Orthofix International N.V. became the third medical device company to settle with FCPA enforcement officials this year.

From 2003 through 2010, Promeca S.A. de C.V, Orthofix’s wholly owned subsidiary, is alleged to have repeatedly paid bribes to Mexican officials to obtain and retain sales contracts from Instituto Mexicano del Seguro Social or IMSS. To obtain the cash for the bribes at the beginning of the scheme, Promeca executives wrote cheques to themselves which they claimed were cash advances. Later false receipts for various items were accounted for in the books and records of the subsidiary. As the bribes increased the executives had difficulty concealing them. Eventually they began falsely recording them as payments for promotional and training expenses. At one point the payments became so large that the parent company, Orthofix, launched an inquiry which apparently did not discover their true nature or halt them.

By 2008 IMSS began purchasing medical products under a new national tender system. Promeca continued to pay bribes to obtain the business but through three front companies controlled by IMSS. The $317,000 in improper payments yielded about $8.7 in gross revenues and about $4.9 in net profits. Over the course of the period about $80,050 in gifts were given to officials.

Orthofix did not have an effective FCPA compliance policy or FCPA related training, according to the complaint. While it did have a code of ethics and anti-bribery training for Promeca, the materials were only in English. Accordingly, it is unlikely employees understood them the SEC alleged.

The company self-reported when it discovered the scheme. Orthofix also implemented significant remedial measures. There is no allegation in the SEC complaint that the parent company was involved in the bribery scheme.

The company settled with the SEC and the DOJ. With the SEC, it consented to the entry of a permanent injunction prohibiting future violations of the sections cited in the complaint and agreed to pay $4,983,644 in disgorgement along with prejudgment interest. The company also agreed to certain undertakings according to report to the SEC on its compliance program for two years.

To settle with the DOJ the company entered into a deferred prosecution agreement with a term of three years. It also agreed to pay a $2.2 million criminal fine.