10-Q 1 a2014q210q.htm 10-Q 2014 Q2 10Q



UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

FORM 10-Q
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended June 30, 2014
Commission file number 333-184233-14

CENTAUR GUERNSEY L.P. INC.
(Exact name of registrant as specified in its charter)

Guernsey
 
98-1022387
(State or other jurisdiction of incorporation or organization)
 
(I.R.S. Employer Identification No.)
 
 
 
12930 West Interstate 10
San Antonio, Texas               
 
78249
(Address of principal executive offices)
 
(Zip Code)

Registrant's telephone number, including area code: (210) 524-9000

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.                                                                                                          Yes    X         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).                                          Yes    X         No        
                                                                                                                                                                      
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act.
Large accelerated filer
 
 
Accelerated filer
 
 
 
 
 
 
Non-accelerated filer
X
(Do not check if a smaller reporting company)
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   ____         No      X     
         
As of July 28, 2014, there were 341,410,891.610 Class A-1 and 728,041.800 Class A-2 partnership units outstanding.   



TABLE OF CONTENTS

CENTAUR GUERNSEY L.P. INC.






2

CAUTIONARY STATEMENT REGARDING FORWARD-LOOKING STATEMENTS
This Quarterly Report on Form 10-Q includes statements that express our opinions, expectations, beliefs, plans, objectives, assumptions or projections regarding future events or future results and therefore are, or may be deemed to be, “forward-looking statements.” The forward-looking statements are based on our current expectations and projections about future events. Discussions containing forward-looking statements may be found in “Management’s Discussion and Analysis of Financial Condition and Results of Operations,” “Risk Factors,” and elsewhere in this report. In some cases, you can identify forward-looking statements by terminology such as “may,” “will,” “should,” “could,” “predicts,” “projects,” “potential,” “continue,” “expects,” “anticipates,” “aims,” “future,” “intends,” “plans,” “believes,” “estimates,” or the negative of those terms and other variations of them or by comparable terminology.
These forward-looking statements are only predictions, not historical facts, and involve certain risks and uncertainties, as well as assumptions. Actual results, levels of activity, performance, achievements and events could differ materially from those stated, anticipated or implied by such forward-looking statements. The factors that could contribute to such differences include those discussed under the caption “Risk Factors.” You should consider each of the risk factors and uncertainties under the caption “Risk Factors” in this Quarterly Report on Form 10-Q and our Annual Report on Form 10-K for the fiscal year ended December 31, 2013, among other things, in evaluating our prospects and future financial performance. The occurrence of the events described in the risk factors could harm our business, results of operations and financial condition. These forward-looking statements are made as of the date of this report. Except as required under federal securities laws and the rules and regulations of the Securities and Exchange Commission, we do not have any intention to update any forward-looking statements to reflect events or circumstances arising after the date of this report, whether as a result of new information, future events or otherwise.
TRADEMARKS, SERVICE MARKS AND COPYRIGHTS
3M® Tegaderm® is a licensed trademark of 3M Company; GRAFTJACKET® is a licensed trademark of Wright Medical Technology Inc; Novadaq®, SPY®, and SPY ELITE® are licensed trademarks of Novadaq Technologies, Inc.; and Prontosan® Wound Irrigation Solution is a licensed trademark of B. Braun Medical, Inc. Unless otherwise indicated, all other trademarks appearing in this report are proprietary to KCI Licensing, Inc., LifeCell Corporation or Systagenix Wound Management IP Co B.V., their affiliates and/or licensors. The absence of a trademark or service mark or logo from this report does not constitute a waiver of trademark or other intellectual property rights of KCI Licensing, Inc., Systagenix Wound Management IP Co B.V., or LifeCell Corporation, their affiliates and/or licensors.
DEFINED TERMS
The following terms are used in this Quarterly Report on Form 10-Q unless otherwise noted or indicated by the context.
•
the terms the “Company,” “we,” “our,” and “us” refer to Centaur Guernsey L.P. Inc. (“Centaur”) and its consolidated subsidiaries.
•
the term “Merger” refers to the transaction completed on November 4, 2011 pursuant to which Kinetic Concepts, Inc. was merged with Chiron Merger Sub, Inc. (“Merger Sub”), a direct subsidiary of Chiron Holdings, Inc. (“Holdings”) and an indirect subsidiary of Centaur Guernsey L.P. Inc.
▪
the term “KCI” means Kinetic Concepts, Inc. and its subsidiaries.
▪
the term “LifeCell” means LifeCell Corporation and its subsidiaries.
▪
the term “Systagenix” means Systagenix Wound Management B.V., its subsidiaries, and its U.S.-based affiliate, Systagenix Wound Management (US), Inc.


3

PART I - FINANCIAL INFORMATION


ITEM 1. FINANCIAL STATEMENTS
CENTAUR GUERNSEY L.P. INC. AND SUBSIDIARIES
Condensed Consolidated Balance Sheets
(in thousands)
 
June 30,
2014
 
December 31,
2013
 
(unaudited)
 
 
Assets:
 
 
 
Current assets:
 
 
 
Cash and cash equivalents
$
213,667

 
$
206,949

Accounts receivable, net
371,061

 
407,578

Inventories, net
185,491

 
181,567

Deferred income taxes
32,551

 
23,621

Prepaid expenses and other
43,248

 
53,161

Total current assets
846,018

 
872,876

 
 
 
 
Net property, plant and equipment
306,642

 
333,725

Debt issuance costs, net
89,960

 
102,054

Deferred income taxes
35,734

 
31,459

Goodwill
3,378,931

 
3,378,661

Identifiable intangible assets, net
2,472,073

 
2,549,201

Other non-current assets
5,219

 
4,669

 
$
7,134,577

 
$
7,272,645

 
 
 
 
Liabilities and Equity:
 
 
 
Current liabilities:
 
 
 
Accounts payable
54,846

 
50,316

Accrued expenses and other
428,491

 
328,975

Current installments of long-term debt
26,100

 
26,311

Income taxes payable
4,099

 
3,368

Deferred income taxes
17,219

 
2,199

Total current liabilities
530,755

 
411,169

 
 
 
 
Long-term debt, net of current installments and discount
4,856,928

 
4,865,503

Non-current tax liabilities
53,989

 
53,682

Deferred income taxes
860,070

 
1,003,784

Other non-current liabilities
133,360

 
40,432

Total liabilities
6,435,102

 
6,374,570

Equity:
 
 
 
General partner’s capital
—

 
—

Limited partners’ capital
701,433

 
900,218

Accumulated other comprehensive loss, net
(1,958
)
 
(2,143
)
Total equity
699,475

 
898,075

 
$
7,134,577

 
$
7,272,645


See accompanying notes to condensed consolidated financial statements.

4

CENTAUR GUERNSEY L.P. INC. AND SUBSIDIARIES
Condensed Consolidated Statements of Operations
(in thousands)
(unaudited)
 
Three months ended June 30,
 
Six months ended June 30,
 
2014
 
2013
 
2014
 
2013
Revenue:
 
 
 
 
 
 
 
Rental
$
175,235

 
$
190,245

 
$
341,793

 
$
378,408

Sales
289,936

 
242,434

 
570,917

 
470,155

Total revenue
465,171

 
432,679

 
912,710

 
848,563

 
 
 
 
 
 
 
 
Rental expenses
87,038

 
90,382

 
172,830

 
187,733

Cost of sales
82,307

 
59,325

 
165,609

 
115,556

Gross profit
295,826

 
282,972

 
574,271

 
545,274

 
 
 
 
 
 
 
 
Selling, general and administrative expenses
170,585

 
204,983

 
346,946

 
366,425

Research and development expenses
18,233

 
20,397

 
35,723

 
38,179

Acquired intangible asset amortization
48,754

 
46,461

 
99,443

 
94,007

Wake Forest settlement
198,578

 
—

 
198,578

 
—

Operating earnings (loss)
(140,324
)
 
11,131

 
(106,419
)
 
46,663

 
 
 
 
 
 
 
 
Interest income and other
127

 
904

 
222

 
1,062

Interest expense
(101,805
)
 
(105,658
)
 
(204,000
)
 
(213,746
)
Loss on extinguishment of debt
—

 
(2,164
)
 
—

 
(2,164
)
Foreign currency gain (loss)
3,852

 
(7,772
)
 
4,088

 
(3,197
)
Derivative instruments gain (loss)
(4,297
)
 
10,556

 
(4,300
)
 
10,040

Loss from continuing operations before income tax benefit
(242,447
)
 
(93,003
)
 
(310,409
)
 
(161,342
)
Income tax benefit
(89,730
)
 
(31,056
)
 
(111,309
)
 
(56,024
)
Loss from continuing operations
(152,717
)
 
(61,947
)
 
(199,100
)
 
(105,318
)
Loss from discontinued operations, net of tax
—

 
(628
)
 
—

 
(2,044
)
Net loss
$
(152,717
)
 
$
(62,575
)
 
$
(199,100
)
 
$
(107,362
)

See accompanying notes to condensed consolidated financial statements.

5

CENTAUR GUERNSEY L.P. INC. AND SUBSIDIARIES
Condensed Consolidated Statements of Comprehensive Loss
(in thousands)
(unaudited)
 
Three months ended June 30,
 
Six months ended June 30,
 
2014
 
2013
 
2014
 
2013
 
 
 
 
 
 
 
 
Net loss
$
(152,717
)
 
$
(62,575
)
 
$
(199,100
)
 
$
(107,362
)
Unrealized investment gain, net of tax benefit (expense) of $629 and $1 in 2014 and ($385) and ($1,075) in 2013
(1,005
)
 
614

 
(2
)
 
1,716

Foreign currency translation adjustment, net of tax benefit (expense) of ($440) and ($502) in 2014 and $171 and $559 in 2013
(103
)
 
(2,359
)
 
187

 
(4,135
)
Total comprehensive loss
$
(153,825
)
 
$
(64,320
)
 
$
(198,915
)
 
$
(109,781
)

See accompanying notes to condensed consolidated financial statements.

6

CENTAUR GUERNSEY L.P. INC. AND SUBSIDIARIES
Condensed Consolidated Statements of Cash Flows
(in thousands)
(unaudited)

 
Six months ended June 30,
 
2014
 
2013
Cash flows from operating activities:
 
 
 
Net loss
$
(199,100
)
 
$
(107,362
)
Adjustments to reconcile net loss to net cash provided by operating activities:
 
 
 
Amortization of debt issuance costs and discount
19,409

 
17,205

Depreciation and other amortization
160,528

 
171,194

Loss on disposition of assets
—

 
3,315

Amortization of fair value step-up in inventory
6,680

 
—

Fixed asset and inventory impairment
—

 
30,259

Write-off of other intangible assets
—

 
13,400

Wake Forest settlement
198,578

 
—

Provision for bad debt
8,239

 
3,521

Loss on extinguishment of debt
—

 
2,164

Equity-based compensation expense
2,103

 
1,196

Deferred income tax benefit
(141,532
)
 
(71,357
)
Unrealized gain on derivative instruments
(3,785
)
 
(11,697
)
Unrealized gain on revaluation of cross currency debt
(3,104
)
 
(4,318
)
Change in assets and liabilities:
 
 
 
Decrease in accounts receivable, net
27,186

 
5,912

Increase in inventories, net
(10,881
)
 
(10,997
)
Decrease (increase) in prepaid expenses and other
9,765

 
(15,315
)
Increase in accounts payable
4,412

 
2,939

Increase (decrease) in accrued expenses and other
(17,827
)
 
8,359

Increase in tax liabilities, net
707

 
1,975

Net cash provided by operating activities
61,378

 
40,393

 
 
 
 
Cash flows from investing activities:
 
 
 
Additions to property, plant and equipment
(28,382
)
 
(39,981
)
Increase in inventory to be converted into equipment for short-term rental
(4,121
)
 
(8,523
)
Dispositions of property, plant and equipment
532

 
432

Businesses acquired in purchase transaction, net of cash acquired
(4,613
)
 
—

Increase in identifiable intangible assets and other non-current assets
(4,230
)
 
(2,558
)
Net cash used by investing activities
(40,814
)
 
(50,630
)
 
 
 
 
Cash flows from financing activities:
 
 
 
Settlement of profits interest units
(1,416
)
 
—

Distribution to limited partners
—

 
(1,572
)
Repayments of long-term debt and capital lease obligations
(13,271
)
 
(52,926
)
Payment of debt issuance costs
—

 
(21,122
)
Net cash used by financing activities
(14,687
)
 
(75,620
)
Effect of exchange rate changes on cash and cash equivalents
841

 
(1,676
)
Net increase (decrease) in cash and cash equivalents
6,718

 
(87,533
)
Cash and cash equivalents, beginning of period
206,949

 
383,150

Cash and cash equivalents, end of period
$
213,667

 
$
295,617


See accompanying notes to condensed consolidated financial statements

7

Notes to Condensed Consolidated Financial Statements

NOTE 1.     Summary of Significant Accounting Policies

(a)   Basis of Presentation and Principles of Consolidation

The accompanying condensed consolidated financial statements have been prepared in accordance with U.S. generally accepted accounting principles (“GAAP” or “the Codification”) for interim financial information and in accordance with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information necessary for a fair presentation of results of operations, financial position and cash flows in conformity with GAAP. Operating results from interim periods are not necessarily indicative of results that may be expected for the fiscal year as a whole. The condensed consolidated financial statements reflect all adjustments, consisting of normal recurring accruals, considered necessary for a fair presentation of our results for the interim periods presented. Certain prior period amounts have been reclassified to conform to the 2014 presentation.

On November 8, 2012, KCI closed on the divestiture of its Therapeutic Support Systems ("TSS") business to Getinge AB. Under the terms of the sale agreement, we agreed to provide transition services to Getinge AB after the close of the transaction. Additionally, the results of the operations subject to the agreement, excluding the allocation of general corporate overhead, are presented as discontinued operations in the consolidated statements of operations for all periods presented. Discontinued operations amounts related to TSS also exclude incremental expenses related to our transition services agreement with Getinge AB and the service fee payable by Getinge AB under the transition services agreement.

The Company has two reportable operating segments: Advanced Wound Therapeutics and Regenerative Medicine. We have two primary geographic regions for which we provide supplemental information: the Americas, which is comprised principally of the United States and includes Canada, Puerto Rico and Latin America; and EMEA/APAC, which is comprised of Europe, the Middle East, Africa and the Asia Pacific region.

The condensed consolidated financial statements appearing in this quarterly report on Form 10-Q should be read in conjunction with the consolidated financial statements and notes thereto included in our Annual Report on Form 10-K for the fiscal year ended December 31, 2013.

(b)   Derivative Financial Instruments and Fair Value Measurements

We use derivative financial instruments to manage the economic impact of fluctuations in interest rates. We do not use financial instruments for speculative or trading purposes. Periodically, we enter into interest rate protection agreements to modify the interest characteristics of our outstanding debt. Our interest rate derivatives have not been designated as hedging instruments, and as such, we recognize the fair value of these instruments as an asset or liability with income or expense recognized in the current period.

We also use derivative financial instruments to manage the economic impact of fluctuations in currency exchange rates on our intercompany balances and corresponding cash flows and to manage our transactional currency exposures when our foreign subsidiaries enter into transactions denominated in currencies other than their local currency. We enter into foreign currency exchange contracts to manage these economic risks. These contracts are not designated as hedges; and as such, we recognize the fair value of these instruments as an asset or liability with income or expense recognized in the current period. Although we use master netting agreements with our derivative counterparties, we do not offset derivative asset and liability positions in the condensed consolidated balance sheets.

All derivative instruments are recorded on the balance sheets at fair value. The fair values of our interest rate derivatives and foreign currency exchange contracts are determined based on inputs that are readily available in public markets or can be derived from information available in publicly quoted markets, which represent level 2 inputs as defined by the Codification.



8

(c)   Concentration of Credit Risk
We have a concentration of credit risk with financial institutions related to our derivative instruments. As of June 30, 2014, Morgan Stanley, UBS and HSBC were the counterparties on our interest rate protection agreements consisting of interest rate swap agreements in notional amounts totaling $507.1 million each. We use master netting agreements with our derivative counterparties to reduce our risk and use multiple counterparties to reduce our concentration of credit risk.
We maintain cash and cash equivalents with several financial institutions. Deposits held with banks may exceed the amount of insurance provided on such deposits. These deposits bear minimal credit risk as they are maintained at financial institutions of reputable credit and generally may be redeemed upon demand.
(d)   Recently Adopted Accounting Standards
In July 2013, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) No. 2013-11 “Income Taxes – Presentation of an Unrecognized Tax Benefit When a Net Operating Loss Carry forward, a Similar Tax Loss, or a Tax Credit Carry forwards Exists” which provides that entities should present the unrecognized tax benefit as a reduction of the deferred tax asset for a net operating loss (“NOL”) or similar tax loss or tax credit carryforward rather than as a liability when the uncertain tax position would reduce the NOL or other carryforward under the tax law. The ASU is effective for annual and interim period for fiscal years beginning on or after December 15, 2013. The Company adopted this ASU effective January 1, 2014. The adoption of this update did not have a material impact on our results of operations, financial position or disclosures.
(e)   Recently Issued Accounting Standards
In April 2014, the Financial Accounting Standards Board ("FASB") issued Accounting Standards Update ("ASU") No. 2014-08, "Presentation of Financial Statements (Topic 205) and Property, Plant, and Equipment (Topic 360): Reporting Discontinued Operations and Disclosures of Disposals of Components of an Entity". ASU No. 2014-08 changes the requirements for reporting discontinued operations and requires additional disclosures about discontinued operations. Under the new guidance, only disposals representing a strategic shift in operations - that is, a major effect on the organization's operations and financial results should be presented as discontinued operations. Examples include a disposal of a major geographic area, a major line of business, or a major equity method investment. Additionally, the ASU requires expanded disclosures about discontinued operations that will provide financial statement users with more information about the assets, liabilities, income, and expenses of discontinued operations. The amendments in the ASU are effective in the first quarter of 2015 for public organizations with calendar year ends. The Company is evaluating this update, however we do not anticipate that it will have a material effect on our results of operations, financial position or disclosures.
In May 2014, the FASB issued ASU No. 2014-09, "Revenue from Contracts with Customers (Topic 606)". This ASU affects any entity that either enters into contracts with customers to transfer goods or services or enters into contracts for the transfer of nonfinancial assets unless those contracts are within the scope of other standards (e.g., insurance contracts or lease contracts). This ASU supersedes the revenue recognition requirements in Topic 605, "Revenue Recognition", and most industry-specific guidance. This ASU also supersedes some cost guidance included in Subtopic 605-35, "Revenue Recognition-Construction-Type and Production-Type Contracts". In addition, the existing requirements for the recognition of a gain or loss on the transfer of nonfinancial assets that are not in a contract with a customer (e.g., assets within the scope of Topic 360, "Property, Plant, and Equipment", and intangible assets within the scope of Topic 350, "Intangibles-Goodwill and Other") are amended to be consistent with the guidance on recognition and measurement (including the constraint on revenue) in this ASU. For a public entity, the amendments in this ASU are effective for annual reporting periods beginning after December 15, 2016, including interim periods within that reporting period. Early application is not permitted. The Company is evaluating this update to determine if it will have a material effect on our results of operations, financial position or disclosures.
(f)   Other Significant Accounting Policies
For further information on our significant accounting policies, see Note 1 of the notes to the consolidated financial statements included in the Company's Annual Report on Form 10-K for the fiscal year ended December 31, 2013.

9


NOTE 2.     Business Acquisition

On July 30, 2013, KCI announced that it had signed a definitive share purchase agreement to acquire Systagenix, an established provider of advanced wound care products. The transaction closed on October 28, 2013. The adjusted purchase price paid, net of cash and cash equivalents, was $478.7 million. The acquisition was accounted for as a business combination using the acquisition method and the purchase price was funded using $350.0 million of incremental borrowings under our existing senior secured credit facility along with cash on hand. The preliminary allocation of the purchase price to the Systagenix tangible and identifiable intangible assets was based on their estimated fair values as of the acquisition date. The excess of the purchase price over the identifiable intangible and net tangible assets was allocated to goodwill, which is not deductible for tax purposes. The purchase price allocation is preliminary, pending the final determination of the fair value of certain assumed assets and liabilities. As these issues are identified, modified or resolved, resulting increases or decreases to the preliminary value of assets and liabilities are offset by a change to goodwill. Adjustments to these estimates will be included in the final allocation of the purchase price.

The following table represents the preliminary allocation of the purchase price (in thousands):
 
December 31,
2013
 
Adjustment
 
June 30,
2014
Goodwill
$
171,086

 
$
270

 
$
171,356

Identifiable intangible assets
 
 
 
 
 
   Customer relationships
103,301

 
 
 
103,301

   Developed technology
91,700

 
 
 
91,700

   Tradenames
56,800

 
 
 
56,800

   In-process research and development
1,766

 
 
 
1,766

Tangible assets acquired and liabilities assumed:
 
 
 
 
 
   Accounts receivable
50,807

 
 
 
50,807

   Inventories
27,450

 
 
 
27,450

   Other current assets
1,902

 
 
 
1,902

   Property, plant and equipment
44,016

 
 
 
44,016

   Other non-current assets
139

 
 
 
139

   Current liabilities
(34,752
)
 
(270
)
 
(35,022
)
   Other non-current liabilities
(79
)
 
 
 
(79
)
   Net deferred tax liability
(35,388
)
 
 
 
(35,388
)
         Total purchase price
$
478,748

 
$
—

 
$
478,748


Purchase accounting rules require that as certain pre-acquisition issues are identified, modified or resolved, resulting increases or decreases to the preliminary value of assets and liabilities are offset by a change in goodwill. Modifications to goodwill reflected in the “Adjustments” column above were primarily the result of assumed liabilities.

The following table reflects the unaudited pro forma condensed consolidated results of operations, as though the acquisition had occurred on January 1, 2012 (in thousands):
 
Three months ended June 30,
 
Six months ended June 30,
 
2013
 
2013
 
 
 
 
Pro forma revenue
$
484,771

 
$
951,765

Pro forma net loss
$
(61,656
)
 
$
(114,794
)

The unaudited pro forma condensed consolidated results of operations presented above are for illustrative purposes only and are not necessarily indicative of what actually would have occurred had the acquisition been in effect for the period presented, nor are they indicative of future operating results. 

    

10

In January 2014, LifeCell entered into an asset purchase agreement with TauTona Injector, LLC to purchase certain assets, including patents, know-how, and inventory. Under the terms of the asset purchase agreement, LifeCell made an initial cash payment of $3.0 million at the closing of the transaction. The asset purchase agreement also calls for additional payments by LifeCell of up to $31.5 million upon the achievement of certain milestones. During the first six months of 2014, LifeCell paid $1.5 million under the asset purchase agreement related to milestone achievement. As of June 30, 2014, the accompanying condensed consolidated balance sheet included $6.8 million under the caption "accrued expenses and other" and $8.6 million under the caption "other non-current liabilities" related to future anticipated milestone payments.


NOTE 3.     Supplemental Balance Sheet Data

(a)   Accounts Receivable, net

Accounts receivable consist of the following (in thousands):
 
June 30,
2014
 
December 31,
2013
Gross trade accounts receivable:
 
 
 
    Billed trade accounts receivable
$
399,904

 
$
418,804

Unbilled receivables
31,518

 
50,841

     Less:  Allowance for revenue adjustments
(59,138
)
 
(67,631
)
    Gross trade accounts receivable
372,284

 
402,014

Less:  Allowance for bad debt
(13,166
)
 
(8,483
)
    Net trade accounts receivable
359,118

 
393,531

Other receivables
11,943

 
14,047

 
$
371,061

 
$
407,578


(b)   Inventories, net

Inventories consist of the following (in thousands):
 
June 30,
2014
 
December 31,
2013
Finished goods and tissue available for distribution
$
126,494

 
$
110,937

Goods and tissue in-process
12,387

 
12,994

Raw materials, supplies, parts and unprocessed tissue
69,454

 
71,876

 
208,335

 
195,807

Less: Amounts expected to be converted into equipment for short-term rental
(8,073
)
 
(3,952
)
         Reserve for excess and obsolete inventory
(14,771
)
 
(10,288
)
 
$
185,491

 
$
181,567


11


NOTE 4.     Long-Term Debt

Long-term debt consists of the following (in thousands):
 
June 30,
2014
 
December 31,
2013
 
 
 
 
Senior Dollar Term E-1 Credit Facility (1) – due 2018
$
1,936,975

 
$
1,946,708

Senior Euro Term E-1 Credit Facility (1) – due 2018
332,937

 
337,820

Senior Term E-2 Credit Facility (1) – due 2016
316,944

 
318,537

10.5% Second Lien Senior Secured Notes due 2018
1,750,000

 
1,750,000

12.5% Senior Unsecured Notes due 2019
612,000

 
612,000

3.25% Convertible Senior Notes due 2015
101

 
101

     Notional amount of debt
4,948,957

 
4,965,166

 
 
 
 
Senior Dollar Term E-1 Credit Facility Discount, net of accretion
(27,621
)
 
(30,926
)
Senior Euro Term E-1 Credit Facility Discount, net of accretion
(9,469
)
 
(10,693
)
Senior Term E-2 Credit Facility Discount, net of accretion
(3,727
)
 
(4,486
)
Second Lien Senior Secured Notes Discount, net of accretion
(22,268
)
 
(24,222
)
Senior Unsecured Notes Discount, net of accretion
(2,844
)
 
(3,025
)
     Net discount on debt
(65,929
)
 
(73,352
)
 
 
 


Total debt, net of discount
4,883,028

 
4,891,814

Less:  Current installments
(26,100
)
 
(26,311
)
 
$
4,856,928

 
$
4,865,503

_____________________________
(1) On January 22, 2014, we entered into Amendment No. 5 to our senior secured credit facility. As a result of the amendment we created new classes of Dollar Term E-1 Loans, Euro Term E-1 Loans and Term E-2 Loans, having the same rights and obligations as the Dollar Term D-1 Loans, Euro Term D-1 Loans and Term D-2 Loans as set forth in the governing credit agreement and loan documents, except as revised by Amendment No. 5.

Senior Secured Credit Facility

Our senior secured credit facility (the “Senior Secured Credit Facility”) includes a $200 million revolving credit facility (the “Revolving Credit Facility”). Amounts available under the Revolving Credit Facility are available for borrowing and reborrowing until maturity. At June 30, 2014 and December 31, 2013, no revolving credit loans were outstanding and we had outstanding letters of credit issued by banks which are party to the Senior Secured Credit Facility of $21.3 million and $21.2 million, respectively. In addition, we had $12.1 million and $12.6 million of letters of credit issued by a bank not party to the Senior Secured Credit Facility as of June 30, 2014 and December 31, 2013, respectively. The capacity of the Revolving Credit Facility is reduced for the $21.3 million and $21.2 million of letters of credit issued by banks which are party to the Senior Secured Credit Facility as of June 30, 2014 and December 31, 2013, respectively. The resulting availability under the Revolving Credit Facility was $178.7 million and $178.8 million at June 30, 2014 and December 31, 2013, respectively. Commitment fees accrue at a rate of 0.50% on the amounts available under the Revolving Credit Facility.

On January 22, 2014, we entered into Amendment No. 5 to our Senior Secured Credit Facility ("Amendment No. 5"). As a result of the amendment we created new classes of Dollar Term E-1 Loans, Euro Term E-1 Loans and Term E-2 Loans, having the same rights and obligations as the Dollar Term D-1 Loans, Euro Term D-1 Loans and Term D-2 Loans as set forth in the governing credit agreement and loan documents, except as revised by Amendment No. 5. In connection with Amendment No. 5, Dollar Term D-1 Loans, Euro Term D-1 Loans and Term D-2 Loans were refinanced with Dollar Term E-1 Loans, Euro Term E-1 Loans and Term E-2 Loans, respectively.

Interest. Amounts outstanding under the Dollar Term E-1 Loans, the Term E-2 Loans and the Revolving Credit Facility (other than swing-line loans and unreimbursed drawings on letters of credit) bear interest, at our option, at a rate equal to either the base rate or the eurocurrency rate, in each case plus an applicable margin. Amounts outstanding under the Euro Term E-1 Loans bear interest at the eurocurrency rate, and swing-line loans and unreimbursed drawings on letters of credit bear interest at the base rate. As a result of Amendment No. 5, the new applicable margins are (i) for eurocurrency rate loans that are Dollar Term

12

E-1 Loans, 3.00%, (ii) for base rate loans that are Dollar Term E-1 Loans, 2.00%, (iii) for eurocurrency rate loans that are Euro Term E-1 Loans, 3.25%, (iv) for base rate loans that are Euro Term E-1 Loans, 2.25%, (v) for eurocurrency rate loans that are Term E-2 Loans, 2.50%, and (vi) for base rate loans that are Term E-2 Loans, 1.50%. The Term E loans will have a eurocurrency rate floor of 1.00% and a base rate floor of 2.00%.

10.5% Second Lien Senior Secured Notes and 12.5% Senior Unsecured Notes

As required upon the closing of our 10.5% Second Lien Senior Secured Notes due 2018 (“10.5% Second Lien Notes”) and the 12.5% Senior Unsecured Notes due 2019 (“12.5% Unsecured Notes”), we entered into registration rights agreements with respect to these notes. Pursuant to the terms of the registration rights agreements, we filed a registration statement (the “Registration Statement”) with respect to a registered exchange offer to exchange such notes for new notes with terms substantially identical in all material respects with the notes (except for the provisions relating to the transfer restrictions and payment of additional interest). On February 13, 2013, our Registration Statement was declared effective by the Securities and Exchange Commission (“SEC”), and our exchange offer was completed on March 15, 2013.

Because our Registration Statement was not declared effective by the SEC under the Securities Act and the exchange offer was not consummated within 365 days following the issuance of the notes (“Exchange Date”), and because we did not file a shelf registration statement covering resales of the notes within 30 days after the Exchange Date (each a “Notes Registration Default”), additional interest accrued on the aggregate principal amount of the notes from and including the date on which any such Notes Registration Default occurred to but excluding the date on which the Notes Registration Defaults were cured through the completion of the exchange offer. Under the terms of the registration rights agreements entered into with respect to these notes, additional interest was accrued at a rate of 0.25% and 0.50% from November 4, 2012 to February 4, 2013 and February 5, 2013 to March 15, 2013, respectively.

Covenants

As of June 30, 2014, we were in compliance with all covenants under our Senior Secured Credit Facility, 10.5% Second Lien Notes, 12.5% Unsecured Notes, and 3.25% Convertible Senior Notes due 2015 (“the Convertible Notes”).

For further information on our long-term debt, see Note 6 of the notes to the consolidated financial statements included in our Annual Report on Form 10-K for the fiscal year ended December 31, 2013.


NOTE 5.     Derivative Financial Instruments and Fair Value Measurements

We are exposed to credit loss in the event of nonperformance by counterparties to the extent of the fair values of the outstanding interest rate swap agreements, interest rate cap agreements and foreign currency exchange contracts, but we do not anticipate nonperformance by any of the counterparties. All derivative instruments are recorded on the balance sheets at fair value. We do not use financial instruments for speculative or trading purposes.

Interest Rate Protection

At June 30, 2014 and December 31, 2013, we had three interest rate swap agreements to convert a portion of our outstanding variable rate debt to a fixed rate basis. These agreements that became effective in December 2013, have not been designated as hedging instruments, and as such, we recognize the fair value of these instruments as an asset or liability with income or expense recognized in the current period. The interest rate swap agreements have quarterly interest payments, receive rates based on the higher of three-month USD LIBOR or 1.25% and pay rates based on fixed rates, due on the last day of March, June, September and December. The aggregate notional amount decreases quarterly by amounts ranging from $1.7 million to $56.4 million until maturity.

The following table summarizes our interest rate swap agreements (dollars in thousands):
Effective Dates
 
Outstanding Notional Amount
 
Fixed Interest Rate
12/31/13-12/31/16
 
$507,100
 
2.256%
12/31/13-12/31/16
 
$507,100
 
2.249%
12/31/13-12/31/16
 
$507,100
 
2.250%

The interest rate cap agreements expired on December 31, 2013.

13


Foreign Currency Exchange Rate Mitigation

At June 30, 2014, we had no outstanding foreign currency exchange contracts. At December 31, 2013, we had foreign currency exchange contracts to sell or purchase $14.3 million of various currencies.

Fair Value Measurements

The Codification defines fair value as the exit price that would be received to sell an asset or paid to transfer a liability. The Fair Value Measurements and Disclosure topic of the Codification establishes a three-tier fair value hierarchy, which prioritizes the inputs used in measuring fair value. These tiers include: Level 1, defined as observable inputs such as quoted prices in active markets; Level 2, defined as inputs other than quoted prices in active markets that are either directly or indirectly observable; and Level 3, defined as unobservable inputs in which little or no market data exists, therefore requiring an entity to develop its own assumptions.

The carrying amount reported in the balance sheets for cash and cash equivalents, accounts receivable, accounts payable and long-term obligations, excluding our borrowings under our Senior Secured Credit Facility and fixed rate long-term debt, including the 10.5% Second Lien Secured Notes, the 12.5% Unsecured Notes and the Convertible Notes approximates fair value. The fair value of our borrowings under our Senior Secured Credit Facility and fixed rate long-term debt was $2.6 billion and $2.7 billion, respectively, at June 30, 2014. The fair value of our borrowings under our Senior Secured Credit Facility and fixed rate long-term debt was $2.6 billion and $2.7 billion, respectively, at December 31, 2013. The fair value of our long-term debt was estimated based upon open-market trades at or near year end which represent Level 2 inputs.

All of our derivatives, as of the reporting date, use inputs considered as Level 2. The interest rate swap agreements are valued using a discounted cash flow model that takes into account the present value of the future cash flows under the terms of the agreements by using market information available as of the reporting date, including prevailing interest rates and related forward interest rate curves. The foreign currency exchange contracts are valued using a discounted cash flow model that takes into account the present value of the future cash flows under the terms of the agreements by using market information available as of the reporting date, including prevailing foreign currency exchange rates and related foreign currency exchange rate curves.

The following table sets forth the location and aggregate fair value amounts of all derivative instruments with credit-related contingent features (in thousands):
 
Asset Derivatives
 
Liability Derivatives
 
Balance
Sheet
Location
 
Fair Value
 
Balance
Sheet
Location
 
Fair Value
 
 
June 30,
2014
 
December 31,
2013
 
 
June 30,
2014
 
December 31,
2013
Derivatives not designated as hedging instruments
 
 
 
 
 
 
 
 
 
 
 
Interest rate swap agreements
Prepaid expenses and other
 
$
—

 
$
—

 
Accrued expenses and other
 
$
14,713

 
$
345

Interest rate swap agreements
Other non-current assets
 
—

 
—

 
Other non-current liabilities
 
14,175

 
31,906

Foreign currency exchange contracts
Prepaid expenses and other
 
—

 
146

 
Accrued expenses and other
 
—

 
569

      Total derivatives
 
 
$
—

 
$
146

 
 
 
$
28,888

 
$
32,820


The following table summarizes the amount of gain (loss) on derivatives not designated as hedging instruments (dollars in thousands):
 
Three months ended June 30,
 
Six months ended June 30,
 
2014
 
2013
 
2014
 
2013
Interest rate swap agreements
$
(4,287
)
 
$
9,953

 
$
(4,362
)
 
$
9,252

Interest rate cap agreements
—

 
1

 
—

 
(5
)
Foreign currency exchange contracts
(10
)
 
602

 
62

 
793

 
$
(4,297
)
 
$
10,556

 
$
(4,300
)
 
$
10,040



14

Certain of our derivative instruments contain provisions that require compliance with the restrictive covenants of our Senior Secured Credit Facility. For further information regarding the restrictive covenants of credit facilities, see Note 6 of the notes to the consolidated financial statements included in our Annual Report on Form 10-K for the fiscal year ended December 31, 2013.

If we default under our credit facilities, the lenders could require immediate repayment of the entire principal. If those lenders require immediate repayment, we may not be able to repay them which could result in the foreclosure of substantially all of our assets. In these circumstances, the counterparties to the derivative instruments could request immediate payment or full collateralization on derivative instruments in net liability positions. Certain of our derivative counterparties are also parties to our Senior Secured Credit Facility.

No collateral has been posted by us in the normal course of business. If the credit-related contingent features underlying these agreements were triggered on June 30, 2014, we could be required to settle or post the full amount as collateral to the respective agreement counterparties.

We did not have any measurements of financial assets or financial liabilities at fair value on a nonrecurring basis at June 30, 2014 or December 31, 2013.


NOTE 6.     Accumulated Other Comprehensive Loss

The components of accumulated other comprehensive loss are as follows (in thousands):
 
Accumulated
Foreign
Currency
Translation
Adjustment
 
Investment Gain
 
Accumulated
Other
Comprehensive
Income (Loss)
Balances at December 31, 2013
$
(4,384
)
 
$
2,241

 
$
(2,143
)
Unrealized investment gain, net of tax benefit of $1
—

 
(2
)
 
(2
)
Foreign currency translation adjustment, net of tax expense of $502
187

 
—

 
187

Balances at June 30, 2014
$
(4,197
)
 
$
2,239

 
$
(1,958
)

During the six months ended June 30, 2014, there were no reclassification adjustments out of accumulated other comprehensive loss to net loss.


NOTE 7.     Commitments and Contingencies

LEGAL PROCEEDINGS

Intellectual Property Litigation

As the owner and exclusive licensee of patents, from time to time, we are a party to proceedings challenging these patents, including challenges in U.S. federal courts, foreign courts, foreign patent offices and the U.S. Patent and Trademark Office. Additionally, from time to time, we are a party to litigation we initiate against others we contend infringe these patents, which often results in counterclaims regarding the validity of such patents. At other times, we are party to litigation initiated by others who contend we infringe their patents. It is not possible to reliably predict the outcome of the proceedings described below. However, if we are unable to effectively enforce our intellectual property rights, third parties may become more aggressive in the marketing of competitive products around the world.

On June 30, 2014 , KCI entered into a settlement and release agreement (the “Settlement Agreement”) with Wake Forest University Health Sciences to fully and finally resolve the pending patent disputes between them relating to negative pressure wound therapy ("NPWT"). The Settlement Agreement resolves all disputes between the parties as detailed in our previous disclosures. The Settlement Agreement includes a stipulated dismissal with prejudice of the lawsuits between KCI and Wake Forest, including the lawsuit that was previously scheduled to begin trial on July 28, 2014 in the U.S. District Court for the Western District of Texas, San Antonio Division. To fully resolve the litigation, KCI agreed to pay Wake Forest retrospective U.S. patent royalties in the amount of $280.0 million, according to the following schedule: $80.0 million paid in July 2014, $85.0 million to be paid in

15

June 2015, $85.0 million to be paid in June 2016, and $30.0 million to be paid in June 2017. As of June 30, 2014, the accompanying condensed consolidated balance sheet included $160.4 million under the caption "accrued expenses and other" and $101.4 million under the caption "other non-current liabilities" representing the net present value of payments under the Settlement Agreement discounted using our incremental borrowing rate as the discount rate. As a result, we recorded patent settlement charges of $198.6 million in the second quarter of 2014 representing the net present value of payments under the Settlement Agreement, net of the $63.2 million previously existing accrual.

In August 2013, Vital Needs International, L.P. ("Vital Needs") filed a Demand for Arbitration with the American Arbitration Association seeking to recover $100 million in damages against KCI entities based on a number of claims related to certain intellectual property rights sold by Vital Needs to KCI pursuant to a 2006 acquisition agreement. Vital Needs alleges, among other things, breach of the contract for failure to pay royalties on sales of KCI products. We do not believe any royalties are owed to Vital Needs for sales of KCI products, and we believe our defenses to Vital Needs' claims are meritorious. We intend to vigorously defend the arbitration, which is in its initial phase. The arbitration is currently set for January 2015. It is not possible to predict the outcome of this arbitration, nor is it possible to estimate any damages that may be awarded if we are unsuccessful in the litigation.
    
In September 2013, LifeNet Health ("LifeNet") filed suit against LifeCell Corporation in the United States District Court for the Eastern District of Virginia, Norfolk Division. LifeNet alleges that two LifeCell products, Strattice and AlloDerm Ready to Use, infringe LifeNet’s U.S. Patent No. 6,569,200 ("the ‘200 Patent"). LifeNet alleges that LifeCell has been aware of the ‘200 Patent and its infringement since 2009 and acted willfully in continuing to infringe the ‘200 Patent thereafter. LifeNet seeks monetary damages including treble damages for willful infringement, together with costs and prejudgment and post judgment interest as well as a finding that the case is exceptional and an award of costs and reasonable attorneys fees. We believe that our defenses to the LifeNet claims are meritorious and that the patents that are the subject of the litigation are invalid, or are not infringed by LifeCell’s products. It is not possible to predict the outcome of this litigation nor is it possible to estimate any damages that may be awarded if we are unsuccessful in the litigation.

Products Liability Litigation

LifeCell Corporation is a defendant in approximately 330 lawsuits filed by individuals alleging personal injury and seeking monetary damages for failed hernia repair procedures using LifeCell’s AlloDerm products. These cases have been consolidated for case management purposes in Middlesex County, New Jersey. The trial court has issued a pre-trial order incorporating the bellwether practice of trying the claims of some plaintiffs to determine the likelihood of settlement or to avoid relitigating common issues in every case. Following limited discovery, the parties have recently selected four bellwether cases from which one case to be tried will be selected. Full discovery will now proceed on each of the bellwether cases. Trial of the one bellwether case that is ultimately selected is scheduled for September 2015. Although it is not possible to reliably predict the outcome of the litigation, we believe that our defenses to these claims are meritorious and we will defend against these suits vigorously. These consolidated cases are being treated as a single occurrence and therefore do not require the exhaustion of a separate self-insured retention to trigger coverage. Based on our existing insurance coverage and our defenses to these cases, we do not expect them to have a material impact on our results of operations or our financial position. As these cases are in their early stages with much discovery still to be conducted, the plaintiffs have yet to set forth their alleged damages. As such, it is impossible to predict or estimate potential losses if our defenses to these cases are unsuccessful.

Since 2012, LifeCell Corporation has been named as a defendant in approximately 130 lawsuits in state and federal courts in Massachusetts, Delaware, Minnesota, New York and Texas (federal court cases have been transferred to West Virginia multidistrict litigation docket) alleging personal injury and seeking monetary damages for failed gynecological procedures using a human tissue product processed by LifeCell and sold by one of LifeCell’s distributors, Boston Scientific, under the name Repliform. There are approximately 110 LifeCell cases filed in a consolidated docket in Middlesex County Massachusetts. Although many were initially filed in a multidistrict action involving numerous synthetic mesh manufacturers and synthetic products, the court has transferred cases involving only Repliform to a separate docket. The cases are in the initial phase and no discovery has occurred. We intend to defend these suits vigorously. Based on our existing insurance coverage and our defenses to these cases, we do not expect them to have a material impact on our results of operations or our financial position. As these cases are in their early stages it is not possible to predict or estimate potential losses if our defenses to these cases are unsuccessful.

Other Litigation
    
In 2009, KCI received a subpoena from the U.S. Department of Health and Human Services Office of Inspector General (“OIG”) seeking records regarding our billing practices under the local coverage policies of the four regional Durable Medical Equipment Medicare Administrative Contractors (“DME MACs”). KCI cooperated with the OIG's inquiry and provided substantial documentation to the OIG and the U.S. Attorneys' office in response to its request. The government's inquiry stemmed from the

16

filing under seal of two 2008 qui tam actions against KCI by two former employees in the U.S. District Court, Central District of California, Western Division. These cases are captioned United States of America, ex rel. Steven J. Hartpence v. Kinetic Concepts, Inc. et al, and United States of America, ex rel. Geraldine Godecke v. Kinetic Concepts, Inc., et al. The complaints contend that KCI violated the Federal False Claims Act by billing in a manner that was not consistent with the Local Coverage Determinations issued by the DME MACs and seek recovery of monetary damages. Following the completion of the government's review and its decision declining to intervene in such suits, the live pleadings were ordered unsealed in 2011. After reviewing the allegations, KCI filed motions seeking the dismissal of the suits on multiple grounds.  In 2012, the Court granted KCI's motions dismissing all of the claims under the False Claims Act. The cases are on appeal in the U.S. Court of Appeals for the Ninth Circuit and oral argument was in July 2014. We believe that our defenses to the claims in the Hartpence and Goedecke cases are meritorious and that we have no liability under the False Claims Act for their allegations. However, it is not possible to predict the outcome of this litigation nor is it possible to estimate any damages that may be awarded if we are unsuccessful in the litigation.

We are a party to several additional lawsuits arising in the ordinary course of our business. Additionally, the manufacturing and marketing of medical products necessarily entails an inherent risk of product liability claims. We maintain multiple layers of product liability insurance coverage and we believe these policies and the amounts of coverage are appropriate and adequate.
 
OTHER COMMITMENTS AND CONTINGENCIES

As a healthcare supplier, we are subject to extensive government regulation, including laws and regulations directed at ascertaining the appropriateness of reimbursement, preventing fraud and abuse and otherwise regulating reimbursement under various government programs. The marketing, billing, documenting and other practices are all subject to government oversight and review. To ensure compliance with Medicare and other regulations, regional carriers often conduct audits and request patient records and other documents to support claims submitted by us for payment of services rendered to customers.

We also are subject to routine pre-payment and post-payment audits of medical claims submitted to Medicare. These audits typically involve a review, by Medicare or its designated contractors and representatives, of documentation supporting the medical necessity of the therapy provided by us. While Medicare requires us to obtain a comprehensive physician order prior to providing products and services, we are not required to, and do not as a matter of practice require, or subsequently obtain, the underlying medical records supporting the information included in such claim. Following a Medicare request for supporting documentation, we are obligated to procure and submit the underlying medical records retained by various medical facilities and physicians. Obtaining these medical records in connection with a claims audit may be difficult or impossible and, in any event, all of these records are subject to further examination and dispute by an auditing authority. Under standard Medicare procedures, we are entitled to demonstrate the sufficiency of documentation and the establishment of medical necessity, and we have the right to appeal any adverse determinations. If a determination is made that our records or the patients' medical records are insufficient to meet medical necessity or Medicare reimbursement requirements for the claims subject to a pre-payment or post-payment audit, we could be subject to denial, recoupment or refund demands for claims submitted for Medicare reimbursement. In the event that an audit results in discrepancies in the records provided, Medicare may be entitled to extrapolate the results of the audit to make recoupment demands based on a wider population of claims than those examined in the audit.

17

  
NOTE 8.     Segment Information

The Company is engaged in the rental and sale of advanced wound therapeutics and regenerative medicine products in over 75 countries worldwide through direct sales and indirect operations. We have two reportable operating segments which correspond to our two businesses: Advanced Wound Therapeutics ("AWT") and Regenerative Medicine. Our AWT business is conducted by KCI and its subsidiaries, including Systagenix, while our Regenerative Medicine business is conducted by LifeCell and its subsidiaries. In most countries where we operate, certain aspects of our two businesses are supported by the same administrative staff, systems and infrastructure and, as such, we have allocated these costs between the businesses based on allocation methods including headcount, revenue and other methods as deemed appropriate. We measure segment profit (loss) as operating earnings (loss), which is defined as income (loss) before interest and other income, interest expense, foreign currency gains and losses, derivative instruments gains and losses and income taxes. All intercompany transactions are eliminated in computing revenue and operating earnings (loss).

On November 8, 2012, Getinge AB purchased certain assets and assumed certain liabilities comprising KCI's TSS business. The historical results of operations of the TSS business, excluding the allocation of general corporate overhead, are reported as discontinued operations in the consolidated statements of operations. Discontinued operations amounts related to TSS also exclude incremental expenses related to our transition services agreement with Getinge AB and the service fee payable by Getinge AB under the transition services agreement.

Information on segments and a reconciliation of consolidated totals are as follows (in thousands):
 
Three months ended June 30,
 
Six months ended June 30,
 
2014
 
2013
 
2014
 
2013
Revenue:
 
 
 
 
 
 
 
Advanced Wound Therapeutics
$
351,655

 
$
317,765

 
$
687,634

 
$
623,647

Regenerative Medicine
113,516

 
114,914

 
225,076

 
224,916

Total revenue
$
465,171

 
$
432,679

 
$
912,710

 
$
848,563

 
 
 
 
 
 
 
 
Operating earnings (loss):
 
 
 
 
 
 
 
Advanced Wound Therapeutics
$
106,507

 
$
110,897

 
$
191,257

 
$
200,318

Regenerative Medicine
33,764

 
31,197

 
64,772

 
61,066

Non-allocated costs:
 
 
 
 
 
 
 
General headquarter expense (1)
(2,398
)
 
(40,003
)
 
(5,207
)
 
(53,112
)
Equity-based compensation
(1,162
)
 
(663
)
 
(2,103
)
 
(1,196
)
Merger and restructuring-related expenses (2)
(29,703
)
 
(43,836
)
 
(57,117
)
 
(66,406
)
Acquired intangible asset amortization (3)
(48,754
)
 
(46,461
)
 
(99,443
)
 
(94,007
)
Wake Forest settlement
(198,578
)
 
—

 
(198,578
)
 
—

Total non-allocated costs
(280,595
)
 
(130,963
)
 
(362,448
)
 
(214,721
)
Total operating earnings
$
(140,324
)
 
$
11,131

 
$
(106,419
)
 
$
46,663

_____________________
(1)
The second quarter and six months ended June 30, 2013 includes $4.0 million and $13.4 million, respectively, of write-offs of in-process research and development costs due to discontinuation of related projects and a $30.3 million fixed asset impairment charge.
(2)
Represents expenses related to the Merger including management fees and restructuring-related expenses.
(3)
2014 includes amortization of acquired intangible assets related to our acquisition of Systagenix in October 2013 and our Merger in November 2011. 2013 includes amortization of acquired intangible assets related to our Merger in November 2011.

18


NOTE 9.     Guarantor Condensed Consolidating Financial Statements

Our 10.5% Second Lien Notes and 12.5% Unsecured Notes are fully and unconditionally guaranteed, jointly and severally, by us and each of our material 100% owned subsidiaries, other than the subsidiaries that are co-issuers of the notes, foreign subsidiaries and subsidiaries whose only assets are investments in foreign subsidiaries. The non-guarantor subsidiaries do not have any payment obligations under the 10.5% Second Lien Notes or 12.5% Unsecured Notes. Subject to the terms of the10.5% Second Lien Notes and 12.5% Unsecured Notes indentures, the guarantee of a subsidiary guarantor will terminate upon:
 
(1)
a sale or other disposition (including by way of consolidation or merger) of the capital stock of such guarantor or the sale or disposition of all or substantially all the assets of such subsidiary guarantor (other than to the Company or a restricted subsidiary) otherwise permitted by the 10.5% Second Lien Notes or 12.5% Unsecured Notes indentures,
 
(2)
the designation in accordance with the 10.5% Second Lien Notes or 12.5% Unsecured Notes indenture of the guarantor as an unrestricted subsidiary or the occurrence of any event after which the guarantor is no longer a restricted subsidiary,
 
(3)
defeasance or discharge of the 10.5% Second Lien Notes or 12.5% Unsecured Notes, or

(4)
upon the achievement of investment grade status by the 10.5% Second Lien Notes or 12.5% Unsecured Notes; provided that such guarantee shall be reinstated upon the reversion date.
In the event of a bankruptcy, liquidation or reorganization of any non-guarantor subsidiary, such non-guarantor subsidiary will pay the holders of its debt and other liabilities, including its trade creditors, before it will be able to distribute any of its assets to us. In the future, any non-U.S. subsidiaries, immaterial subsidiaries and subsidiaries that we designate as unrestricted subsidiaries under the 10.5% Second Lien Notes and 12.5% Unsecured Notes indentures will not guarantee the 10.5% Second Lien Notes or 12.5% Unsecured Notes. As of June 30, 2014, there were no restrictions on the ability of subsidiary guarantors to transfer funds to the parent company.

As a result of the guarantee arrangements, we are presenting the following condensed consolidated balance sheets, statements of operations and comprehensive income (loss), and statements of cash flows of the issuer, the guarantor subsidiaries and the non-guarantor subsidiaries.

19




Condensed Consolidating Parent Company, Co-Issuers,
Guarantor and Non-Guarantor Balance Sheet
June 30, 2014
(in thousands)
(unaudited)
 
Centaur Guernsey L.P. Inc. Parent Company
 
Kinetic Concepts, Inc. and KCI USA, Inc. Borrower
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Eliminations
 
Consolidated
Assets:
 
 
 
 
 
 
 
 
 
 
 
Current assets:
 
 
 
 
 
 
 
 
 
 
 
Cash and cash equivalents
$
398

 
$
126,932

 
$
—

 
$
86,337

 
$
—

 
$
213,667

Accounts receivable, net
—

 
162,526

 
63,091

 
145,444

 
—

 
371,061

Inventories, net
—

 
90,347

 
109,130

 
100,722

 
(114,708
)
 
185,491

Deferred income taxes
—

 
3,850

 
28,701

 
—

 
—

 
32,551

Prepaid expenses and other
—

 
23,774

 
5,376

 
278,730

 
(264,632
)
 
43,248

Intercompany receivables
166

 
1,811,567

 
2,337,871

 
80,410

 
(4,230,014
)
 
—

Total current assets
564

 
2,218,996

 
2,544,169

 
691,643

 
(4,609,354
)
 
846,018

Net property, plant and equipment
—

 
291,799

 
76,384

 
199,214

 
(260,755
)
 
306,642

Debt issuance costs, net
—

 
89,960

 
—

 
—

 
—

 
89,960

Deferred income taxes
—

 
—

 
—

 
35,734

 
—

 
35,734

Goodwill
—

 
2,483,240

 
732,771

 
162,920

 
—

 
3,378,931

Identifiable intangible assets, net
—

 
329,408

 
1,811,914

 
330,751

 
—

 
2,472,073

Other non-current assets
—

 
1,209

 
186

 
94,724

 
(90,900
)
 
5,219

Intercompany loan receivables
—

 
789,037

 
421,051

 
—

 
(1,210,088
)
 
—

Intercompany investments
705,089

 
348,120

 
371,682

 
—

 
(1,424,891
)
 
—

 
$
705,653

 
$
6,551,769

 
$
5,958,157

 
$
1,514,986

 
$
(7,595,988
)
 
$
7,134,577

 
 
 
 
 
 
 
 
 
 
 
 
Liabilities and Equity:
 
 
 
 
 
 
 
 
 
 
 
Current liabilities:
 
 
 
 
 
 
 
 
 
 
 
Accounts payable
$
—

 
$
17,339

 
$
12,147

 
$
25,360

 
$
—

 
$
54,846

Accrued expenses and other
—

 
297,686

 
246,871

 
80,664

 
(196,730
)
 
428,491

Intercompany payables
5,526

 
980,902

 
2,628,650

 
614,936

 
(4,230,014
)
 
—

Current installments of long-term debt
—

 
26,100

 
—

 
—

 
—

 
26,100

Income taxes payable
—

 
—

 
1,527

 
2,572

 
—

 
4,099

Deferred income taxes
—

 
—

 
—

 
17,219

 
—

 
17,219

Total current liabilities
5,526

 
1,322,027

 
2,889,195

 
740,751

 
(4,426,744
)
 
530,755

Long-term debt, net of current installments and discount
—

 
4,856,928

 
—

 
—

 
—

 
4,856,928

Non-current tax liabilities
—

 
29,422

 
4,373

 
20,194

 
—

 
53,989

Deferred income taxes
—

 
42,161

 
760,615

 
57,294

 
—

 
860,070

Other non-current liabilities
652

 
122,509

 
9,023

 
1,176

 
—

 
133,360

Intercompany loan payables
—

 
414,369

 
770,000

 
25,720

 
(1,210,089
)
 
—

Total liabilities
6,178

 
6,787,416

 
4,433,206

 
845,135

 
(5,636,833
)
 
6,435,102

 
 
 
 
 
 
 
 
 
 
 
 
Total equity
699,475

 
(235,647
)
 
1,524,951

 
669,851

 
(1,959,155
)
 
699,475

 
$
705,653

 
$
6,551,769

 
$
5,958,157

 
$
1,514,986

 
$
(7,595,988
)
 
$
7,134,577




20

Condensed Consolidating Parent Company, Co-Issuers,
Guarantor and Non-Guarantor Balance Sheet
December 31, 2013
(in thousands)
 
Centaur Guernsey L.P. Inc. Parent Company
 
Kinetic Concepts, Inc. and KCI USA, Inc. Borrower
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Eliminations
 
Consolidated
Assets:
 
 
 
 
 
 
 
 
 
 
 
Current assets:
 
 
 
 
 
 
 
 
 
 
 
Cash and cash equivalents
$
398

 
$
87,771

 
$
118

 
$
118,662

 
$
—

 
$
206,949

Accounts receivable, net
—

 
184,723

 
71,457

 
151,398

 
—

 
407,578

Inventories, net
—

 
54,809

 
101,779

 
101,751

 
(76,772
)
 
181,567

Deferred income taxes
—

 
14,991

 
6,610

 
2,020

 
—

 
23,621

Prepaid expenses and other
—

 
35,832

 
5,434

 
321,427

 
(309,532
)
 
53,161

Intercompany receivables
166

 
1,687,528

 
2,326,181

 
21,241

 
(4,035,116
)
 
—

Total current assets
564

 
2,065,654

 
2,511,579

 
716,499

 
(4,421,420
)
 
872,876

Net property, plant and equipment
—

 
311,122

 
80,963

 
223,987

 
(282,347
)
 
333,725

Debt issuance costs, net
—

 
102,054

 
—

 
—

 
—

 
102,054

Deferred income taxes
—

 
—

 
—

 
31,459

 
—

 
31,459

Goodwill
—

 
2,483,240

 
732,771

 
162,650

 
—

 
3,378,661

Identifiable intangible assets, net
—

 
361,640

 
1,829,452

 
358,109

 
—

 
2,549,201

Other non-current assets
—

 
715

 
192

 
94,662

 
(90,900
)
 
4,669

Intercompany loan receivables
—

 
990,972

 
404,688

 
—

 
(1,395,660
)
 
—

Intercompany investments
901,902

 
432,884

 
372,093

 
—

 
(1,706,879
)
 
—

 
$
902,466

 
$
6,748,281

 
$
5,931,738

 
$
1,587,366

 
$
(7,897,206
)
 
$
7,272,645

 
 
 
 
 
 
 
 
 
 
 
 
Liabilities and Equity:
 
 
 
 
 
 
 
 
 
 
 
Current liabilities:
 
 
 
 
 
 
 
 
 
 
 
Accounts payable
$
—

 
$
15,266

 
$
14,929

 
$
20,121

 
$
—

 
$
50,316

Accrued expenses and other
—

 
185,790

 
246,977

 
77,843

 
(181,635
)
 
328,975

Intercompany payables
4,110

 
852,892

 
2,559,407

 
618,707

 
(4,035,116
)
 
—

Current installments of long-term debt
—

 
26,311

 
—

 
—

 
—

 
26,311

Income taxes payable
—

 
—

 
3,368

 
—

 
—

 
3,368

Deferred income taxes
—

 
—

 
—

 
2,199

 
—

 
2,199

Total current liabilities
4,110

 
1,080,259

 
2,824,681

 
718,870

 
(4,216,751
)
 
411,169

Long-term debt, net of current installments and discount
—

 
4,865,503

 
—

 
—

 
—

 
4,865,503

Non-current tax liabilities
—

 
28,850

 
4,284

 
20,548

 
—

 
53,682

Deferred income taxes
—

 
231,713

 
718,930

 
53,141

 
—

 
1,003,784

Other non-current liabilities
281

 
38,667

 
334

 
1,150

 
—

 
40,432

Intercompany loan payables
—

 
399,690

 
780,000

 
215,970

 
(1,395,660
)
 
—

Total liabilities
4,391

 
6,644,682

 
4,328,229

 
1,009,679

 
(5,612,411
)
 
6,374,570

 
 
 
 
 
 
 
 
 
 
 
 
Total equity
898,075

 
103,599

 
1,603,509

 
577,687

 
(2,284,795
)
 
898,075

 
$
902,466

 
$
6,748,281

 
$
5,931,738

 
$
1,587,366

 
$
(7,897,206
)
 
$
7,272,645







21

Condensed Consolidating Parent Company, Co-Issuers,
Guarantor and Non-Guarantor Statement of Operations and Comprehensive Income (Loss)
(in thousands)
(unaudited)
 
For the three months ended June 30, 2014
 
Centaur Guernsey L.P. Inc. Parent Company
 
Kinetic Concepts, Inc. and KCI USA, Inc. Borrower
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Eliminations
 
Consolidated
Revenue:
 
 
 
 
 
 
 
 
 
 
 
Rental
$
—

 
$
144,440

 
$
1,606

 
$
29,189

 
$
—

 
$
175,235

Sales
—

 
69,469

 
250,425

 
217,734

 
(247,692
)
 
289,936

Total revenue
—

 
213,909

 
252,031

 
246,923

 
(247,692
)
 
465,171

Rental expenses
37

 
70,687

 
4,329

 
53,929

 
(41,944
)
 
87,038

Cost of sales
39

 
76,573

 
162,673

 
90,636

 
(247,614
)
 
82,307

Gross profit (loss)
(76
)
 
66,649

 
85,029

 
102,358

 
41,866

 
295,826

Selling, general and administrative expenses
1,085

 
73,021

 
42,549

 
54,000

 
(70
)
 
170,585

Research and development expenses
—

 
6,241

 
6,535

 
5,457

 
—

 
18,233

Acquired intangible asset amortization
—

 
15,737

 
19,718

 
13,299

 
—

 
48,754

Wake Forest settlement
—

 
198,578

 
—

 
—

 
—

 
198,578

Operating earnings (loss)
(1,161
)
 
(226,928
)
 
16,227

 
29,602

 
41,936

 
(140,324
)
Non-operating intercompany transactions
—

 
5,958

 
(20,244
)
 
(22,982
)
 
37,268

 
—

Interest income and other
—

 
17,301

 
3,063

 
47

 
(20,284
)
 
127

Interest expense
—

 
(104,834
)
 
(17,221
)
 
(34
)
 
20,284

 
(101,805
)
Foreign currency gain (loss)
—

 
3,839

 
349

 
(336
)
 
—

 
3,852

Derivative instruments loss
—

 
(4,297
)
 
—

 
—

 
—

 
(4,297
)
Earnings (loss) from continuing operations before income taxes (benefit) and equity in earnings (loss) of subsidiaries
(1,161
)
 
(308,961
)
 
(17,826
)
 
6,297

 
79,204

 
(242,447
)
Income tax expense (benefit)
—

 
(110,451
)
 
24,228

 
(3,507
)
 
—

 
(89,730
)
Earnings (loss) from continuing operations before equity in earnings (loss) of subsidiaries
(1,161
)
 
(198,510
)
 
(42,054
)
 
9,804

 
79,204

 
(152,717
)
Equity in earnings (loss) of subsidiaries
(151,556
)
 
(34,014
)
 
9,804

 
—

 
175,766

 
—

Earnings (loss) from continuing operations
(152,717
)
 
(232,524
)
 
(32,250
)
 
9,804

 
254,970

 
(152,717
)
Earnings (loss) from discontinued operations, net of tax
—

 
—

 
—

 
—

 
—

 
—

Net earnings (loss)
$
(152,717
)
 
$
(232,524
)
 
$
(32,250
)
 
$
9,804

 
$
254,970

 
$
(152,717
)
Total comprehensive income (loss)
$
(153,825
)
 
$
(233,632
)
 
$
(33,358
)
 
$
8,696

 
$
258,294

 
$
(153,825
)



22



Condensed Consolidating Parent Company, Co-Issuers,
Guarantor and Non-Guarantor Statement of Operations and Comprehensive Income (Loss)
(in thousands)
(unaudited)
 
For the three months ended June 30, 2013
 
Centaur Guernsey L.P. Inc. Parent Company
 
Kinetic Concepts, Inc. and KCI USA, Inc. Borrower
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Eliminations
 
Consolidated
Revenue:
 
 
 
 
 
 
 
 
 
 
 
Rental
$
—

 
$
155,244

 
$
1,013

 
$
33,988

 
$
—

 
$
190,245

Sales
—

 
74,428

 
196,572

 
160,448

 
(189,014
)
 
242,434

Total revenue
—

 
229,672

 
197,585

 
194,436

 
(189,014
)
 
432,679

Rental expenses
13

 
61,149

 
3,328

 
56,413

 
(30,521
)
 
90,382

Cost of sales
29

 
47,596

 
144,151

 
59,251

 
(191,702
)
 
59,325

Gross profit (loss)
(42
)
 
120,927

 
50,106

 
78,772

 
33,209

 
282,972

Selling, general and administrative expenses
621

 
120,228

 
47,902

 
36,291

 
(59
)
 
204,983

Research and development expenses
—

 
8,454

 
8,265

 
3,678

 
—

 
20,397

Acquired intangible asset amortization
—

 
20,414

 
18,088

 
7,959

 
—

 
46,461

Operating earnings (loss)
(663
)
 
(28,169
)
 
(24,149
)
 
30,844

 
33,268

 
11,131

Non-operating intercompany transactions
—

 
8,300

 
(101
)
 
(28,829
)
 
20,630

 
—

Interest income and other
—

 
18,510

 
3,063

 
40

 
(20,709
)
 
904

Interest expense
—

 
(108,622
)
 
(17,661
)
 
(84
)
 
20,709

 
(105,658
)
Loss on extinguishment of debt
—

 
(2,164
)
 
—

 
—

 
—

 
(2,164
)
Foreign currency loss
—

 
(5,943
)
 
(135
)
 
(1,694
)
 
—

 
(7,772
)
Derivative instruments gain
—

 
10,556

 
—

 
—

 
—

 
10,556

Earnings (loss) from continuing operations before income taxes (benefit) and equity in earnings (loss) of subsidiaries
(663
)
 
(107,532
)
 
(38,983
)
 
277

 
53,898

 
(93,003
)
Income tax expense (benefit)
—

 
(18,526
)
 
(8,917
)
 
(3,613
)
 
—

 
(31,056
)
Earnings (loss) from continuing operations before equity in earnings (loss) of subsidiaries
(663
)
 
(89,006
)
 
(30,066
)
 
3,890

 
53,898

 
(61,947
)
Equity in earnings (loss) of subsidiaries
(61,912
)
 
(25,033
)
 
4,540

 
—

 
82,405

 
—

Earnings (loss) from continuing operations
(62,575
)
 
(114,039
)
 
(25,526
)
 
3,890

 
136,303

 
(61,947
)
Earnings (loss) from discontinued operations, net of tax
—

 
(1,527
)
 
—

 
650

 
249

 
(628
)
Net earnings (loss)
$
(62,575
)
 
$
(115,566
)
 
$
(25,526
)
 
$
4,540

 
$
136,552

 
$
(62,575
)
Total comprehensive income (loss)
$
(64,320
)
 
$
(117,311
)
 
$
(27,271
)
 
$
2,795

 
$
141,787

 
$
(64,320
)

23

Condensed Consolidating Parent Company, Co-Issuers,
Guarantor and Non-Guarantor Statement of Operations and Comprehensive Income (Loss)
(in thousands)
(unaudited)
 
For the six months ended June 30, 2014
 
Centaur Guernsey L.P. Inc. Parent Company
 
Kinetic Concepts, Inc. and KCI USA, Inc. Borrower
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Eliminations
 
Consolidated
Revenue:
 
 
 
 
 
 
 
 
 
 
 
Rental
$
—

 
$
280,204

 
$
3,187

 
$
58,402

 
$
—

 
$
341,793

Sales
—

 
135,338

 
455,780

 
426,200

 
(446,401
)
 
570,917

Total revenue
—

 
415,542

 
458,967

 
484,602

 
(446,401
)
 
912,710

Rental expenses
80

 
139,478

 
7,620

 
108,040

 
(82,388
)
 
172,830

Cost of sales
45

 
141,914

 
279,649

 
183,470

 
(439,469
)
 
165,609

Gross profit (loss)
(125
)
 
134,150

 
171,698

 
193,092

 
75,456

 
574,271

Selling, general and administrative expenses
1,978

 
152,303

 
89,951

 
102,887

 
(173
)
 
346,946

Research and development expenses
—

 
11,863

 
13,279

 
10,581

 
—

 
35,723

Acquired intangible asset amortization
—

 
32,162

 
39,890

 
27,391

 
—

 
99,443

Wake Forest settlement
—

 
198,578

 
—

 
—

 
—

 
198,578

Operating earnings (loss)
(2,103
)
 
(260,756
)
 
28,578

 
52,233

 
75,629

 
(106,419
)
Non-operating intercompany transactions
—

 
(668
)
 
(28,526
)
 
(30,989
)
 
60,183

 
—

Interest income and other
—

 
34,501

 
12,891

 
77

 
(47,247
)
 
222

Interest expense
—

 
(216,850
)
 
(34,358
)
 
(39
)
 
47,247

 
(204,000
)
Foreign currency gain
—

 
3,379

 
303

 
406

 
—

 
4,088

Derivative instruments loss
—

 
(4,300
)
 
—

 
—

 
—

 
(4,300
)
Earnings (loss) from continuing operations before income taxes (benefit) and equity in earnings (loss) of subsidiaries
(2,103
)
 
(444,694
)
 
(21,112
)
 
21,688

 
135,812

 
(310,409
)
Income tax expense (benefit)
—

 
(190,439
)
 
56,485

 
22,645

 
—

 
(111,309
)
Earnings (loss) from continuing operations before equity in earnings (loss) of subsidiaries
(2,103
)
 
(254,255
)
 
(77,597
)
 
(957
)
 
135,812

 
(199,100
)
Equity in earnings (loss) of subsidiaries
(196,997
)
 
(84,764
)
 
(957
)
 
—

 
282,718

 
—

Earnings (loss) from continuing operations
(199,100
)
 
(339,019
)
 
(78,554
)
 
(957
)
 
418,530

 
(199,100
)
Earnings (loss) from discontinued operations, net of tax
—

 
—

 
—

 
—

 
—

 
—

Net earnings (loss)
$
(199,100
)
 
$
(339,019
)
 
$
(78,554
)
 
$
(957
)
 
$
418,530

 
$
(199,100
)
Total comprehensive income (loss)
$
(198,915
)
 
$
(338,834
)
 
$
(78,369
)
 
$
(772
)
 
$
417,975

 
$
(198,915
)



24



Condensed Consolidating Parent Company, Co-Issuers,
Guarantor and Non-Guarantor Statement of Operations and Comprehensive Income (Loss)
(in thousands)
(unaudited)
 
For the six months ended June 30, 2013
 
Centaur Guernsey L.P. Inc. Parent Company
 
Kinetic Concepts, Inc. and KCI USA, Inc. Borrower
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Eliminations
 
Consolidated
Revenue:
 
 
 
 
 
 
 
 
 
 
 
Rental
$
—

 
$
305,712

 
$
3,253

 
$
69,443

 
$
—

 
$
378,408

Sales
—

 
143,637

 
416,255

 
322,348

 
(412,085
)
 
470,155

Total revenue
—

 
449,349

 
419,508

 
391,791

 
(412,085
)
 
848,563

Rental expenses
13

 
123,498

 
8,170

 
113,335

 
(57,283
)
 
187,733

Cost of sales
54

 
97,731

 
253,909

 
119,908

 
(356,046
)
 
115,556

Gross profit (loss)
(67
)
 
228,120

 
157,429

 
158,548

 
1,244

 
545,274

Selling, general and administrative expenses
1,129

 
202,656

 
92,565

 
70,254

 
(179
)
 
366,425

Research and development expenses
—

 
15,356

 
16,521

 
6,302

 
—

 
38,179

Acquired intangible asset amortization
—

 
41,651

 
36,367

 
15,989

 
—

 
94,007

Operating earnings (loss)
(1,196
)
 
(31,543
)
 
11,976

 
66,003

 
1,423

 
46,663

Non-operating intercompany transactions
—

 
60,252

 
58,754

 
(52,353
)
 
(66,653
)
 
—

Interest income and other
—

 
36,194

 
6,126

 
69

 
(41,327
)
 
1,062

Interest expense
—

 
(219,761
)
 
(35,218
)
 
(94
)
 
41,327

 
(213,746
)
Loss on extinguishment of debt
—

 
(2,164
)
 
—

 
—

 
—

 
(2,164
)
Foreign currency gain (loss)
—

 
5,480

 
(213
)
 
(8,464
)
 
—

 
(3,197
)
Derivative instruments gain (loss)
—

 
10,040

 
—

 
—

 
—

 
10,040

Earnings (loss) from continuing operations before income taxes (benefit) and equity in earnings (loss) of subsidiaries
(1,196
)
 
(141,502
)
 
41,425

 
5,161

 
(65,230
)
 
(161,342
)
Income tax expense (benefit)
—

 
(46,097
)
 
(4,183
)
 
(5,744
)
 
—

 
(56,024
)
Earnings (loss) from continuing operations before equity in earnings (loss) of subsidiaries
(1,196
)
 
(95,405
)
 
45,608

 
10,905

 
(65,230
)
 
(105,318
)
Equity in earnings (loss) of subsidiaries
(106,166
)
 
55,260

 
10,814

 
—

 
40,092

 
—

Earnings (loss) from continuing operations
(107,362
)
 
(40,145
)
 
56,422

 
10,905

 
(25,138
)
 
(105,318
)
Earnings (loss) from discontinued operations, net of tax
—

 
(2,394
)
 
(2
)
 
(91
)
 
443

 
(2,044
)
Net earnings (loss)
$
(107,362
)
 
$
(42,539
)
 
$
56,420

 
$
10,814

 
$
(24,695
)
 
$
(107,362
)
Total comprehensive income (loss)
$
(109,781
)
 
$
(44,958
)
 
$
54,001

 
$
8,395

 
$
(17,438
)
 
$
(109,781
)



25




Condensed Consolidating Parent Company, Co-Issuers,
Guarantor and Non-Guarantor Statement of Cash Flows
(in thousands)
(unaudited)

 
For the six months ended June 30, 2014
 
Centaur Guernsey L.P. Inc. Parent Company
 
Kinetic Concepts, Inc. and KCI USA, Inc. Borrower
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Eliminations
 
Consolidated
Cash flows from operating activities:
 
 
 
 
 
 
 
 
 
 
 
   Net earnings (loss)
$
(199,100
)
 
$
(339,019
)
 
$
(78,554
)
 
$
(957
)
 
$
418,530

 
$
(199,100
)
   Adjustments to reconcile net earnings (loss) to net cash provided (used) by operating activities
3,518

 
145,948

 
116,189

 
95,906

 
(101,083
)
 
260,478

    Net cash provided (used) by operating activities
(195,582
)
 
(193,071
)
 
37,635

 
94,949

 
317,447

 
61,378

Cash flows from investing activities:
 
 
 
 
 
 
 
 
 
 
 
   Net additions to property, plant and equipment
—

 
(55,257
)
 
(3,587
)
 
(30,561
)
 
57,434

 
(31,971
)
Businesses acquired in purchase transaction, net of cash acquired
—

 
—

 
(4,500
)
 
(113
)
 
—

 
(4,613
)
   Decrease (increase) in identifiable intangible assets and other non-current assets
—

 
(424
)
 
(3,711
)
 
(95
)
 
—

 
(4,230
)
    Net cash provided (used) by investing activities
—

 
(55,681
)
 
(11,798
)
 
(30,769
)
 
57,434

 
(40,814
)
Cash flows from financing activities:
 
 
 
 
 
 
 
 
 
 
 
   Settlement of profits interest units
(1,416
)
 
—

 
—

 
—

 
—

 
(1,416
)
   Repayments of long-term debt and capital lease obligations
—

 
(13,240
)
 
—

 
(31
)
 
—

 
(13,271
)
Proceeds (payments) on intercompany loans
—

 
216,613

 
(26,363
)
 
(190,250
)
 
—

 
—

Proceeds (payments) on intercompany investments
196,998

 
84,540

 
408

 
92,935

 
(374,881
)
 
—

   Net cash provided (used) by financing activities
195,582

 
287,913

 
(25,955
)
 
(97,346
)
 
(374,881
)
 
(14,687
)
Effect of exchange rate changes on cash and cash equivalents
—

 
—

 
—

 
841

 
—

 
841

Net increase (decrease) in cash and cash equivalents
—

 
39,161

 
(118
)
 
(32,325
)
 
—

 
6,718

Cash and cash equivalents, beginning of period
398

 
87,771

 
118

 
118,662

 
—

 
206,949

Cash and cash equivalents, end of period
$
398

 
$
126,932

 
$
—

 
$
86,337

 
$
—

 
$
213,667









26



Condensed Consolidating Parent Company, Co-Issuers,
Guarantor and Non-Guarantor Statement of Cash Flows
(in thousands)
(unaudited)

 
For the six months ended June 30, 2013
 
Centaur Guernsey L.P. Inc. Parent Company
 
Kinetic Concepts, Inc. and KCI USA, Inc. Borrower
 
Guarantor Subsidiaries
 
Non-Guarantor Subsidiaries
 
Eliminations
 
Consolidated
Cash flows from operating activities:
 
 
 
 
 
 
 
 
 
 
 
   Net earnings (loss)
$
(107,362
)
 
$
(42,539
)
 
$
56,420

 
$
10,814

 
$
(24,695
)
 
$
(107,362
)
   Adjustments to reconcile net loss to net cash provided (used) by operating activities
2,767

 
145,087

 
(12,136
)
 
(49,950
)
 
61,987

 
147,755

    Net cash provided (used) by operating activities
(104,595
)
 
102,548

 
44,284

 
(39,136
)
 
37,292

 
40,393

Cash flows from investing activities:


 


 


 


 


 


   Net additions to property, plant and equipment
—

 
(90,855
)
 
(8,962
)
 
(67,434
)
 
119,179

 
(48,072
)
   Decrease (increase) in identifiable intangible assets and other non-current assets
—

 
(49
)
 
(2,375
)
 
(134
)
 
—

 
(2,558
)
    Net cash provided (used) by investing activities
—

 
(90,904
)
 
(11,337
)
 
(67,568
)
 
119,179

 
(50,630
)
Cash flows from financing activities:


 


 


 


 


 


   Distribution to limited partners
(1,572
)
 
—

 
—

 
—

 
—

 
(1,572
)
   Repayments of long-term debt and capital lease obligations
—

 
(52,959
)
 
—

 
33

 
—

 
(52,926
)
Payment of debt issuance costs
—

 
(21,122
)
 
—

 
—

 
—

 
(21,122
)
Proceeds (payments) on intercompany loans
—

 
14,786

 
(16,371
)
 
1,585

 
—

 
—

Proceeds (payments) on intercompany investments
106,167

 
(56,265
)
 
(16,576
)
 
123,145

 
(156,471
)
 
—

   Net cash provided (used) by financing activities
104,595

 
(115,560
)
 
(32,947
)
 
124,763

 
(156,471
)
 
(75,620
)
Effect of exchange rate changes on cash and cash equivalents
—

 
—

 
—

 
(1,676
)
 
—

 
(1,676
)
Net increase (decrease) in cash and cash equivalents
—

 
(103,916
)
 
—

 
16,383

 
—

 
(87,533
)
Cash and cash equivalents, beginning of period
398


276,788


—


105,964


—

 
383,150

Cash and cash equivalents, end of period
$
398

 
$
172,872

 
$
—

 
$
122,347

 
$
—

 
$
295,617





27

ITEM 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
The following discussion should be read in conjunction with the condensed consolidated financial statements and accompanying notes included in this report. The following discussion contains forward-looking statements that reflect our plans, estimates and beliefs. Our actual results could differ materially from those discussed in the forward-looking statements. Factors that could cause or contribute to these differences include, but are not limited to, those discussed in our “Risk Factors.” (Part II, Item 1A.), including those previously disseminated in our Annual Report on Form 10-K for the fiscal year ended December 31, 2013.
GENERAL

We are a leading global medical technology company devoted to the development and commercialization of innovative products and therapies designed to improve outcomes while helping to reduce the overall cost of patient care. Our primary businesses serve the advanced wound therapeutics and regenerative medicine markets and we are engaged in the rental and sale of our products throughout the United States and in over 75 countries worldwide through direct sales and indirect operations. We are owned by investment funds advised by Apax Partners and controlled affiliates of Canada Pension Plan Investment Board and the Public Sector Pension Investment Board and certain other co-investors.

Our advanced wound therapeutics ("AWT") business is focused on the development and commercialization of AWT devices and dressings. Our AWT business is primarily engaged in commercializing several technology platforms, including negative pressure wound therapy (“NPWT”), advanced dressings, negative pressure surgical management (“NPSM”) and epidermal harvesting. Our AWT dressings are used for the management of chronic and acute wounds. Our AWT business is primarily conducted by KCI and its operating subsidiaries, including Systagenix. Key brands in our AWT business include the V.A.C. NPWT line of products, Prevena, ABThera, CelluTome, Promogran, Tielle, and Adaptic.
 
Our Regenerative Medicine business is primarily focused on the development and commercialization of regenerative and reconstructive acellular tissue matrices for use in general and reconstructive surgical procedures to repair soft tissue defects. Key brands within our product portfolio include our human tissue based AlloDerm and porcine tissue based Strattice in various configurations designed to meet the needs of patients and caregivers. In addition to our acellular tissue matrices, our Regenerative Medicine business markets autologous fat grafting solutions, such as Revolve, and distributes SPY Elite, a real-time operating room-based tissue perfusion imaging system, both of which are complementary to our tissue matrix business.

Our customers include acute care hospitals, ambulatory surgical centers, and long-term care facilities, with whom we contract directly or through group purchasing organizations (“GPOs”). We bill these facilities directly for the rental and sale of our products. In the U.S. home care setting, we provide products and therapies to patients in the home and bill third-party payers, such as Medicare and private insurance, directly. Outside of the U.S., most of our revenue is generated in the acute care setting. Our sales and marketing organizations are focused on the training and education of care-givers on the proper application of our products and therapies, particularly with general, plastic and orthopedic surgeons, as well as wound ostomy care nurses. We also drive adoption of our products with the support of extensive clinical efficacy data, as well as the economic value proposition of our products to reduce the overall cost of care.



28

RESULTS OF OPERATIONS
We have two reportable operating segments which correspond to our two businesses: Advanced Wound Therapeutics ("AWT") and Regenerative Medicine. Our AWT business is conducted by KCI and its subsidiaries, including Systagenix, while our Regenerative Medicine business is conducted by LifeCell and its subsidiaries. We have two primary geographic regions: the Americas, which is comprised principally of the United States and includes Canada, Puerto Rico and Latin America; and EMEA/APAC, which is comprised of Europe, the Middle East, Africa and the Asia Pacific region.
Historically, we have experienced a seasonal slowing of unit demand for our NPWT devices and related dressings beginning in the fourth quarter and continuing into the first quarter, which we believe has been caused by year-end clinical treatment patterns, such as the postponement of elective surgeries and increased discharges of individuals from the acute care setting around the winter holidays. We typically experience a slowing of demand for our AWT dressings in the fourth quarter. Although we do not know if our historical experience will prove to be indicative of future periods, similar slow-downs may occur in subsequent periods.
Revenue for each of our geographic regions in which we operate is disclosed for each of our businesses. Certain prior period amounts have been reclassified to conform to the 2014 presentation.
Revenue by Operating Segment

The following table sets forth, for the periods indicated, business unit revenue as well as the percentage change in each line item, comparing the second quarter and first six months of 2014 to the second quarter and first six months of 2013 (dollars in thousands):
 
Three months ended June 30,
 
Six months ended June 30,
 
2014
 
2013
 
% Change
 
2014
 
2013
 
% Change
Advanced Wound Therapeutics revenue:
 
 
 
 
 
 
 
 
 
 
 
Rental
$
173,629

 
$
189,232

 
(8.2
)%
 
$
338,606

 
$
375,155

 
(9.7
)%
Sales
178,026

 
128,533

 
38.5

 
349,028

 
248,492

 
40.5

Total – Advanced Wound Therapeutics
351,655

 
317,765

 
10.7

 
687,634

 
623,647

 
10.3

 
 
 
 
 
 
 
 
 
 
 
 
Regenerative Medicine revenue:
 
 
 
 
 
 
 
 
 
 
 
Rental
1,606

 
1,013

 
58.5

 
3,187

 
3,253

 
(2.0
)
Sales
111,910

 
113,901

 
(1.7
)
 
221,889

 
221,663

 
0.1

Total – Regenerative Medicine
113,516

 
114,914

 
(1.2
)
 
225,076

 
224,916

 
0.1

 
 
 
 
 
 
 
 
 
 
 
 
Total consolidated revenue:
 
 
 
 
 
 
 
 
 
 
 
Rental
175,235

 
190,245

 
(7.9
)
 
341,793

 
378,408

 
(9.7
)
Sales
289,936

 
242,434

 
19.6

 
570,917

 
470,155

 
21.4

Total consolidated revenue
$
465,171

 
$
432,679

 
7.5
 %
 
$
912,710

 
$
848,563

 
7.6
 %

The increase in total revenue compared to the prior-year periods was due to higher AWT sales revenue, partially offset by lower AWT rental revenue. Foreign currency exchange rate movements did not have a significant impact on worldwide revenue compared to the prior years.

The increase in worldwide AWT revenue from the comparable prior-year periods was attributable primarily to revenues from Systagenix, which was acquired in the fourth quarter of 2013, and increased revenue from expansion products and certain markets outside the U.S., partially offset by lower rental revenue in established markets. The lower rental revenue in established markets resulted from a combination of lower volumes and lower average pricing. We anticipate our average global pricing will decline moderately in the future due to increased competition, healthcare reform and declining reimbursement. Foreign currency exchange rate movements did not have a significant impact on worldwide AWT revenue during the second quarter and first six months of 2014 compared to the prior year periods.


29

Revenue by Geography

The following table sets forth, for the periods indicated, rental and sales revenue by geography as well as the percentage change in each line item, comparing the second quarter and first six months of 2014 to the second quarter and first six months of 2013 (dollars in thousands):
 
Three months ended June 30,
 
Six months ended June 30,
 
2014
 
2013
 
% Change
 
2014
 
2013
 
% Change
 
 
 
 
 
 
 
 
 
 
 
 
Americas revenue:
 
 
 
 
 
 
 
 
 
 
 
Rental
$
150,404

 
$
160,735

 
(6.4
)%
 
$
292,008

 
$
318,614

 
(8.4
)%
Sales
196,263

 
191,738

 
2.4

 
389,666

 
373,527

 
4.3

Total – Americas
346,667

 
352,473

 
(1.6
)
 
681,674

 
692,141

 
(1.5
)
 
 
 
 
 
 
 
 
 
 
 
 
EMEA/APAC revenue:
 
 
 
 
 
 
 
 
 
 
 
Rental
24,831

 
29,510

 
(15.9
)
 
49,785

 
59,794

 
(16.7
)
Sales
93,673

 
50,696

 
84.8

 
181,251

 
96,628

 
87.6

Total – EMEA/APAC
118,504

 
80,206

 
47.7

 
231,036

 
156,422

 
47.7

 
 
 
 
 
 
 
 
 
 
 
 
Total consolidated revenue:
 
 
 
 
 
 
 
 
 
 
 
Rental
175,235

 
190,245

 
(7.9
)
 
341,793

 
378,408

 
(9.7
)
Sales
289,936

 
242,434

 
19.6

 
570,917

 
470,155

 
21.4

Total consolidated revenue
$
465,171

 
$
432,679

 
7.5
 %
 
$
912,710

 
$
848,563

 
7.6
 %


Revenue Relationship

The following table sets forth, for the periods indicated, the percentage relationship of each item to total revenue in the period, as well as the changes in each line item:
 
Three months ended June 30,
 
Six months ended June 30,
 
2014
 
2013
 
Change
 
2014
 
2013
 
Change
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Advanced Wound Therapeutics revenue
75.6
%
 
73.4
%
 
220

bps
 
75.3
%
 
73.5
%
 
180

bps
Regenerative Medicine revenue
24.4

 
26.6

 
(220
)
bps
 
24.7

 
26.5

 
(180
)
bps
Total consolidated revenue
100.0
%
 
100.0
%
 
 
 
 
100.0
%
 
100.0
%
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Americas revenue
74.5
%
 
81.5
%
 
(700
)
bps
 
74.7
%
 
81.6
%
 
(690
)
bps
EMEA/APAC revenue
25.5

 
18.5

 
700

bps
 
25.3

 
18.4

 
690

bps
Total consolidated revenue
100.0
%
 
100.0
%
 
 
 
 
100.0
%
 
100.0
%
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Rental revenue
37.7
%
 
44.0
%
 
(630
)
bps
 
37.4
%
 
44.6
%
 
(720
)
bps
Sales revenue
62.3

 
56.0

 
630

bps
 
62.6

 
55.4

 
720

bps
Total consolidated revenue
100.0
%
 
100.0
%
 


 
 
100.0
%
 
100.0
%
 
 
 



30

Rental Expenses

The following table presents rental expenses for the periods indicated as well as the percentage change in each line item, comparing the second quarter and first six months of 2014 to the second quarter and first six months of 2013 (dollars in thousands):
 
Three months ended June 30,
 
Six months ended June 30,
 
2014
 
2013
 
% Change
 
2014
 
2013
 
% Change
 
 
 
 
 
 
 
 
 
 
 
 
Rental expenses
$
87,038

 
$
90,382

 
(3.7
)%
 
$
172,830

 
$
187,733

 
(7.9
)%

Rental, or field, expenses are comprised of both fixed and variable costs including facilities, field service, sales force compensation and royalties associated with our rental products. Rental expenses during the second quarter and first six months of 2014 decreased from the prior-year periods due primarily to a decrease in depreciation related to the fixed asset step up associated with purchase accounting, partially offset by an increase in operational expenses related to the sales force.

Cost of Sales

The following table presents cost of sales as well as the percentage change in each line item, comparing the second quarter and first six months of 2014 to the second quarter and first six months of 2013 (dollars in thousands):
 
Three months ended June 30,
 
Six months ended June 30,
 
2014
 
2013
 
% Change
 
2014
 
2013
 
% Change
 
 
 
 
 
 
 
 
 
 
 
 
Cost of sales
$
82,307

 
$
59,325

 
38.7
%
 
$
165,609

 
$
115,556

 
43.3
%

Cost of sales includes manufacturing costs, product costs and royalties associated with our “for sale” products. The increase in cost of sales from the prior-year periods was due primarily to increased sales volumes from Systagenix, which was acquired in the fourth quarter of 2013. The increase is also due to $6.7 million of additional cost of sales recorded in the first quarter of 2014 associated with the Systagenix acquisition purchase accounting adjustments related to the step up in value of inventory.

Gross Profit Margin

The following table presents the gross profit margin (calculated as gross profit divided by total revenue for the periods indicated):
 
Three months ended June 30,
 
Six months ended June 30,
 
2014
 
2013
 
Change
 
2014
 
2013
 
Change
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Gross profit margin
63.6
%
 
65.4
%
 
(180
)
bps
 
62.9
%
 
64.3
%
 
(140
)
bps

The gross profit margin decrease during the second quarter of 2014 compared to the prior-year period was due primarily to a decline in average global pricing due to increased competition, healthcare reform, declining reimbursement and higher operational expenses related to the sales force. This decrease was partially offset by a decrease in depreciation expense related to the fixed asset step up. The gross profit margin decrease during the first six months of 2014 compared to the prior-year period was due primarily to a decline in average global pricing due to increased competition, healthcare reform, declining reimbursement, higher operational expenses related to the sales force and higher cost of sales related to the inventory step up associated with purchase accounting. This decrease was partially offset by a decrease in depreciation expense related to the fixed asset step up.


31

Selling, General and Administrative Expenses

The following table presents selling, general and administrative expenses and the percentage relationship to total revenue (dollars in thousands):
 
Three months ended June 30,
 
Six months ended June 30,
 
2014
 
2013
 
% Change
 
2014
 
2013
 
% Change
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Selling, general and administrative expenses
$
170,585

 
$
204,983

 
(16.8
)%
 
$
346,946

 
$
366,425

 
(5.3
)%

Selling, general and administrative (“SG&A”) expenses generally include administrative labor, incentive and sales compensation costs, insurance costs, professional fees, depreciation, bad debt expense and information systems costs, but exclude rental sales force compensation costs. The decrease in SG&A expenses from the prior-year periods is due primarily to the $30.3 million fixed asset impairment charge and the write-off of $4.0 million and $13.4 million of in-process research and development costs due to the discontinuation of certain projects recorded during the second quarter and first six months of 2013, respectively.

Research and Development Expenses

The following table presents research and development expenses and the percentage relationship to total revenue (dollars in thousands):
 
Three months ended June 30,
 
Six months ended June 30,
 
2014
 
2013
 
Change
 
2014
 
2013
 
Change
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Research and development expenses
$
18,233

 
$
20,397

 
(10.6)%
 
$
35,723

 
$
38,179

 
(6.4)%
As a percent of total revenue
3.9
%
 
4.7
%
 
(80
)
bps
 
3.9
%
 
4.5
%
 
(60
)
bps

Research and development expenses relate to our investments in clinical studies and the development of new and enhanced products and therapies. Our research and development efforts include the development of new and synergistic technologies across the continuum of wound care, including tissue regeneration, preservation and repair, as well as new applications of negative pressure technology. Our research and development program is also leveraging our core understanding of biological tissues in order to develop biosurgery products in our Regenerative Medicine business.

Acquired Intangible Asset Amortization

In connection with the 2011 merger and the 2013 Systagenix acquisition, we recorded $2.89 billion and $253.6 million, respectively, of identifiable intangible assets during the fourth quarters of 2011 and 2013, respectively. During the second quarters of 2014 and 2013, we recorded $48.8 million and $46.5 million, respectively, of amortization expense associated with these acquired intangible assets. During the first six months of 2014 and 2013, we recorded $99.4 million and $94.0 million, respectively, of amortization expense associated with these acquired intangible assets.

Wake Forest Settlement

On June 30, 2014 , KCI entered into a settlement and release agreement (the “Settlement Agreement”) with Wake Forest to fully and finally resolve the pending patent disputes between them regarding Wake Forest’s NPWT patents formerly licensed to KCI. To fully resolve all the pending disputes between KCI and Wake Forest, KCI agreed to pay Wake Forest retrospective U.S. patent royalties in the amount of $280 million, according to the following schedule: $80 million to be paid in July 2014, $85 million to be paid in June 2015, $85 million to be paid in June 2016, and $30 million to be paid in June 2017. As a result, we recorded patent settlement charges of $198.6 million in the second quarter of 2014 representing the net present value of payments under the Settlement Agreement, net of the $63.2 million previously existing accrual.

Interest Expense

Interest expense decreased to $101.8 million and $204.0 million in the second quarter and first six months of 2014, respectively, compared to $105.7 million and $213.7 million in the comparable prior-year periods due to lower interest rates.


32

Foreign Currency Gain (Loss)

Foreign currency transaction gains were $3.9 million and $4.1 million during the second quarter and first six months of 2014, respectively compared to losses of $7.8 million and $3.2 million in the prior-year periods. The revaluation of the Term E-1 EURO loan to U.S. dollars represented a foreign currency transaction gain of $3.3 million and $3.1 million during the second quarter and first six months of 2014, respectively. The revaluation of the Term E-1 EURO loan to U.S. dollars represented a foreign currency transaction loss $5.5 million recorded during the second quarter of 2013 and a $4.3 million foreign currency transaction gain recorded during the first six months of 2013.

Loss from Discontinued Operations

No gains or losses from discontinued operations were recorded in the second quarter and first six months of 2014. During the second quarter and first six months of 2013, we recorded a loss from discontinued operations, net of tax, of $0.6 million and $2.0 million.

LIQUIDITY AND CAPITAL RESOURCES
General
We require capital principally for working capital requirements, capital expenditures and debt service requirements. Additionally, from time to time, we may use capital for acquisitions and other investing and financing activities. Working capital is required principally to finance accounts receivable and inventory. Our working capital requirements vary from period-to-period depending on manufacturing volumes, the timing of shipments and the payment cycles of our customers and payers.

We may from time to time seek to retire or purchase our outstanding debt through cash purchases, open market purchases, privately negotiated transactions or otherwise. Such repurchases or exchanges, if any, will depend on prevailing market conditions, our liquidity requirements, contractual restrictions and other factors. The amounts involved may be material.

Sources of Capital

Based upon the current level of operations, we believe our existing capital resources, as well as cash flows from operating activities and availability under our Revolving Credit Facility will be adequate to meet our anticipated cash requirements for at least the next twelve months. Cash flows related to discontinued operations were not material for the first six months of 2013 and therefore have not been separately disclosed in the condensed consolidated statements of cash flows. We do not anticipate the absence of cash flows from discontinued operations to significantly affect our liquidity and capital resources. During the first six months of 2014 and 2013, our primary source of capital was cash from operations. The following table summarizes the net cash provided and used by operating activities, investing activities and financing activities (in thousands):
 
Six months ended June 30,
 
2014
 
2013
Net cash provided by operating activities
$
61,378

 
$
40,393

Net cash used by investing activities
(40,814
)
 
(50,630
)
Net cash used by financing activities
(14,687
)
 
(75,620
)
Effect of exchange rates changes on cash and cash equivalents
841

 
(1,676
)
Net increase (decrease) in cash and cash equivalents
$
6,718

 
$
(87,533
)

As of June 30, 2014 and December 31, 2013, our principal sources of liquidity consisted of $213.7 million and $206.9 million, respectively, of cash and cash equivalents. We also had availability of $178.7 million and $178.8 million under our Revolving Credit Facility as of June 30, 2014 and December 31, 2013, respectively.

Capital Expenditures

During the first six months of 2014 and 2013, we made capital expenditures of $28.4 million and $40.0 million, respectively. Capital expenditures during the first six months of 2014 and 2013 related primarily to expanding the rental fleet and information technology projects and purchases.


33

Senior Secured Credit Facility

The following table sets forth the amounts owed under the Senior Secured Credit Facility, the effective interest rates on such outstanding amounts, and the amount available for additional borrowing thereunder, as of June 30, 2014 (dollars in thousands):
Senior Secured Credit Facility
 
Maturity
Date
 
Effective
Interest
Rate
 
Amount
Outstanding (1)
 
Amount Available
for Additional
Borrowing
 
Senior Revolving Credit Facility
 
November 2016
 
—
%
 
$
—

 
$
178,706

(2) 
Senior Dollar Term E-1 Credit Facility
 
May 2018
 
4.41
%
(3) 
1,909,354

 
—

 
Senior Euro Term E-1 Credit Facility
 
May 2018
 
5.08
%
(3) 
323,468

 
—

 
Senior Term E-2 Credit Facility
 
November 2016
 
4.03
%
(3) 
313,217

 
—

 
   Total
 
 
 
 
 
$
2,546,039

 
$
178,706

 
_____________________
(1)
Amount outstanding includes the original issue discount.
(2)
At June 30, 2014, the amount available under the Revolving Credit Facility reflected a reduction of $21.3 million of letters of credit issued by banks which are party to the Senior Secured Credit Facility. In addition, we have $12.1 million of letters of credit issued by a bank not party to the Senior Secured Credit Facility.
(3)
The effective interest rate includes the effect of the original issue discount. Excluding the original issue discount, our nominal interest rate as of June 30, 2014 was 4.00% on the Senior Dollar Term E-1 Credit Facility, 4.25% on the Senior Euro Term E-1 Credit Facility and 3.50% on the Senior Term E-2 Credit Facility.

On January 22, 2014, we entered into Amendment No. 5 to our Senior Secured Credit Facility ("Amendment No. 5"). As a result of the amendment we created new classes of Dollar Term E-1 Loans, Euro Term E-1 Loans and Term E-2 Loans, having the same rights and obligations as the Dollar Term D-1 Loans, Euro Term D-1 Loans and Term D-2 Loans as set forth in the Credit Agreement and Loan Documents, except as revised by the amendment. In connection with Amendment No. 5, Dollar Term D-1 Loans, Euro Term D-1 Loans and Term D-2 Loans were refinanced with Dollar Term E-1 Loans, Euro Term E-1 Loans and Term E-2 Loans, respectively. Dollar Term E-1 Loans bear interest at a rate equal to, at KCI’s election, a Eurocurrency rate plus 3.00% or an adjusted base rate plus 2.00%. Euro Term E-1 Loans bear interest at a rate equal to, at KCI’s election, a Eurocurrency rate plus 3.25% or an adjusted base rate plus 2.25%.  Term E-2 Loans bear interest at a rate equal to, at KCI’s election, a Eurocurrency rate plus 2.50% or an adjusted base rate plus 1.50%.  The Eurocurrency rate shall be subject to a floor of 1.00%, and the adjusted base rate shall be subject to a floor of 2.00%. We paid and expensed fees of $1.8 million as a result of this amendment.

10.5% Second Lien Senior Secured Notes

In November 2011, we issued $1.75 billion aggregate principal amount of 10.5% Second Lien Notes due 2018. Interest on the 10.5% Second Lien Notes accrues at the rate of 10.50% per annum and is payable semi-annually in cash on each May 1 and November 1, beginning on May 1, 2012, to the persons who are registered holders at the close of business on April 15 and October 15 immediately preceding the applicable interest payment date. The 10.5% Second Lien Notes were issued at a discount resulting in an effective interest rate of 10.87%. Under the terms of the registration rights agreements entered into with respect to these notes, additional interest was accrued at a rate of 0.25% and 0.50% from November 4, 2012 to February 4, 2013 and February 5, 2013 to March 15, 2013, respectively, due to delays in the effectiveness of our registration statement.


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12.5% Senior Unsecured Notes

In November 2011, we issued $750.0 million aggregate principal amount of senior 12.5% Unsecured Notes due 2019; $612.0 million of which are still outstanding. Interest on the 12.5% Unsecured Notes accrues at the rate of 12.50% per annum and is payable semi-annually in cash on each May 1 and November 1, beginning on May 1, 2012, to the persons who are registered holders at the close of business on April 15 and October 15 immediately preceding the applicable interest payment date. The 12.5% Unsecured Notes were issued at a discount resulting in an effective interest rate of 12.62%. Under the terms of the registration rights agreements entered into with respect to these notes, additional interest was accrued at a rate of 0.25% and 0.50% from November 4, 2012 to February 4, 2013 and February 5, 2013 to March 15, 2013, respectively, due to delays in the effectiveness of our registration statement.

Convertible Senior Notes

In 2008, we issued $690.0 million aggregate principal amount of 3.25% convertible senior notes due 2015 (the "Convertible Notes").  The Convertible Notes are governed by the terms of an indenture dated as of April 21, 2008 (the “Convertible Notes Indenture”). As a result of the Merger, the holders of the Convertible Notes have the right to require us to repurchase some or all of their Convertible Notes as provided in the Convertible Notes Indenture. The repurchase price is the principal amount of the Convertible Notes plus accrued interest. As of June 30, 2014, $101,000 aggregate principal amount of the notes remained outstanding.

Covenants

As of June 30, 2014, we were in compliance with all covenants under our Senior Secured Credit Facility, 10.5% Second Lien Notes, 12.5% Unsecured Notes, and the Convertible Notes.

For further information on our long-term debt, see Note 6 of the notes to the consolidated financial statements included in our Annual Report on Form 10-K for the fiscal year ended December 31, 2013.

Interest Rate Protection

At June 30, 2014 and December 31, 2013, we had three interest rate swap agreements to convert $1.5 billion of our outstanding variable rate debt to a fixed rate basis. These agreements became effective on December 31, 2013. The aggregate notional amount of the interest rate swaps decreases quarterly by amounts ranging from $1.7 million to $56.4 million until maturity. Our interest rate protection agreements have not been designated as hedging instruments, and as such, we recognize the fair value of these instruments as an asset or liability with income or expense recognized in the current period.

Previously held interest rate cap agreements expired on December 31, 2013.

For further information on our interest rate protection agreements, see Note 5 of the notes to the condensed consolidated financial statements.

Contractual Obligations
On June 30, 2014 , KCI entered into a settlement and release agreement (the “Settlement Agreement”) with Wake Forest to fully and finally resolve the pending patent disputes between them regarding Wake Forest’s NPWT patents formerly licensed to KCI. The Settlement Agreement resolves all disputes between KCI and Wake Forest, and their respective affiliates, related to Wake Forest’s NPWT patents that were the subject of a 1993 license agreement between KCI and Wake Forest, and detailed in our previous disclosures. To fully resolve all the pending disputes between KCI and Wake Forest, KCI agreed to pay Wake Forest retrospective U.S. patent royalties in the amount of $280 million, according to the following schedule (in thousands):
 
2014
 
2015-2016
 
2017-2018
 
Thereafter
 
Total
Settlement Agreement obligations
$
80,000

 
$
170,000

 
$
30,000

 
$
—

 
$
280,000


Other than the Settlement Agreement, there have been no material changes, outside of the ordinary course of business, in our outstanding contractual obligations since December 31, 2013.




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OTHER MATTERS
Critical Accounting Estimates
For a description of our critical accounting estimates, please see our Annual Report on Form 10-K for the fiscal year ended December 31, 2013 under the heading Part II, Item 7. "Management's Discussion and Analysis of Financial Condition and Results of Operations - Critical Accounting Estimates."

Recently Issued Accounting Standards

See note 1(e) of the notes to condensed consolidated financial statements included in this report for a discussion of recently issued accounting standards.

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ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
We are exposed to various market risks, including fluctuations in interest rates and variability in currency exchange rates. There have been no material changes from the risk factors disclosed in the Company's Annual Report on Form 10-K for the fiscal year ended December 31, 2013. For a description of our policies, procedures and internal processes governing our management of market risk and the use of financial instruments to manage our exposure to such risk, please see our Annual Report for the fiscal year ended December 31, 2013 under the heading “Quantitative and Qualitative Disclosures About Market Risk.”


ITEM 4.     CONTROLS AND PROCEDURES

Disclosure Controls and Procedures. Our management, with the participation of the Chief Executive Officer and our principal financial officer, has evaluated the effectiveness of our disclosure controls and procedures (as such term is defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended (the “Exchange Act”)) as of the end of the period covered by this report. Based on such evaluation, our Chief Executive Officer and principal financial officer have concluded that, as of the end of such period, our disclosure controls and procedures are effective in recording, processing, summarizing and reporting, on a timely basis, information required to be disclosed by us in the reports that we file or submit under the Exchange Act and are effective in ensuring that information required to be disclosed by us in the reports that we file or submit under the Exchange Act is accumulated and communicated to our management, including our Chief Executive Officer and principal financial officer, as appropriate to allow timely decisions regarding required disclosure.

Changes in Internal Control over Financial Reporting. There have not been any changes in our internal control over financial reporting (as such term is defined by paragraph (d) of Rule 13a-15) under the Exchange Act, during the second fiscal quarter of 2014 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.


PART II - OTHER INFORMATION


ITEM 1. LEGAL PROCEEDINGS
Incorporated in this Item 1, by reference, are the legal proceedings described in note 7 of the notes to condensed consolidated financial statements included in this report under the heading "Commitments and Contingencies: Legal Proceedings."


ITEM 1A.      RISK FACTORS

There have been no material changes from the risk factors disclosed in the Company's Annual Report on Form 10-K for the fiscal year ended December 31, 2013.


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ITEM 6. EXHIBITS
A list of all exhibits filed or included as part of this quarterly report on Form 10-Q is as follows:
 
 
Exhibit
Number
Description
3.1
Declaration of Centaur Guernsey L.P. Inc. (filed as Exhibit 3.3 to our Registration Statement on Form S-4 filed on October 1, 2012).
3.2
Certificate of Registration of Centaur Guernsey L.P. Inc. (filed as Exhibit 3.4 to our Registration Statement on Form S-4 filed on October 1, 2012).
3.3
Amended and Restated Limited Partnership Agreement of Centaur Guernsey L.P. Inc. (filed as Exhibit 3.3 to our Registration Statement on Form S-4 filed on October 1, 2012).
†10.1
Settlement and Release Agreement between Kinetic Concepts, Inc. and affiliates and Wake Forest University Health Sciences dated June 30, 2014.

†31.1
Certification of Chief Executive Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 dated July 30, 2014.
†31.2
Certification of Chief Financial Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 dated July 30, 2014.
†32.1
Certification of Chief Executive Officer and Chief Financial Officer Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 dated July 30, 2014.
 
 
 
†      Exhibit filed herewith.


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SIGNATURES

Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized, in the City of San Antonio, State of Texas on July 30, 2014.
 
CENTAUR GUERNSEY L.P. INC.
 
(REGISTRANT)
 
 
 
Date: July 30, 2014
By:
/s/ Joseph F. Woody
 
 
Joseph F. Woody
 
 
Principal Executive Officer
 
 
(Duly Authorized Officer)
 
 
 
 
 
 
Date: July 30, 2014
By:
/s/ Robert P. Hureau
 
 
Robert P. Hureau
 
 
Principal Financial Officer
 
 
(Duly Authorized Officer)



39

EXHIBITS

Exhibit
Number
Description
3.1
Declaration of Centaur Guernsey L.P. Inc. (filed as Exhibit 3.3 to our Registration Statement on Form S-4 filed on October 1, 2012).
3.2
Certificate of Registration of Centaur Guernsey L.P. Inc. (filed as Exhibit 3.4 to our Registration Statement on Form S-4 filed on October 1, 2012).
3.3
Amended and Restated Limited Partnership Agreement of Centaur Guernsey L.P. Inc. (filed as Exhibit 3.3 to our Registration Statement on Form S-4 filed on October 1, 2012).
†10.1
Settlement and Release Agreement between Kinetic Concepts, Inc. and affiliates and Wake Forest University Health Sciences dated June 30, 2014.

†31.1
Certification of Chief Executive Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 dated July 30, 2014.
†31.2
Certification of Chief Financial Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 dated July 30, 2014.
†32.1
Certification of Chief Executive Officer and Chief Financial Officer Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 dated July 30, 2014.
 
 
 
†      Exhibit filed herewith.



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