FORM 6-K
SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

Report of Foreign Private Issuer
Pursuant to Rule 13a-16 under
the Securities Exchange Act of 1934


For
the month ended October, 2016

ICON plc
(Registrant's name)


333-08704
(Commission file number)


South County Business Park, Leopardstown, Dublin 18, Ireland
(Address of principal executive offices)


Brendan Brennan, CFO
South County Business Park, Leopardstown, Dublin 18, Ireland.
Brendan.Brennan@iconplc.com
011-353-1-291-2000
 (Name, telephone number, email and/or facsimile number and address of Company contact person)



Indicate by check mark whether the registrant files or will file annual reports under cover Form 20-F or Form 40-F.
 
Yes___X___
No_______
 
Indicate by check mark whether the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(1):
 
Yes______
No___X___
 
Indicate by check mark whether the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(7):
 
Yes______
No___X___
 
Indicate by check mark whether the registrant by furnishing the information contained in this Form is also thereby furnishing the information to the Commission pursuant to Rule12g3-2(b) under the Securities Exchange Act of 1934.
 
Yes______
No___X___
 
If "Yes" is marked, indicate below the file number assigned to the registrant in connection with Rule 12g3-2(b):82 N/A
 

 
ICON plc

Rider A

This report on Form 6-K is hereby incorporated by reference in the registration statement on Form F-3 (Registration No. 333-133371) of ICON plc and in the prospectus contained therein, and this report on Form 6-K shall be deemed a part of such registration statement from the date on which this report is filed, to the extent not superseded by documents or reports subsequently filed or furnished by ICON plc under the Securities Act of 1933 or the Securities Exchange Act of 1934.

1


GENERAL

As used herein, “ICON”, the “Company” and “we” refer to ICON plc and its consolidated subsidiaries, unless the context requires otherwise.

Business

ICON public limited company (“ICON”) is a contract research organization (“CRO”), providing outsourced development services on a global basis to the pharmaceutical, biotechnology and medical device industries. We specialize in the strategic development, management and analysis of programs that support all stages of the clinical development process - from compound selection to Phase I-IV clinical studies.  Our vision is to be the global CRO partner of choice for the Biopharma industry by delivering best in class information, solutions and performance in clinical and outcomes research.

We believe that we are one of a select group of CROs with the expertise and capability to conduct clinical trials in most major therapeutic areas on a global basis and have the operational flexibility to provide development services on a stand-alone basis or as part of an integrated “full service” solution. At September 30, 2016 we had approximately 12,592 employees, in 88 locations in 37 countries. During the nine months ended September 30, 2016 we derived approximately 47.2%, 42.7% and 10.1% of our net revenue in the United States, Europe and Rest of World respectively.

We began operations in 1990 and have expanded our business predominately through organic growth, together with a number of strategic acquisitions to enhance our capabilities and expertise in certain areas of the clinical development process.  We are incorporated in Ireland and our principal executive office is located at: South County Business Park, Leopardstown, Dublin 18, Republic of Ireland. The contact telephone number of this office is 353 (1) 291 2000.

Recent Developments

Acquisitions

On September 19, 2016, the Company announced that it has completed the acquisition of Clinical Research Management, Inc. (ClinicalRM) resulting in initial net cash outflows of $52.4 million (including certain payments made on behalf of ClinicalRM totaling $9.2 million).  Further consideration of up to $12 million is payable if certain performance milestones are met in respect of the periods to December 2017.  The acquisition agreement provides for working capital targets to be achieved by ClinicalRM within 120 days of acquisition (see note 3 Business Combinations for further information).

ClinicalRM is a full-service CRO specializing in preclinical through Phase IV support of clinical research and clinical trial services for biologics, drugs and devices. The organization helps customers progress their products to market faster with a wide array of research, regulatory and sponsor services within the U.S. and around the globe. ClinicalRM provide full service and functional research solutions to a broad range of US government agencies and commercial customers. Their extensive expertise extends across basic and applied research, infectious diseases, vaccines development and testing and the response to bio-threats. They have worked in collaboration with government and commercial customers to respond to the threat of global viral epidemics.

On December 4, 2015, Inclinix-PMG Holdings, Inc (‘PMG’) was acquired by ICON Clinical Research LLC a subsidiary of the Company, resulting in initial net cash outflows of $63.5 million (including certain payments made on behalf of PMG totaling $9.9 million). PMG is an integrated network of clinical research sites operating from 14 metropolitan areas throughout the US. PMG conducts clinical trials in all major therapeutic areas with particular experience in cardiology, dermatology, endocrinology, gastroenterology, men's health, neurology, pulmonology, rheumatology, vaccine, and women's health trials. In addition to a proprietary research database of clinical trial participants, PMG also has access to over 2 million active patient lives via electronic health records through their unique partnerships with healthcare systems and community physician practices.  The acquisition agreement provides for working capital targets to be achieved by PMG within 90 days of acquisition.  In March 2016, the Company agreed to pay an additional $1.6 million on completion of this working capital review (see note 3 Business Combinations for further information).

2

 
Share repurchase program

The Company completed a share repurchase program in December 2015. During the year ended December 31, 2015, the Company redeemed a total of 6,198,481 ordinary shares for a total consideration of $457.9 million. A resolution was passed at the Company’s Annual General Meeting (“AGM”) on July 22, 2016 which authorizes the Directors to purchase (buy-back) up to 10% of the outstanding shares in the Company.  This share repurchase program commenced on October 3, 2016.

Financing

On December 15, 2015, ICON Investments Five Unlimited Company issued Senior Notes for aggregate gross proceeds of $350.0 million in a private placement. The Senior Notes will mature on December 15, 2020. Interest payable is fixed at 3.64%, and is payable semi-annually on the Senior Notes on each June 15 and December 15, commencing June 15, 2016. The Senior Notes are guaranteed by ICON plc.  In September 2016, $53 million was drawn under the five year committed muti-currency Revolving Credit Facility.

Changes in Board composition and executive leadership transition

In March 2016, the Company announced that Mr. Thomas Lynch, non-executive Chairman of the Board of Directors, had notified ICON that he would retire as Chairman on March 31, 2016.  Mr Lynch did not stand for re-election to the Board at the Company's AGM and retired from the Board on July 22, 2016. Mr. Lynch was a non-executive Director of ICON since 1994 and served as senior independent Director from 2010 to 2012 and as Chairman from January 2013 to March 2016. ICON's senior independent Director, Mr. Declan McKeon, continues to serve as acting Chairman from Mr. Lynch's retirement as Chairman. 
 
On October 20, 2016, the Company announced that as part of its planned succession of executive leadership, Mr. Ciaran Murray will transition to the role of Chairman of the Board of Directors and Dr. Steve Cutler will be appointed as Chief Executive Officer, with both changes effective as of March 1, 2017.
 
On October 24, 2016, the Company announced the appointment of Mr. Ronan Murphy as a non-executive director to the Board of the Company.

New accounting pronouncements

Accounting Standards Update (‘ASU’) 2015-03 ‘Interest – Imputation of Interest (Subtopic 835-30) – Simplifying the Presentation of Debt Issuance Costs’ was issued in April 2015 to simplify the presentation of debt issuance costs.  The guidance requires debt issuance costs related to term loans to be presented as a direct deduction from the carrying amount of the associated debt liability.  The standard is effective for financial statements issued for fiscal years beginning after December 15, 2015 and interim periods within those fiscal years.  The new guidance is reflected in the Condensed Consolidated Financial Statements (unaudited) presented.  The new guidance is also required to be applied on a retrospective basis.  The Condensed Consolidated Balance Sheet at December 31, 2015 has therefore been restated to reflect the accounting standards update.  

3

 
ICON plc
CONDENSED CONSOLIDATED BALANCE SHEETS
AS AT SEPTEMBER 30, 2016 AND DECEMBER 31, 2015

   
(Unaudited)
   
(Audited)
 
   
September 30,
   
December 31,
 
   
2016
     
2015
*
ASSETS
 
(in thousands)
 
Current Assets:
             
Cash and cash equivalents
 
$
219,308
   
$
103,911
 
Short term investments - available for sale
   
84,412
     
85,990
 
Accounts receivable, net
   
403,667
     
409,165
 
Unbilled revenue
   
196,863
     
173,649
 
Other receivables
   
42,718
     
30,935
 
Prepayments and other current assets
   
39,339
     
36,128
 
Income taxes receivable
   
22,443
     
22,961
 
Total current assets
   
1,008,750
     
862,739
 
                 
Other Assets:
               
Property, plant and equipment, net
   
151,375
     
150,218
 
Goodwill
   
626,657
     
588,434
 
Non-current other assets
   
13,667
     
11,591
 
Non-current income taxes receivable
   
12,577
     
11,362
 
Non-current deferred tax asset
   
23,895
     
26,738
 
Intangible assets
   
63,557
     
66,127
 
Total Assets
 
$
1,900,478
   
$
1,717,209
 
LIABILITIES AND SHAREHOLDERS’ EQUITY
               
Current Liabilities:
               
Accounts payable
 
$
5,053
   
$
7,021
 
Payments on account
   
250,833
     
318,697
 
Other liabilities
   
188,207
     
231,879
 
Income taxes payable
   
13,868
     
14,203
 
Total current liabilities
   
457,961
     
571,800
 
Other Liabilities:
               
Non-current bank credit lines and loan facilities
   
401,417
     
348,306
 
Non-current other liabilities
   
22,317
     
12,224
 
Non-current government grants
   
958
     
959
 
Non-current income taxes payable
   
20,939
     
16,180
 
Non-current deferred tax liability
   
5,026
     
4,644
 
Shareholders' Equity:
               
Ordinary shares, par value 6 euro cents per share; 100,000,000 shares authorized,
               
55,827,713 shares issued and outstanding at September 30, 2016 and
               
54,958,912 shares issued and outstanding at December 31, 2015
   
4,697
     
4,679
 
Additional paid‑in capital
   
427,120
     
383,395
 
Capital redemption reserve
   
715
     
715
 
Accumulated other comprehensive income
   
(64,532
)
   
(61,636
)
Retained earnings
   
623,860
     
435,943
 
Total Shareholders' Equity
   
991,860
     
763,096
 
Total Liabilities and Shareholders' Equity
 
$
1,900,478
   
$
1,717,209
 
* The December 31, 2015 Balance Sheet has been retrospectively restated as required to reflect the requirements of new guidance in respect of the presentation of  debt issue costs.

The accompanying notes are an integral part of these condensed consolidated financial statements.
 
4


ICON plc
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
FOR THE THREE AND NINE MONTHS ENDED SEPTEMBER 30, 2016 AND SEPTEMBER 30, 2015
 (UNAUDITED)
 
   
Three Months Ended
   
Nine Months Ended
 
   
September
30,
   
September
30,
   
September
30,
   
September
30,
 
   
2016
   
2015
   
2016
   
2015
 
   
(in thousands except share and per share data)
 
                         
Revenue:
                       
Gross revenue
 
$
622,261
   
$
557,095
   
$
1,754,491
   
$
1,584,559
 
Reimbursable expenses
   
(202,060
)
   
(162,354
)
   
(523,138
)
   
(412,930
)
                                 
Net revenue
   
420,201
     
394,741
     
1,231,353
     
1,171,629
 
                                 
Costs and expenses:
                               
Direct costs
   
243,244
     
226,555
     
709,831
     
679,593
 
Selling, general and administrative expense
   
81,235
     
82,435
     
242,192
     
243,310
 
Depreciation and amortization
   
14,543
     
14,366
     
44,120
     
42,535
 
Restructuring
   
4,065
     
-
     
8,159
     
-
 
                                 
Total costs and expenses
   
343,087
     
323,356
     
1,004,302
     
965,438
 
                                 
Income from operations
   
77,114
     
71,385
     
227,051
     
206,191
 
Interest income
   
462
     
531
     
1,155
     
1,026
 
Interest expense
   
(3,227
)
   
(1,178
)
   
(9,640
)
   
(1,686
)
                                 
Income before provision for income taxes
   
74,349
     
70,738
     
218,566
     
205,531
 
Provision for income taxes
   
(10,470
)
   
(9,196
)
   
(30,649
)
   
(29,534
)
                                 
Net income
 
$
63,879
   
$
61,542
   
$
187,917
   
$
175,997
 
                                 
Net income per Ordinary Share:
                               
                                 
Basic
 
$
1.15
   
$
1.05
   
$
3.39
   
$
2.95
 
                                 
    Diluted
 
$
1.13
   
$
1.02
   
$
3.33
   
$
2.85
 
                                 
Weighted average number of Ordinary Shares outstanding:
                               
                                 
     Basic
   
55,734,773
     
58,659,782
     
55,355,020
     
59,728,608
 
                                 
Diluted
   
56,645,239
     
60,369,898
     
56,475,319
     
61,785,849
 

The accompanying notes are an integral part of these condensed consolidated financial statements.
 
5


ICON plc
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2016 AND SEPTEMBER 30, 2015 (UNAUDITED)
 
   
Nine Months Ended
 
   
September
30,
   
September
30,
 
   
2016
   
2015
 
Cash flows from operating activities:
 
(in thousands)
 
Net income
 
$
187,917
   
$
175,997
 
Adjustments to reconcile net income to net cash provided by operating activities:
               
Loss on disposal of property, plant and equipment
   
27
     
7
 
Depreciation expense
   
31,374
     
30,037
 
Amortization of intangibles
   
12,746
     
12,498
 
Amortization of grants
   
(33
)
   
(29
)
Accrued interest on short term investments
   
(498
)
   
-
 
Realised gain on sale of short term investments
   
(39
)
   
-
 
Share compensation expense
   
31,135
     
24,043
 
Amortization of gain on interest rate hedge
   
(693
)
   
-
 
Amortization of financing costs
   
422
     
-
 
Deferred taxes
   
3,262
     
(749
)
Changes in assets and liabilities:
               
Decrease/(increase) in accounts receivable
   
17,825
     
(7,817
)
Increase in unbilled revenue
   
(18,373
)
   
(50,707
)
Increase in other receivables
   
(11,876
)
   
(10,701
)
Increase in prepayments and other current assets
   
(1,395
)
   
(11,718
)
(Increase)/decrease in other non-current assets
   
(1,857
)
   
272
 
(Decrease)/increase in payments on account
   
(67,868
)
   
10,615
 
Decrease in other current liabilities
   
(48,200
)
   
(20,363
)
Increase in other non-current liabilities
   
4,118
     
1,843
 
Increase in income taxes payable
   
4,163
     
9,097
 
(Decrease)/increase in accounts payable
   
(2,826
)
   
1,102
 
Change in deferred tax liability
   
(3,666
)
   
-
 
Net cash provided by operating activities
   
135,665
     
163,427
 
Cash flows from investing activities:
               
Purchase of property, plant and equipment
   
(29,345
)
   
(36,255
)
Purchase of subsidiary undertakings
   
(54,009
)
   
(102,756
)
Cash acquired with subsidiary undertaking
   
1,842
     
-
 
Purchase of short term investments    
   
(19,047
)
   
(9,652
)
Sale of short term investments
   
21,484
     
25,170
 
Net cash used in investing activities
   
(79,075
)
   
(123,493
)
Cash flows from financing activities:
               
Proceeds from exercise of share options & restricted share units
   
7,243
     
18,375
 
Share issuance costs
   
(16
)
   
(6
)
Tax benefit from the exercise of share options
   
5,381
     
3,014
 
Repurchase of ordinary shares
   
-
     
(286,923
)
Share repurchase costs
   
-
     
(802
)
Drawdown of bank credit lines and loan facilities
   
73,000
     
350,000
 
Repayment of bank credit lines and loan facilities
   
(20,000
)    
-
 
Financing costs
   
(6,626
)
   
-
 
Net cash provided by financing activities
   
58,982
     
83,658
 
Effect of exchange rate movements on cash
   
(175
)
   
(7,244
)
Net increase in cash and cash equivalents
   
115,397
     
116,348
 
Cash and cash equivalents at beginning of period
   
103,911
     
118,900
 
Cash and cash equivalents at end of period
 
$
219,308
   
$
235,248
 
The accompanying notes are an integral part of these condensed consolidated financial statements. 
 
 
6

 
ICON plc

CONDENSED CONSOLIDATED STATEMENTS OF SHAREHOLDERS' EQUITY AND COMPREHENSIVE INCOME
(UNAUDITED)

   
Shares
   
Amount
   
Additional
Paid-in
Capital
   
Capital
Redemption
Reserve
   
Accumulated
Other
Comprehensive
Income
   
Retained
Earnings
   
Total
 
                                           
   
(dollars in thousands, except share data)
       
                                           
Balance at December 31, 2015
   
54,958,912
   
$
4,679
   
$
383,395
   
$
715
   
$
(61,636
)
 
$
435,943
   
$
763,096
 
                                                         
Comprehensive Income:
                                                       
Net income
   
-
     
-
     
-
     
-
     
-
     
187,917
     
187,917
 
Currency translation adjustment
   
-
     
-
     
-
     
-
     
(3,664
)
   
-
     
(3,664
)
Currency impact of long term funding
   
-
     
-
     
-
     
-
     
750
     
-
     
750
 
Tax on currency impact of long term funding
   
-
     
-
     
-
     
-
     
389
     
-
     
389
 
Unrealized capital gain – investments
   
-
     
-
     
-
     
-
     
322
     
-
     
322
 
Amortization of interest rate hedge    
-
     
-
     
-
     
-
     
(693
)    
-
     
(693
)
                                                         
Total comprehensive income
   
-
     
-
     
-
     
-
     
(2,896
)
   
187,917
     
185,021
 
                                                         
Exercise of share options
   
268,713
     
18
     
7,185
     
-
     
-
     
-
     
7,203
 
Issue of restricted share units
   
600,088
     
-
     
40
     
-
     
-
     
-
     
40
 
Share issuance costs
   
-
     
-
     
(16
)
   
-
     
-
     
-
     
(16
)
Non-cash stock compensation expense
   
-
     
-
     
31,135
     
-
     
-
     
-
     
31,135
 
Tax benefit on exercise of options
   
-
     
-
     
5,381
     
-
     
-
     
-
     
5,381
 
                                                         
Balance at September 30, 2016
   
55,827,713
   
$
4,697
   
$
427,120
   
$
715
   
$
(64,532
)
 
$
623,860
   
$
991,860
 
The accompanying notes are an integral part of these condensed consolidated financial statements.
 
7

 
ICON plc
 
NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)
September 30, 2016

1. Basis of Presentation

These condensed consolidated financial statements, which have been prepared in accordance with United States generally accepted accounting principles (“US GAAP”), have not been audited. The condensed consolidated financial statements reflect all adjustments, which are, in the opinion of management, necessary to present a fair statement of the operating results and financial position for the periods presented. The preparation of the condensed consolidated financial statements in conformity with US GAAP requires management to make estimates and assumptions that affect reported amounts and disclosures in the condensed consolidated financial statements. Actual results could differ from those estimates.

The condensed consolidated financial statements should be read in conjunction with the accounting policies and notes to the consolidated financial statements included in ICON’s Form 20-F for the year ended December 31, 2015. Operating results for the three and nine months ended September 30, 2016 are not necessarily indicative of the results that may be expected for the fiscal period ending December 31, 2016.

2. Goodwill

   
Nine months ended
   
Year ended
 
   
September 30,
   
December 31,
 
   
2016
   
2015
 
   
(in thousands)
 
             
Opening balance
 
$
588,434
   
$
463,324
 
Current period acquisitions (Note 3)
   
39,376
     
133,123
 
Prior period acquisitions (Note 3) 
   
5,403
     
4,418
 
Foreign exchange movement
   
(6,556
)
   
(12,431
)
                 
Closing balance
 
$
626,657
   
$
588,434
 


8


3. Business Combinations
 
Acquisitions – Clinical Research Management, Inc.

On September 15, 2016 the Company acquired ClinicalRM resulting in an initial net cash outflow of $52.4 million inclusive of certain payments made on behalf of ClinicalRM totaling $9.2 million.

ClinicalRM is a full-service CRO specializing in preclinical through Phase IV support of clinical research and clinical trial services for biologics, drugs and devices. The organization helps customers progress their products to market faster with a wide array of research, regulatory and sponsor services within the U.S. and around the globe. ClinicalRM provide full service and functional research solutions to a broad range of US government agencies. Their extensive expertise extends across basic and applied research, infectious diseases, vaccines development and testing and the response to bio-threats. They have worked in collaboration with government and commercial customers to respond to the threat of global viral epidemics.  Further consideration of up to $12.0 million is payable if certain performance milestones are achieved in respect of periods up to December 31, 2017.

The acquisition of ClinicalRM has been accounted for as a business combination in accordance with FASB ASC 805 Business Combinations.  The Company has made a provisional assessment of the fair value of assets acquired and liabilities assumed as at that date.  The table following summarizes the Company’s provisional estimates of the fair values of the assets acquired and liabilities assumed:
 
   
September 15,
 
   
2016
 
   
(in thousands)
 
Cash
 
$
1,842
 
Property, plant and equipment 
   
938
 
Goodwill*
   
39,376
 
Intangible assets** 
   
9,844
 
Accounts receivable
   
11,815
 
Unbilled revenue
   
4,160
 
Prepayments and other current assets
   
2,012
 
Accounts payable
   
(917
)
Other liabilities
   
(4,667
)
Non-current other liabilities 
   
(7
)
         
Net assets acquired
 
$
64,396
 
         
Cash consideration   
 52,396  
Contingent consideration
 
 
12,000
 
Net purchase consideration
 
$
64,396
 

*Goodwill represents the acquisition of an established workforce with experience in preclinical through Phase IV support of clinical research and clinical trial services for biologics, drugs and devices.
**The Company has made an initial estimate of separate intangible assets acquired of $9.8 million.  This assessment is under review and will be finalized within 12 months of the date of acquisition.

9

Acquisitions - PMG

On December 4, 2015 the Company acquired PMG, resulting in an initial net cash outflow of $63.5 million, including certain payments made on behalf of PMG totaling $9.9 million.  PMG is an integrated network of 48 clinical research sites in North Carolina, South Carolina, Tennessee and Illinois.  The site network includes wholly owned facilities and dedicated clinical research sites.  PMG conducts clinical trials in all major therapeutic areas and has particular expertise in vaccine, gastroenterology, cardiovascular, neurology and endocrinology studies.  It has a proprietary database of clinical trial participants.   It also has access to in excess of 2 million active patients via electronic medical records through its partnerships with healthcare institutions and community physical practices.   The acquisition agreement provides for working capital targets to be achieved by PMG within 90 days of acquisition.  In March 2016, the Company agreed to pay an additional $1.6 million on completion of this working capital review. This amount was paid in April 2016.

The acquisition of PMG has been accounted for as a business combination in accordance with FASB ASC 805 Business Combinations.  The Company has made a provisional assessment of the fair value of assets acquired and liabilities assumed as at that date.  The table following summarizes the Company’s provisional estimates of the fair values of the assets acquired and liabilities assumed:

   
December 4,
 
   
2015
 
   
(in thousands)
 
Cash   
194  
Property, plant and equipment
 
 
712
 
Goodwill*
   
46,442
 
Intangible assets** 
   
10,582
 
Accounts receivable
   
12,747
 
Prepayments and other current assets
   
1,329
 
Accounts payable
   
(530
)
Other liabilities
   
(2,656
)
Non-current deferred tax liability
   
(3,666
)
         
Net assets acquired
   
65,154
 
         
Cash consideration
   
53,681
 
Other liabilities assumed     9,860  
Working capital adjustment
   
1,613
 
Total cash outflows
   
65,154
 
*Goodwill represents the acquisition of an established workforce with experience in clinical trial consulting and regulatory support for the development of drugs, medical devices and diagnostics, with a specific focus on strategy to increase efficiency and productivity in product development.
**The Company has made an initial estimate of separate intangible assets acquired, being customer lists and order backlog, of $10.6 million.  This assessment is under review and will be finalized within 12 months of the date of acquisition.

10


Acquisitions - MediMedia Pharma Solutions

On February 27, 2015 the Company acquired MediMedia Pharma Solutions for cash consideration of $104.7 million (net of working capital adjustments of $4 million).  In addition to the cash consideration, certain payments were made on behalf of MediMedia Pharma Solutions on completion totaling $11.3 million. Headquartered in Yardley, Pennsylvania, MediMedia Pharma Solutions includes MediMedia Managed Markets and Complete Healthcare Communications. MediMedia Managed Markets is a leading provider of strategic payer-validated market access solutions. Complete Healthcare Communications is one of the leading medical and scientific communication agencies working with medical affairs, commercial and brand development teams within life science companies. The acquisition agreement also provided for certain working capital targets to be achieved by MediMedia Pharma Solutions.

The acquisition of MediMedia Pharma Solutions has been accounted for as a business combination in accordance with FASB ASC 805 Business Combinations. The following table summarizes the Company’s estimate of the fair values of the assets acquired and liabilities assumed:
 
   
February 27,
 
   
2015
 
   
(in thousands)
 
Property, plant and equipment
 
$
1,049
 
Goodwill*
   
92,084
 
Customer lists 
   
22,752
 
Order backlog
   
2,521
 
Accounts receivable
Unbilled Revenue
   
5,240
4,324
 
Prepayments and other current assets
   
621
 
Accounts payable
   
(749
)
Payments on account 
   
(4,186
)
Deferred tax liability
   
(2,171
)
Other liabilities
   
(5,483
)
         
Net assets acquired
 
$
116,002
 
         
Cash consideration
 
$
108,717
 
Other liabilities assumed**
   
11,283
 
Gross cash outflows
   
120,000
 
Working capital adjustment
   
(3,998
)
Net cash outflows
 
$
116,002
 

*
Goodwill represents the acquisition of an established workforce with experience in the provision of strategic payer-validated market access solutions while the acquisition of Complete Healthcare Communications comprises an established workforce with significant communication experience working with medical affairs, commercial and brand development teams within the life science industry.
**
Payments made at acquisition date of $11.3 million were in respect of certain one-time liabilities which have subsequently been discharged.


11


Acquisitions - Aptiv Solutions

On May 7, 2014 the Company acquired 100% of the common stock of Aptiv Solutions (“Aptiv”), a global biopharmaceutical and medical device development services company and leader in adaptive clinical trials for cash consideration of $143.5 million, including certain payments to be made on behalf of the company on completion totaling $22.4 million. The acquisition agreement provided for working capital targets to be achieved.  On March 25, 2015, the Company received $2.0 million in respect of these targets on completion of the working capital review.  Aptiv offers full-service clinical trial consulting and regulatory support for drugs, medical devices and diagnostics with a specific focus on strategies to increase product development efficiency and productivity. It is a market leader in the integrated design and execution of adaptive clinical trials for exploratory and late phase development as well as being an industry leader in medical device and diagnostic development in key medical technology segments.
 
The acquisition of Aptiv has been accounted for as a business combination in accordance with FASB ASC 805 Business Combinations. The following table summarizes the fair values of the assets acquired and the liabilities assumed:
 
   
May 7,
 
   
2014
 
   
(in thousands)
 
Property, plant and equipment
 
$
6,924
 
Goodwill*
   
125,627
 
Customer relationships
   
21,400
 
Order backlog
   
7,900
 
Cash and cash equivalents
   
3,484
 
Accounts receivable
   
25,091
 
Unbilled revenue
   
21,154
 
Prepayments and other current assets
   
4,180
 
Non-current assets
   
2,911
 
Accounts payable
   
(9,565
)
Other liabilities
   
(29,782
)
Payments on account
   
(31,094
)
Non-current other liabilities
   
(11,303
)
Loan notes payable**
   
(17,790
)
         
Net assets acquired
 
$
119,137
 
         
Cash consideration
 
$
143,500
 
Working capital adjustment
   
(1,964
)
     
141,536
 
Adjustments to cash consideration**
   
(22,399
)
Net purchase consideration
 
$
119,137
 
 
*Goodwill represents the acquisition of an established workforce with experience in clinical trial consulting and regulatory support for the development of drugs, medical devices and diagnostics, with a specific focus on strategy to increase efficiency and productivity in product development.  Goodwill related to the US portion of the business acquired is tax deductible.
**Adjustments to cash consideration represent certain one-time liabilities (including loan notes) identified at the acquisition date which have subsequently been paid.
 
12


4. Restructuring

Restructuring Charges
 
A restructuring charge of $4.1 million was recognized during the three months ended September 30, 2016 ($8.2 million for the nine months ended September 30, 2016) under a restructuring plan adopted following a review by the company of its operations.  The restructuring plan includes resource rationalizations in certain areas of the business to improve resource utilization, resulting in a charge of $2.1 million, and office consolidation which results in the recognition of an onerous lease obligation of $2.0 million.

Details of the restructuring charge recognized in the three and nine months ended September 30, 2016 are as follows:

   
Three Months Ended
   
Nine Months Ended
 
   
September
30,
   
September
30,
   
September
30,
   
September
30,
 
   
2016
   
2015
   
2016
   
2015
 
   
(in thousands)
   
(in thousands)
 
                         
Restructuring charges
 
$
4,065
     
-
   
$
8,159
     
-
 
                                 
Total
 
$
4,065
     
-
   
$
8,159
     
-
 

Details of the movement in the restructuring charge recognized in the three and nine months ended 30 September 2016 are as follows;

   
Workforce
reductions
   
Office
consolidation
   
Total
 
   
(in thousands)
   
(in thousands)
   
(in thousands)
 
Q2 initial restructuring charge recorded
 
$
4,094
     
-
   
$
4,094
 
Cash payments
   
(901
)
   
-
     
(901
)
Provision at June 30, 2016
   
3,193
             
3,193
 
Q3 restructuring charge recorded
   
2,096
     
1,969
     
4,065
 
Cash payments
   
(2,243
)
   
-
     
(2,243
)
Provision at September 30, 2016
 
$
3,046
   
$
1,969
   
$
5,015
 
 
13

 
5. Income Taxes

Income taxes recognized during the three and nine months ended September 30, 2016 comprise:

   
Three Months Ended
   
Nine Months Ended
 
   
September
30,
   
September
30,
   
September
30,
   
September
30,
 
   
2016
   
2015
   
2016
   
2015
 
 
 
 
(in thousands)
   
(in thousands)
 
Provision for income taxes before restructuring and other items 
 
$
10,979
   
$
9,196
   
$
31,669
   
$
29,534
 
Tax impact of restructuring and other items
   
(509
)
   
-
     
(1,020
)
   
-
 
                                 
Provision for income taxes after restructuring and other items
 
$
10,470
   
$
9,196
   
$
30,649
   
$
29,534
 

As at September 30, 2016 the Company maintains a $34.1 million liability (December 31, 2015: $31.4 million) for unrecognized tax benefit, which is comprised of $30.4 million (December 31, 2015: $28.1 million) related to items generating unrecognized tax benefits and $3.7 million (December 31, 2015: $3.3 million) for interest and related penalties to such items. The Company recognizes interest accrued on unrecognized tax benefits as an additional income tax expense.

The Company has analyzed filing positions in all of the significant federal, state and foreign jurisdictions where it is required to file income tax returns, as well as open tax years in these jurisdictions. The only periods subject to examination by the major tax jurisdictions where the Company does business are 2011 through 2015 tax years. The Company does not believe that the outcome of any examination will have a material impact on its financial statements.

6. Net income per ordinary share

Basic net income per ordinary share has been computed by dividing net income available to ordinary shareholders by the weighted average number of ordinary shares outstanding during the period. Diluted net income per ordinary share is computed by adjusting the weighted average number of ordinary shares outstanding during the period for all potentially dilutive ordinary shares outstanding during the period and adjusting net income for any changes in income or loss that would result from the conversion of such potential ordinary shares. There is no difference in net income used for basic and diluted net income per ordinary share.

The reconciliation of the number of shares used in the computation of basic and diluted net income per ordinary share is as follows:

   
Three Months Ended
   
Nine Months Ended
 
    
September
30,
   
September
30,
   
September
30,
   
September
30,
 
   
2016
   
2015
   
2016
   
2015
 
Weighted average number of
ordinary shares outstanding for
basic net income per ordinary share
   
55,734,773
     
58,659,782
     
55,355,020
     
59,728,608
 
Effect of dilutive share options
outstanding
   
910,466
     
1,710,116
     
1,120,299
     
2,057,241
 
Weighted average number of
ordinary shares outstanding for
diluted net income per ordinary
share
   
56,645,239
     
60,369,898
     
56,475,319
     
61,785,849
 


14


7. Share-based Awards

Share Options

On July 21, 2008 the Company adopted the Employee Share Option Plan 2008 (the “2008 Employee Plan”) pursuant to which the Compensation and Organization Committee of the Company’s Board of Directors may grant options to any employee, or any Director holding a salaried office or employment with the Company or a Subsidiary for the purchase of ordinary shares. On the same date, the Company also adopted the Consultants Share Option Plan 2008 (the “2008 Consultants Plan”), pursuant to which the Compensation and Organization Committee of the Company’s Board of Directors may grant options to any consultant, adviser or non-executive Director retained by the Company or any Subsidiary for the purchase of ordinary shares.
 
Each option granted under the 2008 Employee Plan or the 2008 Consultants Plan (together the “2008 Option Plans”) will be an employee stock option, or Non-qualifying Stock Options (‘NSO’), as described in Section 422 or 423 of the Internal Revenue Code. Each grant of an option under the 2008 Options Plans will be evidenced by a Stock Option Agreement between the optionee and the Company. The exercise price will be specified in each Stock Option Agreement, however option prices will not be less than 100% of the fair market value of an ordinary share on the date the option is granted.
 
An aggregate of 6.0 million ordinary shares have been reserved under the 2008 Employee Plan, as reduced by any shares issued or to be issued pursuant to options granted under the 2008 Consultants Plan, under which a limit of 400,000 shares applies.  Further, the maximum number of ordinary shares with respect to which options may be granted under the 2008 Employee Option Plan, during any calendar year to any employee shall be 400,000 ordinary shares.  There is no individual limit under the 2008 Consultants Plan.   No options may be granted under the 2008 Option Plans after July 21, 2018.
 
On January 17, 2003 the Company adopted the Share Option Plan 2003 (the “2003 Share Option Plan”) pursuant to which the Compensation and Organization Committee of the Board could grant options to officers and other employees of the Company or its subsidiaries for the purchase of ordinary shares.  An aggregate of 6.0 million ordinary shares were reserved under the 2003 Share Option Plan; and, in no event could the number of ordinary shares issued pursuant to options awarded under this plan exceed 10% of the outstanding shares, as defined in the 2003 Share Option Plan, at the time of the grant, unless the Board expressly determined otherwise. Further, the maximum number of ordinary shares with respect to which options could be granted under the 2003 Share Option Plan during any calendar year to any employee was 400,000 ordinary shares.  The 2003 Share Option Plan expired on January 17, 2013.  No new options may be granted under this plan.
 
Share option awards are granted with an exercise price equal to the market price of the Company’s shares at date of grant.  Share options typically vest over a period of five years from date of grant and expire eight years from date of grant.  The maximum contractual term of options outstanding at September 30, 2016 is eight years.

The following table summarizes option activity for the nine months ended September 30, 2016:
 
   
Options
Outstanding
Number of Shares
   
Weighted
Average
Exercise
Price
   
Weighted
Average
Fair Value
   
Weighted
Average
 Remaining
 Contractual
Life
 
                         
Outstanding at December 31, 2015
   
1,626,582
   
$
34.87
   
$
11.94
       
                               
Granted
   
256,191
   
$
69.61
   
$
20.10
       
Exercised
   
(268,713
)
 
$
26.81
   
$
10.10
       
Forfeited
   
(19,825
)
 
$
30.96
   
$
11.47
       
                               
Outstanding at September 30, 2016
   
1,594,235
   
$
41.86
   
$
13.57
     
4.72
 
                                 
Exercisable at September 30, 2016
   
739,901
   
$
29.35
   
$
10.63
     
3.38
 
 
15

 
The Company has outstanding options with fair values ranging from $6.19 to $20.78 per option or a weighted average fair value of $10.62 per option. The Company issues ordinary shares for all options exercised. The total amount of fully vested share options which remained outstanding at September 30, 2016, was 739,901. Fully vested share options at September 30, 2016, have an average remaining contractual term of 3.38 years, an average exercise price of $29.35 and a total intrinsic value of $35.5 million. The total intrinsic value of options exercised during the nine months ended September 30, 2016 was $12.5 million (September 30, 2015: $30.5 million).

The following table summarizes the movement in non-vested share options for the nine months ended September 30, 2016:
 
   
Options
Outstanding
Number of Shares
   
Weighted Average
 Exercise Price
   
Weighted Average
 Fair Value
 
                   
Non vested outstanding at December 31, 2015
   
968,853
   
$
42.14
   
$
13.69
 
                         
Granted
   
256,191
   
$
69.61
   
$
20.10
 
Vested
   
(353,888
)
 
$
37.04
   
$
12.58
 
Forfeited
   
(16,822
)
 
$
32.27
   
$
11.78
 
                         
Non vested outstanding at  September 30, 2016
   
854,334
   
$
52.69
   
$
16.11
 

Fair value of Stock Options Assumptions

The weighted average fair value of options granted during the nine months ended September 30, 2016 and September 30, 2015 was calculated using the Black-Scholes option pricing model.  The weighted average fair values and assumptions used were as follows:

   
Nine Months Ended
 
   
September
30,
   
September
30,
 
   
2016
   
2015
 
             
Weighted average fair value
 
$
20.10
   
$
19.75
 
                 
Assumptions:
               
Expected volatility
   
30
%
   
30
%
Dividend yield
   
0
%
   
0
%
Risk-free interest rate
   
1.39
%
   
1.58
%
Expected life
 
5 years
   
5 years
 

Expected volatility is based on the historical volatility of our common stock over a period equal to the expected term of the options; the expected life represents the weighted average period of time that options granted are expected to be outstanding given consideration to vesting schedules and our historical experience of past vesting and termination patterns. The risk-free rate is based on the U.S. government zero-coupon bonds yield curve in effect at time of the grant for periods corresponding with the expected life of the option.

16

Restricted Share Units and Performance Share Units
 
On July 21, 2008 the Company adopted the 2008 Employees Restricted Share Unit Plan (the “2008 RSU Plan”) pursuant to which the Compensation and Organization Committee of the Company’s Board of Directors may select any employee, or any Director holding a salaried office or employment with the Company, or a Subsidiary to receive an award under the plan.  An aggregate of 1.0 million ordinary shares have been reserved for issuance under the 2008 RSU Plan.
 
On April 23, 2013 the Company adopted the 2013 Employees Restricted Share Unit and Performance Share Unit Plan (the “2013 RSU Plan”) pursuant to which the Compensation and Organization Committee of the Company’s Board of Directors may select any employee, or any Director holding a salaried office or employment with the Company, or a Subsidiary to receive an award under the plan.  On May 11, 2015 the 2013 RSU Plan was amended and restated in order to increase the number of shares that can be issued under the RSU Plan by 2.5 million shares.  Accordingly, an aggregate of 4.1 million ordinary shares have been reserved for issuance under the 2013 RSU Plan.  The shares are awarded at par value and vest over a service period. Awards under the 2013 RSU Plan may be settled in cash or shares at the option of the Company.
 
The Company has awarded RSUs and PSUs to certain key individuals of the Group. The following table summarizes RSU and PSU activity for the nine months ended September 30, 2016:

   
PSU
 Outstanding
Number of
 Shares
   
PSU
Weighted
 Average
Fair Value
   
PSU
Weighted
 Average
 Remaining
 Contractual
 Life
   
RSU
 Outstanding
Number of
 Shares
   
RSU
Weighted
 Average
Fair Value
   
RSU
Weighted
 Average
 Remaining
 Contractual
 Life
 
                                     
Outstanding at December 31, 2015
   
901,773
   
$
48.33
     
1.22
     
1,067,613
   
$
48.30
     
1.48
 
                                                 
Granted
   
247,992
   
$
71.58
             
373,630
   
$
66.93
         
Shares vested
   
(311,492
)
 
$
33.09
             
(292,229
)
 
$
35.92
         
Forfeited
   
(7,750
)
 
$
56.58
             
(108,504
)
 
$
51.96
         
                                                 
Outstanding at September 30, 2016
   
830,523
   
$
60.73
     
1.36
     
1,040,510
   
$
58.09
     
1.62
 

The fair value of RSUs vested for the nine months ended September 30, 2016 totaled $10.5 million (full year 2015: $7.0 million).
 
The fair value of PSUs vested for the nine months ended September 30, 2016 totaled $10.3 million (the fair value of PSUs vested for the full year 2015 was $0.3 million).

The PSUs vest based on service and specified EPS targets over the period 2013 – 2016, 2014 – 2017, 2015 – 2018 and 2016 - 2019. Since 2013, 421,079 PSUs (net of forfeitures) have been granted.  Depending on the actual amount of EPS from 2013 to 2019, up to an additional 409,444 PSUs may also be granted.

17

 
Non-cash stock compensation expense

Non-cash stock compensation expense for the three and nine months ended September 30, 2016 has been allocated as follows:
 
   
Three Months Ended
   
Nine Months Ended
 
   
September
30,
   
September
30,
   
September
30,
   
September
30,
 
   
2016
   
2015
   
2016
   
2015
 
   
(In thousands)
   
(In thousands)
 
Direct costs
 
$
5,755
   
$
4,976
   
$
16,830
   
$
12,942
 
Selling, general and administrative
   
4,690
     
4,055
     
14,305
     
11,101
 
                                 
   
$
10,445
   
$
9,031
   
$
31,135
   
$
24,043
 

Total non-cash stock compensation expense not yet recognized at September 30, 2016 amounted to $76.1 million.  The weighted average period over which this is expected to be recognized is 2.2 years  .  Total tax benefit recognized in additional paid in capital related to the non-cash compensation expense amounted to $5.4 million for the nine months ended September 30, 2016 (September 30, 2015: $3.0 million).
 
18

 
8. Business Segment Information

The Company determines and presents operating segments based on the information that is internally provided to the Chief Executive Officer, Chief Financial Officer and Chief Operating Officer, who together are considered the Company’s chief operating decision maker, in accordance with FASB ASC 280-10 Disclosures about Segments of an Enterprises and Related Information.

The Company is a contract research organization (“CRO”), providing outsourced development services on a global basis to the pharmaceutical, biotechnology and medical device industries. It specializes in the strategic development, management and analysis of programs that support all stages of the clinical development process - from compound selection to Phase I-IV clinical studies.  The Company has the expertise and capability to conduct clinical trials in most major therapeutic areas on a global basis and has the operational flexibility to provide development services on a stand-alone basis or as part of an integrated “full service” solution.  The Company has expanded predominately through internal growth, together with a number of strategic acquisitions to enhance its expertise and capabilities in certain areas of the clinical development process.

The Company is generally awarded projects based upon responses to requests for proposals received from companies in the pharmaceutical, biotechnology and medical device industries or work orders executed under our strategic partnership arrangements.  Contracts with customers are generally entered into centrally, in most cases with ICON Clinical Research Limited (“ICON Ireland”), the Company’s principal operating subsidiary in Ireland.  Revenues, which consist primarily of fees earned under these contracts, are allocated to individual entities within the Group, based on where the work is performed in accordance with the Company’s global transfer pricing model.

ICON Ireland acts as the group entrepreneur under the Company’s global transfer pricing model given its role in the development and management of the group, it’s ownership of key intellectual property and customer relationships, its key role in the mitigation of risks faced by the group and its responsibility for maintaining the Company’s  global network.  As such it enters into the majority of the Company’s customer contracts.

ICON Ireland remunerates other operating entities in the ICON Group on the basis of a guaranteed cost plus mark up for the services they perform in each of their local territories.  The cost plus mark up for each ICON entity is established to ensure that each of ICON Ireland and the ICON entities that are involved in the conduct of services for customers, earn an appropriate arms-length return having regard to the assets owned, risks borne, and functions performed by each entity from these intercompany transactions. The cost plus mark-up policy is reviewed annually to ensure that it is market appropriate.

The geographic split of revenue disclosed for each region outside Ireland is the cost plus revenue attributable to these entities. The residual revenues of the Group, once each ICON entity has been paid its respective intercompany service fee, generally fall to be retained by ICON Ireland.  As such revenues and income from operations in Ireland are a function of this global transfer pricing model and comprise net revenues of the Group after deducting the cost plus revenues attributable to the activities performed outside Ireland.

The Company's areas of operation outside of Ireland include the United States, United Kingdom, France, Germany, Italy, Spain, The Netherlands, Sweden, Turkey, Poland, Czech Republic, Latvia, Russia, Ukraine, Hungary, Israel, Romania, Switzerland, Canada, Mexico, Brazil, Colombia, Argentina, Chile, Peru, India, China, South Korea, Japan, Thailand, Taiwan, Singapore, The Philippines, Australia, New Zealand, and South Africa.

Segment information as at September 30, 2016 and December 31, 2015 and for the three and nine months ended September 30, 2016 and September 30, 2015 is as follows:

19


a) The distribution of net revenue by geographical area was as follows:

   
Three Months ended
   
Nine Months Ended
 
   
September
30,
   
September
30,
   
September
30,
   
September
30,
 
   
2016
   
2015
   
2016
   
2015
 
   
(in thousands)
   
(in thousands)
 
Ireland
 
$
97,299
   
$
113,060
   
$
293,787
   
$
332,563
 
Rest of Europe
   
76,427
     
79,077
     
231,505
     
241,705
 
U.S.
   
204,265
     
161,144
     
581,732
     
475,508
 
Rest of World
   
42,210
     
41,460
     
124,329
     
121,853
 
                                 
Total
 
$
420,201
   
$
394,741
   
$
1,231,353
   
$
1,171,629
 
* All sales shown for Ireland are export sales.

b) The distribution of income from operations, including restructuring, by geographical area was as follows:

 
 
Three Months ended
   
Nine Months Ended
 
   
September
30,
   
September
30,
   
September
30,
   
September
30,
 
   
2016
   
2015
   
2016
   
2015
 
   
(in thousands)
   
(in thousands)
 
Ireland
 
$
63,933
   
$
56,612
   
$
178,081
   
$
153,620
 
Rest of Europe
   
837
     
3,871
     
9,144
     
14,178
 
U.S.
   
11,471
     
8,129
     
34,081
     
30,576
 
Rest of World
   
873
     
2,773
     
5,745
     
7,817
 
                                 
Total
 
$
77,114
   
$
71,385
   
$
227,051
   
$
206,191
 

c) The distribution of income from operations, excluding restructuring, by geographical area was as follows:

 
 
Three Months ended
   
Nine Months Ended
 
   
September
30,
   
September
30,
   
September
30,
   
September
30,
 
   
2016
   
2015
   
2016
   
2015
 
   
(in thousands)
   
(in thousands)
 
Ireland
 
$
64,821
   
$
56,612
   
$
182,698
   
$
153,620
 
Rest of Europe
   
1,364
     
3,871
     
9,979
     
14,178
 
U.S.
   
13,813
     
8,129
     
36,423
     
30,576
 
Rest of World
   
1,181
     
2,773
     
6,110
     
7,817
 
                                 
Total
 
$
81,179
   
$
71,385
   
$
235,210
   
$
206,191
 


20


d) The distribution of property, plant and equipment, net, by geographical area was as follows:

   
September
30,
   
December
31,
 
   
2016
   
2015
 
   
(in thousands)
 
Ireland
 
$
106,945
   
$
101,736
 
Rest of Europe
   
6,829
     
7,334
 
U.S.
   
31,185
     
34,520
 
Rest of World
   
6,416
     
6,628
 
                 
Total
 
$
151,375
   
$
150,218
 

e) The distribution of depreciation and amortization by geographical area was as follows:

 
 
Three Months ended  
   
Nine Months Ended
 
   
September
30,
   
September
30,
   
September
30,
   
September
30,
 
   
2016
   
2015
   
2016
   
2015
 
   
(in thousands)
   
(in thousands)
 
Ireland
 
$
6,588
   
$
5,144
   
$
19,146
   
$
14,972
 
Rest of Europe
   
1,730
     
2,003
     
5,265
     
6,217
 
U.S.
   
5,368
     
6,277
     
17,154
     
18,412
 
Rest of World
   
857
     
942
     
2,555
     
2,934
 
                                 
Total
 
$
14,543
   
$
14,366
   
$
44,120
   
$
42,535
 

f) The distribution of total assets by geographical area was as follows:

   
September
30,
   
December
31,
 
   
2016
     
2015
*
   
(in thousands)
 
Ireland
 
$
822,071
   
$
663,060
 
Rest of Europe
   
352,394
     
343,733
 
U.S.
   
658,016
     
641,769
 
Rest of World
   
67,997
     
68,647
 
                 
Total
 
$
1,900,478
   
$
1,717,209
 
* The December 31, 2015 Balance Sheet has been retrospectively restated as required to reflect the requirements of new guidance in respect of the presentation of debt issue costs.

21


ICON plc

Management’s Discussion and Analysis of Financial Condition and Results of Operations

The following discussion and analysis should be read in conjunction with the unaudited Condensed Consolidated Financial Statements and accompanying notes included elsewhere herein and the Consolidated Financial Statements and related notes thereto included in our  Form 20-F for the year ended December 31, 2015. The Consolidated Financial Statements have been prepared in accordance with accounting principles generally accepted in the United States.

Overview

We are a contract research organization (“CRO”), providing outsourced development services on a global basis to the pharmaceutical, biotechnology and medical device industries. We specialize in the strategic development, management and analysis of programs that support all stages of the clinical development process - from compound selection to Phase I-IV clinical studies. Our vision is to be the Global CRO partner of choice in drug development by delivering best in class information, solutions and performance in clinical and outcomes research.

We believe that we are one of a select group of CROs with the expertise and capability to conduct clinical trials in most major therapeutic areas on a global basis and have the operational flexibility to provide development services on a stand-alone basis or as part of an integrated “full service” solution. At September 30, 2016, we employed approximately 12,592 employees, in 88 locations in 37 countries. During the nine months ended September 30, 2016 we derived approximately 47.2%, 42.7% and 10.1% of our net revenue in the United States, Europe and Rest of World respectively.

Revenue consists primarily of fees earned under contracts with third-party clients. In most cases, a portion of the contract fee is paid at the time the study or trial is started, with the balance of the contract fee generally payable in installments over the study or trial duration, based on the achievement of certain performance targets or "milestones". Revenue from contracts is recognized on a proportional performance method based on the relationship between time incurred and the total estimated duration of the trial or on a fee-for-service basis according to the particular circumstances of the contract. As is customary in the CRO industry, we contract with third party investigators in connection with clinical trials. All investigator fees and certain other costs, where reimbursed by clients, are, in accordance with industry practice, deducted from gross revenue to arrive at net revenue. As these costs vary from contract to contract, we view net revenue as our primary measure of revenue growth.

As the nature of our business involves the management of projects having a typical duration of a few weeks to several years, the commencement or completion of projects in a fiscal year can have a material impact on revenues earned with the relevant clients in such years. In addition, as we typically work with some, but not all, divisions of a client, fluctuations in the number and status of available projects within such divisions can also have a material impact on revenues earned from such clients from year to year.

Termination or delay in the performance of an individual contract may occur for various reasons, including, but not limited to, unexpected or undesired results, production problems resulting in shortages of the drug, adverse patient reactions to the drug, the client’s decision to de-emphasize a particular trial or inadequate patient enrolment or investigator recruitment.   In the event of termination the Company is usually entitled to all sums owed for work performed through the notice of termination and certain costs associated with the termination of the study. In addition, contracts generally contain provisions for renegotiation in the event of changes in the scope, nature, duration, or volume of services of the contract.

Our backlog consists of potential net revenue yet to be earned from projects awarded by clients. At September 30, 2016 we had a backlog of approximately $4.2 billion, compared with approximately $3.9 billion at December 31, 2015. We believe that our backlog as of any date is not necessarily a meaningful predictor of future results, due to the potential for cancellation or delay of the projects underlying the backlog, and no assurances can be given on the extent to which we will be able to realize this backlog as net revenue.

22

Although we are domiciled in Ireland, we report our results in U.S. dollars. As a consequence the results of our non-U.S. based operations, when translated into U.S. dollars, could be materially affected by fluctuations in exchange rates between the U.S. dollar and the currencies of those operations.

In addition to translation exposures, we are also subject to transaction exposures because the currency in which contracts are priced can be different from the currencies in which costs relating to those contracts are incurred.  Our operations in the United States are not materially exposed to such currency differences as the majority of our revenues and costs are in U.S. dollars. However, outside the United States the multinational nature of our activities means that contracts are usually priced in a single currency, most often U.S. dollars or euro, while costs arise in a number of currencies, depending, among other things, on which of our offices provide staff for the contract and the location of investigator sites. Although many such contracts benefit from some degree of natural hedging, due to the matching of contract revenues and costs in the same currency, where costs are incurred in currencies other than those in which contracts are priced, fluctuations in the relative value of those currencies could have a material effect on our results of operations.

As we conduct operations on a global basis, our effective tax rate has depended and will depend on the geographic distribution of our revenue and earnings among locations with varying tax rates. Our results therefore may be affected by changes in the tax rates of the various jurisdictions. In particular, as the geographic mix of our results of operations among various tax jurisdictions changes, our effective tax rate may vary significantly from period to period.

Results of Operations

Three Months Ended September 30, 2016 compared with Three Months Ended September 30, 2015

The following table sets forth for the periods indicated certain financial data as a percentage of net revenue and the percentage change in these items compared to the prior comparable period. The trends illustrated in the following table may not be indicative of future results.

 
Three Months Ended
     
 
September
 30,
2016
 
September
30,
2015
 
2016
to 2015
 
         
Percentage
 
Percentage of Net Revenue
 
Increase/
(Decrease)
 
             
Net revenue
   
100.0
%
   
100.0
%
   
6.4
%
                         
Costs and expenses:
                       
Direct costs
   
57.9
%
   
57.4
%
   
7.4
%
Selling, general and administrative
   
19.3
%
   
20.9
%
   
(1.5
)%
Depreciation     
2.5
%
    2.6 %    
3.0
%
Amortization      0.9 %     1.0 %     (3.3 )%
Restructuring
   
1.0
%
   
-
%
   
100
%
                         
                         
Income from operations
   
18.4
%
   
18.1
%
   
8.0
%

Net revenue for the period increased by $25.5 million, or 6.4%, from $394.7 million for the three months ended September 30, 2015 to $420.2 million for the three months ended September 30, 2016. Net revenue increased by 6.8% in constant currency and by 4.3% in constant dollar organic terms. The increase in revenues in the three months ended September 30, 2016 can be explained by both continued growth and the additional net revenues from the acquisition of PMG which was acquired on December 4, 2015 and ClinicalRM which was acquired on September 15, 2016.  During the three months ended September 30, 2016 we derived approximately 48.6%, 41.3% and 10.1% of our net revenue in the United States, Europe and Rest of World respectively.  During the three months ended September 30, 2016 $185.4 million or 44.1% of our net revenues were derived from our top 5 customers compared to $192.6 million or 48.8% of net revenues derived from our top 5 customers during the three months ended September 30, 2015. The largest of these customers related to a Strategic Partnership with a large global pharmaceutical company.  Net revenue from this customer contributed 25.2% of net revenue for the quarter, compared to 30.7% of net revenue in respect of the three months ended September 30, 2015. The addition of new customer accounts, particularly mid-tier pharma customers and biotech customers continues to result in a reduction in concentration of revenues from our top five customers.

23

 
Net revenue in Ireland decreased from $113.1 million for the three months ended September 30, 2015 to $97.3 million for the three months ended September 30, 2016. Net revenue in Ireland is principally a function of the Company’s global transfer pricing model (see note 8 Business Segmental Information for further details). Net revenue in our Rest of Europe region decreased from $79.1 million for the three months ended September 30, 2015 to $76.4 million for the three months ended September 30, 2016, while net revenue in our Rest of World region increased from $41.5 million for the three months ended September 30, 2015 to $42.2 million for the three months ended September 30, 2016.  Net revenues in non-U.S. dollar operations in this region were impacted by foreign currency translation and the movement in local rates to the U.S. dollar over the comparative quarter.  Net revenue in the U.S. region increased from $161.1 million for the three months ended September 30, 2015 to $204.3 million for the three months ended September 30, 2016. Net revenues in the U.S. region for the three months ended September 30, 2016 was impacted positively by the acquisition of PMG, which was acquired on December 4, 2015 and the acquisition of ClinicalRM which was acquired on September 15, 2016.

Direct costs for the period increased by $16.7 million, or 7.4%, from $226.5 million for the three months ended September 30, 2015 to $243.2 million for the three months ended September 30, 2016. Direct costs consist primarily of compensation, associated fringe benefits and share based compensation expense for project-related employees and other direct project driven costs. The increase in direct costs during the period arose from an increase in headcount and a corresponding increase in personnel related expenditure of $19.2 million and laboratory costs of $2.1 million. This increase was offset by a decrease in travel related costs of $1.4 million and a decrease in other direct project related costs of $3.2 million. As a percentage of net revenue, direct costs have increased from 57.4% for the three months ended September 30, 2015 to 57.9% for the three months ended September 30, 2016.

Selling, general and administrative expenses for the period decreased by $1.2 million, or 1.5%, from $82.4 million for the three months ended September 30, 2015 to $81.2 million for the three months ended September 30, 2016. Selling, general and administrative expenses comprise primarily of compensation, related fringe benefits and share based compensation expense for non-project-related employees, recruitment expenditure, professional service costs, advertising costs and all costs related to facilities and information systems. The decrease in selling, general and administration expenses for the period reflects continued focus on personnel related expenditure and facilities and related costs, offset by net foreign exchange movements of $1.2 million. As a percentage of net revenue, selling, general and administrative expenses, decreased from 20.9% for the three months ended September 30, 2015 to 19.3% for the three months ended  September 30, 2016.

Depreciation expense for the period increased by $0.3 million, or 3.0%, from $10.4 million for three months ended September 30, 2015 to $10.7 million for three months ended September 30, 2016. Depreciation expense arises principally from continued investment in facilities, information systems and equipment to support the Company’s growth. As a percentage of net revenue (2.5%), the depreciation expense for the three months ended September 2016 remained in line with the percentage of net revenue charge for the three months ended September 30, 2015 (2.6%).  Amortization expense for the period decreased by $0.1 million, or 3.3%, from $4.0 million for the three months ended September 30, 2015 to $3.9 million for the three months ended September 30, 2016. Amortization expense represents the amortization of intangible assets acquired on business combinations. The main reason for the decrease in the amortization expense for the period relates to the finalisation of the amortization charge in respect of the MediMedia order backlog asset, this was offset in part by the additional amortization for the period related to the PMG acquisition.  As a percentage of net revenue, amortization expense decreased from 1.0% for the three months ended September 30, 2015 to 0.9% for the three months ended September 30, 2016.

During the three months ended September 30, 2016, a restructuring charge of $4.1 million was recognized under a restructuring plan adopted following a review by the company of its operations.  The restructuring plan includes resource rationalizations in certain areas of the business to improve resource utilization and an onerous lease charge arising on office consolidation (see note 4 Restructuring for further information). During the three months ended September 30, 2015, there was no restructuring charge incurred.

24

 
As a result of the above, income from operations for the three months increased by $5.7 million, or 8.0%, from $71.4 million for the three months ended September 30, 2015 to $77.1 million for the three months ended September 30, 2016 ($81.2 million excluding restructuring charges). As a percentage of net revenue, income from operations increased from 18.1% of net revenues for the three months ended September 30, 2015 to 18.4% of net revenues for the three months ended September 30, 2016 (19.3% excluding restructuring charges).

Income from operations in Ireland increased from $56.6 million for the three months ended September 30, 2015 to $63.9 million for the three months ended September 30, 2016 ($64.8 million excluding restructuring charges). Income from operations in Ireland is impacted by the Group’s global transfer pricing model (see note 8 Business Segmental Information for further details).  Income from operations in our Rest of Europe region decreased from $3.9 million for the three months ended September 30, 2015 to $0.8 million for the three months ended September 30, 2016 ($1.4 million excluding restructuring charges), while income from operations in our Rest of World region decreased from $2.8 million for the three months ended September 30, 2015 to $0.9 million for the three months ended September 30, 2016 ($1.2 million excluding restructuring charges). Income from operations in these regions was impacted by foreign currency translation and the movement in local rates to the U.S. dollar over the comparative quarter.  Income from operations in the U.S. region increased from $8.1 million for the three months ended September 30, 2015 to $11.5 million for the three months ended September 30, 2016 ($13.8 million excluding restructuring charges).  Income from operations in this region was positively impacted by the acquisition of PMG, which was acquired on December 4, 2015 and ClinicalRM which was acquired on September 15, 2016.

Interest expense for the period increased by $2.0 million or 174.0%, from $1.2 million for the three months ended September 30, 2015 to $3.2 million for the three months ended September 30, 2016. Interest income decreased by $0.07 million or 13.0%, from $0.53 million for the three months ended September 30, 2015 to $0.46 million for the three months ended September 30, 2016.

Provision for income taxes for the period increased from $9.2 million for the three months ended September 30, 2015 to $10.5 million ($11.0 million excluding restructuring) for the three months ended September 30, 2016.  The Company’s effective tax rate for the three months ended September 30, 2016 was 14.1% (14.0% excluding restructuring) compared with 13.0% for the three months ended September 30, 2015. The Company’s effective tax rate is principally a function of the distribution of pre-tax profits amongst the territories in which it operates.

25

Nine Months Ended September 30, 2016 compared with Nine Months Ended September 30, 2015

The following table sets forth for the periods indicated certain financial data as a percentage of net revenue and the percentage change in these items compared to the prior comparable period. The trends illustrated in the following table may not be indicative of future results.

   
Nine Months Ended
       
   
September
30,
2016
   
September
30,
2015
   
2016
to 2015
 
               
Percentage
 
   
Percentage of Net Revenue
   
Increase/
(Decrease)
 
                   
Net revenue
   
100.0
%
   
100.0
%
   
5.1
%
                         
Costs and expenses:
                       
Direct costs
   
57.7
%
   
58.0
%
   
4.5
%
Selling, general and administrative
   
19.7
%
   
20.8
%
   
(0.5
%)
Depreciation
   
2.5
%
   
2.5
%
   
4.5
%
Amortization
   
1.0
%
   
1.1
%
   
2.0
%
Restructuring
   
0.7
%
   
-
     
100
%
                         
Income from operations
   
18.4
%
   
17.6
%
   
10.1
%

Net revenue for the period increased by $59.7 million, or 5.1%, from $1,171.6 million for the nine months ended September 30, 2015 to $1,231.4 million for the six months ended September 30, 2016. Net revenue increased by 5.6% in constant currency and by 2.8% in constant dollar organic terms. The increase in revenues in the nine months ended September 30, 2016 can be explained by both continued growth and the additional net revenues from the acquisition of PMG which was acquired on December 4, 2015 and ClinicalRM which was acquired on September 15, 2016. During the nine months ended September 30, 2016 we derived approximately 47.2%, 42.7% and 10.1% of our net revenue in the United States, Europe and Rest of World respectively. 
 
During the nine months ended September 30, 2016 $552.3 million or 44.9% of our net revenues were derived from our top 5 customers compared to $591.6 million or 50.5% of net revenues derived from our top 5 customers during the nine months ended September 30, 2015. The largest of these customers related to a Strategic Partnership with a large global pharmaceutical company.  Net revenue from this customer contributed 27.4% of net revenue for the nine months ended September 30, 2016, compared to 31.6% of net revenue in respect of the nine months ended September 30, 2015. The addition of new customer accounts, particularly mid-tier pharma customers and biotech customers continues to result in a reduction in concentration of revenues from our top five customers.

Net revenue in Ireland decreased from $332.6 million for the nine months ended September 30, 2015 to $293.8 million for the nine months ended September 30, 2016. Net revenue in Ireland is principally a function of the Company’s global transfer pricing model (see note 8 Business Segmental Information for further details).  Net revenue in our Rest of Europe region decreased from $241.7 million for the nine months ended September 30, 2015 to $231.5 million for the nine months ended September 30, 2016, while net revenue in our Rest of World region increased from $121.9 million for the nine months ended September 30, 2015 to $124.3 million for the nine months ended September 30, 2016.  Net revenues in non-U.S. dollar operations in this region were impacted by foreign currency translation and the movement in local rates to the U.S. dollar over the comparative quarter.  Net revenue in the U.S. region increased from $475.5 million for the nine months ended September 30, 2015 to $581.7 million for the nine months ended September 30, 2016. Net revenues in the U.S. region for the nine months ended September 30, 2016 were impacted positively by the acquisitions of MediMedia, which was acquired on February 27, 2015,  PMG, which was acquired on December 4, 2015 and Clinical Research Management, Inc. (ClinicalRM) which was acquired on September 15, 2016.

Direct costs for the period increased by $30.2 million, or 4.5%, from $679.6 million for the nine months ended September 30, 2015 to $709.8 million for the nine months ended September 30, 2016. Direct costs consist primarily of compensation, associated fringe benefits and share based compensation expense for project-related employees and other direct project driven costs. The increase in direct costs during the period reflects an increase in headcount with a corresponding increase in personnel related expenditure of $38.8 million, an increase in laboratory costs of $4.7 million which was offset by a decrease in travel related costs of $2.0 million and a decrease in other direct project related costs of $11.3 million.  As a percentage of net revenue, direct costs have decreased from 58.0% for the nine months ended September 30, 2015 to 57.7% for the nine months ended September 30, 2016.

26

 
Selling, general and administrative expenses for the period decreased by $1.1 million, or 0.5%, from $243.3 million for the nine months ended September 30, 2015 to $242.2 million for the nine months ended September 30, 2016. Selling, general and administrative expenses are primarily comprised of compensation, related fringe benefits and share based compensation expense for non-project-related employees, recruitment expenditure, professional service costs, advertising costs and all costs related to facilities and information systems. The movement in selling, general and administration expenses for the period arose primarily from an increase in personnel related expenditure of $5.0 million, a decrease in facilities and related costs expenditure of $2.0 million and a decrease in general and administrative expenses net of foreign exchange movements of $4.1 million. As a percentage of net revenue, selling, general and administrative expenses, decreased from 20.8% for the nine months ended September 30, 2015 to 19.7% for the nine months ended September 30, 2016.

Depreciation expense for the period increased by $1.4 million, or 4.5%, from $30.0 million for the nine months ended September 30, 2015 to $31.4 million for the nine months ended September 30, 2016. Depreciation expense arises principally from an investment in facilities, information systems and equipment to support the Company’s growth. As a percentage of net revenue (2.5%), the depreciation expense for the nine months ended September 30, 2016 remained in line with the percentage of net revenue for the nine months ended September 30, 2015. Amortization expense for the period increased by $0.2 million, or 2.0%, from $12.5 million for the nine months ended September 30, 2015 to $12.7 million for the nine months ended September 30, 2016. Amortization expense represents the amortization of intangible assets acquired on business combinations. The increase in the amortization expense for the period relates to the PMG acquisition, offset in part by the cessation of amortization on other assets.  As a percentage of net revenue, amortization expense decreased from 1.1% for the nine months ended September 30, 2015 to 1.0% for the nine months ended September 30, 2016.

During the nine months ended September 30, 2016 the Company implemented a restructuring plan which contains Company resource rationalizations in order to improve operating efficiencies and reduce expenses. A restructuring charge of $8.2 million was recognized during the nine months ended September 30, 2016.  (See note 4 Restructuring for further information).
 
As a result of the above, income from operations for the nine months ended September 30, 2016 increased by $20.9 million, or 10.1%, from $206.2 million for the nine months ended September 30, 2015 to $227.1 million for the nine months ended September 30, 2016 ($235.2 million excluding restructuring charges). As a percentage of net revenue, income from operations increased from 17.6% of net revenues for the nine months ended September 30, 2015 to 18.4% of net revenues for the nine months ended September 30, 2016 (19.1% excluding restructuring charges).
 
Income from operations in Ireland increased from $135.9 million for the nine months ended September 30, 2015 to $178.1 million for the nine months ended September 30, 2016 ($182.7 million excluding restructuring charges). Income from operations in Ireland is impacted by the Group’s global transfer pricing model (see note 8 Business Segmental Information for further details). Income from operations in our Rest of Europe region decreased from $14.2 million for the nine months ended September 30, 2015 to $9.1 million for the nine months ended September 30, 2016 ($10.0 million excluding restructuring charges), while income from operations in our Rest of World region decreased from $7.8 million for the nine months ended September 30, 2015 to $5.8 million for the nine months ended September 30, 2016 ($6.1 million excluding restructuring charges). Income from operations in these regions was impacted by foreign currency translation and the movement in local rates to the U.S. dollar over the comparative period.  Income from operations in the U.S. region increased from $30.6 million for the nine months ended September 30, 2015 to $34.1 million for the nine months ended September 30, 2016 ($36.4 million excluding restructuring charges). Income from operations in this region was impacted positively by the acquisitions of MediMedia Pharma Solutions, which was acquired on February 27, 2015, PMG, which was acquired on December 4, 2015 and Clinical Research Management, Inc. (ClinicalRM) which was acquired on September 15, 2016.
 
Interest expense for the period increased from $1.7 million for the nine months ended September 30, 2015 to $9.6 million for the nine months ended September 30, 2016. This increase is reflective of the drawdown of the Senior Notes issued in December 2015 and the bridge facility of $350 million in place from September 2015, which are discussed in the Liquidity and Capital Resources section below. Interest income increased from $1.0 million for the nine months ended September 30, 2015 to $1.2 million for the nine months ended September 30, 2016.

27

 
Provision for income taxes for the period increased from $29.5 million for the nine months ended September 30, 2015 to $30.6 million ($31.7 million excluding restructuring) for the nine months ended September 30, 2016.  The Company’s effective tax rate for the nine months ended September 30, 2016 was 14.0% (13.9% excluding restructuring) compared with 14.4% for the nine months ended September 30, 2015. The Company’s effective tax rate is principally a function of the distribution of pre-tax profits amongst the territories in which it operates.

Liquidity and Capital Resources

The CRO industry is generally not capital intensive. The Group’s principal operating cash needs are payment of salaries, office rents, travel expenditures and payments to investigators. Investing activities primarily reflect capital expenditures for facilities and information systems enhancements, the purchase and sale of short term investments and acquisitions.

Our clinical research and development contracts are generally fixed price with some variable components and range in duration from a few weeks to several years. Revenue from contracts is generally recognized as income on the basis of the relationship between time incurred and the total estimated contract duration or on a fee-for-service basis. The cash flow from contracts typically consists of a small down payment at the time the contract is entered into, with the balance paid in installments over the contract's duration, in some cases on the achievement of certain milestones. Accordingly, cash receipts do not correspond to costs incurred and revenue recognized on contracts.

The Company’s cash and short term investment balances at September 30, 2016 amounted to $303.7 million compared with cash and short term investment balances of $189.9 million at December 31, 2015.  The Company’s cash and short term investment balances at September 30, 2016 comprised of cash and cash equivalents of $219.3 million and short-term investments of $84.4 million. The Company’s cash and short term investment balances at December 31, 2015 comprised of cash and cash equivalents of $103.9 million and short-term investments of $86.0 million.

On December 15, 2015, ICON Investments Five Unlimited Company issued Senior Notes for aggregate gross proceeds of $350.0 million in a private placement. The Senior Notes will mature on December 15, 2020. Interest payable is fixed at 3.64%, and is payable semi-annually on the Senior Notes on each June 15 and December 15, commencing June 15, 2016. The Senior Notes are guaranteed by ICON plc.  In October 2015, the Company entered into an interest rate hedge in respect of the planned issuance of the Senior Notes in December 2015. The interest rate hedge matured in November 2015 when the interest rate on the Senior Notes was fixed. The interest rate hedge was effective in accordance with Financial Accounting Standards Board (“FASB”) ASC 815 Derivatives and Hedging.  The cash proceeds, representing the realized gain on the interest rate hedge were received on maturity in November 2015.

On July 27, 2015 the Company entered into a 364 day bridge facility for $350.0 million with two financial institutions.   The facility bore interest at LIBOR plus a margin and included certain guarantees and indemnities in favor of the two financial institutions. The bridge facility was repaid in full in December 2015.

On June 30, 2014 the Company entered into a five year committed multi-currency Revolving Credit Facility for $100.0 million with Citibank, JP Morgan, Santander and Barclays Bank (“Revolving Credit Facility”). Each bank subject to the agreement has committed $25 million to the facility, with equal terms and conditions in place with all institutions.   In December 2015 the Revolving Credit Facility was amended to remove certain guarantees. The facility is guaranteed by ICON plc. The facility bears interest at LIBOR plus a margin. In respect of the Revolving Credit Facility at September 30, 2016, $53.0 million was drawn down, compared to $nil at December 31, 2015.

Net cash provided by operating activities was $135.7 million for the nine months ended September 30, 2016 compared with cash provided by operating activities of $163.4 million for the nine months ended September 30, 2015.  The positive cash flow impact of the increase in revenues and underlying profitability of the Company was offset in part by an increase in revenue outstanding which comprises of accounts receivable and unbilled revenue, less payments on account. The dollar value of these balances and the related number of days revenue outstanding (i.e. revenue outstanding as a percentage of revenue for the period, multiplied by the number of days in the period) can vary over a study or trial duration. Contract fees are generally payable in instalments based on the achievement of certain performance targets or “milestones” (e.g. target patient enrolment rates, clinical testing sites initiated or case report forms completed), such milestones being specific to the terms of each individual contract, while revenues on contracts are recognized as contractual obligations are performed. Days revenue outstanding can vary therefore due to, amongst others, the scheduling of contractual milestones over a study or trial duration, the achievement of a particular milestone during the period or the timing of cash receipts from customers.  A decrease in the number of days revenue outstanding during a period will result in cash inflows to the Company while an increase in days revenue outstanding will lead to cash outflows. The number of days revenue outstanding at September 30, 2016 was 50 days compared to 41 days at December 31, 2015.  The number of days revenue outstanding at September 30, 2015 was 46 days compared to 40 days at December 31, 2014.

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Net cash used in investing activities was $79.1 million for the nine months ended September 30, 2016 compared to net cash used in investing activities of $123.5 million for the nine months ended September 30, 2015. Net cash used in the nine months ended September 30, 2016 relates to capital expenditure of $29.3 million, $54.0 million for cash paid for acquisitions, which is inclusive of $52.4 million being the cash consideration for the ClinicalRM acquisition offset by $1.8 million acquired with Clinical RM and a further $1.6 million for a working capital adjustment in relation to the PMG acquisition (see note 3 Business Combinations for further details).  During the nine months ended September 30, 2016 $19.0 million was used for the purchase of short term investments offset by the sale of short term investments of $21.5 million.  Net cash used in investing activities during the nine months ended September 30, 2015 arose primarily from cash paid of $102.8 million to acquire MediMedia Pharma Solutions together with $36.3 million paid to fund capital expenditure.

Net cash provided by financing activities during the nine months ended September 30, 2016 amounted to $59.0 million compared to net cash provided by financing activities of $83.7 million for the nine months ended September 30, 2015.  During the nine months ended September 30, 2016, $5.4 million was recognized in relation to the tax benefit from the exercise of share options.  In addition, $7.2 million was received by the Company from the exercise of share options. During the nine months ended September 30, 2016, there was $53.0 million drawn down from the five year committed multi-currency Revolving Credit Facility.  There was also $20.0 million drawn down and subsequently repaid by the Company under a one year uncommitted short term revolving credit facility (of  $30.0 million) with  Santander UK plc.  The facility bears interest at LIBOR plus a margin.   No amounts were drawn under this facility at September 30, 2016. The Company also paid interest of $6.6 million during the nine months ended September 30, 2016 on the $350.0 million private placement debt.  During the nine months ended September 30, 2015, the Company received $350.0 million from the drawdown of amounts under its negotiated banking facility, with $286.9 million used to repurchase shares under the share repurchase program and $0.8 million incurred for share repurchase costs.  A further $18.4 million was received from the exercise of share options and $3.0 million was recognized in relation to the tax benefit from the exercise of share options.

Inflation

We believe the effects of inflation generally do not have a material adverse impact on our operations or financial condition.

Legal Proceedings

We are not party to any litigation or other legal proceedings that we believe could reasonably be expected to have a material adverse effect on our business, results of operations and financial condition.

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SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.


 
 
ICON plc
 
 
 
     
     
    /s/ Brendan Brennan 
Date: October 24, 2016    Brendan Brennan 
 
 
Chief Financial Officer

 
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