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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 March 31, 2005 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.)

13000 DEERFIELD PARKWAY, SUITE 300
ALPHARETTA, GA 30004
(Address of principal executive offices)

(678) 896-4000
(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 by check mark whether the registrant is an accelerated filer (as defined in Rule 12b-2 of the Exchange Act)

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 May 6, 2005
   
Common Stock, $.001 par value                  43,290,033

INDEX

PART I:   FINANCIAL INFORMATION

Item 1.   Financial Statements:

  Unaudited Condensed Consolidated Balance Sheets as of March 31, 2005 and December 31, 2004

  Unaudited Condensed Consolidated Statements of Operations and Comprehensive Income for the Three Months ended March 31, 2005 and March 31, 2004

  Unaudited Condensed Consolidated Statements of Cash Flows for the Three Months ended March 31, 2005 and March 31, 2004

  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.   Unregistered Sales of Equity Securities and Use of Proceeds

Item 3.   Defaults Upon Senior Securities

Item 4.   Submission of Matters to a Vote of Security Holders

Item 5.   Other Information

Item 6.   Exhibits

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PART I
FINANCIAL INFORMATION

Item 1.   Financial Statements

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

Assets March 31,
2005

December 31, 2004
Current assets:            
     Cash and cash equivalents   $ 8,783   $ 8,964  
     Accounts receivable, net    18,578    18,162  
     Other receivables    797    842  
     Inventories    34,702    32,823  
     Prepaid expenses and other assets    3,500    3,539  


                Total current assets    66,360    64,330  


Property and equipment    29,040    28,770  
     Less accumulated depreciation    (21,108 )  (20,550 )


                Property and equipment, net    7,932    8,220  


Intangible assets, net    38,279    38,951  
Deferred income taxes    13,962    13,962  
Other assets    5,691    5,606  


                Total assets   $ 132,224   $ 131,069  


Liabilities and Shareholders' Equity  
Current liabilities:  
     Accounts payable   $ 8,292   $ 8,825  
     Accrued expenses    5,345    6,191  
     Current portion of long-term debt    495    495  


                Total current liabilities    14,132    15,511  


Long-term debt, excluding current portion    5,344    4,984  
Other long-term liabilities, excluding current portion    1,984    1,931  


                Total liabilities    21,460    22,426  


Shareholders' equity:  
     Common stock    45    45  
     Additional paid-in capital    215,607    215,268  
     Accumulated deficit    (102,177 )  (104,278 )
     Accumulated other comprehensive income, net of  
         income taxes    388    707  


     113,863    111,742  
     Treasury shares, at cost    (3,099 )  (3,099 )


                Total shareholders' equity    110,764    108,643  


                Total liabilities and shareholders' equity   $ 132,224   $ 131,069  



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
March 31, 2005

Three months ended
March 31, 2004

Net revenues     $ 33,743   $ 29,297  
Cost of goods sold    19,999    17,749  


        Gross profit    13,744    11,548  
   
Operating expenses:  
     Selling, general and administrative    10,549    9,266  
     Research and development    253    262  
     Amortization of intangibles    246    148  


        Total operating expenses    11,048    9,676  
   
Income from operations    2,696    1,872  
   
Interest income    18    17  
Interest expense    (77 )  (71 )
Equity in earnings of investee    106    2  
Foreign currency exchange loss    (377 )  --  


        Income before income taxes    2,366    1,820  
   
Income tax provision    265    96  


   
Net income   $ 2,101   $ 1,724  


Other comprehensive income (loss):  
     Foreign currency translation gain (loss), net  
         of income taxes    (290 )  64  
     Unrealized loss on available for sale  
         securities, net of income taxes    (29 )  (5 )


Comprehensive income   $ 1,782   $ 1,783  


Net income per common share -  
     Basic and Diluted   $ 0.05   $ 0.04  


Basic weighted average number of common shares  
   outstanding    43,244    42,774  


Diluted weighted average number of common shares  
   outstanding    44,468    44,568  



See notes to unaudited condensed consolidated financial statements.

4


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

Three months ended
March 31, 2005

Three months ended
March 31, 2004

Cash flows from operating activities:            
      Net income   $ 2,101   $ 1,724  
   
Adjustments to reconcile net income to net cash provided by  
    operating activities:  
      Depreciation    561    546  
      Amortization of intangibles    246    148  
      Provision for doubtful accounts    170    196  
      Other    (122 )  (2 )
      Changes in operating assets and liabilities, net of  
           acquisitions    (2,716 )  60  


Net cash provided by operating activities    240    2,672  


Cash flows from investing activities:  
      Purchase of and deposits for property and equipment    (284 )  (390 )
      Acquisition of OrthoPlast    --    (413 )


Net cash used in investing activities    (284 )  (803 )


Cash flows from financing activities:  
      Borrowings under line of credit agreement    28,959    22,487  
      Repayments under line of credit agreement    (28,476 )  (24,031 )
      Changes in bank overdraft    (1,045 )  (418 )
      Repayments under notes payable    (123 )  (119 )
      Proceeds from exercise of stock options    3    650  
      Proceeds from issuance of common stock    336    302  


Net cash used in financing activities    (346 )  (1,129 )


Effect of exchange rate changes on cash    209    64  


Net increase (decrease) in cash and cash equivalents    (181 )  804  
Cash and cash equivalents at beginning of period    8,964    9,462  


Cash and cash equivalents at end of period   $ 8,783   $ 10,266  



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”) manufactures and supplies innovative product solutions for patient care, occupational safety and management of infectious and hazardous waste for the 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. Since 2002, OTI has focused on commercializing its OREX patented technology in the nuclear industry. As described in Note 5 to these unaudited condensed consolidated financial statements, in September 2004, the Company entered into an agreement which grants to Eastern Technologies, Inc. a worldwide exclusive license to manufacture, use and sell the Company’s OREX materials and processing technology in the nuclear industry and homeland security industry, and for certain other industrial applications.

  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, 2004 (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 three months ended March 31, 2005, there have been no material changes to any of the Company’s critical accounting policies.

3.   NEWLY ISSUED ACCOUNTING STANDARDS

  In November 2004, the Financial Accounting Standards Board (“FASB”) issued Statement of Financial Accounting Standards (“SFAS”) No. 151, Inventory Costs, an amendment of ARB No. 43, Chapter 4. SFAS No. 151 clarifies that abnormal amounts of idle facility expense, freight, handling costs and wasted materials (spoilage) should be recognized as current period charges in all circumstances. In addition, SFAS No. 151 requires that allocation of fixed production overhead to inventory be based on the normal capacity of the production facilities. SFAS No. 151 is effective for inventory costs incurred during fiscal years beginning after June 15, 2005. The Company does not expect that the adoption of SFAS No. 151 will have a significant effect on the Company’s consolidated financial position, results of operations or cash flows.

6


  In December 2004, the FASB issued SFAS No. 123(R), Share-Based Payment which revised SFAS No. 123, Accounting for Stock-Based Compensation. SFAS No. 123(R) establishes accounting requirements for share-based compensation to employees and carries forward prior guidance on accounting for awards to non-employees. Specifically, SFAS No. 123(R) requires that public companies recognize compensation expense in an amount equal to the fair value of the share-based payments. SFAS No. 123(R) is effective with respect to the Company beginning with the first quarter of 2006. SFAS No. 123(R) permits companies to adopt its requirements using either the “modified prospective” method or the “modified retrospective” method. The Company is still evaluating which transition method to utilize. As permitted by SFAS No. 123, the Company currently accounts for share-based payments to employees using Accounting Principles Board (“APB”) Opinion No. 25‘s intrinsic value method and, as such, recognizes no compensation expense for employee stock options. Accordingly, the adoption of SFAS No. 123(R)‘s fair value method will have an impact on the Company’s results of operations, although it will have no significant impact on the Company’s overall financial position. The impact of adopting SFAS No. 123(R) cannot be predicted at this time because it will depend on levels of share-based payments granted in the future. However, had we adopted SFAS No. 123(R) in prior periods, the impact of that standard would have approximated the impact of SFAS No. 123 as described in the disclosure of pro forma net income and diluted net income per share in Note 11 to these unaudited condensed consolidated financial statements. SFAS No. 123(R) also requires the benefits of tax deductions in excess of recognized compensation expense to be reported as a financing cash flow activity, rather than as an operating cash flow activity as required under current literature. This requirement will reduce net operating cash flows and increase net financing cash flows in periods after adoption. The Company cannot estimate what those amounts will be in the future because they depend on, among other things, when employees exercise stock options.

  In December 2004, the FASB issued SFAS No. 153, Exchanges of Nonmonetary Assets, an amendment of APB Opinion No. 29, Accounting for Nonmonetary Transactions. SFAS No. 153 amends the principle that exchanges of nonmonetary assets should be measured based on the fair value of the assets exchanged and more broadly provides for exceptions regarding exchanges of nonmonetary assets that do not have commercial substance. SFAS No. 153 is effective for nonmonetary assets exchanges occurring in fiscal periods beginning after June 15, 2005. The Company does not expect that the adoption of SFAS No. 153 will have a significant effect on the Company’s consolidated financial position, results of operations or cash flows.

4.   ACQUISITIONS

  Each of the following acquisitions was accounted for as a business combination in accordance with SFAS 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 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 $419,000 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 $600,000 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 are probable of being 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 three months ended March 31, 2005 or 2004.

  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 $9.6 million in cash, including acquisition costs, and an accrued liability for certain employee costs of 400,000 EURO, or approximately $491,000. The purchase price was allocated to the assets acquired and liability assumed, based on their respective estimated fair values, as follows:

7


Purchase price paid as:              
     Cash      $ 9,628  
     Accrued employee liability       491  

          Total purchase consideration       10,119  
Allocated to:  
     Inventories   $ 1,816      
     Property and equipment   186      
     Identifiable intangible assets   2,883      

            Total allocation       4,885  

Goodwill      $ 5,234  


  Identifiable intangible assets included customer lists of approximately $2.3 million (useful life of 15 years), non-compete agreements of approximately $219,000 (useful life of five years) and other intangible assets of approximately $362,000 (useful life of four years). The preliminary allocation of the purchase price is subject to adjustment in 2005 when finalized.

  The following unaudited pro forma financial information for the three months ended March 31, 2005 and 2004 reflects the Company’s results of operations as if the IMP acquisition had been completed on January 1, 2004 (in thousands, except per share data):

Three months ended
March 31, 2005
March 31, 2004
Net revenues     $ 33,743   $ 32,701  
Net income   $ 2,101   $ 2,129  
Net income per share - basic and diluted   $ 0.05   $ 0.05  

  The pro forma financial information is based on estimates and assumptions which management believes are reasonable. However, the pro forma results are not necessarily indicative of the operating results that would have occurred had the IMP acquisition been consummated as of the date indicated, nor are they necessarily indicative of future operating results.

5.   LICENSE AGREEMENT

  In September 2004, the Company entered into an agreement (the “License Agreement”) which grants to Eastern Technologies, Inc. (“ETI”) a worldwide exclusive license to manufacture, use and sell the Company’s OREX materials and processing technology in the nuclear industry and homeland security industry, and for certain other industrial applications. Under the terms of the License Agreement, the Company will receive license royalties equal to $75,000 per quarter for the first three years of the agreement. Thereafter and generally until the expiration of the underlying patents related to the product or service generating the subject royalties, the Company will receive license royalties equal to the greater of: (i) generally 5% of net sales, as defined in the agreement, or (ii) $300,000 per year. The royalty rate is subject to downward adjustment in certain events with respect to net sales of certain products. The Company also entered into an exclusive three-year supply agreement (the “Supply Agreement”) under which the Company has agreed to provide certain sourcing and supply chain management services to ETI, and ETI has agreed to purchase a total of approximately $4.8 million of inventory over the term of the Supply Agreement. For these services, the Company will receive management fees totaling $2.7 million, $600,000 of which was received at the signing of the Supply Agreement. The balance of the management fees are payable in quarterly installments of $175,000 beginning December 31, 2004 and at the end of each quarter thereafter until September 30, 2007. The cash payment of $600,000 was recorded as deferred revenue (included in accrued expenses, a current liability) upon receipt. This amount, together with all future management fees collected from ETI, will be recognized into income ratably over the term of the Supply Agreement as nuclear finished goods inventories on hand are sold to ETI. At March 31, 2005, amounts recognized into income exceeded cash receipts from ETI by approximately $184,000, which amount was recorded in the accompanying unaudited condensed consolidated balance sheet in prepaid expenses and other current assets. At December 31, 2004, cash receipts from ETI exceeded amounts recognized into income by $221,000, which amount was recorded in the accompanying unaudited condensed consolidated balance sheet in accrued expenses (current liability).

8


6.   SALE OF INVENTORIES TO RELATED PARTY

  In September 2004, the Company entered into an agreement with Global Resources International, Inc. (“GRI”), a related party as described in Note 7 below, for the sale of certain of its raw material inventories used in the manufacture of finished goods for sale to the nuclear industry. At closing, the Company received cash proceeds of $200,000 and a promissory note in the amount of $1.051 million. The promissory note bears interest at 5% and is to be repaid ratably as the raw material inventories purchased by GRI in the transaction are consumed by GRI, with payments of principal in an amount not less than 25% of the original principal amount per year. The total gain on the sale of these raw material inventories approximated $467,000. Of this total gain, approximately $91,000, an amount commensurate with the Company’s relative ownership interest in GRI, was deferred and is being recognized into income as the raw material inventories purchased by GRI in the transaction are sold by GRI. During the three months ended March 31, 2005, approximately $16,000 of this deferred gain was recognized into income.

7.   INVESTMENT IN AFFILIATED COMPANY

  In May 2000, the Company and certain of its affiliates and employees organized GRI. From its manufacturing facilities located in China, GRI provides certain material sourcing and manufacturing of various Microtek’s products where such supply arrangements are advantageous to Microtek based on favorable pricing and other considerations. The Company and a non-executive member of the Company’s management own 19.5 percent and 30 percent, respectively, of GRI. Accordingly, the Company accounts for its investment in GRI under the equity method. The Company’s investment in GRI was approximately $406,000 and $300,000 at March 31, 2005 and December 31, 2004, respectively. The Company recorded $106,000 and $2,000 of income during the three months ended March 31, 2005 and 2004, respectively, related to this investment.

8.   INVENTORIES

  Inventories are stated at the lower of cost or market. The first-in first-out (“FIFO”) valuation method is used to determine the cost of inventories. Cost includes material, labor and manufacturing overhead for manufactured and assembled goods and materials only for goods purchased for resale. Inventories are summarized by major classification at March 31, 2005 and December 31, 2004 as follows (in thousands):

March 31, 2005
December 31, 2004
Raw materials     $ 13,052   $ 11,550  
Work-in-progress