Given Imaging Ltd. Reports First Quarter 2009 Results

YOQNEAM, ISRAEL--(Marketwire - May 06, 2009) - Given Imaging Ltd. (NASDAQ: GIVN) today announced financial results for the first quarter ended March 31, 2009.

Worldwide revenues were $30.5 million in the first quarter of 2009, a 12 percent increase from $27.1 million in the first quarter of 2008. Gross margin in the first quarter of 2009 was 76 percent, compared to gross margin of 71.1 percent in the first quarter of 2008.

Net income for the first quarter of 2009 was $239,000 or $0.01 per share on a fully diluted GAAP basis, compared to net income of $1.1 million, or $0.03 per share on a fully diluted GAAP basis in the first quarter of 2008. Non-GAAP earnings per share for the first quarter of 2009 were $0.06, compared to break-even in the same quarter of last year. A reconciliation of GAAP results to non-GAAP results is included in the financial statements.

Cash and cash equivalents, short-term investments and marketable securities at March 31, 2009 totaled $74 million.

"We are pleased that we achieved solid top and bottom line results in the first quarter of 2009, despite economic conditions which adversely affected the demand for capital equipment," said Homi Shamir, president and CEO of Given Imaging. "The 12% increase in first quarter revenue reflects sales growth of 28% in the Americas region. This was primarily due to a 21% increase in PillCam revenue as well as a solid contribution from our new Bravo pH Monitoring System in the U.S. While the number of PillCam capsules sold in the EMEA region was also strong, increasing by 21% compared to the same period last year, the dollar's strength this quarter impacted the overall level of sales on a reporting basis from this region as well as from Asia and Australia. We remain cautiously optimistic regarding our prospects this year as we expand the global footprint for PillCam, particularly in France and Japan, and continue to grow the market for PillCam SB and the Bravo System in the U.S."

First Quarter 2009 Revenue Analysis

Sales in the Americas region were $20.2 million and include Bravo System revenue of approximately $2.9 million. Including Bravo System sales, revenue in the Americas region increased 27.8 percent from sales of $15.8 million in the same period in 2008. Relative weakness of the Euro impacted revenue growth in the EMEA region where sales came in flat at $8.2 million compared to the same period last year. APAC sales declined by 29 percent to $2.2 million compared to $3.1 million in the same period in 2008. Sales in the region were also affected by foreign exchange.

The strengthening U.S. dollar reduced total first quarter 2009 revenues by 5%, or $1.5 million compared to the first quarter of 2008.

Worldwide PillCam SB sales amounted to 50,100 capsules in the first quarter of 2009, an increase of 8.7 percent compared to the same period last year. PillCam SB sales in the Americas region increased by 15 percent to 34,400 in the first quarter of 2009 compared to 29,900 in the first quarter of 2008. PillCam SB sales in the EMEA region increased 21.3 percent compared to the first quarter of 2008 while PillCam SB sales in the APAC region decreased 52%. Worldwide reorders of PillCam SB increased by 10 percent to approximately 49,000 compared to approximately 44,600 in the first quarter of 2008. Reorders of PillCam SB in the Americas region increased by 16 percent to 34,100 compared to 29,300 in the first quarter of 2008. Reorders in the EMEA region increased by 22 percent, while APAC reorders decreased by 55%.

Supplemental first quarter data can be found at www.givenimaging.com in the Investor Relations section.

2009 Guidance

The company is reaffirming its guidance for 2009 of revenues between $141 million and $148 million, and GAAP EPS of between $0.20 - $0.28, and non-GAAP EPS (excluding charges relating to FAS123R) of $0.46 - $0.54.

Recent Developments

-- Dividend Payment

Given Imaging paid a special cash dividend of approximately $0.54 per share, or $15.8 million on March 11, 2009.

-- Named One of the Top 100 Most Trustworthy Companies

Given Imaging was named one of the top 100 most trustworthy publicly traded small cap companies in an annual listing compiled by Forbes.com and Audit Integrity, an independent financial analytics firm. Given Imaging was ranked 18th on a list of more than 12,000 companies analyzed which includes companies demonstrating clear financial reporting and transparent corporate governance. The top100 companies have a low incidence of risk factors in accounting, governance and high risk events.

Conference Call / Webcast Information

U.S. Call / Webcast

The company will host a conference call in English at 9:00am ET on Thursday, May 7. To participate in this teleconference, please dial 888-677-8775 fifteen minutes before the conference is scheduled to begin. Callers outside of the U.S. should dial 913-312-1421. The call will also be webcast live at www.givenimaging.com. A replay of the call will be available for two weeks on the company's website, or until May 21 by dialing 888-203-1112. Callers outside of the U.S. should dial 719-457-0820. The replay participant code is 4221114.

Hebrew Call

A separate conference call in Hebrew will take place on May 7 at 2:00pm Israel time, 7am ET. To access this call, please dial +972 3 9180609 ten minutes before the conference is scheduled to begin. A replay of the call will be available from May 7 until May 9 by dialing +972 3 9255930.

About Given Imaging

Since 2001 Given Imaging has advanced gastrointestinal diagnosis by developing innovative, patient-friendly tools based on its PillCam® Platform. PillCam capsule endoscopy provides physicians with natural images of the small intestine via PillCam SB, the esophagus through PillCam ESO and the colon with PillCam COLON [not cleared for use in the USA]. The PillCam capsules are miniature video cameras that patients ingest. Given Imaging's other capsule products include Agile™ patency capsule, to verify intestinal patency, and Bravo®, the only wireless, catheter-free, 48-hour pH test commercially available for pH testing to assess gastroesophageal reflux disease (GERD). Given Imaging's products use cutting-edge wireless technology and advanced software to enable gastroenterologists to better diagnose and more accurately treat patients. All Given Imaging products allow patients to maintain normal activities. Given Imaging's headquarters, manufacturing and R&D facilities are located in Yoqneam, Israel, with operating subsidiaries in the United States, Germany, France, Japan, Australia and Singapore. For more information, please visit http://www.givenimaging.com.

Use of Non-GAAP Measures

This press release provides financial measures for net income and basic and diluted earnings per share that exclude certain items and are therefore not calculated in accordance with generally accepted accounting principals (GAAP). Management believes that these non-GAAP financial measures provide meaningful supplemental information regarding our performance that enhances management's and investors' ability to evaluate the Company's net income and earnings per share and to compare it with historical net income and earnings per share.

The presentation of this non-GAAP financial information is not intended to be considered in isolation or as a substitute for the financial information prepared and presented in accordance with GAAP. Management uses both GAAP and non-GAAP measures when evaluating the business internally and therefore felt it is important to make these non-GAAP adjustments available to investors.

Forward-Looking Statements

This press release contains forward-looking statements within the meaning of the "safe harbor" provisions of the U.S. Private Securities Litigation Reform Act of 1995. These forward-looking statements include, but are not limited to, projections about our business and our future revenues, expenses and profitability. Forward-looking statements may be, but are not necessarily, identified by the use of forward-looking terminology such as "may," "anticipates," "estimates," "expects," "intends," "plans," "believes," and words and terms of similar substance. Forward-looking statements involve known and unknown risks, uncertainties and other factors which may cause the actual events, results, performance, circumstances or achievements of the Company to be materially different from any future events, results, performance, circumstances or achievements expressed or implied by such forward-looking statements. Factors that could cause actual events, results, performance, circumstances or achievements to differ from such forward-looking statements include, but are not limited to, the following: (1) our ability to develop and bring to market new products, (2) our ability to receive regulatory clearance or approval to market our products or changes in regulatory environment, (3) our success in implementing our sales, marketing and manufacturing plans, (4) protection and validity of patents and other intellectual property rights, (5) the impact of currency exchange rates, (6) the effect of competition by other companies, (7) the outcome of significant litigation, (8) our ability to obtain reimbursement for our product from government and commercial payors, (9) quarterly variations in operating results, (10) the possibility of armed conflict or civil or military unrest in Israel, (11) the impact of global economic conditions, and (12) other risks and factors disclosed in our filings with the U.S. Securities and Exchange Commission, including, but not limited to, risks and factors identified under such headings as "Risk Factors," "Cautionary Language Regarding Forward-Looking Statements" and "Operating Results and Financial Review and Prospects" in the Company's Annual Report on Form 20-F for the year ended December 31, 2008. You are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date of this press release. Except for the Company's ongoing obligations to disclose material information under the applicable securities laws, it undertakes no obligation to release publicly any revisions to any forward-looking statements, to report events or to report the occurrence of unanticipated events.


           Given Imaging Ltd. and its Consolidated Subsidiaries
                        Consolidated Balance Sheets
                      In thousands except share data

                                                   March 31,   December 31,
                                                 ------------  ------------
                                                     2009          2008
                                                 ------------  ------------
                                                  (Unaudited)   (Audited)
                                                 ------------  ------------
Assets

Current assets
Cash and cash equivalents                        $     37,296  $     31,697
Short-term investments                                 17,998        28,509
Accounts receivable:
  Trade (Net of provisions for doubtful debts of
   $258 and of $210 as of March 31, 2009 and
   December 31, 2008, respectively)                    21,854        21,673
  Other                                                 2,328         4,662
Inventories                                            22,295        18,931
Prepaid expenses                                        3,581         3,540
Deferred tax assets                                     1,168         1,178
Advances to suppliers                                   1,886         1,631
                                                 ------------  ------------

Total current assets                                  108,406       111,821
                                                 ------------  ------------

Deposits                                                1,031         1,094

Assets held for employee severance payments             3,544         3,686

Marketable Securities                                  18,681        30,063

Fixed assets, at cost, less accumulated
 depreciation                                          14,832        15,115

Intangible assets less accumulated amortization        11,906        12,067

Goodwill                                                4,092         4,069
                                                 ------------  ------------


Total Assets                                     $    162,492  $    177,915
                                                 ============  ============



           Given Imaging Ltd. and its Consolidated Subsidiaries
                        Consolidated Balance Sheets
                      In thousands except share data


                                                   March 31,   December 31,
                                                 ------------  ------------
                                                     2009          2008
                                                 ------------  ------------
                                                  (Unaudited)   (Audited)
                                                 ------------  ------------
Liabilities and shareholders' equity

Current liabilities

Current installments of obligation
 under capital lease                             $       131   $       114
Accounts payable
  Trade                                                6,826         7,418
  Other                                               18,124        17,612
Deferred income                                        1,129         1,523
                                                 -----------   -----------
Total current liabilities                             26,210        26,667
                                                 -----------   -----------

Long-term liabilities
Obligation under capital lease, net                      419           485
Liability in respect of employees' severance
 payments                                              4,306         4,599
                                                 -----------   -----------
Total long-term liabilities                            4,725         5,084
                                                 -----------   -----------
Total liabilities                                     30,935        31,751
                                                 -----------   -----------

Equity
Shareholders' equity
Ordinary Shares, NIS 0.05 par value each
 (90,000,000 shares authorized; 29,257,785 shares
 issued and fully paid as of March 31, 2009 and
 December 31, 2008)                                      343           343
Additional paid-in capital                           175,493       173,983
Capital reserve                                        2,166         2,166
Accumulated other comprehensive loss                    (858)         (600)
Accumulated deficit                                  (47,281)      (31,721)
Shareholders' equity                                 129,863       144,171
                                                 -----------   -----------
Noncontrolling interest                                1,694         1,993
                                                 -----------   -----------
Total Equity                                         131,557       146,164
                                                 -----------   -----------



Total liabilities and equity                     $   162,492   $   177,915
                                                 ===========   ===========



           Given Imaging Ltd. and its Consolidated Subsidiaries
                  Consolidated Statements of Operations
               In thousands except share and per share data

                                          Three month period   Year ended
                                            ended March 31,    December 31,
                                        ----------------------  ----------
                                           2009        2008        2008
                                        ----------  ----------  ----------
                                       (Unaudited) (Unaudited)   (Audited)
                                        ----------  ----------  ----------

Revenues                                $   30,473  $   27,124  $  125,108
Cost of revenues                            (7,318)     (7,835)    (33,001)
                                        ----------  ----------  ----------

Gross profit                                23,155      19,289      92,107
                                        ----------  ----------  ----------

Operating expenses
Research and development, gross             (4,010)     (3,796)    (15,126)
In-process research and development
 acquired in a business combination              -           -      (4,700)
                                        ----------  ----------  ----------
                                            (4,010)     (3,796)    (19,826)

Government grants                              334         420       1,530
                                        ----------  ----------  ----------
Research and development, net               (3,676)     (3,376)    (18,296)

Sales and marketing                        (13,958)    (14,962)    (60,902)
General and administrative                  (4,415)     (7,279)    (19,320)
Termination of marketing agreement               -       5,443       5,443
Other, net                                     (12)          -        (867)
                                        ----------  ----------  ----------

Total operating expenses                   (22,061)    (20,174)    (93,942)
                                        ----------  ----------  ----------

Operating profit (loss)                      1,094        (885)     (1,835)
Financing income, net                       (1,126)      1,596       4,004
                                        ----------  ----------  ----------

Profit (loss) before taxes on income           (32)        711       2,169
Income tax expense                             (28)       (159)       (250)
                                        ----------  ----------  ----------

Net Profit (loss)                              (60)        552       1,919

Net loss attributable to
 noncontrolling interest                       299         524       2,087
                                        ----------  ----------  ----------

Net profit attributable to shareholders $      239  $    1,076       4,006
                                        ==========  ==========  ==========

Earnings per share

Basic Earnings attributable to
 shareholders per Ordinary Share        $     0.01  $     0.04  $     0.14
                                        ==========  ==========  ==========

Diluted Earnings attributable to
 shareholders per Ordinary Share        $     0.01  $     0.03  $     0.13
                                        ==========  ==========  ==========

Weighted average number of Ordinary
 Shares used to compute basic
 Earnings per Ordinary share            29,257,785  29,250,952  29,254,035
                                        ==========  ==========  ==========

Weighted average number of Ordinary
 Shares used to compute dilute
 Earnings per Ordinary share            29,910,943  31,094,578  30,798,360
                                        ==========  ==========  ==========



           Given Imaging Ltd. and its Consolidated Subsidiaries
                  Consolidated Statements of Cash Flows
                              In thousands

                                      Three Month period ended
                                               March 31,        Year ended
                                        ---------------------- December 31,
                                           2009        2008        2008
                                        ----------  ----------  ----------
                                       (Unaudited) (Unaudited)   (Audited)
                                        ----------  ----------  ----------
Cash flows from operating activities:
Net profit (loss)                       $      (60) $      552  $    1,919

Adjustments required to reconcile net
 profit (loss) to net cash used in
 operating activities:

Depreciation and amortization                1,465       1,265       5,183
In-process research and development              -           -       4,700
Goodwill impairment                              -           -         406
Deferred tax assets                             10         162         172
Stock option compensation                    1,510       1,511       6,918
Other                                            9         172         621
Net increase in trading securities               -         (89)          -
Decrease (increase) in accounts
 receivable - trade                           (181)      4,951       1,642
Decrease in accounts receivable - other      2,334       7,550       5,723
Decrease (increase) in prepaid expenses       (255)         83        (342)
Increase in advances to suppliers              (41)        (63)     (3,350)
Increase in inventories                     (3,364)       (600)     (2,971)
Increase (decrease) in accounts payable        178      (2,088)     (3,287)
Decrease in deferred income                   (394)     (6,492)     (7,856)
                                        ----------  ----------  ----------
Net cash provided by operating
 activities                                  1,211       6,914       9,478
                                        ----------  ----------  ----------

Cash flows from investing activities:
Purchase of fixed assets and intangible
 assets                                     (1,056)     (1,247)     (6,300)
Purchase of fixed assets, intangible
 assets and goodwill in a business
 combination                                     -           -     (16,660)
Deposits                                         3         (25)       (192)
Proceeds from sales of marketable
 securities and short term investments      21,781      18,446      67,743
Proceeds from sales of fixed assets              -          25          61
Investments in marketable securities          (250)    (19,627)    (61,986)
                                        ----------  ----------  ----------
Net cash provided by (used in)
 investing activities                       20,478      (2,428)    (17,334)
                                        ----------  ----------  ----------

Cash flows from financing activities:
Principal payments on capital lease
 obligation                                    (33)        (50)       (120)
Proceeds from the issuance of Ordinary
 Shares                                          -         196         252
Dividend distribution                      (15,799)          -           -
Issuance of shares by consolidated
 company                                         -       1,207       2,288
                                        ----------  ----------  ----------
Net cash (used in) provided by
 financing activities                      (15,832)      1,353       2,420
                                        ----------  ----------  ----------

Effect of exchange rate changes on cash       (258)        175          30
                                        ----------  ----------  ----------

Increase (decrease) in cash and cash
 equivalents                                 5,599       6,014      (5,406)
Cash and cash equivalents at beginning
 of period                                  31,697      37,103      37,103
                                        ----------  ----------  ----------

Cash and cash equivalents at end of
 period                                 $   37,296  $   43,117  $   31,697
                                        ==========  ----------  ==========

Supplementary cash flow information
Income taxes paid                       $       44  $       77  $      259
                                        ==========  ==========  ==========

Assets acquired under capital lease     $        -  $      109  $      109
                                        ==========  ==========  ==========



           Given Imaging Ltd. and its Consolidated Subsidiaries
                              Specified Items
            For the Three Months Ended March 31, 2008 and 2009
                    (Unaudited, dollars in thousands)


                 Research     Selling     General     Termination
                    And         And         And      Of Marketing
                Development Marketing  Administration  Agreement    Total

Three month
 period ended
 March 31, 2009

Compensation
 expenses       $        78 $       153 $     1,279 $        -  $    1,510
IP Litigation
 expenses                 -           -           -          -           -
Termination of
 marketing
 agreement                -           -           -          -           -
                ----------- ----------- ----------- ----------  ----------
Total           $        78 $       153 $     1,279 $        -  $    1,510
                =========== =========== =========== ==========  ==========


Three month
 period ended
 March 31, 2008

Compensation
 expenses       $        85 $       336 $     1,090 $        -  $    1,511
IP Litigation
 expenses                 -           -       2,907          -       2,907
Termination of
 marketing
 agreement                -           -           -     (5,443)     (5,443)
                ----------- ----------- ----------- ----------  ----------
Total           $        85 $       336 $     3,997 $   (5,443) $   (1,025)
                =========== =========== =========== ==========  ==========



           Given Imaging Ltd. and its Consolidated Subsidiaries
            Reconciliation of GAAP results to non-GAAP results
            For the three months ended March 31, 2009 and 2008
          Condensed, in thousands except share and per share data


                          Q1 2009                      Q1 2008
                         Specified   Non              Specified    Non
                 GAAP    Items (*)   GAAP      GAAP    Items (*)   GAAP
               --------  --------- --------  --------  --------  --------


Revenues       $ 30,473          - $ 30,473  $ 27,124         -  $ 27,124
Cost of
 revenues        (7,318)         -   (7,318)   (7,835)        -    (7,835)
               --------  --------- --------  --------  --------  --------

Gross profit     23,155          -   23,155    19,289         -    19,289
               --------  --------- --------  --------  --------  --------
   Gross profit
    as a % of
    revenues       76.0%         -     76.0%     71.1%        -      71.1%

Operating
 expenses
Research and
 development,
 net             (3,676)        78   (3,598)   (3,376)       85    (3,291)
Sales and
 marketing      (13,958)       153  (13,805)  (14,962)      336   (14,626)
General and
 administrative  (4,415)     1,279   (3,136)   (7,279)    3,997    (3,282)
Termination of
 marketing
 agreement            -          -        -     5,443    (5,443)        -
Other, net          (12)         -      (12)        -         -         -
               --------  --------- --------  --------  --------  --------

Total operating
 expenses       (22,061)     1,510  (20,551)  (20,174)   (1,025)  (21,199)
               --------  --------- --------  --------  --------  --------

Operating
 profit (loss)    1,094      1,510    2,604      (885)   (1,025)   (1,910)
   Operating
    profit (loss)
    as a % of
    revenues        3.6%                8.5%     (3.2%)              (7.0%)


               --------  --------- --------  --------  --------  --------
Financing
 income
 (expense), net  (1,126)         -   (1,126)    1,596         -     1,596
               --------  --------- --------  --------  --------  --------

Profit (loss)
 before taxes
 on income          (32)     1,510    1,478       711    (1,025)     (314)
Income tax
 expense            (28)         -      (28)     (159)        -      (159)
               --------  --------- --------  --------  --------  --------

Net Profit
 (loss)             (60)     1,510    1,450       552    (1,025)     (473)

Net loss
 attributable
 to non-
 controlling
 interest           299          -      299       524         -       524
               --------  --------- --------  --------  --------  --------

Net profit
 attributable
 to
 shareholders  $    239  $   1,510 $  1,749  $  1,076  $ (1,025) $     51
               ========  ========= ========  ========  ========  ========
   Net profit
    attributable
    to
    shareholders
    as a % of
    revenues        0.8%                5.7%      4.0%                0.2%

Earnings per
 share

Basic Earnings
 attributable
 to shareholders
 per Ordinary
 Share         $   0.01  $    0.05 $   0.06  $   0.04  $  (0.04) $   0.00
               ========  ========= ========  ========  ========  ========

Diluted
 Earnings
 attributable
 to shareholders
 per Ordinary
 Share         $   0.01  $    0.05 $   0.06  $   0.04  $  (0.04) $   0.00
               ========  ========= ========  ========  ========  ========


(*)See specified items


For further information contact:

Fern Lazar/David Carey
Lazar Partners Ltd.
1-212-867-1768
Email Contact/
Email Contact

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