Given Imaging Ltd. Reports First Quarter 2010 Results

YOQNEAM, ISRAEL--(Marketwire - May 11, 2010) - Given Imaging Ltd. (NASDAQ: GIVN) today announced financial results for the first quarter ended March 31, 2010.

Worldwide revenues were $32.1 million in the first quarter of 2010, a 5.2 percent increase from $30.5 million in the first quarter of 2009. Gross margin in the first quarter of 2010 was 77.1 percent, compared to gross margin of 76.0 percent in the first quarter of 2009.

Net income for the first quarter of 2010 was $2.1 million, or $0.07 per share on a fully diluted GAAP basis, compared to net income of $239,000 or $0.01 per share on a fully diluted GAAP basis in the first quarter of 2009. Non-GAAP net income for the first quarter of 2010 was $4.4 million, or $0.14 per share, compared to $1.7 million, or $0.06 per share in the same quarter of last year. Non-GAAP net income excludes $0.7 million of acquisition expenses and $1.6 million of equity related compensation expenses (FAS 123R). Non-GAAP net income for the first quarter of last year excluded equity related expenses of $1.5 million. A reconciliation of GAAP results to non-GAAP results is attached.

Cash and cash equivalents, short-term investments and marketable securities at March 31, 2010 totaled $64.9 million. This amount reflects the March 31, 2010 $35 million payment for the acquisition of Sierra Scientific which became effective on April 1, 2010.

"We are pleased that our focus on steadily increasing profitability continues to deliver results as we achieved a solid bottom-line increase in net income this quarter. Since the first quarter is usually our slowest quarter, we are also pleased to grow revenues by 5.2 percent, and we remain on track to achieve our 2010 financial goals," said Homi Shamir, president and CEO of Given Imaging. "We are optimistic about the potential of expanding our PillCam business worldwide and leveraging our leadership in the specialty GI diagnostics market following our recent acquisition of Sierra Scientific. We believe that we can expand this segment by capitalizing on Given Imaging's skills in customer education, product development and software expertise."

First Quarter 2010 Revenue Analysis

Revenues in the Americas region were $20.5 million, including revenue of $3.6 million from the Bravo pH Monitoring System. Revenues in the Americas region in the same period in 2009 were $20.2 million, including revenues of $2.7 million from Bravo. Revenues in the EMEA region were $8.5 million compared to $8.2 million in the same period last year. APAC revenues increased by 45 percent to $3.1 million compared to $2.1 million in the same period in 2009.

Worldwide PillCam SB sales amounted to about 51,000 capsules in the first quarter of 2010, compared to approximately 50,100 in the same period last year. PillCam SB sales in the Americas region decreased by 2.5 percent to 33,500 in the first quarter of 2010 compared to 34,400 in the first quarter of 2009. PillCam SB sales in the EMEA region decreased 2.9 percent compared to the first quarter of 2009, while PillCam SB sales in the APAC region increased 80% to 4,700 from 2,600 in the same period in 2009.

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

2010 Guidance Update

The company is updating its 2010 guidance to reflect the acquisition of Sierra Scientific Instruments. The company now projects revenues between $167 million and $174 million, an 18 to 22 percent increase compared to 2009 revenues, and GAAP EPS of between $0.51 - $0.59, and non-GAAP EPS (excluding charges relating to FAS123R and Sierra acquisition expenses) of $0.76 - $0.84. Both GAAP and non-GAAP EPS guidance exclude the effect of the Sierra purchase price allocation which has not yet been completed.

Recent Developments

-- Sierra Scientific Acquisition

Effective April 1, 2010 Given Imaging acquired privately-held Sierra Scientific Instruments. Sierra Scientific is the leading provider of specialty diagnostic devices for the gastrointestinal tract. In 2009, Sierra had unaudited revenues of approximately $18 million of which approximately 60% came from sales in the United States and 40% from sales in the rest of the world, principally Europe.

-- Digestive Disease Week 2010

More than 145 abstracts and scientific studies on Given Imaging's products were presented at Digestive Disease Week 2010. The presentations included a plenary session during which Dr. Rami Eliakim of Rambam Medical Center, Israel, reviewed updated data from a multi-center PillCam COLON 2 trials. The expanded results corroborate the high sensitivity and specificity of PillCam® COLON 2, and confirm previous data showing PillCam COLON 2 to be a safe and effective method for visualizing the colon to detect polyps in patients.

Conference Call / Webcast Information

U.S. Call / Webcast

The company will host a conference call in English at 9:00am ET on Wednesday, May 12, 2010. To participate in this teleconference, please dial 800-930-7616 fifteen minutes before the conference is scheduled to begin. Callers outside of the U.S. should dial 913-981-5556. 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 26 by dialing 888-203-1112. Callers outside of the U.S. should dial 719-457-0820. The replay participant code is 3458268.

Hebrew Call

A conference call in Hebrew will take place on May 12 at 2:00pm Israel time, 7:00am ET. To access this call, please dial +972 3 9180610t en minutes before the conference is scheduled to begin. A replay of the call will be available from May 12 until May 14 by dialing +972 3 9255925.

About Given Imaging Ltd.

Since 2001, Given Imaging has advanced gastrointestinal visualization 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 [PillCam COLON is 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 visualize diseases of the esophagus, small bowel and colon. All Given Imaging products allow patients to maintain normal activities. In April 2010 Given Imaging acquired Sierra Scientific Instruments, a leading provider of specialty GI diagnostic solutions and pioneer of high-resolution manometry for assessing gastrointestinal motility. Sierra Scientific is now a wholly-owned subsidiary of Given Imaging. 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 www.givenimaging.com.

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 successfully complete any necessary or required clinical studies with our products, (3) our ability to receive regulatory clearance or approval to market our products or changes in regulatory environment, (4) our success in implementing our sales, marketing and manufacturing plans, (5) the level of adoption of our products by medical practitioners, (6) the emergence of other products that may make our products obsolete, (7) lack of an appropriate bowel preparation materials to be used with our PillCam COLON capsule, (8) protection and validity of patents and other intellectual property rights, (9) the impact of currency exchange rates, (10) the effect of competition by other companies, (11) the outcome of significant litigation, (12) our ability to obtain reimbursement for our product from government and commercial payors, (13) quarterly variations in operating results, (14) the possibility of armed conflict or civil or military unrest in Israel, (15) the impact of global economic conditions, (16) our ability to successfully integrate acquired businesses, (17) changes and reforms in applicable healthcare laws and regulations and (18) 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, 2009. 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
                             Specified Items
             For the Three Months Ended March 31, 2009 and 2010
                     (Unaudited, dollars in thousands)


                                                      General
                             Research     Selling       And
                                And         And     Administra-
                            Development Marketing      tion       Total

Three month period ended
 March 31, 2010

Compensation expenses       $        83 $       327 $     1,203 $     1,613
Acquisition expenses                  -           -         686         686
                            ----------- ----------- ----------- -----------
Total                       $        83 $       327 $     1,889 $     2,299
                            =========== =========== =========== ===========


Three month period ended
 March 31, 2009

Compensation expenses       $        78 $       153 $     1,279 $     1,510
                            ----------- ----------- ----------- -----------
Total                       $        78 $       153 $     1,279 $     1,510
                            =========== =========== =========== ===========






            Given Imaging Ltd. and its Consolidated Subsidiaries
             Reconciliation of GAAP results to non-GAAP results
             For the three months ended March 31, 2010 and 2009
           Condensed, in thousands except share and per share data


                              Q1 2010                     Q1 2009
                             Specified                   Specified
                               Items    Non                Items    Non
                      GAAP      (*)     GAAP      GAAP      (*)     GAAP
                    --------  ------- --------  --------  ------- --------

Revenues            $ 32,097        - $ 32,097  $ 30,473        - $ 30,473
Cost of revenues      (7,336)       -   (7,336)   (7,318)       -   (7,318)
                    --------  ------- --------  --------  ------- --------

Gross profit          24,761        -   24,761    23,155        -   23,155
                    --------  ------- --------  --------  ------- --------
  Gross profit as a
   % of revenues        77.1%       -     77.1%     76.0%       -     76.0%

Operating expenses
Research and
 development, net     (3,777)      83   (3,694)   (3,676)      78   (3,598)
Sales and marketing  (14,749)     327  (14,422)  (13,958)     153  (13,805)
General and
 administrative       (5,134)   1,889   (3,245)   (4,415)   1,279   (3,136)
Termination of
 marketing
 agreement                 -        -        -         -        -        -
Other, net               (63)       -      (63)      (12)       -      (12)
                    --------  ------- --------  --------  ------- --------

Total operating
 expenses            (23,723)   2,299  (21,424)  (22,061)   1,510  (20,551)
                    --------  ------- --------  --------  ------- --------

Operating profit       1,038    2,299    3,337     1,094    1,510    2,604
  Operating profit
   as a % of
   revenues              3.2%             10.4%      3.6%              8.5%

Financing income
 (expense), net          978        -      978    (1,126)       -   (1,126)
                    --------  ------- --------  --------  ------- --------

Profit (loss)
 before taxes on
 income                2,016    2,299    4,315       (32)   1,510    1,478
Income tax expense      (129)       -     (129)      (28)       -      (28)
                    --------  ------- --------  --------  ------- --------

Net Profit (loss)      1,887    2,299    4,186       (60)   1,510    1,450

Net loss
 attributable to
 non-controlling
 interest                166        -      166       299        -      299
                    --------  ------- --------  --------  ------- --------

Net profit
 attributable to
 shareholders       $  2,053  $ 2,299 $  4,352  $    239  $ 1,510 $  1,749
                    ========  ======= ========  ========  ======= ========
  Net profit
   attributable to
   shareholders as
   a % of revenues       6.4%             13.6%      0.8%              5.7%

Earnings  per share

Basic Earnings
 attributable to
 shareholders per
 Ordinary Share     $   0.07  $  0.08 $   0.15  $   0.01  $  0.05 $   0.06
                    ========  ======= ========  ========  ======= ========

Diluted Earnings
 attributable to
 shareholders per
 Ordinary Share     $   0.07  $  0.07 $   0.14  $   0.01  $  0.05 $   0.06
                    ========  ======= ========  ========  ======= ========





            Given Imaging Ltd. and its Consolidated Subsidiaries
                     Interim Consolidated Balance Sheets
                       In thousands except share data
                                 (Unaudited)


                                                     March 31   December 31
                                                    ----------- -----------
                                                       2010        2009
                                                    ----------- -----------
Assets

Current assets
Cash and cash equivalents                           $    26,975 $    46,458
Short-term investments                                   27,916      31,736
Accounts receivable:
  Trade (Net of provisions for doubtful debts of
   $259 and of $252 as of March 31, 2010 and
   December 31, 2009, respectively)                      21,714      24,742
  Other                                                   4,572       3,799
Inventories                                              16,444      17,302
Prepaid expenses                                          1,595       1,036
Deferred tax assets                                       2,001       2,207
Advances to suppliers                                       377         534
                                                    ----------- -----------

Total current assets                                    101,594     127,814
                                                    ----------- -----------

Deposits                                                  1,084       1,062

Assets held for employee severance payments               5,231       4,968

Marketable Securities                                     9,987      16,956

Non-current Inventory                                     5,448       6,015

Fixed assets, at cost, less accumulated
 depreciation                                            13,742      13,843

Advance on account of business combination (See
 Note 4)                                                 35,000           -

Deferred tax assets                                         192         192

Intangible assets, less accumulated amortization         11,046      11,284

Goodwill                                                  3,586       3,586
                                                    ----------- -----------


Total Assets                                        $   186,910 $   185,720
                                                    =========== ===========





            Given Imaging Ltd. and its Consolidated Subsidiaries
                     Interim Consolidated Balance Sheets
                       In thousands except share data
                                 (Unaudited)


                                                    March 31   December 31
                                                  -----------  -----------
                                                      2010         2009
                                                  -----------  -----------
Liabilities and equity

Current liabilities

Current installments of obligation under capital
 lease                                            $       145  $       145
Accounts payable
  Trade                                                 5,817        6,789
  Other                                                15,902       20,060
Deferred income                                           486          234
                                                  -----------  -----------
Total current liabilities                              22,350       27,228
                                                  -----------  -----------

Long-term liabilities
Obligation under capital lease, net                       320          356
Liability in respect of employees' severance
 payments                                               5,795        5,530
                                                  -----------  -----------
Total long-term liabilities                             6,115        5,886
                                                  -----------  -----------
Total liabilities                                      28,465       33,114
                                                  -----------  -----------

Equity
Shareholders' equity
Ordinary Shares, NIS 0.05 par value each
 (90,000,000 shares authorized; 29,615,152
 and 29,370,972 shares issued and fully paid
 as of March 31, 2010 and December 31, 2009,
 respectively)                                            348          345
Additional paid-in capital                            186,257      182,203
Capital reserve                                         2,166        2,166
Accumulated other comprehensive loss                      294          399
Accumulated deficit                                   (31,132)     (33,185)
                                                  -----------  -----------
Shareholders' equity                                  157,933      151,928
                                                  -----------  -----------
Non-controlling interest                                  512          678
                                                  -----------  -----------
Total Equity                                          158,445      152,606
                                                  -----------  -----------



Total liabilities and equity                      $   186,910  $   185,720
                                                  ===========  ===========





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


                                         Three month period
                                           ended March 31      Year ended
                                       ----------------------  December 31
                                          2010        2009         2009
                                       ----------  ----------  -----------
Revenues                               $   32,097  $   30,473  $   141,763
Cost of revenues                           (7,336)     (7,318)     (33,145)
                                       ----------  ----------  -----------

Gross profit                               24,761      23,155      108,618
                                       ----------  ----------  -----------

Operating expenses
Research and development, gross            (4,024)     (4,010)     (17,842)

Government grants                             247         334        1,109
                                       ----------  ----------  -----------
Research and development, net              (3,777)     (3,676)     (16,733)

Sales and marketing                       (14,749)    (13,958)     (61,428)
General and administrative                 (5,134)     (4,415)     (18,919)
Other, net                                    (63)        (12)      (1,220)
                                       ----------  ----------  -----------

Total operating expenses                  (23,723)    (22,061)     (98,300)
                                       ----------  ----------  -----------

Operating income                            1,038       1,094       10,318
Financing income (expense), net               978      (1,126)       1,584
                                       ----------  ----------  -----------

Income (loss) before taxes on income        2,016         (32)      11,902
Income tax expense                           (129)        (28)       1,542
                                       ----------  ----------  -----------

Net income (loss)                           1,887         (60)      13,444

Net loss attributable to
 non-controlling interest                     166         299          891
                                       ----------  ----------  -----------

Net profit attributable to owners of
 the company                           $    2,053  $      239       14,335
                                       ==========  ==========  ===========

Earnings  per share

Basic Earnings attributable to
 shareholders per Ordinary Share       $     0.07  $     0.01  $      0.49
                                       ==========  ==========  ===========

Diluted Earnings attributable to
 shareholders per Ordinary Share       $     0.07  $     0.01  $      0.47
                                       ==========  ==========  ===========

Weighted average number of Ordinary
 Shares used to compute basic
 Earnings per Ordinary share           29,427,767  29,257,785   29,281,897
                                       ==========  ==========  ===========

Weighted average number of Ordinary
 Shares used to compute diluted
 Earnings per Ordinary share           30,646,418  29,910,943   30,423,162
                                       ==========  ==========  ===========




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


                                          Three month period
                                            ended March 31,   Year ended
                                          ------------------  December 31,
                                            2010      2009        2009
                                          --------  --------  ------------

Cash flows from operating activities:
Net income (loss)                         $  1,887  $    (60) $     13,444

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

Depreciation and amortization                1,498     1,465         6,096
Goodwill impairment                              -         -           483
Deferred tax assets                            206        10        (1,221)
Stock option compensation                    1,613     1,510         7,268
Other                                           87         9           570
Decrease (increase) in accounts
 receivable - trade                          3,028      (181)       (3,069)
Decrease (increase) in accounts
 receivable - other                           (320)    2,334           863
Decrease (increase) in prepaid expenses       (559)     (255)          595
Decrease (increase) in advances to
 suppliers                                     157       (41)        3,006
Decrease (increase) in inventories           1,425    (3,364)       (4,386)
Increase (decrease) in accounts payable     (5,210)      178         1,819
Increase (decrease) in deferred income         252      (394)       (1,289)
                                          --------  --------  ------------
Net cash provided by  operating
 activities                                  4,064     1,211        24,179
                                          --------  --------  ------------

Cash flows from investing activities:
Purchase of fixed assets and intangible
 assets                                     (1,222)   (1,056)       (4,794)
Payment on account of business
 combination                               (35,000)        -             -
Deposits                                       (24)        3            34
Proceeds from sales of marketable
 securities and short term investments      18,208    21,781        38,085
Investments in trading and  marketable
 securities                                 (7,546)     (250)      (27,410)
                                          --------  --------  ------------
Net cash provided by (used in) investing
 activities                                (25,584)   20,478         5,915
                                          --------  --------  ------------

Cash flows from financing activities:
Principal payments on capital lease
 obligation                                    (34)      (33)         (131)
Proceeds from the issuance of Ordinary
 Shares                                      1,991         -           954
Dividend distribution                            -   (15,799)      (15,799)
Purchase of shares from a non-controlling
 shareholder in a subsidiary                     -         -          (382)
                                          --------  --------  ------------
Net cash (used in) provided by financing
 activities                                  1,957   (15,832)      (15,358)
                                          --------  --------  ------------

Effect of exchange rate changes on cash         80      (258)           25
                                          --------  --------  ------------

Increase (decrease) in cash and cash
 equivalents                               (19,483)    5,599        14,761
Cash and cash equivalents at beginning of
 period                                     46,458    31,697        31,697
                                          --------  --------  ------------

Cash and cash equivalents at end of
 period                                   $ 26,975  $ 37,296  $     46,458
                                          ========  ========  ============

Supplementary cash flow information
Income taxes paid                         $     48  $     44  $        877
                                          ========  ========  ============




For further information contact:

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

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