ofix-ex991

LEWISVILLE, Texas — November 3, 2015 — Orthofix International N.V. (NASDAQ:OFIX) today reported its financial results for the third quarter ended September 30, 2015, including net sales of $101.2 million, diluted loss per share from continuing operations of ($0.04) and adjusted diluted earnings per share from continuing operations of $0.30.

“The third quarter was a very good quarter for Orthofix in many respects, led by the financial results, which are at the high end of our expectations. Our third quarter net sales continue to confirm that the plan we are executing will deliver consistent top line growth. With this growth we also anticipate ongoing improvement in our operating leverage,” said President and Chief Executive Officer, Brad Mason. “I am also pleased to report that our Board of Directors has approved a $75 million share repurchase plan. I believe our improving financial performance and significant cash flow generation ability affords us this opportunity to return capital to shareholders while driving profitable growth.”

The following table provides net sales and constant currency net sales growth by strategic business unit (“SBU”) for the three months ended September 30, 2015 and 2014:

Net sales of $101.2 million were relatively flat when compared to the same prior year period; however, net sales increased by approximately 4.1% on a constant currency basis. Net sales increased in our BioStim and Biologics SBUs due primarily to continued expansion of our sales channels and improving execution of our commercial strategies. Net sales in our Extremity Fixation SBU decreased 10.6% (an increase of 3.4% on a constant currency basis) compared to the same prior year period. The increase in constant currency terms was primarily driven by growth in the U.S. and increased cash collections, partially offset by weakness in Brazil. Net sales in our Spine Fixation SBU decreased 3.9% in constant currency year-over-year; however, third quarter sales grew 4.5% sequentially over the second quarter, marking three consecutive quarters of sales growth in this segment and highlighting the success of the team and strategies that were put in place late last year.

Gross profit increased $1.6 million to $77.3 million, compared to $75.7 million in the same prior year period. Gross margin was 76.4% compared to 75.0% for the same prior year period, primarily due to the increased sales mix of our BioStim and Biologics regenerative solutions relative to our other products.

Total net margin (gross profit less sales and marketing expenses) was $31.2 million, or 30.8% of net sales, a decrease of $3.5 million or 10.3% from $34.7 million, or 34.4% of net sales, in the third quarter of 2014. The decrease in net margin was driven by an increase in sales and marketing expenses of $5.1 million, partially due to an increase in bad debt expense of $3.0 million, $2.0 million of which resulted from an increase in accounts receivable reserves in response to the recent fiscal and economic difficulties experienced by the Puerto Rico Commonwealth, including receiving downgrades in credit ratings. Also contributing to this increase was the planned increase in sales management and field-based education and training personnel as well as overachievement of sales commission quotas in certain territories. These increases in sales and marketing expenses were partially offset by the increase in gross profit.

Operating expenses increased by $3.9 million to $73.1 million, compared to $69.2 million in the prior year period. The increase in operating expenses was primarily a result of the increase in sales and marketing expense, partially offset by a decrease of $1.2 million in restatements and related costs from lower professional fees.

Adjusted EBITDA, which excludes share-based compensation, foreign exchange impact, strategic investments, restatements and related costs, infrastructure investments, legal judgment, gain on sale of assets, and the Puerto Rico adjustment, decreased to $15.9 million or 15.7% of net sales for the quarter, compared to $17.6 million or 17.4% of net sales in the same prior year period due primarily to increased operating expenses as described above.

Net loss from continuing operations for the quarter was ($0.8) million, or ($0.04) per diluted share, compared to net income of $28 thousand, or $0.00 per diluted share, in the same prior year period.

Adjusted net income from continuing operations for the quarter was $5.7 million, or $0.30 per diluted share, compared to adjusted net income from continuing operations of $3.3 million, or $0.17 per diluted share, in the same prior year period.

As of September 30, 2015, cash and cash equivalents were $63.7 million compared to $71.2 million, which includes restricted cash, as of December 31, 2014. On August 31, 2015, the Company entered into a new credit agreement that provides for a five year, $125 million secured revolving credit facility, and replaces the Company’s prior 2010 credit facility. As of September 30, 2015, the Company had no outstanding indebtedness and borrowing capacity of $125 million.

Subject to court approval, a settlement in principle has been reached in the shareholder action related to the first restatement. The settlement is within the Company’s insurance coverage limits. Further details of the settlement are provided in the 2015 third quarter Form 10-Q.

The Company’s Board of Directors has authorized a share repurchase plan, authorizing the purchase of up to $75 million of the Company’s common stock through the end of September 2017. The timing of purchases and the number of shares to be purchased will depend on market conditions and other factors. Repurchases are expected to consist primarily of open market transactions at prevailing market prices in accordance with the guidelines specified under Rule 10b-18 of the Securities Exchange Act of 1934, as amended.

Based on the Company’s year-to-date results and updated forecast for the fourth quarter of this year, the Company is narrowing its range of Net Sales and adjusted EBITDA guidance as shown in the table below. The guidance assumes constant currency exchange rates from those currently prevailing.

¹Represents a year over year increase of 1.1% to 1.9% on a constant currency basis and a decrease of 2.6% to 1.8% on a reported basis.

²Represents a year over year decrease of 11.5% to 8.4% on a constant currency basis and a decrease of 11.3% to 8.3% on a reported basis.

Orthofix will host a conference call today at 4:30 PM Eastern time to discuss the Company's financial results for the third quarter 2015. Interested parties may access the conference call by dialing (888) 427-9380 in the U.S. and (719) 325-2412 outside the U.S., and referencing the conference ID 344751. A replay of the call will be available for two weeks by dialing (888) 203-1112 in the U.S. and (719) 457-0820 outside the U.S., and entering the conference ID 344751. A webcast of the conference call may be accessed by going to the Company's website at www.orthofix.com, by clicking on the Investors link and then the Events and Presentations page.

Orthofix International N.V. is a diversified, global medical device company focused on improving patients' lives by providing superior reconstructive and regenerative orthopedic and spine solutions to physicians worldwide. Headquartered in Lewisville, Texas, the Company has four strategic business units that include BioStim, Biologics, Extremity Fixation and Spine Fixation. Orthofix products are widely distributed via the Company's sales representatives, distributors and its subsidiaries. In addition, Orthofix is collaborating on research and development activities with leading clinical organizations such as the Musculoskeletal Transplant Foundation and the Texas Scottish Rite Hospital for Children. For more information, please visit www.orthofix.com.

This communication contains certain forward-looking statements under the Private Securities Litigation Reform Act of 1995. These forward-looking statements, which may include, but are not limited to, statements concerning the projections, financial condition, results of operations and businesses of Orthofix and its subsidiaries, are based on management's current expectations and estimates and involve risks and uncertainties that could cause actual results or outcomes to differ materially from those contemplated by the forward-looking statements.

The forward-looking statements in this release do not constitute guarantees or promises of future performance. Factors that could cause or contribute to such differences may include, but are not limited to, risks relating to: an investigation by the Division of Enforcement of the Securities and Exchange Commission (the "SEC") and related securities class action litigation arising out of our prior accounting review and restatements of financial statements; our review of allegations of improper payments involving our Brazil-based subsidiary; the geographic concentration of certain of our sales and accounts receivable in countries or territories that are facing severe fiscal challenges; the expected sales of our products, including recently launched products; unanticipated expenditures; changing relationships with customers, suppliers, strategic partners and lenders; changes to and the interpretation of governmental regulations; the resolution of pending litigation matters (including our indemnification obligations with respect to certain product liability claims against our former sports medicine global business unit); our ongoing compliance obligations under a corporate integrity agreement with the Office of Inspector General of the Department of Health and Human Services (and related terms of probation) and a deferred prosecution agreement with the U.S. Department of Justice; risks relating to the protection of intellectual property; changes to the reimbursement policies of third parties; the impact of competitive products; changes to the competitive environment; the acceptance of new products in the market; conditions of the orthopedic and spine industry; credit markets and the global economy; corporate development and market development activities, including acquisitions or divestitures; unexpected costs or operating unit performance related to recent acquisitions; and other risks described

in our 2014 Annual Report on Form 10-K, Part I, Item 1A, "Risk Factors" as well as in other reports that we file in the future.

	Three Months Ended						Nine Months Ended
	September 30,						September 30,
(Unaudited, U.S. Dollars, in thousands, except share and per share data)	2015			2014			2015			2014
Product sales	$	87,761		$	88,296		$	251,461		$	265,175
Marketing service fees		13,390			12,698			40,406			36,818
Net sales		101,151			100,994			291,867			301,993
Cost of sales		23,865			25,268			65,114			77,455
Gross profit		77,286			75,726			226,753			224,538
Operating expenses
Sales and marketing		46,129			40,998			133,360			124,182
General and administrative		19,348			19,322			63,423			55,396
Research and development		6,523			6,572			18,819			18,818
Restatements and related costs		1,147			2,326			9,276			12,959
		73,147			69,218			224,878			211,355
Operating income		4,139			6,508			1,875			13,183
Other income and expense
Interest expense, net		(125	)		(395	)		(323	)		(1,355	)
Other expense, net		(1,736	)		(1,322	)		(192	)		(1,231	)
		(1,861	)		(1,717	)		(515	)		(2,586	)
Income before income taxes		2,278			4,791			1,360			10,597
Income tax expense		(3,066	)		(4,763	)		(5,808	)		(9,251	)
Net (loss) income from continuing operations		(788	)		28			(4,448	)		1,346
Discontinued operations
(Loss) income from discontinued operations		(804	)		260			(2,315	)		(6,363	)
Income tax benefit		221			164			585			2,278
Net (loss) income from discontinued operations		(583	)		424			(1,730	)		(4,085	)
Net (loss) income	$	(1,371	)	$	452		$	(6,178	)	$	(2,739	)
Net (loss) income per common share—basic:
Net (loss) income from continuing operations	$	(0.04	)	$	—		$	(0.24	)	$	0.07
Net (loss) income from discontinued operations		(0.03	)		0.02			(0.09	)		(0.22	)
Net (loss) income per common share—basic	$	(0.07	)	$	0.02		$	(0.33	)	$	(0.15	)
Net (loss) income per common share—diluted:
Net (loss) income from continuing operations	$	(0.04	)	$	—		$	(0.24	)	$	0.07
Net (loss) income from discontinued operations		(0.03	)		0.02			(0.09	)		(0.22	)
Net (loss) income per common share—diluted	$	(0.07	)	$	0.02		$	(0.33	)	$	(0.15	)
Weighted average number of common shares:
Basic		18,855,533			18,557,540			18,785,696			18,408,238
Diluted		18,855,533			18,773,386			18,785,696			18,564,522

	September 30,			December 31,
(U.S. Dollars, in thousands except share and per share data)	2015			2014
Assets	(unaudited)
Current assets:
Cash and cash equivalents	$	63,694		$	36,815
Restricted cash		—			34,424
Trade accounts receivable, less allowance for doubtful accounts of $9,468 and $7,285 at September 30, 2015 and December 31, 2014, respectively		56,173			61,358
Inventories		57,766			59,846
Deferred income taxes		35,974			37,413
Prepaid expenses and other current assets		31,884			26,552
Total current assets		245,491			256,408
Property, plant and equipment, net		51,467			48,549
Patents and other intangible assets, net		5,368			7,152
Goodwill		53,565			53,565
Deferred income taxes		19,101			18,541
Other long-term assets		27,457			8,970
Total assets	$	402,449		$	393,185
Liabilities and shareholders’ equity
Current liabilities:
Trade accounts payable	$	17,009		$	13,223
Other current liabilities		61,570			53,220
Total current liabilities		78,579			66,443
Deferred income taxes		—			229
Other long-term liabilities		26,664			26,886
Total liabilities		105,243			93,558
Contingencies
Shareholders’ equity
Common shares $0.10 par value; 50,000,000 shares authorized; 18,882,661 and 18,611,495 issued and outstanding as of September 30, 2015 and December 31, 2014, respectively		1,888			1,861
Additional paid-in capital		239,954			232,788
Retained earnings		59,182			65,360
Accumulated other comprehensive loss		(3,818	)		(382	)
Total shareholders’ equity		297,206			299,627
Total liabilities and shareholders’ equity	$	402,449		$	393,185

The following tables provide net sales and constant currency net sales growth by SBU for the three and nine months ended September 30, 2015 and 2014:

The following table provides net margin by SBU for the three and nine months ended September 30, 2015 and 2014:

	Three Months Ended September 30,						Nine Months Ended September 30,
(Unaudited, U.S. Dollars, in thousands)	2015			2014			2015			2014
BioStim	$	16,834		$	16,442		$	47,634		$	49,168
Biologics		6,296			6,504			19,525			19,500
Extremity Fixation		6,442			8,361			22,607			21,952
Spine Fixation		1,938			3,958			4,582			11,147
Corporate		(353	)		(537	)		(955	)		(1,411	)
Total net margin	$	31,157		$	34,728		$	93,393		$	100,356

As a % of net sales		30.8	%		34.4	%		32.0	%		33.2	%

The following table reconciles reported net (loss) income from continuing operations to EBITDA (earnings before net interest expense, income tax provision, depreciation and amortization) and Adjusted EBITDA for the three and nine months ended September 30, 2015 and 2014. Please refer to the Non-GAAP Performance Measures section at the end of this press release for more information about the specified items below.

	Three Months Ended September 30,						Nine Months Ended September 30,
(Unaudited, U.S. Dollars, in thousands)	2015			2014			2015			2014
Net (loss) income from continuing operations	$	(788	)	$	28		$	(4,448	)	$	1,346
Interest expense, net		125			395			323			1,355
Income tax expense		3,066			4,763			5,808			9,251
Depreciation and amortization		5,171			5,578			15,746			17,094
EBITDA	$	7,574		$	10,764		$	17,429		$	29,046
Share-based compensation		1,948			1,730			5,524			4,103
Foreign exchange impact		1,696			1,349			3,374			1,029
Strategic investments		199			—			1,100			—
Restatements and related costs		1,147			2,326			9,276			12,959
Infrastructure investments		1,270			1,452			4,732			1,452
Legal judgment		—			—			1,066			—
Gain on sale of assets		—			—			(3,100	)		—
Puerto Rico		2,024			—			2,024			—
Adjusted EBITDA	$	15,858		$	17,621		$	41,425		$	48,589

As a % of net sales		15.7	%		17.4	%		14.2	%		16.1	%

The following table reconciles reported net (loss) income from continuing operations to adjusted net income from continuing operations for the three and nine months ended September 30, 2015 and 2014. Amounts are shown net of tax. Please refer to the Non-GAAP Performance Measures section at the end of this press release for more information about the specified items below.

	Three Months Ended September 30,					Nine Months Ended September 30,
(Unaudited, U.S. Dollars, in thousands)	2015			2014		2015			2014
Net (loss) income from continuing operations	$	(788	)	$	28	$	(4,448	)	$	1,346
Foreign exchange impact		1,068			850		2,125			648
Strategic investments		125			—		693			—
Restatements and related costs		723			1,465		5,844			8,164
Infrastructure investments		800			914		2,981			914
Legal judgment		—			—		672			—
Gain on sale of assets		—			—		(1,953	)		—
Puerto Rico:
Bad debt expense		2,024			—		2,024			—
Income tax valuation allowance		1,778			—		1,778			—
Adjusted net income from continuing operations	$	5,730		$	3,257	$	9,716		$	11,072

The following table reconciles reported earnings per diluted share (EPS) from continuing operations to adjusted EPS from continuing operations for the three and nine months ended September 30, 2015 and 2014. Calculations are shown net of tax. Please refer to the Non-GAAP Performance Measures section at the end of this press release for more information about the specified items below.

	Three Months Ended September 30,					Nine Months Ended September 30,
(Unaudited, per diluted share)	2015			2014		2015			2014
EPS from continuing operations	$	(0.04	)	$	—	$	(0.24	)	$	0.07
Foreign exchange impact		0.06			0.04		0.11			0.03
Strategic investments		0.01			—		0.04			—
Restatements and related costs		0.04			0.08		0.31			0.45
Infrastructure investments		0.03			0.05		0.16			0.05
Legal judgment		—			—		0.04			—
Gain on sale of assets		—			—		(0.10	)		—
Puerto Rico:
Bad debt expense		0.11			—		0.11			—
Income tax valuation allowance		0.09			—		0.09			—
Adjusted EPS from continuing operations	$	0.30		$	0.17	$	0.52		$	0.60

The following table reconciles net cash provided by operating activities to free cash flow for the nine months ended September 30, 2015 and 2014. Please refer to the Non-GAAP Performance Measures section at the end of this press release for more information about the specified items below.

The following table reconciles gross profit to net margin for the three and nine months ended September 30, 2015 and 2014. Please refer to the Non-GAAP Performance Measures section at the end of this press release for more information about the specified items below.

The tables in this press release present reconciliations of net (loss) income from continuing operations and earnings per diluted share from continuing operations calculated in accordance with U.S. GAAP to non-GAAP performance measures, referred to as "EBITDA," "Adjusted EBITDA," "Adjusted net income from continuing operations," "Adjusted earnings per diluted share from continuing operations," "Free cash flow" and "Net margin" that exclude items specified in the tables. A more detailed explanation of the items excluded from these non-GAAP measures, as well as why management believes the non-GAAP measures are useful to them, is included in the Reconciliations of Non-GAAP Performance Measures section below. Certain calculations for prior periods which have been previously presented have been conformed to our current calculation methodology.

Reconciling Items for Adjusted EBITDA, Adjusted Net Income from Continuing Operations and Adjusted Earnings per Diluted Share from Continuing Operations

Free cash flow is a non-GAAP financial measure, which is calculated by subtracting capital expenditures from cash flow from operating activities. Free cash flow is an important indicator of how much cash is generated or used by our normal business operations, including capital expenditures. Management uses free cash flow as a measure of progress on its capital efficiency and cash flow initiatives.

Net margin is a non-GAAP financial measure, which is calculated by subtracting sales and marketing from gross profit. Net margin is the primary metric used by the Company’s Chief Operating Decision Maker in managing the Company.

Management uses non-GAAP measures to evaluate performance period-over-period, to analyze the underlying trends in the Company's business, to assess its performance relative to its competitors and to establish operational goals and forecasts that are used in allocating resources. Management uses these non-GAAP measures as the basis for assessing the ability of the underlying operations to generate cash. In addition, management uses these non-GAAP measures to further its understanding of the performance of the Company's business units.

The non-GAAP measures used in this press release may have limitations as analytical tools, and should not be considered in isolation or as a replacement for U.S. GAAP performance measures. Some of the limitations associated with the use of these non-GAAP performance measures are that they exclude items that reflect an economic cost to the Company and can have a material effect on cash flows. Similarly, certain non-cash expenses such as equity compensation expense does not directly impact cash flows, but is part of total compensation costs accounted for under U.S. GAAP.

Orthofix compensates for the limitations of its non-GAAP performance measures by relying upon its U.S. GAAP results to gain a complete picture of the Company's performance. The U.S. GAAP results provide the ability to understand the Company's performance based on a defined set of criteria. The non-GAAP measures reflect the underlying operating results of the Company's businesses, excluding non-cash items, which management believes is an important measure of the Company's overall performance. The Company provides a detailed reconciliation of the non-GAAP performance measures to their most directly comparable U.S. GAAP measures, and encourages investors to review this reconciliation.

Orthofix believes that providing non-GAAP measures that exclude certain items provides investors with greater transparency to the information used by the Company's senior management in its financial and operational decision-making. Management believes it is important to provide investors with the same non-GAAP metrics it uses to supplement information regarding the performance and

underlying trends of Orthofix's business operations in order to facilitate comparisons to its historical operating results and internally evaluate the effectiveness of the Company's operating strategies. Disclosure of these non-GAAP performance measures also facilitates comparisons of Orthofix's underlying operating performance with other companies in its industry that also supplement their U.S. GAAP results with non-GAAP performance measures.

	Three Months Ended September 30,
(Unaudited, U.S. Dollars, in thousands)	2015		2014		Reported Growth			Constant Currency Growth
BioStim	$	41,559	$	38,285		8.6	%		8.6	%
Biologics		14,639		13,856		5.7	%		5.7	%
Extremity Fixation		24,694		27,636		(10.6	)%		3.4	%
Spine Fixation		20,259		21,217		(4.5	)%		(3.9	)%
Total net sales	$	101,151	$	100,994		0.2	%		4.1	%

	Previous Quarter 2015 Outlook	Current Quarter 2015 Outlook

Net Sales	$ 390 million — $ 395 million	$ 392 million — $ 395 million¹

Adjusted EBITDA	$ 57 million — $ 60 million	$ 58 million — $ 60 million²


Company Contact
Orthofix International N.V.
Mark Quick
P: 214-937-2924
E: markquick@orthofix.com

	Three Months Ended September 30,
(Unaudited, U.S. Dollars, in thousands)	2015		2014		Reported Growth			Constant Currency Growth
BioStim	$	41,559	$	38,285		8.6	%		8.6	%
Biologics		14,639		13,856		5.7	%		5.7	%
Extremity Fixation		24,694		27,636		(10.6	)%		3.4	%
Spine Fixation		20,259		21,217		(4.5	)%		(3.9	)%
Total net sales	$	101,151	$	100,994		0.2	%		4.1	%

	Nine Months Ended September 30,
(Unaudited, U.S. Dollars, in thousands)	2015		2014		Reported Growth			Constant Currency Growth
BioStim	$	119,962	$	114,937		4.4	%		4.4	%
Biologics		43,874		40,718		7.8	%		7.8	%
Extremity Fixation		72,103		82,005		(12.1	)%		2.1	%
Spine Fixation		55,928		64,333		(13.1	)%		(12.6	)%
Total net sales	$	291,867	$	301,993		(3.4	)%		0.6	%

	Three Months Ended September 30,						Nine Months Ended September 30,
(Unaudited, U.S. Dollars in thousands)	2015			2014			2015			2014
Gross profit	$	77,286		$	75,726		$	226,753		$	224,538
Less: sales and marketing		(46,129	)		(40,998	)		(133,360	)		(124,182	)
Total net margin	$	31,157		$	34,728		$	93,393		$	100,356