Orthopaedics giant Smith & Nephew to open £8m R&D centre in Hull

3 NOVEMBER 2016 –  By Julia Bradshaw

 

Smith & Nephew, the global medical devices company, will open a state-of-the-art research and development centre in Hull, creating 100 jobs.

Despite the outcome of the EU referendum, the company has decided to invest $10m (£8m) in a brand new European ‘medtech’ centre, to be located in the UK.

The facility will conduct research across all of Smith & Nephew’s divisions, with a focus on wound dressings in particular.

It will employing 100 scientists and other staff, including toxicologists, chemists and engineers. Some will be new roles, while others will be transferred from existing sites in York and the US.

The facility will open in the second quarter of 2017 and chief executive Olivier Bohuon said there would be room to grow the headcount.

He said the orthopaedics giant could have opened the lab anywhere in Europe, but chose the UK.

 

READ THE REST HERE

 

Wright Medical Group N.V. Reports 2016 Third Quarter Financial Results and Updates 2016 Guidance

AMSTERDAM, The Netherlands, Nov. 02, 2016 (GLOBE NEWSWIRE) — Wright Medical Group N.V. (NASDAQ:WMGI) today reported financial results for its third quarter ended September 25, 2016 and provided updated 2016 guidance.  As a result of the previously announced sale of the large joints (hip/knee) business to Corin Orthopaedics Holdings Limited (Corin), this business which was previously reported as a separate reporting segment is now reported as discontinued operations.

As a result of the merger between Wright Medical Group, Inc. and Tornier N.V. on October 1, 2015, legacy Wright’s historical results of operations replaced legacy Tornier’s historical results of operations for all periods prior to the merger and the results of the two legacy businesses have been consolidated only from that date forward in accordance with United States generally accepted accounting principles (GAAP).  This release and Wright’s website at ir.wright.com contain certain unaudited non-GAAP combined pro forma financial results for Wright Medical Group N.V. which give effect to the merger as if it had occurred on the first day of fiscal 2015, as well as reconciliations to the most comparable GAAP measures.

Net sales from continuing operations totaled $157.3 million during the third quarter ended September 25, 2016.  Combined pro forma net sales from continuing operations totaled $144.8 million during the third quarter of 2015.  Global extremities and biologics net sales grew 96% as reported, and on a non-GAAP pro forma constant currency basis, grew 9%.  Gross margins from continuing operations were 70.7% during the quarter ended September 25, 2016 and were 78.2% on a non-GAAP adjusted basis.  Reconciliations of all historical non-GAAP financial measures used in this release to the most comparable GAAP measures can be found in the attached financial tables.

Robert Palmisano, president and chief executive officer, commented, “As anticipated, our third quarter results were impacted by revenue dis-synergies; however, the underlying drivers of growth in our business remain strong as we continued to see excellent growth from new products, in particular our SIMPLICITI and AEQUALIS ASCEND FLEX shoulder systems, our INFINITY total ankle replacement system and the ongoing commercial activities for AUGMENT Bone Graft and the SALVATION limb salvage system.  Global extremities and biologics pro forma constant currency net sales growth of 9%, adjusted EBITDA from continuing operations of $5.7 million and adjusted gross margins from continuing operations of 78.2% reflect the strength of our markets and our unique position in them.”

Net loss from continuing operations for the third quarter of 2016 totaled $53 million, or $(0.51) per diluted share.

The company’s net loss from continuing operations for the third quarter of 2016 included the after-tax effects of $10.3 million of inventory step-up amortization, $6.5 million of transaction and transition costs, a gain of $3.2 million related to mark-to-market adjustments on derivatives, $10.5 million of non-cash interest expense related to its convertible notes, a $2.2 million unrealized loss related to mark-to-market adjustments on contingent value rights (CVRs) issued in connection with the BioMimetic acquisition, and $1.6 million of non-cash inventory provisions associated with a product rationalization initiative.

The company’s third quarter 2016 non-GAAP net loss from continuing operations, as adjusted for the above items, was $27 million.  The company’s third quarter 2016 non-GAAP adjusted EBITDA from continuing operations, as defined in the non-GAAP to GAAP reconciliation provided later in this release, was $5.7 million. The attached financial tables include reconciliations of all historical non-GAAP measures to the most comparable GAAP measures.

Cash and cash equivalents totaled $314.3 million as of the end of the third quarter of 2016.

Company Reaches Settlement Agreement in Metal-On-Metal Hip Litigation and Enters into Settlement Agreement with Three of its Insurance Carriers

In a separate press release issued today, the company announced that it had reached a Master Settlement Agreement (MSA) in its metal-on-metal hip litigation and entered into a Settlement Agreement with three of its insurance carriers (Three Settling Insurers).  Under the terms of the MSA, the parties agreed to settle 1,292 specifically identified CONSERVE, DYNASTY or LINEAGE revision claims which meet the eligibility requirements of the MSA and are either pending in the multi-district litigation (MDL) and the consolidated proceeding pending in state court in California (JCCP), or are subject to tolling agreements approved in the MDL or JCCP, for a total settlement amount of $240 million, of which approximately $180 million will be funded from cash on hand and $60 million will be funded from insurance recoveries.  For additional information, please refer to Wright’s separate press release issued today and the disclosures in its third quarter 2016 quarterly report on Form 10-Q when filed.

Palmisano commented, “We are very pleased to have reached this settlement agreement, in particular the population of claims that the settlement covers as well as the required 95% opt-in rate for those claims.  With this clarity, we will continue to focus on accelerating growth opportunities in the extremities and biologics markets.  This settlement addresses approximately 85% of the known U.S. revision claims that do not have potential statute of limitations issues and removes a great deal of the uncertainty that has been associated with this litigation.”

Palmisano concluded, “One year post the close of the merger of Wright and Tornier, we are a stronger and more focused business.  With the closing of the sale of our large joints business, we are now completely focused on the extremities and biologics markets.  We have completed the integration of our sales forces globally with less revenue dis-synergies this year than we originally anticipated.  We are ahead of schedule on our integration activities and associated benefits.  We have improved our balance sheet and reached a Settlement Agreement for our metal-on-metal hip litigation.  Also, the guidance we are providing today is for sales and adjusted EBITDA well ahead of the expectations we provided at the beginning of the year.  While I am very pleased with what we have accomplished in our first year as a combined company, we are nowhere close to meeting our full potential, and we continue to have great opportunities for improvement.  I believe we are positioned well for future success and achieving our key financial goals of mid-teens constant currency net sales growth, gross margins in the high 70% range and non-GAAP adjusted EBITDA margins of approximately 20% three to four years post the close of the merger.”

Outlook

The company is maintaining the existing midpoint of its net sales from continuing operations for full-year 2016 guidance but narrowing the range to approximately $677 million to $683 million from its previously provided guidance range of $675 million to $685.  The company previously stated it expected dis-synergies to be less than the original guidance of $25 million to $30 million for full-year 2016 and today is formally updating its expectation for dis-synergies to be approximately $15 million for full-year 2016, which is consistent with the assumptions the company used to update its second quarter of 2016 guidance.

The company is also increasing its full-year 2016 non-GAAP adjusted EBITDA from continuing operations, as described in the non-GAAP reconciliation provided later in this release, to be in the range of $43 million to $48 million from its previous range of $40 million to $45 million.  This guidance assumes cost synergies of approximately $25 million for full-year 2016.

The company anticipates non-GAAP adjusted earnings per share from continuing operations, including share-based compensation, as described in the non-GAAP to GAAP reconciliation provided later in this release, for full-year 2016 of $(0.52) to $(0.47) per diluted share.

The company estimates approximately 103.0 million diluted weighted-average ordinary shares outstanding for fiscal year 2016.

The company’s non-GAAP adjusted EBITDA from continuing operations target is measured by adding back to net loss from continuing operations charges for interest, income taxes, depreciation and amortization expenses, non-cash share-based compensation expense and non-operating income and expense. Additionally, the company’s adjusted EBITDA from continuing operations target excludes possible future acquisitions; other material future business developments; due diligence, transaction and transition costs associated with acquisitions and divestitures; amortization of inventory step-up; and charges associated with product rationalization initiatives.  Further, this adjusted EBITDA from continuing operations target excludes any expenses, earnings or losses related to the divested large joints business, legacy Wright’s divested OrthoRecon business and legacy Tornier’s divested ankle replacement and silastic toe products.

The company’s non-GAAP adjusted earnings per share from continuing operations target is measured by adding back to net loss from continuing operations charges for non-cash amortization expenses, net of taxes. Note that as a result of the company’s relatively low effective tax rate due to the valuation allowance impacting a substantial portion of the company’s income/loss, the company is currently estimating the tax effect on amortization expense at 0%. Additionally, this adjusted earnings per share from continuing operations target excludes possible future acquisitions; other material future business developments; non-cash interest expense associated with the 2017, 2020 and 2021 convertible notes; due diligence, transaction and transition costs associated with acquisitions and divestitures; amortization of inventory step-up; charges associated with product rationalization initiatives; mark-to-market adjustments to CVRs; non-cash mark-to-market derivative adjustments; and non-cash write-offs of unamortized debt discount and deferred financing charges associated with the partial settlement of the 2017 convertible notes and 2020 convertible notes. Further, this adjusted earnings per share from continuing operations target excludes any expenses, earnings or losses related to the large joints business.

All of the historical non-GAAP financial measures used in this release are reconciled to the most directly comparable GAAP measures. With respect to the company’s 2016 financial guidance regarding non-GAAP adjusted EBITDA from continuing operations and non-GAAP adjusted earnings per share from continuing operations, however, the company cannot provide a quantitative reconciliation to the most directly comparable GAAP measures without unreasonable effort due to its inability to make accurate projections and estimates related to certain information needed to calculate some of the adjustments as described above. The anticipated differences between these non-GAAP financial measures and the most directly comparable GAAP measure are described above qualitatively.

The company’s anticipated ranges for net sales from continuing operations, non-GAAP adjusted EBITDA from continuing operations, and non-GAAP adjusted earnings per share from continuing operations are forward-looking statements, as are any other statements that anticipate or aspire to future events or performance.  They are subject to various risks and uncertainties that could cause the company’s actual results to differ materially from the anticipated targets.  The anticipated targets are not predictions of the company’s actual performance.  See the cautionary information about forward-looking statements in the “Cautionary Note Regarding Forward-Looking Statements” section of this release.

Supplemental Financial Information

To view the third quarter of 2016 supplemental financial information, visit ir.wright.com.  For updated information on Wright Medical Group N.V. segment reporting changes and non-GAAP combined pro forma historical financial information, including third quarter of 2016, please refer to the presentation posted on Wright’s website at ir.wright.com in the “Financial Information” section.

Internet Posting of Information

Wright routinely posts information that may be important to investors in the “Investor Relations” section of its website at www.wright.com.  The company encourages investors and potential investors to consult the Wright website regularly for important information about Wright.

Conference Call and Webcast

As previously announced, Wright will host a conference call starting at 3:30 p.m. Central Time today.  The live dial-in number for the call is 844-295-9436 (U.S.) / 574-990-1040 (Outside U.S.).  The participant passcode for the call is “Wright.”  A simultaneous webcast of the call will be available via Wright’s corporate website at www.wright.com.

A replay of the call will be available beginning at 5:30 p.m. Central Time on November 2, 2016 through November 9, 2016.  To hear this replay, dial 855-859-2056 (U.S.) / 404-537-3406 (Outside U.S.) and enter passcode 69669971.  A replay of the conference call will also be available via the internet starting today and continuing for at least 12 months.  To access a replay of the conference call via the internet, go to the Investor Relations -Presentations/Calendar” section of the company’s corporate website located at www.wright.com.

The conference call may include a discussion of non-GAAP financial measures.  Reference is made to the most directly comparable GAAP financial measures, the reconciliation of the differences between the two financial measures, and the other information included in this release, the Current Report on Form 8-K filed with the U.S. Securities and Exchange Commission (SEC) today, or otherwise available in the “Investor Relations – Supplemental Financial Information” section of the company’s corporate website located at www.wright.com.

The conference call may include forward-looking statements.  See the cautionary information about forward-looking statements in the “Cautionary Note Regarding Forward-Looking Statements” section of this release.

About Wright Medical Group N.V.

Wright Medical Group N.V. is a global medical device company focused on extremities and biologics products. The company is committed to delivering innovative, value-added solutions improving quality of life for patients worldwide and is a recognized leader of surgical solutions for the upper extremities (shoulder, elbow, wrist and hand), lower extremities (foot and ankle) and biologics markets, three of the fastest growing segments in orthopaedics.  For more information about Wright, visit www.wright.com.

™ and ® denote trademarks and registered trademarks of Wright Medical Group N.V. or its affiliates,  registered as indicated in the United States, and in other countries.  All other trademarks and trade names referred to in this release are the property of their respective owners.

Non-GAAP Financial Measures  

To supplement the company’s consolidated financial statements prepared in accordance with U.S. generally accepted accounting principles, the company uses certain non-GAAP financial measures in this release. Reconciliations of the historical non-GAAP financial measures used in this release to the most comparable GAAP measures for the respective periods can be found in tables later in this release. Wright’s non-GAAP financial measures include combined pro forma net sales; combined pro forma net sales, excluding the impact of foreign currency; net income, as adjusted; EBITDA, as adjusted; gross margin, as adjusted; earnings, as adjusted; and earnings, as adjusted, per diluted share, in each case, from continuing operations. The company’s management believes that the presentation of these measures provides useful information to investors.  These measures may assist investors in evaluating the company’s operations, period over period. While pro forma data gives effect to the merger with Tornier as if it had occurred on the first day of fiscal 2015 and enhances comparability of financial information between periods, pro forma data is not indicative of the results that actually would have been obtained if the merger had occurred as of the beginning of 2015. Wright’s non-GAAP financial measures exclude such items as non-cash interest expense related to the company’s 2017 convertible notes, 2020 convertible notes and 2021 convertible notes, net gains and losses on mark-to-market adjustments on and settlements of derivative assets and liabilities, write-off of unamortized debt discount and deferred financing charges following the partial settlement of 2017 convertible notes and 2020 convertible notes, mark-to-market adjustments on CVRs, and transaction and transition costs, all of which may be highly variable, difficult to predict and of a size that could have substantial impact on the company’s reported results of operations for a period.  It is for this reason that the company cannot provide without unreasonable effort a quantitative reconciliation to the most directly comparable GAAP measures for its 2016 financial guidance regarding non-GAAP adjusted EBITDA from continuing operations and non-GAAP adjusted earnings per share from continuing operations. Management uses the non-GAAP measures in this release internally for evaluation of the performance of the business, including the allocation of resources and the evaluation of results relative to employee performance compensation targets.  Investors should consider non-GAAP financial measures only as a supplement to, not as a substitute for or as superior to, measures of financial performance prepared in accordance with GAAP.

CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS 

This release includes forward-looking statements under the Private Securities Litigation Reform Act of 1995. These forward-looking statements generally can be identified by the use of words such as “anticipate,” “expect,” “intend,” “could,” “may,” “will,” “believe,” “estimate,” “look forward,” “forecast,” “goal,” “target,” “project,” “continue,” “outlook,” “guidance,” “future,” other words of similar meaning and the use of future dates. Forward-looking statements in this release include, but are not limited to, statements about the company’s anticipated financial results for 2016, including net sales from continuing operations, adjusted EBITDA from continuing operations and adjusted earnings per share from continuing operations; anticipated sales and cost synergies and dis-synergies and the timing thereof; the company’s expectations regarding the benefits of its merger with Tornier and integration efforts and progress; the effects of the MSA and settlement agreement with the Three Settling Insurers and the amount and funding of the settlement amounts; and the company’s ability to achieve its key financial goals. Forward-looking statements by their nature address matters that are, to different degrees, uncertain. Each forward-looking statement contained in this release is subject to risks and uncertainties that could cause actual results to differ materially from those expressed or implied by such statement. Applicable risks and uncertainties include, among others, the failure to integrate the businesses and realize net sales synergies and cost savings from the merger with Tornier or delay in realization thereof; operating costs and business disruption as a result of the merger, including adverse effects on employee retention and sales force productivity and on business relationships with third parties; integration costs; actual or contingent liabilities; adverse effects of diverting resources and attention to providing transition services to the purchaser of the large joints business; the adequacy of the company’s capital resources and need for additional financing; the timing of regulatory approvals and introduction of new products; physician acceptance, endorsement, and use of new products; failure to achieve the anticipated benefits from approval of AUGMENT® Bone Graft; the effect of regulatory actions, changes in and adoption of reimbursement rates; product liability claims and product recalls; pending and threatened litigation; risks associated with the MSA and settlement agreement with the Three Settling Insurers; risks associated  international operations and expansion; fluctuations in foreign currency exchange rates; other business effects, including the effects of industry, economic or political conditions outside of the company’s control; reliance on independent distributors and sales agencies; competitor activities; changes in tax and other legislation; and the risks identified under the heading “Risk Factors” in Wright’s Annual Report on Form 10-K for the year ended December 27, 2015 filed by Wright with the SEC on February 23, 2016 and Wright’s Quarterly Report on Form 10- Q for the quarter ended September 25, 2016 anticipated to be filed by Wright with the SEC on November 2, 2016.  Investors should not place considerable reliance on the forward-looking statements contained in this release.  Investors are encouraged to read Wright’s filings with the SEC, available at www.sec.gov, for a discussion of these and other risks and uncertainties. The forward-looking statements in this release speak only as of the date of this release, and Wright undertakes no obligation to update or revise any of these statements. Wright’s business is subject to substantial risks and uncertainties, including those referenced above. Investors, potential investors, and others should give careful consideration to these risks and uncertainties.

–Tables Follow–

Wright Medical Group N.V.
Condensed Consolidated Statements of Operations
 (dollars in thousands, except per share data–unaudited)

  Three months ended   Nine months ended
  September 25, 2016   September 30, 2015   September 25, 2016   September 30, 2015
Net sales $ 157,332     $ 80,139     $ 497,339     $ 238,493  
Cost of sales 46,149     23,052     141,824     63,812  
Gross profit 111,183     57,087     355,515     174,681  
Operating expenses:              
Selling, general and administrative 129,840     85,997     401,069     250,801  
Research and development 12,481     9,570     36,705     24,644  
Amortization of intangible assets 7,466     2,562     21,407     7,741  
Total operating expenses 149,787     98,129     459,181     283,186  
Operating loss (38,604 )   (41,042 )   (103,666 )   (108,505 )
Interest expense, net 16,795     11,185     41,673     29,793  
Other (income) expense, net (365 )   10,236     (3,494 )   7,395  
Loss from continuing operations before income taxes (55,034 )   (62,463 )   (141,845 )   (145,693 )
(Benefit) provision for income taxes (2,325 )   187     (6,913 )   511  
Net loss from continuing operations $ (52,709 )   $ (62,650 )   $ (134,932 )   $ (146,204 )
Loss from discontinued operations, net of tax (57,436 )   $ (36,211 )   $ (252,571 )   $ (46,720 )
Net loss $ (110,145 )   $ (98,861 )   $ (387,503 )   $ (192,924 )
               
Net loss from continuing operations per share, basic (1) $ (0.51 )   $ (1.19 )   $ (1.31 )   $ (2.78 )
Net loss from continuing operations per share, diluted (1) $ (0.51 )   $ (1.19 )   $ (1.31 )   $ (2.78 )
               
Net loss per share, basic (1) $ (1.07 )   $ (1.87 )   $ (3.77 )   $ (3.67 )
Net loss per share, diluted (1) $ (1.07 )   $ (1.87 )   $ (3.77 )   $ (3.67 )
               
Weighted-average number of shares outstanding-basic (1) 103,072     52,750     102,854     52,607  
Weighted-average number of shares outstanding-diluted (1) 103,072     52,750     102,854     52,607  
                       

_______________________________

(1) The prior year balances were converted to meet post-merger valuations.

Wright Medical Group N.V.
Consolidated Net Sales Analysis
(dollars in thousands–unaudited)

  Three months ended   Nine months ended
  September 25, 2016   September 30, 2015   % change   September 25, 2016   September 30, 2015   % change
U.S.                      
Lower extremities 51,586     43,929     17.4 %   158,872     128,277     23.9 %
Upper extremities 46,207     3,654     1,164.6 %   146,117     11,703     1,148.5 %
Biologics 18,247     12,198     49.6 %   53,167     34,612     53.6 %
Sports med & other 2,025     613     230.3 %   6,326     1,558     306.0 %
Total U.S. $ 118,065     $ 60,394     95.5 %   $ 364,482     $ 176,150     106.9 %
                       
International                      
Lower extremities 14,201     10,917     30.1 %   45,984     35,313     30.2 %
Upper extremities 17,326     1,764     882.2 %   62,241     5,723     987.6 %
Biologics 4,739     5,260     (9.9 )%   13,804     15,070     (8.4 )%
Sports med & other 3,001     1,804     66.4 %   10,828     6,237     73.6 %
Total International $ 39,267     $ 19,745     98.9 %   $ 132,857     $ 62,343     113.1 %
                       
Global                      
Lower extremities 65,787     54,846     19.9 %   204,856     163,590     25.2 %
Upper extremities 63,533     5,418     1,072.6 %   208,358     17,426     1,095.7 %
Biologics 22,986     17,458     31.7 %   66,971     49,682     34.8 %
Sports med & other 5,026     2,417     107.9 %   17,154     7,795     120.1 %
Total net sales $ 157,332     $ 80,139     96.3 %   $ 497,339     $ 238,493     108.5 %
                                           

Wright Medical Group N.V.
Reconciliation of Non-GAAP Combined Pro Forma Net Sales to Net Sales
(dollars in thousands–unaudited)

  Three months ended
  September 30, 2015
  Standalone Wright Medical Group, Inc.   Standalone Tornier N.V., recast (1)   Discontinued net sales (2)   Non-GAAP combined pro forma net sales
U.S.              
Lower extremities $ 43,929     $ 8,675     $ (2,905 )   $ 49,699  
Upper extremities 3,654     37,908         41,562  
Biologics 12,198     412         12,610  
Sports med & other 613     1,810         2,423  
Total extremities & biologics 60,394     48,805     (2,905 )   106,294  
Large joint     33     (33 )    
Total U.S. $ 60,394     $ 48,838     $ (2,938 )   $ 106,294  
               
International              
Lower extremities $ 10,917     $ 2,275     $     $ 13,192  
Upper extremities 1,764     14,862         16,626  
Biologics 5,260     114         5,374  
Sports med & other 1,804     1,505         3,309  
Total extremities & biologics 19,745     18,756         38,501  
Large joint     7,350     (7,350 )    
Total International $ 19,745     $ 26,106     $ (7,350 )   $ 38,501  
               
Global              
Lower extremities $ 54,846     $ 10,950     $ (2,905 )   $ 62,891  
Upper extremities 5,418     52,770         58,188  
Biologics 17,458     526         17,984  
Sports med & other 2,417     3,315         5,732  
Total extremities & biologics 80,139     67,561     (2,905 )   144,795  
Large joint     7,383     (7,383 )    
Total net sales $ 80,139     $ 74,944     $ (10,288 )   $ 144,795  
                               

_______________________________

(1) Legacy Tornier product line sales have been recast to reflect the reclassification of cement, instruments and freight from the historical Tornier product line “Large Joints and Other” to the product line associated with those revenues that will be utilized for future revenue reporting.

(2) To reduce from Tornier’s historical sales the U.S. sales associated with Tornier’s Salto Talaris and Salto XT ankle replacement products and silastic toe replacement products and the global sales associated with Tornier’s Large Joint business.

Wright Medical Group N.V.
Reconciliation of Non-GAAP Combined Pro Forma Net Sales to Net Sales
(dollars in thousands–unaudited)

  Nine months ended
  September 30, 2015
  Standalone Wright Medical Group, Inc.   Standalone Tornier N.V., recast (1)   Discontinued net sales (2)   Non-GAAP combined pro forma net sales
U.S.              
Lower extremities 128,277     29,636     (9,732 )   148,181  
Upper extremities 11,703     115,846         127,549  
Biologics 34,612     1,290         35,902  
Sports med & other 1,558     5,021         6,579  
Total extremities & biologics 176,150     151,793     (9,732 )   318,211  
Large joint     119     (119 )    
Total U.S. $ 176,150     $ 151,912     $ (9,851 )   $ 318,211  
               
International              
Lower extremities 35,313     7,402         42,715  
Upper extremities 5,723     51,293         57,016  
Biologics 15,070     357         15,427  
Sports med & other 6,237     5,372         11,609  
Total extremities & biologics 62,343     64,424         126,767  
Large joint     29,921     (29,921 )    
Total International $ 62,343     $ 94,345     $ (29,921 )   $ 126,767  
               
Global              
Lower extremities 163,590     37,038     (9,732 )   190,896  
Upper extremities 17,426     167,139         184,565  
Biologics 49,682     1,647         51,329  
Sports med & other 7,795     10,393         18,188  
Total extremities & biologics 238,493     216,217     (9,732 )   444,978  
Large joint     30,040     (30,040 )    
Total sales $ 238,493     $ 246,257     $ (39,772 )   $ 444,978  
                               

_______________________________

(1) Legacy Tornier product line sales have been recast to reflect the reclassification of cement, instruments and freight from the historical Tornier product line “Large Joints and Other” to the product line associated with those revenues that will be utilized for future revenue reporting.

(2) To reduce from Tornier’s historical sales the U.S. sales associated with Tornier’s Salto Talaris and Salto XT ankle replacement products and silastic toe replacement products and the global sales associated with Tornier’s Large Joint business.

Wright Medical Group N.V.
Supplemental Combined Pro Forma Net Sales Information
(unaudited)

  Third Quarter 2016 net sales growth/(decline)
  U.S. combined pro forma Int’l combined pro forma constant currency Int’l combined pro forma Global combined pro forma constant currency Global combined pro forma
Product line          
Lower extremities   4 %   11 %   8 %   5 %   5 %
Upper extremities   11 %   5 %   4 %   9 %   9 %
Biologics   45 %   (10 %)   (12 %)   28 %   28 %
Sports med & other   (16 %)   (5 %)   (9 %)   (10 %)   (12 %)
Total net sales   11 %   4 %   2 %   9 %   9 %
                               

 

  Nine months ended September 25, 2016 net sales growth/(decline)
  U.S. combined pro forma Int’l combined pro forma constant currency Int’l combined pro forma Global combined pro forma constant currency Global combined pro forma
Product line          
Lower extremities   7 %   11 %   8 %   8 %   7 %
Upper extremities   15 %   11 %   9 %   13 %   13 %
Biologics   48 %   (7 %)   (11 %)   31 %   30 %
Sports med & other   (4 %)   (4 %)   (7 %)   (4 %)   (6 %)
Total net sales   15 %   7 %   5 %   12 %   12 %
                               

 

Wright Medical Group N.V.
Reconciliation of Non-GAAP Adjusted Gross Margins to Gross Margins from Continuing Operations
 (dollars in thousands–unaudited)

  Three months ended   Nine months ended
  September 25, 2016   September 25, 2016
Gross profit from continuing operations, as reported $ 111,183     $ 355,515  
Gross margins from continuing operations, as reported 70.7 %   71.5 %
Reconciling items impacting gross profit:      
Inventory step-up amortization 10,306     30,922  
Product rationalization 1,573     3,527  
Transaction and transition costs     124  
Non-GAAP gross profit from continuing operations, as adjusted $ 123,062     $ 390,088  
Net sales from continuing operations 157,332     497,339  
Non-GAAP adjusted gross margins from continuing operations 78.2 %   78.4 %
           

Wright Medical Group N.V.
Reconciliation of Adjusted Non-GAAP Earnings Per Share to Net Loss from Continuing Operations Per Share
 (dollars in thousands, except per share data–unaudited)

  Three months ended   Nine months ended
  September 25, 2016   September 25, 2016
Net loss from continuing operations, as reported $ (52,709 )   $ (134,932 )
Net loss from continuing operations per share, as reported $ (0.51 )   $ (1.31 )
Reconciling items:      
Inventory step-up amortization (1) 10,306     30,922  
Product rationalization (1) 1,573     3,527  
Non-cash interest expense on convertible notes 10,516     25,812  
Non-cash loss on extinguishment of debt     12,343  
Derivatives mark-to-market adjustments (3,187 )   (26,460 )
Transaction and transition costs (3) 6,532     24,425  
Management changes (2)     1,348  
CVR mark-to-market adjustments 2,243     8,968  
Contingent consideration fair value adjustment 70     376  
Legal settlement (2)     1,800  
Costs associated with new convertible debt (2)     234  
IRS settlement (4)     (3,073 )
Tax effect of reconciling items (2,313 )   (5,634 )
Non-GAAP net loss from continuing operations, as adjusted $ (26,969 )   $ (60,344 )
Add back amortization of intangible assets 7,466     21,407  
Adjusted non-GAAP earnings $ (19,503 )   $ (38,937 )
Weighted-average basic shares outstanding 103,072     102,854  
Adjusted non-GAAP earnings per share $ (0.19 )   $ (0.38 )
               

_______________________________

(1) Impacting gross profit.
(2) Impacting selling, general, and administrative expense.
(3) Impacting selling, general, and administrative expense and research and development expense for $6.4 million and $0.2 million, respectively, for the three months ended September 25, 2016.  Impacting gross profit; selling, general, and administrative expense; and research and development expense for $0.1 million, $23.9 million, and $0.4 million, respectively, for the nine months ended September 25, 2016.
(4) IRS settlement includes $0.8 million of interest income and $2.3 million tax benefit.

Wright Medical Group N.V.
Reconciliation of Non-GAAP Adjusted EBITDA to Net Loss from Continuing Operations
 (dollars in thousands–unaudited)

  Three months ended   Nine months ended
  September 25, 2016   September 25, 2016
Net loss from continuing operations $ (52,709 )   $ (134,932 )
Interest expense, net 16,795     41,673  
Benefit from income taxes (2,325 )   (6,913 )
Depreciation 14,885     41,005  
Amortization 7,466     21,407  
Non-GAAP EBITDA $ (15,888 )   $ (37,760 )
Reconciling items impacting EBITDA:      
Non-cash share-based compensation expense 3,528     9,901  
Other income, net (365 )   (3,494 )
Inventory step-up amortization 10,306     30,922  
Product rationalization 1,573     3,527  
Transaction and transition costs 6,532     24,425  
Management changes     1,348  
Legal settlement     1,800  
Costs associated with new convertible debt     234  
Non-GAAP adjusted EBITDA $ 5,686     $ 30,903  
               


Wright Medical Group N.V.

Condensed Consolidated Balance Sheets
(dollars in thousands–unaudited)

  September 25, 2016   December 27, 2015
Assets      
Current assets:      
Cash and cash equivalents $ 314,314     $ 139,804  
Accounts receivable, net 121,794     131,050  
Inventories 170,819     210,701  
Prepaid expenses and other current assets 110,702     59,842  
Current assets held for sale 21,805     18,487  
Total current assets 739,434     559,884  
       
Property, plant and equipment, net 211,096     224,256  
Goodwill and intangible assets, net 1,103,571     1,117,917  
Other assets (1) 262,225     139,754  
Non-current assets held for sale     31,683  
Total assets (1) $ 2,316,326     $ 2,073,494  
       
Liabilities and shareholders’ equity      
Current liabilities:      
Accounts payable $ 25,181     $ 30,904  
Accrued expenses and other current liabilities 399,985     171,171  
Current portion of long-term obligations 4,117     2,171  
Current liabilities held for sale 2,049     2,692  
Total current liabilities 431,332     206,938  
Long-term obligations (1) 769,333     561,201  
Other liabilities 370,556     250,329  
Total liabilities (1) 1,571,221     1,018,468  
       
Shareholders’ equity 745,105     1,055,026  
Total liabilities and shareholders’ equity (1) $ 2,316,326     $ 2,073,494  
               

                                               

(1) The prior year debt issuance costs were reclassified to account for adoption of ASU 2015-03 and ASU 2015-15.

Investors & Media:

 

Julie D. Tracy

Sr. Vice President, Chief Communications Officer

Wright Medical Group N.V.

(901) 290-5817

julie.tracy@wright.com

K2M Group Holdings, Inc. Reports Third Quarter 2016 Financial Results with U.S. Revenue Growth of 17% year-over-year; Updates Fiscal Year 2016 Outlook

LEESBURG, Va., Nov. 02, 2016 (GLOBE NEWSWIRE) — K2M Group Holdings, Inc. (Nasdaq:KTWO) (the “Company” or “K2M”), a global medical device company focused on designing, developing and commercializing innovative and proprietary complex spine and minimally invasive spine technologies and techniques, today reported financial results for the third quarter ended September 30, 2016.

Third Quarter 2016 Financial Summary:

  • Total reported revenue of $59.3 million, up 7.8% year-over-year. Total revenue increased 8.7% year-over-year on a constant currency basis.
  • Domestic revenue of $46.0 million, up 16.5% year-over-year
    • S. Complex Spine growth of 15.8% year-over-year
    • S. Minimally Invasive Surgery (MIS) growth of 6.7% year-over-year
    • S. Degenerative growth of 21.1% year-over-year
  • International revenue of $13.3 million, down 14.3% year-over-year. International revenue decreased 11.8% year-over-year on a constant currency basis.
  • Net loss of $7.9 million for the three months ended September 30, 2016, compared to a net loss of $10.2 million last year.
  • Adjusted EBITDA of $2.8 million for the three months ended September 30, 2016, compared to Adjusted EBITDA of $1.1 million last year.

Third Quarter 2016 Highlights:

  • On August 8, 2016, the Company announced the pricing of a private offering of $50 million aggregate principal amount of 4.125% convertible senior notes (the “Notes”) due 2036.
  • On September 21, 2016, the Company announced at the Scoliosis Research Society (SRS) 51st Annual Meeting & Course in Prague, Czech Republic, that it has received 510(k) clearance from the U.S. Food and Drug Administration (FDA) for screw and connector components toward a growing spine application for its MESA®Spinal System. This clearance enables these screw and connector components to be used as a part of a growing rod construct designed to accommodate growth in patients under 10 years of age.

Highlights Subsequent to Quarter-End:

  • On October 6, 2016, the Company announced it has received 510(k) clearance from the FDA to expand its CASCADIA™ Lateral Interbody System featuring Lamellar 3D Titanium Technology™, the Company’s innovative technology that uses 3D printing with the goal of allowing for bony integration throughout an implant. The CASCADIA Lateral Interbody System line extension clearance strengthens K2M’s MIS portfolio and the Company’s leadership in the 3D printing of spinal devices, as evidenced by its having the most comprehensive 3D-printed spinal portfolio available on the market.
  • On October 26, 2016, the Company announced the U.S. launch of its award-winning CASCADIA Interbody Systems, featuring Lamellar 3D Titanium Technology, during the 31st North American Spine Society (NASS) Annual Meeting. K2M presented clinical background on its 3D-printed technologies and showcased the Company’s comprehensive CASCADIA product portfolio, which was recognized by Orthopedics This Weekwith a 2016 Spine Technology Award as one of the best new spine technologies of 2016.

“Our third quarter sales growth of 16.5% in the U.S. was consistent with both our near-term expectations, and our long-term objective of revenue growth in the mid-to-high teens,” said President and Chief Executive Officer, Eric Major. “U.S. sales this quarter were driven primarily by a strong summer deformity season and the contributions from new customers adopting K2M’s innovative technologies across our procedure categories, but most notably in our degenerative and minimally invasive categories, which are benefitting from sales of our Lamellar 3D Titanium Technology platform. K2M offers the most comprehensive portfolio of FDA-cleared 3D-printed spinal devices on the market today and the surgeon community continues to show increasing awareness of our leadership position in this important area of the market.”

Mr. Major continued: “U.S. sales have increased 15% over the first nine months of 2016, driven by strong growth in each of our procedure categories—complex, minimally invasive and degenerative—which have increased sales 12%, 16% and 17%, respectively, so far this year. We are pleased to be reporting improving profitability as the year progresses. In addition, we look forward to continued progress throughout the balance of 2016 and have updated our full-year guidance expectations accordingly.”

Third Quarter 2016 Financial Results

   Three Months Ended
September 30,
  Increase / Decrease  
($,thousands)  2016   2015       $ Change   % Change % Change  
          (as reported)  (constant currency)  
United States $ 45,978   $ 39,459     $ 6,519     16.5 %   16.5 %  
International   13,332     15,550       (2,218 )         (14.3 %)                     (11.8 %)  
Total Revenue:     $ 59,310   $ 55,009     $ 4,301     7.8 %   8.7 %  
                                   

Total revenue for third quarter 2016 increased $4.3 million, or 7.8%, to $59.3 million, compared to $55.0 million in the third quarter of 2015. Total revenue increased 8.7% year-over-year on a constant currency basis. The increase in revenue was primarily driven by greater sales volume from new surgeon users and newer product offerings, partially offset by a decrease in existing customer usage and decreases in both international direct and distributor revenue compared to last year.

Revenue in the United States increased $6.5 million, or 16.5% year-over-year, to $46.0 million, and international revenue decreased $2.2 million, or 14.3% year-over-year, to $13.3 million. Third quarter 2016 international revenue decreased 11.8% year-over-year on a constant currency basis. Foreign currency exchange impacted third quarter international revenue by approximately $0.4 million, representing approximately 247 basis points of international growth year-over-year.

The following table represents domestic revenue by procedure category.

   Three Months Ended
September 30,
  Increase / Decrease  
($,thousands)   2016     2015      $ Change   % Change   
Complex Spine $ 19,516   $ 16,852     $ 2,664        15.8 %  
Minimally Invasive   6,767     6,344       423     6.7 %  
Degenerative   19,695     16,263       3,432     21.1 %  
U.S Revenue: $ 45,978   $ 39,459     $ 6,519     16.5 %  
                             

By procedure category, U.S. revenue in the Company’s complex spine, MIS and degenerative categories represented 42.4%, 14.7% and 42.9% of U.S. revenue, respectively, for the three months ended September 30, 2016.

Gross profit for third quarter 2016 increased 5.8% to $39.8 million, compared to $37.6 million for third quarter 2015. Gross margin was 67.1% compared to 68.4% last year. Gross profit includes amortization expense on investments in surgical instruments of $3.5 million, or 5.8% of sales, for the three months ended September 30, 2016, compared to $3.1 million, or 5.7% of sales, last year. Third quarter of fiscal 2015 cost of goods sold included costs, net of recoveries, associated with medical device excise tax of $(0.1) million compared to no such expenses in the current period.

Operating expenses for third quarter 2016 decreased $1.7 million, or 3.6%, to $45.9 million, compared to $47.6 million for third quarter 2015. The decrease in operating expenses was driven primarily by a 15.0% decrease in general and administrative expenses offset partially by a 2.1% increase in sales and marketing expenses compared to last year.

Loss from operations for the third quarter of 2016 was $6.1 million, compared to a loss from operations of $10.0 million last year. Loss from operations included intangible amortization of $2.6 million and $2.5 million for the third quarters of 2016 and 2015, respectively.

Other expense for the third quarter of 2016 increased $1.8 million to $1.9 million, compared to $0.1 million last year. The increase in other expense, net was primarily attributable to interest expense incurred on the capital lease obligation related to our headquarters and operations facilities as well as the Notes issued in August 2016, and an increase of $0.5 million in unrealized losses from foreign currency re-measurement on intercompany payable balances.  Foreign currency losses impacted operating results compared to last year due to changes in the average exchange rates of the U.S. Dollar, Pound Sterling and Euro applied to intercompany balances in both periods.

Net loss for the third quarter of 2016 was $7.9 million, or $(0.19) per diluted share, compared to a loss of $10.2 million, or $(0.25) per diluted share, for the third quarter of 2015.

Nine-Months 2016 Financial Results

    Nine Months Ended
September 30,
  Increase / Decrease
($,thousands)     2016     2015     $ Change % Change % Change
            (as reported)  (constant currency)
United States   $ 133,409   $ 116,055     $ 17,354            15.0 %                        15.0 %
International     41,434     45,732       (4,298 )   (9.4 %)    (7.9 %)
Total Revenue:     $ 174,843   $ 161,787     $ 13,056     8.1 %   8.6 %
                                   

For the nine months ended September 30, 2016, total revenue increased $13.0 million, or 8.1%, to $174.8 million, compared to $161.8 million for the nine months ended September 30, 2015. Total revenue increased 8.6% year-over-year on a constant currency basis. U.S. revenue increased $17.3 million, or 15.0%, to $133.4 million for the first nine months of 2016, compared to $116.1 million last year. International revenue decreased $4.3 million, or 9.4%, to $41.4 million for the first nine months of 2016, compared to $45.7 million last year. International revenue decreased 7.9% year-over-year on a constant currency basis.

    Nine Months Ended
September 30,
  Increase / Decrease
($,thousands)     2016     2015     $ Change % Change
Complex Spine   $ 53,981   $ 48,204     $ 5,777        12.0 %
Minimally Invasive     20,653     17,766       2,887     16.3 %
Degenerative     58,775     50,085       8,690     17.4 %
U.S Revenue:   $ 133,409   $ 116,055     $ 17,354     15.0 %
                             

Sales in our complex spine, MIS and degenerative categories represented 40.5%, 15.5% and 44.0% of U.S. revenue, respectively, for the first nine months of 2016.

As of September 30, 2016, we had cash and cash equivalents of $46.1 million as compared to $34.6 million as of December 31, 2015. We had working capital of $120.9 million as of as September 30, 2016 compared to $107.4 million as of December 31, 2015. At September 30, 2016, outstanding long-term indebtedness included the carrying value of the Notes of $36.4 million and the capital lease obligation of $35.2 million. In addition, we had no borrowings outstanding under our credit facility.

2016 Outlook

The Company is updating its fiscal year 2016 guidance expectations, which was recently reaffirmed on August 3, 2016.

The Company now expects:

  • Total revenue on an as reported basis in the range of $233.5 million to $235.0 million, representing growth of 8% to 9% year-over-year, compared to total revenue of $216.0 million in fiscal year 2015.
  • Total net loss of approximately $43.0 million to $39.0 million, compared to a total net loss of $39.4 million in fiscal year 2015.
  • Adjusted EBITDA in a range of ($2.0) million to $2.0 million, compared to Adjusted EBITDA of ($142) thousand in fiscal year 2015.

Conference Call

Management will host a conference call at 5:00 p.m. Eastern Time on November 2nd to discuss the results of the quarter, and to host a question and answer session. Those who would like to participate may dial 888-670-2254 (913-312-1510 for international callers) and provide access code 3362399 approximately 10 minutes prior to the start of the call. A live webcast of the call will also be provided on the investor relations section of the Company’s website at http://Investors.K2M.com/.

For those unable to participate, a replay of the call will be available for two weeks at 888-203-1112 (719-457-0820 for international callers); access code 3362399. The webcast will be archived on the investor relations section of the Company’s website.

About K2M Group Holdings, Inc.

K2M Group Holdings, Inc. is a global medical device company focused on designing, developing and commercializing innovative complex spine and minimally invasive spine technologies and techniques used by spine surgeons to treat some of the most difficult and challenging spinal pathologies. K2M has leveraged these core competencies to bring to market an increasing number of products for patients suffering from degenerative spinal conditions. These technologies and techniques, in combination with a robust product pipeline, enable the Company in the global spinal surgery market. Additional information is available online at www.K2M.com.

Forward-Looking Statements

This press release contains forward-looking statements that reflect current views with respect to, among other things, operations and financial performance.  Forward-looking statements include all statements that are not historical facts such as our statements about our expected financial results and guidance and our expectations for future business prospects, including with respect to our international distribution partners in Australia and Japan.  In some cases, you can identify these forward-looking statements by the use of words such as “outlook,” “guidance,” “believes,” “expects,” “potential,” “continues,” “may,” “will,” “should,” “could,” “seeks,” “predicts,” “intends,” “plans,” “estimates,” “anticipates” or the negative version of these words or other comparable words.  Such forward-looking statements are subject to various risks and uncertainties including, among other things: our ability to achieve or sustain profitability; our ability to successfully demonstrate the merits of our technologies; pricing pressure from our competitors, hospitals and changes in third-party coverage and reimbursement; competition and our ability to develop and commercialize new products; aggregation of hospital purchasing from collaboration and consolidation; hospitals and other healthcare providers may be unable to obtain adequate coverage and reimbursement for procedures performed using our products; the safety and efficacy of our products is not yet supported by long-term clinical data; our dependence on a limited number of third-party suppliers; our ability to maintain and expand our network of direct sales employees, independent sales agencies and international distributors and their level of sales or distribution activity with respect our products; the proliferation of physician-owned distributorships; concentration of sales from a limited number of spinal systems or products that incorporate these technologies; loss of the services of key members of our senior management, consultants or personnel; ability to enhance our product offerings through our research and development efforts; failure to properly manage our anticipated growth; acquisitions of or investments in new or complementary businesses, products or technologies; ability to train surgeons on the safe and appropriate use of our products; requirements to maintain high levels of inventory; impairment of our goodwill or intangible assets; disruptions in our information technology systems; any disruption or delays in operations at our facilities, including our new headquarter facility; or an ability to ship a sufficient number of our products to meet demand; ability to strengthen our brand; fluctuations in insurance cost and availability; extensive governmental regulation; in the United States and foreign jurisdictions; failure to obtain or maintain regulatory approvals and clearances; requirements for new 510(k) clearances, premarket approvals or new or amended CE Certificates of Conformity; medical device reporting regulations in the United States and foreign jurisdictions; voluntary corrective actions by us or our distribution or other business partners or agency enforcement actions; a recall of our products; withdrawal or restrictions on our products or the discovery of serious safety issues with our products; possible enforcement action if we engage in improper marketing or promotion of our products; the misuse or off-label use of our products; delays or failures in any future clinical trials;  the results of clinical trials; procurement and use of allograft bone tissue; environmental laws and regulations; compliance by us or our sales representatives with FDA regulations or fraud and abuse laws; U.S. legislative or regulatory healthcare reforms; medical device tax provisions in the healthcare reform laws; our need to generate significant sales to become profitable; potential fluctuations in sales volumes and our results of operations may fluctuate over the course of the year; uncertainty in our future capital needs; failure to comply with restrictions in our revolving credit facility; continuing worldwide economic instability; our inability to protect our intellectual property rights; our reliance on patent rights that we either license from others or have obtained through assignments; our patent litigation; the outcome of potential claims that we, our employees, our independent sales agencies or our distributors have wrongfully used or disclosed alleged trade secrets or are in breach of non-competition or non-solicitation agreements with our competitors; potential product liability lawsuits; operating risks relating to our international operations; foreign currency fluctuations; our ability to comply with the Foreign Corrupt Practices Act and similar laws associated with our activities outside the United States; possible conflicts of interest with our large shareholders; increased costs and additional regulations and requirements as a result of becoming a public company; our ability to implement and maintain effective internal control over financial reporting in the future; the potential impact of any future acquisitions, mergers, dispositions, joint ventures, investments or other strategic transactions we may make; and other risks and uncertainties, including those described under the section entitled “Risk Factors” in our most recent Annual Report on Form 10-K filed with the SEC, as such factors may be updated from time to time in our periodic filings with the SEC, which are accessible on the SEC’s website at www.sec.gov.  Accordingly, there are or will be important factors that could cause actual outcomes or results to differ materially from those indicated in these statements.  These factors should not be construed as exhaustive and should be read in conjunction with the other cautionary statements that are included in this release and our filings with the SEC.

We operate in a very competitive and challenging environment.  New risks and uncertainties emerge from time to time, and it is not possible for us to predict all risks and uncertainties that could have an impact on the forward-looking statements contained in this release.  We cannot assure you that the results, events and circumstances reflected in the forward-looking statements will be achieved or occur, and actual results, events or circumstances could differ materially from those described in the forward-looking statements.

The forward-looking statements made in this press release relate only to events as of the date on which the statements are made.  We undertake no obligation to publicly update or review any forward-looking statement, whether as a result of new information, future developments or otherwise, except as required by law.  We may not actually achieve the plans, intentions or expectations disclosed in our forward-looking statements and you should not place undue reliance on our forward-looking statements.

 
K2M GROUP HOLDINGS, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(Unaudited)
(In Thousands, Except Share and Per Share Data)
 
    September 30,   December 31,
    2016   2015
ASSETS        
Current assets:        
Cash and cash equivalents   $ 46,117     $ 34,646  
Accounts receivable, net   43,215     38,773  
Inventory, net   66,737     62,002  
Prepaid expenses and other current assets   6,443     19,820  
Total current assets   162,512     155,241  
Property, plant and equipment, net   51,021     38,318  
Goodwill   121,814     121,814  
Intangible assets, net   25,340     33,123  
Other assets, net   30,579     26,016  
Total assets   $ 391,266     $ 374,512  
                 
LIABILITIES AND STOCKHOLDERS’ EQUITY        
Current liabilities:        
Current maturities under capital lease obligation   $ 937     $ 284  
Accounts payable   14,528     22,483  
Accrued expenses   13,789     13,559  
Accrued payroll liabilities   12,318     11,507  
Total current liabilities   41,572     47,833  
Convertible senior notes   36,383      
Capital lease obligation, net of current maturities   35,187     34,140  
Deferred income taxes, net   5,009     5,042  
Other liabilities   820     835  
Total liabilities   118,971     87,850  
         
Stockholders’ equity:        
Common stock, $0.001 par value, 750,000,000 shares authorized; 42,206,258 and 41,337,692 shares issued and 42,197,647 and 41,337,692 shares outstanding, respectively   42     41  
Additional paid-in capital   471,915     454,153  
Accumulated deficit   (198,614 )   (169,421 )
Accumulated other comprehensive (loss) income   (914 )   1,889  
Treasury stock, at cost, 8,611 and 0 shares, respectively   (134 )    
Total stockholders’ equity   272,295     286,662  
Total liabilities and stockholders’ equity   $ 391,266     $ 374,512  
                 

 

 
K2M GROUP HOLDINGS, INC.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(Unaudited)
(In Thousands, Except Share and Per Share Data)
 
    Three Months Ended September 30,   Nine Months Ended September 30,
    2016   2015   2016   2015
Revenue   $ 59,310     $ 55,009     $ 174,843     $ 161,787  
Cost of revenue   19,512     17,390     58,747     53,507  
Gross profit   39,798     37,619     116,096     108,280  
Operating expenses:                
Research and development   5,199     5,154     15,989     14,808  
Sales and marketing   27,384     26,808     84,132     79,588  
General and administrative   13,312     15,667     41,343     42,575  
Total operating expenses   45,895     47,629     141,464     136,971  
Loss from operations   (6,097 )   (10,010 )   (25,368 )   (28,691 )
Other expense, net:                
Foreign currency transaction loss   (547 )   (12 )   (1,099 )   (1,552 )
Interest expense   (1,319 )   (110 )   (2,705 )   (354 )
Total other expense, net   (1,866 )   (122 )   (3,804 )   (1,906 )
Loss before income taxes   (7,963 )   (10,132 )   (29,172 )   (30,597 )
Income tax (benefit) expense   (53 )   83     21     125  
Net loss   $ (7,910 )   $ (10,215 )   $ (29,193 )   $ (30,722 )
Basic and diluted   $ (0.19 )   $ (0.25 )   $ (0.70 )   $ (0.77 )
Weighted average shares outstanding:                
Basic and diluted   41,940,370     41,074,245     41,639,609     39,892,068  
                         

 

 
K2M GROUP HOLDINGS, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited)
(In Thousands)
 
    Nine Months Ended September 30,
    2016   2015
Operating activities        
Net loss   $ (29,193 )   $ (30,722 )
Adjustments to reconcile net loss to net cash used in operating activities:        
Depreciation and amortization   21,452     18,396  
Provision for allowance for doubtful accounts   (18 )   177  
Provision for inventory reserves   2,817     1,128  
Stock-based compensation expense   5,381     8,863  
Accretion of discounts and amortization of issuance costs of convertible senior notes   558      
Deferred income taxes   (33 )    
Changes in operating assets and liabilities:        
Accounts receivable   (5,292 )   (7,729 )
Inventory   (6,466 )   (6,839 )
Prepaid expenses and other assets   (7,636 )   (5,262 )
Accounts payable, accrued expenses, and accrued payroll liabilities   3,442     8,795  
Net cash used in operating activities   (14,988 )   (13,193 )
Investing activities        
Purchase of surgical instruments   (10,986 )   (6,595 )
Purchase of property, plant and equipment     (16,338 )   (2,424 )
Changes in cash restricted for leasehold improvements   6,153      
Purchase of intangible assets   (1,282 )   (538 )
Net cash used in investing activities   (22,453 )   (9,557 )
Financing activities        
Borrowings on bank line of credit   19,500     25,000  
Payments on bank line of credit   (19,500 )   (25,000 )
Proceeds from issuances of convertible senior notes, net of issuance costs   47,575      
Proceeds from issuances of common stock, net of issuance costs       54,401  
Issuances and exercise of stock-based compensation benefit plans, net of income tax   1,262     925  
Net cash provided by financing activities   48,837     55,326  
Effect of exchange rate changes on cash and cash equivalents   75     (311 )
Net increase in cash and cash equivalents   11,471     32,265  
Cash and cash equivalents at beginning of period   34,646     11,411  
Cash and cash equivalents at end of period   $ 46,117     $ 43,676  
         
Significant non-cash investing activities        
Leasehold improvements, including property under capital lease   $ 598     $  
         
Significant non-cash financing activities        
Deferred convertible senior notes issuance costs   $ 486     $  
Common stock offering costs   $     $ 244  
                 
Cash paid for:        
Income taxes   $ 177     $ 93  
Interest   $ 339     $ 91  
                 

K2M GROUP HOLDINGS, INC.
Reconciliation of GAAP to Non-GAAP Measures
(Unaudited)
(In Thousands)

Use of Non-GAAP Financial Measures

This press release includes the non-GAAP financial measures of revenue in constant currency, Adjusted Gross Profit, and Adjusted EBITDA.

The Company presents these non-GAAP measures because it believes these measures are useful indicators of the Company’s operating performance.  Management uses these non-GAAP measures principally as a measure of the Company’s operating performance and believes that these measures are useful to investors because they are frequently used by analysts, investors and other interested parties to evaluate companies in the Company’s industry.  The Company also believes that these measures are useful to our management and investors as a measure of comparative operating performance from period to period.

Constant currency information compares results between periods as if exchange rates had remained constant period-to-period.  We calculate constant currency by converting the prior-year results using current-year foreign currency exchange rates.

Adjusted Gross Profit represents Gross Profit less amortization expense of surgical instruments and medical device excise tax expense.  The Company presented Adjusted Gross Profit because it believes it is a useful measure of the Company’s gross profit and operating performance because the measure is not burdened by the timing impact of instrument purchases and related amortization as well as the medical device tax.  The Company believes that Adjusted Gross Profit is useful to investors because it is frequently used by analysts, investors and other interested parties to evaluate companies in its industry.

Adjusted EBITDA represents net loss plus interest expense, income tax (benefit) expense, depreciation and amortization, stock-based compensation expense and foreign currency transaction loss.  Adjusted EBITDA will also include a deduction for cash payments made for rent on the Company’s new headquarters and operations facilities under the capital lease agreement once rent payment commence in October 2016.

Adjusted EBITDA is presented because the Company believes it is a useful indicator of its operating performance.  Management uses the measure principally as a measure of the Company’s operating performance and for planning purposes, including the preparation of the Company’s annual operating budget and financial projections.  The Company believes Adjusted EBITDA is useful to investors because it is frequently used by analysts, investors and other interested parties to evaluate companies in its industry.  The Company believes Adjusted EBITDA is useful to its management and investors as a measure of comparative operating performance from period to period.

Adjusted EBITDA is a non-GAAP financial measure and should not be considered as an alternative to net loss as a measure of financial performance or cash flows from operations as a measure of liquidity, or any other performance measure derived in accordance with GAAP and it should not be construed as an inference that the Company’s future results will be unaffected by unusual or non-recurring items. In addition, the measure is not intended to be a measure of free cash flow for management’s discretionary use, as it does not reflect certain cash requirements such as tax payments, debt service requirements, capital expenditures and certain other cash costs that may recur in the future.  Adjusted EBITDA contains certain other limitations, including the failure to reflect our cash expenditures, cash requirements for working capital needs and cash costs to replace assets being depreciated and amortized. In evaluating Adjusted EBITDA, you should be aware that in the future the Company may incur expenses that are the same as or similar to some of the adjustments in this presentation.  The Company’s presentation of Adjusted EBITDA should not be construed to imply that its future results will be unaffected by any such adjustments. Management compensates for these limitations by primarily relying on the Company’s GAAP results in addition to using Adjusted EBITDA on a supplemental basis.  The Company’s definition of this measure is not necessarily comparable to other similarly titled captions of other companies due to different methods of calculation.

The following table presents reconciliations of gross profit to adjusted gross profit and net loss to Adjusted EBITDA for the periods presented.

         
    Three Months Ended September 30,   Nine Months Ended September 30,  
    2016   2015   2016   2015  
Reconciliation from Gross Profit to Adjusted Gross Profit                    
Gross profit   $ 39,798     $ 37,619     $ 116,096     $ 108,280    
Surgical instrument amortization   3,454     3,142     10,150     9,146    
Medical device excise tax       (51 )   (866 )   1,209    
Adjusted gross profit (a Non-GAAP Measure)   $ 43,252     $ 40,710     $ 125,380     $ 118,635    

 

    Three Months Ended September  30,   Nine Months Ended September 30,  
    2016   2015   2016   2015  
Reconciliations from Net Loss to Adjusted EBITDA                                    
Net loss   $ (7,910 )   $ (10,215 )   $ (29,193 )   $ (30,722 )  
Interest expense   1,319     110     2,705     354    
Income tax (benefit) expense   (53 )   83     21     125    
Depreciation and amortization   7,415     6,126     21,452     18,396    
Stock-based compensation expense   1,527     4,954     5,381     8,863    
Foreign currency transaction loss   547     12     1,099     1,552    
Adjusted EBITDA (a Non-GAAP Measure)   $ 2,845     $ 1,070     $ 1,465     $ (1,432 )  
                                   

The following table presents a reconciliation of net loss to Adjusted EBITDA for our 2016 guidance:

     
    Year Ended
December 31,
    2016
Net Loss   $ (41,000 )
Interest expense   4,225  
Income tax expense    
Depreciation and amortization   29,200  
Stock-based compensation expense   7,200  
Foreign currency transaction loss   1,200  
Cash-based rent payments(1)    (825 )
Adjusted EBITDA   $  
         

The reconciliation assumes the midpoint of the Adjusted EBITDA range and the midpoint of each component of the reconciliation, corresponding to guidance of ($2.0) million to $2.0 million for 2016.

(1)  Represents expected cash payments for rent on the Company’s new headquarters and operations facilities under the capital lease agreement, which begin in October 2016.

Investor Contact:

Westwicke Partners on behalf of K2M Group Holdings, Inc.

Mike Piccinino, CFA

443-213-0500

K2M@westwicke.com

Wright Medical Group N.V. Announces Entry Into Metal-On-Metal Hip Litigation Settlement Agreement

AMSTERDAM, The Netherlands, Nov. 02, 2016 (GLOBE NEWSWIRE) — Wright Medical Group N.V.(NASDAQ:WMGI) today announced that on November 1, 2016, its wholly owned subsidiary Wright Medical Technology, Inc. (WMT) entered into a Master Settlement Agreement (MSA) with Court-appointed attorneys representing plaintiffs in the previously disclosed metal-on-metal hip multi-district litigation known as In Re: Wright Medical Technology, Inc., CONSERVE® Hip Implant Products Liability Litigation, MDL No. 2329 (MDL) and the consolidated proceeding pending in state court in California known as In re: Wright Hip System Cases, Judicial Council Coordination Proceeding No. 4710 (JCCP).  In addition, on October 28, 2016, the Company entered into a Settlement Agreement with three of its insurance carriers (Three Settling Insurers).

Under the terms of the MSA, the parties agreed to settle 1,292 specifically identified CONSERVE, DYNASTY or LINEAGE revision claims which meet the eligibility requirements of the MSA and are either pending in the MDL or JCCP, or are subject to tolling agreements approved in the MDL or JCCP, for a total settlement amount of $240 million, of which approximately $180 million will be funded from cash on hand and $60 million will be funded from insurance recoveries.

Eligibility requirements of the MSA include that the claimant has a pending or tolled case in the MDL or JCCP, has undergone a revision surgery within eight years of the original implantation surgery, and that the claim has not been identified by WMT as having possible statute of limitation issues.  Claimants who have had bilateral revision surgeries will be counted as two claims but only to the extent both claims separately satisfy all eligibility criteria.

The MSA includes a 95% opt-in requirement, meaning the MSA may be terminated by WMT prior to any settlement disbursement if claimants holding greater than 5% of eligible claims in the Final Settlement Poolelect to “opt-out” of the settlement.  No funding of any individual plaintiff settlement will occur until the 95% opt-in requirement has been satisfied or waived.

Robert Palmisano, president and chief executive officer, commented, “We are very pleased to have reached this settlement agreement, in particular the population of claims that the settlement covers as well as the required 95% opt-in rate for those claims.  With this clarity, we will continue to focus on accelerating growth opportunities in the extremities and biologics markets.  This settlement addresses approximately 85% of the known U.S. revision claims that do not have potential statute of limitations issues and removes a great deal of the uncertainty that has been associated with this litigation.”

Wright will continue to vigorously defend metal-on-metal hip claims not settled pursuant to the MSA.  As of September 25, 2016, the company estimates there were approximately 600 outstanding metal-on-metal hip revision claims that would not be included in the MSA settlement, including approximately 200 claims with an implant duration of more than eight years, approximately 300 claims subject to possible statute of limitations preclusion, approximately 30 claims pending in U.S. courts other than the MDL and JCCP, approximately 50 claims pending in non-U.S. courts, and approximately 20 claims that would be eligible for inclusion in the settlement but for the participation limitations contained in the MSA.  The company also estimates that there were approximately 700 outstanding metal-on-metal hip non-revision claims as of September 25, 2016.  These non-revision cases are excluded from the MSA.

The final MSA settlement amount (not to exceed $240 million), and the final number of claims settled under the MSA, will depend on, among other things, the number of claimants electing to participate in the settlement and the mix of products implanted in the settling claimant group.  Claims which do not meet the eligibility requirements of the MSA, new claims, and claims which have opted-out of the settlement will not be settled under the MSA and the company will continue to defend these claims.

The company previously disclosed a loss range applicable to a substantial portion of revision cases of $150 million to $198 million and, in accordance with U.S. generally accepted accounting practices (US GAAP), recognized as a charge within discontinued operations in the second quarter of 2016 $150 million, the low end of the range of probable loss for these cases.  During the third quarter of 2016, the company recorded charges of approximately $39 million to increase its accrual from the low end of its previous range of probable loss to the amounts in line with the final agreements and to record accruals for certain other revision cases. Please refer to the disclosures in the company’s third quarter 2016 quarterly report on Form 10-Q for a full discussion of our accruals and disclosures related to this matter.

WMT has agreed to escrow $150 million to secure its obligations under the MSA, and parent corporation Wright Medical Group N.V. has agreed to guaranty WMT’s obligations under the MSA.

The MSA will help bring to a close significant metal-on-metal litigation activity in the U.S.  Some lawsuits, however, will remain and Wright will continue to defend against remaining claims and any future claims that could be filed.  The ultimate cost to entirely resolve these matters will depend on many factors that are difficult to predict and may be materially different than the amounts accrued to date, including future revision claims and additional insurance recoveries.  Further charges may need to be recorded in the future as additional information becomes available.

Internet Posting of Information

Wright routinely posts information that may be important to investors in the “Investor Relations” section of its website at www.wright.com.  The company encourages investors and potential investors to consult the Wright website regularly for important information about Wright.

About Wright Medical Group N.V.

Wright Medical Group N.V. is a global medical device company focused on extremities and biologics products. The company is committed to delivering innovative, value-added solutions improving quality of life for patients worldwide and is a recognized leader of surgical solutions for the upper extremities (shoulder, elbow, wrist and hand), lower extremities (foot and ankle) and biologics markets, three of the fastest growing segments in orthopaedics.  For more information about Wright, visit www.wright.com.

™ and ® denote trademarks and registered trademarks of Wright Medical Group N.V. or its affiliates, registered as indicated in the United States, and in other countries.  All other trademarks and trade names referred to in this release are the property of their respective owners.

CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS 

This release includes forward-looking statements under the Private Securities Litigation Reform Act of 1995.  These forward-looking statements generally can be identified by the use of words such as “will,” “may,” “continue,” “anticipate,” “expect,” “could,” “believe,” “estimate,” “future,” other words of similar meaning and the use of future dates.  Forward-looking statements in this release include, but are not limited to, statements about the effects of the settlement agreements and the amount and funding of the settlement amounts. Forward-looking statements by their nature address matters that are, to different degrees, uncertain. Each forward-looking statement contained in this release is subject to risks and uncertainties that could cause actual results to differ materially from those expressed or implied by such statement.  Applicable risks and uncertainties include, among others, risks and uncertainties associated with the MSA and the settlement agreement with the Three Settling Insurers, including without limitation, the final MSA settlement amount and the final number of claims settled under the MSA,  the possibility that the 95% opt-in requirement may not be achieved, the resolution of the remaining unresolved claims, the effect of the broad release of certain insurance coverage for present and future claims, the resolution of the company’s dispute with the remaining carriers; and the other risks identified under the heading “Risk Factors” in Wright’s Annual Report on Form 10-K for the year ended December 27, 2015 filed by Wright with the SEC on February 23, 2016 and Wright’s Quarterly Report on Form 10-Q for the quarter ended September 25, 2016 anticipated to be filed by Wright with the SEC on November 2, 2016.  Investors should not place considerable reliance on the forward-looking statements contained in this release.  Investors are encouraged to read Wright’s filings with the SEC, available at www.sec.gov, for a discussion of these and other risks and uncertainties. The forward-looking statements in this release speak only as of the date of this release, and Wright undertakes no obligation to update or revise any of these statements.  Wright’s business is subject to substantial risks and uncertainties, including those referenced above.  Investors, potential investors, and others should give careful consideration to these risks and uncertainties.

Investors & Media:

Wright Medical Group N.V.

Julie D. Tracy

Sr. VP, Chief Communications Officer

(901) 290-5817 (office)

julie.tracy@wright.com

Wright Medical Group N.V.

CONTACT US

INVESTOR INFORMATION

NOVEMBER 2, 20164:00 P.M. ET

World $8.25 Billion Artificial Joints For Orthopedic Purposes Market Analysis and Forecasts to 2020 – Research and Markets

November 02, 2016

DUBLIN–(BUSINESS WIRE)–Research and Markets has announced the addition of the “World: Artificial Joints For Orthopedic Purposes – Market Report – Analysis and Forecast to 2020” report to their offering.

From 2007 to 2014, global exports of artificial joints for orthopedic purposes showed steady growth, increasing more than twofold over that period. However, it flattened in the last year, amounting to 8,253 million USD in 2015. There was an annual increase of 9.5% throughout the analyzed period.

USA continued its dominance in the global supplies of artificial joints for orthopedic purposes. In 2015, exports of artificial joints for orthopedic purposes from USA totaled 1,655 million USD, which accounted for a 20% share of global exports. Belgium, Germany, Ireland, and Switzerland were the other key global suppliers of artificial joints for orthopedic purposes in 2015, with a 55% combined share of global exports.

Belgium (+45.1% per year) and Germany (+13.3% per year) were the fastest growing exporters from 2007 to 2015. Belgium significantly strengthened its position in the global export structure, growing its share from 2% in 2007 to 17% in 2015.

On the other hand, USA (22%, based on value terms), Germany (10%), France (7%), Belgium (7%), and the UK (6%) were the leading destinations of imports of artificial joints for orthopedic purposes in 2015. Imports to Belgium grew at a rapid pace of +20.9% per year from 2007 to 2015. By contrast, the UK contracted its share of imports by -4 percentage points over the same period. Meanwhile, Belgium’s share of global imports increased by +4 percentage points.

Key Topics Covered:

1. Introduction

2. Executive Summary

3. Market Overview

4. Production

5. Imports

6. Exports

7. Profiles Of Major Manufacturers

For more information about this report visit http://www.researchandmarkets.com/research/ptw7qm/world_artificial

Contacts

Research and Markets
Laura Wood, Senior Manager
press@researchandmarkets.com
For E.S.T Office Hours Call 1-917-300-0470
For U.S./CAN Toll Free Call 1-800-526-8630
For GMT Office Hours Call +353-1-416-8900
U.S. Fax: 646-607-1907
Fax (outside U.S.): +353-1-481-1716
Related Topics: Orthopedic Devices

PeerWell Announces $2.1 Million in Seed Funding to Pioneer Tech-Enabled PreHab for Surgery

SAN FRANCISCO, CA – (November 2, 2016)PeerWell, whose PreHab mobile platform helps patients prepare both physically and mentally for surgery to recover faster, announced today that it has raised $2.1 million in seed funding led by XSeed Capital.

Founded in 2015 by Manish Shah, Navin Gupta and Evan Minamoto, PeerWell has been focused on its flagship PreHab program for hip and knee replacement patients. PeerWell PreHab helps hip and knee replacement candidates optimize their health before surgery. Leveraging evidence-based health science, the PeerWell app delivers patients customized daily lessons that are proven to improve the results of surgery and speed-up recovery. Pairing each patient with real people undergoing a joint replacement at the same time, support and mentorship are at the heart of PeerWell.

“Today the average surgery costs the same as living with diabetes for 33 years,” Manish Shah, CEO of PeerWell. “The best way to reduce costs is to enable patients to be as strong, healthy and prepared as possible before their procedure. Unfortunately, today most patients are given a 50 page hard copy book of pre-op instructions which is an outdated and ineffective method for preparing patients. At PeerWell, we are establishing pre-surgical PreHab as the standard of care for all patients, providing an easy to use mobile app tool for surgery preparation. We designed PeerWell to make clinical workflow more efficient by automating everything a patient needs to get done before surgery. This is rare a win for hospitals, physicians and patients.”

PeerWell’s system houses hundreds of evidence based patient modules that are personalized for patients by machine learning based program creation algorithms. Additionally, PeerWell allows patients to engage with others who are facing the same procedure and learn from patient mentors using its secure peer-to-peer communication technology.

The company will use the seed funding to enhance the platform by launching smartphone based tracking for key orthopedic outcomes including range-of-motion, sit/stand testing and six-minute walk tests. This round of funding will also allow PeerWell to continue its growth by accelerating the development of PreHab programs for other major procedures, establishing new distribution channels for its existing orthopedics business and investing in team growth at its San Francisco headquarters.

“Healthcare is moving toward outcome accountability and associated payment mechanisms, nowhere faster than in the move to bundled payments for procedures like hip and knee replacement.  There is consequently a large and growing opportunity for entrepreneurs who recognize the change and can deliver what is needed: improve patients’ ability to go straight home after surgery, reduce length of stay, drop readmissions, and limit overall complications,” said Michael Borrus, Founding Partner of XSeed Capital. “PeerWell is at the forefront of this emerging field. Their PreHab platform is unique in that it aligns and dramatically benefits all stakeholders: patients, doctors, and hospitals. That is why we are excited to invest in Manish and the PeerWell team.”

 

About PeerWell

PeerWell is a healthcare technology company that helps patients prepare for and recover from major episodes of care with its PreHab mobile platform. Every year 50 million people undergo major procedures like joint replacement surgery, coronary bypass surgery and chemotherapy. Using PeerWell, patients complete personalized 4-5 item daily checklists that help them prepare mentally, physically and environmentally. Learn more about PeerWell’s fully automated perioperative patient solution at https://www.peerwell.co/.

 

 

CMS Publishes 2017 Final Hospital Outpatient and Ambulatory Surgical Center Payment Rule Increasing Outpatient Facility Reimbursement for MIS SI Joint Fusion Using SI-BONE’s iFuse Implant System®

SAN JOSE, Calif., Nov. 2, 2016 /PRNewswire/ — SI-BONE, Inc., a medical device company that pioneered the use of the iFuse Implant System® (“iFuse”), a minimally invasive surgical (MIS) device indicated for fusion for certain disorders of the sacroiliac (SI) joint, reported that the Centers for Medicare & Medicaid Services (CMS) has issued its 2017 Final Hospital Outpatient Prospective Payment System (HOPPS) and Ambulatory Surgical Center (ASC) payment rule for MIS SI joint fusion.  The final payment rule shows AMA CPT® code 27279 has been assigned to APC 5116 and provides an increased Medicare national average hospital outpatient payment from $10,538to $14,698, representing an increase of $4,160 or 40% over the current payment amount.  In the ASC, the new Medicare national average payment will increase from $7,887 to $12,553, representing an increase of $4,666 or 59% over the current payment amount.  The new payments will become effective January 1, 2017.

“With these significant increases in facility payments, CMS continues to recognize the value of MIS SI joint fusion when billed using AMA CPT® code 27279 and the importance of providing access to our procedure for all Medicare beneficiaries in the outpatient setting,” said Michael Mydra, Vice President of Health Outcomes & Reimbursement at SI-BONE.  “We believe that iFuse fits strategically with the overall goals of the Affordable Care Act (ACA) by providing a safe and effective treatment of degenerative sacroiliitis and SI joint disruption, which has been demonstrated to improve pain, patient function and quality of life in a cost-effective manner.”

About SI-BONE, Inc.

SI-BONE, Inc. (San Jose, California) is a leading medical device company dedicated to the development, manufacture and commercialization of minimally invasive surgical devices for the treatment of patients with low back symptoms related to certain sacroiliac (SI) joint disorders.  SI-BONE, Inc. first received 510(k) clearance to market its iFuse Implant System (“iFuse”) from the Food and Drug Administration (FDA) in November 2008. The CE mark for European commercialization was obtained in November 2010.

The iFuse Implant System provides a minimally invasive surgical solution to fuse the SI joint using patented triangular titanium implants inserted across the joint from the ilium to the sacrum.  The triangular implant shape combined with an interference press fit is designed to provide immediate fixation by minimizing rotation and joint motion.  The implants’ porous surface provides an ideal environment for bone ongrowth and ingrowth, facilitating long-term fusion of the joint.  iFuse is the only commercially available SI joint fusion system in the United States with published evidence that demonstrates safety, effectiveness and economic benefits, including clinical results from three large multicenter prospective studies, two of which are randomized controlled trials. Currently, there are more than 45 peer-reviewed publications (www.si-bone.com/results).  It is the only SI joint fusion system with an FDA clearance recognizing demonstrated improvements in pain, patient function and quality of life following treatment.

The iFuse Implant System is intended for sacroiliac fusion for conditions including sacroiliac joint dysfunction that is a direct result of sacroiliac joint disruption and degenerative sacroiliitis.  This includes conditions whose symptoms began during pregnancy or in the peripartum period and have persisted postpartum for more than 6 months.  Clinical studies have demonstrated that treatment with the iFuse Implant System improved pain, patient function, and quality of life.  There are potential risks associated with the iFuse Implant System.  It may not be appropriate for all patients and all patients may not benefit.  For information about the risks, visit: www.si-bone.com/risks

SI-BONE and iFuse Implant System are registered trademarks of SI-BONE, Inc. ©2016 SI-BONE, Inc. All Rights Reserved. 9754.110216

SOURCE SI-BONE, Inc.

Related Links

http://www.si-bone.com

TissueGene Licensee, Kolon Life Science, Partners With Mitsubishi Tanabe Pharma To Develop And Commercialize Invossa™, The World’s First Cell-Mediated Gene Therapy For Degenerative Osteoarthritis

ROCKVILLE, Md., Nov. 1, 2016 /PRNewswire/ — TissueGene, Inc. (TGI), a Maryland-based regenerative medicine company, today announced an exclusive licensing and development agreement between Mitsubishi Tanabe Pharma Corporation of Japan (4508:JP TOKYO) and TissueGene’s Asia licensee, Kolon Life Science of Korea (102940:KS KOSDAQ). The agreement between the two companies focuses on the development and commercialization of Invossa™, the world’s first cell-mediated gene therapy for degenerative osteoarthritis for the Japanese market.  Market forecasts predict that the number of osteoarthritis patients in Japan aged 40 and older amounts to more than 25 million and is expected to accelerate with the aging population.

Under the terms of the agreement, Mitsubishi Tanabe will pay an upfront payment of approximately $24 Million plus additional payments of up to approximately $410 Million upon achievement of certain development, regulatory and commercial milestones, as well as a double-digit sales royalty.  The deal amount announced today represents the largest single-territory deal on record for Korea.

Invossa™ is a first-in-class osteoarthritis drug designed to conveniently and effectively treat osteoarthritis of the knee through a single intra-articular injection.  Clinical trials completed in Korea and on-going trials in the US have demonstrated pain relief, increased mobility, and improvements in joint structure – offering substantial convenience for osteoarthritis patients who would otherwise be in need of surgery.  TissueGene has completed U.S. Phase 2 trials of Invossa™ and received a Special Protocol Assessment (“SPA”) designation for Phase 3 trials scheduled to begin in the second quarter of 2017.  The US Phase 3 will aim for approval from the US Food and Drug Administration (FDA) as the first disease-modifying osteoarthritis drug (DMOAD). Additional Information can be found at the NIH registry, www.clinicaltrials.gov.

Upon completion of its clinical trials in Korea in July of this year, which successfully verified the safety and efficacy of Invossa™, Kolon Life Science filed for a biologics license application with the Korea Ministry of Food and Drug Safety (MFDS).  Similarly, Mitsubishi Tanabe will proceed with Japanese clinical trials and regulatory filings and Kolon Life Science will be responsible for manufacturing activities.

“This license agreement for Invossa™ is significant in that it marks the first key step for global recognition of Korea’s first gene-therapy drug,” said Kolon Life Science CEO Woo-Sok Lee. “Mitsubishi Tanabe already has expertise and experience in the successful commercialization of Johnson and Johnson’s rheumatoid arthritis drug Remicade™ which should boost the potential success of Invossa™ in the Japanese market.”

About Osteoarthritis Osteoarthritis (also known as OA) is a common joint disease that most often affects middle-age to elderly people. It is commonly referred to as “wear and tear” of the joints, but we now know that OA is a disease of the entire joint, involving the cartilage, joint lining, ligaments, and bone.  It is more common in older people and characterized by breakdown of the cartilage (the tissue that cushions the ends of the bones between joints), bony changes of the joints, deterioration of tendons and ligaments, and various degrees of inflammation of the joint lining (called the synovium).  There is no cure for OA and there is a significant need for additional therapies to bridge the treatment gap between palliative care and surgery.  For more information see http://www.cdc.gov/arthritis/basics/osteoarthritis.htm.

About Special Protocol Assessment The Special Protocol Assessment (SPA) process is a procedure by which the FDA provides official evaluation and written guidance on the design and size of proposed protocols that are intended to form the basis for a new drug application. TissueGene’s Invossa™ was given an SPA designation in May, 2015. Final marketing approval depends on the results of efficacy, the adverse event profile and an evaluation of the benefit/risk of treatment demonstrated in the Phase 3 clinical program. The SPA agreement may only be changed through a written agreement between the sponsor and the FDA, or if the FDA becomes aware of a substantial scientific issue essential to product efficacy or safety. For more information on Special Protocol Assessment, please visit www.fda.gov.

Mitsubishi Tanabe Pharma Corporation Mitsubishi Tanabe Pharma Corporation is a research-driven pharmaceutical company based in Osaka, Japan. MTPC is taking on the challenge of drug discovery in the fields of autoimmune/inflammatory diseases, central nervous system diseases, diabetes and kidney diseases, and vaccines. To those ends, MTPC is strengthening its R&D pipeline. MTPC contributes to the healthier lives of people around the world through the creation of pharmaceuticals. http://www.mt-pharma.co.jp/e.

Kolon Life Science Kolon Life Science has been developing innovative cell and gene therapies including Invossa, the world’s first cell-mediated gene therapy for osteoarthritis, since its founding in 2000. In addition to its biopharmaceuticals business, the company is also engaged in the business of providing active pharmaceuticals ingredients (API), eco-chemicals including antimicrobials for personal-care and industrial applications, as well as water-treatment solutions. For more information, please visit www.kolonls.co.kr/eng.

TissueGene, Inc. TissueGene, Inc., is a Maryland-based regenerative medicine company specializing in cell and gene therapy. TissueGene’s lead product is Invossa™, an allogeneic, cell-mediated gene therapy for osteoarthritis of the knee that has completed Phase II clinical trials in the US.  TissueGene has recently reached an agreement with the U.S. Food and Drug Administration regarding a Special Protocol Assessment (SPA) for a Phase 3 clinical trial for Invossa™. Information can be found at the NIH registry, www.clinicaltrials.gov.  For additional information about TissueGene, Inc., please visit www.tissuegene.com.

To view the original version on PR Newswire, visit: http://www.prnewswire.com/news-releases/tissuegene-licensee-kolon-life-science-partners-with-mitsubishi-tanabe-pharma-to-develop-and-commercialize-invossa-the-worlds-first-cell-mediated-gene-therapy-for-degenerative-osteoarthritis-300355009.html

SOURCE TissueGene, Inc.

 

Xtant Medical Receives Approval of Compliance Plan from NYSE MKT

BELGRADE, Mont., Nov. 01, 2016 (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 announced that the NYSE MKT LLC (the “Exchange”) notified the Company that it accepted the Company’s plan to regain compliance with the continued listing requirements of the Exchange.

On August 19, 2016, the Company received notice that they are not in compliance with NYSE MKT LLC continued listing standards. Specifically, the company is not in compliance with section 1003(a)(i) and 1003(a)(ii) and section 1003(a)(iii) of the NYSE MKT Company Guide since it reported stockholder’s equity deficit of $496,000 as of June 30, 2016, and net losses in its five most recent fiscal years ended December 31, 2015.

The Company submitted its plan of compliance on September 13, 2016, and on November 1, 2016, the Exchange notified the Company that it accepted the Company’s plan of compliance and granted the Company an extension until February 15, 2018 to regain compliance with the continued listing standards. The Company will be subject to periodic review by Exchange Staff during the extension period.

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
xtant@cg.capital

Company Contact 
Xtant Medical 
Molly Mason
mmason@xtantmedical.com

DJO Global Announces Date for Release of Third Quarter 2016 Results

October 31, 2016

SAN DIEGO–(BUSINESS WIRE)–DJO Global, Inc., a leading global provider of medical technologies designed to get and keep people moving, today announced the following information for the release of its third quarter 2016 financial results and a conference call to discuss those results.

Date: Tuesday, November 8, 2016

Time: Financial Results: 7:35 AM Eastern Time | Conference Call: 1:00 PM Eastern Time; 10:00 AM Pacific Time

Dial In: 866-394-8509 (International callers please use 706-643-6833) and use reservation code: 22322226. Please dial in 5 to 10 minutes prior to scheduled start time.

Replay: 855-859-2056 for all callers. Enter reservation code: 22322226. Replay ends 48 hours after call.

Live Internet: www.DJOglobal.com, accessed through the Investor Relations page of the Company’s website. The webcast will be archived after the completion of the call.

About DJO Global

DJO Global is a leading global provider of medical technologies designed to get and keep people moving. The Company’s products address the continuum of patient care from injury prevention to rehabilitation after surgery, injury or from degenerative disease, enabling people to regain or maintain their natural motion. Its products are used by orthopedic specialists, spine surgeons, primary care physicians, pain management specialists, physical therapists, podiatrists, chiropractors, athletic trainers and other healthcare professionals. In addition, many of the Company’s medical devices and related accessories are used by athletes and patients for injury prevention and at-home physical therapy treatment. The Company’s product lines include rigid and soft orthopedic bracing, hot and cold therapy, bone growth stimulators, vascular therapy systems and compression garments, therapeutic shoes and inserts, electrical stimulators used for pain management and physical therapy products. The Company’s surgical division offers a comprehensive suite of reconstructive joint products for the hip, knee and shoulder. DJO Global’s products are marketed under a portfolio of brands including Aircast®, Chattanooga, CMF™, Compex®, DonJoy®, ProCare®, DJO® Surgical, Dr. Comfort®, Bell-Horn® and Exos™. For additional information on the Company, please visit www.DJOglobal.com.

Contacts

DJO Investor/Media Contact:
DJO Global, Inc.
Matt Simons
SVP Business Development and Investor Relations
760-734-5548
matt.simons@DJOglobal.com