Penumbra, Inc. Reports Third Quarter 2024 Financial Results

ALAMEDA, Calif., Oct. 30, 2024 /PRNewswire/ -- Penumbra, Inc. (NYSE: PEN), the world's leading thrombectomy company, today reported financial results for the third quarter ended September 30, 2024.

    --  Revenue of $301.0 million in the third quarter of 2024, an increase of
        11.1% or 10.9% in constant currency(1), compared to the third quarter of
        2023.
    --  U.S. thrombectomy revenue of $162.1 million in the third quarter of 2024
        increased 21.2% and 5.4% compared to the third quarter of 2023 and
        second quarter of 2024, respectively, led by growth in our U.S. VTE
        franchise, which grew 32% compared to the third quarter of 2023.
    --  Income from operations of $35.4 million and Non-GAAP income from
        operations(1) of $40.3 million in the third quarter of 2024.
    --  Net income of $29.5 million and adjusted EBITDA(1) of $56.7 million or
        net income margin of 9.8% and adjusted EBITDA margin of 18.8% in the
        third quarter of 2024.

Third Quarter 2024 Financial Results
Total revenue increased to $301.0 million for the third quarter of 2024 compared to $270.9 million for the third quarter of 2023, an increase of 11.1%, or 10.9% in constant currency(1). The United States represented 75.2% of total revenue and international represented 24.8% of total revenue for the third quarter of 2024. Revenue from the U.S. increased 16.2% while revenue from our international regions decreased 1.9%, or 2.5% in constant currency(1). Revenue from sales of our global thrombectomy products grew to $204.1 million in the third quarter of 2024, an increase of 14.0%, or 13.8% in constant currency(1) over the same period a year ago, driven primarily by the sales of our U.S. thrombectomy products which increased by 21.2% over the same period a year ago. Revenue from sales of our global embolization and access products grew to $96.9 million for the third quarter of 2024, an increase of 5.5%, or 5.2% in constant currency(1 )from the same period a year ago, driven primarily by our U.S. embolization and access products which increased by 5.3% from the same period a year ago.

Gross profit for the third quarter of 2024 was $200.3 million, or 66.5% of total revenue compared to $177.7 million, or 65.6% of total revenue, for the third quarter of 2023. Gross margin is impacted by product mix, regional mix, and production initiatives to support demand and create future efficiencies. As such, with favorable product mix, improvement in productivity, and by leveraging our fixed costs on higher volume of new product sales during the year, our gross margin may be positively impacted in the future.

Total operating expenses, including $5.0 million of one-time expenses in connection with the wind down of the Immersive Healthcare business during the third quarter of 2024, were $164.9 million, or 54.8% of total revenue for the third quarter of 2024. This compares to total operating expenses of $165.1 million, or 60.9% of total revenue for the third quarter of 2023, which included a one-time $18.2 million expense associated with the acquisition of in-process research and development ("IPR&D") and a $2.4 million amortization expense of finite lived intangible assets acquired in connection with the Sixense acquisition. Excluding the charges noted above, total non-GAAP operating expenses(1) were $160.0 million, or 53.1% of total revenue, for the third quarter of 2024, and $144.5 million, or 53.3% of total revenue for the third quarter of 2023. R&D expenses were $25.2 million for the third quarter of 2024, compared to $21.0 million for the third quarter of 2023. SG&A expenses were $139.7 million for the third quarter of 2024, compared to $125.9 million for the third quarter of 2023.

Income from operations was $35.4 million for the third quarter of 2024, compared to income from operations of $12.6 million for the third quarter of 2023. Excluding one-time expenses in connection with the wind down of the Immersive Healthcare business, non-GAAP income from operations(1) was $40.3 million for the third quarter of 2024. This compares to non-GAAP income from operations of $33.2 million for the third quarter of 2023, which excludes the one-time expense associated with the acquired IPR&D and the amortization expense of finite lived intangible assets acquired in connection with the Sixense acquisition.

Full Year 2024 Financial Outlook
The Company reiterates guidance for total revenue for 2024 to be in the range of $1,180.0 million to $1,200.0 million. The Company now expects the U.S. thrombectomy franchise will grow 24% to 25% year-over-year, compared to 23% to 25% previously. Excluding the impact from the Immersive Healthcare impairments, the Company also continues to expect gross margin expansion in the range of 100 to 150 basis points and total non-GAAP operating margin expansion in the range of 100 to 200 basis points in 2024 compared to full year 2023.



     
     (1)See "Non-GAAP Financial Measures" for important information about our use of non-GAAP measures.

Webcast and Conference Call Information
Penumbra, Inc. will host a conference call to discuss the third quarter 2024 financial results after market close on Wednesday, October 30, 2024 at 4:30 PM Eastern Time. The conference call can be accessed live over the phone by dialing (888) 596-4144 for domestic and international callers (conference id: 5872954), or the webcast can be accessed on the "Events and Presentations" section under the "Investors" tab of the Company's website at: www.penumbrainc.com. The webcast will be available on the Company's website for at least two weeks following the completion of the call.

About Penumbra
Penumbra, Inc., the world's leading thrombectomy company, is focused on developing the most innovative technologies for challenging medical conditions such as ischemic stroke, venous thromboembolism such as pulmonary embolism, and acute limb ischemia. Our broad portfolio, which includes computer assisted vacuum thrombectomy (CAVT), centers on removing blood clots from head-to-toe with speed, safety and simplicity. By pioneering these innovations, we support healthcare providers, hospitals and clinics in more than 100 countries, working to improve patient outcomes and quality of life. For more information, visit www.penumbrainc.com and connect on Instagram, LinkedIn, and X.

Non-GAAP Financial Measures
In addition to financial measures prepared in accordance with U.S. generally accepted accounting principles ("GAAP"), the Company uses the following non-GAAP financial measures in this press release: a) constant currency, b) non-GAAP operating expenses, non-GAAP income from operations, non-GAAP net income, and non-GAAP diluted earnings per share ("EPS") and c) adjusted EBITDA.

Constant Currency. The Company's constant currency revenue disclosures estimate the impact of changes in foreign currency rates on the translation of the Company's current period revenue as compared to the applicable comparable period in the prior year. This impact is derived by taking the current local currency revenue and translating it into U.S. dollars based upon the foreign currency exchange rates used to translate the local currency revenue for the applicable comparable period in the prior year, rather than the actual exchange rates in effect during the current period. It does not include any other effect of changes in foreign currency rates on the Company's results or business.

Non-GAAP operating expenses, non-GAAP income from operations, non-GAAP net income, and non-GAAP diluted EPS. The adjustments to the GAAP financial measures reflect the exclusion of:

    --  the effect of the amortization of finite lived intangible assets
        acquired in connection with the Sixense acquisition over their estimated
        useful lives;
    --  the one-time expense associated with the acquisition of IPR&D in the
        third quarter of 2023;
    --  the excess tax benefits associated with share-based compensation
        arrangements;
    --  non-recurring litigation related expenses;
    --  non-cash long-lived asset impairment related to the impairment of our
        Immersive Healthcare asset group; and
    --  one-time expenses in connection with the wind down of the Immersive
        Healthcare business.

Adjusted EBITDA. The Company's adjusted EBITDA reflects the exclusion from GAAP net income (loss) of:

    --  non-cash operating charges such as stock-based compensation,
        depreciation and amortization, and impairment charges;
    --  non-operating items such as the one-time expense associated with the
        acquisition of IPR&D, interest income, interest expense, and provision
        for (benefit from) income taxes;
    --  non-recurring litigation related expenses; and
    --  one-time expenses in connection with the wind down of the Immersive
        Healthcare business.

Full reconciliation of these non-GAAP measures to the most comparable GAAP measures is set forth in the tables below.

Our management believes the non-GAAP financial measures disclosed in this press release are useful to investors in assessing the operating performance of our business and provide meaningful comparisons to prior periods and thus a more complete understanding of our business than could be obtained absent this disclosure. Specifically, we consider the change in constant currency revenue as a useful metric as it provides an alternative framework for assessing how our underlying business performed excluding the effect of foreign currency rate fluctuations. We consider non-GAAP operating expenses, non-GAAP income from operations, non-GAAP net income, and non-GAAP diluted EPS useful metrics as they provide an alternative framework for assessing how our underlying business performed excluding non-cash long-lived asset impairment related to the impairment of our Immersive Healthcare asset group, the one-time expense associated with the acquisition of IPR&D in the third quarter of 2023, the amortization expense of finite lived intangible assets acquired in connection with the Sixense acquisition, the excess tax benefits associated with share-based compensation arrangements, expenses related to certain litigation matters that we have determined are not a normal or recurring part of our business, including settlement costs and legal fees, and one-time expenses in connection with the wind down of the Immersive Healthcare business. Further, we consider adjusted EBITDA a useful metric as it provides an alternative framework for assessing how our underlying business performed excluding non-cash operating charges such as stock-based compensation, depreciation and amortization, and impairment charges, non-operating items such as the one-time expense associated with the acquisition of IPR&D, interest income, interest expense, and provision for (benefit from) income taxes, non-recurring litigation related expenses, and one-time expenses in connection with the wind down of the Immersive Healthcare business.

The non-GAAP financial measures included in this press release may be different from, and therefore may not be comparable to, similarly titled measures used by other companies. These non-GAAP measures should not be considered in isolation or as alternatives to GAAP measures. We urge investors to review the reconciliation of these non-GAAP financial measures to the comparable GAAP financial measures included in this press release, and not to rely on any single financial measure to evaluate our business.

Forward-Looking Statements
Except for historical information, certain statements in this press release are forward-looking in nature and are subject to risks, uncertainties and assumptions about us. Our business and operations are subject to a variety of risks and uncertainties and, consequently, actual results may differ materially from those projected by any forward-looking statements. Factors that could cause actual results to differ from those projected include, but are not limited to: failure to sustain or grow profitability or generate positive cash flows; failure to effectively introduce and market new products; delays in product introductions; significant competition; inability to further penetrate our current customer base, expand our user base and increase the frequency of use of our products by our customers; inability to achieve or maintain satisfactory pricing and margins; manufacturing difficulties; permanent write-downs or write-offs of our inventory or other assets; product defects or failures; unfavorable outcomes in clinical trials; inability to maintain our culture as we grow; fluctuations in foreign currency exchange rates; potential adverse regulatory actions; and the potential impact of any acquisitions, mergers, dispositions, joint ventures or investments we may make. These risks and uncertainties, as well as others, are discussed in greater detail in our filings with the Securities and Exchange Commission ("SEC"), including our Annual Report on Form 10-K for the year ended December 31, 2023 filed with the SEC on February 22, 2024. There may be additional risks of which we are not presently aware or that we currently believe are immaterial which could have an adverse impact on our business. Any forward-looking statements are based on our current expectations, estimates and assumptions regarding future events and are applicable only as of the dates of such statements. We make no commitment to revise or update any forward-looking statements in order to reflect events or circumstances that may change.


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




                                                                                            September 30, 2024 December 31, 2023



     
                Assets



     Current assets:



          Cash and cash equivalents                                                                  $280,476           $167,486



          Marketable investments                                                                       10,548            121,701



          Accounts receivable, net                                                                    176,051            201,768



          Inventories                                                                                 393,413            388,023



          Prepaid expenses and other current assets                                                    31,265             36,424



               Total current assets                                                                   891,753            915,402



     Property and equipment, net                                                                       59,919             72,691



     Operating lease right-of-use assets                                                              180,923            188,756



     Finance lease right-of-use assets                                                                 28,888             31,092



     Intangible assets, net                                                                             6,920             71,056



     Goodwill                                                                                         166,355            166,270



     Deferred taxes                                                                                   105,851             85,158



     Other non-current assets                                                                          38,514             25,880



              Total assets                                                                         $1,479,123         $1,556,305



     
                Liabilities and Stockholders' Equity



     Current liabilities:



          Accounts payable                                                                            $33,151            $27,155



          Accrued liabilities                                                                         105,550            110,555



       Current operating lease liabilities                                                             12,068             11,203



       Current finance lease liabilities                                                                2,416              2,231



               Total current liabilities                                                              153,185            151,144



     Non-current operating lease liabilities                                                          189,960            197,229



     Non-current finance lease liabilities                                                             22,245             23,680



     Other non-current liabilities                                                                      9,453              5,308



               Total liabilities                                                                      374,843            377,361



     Stockholders' equity:



     Common stock                                                                                          38                 39



     Additional paid-in capital                                                                     1,079,193          1,047,198



     Accumulated other comprehensive loss                                                               (963)           (3,151)



     Retained earnings                                                                                 26,012            134,858



     Total stockholders' equity                                                                     1,104,280          1,178,944



     Total liabilities and stockholders' equity                                                    $1,479,123         $1,556,305


                                                   
              
                Penumbra, Inc.
                                               
         Condensed Consolidated Statements of Operations
                                                          
                (unaudited)
                                              
         (in thousands, except share and per share amounts)




                                                                                                              Three Months Ended September 30,                 Nine Months Ended September 30,


                                                                                                         2024           2023                   2024       2023



     Revenue                                                                                        $301,039       $270,946               $879,097   $773,843



     Cost of revenue                                                                                 100,733         93,228                334,823    278,192



     Gross profit                                                                                    200,306        177,718                544,274    495,651



     Operating expenses:



     Research and development                                                                         25,205         20,958                 74,773     62,481



     Sales, general and administrative                                                               139,737        125,920                426,052    376,433



     Acquired in-process research and development                                                                   18,215                           18,215



     Impairment charge                                                                                                                    76,945



     Total operating expenses                                                                        164,942        165,093                577,770    457,129



     Income (loss) from operations                                                                    35,364         12,625               (33,496)    38,522



     Interest and other income, net                                                                    4,414            679                 10,026      2,970



     Income (loss) before income taxes                                                                39,778         13,304               (23,470)    41,492



     Provision for (benefit from) income taxes                                                        10,251          4,090                (3,799)     4,756



     Net income (loss)                                                                               $29,527         $9,214              $(19,671)   $36,736





     Net income (loss) per share:



     Basic                                                                                             $0.76          $0.24                $(0.51)     $0.96



     Diluted                                                                                           $0.75          $0.23                $(0.51)     $0.94



     Weighted average shares outstanding:



     Basic                                                                                        38,610,805     38,462,463             38,706,809 38,324,279



     Diluted                                                                                      39,178,227     39,219,966             38,706,809 39,183,635


                                                                                
              
                Penumbra, Inc.
                                   
                Reconciliation of GAAP Operating Expenses and GAAP Income (Loss) from Operations to Non-GAAP Operating Expenses and
                                                                                   Non-GAAP Income from Operations1
                                                                                       
                (unaudited)
                                                                                     
                (in thousands)




                                                                                                                                                                Three Months Ended September                      Nine Months Ended September
                                                                                                                                                                     30,                             30,


                                                                                                                                                   2024                   2023                  2024         2023



              GAAP operating expenses                                                                                                         $164,942               $165,093              $577,770     $457,129



              GAAP operating expenses includes the effect of the following
    items:



              Impairment charge(2)                                                                                                                                                         76,945



              Non-recurring litigation related expenses                                                                                                                                     4,823



              Amortization of finite lived intangible assets acquired                                                                                                  2,380                 4,759        7,139



              Wind down expenses(3)                                                                                                              4,971                                       4,971



              Acquired IPR&D4                                                                                                                                         18,215                            18,215



              Non-GAAP operating expenses                                                                                                     $159,971               $144,498              $486,272     $431,775





              GAAP income (loss) from operations                                                                                               $35,364                $12,625             $(33,496)     $38,522



              GAAP income (loss) from operations includes the effect of the
    following items:



              Impairment charge(2)                                                                                                                                                         76,945



              Non-recurring litigation related expenses                                                                                                                                     4,823



              Amortization of finite lived intangible assets acquired                                                                                                  2,380                 4,759        7,139



              Wind down expenses(3)                                                                                                              4,971                                       4,971



              Acquired IPR&D4                                                                                                                                         18,215                            18,215



              Non-GAAP income from operations                                                                                                  $40,335                $33,220               $58,002      $63,876


     ______________________



     
                (1)See "Non-GAAP Financial Measures" for important information about our use of non-GAAP measures.





     
                (2)Represents charges associated with the impairment of the Immersive Healthcare asset group during the three months ended June 30, 2024.





     
                (3)Represents one-time expenses that include severance and other costs related to the wind down of the Immersive Healthcare business during the three and nine months ended September 30, 2024.





     
                4Represents a one-time $18.2 million expense associated with the acquisition of IPR&D during the three and nine months ended September 30, 2023.


                                                                                                   
              
                Penumbra, Inc.
                                                                    
     Reconciliation of GAAP Net Income (Loss) and GAAP Diluted EPS to Non-GAAP Net Income and Non-GAAP Diluted EPS1
                                                                                                          
                (unaudited)
                                                                                       
                (in thousands, except share and per share amounts)




                                                                                                Three Months Ended                                                  Three Months Ended                                     Nine Months Ended                                    Nine Months Ended
                                                                                          September 30, 2024                                                  September 30, 2023                              September 30, 2024                                    September 30, 2023


                                                                                      Net                               Diluted                               Net                               Diluted              Net (loss)                        Diluted                    Net                        Diluted
                                                                         income                               EPS                                income                               EPS                  income                            EPS                     income                         EPS



              GAAP net income (loss)                                             $29,527                                  $0.75                             $9,214                                  $0.23                $(19,671)                        $(0.51)                $36,736                           $0.94



              GAAP net income (loss) includes the effect of the
    following items:



              Impairment charge(2)                                                                                                                                                                                      76,945                            1.96



              Non-recurring litigation related expenses                                                                                                                                                                  4,823                            0.12



              Amortization of finite lived intangible assets                                                                                               2,380                                   0.07                    4,759                            0.12                   7,139                            0.18
    acquired



              Wind down expenses(3)                                                4,971                                   0.13                                                                                            4,971                            0.13



              Acquired IPR&D4                                                                                                                             18,215                                   0.46                                                                         18,215                            0.46



              Tax effects on the non-GAAP adjustments above5                     (1,198)                                (0.03)                             (558)                                (0.01)                (22,051)                         (0.56)                (1,673)                         (0.04)



              Excess tax benefits related to stock compensation                     (85)                                                                 (2,987)                                (0.08)                   (491)                         (0.01)                (8,372)                         (0.21)
    awards



              Non-GAAP net income                                                $33,215                                  $0.85                            $26,264                                  $0.67                  $49,285                           $1.25                 $52,045                           $1.33





              GAAP diluted EPS                                                                                           $0.75                                                                    $0.23                                                 $(0.51)                                                 $0.94



              Non-GAAP diluted EPS6                                                                                      $0.85                                                                    $0.67                                                   $1.25                                                  $1.33





              Weighted average shares outstanding used to compute:



              GAAP diluted EPS                                                                                   39,178,227                                                            39,219,966                                           38,706,809                                           39,183,635



              Non-GAAP diluted EPS6                                                                              39,178,227                                                            39,219,966                                           39,334,133                                           39,183,635


     ______________________



     
                (1)See "Non-GAAP Financial Measures" for important information about our use of non-GAAP measures.





     
                (2)Represents charges associated with the impairment of the Immersive Healthcare asset group during the three months ended June 30, 2024.





     
                (3)Represents one-time expenses that include severance and other costs related to the wind down of the Immersive Healthcare business during the three and nine months ended September 30, 2024.





     
                4Represents a one-time $18.2 million expense associated with the acquisition of IPR&D during the three and nine months ended September 30, 2023.





     
                5For the three and nine months ended September 30, 2024 and 2023, management used a combined federal and state tax rate of 24.10% and 23.44%, respectively, to compute the tax effect of non-GAAP adjustments.




                   6For the purposes of calculating Non-GAAP diluted EPS for the nine months ended September 30, 2024, non-GAAP diluted weighted average shares outstanding of 39,334,133 was used, as the Company had non-GAAP net income in the period.


                                                      
              
                Penumbra, Inc.
          
                Reconciliation of GAAP Net Income (Loss) and GAAP Net Income (Loss) Margin to Adjusted EBITDA and Adjusted EBITDA
                                                                      Margin1
                                                             
                (unaudited)
                                                
                (in thousands, except for percentages)




                                                                                                                     Three Months Ended September                      Nine Months Ended September
                                                                                                                         30,                              30,


                                                                                                       2024                   2023                   2024         2023



     GAAP net income (loss)                                                                        $29,527                 $9,214              $(19,671)     $36,736



     Adjustments to GAAP net (loss) income:



     Depreciation and amortization expense                                                           4,148                  6,933                 19,314       20,218



     Interest income, net                                                                          (3,129)               (1,123)               (9,333)     (2,516)



     Provision for (benefit from) income taxes                                                      10,251                  4,090                (3,799)       4,756



     Stock-based compensation expense                                                               10,940                 14,136                 34,069       39,725



     Impairment charge(2)                                                                                                                       76,945



     Non-recurring litigation related expenses                                                                                                   4,823



     Wind down expenses(3)                                                                           4,971                                        4,971



     Acquired IPR&D4                                                                                                      18,215                             18,215



     Adjusted EBITDA                                                                               $56,708                $51,465               $107,319     $117,134





     Revenue                                                                                      $301,039               $270,946               $879,097     $773,843



     Adjusted EBITDA                                                                               $56,708                $51,465               $107,319     $117,134



     GAAP net income (loss) margin                                                                   9.8 %                 3.4 %               (2.2) %       4.7 %



     Adjusted EBITDA margin                                                                         18.8 %                19.0 %                12.2 %      15.1 %


     ______________________



     
                (1)See "Non-GAAP Financial Measures" for important information about our use of non-GAAP measures.





     
                (2)Represents charges associated with the impairment of the Immersive Healthcare asset group during the three months ended June 30, 2024.





     
                (3)Represents one-time expenses that include severance and other costs related to the wind down of the Immersive Healthcare business during the three and nine months ended September 30, 2024.





     
                4Represents a one-time $18.2 million expense associated with the acquisition of IPR&D during the three and nine months ended September 30, 2023.


                                                       
              
                Penumbra, Inc.
                      
                Reconciliation of Revenue Growth by Geographic Regions to Constant Currency Revenue Growth1
                                                              
                (unaudited)
                                                 
                (in thousands, except for percentages)




                                      Three Months Ended                                        Reported Change                         FX Impact               Constant Currency Change
                         September 30,


                        2024                  2023         
              
                $                                %            
       
             $  
     
           $                                %


      United States $226,326              $194,816                           $31,510                            16.2 %         
       $            -      $31,510                            16.2 %


      International   74,713                76,130                           (1,417)                          (1.9) %                      (487)      (1,904)                          (2.5) %



     Total         $301,039              $270,946                           $30,093                            11.1 %                     $(487)      $29,606                            10.9 %




                                      Nine Months Ended                                        Reported Change                         FX Impact               Constant Currency Change
                       September 30,


                        2024                  2023         
              
                $                                %            
       
             $  
     
           $                                %


      United States $654,150              $553,467                          $100,683                            18.2 %         
       $            -     $100,683                            18.2 %


      International  224,947               220,376                             4,571                             2.1 %                      (595)        3,976                             1.8 %



     Total         $879,097              $773,843                          $105,254                            13.6 %                     $(595)     $104,659                            13.5 %


                                                        
              
                Penumbra, Inc.
                              
         Reconciliation of Revenue Change by Product Categories to Constant Currency Revenue Growth1
                                                               
                (unaudited)
                                                 
                (in thousands, except for percentages)




                                                       Three Months Ended                                        Reported Change                FX
                                                                                                                                     Impact                  Constant Currency Change
                                    September 30,


                                    2024              2023         
              
                $                                %    
     
            $     
     
           $                               %



     Thrombectomy              $204,141          $179,080                           $25,061                            14.0 %          $(259)         $24,802                           13.8 %



     Embolization and Access     96,898            91,866                             5,032                             5.5 %           (228)           4,804                            5.2 %



     Total                     $301,039          $270,946                           $30,093                            11.1 %          $(487)         $29,606                           10.9 %




                                                       Nine Months Ended                                        Reported Change                FX
                                                                                                                                     Impact                  Constant Currency Change
                                    September 30,


                                    2024              2023         
              
                $                                %    
     
            $     
     
           $                               %



     Thrombectomy              $595,346          $486,563                          $108,783                            22.4 %          $(226)        $108,557                           22.3 %



     Embolization and Access    283,751           287,280                           (3,529)                          (1.2) %           (369)         (3,898)                         (1.4) %



     Total                     $879,097          $773,843                          $105,254                            13.6 %          $(595)        $104,659                           13.5 %


                                                                            
              
                Penumbra, Inc.
                                           
     Reconciliation of Revenue Change by Product Categories and Geographic Regions to Constant Currency Revenue Growth1
                                                                                   
                (unaudited)
                                                                      
                (in thousands, except for percentages)




                                                                               Three Months Ended                                        Reported Change                 FX Impact               Constant Currency Change
                                                                  September 30,


                                                                2024                  2023         
              
                $                                %     
       
            $   
     
           $                               %



     
                Thrombectomy



     United States                                         $162,051              $133,754                           $28,297                            21.2 %  
       $           -       $28,297                           21.2 %



     International                                           42,090                45,326                           (3,236)                          (7.1) %              (259)       (3,495)                         (7.7) %



     Total Thrombectomy                                     204,141               179,080                            25,061                            14.0 %              (259)        24,802                           13.8 %



     
                Embolization and Access



     United States                                           64,275                61,062                             3,213                             5.3 %                            3,213                            5.3 %



     International                                           32,623                30,804                             1,819                             5.9 %              (228)         1,591                            5.2 %



     Total Embolization and Access                           96,898                91,866                             5,032                             5.5 %              (228)         4,804                            5.2 %



     
                Total                                    $301,039              $270,946                           $30,093                            11.1 %             $(487)       $29,606                           10.9 %




                                                                               Nine Months Ended                                        Reported Change                 FX Impact               Constant Currency Change
                                                                September 30,


                                                                2024                  2023         
              
                $                                %     
       
            $   
     
           $                               %



     
                Thrombectomy



     United States                                         $466,064              $367,994                           $98,070                            26.6 %  
       $           -       $98,070                           26.6 %



     International                                          129,282               118,569                            10,713                             9.0 %              (226)        10,487                            8.8 %



     Total Thrombectomy                                     595,346               486,563                           108,783                            22.4 %              (226)       108,557                           22.3 %



     
                Embolization and Access



     United States                                          188,086               185,473                             2,613                             1.4 %                            2,613                            1.4 %



     International                                           95,665               101,807                           (6,142)                          (6.0) %              (369)       (6,511)                         (6.4) %



     Total Embolization and Access                          283,751               287,280                           (3,529)                          (1.2) %              (369)       (3,898)                         (1.4) %



     
                Total                                    $879,097              $773,843                          $105,254                            13.6 %             $(595)      $104,659                           13.5 %


     ______________________



     
                (1)See "Non-GAAP Financial Measures" for important information about our use of non-GAAP measures.

Investor Relations
Penumbra, Inc.
510-995-2461
investors@penumbrainc.com

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SOURCE Penumbra, Inc.