10-Q

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington D.C. 20549

_____________________

FORM 10-Q

(Mark One)
x	QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period endedSeptember 30, 2014

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: 001-36095

LDR HOLDING CORPORATION

(Exact name of registrant as specified in its charter)

_____________________

Delaware (State or Other Jurisdiction of Incorporation)	20-3933262 (I.R.S. Employer Identification No.)
13785 Research Boulevard, Suite 200 Austin, Texas (Address of Principal Executive Offices)	78750 (Zip Code)
Telephone: (512) 344-3333 (Registrant's Telephone Number, Including Area Code)

Indicate by check mark whether registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.   x Yes    ¨ No 

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).  x Yes   ¨ No 

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer or smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act.

oLarge Accelerated Filer	oAccelerated Filer	x Non-Accelerated Filer	oSmaller Reporting Company
		(Do not check if a smaller reporting company)

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).   ¨ Yes  x  No 

The number of shares outstanding of the Registrant's Common Stock, $0.001 par value, was 26,056,690 as of October 31, 2014.

LDR HOLDING CORPORATION AND SUBSIDIARIES

Table of Contents

	Page
PART I. Financial Information
Item 1. Unaudited Condensed Consolidated Financial Statements
Condensed consolidated balance sheets as of September 30, 2014 (unaudited) and December 31, 2013	2
Condensed consolidated statements of comprehensive loss for the three and nine months ended September 30, 2014 and 2013 (unaudited)	3
Condensed consolidated statements of stockholders’ equity (unaudited)	4
Condensed consolidated statements of cash flows for the nine months ended September 30, 2014 and 2013 (unaudited)	5
Notes to unaudited condensed consolidated financial statements	7
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations	15
Item 3. Quantitative and Qualitative Disclosures About Market Risk	23
Item 4. Controls and Procedures	23
PART II. Other Information
Item 1. Legal Proceedings	24
Item 1A. Risk Factors	24
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds	24
Item 3. Defaults Upon Senior Securities	24
Item 4. Mine Safety Disclosures	24
Item 5. Other Information	24
Item 6. Exhibits	24
Signatures	25
Exhibit Index	26
Certifications

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PART I. FINANCIAL INFORMATION

Item 1.    Financial Statements

LDR HOLDING CORPORATION AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETS

(in thousands, except share amounts)

	September 30, 2014			December 31, 2013
	Unaudited
ASSETS
Current assets:
Cash and cash equivalents	$	83,036		$	56,678
Accounts receivable, net of allowances of $1,289 and $1,493 at September 30, 2014 and December 31, 2013, respectively	23,596			22,193
Inventory, net	23,557			17,690
Other current assets	6,151			4,780
Prepaid expenses	1,574			1,593
Deferred tax asset, current	431			—
Total current assets	138,345			102,934
Property and equipment, net of accumulated depreciation and amortization of $13,081 and $11,056 at September 30, 2014 and December 31, 2013, respectively	15,363			12,695
Goodwill	6,621			6,621
Intangible assets, net of accumulated amortization of $2,990 and $2,764 at September 30, 2014 and December 31, 2013, respectively	2,990			3,073
Restricted cash	—			2,000
Deferred tax assets	—			513
Other assets	175			157
Total assets	$	163,494		$	127,993
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
Accounts payable	$	9,173		$	8,128
Accrued expenses	19,954			16,324
Line of credit, net of discount	—			18,162
Short-term financing	4,004			2,641
Current portion of long-term debt	1,172			1,763
Deferred tax liabilities, current	—			540
Total current liabilities	34,303			47,558
Line of credit, net of discount	18,166			—
Long-term debt, net of discount and current portion	1,673			2,758
Deferred tax liabilities	600			—
Total liabilities	54,742			50,316
Commitments and contingencies
Stockholders’ equity:
Common stock; $0.001 par value; 107,000,000 shares authorized at September 30, 2014 and December 31, 2013; 26,057,039 shares issued and 26,056,690 shares outstanding at September 30, 2014; 24,076,667 shares issued and outstanding at December 31, 2013	26			24
Treasury stock at cost	(8		)	—
Additional paid-in capital	202,547			161,216
Accumulated other comprehensive income (loss)	(2,206		)	198
Accumulated deficit	(91,607		)	(83,761		)
Total stockholders’ equity	108,752			77,677
Total liabilities and stockholders’ equity	$	163,494		$	127,993

See accompanying notes to unaudited condensed consolidated financial statements.

2

LDR HOLDING CORPORATION AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS

(in thousands, except share and per share amounts)

(Unaudited)

	Three Months Ended September 30,						Nine Months Ended September 30,
	2014			2013			2014			2013
Revenue	$	35,901		$	27,195		$	101,721		$	79,616
Cost of goods sold	6,462			4,093			17,575			12,561
Gross profit	29,439			23,102			84,146			67,055
Operating expenses:
Research and development	2,831			2,473			9,309			7,215
Sales and marketing	21,610			16,810			61,238			47,761
General and administrative	7,238			4,725			20,653			13,498
Total operating expenses	31,679			24,008			91,200			68,474
Operating loss	(2,240		)	(906		)	(7,054		)	(1,419		)
Other operating income (expense):
Other income (expense)	1,366			(523		)	1,403			(478		)
Interest income	2			3			21			10
Interest expense	(207		)	(1,010		)	(705		)	(3,026		)
Accretion related to warrants and discounts on long-term debt	(4		)	(506		)	(14		)	(1,353		)
Change in fair value of common stock warrants	—			(4,739		)	—			(5,593		)
Total other income (expense), net	1,157			(6,775		)	705			(10,440		)
Loss before income taxes	(1,083		)	(7,681		)	(6,349		)	(11,859		)
Income tax expense	(936		)	(303		)	(1,497		)	(971		)
Net loss	(2,019		)	(7,984		)	(7,846		)	(12,830		)
Other comprehensive loss:
Foreign currency translation	(2,160		)	984			(2,404		)	545
Comprehensive loss	$	(4,179	)	$	(7,000	)	$	(10,250	)	$	(12,285	)
Net loss per common share:
Basic and diluted	$	(0.08	)	$	(1.68	)	$	(0.31	)	$	(2.72	)
Weighted average number of shares outstanding:
Basic and diluted	26,011,393			4,754,997			25,005,434			4,721,601

See accompanying notes to unaudited condensed consolidated financial statements.

3

LDR HOLDING CORPORATION AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY

(in thousands, except share data)

(Unaudited)

	Common Stock			Treasury Stock				Additional Paid-in Capital			Accumulated Other Comprehensive Income (Loss)			Accumulated Deficit			Total Stockholders' Equity
	Number of Shares	Par Value		Number of Shares	Amount
Balance at December 31, 2013	24,076,667	$	24	—	$	—		$	161,216		$	198		$	(83,761	)	$	77,677
Issuance of common stock in a public offering	1,495,000	2		—	—			36,626			—			—			36,628
Underwriting discount and common stock issuance costs	—	—		—	—			(2,640		)	—			—			(2,640		)
Exercise of common stock options	270,648	—		—	—			968			—			—			968
Issuance of common stock under employee stock purchase plan	214,724	—		—	—			2,737			—			—			2,737
Purchase of treasury stock	—	—		349	(8		)	—			—			—			(8		)
Stock-based compensation	—	—		—	—			3,640			—			—			3,640
Currency translation adjustment	—	—		—	—			—			(2,404		)	—			(2,404		)
Net loss	—	—		—	—			—			—			(7,846		)	(7,846		)
Balance at September 30, 2014	26,057,039	$	26	349	$	(8	)	$	202,547		$	(2,206	)	$	(91,607	)	$	108,752

See accompanying notes to unaudited condensed consolidated financial statements.

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LDR HOLDING CORPORATION AND SUBSIDIARIES CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (in thousands) (Unaudited)
	Nine Months Ended September 30,
	2014			2013
Operating activities:
Net loss	$	(7,846	)	$	(12,830	)
Adjustments to reconcile net loss to net cash used in operating activities:
Bad debt expense	470			375
Provision for excess and obsolete inventories	957			789
Depreciation and amortization	3,349			2,930
Stock-based compensation	3,640			498
Accretion related to warrants and discounts on long-term debt	14			1,353
Change in fair value of common stock warrants	—			5,593
Deferred income tax expense	174			—
Loss on disposal of assets	199			38
Unrealized foreign currency (gain) loss	(1,207		)	415
Changes in operating assets and liabilities:
Cash restricted for line of credit agreement	2,000			—
Accounts receivable	(2,258		)	(2,675		)
Prepaid expenses and other current assets	(1,792		)	(2,013		)
Inventory	(7,814		)	29
Other assets	(24		)	341
Accounts payable	410			(2,337		)
Accrued expenses	4,549			2,285
Other long-term liabilities	—			1,030
Net cash used in operating activities	(5,179		)	(4,179		)
Investing activities:
Proceeds from sale of property and equipment	15			53
Purchase of intangible assets	(565		)	(374		)
Purchase of property and equipment	(4,892		)	(2,006		)
Net cash used in investing activities	(5,442		)	(2,327		)
Financing activities:
Proceeds from issuance of common stock in public offering	36,628			—
Stock issuance costs	(2,640		)	—
Exercise of stock options	968			175
Proceeds from issuance of stock under Employee Stock Purchase Plan	1,761			—
Proceeds from Employee Stock Purchase Plan	281			—
Purchase of treasury stock	(8		)	—
Net proceeds (payments) on short-term financings	1,589			921
Payments on line of credit	—			(778		)
Payments on capital leases	(33		)	(16		)
Payments on long-term debt	(1,405		)	(1,408		)
Net cash provided by (used in) financing activities	37,141			(1,106		)

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LDR HOLDING CORPORATION AND SUBSIDIARIES CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - (Continued) (in thousands) (Unaudited)
	Nine Months Ended September 30,
	2014			2013
Effect of exchange rate on cash	(162		)	109
Net change in cash and cash equivalents	26,358			(7,503		)
Cash and cash equivalents, beginning of period	56,678			19,135
Cash and cash equivalents, end of period	$	83,036		$	11,632
Supplemental disclosure of interest and income taxes paid
Cash paid for interest	$	751		$	1,950
Cash paid for taxes	740			1,186
Supplemental disclosure of noncash investing and financing activities
Increase in property and equipment in accounts payable	$	874		$	607
Capital lease related to purchase of fixed assets	50			—

See accompanying notes to unaudited condensed consolidated financial statements.

6

LDR HOLDING CORPORATION AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)

1. Organization and Business Description

Description of Business

LDR Holding Corporation (Holding), a Delaware corporation, and its subsidiaries, LDR Spine USA, Inc., LDR Médical, S.A.S (Médical) and LDR Brasil Comercio, Importacao e Exportacao Ltda. (collectively, the Company), operates as a medical device company that designs and commercializes novel and proprietary surgical technologies for the treatment of patients suffering from spine disorders. The Company’s primary products are based on the VerteBRIDGE^® fusion platform and Mobi^® non-fusion platform, both of which are designed for applications in the cervical and lumbar spine for both fusion and nonfusion surgical treatments. The Company has offices in Troyes, France; Santo Andre, Brazil; Beijing and Hong Kong, China; Seoul, Korea and in Austin, Texas, which serves the U.S. market and is the corporate headquarters. The primary markets for the Company’s products are the U.S. and Western Europe.

Initial and Follow-On Public Offerings

In October 2013, the Company completed its initial public offering (IPO) of 5,750,000 shares of common stock, including 750,000 shares sold to underwriters for the exercise of their over-allotment option to purchase additional shares, at a price of $15.00 per share, before underwriting discounts and expenses. The IPO generated net proceeds to the Company of approximately $77.5 million, after deducting underwriting discounts and expenses of approximately $8.7 million.

In May 2014 and June 2014, the Company completed its follow-on public offering in which the Company sold 1,495,000 shares, including 195,000 shares sold to underwriters for the exercise of their over-allotment option to purchase additional shares, at a price of $24.50 per share, before underwriting discounts and expenses. The follow-on public offering generated net proceeds to the Company of approximately $34.0 million, after deducting underwriting discounts and expenses of approximately $2.6 million.

Reclassifications

Certain reclassifications have been made to prior periods’ consolidated financial statements to conform to the current period presentation. These reclassifications did not result in any change in previously reported net loss, total assets or stockholders’ deficit.

2. Significant Accounting Policies

(a) Basis of Presentation

The Company prepared its interim condensed consolidated financial statements in conformity with United States of America generally accepted accounting principles, or GAAP, and the reporting regulations of the Securities and Exchange Commission, or the SEC. They do not include all of the information and footnotes required by GAAP for complete financial statements. The accompanying condensed consolidated financial statements include the Company’s accounts and the accounts of its wholly owned subsidiaries. The Company has eliminated all intercompany balances and transactions.

The Company has made estimates and judgments affecting the amounts reported in its condensed consolidated financial statements and the accompanying notes. The actual results that the Company experiences may differ materially from the Company’s estimates. The accounting estimates that require the Company’s most significant, difficult and subjective judgments include:

• the valuation of inventory;

• allowance for doubtful accounts and

• stock-based compensation.

During the quarter ended June 30, 2014, the Company identified immaterial errors in its previously issued financial statements related to the presentation of purchases of property and equipment with the Condensed Consolidated Statements of Cash Flows. These previously reported amounts included property and equipment acquired but unpaid as of the end of the reporting period, which resulted in errors within investing activities with equal and offsetting errors in operating activities. These errors do not impact the Company’s previously reported amounts in its Consolidated Statements of Comprehensive Loss or Condensed Consolidated Balance Sheets for any period. The Company concluded that the errors were not material to any prior financial statements under the guidance of SEC Staff Accounting Bulletin (SAB) No. 99, Materiality.

The Company applied the guidance of SAB No. 108, Considering the Effects of Prior Year Misstatements when Quantifying Misstatements in the Current Year Financial Statements, to revise amounts previously presented. During the quarter ended June 30, 2014, the Company corrected this presentation within the Condensed Consolidated Statements of Cash Flows for the six

7

months ended June 30, 2014 to correct amounts previously reported for the three months ended March 31, 2014 relating to purchases of property and equipment within investing activities, the change in accounts payable within operating activities and the supplemental non-cash investing and financing activities disclosure of purchases of property and equipment included in ending accounts payable. For the six months ended June 30, 2014, the adjustment amounted to $0.8 million and resulted in a decrease in cash flows used in investing activities and an increase in cash flows used in operating activities. For the nine months ended September 30, 2013, there was an adjustment of $0.6 million to decrease cash flows used in investing activities and increase cash flows used in operating activities.

In connection with the anticipated filing of (i) the Company's Form 10-K for the year ended December 31, 2014 and (ii) the Form 10-Q for the first quarter of 2015, additional adjustments will be made to the Company's Consolidated Statements of Cash Flows that will decrease cash used in investing activities and increase cash used in operating activities by approximately (i) $0.2 million for the year ended December 31, 2013 and (ii) $0.8 million for the three months ended March 31, 2014.

(b) Unaudited Interim Results

In management’s opinion, the unaudited financial information for the interim periods presented includes all adjustments necessary for a fair statement of the results of operations, financial position, and cash flows. All adjustments are of a normal recurring nature unless otherwise disclosed. Revenues, expenses, assets and liabilities can vary during each quarter of the year. Therefore, the results and trends in these interim financial statements may not be the same as those for the full year. This interim information should be read in conjunction with the audited consolidated financial statements in the Company’s Annual Report on Form 10-K for the year ended December 31, 2013.

(c) Recent Accounting Pronouncements

In May 2014, the Financial Accounting Standards Board, or FASB, issued ASU No. 2014-09, Revenue from Contracts with Customers (ASU 2014-09), which requires an entity to recognize the amount of revenue to which it expects to be entitled for the transfer of promised goods or services to customers. ASU 2014-09 will replace most existing revenue recognition guidance in U.S. GAAP when it becomes effective. The new standard is effective for the Company on January 1, 2017. Early application is not permitted. The standard permits the use of either the retrospective or cumulative effect transition method. The Company is evaluating the effect that ASU 2014-09 will have on its consolidated financial statements and related disclosures. The Company has not yet selected a transition method and it has not determined the effect of the standard on its ongoing financial reporting.

In June 2014, the FASB issued ASU No. 2014-12, Accounting for Share-Based Payments When the Terms of an Award Provide That a Performance Target Could Be Achieved after the Requisite Service Period (ASU 2014-12). ASU 2014-12 requires that a performance target that affects vesting of share-based payment awards and that could be achieved after the requisite service period be treated as a performance condition. ASU 2014-12 is effective for all entities for interim and annual periods beginning after December 15, 2015, with early adoption permitted. An entity may apply the amendments in ASU 2014-12 either (i) prospectively to all awards granted or modified after the effective date or (ii) retrospectively to all awards with performance targets that are outstanding as of the beginning of the earliest annual period presented in the financial statements and to all new or modified awards thereafter. The adoption of ASU 2014-12 is not expected to have a material impact on the Company's consolidated financial condition or results of operations.

(d) Fair Value of Financial Instruments

The fair value of the Company’s financial instruments reflects the amounts that the Company estimates to receive in connection with the sale of an asset or paid in connection with the transfer of a liability in an orderly transaction between market participants at the measurement date (exit price). The fair value hierarchy that prioritizes the use of inputs used in valuation techniques is as follows:

Level 1 – quoted prices in active markets for identical assets and liabilities;

Level 2 – observable inputs other than quoted prices in active markets, such as quoted prices for similar assets and liabilities in active markets, quoted prices for identical or similar assets and liabilities in markets that are not active, or other inputs that are observable or can be corroborated by observable market data; and

Level 3 – unobservable inputs reflecting management’s assumptions, consistent with reasonably available assumptions made by other market participants. These valuations require significant judgment. 

8

The carrying amounts of the Company’s financial instruments, which primarily include cash and cash equivalents, accounts receivable, accounts payable and accrued expenses, approximate their fair values due to their short maturities. The carrying amount of the Company’s long-term debt approximates its fair value due to the relatively recent issuances and short maturities. As of September 30, 2014 and December 31, 2013, the fair value of the Company’s borrowings under its revolving credit agreement were categorized as a Level 2 hierarchy and approximated their carrying value based on prevailing market rates for borrowings with similar ratings and maturities.

(e) Inventory

Inventory is carried at the lower of cost or market using the weighted average method, net of an allowance for excess and obsolete inventory. The components of inventory, net of allowance, as of September 30, 2014 and December 31, 2013 are as follows (in thousands):

	September 30, 2014		December 31, 2013
Finished goods	$	19,569	$	14,452
Work in process	3,321		2,737
Raw materials	667		501
Total	$	23,557	$	17,690

As of September 30, 2014 and December 31, 2013, inventory held by hospitals and sales agents on behalf of the Company was $6.7 million and $5.8 million, respectively.

The Company reviews the components of its inventory on a periodic basis for excess, obsolete or impaired inventory and records a reserve for items identified. The Company recorded an allowance for excess and obsolete inventory of $4.2 million and $3.5 million as of September 30, 2014 and December 31, 2013, respectively.

3. Concentration of Credit Risk

Financial instruments that potentially subject the Company to a concentration of credit risk principally consist of cash and cash equivalents and accounts receivable. While the Company’s cash and cash equivalents are on deposit with high quality FDIC insured financial institutions, at times, such deposits exceed insured limits. The Company has not experienced any losses in such accounts.

The Company believes that the concentration of credit risk in its accounts receivable is substantially mitigated by the Company’s evaluation process, relatively short collection terms and the high level of creditworthiness of its customers. The Company evaluates the status of each of its customers, but generally requires no collateral. The Company has not experienced any significant losses in such accounts. The Company maintains reserves for credit losses.

The Company had no customers that represented greater than 10% of the Company’s trade receivable or revenue balances as of September 30, 2014 and 2013, and for the three and nine months endedSeptember 30, 2014 and 2013.

4. Accrued Expenses

Accrued expenses consist of the following (in thousands):

	September 30, 2014		December 31, 2013
Compensation and other employee related costs	$	9,714	$	8,715
Contributions withheld for Employee Stock Purchase Plan	281		976
Royalties	1,834		1,184
Clinical and regulatory costs	402		327
Government grants	896		974
Rent	1,902		1,893
Taxes	3,694		939
Other	1,231		1,316
	$	19,954	$	16,324

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5. Line of Credit

The Company is party to an amended loan agreement with a bank under which it may make periodic borrowings (the Line of Credit) under a revolving line of credit. The Line of Credit contains various restrictive covenants, including limitations on the Company’s ability to pay dividends, enter into a merger or acquisition and the amount of capital expenditures the Company may make in any given fiscal year. In May 2014, the Company entered into an amendment, effective in April 2014, to the Line of Credit that, among other things: (1) increased the revolving line of credit from $19.0 million to $25.0 million, (2) amended the interest rate from the bank’s prime rate plus 2.0% to the bank’s prime rate plus 0.25% or, if the Company’s trailing four-quarter EBITDA exceeds $5.0 million, LIBOR plus 2.5%, (3) eliminated a requirement that the Company maintain a minimum cash balance with the bank, (4) replaced the $12.5 million minimum net worth covenant with a $50.0 million tangible net worth covenant (unless the Company maintains a minimum cash balance of $20.0 million, in which case the covenant is waived) and (5) extended the maturity date from April 25, 2014 to April 29, 2016.

As of September 30, 2014, the Company was in compliance with all covenants under the Line of Credit. The Company’s interest rate on borrowings under the Line of Credit was 3.5% and 5.25% at September 30, 2014 and December 31, 2013, respectively.

6. Long-Term Debt

Long-term debt consists of the following (in thousands):

	September 30, 2014			December 31, 2013
Short-term financing	$	4,004		$	2,641
Various notes payable	2,845			4,521
Total long-term debt	6,849			7,162
Less current portion of long-term debt and short-term financing	(5,176		)	(4,404		)
Long-term debt, net of current portion	$	1,673		$	2,758

(a) Short-Term Financing

Médical borrows funds from various financial institutions in France on a short-term basis. The funds are typically repaid within 90 days and are collateralized by certain assets of Médical, including accounts receivable. The weighted average interest rate for the short-term balances outstanding at September 30, 2014 and December 31, 2013 was 4.8%.

(b) Various Notes Payable

Médical has loan agreements with six different entities as of September 30, 2014 and December 31, 2013. The amounts of the outstanding loans vary from approximately $10,000 to $825,000 at September 30, 2014 and $109,000 to $1.1 million at December 31, 2013, and bear interest at rates varying between 2.53% and 4.65% at September 30, 2014 and December 31, 2013. Maturity dates for these loans vary from 2014 to 2019, and the loans are secured by certain assets of Médical.

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7. Stock-Based Compensation

(a) Stock Option Activity

A summary of the stock option activity for the Company for the nine months endedSeptember 30, 2014 is as follows:

	Shares		Weighted - Average Exercise Price		Weighted - Average Remaining Contractual Term	Aggregate Intrinsic Value
					(Years)	($000's)
Outstanding - December 31, 2013	1,572,626		$	6.17	7.17	$	27,413
Options granted	699,097		30.06
Options exercised	(270,648	)	3.58
Options forfeited	(17,076	)	26.41
Outstanding - September 30, 2014	1,983,999		$	14.77	7.94	$	34,042
Options vested and expected to vest at September 30, 2014	1,895,386		$	14.77	7.94	$	33,098
Options exercisable at September 30, 2014	1,098,367		$	6.26	7.94	$	27,455

The aggregate intrinsic value in the table above represents the total pre-tax value of the options shown, calculated as the difference between the Company’s closing stock price on September 30, 2014 and the exercise prices of the options shown, multiplied by the number of in-the money options. This is the aggregate amount that would have been received by the option holders if they had all exercised their options on September 30, 2014 and sold the shares thereby received at the closing price of the Company’s stock on that date. This amount changes based on the closing price of the Company’s stock.

Additional information regarding options is as follows (in thousands except for per share amounts):

	Nine Months Ended September 30,
	2014		2013
Weighted-average grant date fair value per share of options granted during the period	$	14.55	$	3.42
Aggregate intrinsic value of options exercised during the period	$	6,582	$	290

The total intrinsic value of options exercised represents the total pre-tax intrinsic value that was received by the option holders who exercised their options during the fiscal year and is calculated as the difference between the stock price at the time of exercise and the exercise price multiplied by the number of options exercised.

The unrecognized compensation expense related to unvested options was $9.6 million and $2.8 million at September 30, 2014 and December 31, 2013, respectively, and is expected to be recognized over a weighted-average period of approximately 2 years.

(b) Restricted Stock Unit Activity

A summary of the restricted stock unit activity for the Company for the nine months endedSeptember 30, 2014 is as follows:

	Units	Weighted - Average Grant Date Fair Value Per Share		Weighted - Average Remaining Contractual Term	Aggregate Intrinsic Value
				(Years)	($000's)
Unvested - December 31, 2013	—	$	—	0.0	$	—
Restricted stock units granted	99,500	27.06
Restricted stock units vested	—	—
Restricted stock units forfeited	—	—
Unvested - September 30, 2014	99,500	$	27.06	3.18	$	2,843

11

The unrecognized compensation expense related to unvested restricted stock units was $1.8 million at September 30, 2014 and is expected to be recognized over a weighted-average period of approximately 3 years.

(c) Stock-Based Compensation

The Company’s stock-based compensation expense related to employee stock options, restricted stock units and ESPP awards for the three and nine months endedSeptember 30, 2014 and 2013 was as follows (in thousands):

	Three Months Ended September 30,				Nine Months Ended September 30,
	2014		2013		2014		2013
Research and development	$	145	$	23	$	410	$	51
Sales and marketing	702		255		2,028		334
General and administrative	410		72		1,202		113
Total	$	1,257	$	350	$	3,640	$	498

8. Income Taxes

The following table summarizes the total income tax expense, and the related effective tax rate, for the three and nine months endedSeptember 30, 2014 and 2013 (in thousands):

	Three Months Ended September 30,						Nine Months Ended September 30,
	2014			2013			2014			2013
Income tax expense	$	936		$	303		$	1,497		$	971
Effective tax rate	(86.4		)%	(3.9		)%	(23.6		)%	(8.2		)%

The provision for income taxes for the three and nine months endedSeptember 30, 2014 and 2013 includes both domestic and foreign income taxes at applicable statutory rates adjusted for non-deductible expenses and other permanent differences. The effective tax rate differs from the statutory rate due to non-deductible expenses, valuation allowance increase and foreign tax rate differentials. The Company has established a full valuation allowance relating to substantially of its U.S. net deferred tax assets due to uncertainties regarding the realization of the deferred tax assets based on the Company’s lack of earnings history in the U.S.

As of September 30, 2014 and December 31, 2013, the Company has no accrued interest or penalties associated with uncertain tax positions. The jurisdictions in which the Company files income taxes include the U.S., France and Brazil. The Company’s returns are not currently under examination by the Internal Revenue Service or other taxing authorities. The Company is subject to income tax examinations for the Company’s U.S. federal and state and local income taxes for 2004 and subsequent years and foreign tax examinations for 2006 and subsequent years.

The Company pays income taxes in France related to intercompany sales in the year the sale occurs; however the recognition of tax expense related to intercompany sales is deferred in the consolidated financial statements until the product is sold to an unrelated third party. The deferred income tax charge is included in other current assets in the condensed consolidated balance sheets. As of September 30, 2014 and December 31, 2013, the deferred income tax charge was $4.0 million and $1.5 million, respectively.

Earnings occurring outside the U.S. are deemed to be indefinitely reinvested outside of the U.S. to support the Company’s foreign operations. As a result, the Company continues to accumulate earnings overseas for investment in the Company’s business outside the U.S. and to use cash generated from U.S. operations and short- and long-term borrowings to meet the Company’s U.S. cash needs. Should the Company require more capital in the U.S. than is generated by the Company’s domestic operations, the Company could elect to repatriate earnings from the Company’s non-U.S. subsidiaries or raise additional capital in the U.S. through debt or equity issuances. These alternatives could result in higher effective tax rates, increased interest expense, or other dilution of the Company’s earnings. The Company has not estimated the deferred tax liabilities associated with the Company’s permanently reinvested earnings as it is impractical to do so.

The Company recently completed a research and development study related to expenditures for FDA approval of Mobi-C^® and other implants. The study resulted in the Company recording a tax credit of $1.8 million. The credit is subject to a full valuation allowance.

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9. Net Loss Per Share

The Company computes basic net loss per common share by dividing net loss attributable to common stockholders by the weighted average common shares outstanding for the period. During periods of income, the Company allocates participating securities a proportional share of income determined by dividing total weighted average participating securities by the sum of the total weighted average common shares and participating securities (the two-class method). The Company’s restricted stock units and preferred stock participate in any dividends declared by the Company and are therefore considered to be participating securities. During periods of loss, the Company allocates no loss to participating securities because they have no contractual obligation to share in the losses of the Company. Warrants that are liability classified are excluded from the calculation of basic net loss per share. The Company computes diluted net loss per common share after giving consideration to the dilutive effect of the Company’s convertible preferred stock, stock options and warrants that are outstanding during the period and the conversion of the Company’s convertible debt into shares of common stock, except where such would be anti-dilutive. Because the Company reported losses for the periods presented, all potentially dilutive common shares consisting of preferred stock, restricted stock units, stock options, warrants and convertible debt are antidilutive.

Net loss per share for the three and nine months endedSeptember 30, 2014 and 2013 was as follows (in thousands):

	Three Months Ended September 30,						Nine Months Ended September 30,
	2014			2013			2014			2013
Numerator
Net loss attributable to common stockholders	$	(2,019	)	$	(7,984	)	$	(7,846	)	$	(12,830	)
Denominator
Weighted average shares outstanding - basic	26,011			4,755			25,005			4,722
Dilutive effect of preferred stock, restricted stock units, options, warrants and convertible debt	—			—			—			—
Weighted average shares outstanding - diluted	26,011			4,755			25,005			4,722

The following common equivalent shares were excluded from the diluted net loss per share calculation as their inclusion would have been anti-dilutive (in thousands):

	Three Months Ended September 30,		Nine Months Ended September 30,
	2014	2013	2014	2013
Stock options	1,984	1,277	1,984	1,277
Restricted stock units	100	—	100	—
Redeemable convertible preferred stock	—	4,451	—	4,451
Convertible preferred stock	—	6,527	—	6,527
Common stock warrants	—	604	—	604
Preferred stock warrants	—	23	—	23

10. Commitments and Contingencies

From time to time, the Company may be involved in litigation relating to claims arising out of its ordinary course of business. Management believes that there are no claims or actions pending or threatened against the Company, the ultimate disposition of which would have a material impact on the Company’s financial position, results of operations or cash flows.

11. Segment and Geographic Information

Operating segments are defined as components of an enterprise for which separate financial information is available and evaluated regularly by the chief operating decision maker, or decision-making group, in deciding how to allocate resources and in assessing performance. The Company globally manages the business within one reportable segment. Segment information is consistent with how management reviews the business, makes investing and resource allocation decisions and assesses operating performance. The Company’s products are principally sold in the United States and France.

13

The following table represents total sales by geographic area, based on the location of the customer (in thousands):

	Three Months Ended September 30,				Nine Months Ended September 30,
	2014		2013		2014		2013
United States	$	28,084	$	20,062	$	77,587	$	57,459
France	2,666		2,337		9,298		8,214
Other Countries (1)	5,151		4,796		14,836		13,943
Total	$	35,901	$	27,195	$	101,721	$	79,616

__________

(1)  No additional locations are individually significant.

The Company classifies its products into two categories: exclusive technology and traditional fusion products. The following table represents total sales by product category (in thousands):

	Three Months Ended September 30,				Nine Months Ended September 30,
	2014		2013		2014		2013
Exclusive technology products	$	32,100	$	22,641	$	89,167	$	65,020
Traditional fusion products	3,801		4,554		12,554		14,596
Total	$	35,901	$	27,195	$	101,721	$	79,616

The following table represents long-lived assets by geographic area (in thousands):

	September 30, 2014		December 31, 2013
United States	$	9,735	$	7,446
France	4,273		3,615
Other Countries (1)	1,355		1,634
Total	$	15,363	$	12,695

__________

(1)  No additional locations are individually significant.

14

Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

The following discussion should be read in conjunction with LDR Holding Corporation’s (together with its subsidiaries, “we”,”us”, and “our”) condensed consolidated financial statements and notes thereto included elsewhere in this document and our Annual Report on Form 10-K for the year ended December 31, 2013. In addition to historical information, this discussion contains forward-looking statements that involve risks, uncertainties and assumptions that could cause actual results to differ materially from management’s expectations. See “Special Note Regarding Forward-Looking Statements” for further information regarding forward-looking statements.

Special Note Regarding Forward-Looking Statements

This Quarterly Report on Form 10-Q contains forward-looking statements that are based on our management’s beliefs and assumptions and on information currently available to our management. The statements contained in this Quarterly Report on Form 10-Q that are not purely historical are forward-looking statements within the meaning of Section 27A of the Securities Act, and Section 21E of the Exchange Act. You can identify these statements by words such as “anticipates,” “believes,” “can,” “continue,” “could,” “estimates,” “expects,” “intends,” “may,” “plans,” “seeks,” “should,” “will,” or “would” or the negative of these terms or similar expressions. These statements are not guarantees of future performance or development and involve known and unknown risks, uncertainties and other factors that are in some cases beyond our control. All of our forward-looking statements are subject to risks and uncertainties that may cause our actual results to differ materially from our expectations. Factors that may cause such differences include, but are not limited to, the risks described under “Risk Factors” in our Annual Report on Form 10-K and those discussed in other documents we file with the SEC.

Given these risks and uncertainties, you should not place undue reliance on these forward-looking statements. Also, forward-looking statements represent our management’s beliefs and assumptions only as of the date of this Quarterly Report on Form 10-Q. You should read this Quarterly Report on Form 10-Q completely and with the understanding that our actual future results may be materially different from what we expect. We hereby qualify our forward-looking statements by these cautionary statements. Except as required by law, we assume no obligation to update these forward-looking statements publicly, or to update the reasons actual results could differ materially from those anticipated in these forward-looking statements, even if new information becomes available in the future.

The following discussion and analysis of our financial condition and results of operations should be read in conjunction with our unaudited interim condensed consolidated financial statements and related notes included elsewhere in this Quarterly Report on Form 10-Q and in our other SEC filings, including the audited consolidated financial statements included in our Annual Report on Form 10-K.

Overview

We are a global medical device company focused on designing and commercializing novel and proprietary surgical technologies for the treatment of patients suffering from spine disorders. Our primary products are based on our VerteBRIDGE fusion and Mobi non-fusion platforms, both of which are designed for applications in the cervical and lumbar spine. We believe our VerteBRIDGE and Mobi platforms enable products that are less invasive, provide greater intra-operative flexibility, offer simplified surgical techniques and promote improved clinical outcomes for patients as compared to existing alternatives.

Our revenue is generated from sales to two types of customers: hospitals and stocking distributors. Revenue from sales to hospitals is recognized when we are notified the product has been used or implanted and a valid purchase order has been received. Product sales to hospitals are billed to and paid by the hospital as part of their normal payment processes with payment received by us in the form of an electronic transfer, check or credit card. Revenue from our stocking distributors is generally recognized at the time the product is shipped to the distributor. Product sales to stocking distributors are billed to and paid by the distributor as part of their normal payment processes with payment received by us in the form of an electronic transfer.

Our VerteBRIDGE and Mobi platform products are used in the fastest growing segments of the global spine implant market, including the lumbar fusion segment, the cervical fusion segment and the motion preservation segment. In August 2013, we received approval from the U.S. Food and Drug Administration, or FDA, for the Mobi-C cervical replacement device, the first and only cervical disc replacement device to receive FDA approval to treat both one-level and two-level cervical disc disease. We expect sales of Mobi-C in the United States to continue to account for a significant portion of our expected increase in total revenue. We expect that sales of Mobi-C in the United States will continue to increase our sales and marketing expenses as we increase our capability to handle the expected increase in demand for Mobi-C. In addition, we anticipate that sales of our VerteBRIDGE products will continue to increase due to continued market penetration in key global markets.

15

Components of our Results of Operations

Revenue

We generate revenue from the sales of implants designed around our proprietary VerteBRIDGE fusion and Mobi non-fusion platform technologies. In addition, we market numerous traditional fusion implants so that combined we can offer to spine surgeons comprehensive spine surgical solutions. We sell our implants primarily to hospitals, for use by spine surgeons to treat spine disorders. We expect to increase revenue by establishing Mobi-C as a standard of care for cervical disc disease, leveraging our VerteBRIDGE platform and broadening our portfolio of products to further penetrate the fastest growing segments of the global spine implant market. We also expect to increase our revenue by expanding our geographic presence in the United States and other countries.

Cost of Goods Sold

We rely on third-party suppliers to manufacture our products. Our cost of goods sold primarily consist of costs of products purchased from our third-party suppliers, excess and obsolete inventory charges, royalties, shipping, inspection and related costs incurred in making our products available for sale or use. We expect our cost of goods sold to continue to increase in absolute dollars due primarily to increased sales volume. Cost of goods sold could increase as a percentage of revenue as a result of increased third-party product costs, inventory charges associated with timing of product launches and enhancements and royalties associated with the change in product mix. 

Research and Development Expenses

Our research and development expenses primarily consist of engineering, product development, clinical and regulatory expenses, consulting services, outside prototyping services, outside research activities, materials, depreciation and other costs associated with development of our products. Research and development expenses also include related personnel and consultants’ compensation and stock-based compensation expense. We expense research and development costs as they are incurred. We expect research and development expense to continue to increase in absolute dollars as we develop new products to expand our product pipeline, add research and development personnel and undergo clinical activities, including clinical studies to gain additional regulatory clearances.

Sales and Marketing Expenses

Sales and marketing expenses primarily consist of salaries, benefits and other related costs, including stock-based compensation, for personnel employed in sales, marketing, reimbursement, medical education and training departments, as well as investments in surgeon training programs, industry events and other promotional activities. In addition, our sales and marketing expenses include commissions and bonuses, generally based on a percentage of sales, to our sales managers, independent sales agencies and direct sales representatives. We provide our implants in kits that consist of a range of implant sizes and include a separate instrument set necessary to complete the surgical procedure. We generally consign our instrument sets to our sales organization or our hospital customers that purchase the implants used in spine surgery. Our sales and marketing expenses include depreciation of these instrument sets. We expect our sales and marketing expenses to continue to increase in absolute dollars with the commercialization of our current and future products and continued investment in our global sales organization, including broadening our relationships with independent sales agencies, expanding exclusivity commitments among our independent sales agencies and international distributors and increasing the number of our direct sales representatives.

General and Administrative Expenses

General and administrative expenses primarily consist of salaries, benefits and other related costs, including stock-based compensation, for personnel employed in finance, legal, compliance, administrative, information technology and human resource departments. General and administrative expenses include facility costs and the 2.3% excise tax on the sale of medical devices in the United States that came into effect on January 1, 2013. General and administrative expenses also include legal expenses related to the development and protection of our intellectual property portfolio. We expect our general and administrative expenses to continue to increase in absolute dollars as we hire additional personnel to support the growth of our business and U.S. medical device excise taxes to increase as our sales volumes increase in the United States. Additionally, we expect to continue to incur increased expenses as a result of being a public company.

16

Income Tax Expense

We are taxed at the rates applicable within each jurisdiction in which we operate, primarily in the United States, France and Brazil. The composite income tax rate, tax provisions, deferred tax assets and deferred tax liabilities will vary according to the jurisdiction in which profits arise. Tax laws are complex and subject to different interpretations by management and the respective governmental taxing authorities, and require us to exercise judgment in determining our income tax provision, our deferred tax assets and liabilities and the valuation allowance recorded against our net deferred tax assets. Deferred tax assets and liabilities are determined using the enacted tax rates in effect for the years in which those tax assets are expected to be realized. A valuation allowance is established when it is more likely than not that the future realization of all or some of the deferred tax assets will not be achieved. We have recorded a full valuation allowance on our net deferred tax assets in the United States as of September 30, 2014 and December 31, 2013 due to uncertainties related to our ability to utilize our deferred tax assets in the foreseeable future.

Results of Operations

The following table sets forth, for the periods indicated, our unaudited results of operations and our unaudited results of operations as a percentage of revenue:

	Three Months Ended September 30,										Nine Months Ended September 30,
	2014					2013					2014					2013
	(in thousands)					(in thousands)					(in thousands)					(in thousands)
Revenue	$	35,901		100	%	$	27,195		100	%	$	101,721		100	%	$	79,616		100	%
Cost of goods sold	6,462			18		4,093			15		17,575			17		12,561			16
Gross profit	29,439			82		23,102			85		84,146			83		67,055			84
Operating expenses:
Research and development	2,831			8		2,473			9		9,309			9		7,215			9
Sales and marketing	21,610			60		16,810			62		61,238			60		47,761			60
General and administrative	7,238			20		4,725			17		20,653			20		13,498			17
Total operating expenses	31,679			88		24,008			88		91,200			90		68,474			86
Operating loss	(2,240		)	(6	)	(906		)	(3	)	(7,054		)	(7	)	(1,419		)	(2	)
Total other income (expense), net	1,157			3		(6,775		)	(25	)	705			1		(10,440		)	(13	)
Loss before income taxes	(1,083		)	(3	)	(7,681		)	(28	)	(6,349		)	(6	)	(11,859		)	(15	)
Income tax expense	(936		)	(3	)	(303		)	(1	)	(1,497		)	(1	)	(971		)	(1	)
Net loss	$	(2,019	)	(6	)%	$	(7,984	)	(29	)%	$	(7,846	)	(8	)%	$	(12,830	)	(16	)%

Three Months Ended September 30, 2014 Compared to the Three Months Ended September 30, 2013

Revenue

The following table sets forth, for the periods indicated, our revenue by product category and geography expressed as dollar amounts and the changes in revenue between the specified periods expressed in dollar amounts and as percentages: 

	Three Months Ended September 30,				Change 2014/2013
	2014		2013		$			%
Exclusive technology products	$	32,100	$	22,641	$	9,459		42	%
Traditional fusion products	3,801		4,554		(753		)	(17	)
Total revenue	$	35,901	$	27,195	$	8,706		32	%

17

	Three Months Ended September 30,				Change 2014/2013
	2014		2013		$		%
United States	$	28,084	$	20,062	$	8,022	40	%
International	7,817		7,133		684		10
Total revenue	$	35,901	$	27,195	$	8,706	32	%

The increase in total revenue in the three months endedSeptember 30, 2014 compared to the three months endedSeptember 30, 2013 was primarily driven by an increase in revenue from our exclusive technology products in the United States, including sales of our Mobi-C product, which was launched in the United States in August 2013, and increased penetration in existing markets through the expansion of our network of independent sales agencies and direct sales representatives. Revenue growth from our exclusive technology products was driven by a 62% increase in revenue from our exclusive cervical products and by a 8% increase in revenue from our exclusive lumbar products. Sales of our exclusive cervical and lumbar products represented 71% and 29% of total exclusive technology revenue, respectively, for the three months endedSeptember 30, 2014. International revenue increased as a result of increased market penetration in existing territories.

Cost of Goods Sold

Cost of goods sold was $6.5 million in the three months endedSeptember 30, 2014 compared to $4.1 million in the three months endedSeptember 30, 2013, an increase of $2.4 million or 58%. The increase was primarily due to an increase in product costs, royalties and freight charges associated with the increase in sales volume and mix.  Cost of goods sold increased as a percentage of revenue primarily due to increased inventory reserves associated with the build-up of inventory related to product launches and enhancements. 

Research and Development Expenses

Research and development expenses were $2.8 million in the three months endedSeptember 30, 2014 compared to $2.5 million in the three months endedSeptember 30, 2013, an increase of $358,000 or 14%. The increase was primarily due to our continued investment in research and development, including an increase of $352,000 associated with salaries and benefits of additional research and development personnel and a $122,000 increase in stock-based compensation expense. These increases were offset by a $147,000 decrease in fees and expenses associated with product testing and clinical trials.

Sales and Marketing Expenses

Sales and marketing expenses were $21.6 million in the three months endedSeptember 30, 2014 compared to $16.8 million in the three months endedSeptember 30, 2013, an increase of $4.8 million or 29%. The increase was primarily due to a $3.5 million increase in compensation costs associated with our investments in our sales organization, including hiring of additional direct sales management and marketing personnel, and commissions as a result of the increase in sales volume, a $447,000 increase in stock-based compensation expense, a $623,000 increase in expenses associated with medical training workshops and product launch initiatives and a $156,000 increase in depreciation expense and other expenses associated with our instrument sets and cases.

General and Administrative Expenses

General and administrative expenses were $7.2 million in the three months endedSeptember 30, 2014 compared to $4.7 million in the three months endedSeptember 30, 2013, an increase of $2.5 million or 53%. The increase was primarily due to a $1.1 million increase in employee salaries and benefits associated with the increase in general and administrative personnel, a $338,000 increase in stock-based compensation expense, an additional $344,000 in expenses related to being a public company, a $395,000 increase in professional fees associated with general corporate initiatives and a $99,000 increase in medical device and other local taxes.

Total Other Income (Expense), net

Total other income (expense), net of $1.2 million in the three months endedSeptember 30, 2014 primarily consisted of $1.4 million gain due to the effect of changes in foreign exchange rates on payables and receivables held in currencies other than their functional (local) currency, offset by $207,000 in interest expense associated with our long-term debt.

18

Income Tax Expense

Income tax expense was $936,000 in the three months endedSeptember 30, 2014 compared to $303,000 in the three months endedSeptember 30, 2013. Our effective tax rate calculated as a percentage of income before income taxes was (86.4)% for the three months endedSeptember 30, 2014 and (3.9)% for the three months endedSeptember 30, 2013. The change in the effective tax rate was a result of the increase in foreign tax liability while we remain in a full valuation allowance position for net operating loss generated in the U.S.

Nine Months EndedSeptember 30, 2014 Compared to the Nine Months EndedSeptember 30, 2013

Revenue

The following table sets forth, for the periods indicated, our revenue by product category and geography expressed as dollar amounts and the changes in revenue between the specified periods expressed in dollar amounts and as percentages: 

	Nine Months Ended September 30,				Change 2014/2013
	2014		2013		$			%
Exclusive technology products	$	89,167	$	65,020	$	24,147		37	%
Traditional fusion products	12,554		14,596		(2,042		)	(14	)
Total revenue	$	101,721	$	79,616	$	22,105		28	%

	Nine Months Ended September 30,				Change 2014/2013
	2014		2013		$		%
United States	$	77,587	$	57,459	$	20,128	35	%
International	24,134		22,157		1,977		9
Total revenue	$	101,721	$	79,616	$	22,105	28	%

The increase in total revenue in the nine months endedSeptember 30, 2014 compared to the nine months endedSeptember 30, 2013 was primarily driven by an increase in revenue from our exclusive technology products in the United States, including sales of our Mobi-C product, which was launched in the United States in August 2013, and increased penetration in existing markets through the expansion of our network of independent sales agencies and direct sales representatives. Revenue growth from our exclusive technology products was driven by a 49% increase in revenue from our exclusive cervical products and by a 17% increase in revenue from our exclusive lumbar products. Sales of our exclusive cervical and lumbar products represented 69% and 31% of total exclusive technology revenue, respectively, for the nine months endedSeptember 30, 2014.

International revenue increased as a result of increased market penetration in existing territories as well as expansion into one new sales territory.

Cost of Goods Sold

Cost of goods sold was $17.6 million in the nine months endedSeptember 30, 2014 compared to $12.6 million in the nine months endedSeptember 30, 2013, an increase of $5.0 million or 40%. The increase was primarily due to an increase in product costs, royalties and freight charges associated with the increase in sales volume and mix. Cost of goods sold increased as a percentage of revenue primarily due to increased inventory reserves associated with the build-up of inventory related to product launches and enhancements.

Research and Development Expenses

Research and development expenses were $9.3 million in the nine months endedSeptember 30, 2014 compared to $7.2 million in the nine months endedSeptember 30, 2013, an increase of $2.1 million or 29%. The increase was primarily due to our continued investment in research and development, including an increase of $1.2 million associated with salaries and benefits of additional research and development personnel, a $359,000 increase in stock-based compensation expense and a $383,000 increase in fees and expenses associated with product testing and clinical trials.

19

Sales and Marketing Expenses

Sales and marketing expenses were $61.2 million in the nine months endedSeptember 30, 2014 compared to $47.8 million in the nine months endedSeptember 30, 2013, an increase of $13.5 million or 28%. The increase was primarily due to a $9.3 million increase in compensation costs associated with our investments in our sales organization, including hiring of additional direct sales management and marketing personnel, and commissions as a result of the increase in sales volume, a $1.7 million increase in stock-based compensation expense, a $2.2 million increase in expenses associated with medical training workshops and product launch initiatives and a $219,000 increase in depreciation expense and other expenses associated with our instrument sets and cases.

General and Administrative Expenses

General and administrative expenses were $20.7 million in the nine months endedSeptember 30, 2014 compared to $13.5 million in the nine months endedSeptember 30, 2013, an increase of $7.2 million or 53%. The increase was primarily due to a $3.3 million increase in employee salaries and benefits associated with the increase in general and administrative personnel, a $1.1 million increase in stock-based compensation expense, an additional $895,000 in expenses related to being a public company, a $781,000 increase in professional fees associated with general corporate initiatives, a $348,000 increase in bad debt expense and bank fees, a $236,000 increase in medical device and local taxes, and a $194,000 increase in rent expense associated with our office expansion.

Total Other Income (Expense), net

Total other income (expense), net of $705,000 in the nine months endedSeptember 30, 2014 primarily consisted of $1.6 million gain due to the effect of changes in foreign exchange rates on payables and receivables held in currencies other than their functional (local) currency, offset by $705,000 in interest expense associated with our long-term debt.

Income Tax Expense

Income tax expense was $1.5 million in the nine months endedSeptember 30, 2014 compared to $971,000 in the nine months endedSeptember 30, 2013. Our effective tax rate calculated as a percentage of income before income taxes was (23.6)% for the nine months endedSeptember 30, 2014 and (8.2)% for the nine months endedSeptember 30, 2013. The change in the effective tax rate was a result of the increase in foreign tax liability while we remain in a full valuation allowance position for net operating loss generated in the U.S.

Non-GAAP Financial Measures

We define Adjusted EBITDA as operating income (loss) plus depreciation and amortization and stock-based compensation expense. We present Adjusted EBITDA because we believe it is a useful indicator of our operating performance. Our management uses Adjusted EBITDA principally as a measure of our operating performance and believes that Adjusted EBITDA is useful to our investors because it is frequently used by securities analysts, investors and other interested parties in their evaluation of the operating performance of companies in industries similar to ours. Our management also uses Adjusted EBITDA for planning purposes, including the preparation of our annual operating budget and financial projections.

Adjusted EBITDA should not be considered in isolation or as a substitute for a measure of our liquidity or operating performance prepared in accordance with U.S. generally accepted accounting principles, or GAAP, and is not indicative of net income (loss) from operations as determined under GAAP. Adjusted EBITDA and other non-GAAP financial measures have limitations that should be considered before using these measures to evaluate our liquidity or financial performance. Adjusted EBITDA does not include certain expenses that may be necessary to review our operating results and liquidity requirements. Our definition and calculation of Adjusted EBITDA may differ from that or other companies.

The following table presents a reconciliation of net loss to Adjusted EBITDA for the periods presented:

	Three Months Ended September 30,						Nine Months Ended September 30,
	2014			2013			2014			2013
Operating loss, as reported	$	(2,240	)	$	(906	)	$	(7,054	)	$	(1,419	)
Add back:
Depreciation and amortization	1,226			1,010			3,349			2,930
Stock-based compensation	1,257			350			3,640			498
Adjusted EBITDA	$	243		$	454		$	(65	)	$	2,009

20

Liquidity and Capital Resources

The following table summarizes, for the periods indicated, cash flows from operating, investing and financing activities (in thousands): 

	Nine Months Ended September 30,
	2014			2013
Net cash used in operating activities	$	(5,179	)	$	(4,179	)
Net cash used in investing activities	(5,442		)	(2,327		)
Net cash provided by (used in) financing activities	37,141			(1,106		)
Effect of exchange rate on cash	(162		)	109
Net change in cash and cash equivalents	$	26,358		$	(7,503	)

Cash Used in Operating Activities

Net cash used in operating activities was $5.2 million in the nine months endedSeptember 30, 2014, compared to $4.2 million in the nine months endedSeptember 30, 2013, an increase of $1.0 million. The increase in net cash used in operating activities was primarily attributable to a $7.8 million increase in the change in inventory, a $4.4 million net increase in non-cash charges, which includes accretion related to warrants and discounts on long-term debt, depreciation of surgical instruments and cases, provision for excess and obsolete inventories, non-cash interest expense and changes in fair value of common stock warrants, and a $1.0 million decrease in other long-term liabilities. These increases were partially offset by a $5.0 million increase in accounts payable and accrued liabilities, the $5.0 million decrease in net loss, the elimination of the requirement to maintain a $2.0 million balance in restricted cash under our Comerica loan agreement, and a $221,000 increase in prepaid expenses and other current assets.

Cash Used in Investing Activities

Net cash used in investing activities was $5.4 million in the nine months endedSeptember 30, 2014 compared to $2.3 million in the nine months endedSeptember 30, 2013, an increase of $3.1 million. The increase in net cash used in investing activities was primarily attributable to a $2.9 million increase in purchases of instruments and cases during the nine months endedSeptember 30, 2014.

Cash Provided by or Used in Financing Activities

Net cash provided by financing activities was $37.1 million in the nine months endedSeptember 30, 2014 compared to $1.1 million used in the nine months endedSeptember 30, 2013, an increase of $38.2 million. The increase was primarily attributable to the $36.6 million raised during our follow-on public offering, the $1.8 million contributed by employees for the Employee Stock Purchase Plan, increased proceeds from the exercise of stock options of $793,000, decreased payments of $778,000 on the Company’s line of credit, and a $668,000 increase in proceeds over payments on short-term financings. These increases were partially offset by $2.6 million in stock offering costs.

Indebtedness

We are party to an amended loan agreement with Comerica Bank, or the Comerica loan agreement, under which we may make periodic borrowings under a revolving line of credit. The Comerica loan agreement contains various restrictive covenants, including limitations on our ability to pay dividends, to enter into a merger or acquisition and the amount of capital expenditures we may make in any given fiscal year. As of September 30, 2014, we were in compliance will all covenants under our loan agreement. As of September 30, 2014, we had $18.2 million in borrowings outstanding under the revolving line of credit. In May 2014, we entered into an amendment, effective in April 2014, to the Comerica loan agreement that, among other things: (1) increased the revolving line of credit from $19.0 million to $25.0 million, (2) amended the interest rate from Comerica’s prime rate plus 2.0% to Comerica’s prime rate plus 0.25% or, if our trailing four-quarter EBITDA exceeds $5.0 million, LIBOR plus 2.5%, (3) eliminated a requirement that we maintain a minimum cash balance with Comerica, (4) replaced the $12.5 million minimum net worth covenant with a $50.0 million tangible net worth covenant (unless we maintain a minimum cash balance of $20.0 million, in which case the covenant is waived) and (5) extended the maturity date from April 25, 2014 to April 29, 2016. Our interest rate on borrowings under the Comerica loan agreement was 3.5% on September 30, 2014.

We are also party to various loan agreements with six different financial institutions in France. As of September 30, 2014, the amounts of the outstanding loans vary from approximately $10,000 to $825,000 and bear interest at rates varying from 2.53% to 4.65%. Maturity dates for these loans vary from 2014 to 2019 and are secured by certain assets of Médical. In addition, Médical can borrow funds from various financial institutions in France on a short-term basis. The funds are typically repaid within 90 days

21

and are collateralized by certain assets of Médical, including accounts receivable. The weighted average interest rate for the short-term balances outstanding as of December 31, 2013 and September 30, 2014 was 4.8%.

Off-Balance Sheet Arrangements

We do not have any off-balance sheet arrangements.

Seasonality

Our business is generally not seasonal in nature. However, our sales may be influenced by summer vacation and timing of holiday periods during which we have experienced fluctuations in the number of spine surgeries taking place. In addition, product registrations in certain countries and orders associated therewith may result in seasonality not typical of our ongoing operations.

Critical Accounting Policies and Estimates

During the period covered by this Quarterly Report on Form 10-Q there have been no material updates to our significant accounting policies and critical estimates set forth in “Part II—Item 7—Management Discussion and Analysis of Financial Condition and Results of Operations—Critical Accounting Policies and Estimates” in our Annual Report on Form 10-K for the year ended December 31, 2013.

Recent Accounting Pronouncements

In May 2014, the Financial Accounting Standards Board, or FASB, issued ASU No. 2014-09, Revenue from Contracts with Customers (ASU 2014-09), which requires an entity to recognize the amount of revenue to which it expects to be entitled for the transfer of promised goods or services to customers. ASU 2014-09 will replace most existing revenue recognition guidance in U.S. GAAP when it becomes effective. The new standard is effective for us on January 1, 2017. Early application is not permitted. The standard permits the use of either the retrospective or cumulative effect transition method. We are evaluating the effect that ASU 2014-09 will have on our consolidated financial statements and related disclosures. We have not yet selected a transition method and have not determined the effect of the standard on our ongoing financial reporting.

In June 2014, the FASB issued ASU No. 2014-12, Accounting for Share-Based Payments When the Terms of an Award Provide That a Performance Target Could Be Achieved after the Requisite Service Period (ASU 2014-12). ASU 2014-12 requires that a performance target that affects vesting of share-based payment awards and that could be achieved after the requisite service period be treated as a performance condition. ASU 2014-12 is effective for all entities for interim and annual periods beginning after December 15, 2015, with early adoption permitted. An entity may apply the amendments in ASU 2014-12 either (i) prospectively to all awards granted or modified after the effective date or (ii) retrospectively to all awards with performance targets that are outstanding as of the beginning of the earliest annual period presented in the financial statements and to all new or modified awards thereafter. The adoption of ASU 2014-12 is not expected to have a material impact on our consolidated financial condition or results of operations.

Implications of Being an Emerging Growth Company

As a company with less than $1.0 billion in revenue during our last fiscal year, we qualify as an “emerging growth company” as defined in the Jumpstart our Business Startups Act of 2012, or the JOBS Act. An emerging growth company may take advantage of specified reduced reporting requirements and is relieved of certain other significant requirements that are otherwise generally applicable to public companies. As an emerging growth company,

• we may present only two years of audited financial statements and only two years of related Management’s Discussion & Analysis of Financial Condition and Results of Operations;

• we are exempt from the requirement to obtain an attestation and report from our auditors on the assessment of our internal control over financial reporting pursuant to the Sarbanes-Oxley Act of 2002;

• we are permitted to provide less extensive disclosure about our executive compensation arrangements;

• we are not required to give our stockholders non-binding advisory votes on executive compensation or golden parachute arrangements; and

• we have elected to use an extended transition period for complying with new or revised accounting standards.

 We may take advantage of these provisions until the last day of our fiscal year following the fifth anniversary of the date of the first sale of our common equity securities pursuant to an effective registration statement under the Securities Act of 1933, as amended, or the Securities Act, which such fifth anniversary will occur in 2018. However, if certain events occur prior to the end of such five-year period, including if we become a “large accelerated filer,” our annual gross revenues exceed $1.0 billion

22

or we issue more than $1.0 billion of non-convertible debt in any three-year period, we will cease to be an emerging growth company prior to the end of such five-year period.

Item 3. Quantitative and Qualitative Disclosure About Market Risk

We are exposed to various market risks, which may result in potential losses arising from adverse changes in market rates, such as interest rates and foreign exchange rates. We do not enter into derivatives or other financial instruments for trading or speculative purposes and do not believe we are exposed to material market risk with respect to our cash and cash equivalents.

Interest Rate Risk

We are exposed to interest rate risk in connection with any future borrowings under our Comerica loan agreements, which bears interest at a floating rate based on Comerica’s prime rate plus an applicable borrowing margin. For variable rate debt, interest rate changes generally do not affect the fair value of the debt instrument, but do impact future earnings and cash flows, assuming other factors are held constant. In the ordinary course of business, we may enter into contractual arrangements to reduce our exposure to interest rate risks.

Foreign Exchange Risk

We operate in countries other than the United States, and, therefore, we are exposed to foreign currency risks. Revenue from sales outside of the United States represented approximately 24% of our total revenue in the nine months endedSeptember 30, 2014. We bill most direct sales outside of the United States in local currencies, which are comprised of the Euro and the Brazilian Real. Operating expenses related to these sales are largely denominated in the same respective currency, thereby limiting our transaction risk exposure. We therefore believe that the risk of a significant impact on our operating income from foreign currency fluctuations is not significant. Additionally, we have intercompany foreign transactions between our subsidiaries, which are denominated in currencies other than their functional currency. Fluctuations from the beginning to the end of any given reporting period result in the remeasurement of our intercompany foreign transactions generating transaction gains or losses in the respective period and are reported in total other income (expense), net in our consolidated financial statements. The monetary assets and liabilities of our foreign subsidiaries denominated in other currencies are translated into U.S. dollars at each balance sheet date resulting in a foreign currency translation adjustment reflected in accumulated other comprehensive loss. We recorded foreign currency translation gains of $2.4 million in the nine months endedSeptember 30, 2014. We do not currently hedge our exposure to foreign currency exchange rate fluctuations; however, we may choose to hedge our exposure in the future.

Item 4. Controls and Procedures

Evaluation of Disclosure Controls and Procedures

The term “disclosure controls and procedures,” as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act refers to controls and procedures that are designed to ensure that information required to be disclosed by a company in the reports that it files or submits under the Exchange Act is recorded, processed, summarized and reported, within the time periods specified in the SEC’s rules and forms. Disclosure controls and procedures include, without limitation, controls and procedures designed to ensure that such information is accumulated and communicated to a company’s management, including its principal executive and principal financial officers, as appropriate to allow timely decisions regarding required disclosure.

Our management, with the participation of our Chief Executive Officer and Chief Financial Officer, has evaluated the effectiveness of our disclosure controls and procedures as of September 30, 2014, the end of the period covered by this Quarterly Report on Form 10-Q. Based upon such evaluation, our Chief Executive Officer and Chief Financial Officer have concluded that our disclosure controls and procedures were effective as of such date.

Changes in Internal Control over Financial Reporting

There were no changes in our internal control over financial reporting during the three month period covered by this Quarterly Report on Form 10-Q, which were identified in connection with management’s evaluation required by Rules 13a-15(d) and 15d-15(d) under the Exchange Act, that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

23

PART II. OTHER INFORMATION

Item 1. Legal Proceedings

We are not aware of any pending or threatened legal proceeding against us that could have a material adverse effect on our business, operating results or financial condition. The medical device industry is characterized by frequent claims and litigation, including claims regarding patent and other intellectual property rights as well as improper hiring practices. As a result, we may be involved in various additional legal proceedings from time to time.

Item 1A. Risk Factors

There have been no material changes from the risk factors set forth in Part I, Item IA, “Risk Factors” in our Annual Report on Form 10-K for the fiscal year ended December 31, 2013, filed with the SEC on March 4, 2014.

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds

(b) Use of Proceeds

On October 15, 2013, we completed our initial public offering of 5,750,000 shares of common stock, including 750,000 shares sold to underwriters for the exercise of their over-allotment option to purchase additional shares, at a price of $15.00 per share, before underwriting discounts and commissions. The initial public offering generated net proceeds to us of approximately $77.5 million, after deducting underwriting discounts of $6.0 million and expenses of approximately $2.7 million. The offer and sale of all of the shares in the initial public offering were registered under the Securities Act pursuant to a registration statement on Form S-1 (File No. 333-190829), which was declared effective by the SEC on October 8, 2013. The offering commenced as of October 8, 2013 and did not terminate before all of the securities registered under the registration statements were sold. Piper Jaffray & Co., Bryan, Garnier & Co., William Blair & Company, Cowen and Company, LLC, JMP Securities LLC, and Stephens Inc. acted as the underwriters.

With the proceeds of our initial public offering, we (i) paid approximately $10.0 million under our loan facility with Escalate Capital Partners, (ii) paid approximately $17.1 million to satisfy obligations to the holders of our Series C preferred stock under the Series C Voting Agreement in which such holders agreed to vote all of their shares of preferred stock in favor of the conversion of preferred stock to common stock in connection with our initial public offering, and (iii) repaid approximately $2.8 million for the portion of our convertible notes that were not converted into shares of our common stock upon the consummation of our initial public offering. Certain of our directors, or affiliates thereof, were holders of Series C preferred stock or holders of convertible notes that were not converted into shares of our common stock upon the consummation of our initial public offering and received a portion of the proceeds generated by the initial public offering.

There have been no material changes in the planned use of proceeds from our initial public offering from that described in the final prospectus filed with the SEC pursuant to Rule 424(b) on October 9, 2013.

Item 3. Defaults upon Senior Securities

None.

Item 4. Mine Safety Disclosures.

Not applicable.

Item 5. Other Information

None.

Item 6. Exhibits

(a) Exhibits

See the Exhibit Index following the signature page to this Quarterly Report on Form 10-Q for a list of exhibits filed or furnished with this report, which Exhibit Index is incorporated herein by reference.

24

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.

			LDR HOLDING CORPORATION
Dated:	November 6, 2014	By:	/s/ Christophe Lavigne
			Christophe Lavigne
			President and Chief Executive Officer
			(Principal Executive Officer)
Dated:	November 6, 2014	By:	/s/ Robert McNamara
			Robert McNamara
			Executive Vice President and Chief Financial Officer
			(Principal Financial Officer)

25

INDEX TO EXHIBITS

Exhibit Nos.	Description
31.1*	Certification of Chief Executive Officer pursuant to Exchange Act Rule, 13a-14(a) and 15d-14(a), as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
31.2*	Certification of Chief Financial Officer pursuant to Exchange Act Rule, 13a-14(a) and 15d-14(a), as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
32.1*	Certifications of Chief Executive Officer and Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
101.INS*	XBRL Instance Document.
101.SCH*	XBRL Taxonomy Extension Schema Document.
101.CAL*	XBRL Taxonomy Calculation Linkbase Document.
101.DEF*	XBRL Taxonomy Definition Linkbase Document.
101.LAB*	XBRL Taxonomy Label Linkbase Document.
101.PRE*	XBRL Taxonomy Presentation Linkbase Document.

__________

*    Filed herewith.

26

EX-31.1

EXHIBIT 31.1

CERTIFICATION OF CHIEF EXECUTIVE OFFICER PURSUANT TO

SECTION 302(a) OF THE SARBANES-OXLEY ACT OF 2002

I, Christophe Lavigne, certify that:

1. I have reviewed this Quarterly Report on Form 10-Q of LDR Holding Corporation (the “Company”);

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) for the registrant and have:

a. Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b. Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

c. Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

a. All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

b. Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

Date:	November 6, 2014		/s/ Christophe Lavigne
		Name:	Christophe Lavigne
		Title:	President, Chief Executive Officer and Chairman of the Board
			(Principal Executive Officer)

EX-31.2

EXHIBIT 31.2

CERTIFICATION OF CHIEF FINANCIAL OFFICER PURSUANT TO

SECTION 302(a) OF THE SARBANES-OXLEY ACT OF 2002

I, Robert McNamara, certify that:

1. I have reviewed this Quarterly Report on Form 10-Q of LDR Holding Corporation (the “Company”);

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) for the registrant and have:

a. Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b. Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

c. Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

a. All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

b. Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

Date:	November 6, 2014		/s/ Robert McNamara
		Name:	Robert McNamara
		Title:	Executive Vice President and Chief Financial Officer
			(Principal Financial Officer)

EX-32.1

EXHIBIT 32.1

CERTIFICATION OF CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER

PURSUANT TO 18 U.S.C. SECTION 1350

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

The undersigned, the President and Chief Executive Officer of LDR Holding Corporation (the “Company”), does hereby certify under the standards set forth and solely for the purposes of 18 U.S.C. 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that the Quarterly Report on Form 10-Q of the Company for the quarterly period ended September 30, 2014 fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934 and information contained in that Form 10-Q fairly presents, in all material respects, the financial condition and results of operations of the Company.

Date:	November 6, 2014		/s/ Christophe Lavigne
		Name:	Christophe Lavigne
		Title:	President, Chief Executive Officer and Chairman of the Board
			(Principal Executive Officer)

A signed original of this written statement required by Section 906 has been provided to the Company and will be retained by the Company and furnished to the Securities and Exchange Commission or its staff upon request.

The undersigned, the Executive Vice President and Chief Financial Officer of LDR Holding Corporation (the “Company”), does hereby certify under the standards set forth and solely for the purposes of 18 U.S.C. 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that the Quarterly Report on Form 10-Q of the Company for the quarterly period ended September 30, 2014 fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934 and information contained in that Form 10-Q fairly presents, in all material respects, the financial condition and results of operations of the Company.

Date:	November 6, 2014		/s/ Robert McNamara
		Name:	Robert McNamara
		Title:	Executive Vice President and Chief Financial Officer
			(Principal Financial Officer)

A signed original of this written statement required by Section 906 has been provided to the Company and will be retained by the Company and furnished to the Securities and Exchange Commission or its staff upon request.

XML

Net Loss Per Share (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended		9 Months Ended
	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2014	Sep. 30, 2013
Numerator
Net loss attributable to common stockholders	$ (2,019)	$ (7,984)	$ (7,846)	$ (12,830)
Denominator
Weighted average shares outstanding - basic	26,011	4,755	25,005	4,722
Dilutive effect of preferred stock, restricted stock units, options, warrants and convertible debt	0	0	0	0
Weighted average shares outstanding - diluted	26,011	4,755	25,005	4,722

XML

Stock-Based Compensation Summary of the Stock Option Activity (Details) (USD $) In Thousands, except Share data, unless otherwise specified	9 Months Ended		12 Months Ended
	Sep. 30, 2014	Sep. 30, 2013	Dec. 31, 2013
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding [Roll Forward]
Shares Outstanding, Beginning	1,572,626
Shares Granted	699,097
Shares Exercised	(270,648)
Shares Forfeited	(17,076)
Shares Outstanding, Ending	1,983,999		1,572,626
Shares Vested and Expected to Vest	1,895,386
Shares Exercisable	1,098,367
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Exercise Price [Abstract]
Weighted Average Exercise Price - Shares Outstanding, Beginning (in dollars per share)	$ 6.17
Weighted Average Exercise Price - Shares Granted (in dollars per share)	$ 30.06
Weighted Average Exercise Price - Shares Exercised (in dollars per share)	$ 3.58
Weighted Average Exercise Price - Shares Forfeited (in dollars per share)	$ 26.41
Weighted Average Exercise Price - Shares Outstanding, Ending (in dollars per share)	$ 14.77		$ 6.17
Weighted Average Exercise Price - Shares Vested and expected to vest (in dollars per share)	$ 14.77
Weighted Average Exercise Price - Shares Exercisable (in dollars per share)	$ 6.26
Share-based Compensation Arrangement by Share-based Payment Award, Options, Additional Disclosures [Abstract]
Weighted Average Remaining Contractual Term - Shares Outstanding	7 years 11 months 8 days		7 years 2 months 1 day
Weighted Average Remaining Contractual Term - Shares Outstanding	7 years 11 months 8 days		7 years 2 months 1 day
Weighted Average Remaining Contractual Term - Shares Vested and expected to vest	7 years 11 months 8 days
Weighted Average Remaining Contractual Term - Shares Exercisable	7 years 11 months 8 days
Share-based Compensation Arrangement by Share-based Payment Award, Options, Vested and Expected to Vest [Abstract]
Aggregate Intrinsic Value - Outstanding	$ 27,413
Aggregate Intrinsic Value - Outstanding	34,042		27,413
Aggregate Intrinsic Value - Options Vested and expected to vest	33,098
Aggregate Intrinsic Value - Options Exercisable	27,455
Weighted-average grant date fair value per share of options granted during the period (in dollars per share)	$ 14.55	$ 3.42
Aggregate intrinsic value of options exercised during the period	$ 6,582	$ 290

XML

Segment and Geographic Information (Tables)

9 Months Ended

Sep. 30, 2014

Segment Reporting [Abstract]

Revenue from External Customers by Geographic Areas

The following table represents total sales by geographic area, based on the location of the customer (in thousands):

	Three Months Ended September 30,				Nine Months Ended September 30,
	2014		2013		2014		2013
United States	$	28,084	$	20,062	$	77,587	$	57,459
France	2,666		2,337		9,298		8,214
Other Countries (1)	5,151		4,796		14,836		13,943
Total	$	35,901	$	27,195	$	101,721	$	79,616

__________

(1)  No additional locations are individually significant.

Total Sales by Product Category

The Company classifies its products into two categories: exclusive technology and traditional fusion products. The following table represents total sales by product category (in thousands):

	Three Months Ended September 30,				Nine Months Ended September 30,
	2014		2013		2014		2013
Exclusive technology products	$	32,100	$	22,641	$	89,167	$	65,020
Traditional fusion products	3,801		4,554		12,554		14,596
Total	$	35,901	$	27,195	$	101,721	$	79,616

Schedule of Long-lived Assets by Geographic Area

The following table represents long-lived assets by geographic area (in thousands):

	September 30, 2014		December 31, 2013
United States	$	9,735	$	7,446
France	4,273		3,615
Other Countries (1)	1,355		1,634
Total	$	15,363	$	12,695

__________

(1)  No additional locations are individually significant.

XML

Segment and Geographic Information Revenue by Products (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended		9 Months Ended
	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2014	Sep. 30, 2013
Revenue from External Customer [Line Items]
Revenue	$ 35,901	$ 27,195	$ 101,721	$ 79,616
Exclusive Technology Products [Member]
Revenue from External Customer [Line Items]
Revenue	32,100	22,641	89,167	65,020
Traditional Fusion Products [Member]
Revenue from External Customer [Line Items]
Revenue	$ 3,801	$ 4,554	$ 12,554	$ 14,596

XML

Income Taxes (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended		9 Months Ended
	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2014	Sep. 30, 2013
Income Tax Disclosure [Abstract]
Income tax expense	$ 936	$ 303	$ 1,497	$ 971
Effective tax rate	(86.40%)	(3.90%)	(23.60%)	(8.20%)

XML

Concentration of Credit Risk

9 Months Ended

Sep. 30, 2014

Risks and Uncertainties [Abstract]

Concentration of Credit Risk

Concentration of Credit Risk

Financial instruments that potentially subject the Company to a concentration of credit risk principally consist of cash and cash equivalents and accounts receivable. While the Company’s cash and cash equivalents are on deposit with high quality FDIC insured financial institutions, at times, such deposits exceed insured limits. The Company has not experienced any losses in such accounts.

The Company believes that the concentration of credit risk in its accounts receivable is substantially mitigated by the Company’s evaluation process, relatively short collection terms and the high level of creditworthiness of its customers. The Company evaluates the status of each of its customers, but generally requires no collateral. The Company has not experienced any significant losses in such accounts. The Company maintains reserves for credit losses.

The Company had no customers that represented greater than 10% of the Company’s trade receivable or revenue balances as of September 30, 2014 and 2013, and for the three and nine months endedSeptember 30, 2014 and 2013.

XML

Segment and Geographic Information Narrative (Details)	9 Months Ended
	Sep. 30, 2014 Segment
Segment Reporting [Abstract]
Number of reportable segments	1
Number of operating categories	2

XML

Accrued Expenses (Details) (USD $) In Thousands, unless otherwise specified	Sep. 30, 2014	Dec. 31, 2013
Payables and Accruals [Abstract]
Compensation and other employee related costs	$ 9,714	$ 8,715
Contributions withheld for Employee Stock Purchase Plan	281	976
Royalties	1,834	1,184
Clinical and regulatory costs	402	327
Government grants	896	974
Rent	1,902	1,893
Taxes	3,694	939
Other	1,231	1,316
Accrued Liabilities	$ 19,954	$ 16,324

XML

Significant Accounting Policies Schedule of the Components of inventory, Net of Allowance (Details) (USD $) In Thousands, unless otherwise specified	Sep. 30, 2014	Dec. 31, 2013
Accounting Policies [Abstract]
Finished goods	$ 19,569	$ 14,452
Work in process	3,321	2,737
Raw materials	667	501
Total	$ 23,557	$ 17,690

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Line of Credit (Details) (USD $)			1 Months Ended			1 Months Ended
	Sep. 30, 2014 Line of Credit [Member]	Dec. 31, 2013 Line of Credit [Member]	May 31, 2014 Credit Facility Agreement [Member]	May 31, 2014 Minimum [Member] Credit Facility Agreement [Member]	May 31, 2014 Maximum [Member] Credit Facility Agreement [Member]	May 31, 2014 Prime Rate [Member] Minimum [Member] Credit Facility Agreement [Member]	May 31, 2014 Prime Rate [Member] Maximum [Member] Credit Facility Agreement [Member]	May 31, 2014 London Interbank Offered Rate (LIBOR) [Member] Credit Facility Agreement [Member]
Line of Credit Facility [Line Items]
Line of credit, maximum borrowing capacity				$ 19,000,000	$ 25,000,000
Basis spread on variable rate						0.25%	2.00%	2.50%
Line of Credit Facility, Credit Agreement, Alternative Interest Rate if Earnings Before Interest, Taxes, Depreciation, and Amortization (EBITDA) Exceeds Threshold Amount, EBITDA Amount			5,000,000
Minimum Net Worth Required for Compliance			12,500,000.0
Tangible Net Worth Required for Compliance With Credit Agreement			50,000,000
Compensating Balance, Amount			$ 20,000,000
Interest rate at the end of the period	3.50%	5.25%

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Long-Term Debt Schedule of Long-term Debt (Details) (USD $) In Thousands, unless otherwise specified	Sep. 30, 2014	Dec. 31, 2013
Debt Disclosure [Abstract]
Short-term financing	$ 4,004	$ 2,641
Various notes payable	2,845	4,521
Total long-term debt	6,849	7,162
Less current portion of long-term debt and short-term financing	(5,176)	(4,404)
Long-term debt, net of discount and current portion	$ 1,673	$ 2,758

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Significant Accounting Policies

9 Months Ended

Sep. 30, 2014

Accounting Policies [Abstract]

Significant Accounting Policies

Significant Accounting Policies

(a) Basis of Presentation

The Company prepared its interim condensed consolidated financial statements in conformity with United States of America generally accepted accounting principles, or GAAP, and the reporting regulations of the Securities and Exchange Commission, or the SEC. They do not include all of the information and footnotes required by GAAP for complete financial statements. The accompanying condensed consolidated financial statements include the Company’s accounts and the accounts of its wholly owned subsidiaries. The Company has eliminated all intercompany balances and transactions.

The Company has made estimates and judgments affecting the amounts reported in its condensed consolidated financial statements and the accompanying notes. The actual results that the Company experiences may differ materially from the Company’s estimates. The accounting estimates that require the Company’s most significant, difficult and subjective judgments include:

• the valuation of inventory;

• allowance for doubtful accounts and

• stock-based compensation.

During the quarter ended June 30, 2014, the Company identified immaterial errors in its previously issued financial statements related to the presentation of purchases of property and equipment with the Condensed Consolidated Statements of Cash Flows. These previously reported amounts included property and equipment acquired but unpaid as of the end of the reporting period, which resulted in errors within investing activities with equal and offsetting errors in operating activities. These errors do not impact the Company’s previously reported amounts in its Consolidated Statements of Comprehensive Loss or Condensed Consolidated Balance Sheets for any period. The Company concluded that the errors were not material to any prior financial statements under the guidance of SEC Staff Accounting Bulletin (SAB) No. 99, Materiality.

The Company applied the guidance of SAB No. 108, Considering the Effects of Prior Year Misstatements when Quantifying Misstatements in the Current Year Financial Statements, to revise amounts previously presented. During the quarter ended June 30, 2014, the Company corrected this presentation within the Condensed Consolidated Statements of Cash Flows for the six months ended June 30, 2014 to correct amounts previously reported for the three months ended March 31, 2014 relating to purchases of property and equipment within investing activities, the change in accounts payable within operating activities and the supplemental non-cash investing and financing activities disclosure of purchases of property and equipment included in ending accounts payable. For the six months ended June 30, 2014, the adjustment amounted to $0.8 million and resulted in a decrease in cash flows used in investing activities and an increase in cash flows used in operating activities. For the nine months ended September 30, 2013, there was an adjustment of $0.6 million to decrease cash flows used in investing activities and increase cash flows used in operating activities.

In connection with the anticipated filing of (i) the Company's Form 10-K for the year ended December 31, 2014 and (ii) the Form 10-Q for the first quarter of 2015, additional adjustments will be made to the Company's Consolidated Statements of Cash Flows that will decrease cash used in investing activities and increase cash used in operating activities by approximately (i) $0.2 million for the year ended December 31, 2013 and (ii) $0.8 million for the three months ended March 31, 2014.

(b) Unaudited Interim Results

In management’s opinion, the unaudited financial information for the interim periods presented includes all adjustments necessary for a fair statement of the results of operations, financial position, and cash flows. All adjustments are of a normal recurring nature unless otherwise disclosed. Revenues, expenses, assets and liabilities can vary during each quarter of the year. Therefore, the results and trends in these interim financial statements may not be the same as those for the full year. This interim information should be read in conjunction with the audited consolidated financial statements in the Company’s Annual Report on Form 10-K for the year ended December 31, 2013.

(c) Recent Accounting Pronouncements

In May 2014, the Financial Accounting Standards Board, or FASB, issued ASU No. 2014-09, Revenue from Contracts with Customers (ASU 2014-09), which requires an entity to recognize the amount of revenue to which it expects to be entitled for the transfer of promised goods or services to customers. ASU 2014-09 will replace most existing revenue recognition guidance in U.S. GAAP when it becomes effective. The new standard is effective for the Company on January 1, 2017. Early application is not permitted. The standard permits the use of either the retrospective or cumulative effect transition method. The Company is evaluating the effect that ASU 2014-09 will have on its consolidated financial statements and related disclosures. The Company has not yet selected a transition method and it has not determined the effect of the standard on its ongoing financial reporting.

In June 2014, the FASB issued ASU No. 2014-12, Accounting for Share-Based Payments When the Terms of an Award Provide That a Performance Target Could Be Achieved after the Requisite Service Period (ASU 2014-12). ASU 2014-12 requires that a performance target that affects vesting of share-based payment awards and that could be achieved after the requisite service period be treated as a performance condition. ASU 2014-12 is effective for all entities for interim and annual periods beginning after December 15, 2015, with early adoption permitted. An entity may apply the amendments in ASU 2014-12 either (i) prospectively to all awards granted or modified after the effective date or (ii) retrospectively to all awards with performance targets that are outstanding as of the beginning of the earliest annual period presented in the financial statements and to all new or modified awards thereafter. The adoption of ASU 2014-12 is not expected to have a material impact on the Company's consolidated financial condition or results of operations.

(d) Fair Value of Financial Instruments

The fair value of the Company’s financial instruments reflects the amounts that the Company estimates to receive in connection with the sale of an asset or paid in connection with the transfer of a liability in an orderly transaction between market participants at the measurement date (exit price). The fair value hierarchy that prioritizes the use of inputs used in valuation techniques is as follows:

Level 1 – quoted prices in active markets for identical assets and liabilities;

Level 2 – observable inputs other than quoted prices in active markets, such as quoted prices for similar assets and liabilities in active markets, quoted prices for identical or similar assets and liabilities in markets that are not active, or other inputs that are observable or can be corroborated by observable market data; and

Level 3 – unobservable inputs reflecting management’s assumptions, consistent with reasonably available assumptions made by other market participants. These valuations require significant judgment. 

The carrying amounts of the Company’s financial instruments, which primarily include cash and cash equivalents, accounts receivable, accounts payable and accrued expenses, approximate their fair values due to their short maturities. The carrying amount of the Company’s long-term debt approximates its fair value due to the relatively recent issuances and short maturities. As of September 30, 2014 and December 31, 2013, the fair value of the Company’s borrowings under its revolving credit agreement were categorized as a Level 2 hierarchy and approximated their carrying value based on prevailing market rates for borrowings with similar ratings and maturities.

(e) Inventory

Inventory is carried at the lower of cost or market using the weighted average method, net of an allowance for excess and obsolete inventory. The components of inventory, net of allowance, as of September 30, 2014 and December 31, 2013 are as follows (in thousands):

	September 30, 2014		December 31, 2013
Finished goods	$	19,569	$	14,452
Work in process	3,321		2,737
Raw materials	667		501
Total	$	23,557	$	17,690

As of September 30, 2014 and December 31, 2013, inventory held by hospitals and sales agents on behalf of the Company was $6.7 million and $5.8 million, respectively.

The Company reviews the components of its inventory on a periodic basis for excess, obsolete or impaired inventory and records a reserve for items identified. The Company recorded an allowance for excess and obsolete inventory of $4.2 million and $3.5 million as of September 30, 2014 and December 31, 2013, respectively.

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Long-Term Debt Short-Term Financing and Various Notes Payable Narrative (Details) (Medical [Member], USD $) In Thousands, unless otherwise specified	9 Months Ended	12 Months Ended
	Sep. 30, 2014	Dec. 31, 2013
Debt Instrument [Line Items]
Number of Entities in which the Entity has Loan Agreements	6	6
Loans Payable [Member]
Debt Instrument [Line Items]
Stated interest rate minimum	2.53%	2.53%
Stated interest rate maximum	4.65%	4.65%
Minimum [Member] | Loans Payable [Member]
Debt Instrument [Line Items]
Loans Payable	$ 10	$ 109
Maximum [Member] | Loans Payable [Member]
Debt Instrument [Line Items]
Loans Payable	$ 825	$ 1,100
Short-term Debt [Member]
Debt Instrument [Line Items]
Short-term Debt, General Repayment Period	90 days
Short-term Debt, Weighted Average Interest Rate	4.80%	4.80%

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Net Loss Per Share Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share (Details) In Thousands, unless otherwise specified	3 Months Ended		9 Months Ended
	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2014	Sep. 30, 2013
Employee Stock Option [Member]
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive securities excluded from computation of earnings per share	1,984	1,277	1,984	1,277
Restricted Stock Units (RSUs) [Member]
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive securities excluded from computation of earnings per share	100	0	100	0
Redeemable Convertible Preferred Stock [Member]
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive securities excluded from computation of earnings per share	0	4,451	0	4,451
Convertible Preferred Stock [Member]
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive securities excluded from computation of earnings per share	0	6,527	0	6,527
Common Stock [Member] | Warrant [Member]
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive securities excluded from computation of earnings per share	0	604	0	604
Preferred Stock [Member] | Warrant [Member]
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive securities excluded from computation of earnings per share	0	23	0	23

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CONDENSED CONSOLIDATED BALANCE SHEETS (USD $) In Thousands, unless otherwise specified	Sep. 30, 2014	Dec. 31, 2013
Current assets:
Cash and cash equivalents	$ 83,036	$ 56,678
Accounts receivable, net of allowances of $1,289 and $1,493 at September 30, 2014 and December 31, 2013, respectively	23,596	22,193
Inventory, net	23,557	17,690
Other current assets	6,151	4,780
Prepaid expenses	1,574	1,593
Deferred tax asset, current	431	0
Total current assets	138,345	102,934
Property and equipment, net of accumulated depreciation and amortization of $13,081 and $11,056 at September 30, 2014 and December 31, 2013, respectively	15,363	12,695
Goodwill	6,621	6,621
Intangible assets, net of accumulated amortization of $2,990 and $2,764 at September 30, 2014 and December 31, 2013, respectively	2,990	3,073
Restricted cash	0	2,000
Deferred tax assets	0	513
Other assets	175	157
Total assets	163,494	127,993
Current liabilities:
Accounts payable	9,173	8,128
Accrued expenses	19,954	16,324
Line of credit, net of discount	0	18,162
Short-term financing	4,004	2,641
Current portion of long-term debt	1,172	1,763
Deferred tax liabilities, current	0	540
Total current liabilities	34,303	47,558
Line of credit, net of discount	18,166	0
Long-term debt, net of discount and current portion	1,673	2,758
Deferred tax liabilities	600	0
Total liabilities	54,742	50,316
Commitments and contingencies
Stockholders’ equity:
Common stock; $0.001 par value; 107,000,000 shares authorized at September 30, 2014 and December 31, 2013; 26,057,039 shares issued and 26,056,690 shares outstanding at September 30, 2014; 24,076,667 shares issued and outstanding at December 31, 2013	26	24
Treasury stock at cost	(8)	0
Additional paid-in capital	202,547	161,216
Accumulated other comprehensive income (loss)	(2,206)	198
Accumulated deficit	(91,607)	(83,761)
Total stockholders’ equity	108,752	77,677
Total liabilities and stockholders’ equity	$ 163,494	$ 127,993

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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $) In Thousands, unless otherwise specified	9 Months Ended
	Sep. 30, 2014	Sep. 30, 2013
Operating activities:
Net loss	$ (7,846)	$ (12,830)
Adjustments to reconcile net loss to net cash used in operating activities:
Bad debt expense	470	375
Provision for excess and obsolete inventories	957	789
Depreciation and amortization	3,349	2,930
Stock-based compensation	3,640	498
Accretion related to warrants and discounts on long-term debt	14	1,353
Change in fair value of common stock warrants	0	5,593
Deferred income tax expense	174	0
Loss on disposal of assets	199	38
Unrealized foreign currency (gain) loss	(1,207)	415
Changes in operating assets and liabilities:
Cash restricted for line of credit agreement	2,000	0
Accounts receivable	(2,258)	(2,675)
Prepaid expenses and other current assets	(1,792)	(2,013)
Inventory	(7,814)	29
Other assets	(24)	341
Accounts payable	410	(2,337)
Accrued expenses	4,549	2,285
Other long-term liabilities	0	1,030
Net cash used in operating activities	(5,179)	(4,179)
Investing activities:
Proceeds from sale of property and equipment	15	53
Purchase of intangible assets	(565)	(374)
Purchase of property and equipment	(4,892)	(2,006)
Net cash used in investing activities	(5,442)	(2,327)
Financing activities:
Proceeds from issuance of common stock in public offering	36,628	0
Stock issuance costs	(2,640)	0
Exercise of stock options	968	175
Proceeds from issuance of stock under Employee Stock Purchase Plan	1,761	0
Proceeds from Employee Stock Purchase Plan	281	0
Purchase of treasury stock	(8)	0
Net proceeds (payments) on short-term financings	1,589	921
Payments on line of credit	0	(778)
Payments on capital leases	(33)	(16)
Payments on long-term debt	(1,405)	(1,408)
Net cash provided by (used in) financing activities	37,141	(1,106)
Effect of exchange rate on cash	(162)	109
Net change in cash and cash equivalents	26,358	(7,503)
Cash and cash equivalents, beginning of period	56,678	19,135
Cash and cash equivalents, end of period	83,036	11,632
Supplemental disclosure of interest and income taxes paid
Cash paid for interest	751	1,950
Cash paid for taxes	740	1,186
Supplemental disclosure of noncash investing and financing activities
Increase in property and equipment in accounts payable	874	607
Capital lease related to purchase of fixed assets	$ 50	$ 0

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Stock-Based Compensation Company’s Stock-Based Compensation Expense (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended		9 Months Ended
	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2014	Sep. 30, 2013
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]
Stock option expense	$ 1,257	$ 350	$ 3,640	$ 498
Research and Development Expense [Member]
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]
Stock option expense	145	23	410	51
Selling and Marketing Expense [Member]
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]
Stock option expense	702	255	2,028	334
General and Administrative Expense [Member]
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]
Stock option expense	$ 410	$ 72	$ 1,202	$ 113

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Stock-Based Compensation (Tables)

9 Months Ended

Sep. 30, 2014

Disclosure of Compensation Related Costs, Share-based Payments [Abstract]

Schedule of the Stock Option Activity

A summary of the stock option activity for the Company for the nine months endedSeptember 30, 2014 is as follows:

	Shares		Weighted - Average Exercise Price		Weighted - Average Remaining Contractual Term	Aggregate Intrinsic Value
					(Years)	($000's)
Outstanding - December 31, 2013	1,572,626		$	6.17	7.17	$	27,413
Options granted	699,097		30.06
Options exercised	(270,648	)	3.58
Options forfeited	(17,076	)	26.41
Outstanding - September 30, 2014	1,983,999		$	14.77	7.94	$	34,042
Options vested and expected to vest at September 30, 2014	1,895,386		$	14.77	7.94	$	33,098
Options exercisable at September 30, 2014	1,098,367		$	6.26	7.94	$	27,455

Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Weighted Average Grant Date Fair Value and Grant Date Intrinsic Value

Additional information regarding options is as follows (in thousands except for per share amounts):

	Nine Months Ended September 30,
	2014		2013
Weighted-average grant date fair value per share of options granted during the period	$	14.55	$	3.42
Aggregate intrinsic value of options exercised during the period	$	6,582	$	290

Schedule of Restricted Stock Units Activity

A summary of the restricted stock unit activity for the Company for the nine months endedSeptember 30, 2014 is as follows:

	Units	Weighted - Average Grant Date Fair Value Per Share		Weighted - Average Remaining Contractual Term	Aggregate Intrinsic Value
				(Years)	($000's)
Unvested - December 31, 2013	—	$	—	0.0	$	—
Restricted stock units granted	99,500	27.06
Restricted stock units vested	—	—
Restricted stock units forfeited	—	—
Unvested - September 30, 2014	99,500	$	27.06	3.18	$	2,843

Schedule of Company's Stock-based Compensation Expense

The Company’s stock-based compensation expense related to employee stock options, restricted stock units and ESPP awards for the three and nine months endedSeptember 30, 2014 and 2013 was as follows (in thousands):

	Three Months Ended September 30,				Nine Months Ended September 30,
	2014		2013		2014		2013
Research and development	$	145	$	23	$	410	$	51
Sales and marketing	702		255		2,028		334
General and administrative	410		72		1,202		113
Total	$	1,257	$	350	$	3,640	$	498

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Stock-Based Compensation Narrative (Details) (USD $) In Millions, unless otherwise specified	9 Months Ended
	Sep. 30, 2014	Dec. 31, 2013
Employee Stock Option [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Unrecognized compensation expense for unvested options	$ 9.6	$ 2.8
Employee Service Share-based Compensation, Nonvested Awards, Compensation Cost Not yet Recognized, Period for Recognition	2 years
Restricted Stock Units (RSUs) [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Employee Service Share-based Compensation, Nonvested Awards, Compensation Cost Not yet Recognized, Period for Recognition	3 years
Unrecognized compensation expense for unvested restricted stock units	$ 1.8

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Net Loss Per Share (Tables)

9 Months Ended

Sep. 30, 2014

Earnings Per Share [Abstract]

Schedule of Earnings Per Share, Basic and Diluted

Net loss per share for the three and nine months endedSeptember 30, 2014 and 2013 was as follows (in thousands):

	Three Months Ended September 30,						Nine Months Ended September 30,
	2014			2013			2014			2013
Numerator
Net loss attributable to common stockholders	$	(2,019	)	$	(7,984	)	$	(7,846	)	$	(12,830	)
Denominator
Weighted average shares outstanding - basic	26,011			4,755			25,005			4,722
Dilutive effect of preferred stock, restricted stock units, options, warrants and convertible debt	—			—			—			—
Weighted average shares outstanding - diluted	26,011			4,755			25,005			4,722

Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share

The following common equivalent shares were excluded from the diluted net loss per share calculation as their inclusion would have been anti-dilutive (in thousands):

	Three Months Ended September 30,		Nine Months Ended September 30,
	2014	2013	2014	2013
Stock options	1,984	1,277	1,984	1,277
Restricted stock units	100	—	100	—
Redeemable convertible preferred stock	—	4,451	—	4,451
Convertible preferred stock	—	6,527	—	6,527
Common stock warrants	—	604	—	604
Preferred stock warrants	—	23	—	23

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Organization and Business Description

9 Months Ended

Sep. 30, 2014

Organization, Consolidation and Presentation of Financial Statements [Abstract]

Organization and Business Description

Organization and Business Description

Description of Business

LDR Holding Corporation (Holding), a Delaware corporation, and its subsidiaries, LDR Spine USA, Inc., LDR Médical, S.A.S (Médical) and LDR Brasil Comercio, Importacao e Exportacao Ltda. (collectively, the Company), operates as a medical device company that designs and commercializes novel and proprietary surgical technologies for the treatment of patients suffering from spine disorders. The Company’s primary products are based on the VerteBRIDGE^® fusion platform and Mobi^® non-fusion platform, both of which are designed for applications in the cervical and lumbar spine for both fusion and nonfusion surgical treatments. The Company has offices in Troyes, France; Santo Andre, Brazil; Beijing and Hong Kong, China; Seoul, Korea and in Austin, Texas, which serves the U.S. market and is the corporate headquarters. The primary markets for the Company’s products are the U.S. and Western Europe.

Initial and Follow-On Public Offerings

In October 2013, the Company completed its initial public offering (IPO) of 5,750,000 shares of common stock, including 750,000 shares sold to underwriters for the exercise of their over-allotment option to purchase additional shares, at a price of $15.00 per share, before underwriting discounts and expenses. The IPO generated net proceeds to the Company of approximately $77.5 million, after deducting underwriting discounts and expenses of approximately $8.7 million.

In May 2014 and June 2014, the Company completed its follow-on public offering in which the Company sold 1,495,000 shares, including 195,000 shares sold to underwriters for the exercise of their over-allotment option to purchase additional shares, at a price of $24.50 per share, before underwriting discounts and expenses. The follow-on public offering generated net proceeds to the Company of approximately $34.0 million, after deducting underwriting discounts and expenses of approximately $2.6 million.

Reclassifications

Certain reclassifications have been made to prior periods’ consolidated financial statements to conform to the current period presentation. These reclassifications did not result in any change in previously reported net loss, total assets or stockholders’ deficit.

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CONDENSED CONSOLIDATED BALANCE SHEETS (Parenthetical) (USD $) In Thousands, except Share data, unless otherwise specified	Sep. 30, 2014	Dec. 31, 2013
Statement of Financial Position [Abstract]
Accounts receivable allowance	$ 1,289	$ 1,493
Property and equipment - accumulated depreciation and amortization	13,081	11,056
Intangible assets - accumulated amortization	$ 2,990	$ 2,764
Common Stock, Par Value Per Share (in dollars per share)	$ 0.001	$ 0.001
Common Stock, Shares Authorized	107,000,000	107,000,000
Common Stock, Shares Issued	26,057,039	24,076,667
Common Stock, Shares Outstanding	26,056,690	24,076,667

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Segment and Geographic Information

9 Months Ended

Sep. 30, 2014

Segment Reporting [Abstract]

Segment and Geographic Information

Segment and Geographic Information

Operating segments are defined as components of an enterprise for which separate financial information is available and evaluated regularly by the chief operating decision maker, or decision-making group, in deciding how to allocate resources and in assessing performance. The Company globally manages the business within one reportable segment. Segment information is consistent with how management reviews the business, makes investing and resource allocation decisions and assesses operating performance. The Company’s products are principally sold in the United States and France.

The following table represents total sales by geographic area, based on the location of the customer (in thousands):

	Three Months Ended September 30,				Nine Months Ended September 30,
	2014		2013		2014		2013
United States	$	28,084	$	20,062	$	77,587	$	57,459
France	2,666		2,337		9,298		8,214
Other Countries (1)	5,151		4,796		14,836		13,943
Total	$	35,901	$	27,195	$	101,721	$	79,616

__________

(1)  No additional locations are individually significant.

The Company classifies its products into two categories: exclusive technology and traditional fusion products. The following table represents total sales by product category (in thousands):

	Three Months Ended September 30,				Nine Months Ended September 30,
	2014		2013		2014		2013
Exclusive technology products	$	32,100	$	22,641	$	89,167	$	65,020
Traditional fusion products	3,801		4,554		12,554		14,596
Total	$	35,901	$	27,195	$	101,721	$	79,616

The following table represents long-lived assets by geographic area (in thousands):

	September 30, 2014		December 31, 2013
United States	$	9,735	$	7,446
France	4,273		3,615
Other Countries (1)	1,355		1,634
Total	$	15,363	$	12,695

__________

(1)  No additional locations are individually significant.

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Document and Entity Information Document	9 Months Ended
	Sep. 30, 2014	Oct. 31, 2014
Entity [Abstract]
Entity Registrant Name	LDR HOLDING CORP
Entity Central Index Key	0001348324
Current Fiscal Year End Date	--12-31
Entity Filer Category	Non-accelerated Filer
Document Type	10-Q
Document Period End Date	Sep. 30, 2014
Document Fiscal Year Focus	2014
Document Fiscal Period Focus	Q3
Amendment Flag	false
Entity Common Stock, Shares Outstanding		26,056,690

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Significant Accounting Policies (Policies)

9 Months Ended

Sep. 30, 2014

Accounting Policies [Abstract]

Reclassifications

Reclassifications

Certain reclassifications have been made to prior periods’ consolidated financial statements to conform to the current period presentation. These reclassifications did not result in any change in previously reported net loss, total assets or stockholders’ deficit.

Basis of Presentation

Basis of Presentation

The Company prepared its interim condensed consolidated financial statements in conformity with United States of America generally accepted accounting principles, or GAAP, and the reporting regulations of the Securities and Exchange Commission, or the SEC. They do not include all of the information and footnotes required by GAAP for complete financial statements. The accompanying condensed consolidated financial statements include the Company’s accounts and the accounts of its wholly owned subsidiaries. The Company has eliminated all intercompany balances and transactions.

The Company has made estimates and judgments affecting the amounts reported in its condensed consolidated financial statements and the accompanying notes. The actual results that the Company experiences may differ materially from the Company’s estimates. The accounting estimates that require the Company’s most significant, difficult and subjective judgments include:

• the valuation of inventory;

• allowance for doubtful accounts and

• stock-based compensation.

Recent Accounting Pronouncements

Recent Accounting Pronouncements

In May 2014, the Financial Accounting Standards Board, or FASB, issued ASU No. 2014-09, Revenue from Contracts with Customers (ASU 2014-09), which requires an entity to recognize the amount of revenue to which it expects to be entitled for the transfer of promised goods or services to customers. ASU 2014-09 will replace most existing revenue recognition guidance in U.S. GAAP when it becomes effective. The new standard is effective for the Company on January 1, 2017. Early application is not permitted. The standard permits the use of either the retrospective or cumulative effect transition method. The Company is evaluating the effect that ASU 2014-09 will have on its consolidated financial statements and related disclosures. The Company has not yet selected a transition method and it has not determined the effect of the standard on its ongoing financial reporting.

In June 2014, the FASB issued ASU No. 2014-12, Accounting for Share-Based Payments When the Terms of an Award Provide That a Performance Target Could Be Achieved after the Requisite Service Period (ASU 2014-12). ASU 2014-12 requires that a performance target that affects vesting of share-based payment awards and that could be achieved after the requisite service period be treated as a performance condition. ASU 2014-12 is effective for all entities for interim and annual periods beginning after December 15, 2015, with early adoption permitted. An entity may apply the amendments in ASU 2014-12 either (i) prospectively to all awards granted or modified after the effective date or (ii) retrospectively to all awards with performance targets that are outstanding as of the beginning of the earliest annual period presented in the financial statements and to all new or modified awards thereafter. The adoption of ASU 2014-12 is not expected to have a material impact on the Company's consolidated financial condition or results of operations.

Fair Value of Financial Instruments

Fair Value of Financial Instruments

The fair value of the Company’s financial instruments reflects the amounts that the Company estimates to receive in connection with the sale of an asset or paid in connection with the transfer of a liability in an orderly transaction between market participants at the measurement date (exit price). The fair value hierarchy that prioritizes the use of inputs used in valuation techniques is as follows:

Level 1 – quoted prices in active markets for identical assets and liabilities;

Level 2 – observable inputs other than quoted prices in active markets, such as quoted prices for similar assets and liabilities in active markets, quoted prices for identical or similar assets and liabilities in markets that are not active, or other inputs that are observable or can be corroborated by observable market data; and

Level 3 – unobservable inputs reflecting management’s assumptions, consistent with reasonably available assumptions made by other market participants. These valuations require significant judgment. 

The carrying amounts of the Company’s financial instruments, which primarily include cash and cash equivalents, accounts receivable, accounts payable and accrued expenses, approximate their fair values due to their short maturities. The carrying amount of the Company’s long-term debt approximates its fair value due to the relatively recent issuances and short maturities. As of September 30, 2014 and December 31, 2013, the fair value of the Company’s borrowings under its revolving credit agreement were categorized as a Level 2 hierarchy and approximated their carrying value based on prevailing market rates for borrowings with similar ratings and maturities.

Inventory

Inventory

Inventory is carried at the lower of cost or market using the weighted average method, net of an allowance for excess and obsolete inventory.

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CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS (USD $) In Thousands, except Share data, unless otherwise specified	3 Months Ended		9 Months Ended
	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2014	Sep. 30, 2013
Statement of Comprehensive Income [Abstract]
Revenue	$ 35,901	$ 27,195	$ 101,721	$ 79,616
Cost of goods sold	6,462	4,093	17,575	12,561
Gross profit	29,439	23,102	84,146	67,055
Operating expenses:
Research and development	2,831	2,473	9,309	7,215
Sales and marketing	21,610	16,810	61,238	47,761
General and administrative	7,238	4,725	20,653	13,498
Total operating expenses	31,679	24,008	91,200	68,474
Operating loss	(2,240)	(906)	(7,054)	(1,419)
Other operating income (expense):
Other income (expense)	1,366	(523)	1,403	(478)
Interest income	2	3	21	10
Interest expense	(207)	(1,010)	(705)	(3,026)
Accretion related to warrants and discounts on long-term debt	(4)	(506)	(14)	(1,353)
Change in fair value of common stock warrants	0	(4,739)	0	(5,593)
Total other income (expense), net	1,157	(6,775)	705	(10,440)
Loss before income taxes	(1,083)	(7,681)	(6,349)	(11,859)
Income tax expense	(936)	(303)	(1,497)	(971)
Net loss	(2,019)	(7,984)	(7,846)	(12,830)
Other comprehensive loss:
Foreign currency translation	(2,160)	984	(2,404)	545
Comprehensive loss	$ (4,179)	$ (7,000)	$ (10,250)	$ (12,285)
Net loss per common share:
Net loss per common share - basic and diluted (in dollars per share)	$ (0.08)	$ (1.68)	$ (0.31)	$ (2.72)
Weighted average number of shares outstanding:
Basic and diluted (in shares)	26,011,393	4,754,997	25,005,434	4,721,601

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Long-Term Debt

9 Months Ended

Sep. 30, 2014

Debt Disclosure [Abstract]

Long-Term Debt

Long-Term Debt

Long-term debt consists of the following (in thousands):

	September 30, 2014			December 31, 2013
Short-term financing	$	4,004		$	2,641
Various notes payable	2,845			4,521
Total long-term debt	6,849			7,162
Less current portion of long-term debt and short-term financing	(5,176		)	(4,404		)
Long-term debt, net of current portion	$	1,673		$	2,758

(a) Short-Term Financing

Médical borrows funds from various financial institutions in France on a short-term basis. The funds are typically repaid within 90 days and are collateralized by certain assets of Médical, including accounts receivable. The weighted average interest rate for the short-term balances outstanding at September 30, 2014 and December 31, 2013 was 4.8%.

(b) Various Notes Payable

Médical has loan agreements with six different entities as of September 30, 2014 and December 31, 2013. The amounts of the outstanding loans vary from approximately $10,000 to $825,000 at September 30, 2014 and $109,000 to $1.1 million at December 31, 2013, and bear interest at rates varying between 2.53% and 4.65% at September 30, 2014 and December 31, 2013. Maturity dates for these loans vary from 2014 to 2019, and the loans are secured by certain assets of Médical.

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Line of Credit

9 Months Ended

Sep. 30, 2014

Line of Credit Facility [Abstract]

Line of Credit

Line of Credit

The Company is party to an amended loan agreement with a bank under which it may make periodic borrowings (the Line of Credit) under a revolving line of credit. The Line of Credit contains various restrictive covenants, including limitations on the Company’s ability to pay dividends, enter into a merger or acquisition and the amount of capital expenditures the Company may make in any given fiscal year. In May 2014, the Company entered into an amendment, effective in April 2014, to the Line of Credit that, among other things: (1) increased the revolving line of credit from $19.0 million to $25.0 million, (2) amended the interest rate from the bank’s prime rate plus 2.0% to the bank’s prime rate plus 0.25% or, if the Company’s trailing four-quarter EBITDA exceeds $5.0 million, LIBOR plus 2.5%, (3) eliminated a requirement that the Company maintain a minimum cash balance with the bank, (4) replaced the $12.5 million minimum net worth covenant with a $50.0 million tangible net worth covenant (unless the Company maintains a minimum cash balance of $20.0 million, in which case the covenant is waived) and (5) extended the maturity date from April 25, 2014 to April 29, 2016.

As of September 30, 2014, the Company was in compliance with all covenants under the Line of Credit. The Company’s interest rate on borrowings under the Line of Credit was 3.5% and 5.25% at September 30, 2014 and December 31, 2013, respectively.

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Income Taxes (Tables)

9 Months Ended

Sep. 30, 2014

Income Tax Disclosure [Abstract]

Components of the Provision for Income Taxes

The following table summarizes the total income tax expense, and the related effective tax rate, for the three and nine months endedSeptember 30, 2014 and 2013 (in thousands):

	Three Months Ended September 30,						Nine Months Ended September 30,
	2014			2013			2014			2013
Income tax expense	$	936		$	303		$	1,497		$	971
Effective tax rate	(86.4		)%	(3.9		)%	(23.6		)%	(8.2		)%

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Significant Accounting Policies (Tables)

9 Months Ended

Sep. 30, 2014

Accounting Policies [Abstract]

Schedule of the Components of inventory, Net of Allowance

The components of inventory, net of allowance, as of September 30, 2014 and December 31, 2013 are as follows (in thousands):

	September 30, 2014		December 31, 2013
Finished goods	$	19,569	$	14,452
Work in process	3,321		2,737
Raw materials	667		501
Total	$	23,557	$	17,690

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Net Loss Per Share

9 Months Ended

Sep. 30, 2014

Earnings Per Share [Abstract]

Net Loss Per Share

Net Loss Per Share

The Company computes basic net loss per common share by dividing net loss attributable to common stockholders by the weighted average common shares outstanding for the period. During periods of income, the Company allocates participating securities a proportional share of income determined by dividing total weighted average participating securities by the sum of the total weighted average common shares and participating securities (the two-class method). The Company’s restricted stock units and preferred stock participate in any dividends declared by the Company and are therefore considered to be participating securities. During periods of loss, the Company allocates no loss to participating securities because they have no contractual obligation to share in the losses of the Company. Warrants that are liability classified are excluded from the calculation of basic net loss per share. The Company computes diluted net loss per common share after giving consideration to the dilutive effect of the Company’s convertible preferred stock, stock options and warrants that are outstanding during the period and the conversion of the Company’s convertible debt into shares of common stock, except where such would be anti-dilutive. Because the Company reported losses for the periods presented, all potentially dilutive common shares consisting of preferred stock, restricted stock units, stock options, warrants and convertible debt are antidilutive.

Net loss per share for the three and nine months endedSeptember 30, 2014 and 2013 was as follows (in thousands):

	Three Months Ended September 30,						Nine Months Ended September 30,
	2014			2013			2014			2013
Numerator
Net loss attributable to common stockholders	$	(2,019	)	$	(7,984	)	$	(7,846	)	$	(12,830	)
Denominator
Weighted average shares outstanding - basic	26,011			4,755			25,005			4,722
Dilutive effect of preferred stock, restricted stock units, options, warrants and convertible debt	—			—			—			—
Weighted average shares outstanding - diluted	26,011			4,755			25,005			4,722

The following common equivalent shares were excluded from the diluted net loss per share calculation as their inclusion would have been anti-dilutive (in thousands):

	Three Months Ended September 30,		Nine Months Ended September 30,
	2014	2013	2014	2013
Stock options	1,984	1,277	1,984	1,277
Restricted stock units	100	—	100	—
Redeemable convertible preferred stock	—	4,451	—	4,451
Convertible preferred stock	—	6,527	—	6,527
Common stock warrants	—	604	—	604
Preferred stock warrants	—	23	—	23

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Stock-Based Compensation

9 Months Ended

Sep. 30, 2014

Disclosure of Compensation Related Costs, Share-based Payments [Abstract]

Stock-Based Compensation

Stock-Based Compensation

(a) Stock Option Activity

A summary of the stock option activity for the Company for the nine months endedSeptember 30, 2014 is as follows:

	Shares		Weighted - Average Exercise Price		Weighted - Average Remaining Contractual Term	Aggregate Intrinsic Value
					(Years)	($000's)
Outstanding - December 31, 2013	1,572,626		$	6.17	7.17	$	27,413
Options granted	699,097		30.06
Options exercised	(270,648	)	3.58
Options forfeited	(17,076	)	26.41
Outstanding - September 30, 2014	1,983,999		$	14.77	7.94	$	34,042
Options vested and expected to vest at September 30, 2014	1,895,386		$	14.77	7.94	$	33,098
Options exercisable at September 30, 2014	1,098,367		$	6.26	7.94	$	27,455

The aggregate intrinsic value in the table above represents the total pre-tax value of the options shown, calculated as the difference between the Company’s closing stock price on September 30, 2014 and the exercise prices of the options shown, multiplied by the number of in-the money options. This is the aggregate amount that would have been received by the option holders if they had all exercised their options on September 30, 2014 and sold the shares thereby received at the closing price of the Company’s stock on that date. This amount changes based on the closing price of the Company’s stock.

Additional information regarding options is as follows (in thousands except for per share amounts):

	Nine Months Ended September 30,
	2014		2013
Weighted-average grant date fair value per share of options granted during the period	$	14.55	$	3.42
Aggregate intrinsic value of options exercised during the period	$	6,582	$	290

The total intrinsic value of options exercised represents the total pre-tax intrinsic value that was received by the option holders who exercised their options during the fiscal year and is calculated as the difference between the stock price at the time of exercise and the exercise price multiplied by the number of options exercised.

The unrecognized compensation expense related to unvested options was $9.6 million and $2.8 million at September 30, 2014 and December 31, 2013, respectively, and is expected to be recognized over a weighted-average period of approximately 2 years.

(b) Restricted Stock Unit Activity

A summary of the restricted stock unit activity for the Company for the nine months endedSeptember 30, 2014 is as follows:

	Units	Weighted - Average Grant Date Fair Value Per Share		Weighted - Average Remaining Contractual Term	Aggregate Intrinsic Value
				(Years)	($000's)
Unvested - December 31, 2013	—	$	—	0.0	$	—
Restricted stock units granted	99,500	27.06
Restricted stock units vested	—	—
Restricted stock units forfeited	—	—
Unvested - September 30, 2014	99,500	$	27.06	3.18	$	2,843

The unrecognized compensation expense related to unvested restricted stock units was $1.8 million at September 30, 2014 and is expected to be recognized over a weighted-average period of approximately 3 years.

(c) Stock-Based Compensation

The Company’s stock-based compensation expense related to employee stock options, restricted stock units and ESPP awards for the three and nine months endedSeptember 30, 2014 and 2013 was as follows (in thousands):

	Three Months Ended September 30,				Nine Months Ended September 30,
	2014		2013		2014		2013
Research and development	$	145	$	23	$	410	$	51
Sales and marketing	702		255		2,028		334
General and administrative	410		72		1,202		113
Total	$	1,257	$	350	$	3,640	$	498

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Income Taxes

9 Months Ended

Sep. 30, 2014

Income Tax Disclosure [Abstract]

Income Taxes

Income Taxes

The following table summarizes the total income tax expense, and the related effective tax rate, for the three and nine months endedSeptember 30, 2014 and 2013 (in thousands):

	Three Months Ended September 30,						Nine Months Ended September 30,
	2014			2013			2014			2013
Income tax expense	$	936		$	303		$	1,497		$	971
Effective tax rate	(86.4		)%	(3.9		)%	(23.6		)%	(8.2		)%

The provision for income taxes for the three and nine months endedSeptember 30, 2014 and 2013 includes both domestic and foreign income taxes at applicable statutory rates adjusted for non-deductible expenses and other permanent differences. The effective tax rate differs from the statutory rate due to non-deductible expenses, valuation allowance increase and foreign tax rate differentials. The Company has established a full valuation allowance relating to substantially of its U.S. net deferred tax assets due to uncertainties regarding the realization of the deferred tax assets based on the Company’s lack of earnings history in the U.S.

As of September 30, 2014 and December 31, 2013, the Company has no accrued interest or penalties associated with uncertain tax positions. The jurisdictions in which the Company files income taxes include the U.S., France and Brazil. The Company’s returns are not currently under examination by the Internal Revenue Service or other taxing authorities. The Company is subject to income tax examinations for the Company’s U.S. federal and state and local income taxes for 2004 and subsequent years and foreign tax examinations for 2006 and subsequent years.

The Company pays income taxes in France related to intercompany sales in the year the sale occurs; however the recognition of tax expense related to intercompany sales is deferred in the consolidated financial statements until the product is sold to an unrelated third party. The deferred income tax charge is included in other current assets in the condensed consolidated balance sheets. As of September 30, 2014 and December 31, 2013, the deferred income tax charge was $4.0 million and $1.5 million, respectively.

Earnings occurring outside the U.S. are deemed to be indefinitely reinvested outside of the U.S. to support the Company’s foreign operations. As a result, the Company continues to accumulate earnings overseas for investment in the Company’s business outside the U.S. and to use cash generated from U.S. operations and short- and long-term borrowings to meet the Company’s U.S. cash needs. Should the Company require more capital in the U.S. than is generated by the Company’s domestic operations, the Company could elect to repatriate earnings from the Company’s non-U.S. subsidiaries or raise additional capital in the U.S. through debt or equity issuances. These alternatives could result in higher effective tax rates, increased interest expense, or other dilution of the Company’s earnings. The Company has not estimated the deferred tax liabilities associated with the Company’s permanently reinvested earnings as it is impractical to do so.

The Company recently completed a research and development study related to expenditures for FDA approval of Mobi-C^® and other implants. The study resulted in the Company recording a tax credit of $1.8 million. The credit is subject to a full valuation allowance.

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Commitments and Contingencies

9 Months Ended

Sep. 30, 2014

Commitments and Contingencies Disclosure [Abstract]

Commitments and Contingencies

Commitments and Contingencies

From time to time, the Company may be involved in litigation relating to claims arising out of its ordinary course of business. Management believes that there are no claims or actions pending or threatened against the Company, the ultimate disposition of which would have a material impact on the Company’s financial position, results of operations or cash flows.

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Stock-Based Compensation Schedule of Restricted Stock Units Activity (Details) (Restricted Stock Units (RSUs) [Member], USD $) In Thousands, except Share data, unless otherwise specified	9 Months Ended	12 Months Ended
	Sep. 30, 2014	Dec. 31, 2013
Restricted Stock Units (RSUs) [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Number of Shares [Roll Forward]
Unvested - Beginning, Units	0
Restricted stock units granted, Units	99,500
Restricted stock units vested, Units	0
Restricted stock units forfeited, Units	0
Unvested - Ending, Units	99,500	0
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Weighted Average Grant Date Fair Value [Abstract]
Unvested - Beginning, Weighted - Average Grant Date Fair Value Per Share (in dollars per share)	$ 0.00
Restricted stock units granted, Weighted - Average Grant Date Fair Value Per Share (in dollars per share)	$ 27.06
Restricted stock units vested, Weighted - Average Grant Date Fair Value Per Share (in dollars per share)	$ 0.00
Restricted stock units forfeited, Weighted - Average Grant Date Fair Value Per Share (in dollars per share)	$ 0.00
Unvested - Ending, Weighted - Average Grant Date Fair Value Per Share (in dollars per share)	$ 27.06	$ 0.00
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Additional Disclosures [Abstract]
Unvested - Beginning, Weighted - Average Remaining Contractual Term	3 years 2 months 5 days	0 years
Unvested - Ending, Weighted - Average Remaining Contractual Term	3 years 2 months 5 days	0 years
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Aggregate Intrinsic Value [Abstract]
Unvested - Beginning, Aggregate Intrinsic Value	$ 0
Unvested - Ending, Aggregate Intrinsic Value	$ 2,843	$ 0

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Long-Term Debt (Tables)

9 Months Ended

Sep. 30, 2014

Debt Disclosure [Abstract]

Schedule of Long-term Debt

Long-term debt consists of the following (in thousands):

	September 30, 2014			December 31, 2013
Short-term financing	$	4,004		$	2,641
Various notes payable	2,845			4,521
Total long-term debt	6,849			7,162
Less current portion of long-term debt and short-term financing	(5,176		)	(4,404		)
Long-term debt, net of current portion	$	1,673		$	2,758

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Organization and Business Description (Details) (USD $)	9 Months Ended	2 Months Ended		0 Months Ended	2 Months Ended	0 Months Ended
	Sep. 30, 2014	Jun. 30, 2014 Secondary Public Offering [Member]	Jun. 30, 2014 Secondary Public Offering [Member] Underwriters [Member]	Oct. 15, 2013 Common Stock [Member]	Jun. 30, 2014 Common Stock [Member]	Oct. 15, 2013 Common Stock [Member] Equity Option [Member]	Oct. 15, 2013 Common Stock [Member] IPO [Member]
Class of Stock [Line Items]
Issuance of common stock (in shares)		1,495,000	195,000			750,000	5,750,000
Share Price				$ 15.00	$ 24.50
Issuance of common stock in a public offering	$ 36,628,000			$ 77,500,000	$ 34,000,000
Underwriting discounts and expenses				$ 8,700,000	$ 2,600,000

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Segment and Geographic Information Revenues from External Customers and Long-Lived Assets (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended				9 Months Ended
	Sep. 30, 2014		Sep. 30, 2013		Sep. 30, 2014		Sep. 30, 2013		Dec. 31, 2013
Revenues from External Customers and Long-Lived Assets [Line Items]
Revenue	$ 35,901		$ 27,195		$ 101,721		$ 79,616
Long-Lived Assets	15,363				15,363				12,695
United States [Member]
Revenues from External Customers and Long-Lived Assets [Line Items]
Revenue	28,084		20,062		77,587		57,459
Long-Lived Assets	9,735				9,735				7,446
France [Member]
Revenues from External Customers and Long-Lived Assets [Line Items]
Revenue	2,666		2,337		9,298		8,214
Long-Lived Assets	4,273				4,273				3,615
Other Countries [Member]
Revenues from External Customers and Long-Lived Assets [Line Items]
Revenue	5,151	[1]	4,796	[1]	14,836	[1]	13,943	[1]
Long-Lived Assets	$ 1,355	[1]			$ 1,355	[1]			$ 1,634	[1]

[1] No additional locations are individually significant.

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CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY (USD $) In Thousands, except Share data, unless otherwise specified	Total	Common Stock [Member]	Treasury Stock [Member]	Additional Paid-in Capital [Member]	Accumulated Other Comprehensive Income (Loss) [Member]	Accumulated Deficit [Member]
Beginning Balance at Dec. 31, 2013	$ 77,677	$ 24		$ 161,216	$ 198	$ (83,761)
Beginning Balance (in shares) at Dec. 31, 2013		24,076,667
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Issuance of common stock in a public offering (in shares)		1,495,000
Issuance of common stock in a public offering	36,628	2		36,626
Underwriting discount and common stock issuance costs	(2,640)			(2,640)
Exercises of common stock options (in shares)	270,648	270,648
Exercises of common stock options	968			968
Issuance of common stock under employee stock purchase plan (in shares)		214,724
Issuance of common stock under employee stock purchase plan	2,737			2,737
Purchase of treasury stock (in shares)			349
Purchase of treasury stock	(8)		(8)
Stock-based compensation	3,640			3,640
Currency translation adjustment	(2,404)				(2,404)
Net loss	(7,846)
Treasury Stock Ending Balance (in shares)			349
Ending Balance at Sep. 30, 2014	$ 108,752	$ 26	$ (8)	$ 202,547	$ (2,206)	$ (91,607)
Ending Balance (in shares) at Sep. 30, 2014		26,057,039

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Accrued Expenses

9 Months Ended

Sep. 30, 2014

Payables and Accruals [Abstract]

Accrued Expenses

Accrued Expenses

Accrued expenses consist of the following (in thousands):

	September 30, 2014		December 31, 2013
Compensation and other employee related costs	$	9,714	$	8,715
Contributions withheld for Employee Stock Purchase Plan	281		976
Royalties	1,834		1,184
Clinical and regulatory costs	402		327
Government grants	896		974
Rent	1,902		1,893
Taxes	3,694		939
Other	1,231		1,316
	$	19,954	$	16,324

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Significant Accounting Policies Narrative (Details) (USD $)	9 Months Ended					3 Months Ended	9 Months Ended	12 Months Ended
	Sep. 30, 2014	Sep. 30, 2013	Dec. 31, 2013	Sep. 30, 2014 Inventory Held by Hospitals and Sales Agents [Member]	Dec. 31, 2013 Inventory Held by Hospitals and Sales Agents [Member]	Mar. 31, 2014 Immaterial Errors Related to the Presentation of Purchases of Property [Member] Restatement Adjustment [Member]	Sep. 30, 2013 Immaterial Errors Related to the Presentation of Purchases of Property [Member] Restatement Adjustment [Member]	Dec. 31, 2013 Immaterial Errors Related to the Presentation of Purchases of Property [Member] Restatement Adjustment [Member]
Significant Accounting Policies [Line Items]
Net Cash Provided by (Used in) Investing Activities	$ 5,442,000	$ 2,327,000				$ 800,000	$ 600,000	$ 200,000
Net Cash Provided by (Used in) Operating Activities	(5,179,000)	(4,179,000)				800,000	600,000	200,000
Inventory held by hospitals and sales agents	23,557,000		17,690,000	6,700,000	5,800,000
Inventory Valuation Reserves	$ 4,200,000		$ 3,500,000

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Income Taxes Narrative (Details) (USD $)			9 Months Ended
	Sep. 30, 2014 Other Current Assets [Member] France [Member]	Dec. 31, 2013 Other Current Assets [Member] France [Member]	Sep. 30, 2014 Research Tax Credit Carryforward [Member]
Operating Loss Carryforwards [Line Items]
International	$ 4,038,000	$ 1,500,000
Tax credit			$ 1,800,000

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Accrued Expenses (Tables)

9 Months Ended

Sep. 30, 2014

Payables and Accruals [Abstract]

Schedule of Accrued Expenses

Accrued expenses consist of the following (in thousands):

	September 30, 2014		December 31, 2013
Compensation and other employee related costs	$	9,714	$	8,715
Contributions withheld for Employee Stock Purchase Plan	281		976
Royalties	1,834		1,184
Clinical and regulatory costs	402		327
Government grants	896		974
Rent	1,902		1,893
Taxes	3,694		939
Other	1,231		1,316
	$	19,954	$	16,324