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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 10-Q
(Mark One)
 
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended September 29, 2019
OR
 
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from
 
to
 
Commission file number: 001-35065
WRIGHT MEDICAL GROUP N.V.
(Exact name of registrant as specified in its charter)
The
Netherlands
 
98-0509600
(State or other jurisdiction
of incorporation or organization)
 
(I.R.S. Employer
Identification No.)
Prins Bernhardplein 200
 
None
1097 JB
Amsterdam,
The
Netherlands
 
(Zip Code)
(Address of principal executive offices)
 
 
(+31) 20 521 4777
(Registrant’s telephone number, including area code)
Not applicable
(Former name, former address and former fiscal year, if changed since last report)
Securities registered pursuant to Section 12(b) of the Act:
Title of each class
 
Trading Symbol(s)
 
Name of each exchange on which registered
Ordinary shares, par value €0.03 per share
 
WMGI
 
Nasdaq Global Select Market
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
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted 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 such files). Yes No
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a 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.
Large accelerated filer ☑    Accelerated filer
Non-accelerated filer ☐    Smaller reporting company
Emerging growth company
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.
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes No
As of November 5, 2019, there were 126,901,153 ordinary shares outstanding.
 



WRIGHT MEDICAL GROUP N.V.

QUARTERLY REPORT ON FORM 10-Q FOR THE QUARTERLY PERIOD ENDED SEPTEMBER 29, 2019

TABLE OF CONTENTS
 
Page
 
 
 
5
5
7
8
9
11
13
38
53
57
 
 
 
 
 
58
60
62
62
62
62
62
 
 
64




SPECIAL NOTE REGARDING FORWARD-LOOKING STATEMENTS
This document may contain certain “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended (Securities Act), and Section 21E of the Securities Exchange Act of 1934, as amended (Exchange Act), and that are subject to the safe harbor created by those sections. These statements reflect management’s current knowledge, assumptions, beliefs, estimates, and expectations and express management’s current view of future performance, results, and trends. Forward looking statements may be identified by their use of terms such as anticipate, believe, could, estimate, expect, intend, may, plan, predict, project, will, and other similar terms. Forward-looking statements are subject to a number of risks and uncertainties that could cause actual results to materially differ from those described in the forward-looking statements. The reader should not place undue reliance on forward-looking statements. Such statements are made as of the date of this report, and we undertake no obligation to update such statements after this date. Risks and uncertainties that could cause our actual results to materially differ from those described in forward-looking statements are discussed in our filings with the U.S. Securities and Exchange Commission (SEC) (including our most recent Annual Report on Form 10-K, which was filed with the SEC on February 27, 2019). By way of example and without implied limitation, such risks and uncertainties include:
the occurrence of any event, change or other circumstance that could give rise to the termination of the definitive agreement that we entered into with Stryker Corporation (Stryker) and its wholly-owned acquisition subsidiary on November 4, 2019, pursuant to which we expect to become a wholly-owned subsidiary of Stryker;
the failure to satisfy required closing conditions under the agreement with Stryker, including, but not limited to, the tender of a minimum number of our outstanding ordinary shares in the related tender offer, the adoption of certain resolutions relating to the transaction at an extraordinary general meeting of Wright’s shareholders and the receipt of required regulatory approvals, or the failure to complete the acquisition in a timely manner;
risks related to disruption of management’s attention from our ongoing business operations due to the pendency of the transaction with Stryker;
the effect of the announcement of the transaction with Stryker on our operating results and business generally, including, but not limited to, our ability to retain and hire key personnel and maintain our relationships with customers, strategic partners and suppliers;
the impact of the pending transaction with Stryker on our strategic plans and operations and our ability to respond effectively to competitive pressures, industry developments and future opportunities;
the outcome of any legal proceedings that may be instituted against us and others relating to the proposed transaction with Stryker;
inability to achieve or sustain profitability;
failure to achieve our financial guidance or projected goals and objectives, including long-term financial targets, in the time periods that we anticipate or announce publicly;
failure to realize the anticipated benefits from previous acquisitions and dispositions, including our October 2018 acquisition of Cartiva, Inc. (Cartiva);
failure to obtain anticipated commercial sales of our AUGMENT® Bone Graft and AUGMENT® Injectable products;
liability for product liability claims on hip/knee (OrthoRecon) products sold by Wright Medical Technology, Inc. (WMT) prior to the divestiture of the OrthoRecon business;
risks and uncertainties associated with our metal-on-metal master settlement agreements and the settlement agreements with certain of our insurance companies, including without limitation, the resolution of the remaining unresolved claims, the effect of the broad release of certain insurance coverage for present and future claims, and the resolution of WMT’s dispute with the remaining carrier;
adverse outcomes in existing product liability litigation;
copycat claims against modular hip systems resulting from a competitor’s recall of its modular hip product;
the ability of a creditor of any one particular entity within our corporate structure to reach the assets of the other entities within our corporate structure not liable for the underlying claims of the one particular entity, despite our corporate structure which is intended to ring-fence liabilities;
new product liability claims;
pending and future other litigation, which could have an adverse effect on our business, financial condition, or operating results;
challenges to our intellectual property rights or inability to defend our products against the intellectual property rights of others;
the possibility of private securities litigation or shareholder derivative suits;
inadequate insurance coverage;
inability to generate sufficient cash flow to satisfy our capital requirements, including future milestone payments, and existing debt, including the conversion features of our convertible senior notes, or refinance our existing debt as it matures;
risks associated with our credit, security and guaranty agreement for our senior secured asset-based line of credit and term loan facility;
inability to raise additional financing when needed and on favorable terms;

3


the loss of key suppliers, which may result in our inability to meet customer orders for our products in a timely manner or within our budget;
the incurrence of significant expenditures of resources to maintain relatively high levels of inventory, which could reduce our cash flows and increase the risk of inventory obsolescence, which could harm our operating results;
our inability to timely manufacture products or instrument sets to meet demand;
our private label manufacturers failing to provide us with sufficient supply of their products, or failing to meet appropriate quality requirements;
our plans to bring the manufacturing of certain of our products in-house and possible disruptions we may experience in connection with such transition;
our plans to increase our gross margins by taking certain actions designed to do so;
inventory reductions or fluctuations in buying patterns by wholesalers or distributors;
not successfully competing against our existing or potential competitors and the effect of significant recent consolidations amongst our competitors;
not successfully developing and marketing new products and technologies and implementing our business strategy;
insufficient demand for and market acceptance of our new and existing products;
the reliance of our business plan on certain market assumptions;
lack of suitable business development opportunities;
inability to capitalize on business development opportunities;
future actions of the SEC, the United States Attorney’s office, the U.S. Food and Drug Administration (FDA), the Department of Health and Human Services, or other U.S. or foreign government authorities, including those resulting from increased scrutiny under the U.S. Foreign Corrupt Practices Act and similar laws, that could delay, limit, or suspend our development, manufacturing, commercialization, and sale of products, or result in seizures, injunctions, monetary sanctions, or criminal or civil liabilities;
failure or delay in obtaining FDA or other regulatory clearance for our products;
the compliance of our products and activities with the laws and regulations of the countries in which they are marketed, which compliance may be costly and time-consuming;
the use, misuse or off-label use of our products that may harm our image in the marketplace or result in injuries that may lead to product liability suits, which could be costly to our business or result in governmental sanctions;
changes in healthcare laws, which could generate downward pressure on our product pricing;
ability of healthcare providers to obtain reimbursement for our products or a reduction in the current levels of reimbursement, which could result in reduced use of our products and a decline in sales;
the potentially negative effect of our ongoing compliance efforts on our relationships with customers and on our ability to deliver timely and effective medical education, clinical studies, and new products;
failures of, interruptions to, or unauthorized tampering with, our information technology systems;
our inability to maintain effective internal controls;
product quality or patient safety issues;
geographic and product mix impact on our sales;
deriving a significant portion of our revenues from operations in certain geographic markets that are subject to political, economic, and social instability, including in particular France, and risks and uncertainties involved in launching our products in certain new geographic markets;
the negative impact of the commercial and credit environment on us, our customers, and our suppliers;
inability to retain key sales representatives, independent distributors, and other personnel or to attract new talent;
consolidation in the healthcare industry that could lead to demands for price concessions or the exclusion of some suppliers from certain of our markets, which could have an adverse effect on our business, financial condition, or operating results;
our clinical trials and their results and our reliance on third parties to conduct them;
potentially burdensome tax measures; and
fluctuations in foreign currency exchange rates.
For more information regarding these and other uncertainties and factors that could cause our actual results to differ materially from what we have anticipated in our forward-looking statements or otherwise could materially adversely affect our business, financial condition, or operating results, see “Part I. Item 1A. Risk Factors” of our most recent Annual Report on Form 10-K and “Part II. Item 1A. Risk Factors” of this report. The risks and uncertainties described above and in “Part I. Item 1A. Risk Factors” of our most recent Annual Report on Form 10-K and “Part II. Item 1A. Risk Factors” of this report are not exclusive and further information concerning us and our business, including factors that potentially could materially affect our financial results or condition, may emerge from time to time. We assume no obligation to update, amend, or clarify forward-looking statements to reflect actual results or changes in factors or assumptions affecting such forward-looking statements. We advise you, however, to consult any further disclosures we make on related subjects in our future Annual Reports on Form 10-K, Quarterly Reports on Form 10-Q and Current Reports on Form 8-K we file with or furnish to the SEC.

4


PART I - FINANCIAL INFORMATION

ITEM 1. FINANCIAL STATEMENTS (unaudited).
Wright Medical Group N.V.
Condensed Consolidated Balance Sheets
(In thousands, except share data)
(unaudited)
 
September 29, 2019
 
December 30, 2018
Assets:
 
 
 
Current assets:
 
 
 
Cash and cash equivalents
$
147,263

 
$
191,351

Accounts receivable, net
137,411

 
141,019

Inventories
197,283

 
180,690

Prepaid expenses
17,460

 
11,823

Other current assets 1
141,347

 
78,349

Total current assets
640,764

 
603,232

 
 
 
 
Property, plant and equipment, net
233,494

 
224,929

Goodwill
1,254,304

 
1,268,954

Intangible assets, net
263,023

 
282,332

Deferred income taxes
923

 
942

Other assets 1
116,324

 
314,012

Total assets
$
2,508,832

 
$
2,694,401

Liabilities and Shareholders’ Equity:
 
 
 
Current liabilities:
 
 
 
Accounts payable
$
35,651

 
$
48,359

Accrued expenses and other current liabilities 1
282,691

 
217,081

Current portion of long-term obligations 1
425,312

 
201,686

Total current liabilities
743,654

 
467,126

 
 
 
 
Long-term debt and finance lease obligations 1
731,756

 
913,441

Deferred income taxes
10,785

 
13,146

Other liabilities 1
170,717

 
368,229

Total liabilities
1,656,912

 
1,761,942

Commitments and contingencies (Note 13)

 

Shareholders’ equity:
 
 
 
Ordinary shares, €0.03 par value, authorized: 320,000,000 shares; issued and outstanding: 126,893,594 shares at September 29, 2019 and 125,555,751 shares at December 30, 2018
4,634

 
4,589

Additional paid-in capital
2,563,397

 
2,514,295

Accumulated other comprehensive loss
(39,796
)
 
(8,083
)
Accumulated deficit
(1,676,315
)
 
(1,578,342
)
Total shareholders’ equity
851,920

 
932,459

Total liabilities and shareholders’ equity
$
2,508,832

 
$
2,694,401


___________________________
1 
At June 30, 2019, the closing price of our ordinary shares was greater than 130% of the 2021 Notes conversion price for 20 or more of the 30 consecutive trading days preceding the quarter-end; and, therefore, the holders of the 2021 Notes were able to convert the notes during the succeeding calendar quarterly period ending September 30, 2019. Due to the ability of the

5


holders of the 2021 Notes to convert the notes through September 30, 2019, the carrying value of the 2021 Notes and the fair value of the 2021 Notes Conversion Derivative were classified as current liabilities, and the fair value of the 2021 Notes Hedges were classified as current assets as of September 29, 2019. There were no conversions through September 30, 2019, and the 2021 Notes are no longer convertible as of the close of business on September 30, 2019. The respective balances were classified as long-term as of December 30, 2018. See Note 6 and Note 10.
The accompanying notes are an integral part of these condensed consolidated financial statements.

6


Wright Medical Group N.V.
Condensed Consolidated Statements of Operations
(In thousands, except per share data)
(unaudited)
 
Three months ended
 
Nine months ended
 
September 29, 2019
 
September 30, 2018
 
September 29, 2019
 
September 30, 2018
Net sales
$
212,434

 
$
194,106

 
$
672,295

 
$
598,043

Cost of sales 1
44,441

 
44,307

 
139,096

 
131,004

Gross profit
167,993

 
149,799

 
533,199

 
467,039

Operating expenses:
 
 
 
 
 
 
 
Selling, general and administrative 1
152,780

 
139,223

 
458,198

 
417,297

Research and development 1
18,045

 
13,829

 
53,773

 
42,393

Amortization of intangible assets
8,308

 
5,881

 
23,757

 
19,031

Total operating expenses
179,133

 
158,933

 
535,728

 
478,721

Operating loss
(11,140
)
 
(9,134
)
 
(2,529
)
 
(11,682
)
Interest expense, net
20,448

 
19,753

 
60,138

 
60,243

Other expense, net
1,317

 
3,902

 
12,381

 
75,649

Loss from continuing operations before income taxes
(32,905
)
 
(32,789
)
 
(75,048
)
 
(147,574
)
Provision (benefit) for income taxes
3,295

 
3,040

 
10,340

 
(1,217
)
Net loss from continuing operations
(36,200
)
 
(35,829
)
 
(85,388
)
 
(146,357
)
(Loss) income from discontinued operations, net of tax
(7,589
)
 
(6,696
)
 
(12,814
)
 
10,620

Net loss
$
(43,789
)
 
$
(42,525
)
 
$
(98,202
)
 
$
(135,737
)
 
 
 
 
 
 
 
 
Net loss from continuing operations per share - basic and diluted (Note 12):
$
(0.29
)
 
$
(0.32
)
 
$
(0.68
)
 
$
(1.35
)
Net (loss) income from discontinued operations per share - basic and diluted (Note 12):
$
(0.06
)
 
$
(0.06
)
 
$
(0.10
)
 
$
0.10

Net loss per share - basic and diluted (Note 12):
$
(0.35
)
 
$
(0.38
)
 
$
(0.78
)
 
$
(1.25
)
 
 
 
 
 
 
 
 
Weighted-average number of ordinary shares outstanding - basic and diluted:
126,767

 
113,043

 
126,282

 
108,348

___________________________
1 
These line items include the following amounts of non-cash, share-based compensation expense for the periods indicated:
 
Three months ended
 
Nine months ended
 
September 29, 2019
 
September 30, 2018
 
September 29, 2019
 
September 30, 2018
Cost of sales
$
156

 
$
141

 
$
413

 
$
452

Selling, general and administrative
7,284

 
6,537

 
21,106

 
16,496

Research and development
795

 
579

 
1,960

 
1,388


The accompanying notes are an integral part of these condensed consolidated financial statements.

7


Wright Medical Group N.V.
Condensed Consolidated Statements of Comprehensive Loss
(In thousands)
(unaudited)
 
Three months ended
 
Nine months ended
 
September 29, 2019
 
September 30, 2018
 
September 29, 2019
 
September 30, 2018
Net loss
$
(43,789
)
 
$
(42,525
)
 
$
(98,202
)
 
$
(135,737
)
 
 
 
 
 
 
 
 
Other comprehensive loss:
 
 
 
 
 
 
 
Changes in foreign currency translation
(20,287
)
 
(2,773
)
 
(31,713
)
 
(19,642
)
Other comprehensive loss
(20,287
)
 
(2,773
)
 
(31,713
)
 
(19,642
)
 
 
 
 
 
 
 
 
Comprehensive loss
$
(64,076
)
 
$
(45,298
)
 
$
(129,915
)
 
$
(155,379
)
The accompanying notes are an integral part of these condensed consolidated financial statements.


8


Wright Medical Group N.V.
Condensed Consolidated Statements of Cash Flows
(In thousands)
(unaudited)
 
Nine months ended
 
September 29, 2019
 
September 30, 2018
Operating activities:
 
 
 
Net loss
$
(98,202
)
 
$
(135,737
)
Adjustments to reconcile net loss to net cash provided by (used in) operating activities:
 
 
 
Depreciation
47,688

 
42,986

Share-based compensation expense
23,479

 
18,336

Amortization of intangible assets
23,757

 
19,031

Amortization of deferred financing costs and debt discount
40,577

 
40,641

Deferred income taxes
(1,857
)
 
(2,976
)
Provision for excess and obsolete inventory
10,144

 
17,358

Amortization of inventory step-up adjustment
1,057

 

Non-cash adjustment to derivative fair values
(885
)
 
34,343

Net loss on exchange or extinguishment of debt
14,274

 
39,935

Non-cash asset impairment
5,597

 

Mark-to-market adjustment for CVRs (Note 6)
(420
)
 
(3,084
)
Other
(3,862
)
 
617

Changes in assets and liabilities:
 
 
 
Accounts receivable
2,617

 
6,029

Inventories
(30,382
)
 
(32,738
)
Prepaid expenses and other current assets
(5,725
)
 
34,847

Accounts payable
(12,059
)
 
3,731

Accrued expenses and other liabilities
15,534

 
(23,905
)
Metal-on-metal product liabilities (Note 13)
(13,053
)
 
(71,963
)
Net cash provided by (used in) operating activities
18,279

 
(12,549
)
Investing activities:
 
 
 
Capital expenditures
(63,849
)
 
(49,920
)
Purchase of intangible assets
(6,887
)
 
(2,288
)
Acquisition of business
722

 

Other investing
3,766

 
(500
)
Net cash used in investing activities
(66,248
)
 
(52,708
)
Financing activities:
 
 
 
Issuance of ordinary shares
15,621

 
10,975

Proceeds from equity offering

 
448,924

Payment of equity offering costs

 
(25,566
)
Issuance of stock warrants
21,210

 
102,137

Payment of notes premium

 
(55,643
)
Payment of notes hedge options
(30,144
)
 
(141,278
)
Repurchase of stock warrants
(11,026
)
 
(23,972
)
Payment of equity issuance costs
(350
)
 
(1,870
)
Proceeds from notes hedge options
16,849

 
34,553

Proceeds from exchangeable senior notes

 
675,000

Proceeds from other debt
4,704

 
23,434



9


Wright Medical Group N.V.
Consolidated Statements of Cash Flows (Continued)
(In thousands)

 
Nine months ended
 
September 29, 2019
 
September 30, 2018
Payments of debt
$
(3,466
)
 
$
(34,067
)
Redemption of convertible senior notes

 
(400,911
)
Payment of financing costs
(2,978
)
 
(14,092
)
Payment of contingent consideration

 
(919
)
Payments of finance lease obligations
(5,874
)
 
(3,905
)
Net cash provided by financing activities
4,546

 
592,800

Effect of exchange rates on cash and cash equivalents
(665
)
 
(380
)
Net (decrease) increase in cash and cash equivalents
(44,088
)
 
527,163

Cash and cash equivalents, beginning of period
191,351

 
167,740

Cash and cash equivalents, end of period
$
147,263

 
$
694,903


The accompanying notes are an integral part of these condensed consolidated financial statements.

10


Wright Medical Group N.V.
Condensed Consolidated Statements of Changes in Shareholders’ Equity
(In thousands, except share data)
(unaudited)
 
Three months ended September 29, 2019
 
Ordinary shares
 
Additional paid-in capital
 
Accumulated other comprehensive loss
 
Accumulated deficit
 
Total shareholders’ equity
 
Number of shares
 
Amount
Balance at June 30, 2019
126,580,952

 
$
4,623

 
$
2,553,442

 
$
(19,509
)
 
$
(1,632,526
)
 
$
906,030

2019 Activity:
 
 
 
 
 
 
 
 
 
 
 
Net loss

 

 

 

 
(43,789
)
 
(43,789
)
Foreign currency translation

 

 

 
(20,287
)
 

 
(20,287
)
Issuances of ordinary shares
71,097

 
2

 
1,605

 

 

 
1,607

Vesting of restricted stock units
241,545

 
9

 
(9
)
 

 

 

Share-based compensation

 

 
8,359

 

 

 
8,359

Balance at September 29, 2019
126,893,594

 
$
4,634

 
$
2,563,397

 
$
(39,796
)
 
$
(1,676,315
)
 
$
851,920

 
 
 
 
 
 
 
 
 
 
 
 
 
Three months ended September 30, 2018
 
Ordinary shares
 
Additional paid-in capital
 
Accumulated other comprehensive income (loss)
 
Accumulated deficit
 
Total shareholders’ equity
 
Number of shares
 
Amount
Balance at July 1, 2018
106,443,280

 
$
3,919

 
$
2,060,949

 
$
5,421

 
$
(1,502,049
)
 
$
568,240

2018 Activity:
 
 
 
 
 
 
 
 
 
 
 
Net loss

 

 

 

 
(42,525
)
 
(42,525
)
Foreign currency translation

 

 

 
(2,773
)
 

 
(2,773
)
Issuances of ordinary shares
252,631

 
9

 
5,253

 

 

 
5,262

Shares issued in public offering (Note 12)
18,248,932

 
641

 
422,371

 

 

 
423,012

Vesting of restricted stock units
120,397

 
4

 
(4
)
 

 

 

Share-based compensation

 

 
7,282

 

 

 
7,282

Balance at September 30, 2018
125,065,240

 
$
4,573

 
$
2,495,851

 
$
2,648

 
$
(1,544,574
)
 
$
958,498


 
Nine months ended September 29, 2019
 
Ordinary shares
 
Additional paid-in capital
 
Accumulated other comprehensive loss
 
Accumulated deficit
 
Total shareholders’ equity
 
Number of shares
 
Amount
Balance at December 30, 2018
125,555,751

 
$
4,589

 
$
2,514,295

 
$
(8,083
)
 
$
(1,578,342
)
 
$
932,459

2019 Activity:
 
 
 
 
 
 
 
 
 
 
 
Net loss

 

 

 

 
(98,202
)
 
(98,202
)
Cumulative impact of lease accounting adoption

 

 

 

 
229

 
229

Foreign currency translation

 

 

 
(31,713
)
 

 
(31,713
)
Issuances of ordinary shares
754,682

 
25

 
15,596

 

 

 
15,621

Vesting of restricted stock units
583,161

 
20

 
(20
)
 

 

 

Share-based compensation

 

 
23,692

 

 

 
23,692

Issuance of stock warrants, net of repurchases and equity issuance costs

 

 
9,834

 

 

 
9,834

Balance at September 29, 2019
126,893,594

 
$
4,634

 
$
2,563,397

 
$
(39,796
)
 
$
(1,676,315
)
 
$
851,920

 
 
 
 
 
 
 
 
 
 
 
 


11


Wright Medical Group N.V.
Condensed Consolidated Statements of Changes in Shareholders’ Equity (Continued)
(In thousands, except share data)
(unaudited)
 
Nine months ended September 30, 2018
 
Ordinary shares
 
Additional paid-in capital
 
Accumulated other comprehensive income (loss)
 
Accumulated deficit
 
Total shareholders’ equity
 
Number of shares
 
Amount
Balance at December 31, 2017
105,807,424

 
$
3,896

 
$
1,971,347

 
$
22,290

 
$
(1,408,837
)
 
$
588,696

2018 Activity:
 
 
 
 
 
 
 
 
 
 
 
Net loss

 

 

 

 
(135,737
)
 
(135,737
)
Foreign currency translation

 

 

 
(19,642
)
 

 
(19,642
)
Issuances of ordinary shares
556,827

 
20

 
10,955

 

 

 
10,975

Shares issued in public offering (Note 12)
18,248,932

 
641

 
422,371

 

 

 
423,012

Vesting of restricted stock units
452,057

 
16

 
(16
)
 

 

 

Share-based compensation

 

 
18,238

 

 

 
18,238

Issuance of stock warrants, net of repurchases and equity issuance costs

 

 
72,956

 

 

 
72,956

Balance at September 29, 2019
125,065,240

 
$
4,573

 
$
2,495,851

 
$
2,648

 
$
(1,544,574
)
 
$
958,498


The accompanying notes are an integral part of these condensed consolidated financial statements.

12

WRIGHT MEDICAL GROUP N.V.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)


1. Organization and Description of Business
Wright Medical Group N.V. (Wright or we) is a global medical device company focused on extremities and biologics products. We are committed to delivering innovative, value-added solutions improving quality of life for patients worldwide and are a recognized leader of surgical solutions for the upper extremities (shoulder, elbow, wrist and hand), lower extremities (foot and ankle) and biologics markets, three of the fastest growing segments in orthopaedics. We market our products in approximately 50 countries worldwide.
During the fourth quarter of 2019, on November 4, 2019, we entered into a definitive agreement with Stryker and its subsidiary, Stryker B.V. Under the terms of the agreement, and upon the terms and subject to the conditions thereof, Stryker B.V. will commence a tender offer to purchase all of the outstanding ordinary shares of Wright for $30.75 per share, in cash (the Offer). The obligation of Stryker and Stryker B.V. to consummate the Offer is subject to the tender of a minimum number of our outstanding shares in the related tender offer, the adoption of certain resolutions relating to the transaction at an extraordinary general meeting of Wright’s shareholders, receipt of applicable regulatory approvals and other customary conditions. If these conditions are satisfied and the Offer closes, Stryker may acquire any remaining shares through a post-offer reorganization. See Note 15 to our condensed consolidated financial statements for additional information regarding the proposed acquisition by Stryker.
Our global corporate headquarters are located in Amsterdam, the Netherlands. We also have significant operations located in Memphis, Tennessee (U.S. headquarters, research and development, sales and marketing administration, and administrative activities); Bloomington, Minnesota (upper extremities sales and marketing and warehousing operations); Arlington, Tennessee (manufacturing and warehousing operations); Franklin, Tennessee (manufacturing and warehousing operations); Columbia City, Indiana (research and development); Alpharetta, Georgia (manufacturing and warehousing operations); Montbonnot, France (manufacturing and warehousing operations); Plouzané, France (research and development); and Macroom, Ireland (manufacturing). In addition, we have local sales and distribution offices in Canada, Australia, Asia, Latin America, and throughout Europe. For purposes of this report, references to “international” or “foreign” relate to non-U.S. matters while references to “domestic” relate to U.S. matters.
Our fiscal year-end is generally determined on a 52-week basis and runs from the Monday nearest to the 31st of December of a year and ends on the Sunday nearest to the 31st of December of the following year. Every few years, it is necessary to add an extra week to the year making it a 53-week period.
The condensed consolidated financial statements and accompanying notes present our consolidated results for each of the three and nine months ended September 29, 2019 and September 30, 2018. The three and nine months ended September 29, 2019 and September 30, 2018 each consisted of thirteen and thirty-nine weeks, respectively.
All amounts are presented in U.S. dollars ($), except where expressly stated as being in other currencies, e.g., Euros (€).
References in these notes to the condensed consolidated financial statements to “we,” “our” and “us” refer to Wright Medical Group N.V. and its subsidiaries after the merger with Tornier N.V. (legacy Tornier) (Wright/Tornier merger) and Wright Medical Group, Inc. (WMG or legacy Wright) and its subsidiaries before the Wright/Tornier merger.
2. Basis of Presentation and Summary of Significant Accounting Policies
Basis of Presentation. The unaudited condensed consolidated interim financial statements of Wright Medical Group N.V. have been prepared in accordance with U.S. generally accepted accounting principles (US GAAP) for interim financial statements and the instructions to the Quarterly Report on Form 10-Q and Rule 10-01 of Regulation S-X. Certain information and footnote disclosures normally included in financial statements prepared in accordance with US GAAP have been condensed or omitted pursuant to these rules and regulations. Accordingly, these unaudited condensed consolidated interim financial statements should be read in conjunction with our audited consolidated financial statements and related notes included in our Annual Report on Form 10-K for the year ended December 30, 2018, as filed with the SEC on February 27, 2019.
In the opinion of management, these unaudited condensed consolidated interim financial statements reflect all adjustments necessary for a fair presentation of our interim financial results. All such adjustments are of a normal and recurring nature. The results of operations for any interim period are not indicative of results for the full fiscal year. The accompanying unaudited condensed consolidated interim financial statements include our accounts and those of our controlled subsidiaries. Intercompany accounts and transactions have been eliminated in consolidation. The preparation of these financial statements requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and the disclosure of contingent liabilities at the dates of the financial statements and the amounts of revenues and expenses during the reporting periods. Actual amounts realized or paid could differ from those estimates.

13

WRIGHT MEDICAL GROUP N.V.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)

Revenue recognition. Our revenues are primarily generated through two types of customers, hospitals and surgery centers and stocking distributors, with the majority of our revenue derived from sales to hospitals and surgery centers. Our products are sold through a network of employee and independent sales representatives in the United States and by a combination of employee sales representatives, independent sales representatives, and stocking distributors outside the United States. We record revenues from sales to hospitals and surgery centers upon transfer of control of promised products in an amount that reflects the consideration we expect to receive in exchange for those products, which is generally when the product is surgically implanted in a patient.
We record revenues from sales to our stocking distributors at a point in time upon transfer of control of promised products to the distributor. Our stocking distributors, who sell the products to their customers, take control of the products and assume all risks of ownership upon transfer. Our stocking distributors are obligated to pay us within specified terms regardless of when, if ever, they sell the products. In general, our stocking distributors do not have any rights of return or exchange; however, in limited situations, we have repurchase agreements with certain stocking distributors. Those certain agreements require us to repurchase a specified percentage of the inventory purchased by the distributor within a specified period of time prior to the expiration of the contract. During those specified periods, we defer the applicable percentage of the sales. An insignificant amount of sales related to these types of agreements was deferred and not yet recognized as revenue as of September 29, 2019 and September 30, 2018.
We must make estimates of potential future product returns related to current period product sales. We base our estimate for sales returns on historical sales and product return information, including historical experience and trend information. Our reserve for sales returns has historically been immaterial. We incur shipping and handling costs associated with the shipment of goods to customers, independent distributors, and our subsidiaries. Amounts billed to customers for shipping and handling of products are included in net sales. Costs incurred related to shipping and handling of products to customers are included in selling, general and administrative expenses. We also record depreciation on surgical instruments used by our hospital and surgery center customers within selling, general and administrative expense as these costs are considered to be similar to shipping and handling costs, necessary to deliver the implant products to the end customer.
Inventories. Our inventories are valued at the lower of cost or market on a FIFO basis. Inventory costs include material, labor costs, and manufacturing overhead. Historically, our excess and obsolete inventory reserve was based on both the current age of kit inventory as compared to its estimated life cycle and our forecasted product demand and production requirements for other inventory items for the next 36 months. During the quarter ended September 29, 2019, we changed our estimate of excess and obsolete inventory reserves to better reflect the future usage for inventory in excess of estimated three-year demand. The impact of this change in estimate was approximately $26 million. We will reduce our inventory reserve and recognize an offset to cost of sales as the related inventory is sold based on an estimated inventory turnover period of 2.5 years.
Total charges incurred to write down excess and obsolete inventory to net realizable value included in cost of sales were approximately $4.1 million and $6.3 million for the three months ended September 29, 2019 and September 30, 2018, respectively. Total charges incurred to write down excess and obsolete inventory to net realizable value included in cost of sales were approximately $10.1 million and $17.4 million for the nine months ended September 29, 2019 and September 30, 2018, respectively. During the nine months ended September 30, 2018, our excess and obsolete charges included product rationalization initiative adjustments of $3.6 million.
Discontinued Operations. On January 9, 2014, pursuant to an Asset Purchase Agreement, dated as of June 18, 2013 (the MicroPort Agreement), by and among us and MicroPort Scientific Corporation (MicroPort), we completed the divestiture and sale of our business operations operating under our prior OrthoRecon operating segment to MicroPort.
All historical operating results for the OrthoRecon business are reflected within discontinued operations in the condensed consolidated financial statements. See Note 4 for further discussion of discontinued operations. Other than Note 4, unless otherwise stated, all discussion of assets and liabilities in these Notes to the condensed consolidated financial statements reflects the assets and liabilities held and used in our continuing operations, and all discussion of revenues and expenses reflects those associated with our continuing operations.
Recent Accounting Pronouncements. On February 25, 2016, the FASB issued ASU 2016-02, Leases, and has subsequently issued several supplemental and/or clarifying ASUs (collectively ASC 842). ASC 842 introduces a lessee model that brings most leases on the balance sheet. The new standard also aligns many of the underlying principles of the new lessor model with those in FASB ASC 606, the FASB’s new revenue recognition standard (e.g., those related to evaluating when profit can be recognized). We adopted ASC 842 during the quarter ended March 31, 2019 using the hindsight practical expedient, the practical expedient for short-term leases, and the practical expedient package which primarily limited the need for reassessing lease classification on existing leases and allowed us to issue our financial statements showing comparative lease disclosures under previous GAAP. See additional details related to the impact of this adoption in Note 9.

14

WRIGHT MEDICAL GROUP N.V.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)

On June 16, 2016, the FASB issued ASU 2016-13, Measurement of Credit Losses on Financial Instruments and has subsequently issued several supplemental and/or clarifying ASUs. The new standard adds an impairment model (known as the current expected credit loss (CECL) model) that is based on expected losses rather than incurred losses. Under the new guidance, an entity recognizes as an allowance its estimate of expected credit losses, which the FASB believes will result in more timely recognition of such losses. The ASU will be effective for us beginning in fiscal year 2020. We do not believe this guidance will have a significant impact on our consolidated financial statements.
On August 29, 2018, the FASB issued ASU 2018-15, Intangibles-Goodwill and Other-Internal-Use Software (Subtopic 350-40) to provide guidance on implementation costs incurred in a cloud computing arrangement (CCA) that is a service contract. Specifically, the ASU amends ASC 350 to include in its scope implementation costs of a CCA that is a service contract and clarifies that a customer should apply ASC 350-40, Internal Use Software, to determine which implementation costs should be capitalized in such a CCA. The ASU will be effective for us beginning in fiscal year 2020. We do not believe this guidance will have a significant impact on our consolidated financial statements.
3. Acquisitions
Cartiva, Inc.
On October 10, 2018, we completed the acquisition of Cartiva, Inc. (Cartiva), an orthopaedic medical device company focused on treatment of osteoarthritis of the great toe. Under the terms of the agreement with Cartiva, we acquired 100% of the outstanding equity on a fully diluted basis of Cartiva for a total price of $435 million in cash, subject to certain adjustments which totaled $1.1 million, as set forth in the purchase agreement, $0.7 million of which was refunded in 2019. We funded the acquisition with the proceeds from a registered underwritten public offering of 18.2 million ordinary shares which had net proceeds of $423.0 million. This acquisition adds a differentiated premarket approval (PMA) approved technology for a high-volume foot and ankle procedure and further accelerates growth opportunities in our global extremities business. The results of operations of Cartiva are included in our condensed consolidated financial statements for all periods after completion of the acquisition.
The acquired business contributed net sales of $5.7 million and operating loss of $0.4 million to our condensed consolidated results of operations for the three months ended September 29, 2019, which included $0.4 million of inventory step-up amortization, $0.6 million of transition expenses, and $2.6 million of intangible asset amortization. The acquired business contributed net sales of $22.8 million and operating income of $4.8 million to our condensed consolidated results of operations for the nine months ended September 29, 2019, which included $1.1 million of inventory step-up amortization, $1.6 million of transition expenses, and $6.5 million of intangible asset amortization.
Purchase Consideration and Net Assets Acquired
The following presents the allocation of the purchase consideration to the assets acquired and liabilities assumed on October 10, 2018 (in thousands):
Cash and cash equivalents
$
309

Accounts receivable
4,352

Inventories
2,686

Other current assets
486

Property, plant and equipment
1,446

Intangible assets
81,000

Total assets acquired
90,279

Current liabilities
(4,226
)
Deferred income taxes
(3,622
)
Total liabilities assumed
(7,848
)
Net assets acquired
$
82,431

 
 
Goodwill
351,445

 
 
Total purchase consideration
$
433,876


The acquisition was recorded by allocating the costs of the net assets acquired based on their estimated fair values at the acquisition date. The fair values were based on management’s analysis, including work performed by third-party valuation specialists.

15

WRIGHT MEDICAL GROUP N.V.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)

Trade receivables and payables, as well as certain other current assets and property, plant and equipment, were valued at the existing carrying values as they approximated the fair value of those items at the acquisition date, based on management’s judgments and estimates. Trade receivables included gross contractual amounts of $5.8 million and our best estimate of $1.4 million which represented contractual cash flows not expected to be collected at the acquisition date. Inventory was recorded at estimated selling price less costs of disposal and a reasonable selling profit. The resulting inventory step-up adjustment is being recognized in cost of sales as the related inventory is sold.
In determining the fair value of intangibles, we used an income method which is based on forecasts of the expected future cash flows attributable to the respective assets. Significant estimates and assumptions inherent in the valuations reflect a consideration of other marketplace participants and include the amount and timing of future cash flows (including expected growth rates and profitability), technology life cycles, customer attrition rates, and the discount rate applied to the cash flows.
Of the $81.0 million of acquired intangible assets, $52.0 million was assigned to customer relationships (15 year life), $28.0 million was assigned to developed technology (7 year life), and $1.0 million was assigned to in-process research and development.
The excess of the cost of the acquisition over the fair value of the net assets acquired is recorded as goodwill. The goodwill is primarily attributable to strategic opportunities that arose from the acquisition of Cartiva. The goodwill is not expected to be deductible for tax purposes.
Pro Forma Condensed Combined Financial Information (Unaudited)
The following unaudited pro forma combined financial information summarizes the results of operations for the periods indicated as if the Cartiva acquisition had been completed as of January 1, 2018.
Pro forma information reflects adjustments that are expected to have a continuing impact on our results of operations and are directly attributable to the acquisition. The unaudited pro forma results include adjustments to reflect the amortization of the inventory step-up and the incremental intangible asset amortization to be incurred based on the preliminary values of each identifiable intangible asset. The pro forma amounts do not purport to be indicative of the results that would have actually been obtained if the acquisition had occurred as of January 1, 2018 or that may be obtained in the future, and do not reflect future synergies, integration costs, or other such costs or savings.
(in thousands)
Three months ended
 
Nine months ended
 
September 29, 2019
 
September 30, 2018
 
September 29, 2019
 
September 30, 2018
Net sales
$
212,434

 
$
201,916

 
$
672,295

 
$
622,763

Net loss from continuing operations
(35,847
)
 
(36,742
)
 
(84,331
)
 
(148,696
)

4. Discontinued Operations
For the three and nine months ended September 29, 2019, our loss from discontinued operations, net of tax, totaled $7.6 million and $12.8 million, respectively. For the three months ended September 30, 2018, our loss from discontinued operations, net of tax, totaled $6.7 million. For the nine months ended September 30, 2018, our income from discontinued operations, net of tax totaled $10.6 million. Cash used in discontinued operations totaled $36.8 million and $44.1 million for the nine months ended September 29, 2019 and September 30, 2018, respectively. Our operating results from discontinued operations and cash used in discontinued operations during 2019 and 2018 were attributable primarily to expenses, net of insurance recoveries, associated with legacy Wright’s former OrthoRecon business as described in Note 13.
OrthoRecon Business
On January 9, 2014, legacy Wright completed the divestiture and sale of its OrthoRecon business to MicroPort Scientific Corporation. Certain liabilities associated with the OrthoRecon business, including product liability claims associated with hip and knee products sold by legacy Wright prior to the closing, were not assumed by MicroPort. Charges associated with these product liability claims, including legal defense, settlements and judgments, income associated with product liability insurance recoveries, and changes to any contingent liabilities associated with the OrthoRecon business have been reflected within results of discontinued operations, and we will continue to reflect these within results of discontinued operations in future periods.

16

WRIGHT MEDICAL GROUP N.V.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)

All current and historical operating results for the OrthoRecon business are reflected within discontinued operations in the condensed consolidated financial statements. The following table summarizes the results of discontinued operations for the OrthoRecon business (in thousands):
 
Three months ended
 
Nine months ended
 
September 29, 2019
 
September 30, 2018
 
September 29, 2019
 
September 30, 2018
Net sales
$

 
$

 
$

 
$

Selling, general and administrative
7,589

 
8,553

 
12,814

 
(15,309
)
(Loss) income from discontinued operations before income taxes
(7,589
)
 
(8,553
)
 
(12,814
)
 
15,309

(Benefit) provision for income taxes

 
(2,188
)
 

 
3,995

(Loss) income from discontinued operations, net of tax
$
(7,589
)
 
$
(6,365
)
 
$
(12,814
)
 
$
11,314


Our (loss) income from discontinued operations for the nine months ended September 29, 2019 and September 30, 2018 was net of a $15.5 million insurance recovery recognized in 2019 and a $30.75 million insurance recovery recognized in 2018. See Note 13 for further discussion regarding our retained contingent liabilities associated with the OrthoRecon business.
We will incur continuing cash outflows associated with legal defense costs and the ultimate resolution of these contingent liabilities, net of insurance proceeds, until these liabilities are resolved.
5. Inventories
Inventories consist of the following (in thousands):
 
September 29, 2019
 
December 30, 2018
Raw materials
$
13,414

 
$
9,612

Work-in-process
28,270

 
26,839

Finished goods
155,599

 
144,239

 
$
197,283

 
$
180,690


6. Fair Value of Financial Instruments and Derivatives
We account for derivatives in accordance with FASB ASC 815, which establishes accounting and reporting standards requiring that derivative instruments be recorded on the balance sheet as either an asset or liability measured at fair value. Additionally, changes in the derivatives’ fair value shall be recognized currently in earnings unless specific hedge accounting criteria are met.
FASB ASC Section 820, Fair Value Measurement requires fair value measurements be classified and disclosed in one of the following three categories:
Level 1:
Financial instruments with unadjusted, quoted prices listed on active market exchanges.
Level 2:
Financial instruments determined using prices for recently traded financial instruments with similar underlying terms as well as directly or indirectly observable inputs, such as interest rates and yield curves that are observable at commonly quoted intervals.
Level 3:
Financial instruments that are not actively traded on a market exchange. This category includes situations where there is little, if any, market activity for the financial instrument. The prices are determined using significant unobservable inputs or valuation techniques.
As of September 29, 2019, we have convertible notes outstanding that are due in 2020, 2021, and 2023. See Note 10 of the condensed consolidated financial statements for additional information about the convertible notes. These notes are cash settled upon conversion for the principal amount of the notes plus a conversion premium (valued at the amount our ordinary share price exceeds the respective conversion price of the notes). The conversion premium is a conversion derivative feature that requires bifurcation from the notes in accordance with ASC Topic 815 and is accounted for as a derivative liability (Notes Conversion Derivative).

17

WRIGHT MEDICAL GROUP N.V.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)

At the time of issuance of the notes, we entered into hedges with certain option counterparties to reduce our exposure to potential cash payments required for these conversion premiums (Notes Hedges). Upon conversion of the notes, the option counterparties would settle these hedges with us in cash, valued in the same manner as the conversion premiums. The Notes Hedges are accounted for as a derivative asset in accordance with ASC Topic 815. In connection with certain events, including in connection with the Offer as further described in Note 10 and Note 15, our option counterparties have the discretion to make certain adjustments to the Note Hedges, which may reduce the effectiveness of the Note Hedges.
Pursuant to ASC 815, the Notes Conversion Derivatives and Notes Hedges are recorded at fair value in our consolidated balance sheet. Changes in the fair value of the Notes Conversion Derivatives and the Notes Hedges are reflected within our results of operations as other income/expense.
The following table summarizes the fair values and the presentation in our condensed consolidated balance sheets (in thousands) of our Notes Hedges and our Notes Conversion Derivatives:
 
September 29, 2019
 
December 30, 2018
 
Location on condensed consolidated balance sheet
 
Amount
 
Location on condensed consolidated balance sheet
 
Amount
2023 Notes Hedges
Other assets
 
$
83,329

 
Other assets
 
$
115,923

2023 Notes Conversion Derivative
Other liabilities
 
$
82,833

 
Other liabilities
 
$
116,833

2021 Notes Hedges
Other current assets
 
$
93,198

 
Other assets
 
$
188,301

2021 Notes Conversion Derivative
Accrued expenses and other current liabilities
 
$
91,833

 
Other liabilities
 
$
187,539

2020 Notes Hedges
Other current assets
 
$
340

 
Other current assets
 
$
17,822

2020 Notes Conversion Derivative
Accrued expenses and other current liabilities
 
$
331

 
Accrued expenses and other current liabilities
 
$
17,386


At June 30, 2019, the closing price of our ordinary shares was greater than 130% of the 2021 Notes conversion price for 20 or more of the 30 consecutive trading days preceding the quarter-end; and, therefore, the holders of the 2021 Notes were able to convert the notes during the succeeding calendar quarterly period ending September 30, 2019. See Note 10. Due to the ability of the holders of the 2021 Notes to convert the notes through September 30, 2019, the carrying value of the 2021 Notes and the fair value of the 2021 Notes Conversion Derivative were classified as current liabilities, and the fair value of the 2021 Notes Hedges were classified as current assets as of September 29, 2019. There were no conversions through September 30, 2019, and the 2021 Notes are no longer convertible as of the close of business on September 30, 2019. The respective balances were classified as long-term as of December 30, 2018.
As described in Note 10, due to the ability of the holders of the 2020 Notes to convert their notes within the next year, the carrying value of the 2020 Notes and the fair value of the 2020 Notes Conversion Derivatives were classified as current liabilities and the fair value of the 2020 Notes Hedges was classified as current assets as of September 29, 2019 and December 30, 2018.
Neither the Notes Conversion Derivatives nor the Notes Hedges qualify for hedge accounting; thus, any changes in the fair value of the derivatives are recognized immediately in our condensed consolidated statements of operations. The following table summarizes the net (loss) gain on changes in fair value (in thousands) related to the Notes Hedges and Notes Conversion Derivatives:
 
Three months ended
 
Nine months ended
 
September 29, 2019
 
September 30, 2018
 
September 29, 2019
 
September 30, 2018
2023 Notes Hedges
$
(81,171
)
 
$
25,880

 
$
(62,738
)
 
$
9,575

2023 Notes Conversion Derivative
81,194

 
(25,244
)
 
62,875

 
(26,482
)
2021 Notes Hedges
(119,666
)
 
46,591

 
(95,103
)
 
95,856

2021 Notes Conversion Derivative
118,923

 
(45,715
)
 
95,706

 
(95,208
)
2020 Notes Hedges
(5,675
)
 
3,317

 
(633
)
 
16,847

2020 Warrants Derivative

 
3,586

 

 
3,336

2020 Notes Conversion Derivative
5,468

 
(8,186
)
 
778

 
(38,268
)
Net (loss) gain on changes in fair value
$
(927
)
 
$
229

 
$
885

 
$
(34,344
)


18

WRIGHT MEDICAL GROUP N.V.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)

In addition to the above net (loss) gain on changes in fair value, we also recognized a $28.9 million loss on the 2023 Notes Conversion Derivative and a $16.3 million gain on the 2020 Notes Conversion Derivative during the quarter ended March 31, 2019 as part of the additional 2023 Notes exchange as described in Note 10.
The Notes Hedges and the Notes Conversion Derivative are measured at fair value using Level 3 inputs. These instruments are not actively traded and are valued using an option pricing model that uses observable and unobservable market data for inputs.
To determine the fair value of the embedded conversion option in the 2020, 2021, and 2023 Notes Conversion Derivatives, a trinomial lattice model was used. A trinomial stock price lattice generates three possible outcomes of stock price - one up, one down, and one stable. This lattice generates a distribution of stock prices at the maturity date and throughout the life of the 2020, 2021, and 2023 Notes. Using this stock price lattice, a convertible note lattice was created where the value of the embedded conversion option was estimated by comparing the value produced in a convertible note lattice with the option to convert against the value without the ability to convert. In each case, the convertible note lattice first calculates the possible convertible note values at the maturity date, using the distribution of stock prices, which equals the maximum of (x) the remaining bond cash flows and (y) stock price times the conversion price. The values of the 2020, 2021, and 2023 Notes Conversion Derivatives at the valuation date were estimated using the values at the maturity date and moving back in time on the lattices (both for the lattice with the conversion option and without the conversion option). Specifically, at each node, if the 2020, 2021, or 2023 Notes are eligible for early conversion, the value at this node is the maximum of (i) converting to stock, which is the stock price times the conversion price, and (ii) holding onto the 2020, 2021, and 2023 Notes, which is the discounted and probability-weighted value from the three possible outcomes at the future nodes plus any accrued but unpaid coupons that are not considered at the future nodes. If the 2020, 2021, or 2023 Notes are not eligible for early conversion, the value of the conversion option at this node equals to (ii). In the lattice, a credit adjustment was applied to the discount for each cash flow in the model as the embedded conversion option, as well as the coupon and notional payments, is settled with cash instead of shares.
To estimate the fair value of the 2020, 2021 and 2023 Notes Hedges, we used the Black-Scholes formula combined with credit adjustments, as the option counterparties have credit risk and the call options are cash settled. We assumed that the call options will be exercised at maturity since our ordinary shares do not pay any dividends and management does not expect to declare dividends in the near term.
The following assumptions were used in the fair market valuations as of September 29, 2019:
 
2020 Notes Conversion Derivative
2020 Notes
Hedge
2021 Notes Conversion Derivative
2021 Notes
Hedge
2023 Notes Conversion Derivative
2023 Notes
Hedge
Black Stock Volatility (1)
39.53%
39.53%
42.89%
42.89%
40.05%
40.05%
Credit Spread for Wright (2)
3.88%
N/A
3.54%
N/A
4.60%
N/A
Credit Spread for Deutsche Bank AG (3)
N/A
0.37%
N/A
N/A
N/A
0.74%
Credit Spread for Wells Fargo Securities, LLC (3)
N/A
0.15%
N/A
N/A
N/A
N/A
Credit Spread for JPMorgan Chase Bank (3)
N/A
0.15%
N/A
0.25%
N/A
0.38%
Credit Spread for Bank of America (3)
N/A
N/A
N/A
0.29%
N/A
0.42%
(1)
Volatility selected based on historical and implied volatility of ordinary shares of Wright Medical Group N.V.
(2)
Credit spread implied from traded price.
(3)
Credit spread of each bank is estimated using CDS curves. Source: Bloomberg.
Derivatives not Designated as Hedging Instruments
As a result of the acquired business of IMASCAP in 2017, we have recorded the estimated fair value of future contingent consideration of approximately €19.2 million, or approximately $21.0 million, related to the achievement of certain technical milestones and sales earnouts as of September 29, 2019. The estimated fair value of contingent consideration related to technical milestones totaled $14.1 million and $12.7 million as of September 29, 2019 and December 30, 2018, respectively, and is contingent upon the development and approval of a next generation reverse shoulder implant system and new software modules. The estimated fair value of contingent consideration related to sales earnouts totaled $6.9 million and $6.5 million as of September 29, 2019 and

19

WRIGHT MEDICAL GROUP N.V.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)

December 30, 2018, respectively, and is contingent upon the sale of certain guides and the next generation reverse shoulder implant system.
The fair values of the sales earn out contingent consideration as of September 29, 2019 and December 30, 2018 were determined using a discounted cash flow model and probability adjusted estimates of the future earnings and are classified in Level 3. The discount rate is 12% for the sales earnout contingent consideration.
The contingent consideration from the IMASCAP acquisition related to technical milestones is based on meeting certain developmental milestones for new software modules and for the FDA and CE approval for the next generation reverse shoulder implant system. The fair value of this contingent consideration as of September 29, 2019 and December 30, 2018 was determined using probability adjusted estimates of the future payments and is classified in Level 3. The discount rate is approximately 6% for the contingent consideration related to technical milestones. A change in the discount rate would have limited impact on our profits or the fair value of this contingent consideration.
On March 1, 2013, as part of our acquisition of BioMimetic Therapeutics, Inc. (BioMimetic), we issued Contingent Value Rights (CVRs) as part of the merger consideration. Each CVR entitled its holder to receive additional cash payments of up to $6.50 per share, which were payable upon receipt of FDA approval of AUGMENT® Bone Graft and upon achieving certain revenue milestones. On September 1, 2015, AUGMENT® Bone Graft received FDA approval and the first of the milestone payments associated with the CVRs was paid out at $3.50 per share, which totaled $98.1 million. The CVR agreement also provided for a revenue milestone payment equal to $1.50 per share, or $42 million, to be paid if, prior to March 1, 2019, sales of AUGMENT® Bone Graft reached $40 million over 12 consecutive months. Sales for AUGMENT® Bone Graft reached $40 million for the 12 months ended October 28, 2018, and this milestone payment was paid during the fourth quarter of 2018. The CVR agreement also provided for a second revenue milestone equal to $1.50 per share, or $42 million, if, prior to March 1, 2019, sales of AUGMENT® Bone Graft reach $70 million over 12 consecutive months. This milestone was not met before the termination of the CVRs. There were no CVRs outstanding as of September 29, 2019, as the agreement terminated on March 1, 2019. The fair value of the CVRs outstanding at December 30, 2018 was $0.4 million and was determined using the closing price of the security in the active market (Level 1), and is reflected within “Accrued expenses and other current liabilities” on our condensed consolidated balance sheet. For the three months ended September 30, 2018, the change in the fair value of the CVRs resulted in expense of $3.4 million. For the nine months ended September 29, 2019 and September 30, 2018, the change in the fair value of the CVRs resulted in a gain of $0.4 million and $3.1 million, respectively.
The carrying value of cash and cash equivalents, accounts receivable, and accounts payable approximates the fair value of these financial instruments at September 29, 2019 and December 30, 2018 due to their short maturities and variable rates.
The following tables summarize the valuation of our financial instruments (in thousands):
 
Total
Quoted prices
in active
markets
(Level 1)
Prices with
other
observable
inputs
(Level 2)
Prices with
unobservable
inputs
(Level 3)
September 29, 2019
 
 
 
 
Assets
 
 
 
 
Cash and cash equivalents
$
147,263

$
147,263

$

$

2020 Notes Hedges
340



340

2021 Notes Hedges
93,198



93,198

2023 Notes Hedges
83,329



83,329

Total
$
324,130

$
147,263

$

$
176,867

 
 
 
 
 
Liabilities
 
 
 
 
2020 Notes Conversion Derivative
$
331

$

$

$
331

2021 Notes Conversion Derivative
91,833



91,833

2023 Notes Conversion Derivative
82,833



82,833

Contingent consideration
21,017



21,017

Total
$
196,014

$

$

$
196,014


20

WRIGHT MEDICAL GROUP N.V.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)

 
Total
Quoted prices
in active
markets
(Level 1)
Prices with
other
observable
inputs
(Level 2)
Prices with
unobservable
inputs
(Level 3)
December 30, 2018
 
 
 
 
Assets
 
 
 
 
Cash and cash equivalents
$
191,351

$
191,351

$

$

2020 Notes Hedges
17,822



17,822

2021 Notes Hedges
188,301



188,301

2023 Notes Hedges
115,923



115,923

Total
$
513,397

$
191,351

$

$
322,046

 
 
 
 
 
Liabilities
 

 

 

 

2020 Notes Conversion Derivative
$
17,386

$

$

$
17,386

2021 Notes Conversion Derivative
187,539



187,539

2023 Notes Conversion Derivative
116,833



116,833

Contingent consideration
19,248



19,248

Contingent consideration (CVRs)
420

420



Total
$
341,426

$
420

$

$
341,006

The following is a roll forward of our assets and liabilities measured at fair value on a recurring basis using unobservable inputs (Level 3) (in thousands):
 
Balance at December 30, 2018
Additions
Transfers into Level 3
Gain/(loss) on fair value adjustments included in earnings
Gain/(loss) on issuance/settlement
included in earnings
Settlements
Currency
Balance at September 29, 2019
2020 Notes Hedges
$
17,822



(633
)

(16,849
)

$
340

2020 Notes Conversion Derivative
$
(17,386
)


778

16,277



$
(331
)
2021 Notes Hedges
$
188,301



(95,103
)



$
93,198

2021 Notes Conversion Derivative
$
(187,539
)


95,706




$
(91,833
)
2023 Notes Hedges
$
115,923

30,144


(62,738
)



$
83,329

2023 Notes Conversion Derivative
$
(116,833
)


62,875

(28,875
)


$
(82,833
)
Contingent consideration
$
(19,248
)


(2,946
)


1,177

$
(21,017
)

7. Property, Plant and Equipment
Property, plant and equipment, net consists of the following (in thousands):
 
September 29, 2019
 
December 30, 2018
Property, plant and equipment, at cost
$
603,967

 
$
534,366

Less: Accumulated depreciation
(370,473
)
 
(309,437
)
 
$
233,494

 
$
224,929



21

WRIGHT MEDICAL GROUP N.V.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)

8. Goodwill and Intangible Assets
Changes in the carrying amount of goodwill occurring during the nine months ended September 29, 2019 and September 30, 2018 are as follows (in thousands):
 
U.S. Lower Extremities
& Biologics
 
U.S. Upper Extremities
 
International Extremities
& Biologics
 
Total
Balance at December 30, 2018
$
569,970

 
$
627,850

 
$
71,134

 
$
1,268,954

Foreign currency translation

 
(3,261
)
 
(11,389
)
 
(14,650
)
Balance at September 29, 2019
$
569,970

 
$
624,589

 
$
59,745

 
$
1,254,304

 
 
 
 
 
 
 
 
Balance at December 31, 2017
$
218,525

 
$
630,650

 
$
84,487

 
$
933,662

Goodwill adjustment associated with IMASCAP acquisition

 
(917
)
 

 
(917
)
Foreign currency translation

 
(1,111
)
 
(10,258
)
 
(11,369
)
Balance at September 30, 2018
$
218,525

 
$
628,622

 
$
74,229

 
$
921,376


Goodwill is recognized for the excess of the purchase price over the fair value of net assets of businesses acquired. Goodwill is required to be tested for impairment at least annually. Unless circumstances otherwise dictate, the annual impairment test is performed in the fourth quarter annually.
During the nine months ended September 30, 2018, we revised opening balances acquired as a result of the IMASCAP acquisition, primarily for accounts receivable; other current assets; accrued expenses and other current liabilities; and deferred tax liabilities which resulted in a $0.9 million decrease in the preliminary value of goodwill determined as of December 14, 2017.
Following the December 2017 IMASCAP acquisition, foreign currency translation has been reported within the U.S. Upper Extremities segment. While the IMASCAP offices are located in France and the majority of their operations have a functional currency of the euro, the results of the IMASCAP business are managed by the U.S. Upper Extremities segment.
The components of our identifiable intangible assets, net, are as follows (in thousands):
 
September 29, 2019
 
December 30, 2018
 
Cost
 
Accumulated
amortization
 
Cost
 
Accumulated
amortization
Indefinite life intangibles:
 
 
 
 
 
 
 
In-process research and development (IPRD) technology
$
6,986

 
$

 
$
6,262

 
$

Total indefinite life intangibles
6,986

 
 
 
6,262

 
 
 
 
 
 
 
 
 
 
Finite life intangibles:
 
 
 
 
 
 
 
 Completed technology
170,332

 
66,989

 
174,596

 
55,114

 Licenses
9,247

 
2,555

 
6,547

 
1,851

 Customer relationships
179,901

 
38,389

 
179,605

 
30,935

 Trademarks
13,834

 
11,633

 
14,048

 
11,564

 Non-compete agreements
5,609

 
3,320

 
3,252

 
2,514

 Other
742

 
742

 
764

 
764

Total finite life intangibles
379,665

 
$
123,628

 
378,812

 
$
102,742

 
 
 
 
 
 
 
 
Total intangibles
386,651

 
 
 
385,074

 
 
Less: Accumulated amortization
(123,628
)
 
 
 
(102,742
)
 
 
Intangible assets, net
$
263,023

 
 
 
$
282,332

 
 

Based on the total finite life intangible assets held at September 29, 2019, we expect amortization expense of approximately $32 million in 2019, $31 million in 2020, $30 million in 2021, $29 million in 2022, and $29 million in 2023.

22

WRIGHT MEDICAL GROUP N.V.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)

9. Leases
We lease various manufacturing, warehousing and distribution facilities, administrative and sales offices as well as equipment under operating leases. We evaluate our contracts to identify leases, which are generally deemed to exist if there is an identified asset over which we have the right to direct its use and from which we obtain substantially all of the economic benefit from its use. Certain of our lease agreements contain rent escalation clauses, rent holidays, and other lease concessions. We recognize our minimum rental expense on a straight-line basis over the term of the lease beginning with the date of initial control of the asset. With the adoption of ASC 842, we recognized all operating leases with terms greater than twelve months in duration on our condensed consolidated balance sheet as of December 31, 2018 as right-of-use assets and lease liabilities which totaled approximately $25 million. Additionally, we recorded a cumulative adjustment of $0.2 million to our accumulated deficit upon adoption. We adopted the standard using the prospective approach and did not retrospectively apply it to prior periods.
We have made certain assumptions and judgments when applying ASC 842, the most significant of which are:
We elected the package of practical expedients available for transition which allows us to not reassess whether expired or existing contracts contain leases under the new definition of a lease, lease classification for expired or existing leases and whether previously capitalized initial direct costs would qualify for capitalization under ASC 842.
We elected to use hindsight when considering judgments and estimates such as assessments of lessee options to extend or terminate a lease or purchase the underlying asset.
For all asset classes, we elected to not recognize a right-of-use asset and lease liability for short-term leases.
For all asset classes, we elected to not separate non-lease components from lease components to which they relate and have accounted for the combined lease and non-lease components as a single lease component.
The determination of the discount rate used in a lease is our incremental borrowing rate which is based on what we would normally pay to borrow an amount equal to the lease payments on a collateralized basis over a similar term.
Our net ROU assets under operating leases are included within Other Assets on our condensed consolidated balance sheet and include the following (in thousands):
 
September 29, 2019
Buildings
$
18,056

Machinery and equipment
1,884

Furniture, fixtures and office equipment
899

 
$
20,839


At September 29, 2019, the present value of the future minimum lease payments under operating lease obligations are included within Accrued expenses and other current liabilities and Other liabilities as follows (in thousands):
2019
$
2,132

2020
7,129

2021
5,368

2022
3,652

2023
2,061

Thereafter
5,223

Total minimum payments
25,565

Less amount representing interest
(4,080
)
Present value of minimum lease payments
21,485

Current portion
(6,773
)
Long-term portion
$
14,712



23

WRIGHT MEDICAL GROUP N.V.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)

Prior to the adoption of ASC 842, operating leases were expensed ratably over the lease period and were not reflected within our balance sheet as of December 30, 2018. Future minimum payments, by year and in the aggregate, under non-cancelable operating leases with initial or remaining lease terms of one year or more, were reported in our Annual Report on Form 10-K for the year ended December 30, 2018 as follows (in thousands), and included a total of $7.8 million for future lease payments to our 51%-owned subsidiary:
2019
$
9,606

2020
7,498

2021
6,019

2022
4,433

2023
2,678

Thereafter
10,998

Total minimum payments
$
41,232


The components of property, plant and equipment recorded under finance leases consist of the following (in thousands):
 
September 29, 2019
 
December 30, 2018
Buildings
$
12,017

 
$
12,017

Machinery and equipment
30,886

 
24,331

Furniture, fixtures and office equipment
653

 
559

 
43,556

 
36,907

Less: Accumulated depreciation
(15,836
)
 
(11,906
)
 
$
27,720

 
$
25,001


Future minimum lease payments under finance lease obligations, together with the present value of the net minimum lease payments, are as follows (in thousands):
 
September 29, 2019
 
December 30, 2018
2019
$
2,229

 
$
7,369

2020
7,755

 
6,106

2021
6,057

 
4,545

2022
5,103

 
3,553

2023
3,297

 
2,430

Thereafter
4,922

 
4,682

Total minimum payments
29,363

 
28,685

Less amount representing interest
(2,794
)
 
(3,146
)
Present value of minimum lease payments
26,569

 
25,539

Current portion
(7,245
)
 
(6,384
)
Long-term portion
$
19,324

 
$
19,155



24

WRIGHT MEDICAL GROUP N.V.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)

Amounts recorded within our condensed consolidated statement of operations for the three and nine months ended September 29, 2019 related to leased assets are as follows (in thousands):
 
Three months ended
 
Nine months ended
 
September 29, 2019
 
September 29, 2019
 
 
 
 
Lease cost
 
 
 
Finance lease cost:
 
 
 
      Depreciation
$
1,487

 
$
4,390

      Interest on lease liabilities
268

 
857

Operating lease cost
2,115

 
7,540

Short-term lease cost

 
100

Variable lease cost
106

 
320

Total lease cost
$
3,976

 
$
13,207

 
 
 
 
Other information
 
 
 
Cash paid for amounts included in the measurement of lease liabilities:
 
 
 
      Operating cash flows from finance leases
$
268

 
$
857

      Operating cash flows from operating leases
$
1,950

 
$
7,046

      Financing cash flows from finance leases
$
1,970

 
$
5,874

Weighted-average remaining lease term - finance leases
4.70
 
Weighted-average remaining lease term - operating leases
4.89
 
Weighted-average discount rate - finance leases
4.65
%
Weighted-average discount rate - operating leases
7.06
%

10. Debt and Finance Lease Obligations
Debt and finance lease obligations consist of the following (in thousands):
 
Maturity by Fiscal Year
September 29, 2019
 
December 30, 2018
Finance lease obligations
2019-2026
$
26,569

 
$
25,539

Convertible Notes
 
 
 
 
         1.625% Notes
2023
689,060

 
548,076

         2.25% Notes 1
2021
338,584

 
321,286

         2.0% Notes 2
2020
55,096

 
173,533

Term loan facility
2021
19,214


18,979

Asset-based line of credit
2021
20,845

 
17,761

Other debt
2019-2024
7,700

 
9,953

 
 
1,157,068

 
1,115,127

Less: Current portion 1,2
 
(425,312
)
 
(201,686
)
Long-term debt and finance lease obligations
 
$
731,756

 
$
913,441


_______________________
1 
As of June 30, 2019, the sale price condition (as defined below) for the 2021 Notes was satisfied and, therefore, the 2021 Notes were convertible at any time during the succeeding calendar quarterly period ended September 30, 2019. As a result, the carrying value of the 2021 Notes was classified as a current liability as of September 29, 2019. There were no conversions through September 30, 2019, and the 2021 Notes are no longer convertible as of the close of business on September 30, 2019.

25

WRIGHT MEDICAL GROUP N.V.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)

2 
The holders of the 2020 Notes may convert their notes at any time on or after August 15, 2019. Due to the ability of the holders of the 2020 Notes to convert their notes within the next year, the carrying value of the 2020 Notes was classified as a current liability as of September 29, 2019 and December 30, 2018.
Convertible Notes
The components of our Convertible Notes were as follows (in thousands):
 
September 29, 2019
 
December 30, 2018
Principal amount of 2023 Notes
$
814,556

 
$
675,000

Unamortized debt discount
(113,992
)
 
(114,554
)
Unamortized debt issuance costs
(11,504
)
 
(12,370
)
Net carrying amount of 2023 Notes
$
689,060

 
$
548,076

 
 
 
 
Principal amount of 2021 Notes
$
395,000

 
$
395,000

Unamortized debt discount
(53,100
)
 
(69,382
)
Unamortized debt issuance costs
(3,316
)
 
(4,332
)
Net carrying amount of 2021 Notes
$
338,584

 
$
321,286

 
 
 
 
Principal amount of 2020 Notes
$
56,455

 
$
186,589

Unamortized debt discount
(1,212
)
 
(11,642
)
Unamortized debt issuance costs
(147
)
 
(1,414
)
Net carrying amount of 2020 Notes
$
55,096

 
$
173,533


The 2021 Notes were issued by us and the 2020 Notes and the 2023 Notes were issued by Wright Medical Group, Inc. (WMG) and are fully and unconditionally guaranteed by Wright Medical Group N.V.
The holders of the Convertible Notes may convert their notes solely into cash at their option at any time prior to the Early Conversion date (as defined below) only under the following circumstances: (1) during any calendar quarter (and only during such calendar quarter), if the last reported sale price of our ordinary shares for at least 20 trading days (whether or not consecutive) during a period of 30 consecutive trading days ending on the last trading day of the immediately preceding calendar quarter is greater than or equal to 130% of the conversion price on each applicable trading day (the sale price condition); (2) during the five business day period after any five consecutive trading day period in which the trading price per $1,000 principal amount of Convertible Notes for each trading day of the measurement period was less than 98% of the product of the last reported sale price of our ordinary shares and the conversion rate on each such trading day; or (3) upon the occurrence of specified corporate events, including in connection with the Offer as further described below and within Note 15. The Certain terms of conversion are set forth below:
 
2020 Notes
 
2021 Notes
 
2023 Notes
Conversion rate
33.39487

 
46.8165

 
29.9679

Conversion price
$
29.94

 
$
21.36

 
$
33.37

Early Conversion date
August 15, 2019

 
May 15, 2021

 
December 15, 2022

Maturity date
February 15, 2020

 
November 15, 2021

 
June 15, 2023


On or after the Early Conversion date until the close of business on the second scheduled trading day immediately preceding the maturity date, holders may convert their Convertible Notes solely into cash, regardless of the foregoing circumstances. Upon conversion, a holder will receive an amount in cash, per $1,000 principal amount of the Convertible Notes, equal to the settlement amount as calculated under the Notes Indenture. If a fundamental change, as defined in the applicable Notes Indenture, occurs, subject to certain conditions, holders of the applicable series of Convertible Notes will have the option to require us to repurchase for cash all or a portion of their Convertible Notes at a repurchase price equal to 100% of the principal amount of the Notes to be repurchased, plus any accrued and unpaid interest to, but excluding, the fundamental change repurchase date, as defined in the applicable Notes Indenture. In addition, if a make-whole fundamental change, as defined in the applicable Notes Indenture, occurs

26

WRIGHT MEDICAL GROUP N.V.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)

prior to the maturity date, we are required to increase the applicable conversion rate for a holder that elects to convert its Notes in connection with such make-whole fundamental change.
During the fourth quarter of 2019, on November 4, 2019, we entered into a definitive agreement with Stryker and its subsidiary, Stryker B.V. Under the terms of the agreement, and upon the terms and subject to the conditions thereof, Stryker B.V. will commence a tender offer to purchase all of the outstanding ordinary shares of Wright for $30.75 per share, in cash. The obligation of Stryker and Stryker B.V. to consummate the Offer is subject to the tender of a minimum number of our outstanding shares in the related tender offer, the adoption of certain resolutions relating to the transaction at an extraordinary general meeting of Wright’s shareholders, receipt of applicable regulatory approvals and other customary conditions. If these conditions are satisfied and the Offer closes, Stryker may acquire any remaining shares through a post-offer reorganization. Wright expects that a fundamental change and a make-whole fundamental change will occur at the time Stryker B.V. accepts for purchase and pays for all shares validly tendered pursuant to the Offer. Wright also expects that the Offer will trigger certain conversion rights under each of the Notes Indentures prior to the closing of the proposed acquisition by Stryker.
As described above, the 2021 Notes were convertible as of September 29, 2019. There were no conversions through September 30, 2019, and the 2021 Notes are no longer convertible as of the close of business on September 30, 2019.
The 2021 Notes and our guarantee of the 2020 and 2023 Notes is our senior unsecured obligation that ranks: (i) senior in right of payment to any of our indebtedness that is expressly subordinated in right of payment to the guarantee; (ii) equal in right of payment to any of our unsecured indebtedness that is not so subordinated; (iii) effectively junior in right of payment to any of our secured indebtedness to the extent of the value of the assets securing such indebtedness; and (iv) structurally junior to all indebtedness and other liabilities (including trade payables) of our subsidiaries. Because the 2020 Notes and the 2023 Notes were issued by WMG, they are structurally senior to all indebtedness and other liabilities of Wright Medical Group N.V.
The estimated fair value of the 2020, 2021 and 2023 Notes was approximately $56.4 million, $463.6 million, and $779.0 million, respectively, at September 29, 2019, based on a quoted price in an active market (Level 1).
The Notes Conversion Derivatives require bifurcation from the Convertible Notes in accordance with ASC Topic 815, Derivatives and Hedging, and are accounted for as a derivative liability. See Note 6 for additional information regarding the Notes Conversion Derivative.
In connection with the issuance of each series of Convertible Notes, we and WMG entered in cash-settled convertible note hedge transactions with certain option counterparties (the Note Hedges), which are generally intended to reduce exposure to potential cash payments that we or WMG, as applicable, would be required to make if holders elect to convert the Convertible Notes at a time when our ordinary share price exceeds the conversion price. We also entered into warrant transactions (the Warrants) in connection with the issuance of each series of Convertible Notes in which we sold warrants that are initially exercisable in the same number of shares as are issuable upon conversion of the applicable series of Convertible Notes at the initial conversion rate. The strike price of the Note Hedge for each series of Convertible Notes is equal to the conversion price of the applicable series of Convertible Notes and the exercise prices for the Warrants issued with the 2020, 2021 and 2023 Notes are $38.80, $30.00, and $40.86, respectively. The strike prices of the Notes Hedges and exercise prices of the Warrants are subject to adjustment upon the occurrence of certain events including in connection with the Offer as further described above and within Note 15. See Note 6 for additional information regarding the Notes Hedges.
However, in connection with certain events, including, among others, (i) a merger or other make-whole fundamental change, including in connection with the Offer as further described above and within Note 15; (ii) certain hedging disruption events, which may include changes in tax laws, an increase in the cost of borrowing our ordinary shares in the market or other material increases in the cost to the option counterparties of hedging the Note Hedges; (iii) our failure to perform certain obligations under the Notes Indenture or under the Notes Hedges; (iv) certain defaults on our, or any of our other subsidiary’s indebtedness in excess of $25 million; (v) if we, or any of our significant subsidiaries become insolvent or otherwise become subject to bankruptcy proceedings or (vi) if we repurchase Convertible Notes in the open market, through a tender or exchange offer or in individually negotiated transactions, the option counterparties have the discretion to terminate the Notes Hedges, which may reduce the effectiveness of the Notes Hedges. In addition, the option counterparties have broad discretion to make certain adjustments to the Notes Hedges and Warrants upon the occurrence of certain other events, including, among others, (i) upon the announcement of certain significant corporate events, including events that may give rise to a termination event as described above, such as the announcement of a third-party tender offer, including in connection with the Offer as further described above and within Note 15; or (ii) solely with respect to the Notes Hedges, any adjustment to the conversion rate of the Notes. Any such adjustment may also reduce the effectiveness of the Note Hedges and further the dilutive effect of the Warrants.

27

WRIGHT MEDICAL GROUP N.V.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)

Aside from the initial premiums paid to the option counterparties and subject to the right of the option counterparties to terminate the Notes Hedges and Warrants in certain circumstances, we do not generally expect to be required to make any cash payments to the option counterparties under the Notes Hedges and Warrants and expect to be entitled to receive from the option counterparties cash, generally equal to the amount by which the market price per ordinary share exceeds the strike price of the applicable Note Hedge during the relevant valuation period.
The Warrants are expected to be net-share settled and exercisable over a certain trading period after the Convertible Notes mature. If the market value per ordinary share exceeds the strike price on any settlement date under the applicable Warrant, we will generally be obligated to issue to the Warrant holders in the aggregate, a number of shares equal in value to the amount by which the then-current market value of one ordinary share exceeds the then-effective strike price of each Warrant, multiplied by the number of Warrants exercised. As a result, the Warrants will have a dilutive effect on our ordinary shares to the extent that the market value per ordinary share during such period exceeds the applicable strike price of the Warrants.
As of September 29, 2019, we had warrants outstanding related to the 2020 Notes, 2021 Notes and 2023 Notes which were exercisable for 1.9 million ordinary shares, 18.5 million ordinary shares, and 24.4 million ordinary shares, respectively.
As of September 29, 2019, our effective interest rates for the 2020, 2021, and 2023 Notes were 8.54%, 9.72%, and 5.76%, respectively. For the three and nine months ended September 29, 2019 and September 30, 2018, we recorded the following interest expense related to the amortization of the debt discount (in thousands):
 
Three months ended
 
Nine months ended
 
September 29, 2019
 
September 30, 2018
 
September 29, 2019
 
September 30, 2018
2023 Notes
$
5,983

 
$
4,892

 
$
17,443

 
$
5,106

2021 Notes
5,559

 
5,046

 
16,282

 
14,800

2020 Notes
787

 
2,388

 
3,002

 
16,727


On February 7, 2019, WMG issued an additional $139.6 million aggregate principal amount of 2023 Notes in exchange for $130.1 million aggregate principal amount of 2020 Notes. For each $1,000 principal amount of 2020 Notes validly submitted for exchange, we delivered $1,072.40 principal amount of 2023 Notes to the exchanging investor (subject, in each case, to rounding to the nearest $1,000 aggregate principal amount for each such exchanging investor). As this was a debt modification, a pro rata share of the 2020 Notes discount and deferred financing costs which totaled $7.4 million and $0.9 million, respectively, was transferred to the 2023 Notes discount and deferred financing costs. Additionally, the 2023 Notes discount was adjusted in order for net debt to remain the same subsequent to the exchange. The discount and deferred financing costs will be amortized over the remaining term of the 2023 Notes using the effective interest method.
The fair value of the 2023 Notes Conversion Derivative associated with the additional $139.6 million of 2023 Notes was $28.9 million at the time of issuance, and as the exchange was accounted for as a debt modification, this amount was recognized as a loss during the quarter ended March 31, 2019. The pro rata share of the 2020 Notes Conversion Derivative that was settled as part of the additional 2023 Notes exchange had a fair value of $16.3 million immediately prior to issuance of the additional 2023 Notes which was recognized as a gain on settlement during the quarter ended March 31, 2019.
On January 30, 2019 and January 31, 2019, we entered into additional Note Hedge and Warrant transactions with the same strike and exercise prices as set forth above for the 2023 Notes. We paid approximately $30.1 million in the aggregate to the option counterparties for the additional Note Hedge, and received approximately $21.2 million in the aggregate from the option counterparties for the Warrants, resulting in a net cost to us of approximately $8.9 million. In addition, we settled a pro rata share of the 2020 Notes Hedges corresponding to the amount of the 2020 Notes exchanged pursuant to the above-described exchange. We received proceeds of approximately $16.8 million related to the 2020 Notes Hedges and paid $11.0 million related to the 2020 Warrants, generating net proceeds of $5.8 million.
Concurrently with the initial issuance and sale of the 2023 Notes in June 2018, certain holders of the 2020 Notes exchanged approximately $400.9 million aggregate principal amount of their 2020 Notes for the 2023 Notes. For each $1,000 principal amount of 2020 Notes validly submitted for exchange, we delivered $1,138.70 principal amount of the 2023 Notes (subject to rounding down to the nearest $1,000 principal amount of the 2023 Notes for each exchanging investor, the difference being referred as the rounded amount) to the investor. As a result of this note exchange and retirement of $400.9 million aggregate principal amount of the 2020 Notes, we recognized approximately $39.9 million for the write-off of related pro-rata unamortized deferred financing fees and debt discount within “Other (income) expense, net” in our condensed consolidated statements of operations during the three months ended July 1, 2018.

28

WRIGHT MEDICAL GROUP N.V.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)

In connection with this issuance and exchange, we agreed to settle a pro rata portion of the 2020 Notes Hedges and agreed to repurchase a pro rata portion of the Warrants associated with the 2020 Notes. As a result of these settlements, we received net proceeds of approximately $10.6 million on July 30, 2018.
For more information relating to our Convertible Notes, please refer to our Annual Report on Form 10-K for the year ended December 30, 2018.
ABL Credit Agreement
On December 23, 2016, we, together with WMG and certain of our other wholly-owned U.S. subsidiaries (collectively, Borrowers), entered into a Credit, Security and Guaranty Agreement with Midcap Financial Trust, as administrative agent (Agent) and a lender and the additional lenders from time to time party thereto, which agreement was subsequently amended in May 2018 and February 2019 (as amended, the ABL Credit Agreement).
The ABL Credit Agreement provides for a $175 million senior secured asset-based line of credit, subject to the satisfaction of a borrowing base requirement (ABL Facility) and a $55 million term loan facility (Term Loan Facility). The ABL Facility may be increased by up to $75 million upon the Borrowers’ request, subject to the consent of the Agent and each of the other lenders providing such increase. All borrowings under the ABL Facility are subject to the satisfaction of customary conditions, including the absence of default, the accuracy of representations and warranties in all material respects and the delivery of an updated borrowing base certificate. The initial $20 million term loan tranche was funded at closing in May 2018. The Borrowers may at any time borrow the second $35 million term loan tranche, but are required to do so no later than May 7, 2021. All borrowings under the Term Loan Facility are subject to the satisfaction of customary conditions, including the absence of default and the accuracy of representations and warranties in all material respects.
As of September 29, 2019 and December 30, 2018, we had $20.8 million and $17.8 million respectively, in borrowings outstanding under the ABL Facility. We have reflected this debt as a current liability on our condensed consolidated balance sheet as of September 29, 2019 and December 30, 2018, as required by US GAAP due to the weekly lockbox repayment/re-borrowing arrangement underlying the agreement, as well as the ability for the lenders to accelerate the repayment of the debt under certain circumstances as described below. As of September 29, 2019 and December 30, 2018, we had $1.6 million and $1.7 million of unamortized debt issuance costs related to the ABL Facility, respectively. These amounts are included within “Other assets” on our condensed consolidated balance sheets and will be amortized over the five-year term of the ABL Facility as described below.
The interest rate margin applicable to borrowings under the ABL Facility is, at the option of the Borrowers, equal to either (a) 3.25% for base rate loans or (b) 4.25% for LIBOR rate loans, subject to a 0.75% LIBOR floor. In addition to paying interest on the outstanding loans under the ABL Facility, the Borrowers also are required to pay a customary unused line fee equal to 0.50% per annum in respect of unutilized commitments and certain other customary fees related to Agent’s administration of the ABL Facility. Beginning January 1, 2017, the Borrowers are required to maintain a minimum drawn balance on the ABL Facility equal to 20% of the average borrowing base for each month. To the extent the actual drawn balance is less than 20%, the Borrowers must pay a fee equal to the amount the lenders under the ABL Facility would have earned had the Borrowers maintained a minimum drawn balance equal to 20% of the average borrowing base for such month.
The ABL Credit Agreement requires that the Borrowers calculate the borrowing base for the ABL Facility on at least a monthly basis and each time the Borrowers make a draw on the ABL Facility in accordance with the formula set forth in the ABL Credit Agreement. The borrowing base is subject to adjustment and the implementation of reserves by the Agent in its permitted discretion, as further described in the ABL Credit Agreement. If at any time the outstanding drawn balance under the ABL Facility exceeds the borrowing base as in effect at such time, Borrowers will be required to prepay loans under the ABL Facility in an amount equal to such excess. Certain accounts receivables and proceeds of collateral of the Borrowers will be applied to reduce the outstanding principal amount of the ABL Facility on a periodic basis.
There is no scheduled amortization under the ABL Facility and (subject to borrowing base requirements and applicable conditions to borrowing) the available revolving commitment may be borrowed, repaid, and reborrowed without restriction. All outstanding loans under the ABL Facility will be due and payable in full on the date that is the earliest to occur of (x) December 23, 2021; (y) the date that is 91 days prior to the maturity date of the 2020 Notes or (z) the date that is 91 days prior to the maturity date of the 2021 Notes; provided if we refinance, extend, renew or replace at least 85% of the 2020 Notes and/or the 2021 Notes, as applicable, outstanding as of the closing date of the ABL Facility pursuant to the terms of the ABL Credit Agreement, the maturity date will be deemed extended with respect to clause (y) and (z) above. Due to the additional exchange of 2020 Notes for additional 2023 Notes in February 2019 as described above, the maturity date will be deemed extended for the purposes of clause (y) as long as we maintain unrestricted cash in an amount equal to the aggregate outstanding principal amount of the 2020 Notes.

29

WRIGHT MEDICAL GROUP N.V.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)

Any voluntary or mandatory permanent reduction or termination of the revolving commitments under the ABL Facility is subject to a prepayment premium equal to 0.75% of such reduced or terminated amount.
As of September 29, 2019 and December 30, 2018, we had $20.0 million outstanding under the Term Loan Facility. The interest rate applicable to borrowings under the Term Loan Facility is equal to one-month LIBOR plus 7.85%, subject to a 1.00% LIBOR floor. Amortization payments under the Term Loan Facility are due in equal monthly installments beginning on May 1, 2019 unless we meet certain adjusted EBITDA targets; in which case, the amortization payments would not commence until May 1, 2021. To date we have met these targets. In addition to paying interest on the outstanding loans under the Term Loan Facility, the Borrowers are also required to pay certain other customary fees related to Agent’s administration of the Term Loan Facility.
The Term Loan Facility requires mandatory prepayments, subject to the right of reinvestment and certain other exceptions, in amounts equal to 100% of the net cash proceeds from certain asset sales and casualty and condemnation events in excess of $10 million in any fiscal year. Any voluntary or mandatory prepayment under the Term Loan Facility, subject to certain exceptions, is subject to a 1.00% prepayment premium. The advances under the Term Loan Facility are due and payable in full at the same time as the outstanding loans under the ABL Facility.
As a result of the Term Loan Facility, we recognized deferred financing charges of approximately $1.2 million, which will be amortized over the three-year term using the effective interest method. As of September 29, 2019 and December 30, 2018, we had unamortized deferred financing charges of approximately $0.8 million and $1.0 million, respectively.
All of the obligations under the ABL Facility and the Term Loan Facility are guaranteed jointly and severally by us and each of the Borrowers and are secured by a senior first priority security interest in substantially all existing and after-acquired assets of us and each Borrower on the terms set forth in the ABL Credit Agreement.
The ABL Credit Agreement contains certain negative covenants that restrict our ability to take certain actions as specified in the ABL Credit Agreement and an affirmative covenant that we maintain net revenue at or above minimum levels and maintain liquidity in the United States at a level specified in the ABL Credit Agreement, subject to certain exceptions. In addition to financial and liquidity covenants consistent with those in the ABL Credit Agreement, while the Term Loan Facility is outstanding, the Company is required to maintain a minimum adjusted EBITDA, as described in the ABL Credit Agreement. The ABL Credit Agreement will not affect our ability to meet our existing contractual obligations, except in circumstances where an event of default (subject to certain exceptions) has occurred and is continuing. The ABL Credit Agreement also contains negative covenants, representations and warranties, affirmative covenants and events of default, in each case subject to grace periods, thresholds, and materiality qualifiers consistent with the ABL Credit Agreement.
Our exposure to interest rate risk arises principally from variable interest rates applicable to borrowings under our ABL Credit Agreement and the interest rates associated with our invested cash balances.
Borrowings under our ABL Credit Agreement, including our ABL Facility and Term Loan Facility, bear interest at variable rates. The interest rate margin applicable to borrowings under the ABL Facility is, at the option of the Borrowers, equal to either (a) 3.25% for base rate loans or (b) 4.25% for LIBOR rate loans, subject to a 0.75% LIBOR floor. The interest rate applicable to borrowings under the Term Loan Facility is equal to one-month LIBOR plus 7.85%, subject to a 1.00% LIBOR floor. As of September 29, 2019, we had $20.8 million of borrowings under our ABL Facility and $20.0 million principal outstanding under our Term Loan Facility. Based upon this debt level, and the LIBOR floor on our interest rate, a 100 basis point increase in the annual interest rate on such borrowings would have an immaterial impact on our interest expense on an annual basis.
Other Debt
Other debt primarily includes government loans, mortgages, loans acquired as a result of the IMASCAP acquisition and miscellaneous international bank loans.
11. Accumulated Other Comprehensive Income (AOCI)
Other comprehensive income (OCI) includes certain gains and losses that under US GAAP are included in comprehensive (loss) income but are excluded from net loss as these amounts are initially recorded as an adjustment to shareholders’ equity. Amounts in OCI may be reclassified to net loss upon the occurrence of certain events.
For the three and nine months ended September 29, 2019 and September 30, 2018, OCI was comprised solely of foreign currency translation adjustments.

30

WRIGHT MEDICAL GROUP N.V.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)

Changes in AOCI for the three and nine months ended September 29, 2019 and September 30, 2018 were as follows (in thousands):
 
Three months ended September 29, 2019
 
Currency translation adjustment
Balance at June 30, 2019
$
(19,509
)
Other comprehensive loss
(20,287
)
Balance at September 29, 2019
$
(39,796
)
 
Three months ended September 30, 2018
 
Currency translation adjustment
Balance at July 1, 2018
$
5,421

Other comprehensive loss
(2,773
)
Balance at September 30, 2018
$
2,648

 
Nine months ended September 29, 2019
 
Currency translation adjustment
Balance at December 30, 2018
$
(8,083
)
Other comprehensive loss
(31,713
)
Balance at September 29, 2019
$
(39,796
)
 
Nine months ended September 30, 2018
 
Currency translation adjustment
Balance at December 31, 2017
$
22,290

Other comprehensive loss
(19,642
)
Balance at September 30, 2018
$
2,648


12. Capital Stock and Earnings Per Share
Our articles of association provide an authorized capital of €9.6 million divided into 320 million ordinary shares, each with a par value of three Euro cents (€0.03). At our 2019 annual general meeting of shareholders, our shareholders authorized our board of directors until June 28, 2021 to issue, or grant rights to purchase or subscribe for, our unissued ordinary shares up to 20% of our issued and outstanding shares at the time of issue, which is further divided into 10% for general corporate purposes (including potential mergers and acquisitions) and an additional 10% only for potential mergers and acquisitions. We had 126.9 million and 125.6 million ordinary shares issued and outstanding as of September 29, 2019 and December 30, 2018, respectively.
On August 27, 2018, we entered into an underwriting agreement with J.P. Morgan, relating to the registered public offering of 18.2 million ordinary shares, at an initial price to the public of $24.60 per share, for a total price of $448.9 million. The net proceeds to us were $423.0 million, after deducting underwriting discounts and commissions of $25.4 million and offering costs of $0.5 million. The offering closed on August 30, 2018. The proceeds were used to fund the purchase price of the Cartiva acquisition which closed on October 10, 2018, as well as costs and expenses related thereto. See Note 3 for additional details related to the Cartiva acquisition.
FASB ASC Topic 260, Earnings Per Share, requires the presentation of basic and diluted earnings per share. Basic earnings per share is calculated based on the weighted-average number of ordinary shares outstanding during the period. Diluted earnings per share is calculated to include any dilutive effect of our ordinary share equivalents. For the three and nine months ended September 29, 2019 and September 30, 2018, our ordinary share equivalents consisted of stock options, restricted stock units, performance share units, and warrants. The dilutive effect of the stock options, restricted stock units, performance share units, and warrants is calculated using the treasury-stock method.
We had outstanding options to purchase 10.6 million ordinary shares, 1.2 million restricted stock units, and 0.4 million performance stock units, assuming target performance, at September 29, 2019 and outstanding options to purchase 10.4 million ordinary shares, 1.3 million restricted stock units, and 0.2 million performance stock units, assuming target performance, at September 30, 2018.

31

WRIGHT MEDICAL GROUP N.V.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)

We had outstanding net-share settled warrants on the 2020 Notes of 1.9 million and 6.2 million ordinary shares at September 29, 2019 and September 30, 2018, respectively. We also had net-share settled warrants on the 2021 Notes of 18.5 million ordinary shares at September 29, 2019 and September 30, 2018. Finally, we had net-share settled warrants on the 2023 Notes of 24.4 million and 20.2 million ordinary shares at September 29, 2019 and September 30, 2018, respectively.
None of the options, restricted stock units, performance share units, or warrants were included in the calculation of diluted net loss from continuing operations per share, diluted (loss) income from discontinued operations per share, and diluted net loss per share for the three and nine months ended September 29, 2019 or September 30, 2018, because we recorded a net loss from continuing operations for all periods. Including these instruments would be anti-dilutive as the net loss from continuing operations is the control number in determining whether those potential common shares are dilutive or anti-dilutive.
The weighted-average number of ordinary shares outstanding for basic and diluted earnings per share purposes is as follows (in thousands):
 
Three months ended
 
Nine months ended
 
September 29, 2019
 
September 30, 2018
 
September 29, 2019
 
September 30, 2018
Weighted-average number of ordinary shares outstanding-basic and diluted
126,767

 
113,043

 
126,282

 
108,348


13. Commitments and Contingencies
Legal Contingencies
The legal contingencies described in this footnote relate primarily to WMT, an indirect subsidiary of Wright Medical Group N.V., and are not necessarily applicable to Wright Medical Group N.V. or other affiliated entities. Maintaining separate legal entities within our corporate structure is intended to ring-fence liabilities. We believe our ring-fenced structure should preclude corporate veil-piercing efforts against entities whose assets are not associated with particular claims.
As described below, our business is subject to various contingencies, including patent and other litigation and product liability claims. These contingencies could result in losses, including damages, fines, or penalties, any of which could be substantial. Although such matters are inherently unpredictable, and negative outcomes or verdicts can occur, we believe we have significant defenses in all of them and are vigorously defending all of them. However, we could incur judgments, pay settlements, or revise our expectations regarding the outcome of any matter. Such developments, if any, could have a material adverse effect on our results of operations in the period in which applicable amounts are accrued, or on our cash flows in the period in which amounts are paid, however, unless otherwise indicated, we do not believe any of them will have a material adverse effect on our financial position.
Our legal contingencies are subject to significant uncertainties and, therefore, determining the likelihood of a loss or the measurement of a loss can be complex. We have accrued for losses that are both probable and reasonably estimable. Unless otherwise indicated, we are unable to estimate the range of reasonably possible loss in excess of amounts accrued. Our assessment process relies on estimates and assumptions that may prove to be incomplete or inaccurate. Unanticipated events and circumstances may occur that could cause us to change our estimates and assumptions.
Patent Litigation
On March 23, 2018, WMT filed suit against Paragon 28, Inc. (Paragon 28) in the United States District Court for the District of Colorado, alleging infringement of ten patents concerning orthopedic plates, plating systems and instruments, and related methods of use. Our complaint seeks damages, injunctive relief and attorneys’ fees. On June 4, 2018, Paragon 28 filed an amended answer and counterclaim seeking declaratory judgment of non-infringement and invalidity of the patent-in-suit, and attorneys’ fees. On September 28, 2018, WMT filed an amended complaint adding claims against Paragon 28 for misappropriation of trade secrets and related wrongdoing. Paragon 28 filed a motion to dismiss those trade secret-related claims, which WMT has opposed, and the motion remains pending. In March 2019, Paragon 28 filed four petitions with the Patent Trial and Appeal Board seeking Inter Partes Reviews of the patents in question. We have filed responses opposing Paragon 28’s petitions.
Product Liability
We have received claims for personal injury against us associated with fractures of the PROFEMUR® titanium modular neck product (PROFEMUR® Claims). As of September 29, 2019, there were approximately 23 unresolved pending U.S. lawsuits and approximately 53 unresolved pending non-U.S. lawsuits alleging such claims (44 of which are part of a single consolidated class action lawsuit in Canada). The overall fracture rate for the product is low and the fractures appear, at least in part, to relate to

32

WRIGHT MEDICAL GROUP N.V.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)

patient demographics. In 2009, we began offering a cobalt-chrome version of the PROFEMUR® modular neck, which has greater strength characteristics than the alternative titanium version. However, during the fiscal quarter ended September 30, 2011, as a result of an increase in the number and monetary amount of these claims, management estimated our liability to patients in the United States and Canada who have previously required a revision following a fracture of a PROFEMUR® titanium modular neck, or who may require a revision in the future. As of September 29, 2019, our accrual for PROFEMUR® Claims totaled $13.8 million, of which $9.3 million is included in our consolidated balance sheet within “Accrued expenses and other current liabilities” and $4.5 million is included within “Other liabilities.” As of December 30, 2018, our accrual for PROFEMUR® Claims totaled $17.5 million, of which $12.3 million is included in our consolidated balance sheet within “Accrued expenses and other current liabilities” and $5.2 million is included within “Other liabilities.” We expect to pay the majority of these claims within the next two years. Any claims associated with this product outside of the United States and Canada, or for any other products, will be managed as part of our standard product liability accrual methodology on a case-by-case basis.
We are aware that MicroPort has recalled a certain size of its cobalt chrome modular neck product as a result of alleged fractures. As of September 29, 2019, there were thirteen pending U.S. lawsuits and five pending non-U.S. lawsuits against us alleging personal injury resulting from the fracture of a cobalt chrome modular neck. These claims will be managed as part of our standard product liability accrual methodology on a case-by-case basis.
Claims for personal injury have also been made against us associated with metal-on-metal hip products (primarily the CONSERVE® product line). The pre-trial management of certain of these claims was consolidated in the federal court system, in the United States District Court for the Northern District of Georgia under multi-district litigation (MDL) and certain other claims by the Judicial Counsel Coordinated Proceedings in state court in Los Angeles County, California (JCCP) in state court in Los Angeles County, California (collectively, the Consolidated Metal-on-Metal Claims). Pursuant to previously disclosed settlement agreements with the Court-appointed attorneys representing plaintiffs in the MDL and JCCP described below (the MoM Settlement Agreements), the MDL and JCCP were closed to new cases effective October 18, 2017 and October 31, 2017, respectively.
Excluding claims resolved in the MoM Settlement Agreements, as of September 29, 2019, there were approximately 195 unresolved metal-on-metal hip cases pending in the U.S. This number includes cases ineligible for settlement under the MoM Settlement Agreements, cases which opted out of such settlements, post-settlement cases, tolled cases, and existing state court cases that were not part of the MDL or JCCP. As of September 29, 2019, we estimate there also were pending approximately 36 unresolved non-U.S. metal-on metal hip cases, 48 unresolved U.S. modular neck cases alleging claims related to the release of metal ions, and zero non-U.S. modular neck cases with metal ion allegations. We also estimate that as of September 29, 2019, there were approximately 525 non-revision claims either dismissed or awaiting dismissal from the MDL and JCCP, which dismissal is a condition of the MoM Settlement Agreements. Although there is a limited time period during which dismissed non-revision claims may be refiled, it is presently unclear how many non-revision claimants will elect to do so. As of September 29, 2019, no dismissed non-revision cases have been refiled.
We believe we have data that supports the efficacy and safety of these hip products. Every hip implant case, including metal-on-metal hip cases, involves fundamental issues of law, science, and medicine that often are uncertain, that continue to evolve, and which present contested facts and issues that can differ significantly from case to case. Such contested facts and issues include medical causation, individual patient characteristics, surgery specific factors, statutes of limitation, and the existence of actual, provable injury.
As previously disclosed, between November 2016 and October 2017, WMT entered into three MoM Settlement Agreements with Court-appointed attorneys representing plaintiffs in the MDL and JCCP to settle a total of 1,974 cases that met the eligibility requirements of the MoM Settlement Agreements and were either pending in the MDL or JCCP, or subject to court-approved tolling agreements in the MDL or JCCP, for an aggregate sum of $339.2 million. As of September 29, 2019, we had funded $307.0 million under the MoM Settlement Agreements. We, the indirect parent company of WMT, have guaranteed WMT’s obligations under the MoM Settlement Agreements.
The MoM Settlement Agreements contain specific eligibility requirements and establish procedures for proof and administration of claims, negotiation, and execution of individual settlement agreements, determination of the final total settlement amount, and funding of individual settlement amounts by WMT. Eligibility requirements include, without limitation, that the claimant has a claim pending or tolled in the MDL or JCCP, that, with limited exceptions, the claimant has undergone a revision surgery within eight years of the original implantation surgery, and that the claim has not been identified by WMT as having possible statute of limitation issues. Claimants who have had bilateral revision surgeries will be counted as two claims but only to the extent both claims separately satisfy all eligibility criteria.

33

WRIGHT MEDICAL GROUP N.V.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)

The MoM Settlement Agreements were entered into solely as a compromise of the disputed claims being settled and are not evidence that any claim has merit nor are they an admission of wrongdoing or liability by WMT. WMT will continue to vigorously defend metal-on-metal hip claims not settled pursuant to the MoM Settlement Agreements.
As of September 29, 2019, our accrual for metal-on-metal claims totaled $61.4 million, of which $33.3 million is included in our consolidated balance sheet within “Accrued expenses and other current liabilities” and $28.1 million is included within “Other liabilities.” As of December 30, 2018, our accrual for metal-on-metal claims totaled $74.5 million, of which $51.9 million is included in our consolidated balance sheet within “Accrued expenses and other current liabilities” and $22.6 million is included within “Other liabilities.” Our accrual is based on (i) case by case accruals for specific cases where facts and circumstances warrant, and (ii) the implied settlement values for eligible claims under the MoM Settlement Agreements. We are unable to reasonably estimate the high-end of a possible range of loss for claims which elected to opt-out of the MoM Settlement Agreements. Claims we can confirm would meet the eligibility criteria set forth in the MoM Settlement Agreements but are excluded from the settlements due to the maximum settlement cap, or because they are cases not part of the MDL or JCCP, have been accrued as of the respective settlement rates. Due to the general uncertainties surrounding all metal-on metal claims as noted above, as well as insufficient information about individual claims, we are presently unable to reasonably estimate a range of loss for future claims; hence we have not accrued for these claims at the present time.
We continue to believe the high-end of a possible range of loss for existing revision claims that do not meet eligibility criteria of the MoM Settlement Agreements will not, on an average per case basis, exceed the average per case accrual we take for revision claims we can confirm do meet eligibility criteria of the applicable settlement agreement. Future claims will be evaluated for accrual on a case by case basis using the accrual methodologies described above (which could change if future facts and circumstances warrant).
We have maintained product liability insurance coverage on a claims-made basis. During the fiscal quarter ended September 30, 2012, we received a customary reservation of rights from Federal, our then primary product liability insurance carrier, asserting that certain present and future claims which allege certain types of injury related to the CONSERVE® metal-on-metal hip products (CONSERVE® Claims) would be covered as a single occurrence under the policy year the first such claim was asserted. The effect of this coverage position would have been to place CONSERVE® Claims into a single prior policy year in which applicable claims-made coverage was available, subject to the overall policy limits then in effect. We notified Federal that we disputed its characterization of the CONSERVE® Claims as a single occurrence, which resulted in multi-year insurance coverage litigation (the Tennessee Coverage Litigation) that has recently been resolved as discussed below.
As previously disclosed, we entered into settlement agreements with six of the seven insurance carriers with whom metal on metal hip coverage was in dispute - Columbia Casualty Company, Travelers, AXIS Surplus Lines Insurance Company, Federal, Catlin Specialty Insurance Company and Catlin Underwriting Agencies Limited for and on behalf of Syndicate 2003 at Lloyd’s of London, thus resolving in full the Tennessee Coverage Litigation.
Separately, in March 2017, Lexington Insurance Company (Lexington), which had been dismissed from the Tennessee Coverage Litigation, requested arbitration under five Lexington insurance policies in connection with the CONSERVE® Claims. We subsequently engaged in discussions and correspondence with Lexington about the scope of the requested arbitration(s). On or about October 27, 2017, Lexington filed an Application for Order to Compel Arbitration in the Commonwealth of Massachusetts, Suffolk County Superior Court, naming us, WMT, and Wright Medical Group, Inc. We opposed the Application. On February 28, 2018, the Massachusetts Court ordered the parties to arbitrate the two Lexington insurance policies containing Massachusetts arbitration clauses but did not order arbitration under the remaining three Lexington policies at issue. We have appealed that ruling. While the appeal is pending, we are proceeding with the arbitration, but the selection of the arbitrators is still in dispute. In the arbitration, Lexington has asserted a claim for declaratory relief, and we have asserted counter-claims for breach of contract, declaratory relief, and bad faith. On September 26, 2018, Lexington sought to add a claim alleging our filing of the Tennessee lawsuit referred to below was not in good faith. We objected to Lexington’s additional claim and argued that such claim could only be added upon agreement of the arbitrators (who are yet to be selected). The American Arbitration Association agreed with our position.
On May 22, 2018, we initiated a lawsuit against Lexington under the three policies that the court did not order into arbitration in Massachusetts. The lawsuit, filed in the Chancery Court of Tennessee, alleges breach of contract, declaratory relief, and bad faith in connection with Lexington’s failure and refusal to provide coverage for the underlying metal-on-metal claims under policies issued for 2009-2012. On July 12, 2018, Lexington brought a motion to stay the litigation and compel arbitration under the 2009-2011 Lexington policies. On February 21, 2019, we filed a motion to strike Lexington’s motion to stay. On March 13, 2019, we filed an opposition to Lexington’s motion.

34

WRIGHT MEDICAL GROUP N.V.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)

As previously disclosed, on July 23, 2019, we reached an agreement in principle with Lexington to settle all presently remaining disputes between us, pursuant to which, among other things, Lexington agreed to buy back the subject insurance policies for an aggregate of $15.5 million (in addition to $5 million previously paid by Lexington). On October 7, 2019, we entered into the definitive agreement with Lexington, which requires Lexington to pay the $15.5 million by November 21, 2019. This settlement is in full satisfaction of all potential liability of Lexington relating to metal-on-metal hip claims, including but not limited to all claims asserted by our subsidiary WMT against Lexington in the above described insurance coverage arbitration and litigation. We have recorded a $15.5 million receivable as a result of this settlement within “Other Current Assets” as of September 29, 2019.
As of September 29, 2019, and excluding the $15.5 million to be paid under our above described settlement agreement with Lexington, our insurance carriers have paid an aggregate of $104.9 million of insurance proceeds related to the metal-on-metal claims, including amounts received under the above referenced settlement agreements, of which $98.2 million has been paid directly to us and $6.7 million has been paid directly to claimants. Except as provided in such settlement agreements, our acceptance of the insurance proceeds was not a waiver of any other claim we may have against the insurance carriers unrelated to metal-on-metal coverage and our disputes with carriers relating thereto.
Given the substantial or indeterminate amounts sought in these matters, and the inherent unpredictability of such matters, an adverse outcome in these matters in excess of the amounts included in our accrual for contingencies could have a material adverse effect on our financial condition, results of operations and cash flow. Future revisions to our estimates of these provisions could materially impact our results of operations and financial position. We use the best information available to determine the level of accrued product liabilities, and believe our accruals are adequate.
Other
In addition to those noted above, we are subject to various other legal proceedings, product liability claims, corporate governance, and other matters which arise in the ordinary course of business.
14. Segment Information
Our management, including our Chief Executive Officer, who is our chief operating decision maker, manages our operations as three operating business segments: U.S. Lower Extremities & Biologics, U.S. Upper Extremities, and International Extremities & Biologics. We determined that each of these operating segments represented a reportable segment. Our Chief Executive Officer reviews financial information at the operating segment level to allocate resources and to assess the operating results and performance of each segment.  
Our U.S. Lower Extremities & Biologics segment consists of our operations focused on the sale in the United States of our lower extremities products, such as joint implants and bone fixation devices for the foot and ankle, and our biologics products used to support treatment of damaged or diseased bone, tendons, and soft tissues or to stimulate bone growth. Our U.S. Upper Extremities segment consists of our operations focused on the sale primarily in the United States of our upper extremities products, such as joint implants and bone fixation devices for the shoulder, elbow, wrist, and hand, and products used across several anatomic sites to mechanically repair tissue-to-tissue or tissue-to-bone injuries and other ancillary products. As the IMASCAP operations are managed by the U.S. Upper Extremities management team, results of operations and assets related to IMASCAP are included within the U.S. Upper Extremities segment. Our International Extremities and Biologics segment consists of our operations focused on the sale outside the United States of all lower and upper extremities products, including associated biologics products.
Management measures segment profitability using an internal operating performance measure that excludes the impact of transaction and transition costs associated with acquisitions, as such items are not considered representative of segment results. We have determined that each reportable segment represents a reporting unit and, in accordance with ASC 350, each reporting unit requires an allocation of goodwill.

35

WRIGHT MEDICAL GROUP N.V.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)

Selected financial information related to our segments is presented below for the three months ended September 29, 2019 and September 30, 2018 (in thousands):
 
Three months ended September 29, 2019
 
U.S. Lower Extremities & Biologics
U.S. Upper Extremities
International Extremities & Biologics
Corporate 1
Total
Net sales from external customers
$
83,940

$
78,292

$
50,202

$

$
212,434

Depreciation expense
2,694

3,165

3,441

6,715

16,015

Amortization expense



8,308

8,308

Segment operating income (loss)
$
18,335

$
27,450

$
(1,639
)
$
(48,742
)
$
(4,596
)
Other:
 
 
 
 
 
Inventory step-up amortization
 
 
 
 
353

Transition costs
 
 
 
 
594

Non-cash asset impairment
 
 
 
 
5,597

Operating loss
 
 
 
 
(11,140
)
Interest expense, net
 
 
 
 
20,448

Other expense, net
 
 
 
 
1,317

Loss before income taxes
 
 
 
 
$
(32,905
)
 
Three months ended September 30, 2018
 
U.S. Lower Extremities & Biologics
U.S. Upper Extremities
International Extremities & Biologics
Corporate 1
Total
Net sales from external customers
$
79,296

$
66,269

$
48,541

$

$
194,106

Depreciation expense
2,474

2,836

3,366

5,928

14,604

Amortization expense



5,881

5,881

Segment operating income (loss)
$
20,487

$
21,192

$
(278
)
$
(48,583
)
$
(7,182
)
Other:
 
 
 
 
 
Transition costs
 
 
 
 
1,952

Operating loss
 
 
 
 
(9,134
)
Interest expense, net
 
 
 
 
19,753

Other expense, net
 
 
 
 
3,902

Loss before income taxes
 
 
 
 
$
(32,789
)

36

WRIGHT MEDICAL GROUP N.V.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)

Selected financial information related to our segments is presented below for the nine months ended September 29, 2019 and September 30, 2018 (in thousands):
 
Nine months ended September 29, 2019
 
U.S. Lower Extremities & Biologics
U.S. Upper Extremities
International Extremities & Biologics
Corporate 1
Total
Net sales from external customers
$
269,960

$
242,585

$
159,750

$

$
672,295

Depreciation expense
7,915

9,490

11,174

19,109

47,688

Amortization expense



23,757

23,757

Segment operating income (loss)
$
70,285

$
87,682

$
(2,820
)
$
(149,407
)
$
5,740

Other:
 
 
 
 
 
Inventory step-up amortization
 
 
 
 
1,057

Transition costs
 
 
 
 
1,615

Non-cash asset impairment
 
 
 
 
5,597

Operating loss
 
 
 
 
(2,529
)
Interest expense, net
 
 
 
 
60,138

Other expense, net
 
 
 
 
12,381

Loss before income taxes
 
 
 
 
$
(75,048
)
 
Nine months ended September 30, 2018
 
U.S. Lower Extremities & Biologics
U.S. Upper Extremities
International Extremities & Biologics
Corporate 1
Total
Net sales from external customers
$
235,595

$
206,338

$
156,110

$

$
598,043

Depreciation expense
7,729

8,350

9,604

17,303

42,986

Amortization expense



19,031

19,031

Segment operating income (loss)
$
62,211

$
69,864

$
(1,526
)
$
(138,044
)
$
(7,495
)
Other:
 
 
 
 
 
Transition costs
 
 
 
 
4,187

Operating loss
 
 
 
 
(11,682
)
Interest expense, net
 
 
 
 
60,243

Other expense, net
 
 
 
 
75,649

Loss before income taxes
 
 
 
 
$
(147,574
)
__________________________
1 
The Corporate category primarily reflects general and administrative expenses not specifically associated with the U.S. Lower Extremities & Biologics, U.S. Upper Extremities, and International Extremities & Biologics segments. These non-allocated corporate expenses relate to global administrative expenses that support all segments, including salaries and benefits of certain executive officers and expenses such as: information technology administration and support; corporate headquarters; legal, compliance, and corporate finance functions; insurance; and all share-based compensation.
Our principal geographic regions consist of the United States, EMEAC (which includes Europe, the Middle East, Africa, and Canada), and Other (which principally represents Asia, Australia, and Latin America). Net sales attributed to each geographic region are based on the location in which the products were sold.

37

WRIGHT MEDICAL GROUP N.V.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
(UNAUDITED)

Net sales by geographic region by product line are as follows (in thousands):
 
Three months ended
 
Nine months ended
 
September 29, 2019
 
September 30, 2018
 
September 29, 2019
 
September 30, 2018
United States
 
 
 
 
 
 
 
Lower extremities
$
61,733

 
$
57,602

 
$
199,873

 
$
173,889

Upper extremities
77,160

 
65,334

 
239,033

 
203,163

Biologics
21,292

 
20,654

 
67,520

 
59,053

Sports med & other
2,047

 
1,975

 
6,119

 
5,828

Total United States
$
162,232

 
$
145,565

 
$
512,545

 
$
441,933

 
 
 
 
 
 
 
 
EMEAC
 
 
 
 
 
 
 
Lower extremities
$
9,826

 
$
9,527

 
$
34,195

 
$
33,761

Upper extremities
19,541

 
18,985

 
66,956

 
64,935

Biologics
1,866

 
1,828

 
6,030

 
6,244

Sports med & other
2,109

 
2,591

 
7,248

 
8,182

Total EMEAC
$
33,342

 
$
32,931

 
$
114,429

 
$
113,122

 
 
 
 
 
 
 
 
Other
 
 
 
 
 
 
 
Lower extremities
$
4,955

 
$
3,974

 
$
13,120

 
$
10,747

Upper extremities
7,654

 
6,696

 
20,858

 
19,477

Biologics
4,046

 
4,721

 
10,751

 
12,144

Sports med & other
205

 
219

 
592

 
620

Total other
$
16,860

 
$
15,610

 
$
45,321

 
$
42,988

 
 
 
 
 
 
 
 
Total net sales
$
212,434

 
$
194,106

 
$
672,295

 
$
598,043


Assets in the U.S. Upper Extremities, U.S. Lower Extremities & Biologics, and International Extremities & Biologics segments are those assets used exclusively in the operations of each business segment or allocated when used jointly. Assets in the Corporate category are principally cash and cash equivalents, derivative assets, property, plant and equipment associated with our corporate headquarters, assets associated with discontinued operations, product liability insurance receivables, and assets associated with income taxes. Total assets by business segment as of September 29, 2019 and December 30, 2018 are as follows (in thousands):
 
September 29, 2019
 
U.S. Lower Extremities & Biologics
U.S. Upper Extremities
International Extremities & Biologics
Corporate
Total
Total assets
$
951,654

$
921,729

$
265,837

$
369,612

$
2,508,832

 
December 30, 2018
 
U.S. Lower Extremities & Biologics
U.S. Upper Extremities
International Extremities & Biologics
Corporate
Total
Total assets
$
940,075

$
923,036

$
272,127

$
559,163

$
2,694,401


15. Subsequent Event
During the fourth quarter of 2019, on November 4, 2019, we entered into a definitive agreement with Stryker and its subsidiary, Stryker B.V. Under the terms of the agreement, and upon the terms and subject to the conditions thereof, Stryker B.V. will commence a tender offer to purchase all of the outstanding ordinary shares of Wright for $30.75 per share, in cash. The obligation of Stryker and Stryker B.V. to consummate the Offer is subject to the tender of a minimum number of our outstanding shares in the related tender offer, the adoption of certain resolutions relating to the transaction at an extraordinary general meeting of Wright’s shareholders, receipt of applicable regulatory approvals and other customary conditions. If these conditions are satisfied and the Offer closes, Stryker may acquire any remaining shares through a post-offer reorganization. The acquisition is expected to close in the second half of 2020.
If the agreement is terminated under specified circumstances, Wright may be required to pay Stryker a termination fee of $150 million.
See “Part II – Other Information – Item 1A Risk Factors” for a discussion of the risk factors related to the proposed acquisition of Wright by Stryker.
ITEM 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS.
The following management’s discussion and analysis of financial condition and results of operations describes the principal factors affecting the results of our operations, financial condition, and changes in financial condition for the three and nine months ended September 29, 2019. This discussion should be read in conjunction with the accompanying unaudited condensed consolidated financial statements, our Annual Report on Form 10-K for the year ended December 30, 2018, which includes additional information about our critical accounting policies and practices and risk factors, and “Special Note Regarding Forward-Looking Statements.”
Proposed Acquisition by Stryker
During the fourth quarter of 2019, on November 4, 2019, we entered into a definitive agreement with Stryker and its subsidiary, Stryker B.V. Under the terms of the agreement, and upon the terms and subject to the conditions thereof, Stryker B.V. will commence a tender offer to purchase all of the outstanding ordinary shares of Wright for $30.75 per share, in cash. See Note 15 to our condensed consolidated financial statements for additional information regarding the proposed acquisition by Stryker.
Background
On January 9, 2014, legacy Wright completed the sale of its former hip and knee (OrthoRecon) business to MicroPort Scientific Corporation (MicroPort). All current and historical operating results for the OrthoRecon business are reflected within discontinued operations in the condensed consolidated financial statements for all periods presented, unless otherwise noted.
Other than the discontinued operations of the OrthoRecon business, unless otherwise stated, all discussion of assets and liabilities in the notes to the condensed consolidated financial statements and in this section, reflects the assets and liabilities held and used in our continuing operations, and all discussion of revenues and expenses reflects those associated with our continuing operations.
On August 24, 2018, we entered into a definitive agreement to acquire 100% of the outstanding equity on a fully diluted basis of Cartiva, Inc. (Cartiva), an orthopaedic medical device company focused on treatment of osteoarthritis of the great toe, for a total price of $435 million in cash, subject to certain adjustments as set forth in the agreement. On October 10, 2018, we completed the acquisition, which added a differentiated PMA approved technology for a high-volume foot and ankle procedure and further accelerated growth opportunities in our global extremities business. We funded the acquisition with the proceeds from a registered underwritten public offering of 18.2 million ordinary shares which had net proceeds of $423.0 million.
References in this section to “we,” “our” and “us” refer to Wright Medical Group N.V. and its subsidiaries after the Wright/Tornier merger and Wright Medical Group, Inc. and its subsidiaries before the merger. Our fiscal year-end is generally determined on a 52-week basis and runs from the first Monday after the last Sunday of December of a year and ends on the last Sunday of December of the following year. Every few years, it is necessary to add an extra week to the year making it a 53-week period. The three and nine months ended September 29, 2019 and September 30, 2018 each consisted of thirteen and thirty-nine weeks, respectively.
Executive Overview
Company Description. We are a global medical device company focused on extremities and biologics products. We are committed to delivering innovative, value-added solutions improving quality of life for patients worldwide and are a recognized leader of surgical solutions for the upper extremities (shoulder, elbow, wrist and hand), lower extremities (foot and ankle) and biologics markets, three of the fastest growing segments in orthopaedics. Our product portfolio consists of the following product categories:
Upper extremities, which include joint implants and bone fixation devices for the shoulder, elbow, wrist, and hand;
Lower extremities, which include joint implants and bone fixation devices for the foot and ankle;

38


Biologics, which include products used to support treatment of damaged or diseased bone, tendons, and soft tissues or to stimulate bone growth; and
Sports medicine and other, which include products used across several anatomic sites to mechanically repair tissue-to-tissue or tissue-to-bone injuries and other ancillary products
Our global corporate headquarters are located in Amsterdam, the Netherlands. We also have significant operations located in Memphis, Tennessee (U.S. headquarters, research and development, sales and marketing administration, and administrative activities); Bloomington, Minnesota (upper extremities sales and marketing and warehousing operations); Arlington, Tennessee (manufacturing and warehousing operations); Franklin, Tennessee (manufacturing and warehousing operations); Columbia City, Indiana (research and development); Alpharetta, Georgia (manufacturing and warehousing operations); Montbonnot, France (manufacturing and warehousing operations); Plouzané, France (research and development); and Macroom, Ireland (manufacturing). In addition, we have local sales and distribution offices in Canada, Australia, Asia, Latin America, and throughout Europe.
We promote our products in approximately 50 countries with principal markets in the United States, Europe, Asia, Canada, Australia, and Latin America. Our products are sold primarily through a network of employee and independent sales representatives in the United States and by a combination of employee sales representatives, independent sales representatives, and stocking distributors outside the United States.
Principal Products. We have focused our efforts into growing our position in the high-growth extremities and biologics markets. We believe a more active and aging patient population with higher expectations regarding “quality of life,” an increasing global awareness of extremities and biologics solutions, improved clinical outcomes as a result of the use of such products, and technological advances resulting in specific designs for such products that simplify procedures and address unmet needs for early interventions, and the growing need for revisions and revision-related solutions will drive the market for extremities and biologics products.
Our principal upper extremities products include the AEQUALIS ASCEND® FLEX™ convertible shoulder system and SIMPLICITI® total shoulder replacement system, AEQUALIS® PERFORM™ Reversed Glenoid system, and the AEQUALIS® REVERSED II™ reversed shoulder system. SIMPLICITI® is the first minimally invasive, canal sparing total shoulder available in the United States. We believe SIMPLICITI® allows us to expand the market to include younger patients that historically have deferred these procedures. Our BLUEPRINT™ 3D Planning Software can be used with our products to assist surgeons in accurately positioning the glenoid and humeral implants and replicating the pre-operative surgical plan. Other principal upper extremities products include the EVOLVE® radial head prosthesis for elbow fractures, the EVOLVE® Elbow Plating system, and the RAYHACK® osteotomy system. FDA 510(k) clearance of the AEQUALIS® FLEX REVIVE™ revision shoulder system was received in the third quarter of 2018. AEQUALIS® FLEX REVIVE™ was launched to limited users early in the first quarter of 2019 and was fully launched at the end of the second quarter of 2019.
Our principal lower extremities products include the INBONE®, INFINITY®, and INVISION™ Total Ankle Replacement systems, all of which can be used with our PROPHECY® Preoperative Navigation Guides, which combine computer imaging with a patient’s CT scan, and are designed to provide alignment accuracy while reducing surgical steps. As a result of our October 2018 acquisition of Cartiva, our lower extremities product portfolio now includes Cartiva’s Synthetic Cartilage Implant (SCI), the only PMA approved product for treatment of first Metatarsal Phalangeal (MTP) joint osteoarthritis. Our lower extremities products also include the Salvation external fixation system for the treatment of Charcot diabetic foot, the CLAW® II Polyaxial Compression Plating system, the ORTHOLOC™ 3Di Reconstruction Plating system, the PhaLinx® system used for hammertoe indications, PRO-TOE® VO Hammertoe system, the DARCO® family of locked plating systems, the VALOR® ankle fusion nail system, and the Swanson line of toe joint replacement products. The PROstep™ Minimally Invasive Surgery system for foot and ankle was launched to limited users in the third quarter of 2017, and was fully launched early in the third quarter of 2018. We also launched a number of line extensions to the SALVATION™ limb salvage portfolio in 2018. We expect continued demand for these new products.
Our biologic products use both biological tissue-based and synthetic materials to allow the body to regenerate damaged or diseased bone and to repair damaged or diseased soft tissue. Our principal biologic products include AUGMENT® Bone Graft and AUGMENT® Injectable. AUGMENT® is based on recombinant human platelet-derived growth factor (rhPDGF-BB), a synthetic copy of one of the body’s principal healing agents. Other principal biologics products include the GRAFTJACKET® and GRAFTJACKET NOWTM lines of soft tissue repair and containment membranes, the ACTISHIELD™ and VIAFLOW™ products which are derived from amniotic and placental tissues, the ALLOMATRIX® line of injectable tissue-based bone graft substitutes, the PRO-DENSE® Injectable Graft, the OSTEOSET® synthetic bone graft substitute, and the PRO-STIM® Injectable Inductive Graft. Additionally, we introduced BIOSKIN® Amniotic Wound Matrix in the third quarter of 2019 to address chronic wounds treated by surgical podiatrists.
Supplemental Non-GAAP Pro Forma Information. Due to the significance of the Cartiva business that is not included in our results of operations for the three and nine months ended September 30, 2018 and to supplement our condensed consolidated

39


financial statements prepared in accordance with US GAAP, we use certain non-GAAP financial measures, including organic and combined pro forma net sales. Our non-GAAP financial measures are not in accordance with, or an alternative for, GAAP measures and may be different from non-GAAP financial measures used by other companies. In addition, our non-GAAP financial measures are not based on any comprehensive or standard set of accounting rules or principles. Accordingly, the calculation of our non-GAAP financial measures may differ from the definitions of other companies using the same or similar names limiting, to some extent, the usefulness of such measures for comparison purposes. We believe that non-GAAP financial measures have limitations in that they do not reflect all of the amounts associated with our results of operations as determined in accordance with GAAP and that these measures should only be used to evaluate our results of operations in conjunction with the corresponding GAAP measures. See tables below for a reconciliation of our non-GAAP organic and combined pro forma net sales for the three and nine months ended September 29, 2019 and September 30, 2018 to our net sales for such periods as calculated in accordance with US GAAP.
The “Results of Operations” discussion that appears below has been presented utilizing a combination of historical unaudited and, where relevant, non-GAAP organic and combined pro forma unaudited information to include the effects on our condensed consolidated financial statements of our acquisition of Cartiva, as if the Cartiva acquisition had been completed as of January 1, 2018, the beginning of Wright’s fiscal year 2018. The organic net sales reflect net sales by the legacy Wright business, which do not include net sales of products obtained through the Cartiva acquisition. The pro forma net sales have been adjusted to reflect the effect on our combined net sales of incremental revenues that would have been recognized had Cartiva been acquired on January 1, 2018. The Cartiva acquisition only affected the U.S. and international lower extremities product lines net sales. The non-GAAP organic and combined pro forma net sales have been developed based on available information and upon assumptions that our management believes are reasonable in order to reflect, on a pro forma basis, the impact of the Cartiva acquisition.
The non-GAAP organic and pro forma financial data is not necessarily indicative of results of operations that would have occurred had the Cartiva acquisition been consummated at the beginning of the period presented or which might be attained in the future.
Financial Highlights. Net sales increased 9.4% totaling $212.4 million in the third quarter of 2019, compared to $194.1 million in the third quarter of 2018, driven primarily by 11.4% growth in our U.S. net sales.
Our U.S. net sales increased $16.7 million, or 11.4%, in the third quarter of 2019 as compared to the third quarter of 2018. The ongoing launch of our FLEX REVIVE™ revision shoulder system and continued success of the combination of our BLUEPRINT™ enabling technology, PERFORM™ Reversed Glenoid system and SIMPLICITI® shoulder system contributed to non-GAAP, legacy Wright U.S. organic growth of 8.2%. The impact to our U.S. net sales from Cartiva products was approximately $4.8 million. Our combined non-GAAP pro forma growth was 6.2% due to a reduction in Cartiva sales as the U.S. Cartiva business was transitioned to our direct U.S. lower extremities sales force during the third quarter of 2019.
Our international net sales increased $1.7 million, or 3.4%, in the third quarter of 2019 as compared to the third quarter of 2018, driven by growth in direct market sales in our international upper extremities business and incremental Cartiva revenue of approximately $0.9 million in our international lower extremities business. This increase was partially offset by a $1.8 million unfavorable impact from foreign currency exchange rates.
In the third quarter of 2019, our net loss from continuing operations was approximately flat and totaled $36.2 million compared to a net loss from continuing operations of $35.8 million for the third quarter of 2018.
Opportunities and Challenges. During the fourth quarter of 2019, on November 4, 2019, we entered into a definitive agreement with Stryker and its subsidiary, Stryker B.V. pursuant to which, and upon the terms and subject to the conditions thereof, Stryker B.V. will commence a tender offer to purchase all of the outstanding ordinary shares of Wright for $30.75 per share, in cash. See Note 15 within our condensed consolidated financial statements for additional information regarding the proposed acquisition by Stryker.
We intend to continue to focus on leveraging the global strengths of our product brands as a pure-play extremities and biologics business. Additionally, we believe the highly complementary nature of our businesses gives us significant diversity and scale across a range of geographies and product categories. We were delighted to add Cartiva’s SCI, the first and only PMA product for the treatment of great toe osteoarthritis, to our market-leading lower extremities portfolio in October 2018. Supported by compelling clinical performance and backed by Level I clinical evidence, we believe Cartiva is well positioned for future growth as it addresses large markets with significant unmet needs and strong patient demand. As of August 1, 2019, the U.S. Cartiva business was transitioned to our direct U.S. lower extremities sales force, which we believe is making progress in maintaining most of the business previously performed by Cartiva’s former distributors while still growing Cartiva’s existing business. We expect it will continue to take time for the full benefits of the transition to be evident in our sales results.
Further, we believe our December 2017 acquisition of IMASCAP, a leader in the development of software-based solutions for preoperative planning of shoulder replacement surgery, ensures exclusive access to breakthrough software enabling technology and patents, including BLUEPRINT™, to further differentiate our product portfolio and to further accelerate growth opportunities in our global extremities business. BLUEPRINT™ is proving to be integral to our ability to convert competitive surgeons, and

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we believe that impact will increase as we execute our plans to make the system easier to use and release additional enhancements. As of September 29, 2019, approximately 40% of our U.S. shoulder customers were using BLUEPRINT™.
We believe we have significant opportunity to increase sales with the recent and anticipated launch of new products, including our PERFORM™ Reversed Glenoid system, FLEX REVIVE™ revision shoulder system, our PROstep™ Minimally Invasive Surgery system, AUGMENT® Injectable, and through driving BLUEPRINT™ adoption and by focusing on implementing initiatives to help us better compete at ambulatory surgery centers.
Significant Industry Factors and Challenges. Our industry is affected by numerous competitive, regulatory, and other significant factors. The growth of our business relies on our ability to continue to develop new products and innovative technologies, obtain regulatory clearance and maintain compliance for our products, protect the proprietary technology of our products and our manufacturing processes, manufacture our products cost-effectively, respond to competitive pressures specific to each of our geographic markets, including our ability to enforce non-compete agreements, and successfully market and distribute our products in a profitable manner. We, and the entire industry, are subject to extensive governmental regulation. Failure to comply with regulatory requirements could have a material adverse effect on our business, operating results, and financial condition. We, as well as other participants in our industry, are subject to product liability claims, which could have a material adverse effect on our business, operating results, and financial condition.
Results of Operations
Comparison of the three months ended September 29, 2019 to the three months ended September 30, 2018
The following table sets forth, for the periods indicated, our results of operations expressed as dollar amounts (in thousands) and as percentages of net sales:
 
Three months ended
 
September 29, 2019
 
September 30, 2018
 
Amount
% of net sales
 
Amount
% of net sales
Net sales
$
212,434

100.0
 %
 
$
194,106

100.0
 %
Cost of sales 1
44,441

20.9
 %
 
44,307

22.8
 %
Gross profit
167,993

79.1
 %
 
149,799

77.2
 %
Operating expenses:
 
 

 
 
 

Selling, general and administrative 1
152,780

71.9
 %
 
139,223

71.7
 %
Research and development 1
18,045

8.5
 %
 
13,829

7.1
 %
Amortization of intangible assets
8,308

3.9
 %
 
5,881

3.0
 %
Total operating expenses
179,133

84.3
 %
 
158,933

81.9
 %
Operating loss
(11,140
)
(5.2
)%
 
(9,134
)
(4.7
)%
Interest expense, net
20,448

9.6
 %
 
19,753

10.2
 %
Other expense, net
1,317

0.6
 %
 
3,902

2.0
 %
Loss from continuing operations before income taxes
(32,905
)
(15.5
)%
 
(32,789
)
(16.9
)%
Provision for income taxes
3,295

1.6
 %
 
3,040

1.6
 %
Net loss from continuing operations
$
(36,200
)
(17.0
)%
 
$
(35,829
)
(18.5
)%
Loss from discontinued operations, net of tax
(7,589
)
 
 
(6,696
)
 
Net loss
$
(43,789
)
 
 
$
(42,525
)
 
__________________________
1 
These line items include the following amounts of non-cash, share-based compensation expense for the periods indicated:
 
Three months ended
 
September 29, 2019
% of net sales
 
September 30, 2018
% of net sales
Cost of sales
$
156

0.1
%
 
$
141

0.1
%
Selling, general and administrative
7,284

3.4
%
 
6,537

3.4
%
Research and development
795

0.4
%
 
579

0.3
%


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The following tables set forth our net sales by product line for the U.S. and International for the periods indicated (in thousands) and the percentage of year-over-year change:
 
Three months ended
 
September 29, 2019
 
September 30, 2018
 
% change
U.S.
 
 
 
 
 
Lower extremities
$
61,733

 
$
57,602

 
7.2
 %
Upper extremities
77,160

 
65,334

 
18.1
 %
Biologics
21,292

 
20,654

 
3.1
 %
Sports med & other
2,047

 
1,975

 
3.6
 %
Total U.S.
162,232

 
145,565

 
11.4
 %
 
 
 
 
 
 
International
 
 
 
 
 
Lower extremities
$
14,781

 
$
13,501

 
9.5
 %
Upper extremities
27,195

 
25,681

 
5.9
 %
Biologics
5,912

 
6,549

 
(9.7
)%
Sports med & other
2,314

 
2,810

 
(17.7
)%
Total International
50,202

 
48,541

 
3.4
 %
 
 
 
 
 
 
Total net sales
$
212,434

 
$
194,106

 
9.4
 %
The following table reconciles our non-GAAP organic and combined pro forma net sales by product line for the three months ended September 29, 2019 and September 30, 2018 (in thousands):
 
Three months ended September 29, 2019
 
Legacy Wright (organic)
 
Standalone Cartiva
 
Wright Medical Group N.V.
U.S.
 
 
 
 
 
Lower extremities
$
56,977

 
$
4,756

 
$
61,733

Upper extremities
77,160

 

 
77,160

Biologics
21,292

 

 
21,292

Sports med & other
2,047

 

 
2,047

Total U.S.
$
157,476

 
$
4,756

 
$
162,232

 
 
 
 
 
 
International
 
 
 
 
 
Lower extremities
$
13,849

 
$
932

 
$
14,781

Upper extremities
27,195

 

 
27,195

Biologics
5,912

 

 
5,912

Sports med & other
2,314

 

 
2,314

Total International
$
49,270

 
$
932

 
$
50,202

 
 
 
 
 
 
Global

 

 

Lower extremities
$
70,826

 
$
5,688

 
$
76,514

Upper extremities
104,355

 

 
104,355

Biologics
27,204

 

 
27,204

Sports med & other
4,361

 

 
4,361

Total net sales
$
206,746

 
$
5,688

 
$
212,434

 
 
 
 
 
 

42


 
Three months ended September 30, 2018
 
Standalone Wright Medical Group N.V.
 
Standalone Cartiva
 
Non-GAAP combined pro forma
U.S.
 
 
 
 
 
Lower extremities
$
57,602

 
$
7,211

 
$
64,813

Upper extremities
65,334

 

 
65,334

Biologics
20,654

 

 
20,654

Sports med & other
1,975

 

 
1,975

Total U.S.
$
145,565

 
$
7,211

 
$
152,776

 
 
 
 
 
 
International
 
 
 
 
 
Lower extremities
$
13,501

 
$
599

 
$
14,100

Upper extremities
25,681

 

 
25,681

Biologics
6,549

 

 
6,549

Sports med & other
2,810

 

 
2,810

Total International
$
48,541

 
$
599

 
$
49,140

 
 
 
 
 
 
Global
 
 
 
 
 
Lower extremities
$
71,103

 
$
7,810

 
$
78,913

Upper extremities
91,015

 

 
91,015

Biologics
27,203

 

 
27,203

Sports med & other
4,785

 

 
4,785

Total net sales
$
194,106

 
$
7,810

 
$
201,916

 
 
 
 
 
 
 
Three months ended September 29, 2019
 
Non-GAAP organic and combined pro forma net sales growth/(decline)
 
Legacy Wright (organic)
 
Standalone Cartiva
 
Non-GAAP combined pro forma
U.S.
 
 
 
 
 
Lower extremities
(1.1)%
 
N/A
 
(4.8)%
Upper extremities
18.1%
 
N/A
 
18.1%
Biologics
3.1%
 
N/A
 
3.1%
Sports med & other
3.6%
 
N/A
 
3.6%
Total U.S.
8.2%
 
N/A
 
6.2%
 
 
 
 
 
 
International
 
 
 
 
 
Lower extremities
2.6%
 
N/A
 
4.8%
Upper extremities
5.9%
 
N/A
 
5.9%
Biologics
(9.7)%
 
N/A
 
(9.7)%
Sports med & other
(17.7)%
 
N/A
 
(17.7)%
Total International
1.5%
 
N/A
 
2.2%
 
 
 
 
 
 
Global
 
 
 
 
 
Lower extremities
(0.4)%
 
N/A
 
(3.0)%
Upper extremities
14.7%
 
N/A
 
14.7%
Biologics
0.0%
 
N/A
 
0.0%
Sports med & other
(8.9)%
 
N/A
 
(8.9)%
Total net sales
6.5%
 
N/A
 
5.2%

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Net sales
U.S. Sales. U.S. net sales totaled $162.2 million in the third quarter of 2019, an 11.4% increase from $145.6 million in the third quarter of 2018, primarily due to continued growth in our U.S. upper extremities business. Additionally, we had $4.8 million of net sales from Cartiva. We had non-GAAP organic growth of 8.2% along with non-GAAP combined pro forma growth of 6.2%.
U.S. sales represented approximately 76.4% of total net sales in the third quarter of 2019, compared to 75.0% of total net sales in the third quarter of 2018.
Our U.S. lower extremities net sales increased to $61.7 million in the third quarter of 2019 compared to $57.6 million in the third quarter of 2018, representing growth of 7.2%. This growth was primarily driven by Cartiva net sales of approximately $4.8 million. Our non-GAAP organic net sales of U.S. lower extremities decreased 1.1% which was in line with our expectations. We believe our U.S. lower extremities business made good progress in bringing the U.S. lower extremities sales force back to full strength in the third quarter, filling our open territories with experienced foot and ankle reps. We expect it will continue to take some time for the full benefits of these actions to be evident in our sales results.
Our U.S. upper extremities net sales increased to $77.2 million in the third quarter of 2019 from $65.3 million in the third quarter of 2018, representing growth of 18.1%. This growth was driven by the ongoing launch of our FLEX REVIVE™ revision shoulder system and continued success of the combination of our BLUEPRINT™ enabling technology, PERFORM™ Reversed Glenoid system and SIMPLICITI® shoulder system.
Our U.S. biologics net sales increased to $21.3 million in the third quarter of 2019 from $20.7 million in the third quarter of 2018, representing growth of 3.1%. This increase was driven by net sales volume growth in our core biologics products and AUGMENT® Injectable.
International Sales. Net sales in our international regions totaled $50.2 million in the third quarter of 2019 compared to $48.5 million in the third quarter of 2018. This 3.4% increase was primarily due to our international upper extremities business and incremental Cartiva net sales in our international lower extremities business. This increase was partially offset by a $1.8 million unfavorable impact from foreign currency exchange rates (a 4 percentage point unfavorable impact to international sales growth rate).
Our international lower extremities net sales increased 9.5% to $14.8 million in the third quarter of 2019 from $13.5 million in the third quarter of 2018. Sales increased primarily due to $0.9 million in Cartiva net sales. Non-GAAP organic international lower extremities sales increased 2.6%, mostly driven by increased sales volumes to stocking distributors. These increases were partially offset by a $0.5 million unfavorable impact from foreign currency exchange rates (a 4 percentage point unfavorable impact to international lower extremities sales growth rate).
Our international upper extremities net sales increased 5.9% to $27.2 million in the third quarter of 2019 from $25.7 million in the third quarter of 2018. Sales increased by a combined 10.1% in our direct markets. These increases were partially offset by a $1.0 million unfavorable impact from foreign currency exchange rates (a 4 percentage point unfavorable impact to international upper extremities sales growth rate).
Our international biologics net sales decreased 9.7% to $5.9 million in the third quarter of 2019 from $6.5 million in the third quarter of 2018, due to timing of sales to stocking distributors and a $0.1 million unfavorable impact from foreign currency exchange rates (a 2 percentage point unfavorable impact to international biologics sales growth rate).
Cost of sales
Our cost of sales totaled $44.4 million, or 20.9% of net sales, in the third quarter of 2019, compared to $44.3 million, or 22.8% of net sales, in the third quarter of 2018. Our 2019 cost of sales included a $2.6 million reduction as a result of our change in accounting estimate of reserves for excess and obsolete inventory, as such inventory was sold (see Note 2 to the condensed consolidated financial statements). Additionally, cost of sales as a percentage of net sales further decreased as a percentage of sales due to lower levels of provisions for excess and obsolete inventory, favorable manufacturing expenses, and increased gross margins from Cartiva net sales, partially offset by inventory step-up amortization.
Selling, general and administrative
Our selling, general and administrative expenses totaled $152.8 million, or 71.9% of net sales, in the third quarter of 2019, compared to $139.2 million, or 71.7% of net sales, in the third quarter of 2018. Selling, general and administrative expenses as a percentage of net sales remained flat, due to leveraging certain general and administrative expenses over increased sales which were offset by a non-cash asset impairment associated with the technology transfer of $5.6 million.
Research and development
Our research and development expense totaled $18.0 million, or 8.5% of net sales, in the third quarter of 2019 compared to $13.8 million, or 7.1% of net sales, in the third quarter of 2018. Research and development costs increased 1 percentage point primarily

44


due to investments in our new product pipeline. Our research and development expenses are estimated to range from 7% to 8% as a percentage of net sales in 2019.
Amortization of intangible assets
Charges associated with amortization of intangible assets totaled $8.3 million in the third quarter of 2019, compared to $5.9 million in the third quarter of 2018. Based on intangible assets held at September 29, 2019, we expect amortization expense to be between $29 million and $32 million per year for the years 2019 through 2023.
Interest expense, net
Interest expense, net, totaled $20.4 million in the third quarter of 2019 and $19.8 million in the third quarter of 2018. Our interest expense in the third quarter of 2019 related primarily to non-cash interest expense associated with the amortization of the discount on the 2023 Notes, 2021 Notes and 2020 Notes of $6.0 million, $5.6 million, and $0.7 million, respectively; amortization of deferred financing charges on our borrowings totaling $1.3 million; and cash interest expense totaling $7.3 million primarily associated with the 2023 Notes, 2021 Notes, 2020 Notes and borrowings under our ABL Facility and the Term Loan Facility, partially offset by interest income of $0.5 million.
Our interest expense in the third quarter of 2018 related primarily to non-cash interest expense associated with the amortization of the discount on the 2023 Notes, 2021 Notes and 2020 Notes of $4.9 million, $5.0 million and $2.4 million, respectively: amortization of deferred financing charges on the 2023 Notes, 2021 Notes, 2020 Notes, and our ABL Facility totaling $1.3 million; and cash interest expense totaling $7.6 million primarily associated with the coupon on the 2023 Notes, 2021 Notes and 2020 Notes and borrowings under our ABL Facility and Term Loan Facility. Our interest expense was partially offset by interest income of $1.5 million as a result of the investment of the net proceeds from the 2023 Notes issued in the second quarter of 2018.
Other expense, net
Other expense, net, totaled $1.3 million in the third quarter of 2019, compared to $3.9 million of other expense, net, in the third quarter of 2018. In the third quarter of 2019, other expense, net, consisted primarily of a $0.9 million loss related to mark-to-market adjustments on derivative assets and liabilities, a $0.9 million loss related to fair value adjustments to contingent consideration and non-cash foreign currency translation income of $0.7 million. During the third quarter of 2018, other expense, net, primarily consisted of an unrealized loss of $3.4 million for the mark-to-market adjustment on CVRs issued in connection with the BioMimetic acquisition.
Provision for income taxes
We recorded a tax provision from continuing operations of $3.3 million in the third quarter of 2019, compared to a tax provision from continuing operations of $3.0 million in the third quarter of 2018. Our tax provision during the third quarter of 2019 includes a $2.6 million tax provision due to a change in tax rates on income from deferred intercompany transactions and tax provision on net earnings in jurisdictions where we do not have a valuation allowance offset by a tax benefit for foreign currency losses. We are unable to recognize a tax benefit in jurisdictions where we are incurring losses (primarily the U.S.) due to the valuation allowance on our net deferred assets, except to the extent to which we recognize a gain in discontinued operations. During the third quarter of 2018, we recognized an income tax provision in continuing operations for foreign currency gains, the result of net earnings in jurisdictions where we do not have a valuation allowance and an income tax provision that resulted from a corresponding income tax benefit within discontinued operations. During 2018, the third quarter’s loss within discontinued operations partially offset year to date earnings in discontinued operations which generated the income tax benefit in discontinued operations.
Loss from discontinued operations, net of tax
Loss from discontinued operations, net of tax, consists primarily of the costs associated with legal defense, income/loss associated with product liability insurance recoveries/denials, and changes to any contingent liabilities associated with the OrthoRecon business that was sold to MicroPort.
Our loss from discontinued operations for the quarter ended September 29, 2019 and September 30, 2018 was $7.6 million and $6.7 million, respectively. See Note 4 and Note 13 to our condensed consolidated financial statements for further discussion regarding our discontinued operations and our retained contingent liabilities associated with the OrthoRecon business.

45


Comparison of the nine months ended September 29, 2019 to the nine months ended September 30, 2018
The following table sets forth, for the periods indicated, our results of operations expressed as dollar amounts (in thousands) and as percentages of net sales:
 
Nine months ended
 
September 29, 2019
 
September 30, 2018
 
Amount
% of net sales
 
Amount
% of net sales
Net sales
$
672,295

100.0
 %
 
$
598,043

100.0
 %
Cost of sales 1
139,096

20.7
 %
 
131,004

21.9
 %
Gross profit
533,199

79.3
 %
 
467,039

78.1
 %
Operating expenses:
 
 

 
 
 

Selling, general and administrative 1
458,198

68.2
 %
 
417,297

69.8
 %
Research and development 1
53,773

8.0
 %
 
42,393

7.1
 %
Amortization of intangible assets
23,757

3.5
 %
 
19,031

3.2
 %
Total operating expenses
535,728

79.7
 %
 
478,721

80.0
 %
Operating loss
(2,529
)
(0.4
)%
 
(11,682
)
(2.0
)%
Interest expense, net
60,138

8.9
 %
 
60,243

10.1
 %
Other expense, net
12,381

1.8
 %
 
75,649

12.6
 %
Loss from continuing operations before income taxes
(75,048
)
(11.2
)%
 
(147,574
)
(24.7
)%
Provision (benefit) for income taxes
10,340

1.5
 %
 
(1,217
)
(0.2
)%
Net loss from continuing operations
$
(85,388
)
(12.7
)%
 
$
(146,357
)
(24.5
)%
(Loss) income from discontinued operations, net of tax
(12,814
)
 
 
10,620

 
Net loss
$
(98,202
)
 
 
$
(135,737
)
 
__________________________
1 
These line items include the following amounts of non-cash, share-based compensation expense for the periods indicated:
 
Nine months ended
 
September 29, 2019
% of net sales
 
September 30, 2018
% of net sales
Cost of sales
$
413

0.1
%
 
$
452

0.1
%
Selling, general and administrative
21,106

3.1
%
 
16,496

2.8
%
Research and development
1,960

0.3
%
 
1,388

0.2
%

46


The following tables set forth our net sales by product line for the U.S. and International for the periods indicated (in thousands) and the percentage of year-over-year change:
 
Nine months ended
 
September 29, 2019
 
September 30, 2018
 
% change
U.S.
 
 
 
 
 
Lower extremities
$
199,873

 
$
173,889

 
14.9
 %
Upper extremities
239,033

 
203,163

 
17.7
 %
Biologics
67,520

 
59,053

 
14.3
 %
Sports med & other
6,119

 
5,828

 
5.0
 %
Total U.S.
$
512,545

 
$
441,933

 
16.0
 %
 
 
 
 
 
 
International
 
 
 
 
 
Lower extremities
$
47,315

 
$
44,508

 
6.3
 %
Upper extremities
87,814

 
84,412

 
4.0
 %
Biologics
16,781

 
18,388

 
(8.7
)%
Sports med & other
7,840

 
8,802

 
(10.9
)%
Total International
$
159,750

 
$
156,110

 
2.3
 %
 
 
 
 
 
 
Total net sales
$
672,295

 
$
598,043

 
12.4
 %
The following table reconciles our non-GAAP organic and combined pro forma net sales by product line for the nine months ended September 29, 2019 and September 30, 2018 (in thousands):
 
Nine months ended September 29, 2019
 
Legacy Wright (organic)
 
Standalone Cartiva
 
Wright Medical Group N.V.
U.S.
 
 
 
 
 
Lower extremities
$
180,008

 
$
19,865

 
$
199,873

Upper extremities
239,033

 

 
239,033

Biologics
67,520

 

 
67,520

Sports med & other
6,119

 

 
6,119

Total U.S.
$
492,680

 
$
19,865

 
$
512,545

 
 
 
 
 
 
International
 
 
 
 
 
Lower extremities
$
44,385

 
$
2,930

 
$
47,315

Upper extremities
87,814

 

 
87,814

Biologics
16,781

 

 
16,781

Sports med & other
7,840

 

 
7,840

Total International
$
156,820

 
$
2,930

 
$
159,750

 
 
 
 
 
 
Global
 
 
 
 
 
Lower extremities
$
224,393

 
$
22,795

 
$
247,188

Upper extremities
326,847

 

 
326,847

Biologics
84,301

 

 
84,301

Sports med & other
13,959

 

 
13,959

Total net sales
$
649,500

 
$
22,795

 
$
672,295

 
 
 
 
 
 

47


 
Nine months ended September 30, 2018
 
Standalone Wright Medical Group N.V.
 
Standalone Cartiva
 
Non-GAAP combined pro forma
U.S.
 
 
 
 
 
Lower extremities
$
173,889

 
$
23,498

 
$
197,387

Upper extremities
203,163

 

 
203,163

Biologics
59,053

 

 
59,053

Sports med & other
5,828

 

 
5,828

Total U.S.
$
441,933

 
$
23,498

 
$
465,431

 
 
 
 
 
 
International
 
 
 
 
 
Lower extremities
$
44,508

 
$
1,222

 
$
45,730

Upper extremities
84,412

 

 
84,412

Biologics
18,388

 

 
18,388

Sports med & other
8,802

 

 
8,802

Total International
$
156,110

 
$
1,222

 
$
157,332

 
 
 
 
 
 
Global
 
 
 
 
 
Lower extremities
$
218,397

 
$
24,720

 
$
243,117

Upper extremities
287,575

 

 
287,575

Biologics
77,441

 

 
77,441

Sports med & other
14,630

 

 
14,630

Total net sales
$
598,043

 
$
24,720

 
$
622,763

 
 
 
 
 
 
 
Nine months ended September 29, 2019
 
Non-GAAP organic and combined pro forma net sales growth/(decline)
 
Legacy Wright (organic)
 
Standalone Cartiva
 
Non-GAAP combined pro forma
U.S.
 
 
 
 
 
Lower extremities
3.5%
 
N/A
 
1.3%
Upper extremities
17.7%
 
N/A
 
17.7%
Biologics
14.3%
 
N/A
 
14.3%
Sports med & other
5.0%
 
N/A
 
5.0%
Total U.S.
11.5%
 
N/A
 
10.1%
 
 
 
 
 
 
International
 
 
 
 
 
Lower extremities
(0.3)%
 
N/A
 
3.5%
Upper extremities
4.0%
 
N/A
 
4.0%
Biologics
(8.7)%
 
N/A
 
(8.7)%
Sports med & other
(10.9)%
 
N/A
 
(10.9)%
Total International
0.5%
 
N/A
 
1.5%
 
 
 
 
 
 
Global
 
 
 
 
 
Lower extremities
2.7%
 
N/A
 
1.7%
Upper extremities
13.7%
 
N/A
 
13.7%
Biologics
8.9%
 
N/A
 
8.9%
Sports med & other
(4.6)%
 
N/A
 
(4.6)%
Total net sales
8.6%
 
N/A
 
8.0%

48


Net sales
U.S. Sales. U.S. net sales totaled $512.5 million in the first nine months of 2019, a 16.0% increase from $441.9 million in the first nine months of 2018, primarily due to continued growth in our U.S. upper extremities business. Additionally, we had $19.9 million of net sales from Cartiva, and our U.S. biologics business experienced continued growth from AUGMENT® Injectable and our core biologics products. We had non-GAAP organic growth of 11.5% along with non-GAAP combined pro forma growth of 10.1%. U.S. sales represented approximately 76.2% of total net sales in the first nine months of 2019, compared to 73.9% of total net sales in the first nine months of 2018.
International Sales. International net sales totaled $159.8 million in the first nine months of 2019 compared to $156.1 million in the first nine months of 2018. This 2.3% increase was primarily driven by incremental Cartiva net sales and an increase in our direct markets in our international upper extremities business. These increases were partially offset by an $8.2 million unfavorable impact from foreign currency exchange rates (a 5 percentage point unfavorable impact to sales growth rate).
Cost of sales
Our cost of sales as a percentage of net sales decreased to 20.7% in the first nine months of 2019 compared to 21.9% in the first nine months of 2018. Our 2019 cost of sales included a $2.6 million reduction for the sale of reserved inventory as a result of our change in estimated reserves (see Note 2 to the condensed consolidated financial statements). Additionally, cost of sales further decreased as a percentage of sales primarily due to lower levels of provisions for excess and obsolete inventory and favorable manufacturing expenses, and increased gross margins from Cartiva net sales, partially offset by inventory step-up amortization.
Operating expenses
As a percentage of net sales, operating expenses remained relatively flat at 79.7% in the first nine months of 2019 compared to 80.0% in the first nine months of 2018. This result was achieved by leveraging increased general and administrative expenses over increased net sales, partially offset by increases in amortization of intangible assets and research and development costs.
Provision (benefit) for income taxes
We recorded an income tax provision from continuing operations of $10.3 million in the first nine months of 2019, compared to a tax benefit from continuing operations of $1.2 million in the first nine months of 2018. The tax provision for the current year period includes a $7.7 million tax provision due a change in tax rates on income from deferred intercompany transactions. The remaining tax provision is resulting from net earnings in jurisdictions where we do not have a valuation allowance, partially offset by a tax benefit for foreign currency losses. The tax benefit for the prior year period includes a net benefit recorded due to our ability to recognize a tax benefit on pre-tax losses in the U.S. as a result of the earnings within discontinued operations in the U.S, partially offset by tax provision for foreign currency gains and the result of net earnings in jurisdictions for which we do not have a valuation allowance.
(Loss) income from discontinued operations, net of tax
(Loss) income from discontinued operations, net of tax, consists primarily of the costs associated with legal defense, income/loss associated with product liability insurance recoveries/denials, and changes to any contingent liabilities associated with the OrthoRecon business that was sold to MicroPort. Our (loss) income from discontinued operations for the nine months ended September 29, 2019 and September 30, 2018 was net of a $15.5 million insurance recovery recognized in 2019 and a $30.75 million insurance recovery recognized in 2018. See Note 4 and Note 13 to our condensed consolidated financial statements for further discussion regarding our discontinued operations and our retained contingent liabilities associated with the OrthoRecon business.
Reportable segments
The following tables set forth, for the periods indicated, net sales and operating income of our reportable segments expressed as dollar amounts (in thousands) and as a percentage of net sales:
 
Three months ended September 29, 2019
 
U.S. Lower Extremities
& Biologics
 
U.S. Upper Extremities
 
International Extremities
& Biologics
Net sales
$
83,940

 
$
78,292

 
$
50,202

Operating income (loss)
$
18,335

 
$
27,450

 
$
(1,639
)
Operating income (loss) as a percent of net sales
21.8
%
 
35.1
%
 
(3.3
)%

49


 
Three months ended September 30, 2018
 
U.S. Lower Extremities
& Biologics
 
U.S. Upper Extremities
 
International Extremities
& Biologics
Net sales
$
79,296

 
$
66,269

 
$
48,541

Operating income (loss)
$
20,487

 
$
21,192

 
$
(278
)
Operating income (loss) as a percent of net sales
25.8
%
 
32.0
%
 
(0.6
)%
 
Nine months ended September 29, 2019
 
U.S. Lower Extremities
& Biologics
 
U.S. Upper Extremities
 
International Extremities
& Biologics
Net sales
$
269,960

 
$
242,585

 
$
159,750

Operating income (loss)
$
70,285

 
$
87,682

 
$
(2,820
)
Operating income (loss) as a percent of net sales
26.0
%
 
36.1
%
 
(1.8
)%
 
Nine months ended September 30, 2018
 
U.S. Lower Extremities
& Biologics
 
U.S. Upper Extremities
 
International Extremities
& Biologics
Net sales
$
235,595

 
$
206,338

 
$
156,110

Operating income (loss)
$
62,211

 
$
69,864

 
$
(1,526
)
Operating income (loss) as a percent of net sales
26.4
%
 
33.9
%
 
(1.0
)%
Net sales of our U.S. lower extremities and biologics segment increased $4.6 million and $34.4 million in the three and nine months ended September 29, 2019, respectively, compared to the three and nine months ended September 30, 2018. These increases to net sales were driven primarily by net sales from Cartiva, as well as net sales growth from our core biologics businesses and AUGMENT® Injectable. The Cartiva acquisition had an impact of approximately $4.8 million and $19.9 million for the three and nine months ended September 29, 2019, respectively, on net sales for our U.S. lower extremities and biologics segment. Operating income of our U.S. lower extremities and biologics segment decreased $2.2 million for the three months ended September 29, 2019 compared to the three months ended September 30, 2018, primarily due to unfavorable operating results from our core U.S. lower extremities business. This was partially offset by the impact from the Cartiva acquisition on operating income for our U.S. lower extremities and biologics segment of approximately $2.5 million for the three months ended September 29, 2019. Operating income of our U.S. lower extremities and biologics segment increased $8.1 million for the nine months ended September 29, 2019 compared to the nine months ended September 30, 2018. The Cartiva acquisition had an impact of approximately $11.8 million for the nine months ended September 29, 2019 on operating income for our U.S. lower extremities and biologics segment.
Net sales of our U.S. upper extremities segment increased $12.0 million and $36.2 million in the three and nine months ended September 29, 2019, respectively, compared to the three and nine months ended September 30, 2018. Operating income of our U.S. upper extremities segment increased $6.3 million and $17.8 million in the three and nine months ended September 29, 2019, respectively, as compared to the three and nine months ended September 30, 2018. These increases to both net sales and operating income were primarily driven by continued net sales growth within our innovative shoulder product portfolio, including the combination of our PERFORM™ Reversed Glenoid system, SIMPLICITI® shoulder system, and BLUEPRINT™ enabling technology, the ongoing launch of our FLEX REVIVE™ revision shoulder system, and leveraging certain selling, general and administrative expenses over increased net sales.
Net sales of our International extremities and biologics segment increased $1.7 million and $3.6 million in the three and nine months ended September 29, 2019, respectively, compared to the three and nine months ended September 30, 2018. These increases to net sales were primarily due to growth in direct market sales in our international upper extremities business and incremental Cartiva net sales in our international lower extremities business which totaled $0.9 million and $2.9 million for the three and nine months ended September 29, 2019, respectively. These increases were partially offset by unfavorable impacts from foreign currency exchange rates. Operating loss of our International extremities and biologics segment increased $1.4 million and $1.3 million in the three and nine months ended September 29, 2019, respectively, compared to the three and nine months ended September 30, 2018. These increases were primarily due to spending associated with the new European Medical Device Regulation (MDR). These impacts were partially offset by the operating income from the Cartiva acquisition which totaled $0.8 million and $2.4 million for the three and nine months ended September 29, 2019, respectively.

50


Liquidity and Capital Resources
The following table sets forth, for the periods indicated, certain liquidity measures (in thousands):
 
September 29, 2019
 
December 30, 2018
Cash and cash equivalents
$
147,263

 
$
191,351

Working capital 1
(102,890
)
 
136,106

___________________________
1 
As of June 30, 2019, the closing price of our ordinary shares was greater than 130% of the 2021 Notes conversion price for 20 or more of the 30 consecutive trading days preceding the quarter-end, and, therefore, the holders of the 2021 Notes were able to convert the notes during the succeeding quarterly period ended September 30, 2019. Due to the ability of the holders of the 2021 Notes to convert the notes through September 30, 2019, the $338.6 million carrying value of the 2021 Notes and the $91.8 million fair value of the 2021 Notes Conversion Derivatives were classified as current liabilities and the $93.2 million fair value of the 2021 Notes Hedges was classified as current assets as of September 29, 2019. There were no conversions, and the 2021 Notes are no longer convertible as of the close of business on September 30, 2019.
Operating Activities. Cash provided by (used in) operating activities totaled $18.3 million and $(12.5) million in the first nine months of 2019 and 2018, respectively. The increase in cash provided by operating activities in the first nine months of 2019 was primarily driven by improved cash profitability of continuing operations.
Investing Activities. Our capital expenditures totaled $63.8 million and $49.9 million in the first nine months of 2019 and 2018, respectively. This increase is primarily due to increased investments in surgical instrumentation to support the continued rollouts and upcoming product launches in our upper extremities business, as well as increased investments in computer systems. Historically, our capital expenditures have consisted principally of surgical instrumentation, purchased manufacturing equipment, research and testing equipment, and computer systems. Further, during 2019, we expect to incur approximately $14 million for the purchase and set up of a 40,000 square foot state of the art manufacturing and distribution facility in Arlington, Tennessee. In total, we expect to incur capital expenditures of more than $90 million in 2019.
Financing Activities. During the first nine months of 2019, cash provided by financing activities totaled $4.5 million, compared to $592.8 million in the first nine months of 2018.
Cash provided by financing activities in the first nine months of 2019 was primarily attributable to $15.6 million in cash received from the issuance of ordinary shares in connection with option exercises. These proceeds were partially offset by $6.4 million of net payments related to the exchange of 2023 Notes for 2020 Notes (as further described below) and the associated issuance of additional 2023 Notes Hedges and warrants, and settlement of pro rata portions of the 2020 Notes Hedges and warrants.
On February 7, 2019, WMG issued $139.6 million of Additional 2023 Notes in exchange for $130.1 million aggregate principal amount of 2020 Notes. As this was a debt modification, a pro rata share of the 2020 Notes deferred financing costs and discount was transferred to the 2023 Notes deferred financing costs and discount. Additionally, the 2023 Notes discount was adjusted in order for net debt to remain the same subsequent to the exchange. While the debt modification was a non-cash transaction, we paid approximately $3.0 million of convertible debt modification costs.
Additionally, on January 30, 2019 and January 31, 2019, we, along with WMG, entered into cash-settled convertible note hedge transactions with certain option counterparties. WMG paid approximately $30.1 million in the aggregate to the option counterparties for the note hedge transactions, and received approximately $21.2 million in the aggregate from the option counterparties for the warrants, resulting in a net cost to us of approximately $8.9 million. In connection with the above described exchange, WMG also settled a pro rata share of the 2020 Notes Hedges and warrants corresponding to the amount of 2020 Notes exchanged pursuant to this transaction. We received proceeds of approximately $16.8 million related to the 2020 Notes Hedges and paid $11.0 million related to the 2020 Warrants, generating net proceeds of $5.8 million.
Cash provided by financing activities in the first nine months of 2018 was primarily attributable to the net cash proceeds received from the registered ordinary share equity offering and 2023 Notes issuance. During August 2018, we entered into an underwriting agreement with J.P. Morgan, relating to a registered public offering of our ordinary shares. The proceeds to Wright from the equity offering were $448.9 million. The payments of equity offering costs were $25.6 million during the first nine months of 2018. The proceeds were subsequently used in October 2018 to fund the $435 million purchase price of Cartiva.
During June 2018, we issued $675 million aggregate principal amount of 2023 Notes, settled $400.9 million aggregate principal amount of 2020 Notes, and paid a premium of $55.6 million on the 2020 Notes. We also paid $141.3 million for hedges associated with the 2023 Notes and received approximately $102.1 million for the issuance of warrants associated with the 2023 Notes. As part of the 2023 Notes issuance, Term Loan Facility and 2023 warrants, we paid $16.0 million for deferred financing and equity issuance costs. Other debt proceeds were primarily made up of the Term Loan Facility which were used to pay down a portion of

51


the asset-based line of credit under the ABL Facility. In July 2018, we settled a pro rata share of the 2020 Notes hedges and 2020 warrants which resulted in net proceeds of $10.6 million. Additionally, we received $11.0 million in cash from the issuance of ordinary shares in connection with option exercises.
Repatriation. We provide for tax liabilities in our condensed consolidated financial statements with respect to amounts that we expect to repatriate from subsidiaries (to the extent the repatriation would be subject to tax); however, no tax liabilities are recorded for amounts that we consider to be permanently reinvested. Our current plans do not foresee a need to repatriate funds that are designated as permanently reinvested in order to fund our operations or meet currently anticipated liquidity and capital investment needs.
Discontinued Operations. Our cash flows from discontinued operations during the first nine months of 2019 and 2018 were attributable primarily to legacy Wright’s former OrthoRecon business as described in Note 13. Cash flows used in discontinued operations totaled $36.8 million and $44.1 million for the nine months ended September 29, 2019 and September 30, 2018, respectively. Cash flows from discontinued operations are combined with cash flows from continuing operations in the condensed consolidated statements of cash flows.
We do not expect that the future cash outflows from discontinued operations, including the payment of retained liabilities of the OrthoRecon business, net of insurance recoveries, will have an impact on our ability to meet contractual cash obligations and fund our working capital requirements, operations, and anticipated capital expenditures.
Contractual Cash Obligations. As of September 29, 2019, there were no material changes to our contractual cash obligations and commercial commitments as disclosed in in “Part II. Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations-Liquidity and Capital Resources-Contractual Cash Obligations” of our Annual Report on Form 10-K for the year ended December 30, 2018, except for the issuance of the Additional 2023 Notes, the reclassification of the 2021 Notes as described in Note 10 and a minimum purchase obligation of approximately $3.6 million a year until March 29, 2026. Subsequent to the end of the quarter, as a result of the definitive agreement with Stryker, if the agreement is terminated under specified circumstances, Wright may be required to pay Stryker a termination fee of $150 million, as described in Note 15.
At June 30, 2019, the closing price of our ordinary shares was greater than 130% of the 2021 Notes conversion price for 20 or more of the 30 consecutive trading days preceding the quarter-end, and, therefore, the holders of the 2021 Notes may convert the notes during the succeeding calendar quarter period. Due to the ability of the holders of the 2021 Notes to convert the notes during this quarter ended, the carrying value of the 2021 Notes and the fair value of the 2021 Notes Conversion Derivatives were classified as current liabilities and the fair value of the 2021 Notes Hedges was classified as current assets as of September 29, 2019. There were no conversions through September 30, 2019, and the 2021 Notes are no longer convertible as of the close of business on September 30, 2019.
Other Liquidity Information. We have historically funded our cash needs through various equity and debt issuances, more recently borrowings under our ABL Credit Agreement, and through cash flow from operations.
On December 23, 2016, we, together with WMG and certain of our other wholly-owned U.S. subsidiaries (collectively, Borrowers), entered into a Credit, Security and Guaranty Agreement with Midcap Financial Trust, as administrative agent (Agent) and a lender and the additional lenders from time to time party thereto, which agreement was subsequently amended in May 2018 and February 2019 (as amended, the ABL Credit Agreement).
The ABL Credit Agreement provides for a $175 million senior secured asset-based line of credit, subject to the satisfaction of a borrowing base requirement (ABL Facility) and a $55 million term loan facility (Term Loan Facility). The ABL Facility may be increased by up to $75 million upon the Borrowers’ request, subject to the consent of the Agent and each of the other lenders providing such increase. All borrowings under the ABL Facility are subject to the satisfaction of customary conditions, including the absence of default, the accuracy of representations and warranties in all material respects and the delivery of an updated borrowing base certificate. The initial $20 million term loan tranche was funded at closing in May 2018. The Borrowers may at any time borrow the second $35 million term loan tranche, but are required to do so no later than May 7, 2021. All borrowings under the Term Loan Facility are subject to the satisfaction of customary conditions, including the absence of default and the accuracy of representations and warranties in all material respects. We are in compliance with all covenants as of September 29, 2019.
As of September 29, 2019, we had $20.8 million in borrowings outstanding under the ABL Facility and $154.2 million in unused availability under the ABL Facility. As of December 30, 2018, we had $17.8 million in borrowings outstanding under the ABL Facility and $132.2 million in unused availability under the ABL Facility.
Between November 2016 and October 2017, WMT entered into three MoM Settlement Agreements with Court-appointed attorneys representing plaintiffs in the MDL and JCCP to settle a total of 1,974 cases that met the eligibility requirements of the MoM Settlement Agreements and were either pending in the MDL or JCCP, or subject to court-approved tolling agreements in the MDL or JCCP, for an aggregate sum of $339.2 million. As of September 29, 2019, we had funded $307.0 million under the MoM Settlement Agreements.

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As of September 29, 2019, our accrual for metal-on-metal claims totaled $61.4 million, of which $33.3 million is included in our condensed consolidated balance sheet within “Accrued expenses and other current liabilities” and $28.1 million is included within “Other liabilities.” As of December 30, 2018, our accrual for metal-on-metal claims totaled $74.5 million, of which $51.9 million is included in our condensed consolidated balance sheet within “Accrued expenses and other current liabilities” and $22.6 million is included within “Other liabilities.” See Note 13 to our condensed consolidated financial statements for additional discussion regarding the MoM Settlement Agreements and our accrual methodologies for the metal-on-metal hip replacement product liability claims.
Although it is difficult for us to predict our future liquidity requirements, we believe that our cash and cash equivalents of $147.3 million, the $154.2 million in availability under the ABL Facility and the additional $35 million in availability under the Term Loan Facility, as of September 29, 2019, will be sufficient for at least the next 12 months to fund the working capital requirements and operations, permit anticipated capital expenditures, pay retained metal-on-metal product and other liabilities of the OrthoRecon business, including without limitation amounts under the MoM Settlement Agreements, fund contingent considerations, and meet our other anticipated contractual cash obligations during the remainder of 2019 and 2020.
In-process research and development. In connection with the IMASCAP acquisition, we acquired in-process research and development (IPRD) technology related to a next generation reverse shoulder implant system that had not yet reached technological feasibility as of the acquisition date. This project was assigned a fair value of $5.3 million on the acquisition date.
In connection with the Cartiva acquisition, we acquired IPRD technology related to a thumb implant (CMC) that is in development. This project was assigned a fair value of $1.0 million on the acquisition date.
The current IPRD projects we acquired in our IMASCAP and Cartiva acquisitions are as follows:
The next generation reverse shoulder implant system is a reverse shoulder replacement implant having glenoid or glenoid and humeral implant components. We have an anticipated first clinical use in 2020 and launch in the second half of 2021; however, the risks and uncertainties associated with completion are dependent upon testing validations and FDA and CE mark clearance. We have incurred expenses of approximately $0.1 million in the nine months ended September 29, 2019. Project cost to complete is estimated to be less than $2 million.
The CMC thumb implant is an arthroplasty device designed to resurface the CMC joint for the treatment of osteoarthritis. We anticipate the launch of the CMC thumb implant no earlier than 2021; however, the risks and uncertainties associated with completion are dependent upon testing validations and FDA PMA approval. We have incurred expenses of approximately $0.5 million in the nine months ended September 29, 2019. Project cost to complete is estimated to be less than $3 million.
Critical Accounting Policies and Estimates
Information on judgments related to our most critical accounting policies and estimates is discussed in “Part II. Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations-Critical Accounting Estimates” of our Annual Report on Form 10-K for the year ended December 30, 2018 filed with the SEC on February 27, 2019. Certain of our more critical accounting estimates require the application of significant judgment by management in selecting the appropriate assumptions in determining the estimate. By their nature, these judgments are subject to an inherent degree of uncertainty. We develop these judgments based on our historical experience, terms of existing contracts, our observance of trends in the industry, information provided by our customers, and information available from other outside sources, as appropriate. Actual results may differ from these judgments under different assumptions or conditions. Different, reasonable estimates could have been used for the current period. Additionally, changes in accounting estimates are reasonably likely to occur from period to period. Both of these factors could have a material impact on the presentation of our financial condition, changes in financial condition or results of operations.
There have been no material changes to our critical accounting policies and estimates discussed in “Part II. Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations-Critical Accounting Estimates” of our Annual Report on Form 10-K for the year ended December 30, 2018 except for our change in estimate for excess and obsolete inventory reserves as described in Note 2 to our condensed consolidated financial statements.
Recent Accounting Pronouncements
Information regarding recent accounting pronouncements is included in Note 2 to our condensed consolidated financial statements.
ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK.
Interest Rate Risk
Our exposure to interest rate risk arises principally from variable interest rates applicable to borrowings under our ABL Credit Agreement and the interest rates associated with our invested cash balances.

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Borrowings under our ABL Credit Agreement, including our ABL Facility and Term Loan Facility, bear interest at variable rates. The interest rate margin applicable to borrowings under the ABL Facility is, at the option of the Borrowers, equal to either (a) 3.25% for base rate loans or (b) 4.25% for LIBOR rate loans, subject to a 0.75% LIBOR floor. The interest rate applicable to borrowings under the Term Loan Facility is equal to one-month LIBOR plus 7.85%, subject to a 1.00% LIBOR floor. As of September 29, 2019, we had $20.8 million of borrowings under our ABL Facility and $20.0 million principal outstanding under our Term Loan Facility. Based upon this debt level, and the LIBOR floor on our interest rate, a 100 basis point increase in the annual interest rate on such borrowings would have an immaterial impact on our interest expense on an annual basis.
On September 29, 2019, we had invested cash and cash equivalents of approximately $147.3 million. We believe that a 10 basis point change in interest rates is reasonably possible in the near term. Based on our current level of investment, an increase or decrease of 10 basis points in interest rates would have an annual impact of approximately $0.1 million to our interest income.
As of September 29, 2019, we had outstanding an aggregate of $56.5 million, $395.0 million, and $814.6 million, principal amount of our 2020 Notes, 2021 Notes, and 2023 Notes, respectively. We carry these instruments at face value less unamortized discount and unamortized debt issuance costs on our condensed consolidated balance sheets. Since these instruments bear interest at a fixed rate, we have no financial statement risk associated with changes in interest rates. However, the fair value of the 2020 Notes, 2021 Notes, and 2023 Notes fluctuates when interest rates change and when the market price of our ordinary shares fluctuates. We do not carry the 2020 Notes, 2021 Notes, or 2023 Notes at fair value, but present the fair value of the principal amount of our 2020 Notes, 2021 Notes, and 2023 Notes for disclosure purposes.
Equity Price Risk
On June 28, 2018, we issued $675 million aggregate principal amount of the 2023 Notes. Additional 2023 Notes were issued in exchange for a portion of 2020 Notes in February 2019. As of September 29, 2019, $814.6 million aggregate principal amount was outstanding on the 2023 Notes. The holders of the 2023 Notes may convert their 2023 Notes into cash upon the satisfaction of certain circumstances as described in Note 10. The conversion and settlement provisions of the 2023 Notes are based on the price of our ordinary shares at conversion or at maturity of the notes. In addition, the hedges and warrants associated with these convertible notes also include settlement provisions that are based on the price of our ordinary shares. The amount of cash we may be required to pay, or the number of shares we may be required to provide to note holders at conversion or maturity of these notes, is determined by the price of our ordinary shares. The amount of cash that we may receive from hedge counterparties in connection with the related hedges and the number of shares that we may be required to provide warrant counterparties in connection with the related warrants are also determined by the price of our ordinary shares.
Upon the expiration of our warrants issued in connection with the 2023 Notes, we will issue ordinary shares to the purchasers of the warrants to the extent the price of our ordinary shares exceeds the warrant strike price of $40.86 at that time. The following table shows the number of shares that we would issue to warrant counterparties at expiration of the warrants based on the warrants outstanding as of September 29, 2019 assuming various closing prices of our ordinary shares on the date of warrant expiration:
Share price
 
Shares (in thousands)
$44.95
(10% greater than strike price)
2,219
$49.03
(20% greater than strike price)
4,068
$53.12
(30% greater than strike price)
5,633
$57.20
(40% greater than strike price)
6,974
$61.29
(50% greater than strike price)
8,137
The fair value of the 2023 Notes Conversion Derivative and the 2023 Notes Hedge is directly impacted by the price of our ordinary shares. We entered into the 2023 Notes Hedges in connection with the issuance of the 2023 Notes with the option counterparties. The 2023 Notes Hedges, which are cash-settled, are intended to reduce our exposure to potential cash payments we are required to make upon conversion of the 2023 Notes in excess of the principal amount of converted notes if our ordinary share price exceeds the conversion price. The following table presents the fair values of the 2023 Notes Conversion Derivative and 2023 Notes Hedge as a result of a hypothetical 10% increase and decrease in the price of our ordinary shares. We believe that a 10% change in our share price is reasonably possible in the near term:
(in thousands)
 
 
 
 
Fair value of security given a 10% decrease in share price
Fair value of security as of September 29, 2019
Fair value of security given a 10% increase in share price
2023 Notes Hedges (Asset)
$63,043
$83,329
$106,142
2023 Notes Conversion Derivative (Liability)
$60,907
$82,833
$107,839

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On May 20, 2016, we issued $395 million aggregate principal amount of the 2021 Notes. The holders of the 2021 Notes may convert their 2021 Notes into cash upon the satisfaction of certain circumstances as described in Note 10. At June 30, 2019, the closing price of our ordinary shares was greater than 130% of the 2021 Notes conversion price for 20 or more of the 30 consecutive trading days preceding the quarter-end; and, therefore, the holders of the 2021 Notes may convert the notes during the succeeding calendar quarter period. Due to the ability of the holders of the 2021 Notes to convert the notes during this period, the carrying value of the 2021 Notes and the fair value of the 2021 Notes Conversion Derivative were classified as current liabilities, and the fair value of the 2021 Notes Hedges was classified as current assets as of September 29, 2019. The respective balances were classified as long-term as of December 30, 2018. We currently do not expect significant conversions because the 2021 Notes currently trade at a premium to the as-converted value, and a converting holder would forego future interest payments. However, any conversions would reduce our cash resources. There were no conversions, and the 2021 Notes are no longer convertible as of the close of business on September 30, 2019.
The conversion and settlement provisions of the 2021 Notes are based on the price of our ordinary shares at conversion or at maturity of the notes. In addition, the hedges and warrants associated with these convertible notes also include settlement provisions that are based on the price of our ordinary shares. The amount of cash we may be required to pay, or the number of shares we may be required to provide to note holders at conversion or maturity of these notes, is determined by the price of our ordinary shares. The amount of cash that we may receive from hedge counterparties in connection with the related hedges and the number of shares that we may be required to provide warrant counterparties in connection with the related warrants are also determined by the price of our ordinary shares.
Upon the expiration of our warrants issued in connection with the 2021 Notes, we will issue ordinary shares to the purchasers of the warrants to the extent the price of our ordinary shares exceeds the warrant strike price of $30.00 at that time. The following table shows the number of shares that we would issue to warrant counterparties at expiration of the warrants based on the warrants outstanding as of September 29, 2019 assuming various closing prices of our ordinary shares on the date of warrant expiration:
Share price
 
Shares (in thousands)
$33.00
(10% greater than strike price)
1,681
$36.00
(20% greater than strike price)
3,082
$39.00
(30% greater than strike price)
4,268
$42.00
(40% greater than strike price)
5,284
$45.00
(50% greater than strike price)
6,164
The fair value of the 2021 Notes Conversion Derivative and the 2021 Notes Hedge is directly impacted by the price of our ordinary shares. We entered into the 2021 Notes Hedges in connection with the issuance of the 2021 Notes with the option counterparties. The 2021 Notes Hedges, which are cash-settled, are intended to reduce our exposure to potential cash payments we are required to make upon conversion of the 2021 Notes in excess of the principal amount of converted notes if our ordinary share price exceeds the conversion price. The following table presents the fair values of the 2021 Notes Conversion Derivative and 2021 Notes Hedge as a result of a hypothetical 10% increase and decrease in the price of our ordinary shares. We believe that a 10% change in our share price is reasonably possible in the near term:
(in thousands)
 
 
 
 
Fair value of security given a 10% decrease in share price
Fair value of security as of September 29, 2019
Fair value of security given a 10% increase in share price
2021 Notes Hedges (Asset)
$70,790
$93,198
$117,909
2021 Notes Conversion Derivative (Liability)
$68,358
$91,833
$117,896
On February 13, 2015, WMG issued $632.5 million aggregate principal amount of the 2020 Notes. A portion of the 2020 Notes was exchanged in conjunction with both the 2021 Notes and the 2023 Notes. As of September 29, 2019, $56.5 million aggregate principal amount was outstanding on the 2020 Notes. On or after August 15, 2019, holders may convert their 2020 Notes solely into cash. Due to the ability of the holders of the 2020 Notes to convert within the next year, the carrying value of the 2020 Notes and the fair value of the 2020 Notes Conversion Derivatives were classified as current liabilities and the fair value of the 2020 Notes Hedges was classified as current assets as of September 29, 2019 and December 30, 2018.
The conversion and settlement provisions of the 2020 Notes are based on the price of our ordinary shares at conversion or at maturity of the notes. In addition, the hedges and warrants associated with these convertible notes also include settlement provisions that are based on the price of our ordinary shares. The amount of cash we may be required to pay, or the number of shares we may be required to provide to note holders at conversion or maturity of these notes, is determined by the price of our ordinary shares. The amount of cash that we may receive from hedge counterparties in connection with the related hedges and the number of shares

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that we may be required to provide warrant counterparties in connection with the related warrants are also determined by the price of our ordinary shares.
Upon the expiration of our warrants associated with the 2020 Notes, we will issue ordinary shares to the purchasers of the warrants to the extent the price of our ordinary shares exceeds the warrant strike price at that time. On November 24, 2015, Wright Medical Group N.V. assumed WMG’s obligations pursuant to the warrants, and the strike price of the warrants was adjusted from $40.00 to $38.8010 per ordinary share. The following table shows the number of shares that we would issue to warrant counterparties at expiration of the warrants based on the warrants outstanding as of September 29, 2019 assuming various closing prices of our ordinary shares on the date of warrant expiration:
Share price
 
Shares (in thousands)
$42.68
(10% greater than strike price)
171
$46.56
(20% greater than strike price)
314
$50.44
(30% greater than strike price)
435
$54.32
(40% greater than strike price)
539
$58.20
(50% greater than strike price)
628
The fair value of the 2020 Notes Conversion Derivative and the 2020 Notes Hedge is directly impacted by the price of our ordinary shares. We entered into the 2020 Notes Hedges in connection with the issuance of the 2020 Notes with the option counterparties. In conjunction with the issuance of the 2021 Notes, a portion of the 2020 Notes Conversion Derivative and the 2020 Notes Hedges were settled. In conjunction with the issuance of the 2023 Notes and the Additional 2023 Notes, a portion of the 2020 Notes Conversion Derivative and the 2020 Notes Hedges were settled as described in Note 6. The remaining 2020 Notes Hedges, which are cash-settled, are intended to reduce our exposure to potential cash payments we are required to make upon conversion of the 2020 Notes in excess of the principal amount of converted notes if our ordinary share price exceeds the conversion price. The following table presents the fair values of the 2020 Notes Conversion Derivative and 2020 Notes Hedges as a result of a hypothetical 10% increase and decrease in the price of our ordinary shares. We believe that a 10% change in our share price is reasonably possible in the near term:
(in thousands)
 
 
 
 
Fair value of security given a 10% decrease in share price
Fair value of security as of September 29, 2019
Fair value of security given a 10% increase in share price
2020 Notes Hedges (Asset)
$113
$340
$816
2020 Notes Conversion Derivative (Liability)
$108
$331
$806
Foreign Currency Exchange Rate Fluctuations
Fluctuations in the rate of exchange between the U.S. dollar and foreign currencies could adversely affect our financial results. Approximately 20% and 21% of our net sales from continuing operations were denominated in foreign currencies during the three and nine months ended September 29, 2019 and we expect that foreign currencies will continue to represent a similarly significant percentage of our net sales in the future. The cost of sales related to these sales is primarily denominated in U.S. dollars; however, operating costs related to these sales are largely denominated in the same respective currencies, thereby partially limiting our transaction risk exposure. For sales not denominated in U.S. dollars, an increase in the rate at which a foreign currency is exchanged for U.S. dollars will require more of the foreign currency to equal a specified amount of U.S. dollars than before the rate increase. In such cases, if we price our products in the foreign currency, we will receive less in U.S. dollars than we did before the rate increase went into effect. If we price our products in U.S. dollars and our competitors price their products in local currency, an increase in the relative strength of the U.S. dollar could result in our prices not being competitive in a market where business is transacted in the local currency.
For the three and nine months ended September 29, 2019, approximately 90% of our net sales denominated in foreign currencies were derived from European Union countries, which are denominated in the euro; from the United Kingdom, which are denominated in the British pound; from Australia which are denominated in the Australian dollar; and from Canada, which are denominated in the Canadian dollar. Additionally, we have significant intercompany receivables, payables, and debt from our foreign subsidiaries that are denominated in foreign currencies, principally the euro, the Japanese yen, the British pound, the Australian dollar, and the Canadian dollar. Our principal exchange rate risk, therefore, exists between the U.S. dollar and the euro, the Japanese yen, the British pound, the Australian dollar, and the Canadian dollar. Fluctuations from the beginning to the end of any given reporting period result in the revaluation of our foreign currency-denominated intercompany receivables, payables, and debt generating currency translation gains or losses that impact our non-operating income and expense levels in the respective period.

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A uniform 10% strengthening in the value of the U.S. dollar relative to the currencies in which our transactions are denominated would have resulted in an increase in operating income of approximately $1.0 million and $1.5 million for the three and nine months ended September 29, 2019, respectively. This hypothetical calculation assumes that each exchange rate would change in the same direction relative to the U.S. dollar. This sensitivity analysis of the effects of changes in foreign currency exchange rates does not factor in a potential change in sales levels or local currency prices, which can also be affected by the change in exchange rates.
ITEM 4. CONTROLS AND PROCEDURES.
Disclosure Controls and Procedures
We have established disclosure controls and procedures, as such term is defined in Rule 13a-15(e) under the Securities Exchange Act of 1934. Our disclosure controls and procedures are designed to ensure that material information relating to us, including our consolidated subsidiaries, is made known to our principal executive officer and principal financial officer by others within our organization. Under the supervision and with the participation of our management, including our principal executive officer and principal financial officer, we conducted an evaluation of the effectiveness of our disclosure controls and procedures as of September 29, 2019 to ensure that the information required to be disclosed by us in the reports that we file or submit under the Securities Exchange Act of 1934 is recorded, processed, summarized, and reported within the time periods specified in the SEC’s rules and forms. Disclosure controls and procedures include, without limitation, controls and procedures designed to ensure that information required to be disclosed by us in the reports that we file or submit under the Securities Exchange Act of 1934 is accumulated and communicated to our management, including our principal executive officer and principal financial officer as appropriate, to allow timely decisions regarding required disclosure. Based on this evaluation, our principal executive officer and principal financial officer concluded that our disclosure controls and procedures were effective as of September 29, 2019.
Changes in Internal Control Over Financial Reporting
During the fiscal quarter ended September 29, 2019, our French operations were migrated to our global Enterprise Resource Planning (ERP) system, which resulted in the modification of certain controls, procedures and processes. There were no other changes in our internal control over financial reporting during the fiscal quarter ended September 29, 2019 that materially affected, or that are reasonably likely to materially affect, our internal control over financial reporting.

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PART II - OTHER INFORMATION

ITEM 1. LEGAL PROCEEDINGS.
From time to time, we or our subsidiaries are subject to various pending or threatened legal actions and proceedings, including those that arise in the ordinary course of our business and some of which involve claims for damages that are substantial in amount. These actions and proceedings may relate to, among other things, product liability, intellectual property, distributor, commercial, and other matters. These actions and proceedings could result in losses, including damages, fines, or penalties, any of which could be substantial, as well as criminal charges. Although such matters are inherently unpredictable, and negative outcomes or verdicts can occur, we believe we have significant defenses in all of them, are vigorously defending all of them, and do not believe any of them will have a material adverse effect on our financial position. However, we could incur judgments, pay settlements, or revise our expectations regarding the outcome of any matter. Such developments, if any, could have a material adverse effect on our results of operations in the period in which applicable amounts are accrued, or on our cash flows in the period in which amounts are paid.
The actions and proceedings described in this section relate primarily to WMT, an indirect subsidiary of Wright Medical Group N.V., and are not necessarily applicable to Wright Medical Group N.V. or other affiliated entities. Maintaining separate legal entities within our corporate structure is intended to ring-fence liabilities. We believe our ring-fenced structure should preclude corporate veil-piercing efforts against entities whose assets are not associated with particular claims.
Patent Litigation
On March 23, 2018, WMT filed suit against Paragon 28, Inc. (Paragon 28) in the United States District Court for the District of Colorado, alleging infringement of ten patents concerning orthopedic plates, plating systems and instruments, and related methods of use. Our complaint seeks damages, injunctive relief and attorneys’ fees. On June 4, 2018, Paragon 28 filed an amended answer and counterclaim seeking declaratory judgment of non-infringement and invalidity of the patent-in-suit, and attorneys’ fees. On September 28, 2018, WMT filed an amended complaint adding claims against Paragon 28 for misappropriation of trade secrets and related wrongdoing. Paragon 28 filed a motion to dismiss those trade secret-related claims, which WMT has opposed, and the motion remains pending. In March 2019, Paragon 28 filed four petitions with the Patent Trial and Appeal Board seeking Inter Partes Reviews of the patents in question. We have filed responses opposing Paragon 28’s petitions.
Product Liability
We have been named as a defendant, in some cases with multiple other defendants, in lawsuits in which it is alleged that as yet unspecified defects in the design, manufacture, or labeling of certain metal-on-metal hip replacement products rendered the products defective. The lawsuits generally employ similar allegations that use of the products resulted in excessive metal ions and particulate in the patients into whom the devices were implanted, in most cases resulting in revision surgery (collectively, the CONSERVE® Claims) and generally seek monetary damages. We anticipate that additional lawsuits relating to metal-on-metal hip replacement products may be brought.
Because of the similar nature of the allegations made by several plaintiffs whose cases were pending in federal courts, upon motion of one plaintiff, Danny L. James, Sr., the United States Judicial Panel on Multidistrict Litigation on February 8, 2012 transferred certain actions pending in the federal court system related to metal-on-metal hip replacement products to the United States District Court for the Northern District of Georgia, for consolidated pre-trial management of the cases before a single United States District Court Judge (the MDL). The consolidated matter is known as In re: Wright Medical Technology, Inc. Conserve Hip Implant Products Liability Litigation.
Certain plaintiffs have elected to file their lawsuits in state courts in California. In doing so, most of those plaintiffs have named a surgeon involved in the design of the allegedly defective products as a defendant in the actions, along with his personal corporation. Pursuant to contractual obligations, we have agreed to indemnify and defend the surgeon in those actions. Similar to the MDL proceeding in federal court, because the lawsuits generally employ similar allegations, certain of those pending lawsuits in California were consolidated for pre-trial handling on May 14, 2012 pursuant to procedures of California State Judicial Counsel Coordinated Proceedings (the JCCP). The consolidated matter is known as In re: Wright Hip Systems Cases, Judicial Counsel Coordination Proceeding No. 4710. Pursuant to previously disclosed settlement agreements with the Court-appointed attorneys representing plaintiffs in the MDL and JCCP described below (the MoM Settlement Agreements), the MDL and JCCP were closed to new cases effective October 18, 2017 and October 31, 2017, respectively.
Every hip implant case, including metal-on-metal hip cases, involves fundamental issues of law, science and medicine that often are uncertain, that continue to evolve, and which present contested facts and issues that can differ significantly from case to case. Such contested facts and issues include medical causation, individual patient characteristics, surgery specific factors, statutes of limitation, and the existence of actual, provable injury. We believe we have data that supports the efficacy and safety of these hip products.

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Excluding claims resolved in the MoM Settlement Agreements, as of September 29, 2019, there were approximately 195 unresolved metal-on-metal hip cases pending in the U.S. This number includes cases ineligible for settlement under the MoM Settlement Agreements, cases which opted out of such settlements, post-settlement cases, tolled cases, and existing state court cases that were not part of the MDL or JCCP. As of September 29, 2019, we estimate there also were pending approximately 36 unresolved non-U.S. metal-on metal hip cases, 48 unresolved U.S. modular neck cases alleging claims related to the release of metal ions, and zero non-U.S. modular neck cases with metal ion allegations. We also estimate that as of September 29, 2019, there were approximately 525 non-revision claims either dismissed or awaiting dismissal from the MDL and JCCP, which dismissal is a condition of the MoM Settlement Agreements. Although there is a limited time period during which dismissed non-revision claims may be refiled, it is presently unclear how many non-revision claimants will elect to do so. As of September 29, 2019, no dismissed non-revision cases have been refiled.
As previously disclosed, between November 2016 and October 2017, WMT entered into three MoM Settlement Agreements with Court-appointed attorneys representing plaintiffs in the MDL and JCCP to settle a total of 1,974 cases that met the eligibility requirements of the MoM Settlement Agreements and were either pending in the MDL or JCCP, or subject to court-approved tolling agreements in the MDL or JCCP, for an aggregate sum of $339.2 million. See Note 13 to our condensed consolidated financial statements for additional information regarding the MoM Settlement Agreements.
We have received claims for personal injury against us associated with fractures of the PROFEMUR® titanium modular neck product (Titanium Modular Neck Claims). As of September 29, 2019, there were approximately 23 unresolved pending U.S. lawsuits and approximately 53 unresolved pending non-U.S. lawsuits alleging such claims (44 of which are part of a single consolidated class action lawsuit in Canada). These lawsuits generally seek monetary damages.
We are aware that MicroPort has recalled a certain size of its cobalt chrome modular neck product as a result of alleged fractures. As of September 29, 2019, there were thirteen pending U.S. lawsuits and five pending non-U.S. lawsuits against us alleging personal injury resulting from the fracture of a cobalt chrome modular neck. These lawsuits generally seek monetary damages.
Insurance Litigation
We have maintained product liability insurance coverage on a claims-made basis. During the fiscal quarter ended September 30, 2012, we received a customary reservation of rights from Federal, our then primary product liability insurance carrier, asserting that certain present and future claims which allege certain types of injury related to the CONSERVE® Claims would be covered as a single occurrence under the policy year the first such claim was asserted. The effect of this coverage position would have been to place CONSERVE® Claims into a single prior policy year in which applicable claims-made coverage was available, subject to the overall policy limits then in effect. We notified Federal that we disputed its characterization of the CONSERVE® Claims as a single occurrence, which resulted in multi-year insurance coverage litigation (the Tennessee Coverage Litigation) that has recently been resolved as discussed below.
As previously disclosed, we entered into confidential settlement agreements with six of the seven insurance carriers with whom metal on metal hip coverage was in dispute - Columbia Casualty Company, Travelers, AXIS Surplus Lines Insurance Company, Federal, Catlin Specialty Insurance Company, and Catlin Underwriting Agencies Limited for and on behalf of Syndicate 2003 at Lloyd’s of London, thus resolving in full the Tennessee Coverage Litigation.
Separately, in March 2017, Lexington Insurance Company (Lexington), which had been dismissed from the Tennessee Coverage Litigation, requested arbitration under five Lexington insurance policies in connection with the CONSERVE® Claims. We subsequently engaged in discussions and correspondence with Lexington about the scope of the requested arbitration(s). On or about October 27, 2017, Lexington filed an Application for Order to Compel Arbitration in the Commonwealth of Massachusetts, Suffolk County Superior Court, naming WMT, Wright Medical Group, Inc., and Wright Medical Group N.V. We opposed the Application. On February 28, 2018, the Massachusetts Court ordered the parties to arbitrate the two Lexington insurance policies containing Massachusetts arbitration clauses but did not order arbitration under the remaining three Lexington policies at issue. We have appealed that ruling. The appeal, pending in the Appeals Court of the Common Wealth of Massachusetts, is known as Lexington Insurance Company v. Wright Medical Group, Inc., Wright Medical Group, N.V., and Wright Medical Technology, Inc., Case No. 2018-P-0698. While the appeal is pending, we are proceeding with the arbitration, but the selection of the arbitrators is still in dispute. In the arbitration, Lexington has asserted a claim for declaratory relief, and we have asserted counter-claims for breach of contract, declaratory relief, and bad faith.
On September 26, 2018, Lexington sought to add a claim alleging our filing of the Tennessee lawsuit referred to below was not in good faith. We objected to Lexington’s additional claim and argued that such claim could only be added upon agreement of the arbitrators (who are yet to be selected). The American Arbitration Association agreed with our position.
On May 22, 2018, we initiated a lawsuit against Lexington under the three policies that the court did not order into arbitration in Massachusetts. The lawsuit, filed in the Chancery Court of Tennessee for the Thirtieth Judicial District at Memphis, is known as Wright Medical Group, Inc. and Wright Medical Technology, Inc. v. Lexington Insurance Company, No. CH-18-0764. The lawsuit, filed in the Chancery Court of Tennessee, alleges breach of contract, declaratory relief, and bad faith in connection with Lexington’s

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failure and refusal to provide coverage for the underlying metal-on-metal claims under policies issued for 2009-2012. On July 12, 2018, Lexington brought a motion to stay the litigation and compel arbitration under the 2009-2011 Lexington policies. On February 21, 2019, we filed a motion to strike Lexington’s motion to stay. On March 13, 2019, we filed an opposition to Lexington’s motion.
As previously disclosed, on July 23, 2019, we reached an agreement in principle with Lexington to settle all presently remaining disputes between us, pursuant to which, among other things, Lexington agreed to buy back the subject insurance policies for an aggregate of $15.5 million (in addition to $5 million previously paid by Lexington). On October 7, 2019, we entered into the definitive agreement with Lexington, which requires Lexington to pay the $15.5 million by November 21, 2019. This settlement is in full satisfaction of all potential liability of Lexington relating to metal-on-metal hip claims, including but not limited to all claims asserted by our subsidiary WMT against Lexington in the above described insurance coverage arbitration and litigation.
Other
In addition to those noted above, we are subject to various other legal proceedings, product liability claims, corporate governance, and other matters which arise in the ordinary course of business.
ITEM 1A. RISK FACTORS.
There have been no material changes to the risk factors that were discussed in Part I, Item 1A of our Annual Report on Form 10-K for the year ended December 30, 2018, as filed with the SEC on February 27, 2019, other than the addition of the following new risk factors as a result of the proposed acquisition of Wright by Stryker.
Risks related to the proposed acquisition of Wright by Stryker
The proposed acquisition of Wright by Stryker is subject to a number of conditions beyond our control. Failure to complete the proposed acquisition within the expected time frame, or at all, could have a material adverse effect on our business, operating results, financial condition and our share price.
On November 4, 2019, we entered into a Purchase Agreement (the Purchase Agreement) with Stryker and Stryker’s subsidiary, Stryker B.V. related to the proposed acquisition of Wright by Stryker (the Acquisition). Pursuant to the Purchase Agreement, and upon the terms and subject to the conditions thereof, Stryker B.V. will commence a tender offer (the Offer) to purchase all of our outstanding ordinary shares. If certain conditions are satisfied and the Offer closes, Stryker may acquire any remaining shares through a reorganization of the company. The obligation of Stryker and Stryker B.V. to consummate the Offer is subject to the condition that there be validly tendered and not withdrawn prior to the expiration of the Offer a number of ordinary shares representing at least 95% of the ordinary shares outstanding as of the scheduled expiration of the Offer (such condition, the Minimum Condition); provided, that Stryker may elect to reduce the Minimum Condition to a percentage of not less than 80%; and provided further that if Wright’s shareholders have adopted certain resolutions related to the reorganization of the company at the extraordinary general meeting of shareholders, the Minimum Condition will be reduced to 80%. The Minimum Condition may not be waived by Stryker without the prior written consent of Wright. The obligation of Stryker B.V. to consummate the Offer is also subject to the expiration of the waiting period (and any extension thereof) under the Hart-Scott-Rodino Antitrust Improvements Act of 1976, as amended (HSR Act), and the receipt of other required approvals and clearances under applicable antitrust laws, the adoption of certain resolutions by Wright’s shareholders at the extraordinary general meeting of shareholders and other customary conditions.
We cannot predict whether and when these conditions will be satisfied. If one or more of these conditions is not satisfied, and as a result, we do not complete the proposed Acquisition, we would remain liable for significant transaction costs, and the focus of our management would have been diverted from seeking other potential strategic opportunities, in each case without realizing any benefits of the proposed Acquisition. Certain costs associated with the proposed Acquisition have already been incurred or may be payable even if the proposed Acquisition is not consummated. Finally, any disruptions to our business resulting from the announcement and pendency of the proposed Acquisition, including any adverse changes in our relationships with our customers, partners, suppliers and employees, could continue or accelerate in the event that we fail to consummate the proposed Acquisition.
Our share price may also fluctuate significantly based on announcements by Stryker and other third parties or us regarding the Acquisition or based on market perceptions of the likelihood of the satisfaction of the Minimum Condition or other conditions to the consummation of the Acquisition. Such announcements may lead to perceptions in the market that the Acquisition may not be completed, which could cause our share price to fluctuate or decline. If we do not consummate the Acquisition, the price of our ordinary shares may decline significantly from the current market price, which may reflect a market assumption that the proposed Acquisition will be consummated. Any of these events could have a material adverse effect on our business, operating results and financial condition and could cause a decline in the price of our ordinary shares.
The Offer consideration payable to holders of our ordinary shares will not be adjusted for changes in our business, assets, liabilities, prospects, outlook, financial condition or results of operations, or in the event of any change in our share price.
The Offer consideration payable to holders of our ordinary shares will not be adjusted for changes in our business, assets, liabilities, prospects, outlook, financial condition or results of operations, or changes in the market price of, analyst estimates of, or projections

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relating to, our ordinary shares. For example, if we experienced an improvement in our business, assets, liabilities, prospects, outlook, financial condition or results of operations prior to the consummation of the proposed Acquisition, there would be no adjustment to the amount of the proposed Offer consideration.
The Purchase Agreement contains provisions that could discourage a potential competing acquirer.
Under the terms of the Purchase Agreement, we have agreed not to solicit or initiate discussions with third parties regarding other proposals to acquire Wright and are subject to restrictions on our ability to respond to any such proposal, except as permitted under the terms of the Purchase Agreement. In the event that we receive an acquisition proposal from a third party, we must notify Stryker of such proposal and negotiate in good faith with Stryker prior to terminating the Purchase Agreement or effecting a change in the recommendation of our Board of Directors to our shareholders with respect to the proposed Acquisition. The Purchase Agreement also contains certain termination rights for both Stryker and us and further provides that, upon termination of the Purchase Agreement under specified circumstances, including certain terminations in connection with an alternative business combination transaction as permitted by the terms of the Purchase Agreement, we will be required to pay Stryker a termination fee of $150 million.
These provisions could discourage a potential third-party acquirer that might have an interest in acquiring all or a significant portion of us from considering or proposing that acquisition, even if it were prepared to pay consideration with a higher per share cash or market value than the market value proposed to be received or realized in the Acquisition. These provisions also might result in a potential third-party acquirer proposing to pay a lower price to our shareholders than it might otherwise have proposed to pay due to the added expense of the $150 million termination fee that may become payable in certain circumstances.
If the Purchase Agreement is terminated and we determine to seek another business combination, we may not be able to negotiate a transaction with another party on terms comparable to, or better than, the terms of the proposed Acquisition.
Shareholder litigation could prevent or delay the closing of the proposed Acquisition or otherwise negatively impact our business, operating results and financial condition.
We may incur additional costs in connection with the defense or settlement of any future shareholder litigation in connection with the proposed Acquisition. Such litigation may adversely affect our ability to complete the proposed Acquisition. We could incur significant costs in connection with any such litigation lawsuit, including costs associated with the indemnification of obligations to our directors. Furthermore, one of the conditions to the closing of the proposed Acquisition is the absence of any governmental order or law preventing the Acquisition or making the consummation of the proposed Acquisition illegal. Consequently, if a plaintiff were to secure injunctive or other relief prohibiting, delaying or otherwise adversely affecting our ability to complete the proposed Acquisition, then such injunctive or other relief may prevent the proposed Acquisition from becoming effective within the expected time frame or at all.
We may be unable to obtain the regulatory approvals required to complete the proposed Acquisition.
One of the conditions to consummation of the proposed Acquisition is receipt of certain regulatory approvals, including the expiration or termination of the applicable waiting periods (and any extension thereof) under the HSR Act and antitrust notification and approvals in certain European and other jurisdictions. There can be no assurance that such regulatory approvals, or any other regulatory approvals that might be required to consummate the proposed Acquisition will be obtained. If such regulatory approvals are obtained, there can be no assurance as to the timing of such approvals, our ability to obtain the approvals on satisfactory terms or in the absence of any litigation challenging such approvals.
At any time before or after the consummation of the proposed Acquisition (and notwithstanding the termination of the waiting period under the HSR Act), the U.S. Department of Justice, Federal Trade Commission or any state or non-U.S. governmental entity could take such action, under antitrust laws or otherwise, as it deems necessary or desirable in the public interest. Such action could include seeking to enjoin the consummation of the proposed Acquisition or seeking the divestiture of substantial assets. Private parties may also seek to take legal action under antitrust laws under certain circumstances. If the proposed Acquisition does not receive, or timely receive, the required regulatory approvals and clearances, or if another event occurs delaying or preventing the proposed Acquisition, such delay or failure to complete the proposed Acquisition may create uncertainty or otherwise have negative consequences that may materially and adversely affect our financial condition and results of operations, as well as the price per share for our ordinary shares.
While the proposed Acquisition is pending, we are subject to business uncertainties and contractual restrictions that could disrupt our business, and the proposed Acquisition may impair our ability to attract and retain qualified employees or retain and maintain relationships with our customers, suppliers and other business partners.
Whether or not the proposed Acquisition is consummated, the proposed Acquisition may disrupt our current plans and operations, which could have an adverse effect on our business and financial results. The pendency of the Acquisition may also divert management's attention and our resources from ongoing business and operations and our employees and other key personnel may have uncertainties about the effect of the proposed Acquisition, and the uncertainties may impact our ability to retain, recruit and

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hire key personnel while the proposed Acquisition is pending or if it fails to close. Furthermore, if key personnel depart because of such uncertainties, or because they do not wish to remain with the combined company after closing, our business and results of operations may be adversely affected. In addition, we cannot predict how our suppliers, customers and other business partners will view or react to the proposed Acquisition upon consummation. If we are unable to reassure our customers, suppliers and other business partners to continue transacting business with us, our sales, financial condition and results of operations may be adversely affected.
In addition, the Purchase Agreement generally requires us to operate in the ordinary course of business consistent with past practice, pending consummation of the Acquisition, and restricts us from taking certain actions with respect to our business and financial affairs without Stryker’s consent. Such restrictions will be in place until either the Acquisition is consummated or the Purchase Agreement is terminated. These restrictions could restrict our ability to, or prevent us from, pursuing attractive business opportunities (if any) that arise prior to the consummation of the Acquisition. For these and other reasons, the pendency of the Acquisition could adversely affect our business, operating results and financial condition.
We have incurred, and will continue to incur, direct and indirect costs as a result of the proposed Acquisition.
We have incurred, and will continue to incur, significant costs and expenses, including fees for professional services and other transaction costs, in connection with the Acquisition, including costs that we may not currently expect. We must pay substantially all of these costs and expenses whether or not the transaction is completed. If the Purchase Agreement is terminated under specified circumstances, we would be required to pay to Stryker a termination fee equal to $150 million. There are a number of factors beyond our control that could affect the total amount or the timing of these costs and expenses.
ITEM 2. UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS.
None.
ITEM 3. DEFAULTS UPON SENIOR SECURITIES.
None.
ITEM 4. MINE SAFETY DISCLOSURES.
Not applicable.
ITEM 5. OTHER INFORMATION.
Not applicable.
ITEM 6. EXHIBITS.
(a)
Exhibits.
The following exhibits are being filed or furnished with this Quarterly Report on Form 10-Q:
Exhibit No.
 
Exhibit
 
Method of Filing
2.1
 
Purchase Agreement, dated November 4, 2019, among Wright Medical Group N.V., Stryker Corporation and Stryker B.V.*
 
31.1
 
Certification of Chief Executive Officer pursuant to Exchange Act Rules 13a-14(a)/15d-14(a), as adopted pursuant to Section 302 of the Sarbanes‑Oxley Act of 2002
 
31.2
 
Certification of Chief Financial Officer pursuant to Exchange Act Rules 13a-14(a)/15d-14(a), as adopted pursuant to Section 302 of the Sarbanes‑Oxley Act of 2002
 
32.1
 
Certification of Chief Executive Officer and Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes‑Oxley Act of 2002
 

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Exhibit No.
 
Exhibit
 
Method of Filing
101
 
The following materials from Wright Medical Group N.V.’s Quarterly Report on Form 10-Q for the fiscal quarter ended September 29, 2019, formatted in iXBRL (Inline eXtensible Business Reporting Language): (i) the Consolidated Balance Sheets as of September 29, 2019 and December 30, 2018, (ii) the Consolidated Statements of Operations for the three and nine months ended September 29, 2019 and September 30 2018, (iii) the Consolidated Statements of Comprehensive Loss for the three and nine months ended September 29, 2019 and September 30, 2018, (iv) the Consolidated Statements of Cash Flows for the nine months ended September 29, 2019 and September 30, 2018, (v) the Consolidated Statements of Changes in Shareholders’ Equity for the three and nine months ended September 29, 2019 and September 30, 2018, and (vi) Notes to Consolidated Financial Statements (The instance document does not appear in the interactive data file because its XBRL tags are embedded within the Inline XBRL document.)
 
Filed herewith
104
 
The cover page from Wright Medical Group N.V.’s Quarterly Report on Form 10-Q for the fiscal quarter ended September 29, 2019 is formatted in iXBRL (Inline eXtensible Business Reporting Language)
 
Included in Exhibit 101

*     The schedules to the Purchase Agreement have been omitted from this filing pursuant to Item 601(b)(2) of Regulation S-K. The Company hereby agrees to supplementally furnish copies of any such schedules to the U.S. Securities and Exchange Commission upon request.


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SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
November 8, 2019    
WRIGHT MEDICAL GROUP N.V.
 
By:  
/s/ Robert J. Palmisano
 
Robert J. Palmisano
 
President and Chief Executive Officer 
 
(principal executive officer)
 
 
By:  
/s/ Lance A. Berry
 
Lance A. Berry
 
Executive Vice President, Chief Financial and Operations Officer 
 
(principal financial officer)






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