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SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15 (d)
OF THE SECURITIES EXCHANGE ACT OF 1934

For Quarter Ended June 30, 2004 Commission File No. 0-24866

MICROTEK MEDICAL HOLDINGS, INC.
(Exact name of Registrant as specified in its charter)

Georgia 58-1746149
(State or other jurisdiction of
 incorporation or organization)
  (IRS Employer
Identification No.)

512 LEHMBERG ROAD
COLUMBUS, MISSISSIPPI 39702
(Address of principal executive offices)

(662) 327-1863
(Registrant’s telephone number, including area code)

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15 (d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for at least the past 90 days.

Yes [X] No [_]

Indicate the number of shares outstanding of each of the issuer’s classes of common equity, as of the latest practicable date.

Class Outstanding at August 4, 2004
   
Common Stock, $.001 par value 43,094,927

INDEX

PART I:   FINANCIAL INFORMATION

  Item 1.   Financial Statements

    Unaudited Condensed Consolidated Balance Sheets as of June 30, 2004 and December 31, 2003

    Unaudited Condensed Consolidated Statements of Operations and Comprehensive Income for the Three Months ended June 30, 2004 and June 30, 2003 and for the Six Months ended June 30, 2004 and June 30, 2003

    Unaudited Condensed Consolidated Statements of Cash Flows for the Six Months ended June 30, 2004 and June 30, 2003

    Notes to Unaudited Condensed Consolidated Financial Statements

  Item 2.   Management's Discussion and Analysis of Financial Condition and Results of Operations

  Item 3.   Quantitative and Qualitative Disclosures About Market Risk

  Item 4.   Controls and Procedures

PART II:   OTHER INFORMATION

  Item 1.   Legal Proceedings

  Item 2.   Changes in Securities and Use of Proceeds

  Item 3.   Defaults Upon Senior Securities

  Item 4.   Submission of Matters to a Vote of Securityholders

  Item 5.   Other Information

  Item 6.   Exhibits and Reports on Form 8-K

2


PART I
FINANCIAL INFORMATION

Item 1.   Financial Statements

MICROTEK MEDICAL HOLDINGS, INC.
Unaudited Condensed Consolidated Balance Sheets
(in thousands)

Assets June 30, 2004
December 31, 2003
Current assets:            
           Cash and cash equivalents   $ 6,879   $ 9,462  
           Accounts receivable, net    17,875    16,331  
           Other receivables    298    287  
           Inventories    34,132    33,863  
           Prepaid expenses and other assets    4,051    4,268  


                      Total current assets    63,235    64,211  


Property and equipment    28,340    26,971  
           Less accumulated depreciation    (19,744 )  (18,753 )


                      Property and equipment, net    8,596    8,218  


Intangible assets, net    37,865    30,488  
Deferred income taxes    11,493    11,493  
Other assets    4,548    3,889  


                      Total assets   $ 125,737   $ 118,299  


               Liabilities and Shareholders' Equity  
Current liabilities:  
           Accounts payable   $ 8,928   $ 7,277  
           Accrued expenses    3,582    3,942  
           Current portion of long-term debt    480    472  


                      Total current liabilities    12,990    11,691  


Long-term debt, excluding current portion    8,763    8,056  
Other long-term liabilities    2,628    2,008  


                      Total liabilities    24,381    21,755  


Shareholders' equity:  
           Common stock    44    44  
           Additional paid-in capital    214,923    213,613  
           Accumulated deficit    (110,783 )  (114,199 )
           Accumulated other comprehensive income, net    271    185  


     104,455    99,643  
           Treasury shares, at cost    (3,099 )  (3,099 )


                      Total shareholders' equity    101,356    96,544  


                      Total liabilities and shareholders' equity   $ 125,737   $ 118,299  


See notes to unaudited condensed consolidated financial statements.

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MICROTEK MEDICAL HOLDINGS, INC.
Unaudited Condensed Consolidated Statements of Operations and Comprehensive Income
(in thousands, except per share data)

Three months ended Six months ended
June 30, 2004
June 30, 2003
June 30, 2004
June 30, 2003
Net revenues     $ 30,157   $ 24,874   $ 59,454   $ 47,860  
Cost of goods sold    18,373    15,137    36,122    29,259  




        Gross profit    11,784    9,737    23,332    18,601  
Operating expenses:  
     Selling, general and administrative    9,459    7,576    18,725    14,748  
     Research and development    246    259    508    478  
     Amortization of intangibles    158    108    306    225  




        Total operating expenses    9,863    7,943    19,539    15,451  




Income from operations    1,921    1,794    3,793    3,150  
   
Interest income    14    22    31    49  
Interest expense    (70 )  (78 )  (141 )  (143 )
Equity in earnings of investee    22    2    24    23  




Income before income taxes    1,887    1,740    3,707    3,079  
   
Income tax provision    195    (1,467 )  291    (2,325 )




 
Net income   $ 1,692   $ 3,207   $ 3,416   $ 5,404  




Other comprehensive income (loss):  
     Foreign currency translation gain (loss), net    (33 )  141    31    69  
     Unrealized gain (loss) on available for sale  
          securities, net    60    (17 )  55    6  




Comprehensive income   $ 1,719   $ 3,331   $ 3,502   $ 5,479  




Net income per common share -  
     Basic and Diluted   $ 0.04   $ 0.08   $ 0.08   $ 0.13  




Basic weighted average number of common  
  shares outstanding    42,974    42,063    42,874    42,089  




Diluted weighted average number of common  
  shares outstanding    44,571    42,759    44,529    42,763  




See notes to unaudited condensed consolidated financial statements.

4


MICROTEK MEDICAL HOLDINGS, INC.
Unaudited Condensed Consolidated Statements of Cash Flows
(in thousands)

Six months ended
June 30, 2004

Six months ended
June 30, 2003

Cash flows from operating activities:            
      Net income   $ 3,416   $ 5,404  
Adjustments to reconcile net income to net cash provided by  
    operating activities:  
      Depreciation    1,064    1,115  
      Amortization of intangibles    306    225  
      Provision for doubtful accounts    338    429  
      Deferred income taxes    --    (2,515 )
      Other    (24 )  (23 )
      Changes in operating assets and liabilities, net of  
           acquisitions    1,586    (2,352 )


Net cash provided by operating activities    6,686    2,283  


Cash flows from investing activities:  
      Purchase of and deposits for property and equipment    (991 )  (1,240 )
      Investment in International Medical Products    (9,454 )  --  
      Investment in OrthoPlast    (413 )  --  


Net cash used in investing activities    (10,858 )  (1,240 )


Cash flows from financing activities:  
      Net borrowings (repayments) under credit agreement    943    (809 )
      Changes in bank overdraft    (467 )  237  
      Repayments under notes payable    (228 )  (6 )
      Proceeds from exercise of stock options    885    149  
      Repurchase of treasury stock    --    (497 )
      Proceeds from issuance of common stock    425    298  


Net cash provided by (used in) financing activities    1,558    (628 )


Effect of exchange rate changes on cash    31    69  


Net (decrease) increase in cash and cash equivalents    (2,583 )  484  
Cash and cash equivalents at beginning of period    9,462    9,823  


Cash and cash equivalents at end of period   $ 6,879   $ 10,307  


See notes to unaudited condensed consolidated financial statements.

5


MICROTEK MEDICAL HOLDINGS, INC.
Notes to Unaudited Condensed Consolidated Financial Statements

  1.   NATURE OF BUSINESS AND BASIS OF PRESENTATION

  Microtek Medical Holdings, Inc. and subsidiaries (the “Company”) develop, manufacture, and market proprietary and other products and services for patient care, occupational safety and management of potentially infectious and hazardous waste primarily for the domestic healthcare market, which represents one business segment. The Company markets its products to hospitals and other end users through a broad distribution system consisting of multiple channels including distributors, directly through its own sales force, original equipment manufacturers, and private label customers. The Company also markets certain of its products through custom procedure tray companies. The Company’s revenues are generated through two operating units, Microtek Medical, Inc. (“Microtek”), a subsidiary of the Company, and OREX Technologies International (“OTI”), an operating division. Microtek is the core business of the Company. OTI has recently commercialized its patented technology in the nuclear industry.

  The unaudited condensed consolidated financial statements include the accounts of the Company and its wholly owned subsidiaries. All significant intercompany balances and transactions have been eliminated in consolidation.

  The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with Rule 10-01 of Regulation S-X for interim financial statements required to be filed with the Securities and Exchange Commission and do not include all information and footnotes required by generally accepted accounting principles for complete financial statements. In the opinion of management, the information furnished reflects all adjustments (consisting only of normal recurring adjustments) necessary for a fair presentation of the financial position, results of operations and cash flows for the interim periods presented. Results for the interim periods are not necessarily indicative of results to be expected for the full year. The consolidated financial statements herein should be read in conjunction with the consolidated financial statements and notes thereto contained in the Company’s Annual Report on Form 10-K for the year ended December 31, 2003 (the “Annual Report”).

  2.   CRITICAL ACCOUNTING POLICIES AND ESTIMATES

  The Company’s discussion of results of operations and financial condition relies on its consolidated financial statements that are prepared based on certain critical accounting policies that require management to make judgments and estimates that are subject to varying degrees of uncertainty. The Company believes that investors need to be aware of these policies and how they impact its financial statements as a whole, as well as its related discussion and analysis presented herein. While the Company believes that these accounting policies are based on sound measurement criteria, actual future events can and often do result in outcomes that can be materially different from these estimates or forecasts. The accounting policies and related risks described in the Company’s Annual Report are those that depend most heavily on these judgments and estimates. During the six months ended June 30, 2004, there have been no material changes to any of the Company’s critical accounting policies.

  3.   NEWLY ISSUED ACCOUNTING STANDARDS

  In January 2003, the FASB issued Interpretation No. 46, Consolidation of Variable Interest Entities, an interpretation of ARB No. 51. In December 2003, the FASB published a revision to Interpretation No. 46 (46R) to clarify some of the provisions of the original Interpretation. This Interpretation addresses the consolidation by business enterprises of variable interest entities as defined in the Interpretation. Under the new guidance, special effective date provisions apply to enterprises that have fully or partially applied Interpretation 46 prior to issuance of this revised Interpretation. Otherwise, application of Interpretation 46R is required in financial statements of public entities that have interests in structures that are commonly referred to as special-purpose entities for periods ending after December 15, 2003. Application by public entities, other than small business issuers, for all other types of variable interest entities is required in financial statements for periods ending after March 15, 2004. The adoption of the provisions of this Interpretation for 2003 and 2004 had no effect on the Company’s consolidated financial statements.

6


  4.   ACQUISITIONS

  Each of the following acquisitions was accounted for as a business combination in accordance with Statement of Financial Accounting Standards No. 141, Business Combinations. Accordingly, the results of operations related to the acquired assets have been included in the accompanying unaudited condensed consolidated financial statements from their respective acquisition date.

  Effective November 1, 2003, Microtek acquired substantially all of the assets of Plasco, Inc. (“Plasco”), a manufacturer and marketer of multi-line disposable medical device products. The preliminary allocation of the total estimated purchase price of approximately $3.4 million is subject to adjustment in 2004 when finalized and is summarized as follows (in thousands):

Purchase price paid as:              
     Cash       $ 2,569  
     Note payable (note 6)       866  

          Total purchase consideration       3,435  
Allocated to:  
     Accounts receivable   $ 1,056     
     Inventories    2,050     
     Other current assets    111     
     Property and equipment    795     
     Identifiable intangible assets    187     
     Accounts payable    (730 )   
     Other liabilities    (34 )   

            Total allocation       3,435  

Goodwill       $ --  


  Effective March 1, 2004, Microtek acquired substantially all of the assets of Ortho/Plast, Inc. (“OrthoPlast”), a marketer of a small line of orthopedic products. The purchase price of approximately $413 thousand in cash, including certain acquisition costs, was allocated to accounts receivable, inventories, property and equipment and identifiable intangibles (principally trademarks and customer list) based on those assets’respective estimated fair values, with the excess allocated to goodwill. The amount allocated to goodwill was not significant. The terms of the related purchase agreement also provide for additional cash consideration up to $600 thousand if future revenues from the Company’s orthopedic product line exceed certain targeted levels, as defined in the agreement, through 2009. The additional consideration will be recorded when it is determinable that such target revenues have been met and is expected to result in additional goodwill. The acquisition of OrthoPlast on March 1, 2004, did not have a material impact on the Company’s consolidated results of operations for the first six months of 2004.

7


  Effective May 28, 2004, Microtek acquired selected fixed assets and inventories related to certain businesses of International Medical Products B.V. and affiliates (collectively, “IMP”) from Cardinal Health for approximately $9.5 million in cash, including acquisition costs. The fixed assets and inventories acquired were recorded at estimated fair values totaling approximately $2.0 million, as determined by the Company’s management based on information currently available. The Company is currently evaluating the fair value of other assets acquired, principally any identifiable intangible assets. Accordingly, the preliminary allocation of the purchase price, which tentatively resulted in goodwill of $7.5 million, is subject to revision based on the final determination of other fair values.

  5.   INVENTORIES