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EX-10.1 - EXHIBIT 10.1 - EndoChoice Holdings, Inc.exhibit101-amendmentno1toc.htm
EX-32.1 - EXHIBIT 32.1 - EndoChoice Holdings, Inc.exhibit321-certificationpu.htm
EX-31.2 - EXHIBIT 31.2 - EndoChoice Holdings, Inc.exhibit312certificationofp.htm
EX-31.1 - EXHIBIT 31.1 - EndoChoice Holdings, Inc.exhibit311certificationofp.htm
EX-10.2 - EXHIBIT 10.2 - EndoChoice Holdings, Inc.exhibit102-amendmentno2toc.htm
 
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 

FORM 10-Q
 
(Mark One)
x
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended September 30, 2016
Or
¨
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
Commission file number 001-37414
 
EndoChoice Holdings, Inc.
(Exact name of Registrant as specified in its Charter)
 
Delaware
 
90-0886803
(State or Other Jurisdiction of
Incorporation or Organization)
 
(I.R.S. Employer
Identification No.)
11405 Old Roswell Road
Alpharetta, Georgia 30009
(Address of principal executive offices) (Zip Code)
(888) 682-3636
(Registrant’s telephone number, including area code)
 
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15 (d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    YES  x    NO  ¨
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).    YES  x    NO  ¨
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer or a smaller reporting company. See definition of “large accelerated filer,” “accelerated filer,” and “smaller reporting company” in Rule 12b-2 of the Exchange Act. (Check one):
Large accelerated filer
¨
 
Accelerated filer
¨
Non-accelerated filer
x
(Do not check if a smaller reporting company)
Smaller Reporting company
¨
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).    YES  ¨    NO  x
The Registrant had 26,091,674 shares of Common Stock, $0.001 par value per share, outstanding as of November 1, 2016.
 



EndoChoice Holdings, Inc.
Table of Contents
 
 
 
Page
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

i


Part I. Financial Information
Item 1. Financial Statements
EndoChoice Holdings, Inc.
Condensed Consolidated Balance Sheets
(Unaudited)
in thousands (except share and per share data)
 
September 30,
2016
 
December 31,
2015
Assets:
 
 
 
 
Current assets:
 
 
 
 
Cash and cash equivalents
 
$
15,148

 
$
34,033

Short-term marketable securities
 
28,880

 
33,872

Receivables, net
 
10,297

 
9,880

Inventories
 
16,055

 
17,473

Prepaid expenses and other current assets
 
3,689

 
3,108

Total current assets
 
74,069

 
98,366

Long-term marketable securities
 

 
19,748

Property and equipment, net
 
13,373

 
11,523

Intangible assets, net
 

 
13,819

Goodwill
 
20,809

 
20,105

Deferred income taxes
 
158

 

Deposits and other long-term assets
 
758

 
777

Total assets
 
$
109,167

 
$
164,338

Liabilities and Stockholders' Equity:
 
 
 
 
Current liabilities:
 
 
 
 
Accounts payable
 
$
5,742

 
$
8,434

Accrued expenses and other current liabilities
 
12,054

 
9,203

Current portion of deferred rent
 
132

 
85

Deferred revenue
 
842

 
812

Total current liabilities
 
18,770

 
18,534

Long-term debt, net of discount
 
42,723

 
42,643

Deferred rent, less current portion
 
917

 
761

Deferred income taxes
 

 
2,493

Other long-term liabilities
 
938

 
614

Total liabilities
 
63,348

 
65,045

Commitments and contingencies (Note 11)
 

 

Stockholders’ equity:
 
 
 
 
Preferred stock, $0.001 par value per share; 50,000,000 shares authorized; no shares issued and outstanding at September 30, 2016 and December 31, 2015
 

 

Common stock, $0.001 par value; 150,000,000 shares authorized; 25,393,206 shares issued and outstanding at September 30, 2016; 24,886,516 shares issued and outstanding at December 31, 2015
 
26

 
26

Additional paid-in capital
 
261,796

 
257,384

Accumulated deficit
 
(215,659
)
 
(156,549
)
Accumulated other comprehensive loss
 
(344
)
 
(1,568
)
Total stockholders’ equity
 
45,819

 
99,293

Total liabilities and stockholders’ equity
 
$
109,167

 
$
164,338

See accompanying notes to condensed consolidated financial statements.

2


EndoChoice Holdings, Inc.
Condensed Consolidated Statements of Operations and Comprehensive Loss
(Unaudited)
 
 
 
Three Months Ended
September 30,
 
Nine Months Ended
September 30,
in thousands (except share and per share data)
 
 
2016
 
2015
 
2016
 
2015
Revenues:
 
 
 
 
 
 
 
 
 
GI equipment and supplies
 
 
$
13,815

 
$
14,684

 
$
43,159

 
$
43,764

GI pathology services
 
 
5,335

 
3,679

 
13,705

 
9,989

Net revenues
 
 
19,150

 
18,363

 
56,864

 
53,753

Cost of revenues:
 
 
 
 
 
 
 
 
 
GI equipment and supplies
 
 
11,272

 
10,804

 
34,902

 
31,782

GI pathology services
 
 
1,817

 
1,418

 
4,923

 
3,718

Cost of revenues
 
 
13,089

 
12,222

 
39,825

 
35,500

Gross profit
 
 
6,061

 
6,141

 
17,039

 
18,253

Operating expenses:
 
 
 
 
 
 
 
 
 
Research and development
 
 
4,420

 
3,938

 
13,414

 
13,787

Sales and marketing
 
 
9,404

 
6,923

 
27,683

 
22,723

General and administrative
 
 
6,156

 
5,033

 
18,676

 
17,394

Amortization of intangible assets
 
 

 
690

 
1,381

 
2,067

Impairment of intangible assets
 
 

 

 
12,589

 

Transaction costs
 
 
1,792

 

 
1,792

 

Operating expenses
 
 
21,772

 
16,584

 
75,535

 
55,971

Operating loss
 
 
(15,711
)
 
(10,443
)
 
(58,496
)
 
(37,718
)
Other income (expense):
 
 
 
 
 
 
 
 
 
Other income (expense)
 
 
(112
)
 
360

 
182

 
(1,271
)
Interest expense
 
 
(1,194
)
 
(1,163
)
 
(3,491
)
 
(4,257
)
Loss on early retirement of debt
 
 

 

 

 
(2,282
)
Total other expense
 
 
(1,306
)
 
(803
)
 
(3,309
)
 
(7,810
)
Net loss before income taxes
 
 
(17,017
)
 
(11,246
)
 
(61,805
)
 
(45,528
)
Income tax (expense) benefit
 
 
(346
)
 
(332
)
 
2,695

 
(811
)
Net loss
 
 
(17,363
)
 
(11,578
)
 
(59,110
)
 
(46,339
)
Other comprehensive income (loss):
 
 
 
 
 
 
 
 
 
Foreign currency translation adjustments
 
 
810

 
(1,413
)
 
1,111

 
(357
)
Change in fair value of available-for-sale securities
 
(16
)
 
11

 
113

 
11

Other comprehensive income (loss)
 
 
794

 
(1,402
)
 
1,224

 
(346
)
Comprehensive loss
 
 
$
(16,569
)
 
$
(12,980
)
 
$
(57,886
)
 
$
(46,685
)
Net loss per share attributable to common stockholders, basic and diluted
 
$
(0.69
)
 
$
(0.47
)
 
$
(2.36
)
 
$
(2.34
)
Weighted-average shares of common stock used to compute net loss per share attributable to common stockholders, basic and diluted
25,263,282

 
24,738,893

 
25,084,761

 
19,820,453

See accompanying notes to condensed consolidated financial statements.

3


EndoChoice Holdings, Inc.
Condensed Consolidated Statements of Cash Flows
(Unaudited)
 
Nine Months Ended
September 30,
in thousands
2016
 
2015
Cash flows from operating activities:
 
 
 
Net loss
$
(59,110
)
 
$
(46,339
)
Adjustments to reconcile net loss to net cash used in operations:
 
 
 
Impairment of intangible assets
12,589

 

Depreciation and amortization
6,241

 
6,055

Stock-based compensation
3,882

 
4,230

Loss on disposal of property and equipment
115

 
372

Non-cash interest expense and discount amortization
318

 
565

Amortization of premium on marketable securities, net
457

 
195

Change in fair value of warrant liability

 
435

Provision for doubtful accounts
1,023

 
872

Unrealized foreign currency (gain) loss
(205
)
 
545

Deferred income tax (benefit) expense
(2,783
)
 
327

Loss on early retirement of debt

 
2,282

Loss on impairment of property and equipment
425

 
912

Changes in certain working capital components and other assets and liabilities:
 
 
 
Accounts receivable
(1,378
)
 
(971
)
Inventories
1,708

 
(2,350
)
Prepaid expenses and other current assets
(718
)
 
(1,755
)
Other assets
252

 
459

Accounts payable, accrued expenses, and other liabilities
391

 
3,031

Net cash used in operations
(36,793
)
 
(31,135
)
Cash flows from investing activities:
 
 
 
Capital expenditures
(7,114
)
 
(4,977
)
Purchases of marketable securities

 
(55,352
)
Proceeds from maturities of marketable securities
24,562

 

Net cash provided by (used in) investing activities
17,448

 
(60,329
)
Cash flows from financing activities:
 
 
 
Proceeds from term loan

 
43,000

Principal payments on term loan

 
(40,000
)
Prepayment and end of term fees for early retirement of debt

 
(2,306
)
Payments for debt financing fees

 
(417
)
Payments of contingent consideration
(80
)
 

Proceeds from issuance of member units, net

 
31,000

Proceeds from issuance of common stock in initial public offering, net of issuance costs

 
94,186

Proceeds from issuance of common stock under employee stock purchase plan
486

 

Proceeds from option exercises
28

 
71

Net cash provided by financing activities
434

 
125,534

Effect of exchange rate changes on cash and cash equivalents
26

 
(35
)
Net (decrease) increase in cash and cash equivalents
(18,885
)
 
34,035

Cash and cash equivalents, beginning of period
34,033

 
13,761

Cash and cash equivalents, end of period
$
15,148

 
$
47,796

Supplemental disclosure of cash flow information:
 
 
 
Cash paid during the period for:
 
 
 
Interest
$
3,162

 
$
2,492

Income taxes
$
55

 
$
43

See accompanying notes to condensed consolidated financial statements.

4



EndoChoice Holdings, Inc.
Notes to Condensed Consolidated Financial Statements
(Dollars in thousands, except share and per share data)
(Unaudited)
(1)
Background and Basis of Presentation
Description of Business
EndoChoice Holdings, Inc. and its subsidiaries ("EndoChoice", or the "Company") is a medical device company headquartered in Alpharetta, Georgia focused exclusively on designing and commercializing a platform of innovative products for gastrointestinal, or GI, caregivers. The Company offers a comprehensive range of products and services that span single use devices and infection control, pathology, and imaging technologies. Since the Company began commercial operations in 2008, it has developed an extensive line of devices and infection control products and acquired pathology and scope repair services providers.
The condensed consolidated financial statements have been prepared on a going-concern basis, which contemplates the realization of assets and the satisfaction of liabilities in the normal course of business. As shown in the accompanying condensed consolidated financial statements, the Company has incurred losses and cash flow deficits from operations for the three and nine months ended September 30, 2016 and 2015. The Company has financed operations to date primarily through private placements of equity securities, borrowings under debt agreements, and the issuance of common stock in the initial public offering completed in June 2015. The Company’s ability to meet its obligations in the ordinary course of business is dependent upon its ability to generate sufficient cash flow to meet its obligations and ultimately to attain profitable operations. Failure to increase sales of its products, manage discretionary expenditures, or raise additional financing, if required, may adversely impact the Company’s ability to achieve its intended business objectives.
Basis of Presentation
The accompanying unaudited condensed consolidated financial statements are presented in accordance with United States generally accepted accounting principles pursuant to the rules and regulations of the Securities and Exchange Commission (SEC) regarding interim financial reporting. The unaudited condensed consolidated financial statements include the accounts of EndoChoice Holdings, Inc. (formerly ECPM Holdings, LLC prior to the corporate conversion discussed below; EndoChoice, Inc.; EndoChoice Innovation Center, Ltd.; EndoChoice GmbH; and Robert S. Smith, M.D., Inc. d/b/a EndoChoice Pathology ("EC Pathology")). The Company also owns a 67% interest in EndoChoice Israel, Ltd., which had no material transactions during the three and nine months ended September 30, 2016 or 2015. All significant intercompany transactions and balances were eliminated in consolidation.
The accompanying unaudited condensed consolidated financial statements have been prepared on the same basis as the audited annual financial statements and, in the opinion of management, reflect all adjustments, which include only normal recurring adjustments, necessary for the fair statement of the Company’s financial position as of September 30, 2016 and the results of its operations and its cash flows for the three and nine months ended September 30, 2016 and 2015. The condensed consolidated financial statements, including these condensed notes, exclude some of the disclosures required in annual consolidated financial statements.
The accompanying unaudited condensed consolidated financial statements should be read in conjunction with the Company’s audited consolidated financial statements and notes thereto included in the Company’s Annual Report on Form 10-K (Annual Report) for the year ended December 31, 2015 filed with the SEC on March 21, 2016.
The results for the three and nine months ended September 30, 2016 are not necessarily indicative of results to be expected for the year ending December 31, 2016, any other interim periods, or any future year or period.

5


Corporate Conversion
On June 4, 2015, ECPM Holdings, LLC converted into a Delaware corporation pursuant to a statutory conversion and changed its name to EndoChoice Holdings, Inc. As a result of the corporate conversion, the holders of the different classes and series of units of ECPM Holdings, LLC became holders, in aggregate, of 17,580,918 shares of common stock and 579,869 shares of restricted stock in EndoChoice Holdings, Inc. In addition, holders of options and warrants to purchase units of ECPM Holdings, LLC received an aggregate of 339,373 options and 187,161 warrants to purchase shares of EndoChoice Holdings, Inc. common stock.
Initial Public Offering
On June 10, 2015, the Company completed an initial public offering (the "IPO", or the "offering") of 7,302,500 shares of common stock, including 952,500 shares sold to underwriters for the exercise of their option to purchase additional shares, at an offering price of $15.00 per share. Of the 7,302,500 common shares sold in the offering, 7,052,500 shares were sold by the Company and 250,000 shares were sold by existing stockholders. The Company received net proceeds from the IPO of approximately $94,186 after deducting underwriting discounts and commissions of $7,405 and offering expenses of $4,197.
The Boston Scientific Merger
On September 27, 2016, EndoChoice Holdings, Inc. (“Holdings”) entered into an Agreement and Plan of Merger (the “Merger Agreement”) with Boston Scientific Corporation (“Boston Scientific”) and Falcon Merger Corp., a wholly-owned subsidiary of Boston Scientific (“Purchaser”). Pursuant to the Merger Agreement, on October 7, 2016, the Purchaser commenced an offer to purchase (the “Offer”) each outstanding share of Holdings common stock for $8.00 in cash. The completion of the Offer is subject to customary conditions, including, among others: (i) that the number of shares validly tendered and not subsequently validly withdrawn in the Offer represents at least a majority of the voting power of all shares of capital stock of the Company then outstanding (on a fully-diluted basis), (ii) the absence of a material adverse effect on the Company and (iii) the satisfaction or waiver of other customary closing conditions as set forth in the Merger Agreement, including approval from antitrust authorities. If the Offer is completed, Boston Scientific is required by the Merger Agreement to consummate a merger of the Purchaser with and into Holdings, with Holdings surviving the merger as a non-public subsidiary of Boston Scientific. There is no assurance that all of the various conditions to the Offer will be satisfied, or that the subsequent merger will be completed on the proposed terms, within the expected time frame, or at all.
Net Loss Per Share of Common Stock
Basic and diluted net loss per share of common stock reflect the conversion of all member units of ECPM Holdings, LLC to shares of EndoChoice common stock by treating all units as if they had been converted as of the beginning of the periods presented. Basic and diluted net loss per share amounts do not give effect to potentially dilutive securities where the impact would have been anti-dilutive.
Reclassifications
Certain prior period amounts in the accompanying condensed consolidated financial statements have been reclassified to conform to the current period presentation.
(2)
Summary of Significant Accounting Policies
There have been no significant changes to the accounting policies during the three and nine months ended September 30, 2016 as compared to the significant accounting policies described in Note 2 of the “Notes to consolidated financial statements” in the Company’s December 31, 2015 audited financial statements included in its Annual Report.
(3)
Recent Accounting Pronouncements
In October 2016, the FASB issued ASU No. 2016-16, Income Taxes (ASC 740): Intra-Entity Transfers of Assets Other Than Inventory, in an effort to reduce the cost and complexity and improve the accounting for income tax consequences of intra-entity transfers of assets. Under current U.S. GAAP, the recognition of current and deferred income taxes for an intra-entity asset transfer is prohibited until the asset has been sold to an outside party. ASU 2016-16 eliminates the requirement to delay recognition and allows an entity to recognize the income tax consequences when the transfer of an intra-entity asset other than inventory occurs. The standard is effective for reporting periods beginning after December 31, 2017 and interim periods within those fiscal years with early adoption permitted. The Company is currently evaluating the impact of the future adoption of this standard.

6


In February 2016, the FASB issued ASU 2016-02, Leases (ASC 842), which sets out the principles for the recognition, measurement, presentation and disclosure of leases for both parties to a contract (i.e. lessees and lessors). The new standard requires lessees to apply a dual approach, classifying leases as either finance or operating leases based on the principle of whether or not the lease is effectively a financed purchase by the lessee. This classification will determine whether lease expense is recognized based on an effective interest method or on a straight line basis over the term of the lease, respectively. A lessee is also required to record a right-of-use asset and a lease liability for all leases with a term of greater than 12 months regardless of their classification. Leases with a term of 12 months or less will be accounted for similar to existing guidance for operating leases today. ASC 842 supersedes the previous leases standard, ASC 840. The standard is effective on January 1, 2019, with early adoption permitted. The Company is in the process of evaluating the impact of this new guidance.
In January 2016, the FASB issued ASU 2016-01, Recognition and Measurement of Financial Assets and Financial Liabilities, which addresses certain aspects of recognition, measurement, presentation and disclosure of financial instruments. ASU 2016-01 is effective for annual reporting periods, and interim periods within those annual periods, beginning after December 15, 2017. The Company is currently evaluating the impact of the future adoption of this standard, but the adoption is not expected to have a material effect on the consolidated financial statements.
In July 2015, the FASB issued ASU 2015-11, Simplifying the Measurement of Inventory. ASU 2015-11 changes the measurement principle for inventory for entities using FIFO or average cost from the lower of cost or market to lower of cost and net realizable value. ASU 2015-11 defines net realizable value as estimated selling prices in the ordinary course of business less reasonably predictable costs of completion, disposal, and transportation. The standard is effective for reporting periods beginning after December 15, 2016 and interim periods within those fiscal years with early adoption permitted. ASU 2015-11 should be applied prospectively. The Company is currently evaluating the impact of the future adoption of this standard, but the adoption is not expected to have a material effect on the consolidated financial statements.
In May 2014, the FASB issued ASU No. 2014-09, Revenue from Contracts with Customers (Topic 606). ASU 2014-09 will eliminate transaction- and industry-specific revenue recognition guidance under current U.S. GAAP and replace it with a principle based approach for determining revenue recognition. ASU 2014-09 will require that companies recognize revenue based on the value of transferred goods or services as they occur in the contract. The ASU also will require additional disclosures about the nature, amount, timing, and uncertainty of revenue and cash flows arising from customer contracts, including significant judgments and changes in judgments and assets recognized from costs incurred to obtain or fulfill a contract. ASU 2014-09, as specified in ASU 2015-14, is now effective for reporting periods beginning after December 15, 2017. Earlier adoption is permitted only as of annual reporting periods beginning after December 15, 2016, including interim reporting periods within that reporting period. Entities can transition to the standard either retrospectively or as a cumulative-effect adjustment as of the date of adoption. The Company is currently evaluating the impact of the future adoption of this standard.
(4)
Fair Value Measurements
Fair value is defined as the exchange price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date under current market conditions. The Company categorizes its financial assets and liabilities into a three-level hierarchy based on the priority of the inputs to the valuation, pursuant to the Fair Value Measurements and disclosures of ASC Topic 820. The fair value hierarchy gives the highest priority to quoted prices in active markets for identical assets or liabilities (Level 1) and the lowest priority to unobservable inputs (Level 3). If the inputs used to measure fair value fall within different levels of the hierarchy, the category level is based on the lowest priority level input that is significant to the overall fair value measurement of the instrument.
Level 1 – Quoted prices available in active markets for identical assets or liabilities as of the reporting date; 
Level 2 – Inputs other than quoted prices for identical assets or liabilities in active markets that are either directly or indirectly observable as of the reporting date; and,
Level 3 – Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the asset or liability. These inputs reflect management judgment about the assumptions that market participants would use in valuing the asset or liability.

7


As of September 30, 2016 and December 31, 2015, the Company holds a portfolio of available-for-sale marketable securities recorded at fair value on the condensed consolidated balance sheets (as discussed in Note 5). Other financial assets and liabilities recorded in the accompanying condensed consolidated balance sheets as of September 30, 2016 and December 31, 2015 that require fair value disclosure include cash and cash equivalents, accounts receivable, accounts payable and accrued expenses, and long-term debt. The estimated fair values of these financial assets and liabilities as of September 30, 2016 and December 31, 2015 reasonably approximate their respective carrying values as reported within the condensed consolidated balance sheets.
As of September 30, 2016 and December 31, 2015, contingent liabilities for accrued earn-out consideration were categorized as Level 3 within the fair value hierarchy and were recorded at fair value on the acquisition date and are remeasured periodically based on the then assessed fair value. These liabilities are adjusted if deemed necessary and have been recorded in accrued expenses and other current liabilities and other long-term liabilities within the condensed consolidated balance sheets. The increases or decreases in the fair value of these contingent consideration liabilities can result from changes in anticipated revenue levels and changes in assumed discount periods and rates. As the fair value measures are based on significant inputs that are not observable in the market, they are categorized as Level 3.
For the Company’s assets and liabilities measured at fair value on a recurring basis using significant unobservable inputs (Level 3), the following table provides a reconciliation of the beginning and ending balances for each category therein and gains or losses recognized during the period:
Fair value measurements using significant unobservable inputs (level 3):
Contingent liabilities for accrued earn-out acquisition consideration
Balance as of December 31, 2015
$
393

Foreign currency translation adjustments
6

Payments
(80
)
Balance as of September 30, 2016
$
319

Within the condensed consolidated balance sheets, the current portion of contingent liabilities for accrued earn-out acquisition consideration are included in accrued expenses and other current liabilities, while the non-current portion is included in other long-term liabilities. The determination of current versus non-current is made based on the expected timing of the payments from the balance sheet date. Amounts expected to be paid within twelve months of the balance sheet date are classified as current, and amounts expected to be paid after twelve months from the balance sheet date are classified as non-current. As of September 30, 2016, $319 of contingent liabilities for accrued earn-out acquisition consideration were included in accrued expenses and other current liabilities. As of December 31, 2015, $110 and $283 of contingent liabilities for accrued earn-out acquisition consideration were included in accrued expenses and other current liabilities and other long-term liabilities, respectively.
(5)
Marketable Securities
The table below summarizes the Company’s available-for-sale marketable securities' amortized cost, gross unrealized gains, gross unrealized losses, and fair value by significant investment category as of September 30, 2016 (refer to Note 4 for discussion of our fair value hierarchy):
 
Amortized Cost
 
Gross Unrealized Gains
 
Gross Unrealized Losses
 
Fair Value
 
Short-term Marketable Securities
 
Long-term Marketable Securities
Level 1:
 
 
 
 
 
 
 
 
 
 
 
U.S. Treasuries
$
2,004

 
$
1

 
$

 
$
2,005

 
$
2,005

 
$

U.S. government agencies
3,579

 
1

 

 
3,580

 
3,580

 

Subtotal
5,583

 
2

 

 
5,585

 
5,585

 

Level 2:
 
 
 
 
 
 
 
 
 
 
 
Corporate securities
23,300

 
2

 
(7
)
 
23,295

 
23,295

 

Subtotal
23,300

 
2

 
(7
)
 
23,295

 
23,295

 

Total
$
28,883

 
$
4

 
$
(7
)
 
$
28,880

 
$
28,880

 
$

 
 
 
 
 
 
 
 
 
 
 
 

8


The table below summarizes the Company’s available-for-sale marketable securities' amortized cost, gross unrealized gains, gross unrealized losses, and fair value by significant investment category as of December 31, 2015:
 
Amortized Cost
 
Gross Unrealized Gains
 
Gross Unrealized Losses
 
Fair Value
 
Short-term Marketable Securities
 
Long-term Marketable Securities
Level 1:
 
 
 
 
 
 
 
 
 
 
 
U.S. Treasuries
$
4,017

 
$

 
$
(10
)
 
$
4,007

 
$
2,004

 
$
2,003

U.S. government agencies
3,656

 

 
(9
)
 
3,647

 
1,556

 
2,091

Subtotal
7,673

 

 
(19
)
 
7,654

 
3,560

 
4,094

Level 2:
 
 
 
 
 
 
 
 
 
 
 
Commercial Paper
3,998

 

 

 
3,998

 
3,998

 

Corporate securities
42,065

 
1

 
(98
)
 
41,968

 
26,314

 
15,654

Subtotal
46,063

 
1

 
(98
)
 
45,966

 
30,312

 
15,654

Total
$
53,736

 
$
1

 
$
(117
)
 
$
53,620

 
$
33,872

 
$
19,748

 
 
 
 
 
 
 
 
 
 
 
 
As of September 30, 2016, the entire portfolio of available-for-sale marketable securities was classified as short-term, as all securities had a remaining maturity of less than one year. Actual maturities may differ from contractual maturities as securities may be restructured, called, or prepaid.
No realized gains and losses were recognized on the sale of marketable securities for any of the periods presented. As of September 30, 2016, net unrealized losses of $3, net of tax, were included in accumulated other comprehensive loss in the accompanying condensed consolidated balance sheets. There were no transfers between Level 1 and Level 2 fair value measurements during the nine months ended September 30, 2016, and there were no changes in the valuation techniques used by the Company.
(6)
Inventories
Inventories consisted of the following:
 
September 30, 2016
 
December 31, 2015
Raw materials
$
4,841

 
$
6,821

Work-in-process
3,463

 
3,113

Finished goods
7,751

 
7,539

Total inventories
$
16,055

 
$
17,473

(7)
Property and Equipment
Property and equipment consisted of the following:
 
September 30, 2016
 
December 31, 2015
Furniture and fixtures
$
1,549

 
$
1,229

Leasehold improvements
3,133

 
2,244

Computers and software
4,505

 
3,245

Demonstration equipment
11,018

 
8,414

Machinery and equipment
8,608

 
6,428

Construction in progress
165

 
1,015

Total
28,978

 
22,575

Accumulated depreciation
(15,605
)
 
(11,052
)
Property and equipment, net
$
13,373

 
$
11,523


9


Depreciation expense was $1,740 and $1,338 for the three months ended September 30, 2016 and 2015, respectively, and $4,860 and $3,988 for the nine months ended September 30, 2016 and 2015, respectively. During the nine months ended September 30, 2016 and 2015, we recognized an impairment of $282 and $912, respectively, on demonstration equipment due to the replacement of certain of this equipment with newer versions of Fuse®. The impairment losses are recorded in sales and marketing expense in the condensed consolidated statements of operations and comprehensive loss. No impairment on demonstration equipment was recognized during the three months ended September 30, 2016 and 2015.
(8)
Goodwill and Other Intangible Assets
Following is a summary of the carrying values of goodwill and other intangible assets as of September 30, 2016 and December 31, 2015:
 
September 30, 2016
 
December 31, 2015
 
Gross carrying
amount
 
Accumulated
amortization
 
Impairment
 
Net carrying
value
 
Gross carrying
amount
 
Accumulated
amortization
 
Impairment
 
Net carrying
value
Amortizable intangible assets:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Customer relationships
$
1,714

 
$
(823
)
 
$
(891
)
 
$

 
$
1,683

 
$
(732
)
 
$

 
$
951

Developed technology
20,699

 
(9,051
)
 
(11,648
)
 

 
20,498

 
(7,687
)
 

 
12,811

Other intangible assets
2,221

 
(2,171
)
 
(50
)
 

 
2,198

 
(2,141
)
 

 
57

Total amortizable intangibles
$
24,634

 
$
(12,045
)
 
$
(12,589
)
 
$

 
$
24,379

 
$
(10,560
)
 
$

 
$
13,819

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Unamortizable intangible assets:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Goodwill
$
20,809

 
$

 
$

 
$
20,809

 
$
20,105

 
$

 
$

 
$
20,105

The Company recorded amortization expense related to the amortizable intangible assets of $0 and $690 for the three months ended September 30, 2016 and 2015, respectively, and $1,381 and $2,067 for the nine months ended September 30, 2016 and 2015, respectively.
During the second quarter of 2016, we performed interim impairment tests of intangible assets acquired through the acquisition of Peer Medical Ltd (“Peer Medical”) and RMS Endoskopie-Technik Stephan Wieth e.K. ("RMS"). Based on the impairment assessments, and lower expected future cash flows associated with these assets, we recorded pre-tax impairment charges of $11,648 for developed technology, $891 for customer relationships, and $50 for other intangible assets, resulting in full impairment of their remaining net book values as of June 30, 2016. These charges are recorded in impairment of intangible assets in the condensed consolidated statements of operations and comprehensive loss.
In consideration of the outstanding Merger Agreement discussed in Note 1, the Company reviewed goodwill for impairment as of September 30 by applying a quantitative impairment analysis using the two step method. Under the first step of the goodwill impairment test, the fair value of the reporting unit was concluded to exceed its carrying value. Based on the results of step one of the goodwill impairment test, we determined that step two was not required. As of September 30, 2016, there has been no impairment of goodwill.
Changes in the carrying amount of amortizable intangible assets and goodwill for the nine months ended September 30, 2016 are as follows:
Intangible assets:
 
Balance at December 31, 2015
$
13,819

Amortization
(1,381
)
Impairment
(12,589
)
Foreign currency translation adjustment
151

Balance at September 30, 2016
$

Goodwill:
 
Balance at December 31, 2015
$
20,105

Foreign currency translation adjustment
704

Balance at September 30, 2016
$
20,809

 
 

10


(9)
Accrued Expenses and Other Current Liabilities
Accrued expenses and other current liabilities consisted of the following:
 
September 30, 2016
 
December 31, 2015
Payroll and employee related expenses
$
5,712

 
$
4,787

Transaction costs
1,792

 

Accrued warranty costs
849

 
922

Sales and other taxes payable
377

 
320

Other accrued liabilities
3,324

 
3,174

Accrued expenses and other current liabilities
$
12,054

 
$
9,203

(10)
Debt
The Company had $42,723 and $42,643 in total debt outstanding, net of discount, as of September 30, 2016 and December 31, 2015, respectively, which is fully included in long-term debt on the accompanying condensed consolidated balance sheets. Effective June 30, 2015, the Company refinanced its outstanding debt by entering into a new term loan credit and security agreement (the "Term Loan Credit Agreement") and a new revolving loan credit and security agreement (the "Revolving Loan Credit Agreement", and together with the Term Loan Credit Agreement, the "Credit Agreements") each dated June 30, 2015 (the "Closing Date") by and among EndoChoice and certain of its subsidiaries, MidCap Financial Trust, and Silicon Valley Bank.
The Credit Agreements contain representations and covenants typical for credit arrangements of comparable size in the medical device industry, including certain financial covenants related to minimum liquidity levels and net revenues. The Credit Agreements also contain customary events of default. If an event of default occurs and is not cured within any applicable grace period or is not waived, the creditors are entitled to take various actions, including, without limitation, the acceleration of amounts due thereunder, termination of commitments under the Credit Agreements, and realization upon the collateral securing the credit facilities.
Term Loan Facility
The Term Loan Credit Agreement provides for a five-year $43,000 senior term loan facility (the "Term Loan Facility") secured by a lien on substantially all of the assets of EndoChoice and its domestic subsidiaries, other than intellectual property, which is subject to a negative pledge only. The Term Loan Facility bears interest at a fixed rate of 9.5% per year and is subject to an end of term fee of 4.45% on the $43,000 advanced under the facility on the Closing Date. Interest-only payments are due during the first 30 months of the Term Loan Facility, with principal payments beginning in January 2018 in equal monthly installments over the ensuing 30 month period until maturity. The end of term fee is not applied to scheduled principal payments and is due only upon the earlier of repayment or maturity of the loan. The end of term fee is accrued as additional interest expense using the effective interest rate method over the term of the loan.
Revolving Credit Facility
The Revolving Loan Credit Agreement provides for a five-year $15,000 senior revolving credit facility (the "Revolving Credit Facility") also secured by a lien on substantially all of the assets of EndoChoice and its domestic subsidiaries, other than intellectual property, which is subject to a negative pledge only. Amounts drawn under the Revolving Credit Facility will bear interest at the LIBOR Rate (as defined in the Revolving Loan Credit Agreement) plus 5.25% per year, while the undrawn portion is subject to an unused line fee of 0.50% per year. No amounts were drawn or outstanding under the Revolving Credit Facility as of September 30, 2016. The Revolving Credit Facility expires on June 30, 2020.
(11)
Commitments and Contingencies
Operating Leases
The Company has certain minimum obligations under noncancelable operating leases, principally in connection with office and warehouse space, which contain provisions for rent-free periods. The total amount of rental payments due over the lease terms are being charged to rent expense using the straight-line method over the terms of the leases. Rent expense associated with noncancelable operating leases totaled $414 and $320 for the three months ended September 30, 2016 and 2015, respectively, and $1,184 and $929 for the nine months ended September 30, 2016 and 2015, respectively.

11


Future minimum lease payments under noncancelable operating leases at September 30, 2016 are as follows:
 
Amount
Year:
 
2016 (remaining)
$
431

2017
1,791

2018
1,568

2019
1,538

2020
1,154

2021
1,051

Thereafter
369

Total
$
7,902

Legal Matters
On July 18, 2016 and October 10, 2016, putative stockholder class action lawsuits were filed in the Superior Court of Fulton County, Georgia against the Company, certain of the Company’s current officers, certain current and former members of the Company’s board of directors, and the underwriters of our initial public offering (the "IPO"). The complaints, which are substantially similar, allege that the registration statement for our IPO contained false and misleading statements relating to sales of Fuse® and asserts claims for violations of the Securities Act of 1933 on behalf of a putative class consisting of purchasers of EndoChoice common stock pursuant or traceable to the IPO. The complaints seek unspecified compensatory damages, rescission and other relief. The Plaintiffs are seeking consolidation of the two actions, and have committed to filing an amended consolidated complaint by December 2, 2016. We believe the claims and allegations in the suits are without merit and intend to defend the litigation vigorously.
Based on the limited nature of the plaintiffs' allegations, the early stage of the proceedings, the lack of discovery and because significant legal issues have yet to be raised and decided by the court, we have determined that the amount of any possible loss or range of possible loss in connection with the above litigation is not reasonably estimable. While we believe the plaintiffs' claims and allegations are without merit, due to the uncertainties inherent in litigation, we cannot predict the ultimate outcome and resolution of this suit. An adverse outcome could materially and adversely affect the Company’s financial condition, results of operations, or cash flows in any particular reporting period.
We are not aware of any other pending or threatened legal proceeding against us that could have a material adverse effect on our business, operating results or financial condition. The medical device industry is characterized by frequent claims and litigation, including claims regarding patent and other intellectual property rights as well as improper hiring practices. As a result, we may be involved in various additional legal proceedings from time to time. While the results of lawsuits or other proceedings against the Company cannot be predicted with certainty, in the opinion of management, such matters are either considered without merit or involve amounts that cannot be reasonably estimated at this time. In the future, if it is determined that the lawsuits will result in losses that are probable and can be reasonably estimated, then an appropriate reserve for such losses will be recognized.

12


(12)
Stock-based Compensation
Equity Incentive Plans
The Company's equity incentive plans are broad-based, long-term programs intended to attract, motivate, and retain talented non-employee directors, officers, and employees and to align their interests with stockholders. For the nine months ended September 30, 2016, the Company made new grants under the following equity incentive plans:
2015 Omnibus Equity Incentive Plan
The 2015 Omnibus Equity Incentive Plan (the "2015 Plan") allows for the granting of stock options, stock appreciation rights, restricted stock awards, restricted stock units, performance unit awards, performance share awards, cash-based awards, and other stock-based awards to eligible individuals.
A total of 2,301,145 shares of our common stock are reserved for issuance under the 2015 Plan. As of September 30, 2016, 808,457 stock options, 649,067 shares of restricted stock, and 301,915 restricted stock units have been granted under the 2015 Plan. The 2015 Plan contains an “evergreen” provision allowing for an annual increase in the number of shares of our common stock available for issuance under the 2015 Plan on January 1 of each year during the period beginning January 1, 2016 and ending on (and including) January 1, 2025. The annual increase in the number of shares will be equal to four percent (4%) of the total number of shares of common stock outstanding on December 31 of the preceding calendar year; provided, however, that our board of directors is authorized to act prior to the first day of any calendar year to determine if the increase will be a lesser number of shares of common stock than would otherwise occur.
Employee Stock Purchase Plan
The Company's Employee Stock Purchase Plan ("ESPP") is designed to allow our eligible employees to purchase shares of our common stock with accumulated payroll deductions of up to 15% of eligible compensation, subject to a purchase limitation of the lesser of 5,000 shares per offering period or $25 in fair market value of shares of common stock (determined at the time the option to purchase shares under the ESPP is granted) per annual period. The current offering period under the ESPP began on July 1, 2016 and concludes on December 31, 2016.
Stock Options
Following is a summary of stock option activity for the nine months ended September 30, 2016:
 
Number of Options
 
Weighted average
exercise price
 
Weighted average remaining
contractual term
Outstanding at December 31, 2015
848,400

 
$
11.10

 
7.7 years
Granted
229,744

 
5.24

 
 
Exercised
(13,571
)
 
0.88

 
 
Forfeited
(48,156
)
 
15.53

 
 
Outstanding at September 30, 2016
1,016,417

 
9.69

 
7.5 years
Vested and exercisable at September 30, 2016
340,632

 
$
4.52

 
 
We estimate the fair value of stock options at the grant date using the Black-Scholes-Merton option pricing model. As of September 30, 2016, there was $2,645 of total unrecognized compensation cost related to stock options. These costs are expected to be recognized over a weighted average period of 2.9 years.

13


Restricted Stock and Restricted Stock Units
Following is a summary of restricted stock and restricted stock unit activity for the nine months ended September 30, 2016:
 
Number of Restricted
Stock Shares
 
Number of Restricted Stock Units
Unvested at December 31, 2015
1,083,793

 

Granted

 
301,915

Vested
(365,208
)
 

Forfeited
(105,799
)
 
(18,612
)
Unvested at September 30, 2016
612,786

 
283,303

\
 
 
 
As of September 30, 2016, total unrecognized compensation cost related to restricted stock shares was $6,537, net of estimated forfeitures, which is expected to be recognized over a weighted-average period of 2.6 years. As of September 30, 2016, total unrecognized compensation cost related to restricted stock units was $1,262, net of estimated forfeitures, which is expected to be recognized over a weighted-average period of 3.2 years.
Stock-based Compensation Expense
Stock-based compensation expense is recorded within the operating expense captions in the condensed consolidated statements of operations and comprehensive loss based on the employees receiving the awards. We recognized stock-based compensation expense as follows during the three and nine months ended September 30, 2016 and 2015:
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
2016
 
2015
 
2016
 
2015
Cost of revenues
$
101

 
$
35

 
$
274

 
$
114

Research and development
132

 
76

 
302

 
595

Sales and marketing
223

 
147

 
713

 
548

General and administrative
836

 
471

 
2,593

 
2,973

Total
$
1,292

 
$
729

 
$
3,882

 
$
4,230

Stock-based compensation expense during the three and nine months ended September 30, 2015 included $0 and $3,496 of previously unrecognized compensation cost for restricted stock grants that vested in connection with our initial public offering, or IPO, discussed in Note 1. The restricted stock grants contained vesting criteria based on both service (four years) and performance (the achievement of a minimum valuation threshold upon a liquidity event or initial public offering). The minimum valuation threshold was achieved in connection with our IPO.

14


(13)
Net Loss per Common Share
After giving effect to the corporate conversion as described in Note 1, the following table provides a reconciliation of the numerator and denominator used in calculating basic and diluted net loss per share attributable to common stockholders for the three and nine months ended September 30, 2016 and 2015.
 
Three Months Ended
 September 30,
 
Nine Months Ended
September 30,
 
2016
 
2015
 
2016
 
2015
Numerator:
 
 
 
 
 
 
 
Net loss attributable to common stockholders
$
(17,363
)
 
$
(11,578
)
 
$
(59,110
)
 
$
(46,339
)
Denominator:
 
 
 
 
 
 
 
Weighted-average common shares outstanding - basic
25,263,282

 
24,738,893

 
25,084,761

 
19,820,453

Dilutive effect of stock options, warrants, restricted stock, and restricted stock units1

 

 

 

Weighted-average common shares outstanding - diluted
25,263,282

 
24,738,893

 
25,084,761

 
19,820,453

Net loss per share attributable to common stockholders - basic and diluted
$
(0.69
)
 
$
(0.47
)
 
$
(2.36
)
 
$
(2.34
)
1Potentially dilutive stock options, warrants, restricted stock, and restricted stock units were excluded from the calculation of diluted weighted-average shares outstanding as they would have had an anti-dilutive effect due to losses reported during the three and nine months ended September 30, 2016 and 2015.
The treasury stock method is used to determine the dilutive effect of the Company’s potentially dilutive securities. The following securities were excluded from the calculation of diluted shares outstanding due to their anti-dilutive effect:
 
September 30, 2016
 
September 30, 2015
Stock options
1,016,417

 
883,731

Warrants for common stock
4,061

 
4,061

Restricted stock
612,786

 
1,143,435

Restricted stock units
283,303

 

Total
1,916,567

 
2,031,227

(14)
Income Taxes
Income taxes are determined using an estimated annual effective tax rate applied against income, which are then adjusted for the tax impacts of certain discrete items. The Company recorded income tax expense of $346 and $332 during the three months ended September 30, 2016 and September 30, 2015, respectively, resulting in effective rates of 2.03% and 2.95%, respectively. The Company recorded income tax benefit of $2,695 and income tax expense of $811 during the nine months ended September 30, 2016 and September 30, 2015, respectively, resulting in effective rates of (4.36)% and 1.78%, respectively. The Company updates its annual effective income tax rate each quarter, and if the estimated effective income tax rate changes, a cumulative adjustment is made. The low effective tax rates for the three and nine months ended September 30, 2016 and 2015 are primarily the result of full valuation allowances against certain deferred tax assets. The income tax benefit and corresponding change in effective tax rate for the nine months ended September 30, 2016 is primarily due to the impairment of intangible assets discussed in Note 8.
The Company evaluates the realizability of the deferred tax assets on a jurisdictional basis at each reporting date. In assessing the realizability of deferred tax assets, management considers whether it is more likely than not that some portion or all of the deferred tax assets will not be realized. The ultimate realization of deferred tax assets depends on the generation of future taxable income during the periods in which those temporary differences become deductible. Management considers the scheduled reversal of deferred tax liabilities (including the impact of available carryback and carryforward periods), projected future taxable income, and tax planning strategies in making this assessment. Based on future operating results, there is a reasonable possibility that the valuation allowance against deferred tax assets in Germany could be released within the next twelve months. No liability for uncertain tax positions has been recorded as of September 30, 2016 or December 31, 2015.



The Company's U.S. tax returns are subject to examination by federal and state taxing authorities. During the nine months ended September 30, 2016, the IRS concluded an examination of the Company's federal income tax return for fiscal year 2013. There were no material adjustments to our return as a result of the examination.
(15)
Segment, Geographical, and Customer Concentration
The Company is globally managed as one reportable segment, which is consistent with how management reviews the business, makes investing and resource allocation decisions, and assesses operating performance. The Company’s geographic regions consist of the United States and other areas, which are referred to as international.
The following table represents net revenues by geographic area based on the location of the customer during the three and nine months ended September 30, 2016 and 2015:
 
Three Months Ended
September 30,
 
Nine Months Ended
September 30,
 
2016
 
2015
 
2016
 
2015
United States
$
17,866

 
$
16,241

 
$
51,846

 
$
48,141

International
1,284

 
2,122

 
5,018

 
5,612

Total
$
19,150

 
$
18,363

 
$
56,864

 
$
53,753

For the three and nine months ended September 30, 2016 and 2015, no customers accounted for greater than 10% of revenues. Additionally, no customers accounted for greater than 10% of accounts receivable as of September 30, 2016 or December 31, 2015.
The composition of the Company’s long-lived assets, consisting of property and equipment, amortizable intangible assets, and goodwill by geographic area is set forth below:
 
September 30, 2016
 
December 31, 2015
United States
$
9,124

 
$
7,694

Israel
19,638

 
31,694

Germany
5,420

 
6,059

Total
$
34,182

 
$
45,447


16



Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations
You should read the following management's discussion and analysis of our financial condition and results of operations in conjunction with our unaudited condensed consolidated financial statements and notes thereto included in Part I, Item 1 of this Quarterly Report on Form 10-Q and with our audited consolidated financial statements and notes thereto for the year ended December 31, 2015, included in our Annual Report on Form 10-K, filed with the U.S. Securities and Exchange Commission (SEC) on March 21, 2016.
When we refer to "we," "our," "us" or "EndoChoice" in this Quarterly Report on Form 10-Q, we mean EndoChoice Holdings, Inc. as well as all of our consolidated subsidiaries, unless otherwise expressly stated or the context otherwise requires.
Special note regarding forward-looking statements
This report contains forward-looking statements that involve risks and uncertainties. Our actual results could differ materially from those discussed in the forward-looking statements. The statements contained in this report that are not purely historical are forward-looking statements within the meaning of Section 27A of the Securities Act and Section 21E of the Securities Exchange Act of 1934, as amended, or the Exchange Act. Forward-looking statements are often identified by the use of words such as, but not limited to, "anticipate," "believe," "can," "continue," "could," "estimate," "expect," "intend," "may," "plan," "project," "seek," "should," "strategy," "target," "will," "would" and similar expressions or variations intended to identify forward-looking statements. These statements are based on the beliefs and assumptions of our management based on information currently available to management. Such forward-looking statements are subject to risks, uncertainties, and other important factors that could cause actual results and the timing of certain events to differ materially from future results expressed or implied by such forward-looking statements. Factors that could cause or contribute to such differences include, but are not limited to, those identified below and those discussed in the section titled "Risk Factors" included under Part II, Item 1A below. Furthermore, such forward-looking statements speak only as of the date of this report. Except as required by law, we undertake no obligation to update any forward-looking statements to reflect events or circumstances after the date of such statements.
Overview
We are a medical device company focused exclusively on designing and commercializing a platform of innovative products and services for gastrointestinal, or GI, caregivers. We currently serve over 2,500 GI departments that perform endoscopic procedures, which represent approximately one-third of the U.S. market. We offer a comprehensive range of products and services that span single-use devices and infection control products, pathology and imaging systems. In December 2013, we began limited commercialization of our Fuse® full spectrum endoscopy system, or Fuse®. Our Fuse® system enables GI specialists to see more than twice the anatomy at any one time compared to standard, forward-viewing colonoscopes and has been clinically demonstrated to detect 69% more pre-cancerous polyps than standard colonoscopes. We believe our commitment to continuing innovation and focus on GI specialists provides us with the unique capability to meet their evolving needs. We intend to leverage our broad product platform, established customer relationships, commercial infrastructure and Fuse® technology to set a new standard of care for the global GI market.
We estimate that the addressable worldwide market for our GI endoscopy products and services is over $6 billion, with more than 70 million GI endoscopies performed each year in the United States, Japan and Europe combined. We estimate that the addressable market for our GI endoscopy products and services is growing at 7% annually driven by increased governmental and payor focus on screening, prevention and treatment of colorectal cancer and other GI conditions, an aging global population and changing dietary habits. GI endoscopies involve inserting a thin tube containing a camera or cameras into a natural orifice of the patient to examine the upper or lower GI tract in order to diagnose and treat various GI conditions, including colorectal cancer. GI endoscopies require a large number of steps, including setup, imaging, therapy, specimen retrieval, pathology and endoscope disinfection and repair, which we refer to collectively as the GI procedure cycle. The GI endoscopy market is highly fragmented and served by numerous companies, many of which focus on only one or two areas of the GI procedure cycle. We believe the needs of GI specialists are currently underserved due to the lack of a comprehensive provider solely focused on innovation in the GI endoscopy market.

17


We founded our company to serve the evolving needs of GI specialists by continually bringing to market a broad suite of innovative products across the GI procedure cycle. Since we began our commercial operations in 2008, we have developed an extensive line of devices and infection control products and have added pathology and scope repair services capabilities. Our products and services are designed to improve clinical outcomes and GI specialist productivity. In 2013, we acquired Peer Medical Ltd., which was developing a new endoscope system that we now call Fuse®. Our focus on product innovation and services that span the GI endoscopy procedure cycle has enabled our direct salesforce to penetrate approximately one-third of the GI departments in the United States in just seven years while increasing our sales per customer over that time.
Our products are used in colonoscopy and EGD and other procedures of the upper GI tract, which represent approximately 15 million and 8 million annual procedures in the United States, respectively, and together account for 96% of all GI endoscopic procedures. Colonoscopy is used for the screening, surveillance and diagnosis of GI diseases including colorectal cancer, inflammatory bowel disease and GI bleeding.
Our Fuse® system, which is intended for visualization of the GI tract and related therapeutic interventions, enables a wider field of view for upper and lower endoscopy procedures. Specifically, the Fuse® colonoscope offers a 330° view of the colon during colonoscopy instead of the 140° to 170° view offered by standard colonoscopes. This enables the GI specialist to visualize more than twice the anatomy at any one time as compared to a standard colonoscope and improves the ability to more thoroughly examine the colon without prolonging the time to complete the colonoscopy. According to the results of a tandem clinical trial published in The Lancet Oncology, GI specialists using Fuse® during colonoscopy identified 69% more pre-cancerous polyps than when using standard endoscopes. The improved detection is clinically important not only because pre-cancerous polyps are removed during the procedure, but also because clinical guidelines recommend more frequent colonoscopies following initial detection of pre-cancerous polyps. Further, we believe that increased adoption of Fuse® for colorectal cancer screening could result in significant savings to healthcare payors given the high cost of colorectal cancer related surgical intervention and subsequent treatment. The costs of surgeries and related care can be significant, with total costs to the U.S. healthcare system estimated to exceed $8 billion per year.
During the nine months ended September 30, 2016 and 2015, our net revenue was $56,864 and $53,753, respectively, and for the three months ended September 30, 2016 and 2015, our net revenue was $19,150 and $18,363, respectively. During the nine months ended September 30, 2016 and 2015, our net loss was $59,110 and $46,339, respectively, and for the three months ended September 30, 2016 and 2015, our net loss was $17,363 and $11,578, respectively. We have not been profitable since inception and as of September 30, 2016, our accumulated deficit was $215,659. We have made significant investments over the past three years in our research and development, sales and marketing, general administrative, and manufacturing operations in support of the commercialization of Fuse®. We intend to continue to make investments in building our U.S. and International commercial infrastructure and sales force and in recruiting and training our sales representatives in addition to research and development of new products.
The Boston Scientific Merger
On September 27, 2016, we entered into an Agreement and Plan of Merger (the “Merger Agreement”) with Boston Scientific Corporation (“Boston Scientific”) and Falcon Merger Corp., a wholly-owned subsidiary of Boston Scientific (“Purchaser”). Pursuant to the Merger Agreement, on October 7, 2016, the Purchaser commenced an offer to purchase (the “Offer”) each outstanding share of our common stock for $8.00 in cash. The completion of the Offer is subject to customary conditions, including, among others: (i) that the number of shares validly tendered and not subsequently validly withdrawn in the Offer represents at least a majority of the voting power of our shares of capital stock then outstanding (on a fully-diluted basis), (ii) the absence of a material adverse effect on us and (iii) the satisfaction or waiver of other customary closing conditions as set forth in the Merger Agreement, including approval from antitrust authorities. If the Offer is completed, Boston Scientific is required by the Merger Agreement to consummate a merger of the Purchaser with and into EndoChoice, with EndoChoice surviving the merger as a non-public subsidiary of Boston Scientific. There is no assurance that all of the various conditions to the Offer will be satisfied, or that the subsequent merger will be completed on the proposed terms, within the expected time frame, or at all.

18


Components of our results of operations
We manage our business globally within one reportable segment, which is consistent with how our management reviews our business, prioritizes investment and resource allocation decisions and assesses operating performance.
Net revenues
We generate revenue primarily from the sales of GI equipment and supplies and GI pathology services to GI caregivers treating a wide range of GI diseases. Net revenues from GI equipment and supplies include revenue from imaging systems and related products, single use therapeutic devices and infection control products, and endoscope repair and maintenance, and our net revenues from GI pathology services include revenues from our GI pathology laboratory. Sales to U.S. customers represented approximately 93.3% and 88.4% for the three months ended September 30, 2016 and 2015, respectively, and 91.2% and 89.6% of our net revenues for the nine months ended September 30, 2016 and 2015, respectively.
Our Fuse® system is comprised of colonoscopes and gastroscopes, a FuseBox® video processor, a FusePanel® image management system, a FuseView® monitor system, a standard FuseCart® and other related supplies. We sell our Fuse® system primarily to GI departments in ASCs and hospitals in the United States and Germany and through distributors in other international markets.
We expect revenue to increase in the future as we expand our sales, marketing, and distribution capabilities to support growth in the United States and internationally as our Fuse® system becomes more widely adopted. We also expect revenue to increase as our customer base grows for single-use devices and infection control products and as the number of referring physicians for our pathology services increases.
Cost of revenues
We have manufacturing facilities in Caesarea, Israel and Halstenbek, Germany, and we assemble products in the United States at our facilities in Alpharetta, Georgia and Reno, Nevada. Cost of revenues consist primarily of manufacturing, overhead, direct material, and direct labor costs. A significant portion of our cost of revenues consists of manufacturing overhead costs such as quality assurance, material procurement, inventory control, warehousing and shipment, facilities, equipment depreciation, and operations supervision and management. Due to our relatively low production and sales volumes compared to our available manufacturing capacity, currently a large portion of our Fuse® unit product costs is comprised of manufacturing overhead expense. We expect cost of revenues to decrease as a percentage of net revenues in the future as our per-unit manufacturing costs decline due to greater absorption of our fixed manufacturing costs over an increase in units produced. In addition, we expect our direct materials and direct labor costs to decline with higher sales and production volumes as we are able to negotiate more favorable pricing from component suppliers and introduce design programs to reduce the number and complexity of parts.
Gross profit
We calculate gross profit as net revenues less cost of revenues. Gross profit has been and will continue to be affected by a variety of factors, including production and sales volumes, manufacturing costs, product reliability, production yields, and the implementation over time of cost-reduction strategies. We expect gross profit to increase over time as production and sales volumes increase and the fixed portion of manufacturing overhead costs are allocated over a larger number of units produced, thereby significantly reducing our per unit manufacturing costs. However, gross profit will likely fluctuate from quarter to quarter.
Research and development
Our research and development, or R&D, employees are exclusively focused on the GI industry and are located in Israel, the United States, and Germany. R&D expenses consist primarily of engineering, product development, clinical and regulatory affairs, consulting services, materials, depreciation, patent related costs, start-up manufacturing costs, and R&D activities associated with our core technologies and processes. We expense all R&D costs as incurred.
We expect R&D expense to increase modestly as we continue to innovate and introduce new products and technologies addressing the evolving needs of the GI caregiver. However, we anticipate that our R&D costs will decrease as a percentage of net revenues over time if we are successful growing the sales of our products.

19


Sales and marketing
We employ a team of experienced sales and marketing professionals in the United States and Germany. In international markets, we sell through 30 distributors and employ a team of experienced sales and marketing representatives in Germany who together serve our markets in Europe, the Middle East, Latin America, and Asia. Sales and marketing expense consists primarily of salaries, employee benefits, commissions and bonuses, and related personnel costs. In addition, sales and marketing expense includes marketing and promotional activities, trade shows, travel expenses, depreciation on Fuse® demonstration equipment, and professional fees for consulting services. We expect sales and marketing expense to increase as we continue to expand our sales force and marketing activities to support the commercialization of Fuse® and further sales of our other products. The timing of these increased expenditures are dependent upon the commercial success of Fuse®, sales growth of our other products, the timing of new product launches, and the expansion of our sales force. We expect sales and marketing expense as a percentage of revenue to decline over time if we are able to increase product sales.
General and administrative
General and administrative expense, or G&A, consists primarily of salaries, employee benefits, bonuses, stock-based compensation expense, and related costs for our executive, financial, legal and administrative functions. Other G&A expenses include outside legal counsel and litigation expenses, independent auditors and other outside consultants, corporate insurance, facilities, and information technology expenses. We expect the amount of G&A expenses to continue to increase for the foreseeable future as we employ additional personnel and incur additional legal, accounting, insurance and other professional service fees associated with being a public company. However, we expect G&A expenses to decrease as a percentage of net revenue if we are successful in growing the sales of our products.
Amortization of intangible assets
Amortization of intangible assets consists primarily of amortization expense related to separately identified intangible assets including developed technology, customer relationships and other assets acquired as a result of the acquisitions of Peer Medical Ltd. ("Peer Medical") and RMS Endoskopie-Technik Stephan Wieth e.K. ("RMS") in January 2013. The value of the intangible assets acquired in the Peer Medical and RMS transactions was $23,731 and $1,894, respectively. As of September 30, 2016, intangible assets have no remaining net book value.
Impairment of intangible assets
Impairment of intangible assets consists of charges for the reduction in value of our separately identifiable intangible assets acquired as a result of the Peer Medical and RMS acquisitions. Impairment is recognized to the extent that the carrying amount of an intangible asset exceeds its fair value.
Transaction Costs
Transaction costs consist of legal expenses and other fees related to the pending merger with Boston Scientific.
Other expense
Other expense is comprised primarily of interest expense, loss on early retirement of debt, foreign currency transaction gains and losses, and changes in the fair value of warrant liabilities. Interest expense consists primarily of interest payments made pursuant to our current Term Loan Credit Agreement with MidCap Financial Trust and Silicon Valley Bank (which we refer to as our Term Loan Facility). Interest expense will fluctuate in future periods to the extent that we incur additional debt or repay loans. Our foreign currency transaction gains and losses primarily relate to foreign currency denominated cash, liabilities, and intercompany receivables and payables.

20


Income taxes
Income tax expense results primarily from income taxes in foreign jurisdictions in which we conduct business. We maintain a full valuation allowance in certain jurisdictions for deferred tax assets, including net operating loss carryforwards, research and development credits, and other tax credits. We are taxed at the rates applicable within each jurisdiction in which we operate and/or generate revenue. The composite income tax rate, tax provisions, deferred tax assets, and deferred tax liabilities will vary according to the jurisdiction in which profits arise. Tax laws are complex and subject to different interpretations by management and the respective governmental taxing authorities and require us to exercise judgment in determining our income tax provision, our deferred tax assets and liabilities, and the valuation allowance recorded against our net deferred tax assets. Deferred tax assets and liabilities are determined using the enacted tax rates in effect for the years in which those tax assets are expected to be realized. A valuation allowance is established when it is more likely than not that the future realization of all or some of the deferred tax assets will not be achieved.
Critical accounting policies and estimates
Management's discussion and analysis of our financial condition and results of operations is based on our financial statements, which have been prepared in accordance with U.S. GAAP. The preparation of these financial statements requires us to make estimates and assumptions for the reported amounts of assets, liabilities, revenue, expenses and related disclosures. Our estimates are based on our historical experience and on various other factors that we believe are reasonable under the circumstances, the results of which form the basis for making judgments about the carrying value of assets and liabilities that are not readily apparent from other sources. Actual results may differ from these estimates under different assumptions or conditions and any such differences may be material.
There have been no significant changes to our critical accounting policies during the three and nine months ended September 30, 2016 as compared to the significant accounting policies described in our Annual Report. We believe that the critical accounting policies discussed in our Annual Report are important to understanding our historical and future performance, as these policies relate to the more significant areas involving management's judgments and estimates.
Recently issued accounting pronouncements
Please see Note 3 to the condensed consolidated financial statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q.

21


Results of operations
Comparison of the Three and Nine Months ended September 30, 2016 and 2015
The following table sets forth amounts from our unaudited condensed consolidated financial statements for the three and nine months ended September 30, 2016 and 2015 (dollars in thousands):
 
Three Months Ended
September 30,
 
Nine Months Ended
September 30,
 
2016
 
2015
 
2016
 
2015
Net revenues:
 
 
 
 
 
 
 
GI equipment and supplies
$
13,815

 
$
14,684

 
$
43,159

 
$
43,764

GI pathology services
5,335

 
3,679

 
13,705

 
9,989

Net revenues
19,150

 
18,363

 
56,864

 
53,753

Cost of revenues:
 
 
 
 
 
 
 
GI equipment and supplies
11,272

 
10,804

 
34,902

 
31,782

GI pathology services
1,817

 
1,418

 
4,923

 
3,718

Cost of revenues
13,089

 
12,222

 
39,825

 
35,500

Gross profit
6,061

 
6,141

 
17,039

 
18,253

Operating expenses:
 
 
 
 
 
 
 
Research and development
4,420

 
3,938

 
13,414

 
13,787

Sales and marketing
9,404

 
6,923

 
27,683

 
22,723

General and administrative
6,156

 
5,033

 
18,676

 
17,394

Amortization of intangible assets

 
690

 
1,381

 
2,067

Impairment of intangible assets

 

 
12,589

 

Transaction costs
1,792

 

 
1,792

 

Operating expenses
21,772

 
16,584

 
75,535

 
55,971

Operating loss
(15,711
)
 
(10,443
)
 
(58,496
)
 
(37,718
)
Other expense
(1,306
)
 
(803
)
 
(3,309
)
 
(7,810
)
Net loss before income taxes
(17,017
)
 
(11,246
)
 
(61,805
)
 
(45,528
)
Income tax (expense) benefit
(346
)
 
(332
)
 
2,695

 
(811
)
Net loss
$
(17,363
)
 
$
(11,578
)
 
$
(59,110
)
 
$
(46,339
)
Net revenues
The following table sets forth revenue by product category for the three and nine months ended September 30, 2016 and 2015 (dollars in thousands):
 
Three Months Ended
September 30,
 
Nine Months Ended
September 30,
 
2016
 
2015
 
2016
 
2015
Imaging
$
4,230

 
$
5,578

 
$
15,384

 
$
17,178

Single-use products
9,585

 
9,106

 
27,775

 
26,586

GI equipment and supplies
13,815

 
14,684

 
43,159

 
43,764

GI pathology services
5,335

 
3,679

 
13,705

 
9,989

Net revenues
$
19,150

 
$
18,363

 
$
56,864

 
$
53,753


22


Net revenues for GI equipment and supplies decreased $869, or 5.9%, to $13,815 for the three months ended September 30, 2016 compared to $14,684 during the three months ended September 30, 2015. Net revenues for GI equipment and supplies decreased $605, or 1.4%, to $43,159 for the nine months ended September 30, 2016 compared to $43,764 during the nine months ended September 30, 2015. The decrease in net revenues for GI equipment and supplies was primarily attributable to decreases in imaging sales of Fuse® systems from 21 systems to 14 systems, or 33.3%, for the three months ended September 30, 2015 compared to the three months ended September 30, 2016, respectively, and from 74 systems to 69 systems, or 6.8%, for the nine months ended September 30, 2015 compared to the nine months ended September 30, 2016. Our average selling price per system was consistent for all periods presented, although the average number of scopes sold per system can vary from quarter to quarter. We believe that the announcement in the late third quarter of our merger with Boston Scientific caused several customers to reevaluate their purchasing decisions, leading them to either postpone their orders or purchase from another imaging vendor. The change in net revenues for GI equipment and supplies was also attributable to a 5.3% and 4.5% increase in net revenues of our single-use therapeutic devices and infection control products for the three and nine months ended September 30, 2016 compared to the three and nine months ended September 30, 2015, respectively, which was achieved through expansion of our customer base and cross selling opportunities presented by Fuse® sales.
Net revenues for GI pathology services increased $1,656, or 45.0%, to $5,335 for the three months ended September 30, 2016 compared to $3,679 during the three months ended September 30, 2015. Net revenues for GI pathology services increased $3,716, or 37.2%, to $13,705 for the nine months ended September 30, 2016 compared to $9,989 during the nine months ended September 30, 2015. The growth in net revenues for GI pathology services was primarily attributable to a 42.9% increase in the number of specimens processed for the three months ended September 30, 2016 compared to the three months ended September 30, 2015 and a 41.9% increase in the number of specimens processed for the nine months ended September 30, 2016 compared to the nine months ended September 30, 2015 due to an increase in the number of referring physicians.
We believe that uncertainties regarding the Offer, the Merger and the outcome of Boston Scientific's evaluation of the strategic fit of our imaging business adversely affected our sales during the three months ended September 30, 2016, and that such uncertainties will result in similar adverse effects on sales for the remainder of 2016.
Cost of revenues
Cost of revenues for GI equipment and supplies increased $468, or 4.3%, to $11,272 during the three months ended September 30, 2016 compared to $10,804 during the three months ended September 30, 2015. Cost of revenues increased $3,120, or 9.8%, to $34,902 during the nine months ended September 30, 2016 compared to $31,782 during the nine months ended September 30, 2015. The three and nine months ended September 30, 2016 included obsolescence charges of $395 and $1,512, respectively, to write down the cost of older versions of Fuse® systems and parts as new products have been introduced. As a percentage of GI equipment and supplies revenues, cost of revenues for GI equipment and supplies was 81.6% and 80.9% for the three and nine months ended September 30, 2016, respectively, compared to 73.6% and 72.6% for the three and nine months ended September 30, 2015, respectively. The increase in GI equipment and supply costs as a percentage of revenue was due to lower gross margins on Fuse® due to lower sales volume and resulting lower contribution toward fixed manufacturing costs.
Cost of revenues for GI pathology services increased $399, or 28.1%, to $1,817 during the three months ended September 30, 2016 compared to $1,418 during the three months ended September 30, 2015. Cost of revenues increased $1,205, or 32.4%, to $4,923 during the nine months ended September 30, 2016 compared to $3,718 during the nine months ended September 30, 2015. The increase in GI pathology costs for the three and nine months ended September 30, 2016 compared to the three and nine months ended September 30, 2015 related to incremental variable costs resulting from the growth in specimens processed, partially offset by lower fixed production overhead costs per specimen processed. As a percentage of GI pathology services revenues, cost of revenues for GI pathology services was 34.1% and 35.9% for the three and nine months ended September 30, 2016, respectively, compared to 38.5% and 37.2% for the three and nine months ended September 30, 2015, respectively.
As we continue the commercialization of Fuse® beyond 2016, if we are able to achieve higher sales volumes and economies of scale in manufacturing, we expect cost of revenues to decrease as a percentage of net revenues as our per-unit manufacturing costs decline due to the absorption of fixed manufacturing costs over a greater number of production units and the introduction of design and sourcing programs to reduce the cost of direct materials. Our ability to achieve a reduction in cost of revenues as a percentage of revenues is dependent on the reliability of our products and the widespread acceptance of Fuse®.

23


Gross profit
Gross profit for GI equipment and supplies was $2,543 and $8,257 for the three and nine months ended September 30, 2016, respectively, compared to $3,880 and $11,982 for the three and nine months ended September 30, 2015, respectively, a decrease of $1,337 and $3,725, or 34.5% and 31.1%, respectively, for the reasons discussed above. Gross profit for GI pathology services was $3,518 and $8,782 for the three and nine months ended September 30, 2016, respectively, compared to $2,261 and $6,271 for the three and nine months ended September 30, 2015, respectively, an increase of $1,257 and 2,511, or 55.6% and 40.0%, respectively, for the reasons discussed above.
Research and development
Research and development expenses increased $482, or 12.2%, to $4,420 during the three months ended September 30, 2016 compared to $3,938 during the three months ended September 30, 2015. Research and development expenses decreased $373, or 2.7%, to $13,414 during the nine months ended September 30, 2016 compared to $13,787 during the nine months ended September 30, 2015. The decrease in expense is primarily attributable to a reduction of Fuse® start-up manufacturing costs and project expenses. Research and development expense included $1,345 for the nine months ended September 30, 2015 of labor and overhead costs associated with certain engineering activities required to advance the design of Fuse® for manufacture. No such costs were included in research and development expense for the three and nine months ended September 30, 2016 and the three months ended September 30, 2015. Additionally, stock-based compensation expense charged to research and development was $132 and $302 for the three and nine months ended September 30, 2016, respectively, compared to $76 and $595 for the three and nine months ended September 30, 2015, respectively. As a percentage of net revenues, research and development expenses were 23.1% and 23.6% for the three and nine months ended September 30, 2016, respectively, compared to 21.4% and 25.6% for the three and nine months ended September 30, 2015, respectively.
Sales and marketing
Sales and marketing expenses increased $2,481, or 35.8%, to $9,404 during the three months ended September 30, 2016 compared to $6,923 during the three months ended September 30, 2015. Sales and marketing expenses increased $4,960, or 21.8%, to $27,683 during the nine months ended September 30, 2016 compared to $22,723 during the nine months ended September 30, 2015. The increase is primarily attributable to expanding the sales and marketing organization. As a percentage of net revenues, sales and marketing expense was 49.1% and 48.7% for the three and nine months ended September 30, 2016, respectively, compared to 37.7% and 42.3% for the three and nine months ended September 30, 2015, respectively.
General and administrative
General and administrative expense increased $1,123, or 22.3%, to $6,156 during the three months ended September 30, 2016 compared to $5,033 during the three months ended September 30, 2015. General and administrative expenses increased $1,282, or 7.4%, to $18,676 during the nine months ended September 30, 2016 compared to $17,394 during the nine months ended September 30, 2015. The increase was due to expenses related to being a public company, stock-based compensation, and an increase in headcount as we invested in our infrastructure and systems to support the growth of the company and commercialization of Fuse®. General and administrative expense includes $836 and $2,593 for stock based compensation during the three and nine months ended September 30, 2016, respectively, compared to $471 and $2,973 during the three and nine months ended September 30, 2015, respectively. As a percentage of net revenues, general and administrative expenses were 32.1% and 32.8% for the three and nine months ended September 30, 2016, respectively, compared to 27.4% and 32.4% for the three and nine months ended September 30, 2015, respectively.
Amortization of intangible assets
Amortization of intangible assets was $1,381 for the nine months ended September 30, 2016 compared to $690 and $2,067 for the three and nine months ended September 30, 2015. No amortization of intangible assets was recognized for the three months ended September 30, 2016. The decrease relates to fluctuations in foreign currency exchange rates and the impairment of intangible assets during the second quarter of 2016.
Impairment of intangible assets
During the second quarter of 2016, we impaired the remaining net book value of intangible assets from the Peer Medical and RMS acquisitions, resulting in pre-tax impairment charges totaling $12,589 for the nine months ended September 30, 2016. The impairments were the result of lowered cash flow projections for the assets. No impairments of intangible assets were recognized for the three months ended September 30, 2016 or the three and nine months ended September 30, 2015.

24


Transaction Costs
We recognized transaction costs related to the outstanding Merger Agreement of $1,792 for the three and nine months ended September 30, 2016. No transaction costs were recognized for the three and nine months ended September 30, 2015.
Other expense
For the three and nine months ended September 30, 2016 and 2015, other expense was as follows (dollars in thousands):
 
Three Months Ended
September 30,
 
Nine Months Ended
September 30,
 
2016
 
2015
 
2016
 
2015
Interest expense
$
(1,194
)
 
$
(1,163
)
 
$
(3,491
)
 
$
(4,257
)
Foreign currency exchange gain (loss)
(217
)
 
269

 
(137
)
 
(898
)
Loss on early retirement of debt

 

 

 
(2,282
)
Warrant liability mark-to-market

 

 

 
(435
)
Other income (expense)
105

 
91

 
319

 
62

Other expense
$
(1,306
)
 
$
(803
)
 
$
(3,309
)
 
$
(7,810
)
Other expense increased $503, or 62.6%, to $1,306 during the three months ended September 30, 2016 compared to $803 during the three months ended September 30, 2015. The change was primarily due to an increase in foreign currency losses and interest expense of $486 and $31, respectively. Other expense decreased $4,501, or 57.6%, to $3,309 during the nine months ended September 30, 2016 compared to $7,810 during the nine months ended September 30, 2015. The change was primarily due to a $2,282 loss on debt retirement charges for the nine months ended September 30, 2015. In addition, interest expense, foreign currency losses, and warrant liability mark-to-market charges decreased $766, $761, and $435, respectively, and other income increased $257 over the same period. The foreign currency gains and losses relate to the impact of revaluing certain of our intercompany receivables and payables between our U.S., German, and Israeli subsidiaries as a result of changes in the respective Euro and Shekel to U.S. dollar exchange rates.
Income taxes
Income tax expense was $346 and income tax benefit was $2,695 for the three and nine months ended September 30, 2016, respectively, compared to income tax expense of $332 and $811 for the three and nine months ended September 30, 2015, an income tax expense increase of $14 and decrease of $3,506, respectively. The decrease during the nine months ended September 30, 2016 compared to the nine months ended September 30, 2015 was primarily due to the impact of the impairment of intangible assets on foreign subsidiary earnings.
Significant trends and uncertainties impacting our business
The global GI Endoscopy market has been growing as a result of:
increased governmental and payor focus on colorectal cancer screening, prevention and treatment of colorectal cancer and other GI conditions;
an aging global population; and
changing dietary habits.
Nonetheless, we face a number of challenges and uncertainties, including:
lack of experience that GI customers have with our products (and our Fuse® system in particular) and their concerns that we are relatively new to the business of designing and manufacturing endoscopy systems;
concerns that our competitors have greater financial and other resources than our company;
entrenched relationships that our competitors have with potential customers and their competitive response and negative selling efforts against us; and
reluctance by GI caregivers to change or to use new products and services for established procedures.
We are also subject to additional risks and uncertainties discussed in our Annual Report on Form 10-K filed with the Securities and Exchange Commission and in the section titled “Risk Factors” included in Part II, Item 1A below.

25


Seasonality and quarterly fluctuations
Our business is seasonal in nature. We have experienced and expect to continue to experience variability in our revenue and gross profit among quarters, as well as within each quarter, as a result of a number of factors, including adverse weather and by resetting of annual patient healthcare insurance plan deductibles, both of which may cause patients to delay elective procedures, particularly in the first quarter. Demand and timing for GI endoscopy procedures may be impacted by provider budgetary cycles and by the desire of patients to spend their remaining balances in flexible spending accounts or because they have met their annual deductibles under their health insurance plans. In addition, sales cycles for medical capital equipment such as our Fuse® system are longer than other products, which may result in revenue variations caused by the timing of the receipt of customer orders or the shipment of our systems. In the first quarter, the number of GI endoscopy procedures nationwide is historically lower than other quarters throughout the year, which we believe is attributable to winter weather and patients deferring elective procedures until they have met their insurance deductibles during a year. In the third quarter, the number of GI endoscopy procedures in the U.S. and Europe is historically lower than other quarters throughout the year, which we believe would be attributable to the summer vacations of GI specialists and their patients. Other factors that may cause variability in our results include: the number and mix of products sold in the quarter, the demand for, and pricing of, our products and the products of our competitors; the timing of or failure to obtain regulatory clearances or approvals for products; costs, benefits and timing of new product introductions; increased competition; the timing of the receipt of customer orders; changes in average selling prices; the availability and cost of components and materials; number of selling days, and fluctuations in foreign currency exchange rates.
Liquidity and capital resources
Overview
Since our inception and prior to our IPO, we financed our operations primarily through non-public equity financings and to a lesser extent, debt financings. During June 2015, we completed our IPO and received net proceeds of $94,186. We expect that cash from operations together with cash and marketable securities on hand and $15,000 of available capital under our revolving line of credit will be sufficient to fund our operations for at least the next twelve months. As of September 30, 2016, we had total cash, cash equivalents, and marketable securities of $44,028 and an accumulated deficit of $215,659.
On June 30, 2015, the Company refinanced its outstanding debt by entering into a new $58,000 credit facility, which includes a Term Loan Credit Agreement and a Revolving Loan Credit Agreement with MidCap Financial Trust and Silicon Valley Bank. The Term Loan Credit Agreement provides for a five-year $43,000 senior term loan facility (the "Term Loan Facility"), and the Revolving Loan Credit Agreement provides for a five-year $15,000 senior revolving credit facility (the "Revolving Credit Facility"). Both the Term Loan Facility and Revolving Credit Facility are secured by a lien on substantially all of the assets of the Company and its domestic subsidiaries, other than intellectual property, which is subject to a negative pledge only. Interest-only payments are due during the first 30 months of the Term Loan Facility, with principal payments beginning in January 2018 in equal monthly installments until maturity.
Proceeds from the Term Loan Facility were used to repay $40,000 of outstanding loans under the Growth Capital Loan and Security Agreement dated February 18, 2014 with Triple Point Capital, LLC (the "Growth Capital Facility"), $2,306 of prepayment and end of term fees under the Growth Capital Facility, and approximately $517 of other fees and expenses in connection with the refinancing, with the remaining $177 of proceeds used for general business purposes. The Revolving Credit Facility is expected to be used in the future for working capital needs and general business purposes. The Term Loan Credit Agreement and Revolving Loan Credit Agreement are discussed below under the caption "Indebtedness".
Our liquidity position and capital requirements may be impacted by a number of factors, including the following:
 
our ability to generate revenues;
fluctuations in gross margins, operating expenses and net loss; and
fluctuations in working capital.

26


Our primary short-term capital needs, which are subject to change, include expenditures related to:
 
support of our commercialization efforts related to Fuse®;
expansion of our sales and marketing activities, including hiring new direct sales representatives;
purchases of new product demonstration equipment used by our sales representatives and other personnel for Fuse® product demonstrations to GI specialists;
improvements in our manufacturing capacity as sales of our Fuse® system and other products increase in the future, which will include the acquisition of equipment and other fixed assets related primarily to the manufacturing of our Fuse® system and our other products;
improvements to our information technology systems; and
payment of interest due under our Term Loan Credit Agreement.
We may raise additional funds to finance future cash needs through public or private equity offerings, debt financings, receivables or royalty financings or corporate collaboration and licensing arrangements. The covenants under our credit facilities limit our ability to obtain additional debt financing. We cannot be certain that additional funding will be available on acceptable terms, or at all. Any failure to raise capital in the future could have a negative impact on our financial condition and our ability to pursue our business strategies.
If we raise additional funds by issuing equity securities or convertible debt, our stockholders will experience dilution. Debt financing, if available, would result in increased fixed payment obligations and may involve agreements that include covenants limiting or restricting our ability to take specific actions, such as incurring additional debt, making capital expenditures or declaring dividends. Any debt financing or additional equity that we raise may contain terms, such as liquidation and other preferences, which are not favorable to us or our stockholders. If we raise additional funds through collaboration and licensing arrangements with third parties, it may be necessary to relinquish valuable rights to our products, future revenue streams or product candidates, or to grant licenses on terms that may not be favorable to us.
Cash flows
The following table provides a summary of our cash flows for the periods indicated (dollars in thousands):
 
Nine Months Ended
September 30,
 
2016
 
2015
Net cash used in operating activities
$
(36,793
)
 
$
(31,135
)
Net cash provided by (used in) investing activities
17,448

 
(60,329
)
Net cash provided by financing activities
434

 
125,534

Effect of exchange rate changes on cash and cash equivalents
26

 
(35
)
Net (decrease) increase in cash and cash equivalents
$
(18,885
)
 
$
34,035

 
 
 
 
Cash flows from operating activities
During the nine months ended September 30, 2016, net cash used in operating activities was $36,793, consisting primarily of a net loss of $59,110, partially offset by a decrease in net operating assets of $255 and non-cash charges of $22,062. The cash used in operations was primarily due to the ongoing commercialization of Fuse® and the related expansion of our infrastructure in sales and marketing. The decrease in net operating assets was due to decreases in inventories and other assets and an increase in accounts payable, accrued expenses, and other liabilities, partially offset by increases in accounts receivable and prepaid expenses and other current assets. The non-cash charges primarily related to impairment of intangible assets, depreciation and amortization, deferred income tax benefit, loss on impairment of property and equipment, stock-based compensation, and provision for doubtful accounts.
During the nine months ended September 30, 2015, net cash used in operating activities was $31,135, consisting primarily of a net loss of $46,339 and an increase in net operating assets of $1,586, partially offset by non-cash charges of $14,508 and a loss on early debt retirement of $2,282. The increase in net operating assets was due to increases in accounts receivable, inventories, and prepaid expenses and other current assets, partially offset by a decrease in other assets and an increase in accounts payable, accrued liabilities, and other liabilities. The non-cash charges primarily related to depreciation and amortization, loss on impairment of property and equipment, stock-based compensation, change in the fair value of the warranty liability, and unrealized foreign currency losses.

27


Cash flows from investing activities
During the nine months ended September 30, 2016, net cash provided by investing activities was $17,448, consisting of proceeds from the maturity of marketable securities of $24,562, offset by $7,114 of capital expenditures associated with increased demonstration equipment and manufacturing equipment related to the commercialization of Fuse®.
During the nine months ended September 30, 2015, net cash used in investing activities was $60,329, consisting of $55,352 of marketable security purchases and $4,977 of Fuse® demonstration equipment and property and equipment purchases associated with global expansion and the commercialization of Fuse®.
Cash flows from financing activities
During the nine months ended September 30, 2016, net cash provided by financing activities was $434, consisting of proceeds from the issuance of common stock under the employee stock purchase plan of $486 and cash from option exercises of $28, partially offset by contingent consideration payments of $80.
During the nine months ended September 30, 2015, net cash provided by financing activities was $125,534, consisting of proceeds from the issuance of member units of $31,000, net proceeds from our IPO of $94,186, net proceeds from our debt refinancing of $3,000, and cash from options exercises of $71, partially offset by prepayment and end of term fees for early retirement of debt of $2,306 and payments for debt financing fees of $417.
Indebtedness
On June 30, 2015, the Company refinanced its outstanding debt by entering into the $43,000 Term Loan Credit Agreement and $15,000 Revolving Loan Credit Agreement with MidCap Financial Trust and Silicon Valley Bank.
The Credit Agreements contain representations and covenants typical for credit arrangements of comparable size in the medical device industry, including certain financial covenants related to minimum liquidity levels and net revenues. These financial covenants were amended for the duration of the term loan on August 2, 2016 and the end of term fee was increased to 4.45%. The Credit Agreements also contain customary events of default. If an event of default occurs and is not cured within any applicable grace period or is not waived, the creditors are entitled to take various actions, including, without limitation, the acceleration of amounts due thereunder, termination of commitments under the Credit Agreements, and realization upon the collateral securing the credit facilities.
Term Loan Facility
The Term Loan Credit Agreement provides for a five-year $43,000 senior term loan facility (the "Term Loan Facility") secured by a lien on substantially all of the assets of EndoChoice and its domestic subsidiaries, other than intellectual property, which is subject to a negative pledge only. The Term Loan Facility bears interest at a fixed rate of 9.5% per year and is subject to an end of term fee of 4.45% on the $43,000 advanced under the facility on the Closing Date. Interest-only payments are due during the first 30 months of the Term Loan Facility, with principal payments beginning in January 2018 in equal monthly installments over the ensuing 30 month period until maturity. The end of term fee is not applied to scheduled principal payments and is due only upon the earlier of repayment or maturity of the loan. The end of term fee is accrued as additional interest expense using the effective interest rate method over the term of the loan.
Proceeds from the Term Loan Facility were used to voluntarily prepay $40,000 of outstanding loans under the Growth Capital Facility with Triple Point Capital, LLC, to pay $2,306 of prepayment and end of term fees, and to pay $517 of other fees and expenses in connection with the refinancing.
Revolving Credit Facility
The Revolving Loan Credit Agreement provides for a five-year $15,000 senior revolving credit facility (the "Revolving Credit Facility") also secured by a lien on substantially all of the assets of EndoChoice and its domestic subsidiaries, other than intellectual property, which is subject to a negative pledge only. Amounts drawn under the Revolving Credit Facility will bear interest at the LIBOR Rate (as defined in the Revolving Loan Credit Agreement) plus 5.25% per year, while the undrawn portion is subject to an unused line fee of 0.50% per year. No amounts were drawn or outstanding under the Revolving Credit Facility as of September 30, 2016. The Revolving Credit Facility expires on June 30, 2020.

28


Contractual obligations and commitments
The following table summarizes our expected material contractual payment obligations as of September 30, 2016 (dollars in thousands):
 
Payments due by period
 
Total
 
Less than
1 year
 
1-3
years
 
3-5
years
 
More than 5 years
Long-term debt obligations(1)(2)
$
44,914

 
$

 
$
30,100

 
$
14,814

 
$

Operating leases
7,902

 
1,767

 
3,169

 
2,343

 
623

Total
$
52,816

 
$
1,767

 
$
33,269

 
$
17,157

 
$
623


(1)
Under the terms of the Term Loan Credit Agreement, principal payments begin January 2018 and continue until maturity on June 30, 2020.
(2)
Includes aggregate end of term fees of $1,914 due at maturity of the Term Loan Credit Agreement.
Off-balance sheet arrangements
We do not have any off-balance sheet arrangements.
JOBS Act
We qualify as an “emerging growth company” pursuant to the provisions of the JOBS Act. For as long as we are an “emerging growth company,” we may take advantage of certain exemptions from various reporting requirements that are applicable to other public companies that are not “emerging growth companies,” including, but not limited to, not being required to comply with the auditor attestation requirements of Section 404(b) of the Sarbanes-Oxley Act, reduced disclosure obligations regarding executive compensation in our periodic reports and proxy statements, reduced disclosure obligations relating to the presentation of financial statements in Management’s Discussion and Analysis of Financial Condition and Results of Operations, exemptions from the requirements of holding advisory “say-on-pay” votes on executive compensation and shareholder advisory votes on golden parachute compensation. We have availed ourselves of the reduced reporting obligations and executive compensation disclosure in this quarterly filing, and expect to continue to avail ourselves of the reduced reporting obligations available to emerging growth companies in future filings.
In addition, an emerging growth company can delay its adoption of certain accounting standards until those standards would otherwise apply to private companies. However, we are choosing to “opt out” of such extended transition period, and as a result, we plan to comply with any new or revised accounting standards on the relevant dates on which non-emerging growth companies must adopt such standards. Section 107 of the JOBS Act provides that our decision to opt out of the extended transition period for complying with new or revised accounting standards is irrevocable.

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Item 3.     Quantitative and Qualitative Disclosures about Market Risk
We are exposed to market risks in the ordinary course of our business. The primary market risks that we are exposed to include interest rate risk, foreign currency exchange rate risk, and inflation risk.
Interest rate risk and credit risk
We are exposed to interest rate risk in connection with future borrowings under our Revolving Credit Facility, which will bear interest annually at a floating rate based upon the LIBOR Rate (as defined in the Revolving Loan Credit Agreement) plus 5.25%. As of September 30, 2016, no amounts were outstanding under our Revolving Credit Facility. We do not believe that we are exposed to material interest rate risk with respect to our Term Loan Facility, which bears interest at a fixed rate of 9.5% that is not subject to changes in market interest rates.
We are also exposed to a degree of interest rate risk and credit risk related to our investment activities. The primary objectives of our investment activities are to ensure liquidity and preserve capital. We also seek to maximize income from our investments without assuming significant risk. To achieve these objectives, we have established policies allowing excess cash to be invested in a diversified portfolio of high credit quality (Standard & Poor’s credit rating of A or better), U.S. dollar denominated marketable debt securities with durations of less than 2 years, including U.S. Treasury securities, U.S. government agency bonds, money market funds, certificates of deposit, and commercial paper.
As of September 30, 2016, we held $2,136 of cash, $13,012 of cash equivalents, and $28,880 of available-for-sale short-term marketable securities. Cash equivalents were comprised of liquid money market funds with durations of less than 90 days, and available-for-sale short-term marketable securities were comprised of U.S. Treasury, U.S. government agency, and investment-grade corporate debt securities. Our investments bear interest primarily at fixed rates, have durations of less than one year, and are diversified across high-credit quality issuers. Therefore, we do not believe that our investment securities are subject to significant interest rate risk or credit risk. Nor do we believe that we are exposed to material interest rate risk with respect to cash, which is not subject to loss of principal due to fluctuations in interest rates and is held in readily available checking accounts with high quality financial institutions. A hypothetical 1% change in interest rates during any of the periods presented would not have had a material impact on our consolidated financial statements.
Foreign currency risk
A portion of our sales and operating expenses are incurred outside the United States, are denominated in foreign currencies, and are subject to fluctuations due to changes in foreign currency exchange rates, particularly changes in the Euro and the Shekel. Additionally, fluctuations in foreign currency exchange rates may cause us to recognize transaction gains and losses in our statements of comprehensive loss. To date, foreign currency transaction realized gains and losses have not been material to our consolidated financial statements, and we have not engaged in any foreign currency hedging transactions. As our international operations grow, we will continue to reassess our approach to managing the risks relating to fluctuations in currency rates.
For the three months ended September 30, 2016 and 2015, approximately 4.2% and 5.9%, respectively, of our sales were denominated in foreign currencies. For the nine months ended September 30, 2016 and 2015, approximately 5.7% and 6.1%, respectively, of our sales were denominated in foreign currencies.
Inflation risk
Inflation generally affects us by increasing our cost of labor and manufacturing and other costs. We do not believe that inflation had a material effect on our business, financial condition, or results of operations during the three and nine month periods ended September 30, 2016 and 2015.

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Item 4. Controls and Procedures
Evaluation of Disclosure Controls and Procedures
As required by Rule 13a-15 under the Securities Exchange Act of 1934, as amended (Exchange Act), our management, with the participation of our Chief Executive Officer and Chief Financial Officer, evaluated the effectiveness of the design and operation of our disclosure controls and procedures as of the end of the period covered by this Quarterly Report on Form 10-Q. Based on this evaluation, our Chief Executive Officer and Chief Financial Officer concluded that, as of September 30, 2016, our disclosure controls and procedures are effective to provide reasonable assurance that information we are required to disclose in reports that we file or submit under the Exchange Act is recorded, processed, summarized, and reported within the time periods specified in the SEC’s rules and forms, and that such information is accumulated and communicated to our management, including our Chief Executive Officer and Chief Financial Officer, as appropriate, to allow timely decisions regarding required disclosure.
Changes in Internal Control over Financial Reporting
There were no changes in our internal control over financial reporting that occurred during the three months ended September 30, 2016 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.


31


Part II. Other Information
Item 1. Legal Proceedings
The information required by this item is set forth in Note 11, “Commitments and Contingencies” in the notes to the condensed consolidated financial statements (unaudited) contained in Part I, Item 1 of this report, which information is incorporated herein by reference.
Item 1A. Risk Factors
An investment in our common stock involves risks. You should carefully consider the risk factors as previously disclosed in our Annual Report on Form 10-K filed with the SEC on March 21, 2016 as well other information in this Quarterly Report on Form 10-Q, including the financial statements and related notes, before deciding whether to purchase, hold, or sell shares of our common stock. The occurrence of any of these risks could harm our business, financial condition, or results of operations or cause our actual results to differ materially from those contained in forward-looking statements we have made in this report and those we may make from time to time. You should consider all of the risk factors described when evaluating our business. Other than the risk factors described below, there have been no material changes to the risk factors as previously disclosed in our Annual Report filed with the SEC on March 21, 2016, the discussion of which is specifically incorporated by reference into this Quarterly Report on Form 10-Q.
Risks Related to the Boston Scientific Merger
The pendency of our agreement to be acquired by Boston Scientific or the failure of the acquisition to be completed could have a material adverse effect on our business, operating results and stock price.
On September 27, 2016, we entered into the Merger Agreement with Boston Scientific and the Purchaser pursuant to which, on October 7, 2016, the Purchaser commenced an offer to purchase each outstanding share of our common stock for $8.00 in cash (the “Merger Consideration”). The completion of the Offer is subject to customary conditions, including, among others: (i) that the number of shares validly tendered and not subsequently validly withdrawn in the Offer represents at least a majority of the voting power of our shares of capital stock then outstanding (on a fully-diluted basis) (the “minimum tender condition”), (ii) the absence of a material adverse effect on us and (iii) the satisfaction or waiver of other customary closing conditions as set forth in the Merger Agreement, including approval from antitrust authorities.
If the Offer is completed, Boston Scientific is required by the Merger Agreement to consummate a merger of the Purchaser with and into EndoChoice (the “Merger”), with EndoChoice surviving the Merger as a non-public subsidiary of Boston Scientific. There is no assurance that all of the various conditions to the Offer will be satisfied, or that the Merger will be completed on the proposed terms, within the expected time frame, or at all.
There are a number of risks and uncertainties relating to the Offer and the Merger, including:
various conditions to the consummation of the Offer, such as the minimum tender condition, may not be satisfied or waived;
the pendency of the Offer and the Merger, even if ultimately consummated, may create uncertainty in the marketplace and could lead customer and prospective customers to purchase from other vendors or delay purchasing from us;
the amount of cash comprising the per share Merger Consideration will not be adjusted for changes in our business, assets, liabilities, prospects, outlook, financial condition or results of operations during the pendency of the Merger Agreement, including any successful execution of our current strategy as an independent company or in the event of any change in the market price of, analyst estimates of, or projections relating to, our common stock;
legal or regulatory proceedings, including regulatory approvals from the U.S. and Spanish authorities or other matters that affect the timing or ability to complete the transaction as contemplated;
the possibility of disruption to our business, including increased costs and diversion of management time and resources that could otherwise have been devoted to other opportunities that may have been beneficial to us;
difficulties maintaining and renewing business and operational relationships, including relationships with significant customers, vendors and other business partners;
the possibility of decreased sales due to uncertainties about the Offer, the Merger and the outcome of Boston Scientific's evaluation of the strategic fit of our imaging business;

32


the inability to retain and motivate current employees, or attract and retain prospective employees who may each be uncertain about their future roles following the completion of the Merger, and the possibility that our employees could lose productivity as a result of uncertainty regarding their employment following the Merger;
the inability to pursue alternative business opportunities, including strategic acquisitions and investments, or make changes to our business pending the completion of the Offer and the Merger, and other restrictions on our ability to conduct our business under the Merger Agreement (which include restrictions on our ability to make certain capital expenditures, transfer or dispose of our assets, amend our organizational documents and incur indebtedness);
changes in domestic or global economic conditions that may affect the timing or success of the Offer or the Merger; and
the risk that if the Offer or the Merger are not completed:
the market price of our common stock could decline to the extent that the current market price of our stock reflects an assumption that the Offer and the Merger will be completed;
we would be subject to negative publicity or be negatively perceived by the investment or business community;
relationships with customers, vendors and other business partners may be irreparably harmed, we may be unable to attract, retain and motivate employees, and profitability may be adversely affected due to costs incurred in connection with the Offer and the Merger;
our board of directors may consider various alternatives available to us, including, among others, continuing as a public company with no material changes to our business or capital structure or attempting to sell our company to another potential acquirer; which alternatives may involve additional risks to our business, including, among others, risks related to the diversion of management’s attention and additional expenses, our ability to take advantage of any such alternative opportunities and the valuation assigned to our business in any such alternative transaction; and
we could be required to pay a termination fee of $7.95 million if the Merger Agreement is terminated under certain circumstances as described in the Merger Agreement.
The Merger Agreement with Boston Scientific limits our ability to pursue alternative transactions, and in certain instances requires payment of a termination fee, which could deter a third party from proposing an alternative transaction.
The Merger Agreement contains provisions that, subject to certain exceptions, limit our ability to solicit, initiate, knowingly facilitate or knowingly encourage any inquiry, discussion, offer or request that constitutes, or could reasonably be expected to lead to a proposal for an alternative transaction. In addition, under specified circumstances where the Merger Agreement is terminated, we are required to pay a termination fee of $7.95 million. It is possible that these or other provisions might discourage a potential competing acquirer that might have an interest in acquiring all or a significant part of our business from considering or proposing an acquisition or might result in a potential competing acquirer proposing to pay a lower per share price to acquire us than it might otherwise have proposed to pay.
Pending or future litigation instituted against EndoChoice and our directors challenging the transaction with Boston Scientific may prevent the Offer or the Merger from being completed within the expected timeframe or at all.
We and members of our board of directors may be named as defendants in lawsuits challenging the transaction with Boston Scientific. While we believe that any such claims will be without merit, if the plaintiffs secure injunctive or other relief prohibiting, delaying or otherwise adversely affecting our ability to complete the Offer or the Merger, then such relief may prevent the Offer or the Merger, respectively, from being completed within the expected timeframe or at all. In addition, defending against such claims may be expensive and divert management’s attention and resources, which could adversely affect our business.

33


Risks related to our intellectual property
If we are sued for infringing intellectual property rights of third parties, it will be costly and time consuming, and an unfavorable outcome in that litigation would have a material adverse effect on our business, results of operations and financial condition.
On October 28, 2016, Medigus, Ltd., Medigus USA LLC (collectively, “Medigus”) and EndoChoice, Inc. (“EndoChoice”) settled all litigation and administrative proceedings between themselves, including those actions pending in the U.S. District Court for the District of Delaware C.A. Nos. 15-505-LPS-CJB and C.A. No. 15-1525-LPS-CJB and the trademark opposition proceedings in the State of Israel involving Trademark Application Nos. 257172, 260433 and 262423.  Under the terms of the confidential settlement, Medigus was granted a covenant not to sue with respect to EndoChoice Fuse® related trademarks and EndoChoice was granted a non-exclusive license to Medigus’ U.S. Patent No. 6,997,871 and related patents.  Each party has agreed to bear its own costs and fees associated with the Litigations.

34


Item 2. Unregistered Sales of Equity Securities and Use of Proceeds
(a) Sales of Unregistered Securities

There were no sales of equity securities by us that were not registered under the Securities Act of 1933, as amended, during the three months ended September 30, 2016.
(b) Use of Proceeds from the Sale of Registered Securities
On June 10, 2015, we completed an initial public offering, or IPO, of our common stock. In connection with the IPO, we issued 7,302,500 shares of our common stock at a price of $15.00 per share, including 952,500 shares pursuant to the underwriters’ full exercise of their over-allotment option. The underwriters’ over-allotment option was comprised of 702,500 shares sold by us and 250,000 shares sold by certain selling stockholders. The offer and sale of all of the shares in the IPO were registered under the Securities Act pursuant to a registration statement on Form S-1, as amended (File No. 333-203883), which was declared effective by the SEC on June 4, 2015.
We received total net proceeds from the IPO of approximately $94,186 after deducting underwriting discounts and commissions of approximately $7,405 and other offering expenses of approximately $4,197. The selling stockholders received total net proceeds from the IPO of approximately $3,488 after deducting underwriting discounts and commissions of approximately $262. No offering expenses were paid or are payable, directly or indirectly, to any of our directors or officers (or their associates), to persons owning ten percent or more of any class of our equity securities, or to any other affiliates.
The net proceeds from the IPO have been invested in highly-liquid money market funds and investment grade marketable securities. There has been no material change in the planned use of proceeds from our IPO.

35


Item 3. Defaults Upon Senior Securities
None.
Item 4. Mine Safety Disclosures
Not applicable.
Item 5. Other Information
On August 2, 2016, we, together with our wholly-owned subsidiaries EndoChoice, Inc. and Robert S. Smith, M.D., Inc., entered into amendments (collectively, the “Amendments”) to our Revolving Loan Credit Agreement, with MidCap Funding IV Trust and the other lenders party thereto, and our Term Loan Credit Agreement, with MidCap Financial Trust and the lenders party thereto. These Amendments, among other things, reduced the minimum net revenue levels we must maintain under the financial covenants contained in the Revolving Loan Credit Agreement and the Term Loan Credit Agreement. The minimum net revenue levels that we must maintain under the Revolving Loan Credit Agreement and the Term Loan Credit Agreement are tested quarterly based on our net sales from the preceding two quarters. As amended by the Amendments, we must maintain net revenue of $37,623 and $39,787 for the periods ending September 30, 2016 and December 31, 2016, respectively, to remain in compliance with our financial covenants under the Revolving Loan Credit Agreement and the Term Loan Credit Agreement. The end of term fee under the Term Loan Credit Agreement was increased from 2.95% to 4.45%. All other material terms of the Revolving Loan Credit Agreement and Term Loan Credit Agreement remain unchanged.
The foregoing description does not purport to be complete and is qualified in its entirety by reference to the full text of the Amendments, which are filed as exhibits to this quarterly report on Form 10-Q for the quarter ended September 30, 2016.


36


Item 6. Exhibits
The agreements and other documents filed as exhibits to this Quarterly Report on Form 10-Q are not intended to provide factual information or other disclosure other than with respect to the terms of the agreements or other documents themselves, and you should not rely on them for that purpose. In particular, any representations and warranties made by us in these agreements or other documents were made solely within the specific context of the relevant agreement or document and may not describe the actual state of affairs as of the date they were made or at any other time.
 
 
 
 
Incorporated by Reference
 
 
Exhibit
Number
 
Exhibit Description
 
Form
 
Date
 
Number
 
Filed Herewith
2.1
 
Agreement and Plan of Merger, dated as of September 27, 2016, by and among Boston Scientific Corporation, Falcon Merger Corp. and EndoChoice Holdings, Inc.
 
8-K
 
09/27/16
 
2.1
 
 
 
 
 
 
 
 
 
 
 
 
 
3.1
 
Certificate of Incorporation of EndoChoice Holdings, Inc.
 
10-Q
 
08/06/15
 
3.1
 
 
 
 
 
 
 
 
 
 
 
 
 
3.2
 
Bylaws of EndoChoice Holdings, Inc.
 
10-Q
 
08/06/15
 
3.2
 
 
 
 
 
 
 
 
 
 
 
 
 
4.1
 
Form of Stock Certificate for Common Stock
 
S-1/A
 
05/25/15
 
4.1
 
 
 
 
 
 
 
 
 
 
 
 
 
10.1
 
Amendment No. 1 to Credit and Security Agreement (Term Loan) dated as of August 2, 2016, by and among EndoChoice Holdings, Inc., the other parties thereto that are designated as borrowers, MidCap Financial Trust as Administrative Agent, and the lenders party thereto
 
 
 
 
 
 
 
X
 
 
 
 
 
 
 
 
 
 
 
10.2
 
Amendment No. 2 to Credit and Security Agreement (Revolving Loan) dated as of August 2, 2016, by and among EndoChoice Holdings, Inc., the other parties thereto that are designated as borrowers, MidCap Financial Trust as Administrative Agent and as a lender, and the other lenders party thereto
 
 
 
 
 
 
 
X
 
 
 
 
 
 
 
 
 
 
 
31.1
 
Certification of Chief Executive Officer required by Rule 13a-14(a) or Rule 15d-14(a)
 
 
 
 
 
 
 
X
 
 
 
 
 
 
 
 
 
 
 
31.2
 
Certification of Chief Financial Officer required by Rule 13a-14(a) or Rule 15d-14(a)
 
 
 
 
 
 
 
X
 
 
 
 
 
 
 
 
 
 
 
32.1*
 
Certification required by Rule 13a-14(b) or Rule 15d-14(b) and Section 1350 of Chapter 63 of Title 18 of the United States Code (18 U.S.C. §1350)
 
 
 
 
 
 
 
X
 
 
 
 
 
 
 
 
 
 
 
99.1
 
Form of Tender and Support Agreement, dated as of September 27, 2016, by and among Boston Scientific Corporation, Falcon Merger Corp. and certain of the stockholders of the Company
 
8-K
 
09/27/16
 
99.1
 
 
 
 
 
 
 
 
 
 
 
 
 
101.INS
 
XBRL Instance Document
 
 
 
 
 
 
 
X
 
 
 
 
 
 
 
 
 
 
 
101.SCH
 
XBRL Taxonomy Extension Schema Document
 
 
 
 
 
 
 
X
 
 
 
 
 
 
 
 
 
 
 
101.CAL
 
XBRL Taxonomy Extension Calculation Linkbase Document
 
 
 
 
 
 
 
X
 
 
 
 
 
 
 
 
 
 
 
101.DEF
 
XBRL Taxonomy Extension Definition Linkbase Document
 
 
 
 
 
 
 
X
 
 
 
 
 
 
 
 
 
 
 
101.LAB
 
XBRL Taxonomy Extension Label Linkbase Document
 
 
 
 
 
 
 
X
 
 
 
 
 
 
 
 
 
 
 
101.PRE
 
XBRL Taxonomy Extension Presentation Linkbase Document
 
 
 
 
 
 
 
X
* The certification attached as Exhibit 32.1 that accompanies this Quarterly Report on Form 10-Q is not deemed filed with the SEC and is not to be incorporated by reference into any filing of EndoChoice Holdings, Inc. under the Securities Act of 1933, as amended, or the Securities Exchange Act of 1934, as amended, whether made before or after the date of this Form 10-Q, irrespective of any general incorporation language contained in such filing.

37


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.
 
 
 
 
 
EndoChoice Holdings, Inc.
 
 
 
 
 
(Registrant)
 
 
 
 
Date: November 7, 2016
 
 
 
 
By:
/s/ David N. Gill
 
 
 
 
 
 
David N. Gill
President and Chief Financial Officer
(Principal Financial Officer and Accounting Officer and duly authorized signatory)





38