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Quarterly Financial Results
         Q1 2009
Align Technology Q1 FY2009 Conference Call

      • Speakers:
             - Tom Prescott, president and CEO
             - Ken Arola, vice president of finance and CFO


      • Moderator:
             - Shirley Stacy, senior director of investor relations


      • Replay and Web cast Archive
             - Telephone replay will be available through 5:30pm ET May 6,
               2009
                    • Domestic callers: 877-660-6853
                    • International callers: 201-612-7415
                    • Account #292 and conference #318996
             - Audio web cast archive will be available at
               http://investor.aligntech.com for approximately 12 months


2   Align Technology, Inc. All rights reserved.
Safe Harbor and Forward Looking Statement

    This presentation contains forward-looking statements, including statements regarding, certain business
    metrics for the second quarter of 2009, including anticipated revenue, gross margin, operating expense,
    operating income, earnings per share, case shipments and cash. 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, failure to
    achieve the expected cost savings and efficiencies related to the restructuring, including a delay in the
    implementation of the relocation of certain customer facing organizations from Santa Clara, California to
    Costa Rica and greater than anticipated costs resulting from the relocation, changes in the size of the
    expected restructuring charge, loss of key personnel responsible for execution of the relocation in a timely
    manner, failure to effectively manage the relocation resulting in decreased customer service levels, 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, the risks relating to Align's ability to sustain or increase profitability or revenue growth in future
    periods while controlling expenses, continued customer demand for Invisalign 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, acceptance of Invisalign by consumers and dental professionals, Align's third party
    manufacturing processes and personnel, foreign operational, political and other risks relating to Align's
    international manufacturing operations, Align's ability to protect its intellectual property rights, competition
    from manufacturers of traditional braces and new competitors, 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 fiscal year ended December 31, 2008,
    which was filed with the Securities and Exchange Commission on February 27, 2009. Align undertakes no
    obligation to revise or update publicly any forward-looking statements for any reason.



3   Align Technology, Inc. All rights reserved.
Q1 FY2009 Overview
       Tom Prescott
       President and CEO




4   Align Technology, Inc. All rights reserved.
Q1 FY2009 Financial Highlights

      • Q1 09 was a solid quarter – a real positive in these
        challenging times

      • Higher than expected revenue, case volume and gross
        margin, as well as the benefit of a lower operating expenses

      • Combined with a $1.5M credit for insurance reimbursement,
        earnings per share exceeded guidance

      • Customers are continuing to adjust to a more challenging
        economic environment and most believe that Invisalign can
        – and is – making a difference in their practices

      • Q1 09 had a record number of doctors submit cases (both
        Orthos and GPs), which suggests broader usage, even in
        this difficult economic environment




5   Align Technology, Inc. All rights reserved.
Our Strategy to Drive Adoption


                                       Drive Adoption Growth
         Product                                 Customer              Consumer             International
       Innovation                               Experience              Demand                Expansion
    - broader reach                       - clinical education     - new media type        - core geographies focus

    - wider applicability                 - customer support       - increase efficiency   - new markets
                                                                                             expansion
    - greater predictability              - sales coverage         - new products
                                                                                           - distribution for
    - easier to use                       - practice development   - public relations        additional coverage

                                                                                           - Internationalize
                                                                                             offered solutions


                                           Scalable Operations



6     Align Technology, Inc. All rights reserved.
Adoption Metrics – Doctor Training

      • Q109 trained 1,220 new doctors
             - 890 in North America, 330 internationally             Quarterly Doctors
                                                                     Trained Worldwide
      • Based on our current training run rate, we         2,000
        lowered our expectations and now plan to
        train ~ 3,500 new N.A. doctors for 2009                             Int'l
                                                           1,500                    Int'l
      • Lower than expected N.A. training related to
        doctors more conservative and less interested              Int'l
                                                           1,000
        in learning new, higher value procedures
                                                                            NA
                                                                                     NA
      • In addition, following the October                  500    NA
        restructuring, we made changes to the new
        dentist recruiting team along with                    0
        adjustments in our recruiting program, which               Q109    Q408     Q108

        resulted in a more selective and narrow
        approach

      • We’ll continue to evolve our approach to new
        doctor training with increased focus on
        ensuring that the doctors we train are more
        likely to integrate Invisalign into practice

7   Align Technology, Inc. All rights reserved.
Adoption Metrics –
       Utilization or “Same Practice Sales”

    • As expected with lower volumes, total utilization
      in Q1 was down compared to Q408 and Q108
                                                                     Average Utilization by Channel
    • Record number of GP submitters in Q1. GPs “in
                                                                 6
      the game” are doing well, but fewer GPs are
      actively marketing Invisalign                              5

                                                                 4
    • Increased traction with N.A. Orthos, driven by
                                                                 3
      Invisalign Full, Teen and Express
                                                                 2
       - Invisalign Teen enables salesforce to reach out to
         Orthos with a product offering that is more relevant    1
         to their practices and increases our “share of chair”   0
                                                                      Q108   Q208     Q308   Q408   Q109
       - Invisalign Express is helping Orthos, as well as
         many GPs, close sales with more value-conscious                  NA Orthos     Int'l   NA GPs
         patients who are increasingly shopping around for
         the best price

    • International increased utilization amongst lower volume doctors.
      Higher use of Invisalign Express and Anterior as consumers in
      Europe shop for better value and elect to have partial versus
      comprehensive treatment

8    Align Technology, Inc. All rights reserved.
• Invisalign Teen cases increased 10%
        sequentially
             - 7.8% of total volume
             - 34% of Orthos submitted 4+ cases
             - twice as many Orthos submitted 12+ cases

      • A great tool for re-engaging N.A. Orthos as they look for ways to
        differentiate and grow their practices in a tough market

      • On March 2, Invisalign Teen was made available internationally
             - 753 doctors completed the online Teen training, over 150 cases were
               submitted, and 22 cases were shipped

      • It will take time for Orthos to see the results of their initial Teen
        cases and fully embrace the product

      • Over the long term, we believe adoption will accelerate and expect
        Invisalign to become a substantial part of the teen market


9   Align Technology, Inc. All rights reserved.
• Invisalign Assist cases increased 28% sequentially
            - nearly 2% of total volume
            - being used 2-to-1 over Invisalign Full by new GPs

     • With fewer than expected trained doctors in Q1, Assist volumes
       were a bit less than expected

     • Assist is still early in commercialization and we are gaining
       valuable experience about increasing adoption rates for newly
       trained GPs

     • Along with continuing improvements to product, we’ll continue to
       evolve our entire training, start-up, and support model as we learn
       more about how to accelerate GP adoption of Invisalign into
       practice




10   Align Technology, Inc. All rights reserved.
• Retention business, including Vivera Retainers
       continues to grow

     • Vivera has been in the market for just over
       a year now and we continue building
       momentum with both our GP and Ortho customers

     • During Q1, we extended the Vivera product line to now include
       patients currently wearing lingual wires, or who have missing
       teeth and want a pontic placed in the space to hide the
       opening

     • Continue to be pleased with the progress of Vivera and will
       continue looking for opportunities to drive adoption and
       utilization with our customer base




11   Align Technology, Inc. All rights reserved.
Consumer Demand
     • Significantly adjusted our media mix in Q1 to focus predominantly
       on direct response TV and on-line digital media, eliminating large
       national print advertising altogether

     • Introduced a very innovative Invisalign Teen PR campaign
          - goal to reach and educate prospective teens and their
            parents, while further engaging teen practices
          - key highlights include:
                 • 60 million media impressions and counting
                 • 100+ video news segments ran across the country
                 • Nearly 400 radio hits
                 • 300+ online placements including Teen Vogue and LA Parent
                 • “In the Know” health segment aired during Oprah, Ellen and Rachel Ray
                 • Invisalign Teen showcased in the Tyra Banks quot;Prom Extravaganzaquot; Show
                   (airing 5/6)

     • In Q2, launching new Teen ads and collateral with completely new
       creative, supported with more online media
          - begin to appear in May - in conjunction with events like the AAO

     • Excited about the positive momentum we are building in support of
       Invisalign Teen and for Invisalign overall

12   Align Technology, Inc. All rights reserved.
Q1 FY2009 Financial Review

       Ken Arola
       Vice President, Finance and CFO




13   Align Technology, Inc. All rights reserved.
Q1 09 Income Statement Highlights
                                                                                                          Sequential                                          Year/Year
                                                            Q1 09                Q4 08                                              Q1 08
                                                                                                           Change                                              Change



 Revenue                                                  $70.1M                $74.1M                    (5.4%)                   $74.8M                    (6.2%)


 Gross Margin                                              75.2%                 72.7%                +2.5% pts                     73.8%                +1.4% pts


 Operating Expenses                                       $47.4M                $52.6M                    (9.8%)                   $50.5M                    (6.2%)


 Operating Margin                                           7.5%                  1.8%                +5.7% pts                      6.2%                +1.3% pts


 GAAP EPS, diluted                                          $0.04                 $0.98                  ($0.94)                     $0.07                  ($0.03)


 Non-GAAP Op Exp                                          $46.5M                $48.5M                    (4.1%)                   $50.5M                    (8.0%)


 Non-GAAP Op Margin                                         8.8%                  7.2%                +1.6% pts                      6.2%                +2.6% pts


 Non-GAAP EPS, diluted                                      $0.05                 $0.07                  ($0.02)                     $0.07                  ($0.02)


A reconciliation of GAAP to Non-GAAP can be found at http://investor.aligntech.com under Financial Information > Quarterly Results for each respective quarter.
14     Align Technology, Inc. All rights reserved.
Q1 FY2009 Trended Financials
                                                                                                                                                      Shipments in Ks
                                                                                                             60.0
                                                                          Revenue $M
                            $85.0
                                                     $79.9
                            $80.0                                                                                                   54.9
                                                                $75.2 $74.1
                                           $74.8                                                             55.0                              52.8       52.6
                            $75.0                                                                                        51.8
                                                                                      $70.1
                                                                                                                                                                  50.1
                            $70.0
                                                                                                             50.0
                            $65.0
                            $60.0                                                                            45.0
                            $55.0
                                                                                                             40.0
                            $50.0
                                                                                                                        Q108 Q208 Q308 Q408 Q109
                                         Q108 Q208 Q308 Q408 Q109

                                                                                       12.0%
        77.0%                                                                                                                              Op Margin%
                                                               GM%
                                                                                                                      *10.5%
                                                                                                                                             *8.8%
                                                               75.2%
                               74.7% 75.0%
                                                                                         9.0%
        75.0%
                                                                                                                                 * 7.2%
                      73.8%
                                                                                                      6.2%
                                                    72.7%                                6.0%
        73.0%                                                                                                  4.8%


                                                                                         3.0%
        71.0%


                                                                                         0.0%
        69.0%
                                                                                                   Q108 Q208 Q308 Q408 Q109
                    Q108 Q208 Q308 Q408 Q109
* Non-GAAP
A reconciliation of GAAP to Non-GAAP can be found at http://investor.aligntech.com under Financial Information > Quarterly Results for each respective quarter.
15     Align Technology, Inc. All rights reserved.
Q1 FY2009 Revenue and Cases by Channel

                                                                Q1 09 Case Shipments: 50,060
           Q1 09 Revenue: $70.1M

     N.A. Ortho: 30.1%                         N.A. GP: 44.1%   N.A. Ortho: 33.7%        N.A. GP: 46.6%
     • +1.3% Q/Q                               • -3.7% Q/Q      • -0.7% Q/Q              • -6.1% Q/Q
     • -6.5% Y/Y                               • -8.9% Y/Y      • -4.0% Y/Y              • -9.7% Y/Y



                                                                                    GP
                                             GP
                      ORTHO
                                                                        ORTHO


                         NON
                         CASE INT’L                                             INT’L



     Non-case: 5.5%                            Int’l: 20.3%               Int’l: 19.7%
     • -22.1% Q/Q                              • -12.2% Q/Q               • -8.8% Q/Q
     • -5.7% Y/Y                               • +0.5% Y/Y                • +18.1% Y/Y




16    Align Technology, Inc. All rights reserved.
Revenue Trend

$M
                                                                                                     Q109 Revenue Highlights
 $90
                                                                                                     • Q1 revenue and shipments
                                                                $79.9
                        $76.6*                                                                         decreased less than
                                                                        $75.2
 $80                                                    $74.8                    $74.1
                                                                                                       expected
                                                $72.5
                                    $71.5                                                    $70.1
                                                                                                             Revenue decreased 5.4%
                                                                                                         -
 $70        $63.8
                                                                                                             Q/Q and 6.2% Y/Y
 $60
                                                                                                     • Gained traction in the Ortho
                                                                                                       channel and case shipments
 $50
                                                                                                       exceeded expectations
 $40
                                                                                                     • Invisalign Express case
                                                                                                       volume was also better than
 $30
                                                                                                       we had anticipated and
                                                                                                       offset lower training revenue
 $20
                                                                                                     • International revenue
                                                                                                       decreased 12% sequentially,
 $10
                                                                                                       as expected due to
                                                                                                       seasonality
     $0
            Q107        Q207        Q307        Q407    Q108    Q208    Q308      Q408       Q109


*Q207 includes 4K cases or $5.2M from the reduction of backlog caused by the allocation of
capacity to the Patients First Program during Q406 and Q107.

GAAP Financials
17        Align Technology, Inc. All rights reserved.
Gross Margin Trend


                                                                                            Q109 Gross Margin Highlights
80%
                                                                                            • Increase of 2.5% pts Q/Q
                                                                                    75.2%
                                                                    75.0%                     and 1.4% pts Y/Y
                                                            74.7%
                                74.6%
                     73.6%                          73.8%
                                            73.6%
75%      72.5%                                                              72.7%
                                                                                            • Sequential increase in gross
                                                                                              margin reflects lower
                                                                                              manufacturing-related costs.
70%
                                                                                              In addition, lower training
                                                                                              revenue had a favorable
65%
                                                                                              impact as training carries
                                                                                              nominal gross margin
60%                                                                                         • Includes $386K in stock
                                                                                              based compensation expense
55%


50%
       Q107        Q207        Q307        Q407     Q108    Q208    Q308    Q408    Q109




GAAP Financials
18    Align Technology, Inc. All rights reserved.
Operating Expenses Trend

$M

 $70
                                                                                                                                    Q109 OpEx* Highlights
                                                                                                                                     • Decreased 4.1% Q/Q and
 $60
                                                                           $55.8
                                                                                                                                       8.0% Y/Y
                                                              $50.5                      $48.5* $48.5*
                                                 $48.4
                                                                                                                   $46.5*            • Includes 2 one-time items:
 $50
                                    $44.9
                        $42.9
                                                                                                                                                  $1.5 million credit for
                                                                                                                                             -
            $39.2
                                                                                                                                                  insurance reimbursement
 $40
                                                                                                                                                  $910K restructuring charge
                                                                                                                                             -
                                                                                                                                                  related to Oct 08 actions
 $30


 $20


 $10


     $0
            Q107        Q207         Q307         Q407         Q108         Q208         Q308         Q408         Q109




* Non-GAAP
A reconciliation of GAAP to Non-GAAP can be found at http://investor.aligntech.com under Financial Information > Quarterly Results for each respective quarter.
19        Align Technology, Inc. All rights reserved.
Operating Margin Trend


20%
                                                                                                                                  Q109 Op Margin* Highlights
                       17.6%
18%
                                                                                                                                  • Increase of 1.6% pts. Q/Q
16%
                                                                                                                                    and 2.6% pts. Y/Y
14%
                                                                                                                           • Sequential increase in
                                    11.7%
                                                                                                                             operating margins resulted
                                                                                         10.5%*
12%        11.0%
                                                                                                                             from higher gross margin,
                                                                                                                         *
10%                                                                                                                          lower operating expenses,
                                                                                                                     8.8%
                                                                                                                             and the benefit of a $1.5
                                                                                                       7.2%*
 8%                                                6.9%
                                                                                                                             million credit for insurance
                                                                6.2%
                                                                                                                             reimbursement.
 6%                                                                          4.8%
 4%

 2%

 0%
          Q107         Q207         Q307         Q407         Q108         Q208          Q308         Q408         Q109




* Non-GAAP
A reconciliation of GAAP to Non-GAAP can be found at http://investor.aligntech.com under Financial Information > Quarterly Results for each respective quarter.
20     Align Technology, Inc. All rights reserved.
Balance Sheet Highlights

                                                    Q109      Q408       Q108


          Cash, Cash Equivalents,
          & Short Term Marketable                  $124.7    $110.2M   $132.4M
          Securities


          Cash Flow from
                                                   $10.6M     $8.8M     $3.2M
          Operations


          DSOs                                     66 days   64 days    57 days


         • In Q1, deferred revenue on the balance sheet has grown by $2.9M or
         18% sequentially. This predominantly represents the revenue deferrals
         associated with Invisalign Teen and Assist. This revenue will begin to be
         recognized in the P&L as cases complete towards the end of 2009, early
         2010.


21   Align Technology, Inc. All rights reserved.
Financial Outlook




22   Align Technology, Inc. All rights reserved.
Q2 Fiscal 2009 Outlook
                                                                                     Q2 09 Outlook                                  Fiscal 2009 Outlook
       Revenue                                                                      $67.5M – $70.5M

       Gross Margin                                                                  74.5% – 75.0%

       Operating Expenses                                                           $50.5M – $52.0M

       Non-GAAP Operating Expenses                                                  $49.9M – $51.4M

       GAAP Operating Margin                                                                0% – 1%

       Non-GAAP Operating Margin                                                            1% - 2%

       GAAP EPS, diluted                                                               $0.00 – $0.01

       Non-GAAP EPS, diluted                                                           $0.01 – $0.02

       Stock based compensation                                                                $4.9M                                                $17.5M

       Diluted shares outstanding                                                                67M                                                   67M

       Case Shipments                                                                      48K – 50K

       Cash                                                                           $122M - $126M

       DSOs                                                                                  Mid 60’s



A reconciliation of GAAP to Non-GAAP can be found at http://investor.aligntech.com under Financial Information > Quarterly Results for each respective quarter.
23     Align Technology, Inc. All rights reserved.
Q2 Fiscal 2009 Business Outlook

     • Due to normal seasonality in the Orthodontic business, we
       anticipate some geographic shift in Q2 revenue, with North
       America Ortho channel being down sequentially, offset by some
       growth internationally

     • If Euro softens against the dollar, like it did in Q4 08, there may
       be an impact on revenues

     • Just completed the transition to run the Juarez manufacturing
       operation on an independent basis and will begin to benefit
       from the cost savings over the remainder of quarter and fiscal
       year. Approximately 495 employees from our 3rd party service
       provider are now Align employees

     • The sequential growth in OpEx reflects an increase in media
       advertising including the launch of our Invisalign Teen PR
       campaign, continued investment internationally, as well as
       spending related to several major customer events

24   Align Technology, Inc. All rights reserved.
Q1 Fiscal 2009 Summary


     • Pleased with progress this quarter, particularly in the North
       American Ortho channel

     • Many practices and their patients continue to face financial
       challenges

     • In this environment, we remain focused on our top priorities
       and continue to manage expenses closely

     • Actions we took to lower our cost base will enable us to
       continue investing in our strategic initiatives while driving for
       overall profitability in 2009




25   Align Technology, Inc. All rights reserved.
Major Milestone – Align Ships One Millionth Case



     • On April 8, Align shipped its one
       millionth case to Dr. James Kohl,
       an orthodontist in Wilmette, Illinois

     • Dr. Kohl was one of the first
       doctors to embrace Invisalign
       treatment in his practice
                                                   Dr. James Kohl, dds

     • His “one in a million” patient is 16
       years old, and she came into Dr.
       Kohl’s office today to receive her
       first set of Invisalign Teen aligners




26   Align Technology, Inc. All rights reserved.
Contact Align Technology Investors Relations at:

     • Email: investorinfo@aligntech.com

     • Tel: (408) 470-1000

     • Shirley Stacy, Senior Director, Investor Relations

     • Yin Cantor, Manager, Investor Relations




27   Align Technology, Inc. All rights reserved.
Additional Data

     Historical Information as of 3/31/09




     Note: Some previously provided historical information has been adjusted to
     reflect changes in rounding methodology.

28     Align Technology, Inc. All rights reserved.
Cases Shipped By Channel

         60,000
                                                                      55,015                            52,865
                                                                               52,050                            52,800   52,645
                                                                                        50,835 51,770                              50,060
         50,000
                                                             45,020

                                38,690              39,010
         40,000
                     36,655               35,700


         30,000


         20,000


         10,000


                0
                     1Q 06 2Q 06          3Q 06 4Q 06 1Q 07           2Q 07 3Q 07 4Q 07 1Q 08           2Q 08 3Q 08 4Q 08          1Q 09
     International 4,215        5,005     4,450     5,535    5,560    7,140    7,290    8,070   8,330   9,675    9,135 10,780 9,835
                     18,465 19,515 18,290 19,105 22,450 27,670 26,470 25,430 25,850 27,105 25,695 24,855 23,335
     N.A. GP
                     13,975 14,170 12,960 14,370 17,010 20,205 18,290 17,335 17,590 18,085 17,970 17,010 16,890
     N.A. Ortho




29    Align Technology, Inc. All rights reserved.
Total # of Doctors Cases Were Shipped To

         20,000

                                                                                                      17,670   17,550 17,590 17,365
         18,000
                                                                                             16,950
                                                                     16,225 16,245 16,190
         16,000
                                                            14,290
         14,000                                    13,245
                                12,170
                                          11,750
                      11,620
         12,000

         10,000

          8,000

          6,000

          4,000

          2,000

                -
                      1Q 06 2Q 06 3Q 06            4Q 06 1Q 07 2Q 07 3Q 07           4Q 07 1Q 08 2Q 08 3Q 08           4Q 08 1Q 09
     International 1,555        1,750     1,640    1,895    1,960    2,305   2,330   2,510   2,630    2,915    2,900   3,160   3,070
                      7,165     7,555     7,360    7,930    8,750    10,135 10,200 10,040 10,640 11,025 10,920 10,760 10,625
     N.A. GP
                      2,900     2,865     2,750    3,420    3,580    3,785   3,715   3,640   3,680    3,730    3,730   3,670   3,670
     N.A. Ortho




30   Align Technology, Inc. All rights reserved.
Utilization Rate*

               6.0


               5.0


               4.0


               3.0


               2.0


               1.0


               0.0
                       1Q 06 2Q 06 3Q 06 4Q 06 1Q 07 2Q 07 3Q 07 4Q 07 1Q 08 2Q 08 3Q 08 4Q 08 1Q 09
                         4.8       5.0        4.7   4.2   4.8   5.3   4.9   4.8   4.8   4.9   4.8   4.6   4.6
      N.A. Ortho
                         2.6       2.6        2.5   2.4   2.6   2.7   2.6   2.5   2.4   2.5   2.4   2.3   2.2
      N.A. GP
                         2.7       2.9        2.7   2.9   2.8   3.1   3.1   3.2   3.2   3.3   3.2   3.4   3.2
      International




 *Utilization Rate = # of Cases Shipped / # of Doctors Cases Are Shipped To


31   Align Technology, Inc. All rights reserved.
Average Selling Price (ASP)

         $1,800


         $1,700


         $1,600


         $1,500


         $1,400


         $1,300


         $1,200


         $1,100


         $1,000
                                                                                  4Q 07 1Q 08* 2Q 08 3Q 08
                       1Q 06      2Q 06 3Q 06         4Q 06 1Q 07   2Q 07 3Q 07                              4Q 08 1Q 09
       International $1,650 $1,660 $1,635 $1,725 $1,650 $1,630 $1,585 $1,760 $1,705 $1,700 $1,656 $1,510 $1,450
                       $1,275 $1,295 $1,295 $1,320 $1,345 $1,325 $1,320 $1,360 $1,385 $1,385 $1,385 $1,365 $1,365
       Blended



     * Beginning in Q1 2008, ASPs reflect gross revenue prior to impact from new products deferrals

      Beginning in Q1 2009, blended ASPs do not include Align's retainer business

32      Align Technology, Inc. All rights reserved.
Quarterly Financial Results
       Q1 FY2009

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Q1 2009 Earning Report of Align Technology, Inc.

  • 2. Align Technology Q1 FY2009 Conference Call • Speakers: - Tom Prescott, president and CEO - Ken Arola, vice president of finance and CFO • Moderator: - Shirley Stacy, senior director of investor relations • Replay and Web cast Archive - Telephone replay will be available through 5:30pm ET May 6, 2009 • Domestic callers: 877-660-6853 • International callers: 201-612-7415 • Account #292 and conference #318996 - Audio web cast archive will be available at http://investor.aligntech.com for approximately 12 months 2 Align Technology, Inc. All rights reserved.
  • 3. Safe Harbor and Forward Looking Statement This presentation contains forward-looking statements, including statements regarding, certain business metrics for the second quarter of 2009, including anticipated revenue, gross margin, operating expense, operating income, earnings per share, case shipments and cash. 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, failure to achieve the expected cost savings and efficiencies related to the restructuring, including a delay in the implementation of the relocation of certain customer facing organizations from Santa Clara, California to Costa Rica and greater than anticipated costs resulting from the relocation, changes in the size of the expected restructuring charge, loss of key personnel responsible for execution of the relocation in a timely manner, failure to effectively manage the relocation resulting in decreased customer service levels, 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, the risks relating to Align's ability to sustain or increase profitability or revenue growth in future periods while controlling expenses, continued customer demand for Invisalign 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, acceptance of Invisalign by consumers and dental professionals, Align's third party manufacturing processes and personnel, foreign operational, political and other risks relating to Align's international manufacturing operations, Align's ability to protect its intellectual property rights, competition from manufacturers of traditional braces and new competitors, 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 fiscal year ended December 31, 2008, which was filed with the Securities and Exchange Commission on February 27, 2009. Align undertakes no obligation to revise or update publicly any forward-looking statements for any reason. 3 Align Technology, Inc. All rights reserved.
  • 4. Q1 FY2009 Overview Tom Prescott President and CEO 4 Align Technology, Inc. All rights reserved.
  • 5. Q1 FY2009 Financial Highlights • Q1 09 was a solid quarter – a real positive in these challenging times • Higher than expected revenue, case volume and gross margin, as well as the benefit of a lower operating expenses • Combined with a $1.5M credit for insurance reimbursement, earnings per share exceeded guidance • Customers are continuing to adjust to a more challenging economic environment and most believe that Invisalign can – and is – making a difference in their practices • Q1 09 had a record number of doctors submit cases (both Orthos and GPs), which suggests broader usage, even in this difficult economic environment 5 Align Technology, Inc. All rights reserved.
  • 6. Our Strategy to Drive Adoption Drive Adoption Growth Product Customer Consumer International Innovation Experience Demand Expansion - broader reach - clinical education - new media type - core geographies focus - wider applicability - customer support - increase efficiency - new markets expansion - greater predictability - sales coverage - new products - distribution for - easier to use - practice development - public relations additional coverage - Internationalize offered solutions Scalable Operations 6 Align Technology, Inc. All rights reserved.
  • 7. Adoption Metrics – Doctor Training • Q109 trained 1,220 new doctors - 890 in North America, 330 internationally Quarterly Doctors Trained Worldwide • Based on our current training run rate, we 2,000 lowered our expectations and now plan to train ~ 3,500 new N.A. doctors for 2009 Int'l 1,500 Int'l • Lower than expected N.A. training related to doctors more conservative and less interested Int'l 1,000 in learning new, higher value procedures NA NA • In addition, following the October 500 NA restructuring, we made changes to the new dentist recruiting team along with 0 adjustments in our recruiting program, which Q109 Q408 Q108 resulted in a more selective and narrow approach • We’ll continue to evolve our approach to new doctor training with increased focus on ensuring that the doctors we train are more likely to integrate Invisalign into practice 7 Align Technology, Inc. All rights reserved.
  • 8. Adoption Metrics – Utilization or “Same Practice Sales” • As expected with lower volumes, total utilization in Q1 was down compared to Q408 and Q108 Average Utilization by Channel • Record number of GP submitters in Q1. GPs “in 6 the game” are doing well, but fewer GPs are actively marketing Invisalign 5 4 • Increased traction with N.A. Orthos, driven by 3 Invisalign Full, Teen and Express 2 - Invisalign Teen enables salesforce to reach out to Orthos with a product offering that is more relevant 1 to their practices and increases our “share of chair” 0 Q108 Q208 Q308 Q408 Q109 - Invisalign Express is helping Orthos, as well as many GPs, close sales with more value-conscious NA Orthos Int'l NA GPs patients who are increasingly shopping around for the best price • International increased utilization amongst lower volume doctors. Higher use of Invisalign Express and Anterior as consumers in Europe shop for better value and elect to have partial versus comprehensive treatment 8 Align Technology, Inc. All rights reserved.
  • 9. • Invisalign Teen cases increased 10% sequentially - 7.8% of total volume - 34% of Orthos submitted 4+ cases - twice as many Orthos submitted 12+ cases • A great tool for re-engaging N.A. Orthos as they look for ways to differentiate and grow their practices in a tough market • On March 2, Invisalign Teen was made available internationally - 753 doctors completed the online Teen training, over 150 cases were submitted, and 22 cases were shipped • It will take time for Orthos to see the results of their initial Teen cases and fully embrace the product • Over the long term, we believe adoption will accelerate and expect Invisalign to become a substantial part of the teen market 9 Align Technology, Inc. All rights reserved.
  • 10. • Invisalign Assist cases increased 28% sequentially - nearly 2% of total volume - being used 2-to-1 over Invisalign Full by new GPs • With fewer than expected trained doctors in Q1, Assist volumes were a bit less than expected • Assist is still early in commercialization and we are gaining valuable experience about increasing adoption rates for newly trained GPs • Along with continuing improvements to product, we’ll continue to evolve our entire training, start-up, and support model as we learn more about how to accelerate GP adoption of Invisalign into practice 10 Align Technology, Inc. All rights reserved.
  • 11. • Retention business, including Vivera Retainers continues to grow • Vivera has been in the market for just over a year now and we continue building momentum with both our GP and Ortho customers • During Q1, we extended the Vivera product line to now include patients currently wearing lingual wires, or who have missing teeth and want a pontic placed in the space to hide the opening • Continue to be pleased with the progress of Vivera and will continue looking for opportunities to drive adoption and utilization with our customer base 11 Align Technology, Inc. All rights reserved.
  • 12. Consumer Demand • Significantly adjusted our media mix in Q1 to focus predominantly on direct response TV and on-line digital media, eliminating large national print advertising altogether • Introduced a very innovative Invisalign Teen PR campaign - goal to reach and educate prospective teens and their parents, while further engaging teen practices - key highlights include: • 60 million media impressions and counting • 100+ video news segments ran across the country • Nearly 400 radio hits • 300+ online placements including Teen Vogue and LA Parent • “In the Know” health segment aired during Oprah, Ellen and Rachel Ray • Invisalign Teen showcased in the Tyra Banks quot;Prom Extravaganzaquot; Show (airing 5/6) • In Q2, launching new Teen ads and collateral with completely new creative, supported with more online media - begin to appear in May - in conjunction with events like the AAO • Excited about the positive momentum we are building in support of Invisalign Teen and for Invisalign overall 12 Align Technology, Inc. All rights reserved.
  • 13. Q1 FY2009 Financial Review Ken Arola Vice President, Finance and CFO 13 Align Technology, Inc. All rights reserved.
  • 14. Q1 09 Income Statement Highlights Sequential Year/Year Q1 09 Q4 08 Q1 08 Change Change Revenue $70.1M $74.1M (5.4%) $74.8M (6.2%) Gross Margin 75.2% 72.7% +2.5% pts 73.8% +1.4% pts Operating Expenses $47.4M $52.6M (9.8%) $50.5M (6.2%) Operating Margin 7.5% 1.8% +5.7% pts 6.2% +1.3% pts GAAP EPS, diluted $0.04 $0.98 ($0.94) $0.07 ($0.03) Non-GAAP Op Exp $46.5M $48.5M (4.1%) $50.5M (8.0%) Non-GAAP Op Margin 8.8% 7.2% +1.6% pts 6.2% +2.6% pts Non-GAAP EPS, diluted $0.05 $0.07 ($0.02) $0.07 ($0.02) A reconciliation of GAAP to Non-GAAP can be found at http://investor.aligntech.com under Financial Information > Quarterly Results for each respective quarter. 14 Align Technology, Inc. All rights reserved.
  • 15. Q1 FY2009 Trended Financials Shipments in Ks 60.0 Revenue $M $85.0 $79.9 $80.0 54.9 $75.2 $74.1 $74.8 55.0 52.8 52.6 $75.0 51.8 $70.1 50.1 $70.0 50.0 $65.0 $60.0 45.0 $55.0 40.0 $50.0 Q108 Q208 Q308 Q408 Q109 Q108 Q208 Q308 Q408 Q109 12.0% 77.0% Op Margin% GM% *10.5% *8.8% 75.2% 74.7% 75.0% 9.0% 75.0% * 7.2% 73.8% 6.2% 72.7% 6.0% 73.0% 4.8% 3.0% 71.0% 0.0% 69.0% Q108 Q208 Q308 Q408 Q109 Q108 Q208 Q308 Q408 Q109 * Non-GAAP A reconciliation of GAAP to Non-GAAP can be found at http://investor.aligntech.com under Financial Information > Quarterly Results for each respective quarter. 15 Align Technology, Inc. All rights reserved.
  • 16. Q1 FY2009 Revenue and Cases by Channel Q1 09 Case Shipments: 50,060 Q1 09 Revenue: $70.1M N.A. Ortho: 30.1% N.A. GP: 44.1% N.A. Ortho: 33.7% N.A. GP: 46.6% • +1.3% Q/Q • -3.7% Q/Q • -0.7% Q/Q • -6.1% Q/Q • -6.5% Y/Y • -8.9% Y/Y • -4.0% Y/Y • -9.7% Y/Y GP GP ORTHO ORTHO NON CASE INT’L INT’L Non-case: 5.5% Int’l: 20.3% Int’l: 19.7% • -22.1% Q/Q • -12.2% Q/Q • -8.8% Q/Q • -5.7% Y/Y • +0.5% Y/Y • +18.1% Y/Y 16 Align Technology, Inc. All rights reserved.
  • 17. Revenue Trend $M Q109 Revenue Highlights $90 • Q1 revenue and shipments $79.9 $76.6* decreased less than $75.2 $80 $74.8 $74.1 expected $72.5 $71.5 $70.1 Revenue decreased 5.4% - $70 $63.8 Q/Q and 6.2% Y/Y $60 • Gained traction in the Ortho channel and case shipments $50 exceeded expectations $40 • Invisalign Express case volume was also better than $30 we had anticipated and offset lower training revenue $20 • International revenue decreased 12% sequentially, $10 as expected due to seasonality $0 Q107 Q207 Q307 Q407 Q108 Q208 Q308 Q408 Q109 *Q207 includes 4K cases or $5.2M from the reduction of backlog caused by the allocation of capacity to the Patients First Program during Q406 and Q107. GAAP Financials 17 Align Technology, Inc. All rights reserved.
  • 18. Gross Margin Trend Q109 Gross Margin Highlights 80% • Increase of 2.5% pts Q/Q 75.2% 75.0% and 1.4% pts Y/Y 74.7% 74.6% 73.6% 73.8% 73.6% 75% 72.5% 72.7% • Sequential increase in gross margin reflects lower manufacturing-related costs. 70% In addition, lower training revenue had a favorable 65% impact as training carries nominal gross margin 60% • Includes $386K in stock based compensation expense 55% 50% Q107 Q207 Q307 Q407 Q108 Q208 Q308 Q408 Q109 GAAP Financials 18 Align Technology, Inc. All rights reserved.
  • 19. Operating Expenses Trend $M $70 Q109 OpEx* Highlights • Decreased 4.1% Q/Q and $60 $55.8 8.0% Y/Y $50.5 $48.5* $48.5* $48.4 $46.5* • Includes 2 one-time items: $50 $44.9 $42.9 $1.5 million credit for - $39.2 insurance reimbursement $40 $910K restructuring charge - related to Oct 08 actions $30 $20 $10 $0 Q107 Q207 Q307 Q407 Q108 Q208 Q308 Q408 Q109 * Non-GAAP A reconciliation of GAAP to Non-GAAP can be found at http://investor.aligntech.com under Financial Information > Quarterly Results for each respective quarter. 19 Align Technology, Inc. All rights reserved.
  • 20. Operating Margin Trend 20% Q109 Op Margin* Highlights 17.6% 18% • Increase of 1.6% pts. Q/Q 16% and 2.6% pts. Y/Y 14% • Sequential increase in 11.7% operating margins resulted 10.5%* 12% 11.0% from higher gross margin, * 10% lower operating expenses, 8.8% and the benefit of a $1.5 7.2%* 8% 6.9% million credit for insurance 6.2% reimbursement. 6% 4.8% 4% 2% 0% Q107 Q207 Q307 Q407 Q108 Q208 Q308 Q408 Q109 * Non-GAAP A reconciliation of GAAP to Non-GAAP can be found at http://investor.aligntech.com under Financial Information > Quarterly Results for each respective quarter. 20 Align Technology, Inc. All rights reserved.
  • 21. Balance Sheet Highlights Q109 Q408 Q108 Cash, Cash Equivalents, & Short Term Marketable $124.7 $110.2M $132.4M Securities Cash Flow from $10.6M $8.8M $3.2M Operations DSOs 66 days 64 days 57 days • In Q1, deferred revenue on the balance sheet has grown by $2.9M or 18% sequentially. This predominantly represents the revenue deferrals associated with Invisalign Teen and Assist. This revenue will begin to be recognized in the P&L as cases complete towards the end of 2009, early 2010. 21 Align Technology, Inc. All rights reserved.
  • 22. Financial Outlook 22 Align Technology, Inc. All rights reserved.
  • 23. Q2 Fiscal 2009 Outlook Q2 09 Outlook Fiscal 2009 Outlook Revenue $67.5M – $70.5M Gross Margin 74.5% – 75.0% Operating Expenses $50.5M – $52.0M Non-GAAP Operating Expenses $49.9M – $51.4M GAAP Operating Margin 0% – 1% Non-GAAP Operating Margin 1% - 2% GAAP EPS, diluted $0.00 – $0.01 Non-GAAP EPS, diluted $0.01 – $0.02 Stock based compensation $4.9M $17.5M Diluted shares outstanding 67M 67M Case Shipments 48K – 50K Cash $122M - $126M DSOs Mid 60’s A reconciliation of GAAP to Non-GAAP can be found at http://investor.aligntech.com under Financial Information > Quarterly Results for each respective quarter. 23 Align Technology, Inc. All rights reserved.
  • 24. Q2 Fiscal 2009 Business Outlook • Due to normal seasonality in the Orthodontic business, we anticipate some geographic shift in Q2 revenue, with North America Ortho channel being down sequentially, offset by some growth internationally • If Euro softens against the dollar, like it did in Q4 08, there may be an impact on revenues • Just completed the transition to run the Juarez manufacturing operation on an independent basis and will begin to benefit from the cost savings over the remainder of quarter and fiscal year. Approximately 495 employees from our 3rd party service provider are now Align employees • The sequential growth in OpEx reflects an increase in media advertising including the launch of our Invisalign Teen PR campaign, continued investment internationally, as well as spending related to several major customer events 24 Align Technology, Inc. All rights reserved.
  • 25. Q1 Fiscal 2009 Summary • Pleased with progress this quarter, particularly in the North American Ortho channel • Many practices and their patients continue to face financial challenges • In this environment, we remain focused on our top priorities and continue to manage expenses closely • Actions we took to lower our cost base will enable us to continue investing in our strategic initiatives while driving for overall profitability in 2009 25 Align Technology, Inc. All rights reserved.
  • 26. Major Milestone – Align Ships One Millionth Case • On April 8, Align shipped its one millionth case to Dr. James Kohl, an orthodontist in Wilmette, Illinois • Dr. Kohl was one of the first doctors to embrace Invisalign treatment in his practice Dr. James Kohl, dds • His “one in a million” patient is 16 years old, and she came into Dr. Kohl’s office today to receive her first set of Invisalign Teen aligners 26 Align Technology, Inc. All rights reserved.
  • 27. Contact Align Technology Investors Relations at: • Email: investorinfo@aligntech.com • Tel: (408) 470-1000 • Shirley Stacy, Senior Director, Investor Relations • Yin Cantor, Manager, Investor Relations 27 Align Technology, Inc. All rights reserved.
  • 28. Additional Data Historical Information as of 3/31/09 Note: Some previously provided historical information has been adjusted to reflect changes in rounding methodology. 28 Align Technology, Inc. All rights reserved.
  • 29. Cases Shipped By Channel 60,000 55,015 52,865 52,050 52,800 52,645 50,835 51,770 50,060 50,000 45,020 38,690 39,010 40,000 36,655 35,700 30,000 20,000 10,000 0 1Q 06 2Q 06 3Q 06 4Q 06 1Q 07 2Q 07 3Q 07 4Q 07 1Q 08 2Q 08 3Q 08 4Q 08 1Q 09 International 4,215 5,005 4,450 5,535 5,560 7,140 7,290 8,070 8,330 9,675 9,135 10,780 9,835 18,465 19,515 18,290 19,105 22,450 27,670 26,470 25,430 25,850 27,105 25,695 24,855 23,335 N.A. GP 13,975 14,170 12,960 14,370 17,010 20,205 18,290 17,335 17,590 18,085 17,970 17,010 16,890 N.A. Ortho 29 Align Technology, Inc. All rights reserved.
  • 30. Total # of Doctors Cases Were Shipped To 20,000 17,670 17,550 17,590 17,365 18,000 16,950 16,225 16,245 16,190 16,000 14,290 14,000 13,245 12,170 11,750 11,620 12,000 10,000 8,000 6,000 4,000 2,000 - 1Q 06 2Q 06 3Q 06 4Q 06 1Q 07 2Q 07 3Q 07 4Q 07 1Q 08 2Q 08 3Q 08 4Q 08 1Q 09 International 1,555 1,750 1,640 1,895 1,960 2,305 2,330 2,510 2,630 2,915 2,900 3,160 3,070 7,165 7,555 7,360 7,930 8,750 10,135 10,200 10,040 10,640 11,025 10,920 10,760 10,625 N.A. GP 2,900 2,865 2,750 3,420 3,580 3,785 3,715 3,640 3,680 3,730 3,730 3,670 3,670 N.A. Ortho 30 Align Technology, Inc. All rights reserved.
  • 31. Utilization Rate* 6.0 5.0 4.0 3.0 2.0 1.0 0.0 1Q 06 2Q 06 3Q 06 4Q 06 1Q 07 2Q 07 3Q 07 4Q 07 1Q 08 2Q 08 3Q 08 4Q 08 1Q 09 4.8 5.0 4.7 4.2 4.8 5.3 4.9 4.8 4.8 4.9 4.8 4.6 4.6 N.A. Ortho 2.6 2.6 2.5 2.4 2.6 2.7 2.6 2.5 2.4 2.5 2.4 2.3 2.2 N.A. GP 2.7 2.9 2.7 2.9 2.8 3.1 3.1 3.2 3.2 3.3 3.2 3.4 3.2 International *Utilization Rate = # of Cases Shipped / # of Doctors Cases Are Shipped To 31 Align Technology, Inc. All rights reserved.
  • 32. Average Selling Price (ASP) $1,800 $1,700 $1,600 $1,500 $1,400 $1,300 $1,200 $1,100 $1,000 4Q 07 1Q 08* 2Q 08 3Q 08 1Q 06 2Q 06 3Q 06 4Q 06 1Q 07 2Q 07 3Q 07 4Q 08 1Q 09 International $1,650 $1,660 $1,635 $1,725 $1,650 $1,630 $1,585 $1,760 $1,705 $1,700 $1,656 $1,510 $1,450 $1,275 $1,295 $1,295 $1,320 $1,345 $1,325 $1,320 $1,360 $1,385 $1,385 $1,385 $1,365 $1,365 Blended * Beginning in Q1 2008, ASPs reflect gross revenue prior to impact from new products deferrals Beginning in Q1 2009, blended ASPs do not include Align's retainer business 32 Align Technology, Inc. All rights reserved.