-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, J9LXq3dQbBXFG/8iWG0f0UY6rs13R5iXFjDPn7sAtIJZ739zqI4vGQcHTtmi1JcM BKtcoB3o/zsMp4OyDKdONg== 0000891618-99-001268.txt : 19990402 0000891618-99-001268.hdr.sgml : 19990402 ACCESSION NUMBER: 0000891618-99-001268 CONFORMED SUBMISSION TYPE: 10-K405 PUBLIC DOCUMENT COUNT: 4 CONFORMED PERIOD OF REPORT: 19981231 FILED AS OF DATE: 19990331 FILER: COMPANY DATA: COMPANY CONFORMED NAME: UROQUEST MEDICAL CORP CENTRAL INDEX KEY: 0000948456 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 593176454 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 10-K405 SEC ACT: SEC FILE NUMBER: 333-07277 FILM NUMBER: 99579614 BUSINESS ADDRESS: STREET 1: 173 CONSTITUTION DR CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 6504635180 MAIL ADDRESS: STREET 1: 173 CONSTITUTION DR CITY: MENLO PARK STATE: CA ZIP: 94025 10-K405 1 FORM 10-K405 1 - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 ------------------------ FORM 10-K ------------------------ (MARK ONE) [X] ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE FISCAL YEAR ENDED DECEMBER 31, 1998 OR [ ] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE TRANSITION PERIOD FROM TO . COMMISSION FILE NUMBER: 0-20963 UROQUEST MEDICAL CORPORATION (EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER) DELAWARE 59-3176454 (STATE OR OTHER JURISDICTION (IRS EMPLOYER OF INCORPORATION OR ORGANIZATION) IDENTIFICATION NUMBER)
173 CONSTITUTION DRIVE, MENLO PARK, CA 94025 (ADDRESS OF PRINCIPAL EXECUTIVE OFFICES) (ZIP CODE) (650) 463-5180 (REGISTRANT'S TELEPHONE NUMBER, INCLUDING AREA CODE) ------------------------ SECURITIES REGISTERED PURSUANT TO SECTION 12(b) OF THE ACT: NONE SECURITIES REGISTERED PURSUANT TO SECTION 12(g) OF THE ACT: COMMON STOCK Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the Registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days [X] Yes [ ] No Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be contained, to the best of registrant's knowledge, in definitive proxy of information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K [X] As of March 19, 1999, the aggregate market value of the voting stock held by non-affiliates of the registrant is approximately $8,016,000 on the closing sale price as reported on the Nasdaq National Market on such date. Shares of Common Stock held by officers, directors and holders of more than 5% of the outstanding Common Stock have been excluded from this calculation because such persons may be deemed to be affiliates. This determination of affiliate status is not necessarily a conclusive determination for other purposes. The number of shares of Common Stock outstanding on March 19, 1999 was 12,452,522. DOCUMENTS INCORPORATED BY REFERENCE Certain information is incorporated into Part III of this Report on Form 10-K by reference to the Registrant's Proxy Statement for its 1999 Annual Meeting of Stockholders. - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- 2 UROQUEST MEDICAL CORPORATION PART 1 ITEM 1. BUSINESS The statements contained in this Report that are not purely historical are "forward-looking statements" within the meaning of Section 21E of the Securities Exchange Act of 1934, as amended. All forward-looking statements involve various risks and uncertainties and include statements that indicate what the Company anticipates regarding the Company's product developments, commercial opportunities, regulatory approval, expectations, strategies, plans and intentions for the future. All forward-looking statements are made as of this date based on information available to the Company as of such date, and the Company assumes no obligation to update any forward-looking statement. It is important to note that such statements may not prove to be accurate and that the Company's actual results and future events could differ materially from those anticipated in such statements. Among the factors that could cause actual results to differ materially from the results discussed in the forward-looking statements are described below and elsewhere in this Report. All subsequent written and oral forward-looking statements attributable to the Company or persons acting on its behalf are expressly qualified in their entirety by this Section and other factors included elsewhere in this Report. See other portions of this Item 1. "Business" and see Item 7. "Management's Discussion and Analysis of Financial Condition" and "Results of Operations." UroQuest Medical Corporation ("the Company") designs and develops products for the management and diagnosis of both male and female urological disorders. The Company's principal product, the On-Command Continence System ("On-Command"), is an intraurethral (inside the urethra) catheter incorporating a proprietary anchoring system and a proprietary patient controlled, magnetically activated valve used to regulate urine flow. The On-Command product is designed to enable persons with either urinary incontinence or urinary retention to manage their condition without the restricted mobility, medical complications, discomfort and embarrassment generally associated with many of the existing management alternatives, including intermittent, Foley, external and suprapubic catheters, diapers and absorbents, and penile clamps. During 1998, a clinical trial of the Male On-Command for acute indications was completed in the United States under an Investigational Device Exemption ("IDE") application approved by the United States Food and Drug Administration (the "FDA"). The trial was a randomized controlled clinical study comparing the Male On-Command to a Foley catheter for the treatment of acute urinary retention and incontinence for a single period of up to 30 days. A 510(k) premarket notification was submitted to the FDA in September 1998. In January 1999, the Company responded to a request for additional information from the FDA regarding this 510(k). There can be no assurance that the FDA will determine that the data derived from the clinical trial will support the safety and efficacy of the device or that such application will be approved by the FDA. The Company has initiated a clinical trial of the Male On-Command to evaluate its use in multiple, sequential 30-day insertions and exchanges for chronic indications. The Company began enrolling patients at U.S. sites in a single arm trial in September 1998. The FDA has indicated to the Company during informal discussions that chronic indications for its Male On-Command would require a PMA approval. Furthermore, the agency indicated during IDE approval discussions that it would expect data from an unspecified number of patients for twelve consecutive months of sequential On-Command insertions. Based on these regulatory requirements and the enrollment rate expected, it is not likely that the Company will complete the chronic clinical trial before late 2000. The Company expects the chronic patient market to be substantially larger than the acute patient market because the Company believes more men suffer from chronic rather than acute symptoms of urinary incontinence or retention. There can be no assurance that the FDA will determine that the data derived from the chronic clinical trial will support the safety and efficacy of the device nor that the data will be sufficient to file a PMA application or that such application will be approved by the FDA. Additionally, the Company is preparing a clinical trial of its Female On-Command Continence System for acute indications in a randomized controlled clinical study comparing the Female On-Command to a Foley catheter in patients requiring post-surgical management of their urinary outflow. Based on informal 1 3 communications with the FDA, the Company believes an acute indication would be covered under 510(k) regulations. The Company anticipates completing this clinical study by the end of 1999. There can be no assurance that the FDA will determine that the data derived from the clinical trial will support the safety and efficacy of the device nor that the data will be sufficient to file a 510(k) notification or that such notification will be approved by the FDA. If either the Male or Female On-Command does not receive FDA approval, the Company will not be able to market or commercialize these On-Command products in the United States. Furthermore, approval for single use insertions of the On-Command, if obtained, does not mean that use of successive device insertions will be approved. There can be no assurance that either single use or successive insertion use of the On-Command will prove to be safe and effective in the United States, or that FDA approval will be obtained on a timely basis, if at all. In addition, the clinical studies may identify technical, manufacturing, design or other factors that could delay completion of such testing, as has been experienced in early clinical trials of the Male On-Command. If the Company is unable to obtain necessary regulatory approval, or if the Company decides that the size of the markets for the On-Command do not justify a product launch, the Company's business, financial condition and results of operations will be materially adversely affected. The Company has initiated marketing evaluation studies of its Male and Female On-Command products in three countries in Europe for chronic use. The Company intends to continue these marketing evaluation studies during 1999. The Company is considering various strategies for the distribution of its products in Europe. The Company realizes that significant resources will be required to complete the programs outlined above. In particular, regarding the pending 510(k) for its Male On-Command for acute indications, the Company is studying whether to launch if and when FDA clearance for acute indications is received and, if so, how, given the expenditures required and the limited acute market size. Given this program's challenges and others, the Company is considering its strategic alternatives. To explore these alternatives, the Company has engaged an investment banker. UroQuest was founded as a Florida corporation in 1992 and reincorporated in Delaware in October of 1996. UroQuest's principal offices are located at 173 Constitution Drive, Menlo Park, CA. The Company's telephone number is (650) 463-5180. In October 1996, the Company acquired BMT, Inc., an Indiana corporation, and its wholly owned subsidiary, Bivona, Inc., an Indiana corporation (collectively, "BMT"). BMT designs, develops, manufactures and markets a line of proprietary silicone medical device products used to manage airway problems, as well as provides engineering design, development and manufacturing services for silicone products on an OEM basis for other medical device companies. BMT is one of a limited number of specialty manufacturers of silicone catheters in the United States. The acquisition has enabled the Company to control its own production source while providing necessary capacity and flexibility in the manufacturing process. The acquisition has also expanded the Company's limited product line which previously focused primarily on the On-Command. The product development and production expertise of BMT is also being utilized by the Company to develop additional On-Command and other new devices related to the management and diagnosis of urological disorders. Management of the Company has identified two business segments for purposes of assessing performance and making operating decisions. The business segments identified are the two business units that offer different products: Urology Products and Airway Management/OEM Products. See Item 8. "Financial Statements and Supplementary Data" for additional segment information. 2 4 UROLOGY PRODUCTS The On-Command is an intraurethral catheter incorporating a proprietary anchoring system and a proprietary patient controlled, magnetically activated valve used to regulate urine flow. The On-Command is designed to enable persons with either incontinence (the inability to control one's urinary function, leading to frequent involuntary urine leakage from the bladder) or retention (the inability to voluntarily and spontaneously empty one's bladder) to manage their condition without the restricted mobility, medical complications, discomfort and embarrassment generally associated with many of the existing management alternatives including intermittent, Foley, external and suprapubic catheters, diapers and absorbents, and penile clamps. Unlike most of the widely used incontinence management products, which are designed to capture urine flow in an external container or absorbent medium, the On-Command enables the incontinent person to remain dry without interfering with normal lifestyle activities. Furthermore, unlike most of the widely used products for the management of retention, which result in severe lifestyle restrictions, the On-Command allows the patient with retention to empty the bladder conveniently and without the potential complications associated with the use of an external collection bag or the need for intermittent catheterization ("IC"). The principal features of the On-Command include: - Patient Control. The On-Command enables persons with either incontinence or retention to maintain control of their urinary outflow. The On-Command prevents urine from leaving the urinary tract until the incontinent person chooses to void, enabling such a person to remain dry. The On-Command allows the patient with retention to void when desired and without the need for IC. - Non-Surgical Application. The On-Command is designed to be a relatively low-risk, non-surgical management application for urinary outflow problems when compared to surgery or permanently implanted devices. This is particularly important due to the uncertainty and complications of invasive treatments, or when the longevity of the patient is in question. - Ease of Use. The operation of the On-Command is simple and efficient for the patient. The physician is trained to understand how to size and insert the catheter which shares several common design features with other commonly used indwelling catheters, such as the Foley catheter. - Convenience and Enhanced Lifestyle. The proprietary intraurethral design of the On-Command eliminates the need for external collection bags and absorbents that can restrict mobility and compromise lifestyle. Periodic replacement is also convenient when compared to products like diapers, intermittent catheters and urethral plugs which must be changed or replaced multiple times per day. - Lower Incidence of Complications. The On-Command, because of its intraurethral design, is believed to result in fewer complications than other products designed for the treatment or management of urinary outflow problems. Incontinent persons are more likely to stay dry, reducing the risks of rashes, skin irritations, urethral strictures and other complications. - Reduced Infection Rate. Male patients with either incontinence or retention have been shown in the Company's clinical trials to have lower symptomatic Urinary Tract Infection ("UTI") rates while using the Male On-Command, when compared with infection rates generally associated with the use of Foley catheters. - Cost Effectiveness. The Company believes that less frequent replacement of the On-Command should provide a competitive cost advantage over products that are changed daily or multiple times per day. In addition, the Company anticipates that the overall treatment cost using the On-Command will be lower due to a reduced incidence of complications and side effects. Urinary outflow dysfunction can result from a wide range of diseases, surgical complications or other factors affecting anatomic structures, autonomic reflexes or neurologic function. As a result, it is difficult for a single treatment or management alternative to effectively address every specific condition. There are certain specific patients who would not be able to benefit from the clinical and lifestyle advantages of the On-Command. First, patients who have limited motor function or dementia may not be able to effectively activate the magnetic valve. Second, the anatomy of patients who have low bladder capacity or bladder 3 5 instability may not be able to accommodate an intraurethral device such as the On-Command. Finally, patients with other physical limitations such as excessive obesity or retracted penis may not be able to use the On-Command. Male On-Command The Male On-Command consists of two separable units, the intraurethral catheter portion and the detachable inflator section. When the two units are connected, prior to use, the device closely resembles a Foley catheter. The device is inserted non-surgically through the urethra in a five-minute procedure. Two balloons are inflated, one in the bladder to seal the bladder neck and one in the urethra on the downstream side of the prostate gland to anchor the device. The inflator portion is then detached and discarded. Following proper sizing, the device should reside completely inside the urethra with no exposed components, thereby reducing the risk of infection. The device is designed to remain in place for up to 30 days. The proprietary magnetic control valve is located at the outlet end of the catheter section. This valve can be opened by simply placing a matchbook sized magnet externally along the underside of the penis, allowing the urine to flow. Removing the magnet closes the valve, shutting off the flow of urine and keeping the patient dry. Both insertion and removal procedures are non-surgical, take only a few minutes and can be accomplished by medical staff or other caregivers. The Company offers a range of sizes, and uses a proprietary sizing catheter designed to ensure an appropriate fit. The Sizing Catheter is easy for physicians to use and promotes a comfortable and customized fit in a variety of anatomies. Female On-Command The Female On-Command also employs a catheter with a detachable inflator section and a magnetically activated valve. The device is shorter than the Male On-Command and substitutes the urethral anchoring balloon with a small rounded external cap which anchors the device in place beneath the labial folds of the vagina. The device is designed to remain in place for up to 30 days making it more convenient than many other products requiring multiple changes per day. Because the external anchoring cap extends past the urethral opening, symptomatic UTI rates in the Female On-Command are expected to be higher than the Male On-Command which resides entirely inside the urethra. The procedures for insertion, voiding and removal are similar to those for the male device. MARKETING AND SALES OF THE ON-COMMAND The Company anticipates designing a marketing strategy to create awareness and promote the On-Command as the preferred alternative for the management of lower urinary tract problems in men and women. The Company believes its initial marketing efforts will likely be directed toward urologists, uro-gynecologists and other physicians whose patients are seeking relief from urinary outflow problems. The Company believes its initial target market includes men who have incontinence or retention whose condition does not preclude them from using a medical device and who meet certain additional criteria including age, manual dexterity, mental capabilities, and dissatisfaction with their current management modality. It is estimated that 600,000 to 900,000 men are currently using a catheter-type device to manage urinary outflow problems. The Company believes that patients currently using these devices will be the first to recognize the benefits of the On-Command. These male patients are accustomed to catheters, see their physician on a regular basis, and are believed to be the most receptive to alternative management methods. Patients using absorbents who are dissatisfied with the wetness, odor, discomfort and embarrassment associated with diapers are also primary targets. Initially, the female population the Company anticipates targeting is comprised of women who are post-surgical patients with an acute urinary management need. Subsequently, the Company anticipates targeting women with moderate to severe stress incontinence who require some form of continuous management. Based on previously published research, the Company estimates that between 2.6 million and 3.4 million women in the United States suffer from moderate and severe incontinence. 4 6 The On-Command represents a new management modality for urinary outflow dysfunction, and there can be no assurance that the On-Command will gain any significant degree of market acceptance among physicians, health care payers or patients, even if necessary domestic or international regulatory and reimbursement approvals are obtained. Patient acceptance of the device will depend on many factors, including physician recommendations, the degree, rate and severity of potential complications, the cost and benefits compared to competing products, lifestyle implications, available reimbursement and other considerations. Failure of the On-Command to achieve substantial market acceptance would have a material adverse effect on the Company's business, financial condition and results of operations. Domestic Sales The Company is considering a sales strategy utilizing sales specialists who will educate and train physicians and patients. These specialists may include field-based paraprofessionals, nurse practitioners and professional sales representatives with experience demonstrating medical products and procedures. The Company believes the market for the Male On-Command for acute indications may be limited in size. The Company is studying whether to launch the product if and when FDA clearance for acute indications is received and, if so, how, given the expenditures required and the limited acute market size. To date, the Company has not sold any On-Command products and employs only a small marketing staff. There can be no assurance that the Company can attract and retain its own qualified marketing and sales personnel or otherwise design and implement an effective marketing and sales strategy for the Male and Female On-Command. The failure to establish and maintain effective marketing, sales and distribution channels for the Company's products, or to attract and retain qualified sales personnel to support commercial sales of the Company's products, would have a material adverse effect on the Company's business, financial condition and results of operations. International Sales In order to test market the product and obtain chronic use data, the Company is conducting marketing evaluation studies of its Male and Female On-Command products in three countries in Europe. The Company intends to continue these marketing evaluation studies during 1999. Furthermore, the Company is considering various strategies for the distribution of its products in Europe. In 1997, the Company received the right to affix the CE mark for the male and female On-Command. There can be no assurance that the Company will be successful in continuing these marketing evaluation studies of its products during this period or be able to establish effective marketing, sales and distribution channels internationally at a later date. International sales may be adversely affected by the imposition of government controls, export license requirements, political instability, trade restrictions, changes in tariffs, distributor difficulties, communications problems, fluctuations in foreign currency rates, foreign competition and other factors. Any one or more of these factors could limit the Company's international sales and have a material adverse effect on the Company's business, financial condition and results of operations. THIRD-PARTY REIMBURSEMENT In the United States and in foreign countries, third-party reimbursement is generally available for medical devices such as intermittent, Foley, external and suprapubic catheters for the management of urinary outflow dysfunction, including incontinence and retention. Certain patient-administered products such as diapers and absorbents that are widely used for incontinence management generally do not receive third-party reimbursement and are paid for by the patient. The Company believes, based on the availability of third-party reimbursement for certain other medical devices, that the On-Command will likely be eligible for coverage by third-party reimbursement programs. There can be no assurance, however, that such reimbursement will be available. Currently, the Company is unable to determine whether the On-Command reimbursement amount, if available, will be sufficient to cover the cost of the product. The Company currently estimates the price of the Male On-Command will be in 5 7 excess of $100 per month, and furthermore assumes the use of one device per month. The exact pricing of the Male On-Command has not yet been set. The pricing for the Female On-Command is anticipated to be in the same range as the Male On-Command. Current medical reimbursement amounts for existing catheters (Foleys, etc.) are often significantly less than $100. The Company's long-term strategy is to obtain separate reimbursement codes for the male and female products and analyze the cost effectiveness of the On-Command compared to other device, absorbent and treatment modalities. There can be no assurance that the Company will receive such separate codes or any codes or sufficient amounts, or reimbursement at all or successfully perform or complete such analyses. If third-party reimbursement is unavailable, consumers will have to pay for the On-Command themselves resulting in out-of-pocket costs for the device. The Company does not expect that third-party reimbursement will be available, if at all, unless and until FDA and foreign regulatory approval is received. After such time, if ever, as applicable regulatory approval is received, third-party reimbursement for the On-Command will be dependent upon decisions by the Health Care Financing Administration (and its associates) ("HCFA") for Medicare in the United States and similar authorities abroad, as well as by private insurers and other payers who base their reimbursement decisions in part on HCFA's policies and their own independent analysis of the cost of effectiveness of such procedures. Changes in the availability of third-party reimbursement for the On-Command, for products of the Company's competitors or for surgical procedures may affect the pricing of the On-Command or the relative cost to the patient. Regardless of the type of reimbursement system, the Company believes that physician advocacy of the On-Command will be required to obtain reimbursement. There can be no assurance that such physician advocacy will be obtained or that reimbursement for the On-Command will be available in the United States or in international markets under either governmental or private reimbursement systems, or that physicians will support the On-Command. The foregoing discussion regarding third-party reimbursement for the On-Command is generally applicable to BMT's proprietary line of airway management products as well. The Company is not aware of any significant reimbursement issues impacting sales of BMT's proprietary products. Failure to obtain third-party reimbursement for any of the Company's products may have a material adverse effect on the Company's business, financial condition and results of operations. AIRWAY MANAGEMENT PRODUCTS AND OEM SALES The Company manufactures and markets a series of proprietary airway management products under the BMT label. These products consist primarily of silicone based medical devices used in a wide variety of clinical applications, including tracheostomy and endotracheal tubes for airway management and voice prostheses for voice restoration. BMT also produces a range of catheter-type products on an OEM and private label basis for other medical device companies in areas that include gastrointestinal feeding, esophageal management, cardiac perfusion, hyperalimentation and dialysis. Through BMT, the Company currently produces limited quantities of the On-Command for use in its clinical trials and marketing evaluation studies. BMT uses a direct sales force to market its proprietary airway management products to medical specialists including ear, nose and throat ("ENT") surgeons, respiratory therapists, speech pathologists and anesthesiologists. A group of specialty medical dealers is used in international markets. Approximately 13% of the Company's net sales are currently derived from sales in international markets. The current proprietary airway management product line includes over 400 different products sold to approximately 9,000 customers in 40 different countries. The OEM product line includes approximately 500 additional products sold to approximately 20 different companies, some of which are Fortune 500 medical device companies. For the year ended December 31, 1998, OEM sales accounted for approximately 41% of the Company's net sales. Sales to one customer, Abbott Laboratories, accounted for approximately 19% of total net sales. Although BMT continues to develop its OEM business, there can be no assurance that its OEM customers will continue to use BMT as a manufacturing resource. The loss of OEM customers could have a material adverse effect on the Company's business, financial conditions and results of operations. The OEM business is serviced by a team of contract sales agents with support from BMT's engineering staff. BMT is positioned as a value added manufacturer providing complete product development, regulatory 6 8 affairs, manufacturing and packaging service. BMT emphasizes its broad expertise in complex catheter manufacturing, silicone fabrication techniques and surface enhancement technologies. GOVERNMENT REGULATION The Company's products, including the On-Command, are subject to pervasive and continuing regulation by the FDA. Pursuant to the Federal Food, Drug and Cosmetic Act (the "FDC Act") and regulations promulgated thereunder, the FDA regulates the preclinical and clinical testing, manufacture, labeling, distribution and promotion of medical devices in the United States. Prior to commercialization in the United States, a medical device generally must receive FDA clearance or approval, which can be an expensive, lengthy and uncertain process. Regulatory agencies in the various foreign countries in which the Company's products may be sold may impose additional or varying regulatory requirements. Noncompliance with applicable requirements can result in, among other things, fines, injunctions, civil penalties, recall or seizure of products, total or partial suspension of production, failure of the government to grant premarket clearance or approval for devices, withdrawal of marketing clearances or approvals, and criminal prosecution. The FDA also has authority to request recall, repair, replacement or refund of the cost of any device manufactured or distributed by the Company. Regulatory approvals, if granted, may include significant limitations on the indicated uses for which a product may be marketed. FDA enforcement policy strictly prohibits the marketing of approved medical devices for unapproved uses. The Company will be required to adhere to applicable FDA regulations regarding Good Manufacturing Practices ("GMP") and similar regulations in other countries, which include testing, control, and documentation requirements, and with Medical Device Reporting ("MDR") requirements. Ongoing compliance with GMP and other applicable regulatory requirements will be monitored through periodic inspections by state and federal agencies, including the FDA, and by comparable agencies in other countries. In addition, changes in existing regulations or adoption of new governmental regulations or policies could prevent or delay regulatory approval of the Company's products. The Company is also subject to numerous federal, state and local laws relating to such matters as safe working conditions, manufacturing practices, environmental protection, fire hazard control and disposal of hazardous or potentially hazardous substances. There can be no assurance that the Company will not be required to incur significant costs to comply with such laws and regulations in the future or that such laws or regulations will not have a material adverse effect upon the Company's ability to do business. Following the enactment of the Medical Device Amendments to the FDC Act in May 1976, the FDA has classified medical devices in commercial distribution into one of three classes, Class I, II or III. This classification is based on the controls deemed necessary to reasonably ensure the safety and efficacy of medical devices. Class I devices are those whose safety and efficacy can reasonably be ensured through general controls, such as adequate labeling, premarket notification and adherence to GMPs. Class II devices are generally those whose safety and efficacy can reasonably be ensured through the use of general and special controls, such as performance standards, post-market surveillance, patient registries and FDA guidelines. Class III devices are devices which must receive premarket approval by the FDA to ensure their safety and efficacy, generally life-sustaining, life-supporting or implantable devices, and also include all new devices introduced after May 28, 1976 that are not "substantially equivalent" to legally marketed products. Manufacturers must also report to the FDA any incident in which its product may have caused or contributed to a death or serious injury, or in which its product malfunctioned and, if the malfunction were to recur, it would be likely to cause or contribute to a death or serious injury. Labeling and promotional activities are subject to scrutiny by the FDA and, in certain circumstances, by the Federal Trade Commission. Current FDA enforcement policy prohibits the marketing of approved medical devices for unapproved uses. Before a new device can be introduced into the market in the United States, the manufacturer or distributor generally must obtain FDA marketing clearance or approval through either a 5l0(k) premarket notification or a PMA application. If a manufacturer or distributor of medical products can establish that a new device is "substantially equivalent" to a legally marketed Class I or Class II medical device or to a pre-amendment Class III medical device for which the FDA has not required a PMA, the manufacturer or 7 9 distributor may seek FDA marketing clearance for the device by submitting a 510(k) notification. The FDA recently has been requiring more vigorous demonstration of substantial equivalence than in the past, including in some cases requiring submission of clinical data. The 510(k) notification and the claim of substantial equivalence may have to be supported by various types of information indicating that the device is as safe and effective for its intended use as a legally marketed predicate device. Following submission of the 510(k) notification, the manufacturer or distributor may not place the device into commercial distribution until an order is issued by the FDA. It generally takes four to 12 months from the date of submission to obtain 5l0(k) premarket clearance, but it may take longer. The FDA may agree with the manufacturer or distributor that the proposed device is "substantially equivalent" to another legally marketed device, and allow the proposed device to be marketed in the United States. The FDA may, however, determine that the proposed device is not substantially equivalent, or may require further information, such as additional clinical data, before a substantial equivalence determination can be made. Such a determination or request for additional information could prevent or delay the market introduction of a new product. For any devices that are cleared through the 510(k) process, modifications or enhancements that could significantly affect safety or effectiveness, or constitute a major change in the intended use of the device, will require new 5l0(k) submissions. If a manufacturer or distributor cannot establish to the FDA's satisfaction that a new device is substantially equivalent to a legally marketed medical device, the manufacturer or distributor will have to seek a PMA for the device. A PMA must be supported by valid scientific evidence to demonstrate the safety and effectiveness of the device, typically including the results of preclinical testing, clinical trials and extensive manufacturing information. The PMA process can be expensive, uncertain and lengthy. Upon receipt of a PMA application, the FDA makes a threshold determination as to whether the application is sufficiently complete to permit a substantive review. If sufficiently complete, the application is declared fileable by the FDA and the FDA will begin an in-depth review of the PMA. The FDA review of a PMA application generally takes one to three years from the date the PMA is accepted for filing, but may take significantly longer. A number of devices for which FDA approval has been sought by other companies have never been approved for marketing. Modifications to a device that is the subject of an approved PMA, its labeling or manufacturing process may require approval by the FDA of PMA supplements or new PMAs. Supplements to a PMA often require the submission of the same type of information required for an initial PMA, except that the supplement is generally limited to that information needed to support the proposed change from the product covered by the original PMA. If human clinical trials of a device are required, whether for a 510(k) or a PMA, and the device presents a "significant risk," the sponsor of the trial (usually the manufacturer or the distributor of the device) will have to file an investigational device exemption ("IDE") application prior to commencing human clinical trials. The IDE application must be supported by data, typically including the results of animal and laboratory testing. If the IDE application is approved by the FDA and one or more appropriate Institutional Review Boards ("IRBs"), human clinical trials may begin at a specific number of investigational sites with a specific number of patients, as approved by the FDA. If the device presents a "nonsignificant risk" to the patient, a sponsor may begin the clinical trial after obtaining approval for the study by one or more appropriate IRBs without the need for FDA approval. Submission of an IDE does not give assurances that FDA will approve the IDE and, if it is approved, there can be no assurance that FDA will determine that the data derived from these studies will support the safety and efficacy of the device or warrant the continuation of clinical studies. An IDE supplement must be submitted to and approved by the FDA before a sponsor or investigator may make a change to the investigational plan that may affect its scientific soundness or the rights, safety or welfare of human subjects. Sales of medical devices outside the United States are subject to foreign regulatory requirements that vary widely from country to country. The time necessary to obtain approval for sales in foreign countries may be longer or shorter than that required for FDA approval, and requirements may differ from FDA requirements. During 1997, the Company received the right to affix the CE mark, an international symbol of adherence to quality assurance standards and compliance with applicable European medical device directives, to the On-Command. Some countries in which the Company is considering selling devices through 8 10 distributors either do not currently regulate medical devices such as the On-Command or have minimal registration requirements. However, these countries may develop more extensive regulations in the future that could impact the Company's ability to market the On-Command. There can be no assurance that the Company will be able to obtain FDA approval to market the On-Command or other products in the United States for their intended uses on a timely basis or at all, and delays in receipt of or failure to receive such clearances or approvals, or failure to comply with existing or future regulatory requirements would have a material adverse effect on the Company's business, financial condition and results of operations. BMT, as a developer and manufacturer of Class I and Class II medical devices, is also subject to all of the foregoing regulatory requirements of the FDA. BMT is also registered with the FDA as a distributor, initial importer, repackager and relabeler of medical devices. Among its activities, BMT markets a range of proprietary and OEM products, most of which require and have received 510(k) clearance. BMT has made modifications to one or more of its cleared proprietary devices that BMT believes do not require the submission of new 510(k) notices. There can be no assurance, however, that the FDA would agree with any of BMT's determinations not to submit a new 510(k) notice for any of these changes or would not require BMT to submit a new 510(k) notice for any of the changes made to BMT's devices. If the FDA requires BMT to submit a new 510(k) notice for any device modification, BMT may be prohibited from marketing the modified device until the 510(k) notice is cleared by the FDA. In January 1998, BMT received a Warning Letter from the FDA following BMT's response to the FDA regarding certain deficiencies noted during an on-site FDA inspection in December 1997. BMT management addressed the FDA's concerns noted in the Warning Letter in both written and verbal communication in January and February 1998. In March 1998, BMT received a letter in which the FDA acknowledged BMT's responses and planned actions to address the FDA's concerns and informed BMT that the FDA was planning a follow-up inspection in 1998. The FDA has subsequently extended the time for the follow-up inspection into 1999. While the Company believes it has fully addressed the FDA's concerns, there can be no assurance that the FDA will concur. Nor can there be any assurance that the FDA will not issue additional Warning Letters in the future. Failure by BMT to adequately address the FDA's concerns could cause the FDA to take additional actions that might cause disruptions in BMT's operations. These disruptions could have a material, adverse effect on the Company's business, financial condition and results of operations. BMT has received certification of its conformance to ISO-9001 Standards. BMT has contracted with a foreign certification services company to act on its behalf for assessment of compliance with the provisions of the Medical Device Directive ("MDD") of the European Union. BMT's products are classified as Class IIA, and self certification and authorization for application of the CE mark under Annex II of the MDD (full quality system in conformance to EN29001 and EN46001) is conducted to assure compliance with applicable requirements. MANUFACTURING BMT has specialized in the manufacture of medical devices using predominantly silicone technology for over 25 years. BMT manufactures a broad range of silicone-based catheter-type products used in various segments of the health care industry. BMT has obtained ISO-9001 certification from BSI Product Certification of the United Kingdom, which is based on adherence to established standards in the area of quality assurance and manufacturing process control, and CE mark status. There can be no assurance that BMT will be able to maintain such standards and certifications. BMT purchases certain of the components used to manufacture the On-Command from several single source suppliers, with whom BMT has no long-term agreements. Any interruptions or delays associated with any component shortages, particularly as BMT scales up its manufacturing activities in support of commercial sales of the On-Command, could have a material adverse effect on the Company's business, financial condition and results of operations. 9 11 BMT's manufacturing capabilities include custom compounding, where special pigmentation, radiopacity agent, or unique ratio blending are necessary to customize end product performance specifications. Liquid silicones and high consistency silicones are utilized in injection, transfer, compression, insert or blow molding processes to manufacture components in a variety of custom configurations. BMT also has the capability to extrude single or multi-lumen tubing, special round or compound profiles or even coextrusion with other silicone or non-silicone substrates in a range of sizes from as small as 0.002" inside diameter tubing to as large as 1.6" outside diameter. In some cases, these basic processes yield a finished device. In most cases these molded or extruded products become the components and/or subassemblies from which a broad range of catheter-type devices are manufactured, including the On-Command. BMT has extensive assembly and fabrication capabilities. The molded or extruded silicone components are combined together with any number of non-silicone components to produce a variety of products. In addition to both Class 100,000 and Class 10,000 certified cleanroom assembly and packaging capability, BMT's other custom assembly processes include adhesiving, bonding, potting, forming, porting, drilling, notching, cutting, printing, coating, dispensing and reinforcing with wires or other non-silicone substrates. In addition, BMT has developed proprietary surface enhancement technologies and processes which provide a wide range of alternative product characteristics. Over 800,000 silicone catheter-type devices are currently manufactured annually and BMT currently has excess manufacturing capacity. The manufacture of the On-Command over the past three years has included design and process steps which have evolved over this period to its current design. The processes and techniques required to manufacture and assemble the On-Command are similar to those currently used by BMT to manufacture other silicone catheter-type devices. The On-Command also requires the procurement of several non-silicone components. The sources for each component have been identified and a limited inventory of certain components is currently available. In addition, the Company is seeking to develop alternative sources for such components. The Company may encounter difficulties, delays and significant expenses as BMT scales up production of the On-Command, including potential problems involving production yields, quality control, component supply and shortage of qualified personnel. The Company may also experience higher than expected manufacturing costs that could prevent the Company from selling the On-Command at a commercially reasonable price. Notwithstanding BMT's manufacturing expertise, there can be no assurance that difficulties or unfavorable costs will not be encountered in mass-production of the On-Command and, in such event, these difficulties or costs could result in a material adverse effect on the Company's business, financial condition and results of operations. ENVIRONMENTAL COMPLIANCE Many raw materials used in the manufacturing process are subject to various environmental laws and regulations. Proper disposal of waste including metals and chemicals used in the manufacturing process is a major consideration for medical device manufacturers. In the event of a violation of environmental laws, the Company could be held liable for damages, the costs of remedial actions and could also be subject to revocation of permits necessary to conduct its business. Any such revocations could require the Company to cease or limit production at its facilities, which could have a material adverse effect on the Company's business, financial condition and results of operations. The Company is also subject to environmental laws relating to the storage, use and disposal of chemicals, solid waste and other hazardous materials, as well as air quality regulations. Changes or restrictions on discharge limits, emissions levels, or material storage or handling might require a high level of unplanned capital investment and/or subsequent relocation. Although the Company believes it has complied with all environmental laws and has received no notification of any investigation concerning any violation of any such laws, there can be no assurance that the Company will be able to comply with the discharge levels mandated or that the costs of complying with such regulations will not require additional capital expenses. Furthermore, there can be no assurance that compliance with such regulations will not have a material adverse effect on the Company's business, financial condition and results of operations. 10 12 RESEARCH AND DEVELOPMENT The Company's current research and development efforts are focused primarily on Male and Female On-Command and BMT proprietary and OEM products. The Company also intends to continue to build upon its clinical knowledge and relationships to develop additional advanced and innovative products. Accordingly, the Company intends to continue to devote significant funds to its research and development activities. The research and development expenses for the years ended December 31, 1998, 1997 and 1996 were $4,298,000, $2,901,000 and $2,173,000 respectively. The Company has a fully-staffed pilot production laboratory with a range of capabilities including product molding, extrusion, testing and assembly as well as extensive experience in silicone manufacturing and in materials selection for specific applications. The research and development staff consists of 16 engineers and 10 skilled technicians. Products in development include: Male On-Command The Male On-Command is being developed for use in male patients requiring acute and chronic management of urinary outflow dysfunctions. The basic configuration incorporates a magnet valve and is intended to treat community dwelling patients in the urologist office. Female On-Command The Female On-Command is being developed for use in female patients requiring acute management of urinary outflow as in post-surgical procedures. This same configuration is applicable in chronic patients as well. On-Command Control The On-Command Control is being developed for use with semi-ambulatory or bed-ridden male and female patients in long-term or home care environments. The On-Command Control incorporates a valve system that can be easily opened or closed by the patient or most importantly by a caregiver to facilitate patient voiding. The Company believes the device will be useful in the management of incontinence in nursing homes and extended care settings, replacing adult diapers, Foley catheters, male external catheters and suprapubic catheters. On-Command Convertible The On-Command Convertible is being developed for use in patients requiring temporary bladder management in a clinical setting where a Foley or intermittent type catheter would normally be used and can then be converted to a valved configuration with the features of the Male and Female On-Command. The On-Command Convertible would initially function like a Foley catheter allowing for continuous bladder drainage. When continuous monitoring is no longer necessary and continence has not yet returned, the On-Command Convertible can be configured to function in the controlled flow mode. The patient can then move about without restriction or without the attendant problems associated with an indwelling Foley catheter, external tubing and collection bag. Snap-Shot Urine Chemistry Test System The urine chemistry test system, to be identified under the trademark "Snap-Shot," is a simple disposable device used for the chemical analysis of urine samples. The product is a completely closed system in which urine can be easily collected and tested for various chemical components. Two product configurations are being explored. One to provide urinalysis for the physicians office market and another to perform drug screening testing. 11 13 The Company believes that the Snap-Shot will be classified as a Class I device, and therefore the Company anticipates seeking FDA marketing clearance or approval through a 510(k) premarket notification. The Snap-Shot is in the prototype stage of development and there can be no assurance that the Company will be able to develop it as a product, will receive regulatory approval, will be accepted by the market or generate significant sales. The Company has not sold any Snap-Shot products to date. COMPETITION Competition in the market for treatment and management of urological disorders is intense and is expected to increase. The Company believes that the primary competitive factors for its products will include the level of physician and consumer awareness and acceptance of available management methods, the degree, rate and severity of potential complications, price and related benefits, lifestyle implications, available reimbursement and the training of health care professionals and consumers in the use of available management methods. The Company's ability to compete in this market will also be affected by its product development capabilities and innovation, its ability to obtain required regulatory approval, its ability to protect the proprietary technology, its manufacturing and marketing capabilities and its ability to attract and retain skilled employees. The Company believes its principal competition will come from existing incontinence management modalities, such as adult diapers and absorbents, with additional competition from existing catheter, surgical or implantable products. Current major competitors who compete in the adult absorbent market include Kimberly-Clark Corporation, Procter & Gamble Company, Johnson & Johnson Co., Confab Technologies, Inc. and INBRAND Corporation. Current major competitors who compete in the catheter/urine collection bag drainage system market include C.R. Bard, Inc., Kendall Co., Mentor Corporation, Convatec and Baxter Technologies, Inc. Current major competitors who compete in the market for surgical or implantable products for incontinence include American Medical Systems, Inc., C.R. Bard, Inc., Mentor Corporation, Johnson & Johnson Co., Boston Scientific Corporation and Medtronic, Inc. The Company is not aware of any new products or technologies currently being tested that compete directly with the On-Command in the male urinary outflow dysfunction market although several companies have expressed interest in this market segment. The Company is aware that UroMed Corp., Imagyn Medical Technologies, Inc., Rochester Medical Corporation, HK Medical Technologies, Inc., Influence, Inc. and others are developing a number of alternative products for the management of female incontinence. BMT competes with a number of other silicone fabricators for OEM and private label business. The OEM business is highly competitive and the timing and volume of orders can fluctuate significantly. BMT specializes in complete device assemblies of complex products. Because virtually all of BMT's proprietary and OEM products incorporate silicone components, any cost increase or other negative development associated with this material could adversely affect its business, financial condition and results of operations. BMT's proprietary silicone products compete primarily against non-silicone counterparts produced by a number of large multinational companies, including Mallinkrodt Group Inc., Smith Industries Medical Systems and Rusch Inc. In addition, there are a number of smaller companies that compete in other BMT market areas, including InHealth in voice restoration and Xomed Surgical Products, Inc. in ENT. Competition in the markets for BMT's proprietary products is also intense. Most of the Company's competitors and potential competitors have significantly greater financial, technical, research, manufacturing, marketing, sales, distribution and other resources than the Company. It is possible that other large health care and consumer product companies may also enter the Company's markets in the future. Furthermore, academic institutions, governmental agencies and other public and private research organizations will continue to conduct research, seek patent protection and establish arrangements for commercializing products that may compete with products offered by the Company. There can be no assurance that the Company's competitors will not succeed in developing or marketing technologies and products that are more effective or commercially attractive than any which may be offered by 12 14 the Company, or that such competitors will not succeed in obtaining regulatory approval, introducing or commercializing any such products prior to the Company. Such developments could have a material adverse effect on the Company's business, financial condition and results of operations. PATENTS AND PROPRIETARY RIGHTS The Company's ability to compete effectively will depend, in part, on its ability to develop and maintain proprietary aspects of its technology to preserve its trade secrets and to operate without infringing the proprietary rights of the third parties. The Company's strategy regarding the protection of its proprietary rights and innovations is to seek patents on those portions of its technology that it believes are patentable and to protect as trade secrets other confidential information and proprietary know-how. There can be no assurance that the Company's issued patents, or any patents which may be issued as a result of the Company's applications, will offer any degree of protection. Legal standards related to the enforceability, scope and validity of patents are in transition and are subject to uncertainty due to broad judicial discretion and evolving case law. Moreover, there can be no assurance that any of the Company's patents or patent applications will not be challenged, invalidated or circumvented in the future. In addition, there can be no assurance that competitors, many of which have substantial resources and have made significant investments in competing technologies, will not seek to apply for and obtain patents that may prevent, limit or interfere with the Company's ability to make, use or sell its products either in the United States or internationally. UroQuest holds sixteen United States patents, eleven of which relate to the On-Command and numerous foreign patents and has two United States patents applications and various foreign patent applications pending. Four United States patents relate to the Snap Shot chemistry test system. The issued United States patents include both method and device claims. UroQuest's first two patents, which relate to the On-Command, expire in 2000 and 2001 and the remainder of all other patents, including six related to the On-Command, expire in the years from 2007 through 2018. In addition, BMT holds fifteen United States patents and nine foreign patents relating to proprietary airway management products. Except for two patents that expire in 1999 and 2000, these patents have expiration dates ranging from 2002 to 2016. There can be no assurance that the Company's issued patents, or any patents which may be issued as a result of the Company's applications, will offer any degree of protection. Moreover, there can be no assurance that any of the Company's patents or patent applications will not be challenged, invalidated or circumvented in the future. In addition, there can be no assurance that competitors, many of whom have substantial resources and have made significant investments in competing technologies, will not apply for and obtain patents that will prevent, limit or interfere with the Company's ability to make, use or sell its products either in the United States or internationally. Some of the technology used in, and that may be important to, the Company's products is not covered by any patent or patent application of the Company. Therefore, the Company also relies on trade secrets and proprietary know-how, which it seeks to protect, in part, through proprietary information agreements with certain employees, consultants and other parties. The Company's proprietary information agreements with employees and consultants contain standard confidentiality provisions and, in certain instances, require such individuals to assign to the Company, without additional consideration, any inventions conceived or reduced to practice by them while employed or retained by the Company, subject to customary exceptions. There can be no assurance that proprietary information agreements with employees, consultants and others will not be breached, that the Company would have adequate remedies for any breach, or that the Company's trade secrets will not otherwise become known to or independently developed by competitors. Moreover, litigation associated with the enforcement by the Company of its trade secrets and proprietary know-how can be lengthy and costly, with no guarantee of success. The medical device industry has been characterized by extensive litigation regarding patents and other intellectual property rights, and companies in the medical device industry have employed intellectual property litigation to gain a competitive advantage. The Company is aware of patents held by other participants in the urological disorder management market, and there can be no assurance that the Company will not in the future become subject to patent infringement claims and litigation or interference proceedings before the PTO. The defense and prosecution of intellectual property suits, PTO interference proceedings and related legal and administrative proceedings are both costly and time consuming. Litigation may be necessary to 13 15 enforce patents issued to the Company, to protect trade secrets or know how owned by the Company or to determine the enforceability, scope and validity of the proprietary rights of others. Any litigation or interference proceedings would result in substantial expense to the Company and significant diversion of attention by the Company's technical and management personnel. An adverse determination in litigation or interference proceedings to which the Company may become a party could subject the Company to significant liabilities to third parties or require the Company to seek licenses from third parties. Although patent and intellectual property disputes in the medical device area have often been settled through licensing or similar arrangements, costs associated with such arrangements may be substantial and could include ongoing royalties. Furthermore, there can be no assurance that necessary licenses would be available to the Company on satisfactory terms or at all. Accordingly, an adverse determination in a judicial or administrative proceeding or failure to obtain necessary licenses could prevent the Company from manufacturing and selling its products, which would have a material adverse effect on the Company's business, financial condition and results of operations. To date, no claims have been brought against the Company alleging that its technology or products infringe intellectual property rights of others. However, there can be no assurance that such claims will not be brought against the Company in the future or that any such claims will not be successful. The Company seeks to protect its trademarks through registration. UroQuest(R) and On-Command(R) are registered trademarks of UroQuest. In addition, UroQuest has filed intent to use applications for other marks which have been approved by the PTO and for which notices of use have been filed. BMT also holds five registered trademarks, including Bivona(R), Fome-Cuf(R), Aire-Cuf(R), Saf T Flo(R) and Nu-Trake(R) and 16 trademarks for which United States and foreign registrations are pending. There can be no assurance, however, that registration of the Company's trademarks will provide any significant protection. PRODUCT LIABILITY AND INSURANCE The business of the Company entails significant product liability and recall risks. Product liability may exist despite regulatory approval and future court decisions may also affect the Company's risk of product liability. The Company maintains product liability insurance on products it currently sells and those currently under clinical evaluation in the amount of $5 million and evaluates its insurance requirements on an ongoing basis. A successful product liability claim or series of claims brought against the Company that are not covered by insurance or are in excess of existing insurance coverage could have a material adverse effect on the Company's business, financial condition and results of operations. In addition, there can be no assurance that future product recalls, which could have a material adverse effect on the Company's business, financial condition and results of operations, will not occur. EMPLOYEES As of December 31, 1998, the Company employed a total of 278 full-time employees. Of these full-time employees, 16 are related to urology and 262 are related to BMT. The Company believes that it has been successful in attracting experienced and capable personnel. However, there can be no assurance that the Company will continue to do so. None of the Company's employees is covered by collective bargaining agreements. The Company considers relations with its employees to be good. In the past eight years, BMT has faced two union election contests at its manufacturing facility, each of which failed. There can be no assurances that the Company will not face additional attempts to unionize its employees. In the event the Company becomes subject to a collective bargaining agreement, it may experience increased labor and related costs that could have a material adverse effect on the Company's business, financial condition and results of operations. ADDITIONAL RISK FACTORS The statements contained in this Report that are not purely historical are "forward-looking statements" within the meaning of Section 21E of the Securities Exchange Act of 1934, as amended. All forward looking 14 16 statements involve various risks and uncertainties and include statements that indicate what the Company anticipates regarding the Company's product developments, commercial opportunities, regulatory approval, expectations, strategies, plans and intentions for the future. All forward-looking statements are made as of this date based on information available to the Company as of such date, and the Company assumes no obligation to update any forward-looking statement. It is important to note that such statements may not prove to be accurate and that the Company's actual results and future events could differ materially from those anticipated in such statements. Among the factors that could cause actual results to differ materially from the results discussed in the forward-looking statements are described below and elsewhere in this Report. All subsequent written and oral forward-looking statements attributable to the Company or persons acting on its behalf are expressly qualified in their entirety by this Section and other factors included elsewhere in this Report. See other portions of this Item 1. "Business" and see Item 7. "Management's Discussion and Analysis of Financial Condition" and "Results of Operations." Dependence Upon the On-Command Although the operations of BMT are expected to be the sole source of revenues in the short-term, the Company's long-term revenues and future success are substantially dependent upon its ability to market and commercialize the On-Command in the United States and abroad. The failure of the Company to successfully commercialize the On-Command or to realize significant revenues therefrom would have a material adverse effect on the business, financial condition and results of operations of the Company. See "Urology Products." Uncertainty of Market Acceptance The On-Command represents a new management modality for urinary outflow dysfunction, and there can be no assurance that the On-Command will gain any significant degree of market acceptance among physicians, health care payers or patients, even if necessary domestic or international regulatory and reimbursement approvals are obtained. The Company believes that recommendations of the On-Command by physicians will be essential for market acceptance of the On-Command, and there can be no assurance that any such recommendations will be obtained. Broad use of the On-Command will require the training of numerous physicians and the time required to complete such training could result in a delay or dampening of market acceptance. Moreover, health care payers' approval of reimbursement for the On-Command will be an important factor in establishing market acceptance. Patient acceptance of the device will depend on many factors, including physician recommendations, the degree, rate and severity of potential complications, the cost and benefits compared to competing products, lifestyle implications, available reimbursement, the patient's ability to operate the product, the patient's tolerance of an intraurethral device and other considerations. Failure of the On-Command to achieve substantial market acceptance would have a material adverse effect on the Company's business, financial condition and results of operations. See "Marketing and Sales of the On-Command," and "Third Party Reimbursement." Limited Operating History; History of Losses and Expectation of Future Losses The Company has a limited history of operations. Since its inception in April 1992, the urology portion of Company has been primarily engaged in research and development of the On-Command. The Company has experienced substantial operating losses since inception and, as of December 31, 1998, had an accumulated deficit of approximately $12.9 million. The Company expects its operating losses to continue until the On-Command achieves significant market acceptance. The Company continues to expend substantial resources in funding clinical trials in support of regulatory and reimbursement approvals, expansion of marketing and sales activities, and research and development. There can be no assurance that the Company will achieve or sustain profitability in the future. See Item 7. "Management's Discussion and Analysis of Financial Condition and Results of Operations." 15 17 Risks Associated with BMT The acquisition of BMT has resulted in approximately $12.3 million of goodwill being recognized upon consolidation. This goodwill will be amortized over 20 years resulting in an amortization charge of approximately $629,000 annually. This amortization and other depreciation charges related to the acquisition, totaling approximately $823,000 annually, will reduce the Company's earnings. There can be no assurance that the anticipated benefits of the acquisition will be realized. In particular, approximately 41% of BMT's net sales during 1998 were derived from its manufacture of OEM medical device products. BMT maintains no long-term OEM customer contracts and, during 1998, BMT derived approximately 19% of its net sales from one such customer Abbott Laboratories. Although BMT continues to develop its OEM business, there can be no assurance that BMT will be successful in its efforts or that its OEM customers will continue to use BMT as a manufacturing resource. Through BMT, the Company purchases certain of the components used to manufacture the On-Command from several single source suppliers with whom the Company has no long-term agreements. Any interruptions or delays associated with any component shortages, particularly as the Company scales up its manufacturing activities in support of commercial sales of the On-Command, could have a material adverse effect on the Company's business, financial condition and results of operations. See "Manufacturing." Although the business operations of BMT have continued since 1971, there can be no assurance that BMT's revenues, cash flow or current profitability and growth rate will continue in the future. Furthermore, BMT is subject to general business risks associated with operations of its size and, in particular, to the same risks faced by other companies that manufacture and market medical device products. Because virtually all of BMT's proprietary and OEM products incorporate silicone components, any cost increase or other negative development associated with this material could adversely affect its business, financial condition and results of operations. BMT has faced two labor union election contests in the past eight years and may face additional elections in the future. In the event BMT becomes subject to a collective bargaining agreement, it may experience increased labor and related costs that could have a material adverse effect on the Company's business, financial condition and results of operations. See Item 7. "Management's Discussion and Analysis of Financial Condition and Results of Operations" and "Employees." Future Capital Needs; Uncertainty of Additional Funding The Company's capital requirements depend on numerous factors, including the extent to which the On-Command and other products gain market acceptance, actions relating to regulatory and reimbursement matters, progress of clinical trials, the effect of competitive products, the cost and effect of future marketing programs, the resources the Company devotes to manufacturing and developing its products, the success of non-urological operations, general economic conditions and various other factors. The timing and amount of such capital requirements cannot adequately be predicted. Consequently, although the Company believes existing cash balances and cash anticipated to be generated from BMT operations will provide adequate funding for its capital requirements through calendar year 1999, there can be no assurance that the Company will not require additional funding or that such additional funding, if needed, will be available on terms satisfactory to the Company, if at all. Any additional equity financing may be dilutive to stockholders, and debt financing, if available, may involve significant restrictive covenants. Failure to raise capital when needed could have a material adverse effect on the Company's business, financial condition and results of operations. See Item 7. "Management's Discussion and Analysis of Financial Condition and Results of Operations -- Liquidity and Capital Resources." Dependence Upon Key Employees The Company is dependent upon a number of key management and technical personnel. The loss of the services of one or more key employees would have a material adverse effect on the Company. The Company's ability to manage its transition to commercial-scale operations, and hence its success, will depend in large part on the efforts of these individuals. The Company's success will also depend on its ability to attract and retain additional highly qualified management and technical personnel. The Company faces intense competition for 16 18 qualified personnel, and there can be no assurance that the Company will be able to attract and retain such personnel. Uncertainty Related to Health Care Reform Political, economic and regulatory influences are subjecting the health care industry in the United States to fundamental change. Although Congress has failed to pass comprehensive health care reform legislation to date, the Company anticipates that Congress, state legislatures and the private sector will continue to review and assess alternative health care delivery and payment systems. Potential approaches that have been considered include mandated basic health care benefits, controls on health care spending through limitations on the growth of private health insurance premiums and Medicare and Medicaid spending, the creation of large insurance purchasing groups, price controls and other fundamental changes to the health care delivery system. Legislative debate is expected to continue in the future, and market forces are expected to demand reduced costs. The Company cannot predict what impact the adoption of any federal or state health care reform measures, future private sector reform or market forces may have on its business. Environmental Risks BMT utilizes many raw materials in the manufacturing process that are subject to various environmental laws and regulations. Proper disposal of waste including metals and chemicals used in the manufacturing process is a major consideration for medical device manufacturers. In the event of a violation of environmental laws, the Company could be held liable for damages and for the costs of remedial actions and could also be subject to revocation of permits necessary to conduct its business. Any such revocations could require BMT to cease or limit production at its facilities, which could have a material adverse effect on the Company's business, financial condition and results of operations. BMT is also subject to environmental laws relating to the storage, use and disposal of chemicals, solid waste and other hazardous materials, as well as air quality regulations. Changes or restrictions on discharge limits, emissions levels, or material storage or handling might require a high level of unplanned capital investment and/or subsequent relocation to another location. There can be no assurance that BMT will be able to comply with the discharge levels mandated or that the costs of complying with such regulations will not require additional capital expenses. Furthermore, there can be no assurance that compliance with such regulations will not have a material adverse effect on the Company's business, financial condition and results of operations. See "Manufacturing." Control by Directors, Executive Officers and Affiliated Entities The Company's directors, executive officers and entities affiliated with them, in the aggregate, beneficially own approximately 49% of the Company's Common Stock. As a result, these stockholders, if acting together, are able to exert substantial influence over and could possibly control all matters requiring approval by the stockholders of the Company, including the election of directors and mergers or other business combination transactions. In addition, each of Warburg, Pincus Investors, L.P. ("Warburg"), the Company's principal stockholder, and Vertical Fund Associates, L.P. ("Vertical") is entitled to designate, in certain circumstances, three members of the Board of Directors, which may not have more than 11 directors without consent of each such stockholder. In this event, Warburg and Vertical, if acting together, would be able to control the direction, management and policies of the Company. Possible Volatility of Stock Price The stock market has from time to time experienced significant price and volume fluctuations that are unrelated to the operating performance of particular companies. These broad market fluctuations may adversely affect the market price of the Company's Common Stock. In addition, the market price of the Common Stock has been volatile. Factors such as fluctuations in the Company's operating results, announcements of technological innovations or new products by the Company or its competitors, FDA and international regulatory actions, actions with respect to reimbursement matters, developments with respect to patents or proprietary rights, public concern as to the safety of products developed by the Company or others, changes in health care policy in the United States and internationally, changes in stock market analyst recommendations 17 19 regarding the Company, other medical device companies or the medical device industry generally and general market conditions may have a significant effect on the market price of the Common Stock. In addition, it is likely that during future quarterly periods, the Company's results of operations may fluctuate significantly or may fail to meet the expectations of stock market analysts and investors and, in such event, the Company's stock price could be materially adversely affected. In the past, securities class action litigation has been initiated following periods of volatility in the market price of a company's securities. Such litigation, if brought against the Company, could result in substantial costs and a diversion of management's attention and resources, which could have a material adverse effect on the Company's business, financial condition and results of operations. Certain Anti-Takeover Effects of Charter, Bylaw and Other Provisions Certain provisions of the Company's Certificate of Incorporation and Bylaws may have the effect of making it more difficult for a third party to acquire, or of discouraging a third party from attempting to acquire, control of the Company. Such provisions could discourage bids for the Common Stock at a premium over its market price or otherwise limit the price that certain investors might be willing to pay in the future for shares of the Common Stock. The Board of Directors may issue Preferred Stock without any vote or further action by the stockholders, which issuance may have the effect of preventing or delaying a change in control of the Company and may adversely affect the rights of the holders of the Common Stock. Absence of Dividends The Company has never paid cash dividends on its Common Stock and does not anticipate paying cash dividends in the foreseeable future. The Company's wholly owned subsidiary, BMT, is restricted from declaring dividends to the Company due to a restrictive covenant contained in a bank loan agreement. ITEM 2. PROPERTIES The Company's principal administrative offices are located in Menlo Park, California and its manufacturing and distribution facility is located in Gary, Indiana. The Company believes that its facilities are adequate for its current operations. Since August 1997, the Company has leased approximately 5,000 square feet in Menlo Park, California pursuant to a lease expiring in October 1999. The annual rate on the lease is $123,700. Current space is dedicated to administration, marketing and regulatory activities. The Company owns its manufacturing plant which is a 45,000 square foot facility located on a 10 acre parcel of land in Gary, Indiana. The plant's space is allocated as follows: approximately 12,000 square feet dedicated to equipment-intensive production, approximately 10,000 square feet dedicated to office and support activity, and approximately 23,000 square feet dedicated to cleanroom production and packaging. Additionally, the Company leases an 18,600 square foot warehouse and shipping facility located approximately five miles from the manufacturing plant. The lease expired in December 1998 and a new lease was executed in February 1999. The initial rent under the new lease is approximately $64,000 per year. ITEM 3. LEGAL PROCEEDINGS The Company is not currently involved in any significant legal proceedings. There can be no assurance, however, that the Company will not experience material litigation with respect to the operation of its business. ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS The Company did not have any submission of matters to a vote of security holders during the fourth quarter of 1998. 18 20 PART II ITEM 5.MARKET FOR REGISTRANT'S COMMON EQUITY AND RELATED STOCKHOLDER MATTERS The Company's stock is traded on the Nasdaq National Market under the Symbol: UROQ. The Company's stock commenced trading on October 24, 1996 following the Company's IPO. The following table shows the market range for the Company's Common Stock:
HIGH LOW ------ ------ Fourth Quarter, 1998....................................... $1.750 $1.000 Third Quarter, 1998........................................ 2.813 1.625 Second Quarter, 1998....................................... 3.875 2.500 First Quarter, 1998........................................ 5.500 2.125 Fourth Quarter, 1997....................................... 6.500 2.375 Third Quarter, 1997........................................ 6.500 3.313 Second Quarter, 1997....................................... 7.000 5.000 First Quarter, 1997........................................ 7.125 5.375
At December 31, 1998, there were approximately 172 record holders of the Company's Common Stock. The closing price of the Registrant's Common Stock as reported by The Nasdaq National Market on March 19, 1999 was $1.250. The Company has never declared or paid dividends on its stock and does not anticipate paying dividends in the foreseeable future. ITEM 6. SELECTED FINANCIAL DATA
YEARS ENDED DECEMBER 31, -------------------------------------------------------------------- 1998 1997 1996 1995 1994 ------------ ----------- ----------- ----------- ----------- OPERATING DATA(1): Net sales...................... $ 17,603,575 $16,541,161 $ 2,299,895 $ -- $ 2,801 Cost of sales.................. 8,931,951 9,307,272 1,308,730 -- 2,381 ------------ ----------- ----------- ----------- ----------- Gross profit................... 8,671,624 7,233,889 991,165 -- 420 Research and development expenses..................... 4,297,713 2,901,050 2,173,312 1,106,631 431,295 General and administrative expenses..................... 4,695,635 3,997,210 1,091,857 397,523 483,399 Sales and marketing expenses... 2,579,834 2,258,963 297,587 46,262 30,257 Severance costs................ -- 1,600,000 -- -- -- Amortization of goodwill....... 632,184 643,355 90,982 -- -- ------------ ----------- ----------- ----------- ----------- Operating loss................. (3,533,742) (4,166,689) (2,662,573) (1,550,416) (944,531) Other income (expense), net.... 311,955 420,745 41,863 36,669 (260,663) ------------ ----------- ----------- ----------- ----------- Loss before taxes.............. (3,221,787) (3,745,944) (2,620,710) (1,513,747) (1,205,194) Provision for income taxes..... 100,000 130,000 -- -- -- ------------ ----------- ----------- ----------- ----------- Net loss....................... $ (3,321,787) $(3,875,944) $(2,620,710) $(1,513,747) $(1,205,194) ============ =========== =========== =========== =========== Basic and diluted net loss per share.................... $ (0.28) $ (0.33) $ (0.55) $ (0.47) $ (0.39) ============ =========== =========== =========== =========== Shares used in computing basic and diluted net loss per share........................ 12,058,861 11,872,647 4,726,807 3,194,243 3,098,033
19 21
DECEMBER 31, -------------------------------------------------------------------- 1998 1997 1996 1995 1994 ------------ ----------- ----------- ----------- ----------- BALANCE SHEET DATA(1): Cash and cash equivalents...... $ 6,980,128 $11,054,088 $12,694,047 $ 1,113,594 $ 564,097 Working capital................ 10,145,602 13,204,642 15,991,290 463,594 325,723 Total assets................... 28,159,047 31,923,751 35,039,517 1,721,027 1,205,273 Long-term debt, excluding current portion.............. 921,654 1,293,175 1,787,437 -- 552,188 Accumulated deficit............ (12,864,039) (9,542,252) (5,666,308) (3,045,598) (1,531,851) Stockholders' equity (2)....... 24,438,920 27,403,975 30,486,314 1,047,126 412,621
- --------------- (1) On October 30, 1996, concurrent with the closing of Company's initial public offering, the Company completed its acquisition of BMT, Inc. The transaction, which was accounted for as a purchase, was effected through the payment of $10 million cash, and the issuance of 2.5 million newly issued shares of UroQuest Common Stock. (2) On October 24, 1996, the Company sold 3,350,000 shares of Common Stock in its initial public offering at $6.00 per share. Concurrent with and subsequent to the offering, warrants totaling 1,454,494 shares were exercised at $3.50 per share. Combined, the Company realized net proceeds of $22,894,082. ITEM 7.MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS The following discussion of the financial condition and results of operations of the Company should be read in conjunction with the Consolidated Financial Statements and the related Notes thereto included elsewhere in this Report. The following Management's Discussion and Analysis of Financial Condition and Results of Operations contains forward-looking statements, within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934, that involve risks and uncertainties. The Company's actual results of operations could differ materially from those anticipated in such forward-looking statements as a result of certain factors discussed under Item 1. "Business" and elsewhere in this Report. OVERVIEW Since its inception in April 1992, the Company has devoted its efforts to the design and development of advanced products for the management and diagnosis of both male and female urological disorders. The Company's principal product, the On-Command, is an intraurethral (inside the urethra) catheter incorporating a proprietary anchoring system and a proprietary patient controlled, magnetically activated valve used to regulate urine flow. The On-Command is designed to enable persons with either urinary incontinence or urinary retention to manage their condition without the restricted mobility, medical complications, discomfort and embarrassment generally associated with many of the existing management alternatives, including intermittent, Foley, external and suprapubic catheters, diapers and absorbents, and penile clamps. The On- Command is an investigational device that has not been approved by the FDA and will not be available for commercial distribution in the United States unless and until such approval is obtained. Since 1996, Bivona Medical Technologies ("BMT") has been a wholly owned subsidiary of the Company. BMT develops, manufactures and markets a line of proprietary silicone medical device products and provides engineering design, development and manufacturing services for silicone products on an OEM basis for other medical device companies. All of the Company's current revenues relate to sales of BMT products. BMT is one of a limited number of specialty manufacturers of silicone catheters in the United States. BMT manufactures the Company's On-Command currently being used in clinical trials and market evaluation studies. The Company has experienced substantial losses since inception and, as of December 31, 1998, had an accumulated deficit of $12.9 million. In October 1996, the Company raised approximately $17.8 million through the initial public offering of its Common Stock ("IPO"). 20 22 RESULTS OF OPERATIONS The Company evaluates performance based on profit or loss from operations before allocation of intangible asset amortization expense and before income taxes of the two business segments: Urology Products and Airway Management/OEM Products. The results of operations of the two segments for years ended December 31, 1998, 1997 and 1996 are highlighted as follows:
UROLOGY AIRWAY MANAGEMENT/ PRODUCTS OEM PRODUCTS TOTAL ----------- ------------------ ----------- Year ended December 31, 1998 Revenues from external customers..... $ -- $17,604,000 $17,604,000 Segment profit (loss)................ (5,033,000) 2,636,000 (2,397,000) Year ended December 31, 1997 Revenues from external customers..... $ -- $16,541,000 $16,541,000 Segment profit (loss)................ (3,409,000) 2,094,000 (1,315,000) Year ended December 31, 1996 Revenues from external customers..... $ -- $ 2,300,000 $ 2,300,000 Segment profit (loss)................ (1,912,000) 233,000 (1,679,000)
See Item 8. "Financial Statements and Supplementary Data" for additional segment information. Net sales and cost of sales Net sales, which were generated from sales by BMT of primarily proprietary airway management products and other medical device products to OEM customers, increased 6% to $17,604,000 for the year ended December 31, 1998 from $16,541,000 for the year ended December 31, 1997. The increase was attributable primarily to the increase in unit sales of proprietary products. Cost of sales of $8,932,000 in 1998 decreased 4% from $9,307,000 in 1997, due partly to a greater percentage of lower cost proprietary product being sold in 1998, and partly to the scale-up costs and validation costs related to certain OEM product lines being incurred in 1997. Gross profit percentage for 1998 increased to 49% from 44% for 1997. The improvement in gross profit percentage was due primarily to favorable growth in sales of higher margin proprietary products, price increases in certain OEM products and other manufacturing efficiency improvements. Net sales increased to $16,541,000 in 1997 from $2,300,000 in 1996. Included in 1997 net sales were twelve months' BMT sales of proprietary airway management products and other medical device products to OEM customers; included in 1996 net sales were only two months' BMT sales following the acquisition. On a pro forma twelve month basis, BMT sales for 1996 were $14,635,000. Cost of sales of $9,307,000 and $1,309,000 related to the BMT sales in 1997 and two months in 1996 following the acquisition, respectively. On a pro forma twelve month basis, BMT cost of sales for 1996 was $8,232,000. Gross profit of $7,234,000 and $991,000 related to BMT sales in 1997 and two months in 1996, respectively. On a pro forma twelve month basis, BMT gross profit for 1996 was $6,403,000. The gross profit percentage for 1997 and 1996 (for twelve months on a pro forma basis) was 44% and 44%, respectively. Research and development Research and development expenses include product development, clinical testing and regulatory expenses. In 1998, research and development expenses increased to $4,298,000 from $2,901,000 in 1997. The increase was attributable primarily to the increase in personnel costs, consulting and prototype materials expenditures in support of the increased activities in product research and development, as well as additional clinical and site-monitoring personnel and other clinical study expenditures required to support on-going clinical studies of the On-Command product. In 1997, research and development expenses increased to $2,901,000 from $2,173,000 in 1996. Included in 1997 expenses were twelve months' research and development expenses related to BMT totaling $1,636,000; included in 1996 expenses were only two months' research and development expenses related to 21 23 BMT totaling $213,000 and a $783,000 write-off of in-process research and development costs when the Company acquired BMT. The remaining increase was attributable primarily to increased personnel costs, clinical study costs and other research and development expenditures primarily related to the On-Command product. Research and development expenses are expected to continue to increase in the foreseeable future as the result of additional product development, clinical testing and regulatory efforts. General and administrative General and administrative expenses increased to $4,696,000 in 1998 from $3,997,000 in 1997. The increase was attributable primarily to increased personnel costs and urology facilities expenses. General and administrative expenses increased to $3,997,000 in 1997 from $1,092,000 in 1996. Included in 1997 expenses were twelve months' general and administrative expenses related to BMT totaling $3,035,000; included in 1996 expenses were only two months' general and administrative expenses related to BMT totaling $322,000. The remaining increase was attributable primarily to additional personnel costs, public company expenses and office relocation expenses. General and administrative expenses are expected to increase due to anticipated additional activities related to the Company's airway management/OEM business and urology operations. Sales and marketing Sales and marketing expenses increased to $2,580,000 in 1998 from $2,259,000 in 1997. This increase was due primarily to increased personnel costs, travel expenses and marketing materials. Sales and marketing expenses increased to $2,259,000 in 1997 from $298,000 in 1996. Included in 1997 expenses were twelve months' sales and marketing expenses related to BMT totaling $1,841,000; included in 1996 expenses were only two month's sales and marketing expenses related to BMT totaling $257,000. The remainder of the increase was attributable primarily to the commencement of marketing and international selling efforts. Sales and marketing expenses are expected to increase in the foreseeable future, due in part to the Company's European marketing evaluation studies of its Male and Female On-Command product that have been initiated in the fourth quarter of 1998. Severance costs The Company did not recognize any severance costs in 1998. Severance costs of $1,600,000 incurred in 1997 were related to the employment termination of certain members of senior management in May 1997. Of this amount, approximately $713,000 was non-cash compensation expense resulting from the acceleration of vesting periods for stock options. No severance costs were incurred in 1996. Amortization of goodwill Amortization of goodwill of $632,000, $643,000 and $91,000 in 1998, 1997 and 1996, respectively, was related to the goodwill recognized as a result of the acquisition of BMT in October 1996. The goodwill is being amortized over an estimated life of 20 years. Other income (expense) Other income (expense) decreased to net interest income of $312,000 in 1998 from a net interest income of $421,000 in 1997. Interest income decreased to $444,000 in 1998 from $601,000 in 1997. The decrease in interest income was attributable to lower average cash balances, due primarily to net cash being used in operating activities and purchases of property and equipment. Interest expense decreased to $132,000 in 1998 from $181,000 in 1997. The decrease in interest expense was attributable primarily to the lower average debt balances as the Company is repaying existing loans and has not incurred any new loans. 22 24 Other income (expense) increased to net interest income of $421,000 in 1997 from a net interest income of $42,000 in 1996. Interest income increased to $601,000 in 1997 from $124,000 in 1996. The increase in 1997 in comparison to 1996 was attributable to higher average cash balances, due primarily to the receipt and holding of proceeds from the Company's IPO in October 1996. Interest expense increased to $181,000 in 1997 from $82,000 in 1996. Included in 1997 expense were twelve months' interest expense related to BMT totaling $176,000; included in 1996 expense were only two months' interest expense related to BMT totaling $33,000. Provision for income taxes The Company recorded a $100,000 and $130,000 provision for state income taxes in 1998 and 1997, respectively. The provision for state income taxes was recorded primarily as a result of taxable income earned by BMT in Indiana where the Company is required to file tax returns on a separate company basis. There was no federal income tax expense in 1998, 1997 and 1996 due to net operating losses. Realization of deferred tax assets is dependant on future earnings, if any, the timing and amount of which are uncertain. Accordingly, deferred tax asset valuation allowances have been established as of December 31, 1998, 1997 and 1996 to reflect these uncertainties. In 1997, the Company reduced the valuation allowance to the extent of the deferred tax liabilities generated primarily through the acquisition of BMT and recorded a corresponding reduction in goodwill. As of December 31, 1998, the Company had federal net operating loss carryforwards of approximately $8,500,000. The Company also had federal research and development tax credit carryforwards of approximately $80,000. The net operating loss and tax credit carryforwards will expire at various dates beginning 2002 through 2018, if not utilized. Utilization of the net operating loss carryforwards may be subject to a substantial annual limitation due to the ownership change limitations provided by the Internal Revenue Code of 1986, as amended. This annual limitation may result in the expiration of net operating loss carryforwards before utilization. LIQUIDITY AND CAPITAL RESOURCES The Company has financed its operations primarily through the public and private sale of equity securities and through bank-provided working capital financing, short-term borrowings and equipment lease financing and, beginning in 1997, cash generated from operations at BMT. Since inception, the Company has raised approximately $28 million in net proceeds of equity financing which includes the net proceeds of $17.8 million generated through the initial public offering of the Company's Common Stock in October 1996. During the year ended December 31, 1998, net cash used in operating activities amounted to $2,741,000. During the year ended December 31, 1997, net cash used in operating activities amounted to $497,000. The increase in net cash used in operating activities in 1998 compared to 1997 was due primarily to increased activities in research and development, general and administrative, and sales and marketing operations, and cash severance payments. During the year ended December 31, 1997 and the year ended December 31, 1996, UroQuest used cash in operations of $497,000 and $1,035,000, respectively. The decrease in net cash used in operating activities in 1997 from 1996 was due primarily to cash provided by BMT's operations and cash provided from investment income. Net additions of property and equipment for the years ended December 31, 1998, 1997 and 1996 were $1,187,000, $700,000 and $132,000, respectively. The increase in additions of property and equipment in 1998 from 1997 was due primarily to additional purchases of property and equipment to support the urological product development and infrastructure development at BMT. Included in the additions of $132,000 in 1996 were two months of BMT additions following the acquisition. On a pro forma basis as if the BMT acquisition had occurred at the beginning of the year, additions for the year ended December 31, 1996 were $682,000. The Company expects additional purchases of property and equipment to continue in 1999 to support the urological product development. During 1996, the Company issued 10% demand promissory notes totaling $500,000 which were repaid by year end. The 12% secured promissory notes totaling $390,000 issued by the Company in December 1994 were also repaid in 1996. In connection with the placement of the 12% secured promissory notes, UroQuest issued 23 25 and the holders of such notes exercised approximately 26,000 warrants for Common Stock at an exercise price of $3.50 per share in 1996. The Company's primary internal source of liquidity presently consists of existing borrowings, cash balances and cash generated from BMT's operations. The Company's primary external sources of liquidity are equity financings and bank-provided debt financing. As of December 31, 1998 and December 31, 1997, the Company had cash and cash equivalents of $6,980,000 and $11,054,000, respectively. The decrease since December 31, 1997 was due primarily to the net cash used in operations, purchases of fixed assets and repayment of long-term debt. As of December 31, 1998, the Company had no significant noncancelable commitments for capital expenditures or raw material purchases, although the Company may enter into such commitments in the future. The Company's capital requirements depend on numerous factors, including the extent to which the On-Command product and other products gain market acceptance, actions relating to regulatory and reimbursement matters, progress of clinical trials, the effect of competitive products, the cost and effect of future marketing programs, the resources the Company devotes to manufacturing and developing its products, the success of BMT's proprietary airway management products and OEM sales, general economic conditions and various other factors. The timing and amount of such capital requirements cannot adequately be predicted. The Company believes that existing cash and cash equivalents and cash anticipated to be generated from BMT's operations will provide adequate funding for its currently anticipated capital requirements through the calendar year 1999. Prior to achieving profitability, the Company may require additional capital and there can be no assurance that such additional funding will be available on terms satisfactory to the Company, if at all. Any additional equity financing may be dilutive to stockholders, and debt financing, if available, may involve significant restrictive covenants. Failure to raise capital when needed could have a material adverse effect on the Company's business, financial condition and results of operations. The Company expects its operating losses to continue until the On-Command achieves significant market acceptance. The Company continues to expend substantial resources in funding clinical trials in support of regulatory and reimbursement approvals, expansion of marketing and sales activities, and research and development. In addition, the Company's results of operations may fluctuate significantly during future quarterly periods. All management estimates regarding liquidity and capital requirements are subject to the factors discussed above and those set forth under "Additional Risk Factors" and elsewhere in Item 1. "Business." YEAR 2000 COMPLIANCE Many currently installed computer systems and software products are coded to accept only two digit entries in the date code field. Beginning in the year 2000, these date code fields will need to accept four digit entries to distinguish 21st century dates from 20th century dates. As a result, in less than one year, computer systems (hardware and software) and/or devices with embedded date-sensitive chips used by many companies may need to be upgraded or replaced to comply with such "Year 2000" requirements. Significant uncertainty exists in the software industry concerning the potential effects associated with such compliance. Based on a recently completed assessment, the Company believes that all its computer programs and hardware that have date-sensitive software or embedded chips will properly utilize dates beyond December 31, 1999, primarily as a result of system upgrades, currently in process, which were originally planned to enhance business operations. The completed assessment indicated that most of the Company's significant information technology systems, if not upgraded or modified, could be affected. These systems include accounting programs, internally developed software and other PC-based applications. The Company is currently completing an upgrade to its accounting system; such upgrade was originally intended to facilitate increased business operations. The upgraded accounting system is certified by the vendor that it is Year 2000 compliant. Regarding its internally developed software, the Company determined that approximately 5% of the lines of codes in the software had to be changed to resolve the Year 2000 Issue. The Company believes such changes have been fully completed. 24 26 PC-based applications that are currently used by the Company are certified by the vendors at time of purchase that they are Year 2000 compliant; therefore, no replacements or upgrades are considered necessary. The assessment also indicated that the embedded chips used in production and manufacturing equipment are not date-sensitive and thus will not be affected by the Year 2000 Issue. The cost directly related to addressing Year 2000 issues has been determined to be immaterial. The Company is planning to purchase software to test all its information technology systems regarding Year 2000 compliance. The Company is now identifying and evaluating certain testing programs and anticipates completing the testing process by the first half of calendar year 1999. The Company has also begun making queries to its significant suppliers of their Year 2000 readiness. To date, the Company is not aware of any suppliers with a Year 2000 Issue that would materially impact the Company's results of operations, liquidity, or capital resources. However, the Company has no means of ensuring that its suppliers will be Year 2000 ready. The inability of suppliers to complete their Year 2000 resolution process in a timely fashion could materially impact the Company. The effect of noncompliance by suppliers is not determinable. The Company presently believes that with upgrades or modifications of existing computer systems, the Year 2000 Issue can be mitigated. However, if such upgrades or modifications fail to address the Year 2000 issues, the Company's business, financial condition and result of operations could be materially adversely affected. The extent of the financial impact due to Year 2000 noncompliance cannot be reasonably estimated at this time. The Company currently has no contingency plans in place in the event that its computer systems are not Year 2000 compliant. The Company plans to evaluate and determine whether such a plan is necessary after the internal testing process is completed in the first half of calendar year 1999. The Company is developing certain strategies in the case that its key suppliers do not resolve their Year 2000 issues in a timely manner. ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK In the normal course of business, the financial position of the Company is routinely subjected to a variety of risks, including market risk associated with interest rate movements. The Company regularly assesses these risks and has established policies and business practices to protect against the adverse effects of these and other potential exposures. As a result, the Company does not anticipate material losses in these areas. At December 31, 1998, the Company had total cash and cash equivalents of approximately $6,980,000 consisting primarily of money market funds which have variable interest rates and hence do not expose the Company to additional market risk. The average interest rate on the money market funds account in 1998 was 4.95%. The Company also has long term debts in the form of a bank term note and a mortgage note. These both have variable interest rates and hence do not expose the Company to additional market risk. ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA The consolidated financial statements of the Company and its subsidiaries are set forth on pages F-1 through F-20 hereof. ITEM 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE None. 25 27 PART III ITEM 10. DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT The required information concerning the Company's directors, as set forth in the Company's definitive Proxy Statement to be filed with the Commission on or before April 30, 1999, is incorporated herein by reference. As of December 31, 1998, the executive officers of the Registrant, who are elected by the board of directors, are as follows: TERRY E. SPRAKER, Ph.D., age 50, has been a director and President and Chief Executive Officer of the Company since May 1997. Before joining the Company, Dr. Spraker was President and Chief Executive Officer of EP Technologies, Inc., a manufacturer of interventional cardiac electrophysiology products, from October 1992 until August 1996. Prior to joining EP Technologies, Dr. Spraker was President of the Medical Systems Division of Ohmeda, an anesthesia and critical care products company, from July 1992 until October 1992 and V.P./General Manager of Anesthesia Systems from July 1987 through June 1992. Dr. Spraker held various general management and engineering positions with Ohmeda and other medical device and equipment manufacturers from October 1977 to June 1987. Dr. Spraker holds a B.S. in Electrical Engineering from the University of Bridgeport, a M.S. in Electrical Engineering and a Ph.D. in Bioengineering from Pennsylvania State University. THOMAS E. BRANDT, age 45, has been a director and Chief Operating Officer since October 1996. Mr. Brandt has served as President and Chief Executive Officer of Bivona, Inc. ("Bivona"), a subsidiary of the Company which produces and markets medical products, since June 1989. Prior to joining Bivona, Mr. Brandt held various management, marketing and engineering positions with Dow Corning Corporation, a chemical company. Mr. Brandt holds a M.B.A. from Central Michigan University and a B.S. in Engineering from Iowa State University. JEFFREY L. KAISER, age 48, has served as Vice President, Chief Financial Officer, Treasurer, and Secretary since May 1997. From March 1990 until June 1996, Mr. Kaiser was Vice President, Finance and Administration and Chief Financial Officer of EP Technologies, a manufacturer of interventional cardiac electrophysiology products. From October 1988 until February 1990, Mr. Kaiser provided independent financial and business consulting services to various companies. From March 1982 until September 1988, Mr. Kaiser was Chief Financial Officer of various companies that manufactured computer hardware, styrofoam consumer products, and fermentation equipment. Previously, Mr. Kaiser held various positions, including Senior Audit Manager, with Ernst & Young. Mr. Kaiser holds a B.S. in Business Administration from Miami University, Oxford, Ohio. He is a Certified Public Accountant. ALAN L. MARQUARDT, age 46, has served as Vice President, Regulatory, Clinical, and Quality Affairs since March 1998. From February 1993 to February 1998, Alan Marquardt was Vice President, Regulatory, Clinical and Quality Affairs at Boston Scientific Corporation's San Jose, California operation. From November 1988 to January 1993, Mr. Marquardt was Director of Clinical and Regulatory Affairs at Pfizer, Inc.'s Schneider U.S. Stent Division. From 1986 to November 1988, Mr. Marquardt was Senior Product Regulation Manager at Medtronic, Inc. Prior to this time, Mr. Marquardt held various other positions at Medtronic, Inc. and National Biocentric. Mr. Marquardt holds a Bachelor of Science in Microbiology from the University of Minnesota. KEITH W. L. WARD, age 55, has served as Vice President, International since August 1997. From January 1996 until July 1997, Mr. Ward was Sales and Marketing Director, Europe, for the EP Technologies Division of Boston Scientific Corporation, following its merger with EP Technologies, Inc. From October 1993 until January 1996, Mr. Ward was Vice President, International of EP Technologies, a manufacturer of interventional cardiac electrophysiology products. From February 1986 until September 1993, Mr. Ward held various International Marketing and Business Development positions in Ohmeda, a medical equipment and pharmaceutical manufacturer of anesthesia and critical care products. Prior to this time, Mr. Ward held marketing and general management positions in Sherwood Medical Industries and Abbott Laboratories. Mr. Ward holds a B.Sc. Hons. In Chemical Engineering from the University of Surrey, England. 26 28 ITEM 11. EXECUTIVE COMPENSATION The required information concerning executive compensation, as set forth in the Registrant's definitive Proxy Statement to be filed with the Commission on or before April 30, 1999, is incorporated herein by reference. ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT The required statements concerning security ownership of certain beneficial owners and management, as set forth in the Company's definitive Proxy Statement to be filed with the Commission on or before April 30, 1999, are incorporated herein by reference. ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS The required statements concerning certain relationships and related transactions, as set forth in the Company's definitive Proxy Statement to be filed with the Commission on or before April 30, 1999, are incorporated herein by reference. PART IV ITEM 14. EXHIBITS, FINANCIAL STATEMENTS, SCHEDULES, AND REPORTS ON FORM 8-K (a) Documents filed as part of this report. 1. Financial Statements. The financial statements of the Company are listed at Item 8 of this Report. 2. Financial Statement Schedules. No schedules are required in connection with the filing of this Report as amounts are either immaterial or are disclosed in the financial statements. 3. Exhibits 3.1 Restated Certificate of Incorporation of UroQuest Medical Corporation, a Delaware corporation(5) 3.2 Bylaws of UroQuest Medical Corporation, a Delaware corporation (5) 3.3 Specimen Stock Certificate(6) 10.1* Form of Indemnification Agreement between the Registrant and each of its directors and officers(6) 10.2* 1994 Stock Plan(4) 10.3* 1996 Employee Stock Purchase Plan and form of Subscription and Contribution Election Form(6) 10.4* Employment Agreement dated January 2, 1998 between the Company and Terry E. Spraker, Ph.D.(3) 10.5* Employment Agreement dated January 2, 1998 between the Company and Jeffrey L. Kaiser(3) 10.6 Lease dated December 16, 1995 between JVM Realty Corporation and Bivona, Inc.(6) 10.8* Employment Agreement dated January 2, 1998 between the Company and Keith W.L. Ward(3) 10.9* Employment Agreement effective June 1, 1995 for Terrance L. Domin(6) 10.10* Employment Agreement dated February 18, 1998 between the Company and Alan L. Marquardt(3)
27 29 10.11* Employment Agreement effective June 27, 1996 for Tom E. Brandt(6) 10.12* Letter dated August 15, 1996 from the Registrant to J.J. Donohue(6) 10.13* Right of First Refusal and Co-Sale Agreement dated June 15, 1995 among the Registrant, Warburg, Pincus Investors, L.P., Vertical Fund Associates, L.P. and Richard C. Davis, Jr., M.D. (the "Co-Sale Agreement")(6) 10.14* Letter Agreement dated September 30, 1996, as amended October 23, 1996, among UroQuest Medical Corporation, Warburg, Pincus Investors, L.P., Vertical Fund Associates, L.P. and Richard C. Davis, Jr., M.D., amending the Co-Sale Agreement(6) 10.15 Note and Security Agreement between the Company and Richard C. Davis Jr., M.D. dated January 9, 1998 (the note was repaid on March 30, 1998)(3) 10.16 Note and Security Agreement between the Company and Alan Marquardt dated May 7, 1998(2) 10.17* Indemnification Agreement between the Company and Terry E. Spraker dated October 12, 1998(1) 10.18* Indemnification Agreement between the Company and Jeffrey L. Kaiser dated October 12, 1998(1) 10.19* Indemnification Agreement between the Company and Alan Marquardt dated October 12, 1998(1) 10.20* Indemnification Agreement between the Company and Keith Ward dated October 12, 1998(1) 21.1 Subsidiaries of Registrant(6) 23.1a Consent of Ernst & Young LLP, Independent Auditors 23.1b Consent of KPMG LLP 27.1 Financial Data Schedule for the year ended December 31, 1998
- --------------- (1) Incorporated by Reference from the UroQuest Medical Corporation Quarterly Report on Form 10-Q dated November 13, 1998 (2) Incorporated by Reference from the UroQuest Medical Corporation Quarterly Report on Form 10-Q dated August 13, 1998 (3) Incorporated by Reference from the UroQuest Medical Corporation Quarterly Report on Form 10-Q dated May 14, 1998 (4) Incorporated by Reference from the UroQuest Medical Corporation Annual Report on Form 10-K dated March 30, 1998 (5) Incorporated by Reference from the UroQuest Medical Corporation Annual Report on Form 10-K dated March 27, 1997 (6) Incorporated by Reference from the UroQuest Medical Corporation Registration Statement on Form S-1, File No. 333-07277 * Management contract or compensatory plan arrangement (b) Reports on Form 8-K: The Company did not file any reports on Form 8-K during the fourth quarter of 1998. (c) See Item 14(a) 3 above (d) See Item 14(a) 2 above 28 30 SIGNATURES Pursuant to the requirements of Section 13 or 15(d) 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 in Menlo Park, California, on the 30th day of March 1999. UroQuest Medical Corporation By: /s/ TERRY E. SPRAKER, PH.D. ------------------------------------ Terry E. Spraker, Ph.D. President and Chief Executive Officer POWER OF ATTORNEY KNOW ALL PERSONS BY THESE PRESENTS, that each person whose signature appears below hereby constitutes and appoints Jeffrey L. Kaiser, as his attorney-in-fact, with full power of substitution, for him in any and all capacities, to sign any and all amendments to this Report on Form-10K, and to file the same, with exhibits thereto and other documents in connection therewith, with the Securities and Exchange Commission, hereby ratifying and confirming our signatures as they may be signed by our said attorney to any and all amendments to said Report. Pursuant to the requirements of the Securities Exchange Act of 1934, this Report has been signed by the following persons in the capacities and on the dates indicated:
SIGNATURE TITLE DATE --------- ----- ---- /s/ TERRY E. SPRAKER, PH.D. President, Chief Executive Officer March 30, 1999 - --------------------------------------------- and Director (Principal Executive Terry E. Spraker, Ph.D. Officer) /s/ JEFFREY L. KAISER Vice President, Chief Financial March 30, 1999 - --------------------------------------------- Officer, Secretary, and Treasurer Jeffrey L. Kaiser (Principal Financial and Accounting Officer) /s/ TOM E. BRANDT Director and Chief Operating March 30, 1999 - --------------------------------------------- Officer Tom E. Brandt /s/ RICHARD C. DAVIS, JR., M.D. Director, Chairman of the Board March 30, 1999 - --------------------------------------------- Richard C. Davis, Jr., M.D. /s/ JACK W. LASERSOHN Director March 30, 1999 - --------------------------------------------- Jack W. Lasersohn /s/ GARY E. NEI Director March 30, 1999 - --------------------------------------------- Gary E. Nei /s/ ELIZABETH H. WEATHERMAN Director March 30, 1999 - --------------------------------------------- Elizabeth H. Weatherman
29 31 UROQUEST MEDICAL CORPORATION CONSOLIDATED FINANCIAL INFORMATION
PAGE ---- Independent Auditors' Reports............................... F-2 Consolidated Statements of Operations....................... F-4 Consolidated Balance Sheets................................. F-5 Consolidated Statements of Stockholders' Equity............. F-6 Consolidated Statements of Cash Flows....................... F-7 Notes to Consolidated Financial Statements.................. F-8
F-1 32 REPORT OF ERNST & YOUNG LLP, INDEPENDENT AUDITORS The Board of Directors and Stockholders UroQuest Medical Corporation We have audited the accompanying consolidated balance sheets of UroQuest Medical Corporation (the "Company") as of December 31, 1998 and 1997, and the related consolidated statements of operations, stockholders' equity, and cash flows for the years then ended. These financial statements are the responsibility of the Company's management. Our responsibility is to express an opinion on these financial statements based on our audits. We conducted our audits in accordance with generally accepted auditing standards. Those standards require that we plan and perform the audits to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion. In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the consolidated financial position of UroQuest Medical Corporation at December 31, 1998 and 1997, and the consolidated results of its operations and its cash flows for the years then ended in conformity with generally accepted accounting principles. /s/ ERNST & YOUNG LLP Palo Alto, California February 12, 1999 F-2 33 INDEPENDENT AUDITORS' REPORT The Board of Directors and Stockholders UroQuest Medical Corporation: We have audited the accompanying consolidated statements of operations, stockholders' equity, and cash flows of UroQuest Medical Corporation and subsidiaries for the year ended December 31, 1996. These consolidated financial statements are the responsibility of the Company's management. Our responsibility is to express an opinion on these consolidated financial statements based on our audit. We conducted our audit in accordance with generally accepted auditing standards. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audit provides a reasonable basis for our opinion. In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the results of operations and cash flows of UroQuest Medical Corporation and subsidiaries for the year ended December 31, 1996, in conformity with generally accepted accounting principles. /s/ KPMG LLP Salt Lake City, Utah February 10, 1997 F-3 34 UROQUEST MEDICAL CORPORATION CONSOLIDATED STATEMENTS OF OPERATIONS
YEARS ENDED DECEMBER 31, ----------------------------------------- 1998 1997 1996 ----------- ----------- ----------- Net sales........................................... $17,603,575 $16,541,161 $ 2,299,895 Cost of sales....................................... 8,931,951 9,307,272 1,308,730 ----------- ----------- ----------- Gross profit...................................... 8,671,624 7,233,889 991,165 ----------- ----------- ----------- Operating expenses: Research and development.......................... 4,297,713 2,901,050 2,173,312 General and administrative........................ 4,695,635 3,997,210 1,091,857 Sales and marketing............................... 2,579,834 2,258,963 297,587 Severance costs................................... -- 1,600,000 -- Amortization of goodwill.......................... 632,184 643,355 90,982 ----------- ----------- ----------- Total operating expenses.................. 12,205,366 11,400,578 3,653,738 ----------- ----------- ----------- Operating loss...................................... (3,533,742) (4,166,689) (2,662,573) Other income (expense): Interest expense.................................. (131,593) (180,634) (82,364) Interest income................................... 443,548 601,379 124,227 ----------- ----------- ----------- Other income (expense), net.................... 311,955 420,745 41,863 Loss before provision for income taxes.............. (3,221,787) (3,745,944) (2,620,710) Provision for income taxes.......................... 100,000 130,000 -- ----------- ----------- ----------- Net loss............................................ $(3,321,787) $(3,875,944) $(2,620,710) =========== =========== =========== Basic and diluted net loss per share................ $ (0.28) $ (0.33) $ (0.55) =========== =========== =========== Weighted average shares used in computing basic and diluted net loss per share........................ 12,058,861 11,872,647 4,726,807 =========== =========== ===========
See accompanying notes to consolidated financial statements. F-4 35 UROQUEST MEDICAL CORPORATION CONSOLIDATED BALANCE SHEETS
DECEMBER 31, -------------------------- 1998 1997 ----------- ----------- ASSETS Current assets: Cash and cash equivalents................................. $ 6,980,128 $11,054,088 Accounts receivable, net of allowance for doubtful accounts of $60,000 at December 31, 1998 and 1997...... 3,145,490 2,610,764 Inventories............................................... 2,557,618 2,449,072 Prepaid expenses and other current assets................. 260,839 317,319 ----------- ----------- Total current assets.............................. 12,944,075 16,431,243 ----------- ----------- Property, plant and equipment, net.......................... 4,699,491 4,413,131 Intangible assets, at cost, less accumulated amortization of $2,024,913 and $1,261,017 at December 31, 1998 and 1997, respectively.............................................. 10,315,481 11,079,377 Other noncurrent asset...................................... 200,000 -- ----------- ----------- Total assets...................................... $28,159,047 $31,923,751 =========== =========== LIABILITIES AND STOCKHOLDERS' EQUITY Current liabilities: Accounts payable.......................................... $ 462,715 $ 659,769 Accrued compensation...................................... 839,663 599,306 Accrued selling and distribution expenses................. 154,610 73,124 Accrued severance costs................................... -- 666,376 Other accrued expenses.................................... 970,870 737,666 Current portion of long-term debt......................... 370,615 490,360 ----------- ----------- Total current liabilities......................... 2,798,473 3,226,601 ----------- ----------- Long-term debt, net of current portion...................... 921,654 1,293,175 Commitments Stockholders' equity: Preferred stock, $.001 par value; 16,000,000 shares authorized; none issued and outstanding................ -- -- Common stock, $.001 par value; 31,000,000 shares authorized; 12,356,210 and 11,954,010 shares issued and outstanding as of December 31, 1998 and 1997, respectively........................................... 12,356 11,954 Additional paid-in capital................................ 37,323,670 36,979,740 Deferred compensation..................................... (33,067) (45,467) Accumulated deficit....................................... (12,864,039) (9,542,252) ----------- ----------- Total stockholders' equity........................ 24,438,920 27,403,975 ----------- ----------- Total liabilities and stockholders' equity........ $28,159,047 $31,923,751 =========== ===========
See accompanying notes to consolidated financial statements. F-5 36 UROQUEST MEDICAL CORPORATION CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY FOR THE YEARS ENDED DECEMBER 31, 1998, 1997 AND 1996
PREFERRED STOCK VOTING NON-VOTING ISSUED IN SERIES COMMON STOCK COMMON STOCK ADDITIONAL ------------------- -------------------- ---------------- PAID-IN DEFERRED SHARES VALUE SHARES VALUE SHARES VALUE CAPITAL COMPENSATION ---------- ------ ---------- ------- -------- ----- ----------- ------------ BALANCE, DECEMBER 31, 1995... 1,252,672 $1,253 2,947,511 $ 2,948 285,715 $286 $ 4,088,237 $ -- Issuance of 54,220 shares of Common Stock for cash, upon exercise of stock options.................... -- -- 54,220 54 -- -- 37,900 -- Compensation related to grant of stock options........... -- -- -- -- -- -- 1,268 -- Deferred compensation related to grant of stock options.................... -- -- -- -- -- -- 81,360 (81,360) Amortization of deferred compensation............... -- -- -- -- -- -- -- 18,654 Issuance of 3,350,000 shares of Common Stock in Initial Public Offering, net of issuance costs of $2,296,648................. -- -- 3,350,000 3,350 -- -- 17,800,002 -- Issuance of 2,499,990 shares of Common Stock for acquisition of Subsidiary................. -- -- 2,499,990 2,500 -- -- 9,105,440 -- Issuance of 1,454,494 shares of Common Stock for cash, upon exercise of stock warrants................... -- -- 1,454,494 1,454 -- -- 5,089,276 -- Conversion of Non-Voting Common Stock to Common Stock...................... -- -- 285,715 286 (285,715) (286) -- -- Conversion of Preferred Stock to Common Stock............ (1,252,672) (1,253) 1,252,672 1,253 -- -- -- -- Net loss..................... -- -- -- -- -- -- -- -- ---------- ------ ---------- ------- -------- ---- ----------- -------- BALANCE, DECEMBER 31, 1996... -- -- 11,844,602 11,845 -- -- 36,203,483 (62,706) ---------- ------ ---------- ------- -------- ---- ----------- -------- Issuance of 106,551 shares of Common Stock for cash, upon exercise of stock options.................... -- -- 106,551 106 -- -- 44,629 -- Issuance of 2,857 shares of Common Stock for consulting services................... -- -- 2,857 3 -- -- 18,645 -- Amortization of deferred compensation............... -- -- -- -- -- -- -- 17,239 Severance expense related to accelerated vesting of stock options.............. -- -- -- -- -- -- 712,983 -- Net loss..................... -- -- -- -- -- -- -- -- ---------- ------ ---------- ------- -------- ---- ----------- -------- BALANCE, DECEMBER 31, 1997... -- -- 11,954,010 11,954 -- -- 36,979,740 (45,467) ---------- ------ ---------- ------- -------- ---- ----------- -------- Issuance of 296,348 shares of Common Stock for cash, upon exercise of stock options.................... -- -- 296,348 296 -- -- 207,147 -- Issuance of 105,852 shares of Common Stock for cash under the Employee Stock Purchase Plan....................... -- -- 105,852 106 -- -- 136,783 -- Amortization of deferred compensation............... -- -- -- -- -- -- -- 12,400 Net loss..................... -- -- -- -- -- -- -- -- ---------- ------ ---------- ------- -------- ---- ----------- -------- BALANCE, DECEMBER 31, 1998... -- $ -- 12,356,210 $12,356 -- $ -- $37,323,670 $(33,067) ========== ====== ========== ======= ======== ==== =========== ======== TOTAL ACCUMULATED STOCKHOLDERS' DEFICIT EQUITY ------------ ------------- BALANCE, DECEMBER 31, 1995... $ (3,045,598) $ 1,047,126 Issuance of 54,220 shares of Common Stock for cash, upon exercise of stock options.................... -- 37,954 Compensation related to grant of stock options........... -- 1,268 Deferred compensation related to grant of stock options.................... -- -- Amortization of deferred compensation............... -- 18,654 Issuance of 3,350,000 shares of Common Stock in Initial Public Offering, net of issuance costs of $2,296,648................. -- 17,803,352 Issuance of 2,499,990 shares of Common Stock for acquisition of Subsidiary................. -- 9,107,940 Issuance of 1,454,494 shares of Common Stock for cash, upon exercise of stock warrants................... -- 5,090,730 Conversion of Non-Voting Common Stock to Common Stock...................... -- -- Conversion of Preferred Stock to Common Stock............ -- -- Net loss..................... (2,620,710) (2,620,710) ------------ ----------- BALANCE, DECEMBER 31, 1996... (5,666,308) 30,486,314 ------------ ----------- Issuance of 106,551 shares of Common Stock for cash, upon exercise of stock options.................... -- 44,735 Issuance of 2,857 shares of Common Stock for consulting services................... -- 18,648 Amortization of deferred compensation............... -- 17,239 Severance expense related to accelerated vesting of stock options.............. -- 712,983 Net loss..................... (3,875,944) (3,875,944) ------------ ----------- BALANCE, DECEMBER 31, 1997... (9,542,252) 27,403,975 ------------ ----------- Issuance of 296,348 shares of Common Stock for cash, upon exercise of stock options.................... -- 207,443 Issuance of 105,852 shares of Common Stock for cash under the Employee Stock Purchase Plan....................... -- 136,889 Amortization of deferred compensation............... -- 12,400 Net loss..................... (3,321,787) (3,321,787) ------------ ----------- BALANCE, DECEMBER 31, 1998... $(12,864,039) $24,438,920 ============ ===========
See accompanying notes to consolidated financial statements. F-6 37 UROQUEST MEDICAL CORPORATION CONSOLIDATED STATEMENTS OF CASH FLOWS
YEARS ENDED DECEMBER 31, ----------------------------------------- 1998 1997 1996 ----------- ----------- ----------- CASH FLOWS FROM OPERATING ACTIVITIES: Net loss.......................................... $(3,321,787) $(3,875,944) $(2,620,710) Adjustments to reconcile net loss to net cash used in operating activities: Depreciation and amortization.................. 1,666,921 1,512,056 430,689 Issuance of stock for services................. -- 18,648 -- Severance expense related to accelerated vesting of stock options..................... -- 712,983 -- Loss on sale of property, plant and equipment.................................... 8,961 10,556 -- Write-off of in-process research and development costs............................ -- -- 783,000 Provisions for reserve and allowance........... 245,755 195,635 83,541 Changes in operating assets and liabilities: Accounts receivable.......................... (534,726) (448,915) 155,432 Inventories.................................. (354,301) (21,895) 98,597 Prepaid expenses and other assets............ (143,520) 54,529 (259,145) Accounts payable and accrued expenses........ 357,993 678,963 293,523 Accrued severance costs...................... (666,376) 666,376 -- ----------- ----------- ----------- Net cash used in operating activities..... (2,741,080) (497,008) (1,035,073) ----------- ----------- ----------- CASH FLOWS FROM INVESTING ACTIVITIES: Purchases of property, plant and equipment, net.......................................... (1,186,946) (700,068) (132,143) Proceeds from sale of property, plant and equipment.................................... 1,000 108,648 -- Business acquisition, net of cash acquired..... -- -- (9,900,262) Other.......................................... -- -- 25,756 ----------- ----------- ----------- Net cash used in investing activities..... (1,185,946) (591,420) (10,006,649) ----------- ----------- ----------- CASH FLOWS FROM FINANCING ACTIVITIES: Proceeds from issuance of common stock......... 344,332 44,735 22,932,036 Proceeds from issuance of notes payable and long-term debt............................... -- -- 650,000 Repayment of notes payable and long-term debt......................................... (491,266) (596,266) (959,861) ----------- ----------- ----------- Net cash (used in) provided by financing activities.............................. (146,934) (551,531) 22,622,175 ----------- ----------- ----------- Net increase (decrease) in cash and cash equivalents....................................... (4,073,960) (1,639,959) 11,580,453 Cash and cash equivalents at beginning of year...... 11,054,088 12,694,047 1,113,594 ----------- ----------- ----------- Cash and cash equivalents at end of year............ $ 6,980,128 $11,054,088 $12,694,047 =========== =========== =========== SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION: Cash paid for interest............................ $ 131,907 $ 180,634 $ 80,851 Cash paid for income taxes........................ 35,000 118,000 254,541
See accompanying notes to consolidated financial statements. F-7 38 UROQUEST MEDICAL CORPORATION NOTES TO CONSOLIDATED FINANCIAL STATEMENTS DECEMBER 31, 1998 1. DESCRIPTION OF BUSINESS AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES Description of Business The Company commenced its operations in April 1992 for the purpose of designing, developing, and marketing advanced products for the management and diagnosis of both male and female urological disorders. On October 30, 1996, the Company completed an initial public offering ("IPO") of its Common Stock which generated net proceeds of approximately $17.8 million and acquired all of the Common Stock of BMT, Inc. and its wholly-owned subsidiary, Bivona, Inc. (collectively "BMT"). BMT designs, develops, manufactures and markets a line of proprietary silicone medical device products as well as provides engineering design, development and manufacturing services for silicone products on an OEM basis for other medical device companies. The Company's principal markets are in the United States, Western Europe and Japan. Basis of Presentation The consolidated financial statements include the assets and liabilities of the Company and its subsidiaries, all of which are wholly-owned. The results of operations of entities purchased are included in the accompanying consolidated statements of operations since acquisition. All significant intercompany transactions have been eliminated in consolidation. Certain reclassifications were made to the 1997 and 1996 consolidated financial statements to conform with the 1998 presentation. Cash and Cash Equivalents The Company considers all highly liquid investments with an original maturity (at date of purchase) of three months or less to be the equivalent of cash for the purpose of balance sheet and statement of cash flows presentation. Cash and cash equivalents consist primarily of money market funds which are carried at cost which approximates market value. Concentration of Credit Risk Financial instruments that potentially subject the Company to significant concentrations of credit risk consist principally of cash and cash equivalents and accounts receivable. The Company's sales are generated primarily in the United States, Western Europe and Japan. The Company generally does not require collateral or other security in extending credit to customers. Management believes concentration of credit risk with respect to accounts receivable is substantially mitigated by the Company's credit evaluation process, relatively short collection terms, and the geographical dispersion of sales. The Company did not incur any material bad debt write-offs in 1998, 1997 or 1996. Inventories Inventories are stated at the lower of cost (first-in, first-out method) or market. Property, Plant and Equipment Property, plant and equipment is recorded at cost. Depreciation is calculated using the straight-line method over the estimated useful lives of the assets, which range from three to fifteen years. F-8 39 UROQUEST MEDICAL CORPORATION NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED) DECEMBER 31, 1998 Intangible Assets Intangible assets consist of the excess of cost over the fair value of net assets acquired, patents and trademarks and other intangibles. Intangible assets are amortized using the straight-line method over periods of five to twenty years. Management evaluates the recoverability of these net assets on a periodic basis based on the projected cash flows from estimated future operations. Intangible assets at December 31 consist of the following:
1998 1997 ----------- ----------- Excess of cost over the fair value of net assets acquired................................................ $11,622,369 $11,622,369 Patents and trademarks.................................... 650,160 650,160 Other intangibles......................................... 67,865 67,865 ----------- ----------- Less accumulated amortization............................. (2,024,913) (1,261,017) ----------- ----------- $10,315,481 $11,079,377 =========== ===========
Income Taxes The Company accounts for income taxes using the asset and liability method under Statement of Financial Accounting Standards No. 109. Under the asset and liability method, deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases, operating loss, and tax credit carryforwards. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date. Revenue Recognition Revenue is recognized by the Company upon shipment. Net Loss Per Share At December 31, 1997, the Company adopted the provisions of Financial Accounting Standard No. 128 Earnings per Share ("SFAS 128") and the requirements of the Securities and Exchange Commission Staff Accounting Bulletin No. 98 ("SAB 98"). SFAS 128 replaced the calculation of primary and fully diluted earnings per share with basic and diluted earnings per share. Unlike primary earnings per share, basic earnings (loss) per share excludes any dilutive effects of options, warrants and convertible securities. Earnings (loss) per share amounts for all periods have been presented in accordance with SFAS 128 and SAB 98 requirements. Basic net loss per share has been calculated based on the weighted average number of shares of common stock outstanding. On a proforma basis, assuming conversion of the preferred stock upon the completion of the Company's initial public offering (using the as-if converted method) from original date of issuance, basic and diluted net loss per share in 1996 is $0.45. If the Company had been in a net income position in the years presented, diluted earnings per share would have been presented separately and would have included the effect of outstanding stock options and warrants, calculated using the treasury stock method, and the conversion of outstanding preferred stock, using the as-if converted method. F-9 40 UROQUEST MEDICAL CORPORATION NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED) DECEMBER 31, 1998 Estimates The preparation of financial statements in accordance with generally accepted accounting principles requires management to make estimates and assumptions that affect the reported amounts in the financial statements and accompanying notes. Actual results could differ from those estimates. Stock-Based Compensation The Company has elected to follow Accounting Principles Board Opinion No. 25, "Accounting for Stock Issued to Employees" (APB 25) and related Interpretations in accounting for its employee stock options because the alternative fair value accounting provided for under FASB Statement No. 123, "Accounting for Stock-Based Compensation" ("SFAS 123"), requires use of option valuation models that were not developed for use in valuing employee stock options. The Company generally grants stock options for a fixed number of shares to employees with an exercise price equal to the fair value of the shares at the date of grant. Under APB 25, for employee stock options with an exercise price equal to the market price of the underlying stock on the date of grant, no compensation expense is recorded. The Company recognizes compensation expense for those stock options granted to employees with an exercise price less than fair value. Other Comprehensive Income In 1998, the Company adopted Statement of Financial Accounting Standards No. 130, "Reporting Comprehensive Income". Total comprehensive income of the Company includes only the net loss. The Company had no items of other comprehensive income in any period presented. Operating Segments Effective January 1, 1998, the Company adopted Statement of Financial Accounting Standards No. 131, "Disclosures about Segments of an Enterprise and Related Information" ("SFAS 131"). SFAS 131 superseded FASB Statement No. 14, "Financial Reporting for Segments of a Business Enterprise". SFAS 131 establishes standards for the way that public business enterprises report information about operating segments in annual financial statements and requires that those enterprises report selected information about operating segments in interim financial reports. SFAS 131 also establishes standards for related disclosures about product and services, geographic areas, and major customers. The adoption of SFAS 131 did not affect results of operations or financial position, but did affect the disclosure of segment information. See note 11. Effect of New Accounting Standards In June 1998, the FASB issued Statement No. 133, "Accounting for Derivative Instruments and Hedging Activities". The Company expects to adopt the new Statement effective January 1, 2000. The Statement will require the Company to recognize all derivatives on the balance sheet at fair value. Management believes that the Company's use of derivatives will be minimal, if any. Management therefore does not anticipate that the adoption of the new Statement will have a material impact on the Company's financial position, results of operations or cash flows. F-10 41 UROQUEST MEDICAL CORPORATION NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED) DECEMBER 31, 1998 2. INVENTORIES Inventories at December 31 consist of the following:
1998 1997 ---------- ---------- Finished goods...................................... $ 581,383 $ 589,169 Work-in-progress.................................... 1,211,519 1,046,127 Raw materials and supplies.......................... 764,716 813,776 ---------- ---------- $2,557,618 $2,449,072 ========== ==========
3. PROPERTY, PLANT AND EQUIPMENT Property, plant and equipment at December 31 consists of the following:
1998 1997 ---------- ---------- Land, building and improvements..................... $2,625,068 $2,385,282 Machinery and equipment............................. 3,673,903 3,232,846 Office furniture and equipment...................... 1,382,601 942,911 ---------- ---------- Total.......................................... 7,681,572 6,561,039 Less accumulated depreciation....................... (2,982,081) (2,147,908) ---------- ---------- Property, plant and equipment, net.................. $4,699,491 $4,413,131 ========== ==========
Depreciation expense in 1998, 1997, and 1996 was $890,625, $710,682 and $186,473, respectively. 4. NOTES PAYABLE AND LONG-TERM DEBT Notes payable and long-term debt at December 31 consist of the following:
1998 1997 ---------- ---------- Long-term debt: Bankterm note payable monthly, with interest at the bank's prime rate (7.75% at December 31, 1998) based upon a seven year amortization. The note matures in October 1999 and is collateralized by certain trade receivables, inventory, and property, plant and equipment.............................................. $ 283,520 $ 696,214 Mortgage note payable with monthly principal and interest payable at the average weekly yield on United States Treasury Securities (4.625% at December 31, 1998) plus 2.25%. The note matures in October 2007 and is collateralized by certain trade receivables, inventory, and property, plant and equipment...................... 1,008,749 1,087,321 ---------- ---------- 1,292,269 1,783,535 Less current maturities.............................. 370,615 490,360 ---------- ---------- $ 921,654 $1,293,175 ========== ==========
The Company has also entered into a line of credit agreement with a bank. The loan under the line of credit is payable on demand and collateralized by certain trade receivables, inventory, and property, plant and equipment. Interest on the line of credit loan is payable monthly at the bank's prime rate. As of December 31, 1998 and 1997, the Company had no outstanding balance under the line of credit. The loan agreements contain certain restrictive covenants and provide for the maintenance of certain financial requirements. F-11 42 UROQUEST MEDICAL CORPORATION NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED) DECEMBER 31, 1998 Long-term debt matures as follows:
YEAR ENDING DECEMBER 31, ------------------------ 1999........................................................ $ 370,615 2000........................................................ 93,277 2001........................................................ 99,895 2002........................................................ 106,983 2003........................................................ 114,575 2004 and thereafter......................................... 506,924 ---------- $1,292,269 ==========
5. STOCKHOLDERS' EQUITY Initial Public Offering In October 1996, the Company closed an initial public offering of 3,350,000 shares of common stock which generated net proceeds of $17,803,352, a portion of which was used to fund the acquisition of BMT. In conjunction with the Company's IPO, all outstanding shares of convertible preferred stock were converted to 1,252,672 shares of common stock and all outstanding shares of non-voting common stock were converted to 285,715 shares of common stock. Stock Warrants Concurrent with the Company's IPO, warrants to purchase 1,428,571 shares of common stock were exercised for $5 million. Subsequent to the IPO in 1996, warrants to purchase 25,923 shares of common stock for $90,730 were exercised. There were no warrants outstanding at December 31, 1998 and 1997. Preferred Stock The Company has 16,000,000 undesignated preferred shares authorized, but none outstanding. Terms of the preferred stock will be established by the Board of Directors at the time of issuance. Stock Plan Under the Company's 1994 Stock Plan (the "Plan"), which was adopted by the Board of Directors (the "Board") in March 1994 and was amended, restated and approved by shareholders in September 1997, the Company may grant options and rights to its employees, directors and consultants for up to approximately 3,400,000 shares of common stock. Options granted may be either incentive stock options or non-qualified stock options. The exercise price of each option is generally at least equal to the market price of the Company's common stock on the date of grant and an option's maximum term is ten years. Options under the Plan must be granted by March 31, 2004. Options are generally granted at the inception of employment or engagement and generally vest over a four year period. In December 1998, the Board of Directors approved a plan to cancel and regrant certain options held by primarily employees pursuant to the Plan. Options originally priced at above $2.50 per share were repriced; half of such options were repriced at $2 per share, and the other half were repriced at $3 per share. Each of the repriced options, whether vested or not vested, cannot be exercised for a period of six months ending June 13, 1999, unless certain events defined under the Plan occur. F-12 43 UROQUEST MEDICAL CORPORATION NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED) DECEMBER 31, 1998 At December 10, 1998, options to purchase a total of 1,616,929 shares of common stock were repriced, of which approximately 526,000 shares were fully vested prior to repricing. A summary of the activity of the Plan follows:
YEARS ENDED ------------------------------------------------------------------ 1998 1997 1996 -------------------- ------------------- ------------------- WEIGHTED- WEIGHTED- WEIGHTED- AVERAGE AVERAGE AVERAGE SHARES EXERCISE SHARES EXERCISE SHARES EXERCISE (000) PRICE (000) PRICE (000) PRICE ------- --------- ------ --------- ------ --------- Outstanding at beginning of year......................... 2,638 $2.910 1,128 $0.950 1,116 $0.670 Granted...................... 1,816 2.530 1,649 4.120 77 4.670 Exercised.................... (296) 0.700 (107) 0.420 (54) 0.700 Canceled..................... (1,881) 3.950 (32) 4.510 (11) 0.700 ------- ------ ------ Outstanding at end of year..... 2,277 2.030 2,638 2.910 1,128 0.950 ======= ====== ====== Options exercisable at year end.......................... 582 813 572 Weighted-average fair value of options granted during the year......................... $ 0.93 $ 2.83 $ 3.38
The number of shares of options granted and canceled in 1998 includes the exchanged options. The following table summarizes information about stock options outstanding at December 31, 1998:
OPTIONS OUTSTANDING OPTIONS EXERCISABLE ------------------------------------------ ----------------------- WEIGHTED AVERAGE WEIGHTED WEIGHTED NUMBER REMAINING AVERAGE NUMBER AVERAGE EXERCISE PRICE (000) CONTRACTUAL LIFE EXERCISE PRICE (000) EXERCISE PRICE - -------------- ------ ---------------- -------------- ------ -------------- $0.700 - $1.750 618 5.6years $0.752 569 $0.711 $2.000 - $2.000 809 8.3 2.000 -- 0.000 $2.375 - $5.500 850 8.3 2.992 13 3.580 ----- --- 2,277 7.6 2.032 582 0.777 ===== ===
Options available for grant as of December 31, 1998 was 609,034 shares. Had compensation cost for the Company's stock option plan and employee stock purchase plan been determined on a fair value basis consistent with SFAS 123, the Company's net loss and loss per share would have been increased to the pro forma amounts indicated below:
1998 1997 1996 ----------- ----------- ----------- Net loss: As Reported....................... $(3,321,787) $(3,875,944) $(2,620,710) Pro forma......................... $(4,648,106) $(4,197,795) $(2,664,111) Basic and diluted net loss per share: As Reported....................... $ (0.28) $ (0.33) $ (0.55) Pro forma......................... $ (0.39) $ (0.35) $ (0.56)
The effects of calculating compensation cost under SFAS 123 for the years ending December 31, 1998, 1997 and 1996, may not be representative of the effects that this calculation may have on reported net losses or income for future years. F-13 44 UROQUEST MEDICAL CORPORATION NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED) DECEMBER 31, 1998 The fair value of each option grant and common share sold under the Employee Stock Purchase Plan is estimated on the date of grant or issue using the Black-Scholes option-pricing model with the following weighted-average assumptions used in 1998, 1997 and 1996:
EMPLOYEE STOCK STOCK OPTION PLAN PURCHASE PLAN ------------------------------- -------------- 1998 1997 1996 1998 ------- ------- --------- -------------- Expected stock price volatility................... 77% 82% 113% 77% Risk-free interest rate........ 4.85% 5.50% 6.60% 4.85% Expected life.................. 5 years 5 years 3.9 years 0.5 year Expected dividend yield........ None None None None
The Black-Scholes valuation model was developed for use in estimating the fair value of traded options which have no vesting restrictions and are fully transferable. In addition, option valuation models require the input of highly subjective assumptions including the expected stock price volatility. Because the Company's employee stock options and stock purchase shares have characteristics significantly different than those of traded options, and because changes in the subjective input assumptions can materially affect the fair value estimate, in management's opinion, the existing models do not necessarily provide a reliable single measure of the fair value of its employee stock options and stock purchase shares. Employee Stock Purchase Plan In October 1996, the Company adopted the 1996 Employee Stock Purchase Plan ("Purchase Plan"), and reserved 250,000 common shares for issuance under the Purchase Plan. Under the terms of the Purchase Plan, employees may purchase common shares at 85% of the lower of market value on the first business day or on the last business day of the offering period. Eligible employees may elect to participate through payroll deductions at the maximum level established by the Board of Directors, but not to exceed 15% of the participants' base pay, as defined. For the year ended December 31, 1998, 105,852 shares were issued under the Purchase Plan. No shares were issued from the Purchase Plan prior to 1998. 6. EMPLOYEE BENEFIT PLAN The Company has established a defined contribution employee benefit plan (the "Benefit Plan") pursuant to Section 401(k) of the Internal Revenue Code. Employees who have completed one year of service, and have attained the age of twenty-one, are eligible to participate in the Benefit Plan. Participants may elect to make salary deferral contributions of up to 15% of their compensation. The Company makes matching contributions of up to 4% of each participant's compensation. The Company made matching contributions of approximately $177,000, $157,000 and $16,000 for the years ended December 31, 1998, 1997 and 1996, respectively. 7. INCOME TAXES The Company recorded a $100,000 and $130,000 provision for state income taxes in 1998 and 1997, respectively, as a result of taxable income earned by its subsidiary in a state where the Company is required to file tax returns on a separate company basis. There was no federal income tax expense in 1998, 1997, and 1996 due to net operating losses. F-14 45 UROQUEST MEDICAL CORPORATION NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED) DECEMBER 31, 1998 The reconciliation of the provision (benefit) for income taxes computed at the U.S. federal statutory tax rate to the effective tax rate is as follows:
1998 1997 1996 ----------- ----------- --------- Tax provision (benefit) at U.S Statutory rate....................................... $(1,095,407) $(1,273,621) $(891,041) Valuation allowance for deferred tax assets..................................... 1,095,407 1,273,621 891,041 State income tax............................. 100,000 130,000 -- ----------- ----------- --------- $ 100,000 $ 130,000 $ -- =========== =========== =========
Deferred income taxes reflect the net tax effect of temporary differences between the carrying amounts of assets and liabilities for financial reporting purposes and the amounts used for income tax purposes. The significant components of the Company's deferred tax assets and liabilities at December 31 are as follows:
1998 1997 ----------- ----------- Deferred tax assets: Net operating loss carryforwards................ $ 2,487,448 $ 1,901,284 Acquired net operating loss carryforwards....... 394,262 454,677 Research and development credits................ 80,000 80,000 Inventory capitalization and allowances......... 15,022 23,372 Start up and organization costs................. 224,402 332,252 Allowance for doubtful accounts................. 116,396 132,320 Other........................................... 378,856 551,343 ----------- ----------- Total................................... 3,696,386 3,475,248 Less valuation allowance........................ (2,984,618) (2,611,268) ----------- ----------- Net deferred tax assets...................... 711,768 863,980 Deferred tax liabilities: Depreciation.................................... (711,768) (863,980) ----------- ----------- Net deferred tax liabilities.................... $ -- $ -- =========== ===========
Realization of deferred tax assets is dependent upon future earnings, if any, the timing and amount of which are uncertain. Accordingly, a valuation allowance in an amount equal to the difference between the net deferred tax assets and the deferred tax liability has been established to reflect these uncertainties. In 1997, the Company reduced the valuation allowance to the extent of the deferred tax liabilities generated primarily through the acquisition of BMT with a corresponding reduction in goodwill. The valuation allowance for deferred tax assets increased by $373,350, $710,830 and $764,431 during 1998, 1997 and 1996, respectively. As of December 31, 1998, the Company had federal net operating loss carryforwards of approximately $8,500,000. The Company also had federal research and development tax credit carryforwards of approximately $80,000. The net operating loss and tax credit carryforwards will expire at various dates beginning 2002 through 2018, if not utilized. Utilization of the net operating loss carryforwards may be subject to a substantial annual limitation due to the ownership change limitations provided by the Internal Revenue Code of 1986, as amended. The annual limitation may result in the expiration of net operating loss carryforwards before utilization. 8. BUSINESS ACQUISITION On October 30, 1996, simultaneous with the closing of the Company's IPO, the Company acquired all of the issued and outstanding common stock of BMT. The shareholders of BMT received, in the aggregate, a combination of $10,000,060 cash and 2,499,990 newly issued shares of common stock valued at $9,107,940. F-15 46 UROQUEST MEDICAL CORPORATION NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED) DECEMBER 31, 1998 The acquisition was accounted for as a purchase. Accordingly, the purchase price was allocated, based on an estimated fair value, to the net tangible assets and identifiable in-process research and development projects that had not reached technological feasibility. The excess of the purchase price over the fair value of the acquired net tangible and identifiable assets was recorded as goodwill and is being amortized over 20 years on a straight line basis. The amount allocated to in-process research and development projects was written-off to expense in November 1996. The allocation of the purchase price is summarized as follows: Assets acquired......................................... $ 7,912,219 Liabilities assumed..................................... (3,979,331) Expensed in-process research and development............ 783,000 Net fair market value of property, plant and equipment acquired in excess of book value...................... 2,111,243 Goodwill................................................ 12,280,869 ----------- Total......................................... $19,108,000 ===========
BMT's results of operations are included in the accompanying consolidated statements of operations since November 1, 1996. The unaudited pro forma supplemental information on the results of operations, exclusive of the non-recurring charge (the charge associated with in-process research and development projects has not been reflected in the following pro forma summary as it is non-recurring), for the year ended December 31, 1996 includes the acquisition as if it had occurred at January 1, 1996.
1996 ----------- Revenues................................................ $14,634,838 Net loss................................................ (483,601) Basic and diluted net loss per share.................... (0.04)
The unaudited pro forma financial information is not necessarily indicative of either the results of operations that would have occurred had the acquisition been effected at January 1, 1996 or of future results of operations of the combined companies. 9. SEVERANCE COSTS The Company included in 1997 operating expenses a non-recurring severance charge of $1,600,000 related to accrued severance payments, stock option compensation expenses and expenses incurred primarily due to certain changes in management personnel in May 1997. Approximately $713,000 of the severance costs were non-cash charges related to stock option compensation. 10. LEASE OBLIGATIONS AND COMMITMENTS The Company leases office and warehouse space and certain equipment under operating leases that expire through 2000. Minimum future obligations under noncancelable operating leases as of December 31, 1998 are as follows:
YEAR AMOUNT ---- -------- 1999...................................................... $104,000 2000...................................................... 3,000 -------- Total..................................................... $107,000 ========
F-16 47 UROQUEST MEDICAL CORPORATION NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED) DECEMBER 31, 1998 Total rent expense for operating leases in 1998, 1997 and 1996 was approximately $237,000, $148,000 and $55,000, respectively. 11. OPERATING SEGMENTS, GEOGRAPHIC AREA DATA AND MAJOR CUSTOMER Operating Segments The Company has two reportable segments: Urology Products and Airway Management/OEM Products. The On-Command, the urology division's principal product, is an investigational device that has not been approved by the FDA and will not be available for commercial distribution in the United States unless and until such approval is obtained. The Company is considering marketing the On-Command internationally through independent foreign distribution arrangements, none of which are currently in place. BMT, the Company's wholly-owned subsidiary, manufactures and markets a series of proprietary airway management products. These products consist primarily of silicone based medical devices used in a wide variety of clinical applications, including tracheostomy and endotracheal tubes for airway management and voice prostheses for voice restoration. BMT also produces a range of complex catheter type products on an OEM and private label basis for other medical device companies in areas that include gastrointestinal feeding, esophageal management, cardiac perfusion, hyperalimentation and dialysis. The accounting policies of the segments are the same as those described in the summary of significant accounting policies. The Company evaluates performance based on profit or loss from operations before allocation of intangible asset amortization expense and before income taxes. No intersegment sales are recorded and intersegment transfers are recorded at cost beginning in fiscal year 1997; there is no intercompany profit or loss on intersegment sales or transfers. In the two-month period following the acquisition of BMT in October 1996, intersegment sales were recorded as if the sales were made to third parties. The Company's reportable segments are business units that offer different products. The reportable segments are each managed separately because they distribute distinct products to different user groups. F-17 48 UROQUEST MEDICAL CORPORATION NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED) DECEMBER 31, 1998 The Company utilizes the following information for purposes of assessing a segment's performance and making operating decisions:
UROLOGY AIRWAY MANAGEMENT/ PRODUCTS OEM PRODUCTS TOTAL ----------- ------------------ ----------- YEAR ENDED DECEMBER 31, 1998 Revenues from external customers................... $ -- $17,604,000 $17,604,000 Interest expense................................... -- 132,000 132,000 Interest income.................................... 400,000 44,000 444,000 Depreciation and amortization expense.............. 281,000 561,000 842,000 Segment profit (loss).............................. (5,033,000) 2,636,000 (2,397,000) Segment assets..................................... 26,673,000 21,054,000 47,727,000 Expenditures for long-lived assets................. 369,000 818,000 1,187,000 YEAR ENDED DECEMBER 31, 1997 Revenues from external customers................... $ -- $16,541,000 $16,541,000 Interest expense................................... 5,000 176,000 181,000 Interest income.................................... 577,000 25,000 602,000 Depreciation and amortization expense.............. 210,000 471,000 681,000 Segment profit (loss).............................. (3,409,000) 2,094,000 (1,315,000) Segment assets..................................... 29,794,000 21,498,000 51,292,000 Expenditures for long-lived assets................. 296,000 404,000 700,000 YEAR ENDED DECEMBER 31, 1996 Revenues from external customers................... $ -- $ 2,300,000 $ 2,300,000 Intersegment revenues.............................. -- 48,000 48,000 Interest expense................................... 49,000 33,000 82,000 Interest income.................................... 124,000 -- 124,000 Depreciation and amortization expense.............. 194,000 78,000 272,000 Segment profit (loss).............................. (1,912,000) 233,000 (1,679,000) Segment assets..................................... 32,019,000 22,227,000 54,246,000 Expenditures for long-lived assets*................ 73,000 59,000 132,000
- --------------- * Goodwill of $12,281,000 and net fair market value of property, plant & equipment in excess of book value of $2,111,000 resulting from the BMT acquisition are excluded. F-18 49 UROQUEST MEDICAL CORPORATION NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED) DECEMBER 31, 1998 A reconciliation of reportable segment amounts to the Company's consolidated balances is as follows:
1998 1997 1996 ------------ ------------ ------------ REVENUES Total external revenues for reportable segments....................................... $ 17,604,000 $ 16,541,000 $ 2,300,000 Intersegment revenues for reportable segments.... -- -- 48,000 Elimination of intersegment revenues............. -- -- (48,000) ------------ ------------ ------------ Total consolidated revenues............ $ 17,604,000 $ 16,541,000 $ 2,300,000 ============ ============ ============ DEPRECIATION AND AMORTIZATION EXPENSE Total depreciation and amortization for reportable segments............................ $ 842,000 681,000 $ 272,000 Unallocated amounts: Amortization of goodwill....................... 632,000 644,000 91,000 Depreciation of acquired fixed asset fair value adjustment.................................. 193,000 187,000 68,000 ------------ ------------ ------------ Total consolidated depreciation and amortization expense................. $ 1,667,000 $ 1,512,000 $ 431,000 ============ ============ ============ LOSS BEFORE INCOME TAXES Total loss for reportable segments............... $ (2,397,000) $ (1,315,000) $ (1,679,000) Unallocated amounts: Amortization of goodwill....................... (632,000) (644,000) (91,000) Depreciation of acquired fixed asset fair value adjustment.................................. (193,000) (187,000) (68,000) Severance costs................................ -- (1,600,000) -- Acquired in-process research and development... -- -- (783,000) ------------ ------------ ------------ Total consolidated loss before income taxes................................ $ (3,222,000) $ (3,746,000) $ (2,621,000) ============ ============ ============ ASSETS Total assets for reportable segments............. 47,727,000 $ 51,292,000 $ 54,246,000 Elimination of intercompany receivables.......... (460,000) (260,000) (98,000) Elimination of investment in subsidiaries........ (19,108,000) (19,108,000) (19,108,000) ------------ ------------ ------------ Total consolidated assets.............. $ 28,159,000 $ 31,924,000 $ 35,040,000 ============ ============ ============
Geographic Area Data Sales by major geographic area are as follows (sales are attributed to countries based on the location of customers):
1998 1997 1996 ------------ ------------ ------------ United States.................................... $ 15,205,000 $ 14,391,000 $ 1,948,000 Western Europe................................... 1,623,000 1,358,000 286,000 Japan............................................ 153,000 163,000 54,000 Other............................................ 623,000 629,000 12,000 ------------ ------------ ------------ $ 17,604,000 $ 16,541,000 $ 2,300,000 ============ ============ ============
All assets are primarily located in the United States. Amount of inventory and office equipment located outside the United States (in Europe) is insignificant. F-19 50 UROQUEST MEDICAL CORPORATION NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED) DECEMBER 31, 1998 Major Customer Net sales to one customer of the Airway Management/OEM Products business segment (Abbott Laboratories) amounted to 19%, 24% and 21% of total net sales for the years ended December 31, 1998, 1997 and 1996, respectively. Outstanding receivables from this customer at December 31, 1998, 1997 and 1996 approximated 32%, 22% and 21% of total gross accounts receivable, respectively. F-20 51 EXHIBIT INDEX
SEQUENTIALLY EXHIBIT NUMBERED NUMBER DESCRIPTION OF DOCUMENT PAGE ------- ------------------------------------------------------------ ------------ 3.1 Restated Certificate of Incorporation of UroQuest Medical Corporation, a Delaware corporation(5) 3.2 Bylaws of UroQuest Medical Corporation, a Delaware corporation (5) 3.3 Specimen Stock Certificate(6) 10.1* Form of Indemnification Agreement between the Registrant and each of its directors and officers(6) 10.2* 1994 Stock Plan(4) 10.3* 1996 Employee Stock Purchase Plan and form of Subscription and Contribution Election Form(6) 10.4* Employment Agreement dated January 2, 1998 between the Company and Terry E. Spraker, Ph.D.(3) 10.5* Employment Agreement dated January 2, 1998 between the Company and Jeffrey L. Kaiser(3) 10.6 Lease dated December 16, 1995 between JVM Realty Corporation and Bivona, Inc.(6) 10.8* Employment Agreement dated January 2, 1998 between the Company and Keith W.L. Ward(3) 10.9* Employment Agreement effective June 1, 1995 for Terrance L. Domin(6) 10.10* Employment Agreement dated February 18, 1998 between the Company and Alan L. Marquardt(3) 10.11* Employment Agreement effective June 27, 1996 for Tom E. Brandt(6) 10.12* Letter dated August 15, 1996 from the Registrant to J.J. Donohue(6) 10.13* Right of First Refusal and Co-Sale Agreement dated June 15, 1995 among the Registrant, Warburg, Pincus Investors, L.P., Vertical Fund Associates, L.P. and Richard C. Davis, Jr., M.D. (the "Co-Sale Agreement")(6) 10.14* Letter Agreement dated September 30, 1996, as amended October 23, 1996, among UroQuest Medical Corporation, Warburg, Pincus Investors, L.P., Vertical Fund Associates, L.P. and Richard C. Davis, Jr., M.D., amending the Co-Sale Agreement(6) 10.15 Note and Security Agreement between the Company and Richard C. Davis Jr., M.D. dated January 9, 1998 (the note was repaid on March 30, 1998)(3) 10.16 Note and Security Agreement between the Company and Alan Marquardt dated May 7, 1998(2) 10.17* Indemnification Agreement between the Company and Terry E. Spraker dated October 12, 1998(1) 10.18* Indemnification Agreement between the Company and Jeffrey L. Kaiser dated October 12, 1998(1) 10.19* Indemnification Agreement between the Company and Alan Marquardt dated October 12, 1998(1) 10.20* Indemnification Agreement between the Company and Keith Ward dated October 12, 1998(1) 21.1 Subsidiaries of Registrant(6)
52
SEQUENTIALLY EXHIBIT NUMBERED NUMBER DESCRIPTION OF DOCUMENT PAGE ------- ------------------------------------------------------------ ------------ 23.1a Consent of Ernst & Young LLP, Independent Auditors 23.1b Consent of KPMG LLP 27.1 Financial Data Schedule for the year ended December 31, 1998
- --------------- (1) Incorporated by Reference from the UroQuest Medical Corporation Quarterly Report on Form 10-Q dated November 13, 1998 (2) Incorporated by Reference from the UroQuest Medical Corporation Quarterly Report on Form 10-Q dated August 13, 1998 (3) Incorporated by Reference from the UroQuest Medical Corporation Quarterly Report on Form 10-Q dated May 14, 1998 (4) Incorporated by Reference from the UroQuest Medical Corporation Annual Report on Form 10-K dated March 30, 1998 (5) Incorporated by Reference from the UroQuest Medical Corporation Annual Report on Form 10-K dated March 27, 1997 (6) Incorporated by Reference from the UroQuest Medical Corporation Registration Statement on Form S-1, File No. 333-07277 * Management contract or compensatory plan arrangement
EX-23.1(A) 2 CONSENT OF ERNST & YOUNG LLP 1 EXHIBIT 23.1a CONSENT OF ERNST & YOUNG LLP, INDEPENDENT AUDITORS We consent to the incorporation by reference in the Registration Statement (Form S-8 No. 333-32725) pertaining to the 1994 Stock Plan and the 1996 Employee Stock Purchase Plan of UroQuest Medical Corporation of our report dated February 12, 1999, with respect to the consolidated financial statements of UroQuest Medical Corporation included in the Annual Report (Form-10-K) for the year ended December 31, 1998. /s/ ERNST & YOUNG LLP Palo Alto, California March 30, 1999 EX-23.1(B) 3 CONSENT OF INDEPENDENT AUDITORS' 1 EXHIBIT 23.1b CONSENT OF INDEPENDENT AUDITORS' The Board of Directors and Stockholders UroQuest Medical Corporation: We consent to incorporation by reference in the Registration Statement (No. 333-32725) on Form S-8 of UroQuest Medical Corporation of our report dated February 10, 1997, relating to the consolidated statements of operations, stockholders' equity, and cash flows for the year ended December 31, 1996 of UroQuest Medical Corporation and subsidiaries, which report appears in the December 31, 1998 annual report on Form 10-K of UroQuest Medical Corporation. /s/ KPMG LLP Salt Lake City, Utah March 30, 1999 EX-27.1 4 FINANCIAL DATA SCHEDULE
5 THIS SCHEDULE CONTAINS SUMMARY FINANCIAL INFORMATION EXTRACTED FROM THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF UROQUEST MEDICAL CORPORATION, INCLUDING THE NOTES THERETO, OF DECEMBER 31, 1998 AND FOR THE YEAR ENDED DECEMBER 31, 1998 AND IS QUALIFIED IN ITS ENTIRETY BY REFERENCE TO SUCH FINANCIAL STATEMENTS. YEAR DEC-31-1998 JAN-01-1998 DEC-31-1998 6,980,128 0 3,205,490 60,000 2,557,618 12,944,075 7,681,572 2,982,081 28,159,047 2,798,473 0 0 0 12,356 24,426,564 28,159,047 17,603,575 17,603,575 8,931,951 8,931,951 12,205,366 0 131,593 (3,221,787) 100,000 (3,321,787) 0 0 0 (3,321,787) (0.28) (0.28)
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