Invisalign Itero

Press Release

Apr 24, 2019

Align Technology Announces First Quarter 2019 Financial Results

  • Q1 revenues up 25.6% year-over-year to a record $549.0 million
  • Q1 Invisalign volume up 28.3% year-over-year to 349.2 thousand cases
  • Q1 scanner and services revenues up 55.1% year-over-year to $79.8 million
  • Q1 Invisalign cases for teenage patients up 41.1% year-over-year to 97.4 thousand
  • Q1 operating income of $87.7 million included impairments and other charges of $29.8 million related to the U.S. Invisalign Store closures
  • Q1 net profit of $71.8 million and $0.89 diluted EPS

SAN JOSE, Calif., April 24, 2019 (GLOBE NEWSWIRE) -- Align Technology, Inc. (Nasdaq: ALGN) today reported financial results for the first quarter ended March 31, 2019. Q1’19 Invisalign volume was 349.2 thousand cases, up 28.3% year-over-year. For the Americas and International regions, Q1’19 Invisalign volume was up 21.8% and 38.5% year-over-year, respectively. Q1’19 Invisalign volume for teenage patients was 97.4 thousand cases, up 41.1% year-over-year. Q1’19 total revenues were $549.0 million, up 25.6% year-over-year, and Q1’19 scanner and services revenues were $79.8 million, up 55.1% year-over-year.

Q1’19 operating income of $87.7 million was down 10.7% year-over-year resulting in an operating margin of 16.0%.  As a result of the arbitrator’s decision regarding SmileDirectClub (SDC) announced on March 5, 2019, Q1’19 operating income included impairments and other charges related to the U.S. Invisalign Store closures of $29.8 million which reduced operating margin by 5.4%.  Q1’19 net profit was $71.8 million, or $0.89 per diluted EPS which reflected the Invisalign Store closure charges of $22.2 million, net of tax effects of $7.5 million, or $0.28 per diluted EPS.

Commenting on Align’s Q1 2019 results, Align Technology President and CEO Joe Hogan said, “Our first quarter was a very good start to the year with revenues, volumes, gross margin, and EPS above our guidance.  Record Q1 revenues and Invisalign volumes were up 25.6% and 28.3% year-over-year, respectively, reflecting continued strong growth across all geographies and customer channels, as well as strong iTero scanner and services revenues, which were up 55.1% year-over-year.  Q1 sequential growth was driven primarily by North America and the EMEA region, reflecting strength across the Invisalign product portfolio.  We also saw a nice uptick in adoption of Invisalign treatment with record utilization overall, as well as expansion of our customer base which totaled 57,000 active doctors worldwide in Q1.”

GAAP Summary Financial Comparisons
First Quarter Fiscal 2019

  Q1’19 Q4’18 Q1’18  Q/Q Change  Y/Y Change
Invisalign Case Shipments1   349,195   333,800   272,235   +4.6%     +28.3%  
Net Revenues $549.0M $534.0M $436.9M   +2.8%     +25.6%  
  Clear Aligner2 $469.2M $445.6M $385.5M   +5.3%     +21.7%  
  Scanner & Services $79.8M $88.4M $51.4M    (9.8)%      +55.1%  
Net Profit3 $71.8M $97.4M $95.9M   (26.2)%     (25.1)%  
Diluted EPS3   $0.89   $1.20   $1.17   $(0.31)     $(0.28)  

Note: Changes and percentages are based on actual values and may affect totals due to rounding
1 Invisalign shipment figures do not include SmileDirectClub aligners
2 Clear aligner revenue includes revenues from Invisalign clear aligners and SmileDirectClub aligners
3 Q1’19 results include impairments and other charges related to closing Invisalign Stores in the U.S. as a result of the arbitrator’s decision regarding SmileDirectClub (SDC) announced March 5, 2019.

As of March 31, 2019, Align had $732.5 million in cash, cash equivalents and marketable securities compared to $744.5 million as of December 31, 2018. In February 2019, we purchased on the open market approximately 0.2 million shares of our common stock at an average price of $243.42 per share, including commission for an aggregate purchase price of approximately of $50.0 million. We have $450.0 million remaining available for repurchase under the May 2018 Repurchase Program.

Announcements and Highlights

The following list highlights Align’s key announcements over the past quarter:
Invisalign and iTero Intraoral Scanner

  • Launched the new iTero Element 5D Imaging System for comprehensive, preventative and restorative oral care.  The iTero Element 5D Imaging System provides a new comprehensive approach to clinical applications, workflows and user experience that expands the suite of existing high-precision, full-color imaging and fast scan times of the iTero Element portfolio.
  • Launched SmileView, an online tool designed to help prospective Invisalign patients visualize a new, straighter smile before they opt for Invisalign treatment.


  • Announced that Raj Pudipeddi joined Align Technology as senior vice president and CMO, responsible for Align’s global marketing organization including product portfolio, product management, commercialization, and global branding for the Invisalign and iTero product brands.
  • Announced that on February 27, 2019, the United States International Trade Commission voted to institute a third investigation based on Align’s claims of scanner related 3Shape patent infringement.
  • Announced the outcome of the arbitration decision with SDC Entities requiring Align to close its U.S. Invisalign Stores by April 3, 2019.
  • Announced that on March 1, 2019, an Administrative Law Judge with the United States International Trade Commission determined that 3Shape infringes four claims from three Align patents, but declined to find a violation of Section 337.
  • Entered into a distribution agreement with Benco Dental, the largest privately-owned dental distributor in the United States, for Align’s family of iTero Element intraoral scanners.
  • Entered into a partnership with Digital Smile Design (DSD), a leader in holistic, digital and emotional dentistry solutions, to bring dedicated tools that incorporate DSD into Align’s end-to-end digital workflow, including iTero scanning technology.
  • Opened Align University Training Institute in Shanghai, China, Align’s second training facility in China.
  • Announced that Align Technology and Straumann Group settled global ClearCorrect patent disputes and signed a non-binding letter of intent for Straumann to distribute iTero scanners.

Q2 2019 Business Outlook
For the second quarter of 2019 (Q2’19), Align provides the following guidance:

  • Net revenues in the range of $590 million to $600 million, up approximately 20% to 22% over the same period a year ago
  • Invisalign case shipments in the range of 380 thousand to 385 thousand, up approximately 26% to 27% over the same period a year ago
  • Operating margin in the range of 24.5% to 25.4%
  • Diluted EPS in the range of $1.47 to $1.54

Align Web Cast and Conference Call
Align will host a conference call today, April 24, 2019 at 4:30 p.m. ET, 1:30 p.m. PT, to review its first quarter 2019 results, discuss future operating trends and the business outlook. The conference call will also be web cast live via the Internet.  To access the webcast, go to the “Events & Presentations” section under Company Information on Align’s Investor Relations web site at  To access the conference call, please dial 201-689-8261. An archived audio web cast will be available beginning approximately one hour after the call's conclusion and will remain available for approximately 12 months. Additionally, a telephonic replay of the call can be accessed by dialing 877-660-6853 with conference number 13689188 followed by #. For international callers, please dial 201-612-7415 and use the same conference number referenced above. The telephonic replay will be available through 5:30 p.m. ET on May 8, 2019.

About Align Technology, Inc.
Align Technology designs and manufactures the Invisalign® system, the most advanced clear aligner system in the world, and iTero® intraoral scanners and services. Align’s products help dental professionals achieve the clinical results they expect and deliver effective, cutting-edge dental options to their patients. Visit for more information.

For additional information about the Invisalign system or to find an Invisalign doctor in your area, please visit For additional information about iTero digital scanning system, please visit

Forward-Looking Statement
This news release, including the tables below, contains forward-looking statements, including statements regarding certain business metrics for the second quarter of 2019, including, but not limited to, anticipated net revenues, gross margin, operating expenses, operating profit, diluted earnings per share, tax rate and case shipments. Forward-looking statements contained in this news release and the tables below relating to expectations about future events or results are based upon information available to Align as of the date hereof. Readers are cautioned that these forward-looking statements are only predictions and are subject to risks, uncertainties and assumptions that are difficult to predict. As a result, actual results may differ materially and adversely from those expressed in any forward-looking statement. Factors that might cause such a difference include, but are not limited to, difficulties predicting customer and consumer purchasing behavior, Align's ability to protect its intellectual property rights, continued compliance with regulatory requirements, competition from existing and new competitors, the willingness and ability of our customers to maintain and/or increase product utilization in sufficient numbers, the possibility that the development and release of new products does not proceed in accordance with the anticipated timeline, the possibility that the market for the sale of these new products may not develop as expected, or that the expected benefits of new or existing business relationships will not be achieved as anticipated, the risks relating to Align's ability to sustain or increase profitability or revenue growth in future periods while controlling expenses, growth related risks, including excess or constrained capacity at our manufacturing and treat operations facilities and pressure on our internal systems and personnel, the security of customer and/or patient data is compromised for any reason, continued customer demand for our existing and new products, changes in consumer spending habits as a result of, among other things, prevailing economic conditions, levels of employment, salaries and wages and consumer confidence, the timing of case submissions from our doctors within a quarter as well as an increased manufacturing costs per case, acceptance of our products by consumers and dental professionals, foreign operational, political and other risks relating to Align's international manufacturing operations, Align's ability to develop and successfully introduce new products and product enhancements and the loss of key personnel. These and other risks are detailed from time to time in Align's periodic reports filed with the Securities and Exchange Commission, including, but not limited to, its Annual Report on Form 10-K for the year ended December 31, 2018, which was filed with the Securities and Exchange Commission (SEC) on February 28, 2019. Align undertakes no obligation to revise or update publicly any forward-looking statements for any reason.

(in thousands, except per share data)          
    Three Months Ended
March 31,
      2019       2018  
Net revenues   $ 548,971     $ 436,924  
Cost of net revenues     146,875       109,516  
Gross profit     402,096       327,408  
Operating expenses:          
Selling, general and administrative     247,110       199,625  
Research and development     37,503       29,591  
Impairments and other charges     29,782       -  
Total operating expenses     314,395       229,216  
Income from operations     87,701       98,192  
Interest income     2,633       2,176  
Other income (expense), net     (5,746 )     177  
Net income before provision for income taxes and equity in losses of investee     84,588       100,545  
Provision for income taxes     8,796       2,902  
Equity in losses of investee, net of tax     3,944       1,777  
Net income   $ 71,848     $ 95,866  
Net income per share:          
Basic   $ 0.90     $ 1.20  
Diluted   $ 0.89     $ 1.17  
Shares used in computing net income per share:          
Basic     79,860       80,036  
Diluted     80,687       81,628  


(in thousands)          
    March 31,
  December 31,
Current assets:          
Cash and cash equivalents   $ 588,001   $ 636,899  
Marketable securities, short-term     144,540     98,460  
Equity method investments     41,969     -  
Accounts receivable, net     479,281     439,009  
Inventories     68,489     55,641  
Prepaid expenses and other current assets     116,833     72,470  
Total current assets     1,439,113     1,302,479  
Marketable securities, long-term     -     9,112  
Property, plant and equipment, net     575,267     521,329  
Operating lease right-of-use assets     56,384     -  
Equity method investments     -     45,913  
Goodwill and intangible assets, net     80,329     81,949  
Deferred tax assets     57,151     64,689  
Other assets     26,186     26,987  
Total assets   $ 2,234,430   $ 2,052,458  
Current liabilities:          
Accounts payable   $ 62,512   $ 64,256  
Accrued liabilities     252,754     234,679  
Finance lease liabilities     56,100     -  
Deferred revenues     433,518     393,138  
Total current liabilities     804,884     692,073  
Income tax payable     93,463     78,008  
Operating lease liabilities     59,307     -  
Other long-term liabilities     21,072     29,486  
Total liabilities     978,726     799,567  
Total stockholders' equity     1,255,704     1,252,891  
Total liabilities and stockholders' equity   $ 2,234,430   $ 2,052,458  


(in thousands)          
    Three Months Ended
March 31,
      2019       2018    
Net cash provided by operating activities   $ 117,207     $ 77,332    
Net cash (used in) provided by investing activities     (74,418 )     109,269    
Net cash used in financing activities     (92,762 )     (139,822 )  
Effect of foreign exchange rate changes on cash, cash equivalents, and restricted cash     1,089       1,715    
Net (decrease) increase in cash, cash equivalents, and restricted cash     (48,884 )     48,494    
Cash, cash equivalents, and restricted cash at beginning of the period     637,566       450,125    
Cash, cash equivalents, and restricted cash at end of the period   $ 588,682     $ 498,619    


ALIGN TECHNOLOGY, INC.                              
INVISALIGN BUSINESS METRICS*                              
          Q1   Q2   Q3   Q4   Fiscal   Q1  
            2018       2018       2018       2018       2018       2019    
Invisalign Average Selling Price (ASP):                              
  Worldwide ASP       $ 1,310     $ 1,315     $ 1,230     $ 1,235     $ 1,270     $ 1,245    
  International ASP       $ 1,435     $ 1,425     $ 1,340     $ 1,295     $ 1,370     $ 1,330    
Invisalign Cases Shipped by Geography:                              
  Americas         166,665       181,425       190,615       189,410       728,115       202,935    
  International         105,570       121,260       128,730       144,390       499,950       146,260    
  Total Cases Shipped         272,235       302,685       319,345       333,800       1,228,065       349,195    
   YoY % growth         30.8 %     30.5 %     35.3 %     30.9 %     31.9 %     28.3 %  
   QoQ % growth         6.7 %     11.2 %     5.5 %     4.5 %         4.6 %  
Number of Invisalign Doctors Cases Were Shipped To:                            
  Americas         27,105       28,280       28,890       29,215       42,000       30,200    
  International         19,700       21,805       23,270       25,475       36,040       26,510    
  Total Doctors Cases Shipped To         46,805       50,085       52,160       54,690       78,040       56,710    
Invisalign Doctor Utilization Rates**:                              
  North America         6.3       6.6       6.9       6.7       18.2       7.0    
  North American Orthodontists         15.3       16.4       17.4       16.5       56.7       18.3    
  North American GP Dentists         3.4       3.6       3.5       3.6       9.1       3.6    
  International         5.4       5.6       5.5       5.7       13.9       5.5    
  Total Utilization Rates         5.8       6.0       6.1       6.1       15.7       6.2    
Number of Invisalign Doctors Trained***:                              
  Americas         1,630       1,880       2,085       2,290       7,885       1,725    
  International         2,645       3,300       2,845       2,980       11,770       2,410    
  Total Doctors Trained Worldwide         4,275       5,180       4,930       5,270       19,655       4,135    
  Total to Date Worldwide         136,575       141,755       146,685       151,955       151,955       156,090    
Note: Historical public data may differ due to rounding. Additionally, rounding may effect totals. Effective Q1'18, Americas region includes North America and LATAM. International region includes EMEA and APAC. We have recasted historical data to reflect the change.                  
* Invisalign business metrics exclude SmileDirectClub aligners.                             
** # of cases shipped / # of doctors to whom cases were shipped. LATAM utilization rate is not separately disclosed, but included in the total utilization rates.                           
***2018 adjusted to reflect Americas doctors trained for Invisalign iGo                   
ALIGN TECHNOLOGY, INC.                              
STOCK-BASED COMPENSATION                              
(in thousands)                              
          Q1   Q2   Q3   Q4   Fiscal   Q1  
            2018       2018       2018       2018       2018       2019    
Stock-based Compensation (SBC)                              
  SBC included in Gross Profit       $ 881     $ 900     $ 966     $ 948     $ 3,695     $ 1,112    
  SBC included in Operating Expenses         14,949       15,990       18,232       17,897       67,068       19,932    
  Total SBC Expense       $ 15,830     $ 16,890     $ 19,198     $ 18,845     $ 70,763     $ 21,044    


ALIGN TECHNOLOGY, INC.                    
BUSINESS OUTLOOK SUMMARY                    
The outlook figures provided below and elsewhere in this press release are approximate in nature since Align’s business outlook is difficult to predict.  Align’s future performance involves numerous risks and uncertainties and the company’s results could differ materially from the outlook provided.  Some of the factors that could affect Align’s future financial performance and business outlook are set forth under “Forward Looking Information” above in this press release.  
Financial Outlook                    
(in millions, except per share amounts and percentages)                
    Q2'19 Guidance                
Net Revenues   $590.0 - $600.0                
Gross Margin   71.5% - 72.5%                
Operating Expenses   $277.0 - $282.0                
Operating Margin   24.5% - 25.4%                
Net Income per Diluted Share   $1.47 - $1.54                
Business Metrics:   Q2'19                
Case Shipments   380.0K - 385.0K                
Capital Expenditure   $85M-$90M                
Depreciation & Amortization   $20M-22M                
Diluted Shares Outstanding   80.6 (2 )              
Stock Based Compensation Expense   $23M                
Effective Tax Rate   ~24% (1 )              
(1) Includes excess tax benefits related to share-based compensation expense pursuant to ASU 2016-09  
(2) Excludes any stock repurchases during the quarter                

Align Technology
Madelyn Homick
(408) 470-1180

Zeno Group:
Sarah Johnson
(828) 551-4201



Source: Align Technology, Inc.


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