Orthofix Medical Inc. annual report, FY2017

Orthofix International N.V. — 2017 Form 10-K

Period: Fiscal year ended December 31, 2017; fourth-quarter figures are unaudited. The company is a global musculoskeletal medical-device business with four segments: BioStim, Extremity Fixation, Spine Fixation and Biologics. The filing identifies the registrant as Orthofix International N.V.

Financial performance

Metric20172016Change
Net sales$433.8 million$409.8 million+5.9% reported; +5.5% constant currency
Gross profit / margin$340.8 million / 78.6%$321.9 million / 78.6%Gross profit +5.9%; margin flat
Operating income / margin$40.8 million / 9.4%$21.1 million / 5.1%Improved
Net income$6.2 million; $0.34 diluted EPS$3.1 million; $0.17 diluted EPSImproved
Operating cash flow$53.3 million$44.7 million+$8.6 million
Free cash flow$36.4 million$26.4 million+$10.0 million

Sales and marketing expense rose 9.4% to $198.4 million; general and administrative expense was essentially flat at $74.4 million; R&D increased 3.1% to $29.7 million. The company’s non-GAAP net margin—gross profit less sales and marketing expense—was $142.4 million, up 1.3%, but declined as a share of sales to 32.8% from 34.3%.

Segment sales: BioStim $185.9 million (+5.3%); Extremity Fixation $103.2 million (+0.5% reported); Spine Fixation $82.0 million (+12.8%); Biologics $62.7 million (+8.3%). Spine Fixation had the strongest growth, mainly from U.S. sales and recent products. Extremity Fixation growth was held back by restructuring and distribution changes.

Fourth quarter: Sales were $116.9 million versus $108.5 million in Q4 2016. Operating income was $17.9 million versus $7.4 million; net income was $1.6 million versus a $3.2 million net loss.

Liquidity, debt and financial position

Cash and cash equivalents were $81.2 million at year-end, up from $39.6 million. Current assets were $251.8 million and current liabilities $79.4 million. Total assets were $405.4 million, total liabilities $108.7 million, and shareholders’ equity $296.6 million. No borrowings were outstanding under the $125 million secured revolving credit facility; the facility is secured by substantially all of specified borrower and guarantor assets and includes leverage and interest-coverage covenants. The company reported covenant compliance at year-end.

Inventory increased to $81.3 million from $63.3 million; inventory turns declined to 1.1 from 1.4. Days sales outstanding increased to 53 from 52. The company reported $36.4 million in free cash flow after $16.9 million of capital expenditures.

Material changes, outlook and notable items

  • Net sales increased across all four segments. Spine Fixation sales recovered from the prior-year decline; the company cited new U.S. distributors, product uptake and improved legacy-distributor engagement.
  • The 2017 operating-income improvement included the absence of the $14.4 million U.S. government-resolution charge recorded in 2016, as well as a roughly $6 million insurance recovery related to prior SEC/FCPA costs. The company recorded a $2.5 million net benefit in the SEC/FCPA cost line in 2017.
  • Income tax expense was $29.1 million, an 80.0% effective rate. The 2017 provision included an $8.3 million additional tax charge related to the Tax Act, chiefly deferred-tax remeasurement; the company described the tax accounting as provisional and subject to further analysis.
  • The company recognized a $5.6 million other-than-temporary impairment on its eNeura debt security in 2017 and discontinued interest recognition. The security’s reported fair value was $16.1 million at year-end, based on Level 3 inputs; it matures in March 2019 and may convert to eNeura preferred stock upon a change in control.
  • Two restructuring plans were underway: Extremity Fixation restructuring (cumulative costs of approximately $3.3 million) and a U.S. shared-services plan (estimated total cost approximately $1.7 million). Remaining accruals at year-end were $0.7 million and $1.1 million, respectively.
  • Effective January 1, 2018, the new revenue-recognition standard was expected to materially change timing for certain stocking-distributor sales, with an approximately $5 million opening retained-earnings adjustment and increases in receivables and reductions in inventory. The filing provides no company sales or earnings guidance.
  • Management cited reimbursement and pricing pressure, regulatory and product-approval demands, competition, reliance on distributors and third-party manufacturers, foreign-currency exposure, cybersecurity/privacy risks, and reliance on MTF as the sole supplier of key Trinity tissue products. It also disclosed a $1.7 million accrual for a pending post-sale Breg product-liability claim.

Most important facts for investors to verify

  • Whether sales growth—especially the 12.8% Spine Fixation increase—continues, and whether stocking-distributor demand and collections support reported performance.
  • How adoption of the new revenue standard affects 2018 reported sales, receivables, inventory and opening equity.
  • Whether the provisional Tax Act accounting, high effective tax rate and $27.8 million of unrecognized tax benefits, interest and penalties change as tax reviews are completed.
  • Recoverability and valuation assumptions for the eNeura note, including the reported $16.1 million fair value despite prior impairment and discontinued interest recognition.
  • Progress and remaining costs of restructuring, and any developments in the Breg claim or other contingencies.
  • Continued availability of MTF-supplied tissue, reimbursement access, distributor performance and compliance with the secured credit facility’s covenants.