinical activities designed to support our
regulatory submissions and demonstrate the effectiveness of our products.
We sell our products to hospitals primarily through our direct sales
organization in the United States, most of Europe, Canada and Australia, as well
as through distributors in select international markets. In 2020, 28.6% of our
revenue was generated from customers located outside of the United States. Our
sales outside of the United States are denominated principally in the euro and
Japanese yen, with some sales being denominated in other currencies. As a
result, we have foreign exchange exposure, but do not currently engage in
hedging.
We generated revenue of $560.4 million, $547.4 million and $444.9 million for
the years ended December 31, 2020, 2019 and 2018, respectively. This represents
an annual increase of 2.4% and of 23.0%, respectively. We generated operating
losses of $38.9 million and $0.9 million for the years ended December 31, 2020
and 2018, respectively. The operating loss for the year ended December 31, 2018
occurred as a result of the $30.8 million acquired in-process research and
development ("IPR&D") charge recorded in connection with the acquisition of a
controlling interest in MVI which was accounted for as an asset acquisition in
the third quarter of 2018. We generated operating income of $47.5 million for
the year ended December 31, 2019.
COVID-19 Pandemic
In March 2020, the World Health Organization declared the outbreak of COVID-19
as a pandemic, which has spread throughout the U.S. and the world. In response,
governments have issued orders restricting certain activities, and while our
business falls within the category of healthcare operations, which are essential
businesses currently permitted to continue operating during the COVID-19
pandemic, we have experienced, and expect to continue to experience, disruptions
to our operations as a result of the pandemic. For example, hospital resources
have been diverted to fight the pandemic, and many government agencies in
conjunction with healthcare systems have recommended the deferral of elective
and semi-elective medical procedures during the pandemic. Some of Penumbra's
medical devices are used in certain procedures that the United States Centers
for Medicare & Medicaid Services has indicated are "high-acuity" procedures that
should not be postponed during the pandemic in its March 18, 2020
recommendations, while other Penumbra devices are used in elective procedures
that physicians may consider postponing. Many of the procedures in which our
vascular products are used are elective in nature, whereas procedures in which
our neuro products are used, such as stroke, tend to be more emergent in nature.
The impact of COVID-19 on our business remains fluid, and we continue to
actively monitor the dynamic situation. We will continue to undertake the
following specific actions and strategic priorities to navigate the pandemic:
•We have made changes to how we manufacture, inspect and ship our products to
prioritize the health and safety of our employees and to operate under the
protocols mandated by our local and state governments. While we are committed to
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continue meeting demand for our essential devices, we have implemented social
distancing and other measures to protect the health and safety of our employees,
which have reduced, and may continue to reduce, our manufacturing capacity.
•In order to strengthen our liquidity position, we issued and sold an aggregate
of 865,963 shares of our common stock at a public offering price of $166.00 per
share, less the underwriters' discounts and commissions, pursuant to an
underwritten public offering in June 2020. We received approximately $134.8
million in net cash proceeds from the offering after deducting underwriting
discounts and commissions of $8.6 million and other offering expenses of $0.4
million.
•We further strengthened our liquidity position by entering into a Credit
Agreement (the "Credit Agreement") on April 24, 2020, with JPMorgan Chase Bank,
N.A., as administrative agent and lender, and Bank of America, N.A. and
Citibank, N.A. as lenders. The Credit Agreement is secured and provides for up
to $100 million in available revolving borrowing capacity with an option,
subject to certain conditions, for us to increase the aggregate borrowing
capacity to up to $150 million, and matures on April 23, 2021. This revolving
line of credit provides access to capital beyond the $264.8 million in cash,
cash equivalents and marketable investments on our balance sheet as of December
31, 2020, and we believe this will allow us to both navigate the current
environment and emerge in a strong liquidity position after the pandemic. As of
December 31, 2020, the Company was not in compliance with the requirement in the
Credit Agreement to maintain a minimum fixed charge coverage ratio. The Company
subsequently entered into an amended one-year credit agreement with JPMorgan
Chase Bank, N.A., as administrative agent and lender, and Bank of America, N.A.
and Citibank, N.A. as lenders. The amended Credit Agreement extended the
maturity date from April 23, 2021 to February 21, 2022 and has substantially the
same terms and conditions as the prior credit agreement with certain changes
including the exclusion of certain one-time charges and expenses incurred during
the fiscal quarters ended September 30, 2020 and December 31, 2020 from the
calculation of the financial covenants, reductions in interest rate floors
applicable to revolving loans and other changes to borrowing mechanics under the
Credit Agreement. The Company is now in compliance with the requirements in the
amended Credit Agreement. As of December 31, 2020, there were no borrowings
outstanding under the Credit Agreement. Refer to Part II, Item 9B "Other
Information" and Note "9. Indebtedness" to our consolidated financial statements
in Part II, Item 8 in this Annual Report on Form 10-K for more information.
•We will continue to prioritize investments in our production capacity and
flexibility, commercial channels, preparation for new product launches, and new
product developments to help patients.
While we have seen positive trends in certain areas of our business beginning in
May 2020, we remain mindful of the negative impacts on business trends we
experienced in April 2020 due to the COVID-19 pandemic. The general impact of
COVID-19 on our business has been negative and we are unable to reliably predict
the full impact that COVID-19 will have on our business due to numerous
uncertainties, including the severity and duration of the pandemic, the global
resurgences of cases, additional actions that may be taken by governmental
authorities in response to the pandemic, the impact of the pandemic on the
business of our customers, distributors and suppliers, other businesses and
worldwide economies in general, our ability to have access to our customers to
provide training and case support, and other factors identified in Part I, Item
1A "Risk Factors" in this Annual Report on Form 10-K. We will continue to
evaluate the nature and extent of the impact of COVID-19 on our business,
consolidated results of operations, and financial condition.
Factors Affecting Our Performance
There are a number of factors that have impacted, and we believe will continue
to impact, our results of operations and growth. These factors include:
•The COVID-19 pandemic and measures taken in response thereto, which have
negatively affected, and we expect will continue to negatively affect, our
revenues and results of operations. Due to these impacts and measures, we may
experience significant and unpredictable fluctuations in demand for certain of
our products as hospital customers re-prioritize the treatment of patients and
distributors adjust their operations to support the current demand level.
•The rate at which we grow our salesforce and the speed at which newly hired
salespeople become fully effective can impact our revenue growth or our costs
incurred in anticipation of such growth.
•Our industry is intensely competitive and, in particular, we compete with a
number of large, well-capitalized companies. We must continue to successfully
compete in light of our competitors' existing and future products and their
resources to successfully market to the specialist physicians who use our
products.
•We must continue to successfully introduce new products that gain acceptance
with specialist physicians and successfully transition from existing products to
new products, ensuring adequate supply. In addition, as we introduce new
products and expand our production capacity, we anticipate additional personnel
will be hired and trained to build our inventory of components and finished
goods in advance of sales, which may cause quarterly fluctuations in our
operating results and financial condition.
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•Publications of clinical results by us, our competitors and other third parties
can have a significant influence on whether, and the degree to which, our
products are used by specialist physicians and the procedures and treatments
those physicians choose to administer for a given condition.
•The specialist physicians who use our products may not perform procedures
during certain times of the year, such as those periods when they are at major
medical conferences or are away from their practices for other reasons, the
timing of which occurs irregularly during the year and from year to year.
•Most of our sales outside of the United States are denominated in the local
currency of the country in which we sell our products. As a result, our revenue
from international sales can be significantly impacted by fluctuations in
foreign currency exchange rates.
•The availability and levels of reimbursement within the relevant healthcare
payment system for healthcare providers for procedures in which our products are
used.
In addition, we have experienced and expect to continue to experience meaningful
variability in our quarterly revenue, gross profit and gross margin percentage
as a result of a number of factors, including, but not limited to: the impact of
COVID-19, the number of available selling days, which can be impacted by
holidays; the mix of products sold; the geographic mix of where products are
sold; the demand for our products and the products of our competitors; the
timing of or failure to obtain regulatory approvals or clearances for products;
increased competition; the timing of customer orders; inventory write-offs due
to obsolescence; costs, benefits and timing of new product introductions; costs,
benefits and timing of the acquisition and integration of businesses and product
lines we may acquire; the availability and cost of components and raw materials;
and fluctuations in foreign currency exchange rates. We may experience quarters
in which we have significant revenue growth sequentially followed by quarters of
moderate or no revenue growth. Additionally, we may experience quarters in which
operating expenses, in particular research and development expenses, fluctuate
depending on the stage and timing of product development.
Critical Accounting Policies and Use of Estimates
Our consolidated financial statements have been prepared in accordance with
generally accepted accounting principles in the United States. The preparation
of our consolidated financial statements requires management to make estimates,
assumptions and judgments that affect the reported amounts of assets and
liabilities and disclosure of contingent assets and liabilities at the date of
the consolidated financial statements and the reported amounts of revenues and
expenses during the applicable periods. Management bases its estimates,
assumptions and judgments on historical experience and on various other factors
that it believes to be reasonable under the circumstances. Different assumptions
and judgments would change the estimates used in the preparation of our
consolidated financial statements, which, in turn, could materially change our
results from those reported. Management evaluates its estimates, assumptions and
judgments on an ongoing basis. Historically, our critical accounting estimates
have not differed materially from actual results. However, if our assumptions
change, we may need to revise our estimates, or take other corrective actions,
either of which may also have a material adverse effect on our consolidated
statements of operations, liquidity and financial condition.
We believe the following critical accounting policies involve significant areas
where management applies judgments and estimates in the preparation of our
consolidated financial statements.
Leases
The Company adopted the guidance under ASC 842 on January 1, 2019 using the
modified retrospective transition approach. There was no cumulative-effect
adjustment recorded to retained earnings upon adoption.
Under ASC 842, the Company determines if an arrangement is a lease at inception.
In addition, the Company determines whether leases meet the classification
criteria of a finance or operating lease at the lease commencement date
considering: (1) whether the lease transfers ownership of the underlying asset
to the lessee at the end of the lease term, (2) whether the lease contains a
bargain purchase option, (3) whether the lease term is for a major part of the
remaining economic life of the underlying asset, (4) whether the present value
of the sum of the lease payments and residual value guaranteed by the
lessee equals or exceeds substantially all of the fair value of the underlying
asset, and (5) whether the underlying asset is of such a specialized nature that
it is expected to have no alternative use to the lessor at the end of the lease
term. As of December 31, 2020, the Company's lease population consisted of
operating and finance real estate, equipment and vehicle leases. As of the date
of adoption of ASC 842 the Company did not have material finance leases.
Operating leases are included in operating lease right-of-use assets, current
operating lease liabilities, and non-current operating lease liabilities in our
consolidated balance sheet. Finance leases are included in finance lease
right-of-use assets, current finance lease liabilities, and non-current finance
lease liabilities in our consolidated balance sheet. ROU assets represent the
Company's right to use an underlying asset for the lease term and lease
liabilities represent the Company's obligation to
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make lease payments arising from the lease. Lease ROU assets and liabilities are
recognized at the lease commencement date based on the present value of lease
payments over the lease term. In determining the present value of lease
payments, the Company uses its incremental borrowing rate which requires
management's judgement as the rate implicit in the lease is generally not
readily determinable. The determination of the Company's incremental borrowing
rate requires management judgment including the development of a synthetic
credit rating and cost of debt as the Company currently does not carry any debt.
The lease ROU assets also include adjustments for prepayments, accrued lease
payments and exclude lease incentives. The Company's lease terms may include
options to extend or terminate the lease when it is reasonably certain that the
Company will exercise such options. Operating lease cost is recognized on a
straight-line basis over the expected lease term. Finance lease cost is
recognized as depreciation expense on a straight-line basis over the expected
lease term and interest expense using the accelerated interest method of
recognition. Lease agreements entered into after the adoption of ASC 842 that
include lease and non-lease components are accounted for as a single lease
component. Lease agreements with a noncancelable term of less than 12 months are
not recorded on the Company's consolidated balance sheet. For more information
about the impact of adoption and disclosures on the Company's leases, refer to
Note "10. Leases."
Revenue Recognition
Revenue is primarily comprised of product revenue net of returns, discounts,
administration fees and sales rebates. We recognize revenue when control of the
promised goods or services is transferred to our customers, in an amount that
reflects the consideration we expect to be entitled to in exchange for those
goods or services. Revenue from product sales is recognized either on the date
of shipment or the date of receipt by the customer, but is deferred for certain
transactions when control has not yet transferred. With respect to products that
we consign to hospitals, which primarily consist of coils, we recognize revenue
at the time hospitals utilize products in a procedure. Refer to Note "17.
Revenues" to our consolidated financial statements in Part II, Item 8 of this
Form 10-K for more information and disclosures on our revenue.
Certain arrangements with customers contain multiple performance obligations.
For these contracts, revenue is allocated to each performance obligation based
on its relative standalone selling price. Standalone selling prices are based on
observable prices at which we separately sell the products or services. If a
standalone selling price is not directly observable, then we estimate the
standalone selling prices considering market conditions and entity-specific
factors including, but not limited to, the expected cost and margin of the
products and services, geographies, and other market conditions. The use of
alternative estimates could result in a different amount of revenue deferral.
We defer revenue for amounts that we have already invoiced our customers for and
are ultimately expected to be recognized as revenue, but for which not all
revenue recognition criteria have been met.
Revenue is recorded at the net sales price, which includes estimates of variable
consideration such as product returns utilizing historical return rates,
rebates, discounts, and other adjustments to net revenue. To the extent the
transaction price includes variable consideration, we estimate the amount of
variable consideration that should be included in the transaction price.
Variable consideration is included in revenue only to the extent that it is
probable that a significant reversal of the revenue recognized will not occur
when the uncertainty associated with the variable consideration is subsequently
resolved. During the year ended December 31, 2020, we made no material changes
in estimates for variable consideration.
Our terms and conditions permit product returns and exchanges. We base our
estimates for sales returns on actual historical returns over the prior three
years and they are recorded as reductions in revenue at the time of sale. Upon
recognition, we reduce revenue and cost of revenue for the estimated return.
Return rates can fluctuate over time, but are sufficiently predictable to allow
us to estimate expected future product returns.
Income Taxes
We account for income taxes using the asset and liability method, whereby
deferred tax asset and liability account balances are determined based on
differences between the financial reporting and tax bases of assets and
liabilities, and are measured using the enacted tax rates and laws that will be
in effect when the differences are expected to reverse. We provide a valuation
allowance to reduce the net deferred tax assets ("DTAs") to their estimated
realizable value.
The calculation of our DTAs involves the use of estimates, assumptions and
judgments while taking into account estimates of the amounts and type of future
taxable income. DTAs are reduced to their estimated realizable value by a
valuation allowance when it is more likely than not that the future realization
of all or some of the DTAs will not be achieved. Valuation allowances related to
DTAs can be affected by changes to tax laws, statutory tax rates, and
projections of future taxable income.
The calculation of our current provision for income taxes involves the use of
estimates, assumptions and judgments while taking into account current tax laws,
interpretation of current tax laws and possible outcomes of future tax audits.
We have established reserves to address potential exposures related to tax
positions that could be challenged by tax authorities. Although we believe our
estimates, assumptions and judgments to be reasonable, any changes in tax law or
interpretation of tax law and
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the resolutions of potential tax audits could significantly impact the amounts
provided for income taxes in our consolidated financial statements.
We follow FASB ASC 740-10 "Accounting for Uncertainty in Income Taxes" that
prescribes a financial statement recognition threshold and measurement attribute
for uncertain tax positions taken or expected to be taken on our income tax
returns, and also provides guidance on derecognition, classification, interest
and penalty accrual, accounting in interim periods, and disclosure requirements.
We include interest and penalties related to unrecognized tax benefits within
income tax expense in the accompanying consolidated statements of operations.
During the year ended December 31, 2020, the Coronavirus Aid, Relief and
Economic Security Act (the "CARES Act") and the Consolidated Appropriations Act
(the "CAA") were enacted, which provides certain tax relief to business
taxpayers. Both Acts did not have a material impact to our financial statements
for the year ended December 31, 2020.
Significant domestic DTAs were generated in recent years, primarily due to
excess tax benefits from stock option exercises and vesting of restricted stock.
As of December 31, 2020, we had approximately $142.3 million, $93.1 million and
$0.2 million of federal, state and foreign net operating loss carryforwards,
respectively, available to offset future taxable income. The federal and state
net operating loss carryforwards will expire from 2036 and 2021, respectively.
At December 31, 2020, we had research credits available to offset federal and
state tax liabilities in the amount of $14.1 million and $14.5 million,
respectively. The federal tax credits will begin to expire in 2024. California
state tax credits have no expiration.
We assess the ability to realize the benefits of our DTAs in each reporting
period by evaluating all available positive and negative evidence, objective and
subjective in nature, including (1) cumulative results of operations in recent
years, (2) sources of recent pre-tax income, (3) estimates of future taxable
income, (4) respective carryback and/or carryforward periods of tax attributes
available to date, and (5) limitation on net operating loss ("NOL") utilization
against taxable income. We also measure our current DTA balances against
estimates of future income based on objectively verifiable operating results
from the Company's recent history.
As of December 31, 2020, our net DTA balance was $48.5 million, after reduction
of a valuation allowance of $28.8 million. We do not maintain valuation
allowances against any of our foreign DTAs as we believe, at the required
more-likely-than-not level of certainty, that our foreign subsidiaries will
generate sufficient future taxable income to realize the benefit of their DTAs
in full. In the period ended December 31, 2020, we measured our domestic net
operating loss ("NOL") DTA balances against projections of future taxable income
with consideration of relevant provisions of the Tax Reform Act, including but
not limited to, the indefinite carryforward period for NOLs generated in years
beginning on or after January 1, 2018. Despite the operational loss in the year
ended December 31, 2020 primarily due to the COVID-19 pandemic, we determined
that we would be in a three-year cumulative taxable income position, had it not
been for the impact of excess tax deductions from stock-based compensation.
The Tax Reform Act extended the carryforward period of net operating losses
generated in tax years beginning on or after January 1, 2018 such that the
losses may be carried forward indefinitely, subject to an annual limitation of
80% of taxable income. The tax attribute ordering rules provide that to offset
taxable income, net operating losses must be used prior to the utilization of
tax credits. Accordingly, we cannot assert, at the required more-likely-than-not
level of certainty, that we will be able to realize the benefit of our federal
research and development tax credit DTAs, with a limited 20-year carryforward
period, prior to expiration.
After an evaluation of all available qualitative and quantitative evidence, both
positive and negative in nature, we concluded that sufficient future taxable
income will be generated to realize the benefits of our domestic DTAs prior to
expiration, other than our federal research and development tax credit DTAs
which are expected to expire before their utilization. As a result, in the
period ended December 31, 2020, we continued to record a valuation allowance
against our federal research and development tax credit. In addition, we
continue to maintain a full valuation allowance against our California DTAs.
Our DTA balance also includes $3.1 million of tax attributes gained upon
acquisition of a majority interest ownership in MVI. The acquired DTAs are
subject to Separate Return Limitation Year ("SRLY") rules which will limit the
utilization of pre-acquisition tax attributes to offset future taxable income
solely generated by MVI. As of December 31, 2020, we could not conclude, at the
required more-likely-than-not level of certainty, that MVI will generate
sufficient taxable income to realize the benefit of its tax attributes prior to
expiration and so a $3.1 million valuation allowance was recorded against the
DTAs acquired from MVI.
We will continue to closely monitor the need for a valuation allowance against
current and additional DTAs generated in each subsequent reporting period. The
need for a valuation allowance can be impacted by actual operating results,
forecasted financial performance, and variances between the two, and the rate at
which future DTAs are generated. If our management was to determine that we
would not be able to realize all or a portion of our net DTAs in the future, a
valuation allowance related charge to earnings would be reflected in that
period, which could have a material adverse impact on our financial condition
and
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results of operations. If our management was to determine that we would be able
to realize all net DTAs in the future, a reduction of the valuation allowance
would be reflected as a benefit to earnings in that period, which could have a
material positive impact on our financial condition and results of operations.
Components of Results of Operations
Revenue. We sell our products directly to hospitals and through distributors for
use in procedures performed by specialist physicians to treat patients in two
key markets: neuro and vascular disease. We sell our products through purchase
orders, and we do not have long term purchase commitments from our customers.
Revenue from product sales is recognized either on the date of shipment or the
date of receipt by the customer, but is deferred for certain transactions when
control has not yet transferred. With respect to products that we consign to
hospitals, which primarily consist of coils, we recognize revenue at the time
hospitals utilize products in a procedure. Revenue also includes shipping and
handling costs that we charge to customers.
Cost of Revenue. Cost of revenue consists primarily of the cost of raw materials
and components, personnel costs, including stock-based compensation, inbound
freight charges, receiving costs, inspection and testing costs, warehousing
costs, royalty expense, shipping and handling costs and other labor and overhead
costs incurred in the manufacturing of products. We manufacture substantially
all of our products in our manufacturing facilities in Alameda and Roseville,
California.
Operating Expenses
Research and Development ("R&D"). R&D expenses primarily consist of product
development, clinical and regulatory expenses, materials, depreciation and other
costs associated with the development of our products. R&D expenses also include
salaries, benefits and other related costs, including stock-based compensation,
for personnel and consultants. We expense R&D costs as they are incurred.
Sales, General and Administrative ("SG&A"). SG&A expenses primarily consist of
salaries, benefits and other related costs, including stock-based compensation,
for personnel and consultants engaged in sales, marketing, finance, legal,
compliance, administrative, facilities and information technology and human
resource activities. Our SG&A expenses also include marketing trials, medical
education, training, commissions, generally based on sales, to direct sales
representatives, amortization of acquired intangible assets and
acquisition-related costs.
Income Tax Expense. We are taxed at the rates applicable within each
jurisdiction in which we operate. The composite income tax rate, tax provisions,
deferred tax assets and deferred tax liabilities will vary according to the
jurisdiction in which profits arise. Tax laws are complex and subject to
different interpretations by management and the respective governmental taxing
authorities, and require us to exercise judgment in determining our income tax
provision, our deferred tax assets and deferred tax liabilities and the
potential valuation allowance recorded against our net DTAs. Deferred tax assets
and liabilities are determined using the enacted tax rates in effect for the
years in which those tax assets are expected to be realized. A valuation
allowance is established when it is more likely than not that the future
realization of all or some of the DTAs will not be achieved.
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Results of Operations
The following table sets forth the components of our consolidated statements of
operations in dollars and as a percentage of revenue for the periods presented:
                                                                                   Year Ended December 31,
                                                        2020                                   2019                                 2018
                                                                            (in thousands, except for percentages)
Revenue                                  $     560,412             100.0  %       $ 547,405             100.0  %       $ 444,938             100.0  %
Cost of revenue                                222,237              39.7  %         175,441              32.0  %         152,405              34.3  %
Gross profit                                   338,175              60.3  %         371,964              68.0  %         292,533              65.7  %
Operating expenses:
Research and development                        90,049              16.2  %          51,723               9.5  %          36,165               8.1  %
Sales, general and administrative              287,068              51.2  %         272,733              49.8  %         226,385              50.9  %
Acquired in-process research and
development                                          -                 -  %               -                 -  %          30,835               6.9  %
Total operating expenses                       377,117              67.3  %         324,456              59.3  %         293,385              65.9  %
(Loss) income from operations                  (38,942)             (6.9) %          47,508               8.7  %            (852)             (0.2) %
Interest income, net                             1,267               0.2  %           2,854               0.5  %           2,964               0.7  %
Other expense, net                                (343)             (0.1) %            (227)                -  %            (504)             (0.1) %
(Loss) income before income taxes and
equity in losses of unconsolidated
investee                                       (38,018)             (6.8) %          50,135               9.2  %           1,608               0.4  %
(Benefit from) provision for income
taxes                                          (18,761)             (3.3) %           3,131               0.6  %          (4,403)             (1.0) %
(Loss) income before equity in losses of
unconsolidated investee                        (19,257)             (3.4) %          47,004               8.6  %           6,011               1.4  %
Equity in losses of unconsolidated
investee                                             -                 -  %               -                 -  %          (3,101)             (0.7) %
Consolidated net (loss) income           $     (19,257)             (3.4) %       $  47,004               8.6  %       $   2,910               0.7  %
Net loss attributable to non-controlling
interest                                        (3,555)             (0.6) %          (1,454)             (0.3) %          (3,691)             (0.8) %
Net (loss) income attributable to
Penumbra, Inc.                           $     (15,702)             (2.8) %       $  48,458               8.9  %       $   6,601               1.5  %



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Year Ended December 31, 2020 Compared to Year Ended December 31, 2019
Revenue
                   Year Ended December 31,                   Change
                     2020                2019            $             %
                         (in thousands, except for percentages)
Vascular    $       267,783           $ 215,720      $ 52,063        24.1  %
Neuro               292,629             331,685       (39,056)      (11.8) %
Total       $       560,412           $ 547,405      $ 13,007         2.4  %


Revenue increased $13.0 million, or 2.4%, to $560.4 million in 2020, from $547.4
million in 2019. The increase in overall revenue was primarily due to an
increase in sales of new and existing products within our vascular business,
partially offset by a decrease in sales within our neuro business.
Revenue from our vascular products increased $52.1 million, or 24.1%, to $267.8
million in 2020, from $215.7 million in 2019. This increase was driven by sales
of our vascular thrombectomy products and peripheral embolization products,
which globally increased by 38.6% and 9.3%, respectively, in the year ended
December 31, 2020. This increase was primarily due to high sales volume as a
result of sales of new products and further market penetration of our existing
products. Prices for our vascular products remained substantially unchanged
during the period.
Revenue from our neuro products decreased $39.1 million, or 11.8%, to $292.6
million in the year ended December 31, 2020, from $331.7 million in the year
ended December 31, 2019. This was primarily attributable to decreased sales of
our neuro thrombectomy products and neuro embolization products, which globally
declined by 19.3% and 2.6%, respectively, and partially offset by an increase in
sales of new and existing products within our neuro access products in the
twelve months ended December 31, 2020. This decrease was primarily attributable
to: (i) decreased sales in Japan as a result of reimbursement changes and
on-going discussions with our distributor partner, and (ii) lower sales volume
as a result of hospitals performing fewer procedures and a decline in other
international distribution sales, all primarily resulting from the response to
the COVID-19 pandemic by hospitals and our distributors. Prices for our neuro
products remained substantially unchanged during the period.
Revenue by Geographic Area
The following table presents revenue by geographic area, based on our customers'
shipping destinations:
                                          Year Ended December 31,                                 Change
                                      2020                              2019                  $             %
                                                (in thousands, except for percentages)
United States         $       400,270              71.4  %    $ 355,222        64.9  %    $ 45,048        12.7  %

Other International           160,142              28.6  %      192,183        35.1  %     (32,041)      (16.7) %
Total                 $       560,412             100.0  %    $ 547,405       100.0  %    $ 13,007         2.4  %


Revenue from sales in international markets decreased $32.0 million, or 16.7%,
to $160.1 million in 2020, from $192.2 million in 2019. Revenue from
international sales represented 28.6% and 35.1% of our total revenue in 2020 and
2019, respectively.
Gross Margin
                          Year Ended December 31,                      Change
                         2020                     2019             $             %
                                 (in thousands, except for percentages)
Cost of revenue   $       222,237             $ 175,441       $  46,796        26.7  %
Gross profit      $       338,175             $ 371,964       $ (33,789)       (9.1) %
Gross margin %               60.3   %              68.0  %


Gross margin decreased by 7.7% percentage points to 60.3% in 2020, from 68.0% in
2019. This decrease in gross margin was primarily driven by four components: (i)
incremental investments in COVID-19 related safety measures, which include
trade-offs made in productivity and capacity; (ii) accelerated investments in
direct labor hires and production support to enable production scale-up in our
Alameda and Roseville manufacturing facilities, respectively, undertaken to
support new product launches and meet increasing demand in a less efficient
manufacturing environment; (iii) unabsorbed manufacturing variances
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due to lower production volume in the first and second quarters of 2020 and (iv)
a one-time, non-recurring $18.4 million reduction in gross profit during the
year ended December 31, 2020 as a result of the December 2020 voluntary recall
of JET 7 Xtra Flex.
Research and Development ("R&D")
                                        Year Ended December 31,                   Change
                                       2020                   2019            $             %
                                              (in thousands, except for percentages)
R&D                              $      90,049             $ 51,723       $ 38,326        74.1  %
R&D as a percentage of revenue            16.1   %              9.4  %


R&D expenses increased by $38.3 million or 74.1%, to $90.0 million in 2020, from
$51.7 million in 2019. The increase was primarily due to a $20.3 million
increase in personnel-related expenses, which primarily includes one-time,
non-recurring personnel-related expenses associated with the launch of our
Lightning product, and a $14.9 million increase in product development and
testing costs.
We have made investments, and plan to continue to make investments, in the
development of our products, which may include hiring additional research and
development employees. In addition, we have experienced in the past, and may
continue to experience in the future, variability in expenses incurred due to
the timing and costs of clinical trials and product development.
Sales, General and Administrative ("SG&A")
                                            Year Ended December 31,                    Change
                                          2020                      2019            $            %
                                                 (in thousands, except for percentages)
SG&A                               $       287,068              $ 272,733       $ 14,335       5.3  %
SG&A as a percentage of revenue               51.2   %               49.8  %


SG&A expenses increased by $14.3 million, or 5.3%, to $287.1 million in 2020,
from $272.7 million in 2019. The increase was primarily due to a $29.3 million
increase in personnel-related expense and a $4.5 million increase in
infrastructure costs, partially offset by a $11.1 million decrease in cost
related to marketing events, and a $10.9 million decrease in travel-related
expenses.
As we continue to invest in our growth, we have expanded and expect to continue
to expand our sales, marketing, general and administrative teams through the
hiring of additional employees. In addition, we have experienced in the past,
and may continue to experience in the future, variability in expenses incurred
due to the timing and costs of investments in infrastructure to support the
business.
(Benefit from) Provision for Income Taxes
                                                   Year Ended December 31,                                Change
                                                 2020                        2019                $                    %
                                                                (in thousands, except for percentages)
Provision for (benefit from) income
taxes                                    $        (18,761)               $   3,131          $ (21,892)               (699.2) %
Effective tax rate                                   49.3    %                 6.2  %


Our benefit from income taxes was $18.8 million in 2020, which was primarily due
to tax benefits attributable to our worldwide losses, combined with excess tax
benefits from stock-based compensation attributable to our U.S. jurisdiction.
Our provision for income taxes was $3.1 million in 2019, which was primarily due
to income taxes attributable to our worldwide profits, offset by excess tax
benefits from stock-based compensation attributable to our U.S. jurisdiction.
Our effective tax rate changed to 49.3% in 2020, compared to 6.2% in 2019. The
change in effective tax rate was primarily attributable to large tax benefits
over worldwide losses for the year ended December 31, 2020, when compared to
small tax expense over worldwide profits for the year ended December 31, 2019.
Our effective tax rate is driven by (1) permanent differences in taxable income
for tax and financial reporting purposes, (2) tax expense attributable to our
foreign jurisdictions, (3) changes to the valuation allowance maintained against
our deferred tax assets, and (4) discrete tax adjustments such as excess tax
benefits related to stock-based compensation. Our income tax provision is
subject to volatility as the amount of excess tax benefits can fluctuate from
period to period based on the price of
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our stock, the volume of share-based grants settled or vested, and the fair
value assigned to equity awards under U.S. GAAP. In addition, changes in tax law
or our interpretation thereof, and changes to our valuation allowance could
cause us to experience an effective tax rate significantly different from
previous periods.
Year Ended December 31, 2019 Compared to Year Ended December 31, 2018
Revenue
                 Year Ended December 31,                    Change
                   2019                2018             $             %
                        (in thousands, except for percentages)
Neuro      $      331,685           $ 294,333      $  37,352        12.7  %
Vascular          215,720             150,605         65,115        43.2  %
Total      $      547,405           $ 444,938      $ 102,467        23.0  %


Revenue increased $102.5 million, or 23.0%, to $547.4 million in 2019, from
$444.9 million in 2018. Our revenue growth resulted from further market
penetration of our existing products and sales of new products. Increased sales
within our neuro and vascular businesses accounted for approximately 35% and
approximately 65% of the revenue increase, respectively, in the year ended
December 31, 2019. These revenue increases take into account a shift in revenue
from neuro to vascular as a result of our peripheral embolization launch in
Japan in the fourth quarter of 2018.
Revenue from our neuro products increased $37.4 million, or 12.7%, to $331.7
million in 2019, from $294.3 million in 2018. This was primarily attributable to
increased sales of our Penumbra System and neuro access products, which
increased by approximately 85% and approximately 35% of the total change in
neuro revenue, respectively. Our neuro product sales experienced strong momentum
due to further market penetration and growth in the market for endovascular
treatment of stroke, which led to an increase in the number of procedures
performed by specialist physicians using these products. This growth was
partially offset by a decrease in sales of our neuro embolization products,
which decreased by approximately 20% of the total change in neuro revenue, as
demand for our neuro embolization products fluctuates from period to period due
to the number of procedures performed. Prices for our neuro products remained
substantially unchanged during the period.
Revenue from our vascular products increased $65.1 million, or 43.2%, to $215.7
million in 2019, from $150.6 million in 2018. This was primarily attributable to
increased sales of our Indigo System products, which accounted for approximately
55% of the vascular revenue increase for the year ended December 31, 2019. This
increase was driven by further market penetration which led to increases in the
number of procedures performed by specialist physicians using our products.
Prices for our vascular products remained substantially unchanged during the
period.
Revenue by Geographic Area
The following table presents revenue by geographic area and from countries that
exceeded 10% of our total revenue, based on our customers' shipping
destinations:
                                          Year Ended December 31,                                 Change
                                     2019                              2018                   $             %
                                                (in thousands, except for percentages)
United States         $       355,222             64.9  %    $ 290,716        65.3  %    $  64,506        22.2  %
Japan                          42,520              7.8  %       41,805         9.4  %    $     715         1.7  %
Other International           149,663             27.3  %      112,417        25.3  %    $  37,246        33.1  %
Total                 $       547,405            100.0  %    $ 444,938       100.0  %    $ 102,467        23.0  %


Revenue from sales in international markets increased $38.0 million, or 24.6%,
to $192.2 million in 2019, from $154.2 million in 2018. Revenue from
international sales represented 35.1% and 34.7% of our total revenue in 2019 and
2018, respectively.
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Gross Margin
                           Year Ended December 31,                     Change
                         2019                      2018            $             %
                                 (in thousands, except for percentages)
Cost of revenue   $       175,441              $ 152,405       $ 23,036        15.1  %
Gross profit      $       371,964              $ 292,533       $ 79,431        27.2  %
Gross margin %               68.0   %               65.7  %


Gross margin increased by 2.3 percentage points to 68.0% in 2019, from 65.7% in
2018. The increase in gross margin was primarily due to improvements in
production productivity.
Research and Development ("R&D")
                                        Year Ended December 31,                   Change
                                       2019                   2018            $             %
                                              (in thousands, except for percentages)
R&D                              $      51,723             $ 36,165       $ 15,558        43.0  %
R&D as a percentage of revenue             9.4   %              8.1  %


R&D expenses increased by $15.6 million or 43.0%, to $51.7 million in 2019, from
$36.2 million in 2018. The increase was primarily due to a $6.9 million increase
in personnel-related expenses primarily due to an increase in headcount to
support our growth, and a $6.8 million increase in product development and
testing costs.
We have made investments, and plan to continue to make investments, in the
development of our products, which may include hiring additional research and
development employees. In addition, we have experienced in the past, and may
continue to experience in the future, variability in expenses incurred due to
the timing and costs of clinical trials.
Sales, General and Administrative ("SG&A")
                                                   Year Ended December 31,                              Change
                                                2019                        2018                $                   %
                                                               (in thousands, except for percentages)
SG&A                                     $       272,733                $ 226,385          $  46,348                 20.5  %
SG&A as a percentage of revenue                     49.8   %                

50.9 %




SG&A expenses increased by $46.3 million, or 20.5%, to $272.7 million in 2019,
from $226.4 million in 2018. The increase was primarily due to a $26.9 million
increase in personnel-related expenses driven by an increase in headcount to
support our growth and a $7.5 million increase related to marketing events.
As we continue to invest in our growth, we have expanded and expect to continue
to expand our sales, marketing, general and administrative teams through the
hiring of additional employees. In addition, we have experienced in the past,
and may continue to experience in the future, variability in expenses incurred
due to the timing and costs of investments in infrastructure to support the
business.
Acquired In-Process Research and Development
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                                                    Year Ended December 31,                           Change
                                                    2019                 2018                $                    %
                                                                 (in thousands, except for percentages)
Acquired in-process research and development   $         -           $  30,835          $ (30,835)               (100.0) %
Acquired in-process research and development
as a percentage of revenue                               -   %             

6.9 %




During 2018, we recorded a $30.8 million acquired IPR&D charge in connection
with the acquisition of a controlling interest in MVI which was accounted for as
an asset acquisition. There were no acquired IPR&D charges during the year ended
December 31, 2019.
Provision for (Benefit from) Income Taxes
                                                  Year Ended December 31,                              Change
                                               2019                       2018                $                    %
                                                               (in thousands, except for percentages)
Provision for (benefit from) income
taxes                                    $       3,131                $  (4,403)         $   7,534                (171.1) %
Effective tax rate                                 6.2   %               (273.8) %


Our provision for income taxes increased $7.5 million, to $3.1 million in 2019,
from a benefit of $4.4 million in 2018. Our effective tax rate changed to 6.2%
in 2019, compared to (273.8)% in 2018. The tax provision for the year ended
December 31, 2019 was primarily due to income taxes attributable to our
worldwide profits, offset by excess tax benefits from stock-based compensation
associated with our U.S. jurisdiction. The tax benefit for the year ended
December 31, 2018 was primarily due to the inclusion of excess tax benefits from
stock-based compensation associated with our U.S. jurisdiction, offset by income
taxes attributable to our foreign jurisdictions and a tax charge resulting from
the IPR&D expense associated with the acquisition of a controlling interest in
MVI, which is not deductible for tax purposes.
Our effective tax rate is driven by (1) permanent differences in taxable income
for tax and financial reporting purposes, (2) tax expense attributable to our
foreign jurisdictions, (3) changes to the valuation allowance maintained against
our deferred tax assets, and (4) discrete tax adjustments such as excess tax
benefits related to stock-based compensation. Our income tax provision is
subject to volatility as the amount of excess tax benefits can fluctuate from
period to period based on the price of our stock, the volume of share-based
grants settled or vested, and the fair value assigned to equity awards under
U.S. GAAP. In addition, changes in tax law or our interpretation thereof, and
changes to our valuation allowance could cause us to experience an effective tax
rate significantly different from previous periods.
Quarterly Results of Operations
For our unaudited quarterly results of operations for the eight quarters ended
December 31, 2020, please see Note "18. Selected Quarterly Financial Data
(Unaudited)" in Part II, Item 8 of this Annual Report on Form 10-K.
Our quarterly results of operations should be read in conjunction with the
consolidated financial statements and related notes thereto. We have prepared
the unaudited information on the same basis as our audited consolidated
financial statements. Our operating results for any quarter are not necessarily
indicative of results for any future quarters or for a full year. Our unaudited
quarterly results tables include all adjustments, consisting only of normal
recurring adjustments, that we consider necessary for a fair presentation of our
consolidated financial position and operating results for the quarters
presented. Seasonal fluctuations, underlying business trends have affected, and
are likely to continue to affect, our business. Commercial queries typically
increase significantly in the fourth quarter of each year. These seasonal trends
have caused, and will likely continue to cause, fluctuations in our quarterly
results, including fluctuations in sequential revenue growth rates.
However, we may have quarters for which we experience significant revenue and
gross profit growth followed by quarters with limited revenue and gross profit
growth due to a number of factors, including mix of products sold, limited
growth in demand and the effects of hiring and integrating new sales people and
their transition into existing or new sales territories. Other factors affecting
our revenue and gross profit growth include acceptance of new products by
specialist physicians and successfully transitioning these physicians to new
products from existing products, buildup of inventory of new products and write
downs or write offs of inventory of older products, introduction of new products
by competitors, publication of clinical results that may influence specialist
physicians and the fact that the specialist physicians who use our products may
not perform procedures during certain times of the year due to their attendance
at major medical conferences or for other reasons, the time of which occurs
irregularly during the year and from year to year.
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Liquidity and Capital Resources
As of December 31, 2020, we had $511.8 million in working capital, which
included $69.7 million in cash and cash equivalents and $195.2 million in
marketable investments. As of December 31, 2020, we held approximately 25.0% of
our cash and cash equivalents in foreign entities.
In June 2020, we issued and sold an aggregate of 865,963 shares of our common
stock at a public offering price of $166.00 per share, less the underwriters'
discounts and commissions, pursuant to an underwritten public offering. We
received approximately $134.8 million in net cash proceeds after deducting
underwriting discounts and commissions of $8.6 million and other offering
expenses of $0.4 million. We intend to use the net proceeds from this offering
for general corporate purposes, including working capital, continued development
of our products, including research and development and clinical trials,
potential acquisitions and other business opportunities. Pending the use of the
net proceeds from this offering, we are investing the net proceeds in investment
grade, interest bearing securities.
In addition to our existing cash and cash equivalents and marketable investment
balances, our principal source of liquidity is our accounts receivable. In order
to further strengthen our liquidity position and financial flexibility during
the COVID-19 pandemic, on April 24, 2020 we entered into a Credit Agreement (the
"Credit Agreement") with JPMorgan Chase Bank, N.A., as administrative agent and
lender, and Bank of America, N.A. and Citibank, N.A. as lenders. The Credit
Agreement is secured and provides for up to $100 million in available revolving
borrowing capacity with an option, subject to certain conditions, for the
Company to increase the aggregate borrowing capacity to up to $150 million, and
matures on April 23, 2021. As of December 31, 2020, the Company was not in
compliance with the requirement in the Credit Agreement to maintain a minimum
fixed charge coverage ratio. The Company subsequently entered into an amended
one-year credit agreement with JPMorgan Chase Bank, N.A., as administrative
agent and lender, and Bank of America, N.A. and Citibank, N.A. as lenders. The
amended Credit Agreement extended the maturity date from April 23, 2021 to
February 21, 2022 and has substantially the same terms and conditions as the
prior credit agreement with certain changes including the exclusion of certain
one-time charges and expenses incurred during the fiscal quarters ended
September 30, 2020 and December 31, 2020 from the calculation of the financial
covenants, reductions in interest rate floors applicable to revolving loans and
other changes to borrowing mechanics under the Credit Agreement. The Company is
now in compliance with the requirements in the amended Credit Agreement. As of
December 31, 2020, there were no borrowings outstanding under the Credit
Agreement. Refer to Part II, Item 9B "Other Information" and Note "9.
Indebtedness" to our consolidated financial statements in Part II, Item 8 in
this Annual Report on Form 10-K for more information.
We believe these sources of liquidity will be sufficient to meet our liquidity
requirements for at least the next 12 months. Our principal liquidity
requirements are to fund our operations, expand manufacturing operations which
includes, but is not limited to, maintaining sufficient levels of inventory to
meet the anticipated demand of our customers, fund research and development
activities and fund our capital expenditures. We may also lease or purchase
additional facilities to facilitate our growth. We expect to continue to make
investments as we launch new products, expand our manufacturing operations and
information technology infrastructures and further expand into international
markets. We may, however, require or elect to secure additional financing as we
continue to execute our business strategy. If we require or elect to raise
additional funds, we may do so through equity or debt financing, which may not
be available on favorable terms, could result in dilution to our stockholders
and could require us to agree to covenants that limit our operating flexibility.
While we have strengthened our liquidity position, as a result of the COVID-19
pandemic, we cannot reliably estimate the extent to which the COVID-19 pandemic
may impact our cash flow from operations.
The following table summarizes our cash and cash equivalents, marketable
investments and selected working capital data as of December 31, 2020 and
December 31, 2019:
                                    Year Ended December 31,
                                       2020                2019
                                         (in thousands)
Cash and cash equivalents     $      69,670             $ 72,779
Marketable investments              195,162              116,610
Accounts receivable, net            114,608              105,901
Accounts payable                     14,109               15,111
Accrued liabilities                  85,795               67,630
Working capital(1)                  511,770              372,086



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(1) Working capital consists of total current assets less total current
liabilities.
The following table sets forth, for the periods indicated, our beginning balance
of cash and cash equivalents, net cash flows provided by (used in) operating,
investing and financing activities and our ending balance of cash and cash
equivalents:
                                                              Year Ended December 31,
                                                         2020           2019          2018
                                                                  (in thousands)
Cash and cash equivalents at beginning of year        $  72,779      $ 67,850      $ 50,637
Net cash (used in) provided by operating activities     (33,242)       26,652        28,808
Net cash used in investing activities                  (104,149)      (12,711)         (385)
Net cash provided by (used in) financing activities     134,917        (8,959)       (9,815)
Cash and cash equivalents at end of year                 69,670        

72,779 67,850

Net Cash (Used In) Provided By Operating Activities
Net cash (used in) provided by operating activities consists primarily of net
income adjusted for certain non-cash items (including depreciation and
amortization, stock-based compensation expense, loss on non-marketable equity
investments, provision for doubtful accounts, inventory write-offs and
write-downs, changes in deferred tax balances, and acquired IPR&D charges), and
the effect of changes in working capital and other activities.
Net cash (used in) operating activities was $33.2 million in 2020 and consisted
of net loss of $19.3 million and non-cash items of $37.2 million offset by net
changes in operating assets and liabilities of $51.2 million. The change in
operating assets and liabilities includes an increase in inventories of $57.0
million to support our revenue growth, an increase in prepaid expenses and other
current and non-current assets of $8.9 million, an increase in accounts
receivable of $8.3 million, and a decrease in accounts payable of $0.3 million.
This was partially offset by an increase in accrued expenses and other
non-current liabilities of $23.3 million primarily as a result of the growth in
our business activities as well as liabilities incurred related to our voluntary
recall in December 2020.
Net cash provided by operating activities was $26.7 million in 2019 and
consisted of net income of $47.0 million and non-cash items of $36.5 million
offset by net changes in operating assets and liabilities of $56.8 million. The
change in operating assets and liabilities includes an increase in inventories
of $41.4 million to support our revenue growth, an increase in accounts
receivable of $25.0 million, an increase in prepaid expenses and other current
and non-current assets of $4.0 million, partially offset by an increase in
accrued expenses and other non-current liabilities of $7.6 million, and an
increase in accounts payable of $6.0 million as a result of the growth in our
business activities.
Net cash provided by operating activities was $28.8 million in 2018 and
consisted of net income of $2.9 million and non-cash items of $56.2 million
offset by net changes in operating assets and liabilities of $30.3 million. The
change in operating assets and liabilities includes an increase in accounts
receivable of $25.8 million, the increase in inventories of $22.3 million to
support our revenue growth, partially offset by an increase in accrued expenses
and other non-current liabilities of $14.2 million, a decrease in prepaid
expenses and other current and non-current assets of $2.2 million, and an
increase in accounts payable of $1.3 million as a result of the growth in our
business activities.
Net Cash Used In Investing Activities
Net cash used in investing activities relates primarily to purchases of
marketable investments, consideration transferred in connection with asset
acquisitions, capital expenditures, payments for leases that have not yet
commenced, and non-marketable investments, partially offset by proceeds from
maturities and sales of marketable investments.
Net cash used in investing activities was $104.1 million in 2020 and primarily
consisted of purchases of marketable investments, net of proceeds from
maturities and sales, of $76.3 million and capital expenditures of $24.8
million.
Net cash used in investing activities was $12.7 million in 2019 and consisted of
capital expenditures of $22.1 million, and payments for leases that have not yet
commenced of $6.6 million, partially offset by proceeds from maturities and
sales of marketable investments, net of purchases, of $18.0 million.
Net cash used in investing activities was $0.4 million in 2018 and consisted of
$20.4 million in payments, net of cash acquired, for the asset acquisition of
MVI, capital expenditures of $9.6 million and contributions to non-marketable
investments
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of $1.4 million. This was partially offset by proceeds from the maturities and
sales of marketable investments, net of purchases, of $31.0 million.
Net Cash Provided By (Used In) Financing Activities
Net cash provided by (used in) financing activities primarily relates to
proceeds from issuance of common stock upon underwritten public offering,
payments of employee taxes related to vested restricted stock units, payments
towards the reduction of our finance lease obligations and certain
acquisition-related payments, and proceeds from exercises of stock options and
issuances of common stock.
Net cash provided by financing activities was $134.9 million in 2020 and
primarily consisted of proceeds from the issuance of common stock, net of
issuance costs, of $134.8 million, proceeds from the issuance of stock under our
employee stock purchase plan of $11.3 million and proceeds from exercises of
stock options of $5.2 million. This was partially offset by $10.1 million of
payments of employee taxes related to vested restricted stock units, payments
related to finance lease obligations of $3.4 million and payments related to
contingent consideration in connection with our acquisition in 2017 of $0.7
million.
Net cash used in financing activities was $9.0 million in 2019 and primarily
consisted of payments of employee taxes related to vested common and restricted
stock of $18.5 million, payments related to finance lease obligations of $2.6
million and payments related to contingent consideration payments in connection
with our acquisition in 2017 of $1.8 million, partially offset by proceeds from
the issuance of stock under our employee stock purchase plan of $9.0 million and
proceeds from exercises of stock options of $4.1 million.
Net cash used in financing activities was $9.8 million in 2018 and primarily
consisted of payments of employee taxes related to vested common and restricted
stock of $17.7 million and payments related to the 2017 acquisition of Crossmed
of $4.5 million, partially offset by proceeds from the issuance of stock under
our employee stock purchase plan of $7.2 million and proceeds from exercises of
stock options of $5.1 million.
Contractual Obligations and Commitments
The following table summarizes our contractual obligations as of December 31,
2020:
                                                          Payments Due by Period
                                                 Less Than                                     More than
                                    Total        One Year       1-3 Years      3-5 Years      Five Years
                                                              (in thousands)
Rent obligations(1)              $ 100,626      $   8,769      $  17,567      $  17,794      $    56,496
Equipment lease obligations(2)       4,423          1,574      $   2,084            765                -
Purchase commitments(3)             14,066         12,717            907            442                -

Total                            $ 119,115      $  23,060      $  20,558      $  19,001      $    56,496





(1)Our rent obligations in the table above exclude the 1310 Harbor Bay Lease and
potential obligations for additional space(s) that may be added to our lease by
our landlord in the future. For example, if any space becomes vacant in any of
the buildings located in the same business park as our corporate headquarters
and manufacturing facilities in Alameda, California through 2035, that space
will be added to the lease. The additional space could potentially result in
approximately $3.2 million of annual rent expense based on current terms of the
lease. The Company has a right of first offer to lease any space that becomes
available after such date.
(2)We lease equipment and automobiles primarily under operating leases.
(3)Purchase commitments primarily consist of contracts with suppliers to
purchase raw materials to be used to manufacture products.
At December 31, 2020, the liability recorded for uncertain tax positions,
excluding associated interest and penalties, was approximately $2.5 million,
which are not included in the table above. The ultimate amount and timing of any
related future cash settlements cannot be predicted with reasonable certainty.
The amounts in the table above do not reflect royalty obligations under a
license agreement as amounts due thereunder fluctuate depending on sales levels.
Royalty expense included in cost of sales for the years ended December 31, 2020,
2019 and 2018 was $2.5 million, $3.8 million and $3.4 million, respectively. For
more information on these royalty obligations, refer to Note "11. Commitments
and Contingencies" to our consolidated financial statements in Part II, Item 8
of this Annual Report on Form 10-K.
Off-Balance Sheet Arrangements
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We do not have any significant off-balance sheet arrangements or holdings in
variable interest entities.
Recently Issued Accounting Standards
For information with respect to recently issued accounting standards and the
impact of these standards on our consolidated financial statements, refer to
Note "2. Summary of Significant Accounting Policies" to our consolidated
financial statements in Part II, Item 8 of this Annual Report on Form 10-K.
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