UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 FORM 10-Q [ X ] QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended September 30, 2003 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 INTERNATIONAL N.V. (Exact name of registrant as specified in its charter) Netherlands Antilles N/A - --------------------------------------- ------------------------------------- (State or other jurisdiction of (I.R.S. Employer Identification No.) incorporation or organization) 7 Abraham de Veerstraat Curacao Netherlands Antilles N/A - ---------------------------------------- ------------------------------------- (Address of principal executive offices) (Zip Code) 599-9-4658525 ---------------------------------------------------- (Registrant's telephone number, including area code) Securities registered pursuant to Section 12(b) of the Act: None Securities registered pursuant to Section 12(g) of the Act: Common Stock, $0.10 par value (Title of Class) 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 at least the past 90 days. Yes [ X ] No [ ] Indicate by check mark whether the registrant is an accelerated filer (as defined in Rule 12b-2 of the Exchange Act). Yes [ X ] No [ ] As of November 4, 2003, 14,221,497 shares of common stock were issued and outstanding. Table of Contents Page ---- PART I FINANCIAL INFORMATION..................................................3 Item 1. Condensed Financial Statements.......................................3 Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations....................13 Item 3. Quantitative and Qualitative Disclosure About Market Risk......................................................20 Item 4. Controls and Procedures.............................................20 PART II OTHER INFORMATION.....................................................21 Item 2. Legal Proceedings...................................................21 Item 6. Exhibits and Reports on Form 8-K....................................21 SIGNATURES ...................................................................22 Forward-Looking Statements This Form 10-Q contains forward-looking statements within the meaning of Section 21E of the Securities Exchange Act of 1934, relating to our business and financial outlook, which are based on our current expectations, estimates, forecasts and projections. In some cases, you can identify forward-looking statements by terminology such as "may," "will," "should," "expects," "plans," "anticipates," "believes," "estimates," "predicts," "potential" or "continue" or other comparable terminology. These forward-looking statements are not guarantees of future performance and involve risks, uncertainties, estimates and assumptions that are difficult to predict. Therefore, actual outcomes and results may differ materially from those expressed in these forward-looking statements. You should not place undue reliance on any of these forward-looking statements. Further, any forward-looking statement speaks only as of the date on which it is made, and we undertake no obligation to update any such statement to reflect new information, the occurrence of future events or circumstances or otherwise. The Private Securities Litigation Reform Act of 1995 provides a "safe harbor" for forward-looking statements to encourage companies to provide prospective information about their companies without fear of litigation. We would like to take advantage of the "safe harbor" provisions of the Private Securities Litigation Reform Act in connection with the forward-looking statements included in this document. A number of important factors could cause actual results to differ materially from those indicated by the forward-looking statements, including, but not limited to, the risks described under Item 1 - "Business - Risk Factors" in our Annual Report on Form 10-K for the fiscal year ended December 31, 2002. - 2 - PART I FINANCIAL INFORMATION Item 1. Condensed Financial Statements CONDENSED CONSOLIDATED BALANCE SHEETS AT SEPTEMBER 30, 2003 AND DECEMBER 31, 2002 (U.S. Dollars, in thousands except share data) September 30, December 31, 2003 2002 -------------- ---------------- Assets (Unaudited) (Note 2) Current assets: Cash and cash equivalents.................................... $45,729 $48,813 Trade accounts receivable, net............................... 58,702 54,654 Inventories.................................................. 23,908 23,471 Deferred income taxes........................................ 3,271 3,271 Prepaid expenses and other................................... 4,517 6,789 ------------- ---------------- Total current assets........................................... 136,127 136,998 Securities and other investments............................... 6,316 4,753 Property, plant and equipment, net............................. 13,170 13,841 Patents and other intangible assets, net....................... 5,504 4,214 Goodwill, net.................................................. 72,653 58,781 Other long-term assets ........................................ 1,462 2,187 ------------- ---------------- Total assets................................................... $235,232 $220,774 ------------- ---------------- Liabilities and shareholders' equity Current liabilities: Bank borrowings.............................................. $3,373 $6,977 Current portion of long-term debt............................ 119 399 Trade accounts payable....................................... 8,447 9,637 Other current liabilities.................................... 18,695 20,113 ------------- ---------------- Total current liabilities.................................... 30,634 37,126 Long-term debt................................................. 104 44 Deferred income taxes.......................................... 1,817 2,202 Other long-term liabilities.................................... 3,565 3,451 ------------- ---------------- Total liabilities............................................ 36,120 42,823 Minority interests............................................. -- 9,867 Contingencies (Note 11) Shareholders' equity: Common shares................................................ 1,424 1,384 Additional paid-in capital................................... 52,442 50,884 Less: treasury shares, at cost (2002: 195,000)............. -- (5,281) ------------- ---------------- 53,866 46,987 Retained earnings............................................ 141,083 123,194 Accumulated other comprehensive income (loss)................ 4,163 (2,097) ------------- ---------------- Total shareholders' equity..................................... 199,112 168,084 ------------- ---------------- Total liabilities, minority interests and shareholders' equity. $235,232 $220,774 ------------- ---------------- The accompanying notes form an integral part of these condensed consolidated financial statements. - 3 - CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS FOR THE THREE AND NINE MONTHS ENDED SEPTEMBER 30, 2003 AND 2002 (Unaudited, U.S. Dollars, in thousands except share Three Months Ended Nine Months Ended data and per share data) ------------------------------ ------------------------------- 2003 2002 2003 2002 ------------- ------------- ------------- -------------- Net sales.............................................. $51,253 $44,542 $150,999 $131,718 Cost of sales.......................................... 12,482 10,977 38,077 32,728 ------------- ------------- ------------- -------------- Gross profit....................................... 38,771 33,565 112,922 98,990 Operating expenses Sales and marketing ............................... 20,321 16,582 57,428 47,334 General and administrative......................... 5,039 4,551 15,139 13,337 Research and development........................... 1,721 1,749 5,979 5,851 Amortization of intangible assets.................. 259 178 656 490 Litigation and settlement costs.................... 2,605 -- 4,731 -- ------------- ------------- ------------- -------------- 29,945 23,060 83,933 67,012 ------------- ------------- ------------- -------------- Total operating income ............................ 8,826 10,505 28,989 31,978 Other income (expense), net........................... (470) (871) (772) (1,807) ------------- ------------- ------------- -------------- Income before income tax and minority interests... 8,356 9,634 28,217 30,171 Income tax expense..................................... (2,914) (3,260) (10,328) (9,571) ------------- ------------- ------------- -------------- Income before minority interests ................. 5,442 6,374 17,889 20,600 Minority interests..................................... -- (400) -- (1,261) ------------- ------------- ------------- -------------- Net income ..................................... $5,442 $5,974 $17,889 $19,339 ------------- ------------- ------------- -------------- Net income per common share - basic.................... $0.38 $0.44 $1.28 $1.48 ------------- ------------- ------------- -------------- Net income per common share - diluted.................. $0.37 $0.41 $1.22 $1.30 ------------- ------------- ------------- -------------- Weighted average number of common shares - basic...... 14,181,847 13,444,245 14,001,981 13,091,124 ------------- ------------- ------------- -------------- Weighted average number of common shares - diluted..... 14,882,747 14,717,983 14,720,139 14,915,615 ------------- ------------- ------------- -------------- The accompanying notes form an integral part of these condensed consolidated financial statements. - 4 - CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2003 AND 2002 (Unaudited, U.S. Dollars, in thousands) 2003 2002 ---------------- ----------------- Cash flows from operating activities: Net income................................................ $17,889 $19,339 Adjustments to reconcile net income to net cash provided by operating activities: Depreciation and amortization.............................. 4,776 4,096 Provision for doubtful accounts............................ 3,858 3,672 Loss on sale of fixed assets............................... -- 168 Loss on equity investments................................. 1,175 1,436 Minority interest in net income of consolidated subsidiaries -- 1,261 Tax benefit on non-qualified stock options................. 412 -- Other ..................................................... 1,083 (169) Change in operating assets and liabilities: Increase in accounts receivable......................... (6,368) (8,608) Decrease/(increase) in inventories...................... 346 (3,994) Decrease/(increase) in prepaid expenses and other....... 1,450 (131) (Decrease)/increase in accounts payable................. (1,717) 367 (Decrease)/increase in other current liabilities........ (2,007) 1,877 ---------------- ----------------- Net cash provided by operating activities...................... 20,897 19,314 ---------------- ----------------- Cash flows from investing activities: Investments in affiliates and subsidiaries................ (23,678) (7,254) Capital expenditures...................................... (3,608) (5,680) Proceeds from the sale of marketable securities........... 354 -- ---------------- ----------------- Net cash used in investing activities.......................... (26,932) (12,934) ---------------- ----------------- Cash flows from financing activities: Net proceeds from issuance of common stock................ 10,863 14,333 Repurchase of treasury shares............................. (4,395) (16,600) Proceeds from loans and borrowings........................ 92 3,380 Repayment of loans and borrowings......................... (4,372) (2,769) ---------------- ----------------- Net cash provided (used) by financing activities............... 2,188 (1,656) ---------------- ----------------- Effect of exchange rate changes on cash and cash equivalents... 763 1,456 ---------------- ----------------- (Decrease)/increase in cash and cash equivalents............... (3,084) 6,180 Cash and cash equivalents at the beginning of the year......... 48,813 34,273 ---------------- ----------------- Cash and cash equivalents at the end of the period............. $45,729 $40,453 ---------------- ----------------- The accompanying notes form an integral part of these condensed consolidated financial statements. - 5 - NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS NOTE 1: BUSINESS Orthofix International N.V. and its subsidiaries (the "Company") is a multinational corporation principally involved in the design, development, manufacture, marketing and distribution of medical equipment, principally for the orthopedic market. NOTE 2: BASIS OF PRESENTATION The accompanying unaudited Condensed Consolidated Financial Statements have been prepared in accordance with accounting principles generally accepted in the United States 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 accounting principles generally accepted in the United States, have been condensed or omitted. In the opinion of management, all adjustments (consisting of normal recurring items) considered necessary for a fair presentation have been included. Operating results for the nine months ended September 30, 2003 are not necessarily indicative of the results that may be expected for the year ended December 31, 2003. The balance sheet at December 31, 2002 has been derived from the audited financial statements at that date but does not include all of the information and footnotes required by accounting principles generally accepted in the United States for complete financial statements. For further information, refer to the Consolidated Financial Statements and Notes thereto of our Annual Report on Form 10-K for the year ended December 31, 2002. NOTE 3: INVENTORY Inventories are as follows: September 30, December 31, (In thousands) 2003 2002 ---------------- ----------------- Raw materials $3,679 $2,177 Work-in-process 1,653 1,210 Finished goods 9,321 11,668 Field inventory 5,790 5,260 Consignment inventory 6,606 5,910 Less reserve for obsolescence (3,141) (2,754) ---------------- ----------------- $23,908 $23,471 ---------------- ----------------- NOTE 4: ACQUISITIONS AND INVESTMENTS During the second quarter of 2003, Ferrer Freeman & Co., a private equity firm that invests exclusively in health care and health care-related companies, purchased 100% of HealthSouth's interest in OrthoRx, which resulted in them becoming the Company's new partner in the 50/50 joint venture. On May 6, 2003 and June 16, 2003, the Company invested an additional $350,000 and $1,150,000, respectively in the OrthoRx joint venture. Ferrer Freeman & Co. matched the Company's investment. On March 20, 2003, the Company completed the acquisition of the remaining 48% minority interest in Intavent Orthofix Limited ("IOL") for $20.6 million (including acquisition costs) with an effective date of January 14, 2003. The Company utilized an independent firm to complete a valuation of IOL. The Company used cash on hand to complete this purchase from Intavent Limited ("Intavent"). Mr. Gaines-Cooper, Chairman of Orthofix, is a settlor of a trust which owns a 30% interest in Intavent. IOL has been a fully consolidated subsidiary and is now a wholly-owned subsidiary of the Company. The Company recorded this additional equity purchase using the purchase - 6 - method of accounting and the impact has been included in the results of operations from the date of acquisition. A preliminary allocation of the purchase price reflects the settlement of a minority interest obligation of approximately $9.9 million and $10.7 million of additional goodwill. The Company expects to finalize the purchase price allocation during 2003. The pro forma effect on operations or earnings per share would not be substantially different than those reported, assuming consummation of the purchase as of January 1, 2003. The pro forma unaudited results of operations and earnings per share for the three and nine month periods ended September 30, 2002, assuming consummation of the purchase as of January 1, 2002, are as follows: (In thousands, Three Months Ended September 30 Nine Months Ended September 30 except per share data) --------------------------------------- ---------------------------------- As Reported Pro Forma As Reported Pro Forma ------------------ ------------------ --------------- ------------ Net sales $44,542 $44,542 $131,718 $131,718 Net income 5,974 6,374 19,339 20,570 Per share data: Basic $0.44 $0.47 $1.48 $1.57 Diluted $0.41 $0.43 $1.30 $1.38 On February 5, 2003, the Company purchased an equity interest in Innovative Spinal Technologies (IST), a start-up company focused on commercializing spinal products, for $1.5 million. The investment is accounted for at cost. NOTE 5: COMMON SHARES For the nine months ended September 30, 2003, the Company issued 720,983 shares of common stock upon the exercise of outstanding stock options and warrants for proceeds of $10.9 million and paid $4.4 million to purchase 157,000 shares of its common stock in the open market for treasury. During the period, the Company also retired 352,000 treasury shares recorded at a cost of $9.7 million. NOTE 6: COMPREHENSIVE INCOME Other comprehensive income includes foreign currency translation adjustments and unrealized gains/losses on available-for-sale securities, net of tax. During the three and nine month periods ended September 30, 2003, the Company reclassified $0.2 million and $3.0 million, respectively, of foreign currency translation impact on goodwill that is denominated in a non-U.S. dollar currency, from comprehensive income to goodwill. These reclassifications had no impact on the results of operations or cash flows of the Company. Total comprehensive income combines reported net income and other comprehensive income. (In thousands) Three Months Ended Nine Months Ended ------------------------------- ------------------------------- 2003 2002 2003 2002 ------------- -------------- ------------- -------------- Net income $5,442 $5,974 $17,889 $19,339 Other comprehensive income: Unrealized gain (loss) on marketable securities net of taxes 190 (17) 186 (31) Reclassification adjustment for gains on the sale of marketable securities included in net income (341) -- (341) -- Foreign currency translation adjustment 429 992 6,416 4,544 ------------- -------------- ------------- -------------- Total comprehensive income $5,720 $6,949 $24,150 $23,852 ------------- -------------- ------------- -------------- - 7 - NOTE 7: BUSINESS SEGMENT INFORMATION The Company's operations are managed as two geographic business units (the Americas and International) plus Group activities. The Americas consists of the United States, Mexico and Brazil. International consists of the rest of the world plus export distribution operations. For the three month periods ended September 30: Net Sales To Intersegment Operating External Customers Net Sales Income/(Expense) ------------------------- ---------------------- ---------------------- (In thousands) 2003 2002 2003 2002 2003 2002 ------------ ----------- ---------- ---------- --------- ----------- International $21,488 $18,661 $11,945 $9,673 $5,053 $6,221 Americas 29,765 25,881 251 338 4,753 6,050 Group activities -- -- -- -- (1,086) (958) Eliminations -- -- -- -- 106 (808) ------------ ----------- ---------- ---------- --------- ----------- Total $51,253 $44,542 $12,196 $10,011 $8,826 $10,505 ------------ ----------- ---------- ---------- --------- ----------- For the nine month periods ended September 30: Net Sales To Intersegment Operating External Customers Net Sales Income/(Expense) ------------------------- ---------------------- ---------------------- (In thousands) 2003 2002 2003 2002 2003 2002 ------------ ----------- ---------- ---------- --------- ----------- International $64,872 $55,362 $37,009 $29,870 $12,970 $19,600 Americas 86,127 76,356 600 559 18,111 17,650 Group activities -- -- -- -- (3,157) (2,790) Eliminations -- -- -- -- 1,065 (2,482) ------------ ----------- ---------- ---------- --------- ----------- Total $150,999 $131,718 $37,609 $30,429 $28,989 $31,978 ------------ ----------- ---------- ---------- --------- ----------- Identifiable Assets -------------------------------- September 30, December 31, (In thousands) 2003 2002 ------------- ------------- International $165,039 $169,071 Americas 92,442 80,848 Group 77,496 56,652 Eliminations (99,745) (85,797) --------------- --------------- Total $235,232 $220,774 ================ ================ - 8 - NOTE 8: INCOME TAX EXPENSE The difference between the reported provision for income taxes and a provision computed by applying the statutory rates applicable to each subsidiary of the Company is primarily attributable to the Company's tax holiday benefit in the Seychelles. NOTE 9: EARNINGS PER SHARE For each of the three and nine month periods ended September 30, 2003 and 2002, there were no adjustments to net income (the numerators) for purpose of calculating basic and diluted net income per common share. The following table sets forth a reconciliation of the denominators in computing earnings per share in accordance with Statement of Financial Accounting Standards No. 128, 'Earnings Per Share': Three Months Ended Nine Months Ended ------------------------------- ------------------------------- 2003 2002 2003 2002 ------------- -------------- ------------- -------------- Weighted average common shares - basic 14,181,847 13,444,245 14,001,981 13,091,124 Effect of diluted securities: Stock options 700,900 1,273,738 718,158 1,824,491 ------------- -------------- ------------- -------------- Weighted average common shares - diluted 14,882,747 14,717,983 14,720,139 14,915,615 ------------- -------------- ------------- -------------- The Company did not include in the diluted shares outstanding calculation 97,736 options for the nine month period ended September 30, 2003, because their inclusion would be antidilutive or their exercise price exceeded the average market price of our common stock during the period. All options were included in the diluted shares outstanding calculation for the three month period ended September 30, 2003, as well as, the three and nine month periods ended September 30, 2002 as the average market value of our common stock for the period was higher than the exercise prices of all options outstanding for the period. - 9 - NOTE 10: STOCK BASED COMPENSATION The Company accounts for stock based awards to employees under the intrinsic value method in accordance with APB 25 "Accounting for Stock Issued to Employees" and related interpretations and, accordingly, no compensation cost has been recognized for stock options issued under the Company's plans. In December 2002, Statement of Financial Accounting Standards (SFAS) No. 148, "Accounting for Stock Based Compensation Transition and Disclosure and Amendment of FASB Statement No. 123" was issued. This statement provides alternative methods of transition for a voluntary change to the fair value based method of accounting for stock based employee compensation and requires prominent disclosure in both annual and interim financial statements about the method of accounting for stock based employee compensation and the effects of the method used on reporting results. The interim financial statement disclosure aspect of this standard is effective beginning with these financial statements and the provision has been adopted herein. Pro forma information regarding the Company's net income and net income per common share for the three and nine month periods ended September 30, 2003 and 2002 has been determined as if the Company had accounted for its employee stock option plans under the fair value method. The Company used the same pricing model and assumptions that were used in the Annual Report on Form 10-K for the year ended December 31, 2002. For purposes of pro forma disclosures, the estimated fair value of the options is amortized to expense over the options' vesting period. (In thousands, except per share data) Three Months Ended Nine Months Ended ------------------------------ ------------------------------- 2003 2002 2003 2002 ------------- ------------- ------------- -------------- Net income As reported $5,442 $5,974 $17,889 $19,339 Less: Total stock-based employee compensation expense determined under fair value method for all awards, net of tax (566) (623) (1,736) (1,869) ------------- ------------- ------------- -------------- Pro forma $4,876 $5,351 $16,153 $17,470 Net income per common share - basic As reported $0.38 $0.44 $1.28 $1.48 Pro forma $0.34 $0.40 $1.15 $1.33 Net income per common share - diluted As reported $0.37 $0.41 $1.22 $1.30 Pro forma $0.33 $0.36 $1.10 $1.17 - 10 - NOTE 11: CONTINGENCIES The Company, in the normal course of its business, is involved in various lawsuits from time to time. In addition, the Company is subject to certain other contingencies discussed below: On January 29, 1999, two couples who owned shares of the common stock of American Medical Electronics Inc. ("AME") commenced a civil action against the Company and one of its subsidiaries and the Review Committee (defined below) seeking, among other relief, the maximum earnout and bonus under the merger agreement. The Company is vigorously defending against the action. On August 21, 1995, the Company acquired substantially all the outstanding stock of AME and merged AME into Orthofix Inc. Prior to the merger, Orthofix Inc. had no operating activity. The principal terms of the acquisition included cash payments of approximately $47.5 million and the issuance of approximately 1.95 million shares of the Company's common stock with a fair market value of approximately $33.5 million. Additionally, the Agreement and Plan of Merger provided for payments contingent upon the attainment of certain gross revenue thresholds by the Company in 1995, 1996 and/or 1997 and were not compensatory in nature. The earnout and bonus, if paid, were to be paid in cash, common stock of the Company or a combination thereof on a Payout Date defined in the Agreement and Plan of Merger. The Company announced that the Review Committee, established to determine contingent amounts payable under the Agreement and Plan of Merger relating to the acquisition of AME, determined that Orthofix will pay the AME Record Holders $500,000 (which was satisfied in cash and issuance of treasury shares with a fair market value of $259,000), and 12% of the net recovery, if any, received from its judgment against Biomet, EBI and EBI MS up to a maximum of $5,500,000. The New York federal court resolved the two consolidated actions in favor of the Company and its subsidiary. On July 12, 2002, the New York federal court denied the plaintiffs' motion to vacate the consent award. On May 21, 2003, the court denied plaintiffs' motion for leave to file a second amended complaint and dismissed the Earnout and Bonus action in its entirety with prejudice. Plaintiffs filed an appeal to the United States Court of Appeals for the Second Circuit. No briefs have been filed in the appellate court. The Company is vigorously defending the trial court's decision in favor of the Company and its subsidiary. The Company expects the appeal to be heard and decided in the first half of 2004. The Company has previously reserved approximately $5.0 million plus accrued interest for the settlement of this matter. Novamedix, a subsidiary of the Company, filed an action on February 21, 1992 against Kinetic Concepts Inc ("KCI") alleging infringement of the patents relating to Novamedix's A-V Impulse System product, breach of contract, and unfair competition. In this action, Novamedix is seeking a permanent injunction enjoining further infringement by KCI. Novamedix also seeks damages relating to past infringement, breach of contract, and unfair competition. KCI has filed counterclaims alleging that Novamedix engaged in inequitable conduct before the United States Patent and Trademark Office and fraud as to KCI and that Novamedix engaged in common law and statutory unfair competition against KCI. KCI seeks a declaratory judgment that the patents are invalid, unenforceable, and not infringed. KCI also seeks monetary damages, injunctive relief, costs, attorney's fees, and other unspecified relief. During 2002, the United States Patent and Trademark Office issued re-examination certificates validating four U.S. vascular patents owned by us. The U.S. District Court in San Antonio, Texas has restored the litigation to active status, and has provided a Scheduling Order that will govern this matter. KCI has sought to add a charge of infringement against Novamedix under a recently issued KCI patent but that request was denied on a procedural basis. KCI retains the right to seek enforcement of its patent in a separate proceeding. A portion of any amounts received will be payable to former owners of Novamedix under the original purchase agreement. On August 18, 2003, the Company announced that it settled a two-year-long investigation by the Office of Inspector General of its billings to federal and state health care programs for the off-label use of its FDA approved pulsed electronic magnetic field device. Without admitting any wrong doing, the Company agreed to pay CHAMPUS/Tricare $1.7 million ($1.1 million after-tax) in order to avoid protracted litigation and related legal costs, and placing this government inquiry into our billings to federal programs firmly in the past. In management's opinion, the Company is not currently involved in any other legal proceeding, individually or in the aggregate, that could have a material effect on the financial position, liquidity or operating results of the Company. - 11 - NOTE 12: RECENTLY ISSUED ACCOUNTING STANDARDS In January 2003, FASB Interpretation No. 46 (FIN 46), "Consolidation of Variable Interest Entities," was issued. The interpretation provides guidance on consolidating variable interest entities and applies immediately to variable interests created or obtained after January 31, 2003. On October 8, 2003, the FASB delayed the effective date of the interpretation until periods ending after December 15, 2003, for variable entities acquired before February 1, 2003. The Company is currently reviewing FIN 46 to determine its impact, if any, on future reporting periods from its equity investments including the OrthoRx joint venture. - 12 - Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations The following discussion and analysis addresses the results of our operations for the nine and three months ended September 30, 2003, as compared to our results of operations for the nine and three months ended September 30, 2002. The discussion and analysis also addresses our liquidity and financial condition and other matters. General We design, develop, manufacture, market and distribute medical equipment, used principally by musculoskeletal medical specialists for orthopedic applications. Our main products are external and internal fixation devices used in fracture treatment, limb lengthening and bone reconstruction, and non-invasive stimulation products used to enhance the success rate of spinal fusions and to treat non-union fractures. Our products also include devices for removal of the bone cement used to fix artificial implants, the ultrasonic treatment of musculoskeletal pain, bracing products and a bone substitute compound, from which we receive a royalty. We also produce a device for enhancing venous circulation used primarily in support of orthopedic procedures. We have administrative and training facilities in the United States, the United Kingdom and Italy and manufacturing facilities in the United States, the United Kingdom, Italy and the Seychelles. We directly distribute our products in the United States, the United Kingdom, Ireland, Italy, Germany, Switzerland, Austria, France, Belgium, Mexico and Brazil. In these and other markets, we also distribute our products through independent distributors. Our condensed consolidated financial statements include the financial results of the Company and its wholly owned and majority-owned subsidiaries and entities over which the Company has control. All intercompany accounts and transactions are eliminated in consolidation. The equity method of accounting is used when the Company has significant influence over significant operating decisions but does not hold control. Under the equity method, original investments are recorded at cost and adjusted by the Company's share of undistributed earnings or losses of these companies. All material intercompany transactions and profits associated with the equity investees are eliminated in consolidation. Our reporting currency is the United States dollar. All balance sheet accounts, except shareholders' equity, are translated at the period end exchange rates, and revenue and expense items are translated at weighted average rates of exchange prevailing during the period. Gains and losses resulting from foreign currency transactions are included in other income (expense). Gains and losses resulting from the translation of foreign currency financial statements are recorded in the accumulated other comprehensive income (loss) component of the shareholders' equity. Our financial condition, results of operations and cash flows are not significantly impacted by seasonality trends. In addition, we do not believe our operations will be significantly affected by inflation. However, in the ordinary course of business, we are exposed to the impact of changes in interest rates and foreign currency fluctuations. Our objective is to limit the impact of such movements on earnings and cash flows. In order to achieve this objective, we seek to balance non-dollar income and expenditures. We do not ordinarily use derivative instruments to hedge foreign exchange exposure. We manage our operations in two geographic business units: the Americas and International. The Americas unit covers the United States, Mexico and Brazil. The International unit covers the rest of the world plus export operations. Revenues Our revenues are generally derived from two primary sources: sales of orthopedic and non-orthopedic products. Sales of orthopedic products, including orthopedic devices, stimulation products and vascular products, accounted for 89% of our total net sales in both the three and nine months ended September 30, 2003, respectively, as compared to 89% of our total net sales for the same periods in the prior year. Sales of non-orthopedic products, including some vascular products and the Laryngeal Mask product, accounted for 11% of our total net sales in both - 13 - the three and nine months ended September 30, 2003, respectively, as compared to 11% of our total net sales for the same periods in the prior year. The following tables display the net sales by geographic destination and by geographic origination, net of inter-company eliminations, for each of our geographic markets and by each of our product groups for the three and nine months ended September 30, 2003 and 2002. We provide net sales by geographic destination and by product group for information purposes only. We keep our books and records and account for net sales, costs and expenses in accordance with the geographic origination of our products. Geographic Destination: ----------------------- Three Months Ended September 30, ------------------------------------------------------------------ (In thousands) 2003 2002 ------------------------------- ------------------------------- Percent of Percent of Net Sales Net Sales Net Sales Net Sales ------------- -------------- ------------- -------------- Americas $35,680 70% $31,219 67% International 15,573 30% 13,323 33% ------------- -------------- ------------- -------------- Total $51,253 100% $44,542 100% ------------- -------------- ------------- -------------- Nine Months Ended September 30, ------------------------------------------------------------------ (In thousands) 2003 2002 ------------------------------- ------------------------------- Percent of Percent of Net Sales Net Sales Net Sales Net Sales ------------- -------------- ------------- -------------- Americas $101,404 67% $91,593 70% International 49,595 33% 40,125 30% ------------- -------------- ------------- -------------- Total $150,999 100% $131,718 100% ------------- -------------- ------------- -------------- Geographic Origination: ----------------------- Three Months Ended September 30, ------------------------------------------------------------------ (In thousands) 2003 2002 ------------------------------- ------------------------------- Percent of Percent of Net Sales Net Sales Net Sales Net Sales ------------- -------------- ------------- -------------- Americas $29,765 58% $25,881 58% International 21,488 42% 18,661 42% ------------- -------------- ------------- -------------- Total $51,253 100% $44,542 100% ------------- -------------- ------------- -------------- Nine Months Ended September 30, ------------------------------------------------------------------ (In thousands) 2003 2002 ------------------------------- ------------------------------- Percent of Percent of Net Sales Net Sales Net Sales Net Sales ------------- -------------- ------------- -------------- Americas $86,127 57% $76,356 58% International 64,872 43% 55,362 42% ------------- -------------- ------------- -------------- - 14 - ------------- -------------- ------------- -------------- Total $150,999 100% $131,718 100% ------------- -------------- ------------- -------------- Product Groups: --------------- Three Months Ended September 30, ------------------------------------------------------------------ (In thousands) 2003 2002 ------------------------------- ------------------------------- Percent of Percent of Net Sales Net Sales Net Sales Net Sales ------------- -------------- ------------- -------------- Orthopedic Devices $14,851 29% $13,392 30% Stimulation 24,024 47% 20,119 45% Vascular(1) 6,552 13% 5,950 14% ------------- -------------- ------------- -------------- Total Orthopedic 45,427 89% 39,461 89% Non-Orthopedic Vascular(1) 1,157 2% 1,050 2% Other 4,669 9% 4,031 9% ------------- -------------- ------------- -------------- Total Non-Orthopedic 5,826 11% 5,081 11% ------------- -------------- ------------- -------------- Total $51,253 100% $44,542 100% ------------- -------------- ------------- -------------- - -------------------- (1) Approximately 85% of the revenue from vascular products is classified as from orthopedic applications while 15% is classified as from Non-Orthopedic applications. Nine Months Ended September 30, ------------------------------------------------------------------ (In thousands) 2003 2002 ------------------------------- ------------------------------- Percent of Percent of Net Sales Net Sales Net Sales Net Sales ------------- -------------- ------------- -------------- Orthopedic Devices $46,422 31% $40,627 31% Stimulation 68,851 46% 59,238 45% Vascular(1) 18,323 12% 16,529 13% ------------- -------------- ------------- -------------- Total Orthopedic 133,596 89% 116,394 89% Non-Orthopedic Vascular(1) 3,233 2% 2,917 2% Other 14,170 9% 12,407 9% ------------- -------------- ------------- -------------- Total Non-Orthopedic 17,403 11% 15,324 11% ------------- -------------- ------------- -------------- Total $150,999 100% $131,718 100% ------------- -------------- ------------- -------------- - --------------------- (1) Approximately 85% of the revenue from vascular products is classified as from orthopedic applications while 15% is classified as from Non-Orthopedic applications. - 15 - Select Financial Data The following table presents certain items in our statements of operations as a percentage of net sales for the periods ended September 30: Three Months Ended Nine Months Ended --------------------------- ------------------------------- 2003 2002 2003 2002 ---- ---- ---- ---- (%) (%) (%) (%) --------- -------------- ---------- -------------- Net sales.............................. 100 100 100 100 Cost of sales.......................... 24 25 25 25 Gross profit........................... 76 75 75 75 Operating expenses Sales and marketing.................. 40 37 38 36 General and administrative........... 10 10 10 10 Research and development............. 3 4 4 4 Amortization of intangible assets.... 1 -- 1 1 Litigation and settlement costs...... 5 -- 3 -- Total operating income................. 17 24 19 24 Net income............................. 11 13 12 15 Nine Months Ended September 30, 2003 Compared to Nine Months Ended September 30, 2002 Sales - Net sales increased 15% to $151.0 million for the first nine months of 2003, compared to $131.7 million for the same period of 2002. The impact of foreign currency increased sales by $5.3 million in the first nine months of 2003 as compared to the same period of 2002. Net sales in the Americas (primarily the United States) increased 13% to $86.1 million for the first nine months of 2003, compared to $76.4 million for the same period of 2002. The Americas represented 57% and 58% of total net sales during the first nine months of 2003 and 2002, respectively. The increase in sales was primarily the result of an increase in volume of stimulators sold, a contract increase and moderate growth in orthopedic devices. Net sales in International increased 17% to $64.9 million for the first nine months of 2003, compared to $55.4 million for the same period of 2002. The primary contributors were increased sales of orthopedic devices, vascular products and the Laryngeal Mask product. The impact of foreign currency increased International sales for the period by $5.7 million. All product groups experienced growth in the first nine months of 2003 compared to the same period of 2002. Sales of orthopedic devices grew 14% to $46.4 million for the period in 2003 from $40.6 million for the same period of 2002. The increase was primarily due to increased sales of our external and internal fixation products. Sales of stimulation products grew 16% to $68.9 million for the first nine months of 2003 from $59.2 million in the same period of the prior year. The increase in sales was primarily due to an increase in sales of stimulators, resulting from an increase in volume of stimulators sold and the renewal of our distribution agreement with Medtronic Sofamor Danek. The renewed distribution agreement had the effect of increasing sales by $3.8 million in the first nine months of 2003. Stimulation products are sold almost exclusively in the United States, although we are undertaking to expand distribution of stimulation products to Europe and Mexico. Sales of vascular products grew 11% to $18.3 million for the first nine months of 2003 from $16.5 million for the same period of 2002. The growth was principally the result of increased sales in Japan and through our direct sales organizations in Europe. - 16 - Approximately 85% of the sales from vascular products are classified as from orthopedic applications, while 15% are classified as from non-orthopedic applications. Sales of our non-orthopedic products grew 14% to $17.4 in the first nine months of 2003 compared to $15.3 million for the same period of 2002. The increase was primarily due to the growth in sales of the Laryngeal Mask product, including a new single use version, which we distribute in the United Kingdom, Ireland and Italy, and increased sales of vascular products for non-orthopedic applications. Gross Profit - Our gross profit increased 14% to $112.9 million in the first nine months of 2003, from $99.0 million for the same period of 2002. The increase was primarily due to the 15% increase in net sales partially offset by a slight decrease in gross profit margin. Gross profit as a percent of net sales for the first nine months of 2003 was 74.8% compared to 75.2% for the same period in 2002, reflecting the negative impact of foreign currency translation, partially offset by a favorable product mix and the renewal of our distribution agreement with Medtronic Sofamor Danek. Although foreign currency contributed $5.3 million to sales growth, the year-over-year appreciation of the Euro and the Great Britain Pound against the U.S. Dollar increased production costs of external fixation and vascular products, which was detrimental to our gross profit and gross profit margin in those situations where we sell these products in U. S. Dollars. Sales and Marketing Expenses - Sales and marketing expenses, which include commissions, royalties and bad debt provision, generally increase and decrease in relation to sales. Sales and marketing expense increased $10.1 million to $57.4 million in the first nine months of 2003 from $47.3 million in the same period of 2002, an increase of 21% on a net sales increase of 15% over the same period. Sales and marketing expense as a percent of net sales increased to 38.0% in the first nine months of 2003 from 35.9% for the same period of 2002. The 2.1% increase in the first nine months of 2003 compared to the same period of 2002 reflects the negative impact of currency on operating expenses, higher commissions on stimulation sales resulting from our renewed distribution agreement with Medtronic Sofamor Danek and additional costs to support the hiring of additional sales people and the launch of new products. In 2003, additional new sales people have been hired, trained and equipped. The PC.C.P product was launched in the International market in the second quarter and on a limited basis in the United States in the third quarter. In connection with the launch of the PC.C.P product, we conducted a large training seminar for surgeons in Verona, Italy and a training seminar for U.S. surgeons in Chicago. Further we conducted training meetings for the sales force in Europe and the United States. General and Administrative Expense - General and administrative expense increased $1.8 million for the first nine months of 2003 to $15.1 million from $13.3 million in the same period of 2002. The expense remained constant as a percentage of net sales at 10% during both periods. We incurred additional expenses associated with becoming a U.S. SEC registrant and with building administrative support in our direct sales organizations in Europe and Mexico. Research and Development Expense - Research and development expense increased $0.1 million to $6.0 million for the first nine months in 2003 from $5.9 million for the same period in 2002. The expense as a percentage of net sales was 4.0% and 4.4% for the first nine month of 2003 and 2002, respectively. Research and development expensed decreased as a percent of net sales during the period as a result of a decrease in clinical study spending in our International unit. Amortization of Intangible Assets - Amortization of intangible assets was $0.7 million in the first nine months of 2003 compared to $0.5 million for the same period of 2002. The amortization consists principally of the amortization of patents and trademarks. Litigation and Settlement Costs - Based on an assessment of the merits of the Kinetic Concepts Inc. ("KCI") case (further described in Note 11 "Contingencies" of Item 1. "Condensed Financial Statements"), we incurred $3.0 million in litigation costs in the first nine months of 2003 compared to no expense for the same period of the 2002. Further, in the first nine months of 2003, we incurred $1.7 million of settlement cost to conclude the investigation by the Office of Inspector General into the appropriateness of claims made to federal health care programs for the off-label use of our FDA approved pulsed electronic magnetic field device, and billing and coding for its off-label use. - 17 - Other Income (Expense), Net - Other expense, net was $0.8 million in the first nine months of 2003 compared to an expense of $1.8 million for the same period of 2002. The decrease in expense was the result of the following items: (i) losses on foreign exchange transactions in 2003 of $0.1 million, compared with losses in 2002 of $0.4 million, resulting in a net improvement of $0.3 million; and (ii) our share of losses in the OrthoRx joint venture, which totaled $1.2 million for the first nine months of 2003, an improvement of $0.4 million from the $1.6 million loss in the same period of 2002. Interest income, net of interest expense remained constant for the first nine months of 2003 compared to the same period of 2002. Further, during the first nine months of 2003, we realized a gain of $0.4 million from the sale of available-for-sale marketable securities. Income Tax Expense - In the first nine months of 2003 and 2002, the effective tax rate was 36.6% and 31.7%, respectively. The effective tax rate in the first nine months of 2003 was negatively impacted by 3.1% as a result of the KCI litigation expenses, which are incurred in a low tax jurisdiction, for the period. Net Income - Net income for the first nine months of 2003 was $17.9 million, including $4.0 million of litigation and settlement cost, net of tax, or $1.28 per basic share and $1.22 per diluted share, compared to $19.3 million, or $1.48 per basic share and $1.30 per diluted share, for the same period of 2002. The weighted number of basic common shares outstanding was 14,001,981 and 13,091,124 during the first nine months of 2003 and 2002, respectively. The weighted number of diluted common shares outstanding was 14,720,139 and 14,915,615 during the first nine months of 2003 and 2002, respectively. Three Months Ended September 30, 2003 Compared to Three Months Ended September 30, 2002 Sales - Net sales increased 15% to $51.3 million for the third quarter of 2003 compared to $44.5 million for the third quarter of 2002. The impact of foreign currency increased sales by $1.1 million during the third quarter of 2003 as compared to the same period of the prior year. Net sales in the Americas (primarily the United States) increased to $35.7 million in the third quarter of 2003 compared to $31.2 million in the third quarter of 2002, an increase of 14%. The Americas represented 70% of total net sales during the third quarter of 2003 and 67% of total net sales for the same period of 2002. The increase in sales was primarily the result of increased volume of stimulators sold, a contract increase, and a moderate growth in orthopedic devices. Net sales in International increased 17% to $15.6 million in the third quarter of 2003 compared to $13.3 million in 2002. The primary contributors were increased sales of orthopedic devices, vascular products and the Laryngeal Mask product. The impact of foreign currency increased International sales for the quarter by $1.2 million. All product groups experienced growth in the third quarter of 2003 compared to the third quarter of 2002. Sales of orthopedic devices grew 11% to $14.9 million in 2003 from $13.4 million in 2002. The increase was primarily due to increased sales of our external and internal fixation products. Sales of stimulation products grew 20% to $24.0 million in 2003 from $20.1 million in 2002. The increase in sales was primarily due to an increase in sales of stimulators, resulting from an increase in volume of stimulators sold and the renewal of our distribution agreement with Medtronic Sofamor Danek. The revised agreement increased sales by $2.3 million in the third quarter. Stimulation products are sold almost exclusively in the United States, although we are undertaking to expand distribution for stimulation products to Europe and Mexico. Approximately 85% of the sales from vascular products are classified as from orthopedic applications, while 15% are classified as from non-orthopedic applications. Sales of our non-orthopedic products grew 15% to $5.8 million from $5.1 million in 2002. The increase was primarily due to the growth in sales of the Laryngeal Mask product, including a new single use version, which we distribute in the United Kingdom, Ireland and Italy. Gross Profit - Our gross profit increased 16% to $38.8 million in the third quarter of 2003, from $33.6 million in the third quarter of 2002. The increase was primarily due to the increase of 15% in net sales and a slight increase in gross profit margin. Gross profit as a percent of net sales in the third quarter 2003 was 75.6% compared to 75.4% in 2002, reflecting the positive impact of product mix of stimulation product, including the renewal of our distribution agreement with Medtronic Sofamor Danek, partially offset by negative foreign currency impacts. Although - 18 - currency contributed $1.1 million to sales growth, the year-over-year appreciation of the Euro and the Great Britain Pound against the U.S. Dollar increased the production costs of external fixation and vascular products, which was detrimental to our gross profit margin in those situations where we sell these products in U.S. Dollars. Sales and Marketing Expenses - Sales and marketing expenses, which include commissions, royalties and bad debt provision, generally increase and decrease in relation to sales. Sales and marketing expense increased $3.7 million to $20.3 million in the third quarter of 2003 from $16.6 million in the third quarter of 2002, an increase of 23% on a net sales increase of 15% over the same period. Sales and marketing expense as a percent of net sales increased to 39.6% in the third quarter of 2003 from 37.2% in the third quarter of 2002. The 2.4% increase in the third quarter of 2003 compared to the same period of 2002 reflects the negative impact of currency on operating expenses, higher commissions on stimulation sales resulting from our renewed distribution agreement with Medtronic Sofamor Danek and additional costs to support the hiring of additional sales people and the launch of new products. In 2003, additional new sales people have been hired, trained and equipped. The PC.C.P product was launched in the International market in the second quarter and on a limited basis in the United States in the third quarter. In connection with the launch of the PC.C.P product, we conducted a large training seminar for surgeons in Verona, Italy and a training seminar for U.S. surgeons in Chicago. Further we conducted training meetings for the sales force in Europe and the United States. General and Administrative Expense - General and administrative expense increased $0.5 million in the third quarter of 2003 to $5.0 million from $4.5 million in the third quarter of 2002. The expense, as a percentage of net sales, declined from 10.2% in the third quarter of 2002 to 9.8% in the third quarter 2003, even as we continued to build administrative support in our direct sales organizations, primarily in Europe and Mexico. Research and Development Expense - Research and development expense as a percent of net sales decreased from 3.9% in the third quarter 2002 to 3.4% in the third quarter 2003. Research and development expensed decreased as a percent of net sales during the period as a result of a decrease in clinical study spending in the International unit. Amortization of Intangible Assets - Amortization of intangible assets was $0.3 million in the third quarter of 2003 compared to $0.2 million for the same period of 2002. The amortization consists principally of the amortization of patents and trademarks. Litigation and Settlement Costs - Based on an assessment of the merits of the KCI case (further described in Note 11 "Contingencies" of Item 1. "Condensed Financial Statements"), we incurred $0.9 million in litigation costs in the third quarter of 2003 compared to no expense in the same period of 2002. Further, in the third quarter of 2003 we incurred $1.7 million of settlement cost to conclude the investigation by the Office of Inspector General into the appropriateness of claims made to federal health care programs for the off-label use of our FDA-approved pulsed electronic magnetic field device, and billing and coding for its off-label use. Other Income (Expense), Net - Other expense, net was $0.5 million in the third quarter of 2003 compared to an expense of $0.9 million in the third quarter of 2002. The decrease in expense was principally the result of a realized gain of $0.4 million on the sale of available-for-sale marketable securities. Our share of losses in the OrthoRx joint venture totaled $0.6 million in the third quarter of 2003 and 2002. Interest income net of interest expense remained constant in the third quarter of 2003 as compared to the same period of the prior year. Income Tax Expense - In the third quarter of 2003 and 2002, the effective tax rate was 34.9% and 33.8%, respectively. The effective tax rate in the third quarter of 2003 was negatively impacted by 3% as a result of the KCI litigation expenses, which are incurred in a low tax jurisdiction, for the period, partially offset by a tax benefit for long-term capital gains on the sale of marketable securities. Net Income - Net income for the third quarter of 2003 was $5.4 million, including $2.0 million of litigation and settlement cost, net of tax, or $0.38 per basic share and $0.37 per diluted share, compared to $6.0 million, or $0.44 per basic share and $0.41 per diluted share, for the third quarter of 2002. The weighted number of basic common shares outstanding was 14,181,847 and 13,444,245 during the third quarter of 2003 and 2002, respectively. The weighted number of diluted common shares outstanding was 14,882,747 and 14,717,983 during the third quarter of 2003 and 2002, respectively. - 19 - Liquidity and Capital Resources Cash and cash equivalents were $45.7 million at September 30, 2003 compared to $48.8 million at December 31, 2002, a decrease of $3.1 million. Net cash provided by operating activities was $20.9 million for the first nine months of 2003, compared to $19.3 million for the same period of 2002, an increase of $1.6 million. Net cash provided by operating activities is comprised of net income, non-cash items and changes in working capital. Net income decreased approximately $1.4 million to $17.9 million for the first nine months of 2003, including the $2.9 million impact of legal expenses incurred for pending patent infringement claims against KCI and $1.1 million in after-tax settlement costs associated with the Office of Inspector General investigation, from $19.3 million for the same period of the prior year. We expect to incur additional legal expenses for KCI litigation of approximately $0.6 million over the remaining period of 2003. The decrease in net income was offset by a $0.8 million increase in non-cash items. Working capital accounts consumed $8.3 million of cash during the first nine months of 2003 compared to a use of $10.5 million during the same period of the prior year, an overall improvement of $2.2 million. We invested $27.3 million during the first nine months of 2003 compared to $12.9 million for the same period of the prior year for investments in subsidiaries and affiliates and capital expenditures. During the first nine months of 2003, we purchased the remaining 48% minority interest of our U.K. distribution company, Intavent Orthofix Ltd. for $20.6 million and an equity interest in Innovative Spinal Technologies (IST) for $1.5 million. In addition, during the first nine months of 2003, we invested $3.6 million in capital expenditures and $1.5 million in the OrthoRx joint venture. See Note 4 "Acquisitions and Investments" of Item 1. "Condensed Financial Statements" for further information of investments made during the period. During the first nine months of 2003, we generated $0.4 million from the sale of marketable securities compared to no comparable activity for the same period in 2002. Net cash provided by financing activities was $2.2 million for the first nine months of 2003 compared to a use of $1.7 million in the same period of 2002, respectively. Proceeds of $10.9 million were generated from the issuance of 720,983 shares of our common stock upon the exercise of options and warrants. During the first nine months of 2003, we purchased 157,000 shares of our common stock in the open market for $4.4 million. Our Board of Directors has authorized the purchase of shares of our common stock up to a total of 50% of the number of shares of our common stock issued from the exercise of options. We also repaid $4.4 million of loans and borrowings on a line of credit upon the sale of accounts receivable without recourse in Italy to a third party. We believe that current cash balances together with projected cash flows from operating activities, the exercise of stock options and available debt capacity are sufficient to cover anticipated operating capital needs and research and development costs over the near term. Item 3. Quantitative and Qualitative Disclosure About Market Risk There have been no material changes from the information provided in the Company's Annual Report on Form 10-K for the year ended December 31, 2002. Item 4. Controls and Procedures As of September 30, 2003, we performed an evaluation under the supervision and with the participation of Company's management, including the Chief Executive Officer and Chief Financial Officer, of the effectiveness of the design and operation of the Company's disclosure controls and procedures. Based on the evaluation, the Company's management, including the Chief Executive Officer and Chief Financial Officer, concluded that the Company's disclosure controls and procedures were adequate and effective as of the end of the period covered by this report. During the quarterly period covered by this report, there were no changes in the Company's internal controls over financial reporting that have materially affected, or are reasonably likely to materially affect, the Company's internal control over financial reporting. - 20 - PART II OTHER INFORMATION Item 2. Legal Proceedings On August 18, 2003, the Company announced that it settled a two-year-long investigation by the Office of Inspector General of its billings to federal and state health care programs for the off-label use of its FDA approved pulsed electronic magnetic field device. Without admitting any wrong doing, the Company agreed to pay CHAMPUS/Tricare $1.7 million ($1.1 million after-tax) in order to avoid protracted litigation and related legal costs, and placing this government inquiry into our billings to federal programs firmly in the past. Item 6. Exhibits and Reports on Form 8-K (a) Exhibits Exhibit Number Description ------ ----------- 31.1* Statement Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 of Chief Executive Officer dated November 11, 2003. 31.2* Statement Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 of Chief Financial Officer dated November 11, 2003. 32.1* Statement Pursuant to 18 U.S.C. Section 1350 of Chief Executive Officer dated November 11, 2003. 32.2* Statement Pursuant to 18 U.S.C. Section 1350 of Chief Financial Officer dated November 11, 2003. ---------------------------- * Filed herewith. (b) Reports on Form 8-K On August 19, 2003, the Company filed a current report on Form 8-K (Date of Report: August 18, 2003) reporting under Item 5 that it had settled an investigation by the Office of Inspector General regarding off-label use of its FDA approved pulsed electronic field device, and attaching a press release regarding the same. - 21 - SIGNATURES Pursuant to the requirements 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 INTERNATIONAL N.V. Date: November 12, 2003 By: /s/ CHARLES W. FEDERICO ------------------------------------- Name: Charles W. Federico Title: Chief Executive Officer and President Date: November 12, 2003 By: /s/ THOMAS HEIN ------------------------------------- Name: Thomas Hein Title: Chief Financial Officer - 22 -