10-K 1 d450869d10k.htm FORM 10-K Form 10-K
Table of Contents

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

FORM 10-K

 

 

 

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

For the fiscal year ended December 31, 2012

or

 

¨ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from                      to                     .

Commission file number 333-142188

 

 

DJO Finance LLC

(Exact name of Registrant as specified in its charter)

 

 

 

Delaware   20-5653965

(State or other jurisdiction of

incorporation or organization)

 

(I.R.S. Employer

Identification No.)

1430 Decision Street

Vista, California

  92081
(Address of principal executive offices)   (Zip Code)

Registrant’s telephone number, including area code: (800) 336-5690

Securities registered pursuant to Section 12(b) of the Act:

 

Title of each class

 

Name of each exchange on which registered

None   None

Securities registered pursuant to Section 12(g) of the Act: None

 

 

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.    Yes  ¨    No  x

Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act.    Yes  ¨    No  x (On January 8, 2013, the registrant’s Registration Statement on Form S-4 (File No. 333-185713) was declared effective. As of that date, the registrant became subject to the filing requirements of Section 13 or 15(d) of the Exchange Act.)

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  ¨    No  x (Note: Prior to the effectiveness of the registrant’s Registration Statement on Form S-4 (File No. 333-185713) on January 8, 2013, the registrant was a voluntary filer not subject to the filing requirements of Section 13 or 15(d) of the Exchange Act. As a voluntary filer the registrant filed all reports required to be filed by Section 13 or 15(d) of the Exchange Act during the preceding 12 months (or for such shorter period that the registrant would have been required to file such reports) as if it were subject to such filing requirements). In addition, since January 8, 2013, when the registrant became subject to the filing requirements of Section 13 or 15(d) of the Exchange Act, it has filed all reports required to be filed by Section 13 or 15(d) of the Exchange Act.)

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 if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be contained, to the best of registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K.  x

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 Act).    Yes  ¨    No  x

As of February 27, 2013, 100% of the issuer’s membership interests were owned by DJO Holdings LLC.

 

 

 


Table of Contents

DJO FINANCE LLC

FORM 10-K

TABLE OF CONTENTS

 

          Page
No.
 
   PART I   

Item 1.

  

Business

     3   

Item 1A.

  

Risk Factors

     24   

Item 2.

  

Properties

     40   

Item 3.

  

Legal Proceedings

     40   

Item 4.

  

Mine Safety Disclosures

     43   
   PART II   

Item 5.

  

Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities

     44   

Item 6.

  

Selected Financial Data

     45   

Item 7.

  

Management’s Discussion and Analysis of Financial Condition and Results of Operations

     46   

Item 7A.

  

Quantitative and Qualitative Disclosures About Market Risk

     62   

Item 8.

  

Financial Statements and Supplementary Data

     64   

Item 9.

  

Changes in and Disagreements With Accountants on Accounting and Financial Disclosure

     117   

Item 9A.

  

Controls and Procedures

     117   

Item 9B.

  

Other Information

     117   
   PART III   

Item 10.

  

Directors, Executive Officers and Corporate Governance

     118   

Item 11.

  

Executive Compensation

     123   

Item 12.

  

Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters

     137   

Item 13.

  

Certain Relationships and Related Transactions, and Director Independence

     139   

Item 14.

  

Principal Accounting Fees and Services

     140   
   PART IV   

Item 15.

  

Exhibits, Financial Statement Schedules

     142   

SIGNATURES

     150   

 

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FORWARD-LOOKING STATEMENTS

This Annual Report on Form 10-K (Annual Report) of DJO Finance LLC (DJOFL, or the Company) for the year ended December 31, 2012 contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended (the Securities Act) and Section 21E of the Securities Exchange Act of 1934, as amended (the Exchange Act), which are intended to be covered by the safe harbors created thereby. To the extent that any statements are not recitations of historical fact, such statements constitute forward-looking statements that, by definition, involve risks and uncertainties. Specifically, the sections entitled “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and “Business” may contain forward-looking statements. These statements can be identified because they use words like “anticipates,” “believes,” “estimates,” “expects,” “forecasts,” “future,” “intends,” “plans,” and similar terms. These statements reflect only our current expectations. Forward-looking statements include statements concerning our plans, objectives, goals, strategies, future events, capital expenditures, future results, our competitive strengths, our business strategy, the trends in our industry and the benefits of our acquisitions.

Although we do not make forward-looking statements unless we believe we have a reasonable basis for doing so, we cannot guarantee their accuracy, and actual results may differ materially from those we anticipated due to a number of uncertainties, many of which are unforeseen, including, among others, the risks we face as described elsewhere in this filing. You should not place undue reliance on these forward-looking statements, which apply only as of the date of this Annual Report. In any forward-looking statement where we express an expectation or belief as to future results or events, such expectation or belief is expressed in good faith and is believed to have a reasonable basis, but there can be no assurance that any future results or events expressed by the statement of expectation or belief will be achieved or accomplished.

We believe it is important to communicate our expectations to holders of our notes. There may be events in the future, however, that we are unable to predict accurately or over which we have no control. The risk factors listed in Item 1A below, as well as any cautionary language in this Annual Report, provide examples of risks, uncertainties and events that may cause our actual results to differ materially from the expectations we describe in our forward-looking statements.

PART  I.

ITEM 1. BUSINESS

Overview

We are a global developer, manufacturer and distributor of high-quality medical devices that provide solutions for musculoskeletal health, vascular health and pain management. Our products address the continuum of patient care from injury prevention to rehabilitation after surgery, injury or from degenerative disease, enabling people to regain or maintain their natural motion. Our products are used by orthopedic specialists, spine surgeons, primary care physicians, pain management specialists, physical therapists, podiatrists, chiropractors, athletic trainers and other healthcare professionals. In addition, many of our medical devices and related accessories are used by athletes and patients for injury prevention and at-home physical therapy treatment. Our product lines include rigid and soft orthopedic bracing, hot and cold therapy, bone growth stimulators, vascular therapy systems and compression garments, therapeutic shoes and inserts, electrical stimulators used for pain management and physical therapy products. Our surgical implant business offers a comprehensive suite of reconstructive joint products for the hip, knee and shoulder. Our products are marketed under a portfolio of brands including Aircast®, DonJoy®, ProCare®, CMF™, Empi®, Chattanooga, DJO Surgical, Dr. Comfort™, Compex®, Bell-Horn™ and ExosTM.

DJO Finance LLC (DJOFL) is a wholly owned indirect subsidiary of DJO Global, Inc (DJO). Substantially all business activities of DJO are conducted by DJOFL and its wholly owned subsidiaries.

 

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Except as otherwise indicated, references to “us”, “we”, “our”, or “the Company” in this Annual Report refers to DJOFL and its consolidated subsidiaries. Each one of the following trademarks, trade names or service marks, which is used in this Annual Report, is either (i) our registered trademark, (ii) a trademark for which we have a pending application, or (iii) a trademark or service mark for which we claim common law rights: Cefar®, Empi®, Exos™, Bell-Horn®, Compex®, Aircast®, DonJoy®, OfficeCare®, ProCare®, SpinaLogic®, Dr. Comfort™, CMF™, OL1000™, and OL1000 SC™. All other trademarks, trade names or service marks of any other company appearing in this Annual Report belong to their respective owners.

Operating Segments

We currently develop, manufacture and distribute our products through the following four operating segments:

Bracing and Vascular Segment

Our Bracing and Vascular segment, which generates its revenues in the United States, offers our rigid knee bracing products, orthopedic soft goods, cold therapy products, vascular systems, therapeutic shoes and inserts and compression therapy products, primarily under the DonJoy, ProCare, Aircast, Dr. Comfort, Bell-Horn and Exos brands. This segment also includes our OfficeCare business, through which we maintain an inventory of soft goods and other products at healthcare facilities, primarily orthopedic practices, for immediate distribution to patients.

Recovery Sciences Segment

Our Recovery Sciences segment, which generates its revenues in the United States, is divided into four main businesses:

 

   

Empi. Our Empi business unit offers our home electrotherapy, iontophoresis, and home traction products. We primarily sell these products directly to patients or to physical therapy clinics. For products sold to patients, we arrange billing to the patients and their third party payors.

 

   

CMF. Our CMF business unit sells our combined magnetic field (CMF) bone growth stimulation products. We sell these products either directly to patients or to independent distributors. For products sold to patients, we arrange billing to patients and their third party payors.

 

   

Chattanooga. Our Chattanooga business unit offers products in the clinical rehabilitation market in the category of clinical electrotherapy devices, clinical traction devices, and other clinical products and supplies such as treatment tables, continuous passive motion (CPM) devices and dry heat therapy.

 

   

Athlete Direct. Our Athlete Direct business unit offers consumers ranging from fitness enthusiasts to competitive athletes our Compex electrostimulation device, which is used in athletic training programs to aid muscle development and to accelerate muscle recovery after training sessions.

International Segment

Our International segment, which generates most of its revenues in Europe, sells all of our products and certain third party products through a combination of direct sales representatives and independent distributors.

Surgical Implant Segment

Our Surgical Implant segment, which generates its revenues in the United States, develops, manufactures and markets a wide variety of knee, hip and shoulder implant products that serve the orthopedic reconstructive joint implant market.

 

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Our four operating segments enable us to reach a diverse customer base through multiple distribution channels and give us the opportunity to provide a wide range of medical devices and related products to orthopedic specialists and other healthcare professionals operating in a variety of patient treatment settings. These four segments constitute our reportable segments. See Note 18 of the Notes to Consolidated Financial Statements included in Part II, Item 8, herein for additional information regarding our segments.

Recent Acquisitions

On December 28, 2012, we acquired all of the outstanding shares of capital stock of Exos Corporation (Exos) for an initial payment of $31.2 million and an earn out payment of up to $10.0 million upon achievement of certain milestones and revenue targets. Exos is a medical device company focused on a thermoformable external musculoskeletal stabilization system for the treatment of fractures and other injuries requiring stabilization. Since October 2011, we have been the exclusive distributor of Exos products in most of the world.

In connection with the acquisition of Exos, we incurred $1.3 million of direct acquisition costs comprised of $0.5 million of legal and other professional fees and $0.8 million of transaction and advisory fees to Blackstone Advisory Partners L.P., and Blackstone Management Partners LLC, affiliates of our major shareholder (see Note 17 of the Notes to Consolidated Financial Statements). These costs are included in Selling, general and administrative expense in our Consolidated Statement of Operations. The acquisition was partially funded using proceeds from $25.0 million of new term loans issued on December 28, 2012 (see Note 12 of the Notes to Consolidated Financial Statements).

Our Products

Our products are used by orthopedic specialists, spine surgeons, primary care physicians, pain management specialists, physical therapists, podiatrists, chiropractors, athletic trainers and other healthcare professionals to treat patients with musculoskeletal conditions resulting from degenerative diseases, deformities, traumatic events and sports related injuries. In addition, many of our non-surgical medical devices and related accessories are used by athletes and patients for injury prevention and at-home physical therapy treatment.

Bracing and Vascular Segment

Our Bracing and Vascular segment generated net sales of $441.3 million, $387.9 million and $311.6 million for the years ended December 31, 2012, 2011 and 2010, respectively. The following table summarizes our Bracing and Vascular segment product categories:

 

Product Category

  

Description

Rigid bracing and soft goods

  

Soft goods

Lower extremity fracture boots

Ligament braces

Post-operative braces

Osteoarthritis braces

Ankle bracing

Shoulder, elbow and wrist braces

Back braces

Neck braces

ExosTM thermoformable braces

Cold and compression therapy

   Cold and compression therapy products

Vascular therapy

  

Vascular system pumps

Compression hosiery

Therapeutic shoes and inserts

   Therapeutic footwear and related medical and comfort products

 

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Recovery Sciences Segment

Our Recovery Sciences segment generated net sales of $334.6 million, $342.6 million and $347.1 million for the years ended December 31, 2012, 2011 and 2010, respectively. The following table summarizes our Recovery Sciences segment product categories:

 

Product Category    Description

Home electrotherapy devices

  

Transcutaneous electrical nerve stimulation (TENS)

Neuromuscular electrical stimulation (NMES)

Interferential electrical nerve stimulation

Electrodes

Clinical electrotherapy

  

TENS

NMES

Ultrasound

Laser

Light therapy

Shortwave Diathermy

Acoustic wave therapy

Electrodes

Patient care

  

Nutritional supplements

Patient safety devices

Pressure care products

Continuous passive motion devices

Dynamic splinting

Back braces

Hot, cold and compression therapy

  

Dry heat therapy

Hot/cold therapy

Paraffin wax therapy

Moist heat therapy

Cold therapy

Compression therapy

Physical therapy tables and traction products

  

Treatment tables

Traction tables

Cervical traction for home use

Lumbar traction for home use

Iontophoresis

   Needle-free transdermal drug delivery

Bone growth stimulation

  

Non-union fracture bone growth stimulation devices

Spine bone growth stimulation devices

International Segment

Our International segment generated net sales of $280.5 million, $279.3 million and $244.5 million for the years ended December 31, 2012, 2011 and 2010, respectively. The product categories for our International segment are similar to the product categories for our domestic segments except certain products are tailored to international market requirements and preferences. In addition, our International segment sells a number of product categories, none of which is individually significant, that we do not sell domestically.

 

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Surgical Implant Segment

Our Surgical Implant segment generated net sales of $73.0 million, $64.9 million and $62.7 million for the years ended December 31, 2012, 2011 and 2010, respectively. The following table summarizes our Surgical Implant segment product categories:

 

Product Category

  

Description

Knee implants

  

Primary total joint replacement

Revision total joint replacement

Unicondylar joint replacement

Hip implants

  

Primary replacement stems

Acetabular cup system

Revision joint replacement

Shoulder implants

  

Primary total joint replacement

Fracture repair system

Revision total joint replacement (including reverse shoulder)

Research and Development

Our research and development programs focus on the development of new products, as well as the enhancement of existing products with the latest technology and updated designs. We seek to develop new technologies to improve durability, performance and usability of existing products, and to develop our manufacturing process to improve product performance and reduce manufacturing costs. In addition to our own research and development, we receive new product and invention ideas from orthopedic surgeons and other healthcare professionals. We also seek to obtain rights to ideas we consider promising from a clinical and commercial perspective through entering into either assignment or licensing agreements.

We conduct research and development programs at our facilities in Vista, California; Austin, Texas; and Ecublens, Switzerland. We spent $27.9 million, $26.9 million, and $21.9 million in 2012, 2011 and 2010, respectively, for research and development activities.

Marketing and Sales

Our products reach our customers, including hospitals and other healthcare facilities, physicians and other healthcare providers and end user patients, through several sales and distribution channels.

No particular customer or distributor accounted for 10% or more of product sales in any of our segments for the year ended December 31, 2012. Medicare and Medicaid together accounted for approximately 6.4% of our consolidated 2012 net sales.

Bracing and Vascular Segment

We market and sell our Bracing and Vascular segment products in several different ways. The DonJoy channel is primarily dedicated to the sale of our bracing and supports products to orthopedic surgeons, podiatrists, orthotic and prosthetic centers, hospitals, surgery centers, physical therapists, athletic trainers and other healthcare professionals. Certain DonJoy sales representatives also sell our Recovery Sciences and Vascular products. The DonJoy channel consists of mostly independent commissioned sales representatives who are employed by independent sales agents. Because the DonJoy product lines generally require customer education in the application and use of the product, DonJoy sales representatives are technical specialists who receive extensive training both from us and the agent, and use their expertise to help fit the patient with the product and assist the orthopedic professional in choosing the appropriate product to meet the patient’s needs.

 

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After a sales representative receives a product order, we generally ship and bill the product directly to the orthopedic professional, and pay a sales commission to the agent. For certain custom rigid braces and other products, we sell directly to the patient and bill a third party payor, if applicable, on behalf of the patient. We enjoy long-standing relationships with most of our agents and sales representatives. Under the arrangements with the agents, each agent is granted an exclusive geographic territory for sales of our products and is not permitted to market products, or represent competitors who sell or distribute products, that compete with our existing products. The agents receive a commission, which varies based on the type of product being sold. If an agent fails to achieve specified sales quotas, we have the right to terminate our relationship with the agent.

The ProCare/Aircast channel consists of direct and independent sales representatives that manage a network of distributors focused on selling our bracing and supports products to primary and acute care facilities. Vascular systems specialists are also included in this channel. Products in this channel are generally sold in non-exclusive territories to third party distributors as well as through our direct sales force. Our distributors include large, national third party distributors such as Owens & Minor Inc., McKesson/HBOC, Allegiance Healthcare and PSS World Medical, regional medical and surgical distributors, outpatient surgery centers and medical products buying groups that consist of a number of healthcare providers who make purchases through the buying group. These distributors and our direct sales force generally sell our products to large hospital chains, primary care networks and orthopedic physicians for use by the patients. In addition, we sell our products through group purchasing organizations (GPOs) that are a preferred purchasing source for members of a buying group. Products sold by our ProCare/Aircast channel generally do not require significant customer education for their use. Our vascular pumps are provided to primary and acute care facilities through the ProCare/Aircast channel, supplemented by vascular system specialists. Our vascular systems pumps and related equipment are typically consigned to hospitals, and the hospitals then purchase the cuffs that are applied to each patient. We have recently introduced vascular pumps for home use.

Through our Dr. Comfort business, we market and distribute our therapeutic footwear and related medical and comfort products primarily through the podiatry, home medical equipment (HME), pharmacy, and orthotic and prosthetic (O&P) channels through our sales force of direct and independent sales representatives. The compression hosiery manufactured by our ETI business unit is private labeled and sold to customers who resale the products.

Our OfficeCare business provides stock and bill arrangements for physician practices. Through OfficeCare, we maintain an inventory of bracing and supports products at approximately 1,700 orthopedic practices and other healthcare facilities for immediate distribution to patients. We then bill the patient or, if applicable, a third party payor. For certain facilities, we provide on-site technical representatives. The OfficeCare channel is managed by our DonJoy sales force.

Recovery Sciences Segment

We market and sell our Recovery Sciences segment products in several different ways. Through our Empi channel, we market our prescription-based home therapy products primarily to physicians and physical therapy clinics, which include hospital physical therapy departments, sports medicine clinics and pain management centers, through our sales force of direct and independent sales representatives. A physician such as an orthopedic surgeon generally prescribes our electrotherapy and orthotics products to patients. The physician will typically direct the patient to a physical therapy clinic to meet with a trained physical therapist who provides the patient with the prescribed product from our consigned inventory at the clinic. This sales process is facilitated by our extensive relationships with third party payors, such as managed care organizations, who ultimately pay us for the products prescribed to patients. For these reasons, we view physical therapists, physicians and third party payors as key decision makers in product selection and patient referral. Our home therapy products generally are eligible for third party reimbursement by government payors, such as Medicare and Medicaid, and private payors.

 

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Through our CMF channels our non-union fracture bone growth stimulator devices (OL1000) and spine bone growth stimulator device (SpinaLogic) are sold by our direct and independent sales representatives specially trained to sell the product. Most of our bone growth stimulator products are sold directly to the patient and a third party payor is billed, if applicable, on behalf of the patient. A number of the direct and independent sales representatives in the Recovery Sciences segment sell both Empi and CMF products.

Through our Chattanooga business, we sell our clinical rehabilitation product lines to physical therapy clinics, primarily through a national network of independent distributors, which are managed by our employed sales managers. These distributors sell our clinical rehabilitation products to a variety of healthcare professionals, including physical therapists, athletic trainers, chiropractors, and sports medicine physicians. Except for distributors outside of the United States, we do not maintain formal distribution contracts for our clinical rehabilitation products. These distributors purchase products from us at discounts off our published list price. We maintain an internal marketing and sales support program to support our distributor network. This program comprises a group of individuals who provide distributor and end-user training, develop promotional materials, and attend trade shows each year.

International Segment

We sell our products internationally through a network of wholly owned subsidiaries and independent distributors. In Europe, we use sales forces of direct and independent salespersons and a network of independent distributors who call on healthcare professionals, as well as consumer retail stores, such as sporting equipment providers and pharmacies, to sell our products.

We intend to continue to expand our direct and indirect distribution capabilities in attractive foreign markets. Recent examples of our strategy to expand our international sales are our 2010 acquisition of an independent South African distributor of DonJoy products, and our 2009 acquisitions of two independent Canadian distributors of Empi and Chattanooga products and an independent Australian distributor of DonJoy products. Our 2011 acquisitions of ETI and Dr. Comfort also increased our product offerings internationally.

Surgical Implant Segment

We currently market and sell the products of our Surgical Implant segment to hospitals and orthopedic surgeons through a network of independent commissioned sales representatives who are employed by independent sales agents. Generally, our independent sales representatives sell a range of reconstructive joint products, including our products. We usually enter into agreements with sales agents for a term of one to five years. Agents are typically paid a sales commission and are eligible for bonuses if sales exceed certain preset objectives. Our independent sales representatives work for these agents. We assign our sales agents to an exclusive sales territory. Substantially all of our sales agents agree not to sell competitive products. Typically, we can only terminate our agreements with sales agents prior to the expiration of the agreements for cause, which includes failure to meet specified periodic sales targets. We provide our sales agents with product inventories, on consignment, for their use in marketing and filling customer orders.

To a significant extent, sales of our surgical implant products depend on the preference of orthopedic surgeons. We maintain contractual relationships with orthopedic surgeons who assist us in developing our products and provide consulting services in connection with our products. In addition to providing design input into our new products, some of these orthopedic surgeons may give demonstrations using our products, speak about our products at medical seminars, train other orthopedic surgeons in the use of our products, and provide us with feedback on the acceptance of our products. We have also established relationships with surgeons who conduct clinical studies on various products, establish protocols for use of the products and participate at various symposia.

 

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Manufacturing

We use both in-house manufacturing capabilities and relationships with third party vendors to supply our products. Generally, we use third party vendors only when they have special manufacturing capabilities or when we believe it is appropriate based on certain factors, including our in-house capacity, lead-time control and cost. Although we have certain sole source supply agreements, we believe alternate vendors are available, and we believe that adequate capacity exists at our current vendors to meet our anticipated needs.

Our manufacturing facilities are generally certified by the International Organization for Standardization (ISO) and generally comply with the U.S. Food and Drug Administration (FDA) current Good Manufacturing Practice and Quality System Regulations (QSRs) requirements, which provide standards for safe and consistent manufacturing of medical devices and appropriate documentation of the manufacturing and distribution process. Many of our products carry the European Community Medical Device Directive (CE) certification mark.

Our manufacturing facility in Tijuana, Mexico is our largest manufacturing facility. Our Mexico facility has achieved ISO 13485 certification. This certification reflects internationally recognized quality standards for manufacturing and assists us in marketing our products. Our Vista, California facility has achieved certification to ISO 13485, the Canadian Medical Device Regulation and the European Medical Device Directive. Products manufactured at the Vista, California facility include our custom rigid knee bracing products, the pump portion of our vascular systems products, and our CMF products. Products manufactured at our Tijuana, Mexico facility include most of our bracing and supports product lines, and our Chattanooga products including electrotherapy devices, patient care products and CPM devices. Within both our Vista and Tijuana facilities, we operate vertically integrated manufacturing and packaging operations and many subassemblies and components are produced in-house. These include metal stamped parts, injection molded components and fabric-strapping materials. We also have extensive in-house tool and die fabrication capabilities, which typically provide savings in the development of tools and molds as well as flexibility to respond to and capitalize on market opportunities as they are identified.

Our home electrotherapy devices sold in the United States and certain components and related accessories are manufactured at our Clear Lake, South Dakota facility. Manufacturing activities at the Clear Lake facility include electronic and mechanical assembly, electrode fabrication and assembly and fabric sewing processes. Our electrotherapy products comprise a variety of components, including die cast metal parts, injection molded plastic parts, printed circuit boards, electronic components, lead wires, electrodes and other components. Parts for these components are purchased from outside suppliers or, in certain instances, manufactured on a custom basis. Our Clear Lake facility has achieved the ISO 13485:2003 certification. Our home electrotherapy devices sold outside the United States are primarily manufactured by third party vendors.

Many of the component parts and raw materials we use in our manufacturing and assembly operations are available from more than one supplier and are generally available on the open market. We source some of our finished products from manufacturers in China as well as other third party manufacturers. We also currently purchase certain CPM devices from a single supply source, Medireha, which is 50% owned by us. Our distribution agreement with Medireha grants us exclusive rights to the distribution of products that Medireha manufactures. The distribution agreement also requires that we purchase a certain amount of product annually and that we seek Medireha’s approval if we choose to manufacture or distribute products that are identical or similar, or otherwise compete with the products that are the subject of the distribution agreement.

In our Surgical Implant segment, we manufacture our products in our Austin, Texas facility. This manufacturing facility includes computer controlled machine tools, belting, polishing, cleaning, packaging and quality control. Our Austin facility has achieved the ISO 13485:2003 certification. The primary raw materials used in the manufacture of our surgical implant products are cobalt chromium alloy, stainless steel alloys, titanium alloy and ultra high molecular weight polyethylene. All products in our Surgical Implant segment go through in-house quality control, cleaning and packaging operations.

 

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Many of the products for our International segment are manufactured in the same facilities as our domestic segments. We operate a manufacturing facility in Tunisia that provides Bracing and Vascular and Recovery Sciences products for the French and other European markets. In addition, our German and French businesses source certain of the products they sell from third party suppliers. Our French business unit currently utilizes a single vendor for many of its home electrotherapy devices.

Intellectual Property

We own or have licensing rights to U.S. and foreign patents covering a wide range of our products and have filed applications for additional patents. We have numerous trademarks registered in the United States, a number of which are also registered in countries around the world. We also assert ownership of numerous unregistered trademarks, some of which have been submitted for registration in the United States and foreign countries. In the future, we will continue to apply for such additional patents and trademarks as we deem appropriate. Additionally, we seek to protect our non-patented know-how, trade secrets, processes and other proprietary confidential information, through a variety of methods; including having our vendors, employees and consultants sign invention assignment agreements, proprietary information agreements and confidentiality agreements and having our independent sales agents and distributors sign confidentiality agreements. Because many of our products are regulated, proprietary information created during our development of a new or improved product may have to be disclosed to the FDA or another U.S. or foreign regulatory agency in order for us to have the lawful right to market such product. We have distribution rights for certain products that are manufactured by others and hold both exclusive and nonexclusive licenses under third party patents and trade secrets that cover some of our existing products and products under development.

The validity of any of the patents or other intellectual property owned by or licensed to us may not be upheld if challenged by others in litigation. Due to these and other risks described in this Annual Report, we do not rely solely on our patents and other intellectual property to maintain our competitive position. We believe that the development and marketing of new products and improvement of existing ones is, and will continue to be, more important to our competitive position than relying solely on existing products and intellectual property.

Competition

The markets we compete in are highly competitive and fragmented. Some of our competitors, either alone or in conjunction with their respective corporate parent groups, have greater research and development, sales and marketing, and manufacturing capabilities than we do, and thus may have a competitive advantage over us. Although we believe that the design and quality of our products compare favorably with those of our competitors, if we are unable to offer products with the latest technological advances at competitive prices, our ability to compete successfully could be materially adversely affected.

Given our sales history, our history of product development and the experience of our management team, we believe we are capable of effectively competing in our markets in the future. Further, we believe the comprehensive range of products we offer enables us to reach a diverse customer base and to use multiple distribution channels in an attempt to increase our growth across our markets. In addition, we believe the various company and product line acquisitions we have made in recent years continue to improve the name recognition of our company and our products. Our ability to compete is affected by, among other things, our ability to:

 

   

develop new products and innovative technologies,

 

   

obtain regulatory clearance and compliance for our products,

 

   

manufacture and sell our products cost-effectively,

 

   

meet all relevant quality standards for our products and their markets,

 

   

respond to competitive pressures specific to each of our geographic markets, including our ability to enforce non-compete agreements,

 

   

protect the proprietary technology of our products and manufacturing processes,

 

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market our products,

 

   

attract and retain skilled employees and sales representatives, and

 

   

establish and maintain distribution relationships.

All of our segments compete with large, diversified corporations and companies that are part of corporate groups that have significantly greater financial, marketing and other resources than we do, as well as numerous smaller niche companies.

Bracing and Vascular Segment

Our primary competitors in the rigid knee bracing market include companies such as Össur hf., Breg, Inc. (Breg), Bledsoe Brace Systems (Bledsoe), and Townsend Design. Competition in the rigid knee brace market is primarily based on product technology, quality and reputation, relationships with customers, service and price.

In the soft goods products market, our competitors include Biomet Inc. (Biomet), DeRoyal Industries, Össur hf. and Zimmer Holdings, Inc. (Zimmer). In the cold therapy products market, our competitors include Breg, Bledsoe and Stryker Corporation (Stryker). Competition in the soft goods and pain management markets is less dependent on innovation and technology and is primarily based on product range, quality, service and price.

The therapeutic footwear and related medical and comfort products market is highly fragmented with multiple channels, servicing customers as diverse as podiatrists, home medical equipment users, orthotists, retail pharmacy and numerous other service categories. Our competitors include several multi-product companies and numerous smaller niche competitors. Competition in the therapeutic footwear market tends to be based on product technology, quality and reputation, relationships with customers, service and price.

Several competitors have initiated stock and bill programs similar to our OfficeCare program, and there are numerous regional stock and bill competitors.

Recovery Sciences Segment

The primary competitors of our Empi and Chattanooga products are Dynatronics Corporation, Mettler Electronics Corporation, Rich-Mar, Patterson Medical, Enraf-Nonius, Gymna-Uniphy, Acorn Engineering, International Rehabilitation Sciences, Inc. (d/b/a RS Medical) and Care Rehab. The physical therapy products market is highly competitive and fragmented. Our competitors in the CPM devices market include several multi-product companies with significant market share and numerous smaller niche competitors. Competition in these markets is based primarily on the quality and technical features of products, product pricing and contractual arrangements with third party payors and national accounts.

Our competitors for CMF products are large, diversified orthopedic companies. In the non-union bone growth stimulation market, our competitors include Orthofix International, N.V. (Orthofix), Biomet and Smith & Nephew plc (Smith & Nephew), and in the spinal fusion market, we compete with Biomet and Orthofix. Competition in bone growth stimulation devices is limited as higher regulatory thresholds provide a barrier to market entry.

Our primary competitor in the dynamic splinting market is Dynasplint Systems, Inc.

International Segment

Competition for the products in our International segment arises from many of the companies and types of companies that compete with our domestic segments and from foreign manufacturers whose costs may be lower due to their ability to manufacture products within their respective countries. Competition is based primarily on quality, innovative design and technical capability, breadth of product line, availability of and qualification for reimbursement, and price.

 

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Surgical Implant Segment

The market for orthopedic products similar to those produced by our surgical implant business is dominated by a number of large companies, including Biomet, DePuy, Inc. (a Johnson & Johnson company), Smith & Nephew, Stryker, and Zimmer, which are much larger and have significantly greater financial resources than we do. Our Surgical Implant segment also faces competition from U.S.-based companies similar in size to ours, such as Wright Medical Group, Inc. and Exactech, Inc. Competition in the market in which our Surgical Implant segment participates is based primarily on price, quality, innovative design and technical capability, breadth of product line, scale of operations and distribution capabilities. Our current and future competitors may have greater resources, more widely accepted and innovative products, less-invasive therapies, greater technical capabilities, and stronger name recognition than we do.

Government Regulation

FDA and Similar Foreign Government Regulations

Our products are subject to rigorous government agency regulation in the United States and in other countries. In the United States, the FDA regulates the development, testing, labeling, manufacturing, storage, recordkeeping, pre-market clearance or approval, promotion, distribution and marketing of medical devices to ensure that medical products distributed in the United States are safe and effective for their intended uses. The FDA also regulates the export of medical devices manufactured in the United States to international markets. Our medical devices are subject to such FDA regulation.

Under the Food, Drug and Cosmetic Act, as amended, medical devices are generally classified into one of three classes depending on the degree of risk to patients using the device. Class I is the lowest risk classification. Class I devices are those for which safety and effectiveness can be assured by adherence to General Controls, which include compliance with FDA QSRs, facility and device registrations and listings, reporting of adverse medical events, and appropriate truthful and non-misleading labeling, advertising, and promotional materials. Most Class I devices are exempt from pre-market submission requirements. Some Class I devices require a pre-market notification to and clearance from FDA as set forth under § 510(k) of the Food, Drug and Cosmetic Act, as amended, also known as a “510(k)” submission. The 510(k) process is described more fully below. Class II devices are subject to General Controls, as well as pre-market demonstration of adherence to certain performance standards or other special controls as specified by the FDA. Although some Class II medical devices are exempt from 510(k) requirements, most Class II devices are subject to 510(k) review and clearance by FDA prior to marketing.

By way of a 510(k) submission, a manufacturer provides certain required information to the FDA to establish that the device is “substantially equivalent” to a device that was legally marketed prior to May 28, 1976, the date upon which the Medical Device Amendments of 1976 were enacted. A device legally marketed before May 28, 1976 is called a “pre-amendment device.” A manufacturer may also obtain marketing clearance by showing that its medical device is substantially equivalent to a commercially available “post-amendment device” which is a device cleared through the 510(k) process after May 28, 1976. Upon establishment of such substantial equivalence, the FDA may grant clearance to commercially market the device. If the FDA determines that the device, or its intended use, is not “substantially equivalent,” the FDA will automatically place the device into Class III.

A Class III device is a product that has a new intended use or is based on technology that is not substantially equivalent to a use or technology of a legally marketed device and for which the safety and effectiveness of the device cannot be assured solely by the General Controls, performance standards and special controls applied to Class I and II devices. These devices generally require clinical trials involving human subjects to assess their safety and effectiveness. A Pre-Market Application (PMA) must be submitted to and approved by the FDA before the manufacturer of a Class III product can proceed in marketing the product. The PMA process is much more extensive and takes longer than the 510(k) process. In approving a PMA application, the FDA may require

 

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additional clinical data and may also require some form of post-market surveillance or clinical study whereby the manufacturer follows certain patient groups for a number of years, making periodic reports to the FDA on the clinical status of those patients.

Our products include both pre-amendment and post-amendment Class I, II and III medical devices. All our currently marketed devices are either exempt from the FDA clearance and approval process (based on our interpretation of those regulations) or we have obtained the requisite clearances or approvals (including all modifications, amendments and changes), as appropriate, required under federal medical device law. The FDA may disagree with our conclusion that clearances or approvals were not required for specific products and may require clearances or approval for such products. In these circumstances, we may be required to cease distribution of the product, the devices may be subject to seizure by the FDA or to a voluntary or mandatory recall, and we could be subject to significant fines and penalties.

Our manufacturing processes are also required to comply with the FDA’s current Good Manufacturing Practice requirements for medical devices, which are specified in FDA QSRs. The QSRs cover the methods and documentation of the design, testing, production processes, control, quality assurance, labeling, packaging and shipping of our products. Furthermore, our facilities, records and manufacturing processes are subject to periodic unscheduled inspections by the FDA and other agencies. Failure to comply with applicable QSR or other U.S. medical device regulatory requirements could result in, among other things, warning letters, fines, injunctions, civil penalties, repairs, replacements, refunds, recalls or seizures of products, total or partial suspensions of production, refusal of the FDA to grant future pre-market clearances or PMA approvals, withdrawals or suspensions of current clearances or approvals, and criminal prosecution. We are also required to report to the FDA if our products cause or contribute to death or serious injury or malfunction in a way that would likely cause or contribute to death or serious injury were the malfunction to recur; the FDA or other agencies may require the recall of products in the event of material defects or deficiencies in design or manufacturing. The FDA can also withdraw or limit our product approvals or clearances in the event of serious unanticipated health or safety concerns.

Even if regulatory approval or clearance of a medical device is granted, the FDA may impose limitations or restrictions on the use and indications for which the device may be labeled or promoted. Medical devices may be marketed only for the uses and indications for which they are cleared or approved. FDA regulations prohibit a manufacturer from promotion for an unapproved or off-label use.

The FDA has broad regulatory and enforcement powers. If the FDA determines we have failed to comply with applicable regulatory requirements, it can impose a variety of enforcement actions, from warning letters, fines, injunctions, consent decrees, and civil penalties, to suspension or delayed issuance of applications, seizure or recall of our products, total or partial shutdowns, withdrawals of approvals or clearances already granted, and criminal prosecution. The FDA can also require us to repair, replace, or refund the costs of devices we manufactured or distributed.

We must obtain export certificates from the FDA before we can export certain of our products. We are also subject to extensive regulations that are similar to those of the FDA in many of the foreign countries in which we sell our products, including those in Europe, our largest foreign market. These include product standards, packaging requirements, labeling requirements, import restrictions, tariff regulations, duties and tax requirements. The regulation of our products in the European Economic Area (which consists of the twenty-seven member states of the European Union, as well as Iceland, Liechtenstein and Norway) is governed by various directives and regulations promulgated by the European Commission and national governments. Only medical devices that comply with certain conformity requirements are allowed to be marketed within the European Economic Area. In addition, the national health or social security organizations of certain countries, including certain countries outside Europe, require our products to be qualified before they can be marketed in those countries.

 

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Third Party Reimbursement

Our home therapy products, rigid knee braces, CMF products, and certain of our soft goods are generally prescribed by physicians and are eligible for third party reimbursement by government payors, such as Medicare and Medicaid, and private payors. Customer selection of our products depends, in part, on coverage of our products and whether third party payment amounts will be adequate. We believe that Medicare and other third party payors will continue to focus on measures to contain or reduce their costs through managed care and other methods. Medicare policies are important to our business because private payors often model their policies after the Medicare program’s coverage and reimbursement policies.

In recent years, Congress has enacted a number of laws that affect Medicare reimbursement for and coverage of durable medical equipment (DME), prosthetics, orthotics and supplies (DMEPOS), including many of our products. These laws have included temporary freezes or reductions in Medicare fee schedule updates. For instance, in March 2010, President Obama signed into law the Patient Protection and Affordable Care Act, which was amended by a second bill signed into law on March 30, 2010, known as the Health Care and Education Reconciliation Act (collectively referred to as the Affordable Care Act or ACA). The ACA is a sweeping measure designed to expand access to affordable health insurance, control health care spending, and improve health care quality. Several provisions of the ACA specifically impact the medical equipment industry. Among other things, the ACA eliminates the full inflation update to the DMEPOS fee schedule for the years 2011 through 2014. Instead, beginning in 2011, the ACA reduces the inflation update for DMEPOS by a “productivity adjustment” factor intended to reflect productivity gains in delivering health care services. For 2013, the update factor is 0.8% (reflecting a 1.7% inflation update that is partially offset by 0.9% “productivity adjustment”).

Medicare payment for DMEPOS also can be impacted by the DMEPOS competitive bidding program, under which Medicare rates are based on bid amounts for certain products in designated geographic areas, rather than the Medicare fee schedule amount. Only those suppliers selected through the competitive bidding process within each designated competitive bidding area (CBA) are eligible to have their products reimbursed by Medicare. Competitive bidding went into effect January 1, 2011 in nine CBA’s and nine product categories, with reimbursement to contract suppliers averaging 32% below the Medicare DMEPOS fee schedule amount. Bidding has concluded in the second round of competitive bidding in 100 CBAs (in addition to national mail order competition for diabetic testing supplies). The Centers for Medicare & Medicaid Services (CMS) announced on January 30, 2013 that payment amounts under round two are projected to be 45% below current fee schedule prices, and payment amounts under the national mail-order program for diabetic testing supplies are projected to be reduced by 72%. While none of our products were included in the first two rounds, CMS is including TENS units in a recompetition of round one as part of a new “General Home Equipment and Related Supplies and Accessories” product category. Bidding for the new three-year contracts was conducted in late 2012, and we submitted bids to supply products in this category. Announcement of the successful bidders and contract negotiation will occur in 2013, and implementation of the contracts and prices is scheduled to take place on January 1, 2014. In addition, CMS recently released a listing of codes that it considers to be off-the-shelf (OTS) orthotics and subject to competitive bidding in the future. When our products are subject to competitive bidding, if we are not selected as a contract supplier (or subcontractor) in a particular region or if contract prices are significantly below Medicare fee schedule reimbursement levels, it could have a material adverse impact on our sales and profitability. Further, the ACA requires the Secretary to use competitive bidding payment information to adjust DMEPOS payments in areas outside of competitive bidding areas beginning in 2016. Additional reforms to Medicare and Medicaid DMEPOS payment amounts are proposed periodically. Any changes in the basis for Medicare reimbursement of our products could have a material adverse impact on our results of operations.

On June 8, 2012, CMS issued a final decision memorandum in which CMS determined that coverage for TENS for the treatment of chronic low back pain (other than chronic low back pain due to certain diseases) would not be available under Medicare unless the patient is enrolled in a clinical study meeting certain defined standards. On August 3, 2012, CMS published a National Coverage Determination and listed the diagnostic

 

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codes for TENS prescriptions that will no longer be covered under Medicare outside of a clinical study. Our Empi business unit in our Recovery Sciences Segment provides TENS devices that are prescribed for patients to use in the home (and for patients with diagnoses that fall within one of the diagnostic codes for which Medicare coverage is no longer available). As a result, this coverage decision by CMS reduces the available market for these TENS devices. In addition to eliminating a common application for TENS for Medicare beneficiaries, this coverage policy may be adopted by some or all of the private health insurers with which Empi does business. We have no plans to conduct a clinical study at this time. We have adapted our business procedures to reflect this coverage policy and have ceased billing Medicare for TENS units and supplies prescribed for the applicable diagnostic codes. While the full effect of this coverage decision will not be known for some time, it could reduce the revenue of our Empi business for Medicare billing of TENS and related supplies by an estimated $9 million to $14 million annually, and over time by a similar or greater amount if the Medicare coverage policy is adopted by private insurers. We believe Empi can offset, at least partially, the impact of these revenue losses by (i) offering these devices as self-pay items to Medicare beneficiaries, (ii) convincing private insurers that they should continue to cover TENS because of its effectiveness for chronic low back pain, its ability to reduce the use of pharmaceuticals and its favorable impact on health economics, (iii) focusing on growth initiatives related to other TENS indications for which reimbursement is available and on other Empi products and (iv) adjusting operating expenses where possible. Nevertheless, the long-term revenue and profit impact of this coverage decision could be materially adverse to the Empi business and as a result could have an adverse effect on our business and results of operations as a whole.

Medicare suppliers must meet a variety of program criteria. Medicare DMEPOS suppliers (other than certain exempted professionals) must be accredited by an approved accreditation organization as meeting DMEPOS Quality Standards adopted by CMS, including specific requirements for suppliers of custom fabricated and custom fitted orthoses and certain prosthetics. The portion of our business serving in a Medicare supplier capacity has been accredited. Most Medicare DMEPOS suppliers also must post a $50,000 surety bond from an authorized surety, with higher amounts required for certain “high-risk” suppliers. We believe we are in compliance with current surety bond requirements. If in the future we fail to maintain our Medicare accreditation status and/or do not comply with Medicare surety bond or supplier standard requirements, or if these requirements are expanded or if additional conditions for coverage or payment are adopted in the future, it could adversely impact our profits and results of operation.

The ACA imposes a new annual federal excise tax on certain medical device manufacturers and importers. Specifically, for sales on or after January 1, 2013, manufacturers, producers, and importers of taxable medical devices must pay as an excise tax 2.3% of the price for which the devices are sold. Although our position is that many of our products are exempt from the tax, some products will be subject to the tax, but we do not expect the amount of tax due to be material to our business.

The ACA also establishes new Medicare and Medicaid program integrity provisions, including expanded documentation requirements for Medicare DMEPOS orders and more stringent procedures for screening Medicare and Medicaid DMEPOS suppliers, along with broader expansion of federal fraud and abuse authorities. On February 2, 2011, CMS published a final rule implementing the ACA provider and supplier screening provisions, effective March 25, 2011. Under the final rule, DMEPOS suppliers could be subject to verification of compliance with enrollment and licensure requirements, database checks, unannounced site visits, and, for newly-enrolling suppliers, fingerprint-based criminal history record checks of law enforcement repositories. The rule also imposes application fees on providers and suppliers; authorizes CMS and states to impose moratoria on new provider enrollment to protect against a high risk of fraud; authorizes the suspension of payments pending an investigation of a credible allegation of fraud; and expands health program termination authority. There can be no assurances that the new policy will not increase compliance costs or otherwise adversely impact our results of operation.

The ACA also adds a requirement that physician orders for covered items of DME must be written by a physician and must document that a physician, a physician assistant, a nurse practitioner, or a clinical nurse specialist has had a face-to-face encounter (including through the use of telehealth) with the individual involved

 

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during the six-month period preceding such written order, or other reasonable timeframe as determined by the Secretary of Health and Human Services. On November 16, 2012, CMS published a final rule to implement this provision. The rule requires a physician to document that the physician or a physician assistant, a nurse practitioner, or a clinical nurse specialist has had a face-to-face encounter with the beneficiary within the six month period before the order is written for specified DME items, including certain of our products. This requirement applies to new orders for covered items written on or after July 1, 2013. Although we are not able to assess the full impact of the new policy at this time, it may impose new administrative burdens and could increase our costs of operation.

In addition, the ACA establishes new disclosure requirements (sometimes referred to as the Physician Payment Sunshine Act) regarding financial arrangements between medical device and supplies manufacturers and physicians, including physicians who serve as consultants. CMS has published final regulations to implement these requirements, and the recordkeeping requirements are effective August 1, 2013. Manufacturers and GPOs will be required to report the data for August through December of 2013 to CMS by March 14, 2014, and the first reports will be publicly available by September 30, 2014. The regulations require us to report annually to CMS all payments and other transfers of value to physicians and teaching hospitals for products payable under federal health care programs, as well as ownership or investments held by physicians or their family members. Failure to fully and accurately disclose transfers of value to physicians could subject us to civil monetary penalties. Several states also have enacted specific marketing and payment disclosure requirements and other states may do so in the future. Likewise, in recent years, voluntary industry guidelines have been adopted regarding device manufacturer financial arrangements with physicians and other health care professionals. We cannot determine at this time the impact, if any, of such requirements or voluntary guidelines on our relationships with surgeons, and there can be no assurances that such requirements and guidelines would not impose additional costs on us and/or adversely affect our consulting and other arrangements with surgeons.

On August 27, 2010, CMS published a final rule that, among other things, prohibits suppliers from sharing a practice location in certain circumstances, imposes new physical facility requirements on suppliers, clarifies the prohibition on the direct solicitation of Medicare beneficiaries, generally prohibits suppliers from contracting with another individual to perform licensed services, and clarifies a number of other supplier operational requirements. The rule generally is effective September 27, 2010 (although there are separate deadlines for compliance with the physical facility standards for existing suppliers with leases that expire after that date). We believe we are in compliance with the requirements of the rule.

In response to pressure from certain groups (primarily orthotists), the United States Congress and state legislatures have periodically considered proposals that limit the types of orthopedic professionals who can fit or sell our orthotic device products or who can seek reimbursement for them. Several states have adopted legislation which imposes certification or licensing requirements on the measuring, fitting and adjusting of certain orthotic devices. Although some of these state laws exempt manufacturers’ representatives, other states’ laws subject the activities of such representatives to certification or licensing requirements. The state of Texas has adopted such a licensure law without an exemption for manufacturer’s sales representatives acting under the supervision of a physician and has issued a cease and desist letter directed to the fitting activities of our sales representatives in that state. We are in communication with the Texas authorities to respond to such letter. Additional states may be considering similar legislation. Such laws could reduce the number of potential customers by restricting the activities of our sales representatives in jurisdictions where such policies are enacted. Furthermore, because the sales of orthotic devices are driven in part by the number of professionals who fit and sell them, laws that limit these activities potentially could reduce demand for these products. We may not be successful in opposing the adoption of such legislation or regulations and, therefore, such laws could have a material adverse impact on our business.

In addition, efforts have been made to establish similar certification requirements at the federal level for the Medicare program. For example, in 2000, Congress passed the Medicare, Medicaid and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA). BIPA contained a provision requiring, as a condition for

 

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payment by the Medicare program, that certain certification or licensing requirements be met for individuals and suppliers furnishing certain, but not all, custom-fabricated orthotic devices. Although CMS has not implemented this requirement to date, Medicare follows state requirements in those states that require the use of an orthotist or prosthetist for furnishing of orthotics or prosthetics. We cannot predict the effect of implementation of BIPA or implementation of other such laws will have on our business.

Our business also can be impacted by changes in federal and state health care legislative and regulatory policies being adopted as a result of budgetary shortfalls. For instance, the federal Budget Control Act of 2011, as amended by the American Taxpayer Relief Act of 2012, will trigger various federal budget cuts in 2013 in the absence of additional legislation. Medicare provider payments would be subject to up to a 2 percent across-the-board reduction, generally effective for services provided beginning in April 2013. Congress and the President also could consider alternative spending reduction options, which could reduce federal spending on the Medicare and/or Medicaid programs. There can be no assurances that any such budget provisions will not have an adverse impact on our business. At the state level, these changes have included reductions in provider and supplier reimbursement levels under state Medicaid programs, including in some cases reduced reimbursement for DMEPOS items, and/or other Medicaid coverage restrictions. As states continue to face significant financial pressures, it is possible that state health policy changes will adversely affect our profitability.

Our international sales also depend in part upon the eligibility of our products for reimbursement through third party payors, the amount of reimbursement and the allocation of payments between the patient and third party payors. Reimbursement practices vary significantly by country, with certain countries requiring products to undergo a lengthy regulatory review in order to be eligible for third party reimbursement. In addition, healthcare cost containment efforts similar to those we face in the United States are prevalent in many of the foreign countries in which our products are sold, and these efforts are expected to continue in the future, possibly resulting in the adoption of more stringent reimbursement standards. For example, in Germany, our largest foreign market, new regulations generally require adult patients to pay a portion of the cost of each medical technical device prescribed. This may adversely affect our sales and profitability by making it more difficult for patients in Germany to pay for our products. Any developments in our foreign markets that eliminate, reduce or materially modify coverage of, and reimbursement rates for, our products could have an adverse impact on our ability to sell our products.

Fraud and Abuse

We are subject to various federal and state laws and regulations pertaining to healthcare fraud and abuse. Violations of these laws are punishable by criminal and civil sanctions, including, in some instances, exclusion from participation in federal and state healthcare programs, including Medicare, Medicaid, Veterans Administration health programs and TRICARE (the health care program for active duty military, retirees and their families managed by the Department of Defense). We have no reason to believe that our operations are not in material compliance with such laws. However, because these laws and regulations are broad in scope and may change, we may be required to alter one or more of our practices to be in compliance with these laws. In addition, the occurrence of one or more violations of these laws or regulations, a challenge to our operations by a governmental authority under these laws or regulations or a change in the laws or regulations may have a material adverse impact on our financial condition and results of operations.

Anti-Kickback and Other Fraud Laws

Our operations are subject to federal and state anti-kickback laws. Certain provisions of the Social Security Act, commonly referred to as the Anti-Kickback Statute, prohibit persons from knowingly and willfully soliciting, receiving, offering or providing remuneration directly or indirectly to induce either the referral of an individual, or the furnishing, recommending, or arranging for a good or service, for which payment may be made under a federal healthcare program such as Medicare and Medicaid. The definition of remuneration has been broadly interpreted to include anything of value, including such items as gifts, discounts, waiver of payments,

 

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and providing anything at less than its fair market value. The U.S. Department of Health and Human Services (HHS) has issued regulations, commonly known as safe harbors, which set forth certain conditions, which if fully met, will assure healthcare providers and other parties that they will not be prosecuted under the Anti-Kickback Statute. Although full compliance with these provisions ensures against prosecution under the Anti-Kickback Statute, the failure of a transaction or arrangement to fit within a specific safe harbor does not necessarily mean that the transaction or arrangement is illegal or that prosecution under the Anti-Kickback Statute will be pursued. The penalties for violating the Anti-Kickback Statute include imprisonment for up to five years, fines of up to $25,000 per violation and possible exclusion from federal healthcare programs such as Medicare and Medicaid. Many states have adopted prohibitions similar to the Anti-Kickback Statute, some of which apply to the referral of patients for healthcare services reimbursed by any source, not only by the Medicare and Medicaid programs.

Our OfficeCare program is a stock and bill arrangement through which we make products and services available in the offices of physicians or other providers. In conjunction with the OfficeCare program, we may pay participating physicians a fee for rental space and support services provided by such physicians to us. In a February 2000 Special Fraud Alert, the Office of Inspector General (OIG) indicated that it may scrutinize stock and bill programs involving excessive rental payments or rental space for possible violation of the Anti-Kickback Statute, but noted that legitimate arrangements, including fair market value rental arrangements, will not be considered violations of the statute. We believe that we have structured our OfficeCare program to comply with the Anti-Kickback Statute.

HIPAA

The Health Insurance Portability and Accountability Act of 1995 (HIPAA) created two new federal crimes effective as of August 21, 1996, relating to healthcare fraud and false statements regarding healthcare matters. The healthcare fraud statute prohibits knowingly and willfully executing or attempting to execute a scheme or artifice to defraud any healthcare benefit program, including private payors. The false statements statute prohibits knowingly and willfully falsifying, concealing or covering up a material fact or making any materially false, fictitious or fraudulent statement or representation in connection with the delivery of or payment for healthcare benefits, items or services. HIPAA applies to any healthcare benefit plan, not just Medicare and Medicaid. Additionally, HIPAA granted expanded enforcement authority to HHS and the DOJ and provided enhanced resources to support the activities and responsibilities of the HHS, OIG and DOJ by authorizing large increases in funding for investigating fraud and abuse violations relating to healthcare delivery and payment. In addition, HIPAA mandates the adoption of standards for the electronic exchange of health information, as described below in greater detail under “Federal Privacy and Transaction Law and Regulations.”

Physician Self-Referral Laws

We may also be subject to federal and state physician self-referral laws. Federal physician self-referral legislation, commonly known as the Stark Law, prohibits, subject to certain exceptions, physician referrals of Medicare and Medicaid patients to an entity providing certain “designated health services” if the physician or an immediate family member of the physician or a physician organization in which the physician participates has any financial relationship with the entity. DME and orthotics are included as designated health services. The Stark Law also prohibits the entity receiving the referral from billing any good or service furnished pursuant to an unlawful referral, and any person collecting any amounts in connection with an unlawful referral is obligated to refund such amounts. A person who engages in a scheme to circumvent the Stark Law’s referral prohibition may be fined up to $100,000 for each such arrangement or scheme. The penalties for violating the Stark Law also include civil monetary penalties of up to $15,000 per referral and possible exclusion from federal healthcare programs such as Medicare and Medicaid. Various states have corollary laws to the Stark Law, including laws that require physicians to disclose any financial interest they may have with a healthcare provider to their patients when referring patients to that provider. Both the scope and exceptions for such laws vary from state to state.

 

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False Claims Laws

Under multiple state and federal statutes, submissions of claims for payment that are “not provided as claimed” may lead to civil money penalties, criminal fines and imprisonment and/or exclusion from participation in Medicare, Medicaid and other federally funded state health programs. These false claims statutes include the federal False Claims Act, which prohibits the knowing filing of a false claim or the knowing use of false statements to obtain payment from the federal government. When an entity is determined to have violated the False Claims Act, it must pay three times the actual damages sustained by the government, plus mandatory civil penalties of between $5,500 and $11,000 for each separate false claim. Suits filed under the False Claims Act, known as “qui tam” actions, can be brought by any individual on behalf of the government, and such individuals, commonly known as whistleblowers, may share in any amounts paid by the entity to the government in fines or settlement. In addition, certain states have enacted laws modeled after the federal False Claims Act. Qui tam actions have increased significantly in recent years, causing greater numbers of healthcare companies to have to defend a false claim action, pay fines or be excluded from Medicare, Medicaid or other federal or state healthcare programs as a result of an investigation arising out of such action. A number of states have enacted false claims acts that are similar to the federal False Claims Act.

The federal government has used the federal False Claims Act to prosecute a wide variety of alleged false claims and fraud allegedly perpetrated against Medicare and state healthcare programs. The government and a number of courts also have taken the position that claims presented in violation of certain other statutes, including the federal Anti-Kickback Statute or the Stark Law, can be considered a violation of the federal False Claims Act, based on the theory that a provider impliedly certifies compliance with all applicable laws, regulations and other rules when submitting claims for reimbursement.

On May 20, 2009, President Obama signed into law the Fraud Enforcement and Recovery Act of 2009 (FERA). Among other things, FERA modifies the federal False Claims Act by expanding liability to contractors and subcontractors who do not directly present claims to the federal government. FERA also expands False Claims Act liability for what is referred to as a “reverse false claim” by explicitly making it unlawful to knowingly conceal or knowingly and improperly avoid or decrease an obligation owed to the federal government. FERA also seeks to clarify that liability exists for attempts to avoid repayment of overpayments, including improper retention of federal funds. FERA is likely to increase both the volume and liability exposure of False Claims Act cases brought against healthcare entities. Additional fraud and abuse measures were adopted as part of the ACA, as noted above.

In March 2006, the U.S. Attorney’s Office for the Eastern District of Wisconsin (U.S. Attorney’s Office) and the OIG (together with the U.S. Attorney’s Office, the Federal Authorities) began an investigation of Dr. Comfort, regarding allegations filed by two whistleblowers that from 2004 through 2006, Dr. Comfort sold custom diabetic shoe inserts as Medicare approved custom inserts that were not, in fact, custom as defined by Medicare because they were not created with a unique image of each foot; and Dr. Comfort sold heat moldable diabetic shoe inserts that did not comply with Medicare requirements for the inserts and did not conform to the heat moldable diabetic inserts that Dr. Comfort submitted to Medicare for coding verification, allegedly in violation of the federal False Claims Act (collectively, the Covered Conduct).

As a condition to DJO’s acquisition of Dr. Comfort in April 2011, Dr. Comfort has entered into a settlement agreement for the Covered Conduct (Settlement Agreement) with the Federal Authorities resolving alleged violations of the federal False Claims Act which were the subject of an investigation triggered by two whistleblower actions. Dr. Comfort also entered into a Corporate Integrity Agreement (CIA) with the OIG-HHS. As required by the CIA, Dr. Comfort has established a compliance program and has and will submit required reports to the OIG at least annually on the status of implementation of the requirements of the CIA and compliance activities. Although we conducted healthcare regulatory and related due diligence efforts concerning Dr. Comfort’s operations and business practices prior to our acquisition of Dr. Comfort in April, 2011, and we believe the activities that were the subject of the Covered Conduct described in the Settlement Agreement were

 

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isolated and have been addressed through Dr. Comfort’s compliance efforts, including those required by CIA, we cannot assure you that we will not identify additional healthcare regulatory issues in the future or that the Covered Conduct will not be reviewed or investigated by other parties which purchased or reimbursed products of Dr. Comfort that allegedly did not comply with Medicare requirements. Even if we cause Dr. Comfort to take corrective actions to remedy such alleged violations of healthcare regulatory laws, Dr. Comfort could be subject to certain enforcement actions, including, among other things, significant fines, suspension of approvals, seizures or recalls of products, operating restrictions and criminal prosecutions. Failure of Dr. Comfort to comply with certain obligations set forth in the CIA may result in the imposition of monetary (stipulated) penalties and/or Dr. Comfort’s exclusion from participation in the Federal health care programs. We cannot assure you that relevant governmental authorities would agree with our interpretation of Dr. Comfort’s obligations under applicable healthcare regulatory laws and under the CIA to which Dr. Comfort is subject for five years, or that Dr. Comfort has in all instances fully complied with all applicable healthcare regulatory laws. Any enforcement action could adversely affect Dr. Comfort’s business and results of operations.

Customs and Import/Export Laws and Regulations

Our business is conducted world-wide, with raw material and finished goods imported from and exported to a substantial number of countries. In particular, a significant portion of our products are manufactured in our plant in Tijuana, Mexico and imported to the United States before shipment to domestic customers or export to other countries. We are subject to customs and import/export rules in the U.S. and other countries and to requirements for payment of appropriate duties and other taxes as goods move between countries. Customs authorities monitor our shipments and payments of duties, fees and other taxes and can perform audits to confirm compliance with applicable laws and regulations. After receiving a series of inquiries from U.S. Customs and Border Protection (CBP) regarding various customs compliance issues we submitted a Prior Disclosure to CBP on January 4, 2012, in which we indicated that we may have misclassified certain imported products for tariff purposes as well as improperly imported products under the provisions of the North American Free Trade Agreement (NAFTA). We committed to CBP that we would undertake an investigation of the potential compliance issues, and if we determine that any errors exist, we will correct the impacted entries made during the five-year period included in the Prior Disclosure and pay the appropriate duties. CBP also has the authority to impose penalties for such compliance issues in certain cases. We expect to complete the investigation and submit a perfected disclosure to CBP within the next few months.

Foreign Corrupt Practices Act

We are also subject to the U.S. Foreign Corrupt Practices Act (the FCPA) , antitrust and anti-competition laws, and similar laws in foreign countries, any violation of which could create a substantial liability for us and also cause a loss of reputation in the market. The FCPA prohibits U.S. companies and their representatives officers, directors, employees, shareholders acting on their behalf and agents from corruptly offering, promising, authorizing or making payments, or giving anything of value, directly or indirectly, to foreign officials for the purpose of obtaining or retaining business abroad or otherwise obtaining favorable treatment. Companies must also maintain records that fairly and accurately reflect transactions and maintain an adequate system of internal accounting controls. In many countries, hospitals and clinics are government-owned and healthcare professionals employed by such hospitals and clinics, with whom we regularly interact, may be considered meet the definition of a foreign officials for purposes of the FCPA. If we are found to have violated the FCPA or similar law, we may face sanctions including fines, criminal penalties, disgorgement of profits and suspension or debarment of our ability to contract with government agencies or receive export licenses, which could adversely affect our business, reputation, and financial results.

Governmental Audits

Because we participate in governmental programs as a supplier of medical devices, our operations are subject to periodic surveys and audits by governmental entities or contractors to assure compliance with

 

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Medicare and Medicaid standards and requirements. To maintain our billing privileges, we are required to comply with certain supplier standards, including licensure and documentation requirements for our claims submissions. From time to time in the ordinary course of business, we, like other healthcare companies, are audited by, or receive claims documentation requests from, governmental entities, which may identify certain deficiencies based on our alleged failure to comply with applicable supplier standards or other requirements. Medicare contractors and Medicaid agencies periodically conduct pre-payment and post-payment reviews and other audits of claims and are under increasing pressure to more closely scrutinize healthcare claims and supporting documentation. Among other things, the ACA expanded the Recovery Audit Contractors (RAC) program, an audit tool that utilizes private companies operating on a contingent fee basis to identify and recoup Medicare overpayments. We have historically been subject to pre and post-payment reviews as well as audits of claims and may experience such reviews and audits of claims in the future. We review and assess such audits or reports and attempt to take appropriate corrective action. We are also subject to surveys of our facilities for compliance with the supplier standards.

We have also been subject to periodic audits of our compliance with other federal requirements for our facilities and related quality and manufacturing processes and have, on occasion, received FDA warning letters and other notices and have promptly implemented corrective and preventative actions.

Federal Privacy and Transaction Law and Regulations

HIPAA impacts the transmission, maintenance, use and disclosure of certain individually identifiable health information (referred to as protected health information, or PHI). Since HIPAA was enacted in 1996, numerous implementing regulations have been issued, including, but not limited to: (1) standards for the privacy of individually identifiable health information (the Privacy Rule), (2) standards to protect the confidentiality, integrity and security of electronic protected health information (the Security Rule), (3) standards for electronic transactions, (4) a standard unique national provider identifier for providers and health plans, and (5) the HHS Breach Notification Rule. We refer to these rules, as well as similar state laws applicable to our operations, as the HIPAA Rules. HHS has also issued regulations governing the enforcement of the HIPAA Rules, the violation of which potentially includes significant criminal and civil penalties. Furthermore, many states have similar laws and regulations applicable to our operations, including but not limited to state data security breach requirements.

The HIPAA Rules apply to “covered entities,” which includes healthcare providers who conduct certain transactions electronically, including but not limited to the electronic submission of health care claims to an insurance carrier. We also provide services to customers that are directly regulated entities under HIPAA and the HIPAA Rules, and we are required to provide satisfactory written assurances to these customers through our written agreements that we will provide our services in accordance with HIPAA and the HIPAA Rules. As such, HIPAA and the HIPAA Rules apply to certain aspects of our business. The effective dates for all of the HIPAA Rules outlined above have passed, and, as such, all of the HIPAA Rules are in effect. To the extent applicable to our operations, we believe we are currently in compliance with HIPAA and the applicable HIPAA Rules. Any failure to comply with applicable requirements could adversely affect our profitability.

On February 17, 2009, President Obama signed into law the Health Information Technology for Economic and Clinical Health Act (HITECH Act) as part of the American Recovery and Reinvestment Act. This law includes strengthened federal privacy and security provisions to protect personally-identifiable health information, such as the notification requirements set forth in the Breach Notification Rule. On January 25, 2013, the Office for Civil Rights (“OCR”) of the Department of Health and Human Services published its final rule to modify the HIPAA Privacy, Security, Breach and Enforcement Rules, including most revisions/additions made by the HITECH Act. We are still reviewing the extensive provisions of the rule, which in general appear to expand privacy and security requirements for business associates of entities that receive protected health information, increase penalties for noncompliance, and strengthen requirements for reporting of breaches, among other things. The effective date of the rule is March 23, 2013, and covered entities and business associates must comply with most of the applicable requirements by September 23, 2013. We cannot determine at this time the

 

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potential impact of the rule on our operations. There are costs and administrative burdens associated with ongoing compliance with the HIPAA Rules and similar state law requirements. Any failure to comply with current and applicable future requirements could adversely affect our profitability.

Iran Sanctions Related Disclosure

Under the Iran Threat Reduction and Syrian Human Rights Act of 2012, which added Section 13(r) of the Exchange Act, we are required to include certain disclosures in our periodic reports if we or any of our “affiliates” knowingly engaged in certain specified activities during the period covered by the report. Because the SEC defines the term “affiliate” broadly, it includes any entity controlled by us as well as any person or entity that controls us or is under common control with us (“control” is also construed broadly by the SEC). We are not presently aware that we and our consolidated subsidiaries have knowingly engaged in any transaction or dealing reportable under Section 13(r) of the Exchange Act during the year ended December 31, 2012.

The Blackstone Group L.P., an affiliate of our major shareholder, informed us that TRW Automotive Holdings Corp., a company that may be considered one of its affiliates, included the disclosure reproduced below in its annual report on Form 10-K as filed with the SEC on February 15, 2013 as required by Section 13(r) of the Exchange Act (the “TRW Disclosure”). We have no involvement in or control over the activities of TRW Automotive Holdings Corp., any of its predecessor companies or any of its subsidiaries, and we have not independently verified or participated in the preparation of the TRW Disclosure.

TRW Disclosure:

Compliance with Government Regulations

Pursuant to Section 13(r)(1)(D)(iii) of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), we note that in 2012 certain of our non-U.S. subsidiaries sold products to customers that could be affiliated with, or deemed to be acting on behalf of, the Industrial Development and Renovation Organization, which has been designated as an agency of the Government of Iran. Gross revenue attributable to such sales was approximately $8,326,000, and net profit from such sales was approximately $377,000. Although these activities were not prohibited by U.S. law at the time they were conducted, our subsidiaries have discontinued their dealings with such customers, other than limited wind-down activities (which are permissible), and we do not otherwise intend to continue or enter into any Iran-related activity.”

Employees

As of December 31, 2012, we had approximately 5,370 employees. Of these, approximately 3,900 were engaged in production and production support, approximately 100 in research and development, approximately 1,010 in sales and support, and approximately 360 in various administrative capacities including third party billing. Of these employees, approximately 2,220 were located in the United States, approximately 2,280 were located in Mexico and approximately 870 were located in various other countries, primarily in Europe. We have not experienced any strikes or work stoppages, and our management considers our relationship with our employees to be good.

Segment and Geographic Information

Information about our segments and geographic areas can be found in Note 18 of the Notes to Consolidated Financial Statements included in Part II, Item 8, herein.

Available Information

We have made available free of charge through our website, www.DJOglobal.com, our annual reports on Form 10-K, quarterly reports on Form 10-Q, current reports on Form 8-K, other Exchange Act reports and all

 

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amendments to those reports as soon as reasonably practicable after such material is electronically filed with the Securities and Exchange Commission (SEC). This information can be found under the “Corporate Information—Investors-SEC reports” page of our website. DJO uses its website as a channel of distribution of material Company information. Financial and other material information regarding the Company is routinely posted and accessible on our website. Our SEC reports are also available free of charge on the SEC website at, www.sec.gov. Such reports can also be inspected and copied at the Public Reference Room of the SEC located at 100 F Street, N.E., Washington, D.C. 20549. Copies of such material can be obtained from the Public Reference Room of the SEC at prescribed rates. You may obtain information on the operation of the Public Reference Room by calling the SEC at 1-800-SEC-0330. Our Code of Business Conduct and Ethics is available free of charge under the “Corporate Information—Investors-Corporate Governance” page of our website.

ITEM 1A. RISK FACTORS

Our ability to achieve our operating and financial goals is subject to a number of risks, including risks relating to our business operations, our debt level and government regulations. If any of the following risks actually occur, our business, operating results, prospects or financial condition could be materially and adversely affected. The risks described below are not the only ones that we face. Additional risks not presently known to us or that we currently deem immaterial may also affect our business operations.

Risks Related To Our Indebtedness

Our substantial leverage could adversely affect our ability to raise additional capital to fund our operations, limit our ability to react to changes in the economy or our industry, expose us to interest rate risk to the extent of our variable rate debt and prevent us from meeting our obligations under our indebtedness.

We are highly leveraged. As of December 31, 2012, our total indebtedness was $2,235.0 million, exclusive of net unamortized original issue discount of $2.3 million. We also had an additional $97.0 million available for borrowing under our revolving credit facility. Our high degree of leverage could have important consequences, including:

 

   

making it difficult for us to make payments on our 8.75% Second priority secured notes, our 9.875% Senior unsecured notes, our 7.75% Senior unsecured notes and our 9.75% Senior subordinated notes (collectively, the Notes) and other debt,

 

   

increasing our vulnerability to general economic and industry conditions,

 

   

requiring a substantial portion of cash flow from operations to be dedicated to the payment of principal and interest on our indebtedness, therefore reducing our ability to use our cash flow to fund our operations, capital expenditures and future business opportunities,

 

   

exposing us to the risk of increased interest rates as certain of our borrowings, including certain borrowings under our senior secured credit facilities, will be subject to variable rates of interest,

 

   

limiting our ability to make strategic acquisitions or causing us to make non-strategic divestitures,

 

   

limiting our ability to obtain additional financing for working capital, capital expenditures, product development, debt service requirements, acquisitions and general corporate or other purposes, and

 

   

limiting our ability to adjust to changing market conditions and placing us at a competitive disadvantage compared to our competitors who are less highly leveraged.

We, and our subsidiaries, will be able to incur substantial additional indebtedness in the future. Although our senior secured credit facilities and the indentures governing the Notes (collectively, the Indentures) contain restrictions on the incurrence of additional indebtedness, these restrictions are subject to a number of significant qualifications and exceptions, and under certain circumstances, the amount of indebtedness that could be incurred in compliance with these restrictions could be substantial. If we add new borrowings to our current debt levels, the related risks that we now face could intensify. In addition, the Indentures will not prevent us from incurring obligations that do not constitute indebtedness under such Indentures.

 

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Our cash paid for interest for the years ended December 31, 2012, 2011, and 2010 was $162.6 million, $151.2 million, and $139.1 million, respectively. As of December 31, 2012, we had $865.0 million of debt subject to floating interest rates under our senior secured credit facilities, exclusive of $8.9 million of unamortized original issue discount.

Our debt agreements contain restrictions that limit our flexibility in operating our business.

Our senior secured credit facilities and the Indentures contain various covenants that limit our ability to engage in specified types of transactions. These covenants limit our and our restricted subsidiaries’ ability to, among other things:

 

   

incur additional indebtedness or issue certain preferred shares,

 

   

pay dividends on, repurchase or make distributions in respect of our capital stock or make other restricted payments,

 

   

make certain investments,

 

   

sell certain assets,

 

   

create liens,

 

   

consolidate, merge, sell or otherwise dispose of all or substantially all of our assets, and

 

   

enter into certain transactions with our affiliates.

In addition, we are required to satisfy and maintain a specified senior secured leverage ratio, which becomes more restrictive over time. This covenant could materially adversely affect our ability to finance our future operations or capital needs. Furthermore, it may restrict our ability to conduct and expand our business and pursue our business strategies. Our ability to meet this senior secured leverage ratio can be affected by events beyond our control, including changes in general economic and business conditions, and we cannot assure you that we will meet the senior secured leverage ratio in the future or at all.

A breach of any of these covenants could result in a default under one or more of these agreements, including as a result of cross default provisions. Upon the occurrence of an event of default under our senior secured credit facilities, the lenders could elect to declare all amounts outstanding under our senior secured credit facilities to be immediately due and payable and terminate all commitments to extend further credit. Such actions by those lenders could cause cross defaults under our other indebtedness. If we were unable to repay those amounts, the lenders under our senior secured credit facilities could proceed against the collateral granted to them to secure that indebtedness. We have pledged substantially all of our assets as collateral under our senior secured credit facilities. If the lenders under our senior secured credit facilities accelerate the repayment of borrowings, we cannot assure you that we will have sufficient assets to repay the amounts borrowed under our senior secured credit facilities, as well as our unsecured indebtedness.

We may not be able to generate sufficient cash to service all of our indebtedness and may be forced to take other actions to satisfy our obligations under our indebtedness, which may not be successful.

Our ability to make scheduled payments on or to refinance our debt obligations depends on our financial condition and operating performance, which is subject to prevailing economic and competitive conditions and to certain financial, business and other factors beyond our control. We cannot assure you that we will maintain a level of cash flows from operating activities sufficient to permit us to pay the principal, premium, if any, and interest on our indebtedness.

If our cash flows and capital resources are insufficient to fund our debt service obligations, we may be forced to reduce or delay investments and capital expenditures, or to sell assets, seek additional capital or restructure or refinance our indebtedness. These alternative measures could affect the operation and growth of

 

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our business and may not be successful and may not permit us to meet our scheduled debt service obligations. If our operating results and available cash are insufficient to meet our debt service obligations, we could face substantial liquidity problems and might be required to dispose of material assets or operations to meet our debt service and other obligations. In that case, we may not be able to consummate those dispositions or to obtain the proceeds that we could realize from them, and the proceeds from those dispositions may not be adequate to meet any debt service obligations then due. Additionally, our senior secured credit facilities and the Indentures limit the use of the proceeds from dispositions of assets; as a result, we may not be permitted to use the proceeds from such dispositions to satisfy all current debt service obligations.

Risks Related To Our Business

If adequate levels of reimbursement and coverage from third party payors for our products are not obtained, healthcare providers and patients may be reluctant to use our products, and our revenue and profits may decline.

Our sales depend largely on whether there is adequate reimbursement and coverage by government healthcare programs, such as Medicare and Medicaid, and by private payors. We believe that surgeons, hospitals, physical therapists and other healthcare providers may not use, purchase or prescribe our products and patients may not purchase our products if these third party payors do not provide satisfactory coverage of and reimbursement for the costs of our products or the procedures involving the use of our products.

Third party payors continue to review their coverage policies carefully and can, without notice, reduce or eliminate reimbursement for our products or treatments that use our products. For instance, they may attempt to control costs by (i) authorizing fewer elective surgical procedures, including joint reconstructive surgeries, (ii) requiring the use of the least expensive product available, (iii) reducing the reimbursement for or limiting the number of authorized visits for rehabilitation procedures or (iv) otherwise restricting coverage or reimbursement of our products or procedures using our products.

In the United States, Congress and CMS frequently engage in efforts to contain costs, which may result in more restrictive Medicare or Medicaid coverage, reduced reimbursement, or selective contracting for our products. As discussed under “Government Regulations—Third Party Reimbursement” in the “Business” section above, CMS recently determined that TENS for the treatment of chronic low back pain will not be covered under Medicare unless the patient is enrolled in a clinical study meeting certain defined standards. This coverage decision reduces the available market for TENS devices. If our Empi business is unsuccessful in offsetting the adverse effects of these revenue losses, the long-term revenue and profit impact of this coverage decision could be materially adverse to the Empi business and could have an adverse impact on our business and results of operations as a whole.

Medicare payment for durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) also can be impacted by the DMEPOS competitive bidding program, under which Medicare rates are based on bid amounts for certain products in designated geographic areas, rather than the Medicare fee schedule amount. Only those suppliers selected through the competitive bidding process within each designated competitive bidding area (CBA) are eligible to have their products reimbursed by Medicare. See “Government Regulations—Third Party Reimbursement” in the “Business” section above. When our products become subject to competitive bidding, if we are not selected as a contract supplier (or subcontractor) in a particular region, or if contract prices are significantly below Medicare fee schedule reimbursement levels, it could have an adverse impact on our sales and profitability.

Because many private payors model their coverage and reimbursement policies on Medicare, other third party payors’ coverage of, and reimbursement for, our products also could be negatively impacted by legislative, regulatory or other measures that restrict Medicare coverage or reduce Medicare reimbursement.

Our international sales also depend in part upon the coverage and eligibility for reimbursement of our products through government-sponsored healthcare payment systems and third party payors, the amount of

 

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reimbursement and the cost allocation of payments between the patient and government-sponsored healthcare payment systems and third party payors. Coverage and reimbursement practices vary significantly by country, with certain countries requiring products to undergo a lengthy regulatory review in order to be eligible for third party coverage and reimbursement. In addition, healthcare cost containment efforts similar to those we face in the United States are prevalent in many of the foreign countries in which our products are sold, and these efforts are expected to continue in the future, possibly resulting in the adoption of more stringent reimbursement standards relating to our international operations.

The continued slow and unsteady recovery of U.S. and global economies may pose additional risks and exacerbate existing risks to our business.

The continued sluggishness in the U.S. and global economy has had and may continue to have a negative impact on demand for our products, availability and reliability of vendors and third party contract manufacturers, our ability to timely collect our accounts receivable and the availability of financing for acquisitions and working capital requirements. Continued or renewed deterioration of general economic conditions in the United States and overseas could contribute to those trends remaining a problem or becoming worse.

The slowing of economic activity has affected and could continue to affect our business in a variety of ways, including the following:

 

   

loss of jobs and lack of health insurance as a result of the economic slowdown could depress demand for healthcare services and demand for our products,

 

   

weakened demand for healthcare services, reduction in the number of insured patients and lack of available credit could result in the inability of private insurers to satisfy their reimbursement obligations, lead to delays in payment or cause the insurers to increase their scrutiny of our claims,

 

   

shortage of available credit for working capital could lead customers who buy capital goods from us to curtail their purchases or have difficulty meeting payment obligations, or

 

   

problems in the credit and financial markets could limit the availability and size of alternative or additional financing for our working capital or other corporate needs and could make it more difficult and expensive to obtain waivers under or make changes to our existing credit arrangements.

Any of these risks, among others, could adversely affect our business and operating results, and the risks could become more pronounced if the problems in the U.S. and global economies and the credit and financial markets continue or become worse.

Federal and state health reform and cost control efforts include provisions that could adversely impact our business and results of operations.

ACA is a sweeping measure designed to expand access to affordable health insurance, control health care spending, and improve health care quality. Several provisions of the ACA specifically affect the medical equipment industry. In addition to changes in Medicare DMEPOS reimbursement and an expansion of the DMEPOS competitive bidding program, the ACA provides that for sales on or after January 1, 2013, manufacturers, producers, and importers of specified taxable medical devices must pay an annual excise tax of 2.3% of the price for which the devices are sold. We anticipate that a limited number of our products will be subject to the new tax. ACA also establishes enhanced Medicare and Medicaid program integrity provisions, including expanded documentation requirements for Medicare DMEPOS orders, more stringent procedures for screening Medicare and Medicaid DMEPOS suppliers, and new disclosure requirements regarding manufacturer payments to physicians and teaching hospitals, along with broader expansion of federal fraud and abuse authorities. Although the eventual impact of the ACA is still uncertain, it is possible that the legislation will have a material adverse impact on our business. Likewise, most states have adopted or are considering policies to reduce Medicaid spending as a result of state budgetary shortfalls, which in some cases include reduced reimbursement for DMEPOS items and/or other Medicaid coverage restrictions. As states continue to face significant financial pressures, it is possible that state health policy changes will adversely affect our profitability.

 

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If we fail to meet Medicare accreditation and surety bond requirements or DMEPOS supplier standards, it could negatively affect our business operations.

Medicare DMEPOS suppliers (other than certain exempted professionals) must be accredited by an approved accreditation organization as meeting DMEPOS quality standards adopted by CMS including specific requirements for suppliers of custom-fabricated and custom-fitted orthoses and certain prosthetics. Medicare suppliers also are required to meet surety bond requirements. In addition, Medicare DMEPOS suppliers must comply with Medicare supplier standards in order to obtain and retain billing privileges, including meeting all applicable federal and state licensure and regulatory requirements. CMS periodically expands or otherwise clarifies the Medicare DMEPOS supplier standards. We believe we are in compliance with these requirements. If we fail to maintain our Medicare accreditation status and/or do not comply with Medicare surety bond or supplier standard requirements in the future, or if these requirements are changed or expanded, it could adversely affect our profits and results of operations.

If we fail to comply with the Food and Drug Administration’s (the FDA) Quality System Regulation, our manufacturing could be delayed, and our product sales and profitability could suffer.

Our manufacturing processes are required to comply with the FDA’s Quality System Regulation, which covers current Good Manufacturing Practice requirements including procedures concerning (and documentation of) the design, testing, production processes, controls, quality assurance, labeling, packaging, storage and shipping of our devices. We also are subject to state requirements and licenses applicable to manufacturers of medical devices. In addition, we must engage in extensive recordkeeping and reporting and must make available our manufacturing facilities and records for periodic unscheduled inspections by governmental agencies, including the FDA, state authorities and comparable agencies in other countries. Moreover, if we fail to pass a Quality System Regulation inspection or to comply with these and other applicable regulatory requirements, we may receive a notice of a violation in the form of inspectional observations on Form FDA-483, a warning letter, or could otherwise be required to take corrective action and, in severe cases, we could suffer a disruption of our operations and manufacturing delays. If we fail to take adequate corrective actions, we could be subject to certain enforcement actions, including, among other things, significant fines, suspension of approvals, seizures or recalls of products, operating restrictions and criminal prosecutions. We cannot assure you that the FDA or other governmental authorities would agree with our interpretation of applicable regulatory requirements or that we have in all instances fully complied with all applicable requirements. Any notice or communication from the FDA regarding a failure to comply with applicable requirements could adversely affect our product sales and profitability. We have received FDA warnings letters in the past and we cannot assure you that the FDA will not take further action in the future.

The loss of the services of our key management and personnel could adversely affect our ability to operate our business.

Our executive officers have substantial experience and expertise in our industry. Our future success depends, to a significant extent, on the abilities and efforts of our executive officers and other members of our management team. We compete for such personnel with other companies, academic institutions, government entities and other organizations, and our failure to hire and retain qualified individuals for senior executive positions could have a material adverse impact on our business.

We may experience substantial fluctuations in our quarterly operating results and you should not rely on them as an indication of our future results.

Our quarterly operating results may vary significantly due to a combination of factors, many of which are beyond our control. These factors include:

 

   

demand for many of our products, which historically has been higher in the fourth quarter when scholastic sports and ski injuries are more frequent,

 

   

our ability to meet the demand for our products,

 

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the direct distribution of our products in foreign countries that have seasonal variations,

 

   

the number, timing and significance of new products and product introductions and enhancements by us and our competitors, including delays in obtaining government review and clearance of medical devices,

 

   

our ability to develop, introduce and market new and enhanced versions of our products on a timely basis,

 

   

the impact of any acquisitions that occur in a quarter,

 

   

the impact of any changes in generally accepted accounting principles,

 

   

changes in pricing policies by us and our competitors and reimbursement rates by third party payors, including government healthcare agencies and private insurers,

 

   

the loss of any of our significant distributors,

 

   

changes in the treatment practices of orthopedic and spine surgeons, primary care physicians, and pain-management specialists, and their allied healthcare professionals, and

 

   

the timing of significant orders and shipments.

Accordingly, our quarterly sales and operating results may vary significantly in the future and period-to-period comparisons of our results of operations may not be meaningful and should not be relied upon as indications of future performance. We cannot assure you that our sales will increase or be sustained in future periods or that we will be profitable in any future period.

We operate in a highly competitive business environment, and our inability to compete effectively could adversely affect our business prospects and results of operations.

We operate in highly competitive and fragmented markets. Our Bracing and Vascular, Recovery Sciences and International segments compete with both large and small companies, including several large, diversified companies with significant market share and numerous smaller niche companies, particularly in the physical therapy products market. Our Surgical Implant segment competes with a small number of very large companies that dominate the market, as well as other companies similar to our size. We may not be able to offer products similar to, or more desirable than, those of our competitors or at a price comparable to that of our competitors. Compared to us, many of our competitors have:

 

   

greater financial, marketing and other resources,

 

   

more widely accepted products,

 

   

a larger number of endorsements from healthcare professionals,

 

   

a larger product portfolio,

 

   

superior ability to maintain new product flow,

 

   

greater research and development and technical capabilities,

 

   

patent portfolios that may present an obstacle to the conduct of our business,

 

   

stronger name recognition,

 

   

larger sales and distribution networks, and/or

 

   

international manufacturing facilities that enable them to avoid the transportation costs and foreign import duties associated with shipping our products manufactured in the United States to international customers.

Accordingly, we may be at a disadvantage with respect to our competitors. These factors may materially impair our ability to develop and sell our products.

 

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If we are unable to develop or license new products or product enhancements or find new applications for our existing products, we will not remain competitive.

The markets for our products are characterized by continued new product development and the obsolescence of existing products. Our future success and our ability to increase revenues and make payments on our indebtedness will depend, in part, on our ability to develop, license, acquire and distribute new and innovative products, enhance our existing products with new technology and find new applications for our existing products. However, we may not be successful in developing, licensing or introducing new products, enhancing existing products or finding new applications for our existing products. We also may not be successful in manufacturing, marketing and distributing products in a cost-effective manner, establishing relationships with marketing partners, obtaining coverage of and satisfactory reimbursement for our future products or product enhancements or obtaining required regulatory clearances and approvals in a timely fashion or at all. If we fail to keep pace with continued new product innovation or enhancement or fail to successfully commercialize our new or enhanced products, our competitive position, financial condition and results of operations could be materially adversely affected.

In addition, if any of our new or enhanced products contain undetected errors or design defects, especially when first introduced, or if new applications that we develop for existing products do not work as planned, our ability to market these and other products could be substantially delayed, and we could ultimately become subject to product liability litigation, resulting in lost revenues, potential damage to our reputation and/or delays in regulatory clearance. In addition, approval of our products or obtaining acceptance of our products by physicians, physical therapists and other healthcare professionals that recommend and prescribe our products could be adversely affected.

The success of our surgical implant products depends on our relationships with leading surgeons who assist with the development and testing of our products, and our ability to comply with enhanced disclosure requirements regarding payments to physicians.

A key aspect of the development and sale of our surgical implant products is the use of designing and consulting arrangements with orthopedic surgeons who are well recognized in the healthcare community. These surgeons assist in the development and clinical testing of new surgical implant products. They also participate in symposia and seminars introducing new surgical implant products and assist in the training of healthcare professionals in using our new products. We may not be successful in maintaining or renewing our current designing and consulting arrangements with these surgeons or in developing similar arrangements with new surgeons. In that event, our ability to develop, test and market new surgical implant products could be adversely affected.

In addition, the Physician Payment Sunshine Act and related state marketing and payment disclosure requirements and industry guidelines could have an adverse impact on our relationships with surgeons, and there can be no assurances that such requirements and guidelines would not impose additional costs on us and/or adversely impact our consulting and other arrangements with surgeons.

Proposed laws that would limit the types of orthopedic professionals who can fit, sell or seek reimbursement for our products could, if adopted, adversely affect our business.

Federal and state legislatures have periodically considered proposals to limit the types of orthopedic professionals who can fit or sell our orthotic device products or who can seek reimbursement for them. Several states have adopted legislation imposing certification or licensing requirements on the measuring, fitting and adjusting of certain orthotic devices, and additional states may do so in the future. Although some of these state laws exempt manufacturers’ representatives, others do not. Such laws could reduce the number of potential customers by restricting our sales representatives’ activities in those jurisdictions and/or reduce demand for our products by reducing the number of professionals who fit and sell them. The adoption of such policies could have a material adverse impact on our business.

 

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In addition, legislation has been adopted, but not implemented to date, requiring that certain certification or licensing requirements be met for individuals and suppliers furnishing certain custom-fabricated orthotic devices as a condition of Medicare payment. Medicare currently follows state policies in those states that require the use of an orthotist or prosthetist for furnishing of orthotics or prosthetics. We cannot predict whether additional restrictions will be implemented at the state or federal level or the impact of such policies on our business.

If we fail to establish new sales and distribution relationships or maintain our existing relationships, or if our third party distributors and independent sales representatives fail to commit sufficient time and effort or are otherwise ineffective in selling our products, our results of operations and future growth could be adversely impacted.

The sale and distribution of certain of our orthopedic products, CMF products and our surgical implant products depend, in part, on our relationships with a network of third party distributors and independent commissioned sales representatives. These third party distributors and independent sales representatives maintain the customer relationships with the hospitals, orthopedic surgeons, physical therapists and other healthcare professionals that purchase, use and recommend the use of our products. Although our internal sales staff trains and manages these third party distributors and independent sales representatives, we do not directly monitor the efforts that they make to sell our products. In addition, some of the independent sales representatives that we use to sell our surgical implant products also sell products that directly compete with our core product offerings. These sales representatives may not dedicate the necessary effort to market and sell our products. If we fail to attract and maintain relationships with third party distributors and skilled independent sales representatives or fail to adequately train and monitor the efforts of the third party distributors and sales representatives that market and sell our products, or if our existing third party distributors and independent sales representatives choose not to carry our products, our results of operations and future growth could be adversely affected.

Our international operations expose us to risks related to conducting business in multiple jurisdictions outside the United States.

The international scope of our operations exposes us to economic, regulatory and other risks in the countries in which we operate. We generated 24.8% of our net revenues from customers outside the United States for the year ended December 31, 2012. Doing business in foreign countries exposes us to a number of risks, including the following:

 

   

fluctuations in currency exchange rates,

 

   

imposition of investment, currency repatriation and other restrictions by foreign governments,

 

   

potential adverse tax consequences, including the imposition or increase of withholding and other taxes on remittances and other payments by foreign subsidiaries, which, among other things, may preclude payments or dividends from foreign subsidiaries from being used for our debt service, and exposure to adverse tax regimes,

 

   

difficulty in collecting accounts receivable and longer collection periods,

 

   

the imposition of additional foreign governmental controls or regulations on the sale of our products,

 

   

intellectual property protection difficulties,

 

   

changes in political and economic conditions, including the recent political changes in Tunisia in which we maintain a small manufacturing facility and security issues in Mexico in which we maintain a significant manufacturing facility,

 

   

difficulties in attracting high-quality management, sales and marketing personnel to staff our foreign operations,

 

   

labor disputes,

 

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import and export restrictions and controls, tariffs and other trade barriers,

 

   

increased costs of transportation or shipping,

 

   

exposure to different approaches to treating injuries,

 

   

exposure to different legal, regulatory and political standards, and

 

   

difficulties of local governments in responding to severe weather emergencies, natural disasters or other such similar events.

In addition, as we grow our operations internationally, we will become increasingly dependent on foreign distributors and sales agents for our compliance and adherence to foreign laws and regulations that we may not be familiar with, and we cannot assure you that these distributors and sales agents will adhere to such laws and regulations or adhere to our own business practices and policies. Any violation of laws and regulations by foreign distributors or sales agents or a failure of foreign distributors or sales agents to comply with our business practices and policies could result in legal or regulatory sanctions against us or potentially damage our reputation in that respective international market. If we fail to manage these risks effectively, we may not be able to grow our international operations, and our business and results of operations may be materially adversely affected.

We may fail to comply with customs and import/export laws and regulations

Our business is conducted world-wide, with raw material and finished goods imported from and exported to a substantial number of countries. In particular, a significant portion of our products are manufactured in our plant in Tijuana, Mexico and imported to the United States before shipment to domestic customers or export to other countries. We are subject to customs and import/export rules in the U.S., including FDA regulatory requirements applicable to medical devices, detailed below, and in other countries, and to requirements for payment of appropriate duties and other taxes as goods move between countries. Customs authorities monitor our shipments and payments of duties, fees and other taxes and can perform audits to confirm compliance with applicable laws and regulations. Our failure to comply with import/export rules and restrictions or to properly classify our products under tariff regulations and pay the appropriate duty could expose us to fines and penalties and adversely affect our financial condition and business operations.

Fluctuations in foreign exchange rates may adversely affect our financial condition and results of operations and may affect the comparability of our results between financial periods.

Our foreign operations expose us to currency fluctuations and exchange rate risks. We are exposed to the risk of currency fluctuations between the U.S. Dollar and the Euro, Pound Sterling, Canadian Dollar, Mexican Peso, Swiss Franc, Australian Dollar, Japanese Yen, Norwegian Krone, Danish Krone, Swedish Krona, South African Rand and Tunisian Dinar. Sales denominated in foreign currencies accounted for 21.9% of our consolidated net sales for the year ended December 31, 2012, of which 15.9% were denominated in the Euro. Our exposure to fluctuations in foreign currencies arises because certain of our subsidiaries’ results are recorded in these currencies and then translated into U.S. Dollars for inclusion in our consolidated financial statements, and certain of our subsidiaries enter into purchase or sale transactions using a currency other than our functional currency. We utilize Mexican Peso (MXN) foreign exchange forward contracts to hedge a portion of our exposure to fluctuations in foreign exchange rates, as our Mexico-based manufacturing operations incur costs that are largely denominated in MXN. As of December 31, 2012, we had outstanding MXN forward contracts to purchase an aggregate U.S. dollar equivalent of $6.4 million. As we continue to distribute and manufacture our products in selected foreign countries, we expect that future sales and costs associated with our activities in these markets will continue to be denominated in the applicable foreign currencies, which could cause currency fluctuations to materially impact our operating results. Changes in currency exchange rates may adversely affect our financial condition and results of operations and may affect the comparability of our results between reporting periods.

We may not be able to effectively manage our currency translation risks, and volatility in currency exchange rates may adversely affect our financial condition and results of operations.

 

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Our success depends on receiving regulatory approval for our products, and failure to do so could adversely affect our growth and operating results.

Our products are subject to extensive regulation in the United States by the FDA and by similar governmental authorities in the foreign countries where we do business. The FDA regulates virtually all aspects of a medical device’s development, testing, manufacturing, labeling, promotion, distribution and marketing, as well as modifications to existing products and the marketing of existing products for new indications. In general, unless an exemption applies, a medical device and modifications to the device or its indications must receive either pre-market approval or pre-market clearance from the FDA before it can be marketed in the United States. While in the past we have received such approvals and clearances, we may not be successful in the future in receiving such approvals and clearances in a timely manner or at all. See “Government Regulations—FDA and Similar Foreign Government Regulations” in the “Business” section above. If we begin to have significant difficulty obtaining such FDA approvals or clearances in a timely manner or at all, it could have a material adverse impact on our revenues and growth.

We may fail to receive positive clinical results for our products in development that require clinical trials, and even if we receive positive clinical results, we may still fail to receive the necessary clearance or approvals to market our products.

In the development of new products or new indications for, or modifications to, existing products, we may conduct or sponsor clinical trials. Clinical trials are expensive and require significant investment of time and resources and may not generate the data we need to support a submission to the FDA. Clinical trials are subject to regulation by the FDA and, if federal funds are involved or if an investigator or site has signed a federal assurance, are subject to further regulation by the Office for Human Research Protections and the National Institutes of Health. Failure to comply with such regulation, including, but not limited to, failure to obtain adequate consent of subjects, failure to adequately disclose financial conflicts or failure to report data or adverse events accurately, could result in fines, penalties, suspension of trials, and the inability to use the data to support an FDA submission.

If we fail to comply with the various regulatory regimes for the foreign markets in which we operate, our operational results could be adversely affected.

In many of the foreign countries in which we market our products, we are subject to extensive regulations, including those in Europe. The regulation of our products in the European Economic Area (which consists of the twenty-seven member states of the European Union, as well as Iceland, Liechtenstein and Norway) is governed by various directives and regulations promulgated by the European Commission and national governments. Only medical devices that comply with certain conformity requirements are allowed to be marketed within the European Economic Area. In addition, the national health or social security organizations of certain foreign countries, including certain countries outside Europe, require our products to be qualified before they can be marketed in those countries. Failure to receive or delays in the receipt of, relevant foreign qualifications in the European Economic Area or other foreign countries could have a material adverse impact on our business.

The FDA regulates the export of medical devices from the United States to foreign countries and certain foreign countries may require FDA certification that our products are in compliance with U.S. law. If we fail to obtain or maintain export certificates required for the export of our products, we could suffer a material adverse impact on our revenues and growth.

We are subject to laws concerning our marketing activities in foreign countries where we conduct business. For example, within the EU, the control of unlawful marketing activities is a matter of national law in each of the member states of the EU. The member states of the EU closely monitor perceived unlawful marketing activity by companies. We could face civil, criminal and administrative sanctions if any member state determines that we have breached our obligations under its national laws. In particular, as a result of conducting business in the U.K.

 

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through our subsidiary in that country, we are, in certain circumstances, subject to the anti-corruption provisions of the U.K. Bribery Act in our activities conducted in any country in the world. Industry associations also closely monitor the activities of member companies. If these organizations or authorities name us as having breached our obligations under their regulations, rules or standards, our reputation would suffer and our business and financial condition could be adversely affected. We are also subject to the U.S. Foreign Corrupt Practices Act (the FCPA), antitrust and anti-competition laws, and similar laws in foreign countries, any violation of which could create a substantial liability for us and also cause a loss of reputation in the market. The FCPA prohibits U.S. companies and their officers, directors, employees, shareholders acting on their behalf and agents from corruptly offering, promising, authorizing or making payments, or giving anything of value, directly or indirectly, to foreign officials for the purpose of obtaining or retaining business abroad or otherwise obtaining favorable treatment. Companies must also maintain records that fairly and accurately reflect transactions and maintain an adequate system of internal accounting controls. In many countries, hospitals and clinics are government-owned and healthcare professionals employed by such hospitals and clinics, with whom we regularly interact, may meet the definition of a foreign official for purposes of the FCPA. If we are found to have violated the FCPA, we may face sanctions including fines, criminal penalties, disgorgement of profits and suspension or debarment of our ability to contract with government agencies or receive export licenses. From time to time, we may face audits or investigations by one or more domestic or foreign government agencies, compliance with which could be costly and time-consuming, and could divert our management and key personnel from our business operations. An adverse outcome under any such investigation or audit could subject us to fines or other penalties, which could adversely affect our business and financial results.

If the Department of Health and Human Services (HHS), the Office of Inspector General (OIG), the FDA or another regulatory agency determines that we have promoted off-label use of our products, we may be subject to various penalties, including civil or criminal penalties, and the off-label use of our products may result in injuries that lead to product liability suits, which could be costly to our business.

The OIG, the FDA and other regulatory agencies actively enforce regulations prohibiting the promotion of a medical device for a use that has not been cleared or approved by the FDA. Use of a device outside its cleared or approved indications is known as “off-label” use. Physicians may use our products for off-label uses, as the FDA does not restrict or regulate a physician’s choice of treatment within the practice of medicine. However, if the OIG or the FDA, or another regulatory agency determines that our promotional materials, training, or activities constitute improper promotion of an off-label use, the regulatory agency could request that we modify our promotional materials, training, or activities, or subject us to regulatory enforcement actions, including the issuance of a warning letter, injunction, seizure, civil fine and criminal penalties. Although our policy is to refrain from statements and activities that could be considered off-label promotion of our products, the FDA, another regulatory agency, or the U.S. Department of Justice could disagree and conclude that we have engaged in off-label promotion and, potentially, caused the submission of false claims. In addition, the off-label use of our products may increase the risk of injury to patients, and, in turn, the risk of product liability claims. Product liability claims are expensive to defend and could divert our management’s attention and result in substantial damage awards against us.

Our compensation, marketing and sales practices may contain certain risks with respect to the manner in which these practices were historically conducted that could have a material adverse impact on us.

Although we believe our agreements and arrangements with healthcare providers are in compliance with applicable laws, under applicable federal and state healthcare fraud and abuse, anti-kickback, false claims and self-referral laws, it could be determined that our designing and consulting arrangements with surgeons, our marketing and sales practices, and our OfficeCare program fall outside permitted arrangements, thereby subjecting us to possible civil and/or criminal sanctions (including exclusion from the Medicare and Medicaid programs), which could have a material adverse impact on our business. These arrangements will be subject to increased visibility once the provisions of the Physician Payments Sunshine Act are fully implemented. Although we believe we maintain a satisfactory compliance program, it may not be adequate in the detection or prevention of violations. The form and effectiveness of our compliance program may be taken into account by the government in assessing sanctions, if any, should it be determined that violations of laws have occurred.

 

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Audits or denials of our claims by government agencies could reduce our revenues or profits.

As part of our business operations, we submit claims on behalf of patients directly to, and receive payments directly from, the Medicare and Medicaid programs and private payors. Therefore, we are subject to extensive government regulation, including detailed requirements for submitting reimbursement claims under appropriate codes and maintaining certain documentation to support our claims. Medicare contractors and Medicaid agencies periodically conduct pre- and post-payment reviews and other audits of claims and are under increasing pressure to more closely scrutinize healthcare claims and supporting documentation. We have historically been subject to pre-payment and post-payment reviews as well as audits of claims and may experience such reviews and audits of claims in the future. Such reviews and/or similar audits of our claims including by Recovery Audit Contractors (private companies operating on a contingent fee basis to identify and recoup Medicare overpayments) could result in material delays in payment, as well as material recoupments or denials, which would reduce our net sales and profitability, or in exclusion from participation in the Medicare or Medicaid programs. Private payors may from time to time conduct similar reviews and audits.

Additionally, we participate in the government’s Federal Supply Schedule program for medical equipment, whereby we contract with the government to supply certain of our products. Participation in this program requires us to follow certain pricing practices and other contract requirements. Failure to comply with such pricing practices and/or other contract requirements could result in delays in payment or fines or penalties, which could reduce our revenues or profits.

Federal and state agencies have become increasingly vigilant in recent years in their investigation of various business practices under various healthcare “fraud and abuse” laws with respect to our business arrangements with prescribing physicians and other healthcare professionals, as well as our filing of DMEPOS claims for reimbursement.

We are, directly or indirectly through our customers, subject to various federal and state laws pertaining to healthcare fraud and abuse, including the Federal Anti-Kickback Statute, several federal False Claims statutes, HIPAA’s healthcare fraud statute and false statements statute, federal physician self-referral prohibition (Stark Law) and state equivalent to these statutes.

The federal government has significantly increased investigations of and enforcement activity involving medical device manufacturers with regard to alleged kickbacks and other forms of remuneration to physicians who use and prescribe their products. Such investigations often arise based on allegations of violations of the federal Anti-Kickback Statute and sometimes allege violations of the civil False Claims Act, in connection with off-label marketing of products to physicians and others. In addition, significant state and federal investigative and enforcement activity addresses alleged improprieties in the filings of claims for payment or reimbursement by Medicare, Medicaid, and other payors.

The fraud and abuse laws and regulations are complex and even minor, inadvertent irregularities in submissions can potentially give rise to investigations and claims that the law has been violated. Any violations of these laws or regulations could result in a material adverse impact on our business, financial condition and results of operations. If there is a change in law, regulation or administrative or judicial interpretations, we may have to change one or more of our business practices to be in compliance with these laws. Required changes could be costly and time consuming. Any failure to make required changes could result in our losing business or our existing business practices being challenged as unlawful.

Our activities are subject to Federal Privacy and Transaction Law and Regulations, which could have an impact on our operations.

HIPAA and the HIPAA Rules impact the transmission, maintenance, use and disclosure of PHI. As such, HIPAA and the HIPAA Rules apply to certain aspects of our business. To the extent applicable to our operations, we believe

 

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we are currently in compliance with HIPAA and the applicable HIPAA Rules. There are costs and administrative burdens associated with ongoing compliance with the HIPAA Rules and similar state law requirements. Any failure to comply with current and applicable future requirements could adversely affect our profitability.

Managed care and buying groups have put downward pressure on the prices of our products.

The growth of managed care and the advent of buying groups in the United States have caused a shift toward coverage and payments based on more cost-effective treatment alternatives. Buying groups enter into preferred supplier arrangements with one or more manufacturers of medical products in return for price discounts to members of these buying groups. Our failure to obtain new preferred supplier commitments from major group purchasing organizations or our failure to retain our existing preferred supplier commitments could adversely affect our sales and profitability. In international markets where we sell our products, we have historically experienced downward pressure on product pricing and other effects of healthcare cost control efforts that are similar to that which we have experienced in the United States. We expect a continued emphasis on healthcare cost controls and managed care in the United States and in these international markets, which could put further downward pressure on product pricing, which, in turn may adversely affect our sales and profitability.

Our marketed, approved, or cleared products are subject to the recall authority of U.S. and foreign regulatory bodies. Product recalls could harm our reputation and business.

We are subject to ongoing medical device reporting regulations that require us to report to the FDA and similar governmental authorities in other countries if we receive a report or otherwise learn that any of our products may have caused, or contributed to death or serious injury, or that any of our products has malfunctioned in a way that would be likely to cause, or contribute to, death or serious injury if the malfunction were to recur. The FDA and similar governmental authorities in other countries have the authority to require us to recall our products in the event of actual or potential material deficiencies or defects in design manufacturing, or labeling, and we have been subject to product recalls in the past. In addition, in light of an actual or potential material deficiency or defect in design, manufacturing, or labeling, we may voluntarily elect to recall our products. A government mandated recall or a voluntary recall initiated by us could occur as a result of actual or potential component failures, manufacturing errors, or design defects, including defects in labeling. Any recall would divert managerial and financial resources and could harm our reputation with our customers and with the healthcare professionals that use, prescribe and recommend our products. We could have product recalls that result in significant costs to us in the future, and such recalls could have a material adverse impact on our business.

Product liability claims may harm our business, particularly if the number of claims increases significantly or our product liability insurance proves inadequate.

The manufacture and sale of orthopedic devices and related products exposes us to a significant risk of product liability claims. From time to time, we have been, and we are currently, subject to a number of product liability claims alleging that the use of our products resulted in adverse effects. Even if we are successful in defending against any liability claims, such claims could nevertheless distract our management, result in substantial costs, harm our reputation, adversely affect the sales of all our products and otherwise harm our business. If there is a significant increase in the number of product liability claims, our business could be adversely affected. Further, a significant increase in claims or adverse outcomes could prove our product liability insurance inadequate.

Our concentration of manufacturing operations in Mexico increases our business and competitive risks.

Our most significant manufacturing facility is our facility in Tijuana, Mexico, and we also have a relatively small manufacturing operation in Tunisia. Our current and future foreign operations are subject to risks of political and economic instability inherent in activities conducted in foreign countries. Because there are no readily accessible alternatives to these facilities, any event that disrupts manufacturing at or distribution or transportation from these facilities would materially adversely affect our operations. In addition, as a result of this concentration of manufacturing activities, our sales in foreign markets may be at a competitive disadvantage to products manufactured locally due to freight costs, custom and import duties and favorable tax rates for local businesses.

 

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If we lose one of our key suppliers or one of our contract manufacturers stops making the raw materials and components used in our products, we may be unable to meet customer orders for our products in a timely manner or within our budget.

We rely on a limited number of foreign and domestic suppliers for the raw materials and components used in our products. One or more of our suppliers may decide to cease supplying us with raw materials and components for reasons beyond our control. FDA regulations may require additional testing of any raw materials or components from new suppliers prior to our use of those materials or components. In addition, in the case of a device which is the subject of a pre-market approval, we may be required to obtain prior FDA permission (which may or may not be given), which could delay or prevent our access or use of such raw materials or components. If we are unable to obtain materials we need from our suppliers or our agreements with our suppliers are terminated, and we cannot obtain these materials from other sources, we may be unable to manufacture our products to meet customer orders in a timely manner or within our manufacturing budget. In that event, our business and results of operations could be adversely affected.

In addition, we rely on third parties to manufacture some of our products. For example, we use a single source for many of the home electrotherapy devices our French business unit distributes. If our agreements with these manufacturing companies were terminated, we may not be able to find suitable replacements within a reasonable amount of time or at all. Any such cessation, interruption or delay may impair our ability to meet scheduled deliveries of our products to our customers and may cause our customers to cancel orders. In that event, our reputation and results of operations may be adversely affected.

Some of our important suppliers are in China and other parts of Asia and provide predominately finished soft goods products. In the year ended December 31, 2012, we obtained 39.6% of our total purchased materials from suppliers in China and other parts of Asia. Political and economic instability and changes in government regulations in these areas could affect our ability to continue to receive materials from suppliers there. The loss of suppliers in China and other parts of Asia, any other interruption or delay in the supply of required materials or our inability to obtain these materials at acceptable prices and within a reasonable amount of time could impair our ability to meet scheduled product deliveries to our customers and could hurt our reputation and cause customers to cancel orders.

In addition, we purchase the microprocessor used in the OL1000 and SpinaLogic devices from a single manufacturer. Although there are feasible alternate microprocessors that might be used immediately, all are produced by a single supplier. In addition, there are single suppliers for other components used in the OL1000 and SpinaLogic devices and only two suppliers for the magnetic field sensor employed in them. Establishment of additional or replacement suppliers for these components cannot be accomplished quickly.

If our patents and other intellectual property rights do not adequately protect our products, we may lose market share to our competitors and may not be able to operate our business profitably.

We rely on a combination of patents, trade secrets, copyrights, trademarks, license agreements and contractual provisions to establish and protect our intellectual property rights in our products and the processes for the development, manufacture and marketing of our products.

We use non-patented, proprietary know-how, trade secrets, processes and other proprietary information and currently employ various methods to protect this proprietary information, including confidentiality agreements, invention assignment agreements and proprietary information agreements with vendors, employees, independent sales agents, distributors, consultants, and others. However, these agreements may be breached. The FDA or another governmental agency may require the disclosure of such information in order for us to have the right to market a product. The FDA may also disclose such information on its own initiative if it should decide that such information is not confidential business or trade secret information. Trade secrets, know-how and other unpatented proprietary technology may also otherwise become known to or independently developed by our competitors.

 

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In addition, we also hold U.S. and foreign patents relating to a number of our components and products and have patent applications pending with respect to other components and products. We also apply for additional patents in the ordinary course of our business, as we deem appropriate. However, these precautions offer only limited protection, and our proprietary information may become known to, or be independently developed by, competitors, or our proprietary rights in intellectual property may be challenged, any of which could have a material adverse impact on our business, financial condition and results of operations. Additionally, we cannot assure you that our existing or future patents, if any, will afford us adequate protection or any competitive advantage, that any future patent applications will result in issued patents or that our patents will not be circumvented, invalidated or declared unenforceable. In addition, certain of our subsidiaries have not always taken commercially reasonable measures to protect their ownership of some of their patents. While such measures are currently employed and have been employed by us in the past, disputes may arise as to the ownership, or co-ownership, of certain of our patents. We do not consider patent protection to be a significant competitive advantage in the marketplace for electrotherapy devices. However, patent protection may be of significance with respect to our orthopedic technology.

Any proceedings before the U.S. Patent and Trademark Office could result in adverse decisions as to the priority of our inventions and the narrowing or invalidation of claims in issued or pending patents. We could also incur substantial costs in any such proceedings. In addition, the laws of some of the countries in which our products are or may be sold may not protect our products and intellectual property to the same extent as U.S. laws, if at all. We may also be unable to protect our rights in trade secrets, trademarks and unpatented proprietary technology in these countries.

In addition, we hold patent, trademark and other intellectual property licenses from third parties for some of our products and on technologies that are necessary in the design and manufacture of some of our products. The loss of such licenses could prevent us from manufacturing, marketing and selling these products, which in turn could harm our business.

We could incur significant costs complying with environmental and health and safety requirements, or as a result of liability for contamination or other harm caused by hazardous materials that we use.

Our research and development and manufacturing processes involve the use of hazardous materials. We are subject to federal, state, local and foreign environmental requirements, including regulations governing the use, manufacture, handling, storage and disposal of hazardous materials, discharge to air and water, the cleanup of contamination and occupational health and safety matters. We cannot eliminate the risk of contamination or injury resulting from hazardous materials, and we may incur liability as a result of any contamination or injury. Under some environmental laws and regulations, we could also be held responsible for costs relating to any contamination at our past or present facilities and at third party waste disposal sites where we have sent wastes. These could include costs relating to contamination that did not result from any violation of law, and in some circumstances, contamination that we did not cause. We may incur significant expenses in the future relating to any failure to comply with environmental laws. Any such future expenses or liability could have a significant negative impact on our financial condition. The enactment of stricter laws or regulations, the stricter interpretation of existing laws and regulations or the requirement to undertake the investigation or remediation of currently unknown environmental contamination at our own or third party sites may require us to make additional expenditures, which could be material.

If a natural or man-made disaster strikes our manufacturing facilities, we will be unable to manufacture our products for a substantial amount of time and our sales will decline.

A significant portion of our rehabilitation products are manufactured in a facility in Tijuana, Mexico, with a number of products for the European market manufactured in a Tunisian facility. In Vista, California we manufacture our custom rigid bracing products, which remain in the United States to facilitate quick turnaround on custom orders, vascular products, and our CMF product line. Our clinical electrotherapy devices, patient care

 

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products, physical therapy and certain CPM devices are now manufactured in our facilities located in Tijuana, Mexico, following the closure of our Chattanooga facility during the first half of 2010. Our home electrotherapy devices sold in the United States as well as some components and related accessories are manufactured at our facility in Clear Lake, South Dakota. In our Surgical Implant business, we manufacture our products in our manufacturing facility at Austin, Texas. These facilities and the manufacturing equipment we use to produce our products would be difficult to repair or replace. Our facilities may be affected by natural or man-made disasters. If one of our facilities were affected by a disaster, we would be forced to rely on third party manufacturers or shift production to another manufacturing facility. In such an event, we would face significant delays in manufacturing which would prevent us from being able to sell our products. In addition, our insurance may not be sufficient to cover all of the potential losses and may not continue to be available to us on acceptable terms, or at all.

Affiliates of Blackstone own substantially all of the equity interest in us and may have conflicts of interest with us or investors in the future.

Affiliates of Blackstone collectively beneficially own 97.8% of DJO’s issued and outstanding capital stock and Blackstone designees hold a majority of the seats on DJO’s board of directors. As a result, affiliates of Blackstone have control over our decisions to enter into any corporate transaction and have the ability to prevent any transaction that requires the approval of security holders regardless of whether holders of the Notes believe that any such transactions are in their own best interests. For example, affiliates of Blackstone could collectively cause us to make acquisitions that increase the amount of indebtedness or to sell assets, or could cause us to issue additional capital stock or declare dividends. So long as affiliates of Blackstone continue to directly or indirectly own a significant amount of the outstanding shares of our common stock, they will continue to be able to strongly influence or effectively control our decisions. In addition, Blackstone has no obligation to provide us with any additional debt or equity financing.

Additionally, Blackstone and its affiliates are in the business of making investments in companies and may from time to time acquire and hold interests in businesses that compete directly or indirectly with us. Blackstone and its affiliates may also pursue acquisition opportunities that may be complementary to our business and, as a result, those acquisition opportunities may not be available to us.

If we do not achieve and maintain effective internal controls over financial reporting, we could fail to accurately report our financial results.

During the course of the preparation of our financial statements, we evaluate our internal controls to identify and correct deficiencies in our internal controls over financial reporting. In the event we are unable to identify and correct deficiencies in our internal controls in a timely manner, we may not record, process, summarize and report financial information accurately and within the time periods required for our financial reporting under the terms of the agreements governing our indebtedness.

It is possible that control deficiencies could be identified by our management or independent registered public accounting firm in the future or may occur without being identified. Such a failure could negatively impact the market price and liquidity of the Notes, cause holders of our Notes to lose confidence in our reported financial condition, lead to a default under our senior secured credit facilities and the Indentures and otherwise materially adversely affect our business and financial condition.

 

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ITEM 2. PROPERTIES

Information about our facilities is set forth in the following table:

 

Location

  

Use

   Status   Lease
Termination Date
  Square Feet
(in thousands)

Vista, California

  

Corporate headquarters, operations, manufacturing facility, research and development

   Leased   August 2021   112

Tijuana, Mexico

  

Manufacturing and distribution facility

   Leased   September 2016   286

Asheboro, North Carolina

  

Manufacturing and distribution facility

   Owned   N/A   115

Indianapolis, Indiana

  

Distribution facility

   Leased   October 2016   110

Mequon, Wisconsin

  

Office, manufacturing and distribution facility

   Leased   June 2024   95

Mequon, Wisconsin

  

Warehouse and distribution facility

   Leased   October 2013   42

Shoreview, Minnesota

  

Office, operations, medical billing

   Leased   October 2018 (a)   94

Clear Lake, South Dakota

  

Manufacturing, distribution and refurbishment, and repair facility

   Owned   N/A   54

Sfax, Tunisia

  

Manufacturing facility

   Leased   December 2013   62

Austin, Texas

  

Operations and manufacturing facility, warehouse, research and development

   Leased   March 2019 (b)   53

Vista, California

  

Manufacturing facility

   Leased   December 2018   53

Arden Hills, Minnesota

  

Office and manufacturing facility

   Leased   September 2015   20

Freiburg, Germany

  

Research and development, distribution facility

   Leased   December 2014   20

Freiburg, Germany

  

Research and development, distribution facility

   Leased   November 2014   27

Mouguerre, France

  

Office and distribution facility

   Leased   October 2016   43

Mississauga, Canada

  

Office and distribution facility

   Leased   March 2015   30

Herentals, Belgium

  

Office and distribution facility

   Leased   March 2014   26

Freiburg, Germany

  

Office and distribution facility

   Leased   December 2014   23

Malmo, Sweden

  

Office and distribution facility

   Leased   March 2014   16

Guildford, United Kingdom

  

International headquarters, office, operations

   Leased   January 2015   12

Guildford, United Kingdom

  

Warehouse and distribution facility

   Leased   May 2016   12

Other various locations

  

Various

   Leased   Various   45

Hixson, Tennessee

  

Held for sale

   Owned   N/A   226

 

(a) Renewable, at our option, for one additional five-year term.
(b) Renewable, at our option, for two additional five-year terms.

ITEM 3. LEGAL PROCEEDINGS

From time to time, we are plaintiffs or defendants in various litigation matters in the ordinary course of our business, some of which involve claims for damages that are substantial in amount. We believe that the disposition of claims currently pending will not have a material adverse impact on our financial position or results of operations.

The manufacture and sale of orthopedic devices and related products exposes us to a significant risk of product liability claims. From time to time, we have been, and we are currently, subject to a number of product liability claims alleging that the use of our products resulted in adverse effects. Even if we are successful in defending against any liability claims, such claims could nevertheless distract our management, result in substantial costs, harm our reputation, adversely affect the sales of all our products and otherwise harm our business. If there is a significant increase in the number of product liability claims, our business could be adversely affected.

 

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Pain Pump Litigation

We are currently named as one of several defendants in a number of product liability lawsuits involving approximately 45 plaintiffs in U.S. cases and a lawsuit in Canada which has been granted class action status, related to a disposable drug infusion pump product (pain pump) manufactured by two third party manufacturers that we distributed through our Bracing and Vascular segment. We sold pumps manufactured by one manufacturer from 1999 to 2003 and then sold pumps manufactured by a second manufacturer from 2003 to 2009. We discontinued our sale of these products in the second quarter of 2009. These cases have been brought against the manufacturers and certain distributors of these pumps. All of these lawsuits allege that the use of these pumps with certain anesthetics for prolonged periods after certain shoulder surgeries has resulted in cartilage damage to the plaintiffs. Many of the lawsuits which have been filed in the past five years have named multiple pain pump manufacturers and distributors without having established which manufacturer manufactured or sold the pump in issue. In the past three years, we have been dismissed from approximately 400 cases when product identification was later established showing that we did not sell the pump in issue. In the past three years, we have entered into settlements with plaintiffs in approximately 75 pain pump lawsuits. Of these, we have settled approximately 45 cases in joint settlements involving our first manufacturer and we have settled approximately 30 cases involving our second manufacturer.

Indemnity Claims Related to Pain Pump Claims

We have sought indemnity and tendered the defense of the pain pump cases to the two manufacturers who supplied these pumps to us, to their products liability carriers and to our products liability carriers. These lawsuits are about equally divided between the two manufacturers. Both manufacturers have rejected our tenders of indemnity. The base policy for one of the manufacturers contributed to our defense, but that policy has been exhausted by defense costs and settlements, as has a second policy of that manufacturer. This manufacturer has ceased operations, has little assets and no additional insurance coverage. We have asserted indemnification rights against the successor to this manufacturer and are pursuing claims against the manufacturer, its owners and its successor. This manufacturer has asserted a counterclaim for indemnity against us, alleging that we are responsible for any liability incurred by the manufacturer in connection with our sale of pain pumps supplied by this manufacturer. The base policy for the other manufacturer has been exhausted and the excess liability carriers for that manufacturer have not accepted coverage for us and are not expected to provide for our defense. We and this manufacturer have been cooperating in jointly negotiating settlements of those lawsuits in which both parties are named. Our products liability carriers have accepted coverage of these cases, subject to a reservation of the right to deny coverage for customary matters, including punitive damages and off-label promotion. In August 2010, one of our excess carriers for the period ending July 1, 2010 and for the supplemental extended reporting period (SERP) discussed below, which is insuring $10 million in excess of $25 million, informed us that it has reserved its right to rescind the policy based on an alleged failure by us and our insurance broker to disclose material information regarding the pain pump claims prior to the binding of coverage by this carrier. We disagree with this allegation and are seeking to resolve the issue with this carrier.

Pain Pump-Related HIPAA Subpoena

In August 2010, we were served with a subpoena under HIPAA seeking numerous documents related to our activities involving the pain pumps discussed above. The subpoena, which was issued by the United States Attorney’s Office for the Central District of California, refers to a criminal investigation by the DOJ and the FDA of Federal health care offenses. We have produced documents that are responsive to the subpoena. We believe that our actions related to our prior distribution of these pain pumps have been in compliance with applicable legal standards.

Pain Pump Investigation—U.S. Attorney’s Office for the Western District of Missouri

In January 2012, we became aware of a civil investigation by the United States Attorney’s Office for the Western District of Missouri regarding the sale and marketing of pain pump devices by manufacturers and distributors. The investigation relates to whether manufacturers and distributors caused false claims to be filed

 

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with government payors as a result of alleged off-label promotion of the pain pumps. We deny that we improperly promoted the pain pump devices and believe that our marketing and sales activities were in compliance with applicable legal standards.

Cold Therapy Litigation

Since mid-2010, we have been named in nine multi-plaintiff lawsuits involving a total of 210 plaintiffs, alleging that the plaintiffs had been injured following use of certain cold therapy products manufactured by the Company. The complaints are not specific as to the nature of the injuries, but allege various product liability theories, including inadequate warnings regarding the risks associated with the use of cold therapy and failure to incorporate certain safety features into the design. No specific dollar amounts of damages are alleged and as of December 31, 2012, we cannot estimate a range of potential loss. These cases have been included in a coordinated proceeding in San Diego Superior Court with a similar number of cases filed against one of our competitors. Nine of the plaintiffs included in the cases filed against us have been selected as the first cases to be tried, of which four of these “bellwether” cases are scheduled for trial commencing in July 2013. Discovery is proceeding on these bellwether cases.

Our Product Liability Insurance Coverage

We maintain product liability insurance that is subject to annual renewal. Our current policy covers claims reported between July 1, 2012 and June 30, 2013. This policy excludes coverage for claims related to both pain pump products and cold therapy products. As described below, we have other insurance which provides coverage for these excluded products. For the current policy year, we maintain coverage limits (together with excess policies) of up to $50 million, with deductibles of $500,000 per claim for claims relating to invasive products (principally our surgical implant products) and $50,000 per claim for claims relating to all other covered products, with an aggregate self-insured retention of $2 million. Starting with the 2010-2011 policy period, our products liability policy excluded claims related to pain pump products. We purchased supplemental extended reporting period (SERP) coverage for the $80 million limit product liability policy that expired on June 30, 2010, and this supplemental coverage allows us to report pain pump claims for an additional five years beyond the end of that policy period. Except for the additional excess coverage mentioned below, this SERP coverage does not provide additional limits to the aggregate $80 million limits on the 2009-2010 policy but it does provide that these limits will remain available for pain pump claims reported for an extended period of time. We also purchased additional coverage of $25 million in excess of the $80 million limits with a five year reporting period. Thus, the SERP coverage for current and future pain pump claims has a total limit of $105 million (less amounts paid for claims reported to date). Starting with the 2011-2012 policy period, our primary products liability coverage excluded claims related to cold therapy products. Concurrently with the exclusion of our cold therapy products from the 2011-2012 primary policy, we purchased SERP coverage for cold therapy product claims for injuries alleged to have occurred prior to July 1, 2011. This SERP allows us to report such cold therapy claims under our expired 2010-2011 policy which had total limits of $50 million. At that time, we also purchased separate primary and excess policies providing for a total of $5 million of coverage for claims related to cold therapy products arising from injuries alleged to have occurred after June 30, 2011, with a deductible of $250,000 per claim and an aggregate deductible of $3 million. We continued this $5 million in coverage on similar terms for the policy period commencing July 1, 2012. We believe we have adequate insurance coverage for our product liability claims.

BGS Qui Tam Action

On April 15, 2009, we became aware of a qui tam action filed in Federal Court in Boston, Massachusetts in March 2005 and amended in December 2007 and May 2010 that names us as a defendant along with each of the other companies that manufactures and sells external bone growth stimulators. This case is captioned United States ex rel. Beirman v. Orthofix International, N.V., et al., Civil Action No. 05-10557 (D. Mass.). The case was sealed when originally filed and unsealed in March 2009. The plaintiff, or relator, alleges that the defendants

 

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have engaged in Medicare fraud and violated Federal and state false claims acts from the time of the original introduction of the devices by each defendant to the present by seeking reimbursement for bone growth stimulators as a purchased item rather than a rental item. The relator also alleges that the defendants are engaged in other marketing practices constituting violations of the Federal and various state anti-kickback statutes. The case is proceeding to the discovery phase. The government has decided not to intervene in the case at this time. We can make no assurance as to the resources that will be needed to respond to this case or the final outcome of such action.

ITEM 4. MINE SAFETY DISCLOSURES

None.

 

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PART II.

ITEM 5. MARKET FOR REGISTRANT’S COMMON EQUITY, RELATED STOCKHOLDER MATTERS, AND ISSUER PURCHASES OF EQUITY SECURITIES

As a result of the acquisition of DJO by Blackstone in November 2006, the common stock of DJO is privately held and there is no established trading market for DJO’s common stock.

During the year ended December 31, 2012, DJO sold 121,506 shares of its common stock at $16.46 per share, consisting of 60,753 shares purchased by the new Chairman of its Board of Directors, and 60,753 shares purchased by another new member of the Board of Directors. Additionally, DJO issued 18,622 shares of its common stock upon the exercise of stock options. Net proceeds from these sales were $2.0 million.

During the year ended December 31, 2011, DJO sold 192,959 shares of its common stock at $16.46 per share, consisting of 157,959 shares purchased by our new chief executive officer, and 35,000 shares purchased by a former member of management. Net proceeds from these sales were $3.2 million.

During the year ended December 31, 2010, DJO sold 93,128 shares of its common stock at $16.46 per share to certain employees, directors and independent sales agents. Net proceeds from these sales were $1.5 million.

The proceeds from these stock sales were contributed by DJO to us, and were used for working capital purposes. All such sales were subject to execution of a stockholder agreement including certain rights and restrictions (See Note 17 of the Notes to Consolidated Financial Statements).

As of February 27, 2013, there were 24 holders of DJO’s common stock.

 

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ITEM 6. SELECTED FINANCIAL DATA

The following table presents data as of and for the periods indicated and has been derived from the audited historical consolidated financial statements. The data reported for all periods includes the results of operations attributable to businesses acquired from the date of acquisition. This selected financial data should be read in conjunction with the audited consolidated financial statements and related notes thereto, and Item 7 “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in this Annual Report.

 

     Year Ended December 31,  

($ in thousands)

   2012     2011     2010     2009     2008  

Statement of Operations Data (1) (2):

          

Net sales

   $ 1,129,420      $ 1,074,770      $ 965,973      $ 946,126      $ 948,469   

Gross profit

     685,500        656,632        620,703        607,407        598,292   

Loss from continuing operations (3)

     (118,368     (213,587     (51,675     (49,391     (97,683

Net loss attributable to DJOFL (3)

     (119,150     (214,469     (52,532     (50,433     (97,786

Other Financial Data (2):

          

Depreciation and amortization

     127,459        121,151        103,519        105,150        122,447   

Balance Sheet Data (at period end):

          

Cash and cash equivalents

   $ 31,223      $ 38,169      $ 38,132      $ 44,611      $ 30,483   

Total assets

     2,862,723        2,894,860        2,779,790        2,850,179        2,940,130   

Long-term debt, net of current portion

     2,223,816        2,159,091        1,816,291        1,796,944        1,832,044   

DJOFL membership equity

     182,092        295,813        504,139        555,860        598,366   

 

(1) For additional information about our acquisitions in the past three years, see Note 3 of the Notes to Consolidated Financial Statements included in Part II, Item 8, herein.
(2) We sold our Empi Therapy Solutions catalog business on June 12, 2009 and its results have been excluded from continuing operations for all periods presented.
(3) Results for the years ended December 31, 2012, 2011 and 2009 include aggregate goodwill and intangible asset impairment charges of $7.4 million, $141.0 million and $7.0 million, respectively.

 

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ITEM 7. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

Forward Looking Statements

The following management’s discussion and analysis contains “forward looking statements” within the meaning of Section 27A of the Securities Act and Section 21E of the Exchange Act that represent our expectations or beliefs concerning future events, including, but not limited to, statements regarding growth in sales of our products, profit margins and the sufficiency of our cash flow for future liquidity and capital resource needs. These forward-looking statements are further qualified by important factors that could cause actual results to differ materially from those in the forward-looking statements. These factors are described in Item 1A, Risk Factors, noted above. Results actually achieved may differ materially from expected results included in these statements as a result of these or other factors.

Introduction

This management’s discussion and analysis of financial condition and results of operations is intended to provide an understanding of our results of operations, financial condition and where appropriate, factors that may affect future performance. The following discussion should be read in conjunction with the audited consolidated financial statements and notes thereto as well as the other financial data included elsewhere in this Annual Report.

Overview of Business

We are a global developer, manufacturer and distributor of high-quality medical devices that provide solutions for musculoskeletal health, vascular health and pain management. Our products address the continuum of patient care from injury prevention to rehabilitation after surgery, injury or from degenerative disease, enabling people to regain or maintain their natural motion.

Our products are used by orthopedic specialists, spine surgeons, primary care physicians, pain management specialists, physical therapists, podiatrists, chiropractors, athletic trainers and other healthcare professionals. In addition, many of our medical devices and related accessories are used by athletes and patients for injury prevention and at-home physical therapy treatment. Our product lines include rigid and soft orthopedic bracing, hot and cold therapy, bone growth stimulators, vascular therapy systems and compression garments, therapeutic shoes and inserts, electrical stimulators used for pain management and physical therapy products. Our surgical implant business offers a comprehensive suite of reconstructive joint products for the hip, knee and shoulder.

Our products are marketed under a portfolio of brands including Aircast®, DonJoy®, ProCare®, CMF, Empi®, Chattanooga, DJO Surgical, Dr. Comfort, Compex®, Bell-Horn and Exos.

Operating Segments

We currently develop, manufacture and distribute our products through the following four operating segments:

Bracing and Vascular Segment

Our Bracing and Vascular segment, which generates its revenues in the United States, offers our rigid knee bracing products, orthopedic soft goods, cold therapy products, vascular systems, therapeutic shoes and inserts and compression therapy products, primarily under the DonJoy, ProCare, Aircast, Dr. Comfort, Bell-Horn and Exos brands. This segment also includes our OfficeCare business, through which we maintain an inventory of soft goods and other products at healthcare facilities, primarily orthopedic practices, for immediate distribution to patients.

 

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Recovery Sciences Segment

Our Recovery Sciences segment, which generates its revenues in the United States, is divided into four main businesses:

 

   

Empi. Our Empi business unit offers our home electrotherapy, iontophoresis, and home traction products. We primarily sell these products directly to patients or to physical therapy clinics. For products sold to patients, we arrange billing to the patients and their third party payors.

 

   

CMF. Our CMF business unit sells our bone growth stimulation products. We sell these products either directly to patients or to independent distributors. For products sold to patients, we arrange billing to the patients and their third party payors.

 

   

Chattanooga. Our Chattanooga business unit offers products in the clinical rehabilitation market in the category of clinical electrotherapy devices, clinical traction devices, and other clinical products and supplies such as treatment tables, continuous passive motion (CPM) devices and dry heat therapy.

 

   

Athlete Direct. Our Athlete Direct business unit offers consumers ranging from fitness enthusiasts to competitive athletes our Compex electrostimulation device, which is used in athletic training programs to aid muscle development and to accelerate muscle recovery after training sessions.

International Segment

Our International segment, which generates most of its revenues in Europe, sells all of our products and certain third party products through a combination of direct sales representatives and independent distributors.

Surgical Implant Segment

Our Surgical Implant segment, which generates its revenues in the United States, develops, manufactures and markets a wide variety of knee, hip and shoulder implant products that serve the orthopedic reconstructive joint implant market.

Our four operating segments enable us to reach a diverse customer base through multiple distribution channels and give us the opportunity to provide a wide range of medical devices and related products to orthopedic specialists and other healthcare professionals operating in a variety of patient treatment settings. These four segments constitute our reportable segments. See Note 18 of the Notes to Consolidated Financial Statements included in Part II, Item 8 herein for additional information regarding our segments.

Recent Acquisitions

Acquisitions

On December 28, 2012, we acquired all of the outstanding shares of capital stock of Exos Corporation (Exos) for an initial payment of $31.2 million plus a future earn out payment of up to $10.0 million upon achievement of certain milestones. Exos is a medical device company focused on a thermoformable external musculoskeletal stabilization systems for the treatment of fractures and other injuries requiring stabilization. Since October 2011, we have been the exclusive distributor of Exos products in most of the world.

In connection with the acquisition of Exos, we incurred $1.3 million of direct acquisition costs comprised of $0.5 million of legal and other professional fees and $0.8 million of transaction and advisory fees to Blackstone Advisory Partners L.P., and Blackstone Management Partners LLC, affiliates of our major shareholder (see Note 17 of the Notes to Consolidated Financial Statements). These costs are included in Selling, general and administrative expense in our Consolidated Statement of Operations. The acquisition was partially funded using proceeds from $25.0 million of new term loans issued on December 28, 2012 (see Note 12 of the Notes to Consolidated Financial Statements).

 

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On April 7, 2011, we acquired all of the LLC membership interests of Rikco International, LLC, D/B/A Dr. Comfort (Dr. Comfort). Dr. Comfort is a provider of therapeutic footwear, which serves the diabetes care market in podiatry practices, orthotic and prosthetic centers, home medical equipment providers and independent pharmacies.

On March 10, 2011, we acquired substantially all of the assets of Circle City Medical, Inc. (Circle City or Bell-Horn). Circle City markets orthopedic soft goods and medical compression therapy products to independent pharmacies and home healthcare dealers.

On January 4, 2011, we acquired all of the outstanding shares of capital stock of Elastic Therapy, Inc. (ETI), a designer and manufacturer of private label medical compression therapy products used to treat and prevent a wide range of venous disorders.

See Note 3 of the Notes to Consolidated Financial Statements included in Part II, Item 8, herein for additional information regarding our acquisitions.

Results of Operations

The following table sets forth our statements of operations as a percentage of net sales ($ in thousands):

 

     Year Ended December 31,  
     2012     2011     2010  

Net sales

   $ 1,129,420        100.0   $ 1,074,770        100.0   $ 965,973        100.0

Cost of sales (exclusive of amortization of intangible assets (1))

     443,920        39.3        418,138        38.9        345,270        35.7   
  

 

 

     

 

 

     

 

 

   

Gross profit

     685,500        60.7        656,632        61.1        620,703        64.3   

Operating expenses:

            

Selling, general and administrative

     460,065        40.7        487,084        45.3        433,408        44.9   

Research and development

     27,877        2.5        26,850        2.5        21,892        2.3   

Amortization of intangible assets

     97,243        8.6        93,957        8.7        77,523        8.0   

Impairment of goodwill and intangible assets

     7,397        0.7        141,006        13.1        —          0.0   
  

 

 

     

 

 

     

 

 

   
     592,582        52.5        748,897        69.7        532,823        55.9   
  

 

 

     

 

 

     

 

 

   

Operating income (loss)

     92,918        8.2        (92,265     (8.6     87,880        9.1   

Other (expense) income:

            

Interest expense

     (183,055     (16.1     (169,332     (15.8     (155,181     (16.1

Interest income

     201        0.0        345        0.0        310        0.0   

Loss on modification and extinguishment of debt

     (36,889     (3.3     (2,065     (0.2     (19,798     (2.0

Other income (expense), net

     3,553        0.3        (2,814     (0.3     859        0.1   
  

 

 

     

 

 

     

 

 

   
     (216,190     (19.1     (173,866     (16.2     (173,810     (18.0
  

 

 

     

 

 

     

 

 

   

Loss from continuing operations before income taxes

     (123,272     (10.9     (266,131     (24.8     (85,930     (8.9

Income tax benefit

     4,904        0.5        52,544        4.9        34,255        3.5   
  

 

 

     

 

 

     

 

 

   

Net loss

     (118,368     (10.4     (213,587     (19.9     (51,675     (5.3

Net income attributable to noncontrolling interests

     (782     (0.1     (882     (0.1     (857     (0.1
  

 

 

     

 

 

     

 

 

   

Net loss attributable to DJOFL

   $ (119,150     (10.5 )%    $ (214,469     (20.0 )%    $ (52,532     (5.4 )% 
  

 

 

     

 

 

     

 

 

   

 

(1) Cost of sales is exclusive of amortization of intangible assets of $38,355, $38,668 and $36,343 for the years ended December 31, 2012, 2011 and 2010, respectively.

 

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Year Ended December 31, 2012 (2012) Compared to Year Ended December 31, 2011 (2011)

Net Sales. Our net sales for 2012 were $1,129.4 million, compared to net sales of $1,074.8 million for 2011, representing a 5.1% increase year over year. This increase was driven primarily by sales of our new products, sales from businesses acquired in 2011 and improving sales execution, partially offset by unfavorable changes in foreign currency exchange rates during 2012 as compared to foreign currency exchange rates in 2011. Excluding the impact of the changes in foreign currency exchange rates in 2012 (constant currency) of $15.3 million, and including pre-acquisition sales in 2011 of $20.7 million, pro forma net sales in constant currency increased by $49.3 million, or 4.5%, to $1,144.7 million for 2012 from $1,095.4 million for 2011.

The following table sets forth the mix of our net sales by business segment ($ in thousands):

 

     2012      % of Net
Sales
    2011      % of Net
Sales
    Increase
(Decrease)
    % Increase
(Decrease)
 

Bracing and Vascular

   $ 441,256         39.1   $ 387,928         36.1   $ 53,328        13.7

Recovery Sciences

     334,649         29.6        342,599         31.9        (7,950     (2.3

International

     280,535         24.8        279,299         26.0        1,236        0.4   

Surgical Implant

     72,980         6.5        64,944         6.0        8,036        12.4   
  

 

 

    

 

 

   

 

 

    

 

 

   

 

 

   
   $ 1,129,420         100.0   $ 1,074,770         100.0   $ 54,650        5.1
  

 

 

    

 

 

   

 

 

    

 

 

   

 

 

   

Net sales in our Bracing and Vascular segment were $441.3 million for 2012, increasing 13.7% from net sales of $387.9 million for 2011. Our Bracing and Vascular segment benefited from sales of new products, sales from businesses acquired in 2011 and improving sales execution. Including the impact of pre-acquisition sales in 2011 of $20.0 million, pro forma net sales in this segment increased by $33.3 million, or 8.2%, from $408.0 million in 2011 to $441.3 million in 2012.

Net sales in our Recovery Sciences segment were $334.6 million for 2012, decreasing 2.3% from net sales of $342.6 million for 2011. The decrease was primarily driven by changes in reimbursement for certain products in our Empi business unit and by slow market conditions for the capital equipment sold by our Chattanooga business unit.

Net sales in our International segment were $280.5 million for 2012, increasing 0.4% from net sales of $279.3 million for 2011. Excluding the impact of the changes in foreign currency exchange rates in 2012 of $15.3 million, and including pre-acquisition sales in 2011 of $0.7 million, pro forma net sales in constant currency in this segment increased by $15.9 million, or 5.7%, to $295.8 in 2012 from $279.9 million in 2011. Our International segment benefited from increased market penetration, sales of new products, sales from businesses acquired in 2011 and improving sales execution, partially offset by the impact of changes in foreign currency exchange rates.

Net sales in our Surgical Implant segment were $73.0 million for 2012, increasing 12.4% from net sales of $64.9 million for 2011. The increase was driven by strong sales of our shoulder products as well as sales of new products and strong sales execution.

Gross Profit. Consolidated gross profit as a percentage of net sales was 60.7% for 2012, compared to 61.1% for 2011.

Gross profit in our Bracing and Vascular segment as a percentage of net sales was 51.2% for 2012, compared to 52.4% for 2011. The decrease was primarily due to a lower margin mix of products sold and pricing pressure on certain product lines.

Gross profit in our Recovery Sciences segment as a percentage of net sales remained fairly consistent at 75.7% for 2012, compared to 75.6% for 2011.

 

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Gross profit in our International segment as a percentage of net sales decreased to 55.3% for 2012, from 57.7% for 2011. The decrease was primarily driven by a lower margin mix of products sold, pricing pressure in certain markets and changes in foreign currency exchange rates.

Gross profit in our Surgical Implant segment as a percentage of net sales increased to 74.9% for 2012, compared to 72.2% for 2011. The increase was driven by a higher margin mix of products sold.

Selling, General and Administrative (SG&A). SG&A expenses decreased to $460.1 million for 2012, from $487.1 million in 2011. As a percentage of net sales, SG&A expenses decreased to 40.7% in 2012 from 45.3% in 2011. Our SG&A expenses for both years were impacted by non-recurring charges, including significant amounts related to our global ERP implementation and other amounts related to restructuring activities and acquisitions. We incurred the following SG&A expenses in connection with such activities during the periods presented:

 

     Year Ended December 31,  

(in thousands)

       2012              2011      

Integration charges:

     

Commercial and global business unit reorganization and integration

   $ 6,042         11,258   

Acquisition related expenses and integration

     2,277         8,487   

CEO transition

     183         4,270   

Litigation and regulatory costs and settlements, net

     11,247         6,971   

Other non-recurring items

     3,150         3,342   

ERP implementation and other automation projects

     4,905         24,083   

Impairment of fixed assets and assets held for sale

     975         7,116   
  

 

 

    

 

 

 
   $ 28,779       $ 65,527   
  

 

 

    

 

 

 

Research and Development (R&D). R&D expenses were $27.9 million for 2012 and $26.9 million for 2011, remaining consistent at 2.5% of net sales in both years.

Amortization of Intangible Assets. Amortization of intangible assets was $97.2 million in 2012 and $94.0 million for 2011. The increase is attributable to intangible assets acquired through our 2011 acquisitions.

Impairment of Goodwill and Intangible Assets. In 2012, we began the process of changing the trade name used for our German operations from Ormed to DJO to be consistent with our global strategy. In conjunction with this change, we revised our assumption as to the useful life of the Ormed trade name intangible asset, which resulted in changing the remaining estimated life of the asset from indefinite to three years. These changes triggered an impairment review of the intangible asset. Based on the application of a differential cash flow method, whereby an investor would be willing to pay a price equal to the present value of the incremental cash flows attributable to the economic benefit derived from defending the trade name in the market, we determined that the carrying amount of the asset was in excess of its estimated fair value. As a result, we recorded an impairment charge of $7.4 million.

In the fourth quarter of 2011, we determined that the carrying values of goodwill and intangible assets related to our Empi and Surgical Implant reporting units were in excess of their estimated fair values. As a result, we recorded goodwill impairment charges for the Empi and Surgical Implant reporting units of $76.7 million and $47.4 million, respectively. Additionally, in the fourth quarter of 2011, we determined that the carrying value of our Empi trade name was in excess of its estimated fair value, and recorded an impairment charge of $16.9 million.

Interest Expense. Our interest expense was $183.1 million for 2012 and $169.3 million for 2011. The increase is primarily due to an increase in the total amount of outstanding borrowings in 2012 as compared to 2011.

 

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Loss on Modification and Extinguishment of Debt. Loss on modification and extinguishment of debt for year ended December 31, 2012 consists of $17.3 million in premiums related to the repurchase or redemption of our 10.875% Senior unsecured notes and $12.7 million related to the non-cash write off of unamortized debt issuance costs related to the 10.875% Senior unsecured notes, net of $2.5 million related to the non-cash write off of unamortized original issue premium associated with the 10.875% Senior unsecured notes, $8.6 million of arrangement and amendment fees and other fees and expenses incurred in connection with the March 2012 amendment of our senior secured credit facilities and $0.8 million related to the non-cash write off of unamortized debt issuance costs and original issue discount associated with a portion of our original term loans which were extinguished. Loss on modification of debt for the twelve months ended December 31, 2011 is comprised of arrangement and lender consent fees associated with the February 2011 amendment of our original senior secured credit facilities.

Other Income (Expense), Net. Other income (expense), net was $3.6 million for 2012 and $(2.8) million for 2011. Results for both periods presented primarily represent net realized and unrealized foreign currency translation gains and losses.

Income Tax (Provision) Benefit. We recorded an income tax benefit of $4.9 million on a pre-tax loss of $123.3 million, resulting in an effective tax rate of 4.0% in 2012. In 2011 we recorded a tax benefit of $52.5 million on a pre-tax loss of $266.1 million, resulting in an effective tax rate of 19.7%. The change in our effective tax rates from 2011 to 2012 primarily relates to U.S federal and state valuation allowances provided against deferred tax assets beginning in the first quarter of 2012 and differences in our projected annualized effective tax rates for each year.

Year Ended December 31, 2011 (2011) Compared to Year Ended December 31, 2010 (2010)

Net Sales. Our net sales for 2011 were $1,074.8 million, compared to net sales of $966.0 million for 2010, representing an 11.3% increase year over year. This increase was driven primarily by sales from our 2011 acquisitions of Dr. Comfort, ETI and Circle City and favorable changes in foreign currency exchange rates during 2011 as compared to foreign currency exchange rates in 2010. Excluding the impact of the changes in foreign currency exchange rates in 2011 (constant currency) of $11.8 million, and including the pre-acquisition sales in 2011 and 2010 of $20.7 million and $104.8 million, respectively, pro forma net sales in constant currency increased by $12.9 million, or 1.2%, to $1,083.7 million for 2011 from $1,070.8 million for 2010.

The following table sets forth the mix of our net sales by business segment ($ in thousands):

 

     2011      % of Net
Sales
    2010      % of Net
Sales
    Increase
(Decrease)
    % Increase
(Decrease)
 

Bracing and Vascular

   $ 387,928         36.1   $ 311,620         32.3   $ 76,308        24.5

Recovery Sciences

     342,599         31.9        347,139         35.9        (4,540     (1.3

International

     279,299         26.0        244,493         25.3        34,806        14.2   

Surgical Implant

     64,944         6.0        62,721         6.5        2,223        3.5   
  

 

 

    

 

 

   

 

 

    

 

 

   

 

 

   
   $ 1,074,770         100.0   $ 965,973         100.0   $ 108,797        11.3
  

 

 

    

 

 

   

 

 

    

 

 

   

 

 

   

Net sales in our Bracing and Vascular segment were $387.9 million for 2011 and $311.6 million for 2010. The increase was primarily due to $75.6 million of net sales attributable to our newly acquired Dr. Comfort, ETI and Circle City businesses. Including the impact of pre-acquisition sales in 2011 and 2010 of $20.0 million and $92.5 million, respectively, pro forma net sales in this segment increased by $3.8 million, or 0.9%, from $404.1 million in 2010 to $407.9 million in 2011.

Net sales in our Recovery Sciences segment were $342.6 million for 2011 and $347.1 million for 2010. The decrease was primarily attributable to decreased sales at our Empi business unit due primarily to certain reimbursement price changes.

 

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Net sales in our International segment were $279.3 million for 2011 and $244.5 million for 2010. The increase was driven primarily by $10.5 million of net sales from our newly acquired Dr. Comfort and ETI businesses, sales of new products, and the favorable impact of foreign exchange rates in effect during 2011 as compared to 2010, which increased net sales by $11.8 million. Excluding the impact of foreign currency exchange rates in 2011 of $11.8 million, and including pre-acquisition sales in 2011 and 2010 of $0.7 million and $12.2 million, respectively, pro forma net sales in constant currency in this segment increased by $11.5 million, or 4.5%, from $256.7 million in 2010 to $268.2 million in 2011.

Net sales in our Surgical Implant segment were $64.9 million for 2011 and $62.7 million for 2010. The increase was driven by strong sales of our Reverse Shoulder products as well as our newly launched Turon shoulder product, offset by decreases in sales of hip and knee products.

Gross Profit. Consolidated gross profit as a percentage of net sales was 61.1% for 2011 and 64.3% for 2010. The decrease was driven by several factors including the impact of sales from our acquired businesses which have lower margins, reduced average selling prices of certain of our products and purchase accounting adjustments related to the fair market value step-up of acquired inventory. These decreases were partially offset by the favorable impact of a $4.2 million adjustment made by the Company to reduce deferred gross profit from intercompany sales of inventory.

Gross profit in our Bracing and Vascular segment as a percentage of net sales was 52.4% for 2011 and 54.8% for 2010. The decrease was primarily due to a lower margin mix of products sold, including sales from our recently acquired businesses.

Gross profit in our Recovery Sciences segment as a percentage of net sales was 75.6% for 2011 and 76.4% for 2010. The decrease was primarily due to reduced average selling prices of certain products, primarily in our Empi business unit.

Gross profit in our International segment as a percentage of net sales was 57.7% for 2011 and 58.7% for 2010. The decrease was primarily driven by a lower margin mix of products sold, including sales from our recently acquired Dr. Comfort and ETI businesses and changes in foreign currency exchange rates.

Gross profit in our Surgical Implant segment as a percentage of net sales was 72.2% for 2011 and 73.4% for 2010.

Selling, General and Administrative (SG&A). SG&A expenses were $487.1 million for 2011 and $433.4 million in 2010. As a percentage of net sales, SG&A expenses increased slightly to 45.3% in 2011 from 44.9% in 2010. Our SG&A expenses for both years were impacted by non-recurring charges, including significant amounts related to our global ERP implementation and other amounts related to restructuring activities and acquisitions. We incurred the following SG&A expenses in connection with such activities during the periods presented:

 

     Year Ended December 31,  

(in thousands)

       2011              2010      

Integration charges:

     

Commercial and global business unit reorganization and integration

     11,258         18,837   

Acquisition related expenses and integration

     8,487         —     

CEO transition

     4,270         —     

Litigation and regulatory costs and settlements, net

     6,971         7,561   

Other non-recurring items

     3,342         11,138   

ERP implementation and other automation projects

     24,083         16,916   

Impairment of fixed assets and assets held for sale

     7,116         —     
  

 

 

    

 

 

 
   $ 65,527       $ 54,452   
  

 

 

    

 

 

 

 

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Research and Development (R&D). R&D expenses were $26.9 million for 2011 and $21.9 million for 2010, increasing to 2.5% of net sales in 2011 from 2.3% of net sales in 2010. R&D expense for the year ended December 31, 2011 included $0.9 million related to the write off of an abandoned product under development in our Surgical Implant segment.

Amortization of Intangible Assets. Amortization of intangible assets was $94.0 million in 2011 and $77.5 million for 2010. The increase is attributable to intangible assets acquired with our 2011 acquisitions.

Impairment of Goodwill and Intangible Assets. During the year ended December 31, 2011 we determined that the carrying values of our Empi and Surgical Implant reporting units were in excess of its estimated fair values. As a result, we recorded aggregate goodwill impairment charges of $124.1 million consisting of $76.7 million for the Empi reporting unit and $47.4 million for the Surgical Implant reporting unit. In addition, during the year ended December 31, 2011 we recorded intangible asset impairment charges of $16.9 million, related to our Empi trade name. There were no goodwill or intangible asset impairment charges recognized during 2010.

Interest Expense. Our interest expense was $169.3 million for 2011 and $155.2 million for 2010. The impact of an increase in the total amount of outstanding borrowings was partially offset by lower weighted average interest rates on outstanding borrowings. For 2010, interest expense included $4.5 million of accelerated amortization of debt discount and issuance costs related to certain prepayments of our term loans.

Loss on Modification and Extinguishment of Debt. In 2011, we recognized $2.1 million of arrangement and lender consent fees related to amendments to our original senior secured credit facilities. In 2010, we recognized a loss on extinguishment of debt of $19.8 million, including $13.0 million of premiums, $4.3 million for a non-cash write-off of unamortized debt issuance costs and $1.4 million of fees and expenses associated with the redemption of our $200 million of 11.75% senior subordinated notes in October 2010, and $1.1 million of fees and expenses related to the prepayment of $101.5 million of our term loan in January 2010.

Other Income (Expense), Net. Other income (expense), net was $(2.8) million for 2011 and $0.9 million for 2010. Results for both periods presented primarily represent net realized and unrealized foreign currency translation gains and losses.

Income Tax Benefit. We recorded an income tax benefit of $52.5 million on a pre-tax loss of $266.1 million, resulting in an effective tax rate of 19.7% in 2011. In 2010 we recorded a tax benefit of $34.3 million on a pre-tax loss of $85.9 million, resulting in an effective tax rate of 39.9%. Income tax benefit for both years is net of tax expense related to foreign operations, deferred taxes on the assumed repatriation of foreign earnings, and other non-deductible items.

Recent Accounting Pronouncements

In May 2011, the FASB issued guidance to amend the requirements related to fair value measurement which changes the wording used to describe many requirements in GAAP for measuring fair value and for disclosing information about fair value measurements. Additionally, the amendments clarify the FASB’s intent about the application of existing fair value measurement requirements. The amended guidance was effective for interim and annual periods beginning after December 15, 2011 and was applied prospectively. The Company adopted this guidance during the first quarter of fiscal year 2012. Adoption of this guidance did not have a material impact on the Company’s consolidated financial statements.

In June 2011, the FASB issued guidance to amend the presentation of comprehensive income to allow an entity the option to present the total of comprehensive income, the components of net income and the components of other comprehensive income either in a single continuous statement of comprehensive income or in two separate but consecutive statements. In both choices, an entity is required to present each component of net income along with total net income, each component of other comprehensive income along with a total for other comprehensive income and a total amount for comprehensive income. The guidance eliminates the option

 

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to present the components of other comprehensive income as part of the statement of changes in stockholders’ equity. The amended guidance was effective for interim and annual periods beginning after December 15, 2011, and was applied retrospectively. The Company adopted this guidance during the first quarter of fiscal year 2012. Adoption of this guidance did not have a material impact on the Company’s consolidated financial statements.

In July 2012, the FASB issued an accounting standard update regarding testing of intangible assets for impairment. This standard update allows companies the option to perform a qualitative assessment to determine whether it is more likely than not that an indefinite lived intangible asset is impaired. An entity is not required to calculate the fair value of an indefinite-lived intangible asset and perform the quantitative impairment test unless the entity determines that it is more likely than not the asset is impaired. We will adopt this standard update during the first quarter of 2013. The adoption of this standard is not expected to have a significant impact on the Company’s consolidated financial statements.

Liquidity and Capital Resources

As of December 31, 2012, our primary sources of liquidity consisted of cash and cash equivalents totaling $31.2 million and $97.0 million of available borrowings under our revolving credit facility, as described below. Working capital at December 31, 2012 was $217.2 million. We believe that our existing cash, plus the amounts we expect to generate from operations and amounts available through our revolving credit facility, will be sufficient to meet our operating needs for the next twelve months, including working capital requirements, capital expenditures, and debt and interest repayment obligations. While we currently believe that we will be able to meet all of the financial covenants imposed by our senior secured credit facilities, there is no assurance that we will in fact be able to do so or that, if we do not, we will be able to obtain from our lenders waivers of default or amendments to the senior secured credit facilities in the future. We and our subsidiaries, affiliates, or significant shareholders (including Blackstone and its affiliates) may from time to time, in our or their sole discretion, purchase, repay, redeem or retire any of our outstanding debt or equity securities (including any publicly issued debt securities), in privately negotiated or open market transactions, by tender offer or otherwise.

A summary of our cash flow activity is presented below (in thousands):

 

     2012     2011     2010  

Cash provided by operating activities

   $ 44,619      $ 23,605      $ 25,594   

Cash used in investing activities

     (63,965     (358,662     (30,195

Cash provided by financing activities

     11,953        334,290        413   

Effect of exchange rate changes on cash and cash equivalents

     447        804        (2,291
  

 

 

   

 

 

   

 

 

 

Net (decrease) increase in cash and cash equivalents

   $ (6,946   $ 37      $ (6,479
  

 

 

   

 

 

   

 

 

 

Cash Flows

Operating activities provided $44.6 million, $23.6 million and $25.6 million of cash for 2012, 2011 and 2010, respectively. Cash provided by operating activities for all years presented primarily represented our net loss, adjusted for non-cash expenses. For 2012, 2011 and 2010, cash paid for interest was $162.6 million, $151.2 million, and $139.1 million, respectively.

Investing activities used $64.0 million, $358.7 million and $30.2 million of cash for 2012, 2011, and 2010 respectively. Cash used in investing activities for 2012 primarily consisted of purchases of property and equipment of $33.0 million and cash paid for acquisitions of $30.0 million, net of cash acquired. Cash used in investing activities for 2011 primarily consisted of $317.7 million of net cash paid for acquisitions and $39.4 million of cash paid for purchases of property and equipment. Cash used in investing activities for 2010 primarily consisted of $27.2 million of purchases of property and equipment and $2.0 million related to acquisitions.

 

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Financing activities provided $12.0 million, $334.3 million and $0.4 million of cash for 2012, 2011 and 2010, respectively. Cash provided by financing activities in 2012 consisted of proceeds from borrowings under our senior secured credit facilities and our new 8.75% Notes, offset by repayments of our original senior secured credit facilities and our 10.875% Notes and the payment of $55.9 million of debt issuance, modification and extinguishment costs. During 2012, we received an investment of $2.0 million from DJO, our indirect parent, related to proceeds from the sale of common stock. Cash provided by financing activities in 2011 was primarily related to net proceeds from our issuance of $300.0 million aggregate principal of 7.75% Notes and net borrowings from our revolving credit facility, which together with cash on hand were used to fund acquisitions. In connection with the issuance of our $300.0 million aggregate principal of 7.75% Notes, we paid $7.7 million in debt issuance costs. During 2011, we received an investment of $3.2 million from DJO, related to proceeds from the sale of common stock. During 2010, cash provided by financing activities primarily consisted of cash received from issuances of $100.0 million aggregate principal of 10.875% Notes, and $300.0 million aggregate principal of 9.75% Notes, offset by cash paid for the redemption of our $200.0 million aggregate principal of 11.75% Notes, prepayments of $182.5 million of term loans under the senior secured credit facilities, and payment of $10.3 million of capitalized debt issuance costs in connection with the issuance and registered exchange offer of our $100.0 million 10.875% Notes and the issuance of our $300.0 million of 9.75% Notes. During 2010 we received an investment of $1.5 million from DJO, related to proceeds from the sale of common stock.

Indebtedness

As of December 31, 2012, we had $2,235.0 million in aggregate indebtedness outstanding, exclusive of a net unamortized original issue discount of $2.3 million. The principal amount and carrying value of our debt was as follows for December 31, 2012 and 2011:

 

     December 31,
2012
     December 31,
2011
 
     Principal
Amount
     Carrying
Value
     Principal
Amount
     Carrying
Value
 

Senior secured credit facilities:

           

Revolving credit facility

   $ 3,000       $ 3,000       $ 51,000       $ 51,000   

Term loans

     862,021         853,165         843,027         838,591   
  

 

 

    

 

 

    

 

 

    

 

 

 
     865,021         856,165         894,027         889,591   

Note financing:

           

8.75% second priority senior secured notes

     330,000         336,509         —           —     

10.875% senior unsecured notes

     —           —           675,000         678,282   

9.875% senior unsecured notes

     440,000         440,000         —           —     

7.75% senior unsecured notes

     300,000         300,000         300,000         300,000   

9.75% senior subordinated notes

     300,000         300,000         300,000         300,000   
  

 

 

    

 

 

    

 

 

    

 

 

 
     1,370,000         1,376,509         1,275,000         1,278,282   

Capital leases

     —           —           38         38   
  

 

 

    

 

 

    

 

 

    

 

 

 

Total indebtedness

   $ 2,235,021       $ 2,232,674       $ 2,169,065       $ 2,167,911   
  

 

 

    

 

 

    

 

 

    

 

 

 

Senior Secured Credit Facilities. Term Loans outstanding under our senior secured credit facilities at December 31, 2012 consist of $385.5 million of term loans that were amended in March 2012 to extend the final maturity date to November 1, 2016 (“extended term loans”) and $476.5 million of new term loans which mature on September 15, 2017. Of the $100 million total revolving credit facility which matures on March 15, 2017, $3.0 million was outstanding as of December 31, 2012.

The interest rate margins applicable to borrowings under the revolving credit facility are, at our option, either (a) the Eurodollar rate, plus 475 basis points or (b) a base rate determined by reference to the highest of (1) the prime rate, (2) the federal funds rate, plus 0.50% and (3) the Eurodollar rate for a one-month interest period, plus 375 basis points. The interest rate margins applicable to the extended term loans and the new term loans are, at our option, either (a) the Eurodollar rate plus 500 basis points or (b) a base rate plus 400 basis

 

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points. There is a minimum LIBOR rate of 1.25% applicable to the Eurodollar component of interest rates on the new term loan borrowings. The applicable margin for borrowings under the senior secured credit facilities may be reduced, subject to our attaining certain leverage ratios. As of December 31, 2012, our weighted average interest rate for all borrowings under the senior secured credit facilities was 5.78%.

We are required to pay annual payments in equal quarterly installments on the extended term loans in an amount equal to 1.00% of the funded total principal amount through September 2016, with any remaining amount payable in full at maturity in November 2016. We are required to pay annual payments in equal quarterly installments on the new term loans in an amount equal to 1.00% of the funded total principal amount through June 2017, with any remaining amount payable in full at maturity in September 2017.

Note Financing. Our note financing matures at various dates in 2016 and 2017. Assuming we are in compliance with the terms of the indentures governing the notes, we are not required to repay principal related to any of the notes prior to the final maturity dates of the notes. We pay interest semi-annually on the notes.

See Note 12 of the Notes to Consolidated Financial Statements included in Part II, Item 8, herein for additional information regarding our indebtedness.

Certain Covenants and Related Compliance. Pursuant to the terms of the credit agreement relating to the senior secured credit facilities, we are required to maintain a maximum senior secured first lien leverage ratio of consolidated first lien net debt to Adjusted EBITDA of 4.25:1 for the trailing twelve months ended December 31, 2012. Adjusted EBITDA is defined as net income (loss) attributable to DJOFL, plus interest expense, net, income tax (provision) benefit and depreciation and amortization, further adjusted for certain non-cash items, non-recurring items and other adjustment items, as permitted in calculating covenant compliance under our senior secured credit facilities and the Indentures governing our 8.75% Notes, 9.875% Notes, 7.75% Notes and 9.75% Notes (collectively, the Notes). Adjusted EBITDA is a material component of these covenants. As of December 31, 2012, our actual senior secured first lien leverage ratio was within the required ratio at 3.01:1.

Adjusted EBITDA should not be considered as an alternative to net income or other performance measures presented in accordance with GAAP, or as an alternative to cash flow from operations as a measure of our liquidity. Adjusted EBITDA does not represent net income (loss) or cash flow from operations as those terms are defined by GAAP and does not necessarily indicate whether cash flows will be sufficient to fund cash needs. In particular, the definition of Adjusted EBITDA in the Indentures and our senior secured credit facilities allows us to add back certain non-cash, extraordinary, unusual or non-recurring charges that are deducted in calculating net loss. However, these are expenses that may recur, vary greatly and are difficult to predict. While Adjusted EBITDA and similar measures are frequently used as measures of operations and the ability to meet debt service requirements, Adjusted EBITDA is not necessarily comparable to other similarly titled captions of other companies due to the potential inconsistencies in the method of calculation.

Under the Indentures governing the Notes, our ability to incur additional debt, subject to specified exceptions, is tied to either improving the ratio of our Adjusted EBITDA to fixed charges or having this ratio be at least 2.00:1 on a pro forma basis after giving effect to such incurrence. Additionally, our ability to make certain restricted payments is also tied to having an Adjusted EBITDA to fixed charges ratio of at least 2.00:1 on a pro forma basis, as defined, subject to specified exceptions. Our ratio of Adjusted EBITDA to fixed charges for the twelve months ended December 31, 2012, measured on that date, was 1.56:1. Notwithstanding these limitations, the aggregate amount of term loan increases and revolving commitment increases shall not exceed the greater of (i) $150.0 million and (ii) the additional aggregate amount of secured indebtedness which would be permitted to be incurred as of any date of determination (assuming for this purpose that the full amount of any revolving credit increase had been utilized as of such date) such that, after giving pro forma effect to such incurrence (and any other transactions consummated on such date), the senior secured leverage ratio for the immediately preceding test period would not be greater than 4.25:1. Fixed charges is defined in the Indentures as consolidated interest expense plus all cash dividends or other distributions paid on any series of preferred stock of any restricted subsidiary and all dividends or other distributions accrued on any series of disqualified stock.

 

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The following is a summary of our covenant requirements and pro forma ratios as of December 31, 2012:

 

     Covenant
Requirements
     Actual Ratios  

Senior Secured Credit Facilities

     

Maximum ratio of consolidated net senior secured first lien debt to Adjusted EBITDA

     4.25:1         3.01:1   

Notes

     

Minimum ratio of Adjusted EBITDA to fixed charges required to incur additional debt pursuant to ratio provision, pro forma

     2.00:1         1.56:1   

As described above, our senior secured credit facilities and the Indentures governing the Notes represent significant components of our capital structure. Under our senior secured credit facilities, we are required to maintain specified senior secured first lien leverage ratios, which become more restrictive over time, and which are determined based on our Adjusted EBITDA. If we fail to comply with the senior secured first lien leverage ratio under our senior secured credit facilities, we would be in default. Upon the occurrence of an event of default under the senior secured credit facilities, the lenders could elect to declare all amounts outstanding under the senior secured credit facilities to be immediately due and payable and terminate all commitments to extend further credit. If we were unable to repay those amounts, the lenders under the senior secured credit facilities could proceed against the collateral granted to them to secure that indebtedness. We have pledged substantially all of our assets as collateral under the senior secured credit facilities. Any acceleration under the senior secured credit facilities would also result in a default under the Indentures governing the Notes, which could lead to the note holders electing to declare the principal, premium, if any, and interest on the then outstanding Notes immediately due and payable. In addition, under the Indentures governing the Notes, our ability to engage in activities such as incurring additional indebtedness, making investments, refinancing subordinated indebtedness, paying dividends and entering into certain merger transactions is governed, in part, by our ability to satisfy tests based on Adjusted EBITDA.

Our ability to meet the covenants specified above will depend on future events, many of which are beyond our control, and we cannot assure you that we will meet those covenants. A breach of any of these covenants in the future could result in a default under our senior secured credit facilities and the Indentures, at which time the lenders could elect to declare all amounts outstanding under our senior secured credit facilities to be immediately due and payable. Any such acceleration would also result in a default under the Indentures.

The following table provides a reconciliation from our net loss to Adjusted EBITDA for the years ended December 21, 2012, 2011, and 2010. The terms and related calculations are defined in the credit agreement relating to our senior secured credit facilities and the Indentures.

 

     (unaudited)  
     Year Ended December 31,  

(in thousands)

   2012     2011     2010  

Net loss attributable to DJO Finance LLC

   $ (119,150   $ (214,469   $ (52,532

Interest expense, net

     182,854        168,987        154,871   

Income tax benefit

     (4,904     (52,544     (34,255

Depreciation and amortization

     127,459        121,251        103,519   

Non-cash charges (a)

     10,742        163,918        3,460   

Non-recurring and integration charges (b)

     32,584        63,717        60,175   

Other adjustment items, before permitted pro forma adjustments (c)

     41,400        13,393        27,112   
  

 

 

   

 

 

   

 

 

 
     270,985        264,253        262,350   

Permitted pro forma adjustments (d)

      

Pre-acquisition Adjusted EBITDA

     1,590        7,873        332   

Future cost savings

     1,396        5,905        —     
  

 

 

   

 

 

   

 

 

 

Adjusted EBITDA

   $ 273,971      $ 278,031      $ 262,682   
  

 

 

   

 

 

   

 

 

 

 

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(a) Non-cash items are comprised of the following:

 

     Year Ended December 31,  

(in thousands)

   2012      2011      2010  

Stock compensation expense

   $ 2,339       $ 2,701       $ 1,888   

Impairment of goodwill and intangible assets

     7,397         141,006         —     

Impairment of fixed assets and assets held for sale

     975         7,466         1,147   

Purchase accounting adjustments

     —           12,336         —     

Loss on disposal of assets, net

     31         409         425   
  

 

 

    

 

 

    

 

 

 

Total non-cash items

   $ 10,742       $ 163,918       $ 3,460   
  

 

 

    

 

 

    

 

 

 

 

(b) Non-recurring and integration charges are comprised of the following:

 

     Year Ended December 31,  

(in thousands)

   2012      2011      2010  

Integration charges:

        

Commercial sales and global business unit reorganization and integration

   $ 7,025       $ 12,228       $ 9,392   

Acquisition related expenses and integration (1)

     3,020         8,661         8,936   

CEO transition

     183         4,270         —     

Litigation and regulatory costs and settlements, net (2)

     12,582         6,971         7,561   

Other non-recurring items

     4,129         3,342         17,370   

ERP implementation and other automation projects

     5,645         28,245         16,916   
  

 

 

    

 

 

    

 

 

 

Total non-recurring and integration charges

   $ 32,584       $ 63,717       $ 60,175   
  

 

 

    

 

 

    

 

 

 

 

  (1) Consists of direct acquisition costs and integration expenses related to the Exos, Dr. Comfort, Elastic Therapy, Inc. (ETI) and Circle City acquisitions and costs related to potential acquisitions.
  (2) For the year ended December 31, 2012, litigation and regulatory costs and settlements includes $2.8 million of estimated costs to complete a post-market surveillance study required by the FDA related to our discontinued metal-on-metal hip implant products, $4.7 million related to ongoing product liability issues related to our discontinued pain pump products, a $1.3 million judgment related to a French litigation matter we intend to appeal and $3.8 million related to other litigation.

 

(c) Other adjustment items before permitted pro forma adjustments are comprised of the following:

 

     For the Year Ended December 31,  

(in thousands)

   2012     2011      2010  

Blackstone monitoring fee

   $ 7,000      $ 7,000       $ 7,000   

Noncontrolling interests

     781        882         857   

Loss on modification and extinguishment of debt (1)

     36,889        2,065         19,798   

Other (2)

     (3,270     3,446         (543
  

 

 

   

 

 

    

 

 

 

Total other adjustment items before permitted pro forma adjustments

   $ 41,400      $ 13,393       $ 27,112   
  

 

 

   

 

 

    

 

 

 

 

  (1) Loss on modification and extinguishment of debt for year ended December 31, 2012 consists of $17.3 million in premiums related to the repurchase or redemption of our 10.875% Senior unsecured notes and $12.7 million related to the non-cash write off of unamortized debt issuance costs related to the 10.875% Senior unsecured notes, net of $2.5 million related to the non-cash write off of unamortized original issue premium associated with the 10.875% Senior unsecured notes, $8.6 million of arrangement and amendment fees and other fees and expenses incurred in connection with the March 2012 amendment of our original senior secured credit facilities and $0.8 million related to the non-cash write off of unamortized debt issuance costs and original issue discount associated with a portion of our
  term loans which were extinguished. Loss on modification of debt for the twelve months ended
  December 31, 2011 is comprised of arrangement and lender consent fees associated with the February 2011 amendment of our original senior secured credit facilities.

 

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  (2) Other adjustments consist primarily of net realized and unrealized foreign currency transaction gains and losses.

 

(d) Permitted pro forma adjustments include:
   

Pre-acquisition Adjusted EBITDA related to the acquisition acquired businesses.

   

Future cost savings for the year ended December 31, 2012 included $0.6 for Dr. Comfort, $0.3 for Circle City, $0.2 for Exos and $0.3 for ETI. Future cost savings for the year ended December 31, 2011 included $2.8 million for Dr. Comfort, $2.1 million for ETI and $1.0 million for Circle City.

Contractual Commitments

As of December 31, 2012, our consolidated contractual commitments are as follows (in thousands):

 

     Payment due:  
     Total      2013      2014-2015      2016-2017      Thereafter  

Long-term debt obligations

   $ 2,235,021       $ 8,858       $ 17,716       $ 1,138,447       $ 1,070,000   

Interest payments (1)

     837,157         175,894         350,768         285,025         25,470   

Operating lease obligations

     67,097         13,072         22,382         14,711         16,932   

Purchase obligations

     122,747         70,851         23,896         14,000         14,000   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 
   $ 3,262,022       $ 268,675       $ 414,762       $ 1,452,183       $ 1,126,402   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 

 

(1) $1,370.0 million principal amount of long-term debt is subject to fixed interest rates and $865.0 million of principal amount of long-term debt is subject to a floating interest rate. Interest payments for the floating rate debt were determined using an average assumed effective interest rate of 5.9%, which is equal to the average assumed effective interest rate for the term loans under the senior secured credit facilities over the remainder of their term.

As of December 31, 2012, we had entered into purchase commitments for inventory, capital expenditures and other services totaling $73.7 million in the ordinary course of business. In addition, under the amended transaction and monitoring fee agreement entered into in November 2007, the purchase obligations shown above include DJO’s obligation to pay a $7.0 million annual monitoring fee to Blackstone Management Partners V L.L.C. through 2019. See Item 13. “Certain Relationships and Related Transactions and Director Independence” for a more detailed description of the monitoring fee agreement.

The amounts presented in the table above may not necessarily reflect our actual future cash funding requirement because the actual timing of future payments made may vary from the stated contractual obligation.

Critical Accounting Policies and Estimates

Our management’s discussion and analysis of financial condition and results of operations is based upon our financial statements, which have been prepared in accordance with accounting principles generally accepted in the United States. The preparation of these financial statements requires us to make estimates and judgments that affect the reported amounts of assets, liabilities, revenues and expenses, and related disclosure of contingent assets and liabilities. On an on-going basis, we evaluate our estimates, including those related to reserves for contractual allowances, doubtful accounts, rebates, product returns and rental credits, goodwill and intangible assets, deferred tax assets and liabilities and inventory. We base our estimates on historical experience and on various other assumptions that are believed to be reasonable under the circumstances, the results of which form the basis for making judgments about the carrying values of assets and liabilities that are not readily apparent from other sources. To the extent that actual events differ from our estimates and assumptions, there could be a material adverse effect on our consolidated financial statements.

We believe the following critical accounting policies reflect our more significant judgments and estimates used in the preparation of our consolidated financial statements and this discussion and analysis of our financial condition and results of operations.

 

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Reserves for Contractual Allowances, Doubtful Accounts, Rebates, Product Returns and Rental Credits

We have established reserves to account for contractual allowances, doubtful accounts, rebates, product returns and rental credits. Significant management judgment must be used and estimates must be made in connection with establishing these reserves.

We maintain provisions for estimated contractual allowances for reimbursement amounts from our third party payor customers based on negotiated contracts and historical experience for non-contracted payors. We report these allowances as reductions to our gross revenue. We estimate the amount of the reduction based on historical experience and invoices generated in the period, and we consider the impact of new contract terms or modifications of existing arrangements with our customers. We have contracts with certain third party payors for our third party reimbursement billings, which call for specified reductions in reimbursement of billed amounts based upon contractual reimbursement rates. For the years ended December 31, 2012, 2011, and 2010, we reserved for and reduced gross revenues from third party payors by estimated contractual allowances of 35%, 33%, and 32%; respectively.

Our reserve for doubtful accounts is based upon estimated losses from customers who are billed directly and the portion of third party reimbursement billings that ultimately become the financial responsibility of the end user patients. Direct-billed customers represented approximately 72%, 71% and 67% of our net revenues for the year ended December 31, 2012, 2011 and 2010, respectively. Direct-billed customers represented approximately 70% and 71% of our net accounts receivable at December 31, 2012 and 2011, respectively. We experienced write-offs related to direct-billed customers of less than 1% of related net revenues in each of the years ended December 31, 2012, 2011, and 2010.

Our third party reimbursement customers including insurance companies, managed care companies and certain governmental payors, such as Medicare, include all of our OfficeCare customers, most of our Empi customers, and certain other customers of our Recovery Sciences and Bracing and Vascular segments. Our third party payor customers represented approximately 28%, 29% and 33% of our net revenues for the years ended December 31, 2012, 2011 and 2010, respectively. Third party payor customers represented approximately 30% and 29%, respectively, of our net accounts receivable at December 31, 2012 and 2011. For the years ended December 31, 2012, 2011, and 2010, we estimate bad debt expense to be approximately 4%, 5% and 6%, respectively, of gross revenues from these third party reimbursement customers. If the financial condition of our customers were to deteriorate resulting in an impairment of their ability to make payments or if third party payors were to deny claims for late filings, incomplete information or other reasons, additional provisions may be required. Additions to this reserve are reflected as selling, general and administrative expense in our consolidated statements of operations.

Our reserve for rebates accounts for incentives that we offer to certain of our distributors. These rebates are substantially attributable to sales volume, sales growth or to reimburse the distributor for certain discounts. We record estimated reductions to revenue for customer rebate programs based upon historical experience and estimated revenue levels.

Our reserve for product returns accounts for estimated customer returns of our products after purchase. These returns are mainly attributable to a third party payor’s refusal to provide reimbursement for the product or the inability of the product to adequately address the patient’s condition. We provide for this reserve by reducing gross revenue based on our historical rate of returns.

Our reserve for rental credit recognizes a timing difference between billing for a sale and processing a rental credit associated with some of our rehabilitation devices. Many insurance providers require patients to rent our rehabilitation devices for a period of one to three months prior to purchase. If the patient has a long-term need for the device, these insurance companies may authorize purchase of the device after such time period. When the device is purchased, most providers require that rental payments previously made on the device be credited toward the purchase price. These credits are processed at the time the payment is received for the purchase of the

 

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device, which creates a time lag between billing for a sale and processing the rental credit. Our rental credit reserve estimates unprocessed rental credits based on the number of devices converted to purchase. The reserve is calculated by first assessing the number of our products being rented during the relevant period and our historical conversion rate of rentals to sales, and then reducing our revenue by the applicable amount. We provide for these reserves by reducing our gross revenue. The cost to refurbish rented products is expensed as incurred to cost of sales in our consolidated statements of operations.

Inventory Reserves

We provide reserves for estimated excess and obsolete inventories equal to the difference between the costs of inventories on hand plus future purchase commitments and the estimated market value based upon assumptions about future demand. If future demand is less favorable than currently projected by management, additional inventory write-downs may be required. We also provide reserves for newer product inventories, as appropriate, based on any minimum purchase commitments and our level of sales of the new products.

We consign a portion of our inventory to allow our products to be immediately dispensed to patients. This requires a large amount of inventory to be on hand for the products we sell through consignment arrangements. It also increases the sensitivity of these products to obsolescence reserve estimates. As this inventory is not in our possession, we maintain additional reserves for estimated shrinkage of these inventories based on the results of periodic inventory counts and historical trends.

Goodwill and Intangible Assets

We evaluate the carrying value of goodwill and indefinite life intangible assets annually on the first day of the fourth quarter or whenever events or circumstances indicate the carrying value may not be recoverable. We evaluate the carrying value of finite life intangible assets whenever events or circumstances indicate the carrying value may not be recoverable. Significant assumptions are required to estimate the fair value of goodwill and intangible assets, most notably estimated future cash flows generated by these assets. As such, these fair valuation measurements use significant unobservable inputs. Changes to these assumptions could require us to record impairment charges on these assets.

In performing our 2012 goodwill impairment test, we estimated the fair values of our reporting units using the income approach which includes the discounted cash flow method and the market approach which includes the use of market multiples. The discounted cash flows for each reporting unit were based on discrete financial forecasts developed by management for planning purposes, and required significant judgment with respect to forecasted sales, gross margin, selling, general and administrative expenses, depreciation, income taxes, capital expenditures, working capital requirements and the selection and use of an appropriate discount rate. For purposes of calculating the discounted cash flows of our reporting units, we used estimated revenue growth rates averaging between 2% and 10% for the discrete forecast period. Cash flows beyond the discrete forecasts were estimated using a terminal value calculation, which incorporated historical and forecasted financial trends for each identified reporting unit and considered long-term earnings growth rates for publicly traded peer companies. Future cash flows were then discounted to present value at discount rates ranging from 9.6% to 11.2%, and terminal value growth rates of 3%. Publicly available information regarding comparable market capitalization was also considered in assessing the reasonableness of the cumulative fair values of our reporting units estimated using the discounted cash flow methodology. We determined that the fair value of the six reporting units with goodwill assigned to them exceeds their carrying value. As such, we determined that the goodwill of our reporting units was not impaired.

In 2012, we began the process of changing the trade name used for our German operations from Ormed to DJO to be consistent with our global strategy. In conjunction with this change, we revised our assumption as to the useful life of the Ormed trade name intangible asset, which resulted in changing the remaining estimated life of the asset from indefinite to three years. These changes triggered an impairment review of the intangible asset. Based on the application of a differential cash flow method, whereby an investor would be willing to pay a price

 

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equal to the present value of the incremental cash flows attributable to the economic benefit derived from defending the trade name in the market, we determined that the carrying amount of the asset was in excess of its estimated fair value. As a result, we recorded an impairment charge of $7.4 million, which is included in the Impairment of goodwill and intangible assets line item in the Consolidated Statements of Operations.

Additionally, in the fourth quarter of 2012 we tested for impairment, our remaining indefinite lived intangible assets, consisting of trade names. This test work compares the fair value of the asset with its carrying amount. To determine the fair value we applied the relief from royalty (RFR) method. Under the RFR method, the value of the trade name is determined by calculating the present value of the after-tax cost savings associated with owning the asset and therefore not being required to pay royalties for its use during the asset’s indefinite life. Significant judgments inherent in this analysis include the selection of appropriate discount rates, estimating future cash flows and the identification of appropriate terminal growth rate assumptions. Discount rate assumptions are based on an assessment of the risk inherent in the projected future cash generated by the respective intangible assets. Also subject to judgment are assumptions about royalty rates, which are based on the estimated rates at which similar brands and trademarks are being licensed in the marketplace. We determined that the fair value of these trade names exceed their carrying value. As such, we determined that these indefinite lived intangible assets are not impaired.

See Note 7 of the Notes to Consolidated Financial Statements included in Part II, Item 8, herein for further discussion of goodwill and intangible assets.

The estimates we have used are consistent with the plans and estimates that we use to manage our business, however, it is possible that the plans may change and estimates used may prove to be inaccurate. If our actual results, or the plans and estimates used in future impairment analyses, are lower than the original estimates used to assess the recoverability of these assets, we could incur significant impairment charges.

Deferred Tax Asset Valuation Allowance

We recognize deferred tax assets and liabilities based on the differences between the financial statement carrying amount and the tax basis of assets, liabilities and net operating loss carryforwards. We establish valuation allowances when the recovery of a deferred tax asset is not likely based on historical income, projected future income, the expected timing of the reversals of temporary differences and the implementation of tax-planning strategies.

Our gross deferred tax asset balance was $243.0 million at December 31, 2012 and is primarily related to reserves for accounts receivable and inventory, accrued expenses, and net operating loss carryforwards (see Note 15 of the notes to Consolidated Financial Statements included in Part II, Item 8, herein). As of December 31, 2012, we maintained a valuation allowance of $43.8 million due to uncertainties related to our ability to realize certain deferred tax assets. The valuation allowance maintained is primarily related to net operating loss carryforwards of certain international subsidiaries, and certain domestic net operating loss and capital loss carryforwards not expected to be realized.

ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

We are exposed to certain market risks as part of our ongoing business operations, primarily risks from changing interest rates and foreign currency exchange rates that could impact our financial condition, results of operations, and cash flows.

Interest Rate Risk

Our primary exposure is to changing interest rates. We have historically managed our interest rate risk by including components of both fixed and variable debt in our capital structure. For our fixed rate debt, interest rate

 

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changes may affect the market value of the debt, but do not impact our earnings or cash flow. Conversely, for our variable rate debt, interest rate changes generally do not affect the fair market value of the debt, but do impact future earnings and cash flow, assuming other factors are constant. As of December 31, 2012, we have $1,370.0 million of aggregate fixed rate notes and $865.0 million of borrowings under the senior secured credit facilities which bear interest at floating rates based on the Eurodollar rate, as defined. A hypothetical 1% increase in variable interest rates for the floating rate borrowings under our of the senior secured credit facilities would have impacted our earnings and cash flow for the year ended December 31, 2012, by $3.9 million. As of December 31, 2012, $476.5 million of our new term loans are subject to a 1.25% minimum LIBOR rate and would not have impacted our earnings and cash flows due to a hypothetical 1% increase in the LIBOR rate during the year ended December 31, 2012. We may use derivative financial instruments where appropriate to manage our interest rate risk. However, as a matter of policy, we do not enter into derivative or other financial investments for trading or speculative purposes.

Foreign Currency Risk

Due to the global reach of our business, we are exposed to market risk from changes in foreign currency exchange rates, particularly with respect to the U.S. dollar compared to the Euro and the Mexican Peso (MXN). Our wholly owned foreign subsidiaries are consolidated into our financial results and are subject to risks typical of an international business including, but not limited to, differing economic conditions, changes in political climate, differing tax structures, other regulations and restrictions and foreign exchange volatility. To date, we have not used international currency derivatives to hedge against our investment in our European subsidiaries or their operating results, which are converted into U.S. Dollars at period-end and average foreign exchange rates, respectively. However, as we continue to expand our business through acquisitions and organic growth, the sales of our products that are denominated in foreign currencies has increased, as well as the costs associated with our foreign subsidiaries which operate in currencies other than the U.S. dollar. Accordingly, our future results could be materially impacted by changes in these or other factors.

For the year ended December 31, 2012, sales denominated in foreign currencies accounted for 21.9% of our consolidated net sales, of which 15.9% were denominated in the Euro. In addition, our exposure to fluctuations in foreign currencies arises because certain of our subsidiaries enter into purchase or sale transactions using a currency other than its functional currency. Accordingly, our future results could be materially impacted by changes in foreign exchange rates or other factors. Occasionally, we seek to reduce the potential impact of currency fluctuations on our business through hedging transactions. During the year ended December 31, 2012, we utilized MXN foreign exchange forward contracts to hedge a portion of our exposure to fluctuations in foreign exchange rates, as our Mexico-based manufacturing operations incur costs that are largely denominated in MXN (see Note 10 of the notes to the audited consolidated financial statements included in Part II, Item 8, herein). These foreign exchange forward contracts expire weekly throughout fiscal year 2013.

 

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ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA

DJO Finance LLC

Annual Report on Form 10-K

For the year ended December 31, 2012

INDEX TO AUDITED CONSOLIDATED FINANCIAL STATEMENTS

 

     Page No.  

Consolidated Financial Statements:

  

Report of Independent Registered Public Accounting Firm

     65   

Consolidated Balance Sheets at December 31, 2012 and 2011

     66   

Consolidated Statements of Operations for the Years Ended December 31, 2012, 2011 and 2010

     67   

Consolidated Statements of Comprehensive Loss for the Years Ended December 31,  2012, 2011 and 2010

     68   

Consolidated Statements of Equity for the Years Ended December 31, 2012, 2011 and 2010

     69   

Consolidated Statements of Cash Flows for the Years Ended December 31, 2012, 2011 and 2010

     70   

Notes to Consolidated Financial Statements

     71   

 

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REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

To the Board of Managers of DJO Finance LLC

We have audited the accompanying consolidated balance sheets of DJO Finance LLC as of December 31, 2012 and 2011, and the related consolidated statements of operations, comprehensive loss, equity and cash flows for each of the three years in the period ended December 31, 2012. Our audits also included the financial statement schedule listed in the Index at Item 15(a). These financial statements and schedule are the responsibility of the Company’s management. Our responsibility is to express an opinion on these financial statements and schedule based on our audits.

We conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. We were not engaged to perform an audit of the Company’s internal control over financial reporting. Our audits included consideration of internal control over financial reporting as a basis for designing audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the Company’s internal control over financial reporting. Accordingly, we express no such opinion. An audit also includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements, assessing the accounting principles used and significant estimates made by management, and evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion.

In our opinion, the financial statements referred to above present fairly, in all material respects, the consolidated financial position of DJO Finance LLC at December 31, 2012 and 2011 and the consolidated results of its operations and its cash flows for each of the three years in the period ended December 31, 2012, in conformity with U.S. generally accepted accounting principles. Also, in our opinion, the related financial statement schedule, when considered in relation to the basic financial statements taken as a whole, presents fairly in all material respects the information set forth therein.

/s/ ERNST & YOUNG LLP

San Diego, California

February 27, 2013

 

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DJO Finance LLC

Consolidated Balance Sheets

(in thousands)

 

     December 31,  
     2012     2011  
Assets     

Current assets:

    

Cash and cash equivalents

   $ 31,223      $ 38,169   

Accounts receivable, net

     166,742        158,982   

Inventories, net

     156,315        128,699   

Deferred tax assets, net

     33,283        43,458   

Prepaid expenses and other current assets

     18,073        18,791   
  

 

 

   

 

 

 

Total current assets

     405,636        388,099   

Property and equipment, net

     107,035        107,108   

Goodwill

     1,249,305        1,228,778   

Intangible assets, net

     1,055,531        1,132,694   

Other assets

     45,216        38,181   
  

 

 

   

 

 

 

Total assets

   $ 2,862,723      $ 2,894,860   
  

 

 

   

 

 

 
Liabilities and Equity     

Current liabilities:

    

Accounts payable

   $ 54,294      $ 57,926   

Accrued interest

     31,653        20,928   

Current portion of debt and capital lease obligations

     8,858        8,820   

Other current liabilities

     93,640        81,771   
  

 

 

   

 

 

 

Total current liabilities

     188,445        169,445   

Long-term debt and capital lease obligations

     2,223,816        2,159,091   

Deferred tax liabilities, net

     241,202        252,194   

Other long-term liabilities

     24,850        16,174   
  

 

 

   

 

 

 

Total liabilities

     2,678,313        2,596,904   
  

 

 

   

 

 

 

Commitments and contingencies

    

Equity:

    

DJO Finance LLC membership equity:

    

Member capital

     839,234        834,871   

Accumulated deficit

     (658,426     (539,276

Accumulated other comprehensive income

     1,284        218   
  

 

 

   

 

 

 

Total membership equity

     182,092        295,813   

Noncontrolling interests

     2,318        2,143   
  

 

 

   

 

 

 

Total equity

     184,410        297,956   
  

 

 

   

 

 

 

Total liabilities and equity

   $ 2,862,723      $ 2,894,860   
  

 

 

   

 

 

 

See accompanying Notes to Consolidated Financial Statements.

 

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DJO Finance LLC

Consolidated Statements of Operations

(in thousands)

 

     Year ended December 31,  
     2012     2011     2010  

Net sales

   $ 1,129,420      $ 1,074,770      $ 965,973   

Cost of sales (exclusive of amortization of intangible assets of $38,355, $38,668 and $36,343 for the year ended December 31, 2012, 2011 and 2010, respectively)

     443,920        418,138        345,270   
  

 

 

   

 

 

   

 

 

 

Gross profit

     685,500        656,632        620,703   

Operating expenses:

      

Selling, general and administrative

     460,065        487,084        433,408   

Research and development

     27,877        26,850        21,892   

Amortization of intangible assets

     97,243        93,957        77,523   

Impairment of goodwill and intangible assets

     7,397        141,006        —     
  

 

 

   

 

 

   

 

 

 
     592,582        748,897        532,823   
  

 

 

   

 

 

   

 

 

 

Operating income (loss)

     92,918        (92,265     87,880   

Other income (expense):

      

Interest expense

     (183,055     (169,332     (155,181

Interest income

     201        345        310   

Loss on modification and extinguishment of debt

     (36,889     (2,065     (19,798

Other income (expense), net

     3,553        (2,814     859   
  

 

 

   

 

 

   

 

 

 
     (216,190     (173,866     (173,810
  

 

 

   

 

 

   

 

 

 

Loss before income taxes

     (123,272     (266,131     (85,930

Income tax benefit

     4,904        52,544        34,255   
  

 

 

   

 

 

   

 

 

 

Net loss

     (118,368     (213,587     (51,675

Net income attributable to noncontrolling interests

     (782     (882     (857
  

 

 

   

 

 

   

 

 

 

Net loss attributable to DJO Finance LLC

   $ (119,150   $ (214,469   $ (52,532
  

 

 

   

 

 

   

 

 

 

See accompanying Notes to Consolidated Financial Statements.

 

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DJO Finance LLC

Consolidated Statements of Comprehensive Loss

(in thousands)

 

     Year Ended December 31,  
     2012     2011     2010  

Net loss

   $ (118,368   $ (213,587   $ (51,675

Other comprehensive income (loss), net of taxes:

      

Foreign currency translation adjustments, net of tax (provision) benefit of $(1,386), $1,681 and $942 for the year ended December 31, 2012, 2011, and 2010, respectively

     1,108        (1,896     (5,435

Unrealized loss on cash flow hedges, net of tax benefit of $175, and $2,965 for the year ended December 31, 2011, and 2010, respectively

     —          (272     (4,708

Reclassification adjustment for losses on cash flow hedges included in net loss, net of tax provision of $2,773 and $4,764 for the year ended December 31, 2011, and 2010, respectively

     —          4,381        7,448   
  

 

 

   

 

 

   

 

 

 

Other comprehensive income (loss)

     1,108        2,213        (2,695
  

 

 

   

 

 

   

 

 

 

Comprehensive loss

     (117,260     (211,374     (54,370

Comprehensive income attributable to noncontrolling interests

     (824     (829     (728
  

 

 

   

 

 

   

 

 

 

Comprehensive loss attributable to DJO Finance LLC

   $ (118,084   $ (212,203   $ (55,098
  

 

 

   

 

 

   

 

 

 

See accompanying Notes to Consolidated Financial Statements.

 

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DJO Finance LLC

Consolidated Statements of Equity

(in thousands)

 

    DJO Finance LLC              
    Member
capital
    Accumulated
Deficit
    Accumulated
other
comprehensive
income (loss)
    Total
membership
equity
    Noncontrolling
interests
    Total
equity
 

Balance at December 31, 2009

  $ 827,617      $ (272,275   $ 518      $ 555,860      $ 2,509      $ 558,369   

Net (loss) income

    —          (52,532     —          (52,532     857        (51,675

Other comprehensive loss, net of taxes

    —          —          (2,566     (2,566     (129     (2,695

Investment by parent

    1,489        —          —          1,489        —          1,489   

Stock-based compensation

    1,888        —          —          1,888        —          1,888   

Dividend paid by subsidiary to owners of noncontrolling interests

    —          —          —          —          (557     (557
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Balance at December 31, 2010

    830,994        (324,807     (2,048     504,139        2,680        506,819   

Net (loss) income

    —          (214,469     —          (214,469     882        (213,587

Other comprehensive income (loss), net of taxes

    —          —          2,266        2,266        (53     2,213   

Investment by parent

    3,176        —          —          3,176        —          3,176   

Stock-based compensation

    2,701        —          —          2,701        —          2,701   

Cancellation of vested options

    (2,000     —          —          (2,000     —          (2,000

Dividend paid by subsidiary to owners of noncontrolling interests

    —          —          —          —          (1,366     (1,366
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Balance at December 31, 2011

    834,871        (539,276     218        295,813        2,143        297,956   

Net (loss) income

    —          (119,150     —          (119,150     782        (118,368

Other comprehensive income, net of taxes

    —          —          1,066        1,066        42        1,108   

Investment by parent

    2,000        —          —          2,000        —          2,000   

Stock-based compensation

    2,339        —          —          2,339        —          2,339   

Exercise of indirect parent stock options

    24        —          —          24        —          24   

Dividend paid by subsidiary to owners of noncontrolling interests

    —          —          —          —          (649     (649
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Balance at December 31, 2012

  $ 839,234      $ (658,426   $ 1,284      $ 182,092      $ 2,318      $ 184,410   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

See accompanying Notes to Consolidated Financial Statements.

 

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DJO Finance LLC

Consolidated Statements of Cash Flows

(in thousands)

 

    Year Ended December 31,  
    2012     2011     2010  

Cash Flows From Operating Activities:

     

Net loss

  $ (118,368   $ (213,587   $ (51,675

Adjustments to reconcile net loss to net cash provided by operating activities:

     

Depreciation

    30,216        27,294        25,996   

Amortization of intangible assets

    97,243        93,957        77,523   

Amortization of debt issuance costs and non-cash interest expense

    9,732        8,476        13,272   

Stock-based compensation expense

    2,339        2,701        1,888   

Impairment of goodwill and intangible assets

    7,397        141,006        —     

Loss on disposal of assets, net of depreciation and adjustments

    1,686        4,385        2,067   

Deferred income tax benefit

    (11,581     (60,620     (39,687

Provisions for doubtful accounts and sales returns

    22,226        31,673        33,077   

Inventory reserves

    6,350        7,706        6,596   

Loss on modification and extinguishment of debt

    36,889        —          19,798   

Changes in operating assets and liabilities, net of acquired assets and liabilities:

     

Accounts receivable

    (29,490     (32,231     (33,105

Inventories

    (28,287     (13,190     (13,908

Prepaid expenses and other assets

    1,313        8,435        (4,837

Accrued interest

    10,723        5,351        4,610   

Accounts payable and other current liabilities

    6,231        12,249        (16,021
 

 

 

   

 

 

   

 

 

 

Net cash provided by operating activities

    44,619        23,605        25,594   
 

 

 

   

 

 

   

 

 

 

Cash Flows From Investing Activities:

     

Purchases of property and equipment

    (32,950     (39,397     (27,247

Cash paid in connection with acquisitions, net of cash acquired

    (29,909     (317,669     (2,045

Other investing activities, net

    (1,106     (1,596     (903
 

 

 

   

 

 

   

 

 

 

Net cash used in investing activities

    (63,965     (358,662     (30,195
 

 

 

   

 

 

   

 

 

 

Cash Flows From Financing Activities:

     

Proceeds from issuance of debt

    1,342,450        439,000        447,130   

Repayments of debt and capital lease obligations

    (1,276,045     (96,826     (437,367

Payment of debt issuance, modification and extinguishment costs

    (55,827     (7,694     (10,282

Investment by parent

    2,000        3,176        1,489   

Cash paid in connection with the cancellation of vested options

    —          (2,000     —     

Dividend paid by subsidiary to owners of noncontrolling interests

    (649     (1,366     (557

Exercise of indirect parent stock options

    24        —          —     
 

 

 

   

 

 

   

 

 

 

Net cash provided by financing activities

    11,953        334,290        413   
 

 

 

   

 

 

   

 

 

 

Effect of exchange rate changes on cash and cash equivalents

    447        804        (2,291
 

 

 

   

 

 

   

 

 

 

Net (decrease) increase in cash and cash equivalents

    (6,946     37        (6,479

Cash and cash equivalents, beginning of year

    38,169        38,132        44,611   
 

 

 

   

 

 

   

 

 

 

Cash and cash equivalents, end of year

  $ 31,223      $ 38,169      $ 38,132   
 

 

 

   

 

 

   

 

 

 

Supplemental disclosures of cash flow information:

     

Cash paid for interest

  $ 162,579      $ 151,207      $ 139,095   

Cash paid (refunded) for taxes, net

  $ 4,704      $ (956   $ 4,515   

Non-cash investing and financing activities:

     

Increases in property and equipment and in other liabilities in connection with capitalized software costs

  $ —        $ —        $ 1,934   

See accompanying Notes to Consolidated Financial Statements.

 

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Notes to Consolidated Financial Statements

 

1. ORGANIZATION AND BASIS OF PRESENTATION

Organization and Business

We are a global developer, manufacturer and distributor of medical devices that provide solutions for musculoskeletal health, vascular health and pain management. Our products address the continuum of patient care from injury prevention to rehabilitation after surgery, injury or from degenerative disease, enabling people to regain or maintain their natural motion. Our products are used by orthopedic specialists, spine surgeons, primary care physicians, pain management specialists, physical therapists, podiatrists, chiropractors, athletic trainers and other healthcare professionals. Our product lines include rigid and soft orthopedic bracing, hot and cold therapy, bone growth stimulators, vascular therapy systems and compression garments, therapeutic shoes and inserts, electrical stimulators used for pain management and physical therapy products. Our surgical implant business offers a comprehensive suite of reconstructive joint products for the hip, knee and shoulder.

DJO Finance LLC (DJOFL) is a wholly owned indirect subsidiary of DJO Global, Inc. (DJO). Substantially all business activities of DJO are conducted by DJOFL and its wholly owned subsidiaries. Except as otherwise indicated, references to “us,” “we,” “DJOFL,” “our,” or “the Company,” refers to DJOFL and its consolidated subsidiaries.

Segment Reporting

We market and distribute our products through four operating segments, Bracing and Vascular, Recovery Sciences, Surgical Implant, and International. Our Bracing and Vascular, Recovery Sciences, and Surgical Implant segments generate their revenues within the United States. Our Bracing and Vascular segment offers rigid knee braces, orthopedic soft goods cold therapy products, vascular systems, compression therapy products and therapeutic footwear for the diabetes care market. Our Recovery Sciences segment offers home electrotherapy, iontophoresis, home traction products, bone growth stimulation products and clinical therapy equipment. Our Surgical Implant segment offers a comprehensive suite of reconstructive joint products for the knee, hip and shoulder. Our International segment offers all of our products to customers outside the United States. See Note 18 for additional information about our reportable segments.

Use of Estimates

The preparation of financial statements in conformity with accounting principles generally accepted in the United States (GAAP) requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reporting period. Estimates and assumptions are used in accounting for, among other things, contractual allowances, rebates, product returns, warranty obligations, allowances for doubtful accounts, valuation of inventories, self-insurance reserves, income taxes, loss contingencies, fair values of derivative instruments, fair values of long-lived assets and any related impairments, capitalization of costs associated with internally developed software and stock-based compensation. Actual results could differ from those estimates.

Basis of Presentation

We consolidate the results of operations of our 50% owned subsidiary Medireha GmbH (Medireha) and reflect the 50% share of results not owned by us as noncontrolling interests in our consolidated statements of operations. We maintain control of Medireha through certain rights that enable us to prohibit certain business activities that are not consistent with our plans for the business and provide us with exclusive distribution rights for products manufactured by Medireha.

The accompanying Consolidated Financial Statements include our accounts and all voting interest entities where we exercise a controlling financial interest through the ownership of a direct or indirect majority voting interest. All significant intercompany accounts and transactions have been eliminated in consolidation.

 

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Reclassifications and prior period adjustments

Certain reclassifications have been made to prior year amounts to conform to the current year presentation.

 

2. SIGNIFICANT ACCOUNTING POLICIES

Cash and Cash Equivalents. Cash consists of deposits with financial institutions. We consider all short-term, highly liquid investments and investments in money market funds and commercial paper with remaining maturities of less than three months at the time of purchase to be cash equivalents. While our cash and cash equivalents are on deposit with high-quality institutions, such deposits exceed Federal Deposit Insurance Corporation insured limits.

Allowance for Doubtful Accounts. We make estimates of the collectability of accounts receivable. Management analyzes accounts receivable historical collection rates and bad debts write-offs, customer concentrations, customer credit-worthiness and current economic trends when evaluating the adequacy of the allowance for doubtful accounts.

Sales Returns and Allowances. We make estimates of the amount of sales returns and allowances that will eventually be incurred. Management analyzes sales programs that are in effect, contractual arrangements, market acceptance and historical trends when evaluating the adequacy of sales returns and allowance accounts. We estimate contractual discounts and allowances for reimbursement amounts from our third party payor customers based on negotiated contracts and historical experience.

Inventories. We state our inventories at the lower of cost or market. We use standard cost methodology to determine cost basis for our inventories. This methodology approximates actual cost on a first-in, first-out basis. We establish reserves for slow moving and excess inventory, product obsolescence, shrinkage and other valuation impairments based on future demand and historical experience.

Property and Equipment. Property and equipment are stated at cost less accumulated depreciation and amortization. Depreciation is calculated using the straight-line method over the estimated useful lives of the assets that range from three to 25 years. Leasehold improvements and equipment under capital leases are amortized on a straight-line basis over the shorter of the lease term or estimated useful life of the asset. We capitalize surgical implant instruments that we provide to surgeons, free of charge, for use while implanting our products and the related depreciation expense is recorded as a component of selling, general and administrative expense. We also capitalize electrotherapy devices that we rent to patients and record the related depreciation expense in cost of sales.

Software Developed For Internal Use. Software is stated at cost less accumulated amortization and is amortized on a straight-line basis over estimated useful lives ranging from three to ten years. We capitalize costs of internally developed software during the development stage, including external consulting costs, cost of software licenses, and internal payroll and payroll-related costs for employees who are directly associated with a software project. Software assets are reviewed for impairment when events or circumstances indicate that the carrying value may not be recoverable. Upgrades and enhancements are capitalized if they result in added functionality. Amortization expense related to internally developed software was $1.9 million, $2.4 million and $1.0 million for the years ended December 31, 2012, 2011 and 2010, respectively.

In 2008, we began implementing a new ERP system to replace six legacy accounting and finance systems and numerous other software systems with a single-entry ERP system that will be used by most of our businesses. During the year ended December 31, 2011, we determined that certain capitalized ERP assets would not be used and we recorded an impairment charge of $7.1 million which is included in selling and general administrative expense in our consolidated statement of operations. As of December 31, 2012 and 2011, we had $12.4 million and $17.4 million respectively, of unamortized internally developed software costs included within property and equipment in our consolidated balance sheets.

 

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Intangible Assets. Our primary intangible assets are goodwill, customer relationships, patents and technology and trademarks and trade names. Goodwill represents the excess purchase price over the fair value of the identifiable net assets acquired in business combinations. Goodwill and intangible assets with indefinite useful lives are not amortized, but instead are tested for impairment at least annually. Intangible assets with definite lives are amortized over their respective estimated useful lives and reviewed for impairment when circumstances warrant.

We evaluate the carrying value of goodwill and indefinite life intangible assets annually on the first day of the fourth quarter or whenever events or circumstances indicate the carrying value may not be recoverable. We evaluate the carrying value of finite life intangible assets whenever events or circumstances indicate the carrying value may not be recoverable. Significant assumptions are required to estimate the fair value of goodwill and intangible assets, most notably estimated future cash flows generated by these assets. As such, these fair valuation measurements use significant unobservable inputs. Changes to these assumptions could require us to record impairment charges on these assets.

Warranty Costs. We provide expressed warranties on certain products for periods typically ranging from one to three years. We estimate our warranty obligations at the time of sale based upon historical experience and known product issues, if any.

A summary of the activity in our warranty reserves is as follows (in thousands):

 

     Year Ended December 31,  
     2012     2011     2010  

Balance, beginning of year

   $ 1,756      $ 2,222      $ 1,936   

Amount charged to expense for estimated warranty costs

     338        105        1,283   

Deductions for actual costs incurred

     (606     (571     (997
  

 

 

   

 

 

   

 

 

 

Balance, end of year

   $ 1,488      $ 1,756      $ 2,222   
  

 

 

   

 

 

   

 

 

 

Self Insurance. We are partially self insured for certain employee health benefits and product liability claims. Accruals for losses are provided based upon claims experience and actuarial assumptions, including provisions for incurred but not reported losses.

Revenue Recognition. We recognize revenue when all four of the following criteria are met: (i) persuasive evidence that an arrangement exists; (ii) shipment of goods and passage of title occurs; (iii) the selling price is fixed or determinable; and (iv) collectibility is reasonably assured.

We sell our products through a variety of distribution channels. We generally recognize revenue when we ship our products to our customers. We recognize revenue, both rental and purchase, for products sold directly to patients or their third party insurance payors, when our product has been dispensed or shipped to the patient and the patient’s insurance has been verified.

We record revenues from sales or our surgical implant products when the products are used in a surgical procedure (implanted in a patient). We include amounts billed to customers for freight in revenue.

We reduce revenue by estimates of potential future product returns and other allowances. Revenues are also reduced by rebates related to sales transacted through distribution agreements that provide the distributors with a right to return inventory or take certain pricing adjustments based on sales mix or volume. Provisions for product returns and other allowances are recorded as a reduction to revenue in the period sales are recognized.

Advertising Costs. We expense advertising costs as they are incurred. For the years ended December 31, 2012, 2011 and 2010, advertising costs were $18.7 million, $17.1 million and $10.4 million, respectively.

 

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Shipping and Handling Expenses. Shipping and handling expenses are included within cost of sales in our consolidated statements of operations.

Stock Based Compensation. We maintain a stock option plan under which stock options of our indirect parent, DJO, have been granted to both employees and non-employees. All share based payments to employees are recognized in the financial statements based on their grant date fair values and our estimates of forfeitures. We amortize stock-based compensation for service-based awards granted on a straight-line basis over the requisite service (vesting) period for the entire award. Other awards vest upon the achievement of certain pre-determined performance targets, and compensation expense is recognized to the extent the achievement of the performance targets is deemed probable.

Income Taxes. Income taxes are accounted for under the asset and liability method, whereby deferred tax assets and liabilities are recognized and measured using enacted tax rates in effect for each taxing jurisdiction in which we operate for the year in which those temporary differences are expected to be recognized. Net deferred tax assets are then reduced by a valuation allowance if we believe it more-likely-than-not such net deferred tax assets will not be realized.

Foreign Currency Translation and Transactions. The reporting currency of DJOFL is the U.S. Dollar. Assets and liabilities of foreign subsidiaries (including intercompany balances for which settlement is not anticipated in the foreseeable future) are translated at the spot rate in effect at the applicable reporting date, and our Consolidated Statement of Operations is translated at the average exchange rates in effect during the applicable period. The resulting unrealized cumulative translation adjustment, net of applicable income taxes, is recorded as a component of accumulated other comprehensive income (loss) in our Consolidated Statement of Comprehensive Loss. Cash flows from our operations in foreign countries are translated at the average rate for the applicable period. The effect of exchange rates on cash balances held in foreign currencies are separately reported in our Consolidated Statements of Cash Flows.

Transactions denominated in currencies other than our or our subsidiaries’ functional currencies are recorded based on exchange rates at the time such transactions arise. Changes in exchange rates with respect to amounts recorded in our consolidated balance sheets related to such transactions result in transaction gains and losses that are reflected in our consolidated statements of operations as either unrealized (based on the applicable period end translation) or realized (upon settlement of the transactions). For the years ended December 31, 2012, 2011 and 2010, foreign transaction gains (losses) were $3.6 million, $(2.8) million and $0.6 million, respectively.

Derivative Financial Instruments. All derivative instruments are recognized in the financial statements and measured at fair value regardless of the purpose or intent for holding them.

We use foreign exchange forward contracts to hedge expense commitments that are denominated in currencies other than the U.S. dollar. The purpose of our foreign currency hedging activities is to fix the dollar value of specific commitments and payments to foreign vendors. Before acquiring a derivative instrument to hedge a specific risk, potential natural hedges are evaluated. While our foreign exchange contracts act as economic hedges, we have not designated such instruments as hedges for accounting purposes. Therefore, gains and losses resulting from changes in the fair values of these derivative instruments are recorded in other income (expense), net, in our Consolidated Statements of Operations.

The fair value of our derivative instruments has been determined through the use of models that consider various assumptions, including time value and other relevant economic measures, which are inputs that are classified as Level 2 in the fair value hierarchy (see Notes 10 and 11).

Comprehensive Income (Loss). Comprehensive income (loss) includes net income (loss) as per our Consolidated Statement of Operations and other comprehensive income (loss). Other comprehensive income (loss), which is comprised of unrealized gains and losses on foreign currency translation adjustments and cash flow hedges, net of tax, is included in our Consolidated Statement of Comprehensive Loss as accumulated other comprehensive income (loss).

 

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Concentration of Credit Risk. We sell the majority of our products in the United States to orthopedic professionals, hospitals, distributors, specialty dealers, insurance companies, managed care companies and certain governmental payors such as Medicare. International sales comprised 24.8%, 26.0%, and 25.3% of our net sales for the years ended December 31, 2012, 2011, and 2010, respectively. International sales are generated from a diverse group of customers through our wholly owned subsidiaries and certain independent distributors. Credit is extended based on an evaluation of the customer’s financial condition and generally collateral is not required. We provide a reserve for estimated bad debts. Management reviews and revises its estimates for credit losses from time to time and such credit losses have generally been within management’s estimates. In each of the years ended December 31, 2012, 2011 and 2010, we had no individual customer or distributor that accounted for 10% or more of our total annual net sales.

Fair Value of Financial Instruments. The carrying amounts of our short-term financial instruments, including cash and cash equivalents, accounts receivable and accounts payable, approximate fair values due to their short-term nature. See Note 12 for information concerning the fair value of our variable and fixed rate debt.

Recent Accounting Standards. In May 2011, the FASB issued guidance to amend the requirements related to fair value measurement which changes the wording used to describe many requirements in GAAP for measuring fair value and for disclosing information about fair value measurements. Additionally, the amendments clarify the FASB’s intent about the application of existing fair value measurement requirements. The amended guidance was effective for interim and annual periods beginning after December 15, 2011 and was applied prospectively. The Company adopted this guidance during the first quarter of fiscal year 2012. Adoption of this guidance did not have a material impact on the Company’s Consolidated Financial Statements.

In June 2011, the FASB issued guidance to amend the presentation of comprehensive income to allow an entity the option to present the total of comprehensive income, the components of net income and the components of other comprehensive income either in a single continuous statement of comprehensive income or in two separate but consecutive statements. In both choices, an entity is required to present each component of net income along with total net income, each component of other comprehensive income along with a total for other comprehensive income and a total amount for comprehensive income. The guidance eliminates the option to present the components of other comprehensive income as part of the statement of changes in stockholders’ equity. The amended guidance was effective for interim and annual periods beginning after December 15, 2011, and was applied retrospectively. The Company adopted this guidance during the first quarter of fiscal year 2012. Adoption of this guidance did not have a material impact on the Company’s consolidated financial statements.

In July 2012, the FASB issued an accounting standard update regarding testing of intangible assets for impairment. This standard update allows companies the option to perform a qualitative assessment to determine whether it is more likely than not that an indefinite lived intangible asset is impaired. An entity is not required to calculate the fair value of an indefinite-lived intangible asset and perform the quantitative impairment test unless the entity determines that it is more likely than not the asset is impaired. We will adopt this standard update during the first quarter of 2013. The adoption of this standard is not expected to have a significant impact on the Company’s consolidated financial statements.

 

3. ACQUISITIONS

On December 28, 2012, we acquired all of the outstanding shares of capital stock of Exos Corporation (Exos) for a total purchase price of $40.6 million. The purchase price consisted of a cash payment of $31.2 million, settlement of the existing distributor agreement with Exos at a fair value of $1.2 million and $8.2 million for the fair value of contingent consideration. Of the initial cash payment, $3.0 million was withheld from the closing date payment and was paid to a third party escrow agent to secure the indemnity obligations of the seller.

The $10.0 million contingent consideration was measured at a fair value of $8.2 million based on the probability weighted estimate of approximately 95% for the achievement of milestones and budgeted 2013 Exos

 

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product line revenues. The fair value of the expected payment was then calculated using as 13% discount rate as the contingent consideration is to be paid in April 2014. This fair value measurement is categorized within Level 3 of the fair value hierarchy.

Exos is a medical device company focused on thermoformable external musculoskeletal stabilization systems for the treatment of fractures and other injuries requiring stabilization. All goodwill arising from the Exos acquisition was allocated to our Bracing and Vascular reporting segment. In connection with the acquisition of Exos, we incurred $1.3 million of direct acquisition costs comprised of $0.5 million of legal and other professional fees and $0.8 million of transaction and advisory fees to Blackstone Advisory Partners L.P., and Blackstone Management Partners LLC, affiliates of our major shareholder (see Note 17). These costs are included in selling, general and administrative expense in our Consolidated Statement of Operations. The acquisition was partially funded using proceeds from $25.0 million of new term loans issued on December 28, 2012 (see Note 12).

During 2011, we made the following acquisitions, all of which are included in our Bracing and Vascular segment (with the exception of the international activities of Dr. Comfort and ETI, which are included in our International segment):

On April 7, 2011, we acquired all of the LLC membership interests of Rikco International, LLC, d/b/a Dr. Comfort (Dr. Comfort), for a total purchase price of $257.5 million. Dr. Comfort is a provider of therapeutic footwear, which serves the diabetes care market in podiatry practices, orthotic and prosthetic centers, home medical equipment providers and independent pharmacies. In connection with the acquisition of Dr. Comfort, we incurred $11.3 million of direct acquisition costs comprised of $2.2 million in legal and other professional fees, $4.1 million of bridge financing fees and $5.0 million in transaction and advisory fees to Blackstone Advisory Partners L.P., an affiliate of our major shareholder (see Note 17). These costs are included in selling, general and administrative expense in our Consolidated Statement of Operations. The acquisition was funded using proceeds from $300.0 million of new 7.75% senior notes (7.75% Notes) issued in April 2011 (see Note 12).

On March 10, 2011, we acquired substantially all of the assets of Circle City Medical, Inc. (Circle City or Bell-Horn). Circle City markets orthopedic soft goods and medical compression therapy products to independent pharmacies and home healthcare dealers. The purchase price was $11.7 million, of which $1.3 million was withheld from the closing date payment and was paid to a third party escrow agent to secure the indemnity obligations of the seller. No claims were made and the holdback was paid in March 2012. An additional $1.3 million was deposited into escrow for the retention of a key employee and is being recognized as compensation expense over the retention period of 24 months. Direct acquisition costs associated with the Circle City acquisition of $0.1 million are included in selling, general and administrative expense in our Consolidated Statement of Operations. We financed the acquisition with cash on hand and a draw of $7.0 million on our revolving line of credit. Up to an additional $2.0 million may be earned by the sole shareholder of Circle City as a royalty payment based on future sales of a specific product line over the next six years. This potential royalty payment was evaluated separately from the acquisition of the assets and liabilities of Circle City, and the royalty payments will be expensed as they are earned. For the year ended December 31, 2012, royalty payments made to the seller for sales of this product line were not significant to the Company.

On February 4, 2011, we purchased certain assets of an e-commerce business (BetterBraces.com), which offers various bracing, cold therapy and electrotherapy products, for total consideration of $3.0 million. Of the total purchase price, $1.8 million was paid in cash at closing, $0.4 million was offset against accounts receivable due from the seller, $0.5 million was retained to fully repay outstanding principal and accrued interest due from the seller under a revolving convertible promissory note, and $0.3 million was paid to the seller in February 2012 following expiration of an indemnification hold back period. The acquisition was financed using cash on hand.

On January 4, 2011, we acquired all of the outstanding shares of capital stock of Elastic Therapy, Inc. (ETI), a designer and manufacturer of private label medical compression therapy products used to treat and prevent a wide range of venous disorders. The purchase price was $46.4 million, of which $3.6 million was deposited in escrow for up to one year to fund potential indemnity of claims. No claims were made and the holdback was paid

 

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in January 2012. An additional $1.0 million was deposited in escrow for the retention of certain key employees and was fully paid in installments six months, nine months and twelve months after the closing date. This retention amount was expensed over the period it was earned. Direct acquisition costs associated with the ETI acquisition of $0.3 million are included in selling, general and administrative expense in our Consolidated Statement of Operations. The acquisition was financed using cash on hand and a draw of $35.0 million on our revolving line of credit.

On September 20, 2010, we acquired certain assets and contractual rights from our independent South African distributor for total consideration of $1.9 million, which included holdbacks of $0.3 million related primarily to potential indemnification claims. We have withheld this payment pending resolution of certain post-closing adjustments.

The purchase price for each of these acquisitions was allocated to the fair values of the net tangible and intangible assets acquired as follows (in thousands):

 

(in thousands):

   Exos     Dr. Comfort     Circle City     BetterBraces.
com
     ETI     DJO South
Africa
 

Cash

   $ 1,282      $ 59      $ —        $ —         $ 817      $ —     

Accounts receivable

     1,138        9,187        572        —           3,690        —     

Inventory

     1,754        27,241        1,736        —           2,133        435   

Other current assets

     105        2,108        —          —           1,542        —     

Property and equipment

     584        2,183        —          —           7,230        310   

Other non-current assets

     12        1,607        —          —           394        —     

Liabilities assumed

     (474     (10,854     (406     —           (1,876     —     

Deferred tax liabilities

     (9,137     (15,111     —          —           (9,609     —     

Identifiable intangible assets (1):

             

Customer relationships

     —          72,100        3,700        75         13,400        1,103   

Technology

     24,200        7,000        —          1,120         6,000        —     

Non-compete

     1,900        1,200        200        185         1,600        —     

Trademarks and trade names

     1,000        22,200        1,400        50         —          —     

Goodwill (2)

     18,211        138,548        4,469        1,570         21,085        64   
  

 

 

   

 

 

   

 

 

   

 

 

    

 

 

   

 

 

 

Total purchase price

   $ 40,575      $ 257,468      $ 11,671      $ 3,000       $ 46,406      $ 1,912   
  

 

 

   

 

 

   

 

 

   

 

 

    

 

 

   

 

 

 

 

(1) The fair value of customer relationships was assigned to relationships with major customers existing on the acquisition date based upon an estimate of the future discounted cash flows that would be derived from those customers, after deducting contributory asset charges.

The fair value of technology was determined primarily by estimating the present value of future royalty costs that will be avoided due to our ownership of the patents and technology acquired.

The fair value of non-compete agreements relate to non-compete agreements entered into with certain members of senior management. The values were determined by estimating the present value of the cash flows associated with having these agreements in place, less the present value of the cash flows assuming the non-compete agreements were not in place.

The fair value of trademarks and trade names was determined primarily by estimating the present value of future royalty costs that will be avoided due to our ownership of the trade names and trademarks acquired.

The useful lives of the intangible assets acquired were estimated based on the underlying agreements and/or the future economic benefit expected to be received from the assets.

 

(2)

Goodwill represents the excess purchase price over the fair value of the identifiable net assets acquired. Among the factors which resulted in the recognition of goodwill for Exos was improved our margins on the sale of Exos products and being able to control the rights to future products developed by Exos. Among the factors which resulted in the recognition of goodwill for Dr. Comfort was expanded product offerings and increased markets. Among the factors which resulted in the recognition of goodwill for ETI was expanded

 

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  product offerings and vertically integrated products which had been purchased from a third party manufacturer. Among the factors which resulted in the recognition of goodwill for Circle City were expected cost savings from consolidation of warehouse facilities and reduction of redundant general and administrative expenses. Among the factors which resulted in the recognition of goodwill for BetterBraces.com were expected cost savings resulting from distribution efficiencies and from reduction of redundant general and administrative expenses.

Goodwill related to our Circle City and BetterBraces.com acquisitions is expected to be deductible for tax purposes.

The results of operations attributable to each acquisition are included in our condensed consolidated financial statements from the date of acquisition. The pro forma financial results presented below (in thousands) give effect to the acquisitions of Exos, Dr. Comfort, ETI and Circle City, as if such acquisitions had been completed as of the beginning of fiscal year 2011. The pro forma results presented include amortization charges for acquired intangible assets, elimination of intercompany transactions, adjustments for the increased fair value of acquired inventory, additional interest expense and related tax effects. These pro forma results are not necessarily indicative of the operating results that would have been achieved had these acquisitions occurred on such date.

 

     Year Ended December 31,  
     2012     2011  

Net sales

   $ 1,129,626      $ 1,095,467   
  

 

 

   

 

 

 

Net loss attributable to DJOFL

   $ (120,877   $ (225,420
  

 

 

   

 

 

 

Due to the December 28, 2012 acquisition date, our Consolidated Statement of Operations includes no activity attributable to Exos for the year ended December 31, 2012, except for the direct costs incurred to complete the acquisition.

 

4. ACCOUNTS RECEIVABLE RESERVES

A summary of activity in our accounts receivable reserves for doubtful accounts and sales returns is presented below (in thousands):

 

     Year Ended December 31,  
     2012     2011     2010  

Balance, beginning of year

   $ 38,315      $ 53,076      $ 48,306   

Provision for doubtful accounts and sales returns

     22,226        31,673        33,077   

Write-offs, net of recoveries

     (31,347     (46,434     (28,307
  

 

 

   

 

 

   

 

 

 

Balance, end of year

   $ 29,194      $ 38,315      $ 53,076   
  

 

 

   

 

 

   

 

 

 

 

5. INVENTORIES

Inventories consist of the following (in thousands):

 

     December 31,
2012
    December 31,
2011
     

Components and raw materials

   $ 50,619      $ 50,322     

Work in process

     4,563        4,681     

Finished goods

     94,683        60,839     

Inventory held on consignment

     23,763        27,003     
  

 

 

   

 

 

   
     173,628        142,845     

Inventory reserves

     (17,313     (14,146  
  

 

 

   

 

 

   
   $ 156,315      $ 128,699     
  

 

 

   

 

 

   

 

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A summary of the activity in our reserves for estimated slow moving, excess, obsolete and otherwise impaired inventory is presented below (in thousands):

 

     Year Ended December 31,  
     2012     2011     2010  

Balance, beginning of year

   $ 14,146      $ 12,853      $ 13,063   

Provision charged to costs of sales

     6,350        7,706        6,596   

Write-offs, net of recoveries

     (3,183     (6,413     (6,806
  

 

 

   

 

 

   

 

 

 

Balance, end of year

   $ 17,313      $ 14,146      $ 12,853   
  

 

 

   

 

 

   

 

 

 

The write-offs to the reserve were principally related to the disposition of fully reserved inventory.

 

6. PROPERTY AND EQUIPMENT, NET

Property and equipment consists of the following (in thousands):

 

     December 31,
2012
    December 31,
2011
    Depreciable lives
(years)

Land

   $ 266      $ 266      Indefinite

Buildings and improvements

     26,802        22,646      3 to 25

Equipment

     105,351        92,816      2 to 7

Software

     31,270        29,314      3 to 10

Furniture and fixtures

     23,441        17,335      3 to 8

Surgical implant instrumentation

     46,504        40,739      5

Construction in progress

     8,196        8,753      N/A
  

 

 

   

 

 

   
     241,830        211,869     

Accumulated depreciation and amortization

     (134,795     (104,761  
  

 

 

   

 

 

   

Property and equipment, net

   $ 107,035      $ 107,108     
  

 

 

   

 

 

   

Depreciation and amortization expense relating to property and equipment (including equipment under capital leases) was $30.2 million, $27.3 million, and $26.0 million for the years ended December 31, 2012, 2011, and 2010, respectively.

 

7. LONG-LIVED ASSETS

Goodwill

Changes in the carrying amount of goodwill are presented in the table below (in thousands):

 

     Year Ended December 31,      
     2012      2011      

Balance, beginning of year

   $ 1,228,778       $ 1,188,887     

Acquisitions (see Note 3)

     18,211         165,672     

Impairment of goodwill

     —           (124,106  

Foreign currency translation

     2,316         (1,675  
  

 

 

    

 

 

   

Balance, end of year

   $ 1,249,305       $ 1,228,778     
  

 

 

    

 

 

   

In performing our 2012 goodwill impairment test, we estimated the fair values of our reporting units using the income approach which includes the discounted cash flow method and the market approach which includes the use of market multiples. These fair value measurements are categorized within Level 3 of the fair value hierarchy. The discounted cash flows for each reporting unit were based on discrete financial forecasts developed by management for planning purposes, and required significant judgment with respect to forecasted sales, gross

 

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margin, selling, general and administrative expenses, depreciation, income taxes, capital expenditures, working capital requirements and the selection and use of an appropriate discount rate. For purposes of calculating the discounted cash flows of our reporting units, we used estimated revenue growth rates averaging between 2% and 10% for the discrete forecast period. Cash flows beyond the discrete forecasts were estimated using a terminal value calculation, which incorporated historical and forecasted financial trends for each identified reporting unit and considered long-term earnings growth rates for publicly traded peer companies. Future cash flows were then discounted to present value at discount rates ranging from 9.6% to 11.2%, and terminal value growth rates of 3%. Publicly available information regarding comparable market capitalization was also considered in assessing the reasonableness of the cumulative fair values of our reporting units estimated using the discounted cash flow methodology. We determined that the fair value of the six reporting units with goodwill assigned to them exceeds their carrying value. As such, we determined that the goodwill of our reporting units was not impaired.

In the fourth quarter of 2011, we determined that the carrying values of our Empi and Surgical Implant reporting units were in excess of their estimated fair values. As a result, we recorded goodwill impairment charges for the Empi and Surgical Implant reporting units of $76.7 million and $47.4 million, respectively. These impairment charges were included in impairment of goodwill and intangible assets in our Consolidated Statement of Operations. The goodwill impairment in our Empi reporting unit in 2011 resulted primarily from reductions in our projected operating results due to unfavorable decisions made by certain third party payors related to insurance pricing for certain products sold by the Empi business. The goodwill impairment in our Surgical Implant reporting unit in 2011 resulted primarily from reductions in our projected operating results and estimated future cash flows for the business. For all other reporting units, estimated fair values at December 31, 2011 exceeded carrying values.

Intangible Assets

Identifiable intangible assets consisted of the following (in thousands):

 

December 31, 2012

   Gross Carrying
Amount
     Accumulated
Amortization
    Intangible
Assets, Net
 

Definite lived intangible assets:

       

Customer relationships

   $ 570,221       $ (236,228   $ 333,993   

Patents and technology

     485,675         (195,099     290,576   

Trademarks and trade names

     25,773         (4,248     21,525   

Distributor contracts and relationships

     3,662         (1,659     2,003   

Non-compete agreements

     5,547         (1,722     3,825   
  

 

 

    

 

 

   

 

 

 
   $ 1,090,878       $ (438,956     651,922   
  

 

 

    

 

 

   

Indefinite lived intangible assets:

       

Trademarks and trade names

          403,609   
       

 

 

 

Net identifiable intangible assets

        $ 1,055,531   
       

 

 

 

 

December 31, 2011

   Gross Carrying
Amount
     Accumulated
Amortization
    Intangible
Assets, Net
 

Definite lived intangible assets:

       

Customer relationships

   $ 569,528       $ (181,396   $ 388,132   

Patents and technology

     460,624         (156,290     304,334   

Trademarks and trade names

     23,650         (1,807     21,843   

Distributor contracts and relationships

     5,089         (1,206     3,883   

Non-compete agreements

     3,636         (883     2,753   
  

 

 

    

 

 

   

 

 

 
   $ 1,062,527       $ (341,582     720,945   
  

 

 

    

 

 

   

Indefinite lived intangible assets:

       

Trademarks and trade names

          411,749   
       

 

 

 

Net identifiable intangible assets

        $ 1,132,694   
       

 

 

 

 

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In 2012, we began the process of changing the trade name used for our German operations from Ormed to DJO to be consistent with our global strategy. In conjunction with this change, we revised our assumption as to the useful life of the Ormed trade name intangible asset, which resulted in changing the remaining estimated life of the asset from indefinite to three years. These changes triggered an impairment review of the intangible asset. Based on the application of a differential cash flow method, whereby an investor would be willing to pay a price equal to the present value of the incremental cash flows attributable to the economic benefit derived from defending the trade name in the market, we determined that the carrying amount of the asset was in excess of its estimated fair value. As a result, we recorded an impairment charge of $7.4 million, which is included in the Impairment of goodwill and intangible assets line item in the Consolidated Statements of Operations. This fair value measurement is categorized within Level 3 of the fair value hierarchy.

Additionally, in the fourth quarter of 2012 we tested for impairment, our remaining indefinite lived intangible assets, consisting of trade names. This test work compares the fair value of the asset with its carrying amount. To determine the fair value we applied the relief from royalty (RFR) method. Under the RFR method, the value of the trade name is determined by calculating the present value of the after-tax cost savings associated with owning the asset and therefore not being required to pay royalties for its use during the asset’s indefinite life. Significant judgments inherent in this analysis include the selection of appropriate discount rates, estimating future cash flows and the identification of appropriate terminal growth rate assumptions. Discount rate assumptions are based on an assessment of the risk inherent in the projected future cash generated by the respective intangible assets. Also subject to judgment are assumptions about royalty rates, which are based on the estimated rates at which similar brands and trademarks are being licensed in the marketplace. We determined that the fair value of these trade names exceed their carrying value. As such, we determined that these indefinite lived intangible assets are not impaired. This fair value measurement is categorized within Level 3 of the fair value hierarchy.

Additionally, in the fourth quarter of 2011, we determined that the carrying value of our Empi trade name was in excess of its estimated fair value, and recorded an impairment charge of $16.9 million. These impairment charges were included in Impairment of goodwill and intangible assets line item in the Consolidated Statement of Operations.

Our definite lived intangible assets are being amortized using the straight line method over their remaining weighted average useful lives of 6.8 years for customer relationships, 9.8 years for patents and technology, 4.2 years for distributor contracts and relationships, 8.1 years for trademarks and trade names, and 3.8 years for non-compete agreements. Based on our amortizable intangible asset balance as of December 31, 2012, we estimate that amortization expense will be as follows for the next five years and thereafter (in thousands):

 

2013

   $ 94,186   

2014

     92,135   

2015

     87,599   

2016

     83,602   

2017

     72,346   

Thereafter

     222,054   
  

 

 

 
   $ 651,922   
  

 

 

 

Our goodwill and intangible assets by segment are as follows (in thousands):

 

December 31, 2012

   Goodwill      Intangible
Assets, Net
 

Bracing and Vascular

   $ 483,258       $ 572,187   

Recovery Sciences

     419,299         283,342   

International

     346,748         182,638   

Surgical Implant

     —           17,364   
  

 

 

    

 

 

 
   $ 1,249,305       $ 1,055,531   
  

 

 

    

 

 

 

 

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December 31, 2011

   Goodwill      Intangible
Assets, Net
 

Bracing and Vascular

   $ 465,047       $ 586,079   

Recovery Sciences

     419,299         319,303   

International

     344,432         207,229   

Surgical Implant

     —           20,083   
  

 

 

    

 

 

 
   $ 1,228,778       $ 1,132,694   
  

 

 

    

 

 

 

 

8. OTHER CURRENT LIABILITIES

Other current liabilities consist of the following (in thousands):

 

     December 31,
2012
     December 31,
2011
 

Accrued wages and related expenses

   $ 29,888       $ 29,856   

Accrued commissions

     14,182         12,831   

Income taxes payable

     4,380         2,878   

Accrued rebates

     6,860         6,027   

Accrued other taxes

     4,477         4,195   

Accrued professional expenses

     3,525         3,927   

Derivative liabilities

     —           545   

Other accrued liabilities

     30,328         21,512   
  

 

 

    

 

 

 
   $ 93,640       $ 81,771   
  

 

 

    

 

 

 

 

9. EMPLOYEE BENEFIT PLANS

We have multiple qualified defined contribution plans, which allow for voluntary pre-tax contributions by employees. We pay all general and administrative expenses of the plans and may make contributions to the plans. Based on 100% of the first 1% and 50% of the next 5% of compensation deferred by employees (subject to IRS limits and non-discrimination testing), we made matching contributions of $4.0 million, $3.7 million, and $3.4 million, to the plans for the years ended December 31, 2012, 2011 and 2010, respectively. The plans provide for discretionary contributions by us, as approved by the Board of Directors. There have been no such discretionary contributions through December 31, 2012. In addition, we made contributions to our international pension plans of $1.3 million, $0.8 million, and $0.4 million for the years ended December 31, 2012, 2011 and 2010, respectively.

 

10. DERIVATIVE INSTRUMENTS

From time to time, we use derivative financial instruments to manage interest rate risk related to our variable rate credit facilities and risk related to foreign currency exchange rates. Our objective is to reduce the risk to earnings and cash flows associated with changes in interest rates and changes in foreign currency exchange rates. Before acquiring a derivative instrument to hedge a specific risk, we evaluate potential natural hedges. Factors considered in the decision to hedge an underlying market exposure include the materiality of the risk, the volatility of the market, the duration of the hedge, and the availability, effectiveness and cost of derivative instruments. We do not use derivative instruments for speculative or trading purposes.

All derivatives, whether designated as hedging relationships or not, are recorded on the balance sheet at fair value. The fair value of our derivatives is determined through the use of models that consider various assumptions, including time value, yield curves and other relevant economic measures which are inputs that are classified as Level 2 in the fair value hierarchy. The classification of gains and losses resulting from changes in the fair values of derivatives is dependent on the intended use of the derivative and its resulting designation. Our interest rate swap agreements were designated as cash flow hedges, and accordingly, effective portions of changes in the fair value of the derivatives were recorded in accumulated other comprehensive income (loss) and

 

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subsequently reclassified into our Consolidated Statement of Operations when the hedged forecasted transaction affects income (loss). Ineffective portions of changes in the fair value of cash flow hedges are recognized in income (loss). Our foreign exchange contracts have not been designated as hedges, and accordingly, changes in the fair value of the derivatives are recorded in income (loss).

Interest Rate Swap Agreements. In prior years, we have used interest rate swaps from time to time to manage the risk of unfavorable movements in interest rates on a portion of our then outstanding variable rate loan balances. Our interest rate swap agreements were designated as cash flow hedges for accounting purposes, and the hedges were considered effective. As such, the effective portion of the gain or loss on the derivative instrument was reported as a component of accumulated other comprehensive income (loss) and reclassified into interest expense in our Consolidated Statement of Operations in the period in which it affected income (loss). We had no interest rate swap agreements outstanding during 2012.

Foreign Exchange Rate Contracts. We utilize Mexican Peso (MXN) foreign exchange forward contracts to hedge a portion of our exposure to fluctuations in foreign exchange rates, as our Mexico-based manufacturing operations incur costs that are largely denominated in MXN. Foreign currency exchange forward contracts held as of December 31, 2012 expire weekly through June 2013. While our foreign exchange forward contracts act as economic hedges, we have not designated such instruments as hedges for accounting purposes. Therefore, gains and losses resulting from changes in the fair values of these derivative instruments are recorded in Other income (expense), net, in our accompanying Consolidated Statements of Operations.

Information regarding the notional amounts of our foreign exchange forward contracts is presented in the table below (in thousands):

 

     Notional Amount (MXN)      Notional Amount (USD)  
     December 31,
2012
     December 31,
2011
     December 31,
2012
     December 31,
2011
 

Foreign exchange contracts not designated as hedges

     92,617         197,900       $ 6,376       $ 14,576   
  

 

 

    

 

 

    

 

 

    

 

 

 

The following table summarizes the fair value of derivative instruments in our consolidated balance sheets (in thousands):

 

     Balance Sheet Location    December 31,
2012
     December 31,
2011
 

Derivative Assets:

        

Foreign exchange forward contracts not designated as hedges

   Other current
assets
   $ 777       $  —     
     

 

 

    

 

 

 

Derivative Liabilities:

        

Foreign exchange forward contracts not designated as hedges

   Other current
liabilities
     —           545   
     

 

 

    

 

 

 

The following table summarizes the effect our derivative instruments have on our Consolidated Statements of Operations (in thousands):

 

         Year Ended December 31,  
     Location of gain (loss)   2012      2011     2010  

Interest rate swap agreements designated as cash flow hedges

   Interest expense (1)   $ —         $ (7,154   $ (12,211

Foreign exchange forward contracts not designated as hedges

   Other income
(expense), net
    1,322         (830     285   
    

 

 

    

 

 

   

 

 

 
     $ 1,322       $ (7,984   $ (11,926
    

 

 

    

 

 

   

 

 

 

 

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(1) Represents the loss on derivative instruments designated as cash flow hedges, reclassified from accumulated other comprehensive income (loss) into interest expense during the periods presented.

The pre-tax loss on derivative instruments designated as cash flow hedges recognized in other comprehensive income (loss) is presented below (in thousands):

 

     Year Ended December 31,  
     2012      2011      2010  

Interest rate swap agreements designated as cash flow hedges

   $ —         $ 447       $ 7,674   
  

 

 

    

 

 

    

 

 

 

 

11. FAIR VALUE MEASUREMENTS

Financial assets and liabilities are classified based on the lowest level of input that is significant to the fair value measurements. Our assessment of the significance of a particular input to the fair value measurements requires judgment and may affect the valuation of the assets and liabilities being measured and their placement within the fair value hierarchy.

The following tables present the balances of financial assets and liabilities measured at fair value on a recurring basis (in thousands):

 

As of December 31, 2012

   Quoted Prices
in Active
Markets for
Identical Assets
(Level  1)
     Significant
Other
Observable
Inputs
(Level 2)
     Significant
Unobservable
Inputs
(Level 3)
     Recorded
Balance
 

Assets:

           

Foreign exchange forward contracts not designated as hedges

   $ —         $ 777       $ —         $ 777   

Liabilities:

           

Contingent consideration

   $ —         $ —         $ 8,200       $ 8,200   
  

 

 

    

 

 

    

 

 

    

 

 

 

 

As of December 31, 2011

   Quoted Prices
in Active
Markets for
Identical Assets
(Level  1)
     Significant
Other
Observable
Inputs
(Level 2)
     Significant
Unobservable
Inputs
(Level 3)
     Recorded
Balance
 

Liabilities:

           

Foreign exchange forward contracts not designated as hedges

   $ —         $ 545       $ —         $ 545   
  

 

 

    

 

 

    

 

 

    

 

 

 

 

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12. DEBT AND CAPITAL LEASES

Debt and capital lease obligations consists of the following (in thousands):

 

     December 31,
2012
    December 31,
2011
 

Senior secured credit facilities:

    

Revolving credit facility

   $ 3,000      $ —     

$476.5 million new term loans, net of unamortized original issue discount of $7.3 million

     469,200        —     

$385.5 million extended term loans, net of unamortized original issue discount of $1.5 million

     383,965        —     

Original senior secured credit facilities:

    

Original revolving credit facility

     —          51,000   

Original term loans, net of unamortized original issue discount of $4.4 million

     —          838,591   

8.75% Second priority senior secured notes, including unamortized original issue premium of $6.5 million

     336,509        —     

10.875% Senior unsecured notes, including unamortized original issue premium of $3.3 million

     —          678,282   

9.875% Senior unsecured notes

     440,000        —     

7.75% Senior unsecured notes

     300,000        300,000   

9.75% Senior subordinated notes

     300,000        300,000   

Capital lease obligations and other

     —          38   
  

 

 

   

 

 

 

Total debt and capital lease obligations

     2,232,674        2,167,911   

Current maturities

     (8,858     (8,820
  

 

 

   

 

 

 

Long-term debt and capital lease obligations

   $ 2,223,816      $ 2,159,091   
  

 

 

   

 

 

 

Senior Secured Credit Facilities

On November 20, 2007, we entered into senior secured credit facilities (the “original senior secured credit facilities”) consisting of a $1,065.0 million term loan facility maturing in May 2014 (the “original term loans”) and a $100.0 million revolving credit facility maturing in November 2013 ( the “original revolving credit facility”). We issued the original term loans at a 1.2% discount.

On March 20, 2012, we amended and restated our senior secured credit facilities, (the “senior secured credit facilities”), which (1) permitted the issuance of $230.0 million aggregate principal of 8.75% second priority senior secured notes (as defined and further described below) (2) extended the maturity of $564.7 million of the original term loans outstanding under the original senior secured credit facilities to November 1, 2016 (“extended term loans”); (3) provided for the issuance of a new tranche of $350.0 million of term loans that will mature on September 15, 2017; (4) deemed certain previous acquisitions and investments to be permitted under the terms of the senior secured credit facilities; (5) increased the total net leverage ratio limitation in the permitted acquisitions covenant from 7.0x to 7.5x; (6) changed the financial maintenance covenant from a senior secured leverage ratio covenant to a senior secured first lien leverage ratio covenant; and (7) replaced our original senior secured revolving credit facility with a new $100.0 million revolving credit facility (the “revolving credit facility”) which matures on March 15, 2017.

On March 30, 2012, we entered into an amendment to the senior secured credit facilities which, among other things, provided for the issuance of an additional $105.0 million of new term loans that will mature on September 15, 2017. The net proceeds from the issuance were used to repay $103.5 million aggregate principal of original new term loans under the original senior secured credit facilities and pay related fees, premiums and expenses.

 

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On December 19, 2012, we entered into an incremental amendment to our senior secured credit facilities which provided for the issuance of an additional $25.0 million of new term loans on December 28, 2012 that mature on September 15, 2017. The net proceeds from the issuance were used to partially fund the acquisition of Exos Corporation (See Note 3).

Collectively, the $350.0 million of new term loans issued on March 20, 2012, the $105.0 million of new term loans issued on March 30, 2012 and the $25.0 million of new term loans issued on December 28, 2012 are referred to as the (“new term loans”).

Of the new term loans: $350.0 million were issued at a 1.5% discount, $105.0 million were issued at a 1.0% discount and $25.0 million were issued at par. The original issue discounts are being amortized over the term of the new term loans using the effective interest method.

As of December 31, 2012, the market values of our senior secured credit facilities and senior secured revolving credit facility were $866.3 million and $2.8 million, respectively. We determine market value using trading prices for the senior secured credit facilities on or near that date. This fair value measurement is categorized within Level 2 of the fair value hierarchy.

Interest Rates. The interest rate margins applicable to borrowings under the senior secured revolving credit facility are, at our option, either (a) the Eurodollar rate, plus 475 basis points or (b) a base rate determined by reference to the highest of (1) the prime rate, (2) the federal funds rate, plus 0.50% and (3) the Eurodollar rate for a one-month interest period, plus 375 basis points. The interest rate margins applicable to the extended term loans and the new term loans are, at our option, either (a) the Eurodollar rate plus 500 basis points or (b) a base rate plus 400 basis points. There is a minimum LIBOR rate applicable to the Eurodollar component of interest rates on new term loan borrowings of 1.25%. The applicable margin for borrowings under the senior secured revolving credit facility, the extended term loans and the new term loans may be reduced, subject to our attaining certain leverage ratios. As of December 31, 2012, our weighted average interest rate for all borrowings under the senior secured credit facilities was 5.78%.

Fees. In addition to paying interest on outstanding principal under the senior secured credit facilities, we are required to pay a commitment fee to the lenders under the senior secured revolving credit facility with respect to the unutilized commitments thereunder. The current commitment fee rate is 0.50% per annum, subject to step-downs based upon the achievement of certain leverage ratios. We must also pay customary letter of credit fees.

Principal Payments. We are required to pay annual payments in equal quarterly installments on the new term loans in an amount equal to 1.00% of the funded total principal amount through June 2017, with any remaining amount payable in full at maturity in September 2017. We are required to pay annual payments in equal quarterly installments on the extended term loans in an amount equal to 1.00% of the funded total principal amount through September 2016, with any remaining amount payable in full at maturity in November 2016.

Prepayments. The senior secured credit facilities require us to prepay outstanding term loans, subject to certain exceptions, with (1) 50% (which percentage can be reduced to 25% or 0% upon our attaining certain leverage ratios) of our annual excess cash flow, as defined; (2) 100% of the net cash proceeds above an annual amount of $25.0 million from non-ordinary course asset sales (including insurance and condemnation proceeds) by us and our restricted subsidiaries, subject to certain exceptions, including a 100% reinvestment right if reinvested or committed to reinvest within 15 months of such sale or disposition so long as reinvestment is completed within 180 days thereafter; and (3) 100% of the net cash proceeds from issuance or incurrence of debt by us and our restricted subsidiaries, other than proceeds from debt permitted to be incurred under the senior secured credit facilities and related amendments. Any mandatory prepayments are applied to the term loan facility in direct order of maturity. We were not required to make any prepayments in 2012 related to our 2011 excess cash flow.

 

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Subject to certain exceptions, voluntary prepayments of the extended term loans and the new term loans within one year of the effective date of Amendment No. 1 are subject to a 1.0% “soft call” premium, while other voluntary prepayments of outstanding loans under the senior secured credit facilities may be made at any time without premium or penalty, provided that voluntary prepayments of Eurodollar loans made on a date other than the last day of an interest period applicable thereto shall be subject to customary breakage costs.

Guarantee and Security. All obligations under the senior secured credit facilities are unconditionally guaranteed by DJO Holdings LLC (“DJO Holdings”) and each of our existing and future direct and indirect wholly-owned domestic subsidiaries other than immaterial subsidiaries, unrestricted subsidiaries and subsidiaries that are precluded by law or regulation from guaranteeing the obligations (collectively, the “Guarantors”).

All obligations under the senior secured credit facilities, and the guarantees of those obligations, are secured by pledges of 100% of our capital stock, 100% of the capital stock of each wholly-owned domestic subsidiary and 65% of the capital stock of each wholly owned foreign subsidiary that is, in each case, directly owned by us or one of the Guarantors, and a security interest in, and mortgages on, substantially all tangible and intangible assets of DJO Holdings, DJOFL and each Guarantor.

Certain Covenants and Events of Default. The senior secured credit facilities contain a number of covenants that, among other things, restrict, subject to certain exceptions, our and our subsidiaries’ ability to:

 

   

incur additional indebtedness;

 

   

create liens on assets;

 

   

change fiscal years;

 

   

enter into sale and leaseback transactions;

 

   

engage in mergers or consolidations;

 

   

sell assets;

 

   

pay dividends and other restricted payments;

 

   

make investments, loans or advances;

 

   

repay subordinated indebtedness;

 

   

make certain acquisitions;

 

   

engage in certain transactions with affiliates;

 

   

restrict the ability of restricted subsidiaries that are not Guarantors to pay dividends or make distributions;

 

   

amend material agreements governing our subordinated indebtedness; and

 

   

change our lines of business.

In addition, the senior secured credit facilities require us to maintain a maximum senior secured first lien leverage ratio of consolidated senior secured first lien debt to Adjusted EBITDA (as defined) of 4.25:1 for 2012, stepping down periodically to 3.25:1 at the end of 2016. The senior secured credit facilities also contain certain customary affirmative covenants and events of default. As of December 31, 2012, our actual senior secured first lien net leverage ratio was 3.01:1, and we were in compliance with all other applicable covenants.

8.75% Second Priority Senior Secured Notes

On March 20, 2012 and October 1, 2012, we issued $330.0 million aggregate principal amount of 8.75% Second priority senior secured notes (8.75% Notes) maturing on March 15, 2018. The 8.75% Notes are guaranteed jointly and severally and on a senior secured basis by each of DJOFL’s existing and future direct and indirect wholly-owned domestic subsidiaries that guarantee any of DJOFL’s indebtedness, or any indebtedness of DJOFL’s domestic subsidiaries, or is an obligor under the senior secured credit facilities.

 

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Pursuant to a second lien security agreement, the 8.75% Notes are secured by second priority liens, subject to permitted liens, on certain of our assets that secure borrowings under the senior secured credit facilities.

As of December 31, 2012, the market value of the 8.75% Notes was $366.3 million. We determined market value using trading prices for the 8.75% Notes on or near that date. This fair value measurement is categorized within Level 2 of the fair value hierarchy.

Optional Redemption. Under the agreement governing the 8.75% Notes (8.75% Indenture), prior to March 15, 2015, we have the option to redeem some or all of the 8.75% Notes for cash at a redemption price equal to 100% of the then outstanding principal balance plus an applicable make-whole premium, plus accrued and unpaid interest. Beginning on March 15, 2015, we may redeem some or all of the 8.75% Notes at a redemption price of 104.375% of the then outstanding principal balance, plus accrued and unpaid interest. The redemption price decreases to 102.188% and 100% of the then outstanding principal balance at March 15, 2016 and 2017, respectively, plus accrued and unpaid interest. Additionally, from time to time, before March 15, 2015, we may redeem up to 35% of the 8.75% Notes at a redemption price equal to 108.75% of the then outstanding principal balance, plus accrued and unpaid interest, in each case, with proceeds we raise, or a direct or indirect parent company raises, in certain offerings of equity of DJOFL or its direct or indirect parent companies, as long as at least 65% of the aggregate principal amount of the notes issued remains outstanding.

Change of Control. Upon the occurrence of a change of control, unless DJOFL has previously sent or concurrently sends a notice exercising its optional redemption rights with respect to all of the 8.75% Notes, DJOFL will be required to make an offer to repurchase all of the 8.75% Notes at 101% of the then outstanding principal balance, plus accrued and unpaid interest.

Covenants. The 8.75% Indenture contains covenants limiting, among other things, our and our restricted subsidiaries’ ability to (i) incur additional indebtedness or issue certain preferred and convertible shares, pay dividends on, redeem, repurchase or make distributions in respect of the capital stock of DJO or make other restricted payments, (ii) make certain investments, (iii) sell certain assets, (iv) create liens on certain assets to secure debt, (v) consolidate, merge, sell or otherwise dispose of all or substantially all of our assets, (vi) enter into certain transactions with affiliates, or (vii) designate our subsidiaries as unrestricted subsidiaries. As of December 31, 2012, we were in compliance with all applicable covenants.

10.875% Senior Unsecured Notes

On November 20, 2007 and January 20, 2010, we issued $675.0 million aggregate principal amount of 10.875% Senior unsecured notes (10.875% Notes) due in 2014.

On March 20, 2012, we repurchased $210.0 million aggregate principal amount of 10.875% Notes from existing holders, using proceeds from our issuance of the $230.0 million aggregate principal amount of the 8.75% Notes. The notes were repurchased at a redemption price of 102% of the then outstanding principal balance, resulting in a total purchase price of $214.2 million. In addition, accrued and unpaid interest through the redemption date of $7.9 million was paid to the existing holders in connection with the redemption.

On September 11, 2012, we commenced a cash tender offer for any and all of our $465.0 million of outstanding 10.875% Notes due 2014. On October 1, 2012, we purchased from those holders the 10.875% Notes tendered by the early tender deadline. The aggregate payment to these holders was $392.2 million, including aggregate tender premium cost of $14.1 million and accrued interest of $14.9 million. We redeemed all 10.875% Notes that were not previously tendered on November 15, 2012 at the applicable redemption price of 102.719% of the remaining principal amount outstanding, or an aggregate total of $104.5 million, plus accrued interest of $5.5 million. In connection with the tender and the redemption, we recorded a loss on extinguishment of debt during the fourth quarter of $27.5 million. The loss included $17.3 million in tender and redemption premium costs and $10.2 million in unamortized original issuance costs, net of $2.5 million in unamortized original issuance premium.

 

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9.875% Senior Unsecured Notes

On October 1, 2012, we issued $440.0 million aggregate principal amount of new 9.875% Senior unsecured notes (9.875% Notes) maturing on April 15, 2018. The 9.875% Notes are guaranteed jointly and severally and on an unsecured senior basis by each of DJOFL’s existing and future direct and indirect wholly owned domestic subsidiaries that guarantee any of DJOFL’s indebtedness or any indebtedness of DJOFL’s domestic subsidiaries or is an obligor under DJOFL’s senior secured credit facilities.

As of December 31, 2012, the market value of the 9.875% Notes was $457.6 million. We determined market value using trading prices for the 9.875% Notes on or near that date. This fair value measurement is categorized within Level 2 of the fair value hierarchy.

Optional Redemption. Under the Indenture to the 9.875% Notes (the 9.875% Indenture), prior to April 15, 2015, we have the option to redeem some or all of the 9.875% Notes for cash at a redemption price equal to 100% of the then outstanding principal balance plus an applicable make-whole premium plus accrued and unpaid interest. Beginning on April 15, 2015, we may redeem some or all of the 9.875% Senior Notes at a redemption price of 104.938% of the then outstanding principal balance plus accrued and unpaid interest. The redemption price decreases to 102.469% and 100% of the then outstanding principal balance at April 2016 and 2017, respectively. Additionally, from time to time, before April 15, 2015, we may redeem up to 35% of the 9.875% Notes at a redemption price equal to 109.875% of the principal amount then outstanding, plus accrued and unpaid interest, in each case, with proceeds we raise, or a direct or indirect parent company raises, in certain offerings of equity of DJOFL or its direct or indirect parent companies, as long as at least 65% of the aggregate principal amount of the notes issued remains outstanding.

Change of Control. Upon the occurrence of a change of control, unless DJOFL has previously sent or concurrently sends a notice exercising its optional redemption rights with respect to all of the then-outstanding 9.875% Notes, DJOFL will be required to make an offer to repurchase all of the then-outstanding 9.875% Notes at 101% of their principal amount, plus accrued and unpaid interest.

Covenants. The 9.875% Indenture contains covenants limiting, among other things, our and our restricted subsidiaries’ ability to incur additional indebtedness or issue certain preferred and convertible shares, pay dividends on, redeem, repurchase or make distributions in respect of the capital stock of DJO or make other restricted payments, make certain investments, sell certain assets, create liens on certain assets to secure debt, consolidate, merge, sell or otherwise dispose of all or substantially all of our assets, enter into certain transactions with affiliates, and designate our subsidiaries as unrestricted subsidiaries. As of December 31, 2012, we were in compliance with all applicable covenants.

7.75% Senior Unsecured Notes

On April 7, 2011, we issued $300.0 million aggregate principal amount of 7.75% Senior unsecured notes (7.75% Notes) maturing on April 15, 2018. The 7.75% Notes are guaranteed jointly and severally and on a senior unsecured basis by each of DJOFL’s existing and future direct and indirect wholly-owned domestic subsidiaries that guarantee any of DJOFL’s indebtedness, or any indebtedness of DJOFL’s domestic subsidiaries, or is an obligor under the senior secured credit facilities.

As of December 31, 2012, the market value of the 7.75% Notes was $291.8 million. We determined market value using trading prices for the 7.75% Notes on or near that date. This fair value measurement is categorized within Level 2 of the fair value hierarchy.

Optional Redemption. Under the Indenture to the 7.75% Notes (the 7.75% Indenture), prior to April 15, 2014, we have the option to redeem some or all of the 7.75% Notes for cash at a redemption price equal to 100% of the then outstanding principal balance plus an applicable make-whole premium plus accrued and unpaid interest. Beginning on April 15, 2014, we may redeem some or all of the 7.75% Notes at a redemption price of

 

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105.813% of the then outstanding principal balance plus accrued and unpaid interest. The redemption price decreases to 103.875%, 101.938% and 100% of the then outstanding principal balance at April 15, 2015, 2016 and 2017, respectively. Additionally, from time to time, before April 15, 2014, we may redeem up to 35% of the 7.75% Senior Notes at a redemption price equal to 107.75% of the principal amount then outstanding, plus accrued and unpaid interest, in each case, with proceeds we raise, or a direct or indirect parent company raises, in certain offerings of equity of us or our direct or indirect parent companies, as long as at least 65% of the aggregate principal amount of the 7.75% notes issued remains outstanding.

Change of Control. Upon the occurrence of a change of control, unless we have previously sent or concurrently send a notice exercising its optional redemption rights with respect to all of the then-outstanding 7.75% Notes, we will be required to make an offer to repurchase all of the then outstanding 7.75% Notes at 101% of their then outstanding principal amount, plus accrued and unpaid interest.

Covenants. The 7.75% Indenture contains covenants limiting, among other things, our and our restricted subsidiaries’ ability to (i) incur additional indebtedness or issue certain preferred and convertible shares, pay dividends on, redeem, repurchase or make distributions in respect of the capital stock of DJO or make other restricted payments, (ii) make certain investments, (iii) sell certain assets, (iv) create liens on certain assets to secure debt, (v) consolidate, merge, sell or otherwise dispose of all or substantially all of our assets, (vi) enter into certain transactions with affiliates, and (vii) designate our subsidiaries as unrestricted subsidiaries. As of December 31, 2012, we were in compliance with all applicable covenants.

9.75% Senior Subordinated Notes

On October 18, 2010, we issued $300.0 million aggregate principal amount of 9.75% Senior subordinated notes (9.75% Notes) maturing on October 15, 2017. The 9.75% Notes are guaranteed jointly and severally and on a unsecured senior basis by each of DJOFL’s existing and future direct and indirect wholly-owned domestic subsidiaries that guarantee any of DJOFL’s indebtedness, or any indebtedness of DJOFL’s domestic subsidiaries, or is an obligor under the senior secured credit facilities.

As of December 31, 2012, the market value of the 9.75% Notes was $268.5 million. We determined market value using trading prices for the 9.75% Notes on or near that date. This fair value measurement is categorized within Level 2 of the fair value hierarchy.

Optional Redemption. Under the agreement governing the 9.75% Notes (the 9.75% Indenture), prior to October 15, 2013, we have the option to redeem some or all of the 9.75% Notes for cash at a redemption price equal to 100% of the then outstanding principal balance plus an applicable make-whole premium, plus accrued and unpaid interest. Beginning on October 15, 2013, we may redeem some or all of the 9.75% Notes at a redemption price of 107.313% of the then outstanding principal balance, plus accrued and unpaid interest. The redemption price decreases to 104.875%, 102.438% and 100% of the then outstanding principal balance at October 15, 2014, 2015 and 2016, respectively. Additionally, from time to time, before October 15, 2013, we may redeem up to 35% of the 9.75% Notes at a redemption price equal to 109.75% of the principal amount then outstanding, plus accrued and unpaid interest, in each case, with proceeds we raise, or a direct or indirect parent company raises, in certain offerings of equity of DJOFL or its direct or indirect parent companies, as long as at least 65% of the aggregate principal amount of the notes issued remains outstanding.

Change of Control. Upon the occurrence of a change of control, unless we have previously sent or concurrently send a notice exercising our optional redemption rights with respect to all of the then-outstanding 9.75% Notes, we will be required to make an offer to repurchase all of the then-outstanding 9.75% Notes at 101% of the then outstanding principal balance, plus accrued and unpaid interest.

Covenants. The 9.75% Indenture contains covenants limiting, among other things, our and our restricted subsidiaries’ ability to (i) incur additional indebtedness or issue certain preferred and convertible shares, pay dividends on, redeem, repurchase or make distributions in respect of the capital stock of DJO or make other

 

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restricted payments,(ii) make certain investments, (iii) sell certain assets, (iv) create liens on certain assets to secure debt, (v) consolidate, merge, sell or otherwise dispose of all or substantially all of our assets,(vi) enter into certain transactions with affiliates, or (vii) designate our subsidiaries as unrestricted subsidiaries. As of December 31, 2012, we were in compliance with all applicable covenants.

Our ability to continue to meet the covenants related to our indebtedness specified above in future periods will depend, in part, on events beyond our control, and we may not continue to meet those ratios. A breach of any of these covenants in the future could result in a default under the senior secured credit facilities, the 8.75% Indenture, the 9.75% Indenture, the 9.875% Indenture and the 7.75% Indenture (collectively, the Indentures), at which time the lenders could elect to declare all amounts outstanding under the senior secured credit facilities to be immediately due and payable. Any such acceleration would also result in a default under the Indentures.

At December 31, 2012, the aggregate amounts of annual principal maturities of long-term debt and capital leases for the next five years and thereafter are as follows (in thousands):

 

Years Ending December 31,

      

2013

   $ 8,858   

2014

     8,858   

2015

     8,858   

2016

     835,447   

2017

     303,000   

Thereafter

     1,070,000   
  

 

 

 
   $ 2,235,021   
  

 

 

 

Loss on Modification and Extinguishment of Debt

During the year ended December 31, 2012, we recognized a loss on modification and extinguishment of debt of $36.9 million. The loss consists of $8.6 million of arrangement and amendment fees and other fees and expenses incurred in connection with the March 2012 amendment of our senior secured credit facilities, $0.8 million related to the write off of unamortized debt issuance costs and original issue discount associated with the portion of our original term loans which were extinguished. The loss also included $17.3 million in premiums related to the repurchase or redemption of our 10.875% Notes, and $12.7 million in unamortized original issuance costs, net of $2.5 million in unamortized original issuance premium in connection with the cash tender offer for our 10.875% Notes.

During the year ended December 31, 2011, in connection with the third amendment to the original senior secured credit facilities, we incurred $2.1 million of arrangement and lender consent fees which are included in loss on modification and extinguishment of debt in our Consolidated Statement of Operations.

Debt Issuance Costs

As of December 31, 2012 and 2011, we had $41.6 million and $34.0 million, respectively, of unamortized debt issuance costs, which are included in other assets in our Consolidated Balance Sheets. During the year ended December 31, 2012, we capitalized $29.2 million of debt issuance costs incurred in connection with the issuance of the 8.75% Notes, 9.875% Notes and $25 million new term loan, net of the write off of $12.7 million unamortized original issuance costs in connection with the cash tender offer for our 10.875% Notes. During the year ended December 31, 2011, we capitalized $7.7 million of debt issuance costs incurred in connection with the issuance of the 7.75% Notes in April 2011. During the year ended December 31, 2010, we capitalized $10.3 million of debt issuance costs, in connection with the issuance of $100.0 million of 10.875% Notes in January 2010, and the issuance of the 9.75% Notes in October 2010.

 

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For each the years ended December 31, 2012, 2011, and 2010 amortization of debt issuance costs was $8.9 million, $7.7 million, and $7.7 million. Amortization of debt issuance costs was included in Interest expense in our Consolidated Statements of Operations for each of the periods presented.

 

13. MEMBERSHIP EQUITY

During the year ended December 31, 2012, DJO sold 121,506 shares of its common stock at $16.46 per share, consisting of 60,753 shares purchased by the new Chairman of its Board of Directors, and 60,753 shares purchased by another new member of the Board of Directors. Additionally, DJO issued 18,622 shares of its common stock upon the exercise of stock options. Net proceeds of $2.0 million from the share sales were contributed by DJO to us, and are included in Member capital in our Consolidated Balance Sheet as of December 31, 2012.

During the year ended December 31, 2011, we paid cash of $2.0 million to our former chief executive officer, upon his retirement, to cancel 355,155 shares of vested stock options held by him. The amount paid represents the excess of the fair market value of the shares over their exercise price. This amount is included as a reduction to Member capital in our Consolidated Balance Sheet as of December 31, 2011.

In addition, during the year ended December 31, 2011, DJO sold 192,959 shares of its common stock at $16.46 per share, consisting of 157,959 shares purchased by our new chief executive officer, and 35,000 shares purchased by a former member of management. Net proceeds of $3.2 million from the share sales were contributed by DJO to us, and are included in Member capital in our Consolidated Balance Sheet as of December 31, 2011.

During the year ended December 31, 2010, DJO, sold 93,128 shares of its common stock at $16.46 per share to certain employees, directors and independent sales agents. Net proceeds of $1.5 million from the share sales were contributed by DJO to us and are included in Member capital in our Consolidated Balance Sheet as of December 31, 2010.

The proceeds from the DJO sales of shares in the years ended December 31, 2012, 2011 and 2010 were used for working capital purposes. All such sales were subject to execution of a stockholder agreement including certain rights and restrictions (See Note 17).

 

14. STOCK OPTION PLANS AND STOCK-BASED COMPENSATION

Stock Option Plan

We have one active equity compensation plan, the DJO 2007 Incentive Stock Plan (the 2007 Plan) under which we are authorized to grant awards of stock, options, and other stock-based awards of shares of Common Stock of our indirect parent, DJO, subject to adjustment in certain events. In February 2012, we amended the 2007 Plan to increase the number of shares available to grant from 7,925,529 to 10,575,529.

Options issued under the 2007 Plan can be either incentive stock options or non-qualified stock options. The exercise price of stock options granted will not be less than 100% of the fair market value of the underlying shares on the date of grant and will expire no more than ten years from the date of grant.

Options granted prior to 2012 vest as follows: one-third of each stock option grant vests over a specified period of time contingent solely upon the awardees’ continued employment with us (Time-Based Tranche). Another one-third of each stock option grant will vest upon achieving a minimum return of money on invested capital (MOIC), as defined, with respect to Blackstone’s aggregate investment in DJO’s capital stock, to be achieved by Blackstone following a liquidation of all or a portion of its investment in DJO’s capital stock (Market Return Tranche). The final one-third of each stock option grant will vest based upon achieving an increased minimum return of MOIC, as defined, with respect to Blackstone’s aggregate investment in DJO’s capital stock, to be achieved by Blackstone following a liquidation of all or a portion of its investment in DJO’s capital stock (Enhanced Market Return Tranche).

 

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Stock-Based Compensation

During the year ended December 31, 2012, the compensation committee granted 2,482,100 options which vest in four equal installments beginning in 2012 and for each of the three calendar years following 2012, with each such installment vesting only if the final reported financial results for such year show that the Adjusted EBITDA for such year equaled or exceeded the Adjusted EBITDA amount in the financial plan approved by DJO’s Board of Directors for such year (Performance Options). In the event that the Adjusted EBITDA in any of such four years falls short of the amount of Adjusted EBITDA in the financial plan for that year, the installment that did not therefore vest at the end of such year shall be eligible for subsequent vesting at the end of the four year vesting period if the cumulative Adjusted EBITDA for such four years equals or exceeds the cumulative Adjusted EBITDA in the financial plans for such four years and the Adjusted EBITDA in the fourth vesting year equals or exceeds the Adjusted EBITDA in the financial plan for such year. In addition, in the event of Blackstone achieving a minimum return of MOIC, as defined, with respect to Blackstone’s aggregate investment in DJO’s capital stock, following a liquidation of all or a portion of its investment in DJO’s capital stock, any unvested installments from prior years and all installments for future years shall thereupon vest.

We also granted 422,167 stock options to members of DJO’s Board of Directors during the year ended December 31, 2012. Of these options, 303,767 options were granted to DJO’s Chairman of the Board and 100,000 options were granted to a newly elected board member, who has agreed to perform certain additional services for the Company. The 403,767 options vest as follows: one-third of the stock option grant will vest in increments of 33 1/3% per year on each of the first through third anniversary dates from the grant date contingent upon the optionee’s continued service; one-third of the stock option grant will vest in the same manner as the Market Return Tranche; and one-third of the stock option grant will vest in the same manner as the Enhanced Market Return Tranche. The remaining 18,400 options were granted to four other members of our Board of Directors and vest in increments of 33 1/3% per year on each of the first through third anniversary dates of the grant date, contingent upon the optionee’s continued service as a director. The time-based vesting options granted to all directors are referred to herein as Director Service Options.

The weighted average grant date fair value of the Performance Options and the Director Service Options granted during the year ended December 31, 2012 was $6.09.

During the year ended December 31, 2011, we granted a total of 983,000 options to employees including 800,000 options granted to Michael P. Mogul, our president and chief executive officer. The weighted average grant date fair value of the options granted was $6.23 per share, for options in the Time-Based Tranche. In addition, during the year ended December 31, 2011, in connection with Mr. Mogul’s purchase of $2.6 million of DJO common stock, we issued 60,753 restricted shares to Michael P. Mogul. The shares vest 50% per year on each of the first two anniversary dates of his employment commencement date, subject to his continued employment through the applicable anniversary dates.

During the year ended December 31, 2010, we granted 645,050 stock options to employees and 24,600 stock options to non-employee distributors with a weighted average grant date fair value of $6.68 per share (Time-Based Tranche only).

The fair value of each option award is estimated on the date of grant, or modification, using the Black-Scholes option pricing model for service based awards, and a binomial model for market based awards. In estimating fair value for options issued under the 2007 Plan, expected volatility was based on historical volatility of comparable publicly-traded companies. As our historical share option exercise experience does not provide a reasonable basis upon which to estimate the expected term, we used the simplified method. Expected life is calculated in two tranches based on the employment level defined as executive or employee. The risk-free rate used in calculating fair value of stock options for periods within the expected term of the option is based on the U.S. Treasury yield bond curve in effect on the date of grant.

 

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The following table summarizes certain assumptions we used to estimate the fair value of the Time-Based Tranche of stock options granted during the years ended December 31, 2012, 2011, and 2010:

 

     Year Ended December 31,  
     2012     2011     2010  

Expected volatility

     35.3-37.7     34.0-34.4     34.2-35.8

Risk-free interest rate

     0.8-1.5     1.3-2.1     2.0-3.0

Expected years until exercise

     6.1-6.2        6.4-6.6        6.4-7.0   

Expected dividend yield

     0.0     0.0     0.0

We recorded non-cash stock-based compensation expense during the periods presented as follows (in thousands):

 

     Year Ended December 31,  
     2012      2011      2010  

Cost of goods sold

   $ 78       $ 149       $ 50   

Operating expenses:

        

Selling, general and administrative

     2,206         2,493         1,764   

Research and development

     55         59         74   
  

 

 

    

 

 

    

 

 

 
   $ 2,339       $ 2,701       $ 1,888   
  

 

 

    

 

 

    

 

 

 

In the fourth quarter of fiscal year 2012, we determined that the Adjusted EBITDA target, as it relates to the Performance Options granted during the year ended December 31, 2012, would not be met. As such $1.9 million of performance based stock option expense recorded through the first three quarters of 2012 was reversed in the fourth quarter of 2012. Additionally, we have not recognized expense for any of the options which have the potential to vest on Adjusted EBITDA for years 2013-2015, some of these targets have not yet been established and we are unable to assess the probability of achieving such targets.

In each of the periods presented above, for the options granted prior to 2012 we recognized stock-based compensation expense only for options granted to employees in the Time-Based Tranche, as the performance components of the Market Return and Enhanced Market Return Tranches are not deemed probable at this time.

Stock based compensation expense for options granted to non-employees was not significant to the Company for all periods presented, and was included in Selling, general and administrative expense in our Consolidated Statements of Operations.

A summary of option activity under the 2007 Plan is presented below:

 

    Number of
Shares
    Weighted-
Average
Exercise Price
    Weighted-Average
Remaining

Contractual Term
(Years)
    Aggregate  Intrinsic
Value
 

Outstanding at December 31, 2011

    7,487,085      $ 15.10        5.9      $ 10,221,968   

Granted

    2,904,267      $ 16.46       

Exercised

    (18,622   $ 1.33       

Forfeited or expired

    (1,139,361   $ 16.46       
 

 

 

       

Outstanding at December 31, 2012

    9,233,369      $ 15.39        6.3      $ 9,940,209   
 

 

 

       

Exercisable at December 31, 2012

    3,429,832      $ 13.58        3.9      $ 9,940,209   
 

 

 

       

As of December 31, 2012, total unrecognized stock-based compensation expense related to unvested stock options granted under the 2007 Plan, excluding options subject to the performance components of the Market Return and Enhanced Market Return Tranches, was $0.7 million, net of expected forfeitures. We anticipate this

 

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expense to be recognized over a weighted-average period of approximately two years. Compensation expense associated with the Market Return and Enhanced Market Return Tranches of options granted under the 2007 Plan, with the exception of those that were issued in connection with a modification, will be recognized only to the extent achievement of the performance components are deemed probable.

 

15. INCOME TAXES

DJO files consolidated tax returns in the U.S. The income taxes of domestic and foreign subsidiaries not included within the consolidated U.S. tax group are presented in our financial statements based on a separate return basis for each tax-paying entity or group.

The components of loss from continuing operations before income tax benefit consist of the following (in thousands):

 

     Year Ended December 31,  
     2012     2011     2010  

U.S. operations

   $ (137,268   $ (283,137   $ (92,599

Foreign operations

     13,996        17,006        6,669   
  

 

 

   

 

 

   

 

 

 
   $ (123,272   $ (266,131   $ (85,930
  

 

 

   

 

 

   

 

 

 

The income tax benefit consists of the following (in thousands):

 

     Year Ended December 31,  
     2012     2011     2010  

Current income taxes:

      

U.S. Federal

   $ (1,205   $ (1,175   $ (305

U.S. State

     1,347        1,619        1,308   

Foreign

     6,330        6,019        4,429   
  

 

 

   

 

 

   

 

 

 

Total current income taxes

     6,472        6,463        5,432   
  

 

 

   

 

 

   

 

 

 

Deferred income taxes:

      

U.S. Federal

     (3,558     (54,875     (28,231

U.S. State

     (5,751     (2,889     (8,879

Foreign

     (2,067     (1,243     (2,577
  

 

 

   

 

 

   

 

 

 

Total deferred income taxes

     (11,376     (59,007     (39,687
  

 

 

   

 

 

   

 

 

 

Total income tax benefit

   $ (4,904   $ (52,544   $ (34,255
  

 

 

   

 

 

   

 

 

 

 

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The difference between the income tax benefit derived by applying the U.S. Federal statutory income tax rate of 35% to loss before income tax and the income tax benefit recognized in the Consolidated Financial Statements is as follows (in thousands):

 

     Year Ended December 31,  
     2012     2011     2010  

Benefit derived by applying the U.S. Federal statutory income tax rate to loss before income taxes

   $ (43,145   $ (93,144   $ (30,075

Add (deduct) the effect of:

      

State tax benefit, net

     (4,275     (5,315     (2,594

Change in state effective tax rates

     (639     —          (2,350

Foreign Earnings Repatriation

     3,199        —          —     

Unrecognized tax benefits

     (7,723     (344     706   

Goodwill impairment

     —          39,513        —     

Prepaid Tax Asset Impairment

     5,479        —          —     

Valuation allowance

     38,845        2,100        (470

Foreign exchange gain

     —          —          (37

Permanent differences and other, net

     3,355        4,646        565   
  

 

 

   

 

 

   

 

 

 
   $ (4,904   $ (52,544   $ (34,255
  

 

 

   

 

 

   

 

 

 

The components of deferred income tax assets and liabilities are as follows (in thousands):

 

     December 31,
2012
    December 31,
2011
 

Deferred tax assets:

    

Net operating loss carryforwards

   $ 181,302      $ 149,142   

Receivables reserve

     23,077        22,689   

Other

     38,623        37,702   
  

 

 

   

 

 

 

Gross deferred tax assets

     243,002        209,533   

Valuation allowance

     (43,792     (6,163
  

 

 

   

 

 

 

Net deferred tax assets

     199,210        203,370   
  

 

 

   

 

 

 

Deferred tax liabilities:

    

Intangible assets

     (384,586     (392,113

Foreign earnings repatriation

     (13,978     (12,024

Other

     (8,567     (7,969
  

 

 

   

 

 

 

Gross deferred tax liabilities

     (407,131     (412,106
  

 

 

   

 

 

 

Net deferred tax liabilities

   $ (207,921   $ (208,736
  

 

 

   

 

 

 

At December 31, 2012, we maintain federal and state net operating loss carryforwards of $473.6 million and $268.8 million respectively, which expire over a period of 1 to 20 years. Our European net operating loss carryforwards of $7.7 million generally are not subject to expiration dates, unless we trigger certain events.

At December 31, 2012 and 2011, we had gross deferred tax assets of $243.0 million, and $209.5 million, respectively, which we reduced by valuation allowances of $43.8 million, and $6.2 million, respectively.

We do not intend to permanently reinvest the earnings of foreign operations. Accordingly, we recorded a deferred tax expense of $2.5 million, $1.5 million and $1.1 million for the years ended December 31, 2012, 2011 and 2010, respectively, for unrepatriated foreign earnings in those years.

 

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We and our subsidiaries file income tax returns in the U.S. federal, state and local, and foreign jurisdictions. With few exceptions, we are no longer subject to U.S. federal, state and local, or non-U.S. income tax examinations by tax authorities for years before 2008. The Internal Revenue Service (IRS) completed its field examination of the 2005 and 2006 tax years during the first half of 2010. As anticipated, the closing of the audit did not result in a material reduction to our unreserved net operating losses and did result in a reduction to our unrecognized tax benefits of approximately $7.8 million, primarily related to previously reserved transaction expenses, stock options, and other individually immaterial items upheld during the audit and appeals process.

A reconciliation of the beginning and ending amount of gross unrecognized tax benefits is as follows (in thousands):

 

     Year Ended December 31,  
     2012     2011     2010  

Balance, beginning of year

   $ 19,443      $ 17,659      $ 17,495   

Additions based on tax positions related to current year

     817        777        372   

Additions for tax positions related to prior years

     892        3,097        477   

Reductions for tax positions of prior years

     —          —          —     

Reduction due to lapse of statute of limitations

     (990     (2,065     (685

Reductions for settlements of tax positions

     (7,820     (25     —     
  

 

 

   

 

 

   

 

 

 

Balance, end of year

   $ 12,342      $ 19,443      $ 17,659   
  

 

 

   

 

 

   

 

 

 

To the extent all or a portion of our gross unrecognized tax benefits are recognized in the future, no U.S. federal tax benefit for related state income tax deductions would result due to the existence of a U.S. federal valuation allowance. We anticipate that approximately $0.3 million of uncertain tax positions related to amortization of intangible assets and $0.5 million of unrecognized tax positions, each of which are individually immaterial, will decrease in the next twelve months due to the expiration of the statutes of limitations. We have various unrecognized tax benefits totaling approximately $4.8 million, which, if recognized, would impact our effective tax rate in future periods. We recognized interest and penalties of $0.3 million, $0.2 million and $0.6 million in the years ended December 31, 2012, 2011 and 2010, respectively, which was included as a component of income tax benefit in our Consolidated Statements of Operations. As of December 31, 2012 and 2011, we have $2.1 million and $2.4 million, respectively, accrued for interest and penalties.

 

16. COMMITMENTS AND CONTINGENCIES

Operating Leases. We lease building space, manufacturing facilities and equipment under non-cancelable operating lease agreements that expire at various dates. We record rent incentives as deferred rent and amortize as reductions to lease expense over the lease term. The aggregate minimum rental commitments under non-cancelable leases for the next five years and thereafter, as of December 31, 2012, are as follows (in thousands):

 

Years Ending December 31,

      

2013

   $ 13,072   

2014

     12,049   

2015

     10,333   

2016

     9,472   

2017

     5,239   

Thereafter

     16,932   
  

 

 

 
   $ 67,097   
  

 

 

 

Rental expense under operating leases totaled $16.4 million, $14.3 million, and $12.0 million for the years ended December 31, 2012, 2011, and 2010 respectively. Scheduled increases in rent expense are amortized on a straight line basis over the life of the lease.

 

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Litigation

From time to time, we are plaintiffs or defendants in various litigation matters in the ordinary course of our business, some of which involve claims for damages that are substantial in amount. We believe that the disposition of claims currently pending will not have a material adverse impact on our financial position or results of operations.

The manufacture and sale of orthopedic devices and related products exposes us to a significant risk of product liability claims. From time to time, we have been, and we are currently, subject to a number of product liability claims alleging that the use of our products resulted in adverse effects.

Pain Pump Litigation

We are currently named as one of several defendants in a number of product liability lawsuits involving approximately 45 plaintiffs in U.S. cases and a lawsuit in Canada which has been granted class action status, related to a disposable drug infusion pump product (pain pump) manufactured by two third party manufacturers that we distributed through our Bracing and Vascular segment. We sold pumps manufactured by one manufacturer from 1999 to 2003 and then sold pumps manufactured by a second manufacturer from 2003 to 2009. We discontinued our sale of these products in the second quarter of 2009. These cases have been brought against the manufacturers and certain distributors of these pumps. All of these lawsuits allege that the use of these pumps with certain anesthetics for prolonged periods after certain shoulder surgeries has resulted in cartilage damage to the plaintiffs. Many of the lawsuits which have been filed in the past five years have named multiple pain pump manufacturers and distributors without having established which manufacturer manufactured or sold the pump in issue. In the past three years, we have been dismissed from approximately 400 cases when product identification was later established showing that we did not sell the pump in issue. In the past three years, we have entered into settlements with plaintiffs in approximately 75 pain pump lawsuits. Of these, we have settled approximately 45 cases in joint settlements involving our first manufacturer and we have settled approximately 30 cases involving our second manufacturer. As of December 31, 2012, the range of potential loss for these claims is not estimable, although we believe we have adequate insurance coverage for such claims.

Indemnity Claims Related to Pain Pump Claims

We have sought indemnity and tendered the defense of the pain pump cases to the two manufacturers who supplied these pumps to us, to their products liability carriers and to our products liability carriers. These lawsuits are about equally divided between the two manufacturers. Both manufacturers have rejected our tenders of indemnity. The base policy for one of the manufacturers contributed to our defense, but that policy has been exhausted by defense costs and settlements, as has a second policy of that manufacturer. This manufacturer has ceased operations, has little assets and no additional insurance coverage. We have asserted indemnification rights against the successor to this manufacturer and are pursuing claims against the manufacturer, its owners and its successor. This manufacturer has asserted a counterclaim for indemnity against us, alleging that we are responsible for any liability incurred by the manufacturer in connection with our sale of pain pumps supplied by this manufacturer. The base policy for the other manufacturer has been exhausted and the excess liability carriers for that manufacturer have not accepted coverage for us and are not expected to provide for our defense. We and this manufacturer have been cooperating in jointly negotiating settlements of those lawsuits in which both parties are named. Our products liability carriers have accepted coverage of these cases, subject to a reservation of the right to deny coverage for customary matters, including punitive damages and off-label promotion. In August 2010, one of our excess carriers for the period ending July 1, 2010 and for the supplemental extended reporting period (SERP) discussed below, which is insuring $10 million in excess of $25 million, informed us that it has reserved its right to rescind the policy based on an alleged failure by us and our insurance broker to disclose material information regarding the pain pump claims prior to the binding of coverage by this carrier. We disagree with this allegation and are seeking to resolve the issue with this carrier.

 

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Pain Pump-Related HIPAA Subpoena

In August 2010, we were served with a subpoena under HIPAA seeking numerous documents related to our activities involving the pain pumps discussed above. The subpoena, which was issued by the United States Attorney’s Office for the Central District of California, refers to a criminal investigation by the DOJ and the FDA of Federal health care offenses. We have produced documents that are responsive to the subpoena. We believe that our actions related to our prior distribution of these pain pumps have been in compliance with applicable legal standards.

Pain Pump Investigation—U.S. Attorney’s Office for the Western District of Missouri

In January 2012, we became aware of a civil investigation by the United States Attorney’s Office for the Western District of Missouri regarding the sale and marketing of pain pump devices by manufacturers and distributors. The investigation relates to whether manufacturers and distributors caused false claims to be filed with government payors as a result of alleged off-label promotion of the pain pumps. We deny that we improperly promoted the pain pump devices and believe that our marketing and sales activities were in compliance with applicable legal standards.

Cold Therapy Litigation

Since mid-2010, we have been named in nine multi-plaintiff lawsuits involving a total of 210 plaintiffs, alleging that the plaintiffs had been injured following use of certain cold therapy products manufactured by the Company. The complaints are not specific as to the nature of the injuries, but allege various product liability theories, including inadequate warnings regarding the risks associated with the use of cold therapy and failure to incorporate certain safety features into the design. No specific dollar amounts of damages are alleged and as of December 31, 2012, we cannot estimate a range of potential loss. These cases have been included in a coordinated proceeding in San Diego Superior Court with a similar number of cases filed against one of our competitors. Nine of the plaintiffs included in the cases filed against us have been selected as the first cases to be tried, of which four of these “bellwether” cases are scheduled for trial commencing in July 2013. Discovery is proceeding on these bellwether cases. As of December 31, 2012, the range of potential loss for these claims is not estimable, although we believe we have adequate insurance coverage for such claims.

Our Product Liability Insurance Coverage

We maintain product liability insurance that is subject to annual renewal. Our current policy covers claims reported between July 1, 2012 and June 30, 2013. This policy excludes coverage for claims related to both pain pump products and cold therapy products. As described below, we have other insurance which provides coverage for these excluded products. For the current policy year, we maintain coverage limits (together with excess policies) of up to $50 million, with deductibles of $500,000 per claim for claims relating to invasive products (principally our surgical implant products) and $50,000 per claim for claims relating to all other covered products, with an aggregate self-insured retention of $2 million. Starting with the 2010-2011 policy period, our products liability policy excluded claims related to pain pump products. We purchased supplemental extended reporting period (SERP) coverage for the $80 million limit product liability policy that expired on June 30, 2010, and this supplemental coverage allows us to report pain pump claims for an additional five years beyond the end of that policy period. Except for the additional excess coverage mentioned below, this SERP coverage does not provide additional limits to the aggregate $80 million limits on the 2009-2010 policy but it does provide that these limits will remain available for pain pump claims reported for an extended period of time. We also purchased additional coverage of $25 million in excess of the $80 million limits with a five year reporting period. Thus, the SERP coverage for current and future pain pump claims has a total limit of $105 million (less amounts paid for claims reported to date). Starting with the 2011-2012 policy period, our primary products liability coverage excluded claims related to cold therapy products. Concurrently with the exclusion of our cold therapy products from the 2011-2012 primary policy, we purchased SERP coverage for cold therapy product claims for

 

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injuries alleged to have occurred prior to July 1, 2011. This SERP allows us to report such cold therapy claims under our expired 2010-2011 policy which had total limits of $50 million. At that time, we also purchased separate primary and excess policies providing for a total of $5 million of coverage for claims related to cold therapy products arising from injuries alleged to have occurred after June 30, 2011, with a deductible of $250,000 per claim and an aggregate deductible of $3 million. We continued this $5 million in coverage on similar terms for the policy period commencing July 1, 2012. We believe we have adequate insurance coverage for our product liability claims.

BGS Qui Tam Action

On April 15, 2009, we became aware of a qui tam action filed in Federal Court in Boston, Massachusetts in March 2005 and amended in December 2007 and May 2010 that names us as a defendant along with each of the other companies that manufactures and sells external bone growth stimulators. This case is captioned United States ex rel. Beirman v. Orthofix International, N.V., et al., Civil Action No. 05-10557 (D. Mass.). The case was sealed when originally filed and unsealed in March 2009. The plaintiff, or relator, alleges that the defendants have engaged in Medicare fraud and violated Federal and state false claims acts from the time of the original introduction of the devices by each defendant to the present by seeking reimbursement for bone growth stimulators as a purchased item rather than a rental item. The relator also alleges that the defendants are engaged in other marketing practices constituting violations of the Federal and various state anti-kickback statutes. The case is proceeding to the discovery phase. The government has decided not to intervene in the case at this time. We can make no assurance as to the resources that will be needed to respond to this case or the final outcome of such action.

 

17. RELATED PARTY TRANSACTIONS

Management Stockholder’s Agreement

All members of DJO’s management who own shares of DJO common stock or options to purchase DJO common stock are parties to a Management Stockholders Agreement, dated November 3, 2006, among DJO, Grand Slam Holdings, LLC (BCP Holdings), Blackstone, certain of its affiliates (BCP Holdings and Blackstone and its affiliates are referred to as Blackstone Parent Stockholders), and such members of DJO’s management, as amended by the First Amendment to Management Stockholders Agreement (the Management Stockholders Agreement). The Management Stockholders Agreement provides that upon termination of a management stockholder’s employment for any reason, DJO and a Blackstone Parent Stockholder may collectively exercise the right to purchase all of the shares of DJO common stock held by such management stockholder within one year after such termination (or, with respect to shares purchased upon exercise of options after termination of employment, one year following such exercise). If a management stockholder is terminated for cause (as defined in the Agreement), or voluntarily terminates their employment and such termination would have constituted a termination for cause if it would have been initiated by DJO, and DJO or a Blackstone Parent Stockholder exercises its call rights after such termination, the management stockholder would receive the lower of fair market value or cost for the management stockholder’s callable shares. In the case of all other terminations of employment, the management stockholder would receive fair market value for such shares.

The Management Stockholders Agreement imposes significant restrictions on transfers of shares of DJO’s common stock held by management stockholders and provides a right of first refusal to DJO or Blackstone, if DJO fails to exercise such right, on any proposed sale of DJO’s common stock held by a management stockholder following the lapse of the transfer restrictions and prior to the occurrence of a qualified public offering (as such term is defined in that agreement) of DJO. In addition, prior to a qualified public offering, Blackstone will have drag-along rights, and management stockholders will have tag-along rights, in the event of a sale of DJO’s common stock by Blackstone to a third party (or in the event of a sale of BCP Holdings’ equity interests to a third party) in the same proportion as the shares or equity interests sold by Blackstone. The Management Stockholders Agreement also provides that, after the occurrence of a qualified public offering, the management stockholders will receive customary piggyback registration rights with respect to shares of DJO common stock held by them.

 

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All parties receiving an award of stock options, including all DJO directors who have been granted options, as well as all purchasers of common stock in the years ended December 31, 2012 and 2011, are parties to a Stockholders Agreement which has the same material terms and conditions as the Management Stockholders Agreement.

Transaction and Monitoring Fee Agreement

Blackstone Management Partners LLC (BMP) has agreed to provide certain monitoring, advisory and consulting services to us for an annual monitoring fee equal to the greater of $7.0 million or 2% of consolidated EBITDA as defined in the Transaction and Monitoring Fee Agreement, payable in the first quarter of each year. The monitoring fee agreement will continue until the earlier of November 2019, or such date as DJO and BMP may mutually determine. DJO has agreed to indemnify BMP and its affiliates, directors, officers, employees, agents and representatives from and against all liabilities relating to the services contemplated by the Transaction and Monitoring Fee Agreement and the engagement of BMP pursuant to, and the performance of BMP and its affiliates of the services contemplated by, the Transaction and Monitoring Fee Agreement. At any time in connection with or in anticipation of a change of control of DJO, a sale of all or substantially all of DJO’s assets or an initial public offering of common stock of DJO, BMP may elect to receive, in lieu of remaining annual monitoring fee payments, a single lump sum cash payment equal to the then-present value of all then-current and future annual monitoring fees payable under the Transaction and Monitoring Fee Agreement, assuming a hypothetical termination date of the agreement to be November 2019. For each of the years ended December 31, 2012, 2011 and 2010, we expensed $7.0 million related to the annual monitoring fee, which is recorded as a component of Selling, general and administrative expense in the Consolidated Statements of Operations.

Other Related Party Transactions

During the year ended December 31, 2012, in connection with the Exos acquisition (see Note 3), we paid $0.8 million of transaction and advisory fees to Blackstone Advisory Partners L.P., and BMP. During the year ended December 31, 2011, in connection with the Dr. Comfort acquisition (see Note 3), we paid $5.0 million of transaction and advisory fees to Blackstone Advisory Partners L.P. These fees were recorded as components of Selling, general and administrative expense in the Consolidated Statement of Operations.

 

18. SEGMENT AND GEOGRAPHIC INFORMATION

We provide a broad array of orthopedic rehabilitation and CMF products, as well as surgical implants to customers in the United States and abroad.

We currently develop, manufacture and distribute our products through the following four operating segments:

Bracing and Vascular Segment

Our Bracing and Vascular segment, which generates its revenues in the United States, offers our rigid knee bracing products, orthopedic soft goods, cold therapy products, vascular systems, therapeutic shoes and inserts and compression therapy products, primarily under the DonJoy, ProCare, Aircast, Dr. Comfort, Bell-Horn and Exos brands. This segment also includes our OfficeCare business, through which we maintain an inventory of soft goods and other products at healthcare facilities, primarily orthopedic practices, for immediate distribution to patients.

 

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Recovery Sciences Segment

Our Recovery Sciences segment, which generates its revenues in the United States, is divided into four main businesses:

 

   

Empi. Our Empi business unit offers our home electrotherapy, iontophoresis, and home traction products. We primarily sell these products directly to patients or to physical therapy clinics. For products sold to patients, we arrange billing to the patients and their third party payors.

 

   

CMF. Our CMF business unit sells our bone growth stimulation products. We sell these products either directly to patients or to independent distributors. For products sold to patients, we arrange billing to the patients and their third party payors.

 

   

Chattanooga. Our Chattanooga business unit offers products in the clinical rehabilitation market in the category of clinical electrotherapy devices, clinical traction devices, and other clinical products and supplies such as treatment tables, continuous passive motion (CPM) devices and dry heat therapy.

 

   

Athlete Direct. Our Athlete Direct business unit offers consumers ranging from fitness enthusiasts to competitive athletes our Compex electrostimulation device, which is used in athletic training programs to aid muscle development and to accelerate muscle recovery after training sessions.

International Segment

Our International segment, which generates most of its revenues in Europe, sells all of our products and certain third party products through a combination of direct sales representatives and independent distributors.

Surgical Implant Segment

Our Surgical Implant segment, which generates its revenues in the United States, develops, manufactures and markets a wide variety of knee, hip and shoulder implant products that serve the orthopedic reconstructive joint implant market.

 

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Information regarding our reportable business segments is presented in the table below (in thousands). Segment results exclude the impact of amortization and impairment of goodwill and intangible assets, certain general corporate expenses, and charges related to various integration activities, as defined by management. The accounting policies of the reportable segments are the same as the accounting policies of the Company. We allocate resources and evaluate the performance of segments based on net sales, gross profit, operating income and other non-GAAP measures, as defined. Moreover, we do not allocate assets to reportable segments because a significant portion of assets are shared by the segments.

 

     Year Ended December 31,  
     2012     2011     2010  

Net sales:

      

Bracing and Vascular

   $ 441,256      $ 387,928      $ 311,620   

Recovery Sciences

     334,649        342,599        347,139   

International

     280,535        279,299        244,493   

Surgical Implant

     72,980        64,944        62,721   
  

 

 

   

 

 

   

 

 

 
   $ 1,129,420      $ 1,074,770      $ 965,973   
  

 

 

   

 

 

   

 

 

 

Gross profit:

      

Bracing and Vascular

   $ 225,915      $ 203,217      $ 170,786   

Recovery Sciences

     253,340        258,920        265,196   

International

     155,266        161,142        143,562   

Surgical Implant

     54,658        46,860        46,031   

Expenses not allocated to segments and eliminations

     (3,679     (13,507     (4,872
  

 

 

   

 

 

   

 

 

 
   $ 685,500      $ 656,632      $ 620,703   
  

 

 

   

 

 

   

 

 

 

Operating income (loss):

      

Bracing and Vascular

   $ 85,743      $ 75,095      $ 68,058   

Recovery Sciences

     92,346        93,394        117,656   

International

     54,227        57,501        56,356   

Surgical Implant

     8,016        4,323        7,121   

Expenses not allocated to segments and eliminations

     (147,414     (322,578     (161,311
  

 

 

   

 

 

   

 

 

 
   $ 92,918      $ (92,265   $ 87,880   
  

 

 

   

 

 

   

 

 

 

Geographic Area

Following are our net sales by geographic area (in thousands):

 

     Year Ended December 31,  
     2012      2011      2010  

United States

   $ 848,885       $ 795,471       $ 721,480   

Other Europe, Middle East, and Africa

     135,030         135,216         113,571   

Germany

     84,527         90,000         79,919   

Australia and Asia Pacific

     26,786         23,262         23,806   

Canada

     24,588         22,591         21,605   

Latin America

     9,604         8,230         5,592   
  

 

 

    

 

 

    

 

 

 
   $ 1,129,420       $ 1,074,770       $ 965,973   
  

 

 

    

 

 

    

 

 

 

Net sales are attributed to countries based on location of customer. In each of the years ended December 31, 2012, 2011 and 2010, no individual customer or distributor accounted for 10% or more of total annual net sales.

 

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Following are our long-lived assets by geographic area (in thousands):

 

     December 31,
2012
     December 31,
2011
 

United States

   $ 2,312,127       $ 2,353,410   

International

     144,960         153,351   
  

 

 

    

 

 

 
   $ 2,457,087       $ 2,506,761   
  

 

 

    

 

 

 

 

19. UNAUDITED QUARTERLY CONSOLIDATED FINANCIAL DATA

We operate our business on a manufacturing calendar, with our fiscal year always ending on December 31. Each quarter is 13 weeks, consisting of two four-week periods and one five-week period. Our first and fourth quarters may have more or fewer shipping days from year to year based on the days of the week on which holidays and December 31 fall.

During the fourth quarter of fiscal year 2011, we identified and corrected an immaterial error which impacted the consolidated financial statements for the years ended December 31, 2010 and 2009, related to the elimination of intercompany profits on the sale of products between subsidiaries. This error resulted in an overstatement of cost of goods sold of $1.1 million and $3.1 million for the years ended December 31, 2009 and 2010, respectively. Based on a quantitative and qualitative analysis of the error as required by SAB 108, we determined that correcting the cumulative impact of this error, which decreased cost of goods sold and increased property and equipment by $4.2 million in the fourth quarter of the year ended December 31, 2011, was not material to the results for the year ended December 31, 2011.

The following table presents our unaudited quarterly consolidated financial data (in thousands):

 

     Three months ended  
     March 31,
2012
    June 30,
2012
    September 29,
2012
    December 31,
2012
 

Net sales

   $ 278,947      $ 285,977      $ 273,986      $ 290,510   

Gross profit

     170,712        174,175        165,689        174,924   

Operating income

     21,869        28,361        22,529        20,159   

Net loss

     (29,043     (19,922     (22,535     (46,868

Net loss attributable to DJOFL

     (29,354     (20,198     (22,562     (47,036

 

     Three months ended  
     April 2,
2011
    July 2,
2011
    October 2,
        2011         
    December 31,
2011
 

Net sales

   $ 249,711      $ 277,786      $ 263,118      $ 284,155   

Gross profit

     156,555        166,696        155,655        177,726   

Operating income (loss)

     11,919        7,243        8,889        (120,316

Net loss

     (20,924     (18,960     (25,706     (147,997

Net loss attributable to DJOFL

     (21,239     (19,255     (25,764     (148,211

 

20. SUPPLEMENTAL GUARANTOR CONDENSED CONSOLIDATING FINANCIAL STATEMENTS

DJOFL and its direct wholly owned subsidiary, DJO Finco, jointly issued the 9.75% Notes, 7.75% Notes, 8.75% Notes and the 9.875% Notes. DJO Finco was formed solely to act as a co-issuer of the notes, has only nominal assets and does not conduct any operations. The Indentures generally prohibit DJO Finco from holding any assets, becoming liable for any obligations or engaging in any business activity.

 

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The 8.75% Notes are jointly and severally, fully and unconditionally guaranteed, on a senior secured basis by all of DJOFL’s domestic subsidiaries (other than the co-issuer) that are 100% owned, directly or indirectly, by DJOFL (the Guarantors). The 9.875% Notes and the 7.75% Notes are guaranteed jointly and severally and on an unsecured senior basis by the Guarantors. The 9.75% Notes are jointly and severally, fully and unconditionally guaranteed, on an unsecured senior subordinated basis by the Guarantors. Our foreign subsidiaries (the Non-Guarantors) do not guarantee the notes.

The following tables present the financial position, results of operations and cash flows of DJOFL, the Guarantors, the Non-Guarantors and certain eliminations as of December 31, 2012 and 2011 and for the years ended December 31, 2012, 2011, and 2010.

 

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DJO Finance LLC

Condensed Consolidating Balance Sheets

As of December 31, 2012

(in thousands)

 

     DJOFL      Guarantors      Non-
Guarantors
     Eliminations     Consolidated  
Assets              

Current assets:

             

Cash and cash equivalents

   $ 13,176       $ 3,122       $ 14,919       $ 6      $ 31,223   

Accounts receivable, net

     —           129,588         37,154         —          166,742   

Inventories, net

     —           132,130         26,824         (2,639     156,315   

Deferred tax assets, net

     —           33,102         181         —          33,283   

Prepaid expenses and other current assets

     160         14,513         2,985         415        18,073   
  

 

 

    

 

 

    

 

 

    

 

 

   

 

 

 

Total current assets

     13,336         312,455         82,063         (2,218     405,636   

Property and equipment, net

     —           94,899         12,634         (498     107,035   

Goodwill

     —           1,168,479         110,257         (29,431     1,249,305   

Intangible assets, net

     —           1,035,066         20,465         —          1,055,531   

Investment in subsidiaries

     1,297,699         1,680,446         80,386         (3,058,531     —     

Intercompany receivables

     1,093,618         —           —           (1,093,618     —     

Other assets

     41,624         1,988         1,604         —          45,216   
  

 

 

    

 

 

    

 

 

    

 

 

   

 

 

 

Total assets

   $ 2,446,277       $ 4,293,333       $ 307,409       $ (4,184,296   $ 2,862,723   
  

 

 

    

 

 

    

 

 

    

 

 

   

 

 

 
Liabilities and Equity              

Current liabilities:

             

Accounts payable

   $ —         $ 46,283       $ 9,147       $ (1,136   $ 54,294   

Current portion of debt and capital lease obligations

     8,858         —           —           —          8,858   

Other current liabilities

     31,511         68,413         25,017         352        125,293   
  

 

 

    

 

 

    

 

 

    

 

 

   

 

 

 

Total current liabilities

     40,369         114,696         34,164         (784     188,445   

Long-term debt and capital leases obligations

     2,223,816         —           —           —          2,223,816   

Deferred tax liabilities, net

     —           234,332         6,870         —          241,202   

Intercompany payables, net

     —           861,014         131,558         (992,572     —     

Other long-term liabilities

     —           22,917         1,933         —          24,850   
  

 

 

    

 

 

    

 

 

    

 

 

   

 

 

 

Total liabilities

     2,264,185         1,232,959         174,525         (993,356     2,678,313   

Noncontrolling interests

     —           —           2,318         —          2,318   

Total membership equity

     182,092         3,060,374         130,566         (3,190,940     182,092   
  

 

 

    

 

 

    

 

 

    

 

 

   

 

 

 

Total liabilities and equity

   $ 2,446,277       $ 4,293,333       $ 307,409       $ (4,184,296   $ 2,862,723   
  

 

 

    

 

 

    

 

 

    

 

 

   

 

 

 

 

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DJO Finance LLC

Condensed Consolidating Statements of Operations

For the Year Ended December 31, 2012

(in thousands)

 

     DJOFL     Guarantors     Non-
Guarantors
    Eliminations     Consolidated  

Net sales

   $ —        $ 976,874      $ 265,137      $ (112,591   $ 1,129,420   

Cost of sales (exclusive of amortization of intangible assets of $38,355)

     —          392,397        178,659        (127,136     443,920   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Gross profit

     —          584,477        86,478        14,545        685,500   

Operating expenses:

          

Selling, general and administrative

     —          377,073        82,988        4        460,065   

Research and development

     —          23,585        4,292        —          27,877   

Amortization of intangible assets

     —          93,038        4,205        —          97,243   

Impairment of goodwill and intangible assets

     —          —          7,397        —          7,397   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
     —          493,696        98,882        4        592,582   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Operating income (loss)

     —          90,781        (12,404     14,541        92,918   

Other income (expense):

          

Interest expense

     (182,925     —          (130     —          (183,055

Interest income

     16        93        92        —          201   

Loss on modification of debt

     (36,889     —          —          —          (36,889

Other income, net

     —          2,453        1,100        —          3,553   

Intercompany (expense) income, net

     —          (1,297     10,584        (9,287     —     

Equity in income of subsidiaries, net

     100,648        —          —          (100,648     —     
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
     (119,150     1,249        11,646        (109,935     (216,190
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

(Loss) income before income taxes

     (119,150     92,030        (758     (95,394     (123,272

Income tax benefit (provision)

     —          8,333        (3,429     —          4,904   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net (loss) income

     (119,150     100,363        (4,187     (95,394     (118,368

Net income attributable to noncontrolling interests

     —          —          (782     —          (782
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net (loss) income attributable to DJOFL

   $ (119,150   $ 100,363      $ (4,969   $ (95,394   $ (119,150
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

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DJO Finance LLC

Condensed Consolidating Statements of Comprehensive Loss

For the Year Ended December 31, 2012

(in thousands)

 

     DJOFL     Guarantors      Non-
Guarantors
    Eliminations     Consolidated  

Net (loss) income

   $ (119,150   $ 100,363       $ (4,187   $ (95,394   $ (118,368

Other comprehensive income, net of taxes:

           

Foreign currency translation adjustments, net of tax provision of $1,386

     —          —           1,108        —          1,108   
  

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

Other comprehensive income

     —          —           1,108        —          1,108   
  

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

Comprehensive (loss) income

     (119,150     100,363         (3,079     (95,394     (117,260

Comprehensive income attributable to noncontrolling interests

     —          —           (824     —          (824
  

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

Comprehensive loss attributable to DJO Finance LLC

   $ (119,150   $ 100,363       $ (3,903   $ (95,394   $ (118,084
  

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

 

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DJO Finance LLC

Condensed Consolidating Statements of Cash Flows

For the Year Ended December 31, 2012

(in thousands)

 

     DJOFL     Guarantors     Non-
Guarantors
    Eliminations     Consolidated  

Cash Flows From Operating Activities:

          

Net (loss) income

   $ (119,150   $ 100,363      $ (4,187   $ (95,394   $ (118,368

Adjustments to reconcile net (loss) income to net cash (used in) provided by operating activities:

          

Depreciation

     —          25,529        5,049        (362     30,216   

Amortization of intangible assets

     —          93,038        4,205        —          97,243   

Amortization of debt issuance costs and non-cash interest expense

     9,732        —          —          —          9,732   

Stock-based compensation expense

     —          2,339        —          —          2,339   

Loss on disposal of assets, net

     —          1,098        588        —          1,686   

Impairment of goodwill and intangible assets

     —          —          7,397        —          7,397   

Deferred income benefit

     —          (8,493     (3,088     —          (11,581

Equity in (income) loss of subsidiaries, net

     (100,648     —          —          100,648        —     

Provision for doubtful accounts and sales returns

     —          21,889        337        —          22,226   

Inventory reserves

     —          5,895        455        —          6,350   

Loss on modification and extinguishment of debt

     36,889        —          —          —          36,889   

Changes in operating assets and liabilities, net of acquired assets and liabilities:

          

Accounts receivable

     —          (26,380     (3,110     —          (29,490

Inventories

     —          (24,582     9,270        (12,975     (28,287

Prepaid expenses and other assets

     —          1,108        169        36        1,313   

Accounts payable and other current liabilities

     10,648        9,675        (5,420     2,051        16,954   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net cash (used in) provided by operating activities

     (162,529     201,479        11,665        (5,996     44,619   

Cash Flows From Investing Activities:

          

Cash paid in connection with acquisitions, net of cash acquired

     —          (29,909     —          —          (29,909

Purchases of property and equipment

     —          (27,929     (5,008     (13     (32,950

Other investing activities, net

     —          (1,106     —          —          (1,106
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net cash used in investing activities

     —          (58,944     (5,008     (13     (63,965

Cash Flows From Financing Activities:

          

Intercompany

     149,292        (141,153     (14,153     6,014        —     

Proceeds from issuance of debt

     1,342,450        —          —          —          1,342,450   

Repayments of debt and capital lease obligations

     (1,276,007     (38     —          —          (1,276,045

Payment of debt issuance, modification and extinguishment costs

     (55,827     —          —          —          (55,827

Investment by parent

     2,000        —          —          —          2,000   

Exercise of indirect parent stock options

     24        —          —          —          24   

Dividend paid by subsidiary to owners of noncontrolling interests

     —          —          (649     —          (649
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net cash provided by (used in) financing activities

     161,932        (141,191     (14,802     6,014        11,953   

Effect of exchange rate changes on cash and cash equivalents

     —          —          447        —          447   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net (decrease) increase in cash and cash equivalents

     (597     1,344        (7,698     5        (6,946

Cash and cash equivalents, beginning of year

     13,773        1,778        22,617        1        38,169   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Cash and cash equivalents, end of year

   $ 13,176      $ 3,122      $ 14,919      $ 6      $ 31,223   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

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DJO Finance LLC

Condensed Consolidating Balance Sheets

As of December 31, 2011

(in thousands)

 

     DJOFL      Guarantors      Non-
Guarantors
     Eliminations     Consolidated  
Assets              

Current assets:

             

Cash and cash equivalents

   $ 13,773       $ 1,778       $ 22,617       $ 1      $ 38,169   

Accounts receivable, net

     —           125,097         33,885         —          158,982   

Inventories, net

     —           97,516         20,719         10,464        128,699   

Deferred tax assets, net

     —           43,190         268         —          43,458   

Prepaid expenses and other current assets

     160         15,001         3,186         444        18,791   
  

 

 

    

 

 

    

 

 

    

 

 

   

 

 

 

Total current assets

     13,933         282,582         80,675         10,909        388,099   

Property and equipment, net

     —           94,904         13,070         (866     107,108   

Goodwill

     —           1,150,269         107,344         (28,835     1,228,778   

Intangible assets, net

     —           1,101,314         31,380         —          1,132,694   

Investment in subsidiaries

     1,297,699         1,686,366         72,514         (3,056,579     —     

Intercompany receivables

     1,138,947         —           —           (1,138,947     —     

Other assets

     33,971         2,655         1,557         (2     38,181   
  

 

 

    

 

 

    

 

 

    

 

 

   

 

 

 

Total assets

   $ 2,484,550       $ 4,318,090       $ 306,540       $ (4,214,320   $ 2,894,860   
  

 

 

    

 

 

    

 

 

    

 

 

   

 

 

 
Liabilities and Equity              

Current liabilities:

             

Accounts payable

   $ —         $ 47,049       $ 10,872       $ 5      $ 57,926   

Current portion of debt and capital lease obligations

     8,782         38         —           —          8,820   

Other current liabilities

     20,864         56,509         24,805         521        102,699   
  

 

 

    

 

 

    

 

 

    

 

 

   

 

 

 

Total current liabilities

     29,646         103,596         35,677         526        169,445   

Long-term debt and capital leases obligations

     2,159,091         —           —           —          2,159,091   

Deferred tax liabilities, net

     —           242,237         9,957         —          252,194   

Intercompany payables, net

     —           996,889         142,058         (1,138,947     —     

Other long-term liabilities

     —           14,689         1,485         —          16,174   
  

 

 

    

 

 

    

 

 

    

 

 

   

 

 

 

Total liabilities

     2,188,737         1,357,411         189,177         (1,138,421     2,596,904   

Noncontrolling interests

     —           —           2,143         —          2,143   

Total membership equity

     295,813         2,960,679         115,220         (3,075,899     295,813   
  

 

 

    

 

 

    

 

 

    

 

 

   

 

 

 

Total liabilities and equity

   $ 2,484,550       $ 4,318,090       $ 306,540       $ (4,214,320   $ 2,894,860   
  

 

 

    

 

 

    

 

 

    

 

 

   

 

 

 

 

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DJO Finance LLC

Condensed Consolidating Statements of Operations

For the Year Ended December 31, 2011

(in thousands)

 

     DJOFL     Guarantors     Non-
Guarantors
    Eliminations     Consolidated  

Net sales

   $ —        $ 893,036      $ 263,908      $ (82,174   $ 1,074,770   

Cost of sales (exclusive of amortization of intangible assets of $38,668)

     —          360,601        168,307        (110,770     418,138   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Gross profit

     —          532,435        95,601        28,596        656,632   

Operating expenses:

          

Selling, general and administrative

     —          394,588        92,496        —          487,084   

Research and development

     —          23,050        3,800        —          26,850   

Amortization of intangible assets

     —          89,637        4,320        —          93,957   

Impairment of goodwill and intangible assets

     —          141,006        —          —          141,006   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
     —          648,281        100,616        —          748,897   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Operating (loss) income

     —          (115,846     (5,015     28,596        (92,265

Other (expense) income:

          

Interest expense

     (169,117     (22     (193     —          (169,332

Interest income

     14        127        204        —          345   

Loss on modification of debt

     (2,065     —          —          —          (2,065

Other income (expense), net

     —          986        (3,745     (55     (2,814

Intercompany income (expense), net

     10,625        18,126        (18,381     (10,370     —     

Equity in loss of subsidiaries, net

     (53,926     —          —          53,926        —     
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
     (214,469     19,217        (22,115     43,501        (173,866
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

(Loss) income before income taxes

     (214,469     (96,629     (27,130     72,097        (266,131

Income tax benefit (provision)

     —          57,173        4,775        (146     52,544   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net (loss) income

     (214,469     (39,456     (31,905     72,243        (213,587

Net income attributable to noncontrolling interests

     —          —          (882     —          (882
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net (loss) income attributable to DJOFL

   $ (214,469   $ (39,456   $ (32,787   $ 72,243      $ (214,469
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

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DJO Finance LLC

Condensed Consolidating Statements of Comprehensive Loss

For the Year Ended December 31, 2011

(in thousands)

 

     DJOFL     Guarantors     Non-
Guarantors
    Eliminations      Consolidated  

Net (loss) income

   $ (214,469   $ (39,456   $ (31,905   $ 72,243       $ (213,587

Other comprehensive income, net of taxes:

           

Foreign currency translation adjustments, net of tax benefit of $1,681

     —          —          (1,896     —           (1,896

Unrealized loss on cash flow hedges, net of tax benefit of $175

     (272     —          —          —           (272

Reclassification adjustment for losses on cash flow hedges included in net loss, net of tax provision of $2,773

     4,381        —          —          —           4,381   
  

 

 

   

 

 

   

 

 

   

 

 

    

 

 

 

Other comprehensive income (loss)

     4,109        —          (1,896     —           2,213   
  

 

 

   

 

 

   

 

 

   

 

 

    

 

 

 

Comprehensive (loss) income

     (210,360     (39,456     (33,801     72,243         (211,374

Comprehensive income attributable to noncontrolling interests

     —          —          (829     —           (829
  

 

 

   

 

 

   

 

 

   

 

 

    

 

 

 

Comprehensive (loss) income attributable to DJO Finance LLC

   $ (210,360   $ (39,456   $ (34,630   $ 72,243       $ (212,203
  

 

 

   

 

 

   

 

 

   

 

 

    

 

 

 

 

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DJO Finance LLC

Condensed Consolidating Statements of Cash Flows

For the Year Ended December 31, 2011

(in thousands)

 

     DJOFL     Guarantors     Non-
Guarantors
    Eliminations     Consolidated  

Cash Flows From Operating Activities:

        

Net (loss) income

   $ (214,469   $ (39,456   $ (31,905   $ 72,243      $ (213,587

Adjustments to reconcile net (loss) income to net cash (used in) provided by operating activities:

          

Depreciation

     —          23,231        5,083        (1,020     27,294   

Amortization of intangible assets

     —          89,637        4,320        —          93,957   

Amortization of debt issuance costs and non-cash interest expense

     8,476        —          —          —          8,476   

Stock-based compensation expense

     —          2,701        —          —          2,701   

Loss on disposal of assets, net

     —          7,434        438        (3,487     4,385   

Impairment of goodwill and intangible assets

     —          141,006        —          —          141,006   

Deferred income tax (benefit) expense

     (2,599     (56,651     (1,224     (146     (60,620

Equity in loss of subsidiaries, net

     53,926        —          —          (53,926     —     

Provision for doubtful accounts and sales returns

     —          31,000        673        —          31,673   

Inventory reserves

     —          6,798        908        —          7,706   

Changes in operating assets and liabilities, net of acquired assets and liabilities:

          

Accounts receivable

     —          (30,398     (1,833     —          (32,231

Inventories

     —          (7,631     6,402        (11,961     (13,190

Prepaid expenses and other assets

     (17     7,351        (1,090     2,191        8,435   

Accounts payable and other current liabilities

     5,336        3,877        13,062        (4,675     17,602   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net cash (used in) provided by operating activities

     (149,347     178,899        (5,166     (781     23,605   

Cash Flows From Investing Activities:

          

Cash paid in connection with acquisitions, net of cash acquired

     —          (317,669     —          —          (317,669

Purchases of property and equipment

     —          (33,673     (5,536     (188     (39,397

Other investing activities, net

     —          (1,603     7        —          (1,596
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net cash used in investing activities

     —          (352,945     (5,529     (188     (358,662
     —             

Cash Flows From Financing Activities:

          

Intercompany

     (191,181     177,245        12,966        970        —     

Proceeds from issuance of debt

     439,000        —          —          —          439,000   

Repayments of debt and capital lease obligations

     (96,782     (42     (2     —          (96,826

Payment of debt issuance, modification and extinguishment costs

     (7,694     —          —          —          (7,694

Investment by parent

     3,176        —          —          —          3,176   

Cancellation of vested options

     —          (2,000     —          —          (2,000

Dividend paid by subsidiary to owners of noncontrolling interests

     —          —          (1,366     —          (1,366
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net cash provided by financing activities

     146,519        175,203        11,598        970        334,290   

Effect of exchange rate changes on cash and cash equivalents

     —          —          804        —          804   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net (decrease) increase in cash and cash equivalents

     (2,828     1,157        1,707        1        37   

Cash and cash equivalents, beginning of year

     16,601        621        20,910        —          38,132   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Cash and cash equivalents, end of year

   $ 13,773      $ 1,778      $ 22,617      $ 1      $ 38,169   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

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DJO Finance LLC

Condensed Consolidating Statements of Operations

For the Year Ended December 31, 2010

(in thousands)

 

     DJOFL     Guarantors     Non-
Guarantors
    Eliminations     Consolidated  

Net sales

   $ —        $ 830,186      $ 276,295      $ (140,508   $ 965,973   

Cost of sales (exclusive of amortization of intangible assets of $36,343)

     —          304,206        177,592        (136,528     345,270   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Gross profit

     —          525,980        98,703        (3,980     620,703   

Operating expenses:

          

Selling, general and administrative

     —          353,854        79,554        —          433,408   

Research and development

     —          18,062        3,830        —          21,892   

Amortization of intangible assets

     —          73,560        3,963        —          77,523   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
     —          445,476        87,347        —          532,823   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Operating income

     —          80,504        11,356        (3,980     87,880   

Other (expense) income:

          

Interest expense

     (154,823     (51     (307     —          (155,181

Interest income

     9        191        110        —          310   

Loss on modification and extinguishment of debt

     (19,798     —          —          —          (19,798

Other income (expense), net

     —          2,567        (1,708     —          859   

Intercompany income (expense), net

     75,099        (34,980     2,302        (42,421     —     

Equity in income of subsidiaries, net

     46,981        —          —          (46,981     —     
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
     (52,532     (32,273     397        (89,402     (173,810
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

(Loss) income before income taxes

     (52,532     48,231        11,753        (93,382     (85,930

Income tax benefit (provision)

     —          39,791        (5,536     —          34,255   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net (loss) income

     (52,532     88,022        6,217        (93,382     (51,675

Net income attributable to noncontrolling interests

     —          —          (857     —          (857
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net (loss) income attributable to DJOFL

   $ (52,532   $ 88,022      $ 5,360      $ (93,382   $ (52,532
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

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DJO Finance LLC

Condensed Consolidating Statements of Comprehensive Loss

For the Year Ended December 31, 2010

(in thousands)

 

     DJOFL     Guarantors      Non-
Guarantors
    Eliminations     Consolidated  

Net (loss) income

   $ (52,532   $ 88,022       $ 6,217      $ (93,382   $ (51,675

Other comprehensive income, net of taxes:

           

Foreign currency translation adjustments, net of tax benefit of $942

     —          —           (5,435     —          (5,435

Unrealized loss on cash flow hedges, net of tax benefit of $2,965

     (4,708     —           —          —          (4,708

Reclassification adjustment for losses on cash flow hedges included in net loss, net of tax provision of $4,764

     7,448        —           —          —          7,448   
  

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

Other comprehensive income (loss)

     2,740        —           (5,435     —          (2,695
  

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

Comprehensive (loss) income

     (49,792     88,022         782        (93,382     (54,370

Comprehensive income attributable to noncontrolling interests

     —          —           (728     —          (728
  

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

Comprehensive (loss) income attributable to DJO Finance LLC

   $ (49,792   $ 88,022       $ 54      $ (93,382   $ (55,098
  

 

 

   

 

 

    

 

 

   

 

 

   

 

 

 

 

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DJO Finance LLC

Condensed Consolidating Statements of Cash Flows

For the Year Ended December 31, 2010

(in thousands)

 

     DJOFL     Guarantors     Non-
Guarantors
    Eliminations     Consolidated  

Cash Flows From Operating Activities:

          

Net (loss) income

   $ (52,532   $ 88,022      $ 6,217      $ (93,382   $ (51,675

Adjustments to reconcile net (loss) income to net cash (used in) provided by operating activities:

          

Depreciation

     —          21,403        4,713        (120     25,996   

Amortization of intangible assets

     —          73,560        3,963        —          77,523   

Amortization of debt issuance costs and non-cash interest expense

     13,272        —          —          —          13,272   

Stock-based compensation expense

     —          1,888        —          —          1,888   

Loss on disposal of assets, net

     —          1,918        551        (402     2,067   

Deferred income tax (benefit) expense

     —          (85,634     45,947        —          (39,687

Equity in income of subsidiaries, net

     (46,981     —          —          46,981        —     

Provision for doubtful accounts and sales returns

     —          31,918        1,159        —          33,077   

Inventory reserves

     —          5,890        706        —          6,596   

Loss on modification and extinguishment of debt

     19,798        —          —          —          19,798   

Changes in operating assets and liabilities, net of acquired assets and liabilities:

          

Accounts receivable

     —          (31,619     (1,486     —          (33,105

Inventories

     —          (4,081     (7,449     (2,378     (13,908

Prepaid expenses and other assets

     —          25,457        (30,294     —          (4,837

Accounts payable and other current liabilities

     (12,653     101        1,141        —          (11,411
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net cash (used in) provided by operating activities

     (79,096     128,823        25,168        (49,301     25,594   

Cash Flows From Investing Activities:

          

Purchases of property and equipment

     —          (26,111     (4,233     3,097        (27,247

Cash paid in connection with acquisitions, net of cash acquired

     —          (2,045     —          —          (2,045

Other investing activities, net

     —          1,180        (2,083     —          (903
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net cash (used in) provided by investing activities

     —          (26,976     (6,316     3,097        (30,195

Cash Flows From Financing Activities:

          

Intercompany

     85,871        (102,826     (29,249     46,204        —     

Proceeds from issuance of debt

     447,000        —          130        —          447,130   

Repayments of debt and capital lease obligations

     (433,891     (17,278     13,802        —          (437,367

Payment of debt issuance, modification and extinguishment costs

     (10,282     —          —          —          (10,282

Investment by parent

     —          1,489        —          —          1,489   

Dividend paid by subsidiary to owners of noncontrolling interests

     —          —          (557     —          (557
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net cash provided by (used in) financing activities

     88,698        (118,615     (15,874     46,204        413   

Effect of exchange rate changes on cash and cash equivalents

     —          —          (2,291     —          (2,291
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net increase (decrease) in cash and cash equivalents

     9,602        (16,768     687        —          (6,479

Cash and cash equivalents, beginning of year

     6,999        17,389        20,223        —          44,611   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Cash and cash equivalents, end of year

   $ 16,601      $ 621      $ 20,910      $ —        $ 38,132   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

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Table of Contents
ITEM 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE

None.

 

ITEM 9A. CONTROLS AND PROCEDURES

MANAGEMENT’S EVALUATION OF DISCLOSURE CONTROLS AND PROCEDURES

We maintain disclosure controls and procedures (as the term is defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act) that are designed to ensure that information required to be disclosed in our Exchange Act reports is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms, and that such information is accumulated and communicated to management, including our Chief Executive Officer and our Chief Financial Officer, as appropriate, to allow timely decisions regarding required disclosure.

Any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving the desired control objectives. Under the supervision and with the participation of our management, including our Chief Executive Officer and Chief Financial Officer, we conducted an evaluation of the effectiveness of our disclosure controls and procedures. Based on this evaluation and subject to the foregoing, our Chief Executive Officer and our Chief Financial Officer concluded that, our disclosure controls and procedures were effective at December 31, 2012, to accomplish their objectives at the reasonable assurance level.

Changes in Internal Control over Financial Reporting

There has been no change in the Company’s internal control over financial reporting (as that term is defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) during the fourth quarter ended December 31, 2012 that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

MANAGEMENT’S REPORT ON INTERNAL CONTROL OVER FINANCIAL REPORTING

Our management is responsible for establishing and maintaining adequate internal control over financial reporting. The Company’s internal control over financial reporting is designed to provide reasonable assurances regarding the reliability of financial reporting and the preparation of the consolidated financial statements of the Company in accordance with U.S. generally accepted accounting principles. Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree or compliance with the policies or procedures may deteriorate.

With the participation of our Chief Executive Officer and our Chief Financial Officer, our management conducted an evaluation of the effectiveness of our internal control over financial reporting as of December 31, 2012 based on the framework in Internal Control—Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission. Based on our evaluation under the framework in Internal Control—Integrated Framework, our management has concluded that the Company’s internal control over financial reporting is effective as of December 31, 2012.

This annual report does not include an attestation report of our registered public accounting firm regarding internal control over financial reporting. As we are a non-accelerated filer, management’s report is not subject to attestation by our registered public accounting firm pursuant to Section 404(c) of the Sarbanes-Oxley Act of 2002 that permits us to provide only management’s report in this annual report.

 

ITEM 9B. OTHER INFORMATION

None.

 

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Table of Contents

PART III.

 

ITEM 10. DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE

Although DJOFL is the Registrant filing this Annual Report, the Board of Directors of DJO, DJOFL’s indirect parent, acts as the governing body of DJOFL’s businesses. The following table sets forth information about the directors and executive officers of DJO. The executive officers of DJO are also the executive officers of DJOFL.

 

Name

  Age    

Position

Michael P. Mogul

    48      President, Chief Executive Officer and Director; Manager of DJOFL

Vickie L. Capps

    51      Executive Vice President, Chief Financial Officer and Treasurer; Manager of DJOFL

Donald M. Roberts

    64      Executive Vice President, General Counsel and Secretary; Manager of DJOFL

Thomas A. Capizzi

    54      Executive Vice President, Global Human Resources

Stephen J. Murphy

    48      Executive Vice President, International Commercial Businesses

Gerry McDonnell

    48      Executive Vice President, Global Quality and Operations

Steven Ingel

    48      President, Global Bracing and Supports

Bjorn Lenander

    51      President, Global Recovery Sciences

Mike S. Zafirovski

    59      Chairman of the Board

Sidney Braginsky

    75      Director

John Chiminski

    49      Director

Julia Kahr

    34      Director

James R. (Ron) Lawson

    68      Director

John R. Murphy

    62      Director

James Quella

    63      Director

Michael P. Mogul—President, Chief Executive Officer and Director. Mr. Mogul was appointed President, Chief Executive Officer and Director of DJO and Manager of DJOFL in June 2011. Prior to joining DJO, Mr. Mogul served as President and subsequently Group President of Orthopaedics for Stryker Corp. from 2005 until his transition to DJO in 2011. Prior to that, he served as Managing Director of Stryker Germany, Austria and Switzerland, where he led the rebuilding of those organizations following the Howmedica acquisition. From 1994 to 2000, he served as Vice President, Sales for the Osteonics Division of Stryker, where he led the successful integration of the U.S. Osteonics and Howmedica sales teams. Mr. Mogul served as General Manager of the Osteonics Instrument Business Unit, Assistant to the Chairman and Regional Sales Manager of Stryker Instruments. He joined Stryker in 1989 as Sales Representative for Stryker Instruments after starting his career in 1986 as an Account Manager for NCR Corp. Mr. Mogul received a Bachelor of Science Degree from the University of Colorado and attended the Advanced Management Program at the Harvard Business School.

Vickie L. Capps—Executive Vice President, Chief Financial Officer and Treasurer. Ms. Capps was appointed Executive Vice President, Chief Financial Officer and Treasurer of DJO and DJOFL in November 2007 at the time of the acquisition of DJO Opco Holdings, Inc. (DJO Opco) by DJO (formerly ReAble Therapeutics, Inc.) (the DJO Merger). Ms. Capps became one of DJOFL’s managers in 2010. Prior to the DJO Merger, Ms. Capps served as the Executive Vice President, Chief Financial Officer and Treasurer of DJO Incorporated since July 2002. From September 2001 until July 2002, Ms. Capps was employed by AirFiber, a privately held provider of broadband wireless solutions, where she served as Senior Vice President, Finance and Administration and Chief Financial Officer. From July 1999 to July 2001, Ms. Capps served as Vice President of Finance and Administration and Chief Financial Officer for Maxwell Technologies, Inc., a publicly traded technology company. From 1992 to 1999, Ms. Capps served in various positions, including Chief Financial Officer, with Wavetek Wandel Goltermann, Inc., a multinational communications equipment company. Ms. Capps also served as a senior audit and accounting professional for Ernst & Young LLP from 1982 to 1992. Ms. Capps is a California Certified Public Accountant and received a B.S. degree in business administration/accounting from San Diego State University. Ms Capps served on the board of directors and was a member of the audit committee and chairperson of the nominating and governance committee of SenoRx, Inc., a publicly traded medical device company, until the company was sold in July, 2010.

 

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Table of Contents

Donald M. Roberts—Executive Vice President, General Counsel and Secretary. Mr. Roberts was appointed Executive Vice President, General Counsel and Secretary of DJO and DJOFL as of the effective date of the DJO Merger. Mr. Roberts became one of DJOFL’s managers in 2010. Prior to the DJO Merger, Mr. Roberts served as Senior Vice President, General Counsel and Secretary of DJO Opco since December 2002. From 1994 to December 2002, Mr. Roberts served as Vice President, Secretary and General Counsel for Maxwell Technologies, Inc., a publicly held technology company. Prior to that, he was with the Los Angeles—based law firm of Parker, Milliken, Clark, O’Hara & Samuelian for 21 years. Mr. Roberts was a shareholder in the firm, having served as partner in a predecessor partnership. Mr. Roberts received his undergraduate degree in political science from Yale University and earned his J.D. at the University of California, Berkeley, Boalt Hall School of Law.

Thomas A. Capizzi—Executive Vice President, Global Human Resources. Mr. Capizzi was appointed Executive Vice President, Global Human Resources of DJO and DJOFL as of the effective date of the DJO Merger. Prior to the DJO Merger, Mr. Capizzi served as Senior Vice President, Human Resources of DJO Opco since July 2007. From 2001 to July 2007, Mr. Capizzi served as Vice President, Worldwide Human Resources & Administration for Magellan GPS, a consumer electronics company. Previous to that, from 1999 to 2001, he was Vice President, HR, Chief Administrative Officer for PCTEL a publicly held Telecommunications and Modem Technology Company. From 1997 to 1999 he served as Corporate Vice President, Human Resources for McKesson, a Medical Distribution and Pharmaceutical Solution company. Mr. Capizzi has held various other Human Resources Management positions in companies such as Charles Schwab, Genentech, PepsiCo and The Hertz Corporation. Mr. Capizzi brings well over 25 years of human resources experience to DJO. Mr. Capizzi received his undergraduate degree in Psychology and Philosophy from Cathedral College/St. John’s University and his post graduate work in Organizational Development from the New School.

Gerry McDonnell—Executive Vice President, Global Quality and Operations. Mr. McDonnell joined DJO and was appointed Executive Vice President, Global Quality and Operations of DJO and DJOFL on March 1, 2012. Mr. McDonnell joined DJO from Stryker where he held the position of Vice President, Managing Director for Stryker Ireland as well as the position of Vice President & General Manager for Stryker Orthopaedics Ireland between November 2007 and February 2012. Mr. McDonnell initially qualified as an Industrial Engineer through the College of Management in Limerick, Ireland and he holds a Masters Degree in change management through Trinity College Dublin, Ireland. Previous to his Stryker experience Mr. McDonnell worked for other organizations such as Nortel, Apple and AST Computers/Samsung in various GM, operational, engineering and supply chain roles.

Steven Ingel—President, Global Bracing and Supports. Mr. Ingel was appointed President, Global Bracing & Supports of DJO and DJOFL, in October 2011. Prior to October of 2011, Mr. Ingel served as Senior Vice President of Sales & Marketing, Domestic Bracing & Supports of DJO since the DJO Merger and before that in various domestic positions with DJO Incorporated since August 2001. Prior to this, Mr. Ingel served in similar positions with DonJoy, LLC, since June 1999 and served in various domestic sales and marketing positions since 1994 with affiliates of DonJoy, LLC’s predecessor, Smith & Nephew, Inc., assuming responsibility first for the domestic Procare business and later for the combination of national accounts and Procare. Mr. Ingel began his career in 1987 as the owner and manager of a medical device distribution business, located in Los Angeles County, and primarily focused in the orthopedic rehabilitation and instrumentation space. Mr. Ingel received a Bachelor of Science Degree in Finance and Marketing from the California State University, Northridge.

Bjorn Lenander—President, Global Recovery Sciences. Mr. Lenander was appointed President, Global Recovery Sciences of DJO and DJOFL in May 2012. Prior to May 2012, Mr. Lenander served as Senior Vice President, Export Division of DJO since August 2009 and before that he served in various international positions with DJO since November 2007. Prior to this, Mr. Lenander served as Division President of the Cefar-Compex Division within DJO since November 2006. He joined Cefar AB, a leading European manufacturer of electro stimulation devices, as CEO in January 2006. Mr. Lenander served as Area Sales Director of Cardo Industrial

 

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Doors, from 2003 and Division President within Trelleborg AB, a leading manufacturer of industrial polymer systems, from 1995. He received a Master of Science in Engineering in 1987 from The Royal Institute of Technology in Stockholm, Sweden.

Stephen J. Murphy—Executive Vice President, International Commercial Business. Mr. Murphy was appointed Executive Vice President, International Commercial Business of DJO in September 2009. Prior to September 2009, Mr. Murphy served as Senior Vice President, International Sales and Marketing of DJO since the DJO Merger and before that in various international positions with DJO Opco since August 2001. Prior to this, Mr. Murphy served in similar positions with DonJoy, LLC, since June 1999 and served in various international sales and marketing positions since 1992 with affiliates of DonJoy, LLC’s predecessor, Smith & Nephew, Inc., assuming responsibility first for the Medical Business of Smith & Nephew in Ireland and later for the international business of the Smith &Nephew Homecraft Rehabilitation business, based in England. Mr. Murphy began his career as an accountant with Smith & Nephew Ireland in 1991. He is a Chartered Management Accountant and completed his studies at the Accountancy and Business College in Dublin in 1991.

Mike S. Zafirovski—Chairman of the Board. Mr. Zafirovski became one of DJO’s directors and was named as non-executive Chairman of the Board of DJO in January 2012. Mr. Zafirovski is currently a Senior Advisor to The Blackstone Group, L.P., an affiliate of DJO’s primary shareholder. He served as Director, President and Chief Executive Officer of Nortel Networks Corporation from November 2005 to August 2009. Previously, Mr. Zafirovski was Director, President and Chief Operating Officer of Motorola, Inc. from July 2002 to January 2005, and remained a consultant to, and a director, of Motorola until May 2005. He served as Executive Vice President and President of the Personal Communications Sector of Motorola from June 2000 to July 2002. Prior to joining Motorola, Mr. Zafirovski spent nearly 25 years with General Electric Company, where he served in management positions, including 13 years as President and Chief Executive Officer of five businesses in the industrial and financial services arenas Mr. Zafirovski’s last position at General Electric was as President and Chief Executive Officer of GE Lighting from July 1999 to May 2000. Mr. Zafirovski also serves on the boards of the Boeing Company, Apria Healthcare Group Inc. and Stericycle, Inc. He serves on the Boeing Compensation and Governance and Nominating Committees and the Stericycle Compensation Committee.

Sidney Braginsky—Director. Mr. Braginsky became one of DJO’s directors in December 2006. Mr. Braginsky has been President, Chief Executive Officer and Chairman of the Board of Atropos Technology, LLC since July 2000. Mr. Braginsky also serves a director of Double D (Devices and Diagnostics), a Venture Capital Fund and is Chairman and CEO of Digilab LLC, a molecular spectroscopy division acquired by Atropos in 2001. Double D and Digilab LLC are both affiliated with Atropos Technology, LLC. Before joining Atropos, Mr. Braginsky served as President of Olympus America, Inc. where he built a large business focused on optical products. Prior to Olympus America, Mr. Braginsky served as President and Chief Operating Officer of Mediscience Technology Corp., a designer and developer of diagnostic medical devices for cancer detection. Mr. Braginsky currently serves on the board of directors and audit committees of MELA Sciences, Inc (formerly Electro-Optical Sciences, Inc.), Invendo Medical GmbH and Endogene Pty., Ltd. Mr. Braginsky formerly served on the board of directors of Diomed Holdings, Inc., Geneva Acquisition Corp, and Noven Pharmaceuticals, Inc.

John Chiminski—Director. Mr. Chiminski became one of DJO’s directors in March 2012. Mr. Chiminski currently serves as President and Chief Executive Officer of Catalent Pharma Solutions. From 2007 until March 2009 when he joined Catalent Pharma Solutions, Mr. Chiminski served as President and Chief Executive Officer of GE Medical Diagnostics, a global business with sales of $1.9 billion. From 2005 to 2007, he served as Vice President and General Manager of GE Healthcare’s Global Magnetic Resonance Business, and from 2001 to 2005, Mr. Chiminski served as Vice President and General Manager of Global Healthcare Services. Mr. Chiminski holds a B.S. from Michigan State University and an M.S. from Purdue University, both in electrical engineering, as well as a Master in Management degree from the Kellogg School of Management at Northwestern University. He is on the Board of Trustees for HealthCare Institute of New Jersey.

Julia Kahr—Director. Ms. Kahr became one of DJO’s directors immediately after the completion of the acquisition of DJO by an affiliate of The Blackstone Group L.P. in November 2006. Ms. Kahr is currently a

 

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managing director of The Blackstone Group. Before joining The Blackstone Group in 2004, Ms. Kahr was a Project Leader at the Boston Consulting Group, where she worked with companies in a variety of industries, including financial services, pharmaceuticals, media and entertainment, and consumer goods. Ms. Kahr is a director of Summit Materials. Ms. Kahr is also the sole author of Working Knowledge, a book published by Simon & Schuster in 1998.

James R. Lawson—Director. Mr. Lawson became one of DJO’s directors in September 2012. Mr. Lawson has over 35 years of experience in the orthopedic medical device industry. He is currently Chairman of the Board of IMDS, an orthopedic contract manufacturing and innovation company, a member of the Health Care Advisory Board of Arsenal Capital Partners and a member of the board of directors of Cold Plasma Medical Technologies, a startup company specializing in the field of plasma medicine. Mr. Lawson has served in several senior management positions, including as Senior Vice President of Howmedica’s Worldwide Sales and Customer Service (prior to its acquisition by Stryker Corporation) and at Stryker as Senior Vice President of Sales, Marketing and Product Development, President EMEA, and Group President, International and Global Orthopedics. Mr. Lawson has also been involved as an entrepreneur in several privately held businesses. Mr. Lawson retired from Stryker in 2007 and in 2008 he formed Lawson Group LLC which provides strategic consulting services specializing in the orthopedic medical technology field.

John R. Murphy—Director. Mr. Murphy became one of DJO’s directors and was named as Chairman of the Audit Committee in January 2012. Since 2003, Mr. Murphy has served on the Board of Directors, the Governance Committee and as Chairman of the Audit Committee of O’Reilly Automotive, Inc. He was Senior Vice President and Chief Financial Officer of Smurfit-Stone Container Corporation from 2009 to 2010, and prior thereto from 1998 to 2008 he served in various senior management roles, including Chief Financial Officer and Chief Operating Officer and ending as President and Chief Executive Officer of Accuride Corporation. Accuride Corporation filed for Chapter 11 bankruptcy protection in October 2009, and emerged in 2010. In February 2012, Mr. Murphy was elected as a director and Audit Committee Chairman of Summit Materials, LLC. In addition, since January 2013, Mr. Murphy has been serving as the interim Chief Financial Officer of Summit Materials, LLC. Within the past five years, Mr. Murphy served as director and audit committee member of Graham Packaging.

James Quella—Director. Mr. Quella became one of DJO’s directors in September 2012. Mr. Quella is a Senior Managing Director and Senior Operating Partner in the Corporate Private Equity group of The Blackstone Group, LP. Affiliates of The Blackstone Group, LP own substantially all of the capital stock of DJO. Prior to joining The Blackstone Group, LP in 2004, Mr. Quella was a Managing Director and Senior Operating Partner with DLJ Merchant Banking Partners and CSFB Private Equity. Prior to that, Mr. Quella worked at Mercer Management Consulting and Strategic Planning Associates, its predecessor firm, where he served as a senior consultant to CEOs and senior management teams, and was Co-Vice Chairman with shared responsibility for overall management of the firm. Mr. Quella has been a member of various company boards and currently serves as a director of Catalent, Freescale Semiconductor and Michaels Stores and is a member of the Audit Committee of Michaels Stores.

CORPORATE GOVERNANCE MATTERS

Term of Directors. Each director of DJO serves until resignation or removal by a majority vote of the shareholders of DJO. Because affiliates of Blackstone own approximately 98% of the outstanding capital stock of DJO, no regular annual meetings of shareholders have been scheduled and the directors do not have specific annual terms.

Background and Experience of Directors. When considering whether directors and nominees have the experience, qualifications, attributes or skills, taken as a whole, to enable the DJO Board of Directors to satisfy its oversight responsibilities effectively in light of DJO’s business and structure, the DJO Board of Directors focused primarily on each person’s background and experience as reflected in the information discussed in each

 

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of the directors’ individual biographies set forth immediately above. In recommending directors, our Board of Directors considers the specific background and experience of the Board members and other personal attributes in an effort to provide a diverse mix of capabilities, contributions and viewpoints which the Board believes enables it to function effectively as the Board of Directors of a company with our size and nature of business. We believe that our directors provide an appropriate mix of experience and skills relevant to the size and nature of DJO’s business. In particular, the members of the DJO Board of Directors considered the following important characteristics: (i) Ms. Kahr and Mr. Quella are representatives appointed by The Blackstone Group L.P., an affiliate of our principal stockholder, and have significant financial and investment experience from their involvement in The Blackstone Group’s investment in numerous portfolio companies and have played active roles in overseeing those businesses, (ii) Our Chief Executive Officer has extensive experience in the orthopedic device industry and in executive management, (iii) Our Chairman of the Board has significant experience as a CEO, COO and other senior management positions with large multi-national companies; and (iv) Our outside directors have a diverse background of management, accounting and financial experience from the healthcare and medical device industries, as well as other industries. Specifically, Mr. Zafirovski brings extensive financial management and board experience; Mr. Murphy is the Chairman of our Audit Committee and is an audit committee financial expert, as defined in Item 407(d)(5)(ii) of Regulation S-K under the Exchange Act, by virtue of his years of experience in various senior financial management and board positions; Mr. Braginsky brings both financial and management experience in a diverse range of businesses, as well as audit and board service; Mr. Chiminski has served in numerous senior management roles with medical device and pharmaceutical companies; and Mr. Lawson has over 35 years of senior management and board of directors experience in the orthopedic medical device industry.

In January 2009, Nortel Networks Corporation, for which Mr. Zafirovski served as Director, President and Chief Executive Officer, and subsidiary companies filed for bankruptcy protection in the United States, Canada and Europe. Mr. Zafirovski resigned from Nortel on August 9, 2009. In October 2009, Accuride Corporation, for which Mr. Murphy served in various senior management roles, including as Chief Financial Officer, President and Chief Executive Officer, filed for bankruptcy protection in the United States. Mr. Murphy resigned from Accuride in September 2008. The Board has concluded that neither of these events impair either Mr. Zafirovski’s or Mr. Murphy’s ability to serve as a director.

Board Leadership Structure. Chinh Chu, as a representative of Blackstone, served as Chairman of the Board from January 2009 until the appointment of Leslie Cross as Chairman upon his retirement as CEO in June 2011. Mr. Cross served as Chairman until December 30, 2011. Effective January 5, 2012, the Board of Directors elected Mr. Zafirovski as a member of the Board and as non-executive Chairman of the Board. The Chief Executive Officer position is and will remain separate from the Chairman position. We believe that the separation of the Chairman and CEO positions is appropriate for a company of the size and nature of DJO.

Role of Board in Risk Oversight. The Board of Directors has extensive involvement in the oversight of risk related to the company and its business. The Audit Committee of the Board plays a key role in representing and assisting the Board in discharging its oversight responsibility relating to the accounting, reporting and financial practices of the Company, including the integrity of our financial statements, the surveillance of administrative and financial controls and the Company’s compliance with legal and regulatory requirements. Through its regular meetings with management, including legal, regulatory, compliance and internal audit functions, the Audit Committee reviews and discusses all of the principal functions of our business and updates the Board of Directors on all material matters.

Audit Committee. Our Audit Committee currently consists of three appointed Directors, Mr. Murphy (Chairman), Mr. Braginsky and Ms. Kahr. As a privately held company, our Audit Committee is not required to be composed of only independent directors. We believe that Messrs. Murphy and Braginsky each meet the definition of an independent director under the Rules of the New York Stock Exchange. Our Board of Directors has determined that Mr. Murphy is an audit committee financial expert, as defined in SEC Regulation S-K Item 407 (d)(5)(ii). Our Board of Directors also believes that the other members of the Audit Committee have

 

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requisite levels of financial literacy and financial sophistication to enable the Audit Committee to be effective in relation to the purposes outlined in its charter and in light of the scope and nature of our business and financial statements.

Compensation Committee. The Compensation Committee of the DJO Board currently consists of two appointed Directors, Ms. Kahr and Mr. Quella. Because DJO is a privately held company, the Compensation Committee is not required to be composed of independent directors.

Code of Ethics. Our Business Ethics Policy and Code of Conduct, Code of Conduct for the Board of Directors, and Code of Ethics for the Chief Executive Officer and Senior Executives and Financial Officers, including our principal accounting officer, are available, free of charge, on the Company’s website at www.DJOglobal.com. Please note, however, that the information contained on the website is not incorporated by reference in, or considered part of, this Annual Report. We will post any amendments to the Code of Ethics, and any waivers that are required to be disclosed by the SEC rules on our website within the required time period. We will also provide copies of these documents, free of charge, to any security holder upon written request to: Investor Relations, DJO Global, Inc., 1430 Decision Street, Vista, California 92081-8553.

 

ITEM 11. EXECUTIVE COMPENSATION

Compensation Discussion and Analysis

The following Compensation Discussion and Analysis describes the objectives of our Executive Compensation Program and the material elements of compensation for our executive officers identified under Item 11. “Executive Compensation—Summary Compensation Table” (the Named Executive Officers or NEOs), along with the role of the Compensation Committee of the DJO Board of Directors (the Compensation Committee) in reviewing and making decisions regarding our executive compensation program.

Role of the Compensation Committee in Establishing Compensation

The Compensation Committee establishes salaries and reviews benefit programs for the Chief Executive Officer (CEO) and each of our other executive officers; reviews and approves our annual incentive compensation for management employees; reviews, administers and grants stock options under our stock option plan; advises the DJO Board and makes recommendations with respect to plans that require Board approval; and approves employment agreements with our executive officers. The Compensation Committee establishes and maintains our executive compensation program through internal evaluations of performance, and analysis of compensation practices in industries where we compete for experienced senior management. The Compensation Committee reviews our compensation programs and philosophy regularly, particularly in connection with its evaluation and approval of changes in the compensation structure for a given year. The Compensation Committee met six times during 2012. The CEO makes recommendations for the salaries for executive officers other than himself and reviews such recommendations with the Compensation Committee.

Objectives of Our Compensation Program

Our executive compensation program is designed to attract, retain, and reward talented senior management who can contribute to our growth and success and thereby build long-term value for our stockholders. We believe that an effective executive compensation program is critical to our long-term success. By having an executive compensation program that is competitive with current market practice and focused on driving superior and enduring performance, we believe we can align the interests of our executive officers with the interests of stockholders and reward our executive officers for successfully improving stockholder returns. Our compensation program has the following objectives:

 

   

Attract and retain talented senior management to ensure our future success,

 

   

Encourage a pay-for-performance mentality by directly relating variable compensation elements to the achievement of financial and strategic objectives,

 

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Promote a direct relationship between executive compensation and the interests of our stockholders, with long-term incentive compensation that links a significant portion of executive compensation to our sustained performance through stock option awards, and

 

   

Structure a compensation program that appropriately rewards our executive officers for their skills and contributions to our company based on competitive market practice.

The Elements of Our Executive Compensation Program

The elements of our executive compensation program are as follows:

 

   

Base salary,

 

   

Annual and quarterly cash incentive compensation (performance-based bonuses, with bonus of up to 70% of base salary for the executive officers (other than the CEO) for achieving target goals and with a supplemental bonus of up to the same percentage of base salary for achieving enhanced goals and a target bonus of 100% of base salary for the CEO with a supplemental bonus for achieving enhanced goals of up to 50% of his base salary),

 

   

Equity-based awards (stock options), and

 

   

Retention and severance agreements where appropriate.

Base Salary.

Base salaries provide a fixed form of compensation designed to reward an executive officer’s core competence in his or her role. The Compensation Committee determines base salaries by taking into consideration such factors as competitive industry salaries, the nature of the position, the contribution and experience of the officers and their length of service. In connection with the hiring of Mr. Mogul as CEO in June 2011, we entered into an employment agreement with Mr. Mogul which provides for payment of an annual base salary of $750,000. Mr. Mogul’s salary level was arrived at through negotiation between representatives of DJO’s principal shareholder and Mr. Mogul. See “Employment Agreement with CEO” below.

Except for salary increases to reflect the promotion of Messrs. Ingel and Lenander to executive officers in 2012, no adjustments were made to the base salaries of the executive officers in 2012. On February 1, 2013, the Compensation Committee approved a 3% increase, effective April 1, 2013, in the base salaries for Ms. Capps and Messrs. Roberts, Capizzi, McDonnell and Murphy. Messrs. Ingel and Lenander received a 2% increase in light of their promotion-related salary increases earlier in 2012. No salary increase was made for Mr. Mogul whose base salary level is addressed in his Employment Agreement.

Annual and Quarterly Cash Incentive Compensation.

Performance-based cash incentive compensation is provided to motivate our executive officers each quarter and for the full year to pursue objectives that the Compensation Committee believes are consistent with the overall goals and long-term strategic direction that the DJO Board has set for our company. Over the past five years, the Compensation Committee has adopted annual bonus plans which have several basic features which have carried over from year to year, with some modifications and the establishment of specific financial targets for each year.

On January 6, 2012, the Compensation Committee approved the management incentive bonus plan for 2012 (2012 Bonus Plan) for the executive officers of the Company other than the CEO. Under the 2012 Bonus Plan, each Named Executive Officer (other than the CEO) had an opportunity to earn up to 70% of such executive’s annual base salary as a target bonus (Target Bonus). As with the 2011 Bonus Plan, 50% of the Target Bonus was based on the Company’s full-year performance and 50% on the Company’s quarterly performance, with each quarter representing 25% of the total quarterly bonus opportunity. In addition, 50% of each quarterly and annual

 

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Target Bonus opportunity was based on meeting the Company’s revenue targets and 50% of each quarterly and annual Target Bonus opportunity was based on meeting the Company’s Adjusted EBITDA targets. A minimum bonus of 25% of the Target Bonus could be earned if the Company’s financial performance fell short of the applicable financial targets by 2.8% for revenue and 2.9% for Adjusted EBITDA. As with prior bonus plans, the 2012 Plan provided for a Supplemental Bonus based on full year performance pursuant to which the executive officers could have earned an additional bonus of up to 100% of their applicable Target Bonus if the Company’s financial performance exceeded the applicable target by up to 2.8% for revenue and up to 2.9% for Adjusted EBITDA. As with prior bonus plans, the effects of foreign currency translation were excluded from the financial calculations under the 2012 Bonus Plan. See definition of “Adjusted EBITIDA” in “Liquidity and Capital Resources” in “Management’s Discussion and Analysis of Financial Condition and Results of Operations” above.

Revenue and Adjusted EBITDA were selected as performance metrics for the 2012 Bonus Plan to reflect the Compensation Committee’s desire to focus management on growth in revenue and Adjusted EBITDA. In establishing the specific financial performance goals for the 2012 Bonus Plan, the Compensation Committee set the annual revenue and Adjusted EBITDA targets to reflect growth over 2011 of 4.8% and 5.5%, respectively. As a result of the Company’s financial performance in 2012, full quarterly bonuses were earned on the revenue component for each of the four quarters, and partial quarterly bonuses of 100.0%, 30.0%, and 31.7%, respectively, were earned for the first three quarters on the Adjusted EBITDA component. For the annual bonus, 100% was earned on the revenue component, 6.8% was earned on the revenue component of the Supplemental Bonus, and a partial annual bonus of 26.7% was earned on the Adjusted EBITDA component.

The Compensation Committee selected revenue and Adjusted EBITDA as the relevant company-wide performance criteria for the bonus plans because the Compensation Committee believes that these criteria are consistent with the metrics by which the DJO Board measures the overall goals and long-term strategic direction for DJO. Further, these criteria are closely related to or reflective of DJO’s financial and operational improvements, growth and return to shareholders. Revenue growth is a critical metric for enhancing the value of our Company. Adjusted EBITDA is an important non-GAAP valuation tool that potential investors use to measure our Company’s profitability and liquidity against other companies in our industry. Adjusted EBITDA, for the purposes of the 2012 Bonus Plan, was calculated as earnings before interest, income taxes, depreciation and amortization, further adjusted for non-cash items, non-recurring items and other adjustment items pursuant to the definition of consolidated EBITDA contained in the credit agreement for our senior secured credit facilities, excluding forward cost savings as determined by the Board of Directors.

In addition to the other compensation terms described below, Mr. Mogul’s Employment Agreement provides that for each full fiscal year during the term of his Employment Agreement beginning in 2012, Mr. Mogul is eligible to earn an annual target bonus of 100% of his base salary based on achievement of the same quarterly and annual revenue and Adjusted EBITDA targets as are established each year for the Company’s management incentive bonus plan. Mr. Mogul is also eligible for an additional annual bonus of up to 50% of his base salary upon achievement of the same performance criteria for the Supplemental Bonus.

Pursuant to action taken on February 20, 2013, the Compensation Committee approved the management incentive bonus plan for 2013 (2013 Bonus Plan) for the executive officers. The terms of the 2013 Plan are the same as the 2012 Plan, with the specific revenue and Adjusted EBITDA targets tied to the Board-approved 2013 Business Plan.

Equity Compensation Awards.

In November 2007, the Compensation Committee adopted the DJO 2007 Incentive Stock Plan (as amended, the 2007 Plan). The purpose of the 2007 Plan is to promote the interests of the Company and its shareholders by enabling selected key employees to participate in our long-term growth by receiving the opportunity to acquire shares of DJO common stock and to provide for additional compensation based on appreciation in DJO common

 

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stock. The 2007 Plan provides for the grant of stock options and other stock-based awards to key employees, directors and independent sales agents. The Compensation Committee determines whether to grant options and the exercise price of the options granted. The Committee has broad discretion in determining the terms, restrictions and conditions of each award granted under the 2007 Plan, provided that no options may be granted after November 20, 2017 and no option may be exercisable after ten years from the date of grant. All option awards granted under the 2007 Plan have an exercise price equal to the fair market value of DJO’s common stock on the date of grant. Fair market value is defined under the 2007 Plan to be the closing market price of a share of DJO’s common stock on the date of grant or if no market price is available, the fair market value as determined by the Board of Directors. The Compensation Committee retains the discretion to make equity awards at any time in connection with the initial hiring of a new employee, for retention purposes, or otherwise. We do not have any program, plan or practice to time annual or ad hoc grants of stock options or other equity-based awards in coordination with the release of material non-public information or otherwise. The 2007 Plan may be amended or terminated at any time by the DJO Board. However, any amendment that would require shareholder approval in order for the 2007 Plan to continue to meet any applicable legal or regulatory requirements will be effective only if it is approved by DJO’s shareholders. Equity awards under the 2007 Plan may be in the form of options or other stock-based awards. Options can be either incentive stock options or non-qualified stock options. The 2007 Plan authorizes the award of a maximum of 10,575,529 shares of common stock. As of December 31, 2012, options for a total of 9,233,369 shares are outstanding.

In February 2008, we granted options for a total of 20,000, 400,243 and 177,886 shares, respectively (2008 Options) under the 2007 Plan to Mr. Ingel, Ms. Capps, and Mr. Murphy. The 2008 Options have a term of ten years from the date of grant and an exercise price of $16.46 per share. The 2008 options vest in accordance with the following schedule: (a) one-third of each stock option grant (Time-Based Tranche) vested in increments of one-fifth at the end of each calendar year after the grant date and are now fully vested, (b) one-third of each stock option grant vests upon achievement by Blackstone of a minimum return of money on invested capital (MOIC) of 2.25 following the sale of all or a portion of its shares of DJO capital stock (the Market Return Tranche) and (c) one-third of each stock option grant vests upon achievement of a MOIC of 2.5 by Blackstone following the sale of all or a portion of its shares of DJO capital stock (the Enhanced Market Return Tranche). The MOIC conditions are required to be achieved or none of the options in the Market Return or the Enhanced Market Return Tranche will vest. Prior to an amendment to the vesting terms of these options in 2010, a portion of the 2008 and 2009 installments in what is currently referred to as the Market Return Tranche vested based on achievement of established financial metrics.

In March 2009, we granted options for 22,114 shares under the 2007 Plan to Mr. Murphy (2009 Options). These options have a term of 10 years from the date of grant and an exercise price of $16.46 per share. As with the 2008 Options, one-third of each option grant consists of a five year vesting Time-Based Tranche, a Market Return Tranche and an Enhanced Market Return Tranche. As with the 2008 Options, the 2009 portion of the Market Return Tranche vested under prior vesting requirements in effect in 2009.

In connection with the hiring of Mr. Mogul as CEO in June 2011, we granted options to Mr. Mogul to purchase 800,000 shares under the 2007 Plan. The options were granted at an exercise price of $16.46. One-third of these options will vest in equal annual installments over four years, contingent on Mr. Mogul’s continued employment through each vesting date. The other two-thirds of the stock options will vest based upon Blackstone achieving the same minimum MOIC levels included in the outstanding options described above.

2012 Amendments to Plan and Option Grants. On February 16, 2012, DJO’s Board and majority shareholder approved an amendment to the 2007 Plan to increase the number of shares of DJO common stock available for award under the 2007 Plan by 2,650,000 (from 7,925,529 to 10,575,529). On February 16, 2012, the Compensation Committee approved the grant of options under the 2007 Plan to key members of management, including a grant of 100,000 options to Ms. Capps and Mr. Murphy and a grant of 40,000 options to Mr. Ingel. These options have a term of 10 years from the date of grant and an exercise price of $16.46 per share. Subject to the amendments described below, these options will vest in four equal installments for 2012 and for each of the

 

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three calendar years following 2012, with each such installment vesting only if the final reported financial results for such year show that the Adjusted EBITDA for such year equaled or exceeded the Adjusted EBITDA amount in the financial plan for such year as adopted by the Board of Directors. In the event that Adjusted EBITDA in any of such four years falls short of the amount of Adjusted EBITDA in the financial plan for that year, the installment that did not vest for such year shall be eligible for subsequent vesting at the end of the four year vesting period if the cumulative Adjusted EBITDA achieved over such four period equals or exceeds the cumulative Adjusted EBITDA in the financial plans for such four years and the Adjusted EBITDA in the fourth vesting year equals or exceeds the Adjusted EBITDA in the financial plan for such year. In the event that Blackstone meets its 2.25x MOIC target during the four year vesting period under the options, any unvested installments from prior years and all installments for future years shall thereupon vest. Because the Company did not meet the Annual EBITDA target for 2012, the 2012 vesting installment did not vest as of December 31, 2012.

On March 22, 2012, in connection with the hiring of Mr. McDonnell as Executive Vice President, Global Quality and Operations, the Compensation Committee approved the grant to Mr. McDonnell of options to purchase 200,000 shares under the 2007 Plan. Subject to the 2013 amendments described below, these options have the same terms as the options granted on February 16, 2012. On July 31, 2012, in connection with the promotion of Mr. Ingel to President, Global Bracing and Supports, the Compensation Committee approved the grant to Mr. Ingel of options to purchase 125,000 shares under the 2007 Plan. Subject to the 2013 amendments described below, these options also have the same terms as the options granted on February 16, 2012.

2013 Amendments to 2012 Option Grants. On February 20, 2013, the Compensation Committee approved amendments to the options granted in 2012. These amendments include: 1) an amendment to the vesting provisions of all 2012 option awards to provide that the 2012 vesting installment which did not vest based on the 2012 Adjusted EBITDA performance goal may vest if an enhanced 2013 Adjusted EBITDA target is achieved; and 2) an amendment to only those options awarded to employees hired in 2012 (including Mr. McDonnell) to convert one-third of such options into a time-based vesting component which vests in increments of one-fifth at the end of each year after the original date of grant of such options if the optionee remains employed with us or any of our subsidiaries as of such vesting date.

Change in Control Provisions in Option Awards. All options granted under the 2007 Plan prior to 2012 contain change-in-control provisions that cause the options in the Time-Based Tranche to become immediately vested and exercisable upon the occurrence of a change-in-control if the optionee remains in continuous employment of the Company until the consummation of the change-in-control. These change-in-control provisions will not result in accelerated vesting of the Market Return Tranche or the Enhanced Market Return Tranche, the vesting of which require the achievement of the MOIC target following a liquidation by Blackstone of all or a portion of its equity investment in DJO. Except for the time-based vesting component of the amended 2012 Options, the options granted in 2012 would only vest on a change in control if Blackstone meets its 2.25x MOIC target as a result of such change in control.

Management Rollover Options. In connection with the acquisition of DJO Opco by DJO in November 2007, certain members of DJO Opco management were permitted to exchange a portion of their DJO Opco stock options for options to purchase shares of DJO common stock granted under the 2007 Plan on a tax-deferred basis (the DJO Management Rollover Options). The exercise price and number of shares underlying such options were each adjusted in proportion to the relative market values of DJO Opco’s and DJO’s common stock upon the closing of the DJO Merger. All of the DJO Management Rollover Options were fully vested and remained subject to the same terms as were applicable to the original options. On December 14, 2012, Mr. Murphy exercised a Rollover Option resulting in his purchase of 11,448 shares of common stock for $1.33 per share.

Employment Agreement with CEO.

On May 31, 2011, we entered into an Employment Agreement with Mr. Mogul, pursuant to which he is entitled to receive an annual base salary of $750,000 and an annual bonus at a target rate of 100% of his base salary with a maximum bonus of 150% of his base salary, contingent on his achieving target and maximum

 

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performance objectives established by the Company’s Board of Directors. One-half of his bonus can be earned and paid quarterly based on the Company’s achievement of the established quarterly financial results and the remaining one-half of the target bonus, plus any supplemental bonus, can be paid annually based on the Company’s overall financial results for the year. For the 2011 fiscal year, Mr. Mogul’s annual bonus was set at $652,000 in lieu of the foregoing formulaic bonus. The Employment Agreement has a four year term, with automatic one-year extensions unless prior notice of termination is given by either party. Following a termination without cause (as defined in the Employment Agreement), Mr. Mogul will be entitled to (i) a pro rata portion of his annual bonus based on the percentage of the fiscal year which has elapsed (ii) subject to Mr. Mogul’s compliance with certain non-competition and confidentiality provisions, an amount equal to 1.5 times the sum of his base salary plus his Target Bonus for the year of termination, payable in equal installments in accordance with DJO’s standard pay practices over a period of 18 months, and (iii) continued coverage under the Company’s benefit plans for up to 18 months. The Employment Agreement contains a covenant not to compete during the term of the agreement and for 18 months after termination of the agreement. The Employment Agreement also provided that contingent on Mr. Mogul’s purchase of $2,600,000 in shares of DJO’s common stock at fair market value, the Company would award Mr. Mogul 60,753 restricted shares or restricted share units. Mr. Mogul consummated the purchase of $2,600,000 in DJO shares in 2011 and elected to receive the 60,753 restricted shares. Fifty percent of the restricted shares vested on June 13, 2012 and 50% will vest on June 13, 2013, contingent on his continued employment through the applicable vesting date.

Retention and Severance Agreements

2011 Retention and Severance Agreements. On February 25, 2011, the Compensation Committee approved forms of retention bonus (2011 Retention Agreement) and severance agreements (2011 Severance Agreement) for the then executive officers, which included Ms. Capps and Mr. Murphy. The Compensation Committee felt that the assurances offered by these arrangements were necessary in light of the uncertainty surrounding the retirement in 2011 of the Company’s former CEO and the search for a new CEO.

The 2011 Retention Agreements provided for payment of a cash bonus (the Retention Amount), subject to certain time and performance conditions described herein. The total Retention Amount was $500,000 for Ms. Capps and $250,000 for Mr. Murphy. The 2011 Retention Agreements provided that sixty-five percent (65%) of the executive’s applicable Retention Amount would be paid to the executive on the first payroll date after January 31, 2012 if the executive had been continuously employed by the Company through that date, or would be paid upon the earlier termination of the executive’s employment due to death, disability or termination without cause (as defined in the retention agreement). This portion was paid to Ms. Capps and Mr. Murphy on February 10, 2012. The remaining 35% of the Retention Amount was payable as follows: (a) 17.5% of the Retention Amount would be paid to the executive if the executive was employed through January 31, 2012 and the Company achieved the revenue target for 2011 under the 2011 Bonus Plan as originally adopted, and (b) 17.5% of the Retention Amount would be paid to the executive if the executive was employed through January 31, 2012 and the Company achieved the Adjusted EBITDA target for 2011 under the 2011 Bonus Plan as originally adopted. In addition to payment of the 65% portion of the retention bonus, as a result of the Company’s 2011 financial performance, the following additional amounts were paid in February 2012 to the following executives: Ms. Capps $87,500, and Mr. Murphy $43,750.

The 2011 Severance Agreements which Ms. Capps and Mr. Murphy entered into in 2011 provide that if the executive’s employment is terminated by the Company without “cause” (as defined in the severance agreement) and for so long as the executive is in compliance with the restrictive covenants described below, the executive will be paid certain amounts as described below in “Potential Payments Upon Termination or Change-in-Control.”

Tax Considerations

Section 162(m) of the Internal Revenue Code of 1986, as amended, provides that compensation in excess of $1,000,000 paid to the CEO or to other executive officers of a public company will not be deductible for federal

 

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income tax purposes unless such compensation is paid pursuant to one of the enumerated exceptions set forth in Section 162(m). As a privately held company, we are not required to comply with Section 162(m) to ensure tax deductibility of executive compensation.

Compensation Committee Report

The Compensation Committee of the DJO Board of Directors oversees our company’s compensation program on behalf of the Board. In fulfilling its oversight responsibilities, the Compensation Committee has reviewed and discussed with management the Compensation Discussion and Analysis set forth in this Annual Report. Based upon the review and discussions referred to above, the Compensation Committee recommended to the DJO Board that the Compensation Discussion and Analysis be included in this Annual Report.

Submitted by the Compensation Committee:

Julia Kahr

James Quella

Summary Compensation Table

The following table sets forth summary information about the compensation during 2012, 2011, and 2010 for services rendered in all capacities by our Chief Executive Officer, Chief Financial Officer and each of our three other most highly compensated executive officers. All of the individuals listed in the following table are referred herein collectively as the Named Executive Officers or NEOs.

 

Name and Principal Position

  Year     Salary
($)
    Bonus
(2) ($)
    Stock
Awards ($)
    Option
Awards
(5) ($)
    Non-Equity
Incentive Plan
Compensation
(7) ($)
    All Other
Compensation
(10) ($)
    Total ($)  

Michael P. Mogul (1)

    2012        750,000        —        $ —          —          526,326        8,750        1,285,076   

President, Chief Executive

    2011        418,269        652,000 (3)      999,995 (4)      1,662,775 (6)      —          259,352        3,992,391   

Officer and Director

               

Vickie L. Capps

    2012        472,500        325,000        —          609,000        319,610        13,084        1,739,194   

Executive Vice President,

    2011        472,500        —          —          —          38,163        8,575        519,238   

Chief Financial Officer and

    2010        450,000        —          —          —          95,436        8,575        554,011   

Treasurer

               

Gerry McDonnell (8)

    2012        316,403        —          —          1,218,000        164,957        —          1,699,360   

Executive, Vice President,

               

Global Quality and

               

Operations

               

Steven Ingel

    2012        308,515        —          —          1,004,850        202,393        9,087        1,524,845   

President, Global Bracing and

               

Supports

               

Stephen J. Murphy (9)

    2012        301,112        162,500        —          609,000        185,586        89,422        1,347,620   

Executive Vice President,

    2011        304,760        —          —          —          60,870        70,144        435,744   

International Commercial

    2010        297,312        —          —          —          102,410        49,302        449,024   

Businesses

               

 

(1) Mr. Mogul commenced employment with the Company on June 13, 2011 as President, Chief Executive Officer and Director.
(2) The amounts for 2012 for Ms. Capps and Mr. Murphy reflect the 65% of the Retention Amount payable for continued employment under retention bonus agreements entered into in January 2011 with each of our then executive officers. See “2011 Retention and Severance Agreements” in “Compensation Discussion and Analysis” above.
(3) Pursuant to his Employment Agreement dated June 13, 2011, Mr. Mogul was entitled to receive a bonus of $652,000 for 2011, which was paid in February 2012.
(4)

The amount shown in this column represents the aggregate grant date fair value of 60,753 restricted shares awarded to Mr. Mogul on September 9, 2011 computed in accordance with FASB ASC Topic 718. These shares vested 50% on June 13,

 

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  2012 and will vest 50% on June 12, 2013, contingent upon his continued employment with the Company. The fair value of the restricted stock award is estimated using the fair market value of our stock on the grant date ($16.46 per share). We are required to reflect the total grant date fair value of this award in the year of award, rather than the portion of this amount that is recognized for financial statement reporting purposes in a given fiscal year. This amount has not been paid in cash to and may not correspond to the actual value that is ultimately realized by Mr. Mogul. See Note 14 of the Notes to Consolidated Financial Statements included in this Annual Report for a discussion of the relevant assumptions used in calculating the aggregate grant date fair value.
(5) The amounts shown in this column reflect the aggregate grant date fair value of the option awards granted in the respective years. Pursuant to SEC rules, the amounts shown exclude the impact of estimated forfeitures related to service-based vesting conditions. We are required to reflect the total grant date fair values of the option grants in the year of grant, rather than the portion of this amount that was recognized for financial statement reporting purposes in a given fiscal year. These amounts may not correspond to the actual value that is ultimately realized by the NEOs. See Note 14 of the Notes to Consolidated Financial Statements included in this Annual Report for a discussion of the relevant assumptions used in calculating the aggregate grant date fair value. See “Equity Compensation Awards” in the “Compensation Discussion and Analysis” above for a description of the vesting conditions for these options.
(6) The amount shown for Mr. Mogul’s 2011 option award includes only the amount related to the Time-Based Tranche of options granted. Under applicable accounting principles, no value was assigned to the Market Return Tranche and Enhanced Market Return Tranche. If the satisfaction of the performance component to the Market Return Tranche and Enhanced Market Return Tranche was determined to be probable under applicable accounting principles, the aggregate grant date fair value of the 2011 option awards would have been: $2,265,442.
(7) The amounts shown in this column include (i) amounts earned in the respective year based on the results of the Bonus Plan, some of which was paid in the subsequent year, and (ii) for Ms. Capps and Mr. Murphy, $87,500 and $43,750, respectively, which represents the portion of the 35% of the Retention Amount which was earned upon achievement of the Adjusted EBITDA target for 2011 under retention bonus agreements entered into in January 2011 with each of our then executive officers. See “Annual and Quarterly Cash Incentive Compensation” and “Retention and Severance Agreements” in the “Compensation Discussion and Analysis” above.
(8) Mr. McDonnell’s Salary and Non-Equity Incentive Plan Compensation has been converted from Euro at an average annual exchange rate for fiscal year 2012 at $1.29 per Euro.
(9) Mr. Murphy’s Salary, Bonus, Non-Equity Incentive Plan Compensation and All Other Compensation for each fiscal year have been converted from pounds sterling at an average annual exchange rate for the year as follows: for fiscal year 2012 at $1.58 per pound, for fiscal year 2011 at $1.60 per pound and for fiscal year 2010 at $1.56 per pound.
(10) Perquisites and other personal benefits are valued on the basis of the aggregate incremental cost to the Company of such perquisites and other personal benefits. The amounts shown in this column for 2012 for each of the NEOs is set forth in the following table:

For the Year Ended December 31, 2012

 

     Mr. Mogul      Ms. Capps      Mr. McDonnell      Mr. Ingel      Mr. Murphy (1)  

Company contributions to deferred compensation plans

   $      8,750       $     13,084       $               —         $      8,750       $           62,699   

Vehicle allowance

     —           —           —           337         20,685   

Medical insurance, Life insurance and Income protection

     —           —           —           —           6,038   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 

Total

   $ 8,750       $ 13,084       $ —         $ 9,087       $ 89,422   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 

 

  (1) Mr. Murphy’s Other Compensation for 2012 has been converted from pounds sterling at an average annual exchange rate for the year of $1.58 per pound.

 

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Grants of Plan-Based Awards in 2012

The following table sets forth certain information with respect to grants of plan-based awards made to the NEOs during 2012.

 

            Estimated Future Payouts
Under Non-Equity
Incentive Plan Awards  (1)
     All Other
Option
Awards:
Number of
Securities
Underlying

Options
(#)
     Exercise
or Base
Price of
Option

Awards
($/Share)
     Grant Date
Fair Value
of Stock
and

Option
Awards ($)
 

Name

   Grant Date      Threshold
($)
     Target
($)
     Maximum
($)
          

Michael P. Mogul

     1/1/2012         187,500         750,000         1,125,000         —           —           —     

Vickie L. Capps

     1/1/2012         82,688         330,750         661,500         —           —           —     
     2/16/2012         —           —           —           100,000         16.46         609,000   

Gerry McDonnell (2)

     1/1/2012         55,371         221,482         442,964         —           —           —     
     3/22/2012         —           —           —           200,000         16.46         1,218,000   

Steven Ingel

     1/1/2012         53,990         215,961         431,921         —           —           —     
     2/16/2012         —           —           —           40,000         16.46         243,600   
     7/31/2012         —           —           —           125,000         16.46         761,250   

Stephen J. Murphy (3)

     1/1/2012         52,695         210,778         421,557         —           —           —     
     2/16/2012         —           —           —           100,000         16.46         609,000   

 

(1) The amounts set forth in these columns under “Estimated Future Payouts Under Non-Equity Incentive Plan Awards” represent the threshold, target and maximum bonus potential under the 2012 Bonus Plan. See discussion of “Threshold Bonus”, “Target Bonus” and “Supplemental Bonus” in “Annual and Quarterly Cash Incentive Compensation” in “Compensation Discussion and Analysis” above for a description of the conditions for the 2012 Bonus Plan.
(2) Amounts shown for Mr. McDonnell have been translated from Euro at an average annual rate of $1.29 per Euro.
(3) $1.58 per pound.

 

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Outstanding Equity Awards at 2012 Fiscal Year-End

The following table sets forth certain information regarding equity-based awards held by each of the NEOs as of December 31, 2012.

 

    Option Awards     Stock Awards  

Name

  Number of
Securities
Underlying
Unexercised
Options
(#)

Exercisable
    Number of
Securities
Underlying
Unexercised
Options
(#)

Unexercisable
    Equity
Incentive
Plan  Awards:
Number of
Securities
Underlying
Unexercised
Unearned

Options
(#)
    Option
Exercise
Price ($)
    Option
Expiration
Date
    Number of
Shares or
Units of
Stock That
Have  Not
Vested
(#)
    Market
Value of
Shares or
Units
That Have
Not
Vested
($)
 

Michael P. Mogul

    66,667 (1)      200,000 (5)      533,333 (7)      16.46        6/13/2021                 
                                       30,377 (9)      499,988   
 

 

 

   

 

 

   

 

 

       

 

 

   

 

 

 
    66,667        200,000        533,333            30,377        499,988   
 

 

 

   

 

 

   

 

 

       

 

 

   

 

 

 

Vickie L. Capps

    187,388 (2)             206,791 (7)      16.46        2/21/2018                 
    91,586 (3)                    13.10        5/11/2017                 
    48,846 (3)                    12.91        4/3/2016                 
    76,321 (3)                    7.00        12/8/2014                 
    5,343 (3)                    7.18        2/26/2014                 
    91,585 (3)                    8.29        12/9/2013                 
                  100,000 (8)      16.46        3/22/2022       
 

 

 

   

 

 

   

 

 

         
    501,069               306,791           
 

 

 

   

 

 

   

 

 

         

Gerry McDonnell

                  200,000 (8)      16.46        3/22/2022                 
 

 

 

   

 

 

   

 

 

         

Steven Ingel

    9,365 (2)             10,332 (7)      16.46        2/21/2018                 
    7,237 (2)             12,449 (7)      16.46        8/13/2018                 
    27,475 (3)                    13.10        5/11/2017                 
    30,529 (3)                    12.91        4/3/2016                 
                  40,000 (8)      16.46        3/22/2022                 
                  125,000 (8)      16.46        3/22/2022                 
 

 

 

   

 

 

   

 

 

         
    74,696               187,781           
 

 

 

   

 

 

   

 

 

         

Stephen J. Murphy

    4,669 (4)      2,703 (6)      14,742 (7)      16.46        12/9/2019                 
    83,284 (2)             91,907 (7)      16.46        2/21/2018                 
    36,634 (3)                    13.10        5/11/2017                 
    30,529 (3)                    12.91        4/3/2016                 
    27,476 (3)                    7.00        12/8/2014                 
    8,395 (3)                    8.29        12/9/2013                 
                  100,000 (8)      16.46        3/22/2022                 
 

 

 

   

 

 

   

 

 

         
    190,987        2,703        206,649           
 

 

 

   

 

 

   

 

 

         

 

(1) This amount reflects the number of shares underlying the Time-Based Tranche of options that are vested and exercisable which were granted on June 13, 2011 under the 2007 Plan.
(2) These amounts reflect (a) the number of shares underlying the Time-Based Tranche of options that are vested and exercisable which were granted in 2008 under the 2007 Plan, and (b) the number of shares underlying the Market Return Tranche (which, prior to the March 2010 option modification, was referred to as the Performance-Based Tranche) of options that were granted in 2008 under the 2007 Plan, and were earned (i.e., their performance conditions were satisfied) during 2008 and 2009.
(3) These amounts reflect the number of shares underlying the DJO Management Rollover Options which were fully vested upon issuance in connection with the DJO Merger.
(4)

This amount reflects (a) the number of shares underlying the Time-Based Tranche of options that are vested and exercisable which were granted in 2009 under the 2007 Plan, and (b) the number of shares underlying

 

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  the Market Return Tranche (which, prior to the March 2010 option modification, was referred to as the Performance-Based Tranche) of options that were granted in 2009 under the 2007 Plan, and were earned (i.e., their performance conditions were satisfied) in 2009.
(5) This amount reflects the number of shares underlying the Time-Based Tranche of options that are not vested and not exercisable which were granted on June 13, 2011 under the 2007 Plan. Twenty-five percent of the original Time-Based Tranche vest on each June 13, 2013, June 13, 2014 and June 13, 2015.
(6) These amounts reflect the number of shares underlying the Time-Based Tranche of options that are not vested and not exercisable which were granted in 2009 under the 2007 Plan. These options reflect the remaining portion of the grant made in 2009 and vest on March 7, 2013 and March 7, 2014.
(7) The amounts set forth in this column reflect the number of shares underlying the Market Return Tranche and the Enhanced Market Return Tranches of options that have not been earned (i.e., their performance conditions have not been satisfied). See “Equity Compensation Awards” in “Compensation Discussion and Analysis” above.
(8) These amounts reflect the number of shares underlying the 2012 Options that have not been earned (i.e., their performance conditions have not been satisfied). See “Equity Compensation Awards — 2012 Amendments to Plan and Option Grants” in “Compensation Analysis and Discussion” above.
(9) Upon Mr. Mogul’s purchase of $2,600,000 of shares of common stock, the Company issued him 60,753 restricted shares, one-half of which vested on June 13, 2012 and the other half of which will vest 50% on June 13, 2013 the second anniversary date, contingent upon his continued employment with the Company.

Option Exercises and Stock Awards Vested During 2012

The following table provides information regarding the amounts received by our NEOs as a result of exercises of stock options or vesting of stock awards during the year ended December 31, 2012.

 

     Option Awards      Stock Awards  

Name

   Number of
Shares
Acquired on
Exercise (#)
     Value Realized
on Exercise ($)
     Number of
Shares
Acquired on
Vesting (#)
     Value Realized
on Vesting ($)
 

Michael P. Mogul (1)

     —           —           30,376       $ 499,989   

Stephen J. Murphy (2)

     11,448       $ 173,208         —           —     

 

(1) Represents the vesting on June 12, 2012 of one-half of the total of 60,753 restricted shares issued to Mr. Mogul in September 9, 2011. The Value Realized on Vesting is equal to the product of 30,376 shares and the fair value of the shares on the date of issuance ($16.46).
(2) Reflects the exercise of Rollover Options owned by Mr. Murphy on December 14, 2012. The Value Realized on Exercise of these options is equal to the product of 11,448 shares and the difference of $16.46 and the exercise price of $1.33 per share.

Non-Qualified Deferred Compensation for 2012

Certain employees of our U.K. subsidiary, including Mr. Murphy, are participants in Personal Pension Plan contracts which provide for the deferral of part or all of their cash compensation (UK Deferral Plan). The UK Deferral Plan allows the UK employees to save for retirement in a tax-effective way. Neither DJO nor its affiliates have any obligations under the UK Deferral Plan. Each participant may elect to defer under the UK Deferral Plan all or a portion of his or her cash compensation that may otherwise be payable in a calendar year. A participant’s compensation deferrals are credited to the participant’s account under the UK Deferral Plan. Each participant may elect to have the amounts in such participant’s account invested in one or more investment options available under the UK Deferral Plan. The UK Deferral Plan also permits DJO’s UK subsidiary to make contributions to the Deferred Plan at its discretion and monthly contributions have been made. A participant’s eventual benefit will depend on his or her level of contributions, the Company’s contributions and the investment performance of the particular investment options selected.

 

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The following table sets forth information for Mr. Murphy’s participation in the U.K. deferral plan.

 

Name

   Executive
Contributions
in Last FY ($)
     Registrant
Contributions
in Last FY ($)
     Aggregate
Earnings
in Last FY ($)
     Aggregate
Withdrawals/
Distributions ($)
     Aggregate
Balance at
Last FY ($)
 

Stephen J. Murphy (1)

     26,747         62,699         —           —           566,602   

 

(1) Amounts under “Executive Contributions in 2012” have been reported as compensation to Mr. Murphy in the “Salary” column in the Summary Compensation Table above. Amounts under “Registrant Contributions in 2012” have been reported as compensation to Mr. Murphy in the “Other Compensation” column of the Summary Compensation Table above. Amounts in the aggregate balance for Mr. Murphy include amounts earned as compensation prior to the DJO Merger when Mr. Murphy was an executive officer of DJO Opco, as well as additional amounts transferred by Mr. Murphy from other sources. Amounts included in aggregate earnings are not required to be included in the Summary Compensation Table above. The amounts for Mr. Murphy have been converted from pounds sterling at an average annual exchange rate for 2012 of $1.58 per pound. The registrant is unable to determine the Aggregate Earnings in 2012 due to the inclusion of transfers which were not part of Mr. Murphy’s compensation.

Potential Payments Upon Termination or Change-in-Control

Of the above Named Executive Officers, only Ms. Capps and Mr. Murphy are parties to the 2011 Severance Agreements. The 2011 Severance Agreements provide that if the executive’s employment is terminated by the Company without “cause” (as defined in the severance agreement) and for so long as the executive is in compliance with the restrictive covenants described below, the executive will be paid the following amounts: (a) a monthly payment equal to the executive’s monthly base salary for 18 months, in the case of Ms. Capps, or 12 months, in the case of Mr. Murphy; (b) a monthly payment equal to one-twelfth of the executive’s target annual bonus amount under the management incentive bonus plan for the year of termination for the 18 or 12 month period, as applicable; (c) a pro-rata share of any quarterly bonus for the quarter in which the executive’s employment is terminated plus a pro-rata share of the annual bonus that the executive would have received for the year of termination but for the termination of employment; and (d) Company-paid COBRA benefits for the 18 month or 12 month period, as applicable. In addition, if the executive holds DJO Management Rollover Options, the severance agreement provides that the Company will purchase the Management Rollover Options held by the executive on the termination date at a price equal to the difference, if any, between the fair market value of the underlying common stock and the per share exercise price of the Management Rollover Options. Payment of the benefits under the severance agreement is contingent on compliance with a covenant not to compete against the Company and a covenant not to solicit customers or employees for either 18 or 12 months, as applicable. Such payments will not be made if the executive’s employment terminates due to death or disability.

On May 31, 2011, the Company entered into an Employment Agreement with Mr. Mogul which contains severance provisions which provide that following a termination without cause (as defined in the Employment Agreement), Mr. Mogul will be entitled to (i) a pro rata portion of his annual bonus based on the percentage of the fiscal year which has elapsed, (ii) subject to Mr. Mogul’s compliance with certain non-competition and confidentiality provisions, an amount equal to 1.5 times his base salary plus 1.5 times his Target Bonus for the year of termination, payable in equal installments in accordance with DJO’s standard pay practices over a period of 18 months, and (iii) continued coverage under the Company’s benefit plans for up to 18 months.

 

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The following table shows the amount of potential cash payments and the value of other severance benefits each of the NEOs would be entitled to if his or her employment were terminated “without cause” or if he or she resigned for “good reason” as of December 31, 2012:

 

Name

   Base Salary
Payment
     Bonus
Payment
     Health
Benefits
     Value of
Rollover
Options
     Total  

Michael P. Mogul

   $ 1,125,000       $ 1,125,000       $ 29,198       $ —         $ 2,279,198   

Vickie L. Capps

     708,750         496,125         20,611         2,000,961         3,226,447   

Gerry McDonnell

     —           —           —           —           —     

Steven Ingel

     —           —           —           —           —     

Stephen J. Murphy

     301,112         210,778         6,038         559,978         1,077,906   

The options granted to our executive officers and other members of management contain change-in-control provisions that would result in accelerated vesting of the Time-Based Tranche upon the occurrence of a change-in-control. Specifically, the Time-Based Tranche would become immediately exercisable upon the occurrence of a change-in-control if the optionee remains in continuous employment of the Company until the consummation of the change-in-control. However, this change-in-control provision does not apply to the Market Return or Enhanced Market Return Tranches, the vesting of which requires the achievement of the minimum return on MOIC targets following a liquidation by Blackstone of all or a portion of its equity interest in DJO. Except for the time-based vesting component of the amended 2012 options, the options granted in 2012 to our executive officers do not contain change-of-control provisions.

Compensation of Directors

The Compensation Committee of the DJO Board reviews the compensation of our Directors on an annual basis. During 2012, our Board of Directors consisted of the following persons: Leslie H. Cross (until December 4, 2012), Chinh E. Chu (until February 22, 2013), Julia Kahr, Bruce McEvoy (until September 11, 2012), Michael P. Mogul, Sidney Braginsky, Phillip J. Hildebrand (until June 29, 2012), Paul LaViolette (until June 29, 2012), Mike S. Zafirovski (from January 5, 2012), John R. Murphy (from January 5, 2012), John Chiminski (from March 22, 2012), Ron Lawson (from September 11, 2012) and James Quella (from September 11, 2012). Ms. Kahr and Mr. Quella are affiliated with Blackstone and are not compensated for serving as members of our Board of Directors. Mr. Mogul is our Chief Executive Officer and is not separately compensated for serving as a member of the Board of Directors.

The standard compensation package for directors who are not employed by the Company or by any Blackstone-controlled entity (Eligible Directors), consists of an annual fee for each such director and stock option grants. Each of the Eligible Directors is paid an annual fee of $75,000. In addition, the Chairman of the Audit Committee receives an annual fee of $25,000 and the other members of the Audit Committee (who are Eligible Directors) receive an annual fee of $15,000. The Eligible Directors were also eligible for annual option awards under the 2007 Plan. In January 2012, the Compensation Committee awarded Messrs. Braginsky, Murphy, LaViolette and Hildebrand 4,600 options.

On January 5, 2012, the Compensation Committee approved Mr. Zafirovski’s compensation as Chairman of the Board of DJO, consisting of annual cash compensation of $400,000 per year, and options to acquire 303,767 shares of the Company’s common stock at an exercise price of $16.46 per share. Mr. Zafirovski also was granted the right to purchase approximately $1,000,000 in shares of the Company’s common stock, also at a price of $16.46 per share, and he completed that purchase in January 2012. Mr. Zafirovski’s arrangement provides that he will provide up to 40 days per year in consulting services with the Company’s CEO.

On September 11, 2012, the Compensation Committee approved Mr. Lawson’s compensation as director of DJO, consisting of annual cash compensation of $200,000 per year, and options to acquire 100,000 shares of the Company’s common stock at an exercise price of $16.46 per share. Mr. Lawson also was granted the right to

 

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purchase approximately $1,000,000 in shares of the Company’s common stock, also at a price of $16.46 per share, and he completed that purchase in December 2012. Mr. Lawson’s arrangement provides that he will provide up to 40 days per year in consulting services to assist the Company in building its surgical business in the U.S. and all of its businesses outside the U.S.

The following table sets forth the compensation earned by our non-employee directors for their services in 2012:

 

     Directors Compensation for 2012  

Name

   Fees
Earned or
Paid in
Cash
     Option
Awards (1)
     Total  

Sidney Braginsky

   $ 90,000       $ 27,968       $ 117,968   

John Chiminski

     75,000         —           75,000   

Chinh E. Chu (2)

     —           —           —     

Leslie H. Cross (3)

     150,000         —           150,000   

Phillip J. Hildebrand (4)

     37,500         27,968         65,468   

Julia Kahr

     —           —           —     

Paul LaViolette (4)

     37,500         27,968         65,468   

James R. Lawson

     100,000         614,000         714,000   

Bruce McEvoy (5)

     —           —           —     

John R. Murphy

     100,000         27,968         127,968   

James Quella

     —           —           —     

Mike Zafirovski

     400,000         1,846,903         2,246,903   

 

(1) Amounts shown for option awards reflect grant date fair value of options granted in 2012. A discussion of the relevant assumptions used in the valuation is contained in Note 14 to the Consolidated Financial Statements. As of December 31, 2012, Mr. Braginsky had a total of 20,650 stock options outstanding, Mr. Zafirovski had 303,767 stock options outstanding, Mr. Lawson had 100,000 stock options outstanding, and Mr. Murphy had 4,600 stock options outstanding.
(2) Mr. Chu resigned as a director effective February 22, 2013.
(3) Mr. Cross resigned as a director effective December 4, 2012.
(4) Messrs. LaViolette and Hildebrand resigned as directors effective June 29, 2012.
(5) Mr. McEvoy resigned as a director effective September 11, 2012.

Compensation Committee Interlocks and Insider Participation

During 2012, our Compensation Committee consisted of three designees of Blackstone, Mr. Chu, Ms. Kahr and Mr. McEvoy. In September 2012, Mr. McEvoy resigned and Mr. Quella replaced him as a director. Mr. Chu resigned in February 2013. None of the members of the Compensation Committee is or has been an officer or employee of DJO. See “Item 13. Certain Relationships and Related Transactions, and Director Independence” below for a description of certain agreements with Blackstone and its affiliates. None of our executive officers has served as a director or a member of the compensation committee (or other committee serving an equivalent function) of any other entity, which has one or more executive officers serving as a director of DJO or member of our Compensation Committee.

 

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ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND RELATED STOCKHOLDER MATTERS

DJOFL is a wholly owned subsidiary of DJO, which owns all of our issued and outstanding capital stock. The following table sets forth as of February 27, 2013, certain information regarding the beneficial ownership of the voting securities of DJO by each person who beneficially owns more than five percent of DJO’s common stock, and by each of the directors and NEOs of DJO, individually, and by our directors and executive officers as a group.

 

    Aggregate Number of Shares Beneficially Owned (1)  

Name and Address of Beneficial Owner

  Number of Issued
Shares
    Acquirable within
60 days (2)
    Percent of Class  

Grand Slam Holdings, LLC (3)

    48,098,209        —          97.84

Directors and Executive Officers:

     

Michael P. Mogul (4)
President, Chief Executive Officer and Director

    188,335        66,667         

Vickie L. Capps
Executive Vice President, Chief Financial Officer and Treasurer

    —          501,069        1.01

Gerry McDonnell
Executive Vice President, Global Quality and Operations

    —          —          —     

Stephen J. Murphy
Executive Vice President, International Commercial Business

    17,524        190,987         

Steven Ingel
President, Global Bracing and Supports

    —          74,697         

Mike S. Zafirovski
Chairman of the Board

    60,753        33,752         

Julia Kahr
Director (5)

    —          —           

Sidney Braginsky
Director

    6,076        17,584         

John R. Murphy
Director

    —          1,534         

John Chiminski
Director

    —          —          —     

Ron Lawson
Director

    60,753        —           

James Quella (5)
Director

    —          —          —     

All Directors and executive officers as a group

    333,441        1,385,835        3.40

 

* Less than 1%
(1) Includes shares held in the beneficial owner’s name or jointly with others, or in the name of a bank, nominee or trustee for the beneficial owner’s account. Unless otherwise indicated in the footnotes to this table and subject to community property laws where applicable, we believe that each stockholder named in this table has sole voting and investment power with respect to the shares indicated as beneficially owned.
(2) Includes the number of shares that could be purchased by exercise of options on or within 60 days after February 27, 2013 under DJO’s stock option plan. For the NEOs, this number includes the DJO Management Rollover Options which are fully vested, the portion of the Time-Based Tranche that have vested or will vest in 60 days, and options that vested in 2008 and 2009 which were part of the former Performance-Based Tranche portion of the Market Return Tranche or the Enhanced Market Return Tranche have vested.
(3)

Shares of common stock of DJO held by Grand Slam Holdings, LLC (BCP Holdings) may also be deemed to be beneficially owned by the following entities and persons: (i) Blackstone Capital Partners V L.P., a Delaware limited partnership (BCP V), Blackstone Family Investment Partnership V L.P., a Delaware limited partnership (BFIP), Blackstone Family Investment Partnership V-A L.P., a Delaware limited partnership (BFIP-A), and Blackstone Participation Partnership V L.P., a Delaware limited partnership (together with BCP V, BFIP and

 

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  BFIP-A, the Blackstone Partnerships), which collectively own all of the equity in BCP Holdings; (ii) Blackstone Management Associates V L.L.C., a Delaware limited liability company (BMA), the general partner of the Blackstone Partnerships; (iii) BMA V L.L.C., a Delaware limited liability company (BMA V), the sole member of BMA; and (iv) Peter G. Peterson and Stephen A. Schwarzman, the founding members and controlling persons of BMA V. Each of Messrs. Peterson and Schwarzman disclaims beneficial ownership of such shares, except to the extent of his pecuniary interest therein. The address of BCP Holdings and each of the entities and individuals listed in this footnote is c/o The Blackstone Group, L.P., 345 Park Avenue, New York, New York 10154.
(4) Excludes 30,377 restricted shares awarded to Mr. Mogul on September 9, 2011 which will vest on June 13, 2013, contingent on his continued employment with the Company.
(5) Ms. Kahr and Mr. Quella are employees of The Blackstone Group, L.P. but disclaim beneficial ownership of any shares owned directly or indirectly by BCP Holdings.

Equity Compensation Plan Information

The following table provides information as of December 31, 2012 with respect to the number of shares to be issued upon the exercise of outstanding stock options under our 2007 Plan, which is our only equity compensation plan and has been approved by the stockholders:

 

Plan Category

   (a) Number of
securities to be
issued upon
exercise  of
outstanding
options, warrants
and rights
     Weighted-average
exercise price of
outstanding
options, warrants
and  rights
     Number of securities
remaining available for
future issuance  under
equity compensation plans
(excluding securities
reflected in column (a))
 

Equity compensation plans approved by stockholders

     9,233,369       $ 15.39         1,342,160   

 

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ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS, AND DIRECTOR INDEPENDENCE

Management Stockholder’s Agreement

All members of DJO’s management who own shares of DJO common stock or options to purchase DJO common stock are parties to a Management Stockholders Agreement, dated November 3, 2006, among DJO, Grand Slam Holdings, LLC (BCP Holdings), Blackstone Capital Partners V L.P. (Blackstone), certain of its affiliates (BCP Holdings and Blackstone and its affiliates are referred to as Blackstone Parent Stockholders), and such members of DJO’s management, as amended by the First Amendment to Management Stockholders Agreement (the Management Stockholders Agreement). The Management Stockholders Agreement provides that upon termination of a management stockholder’s employment for any reason, DJO and a Blackstone Parent Stockholder may collectively exercise the right to purchase all of the shares of DJO common stock held by such management stockholder within one year after such termination (or, with respect to shares purchased upon exercise of options after termination of employment, one year following such exercise). If a management stockholder is terminated for cause (as defined in the Agreement), or voluntarily terminates their employment and such termination would have constituted a termination for cause if it would have been initiated by DJO, and DJO or a Blackstone Parent Stockholder exercises its call rights after such termination, the management stockholder would receive the lower of fair market value or cost for the management stockholder’s callable shares. In the case of all other terminations of employment, the management stockholder would receive fair market value for such shares.

The Management Stockholders Agreement imposes significant restrictions on transfers of shares of DJO’s common stock held by management stockholders and provides a right of first refusal to DJO or Blackstone, if DJO fails to exercise such right, on any proposed sale of DJO’s common stock held by a management stockholder following the lapse of the transfer restrictions and prior to the occurrence of a qualified public offering (as such term is defined in that agreement) of DJO. In addition, prior to a qualified public offering, Blackstone will have drag-along rights, and management stockholders will have tag-along rights, in the event of a sale of DJO’s common stock by Blackstone to a third party (or in the event of a sale of BCP Holdings’ equity interests to a third party) in the same proportion as the shares or equity interests sold by Blackstone. The Management Stockholders Agreement also provides that, after the occurrence of a qualified public offering, the management stockholders will receive customary piggyback registration rights with respect to shares of DJO common stock held by them.

All parties receiving an award of stock options, including all DJO directors who have been granted options, as well as all purchasers of common stock in private offerings are parties to a Stockholders Agreement which has the same material terms and conditions as the Management Stockholders Agreement.

Transaction and Monitoring Fee Agreement

Under a Transaction and Monitoring Fee Agreement, Blackstone Management Partners V L.L.C. (including through its affiliates and representatives) provides certain monitoring, advisory and consulting services to DJO for an annual monitoring fee which is the greater of $7.0 million or 2.0% of consolidated EBITDA (as defined in the Transaction and Monitoring Fee Agreement).

The Transaction and Monitoring Fee Agreement also provides that:

 

   

at any time in connection with or in anticipation of a change of control of DJO, a sale of all or substantially all of its assets or an initial public offering of common stock of DJO or its successor, BMP may elect to receive, in lieu of remaining annual monitoring fee payments, a single lump sum cash payment equal to the then-present value of all then-current and future annual monitoring fees payable under the agreement, assuming a hypothetical termination date of the agreement to be November 2019;

 

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the Transaction and Monitoring Fee Agreement will continue until the earlier of November 2019, or such date as DJO and BMP may mutually agree; and

 

   

DJO will indemnify BMP and its affiliates, and their respective partners, members, shareholders, directors, officers, employees, agents and representatives from and against all liabilities relating to the services performed under the Transaction and Monitoring Fee Agreement and the engagement of BMP pursuant to, and the performance of BMP and its affiliates and their respective representatives of the services contemplated by, each such agreement.

Other Related Party Transactions

During the year ended December 31, 2012, in connection with the Exos acquisition, we paid $0.8 million of transaction and advisory fees to Blackstone Advisory Partners L.P., and BMP.

During the year ended December 31, 2011, in connection with the Dr. Comfort acquisition, we paid $5.0 million of transaction and advisory fees to Blackstone Advisory Partners L.P.

Policy and Procedures with Respect to Related Person Transactions

The Board of Directors has not adopted a formal written policy for the review and approval of transactions with related persons. However, all such transactions will be reviewed by the Board on an as-needed basis.

Director Independence

As a privately held company, the DJO Board is not required to have a majority of independent directors. However, we believe that Messrs. Braginsky and Murphy would be deemed independent directors according to the independence definition promulgated under the New York Stock Exchange listing standards.

 

ITEM 14. PRINCIPAL ACCOUNTING FEES AND SERVICES

Fees Paid to the Independent Auditor

The following table sets forth the aggregate fees billed by Ernst & Young LLP for audit services rendered in connection with the consolidated financial statements and reports, and for other services rendered during fiscal years 2012 and 2011 on behalf of DJOFL and its subsidiaries, as well as all out-of-pocket costs incurred in connection with these services, which have been billed to DJOFL. All audit and audit related services were pre-approved by the audit committee.

 

     2012      2011  

Audit fees (1)

   $ 1,821,549       $ 1,555,159   

Audit-related fees (2)

     37,415         256,190   

Tax fees (3)

     176,495         10,500   

All other fees (4)

     —           —     

 

(1) Audit Fees: Consists of fees billed for professional services rendered for the audit of DJOFL’s consolidated financial statements, review of interim condensed consolidated financial statements included in quarterly reports and services that are normally provided by auditors in connection with statutory and regulatory filings. In 2012, audit fees included fees related to the sale and registration of $230.0 million of 8.75% second priority senior secured notes issued in March 2012, the sale and registration of the $100.0 million tack-on to the 8.75% second priority senior secured notes issued in October 2012, and the sale and registration of $440 million of 9.875% senior notes issued in October 2012. In 2011, audit fees included fees related to the registration of $300.0 million of 9.75% Senior Subordinated Notes issued in October 2010, and the sale and registration of $300.0 million of 7.75% Senior Notes issued in April 2011.

 

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(2) Audit-Related Fees: Consists of fees billed for assurance and related services that are reasonably related to the performance of the audit or review of DJOFL’s consolidated financial statements and are not reported under Audit Fees. During 2012 and 2011 all audit-related fees were specifically pre-approved pursuant to the Audit Committee Pre-Approval Policy discussed below.
(3) Tax Fees: Consists of tax compliance and consultation services.
(4) All Other Fees: Consists of fees for all other services other than those reported above.

Audit Committee Pre-Approval Policy

All services to be performed for us by our independent auditors must be pre-approved by the audit committee, or a designated member of the audit committee, to assure that the provision of such services does not impair the auditor’s independence.

The annual audit services engagement terms and fees are subject to the specific pre-approval of the audit committee. The audit committee will approve, if necessary, any changes in terms, conditions, and fees resulting from changes in audit scope or other matters. All other audit services not otherwise included in the annual audit services engagement must be specifically pre-approved by the audit committee.

Audit-related services are services that are reasonably related to the performance of the audit or review of our financial statements or traditionally performed by the independent auditors. Examples of audit-related services include employee benefit and compensation plan audits, due diligence related to mergers and acquisitions, attestations by the auditors that are not required by statute or regulation, consulting on financial accounting and reporting standards, internal controls, and consultations related to compliance with Section 404 of the Sarbanes-Oxley Act of 2002. All audit-related services must be specifically pre-approved by the audit committee.

The audit committee may grant pre-approval of other services that are permissible under applicable laws and regulations and that would not impair the independence of the auditors. All of such permissible services must be specifically pre-approved by the audit committee.

Requests or applications for the independent auditors to provide services that require specific approval by the audit committee are considered after consultation with management and the auditors.

 

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PART IV

 

ITEM 15. EXHIBITS, FINANCIAL STATEMENT SCHEDULES

(a) The following documents are filed as part of this Annual Report:

 

  1. The following consolidated financial statements of DJO Finance LLC, including the reports thereon of Ernst & Young LLP, are filed as part of this report under Part II, Item 8. Financial Statements and Supplementary Data:

 

   

Report of Independent Registered Public Accounting Firm.

 

   

Consolidated Balance Sheets at December 31, 2012 and 2011.

 

   

Consolidated Statements of Operations for the Years Ended December 31, 2012, 2011 and 2010.

 

   

Consolidated Statements of Comprehensive Loss for the Years Ended December 31, 2012, 2011 and 2010.

 

   

Consolidated Statements of Equity for the Years Ended December 31, 2012, 2011 and 2010.

 

   

Consolidated Statements of Cash Flows for the Years Ended December 31, 2012, 2011 and 2010.

 

   

Notes to Consolidated Financial Statements.

 

  2. Financial Statement Schedules:

Schedule II — Valuation and Qualifying Accounts

All other financial statement schedules are not required under the related instructions or are inapplicable and therefore have been omitted.

 

  3. Exhibits:

 

  3.1    Certificate of Formation of DJOFL and amendments thereto (incorporated by reference to Exhibit 3.1 to DJOFL’s Annual Report on Form 10-K for the fiscal year ended December 31, 2007).
  3.2    Limited Liability Company Agreement of DJOFL (incorporated by reference to Exhibit 3.2 to DJOFL’s Registration Statement on Form S-4, filed April 18, 2007 (File No. 333-142188)).
  4.1    Indenture, dated as of October 18, 2010, among DJOFL, DJO Finance Corporation, the Guarantors named therein and The Bank of New York Mellon, as Trustee, governing the 9.75% Senior Subordinated Notes due 2017 (incorporated by reference to Exhibit 4.1 to DJOFL’s Current Report on Form 8-K, filed on October 21, 2010).
  4.2    Indenture, dated as of April 7, 2011, among DJOFL, DJO Finance Corporation, the Guarantors named therein and The Bank of New York Mellon, as Trustee, governing the 7.75% Senior Notes due 2018 (incorporated by reference to Exhibit 4.1 to DJOFL’s Current Report on Form 8-K, filed on April 8, 2011).
  4.3    Indenture, dated as of March 20, 2012, by and among DJOFL, Finco, the guarantors named therein and the Bank of New York Mellon, as Trustee and Second Lien Agent, governing the 8.75% Second Priority Senior Secured Notes due 2018 (incorporated by reference to Exhibit 10.2 to DJOFL’s Current Report on Form 8-K, filed on March 23, 2012).
  4.4    Indenture, dated as of October 1, 2012, by and among DJOFL, Finco, the guarantors named therein and The Bank of New York Mellon, as Trustee, governing the 9.875% Senior Notes due 2018 (incorporated by reference to Exhibit 4.3 to DJOFL’s Current Report on Form 8-K, filed on October 4, 2012).

 

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  4.5    Supplemental Indenture, dated as of March 17, 2011, between Elastic Therapy, LLC and The Bank of New York Mellon, as Trustee (incorporated by reference to Exhibit 4.3 to DJOFL’s Registration Statement on Form S-4, filed on August 29, 2011 (File No. 333-176544)).
  4.6    Supplemental Indenture, dated as of April 7, 2011, between Rikco International, LLC and The Bank of New York Mellon, as Trustee (incorporated by reference to Exhibit 4.6 to DJOFL’s Registration Statement on Form S-4, filed on August 29, 2011 (File No. 333-176544)).
  4.7    Supplemental Indenture, dated as of April 7, 2011, between Rikco International, LLC and The Bank of New York Mellon, as Trustee (incorporated by reference to Exhibit 4.7 to DJOFL’s Registration Statement on Form S-4, filed on August 29, 2011 (File No. 333-176544)).
  4.8    First Supplemental Indenture, dated as of October 1, 2012, by and among the Issuers, the guarantors named therein and The Bank of New York Mellon, as Trustee, governing additional 8.75% Second Priority Senior Secured Notes due 2018 (incorporated by reference to Exhibit 4.1 to DJOFL’s Current Report on Form 8-K, filed on October 4, 2012).
  4.10    Registration Rights Agreement, dated as of April 7, 2011, by and among DJOFL, DJO Finance Corporation, the Guarantors named therein, Banc of America Securities LLC and Credit Suisse Securities (USA) LLC (incorporated by reference to Exhibit 4.2 to DJOFL’s Current Report on Form 8-K, filed on April 8, 2011).
  4.11    Registration Rights Agreement, dated as of March 20, 2012, by and among DJOFL, Finco, the guarantors named therein and Credit Suisse Securities (USA) LLC (incorporated by reference to Exhibit 10.4 to DJOFL’s Current Report on Form 8-K, filed on March 23, 2012).
  4.12    Registration Rights Agreement, dated as of October 1, 2012, by and among the Issuers, the guarantors named therein and Credit Suisse Securities (USA) LLC (incorporated by reference to Exhibit 4.2 to DJOFL’s Current Report on Form 8-K, filed on October 4, 2012).
  4.13    Registration Rights Agreement, dated as of October 1, 2012, by and among the Issuers, the guarantors named therein and Credit Suisse Securities (USA) LLC (incorporated by reference to Exhibit 4.4 to DJOFL’s Current Report on Form 8-K, filed on October 4, 2012).
10.1*    2007 Incentive Stock Plan, dated November 20, 2007 (incorporated by reference to Exhibit 10.7 to DJOFL’s Current Report on Form 8-K, filed on November 27, 2007).
10.2*    Amendment to 2007 Incentive Stock Plan, dated April 25, 2008 (incorporated by reference to Exhibit 10.1 to DJOFL’s Current Report on Form 8-K, filed on May 1, 2008).
10.3*    Amendment to 2007 Incentive Stock Plan, dated June 13, 2011(incorporated by reference to Exhibit 10.6 to DJOFL’s Quarterly Report on Form 10-Q for the fiscal quarter ended July 2, 2011).
10.4*    Amendment to 2007 Incentive Stock Plan, dated February 16, 2012 (incorporated by reference to Exhibit 10.2 to DJOFL’s Quarterly Report on Form 10-Q for the fiscal quarter ended June 30, 2012).
10.5*    Form of Nonstatutory Stock Option Agreement under 2007 Incentive Stock Plan for options granted in 2008 (incorporated by reference to Exhibit 10.6 to DJOFL’s Annual Report on Form 10-K for the fiscal year ended December 31, 2007).
10.6*    Form of Amendment No. 1 to Nonstatutory Stock Option Agreement for options granted in 2008 (incorporated by reference to Exhibit 10.4 to DJOFL’s Annual Report on Form 10-K for the fiscal year ended December 31, 2010).
10.7*    Form of Amendment No. 2 to Nonstatutory Stock Option Agreement for options granted in 2008 (incorporated by reference to Exhibit 10.5 to DJOFL’s Annual Report on Form 10-K for the fiscal year ended December 31, 2010).
10.8*    Form of Amendment No. 3 to Nonstatutory Stock Option Agreement for options granted in 2008 (incorporated by reference to Exhibit 10.7 to DJOFL’s Quarterly Report on Form 10-Q for the fiscal quarter ended July 2, 2011).

 

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10.9*    Form of Nonstatutory Stock Option Agreement under 2007 Incentive Stock Plan for options granted in 2009 (incorporated by reference to Exhibit 10.6 to DJOFL’s Annual Report on Form 10-K for the fiscal year ended December 31, 2010).
10.10*    Form of Amendment No. 1 to Nonstatutory Stock Option Agreement for options granted in 2009 (incorporated by reference to Exhibit 10.7 to DJOFL’s Annual Report on Form 10-K for the fiscal year ended December 31, 2010).
10.11*    Form of Amendment No. 2 to Nonstatutory Stock Option Agreement for options granted in 2009 (incorporated by reference to Exhibit 10.8 to DJOFL’s Quarterly Report on Form 10-Q for the fiscal quarter ended July 2, 2011).
10.12*    Form of Nonstatutory Stock Option Agreement under 2007 Incentive Stock Plan for options granted in 2010 (incorporated by reference to Exhibit 10.8 to DJOFL’s Annual Report on Form 10-K for the fiscal year ended December 31, 2010).
10.13*    Form of Amendment No. 1 to Nonstatutory Stock Option Agreement for options granted in 2010 (incorporated by reference to Exhibit 10.9 to DJOFL’s Quarterly Report on Form 10-Q for the fiscal quarter ended July 2, 2011).
10.14*    Form of Nonstatutory Stock Option Agreement under 2007 Incentive Stock Plan for options granted in 2011 (incorporated by reference to Exhibit 10.10 to DJOFL’s Quarterly Report on Form 10-Q for the fiscal quarter ended July 2, 2011).
10.15*    Form of Nonstatutory Stock Option Agreement under 2007 Incentive Stock Plan for options granted in 2012 (incorporated by reference to Exhibit 10.1 to DJOFL’s Quarterly Report on Form 10-Q for the fiscal quarter ended June 30, 2012).
10.16*    Form of Directors’ Nonstatutory Stock Option Agreement under 2007 Incentive Stock Plan (incorporated by reference to Exhibit 10.7 to DJOFL’s Annual Report on Form 10-K for the fiscal year ended December 31, 2007).
10.17*    Form of Nonstatutory Stock Option Agreement under 2007 Incentive Stock Plan between DJO Global, Inc. and James R. Lawson (incorporated by reference to Exhibit 10.1 to DJOFL’s Current Report on Form 8-K, filed on September 13, 2012).
10.18*    Form of Nonstatutory Stock Option Agreement under 2007 Incentive Stock Plan (Replacement Version) (incorporated by reference to Exhibit 10.8 to DJOFL’s Annual Report on Form 10-K for the fiscal year ended December 31, 2007).
10.19*    Form of Nonstatutory Stock Option Rollover Agreement under 2007 Incentive Stock Plan (incorporated by reference to Exhibit 10.9 to DJOFL’s Annual Report on Form 10-K for the fiscal year ended December 31, 2007).
10.20*    Form of Incentive Stock Option Rollover Agreement under 2007 Incentive Stock Plan (incorporated by reference to Exhibit 10.10 to DJOFL’s Annual Report on Form 10-K for the fiscal year ended December 31, 2007).
10.21*    Director Arrangement, Separation Agreement and General Release, dated January 21, 2011, between DJO and Leslie H. Cross (incorporated by reference to Exhibit 10.27 to DJOFL’s Annual Report on Form 10-K for the fiscal year ended December 31, 2010).
10.22*    Form of Retention Bonus Agreement approved by Compensation Committee on February 25, 2011, entered into between DJO and Ms. Capps and Messrs. Faulstick, Roberts, Capizzi, Murphy and Holman (incorporated by reference to Exhibit 10.29 to DJOFL’s Annual Report on Form 10-K for the fiscal year ended December 31, 2010).
10.23*    Form of Severance Protection Agreement, approved by Compensation Committee on February 25, 2011, entered into between DJO and Ms. Capps and Messrs. Faulstick, Roberts, Capizzi, Murphy and Holman (incorporated by reference to Exhibit 10.30 to DJOFL’s Annual Report on Form 10-K for the fiscal year ended December 31, 2010).

 

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10.24*    Employment Agreement, dated as of May 31, 2011, between DJO Global, Inc. and Michael P. Mogul (incorporated by reference to Exhibit 10.1 to DJOFL’s Current Report on Form 8-K, filed on June 3, 2011).
10.25*    Amendment to Employment Agreement, dated as of April 9, 2012, between DJO Global, Inc. and Michael P. Mogul (incorporated by reference to Exhibit 10.3 to DJOFL’s Quarterly Report on Form 10-Q for the fiscal quarter ended June 30, 2012).
10.26*    Form of Restricted Share Agreement between DJO Global, Inc. and Michael P. Mogul (incorporated by reference to Exhibit 10.2 to DJOFL’s Current Report on Form 8-K, filed on June 3, 2011).
10.27*    Form of Stock Option Agreement between DJO Global, Inc. and Michael P. Mogul (incorporated by reference to Exhibit 10.4 to DJOFL’s Current Report on Form 8-K, filed on June 3, 2011).
10.28*    Form of Subscription Agreement between DJO Global, Inc. and Michael P. Mogul (incorporated by reference to Exhibit 10.5 to DJOFL’s Current Report on Form 8-K, filed on June 3, 2011).
10.29*    Form of Subscription Agreement between DJO Global, Inc. and Mike S. Zafirovski (incorporated by reference to Exhibit 10.1 to DJOFL’s Current Report on Form 8-K, filed on January 6, 2012).
10.30*    Form of Stock Option Agreement between DJP Global, Inc. and Mike S. Zafirovski (incorporated by reference to Exhibit 10.2 to DJOFL’s Current Report on Form 8-K, filed on January 6, 2012)
10.31*    DJO, Inc. Executive Deferred Compensation Plan (incorporated by reference to Exhibit 10.41 to DJOFL’s Annual Report on Form 10-K for the fiscal year ended December 31, 2011).
10.32    Management Stockholders Agreement, dated as of November 3, 2006, by and among DJO and the management stockholders party thereto (incorporated by reference to Exhibit 10.22 of DJOFL’s Registration Statement on Form S-4, filed on April 18, 2007 (File No. 333-142188)).
10.33    First Amendment to Management Stockholders Agreement, dated November 20, 2007, by and between DJO, certain Blackstone stockholders and certain management stockholders (incorporated by reference to Exhibit 10.2 to DJOFL’s Current Report on Form 8-K, filed on November 27, 2007).
10.34    Transaction and Monitoring Fee Agreement, dated November 3, 2006, between DJO and Blackstone Management Partners V L.L.C. (incorporated by reference to Exhibit 10.24 of DJOFL’s Registration Statement on Form S-4, filed on April 18, 2007 (File No. 333-142188)).
10.35    Amended and Restated Transaction and Monitoring Fee Agreement, dated November 20, 2007, between DJO and Blackstone Management Partners V L.L.C. (incorporated by reference to Exhibit 10.1 to DJOFL’s Current Report on Form 8-K, filed on November 27, 2007).
10.36    Lease Agreement between Professional Real Estate Services, Inc. and dj Orthopedics, LLC (now known as DJO, LLC), dated October 20, 2004 (Vista facility) (Incorporated by reference to Exhibit 10.1 to DJO Opco’s Current Report on Form 8-K, filed on October 26, 2004).
10.37    Lease Agreement, dated February 17, 2006, between MetroAir Partners, LLC, and dj Orthopedics, LLC (Indianapolis facility) (Incorporated by reference to Exhibit 10.2 to DJO Opco’s Quarterly Report on Form 10-Q for the quarter ended April 1, 2006)
10.38    Lease Agreement, dated June 11, 1996, between Met 94, Ltd. and Encore Orthopedics, Inc. covering 52,800 sq. ft. facility in Austin, Texas, together with amendments thereto (Incorporated by reference to Exhibit 10.27 to DJOFL’s Annual Report on Form 10-K for the fiscal year ended December 31, 2008).
10.39    Office/Light Manufacturing Lease, dated June 14, 1996, between Cardigan Investments Limited Partnership and EMPI, Inc., covering 93,666 sq. ft. facility in St. Paul, Minnesota, together with amendments thereto (Incorporated by reference to Exhibit 10.28 to DJOFL’s Annual Report on Form 10-K for the fiscal year ended December 31, 2008).
10.40    Lease Agreement, dated December 10, 2003, between BBVA Bancomer Servicios, S.A. and DJ Orthopedics de Mexico, S.A. de C.V., covering 200,000 sq. ft. facility in Tijuana, Mexico (Incorporated by reference to Exhibit 10.29 to DJOFL’s Annual Report on Form 10-K for the fiscal year ended December 31, 2008).

 

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10.41    Agreement, dated April 4, 2006, between BBVA Bancomer Servicios, S.A. and DJ Orthopedics de Mexico, S.A. de C.V., amending Leases covering 200,000 sq. ft., 58,400 sq. ft. and 27,733 sq. ft. facilities in Tijuana Mexico (Incorporated by reference to Exhibit 10.30 to DJOFL’s Annual Report on Form 10-K for the fiscal year ended December 31, 2008).
10.42    Stock Purchase Agreement, dated January 4, 2011, among DJO, LLC, Elastic Therapy, Inc, and the Sellers listed therein and Burke H. Ramsay as Seller Representative (incorporated by reference to Exhibit 2.2 to DJOFL’s Annual Report on Form 10-K for the fiscal year ended December 31, 2010).
10.43    Equity Interest Purchase Agreement, dated as of March 14, 2011 by and among Rikco International, LLC D/B/A Dr. Comfort, Rikco Holding Corporation, Merit Mezzanine Fund IV, L.P., Merit Mezzanine Parallel Fund IV, L.P. the undersigned members of Rikco International, LLC, and DJO, LLC (incorporated by reference to Exhibit 2.1 to DJOFL’s Current Report on Form 8-K, filed on March 16, 2011).
10.44    Credit Agreement, dated November 20, 2007, among DJOFL, as borrower, DJO Holdings, Credit Suisse, as administrative agent, the lenders from time to time party thereto and the other agents named therein (incorporated by reference to Exhibit 4.3 to DJOFL’s Current Report on Form 8-K, filed on November 27, 2007).
10.45    Security Agreement, dated November 20, 2007, among DJOFL, as borrower, DJO Holdings and certain subsidiaries named therein, and Credit Suisse, as collateral agent (incorporated by reference to Exhibit 4.5 to DJOFL’s Current Report on Form 8-K, filed on November 27, 2007).
10.46    Guaranty Agreement, dated November 20, 2007, among DJOFL, as borrower, DJO Holdings and certain subsidiaries named therein, and Credit Suisse, as collateral agent (incorporated by reference to Exhibit 4.4 to DJOFL’s Current Report on Form 8-K, filed on November 27, 2007).
10.47    Amendment No. 1, dated as of January 13, 2010, to the Credit Agreement dated as of November 20, 2007, among DJO Finance LLC (f/k/a ReAble Therapeutics Finance LLC), DJO Holdings LLC (f/k/a/ ReAble Therapeutics Holdings LLC), Credit Suisse AG (f/k/a/ Credit Suisse), as Administrative Agent, Collateral Agent, Swing Line Lender and an L/C Issuer and the lenders from time to party thereto (incorporated by reference to Exhibit 10.1 to DJOFL’s Current Report on Form 8-K, filed on January 21, 2010).
10.48    Amendment No. 2, dated as of October 7, 2010, to the Credit Agreement dated as of November 20, 2007, among DJO Finance LLC (f/k/a ReAble Therapeutics Finance LLC), DJO Holdings LLC (f/k/a/ReAble Therapeutics Holdings LLC), Credit Suisse AG (f/k/a/ Credit Suisse), as Administrative Agent, Collateral Agent, Swing Line Lender and an L/C Issuer and the lenders from time to party thereto (incorporated by reference to Exhibit 10.1 to DJOFL’s Current Report on Form 8-K, filed on October 21, 2010).
10.49    Amendment No. 3, dated as of February 18, 2011, to the Credit Agreement dated as of November 20, 2007, among DJO Finance LLC (f/k/a ReAble Therapeutics Finance LLC), DJO Holdings LLC (f/k/a/ReAble Therapeutics Holdings LLC), Credit Suisse AG (f/k/a/ Credit Suisse), as Administrative Agent, Collateral Agent, Swing Line Lender and an L/C Issuer and the lenders from time to time party thereto (incorporated by reference to Exhibit 10.26 to DJOFL’s Annual Report on Form 10-K for the fiscal year ended December 31, 2010).
10.50    Guaranty Supplement, Supplement No. 1, dated as of March 17, 2011, to the Guaranty dated as of November 20, 2007, among DJOFL, as borrower, DJO Holdings LLC and certain subsidiaries named therein, and Credit Suisse, as collateral agent (incorporated by reference to Exhibit 10.40 to DJOFL’s Registration Statement on Form S-4, filed on August 29, 2011 (File No. 333-176544)).
10.51    Security Agreement Supplement, Supplement No. 1, dated as of March 17, 2011, to the Security Agreement dated as of November 20, 2007, among DJOFL, as borrower, DJO Holdings LLC and certain subsidiaries named therein, and Credit Suisse, as collateral agent (incorporated by reference to Exhibit 10.41 to DJOFL’s Registration Statement on Form S-4, filed on August 29, 2011 (File No. 333-176544)).

 

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  10.52   Intellectual Property Security Agreement Supplement, Supplement No. 1, dated as of March 17, 2011, to the Intellectual Property Security Agreement dated as of November 20, 2007, among DJOFL, as borrower, DJO Holdings LLC and certain subsidiaries named therein, and Credit Suisse, as collateral agent (incorporated by reference to Exhibit 10.42 to DJOFL’s Registration Statement on Form S-4, filed on August 29, 2011 (File No. 333-176544)).
  10.53   Guaranty Supplement, Supplement No. 2, dated as of April 7, 2011, to the Guaranty dated as of November 20, 2007, among DJOFL, as borrower, DJO Holdings LLC and certain subsidiaries named therein, and Credit Suisse, as collateral agent (incorporated by reference to Exhibit 10.44 to DJOFL’s Registration Statement on Form S-4, filed on August 29, 2011 (File No. 333-176544)).
  10.54   Security Agreement Supplement, Supplement No. 2, dated as of April 7, 2011, to the Security Agreement dated as of November 20, 2007, among DJOFL, as borrower, DJO Holdings LLC and certain subsidiaries named therein, and Credit Suisse, as collateral agent (incorporated by reference to Exhibit 10.45 to DJOFL’s Registration Statement on Form S-4, filed on August 29, 2011 (File No. 333-176544)).
  10.55   Intellectual Property Security Agreement Supplement, Supplement No. 2, dated as of April 7, 2011, to the Intellectual Property Security Agreement dated as of November 20, 2007, among DJOFL, as borrower, DJO Holdings LLC and certain subsidiaries named therein, and Credit Suisse, as collateral agent (incorporated by reference to Exhibit 10.46 to DJOFL’s Registration Statement on Form S-4, filed on August 29, 2011 (File No. 333-176544)).
  10.56   Amendment and Restatement Agreement, dated as of March 20, 2012, by and among DJOFL, DJO Holdings LLC, Credit Suisse AG (formerly known as Credit Suisse), as Administrative Agent, Collateral Agent, Swing Line Lender and L/C Issuer, and each lender party thereto (incorporated by reference to Exhibit 10.1 to DJOFL’s Current Report on Form 8-K, filed on March 23, 2012).
  10.57   Second Lien Security Agreement dated as of March 20, 2012, among DJOFL, Finco, the guarantors named therein and the Bank of New York Mellon, as Second Lien Agent (incorporated by reference to Exhibit 10.3 to DJOFL’s Current Report on Form 8-K, filed on March 23, 2012).
  10.58   Refinancing Term Loan Amendment No. 1, dated as of March 30, 2012, by and among DJOFL, DJO Holdings LLC, the Subsidiary Guarantors and Credit Suisse AG Cayman Islands Branch, as Administrative Agent and as Refinancing Term Lender (incorporated by reference to Exhibit 10.1 to DJOFL’s Current Report on Form 8-K, filed on April 2, 2012).
  12.1+   Computation of Ratio of Earnings to Fixed Charges.
  21.1+   Schedule of Subsidiaries of DJOFL.
  31.1+   Certification (pursuant to Securities Exchange Act Rule 13a-14a) by Chief Executive Officer.
  31.2+   Certification (pursuant to Securities Exchange Act Rule 13a-14a) by Chief Financial Officer.
  32.1+   Section 1350 — Certification (pursuant to Section 906 of the Sarbanes-Oxley Act of 2002) by Chief Executive Officer.
  32.2+   Section 1350 — Certification (pursuant to Section 906 of the Sarbanes-Oxley Act of 2002) by Chief Financial Officer.
101**+   The following financial information from DJO Finance LLC’s Annual Report on Form 10-K for the year ended December 31, 2012, formatted in XBRL: (i) the Consolidated Balance Sheets as of December 31, 2012 and December 31, 2011, (ii) the Consolidated Statements of Operations for each of the three years in the period ended December 31, 2012, (iii) the Consolidated Statements of Comprehensive Loss for each of the three years in the period ended December 31, 2012, (iv) the Consolidated Statements of Equity for each of the three years in the period ended December 31, 2012, (v) the Consolidated Statements of Cash Flows for each of the three years in the period ended December 31, 2012 and (vi) the notes to the Audited Consolidated Financial Statements.

 

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* constitutes management contract or compensatory arrangement
** In accordance with Rule 406T of Regulation S-T promulgated by the Securities and Exchange Commission, Exhibit 101 is deemed not filed or part of a registration statement or prospectus for purposes of Section 11 or 12 of the Securities Act of 1933, is deemed not filed for purposes of Section 18 of the Securities Act of 1934, and otherwise is not subject to liability under those sections.
+ filed herewith

 

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DJO FINANCE LLC

SCHEDULE II—VALUATION AND QUALIFYING ACCOUNTS

(in thousands)

 

     Allowance for
Doubtful
Accounts
    Allowance
for Sales
Returns
    Allowance for
Sales
Discounts and
Other Allowances (1)
 

Balance as of December 31, 2009

   $ 47,996      $ 310      $ 73,850   

Provision

     33,016        61        176,917   

Write-offs, net of recoveries

     (27,936     (371     (192,069
  

 

 

   

 

 

   

 

 

 

Balance as of December 31, 2010

     53,076        —          58,698   

Provision

     27,356        4,317        184,605   

Write-offs, net of recoveries

     (44,783     (1,651     (189,933
  

 

 

   

 

 

   

 

 

 

Balance as of December 31, 2011

     35,649        2,666        53,370   

Provision

     19,586        2,640        194,656   

Write-offs, net of recoveries

     (30,024     (1,323     (186,203
  

 

 

   

 

 

   

 

 

 

Balance as of December 31, 2012

   $ 25,211      $ 3,983      $ 61,823   
  

 

 

   

 

 

   

 

 

 

 

(1) Amounts are excluded from the provisions included in the consolidated statements of cash flows as the inclusion would not provide meaningful information.

 

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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.

 

Date: February 27, 2013     DJO FINANCE LLC
    By:   /s/ Michael P. Mogul
      Michael P. Mogul
      President, Chief Executive Officer and Manager

Pursuant to the requirements of the Securities Exchange Act of 1934, this Report has been signed below by the following persons on behalf of the registrant and in the capacities and on the dates indicated.

 

Signature

  

Title

 

Date

/s/ Michael P. Mogul

Michael P. Mogul

  

President, Chief Executive Officer and Manager

(Principal Executive Officer)

  February 27, 2013

/s/ Vickie L. Capps

Vickie L. Capps

  

Executive Vice President, Chief Financial

Officer, Treasurer and Manager

(Principal Financial and Accounting Officer)

  February 27, 2013

/s/ Donald M. Roberts

Donald M. Roberts

  

Executive Vice President, General Counsel,

Secretary and Manager

  February 27, 2013

 

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