SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ---------------------- FORM 6-K REPORT OF FOREIGN PRIVATE ISSUER Pursuant to Rule 13a-16 or 15d-16 of the Securities Exchange Act of 1934 For the month of: April 2003 Given Imaging Ltd. (Exact name of registrant as specified in charter) 13 Ha'Yetzira Street, Yoqneam 20692, Israel (Address of principal executive offices) Indicate by check mark whether the registrant files or will file annual reports under cover Form 20-F or Form 40-F. Form 20-F X Form 40-F __ --- Indicate by check mark whether the registrant by furnishing the information contained in this Form is also thereby furnishing the information to the Commission pursuant to Rule 12g3-2(b) under the Securities Exchange Act of 1934. Yes __ No X --- Given Imaging Ltd. The following exhibits are filed as part of this Form 6-K: Exhibit Description A. Press release dated April 28, 2003, entitled "Given Imaging Appoints Giora Shalgi to Board of Directors." B. Press release dated April 30, 2003, entitled "Given Imaging Announces First Quarter 2003 Results." C. Unaudited interim consolidated financial statements of Given Imaging Ltd. as of March 31, 2003. SIGNATURE 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. GIVEN IMAGING LTD. Date: May 1, 2003 By: /s/ ZVI BEN DAVID -------------------------------------- Name: Zvi Ben David Title: Vice President and Chief Financial Officer Exhibit A GIVEN IMAGING APPOINTS GIORA SHALGI TO BOARD OF DIRECTORS Yoqneam, Israel, April 28, 2003 - Given Imaging Ltd (Nasdaq: GIVN) today announced the appointment of Mr. Giora Shalgi, President and Chief Executive Officer of Rafael Israel Armament Development Authority Ltd., to the company's board of directors, effective immediately. "I am pleased that Given Imaging has asked me to serve on its Board of Directors," said Giora Shalgi. "I was involved with the early development of the technology behind the M2A at Rafael, and have followed Given Imaging's progress in using it to create a valuable diagnostic tool. I look forward to working closely with the management team during its next phase of corporate development." "Giora Shalgi is a welcome addition to Given Imaging's Board of Directors," said Gavriel D. Meron, President and CEO of Given Imaging. "We look forward to his experience and insight as we expand our business." Mr. Shalgi has held numerous positions at Rafael since joining the company in 1960. In addition to his current role as President and CEO, a position he has held since 1999, Mr. Shalgi was Corporate Vice President for Research and Development from 1998 to 1999, and from 1987 to 1998 he was head of Rafael's Electro-Optical Department. From 1960 until 1990, Mr. Shalgi held various positions at Rafael, including head of the Electro-Optical and Mechanical Design Department of the Air-to-Air Missile Directorate. Mr. Shalgi received the Stefan Bergman Prize from the American Mathematical Society in 1980 and the Israel Defense Prize in 1970 and 1978. He holds a BSc. in Mechanical Engineering and an MSc. in Mechanics, both from the Israel Institute of Technology, and an Engineer's Degree in Aeronautics and Astronautics from Stanford University. Mr. Shalgi replaces Mr. Gideon Cohen, Sales and Contract Manager in the missile division of Rafael. About Given Imaging: Given Imaging develops, produces and markets the Given(R) Diagnostic System featuring the M2A(R) Capsule Endoscope, the only non-invasive method for direct visualization of the entire small intestine. The system uses a disposable miniature video camera contained in a capsule which is ingested by the patient. The M2A capsule passes naturally through the digestive tract, transmitting high quality color images, without interfering with the patient's normal activities. The system received clearance from the FDA in August 2001 and received permission to affix the CE mark in May 2001. Distribution channels for the system have been established in more than 50 countries worldwide. The M2A has been utilized to diagnose a range of diseases of the small intestine including Crohn's Disease, Celiac disease and other malabsorption disorders, benign and malignant tumors of the small intestine, vascular disorders, medication related small bowel injury, as well as a range of pediatric small bowel disorders. For more information, visit http://www.givenimaging.com. This press release contains forward-looking statements about Given Imaging, including projections about our business, our future revenues, and our future profitability, within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. For example, statements in the future tense, words such as "anticipates," "estimates," "expects," "intends," "plans," "believes," and words and terms of similar substance used in connection with any discussion of future operating or financial performance identify such forward-looking statements. Those forward-looking statements are not guarantees of future performance and actual results could differ materially from our current expectations as a result of numerous factors, including but not limited to the following: changes in regulatory environment, our success in implementing our sales, marketing and manufacturing plan, protection and validity of patents and other intellectual property rights, the impact of currency exchange rates, the effect of competition by other companies, the outcome of future litigation, the reimbursement policies for our product from healthcare payors, quarterly variations in operating results, the possibility of armed conflict or civil or military unrest in Israel and other risks disclosed in our filings with the U.S. Securities Exchange Commission. # # # EXHIBIT B GIVEN IMAGING ANNOUNCES FIRST QUARTER 2003 RESULTS Sales Increase 65% Compared to First Quarter 2002 Yoqneam, Israel, April 30, 2003 - Given Imaging Ltd. (NASDAQ:GIVN), today announced first quarter results for the period ended March 31, 2003. The Company announced revenues of $8.6 million for the first quarter of 2003, a 65% increase over the first quarter of 2002, but less than guidance of 100% growth over the first quarter of 2002. Gross margin increased to 67.2% of revenues, as compared to a gross margin of 52% in the first quarter of 2002 and 66.3% in the fourth quarter of 2002. Operating expenses were $9.7 million, $0.4 million lower than the $10.1 million recorded for the fourth quarter of 2002. Net loss for the first quarter was $3.6 million or ($0.14) per share, compared to $5.7M or ($0.23) per share in the first quarter of 2002, and slightly less than the loss of $3.7 million or ($0.15) per share in the fourth quarter of 2002. While capsule sales grew by more than 110% compared to the first quarter of 2002 and were 25% higher than capsule sales in the fourth quarter of 2002, systems sales remained similar to the first quarter of 2002, and 31% less than systems sales in the fourth quarter of 2002. We believe that this lag in systems sales reflects the tendency of our prospective customers to carefully evaluate the system and the related reimbursement before committing to capital spending, which was exacerbated by the worldwide economic downturn and the unexpected impact of the war in Iraq on sales that were planned for the end of the quarter. The Company's liquidity remains strong and at the end of the quarter we had cash reserves amounting to $29.3 million. First Quarter 2003 Revenue Analysis - ----------------------------------- On a geographic basis, sales of the Given System in the United States accounted for 58% of the quarterly revenues. A geographic breakdown of first quarter 2003 sales is as follows: (Millions of U.S. dollars) United States $5.0 Europe $1.4 ROW $2.2 ---- Total $8.6 During the quarter, worldwide M2A capsule sales grew to more than 10,200, representing 52% of revenues. M2A reorders in the first quarter increased to more than 8,600, or 84% of total M2A sales. Sales of workstations totaled 161 for the first quarter of 2003 with 86, or 53%, sold in the United States. Sales of recorders totaled 297 during the quarter with 170 recorders or 57% sold in the United States. Worldwide deliveries of Given Systems reached more than 1,170 by the end of the first quarter of 2003. "During the first quarter of 2003 we saw a steady increase in M2A usage by existing customers particularly in the U.S. which reflects growing familiarity with the system and a more favorable reimbursement climate," said Gavriel Meron, President and CEO of Given Imaging, Ltd. "We anticipate that this trend will continue as we gain additional reimbursement coverage in the U.S. and abroad, and as reimbursement policies expand to include indications beyond bleeding such as Crohn's disease." "As we enter the second quarter, we expect to see a growing number of product demonstrations that have been performed by our sales team convert into sales, spurred by first hand experience with Capsule Endoscopy as well as additional validation through peer-review publications and scientific discussion at this year's Digestive Disease Week in May." Highlights - ---------- In the first quarter, Given Imaging accomplished the following milestones: - - Launched the Rapid 2 System in the United States with Suspected Bleeding Indicator following FDA clearance. - - Installed a back-up line in Ireland that is now operational, and completed installation of a second semi-automated line in Yoqneam, Israel. - - Commenced clinical trials for clearance of Capsule Endoscopy in Japan, the second largest healthcare market in the world in terms of spending. We expect clinical trials to be completed by the end of 2003. - - Hosted the Second International Conference on Capsule Endoscopy (ICCE) in Berlin. More than 160 gastroenterologists 2 from around the world attended the conference and exchanged clinical experience using the M2A capsule. A presentation of the consensus of the conferences is provided on the Company's website, www.givenimaging.com. Reimbursement update - -------------------- - - More than 100 million individuals worldwide now have reimbursable access to capsule endoscopy, of which 20 million are covered for a wide range of indications, including Crohn's disease and other small bowel pathology, and 80 million beneficiaries are currently covered only for obscure bleeding, which is a far smaller indication in the population. The total number of United States residents with reimbursable access to capsule endoscopy is now 86 million, representing 35% of the insured population. This reflects an increase in the number of individuals eligible for capsule endoscopy by more than 48 million. The majority of these coverage statements relate to bleeding indications and require that a previous procedure be performed prior to using the Given System. The breakdown of coverage between private payers and Medicare in the United States is as follows: o The number of individuals with access to capsule endoscopy through private insurance increased by 42 million to 63 million. Private payers that issued capsule endoscopy coverage policies during the quarter including Blue Shield of California, Wellpoint, Excellus, Univera, Healthnet, and the Blue Cross and Blue Shields of Alabama, Arkansas and Minnesota. In addition, the Company recently announced that Aetna has issued a national coverage policy for capsule endoscopy. o The number of individuals covered by Medicare reached 23 million - an increase of 5.7 million. - - Received capsule endoscopy reimbursement in Portugal and Austria covering a total of 18 million individuals. In both countries, coverage is for a broad range of gastrointestinal disorders. Revised Annual Guidance - ----------------------- 3 Based on in-depth evaluation of the factors that impacted system sales in the first quarter, which was conducted following the quarter revenue pre-announcement earlier this month, Given Imaging anticipates that in light of the longer sales cycle of new systems, and anticipated continued overall slowdown in capital expenditure by our potential customers, total revenues for the full year 2003 will increase by 40% to 50% over 2002 sales, compared to previously stated guidance of 100% year to year growth. Accordingly, our target to reach breakeven is delayed to early 2004. First Quarter Webcast Information - --------------------------------- Given Imaging's first quarter earnings conference call will take place tomorrow, May 1, 2003 at 10:00 am ET, 5:00 pm Israel time. To access the call dial 800-360-9865. International callers dial 973-694-6836. A live webcast of this call will be available on the Given Imaging corporate website, www.givenimaging.com. A replay of the call will also be available for one week by dialing 800-428-6051 and entering passcode 290734. International callers dial 973-709-2089 and enter the same passcode. About Given Imaging: - -------------------- Given Imaging develops, produces and markets the Given(R) Diagnostic System featuring the M2A(R) Capsule Endoscope, the only non-invasive method for direct visualization of the entire small intestine. The system uses a disposable miniature video camera contained in a capsule which is ingested by the patient. The M2A capsule passes naturally through the digestive tract, transmitting high quality color images, without interfering with the patient's normal activities. The system received clearance from the FDA in August 2001 and received permission to affix the CE mark in May 2001. Distribution channels for the system have been established in more than 50 countries worldwide. The M2A has been utilized to diagnose a range of diseases of the small intestine including Crohn's Disease, Celiac disease and other malabsorption disorders, benign and malignant tumors of the small intestine, vascular disorders, medication related small bowel injury, as well as a range of pediatric small bowel disorders. For more information, visit http://www.givenimaging.com. This press release contains forward-looking statements about Given Imaging, including projections about our business, our future revenues, and our future profitability, within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. For example, statements in the future tense, words such as "anticipates," "estimates," "expects," "intends," "plans," "believes," and words and terms of similar substance used in connection with any discussion of future operating or financial performance identify such forward-looking statements. Those forward-looking statements are not guarantees of future performance and actual results could differ materially from our current expectations as a result of numerous factors, including but not limited to the following: changes in regulatory environment, our success in implementing our sales, marketing and manufacturing plan, protection and validity of 4 patents and other intellectual property rights, the impact of currency exchange rates, the effect of competition by other companies, the outcome of future litigation, the reimbursement policies for our product from healthcare payors, quarterly variations in operating results, the possibility of armed conflict or civil or military unrest in Israel and other risks disclosed in our filings with the U.S. Securities Exchange Commission. # # # (Financial tables follow) 5 Given Imaging Ltd. And Its Consolidated Subsidiaries Consolidated Balance Sheets U.S. $ in thousands except per share data March 31, December 31, ------------------------------ ------------ 2003 2002 2002 ----------- ----------- ------------ (Unaudited) (Unaudited) (Audited) ----------- ----------- ------------ Assets Current assets Cash and cash equivalents $ 29,338 $ 53,698 $ 35,792 Accounts receivable: Trade 5,704 3,301 6,865 Other 1,131 900 1,485 Inventories 12,630 4,629 10,659 Prepaid expenses 1,257 1,089 1,234 Advances to suppliers 180 6 24 -------- -------- -------- Total current assets 50,240 63,623 56,059 -------- -------- -------- Deposits 194 104 192 Assets held for severance benefits 734 403 674 Fixed assets, at cost, less accumulated depreciation 10,140 6,221 9,967 Other assets, at cost, less accumulated amortization 1,914 1,503 1,836 -------- -------- -------- Total Assets $ 63,222 $ 71,854 $ 68,728 ======== ======== ======== Liabilities and shareholders' equity Current liabilities Current installments of obligation under capital lease $ 67 $ 62 $ 56 Accounts payable Trade 4,561 3,238 4,990 Other 4,824 3,905 6,279 Related parties - 37 35 Deferred revenue 775 332 727 -------- -------- -------- Total current liabilities 10,227 7,574 12,087 -------- -------- -------- Long-term liabilities Obligation under capital lease, net 25 95 47 Liability for employee severance benefits 894 522 835 -------- -------- -------- Total long-term liabilities 919 617 882 -------- -------- -------- Total liabilities 11,146 8,191 12,969 -------- -------- -------- Minority interest 2,114 - 2,182 Shareholders' equity 49,962 63,663 53,577 -------- -------- -------- Total liabilities and shareholders' equity $ 63,222 $ 71,854 $ 68,728 ======== ======== ======== 6 Given Imaging Ltd. And Its Consolidated Subsidiaries Consolidated Statements Of Operations U.S. $ in thousands except per share data Three month period ended Year ended March 31, December 31, 2003 2002 2002 ----------- ----------- ---------- (Unaudited) (Unaudited) (Audited) Revenues $ 8,629 $ 5,216 $ 28,904 Cost of revenues 2,827 2,503 11,907 Gross profit 5,802 2,713 16,997 Operating expenses Research and development (1,834) (1,993) (8,609) Sales and marketing expenses (6,521) (4,831) (22,681) General and administrative expenses (1,366) (1,084) (4,749) ----------- ---------- ----------- Total operating expenses (9,721) (7,908) (36,039) ----------- ---------- ----------- Operating loss (3,919) (5,195) (19,042) Financing income, net 228 281 1,469 Other expenses, net - (836) (711) ----------- ---------- ----------- Loss before taxes on income (3,691) (5,750) (18,284) Taxes on income - - - ----------- ---------- ----------- Loss before minority share (3,691) (5,750) (18,284) Minority share in loss (profits) of subsidiary 68 - (26) ----------- ---------- ----------- Net loss $ (3,623) $ (5,750) $ (18,310) =========== ========== =========== Basic and diluted loss per Ordinary Share $ (0.14) $ (0.23) $ (0.73) =========== ========== =========== Weighted average number of Ordinary Shares outstanding used in basic and diluted loss per Ordinary Share calculation 25,375,513 25,104,913 25,182,563 =========== ========== =========== EXHIBIT C Given Imaging Ltd. And Its Consolidated Subsidiaries Interim Consolidated Financial Statements As of March 31, 2003 (Unaudited) Given Imaging Ltd. and its Consolidated Subsidiaries Index to Consolidated Financial Statements Page Consolidated Balance Sheets 3 Consolidated Statements of Operations 5 Consolidated Statements of Changes in Shareholders' Equity 6 Consolidated Statements of Cash Flows 7 Notes to the Consolidated Financial Statements 9 2 Given Imaging Ltd. and its Consolidated Subsidiaries Consolidated Balance Sheets U.S. $ in thousands except per share data March 31, December 31, ----------------------------- ------------- 2003 2002 2002 ----------- ----------- ------------- (Unaudited) (Unaudited) (Audited) Assets Current assets Cash and cash equivalents $ 29,338 $ 53,698 $ 35,792 Accounts receivable: Trade 5,704 3,301 6,865 Other 1,131 900 1,485 Inventories 12,630 4,629 10,659 Prepaid expenses 1,257 1,089 1,234 Advances to suppliers 180 6 24 -------- -------- -------- Total current assets 50,240 63,623 56,059 -------- -------- -------- Deposits 194 104 192 Assets held for severance benefits 734 403 674 Fixed assets, at cost, less accumulated depreciation 10,140 6,221 9,967 Other assets, at cost, less accumulated amortization 1,914 1,503 1,836 -------- -------- -------- Total Assets $ 63,222 $ 71,854 $ 68,728 ======== ======== ======== The accompanying notes are an integral part of these consolidated financial statements. 3 Given Imaging Ltd. and its Consolidated Subsidiaries Consolidated Balance Sheets U.S. $ in thousands except per share data March 31, December 31, ----------------------------- ------------ 2003 2002 2002 ----------- ----------- ------------ (Unaudited) (Unaudited) (Audited) ----------- ----------- ------------ Liabilities and shareholders' equity Current liabilities Current installments of obligation under capital lease $ 67 $ 62 $ 56 Accounts payable Trade 4,561 3,238 4,990 Other 4,824 3,905 6,279 Related parties - 37 35 Deferred revenue 775 332 727 --------- --------- ---------- Total current liabilities 10,227 7,574 12,087 --------- --------- ---------- Long-term liabilities Obligation under capital lease, net 25 95 47 Liability for employee severance benefits 894 522 835 --------- --------- ---------- Total long-term liabilities 919 617 882 --------- --------- ---------- Total liabilities 11,146 8,191 12,969 --------- --------- ---------- Minority interest 2,114 - 2,182 Shareholders' equity Share capital: Ordinary Shares, NIS 0.05 par value each (60,000,000 shares authorized; 25,379,513, 25,104,913 and 25,373,513 shares issued and fully paid at March 31, 2003, 2002 and December 31, 2002, respectively) 299 296 298 Additional paid-in capital 100,196 100,103 100,262 Capital reserve 2,166 - 2,166 Unearned compensation (50) (270) (123) Accumulated deficit (52,649) (36,466) (49,026) --------- --------- ----------- Total shareholders' equity 49,962 63,663 53,577 --------- --------- ----------- Total liabilities and shareholders' equity $ 63,222 $ 71,854 $ 68,728 ========= ========= ========== The accompanying notes are an integral part of these consolidated financial statements. 4 Given Imaging Ltd. and its Consolidated Subsidiaries Consolidated Statements of Operations U.S. $ in thousands except per share data Three month period Year ended ended March 31, December 31 ------------------------ 2003 2002 2002 ----------- ----------- ----------- (Unaudited) (Unaudited) (Audited) Revenues $ 8,629 $ 5,216 $ 28,904 Cost of revenues 2,827 2,503 11,907 --------- ---------- ----------- Gross profit 5,802 2,713 16,997 Operating expenses Research and development (1,834) (1,993) (8,609) Sales and marketing expenses (6,521) (4,831) (22,681) General and administrative expenses (1,366) (1,084) (4,749) --------- ---------- ----------- Total operating expenses (9,721) (7,908) (36,039) --------- ---------- ----------- Operating loss (3,919) (5,195) (19,042) Financing income, net 228 281 1,469 Other expenses, net - (836) (711) --------- ---------- ----------- Loss before taxes on income (3,691) (5,750) (18,284) Taxes on income - - - --------- ---------- ----------- Loss before minority share (3,691) (5,750) (18,284) Minority share in loss (profits) of subsidiary 68 - (26) --------- ---------- ----------- Net loss $ (3,623) $ (5,750) $ (18,310) ========= ========== =========== Basic and diluted loss per Ordinary Share $ (0.14) $ (0.23) $ (0.73) ========= ========== =========== Weighted average number of Ordinary Shares outstanding used in basic and diluted loss per Ordinary Share calculation 25,375,513 25,104,913 25,182,563 ========== =========== ============ The accompanying notes are an integral part of these consolidated financial statements. 5 Given Imaging Ltd. and its Consolidated Subsidiar Consolidated Statements of Changes in Shareholders' Equity U.S. $ in thousands except per share data Additional Ordinary shares Paid-In Capital Shares Amount Capital Reserve ----------- -------- ----------- --------- Three month period ended March 31, 2003 (Unaudited) Balance as of December 31, 2002 25,373,513 $ 298 $100,262 $ 2,166 Changes during the period: Exercise of stock options 6,000 1 7 - Forfeiture of stock options - - (73) - Net loss - - - - ---------- ------ --------- -------- Balance as of March 31, 2003 (Unaudited) 25,379,513 $ 299 $100,196 $ 2,166 ========== ====== ========= ======== Three month period ended March 31, 2002 (Unaudited) Balance as of December 31, 2001 25,104,913 $ 296 $100,103 $ - Changes during the period Amortization of unearned compensation - - - - Net loss - - - - ---------- ------ --------- -------- Balance as of March 31, 2002 (Unaudited) 25,104,913 $ 296 $100,103 $ - ========== ====== ========= ======== Year ended December 31, 2002 (Audited) Balance as of December 31, 2001 25,104,913 $ 296 $100,103 $ - Changes during the year 2002: Exercise of stock options 268,600 2 159 - Amortization of unearned compensation - - - - Capital reserve from issuance of shares in a newly formed subsidiary - - - 2,166 Net loss - - - - ---------- ------ --------- -------- Balance as of December 31, 2002 (Audited) 25,373,513 $ 298 $100,262 $ 2,166 ========== ====== ========= ======== Unearned Accumulated Compensation Deficit Total ------------- ----------- --------- Three month period ended March 31, 2003 (Unaudited) Balance as of December 31, 2002 $ (123) $ (49,026) $53,577 Changes during the period: Exercise of stock options - - 8 Forfeiture of stock options 73 - - Net loss - (3,623) (3,623) -------- ---------- -------- Balance as of March 31, 2003 (Unaudited) $ (50) $ (52,649) $49,962 ======== ========== ======== Three month period ended March 31, 2002 (Unaudited) Balance as of December 31, 2001 $ (350) $ (30,716) $69,333 Changes during the period Amortization of unearned compensation 80 - 80 Net loss - (5,750) (5,750) -------- ---------- -------- Balance as of March 31, 2002 (Unaudited) $ (270) $ (36,466) $63,663 ======== ========== ======== Year ended December 31, 2002 (Audited) Balance as of December 31, 2001 $ (350) $ (30,716) $69,333 Changes during the year 2002: Exercise of stock options - - 161 Amortization of unearned compensation 227 - 227 Capital reserve from issuance of shares in a newly formed subsidiary - - 2,166 Net loss - (18,310) (18,310) -------- ---------- -------- Balance as of December 31, 2002 (Audited) $ (123) $(49,026) $53,577 ======== ========== ======== The accompanying notes are an integral part of these consolidated financial statements. 6 Given Imaging Ltd. and its Consolidated Subsidiaries Consolidated Statements of Cash Flows U.S. $ in thousands except per share data Three month period ended Year ended March 31, December 31, ------------------------ 2003 2002 2002 ---------- ----------- ---------- (Unaudited) (Unaudited) (Audited) Cash flows from operating activities: Net loss $ (3,623) $ (5,750) $ (18,310) Adjustments required to reconcile net loss to net cash used in operating activities: Minority share in profits (losses) of subsidiary (68) - 26 Depreciation and amortization 699 394 2,176 Employees' stock options compensation - 80 227 Other (2) 57 97 Decrease (increase) in accounts receivable - trade 1,161 (831) (4,395) Decrease (increase) in accounts receivable - other 354 (47) (633) Decrease (increase) in prepaid expenses (23) 60 (109) Increase in advances to suppliers (156) (6) - Increase in inventory (1,971) (1,372) (7,402) Increase (decrease) in accounts payable (1,889) 1,396 5,537 Increase in deferred revenue 48 139 534 Increase (decrease) in payable to related parties (35) 21 19 --------- --------- ---------- Net cash used in operating activities $ (5,505) $ (5,859) $ (22,233) --------- --------- ---------- Cash flows from investing activities: Purchase of fixed assets and other assets $ (950) $ (1,610) $ (7,472) Deposits - - (88) --------- --------- ---------- Net cash used in investing activities $ (950) $ (1,610) $ (7,560) --------- --------- ---------- Cash flows from financing activities: Principal payments on capital lease obligation $ (12) $ (12) $ (64) Proceeds from the issuance of Ordinary Shares 8 - 161 Proceeds from issuance of shares by consolidated company - - 4,322 --------- --------- ---------- Net cash (used in) provided by financing activities $ (4) $ (12) $ 4,419 --------- --------- ---------- Effect of exchange rate changes on cash $ 5 $ (51) $ (64) --------- --------- ---------- Decrease in cash and cash equivalents $ (6,454) $(7,532) $ (25,438) Cash and cash equivalents at beginning of period $ 35,792 $61,230 $ 61,230 --------- --------- ---------- Cash and cash equivalents at end of period $ 29,338 $53,698 $ 35,792 ========= ========= ========== The accompanying notes are an integral part of these consolidated financial statements. 7 Given Imaging Ltd. and its Consolidated Subsidiaries Consolidated Statements of Cash Flows (Cont'd) U.S. $ in thousands except per share data (a) Supplementary cash flow information Three month period ended Year ended March 31, December 31, ------------------------ 2003 2002 2002 ----------- ----------- ------------- (Unaudited) (Unaudited) (Audited) Interest paid $ 1 $ 3 $ 7 Income taxes paid $ 17 $ 18 $ 79 The accompanying notes are an integral part of these consolidated financial statements. 8 Given Imaging Ltd. and its Consolidated Subsidiaries Notes to the Consolidated Financial Statements U.S. $ in thousands except per share data Note 1 - Organization and Basis of Presentation A. Description of business Given Imaging Ltd. (the "Company") was incorporated in Israel in January 1998. The Company has generated revenue from sales of its products commencing the third quarter of 2001. Due in large part to the significant expenditures required to develop and market its product, the Company has generated losses each year since its inception. The novel medical device industry in which the Company is involved is characterized by the risks of regulatory barriers and reimbursement issues. Penetration into the world market requires the investment of considerable resources and continuous development efforts. The Company's future success is dependent upon several factors including the technological quality, regulatory approvals and sufficient reimbursement of its products. B. Basis of presentation The accompanying unaudited condensed consolidated financial statements contain all adjustments (consisting only of normal recurring adjustments) which, in the opinion of management, are necessary to present fairly, the financial information included therein. It is suggested that these financial statements be read in conjunction with the audited consolidated financial statements and accompanying notes included in the Company's Annual Report on Form 20-F for the year ended December 31, 2002. Results for the interim periods presented are not necessarily indicative of the results to be expected for the full year. 9