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CONMED Corp - Quarter Report: 2017 September (Form 10-Q)

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549


FORM 10-Q

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

For the quarter ended
Commission File Number
September 30, 2017
0-16093

CONMED CORPORATION
(Exact name of the registrant as specified in its charter)


New York
(State or other jurisdiction of
incorporation or organization)
16-0977505
(I.R.S. Employer
Identification No.)
525 French Road, Utica, New York
(Address of principal executive offices)
13502
(Zip Code)

(315) 797-8375
(Registrant's telephone number, including area code)

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 ý   No o

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 ý   No o

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, smaller reporting company or an emerging growth company.  See the definitions of "large accelerated filer", "accelerated filer", "smaller reporting company" and "emerging growth company" in Rule 12b-2 of the Exchange Act (Check one).

Large accelerated filer ý    Accelerated filer o    Non-accelerated filer o

Smaller reporting company o    Emerging growth company o

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. o

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

The number of shares outstanding of registrant's common stock, as of October 31, 2017 is 27,933,864 shares.



CONMED CORPORATION
QUARTERLY REPORT ON FORM 10-Q
FOR THE QUARTER ENDED SEPTEMBER 30, 2017

PART I FINANCIAL INFORMATION
Item Number
 
Page
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
PART II OTHER INFORMATION
 
 
 
 
 
 
 
 
 
 
 
 



Table of Contents

PART I FINANCIAL INFORMATION
Item 1.
CONMED CORPORATION
CONSOLIDATED CONDENSED STATEMENTS OF COMPREHENSIVE INCOME
(Unaudited, in thousands except per share amounts)
 
 
Three Months Ended
 
Nine Months Ended
 
September 30,
 
September 30,
 
2017
 
2016
 
2017
 
2016
Net sales
$
190,117

 
$
184,792

 
$
573,837

 
$
559,426

 
 
 
 
 
 
 
 
Cost of sales
87,570

 
83,583

 
266,753

 
258,055

 
 
 
 
 
 
 
 
Gross profit
102,547

 
101,209

 
307,084

 
301,371

 
 
 
 
 
 
 
 
Selling and administrative expense
80,807

 
79,009

 
259,396

 
251,681

 
 
 
 
 
 
 
 
Research and development expense
8,270

 
8,353

 
23,929

 
24,620

 
 
 
 
 
 
 
 
  Operating expenses
89,077

 
87,362

 
283,325

 
276,301

 
 
 
 
 
 
 
 
Income from operations
13,470

 
13,847

 
23,759

 
25,070

 
 
 
 
 
 
 
 
Other expense

 

 

 
2,942

 
 
 
 
 
 
 
 
Interest expense
4,806

 
3,861

 
13,323

 
11,448

 
 
 
 
 
 
 
 
Income before income taxes
8,664

 
9,986

 
10,436

 
10,680

 
 
 
 
 
 
 
 
Provision for income taxes
1,467

 
2,649

 
1,645

 
2,724

 
 
 
 
 
 
 
 
Net income
$
7,197

 
$
7,337

 
$
8,791

 
$
7,956

 
 
 
 
 
 
 
 
Comprehensive income
$
10,446

 
$
7,901

 
$
19,666

 
$
10,033

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Per share data:
 
 
 

 
 
 
 

 
 
 
 
 
 
 
 
Net income
 
 
 

 
 
 
 

Basic
$
0.26

 
$
0.26

 
$
0.31

 
$
0.29

Diluted
0.26

 
0.26

 
0.31

 
0.28

 
 
 
 
 
 
 
 
Dividends per share of common stock
$
0.20

 
$
0.20

 
$
0.60

 
$
0.60

 
 
 
 
 
 
 
 
Weighted average common shares
 
 
 

 
 
 
 

Basic
27,924

 
27,818

 
27,915

 
27,785

Diluted
28,183

 
27,951

 
28,124

 
27,946



 See notes to consolidated condensed financial statements.

1

Table of Contents

CONMED CORPORATION
CONSOLIDATED CONDENSED BALANCE SHEETS
(Unaudited, in thousands except share and per share amounts)
 
 
September 30,
2017
 
December 31,
2016
ASSETS
 
 
 
Current assets:
 
 
 
Cash and cash equivalents
$
44,034

 
$
27,428

Accounts receivable, net
146,736

 
148,244

Inventories
149,537

 
135,869

Prepaid expenses and other current assets
16,377

 
18,971

Total current assets
356,684

 
330,512

Property, plant and equipment, net
117,041

 
122,029

Goodwill
401,792

 
397,664

Other intangible assets, net
418,957

 
419,549

Other assets
66,713

 
59,229

Total assets
$
1,361,187

 
$
1,328,983

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
LIABILITIES AND SHAREHOLDERS' EQUITY
 
 
 

Current liabilities:
 
 
 

Current portion of long-term debt
$
13,542

 
$
10,202

Accounts payable
50,258

 
41,647

Accrued compensation and benefits
28,636

 
32,036

Other current liabilities
46,887

 
30,067

Total current liabilities
139,323

 
113,952

 
 
 
 
Long-term debt
494,789

 
488,288

Deferred income taxes
112,410

 
119,143

Other long-term liabilities
24,999

 
27,024

Total liabilities
771,521

 
748,407

 
 
 
 
Commitments and contingencies


 


 
 
 
 
Shareholders' equity:
 
 
 

Preferred stock, par value $ .01 per share;
 
 
 

authorized 500,000 shares; none outstanding

 

Common stock, par value $ .01 per share;
 

 
 

100,000,000 shares authorized; 31,299,194 shares
 

 
 

issued in 2017 and 2016, respectively
313

 
313

Paid-in capital
332,656

 
329,276

Retained earnings
398,982

 
406,932

Accumulated other comprehensive loss
(47,651
)
 
(58,526
)
Less: 3,371,915 and 3,471,121 shares of common stock
 

 
 

in treasury, at cost in 2017 and 2016, respectively
(94,634
)
 
(97,419
)
Total shareholders’ equity
589,666

 
580,576

Total liabilities and shareholders’ equity
$
1,361,187

 
$
1,328,983



 See notes to consolidated condensed financial statements.

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Table of Contents

CONMED CORPORATION
CONSOLIDATED CONDENSED STATEMENTS OF CASH FLOWS
(Unaudited, in thousands)
 
Nine Months Ended
 
September 30,
 
2017
 
2016
Cash flows from operating activities:
 
 
 
Net income
$
8,791

 
$
7,956

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

Depreciation
14,993

 
15,242

Amortization
28,069

 
25,968

Stock-based compensation
6,340

 
6,505

Deferred income taxes
(5,129
)
 
(3,977
)
Gain on sale of facility

 
(1,890
)
Loss on early extinguishment of debt

 
254

Increase in cash flows from changes in assets and liabilities, net of acquired assets:
 

 
 

Accounts receivable
6,210

 
11,335

Inventories
(12,062
)
 
(866
)
Accounts payable
7,801

 
(3,420
)
Accrued compensation and benefits
(5,151
)
 
(3,702
)
Other assets
(17,917
)
 
(24,317
)
Other liabilities
12,809

 
(2,900
)
 
35,963

 
18,232

Net cash provided by operating activities
44,754

 
26,188

 
 
 
 
Cash flows from investing activities:
 
 
 

Purchases of property, plant and equipment
(9,232
)
 
(10,436
)
Proceeds from sale of a facility

 
5,178

Payments related to business and asset acquisitions, net of cash acquired
(15,194
)
 
(256,450
)
Net cash used in investing activities
(24,426
)
 
(261,708
)
 
 
 
 
Cash flows from financing activities:
 
 
 

Payments on term loan
(6,563
)
 
(6,564
)
Proceeds from term loan

 
175,000

Payments on revolving line of credit
(98,000
)
 
(130,346
)
Proceeds from revolving line of credit
115,000

 
192,000

Payments related to distribution agreement

 
(16,667
)
Payments related to contingent consideration

 
(200
)
Payments related to debt issuance costs

 
(5,556
)
Dividends paid on common stock
(16,722
)
 
(16,649
)
Other, net
(887
)
 
(1,149
)
Net cash provided by (used in) financing activities
(7,172
)
 
189,869

 
 
 
 
Effect of exchange rate changes on cash and cash equivalents
3,450

 
95

 
 
 
 
Net increase (decrease) in cash and cash equivalents
16,606

 
(45,556
)
 
 
 
 
Cash and cash equivalents at beginning of period
27,428

 
72,504

 
 
 
 
Cash and cash equivalents at end of period
$
44,034

 
$
26,948

 
 
 
 
Non-cash financing activities:
 
 
 
   Dividends payable
$
5,585

 
$
5,561


See notes to consolidated condensed financial statements.

3

Table of Contents

CONMED CORPORATION
NOTES TO CONSOLIDATED CONDENSED FINANCIAL STATEMENTS
(Unaudited, in thousands except per share amounts)

Note 1 – Operations

CONMED Corporation (“CONMED”, the “Company”, “we” or “us”) is a medical technology company that provides surgical devices and equipment for minimally invasive procedures.  The Company’s products are used by surgeons and physicians in a variety of specialties including orthopedics, general surgery, gynecology, neurosurgery and gastroenterology.

Note 2 - Interim Financial Information

The accompanying unaudited consolidated condensed financial statements have been prepared in accordance with generally accepted accounting principles for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by generally accepted accounting principles for annual financial statements. The information herein reflects all normal recurring material adjustments, which are, in the opinion of management, necessary for the fair statements of the results for the periods presented. The consolidated condensed financial statements herein consist of all wholly-owned domestic and foreign subsidiaries with all significant intercompany transactions eliminated. Results for the period ended September 30, 2017 are not necessarily indicative of the results that may be expected for the year ending December 31, 2017.

The consolidated condensed financial statements and notes thereto should be read in conjunction with the consolidated financial statements and notes for the year ended December 31, 2016 included in our Annual Report on Form 10-K.

Note 3 - Business Acquisition

On January 4, 2016, we acquired all of the stock of SurgiQuest, Inc. ("SurgiQuest") for $257.7 million in cash (based on an aggregate purchase price of $265 million as adjusted pursuant to the merger agreement governing the acquisition). SurgiQuest develops, manufactures and markets the AirSeal® System, the first integrated access management technology for use in laparoscopic and robotic procedures. This proprietary and differentiated access system is complementary to our current advanced surgical offering. The acquisition was funded through a combination of cash on hand and long-term borrowings.

The unaudited pro forma information for the three and nine months ended September 30, 2016, assuming SurgiQuest occurred as of January 1, 2015 are presented below. This information has been prepared for comparative purposes only and does not purport to be indicative of the results of operations which actually would have resulted had the SurgiQuest acquisition occurred on the dates indicated, or which may result in the future.

 
Three Months Ended September 30, 2016

 
Nine Months Ended
 September 30, 2016

Net sales
$
184,792

 
$
559,426

Net income
9,342

 
21,988

 
These pro forma results include certain adjustments, primarily due to increases in amortization expense due to fair value adjustments of intangible assets, increases in interest expense due to additional borrowings incurred to finance the acquisition, and acquisition related costs including transaction costs such as legal, accounting, valuation and other professional services as well as integration costs such as severance and retention.

Acquisition related costs excluded from the determination of pro forma net income for the three and nine months ended September 30, 2016 totaled $3.3 million and $17.4 million, respectively.

Net sales associated with SurgiQuest of $17.3 million and $48.5 million have been recorded in the consolidated condensed statements of comprehensive income for the three and nine months ended September 30, 2016, respectively. It is impracticable to determine the earnings recorded in the consolidated condensed statements of comprehensive income associated with the SurgiQuest acquisition for the three and nine months ended September 30, 2016 as these amounts are not separately measured.




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Table of Contents

Note 4 – Comprehensive Income

Comprehensive income consists of the following:
 
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
2017
 
2016
 
2017
 
2016
Net income
$
7,197

 
$
7,337

 
$
8,791

 
$
7,956

 
 
 
 
 
 
 
 
Other comprehensive income:
 
 
 
 
 
 
 
Pension liability, net of income tax (income tax expense of $294 and $257 for the three months ended September 30, 2017 and 2016, respectively, and $880 and $771 for the nine months ended September 30, 2017 and 2016, respectively)
500

 
438

 
1,501

 
1,314

Cash flow hedging loss net of income tax (income tax benefit of ($790) and ($483) for the three months ended September 30, 2017 and 2016, respectively, and ($2,312) and ($1,116) for the nine months ended September 30, 2017 and 2016, respectively)
(1,348
)
 
(824
)
 
(3,946
)
 
(1,904
)
Foreign currency translation adjustment
4,097

 
950

 
13,320

 
2,667

 
 
 
 
 
 
 
 
Comprehensive income
$
10,446

 
$
7,901

 
$
19,666

 
$
10,033


Accumulated other comprehensive loss consists of the following:

 
Cash Flow
Hedging
Gain (Loss)
 
Pension
Liability
 
Cumulative
Translation
Adjustments
 
Accumulated
Other
Comprehensive
Income (Loss)
Balance, December 31, 2016
$
1,546

 
$
(26,458
)
 
$
(33,614
)
 
$
(58,526
)
 
 
 
 
 
 
 
 
Other comprehensive income (loss) before reclassifications, net of tax
(3,939
)
 

 
13,320

 
9,381

Amounts reclassified from accumulated other comprehensive income (loss) before taxa
(11
)
 
2,381

 

 
2,370

Income tax
4

 
(880
)
 

 
(876
)
 
 
 
 
 
 
 
 
Net current-period other comprehensive income (loss)
(3,946
)
 
1,501

 
13,320

 
10,875

 
 
 
 
 
 
 
 
Balance, September 30, 2017
$
(2,400
)
 
$
(24,957
)
 
$
(20,294
)
 
$
(47,651
)


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Table of Contents

 
Cash Flow
Hedging
Gain (Loss)
 
Pension
Liability
 
Cumulative
Translation
Adjustments
 
Accumulated
Other
Comprehensive
Income (Loss)
Balance, December 31, 2015
$
1,201

 
$
(25,982
)
 
$
(29,113
)
 
$
(53,894
)
 
 
 
 
 
 
 
 
Other comprehensive income (loss) before reclassifications, net of tax
(1,598
)
 

 
2,667

 
1,069

Amounts reclassified from accumulated other comprehensive income (loss) before taxa
(485
)
 
2,085

 

 
1,600

Income tax
179

 
(771
)
 

 
(592
)
 
 
 
 
 
 
 
 
Net current-period other comprehensive income (loss)
(1,904
)
 
1,314

 
2,667

 
2,077

 
 
 
 
 
 
 
 
Balance, September 30, 2016
$
(703
)
 
$
(24,668
)
 
$
(26,446
)
 
$
(51,817
)

(a) The cash flow hedging gain (loss) and pension liability accumulated other comprehensive income (loss) components are included in sales or cost of sales and as a component of net periodic pension cost, respectively. The amounts recorded in the charts above are for the nine months ended September 30, 2017 and 2016. For the three months ended September 30, 2017, $0.5 million of the cash flow hedging loss and $0.8 million of the pension liability were reclassified from accumulated other comprehensive loss to the statement of income. For the three months ended September 30, 2016, $0.0 million of the cash flow hedging gain and $0.7 million of the pension liability were reclassified from accumulated other comprehensive loss to the statement of income. Refer to Note 5 and Note 10, respectively, for further details.

Note 5 – Fair Value of Financial Instruments
 
 We enter into derivative instruments for risk management purposes only. We operate internationally and in the normal course of business are exposed to fluctuations in interest rates, foreign exchange rates and commodity prices. These fluctuations can increase the costs of financing, investing and operating the business. We use forward contracts, a type of derivative instrument, to manage certain foreign currency exposures.
 
By nature, all financial instruments involve market and credit risks. We enter into forward contracts with major investment grade financial institutions and have policies to monitor the credit risk of those counterparties. While there can be no assurance, we do not anticipate any material non-performance by any of these counterparties.
 
Foreign Currency Forward Contracts. We hedge forecasted intercompany sales denominated in foreign currencies through the use of forward contracts.  We account for these forward contracts as cash flow hedges.  To the extent these forward contracts meet hedge accounting criteria, changes in their fair value are not included in current earnings but are included in accumulated other comprehensive loss.  These changes in fair value will be recognized into earnings as a component of sales or cost of sales when the forecasted transaction occurs.  The notional contract amounts for forward contracts outstanding at September 30, 2017 which have been accounted for as cash flow hedges totaled $122.5 million. Net realized gains (losses) recognized for forward contracts accounted for as cash flow hedges approximated $(0.5) million and $0.0 million for the three months ended September 30, 2017 and 2016, respectively. Net realized gains recognized for forward contracts accounted for as cash flow hedges approximated $0.0 million and $0.5 million, respectively, for the nine months ended September 30, 2017 and 2016. Net unrealized losses on forward contracts outstanding, which have been accounted for as cash flow hedges and which have been included in accumulated other comprehensive income, totaled $2.4 million at September 30, 2017. It is expected these unrealized losses will be recognized in the consolidated condensed statement of comprehensive income in 2017 and 2018.

We also enter into forward contracts to exchange foreign currencies for United States dollars in order to hedge our currency transaction exposures on intercompany receivables denominated in foreign currencies.  These forward contracts settle each month at month-end, at which time we enter into new forward contracts.  We have not designated these forward contracts as hedges and have not applied hedge accounting to them.  The notional contract amounts for forward contracts outstanding at September 30, 2017 which have not been designated as hedges totaled $29.8 million. Net realized losses recognized in connection with those forward contracts not accounted for as hedges approximated $(0.5) million and $(0.2) million for the three months ended September 30, 2017 and 2016, respectively, offsetting gains on our intercompany receivables of $0.4 million and $0.2 million for the three months ended September 30, 2017 and 2016, respectively. Net realized losses recognized in connection with those forward contracts not accounted for as hedges approximated $(1.2) million and $(0.4) million for the nine months ended September 30, 2017 and 2016, respectively, offsetting gains on our intercompany receivables of $0.7 million and $0.5 million for the nine months

6

Table of Contents

ended September 30, 2017 and 2016, respectively. These gains and losses have been recorded in selling and administrative expense in the consolidated condensed statements of comprehensive income.
 
We record these forward foreign exchange contracts at fair value. The following tables summarize the fair value for forward foreign exchange contracts outstanding at September 30, 2017 and December 31, 2016:
 
September 30, 2017
Asset Fair Value
 
Liabilities Fair Value
 
Net
Fair
Value
Derivatives designated as hedged instruments:
 
 
 
 
 
Foreign exchange contracts
$
1,015

 
$
(4,821
)
 
$
(3,806
)
 
 
 
 
 
 
Derivatives not designated as hedging instruments:
 

 
 

 
 

Foreign exchange contracts

 
(125
)
 
(125
)
 
 
 
 
 
 
Total derivatives
$
1,015

 
$
(4,946
)
 
$
(3,931
)
December 31, 2016
Asset Fair Value
 
Liabilities Fair Value
 
Net
Fair
Value
Derivatives designated as hedged instruments:
 
 
 
 
 
Foreign exchange contracts
$
3,962

 
$
(1,510
)
 
$
2,452

 
 
 
 
 
 
Derivatives not designated as hedging instruments:
 

 
 

 
 
Foreign exchange contracts
48

 
(54
)
 
(6
)
 
 
 
 
 
 
Total derivatives
$
4,010

 
$
(1,564
)
 
$
2,446

 
Our forward foreign exchange contracts are subject to a master netting agreement and qualify for netting in the consolidated balance sheets. Accordingly, at September 30, 2017 and December 31, 2016, we have recorded the net fair value of $3.9 million in other current liabilities and $2.4 million in prepaid expenses and other current assets, respectively.
 
Fair Value Disclosure. FASB guidance defines fair value and establishes a framework for measuring fair value and related disclosure requirements. This guidance applies when fair value measurements are required or permitted. The guidance indicates, among other things, that a fair value measurement assumes that the transaction to sell an asset or transfer a liability occurs in the principal market for the asset or liability or, in the absence of a principal market, the most advantageous market for the asset or liability. Fair value is defined based upon an exit price model.

Valuation Hierarchy. A valuation hierarchy was established for disclosure of the inputs to the valuations used to measure fair value. This hierarchy prioritizes the inputs into three broad levels as follows. Level 1 inputs are quoted prices (unadjusted) in active markets for identical assets or liabilities. Level 2 inputs are quoted prices for similar assets and liabilities in active markets; quoted prices for identical or similar assets in markets that are not active; inputs other than quoted prices that are observable for the asset or liability, including interest rates, yield curves and credit risks or inputs that are derived principally from, or corroborated by, observable market data through correlation. Level 3 inputs are unobservable inputs based on our own assumptions used to measure assets and liabilities at fair value. A financial asset or liability’s classification within the hierarchy is determined based on the lowest level input that is significant to the fair value measurement. There have been no significant changes in the assumptions.
 
Valuation Techniques. Assets and liabilities carried at fair value and measured on a recurring basis as of September 30, 2017 consist of forward foreign exchange contracts and contingent liabilities associated with a business acquisition. The Company values its forward foreign exchange contracts using quoted prices for similar assets. The most significant assumption is quoted currency rates. The value of the forward foreign exchange contract assets and liabilities were valued using Level 2 inputs and are listed in the table above.  
    

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The carrying amounts reported in our consolidated condensed balance sheets for cash and cash equivalents, accounts receivable, accounts payable and long-term debt approximate fair value.  

Note 6 - Inventories

Inventories consist of the following:
 
September 30,
2017
 
December 31,
2016
Raw materials
$
43,475

 
$
42,821

Work-in-process
15,082

 
13,315

Finished goods
90,980

 
79,733

Total
$
149,537

 
$
135,869

 
Note 7 – Earnings Per Share

Basic earnings per share (“basic EPS”) is computed by dividing net income by the weighted average number of common shares outstanding for the reporting period. Diluted earnings per share (“diluted EPS”) gives effect to all dilutive potential shares outstanding resulting from employee stock options, restricted stock units, performance share units and stock appreciation rights ("SARs") during the period. The following table sets forth the computation of basic and diluted earnings per share for the three and nine months ended September 30, 2017 and 2016:


Three Months Ended September 30,
 
Nine Months Ended September 30,
 
2017
 
2016
 
2017
 
2016

 
 


 
 
 


Net income
$
7,197

 
$
7,337

 
$
8,791

 
$
7,956


 
 


 
 
 


Basic – weighted average shares outstanding
27,924

 
27,818

 
27,915

 
27,785


 
 


 
 
 


Effect of dilutive potential securities
259

 
133

 
209

 
161


 
 


 
 
 


Diluted – weighted average shares outstanding
28,183

 
27,951

 
28,124

 
27,946


 
 


 
 
 


Net income (per share)
 

 
 

 
 

 
 

Basic
$
0.26

 
$
0.26

 
$
0.31

 
$
0.29

Diluted
0.26

 
0.26

 
0.31

 
0.28

 
The shares used in the calculation of diluted EPS exclude options and SARs to purchase shares where the exercise price was greater than the average market price of common shares for the period and the effect of the inclusion would be anti-dilutive. Such shares aggregated approximately 1.3 million and 1.2 million for the three and nine months ended September 30, 2017, respectively, and approximately 1.6 million and 1.4 million for the three and nine months ended September 30, 2016, respectively.

Note 8 – Goodwill and Other Intangible Assets

The changes in the net carrying amount of goodwill for the nine months ended September 30, 2017 are as follows:


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Balance as of December 31, 2016
$
397,664

 
 
Goodwill resulting from business acquisition
2,209

 
 
Foreign currency translation
1,919

 
 
Balance as of September 30, 2017
$
401,792


Assets and liabilities of acquired businesses are recorded at their estimated fair values as of the date of acquisition.  Goodwill represents costs in excess of fair values assigned to the underlying net assets of acquired businesses.  During the nine months ended September 30, 2017, we entered into a business acquisition and recorded goodwill of $2.2 million.

Other intangible assets consist of the following:

 
September 30, 2017
 
December 31, 2016
 
Gross
Carrying
Amount
 
Accumulated
Amortization
 
Gross
Carrying
Amount
 
Accumulated
Amortization
Amortized intangible assets:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Customer and distributor relationships
$
213,700

 
$
(83,251
)
 
$
213,259

 
$
(75,164
)
 
 
 
 
 
 
 
 
Promotional, marketing and distribution rights
149,376

 
(34,500
)
 
149,376

 
(30,000
)
 
 
 
 
 
 
 
 
Patents and other intangible assets
69,419

 
(41,917
)
 
67,509

 
(40,335
)
 
 
 
 
 
 
 
 
Developed technology
62,204

 
(2,618
)
 
49,600

 
(1,240
)
 
 
 
 
 
 
 
 
Unamortized intangible assets:
 

 
 

 
 

 
 

 
 
 
 
 
 
 
 
Trademarks and tradenames
86,544

 

 
86,544

 

 
 
 
 
 
 
 
 
 
$
581,243

 
$
(162,286
)
 
$
566,288

 
$
(146,739
)

Customer and distributor relationships, trademarks and tradenames, developed technology and patents and other intangible assets primarily represent allocations of purchase price to identifiable intangible assets of acquired businesses. Promotional, marketing and distribution rights represent intangible assets created under our Sports Medicine Joint Development and Distribution Agreement (the "JDDA") with Musculoskeletal Transplant Foundation (“MTF”).

Amortization expense related to intangible assets which are subject to amortization totaled $5.3 million and $5.0 million in the three months ended September 30, 2017 and 2016, respectively, and $15.6 million and $15.0 million in the nine months ended September 30, 2017 and 2016, respectively, and is included as a reduction of revenue (for amortization related to our promotional, marketing and distribution rights) and in selling and administrative expense (for all other intangible assets) in the consolidated condensed statements of comprehensive income. The weighted average amortization period for intangible assets which are amortized is 25 years. Customer and distributor relationships are being amortized over a weighted average life of 29 years. Developed technology is being amortized over a weighted average life of 17 years, including the $12.6 million acquired during the third quarter of 2017 with a weighted average useful life of 15 years. Promotional, marketing and distribution rights are being amortized over a weighted average life of 25 years. Patents and other intangible assets are being amortized over a weighted average life of 13 years.  Included in patents and other intangible assets at September 30, 2017 is an in-process research and development asset that is not currently amortized.
 

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The estimated intangible asset amortization expense remaining for the year ending December 31, 2017 and for each of the five succeeding years is as follows:
 
 
Amortization included in expense
 
Amortization recorded as a reduction of revenue
 
Total
Remaining, 2017
$
3,959

 
$
1,500

 
$
5,459

2018
16,784

 
6,000

 
22,784

2019
16,639

 
6,000

 
22,639

2020
16,660

 
6,000

 
22,660

2021
15,517

 
6,000

 
21,517

2022
14,102

 
6,000

 
20,102


Note 9 – Guarantees

We provide warranties on certain of our products at the time of sale and sell extended warranties. The standard warranty period for our capital and reusable equipment is generally one year and our extended warranties can vary in length. Liability under service and warranty policies is based upon a review of historical warranty and service claim experience. Adjustments are made to accruals as claim data and historical experience warrant.

Changes in the carrying amount of service and product warranties for the nine months ended September 30, are as follows:

 
2017
 
2016
Balance as of January 1,
$
1,954

 
$
2,509

 
 
 


Provision for warranties
2,533

 
2,380

 
 
 


Claims made
(2,653
)
 
(2,653
)
 
 
 


Balance as of September 30,
$
1,834

 
$
2,236

 
Note 10 – Pension Plan

Net periodic pension cost consists of the following: 

Three Months Ended September 30,
 
Nine Months Ended September 30,
 
2017
 
2016
 
2017
 
2016
Service cost
$
151

 
$
113

 
$
452

 
$
339


 
 


 
 
 


Interest cost on projected benefit obligation
693

 
719

 
2,080

 
2,158


 
 


 
 
 


Expected return on plan assets
(1,325
)
 
(1,297
)
 
(3,975
)
 
(3,892
)

 
 


 
 
 


Net amortization and deferral
794

 
695

 
2,381

 
2,085


 
 


 
 
 


Net periodic pension cost
$
313

 
$
230

 
$
938

 
$
690

 
We do not expect to make any pension contributions during 2017.



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Note 11 – Acquisition, Restructuring and Other Expense

Acquisition, restructuring and other expense consists of the following:
 
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
2017
 
2016
 
2017
 
2016
 
 
 
 
 
 
 
 
Facility consolidation and other costs
$
1,306

 
$

 
$
2,778

 
$
991

Termination of a product offering

 

 

 
4,546

Restructuring costs included in cost of sales
$
1,306

 
$

 
$
2,778

 
$
5,537

 
 
 
 
 
 
 
 
Restructuring costs
$

 
$
361

 
$
1,347

 
$
4,105

Business acquisition costs
128

 
2,695

 
1,020

 
14,547

Legal matters
327

 
619

 
17,041

 
2,808

Gain on sale of facility

 
(1,890
)
 

 
(1,890
)
Acquisition, restructuring and other expense included in selling and administrative expense
$
455

 
$
1,785

 
$
19,408

 
$
19,570

 
 
 
 
 
 
 
 
Debt refinancing costs included in other expense
$

 
$

 
$

 
$
2,942


During the three and nine months ended September 30, 2017, we incurred $0.1 million and $1.0 million, respectively, in costs associated with the January 4, 2016 acquisition of SurgiQuest, Inc. as further described in Note 3. During the three and nine months ended September 30, 2016, we incurred $2.7 million and $14.5 million in costs, respectively. The costs incurred in 2016 consist of investment banking fees, consulting fees, legal fees associated with the acquisition, costs associated with expensing of unvested options acquired and integration related costs. The costs incurred in 2017 consist of costs associated with expensing of unvested options acquired and integration related costs.

During the nine months ended September 30, 2017, we incurred $12.2 million in costs associated with the SurgiQuest, Inc. vs. Lexion Medical litigation verdict whereby SurgiQuest was found liable for $2.2 million in compensatory damages with an additional $10.0 million in punitive damages as further described in Note 13. These costs are accrued in other current liabilities at September 30, 2017. In addition, during the three and nine months ended September 30, 2017, we incurred $0.3 million and $4.8 million, respectively, in costs associated with this litigation and other legal matters. In the three and nine months ended September 30, 2016, we incurred $0.6 million and $2.8 million, respectively, in legal fees associated with the SurgiQuest, Inc. vs. Lexion Medical litigation.

During the nine months ended September 30, 2016, we incurred a $2.7 million charge related to commitment fees paid to certain of our lenders, which provided a financing commitment for the SurgiQuest acquisition and recorded a loss on the early extinguishment of debt of $0.3 million in conjunction with the fifth amended and restated senior credit agreement.

During 2017 and 2016, we continued our operational restructuring plan. As part of this plan, we engaged a consulting firm to assist us in streamlining our product offering and improving our operational efficiency. As a result, we identified certain catalog numbers to be discontinued and consolidated into existing product offerings and recorded a $1.3 million charge in the three months ended September 30, 2017 to write-off inventory which will no longer be offered for sale. For the nine months ended September 30, 2017 and 2016, we incurred $2.8 million and $1.0 million, respectively, in costs associated with the operational restructuring, including severance, inventory and other charges. These costs were charged to cost of sales.

During 2016, the Company discontinued our Altrus product offering as part of our ongoing restructuring and incurred $4.5 million in non-cash charges primarily related to inventory and fixed assets which were included in cost of sales for the nine months ended September 30, 2016.

During the three and nine months ended September 30, 2016, we sold our Centennial, Colorado facility. We received net cash proceeds of $5.2 million and recorded a gain of $1.9 million on the sale of our facility in Centennial, Colorado.


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During 2017 and 2016, we restructured certain selling and administrative functions and incurred severance and other related costs in the amount of $0.4 million for the three months ended September 30, 2016 and $1.3 million and $4.1 million for the nine months ended September 30, 2017 and 2016, respectively.

We have recorded an accrual in current and other long term liabilities of $1.3 million at September 30, 2017 mainly related to severance costs associated with the restructuring. Below is a roll forward of the costs incurred and cash expenditures associated with these activities during the nine months ended September 30, 2017 and 2016:
 
2017
 
2016
Balance as of January 1,
$
2,643

 
$
7,175

 
 
 
 
Expenses incurred
4,125

 
5,096

 
 
 
 
Payments made
(5,428
)
 
(10,447
)
 
 
 
 
Balance at September 30,
$
1,340

 
$
1,824



Note 12 — Business Segments
We are accounting and reporting for our business as a single operating segment entity engaged in the development, manufacturing and sale on a global basis of surgical devices and related equipment. Our chief operating decision maker (the executive management team) evaluates the various global product portfolios on a net sales basis and evaluates profitability, investment and cash flow metrics on a consolidated worldwide basis due to shared infrastructure and resources.
We adjusted our product line disclosures to align with the way we review net sales beginning in fiscal year 2017. In doing so, we consolidated our surgical visualization line into our orthopedic surgery product line disclosure. Our product lines consist of orthopedic surgery and general surgery. Orthopedic surgery consists of sports medicine instrumentation and small bone, large bone and specialty powered surgical instruments as well as imaging systems for use in minimally invasive surgery procedures including 2DHD and 3DHD vision technologies and service fees related to the promotion and marketing of sports medicine allograft tissue. General surgery consists of a complete line of endo-mechanical instrumentation for minimally invasive laparoscopic and gastrointestinal procedures, a line of cardiac monitoring products as well as electrosurgical generators and related instruments. These product lines' net sales are as follows:
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
2017
 
2016
 
2017
 
2016
Orthopedic surgery
$
98,581

 
$
99,353

 
$
307,931

 
$
310,518

General surgery
91,536

 
85,439

 
265,906

 
248,908

Consolidated net sales
$
190,117

 
$
184,792

 
$
573,837

 
$
559,426


Note 13 – Legal Proceedings

From time to time, we are subject to claims alleging product liability, patent infringement or other claims incurred in the ordinary course of business. These may involve our United States or foreign operations, or sales by foreign distributors. Likewise, from time to time, the Company may receive an information request or subpoena from a government agency such as the Securities and Exchange Commission, Department of Justice, Equal Employment Opportunity Commission, the Occupational Safety and Health Administration, the Department of Labor, the Treasury Department or other federal and state agencies or foreign governments or government agencies. These information requests or subpoenas may or may not be routine inquiries, or may begin as routine inquiries and over time develop into enforcement actions of various types. Likewise, we receive reports of alleged misconduct from employees and third parties, which we investigate as appropriate.

Manufacturers of medical devices have been the subject of various enforcement actions relating to interactions with health care providers domestically or internationally whereby companies are claimed to have provided health care providers with inappropriate incentives to purchase their products. Similarly, the Foreign Corrupt Practices Act ("FCPA") imposes obligations on manufacturers with respect to interactions with health care providers who may be considered government officials based on

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their affiliation with public hospitals. The FCPA also requires publicly listed manufacturers to maintain accurate books and records, and maintain internal accounting controls sufficient to provide assurance that transactions are accurately recorded, lawful and in accordance with management's authorization. The FCPA poses unique challenges both because manufacturers operate in foreign cultures in which conduct illegal under the FCPA may not be illegal in local jurisdictions, and because, in some cases, a United States manufacturer may face risks under the FCPA based on the conduct of third parties over whom the manufacturer may not have complete control.

Manufacturers of medical products may face exposure to significant product liability claims. To date, we have not experienced any product liability claims that have been material to our financial statements or financial condition, but any such claims arising in the future could have a material adverse effect on our business, results of operations or cash flows. We currently maintain commercial product liability insurance of $25 million per incident and $25 million in the aggregate annually, which we believe is adequate. This coverage is on a claims-made basis. There can be no assurance that claims will not exceed insurance coverage, that the carriers will be solvent or that such insurance will be available to us in the future at a reasonable cost.

We establish reserves sufficient to cover probable losses associated with any such pending claims. We do not expect that the resolution of any pending claims, investigations or reports of alleged misconduct will have a material adverse effect on our financial condition, results of operations or cash flows. There can be no assurance, however, that future claims or investigations, or the costs associated with responding to such claims, investigations or reports of misconduct, especially claims and investigations not covered by insurance, will not have a material adverse effect on our financial condition, results of operations or cash flows.

Our operations are subject, and in the past have been subject, to a number of environmental laws and regulations governing, among other things, air emissions; wastewater discharges; the use, handling and disposal of hazardous substances and wastes; soil and groundwater remediation and employee health and safety. In some jurisdictions, environmental requirements may be expected to become more stringent in the future. In the United States, certain environmental laws can impose liability for the entire cost of site restoration upon each of the parties that may have contributed to conditions at the site regardless of fault or the lawfulness of the party’s activities. While we do not believe that the present costs of environmental compliance and remediation are material, there can be no assurance that future compliance or remedial obligations would not have a material adverse effect on our financial condition, results of operations or cash flows.

In September 2013, Lexion Medical ("Lexion") filed suit against SurgiQuest in federal court in the District of Minnesota alleging false advertising under the Lanham Act, as well as various state law claims, including common law trade libel and unfair competition.  In March 2014, SurgiQuest’s motion to dismiss for lack of personal jurisdiction was granted and that same day, SurgiQuest filed suit against Lexion in federal court in the District of Delaware seeking, among other claims, a declaratory judgment that SurgiQuest’s actions did not violate the Lanham Act.  Lexion filed an answer generally denying SurgiQuest’s claims, and asserted counterclaims that were substantially similar to the claims Lexion brought in the Minnesota action.  The underlying claims were that SurgiQuest had engaged in false advertising under the Lanham Act, and had engaged in violations of Delaware state laws, including deceptive trade practices and unfair competition.  Lexion sought damages of $22.0 million for alleged lost profits and $18.7 million for costs related to alleged “corrective advertising” as well as an unspecified sum for disgorgement of SurgiQuest’s alleged profit.  On January 4, 2016, SurgiQuest became a subsidiary of CONMED as further described in Note 3, and we assumed the costs and liabilities related to the Lexion lawsuit subject to the terms of the merger agreement referenced in Note 3.  On April 11, 2017, a jury returned a verdict finding SurgiQuest liable for $2.2 million in compensatory damages with an additional $10.0 million in punitive damages. These costs are recorded in selling and administrative expense as of September 30, 2017. The Court entered judgment on April 13, 2017.  We are currently evaluating our plans for an appeal. There can be no assurance an appeal will be successful, if we pursue one.

In 2014, the Company acquired EndoDynamix, Inc. The agreement governing the terms of the acquisition provide that, if various conditions are met, certain contingent payments relating to the first commercial sale of the products (the milestone payment), as well as royalties based on sales (the revenue based payments), are due to the seller. We have notified the seller that there is a need to redesign the product, and that as a consequence, the first commercial sale has been delayed. Consequently, the payment of contingent milestone and revenue-based payments have been delayed. On January 18, 2017, the seller provided notice ("the Notice") seeking $12.7 million, which essentially represents the sum of the projected contingent milestone and revenue-based payments on an accelerated basis. CONMED responded to the Notice denying that there was any basis for acceleration of the payments due under the acquisition agreement. On February 22, 2017, the representative of the former shareholders of EndoDynamix filed a complaint in Delaware Chancery Court claiming breach of contract and seeking the contingent payments on an accelerated basis. We do not believe that there is a legitimate basis for seeking the acceleration of the contingent payments, and expect to defend the claims asserted by the sellers of EndoDynamix in the Delaware Court.

Note 14 – New Accounting Pronouncements
 

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In May 2014, the FASB issued Accounting Standards Update ("ASU") No. 2014-09, Revenue from Contracts with Customers, along with amendments issued in 2015 and 2016. This ASU is a comprehensive new revenue recognition model that requires a company to recognize revenue when it transfers promised goods or services to customers in an amount that reflects the consideration the company expects to receive in exchange for those goods or services.

The guidance in this ASU is effective for annual reporting periods beginning after December 15, 2017 and early adoption is permitted as of January 1, 2017. The standard allows the option of either a full retrospective adoption, meaning the standard is applied to all periods presented, or a modified retrospective adoption, meaning the standard is applied only to the most current period. The Company will adopt the new standard on January 1, 2018, and anticipates applying the modified retrospective approach.

We assessed the impact of adopting these ASUs on each of our revenue streams and performed a detailed review of contracts with customers on a sample basis. As a result of our assessment, we do not expect the new guidance to have a material impact on the consolidated financial statements. We have identified certain costs currently included in selling and administrative expense and principally related to administrative fees paid to group purchasing organizations that the new standard requires be recorded as a reduction of revenue beginning in 2018. We believe there is no material impact on net income or earnings per share as a result of this change.

In July 2015, the FASB issued ASU No. 2015-11, Simplifying the Measurement of Inventory. An entity should measure inventory within the scope of this ASU at the lower of cost and net realizable value. Net realizable value is the estimated selling prices in the ordinary course of business, less reasonably predictable costs of completion, disposal and transportation. This ASU is effective for annual periods beginning after December 15, 2016. We implemented this new guidance during the first quarter of 2017 and it did not have a material impact on the consolidated financial statements.

In February 2016, the FASB issued ASU No. 2016-02, Leases (Topic 842) (“ASU 2016-02”). This requires lessees to put most leases on their balance sheets but recognize the expenses on their income statements in a manner similar to current practice. ASU 2016-02 states that a lessee would recognize a lease liability for the obligation to make lease payments and a right-to-use asset for the right to use the underlying asset for the lease term. The new standard is effective for interim and annual periods beginning after December 15, 2018 and early adoption is permitted. The Company is currently evaluating the impact of the adoption of ASU 2016-02.

In March 2016, the FASB issued ASU No. 2016-09, Improvements to Employee Share-Based Payment Accounting. We adopted this new guidance effective January 1, 2017. This ASU requires the following:

All tax effects are now recorded in the statement of operations and are accounted for as an operating activity in the statement of cash flows on a prospective basis. Historically, tax benefits in excess of compensation cost were recorded in equity and were accounted for in the financing section of the cash flow. This ASU resulted in a $0.2 million tax benefit during the nine months ended September 30, 2017.

All cash payments made to taxing authorities on the employee's behalf for withheld shares are to be presented as financing activities in the statement of cash flows on a retrospective basis. As a result, we reclassified a $1.5 million cash outflow from operating activities to financing activities for the nine months ended September 30, 2016.

In the diluted net earnings per share calculation, when applying the treasury stock method for shares that could be repurchased, the assumed proceeds no longer include the amount of excess tax benefit. This did not have a material impact on the Company's diluted net earnings per share calculation.

In August 2016, the FASB issued ASU No. 2016-15, Statement of Cash Flows (Topic 230): Classification of Certain Cash Receipts and Cash Payments (A Consensus of the FASB Emerging Issues Task Force). This ASU provides amendments to specific statement of cash flows classification issues. This new guidance is effective for periods beginning after December 15, 2017, however early adoption is permitted. The Company adopted this new guidance effective January 1, 2017 and it did not have a material impact on the consolidated financial statements.

In November 2016, the FASB issued ASU No. 2016-18, Statement of Cash Flows (Topic 230): Restricted Cash. The amendments in this ASU require that a statement of cash flows explain the change during the period in total cash, cash equivalents and amounts generally described as restricted cash or restricted cash equivalents. The ASU is effective for periods beginning after December 15, 2017, however early adoption is permitted. The Company is currently assessing the impact of this guidance on our consolidated financial statements.


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In January 2017, the FASB issued ASU No. 2017-01, Clarifying the Definition of a Business. This ASU states when substantially all of the fair value of gross assets acquired is concentrated in a single asset (or a group of similar assets), the assets acquired would not represent a business. In addition, this guidance states in order to be a business, an input and a substantive process must significantly contribute to the ability to produce outputs. This new guidance is effective for periods beginning after December 15, 2017, and early adoption is permitted for interim or annual periods during which an applicable transaction occurs. We adopted this new guidance as of July 1, 2017.

In January 2017, the FASB issued ASU No. 2017-04, Intangibles - Goodwill and Other (Topic 350): Simplifying the Accounting for Goodwill Impairment. This ASU removes Step 2 of the goodwill impairment test, which requires hypothetical purchase price allocation. A goodwill impairment will now be the amount by which the reporting unit's carrying value exceeds its fair value, not to exceed the carrying amount of goodwill. This new guidance is effective for periods beginning after December 15, 2019, however early adoption is permitted. The Company is currently assessing the impact of this guidance on our consolidated financial statements.

In March 2017, the FASB issued ASU No. 2017-07 Compensation Retirement Benefits (ASC 715) - Improving the Presentation of Net Periodic Pension Cost and Net Periodic Postretirement Benefit Cost.  This ASU requires companies to record the service component of net periodic pension cost in the same income statement line as other compensation costs arising from services rendered by the pertinent employees during the period.  The other components of net periodic pension cost would be presented in the income statement separately from the service cost component and outside the subtotal of income from operations, if one is presented.  This guidance is applicable for periods beginning after December 15, 2017 and must be applied retrospectively.  Early adoption is permitted.  The Company is currently assessing the impact of this guidance on our consolidated financial statements.

In May 2017, the FASB issued ASU No. 2017-09, Compensation - Stock Based Compensation (ASC 718) - Scope of Modification Accounting. This ASU does not change the accounting for modifications but clarifies that modification accounting guidance should be applied if there is a change to the value, vesting conditions, or award classification and would not be required if the changes are considered non-substantive. This guidance is effective for fiscal years beginning after December 15, 2017, including interim periods within that reporting period. Early adoption is permitted. This guidance is in line with the Company’s current interpretation of ASC 718, Stock Compensation, and we do not expect this clarification to have a material impact on our consolidated financial statements.

In August 2017, the FASB issued ASU No. 2017-12 Derivatives and Hedging (Topic 815): Targeted Improvements to Accounting for Hedging Activities. This ASU makes more financial and non-financial hedging strategies eligible for hedge accounting. It also amends the presentation and disclosure requirements and changes how companies assess effectiveness. It is intended to more closely align hedge accounting with companies’ risk management strategies, simplify the application of hedge accounting, and increase transparency as to the scope and results of hedging programs. This guidance is effective for fiscal years beginning after December 15, 2018, including interim periods within that reporting period. Early adoption is permitted. The Company is currently assessing the impact of this guidance on our consolidated financial statements.



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Item 2.
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION
 AND RESULTS OF OPERATIONS
 

Forward-Looking Statements
 
In this Report on Form 10-Q, we make forward-looking statements about our financial condition, results of operations and business. Forward-looking statements are statements made by us concerning events that may or may not occur in the future. These statements may be made directly in this document or may be “incorporated by reference” from other documents. Such statements may be identified by the use of words such as “anticipates”, “expects”, “estimates”, “intends” and “believes” and variations thereof and other terms of similar meaning.

Forward-Looking Statements are not Guarantees of Future Performance
 
Forward-looking statements involve known and unknown risks, uncertainties and other factors, including those that may cause our actual results, performance or achievements or industry results, to be materially different from any future results, performance or achievements expressed or implied by such forward-looking statements. Such factors include those identified under “Risk Factors” in our Annual Report on Form 10-K for the year-ended December 31, 2016 and the following, among others:

general economic and business conditions;
changes in foreign exchange and interest rates;
cyclical customer purchasing patterns due to budgetary and other constraints;
changes in customer preferences;
competition;
changes in technology;
the introduction and acceptance of new products;
the ability to evaluate, finance and integrate acquired businesses, products and companies;
changes in business strategy;
the availability and cost of materials;
the possibility that United States or foreign regulatory and/or administrative agencies may initiate enforcement actions against us or our distributors;
future levels of indebtedness and capital spending;
quality of our management and business abilities and the judgment of our personnel;
the availability, terms and deployment of capital;
the risk of litigation, especially patent litigation, as well as the cost associated with patent and other litigation;
the risk of a lack of allograft tissue due to reduced donations of such tissues or due to tissues not meeting the appropriate high standards for screening and/or processing of such tissues; and
compliance with and changes in regulatory requirements.

See “Management’s Discussion and Analysis of Financial Condition and Results of Operations” below and “Risk Factors” and “Business” in our Annual Report on Form 10-K for the year-ended December 31, 2016 for a further discussion of these factors. You are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date hereof. We do not undertake any obligation to publicly release any revisions to these forward-looking statements to reflect events or circumstances after the date of this Quarterly Report on Form 10-Q or to reflect the occurrence of unanticipated events.

Overview

CONMED Corporation (“CONMED”, the “Company”, “we” or “us”) is a medical technology company that provides surgical devices and equipment for minimally invasive procedures. The Company’s products are used by surgeons and physicians in a variety of specialties including orthopedics, general surgery, gynecology, neurosurgery and gastroenterology.

We adjusted our product line disclosures to align with the way we review net sales beginning in fiscal year 2017. In doing so, we consolidated our surgical visualization line into our orthopedic surgery product line disclosure. Our product lines

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consist of orthopedic surgery and general surgery. Orthopedic surgery consists of sports medicine instrumentation and small bone, large bone and specialty powered surgical instruments as well as, imaging systems for use in minimally invasive surgery procedures including 2DHD and 3DHD vision technologies and service fees related to the promotion and marketing of sports medicine allograft tissue. General surgery consists of a complete line of endo-mechanical instrumentation for minimally invasive laparoscopic and gastrointestinal procedures, a line of cardiac monitoring products as well as electrosurgical generators and related instruments. These product lines as a percentage of consolidated net sales are as follows:
 
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
2017
 
2016
 
2017
 
2016
 
 
 


 
 
 


Orthopedic surgery
51.9
%
 
53.8
%
 
53.7
%
 
55.5
%
General surgery
48.1
%
 
46.2
%
 
46.3
%
 
44.5
%
Consolidated net sales
100.0
%
 
100.0
%
 
100.0
%
 
100.0
%

A significant amount of our products are used in surgical procedures with approximately 80% of our revenues derived from the sale of single-use products. Our capital equipment offerings also facilitate the ongoing sale of related disposable products and accessories, thus providing us with a recurring revenue stream. We manufacture substantially all of our products in facilities located in the United States and Mexico. We market our products both domestically and internationally directly to customers and through distributors. International sales approximated 48% and 46% during the three months ended September 30, 2017 and 2016, respectively, and 48% and 47% during the nine months ended September 30, 2017 and 2016, respectively.

Business Environment

On January 4, 2016, we acquired SurgiQuest, Inc. ("SurgiQuest") for $265 million in cash (on a cash-free, debt-free basis). SurgiQuest develops, manufactures and markets the AirSeal® System, the first integrated access management technology for use in laparoscopic and robotic procedures. This proprietary and differentiated access system is complementary to our current general surgery offering. In connection with the SurgiQuest acquisition, we assumed a lawsuit filed in 2013 by Lexion Medical (“Lexion”) against SurgiQuest. On April 11, 2017 the trial for this lawsuit concluded with the jury awarding $2.2 million in compensatory damages with an additional $10.0 million in punitive damages to Lexion. Refer to Note 3 to the consolidated condensed financial statements for further details on this acquisition and Note 13 to the consolidated condensed financial statements for further details on the lawsuit.

We plan to continue to restructure both operations and administrative functions as necessary throughout the organization. We have successfully executed our restructuring plans over the past few years, however, we cannot be certain future activities will be completed in the estimated time period or that planned cost savings will be achieved.

Critical Accounting Policies

Preparation of our financial statements requires us to make estimates and assumptions which affect the reported amounts of assets, liabilities, revenues and expenses. Note 1 to the Consolidated Financial Statements in our Annual Report on Form 10-K for the year-ended December 31, 2016 describes the significant accounting policies used in preparation of the Consolidated Financial Statements. On an ongoing basis, we evaluate the critical accounting policies used to prepare our consolidated financial statements, including, but not limited to, those related to:

revenue recognition;
                    
inventory valuation;

goodwill and intangible assets;

pension plan;

stock-based compensation costs; and

income taxes.

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There have been no material changes in these aforementioned critical accounting policies.

Consolidated Results of Operations

The following table presents, as a percentage of net sales, certain categories included in our consolidated condensed statements of income for the periods indicated:

 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
2017
 
2016
 
2017
 
2016
 
 
 
 
 
 
 
 
Net sales
100.0
%
 
100.0
%
 
100.0
%
 
100.0
%
Cost of sales
46.1

 
45.2

 
46.5

 
46.1

Gross profit
53.9

 
54.8

 
53.5

 
53.9

Selling and administrative expense
42.5

 
42.8

 
45.2

 
45.0

Research and development expense
4.3

 
4.5

 
4.2

 
4.4

Income from operations
7.1

 
7.5

 
4.1

 
4.5

Other expense

 

 

 
0.5

Interest expense
2.5

 
2.1

 
2.3

 
2.0

Income before income taxes
4.6

 
5.4

 
1.8

 
1.9

Provision for income taxes
0.8

 
1.4

 
0.3

 
0.5

Net income
3.8
%
 
4.0
%
 
1.5
%
 
1.4
%
Sales

The following table presents net sales by product line for the three and nine months ended September 30, 2017 and 2016:
 
 
Three Months Ended
 
Nine Months Ended
 
 
 
 
 
% Change
 
 
 
 
 
% Change
 
2017
 
2016
 
As Reported
 
Constant Currency
 
2017
 
2016
 
As Reported
 
Constant Currency
Orthopedic surgery
$
98.6

 
$
99.4

 
-0.8
 %
 
-1.6
 %
 
$
307.9

 
$
310.5

 
-0.8
 %
 
-0.4
 %
General surgery
91.5

 
85.4

 
7.1
 %
 
7.0
 %
 
265.9

 
248.9

 
6.8
 %
 
7.3
 %
   Net sales
$
190.1

 
$
184.8

 
2.9
 %
 
2.4
 %
 
$
573.8

 
$
559.4

 
2.6
 %
 
3.0
 %
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Single-use products
$
153.2

 
$
146.7

 
4.5
 %
 
4.0
 %
 
$
462.4

 
$
445.8

 
3.7
 %
 
4.2
 %
Capital products
36.9

 
38.1

 
-3.3
 %
 
-3.8
 %
 
111.4

 
113.6

 
-2.0
 %
 
-1.6
 %
   Net sales
$
190.1

 
$
184.8

 
2.9
 %
 
2.4
 %
 
$
573.8

 
$
559.4

 
2.6
 %
 
3.0
 %

Net sales increased 2.9% and 2.6% as reported in the three and nine months ended September 30, 2017, respectively, compared to the same periods a year ago mainly due to growth in our General Surgery product line. Foreign exchange had a 50 basis point favorable and 40 basis point unfavorable impact on reported sales growth for the three and nine months ended September 30, 2017, respectively. Single-use product sales grew 4.5% and 3.7% in the three and nine months ended September 30, 2017, respectively, as reported and 4.0% and 4.2% on a constant currency basis in the three and nine months ended September 30, 2017, respectively. These increases were partially offset by 3.3% and 2.0% declines in capital products as reported and 3.8% and 1.6% declines in capital products on a constant currency basis for the same periods.  

Orthopedic surgery sales decreased 0.8%, as reported, in both the three and nine months ended September 30, 2017, and decreased 1.6% and 0.4% on a constant currency basis as increased sales of sports medicine single-use products were offset by capital equipment declines.


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General surgery sales increased 7.1% and 6.8% as reported and 7.0% and 7.3% on a constant currency basis in the three and nine months ended September 30, 2017 driven primarily by sales growth of our AirSeal®, smoke management and endoscopic technologies products.
Cost of Sales

Cost of sales increased to $87.6 million in the three months ended September 30, 2017 as compared to $83.6 million in the three months ended September 30, 2016. Cost of sales increased to $266.8 million in the nine months ended September 30, 2017 as compared to $258.1 million in the nine months ended September 30, 2016. Gross profit margins decreased 0.9 percentage points to 53.9% in the three months ended September 30, 2017 as compared to 54.8% in the three months ended September 30, 2016. The decrease in gross profit margins of 0.9 percentage points in the three months ended September 30, 2017 was mainly a result of cost related to our ongoing restructuring and product mix, offset by the impact of favorable foreign currency exchange rates on sales. Gross profit margins decreased 0.4 percentage points to 53.5% in the nine months ended September 30, 2017 as compared to 53.9% in the nine months ended September 30, 2016. The decrease in gross profit margins of 0.4 percentage points in the nine months ended September 30, 2017 was mainly due to higher costs related to manufacturing variances in 2017 compared to the same period a year ago and the impact of unfavorable foreign currency exchange rates on sales in 2017 compared to the same period a year ago. These were offset by lower restructuring costs in 2017 mainly driven by the discontinuation of our Altrus product offering during 2016.

Selling and Administrative Expense

Selling and administrative expense increased to $80.8 million in the three months ended September 30, 2017 as compared to $79.0 million in the three months ended September 30, 2016 and increased to $259.4 million in the nine months ended September 30, 2017 as compared to $251.7 million in the nine months ended September 30, 2016. Selling and administrative expense as a percentage of net sales decreased to 42.5% in the three months ended September 30, 2017 as compared to 42.8% in the three months ended September 30, 2016 and increased to 45.2% in the nine months ended September 30, 2017 as compared to 45.0% in the nine months ended September 30, 2016.

The significant factors affecting the 0.3 percentage point decrease in selling and administrative expense in the three months ended September 30, 2017 as compared to the same period a year ago included (1) a $2.6 million decrease in costs associated with the SurgiQuest acquisition in 2016 as further described in Notes 3 and 11 to the consolidated condensed financial statements and (2) a $0.3 million decrease in legal fees associated with the SurgiQuest, Inc. vs. Lexion Medical litigation as further described in Notes 11 and 13. These decreases were offset by (1) a $1.9 million gain on the sale of our Centennial, CO facility in 2016 as further described in Note 11 and (2) higher selling and administrative expense to support the growth of the Company.

The significant factors affecting the 0.2 percentage point increase in selling and administrative expenses in the nine months ended September 30, 2017 compared to the same periods a year ago included (1) $12.2 million in costs associated with the SurgiQuest, Inc. vs. Lexion Medical litigation verdict as further described in Notes 11 and 13 in the consolidated condensed financial statements, (2) a $2.0 million increase in legal fees associated with this litigation as well as other legal matters as further described in Note 11, (3) a $1.9 million gain on the sale of our Centennial, CO facility in 2016 and (4) higher selling and administrative expense to support the growth of the Company. These increases were offset by (1) a $13.5 million decrease in costs associated with the SurgiQuest acquisition in 2016 as further described in Notes 3 and 11 to the consolidated condensed financial statements and (2) a $2.8 million decrease in severance and other related costs from the restructuring of certain of our sales, marketing and administrative functions as further described in Note 11.

Research and Development Expense

Research and development expense remained relatively flat at $8.3 million in the three months ended September 30, 2017 as compared to $8.4 million in the three months ended September 30, 2016 and decreased to $23.9 million in the nine months ended September 30, 2017 as compared to $24.6 million in the nine months ended September 30, 2016. As a percentage of net sales, research and development expense decreased 0.2 percentage points to 4.3% in the three months ended September 30, 2017 as compared to 4.5% in the three months ended September 30, 2016 and decreased 0.2 percentage points to 4.2% in the nine months ended September 30, 2017 as compared to 4.4% in the nine months ended September 30, 2016 due to the timing of our projects.

Other Expense

Other expense in the nine months ended September 30, 2016 related to costs associated with our fifth amended and restated senior credit agreement entered into on January 4, 2016. These costs include a $2.7 million charge related to commitment

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fees paid to certain of our lenders that provided a financing commitment for the SurgiQuest acquisition and a loss on the early extinguishment of debt of $0.3 million. There were no such costs in 2017.

Interest Expense

Interest expense increased to $4.8 million in the three months ended September 30, 2017 from $3.9 million in the three months ended September 30, 2016 and increased to $13.3 million in the nine months ended September 30, 2017 from $11.4 million in the nine months ended September 30, 2016 due to higher interest rates compared to the same period a year ago. The weighted average interest rates on our borrowings increased to 3.68% in the three months ended September 30, 2017 as compared to 2.97% in the three months ended September 30, 2016 and increased to 3.44% in the nine months ended September 30, 2017 from 2.90% in the nine months ended September 30, 2016.

Provision for Income Taxes

Income tax expense has been recorded at an effective tax rate of 16.9% for the three months ended September 30, 2017 compared to income tax expense recorded at an effective tax rate of 26.5% in the three months ended September 30, 2016. The decrease in the effective tax rate for the three months ended September 30, 2017 was due to additional tax benefits related to the resolution of certain SurgiQuest acquisition tax matters. Income tax expense for the nine months ended September 30, 2017 has been recorded at an effective tax rate of 15.8% compared to income tax expense recorded at an effective tax rate of 25.5% in the nine months ended September 30, 2016. The decrease in the effective rate for the nine months ended September 30, 2017 was the result of additional tax benefits related to the resolution of certain SurgiQuest acquisition tax matters, state tax benefits and stock option benefits recorded in accordance with ASU 2016-09 (Improvement of Employee Share Based Payment Accounting) as further described in Note 14 to the consolidated condensed financial statements. There can be no assurance the recording of the tax effects resulting from the implementation of ASU 2016-09 will not have any material impact in future periods. A reconciliation of the United States statutory income tax rate to our effective tax rate is included in our Annual Report on Form 10-K for the year ended December 31, 2016, under Note 7 to the consolidated financial statements.

Non-GAAP Financial Measures

Net sales “on a constant currency basis” is a non-GAAP measure. The Company analyzes net sales on a constant currency basis to better measure the comparability of results between periods. To measure percentage sales growth in constant currency, the Company removes the impact of changes in foreign currency exchange rates that affect the comparability and trend of net sales.

Because non-GAAP financial measures are not standardized, it may not be possible to compare this financial measure with other companies' non-GAAP financial measures having the same or similar names. This adjusted financial measure should not be considered in isolation or as a substitute for reported net sales growth, the most directly comparable GAAP financial measure. This non-GAAP financial measure is an additional way of viewing net sales that, when viewed with our GAAP results, provides a more complete understanding of our business. The Company strongly encourages investors and shareholders to review our financial statements and publicly-filed reports in their entirety and not to rely on any single financial measure.

Liquidity and Capital Resources

Our liquidity needs arise primarily from capital investments, working capital requirements and payments on indebtedness under the fifth amended and restated senior credit agreement, described below. We have historically met these liquidity requirements with funds generated from operations and borrowings under our revolving credit facility. In addition, we have historically used term borrowings, including borrowings under the amended and restated senior credit agreement, and borrowings under separate loan facilities, in the case of real property purchases, to finance our acquisitions. We also have the ability to raise funds through the sale of stock or we may issue debt through a private placement or public offering. Management believes that cash flow from operations, including cash and cash equivalents on hand and available borrowing capacity under our fifth amended and restated senior credit agreement, will be adequate to meet our anticipated operating working capital requirements, debt service, funding of capital expenditures and common stock repurchases in the foreseeable future.

Operating cash flows

Our net working capital position was $217.4 million at September 30, 2017.  Net cash provided by operating activities was $44.8 million and $26.2 million in the nine months ended September 30, 2017 and 2016, respectively, generated on net income of $8.8 million and $8.0 million for the nine months ended September 30, 2017 and 2016, respectively.


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The increase in cash flows from operating activities for the nine months ended September 30, 2017 compared to September 30, 2016 is mainly related to the prior year having significant cash outflows resulting from the SurgiQuest, Inc. acquisition whereby 2017 has a $12.2 million accrual related to the Lexion trial verdict, as further described in Note 13 to the consolidated condensed financial statements. This is partially offset by higher inventory levels at September 30, 2017 as we increase production during the third quarter in anticipation of higher fourth quarter sales and increases in other assets due to higher levels of equipment used for demonstration.

Investing cash flows

Net cash used in investing activities in the nine months ended September 30, 2017 consisted of capital expenditures, the purchase of a business and asset acquisitions. Capital expenditures were $9.2 million and $10.4 million in the nine months ended September 30, 2017 and 2016, respectively, and are expected to approximate $15.0 million in 2017. The purchase of a business in the second quarter of 2017 and asset acquisitions in the third quarter of 2017 totaled $15.2 million. The decrease in cash used in investing activities compared to the same period a year ago is the result of $256.5 million in payments during the nine months ended September 30, 2016 associated with the SurgiQuest acquisition.

Financing cash flows

Financing activities in the first nine months of 2017 resulted in a use of cash of $7.2 million compared to cash provided of $189.9 million in the same period a year ago. Below is a summary of the significant financing activities:

During 2016, we had borrowings of $175.0 million on our term loan under our fifth amended and restated credit agreement as further described below. During 2017 and 2016, we repaid $6.6 million on our term loan in accordance with the agreement. During 2017, we had net borrowings on our revolving line of credit of $17.0 million compared to $61.7 million in borrowings in 2016.
During 2016, we had debt issuance costs of $5.6 million in conjunction with our fifth amended and restated credit agreement.
During 2016, we made our final payment of $16.7 million associated with the distribution and development agreement with Musculoskeletal Transplant Foundation.
Dividend payments were $16.7 million and $16.6 million during 2017 and 2016, respectively.

On January 4, 2016, we entered into a fifth amended and restated senior credit agreement consisting of: (a) a $175.0 million term loan facility and (b) a $525.0 million revolving credit facility both expiring on January 4, 2021. The term loan is payable in quarterly installments increasing over the term of the facility. Proceeds from the term loan facility and borrowings under the revolving credit facility were used to repay the then existing senior credit agreement and to finance the acquisition of SurgiQuest. Interest rates are at LIBOR plus 2.00% (3.24% at September 30, 2017). For those borrowings where we elect to use the alternative base rate, the base rate will be the greater of the Prime Rate, the Federal Funds Rate plus 0.50% or the one-month Eurocurrency Rate plus 1.00%.

There were $159.7 million in borrowings outstanding on the term loan as of September 30, 2017. There were $346.0 million in borrowings outstanding under the revolving credit facility as of September 30, 2017. Our available borrowings on the revolving credit facility at September 30, 2017 were $175.6 million with approximately $3.4 million of the facility set aside for outstanding letters of credit.

The fifth amended and restated senior credit agreement is collateralized by substantially all of our personal property and assets. The amended and restated senior credit agreement contains covenants and restrictions which, among other things, require the maintenance of certain financial ratios and restrict dividend payments and the incurrence of certain indebtedness and other activities, including acquisitions and dispositions. We were in full compliance with these covenants and restrictions as of September 30, 2017. We are also required, under certain circumstances, to make mandatory prepayments from net cash proceeds from any issuance of equity and asset sales.

We have a mortgage note outstanding in connection with the Largo, Florida property and facilities bearing interest at 8.25% per annum with semiannual payments of principal and interest through June 2019. The principal balance outstanding on the mortgage note aggregated $3.2 million at September 30, 2017. The mortgage note is collateralized by the Largo, Florida property and facilities.

Our Board of Directors has authorized a $200.0 million share repurchase program. Through September 30, 2017, we have repurchased a total of 6.1 million shares of common stock aggregating $162.6 million under this authorization and have $37.4 million remaining available for share repurchases. The repurchase program calls for shares to be purchased in the open

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market or in private transactions from time to time. We may suspend or discontinue the share repurchase program at any time. We have not purchased any shares of common stock under the share repurchase program during 2017. We have financed the repurchases and may finance additional repurchases through operating cash flow and from available borrowings under our revolving credit facility.

Management believes that cash flow from operations, including cash and cash equivalents on hand and available borrowing capacity under our fifth amended and restated senior credit agreement, will be adequate to meet our anticipated operating working capital requirements, debt service, funding of capital expenditures and common stock repurchases in the foreseeable future.

Restructuring

During 2017 and 2016, we continued our operational restructuring plan. As part of this plan, we engaged a consulting firm to assist us in streamlining our product offering and improving our operational efficiency. As a result, we identified certain catalog numbers to be discontinued and consolidated into existing product offerings and recorded a $1.3 million charge in the three months ended September 30, 2017 to write-off inventory which will no longer be offered for sale. For the nine months ended September 30, 2017 and 2016, we incurred $2.8 million and $1.0 million, respectively, in costs associated with the operational restructuring, including severance, inventory and other charges. These costs were charged to cost of sales.

During 2016, the Company discontinued our Altrus product offering as part of our ongoing restructuring and incurred $4.5 million in non-cash charges which were included in cost of sales for the nine months ended September 30, 2016.

During 2017 and 2016, we restructured certain selling and administrative functions and incurred severance and other related costs in the amount of $0.4 million for the three months ended September 30, 2016 and $1.3 million and $4.1 million for the nine months ended September 30, 2017 and 2016, respectively.

We have reduced our restructuring accrual in current and other long term liabilities to $1.3 million at September 30, 2017 primarily through severance payments. 

During recent years, we had a number of initiatives to consolidate manufacturing facilities and restructure our sales and administrative functions. Although much of this is complete, we will continue to review our operations and sales and administrative functions to reduce costs and headcount, as necessary. Such cost reductions will likely result in additional charges, including employee termination costs and other exit costs that will be charged to cost of sales and selling and administrative expense, as applicable.
    
See Note 11 to the consolidated condensed financial statements for further discussions regarding restructuring.

New accounting pronouncements

See Note 14 to the consolidated condensed financial statements for a discussion of new accounting pronouncements.

Item 3. Quantitative and Qualitative Disclosures About Market Risk

There have been no significant changes in our primary market risk exposures or in how these exposures are managed during the nine months ended September 30, 2017.  Reference is made to Item 7A. of our Annual Report on Form 10-K for the year ended December 31, 2016 for a description of Qualitative and Quantitative Disclosures About Market Risk.
 
Item 4.  Controls and Procedures
 
As of the end of the period covered by this report, an evaluation was carried out by CONMED Corporation’s management, with the participation of our Chief Executive Officer and Chief Financial Officer, of the effectiveness of our disclosure controls and procedures (as defined in Rule 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934).  Based upon that evaluation, our Chief Executive Officer and Chief Financial Officer concluded that these disclosure controls and procedures were effective as of the end of the period covered by this report.  In addition, no change in our internal control over financial reporting (as defined in Rule 13a-15(f) and 15d-15(f) under the Securities Exchange Act of 1934) occurred during the quarter ended September 30, 2017 that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.




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PART II OTHER INFORMATION

Item 1. Legal Proceedings

Reference is made to Item 3 of the Company’s Annual Report on Form 10-K for the year-ended December 31, 2016 and to Note 13 of the Notes to Consolidated Condensed Financial Statements included in Part I of this Report for a description of certain legal matters.

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Item 6. Exhibits

Exhibit Index
 
 
 
 
Exhibit No.
Description of Exhibit
Sequential Page Number
 
 
 
 
 
 
 
 
 
 
 
 
101
The following materials from CONMED Corporation's Quarterly Report on Form 10-Q for the three and nine months ended September 30, 2017 formatted in XBRL (Extensible Business Reporting Language): (i) Consolidated Condensed Statements of Comprehensive Income for the three and nine months ended September 30, 2017 and 2016, (ii) the Consolidated Condensed Balance Sheets at September 30, 2017 and December 31, 2016, (iii) Consolidated Condensed Statements of Cash Flows for the nine months ended September 30, 2017 and 2016, and (iv) Notes to Consolidated Condensed Financial Statements for the three and nine months ended September 30, 2017.  In accordance with Rule 406T of Regulation S-T, the XBRL related information in Exhibit 101 to this Quarterly Report on Form 10-Q shall not be deemed to be “filed” for purposes of Section 18 of the Exchange Act, or otherwise subject to the liability of that section, and shall not be part of any registration statement or other document filed under the Securities Act or the Exchange Act, except as shall be expressly set forth by specific reference in such filing.
 

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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 on the date indicated below.

 
 
CONMED CORPORATION
 
 
 
 
 
 
 
 
 
 
 
By: /s/ Luke A. Pomilio
 
 
Luke A. Pomilio
 
 
Executive Vice President, Finance and
 
 
Chief Financial Officer
 
 
 
 
 
Date:  
 
 
November 2, 2017


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