Integra LifeSciences Reports Record Earnings and Revenues for the Fourth Quarter and Full Year 2002

Cash Flows from Operations Totaled $11.5 Million for the Fourth Quarter of 2002 and $32.0 Million for the Full Year 2002


PLAINSBORO, N.J., Feb. 27, 2003 (PRIMEZONE) -- Integra LifeSciences Holdings Corporation (Nasdaq:IART) today reported record revenues and net income for the fourth quarter and full year 2002. Total revenues in the fourth quarter of 2002 increased $10.2 million, or 41%, over the fourth quarter of 2001 to $35.3 million. Total revenues in the full year 2002 increased $24.4 million, or 26%, over the prior year to $117.8 million.

The Company reported net income of $25.4 million, or $0.83 per share, for the fourth quarter of 2002, as compared to net income of $17.6 million, or $0.56 per share, in the fourth quarter of 2001. For the full year 2002, the Company reported net income of $35.3 million, or $1.14 per share, as compared to net income of $26.2 million, or $0.94 per share, reported for the full year 2001. The Company's reported net income for 2002 and 2001 reflects the recognition of deferred tax benefits of $20.5 million in the fourth quarter of 2002 and $11.5 million in the fourth quarter of 2001.

For comparative purposes, the following discussion presents reported 2002 and 2001 financial results on a "fully taxed" basis to reflect a 35% effective tax rate in all periods. Fully taxed net income for the fourth quarter of 2002 would have been $4.9 million, or $0.16 per share, as compared to fully taxed net income of $3.7 million, or $0.12 per share, for the fourth quarter of 2001. For the full year 2002, fully taxed net income would have been $14.8 million, or $0.48 per share, as compared to fully taxed net income of $9.9 million, or $0.34 per share, in 2001. A reconciliation of reported net income and earnings per share to fully taxed net income and earnings per share for all periods is provided in a table at the end of this news release.

"I am very pleased with Integra's performance in 2002," said Stuart M. Essig, Integra's President and Chief Executive Officer. "We attained record revenues and net income while continuing to develop the product offerings and global infrastructure necessary to sustain growth. During the past year, we completed the expansion of our domestic sales force and added significantly to our European sales and marketing team in the NeuroSciences segment. We expanded our product offerings through acquisitions, the introduction of new, internally developed products, and the attainment of new indications for existing products, such as the clearance to promote the Selector Ultrasonic Aspirator for new surgical procedures."

The Company generated $11.5 million in cash flows from operations in the fourth quarter of 2002, as compared to $6.7 million in the prior year quarter. For the full year 2002, the Company generated $32.0 million in cash flows from operations, as compared to $15.7 million in 2001. Operating cash flows improved in 2002 as a result of higher net income and improved working capital management. The Company used $25.0 million in cash for acquisitions in 2002, $3.6 million to pay down outstanding debt, and $1.8 million to repurchase 100,000 shares of its common stock. In 2003, the Company received authorization from its Board of Directors to repurchase up to an additional $15.0 million or 1.0 million shares of its common stock.

The Company's cash and investments totaled $132.3 million at December 31, 2002.

INTEGRA NEUROSCIENCES SEGMENT

The Integra NeuroSciences segment comprises our businesses that primarily sell directly to healthcare providers. Through our Integra NeuroSciences segment, we are a leading provider of implants, devices, and systems used in neurosurgery, neurotrauma, and related critical care, a marketer of instruments and other devices used in surgeries, and a distributor of disposables and supplies used in the diagnosis and monitoring of neurological disorders.


                            Quarter Ended             Year Ended
                             December 31,            December 31,
                            2002       2001        2002        2001
                          --------    -------     --------    --------
 Neuro intensive
  care unit               $  9,049    $ 7,381     $ 31,697    $ 27,830
 Neuro operating room       15,053      9,628       47,934      36,213
 Other products              3,609      1,271       10,978       4,289
   Product revenue          27,711     18,280       90,609      68,332
 Total revenues             27,738     18,507       90,720      69,393
 Total operating
  expenses                  20,934     13,674       71,896      51,599
 Operating income            6,804      4,833       18,824      17,794

Product revenue in the Integra NeuroSciences segment increased $9.4 million, or 52%, over the fourth quarter of 2001. Neuro operating room product sales increased $5.4 million to $15.1 million in the fourth quarter of 2002. Neuro operating room product sales were led by strong growth in sales of the DuraGen(R) Dural Graft Matrix, the NeuraGen(R) Nerve Guide, and the Selector(R) and Dissectron(R) ultrasonic surgical aspirators, and included $2.3 million in sales of acquired products. Sales of neuro intensive care unit products increased $1.7 million to $9.0 million and included $1.0 million in sales of acquired products. Gross margin on Integra NeuroSciences product revenues increased to 63% in the fourth quarter of 2002 from 60% in the fourth quarter of 2001, primarily as a result of an improved sales mix of higher margin products. Total other operating expenses increased $4.2 million to $10.6 million in the fourth quarter of 2002. Sales and marketing expenses increased by $1.8 million to $6.6 million, consistent with the expansion of the direct sales and marketing capacity in the United States and Europe. General and administrative costs increased by $1.8 million to $2.6 million and included $0.7 million in operating costs associated with businesses acquired in 2002. Research and development spending increased by $0.6 million to $1.4 million. Operating income for the segment increased by $2.0 million, or 41%, over the fourth quarter of 2001.

Acquisitions and new product launches have accounted for a significant portion of the Integra NeuroSciences segment's recent growth in product revenues. Product revenues for the Integra NeuroSciences segment in 2002 and 2001 included the following amounts in sales of acquired product lines.


                            Quarter Ended            Year Ended
                             December 31,            December 31,
                          2002        2001         2002        2001
                        --------   -------       --------      ------

 Products acquired
  in 2002               $  4,393   $    --       $  6,196      $   --
 Products acquired
  in 2001                  2,358       971          8,381       2,044
 Subtotal                  6,751       971         14,577       2,044
 All other product
  revenues                20,960    17,309         76,032       66,288
 Total product
  revenues                27,711    18,280         90,609       68,332

During the fourth quarter, Integra closed the acquisitions of Padgett Instruments, Inc. and the epilepsy monitoring and neuro shunting business of the Radionics division of Tyco Healthcare Group. Financial results for both businesses are included in the Integra NeuroSciences segment. Integra paid $9.6 million in cash for Padgett Instruments and $3.6 million for the Radionics product lines. Integra is now transferring the manufacture of the acquired epilepsy monitoring and neuro shunting products to its facility in Biot, France and will soon consolidate the distribution operations of the recently acquired Padgett Instruments business into its national distribution center in Cranbury, New Jersey.

INTEGRA LIFESCIENCES SEGMENT

The Integra LifeSciences segment comprises our businesses that primarily sell through intermediaries such as strategic partners or original equipment manufacturer customers. Through our Integra LifeSciences segment we develop and manufacture a variety of medical products and devices, including products based on our proprietary tissue regeneration technology that are used to treat soft tissue and orthopedic conditions. We have partnered with market leaders for the development and marketing of most of our Integra LifeSciences products.


                             Quarter Ended             Year Ended 
                             December 31,              December 31,
                          2002         2001        2002         2001
                       --------      --------   --------     --------

 Tissue repair         $  3,295      $  2,575   $ 10,365     $  8,698
 Other medical
  products                3,096         2,930     11,651       10,878
   Product revenues       6,391         5,505     22,016       19,576
 Total revenues           7,523         6,581     27,102       24,049
 Total operating
  expenses                5,309         4,434     17,324       17,834
 Operating income         2,214         2,147      9,778        6,215

For the fourth quarter of 2002, the Integra LifeSciences segment's product revenues increased $0.9 million to $6.4 million, a 16% increase over the fourth quarter of 2001. Led by strong sales of the Absorbable Collagen Sponge component of Medtronic's recently approved InFUSE(TM) Bone Graft product and an increase in related product royalties, tissue repair product revenues increased $0.7 million to $3.3 million, a 28% increase over the fourth quarter of 2001. Sales of other medical devices increased $0.2 million, or 6%, over the previous year period to $3.1 million. Sales of products acquired in 2002 of $0.7 million offset a decline of $0.5 million in sales of other products. Gross margin on product revenues declined to 41% in the fourth quarter of 2002 compared to 51% in the fourth quarter of 2001, primarily as a result of unfavorable production yields. Total other operating expenses decreased $0.2 million to $1.5 million, with the segment reporting a $2.2 million operating profit.

Acquisitions and new product launches have contributed to the growth in the Integra LifeSciences product revenues. Product revenues for the Integra LifeSciences segment in 2002 and 2001 included the following amounts in sales of acquired product lines.


                              Quarter Ended           Year Ended
                               December 31,           December 31,
                             2002         2001      2002         2001
                           ------       ------    --------      ------

 Products acquired
  in 2002                  $  687       $   --    $  1,419      $   --
 Products acquired
  in 2001                      --           --          --          --
 Subtotal                     687           --       1,419          --
 All other product
  revenues                  5,704        5,505      20,597      19,576
 Total product revenues     6,391        5,505      22,016      19,576

The Company recorded an $11.5 income tax benefit in the fourth quarter of 2001, which reflected the Company's estimate of the benefit it expected to realize through the future use of a portion of its net operating loss carryforwards. The Company reduced its 2001 consolidated tax liability by $2.9 million from the utilization of these net operating loss carryforwards and expects to reduce its 2002 consolidated tax liability by $6.4 million. In the fourth quarter of 2002, the Company recorded an additional $20.5 million income tax benefit, which primarily reflected the Company's estimate of additional tax benefits it expected to realize through the future use of its remaining net operating loss carryforwards. Because the Company has already recognized their value, the actual use of these tax benefits will not affect the Company's current and future tax rate for financial reporting purposes. Excluding the deferred tax benefits recognized in 2002, the Company's effective tax rate would have been 35% for the full year 2002. In 2003, the Company expects to report an effective tax rate of 35% to 36%.

Corporate general and administrative expenses increased $0.1 million to $1.7 million in the fourth quarter of 2002. Net interest income for the fourth quarter of 2002 decreased to $0.7 million, as compared to net interest income of $1.0 million in the fourth quarter of 2001, as a result of declining interest rates in 2002.

In the fourth quarter of 2002, the Company began to report product revenues, which include both product sales and royalties earned on sales by strategic alliance partners of the Company's products or of products incorporating one or more of the Company's products. Royalties earned from the licensing of technology or that are otherwise unrelated to the sale of covered products continue to be reported as other revenue. For comparative purposes, all prior period results have been revised to reflect this change.

The Company is also revising its expectations for revenues, product revenues, gross margin and earnings for 2003 and 2004. The Company expects total revenues to increase to between $142 and $147 million in 2003 and $160 and $170 million in 2004. Consolidated gross margin is expected to increase to 62% and 64% of product revenues in 2003 and 2004, respectively. Excluding a potential in-process research and development charge related to a $1.5 million milestone payment that may become due under the terms of a product development agreement, earnings are expected to be within a range of $0.73 to $0.77 per share in 2003 and $0.93 to $0.97 per share in 2004. The Company's guidance for the first quarter of 2003 is for total revenues in the range of $35.0 to $35.5 million and earnings per share of $0.16. In accordance with the Company's usual practices, management's expectations for 2003 and 2004 financial performance do not include the impact of acquisitions or other strategic corporate transactions that have not yet closed.

The Company has scheduled a conference call for 9:00 am EST today, February 27, 2003, to discuss the financial results for the fourth quarter and full year 2002 and to provide forward-looking earnings guidance. The call is open to all listeners and will be followed by a question and answer session. Access to the live call is available by dialing (973) 935-2100 or through a listen-only webcast via a link provided on the home page of Integra's website at www.Integra-LS.com. A replay of the conference call will be accessible starting one hour following the live event. Access to the replay is available through March 13, 2003 by dialing (973) 341-3080 (access code 3609010) or through the webcast accessible on our home page.

Integra LifeSciences Holdings Corporation develops, manufactures and markets medical devices, implants and biomaterials primarily used in the treatment of cranial and spinal disorders, soft tissue repair and orthopedics. Integra is a leader in applying the principles of biotechnology to medical devices that improve patients' quality of life. The Company has its corporate headquarters in Plainsboro, New Jersey, with manufacturing and research facilities located throughout the world. The Company has approximately 790 permanent employees.

This news release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements include, but are not limited to, statements concerning future growth in revenues, sales force expansion and new product approvals. Such forward-looking statements involve risks and uncertainties that could cause actual results to differ materially from predicted or expected results. Among other things, the Company's ability to maintain relationships with customers of acquired entities, physicians' willingness to adopt the Company's recently launched and planned products and the Company's ability to secure regulatory approval for products in development may adversely affect the Company's future product revenues; the Company's ability to increase sales and product volumes may adversely affect its future gross margins; the geographic mix of the Company's taxable income may adversely affect the Company's income tax rates; and the Company's ability to integrate acquired businesses, increase product sales and gross margins, and control its nonproduct cost will affect its earnings per share. In addition, the economic, competitive, governmental, technological and other factors identified under the heading "Risk Factors" included in the Business section of Integra's Annual Report on Form 10-K for the year ended December 31, 2001 and information contained in subsequent filings with the Securities and Exchange Commission could affect actual results.


              INTEGRA LIFESCIENCES HOLDINGS CORPORATION
                    CONSOLIDATED FINANCIAL RESULTS
                 (In thousands, except per share data)
                              (UNAUDITED)


 Statement of Operations Data:

                          Three Month Period        For the Year
                           Ended December 31      Ended December 31
                           2002        2001        2002        2001

 Product revenue         $ 34,102    $ 23,785    $112,625   $ 87,908
 Other revenue              1,159       1,303       5,197      5,534
                         --------    --------    --------   --------
 Total revenue             35,261      25,088     117,822     93,442

 Cost of product
  sales                    14,168       9,957      45,772     36,014
 Research and
  development               2,255       1,910      10,632      7,992
 Selling and
  marketing                 6,798       5,154      25,118     20,322
 General and
  administrative            4,755       2,764      15,469     12,044
 Amortization                 505         591       1,644      2,784
                         --------    --------    --------   --------
 Total costs
  and expenses             28,481      20,376      98,635     79,156

 Operating income           6,780       4,712      19,187     14,286

 Interest income,
  net                         727       1,029       3,535      1,393
 Other income
  (expense), net              (18)        (19)          3       (136)
                         --------    --------    --------   --------

 Income before
  income taxes              7,489       5,722      22,725     15,543

 Income tax benefit        17,885      11,903      12,552     10,863
                         --------    --------    --------   --------

 Income before
  extraordinary
  loss                     25,374      17,625      35,277     26,406

 Extraordinary loss,
  net of tax                 --          --          --         (243)
                         --------    --------    --------   --------

 Net income              $ 25,374    $ 17,625    $ 35,277   $ 26,163

 Diluted earnings
  per share              $   0.83    $   0.56    $   1.14   $   0.94

 Diluted weighted
  average common
  shares outstanding       30,659      31,398      30,895     27,796


 Balance Sheet Data:
                                           31-DEC        31-DEC
                                            2002          2001

 Cash, cash equivalents & investments     $132,311      $131,036
 Total assets                              274,668       227,588
 Total debt                                    --          3,576
 Total stockholders' equity                247,597       204,056


 Segment Operating Results:

                               Three Month Period     For the Year
                                Ended December 31   Ended December 31
                                 2002      2001      2002      2001

 INTEGRA NEUROSCIENCES SEGMENT

 Product revenue                $27,711   $18,280   $90,609   $68,332
 Other revenue                       27       227       111     1,061
                                -------   -------   -------   -------
 Total revenue                   27,738    18,507    90,720    69,393

 Cost of product
  sales                          10,377     7,283    34,263    25,973
 Research and
  development                     1,410       810     6,834     3,027
 Selling and
  marketing                       6,597     4,820    24,340    18,750
 General and
  administrative                  2,550       761     6,459     3,849
                                -------   -------   -------   -------
 Total costs
  and expenses                   20,934    13,674    71,896    51,599

 Operating income               $ 6,804   $ 4,833   $18,824   $17,794


 INTEGRA LIFESCIENCES SEGMENT

 Product revenue                $ 6,391   $ 5,505   $22,016   $19,576
 Other revenue                    1,132     1,076     5,086     4,473
                                -------   -------   -------   -------
 Total revenue                    7,523     6,581    27,102    24,049

 Cost of product
  sales                           3,791     2,674    11,509    10,041
 Research and
  development                       845     1,100     3,798     4,965
 Selling and
  marketing                         201       334       778     1,572
 General and
  administrative                    472       326     1,239     1,256
                                -------   -------   -------   -------
 Total costs
  and expenses                    5,309     4,434    17,324    17,834

 Operating income               $ 2,214   $ 2,147   $ 9,778   $ 6,215

Reconciliation of "Fully taxed" Results to Reported Results:

Integra management believes that in order to compare properly the Company's historical financial results with each other and with projected financial results for future periods, investors must consider the impact that the deferred tax benefits recorded in the fourth quarter of 2002 and 2001 had on those results. In light of the 35% effective tax rate that would have been recorded in 2002 excluding these deferred tax benefits and the expected 35% to 36% effective rate projected for 2003, management believes that the presentation of historical financial results for 2002 and 2001 taxed at a constant 35% effective rate promotes such comparability. The following table reconciles these "fully taxed" results to consolidated earnings as reported under accounting principles generally accepted in the United States of America.


                          Three Month Period         For the Year
                           Ended December 31       Ended December 31
                            2002       2001        2002         2001

 Income before
  income taxes              7,489      5,722      22,725      15,543
 Less: Pre-tax
  extraordinary
  loss                       --         --          --          (256)

 Adjusted income
  before income
  taxes                     7,489      5,722      22,725      15,287

 Provision for
  income taxes
  at a constant
  35% effective rate        2,621      2,003       7,954       5,350
                         --------   --------    --------    --------

 Fully taxed
  net income                4,868      3,719      14,771       9,937

 Preferred stock
  dividends used
  to compute fully
  taxed diluted
  earnings per share         --         (135)       (159)     (1,026)

 Fully taxed net
  income applicable
  to common
  stockholders used
  to compute fully
  taxed diluted
  earnings per share     $  4,868   $  3,584    $ 14,612    $  8,911

 Fully taxed
  diluted earnings
  per share              $   0.16   $   0.12    $   0.48    $   0.34

 Weighted average
  common shares
  outstanding for
  calculation of
  fully taxed
  earnings per share       30,659     30,798      30,720      25,924


            

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