Stryker reports 2016 results and 2017 outlook

GlobeNewswire

Kalamazoo, Michigan – January 24, 2017 – Stryker Corporation (SYK) reported 2016 operating results for the fourth quarter and full year and 2017 outlook:

Fourth Quarter Highlights
Net sales grew 16.2% to $3.2 billion (16.8% constant currency)

Orthopaedics 5.3 % or 5.7% constant currency
MedSurg 31.1 % or 32.1% constant currency
Neurotechnology and Spine 8.7 % or 8.6% constant currency

Reported net earnings per diluted share decreased 2.9% to $1.34
Adjusted net earnings per diluted share(1) increased 14.1% to $1.78

Full Year Highlights
Net sales grew 13.9% to $11.3 billion (14.3% constant currency)

Orthopaedics 4.7 % or 5.1% constant currency
MedSurg 25.6 % or 26.3% constant currency
Neurotechnology and Spine 9.9 % or 9.8% constant currency

Reported net earnings per diluted share increased 15.1% to $4.35
Adjusted net earnings per diluted share(1) increased 13.3% to $5.80

“I am pleased with our performance in both the fourth quarter and the full year 2016,” said Kevin A. Lobo, Chairman and Chief Executive Officer. “Fourth quarter organic sales growth of 6.7% versus a strong prior year is impressive and was balanced across Orthopaedics, MedSurg and Neurotechnology and Spine. In addition, we executed well on acquisitions and delivered leveraged adjusted earnings gains. We enter 2017 with good momentum across our businesses and look forward to building on this success.”

Sales Analysis

Consolidated net sales of $3.2 billion and $11.3 billion increased 16.2% and 13.9% as reported in the quarter and full year and 16.8% and 14.3% in constant currency, as foreign currency exchange rates negatively impacted net sales by 0.6% and 0.4%. Excluding the 10.1% and 7.9% impact of acquisitions, net sales increased 6.7% and 6.4% in constant currency, including 8.2% and 7.8% from increased unit volumes partially offset by 1.5% and 1.4% in lower prices. The acquisitions of Sage Products LLC and Physio-Control International, Inc., contributed $258 million and $740 million to our consolidated net sales in the quarter and full year.

Orthopaedics net sales of $1.2 billion and $4.4 billion increased 5.3% and 4.7% as reported in the quarter and full year and 5.7% and 5.1% in constant currency, as foreign currency exchange rates negatively impacted net sales by 0.4% in both periods. Excluding the 0.4% and 0.3% impact of acquisitions, net sales increased 5.3% and 4.8% in constant currency, including 7.8% and 6.9% from increased unit volumes partially offset by 2.5% and 2.1% in lower prices.

MedSurg net sales of $1.4 billion and $4.9 billion increased 31.1% and 25.6% as reported in the quarter and full year and 32.1% and 26.3% in constant currency in the quarter and full year, as foreign currency exchange rates negatively impacted net sales by 1.0% and 0.7%. Excluding the 23.8% and 19.1% impact of acquisitions, net sales increased 8.3% and 7.2% in constant currency, including 8.9% and 7.8% from increased unit volumes partially offset by 0.6% in lower prices in both periods.

Neurotechnology and Spine net sales of $526 million and $2.0 billion increased 8.7% and 9.9% as reported in the quarter and full year and 8.6% and 9.8% in constant currency, as foreign currency exchange rates positively impacted net sales by 0.1% in both periods.  Excluding the 1.9% and 1.4% impact of acquisitions, net sales increased 6.7% and 8.4% in constant currency, including 8.1% and 9.8% from increased unit volumes partially offset by 1.4% in lower prices in both periods.

Earnings Analysis

Reported net earnings decreased 2.3% in the quarter to $510 million and increased 14.5% to $1.6 billion in the full year. Reported net earnings per diluted share decreased 2.9% in the quarter to $1.34 and increased 15.1% to $4.35 in the full year. Reported net earnings includes charges for the amortization of purchased intangible assets, restructuring-related activities, Rejuvenate and ABG II recall, acquisition and integration related activities and certain tax matters. The effect of each of these matters on reported net earnings and net earnings per diluted share appears in the reconciliation of actual results to adjusted results. Excluding the impact of these charges increases gross profit margin in the quarter from 66.1% to 66.3% and for the full year from 66.2% to 66.6% and increases operating income margin in the quarter from 20.9% to 27.7% and for the full year from 19.1% to 25.5%.

Excluding the impact of the items described above, adjusted net earnings(2) of $675 million and $2.2 billion increased 14.2% and 12.6%, in the quarter and full year. Adjusted net earnings per diluted share(1) of $1.78 and $5.80 increased 14.1% and 13.3% in the quarter and full year.

XTNT Announces Closing of Registered Direct Offering

BELGRADE, Mont., Jan. 18, 2017 (GLOBE NEWSWIRE) — Xtant Medical Holdings, Inc. (NYSE MKT:XTNT), a leader in the development, manufacturing and marketing of orthopedic products for domestic and international markets, today has announced the closing of a registered direct offering conducted without an underwriter or placement agent (the “Offering”).  The Offering closed on January 17, 2017 and was with certain holders of its convertible promissory notes (“Indenture Notes”) to purchase a total of 843,289 shares of its common stock.  The common stock was sold at a negotiated price of $0.5692 per share.

All of the proceeds of the Offering were applied to set off interest owed by Xtant under certain of the Indenture Notes to the purchasers of the common stock. The Company was required to make interest payments on January 15, 2017 (which were due on January 17, 2017, the immediately following business day), to the holders of the Indenture Notes, aggregating $2,040,000, of which $480,000 were satisfied by the Offering.  All expenses of the Offering will be paid by the Company from cash on hand.

If you have questions about the Offering, please contact Xtant Investor Relations by calling (877) 889-1972 or writing to investorrelations@cg.capital.

This press release shall not constitute an offer to sell or the solicitation of an offer to buy shares of common stock, nor shall there be any sale of common stock in any state or other jurisdiction in which such offer, solicitation or sale would be unlawful prior to the registration or qualification under the securities laws of any such state or other jurisdiction.

About Xtant Medical Holdings

Xtant Medical Holdings, Inc. (NYSE MKT:XTNT) develops, manufactures and markets class-leading regenerative medicine products and medical devices for domestic and international markets. Xtant products serve the specialized needs of orthopedic and neurological surgeons, including orthobiologics for the promotion of bone healing, implants and instrumentation for the treatment of spinal disease, tissue grafts for the treatment of orthopedic disorders, and biologics to promote healing following cranial, and foot and ankle surgeries. With core competencies in both biologic and non-biologic surgical technologies, Xtant can leverage its resources to successfully compete in global neurological and orthopedic surgery markets. For further information, please visit www.xtantmedical.com.

Important Cautions Regarding Forward-looking Statements

This press release contains certain disclosures that may be deemed forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995 that are subject to significant risks and uncertainties. Forward-looking statements include statements that are predictive in nature, that depend upon or refer to future events or conditions, or that include words such as “continue,” “efforts,” “expects,” “anticipates,” “intends,” “plans,” “believes,” “estimates,” “projects,” “forecasts,” “strategy,” “will,” “goal,” “target,” “prospects,” “potential,” “optimistic,” “confident,” “likely,” “probable” or similar expressions or the negative thereof.

Statements of historical fact also may be deemed to be forward-looking statements. We caution that these statements by their nature involve risks and uncertainties, and actual results may differ materially depending on a variety of important factors, including, among others: our ability to integrate the acquisition of X-spine Systems, Inc. and any other business combinations or acquisitions successfully; our ability to remain listed on the NYSE MKT; our ability to obtain financing on reasonable terms; our ability to increase revenue; our ability to comply with the covenants in our credit facility; our ability to maintain sufficient liquidity to fund our operations; the ability of our sales force to achieve expected results; our ability to remain competitive; government regulations; our ability to innovate and develop new products; our ability to obtain donor cadavers for our products; our ability to engage and retain qualified technical personnel and members of our management team; the availability of our facilities; government and third-party coverage and reimbursement for our products; our ability to obtain regulatory approvals; our ability to successfully integrate recent and future business combinations or acquisitions; our ability to use our net operating loss carry-forwards to offset future taxable income; our ability to deduct all or a portion of the interest payments on the notes for U.S. federal income tax purposes; our ability to service our debt; product liability claims and other litigation to which we may be subjected; product recalls and defects; timing and results of clinical studies; our ability to obtain and protect our intellectual property and proprietary rights; infringement and ownership of intellectual property; our ability to remain accredited with the American Association of Tissue Banks; influence by our management; our ability to pay dividends; our ability to issue preferred stock; and other factors.

Additional risk factors are listed in the Company’s Annual Report on Form 10-K and Quarterly Reports on Form 10-Q under the heading “Risk Factors.” You should carefully consider the trends, risks and uncertainties described in this document, the Form 10-K and other reports filed with or furnished to the SEC before making any investment decision with respect to our securities. If any of these trends, risks or uncertainties actually occurs or continues, our business, financial condition or operating results could be materially adversely affected, the trading prices of our securities could decline, and you could lose all or part of your investment. The Company undertakes no obligation to release publicly any revisions to any forward-looking statements to reflect events or circumstances after the date hereof or to reflect the occurrence of unanticipated events, except as required by law. All forward-looking statements attributable to us or persons acting on our behalf are expressly qualified in their entirety by this cautionary statement.

Investor Contact
CG CAPITAL
Rich Cockrell
877.889.1972
investorrelations@cg.capital

Company Contact
Molly Mason
mmason@xtantmedical.com
Xtant Medical Holdings, Inc.

Medtronic Will Experience Stellar Growth Over The Next Five Years

 – December 29, 2016

Summary

Medtronic’s share price dropped when the company missed revenue estimates.

Recent acquisitions and medical innovations put Medtronic in a strong position.

Over the next five years, the company is predicting growth of 7.8% per year.

Payouts will increase in 2017.

Dividend investors should jump into Medtronic (NYSE:MDT) now. Today’s share price is $71.25, reflecting an overreaction to Medtronic’s third quarter earnings report in which the company exceeded earnings per share forecasts, but failed to meet revenue expectations, missing by $160 million.

Despite the revenue glitch, which the company ascribed to production holdups, Medtronic’s health is better than ever. Over the previous five year period, the company’s yearly revenue increased from $16 billion in 2011 to $28 billion in 2015 and should continue to increase over the next five years for a number of reasons.

 

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FUSE MEDICAL, INC. Announces $720,000 Capital Investment and New Leadership

FORT WORTH, Texas, Dec. 22, 2016 /PRNewswire/ — Fuse Medical, Inc. (OTC: FZMD) (“Fuse” or the “Company”) announced today that it closed on a capital investment from local healthcare executives Mark W. Brooks and Christopher C. Reeg.  Messrs. Brooks and Reeg bring over 50 years of combined experience in the ancillary healthcare market and have partnered in the formation and operation of multiple high-growth healthcare ventures. Mr. Reeg currently serves as the President and Founder of Maxim Surgical, a manufacturer and distributor of spinal and orthopedic implants. Mr. Brooks currently serves as Chief Executive Officer of CPM Medical Consultants, LLC, a privately-owned national distributor of medical devices and regenerative tissue.

Mr. Brooks acquired 5,000,000 shares of the Company’s common stock for a purchase price of $400,000, and Mr. Reeg acquired 4,000,000 shares of the Company’s common stock for a purchase price of $320,000. The 9,000,000 shares acquired by Messrs. Brooks and Reeg represent in the aggregate approximately 57% of the Company’s outstanding common stock after the closing.

In connection with the closing of the investment, effective December 19, 2016, the Company’s Board of Directors has appointed Mr. Brooks as Chairman of the Board and Mr. Reeg as Chief Executive Officer of the Company. Christopher C. Pratt, D.O. resigned from his position as Chief Executive Officer, and Robert H. Donehew resigned from his positions as Chairman of the Board and Chief Operating Officer.

Also in connection with the closing, Mr. Brooks, Mr. Reeg, Dr. Pratt and Mr. Donehew entered into a Voting Agreement with the Company pursuant which they have agreed to cause the size of the Company’s Board of Directors to be increased to five members and, for a period of six months, to cause three persons designated by Mr. Brooks and Mr. Reeg and two persons designated by Dr. Pratt and Mr. Donehew to be elected as directors of the Company. Mr. Brooks and Mr. Reeg have designated themselves and William E. McLaughlin, III for election, and each of them has been elected as a director effective December 19, 2016, and Dr. Pratt and Mr. Donehew will continue to serve as directors.  Rusty Shelton and Randall Dei have resigned from the Company’s Board of Directors.

Mr. McLaughlin is a Certified Public Accountant licensed in the State of Texas and has over 25 years of experience in accounting and financial reporting positions for private and large public companies traded on the NYSE and NASDAQ, in addition to “Big-Four” public accounting. Mr. McLaughlin currently serves as Chief Financial Officer of CPM Medical Consultants, LLC.  Mr. McLaughlin will not be employed by the Company and satisfies the requirements for independent directors and audit committee financial experts, and he will lead the Company’s efforts to establish an Audit Committee.

Dr. Pratt commented, “We are thrilled Mark and Chris have selected Fuse as their long-term strategic platform. They bring added healthcare and financial expertise to our Board of Directors and management team. This is a relationship that will drive success and longevity for Fuse. The Company’s Board of Directors view their significant investment in Fuse as a vote of confidence in our business and our long-term growth prospects, and we look forward to working together to grow and shape our product distribution portfolio.”

“Although the Fuse Board will miss Rusty Shelton and Randall Dei, they have been an instrumental part of developing the Fuse story and we are grateful for their fine contributions,” Mr. Donehew added.

About Fuse Medical, Inc.
Fuse is a national distributor and provider of surgical implants and regenerative tissue for the orthopedic and spine markets and offers a full-line product portfolio. The Company is committed to delivering the highest quality and most cost efficient products to hospitals, surgical centers, physicians and other medical providers across a broad continuum of care. For more information about Fuse, please visit: www.fusemedical.com.

Forward Looking Statements
This release may contain forward-looking statements within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities and Exchange Act of 1934. Forward-looking statements are based on current beliefs and expectations and involve certain assumptions or estimates that involve various risks and uncertainties, such as financial market conditions and the other risks discussed in detail in the Company’s Annual Report on Form 10-K for the year ended December 31, 2015 and other subsequent filings with the Securities and Exchange Commission. Readers should not place undue reliance on any such forward-looking statements, which are made only as of the date hereof. Fuse has no duty, and assumes no obligation, to update forward-looking statements as a result of new information, future events or changes in the Company’s expectations.

Contact:
Fuse Medical, Inc.
1300 Summit Avenue, Suite 670
Fort Worth, Texas 76102
(817) 439-7025 Office

 

SOURCE Fuse Medical, Inc.

Related Links

http://www.fusemedical.com

Latest Hospital Injury Penalties Include Crackdown On Antibiotic Resistant Germs

The federal government has cut payments to 769 hospitals with high rates of patient injuries, for the first time counting the spread of antibiotic-resistant germs in assessing penalties.

The punishments come in the third year of Medicare penalties for hospitals with patients most frequently suffering from potentially avoidable complications, including various types of infections, blood clots, bed sores and falls. This year the government also examined the prevalence of two types of bacteria resistant to drugs.

Based on rates of all these complications, the hospitals identified by federal officials this week will lose 1 percent of all Medicare payments for a year — with that time frame beginning this past October.  While the government did not release the dollar amount of the penalties, they will exceed a million dollars for many larger hospitals. In total, hospitals will lose about $430 million, 18 percent more than they lost last year, according to an estimate from the Association of American Medical Colleges.

The reductions apply not only to patient stays but also will reduce the amount of money hospitals get to teach medical residents and care for low-income people.

Forty percent of the hospitals penalized this year escaped punishment in the first two years of the program, a Kaiser Health News analysis shows. Those 306 hospitals include the University of Miami Hospital in Florida, Cambridge Health Alliance in Massachusetts, the University of Michigan Health System in Ann Arbor and Mount Sinai Hospital in New York City.

Nationally, hospital-acquired conditions declined by 21 percent between 2010 and 2015, according to the federal Agency for Healthcare Research and Quality, or AHRQ. The biggest reductions were for bad reactions to medicines, catheter infections and post-surgical blood clots.

Still, hospital harm remains a threat. AHRQ estimates there were 3.8 million hospital injuries last year, which translates to 115 injuries during every 1,000 patient hospital stays during that period.

Each year, at least 2 million people become infected with bacteria that are resistant to antibiotics, including nearly a quarter million cases in hospitals. The Centers for Disease Control and Prevention estimates 23,000 people die from them.

Infection experts fear that soon patients may face new strains of germs that are resistant to all existing antibiotics. Between 20 and 50 percent of all antibiotics prescribed in hospitals are either not needed or inappropriate, studies have found. Their proliferation — inside the hospital, in doctor’s prescriptions and in farm animals sold for food — have hastened new strains of bacteria that are resistant to many drugs.

 

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Surgical Navigation Systems in the US Driven by the Increasing Adoption of Ambulatory Surgical Centers: Technavio

December 23, 2016

LONDON–(BUSINESS WIRE)–According to the latest market study released by Technavio, the surgical navigation systems market in the US is expected to grow at a CAGR of almost 6% during the forecast period.

This research report titled ‘Surgical Navigation Systems Market in the US 2016-2020’ provides an in-depth analysis of the market in terms of revenue and emerging market trends. This market research report also includes up to date analysis and forecasts for various market segments and all geographical regions.

One of the most important factors driving this market is the expansion of outpatient settings. Studies have proved computer-assisted surgeries to be more precise and less risky, resulting in improved quality of life for the patient. The procedures are pre-programmed into a surgical navigation system, and can be carried out in outpatient settings with the assistance of an experienced surgeon. This has resulted in an increased number of ambulatory surgical centers (ASCs) where even the most complex spinal surgeries can be performed in a safe and sterilized setting.

Other key drivers for this market are the growing popularity of minimally invasive surgeries, ever broadening applications of surgical navigation systems, and innovative marketing strategies used by vendors. Due to the increasing demand for surgical navigation systems, manufacturers are focusing on developing portable and lightweight systems equipped with the latest, cutting-edge software capabilities.

Request a sample report: http://www.technavio.com/request-a-sample?report=55087

Technavio’s sample reports are free of charge and contain multiple sections of the report including the market size and forecast, drivers, challenges, trends, and more.

Based on application, the report categorizes the surgical navigation systems market in the US into the following segments:

  • Neurosurgical navigation systems
  • Orthopedic surgical navigation systems
  • ENT surgical navigation systems
  • Spine surgical navigation systems

Neurosurgical navigation systems

The neurosurgical navigation systems market represents the largest segment of the surgical navigation systems market in the US. This system is ideal for surgeries related to cranial tumors and neurological disorders. There has been an increase in the use of frameless stereotaxy and MRI image-guided navigation for obtaining brain biopsies and in tumor resurrection procedures. This has clearly demonstrated improved surgical outcomes for complex spinal surgeries,” says Barath Palada, one of the lead analysts at Technavio for medical devices research.

With the increase in the volume of neurosurgical procedures across the US and high adoption of minimally invasive surgeries, the demand for neurosurgical navigation systems is on the rise. These systems have also shown to lessen the extent of neurological functioning when compared to traditional surgeries. This is mainly due to the availability exact mapping for a variety of cortical functions like sensory, motoric, speech, and language functions, and for visualizing subcortical pathways for both benign and malignant brain tumors.

Orthopedic surgical navigation systems

The orthopedic surgical navigation market represents the second largest surgical navigation systems in the US. Statistics show that the number of people suffering from musculoskeletal diseases is growing. The American Academy of Orthopedic Surgeons (AAOS), hospital discharge data has shown that an increasing number of patients are undergoing knee replacements and this rate has jumped up by 120% over a 10-year period, and overall hip replacement cases have also doubled in the past decade.

In this scenario, with a growing number of orthopedic surgeries, the surgical navigation system will be ideal for several procedures including joint arthroplasties, total hip arthroplasty, total shoulder arthroplasty, limb-salvage techniques and fracture surgeries. Computer-assisted orthopedic surgery (CAOS) system comprises of 3D image-guided and non-image based navigation systems, intraoperative fluoroscopic navigation, robotic-assistance tools, and intraoperative visualization devices.

ENT surgical navigation systems

The ENT surgical navigation market represents the newest and fastest growing segment in the surgical navigation systems market in the US. With the rising number of ASCs, the outpatient setting of the surgical navigation system is establishing itself as a popular option for most patients opting for ENT. In 2015, 92% of the ear and 87% of the nasal surgeries were performed in ASCs in an outpatient setting,” says Barath.

ENT navigation systems are especially beneficial as these surgeries include working with delicate anatomies, such as optic nerves, blood vessels, eyes, and the nasal region, which are beyond the view of the endoscope. These systems help in precise navigation of surgical instruments through complex sinus passages without causing any damage to the surrounding anatomy.

Spine surgical navigation systems

Spinal fusion surgeries are performed to relieve pain arising due to injury, degenerative disc disease, spinal curvatures or arthritis. This surgery is most commonly carried out through surgical navigation systems in the US. Additionally, extremely precise placement of implants like pedicle screws is assured by computer assisted navigation when compared to other conventional surgeries. This is especially true during treatment of spinal instability caused by degenerative disc disease, spinal stenosis, spondylolisthesis, deformity, fractures, tumors, and infection. Usage of CT-guided or 3D fluoroscopy-based navigation systems has clearly demonstrated an increase in the accuracy up to 98% and lessen the need for re-operating.

The top vendors highlighted by Technavio’s research analysts in this report are:

  • B. Braun Melsungen
  • Brainlab
  • GE Healthcare
  • Medtronic
  • Stryker

Browse Related Reports:

Become a Technavio Insights member and access all three of these reports for a fraction of their original cost. As a Technavio Insights member, you will have immediate access to new reports as they’re published in addition to all 6,000+ existing reports covering segments like patient monitoring devices, medical imaging, and life science research tools. This subscription nets you thousands in savings, while staying connected to Technavio’s constant transforming research library, helping you make informed business decisions more efficiently.

About Technavio

Technavio is a leading global technology research and advisory company. The company develops over 2000 pieces of research every year, covering more than 500 technologies across 80 countries. Technavio has about 300 analysts globally who specialize in customized consulting and business research assignments across the latest leading edge technologies.

Technavio analysts employ primary as well as secondary research techniques to ascertain the size and vendor landscape in a range of markets. Analysts obtain information using a combination of bottom-up and top-down approaches, besides using in-house market modeling tools and proprietary databases. They corroborate this data with the data obtained from various market participants and stakeholders across the value chain, including vendors, service providers, distributors, re-sellers, and end-users.

If you are interested in more information, please contact our media team at media@technavio.com.

Contacts

Technavio Research
Jesse Maida
Media & Marketing Executive
US: +1 630 333 9501
UK: +44 208 123 1770
www.technavio.com

Under Trump, the medical device industry will likely be the first to benefit from tax cuts

 

 

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Integra LifeSciences Announces Approval of Two-for-One Stock Split

PLAINSBORO, N.J., Dec. 22, 2016 (GLOBE NEWSWIRE) — Integra LifeSciences Holdings Corporation (NASDAQ:IART) today announced that its stockholders approved a two-for-one stock split and an increase from 60 million to 240 million authorized shares of the Company’s common stock at a special meeting of stockholders held on Wednesday, December 21, 2016.

Holders of record, as of the close of markets on December 21, 2016, will be entitled to receive one additional share of common stock for each share held.  The shares are expected to be distributed on January 3, 2017.  The adjusted stock price is expected to be reflected on the NASDAQ stock market on January 4, 2017.

About Integra LifeSciences
Integra LifeSciences Holdings Corporation, a world leader in medical technology, is dedicated to limiting uncertainty for clinicians, so they can concentrate on providing the best patient care. Integra offers innovative solutions, including leading plastic and regenerative technologies, in specialty surgical solutions, orthopedics and tissue technologies. For more information, please visit www.integralife.com.

Statements made at the upcoming conferences may be forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Such forward-looking statements involve risks and uncertainties that could cause actual results to differ from predicted results. Forward-looking factors that may be discussed include, but are not limited to, future financial performance, new product development, governmental approvals, market potential and resulting sales as well as potential therapeutic applications, and additional acquisitions. These risks and uncertainties include market conditions and other factors beyond the Company’s control and the economic, competitive, governmental, technological and other factors identified under the heading “Risk Factors” included in item 1A of Integra’s Annual Report on Form 10-K for the year ended December 31, 2015 and information contained in subsequent filings with the Securities and Exchange Commission could affect actual results. These forward-looking statements are made only as the date thereof, and the Company undertakes no obligation to update or revise the forward-looking statements, whether as a result of new information, future events or otherwise.

 

Contacts:

Integra LifeSciences Holdings Corporation

Investor Relations:

Angela Steinway
(609) 936-2268
angela.steinway@integralife.com   

Michael Beaulieu
(609) 750-2827
michael.beaulieu@integralife.com

Should Medicare Allow Outpatient Knee Replacement? Doctors Are Deeply Split

Five years ago, Dr. Ira Kirschenbaum, an orthopedic surgeon in the Bronx who replaces more than 200 knees each year, would have considered it crazy to send a patient home the same day as a knee replacement operation.

And yet there he was this year, as the patient, home after a few hours. A physician friend pierced his skin at 8 a.m. at a Seattle-area surgery center. By lunch, Dr. Kirschenbaum was resting at his friend’s home, with no pain and a new knee.

“I’m amazed at how well I’m doing,” Dr. Kirschenbaum, 59, said recently in a phone interview, nine weeks after the operation.

What felt to Dr. Kirschenbaum like a bold experiment may soon become far more standard. Medicare, which spends several billions of dollars a year on knee replacements for its beneficiaries — generally Americans 65 and older — is contemplating whether it will help pay for knee replacement surgery outside the hospital, in either free-standing surgery centers or outpatient facilities.

The issue is sowing deep discord in the medical world, and the debate is as much about money as medicine. Some physicians are concerned that moving the surgery out of hospitals will land vulnerable patients in the emergency room with uncontrolled pain, blood clots or other complications.

But proponents of the change say it can give patients more choice and potentially better care, as well as save Medicare hundreds of millions of dollars. Already, an “overwhelming majority” of commenters said they want to allow the operations out of hospitals, according to recent rule-making documents.

The final decision, which could come within a year, would also act as a test of sorts for Donald J. Trump and his new administration. They will weigh whether to limit government controls, as Mr. Trump has often suggested, or to bend to pressure from hospitals and doctors, many of whom oppose the change.

“I think the question will come down to two things,” said David Muhlestein, senior director for research at Leavitt Partners, a leading health consulting firm. “It’s the balance of trying to reduce regulations and let the market function — and the competing interest of vested parties.”

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Stryker to build $130-million corporate campus in Portage, add 105 jobs

By Tom Haroldson | Special to MLive

PORTAGE, MI – Stryker Corp. plans to build a $130-million corporate campus on nearly 300 acres in Portage, creating an estimated 105 new jobs over three years.

The proposal for Stryker’s medical instruments division involves 485,000 square feet of facilities that will include a customer experience center, functioning showroom, state-of-the-art research and development lab and a bio-skills lab for research and new product development. It will also include ffice space for sales, marketing and support functions.

The new campus will be built on 288 acres of land zoned industrial and bordered by Portage Road, East Milham Avenue and Ramona Avenue that Stryker purchased in October from Pfizer Inc. for $8.5 million, according to city documents.

The land is undeveloped and is near other Stryker facilities on Portage, Sprinkle and Romence roads. The company’s world headquarters is on Airview Road, just up Portage Road from the project property.

The Michigan Economic Development Corp. announced the project Tuesday, Dec. 20 in a press release. The agency’s Michigan Strategic Fund Board approved a $1 million grant for the project. The money will be primarily used to offset recruiting and training costs.

Stryker is expected to ask the city of Portage for a tax break in February and Kalamazoo County for brownfield redevelopment assistance.

City officials, who have known of the project for weeks, are elated.

 

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