UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
FORM 10-Q
(Mark one)
☒ |
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For the quarterly period ended June 30, 2023
OR
☐ |
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For the transition period from to .
Commission File Number: 0-19961
ORTHOFIX MEDICAL INC.
(Exact name of registrant as specified in its charter)
Delaware |
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98-1340767 |
(State or other jurisdiction of incorporation or organization) |
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(I.R.S. Employer Identification No.) |
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3451 Plano Parkway, Lewisville, Texas |
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75056 |
(Address of principal executive offices) |
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(Zip Code) |
(214) 937-2000
(Registrant’s telephone number, including area code)
Not applicable
(Former name, former address and former fiscal year, if changed since last report)
Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. ☒ Yes ☐ No
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). ☒ Yes ☐ No
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
Large Accelerated filer |
☐ |
Accelerated filer |
☒ |
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Non-Accelerated filer |
☐ |
Smaller Reporting Company |
☐ |
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Emerging Growth Company |
☐ |
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). ☐ Yes ☒ No
As of August 4, 2023, 36,738,681 shares of common stock were issued and outstanding.
Securities registered pursuant to Section 12(b) of the Act:
Title of each class |
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Trading Symbol(s) |
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Name of each exchange on which registered |
Common stock, $0.10 par value per share |
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OFIX |
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Nasdaq Global Select Market |
Table of Contents
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PART I |
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Item 1. |
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4 |
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Condensed Consolidated Balance Sheets as of June 30, 2023, and December 31, 2022 |
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4 |
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5 |
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6 |
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Condensed Consolidated Statements of Cash Flows for the six months ended June 30, 2023, and 2022 |
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7 |
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Notes to the Unaudited Condensed Consolidated Financial Statements |
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8 |
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Item 2. |
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Management’s Discussion and Analysis of Financial Condition and Results of Operations |
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20 |
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Item 3. |
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29 |
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Item 4. |
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29 |
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PART II |
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Item 1. |
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31 |
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Item 1A. |
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31 |
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Item 2. |
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31 |
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Item 3. |
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31 |
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Item 4. |
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32 |
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Item 5. |
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32 |
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Item 6. |
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32 |
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34 |
2
Forward-Looking Statements
This Quarterly Report contains forward-looking statements within the meaning of Section 21E of the Securities Exchange Act of 1934, as amended (“the Exchange Act”), and Section 27A of the Securities Act of 1933, as amended, relating to our business and financial outlook, which are based on our current beliefs, assumptions, expectations, estimates, forecasts, and projections. All statements, other than statements of historical fact, contained in this report, are forward-looking statements. In some cases, you can identify forward-looking statements by terms such as “may,” “will,” “should,” “expects,” “plans,” “anticipates,” “believes,” “estimates,” “projects,” “intends,” “predicts,” “potential,” or “continue” or the negative version of those terms and other similar expressions. Forward-looking statements include, but are not limited to, statements about:
Forward-looking statements are not guarantees of future performance and involve risks, uncertainties, estimates, and assumptions. Any or all forward-looking statements that we make may turn out to be wrong (due to inaccurate assumptions that we make or otherwise), and our actual outcomes and results may differ materially from those expressed in forward-looking statements. Potential risks and uncertainties that could cause actual results to differ materially include, but are not limited to, those set forth in Part I, Item 1A under the heading Risk Factors of our Annual Report on Form 10-K for the year ended December 31, 2022 ("2022 10-K"); Part II, Item 7 Management’s Discussion and Analysis of Financial Condition and Results of Operations of the 2022 10-K; and elsewhere throughout the 2022 10-K, and in our reports filed with the U.S. Securities and Exchange Commission (the "SEC") subsequent to the date we filed the 2022 10-K with the SEC. You should not place undue reliance on any forward-looking statements. Further, any forward-looking statement in this report speaks only as of the date hereof, unless it is specifically otherwise stated to be made as of a different date. Except as required by law, we undertake no obligation to update, and expressly disclaim any duty to update, our forward-looking statements, whether as a result of circumstances or events that arise after the date hereof, new information, or otherwise.
Trademarks
Solely for convenience, our trademarks and trade names in this report are referred to without the ® and symbols, but such references should not be construed as any indicator that we will not assert, to the fullest extent under applicable law, our rights thereto.
3
PART I. FINANCIAL INFORMATION
Item 1. Financial Statements
ORTHOFIX MEDICAL INC.
Condensed Consolidated Balance Sheets
(U.S. Dollars, in thousands, except par value data) |
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June 30, |
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December 31, |
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(Unaudited) |
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Assets |
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Current assets |
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Cash and cash equivalents |
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$ |
37,607 |
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$ |
50,700 |
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Accounts receivable, net of allowances of $7,015 and $6,419, respectively |
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112,320 |
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82,857 |
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Inventories |
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222,474 |
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100,150 |
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Prepaid expenses and other current assets |
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26,947 |
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22,283 |
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Total current assets |
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399,348 |
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|
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255,990 |
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Property, plant, and equipment, net |
|
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140,584 |
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|
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58,229 |
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Intangible assets, net |
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126,000 |
|
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47,388 |
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Goodwill |
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191,727 |
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71,317 |
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Other long-term assets |
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43,628 |
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25,705 |
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Total assets |
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$ |
901,287 |
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$ |
458,629 |
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Liabilities and shareholders’ equity |
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Current liabilities |
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Accounts payable |
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$ |
51,349 |
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$ |
27,598 |
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Current portion of finance lease liability |
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678 |
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652 |
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Other current liabilities |
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89,777 |
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55,374 |
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Total current liabilities |
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141,804 |
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83,624 |
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Long-term borrowings under credit facility |
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51,000 |
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— |
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Long-term portion of finance lease liability |
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18,894 |
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|
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19,239 |
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Other long-term liabilities |
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49,604 |
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18,906 |
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Total liabilities |
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261,302 |
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121,769 |
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Shareholders’ equity |
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Common shares $0.10 par value; 100,000 shares authorized; |
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3,673 |
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2,016 |
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Additional paid-in capital |
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735,533 |
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334,969 |
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Retained earnings (accumulated deficit) |
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(99,113 |
) |
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1,251 |
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Accumulated other comprehensive loss |
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(108 |
) |
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(1,376 |
) |
Total shareholders’ equity |
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639,985 |
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336,860 |
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Total liabilities and shareholders’ equity |
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$ |
901,287 |
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$ |
458,629 |
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The accompanying notes form an integral part of these condensed consolidated financial statements
4
ORTHOFIX MEDICAL INC.
Condensed Consolidated Statements of Operations and Comprehensive Income (Loss)
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Three Months Ended |
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Six Months Ended |
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(Unaudited, U.S. Dollars, in thousands, except per share data) |
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2023 |
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2022 |
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2023 |
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2022 |
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Net sales |
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$ |
187,016 |
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$ |
118,070 |
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$ |
362,220 |
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$ |
224,488 |
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Cost of sales |
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67,465 |
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31,600 |
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132,340 |
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59,918 |
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Gross profit |
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119,551 |
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86,470 |
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229,880 |
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164,570 |
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Sales and marketing |
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99,249 |
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59,888 |
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193,040 |
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114,025 |
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General and administrative |
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34,177 |
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15,846 |
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82,988 |
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35,174 |
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Research and development |
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19,424 |
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12,758 |
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42,731 |
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23,970 |
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Acquisition-related amortization and remeasurement (Note 12) |
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3,333 |
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(8,663 |
) |
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7,467 |
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(12,162 |
) |
Operating income (loss) |
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(36,632 |
) |
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6,641 |
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(96,346 |
) |
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3,563 |
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Interest expense, net |
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(1,266 |
) |
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(407 |
) |
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(2,555 |
) |
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(782 |
) |
Other income (expense), net |
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(20 |
) |
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(3,192 |
) |
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656 |
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(4,128 |
) |
Income (loss) before income taxes |
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(37,918 |
) |
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3,042 |
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(98,245 |
) |
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(1,347 |
) |
Income tax expense |
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(1,508 |
) |
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(553 |
) |
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(2,119 |
) |
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(624 |
) |
Net income (loss) |
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$ |
(39,426 |
) |
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$ |
2,489 |
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$ |
(100,364 |
) |
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$ |
(1,971 |
) |
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Net income (loss) per common share: |
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Basic |
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$ |
(1.07 |
) |
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$ |
0.12 |
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$ |
(2.77 |
) |
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$ |
(0.10 |
) |
Diluted |
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(1.07 |
) |
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0.12 |
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(2.77 |
) |
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(0.10 |
) |
Weighted average number of common shares: |
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Basic |
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36,762 |
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20,031 |
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36,252 |
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19,965 |
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Diluted |
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36,762 |
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20,113 |
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36,252 |
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19,965 |
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Other comprehensive income (loss), before tax |
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Unrealized gain (loss) on debt securities |
|
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381 |
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|
161 |
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318 |
|
|
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(513 |
) |
Currency translation adjustment |
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|
457 |
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|
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(1,820 |
) |
|
|
950 |
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(2,308 |
) |
Other comprehensive income (loss), before tax |
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|
838 |
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|
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(1,659 |
) |
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|
1,268 |
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(2,821 |
) |
Income tax benefit (expense) related to other comprehensive income (loss) |
|
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— |
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|
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— |
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|
|
— |
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|
|
— |
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Other comprehensive income (loss), net of tax |
|
|
838 |
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|
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(1,659 |
) |
|
|
1,268 |
|
|
|
(2,821 |
) |
Comprehensive income (loss) |
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$ |
(38,588 |
) |
|
$ |
830 |
|
|
$ |
(99,096 |
) |
|
$ |
(4,792 |
) |
The accompanying notes form an integral part of these condensed consolidated financial statements
5
ORTHOFIX MEDICAL INC.
(Unaudited, U.S. Dollars, in thousands) |
|
Number of |
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Common |
|
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Additional |
|
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Retained |
|
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Accumulated |
|
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Total |
|
||||||
At December 31, 2022 |
|
|
20,162 |
|
|
$ |
2,016 |
|
|
$ |
334,969 |
|
|
$ |
1,251 |
|
|
$ |
(1,376 |
) |
|
$ |
336,860 |
|
Net loss |
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|
— |
|
|
|
— |
|
|
|
— |
|
|
|
(60,938 |
) |
|
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— |
|
|
|
(60,938 |
) |
Other comprehensive income, net of tax |
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
430 |
|
|
|
430 |
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Share-based compensation expense |
|
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— |
|
|
|
— |
|
|
|
13,020 |
|
|
|
— |
|
|
|
— |
|
|
|
13,020 |
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Common shares issued in connection with SeaSpine merger |
|
|
16,047 |
|
|
|
1,605 |
|
|
|
375,140 |
|
|
|
— |
|
|
|
— |
|
|
|
376,745 |
|
Common shares issued, net |
|
|
254 |
|
|
|
26 |
|
|
|
(1,984 |
) |
|
|
— |
|
|
|
— |
|
|
|
(1,958 |
) |
At March 31, 2023 |
|
|
36,463 |
|
|
$ |
3,647 |
|
|
$ |
721,145 |
|
|
$ |
(59,687 |
) |
|
$ |
(946 |
) |
|
$ |
664,159 |
|
Net loss |
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
(39,426 |
) |
|
|
— |
|
|
|
(39,426 |
) |
Other comprehensive income, net of tax |
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
838 |
|
|
|
838 |
|
Share-based compensation expense |
|
|
— |
|
|
|
— |
|
|
|
13,246 |
|
|
|
— |
|
|
|
— |
|
|
|
13,246 |
|
Common shares issued, net |
|
|
270 |
|
|
|
26 |
|
|
|
1,142 |
|
|
|
— |
|
|
|
— |
|
|
|
1,168 |
|
At June 30, 2023 |
|
|
36,733 |
|
|
$ |
3,673 |
|
|
$ |
735,533 |
|
|
$ |
(99,113 |
) |
|
$ |
(108 |
) |
|
$ |
639,985 |
|
(Unaudited, U.S. Dollars, in thousands) |
|
Number of |
|
|
Common |
|
|
Additional |
|
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Retained |
|
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Accumulated |
|
|
Total |
|
||||||
At December 31, 2021 |
|
|
19,837 |
|
|
$ |
1,983 |
|
|
$ |
313,951 |
|
|
$ |
21,000 |
|
|
|
— |
|
|
$ |
336,934 |
|
Net loss |
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
(4,460 |
) |
|
|
— |
|
|
|
(4,460 |
) |
Other comprehensive loss, net of tax |
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
(1,162 |
) |
|
|
(1,162 |
) |
Share-based compensation expense |
|
|
— |
|
|
|
— |
|
|
|
4,332 |
|
|
|
— |
|
|
|
— |
|
|
|
4,332 |
|
Common shares issued, net |
|
|
5 |
|
|
|
1 |
|
|
|
(70 |
) |
|
|
— |
|
|
|
— |
|
|
|
(69 |
) |
At March 31, 2022 |
|
|
19,842 |
|
|
$ |
1,984 |
|
|
$ |
318,213 |
|
|
$ |
16,540 |
|
|
$ |
(1,162 |
) |
|
$ |
335,575 |
|
Net income |
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
2,489 |
|
|
|
— |
|
|
|
2,489 |
|
Other comprehensive loss, net of tax |
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
(1,659 |
) |
|
|
(1,659 |
) |
Share-based compensation expense |
|
|
— |
|
|
|
— |
|
|
|
4,460 |
|
|
|
— |
|
|
|
— |
|
|
|
4,460 |
|
Common shares issued, net |
|
|
158 |
|
|
|
16 |
|
|
|
1,065 |
|
|
|
— |
|
|
|
— |
|
|
|
1,081 |
|
At June 30, 2022 |
|
|
20,000 |
|
|
$ |
2,000 |
|
|
$ |
323,738 |
|
|
$ |
19,029 |
|
|
$ |
(2,821 |
) |
|
$ |
341,946 |
|
The accompanying notes form an integral part of these condensed consolidated financial statements
6
ORTHOFIX MEDICAL INC.
Condensed Consolidated Statements of Cash Flows
|
|
Six Months Ended |
|
|||||
(Unaudited, U.S. Dollars, in thousands) |
|
2023 |
|
|
2022 |
|
||
Cash flows from operating activities |
|
|
|
|
|
|
||
Net loss |
|
$ |
(100,364 |
) |
|
$ |
(1,971 |
) |
Adjustments to reconcile net loss to net cash from operating activities |
|
|
|
|
|
|
||
Depreciation and amortization |
|
|
25,997 |
|
|
|
14,028 |
|
Inventory reserve expenses |
|
|
17,057 |
|
|
|
6,625 |
|
Amortization of inventory fair value step up |
|
|
21,085 |
|
|
|
— |
|
Amortization of operating lease assets, debt costs, and other assets |
|
|
3,319 |
|
|
|
1,567 |
|
Provision for expected credit losses |
|
|
490 |
|
|
|
1,139 |
|
Deferred income taxes |
|
|
815 |
|
|
|
236 |
|
Share-based compensation expense |
|
|
26,266 |
|
|
|
8,792 |
|
Change in valuation of investment securities |
|
|
(492 |
) |
|
|
188 |
|
Change in fair value of contingent consideration |
|
|
(1,300 |
) |
|
|
(16,214 |
) |
Other |
|
|
(372 |
) |
|
|
1,149 |
|
Changes in operating assets and liabilities, net of effects of acquisitions |
|
|
|
|
|
|
||
Accounts receivable |
|
|
5,615 |
|
|
|
(208 |
) |
Inventories |
|
|
(33,168 |
) |
|
|
(22,214 |
) |
Prepaid expenses and other current assets |
|
|
275 |
|
|
|
(1,769 |
) |
Accounts payable |
|
|
1,800 |
|
|
|
7,176 |
|
Other current liabilities |
|
|
(6,425 |
) |
|
|
(7,495 |
) |
Contract liability |
|
|
— |
|
|
|
(4,791 |
) |
Other long-term assets and liabilities |
|
|
(134 |
) |
|
|
1,140 |
|
Net cash provided by (used in) operating activities |
|
|
(39,536 |
) |
|
|
(12,622 |
) |
Cash flows from investing activities |
|
|
|
|
|
|
||
Capital expenditures for property, plant, and equipment |
|
|
(23,823 |
) |
|
|
(11,032 |
) |
Capital expenditures for intangible assets |
|
|
(831 |
) |
|
|
(671 |
) |
Contingent consideration payments related to asset acquisitions |
|
|
— |
|
|
|
(1,500 |
) |
Cash acquired in the SeaSpine merger |
|
|
29,419 |
|
|
|
— |
|
Other investing activities |
|
|
(500 |
) |
|
|
42 |
|
Net cash provided by (used in) investing activities |
|
|
4,265 |
|
|
|
(13,161 |
) |
Cash flows from financing activities |
|
|
|
|
|
|
||
Proceeds from issuance of common shares |
|
|
2,377 |
|
|
|
2,400 |
|
Payments related to tax withholdings for share-based compensation |
|
|
(3,167 |
) |
|
|
(1,388 |
) |
Payments related to finance lease obligation |
|
|
(320 |
) |
|
|
(2,291 |
) |
Borrowings under credit facility |
|
|
51,000 |
|
|
|
— |
|
Payment of debt acquired from SeaSpine merger |
|
|
(26,899 |
) |
|
|
— |
|
Contingent consideration milestone payment |
|
|
(920 |
) |
|
|
— |
|
Other financing activities |
|
|
(280 |
) |
|
|
(45 |
) |
Net cash provided by (used in) financing activities |
|
|
21,791 |
|
|
|
(1,324 |
) |
Effect of exchange rate changes on cash |
|
|
387 |
|
|
|
(1,204 |
) |
Net change in cash and cash equivalents |
|
|
(13,093 |
) |
|
|
(28,311 |
) |
Cash and cash equivalents at the beginning of period |
|
|
50,700 |
|
|
|
87,847 |
|
Cash and cash equivalents at the end of period |
|
$ |
37,607 |
|
|
$ |
59,536 |
|
|
|
|
|
|
|
|
||
Noncash investing activities - Purchase of intangible assets |
|
$ |
— |
|
|
$ |
2,000 |
|
The accompanying notes form an integral part of these condensed consolidated financial statements
7
ORTHOFIX MEDICAL INC.
Notes to the Unaudited Condensed Consolidated Financial Statements
1. Business and basis of presentation
Description of the Business
Orthofix Medical Inc. (“Orthofix”) and its subsidiaries (the "Company"), following its merger with SeaSpine Holdings Corporation ("SeaSpine") that was completed in January 2023, is a leading global spine and orthopedics company with a comprehensive portfolio of biologics, innovative spinal hardware, bone growth therapies, specialized orthopedic solutions, and a leading surgical navigation system. The Company's products are distributed in approximately 68 countries worldwide.
The Company is headquartered in Lewisville, Texas, and has primary offices in Carlsbad, California, with a focus on spinal product innovation and surgeon education, and in Verona, Italy, with an emphasis on product innovation, production, and medical education for orthopedics. The combined Company's global research and development, commercial, and manufacturing footprint also includes facilities and offices in Irvine, California, Toronto, Canada, Sunnyvale, California, Wayne, Pennsylvania, Olive Branch, Mississippi, Maidenhead, United Kingdom, Munich, Germany, Paris, France, and Sao Paulo, Brazil.
The merger with SeaSpine was completed on January 5, 2023, with SeaSpine continuing as a wholly-owned subsidiary of Orthofix following the transaction. For additional discussion of the merger with SeaSpine, see Note 3. The shares of common stock of Orthofix, as the corporate parent entity in the combined company structure, continue to trade on NASDAQ under the symbol "OFIX". The combined company will be renamed at a later date and until then will continue to be known as Orthofix Medical Inc.
Basis of Presentation
The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with generally accepted accounting principles in the United States (“U.S. GAAP”) for interim financial information and with the instructions to Form 10-Q and Rule 10-01 of Regulation S-X. Pursuant to these rules and regulations, certain information and note disclosures normally included in financial statements prepared in accordance with U.S. GAAP have been condensed or omitted. In the opinion of management, all adjustments (consisting of normal recurring items) considered necessary for a fair statement have been included. These condensed consolidated financial statements should be read in conjunction with the consolidated financial statements and related notes contained in the Company’s Form 10-K for the year ended December 31, 2022. Operating results for the three and six months ended June 30, 2023, are not necessarily indicative of the results that may be expected for other interim periods or the year ending December 31, 2023.
The preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the amounts reported in the financial statements and accompanying notes. On an ongoing basis, the Company evaluates its estimates, including those related to revenue recognition; contractual allowances; allowances for expected credit losses; inventories; valuation of intangible assets; goodwill; fair value measurements, including contingent consideration; litigation and contingent liabilities; tax matters; and share-based compensation. Actual results could differ from these estimates.
Changes in Presentation of Consolidated Financial Statements
Certain prior year balances have been reclassified in the condensed consolidated financial statements to conform to current period presentation.
2. Recently adopted accounting standards, recently issued accounting pronouncements
Adoption of Accounting Standards Update (“ASU”) 2021-08— Business Combinations (Topic 805): Accounting for Contract Assets and Contract Liabilities from Contracts with Customers
In October 2021, the Financial Accounting Standards Board (“FASB”) issued ASU 2021-08, which aims to address diversity in practice and inconsistency related to the accounting for acquired revenue contracts with customers in a business combination. The amendments require that an entity recognize and measure contract assets and contract liabilities acquired in a business combination in accordance with Topic 606, Revenue from Contracts with Customers. The Company adopted this standard effective January 1, 2023, on a prospective basis. Adoption of this standard resulted in the recognition of $2.2 million in contract liabilities associated with acquired revenue contracts as a result of the Company’s merger with SeaSpine, which closed on January 5, 2023.
8
Recently Issued Accounting Pronouncements
Topic |
|
Description of Guidance |
|
Effective Date |
|
Status of Company's Evaluation |
Fair Value Measurement of Equity Securities Subject to Contractual Sale Restrictions (ASU 2022-03) |
|
Clarifies the guidance in Topic 820, Fair Value Measurement, when measuring the fair value of an equity security subject to contractual restrictions that prohibit the sale of an equity security and introduces new disclosure requirements for equity securities subject to contractual sale restrictions. Certain of the provisions are to be applied retrospectively with other provisions applied prospectively. |
|
January 1, 2024 |
|
The Company is currently evaluating the impact this ASU may have on its consolidated financial statements. |
Other recently issued ASUs, excluding those ASUs which have already been disclosed as adopted or described above, were assessed and determined not applicable, or are expected to have minimal impact on the Company's condensed consolidated financial statements.
3. Merger and acquisitions
Merger with SeaSpine
On January 5, 2023, the Company and SeaSpine completed an all-stock merger of equals (the "Merger") to create a leading global spine and orthopedics company with highly complementary portfolios of biologics, innovative spinal hardware, bone growth therapies, specialized orthopedic solutions, and a leading surgical navigation system. As a result of the Merger, each share of SeaSpine common stock issued and outstanding immediately prior to the closing of the Merger was converted into the right to receive 0.4163 shares of Orthofix common stock.
The Merger is being accounted for as an acquisition of SeaSpine by Orthofix under the acquisition method of accounting for business combinations in accordance with U.S. GAAP. Thus, Orthofix is treated as the acquirer for accounting purposes. In identifying the acquirer, Orthofix and SeaSpine considered the structure of the transaction and other actions contemplated by the merger agreement (the “Merger Agreement”), relative outstanding share ownership, market values, the composition of the combined company's board of directors, and the relative size of Orthofix and SeaSpine. Under the acquisition method of accounting, the assets and liabilities of SeaSpine and its subsidiaries have been recorded at their respective fair values as of the acquisition date.
The total estimated fair value of consideration associated with the Merger as of the acquisition date was comprised of:
(Unaudited, U.S. Dollars, in thousands, except shares and price per share) |
|
|
|
|
Share Consideration: |
|
|
|
|
Orthofix common shares to be issued in exchange for SeaSpine common shares |
|
|
16,047,315 |
|
Orthofix closing price per share as of January 4, 2023 |
|
$ |
22.76 |
|
Estimated fair value of shares issued in exchange for SeaSpine common shares |
|
$ |
365,237 |
|
Estimated fair value of Orthofix stock options and RSUs issued in exchange for outstanding SeaSpine equity awards |
|
$ |
11,508 |
|
Total estimated fair value of consideration |
|
$ |
376,745 |
|
The following table summarizes the preliminary estimated fair values of the assets acquired and liabilities assumed at the acquisition date. Certain of the acquired assets and liabilities assumed were valued utilizing Level 3 inputs and assumptions. A final determination of the allocation of the purchase price to assets acquired and liabilities assumed has not been made and the following should be considered preliminary. Adjustments to the preliminary purchase price allocation could be material. The final determination is subject to completion of the Company's valuation of the assets acquired and liabilities assumed, including contingent liabilities and deferred income taxes, which it expects to complete within one year of the acquisition date.
9
(Unaudited, U.S. Dollars, in thousands) |
|
Previously Reported |
|
|
Adjustments |
|
|
As Revised |
|
|
Assigned Useful Life |
|||
Assets acquired: |
|
|
|
|
|
|
|
|
|
|
|
|||
Current assets |
|
|
|
|
|
|
|
|
|
|
|
|||
Cash and cash equivalents |
|
$ |
29,419 |
|
|
$ |
— |
|
|
$ |
29,419 |
|
|
|
Accounts receivable, net |
|
|
35,313 |
|
|
|
— |
|
|
|
35,313 |
|
|
|
Inventories |
|
|
129,610 |
|
|
|
3,026 |
|
|
|
132,636 |
|
|
|
Prepaid expenses and other current assets |
|
|
4,600 |
|
|
|
(10 |
) |
|
|
4,590 |
|
|
|
Total current assets |
|
|
198,942 |
|
|
|
3,016 |
|
|
|
201,958 |
|
|
|
Property, plant, and equipment, net |
|
|
68,911 |
|
|
|
(48 |
) |
|
|
68,863 |
|
|
|
Customer relationships |
|
|
27,100 |
|
|
|
6,000 |
|
|
|
33,100 |
|
|
13 years |
Developed technology |
|
|
45,400 |
|
|
|
1,800 |
|
|
|
47,200 |
|
|
6 - 8 years |
In-process research and development ("IPR&D") |
|
|
5,600 |
|
|
|
150 |
|
|
|
5,750 |
|
|
Indefinite |
Other long-term assets |
|
|
20,472 |
|
|
|
29 |
|
|
|
20,501 |
|
|
|
Total identifiable assets acquired |
|
$ |
366,425 |
|
|
$ |
10,947 |
|
|
$ |
377,372 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||
Liabilities assumed: |
|
|
|
|
|
|
|
|
|
|
|
|||
Current liabilities |
|
|
|
|
|
|
|
|
|
|
|
|||
Accounts payable |
|
$ |
21,602 |
|
|
$ |
— |
|
|
$ |
21,602 |
|
|
|
Other current liabilities |
|
|
41,224 |
|
|
|
(920 |
) |
|
|
40,304 |
|
|
|
Total current liabilities |
|
|
62,826 |
|
|
|
(920 |
) |
|
|
61,906 |
|
|
|
Long-term borrowings under SeaSpine credit facility |
|
|
26,298 |
|
|
|
— |
|
|
|
26,298 |
|
|
|
Other long-term liabilities |
|
|
31,950 |
|
|
|
883 |
|
|
|
32,833 |
|
|
|
Total liabilities assumed |
|
|
121,074 |
|
|
|
(37 |
) |
|
|
121,037 |
|
|
|
Net identifiable assets acquired |
|
$ |
245,351 |
|
|
$ |
10,984 |
|
|
$ |
256,335 |
|
|
|
Total fair value of consideration transferred |
|
|
376,745 |
|
|
|
— |
|
|
|
376,745 |
|
|
|
Residual goodwill |
|
$ |
131,394 |
|
|
$ |
(10,984 |
) |
|
$ |
120,410 |
|
|
|
The purchase price exceeded the fair value of the net tangible and identifiable intangible assets acquired in the Merger. As a result, the Company recorded goodwill totaling $120.4 million, which was assigned to the Global Spine reporting segment. Specifically, the goodwill includes the assembled workforce and synergies associated with the combined entity. The goodwill is not deductible for tax purposes.
The IPR&D intangible assets are considered an indefinite-lived asset until the completion or abandonment of the associated research and development efforts. Accordingly, during the development period after the acquisition, these assets are not amortized but, instead, are subject to impairment assessment. Upon completion of each IPR&D project, the Company will determine the useful life of the asset and begin amortization.
The Company recognized $3.3 million and $9.8 million in direct acquisition-related costs, which exclude integration-related activities, that were expensed during the three and six months ended June 30, 2023, respectively. These costs are included in the condensed consolidated statements of operations and comprehensive income (loss), primarily within general and administrative expenses. The Company's results of operations included $64.4 million and $125.3 million of net sales from SeaSpine for the three and six months ended June 30, 2023, respectively, and a net loss attributable to SeaSpine of $24.9 million and $52.8 million for the three and six months ended June 30, 2023, respectively.
Pro Forma Financial Information
Due to the Merger closing on January 5, 2023, all SeaSpine financial results for fiscal year 2023, except for the first four days of January, are included in Orthofix's condensed consolidated statement of operations and comprehensive income (loss). The following unaudited pro forma financial information for the three and six months ended June 30, 2023, and 2022 are based on the Company's historical condensed consolidated financial statements adjusted to reflect as if the Merger closed as of January 1, 2022. The unaudited pro-forma information makes certain adjustments to depreciation and amortization expense to reflect the fair value recognized in the purchase price allocation and to remove one-time transaction-related costs. The unaudited pro forma financial information is presented for informational purposes only and is not necessarily indicative of the results of operations that would have been achieved if the Merger closed as of January 1, 2022.
10
|
|
Three Months Ended June 30, |
|
|
Six Months Ended June 30, |
|
||||||||||
(Unaudited, U.S. Dollars, in millions) |
|
2023 |
|
|
2022 |
|
|
2023 |
|
|
2022 |
|
||||
Net sales |
|
$ |
187.0 |
|
|
$ |
174.4 |
|
|
$ |
362.2 |
|
|
$ |
331.5 |
|
Net income (loss) |
|
$ |
(30.1 |
) |
|
$ |
(27.1 |
) |
|
$ |
(75.3 |
) |
|
$ |
(69.9 |
) |
Integration and Restructuring Activities
The Company has incurred significant integration and restructuring costs in connection with the Merger. The following table summarizes integration costs incurred for the three and six months ended June 30, 2023, and 2022.
|
|
Three Months Ended June 30, |
|
|
Six Months Ended June 30, |
|
||||||||||
(Unaudited, U.S. Dollars, in millions) |
|
2023 |
|
|
2022 |
|
|
2023 |
|
|
2022 |
|
||||
Compensation-related integration costs |
|
|
3.5 |
|
|
$ |
— |
|
|
|
13.8 |
|
|
$ |
— |
|
Fee paid to financial advisor to the Merger |
|
|
— |
|
|
|
— |
|
|
|
5.5 |
|
|
|
— |
|
Professional fees / consulting fees |
|
|
0.7 |
|
|
|
— |
|
|
|
5.0 |
|
|
|
— |
|
Product rationalization charges |
|
|
4.2 |
|
|
|
— |
|
|
|
4.9 |
|
|
|
— |
|
Other costs to complete |
|
|
(0.3 |
) |
|
|
— |
|
|
|
1.2 |
|
|
|
— |
|
Total |
|
|
8.1 |
|
|
$ |
— |
|
|
|
30.4 |
|
|
$ |
— |
|
In the first quarter of 2023, the Company approved and initiated certain restructuring activities to streamline costs and to better align talent with operational needs following the consummation of the Merger. The Company expects to incur total pre-tax expense of approximately $16.7 million associated with the restructuring activities, which will be recognized within operating expenses. The table below provides a summary of restructuring costs incurred during the period and the resulting liability as of June 30, 2023, which is recognized within other current liabilities:
(Unaudited, U.S. Dollars, in millions) |
|
Balance as of |
|
|
Charges Incurred |
|
|
Payments Made |
|
|
Balance as of |
|
||||
Severance costs |
|
$ |
— |
|
|
$ |
10.4 |
|
|
$ |
(4.4 |
) |
|
$ |
6.0 |
|
Retention costs |
|
|
— |
|
|
|
2.8 |
|
|
|
(0.2 |
) |
|
|
2.6 |
|
Payroll taxes |
|
|
— |
|
|
|
0.4 |
|
|
|
(0.1 |
) |
|
|
0.3 |
|
Total |
|
$ |
— |
|
|
$ |
13.6 |
|
|
$ |
(4.7 |
) |
|
$ |
8.9 |
|
4. Inventories
5. Leases
A summary of the Company’s lease portfolio as of June 30, 2023, and December 31, 2022, is presented in the table below:
(Unaudited, U.S. Dollars, in thousands) |
|
Classification |
|
June 30, |
|
|
December 31, |
|
||
Right-of-use assets ("ROU assets") |
|
|
|
|
|
|
||||
Operating leases |
|
|
$ |
20,434 |
|
|
$ |
6,788 |
|
|
Finance leases |
|
|
|
16,853 |
|
|
|
17,360 |
|
|
Total ROU assets |
|
|
|
$ |
37,287 |
|
|
$ |
24,148 |
|
|
|
|
|
|
|
|
|
|
||
Lease Liabilities |
|
|
|
|
|
|
|
|
||
Current |
|
|
|
|
|
|
|
|
||
Operating leases |
|
|
$ |
3,159 |
|
|
$ |
1,638 |
|
|
Finance leases |
|
Current portion of finance lease liability |
|
|
678 |
|
|
|
652 |
|
Long-term |
|
|
|
|
|
|
|
|
||
Operating leases |
|
|
|
17,786 |
|
|
|
5,376 |
|
|
Finance leases |
|
Long-term portion of finance lease liability |
|
|
18,894 |
|
|
|
19,239 |
|
Total lease liabilities |
|
|
|
$ |
40,517 |
|
|
$ |
26,905 |
|
Supplemental cash flow information related to leases was as follows:
(Unaudited, U.S. Dollars, in thousands) |
|
Six Months Ended |
|
|
Six Months Ended |
|
||
Cash paid for amounts included in the measurement of lease liabilities |
|
|
|
|
|
|
||
Operating cash flows from operating leases |
|
$ |
3,751 |
|
|
$ |
2,071 |
|
Operating cash flows from finance leases |
|
|
428 |
|
|
|
443 |
|
Financing cash flows from finance leases |
|
|
320 |
|
|
|
2,291 |
|
ROU assets obtained in exchange for lease obligations |
|
|
|
|
|
|
||
Operating leases |
|
|
15,368 |
|
|
|
4,592 |
|
Finance leases |
|
|
— |
|
|
|
— |
|
6. Long-term debt
In connection with the closing of the Merger on January 5, 2023, the Company terminated SeaSpine's credit facility and all applicable commitments with Wells Fargo Bank, National Association and paid an aggregate amount of $26.9 million reflecting all of the outstanding obligations in respect of principal, interest, and fees, including a $0.6 million prepayment premium.
On January 3, 2023, the Company borrowed $30.0 million under its $300.0 million secured revolving credit facility under the Second Amended and Restated Credit Agreement with JPMorgan Chase Bank, N.A., dated as of October 25, 2019 (as amended by the First Amendment thereto dated March 1, 2023, the "Original Credit Agreement") for working capital purposes, including to fund certain Merger-related expenses. An additional $15.0 million and $6.0 million was borrowed on March 3, 2023 and May 10, 2023, respectively. Therefore, as of June 30, 2023, the Company had $51.0 million in principal amount of borrowings outstanding under the secured revolving credit facility. As of June 30, 2023, the Company was in compliance with all required financial covenants. The effective interest rate on amounts borrowed was 6.4%, with interest accrued of $0.6 million as of June 30, 2023, within other current liabilities. An additional $8.0 million was borrowed on July 5, 2023.
On June 13, 2023, the Company entered into a Limited Consent, Limited Waiver and Second Amendment to the Original Credit Agreement (the "Consent and Amendment" and the Original Credit Agreement as amended by the Consent and Amendment, the “Amended Credit Agreement”). Under the terms of the Consent and Amendment, the parties agreed to reduce the size of the secured revolving credit facility, off of which certain fees are based, from $300.0 million to $175.0 million, and to increase the applicable interest rate in certain circumstances. The maturity date of the credit facility remains October 25, 2024.
The Consent and Amendment permits the Company, for purposes of determining compliance with financial covenants in the Amended Credit Agreement, to include certain expense addbacks in its calculation of EBITDA and to increase the share of EBITDA attributable to certain foreign subsidiaries beginning with the fiscal quarter ended March 31, 2023. The Company also agreed to pledge under the Amended Credit Agreement its ownership interest in the Company's Italian subsidiary, Orthofix S.r.L., and cause Orthofix S.r.L. to become a loan party to the Credit Agreement.
12
The Company had no borrowings on its available lines of credit in Italy, which provide up to an aggregate amount of €5.5 million ($6.0 million) as of June 30, 2023.
7. Fair value measurements and investments
The fair value measurements of the Company’s financial assets and liabilities measured on a recurring basis were as follows:
|
|
June 30, |
|
|
December 31, |
|
||||||||||||||
(Unaudited, U.S. Dollars, in thousands) |
|
Level 1 |
|
|
Level 2 |
|
|
Level 3 |
|
|
Total |
|
|
Total |
|
|||||
Assets |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
Neo Medical convertible loan agreements |
|
$ |
— |
|
|
$ |
— |
|
|
$ |
7,690 |
|
|
$ |
7,690 |
|
|
$ |
7,140 |
|
Neo Medical preferred equity securities |
|
|
— |
|
|
|
6,084 |
|
|
|
— |
|
|
|
6,084 |
|
|
|
6,084 |
|
Bone Biologics equity securities |
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
Other investments |
|
|
— |
|
|
|
— |
|
|
|
1,986 |
|
|
|
1,986 |
|
|
|
1,726 |
|
Total |
|
$ |
— |
|
|
$ |
6,084 |
|
|
$ |
9,676 |
|
|
$ |
15,760 |
|
|
$ |
14,950 |
|
Liabilities |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
Lattus contingent consideration |
|
$ |
— |
|
|
$ |
— |
|
|
|
(9,900 |
) |
|
$ |
(9,900 |
) |
|
$ |
— |
|
Spinal Kinetics contingent consideration |
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
Deferred compensation plan |
|
|
— |
|
|
|
(1,467 |
) |
|
|
— |
|
|
|
(1,467 |
) |
|
|
(1,515 |
) |
Total |
|
$ |
— |
|
|
$ |
(1,467 |
) |
|
$ |
(9,900 |
) |
|
$ |
(11,367 |
) |
|
$ |
(1,515 |
) |
Neo Medical Convertible Loan Agreements and Equity Investment
In October 2020, the Company purchased preferred equity securities of Neo Medical SA, a privately held Swiss-based company developing a new generation of products for spinal surgery ("Neo Medical"), for consideration of $5.0 million. The Company also entered into a Convertible Loan Agreement pursuant to which the Company loaned Neo Medical CHF 4.6 million, or $5.0 million at the date of issuance (the “Convertible Loan”). In October 2021, the Company entered into a second Convertible Loan Agreement (the “Second Convertible Loan” and together with the Convertible Loan, the “Neo Medical Convertible Loans”), pursuant to which the Company loaned Neo Medical an additional CHF 0.6 million, or $0.7 million as of the date of issuance.
The preferred equity securities are recorded in other long-term assets and are considered an investment that does not have a readily determinable fair value. As such, the Company measures this investment at cost, less any impairment, plus or minus changes resulting from observable price changes in orderly transactions for identical or similar investments of the same issuer.
The table below presents a reconciliation of the beginning and ending balances of the Company’s investment in Neo Medical preferred equity securities:
(Unaudited, U.S. Dollars, in thousands) |
|
2023 |
|
|
2022 |
|
||
Fair value of Neo Medical preferred equity securities at January 1 |
|
$ |
6,084 |
|
|
$ |
5,413 |
|
Conversion of loan into preferred equity securities |
|
|
— |
|
|
|
671 |
|
Fair value of Neo Medical preferred equity securities at June 30 |
|
|
6,084 |
|
|
|
6,084 |
|
Cumulative unrealized gain on Neo Medical preferred equity securities |
|
|
413 |
|
|
|
413 |
|
The Company elected to convert the Second Convertible Loan into shares of Neo Medical’s preferred equity securities in January 2022. The Convertible Loan is recorded in other long-term assets as an available for sale debt security as of June 30, 2023. The fair value of the Convertible Loan is based upon significant unobservable inputs, including the use of option-pricing models, Monte Carlo simulations for certain periods, and a probability-weighted discounted cash flow model, requiring the Company to develop its own assumptions. Therefore, the Company categorized this investment as a Level 3 financial asset.
Some of the more significant unobservable inputs used in the fair value measurement of the Convertible Loan include applicable discount rates, implied volatility, the likelihood and projected timing of repayment or conversion, and projected cash flows in support of the estimated enterprise value of Neo Medical. Holding other inputs constant, changes in these assumptions could result in a significant change in the fair value of the Convertible Loan. If the amortized cost of the Convertible Loan exceeds its estimated fair value, the security is deemed to be impaired, and must be evaluated for the recognition of a credit loss. As of June 30, 2023, the Company has not recognized any credit loss related to the Convertible Loan.
13
The following table provides a reconciliation of the beginning and ending balances of the Convertible Loans, measured at fair value using significant unobservable inputs (Level 3):
(Unaudited, U.S. Dollars, in thousands) |
|
2023 |
|
|
2022 |
|
||
Fair value of Neo Medical Convertible Loans at January 1 |
|
$ |
7,140 |
|
|
$ |
7,148 |
|
Interest recognized in interest income, net |
|
|
238 |
|
|
|
217 |
|
Foreign currency remeasurement recognized in other expense, net |
|
|
195 |
|
|
|
(257 |
) |
Unrealized gain (loss) recognized in other comprehensive loss |
|
|
117 |
|
|
|
(615 |
) |
Conversion of Second Convertible Loan into preferred equity securities |
|
|
— |
|
|
|
(671 |
) |
Fair value of Neo Medical Convertible Loans at June 30 |
|
|
7,690 |
|
|
|
5,820 |
|
Amortized cost basis of Neo Medical Convertible Loans at June 30 |
|
|
6,340 |
|
|
|
5,496 |
|
The following table provides quantitative information related to certain key assumptions utilized within the valuation as of June 30, 2023:
(Unaudited, U.S. Dollars, in thousands) |
|
Fair Value as of |
|
|
Unobservable inputs |
|
Estimate |
|
||
Neo Medical Convertible Loan |
|
$ |
7,690 |
|
|
Cost of equity discount rate |
|
|
18.0 |
% |
|
|
|
|
|
Estimated equity volatility |
|
|
74.1 |
% |
Bone Biologics Equity Securities
Until August 2022, the Company held an investment in common stock of Bone Biologics Inc. (“Bone Biologics”, NASDAQ: BBLG), a developer of orthobiologic products. The Company disposed of its remaining holdings in Bone Biologics equity securities during the third quarter of 2022.
Other Investments
Other investments represent assets and investments recorded at fair value that are not deemed to be material for disclosure on an individual basis. The fair value of these assets is based upon significant unobservable inputs, such as probability-weighted discounted cash flow models, requiring the Company to develop its own assumptions. Therefore, the Company has categorized these assets as Level 3 financial assets. As of June 30, 2023, this balance was classified within other current assets.
Spinal Kinetics Contingent Consideration
The Company recognized a contingent consideration obligation in connection with the acquisition of Spinal Kinetics in 2018. The fair value of the remaining Spinal Kinetics contingent consideration, attributable to a revenue-based milestone, was concluded to be zero as of June 30, 2023, as the Company did not achieve the milestone prior to April 30, 2023, the end of the measurement period for achieving such milestone.
The following table provides a reconciliation of the beginning and ending balances for the Spinal Kinetics contingent consideration measured at estimated fair value using significant unobservable inputs (Level 3):
(Unaudited, U.S. Dollars, in thousands) |
|
2023 |
|
|
2022 |
|
||
Spinal Kinetics contingent consideration estimated fair value at January 1 |
|
$ |
— |
|
|
$ |
17,200 |
|
Decrease in fair value recognized in acquisition-related amortization and remeasurement |
|
|
— |
|
|
|
(16,214 |
) |
Spinal Kinetics contingent consideration estimated fair value at June 30 |
|
$ |
— |
|
|
$ |
986 |
|
Lattus Contingent Consideration
In connection with the Merger, the Company assumed a contingent consideration obligation under a purchase agreement between SeaSpine and Lattus Spine LLC ("Lattus") executed in December 2022. Under the terms of the agreement, the Company may be required to make installment payments at certain dates based on future net sales of certain products (the "Lateral Products").
The estimated fair value of the Lattus contingent consideration as of the closing of the Merger, January 5, 2023, was $11.2 million. The estimated fair value of the Lattus contingent consideration is determined using a probability-weighted discounted cash flow model and significant inputs which are not observable in the market. The significant inputs include assumptions related to the timing and probability of the product launch dates, estimated future sales of the products, estimated commission rates, discount rates matched to the timing of payments, and probability of success rates. The following table provides a reconciliation of the beginning
14
and ending balances for the Lattus contingent consideration measured at estimated fair value using significant unobservable inputs (Level 3):
(Unaudited, U.S. Dollars, in thousands) |
|
2023 |
|
|
2022 |
|
||
Lattus contingent consideration estimated fair value at January 5 |
|
$ |
11,200 |
|
|
$ |
— |
|
Decrease in fair value recognized in acquisition-related amortization and remeasurement |
|
|
(1,300 |
) |
|
|
— |
|
Lattus contingent consideration estimated fair value at June 30 |
|
$ |
9,900 |
|
|
$ |
— |
|
The following table provides quantitative information related to certain key assumptions utilized within the valuation as of June 30, 2023:
(Unaudited, U.S. Dollars, in thousands) |
|
Fair Value as of |
|
|
Unobservable inputs |
|
Estimate |
|
||
Lattus Contingent Consideration |
|
$ |
9,900 |
|
|
Counterparty discount rate |
|
|
9.0 |
% |
|
|
|
|
|
Revenue risk-adjusted discount rate |
|
|
6.5 |
% |
8. Commitments and Contingencies
Commitments
As a result of the Merger, the Company became party to agreements with certain distributor partners that provide the Company with an option to purchase, and an option for those partners to require the Company to purchase, the distribution business of those partners at specified future dates. At such time, the Company or distributor may (in certain cases, subject to satisfying certain conditions) submit written notice to the other of its intention to exercise its rights and initiate or require the purchase. Upon receipt of the written notice, the Company and the distributor will work in good faith to consummate the purchase. Under these agreements, the purchase price would be paid in shares of the Company's common stock. Based on the closing price of the Company's common stock as of June 30, 2023, assuming the options under all the relevant agreements were exercised, the estimated total number of shares the Company would issue under these agreements was approximately 1.3 million shares. The Company has received notification from one such distributor, who has notified the Company of its decision to exercise its buyout option. The Company is currently in negotiations with this distributor in regard to the consummation of the potential acquisition.
Contingencies
In addition to the matters described below, in the normal course of its business, the Company is involved in various lawsuits from time to time and may be subject to certain other contingencies. The Company believes any losses related to these matters are individually and collectively immaterial as to a possible loss and range of loss.
Italian Medical Device Payback (“IMDP”)
In 2015, the Italian Parliament introduced rules for entities that supply goods and services to the Italian National Healthcare System. A key provision of the law is a ‘payback’ measure, requiring medical device companies in Italy to make payments to the Italian government if medical device expenditures exceed regional maximum ceilings. Companies are required to make payments equal to a percentage of expenditures exceeding maximum regional caps.
In the third quarter of 2022, the Italian Ministry of Health provided guidelines to the Italian regions and provinces on seeking payback of expenditure overruns relating to the years ended December 31, 2015, through December 31, 2018. Since receiving the guidelines, several regions and provinces have requested payment from affected medical device companies, including the Company. The Company has taken legal action to dispute the legality of such measures.
The Company accounts for the estimated cost of the IMDP as sales and marketing expense and periodically reassesses the liability based upon current facts and circumstances. As a result, the Company recorded an expense of $0.3 million and $0.6 million for the three and six months ended June 30, 2023, respectively, and an expense of $0.3 million and $0.6 million for the three and six months ended June 30, 2022, respectively. As of June 30, 2023, the Company has accrued $6.8 million related to the IMDP, which it has classified within other long-term liabilities; however, the actual liability could be higher or lower than the amount accrued once all legal proceedings are resolved and upon further clarification of the IMDP by the Italian authorities for more recent fiscal years.
15
9. Accumulated other comprehensive loss
The components of and changes in accumulated other comprehensive loss were as follows:
(Unaudited, U.S. Dollars, in thousands) |
|
Currency |
|
|
Neo Medical Convertible Loans |
|
|
Other Investments |
|
|
Accumulated Other |
|
||||
Balance at December 31, 2022 |
|
$ |
(2,482 |
) |
|
$ |
1,005 |
|
|
$ |
101 |
|
|
$ |
(1,376 |
) |
Other comprehensive income (loss) |
|
|
950 |
|
|
|
117 |
|
|
|
201 |
|
|
|
1,268 |
|
Income taxes |
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
— |
|
Balance at June 30, 2023 |
|
$ |
(1,532 |
) |
|
$ |
1,122 |
|
|
$ |
302 |
|
|
$ |
(108 |
) |
10. Revenue recognition and accounts receivable
Revenue Recognition
The Company has two reporting segments: Global Spine and Global Orthopedics. Within the Global Spine reporting segment, there are two product categories: (i) Bone Growth Therapies, and (ii) Spinal Implants, Biologics, and Enabling Technologies.
The table below presents net sales by major product category by reporting segment:
|
|
Three Months Ended June 30, |
|
|||||||||
(Unaudited, U.S. Dollars, in thousands) |
|
2023 |
|
|
2022 |
|
|
Change |
|
|||
Bone Growth Therapies |
|
$ |
52,662 |
|
|
$ |
47,765 |
|
|
|
10.3 |
% |
Spinal Implants, Biologics, and Enabling Technologies |
|
|
105,314 |
|
|
|
43,017 |
|
|
|
144.8 |
% |
Global Spine |
|
|
157,976 |
|
|
|
90,782 |
|
|
|
74.0 |
% |
Global Orthopedics |
|
|
29,040 |
|
|
|
27,288 |
|
|
|
6.4 |
% |
Net sales |
|
$ |
187,016 |
|
|
$ |
118,070 |
|
|
|
58.4 |
% |
|
|
Six Months Ended June 30, |
|
|||||||||
(Unaudited, U.S. Dollars, in thousands) |
|
2023 |
|
|
2022 |
|
|
Change |
|
|||
Bone Growth Therapies |
|
$ |
100,376 |
|
|
$ |
89,713 |
|
|
|
11.9 |
% |
Spinal Implants, Biologics, and Enabling Technologies |
|
|
206,806 |
|
|
|
83,724 |
|
|
|
147.0 |
% |
Global Spine |
|
|
307,182 |
|
|
|
173,437 |
|
|
|
77.1 |
% |
Global Orthopedics |
|
|
55,038 |
|
|
|
51,051 |
|
|
|
7.8 |
% |
Net sales |
|
$ |
362,220 |
|
|
$ |
224,488 |
|
|
|
61.4 |
% |
Product Sales and Marketing Service Fees
The table below presents product sales and marketing service fees, which are both components of net sales:
|
|
Three Months Ended June 30, |
|
|
Six Months Ended June 30, |
|
||||||||||
(Unaudited, U.S. Dollars, in thousands) |
|
2023 |
|
|
2022 |
|
|
2023 |
|
|
2022 |
|
||||
Product sales |
|
$ |
174,078 |
|
|
$ |
103,559 |
|
|
$ |
336,326 |
|
|
$ |
196,167 |
|
Marketing service fees |
|
|
12,938 |
|
|
|
14,511 |
|
|
|
25,894 |
|
|
|
28,321 |
|
Net sales |
|
$ |
187,016 |
|
|
$ |
118,070 |
|
|
$ |
362,220 |
|
|
$ |
224,488 |
|
Product sales primarily consist of the sale of bone growth therapies devices, spinal implants, certain biologics, enabling technologies, and orthopedics products. Marketing service fees are received from MTF Biologics based on total sales of biologics tissues sourced from MTF Biologics and relate solely to the Global Spine reporting segment. The Company partners with MTF Biologics to provide certain allograft solutions (HCT/Ps) for various spine, orthopedic and other bone repair needs, with this partnership allowing us to exclusively market certain biologic offerings.
16
Accounts receivable and related allowances
The following table provides a detail of changes in the Company’s allowance for expected credit losses for the three and six months ended June 30, 2023 and 2022:
|
|
Three Months Ended June 30, |
|
|
Six Months Ended June 30, |
|
||||||||||
(Unaudited, U.S. Dollars, in thousands) |
|
2023 |
|
|
2022 |
|
|
2023 |
|
|
2022 |
|
||||
Allowance for expected credit losses beginning balance |
|
$ |
6,691 |
|
|
$ |
5,389 |
|
|
$ |
6,419 |
|
|
$ |
4,944 |
|
Addition resulting from the Merger with SeaSpine |
|
|
— |
|
|
|
— |
|
|
|
137 |
|
|
|
— |
|
Current period provision for expected credit losses |
|
|
282 |
|
|
|
539 |
|
|
|
490 |
|
|
|
1,139 |
|
Write-offs charged against the allowance and other |
|
|
6 |
|
|
|
(142 |
) |
|
|
(120 |
) |
|
|
(246 |
) |
Effect of changes in foreign exchange rates |
|
|
36 |
|
|
|
(197 |
) |
|
|
89 |
|
|
|
(248 |
) |
Allowance for expected credit losses ending balance |
|
$ |
7,015 |
|
|
$ |
5,589 |
|
|
$ |
7,015 |
|
|
$ |
5,589 |
|
11. Business segment information
The Company has two reporting segments: Global Spine and Global Orthopedics. The primary metric used in managing the Company is adjusted earnings before interest, tax, depreciation, and amortization (“adjusted EBITDA,” a non-GAAP financial measure). Adjusted EBITDA represents earnings before interest income (expense), income taxes, depreciation, and amortization and excludes the impact of share-based compensation, gains and losses related to changes in foreign exchange rates, charges related to the SeaSpine merger and other strategic investments, acquisition-related fair value adjustments, legal judgments and settlements, and charges related to initial compliance with regulations set forth by the European Union Medical Device Regulation. Corporate activities comprise operating expenses and activities not directly identifiable within the two reporting segments, such as human resources, finance, legal, and information technology functions. The table below presents adjusted EBITDA by reporting segment:
|
|
Three Months Ended June 30, |
|
|
Six Months Ended June 30, |
|
||||||||||
(Unaudited, U.S. Dollars, in thousands) |
|
2023 |
|
|
2022 |
|
|
2023 |
|
|
2022 |
|
||||
Adjusted EBITDA by reporting segment |
|
|
|
|
|
|
|
|
|
|
|
|
||||
Global Spine |
|
|
21,258 |
|
|
|
14,610 |
|
|
|
36,239 |
|
|
|
28,643 |
|
Global Orthopedics |
|
|
(135 |
) |
|
|
780 |
|
|
|
(91 |
) |
|
|
(24 |
) |
Corporate |
|
|
(11,204 |
) |
|
|
(3,967 |
) |
|
|
(23,025 |
) |
|
|
(10,087 |
) |
Consolidated adjusted EBITDA |
|
$ |
9,919 |
|
|
$ |
11,423 |
|
|
$ |
13,123 |
|
|
$ |
18,532 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
Reconciling items: |
|
|
|
|
|
|
|
|
|
|
|
|
||||
Interest expense, net |
|
|
1,266 |
|
|
|
407 |
|
|
|
2,555 |
|
|
|
782 |
|
Depreciation and amortization |
|
|
13,327 |
|
|
|
6,512 |
|
|
|
25,997 |
|
|
|
14,028 |
|
Share-based compensation expense |
|
|
13,246 |
|
|
|
4,460 |
|
|
|
26,266 |
|
|
|
8,792 |
|
Foreign exchange impact |
|
|
(269 |
) |
|
|
2,991 |
|
|
|
(852 |
) |
|
|
4,233 |
|
SeaSpine merger-related costs |
|
|
8,206 |
|
|
|
— |
|
|
|
28,946 |
|
|
|
— |
|
Strategic investments |
|
|
309 |
|
|
|
1,824 |
|
|
|
970 |
|
|
|
2,794 |
|
Acquisition-related fair value adjustments |
|
|
8,149 |
|
|
|
(10,714 |
) |
|
|
19,785 |
|
|
|
(16,214 |
) |
Legal judgments/settlements |
|
|
1,291 |
|
|
|
148 |
|
|
|
1,760 |
|
|
|
341 |
|
Medical device regulation |
|
|
2,050 |
|
|
|
2,248 |
|
|
|
5,679 |
|
|
|
4,198 |
|
Business interruption - COVID-19 |
|
|
— |
|
|
|
316 |
|
|
|
— |
|
|
|
659 |
|
All other |
|
|
262 |
|
|
|
189 |
|
|
|
262 |
|
|
|
266 |
|
Income (loss) before income taxes |
|
$ |
(37,918 |
) |
|
$ |
3,042 |
|
|
$ |
(98,245 |
) |
|
$ |
(1,347 |
) |
17
Geographical information
The table below presents net sales by geographic destination for each reporting segment and for the consolidated Company:
|
|
Three Months Ended |
|
|
Six Months Ended |
|
||||||||||
(Unaudited, U.S. Dollars, in thousands) |
|
2023 |
|
|
2022 |
|
|
2023 |
|
|
2022 |
|
||||
Global Spine |
|
|
|
|
|
|
|
|
|
|
|
|
||||
U.S. |
|
$ |
147,360 |
|
|
$ |
85,899 |
|
|
$ |
286,817 |
|
|
$ |
162,965 |
|
International |
|
|
10,616 |
|
|
|
4,883 |
|
|
|
20,365 |
|
|
|
10,472 |
|
Total Global Spine |
|
|
157,976 |
|
|
|
90,782 |
|
|
|
307,182 |
|
|
|
173,437 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
Global Orthopedics |
|
|
|
|
|
|
|
|
|
|
|
|
||||
U.S. |
|
|
7,223 |
|
|
|
6,903 |
|
|
|
13,859 |
|
|
|
12,230 |
|
International |
|
|
21,817 |
|
|
|
20,385 |
|
|
|
41,179 |
|
|
|
38,821 |
|
Total Global Orthopedics |
|
|
29,040 |
|
|
|
27,288 |
|
|
|
55,038 |
|
|
|
51,051 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
Consolidated |
|
|
|
|
|
|
|
|
|
|
|
|
||||
U.S. |
|
|
154,583 |
|
|
|
92,802 |
|
|
|
300,676 |
|
|
|
175,195 |
|
International |
|
|
32,433 |
|
|
|
25,268 |
|
|
|
61,544 |
|
|
|
49,293 |
|
Net sales |
|
$ |
187,016 |
|
|
$ |
118,070 |
|
|
$ |
362,220 |
|
|
$ |
224,488 |
|
12. Acquisition-related amortization and remeasurement
Acquisition-related amortization and remeasurement consists of (i) amortization related to intangible assets acquired through business combinations or asset acquisitions and (ii) remeasurement of any related contingent consideration arrangements. Components of acquisition-related amortization and remeasurement are as follows:
|
|
Three Months Ended |
|
|
Six Months Ended |
|
||||||||||
(Unaudited, U.S. Dollars, in thousands) |
|
2023 |
|
|
2022 |
|
|
2023 |
|
|
2022 |
|
||||
Amortization of acquired intangibles |
|
$ |
4,633 |
|
|
$ |
2,051 |
|
|
$ |
8,767 |
|
|
$ |
4,052 |
|
Changes in fair value of contingent consideration |
|
|
(1,300 |
) |
|
|
(10,714 |
) |
|
|
(1,300 |
) |
|
|
(16,214 |
) |
Total |
|
$ |
3,333 |
|
|
$ |
(8,663 |
) |
|
$ |
7,467 |
|
|
$ |
(12,162 |
) |
13. Share-based compensation
Components of share-based compensation expense are as follows:
|
|
Three Months Ended |
|
|
Six Months Ended |
|
||||||||||
(Unaudited, U.S. Dollars, in thousands) |
|
2023 |
|
|
2022 |
|
|
2023 |
|
|
2022 |
|
||||
Cost of sales |
|
$ |
482 |
|
|
$ |
205 |
|
|
$ |
953 |
|
|
$ |
416 |
|
Sales and marketing |
|
|
2,551 |
|
|
|
1,000 |
|
|
|
4,800 |
|
|
|
1,981 |
|
General and administrative |
|
|
9,167 |
|
|
|
2,958 |
|
|
|
18,271 |
|
|
|
6,176 |
|
Research and development |
|
|
1,046 |
|
|
|
297 |
|
|
|
2,242 |
|
|
|
219 |
|
Total |
|
$ |
13,246 |
|
|
$ |
4,460 |
|
|
$ |
26,266 |
|
|
$ |
8,792 |
|
|
|
Three Months Ended |
|
|
Six Months Ended |
|
||||||||||
(Unaudited, U.S. Dollars, in thousands) |
|
2023 |
|
|
2022 |
|
|
2023 |
|
|
2022 |
|
||||
Stock options |
|
$ |
2,397 |
|
|
$ |
205 |
|
|
$ |
5,153 |
|
|
$ |
564 |
|
Time-based restricted stock awards and units |
|
|
10,235 |
|
|
|
2,410 |
|
|
|
20,081 |
|
|
|
4,580 |
|
Market-based / performance-based restricted stock units |
|
|
113 |
|
|
|
1,497 |
|
|
|
113 |
|
|
|
2,941 |
|
Stock purchase plan |
|
|
501 |
|
|
|
348 |
|
|
|
919 |
|
|
|
707 |
|
Total |
|
$ |
13,246 |
|
|
$ |
4,460 |
|
|
$ |
26,266 |
|
|
$ |
8,792 |
|
18
Pursuant to the Merger Agreement, the equity awards of SeaSpine (including stock options and restricted stock units) outstanding as of immediately prior to the closing of the Merger were converted into equity awards denominated in shares of Orthofix common stock. The Company issued options to purchase 1.9 million shares of Orthofix common stock and 0.5 million shares of time-based vesting restricted stock in connection with the conversion of such awards. The estimated fair value of the portion of the SeaSpine equity awards for which the required service period had been completed at the time of the closing of the Merger was treated as purchase consideration. The remaining estimated fair value is recorded as compensation expense over the remainder of the service period associated with the awards.
During the three months ended June 30, 2023, and 2022, the Company issued 0.3 million and 0.2 million shares, respectively, of common stock related to stock purchase plan issuances, stock option exercises, and the vesting of restricted stock awards and units. During the six months ended June 30, 2023, and 2022, the Company issued 0.5 million and 0.2 million shares, respectively, of common stock related to stock purchase plan issuances, stock option exercises, and the vesting of restricted stock awards and units.
14. Income taxes
Generally, income tax provisions for interim periods are based on an estimated annual income tax rate, adjusted for discrete tax items, with any changes affecting the estimated annual effective tax rate recorded in the interim period in which the change occurs. Due to the impact of losses not benefitted by the Company’s U.S. and Italian operations, the Company determined the estimated annual effective tax rate method would not provide a reliable estimate of the Company’s overall annual effective tax rate. As such, the Company has calculated the tax provision using the actual effective rate for the three and six months ended June 30, 2023. Due to the impact of temporary differences on the U.S. current tax liability without any deferred tax benefit, the actual effective rate may vary in future quarters.
For the three months ended June 30, 2023, and 2022, the effective tax rate was (4.0%) and 18.2%, respectively. For the six months ended June 30, 2023, and 2022, the effective tax rate was (2.2%) and (46.3%), respectively. The primary factors affecting the Company’s effective tax rate for the three and six months ended June 30, 2023, were certain losses not benefitted and tax amortization on certain acquired intangibles.
15. Earnings per share (“EPS”)
For the three and six months ended June 30, 2023, no adjustments were made to net income for purposes of calculating basic and diluted EPS. The following is a reconciliation of the weighted average shares used in diluted EPS computations.
|
|
Three Months Ended |
|
|
Six Months Ended |
|
||||||||||
(Unaudited, In thousands) |
|
2023 |
|
|
2022 |
|
|
2023 |
|
|
2022 |
|
||||
Weighted average common shares-basic |
|
|
36,762 |
|
|
|
20,031 |
|
|
|
36,252 |
|
|
|
19,965 |
|
Effect of dilutive securities |
|
|
|
|
|
|
|
|
|
|
|
|
||||
Unexercised stock options and stock purchase plan |
|
|
— |
|
|
|
23 |
|
|
|
— |
|
|
|
— |
|
Unvested restricted stock units |
|
|
— |
|
|
|
59 |
|
|
|
— |
|
|
|
— |
|
Weighted average common shares-diluted |
|
|
36,762 |
|
|
|
20,113 |
|
|
|
36,252 |
|
|
|
19,965 |
|
There were 7.0 million and 1.6 million weighted average outstanding stock options and restricted stock units not included in the diluted EPS computation for the three months ended June 30, 2023, and 2022, respectively, and 7.1 million and 1.6 million weighted average outstanding stock options and restricted stock units not included in the diluted EPS computation for the six months ended June 30, 2023, and 2022, respectively, because inclusion of these awards was anti-dilutive.
19
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
The following discussion and analysis of Orthofix Medical Inc.’s (sometimes referred to as “we,” “us” or “our”) financial condition and results of operations should be read in conjunction with the discussion under the heading “Forward-Looking Statements” and our condensed consolidated financial statements and related notes thereto appearing elsewhere in this Form 10-Q.
Executive Summary
Following our merger (the “Merger”) with SeaSpine Holdings Corporation ("SeaSpine"), which was completed in January 2023, the newly merged Orthofix-SeaSpine organization is a leading global spine and orthopedics company with a comprehensive portfolio of biologics, innovative spinal hardware, bone growth therapies, specialized orthopedic solutions, and a leading surgical navigation system. Headquartered in Lewisville, Texas, our spine and orthopedic products are distributed in approximately 68 countries via our sales representatives and distributors. For more information, please visit www.Orthofix.com. Information included on our website is not incorporated into, or otherwise creates a part of, this report.
Notable financial metrics in the second quarter of 2023 and recent achievements include the following:
Results of Operations
The following table provides certain items in our condensed consolidated statements of operations as a percent of net sales:
|
|
Three Months Ended |
|
|
Six Months Ended |
|
||||||||||
(Unaudited) |
|
2023 |
|
|
2022 |
|
|
2023 |
|
|
2022 |
|
||||
Net sales |
|
|
100.0 |
|
|
|
100.0 |
|
|
|
100.0 |
|
|
|
100.0 |
|
Cost of sales |
|
|
36.1 |
|
|
|
26.8 |
|
|
|
36.5 |
|
|
|
26.7 |
|
Gross profit |
|
|
63.9 |
|
|
|
73.2 |
|
|
|
63.5 |
|
|
|
73.3 |
|
Sales and marketing |
|
|
53.0 |
|
|
|
50.7 |
|
|
|
53.3 |
|
|
|
50.8 |
|
General and administrative |
|
|
18.3 |
|
|
|
13.4 |
|
|
|
22.9 |
|
|
|
15.7 |
|
Research and development |
|
|
10.4 |
|
|
|
10.8 |
|
|
|
11.8 |
|
|
|
10.7 |
|
Acquisition-related amortization and remeasurement |
|
|
1.8 |
|
|
|
(7.3 |
) |
|
|
2.1 |
|
|
|
(5.5 |
) |
Operating income (loss) |
|
|
(19.6 |
) |
|
|
5.6 |
|
|
|
(26.6 |
) |
|
|
1.6 |
|
Net income (loss) |
|
|
(21.1 |
) |
|
|
2.1 |
|
|
|
(27.7 |
) |
|
|
(0.9 |
) |
Net Sales by Product Category and Reporting Segment
The following tables provide net sales by major product category by reporting segment:
|
|
Three Months Ended |
|
|
Percentage Change |
|
||||||||||
(Unaudited, U.S. Dollars, in thousands) |
|
2023 |
|
|
2022 |
|
|
Reported |
|
|
Constant Currency |
|
||||
Bone Growth Therapies |
|
$ |
52,662 |
|
|
$ |
47,765 |
|
|
|
10.3 |
% |
|
|
10.3 |
% |
Spinal Implants, Biologics, and Enabling Technologies |
|
|
105,314 |
|
|
|
43,017 |
|
|
|
144.8 |
% |
|
|
144.8 |
% |
Global Spine |
|
|
157,976 |
|
|
|
90,782 |
|
|
|
74.0 |
% |
|
|
74.0 |
% |
Global Orthopedics |
|
|
29,040 |
|
|
|
27,288 |
|
|
|
6.4 |
% |
|
|
5.0 |
% |
Net sales |
|
$ |
187,016 |
|
|
$ |
118,070 |
|
|
|
58.4 |
% |
|
|
58.1 |
% |
20
|
|
Six Months Ended |
|
|
Percentage Change |
|
||||||||||
(Unaudited, U.S. Dollars, in thousands) |
|
2023 |
|
|
2022 |
|
|
Reported |
|
|
Constant Currency |
|
||||
Bone Growth Therapies |
|
$ |
100,376 |
|
|
$ |
89,713 |
|
|
|
11.9 |
% |
|
|
11.9 |
% |
Spinal Implants, Biologics, and Enabling Technologies |
|
|
206,806 |
|
|
|
83,724 |
|
|
|
147.0 |
% |
|
|
147.1 |
% |
Global Spine |
|
|
307,182 |
|
|
|
173,437 |
|
|
|
77.1 |
% |
|
|
77.2 |
% |
Global Orthopedics |
|
|
55,038 |
|
|
|
51,051 |
|
|
|
7.8 |
% |
|
|
9.0 |
% |
Net sales |
|
$ |
362,220 |
|
|
$ |
224,488 |
|
|
|
61.4 |
% |
|
|
61.7 |
% |
Global Spine
Global Spine offers the following product categories:
Three months ended June 30, 2023 compared to 2022
Net sales of $158.0 million, an increase of $67.2 million or 74.0%
Six months ended June 30, 2023 compared to 2022
Net sales of $307.2 million, an increase of $133.7 million or 77.1%
21
Global Orthopedics
Global Orthopedics offers products and solutions that allow physicians to successfully treat a variety of orthopedic conditions specifically related to limb reconstruction and deformity correction unrelated to the spine. Global Orthopedics distributes its products globally through a network of distributors and sales representatives to sell orthopedic products to hospitals and healthcare providers.
Three months ended June 30, 2023 compared to 2022
Net sales of $29.0 million, an increase of $1.8 million or 6.4%
Six months ended June 30, 2023 compared to 2022
Net sales of $55.0 million, an increase of $4.0 million or 7.8%
Gross Profit
|
|
Three Months Ended June 30, |
|
|
Six Months Ended June 30, |
|
||||||||||||||||||
(Unaudited, U.S. Dollars, in thousands) |
|
2023 |
|
|
2022 |
|
|
% Change |
|
|
2023 |
|
|
2022 |
|
|
% Change |
|
||||||
Net sales |
|
$ |
187,016 |
|
|
$ |
118,070 |
|
|
|
58.4 |
% |
|
$ |
362,220 |
|
|
$ |
224,488 |
|
|
|
61.4 |
% |
Cost of sales |
|
|
67,465 |
|
|
|
31,600 |
|
|
|
113.5 |
% |
|
|
132,340 |
|
|
|
59,918 |
|
|
|
120.9 |
% |
Gross profit |
|
$ |
119,551 |
|
|
$ |
86,470 |
|
|
|
38.3 |
% |
|
$ |
229,880 |
|
|
$ |
164,570 |
|
|
|
39.7 |
% |
Gross margin |
|
|
63.9 |
% |
|
|
73.2 |
% |
|
|
(9.3 |
%) |
|
|
63.5 |
% |
|
|
73.3 |
% |
|
|
-9.8 |
% |
Three months ended June 30, 2023 compared to 2022
Gross profit increased $33.1 million
Six months ended June 30, 2023 compared to 2022
Gross profit increased $65.3 million
22
Sales and Marketing Expense
|
|
Three Months Ended June 30, |
|
|
Six Months Ended June 30, |
|
||||||||||||||||||
(U.S. Dollars, in thousands) |
|
2023 |
|
|
2022 |
|
|
% Change |
|
|
2023 |
|
|
2022 |
|
|
% Change |
|
||||||
Sales and marketing |
|
$ |
99,249 |
|
|
$ |
59,888 |
|
|
|
65.7 |
% |
|
$ |
193,040 |
|
|
$ |
114,025 |
|
|
|
69.3 |
% |
As a percentage of net sales |
|
|
53.0 |
% |
|
|
50.7 |
% |
|
|
2.3 |
% |
|
|
53.3 |
% |
|
|
50.8 |
% |
|
|
2.5 |
% |
Three months ended June 30, 2023 compared to 2022
Sales and marketing expense increased $39.4 million
Six months ended June 30, 2023 compared to 2022
Sales and marketing expense increased $79.0 million
General and Administrative Expense
|
|
Three Months Ended June 30, |
|
|
Six Months Ended June 30, |
|
||||||||||||||||||
(U.S. Dollars, in thousands) |
|
2023 |
|
|
2022 |
|
|
% Change |
|
|
2023 |
|
|
2022 |
|
|
% Change |
|
||||||
General and administrative |
|
$ |
34,177 |
|
|
$ |
15,846 |
|
|
|
115.7 |
% |
|
$ |
82,988 |
|
|
$ |
35,174 |
|
|
|
135.9 |
% |
As a percentage of net sales |
|
|
18.3 |
% |
|
|
13.4 |
% |
|
|
4.9 |
% |
|
|
22.9 |
% |
|
|
15.7 |
% |
|
|
7.2 |
% |
Three months ended June 30, 2023 compared to 2022
General and administrative expense increased $18.3 million
Six months ended June 30, 2023 compared to 2022
General and administrative expense increased $47.8 million
23
Research and Development Expense
|
|
Three Months Ended June 30, |
|
|
Six Months Ended June 30, |
|
||||||||||||||||||
(Unaudited, U.S. Dollars, in thousands) |
|
2023 |
|
|
2022 |
|
|
% Change |
|
|
2023 |
|
|
2022 |
|
|
% Change |
|
||||||
Research and development |
|
$ |
19,424 |
|
|
$ |
12,758 |
|
|
|
52.2 |
% |
|
$ |
42,731 |
|
|
$ |
23,970 |
|
|
|
78.3 |
% |
As a percentage of net sales |
|
|
10.4 |
% |
|
|
10.8 |
% |
|
|
(0.4 |
%) |
|
|
11.8 |
% |
|
|
10.7 |
% |
|
|
1.1 |
% |
Three months ended June 30, 2023 compared to 2022
Research and development expense increased $6.7 million
Six months ended June 30, 2023 compared to 2022
Research and development expense increased $18.8 million
Acquisition-related Amortization and Remeasurement
|
|
Three Months Ended June 30, |
|
|
Six Months Ended June 30, |
|
||||||||||||||||||
(Unaudited, U.S. Dollars, in thousands) |
|
2023 |
|
|
2022 |
|
|
% Change |
|
|
2023 |
|
|
2022 |
|
|
% Change |
|
||||||
Acquisition-related amortization and remeasurement |
|
$ |
3,333 |
|
|
$ |
(8,663 |
) |
|
|
(138.5 |
%) |
|
$ |
7,467 |
|
|
$ |
(12,162 |
) |
|
|
(161.4 |
%) |
As a percentage of net sales |
|
|
1.8 |
% |
|
|
(7.3 |
%) |
|
|
9.1 |
% |
|
|
2.1 |
% |
|
|
(5.5 |
%) |
|
|
7.6 |
% |
Acquisition-related amortization and remeasurement consists of (i) amortization related to intangible assets acquired through business combinations or asset acquisitions and (ii) remeasurement of any related contingent consideration arrangement.
Three months ended June 30, 2023 compared to 2022
Acquisition-related amortization and remeasurement increased $12.0 million
Six months ended June 30, 2023 compared to 2022
Acquisition-related amortization and remeasurement increased $19.6 million
24
Non-operating Income and Expense
|
|
Three Months Ended June 30, |
|
|
Six Months Ended June 30, |
|
||||||||||||||||||
(Unaudited, U.S. Dollars, in thousands) |
|
2023 |
|
|
2022 |
|
|
% Change |
|
|
2023 |
|
|
2022 |
|
|
% Change |
|
||||||
Interest expense, net |
|
$ |
(1,266 |
) |
|
$ |
(407 |
) |
|
|
211.1 |
% |
|
$ |
(2,555 |
) |
|
$ |
(782 |
) |
|
|
226.7 |
% |
Other income (expense), net |
|
|
(20 |
) |
|
|
(3,192 |
) |
|
|
(99.4 |
%) |
|
|
656 |
|
|
|
(4,128 |
) |
|
|
(115.9 |
%) |
Three months ended June 30, 2023 compared to 2022
Interest expense, net increased $0.9 million
Six months ended June 30, 2023 compared to 2022
Interest expense, net increased $1.8 million
Three months ended June 30, 2023 compared to 2022
Other income (expense), net increased $3.2 million
Six months ended June 30, 2023 compared to 2022
Other income (expense), net increased $4.8 million
Income Taxes
|
|
Three Months Ended June 30, |
|
|
Six Months Ended June 30, |
|
||||||||||||||||||
(Unaudited, U.S. Dollars, in thousands) |
|
2023 |
|
|
2022 |
|
|
% Change |
|
|
2023 |
|
|
2022 |
|
|
% Change |
|
||||||
Income tax expense |
|
$ |
1,508 |
|
|
$ |
553 |
|
|
|
172.7 |
% |
|
$ |
2,119 |
|
|
$ |
624 |
|
|
|
239.6 |
% |
Effective tax rate |
|
|
(4.0 |
%) |
|
|
18.2 |
% |
|
|
(22.2 |
%) |
|
|
(2.2 |
%) |
|
|
(46.3 |
%) |
|
|
44.1 |
% |
Three months ended June 30, 2023 compared to 2022
Six months ended June 30, 2023 compared to 2022
25
Segment Review
Our business is managed through two reporting segments: Global Spine and Global Orthopedics. The primary metric used in managing the business by segment is adjusted earnings before interest, tax, depreciation, and amortization (“adjusted EBITDA,” a non-GAAP financial measure) (which is described further in Note 11 to the Notes to the Unaudited Condensed Consolidated Financial Statements contained herein). The following table presents adjusted EBITDA by segment and reconciles consolidated adjusted EBITDA to loss before income taxes:
|
|
Three Months Ended June 30, |
|
|
Six Months Ended June 30, |
|
||||||||||
(Unaudited, U.S. Dollars, in thousands) |
|
2023 |
|
|
2022 |
|
|
2023 |
|
|
2022 |
|
||||
Adjusted EBITDA by reporting segment |
|
|
|
|
|
|
|
|
|
|
|
|
||||
Global Spine |
|
|
21,258 |
|
|
|
14,610 |
|
|
|
36,239 |
|
|
|
28,643 |
|
Global Orthopedics |
|
|
(135 |
) |
|
|
780 |
|
|
|
(91 |
) |
|
|
(24 |
) |
Corporate |
|
|
(11,204 |
) |
|
|
(3,967 |
) |
|
|
(23,025 |
) |
|
|
(10,087 |
) |
Consolidated adjusted EBITDA |
|
$ |
9,919 |
|
|
$ |
11,423 |
|
|
$ |
13,123 |
|
|
$ |
18,532 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
Reconciling items: |
|
|
|
|
|
|
|
|
|
|
|
|
||||
Interest expense, net |
|
|
1,266 |
|
|
|
407 |
|
|
|
2,555 |
|
|
|
782 |
|
Depreciation and amortization |
|
|
13,327 |
|
|
|
6,512 |
|
|
|
25,997 |
|
|
|
14,028 |
|
Share-based compensation expense |
|
|
13,246 |
|
|
|
4,460 |
|
|
|
26,266 |
|
|
|
8,792 |
|
Foreign exchange impact |
|
|
(269 |
) |
|
|
2,991 |
|
|
|
(852 |
) |
|
|
4,233 |
|
SeaSpine merger-related costs |
|
|
8,206 |
|
|
|
— |
|
|
|
28,946 |
|
|
|
— |
|
Strategic investments |
|
|
309 |
|
|
|
1,824 |
|
|
|
970 |
|
|
|
2,794 |
|
Acquisition-related fair value adjustments |
|
|
8,149 |
|
|
|
(10,714 |
) |
|
|
19,785 |
|
|
|
(16,214 |
) |
Legal judgments/settlements |
|
|
1,291 |
|
|
|
148 |
|
|
|
1,760 |
|
|
|
341 |
|
Medical device regulation |
|
|
2,050 |
|
|
|
2,248 |
|
|
|
5,679 |
|
|
|
4,198 |
|
Business interruption - COVID-19 |
|
|
— |
|
|
|
316 |
|
|
|
— |
|
|
|
659 |
|
All other |
|
|
262 |
|
|
|
189 |
|
|
|
262 |
|
|
|
266 |
|
Income (loss) before income taxes |
|
$ |
(37,918 |
) |
|
$ |
3,042 |
|
|
$ |
(98,245 |
) |
|
$ |
(1,347 |
) |
Liquidity and Capital Resources
Cash and cash equivalents at June 30, 2023, totaled $37.6 million compared to $50.7 million at December 31, 2022. The following table presents the net change in cash and cash equivalents for the six months ended June 30, 2023, and 2022, respectively:
|
|
Six Months Ended June 30, |
|
|||||||||
(Unaudited, U.S. Dollars, in thousands) |
|
2023 |
|
|
2022 |
|
|
Change |
|
|||
Net cash provided by (used in) operating activities |
|
$ |
(39,536 |
) |
|
$ |
(12,622 |
) |
|
$ |
(26,914 |
) |
Net cash provided by (used in) investing activities |
|
|
4,265 |
|
|
|
(13,161 |
) |
|
|
17,426 |
|
Net cash provided by (used in) financing activities |
|
|
21,791 |
|
|
|
(1,324 |
) |
|
|
23,115 |
|
Effect of exchange rate changes on cash |
|
|
387 |
|
|
|
(1,204 |
) |
|
|
1,591 |
|
Net change in cash and cash equivalents |
|
$ |
(13,093 |
) |
|
$ |
(28,311 |
) |
|
$ |
15,218 |
|
The following table presents free cash flow, a non-GAAP financial measure, which is calculated by subtracting capital expenditures from net cash from operating activities:
|
|
Six Months Ended June 30, |
|
|||||||||
(Unaudited, U.S. Dollars, in thousands) |
|
2023 |
|
|
2022 |
|
|
Change |
|
|||
Net cash provided by (used in) operating activities |
|
$ |
(39,536 |
) |
|
$ |
(12,622 |
) |
|
$ |
(26,914 |
) |
Capital expenditures |
|
|
(24,654 |
) |
|
|
(11,703 |
) |
|
|
(12,951 |
) |
Free cash flow |
|
$ |
(64,190 |
) |
|
$ |
(24,325 |
) |
|
$ |
(39,865 |
) |
Operating Activities
Cash flows from operating activities decreased $26.9 million
26
Two of our primary working capital accounts are accounts receivable and inventory. Days sales in receivables were 55 days at June 30, 2023, compared to 59 days at June 30, 2022. Inventory turns decreased to 0.9 times as of June 30, 2023 compared to 1.3 times as of June 30, 2022.
Investing Activities
Cash flows from investing activities increased $17.4 million
Financing Activities
Cash flows from financing activities increased $23.1 million
Credit Facilities
On January 3, 2023, we borrowed $30.0 million under our $300.0 million secured revolving credit facility for working capital purposes, including to fund certain Merger-related expenses. Following the completion of the Merger, we terminated SeaSpine's credit facility and all applicable commitments with Wells Fargo Bank, National Association and repaid all outstanding obligations in respect to principal, interest, and fees on January 5, 2023.
Additional borrowings were made under the credit facility subsequent to the closing of the acquisition and as of June 30, 2023, we had $51.0 million borrowings outstanding under our secured revolving credit facility. We borrowed an additional $8.0 million on July 5, 2023.
On June 13, 2023, we entered into a Limited Consent, Limited Waiver and Second Amendment to the Original Credit Agreement (the "Consent and Amendment" and the Original Credit Agreement as amended by the Consent and Amendment, the “Amended Credit Agreement”). Under the terms of the Consent and Amendment, the parties agreed to reduce the size of the secured revolving credit facility, off of which certain fees are based, from $300.0 million to $175.0 million, and to increase the applicable interest rate in certain circumstances. The maturity date of the credit facility remains October 25, 2024.
The Consent and Amendment permits us, for purposes of determining compliance with financial covenants in the Amended Credit Agreement, to include certain expense addbacks in our calculation of EBITDA and to increase the share of EBITDA attributable to certain foreign subsidiaries beginning with the fiscal quarter ended March 31, 2023. We also agreed to pledge under the Amended
27
Credit Agreement our ownership interest in our Italian subsidiary, Orthofix S.r.L., and cause Orthofix S.r.L. to become a loan party to the Amended Credit Agreement.
As of June 30, 2023, we had no borrowings outstanding under our available lines of credit in Italy, which provide up to an aggregate amount of €5.5 million ($6.0 million). We were in compliance with all required financial covenants of our credit facilities as of June 30, 2023.
Other
For information regarding contingencies, see Note 8 to the Notes to the Unaudited Condensed Consolidated Financial Statements contained herein.
IGEA S.p.A Exclusive License and Distribution Agreement
In April 2021, we entered into an Exclusive License and Distribution Agreement (the “License Agreement”) with IGEA S.p.A (“IGEA”), an Italian manufacturer and distributor of bone and cartilage stimulation systems. Per the terms of the License Agreement, we have the exclusive right to sell IGEA products in the U.S. and Canada. As consideration for the License Agreement, we agreed to pay up to $4.0 million, with certain payments contingent upon achieving an FDA milestone. As of June 30, 2023, we have a remaining liability under this agreement of $1.0 million which is accrued within other current liabilities.
CGBio Co., Ltd. Exclusive License and Distribution Agreement
On July 30, 2022, we entered into a long-term strategic License and Distribution Agreement (the “Agreement”) with CGBio Co., Ltd. (“CGBio”), a developer of innovative, synthetic bone grafts. The agreement grants us the exclusive right to conduct pre-clinical and clinical studies, commercialize, promote, market, and sell the Novosis recombinant human bone morphogenetic protein-2 (rhBMP-2) bone growth materials and other future tissue regenerative solutions in the U.S. and Canada. As consideration, we paid CGBio an upfront payment of $1.4 million with additional payments contingent upon the achievement of specified development milestones.
Lattus Spine LLC ("Lattus") Contingent Consideration
In connection with the Merger, we assumed a contingent consideration obligation under a purchase agreement between SeaSpine and Lattus executed in December 2022. Under the terms of the agreement, we may be required to make installment payments at certain dates based on future net sales of certain products (the "Lateral Products"). The estimated fair value of the contingent consideration arrangement as of June 30, 2023, was $9.9 million; however, the actual amount ultimately paid could be higher or lower than the estimated fair value of the contingent consideration. As of June 30, 2023, we classified the remaining contingent consideration liability within other long-term liabilities. For additional discussion of this matter, see Note 7 of the Notes to the Unaudited Condensed Consolidated Financial Statements.
Off-balance Sheet Arrangements
As of June 30, 2023, we did not have any off-balance sheet arrangements that have or are reasonably likely to have a current or future effect on our financial condition, changes in financial condition, revenues or expenses, results of operations, cash flows, liquidity, capital expenditures or capital resources that are material to investors.
Contractual Obligations
There have been no material changes in any of our material contractual obligations as disclosed in our Form 10-K for the year ended December 31, 2022.
Critical Accounting Estimates
Our discussion of operating results is based upon the condensed consolidated financial statements and accompanying notes. The preparation of these statements requires us to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amount of revenues and expenses during the reporting period. Our critical accounting estimates are described in Item 7 of our Annual Report on Form 10-K for the year ended December 31, 2022. There have been no significant changes to our critical accounting estimates during the quarter covered by this report.
Recently Issued Accounting Pronouncements
See Note 2 of the Notes to the Unaudited Condensed Consolidated Financial Statements for detailed information regarding the status of recently issued or adopted accounting pronouncements.
28
Non-GAAP Financial Measures
We believe that providing non-GAAP financial measures that exclude certain items provides investors with greater transparency to the information used by senior management in its financial and operational decision-making. We believe it is important to provide investors with the same non-GAAP financial measures used to supplement information regarding the performance and underlying trends of our business operations to facilitate comparisons to historical operating results and internally evaluate the effectiveness of our operating strategies. Disclosure of these non-GAAP financial measures also facilitates comparisons of our underlying operating performance with other companies in the industry that also supplement their GAAP results with non-GAAP financial measures.
The non-GAAP financial measures used in this filing may have limitations as analytical tools and should not be considered in isolation or as a replacement for GAAP financial measures. Some of the limitations associated with the use of these non-GAAP financial measures are that they exclude items that reflect an economic cost that can have a material effect on cash flows.
Constant Currency
Constant currency is calculated by using foreign currency rates from the comparable, prior-year period to present net sales at comparable rates. Constant currency can be presented for numerous GAAP measures, but is most commonly used by management to analyze net sales without the impact of changes in foreign currency rates.
Adjusted EBITDA
EBITDA is a non-GAAP financial measure defined as earnings before interest income (expense), income taxes, depreciation, and amortization. Adjusted EBITDA is the primary metric used by our Chief Operating Decision Maker in managing the business. Adjusted EBITDA represents earnings before interest income (expense), income taxes, depreciation, and amortization and excludes the impact of: share-based compensation, gains and losses related to changes in foreign exchange rates, SeaSpine Merger-related costs, strategic investments, acquisition-related fair value adjustments, legal judgments and settlements, and charges related to initial compliance with regulations set forth by the European Union Medical Device Regulation.
Free Cash Flow
Free cash flow is calculated by subtracting capital expenditures from net cash from operating activities. Management uses free cash flow as an important indicator of how much cash is generated or used by our normal business operations, including capital expenditures. Management uses free cash flow as a measure of progress on its capital efficiency and cash flow initiatives.
Item 3. Quantitative and Qualitative Disclosures About Market Risk
There have been no material changes to our market risks as disclosed in our Form 10-K for the year ended December 31, 2022.
Item 4. Controls and Procedures
Evaluation of Disclosure Controls and Procedures
We maintain disclosure controls and procedures (as defined in Rule 13a-15(e) of the Exchange Act) designed to provide reasonable assurance that the information required to be disclosed in reports filed or submitted under the Exchange Act are recorded, processed, summarized, and reported within the time periods specified in the SEC’s rules and forms. These include controls and procedures designed to ensure that this information is accumulated and communicated to management, including our President and Chief Executive Officer and our Chief Financial Officer, as appropriate to allow timely decisions regarding required disclosure. Management, with the participation of the President and Chief Executive Officer and the Chief Financial Officer, evaluated the effectiveness of our disclosure controls and procedures as of June 30, 2023. Based on this evaluation, our President and Chief Executive Officer and our Chief Financial Officer have concluded that our disclosure controls and procedures were effective as of June 30, 2023.
On January 5, 2023, the Company completed a merger of equals with SeaSpine, whose financial statements reflect total assets and revenues constituting 52% and 35%, respectively, of the condensed consolidated financial statement amounts as of and for the six months ended June 30, 2023. As permitted by the rules of the SEC, the Company will exclude SeaSpine from its annual assessment of the effectiveness on internal control over financial reporting for the year ending December 31, 2023, the year of acquisition. Management continue to monitor SeaSpine's internal controls over financial reporting.
29
Changes in Internal Control over Financial Reporting
There was no change in our internal control over financial reporting that occurred during the quarterly period covered by this report that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.
30
PART II. OTHER INFORMATION
Item 1. Legal Proceedings
For information regarding legal proceedings, see Note 8 to the Notes to the Unaudited Condensed Consolidated Financial Statements contained herein, which is incorporated by reference into this Part II, Item 1.
Item 1A. Risk Factors
There have been no material changes from the risk factors disclosed in "Part I, Item 1A. Risk Factors” in our Form 10-K for the year ended December 31, 2022, except as follows.
We maintain a $175.0 million secured revolving credit facility secured by a pledge of substantially all of our property.
We and certain of our wholly-owned subsidiaries (collectively, the “Borrowers”) are party to a Second Amended and Restated Credit Agreement (as amended to date, the “Amended Credit Agreement”). The Amended Credit Agreement provides for a $175.0 million secured revolving credit facility maturing on October 25, 2024. As of June 30, 2023, $51.0 million was outstanding under the facility, all of which was borrowed during the fiscal year. The effective interest rate on amounts borrowed was 6.4%, with accrued interest of $0.6 million as of June 30, 2023, within other current liabilities.
Certain of our subsidiaries (collectively, the “Guarantors”) are required to guarantee the repayment of any obligations under the Amended Credit Agreement. The Borrowers' obligations under the Amended Credit Agreement are secured by a pledge of substantially all of the personal property assets of the Borrowers and each of the Guarantors, including accounts receivables, deposit accounts, intellectual property, investment property, and inventory, equipment, and equity interests in their respective subsidiaries.
The Amended Credit Agreement contains customary affirmative and negative covenants, including limitations on our ability to incur additional debt, grant or permit additional liens, make investments and acquisitions, merge or consolidate with others, dispose of assets, pay dividends and distributions, pay subordinated indebtedness, and enter into affiliate transactions. In addition, the Amended Credit Agreement contains financial covenants requiring us to maintain, on a consolidated basis as of the last day of any fiscal quarter, a total net leverage ratio of not more than 3.5 to 1.0 and an interest coverage ratio of at least 3.0 to 1.0. The Amended Credit Agreement also includes events of default customary for facilities of this type, and upon the occurrence of an event of default, subject to customary cure rights, all outstanding amounts borrowed under the facility may be accelerated and/or the lenders’ commitments terminated.
We believe that we are in compliance with the covenants, and that there were no events of default, at June 30, 2023 (and in prior periods). However, there can be no assurance that we will be able to meet such financial covenants in future fiscal quarters. The failure to do so could result in an event of default, which could have a material adverse effect on our financial position in the event that we have significant amounts drawn under the facility at such time.
We hold our cash and cash equivalents that we use to meet our working capital and operating expense needs in deposit accounts that could be adversely affected if the financial institutions holding such funds fail.
We hold our cash and cash equivalents used to meet our working capital and operating expense needs in deposit accounts at multiple financial institutions. The balance held in these accounts typically exceeds the Federal Deposit Insurance Corporation ("FDIC") standard deposit insurance limit or similar government guarantee schemes. If a financial institution in which we hold such funds fails or is subject to significant adverse conditions in the financial or credit markets, we could be subject to a risk of loss of all or a portion of such uninsured funds or be subject to a delay in accessing all or a portion of such uninsured funds. Any such loss or lack of access to these funds could adversely impact our short-term liquidity and ability to meet our operating expense obligations.
For example, on March 10, 2023, Silicon Valley Bank ("SVB"), and Signature Bank, were closed by state regulators and the FDIC was appointed receiver for each bank. The FDIC created successor bridge banks and all deposits of SVB and Signature Bank were transferred to the bridge banks under a systemic risk exception approved by the United States Department of Treasury, the Federal Reserve, and the FDIC. If financial institutions in which we hold funds for working capital and operating expenses were to fail, we cannot provide any assurances that such governmental agencies would take action to protect our uninsured deposits in a similar manner.
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds
We have not made any repurchases of our common stock during the second quarter of 2023.
Item 3. Defaults Upon Senior Securities
Not applicable.
31
Item 4. Mine Safety Disclosures
Not applicable.
Item 5. Other Information
During the last fiscal quarter, none of our directors or officers (as defined in Rule 16a-1(f) of the Exchange Act) adopted, modified or terminated any contract, instruction, or written plan for the purchase or sale of our securities that was intended to satisfy the affirmative defense conditions of Rule 10b5-1(c) of the Exchange Act or any "non-Rule 10b5-1 trading arrangement."
Item 6. Exhibits
3.1(a) |
|
|
|
|
|
3.1(b)* |
|
Amended and Restated Certificate of Incorporation (marked to show changes against prior version) |
|
|
|
3.2(a) |
|
|
|
|
|
3.2(b)* |
|
Amended and Restated Bylaws, as amended (marked to show changes against prior version) |
|
|
|
10.1 |
|
|
|
|
|
10.2 |
|
|
|
|
|
10.3 |
|
|
|
|
|
10.4 |
|
|
|
|
|
10.5 |
|
|
|
|
|
10.6 |
|
|
|
|
|
10.7 |
|
|
|
|
|
10.8 |
|
|
|
|
|
10.9 |
|
|
|
|
|
31.1* |
|
Rule 13a-14(a)/15d-14(a) Certification of Chief Executive Officer. |
|
|
|
31.2* |
|
Rule 13a-14(a)/15d-14(a) Certification of Chief Financial Officer. |
|
|
|
32.1# |
|
Section 1350 Certifications of each of the Chief Executive Officer and Chief Financial Officer. |
|
|
|
101.INS* |
|
Inline XBRL Instance Document (the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document). |
|
|
|
32
101.SCH* |
|
Inline XBRL Taxonomy Extension Schema Document. |
|
|
|
101.CAL* |
|
Inline XBRL Taxonomy Extension Calculation Linkbase Document. |
|
|
|
101.DEF* |
|
Inline XBRL Taxonomy Extension Definition Linkbase Document. |
|
|
|
101.LAB* |
|
Inline XBRL Taxonomy Extension Label Linkbase Document. |
|
|
|
101.PRE* |
|
Inline XBRL Taxonomy Extension Presentation Linkbase Document. |
|
|
|
104* |
|
Cover Page Interactive Data File (formatted as inline XBRL and contained in Exhibit 101). |
* Filed herewith.
# Furnished herewith.
33
SIGNATURES
Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
|
ORTHOFIX MEDICAL INC. |
||
|
|
||
Date: August 8, 2023 |
By: |
|
/s/ KEITH VALENTINE |
|
Name: |
|
Keith Valentine |
|
Title: |
|
President and Chief Executive Officer, Director |
|
|
|
|
Date: August 8, 2023 |
By: |
|
/s/ JOHN BOSTJANCIC |
|
Name: |
|
John Bostjancic |
|
Title: |
|
Chief Financial Officer |
34
AMENDED AND RESTATED CERTIFICATE OF INCORPORATION OF
ORTHOFIX MEDICAL INC.
CERTIFICATE OF INCORPORATION
Orthofix Medical Inc., a corporation organized and existing under the laws of the State of Delaware (the “Company”), does hereby certify as follows:
The Company’s present name and the name under which it was originally incorporated is Orthofix Medical Inc., and its original certificate of incorporation was filed with the Secretary of State of the State of Delaware on July 31, 2018 (the “Original Certificate”).
This Amended and Restated Certificate of Incorporation amends, restates and integrates the provisions of the Original Certificate and was duly adopted in accordance with the provisions of Sections 242 and 245 of the General Corporation Law of the State of Delaware.
This Amended and Restated Certificate of Incorporation shall become effective on the date of filing with the Secretary of State of the State of Delaware.
The text of the Original Certificate is hereby amended and restated in its entirety to read as follows:
The name of the corporation is Orthofix Medical Inc. (the “Corporation”).
The address of the Corporation’s registered office in the State of Delaware is 251 Little Falls Drive, Wilmington, New Castle County, DE 19808. The registered agent at such address is Corporation Service Company.
The purpose of the Corporation is to engage in any lawful act or activity for which corporations may be organized under the Delaware General Corporation Law (the “DGCL”).
1
In furtherance and not in limitation of the powers conferred by the DGCL, the Board is expressly authorized and empowered to adopt, alter, amend, repeal and rescind the Bylawsbylaws of the Corporation and any provision or provisions thereof.
The names and addresses of the persons who shall serve as directors of the Corporation upon the filing of this Certificate of Incorporation are as follows:
Bradley R. Mason |
c/o Orthofix Medical Inc., 3451 Plano Parkway, Lewisville, Texas 75056 |
Ronald A. Matricaria |
c/o Orthofix Medical Inc., 3451 Plano Parkway, Lewisville, Texas 75056 |
2
Luke Faulstick |
c/o Orthofix Medical Inc., 3451 Plano Parkway, Lewisville, Texas 75056 |
James Hinrichs |
c/o Orthofix Medical Inc., 3451 Plano Parkway, Lewisville, Texas 75056 |
Alexis V. Lukianov |
c/o Orthofix Medical Inc., 3451 Plano Parkway, Lewisville, Texas 75056 |
Lilly Marks |
c/o Orthofix Medical Inc., 3451 Plano Parkway, Lewisville, Texas 75056 |
Michael E. Paolucci |
c/o Orthofix Medical Inc., 3451 Plano Parkway, Lewisville, Texas 75056 |
Maria Sainz |
c/o Orthofix Medical Inc., 3451 Plano Parkway, Lewisville, Texas 75056 |
John Sicard |
c/o Orthofix Medical Inc., 3451 Plano Parkway, Lewisville, Texas 75056 |
The foregoing directors shall hold office until the next annual meeting of stockholders and until their successors shall have been duly elected and qualified, or until their earlier resignations or removal.
3
4
Whenever a compromise or arrangement is proposed between the Corporation and its creditors or any class of them and/or between the Corporation and its stockholders or any class of them, any court of equitable jurisdiction within the State of Delaware may, on the application in a summary way of the Corporation or of any creditor or stockholder thereof or on the application of any receiver or receivers appointed for the Corporation under the provisions of § 291 of the DGCL or on the application of trustees in dissolution or of any receiver or receivers appointed for the Corporation under § 279 of the DGCL order a meeting of the creditors or class of creditors, and/or of the stockholders or class of stockholders of the Corporation, as the case may be, to be summoned in such manner as the said court directs. If a majority in number representing three-fourths in value of the creditors or class of creditors, and/or of the stockholders or class of stockholders of the Corporation, as the case may be, agree to any compromise or arrangement and to any reorganization of the Corporation as a consequence of such compromise or arrangement, the said compromise or arrangement and the said reorganization shall, if sanctioned by the court to which the said application has been made, be binding on all the creditors or class of creditors, and/or on all the stockholders or class of stockholders, of the Corporation, as the case may be, and also on the Corporation.
5
The Corporation reserves the right to amend or repeal any provision contained in this Restated Certificate of Incorporation in the manner prescribed by the laws of the State of Delaware and all rights conferred upon stockholders are granted subject to this reservation.
*****
IN WITNESS WHEREOF, Orthofix Medical Inc. has caused this Amended and Restated Certificate of Incorporation to be signed by its President and Chief Executive Officer on this 19th day of June, 2023.
ARTICLE XI : EFFECTIVE DATE AND TIME
The effective date and time of this Certificate of Incorporation shall be at 11:59 p.m. on the 31st day of July, 2018.
6
ARTICLE XII : INCORPORATOR
Kimberley Elting is the sole incorporator and the mailing address for the sole incorporator is 3451 Plano Parkway, Lewisville, Texas 75056.
By: |
/s/ Kimberley EltingKeith Valentine |
|
IncorporatorKeith Valentine |
DATED: July 31, 2018 |
Kimberley EltingPresident and Chief Executive Officer |
7
ORTHOFIX MEDICAL INC.
AMENDED AND RESTATED
B Y L A W S
1
The Corporation may require any proposed nominee to furnish such other information as it may reasonably require to determine (i) the eligibility of such proposed nominee to serve as a director of the Corporation, and (ii) whether such nominee qualifies as an “independent director” or “audit committee financial expert” under applicable law, securities exchange rule or regulation, or any publicly disclosed corporate governance guideline or committee charter of the Corporation.
2
3
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Section 3 Notice of Meetings. (a) The Corporation shall give notice of any annual or special meeting of stockholders. Notices of meetings of the stockholders shall state the place, if any, date, and hour of the meeting, the record date for determining stockholders entitled to vote at the meeting, if such record date is different from the record date for determining stockholders entitled to notice of the meeting, and the means of remote communication, if any, by which stockholders and proxyholders may be deemed to be present in person and vote at such meeting. In the case of a special meeting, the notice shall state the purpose or purposes for which the meeting is called. No business other than that specified in the notice thereof shall be transacted at any special meeting. Unless otherwise provided by applicable law or the Certificate of Incorporation, notice shall be given to each stockholder entitled to receive notice of such meeting not fewer than ten (10) days or more than sixty (60) days before the date of the meeting.
(b) Notice to stockholders may be given by personal delivery, mail, or, with the consent of the stockholder entitled to receive notice, by facsimile or other means of electronic transmission. If mailed, such notice shall be delivered by postage prepaid envelope directed to each stockholder at such stockholder’s address as it appears in the records of the Corporation and shall be deemed given when deposited in the United States mail. Notice given by electronic transmission pursuant to this subsection shall be deemed given: (i) if by facsimile telecommunication, when directed to a facsimile telecommunication number at which the stockholder has consented to receive notice, (ii) if by electronic mail, when directed to an electronic mail address at which the stockholder has consented to receive notice, (iii) if by posting on an electronic network together with separate notice to the stockholder of such specific posting, upon the later of (A) such posting and (B) the giving of such separate notice, and (iv) if by any other form of electronic transmission, when directed to the stockholder. An affidavit of the secretary or an assistant secretary or of the transfer agent or other agent of the Corporation that the notice has been given by personal delivery, by mail, or by a form of electronic transmission shall, in the absence of fraud, be prima facie evidence of the facts stated therein.
(c) Notice of any meeting of stockholders need not be given to any stockholder if waived by such stockholder either in a writing signed by such stockholder or by electronic transmission, whether such waiver is given before or after such meeting is held. If such a waiver is given by electronic transmission, the electronic transmission must either set forth or be submitted with information from which it can be determined that the electronic transmission was authorized by the stockholder.
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For purposes of this Section 6 of Article II, a majority of the votes cast means that the number of shares voted “for” a director must exceed the number of votes cast “against” that director (with “abstentions” and “broker nonvotes” not counted as a vote cast either “for” or “against” that director’s election). If directors are to be elected by a plurality of the shares represented in person or by proxy at any such meeting and entitled to vote on the election of directors, then the stockholders shall not be permitted to vote “against” a nominee.
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Any copy, facsimile telecommunication, or other reliable reproduction of a writing or electronic transmission authorizing a person or persons to act as proxy for a stockholder may be substituted or used in lieu of the original writing or electronic transmission for any and all purposes for which the original writing or electronic transmission could be used; provided, however, that such copy, facsimile telecommunication, or other reproduction shall be a complete reproduction of the entire original writing or electronic transmission.
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The presiding officer of the meeting shall act in his or her absolute discretion, and his or her rulings shall not be subject to appeal.
(A) Annual Meetings of Stockholders.
(1) Nominations of persons for election to the Board of Directors and the proposal of business to be considered by the stockholders may be made at an annual meeting of stockholders only (a) pursuant to the Corporation’s notice of meeting (or any supplement thereto), (b) by or at the direction of the Board of Directors, or (c) by any stockholder of the Corporation (present in person (as defined below) (i) who was a stockholder of record of the Corporation (and, with respect to any beneficial owner, if different, on whose behalf such business is proposed or such nomination or nominations are made, only if such beneficial owner was the beneficial owner of shares of the Corporation) both at the time the notice provided for in Paragraphs (A)(2) and (A)(3) of this Section 13 is delivered to the Secretary of the Corporation and on the record date for the determination of stockholders entitled to vote at the meeting, (ii) who is entitled to vote at the meeting upon such election of directors or upon such business, as the case may be, and (iii) who complies with the notice procedures set forth in Paragraphs (A)(2) and (A)(3) of this Section 13 and, in the case of nominations of persons for election to the Board of Directors, with the requirements of Rule 14a-19 under the Exchange Act. Except for proposals properly made in accordance with Rule 14a-8 under the Securities Exchange Act of 1934, as amended, and the rules and regulations thereunder (as so amended and inclusive of such rules and regulations, the “Exchange Act”), and included in the notice of meeting given by or at the direction of the Board of Directors, the foregoing clause (c) shall be the exclusive means for a stockholder to propose business to be brought before an annual meeting of stockholders. In addition, for business (other than the nomination of persons for election to the Board of Directors) to be properly brought before an annual meeting by a stockholder, such business must be a proper matter for stockholder action pursuant to the Certificate of Incorporation, these Bylaws, and applicable law.
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(2) For nominations or other business to be properly brought before an annual meeting of stockholders by a stockholder pursuant to clause (c) of Paragraph (A)(1) of this Section 13, the stockholder (a) must have given timely notice thereof in writing and in proper form to the Secretary at the principal executive offices of the Corporation, and (b) must provide any updates or supplements to such notice at such times and in the forms required by this Section 13. To be timely, a stockholder’s notice relating to an annual meeting shall be delivered to, or mailed to and received by, the Secretary at the principal executive offices of the Corporation not later than the close of business on the ninetieth (90th) day and not earlier than the close of business on the one hundred twentieth (120th) day before the date of the one-year anniversary of the immediately preceding year’s annual meeting (provided, however, that if the date of the annual meeting is more than thirty (30) days before or more than sixty (60) days after such anniversary date, notice by the stockholder must be so delivered, or mailed and received, not earlier than the close of business on the one hundred twentieth (120th) day before such annual meeting and not later than the close of business on the later of the ninetieth (90th) day before such annual meeting or the tenth (10th) day following the day on which public announcement (as defined below) of the date of such meeting is first made by the Corporation). In no event shall the public announcement of an adjournment or postponement of an annual meeting of stockholders commence a new time period (or extend any time period) for the giving of a stockholder’s notice as described above.
(3) To be in proper form for purposes of this Section 13, a stockholder’s notice to the Secretary (whether pursuant to this Paragraph (A) or Paragraph (B) of this Section 13) must set forth:
(a) as to each Proposing Person (as defined below), (i) the name and address of such Proposing Person (including, if applicable, the name and address that appear on the Corporation’s books and records) and (ii) the class or series and number of shares of capital stock of the Corporation that are, directly or indirectly, owned of record or beneficially owned (within the meaning of Rule 13d-3 under the Exchange Act) by such Proposing Person (provided that for purposes of this Section 13, such Proposing Person shall in all events be deemed to beneficially own any shares of any class or series and number of shares of capital stock of the Corporation as to which such Proposing Person has a right to acquire beneficial ownership at any time in the future);
(b) as to each Proposing Person, (i) any derivative, swap, or other transaction or series of transactions engaged in, directly or indirectly, by such Proposing Person, the purpose or effect of which is to give such Proposing Person economic risk similar to ownership of shares of any class or series of capital stock of the Corporation, including due to the fact that the value of such derivative, swap, or other transactions are determined by reference to the price, value, or volatility of any shares of any class or series of capital stock of the Corporation, or which derivative, swap, or other transactions provide, directly or indirectly, the opportunity to profit from any increase in the price or value of shares of any class or series of capital stock of the Corporation (“Synthetic Equity Interests”), which Synthetic Equity Interests shall be disclosed without regard to whether (x) the derivative, swap, or other transactions convey any voting rights in such shares to such Proposing Person, (y) the derivative, swap, or other transactions are required to be, or are capable of being, settled through delivery of such shares, or (z) such Proposing Person may have entered into other transactions that hedge or mitigate the economic effect of such derivative, swap, or other transactions, (ii) any proxy (other than a revocable proxy or consent given in response to a solicitation made pursuant to, and in accordance with, Section 14(a) of the Exchange Act by way of a solicitation statement filed on Schedule 14A), agreement, arrangement, understanding, or relationship pursuant to which such Proposing Person has or shares a right to vote any shares of any class or series of capital stock of the Corporation (including the number of shares and class or series of capital stock of the Corporation that are subject to such proxy, agreement, arrangement, understanding, or relationship), (iii) any agreement, arrangement, understanding, or relationship, including any repurchase or similar so-called “stock borrowing” agreement or arrangement, engaged in, directly or indirectly, by such Proposing Person, the purpose or effect of which is to mitigate loss to, reduce the economic risk (of ownership or otherwise) of shares of any class or series of capital stock of the Corporation by, manage the risk of share price changes for, or increase or decrease the voting power of, such Proposing Person with respect to the shares of any class or series of capital stock of the Corporation, or that provides, directly or indirectly, the opportunity to profit from any decrease in the price or value of the shares of any class or series of capital stock of the Corporation (“Short Interests”), (iv) any rights to dividends on the shares of any class or series of capital stock of the Corporation owned beneficially by such Proposing Person that are separated or separable from the underlying shares of the Corporation, (v) any performance related fees (other than an asset based fee) to which such Proposing Person is entitled based on any increase or decrease in the price or value of shares of any class or series of the capital stock of the Corporation, or any Synthetic Equity Interests or Short Interests, if any, and (vi) any other information relating to such Proposing Person that would be required to be disclosed in a proxy statement or other filing required to be made in connection with
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solicitations of proxies or consents by such Proposing Person in support of the nominations of directors for election or business proposed to be brought before the meeting pursuant to Regulation 14A under the Exchange Act (the disclosures to be made pursuant to the foregoing clauses (i) through (vi) are referred to as “Disclosable Interests”); provided, however, that Disclosable Interests shall not include any such disclosures with respect to the ordinary course business activities of any broker, dealer, commercial bank, trust company, or other nominee who is a Proposing Person solely as a result of being the stockholder directed to prepare and submit the notice required by these Bylaws on behalf of a beneficial owner;
(c) if such notice pertains to the nomination by the stockholder of a person or persons for election to the Board of Directors (each, a “nominee”), as to each nominee, (i) the name, age, business and residence address, and principal occupation or employment of the nominee, (ii) all other information relating to the nominee that would be required to be disclosed about such nominee if proxies were being solicited for the election of the nominee as a director in an election contest (whether or not such proxies are or will be solicited), or that is otherwise required, in each case pursuant to and in accordance with Regulation 14A under the Exchange Act, (iii) such nominee’s written consent to being named in the proxy statement, if any, as a nominee andin any proxy statement relating to the meeting and any associated proxy card, and to serving as a director if elected, and (iv) all information with respect to such nominee that would be required to be set forth in a stockholder’s notice pursuant to this Section 1313 if such nominee were a Proposing Person;
(d) if the notice relates to any business (other than the nomination of persons for election to the Board of Directors) that the stockholder proposes to bring before the meeting, (i) a reasonably brief description of the business desired to be brought before the meeting, (ii) the text of the proposal or business (including the text of any resolutions proposed for consideration and if such business includes a proposal to amend thethese Bylaws of the Corporation, the language of the proposed amendment), (iii) the reasons for conducting such business at the meeting, and (iv) any material interest in such business of each Proposing Person;
(e) a representation that the stockholder giving the notice is a holder of record of stock of the Corporation entitled to vote at such meeting and intends to appear in person or by proxy at the meeting to propose such business or nomination; and
(f) a representation whether any Proposing Person intendswill, or is part of a group that intendswill, (i) to deliver a proxy statement and/or form of proxy to holders of at least the percentage of the Corporation’s outstanding capital stock required to approve or adopt the proposal or elect the nominee and/or (ii) otherwise to solicit proxies from stockholders in support of such proposal or nomination.; and
The Corporation may require any proposed nominee to furnish such other information as it may reasonably require to determine (i) the eligibility of such proposed nominee to serve as a director of the Corporation, and (ii) whether such nominee qualifies as an “independent director” or “audit committee financial expert” under applicable law, securities exchange rule or regulation, or any publicly disclosed corporate governance guideline or committee charter of the Corporation.
(g) a representation whether any Proposing Person will, or is part of a group that will, (i) solicit proxies from the holders of the Corporation’s outstanding capital stock representing at least 67% of the voting power of the Corporation's outstanding capital stock entitled to vote in the election of directors in support of each nominee, (ii) include a statement to that effect in its proxy statement and/or its form of proxy, (iii) otherwise comply with Rule 14a-19 under the Exchange Act and (iv) provide the Secretary of the Corporation not less than five (5) business days prior to the applicable meeting or any adjournment or postponement thereof, with reasonable documentary evidence that such each Proposing Person complied with such representations.
(4) Notwithstanding anything in the second sentence of paragraphParagraph (A)(2) of this Section 13 to the contrary, if the number of directors to be elected to the Board of Directors of the Corporation at an annual meeting is increased and there is no public announcement by the Corporation naming all of the Board of Directors’ nominees for director or specifying the size of the increased Board of Directors at least one hundred (100) days before the first anniversary of the preceding year’s annual meeting, a stockholder’s notice required by this Section 13 shall also be considered timely, but only with respect to nominees for any new positions created by such increase, if it shall be delivered to, or mailed to and received by, the Secretary at the principal executive offices of the
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Corporation not later than the close of business on the tenth (10th) day following the day on which such public announcement is first made by the Corporation.
(5) Only such persons who are nominated in accordance with the procedures set forth in Paragraph (A) of this Section 13 (including those persons nominated by or at the direction of the Board of Directors), and with respect to persons nominated by a stockholder, only such persons who comply with the procedures set forth in Paragraph (D) of this Section 13, shall be eligible to be elected at an annual meeting of stockholders of the Corporation to serve as directors. Only such business shall be conducted at an annual meeting of stockholders as shall have been brought before the meeting in accordance with the procedures set forth in Paragraph (A) of this Section 13. Except as otherwise provided by law, the chairmanpresiding officer of an annual meeting of stockholders shall have the power and duty (a) if the facts warrant, to determine that a nomination or any business proposed to be brought before the annual meeting was not made or was not proposed, as the case may be, in accordance with the procedures set forth in Paragraph (A) of this Section 13, and (b)(i) if any proposed nomination or business was not made or waswas not made in compliance with Paragraph (A) of this Section 13, or if the solicitation in support of nominees for the election of directors other than the Board of Directors’ nominees was not conducted in compliance with Rule 14a-19 under the Exchange Act, or if a person nominated by a stockholder did not comply with the procedures set forth in Paragraph (D) of this Section 13, to declare that such nomination shall be disregarded, notwithstanding that proxies or votes in respect of such nomination may have been received by the Corporation, but such proxies or votes will be considered for the purposes of establishing a quorum, and (ii) if any proposed business was not proposed in compliance with Paragraph (A) of this Section 13, to declare that such nomination shall be disregarded or that such proposed business shall not be transacted, notwithstanding that proxies or votes in respect of such proposed business may have been received by the Corporation, but such proxies or votes will be considered for the purposes of establishing a quorum.
(B) Special Meetings of Stockholders.
(1) Only such business shall be conducted at a special meeting of stockholders as shall have been brought before the meeting pursuant to the Corporation’s notice of meeting pursuant to Section 2 of these Bylaws. Nominations of persons for election to the Board of Directors may be made at a special meeting of stockholders at which directors are to be elected pursuant to the Corporation’s notice of meeting only (a) by or at the direction of the Board of Directors or (b) if a purpose for such meeting as stated in the Corporation’s notice for such meeting is the election of one or more directors, by any stockholder of the Corporation present in person (i) who was a stockholder of record of the Corporation (and, with respect to any beneficial owner, if different, on whose behalf such nomination or nominations are made, only if such beneficial owner was the beneficial owner of shares of the Corporation) both at the time the notice provided for in Paragraph (B)(2) of this Section 13 is delivered to the Secretary of the Corporation and on the record date for the determination of stockholders entitled to vote at the special meeting, (ii) who is entitled to vote at the meeting and upon such election, and (iii) who complies with the notice procedures set forth in Paragraph (B)(2) of this Section 13 and with the requirements of Rule 14a-19 under the Exchange Act; provided, however, that a stockholder may nominate persons for election at a special meeting only to such position(s) as specified in the Corporation’s notice of the meeting.
(2) If a special meeting has been called in accordance with Section 2 of this Article II for the purpose of electing one or more directors to the Board of Directors, then for nominations of persons for election to the Board of Directors to be properly brought before such special meeting by a stockholder pursuant to clause (b) of Paragraph (B)(1) of this Section 13, the stockholder (a) must have given timely notice thereof in writing and in the proper form to the Secretary of the Corporation at the principal executive offices of the Corporation, and (b) must provide any updates or supplements to such notice at such times and in the forms required by this Section 13. To be timely, a stockholder’s notice relating to a special meeting shall be delivered to, or mailed to and received by, the Secretary at the principal executive offices of the Corporation not earlier than the close of business on the one hundred twentieth (120th) day before such special meeting and not later than the close of business on the later of the ninetieth (90th) day before such special meeting or the tenth (10th) day following the day on which public announcement is first made of the date of the special meeting and of the nominees proposed by the Board of Directors to be elected at such meeting. In no event shall the public announcement of an adjournment or postponement of a special meeting commence a new time period (or extend any time period) for the giving of a stockholder’s notice as described above. To be in proper form for purposes of this Paragraph (B) of this Section 13, such notice shall set forth the information required by clauses (a), (b), (c), (e), and (f) and (g) of Paragraph (A)(3) of this Section 13.
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(3) Only such persons who are nominated in accordance with the procedures set forth in Paragraph (B) of this Section 13 (including those persons nominated by or at the direction of the Board of Directors), and with respect to persons nominated by a stockholder, only such persons who comply with the procedures set forth in Paragraph (D) of this Section 13, shall be eligible to be elected at a special meeting of stockholders of the Corporation to serve as directors. Except as otherwise provided by law, the chairmanpresiding officer of a special meeting of stockholders shall have the power and duty (a) if the facts warrant, to determine that a nomination proposed to be made at the special meeting was not made in accordance with the procedures set forth in Paragraph (B) of this Section 13, and (b) if any proposed nomination was not made in compliance with Paragraph (B) of this Section 13, or if the solicitation in support of nominees for the election of directors other than the Board of Directors’ nominees was not conducted in compliance with Rule 14a-19 under the Exchange Act, or if a person nominated by a stockholder did not comply with the procedures set forth in Paragraph (D) of this Section 13, to declare that such nomination shall be disregarded, notwithstanding that proxies or votes in respect of such nomination may have been received by the Corporation, but such proxies or votes will be considered for the purposes of establishing a quorum.
(C) General.
(1) A stockholder providing notice of nominations of persons for election to the Board of Directors at an annual or special meeting of stockholders or notice of business proposed to be brought before an annual meeting of stockholders shall further update and supplement such notice so that the information provided or required to be provided in such notice pursuant to Paragraph (A)(3)(a) through Paragraph (A)(3)(f) of this Section 13 shall be true and correct both as of the record date for the determination of stockholders entitled to notice of the meeting and as of the date that is ten (10) business days before the meeting or any adjournment or postponement thereof, and such updated and supplemental information shall be delivered to, or mailed and received by, the Secretary at the principal executive offices of the Corporation (a) in the case of information that is required to be updated and supplemented to be true and correct as of the record date for the determination of stockholders entitled to notice of the meeting, not later than the later of five (5) business days after such record date or five (5) business days after the public announcement of such record date, and (b) in the case of information that is required to be updated and supplemented to be true and correct as of ten (10) business days before the meeting or any adjournment or postponement thereof, not later than eight (8) business days before the meeting or any adjournment or postponement thereof (or if not practicable to provide such updated and supplemental information not later than eight (8) business days before any adjournment or postponement, on the first practicable date before any such adjournment or postponement). For the avoidance of doubt, the obligation to update and supplement as set forth in this paragraph or any other Section of these Bylaws shall not limit the Corporation’s rights with respect to any deficiencies in any notice provided by a stockholder, extend any applicable deadlines hereunder, or enable or be deemed to permit a stockholder who has previously submitted notice under these Bylaws to amend any notice (including any nomination) or to submit any new notice (including any nomination), including by changing or adding nominees, matters, business or resolutions proposed to be brought before a meeting of the stockholders.
(2) Each Proposing Person seeking to nominate a person for election as a director of the Corporation shall deliver evidence to the Secretary of the Corporation that the Proposing Person solicited proxies from holders representing at least 67% of the voting power of the Corporation’s outstanding capital stock entitled to vote in the election of directors, which evidence shall be delivered to the Secretary at the principal executive offices of the Corporation not later than five (5) business days after the Proposing Person files a definitive proxy statement in connection with the applicable annual or special meeting of stockholders. Notwithstanding the foregoing provisions of this Section 13, unless otherwise required by law, (i) no Proposing Person shall solicit proxies in support of the election of director nominees at any annual or special meeting of stockholders of the Corporation other than the Board of Directors’ nominees unless such Proposing Person has complied with Rule 14a-19 under the Exchange Act in connection with the solicitation of such proxies with respect to such meeting, including the provision to the Corporation of notices required thereunder in a timely manner, (ii) if a Proposing Person (1) provides notice pursuant to Rules 14a-19(a)(1) and (b) under the Exchange Act and (2) subsequently fails to comply with the requirements of Rule 14a‑19 under the Exchange Act (including the provision to the Corporation of notices required thereunder in a timely manner and whether the Proposing Person on whose behalf a nomination is made solicited (or is part of a group which solicited) proxies in support of such nomination in compliance with the Proposing Person’s representation as required by Section 13(A)(3)(f)), then such nomination shall be disregarded, and the Corporation shall disregard any proxies or votes solicited for the Proposing Person’s nominees notwithstanding that proxies or votes with respect to such nominees may have been received by the Corporation, but such proxies or votes will be considered for the
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purposes of establishing a quorum, and (iii) if a stockholder nominating a person for election as a director of the Corporation at an annual or special meeting of stockholders of the Corporation does not provide the information required under this Section 13 to the Corporation (including the updated and supplemented information required by Section 13(C)(1)), in each case by the deadlines specified therein, then such nomination shall be disregarded, and the Corporation shall disregard any proxies or votes solicited for the stockholder’s nominees notwithstanding that proxies or votes with respect to such nominees may have been received by the Corporation, but such proxies or votes will be considered for the purposes of establishing a quorum.
(23) Notwithstanding the foregoing provisions of this Section 13Section 13, unless otherwise required by law, if the stockholder (or a qualified representative of the stockholder) doesis not appearpresent in person at the annual or special meeting of stockholders of the Corporation to present a nomination or proposed business, such nomination shall be disregarded and such proposed business shall not be transacted, notwithstanding that proxies or votes in respect of such vote may have been received by the Corporation. For purposes of this Section 13, to be considered a qualified representative of the stockholder, a person must be authorized by a writing executed by such stockholder or an electronic transmission delivered by such stockholder to act for such stockholder as proxy at the meeting of stockholders and such person must produce such writing or electronic transmission, or a reliable reproduction of the writing or electronic transmission, at the meeting of stockholders., but such proxies or votes will be considered for the purposes of establishing a quorum.
(34) For purposes of this Section 13Section 13, (a) “public announcement” shall mean disclosure in a press release reported by the Dow Jones News Service, Associated Press, or comparable national news service or in a document publicly filed by the Corporation with the Securities and Exchange Commission pursuant to Section 13, 14, or 15(d) of the Exchange Act, and (b) “Proposing Person” shall mean (i) the stockholder giving the notice required by Paragraph (A) or Paragraph (B) of this Section 13, (ii) the beneficial owner or beneficial owners, if different, on whose behalf such notice is given, and (iii) any affiliates or associates (each within the meaning of Rule 12b-2 under the Exchange Act for purposes of these Bylaws) of such stockholder or beneficial owner., (c) a “qualified representative” shall mean a duly authorized officer, manager or partner of the stockholder or any other person authorized by a writing executed by such stockholder or an electronic transmission delivered by such stockholder to act for such stockholder as proxy at the annual or special meeting of stockholders and such person must provide such writing or electronic transmission, or a reliable reproduction of the writing or electronic transmission, to the Secretary of the Corporation at or prior to such annual or special meeting; and (d) “present in person” shall mean that the stockholder making the nomination or proposing that the business be brought before the special meeting, or a qualified representative of such proposing stockholder, appears in person at such special meeting if it is held solely at a physical location or, in the event that the special meeting permits stockholder attendance by means of remote communication, appears by such means of remote communication.
(45) Paragraph (A) of this Section 13 is expressly intended to apply to any business proposed to be brought before an annual meeting of stockholders other than any proposal made pursuant to Rule 14a-8 under the Exchange Act. Nothing in this Section 1313 shall be deemed to (a) affect any rights of stockholders to request inclusion of proposals in the Corporation’s proxy statement pursuant to Rule 14a-8 (or any successor thereto) promulgated under the Exchange Act, (b) confer upon any stockholder a right to have a nominee or any proposed business included in the Corporation’s proxy statement, or (c) affect any rights of the holders of any class or series of preferred stock of the Corporation to nominate and elect directors pursuant to and to the extent provided in any applicable provisions of the Certificate of Incorporation.
(6) Any written notice required to be delivered by a stockholder to the Corporation pursuant to this Section 13 must be given, either by personal delivery or by registered or certified mail, postage prepaid, to the Secretary of the Corporation at the Corporation’s principal executive office.
(D) Additional Requirements For Valid Nomination Of Candidates To Serve As Director And, If Elected, To Be Seated As Directors
(1) Candidate to Provide Questionnaire, Representation and Agreement. To be eligible to be a candidate for election as a director of the Corporation at an annual meeting or special meeting of the stockholders of the Corporation, a candidate must be nominated in the manner prescribed in this Section 13 and the candidate for nomination, whether nominated by the Board of Directors of the Corporation or by a stockholder, must have previously
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delivered (in accordance with the time period prescribed for delivery in a notice to such candidate given by or on behalf of the Board of Directors), to the Secretary of the Corporation at the principal executive offices of the Corporation, (a) a completed written questionnaire with respect to the background, qualifications, stock ownership and independence of such proposed nominee and the background of any other person or entity on whose behalf the nomination is being made (which questionnaire shall be provided by the Corporation upon written request of a stockholder therefor) and (b) a written representation and agreement (in a form provided by the Corporation upon written request of a shareholder therefor) that such candidate for nomination (i) is not and will not become a party to any agreement, arrangement or understanding with, and has not given any commitment or assurance to, any person or entity as to how such person, if elected as a director of the Corporation, will act or vote on any issue or question if such agreement, arrangement or understanding has not been disclosed to the Corporation, or if such agreement, arrangement or understanding could limit or interfere with such person’s ability to comply, if elected as a director of the Corporation, with such person’s fiduciary duties under applicable law, (ii) may not be, and may not become, a party to any compensatory, payment, indemnification or other financial agreement, arrangement or understanding with any person or entity other than the Corporation in connection with service or action as a director that has not been disclosed to the Corporation and (iii) will comply with all of the Corporation’s corporate governance, conflict of interest, confidentiality and stock ownership and trading policies and guidelines, and any other Corporation policies and guidelines applicable to directors (and, if requested by any candidate for nomination, the Secretary of the Corporation shall provide to such candidate for nomination all such policies and guidelines then in effect).
(2) Candidate to Furnish Certain Other Information. The Corporation may require any candidate nominated for election as a director of the Corporation, whether nominated by the Board of Directors of the Corporation or by a stockholder, to furnish to the Corporation such additional information as it may reasonably require to permit the Board of Directors to determine (a) the eligibility of such nominee to serve as a director of the Corporation, and (b) whether such nominee qualifies as an “independent director” or “audit committee financial expert” under applicable law, securities exchange rule or regulation, or any publicly disclosed corporate governance guideline or committee charter of the Corporation or any publicly disclosed standards used by the Board of Directors in determining and disclosing the independence of the Corporation’s directors.
(3) Updating Candidate Information. A candidate nominated for election as a director of the Corporation, whether nominated by the Board of Directors of the Corporation or by a stockholder, shall further update and supplement the materials delivered pursuant to this Paragraph (D), if necessary, so that the information provided or required to be provided pursuant to this Paragraph (D) shall be true and correct as of the record date for shareholders entitled to vote at the meeting and as of the date that is ten (10) business days prior to the meeting or any adjournment or postponement thereof, and such update and supplement shall be delivered to, or mailed and received by, the Secretary of the Corporation at the principal executive offices of the Corporation (or any other office specified by the Corporation in any public disclosure) not later than five (5) business days after the record date for shareholders entitled to vote at the meeting (in the case of the update and supplement required to be made as of such record date), and not later than eight (8) business days prior to the date for the meeting or, if practicable, any adjournment or postponement thereof (and, if not practicable, on the first practicable date prior to the date to which the meeting has been adjourned or postponed) (in the case of the update and supplement required to be made as of ten (10) business days prior to the meeting or any adjournment or postponement thereof). For the avoidance of doubt, the obligation to update and supplement as set forth in this paragraph or any other Section of these Bylaws shall not limit the Corporation’s rights with respect to any deficiencies in any notice provided by a stockholder, extend any applicable deadlines hereunder, or enable or be deemed to permit a stockholder who has previously submitted notice under these Bylaws to amend any notice (including any nomination) or to submit any new notice (including any nomination), including by changing or adding nominees, matters, business or resolutions proposed to be brought before a meeting of the stockholders.
(4) Rejection of Nominee for Non-compliance. No candidate nominated for election as a director of the Corporation shall be eligible for nomination as a director of the Corporation unless such candidate has complied with this Paragraph (D).
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Section 10 Forum. (a) Unless the Corporation consents in writing to the selection of an alternative forum, the Court of Chancery of the State of Delaware (or, if and only if the Court of Chancery of the State of Delaware lacks subject matter jurisdiction, the Superior Court of the State of Delaware, or, if and only if both the Court of Chancery of the State of Delaware and the Superior Court of the State of Delaware lack subject matter jurisdiction, the United States District Court for the District of Delaware) and any state (or, if applicable, federal) appellate court therefrom shall, to the fullest extent permitted by law, be the sole and exclusive forum for (i) any derivative action, suit, or proceeding brought on behalf of the Corporation, (ii) any action, suit, or proceeding asserting a claim of breach of fiduciary duty owed by any current or former director, officer, employee, or stockholder of the Corporation to the Corporation or the Corporation’s stockholders or any action asserting a claim for aiding and abetting any such breach of fiduciary duty, (iii ) any action, suit, or proceeding asserting a claim against the Corporation or any director, officer, or other employee of the Corporation arising pursuant to, or seeking to enforce any right, obligation, or remedy under, any provision of the DGCL or the Certificate of Incorporation or the Corporation’s Bylaws (in each case, as may be amended from time to time), (iv) any action, suit, or proceeding as to which the DGCL confers jurisdiction on the Court of Chancery of the State of Delaware, or (v) any action, suit, or proceeding asserting a claim against the Corporation or its current or former directors, officers, employees, or stockholders governed by the internal affairs doctrine, in all cases subject to the court’s having personal jurisdiction over the indispensable parties named as defendants (including personal jurisdiction by reason of any such indispensable party’s consent to personal jurisdiction in the State of Delaware or such court). If any action, suit or proceeding the subject matter of which is within the scope of the immediately preceding sentence is filed in a court other than the courts in the State of Delaware, (a “Foreign Action”) in the name of any stockholder, such stockholder shall be deemed to have consented to (x) the personal jurisdiction of the state and federal courts in the State of Delaware in connection with any action brought in any such court to enforce the provisions of the immediately preceding sentence and (y) having service of process made upon such stockholders in any action by service upon such stockholder’s counsel in the Foreign Action as agent for such stockholder.
(b) Unless the Corporation consents in writing to the selection of an alternative forum, to the fullest extent permitted by law, the federal district courts of the United States of America shall be the exclusive forum for the resolution of any complaint asserting a cause of action arising under the Securities Act of 1933, as amended.
(c) Notwithstanding the foregoing, the provisions of this Section 10 of Article VII shall not apply to suits brought to enforce any liability or duty created by the Securities Exchange Act of 1934, as amended, or any claim for which the federal courts of the United States have exclusive jurisdiction.
(d) If any provision of this Section 10 of Article VII shall be held to be invalid, illegal or unenforceable as applied to an person or entity or circumstance for any reason whatsoever, then, to the fullest extent permitted by law, the validity, legality and enforceability of such provisions, in any other circumstance and of the remaining provisions of this Section 10 of Article VII (including, without limitation, each portion of any
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sentence of this Section 10 of Article VII containing any such provision held to be invalid, illegal or unenforceable that is not itself held to be invalid, illegal or unenforceable) and the application of such provision to other persons or entities and circumstances shall not in any way be affected or impaired thereby.
END OF BYLAWS
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Exhibit 31.1
CERTIFICATION
I, Keith Valentine, certify that:
1. I have reviewed this quarterly report on Form 10-Q for the quarterly period ended June 30, 2023, of Orthofix Medical Inc.;
2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;
3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;
4. The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:
a. designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;
b. designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;
c. evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and
d. disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has material affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and
5. The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):
a. all significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and
b. any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.
Dated: August 8, 2023 |
By: |
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/s/ KEITH VALENTINE |
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Name: |
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Keith Valentine |
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Title: |
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President and Chief Executive Officer, Director |
Exhibit 31.2
CERTIFICATION
I, John Bostjancic, certify that:
1. I have reviewed this quarterly report on Form 10-Q for the quarterly period ended June 30, 2023, of Orthofix Medical Inc.;
2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;
3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;
4. The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:
a. designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;
b. designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;
c. evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and
d. disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has material affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and
5. The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):
a. all significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and
b. any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.
Dated: August 8, 2023 |
By: |
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/s/ JOHN BOSTJANCIC |
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Name: |
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John Bostjancic |
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Title: |
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Chief Financial Officer |
Exhibit 32.1
CERTIFICATION PURSUANT TO 18 U.S.C. SECTION 1350,
AS ADOPTED PURSUANT TO SECTION 906
OF THE SARBANES-OXLEY ACT OF 2002
In connection with the Quarterly Report of Orthofix Medical Inc. (“Orthofix”) on Form 10-Q for the quarterly period ended June 30, 2023, (the “Report”), as filed with the Securities and Exchange Commission on the date hereof, Jon Serbousek, Chief Executive Officer and President of Orthofix, and Doug Rice, Chief Financial Officer, each certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that, to his knowledge:
1. The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and
2. The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of Orthofix.
Dated: August 8, 2023 |
/s/ KEITH VALENTINE |
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|
Name: |
Keith Valentine |
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Title: |
President and Chief Executive Officer |
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|
|
|
|
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Dated: August 8, 2023 |
/s/ JOHN BOSTJANCIC |
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|
Name: |
John Bostjancic |
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Title: |
Chief Financial Officer |