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0001047469-04-020393.txt : 20040615
0001047469-04-020393.hdr.sgml : 20040615
20040615062043
ACCESSION NUMBER: 0001047469-04-020393
CONFORMED SUBMISSION TYPE: S-1/A
PUBLIC DOCUMENT COUNT: 5
FILED AS OF DATE: 20040615
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: KINETIC CONCEPTS INC /TX/
CENTRAL INDEX KEY: 0000831967
STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS FURNITURE & FIXTURES [2590]
IRS NUMBER: 741891727
STATE OF INCORPORATION: TX
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: S-1/A
SEC ACT: 1933 Act
SEC FILE NUMBER: 333-115965
FILM NUMBER: 04862874
BUSINESS ADDRESS:
STREET 1: 8023 VANTAGE DR
CITY: SAN ANTONIO
STATE: TX
ZIP: 78230
BUSINESS PHONE: 210.524.9000
MAIL ADDRESS:
STREET 1: P0 B0X 659508
CITY: SAN ANTONIO
STATE: TX
ZIP: 78265-9508
S-1/A
1
a2138008zs-1a.htm
S-1/A
Use these links to rapidly review the document
TABLE OF CONTENTS
As filed with the Securities and Exchange Commission on June 15, 2004
Registration No. 333-115965
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
AMENDMENT
NO. 2
TO
FORM S-1
REGISTRATION STATEMENT
UNDER
THE SECURITIES ACT OF 1933
KINETIC CONCEPTS, INC.
(Exact Name of Registrant as Specified in Its Charter)
Texas
(State or Other Jurisdiction of
Incorporation or Organization) |
3841
(Primary Standard Industrial
Classification No.) |
74-1891727
(I.R.S. Employer Identification No.) |
8023 Vantage Drive
San Antonio, TX 78230
(210) 524-9000
(Address, Including Zip Code, and Telephone Number, including
Area Code of Registrant's Principal Executive Offices) |
Dennis E. Noll
Senior Vice President, General Counsel & Secretary
Kinetic Concepts, Inc.
8023 Vantage Drive
San Antonio, TX 78230
(210) 524-9000 (Name, Address and Telephone Number, Including Area Code, of Agent For Service) |
Copies to: |
Gregory C. Smith
Kenton J. King
Skadden, Arps, Slate, Meagher & Flom LLP
525 University Avenue
Palo Alto, California 94301
(650) 470-4500 |
William J. McDonough
Stephen D. Seidel
Cox & Smith Incorporated
112 East Pecan Street
San Antonio, Texas 78205
(210) 554-5500 |
Bruce Czachor
Shearman & Sterling LLP
1080 Marsh Road
Menlo Park, California 94025
(650) 838-3600 |
Approximate date of commencement of proposed sale to the public:
As soon as practicable after the effective date of this Registration Statement.
If any of the securities being registered on this form are to be offered on a delayed or continuous basis pursuant to Rule 415 of the Securities Act of
1933, check the following box. o
If this Form is filed to register additional securities for an offering pursuant to Rule 462(b) under the Securities Act, please check the following box and
list the Securities Act registration statement number of the earlier effective registration statement for the same offering. o
If this Form is a post-effective amendment filed pursuant to Rule 462(c) under the Securities Act, check the following box and list the
Securities Act registration statement number of the earlier effective registration statement for the same offering. o
If this Form is a post-effective amendment filed pursuant to Rule 462(d) under the Securities Act, check the following box and list the
Securities Act registration statement number of the earlier effective registration statement for the same offering. o
If delivery of the prospectus is expected to be made pursuant to Rule 434, please check the following
box. o
The Registrant hereby amends this Registration Statement on such date or dates as may be necessary to delay its effective date until the
Registrant shall file an amendment which specifically states that this Registration Statement shall thereafter become effective in accordance with Section 8(a) of the Securities Act of 1933 or
until this Registration Statement shall become effective on such date as the Commission, acting pursuant to said Section 8(a), may determine.
Subject to Completion
Preliminary Prospectus dated June 15, 2004
The information in this prospectus is not complete and may be changed. The selling shareholders may not sell these securities until the registration
statement filed with the Securities and Exchange Commission is effective. This prospectus is not an offer to sell these securities and it is not soliciting an offer to buy these securities in any
state where the offer or sale is not permitted.
PROSPECTUS
16,000,000 Shares
Common Stock
The selling shareholders are selling all of the offered shares. We will not receive any proceeds from the sale of shares of common stock in this
offering.
The shares trade on the New York Stock Exchange under the symbol "KCI." On June 14, 2004, the last sale price of the shares as reported on the New York Stock Exchange was $51.46
per share.
Investing in the common stock involves risks that are described in the "Risk Factors" section beginning on page 8 of this
prospectus.
|
|
Per Share
|
|
Total
|
Public offering price |
|
$ |
|
$ |
Underwriting discount |
|
$ |
|
$ |
Proceeds, before expenses, to the selling shareholders |
|
$ |
|
$ |
The underwriters may also purchase up to an additional 2,400,000 shares from certain selling shareholders, at the public offering price, less the underwriting
discount, within 30 days from the date of this prospectus to cover overallotments.
Neither
the Securities and Exchange Commission nor any state securities commission has approved or disapproved of these securities or determined if this prospectus is truthful or
complete. Any representation to the contrary is a criminal offense.
The
shares will be ready for delivery on or about , 2004.
Joint Book-Running Managers
Merrill Lynch & Co. |
JPMorgan |
Lead Manager
Citigroup |
Piper Jaffray |
SG Cowen & Co. |
The date of this prospectus is , 2004.
TABLE OF CONTENTS
You should rely only on the information contained in this prospectus. We have not, and the selling shareholders and the underwriters have not, authorized any
other person to provide you with different information. If anyone provides you with different or inconsistent information, you should not rely on it. We are not, and the selling shareholders and the
underwriters are not, making an offer to sell these securities in any jurisdiction where the offer or sale is not permitted. You should assume that the information appearing in this prospectus is
accurate only as of the date on the front cover of this prospectus. Our business, financial condition, results of operations and prospects may have changed since that date.
For
investors outside the United States: Neither we nor any of the underwriters have done anything that would permit this offering or possession or distribution of this prospectus in any
jurisdiction where action for that purpose is required, other than in the United States. You are required to inform yourselves about and to observe any restrictions relating to this offering and the
distribution of this prospectus.
TRADEMARKS
The following terms used in this prospectus are our trademarks: AirMaxxis, AtmosAir, BariAir®, BariKare®,
BariMaxx® II, BariMaxx®, DynaPulse®, FirstStep®, FirstStep® Advantage, FirstStep® Plus, FirstStep
Select®, FirstStep Select® Heavy Duty, FluidAir Elite®, FluidAir II, KCI®, KinAir III,
KinAir IV, KinAir MedSurg, Kinetic
Concepts®, Kinetic Therapy, Maxxis® 300, Maxxis® 400, MiniV.A.C., PediDyne, PlexiPulse®,
PlexiPulse® AC, Pulse IC, Pulse SC, RIK®, RotoProne®, Roto Rest®, Roto Rest® Delta, T.R.A.C., The
Clinical Advantage®, TheraPulse®, TheraPulse® II, TheraRest®, TriaDyne® II, TriaDyne® Proventa,
TriCell®, V.A.C.®, V.A.C.®ATS, V.A.C.® Freedom, V.A.C.® Therapy, The
V.A.C.® System, Vacuum Assisted Closure® and V.A.C.® Instill. All other trademarks appearing in this prospectus are the property of their
holders.
i
PROSPECTUS SUMMARY
You should read the following summary together with the entire prospectus, including the more detailed information in our consolidated
financial statements and related notes appearing in the back of this prospectus. You should carefully consider, among other things, the matters discussed in "Risk Factors." In this prospectus, unless
the context requires otherwise, the words "we," "our," "us," and "KCI" refer to Kinetic Concepts, Inc.
KINETIC CONCEPTS, INC.
Kinetic Concepts, Inc. is a global medical technology company with leadership positions in advanced wound care and therapeutic surfaces. We design,
manufacture, market and service a wide range of proprietary products which can significantly improve clinical outcomes while reducing the overall cost of patient care by accelerating the healing
process or preventing complications. We derive our revenue from the rental and sale of products in two primary categories: Advanced Wound Care and Therapeutic Surfaces. Our advanced wound care systems
incorporate our proprietary Vacuum Assisted Closure®, or V.A.C.®, technology, which has been clinically demonstrated to promote wound healing and reduce the cost of treating
patients with difficult-to-treat wounds. Our therapeutic surfaces, including specialty hospital beds, mattress replacement systems and overlays, are designed to address
complications associated with immobility and obesity, such as pressure sores and pneumonia. From 2000 to 2003, we increased revenue at a compound annual growth rate of 29.5%. Our revenue for the three
months ended March 31, 2004 increased 34.6% from the three months ended March 31, 2003.
Our
advanced wound care systems are transforming the treatment of difficult-to-treat wounds. V.A.C. systems help treat a broad spectrum of acute and chronic
wounds including failed surgical closures, trauma wounds, partial thickness burns, serious pressure ulcers and diabetic ulcers. V.A.C. systems also help improve outcomes of skin grafting procedures.
Based on our analysis of third-party data, we estimate that the annual market opportunity in the United States for V.A.C. systems is approximately one million patients, representing
approximately $2.3 billion in revenue. We also believe there is a comparably sized market for V.A.C. systems internationally based on our analysis of third-party data in Germany and the U.K. We
expect these markets to continue to grow as a result of several factors, including the acceptance of V.A.C. therapy as a treatment for additional wound types, medical trends such as continued growth
in the incidence of diabetes, and the aging population. For the year ended December 31, 2003, our V.A.C. products and related services generated $481.8 million in revenue, as compared to
$313.4 million for the
year ended December 31, 2002. For the three months ended March 31, 2004, our V.A.C. products and related services generated $148.3 million in revenue, as compared to
$98.2 million for the three months ended March 31, 2003. From 2000 to 2003, we increased revenue generated by V.A.C. products and related services at a compound annual growth rate of
77.8%. Our V.A.C. revenue for the three months ended March 31, 2004 increased 51.0% from the three months ended March 31, 2003.
We
also offer a broad line of therapeutic surfaces designed to deliver pressure relief, pulmonary care and bariatric care, and to treat and prevent complications associated with
immobility and obesity, such as pressure sores and pneumonia. These complications, if left untreated, can be life threatening. For the year ended December 31, 2003, therapeutic surfaces and
other related products generated $282.0 million of revenue, as compared to $267.0 million for the year ended December 31, 2002. For the three months ended March 31, 2004,
therapeutic surfaces and other related products generated $76.5 million in revenue, as compared to $68.8 million for the three months ended March 31, 2003.
Our
customers generally prefer to rent our V.A.C. systems and therapeutic surfaces and purchase the related disposable products, such as V.A.C. dressings. Our rental model and service
center network improve our capital efficiency and facilitate our ability to introduce new products. We have extensive contractual relationships and reimbursement coverage for the V.A.C. in the United
States. In acute and extended care, we have contracts with nearly all major hospital group purchasing organizations, or GPOs, and most major extended care GPOs. In the U.S. home care market, the
V.A.C. is covered by Medicare Part B and we have contracts with private insurance companies covering approximately 169 million member lives. This represents more than one-half of all
individuals covered by private insurance in the United States and is more than eight times the number of member lives we had under contract as of mid-2000.
1
Recent Developments
On February 27, 2004, we completed an initial public offering of our common stock through which we sold 3.5 million newly-issued shares and the
selling shareholders in the initial public offering sold an aggregate of 17.2 million existing shares at a price of $30.00 per share. Net proceeds of the initial public
offering to KCI, after underwriters' discounts and fees of $6.3 million and other offering costs of $4.3 million, totaled $94.4 million. The net proceeds, along with cash on hand,
were used to redeem $71.75 million of our 73/8% Senior Subordinated Notes due 2013, pay a bond call premium of $5.3 million in connection with the redemption, prepay
$50.0 million of debt under our senior credit facility, and pay management bonuses, payroll taxes and other expenses related to the initial public offering of $19.5 million. In
March 2004, we wrote off $3.3 million in loan issuance costs associated with the retirement of the debt.
As
a result of our initial public offering, the holders of our then-outstanding Series A convertible preferred stock received cumulative preferred dividends
paid-in-kind through December 31, 2005 of $65.6 million and, immediately thereafter, all of the then-outstanding shares of preferred stock were
automatically converted into 19,199,520 shares of common stock.
Three Months Ended March 31, 2004
On May 5, 2004, we released our financial results for the three months ended March 31, 2004. Total revenue was $224.8 million, representing a
34.6% increase over revenue of $167.0 million for the three months ended March 31, 2003. Total V.A.C. revenue was $148.3 million for the three months ended March 31, 2004,
representing a 51.0% increase over revenue of $98.2 million for the three months ended March 31, 2003. Total therapeutic surfaces/other revenue was $76.5 million for the three
months ended March 31, 2004, representing an 11.2% increase over revenue of $68.8 million for the three months ended March 31, 2003.
Net
earnings for the three months ended March 31, 2004, excluding initial public offering related costs and expenses, were $23.5 million, or $0.34 per diluted share,
representing a 38.7% increase over net earnings of $16.9 million, or $0.21 per diluted share, for the three months ended March 31, 2003.
On June 1, 2004, we prepaid $30.0 million of our senior credit facility and during 2004 we have repurchased an aggregate of $106.1 million
principal amount of our 73/8% Senior Subordinated Notes due 2013, which has brought our total debt reduction under our senior credit facility and our 73/8% Senior
Subordinated Notes due 2013 to $186.1 million during 2004.
KCI
was founded in 1976 by James R. Leininger, M.D., and is incorporated in Texas. Fremont Partners, L.P. and Blum Capital Partners, L.P. recapitalized KCI in 1997 and
again in 2003 and, together with Dr. Leininger, continue to hold the majority of our outstanding shares. Our principal executive offices are located at 8023 Vantage Drive, San Antonio,
Texas 78230, and our telephone number is (210) 524-9000. Our website is located at www.kci1.com. The information contained on our
website is not a part of this prospectus.
2
The Offering
Common stock offered by the selling shareholders |
|
16,000,000 shares |
Shares outstanding after the offering |
|
66,645,037 shares |
Use of proceeds |
|
We will not receive any proceeds from the sale of the common stock by the selling shareholders in this offering. |
Risk factors |
|
See "Risk Factors" and other information included in this prospectus for a discussion of factors you should carefully consider before deciding to invest in shares of the common stock. |
NYSE symbol |
|
KCI |
The number of shares outstanding after the offering is based on 64,884,611 shares outstanding as of May 18, 2004 and excludes:
-
- 6,387,820 shares
reserved for future issuance under our stock option plans, under which options to purchase 11,544,611 shares at an average exercise price of
$8.04 have previously been issued and are outstanding; and
-
- 2,500,000
shares reserved for future issuance under our employee stock purchase plan.
If
the overallotment option is exercised in full, certain of the selling shareholders will sell an additional 2,400,000 shares.
3
Summary Consolidated Financial Data
The following tables summarize our consolidated financial data for the periods presented. You should read the following financial information together with the
information under "Selected Consolidated Financial Data" and "Management's Discussion and Analysis of Financial Condition and Results of Operations" and our consolidated financial statements and the
notes to those consolidated financial statements included elsewhere in this prospectus. The summary consolidated statement of earnings data for fiscal 2001, 2002 and 2003 is derived from our audited
consolidated financial statements included elsewhere in this prospectus. The summary consolidated statement of operations data for fiscal 1999 and 2000 is derived from our audited consolidated
financial statements not included in this prospectus. Reclassifications have been made to our results from prior years to conform to our current presentation.
The
unaudited condensed consolidated balance sheet data as of March 31, 2004 and the unaudited condensed consolidated statement of earnings data for the three months ended
March 31, 2003 and March 31, 2004 has been prepared on a basis consistent with our audited financial statements and includes all adjustments, consisting only of normal recurring
adjustments, we consider necessary for the fair presentation of the information. Operating results for the three months ended March 31, 2004 are not necessarily indicative of results that may
be expected for the entire year ending December 31, 2004.
The
pro forma consolidated statement of earnings data for the year ended December 31, 2003 and the three months ended March 31, 2004 gives effect to the 2003
recapitalization, the initial public offering and this offering for both fiscal 2003 and the three months ended March 31, 2004 as if these transactions had occurred on January 1, 2003
and January 1, 2004, respectively. For more information regarding our 2003 recapitalization, see note 2 to our consolidated financial statements included elsewhere in this prospectus.
The pro forma, as adjusted, consolidated balance sheet data at March 31, 2004 gives effect to this offering as if it had occurred on March 31, 2004 (see "Unaudited Pro Forma Consolidated
Financial Information" and related notes included elsewhere in this prospectus). The pro forma statements of earnings are not necessarily indicative of results that would have occurred had the
recapitalization, the initial public offering and this offering been completed on January 1, 2003 and January 1, 2004 and should not be construed as being representative of future
results of operations. Likewise, the pro forma, as adjusted, balance sheet data at March 31, 2004 is not necessarily indicative of what our financial position would have been had this offering
been completed on March 31, 2004. Certain information normally included in financial statements prepared in accordance with accounting principles generally accepted in the United States has
been omitted pursuant to the rules and regulations of the Securities and Exchange Commission.
The
unaudited segment operating data for the five years ended December 31, 2003 and the three months ended March 31, 2003 and 2004 is derived from our accounting records.
4
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Pro Forma(9)
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Three Months Ended
March 31,
|
|
|
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Year Ended December 31,
|
|
|
|
Three Months
Ended
March 31,
2004
|
|
|
|
Year Ended December 31, 2003
|
|
|
|
1999
|
|
2000(1)
|
|
2001
|
|
2002
|
|
2003
|
|
2003
|
|
2004
|
|
|
|
(in thousands)
|
|
|
|
|
|
|
|
Consolidated Statement of Operations Data: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenue: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Rental |
|
$ |
245,983 |
|
$ |
274,331 |
|
$ |
361,634 |
|
$ |
453,061 |
|
$ |
582,801 |
|
$ |
129,442 |
|
$ |
165,908 |
|
$ |
582,801 |
|
$ |
165,908 |
|
|
Sales |
|
|
74,249 |
|
|
77,701 |
|
|
94,313 |
|
|
127,371 |
|
|
181,035 |
|
|
37,561 |
|
|
58,926 |
|
|
181,035 |
|
|
58,926 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
|
320,232 |
|
|
352,032 |
|
|
455,947 |
|
|
580,432 |
|
|
763,836 |
|
|
167,003 |
|
|
224,834 |
|
|
763,836 |
|
|
224,834 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Rental expenses |
|
|
167,397 |
|
|
176,392 |
|
|
220,485 |
|
|
276,476 |
|
|
356,075 |
|
|
79,379 |
|
|
105,406 |
|
|
356,075 |
|
|
105,406 |
|
Cost of goods sold |
|
|
29,811 |
|
|
29,645 |
|
|
32,952 |
|
|
51,824 |
|
|
64,118 |
|
|
13,645 |
|
|
16,768 |
|
|
64,118 |
|
|
16,768 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Gross profit |
|
|
123,024 |
|
|
145,995 |
|
|
202,510 |
|
|
252,132 |
|
|
343,643 |
|
|
73,979 |
|
|
102,660 |
|
|
343,643 |
|
|
102,660 |
|
Selling, general and administrative expenses |
|
|
67,032 |
|
|
72,521 |
|
|
100,562 |
|
|
123,964 |
|
|
170,614 |
|
|
36,481 |
|
|
48,542 |
|
|
170,614 |
|
|
48,542 |
|
Research and development expenses |
|
|
8,176 |
|
|
7,773 |
|
|
14,266 |
|
|
18,749 |
|
|
23,044 |
|
|
4,425 |
|
|
7,119 |
|
|
23,044 |
|
|
7,119 |
|
Initial public offering bonuses(2) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
19,534 |
|
|
|
|
|
|
|
Recapitalization expenses(3) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
70,085 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Unusual item-litigation settlement (gain)(4) |
|
|
|
|
|
|
|
|
|
|
|
(173,250 |
) |
|
(75,000 |
) |
|
|
|
|
|
|
|
(75,000 |
) |
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|
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|
|
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|
|
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|
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Operating earnings |
|
|
47,816 |
|
|
65,701 |
|
|
87,682 |
|
|
282,669 |
|
|
154,900 |
|
|
33,073 |
|
|
27,465 |
|
|
224,985 |
|
|
46,999 |
|
Interest income |
|
|
348 |
|
|
897 |
|
|
280 |
|
|
496 |
|
|
1,065 |
|
|
400 |
|
|
371 |
|
|
1,065 |
|
|
371 |
|
Interest expense(5) |
|
|
(46,502 |
) |
|
(48,635 |
) |
|
(45,116 |
) |
|
(40,943 |
) |
|
(52,098 |
) |
|
(8,178 |
) |
|
(18,844 |
) |
|
(32,004 |
) |
|
(7,745 |
) |
Foreign currency gain (loss) |
|
|
(1,356 |
) |
|
(2,358 |
) |
|
(1,638 |
) |
|
3,935 |
|
|
7,566 |
|
|
1,788 |
|
|
(464 |
) |
|
7,566 |
|
|
(464 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
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|
|
|
|
|
|
Earnings before income taxes |
|
|
306 |
|
|
15,605 |
|
|
41,208 |
|
|
246,157 |
|
|
111,433 |
|
|
27,083 |
|
|
8,528 |
|
|
201,612 |
|
|
39,161 |
|
Income taxes |
|
|
620 |
|
|
6,476 |
|
|
17,307 |
|
|
96,001 |
|
|
41,787 |
|
|
10,156 |
|
|
3,070 |
|
|
75,604 |
|
|
14,097 |
|
|
|
|
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|
|
Net earnings (loss) |
|
$ |
(314 |
) |
$ |
9,129 |
|
$ |
23,901 |
|
$ |
150,156 |
|
$ |
69,646 |
|
$ |
16,927 |
|
$ |
5,458 |
|
$ |
126,008 |
|
$ |
25,064 |
|
Series A convertible preferred stock dividends |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(9,496 |
) |
|
|
|
|
(65,604 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings (loss) available to common shareholders |
|
$ |
(314 |
) |
$ |
9,129 |
|
$ |
23,901 |
|
$ |
150,156 |
|
$ |
60,150 |
|
$ |
16,927 |
|
$ |
(60,146 |
) |
$ |
126,008 |
|
$ |
25,064 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings (loss) per share available to common shareholders |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic |
|
$ |
(0.00 |
) |
$ |
0.13 |
|
$ |
0.34 |
|
$ |
2.12 |
|
$ |
1.03 |
|
$ |
0.24 |
|
$ |
(1.19 |
) |
$ |
1.92 |
|
$ |
0.38 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Diluted |
|
$ |
(0.00 |
) |
$ |
0.12 |
|
$ |
0.32 |
|
$ |
1.93 |
|
$ |
0.93 |
|
$ |
0.21 |
|
$ |
(1.19 |
) |
$ |
1.76 |
|
$ |
0.35 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted average shares outstanding |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic |
|
|
70,915 |
|
|
70,915 |
|
|
70,917 |
|
|
70,927 |
|
|
58,599 |
|
|
70,995 |
|
|
50,332 |
|
|
65,553 |
|
|
66,255 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Diluted(6) |
|
|
73,254 |
|
|
73,219 |
|
|
73,996 |
|
|
77,662 |
|
|
64,493 |
|
|
79,861 |
|
|
50,332 |
|
|
71,653 |
|
|
71,594 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
March 31, 2004
|
|
|
|
Actual
|
|
Pro Forma
As Adjusted(10)
|
|
|
|
(in thousands)
|
|
Consolidated Balance Sheet Data: |
|
|
|
|
|
|
|
Cash and cash equivalents |
|
$ |
93,243 |
|
$ |
96,975 |
|
Working capital(7) |
|
|
204,923 |
|
|
235,633 |
|
Total assets |
|
|
608,273 |
|
|
624,190 |
|
Total debt(8) |
|
|
568,316 |
|
|
568,316 |
|
Total shareholders' deficit |
|
|
(141,026 |
) |
|
(110,316 |
) |
5
|
|
Year Ended December 31,
|
|
Three Months Ended March 31,
|
|
|
1999
|
|
2000(1)
|
|
2001
|
|
2002
|
|
2003
|
|
2003
|
|
2004
|
|
|
(in thousands)
|
|
|
|
|
Segment Operating Data: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
USA |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
V.A.C. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Rental |
|
$ |
28,552 |
|
$ |
55,343 |
|
$ |
134,428 |
|
$ |
215,718 |
|
$ |
311,662 |
|
$ |
65,288 |
|
$ |
89,907 |
|
|
Sales |
|
|
8,605 |
|
|
14,637 |
|
|
31,814 |
|
|
53,440 |
|
|
88,192 |
|
|
17,092 |
|
|
31,682 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total V.A.C. |
|
|
37,157 |
|
|
69,980 |
|
|
166,242 |
|
|
269,158 |
|
|
399,854 |
|
|
82,380 |
|
|
121,589 |
|
Therapeutic surfaces/other |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Rental |
|
|
160,538 |
|
|
153,852 |
|
|
156,704 |
|
|
150,793 |
|
|
149,460 |
|
|
37,862 |
|
|
39,801 |
|
|
Sales |
|
|
37,561 |
|
|
32,750 |
|
|
31,177 |
|
|
29,240 |
|
|
30,568 |
|
|
7,386 |
|
|
8,551 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total therapeutic surfaces/other |
|
|
198,099 |
|
|
186,602 |
|
|
187,881 |
|
|
180,033 |
|
|
180,028 |
|
|
45,248 |
|
|
48,352 |
|
|
Total USA rental |
|
|
189,090 |
|
|
209,195 |
|
|
291,132 |
|
|
366,511 |
|
|
461,122 |
|
|
103,150 |
|
|
129,708 |
|
|
Total USA sales |
|
|
46,166 |
|
|
47,387 |
|
|
62,991 |
|
|
82,680 |
|
|
118,760 |
|
|
24,478 |
|
|
40,233 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SubtotalUSA |
|
|
235,256 |
|
|
256,582 |
|
|
354,123 |
|
|
449,191 |
|
|
579,882 |
|
|
127,628 |
|
|
169,941 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
International |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
V.A.C. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Rental |
|
|
4,323 |
|
|
7,510 |
|
|
11,577 |
|
|
21,207 |
|
|
41,331 |
|
|
7,818 |
|
|
13,374 |
|
|
Sales |
|
|
5,396 |
|
|
8,256 |
|
|
12,182 |
|
|
23,049 |
|
|
40,615 |
|
|
8,006 |
|
|
13,347 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total V.A.C. |
|
|
9,719 |
|
|
15,766 |
|
|
23,759 |
|
|
44,256 |
|
|
81,946 |
|
|
15,824 |
|
|
26,721 |
|
Therapeutic surfaces/other |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Rental |
|
|
52,611 |
|
|
57,625 |
|
|
58,924 |
|
|
65,343 |
|
|
80,348 |
|
|
18,474 |
|
|
22,826 |
|
|
Sales |
|
|
22,646 |
|
|
22,059 |
|
|
19,141 |
|
|
21,642 |
|
|
21,660 |
|
|
5,077 |
|
|
5,346 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total therapeutic surfaces/other |
|
|
75,257 |
|
|
79,684 |
|
|
78,065 |
|
|
86,985 |
|
|
102,008 |
|
|
23,551 |
|
|
28,172 |
|
Total International rental |
|
|
56,934 |
|
|
65,135 |
|
|
70,501 |
|
|
86,550 |
|
|
121,679 |
|
|
26,292 |
|
|
36,200 |
|
Total International sales |
|
|
28,042 |
|
|
30,315 |
|
|
31,323 |
|
|
44,691 |
|
|
62,275 |
|
|
13,083 |
|
|
18,693 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SubtotalInternational |
|
|
84,976 |
|
|
95,450 |
|
|
101,824 |
|
|
131,241 |
|
|
183,954 |
|
|
39,375 |
|
|
54,893 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
$ |
320,232 |
|
$ |
352,032 |
|
$ |
455,947 |
|
$ |
580,432 |
|
$ |
763,836 |
|
$ |
167,003 |
|
$ |
224,834 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
- (1)
- In
December 2000, we began reporting international results on a current-month basis. As a result of this change, the 2000 fiscal year included a 13th monthly period for the
international segment which increased reported revenue and operating earnings by approximately $8.0 million and $1.1 million, respectively.
- (2)
- Initial
public offering bonuses include bonuses paid to our management from the net proceeds of our initial public offering.
- (3)
- Recapitalization
expenses include non-interest related expenses incurred in connection with our 2003 recapitalization. See note 2 to our consolidated financial statements
included elsewhere in this prospectus for additional information about our 2003 recapitalization.
- (4)
- Includes
accrual in connection with the first installment payment of $175.0 million ($173.3 million, net of expenses of $1.7 million) as part of the antitrust
settlement for fiscal 2002. Amounts for fiscal 2003 include the second and final payment of $75.0 million under this litigation settlement. See Note 16 of the Notes to Consolidated
Financial Statements included elsewhere in this prospectus for discussion of the antitrust settlement.
- (5)
- Amounts
for fiscal 2003 include an aggregate $16.3 million expense incurred in connection with our 2003 recapitalization for the redemption premium and consent fee paid in
connection with the redemption of our 95/8% Senior Subordinated Notes due 2007 combined with the write-off of unamortized loan issuance costs associated with the previously existing
senior credit facility. Amounts for the three months ended March 31, 2004 include an aggregate of $8.6 million in expense incurred in connection with our initial public offering,
including a bond call premium of $5.3 million incurred in connection with the redemption of $71.75 million of our outstanding 73/8% Senior Subordinated Notes due 2013 and
$3.3 million of loan issuance costs that we wrote off related to the retirement of debt.
- (6)
- Dilutive
potential common shares from preferred stock conversion totaling 7,522,004 shares have been excluded from the diluted earnings per share calculation for the year ended
December 31, 2003 due to their antidilutive effect. Due to their antidilutive effect, 5,934,824 dilutive potential common shares from stock options and 12,026,073 dilutive potential common
shares from preferred stock conversion have been excluded from the diluted weighted average shares calculation for the three-month period ended March 31, 2004.
- (7)
- Working
capital represents total current assets less total current liabilities.
- (8)
- Total
debt includes current and long-term debt, capital lease obligations and our liability associated with interest rate swaps.
6
- (9)
- Pro
forma gives effect to the 2003 recapitalization, the initial public offering and this offering for both fiscal 2003 and for the three months ended March 31, 2004 as
follows:
-
- the
exclusion of $86.4 million, $28.2 million and $3.2 million of non-routine costs and related tax effects incurred in connection with the
2003 recapitalization, the initial public offering and this offering, respectively;
-
- the
inclusion of the sale by us of 3,500,000 shares of our common stock in connection with our initial public offering at an offering price of $30.00 per share;
-
- the
automatic conversion of all our preferred stock into 19,199,520 shares of our common stock upon the closing of our initial public offering;
-
- the
impact of using the net proceeds to us from our initial public offering, together with cash on hand, to redeem $71.75 million principal amount of our
73/8% Senior Subordinated Notes due 2013, pay a bond call premium of $5.3 million in connection with the redemption, prepay $50.0 million of debt under our senior credit
facility, pay management bonuses and payroll taxes and other expenses related to the initial public offering of $19.5 million; and
-
- the
exercise of options to purchase 1,705,158 shares of our common stock by the selling shareholders in this offering.
- (10)
- The
pro forma, as adjusted, balance sheet at March 31, 2004, represents our historical balance sheet at March 31, 2004, which includes the effects of the 2003
recapitalization and the initial public offering, adjusted to give effect to the tax benefit and cash proceeds from the exercise of options to purchase 1,705,158 shares of our common stock by
the selling shareholders along with an estimated $3.2 million in non-recurring costs and related tax effect incurred in connection with this offering as if this offering had occurred on
March 31, 2004.
The pro forma, as adjusted, balance sheet at March 31, 2004 includes an estimate of all non-recurring
costs associated with this offering.
7
RISK FACTORS
Investing in our common stock involves a high degree of risk. You should carefully consider the risks described below before deciding to
invest in shares of our common stock. If any of the following risks occur, the value of our common stock could decline.
Risks Related to Our Business
We face significant competition in our V.A.C. business from companies offering alternative wound therapies and from Hill-Rom
Company and others in our therapeutic surfaces business, which competition may result in lower growth rates if other companies commercialize competing products before or more successfully than us.
The competition for our V.A.C. systems in wound healing and tissue repair consists, in large part, of wound-healing modalities which do not operate in a manner
similar to V.A.C. systems, including traditional wound care dressings, advanced wound care dressings, skin substitutes, products containing growth factors and medical devices used for wound care.
BlueSky Medical Corporation and several companies in Europe have introduced medical devices which have been marketed to compete with V.A.C. systems. We have filed suit against BlueSky and related
parties seeking to prohibit their continued marketing and sales of the device, which we believe infringes our patent rights. In addition, we have taken legal action against several companies in
Europe. (See "BusinessLegal Proceedings"). If a product similar to any V.A.C. system is introduced into the market by a legitimate competitor and protections afforded us under
intellectual property laws are not adequate to prevent the rental or sale of the product, we could lose market share or experience downward pricing pressure.
Our
primary competitor in the therapeutic surface business is Hill-Rom Company, whose financial and other resources substantially exceed those available to us. In Europe, we
also face competition from Huntleigh Healthcare and Pegasus Limited.
In
medical technology, two types of competitive actions pose particularly important risks for potential market share loss. Significant technological innovations can result in substantial
swings in market share if we are not able to launch comparably innovative products within months of a competitor's innovation. Similarly, significant changes in market share may also occur if
competitors obtain sole-source contracts with a substantial proportion of GPOs, large health care providers or third-party payers, effectively limiting our market access. Although we are
unaware of any current significant competitive developments, future competitive initiatives by our competitors could result in loss of market share, leading to lower growth rates and ultimately to
reduced profitability.
Our intellectual property is very important to our competitive position, especially for our V.A.C. products. If we are unsuccessful in
protecting our intellectual property, particularly our rights to the Wake Forest patents that we rely on in our V.A.C. business, our competitive position would be harmed.
We place considerable importance on obtaining and maintaining patent protection for our products, particularly, our rights to the Wake Forest patents that we rely
on in our V.A.C. business. We have numerous patents on our existing products and processes and we file applications as appropriate for patents covering new technologies as they are developed. However,
the patents we own, or in which we have rights, may not be sufficiently broad to protect our technology position against competitors. Issued patents owned by us or licensed to us may be challenged,
invalidated or circumvented, or the rights granted under issued patents may not provide us with competitive advantages. As the market for, and revenues generated by, our V.A.C. systems expand, we
believe additional competitors may introduce products designed to mimic the V.A.C. We will incur substantial costs and diversion of management resources if we need to assert or defend our patent
rights against others. Third parties may claim that we are infringing their intellectual property rights, and we may be found to infringe those intellectual property rights. Any unfavorable outcome in
intellectual property disputes or litigation could cause us to lose our intellectual property rights in technology that is material to our products. In addition, we may not be able to detect
8
infringement
by third parties, and could lose our competitive position if we fail to do so. (See "BusinessLegal Proceedings").
For
example, the primary European V.A.C. patent, which we rely upon for patent protection in Europe, was recently subject to an opposition proceeding before the Opposition Division of
the European Patent Office. The patent was upheld at a hearing on December 9, 2003, pursuant to a written interlocutory decision issued May 19, 2004. The decision corrects the patent to
expand the range of pressures covered by the patent claims from 0.100.99 atmospheres to 0.010.99 atmospheres and modifies the patent claims to provide that the "screen means"
is polymer foam. Under European patent law, the "screen means" would include equivalents to polymer foam. The screen means in the patent, among other things, helps to remove fluid from within and
around the wound, distributes negative pressure within the wound, enhances the growth of granulation tissue and prevents wound overgrowth. In our V.A.C. systems, the foam dressing placed in the wound
serves as the screen means. We use two different types of polymer foams as the screen means in our V.A.C. systems. We may appeal the new screen means definition established by the panel. If we choose
to appeal, we believe it will take two to three years to complete the appeal process and
we may not be successful in our appeal. During the pendency of an appeal, the original patents would remain in place. The restriction on the type of screen means covered by the patent may lead
competitors to believe that they can enter the market with products using screen means other than polymer foam. Although we do not believe that a product using another type of screen means would be as
effective as the V.A.C., direct competition would result in significantly increased pricing pressure and could result in a loss of some of our existing customer base. Revenue for the V.A.C. product
lines in Europe was $65.5 million for the year ended December 31, 2003 and $21.5 million for the three months ended March 31, 2004. (See "BusinessLegal
Proceedings").
We
have agreements with third parties, including our exclusive license of the V.A.C. patents from Wake Forest, that provide for licensing of their patented or proprietary technologies.
These agreements include royalty-bearing licenses. If we were to lose the rights to license these technologies or our costs to license these technologies were to materially increase, our business
would suffer.
If we are unable to develop new generations of V.A.C. and therapeutic surface products and enhancements to existing products, we may lose
market share as our existing patent rights begin to expire over time.
Our success is dependent upon the successful development, introduction and commercialization of new generations of products and enhancements to existing products.
Innovation in developing new product lines and in developing enhancements to our existing V.A.C. and surfaces products is required for us to grow and compete effectively. Over time, our existing
foreign and domestic patent protection in both the V.A.C. and surfaces businesses will begin to expire, which could allow competitors to adopt our older unprotected technology into competing product
lines. If we are unable to continue developing proprietary product enhancements to V.A.C. systems and surfaces products that effectively make older products obsolete, we may lose market share in our
existing lines of business. In addition, if we fail to develop new lines of products, we will not be able to penetrate new markets. Innovation in enhancements and new products requires significant
capital commitments and investments on our part, which we may be unable to recover.
Because we have scaled our business to support future V.A.C. growth, our financial condition could suffer if V.A.C. revenues do not grow
as we anticipate.
To support the ongoing rapid growth of V.A.C. sales and rentals, we add staff and capital on a routine basis slightly ahead of current requirements. If revenue
from our V.A.C. sales and rentals does not grow as we anticipate, our results of operations and financial condition could suffer until resources and requirements are brought back into balance.
9
Failure of any of our randomized and controlled studies or a third-party study or assessment to demonstrate V.A.C. therapy's clinical
efficacy may reduce physician usage of V.A.C. and cause our V.A.C. sales to suffer.
If any of our V.A.C. systems fail to demonstrate statistically significant clinical efficacy in any of our ongoing clinical studies when compared to traditional
therapies, our ability to further penetrate the advanced wound care market may be negatively impacted as physicians may choose not to use V.A.C. therapy as a wound treatment. Furthermore, adverse
clinical results from these trials would hinder the ability of V.A.C. to achieve standard-of-care designation, which could slow the adoption of V.A.C. across all targeted wound
types. As a result, usage of V.A.C. may decline and cause our V.A.C. revenue to suffer.
We
have recently learned that the Agency for Healthcare Research and Quality ("AHRQ") has assigned a technology assessment on negative pressure therapies for wound healing to the Blue
Cross Blue Shield Association Technology Evaluation Center. We have provided AHRQ with an extensive set of clinical documentation on our negative pressure wound therapies and systems and we expect
that the technology assessment will be issued during 2005. Although the technology assessment will not have any legal or binding effect, an unfavorable technology assessment, in whole or part, could
cause usage of our V.A.C. systems to decline.
Changes to third-party reimbursement policies could reduce the reimbursement we receive for our products.
Our products are rented and sold to hospitals and skilled nursing facilities that receive reimbursement for the products and services they provide from various
public and private third-party payers, including Medicare, Medicaid and private insurance programs. We also act as a durable medical equipment, or DME, supplier and, as such, we furnish our products
directly to customers and subsequently bill third-party payers such as Medicare, Medicaid and private insurance. As a result, the demand for our products in any specific care setting is dependent, in
part, on the reimbursement policies (including coverage and payment policies) of the various payers in that setting. Some state and private payers make adjustments to their reimbursement policies to
reflect federal changes as well as to make their own changes. If coverage and payment policies for our products are revised or otherwise withdrawn under existing Medicare or Medicaid policies, demand
for our products could decrease. In addition, in the event any public or private third-party payers challenge our billing, documentation or other practices as inconsistent with their reimbursement
policies, we could experience significant delays, reductions or denials in obtaining reimbursement. In light of increased controls on health care spending, especially on Medicare and Medicaid
spending, the outcome of future coverage or payment decisions for any of our products by governmental or private payers remain uncertain.
In
2003, the Centers for Medicare and Medicaid Services issued new regulations on inherent reasonableness of such charges and while these regulations do not impact us currently, future
coverage or payment decisions could impact our V.A.C. systems or any of our other products. If providers, suppliers and other users of our products and services are unable to obtain sufficient
reimbursement for the provision of our products, demand for our products will decrease. In addition, under the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, a number of
changes were
made to the Medicare payment methodology for items of DME, including certain payment freezes, a competitive bidding program and clinical and quality standards.
Also,
in December 2002, we submitted a written request to the medical directors of the four Durable Medical Equipment Regional Carriers, or DMERCs, in which we requested
clarification of a number of issues with respect to the DMERCs' "Negative Pressure Wound Therapy Policy." That policy establishes Medicare Part B reimbursement criteria for our V.A.C. products.
In June 2003, we received a response from the medical directors and, in some instances, their interpretation of the policy differed from our interpretation. In September 2003, we learned
that one of the DMERCs published in its regional newsletter an interpretation of the policy consistent with its June response. The other three DMERCs later published the same interpretation.
Also in September 2003, we began to experience an increase in Medicare Part B denials for V.A.C. placements. We provided the medical directors with responses to their
10
interpretation
and have spoken to one of the DMERC medical directors to support our interpretation of the policy. On December 5, 2003, the DMERC medical directors responded to our letter. In
their response, the medical directors reiterated their interpretation. In essence, the medical directors provided: (1) that the Negative Pressure Wound Therapy policy generally does not cover
wounds of less than 0.5 cm in depth, use of Negative Pressure Wound Therapy for more than four months, or wounds where there has not been any wound healing progress due to an intervening spell of
illness; (2) that only measurements of width, length and depth may be used to demonstrate wound healing progress (which is required to justify continuing medical necessity for additional cycles
of use); and (3) technical responses to issues concerning the delivery of the V.A.C. pump and ordering of disposables. We do not believe that the DMERC medical directors' interpretation
reflects the current Negative Pressure Wound Therapy policy or current medical practice. We have responded to the most recent letter from the medical directors in an effort to clarify the policy while
at the same time maintaining coverage for all Medicare Part B beneficiaries for whom V.A.C. treatment is medically necessary. We have begun a dialogue with the DMERC medical directors on these
issues. In the event that the medical directors do not agree to revise their interpretations on these issues, the rate of V.A.C. revenue growth would be impacted. Although difficult to predict, we
believe the reimbursement issues addressed by the medical directors relate to approximately 20% of our annual V.A.C. Medicare revenue or approximately 2.2% of our overall annual revenue.
If we are not able to timely collect reimbursement payments our financial condition may suffer.
The Medicare Part B coverage policy covering V.A.C. systems is complex and requires extensive documentation. In addition, the reimbursement process for the
non-governmental payer segment requires extensive contract development and administration with several hundred payers, with widely varying requirements for documentation and administrative
procedures, which can result in extended payment cycles. This has made billing home care payers more complex and time consuming than billing other payers. As of March 31, 2004, we had
$200.0 million of receivables outstanding, net of reserves of $39.1 million for doubtful accounts and an additional $13.4 million for Medicare V.A.C. receivables prior to
October 1, 2000. For the twelve-month period ended March 31, 2004, our receivables, exclusive of our Medicare receivables prior to October 1, 2000 and related reserves, were
outstanding for an average of 81 days. If the average number of days our receivables are outstanding increases, our cash flows could be negatively impacted.
We are subject to claims audits which could harm our business and financial results.
As a health care supplier, we are subject to extensive government regulation, including laws regulating reimbursement under various government programs. The
billing, documentation and other practices of health care suppliers are subject to government scrutiny, including claims audits. To ensure compliance with Medicare regulations, contractors, such as
the DMERCs, which serve as the government's agents for the processing of claims for products sold for home use, periodically conduct audits and request medical records and other documents to support
claims submitted by us for payment of services rendered to our customers. Because we are a DME supplier, those audits involving home use involve review and testing of patient claims records. Such
audits can result in delays in obtaining reimbursement and denials of claims for payment submitted by us. In addition, the government could demand significant refunds or recoupments of amounts paid by
the government for claims which are determined by the government to be inadequately supported by the required documentation. For example, after a routine review by the Region A DMERC during
2003, the DMERC identified overpayments of approximately $110,000 which have been recouped by the DMERC.
Because we depend upon a limited group of suppliers and, in some cases, sole-source suppliers, we may incur significant
product development costs and experience material delivery delays if we lose any significant supplier.
We obtain the disposables used with the V.A.C. systems and some of the components included in our products from a limited group of suppliers, and, in one case, a
sole-source supplier. We have entered into a
11
sole-source
agreement with Avail Medical Products, Inc., for V.A.C. disposables. This supply agreement has a three-year term, beginning on October 2002, with an
automatic extension for an additional twelve months if neither party gives notice of termination. V.A.C. disposables represented 15.6% of our revenue for the year ending December 31, 2003 and
19.7% of our revenue for the three months ended March 31, 2004. V.A.C. therapy cannot be administered by our V.A.C. rental units without use of the appropriate V.A.C. disposables. Any shortage
of V.A.C. disposables could lead to lost revenues from decreased V.A.C. rentals. We maintain an inventory of disposables sufficient to support our business for six weeks in the United States and eight
weeks in Europe. If we lose any supplier (including any sole-source supplier), we would be required to obtain one or more replacement suppliers and may be required to conduct a significant
level of product development to incorporate new parts into our products. The need to change suppliers or to alternate between suppliers might cause material delays in delivery or significantly
increase costs.
If we are unable to successfully implement our new management information systems or are otherwise unable to manage rapid changes, our
business may be harmed.
In the last three years we have grown rapidly, and we believe we will continue to grow at a rapid pace. We are currently implementing new management information
systems to assist us in managing our rapid growth. If the implementation of these new systems is significantly delayed, or if our expectations for the efficiencies to be obtained through the new
systems are not met, our business could be harmed. For example, if we experience problems with our new systems for procurement and billing, we could experience product shortages or an increase in
accounts receivable. Any failure by us to properly implement our new information systems, or to otherwise properly manage our growth, could impair our ability to attract and service customers and
could cause us to incur higher operating costs and experience delays in the execution of our business plan.
We are subject to numerous laws and regulations governing the healthcare industry, and non-compliance with such laws, as well
as changes in such laws or future interpretations of such laws, could reduce demand for and limit our ability to distribute our products and could cause us to incur significant compliance costs.
There are widespread legislative efforts to control health care costs in the United States and abroad, which we expect will continue in the future. For example,
the recent enactment of the Medicare Prescription Drug, Improvement and Modernization Act of 2003 eliminated annual payment increases on the V.A.C. system for the foreseeable future and initiated a
competitive bidding program. At this time, we are unable to determine whether and to what extent these changes would be applied to our products and our business but this or similar legislative efforts
in the future could negatively impact demand for our products.
Substantially
all of our products are subject to regulation by the U.S. Food and Drug Administration, or FDA, and its foreign counterparts. Complying with FDA requirements and other
applicable regulations imposes significant costs and expenses on our operations. If we fail to comply with applicable regulations, we could be subject to enforcement sanctions, our promotional
practices may be restricted, and our marketed products could be subject to recall or otherwise impacted. In addition, new regulations, such as the U.S. Health Insurance Portability and Accountability
Act of 1996, or HIPAA, that regulate the way we do business will result in increased compliance costs.
We
are also subject to various federal and state laws pertaining to health care fraud and abuse, including prohibitions on the submission of false claims and the payment or acceptance of
kickbacks or other remuneration in return for the purchase or lease of our products. The United States Department of Justice and the Office of the Inspector General of the United States Department of
Health and Human Services have launched an enforcement initiative which specifically targets the long-term care, home health and DME industries. Sanctions for violating these laws include
criminal penalties and civil sanctions, including fines and penalties, and possible exclusion from the Medicare, Medicaid and other federal health
12
care
programs. Although we believe our business arrangements comply with federal and state fraud and abuse laws, our practices may be challenged under these laws in the future.
Product liability claims could expose us to significant costs associated with adverse judgments or could reduce the demand for our V.A.C.
and therapeutic surface products.
The manufacturing and marketing of medical products necessarily entails an inherent risk of product liability claims. As of May 18, 2004, there were eight
product liability suits filed against us, including one involving the V.A.C. system. If a product liability claim is successfully asserted against us and we become liable for amounts in excess of our
insurance coverage, we could be responsible for potentially large litigation damage awards and costs and expenses in litigating such a claim.
Risks Related to Our Capital Structure
Our substantial indebtedness could adversely affect our financial condition.
We have a significant amount of debt. As of March 31, 2004, we had $568.3 million of outstanding indebtedness (long-term debt, capital
lease obligations and our liability associated with interest rate swaps) and a net shareholders' deficit of $141.0 million. This level of indebtedness could have important consequences,
including the following:
-
- it
may be difficult for us to satisfy our obligations under our senior credit facility and the 73/8% Senior Subordinated Notes due 2013;
-
- if
we default on our secured debt, these lenders may foreclose on our assets and we may not be able to continue as a going concern;
-
- we
may have to use a significant amount of our cash flow for scheduled debt service rather than for operations;
-
- we
may be less able to obtain other debt or equity financing in the future;
-
- we
could be less able to take advantage of significant business opportunities, including acquisitions or divestitures;
-
- our
vulnerability to general adverse economic and industry conditions could be increased; and
-
- we
could be at a competitive disadvantage compared to competitors with less debt.
Servicing our debt requires a significant amount of cash, and we may not have sufficient cash flow from our business to pay our
substantial debt.
Due to the large amount of principal and interest payments due under our debt, we may not generate enough cash from our operations to meet these obligations or to
fund other liquidity needs. Our interest rate swap agreements effectively convert a portion of our variable-rate borrowings to a fixed rate basis through 2006, thus reducing the impact of
changes on future interest expense. Approximately 81.9% of our outstanding variable-rate borrowings as of March 31, 2004 have been hedged through the designation of interest rate
swap agreements classified as cash flow hedges. If market interest rates for similar borrowings had averaged 1% more than they did at March 31, 2004, our quarterly interest expense, after
considering the effects of our interest rate swaps, would have increased, and earnings before taxes would have decreased by approximately $284,000. Our ability to generate cash in the future is, to
some extent, subject to risks and uncertainties that are beyond our control. If we are unable to meet our debt obligations, we may need to refinance all or a portion of our indebtedness, sell assets
or raise funds in the capital markets. Our ability to refinance will depend on the capital markets and our financial condition at such time. We may not be able to engage in any of these activities or
engage in these activities on desirable terms, which could result in a default on our debt obligations.
13
Restrictive covenants in our senior credit facility and the indenture governing the 73/8% Senior Subordinated Notes due
2013 may restrict our ability to pursue our business strategies.
Our senior credit facility and the indenture governing the 73/8% Senior Subordinated Notes due 2013 limit our ability, among other things, to:
-
- incur
additional indebtedness or contingent obligations;
-
- pay
dividends or make distributions to our shareholders;
-
- repurchase
or redeem our stock;
-
- make
investments;
-
- grant
liens;
-
- make
capital expenditures;
-
- enter
into transactions with our shareholders and affiliates;
-
- sell
assets; and
-
- acquire
the assets of, or merge or consolidate with, other companies.
Our
senior credit facility contains financial covenants requiring us to meet certain leverage and interest coverage ratios. Specifically, we are obligated not to permit ratios to fall
outside certain specified ranges and maintain minimum levels of EBITDA (as defined in our senior credit facility). Under our senior credit facility, EBITDA excludes charges associated with the
recapitalization. With regard to these financial covenants, it will be an event of default if we permit any of the following:
-
- for
any period of four consecutive quarters ending at the end of any fiscal quarter beginning with the fiscal quarter ending December 31, 2003, the ratio of EBITDA,
as defined, to consolidated cash interest expense to be less than certain specified ratios ranging from 4.30 to 1.00 for the fiscal quarter ending December 31, 2003 to 5.50 to 1.00 for the
fiscal quarter ending December 31, 2006 and each fiscal quarter following that quarter;
-
- as
of the last day of any fiscal quarter beginning with the fiscal quarter ending December 31, 2003, the leverage ratio of debt to EBITDA, as defined, to be greater
than certain specified leverage ratios ranging from 4.30 to 1.00 for the fiscal quarter ending December 31, 2003 to 2.50 to 1.00 for the fiscal quarter ending December 31, 2006 and each
fiscal quarter following that quarter; or
-
- for
any period of four consecutive fiscal quarters ending at the end of any fiscal quarter beginning with the fiscal quarter ending December 31, 2003, EBITDA, as
defined, to be less than certain amounts ranging from $156.4 million for the fiscal quarter ending December 31, 2003 to $240.0 million for the fiscal quarter ending
December 31, 2006 and each fiscal quarter following that quarter.
We
may not be able to maintain these ratios. Covenants in our senior credit facility may also impair our ability to finance future operations or capital needs, or to enter into
acquisitions or joint ventures or engage in other favorable business activities.
If
we default under our senior credit facility, we could be prohibited from making any payments on the 73/8% Senior Subordinated Notes due 2013. In addition, the lenders
under our senior credit facility could require immediate repayment of the entire principal then outstanding. If those lenders require immediate repayment, we may not be able to repay them and also
repay the 73/8% Senior Subordinated Notes due 2013 in full. If we are unable to generate sufficient cash flow or otherwise obtain funds necessary to make required payments under our
senior credit facility, or if we are unable to maintain the financial ratios under our senior credit facility, we will be in default under our senior credit facility, which could, in turn,
14
cause
a default under our 73/8% Senior Subordinated Notes due 2013, the related indenture and any other debt obligations that we may incur from time to time.
Our obligations under our senior credit facility are secured by substantially all of our assets.
Our obligations under our senior credit facility are secured by liens on substantially all of our assets, and the guarantees of certain of our subsidiaries under
our senior credit facility are secured by liens on substantially all of such subsidiaries' assets. If we become insolvent or are liquidated, or if payments under our senior credit facility or of other
secured obligations are accelerated, the lenders under our senior credit facility or the obligees with respect to the other secured obligations will be entitled to exercise the remedies available to a
secured lender under applicable law and the applicable agreements and instruments, including the right to foreclose on all of our assets. Accordingly, you could lose all or a part of your investment
in our common stock.
Risks Related to this Offering
If a significant number of shares of our common stock is sold into the market following this offering, the market price of our common
stock could significantly decline, even if our business is doing well.
Our officers, directors and some of our shareholders who, as of May 18, 2004, together held approximately 37,466,324 shares of our common stock and
shares issuable upon exercise of vested options (after giving effect to sales in the offering) have agreed, subject to certain exceptions, that, without the prior written consent of Merrill Lynch and
J.P. Morgan, they will not sell their shares. These lock-ups will expire, and the shares will be available for sale in the public market, as follows:
Number of Shares
|
|
Date of Availability for Sale
|
9,303,008 |
|
On September 8, 2004. |
28,163,316 |
|
180 days after the date of this prospectus, subject to an extension of up to 18 days. |
The above table assumes the effectiveness of the lock-up agreements under which holders of our common stock have agreed not to sell or otherwise
dispose of their shares of common stock. Merrill Lynch, Pierce, Fenner & Smith Incorporated and J.P. Morgan Securities Inc. may, in their sole discretion and at any time without notice,
release all or any portion of the securities subject to lock-up agreements.
After this offering, the holders of approximately 37,429,472 shares of common stock and shares issuable upon the exercise of vested options will have rights, subject to certain
conditions, to require us to file registration statements covering their shares or to include their shares in registration statements that we may file for ourselves or other shareholders. These
registration rights of our shareholders could impair our ability to raise capital by depressing the price at which we could sell our common stock. In addition, our employees, officers and directors
may elect to sell their shares of our common stock or exercise their stock options in order to sell the stock underlying their options in the market. Sales of a substantial number of shares of our
common stock in the public market after this offering could depress the market price of our common stock and impair our ability to raise capital through the sale of additional equity securities.
Our articles of incorporation, our by-laws and Texas law contain provisions that could discourage, delay or prevent a change
in control or management of KCI.
Our articles of incorporation and by-laws and Texas law contain provisions which could discourage, delay or prevent a third party from acquiring
shares of our common stock or replacing members of our board of directors.
These
provisions include:
-
- authorization
of the issuance of preferred stock, the terms of which may be determined at the sole discretion of the board of directors;
15
-
- establishment
of a classified board of directors with staggered, three-year terms;
-
- provisions
giving the board of directors sole power to set the number of directors;
-
- limitations
on the ability of shareholders to remove directors;
-
- requirements
for the approval of at least two-thirds of our outstanding common shares to amend our articles of incorporation;
-
- authorization
for our board of directors to adopt, amend or repeal our by-laws (subject to the right of our shareholders to adopt, amend or repeal the amended
and restated by-laws with the approval of at least two-thirds of our outstanding common shares);
-
- limitations
on the ability of shareholders to call special meetings of shareholders; and
-
- establishment
of advance notice requirements for presentation of new business and nominations for election to the board of directors at shareholder meetings.
In
addition, under Texas law and our articles of incorporation and our by-laws, action may not be taken by less than unanimous written consent of our shareholders unless the board of
directors has recommended that the shareholders approve such action.
The
limitation on the ability of shareholders to call a special meeting, to act by written consent and to remove directors may make it difficult for shareholders to remove or replace the
board of directors should they desire to do so. Since management is appointed by the board of directors, any inability to effect a change in the board may result in the entrenchment of management.
These
provisions delay or prevent a third party from acquiring us. Any such delay or prevention could cause the market price of our common stock to decline.
See
"Description of Capital Stock" for additional information on the anti-takeover measures applicable to us.
Our voting stock is controlled by three principal shareholders whose interests may conflict with the interests of our other shareholders.
Upon completion of this offering, Fremont Partners, L.P., James R. Leininger, M.D. and Blum Capital Partners, L.P., and their related
parties collectively will beneficially own 38.3% of our common stock, assuming no exercise of the underwriters' overallotment option. As a result of this ownership, Fremont Partners,
Dr. Leininger and Blum Capital Partners may be able to influence our affairs and will have a substantial impact on matters requiring shareholder approval. Such matters include the election of
directors, the adoption of amendments to our articles of incorporation and by-laws and the approval of mergers or sales of substantially all our assets. The interests of our principal
shareholders may conflict with the interests of our other shareholders.
In addition, Fremont Partners, L.P., Blum Capital Partners L.P. and their respective related parties are parties to an agreement among shareholders with
Dr. Leininger providing that if the Fremont and Blum-related shareholders agree to sell all of their shares to a third party, they may compel Dr. Leininger to include his shares in the
sale as well. Upon completion of this offering, the Fremont and Blum-related parties will collectively own 18.9% of our shares, and Dr. Leininger will own 19.4% of our shares, assuming no
exercise of the underwriters' overallotment option. As a result, the Fremont and Blum shareholders could cause the sale of an aggregate of 38.3% of our shares to a third party without further action
or consent by the shareholders. See "Description of Capital StockShareholders Agreement."
16
Our stock price may be volatile and your investment in our common stock could suffer a decline in value.
The market price of our common stock may be highly volatile and may fluctuate substantially due to many factors, including:
-
- actual
or anticipated fluctuations in our operating results;
-
- changes
in health care, pricing or reimbursement policies;
-
- our
competitors' announcements of new products, significant contracts, acquisitions or strategic investments;
-
- changes
in our growth rates or our competitors' growth rates;
-
- the
timing or results of regulatory submissions or actions with respect to our products;
-
- public
concern as to the safety of our products;
-
- our
inability to raise additional capital;
-
- conditions
of the healthcare industry or in the financial markets or economic conditions in general; and
-
- changes
in stock market analyst recommendations regarding our common stock, other comparable companies or the healthcare industry generally.
17
SPECIAL NOTE REGARDING FORWARD-LOOKING STATEMENTS
This prospectus 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, which are subject to the "safe harbor" created by those sections. The forward-looking statements are based on our current expectations and projections about future
events. In some cases, you can identify forward-looking statements by terminology such as "may," "will," "should," "could," "predicts," "projects," "potential," "continue," "expects," "anticipates,"
"future," "intends," "plans," "believes," "estimates," or the negative of these terms and other comparable terminology, including, but not limited to, the following:
-
- any
projections of revenues, earnings, cash balances or cash flow, synergies or other financial items;
-
- any
statements of the plans, strategies and objectives of management for future operations;
-
- any
statements regarding future economic conditions or performance;
-
- implementing
our business strategy;
-
- attracting
and retaining customers;
-
- obtaining
and expanding market acceptance of the products and services we offer;
-
- competition
in our market;
-
- statements
regarding the outcome of pending litigation;
-
- trends
in the rental and sales product mix and from lower-therapy products to capital purchases;
-
- future
demand for V.A.C. systems;
-
- expenditures
with respect to our therapeutic surfaces business and demand for our bariatric products;
-
- changes
in patient demographics; and
-
- any
statements of assumptions underlying any of the foregoing.
These
forward-looking statements are only predictions, not historical facts. These forward-looking statements involve certain risks and uncertainties, as well as assumptions. Actual
results, levels of activity, performance, achievements and events could differ materially from those stated, anticipated or implied by such forward-looking statements. You should consider the risk
factors and uncertainties under the caption "Risk Factors" among other things, in evaluating KCI's prospects and future financial performance. The occurrence of the events described in the risk
factors could harm the business, results of operations and financial condition of KCI. These forward-looking statements are made as of the date of this prospectus. KCI disclaims any obligation to
update or alter these forward-looking statements, whether as a result of new information, future events or otherwise, or any obligation to explain the reasons why actual results may differ.
18
USE OF PROCEEDS
All of the shares of common stock offered hereby are being sold by the selling shareholders. We will not receive any proceeds from this offering.
DIVIDEND POLICY
We do not currently pay cash dividends on our common stock. Our board of directors currently intends to retain any future earnings to support our operations and
to finance the growth and development of our business and does not intend to declare or pay cash dividends on our common stock for the foreseeable future. Any future payment of cash dividends on our
common stock will be at the discretion of our board of directors and will depend upon our results of operations, earnings, capital requirements, contractual restrictions and other factors deemed
relevant by our board.
Our
senior credit agreement limits our ability to declare or pay dividends on, or repurchase or redeem, any of our outstanding equity securities. Under the senior credit agreement, we
may purchase or pay cash dividends on our capital stock subject to certain aggregate limits based on our then-current pro forma leverage ratio (defined as the ratio of selected debt to EBITDA for the
prior four fiscal quarters), as set forth in the table below:
Leverage Ratio Range
|
|
Limitation
|
Less than or equal to 2.25 to 1.00 |
|
Unlimited |
Between 2.25 to 1.00 and 2.50 to 1.00 |
|
$20.0 million per year |
As of March 31, 2004, our leverage ratio as defined in our senior credit agreement was 1.86 to 1.00.
In
addition to the foregoing, we are permitted under the senior credit agreement to effect open-market purchases of our capital stock in an amount up to $25.0 million per year.
The
senior credit agreement prohibits or limits the ability of our subsidiaries to:
-
- make
loans or advances to another subsidiary; or
-
- transfer
assets to another subsidiary.
In
addition, subject to certain specified exceptions, the indenture governing our 73/8% Senior Subordinated Notes due 2013 prohibits us from:
-
- declaring
or paying any dividend or making any distribution in respect of our equity securities;
-
- purchasing
or redeeming any equity securities;
-
- purchasing
or redeeming any indebtedness that is subordinate or junior to the notes; or
-
- making
certain specified investments if, following such event,
-
- we
would be in default under the indenture,
-
- our
consolidated fixed charge coverage ratio, as defined in the indenture, would be greater than 2.0 to 1.0, or
-
- the
aggregate of such payments shall exceed certain amounts determinable under specified formulas.
The
indenture also prohibits our subsidiaries, subject to certain specified exceptions, from:
-
- paying
any subordinated indebtedness owed to us or any other subsidiary; or
-
- transferring
any property or assets from any subsidiary to certain subsidiaries.
19
PRICE RANGE OF COMMON STOCK
Our common stock is traded on the New York Stock Exchange under the symbol "KCI." The following table sets forth, for the periods indicated, the high and low
sales prices for our common stock as reported by the New York Stock Exchange:
2004:
|
|
High
|
|
Low
|
First Quarter (from February 24, 2004 through March 31, 2004) |
|
$ |
45.15 |
|
$ |
37.75 |
Second Quarter (through June 14, 2004) |
|
$ |
52.55 |
|
$ |
43.17 |
On June 14, 2004, the last reported sale price of our common stock on the New York Stock Exchange was $51.46 per share. As of May 18, 2004, there
were approximately 114 shareholders of record of our common stock.
20
CAPITALIZATION
The following table sets forth our capitalization as of March 31, 2004:
-
- on
an actual basis; and
-
- on
an as adjusted basis, giving effect to the estimated tax benefit and cash proceeds from the exercise of options to purchase 1,705,158 shares of our common stock by
the selling shareholders along with an estimated $3.2 million in non-recurring costs and related tax effect incurred in connection with this offering.
You
should read the data set forth below in conjunction with "Management's Discussion and Analysis of Financial Condition and Results of Operations," "Description of Capital Stock" and
our consolidated financial statements and related notes included elsewhere in this prospectus.
|
|
March 31, 2004
|
|
|
|
Actual
|
|
As Adjusted
|
|
|
|
(unaudited, in thousands)
|
|
Cash and cash equivalents |
|
$ |
93,243 |
|
$ |
96,975 |
|
|
|
|
|
|
|
Total debt: |
|
|
|
|
|
|
|
|
2003 senior credit facility |
|
$ |
427,600 |
|
$ |
427,600 |
|
|
73/8% Senior Subordinated Notes due 2013 |
|
|
133,250 |
|
|
133,250 |
|
|
Other debt and capitalized lease obligations |
|
|
7,466 |
|
|
7,466 |
|
|
|
|
|
|
|
|
|
Total debt |
|
|
568,316 |
|
|
568,316 |
|
|
|
|
|
|
|
Shareholders' equity (deficit): |
|
|
|
|
|
|
|
|
Common stock, par value $0.001, authorized 225,000; issued and outstanding 64,814 actual; 66,519 as adjusted |
|
|
65 |
|
|
67 |
|
|
Additional paid-in capital |
|
|
429,501 |
|
|
463,035 |
|
|
Deferred compensation |
|
|
226 |
|
|
226 |
|
|
Retained deficit |
|
|
(579,101 |
) |
|
(581,927 |
) |
|
Accumulated other comprehensive income |
|
|
8,283 |
|
|
8,283 |
|
|
|
|
|
|
|
|
|
Total shareholders' deficit |
|
|
(141,026 |
) |
|
(110,316 |
) |
|
|
|
|
|
|
|
|
|
Total capitalization |
|
$ |
427,290 |
|
$ |
458,000 |
|
|
|
|
|
|
|
The actual number of shares of our common stock outstanding on March 31, 2004 excludes:
-
- 7,308,120
shares available for future issuance under our stock option plans; and
-
- 2,500,000
shares available for future issuance under our employee stock purchase plan.
The
actual and as adjusted numbers of shares of our common stock outstanding on March 31, 2004 also exclude 10,721,834 and 9,016,676 shares, respectively, issuable upon
exercise of outstanding options.
21
UNAUDITED PRO FORMA CONSOLIDATED FINANCIAL INFORMATION
Our audited consolidated financial statements as of and for the year ended December 31, 2003 and our unaudited condensed consolidated financial statements
as of and for the three months ended March 31, 2004 are included elsewhere in this prospectus. The unaudited pro forma consolidated financial information presented herein should be read
together with those financial statements and related notes and "Management's Discussion and Analysis of Financial Condition and Results of Operations."
The
unaudited pro forma consolidated financial information has been provided to enable readers to understand our historical financial results in relation to our recent recapitalization,
the initial public offering and this offering.
Our
historical March 31, 2004 balance sheet reflects the financial impact of the recapitalization and the initial public offering. We prepared the unaudited pro forma balance
sheet to reflect this offering as if it had occurred on March 31, 2004. We prepared the unaudited pro forma consolidated statements of earnings to reflect the recapitalization, the initial
public offering and this offering as if such events had occurred on January 1, 2003 and January 1, 2004. The pro forma consolidated balance sheet data at March 31, 2004 and
statement of earnings data for fiscal 2003 and the three months ended March 31, 2004 give effect to the 2003 recapitalization, the sale of 3,500,000 shares of our common stock at our initial
public offering price of $30.00 per share, the automatic conversion of all shares of our preferred stock into 19,199,520 shares of our common stock upon the closing of the initial public offering, the
redemption of $71.75 million principal amount of our 73/8% Senior Subordinated Notes due 2013, payment of a bond call premium of $5.3 million related to the redemption,
prepayment of $50.0 million of debt under our senior credit facility, the payment of management bonuses and payroll taxes and other expenses related to the initial public offering of
$19.5 million and the exercise of vested options to purchase 1,705,158 shares of our common stock by the selling shareholders.
Our pro forma statement of earnings for the year ended December 31, 2003 and the three months ended March 31, 2004 excludes non-routine costs and related tax benefits
incurred in connection with the 2003 recapitalization, the initial public offering and this offering for the three months ended March 31, 2004 totaling approximately $86.4 million,
$28.2 million and $3.2 million, respectively, before income taxes.
Certain
information normally included in financial statements prepared in accordance with accounting principles generally accepted in the United States has been omitted pursuant to the
rules and regulations of the Securities and Exchange Commission. The pro forma statement of earnings data is not necessarily indicative of results that would have occurred had the recapitalization,
the initial public offering and this offering been completed on January 1, 2003 and January 1, 2004 and should not be construed as being representative of future results of operations.
Likewise, the pro forma balance sheet data at March 31, 2004 is not necessarily indicative of what our financial position would have been at March 31, 2004 had this offering been
completed on March 31, 2004.
22
KINETIC CONCEPTS, INC. AND SUBSIDIARIES
Pro Forma Consolidated Balance Sheet
(in thousands)
(unaudited)
|
|
March 31, 2004
|
|
|
|
Historical
|
|
IPO and Offering
Adjustments
|
|
Pro Forma
for IPO and
Offering
|
|
Assets: |
|
|
|
|
|
|
|
|
|
|
Current Assets: |
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents |
|
$ |
93,243 |
|
$ |
(3,235 |
)(a) |
$ |
96,975 |
|
|
|
|
|
|
|
6,967 |
(b) |
|
|
|
|
Accounts receivable, net |
|
|
200,034 |
|
|
|
|
|
200,034 |
|
|
Income tax receivable |
|
|
|
|
|
12,185 |
(b) |
|
12,185 |
|
|
Inventories, net |
|
|
30,102 |
|
|
|
|
|
30,102 |
|
|
Deferred income taxes |
|
|
22,925 |
|
|
|
|
|
22,925 |
|
|
Prepaid expenses and other current assets |
|
|
14,421 |
|
|
|
|
|
14,421 |
|
|
|
|
|
|
|
|
|
|
|
Total current assets |
|
|
360,725 |
|
|
15,917 |
|
|
376,642 |
|
|
|
|
|
|
|
|
|
Net property, plant and equipment |
|
|
155,085 |
|
|
|
|
|
155,085 |
|
Loan issuance costs, less accumulated amortization of $1,590 |
|
|
14,931 |
|
|
|
|
|
14,931 |
|
Goodwill |
|
|
48,791 |
|
|
|
|
|
48,791 |
|
Other assets, less accumulated amortization of $8,359 |
|
|
28,741 |
|
|
|
|
|
28,741 |
|
|
|
|
|
|
|
|
|
|
|
$ |
608,273 |
|
$ |
15,917 |
|
$ |
624,190 |
|
|
|
|
|
|
|
|
|
Liabilities and Shareholders' Deficit: |
|
|
|
|
|
|
|
|
|
|
Current liabilities: |
|
|
|
|
|
|
|
|
|
|
|
Accounts payable |
|
$ |
30,719 |
|
$ |
|
|
$ |
30,719 |
|
|
Accrued expenses |
|
|
100,153 |
|
|
|
|
|
100,153 |
|
|
Current installments of long-term debt |
|
|
4,308 |
|
|
|
|
|
4,308 |
|
|
Current installments of capital lease obligations |
|
|
1,536 |
|
|
|
|
|
1,536 |
|
|
Derivative financial instruments |
|
|
4,293 |
|
|
|
|
|
4,293 |
|
|
Income taxes payable |
|
|
14,793 |
|
|
(409 |
)(a) |
|
|
|
|
|
|
|
|
|
(14,384 |
)(b) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total current liabilities |
|
|
155,802 |
|
|
(14,793 |
) |
|
141,009 |
|
|
|
|
|
|
|
|
|
Long-term debt, net of current installments |
|
|
556,842 |
|
|
|
|
|
556,842 |
|
Capital lease obligations, net of current installments |
|
|
1,337 |
|
|
|
|
|
1,337 |
|
Deferred income taxes, net |
|
|
26,191 |
|
|
|
|
|
26,191 |
|
Deferred gain, sale of headquarters facility |
|
|
8,915 |
|
|
|
|
|
8,915 |
|
Other noncurrent liabilities |
|
|
212 |
|
|
|
|
|
212 |
|
|
|
|
|
|
|
|
|
|
|
|
749,299 |
|
|
(14,793 |
) |
|
734,506 |
|
Shareholders' equity (deficit): |
|
|
|
|
|
|
|
|
|
|
|
Common stock; authorized 225,000; issued and outstanding 64,814 actual and 66,519 pro forma |
|
|
65 |
|
|
2 |
(b) |
|
67 |
|
|
Additional paid-in capital |
|
|
429,501 |
|
|
6,965 |
(b) |
|
463,035 |
|
|
|
|
|
|
|
26,569 |
(b) |
|
|
|
|
Deferred compensation |
|
|
226 |
|
|
|
|
|
226 |
|
|
Retained deficit |
|
|
(579,101 |
) |
|
(3,235 |
)(a) |
|
(581,927 |
) |
|
|
|
|
|
|
409 |
(a) |
|
|
|
|
Accumulated other comprehensive income |
|
|
8,283 |
|
|
|
|
|
8,283 |
|
|
|
|
|
|
|
|
|
|
|
Shareholders' deficit |
|
|
(141,026 |
) |
|
30,710 |
|
|
(110,316 |
) |
|
|
|
|
|
|
|
|
|
|
$ |
608,273 |
|
$ |
15,917 |
|
$ |
624,190 |
|
|
|
|
|
|
|
|
|
23
KINETIC CONCEPTS, INC. AND SUBSIDIARIES
Pro Forma Consolidated Statement of Earnings
(in thousands, except per share data)
(unaudited)
|
|
Three Months Ended March 31, 2004
|
|
|
|
Historical
|
|
IPO and Offering Adjustments
|
|
Pro Forma
for IPO and
Offering
|
|
Revenue: |
|
|
|
|
|
|
|
|
|
|
|
Rental |
|
$ |
165,908 |
|
|
|
|
$ |
165,908 |
|
|
Sales |
|
|
58,926 |
|
|
|
|
|
58,926 |
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
|
224,834 |
|
|
|
|
|
224,834 |
|
|
|
|
|
|
|
|
|
Rental expenses |
|
|
105,406 |
|
|
|
|
|
105,406 |
|
Cost of goods sold |
|
|
16,768 |
|
|
|
|
|
16,768 |
|
|
|
|
|
|
|
|
|
|
|
Gross profit |
|
|
102,660 |
|
|
|
|
|
102,660 |
|
Selling, general and administrative expenses |
|
|
48,542 |
|
|
|
|
|
48,542 |
|
Research and development expenses |
|
|
7,119 |
|
|
|
|
|
7,119 |
|
Initial public offering bonuses |
|
|
19,534 |
|
|
(19,534 |
)(c) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating earnings |
|
|
27,465 |
|
|
19,534 |
|
|
46,999 |
|
Interest income |
|
|
371 |
|
|
|
|
|
371 |
|
Interest expense |
|
|
(18,844 |
) |
|
8,634 |
(c) |
|
(7,745 |
) |
|
|
|
|
|
|
2,465 |
(d) |
|
|
|
Foreign currency loss |
|
|
(464 |
) |
|
|
|
|
(464 |
) |
|
|
|
|
|
|
|
|
|
|
Earnings before income taxes |
|
|
8,528 |
|
|
30,633 |
|
|
39,161 |
|
Income taxes |
|
|
3,070 |
|
|
10,140 |
(c) |
|
14,097 |
|
|
|
|
|
|
|
887 |
(e) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings |
|
$ |
5,458 |
|
$ |
19,606 |
|
$ |
25,064 |
|
Series A convertible preferred stock dividends |
|
|
(65,604 |
) |
|
65,604 |
(f) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings available to common shareholders |
|
$ |
(60,146 |
) |
$ |
85,210 |
|
$ |
25,064 |
|
|
|
|
|
|
|
|
|
|
|
Net earnings per share available to common shareholders: |
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic |
|
$ |
(1.19 |
) |
|
|
|
$ |
0.38 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Diluted |
|
$ |
(1.19 |
) |
|
|
|
$ |
0.35 |
|
|
|
|
|
|
|
|
|
|
|
|
Weighted average shares outstanding: |
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic |
|
|
50,332 |
|
|
|
|
|
66,255 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Diluted |
|
|
50,332 |
|
|
|
|
|
71,594 |
|
|
|
|
|
|
|
|
|
|
24
KINETIC CONCEPTS, INC. AND SUBSIDIARIES
Pro Forma Consolidated Statement of Earnings
(in thousands, except per share data)
(unaudited)
|
|
Year Ended December 31, 2003
|
|
|
|
Historical
|
|
Recapitalization
Adjustments
|
|
Pro Forma
for Recapitalization
|
|
IPO and Offering
Adjustments
|
|
Pro Forma for
Recapitalization
and Offerings
|
|
Revenue: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Rental |
|
$ |
582,801 |
|
|
|
|
$ |
582,801 |
|
|
|
|
$ |
582,801 |
|
|
Sales |
|
|
181,035 |
|
|
|
|
|
181,035 |
|
|
|
|
|
181,035 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
|
763,836 |
|
|
|
|
|
763,836 |
|
|
|
|
|
763,836 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Rental expenses |
|
|
356,075 |
|
|
|
|
|
356,075 |
|
|
|
|
|
356,075 |
|
Cost of goods sold |
|
|
64,118 |
|
|
|
|
|
64,118 |
|
|
|
|
|
64,118 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Gross profit |
|
|
343,643 |
|
|
|
|
|
343,643 |
|
|
|
|
|
343,643 |
|
Selling, general and administrative expenses |
|
|
170,614 |
|
|
|
|
|
170,614 |
|
|
|
|
|
170,614 |
|
Research and development expenses |
|
|
23,044 |
|
|
|
|
|
23,044 |
|
|
|
|
|
23,044 |
|
Recapitalization expenses |
|
|
70,085 |
|
|
(70,085 |
)(g) |
|
|
|
|
|
|
|
|
|
Unusual item-litigation settlement (gain) |
|
|
(75,000 |
) |
|
|
|
|
(75,000 |
) |
|
|
|
|
(75,000 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating earnings |
|
|
154,900 |
|
|
70,085 |
|
|
224,985 |
|
|
|
|
|
224,985 |
|
Interest income |
|
|
1,065 |
|
|
|
|
|
1,065 |
|
|
|
|
|
1,065 |
|
Interest expense |
|
|
(52,098 |
) |
|
16,302 |
(g) |
|
(42,005 |
) |
|
10,001 |
(d) |
|
(32,004 |
) |
|
|
|
|
|
|
35,796 |
(h) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(42,005 |
)(i) |
|
|
|
|
|
|
|
|
|
Foreign currency gain |
|
|
7,566 |
|
|
|
|
|
7,566 |
|
|
|
|
|
7,566 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earnings before income taxes |
|
|
111,433 |
|
|
80,178 |
|
|
191,611 |
|
|
10,001 |
|
|
201,612 |
|
Income taxes |
|
|
41,787 |
|
|
32,395 |
(g) |
|
71,854 |
|
|
3,750 |
(e) |
|
75,604 |
|
|
|
|
|
|
|
(2,328 |
)(j) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings |
|
$ |
69,646 |
|
$ |
50,111 |
|
$ |
119,757 |
|
$ |
6,251 |
|
$ |
126,008 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Series A convertible preferred stock dividends |
|
|
(9,496 |
) |
|
9,496 |
(k) |
|
(25,128 |
) |
|
24,485 |
(f) |
|
|
|
|
|
|
|
|
|
(24,485 |
)(l) |
|
|
|
|
643 |
(f) |
|
|
|
|
|
|
|
|
|
(643 |
)(m) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings available to common shareholders |
|
$ |
60,150 |
|
$ |
34,479 |
|
$ |
94,629 |
|
$ |
31,379 |
|
$ |
126,008 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings per share available to common shareholders: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic |
|
$ |
1.03 |
|
|
|
|
$ |
2.30 |
|
|
|
|
$ |
1.92 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Diluted |
|
$ |
.93 |
|
|
|
|
$ |
1.81 |
|
|
|
|
$ |
1.76 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted average shares outstanding: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic |
|
|
58,599 |
|
|
|
|
|
41,149 |
|
|
|
|
|
65,553 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Diluted |
|
|
64,493 |
(n) |
|
|
|
|
66,041 |
|
|
|
|
|
71,653 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
25
Notes to unaudited pro forma consolidated statements of operations
The following adjustments were applied to our consolidated statement of earnings for the year ended December 31, 2003 and three months ended
March 31, 2004 and to our consolidated balance sheet as of March 31, 2004.
- (a)
- Amounts
reflect the payment of approximately $3.2 million of certain expenses related to this offering and related tax effect of $409,000. These expenses include legal and
accounting fees along with employer payroll taxes and exclude underwriting commissions and discounts, which will be paid by the selling shareholders. These expenses have been reflected in our pro
forma balance sheet, but have not been reflected in our pro forma statements of earnings as there is no continuing impact on operations.
- (b)
- Amounts
reflect the exercise of options to purchase 1,705,158 shares of our common stock by the selling shareholders. We expect to receive $7.0 million in cash for the
payment of the strike price associated with these options. Additionally, we expect to receive a tax benefit totaling $26.6 million related to the exercise of these options, which we expect to
realize through lower future cash tax payments.
- (c)
- Amounts
reflect the elimination of non-routine costs incurred in connection with the initial public offering totaling $28.2 million, before taxes. Of the
$28.2 million, $19.5 million is recorded as initial public offering bonuses and consists of bonuses totaling approximately $19.3 million, including related employer payroll taxes,
paid to employees and approximately $260,000 of professional fees. The remaining $8.6 million is recorded as interest expense and includes a $5.3 million bond call premium related to the
redemption of $71.75 million of our 73/8% Senior Subordinated Notes due 2013 and the write-off of loan issuance fees totaling $3.3 million related to the
redemption of such notes and the prepayment of $50.0 million of debt under our senior credit facility. We recorded a tax benefit associated with these initial public offering expenses totaling
$10.1 million. These initial public offering expenses and the related tax benefit have been excluded from our pro forma results as there is no continuing impact on operations.
- (d)
- Amount
reflects the reduction in interest expense that would be recorded assuming a reduction in debt outstanding as of the beginning of the applicable year under the senior credit
facility and the 73/8% Senior Subordinated Notes due 2013 of approximately $50.0 million and $71.75 million, respectively.
- (e)
- Amount
represents estimated increased tax expense from reduced interest expense as a result of the repayment of debt at our fiscal 2003 effective tax rate of 37.5% and our first
quarter 2004 effective tax rate of 36%, as applicable.
- (f)
- Amount
reflects the reversal of preferred stock dividends and reversal of amortization of preferred stock beneficial conversion feature, discount and issuance costs assuming the
initial public offering was consummated on January 1 of the applicable year, resulting in the conversion of the preferred stock upon the closing of the initial public offering.
- (g)
- Amounts
reflect the elimination of non-routine expenses of $86.4 million, before taxes, and related tax benefit of $32.4 million incurred in connection with
the recapitalization. Of the total $86.4 million, $70.1 million is recorded as recapitalization expenses. The $70.1 million includes $67.5 million related to compensation
expense for the repurchase, or cash settlement of vested options, and $2.6 million related to miscellaneous fees and expenses associated with the share repurchase. The remaining
$16.3 million is recorded as interest expense, which includes a $9.6 million early redemption premium and an approximately $1.5 million consent fee related to the redemption of
the 95/8% Senior Subordinated Notes due 2007 along with the non-cash write off of $5.2 million of debt issuance costs associated with our previously existing senior
credit facility and the 95/8% Senior Subordinated Notes due 2007. We recorded a tax benefit associated
26
27
SELECTED CONSOLIDATED FINANCIAL DATA
The following tables summarize our consolidated financial data for the periods presented. You should read the following financial information together with the
information under "Management's Discussion and Analysis of Financial Condition and Results of Operations" and our consolidated financial statements and the notes to those consolidated financial
statements appearing elsewhere in this prospectus. The selected consolidated balance sheet data for fiscal 2002 and 2003 and the selected consolidated statement of earnings data for fiscal 2001, 2002
and 2003 are derived from our audited consolidated financial statements included elsewhere in this prospectus. The selected consolidated financial data for fiscal 1999 and 2000 and the selected
consolidated balance sheet data for fiscal 2001 are derived from our audited consolidated financial statements not included in this prospectus. The unaudited condensed consolidated balance sheet data
as of March 31, 2003 and 2004 and the unaudited condensed consolidated statement of earnings data for the three months ended March 31, 2003 and 2004 have been prepared on a basis
consistent with our audited financial statements and include all adjustments, consisting only of normal recurring adjustments, we consider necessary for the fair presentation of the information.
Operating results for the three months ended March 31, 2004 are not necessarily indicative of results that may be expected for the entire year ending December 31, 2004. Reclassifications
have been made to our results from prior years to conform to our current presentation.
The
pro forma consolidated statement of earnings data for the year ended December 31, 2003 and the three months ended March 31, 2004 gives effect to the 2003
recapitalization, the initial public offering and this offering as if these transactions had occurred on January 1, 2003 and January 1, 2004, respectively. For more information regarding
our 2003 recapitalization, see note 2 of the notes to our consolidated financial statements included elsewhere in this prospectus. The pro forma, as adjusted, consolidated balance sheet data at
March 31, 2004 gives effect to this offering as if it had occurred on March 31, 2004 (see "Unaudited Pro Forma Consolidated Financial Information" and related notes included elsewhere in
this prospectus). The pro forma statements of earnings are not necessarily indicative of results that would have occurred had the recapitalization, the initial public offering and this offering been
completed on January 1, 2003 and January 1, 2004 and should not be construed as being representative of future results of operations. Likewise, the pro forma, as adjusted, balance sheet
data at March 31, 2004 is not necessarily indicative of what our financial position would have been had this offering been completed on March 31, 2004. Certain information normally
included in financial statements prepared in accordance with accounting principles generally accepted in the United States has been omitted pursuant to the rules and regulations of the Securities and
Exchange Commission.
28
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Pro Forma(9)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended
March 31,
|
|
|
|
Year Ended December 31,
|
|
|
|
Three Months
Ended
March 31,
2004
|
|
|
|
Year
Ended
December 31, 2003
|
|
|
|
1999
|
|
2000(1)
|
|
2001
|
|
2002
|
|
2003
|
|
2003
|
|
2004
|
|
|
|
(in thousands)
|
|
Consolidated Statement of Operations Data: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenue: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Rental |
|
$ |
245,983 |
|
$ |
274,331 |
|
$ |
361,634 |
|
$ |
453,061 |
|
$ |
582,801 |
|
$ |
129,442 |
|
$ |
165,908 |
|
$ |
582,801 |
|
$ |
165,908 |
|
|
Sales |
|
|
74,249 |
|
|
77,701 |
|
|
94,313 |
|
|
127,371 |
|
|
181,035 |
|
|
37,561 |
|
|
58,926 |
|
|
181,035 |
|
|
58,926 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
|
320,232 |
|
|
352,032 |
|
|
455,947 |
|
|
580,432 |
|
|
763,836 |
|
|
167,003 |
|
|
224,834 |
|
|
763,836 |
|
|
224,834 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Rental expenses |
|
|
167,397 |
|
|
176,392 |
|
|
220,485 |
|
|
276,476 |
|
|
356,075 |
|
|
79,379 |
|
|
105,406 |
|
|
356,075 |
|
|
105,406 |
|
Cost of goods sold |
|
|
29,811 |
|
|
29,645 |
|
|
32,952 |
|
|
51,824 |
|
|
64,118 |
|
|
13,645 |
|
|
16,768 |
|
|
64,118 |
|
|
16,768 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Gross profit |
|
|
123,024 |
|
|
145,995 |
|
|
202,510 |
|
|
252,132 |
|
|
343,643 |
|
|
73,979 |
|
|
102,660 |
|
|
343,643 |
|
|
102,660 |
|
Selling, general and administrative expenses |
|
|
67,032 |
|
|
72,521 |
|
|
100,562 |
|
|
123,964 |
|
|
170,614 |
|
|
36,481 |
|
|
48,542 |
|
|
170,614 |
|
|
48,542 |
|
Research and development expenses |
|
|
8,176 |
|
|
7,773 |
|
|
14,226 |
|
|
18,749 |
|
|
23,044 |
|
|
4,425 |
|
|
7,119 |
|
|
23,044 |
|
|
7,119 |
|
Initial public offering bonuses(2) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
19,534 |
|
|
|
|
|
|
|
Recapitalization expenses(3) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
70,085 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Unusual item-litigation settlement (gain)(4) |
|
|
|
|
|
|
|
|
|
|
|
(173,250 |
) |
|
(75,000 |
) |
|
|
|
|
|
|
|
(75,000 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating earnings |
|
|
47,816 |
|
|
65,701 |
|
|
87,682 |
|
|
282,669 |
|
|
154,900 |
|
|
33,073 |
|
|
27,465 |
|
|
224,985 |
|
|
46,999 |
|
Interest income |
|
|
348 |
|
|
897 |
|
|
280 |
|
|
496 |
|
|
1,065 |
|
|
400 |
|
|
371 |
|
|
1,065 |
|
|
371 |
|
Interest expense(5) |
|
|
(46,502 |
) |
|
(48,635 |
) |
|
(45,116 |
) |
|
(40,943 |
) |
|
(52,098 |
) |
|
(8,178 |
) |
|
(18,844 |
) |
|
(32,004 |
) |
|
(7,745 |
) |
Foreign currency gain (loss) |
|
|
(1,356 |
) |
|
(2,358 |
) |
|
(1,638 |
) |
|
3,935 |
|
|
7,566 |
|
|
1,788 |
|
|
(464 |
) |
|
7,566 |
|
|
(464 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earnings before income taxes |
|
|
306 |
|
|
15,605 |
|
|
41,208 |
|
|
246,157 |
|
|
111,433 |
|
|
27,083 |
|
|
8,528 |
|
|
201,612 |
|
|
39,161 |
|
Income taxes |
|
|
620 |
|
|
6,476 |
|
|
17,307 |
|
|
96,001 |
|
|
41,787 |
|
|
10,156 |
|
|
3,070 |
|
|
75,604 |
|
|
14,097 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings (loss) |
|
$ |
(314 |
) |
$ |
9,129 |
|
$ |
23,901 |
|
$ |
150,156 |
|
$ |
69,646 |
|
$ |
16,927 |
|
$ |
5,458 |
|
$ |
126,008 |
|
$ |
25,064 |
|
Series A convertible preferred stock dividends |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(9,496 |
) |
|
|
|
|
(65,604 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings (loss) available to common shareholders |
|
$ |
(314 |
) |
$ |
9,129 |
|
$ |
23,901 |
|
$ |
150,156 |
|
$ |
60,150 |
|
$ |
16,927 |
|
$ |
(60,146 |
) |
$ |
126,008 |
|
$ |
25,064 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings (loss) per share available to common shareholders |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic |
|
$ |
(0.00 |
) |
$ |
0.13 |
|
$ |
0.34 |
|
$ |
2.12 |
|
$ |
1.03 |
|
$ |
0.24 |
|
$ |
(1.19 |
) |
$ |
1.92 |
|
$ |
0.38 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Diluted |
|
$ |
(0.00 |
) |
$ |
0.12 |
|
$ |
0.32 |
|
$ |
1.93 |
|
$ |
0.93 |
|
$ |
0.21 |
|
$ |
(1.19 |
) |
$ |
1.76 |
|
$ |
0.35 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted average shares outstanding |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic |
|
|
70,915 |
|
|
70,915 |
|
|
70,917 |
|
|
70,927 |
|
|
58,599 |
|
|
70,995 |
|
|
50,332 |
|
|
65,553 |
|
|
66,255 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Diluted(6) |
|
|
73,254 |
|
|
73,219 |
|
|
73,996 |
|
|
77,662 |
|
|
64,493 |
|
|
79,861 |
|
|
50,332 |
|
|
71,653 |
|
|
71,594 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
As of December 31,
|
|
As of March 31,
|
|
|
|
|
|
Pro Forma
As Adjusted(10)
March 31, 2004
|
|
|
|
1999
|
|
2000
|
|
2001
|
|
2002
|
|
2003
|
|
2003
|
|
2004
|
|
|
|
(in thousands)
|
|
Consolidated Balance Sheet Data: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents |
|
$ |
7,362 |
|
$ |
2,139 |
|
$ |
199 |
|
$ |
54,485 |
|
$ |
156,064 |
|
$ |
137,191 |
|
$ |
93,243 |
|
$ |
96,975 |
|
Working capital(7) |
|
|
62,482 |
|
|
40,411 |
|
|
100,335 |
|
|
254,813 |
|
|
227,596 |
|
|
158,052 |
|
|
204,923 |
|
|
235,633 |
|
Total assets |
|
|
283,261 |
|
|
288,091 |
|
|
343,193 |
|
|
618,059 |
|
|
665,096 |
|
|
539,595 |
|
|
608,273 |
|
|
624,190 |
|
Total debt(8) |
|
|
502,780 |
|
|
489,119 |
|
|
509,540 |
|
|
523,443 |
|
|
688,229 |
|
|
416,752 |
|
|
568,316 |
|
|
568,316 |
|
Series A convertible preferred stock |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
261,719 |
|
|
|
|
|
|
|
|
|
|
Total shareholders' deficit |
|
|
(264,735 |
) |
|
(257,953 |
) |
|
(236,325 |
) |
|
(80,436 |
) |
|
(507,254 |
) |
|
(61,745 |
) |
|
(141,026 |
) |
|
(110,316 |
) |
29
- (1)
- In
December 2000, we began reporting international results on a current-month basis. As a result of this change, the 2000 fiscal year included a 13th monthly period for the
international segment which increased reported revenue and operating earnings by approximately $8.0 million and $1.1 million, respectively.
- (2)
- Initial
public offering bonuses include bonuses paid to our management from the net proceeds of our initial public offering.
- (3)
- Recapitalization
expenses include non-interest related expenses incurred in connection with our 2003 recapitalization. See note 2 to our consolidated financial statements
included elsewhere in this prospectus for additional information about our 2003 recapitalization.
- (4)
- Amounts
for fiscal 2002 include accrual in connection with the first installment payment of $175.0 million ($173.3 million, net of expenses of $1.7 million) as
part of the antitrust settlement. Amounts for fiscal 2003 include the second and final payment of $75.0 million under this litigation settlement. See Note 16 of the Notes to Consolidated
Financial Statements included elsewhere in this prospectus for discussion of the antitrust settlement.
- (5)
- Amounts
for fiscal 2003 include an aggregate of $16.3 million in expense for the redemption premium and consent fee paid in connection with the redemption of our
previously-existing 95/8% Senior Subordinated Notes due 2007 combined with the write off of unamortized loan issuance costs associated with the previously-existing senior credit
facility. Amounts for three months ended March 31, 2004 include an aggregate of $8.6 million in expense incurred in connection with our initial public offering, including a bond call
premium of $5.3 million incurred in connection with the redemption of $71.75 million of our outstanding 73/8% Senior Subordinated Notes due 2013 and $3.3 million of
loan issuance costs that we wrote off related to the retirement of debt.
- (6)
- Dilutive
potential common shares from preferred stock conversion totaling 7,522,004 shares have been excluded from the diluted earnings per share calculation for the year ended
December 31, 2003, due to their antidilutive effect. Due to their antidilutive effect, 5,934,824 dilutive potential common shares from stock options and 12,026,073 dilutive potential common
shares from preferred stock conversion have been excluded from the diluted weighted average shares calculation for the three-month period ended March 31, 2004.
- (7)
- Working
capital represents total current assets less total current liabilities.
- (8)
- Total
debt equals current and long-term debt, capital lease obligations and our liability associated with interest rate swaps.
- (9)
- Pro
forma gives effect to the 2003 recapitalization, and the initial public offering and this offering for both fiscal 2003 and for the three months ended March 31, 2004 as
follows:
-
- the
exclusion of $86.4 million, $28.2 million and $3.2 million of non-routine costs and related tax effects with the 2003 recapitalization, our initial
public offering and this offering, respectively;
-
- the
inclusion of the sale by us of 3,500,000 shares of our common stock in connection with our initial public offering at an offering price of $30.00 per share;
-
- the
automatic conversion of all our preferred stock into 19,199,520 shares of our common stock upon the closing of our initial public offering;
-
- the
impact of using a portion of the net proceeds generated from our initial public offering, together with cash on hand, to redeem $71.75 million principal amount of
our 73/8% Senior Subordinated Notes due 2013, pay a bond call premium of $5.3 million in connection with the redemption, prepay $50.0 million of debt under our senior
credit facility and pay management bonuses, payroll taxes and other expenses related to the initial public offering of $19.5 million; and
-
- the
exercise of options to purchase 1,705,158 shares of our common stock by the selling shareholders in this offering.
- (10)
- The
pro forma, as adjusted, balance sheet at March 31, 2004 represents our historical balance sheet at March 31, 2004, which includes the effects of the 2003
recapitalization and the initial public offering adjusted to give effect to the tax benefit and cash proceeds from the exercise of options to purchase 1,705,158 shares of our common stock by
the selling shareholders along with an estimated $3.2 million in non-recurring costs and related tax effect incurred in connection with this offering as if it had occurred on March 31,
2004. The pro forma, as adjusted, balance sheet at March 31, 2004 includes all non-recurring costs associated with this offering.
30
MANAGEMENT'S DISCUSSION AND ANALYSIS OF
FINANCIAL CONDITION AND RESULTS OF OPERATIONS
The following discussion should be read in conjunction with the consolidated financial statements and related notes appearing in this prospectus. The following
discussion contains forward-looking statements that reflect our plans, estimates and beliefs. Our actual results could differ materially from those discussed in the forward-looking statements. Factors
that could cause or contribute to these differences include, but are not limited to, those discussed under "Risk Factors".
General
Kinetic Concepts, Inc. is a global medical technology company with leadership positions in advanced wound care and therapeutic surfaces. We design,
manufacture, market and service a wide range of proprietary products which can significantly improve clinical outcomes while reducing the overall cost of patient care by accelerating the healing
process or preventing complications. We derive our revenue from the rental and sale of products in two primary categories: Advanced Wound Care and Therapeutic Surfaces. Our advanced wound care systems
incorporate our proprietary V.A.C. technology, which has been clinically demonstrated to promote wound healing and reduce the cost of treating patients with difficult-to-treat
wounds. Our therapeutic surfaces, including specialty hospital beds, mattress replacement systems and overlays, are designed to address complications associated with immobility and obesity, such as
pressure sores and pneumonia. From 2000 to 2003, we increased revenue at a compound annual growth rate of 29.5%. Our revenue for the three months ended March 31, 2004 increased 34.6% as
compared to the three months ended March 31, 2003.
We
have direct operations in the United States, Canada, Europe, Australia, Asia and South Africa, and we conduct additional business through distributors in Latin America, the Middle
East, Eastern Europe and Asia. We manage our business in two geographical segments, USA and International. In the United States, which accounted for 75.6% of our revenue for the three months ended
March 31, 2004, we have a substantial presence in all care settings. In the U.S. acute and extended care settings, which accounted for more than half of our domestic revenue, we bill our
customers, such as hospitals and extended care facilities, directly. In the U.S. home care setting, where our revenue comes predominantly from V.A.C. systems, we provide products and services directly
to patients and we bill third-party payers, such as Medicare and private insurance. Internationally, substantially all of our revenue is generated from the acute care setting. Only a small portion of
international V.A.C. revenue comes from home care. However, if we are able to gain home care reimbursement for V.A.C. therapy
with third-party payers in Europe and other international locations, we believe revenue from the home care market will increase.
Since
the fourth quarter of 2000, our growth has been driven primarily by increased revenue from V.A.C. system rentals and sales, which accounted for approximately 63.1% of total revenue
in 2003, up from 54.0% in 2002. V.A.C. system rentals and sales, accounted for approximately 66.0% of total revenue for the three months ended March 31, 2004, up from 58.8% for the three months
ended March 31, 2003. We expect V.A.C. growth and the percentage of total revenue from V.A.C. rentals and sales to continue to increase, as it has in each of the last three years.
For
2003 and the three months ended March 31, 2004, worldwide V.A.C. revenue from the combined acute and extended care settings grew 56.9% and 54.0%, respectively, and V.A.C.
revenue from the home care setting grew 49.8% and 47.2% as compared to 2002 and the three months ended March 31, 2003, respectively. The home care market accounted for 43.9% of V.A.C. revenue
and 27.7% of our total revenue for 2003. For the three months ended March 31, 2004, the home care market accounted for 42.8% of V.A.C. revenue and 28.3% of our total revenue. V.A.C. systems
used in the home are reimbursed by government insurance (Medicare and Medicaid), private insurance and managed care organization payers.
31
We
believe that the key factors underlying V.A.C. growth over the past year have been:
-
- Encouraging
market expansion by adding new wound type indications for V.A.C. use and increasing the percentage of wounds that are considered good candidates for V.A.C.
therapy. Recent examples of advances include the use of V.A.C. in open abdominal wounds, sternotomies and highly-infected wounds.
-
- Expanding
our contractual relationships with third-party payers. We have increased the number of reported lives that we have under contract with private insurance and
managed care organizations from fewer than 20 million in mid-2000 to approximately 169 million as of April 30, 2004.
-
- Improving
V.A.C.'s penetration of customers and physicians, both in terms of the number of users and the extent of use by each customer or physician.
Over
the last three years, we have focused our marketing and selling efforts on increasing physician awareness of the benefits of V.A.C. therapy. These efforts are targeted at physician
specialties that provide care to the majority of patients with wounds in our target categories. Within these specialties, we focus on those clinicians with the largest wound patient populations. Over
time, we have added new specialties as awareness in our initial priority groups begin to approach appropriate levels. Aided awareness of the V.A.C. in our first tier of physician specialties averages
over 90%. We will continue to focus on expanding unaided awareness in these groups.
Continuous
enhancements in product portfolio and positioning are important to our continued growth and market penetration. In 2003 and the first quarter of 2004, we benefited from the
continuing rollout of the new V.A.C.ATS and the V.A.C. Freedom, which began in 2002. These advanced technology systems have significantly increased customer acceptance and value
perception. We have also benefited from the introduction of three new dressing systems designed to improve ease-of-use and effectiveness in treating pressure ulcers and serious
abdominal wounds.
At
the same time, ongoing clinical experience and studies have increased market acceptance of V.A.C. and expanded the range of wounds considered to be good candidates for V.A.C. therapy.
We believe this growing base of data and clinical experience is driving the trend toward use of the V.A.C. on a routine basis for appropriate wounds.
Our
other major product category, therapeutic surfaces, has been a stable revenue generating line of business for the last three years. Therapeutic surfaces/other revenue accounted for
approximately $282.0 million in revenue in 2003, up from $267.0 million in 2002. Therapeutic surfaces/other revenue accounted for approximately $76.5 million in revenue in the
first quarter of 2004, up from $68.8 million in the prior-year period. We expect our therapeutic surface business to remain stable, supported by increased demand for our bariatric
line of products and our other higher end products due to changing patient demographics, together with the introductions of new high end products and enhancements to existing products.
Recent Developments
On February 27, 2004, we completed an initial public offering of our common stock, through which we sold 3.5 million newly-issued shares and the
selling shareholders in the initial public offering sold an aggregate of 17.2 million existing shares at a price of $30.00 per share. Net proceeds from the initial public offering to us totaled
$94.4 million. The net proceeds, along with cash on hand, were used to redeem $71.75 million of our 73/8% Senior Subordinated Notes due 2013, pay a bond call premium of
$5.3 million in connection with the redemption, prepay $50.0 million of debt under our senior credit facility, and pay management bonuses, payroll taxes and other expenses related to the
initial public offering of
32
$19.5 million.
In March 2004, we wrote off $3.3 million in loan issuance costs associated with the retirement of our debt.
As
a result of our initial public offering, the holders of our then-outstanding Series A convertible preferred stock received cumulative preferred dividends
paid-in-kind through December 31, 2005 of $65.6 million, and immediately thereafter, all of the then-outstanding shares of preferred stock were
automatically converted into 19,199,520 shares of common stock.
Three Months Ended March 31, 2004
On May 5, 2004 we released our financial results for the three months ended March 31, 2004. Total revenue was $224.8 million, representing a
34.6% increase over revenue of $167.0 million for the three months ended March 31, 2003. Total V.A.C. revenue was $148.3 million for the three months ended March 31, 2004,
representing a 51.0% increase over revenue of $98.2 million for the three months ended March 31, 2003. Total therapeutic surfaces/other revenue was $76.5 million for the three
months ended March 31, 2004, representing an 11.2% increase over revenue of $68.8 million for the three months ended March 31, 2003.
Net
earnings for the three months ended March 31, 2004, excluding initial public offering related costs and expenses, were $23.5 million, or $0.34 per diluted share,
representing a 38.7% increase over net earnings of $16.9 million, or $0.21 per diluted share, for the three months ended March 31, 2003.
On June 1, 2004, we prepaid $30.0 million of our senior credit facility and during 2004 we have repurchased an aggregate of $106.1 million
principal amount of our 73/8% Senior Subordinated Notes due 2013, which has brought our total debt reduction under our senior credit facility and our 73/8% Senior
Subordinated Notes due 2013 to $186.1 million during 2004.
Results of Operations
Three Months ended March 31, 2004 and 2003
Non-GAAP Financial Information. In this prospectus, we have presented income statement items on an adjusted basis
to exclude the impact of our initial public offering completed in the three months ended March 31, 2004. These adjusted non-GAAP financial measures do not replace the presentation
of our GAAP financial results. We have provided this supplemental non-GAAP information because it provides meaningful information regarding our results on a consistent and comparable basis
for the periods presented. Management uses this non-GAAP financial information for reviewing the operating results of its business segments and for analyzing potential future business
trends in connection with its budget process. In addition, we believe investors utilize the information to evaluate period-to-period results and to attempt to understand
potential future operating results.
The
following table sets forth, for the first quarter of the indicated year, (1) the percentage relationship of each item to total revenue as well as the change in each line item
as compared to the first
33
quarter
of the prior year and (2) a reconciliation of initial public offering-related adjustments to GAAP (dollars in thousands):
|
|
Revenue Relationship
|
|
Variance
|
|
|
|
|
|
2004
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Excluding IPO Costs and Expenses
|
|
Increase (Decrease)
|
|
|
|
|
|
|
|
IPO Related
Costs and
Expenses
|
|
|
|
2003
|
|
Reported
|
|
$
|
|
%
|
|
Revenue: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Rental |
|
78 |
% |
74 |
% |
|
% |
74 |
% |
$ |
36,466 |
|
28.2 |
% |
|
Sales |
|
22 |
|
26 |
|
|
|
26 |
|
|
21,365 |
|
56.9 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
100 |
|
100 |
|
|
|
100 |
|
|
57,831 |
|
34.6 |
|
Rental expenses |
|
47 |
|
47 |
|
|
|
47 |
|
|
26,027 |
|
32.8 |
|
Cost of goods sold |
|
8 |
|
7 |
|
|
|
7 |
|
|
3,123 |
|
22.9 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Gross profit |
|
45 |
|
46 |
|
|
|
46 |
|
|
28,681 |
|
38.8 |
|
Selling, general and administrative expenses |
|
22 |
|
22 |
|
|
|
22 |
|
|
12,061 |
|
33.1 |
|
Research and development expenses |
|
3 |
|
3 |
|
|
|
3 |
|
|
2,694 |
|
60.9 |
|
Initial public offering bonuses |
|
|
|
9 |
|
(9 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating earnings |
|
20 |
|
12 |
|
9 |
|
21 |
|
|
13,926 |
|
42.1 |
|
Interest income |
|
|
|
|
|
|
|
|
|
|
(29 |
) |
(7.3 |
) |
Interest expense |
|
(5 |
) |
(8 |
) |
4 |
|
(4 |
) |
|
(2,032 |
) |
(24.8 |
) |
Foreign currency gain (loss) |
|
1 |
|
|
|
|
|
|
|
|
(2,252 |
) |
(126.0 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earnings before income taxes |
|
16 |
|
4 |
|
13 |
|
17 |
|
|
9,613 |
|
35.5 |
|
Income taxes |
|
6 |
|
2 |
|
5 |
|
7 |
|
|
3,054 |
|
30.1 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings |
|
10 |
% |
2 |
% |
8 |
% |
10 |
% |
$ |
6,559 |
|
38.7 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
34
KINETIC CONCEPTS, INC. AND SUBSIDIARIES
Condensed Consolidated Statement of Earnings
For the Three Months ended March 31,
(in thousands, except per share data)
(unaudited)
|
|
|
|
2004
|
|
|
|
|
|
2003
|
|
Reported
|
|
IPO Costs and
Expenses
|
|
Excluding
IPO Costs and
Expenses
|
|
%
Change(1)
|
|
Revenue: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Rental |
|
$ |
129,442 |
|
$ |
165,908 |
|
$ |
|
|
$ |
165,908 |
|
28.2 |
% |
|
Sales |
|
|
37,561 |
|
|
58,926 |
|
|
|
|
|
58,926 |
|
56.9 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
|
167,003 |
|
|
224,834 |
|
|
|
|
|
224,834 |
|
34.6 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
Rental expenses |
|
|
79,379 |
|
|
105,406 |
|
|
|
|
|
105,406 |
|
32.8 |
% |
Cost of goods sold |
|
|
13,645 |
|
|
16,768 |
|
|
|
|
|
16,768 |
|
22.9 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Gross profit |
|
|
73,979 |
|
|
102,660 |
|
|
|
|
|
102,660 |
|
38.8 |
% |
Selling, general and administrative expenses |
|
|
36,481 |
|
|
48,542 |
|
|
|
|
|
48,542 |
|
33.1 |
% |
Research and development expenses |
|
|
4,425 |
|
|
7,119 |
|
|
|
|
|
7,119 |
|
60.9 |
% |
Initial public offering bonuses |
|
|
|
|
|
19,534 |
|
|
(19,534 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating earnings |
|
|
33,073 |
|
|
27,465 |
|
|
19,534 |
|
|
46,999 |
|
42.1 |
% |
Interest income |
|
|
400 |
|
|
371 |
|
|
|
|
|
371 |
|
(7.3 |
)% |
Interest expense |
|
|
(8,178 |
) |
|
(18,844 |
) |
|
8,634 |
|
|
(10,210 |
) |
(24.8 |
)% |
Foreign currency gain (loss) |
|
|
1,788 |
|
|
(464 |
) |
|
|
|
|
(464 |
) |
(126.0 |
)% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earnings before income taxes |
|
|
27,083 |
|
|
8,528 |
|
|
28,168 |
|
|
36,696 |
|
35.5 |
% |
Income taxes |
|
|
10,156 |
|
|
3,070 |
|
|
10,140 |
|
|
13,210 |
|
30.1 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings |
|
$ |
16,927 |
|
$ |
5,458 |
|
$ |
18,028 |
|
$ |
23,486 |
|
38.7 |
% |
Series A convertible preferred stock dividends |
|
|
|
|
|
(65,604 |
) |
|
65,604 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings (loss) available to common shareholders |
|
$ |
16,927 |
|
$ |
(60,146 |
) |
$ |
83,632 |
|
$ |
23,486 |
|
38.7 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings (loss) per share available to common shareholders: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic |
|
$ |
0.24 |
|
$ |
(1.19 |
) |
|
|
|
$ |
0.47 |
|
95.8 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Diluted |
|
$ |
0.21 |
|
$ |
(1.19 |
) |
|
|
|
$ |
0.34 |
|
61.9 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted average shares outstanding: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic |
|
|
70,995 |
|
|
50,332 |
|
|
|
|
|
50,332 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Diluted(2) |
|
|
79,861 |
|
|
50,332 |
|
|
|
|
|
68,293 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
- (1)
- Percentage
change reflects the percentage variance between the 2004 results, excluding initial public offering related costs and expenses, and the 2003 results.
- (2)
- Due
to their antidilutive effect, 5,934,824 dilutive potential common shares from stock options and 12,026,073 dilutive potential common shares from preferred stock conversion have
been excluded from the diluted weighted average shares calculation for the three months ended March 31, 2004.
35
Total Revenue. Total revenue in the first quarter of 2004 was $224.8 million, an increase of $57.8 million, or
34.6%, from the prior-year period. Excluding the effects of foreign currency exchange movements, net revenue for the first quarter increased 30.3% over the prior year primarily due to
increased rental and sales volumes for V.A.C. wound healing devices and related disposables resulting from increased market penetration and product awareness. The growth in V.A.C. was bolstered by the
national availability of the V.A.C.ATS and V.A.C. Freedom in the first quarter of 2004, increased physician awareness of the benefits of V.A.C. therapy, and increased product adoption
across wound types. Our revenue is divided between two primary operating segments, USA and International. The following table sets forth, for the periods indicated, the amount of revenue derived from
each of these segments (dollars in thousands):
|
|
Three months ended March 31,
|
|
|
|
|
|
|
|
Variance
|
|
|
|
2003
|
|
2004
|
|
$
|
|
%
|
|
USA |
|
|
|
|
|
|
|
|
|
|
|
|
|
V.A.C. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Rental |
|
$ |
65,288 |
|
$ |
89,907 |
|
$ |
24,619 |
|
37.7 |
% |
|
|
Sales |
|
|
17,092 |
|
|
31,682 |
|
|
14,590 |
|
85.4 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total V.A.C. |
|
|
82,380 |
|
|
121,589 |
|
|
39,209 |
|
47.6 |
|
|
Therapeutic surfaces/other |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Rental |
|
|
37,862 |
|
|
39,801 |
|
|
1,939 |
|
5.1 |
|
|
|
Sales |
|
|
7,386 |
|
|
8,551 |
|
|
1,165 |
|
15.8 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total therapeutic surfaces/other |
|
|
45,248 |
|
|
48,352 |
|
|
3,104 |
|
6.9 |
|
|
Total USA rental |
|
|
103,150 |
|
|
129,708 |
|
|
26,558 |
|
25.7 |
|
|
Total USA sales |
|
|
24,478 |
|
|
40,233 |
|
|
15,755 |
|
64.4 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SubtotalUSA |
|
|
127,628 |
|
|
169,941 |
|
|
42,313 |
|
33.2 |
% |
|
|
|
|
|
|
|
|
|
|
International |
|
|
|
|
|
|
|
|
|
|
|
|
|
V.A.C. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Rental |
|
$ |
7,818 |
|
$ |
13,374 |
|
$ |
5,556 |
|
71.1 |
% |
|
|
Sales |
|
|
8,006 |
|
|
13,347 |
|
|
5,341 |
|
66.7 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total V.A.C. |
|
|
15,824 |
|
|
26,721 |
|
|
10,897 |
|
68.9 |
|
|
Therapeutic surfaces/other |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Rental |
|
|
18,474 |
|
|
22,826 |
|
|
4,352 |
|
23.6 |
|
|
|
Sales |
|
|
5,077 |
|
|
5,346 |
|
|
269 |
|
5.3 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total therapeutic surfaces/other |
|
|
23,551 |
|
|
28,172 |
|
|
4,621 |
|
19.6 |
|
|
Total International rental |
|
|
26,292 |
|
|
36,200 |
|
|
9,908 |
|
37.7 |
|
|
Total International sales |
|
|
13,083 |
|
|
18,693 |
|
|
5,610 |
|
42.9 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SubtotalInternational |
|
$ |
39,375 |
|
$ |
54,893 |
|
$ |
15,518 |
|
39.4 |
% |
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
$ |
167,003 |
|
$ |
224,834 |
|
$ |
57,831 |
|
34.6 |
% |
|
|
|
|
|
|
|
|
|
|
Domestic Revenue. Total domestic revenue for the first quarter of 2004 was $169.9 million, an increase of
$42.3 million, or 33.2%, from the prior-year period primarily due to increased rental and sales volumes for V.A.C. wound healing devices and related disposables. Total domestic
V.A.C. revenue was $121.6 million, an increase of $39.2 million, or 47.6%, from the prior-year period. Domestic V.A.C. rental revenue increased by $24.6 million, or
37.7%, due to a 45.2% increase in average units on rent per month for the quarter as compared to the prior-year quarter. This increase is partially due to continued market
36
acceptance
of the V.A.C.ATS and V.A.C Freedom systems introduced in late 2002 which have now been fully implemented in the United States, and partially due to heightened awareness of the
benefits of V.A.C. therapy. Average V.A.C. rental pricing decreased 6.2% period over period due primarily to the continued shift away from all-inclusive pricing for managed care
organizations, which resulted in a revenue movement from the rental classification to the sales classification.
Domestic
V.A.C. sales revenue of $31.7 million increased in the first quarter of 2004 by $14.6 million, or 85.4%, from the prior-year period due to higher sales
volume for V.A.C. disposables associated with V.A.C. system rentals, improved price realization arising from increased sale of our higher priced disposables associated with the V.A.C.ATS
and V.A.C Freedom and the effect of a shift in pricing methodology for managed care organizations. Some managed care organizations pay an all-inclusive daily rate, which covers the rental
of V.A.C. systems and all needed disposables during the rental period. All revenue associated with all-inclusive pricing is included in rental revenue. As we enter into new contracts with
managed care payers, we continue to shift away from all-inclusive pricing and we expect to continue experiencing some shift in revenue from the rental classification to the sales
classification. The cost of V.A.C. disposables, whether purchased through all-inclusive pricing or by itemized sale, is included in cost of goods sold and, as a result, affects our rental
expense and costs of goods sold margins.
Domestic
therapeutic surfaces/other revenue increased in the first quarter of 2004 by $3.1 million, or 6.9%, from the prior-year period. Therapeutic surfaces sales
revenue increased 23.3% due primarily to a change in customer buying habits resulting in a change in our product mix. Therapeutic surfaces rental revenue for the first quarter of 2004 increased
primarily due to a 7.9% price increase resulting from changes in our product mix, partially offset by a 3.4% decrease in the average number of units on rent per month as compared to the
prior-year period. The change in our rental and sales product mix has resulted from increased demand for our bariatric products, and our other high-end products, where fewer
competitive alternatives exist. We expect the trend in our changing product mix to continue as patient demographic trends indicate demand for our bariatric products may increase. We have also
experienced a reduction in the rental of our lower-therapy products due to competitive pricing pressures and a market trend toward capital purchases for these products. This trend has also contributed
to an increase in sales revenue. We believe the trend towards converting lower-therapy products to capital purchases may continue as facilities continue to manage the balance between their capital and
operating budgets.
International Revenue. Total international revenue for the first quarter of 2004 of $54.9 million increased
$15.5 million, or 39.4%, from the prior-year period as a result of increased V.A.C.
demand, higher therapeutic surface revenue and favorable foreign currency exchange movements. Excluding the effects of foreign currency exchange movements, international revenue increased 21.0% from
the first quarter of the prior year. V.A.C. revenue in the first quarter of 2004 was $26.7 million, an increase of $10.9 million, or 68.9%, from the prior-year period.
Excluding the effects of foreign currency exchange movements, international V.A.C. revenue for the period increased 47.3% from the prior-year period. V.A.C. rental revenue increased in the
first quarter of 2004 by $5.6 million, or 71.1%, due to a 41.9% increase in average units on rent per month, together with a 4.4% increase in average rental price due to favorable product mix
changes. V.A.C. sales revenue increased in the first quarter of 2004 by $5.3 million, or 66.7%, from the prior-year period due to increased sales volume for V.A.C. disposables
associated with increased V.A.C. system rentals along with increased price realization from the sale of higher priced disposables associated with the V.A.C.ATS
International
therapeutic surfaces/other revenue of $28.2 million for the first quarter of 2004 increased $4.6 million, or 19.6%, from the prior-year period.
Excluding the effects of foreign currency exchange movements, international first quarter surface revenue increased 3.3% from the prior-year period due primarily to a 15.4% increase in the
average number of therapeutic surface rental units rented, partially offset by a 7.7% decline in average rental pricing during the period. The decline in average rental price resulted primarily from
competitive pressures. The increase in the average number of units rented
37
was
due to increased market penetration and product awareness in the countries where we do business. We expect this trend to continue.
Rental Expenses. Rental, or "field," expenses of $105.4 million for the first quarter of 2004 increased
$26.0 million, or 32.8%, including the effect of foreign currency exchange rate fluctuations, from $79.4 million in the prior-year period. Rental expenses are
semi-variable and fluctuate with revenue. Field expenses for the first quarter of 2004 represented 63.5% of total rental revenue compared to 61.3% in the prior-year period. An
increase in our investment in V.A.C. marketing and the impact of the shift away from all-inclusive pricing discussed above contributed to this variance.
Cost of Goods Sold. Cost of goods sold of $16.8 million in the first quarter of 2004 increased $3.1 million, or
22.9%, from $13.6 million in the prior-year period due to increased sales of V.A.C. disposables and foreign currency exchange rate variances. Sales margins increased to 71.5% in the
first quarter of 2004 compared to 63.7% in the prior-year period due to the shift away from all-inclusive pricing arrangements discussed above and cost reductions resulting
from our recent global supply contract for V.A.C. disposables.
Gross Profit. Gross profit in the first quarter of 2004 increased approximately $28.7 million, or 38.8%, to
$102.7 million from $74.0 million in the prior-year period due primarily to the period-to-period increase in revenue. Gross profit margin in the first
quarter of 2004 was 45.7%, up from 44.3% in the prior-year period. Sales productivity gains and improved service efficiency combined with favorable product mix changes contributed to the
margin expansion.
Selling, General and Administrative Expenses. Selling, general and administrative expenses increased $12.1 million, or
33.1%, to $48.5 million in the first quarter of 2004 from $36.5 million in the prior-year period. As a percentage of total revenue, selling, general and administrative
expenses decreased to 21.6% in the first quarter of 2004 as compared to 21.8% in the prior-year period. The $12.1 million increase includes higher administrative costs of
$4.6 million associated with hiring 273 employees for our national call center and billing and collections department, product licensing expense of $1.8 million, provisions for doubtful
accounts of $1.4 million and division labor and incentive compensation of $1.3 million. Additionally, finance and information systems costs of $816,000, depreciation expense of $507,000,
insurance costs of $420,000, and foreign currency exchange rate variances were higher in the current period when compared to the prior-year period.
Research and Development Expenses. Expenditures for research and development costs, including medical studies, increased
$2.7 million, or 60.9%, to $7.1 million for the current quarter compared to $4.4 million, in the prior-year period due to our commitment to continue to invest in
research and development. As a percentage of total revenue, research and development expenses increased to 3.2% in the first quarter of 2004 as compared to 2.6% in the prior-year period.
Initial Public Offering Bonuses. Upon the closing of our initial public offering on February 27, 2004, bonuses
totaling $19.3 million, including related payroll taxes, were paid to employees, and approximately $260,000 of professional fees and other miscellaneous expenses were incurred in connection
with the offering. (See Note 2 of the Notes to Condensed Consolidated Financial Statements included elsewhere in this report.)
Operating Earnings. Operating earnings for the first quarter of 2004, including expenses related to the initial public
offering, decreased $5.6 million, or 17.0%, to $27.5 million compared to $33.1 million in the prior-year period. Excluding expenses related to the initial public
offering, operating earnings would have increased $13.9 million, or 42.1%, over the prior-year period to $47.0 million. Operating margins for the first quarter of 2004,
excluding expenses related to the initial public offering, would have been 20.9%, up from 19.8% in the prior year, due primarily to the increase in revenue discussed above.
38
Interest Expense. Interest expense in the first quarter of 2004 was $18.8 million compared to $8.2 million in
the prior-year period. This increase is due to expenses related to the initial public offering, including the payment of the bond call premium of $5.3 million associated with the
redemption
of a portion of our outstanding 73/8% Senior Subordinated Notes due 2013 and the write-off of $3.3 million of loan issuance costs on debt retired during the period.
In addition, our average outstanding debt increased due to the recapitalization completed by KCI in the third quarter of 2003. Excluding expenses related to the initial public offering, interest
expense would have increased $2.0 million, or 24.8%, from the prior-year period to $10.2 million due to our increase in debt. (See Notes 2 and 4 of the Notes to Condensed
Consolidated Financial Statements included elsewhere in this report.)
Net Earnings. Net earnings for the first quarter of 2004 were $5.5 million before preferred stock dividends, a
decrease of $11.5 million, or 67.8% from the prior-year period due primarily to expenses related to the initial public offering. After recognition of preferred stock dividends, KCI
reported a net loss available to common shareholders of $60.1 million in the first quarter of 2004. Excluding expenses and preferred stock dividends associated with the initial public offering,
net earnings for the first quarter of 2004 would have been $23.5 million, an increase of $6.6 million, or 38.7%. The effective tax rate for the first quarter of 2004 was 36.0% compared
to 37.5% for the same period a year ago. The income tax reduction is primarily attributable to our tax structure which is designed to result in higher revenue in lower tax jurisdictions.
Earnings per Share. Including after-tax expenses of $18.0 million and in-kind preferred stock
dividends of $65.6 million associated with KCI's initial public offering, we reported a loss per diluted share, after dividends, of $1.19 for the first quarter compared to earnings per diluted
share of $0.21 in the prior year. Earnings per diluted share, excluding expenses and dividends associated with the initial public offering, would have been $0.34 in the first quarter of 2004 compared
to $0.21 in 2003, a 61.9% improvement over the prior year.
39
Years Ended December 31, 2003 and 2002
The following table sets forth, for the periods indicated, the percentage relationship of each item to total revenue as well as the change in each line item as
compared to the prior year (dollars in thousands):
|
|
Year Ended December 31,
|
|
|
|
Revenue
Relationship
|
|
Variance
Increase (Decrease)
|
|
|
|
2002
|
|
2003
|
|
$
|
|
%
|
|
Revenue: |
|
|
|
|
|
|
|
|
|
|
|
Rental |
|
78 |
% |
76 |
% |
$ |
129,740 |
|
28.6 |
% |
|
Sales |
|
22 |
|
24 |
|
|
53,664 |
|
42.1 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
100 |
|
100 |
|
|
183,404 |
|
31.6 |
|
Rental expenses |
|
48 |
|
47 |
|
|
79,599 |
|
28.8 |
|
Cost of goods sold |
|
9 |
|
8 |
|
|
12,294 |
|
23.7 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Gross profit |
|
43 |
|
45 |
|
|
91,511 |
|
36.3 |
|
Selling, general and administrative expenses |
|
24 |
|
25 |
|
|
50,945 |
|
35.7 |
|
Recapitalization expenses(1) |
|
|
|
9 |
|
|
70,085 |
|
|
|
Unusual item-litigation settlement(2) |
|
(30 |
) |
(10 |
) |
|
98,250 |
|
56.7 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating earnings |
|
49 |
|
21 |
|
|
(127,769 |
) |
(45.2 |
) |
Interest income |
|
|
|
|
|
|
569 |
|
114.7 |
|
Interest expense |
|
(7 |
) |
(7 |
) |
|
(11,155 |
) |
(27.2 |
) |
Foreign currency gain |
|
1 |
|
1 |
|
|
3,631 |
|
92.3 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Earnings before income taxes |
|
43 |
|
15 |
|
|
(134,724 |
) |
(54.7 |
) |
Income taxes |
|
17 |
|
6 |
|
|
(54,214 |
) |
(56.5 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings |
|
26 |
% |
9 |
% |
$ |
(80,510 |
) |
(53.6 |
)% |
|
|
|
|
|
|
|
|
|
|
- (1)
- Represents
expenses incurred in connection with our recapitalization.
- (2)
- Represents
unusual gains in 2002 and 2003 of $173.3 million and $75.0 million before taxes, respectively, related to the settlement of an antitrust lawsuit.
Non-GAAP Financial Information. Throughout this prospectus, we have presented income statement items on an
adjusted basis to exclude the impact of (a) the litigation settlement gains recognized in the fourth quarters of 2002 and 2003 and (b) the recapitalization completed in the third quarter
of 2003. These adjusted non-GAAP financial measures do not replace the presentation of our GAAP financial results. We have provided this supplemental non-GAAP information
because it provides meaningful information regarding our results on a consistent and comparable basis for the periods presented. Management uses this non-GAAP financial information for
reviewing the operating results of its business segments and for analyzing potential future business trends in connection with its budget process. In addition, we believe investors utilize the
information to evaluate period-to-period results and to understand potential future operating results. The following schedule provides a reconciliation of our GAAP earnings
statements for
40
the
years ended December 31, 2002 and 2003 to the non-GAAP financial information provided (dollars in thousands):
KINETIC CONCEPTS, INC. AND SUBSIDIARIES
Condensed Consolidated Statement of Earnings
(in thousands, except per share data)
(unaudited)
|
|
Year Ended December 31,
|
|
|
|
2002
|
|
2002
Antitrust
Settlement
|
|
2002
Excluding
Antitrust
Settlement
|
|
2003
|
|
2003
Antitrust
Settlement
|
|
2003
Recapitalization
|
|
2003
Excluding
Recapitalization &
Antitrust
Settlement
|
|
%
Change(1)
|
|
Revenue: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Rental |
|
$ |
453,061 |
|
$ |
|
|
$ |
453,061 |
|
$ |
582,801 |
|
$ |
|
|
$ |
|
|
$ |
582,801 |
|
28.6 |
% |
|
Sales |
|
|
127,371 |
|
|
|
|
|
127,371 |
|
|
181,035 |
|
|
|
|
|
|
|
|
181,035 |
|
42.1 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
|
580,432 |
|
|
|
|
|
580,432 |
|
|
763,836 |
|
|
|
|
|
|
|
|
763,836 |
|
31.6 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Rental expenses |
|
|
276,476 |
|
|
|
|
|
276,476 |
|
|
356,075 |
|
|
|
|
|
|
|
|
356,075 |
|
28.8 |
% |
Cost of goods sold |
|
|
51,824 |
|
|
|
|
|
51,824 |
|
|
64,118 |
|
|
|
|
|
|
|
|
64,118 |
|
23.7 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Gross profit |
|
|
252,132 |
|
|
|
|
|
252,132 |
|
|
343,643 |
|
|
|
|
|
|
|
|
343,643 |
|
36.3 |
% |
Selling, general and administrative expenses |
|
|
142,713 |
|
|
|
|
|
142,713 |
|
|
193,658 |
|
|
|
|
|
|
|
|
193,658 |
|
35.7 |
% |
Recapitalization expenses |
|
|
|
|
|
|
|
|
|
|
|
70,085 |
|
|
|
|
|
70,085 |
|
|
|
|
nm |
|
Unusual item-litigation settlement |
|
|
(173,250 |
) |
|
(173,250 |
) |
|
|
|
|
(75,000 |
) |
|
(75,000 |
) |
|
|
|
|
|
|
nm |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating earnings (loss) |
|
|
282,669 |
|
|
173,250 |
|
|
109,419 |
|
|
154,900 |
|
|
75,000 |
|
|
(70,085 |
) |
|
149,985 |
|
37.1 |
% |
Interest income |
|
|
496 |
|
|
|
|
|
496 |
|
|
1,065 |
|
|
|
|
|
|
|
|
1,065 |
|
114.8 |
% |
Interest expense |
|
|
(40,943 |
) |
|
|
|
|
(40,943 |
) |
|
(52,098 |
) |
|
|
|
|
(16,302 |
) |
|
(35,796 |
) |
12.6 |
% |
Foreign currency gain |
|
|
3,935 |
|
|
|
|
|
3,935 |
|
|
7,566 |
|
|
|
|
|
|
|
|
7,566 |
|
92.3 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earnings before income taxes |
|
|
246,157 |
|
|
173,250 |
|
|
72,907 |
|
|
111,433 |
|
|
75,000 |
|
|
(86,387 |
) |
|
122,820 |
|
68.5 |
% |
Income taxes |
|
|
96,001 |
|
|
66,838 |
|
|
29,163 |
|
|
41,787 |
|
|
28,125 |
|
|
(32,395 |
) |
|
46,057 |
|
57.9 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings |
|
$ |
150,156 |
|
$ |
106,412 |
|
$ |
43,744 |
|
$ |
69,646 |
|
$ |
46,875 |
|
$ |
(53,992 |
) |
$ |
76,763 |
|
75.5 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Series A convertible preferred stock dividends |
|
|
|
|
|
|
|
|
|
|
|
(9,496 |
) |
|
|
|
|
|
|
|
(9,496 |
) |
nm |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings available to common shareholders |
|
$ |
150,156 |
|
$ |
106,412 |
|
$ |
43,744 |
|
$ |
60,150 |
|
$ |
46,875 |
|
$ |
(53,992 |
) |
$ |
67,267 |
|
53.8 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings per share available to common shareholders: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic |
|
$ |
2.12 |
|
|
|
|
$ |
0.62 |
|
$ |
1.03 |
|
|
|
|
|
|
|
$ |
1.15 |
|
85.5 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Diluted |
|
$ |
1.93 |
|
|
|
|
$ |
0.56 |
|
$ |
0.93 |
|
|
|
|
|
|
|
$ |
1.04 |
|
85.7 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted average shares outstanding: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic |
|
|
70,927 |
|
|
|
|
|
70,927 |
|
|
58,599 |
|
|
|
|
|
|
|
|
58,599 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Diluted(2) |
|
|
77,662 |
|
|
|
|
|
77,662 |
|
|
64,493 |
|
|
|
|
|
|
|
|
64,493 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
- (1)
- Percentage
change reflects the percentage variance between the 2003 excluding recapitalization and antitrust settlement results and the 2002 excluding antitrust settlement results.
- (2)
- Due
to their antidilutive effect, 7,522,004 dilutive potential common shares from preferred stock conversion have been excluded from the diluted weighted average shares calculation
for 2003.
Total Revenue. Total revenue in 2003 increased $183.4 million, or 31.6%, from the prior year period
due primarily to increased rental and sales volumes for V.A.C. systems and related disposables resulting from increased market penetration and product awareness. Our revenue is divided between two
primary
41
operating
segments, USA and International. The following table sets forth, for the periods indicated, the amount of revenue derived from each of these segments (dollars in thousands):
|
|
Year Ended December 31,
|
|
|
|
|
|
|
|
Variance
|
|
|
|
2002
|
|
2003
|
|
$
|
|
%
|
|
USA |
|
|
|
|
|
|
|
|
|
|
|
|
|
V.A.C. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Rental |
|
$ |
215,718 |
|
$ |
311,662 |
|
$ |
95,944 |
|
44.5 |
% |
|
|
Sales |
|
|
53,440 |
|
|
88,192 |
|
|
34,752 |
|
65.0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total V.A.C. |
|
|
269,158 |
|
|
399,854 |
|
|
130,696 |
|
48.6 |
|
|
Therapeutic surfaces/other |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Rental |
|
|
150,793 |
|
|
149,460 |
|
|
(1,333 |
) |
(0.9 |
) |
|
|
Sales |
|
|
29,240 |
|
|
30,568 |
|
|
1,328 |
|
4.5 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total therapeutic surfaces/other |
|
|
180,033 |
|
|
180,028 |
|
|
(5 |
) |
|
|
|
Total USA rental |
|
|
366,511 |
|
|
461,122 |
|
|
94,611 |
|
25.8 |
|
|
Total USA sales |
|
|
82,680 |
|
|
118,760 |
|
|
36,080 |
|
43.6 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SubtotalUSA |
|
|
449,191 |
|
|
579,882 |
|
|
130,691 |
|
29.1 |
% |
|
|
|
|
|
|
|
|
|
|
International |
|
|
|
|
|
|
|
|
|
|
|
|
|
V.A.C. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Rental |
|
$ |
21,207 |
|
$ |
41,331 |
|
$ |
20,124 |
|
94.9 |
% |
|
|
Sales |
|
|
23,049 |
|
|
40,615 |
|
|
17,566 |
|
76.2 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total V.A.C. |
|
|
44,256 |
|
|
81,946 |
|
|
37,690 |
|
85.2 |
|
|
Therapeutic surfaces/other |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Rental |
|
|
65,343 |
|
|
80,348 |
|
|
15,005 |
|
23.0 |
|
|
|
Sales |
|
|
21,642 |
|
|
21,660 |
|
|
18 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total therapeutic surfaces/other |
|
|
86,985 |
|
|
102,008 |
|
|
15,023 |
|
17.3 |
|
|
Total International rental |
|
|
86,550 |
|
|
121,679 |
|
|
35,129 |
|
40.6 |
|
|
Total International sales |
|
|
44,691 |
|
|
62,275 |
|
|
17,584 |
|
39.3 |
|
|
|
|
|
|
|
|
|
|
|
|
|
SubtotalInternational |
|
|
131,241 |
|
|
183,954 |
|
|
52,713 |
|
40.2 |
% |
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
$ |
580,432 |
|
$ |
763,836 |
|
$ |
183,404 |
|
31.6 |
% |
|
|
|
|
|
|
|
|
|
|
Domestic Revenue
Total domestic revenue for 2003 increased $130.7 million, or 29.1%, from the prior year due directly to increased usage of V.A.C. systems. Total domestic
V.A.C. revenue increased $130.7 million, or 48.6%, from the prior year. V.A.C. rental revenue increased by $95.9 million, or 44.5%, due to a 48.9% increase
in average units on rent per month for the year as compared to the prior year due to the introduction of two new systems, the V.A.C.ATS and V.A.C Freedom, which was partially offset by a
2.9% decline in average rental price. The decline in average rental price is due to a shift in revenue from the rental classification to the sales classification as discussed in the next paragraph
which was partially offset by an increase in price related to the two new V.A.C. systems.
Domestic
V.A.C. sales revenue increased in 2003 by $34.8 million, or 65.0%, from the prior year due primarily to increased sales volume for V.A.C. disposables associated with
increased V.A.C. system rentals, together with the positive effect of a shift in pricing methodology for managed care organizations. Some managed care organizations pay an all-inclusive
daily rate, which covers the rental of V.A.C. systems and all needed disposables during the rental period. All revenue associated with all-inclusive pricing is included
42
in
rental revenue. We continue to experience a shift away from all-inclusive pricing in the home care setting with managed care payers. As we continue to shift away from
all-inclusive pricing as a result of new contracts with these payers, we have experienced, and expect to continue experiencing, some shift in revenue from the rental classification to the
sales classification. The cost of V.A.C. disposables, whether purchased through all-inclusive pricing or by itemized sale, is included in cost of goods sold.
Domestic
therapeutic surfaces/other revenue of $180.0 million for 2003 was essentially unchanged from the prior year due to an increase of $2.4 million in therapeutic
surfaces revenue, which was offset by a decrease of $2.4 million in vascular compression therapy and other revenue. Therapeutic surfaces sales revenue increased 18.0% due primarily to a change
in our product mix, while therapeutic surfaces rental revenue for 2003 decreased primarily due to a 5.7% decrease in the average number of units on rent per month as compared to the prior year,
partially offset by a 5.2% price increase resulting from changes in our product mix. The change in our product mix has resulted from increased demand for our bariatric products, and our other
high-end products, where fewer competitive alternatives exist. We expect the trend in our changing product mix to continue as patient demographic trends indicate demand for our bariatric
products may increase. We have also experienced a reduction in the rental of our lower-therapy products due to competitive pricing pressures and a market trend toward capital purchases for these
products which was demonstrated by our increase in sales revenue, which we expect to continue. We also expect the trend towards converting lower-therapy products to capital purchases to continue as
facilities continue to manage the balance between their capital and operating budgets. The additional revenue from the rental of our higher end products and the sale of our lower-therapy products has
offset the impact of the competitive pricing pressures in the rental market for our lower-therapy products.
International Revenue
Total international revenue for 2003 increased $52.7 million, or 40.2%, from the prior year due to an increase in rental and sales revenue from our V.A.C.
systems and rental revenue from therapeutic surfaces, together with foreign currency exchange movements. V.A.C. revenue in 2003 increased $37.7 million, or 85.2%, from the prior year. V.A.C.
rental revenue increased in 2003 by $20.1 million, or 94.9%, due to a 53.4% increase in average units on rent per month, together with a 10.1% increase in average rental price. Average rental
prices increased due primarily to the increased use of the V.A.C.ATS, which was introduced in late 2002 and has a higher daily rate due to improved quality and features. V.A.C. sales
revenue increased in 2003 by $17.6 million, or 76.2%, from the prior year due to increased sales volume for V.A.C. disposables associated with increased V.A.C. system rentals.
International
therapeutic surfaces/other revenue of $102.0 million for 2003 increased $15.0 million, or 17.3%, from the prior year due primarily to a 7.3% increase in the
average number of therapeutic surface rental units on rent, together with foreign currency exchange movements, partially offset by a 1.8% decline in average rental pricing during the period. The
increase in the average number of units on rent is due to increased market penetration and product awareness in the countries where we do business. We expect this trend to continue.
Rental Expenses. Rental, or "field," expenses of $356.1 million for 2003 increased $79.6 million, or 28.8%,
including the effect of foreign currency exchange rate fluctuations, from $276.5 million in the prior year. Rental expenses are variable and fluctuate with revenue. Field expenses include
increases in labor of $26.3 million, product licensing expenses of $17.8 million, incentive compensation of $9.4 million, rental equipment depreciation of $8.1 million,
marketing expenses of $6.9 million, parts expense of $6.0 million and delivery expense of $2.9 million. Field expenses for 2003 represented 61.1% of total rental revenue compared
to 61.0% in 2002.
Cost of Goods Sold. Cost of goods sold of $64.1 million in 2003 increased $12.3 million, or 23.7%, from
$51.8 million in the prior year due to increased sales of V.A.C. disposables, foreign currency exchange rate variances and higher excess and obsolescence inventory reserve provisions related to
therapeutic
43
surface
products with low demand. Sales margins increased to 64.6% in 2003 compared to 59.3% in the prior year due to the shift away from all-inclusive pricing arrangements discussed above
and cost reductions resulting from favorable purchase pricing in our new global supply contract for V.A.C. disposables.
Gross Profit. Gross profit in 2003 increased approximately $91.5 million, or 36.3%, to $343.6 million from
$252.1 million in the prior year due primarily to the year-to-year increase in revenue. Gross profit margin in 2003 was 45.0%, up from 43.4% in the prior year.
Selling, General and Administrative Expenses. Selling, general and administrative expenses increased $50.9 million, or
35.7%, to $193.7 million in 2003 from $142.7 million in the prior year. As a percentage of total revenue, selling, general and administrative expenses increased to 25.4% in 2003 as
compared to 24.6% in 2002. This $50.9 million increase includes higher administrative costs of $21.4 million associated with hiring 274 employees for our national call center and billing
and collections department, division labor and incentive compensation of $7.3 million, and product licensing expense of $3.6 million. Expenditures for research and development costs,
including medical studies were $23.0 million, or approximately 3.8% of our total operating expenditures, for the current year compared to $18.7 million, or 4.0%, in 2001. Additionally,
insurance costs of $2.8 million, professional fees of $2.6 million, depreciation expense of $2.0 million, finance and information systems costs of $1.9 million and foreign
currency exchange rate variances were higher in the current period when compared to the prior year.
Recapitalization Expenses. During 2003, we incurred $70.1 million in fees and expenses, along with
$16.3 million charged to interest expense, resulting from the recapitalization completed in the third quarter. (See Note 2 of the Notes to Consolidated Financial Statements included
elsewhere in this prospectus.)
Unusual Item-Litigation Settlement. In December 2003, we received the second and final payment of
$75.0 million due under the 2002 antitrust lawsuit settlement which resulted in a gain in our 2003 results of operations. (See Note 16 of the Notes to Consolidated Financial Statements
included elsewhere in this prospectus.)
Operating Earnings. Operating earnings for 2003 decreased $127.8 million, or 45.2%, to $154.9 million compared
to $282.7 million in the prior year due primarily to recapitalization expenses of $70.1 million recorded in 2003 and the change in litigation settlement proceeds recorded in the fourth
quarters of 2002 and 2003, of $173.5 million and $75.0 million, respectively. Excluding recapitalization expenses and the litigation settlement gains, operating earnings would have
increased $40.6 million, or 37.1%, over the prior year to $150.0 million. Operating margins for 2003, excluding recapitalization expenses and the litigation settlement, would have been
19.6%, up from 18.9% in the prior year, due primarily to the increase in revenue discussed above.
Interest Expense. Interest expense in 2003 was $52.1 million compared to $40.9 million in the prior year. This
increase is due primarily to expenses related to the recapitalization, such as the write off of debt issuance costs on retired debt, which we have treated as interest expense. Excluding
recapitalization expenses, interest expense would have decreased $5.1 million, or 12.6%, from the prior year to $35.8 million. This decrease was due primarily to the partial paydown on
our previously existing senior credit facility resulting from the $175.0 million antitrust settlement payment received in January 2003 and lower interest rates on our senior credit
facility and 73/8% subordinated notes. (See Notes 2 and 5 of the Notes to Consolidated Financial Statements included elsewhere in this prospectus.)
Net Earnings. Net earnings of $69.6 million for 2003 decreased $80.5 million, or 53.6%, from the prior year due
primarily to the recapitalization expenses and the year-over-year change in the litigation settlement proceeds recorded in the fourth quarters of 2003 and 2002. Excluding the
recapitalization expenses and the antitrust settlement payments recorded in 2003 and 2002, net earnings would have
44
increased
by $33.0 million, or 75.5%, to $76.8 million due to the increase in operating earnings discussed above. Effective tax rates for 2003 and 2002 were 37.5% and 39.0%,
respectively. Our worldwide effective interest rate decreased from 2002 to 2003 primarily as a result of the implementation of a more tax efficient foreign structure.
Earnings per Share. For 2003, diluted earnings per share were $0.93 compared to $1.93 for the prior year. Excluding
recapitalization expenses and the proceeds from the antitrust settlement, diluted earnings per share for the full year of 2003 would have been $1.04, an increase of 85.7% from the prior year.
Years Ended December 31, 2002 and 2001
The following table sets forth, for the periods indicated, the percentage relationship of each item to total revenue as well as the change in each line item as
compared to the prior year (dollars in thousands):
|
|
Year Ended December 31,
|
|
|
|
Revenue
Relationship
|
|
Variance
|
|
|
|
2001
|
|
2002
|
|
$
|
|
%
|
|
Revenue: |
|
|
|
|
|
|
|
|
|
|
|
Rental |
|
79 |
% |
78 |
% |
$ |
91,427 |
|
25.3 |
% |
|
Sales |
|
21 |
|
22 |
|
|
33,058 |
|
35.1 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
100 |
|
100 |
|
|
124,485 |
|
27.3 |
|
|
|
|
|
|
|
|
|
|
|
Rental expenses |
|
49 |
|
48 |
|
|
55,991 |
|
25.4 |
|
Cost of goods sold |
|
7 |
|
9 |
|
|
18,872 |
|
57.3 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Gross profit |
|
44 |
|
43 |
|
|
49,622 |
|
24.5 |
|
Selling, general and administrative expenses |
|
25 |
|
24 |
|
|
27,885 |
|
24.3 |
|
Unusual item-litigation settlement |
|
|
|
(30 |
) |
|
(173,250 |
) |
nm |
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating earnings(1) |
|
19 |
|
49 |
|
|
194,987 |
|
222.3 |
|
Interest income |
|
|
|
|
|
|
216 |
|
77.1 |
|
Interest expense |
|
(10 |
) |
(7 |
) |
|
4,173 |
|
9.2 |
|
Foreign currency gain |
|
|
|
1 |
|
|
5,573 |
|
340.2 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Earnings before income taxes |
|
9 |
|
43 |
|
|
204,949 |
|
497.4 |
|
Income taxes |
|
4 |
|
17 |
|
|
78,694 |
|
454.7 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings |
|
5 |
% |
26 |
% |
$ |
126,255 |
|
528.2 |
% |
|
|
|
|
|
|
|
|
|
|
- (1)
- Operating
earnings for 2002 includes an unusual gain of $173.3 million, before taxes, as described in Note 16 of Notes to Consolidated Financial Statements included
elsewhere in this prospectus.
Non-GAAP Financial Information. Throughout this prospectus, we have presented income statement items on an
adjusted basis to exclude the impact of the litigation settlement gain recognized in the fourth quarter of 2002. These adjusted non-GAAP financial measures do not replace the presentation
of our GAAP financial results. We have provided this supplemental non-GAAP information because it provides meaningful information regarding our results on a consistent and comparable basis
for the periods presented. Management uses this non-GAAP financial information for reviewing the operating results of its business segments and for analyzing potential future business
trends in connection with its budget process. In addition, we believe investors utilize the information to evaluate period-to-period results and to understand potential future
operating results. The following schedule provides a reconciliation of our
45
GAAP
earnings statements for the years ended December 31, 2001 and 2002 to the non-GAAP financial information provided (dollars in thousands):
KINETIC CONCEPTS, INC. AND SUBSIDIARIES
Condensed Consolidated Statement of Earnings
(in thousands, except per share data)
(unaudited)
|
|
Year Ended December 31,
|
|
|
|
2001
|
|
2002
|
|
2002
Antitrust
Settlement
|
|
2002
Excluding
Antitrust
Settlement
|
|
%
Change
|
|
Revenue: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Rental |
|
$ |
361,634 |
|
$ |
453,061 |
|
$ |
|
|
$ |
453,061 |
|
25.3 |
% |
|
Sales |
|
|
94,313 |
|
|
127,371 |
|
|
|
|
|
127,371 |
|
35.1 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
|
455,947 |
|
|
580,432 |
|
|
|
|
|
580,432 |
|
27.3 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
Rental expenses |
|
|
220,485 |
|
|
276,476 |
|
|
|
|
|
276,476 |
|
25.4 |
% |
Cost of goods sold |
|
|
32,952 |
|
|
51,824 |
|
|
|
|
|
51,824 |
|
57.3 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Gross profit |
|
|
202,510 |
|
|
252,132 |
|
|
|
|
|
252,132 |
|
24.5 |
% |
Selling, general and administrative expenses |
|
|
114,828 |
|
|
142,713 |
|
|
|
|
|
142,713 |
|
24.3 |
% |
Recapitalization expenses |
|
|
|
|
|
|
|
|
|
|
|
|
|
nm |
|
Unusual itemlitigation settlement |
|
|
|
|
|
(173,250 |
) |
|
(173,250 |
) |
|
|
|
nm |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating earnings |
|
|
87,682 |
|
|
282,669 |
|
|
173,250 |
|
|
109,419 |
|
24.8 |
% |
Interest income |
|
|
280 |
|
|
496 |
|
|
|
|
|
496 |
|
77.1 |
% |
Interest expense |
|
|
(45,116 |
) |
|
(40,943 |
) |
|
|
|
|
(40,943 |
) |
9.2 |
% |
Foreign currency gain |
|
|
(1,638 |
) |
|
3,935 |
|
|
|
|
|
3,935 |
|
340.2 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earnings before income taxes |
|
|
41,208 |
|
|
246,157 |
|
|
173,250 |
|
|
72,907 |
|
76.9 |
% |
Income taxes |
|
|
17,307 |
|
|
96,001 |
|
|
66,838 |
|
|
29,163 |
|
68.5 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings |
|
$ |
23,901 |
|
$ |
150,156 |
|
$ |
106,412 |
|
$ |
43,744 |
|
83.0 |
% |
Series A convertible preferred stock dividends |
|
|
|
|
|
|
|
|
|
|
|
|
|
nm |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings available to common shareholders |
|
$ |
23,901 |
|
$ |
150,156 |
|
$ |
106,412 |
|
$ |
43,744 |
|
83.0 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings per share available to common shareholders: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic earnings |
|
$ |
0.34 |
|
$ |
2.12 |
|
|
|
|
$ |
0.62 |
|
82.4 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Diluted earnings |
|
$ |
0.32 |
|
$ |
1.93 |
|
|
|
|
$ |
0.56 |
|
75.0 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted average shares outstanding: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic |
|
|
70,917 |
|
|
70,927 |
|
|
|
|
|
70,927 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Diluted |
|
|
73,996 |
|
|
77,662 |
|
|
|
|
|
77,662 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Revenue. Total revenue in 2002 increased $124.5 million, or 27.3% from the prior year due primarily to increased
rental and sales volumes for V.A.C. systems and related disposables. These increased rental and sales volumes were driven by increased sales and marketing efforts, which increased customer awareness
of the benefits of V.A.C. therapy, as well as the successful launch of two new enhanced V.A.C. systems in 2002. Our revenue is divided between two primary operating segments: USA and International.
46
The
following table sets forth, for the periods indicated, the amount of revenue derived from each of these segments (dollars in thousands):
|
|
Year ended December 31,
|
|
|
|
|
|
|
|
Variance
|
|
|
|
2001
|
|
2002
|
|
$
|
|
%
|
|
USA |
|
|
|
|
|
|
|
|
|
|
|
|
|
V.A.C. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Rental |
|
$ |
134,428 |
|
$ |
215,718 |
|
$ |
81,290 |
|
60.5 |
% |
|
|
Sales |
|
|
31,814 |
|
|
53,440 |
|
|
21,626 |
|
68.0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total V.A.C. |
|
|
166,242 |
|
|
269,158 |
|
|
102,916 |
|
61.9 |
|
|
Therapeutic surfaces/other |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Rental |
|
|
156,704 |
|
|
150,793 |
|
|
(5,911 |
) |
(3.8 |
) |
|
|
Sales |
|
|
31,177 |
|
|
29,240 |
|
|
(1,937 |
) |
(6.2 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total therapeutic surfaces/other |
|
|
187,881 |
|
|
180,033 |
|
|
(7,848 |
) |
(4.2 |
) |
|
Total USA rental |
|
|
291,132 |
|
|
366,511 |
|
|
75,379 |
|
25.9 |
|
|
Total USA sales |
|
|
62,991 |
|
|
82,680 |
|
|
19,689 |
|
31.3 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SubtotalUSA |
|
|
354,123 |
|
|
449,191 |
|
|
95,068 |
|
26.8 |
|
|
|
|
|
|
|
|
|
|
|
International |
|
|
|
|
|
|
|
|
|
|
|
|
|
V.A.C. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Rental |
|
$ |
11,577 |
|
$ |
21,207 |
|
$ |
9,630 |
|
83.2 |
|
|
|
Sales |
|
|
12,182 |
|
|
23,049 |
|
|
10,867 |
|
89.2 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total V.A.C. |
|
|
23,759 |
|
|
44,256 |
|
|
20,497 |
|
86.3 |
|
|
Therapeutic surfaces/other |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Rental |
|
|
58,924 |
|
|
65,343 |
|
|
6,419 |
|
10.9 |
|
|
|
Sales |
|
|
19,141 |
|
|
21,642 |
|
|
2,501 |
|
13.1 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total therapeutic surfaces/other |
|
|
78,065 |
|
|
86,985 |
|
|
8,920 |
|
11.4 |
|
|
Total International rental |
|
|
70,501 |
|
|
86,550 |
|
|
16,049 |
|
22.8 |
|
|
Total International sales |
|
|
31,323 |
|
|
44,691 |
|
|
13,368 |
|
42.7 |
|
|
|
|
|
|
|
|
|
|
|
|
|
SubtotalInternational |
|
|
101,824 |
|
|
131,241 |
|
|
29,417 |
|
28.9 |
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
$ |
455,947 |
|
$ |
580,432 |
|
$ |
124,485 |
|
27.3 |
% |
|
|
|
|
|
|
|
|
|
|
Domestic Revenue
Total domestic revenue for 2002 increased $95.1 million, or 26.8%, from the prior year due to increased usage of V.A.C. systems which was offset by a
slight decline in surface and compression therapy systems use. Total domestic V.A.C. revenue increased by $102.9 million, or 61.9%, from the prior year. V.A.C. rental revenue increased in 2002
by $81.3 million, or 60.5%, from 2001 due to an increase of 62.3% in average units on rent per month for the year which was partially offset by a 1.1% decline in average rental price. The
decline in average rental price was due primarily to customer reaction to expected changes in governmental reimbursement policies in the extended care market. V.A.C. sales revenue increased in 2002 by
$21.6 million, or 68.0%, from the prior year due to increased sales volume for V.A.C. disposables associated with increased V.A.C. systems rentals.
Domestic
therapeutic surface/other revenue decreased $7.8 million, or 4.2%, due to a $4.3 million decrease in therapeutic surface revenue and a $3.5 million decrease
in vascular compression therapy and other revenue. Therapeutic surface revenue decreased due to a 2.3% decrease in the average number of units on rent per month, together with a 1.4% decrease in
average rental pricing. The decrease in the average number of units on rent was due to customer concerns about reimbursement in the extended care marketplace and increased competition in the home care
market. The decrease in average price was caused in part by the negotiation and extension of a GPO contract with Novation, LLC, which reduced member pricing and became effective September 2001.
47
International Revenue
Total international revenue for 2002 increased $29.4 million, or 28.9%, over 2001 due to an increase in revenue from our V.A.C. systems and therapeutic
surfaces, together with favorable foreign currency exchange rate fluctuations. Total international V.A.C. revenue increased by $20.5 million, or 86.3%, from the prior year. V.A.C. rental
revenue increased due to a 57.9% increase in average units on rent per month for the year as compared to the prior year, together with a 14.7% increase in average rental price. The price increase was
due primarily to the introduction of a new higher priced product with enhanced features and benefits, the V.A.C.ATS, together with the implementation of a more standard pricing regime
across countries. V.A.C. sales revenue increased in 2002 by $10.9 million, or 89.2%, from the prior year due to the increased sales volume for V.A.C. disposables associated with increased
V.A.C. systems rentals.
International
therapeutic surfaces/other revenue increased $8.9 million, or 11.4%, due to a 10.0% increase in the average number of units on rent per month during 2002 as compared
to the prior year, partially offset by a 3.3% decrease in average rental pricing. The increase in the average number of units on rent was due to the expansion of sales and marketing efforts in 2002.
The decrease in average rental pricing was due to product mix changes.
Rental Expenses. Rental, or "field", expenses of $276.5 million increased $56.0 million, or 25.4%, from
$220.5 million in the prior year. The field expense increase was due primarily to increased labor and incentive compensation of $27.3 million, product marketing of $4.2 million,
parts and disposables of $2.8 million, foreign currency exchange rate variances, and product licensing expenses of $11.8 million directly associated with the growth in V.A.C. revenue.
Field expenses for 2002 and 2001 were 61.0% of total rental revenue.
Cost of Goods Sold. Cost of goods sold of $51.8 million in 2002 increased approximately $18.8 million, or
57.3%, from $33.0 million in the prior year due to increased V.A.C. disposable sales and higher excess and obsolescence inventory reserve provisions related to therapeutic surface products with
low demand. Sales margins decreased to 59.3% in 2002 as compared to 65.1% in the prior year due, in part, to higher sales activity in the home care setting. Approximately 34.5% of home care revenue in
2002 was reimbursed by managed care and private insurance organizations. Many managed care providers prefer an all-inclusive per diem rate, which covers the cost of the rental and all
disposables used. This per diem rate is recorded as rental revenue and is not allocated between rentals and sales. However, the all-inclusive managed care revenue was recorded as rental
revenue, while the cost of V.A.C. disposables associated with these placements had been recorded in cost of goods
sold, which had the effect of reducing our sales margins in comparison to prior year but had no effect on gross profit.
Gross Profit. Gross profit in 2002 increased $49.6 million, or 24.5%, to $252.1 million from
$202.5 million in the prior year due primarily to the year-to-year increase in revenue resulting from increased demand for V.A.C. systems and related disposables and
foreign currency exchange rate variances. Gross profit margin in 2002 was 43.4%, down slightly from 44.4% in 2001 due primarily to investing in sales and service to drive future revenue growth.
Selling, General and Administrative Expenses. Selling, general and administrative expenses increased $27.9 million, or
24.3%, to $142.7 million in 2002 from $114.8 million in 2001. This increase was due, in part, to higher administrative labor costs of $9.2 million associated with hiring 138
additional personnel for claims billing and for product licensing expenses of $2.5 million associated with the increased usage of V.A.C. systems and related disposables, particularly in the
home and foreign currency exchange rate variances. The 2002 results also included approximately $7.9 million of legal expenses associated with the antitrust lawsuit compared to
$4.3 million in the prior year.
Expenditures
for research and development, including clinical studies, were $18.7 million, or approximately 4.0% of our total operating expenditures, for 2002 compared to
$14.3 million, or 3.9%, in 2001. In addition, marketing costs increased $3.0 million, division labor and incentive compensation
48
increased
$2.3 million and depreciation expenses increased $1.3 million in the year when compared to 2001.
The
results for 2002 also reflect an accounting change required under Statement of Financial Accounting Standards No. 142 ("SFAS 142"), "Goodwill
and Other Intangible Assets". Under SFAS 142, goodwill and other intangible assets that have indefinite lives are no longer amortized ratably over the estimated useful
life of the asset. The effect of this change in 2002 was to lower goodwill amortization by $3.4 million as compared to the prior year. As a percentage of total revenue, selling, general and
administrative expenses increased to 24.6% in 2002 from 24.4% (excluding $3.4 million in amortization of goodwill) in 2001. (See Note 6 of the Notes to Consolidated Financial included
elsewhere in this prospectus.)
Unusual ItemLitigation Settlement. During the fourth quarter of 2002, we recorded a gain from the favorable
settlement of an antitrust lawsuit. Net of expenses of $1.7 million, this transaction added $173.3 million of pre-tax income to the 2002 results. (See Note 16 of the
Notes to Consolidated Financial Statements included elsewhere in this prospectus.)
Operating Earnings. Operating earnings for 2002 increased $195.0 million, or 222.4%, to $282.7 million compared
to $87.7 million in the prior year. Excluding the favorable effects of the litigation settlement, operating earnings would have increased $21.7 million, or 24.8%, to
$109.4 million. Operating margins for 2002, excluding the favorable effects of the litigation settlement, were 18.9%, down slightly from 19.2% in the prior year, due to the increase in cost of
goods sold plus higher spending for the international sales and service infrastructure, claims administration and higher legal expenses.
Interest Expense. Interest expense in 2002 was $40.9 million compared to $45.1 million in the prior year. The
interest expense decrease was due primarily to lower effective interest rates due to a decline in market rates associated with our previously existing senior credit facility. (See Note 5 of the
Notes to Consolidated Financial Statements included elsewhere in this prospectus.)
Net Earnings. Net earnings of $150.2 million for 2002 increased $126.3 million, or 528.2%, from the prior year
due to the increase in operating earnings discussed previously, including the favorable impact of the litigation settlement. Excluding the litigation settlement, net earnings increased
$19.8 million, or 83.0%, to $43.7 million. Effective tax rates for 2002 and 2001 were 39.0% and 42.0%, respectively.
Earnings per Share. For 2002, diluted earnings per share were $1.93 compared to $0.32 for the prior year. Excluding the
proceeds from the antitrust settlement, diluted earnings per share for the full year of 2002 would have been $0.56, an increase of 75.0% from the prior year.
Liquidity and Capital Resources
General
We require capital principally for capital expenditures, systems infrastructure, debt service, interest payments and working capital. Our capital expenditures
consist primarily of manufactured rental assets, computer hardware and software and expenditures related to the need for additional office space for our expanding workforce. Working capital is
required principally to finance accounts receivable and inventory. Our working capital requirements vary from period-to-period depending on manufacturing volumes, the timing of
shipments and the payment cycles of our customers and payers.
Sources of Capital
During the last three years, our principal sources of liquidity have been cash flows from operating activities and borrowings under our previously existing senior
credit facility. Based upon the current level of operations, we believe cash flows from operating activities and availability under our revolving credit facility will be adequate to meet our
anticipated cash requirements for interest payments, debt service,
49
working
capital and capital expenditures for the next twelve months. During 2003, our primary sources of capital were cash from operations and proceeds received from the antitrust settlement. During
the first quarter of 2004, our primary sources of capital were proceeds from our initial public offering and cash from operations. The following table summarizes the net cash provided and used by
operating activities, investing activities and financing activities for the last three years ended December 31, 2003 and for the three months ended March 31, 2004 and 2003 (dollars in
thousands):
|
|
Year ended December 31,
|
|
Three months ended March 31,
|
|
|
|
2001
|
|
2002
|
|
2003
|
|
2003
|
|
2004
|
|
Net cash provided by operating activities |
|
$ |
29,895 |
|
$ |
76,254 |
|
$ |
280,206 |
(1) |
$ |
205,121 |
(4) |
$ |
(16,871 |
)(5) |
Net cash used by investing activities |
|
|
(48,325 |
) |
|
(39,027 |
) |
|
(73,153 |
) |
|
(17,797 |
) |
|
(23,954 |
) |
Net cash provided (used) by financing activities |
|
|
16,829 |
|
|
16,100 |
|
|
(108,459 |
)(2)(3) |
|
(105,124 |
)(6) |
|
(21,966 |
)(7) |
Effect of exchange rates changes on cash and cash equivalents |
|
|
(339 |
) |
|
959 |
|
|
2,985 |
|
|
506 |
|
|
(30 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Net increase (decrease) in cash and cash equivalents |
|
$ |
(1,940 |
) |
$ |
54,286 |
|
$ |
101,579 |
|
$ |
82,706 |
|
$ |
(62,821 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
- (1)
- Includes
receipt of $250.0 million related to the antitrust settlement, which, net of taxes paid through December 31, 2003 and related cash expenses, impacted cash from
operating activities by $175.0 million, along with payments related to our recapitalization of $44.0 million, net of tax benefit, realized through December 31, 2003.
- (2)
- Includes
paydown of $107.0 million of indebtedness on our previously existing senior credit facility utilizing funds received related to the antitrust settlement.
- (3)
- Includes
cash recapitalization expenses of $20.7 million.
- (4)
- Includes
receipt of $175.0 million related to anti-trust lawsuit settlement.
- (5)
- Working
capital changes include a tax payment of $28.1 million related to receipt of the second and final installment of an anti-trust litigation settlement we
reached in 2002. In addition, the current income tax payable reflects tax benefits of $10.1 million associated with the initial public offering which will be realized in the second quarter of
2004. Excluding these working capital changes and after-tax expenses associated with the initial public offering of $18.0 million, net cash provided by operating activities for the
three-month period ended March 31, 2004 would have been $39.4 million.
- (6)
- Includes
pay down of $107.0 million of indebtedness on the previously existing senior credit facility utilizing funds received related to anti-trust lawsuit
settlement.
- (7)
- Includes
receipt of $94.4 million in proceeds from the initial public offering, net of expenses of $10.6 million, and pay downs of $50.0 million on our senior
credit facility and $71.75 million on our 73/8% Senior Subordinated Notes due 2013.
At March 31, 2004, cash and cash equivalents of $93.2 million were available for general corporate purposes. At March 31,
2004, availability under the revolving portion of our senior credit facility was $86.2 million, net of $13.8 million in letters of credit.
Working Capital
At March 31, 2004, we had current assets of $360.7 million and current liabilities of $155.8 million resulting in a working capital surplus
of approximately $204.9 million, compared to a surplus of $227.6 million at December 31, 2003. The reduction in our working capital balance of $22.7 million is related to
the repayment of $121.75 million in long-term debt using the net proceeds received in the initial public offering and cash on hand. Net cash flow used by operations for the first
quarter of 2004 was $16.9 million as compared to operating cash flows of $205.1 million for the prior-year period. This decrease in operating cash flows was due primarily to
the prior-year receipt of $175.0 million as the first installment
50
of
a two-part antitrust settlement. Working capital changes during the period include a tax payment of $28.1 million related to receipt of the second and final installment of an
anti-trust litigation settlement we reached in 2002. In addition, the current income tax payable reflects tax benefits of $10.1 million associated with the initial public offering,
which will be realized in the second quarter of 2004. Excluding these working capital changes and after-tax expenses associated with the initial public offering of $18.0 million,
net cash provided by operating activities for the three-month period ended March 31, 2004 would have been $39.4 million.
At
December 31, 2003, we had current assets of $422.8 million, including $32.3 million in inventory, and current liabilities of $195.2 million resulting in a
working capital surplus of approximately $227.6 million, compared to a surplus of $254.8 million at December 31, 2002. The reduction in our working capital balance of
$27.2 million is related to the refinancing of our debt and the associated expenses incurred in
connection with the 2003 recapitalization along with the impact resulting from the antitrust settlement proceeds recorded in both 2003 and 2002. Additionally, we experienced higher earnings and a
reduction in inventory due to supply chain management initiatives along with an increase in our accounts payable due to timing of payments. Operating cash flows for 2003 were $280.2 million as
compared to $76.3 million for the prior-year period. This increase in operating cash flows was due primarily to the receipt of the antitrust settlement, higher operating earnings
and improved working capital management.
At
December 31, 2002 and 2001, we had a working capital surplus of $254.8 million and $100.3 million, respectively. The antitrust settlement accounted for the
majority of this change. Excluding the antitrust settlement, our working capital surplus increased approximately $48.1 million from 2001 to 2002 due to increases in cash and accounts
receivable. For the years ended December 31, 2002 and 2001, operating cash flows were $76.3 million and $29.9 million, respectively. This increase was due primarily to higher
earnings and lower working capital requirements, primarily inventory, accrued expenses and deferred income taxes.
We
expect rental and sales volumes for V.A.C. systems and related disposables to continue to increase. We believe that a significant portion of this increase will occur in the homecare
market, which could have the effect of increasing accounts receivable due to the extended payment cycles we experience with most third-party payers. We have adopted a number of policies and procedures
to reduce these extended payment cycles, which we believe have been effective and will continue to improve our collection turnaround times. Revenue growth year-over-year was
34.6%, and receivables grew 26.6%, resulting in a reduction of total accounts receivable days outstanding from 85 days last year to 81 days at the end of March 2004. If accounts
receivable increase, we will use available cash and, if necessary, borrowings under our revolving credit facility to fund the increase. We expect that cash on hand, cash flow from operations and
additional borrowings under our revolving credit facility will be sufficient to meet our working capital needs for the next twelve months.
Non-GAAP Financial Information
We use earnings before interest, taxes, depreciation and amortization, or EBITDA, as a measure of leverage capacity and debt service ability. We consider EBITDA
to be a key liquidity measure but it should not be considered as a measure of financial performance under GAAP or as an acceptable alternative to GAAP cash flows from operating activities, net
earnings or operating earnings. Management uses this non-GAAP financial information, among other things, to measure liquidity, and we believe investors may use the information for the same
purpose. We have provided this supplemental non-GAAP information to demonstrate meaningful information regarding our liquidity on a consistent and comparable basis for the periods
presented. Our definition of EBITDA is not necessarily comparable to similarly titled measures reported by other companies and is not the same as that term is used under our senior credit agreement.
51
The
following table presents a reconciliation of EBITDA to cash flows from operating activities (dollars in thousands):
|
|
Year ended December 31,
|
|
Three months ended
March 31,
|
|
|
|
2001
|
|
2002
|
|
2003
|
|
2003
|
|
2004
|
|
Net earnings(1)(2) |
|
$ |
23,901 |
|
$ |
150,156 |
|
$ |
69,646 |
|
$ |
16,927 |
|
$ |
5,458 |
|
Income tax expense |
|
|
17,307 |
|
|
96,001 |
|
|
41,787 |
|
|
10,156 |
|
|
3,070 |
|
Interest expense(3)(4) |
|
|
45,116 |
|
|
40,943 |
|
|
52,098 |
|
|
8,178 |
|
|
18,844 |
|
Depreciation and Amortization(5) |
|
|
34,899 |
|
|
34,682 |
|
|
44,636 |
|
|
10,086 |
|
|
13,148 |
|
|
|
|
|
|
|
|
|
|
|
|
|
EBITDA(1)(2) |
|
|
121,223 |
|
|
321,782 |
|
|
208,167 |
|
|
45,347 |
|
|
40,520 |
|
Provision for uncollectible accounts receivable |
|
|
8,932 |
|
|
7,623 |
|
|
6,702 |
|
|
1,749 |
|
|
3,177 |
|
Amortization of deferred loss on interest rate swap |
|
|
843 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Amortization of deferred gain on sale of headquarters facility |
|
|
|
|
|
(426 |
) |
|
(841 |
) |
|
(259 |
) |
|
(268 |
) |
Write-off of deferred loan issuance costs |
|
|
|
|
|
|
|
|
5,233 |
|
|
|
|
|
3,342 |
|
Non-cash accrual-recapitalization expenses |
|
|
|
|
|
|
|
|
7,131 |
|
|
|
|
|
|
|
Non-cash amortization-stock award to directors |
|
|
|
|
|
|
|
|
185 |
|
|
|
|
|
42 |
|
Non-cash gain on litigation settlement |
|
|
|
|
|
(173,250 |
) |
|
|
|
|
|
|
|
|
|
Amortization of loan issuance costs |
|
|
2,316 |
|
|
2,316 |
|
|
2,257 |
|
|
579 |
|
|
576 |
|
Income tax expense |
|
|
(17,307 |
) |
|
(96,001 |
) |
|
(41,787 |
) |
|
(10,156 |
) |
|
(3,070 |
) |
Interest expense(3)(4) |
|
|
(45,116 |
) |
|
(40,943 |
) |
|
(52,098 |
) |
|
(8,178 |
) |
|
(18,844 |
) |
Change in assets and liabilities net of effects from purchase of subsidiaries and recapitalization expenses |
|
|
(40,996 |
) |
|
55,153 |
|
|
145,257 |
|
|
176,039 |
|
|
(42,346 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Net cash provided by operating activities |
|
$ |
29,895 |
|
$ |
76,254 |
|
$ |
280,206 |
|
$ |
205,121 |
|
$ |
(16,871 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
- (1)
- The
three months ended March 31, 2004 includes $18.0 million of expenses, net of income taxes, related to the initial public offering.
- (2)
- Amounts
for fiscal 2002 include accrual in connection with the first installment payment of $175.0 million ($173.3 million, net of expenses of $1.7 million) as
part of the antitrust settlement. Amounts for 2003 include the second and final payment of $75.0 million under the antitrust settlement and recapitalization expenses of $70.1 million.
- (3)
- Amounts
for fiscal 2003 include an aggregate of $16.3 million in expense for the redemption premium and consent fee paid in connection with the redemption of our
previously-existing 95/8% Senior Subordinated Notes due 2007, combined with the write off of unamortized loan issuance costs associated with the previously existing senior credit
facility.
- (4)
- Amount
for the three months ended March 31, 2004 includes an aggregate of $8.6 million in expense including the redemption premium of $5.3 million incurred in
connection with the redemption of $71.75 million of our 73/8% Senior Subordinated Notes due 2013 and $3.3 million of loan issuance costs that we wrote off related to the
pay down of debt.
- (5)
- Net
of amortization of loan issuance costs, which is included in interest expense.
EBITDA
for the first quarter of 2004 decreased $4.8 million, or 10.6%, from the prior-year period due to the change in operating earnings associated with the initial
public offering. Excluding the expenses associated with the initial public offering, EBITDA for the first quarter of 2004 would have been $60.1 million, an increase of $14.7 million, or
32.4% from the prior-year period.
52
EBITDA
for 2003 decreased $113.6 million, or 35.3%, from the prior year due to the change in operating earnings associated with the receipt of proceeds from the antitrust
litigation settlement in 2002. Excluding the effects of the litigation settlement received in the fourth quarters of 2003 and 2002 and recapitalization expenses, EBITDA for 2003 would have been
$203.3 million, an increase of $54.7 million, or 36.8% from the prior year. EBITDA for 2002 increased $200.6 million, or 165.4%, from the prior year. Excluding the effects of the
litigation settlement, EBITDA for 2002 would have been $148.5 million, an increase of $27.3 million, or 22.5%, from the prior year due to the changes in operating earnings discussed
above. Amortization expense was $3.4 million lower year-to-year due to the change in accounting for goodwill as required by SFAS 142, "Goodwill and Other
Intangible Assets". (See Note 6 of Notes to Consolidated Financial Statements included elsewhere in this prospectus.)
Capital Expenditures
During the first three months of 2004 and 2003, we made capital expenditures of $20.8 million and $17.7 million, respectively. During 2003, 2002,
and 2001, we made capital expenditures of $76.3 million, $54.5 million and $44.0 million. The period-to-period increases are due primarily to purchases of
materials for V.A.C. systems and other high demand rental products. As of March 31, 2004, we have commitments to purchase new product inventory of $20.7 million over the next twelve
months. Other than commitments for new product inventory, we have no material long-term purchase commitments at the end of the period. We expect future demand for V.A.C. systems to
increase, which will require increased capital expenditures over time.
Debt Service
As of March 31, 2004, scheduled principal payments under our senior credit facility for the years 2004, 2005 and 2006 were $3.2 million,
$4.3 million and $4.3 million, respectively. To the extent that we have excess cash, we may use it to pay down additional debt. On March 22, 2004, we made a prepayment of
$50.0 million on our senior credit facility. On March 29, 2004, we redeemed $71.75 million principal amount of our 73/8% Senior Subordinated Notes due 2013 at a
price equal to 107.375% of the principal amount plus accrued but unpaid interest to the redemption date.
Senior Credit Facility
Our senior credit facility consists of a seven-year term loan facility and a $100.0 million six-year revolving credit facility. The
following table sets forth the amounts outstanding under the term loan and the revolving credit facility, the effective interest rates on such outstanding amounts, and amounts available for additional
borrowing thereunder, as of March 31, 2004 (dollars in thousands):
Senior Credit Facility
|
|
Effective Interest Rate
|
|
Amounts
Outstanding
|
|
Amount
Available
For Additional
Borrowing
|
Revolving credit facility |
|
|
|
$ |
|
|
$ |
86,176 |
Term loan facility |
|
4.49 |
%(1) |
|
427,600 |
|
|
|
|
|
|
|
|
|
|
Total |
|
|
|
$ |
427,600 |
|
$ |
86,176 |
|
|
|
|
|
|
|
- (1)
- The
effective interest rate includes the effect of interest rate hedging arrangements. Excluding the interest rate hedging arrangements, our nominal interest rate as of
March 31, 2004 was 3.36%.
- (2)
- At
March 31, 2004, amounts available under the revolving portion of our credit facility reflect a reduction of $13.8 million for letters of credit issued on our behalf,
none of which have been drawn upon by the beneficiaries thereunder.
53
At
April 30, 2004, total borrowings under the senior credit facility were $427.6 million.
Our
senior credit facility contains affirmative and negative covenants customary for similar facilities and transactions including, but not limited to, quarterly and annual financial
reporting requirements and limitations on other debt, other liens or guarantees, mergers or consolidations, asset sales, certain investments, distributions to shareholders or share repurchases, early
retirement of subordinated debt, capital expenditures, changes in the nature of the business, changes in organizational documents and documents evidencing or related to subordinated indebtedness that
are materially adverse to the interests of the lenders under our senior credit facility and changes in accounting policies or reporting practices.
Our
senior credit facility contains financial covenants requiring us to meet certain leverage and interest coverage ratios. Specifically, we are obligated not to permit ratios to fall
outside certain specified ranges and maintain minimum levels of EBITDA (as defined in the senior credit agreement). Under the senior credit agreement, EBITDA excludes charges associated with the
recapitalization. With regard to these financial covenants, it will be an event of default if we permit any of the following:
-
- for
any period of four consecutive quarters ending at the end of any fiscal quarter beginning with the fiscal quarter ending December 31, 2003, the ratio of EBITDA,
as defined, to consolidated cash interest expense to be less than certain specified ratios ranging from 4.30 to 1.00, for the fiscal quarter ending December 31, 2003 to 5.50 to 1.00 for the
fiscal quarter ending December 31, 2006 and each fiscal quarter following that quarter;
-
- as
of the last day of any fiscal quarter beginning with the fiscal quarter ending December 31, 2003, the leverage ratio of debt to EBITDA, as defined, to be greater
than certain specified leverage ratios ranging from 4.30 to 1.00 for the fiscal quarter ending December 31, 2003 to 2.50 to 1.00 for the fiscal quarter ending December 31, 2006 and each
fiscal quarter following that quarter; or
-
- for
any period of four consecutive fiscal quarters ending at the end of any fiscal quarter beginning with the fiscal quarter ending December 31, 2003, EBITDA, as
defined, to be less than certain amounts ranging from $156.4 million for the fiscal quarter ending December 31, 2003 to $240.0 million for the fiscal quarter ending
December 31, 2006 and each fiscal quarter following that quarter.
As
of March 31, 2004 we were in compliance with all covenants under the senior credit agreement.
We
amended our senior credit agreement effective February 26, 2004 to include the following, among other, provisions:
-
- There
is a new term loan B facility that was used to repay the previous term loan B facility, and the applicable margin with respect to the new term loan B
facility is (a) at any time the leverage ratio (as defined in our senior credit agreement) is greater than 2.25 to 1.00, 1.25% in the case of base rate loans and 2.25% in the case of Eurodollar
loans, (b) at any time the leverage ratio is less than or equal to 2.25 to 1.00, 1.00% in the case of base rate loans and 2.00% in the case of Eurodollar loans, and (c) at any time the
leverage ratio is less than 1.75 to 1.00, and the loans are rated at least Ba2 by Moody's and BB+ by Standard and Poor's, .75% in the case of base rate loans and 1.75% in the case of Eurodollar loans.
-
- We
are permitted to prepay subordinated notes without limit so long as we meet a specified leverage ratio test and we are not in default under our senior credit agreement.
-
- We
are no longer required to prepay the loans under the senior credit facility with the net cash proceeds of capital contributions or issuances of equity.
-
- We
are permitted to effect open-market purchases of our capital stock in an amount up to $25.0 million per year. In addition, we have the ability to pay
cash dividends on, or purchase, our capital stock in an amount up to $20.0 million per year if our pro forma leverage ratio, as defined in
54
73/8% Senior Subordinated Notes due 2013
On August 11, 2003, we issued and sold an aggregate of $205.0 million principal amount of our 73/8% Senior Subordinated Notes due
2013. Interest on the notes accrues at the rate of 73/8% per annum and is payable semiannually in cash on each May 15 and November 15, which began on November 15,
2003, to the persons who are registered holders at the close of business on May 1 and November 1 immediately preceding the applicable interest payment date. Interest on the notes accrues
from and including the most recent date to which interest has been paid or, if no interest has been paid, from and including the date of issuance of the notes. Interest is computed on the basis of a
360-day year consisting of twelve 30-day months and, in the case of a partial month, the actual number of days elapsed. The notes are not entitled to the benefit of any
mandatory sinking fund.
The
notes are unsecured obligations of KCI, ranking subordinate in right of payment to all senior debt of KCI. The notes are guaranteed by each of our direct and indirect 100% owned
subsidiaries, other than any entity that is a controlled foreign corporation within the definition of Section 957 of the Internal Revenue Code or a holding company whose only assets are
investments in a controlled foreign corporation. Each of these subsidiaries is a restricted subsidiary, as defined in the indenture governing the notes. (See Note 5 of the Notes to Consolidated
Financial Statements included elsewhere in this prospectus.)
Each
guarantor jointly and severally guarantees KCI's obligation under the notes. The guarantees are subordinated to guarantor senior debt on the same basis as the notes are subordinated
to KCI's senior debt. The obligations of each guarantor under its guarantee are limited as necessary to prevent the guarantee from constituting a fraudulent conveyance under applicable law.
The
indenture governing the notes limits our ability, among other things, to:
-
- incur
additional debt;
-
- pay
dividends, acquire shares of capital stock, make payments on subordinated debt or make investments;
-
- place
limitations on distributions from our restricted subsidiaries;
-
- issue
or sell capital stock of restricted subsidiaries;
-
- issue
guarantees;
-
- sell
or exchange assets;
-
- enter
into transactions with affiliates;
-
- create
liens; and
-
- effect
mergers.
During
2004, we have repurchased $106.1 million principal amount of the notes. We may purchase additional amounts of our 73/8% Senior Subordinated Notes due 2013 in
the open market and/or in privately negotiated transactions from time to time, subject to limitations in our senior credit facility.
Interest Rate Protection
On March 8, 2004, we terminated our $100.0 million, 2.375% interest rate swap and entered into a new $100.0 million, 2.375% interest rate
swap agreement. The amount included in other comprehensive
55
income
as of March 31, 2004 continued to be recognized over the original date through which interest payments were hedged because the hedged item (interest payments) continued to exist.
Although no cash was exchanged, the new $100.0 million swap did not qualify for the shortcut method because the fair value of the swap was not zero at inception (it had a negative value). We
elected to use the "hypothetical derivative" method to measure effectiveness, which allowed us to use the change in the fair value of a "hypothetical derivative" (one which had no fair value at
inception with terms mirroring the actual derivative that would be assumed to be perfectly effective) as a proxy for the change in the expected fair value of the hedged transactions. As of
March 31, 2004, there was no significant hedge ineffectiveness.
The
fair value of each of the swaps, except the swap initiated on March 8, 2004, was zero at inception. Due to subsequent movements in interest rates, as of March 31, 2004,
the fair values of our swap agreements were negative and were adjusted to reflect a liability of approximately $4.3 million. During the first quarter of 2004 and 2003, we recorded interest
expense of approximately $1.2 million and $400,000, respectively, as a result of interest rate protection agreements.
Long-Term Commitments
We are committed to making cash payments in the future on long-term debt, capital leases, operating leases and purchase commitments. We have not
guaranteed the debt of any other party. The following table summarizes our contractual cash obligations as of March 31, 2004, for each of the periods indicated (dollars in thousands):
Year
|
|
Long-Term
Debt
Amortization
|
|
Capital
Lease
Obligations
|
|
Operating
Lease
Obligations
|
|
Purchase
Obligations
|
|
Total
|
2004 |
|
$ |
3,231 |
|
$ |
1,536 |
|
$ |
22,698 |
|
$ |
20,699 |
|
$ |
48,164 |
2005 |
|
|
4,458 |
|
|
1,035 |
|
|
18,506 |
|
|
|
|
|
23,999 |
2006 |
|
|
4,458 |
|
|
302 |
|
|
15,261 |
|
|
|
|
|
20,021 |
2007 |
|
|
4,308 |
|
|
|
|
|
11,386 |
|
|
|
|
|
15,694 |
2008 |
|
|
4,308 |
|
|
|
|
|
8,903 |
|
|
|
|
|
13,211 |
Thereafter |
|
|
540,387 |
|
|
|
|
|
16,973 |
|
|
|
|
|
557,360 |
We have entered into a sole-source agreement with Avail Medical Products, Inc. for V.A.C. disposables. This supply agreement has a
three-year term, beginning October 2002, with an automatic extension for an additional twelve months if neither party gives notice of termination. The agreement does not contain any
firm purchase commitments for inventory in excess of our current purchase orders.
Quantitative and Qualitative Disclosures About Market Risk
We are exposed to various market risks, including fluctuations in interest rates and variability in currency exchange rates. We have established policies,
procedures and internal processes governing our management of market risk and the use of financial instruments to manage our exposure to such risk.
Interest Rate Risk
We have variable interest rate debt and other financial instruments, which are subject to interest rate risk and could have a negative impact on our business if
not managed properly. We have a risk management policy, which is designed to reduce the potential negative earnings effect arising from the impact of fluctuating interest rates. We manage our interest
rate risk on our borrowings through interest rate swap agreements which effectively convert a portion of our variable-rate borrowings to a fixed rate basis through August 21, 2006,
thus reducing the impact of changes in interest rates on future interest expenses. These contracts are initiated within the guidance of corporate risk management policies and are reviewed and approved
by our senior financial management. We do not use financial instruments for speculative or trading purposes.
56
Our
senior credit facility requires that we fix the base-borrowing rate applicable to at least 50% of the outstanding amount of our term loan under our senior credit facility
for a period of two years from the date of issuance. As of March 31, 2004, we have seven interest rate swap agreements pursuant to which we have fixed the rates on $350.0 million, or
81.9%, of our variable rate debt as follows:
-
- 2.375%
per annum on $100.0 million of our variable rate debt through December 31, 2004;
-
- 2.150%
per annum on $60.0 million of our variable rate debt through August 22, 2005;
-
- 2.130%
per annum on $20.0 million of our variable rate debt through August 22, 2005;
-
- 2.135%
per annum on $20.0 million of our variable rate debt through August 21, 2005;
-
- 2.755%
per annum on $50.0 million of our variable rate debt through August 21, 2006;
-
- 2.778%
per annum on $50.0 million of our variable rate debt through August 21, 2006; and
-
- 2.788%
per annum on $50.0 million of our variable rate debt through August 21, 2006.
The
tables below provide information about our long-term debt and interest rate swaps, both of which are sensitive to changes in interest rates as of March 31, 2004,
December 31, 2003 and December 31, 2002. For long-term debt, the table presents principal cash flows and related weighted average interest rates by expected maturity dates. For
interest rate swaps, the table presents notional amounts and weighted average interest rates by expected (contractual) maturity dates. Notional amounts are used to calculate the contractual payments
to be exchanged under the contract. Weighted average variable rates are based on implied forward rates in the yield curve at the reporting date (dollars in thousands):
|
|
Maturity Date
|
|
|
|
March 31, 2004
|
|
|
|
2004
|
|
2005
|
|
2006
|
|
2007
|
|
2008
|
|
Thereafter
|
|
Total
|
|
Fair Value
|
|
Long-term debt |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Fixed rate |
|
$ |
|
|
$ |
150 |
|
$ |
150 |
|
$ |
|
|
$ |
|
|
$ |
133,250 |
|
$ |
133,550 |
|
$ |
144,210 |
|
|
Average interest rate |
|
|
|
|
|
7.000 |
% |
|
7.000 |
% |
|
|
|
|
|
|
|
7.375 |
% |
|
7.374 |
% |
|
|
|
|
Variable rate |
|
$ |
3,231 |
|
$ |
4,308 |
|
$ |
4,308 |
|
$ |
4,308 |
|
$ |
4,308 |
|
$ |
407,137 |
|
$ |
427,600 |
|
$ |
427,600 |
|
|
Average interest rate |
|
|
3.36 |
% |
|
3.36 |
% |
|
3.36 |
% |
|
3.36 |
% |
|
3.36 |
% |
|
3.36 |
% |
|
3.36 |
% |
|
|
|
Interest rate swaps(1) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Variable to fixed |
|
$ |
100,000 |
|
$ |
100,000 |
|
$ |
150,000 |
|
$ |
|
|
$ |
|
|
$ |
|
|
$ |
350,000 |
|
$ |
(4,293 |
) |
|
Average pay rate |
|
|
2.375 |
% |
|
2.143 |
% |
|
2.774 |
% |
|
|
|
|
|
|
|
|
|
|
2.480 |
% |
|
|
|
|
Average receive rate |
|
|
1.11 |
% |
|
1.11 |
% |
|
1.11 |
% |
|
|
|
|
|
|
|
|
|
|
1.11 |
% |
|
|
|
|
|
Maturity date
|
|
|
|
December 31, 2003
|
|
|
|
2004
|
|
2005
|
|
2006
|
|
2007
|
|
Thereafter
|
|
Total
|
|
Fair Value
|
|
Long-term debt |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Fixed rate |
|
|
|
|
$ |
150 |
|
$ |
150 |
|
|
|
|
$ |
205,000 |
|
$ |
205,300 |
|
$ |
215,550 |
|
|
Average interest rate |
|
|
|
|
|
7.000 |
% |
|
7.000 |
% |
|
|
|
|
7.375 |
% |
|
7.374 |
% |
|
|
|
|
Variable rate |
|
$ |
4,800 |
|
$ |
4,800 |
|
$ |
4,800 |
|
$ |
4,800 |
|
$ |
458,400 |
|
$ |
477,600 |
|
$ |
472,800 |
|
|
Average interest rate |
|
|
3.920 |
% |
|
3.920 |
% |
|
3.920 |
% |
|
|
|
|
|
|
|
3.920 |
% |
|
|
|
Interest rate swaps(1) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Variable to fixed |
|
$ |
100,000 |
|
$ |
100,000 |
|
$ |
150,000 |
|
|
|
|
|
|
|
$ |
350,000 |
|
$ |
(2,402 |
) |
|
Average pay rate |
|
|
2.375 |
% |
|
2.143 |
% |
|
2.774 |
% |
|
|
|
|
|
|
|
2.480 |
% |
|
|
|
|
Average receive rate |
|
|
1.163 |
% |
|
1.163 |
% |
|
1.165 |
% |
|
|
|
|
|
|
|
1.164 |
% |
|
|
|
57
|
|
Maturity date
|
|
|
|
December 31, 2002
|
|
|
|
2003
|
|
2004
|
|
2005
|
|
2006
|
|
2007
|
|
Total
|
|
Fair Value
|
|
Long-term debt |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Fixed rate |
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
200,000 |
|
$ |
200,000 |
|
$ |
206,000 |
|
|
Average interest rate |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
9.625 |
% |
|
9.625 |
% |
|
|
|
|
Variable rate |
|
$ |
30,550 |
|
$ |
86,750 |
|
$ |
113,825 |
|
$ |
90,725 |
|
$ |
|
|
$ |
321,850 |
|
$ |
321,850 |
|
|
Average interest rate |
|
|
3.239 |
% |
|
3.905 |
% |
|
4.149 |
% |
|
4.025 |
% |
|
|
|
|
3.962 |
% |
|
|
|
Interest rate swaps(1) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Variable to fixed |
|
$ |
100,000 |
|
$ |
100,000 |
|
$ |
|
|
$ |
|
|
$ |
|
|
$ |
200,000 |
|
$ |
(1,341 |
) |
|
Average pay rate |
|
|
1.745 |
% |
|
2.375 |
% |
|
|
|
|
|
|
|
|
|
|
2.060 |
% |
|
|
|
|
Average receive rate |
|
|
1.400 |
% |
|
1.400 |
% |
|
|
|
|
|
|
|
|
|
|
1.400 |
% |
|
|
|
- (1)
- Interest
rate swaps are included in the variable rate debt under long-term debt.
Foreign Currency and Market Risk
We have direct operations in Western Europe, Canada, Australia and South Africa and distributor relationships in many other parts of the world. Our foreign
operations are measured in their applicable local currencies. As a result, our financial results could be affected by factors such as changes in foreign currency exchange rates or weak economic
conditions in the foreign markets in which we have operations. Exposure to these fluctuations is managed primarily through the use of natural hedges, whereby funding obligations and assets are both
managed in the applicable local currency.
We
maintain no other derivative instruments to mitigate our exposure to translation and/or transaction risk. International operations reported operating profit of $25.5 million
for the year ended December 31, 2003 and $6.7 million for the three months ended March 31, 2004. We estimate that a 10% fluctuation in the value of the dollar relative to these
foreign currencies at December 31, 2003 would change our net income for the year ended December 31, 2003 by approximately $1.7 million. We estimate that a 10% fluctuation in the
value of the dollar relative to these foreign currencies at March 31, 2004 would change our net income for the three months ended March 31, 2004 by approximately $400,000. Our analysis
does not consider the implications that such fluctuations could have on the overall economic activity that could exist in such an environment in the U.S. or the foreign countries or on the results of
operations of these foreign entities.
Critical Accounting Estimates
The SEC defines critical accounting estimates as those that are, in management's opinion, very important to the portrayal of our financial condition and results
of operations and require our management's most difficult, subjective or complex judgments. In preparing our financial statements in accordance with accounting principles generally accepted in the
United States, we must often make estimates and assumptions that effect the reported amounts of assets, liabilities, revenue, expenses and related disclosures at the date of the financial statements
and during the reporting period. Some of those judgments can be subjective and complex. Consequently, actual results could differ from our estimates. The accounting policies that are most subject to
important estimates or assumptions are described below. (See Note 1 of the Notes to Consolidated Financial Statements included elsewhere in this prospectus.)
Revenue Recognition
We recognize revenue in accordance with Staff Accounting Bulletin No. 101, as amended by Staff Accounting Bulletin No. 104, when each of the
following four criteria are met:
- 1.
- A
contract or sales arrangement exists.
- 2.
- Products
have been shipped and title has transferred or services have been rendered.
58
- 3.
- The
price of the products or services is fixed or determinable.
- 4.
- Collectibility
is reasonably assured.
We
recognize rental revenue based on the number of days a product is in use by the patient/facility and the contracted rental rate. Sales revenue is recognized when products are shipped.
Reductions to rental revenue are recorded to provide for payment adjustments including capitation agreements, evaluation/free trial days, credit memos, rebates, pricing adjustments, utilization
adjustments, cancellations and payer adjustments. In addition, we establish reserves against revenue to allow for uncollectible items relating to unbilled receivables over 60 days old and
patient co-payments, based on historical collection experience.
Accounts ReceivableAllowance for Doubtful Accounts
We utilize a combination of factors in evaluating the collectibility of accounts receivable. For unbilled receivables, we establish reserves against revenue to
allow for denied or uncollectible items beginning at 60 days after the end of service or usage. Items that remain unbilled for more than 90 days, or beyond an established billing window,
are reversed out of revenue and receivables. For billed receivables, we generally establish reserves for bad debt based on the length of time that the receivables are past due. The reserve rates vary
by payer group and are based upon our historical experience on a weighted average basis. The reserves range in value from 0% for current amounts to 50% for amounts over 150 days for most payer
groups and 100% for amounts over 365 days for our third-party payers and for certain higher risk payers. In addition, we have recorded specific reserves for bad debt when we become aware of a
customer's inability to satisfy its debt obligations, such as in the event of a bankruptcy filing. If circumstances change, such as higher than expected claims denials, payment defaults or an
unexpected material adverse change in a major customer's or payer's ability to meet its obligations, our estimates of the realizability of amounts due from trade receivables could be reduced by a
material amount. We do not anticipate any of these items to be significant. We expect revenue to continue to grow and as a result our receivables will continue to grow but we do not expect them to
grow at the same pace as revenue. We expect to continue to improve our days receivable outstanding and therefore, reduce bad debt reserves as a percent of total accounts receivable. We expect this to
happen over time as we continue to enhance our systems and internal processes to provide for more rapid billing and collection of our receivables. However, we may not be able to reduce the number of
days receivable outstanding, and as such, or receivables may grow together with our revenue, or faster than revenue, resulting in variability in our historical reserve adjustments.
Inventory
Inventories are stated at the lower of cost (first-in, first-out) or market (net realizable value). Costs include material, labor and
manufacturing overhead costs. Inventory expected to be converted into equipment for short-term rental is reclassified to property, plant and equipment. We review our inventory balances
monthly for excess sale products or obsolete inventory levels. Except where firm orders are on-hand, inventory quantities of sale products in excess of the last twelve months demand are
considered excess and are reserved at 50% of cost. For rental products, we review both product usage and product life cycle to classify inventory as active, discontinued or obsolete. Obsolescence
reserve balances are established on an increasing basis from 0% for active, high-demand products to 100% for obsolete products. The reserve is reviewed, and if necessary, adjustments made
on a monthly basis. We rely on historical information to support our reserve and utilize management's business judgment for "high risk" items, such as products that have a fixed shelf life. Once the
inventory is written down, we do not adjust the reserve balance until the inventory is sold.
59
Goodwill and Other Intangible Assets
Goodwill represents the excess purchase price over the fair value of net assets acquired. Effective January 1, 2002, we applied the provisions of Statement
of Financial Accounting Standards No. 142, ("SFAS 142"), "Goodwill and Other Intangible
Assets," in our accounting for goodwill. SFAS 142 requires that goodwill and other intangible assets that have indefinite
lives not be amortized but instead be tested at least annually for impairment, or more frequently when events or changes in circumstances indicate that the asset might be impaired. For indefinite
lived intangible assets, impairment is tested by comparing the carrying value of the asset to the fair value of the reporting unit to which they are assigned.
Goodwill
was tested for impairment during the first and fourth quarters of 2002 and the fourth quarter of 2003. It will be tested for impairment at least annually, in the fourth quarter,
using a two-step process. The first step is a comparison of an estimation of the fair value of a reporting unit with the reporting unit's carrying value. We have determined that our
reporting units are our two operating segmentsUSA and International. If the fair value of a reporting unit exceeds its carrying amount, the goodwill of the reporting unit is not
considered impaired, and as a result, the second step of the impairment test is not required. If required, the second step compares the fair value of reporting unit goodwill with the carrying amount
of that goodwill. If we determine that reporting unit goodwill is impaired, the fair value of reporting unit goodwill would be measured by comparing the discounted expected future cash flows of the
reporting unit with the carrying value of reporting unit goodwill. Any excess in the carrying value of reporting unit goodwill to the estimated fair
value would be recognized as an expense at the time of the measurement. We recorded no impairments to our reporting units as a result of the implementation of SFAS 142 during 2002 or 2003.
The
goodwill of a reporting unit will be tested annually or if an event occurs or circumstances change that would likely reduce the fair value of a reporting unit below its carrying
amount. Examples of such events or circumstances include, but are not limited to, a significant adverse change in legal or business climate, an adverse regulatory action or unanticipated competition.
Long-Lived Assets
Property, plant and equipment are stated at cost. Betterments, which extend the useful life of the equipment, are capitalized. Depreciation on property, plant and
equipment is calculated on the straight-line method over the estimated useful lives (30 to 40 years for buildings and between three and five years for most of our other property and
equipment) of the assets. We have not had an event that would indicate impairment of our tangible long-lived assets. If an event were to occur, we would review property, plant and
equipment for impairment using an undiscounted cash flow analysis and if an impairment had occurred on an undiscounted basis, we would compute the fair market value of the applicable assets on a
discounted cash flow basis and adjust the carrying value accordingly.
Income Taxes
We operate in multiple tax jurisdictions with different tax rates, both inside and outside the United States. Accordingly we must determine the appropriate
allocation of income in accordance with local law for each of these jurisdictions. In the normal course of our business, we will undergo scheduled reviews by taxing authorities regarding the amount of
taxes due. These reviews include questions regarding the timing and amount of deductions and the allocation of income among various tax jurisdictions along with questions regarding transfer pricing
matters. Tax reviews often require an extended period of time to resolve and may result in income tax adjustments if changes to the allocation are required between jurisdictions with different tax
rates. We believe our income tax accruals are adequate to cover exposures related to such potential changes in income allocations between jurisdictions. To the extent additional information becomes
available, such accruals are adjusted to reflect probable outcomes.
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Legal Proceedings and Other Loss Contingencies
We are subject to various legal proceedings, many involving routine litigation incidental to our business. The outcome of any legal proceeding is not within our
complete control, is often difficult to predict and is resolved over very long periods of time. Estimating probable losses associated with any legal proceedings or other loss contingencies is very
complex and requires the analysis of many factors including assumptions about potential actions by third parties. Loss contingencies are recorded as liabilities in the consolidated financial
statements when it is both (1) probable or known that a liability has been incurred and (2) the amount of the loss is reasonably estimable, in accordance with Financial Accounting
Standards Statement No. 5, "Accounting for Contingencies." If the reasonable estimate of the loss is a range and no amount within the range is a
better estimate, the minimum amount of the range is recorded as a liability. If a loss contingency is not probable or not reasonably estimable, a liability is not recorded in the consolidated
financial statements.
New Accounting Pronouncements
In June 2001, the Financial Accounting Standards Board issued SFAS No. 143, "Accounting for Asset Retirement
Obligations," effective for fiscal years beginning after June 15, 2002. This standard addresses financial accounting and
reporting obligations associated with the retirement of tangible long-lived assets and the associated asset retirement costs. The standard requires us to record the fair value of a
liability for an asset retirement obligation in the period in which it is incurred and to adjust its present value in each subsequent period. In addition, we must capitalize an amount equal to the
adjustment by increasing the carrying amount of the related long-lived asset, which is depreciated over the remaining useful life of the related asset. We adopted SFAS 143 during
the first quarter of 2003 and it did not have a significant effect on our financial position or results of operations.
In
January 2003, the Financial Accounting Standards Board ("FASB") issued Interpretation No. 46 ("FIN 46"), "Consolidation of Variable Interest
Entities," and in December 2003 issued a revised interpretation ("FIN 46R"). FIN 46 and FIN 46R address the accounting for, and disclosure of, investments in variable
interest entities. As a result of the issuance of FIN 46 and FIN 46R, we evaluated our accounting of and disclosure of our beneficial ownership of two Grantor Trusts and determined that no changes to
our accounting methods or disclosures related to these trusts were required. As such, our adoption of FIN 46 and FIN 46R during 2003 did not have a significant effect on our financial position or
results of operations.
In
April 2003, the FASB issued Statement of Financial Accounting Standards No. 149, or ("SFAS 149"), "Amendment of Statement 133 on
Derivative Instruments and Hedging Activities." This statement amends SFAS 133 to provide clarification on the financial accounting and reporting of derivative
instruments and hedging activities and requires contracts with similar characteristics to be accounted for on a comparable basis. Our adoption of SFAS 149 during 2003 did not have a material
effect on our financial condition or results of operations.
In
May 2003, the FASB issued SFAS 150, "Accounting for Certain Financial Instruments with Characteristics of both Liabilities and Equity." The statement established standards for classifying and
measuring as liabilities certain financial instruments that embody obligations of the issuer and have characteristics of
both liabilities and equity. SFAS 150 must be applied immediately to instruments entered into or modified after May 31, 2003. We have applied the terms of SFAS 150 to the
Series A convertible preferred stock issued as a part of the recapitalization and determined that it should be classified as equity and has been reported in the mezzanine section of our balance
sheet. All dividends paid or accrued on the Series A convertible preferred stock have been reported as dividends in the Consolidated Statements of Earnings included elsewhere in this
prospectus.
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BUSINESS
General
Kinetic Concepts, Inc. is a global medical technology company with leadership positions in advanced wound care and therapeutic surfaces. We design,
manufacture, market and service a wide range of proprietary products which can significantly improve clinical outcomes while reducing the overall cost of patient care by accelerating the healing
process or preventing complications. Our advanced wound care systems incorporate our proprietary V.A.C. technology, which has been clinically demonstrated to promote wound healing and reduce the cost
of treating patients with serious wounds. Our therapeutic surfaces, including specialty hospital beds, mattress replacement systems and overlays, are designed to address complications associated with
immobility and obesity, such as pressure sores and pneumonia. From 2000 to 2003, we increased revenue at a compound annual growth rate of 29.5%. Our revenue for the three months ended March 31,
2004 increased 34.6% from the three months ended March 31, 2003.
Clinical Applications
Our advanced medical systems and therapeutic surfaces address four principal clinical applications:
Wound Healing and Tissue Repair
Based on third-party research commissioned by KCI, we believe that of the more than 10 million wounds treated worldwide by doctors, hospitals and clinics
each year, approximately 10%-15% are complex, life threatening or difficult-to-treat conditions. Based on our analysis of this data, we estimate that the annual
market opportunity in the United States for V.A.C. systems is approximately one million patients, representing approximately
$2.3 billion in revenue. We also believe there is a comparably sized market for V.A.C. systems internationally based on our analysis of third-party data in Germany and the UK. We expect these
markets to continue to grow as a result of several factors, including the acceptance of V.A.C. therapy as a treatment for additional wound types, medical trends such as continued growth in the
incidence of diabetes, and the aging population. V.A.C. is now the leading revenue-generating product line used to treat these serious wounds.
In
the acute care setting, serious trauma wounds, failed surgical closures, amputations (especially those resulting from complications of diabetes), burns covering a large portion of the
body and serious pressure ulcers present special challenges to the physician. These are often deep and/or large wounds that are prone to serious infection and further complications due to the extent
of tissue damage or the compromised state of the patient's health. These wounds are often difficultor in the worst cases, impossibleto treat quickly and successfully with
more conventional products. In addition, when surgeons use skin grafts to close wounds, a substantial portion of the closures are not fully effective. Physicians and hospitals need a therapy that
addresses the special needs of these wounds with high levels of clinical and cost effectiveness. Given the high cost and infection risk of treating these patients in health care facilities, the
ability to create healthy wound beds and reduce bacterial levels in the wound is particularly important. Our V.A.C. Classic and V.A.C.ATS systems are designed to meet these needs by
quickly reducing edema, managing exudate, reducing infection risk, and stimulating the growth of healthy, vascularized granulation tissue.
In
the extended care and home care settings, different types of woundswith different treatment implicationspresent the most significant challenges. Although a
substantial number of acute wounds require post-discharge treatment, a majority of the challenging wounds in the home care setting are non-healing chronic wounds. These wounds
often involve physiologic and metabolic complications such as reduced blood supply, compromised lymphatic system or immune deficiencies that interfere with the body's normal wound healing processes.
Diabetic ulcers, arterial and venous insufficiency wounds and pressure ulcers are often slow-to-heal wounds. These wounds often develop due to a patient's impaired vascular and
tissue repair capabilities. These conditions can also inhibit the patient's healing process, and
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wounds
such as these often fail to heal for many months, and sometimes for several years. Difficult-to-treat wounds do not always respond to traditional therapies, such as
hydrocolloids, hydrogels and alginates. Physicians and nurses look for therapies that can promote the healing process and overcome the obstacles of the patients' compromised conditions. They also
prefer therapies that are easy to administer, especially in the home care setting, where full-time skilled care is generally not available. In addition, because many of these patients are
not confined to bed, they want therapies which are minimally disruptive to their lives. Our Mini V.A.C. and V.A.C. Freedom systems are designed to allow patients mobility to conduct normal lives while
their wounds heal.
Therapies to Treat Pulmonary Complications in the Intensive Care Unit
The most critically ill patient population is cared for in the intensive care unit, or ICU, of a hospital, where they can receive the most intense medical
attention. Patients seen in the ICU usually suffer from serious acute and chronic complications from a wide variety of diseases and traumatic injuries. These patients often have, or develop, pulmonary
complications, such as Acute Respiratory Distress Syndrome, directly resulting from their conditions or stemming from their impaired mobility. Mobility is essential to human physiology. When a patient
cannot mobilize normally, due to spinal cord injury, stroke, trauma or other medical condition, fluids tend to accumulate and the patient is at risk of developing pneumonia, blood clots and other
medical problems. Some ICU patients are in such acute distress that their organ systems are at risk of failure and many are on some type of life-support. In 2001, there were approximately
1.0 million ICU patients in the United States with pulmonary complications. Treating pulmonary complications requires special equipment and treatment methods. Because of the aggressive and
specialized treatments required to address these life-threatening conditions, daily patient care costs in the ICU are relatively high. Our Kinetic Therapy systems provide mobility to
patients who cannot mobilize by themselves. These systems are designed to meet the special needs of ICU patients and have been shown in independent clinical studies to reduce the incidence of certain
pulmonary complications and length of stay in the ICU. Our specialized therapies for ICU patients include the Roto Rest Delta, Triadyne II and TriaDyne Proventa for the prevention and treatment of
pulmonary complications associated with immobility.
Wound Treatment and Prevention
Our therapeutic surfaces for pressure relief and pressure reduction provide therapy in the treatment of pressure sores, burns, ulcers, skin grafts and other skin
conditions. They also help prevent the formation of pressure sores that develop in certain immobile individuals by reducing the amount of pressure on a patient's skin through the use of surfaces
supported by air, foam, silicon beads, or viscous fluid. Our products also help to reduce shear, a major factor in the development of pressure ulcers, by reducing the amount of friction between the
skin surface and the surface of the bed. In addition to providing pressure relief and pressure reduction, some of our products provide a pulsing of the surface cushions, known as pulsation therapy,
which helps improve blood and lymphatic flow to the skin. Some of our products further promote healing and reduce nursing time by providing an automated "wound care" turn of a minimum of 20 degrees.
Bariatric Care
We offer a line of bariatric products, which are designed to accommodate obese individuals by providing the support they need and enabling hospital staff to care
for them in a safe and dignified manner. Our bariatric care products generally are used for patients weighing from 300 to 600 pounds, although some are expandable and can accommodate patients weighing
up to 1,000 pounds. These individuals are often unable to fit into standard-sized beds and wheelchairs. Our most sophisticated bariatric care products can serve as a bed, chair, weight scale and
x-ray table, and they provide therapeutic functions like those in our wound treatment and prevention systems. Moreover, treating obese patients is a significant staffing issue for many
health care facilities because moving and handling obese patients
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increases
the risk of injury to health care personnel. We believe that these products enable health care personnel to treat these patients in a manner that is safer for health care personnel and more
dignified for the patient.
Products
We offer a wide range of products in each clinical application to meet the specific needs of different subsets of the market, providing innovative, cost
effective, outcome driven therapies across multiple care settings.
Wound Healing and Tissue Repair
Our five wound healing and tissue repair systems incorporate our proprietary V.A.C. technology. A V.A.C. system consists of the therapy unit and four types of
disposables: a foam dressing, an occlusive drape, a tube system connecting the dressing to the therapy unit and a canister. The therapy unit consists of a pump that generates negative pressure and
internal software that controls and monitors the application of the therapy. The therapy can be programmed for individualized use. Recent advancements, which are incorporated in our
V.A.C.ATS and V.A.C. Freedom, enable the unit to flexibly control the time, rate and application of negative pressure to the wound and adapt its operations as it senses the progress of
the application of the therapy to the originally targeted levels. The V.A.C.ATS and V.A.C. Freedom units also respond in real time to problems encountered during use and alerts users to
any blockage or other interference with the pre-set protocol. The system has a number of on screen user assist features such as treatment protocols and suggestions to address specific
patient issues.
The
negative pressure therapy is delivered to the wound bed through a proprietary foam dressing cut to fit the wound size. The dressing is connected to the therapy unit through a tube
which both delivers the negative pressure and senses the pressure delivered to the wound surface. An occlusive drape covers the dressing and secures the foam, thereby allowing negative pressure to be
maintained at the wound site. Negative pressure can also be applied intermittently to the wound site, which we believe further accelerates the growth of granulation tissue. The canister collects the
fluids, or exudates, and helps reduce odors through the use of special filters. V.A.C. dressings are typically changed every 48 hours for non-infected wounds versus traditional
dressings which often require dressing changes one or more times per day. Our original V.A.C. dressings were designed either to maximize granulation tissue growth in large open wounds or to help close
superficial wounds where excessive granulation is undesirable. Newer versions address the unique physical characteristics of wounds such as diabetic foot ulcers and abdominal compartment syndrome.
Each
of our wound healing and tissue repair systems is targeted to meet the needs of specific care settings and wound or patient requirements.
-
- The V.A.C.ATS System was introduced in 2002 to meet the acute
care requirements for a flexible, easy-to-use, high-capacity system that is effective with the largest and most challenging trauma, orthopedic reconstruction and
abdominal wounds. The V.A.C.ATS incorporates advanced features and controls to provide flexibility to customize the treatment protocol to the requirements of different wound types and
physician preferences. It also incorporates our proprietary T.R.A.C. technology, which enables the system to monitor pressure at the wound site and automatically adjust system operation to maintain
the desired therapy protocol. The V.A.C.ATS also simplifies dressing changes and incorporates smart alarms that help ensure patient safety.
-
- The V.A.C. Instill System was introduced in 2003 to add additional therapy capability to V.A.C. systems. The V.A.C. Instill
combines the ability to instill fluids into the wound with V.A.C. therapy. Any fluid approved for topical useincluding antibiotics, antiseptics and anestheticscan be
instilled, making the system particularly well suited for infected and painful wounds. Future uses could include cytokines, growth factors, or other agents to stimulate wound healing. Because the
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The
superior clinical efficacy of our V.A.C. systems is supported by an extensive collection of published clinical studies. V.A.C. systems have been reviewed in at least 137 peer
reviewed journal articles, 238 abstracts, 21 case studies and 39 textbook citations. Of these, the research for six articles and 13 abstracts was funded by research grants from KCI.
In
addition, we are conducting 10 prospective, randomized and controlled multicenter clinical studies specifically designed to provide statistically significant evidence of V.A.C.
therapy's clinical efficacy for treating a wide range of targeted wound types. These clinical studies are managed by our 28-member medical department.
Products Treating Pulmonary Complications in the ICU
Our Kinetic Therapy products include the TriaDyne Proventa, TriaDyne II, Roto Rest Delta and PediDyne Therapy System. The TriaDyne Therapy System product line is
used primarily in acute care settings and provides patients with four distinct therapies on an air suspension surface. The TriaDyne Therapy System applies Kinetic Therapy by rotating the patient up to
45 degrees on each side. There are three different modes of rotation: upper body only, full body rotation, and counter rotation, simultaneously rotating the patient's torso and lower body in opposite
directions to keep the patient centered on the patient surface. The TriDyne Therapy System also accommodates prone therapy with the proning accessory kit, percussion therapy to loosen mucous buildup
in the lungs and pulsation therapy to promote capillary and lymphatic flow. We have recently introduced an extension for the TriaDyne line which is designed to make it easier to move patients into the
prone position when lying on a hospital bed. The Roto Rest Delta is a specialty bed that can rotate a patient up to 62 degrees on each side for the treatment of severe pulmonary complications. The
Roto Rest Delta has been shown to improve the care of patients suffering from multiple trauma, spinal cord injury, severe pulmonary complications, respiratory failure and deep vein thrombosis. The
most advanced rotational therapy, Kinetic Therapy, has been clinically studied in at least 14 randomized clinical trials, 38 peer reviewed articles, 10 other published articles, 40 abstracts, 15 case
studies and three textbook citations. Of these, the research for 10 articles, 29 abstracts and 15 case studies was funded by research grants from KCI.
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Wound Treatment and Prevention
We offer a wide variety of therapeutic surfaces for wound treatment and prevention, providing pressure relief, pressure reduction, pulsation, alternating
pressure, and a continuous turn of a minimum of 20 degrees. Most of our therapy beds and surfaces incorporate the exclusive use of GoreTex® fabric in the patient contact areas to provide
an ideal microclimate for skin protection and moisture control. Our pressure relief products include a variety of framed beds and overlays such as the KinAir III, KinAir MedSurg and KinAir IV framed
beds; the FluidAir Elite and FluidAir II bead beds; the FirstStep, FirstStep Plus, FirstStep Select, FirstStep Advantage and TriCell overlays, the AtmosAir family of non-powered, dynamic
mattress replacement and seating surfaces; and the RIK fluid mattress and overlay. Our pulsation products include the TheraPulse and TheraPulse ATP framed beds and the DynaPulse overlay. Our
alternating pressure or air cycling products include a powered model of the AtmosAir, and the Intercell. Our turn assist products include the KinAir IV, Therapulse ATP, and a powered AtmosAir model.
The
KinAir III, KinAir MedSurg and KinAir IV have been shown to provide effective skin care therapy in the treatment of pressure sores, burns and post-operative skin grafts
and flaps and to help prevent the formation of pressure sores and certain other complications of immobility. The
FluidAir Elite and FluidAir II support the patient on a low-pressure surface of air-fluidized beads providing pressure relief and shear relief for skin grafts or flaps, burns
and pressure sores. The FirstStep family of overlays is designed to provide pressure relief and help prevent and treat pressure sores. The AtmosAir family are for-sale mattress replacement
products that have been shown to be effective for the treatment and prevention of pressure sores in a series of hospital-based case studies. The proprietary AtmosAir with Self Adjusting Technology
("SAT") utilizes atmospheric pressure and gravity to deliver non-powered dynamic pressure relief. The RIK mattress and the RIK overlay are static, non-powered products that
provide pressure relief using a patented viscous fluid and a patented anti-shear layer. The Therarest mattress is a static pressure-reducing, for sale mattress used for the prevention of
pressure ulcers.
The
TheraPulse and TheraPulse ATP framed beds and the DynaPulse overlay provide a more aggressive form of treatment through a continuous pulsating action which gently massages the skin
to help improve capillary and lymphatic circulation in patients suffering from severe pressure sores, burns, skin grafts or flaps, swelling or circulatory problems. A less aggressive form of pulsation
known as alternating pressure or air cycling is provided by a powered version of the AtmosAir and Intercell.
The
KinAir IV, Therapulse ATP and a powered AtmosAir model all provide turn assist of a minimum of 20 degrees to each side. Turn Assist helps the caregiver reposition and/or turn a
patient in order to provide patient care and pressure relief.
Bariatric Care
Our bariatric products provide a range of therapy options and the proper support needed by obese patients and enable nurses to properly care for these patients in
a safe and dignified manner. The most advanced product in this line is the BariAir therapy system, which can serve as a bed, cardiac chair or x-ray table. The BariAir provides low air loss
pressure relief, continuous turn assist, percussion and step-down features designed for both patient comfort and nurse assistance. This product can be used for patients who weigh up to 850
pounds. We believe that the BariAir is the most advanced product of its type available today and because of this, it is our most frequently used bariatric product. It provides a risk management
platform for patients weighing up to 850 pounds. It is a front exit bed with the ability to convert to a cardiac chair position. In 1996, we introduced the FirstStep Select Heavy Duty overlay which,
when placed on a BariKare bed, provides pressure-relieving low air loss therapy. Our AirMaxxis product provides a therapeutic air surface for the home environment for patients weighing up to 650
pounds. The Maxxis 300 and Maxxis 400 provide a home care bariatric bed frame for patients weighing up to 600 pounds and 1,000 pounds, respectively.
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The
newest product in our bariatric product line is the BariMaxx II. The BariMaxx II provides a basic risk management platform for patients weighing up to 1,000 pounds for those
customers looking for a set of features including built-in scales and an expandable frame at a lower cost. Additionally, the BariMaxx II side exit feature allows the caregiver to assist
patients in a more traditional exit of the bed. This is an important factor in a patient's rehabilitation and prepares them for facility discharge. Our bariatric beds are now combined with an
EZ-Lift patient transfer system and other accessories such as wheelchairs, walkers and commodes to create a complete bariatric offering.
Competitive Strengths
We believe we have the following competitive strengths:
-
- Leading global market positions. V.A.C. is the leading revenue-generating product line in the global advanced
wound care market. We are also the number two provider, based on revenue, of therapeutic surfaces in the United States and one of the largest providers in Europe. We believe that our market leadership
results from the demonstrated clinical efficacy of our products, our ability to help our customers reduce health care costs and our extensive relationships with healthcare providers and third-party
payers.
-
- Superior clinical efficacy. The superior clinical efficacy of our V.A.C. systems and our therapeutic surfaces is
supported by an extensive collection of published clinical studies. V.A.C. systems have been reviewed in at least 137 peer reviewed journal articles, 238 abstracts, 21 case studies and 39
textbook citations. Of these, the research for six articles and 13 abstracts was funded by research grants from KCI. Eight of the articles describe randomized, controlled clinical trials, or
RCTs, which are considered to be the highest standard for evidence of clinical effectiveness. Three of these studies addressed pressure ulcers with two showing superior wound size reduction with use
of V.A.C. along with improved healing processes and fewer complications. The third study, which was small (22 patients) and did not follow our recommended protocol, did not show superior
effectiveness for pressure ulcers. Two studies addressed diabetic foot ulcers, and showed superior wound size reduction for diabetic foot ulcers and suggest substantially faster times to definitive
closure. Three other studies showed superior results for open-wound-management of non-healing wounds, graft donor site re-epitheliazation and preparation of wounds requiring dermal reconstruction for
skin grafts. Some of the studies demonstrate that V.A.C. therapy also delivers significant cost savings to the health care system, generally ranging from $1,000 to $19,000 per patient depending on
wound type, and ranging from 6% to 38% of the cost of conventional care. Similarly, our most advanced rotational therapy, Kinetic Therapy, has been reviewed in at least 14 RCTs, 38 peer reviewed
articles, 10 other published articles, 40 abstracts, 15 case studies and three textbook citations. Of these, the research for 10 articles, 29 abstracts and 15 case studies was
funded by research grants from KCI.
-
- Product innovation and commercialization. We have a successful track record in pioneering new wound care and
therapeutic surface technologies. Our recent development and commercialization of both new V.A.C. systems and disposable dressing variations have strengthened KCI's leadership position in advanced
wound care. Our therapeutic surface technology originated with the introduction of the Roto Rest bed 27 years ago. Since that time, we have developed and commercialized a broad
spectrum of therapeutic surfaces, a number of which have significantly enhanced patient care. In addition, we have developed a broad portfolio of bariatric products to improve the care of obese
patients.
-
- Broad V.A.C. patent portfolio. We have patent protection for V.A.C. products, in the form of owned and licensed
patents, including at least 15 issued U.S. patents and at least 13 U.S. patent applications pending. Our base V.A.C. patents, which we license on an exclusive basis, do not begin to expire until 2013.
Our international patent portfolio (including owned and licensed patents) relating to current and prospective technologies in the field of V.A.C. therapy includes more than
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125
issued patents and more than 140 pending patent applications, including protection in Europe, Canada, Australia and Japan.
-
- Broad reach and customer relationships. Our worldwide sales team, consisting of approximately 1,225 individuals,
including approximately 620 employees with medical or clinical backgrounds, has strong relationships with our customers due to the clinical support and consultation we provide and our education and
training programs. We also have broad reach across all health care settings. In the United States, for example, we have relationships with over 3,000 acute care hospitals, over 4,600 extended care
facilities and approximately 8,500 home health care agencies and wound care clinics.
-
- Extensive service center network. With a network of 135 U.S. and 67 international service centers, we are able
to rapidly deliver our critically needed products to major hospitals in the United States, Canada, Australia and most major European countries. Our network gives us the ability to deliver our products
to any major Level I domestic trauma center within hours. This extensive network is critical to securing national GPO contracts and allows us to efficiently serve the home market directly. Our network
also provides a platform for the introduction of additional products.
-
- Reimbursement expertise. A significant portion of our V.A.C. revenue is derived from home placements, which are
reimbursed by third-party payers such as private insurance, managed care, Medicare and Medicaid. We have dedicated significant time and resources to develop capabilities and
expertise in third-party reimbursement, and we have developed systems to support and manage the deployment of our domestic and international sales and service efforts.
-
- Strong management team. Our management team has a diverse set of industry skills and global operating
experience, including backgrounds spanning the health care services and medical device industries, as well as expertise running complex organizations and managing rapid growth. Our executive officers
have an average of 20 years of experience in the health care industry.
Business Strategy
We intend to continue to grow our business and to improve our market position by pursuing the following strategies:
-
- Continue to capture the current V.A.C. opportunity. Based on third-party research commissioned by KCI, we
believe that we have only penetrated approximately 15-20%, based on revenue, of the U.S. market for V.A.C. systems and even less of the international market. We believe that we can
significantly increase our market penetration. We will continue to capitalize on our current strengths, including our sales and service infrastructure, our intellectual property portfolio, V.A.C.
product pipeline and demonstrated clinical efficacy. In addition, we have a number of strategic initiatives underway which will support this progress:
-
- Establish V.A.C. therapy as standard of care. Our objective is to establish V.A.C. therapy as standard of care
for each of seven targeted wound types, including diabetic ulcers and amputations, pressure ulcers, burns, trauma wounds, skin grafts, dehisced surgical wounds and abdominal compartment syndrome. We
are conducting ten prospective, randomized and controlled multicenter clinical studies specifically designed to provide statistically significant evidence of V.A.C. therapy's clinical efficacy for
treating each of these specified wound types. In addition, we have developed a strategy for communication, awareness and consensus building that targets each of the professional associations and key
opinion leaders whose support is essential for standard-of-care designation.
-
- Increase penetration in home care markets. We continue to enhance our contractual relationships with insurance
companies, which have already increased covered lives under contract from fewer than 20 million in mid-2000 to approximately 169 million as of April 30, 2004. Our
physician awareness and penetration initiatives are also important in the home
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-
- Maintain and expand our leadership position in therapeutic surfaces. We intend to maintain our leadership
position in therapeutic surfaces by capitalizing on the growth opportunities in bariatrics and the ICU. We are also building on our expertise in Kinetic Therapy to introduce a new product which will
treat Acute Respiratory Distress Syndrome and Acute Lung Injury in the ICU.
-
- Expand presence in international markets. We are expanding our international marketing and sales efforts. We
have committed resources to expand our presence in under-penetrated markets, obtain standard-of-care designation in other countries and achieve reimbursement for home use of
V.A.C. systems. Recently, the German and Austrian associations for wound treatment have recognized V.A.C. therapy as the therapy of choice for several wound care indications.
-
- Generate high returns on invested capital. Our returns on invested capital have increased in each year since
1999, and averaged more than 25% over the last three years, despite our accelerated spending to capitalize on V.A.C. growth opportunities. Starting in the second half of 2002 we increased productivity
and achieved profit increases exceeding revenue growth. We will continue to focus on productivity enhancements, capital efficiency and other metrics to improve our performance.
Customers
We have broad reach across all health care settings. In the United States, for example, we have relationships with over 3,000 acute care hospitals, over 4,600
extended care facilities and approximately 8,500 home health care agencies and wound care clinics. As of April 30, 2004, we served approximately 2,200 medium to large hospitals in the United
States. Through our network of 135 U.S. and 67 international service centers, we are able to rapidly deliver our critically needed products to major hospitals in the United States, Canada, Australia
and most major European countries. This extensive network is critical to securing national GPO contracts and allows us to efficiently serve the home market directly. Our network also provides a
platform for the introduction of additional products.
Our
customers generally prefer to rent our V.A.C. systems and therapeutic surfaces and purchase the related disposable products, such as V.A.C. dressings. We believe that some of our
customers, who tend to be our larger customers, desire alternatives to rental for at least some of their business. We expect this trend to continue as V.A.C. penetration increases, and we are
exploring alternative models, such as a pilot long-term lease program that we are currently developing, so that we can respond to our customers' needs.
Billing and Reimbursement
We have extensive contractual relationships and reimbursement coverage for the V.A.C. in the United States. In acute and extended care, we have contracts with
nearly all major hospital, and most major extended-care group purchasing organizations. Hospitals and extended care facilities pay us directly for our services. In the home care market, we
provide V.A.C. products and services directly to patients and bill third-party payers, including Medicare and private insurance. V.A.C. systems are covered by Medicare Part B. We currently have
V.A.C. contracts with private insurance covering approximately 169 million member lives in the United States as of April 30, 2004. This represents more than one-half of all individuals
covered by private insurance in the United States and is more than eight times the number of member lives we had under contract as of mid-2000.
In
the home care market, we have developed a significant base of reimbursement expertise that consists of our experienced professionals and our relationships with payers across all care
settings and are enhancing our electronic systems to simplify the labor intensive and complex reimbursement process.
69
Corporate Organization
Our business has two geographical operating segments: USA and International.
With
approximately 1,730 employees as of April 30, 2004, our USA division serves the domestic acute care, extended care and home care markets with the full range of our products.
The domestic division distributes our medical devices and therapeutic surfaces to over 3,000 acute care hospitals and more than 4,600 extended care facilities and also directly serves the home care
market through our service center network. Our USA division accounted for approximately 76%, 77%, 78% and 76% of our total revenue in the years ended December 31, 2003, 2002 and 2001 and for
the quarter ended March 31, 2004, respectively.
As
of March 31, 2004, our International division had direct operations in 16 foreign countries including Germany, Austria, the United Kingdom, Canada, France, the Netherlands,
Switzerland, Australia, Italy, Denmark, Sweden, Ireland, Belgium, Spain, Singapore and South Africa. The International division distributes our medical devices and therapeutic surfaces through a
network of 67 service centers. Our international corporate office is located in Amsterdam, The Netherlands. International manufacturing and engineering operations are based in the United Kingdom. In
addition, our International division serves the demands of a growing global market through relationships with approximately 60 active independent distributors in Latin America, the Middle East,
Eastern Europe and Asia. The International division consists of approximately 1,175 employees who are responsible for all sales, service and administrative functions within the various countries we
serve. Our International division accounted for approximately 24%, 23%, 22% and 24% of our total revenue in the years ended December 31, 2003, 2002 and 2001, and for the quarter ended
March 31, 2004, respectively.
Sales and Marketing Organization
Our worldwide sales organization consists of approximately 1,225 individuals, 620 of whom have medical or clinical backgrounds. Our sales organization is focused
by care setting. Since physicians and nurses are critical to the adoption and use of advanced medical systems, a major element of the sales force's responsibility is to educate and train these medical
practitioners in the application of our products, including the specific knowledge necessary to assure that the use of our systems results in optimal clinical and economic outcomes. In 2003, our sales
staff made more than 140,000 contacts with these targeted clinical decision-makers. We have approximately 330 clinical consultants, all of whom are
health care professionals, whose principal responsibilities are to make product rounds, consult on complex cases and assist facilities and home health agencies to develop their patient care protocols.
Our clinicians educate the hospital, long-term care facility or home health agency staff on the use of our products. In addition, we employ approximately 120 field-based specialists who
consult with our customers regarding the often demanding and complex paperwork required by Medicare and private insurance companies. In fulfilling the paperwork requirements, these specialists enhance
the overall productivity of our sales force.
Our
international sales organization includes more than 415 employees in 16 foreign countries. In addition, in each foreign market where we have a presence, we sell our products through
our direct sales force or through local distributors with local expertise.
Selling,
marketing and advertising expenses in each of the periods below were as follows (dollars in thousands):
|
|
Year Ended December 31,
|
|
|
|
|
|
Three Months Ended
March 31, 2004
|
|
|
|
2001
|
|
2002
|
|
2003
|
|
Selling |
|
$ |
88,347 |
|
$ |
112,146 |
|
$ |
128,247 |
|
$ |
38,385 |
|
|
Percentage of total revenue |
|
|
19 |
% |
|
19 |
% |
|
17 |
% |
|
17 |
% |
Marketing |
|
$ |
13,109 |
|
$ |
19,240 |
|
$ |
24,815 |
|
$ |
8,381 |
|
|
Percentage of total revenue |
|
|
3 |
% |
|
3 |
% |
|
3 |
% |
|
4 |
% |
Advertising |
|
$ |
2,085 |
|
$ |
4,802 |
|
$ |
5,148 |
|
$ |
1,664 |
|
|
Percentage of total revenue |
|
|
|
|
|
1 |
% |
|
1 |
% |
|
1 |
% |
70
Service Organization
Our USA division has a national 24-hour, seven day-a-week customer service communications system, which allows us to quickly
and efficiently respond to our customers' needs. The domestic division distributes our medical devices and therapeutic surfaces to more than 3,000 acute care hospitals and more than 4,600 extended
care facilities through a network of 135 domestic service centers and also directly serves the home care market through our extensive service center network. Our USA division's network gives us the
ability to deliver our products to any major Level I domestic trauma center within hours. Our International division distributes our medical devices and therapeutic surfaces through a network of 67
service centers.
In
addition to delivery, pick-up, and technical support services, our service organization cleans, disinfects, and reconditions products between rentals. To assure
availability when products are needed, the service organization manages our rental fleet of approximately 50,000 units, deploying units to meet individual service center demand patterns while
maintaining high levels of rental asset utilization. Services are provided by approximately 790 people in the United States and more than 420 people internationally.
Research and Development
We have a successful track record in pioneering new wound care and therapeutic surface technologies through new product introductions and significant enhancements
to existing products. Our recent development and commercialization of both new V.A.C. systems and V.A.C. disposable dressing variations have established KCI as a leader in advanced wound care. Our
therapeutic surfaces technology originated with the introduction of the Roto Rest bed 27 years ago. Since that time, we have developed and commercialized a broad spectrum of therapeutic
surfaces, a number of which have
significantly enhanced patient care. In addition, we have developed a broad portfolio of bariatric products to improve the care of obese patients.
Our
primary focus for innovation is to increase the clinical and economic benefit of our products to our customers and their patients. In addition, we strive to make our products
user-friendly and increase their operational efficiency, both of which are critical in the demanding and sometimes short-staffed world of health care today. Significant investments in our
2003 research and development included:
-
- new
wound healing systems and dressings tailored to the needs of different care settings and wound types;
-
- new
technologies in wound healing and tissue repair;
-
- new
applications of V.A.C. technology and enhanced therapeutic effectiveness through improved understanding of the V.A.C. systems' various mechanisms of action;
-
- two
new therapeutic surfaces to address critical needs of patients with Acute Respiratory Distress Syndrome, and to provide neuroprotection for cardiac arrest and stroke
patients; and
-
- significant
upgrades to several of our core therapeutic surfaces and bariatric products.
71
Expenditures
for research and development, including clinical trials, in each of the periods below, were as follows (dollars in thousands):
|
|
Year Ended December 31,
|
|
|
|
|
|
Three Months Ended
March 31, 2004
|
|
|
|
2001
|
|
2002
|
|
2003
|
|
Research and development spending |
|
$ |
14,266 |
|
$ |
18,749 |
|
$ |
23,044 |
|
$ |
7,119 |
|
|
Percentage of total revenue |
|
|
3 |
% |
|
3 |
% |
|
3 |
% |
|
3 |
% |
We intend to increase our research and development expenditures in absolute dollars and as a percentage of revenue. However, we expect that research and
development spending will remain a modest percentage of overall revenue.
Patents, Trademarks and Licenses
We rely on a combination of patents, copyrights, trademarks, trade secret and other laws, and contractual restrictions on disclosure, copying and transfer of
title, including confidentiality agreements with vendors, strategic partners, co-developers, employees, consultants and other third parties, to protect our proprietary rights in our
products, new developments, improvements and inventions. We seek patent protection in the United States and abroad. We have more than 100 issued U.S. patents relating to our existing and prospective
lines of therapeutic surfaces and V.A.C. systems. We also have more than 40 pending U.S. patent applications. Many of our specialized beds, medical devices and services are offered under proprietary
trademarks and service marks. We have more than 45 trademarks and service marks registered with the United States Patent and Trademark Office. We also have agreements with third parties that provide
for the licensing of patented or proprietary technology.
We
have patent protection for our current V.A.C. products, in the form of owned and licensed patents, including at least 15 issued U.S. patents and at least 13 U.S. patent applications
pending. Our international patent portfolio (including owned and licensed patents) relating to current and prospective technologies in the field of V.A.C. therapy includes more than 125 issued patents
and more than 140 pending patent applications, including protection in Europe, Canada, Australia and Japan.
Most of the V.A.C. patents in our patent portfolio have an average life of 20 years from their date of priority. Our base V.A.C. patents do not begin to expire until 2013. We have multiple
patents covering unique aspects, and improvements to the V.A.C. system.
On
October 6, 1993, we entered into a license agreement with Wake Forest University that we rely on in connection with our V.A.C. business. Under this agreement, Wake Forest
University licensed to us on a worldwide, exclusive basis the right to use, lease, sell and sublicense its rights to certain patents that are integral to the technology that we incorporate in our
V.A.C. products. The term of the agreement continues for as long as the underlying patents are in effect, subject to Wake Forest University's right to terminate earlier if we fail to make required
royalty payments or are otherwise in material breach or default of the agreement.
Manufacturing
Our manufacturing processes for V.A.C. therapeutic units, therapeutic surfaces, mattress replacement systems and overlays involve producing final assemblies in
accordance with a master production plan. Assembly of our products is accomplished using (1) metal parts that are fabricated, machined, and finished internally, (2) fabric that is cut
and sewn internally and externally, and (3) plastics, electronics and other component parts that are purchased from outside suppliers. Internal fabrication, machining, finishing and sewing are
accomplished on modern equipment. Component parts and materials are obtained from industrial distributors, original equipment manufacturers and contract manufacturers. The majority of parts and
materials are readily available in the open market (steel, aluminum, plastics, fabric, etc.) for
72
which
price volatility is low. The manufacturing process is in compliance with ISO 9001 (1994), ISO 13485, and FDA Quality System Regulation.
We
contract for the manufacture of V.A.C. disposables through Avail Medical Products, Inc., a leading contract manufacturer of sterile medical disposables. We entered into a
sole-source agreement with Avail for our V.A.C. related disposable products, which became effective in October 2002 for our U.S. related orders and in May 2003 for our
international related orders. This supply agreement has a three-year term and was recently extended for an additional year. Approximately 15.6% of our total revenue for the year ended
December 31, 2003 and approximately 19.7% of our total revenue for the three months ended March 31, 2004 was generated from the sale of these disposable supplies. The terms of the supply
agreement provide that key indicators be provided to us that would alert us to Avail's inability to perform under the agreement. We, together with Avail, will maintain certain levels of
on-hand supply. In the event that Avail is unable to fulfill the terms of this agreement, we have identified other suppliers that could provide such inventory to meet our needs. However,
in the event that we are unable to replace a shortfall in supply, our revenue could be negatively impacted in the short term.
Working Capital Management
We maintain inventory to support customer needs in our service centers and in our manufacturing facility. For our surface and V.A.C. businesses, we maintain parts
and supplies inventory for replacement parts in both our service centers and manufacturing facilities. We also maintain inventory for conversion to our surface and V.A.C. rental fleet in our
manufacturing facilities. Our V.A.C. rental equipment cannot be used without the disposables that support the V.A.C. systems. As such, we buy and ship disposable inventory directly from our sole
supplier to the customer. We have commitments to purchase inventory from our sole disposable supplier as discussed in "Manufacturing".
Our
payment terms with hospitals and extended care facilities are consistent with industry standards and provide for payment within 30 days. Our payment terms with third party
payers, including Medicare and private insurance, are consistent with industry standards and provide for payment within 45 days. A portion of our receivables relate to unbilled revenues arising
in the normal course of business, due to monthly billing cycles requested by our hospital or extended care facility customers or due to our internal paperwork processing procedures regarding billing
third party payers.
Competition
We believe that the principal competitive factors within our markets are clinical efficacy, cost of care, clinical outcomes and service. Furthermore, we believe
that a national presence with full distribution capabilities is important to serve large, national and regional health care group purchasing organizations, or GPOs. We have contracts with nearly all
major hospital GPOs and most major extended care GPOs for V.A.C. systems. The medical device industry is highly competitive and is characterized by rapid product development and technological change.
In order to remain competitive with other companies in our industry, we must continue to develop new cost-effective products and technologies.
In
wound healing and tissue repair, we compete with other treatment methods offered by a number of companies in the advanced wound care business. These methods are substantially
different than the V.A.C. and include traditional wound care dressings, advanced wound care dressings (hydrogels, hydrocolloids, alginates), skin substitutes, products containing growth factors and
medical devices used for wound care. Many of these devices can be used to compete with the V.A.C. or as adjunctive therapy which complements the V.A.C. For example, caregivers may use one of our
V.A.C. systems to prepare a healthy wound bed in order to reduce the wound size, and then use a skin substitute to manage the wound to final closure. As the market for, and revenues generated by, the
V.A.C. expand, we believe additional competitors may introduce products designed to mimic the V.A.C. Recently, BlueSky Medical Corporation and several companies in Europe have introduced medical
devices which have been marketed to compete with the
73
V.A.C.
system. We have filed suit against BlueSky and related parties seeking to restrict the continued marketing and sale of their device, which we believe infringes our patent rights, and we have
obtained a preliminary injunction against MTG in Germany. (See "Legal Proceedings").
With
respect to therapeutic surfaces for treatment of pulmonary complications in the ICU, wound treatment and prevention and bariatric care, our primary competitors are
Hill-Rom Company, Huntleigh Healthcare and Pegasus Limited. In the bariatric market, our primary competitors are Hill-Rom, Sizewise Rentals and Huntleigh Healthcare. We also
compete on a regional, local and market segment level with a number of smaller companies.
Market Outlook
Health Care Reform
Health care reform legislation will most likely remain focused on reducing the cost of health care. We believe that efforts by private payers to contain costs
through managed care and other efforts will continue in the future as efforts to reform the health care system continue. The Balanced Budget Act of 1997 (the "BBA") significantly reduced the annual
increases in federal spending for Medicare and Medicaid, changed the payment system for both skilled nursing facilities ("SNFs") and home health care services from cost-based to
prospective payment systems and allowed states greater flexibility in controlling Medicaid costs at the state level. Although certain increases in reimbursement payments have subsequently been
approved, the overall effect of the BBA continues to place increased pricing pressure on us and our customers. In particular, the changes in the method by which Medicare Part A reimburses SNFs
has dramatically changed the manner in which our SNF customers make rental and purchase decisions.
Certain
portions of the BBA were amended by the Medicare, Medicaid and SCHIP Balanced Budget Refinement Act of 1999 (the "Refinement Act") and the Medicare, Medicaid and SCHIP Benefits
Improvement and Protection Act of 2000 ("BIPA"). In essence, the Refinement Act and BIPA attempted to lessen the detrimental economic impact which the BBA had on the health care industry. Regarding
SNF reimbursement, some payment relief had been provided under the Refinement Act and BIPA, however, some of the relief expired on September 30, 2002. Because that reimbursement relief was not
carried over into 2003, our therapeutic surfaces revenue in the extended care market is down approximately 9% for the year ended December 31, 2003 as compared to the same period in 2002.
On
December 8, 2003, the President signed the Medicare Prescription Drug, Improvement and Modernization Act of 2003 ("Modernization Act"), which includes revisions to payment
methodologies and other standards for items of DME. These revisions could have a direct impact on our business. At this time, we are unable to determine with precision whether and to what extent these
changes would be applied to our products and our business. Several provisions of the Modernization Act are significant. First, beginning in 2004 through 2008, the payment amounts for DME, including
V.A.C. systems will no longer be increased on an annual basis. Second, beginning in 2007, a competitive acquisition program will be phased in to replace the existing fee schedule payment methodology.
Third, supplier quality standards will be established for DME suppliers. The standards will be applied by independent accreditation organizations. Fourth, clinical conditions for payment will be
established for certain products.
On
February 11, 2003, the Centers for Medicare and Medicaid Services ("CMS," formerly the Health Care Financing Administration) made effective an interim final rule implementing
"inherent reasonableness" authority, which allows the agency and carriers to adjust payment amounts by up to 15% per year for certain items and services covered by Medicare Part B when the
existing payment amount is determined to be grossly excessive or grossly deficient. The regulation lists factors that may be used by CMS and the carriers to determine whether an existing reimbursement
rate is grossly excessive or grossly deficient and to determine what is a realistic and equitable payment amount. CMS may make a larger adjustment each year if they undertake prescribed procedures for
determining the appropriate payment amount for a particular service. Using this authority, CMS and the carriers may reduce reimbursement
74
levels
for certain items and services covered by Medicare Part B. This rule remains in effect after the Modernization Act.
In
addition, the BBA authorized CMS to explore possible ways of changing Medicare reimbursement rates so that they better reflect market levels. Specifically, the BBA authorized CMS to
implement up to five competitive bidding systems by December 31, 2002, to evaluate how competitive bidding would impact Medicare program payments, access, diversity of product selection and
quality. Under competitive bidding, CMS would change its approach to reimbursing products and services covered by Medicare Part B from the current fee schedule amount to an amount that would be
established through a bidding process between the agency and suppliers. Two systems covering eight products have been
completed and under the Modernization Act, starting in 2007, Medicare will begin to implement a nationwide competitive bidding program in ten high population metropolitan statistical areas ("MSAs"),
and in 2009, this program is to be expanded to 80 MSAs (and additional areas thereafter). We do not know what impact inherent reasonableness and competitive bidding would have on us or the
reimbursement of our products.
Health Insurance Portability and Accountability Act (HIPAA) Compliance
The Health Insurance Portability and Accountability Act of 1996 ("HIPAA") covers a variety of provisions which will impact our business including the privacy of
patient health care information, the security of that information and the standardization of electronic data transactions for billing. Sanctions for violating HIPAA include criminal penalties and
civil sanctions. The U.S. Department of Health and Human Services has promulgated regulations pursuant to a legislative mandate in HIPAA, which became effective in April 2003. In order to
ensure our compliance with the HIPAA regulations by the April 2003 deadline, KCI established a multi-disciplinary HIPAA Compliance Team, which defined the legal requirements, reviewed KCI's
prior HIPAA compliance efforts and developed a comprehensive compliance plan. We also designated a HIPAA Privacy Officer and HIPAA Information Security Officer to oversee the implementation of the
compliance plan and monitor modifications to the current regulations.
HIPAA
regulations regarding standardization of electronic data billing transactions will also impact our business. At the present time, we invoice third-party payers using a variety of
different systems. In 2003, we transitioned our billing systems to the American National Standard Institute format for electronic data billing transactions as required by HIPAA. In some instances, we
found it difficult to differentiate between products which are covered by a single billing code but have different prices. Therefore, we applied to CMS for additional product codes to support our
current billing practices. However, CMS may not establish any of the requested billing codes. We have been working with all business associates with whom we share protected health information in order
to make the transition to standardized billing codes as smooth as possible. However, the transition to standardized billing codes may create billing difficulties or business interruptions for us.
Our
cost of compliance with HIPAA could be significant. Moreover, although we believe our business practices comply with HIPAA, our practices may be challenged under these laws in the
future and such a challenge may have a material adverse effect on our business, financial condition or results of operations.
Consolidation of Purchasing Entities
The many health care reform initiatives in the United States have caused health care providers to examine their cost structures and reassess the manner in which
they provide health care services. This review, in turn, has led many health care providers to merge or consolidate with other members of their industry in an effort to reduce costs or achieve
operating synergies. A substantial number of our customers, including proprietary hospital groups, GPOs, hospitals, national nursing home companies and national home health care agencies, have been
affected by this consolidation. An extensive service and distribution network and a broad product line are key to servicing the needs of these larger provider networks. In addition, the consolidation
of health care providers often results in the re-negotiation of contracts and the
75
granting
of price concessions. Finally, as GPOs and integrated health care systems increase in size, each contract represents a greater concentration of market share and the adverse consequences of
losing a particular contract increases considerably.
Reimbursement of Health Care Costs
The demand for our products is dependent in part on the reimbursement policies of the various payers. In order to be reimbursed, products generally must be found
to be reasonable and necessary for the diagnosis or treatment of medical conditions and must otherwise fall within the payers' recognized categories of covered items and services. Our products are
either rented or purchased, principally by hospitals and SNFs which receive reimbursement for the products and services they provide from various public and private third-party payers, including
Medicare, Medicaid and private insurance programs. In the home care market, we provide our products and services to patients and bill insurance companies, including Medicare Part B and private
insurance.
The
importance of payer coverage policies was recently demonstrated by our experience with our V.A.C. technology in the home care setting. On October 1, 2000, a Medicare
Part B policy was approved, which provided for reimbursement codes, an associated coverage policy and allowable rates for the V.A.C. systems and V.A.C. disposable products in the home care
setting. The policy facilitated claims processing, permitted electronic claims submissions and created a more uniform claims review process. Because many payers look to Medicare for guidance in
coverage, a specific Medicare policy is often relied upon by other payers.
A
significant portion of our wound healing systems revenue is derived from home placements, which are reimbursed by both governmental and non-governmental third-party payers.
The
reimbursement process for home care placements requires extensive documentation, which has slowed the cash receipts cycle relative to the rest of the business.
In
light of increased scrutiny on Medicare spending, as well as revisions to payment methodologies imposed by the Modernization Act, the outcome of future coverage or payment decisions
for any of our products or services by governmental or non-governmental third-party payers remain uncertain.
Patient Demographics
U.S. Census Bureau statistics indicate that the 65-and-over age group is one of the fastest growing population segments and is expected to
be approximately 40 million by the year 2010. Management of wounds and circulatory problems is crucial for elderly patients. These patients frequently suffer from deteriorating physical
conditions and their wound problems are often exacerbated by circulatory problems, incontinence and poor nutrition.
Obesity
is increasingly being recognized as a serious medical complication. In 2002, approximately 1.3 million patients in U.S. hospitals had a primary or secondary diagnosis of
obesity. Obese patients tend to have limited mobility and are, therefore, at risk for circulatory problems and skin breakdown.
76
Properties and Facilities
Our corporate headquarters are currently located in a 170,400 square foot building in San Antonio, Texas, which was originally purchased in January 1992.
In June 1997, we acquired a 2.6-acre tract of land adjacent to our corporate headquarters. There are four buildings on the land which contain an aggregate of approximately 40,000
square feet. In August 2002, we sold our corporate headquarters facility and adjacent land and buildings under a 10-year sale/leaseback arrangement. We utilize approximately 143,000
square feet of the headquarters building with the remaining space being leased to unrelated entities. We also lease approximately 28,300 square feet of the adjacent buildings that are used for general
corporate purposes. In addition, in October 2001, we entered into a 66-month lease of office space at another location in San Antonio to be used as our customer service center. We
lease approximately 88,500 square feet of office space under this lease.
We
conduct domestic manufacturing, shipping, receiving, engineering and storage activities in a 171,100 square foot facility in San Antonio, Texas, which we purchased in
January 1988, and an adjacent 32,600 square foot facility purchased in 1993. Our operations are conducted with approximately 75% cumulative utilization of plant and equipment. We also lease two
storage facilities in San Antonio, Texas. We lease approximately 135 domestic distribution centers, including each of our seven regional headquarters.
Internationally,
we lease approximately 67 service centers. Our international corporate office is located in Amsterdam, The Netherlands. International manufacturing and engineering
operations are based in the United Kingdom and Belgium. The United Kingdom plant is approximately 24,800 square feet and the Belgium plant is approximately 19,600 square feet. The plants operate with
100% cumulative utilization of plant and equipment.
The
following is a summary of our major facilities:
Location
|
|
Description
|
|
Division
|
|
Owned or
Leased
|
KCI Tower
8023 Vantage Drive
San Antonio, TX |
|
Corporate Headquarters |
|
Corporate |
|
Leased |
KCI Manufacturing
4958 Stout Drive
San Antonio, TX |
|
Manufacturing Plant |
|
Corporate |
|
Owned |
KCI North
5800 Farinon Drive
San Antonio, TX |
|
Customer Service Center |
|
KCI USA |
|
Leased |
Parktoren, 6th Floor
van Heuven Goedhartlaan 11
1181 LE Amstelveen
The Netherlands |
|
International Corporate Headquarters |
|
KCI International |
|
Leased |
KCII Manufacturing, Unit 12
11 Nimrod Way, Wimborne
Dorset, United Kingdom |
|
Manufacturing Plant |
|
KCI International |
|
Leased |
KCII Manufacturing
Ambachtslaan 1031
3990 Peer, Belgium |
|
Manufacturing Plant |
|
KCI International |
|
Leased |
77
Employees
As of April 30, 2004, we had approximately 4,300 employees, and approximately 1,600 of these employees are located in San Antonio, Texas and perform
functions associated with corporate, manufacturing, finance and administration. As of April 30, 2004, we had approximately 1,200 employees in our international facilities. Approximately 250
employees in our Germany facility and approximately 60 employees in our France facility are represented by or are in the process of electing a workers' council, pursuant to applicable industrial
relations laws. Our employees are not otherwise represented by labor unions or workers' councils and we consider our employee relations to be good.
Government Regulation
United States
Our products are subject to regulation by numerous governmental authorities, principally the United States Food and Drug Administration, or the FDA, and
corresponding state and foreign regulatory agencies. Pursuant to the Federal Food, Drug, and Cosmetic Act, and the regulations promulgated thereunder, the FDA regulates the clinical testing,
manufacture, labeling, distribution, sale and promotion of medical devices. 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 pre-market clearance or pre-market approval for devices, withdrawal of
marketing clearances or approvals and criminal prosecution. The FDA also has the authority to demand the repair, replacement or refund of the cost of any device that we manufacture or distribute that
violates statutory or regulatory requirements.
In
the United States, medical devices are classified into one of three classes (Class I, II or III) on the basis of the controls deemed necessary by the FDA to reasonably ensure
their safety and effectiveness. Although many Class I devices are exempt from certain FDA requirements, Class I devices are subject to general controls (for example, labeling,
pre-market notification and adherence to the Quality System Regulation). Class II devices are subject to general and special controls (for example, performance standards,
post-market surveillance, patient registries and FDA guidelines). Generally, Class III devices are high-risk devices that receive significantly greater FDA scrutiny to
ensure their safety and effectiveness (for example, life-sustaining, life-supporting and implantable devices, or new devices which have been found not to be substantially
equivalent to legally marketed Class I or Class II devices). Before a new medical device can be introduced in the market, the manufacturer must generally obtain FDA clearance ("510(k)
clearance") or pre-market application ("PMA") approval. All of our current products have been classified as Class I or Class II devices, which typically are marketed based
upon 510(k) clearance or related exemptions. A 510(k) clearance will generally be granted if the submitted information establishes that the proposed device is "substantially equivalent" in intended
use and technological characteristics to a legally marketed Class I or Class II medical device or to a Class III device on the market since May 28, 1976, for which PMA
approval has not been required. A PMA approval requires proof to the FDA's satisfaction of the safety and effectiveness of a Class III device. A clinical study is generally required to support
a PMA application and is sometimes required for a 510(k) pre-market notification. For "significant risk" devices, such clinical studies generally require submission of an application for
an Investigational Device Exemption, or IDE. The FDA's 510(k) clearance process usually takes from four to twelve months, but may take longer. The PMA approval process is much more costly, lengthy and
uncertain. The process generally takes from one to three years, however, it may take even longer.
Devices
that we manufacture or distribute are subject to pervasive and continuing regulation by the FDA and certain state agencies, including record-keeping requirements and mandatory
reporting of certain adverse experiences resulting from use of the devices. Labeling and promotional activities are subject to regulation 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 and the
78
FDA
scrutinizes the labeling and advertising of medical devices to ensure that unapproved uses of medical devices are not promoted.
Manufacturers
of medical devices for marketing in the United States are required to adhere to applicable regulations, including the Quality System Regulation ("QSR," formerly the Good
Manufacturing Practice regulation), which imposes design, testing, control and documentation requirements. Manufacturers must also comply with the Medical Device Reporting ("MDR") regulation, which
generally requires that manufacturers report to the FDA if their device may have caused or contributed to a death or serious injury or malfunctioned in a way that would likely cause or contribute to a
death or serious injury if it were to recur. We are subject to routine inspection by the FDA and certain state agencies for compliance with QSR requirements, MDR requirements and other applicable
regulations.
Fraud and Abuse Laws
We may also be subject to federal and state physician self-referral laws. Federal physician self-referral legislation (commonly known as
the Stark Law) prohibits, subject to certain exceptions, physician referrals of Medicare and Medicaid patients to an entity providing certain "designated health services" if the physician or an
immediate family member has any financial relationship with the entity. A person who engages in a scheme to circumvent the Stark Law's referral prohibition may be fined up to $100,000 for each such
arrangement or scheme. The penalties for violating the Stark Law also include civil monetary penalties of up to $15,000 per referral and possible exclusion from federal health care programs such as
Medicare and Medicaid. The Stark Law also prohibits the entity receiving the referral from billing any good or service furnished pursuant to an unlawful referral, and any person collecting any amounts
in connection with an unlawful referral is obligated to refund such amounts. Various states have corollary laws to the Stark Law, including laws that require physicians to disclose any financial
interest they may have with a health care provider to their patients when referring patients to that provider. Both the scope and exceptions for such laws vary from state to state.
We
may also be subject to federal and state anti-kickback laws. Section 1128B(b) of the Social Security Act, commonly referred to as the Anti-Kickback Law,
prohibits persons from knowingly and willfully soliciting, receiving, offering or providing remuneration, directly or indirectly, to induce either the referral of an individual, or the furnishing,
recommending, or arranging for a good or service, for which payment may be made under a federal health care program such as Medicare and Medicaid. The Anti-Kickback Law is broad, and it
prohibits many arrangements and practices that are otherwise lawful in businesses outside of the health care industry. The U.S. Department of Health and Human Services ("DHHS") has issued regulations,
commonly known as safe harbors, that set forth certain provisions which, if fully met, will assure health care providers and other parties that they will not be prosecuted under the federal
Anti-Kickback Law. Although full compliance with these provisions ensures against prosecution under the federal Anti-Kickback Law, the failure of a transaction or arrangement
to fit within a specific safe harbor does not necessarily mean that the transaction or arrangement is illegal or that prosecution under the federal Anti-Kickback Law will be pursued. The
penalties for violating the Anti-Kickback Law include imprisonment for up to five years, fines of up to $25,000 per violation and possible exclusion from federal health care programs. Many
states have adopted laws similar to the federal Anti-Kickback Law, and some of these state prohibitions apply to referral of patients for health care services reimbursed by any source, not
only federal health care programs such as Medicare and Medicaid.
In
addition, HIPAA created two new federal crimes: (i) health care fraud and (ii) false statements relating to health care matters. The health care fraud statute prohibits
knowingly and willfully executing or attempting to execute a scheme or artifice to defraud any health care benefit program, including private payers. The false statements statute prohibits knowingly
and willfully falsifying, concealing or covering up a material fact or making any materially false, fictitious or fraudulent statement or representation in connection with the delivery of or payment
for health care benefits, items or services. This statute applies
79
to
any health benefit plan, not just Medicare and Medicaid. Additionally, HIPAA granted expanded enforcement authority to the DHHS and the U.S. Department of Justice ("DOJ") and provided enhanced
resources to support the activities and responsibilities of the DHHS's Office of the Inspector General ("OIG") and the DOJ by authorizing large increases in funding for investigating fraud and abuse
violations relating to health care delivery and payment.
Under
separate statutes, submission of claims for payment or causing such claims to be submitted that are "not provided as claimed" may lead to civil money penalties, criminal fines and
imprisonment, and/or exclusion from participation in Medicare, Medicaid and other federally funded state health programs. These false claims statutes include the federal False Claims Act, which
prohibits the knowing filing of a false claim or the knowing use of false statements to obtain payment from the U.S. federal government. When an entity is determined to have violated the False Claims
Act, it must pay three times the actual damages sustained by the government, plus mandatory civil penalties of between $5,500 and $11,000 for each separate false claim. Suits filed under the False
Claims Act, known as "qui tam" actions, can be brought by any individual on behalf of the government and such individuals (known as "relators" or, more commonly, as "whistleblowers") may share in the
amounts paid by the entity to the government in fines or settlement. In addition, certain states have enacted laws modeled after the federal False Claims Act. Qui tam actions have increased
significantly in recent years causing greater numbers of health care companies to have to defend false claim actions, pay fines or be excluded from the Medicare, Medicaid or other federal or state
health care programs as a result of an investigation arising out of such action. Because we directly submit claims for payment for certain of our products, we are subject to these false claims
statutes, and, therefore, could become subject to "qui tam" actions.
The
OIG has taken certain actions, which suggest that arrangements between manufacturers or suppliers of durable medical equipment or medical supplies and SNFs (or other providers) may
be under continued scrutiny. In June 1995, the OIG issued a Special Fraud Alert setting forth fraudulent and abusive practices that the OIG had observed in the home health industry. Later that
same year, OIG issued another Special Fraud Alert describing certain relationships between SNFs and suppliers that the OIG viewed as abusive under the federal Anti-Kickback Law. In
July 1999, the OIG published OIG compliance program guidance for the durable medical equipment, prosthetics, orthotics and supply ("DMEPOS") industry developed by the OIG in cooperation with,
and with input from, the Health Care Financing Administration ("HCFA"), which is now known as the Centers for Medicare and Medicaid Services, the DOJ and representatives of various trade associations
and health care practice groups. The guidance identifies specific areas of DMEPOS industry operations that may be subject to fraud and abuse. Furthermore, the OIG Work Plan for 2004 focused on
compliance of durable medical equipment suppliers with Medicare rules and regulations. These initiatives create an
environment in which there will continue to be significant scrutiny regarding compliance with federal and state fraud and abuse laws.
Several
states also have referral, fee splitting and other similar laws that may restrict the payment or receipt of remuneration in connection with the purchase or rental of medical
equipment and supplies. State laws vary in scope and have been infrequently interpreted by courts and regulatory agencies, but may apply to all health care products or services, regardless of whether
Medicaid or Medicare funds are involved.
Claims Audits
The industry in which we operate is generally characterized by long collection cycles for accounts receivable due to complex and time-consuming
documentation requirements for obtaining reimbursement from private and governmental third-party payers. Such protracted collection cycles can lead to delays in obtaining reimbursement. Moreover, the
four durable medical equipment regional carriers ("DMERCs"), private entities that contract to serve as the government's agents for the processing of claims for products and services provided under
Part B of the Medicare program for home use, and Medicaid agencies periodically conduct pre-payment and post-payment reviews and other audits of claims submitted.
80
Medicare
and Medicaid agents are under increasing pressure to scrutinize health care claims more closely. Reviews and/or similar audits or investigations of our claims and related documentation could
result in denials of claims for payment submitted by us. Further, the government could demand significant refunds or recoupments of amounts paid by the government for claims which, upon subsequent
investigation, are determined by the government to be inadequately supported by the required documentation.
ISO Certification
Due to the harmonization efforts of a variety of regulatory bodies worldwide, certification of compliance with the ISO 9000 series of International Standards
("ISO Certification") has become particularly advantageous and, in certain circumstances, necessary for many companies in recent years. We received ISO 9001 and EN46001 Certification in the fourth
quarter of 1997 and Medical Device Agency registration in the fourth quarter of 2002 and therefore are certified to apply the CE mark for direct selling and distributing of our products within the
European community. In addition, we received certification for ISO 13485 in the fourth quarter of 2002 and certification with Health Canada and, therefore, are certified to sell and distribute our
products within Canada.
Environmental Laws
We are subject to various federal, state and local environmental laws and regulations that govern our operations, including the handling and disposal of
nonhazardous and hazardous substances and wastes, and emissions and discharges into the environment. Failure to comply with such laws and regulations could result in costs for corrective action,
penalties or the imposition of other liabilities. We also are subject to laws and regulations that impose liability and cleanup responsibility for releases of hazardous substances into the
environment. Under certain of these laws and regulations, such liabilities can be imposed for cleanup of previously owned or operated properties, or properties to which substances or wastes were sent
from current or former operations at our facilities. From time to time, we have incurred costs and obligations for correcting environmental noncompliance matters and for cleanup of certain of our
properties and third party sites. We believe we have complied with our environmental obligations to date in all material respects and that such liabilities will not have a material adverse effect on
our business or financial performance. However, such liabilities in the future may have a material adverse effect on our business or financial performance.
Other Laws
We are subject to numerous federal, state and local laws and regulations relating to such matters as safe working conditions, manufacturing practices and fire
hazard control.
International
Sales of medical devices outside of the United States are subject to regulatory requirements that vary widely from country to country. Pre-market
clearance or approval of medical devices is required by certain countries. The time required to obtain clearance or approval for sale in a foreign country may be longer or shorter than that required
for clearance or approval by the FDA and the requirements vary. Failure to comply with applicable regulatory requirements can result in loss of previously received approvals and other sanctions and
could have a material adverse effect on our business, financial condition or results of operations.
We
operate in multiple tax jurisdictions both inside and outside the United States. In the normal course of our business, we will undergo reviews by taxing authorities regarding the
tariff classifications of our products and the amount of tariffs we pay on the importation and exportation of these products. Foreign and domestic tariffs have not had a material impact on our results
of to date, however, our profitability could be harmed if foreign governments impose additional unanticipated tariffs.
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Reimbursement
Our products are rented and sold principally to hospitals, extended care facilities and directly to patients who receive payment coverage for the products and
services they utilize from various public and private third-party payers, including the Medicare and Medicaid programs and private insurance plans. In the home care market, we provide our products and
services to patients and bill insurance companies, including Medicare Part B and private insurance. As a result, the demand and payment for our products are dependent, in part, on the
reimbursement policies of these payers. The manner in which reimbursement is sought and obtained for any of our products varies based upon the type of payer involved and the setting to which the
product is furnished and in which it is utilized by patients.
We
believe that government and private efforts to contain or reduce health care costs are likely to continue. These trends may lead third-party payers to deny or limit reimbursement for
our products, which could negatively impact the pricing and profitability of, or demand for, our products.
Medicare
Medicare is a federally funded program that provides health coverage primarily to the elderly and disabled. Medicare is composed of four parts: Part A,
Part B, Part C and Part D. Medicare Part A (hospital insurance) covers, among other things, inpatient hospital care, home health care and skilled nursing facility services.
Medicare Part B (supplementary medical insurance) covers various services, including those services provided on an outpatient basis. Medicare Part B also covers medically necessary
durable medical equipment and medical supplies. Medicare Part C, also known as "Medicare Advantage," offers beneficiaries a choice of various types of health care plans, including several
managed care options. Medicare Part D is the new Voluntary Prescription Drug Benefit Program, which becomes effective in 2006. The Medicare program has established guidelines for the coverage
and reimbursement of certain equipment, supplies and support services. In general, in order to be reimbursed by Medicare, a health care item or service furnished to a Medicare beneficiary must be
reasonable and necessary for the diagnosis or treatment of an illness or injury or to improve the functioning of a malformed body part and not otherwise excluded by statute. Effective
October 1, 2000, we received Medicare Part B
reimbursement codes, an associated coverage policy and allowable rates for our V.A.C. systems and related disposables in the home care setting.
The
methodology for determining the amount of Medicare reimbursement of our products varies based upon, among other things, the setting in which a Medicare beneficiary receives health
care items and services. Most of our products are furnished in a hospital, skilled nursing facility or the beneficiary's home.
Hospital Setting
Since the establishment of the prospective payment system in 1983, acute care hospitals are generally reimbursed for certain patients by Medicare for inpatient
operating costs based upon prospectively determined rates. Under the prospective payment system, or PPS, acute care hospitals receive a predetermined payment rate based upon the Diagnosis-Related
Group, or DRG, which is assigned to each Medicare beneficiary's stay, regardless of the actual cost of the services provided. Certain additional or "outlier" payments may be made to a hospital for
cases involving unusually high costs or lengths of stay. Accordingly, acute care hospitals generally do not receive direct Medicare reimbursement under PPS for the distinct costs incurred in
purchasing or renting our products. Rather, reimbursement for these costs is included within the DRG-based payments made to hospitals for the treatment of Medicare-eligible inpatients who
utilize the products. Long-term care and rehabilitation hospitals also are now paid under a PPS rate that does not directly account for all actual services rendered. Since PPS payments are
based on predetermined rates, and may be less than a hospital's actual costs in furnishing care, hospitals have incentives to lower their inpatient operating costs by utilizing equipment and supplies,
such as our products, that will reduce the length of inpatient stays, decrease labor or otherwise lower their costs.
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Certain
specialty hospitals also use our products. Such specialty hospitals are exempt from the PPS and, subject to certain cost ceilings, are reimbursed by Medicare on a reasonable cost
basis for inpatient operating and capital costs incurred in treating Medicare beneficiaries. Consequently, such hospitals may have additional Medicare reimbursement for reasonable costs incurred in
purchasing or renting our products. There has been little experience with PPS for long-term care and rehabilitation hospitals. A final rule for rehabilitation hospital PPS became effective
on January 1, 2002. A final ruling was published in August 2002 implementing PPS for long-term care hospitals with a phased-in transition period, effective October 1,
2002. We cannot predict the impact of the rehabilitation hospital PPS or the long-term care hospital PPS on the health care industry or on our financial position or results of operations.
Skilled Nursing Facility Setting
On July 1, 1998, reimbursement for SNFs under Medicare Part A changed from a cost-based system to a prospective payment system which is
based on resource utilization groups ("RUGs"). Under the RUGs system, a Medicare patient in a SNF is assigned to a RUGs category upon admission to the facility. The RUGs category to which the patient
is assigned depends upon the medical services and functional support the patient is expected to require. The SNF receives a prospectively determined daily payment based upon the RUGs category assigned
to each Medicare patient. These payments are intended generally to cover all inpatient services for Medicare patients, including routine nursing care, capital-related costs associated with the
inpatient stay and ancillary services. Effective July 2002, the daily payments were based on the national average cost. Although the Refinement Act and BIPA increased the payments for certain
RUGs categories, certain provisions of the Refinement Act and BIPA covering these payment increases expired on September 30, 2002 and, in effect, the RUGs rates for the most common categories
of SNF patients decreased. Because the RUGs system provides SNFs with fixed daily cost reimbursement, SNFs have become less inclined to use products which had previously been reimbursed as variable
ancillary costs.
Home Setting
Our products are also provided to Medicare beneficiaries in home care settings. Medicare, under the Part B program, reimburses beneficiaries, or suppliers
accepting an assignment of the beneficiary's Part B benefit, for the purchase or rental of DME for use in the beneficiary's home or a home for the aged (as opposed to use in a hospital or
skilled nursing facility setting). As long as the Medicare Part B coverage criteria are met, certain of our products, including air fluidized beds, air-powered flotation beds,
alternating pressure air mattresses and our V.A.C. systems and related disposables are reimbursed in the home setting under the DME category known as "Capped Rental Items." Pursuant to the fee
schedule payment methodology for this category, Medicare pays a monthly rental fee (for a period not to exceed 15 months for products other than the V.A.C. system, for which the base treatment
period generally does not exceed four months) equal to 80% of the established allowable charge for the item. The patient (or his or her insurer) is responsible for the remaining 20%. The Modernization
Act provides for revisions to the manner in which payment amounts are to be calculated over the next five years (and thereafter). We cannot predict the full impact of the new law on our financial
position or results of operations, which may be impacted negatively.
Medicaid
The Medicaid program is a cooperative federal/state program that provides medical assistance benefits to qualifying low income and medically needy persons. State
participation in Medicaid is optional and each state is given discretion in developing and administering its own Medicaid program, subject, among other things, to certain federal requirements
pertaining to eligibility criteria and minimum categories of services. The Medicaid program finances approximately 50% of all care provided in nursing facilities nationwide. We sell or rent our
products to nursing facilities for use in furnishing care to Medicaid recipients. Typically, nursing facilities receive Medicaid reimbursement directly from states for the incurred
83
costs.
However, the method and level of reimbursement, which generally reflects regionalized average cost structures and other factors, varies from state to state and is subject to each state's budget
constraints. Current economic conditions have resulted in reductions in funding for many state Medicaid programs. Consequently, states are revising their policies for coverage of durable medical
equipment in long-term care facilities and the home. We cannot predict the impact of the policy changes on our Medicaid revenue.
Private Payers
Many third-party private payers, including indemnity insurers, employer group health insurance programs and managed care plans, presently provide coverage for the
purchase and rental of our products. The scope of coverage and payment policies varies among third-party private payers. Furthermore, many such payers are investigating or implementing methods for
reducing health care costs, such as the establishment of capitated or prospective payment systems.
We
believe that government and private efforts to contain or reduce health care costs are likely to continue. These trends may lead third-party payers to deny or limit reimbursement for
our products, which could negatively impact the pricing and profitability of, or demand for, our products.
Legal Proceedings
On February 21, 1992, Novamedix Limited, or Novamedix, filed a lawsuit against us in the United States District Court for the Western District of Texas,
San Antonio Division. Novamedix manufactures a product that directly competes with one of our vascular products, the PlexiPulse. The suit alleges that
the PlexiPulse infringes several patents held by Novamedix, that we breached a confidential relationship with Novamedix and a variety of ancillary claims. Novamedix seeks injunctive relief and
monetary damages. A judicial stay which was in effect with respect to all patent claims in this case has been lifted. On April 12, 2004, a federal Magistrate completed a review of our motion
for summary judgment. In his Memorandum and Recommendation on the summary judgment motions in the case, the Magistrate recommended to the Federal District Court Judge that one of Novamedix's cause of
action for false advertising be significantly limited and that one of Novamedix's patent infringement damage theories be denied for summary judgment purposes. The Magistrate recommended that
(a) the remainder of KCI's motions for summary judgment be denied and (b) KCI's interpretation of an important phrase in certain of the Novamedix claims be rejected. We expect to appeal
the Magistrate's recommendation. Although it is not possible to reliably predict the outcome of this litigation or the damages, which could be awarded, we believe that our defenses to these claims are
meritorious and that the litigation will not have a material adverse effect on our business, financial condition or results of operations.
On
July 1, 1998, Mondomed N.V. filed an opposition in the Opposition Division of the European Patent Office to a European patent owned by Wake Forest University, which we license
for our V.A.C. system. They were joined in this opposition by Paul Hartmann A.G. on December 16, 1998. The patent was upheld at a hearing before a European Patent Office Opposition Division
Panel on December 9, 2003, pursuant to a written interlocutory decision issued May 19, 2004. The decision corrects the patent to expand the range of pressures covered by the patent
claims from 0.10 - 0.99 atmospheres to 0.01 - 0.99 atmospheres and modifies the patent claims to provide that the "screen means" is polymer foam.
Under European patent law, the "screen means" would include equivalents to polymer foam. The screen means in the patent, among other things, helps to remove fluid from within and around the wound,
distributes negative pressure within the wound, enhances the growth of granulation tissue and prevents wound overgrowth. In our V.A.C. systems, the foam dressing placed in the wound serves as the
screen means. We use two different types of polymer foams as the screen means in our V.A.C. systems. Any party to the Opposition is entitled to appeal the decision. We may appeal the new screen means
definition established by the panel. If we choose to appeal, we believe it will take two to three years to complete the appeal process. During the pendency of an appeal, the original patents would
remain in place. We believe that this decision will not affect our U.S. patents. (See "Risk FactorsRisks Related to Our BusinessOur
84
intellectual property is very important to our competitive position, especially for our V.A.C. products. If we are unsuccessful in protecting our intellectual property, particularly our rights to the
Wake Forest patents that we rely on in our V.A.C. business, or are sued by third parties for alleged infringement, our competitive position would be harmed").
On
January 4, 2002, Safe Bed Technologies Company, or Safe Bed, filed a lawsuit against us in the United States District Court for the Northern District of Illinois, Eastern
Division. The suit alleges that certain of our therapeutic surfaces products, including the TriaDyne and BariAir products, infringe a Safe Bed patent. We have asserted counterclaims for declarations
of non-infringement and patent invalidity. Although it is not possible to reliably predict the outcome of this litigation or the damages which could be awarded, we believe that we have
meritorious defenses to Safe Bed's claim and that the litigation will not have a material adverse effect on our business, financial condition or results of operations.
On
August 28, 2003, KCI, KCI Licensing Inc., KCI USA, Inc. and Wake Forest University Health Sciences filed a lawsuit against BlueSky Medical Corporation, Medela AG,
Medela, Inc. and Patient Care Systems, Inc. in the United States District Court for the Western District of Texas, San Antonio Division alleging infringement of multiple claims under two
V.A.C. patents, arising from the manufacturing and marketing of a medical device by BlueSky. In addition to patent infringement, we have asserted causes of action for breach of contract, tortious
interference and unfair competition. BlueSky and Medela, Inc. have filed answers to the complaint and have asserted counterclaims against us for declarations of non-infringement and
patent invalidity. Patient Care Systems, Inc. has filed an answer, but has not asserted any counterclaims. Medela AG has filed a motion to dismiss based on lack of personal jurisdiction. Such
motion has not been ruled upon by the Court. A trial date for the lawsuit has been set for June 2005. Although it is not possible to reliably predict the outcome of this litigation, we believe
our claims are meritorious.
We
are a party to several additional lawsuits arising in the ordinary course of our business. Provisions have been made in our financial statements for estimated exposures related to
these lawsuits. We anticipate that the legal fees incurred in connection with the litigation discussed above will be immaterial. In the opinion of management, the disposition of these matters will not
have a material adverse effect on our business, financial condition or results of operations.
The
manufacturing and marketing of medical products necessarily entails an inherent risk of product liability claims. We currently have certain product liability claims pending for which
provision has been made in our financial statements. Management believes that resolution of these claims will not have a material adverse effect on our business, financial condition or results of
operations. We have not experienced any significant losses due to product liability claims and management believes that we currently maintain adequate liability insurance coverage.
85
MANAGEMENT
Directors and Executive Officers
Set forth below are the names, positions and ages of our directors and executive officers as of March 31, 2004, together with certain other key personnel.
Name
|
|
Age
|
|
Position
|
Robert Jaunich II |
|
64 |
|
Chairman of the Board |
Dennert O. Ware |
|
62 |
|
Director, President and Chief Executive Officer |
James R. Leininger, M.D. |
|
59 |
|
Director, Chairman Emeritus |
John P. Byrnes |
|
45 |
|
Director |
Ronald W. Dollens |
|
57 |
|
Director |
James T. Farrell |
|
39 |
|
Director |
Harry R. Jacobson, M.D. |
|
56 |
|
Director |
N. Colin Lind |
|
48 |
|
Director |
David J. Simpson |
|
57 |
|
Director |
C. Thomas Smith |
|
66 |
|
Director |
Donald E. Steen |
|
57 |
|
Director |
Dennis E. Noll |
|
49 |
|
Senior Vice President, General Counsel and Secretary |
Christopher M. Fashek |
|
54 |
|
President, KCI USA |
Jorg W. Menten |
|
46 |
|
President, KCI International |
Martin J. Landon |
|
44 |
|
Vice President, Chief Financial Officer |
G. Frederick Rush |
|
54 |
|
Vice President, Corporate Development |
Michael J. Burke |
|
56 |
|
Vice President, Manufacturing and Quality |
Daniel C. Wadsworth, Jr. |
|
51 |
|
Vice President, Global Research and Development |
Steven J. Hartpence |
|
55 |
|
Vice President, Business Systems |
Robert Jaunich II became a director and Chairman of the Board in November 1997. Mr. Jaunich is a
Managing Partner of Fremont Partners, which manages $1.6 billion targeted to private equity investments. He is also a member of the Board of Directors and Executive Committee of Fremont Group,
a private investment company with assets in excess of $10 billion under management across a broad array of asset classes. Prior to joining Fremont Group in 1991, he was Executive Vice President
and a member of the Chief Executive Office of Jacobs Suchard AG, a Swiss-based chocolate, sugar confectionery and coffee company. He currently serves as a director of CNF Transportation, Inc.,
as Chairman of the Managing General Partner of Crown Pacific Partners, L.P. and as Chairman of Juno Lighting, Inc. and several other privately held corporations.
Dennert O. Ware joined KCI in April 2000 as our President and Chief Executive Officer. Mr. Ware also serves as a director of
KCI. From 1997 to his joining KCI in April 2000, he served as President and Chief Executive Officer of Roche Diagnostics Corporation, formerly Boehringer Mannheim Corporation, a manufacturer
and distributor of medical diagnostic equipment. Mr. Ware served as President of the Biochemicals Division of Boehringer Mannheim from 1994 to 1997. Mr. Ware joined Boehringer Mannheim
in 1972.
James R. Leininger, M.D. is the founder of KCI and served as Chairman of the Board of Directors from 1976 until 1997. From
January 1990 to November 1994, Dr. Leininger served as President and Chief Executive Officer of KCI. From 1975 until October 1986, Dr. Leininger was also a director
of the Emergency Department of the Baptist Hospital System in San Antonio, Texas.
John P. Byrnes became a director in 2003. He has served as Chief Executive Officer of Lincare Holdings Inc., a home health care
company since January 1997 and as a director of Lincare since May 1997. Mr. Byrnes was appointed Chairman of the Board of Lincare Holdings Inc. in March 2000.
Mr. Byrnes has been President of Lincare since June 1996. Prior to becoming President, Mr. Byrnes served
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Lincare
in a number of capacities over a ten-year period, including serving as Lincare's Chief Operating Officer throughout 1996.
Ronald W. Dollens became a director in 2000. Since 1994, Mr. Dollens has served as President, Chief Executive Officer and a
director of Guidant Corporation, a corporation that pioneers lifesaving technology for millions of cardiac and vascular patients worldwide. Mr. Dollens also held the position of President and
Chief Executive Officer of Guidant's subsidiary, Advanced Cardiovascular Systems, Inc. Previously, he served as President of Eli Lilly and Company's Medical Devices and Diagnostics Division
from 1991 until 1994. Mr. Dollens joined Eli Lilly and Company in 1972. Mr. Dollens currently serves on the boards of Beckman Coulter, Inc., the Advanced Medical Technology
Association, the Eiteljorg Museum, St. Vincent Hospital Foundation, the Indiana Health Industry Forum, Alliance for Aging Research and Butler University. In 2003, he was elected to serve a
two-year term as Chairman of the Healthcare Leadership Council.
James T. Farrell became a director in November 1997. Mr. Farrell is a Managing Partner of Fremont Partners and also a
Partner of Fremont Group. Before joining Fremont Group in 1991, he was an associate at ESL Partners, a private investment partnership. In 1985, he began his career at Copley Real Estate Advisors, a
real estate investment advisor firm that has since merged with AEW Capital Management L.P. Mr. Farrell is a former director of Coldwell Banker Corporation. He serves as a director of the
nonprofit Pacific Research Institute and as the Chairman of the Board of Directors at Tapco International Corporation and Resun Leasing, Inc.
Harry R. Jacobson, M.D. became a director in June 2003. Dr. Jacobson is Vice Chancellor for Health Affairs of Vanderbilt
University, Nashville, Tennessee, a position he has held since 1997. He has been a director of Renal Care Group since 1995 and was Chairman of the Board of Directors of Renal Care from 1995 to 1997.
He also currently serves as Professor of Medicine at Vanderbilt University Medical Center, a position he has held since 1985.
N. Colin Lind became a director in November 1997. Mr. Lind is the Managing Partner of Blum Capital Partners, L.P. ("BCP"), a
public strategic block and private equity investment firm with approximately $2.5 billion in assets under management. Mr. Lind joined BCP in 1986. He currently serves on the board of
PRG-Schultz International, Inc. and has previously been a director of three public and nine private companies.
David J. Simpson became a director in June 2003. Mr. Simpson was appointed Vice President, Chief Financial Officer and
Secretary of Stryker Corporation, a worldwide medical products and services company from 1987 to 2002. He is currently Executive Vice President of Stryker Corporation. He had previously been Vice
President and Treasurer of Rexnord Inc., a manufacturer of industrial and aerospace products and is currently a director of Regeneration Technologies, Inc.
C. Thomas Smith became a director in May 2003. Prior to his retirement in April 2003, Mr. Smith served as Chief
Executive Officer and President of VHA Inc., a member-owned and member-driven health care cooperative, since 1991. From 1977 to 1991, Mr. Smith was President of Yale-New
Haven Hospital and President of Yale-New Haven Health Services Corp. From 1971 to 1976, he was Vice President and Executive Director of Hospitals and Clinics and a member of the board of
trustees for Henry Ford Hospital in Detroit. From January 1987 until April 2003, Mr. Smith was a member of the VHA board. He also served on the boards of Novation, LLC and the
Healthcare Leadership Council. Mr. Smith is a past Chairman of the American Hospital Association and the Council of Teaching Hospitals and a former member of the boards of the Association of
American Medical Colleges, the International Hospital Federation, the Hospital Research and Educational Trust, the National Committee on Quality Healthcare, the Jackson Hole Group and
Genentech, Inc. He also currently serves on the board of InPatient Care Management, Neoforma and the Renal Care Group.
87
Donald E. Steen became a director in 1998. Mr. Steen founded United Surgical Partners International, Inc. in
February 1998 and has served as its Chief Executive Officer and Chairman since that time. Mr. Steen served as President of the International Group of HCAThe Healthcare
Company, formerly known as Columbia/HCA Healthcare Corporation, from 1995 until 1997 and as President of the Western Group of HCA from 1994 until 1995. Mr. Steen founded Medical Care
International, Inc., a pioneer in the surgery center business, in 1982. Mr. Steen is also a member of the board of directors of Horizon Health Care, Inc.
Dennis E. Noll joined KCI in February 1992 as our Senior Corporate Counsel and was appointed Vice President, General Counsel and
Secretary in January 1993. Mr. Noll was promoted to Senior Vice President in September 1995. Prior to joining KCI in February 1992, Mr. Noll was a shareholder of the
law firm of Cox & Smith Incorporated.
Christopher M. Fashek joined KCI in February 1995 as President, KCI USA. Prior to joining KCI, he served as General Manager, New
Zealand at Sterling Winthrop, a division of Eastman Kodak, from February 1993 to February 1995, and served as Vice President of Sales at Sterling Winthrop USA, a division of Eastman
Kodak, from 1989 until February 1993. Mr. Fashek currently serves as an advisory board member of Network Consulting Information.
Jorg W. Menten joined KCI in July 2001 as President, KCI International. From August 1999 to June 2001,
Mr. Menten was Chief Financial Officer of 4Sigma GmbH, a health care services venture in Hamburg, Germany. From April 1998 to July 1999, Mr. Menten was Executive Vice
President, Finance and Controlling of F. HoffmanLaRoche AG, a pharmaceutical company in Basel, Switzerland. Prior to April 1998, Mr. Menten was Chief Financial Officer of
Boehringer Mannheim Group in Amsterdam, The Netherlands.
Martin J. Landon has served as Vice President and Chief Financial Officer since December 2002. Mr. Landon joined KCI in
May 1994 as Senior Director of Corporate Development and was promoted to Vice President, Accounting and Corporate Controller in October 1994. From 1987 to May 1994,
Mr. Landon worked for Intelogic Trace, Inc., an independent computer maintenance company, where his last position was Vice President and Chief Financial Officer.
G. Frederick Rush joined KCI as Vice President, Corporate Development in June 2000. Prior to joining KCI, Mr. Rush was
Senior Vice President, Strategy and Business Development for Roche Diagnostics Corporation, formerly Boehringer Mannheim Corporation from April 1998 to April 2000. During a portion of
this time, he also served as Vice President, Laboratory Diagnostics from May 1999 to February 2000. From August 1995 to April 1998, Mr. Rush was Senior Vice
President, Global Marketing and Sales for Boehringer Mannheim Biochemicals. Prior to that he was Vice President Strategy and Business Development for Boehringer Mannheim Diagnostics.
Michael J. Burke joined KCI in September 1995 as Vice President, Manufacturing and Quality. Prior to joining KCI, Mr. Burke
worked for Sterling Winthrop, Inc., a division of Eastman Kodak Company, for 25 years, where he served as Vice President, Manufacturing and as General Manager, Sterling Health HK/China
since 1992.
Daniel C. Wadsworth, Jr. joined KCI in March 2002 as Vice President, Global Research and Development. Prior to joining KCI,
Mr. Wadsworth worked for C.R. Bard, Inc., a worldwide health care products company focused on vascular, urology, and oncology disease states, for 18 years, where he most recently
served as Staff Vice President, New Technology and Research Alliances.
Steven J. Hartpence joined KCI in October 2001 as Vice President, Reimbursement Systems and was promoted to Vice President,
Business Systems in December 2002. Prior to joining KCI, Mr. Hartpence worked for Sigma-Aldrich Corporation, a biochemical and organic chemical products company, for nine years, where he
most recently served as Vice President, Engineering.
88
Composition of our Board of Directors
Our board of directors consists of 11 membersRobert Jaunich II, Dennert O. Ware, James R. Leininger, M.D., John P. Byrnes, Ronald W. Dollens, James
T. Farrell, Harry R. Jacobson, M.D., N. Colin Lind, David J. Simpson, C. Thomas Smith and Donald E. Steen. Our board of directors has determined that Messrs. Jaunich, Byrnes, Dollens, Farrell,
Jacobson, Lind, Simpson, Smith and Steen are "independent" as defined by applicable NYSE rules.
Our
articles of incorporation provide for a classified board of directors consisting of three classes of directors, as nearly equal in number as possible. Directors from each class serve
staggered three-year terms. Class A directors' terms will expire at our annual meeting of shareholders to be held in 2005; Class B directors' terms will expire at our annual
meeting of shareholders to be held in 2006; and Class C directors' terms will expire at our annual meeting of shareholders to be held in 2007. The Class A directors are
Messrs. Jaunich, Leininger and Ware; the Class B directors are Messrs. Lind, Farrell, Smith and Steen; and the Class C directors are Messrs. Jacobson, Byrnes,
Dollens and Simpson.
Director Compensation
During 2003, our board of directors adopted a director compensation policy pursuant to which each director receives the following annual compensation:
-
- a
$20,000 annual cash retainer;
-
- a
grant of a number of unrestricted shares of common stock with a fair market value equal to $10,000 on the date of grant;
-
- a
stock option grant for a number of shares equal to $50,000 divided by the fair market value of common stock on the date of grant; and
-
- a
restricted stock grant for a number of shares equal to $50,000 divided by the fair market value of common stock on the date of grant.
Directors
also receive an additional payment of $1,000 per meeting attended. The chairman of the board receives an additional cash retainer of $15,000, the chairman of the audit and compliance
committee receives an additional cash retainer of $10,000, and the chairmen of all other committees receive an additional annual cash retainer of $5,000. During 2003, the following aggregate payments
and grants were made to directors:
-
- aggregate
fees of $251,000 were paid;
-
- 8,352
shares of unrestricted stock were granted;
-
- options
for the purchase of 41,764 shares were granted; and
-
- 41,764
shares of restricted stock were granted.
Committees of our Board of Directors
Our board of directors has established an audit and compliance committee, a compensation committee and a director affairs committee, each of which has the
composition described below.
Our audit and compliance committee consists of David J. Simpson, Donald E. Steen and John P. Byrnes. Mr. Simpson is the chairperson of our audit and
compliance committee. All members of our audit and compliance committee meet the applicable tests for independence and the requirements for financial literacy under applicable rules and regulations of
the SEC and the NYSE. Our board of directors has determined that Mr. Simpson is an "audit committee financial expert" as defined by applicable rules and regulations of the SEC and has the
requisite "accounting or related financial expertise" required by applicable rules and regulations of the NYSE.
89
Our
board of directors has approved an audit and compliance committee charter meeting applicable standards of the SEC and the NYSE. Our audit and compliance committee charter is
available on our website at http://www.kci1.com/investor/corpgovernance. Information on our website is not a part of this prospectus.
Our compensation committee consists of Ronald W. Dollens, Harry R. Jacobson, M.D., James T. Farrell and N. Colin Lind. Mr. Dollens is the chairperson of
our compensation committee. All members of our compensation committee meet the applicable test for independence under applicable rules and regulations of the SEC, the NYSE and the Internal Revenue
Service.
Our
board of directors has approved a compensation committee charter meeting applicable standards of the SEC and the NYSE. Our compensation committee charter is available on our website
at http://www.kci1.com/investor/corpgovernance. Information on our website is not a part of this prospectus.
Our director affairs committee consists of Robert Jaunich II, C. Thomas Smith and David J. Simpson. Mr. Jaunich is the chairperson of our director affairs
committee. All members of our director affairs committee meet the applicable test for independence under applicable rules and regulations of the SEC and the NYSE.
Our
board of directors has approved a director affairs committee charter meeting applicable standards of the SEC and the NYSE. Our director affairs committee charter is available on our
website at http://www.kci1.com/investor/corpgovernance. Information on our website is not a part of this prospectus.
Our board of directors may establish other committees as it deems necessary or appropriate from time to time, including, but not limited to, an executive
committee and a finance committee.
Compensation Committee Interlocks and Insider Participation
None of our executive officers serves as a member of the board of directors or compensation committee of any entity that has one or more executive officers who
serve on our board or compensation committee.
Codes of Conduct and Ethics
Our board of directors has adopted (1) a Code of Conduct applicable to our officers and employees, (2) a Code of Ethics applicable to our chief
executive officer, chief financial officer and other senior
financial officers and (3) a Code of Ethics applicable to our directors, in accordance with applicable rules and regulations of the SEC and the NYSE. Our codes of ethics are available on our
website at http://www.kci1.com/investor/corpgovernance. Information on our website is not a part of this prospectus.
Corporate Governance Guidelines
Our board of directors has adopted a set of corporate governance guidelines that meets the standards established by the NYSE within the time period prescribed by
the NYSE. Our corporate governance guidelines are available on our website at http://www.kci1.com/investor/corpgovernance. Information on our website is
not a part of this prospectus.
90
Executive Compensation
The following table sets forth the compensation paid or accrued by Kinetic Concepts, Inc. to the Chief Executive Officer and each of the four most highly
compensated executive officers (collectively, the "named executive officers") for their services for the years ended December 31, 2003, 2002 and 2001.
|
|
Annual Compensation
|
|
Long Term
Compensation Awards
|
|
|
Name and Principal Position
|
|
Year
|
|
Salary
|
|
Bonus
|
|
Other Annual
Compensation
|
|
Securities
Underlying Options
|
|
All Other
Compensation(1)
|
Dennert O. Ware
Chief Executive
Officer & President |
|
2003
2002
2001 |
|
$
|
525,359
495,000
467,000 |
|
$
|
393,000
314,991
400,950 |
|
|
|
|
|
$
|
7,336
6,039
3,917 |
G. Frederick Rush
Vice President,
Corporate Development |
|
2003
2002
2001 |
|
$
|
266,595
251,505
235,500 |
|
$
|
150,453
127,332
177,100 |
|
|
|
100,000 |
|
$
|
4,447
3,231
2,145 |
Christopher M. Fashek
President,
KCI USA |
|
2003
2002
2001 |
|
$
|
260,767
247,200
246,600 |
|
$
|
148,696
139,239
144,067 |
|
|
|
|
|
$
|
7,552
7,868
7,043 |
Dennis E. Noll
Senior Vice President,
General Counsel & Secretary |
|
2003
2002
2001 |
|
$
|
247,200
233,200
220,000 |
|
$
|
152,306
323,716
170,200 |
|
|
|
|
|
$
|
6,644
5,378
4,403 |
Jorg W. Menten(2)
President,
KCI International |
|
2003
2002
2001 |
|
$
|
243,698
193,949
91,870 |
|
$
|
128,212
73,095
75,256 |
|
|
|
264,285 |
|
$
|
3,264
2,728
1,292 |
- (1)
- The
"All Other Compensation" column includes a contribution of $3,000 in 2003, $2,000 in 2002 and $1,000 in 2001 to our 401(k) plan for Messrs. Ware, Rush, Fashek and Noll, and
above-market earnings of $3,210, $4,640 and $4,818 for Mr. Fashek and $2,784, $2,651 and $2,739 for Mr. Noll in 2003, 2002 and 2001 credited to compensation deferred at the election of
those individuals in each respective year. Also included is a premium for term life insurance for Mr. Ware of $4,336, $4,039 and $2,917, for Mr. Rush of $1,447, $1,231, and $1,145, for
Mr. Fashek of $1,342, $1,228, and $1,225 and for Mr. Noll of $860, $727 and $664 in 2003, 2002, and 2001, respectively. The amounts shown for Mr. Menten are contributions to a
private health insurance plan in Europe.
- (2)
- Amounts
for Mr. Menten have been converted from Euros at an average annual exchange rate for each year.
Management Plans
In April 2000, we established the CEO Special Bonus Plan. This plan established a bonus pool for our chief executive officer of up to $13.0 million.
Upon the closing of our initial public offering on February 27, 2004, the full $13.0 million was paid to our chief executive officer, Dennert O. Ware.
In
April 2000, we established the 2000 Special Bonus Plan. This plan established a bonus pool of up to $6.0 million. In connection with our initial public offering, we paid
$5.7 million in bonuses under this plan. Of the $5.7 million, Mr. Rush received approximately $416,300, Mr. Fashek received approximately $268,500, Mr. Noll received
approximately $345,600, Mr. Menten has received approximately $150,000 and 74 other employees have received an aggregate of approximately $4.5 million.
Employment and Severance Agreements
Upon hiring each of the named executive officers, KCI and the named executive officer each signed an offer letter outlining the terms of employment for such
officer. In addition, Mr. Menten entered into an employment contact with KCI Europe Holdings B.V. Each of these agreements sets forth standard terms summarizing salary, bonus and benefits. None
of these agreements establishes a term of employment for any named executive officer. For information on the most recent salary and bonus information for the named executive officers, see "Executive
Compensation." Under Mr. Ware's offer letter, he is entitled to
91
severance
equal to one year's salary in the event he leaves the employment of KCI for a reason other than an act of malfeasance or moral turpitude. Under Mr. Menten's contract of employment, he
is entitled to severance equal to six months' salary in the event of his termination of employment by KCI Europe Holdings B.V. for a reason other than an act of malfeasance or moral turpitude.
None of the other named executive officers has any severance arrangement.
Option Grants in Last Fiscal Year
No options were granted to any of the named executive officers during 2003. In 2003, options to purchase an aggregate of 640,000 shares of our common stock were
issued to other employees.
Aggregate Option Exercises and Fiscal Year-End Option Value
The following table sets forth certain information concerning the number and value of the options held by the named executive officers as of December 31,
2003. As part of the recapitalization that we consummated in the third quarter of 2003, approximately 42.2% of the options vested as of July 23, 2003 held by each of the named executive
officers were settled for cash pursuant to the share repurchase at a price equivalent to $17.00 per share of common stock.
Name
|
|
Number of
Securities
Underlying
Options
Exercised(1)
|
|
Value Realized
|
|
Number of Securities
Underlying
Unexercised Options
at FY-End
Exercisable/
Unexercisable
|
|
Value of Unexercised
In-the-Money Options
at FY-End
Exercisable/
Unexercisable(2)
|
Dennert O. Ware |
|
1,477,000 |
|
$ |
18,000,938 |
|
2,023,000
2,000,000 |
|
$
|
24,655,313
24,375,000 |
G. Frederick Rush |
|
94,106 |
|
|
1,146,917 |
|
128,894
273,429 |
|
|
1,083,396
3,332,416 |
Christopher M. Fashek |
|
437,529 |
|
|
5,332,385 |
|
599,271
92,571 |
|
|
8,407,990
1,128,209 |
Dennis E. Noll |
|
236,068 |
|
|
2,877,079 |
|
307,932
61,714 |
|
|
4,084,171
752,139 |
Jorg W. Menten |
|
25,320 |
|
|
308,588 |
|
34,680
204,285 |
|
|
422,663
2,489,723 |
- (1)
- Includes
for each of the named officers the number of vested options settled for cash pursuant to the share repurchase in connection with the recapitalization, except for
Mr. Noll who acquired an additional 5,270 shares upon the exercise of vested options.
- (2)
- Our
common stock was not publicly traded during 2003. In July 2003, in connection with the recapitalization, the Board of Directors determined that the fair market value of our
common stock, for purposes of the Kinetic Concepts, Inc. Management Equity Plan, was $17.00. Accordingly, for purposes of this calculation, the fair market value of the common stock as of
December 31, 2003 was assumed to be $17.00 per share.
2003 Non-Employee Directors Stock Plan
The following is a summary of the material provisions of the Kinetic Concepts, Inc. 2003 Non-Employee Directors Stock Plan. This summary does not purport
to be complete and is subject to and qualified in its entirety by reference to the complete text of the 2003 Non-Employee Directors Stock Plan.
Our
2003 Non-Employee Directors Stock Plan became effective on May 28, 2003. The directors plan provides for the automatic grant to our non-employee
directors of options to purchase shares of our common stock, restricted stock that is subject to vesting requirements and unrestricted stock that is not subject to vesting requirements.
92
The maximum aggregate number of shares of common stock that may be issued in connection with grants under the directors plan is 400,000 shares, subject to
adjustment as provided for in the directors plan. If an option or restricted stock granted under this plan is forfeited, expires or terminates, the forfeited shares that are not purchased again become
available for issuance under the directors plan.
The directors plan is administered by a committee of the board of directors. The committee has the authority to:
-
- interpret
all provisions of the directors plan;
-
- prescribe
the form of any award agreement and notice and manner for executing such agreement and giving such notice;
-
- amend
all award agreements under the directors plan;
-
- adopt,
amend and rescind rules for the administration of the directors plan;
-
- make
all determinations it deems advisable for the administration of the directors plan;
-
- amend
the terms of outstanding options and impose terms and conditions on the shares of stock issued under the directors plan;
-
- impose
restrictions, conditions or limitations as to the timing and manner of any resales, subject to consent of any participant whose rights would be adversely materially
affected; and
-
- waive
conditions and/or accelerate the exercisability or vesting of an option or stock award under the directors plan.
Each non-employee director who was not receiving a management fee from us or who was not appointed by a shareholder who was receiving a management
fee, and who was serving on May 28, 2003, was automatically granted on such date an option to purchase a number of shares of common stock equal to $50,000 divided by the fair market value of
the common stock as of the date of grant, and a restricted stock award equal to $50,000 divided by the fair market value of the common stock as of the date of grant. In August 2003,
concurrently with the completion of our recapitalization, we terminated payment of the management fees described above and granted to each of directors James T. Farrell, James R. Leininger, M.D., N.
Colin Lind and Robert Jaunich II an option to purchase a number of shares of common stock equal to $50,000 divided by the fair market value of the common stock as of the date of grant and a restricted
stock award equal to $50,000 divided by the fair market value of the common stock as of the date of grant, provided that the options and restricted stock awards for Mr. Farrell and
Mr. Jaunich were granted instead to Fremont Partners, L.P., of which Mr. Farrell and Mr. Jaunich are principals, and the option and restricted stock award for Mr. Lind were
granted instead to Blum Capital Partners, L.P., of which Mr. Lind is a principal. Each person who is elected to be a non-employee director after May 28, 2003 will
automatically be granted an option to purchase a number of shares of common stock equal to $50,000 divided by the fair market value of the common stock as of the date of grant, and a restricted stock
award equal to $50,000 divided by the fair market value of the common stock as of the date of grant, which is the first date after May 28, 2003 that the person is elected to serve as a member
of our board of directors. Each year thereafter, each non-employee director serving on the board of directors will automatically be granted an additional option to purchase a number of
shares of common stock equal to $50,000 divided by the fair market value of the stock and a restricted stock award equal to $50,000 divided by the fair market value of the common stock on the
anniversary of the initial grant date. In each case, however, any options and restricted stock awards which would otherwise be granted to Mr. Farrell or Mr. Jaunich will be granted
instead to Fremont Partners, L.P. and any options and restricted stock awards which would otherwise be granted to Mr. Lind will be granted instead to Blum Capital Partners, L.P.
93
Each option will vest over three years with one-twelfth of the number of shares of common stock subject to the option vesting every three months,
provided that the non-employee director is serving as a board member. The right to exercise an option will terminate seven years after the grant date unless terminated sooner. Generally,
options will remain exercisable for three months after the optionholder's service terminates. However, if such termination is due to the optionholder's death or disability, the option will fully vest
and may be exercised within 12 months after such death or disability. If an optionholder fails to be reelected to the board of directors, the option, to the extent vested as of the
optionholder's last day of service as a member of the board of directors, may be exercised within 12 months of such event. If an optionholder is terminated as a member of our board of directors
on account of fraud, dishonesty or other acts detrimental to our interests, the option (whether vested or unvested) will terminate as of the date of such termination of service.
Options may be exercised in whole or in compliance with such requirements as determined by the committee, but in no event sooner than six months following the
date of grant. Except as otherwise provided in an award agreement, the following methods of payment may be used to pay the exercise price of the options:
-
- cash;
-
- when
the common stock is publicly traded on a recognized exchange or automated trading system:
-
- delivery
of common stock that was acquired at least six months prior to the exercise of the option; or
-
- delivery
of irrevocable instructions to a KCI-designated broker to deliver promptly to KCI sufficient funds to pay the exercise price plus all applicable income
and employment taxes required to be withheld by KCI by reason of such exercise;
-
- in
other consideration acceptable to the committee; or
-
- a
combination of such methods of payments.
The restricted stock award is granted to a non-employee director only pursuant to an agreement which sets forth the terms and conditions of the
restricted stock award. The agreement may contain additional provisions and restrictions that are not inconsistent with the directors plan. During the restriction period a non-employee
director may not sell, assign, transfer, pledge or otherwise dispose of the shares of common stock subject to the restricted stock award except as provided for in the directors plan. The restriction
period for the restricted stock is three years. However, if during the restriction period, the non-employee director is terminated as a member of our board of directors by death or
disability, or in the event the non-employee director fails to be re-elected to serve as a member of our board of directors, then for each full year such director served as a
member of our board of directors, one-third of the shares of common stock subject to the restricted stock award will be deemed fully vested and the restriction with respect to these shares
of common stock will lapse on the date of termination.
94
Each non-employee director who is not receiving a management fee from us or who was not appointed by any of our shareholders who receive a management
fee from us and serving on May 28, 2003 was automatically granted on such date an unrestricted stock award with respect to a number of shares of common stock equal to $10,000 divided by the
fair market value of the common stock as of the date of grant. Each such person who is elected to be a non-employee director after May 28, 2003 will automatically be granted an
unrestricted common stock award with respect to a number of shares of common stock equal to $10,000 divided by the fair market value of the common stock as of the date of grant. Each
non-employee director who is receiving a management fee from us and each non-employee director who is a principal of, or a non-employee director appointed by, a
shareholder of ours which is receiving a management fee from us, will automatically be granted an unrestricted stock award with respect to a number of shares of common stock equal to $10,000 divided
by the fair market value of the common stock as of the date of grant, which is the earlier of the date on which any underwriting agreement is executed and priced in connection with the initial public
offering of common stock or the date on which the agreement setting forth such management fee is terminated. Each year thereafter on the anniversary of the initial grant date, each
non-employee director will automatically be granted an additional unrestricted stock award with respect to a number of shares of common stock equal to $10,000 divided by the fair market
value of the common stock on such date. Ownership of shares under an unrestricted stock award vests immediately upon the grant date.
Transactions such as stock dividends, stock splits, reverse stock splits, subdivisions, consolidations or other similar events may change the number of shares
subject to the directors plan and to outstanding options. In that event, the committee may appropriately adjust the directors plan as to the maximum number of shares of common stock with respect to
which options or stock awards may be granted and the exercise price of options. The committee may not modify the directors plan or the terms of any options or stock awards then outstanding or to be
granted under the directors plan to provide for the issuance under the directors plan of a different class or stock or kind of securities.
If
KCI experiences a "change in control", then generally all options that are outstanding become fully vested and exercisable immediately prior to the
change-in-control event
and the restriction period on an outstanding restricted stock award automatically expires and all restrictions imposed under such restricted stock award immediately lapse. For purposes of the
directors plan, a change-in-control will occur upon any of the following events:
-
- any
person other than an individual who is a shareholder on the date of the adoption of the directors plan becomes the "beneficial owner" of our securities representing more
than 50% of the total voting power represented by our then outstanding voting securities;
-
- shareholder
approval of a merger or consolidation in which we are not the surviving corporation; or
-
- shareholder
approval of a liquidation or a sale or disposition of all of substantially all of our assets.
In
the event of any one of the above events, the committee may, in its own discretion, provide that:
-
- any
outstanding option be assumed by the surviving corporation or any successor corporation;
-
- any
outstanding option be converted into a right to receive cash in an amount equal to the aggregate value of the consideration that would have been paid or issued in
exchange for shares of common stock had the option been exercised immediately prior to the change-in-control less the aggregate exercise price of the option;
-
- any
outstanding option cannot be exercised; or
95
-
- any
outstanding option may be dealt with in any other manner determined in the discretion of the committee.
The
Board of Directors may amend or terminate the directors plan at any time, however, no amendment having a material adverse effect on an optionholder's right will be valid without such
optionholder's consent. In addition, shareholder approval is required for any amendment that increases the aggregate number of shares of common stock available for issuance under the directors plan.
2004 Equity Plan
The following is a summary of the material provisions of the Kinetic Concepts, Inc. 2004 Equity Plan. This summary does not purport to be complete
and is subject to and qualified in its entirety by reference to the complete text of the 2004 Equity Plan. Our 2004 Equity Plan has been approved by our board of directors and our shareholders,
and became effective on February 17, 2004. The purpose of the plan is to promote our long-term growth and profitability and enhance shareholder value by providing key people with
incentives to faithfully and diligently perform their responsibilities and by enabling us to attract, retain and reward the best available persons for positions of substantial responsibility.
General. The 2004 Equity Plan reserves for issuance a maximum of 7,000,000 shares of common stock,
subject to equitable adjustment upon the occurrence of any stock dividend, stock split, merger, consolidation, combination, share repurchase or exchange, or other similar corporate action or event. Of
these 7,000,000 shares, 20% may be issued in the form of restricted stock, restricted stock units or a combination of the two. These awards are described below. If an award granted under the plan
expires or is terminated for any reason, payment for a stock option is made with previously held shares, or shares are withheld from payment of an award to satisfy applicable taxes, then shares of
common stock underlying the award will again be available for purposes of the plan.
Types of Awards. The following awards may be granted under the plan:
-
- stock
options, including incentive stock options and nonqualified stock options;
-
- stock
appreciation rights;
-
- restricted
stock; and/or
-
- restricted
stock units.
Administration. The plan may be administered by our board of directors, or, alternatively, our
compensation committee or another committee appointed by the board of directors may administer the plan on behalf of the board of directors, subject to such terms and conditions as the board of
directors may prescribe. For purposes of this summary, the body administering the plan will be referred to as the "committee." To the extent determined by our board, the committee will be constituted
to satisfy the provisions of Rule 16b-3 promulgated under Section 16 of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), Section 162(m) of the
Code and any applicable stock exchange rules, and the plan will be interpreted in a manner consistent with the requirements of those rules and regulations.
The
committee has full authority, subject to the provisions of the plan, among other things, to determine the persons to whom awards will be granted, the type of award to be granted, the
number of shares to be made subject to awards, the exercise or purchase price and other terms and conditions of the awards, and to interpret the plan and prescribe, amend and rescind rules and
regulations relating to the plan. No member of the board or the committee, nor any officer or employee acting on their behalf, will be personally liable for any actions taken in good faith with
respect to the plan, and all such individuals will be fully indemnified by us for such actions to the extent permitted by law.
96
Eligibility. Awards may be granted under the plan to employees, officers, directors, including
directors who are not employees, consultants and advisors of KCI or any of our subsidiaries or affiliates, as selected by the committee.
Terms and Conditions of Options. Stock options may be either "incentive stock options," as that term
is defined in Section 422 of the Code, or nonqualified stock options. The exercise price of a stock option granted under the plan will be determined by the committee at the time the option is
granted, but generally may not be less than 100% of the fair market value of a share of common stock as of the date of grant. Stock options become vested and exercisable at the times and upon the
conditions that the committee may determine (including upon the achievement of performance goals). Generally, the term of the option will be determined by the committee, but may not exceed ten years
from the date of grant. Unless otherwise provided in an award agreement, options will vest and become exercisable at the rate of 25% of the shares subject to the option, on each of the first four
anniversaries of the date
of grant. Options are generally nontransferable except under certain circumstances described in the plan.
The
option exercise price must be paid in full at the time of exercise, and is payable by any one of the following methods or a combination thereof, to the extent permitted by the
committee:
-
- in
cash or cash equivalents acceptable to the committee;
-
- the
surrender of previously acquired shares of common stock that have been held by the participant for at least six months prior to the date of surrender; or
-
- to
the extent permitted by applicable law, through a "cashless exercise" procedure through the use of a broker arrangement that is approved by KCI.
Stock Appreciation Rights. The plan provides for awards of stock appreciation rights that may be
granted alone or in tandem with an option. The exercise price of a stock appreciation right may not be less than 100% of fair market value on the date of grant, and if granted in tandem with an
option, will be the same as the exercise price for the related option. The terms and conditions of stock appreciation rights, including vesting, exercisability and transferability are generally the
same as those described above for options. Upon exercise of a stock appreciation right, the participant will receive, for each share underlying the right, the difference between the fair market value
of a share of common stock on the date of exercise and the exercise price of the right. If the stock appreciation right is granted in tandem with an option, upon the exercise of the option, the
related right will expire, and likewise upon exercise of the stock appreciation right, the related option will expire. At the sole discretion of the committee (and as provided in the applicable award
agreement), payment upon exercise of a stock appreciation right may be in cash, shares of common stock, or a combination of the two.
Restricted Stock. The plan provides for awards of common stock that are subject to such restrictions
on transferability and other restrictions, if any, as the committee may impose at the date of grant or thereafter. The restrictions may lapse separately or in combination at such times, under such
circumstances, including, without limitation, a specified period of employment, or upon the satisfaction of pre-established performance goals, as the committee may determine. However,
restricted stock generally may vest not earlier than three years from the date of grant, but if vesting is conditioned on the attainment of pre-established performance goals, may vest not
earlier than one year from the date of grant. Except to the extent restricted under the award agreement relating to the restricted stock, a participant granted restricted stock will have all of the
rights of a shareholder, including, without limitation, the right to vote and the right to receive dividends on the restricted stock.
Restricted Stock Units. The plan provides for awards of restricted stock units, which upon vesting,
entitles the participant granted such an award to receive an amount in cash, shares of common stock, or a combination thereof, equal in value to the number of units subject to such award (or vested
portion thereof) multiplied by the fair market value of the common stock as of the vesting date. In addition, a
97
restricted
stock unit award agreement may provide that upon vesting, the participant is also entitled to a cash payment representing dividend equivalents for all or some of the units underlying the
award. Vesting of all or a portion of a restricted stock units award may occur at such times, under such circumstances or upon the satisfaction of pre-established performance goals, as the
committee may determine. However, restricted stock units generally may vest not earlier than three years from the date of grant, but if vesting is conditioned on the attainment of
pre-established performance goals, may vest not earlier than one year from the date of grant.
Change in Control. Unless otherwise provided in an award agreement, in the event of a change in
control (as defined in the plan), all outstanding restricted stock and restricted stock unit awards will vest, and all options and stock appreciation rights will become vested and exercisable unless
the awards are either assumed or an equitable substitution is made for them. In addition, if within 24 months following the change in control, the participant's employment is terminated other
than for cause, then all outstanding restricted stock and restricted stock unit awards will vest, and all options and stock appreciation rights will become vested and exercisable.
Termination of Employment. Unless otherwise provided in an award agreement, the unvested portion of
awards granted under the plan will be immediately cancelled upon termination of a participant's employment or service with KCI, its subsidiaries and its affiliates. Generally, in the case of a
participant whose employment or service terminates for reasons other than death or disability, all options and stock appreciation rights that are exercisable at the time of termination may be
exercised by the participant for no longer than 30 days after the date of termination, and if such termination is by reason of death or disability, the exercisability period will be for no
longer than 180 days after the date of termination. If a participant's employment or service terminates for cause, all options and stock appreciation rights held by the participant will
immediately terminate. No option or stock appreciation right will be exercisable after the expiration of its term.
Amendment, Termination of Plan. The board of directors may amend, alter or terminate the plan, except
that no such action may be taken that would impair a participant's rights under the plan without the participant's consent, and an amendment will be subject to shareholder approval if it
(1) materially increases the benefits accruing to participants under the plan, (2) materially increases the number of shares of common stock that may be issued under the plan, and
(3) materially modifies the requirements for participation under the plan. In addition, unless the board determines otherwise, shareholder approval of an amendment will be required to the
extent necessary to satisfy Section 162(m) of the Code, Section 422 of the Code (pertaining to incentive stock options), stock
exchange rules or other applicable law. No awards may be granted under the plan on or after the tenth anniversary of the date the plan is approved by shareholders, but awards granted before that date
may extend beyond that date.
2004 Employee Stock Purchase Plan
The following is a summary of the material provisions of the Kinetic Concepts, Inc. 2004 Employee Stock Purchase Plan, or 2004 ESPP. This
summary does not purport to be complete and is subject to and qualified in its entirety by reference to the complete text of the 2004 ESPP. The 2004 ESPP has been approved by our board
of directors and our shareholders.
The
2004 ESPP is intended to provide employees of the Company or any designated parent or subsidiary with a convenient opportunity to purchase shares of our common stock through payroll
deductions, to enhance our employees' sense of participation in our success, to provide an incentive for continued employment and to promote long-term, broad based employee ownership of
our common stock.
General. The 2004 ESPP is intended to comply with the requirements of Section 423 of the Code,
and to assure the participants of the tax advantages provided thereby. The 2004 ESPP will be administered either by our board of directors, or, to the extent that the board of directors does not
administer the plan,
98
by
our compensation committee or by another committee appointed by the board of directors comprised solely of individuals meeting the qualifications referred to in Rule 16b-3 of the
Exchange Act. For purposes of this summary, the body administering the plan will be referred to as the "administrator." Subject to the provisions of the 2004 ESPP and Section 423 of the Code,
the administrator may make such rules and regulations for the administration of the plan as it deems appropriate, interpret the provisions and supervise the administration of the plan, and take all
actions as it deems necessary or advisable.
Shares Available. The maximum number of shares of common stock reserved for issuance under the 2004
ESPP is 2,500,000 shares, subject to adjustment in the event of a change in our capitalization by reasons including a reclassification, recapitalization, merger, stock split, stock dividend, changes
in corporate structure or other corporate action.
Eligibility. Subject to certain procedural requirements and certain limitations (discussed below),
all employees of the Company or any designated parent or subsidiary thereof will be eligible to participate
in the 2004 ESPP, except employees who have been employed less than three months or whose customary employment is for less than 20 hours per week or five months in a calendar year.
Certain Limitations. As required by tax law, no employee may receive an option under the 2004 ESPP to
purchase shares of the Company common stock at a rate which, when aggregated with his or her rights to purchase common stock under all other employee stock purchase plans, would exceed a fair market
value of $25,000 for any calendar year, determined at the time the option is granted. Additionally, the administrator may set a maximum number of shares of common stock that may be purchased by any
employee at any single exercise date. In addition, an employee may not be granted an option under the 2004 ESPP if immediately after the grant, the employee would own stock or hold options to purchase
stock possessing 5% or more of the total combined voting power or value of all classes of the Company stock pursuant to Section 424(d) of the Code.
Stock Purchases. Under the 2004 ESPP, each eligible employee will be permitted to purchase shares of
our common stock through regular payroll deductions in an amount between 1% to 10% of the employee's compensation for each payroll period, not to exceed $25,000 per year.
The
2004 ESPP provides generally for six-month offering periods that commence on the first day of each of the first and third fiscal quarters of the fiscal year unless the
administrator provides for different commencement dates. Each six month offering period will be composed of an identical six-month purchase period. Currently, the administrator has
determined that offering periods will commence each May 1, and November 1, with the first offering period commencing on May 1, 2004. Although the administrator may change the
commencement date, duration and/or frequency of any future offering and/or purchase periods, in no event may the offering or purchase period be longer than six months.
During
each offering period, participating employees will be able to purchase shares of common stock with payroll deductions at a purchase price equal to 85% of the fair market value of
the common stock at either the beginning of each offering period or the end of each respective purchase period, whichever price is lower.
Neither
the payroll deductions credited to an employee's account, nor any rights with regard to an option or shares under the 2004 ESPP are transferable or assignable other than by will
or the laws of descent and distribution.
Withdrawal. An employee may withdraw from any offering period by giving written notice at least
15 days prior to the next occurring exercise date. An employee who has elected to withdraw may not resume participation in the same purchase period, but may participate in any later purchase
period by following the same procedures that were required for initial participation in the 2004 ESPP.
99
Termination of Employment. Termination of an employee's employment for any reason, including
retirement, death or failure of a participant to remain an eligible employee, immediately cancels his or her participation in the 2004 ESPP. In such an event, the payroll deductions credited to the
employee's account and not yet used to purchase shares will be returned to the employee.
Change in Control. In the event of a change in control of the Company (as defined in the 2004 ESPP),
unless otherwise provided by the administrator, the offering periods will terminate on a date determined by the administrator and accumulated payroll deductions on such date will be used to purchase
the applicable number of shares.
Periodic Reports. The Company will provide to the administrator as soon as practicable after the end
of each purchase period a report summarizing the number of shares purchased during the purchase period, the per share purchase price for the purchase period, the total number of shares purchased and,
to the extent permitted by applicable law and available to the Company, the number of shares retained by participants.
Amendment, Termination of Plan. The administrator may amend, suspend or terminate the 2004 ESPP at
any time; provided, however, that such an action may not impair the rights of participants with respect to outstanding options without their consent and no amendment will be effective unless approved
by shareholders if shareholder approval is required by applicable law, regulation or stock exchange rule.
The
administrator, after reviewing periodic reports regarding plan purchases, shall determine whether to commence the next offering period or not. If the administrator does not make such
a determination, the 2004 ESPP will be automatically suspended and will remain suspended until the administrator recommences the offering periods, terminates the plan or the plan expires. An offering
period may be automatically suspended as described above only if the administrator has received a report for the preceding offering period within a reasonable amount of time prior to such suspension
and the participants have been provided adequate notice.
Term. The 2004 ESPP will continue from the date it becomes effective until the earlier to occur of
the termination of the plan by the board of directors, the issuance of all shares reserved under the plan or 10 years from the date the plan was originally adopted by our board of directors.
Indemnification of Directors and Officers and Limitation of Liability
Texas Law, our articles of incorporation and our by-laws contain provisions for indemnification of our directors and officers.
Article 2.02-1
of the Texas Business Corporation Act, or TBCA, provides generally that a person sued as a director, officer, employee or agent of a corporation, or
while serving at the request of the corporation as a director, officer, partner, employee, agent, or similar functionary of another enterprise, may be indemnified by the corporation against judgments,
penalties, fines, settlements and reasonable expenses if it is determined that such person has conducted himself in good faith and it is reasonably believed, in the case of conduct in his official
capacity with the corporation, that his conduct was in the corporation's best interests, and in all other cases, that his conduct was at least not opposed to the corporation's best interests (and, in
the case of any criminal proceeding, had no reasonable cause to believe his conduct was unlawful). The TBCA provides that a corporation may advance expenses incurred by an officer or director in
defending a suit or other similar proceeding. A Texas corporation is also permitted to indemnify and advance expenses to officers, employees and agents who are not directors to such extent as may be
provided by its articles of incorporation, by-laws, action of board of directors, a contract, or required by common law. Indemnification of a person found liable to the corporation or
found liable on the basis that personal benefit was improperly received by him is limited to reasonable expenses actually incurred by the person in connection with the proceeding, and shall not be
made if the person is found liable for willful or intentional misconduct in the performance of his duty to the corporation. Indemnification is mandatory,
100
however,
in the case of such person being wholly successful, on the merits or otherwise, in the defense of the proceeding.
Article 2.02-1
of the TBCA also authorizes a corporation to purchase and maintain insurance on behalf of any person who is or was a director, officer, employee or
agent of the corporation or who is or was serving at the request of the corporation as a director, officer, employee agent or similar functionary of another entity or enterprise against any liability
asserted against him and incurred by him in such a capacity or arising out of his status as such, whether or not the corporation would have the power to indemnify him against that liability under
Article 2.02-1.
Article 1302-7.06
of the Texas Miscellaneous Corporation Laws Act, or TMCLA, provides that a corporation's articles of incorporation may limit or eliminate the
director's liability for monetary damages to the corporation or its shareholders for an act or omission in the director's capacity as a director, except that no limitation or elimination of liability
is permitted to the extent the director is found liable for a breach of the duty of loyalty, an act or omission not in good faith or that involves
intentional misconduct or a knowing violation of the law, a transaction involving an improper personal benefit to the director, or an act or omission for which liability is expressly provided by an
applicable statute.
Similarly,
Article Eight of our articles of incorporation states that, to the extent permitted by the TBCA and/or the TMCLA, as each is currently in effect or as each may be hereinafter
modified, a director of ours shall not be personally liable to us or our shareholders for monetary damages for an act or omission in the director's capacity as a director, except for liability for
(a) a breach of the director's duty of loyalty to us or our shareholders, (b) an act or omission not in good faith that constitutes a breach of duty of the director to us or an act or
omission that involves intentional misconduct or a knowing violation of the law, (c) a transaction from which the director received an improper benefit, whether or not the benefit resulted from
an action taken within the scope of the director's office, or (d) an act or omission for which the liability for the director is expressly provided for by statute.
Article
Twelve of our articles of incorporation states that we shall indemnify our directors to the fullest extent provided by the TBCA.
Article VIII,
Section 2 of our by-laws provides that, subject to certain conditions, we shall indemnify a director who acted in good faith and in a manner which
he reasonably believed to be in, or not opposed to, our best interests, and in the case of any criminal proceeding, had no reasonable cause to believe the conduct was unlawful. Indemnification would
cover expenses reasonably incurred, including attorneys' fees, judgments, fines and amounts paid in settlement.
Article VIII,
Section 10 of our by-laws provides that we will advance expenses to a present director after we receive a written affirmation by such director of
a good faith belief that the standard of conduct necessary for indemnification under the by-laws has been met and a written undertaking by or on behalf of the director to repay the amount
paid or reimbursed if it is ultimately determined that the director has not met that standard or if it is ultimately determined that indemnification of the director against such expenses is otherwise
prohibited by the by-laws. In addition, we may indemnify and advance expenses to a former director or officer, or a present or former employee or agent of ours on any terms the board of
directors considers appropriate.
Article VIII,
Section 16 of our by-laws provides that our board of directors may cause us to purchase and maintain insurance on behalf of any present or past
director, officer, employee or agent (including any such person who is serving, at our request, in a similar or related capacity for another entity), insuring against any liability asserted against
such person incurred in the capacity of such position or arising out of such status, regardless of whether we would have the power to indemnify such person.
We
will indemnify each of Fremont Partners and Blum Capital Partners and its respective directors, members, officers, employees, agents, representatives and affiliates and James R.
Leininger, M.D. and his employees, agents, representatives and affiliates for losses, damages, costs or expenses which they may
101
suffer
arising out of their performance of services under the Management Services Agreement entered into in November 1997 by and among KCI, Fremont Partners, Dr. Leininger and Blum
Capital Partners, as amended on August 11, 2003, provided that they will not be indemnified for losses resulting primarily from their gross negligence or willful misconduct.
We
maintain directors' and officers' liability insurance and intend to continue to maintain this insurance in the future.
In
addition, we have entered into an indemnity agreement with each of our directors and executive officers pursuant to which we agreed to indemnify each director and executive officer
who is, or is threatened to be made, a party to any proceeding because the person is or was one of our directors, officers or agents to the fullest extent permitted by Texas law from and against any
expenses, judgments, penalties, fines and amounts paid in settlement actually and reasonably incurred by such person in connection with such proceeding.
102
CERTAIN RELATIONSHIPS AND RELATED PARTY TRANSACTIONS
Fremont Partners, L.P., and its related parties are affiliated with Robert Jaunich and James Farrell, directors of our Company; Blum Capital
Partners, L.P. and its related parties are affiliated with Colin Lind, also a director of our Company; and Dr. Leininger is a director of our Company. These entities and
Dr. Leininger participated as selling shareholders in the initial public offering and will participate in this offering as well. These shareholders participated as selling shareholders in our
initial public offering pursuant to the exercise of their piggyback registration rights. In addition, the members of our board of directors and management listed under the caption "Principal and
Selling Shareholders" will sell shares on their own behalf directly in this offering. Substantially all of the selling shareholders have waived their piggy-back and other registration rights in
connection with this offering. None of the selling shareholders have demand registration rights pursuant to which this offering is being effected, and these shareholders are not waiving any of their
demand rights with respect to subsequent registrations. The Company will pay all of the selling shareholders' fees and expenses in connection with this offering, excluding underwriters' discounts and
commissions, and will be indemnifying the underwriters against certain liabilities under the Securities Act that may arise in connection with this offering.
Upon completion of this offering, assuming no exercise of the underwriters' overallotment option, Fremont Partners, Dr. Leininger and Blum Capital Partners will beneficially own
approximately 11.4%, 19.4% and 7.5% of the outstanding voting stock of KCI, respectively. Together, these shareholders have the power to appoint the entire board of directors, and to control the
affairs of KCI.
Mr. Farrell
and Mr. Jaunich each own a minority interest in Fremont Partners and certain affiliated funds. Messrs. Ware, Noll and Steen also own small passive
investments in funds affiliated with Fremont Partners. Mr. Lind owns a minority interest in Blum Capital Partners and certain affiliated funds.
Pursuant
to a Management Services Agreement entered into in November 1997 by and among KCI, Fremont Partners, Dr. Leininger and Blum Capital Partners, we have made
semi-annual payments to each of Fremont Partners, Dr. Leininger and Blum Capital Partners of approximately $300,000, $250,000 and $200,000 respectively, as a management fee. On
August 11, 2003, we amended the Management Services Agreement to, among other things, terminate the management fee and continue to provide for indemnification and reimbursement of expenses. We
made final management fee payments of $300,000 and $450,000 in July and August 2003, respectively, relating to services performed through June 30, 2003. KCI will indemnify each of
Fremont Partners and Blum Capital Partners and their respective directors, members, officers, employees, agents, representatives and affiliates and Dr. Leininger and his employees, agents,
representatives and affiliates for losses, damages,
costs or expenses which they may suffer arising out of their performance of services under the Management Services Agreement, provided that they will not be indemnified for losses resulting primarily
from their gross negligence or willful misconduct.
We
issued to Fremont Partners, Blum Capital Partners, and Dr. Leininger, and their affiliates, an aggregate of $190.0 million of the Series A convertible preferred
stock that we offered in connection with the 2003 recapitalization. In addition, we issued to John P. Byrnes, Harry R. Jacobson, M.D., David J. Simpson and C. Thomas Smith, all of whom are
non-employee directors of ours, an aggregate $1.8 million of the Series A convertible preferred stock that we offered in connection with such recapitalization. As a result of
the initial public offering, Fremont Partners, Blum Capital Partners, and Dr. Leininger, and their respective affiliates, received cumulative preferred dividends paid-in-kind through
December 31, 2005 of $49.3 million and, immediately thereafter, all outstanding shares of our preferred stock were automatically converted into shares of our common stock.
In
connection with the Series A preferred stock issuance, Fremont Partners, Blum Capital Partners, and Dr. Leininger, and their affiliates, along with certain other
non-employee directors to whom we concurrently issued Series A preferred stock, entered into an Investors' Rights Agreement with us. The Investors' Rights Agreement provides for,
among other things, "piggy-back" registration rights, which were
103
exercised
in connection with the initial public offering in February 2004 but have been waived with respect to this offering.
We
paid bonuses to the CEO and management pursuant to the CEO Special Bonus Plan and the 2000 Special Bonus Plan in an aggregate amount equal to approximately $18.7 million in
connection with our initial public offering. Of the $18.7 million, the named executive officers received approximately $14.2 million, and 74 other employees received an aggregate of
approximately $4.5 million. Of the $14.2 million in bonuses paid to the named executive officers, Mr. Ware received $13.0 million, Mr. Rush received approximately
$416,300, Mr. Fashek received approximately $268,500, Mr. Noll received approximately $345,600, and Mr. Menten received $150,000.
A
member of our Board of Directors, David J. Simpson, is an officer of Stryker Corporation, with which we conduct business on a limited basis. During fiscal 2001, 2002 and 2003 and the
first quarter of 2004, we purchased approximately $1.5 million, $3.6 million, $2.5 million and $896,000 in hospital bed frames from Stryker, respectively. During those same
periods, we sold approximately $340,000, $220,000, $246,000 and $26,800 of therapeutic surfaces to Stryker, respectively. The transactions between KCI and Stryker are not material to either party.
Moreover, our relationship with Stryker predates Mr. Simpson's election to our Board. We have had a business relationship with Stryker since 1994 and Mr. Simpson joined our Board of
Directors in 2003.
Peter
Leininger, M.D., the brother of James R. Leininger, M.D., who is one of our major shareholders, has a consulting agreement with us. Dr. Peter Leininger
served us in a variety of senior positions from 1978 to 1997 and consults with us on medical matters. The consulting agreement has a one-year term. Under the consulting agreement,
Dr. Peter Leininger receives an annual fee of $10,000 per year and is entitled to retain the stock options which were granted to him during his employment with us. We have paid Dr. Peter
Leininger $250,000 to resolve a dispute concerning a stock option granted to him which expired. Dr. Peter Leininger used the $250,000 to pay the exercise price and associated federal income
taxes on certain of his stock options which he exercised in January 2004.
C.
Thomas Smith became a member of our board of directors in April 2003, after he had retired as the Chief Executive Officer and President of VHA Inc. VHA Inc. is
affiliated with Novation, LLC. Novation is a GPO with which we have had major supply contracts since the 1980s. During fiscal 2001, 2002, 2003 and the first quarter of 2004 respectively, we received
approximately $109.9 million, $113.1 million, $128.7 million and $35.9 million in V.A.C. and therapeutic surfaces revenues under our Novation contracts.
104
PRINCIPAL AND SELLING SHAREHOLDERS
Beneficial Ownership of Capital Stock
The following table sets forth information regarding beneficial ownership of our capital stock as of May 18, 2004, and as adjusted to reflect the sale of
shares of our common stock being offered in this offering, for:
-
- each
person, or group of affiliated persons, known by us to own beneficially 5% or more of our capital stock;
-
- each
of our directors;
-
- each
of our named executive officers;
-
- all
directors and executive officers as a group; and
-
- all
selling shareholders.
The percentage of beneficial ownership is based on 64,884,611 shares of our common stock outstanding prior to this offering and 66,645,037 shares of our common stock
outstanding after this offering as a result of the exercise of options to purchase 1,760,426 shares that will be sold in this offering.
Beneficial
ownership is determined in accordance with the rules and regulations of the SEC. In computing the number of shares beneficially owned by a person and the percentage of
ownership of that person, shares of common stock subject to options held by that person that are currently exercisable or become exercisable within 60 days of May 18, 2004 are considered
to be beneficially owned by such person. Such shares, however, are not deemed outstanding for the purpose of computing the percentage ownership of any other person.
Each of the selling shareholders has informed us that it is neither a broker-dealer nor an affiliate of a broker-dealer, except as described below. An affiliate of Fremont Partners, L.P.
and certain of its related parties is a registered broker-dealer. Fremont Partners, L.P. and its related parties purchased all shares of our common stock offered by them in this offering in the
ordinary course of business and, at the time of their purchase of such shares, did not have any agreements or understandings, directly or indirectly, with any person to distribute such shares. GS
Capital Partners 2000, L.P. and its affiliated investment funds are affiliates of Goldman, Sachs & Co., a registered broker-dealer. DLJ Merchant Banking Partners III, L.P.
and affiliated investment funds are affiliates of Credit Suisse First Boston LLC, a registered broker-dealer. DLJ Merchant Banking Partners III, L.P. and its affiliates
affirmatively disclaim underwriting status in connection with this offering.
The
amounts set forth in the table below reflect the amounts each selling shareholder has indicated it intends to sell in the offering. We and/or the underwriters may limit or deny the
ability of any selling shareholder to sell his, her or its shares in the offering for any reason, including the failure of a selling shareholder to produce the appropriate stock certificates or option
exercise forms and related documents to our satisfaction. In addition, some of the selling shareholders may elect to sell additional shares, may not participate at all, or may elect to reduce the
number of shares sold. In such case, we expect that the other selling shareholders that are not officers, directors or employees selling shares in this offering will adjust their number of shares sold
in the offering, on a pro rata basis, so that the total
number of shares sold by the selling shareholders in this offering will equal the total reflected in the table below.
105
|
|
Shares of
Common Stock
Beneficially Owned
Prior to this Offering
|
|
|
|
Shares of
Common Stock
Beneficially Owned
After This Offering(2)
|
|
Name(1)
|
|
# of Shares
|
|
% of Total
|
|
Shares of
Common Stock
Offered Hereby
|
|
# of Shares
|
|
% of Total
|
|
Fremont Partners, L.P. and related parties(3)(4) |
|
13,508,349 |
|
20.8 |
% |
5,914,308 |
|
7,594,041 |
|
11.4 |
% |
Blum Capital Partners, L.P. and related parties and Richard C. Blum(5) |
|
8,922,354 |
|
13.8 |
% |
3,907,039 |
|
5,015,315 |
|
7.5 |
% |
DLJ Merchant Banking and related parties(3)(6) |
|
2,692,941 |
|
4.2 |
% |
1,179,785 |
|
1,513,156 |
|
2.3 |
% |
The Goldman Sachs Group, Inc. and affiliates(7) |
|
2,547,378 |
|
3.9 |
% |
1,116,013 |
|
1,431,365 |
|
2.2 |
% |
Directors and Executive Officers |
|
|
|
|
|
|
|
|
|
|
|
|
Robert Jaunich II(8) |
|
13,508,349 |
|
20.8 |
% |
5,914,308 |
|
7,594,041 |
|
11.4 |
% |
|
James R. Leininger, M.D.(9) |
|
14,910,664 |
|
23.0 |
% |
2,000,000 |
|
12,910,664 |
|
19.4 |
% |
|
Dennert O. Ware(10) |
|
4,023,101 |
|
5.8 |
% |
402,300 |
|
3,620,801 |
|
5.2 |
% |
|
John P. Byrnes(11)(12) |
|
80,449 |
|
* |
|
|
|
80,449 |
|
* |
|
|
Ronald W. Dollens(11)(13) |
|
79,534 |
|
* |
|
|
|
79,534 |
|
* |
|
|
James T. Farrell(8) |
|
13,508,349 |
|
20.8 |
% |
5,914,308 |
|
7,594,041 |
|
11.4 |
% |
|
Harry R. Jacobson, M.D.(11)(14) |
|
44,058 |
|
* |
|
|
|
44,058 |
|
* |
|
|
N. Colin Lind(5)(15) |
|
8,922,354 |
|
13.8 |
% |
3,907,039 |
|
5,015,315 |
|
7.5 |
% |
|
David J. Simpson(11)(16) |
|
35,962 |
|
* |
|
|
|
35,962 |
|
* |
|
|
C. Thomas Smith(11)(17) |
|
13,869 |
|
* |
|
|
|
13,869 |
|
* |
|
|
Donald E. Steen(11)(18) |
|
99,003 |
|
* |
|
33,900 |
|
65,103 |
|
* |
|
|
Dennis E. Noll(19) |
|
369,276 |
|
* |
|
136,986 |
|
232,290 |
|
* |
|
|
Christopher M. Fashek(20) |
|
680,043 |
|
1.0 |
% |
230,000 |
|
450,043 |
|
* |
|
|
G. Frederick Rush(21) |
|
303,824 |
|
* |
|
|
|
303,824 |
|
* |
|
|
Michael J. Burke(22) |
|
406,440 |
|
* |
|
100,000 |
|
306,440 |
|
* |
|
|
Steven J. Hartpence(23) |
|
76,415 |
|
* |
|
13,943 |
|
62,472 |
|
* |
|
|
Martin J. Landon(24) |
|
187,988 |
|
* |
|
43,920 |
|
144,068 |
|
* |
|
|
Jorg W. Menten(25) |
|
184,766 |
|
* |
|
29,793 |
|
154,973 |
|
* |
|
|
Daniel C. Wadsworth, Jr.(26) |
|
85,415 |
|
* |
|
|
|
85,415 |
|
* |
|
|
Directors and Executive Officers as a Group(27) |
|
44,011,510 |
|
61.9 |
% |
12,812,189 |
|
31,199,321 |
|
43.4 |
% |
Other Selling Shareholders |
|
|
|
|
|
|
|
|
|
|
|
|
James A. Adams(28) |
|
179,595 |
|
* |
|
35,919 |
|
143,676 |
|
* |
|
|
Peter Appelt(29) |
|
37,687 |
|
* |
|
7,537 |
|
30,150 |
|
* |
|
|
Joseph H. Bell(30) |
|
48,309 |
|
* |
|
9,661 |
|
38,648 |
|
* |
|
|
Scott S. Brooks(31) |
|
93,696 |
|
* |
|
40,000 |
|
53,696 |
|
* |
|
|
Frank Dilazzaro(32) |
|
480,348 |
|
* |
|
189,034 |
|
291,314 |
|
* |
|
|
Denise W. Duval(33) |
|
58,020 |
|
* |
|
11,604 |
|
46,416 |
|
* |
|
|
Ronald E. Dziedziula(34) |
|
105,928 |
|
* |
|
13,000 |
|
92,928 |
|
* |
|
|
Raymond R. Hannigan |
|
462,400 |
|
* |
|
92,480 |
|
369,920 |
|
* |
|
|
Michael G. Helbock(35) |
|
32,125 |
|
* |
|
6,425 |
|
25,700 |
|
* |
|
|
Mike Holvey(36) |
|
46,029 |
|
* |
|
8,928 |
|
37,101 |
|
* |
|
|
Tim K. Jarvis(37) |
|
33,281 |
|
* |
|
6,656 |
|
26,625 |
|
* |
|
|
Jeffrey C. Johnson(38) |
|
32,125 |
|
* |
|
6,425 |
|
25,700 |
|
* |
|
|
Sharon C. Johnson(39) |
|
68,655 |
|
* |
|
13,731 |
|
54,924 |
|
* |
|
|
Keith R. Jones(40) |
|
98,520 |
|
* |
|
28,652 |
|
69,868 |
|
* |
|
|
Garry G. Manitzas(41) |
|
31,481 |
|
* |
|
6,296 |
|
25,185 |
|
* |
|
|
Charles N. Martin, Jr. |
|
57,800 |
|
* |
|
11,560 |
|
46,240 |
|
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
106
|
Robert Meier(42) |
|
57,600 |
|
* |
|
11,520 |
|
46,080 |
|
* |
|
|
Brian M. Murphy(43) |
|
44,729 |
|
* |
|
8,946 |
|
35,783 |
|
* |
|
|
Ronald R. Oakes(44) |
|
31,481 |
|
* |
|
6,296 |
|
25,185 |
|
* |
|
|
Lulu P. Olson(45) |
|
54,478 |
|
* |
|
10,895 |
|
43,583 |
|
* |
|
|
Michael S. Parmer(46) |
|
61,663 |
|
* |
|
11,465 |
|
50,198 |
|
* |
|
|
George P. Peace |
|
69,206 |
|
* |
|
10,375 |
|
58,831 |
|
* |
|
|
Gregory Pomykata(47) |
|
57,132 |
|
* |
|
11,426 |
|
45,706 |
|
* |
|
|
William H. Quirk(48) |
|
55,402 |
|
* |
|
11,080 |
|
44,322 |
|
* |
|
|
Laura G. Reno(49) |
|
37,705 |
|
* |
|
7,541 |
|
30,164 |
|
* |
|
|
Scott A. Robey(50) |
|
31,481 |
|
* |
|
6,296 |
|
25,185 |
|
* |
|
|
Jacqueline J. Roerink(51) |
|
93,901 |
|
* |
|
18,780 |
|
75,121 |
|
* |
|
|
Robert Russell(52) |
|
77,022 |
|
* |
|
15,404 |
|
61,618 |
|
* |
|
|
Creed D. Russon(53) |
|
35,740 |
|
* |
|
5,740 |
|
30,000 |
|
* |
|
|
Wayne J. Schroeder(54) |
|
97,871 |
|
* |
|
27,471 |
|
70,400 |
|
* |
|
|
Lynne D. Sly(55) |
|
137,405 |
|
* |
|
27,481 |
|
109,924 |
|
* |
|
|
Davy J. Tyburski(56) |
|
38,078 |
|
* |
|
5,711 |
|
32,367 |
|
* |
|
|
John H. Vrzalik(57) |
|
71,165 |
|
* |
|
19,956 |
|
51,209 |
|
* |
|
|
Sheriada K. Watkins(58) |
|
31,568 |
|
* |
|
6,314 |
|
25,254 |
|
* |
|
|
Frederic M. Williams(59) |
|
167,405 |
|
* |
|
33,481 |
|
133,924 |
|
* |
|
|
Current and former employees that in the aggregate hold less than 1% of our outstanding shares of common stock(60) |
|
620,477 |
|
* |
|
147,927 |
|
472,550 |
|
* |
|
- *
Less than one percent (1%).
- (1)
- Unless
otherwise indicated, the address of each of the individuals listed in this table is c/o Kinetic Concepts, Inc., 8023 Vantage Drive, San Antonio, Texas
78230.
- (2)
- Beneficial
ownership of common stock after this offering assumes that all shares of common stock being offered in this offering will be sold, not including the
overallotment option. Consequently, the number of shares of common stock shown as beneficially owned by each listed shareholder after this offering is equal to the number of shares of common stock
beneficially owned by such shareholder prior to this offering, minus the number of shares of common stock, if any, offered by such shareholder in this offering. If the underwriters exercise the
overallotment option in full: (i) Fremont Partners, L.P. and its related parties will sell an additional 1,171,426 shares in the aggregate, of which 549,227 shares
will be sold by Fremont Acquisition Company II, L.L.C., 133,573 shares will be sold by Fremont Acquisition Company IIA, L.L.C., 178,522 shares will be sold by
Fremont-KCI Co-Investment Company, L.L.C., 114,334 shares will be sold by Fremont-KCI Co-Investment Company II, L.L.C.,
187,250 shares will be sold by Fremont Partners III, L.P. and 8,520 shares will be sold by Fremont Partners III Side-By-Side, L.P.;
(ii) Blum Capital Partners, L.P. and its related parties will sell an additional 773,853 shares in the aggregate, of which 724 shares will be sold by Blum Strategic
Partners II GmbH & Co. KG, 35,093 shares will be sold by Blum Strategic Partners II, L.P., 694,928 shares will be sold by RCBA-KCI Capital
Partners, L.P. and 43,108 shares will be sold by Stinson Capital Partners II, L.P.; (iii) affiliates of The Goldman Sachs Group, Inc. will sell an additional
221,045 shares in the aggregate, of which 155,809 will be sold by GS Capital Partners 2000, L.P., 58,661 shares will be sold by GS Capital Partners 2000 Offshore, L.P., and
6,575 shares will be sold by GS Capital Partners 2000 GmbH & Co. Beteiligungs KG; and (iv) DLJ Merchant Banking
107
Partners
III, L.P. and its related parties will sell an additional 233,676 shares in the aggregate, of which 1,873 shares will be sold by DLJ MB Partners III GmbH & Co. KG,
208,428 shares will be sold by DLJ Merchant Banking Partners III, L.P., 15,429 shares will be sold by DLJ Merchant Banking III, Inc., as Advisory General
Partner on behalf of DLJ Offshore Partners III, C.V., 3,961 shares will be sold by DLJ Merchant Banking III, Inc., as Advisory General Partner on behalf of DLJ
Offshore Partners III-1, C.V. and as attorney-in-fact for DLJ Merchant Banking III, L.P., as Associate General Partner of DLJ Offshore
Partners III-1, C.V., 2,821 shares will be sold by DLJ Merchant Banking III, Inc., as Advisory General Partner on behalf of DLJ Offshore
Partners III-2, C.V. and as attorney-in-fact for DLJ Merchant Banking III, L.P., as Associate General Partner of DLJ Offshore
Partners III-2, C.V., and 1,164 shares will be sold by Millennium Partners II, L.P.
- (3)
- The
person or entity named has sole voting power and investment power with respect to all shares indicated.
- (4)
- Shares
of common stock currently held by Fremont Partners, L.P. and its related parties include (i) 6,329,435 shares held by Fremont Acquisition Company II,
L.L.C., (ii) 1,539,326 shares held by Fremont Acquisition Company IIA, L.L.C., (iii) 2,057,339 shares held by Fremont-KCI Co-Investment Company, L.L.C.,
(iv) 1,317,617 shares held by Fremont-KCI Co-Investment Company II, L.L.C., (v) 2,157,918 shares held by Fremont Partners III, L.P., (vi) 98,186 shares
held by Fremont Partners III Side-By-Side, L.P., (vii) 3,529 shares held by and 735 shares acquirable upon the exercise of options held by Fremont Partners, L.L.C., and
(viii) 3,529 shares held by and 735 shares acquirable upon the exercise of options held by Fremont Partners III, L.L.C.
Shares
of common stock being offered by Fremont Partners, L.P. and its related parties in this offering include (i) 2,772,942 shares offered by Fremont Acquisition Company II, L.L.C.,
(ii) 674,383 shares offered by Fremont Acquisition Company IIA, L.L.C., (iii) 901,326 shares offered by Fremont-KCI Co-Investment Company, L.L.C.,
(iv) 577,252 shares offered by Fremont-KCI Co-Investment Company II, L.L.C., (v) 945,389 shares offered by Fremont Partners III, L.P. and
(vi) 43,016 shares offered by Fremont Partners III Side-By-Side, L.P. The address for Fremont Partners, L.P. and its related parties is 199 Fremont Street, Suite
2300, San Francisco, CA 94105.
- (5)
- Shares
of common stock held by Blum Capital Partners, L.P. and its related parties include (i) 8,008,533 shares held by RCBA-KCI Capital Partners,
L.P., (ii) 496,787 shares held by Stinson Capital Partners II, L.P., (iii) 404,425 shares held by Blum Strategic Partners II, L.P., (iv) 8,345 shares held by Blum Strategic
Partners II GmbH & Co. KG, and (v) 3,529 shares held by and 735 shares acquirable upon the exercise of options held by Blum Capital Partners, L.P.
Blum
Capital Partners, L.P. serves as the general partner of RCBA-KCI Capital Partners, L.P. and Stinson Capital Partners II, L.P. with voting and investment discretion. The shares owned
by RCBA-KCI Capital Partners, L.P. and Stinson Capital Partners II, L.P. may be deemed to be owned indirectly by the following parties: (a) Blum Capital Partners, L.P.;
(b) Richard C. Blum & Associates, Inc., the sole general partner of Blum Capital Partners, L.P.; and (c) Richard C. Blum, Chairman of Richard C. Blum &
Associates, Inc. Richard C. Blum & Associates, Inc., Blum Capital Partners, L.P. and Mr. Blum disclaim beneficial ownership of these shares, except to the extent of any
pecuniary interest therein.
Blum Strategic GP II, L.L.C. serves as the general partner of Blum Strategic Partners II, L.P. and as the managing limited partner of Blum Strategic Partners II GmbH & Co. KG. The shares owned
by Blum Strategic Partners II, L.P. and Blum Strategic Partners II GmbH & Co. KG may be deemed to be owned indirectly by the following parties: (a) Blum Strategic GP II, L.L.C., the
general partner of Blum Strategic Partners II, L.P. and the managing limited partner of Blum Strategic Partners II GmbH & Co. KG; and (b) Richard C. Blum, a managing member of Blum
Strategic GP II, L.L.C. Both Blum Strategic GP II, L.L.C. and Mr. Blum disclaim beneficial ownership of these shares, except to the extent of any pecuniary interest therein. Shares of common
stock being offered by Blum Capital
108
Partners, L.P. and its related parties in this offering include (i) 3,508,559 shares offered by RCBA-KCI Capital Partners, L.P., (ii) 217,644 shares offered by
Stinson Capital Partners II, L.P., (iii) 177,180 shares offered by Blum Strategic Partners II, L.P. and (iv) 3,656 shares offered by Blum Strategic Partners II
GmbH & Co. KG. The address for Blum Capital Partners, L.P. and its related parties is 909 Montgomery Street, Suite 400, San Francisco, CA 94133.
Richard C. Blum is the chairman of Richard C. Blum & Associates, Inc., which is the general partner of Blum Capital Partners, L.P. He is also a managing member of Blum Strategic
GP II, L.L.C., which is the general partner of Blum Strategic Partners II, L.P. and the managing limited partner of Blum Strategic Partners II GmbH & Co. KG. Mr. Blum disclaims
beneficial ownership of the shares held by Blum Capital Partners, L.P. and its related parties, except to the extent of his pecuniary interest in such shares.
- (6)
- Shares
of common stock beneficially owned by DLJ Merchant Banking Partners III, L.P. and its related parties include (i) 2,133,321 shares held by
DLJ Merchant Banking Partners III, L.P., (ii) 146,874 shares held by DLJ Merchant Banking III, Inc., its Advisory General Partner on behalf of DLJ Offshore Partners III, C.V.,
(iii) 37,701 shares held by DLJ Merchant Banking III, Inc., as Advisory General Partner on behalf of DLJ Offshore Partners III-1, C.V. and as
attorney-in-fact for DLJ Merchant Banking III, L.P., as Associate General Partner of DLJ Offshore Partners III-1, C.V., (iv) 26,856 shares held by DLJ
Merchant Banking III, Inc., as Advisory General Partner on behalf of DLJ Offshore Partners III-2, C.V. and as attorney-in-fact for DLJ Merchant Banking III,
L.P., as Associate General Partner of DLJ Offshore Partners III-2, C.V., (v) 17,831 shares held by DLJ MB Partners III GmbH & Co. KG, (vi) 12,155 shares held by
Millennium Partners II, L.P. and (vii) 318,203 shares held by MBP III Plan Investors, L.P. The address for DLJ Merchant Banking Partners III, L.P. and its related parties is Eleven
Madison Ave., 16th Floor, New York, NY 10010. Does not include shares of common stock which may be deemed to be beneficially owned by DLJ Merchant Banking Partners III, L.P. and its
related parties as a result of ordinary course trading activities from time to time of shares of common stock held in its or their affiliates' client accounts with respect to which DLJ Merchant
Banking Partners III, L.P., its affiliates or its employees may have voting or investment discretion or both.
Shares
of common stock being offered by DLJ Merchant Banking Partners III, L.P. and its related parties include (i) 9,457 shares offered by DLJ MB Partners III GmbH &
Co. KG, (ii) 1,052,313 shares offered by DLJ Merchant Banking Partners III, L.P., (iii) 77,900 shares offered by DLJ Merchant
Banking III, Inc., its Advisory General Partner on behalf of DLJ Offshore Partners III, C.V., (iv) 19,996 shares offered by DLJ Merchant
Banking III, Inc., as Advisory General Partner on behalf of DLJ Offshore Partners III-1, C.V. and as attorney-in-fact for DLJ Merchant
Banking III, L.P., as Associate General Partner of DLJ Offshore Partners III-1, C.V., (v) 14,244 shares offered by DLJ Merchant
Banking III, Inc., as Advisory General Partner on behalf of DLJ Offshore Partners III-2, C.V. and as attorney-in-fact for DLJ Merchant
Banking III, L.P., as Associate General Partner of DLJ Offshore Partners III-2, C.V. and (vi) 5,875 shares offered by Millennium
Partners II, L.P.
- (7)
- Shares
of common stock indirectly beneficially owned by The Goldman Sachs Group, Inc. ("GSG") and affiliates includes (i) 1,372,965 shares held by GS
Capital Partners 2000, L.P., (ii) 498,849 shares held by GS Capital Partners 2000 Offshore, L.P., (iii) 57,352 shares held by GS Capital Partners 2000 GmbH & Co. Beteiligungs KG,
(iv) 436,257 shares held by GS Capital Partners 2000 Employee Fund, L.P. and (v) 181,955 shares held by Goldman Sachs Direct Investment Fund 2000, L.P. GSG disclaims beneficial ownership
of the shares owned by such investment partnerships to the extent attributable to partnership interests held therein by persons other than GSG and its affiliates. GSG and each of such investment
partnerships shares voting and investment power with certain of its respective affiliates. Goldman, Sachs & Co. is an indirect, wholly-owned subsidiary of GSG. The address for Goldman,
Sachs & Co. and its related parties is 85 Broad Street, 10th Floor, New York, NY 10004. Does not include shares of common stock which may be deemed to be beneficially owned by GSG as a result
of ordinary course trading activities from time to time or shares of common stock held in client accounts with respect to which GSG or its employees have voting or investment discretion or both. GSG
disclaims beneficial ownership of the common stock held in client accounts.
109
Shares
of common stock being offered by affiliates of The Goldman Sachs Group, Inc. include (i) 786,650 shares offered by GS Capital Partners 2000, L.P.,
(ii) 296,169 shares offered by GS Capital Partners 2000 Offshore, L.P. and (iii) 33,194 shares offered by GS Capital Partners 2000 GmbH & Co.
Beteiligungs KG. Shares of common stock allocable to Goldman, Sachs & Co. and "related persons" are subject to a NASD lockup and are not being sold in this offering.
- (8)
- Messrs. Jaunich
and Farrell are managing partners of Fremont Partners, L.P. and certain of its related parties. The shares shown include the shares beneficially
owned by Fremont Partners, L.P. and such related parties. Messrs. Jaunich and Farrell disclaim beneficial ownership of the shares held by Fremont Partners, L.P. and such related parties, except
to the extent of their respective proportionate pecuniary interest in such shares.
- (9)
- Includes
3,529 shares, 735 shares acquirable upon the exercise of options and 10,100 shares of common stock held by J&E Investments, L.P., in which
Dr. Leininger is a 1% general partner. Dr. Leininger disclaims beneficial ownership in the shares held by J&E Investments, except to the extent of his proportionate pecuniary interest in
such shares. Also includes a total of 600,000 shares of common stock sold by Dr. Leininger to Dr. Leininger's brothers, Peter A. Leininger and Daniel E. Leininger, and the 1987 Brian C.
Leininger Trust, 1987 Kelly C. Leininger Trust, 1987 Tracy M. Leininger Trust and 1992 Joshua A. Leininger Trust, as to each of which Peter A. Leininger is the trustee. Dr. Leininger disclaims
beneficial ownership of all such shares, except to the extent of any pecuniary interest therein.
- (10)
- Common
stock holdings include 101 shares currently held and 4,023,000 shares acquirable upon the exercise of options.
- (11)
- The
persons named are outside directors and are not affiliated with Fremont Partners, L.P. or Blum Capital Partners, L.P.
- (12)
- Common
stock holdings include 78,782 shares currently held (5,000 of which are restricted shares) and 1,667 shares acquirable upon the exercise of options.
- (13)
- Common
stock holdings include 6,000 shares currently held (5,000 of which are restricted shares) and 73,534 shares acquirable upon the exercise of options.
- (14)
- Common
stock holdings include 42,391 shares currently held (5,000 of which are restricted shares) and 1,667 shares acquirable upon the exercise of options.
- (15)
- N.
Colin Lind is the managing partner of Richard C. Blum & Associates, Inc., which is the general partner of Blum Capital Partners, L.P. He is also a
managing member of Blum Strategic GP II, L.L.C., which is the general partner of Blum Strategic Partners II, L.P. and the managing limited partner of Blum Strategic Partners II GmbH & Co. KG.
The shares shown include the shares beneficially owned by Blum Capital Partners, L.P. and such related parties. Mr. Lind disclaims beneficial ownership of the shares held by Blum Capital
Partners, L.P. and its related parties, except to the extent of his proportionate pecuniary interest in such shares.
- (16)
- Common
stock holdings include 34,295 shares currently held (5,000 of which are restricted shares) and 1,667 shares acquirable upon the exercise of options.
- (17)
- Common
stock holdings include 12,202 shares currently held (5,000 of which are restricted shares) and 1,667 shares acquirable upon the exercise of options.
- (18)
- Common
stock holdings include 39,536 shares currently held (5,000 of which are restricted shares) and 59,467 shares acquirable upon the exercise of options.
- (19)
- Common
stock holdings include 27,630 shares currently held (2,500 of which are restricted shares) and 341,646 shares acquirable upon the exercise of options.
110
- (20)
- Common
stock holdings include 39,472 shares currently held, of which 200 shares are held by Mr. Fashek's wife, and 640,571 shares acquirable upon the exercise of
options.
- (21)
- Common
stock holdings include 131,395 shares currently held (2,500 of which are restricted shares) and 172,429 shares acquirable upon the exercise of options.
- (22)
- Common
stock holdings include 5,001 shares currently held and 401,439 shares acquirable upon the exercise of options.
- (23)
- Common
stock holdings include 6,701 shares currently held (1,700 of which are restricted shares) and 69,714 shares acquirable upon the exercise of options.
- (24)
- Common
stock holdings include 11,211 shares currently held (2,500 of which are restricted shares) and 176,777 shares acquirable upon the exercise of options.
- (25)
- Common
stock holdings include 5,801 shares currently held (5,800 of which are restricted shares) and 178,965 shares acquirable upon the exercise of options.
- (26)
- Common
stock holdings include 7,701 shares currently held (1,700 of which are restricted shares) and 77,714 shares acquirable upon the exercise of options.
- (27)
- Includes
6,224,864 shares of common stock issuable upon the exercise of options that are exercisable within 60 days after May 18, 2004.
- (28)
- Shares
of common stock beneficially owned before this offering include 71,667 shares currently held and 107,928 shares acquirable upon the exercise of
options. The 35,919 shares of common stock offered hereby will be issued upon the exercise of such options in connection with the offering.
- (29)
- Shares
of common stock beneficially owned before this offering consists of 37,687 shares acquirable upon the exercise of options. The 7,537 shares of
common stock offered hereby will be issued upon the exercise of such options in connection with the offering.
- (30)
- Shares
of common stock beneficially owned before this offering consists of 48,309 shares acquirable upon the exercise of options. The 9,661 shares of
common stock offered hereby will be issued upon the exercise of such options in connection with the offering.
- (31)
- Shares
of common stock beneficially owned before this offering consists of 93,696 shares acquirable upon the exercise of options. The 40,000 shares of
common stock offered hereby will be issued upon the exercise of such options in connection with the offering.
- (32)
- Shares
of common stock beneficially owned before this offering consists of 480,348 shares acquirable upon the exercise of options. The 189,034 shares of common
stock offered hereby will be issued upon the exercise of such options in connection with the offering.
- (33)
- Shares
of common stock beneficially owned before this offering consists of 58,020 shares acquirable upon the exercise of options. The 11,604 shares of common
stock offered hereby will be issued upon the exercise of such options in connection with the offering.
- (34)
- Shares
of common stock beneficially owned before this offering consists of 19,071 shares currently held and 86,857 shares acquirable upon the exercise of
options. The 13,000 shares of common stock offered hereby will be issued upon the exercise of such options in connection with the offering.
- (35)
- Shares
of common stock beneficially owned before this offering consists of 32,125 shares acquirable upon the exercise of options. The 6,425 shares of
common stock offered hereby are to be issued upon the exercise of such options in connection with the offering.
- (36)
- Shares
of common stock beneficially owned before this offering include 1,388 shares currently held and 44,641 shares acquirable upon the exercise of
options. The 8,928 shares of common stock will be issued upon the exercise of such options in connection with the offering.
111
- (37)
- Shares
of common stock beneficially owned before this offering consists of 33,281 shares acquirable upon the exercise of options. The 6,656 shares of
common stock will be issued upon the exercise of such options in connection with the offering.
- (38)
- Shares
of common stock beneficially owned before this offering consists of 32,125 shares acquirable upon the exercise of options. The 6,425 shares of
common stock offered hereby will be issued upon the exercise of such options in connection with the offering.
- (39)
- Shares
of common stock beneficially owned before this offering consists of 68,655 shares acquirable upon the exercise of options. The 13,731 shares of common
stock offered will be issued upon the exercise of such options in connection with the offering.
- (40)
- Shares
of common stock beneficially owned before this offering include 18,264 shares currently held and 80,256 shares acquirable upon the exercise of
options. The 28,652 shares of common stock offered hereby will be issued upon the exercise of such options in connection with the offering.
- (41)
- Shares
of common stock beneficially owned before this offering consists of 31,481 shares acquirable upon the exercise of options. The 6,296 shares of
common stock offered hereby will be issued upon the exercise of such options in connection with the offering.
- (42)
- Shares
of common stock beneficially owned before this offering consists of 57,600 shares acquirable upon the exercise of options. The 11,520 shares of
common stock will be issued upon the exercise of such options in connection with the offering.
- (43)
- Shares
of common stock beneficially owned before this offering consists of 44,729 shares acquirable upon the exercise of options. The 8,946 shares of
common stock offered hereby will be issued upon the exercise of such options in connection with the offering.
- (44)
- Shares
of common stock beneficially owned before this offering consists of 31,481 shares acquirable upon the exercise of options. The 6,296 shares of
common stock offered hereby will be issued upon the exercise of such options in connection with the offering.
- (45)
- Shares
of common stock beneficially owned before this offering include one share currently held and 54,477 shares acquirable upon the exercise of options. The
10,895 shares of common stock offered hereby will be issued upon the exercise of such options in connection with the offering.
- (46)
- Shares
of common stock beneficially owned before this offering include 4,336 shares currently held and 57,327 shares acquirable upon the exercise of
options. The 11,465 shares of common stock offered hereby will be issued upon the exercise of such options in connection with the offering.
- (47)
- Shares
of common stock beneficially owned before this offering consists of 57,132 shares acquirable upon the exercise of options. The 11,426 shares of
common stock offered hereby will be issued upon the exercise of such options in connection with the offering.
- (48)
- Shares
of common stock beneficially owned before this offering include one share currently held and 55,401 shares acquirable upon the exercise of options. The
11,080 shares of common stock will be issued upon the exercise of such options in connection with the offering.
- (49)
- Shares
of common stock beneficially owned before this offering consists of 37,705 shares acquirable upon the exercise of options. The 7,541 shares of
common stock offered hereby will be issued upon the exercise of such options in connection with the offering.
- (50)
- Shares
of common stock beneficially owned before this offering consists of 31,481 shares acquirable upon the exercise of options. The 6,296 shares of
common stock offered hereby will be issued upon the exercise of such options in connection with the offering.
112
- (51)
- Shares
of common stock beneficially owned before this offering include one share currently held and 93,900 shares acquirable upon the exercise of options. The
18,780 shares of common stock offered hereby will be issued upon the exercise of such options in connection with the offering.
- (52)
- Shares
of common stock beneficially owned before this offering include 5,087 shares currently held and 71,935 shares acquirable upon the exercise of
options. The 15,404 shares of common stock offered hereby will be issued upon the exercise of such options in connection with the offering.
- (53)
- Shares
of common stock beneficially owned before this offering consists of 35,740 shares acquirable upon the exercise of options. The 5,740 shares of
common stock offered hereby will be issued upon the exercise of such options in connection with the offering.
- (54)
- Shares
of common stock beneficially owned before this offering consists of 97,871 shares acquirable upon the exercise of options. The 27,471 shares of
common stock offered hereby will be issued upon the exercise of such options in connection with the offering.
- (55)
- Shares
of common stock beneficially owned before this offering consists of 137,405 shares acquirable upon the exercise of options. The 27,481 shares of common
stock offered hereby will be issued upon the exercise of such options in connection with the offering.
- (56)
- Shares
of common stock beneficially owned before this offering consists of 38,078 shares acquirable upon the exercise of options. The 5,711 shares of
common stock offered hereby will be issued upon the exercise of such options in connection with the offering.
- (57)
- Shares
of common stock beneficially owned before this offering include 3,209 shares currently held and 67,956 shares acquirable upon the exercise of
options. The 19,956 shares of common stock offered hereby will be issued upon the exercise of such options in connection with the offering.
- (58)
- Shares
of common stock beneficially owned before this offering consists of 31,568 shares acquirable upon the exercise of options. The 6,314 shares of
common stock offered hereby will be issued upon the exercise of such options in connection with the offering.
- (59)
- Shares
of common stock beneficially owned before this offering consists of 167,405 shares acquirable upon the exercise of options. The 33,481 shares of common
stock offered hereby will be issued upon the exercise of such options in connection with the offering.
- (60)
- Includes shares
of the following employee shareholders: Steven V. Benson, Charles I. Biltz, Leonardo Borghesio, Nadeem G. Bridi,
Robert W. Buckley, Julie A. Burgett, Brian J. Callister, Mark W. Carver, Charles M. Cheek, Frank J. Dittmar, John P. Farugia, Gerald K. Ferris,
Diana Ferro, Joseph J. Finneran, Deborah G. Fischer, Curtis J. Fisher, Ray C. Forbes, Martin Friedman, Virginia Hart, Peter Hickey, Deborah B.
Houliston-Otto, Robert W. Howell, Royce W. Johnson, Jeffrey J. Jung, Patrick C. Kilbane, Theodore Kohan, Brett A. Kraemer, David K. Kuhn,
Scott A. Larson, Les Lindsay, Jon R. Lockhart, Patrick W. McConahy, Martin W. Middough, Connie B. Moore, Susan P. Morris, Robert J. Mulholland,
Rogers J. Oliveira, Michael Pedemonte, Birgit Pedersen, Nancy N. Price, James C. Prince, Jim C. Pruski, Joseph G. Reidel, Peter A. Riley, Delton T.
Scholwinski, John R. Smith, Jack L. Stahley, Sandi L. Tipps, J. Michael Williams, Margaret A. Wingfield, Carin Zijlstra and Peter J. Zimmerman.
113
DESCRIPTION OF CAPITAL STOCK
General
Our authorized capital stock consists of 225,000,000 shares of common stock, par value $0.001 per share and 50,000,000 shares of preferred stock, par value $0.001
per share. As of May 18, 2004, there were 64,884,611 shares of common stock outstanding and no shares of preferred stock outstanding. As of May 18, 2004, we had 114 record holders
of our common stock. In addition, as of May 18, 2004, options to purchase 11,544,611 shares of our common stock were outstanding and 8,887,820 shares of our common stock were
reserved for issuance under our stock option plans and our employee stock purchase plan.
The
following description of our capital stock and provisions of our articles of incorporation, statement of designations and by-laws are summaries of all of their material
terms and provisions and are qualified by reference to our articles of incorporation, statement of designations and by-laws, copies of which have been filed with the Securities and
Exchange Commission as exhibits to the registration statement of which this prospectus is a part.
Common Stock
Our board of directors is authorized to issue one class of common stock. The outstanding shares of our common stock are fully paid and nonassessable. As of
May 18, 2004, 64,884,611 shares of our common stock were outstanding. The remaining shares of authorized and unissued common stock will be available for future issuance without
additional shareholder approval. While the additional shares are not designed to deter or prevent a change of control, under some circumstances, we could use the additional shares to create voting
impediments or to frustrate persons seeking to effect a takeover or otherwise gain control by, for example, issuing those shares in private placements to purchasers who might side with our board of
directors in opposing a hostile takeover bid.
Shareholders are entitled to one vote for each share of our common stock held of record on all matters on which shareholders are entitled or permitted to vote and
do not have cumulative voting rights. Accordingly, holders of a majority of the shares of common stock entitled to vote in any election of directors may elect all of the directors standing for
election, subject to the rights of the holders of any preferred shares to elect one or more directors.
Preemptive, Conversion and Redemption Rights
Upon completion of this offering, assuming no exercise of the underwriters' overallotment option, the holders of up to 25,520,020 shares of common stock
will have contractual preemptive rights that require us to offer to those holders the right to purchase, on a pro rata basis, shares of capital stock that we may issue from time to time. These
preemptive rights do not apply to (1) any issuance of capital stock as a dividend or stock split in respect of outstanding capital stock, (2) any issuance of capital stock in an
underwritten public offering or (3) the issuance of options or shares pursuant to our stock option plans or employee stock purchase plans that have been approved by our shareholders. These
contractual preemptive rights are subject to the approval of our shareholders every five years. Our common stock is not otherwise subject to any preemptive rights. Our common stock is not subject to
conversion, redemption or any sinking fund provision.
In the event of our liquidation, dissolution or winding up, the holders of our common stock will be entitled to share ratably in all assets remaining after
payment of liabilities, subject to the rights of any then outstanding preferred stock.
114
Preferred Stock
Our board of directors is authorized to issue up to a total of 50,000,000 shares of preferred stock in one or more series, without shareholder approval. Our board
of directors has the authority to establish from time to time the number of shares to be included in each series of preferred stock and to fix the designations, preferences, limitations and relative
rights, including dividend rights, dividend rate, voting rights, terms of redemption, redemption price or prices, conversion rights and liquidation preferences of the shares constituting any series.
The existence of authorized but unissued preferred stock could reduce our attractiveness as a target for an unsolicited takeover bid since we could, for example, issue shares of preferred stock to
parties who might oppose such a takeover bid or shares that contain terms the potential acquiror may find unattractive. This may have the effect of delaying or preventing a change of control, may
discourage bids for the common stock at a premium over the market price of the common stock, and may adversely affect the market price of, and the voting and other rights of the holders of, common
stock.
Registration Rights
After giving effect to the sale of all shares being offered by the selling shareholders in this offering, holders of an aggregate of 37,429,472 shares of
our common stock and shares issuable upon the exercise of vested options are entitled to rights to register these shares under the Securities Act. These rights are provided under (1) an
investors' rights agreement, dated August 11, 2003, that we entered into with the holders of our Series A Preferred Stock in connection with the issuance of those shares, (2) an
agreement among shareholders, dated November 5, 1997, as amended, among us, Fremont Partners, L.P. and its related parties, Blum Capital Partners, L.P. and its related parties and James R.
Leininger, M.D., and (3) our Management Equity Plan, effective October 2, 1997. Each of the 19 shareholders party to the agreement among shareholders may have a demand registration
right, and the shareholders party to this and the other agreements also have piggyback registration rights. We are required to pay all expenses, except for underwriting discounts and commissions to
the extent that they are being borne by the selling shareholders, incurred in connection with these registration rights. Substantially all of these holders have waived their piggyback registration
rights in connection with this offering.
Shareholders Agreement
As noted above, Fremont Partners, L.P. and its related parties, Blum Capital Partners, L.P. and its related parties and Dr. Leininger are parties to
an agreement among shareholders. This agreement provides that until six months following our initial public offering, or August 26, 2004, these shareholders may not transfer or sell their
shares, subject to specified exceptions. This limitation has been waived with respect to this offering.
The agreement also provides the parties with "tag-along" and "drag-along" rights. The tag-along rights provide that if any shareholder holding more
than 10% of the outstanding shares desires to sell its shares, it must allow the other shareholders to include the pro rata portion of their shares in the proposed sale as well. Upon completion of
this offering, Dr. Leininger will own 19.4% of our shares, and the Fremont-related parties will own 11.4% of our shares (9.6% if the underwriters' overallotment option is exercised in full).
The tag-along rights do not otherwise terminate by their terms.
In addition, the agreement provides that if the Fremont and Blum-related shareholders collectively agree to sell all of their shares to a third party, they may compel
Dr. Leininger to include all of his shares in the sale until such time as Dr. Leininger ceases to own at least 10% of our outstanding shares. Upon completion of this offering, the
Fremont and Blum-related parties will collectively own 18.9% of our shares, and Dr. Leininger will own 19.4% of our shares. As a result, the Fremont and Blum-related parties could
cause the sale of an aggregate of 38.3% of our shares to a third party without further action or consent by the shareholders. The agreement does not require that the Fremont and
Blum-related parties
115
hold a minimum number of shares to effect the drag-along right, and the provision does not otherwise terminate by its terms.
Description of Provisions of our Articles of Incorporation and By-laws and Texas Law
A number of provisions in our articles of incorporation and by-laws and under the Texas Business Corporation Act may make it more difficult to acquire
control of us. These provisions may have the effect of discouraging a future takeover attempt not approved by our board of directors but which individual shareholders may deem to be in their best
interests or in which shareholders may receive a substantial premium for their shares over then current market prices. As a result, shareholders who might desire to participate in such a transaction
may not have an opportunity to do so. In addition, these provisions may adversely affect the prevailing market price of the common stock. These provisions are intended to:
-
- enhance
the likelihood of continuity and stability in the composition of our board of directors;
-
- discourage
some types of transactions that may involve an actual or threatened change in control of us;
-
- discourage
certain tactics that may be used in proxy fights;
-
- ensure
that our board of directors will have sufficient time to act in what the board believes to be in the best interests of us and our shareholders; and
-
- encourage
persons seeking to acquire control of us to consult first with our board to negotiate the terms of any proposed business combination or offer.
Classified Board of Directors, Vacancies and Removal of Directors
Our board of directors is divided into three classes of equal number or nearly equal number, with each class elected for staggered three-year terms
expiring in successive years. Any effort to obtain control of our board of directors by causing the election of a majority of the board of directors may require more time than would be required
without a staggered election structure.
Our
by-laws also provide that directors may be removed only for cause at a meeting of shareholders by 662/3% of the shares then entitled to vote. Subject to
the rights of any holders of our preferred stock, vacancies in our board of directors may be filled either by our board of directors or by election at any annual or special meeting of our shareholders
called for that purpose. Any director elected to fill a vacancy will hold office for the remainder of the full term of the class of directors in which the vacancy occurred and until such director's
successor shall have been duly elected and qualified, except that a directorship to be filled by reason of an increase in the number of directors may be filled by the board of directors for a term of
office continuing only until the next election of one or more directors by the shareholders and the board of directors may not fill more than two such directorships during the period between any two
successive annual meetings of shareholders. No decrease in the number of directors will shorten the term of any incumbent director. Our by-laws will provide that the number of directors
shall be fixed and increased or decreased from time to time by resolution of the board of directors.
These
provisions may have the effect of slowing or impeding a third party from initiating a proxy contest, making a tender offer or otherwise attempting a change in the membership of our
board of directors that would effect a change of control.
Advance Notice Requirements for Nomination of Directors and Presentation of New Business at Meetings of Shareholders; Action by Written
Consent
Our
by-laws provide for advance notice requirements for presentation of new business and nominations for director. Generally, to be timely, notice must be received at our
principal executive offices
116
not
less than 120 days nor more than 150 days prior to the first anniversary date of the annual meeting for the preceding year.
In
addition, under Texas law and the provisions of our articles of incorporation and by-laws, action may not be taken by less than unanimous written consent of our
shareholders unless the board of directors has recommended that the shareholders approve such action. Absent the unanimous written consent of all shareholders entitled to vote or, if the board of
directors so approves, the written consent of the holders of a sufficient number of shares to approve the action at a meeting at which all shareholders entitled to vote are present, any action taken
by the shareholders must be effected at a duly called annual or special meeting. Only the president, board of directors or the holders of not less than fifty percent (50%) of all the shares entitled
to vote at the proposed special meeting may call a special meeting.
These
provisions make it more procedurally difficult for a shareholder to place a proposal or nomination on the meeting agenda or to take action without a meeting, and therefore may
reduce the likelihood that a shareholder will seek to take independent action to replace directors or seek a shareholder vote with respect to other matters that are not supported by management.
Any amendment of our articles of incorporation generally requires the approval of shareholders holding at least two thirds of our outstanding shares then entitled
to vote. Our by-laws may be amended by the board of directors or by the vote of shareholders holding at least two thirds of our outstanding shares then entitled to vote. These provisions
make it more difficult for any person to remove or amend our articles of incorporation or by-laws, including to remove any provisions that may have an anti-takeover effect.
Our articles of incorporation limit our directors' liability to the fullest extent permitted under the Texas Business Corporation Act and the Texas Miscellaneous
Corporation Laws Act. Specifically, our directors are not liable to us or our shareholders for monetary damages for an act or omission in the director's capacity as director, except for liability for:
-
- any
breach of the director's duty of loyalty to us or our shareholders;
-
- acts
or omissions (1) not in good faith and that constitute a breach of duty or (2) which involve intentional misconduct or a knowing violation of law;
-
- any
transaction from which the director received an improper benefit, whether or not the benefit resulted from an action taken within the scope of the director's office; or
-
- an
act or omission for which the liability of the director is expressly provided for by statute.
These
provisions will generally not limit liability under state or federal securities laws. The effect of these provisions is to eliminate our rights and the rights of our shareholders,
including through shareholder derivative suits, to recover monetary damages against a director for breach of fiduciary duty as a director, including breaches resulting from negligent or grossly
negligent behavior, except in the situations described above. The inclusion of this provision in our articles of incorporation may, however, discourage or deter shareholders or management from
bringing a lawsuit against directors for a breach of their fiduciary duties, even though such an action, if successful, might benefit us and our shareholders.
Our
articles of incorporation and by-laws also contain provisions requiring us to indemnify our directors and officers to the fullest extent permitted by the Texas Business
Corporation Act. The indemnification permitted under the Texas Business Corporation Act is not exclusive of any other rights to which such persons may be entitled.
117
In
addition, we maintain directors' and officers' liability insurance to provide our directors and officers with insurance coverage for losses arising from claims based on breaches of
duty, negligence, error and other wrongful acts.
In
addition, we have entered into an indemnity agreement with each of our directors and executive officers pursuant to which we agreed to indemnify each director and executive officer
who is, or is threatened to be made, a party to any proceeding because the person is or was one of our directors, officers or agents to the fullest extent permitted by Texas law from and against any
expenses, judgments, penalties, fines and amounts paid in settlement actually and reasonably incurred by such person in connection with such proceeding. These indemnity agreements provide that we will
indemnify our directors and executive officers to the fullest extent permissible under applicable law.
At
present there is no pending litigation or proceeding involving any director or officer, as to which indemnification is required or permitted. We are not aware of any threatened
litigation or proceeding which may result in a claim for such indemnification.
Part Thirteen of the Texas Business Corporation Act generally prohibits a publicly-held Texas corporation from engaging in a "business combination"
with an "affiliated shareholder" for a period of three years following the date the person became an affiliated shareholder, unless:
-
- the
board of directors approved the transaction in which such shareholder became an affiliated shareholder prior to the affiliated shareholder's share acquisition date; or
-
- the
business combination is approved by the holders of at least two thirds of the outstanding voting stock not beneficially owned by the affiliated shareholder at a meeting
of shareholders called for that purpose (and not by written consent) not less than six months after the affiliated shareholder's share acquisition date.
A
"business combination" includes a merger, asset or stock sale, or other transaction between the corporation and an affiliated shareholder. An "affiliated shareholder" is a person who
beneficially owns, or within three years prior to the determination of affiliated shareholder status, owned, 20% or more of a corporation's voting stock, subject to specified exceptions.
As
a Texas corporation, we would be subject to the three-year moratorium provisions of Part Thirteen of the Texas Business Corporation Act, unless we amended our articles of
incorporation or by-laws prior to December 31, 1997, electing not to be governed by Part Thirteen. We amended our by-laws prior to December 31, 1997 to make that
election. Accordingly, the three-year moratorium provisions of Part Thirteen do not restrict any person who acquires 20% or more of our outstanding voting stock from engaging in business
combinations with us within such a three-year period.
Part
Thirteen also permits a corporation's board of directors, when considering the best interests of the corporation, to consider the long-term as well as the
short-term interests of the corporation and its shareholders, including the possibility that those interests may be best served by the continued independence of the corporation.
Transfer Agent and Registrar
Our transfer agent and registrar for our common stock is American Stock Transfer & Trust Company.
NYSE Listing
Our common stock is listed on the New York Stock Exchange under the trading symbol "KCI."
118
MATERIAL UNITED STATES FEDERAL INCOME TAX CONSIDERATIONS FOR
NON-U.S. HOLDERS OF OUR COMMON STOCK
The following is a general discussion of the anticipated material United States federal income and estate tax consequences to a Non-U.S. Holder (as
defined below) of the acquisition, ownership and disposition of the common stock under current United States federal income tax law. This discussion does not address specific tax consequences that may
be relevant to particular persons in light of their individual circumstances (including, for example, pass-through entities (e.g., partnerships) or persons who hold the common stock
through pass-through entities, banks or financial institutions, broker-dealers, insurance companies, regulated investment companies, tax-exempt entities, common trust funds,
controlled foreign corporations, dealers in securities or currencies, persons that have a functional currency other than the U.S. dollar and persons in special situations, such as those who hold the
common stock as part of a straddle, hedge, conversion transaction, or other integrated investment). Unless otherwise stated, this discussion is limited to the tax consequences to those
Non-U.S. Holders who are the original beneficial owners of the common stock and who hold such common stock as capital assets. In addition, this discussion does not describe any tax
consequences arising under the tax laws of any state, local or foreign jurisdiction. This discussion is based upon the Internal Revenue Code of 1986, as amended (the "Code"), the Treasury Department
regulations (the "Treasury Regulations") promulgated thereunder, and administrative and judicial interpretations thereof, all as of the date hereof and all of which are subject to change, possibly
with retroactive effect.
Prospective
purchasers of the common stock are urged to consult their tax advisors concerning the United Sates federal income tax consequences to them of acquiring, owning and disposing
of the common stock, as well as the application of state, local and foreign income and other tax laws.
As
used herein, a "U.S. Holder" of common stock means a holder that is for United States federal income tax purposes (i) a citizen or resident of the United States, (ii) a
corporation (including an entity treated as a corporation for United States federal income tax purposes) or partnership created or organized in or under the laws of the United Sates or any political
subdivision thereof, (iii) an estate the income of which is subject to United States federal income taxation regardless of its source or (iv) a trust if it (X) is subject to the
primary supervision of a court within the United States and one or more United States persons have the authority to control all substantial decisions of the trust or (Y) has a valid election in
effect under applicable United States Treasury Regulations to be treated as a United States person. A "Non-U.S. Holder" is a holder that is not a U.S. Holder. If a partnership holds the
common stock, the tax treatment of a partner will generally depend upon the status of the partner and the activities of the partnership. Persons who are partners of partnerships holding the common
stock should consult their tax advisors.
Dividends
Dividends paid to a Non-U.S. Holder of common stock will generally be subject to withholding of United States federal income tax at a 30% rate or such
lower rate as may be specified by an applicable income tax treaty. Dividends that are effectively connected with the conduct of a trade or business by the Non-U.S. Holder within the United
States and, where a tax treaty applies, are attributable to a United States permanent establishment of the Non-U.S. Holder, are not, however, subject to the withholding tax, but are
instead subject to United States federal income tax on a net income basis at applicable graduated individual or corporate rates. Certain certification and disclosure requirements must be satisfied for
effectively connected income to be exempt from withholding. Any such effectively connected dividends received by a foreign corporation may be subject to an additional "branch profits tax" at a 30%
rate or such lower rate as may be specified by an applicable income tax treaty.
A
Non-U.S. Holder of common stock who wishes to claim the benefit of an applicable income tax treaty rate (and avoid backup withholding as discussed below) for dividends,
will be required to
119
(a) complete
Internal Revenue Service (IRS) Form W-8BEN (or other applicable form) and certify under penalties of perjury that such holder is not a United States person or
(b) if the common stock is held through certain foreign intermediaries, satisfy the relevant certification requirements of applicable United States Treasury regulations. Special certification
and other requirements apply to certain Non-U.S. Holders that are entities rather than individuals.
A
Non-U.S. Holder of common stock eligible for a reduced rate of United States withholding tax pursuant to an income tax treaty may obtain a refund of any excess amounts
withheld by filing an appropriate claim or refund with the IRS.
Gain on Disposition of Common Stock
A Non-U.S. Holder will generally not be subject to United States federal income tax with respect to gain recognized on a sale or other disposition of
common stock unless (i) the gain is effectively connected with a trade or business of the Non-U.S. Holder in the United States, and, where an income tax treaty applies, is
attributable to a United States permanent establishment of the Non-U.S. Holder, (ii) in the case of a Non-U.S. Holder who is an individual and holds the common stock as
a capital asset, such holder is present in the United States for 183 or more days in the taxable year of the sale or other disposition and certain
other conditions are met, or (iii) the Company is or has been a "United States real property holding corporation" for United States federal income tax purposes.
An
individual Non-U.S. Holder described in clause (i) above will be subject to tax on the net gain derived from the sale under regular graduated United States federal
income tax rates. An individual Non-U.S. Holder described in clause (ii) above will be subject to a flat 30% tax on the gain derived from the sale, which may be offset by United
States source capital losses (even though the individual is not considered a resident of the United States). If a Non-U.S. Holder that is a foreign corporation falls under
clause (i) above, it will be subject to tax on its gain under regular graduated United States federal income tax rates and, in addition, may be subject to the branch profits tax equal to 30% of
its effectively connected earnings and profits or at such lower rate as may be specified by an applicable income tax treaty.
The
Company believes it is not and does not anticipate becoming a "United States real property holding corporation" for United States federal income tax purposes.
Federal Estate Tax
Common stock held by an individual Non-U.S. Holder at the time of death will be included in such holder's gross estate for United States federal
estate tax purposes, unless an applicable estate tax treaty provides otherwise.
Information Reporting and Backup Withholding
The Company must report annually to the IRS and to each Non-U.S. Holder the amount of dividends paid to such holder and the tax withheld with respect
to such dividends, regardless of whether withholding was required. Copies of the information returns reporting such dividends and withholding may also be made available to the tax authorities in the
country in which the Non-U.S. Holder resides under the provisions of an applicable income tax treaty. A Non-U.S. Holder will be subject to backup withholding on dividends paid
to such holder unless applicable certification requirements are met.
Information
reporting and, depending on the circumstances, backup withholding, will apply to the proceeds of a sale of common stock within the United States or conducted through United
States-related financial intermediaries unless the beneficial owner certifies under penalties of perjury that it is a Non-U.S. Holder (and the payer does not have actual knowledge or
reason to know that the beneficial owner is a United States person) or the holder otherwise establishes an exemption.
Any
amounts withheld under the backup withholding rules may be allowed as a refund or a credit against such holder's United States federal income tax liability provided the required
information is furnished to the IRS.
120
UNDERWRITING
We intend to offer the shares through the underwriters. Merrill Lynch, Pierce, Fenner & Smith Incorporated and J.P. Morgan Securities Inc. are
acting as representatives of the underwriters named below. Subject to the terms and conditions described in an underwriting agreement among us, the selling shareholders and the underwriters, the
selling shareholders have agreed to sell to the underwriters, and the underwriters severally have agreed to purchase from the selling shareholders, the number of shares listed opposite their names
below.
Underwriter
|
|
Number
of Shares
|
Merrill Lynch, Pierce, Fenner & Smith
Incorporated |
|
|
J.P. Morgan Securities Inc. |
|
|
Goldman, Sachs & Co. |
|
|
Citigroup Global Markets Inc. |
|
|
Piper Jaffray & Co. |
|
|
SG Cowen & Co., LLC |
|
|
|
|
|
Total |
|
16,000,000 |
|
|
|
The underwriters have agreed to purchase all of the shares sold under the underwriting agreement if any of these shares are purchased. If an
underwriter defaults, the underwriting agreement provides that
the purchase commitments of the nondefaulting underwriters may be increased or the underwriting agreement may be terminated.
We
and the selling shareholders have agreed to indemnify the underwriters against certain liabilities, including liabilities under the Securities Act, or to contribute to payments the
underwriters may be required to make in respect of those liabilities.
The
underwriters are offering the shares, subject to prior sale, when, as and if issued to and accepted by them, subject to approval of legal matters by their counsel, including the
validity of the shares, and other conditions contained in the underwriting agreement, such as the receipt by the underwriters of officer's certificates and legal opinions. The underwriters reserve the
right to withdraw, cancel or modify offers to the public and to reject orders in whole or in part.
Commissions and Discounts
The representatives have advised us and the selling shareholders that the underwriters propose initially to offer the shares to the public at the public offering
price on the cover page of this prospectus and to dealers at that price less a concession not in excess of $ per share. The underwriters may allow, and the dealers may reallow, a
discount not in excess of $ per share to other dealers. After the public offering, the public offering price, concession and discount may be changed.
The
following table shows the public offering price, underwriting discount and proceeds to the selling shareholders. The information assumes either no exercise or full exercise by the
underwriters of their overallotment options.
|
|
Per Share
|
|
Without Option
|
|
With Option
|
Public offering price |
|
$ |
|
$ |
|
$ |
Underwriting discount |
|
$ |
|
$ |
|
$ |
Proceeds to the selling shareholders |
|
$ |
|
$ |
|
$ |
The expenses of the offering, not including the underwriting discount, are estimated at $3.2 million and are payable by us.
121
Overallotment Option
Some of the selling shareholders have granted options to the underwriters to purchase up to 2,400,000 additional shares at the public offering price less the
underwriting discount. The underwriters may exercise this option for 30 days from the date of this prospectus solely to cover any overallotments. If the underwriters exercise this option, each
will be obligated, subject to conditions contained in the underwriting agreement, to purchase a number of additional shares proportionate to that underwriter's initial amount reflected in the above
table.
No Sales of Similar Securities
In connection with this offering, we, Fremont Partners, L.P. and its related parties, Blum Capital Partners, L.P. and its related parties,
James R. Leininger, M.D., GS Capital Partners 2000, L.P. and its affiliated investment funds, DLJ Merchant Banking Partners III, L.P. and its affiliated
investment funds, and all of our outside directors have agreed, for the period ending 180 days after the date of this prospectus, not to, without the prior written consent of Merrill Lynch,
Pierce, Fenner, & Smith Incorporated and J.P. Morgan Securities Inc., on behalf of the underwriters, subject to an extension of up to 18 days upon agreement of Merrill
Lynch, Pierce, Fenner & Smith Incorporated and J.P. Morgan Securities Inc. and us:
-
- offer,
pledge, sell, contract to sell, sell any option or contract to purchase, purchase any option or contract to sell, grant any option, right or warrant to purchase, lend
or otherwise transfer or dispose of directly or indirectly, any shares of our common stock or any securities convertible into or exercisable or exchangeable for our common stock; or
-
- enter
into any swap or other arrangement that transfers to another, in whole or in part, any of the economic consequences of ownership of our common stock,
whether any such transaction described above is to be settled by delivery of our common stock or such other securities, in cash or otherwise.
The
restrictions described in the paragraph above do not apply to:
-
- the
sale of shares of our common stock to the underwriters in connection with this offering;
-
- transactions
relating to shares of our common stock or other securities acquired in open market transactions after the completion of this offering;
-
- transfers
by any person other than us of shares of our common stock or securities convertible into shares of our common stock by will or intestacy;
-
- the
issuance by us of shares of our common stock upon the exercise of an option or the conversion of a security outstanding on the date of and reflected in this prospectus;
-
- the
issuance by us of shares or options to purchase shares of our common stock pursuant to our stock option plans;
-
- transfers
or distributions of shares of our common stock or securities convertible into shares of our common stock to limited partners or stockholders of the transferor;
-
- transfers
by any person other than us of shares of our common stock or securities convertible into shares of our common stock as a bona fide gift or gifts; or
-
- transfers
of shares of our common stock or securities convertible into shares of our common stock to any trust the sole beneficiaries of which are the transferor and/or its
immediate family members,
provided
that in the case of each of the last three transactions above, each donee, distributee, transferee and recipient agrees to be subject to the restrictions described in the immediately
preceding paragraph and no transaction includes a disposition for value; and provided further that in the case of each of the last two transactions above, no filing under the Securities Act is
required in connection with these transactions other than a filing made after the expiration of the lock-up period described above. Merrill Lynch, Pierce,
122
Fenner &
Smith Incorporated and J.P. Morgan Securities Inc. may release any of the securities subject to these lock-up agreements at any time without notice.
Merrill
Lynch, Pierce, Fenner & Smith Incorporated and J.P. Morgan Securities Inc. have released the shares of our common stock offered hereby from the lock-up
agreements executed in connection with our initial public offering so that such shares may be sold in this offering. The shares not sold in the initial public offering, this offering or covered by the
new 180-day lock-up arrangements discussed above will continue to be subject to the lock-up agreements executed in connection with our initial public offering, which expire on September 8,
2004.
New York Stock Exchange Listing
The shares are listed on the New York Stock Exchange under the symbol "KCI."
Internet Distribution
One or more of the underwriters will be facilitating Internet distribution for this offering to certain of its Internet subscription customers. The
representatives intend to allocate a limited number of shares for sale to their online brokerage customers. An electronic prospectus may be made available on the Internet website maintained by one or
more of the underwriters. Other than the prospectus in electronic format, the information on the websites are not part of this prospectus.
Price Stabilization, Short Positions
Until the distribution of the shares is completed, SEC rules may limit underwriters and selling group members from bidding for and purchasing our common stock.
However, the representatives may engage in transactions that stabilize the price of the common stock, such as bids or purchases to peg, fix or maintain that price.
If
the underwriters create a short position in the common stock in connection with the offering, i.e., if they sell more shares than are listed on the cover of this prospectus, the
representatives may reduce that short position by purchasing shares in the open market. The representatives may also elect to reduce any short position by exercising all or part of the overallotment
option described above. Purchases of the common stock to stabilize its price or to reduce a short position may cause the price of the common stock to be higher than it might be in the absence of such
purchases.
Neither
we nor any of the underwriters makes any representation or prediction as to the direction or magnitude of any effect that the transactions described above may have on the price
of the common stock. In addition, neither we nor any of the underwriters makes any representation that the representatives or the lead managers will engage in these transactions or that these
transactions, once commenced, will not be discontinued without notice.
Other Relationships
The underwriters and their affiliates have in the past provided, and may in the future from time to time provide, investment banking, commercial banking services,
and general financing and banking services to us and our affiliates for which they have in the past received, and may in the future receive, customary fees. J.P. Morgan Securities Inc. and
Goldman, Sachs & Co. acted as placement agents in connection with the offering of our 73/8% Senior Subordinated Notes due 2013 in August 2003. Affiliates of J.P. Morgan
Securities Inc. are lenders under the senior credit facility. Affiliates of one or more of the underwriters are investors or direct shareholders in Fremont Partners, L.P. and its
affiliates, one of our principal shareholders. Merrill Lynch, Pierce, Fenner & Smith Incorporated, J.P. Morgan Securities Inc., Goldman, Sachs & Co., Citigroup Global
Markets Inc., Piper Jaffray & Co. and SG Cowen & Co., LLC acted as underwriters in connection with our initial public offering in February 2004.
Under
federal securities laws, each of the selling shareholders may be deemed to be an underwriter in connection with this offering.
123
LEGAL MATTERS
The validity of the issuance of the common stock offered by this prospectus and certain other legal matters are being passed upon for us by our counsel, Skadden,
Arps, Slate, Meagher & Flom LLP, Palo Alto, California, and Cox & Smith Incorporated, San Antonio, Texas. The underwriters will be represented by Shearman & Sterling LLP, Menlo
Park, California.
EXPERTS
The consolidated financial statements of Kinetic Concepts, Inc. and subsidiaries at December 31, 2003 and 2002, and for each of the three years in
the period ended December 31, 2003, appearing in this prospectus and registration statement have been audited by Ernst & Young LLP, independent registered public accounting firm, as set
forth in their report thereon appearing elsewhere herein, and are included in reliance upon such report given on the authority of such firm as experts in accounting and auditing.
WHERE YOU CAN FIND ADDITIONAL INFORMATION
This prospectus is part of a registration statement on Form S-1 that we have filed with the SEC under the Securities Act. This prospectus does
not contain all of the information set forth in the registration statement. For further information about us and the common stock offered hereby, you should refer to the registration statement. This
prospectus summarizes material provisions of contracts and other documents to which we refer you. Since this prospectus may not contain all of the information that you may find important, you should
review the full text of these documents. We have filed these documents as exhibits to our registration statement.
We
are subject to the reporting and information requirements of the Securities Exchange Act of 1934, as amended, and, as a result, file periodic reports and other information with the
SEC. Such periodic reports and other information will be available for inspection and copying at the SEC's public reference room and through the SEC's Internet site at http:/
/www.sec.gov. You may read and copy any document we file with the SEC at the following SEC public reference room: Public Reference Room, 450 Fifth Street, N.W., Room 1024,
Washington, D.C. 20549. You may obtain information on the operation of the public reference room by calling the SEC at 1-800-SEC-0330.
124
INDEX TO CONSOLIDATED FINANCIAL STATEMENTS
|
|
|
Audited Consolidated Financial Statements of Kinetic Concepts, Inc. and Subsidiaries: |
|
|
|
Report of Ernst & Young LLP, Independent Registered Public Accounting Firm |
|
F-2 |
|
Consolidated Balance Sheets as of December 31, 2003 and December 31, 2002 |
|
F-3 |
|
Consolidated Statements of Earnings for the Years Ended December 31, 2003, December 31, 2002 and December 31, 2001 |
|
F-4 |
|
Consolidated Statements of Cash Flows for the Years Ended December 31, 2003, December 31, 2002 and December 31, 2001 |
|
F-5 |
|
Consolidated Statements of Shareholders' Deficit for the Three Years Ended December 31, 2003 |
|
F-6 |
|
Notes to Consolidated Financial Statements |
|
F-7 |
|
Schedule IIValuation and Qualifying Accounts for the Three Years Ended December 31, 2003 |
|
F-53 |
Unaudited Condensed Consolidated Financial Statements of Kinetic Concepts, Inc. and Subsidiaries: |
|
|
|
Condensed Consolidated Balance Sheets as of March 31, 2004 and December 31, 2003 |
|
F-54 |
|
Condensed Consolidated Statements of Earnings for the Three Months Ended March 31, 2004 and March 31, 2003 |
|
F-55 |
|
Condensed Consolidated Statements of Cash Flows for the Three Months Ended March 31, 2004 and March 31, 2003 |
|
F-56 |
|
Notes to Condensed Consolidated Financial Statements |
|
F-57 |
F-1
Report of Independent Registered Public Accounting Firm
The
Board of Directors and Shareholders
Kinetic Concepts, Inc.
We
have audited the accompanying consolidated balance sheets of Kinetic Concepts, Inc. and subsidiaries as of December 31, 2003 and 2002, and the related consolidated
statements of earnings, cash flows, and shareholders' deficit for each of the three years in the period ended December 31, 2003. Our audits also included the financial statement schedule listed
in the index at Item 14(a). These consolidated financial statements and schedule are the responsibility of the Company's management. Our responsibility is to express an opinion on these consolidated
financial statements and schedule based on our audits.
We
conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board (United States). 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 audits provide a reasonable basis for our opinion.
In
our opinion, the financial statements referred to above present fairly, in all material respects, the consolidated financial position of Kinetic Concepts, Inc. and subsidiaries
at December 31, 2003 and 2002, and the consolidated results of their operations and their cash flows for each of the three years in the period ended December 31, 2003, in conformity with
U.S. generally accepted accounting principles. Also, in our opinion, the related financial statement schedule, when considered in relation to the basic financial statements taken as a whole, presents
fairly in all material respects the information set forth therein.
As
discussed in Note 6 to the consolidated financial statements, in 2002, the Company adopted Statement of Financial Accounting Standards No. 142, "Goodwill and Other
Intangible Assets."
/s/ ERNST & YOUNG LLP Ernst & Young LLP
|
|
|
|
|
San
Antonio, Texas
January 29, 2004
F-2
KINETIC CONCEPTS, INC. AND SUBSIDIARIES
Consolidated Balance Sheets
(in thousands)
|
|
December 31,
|
|
|
|
2003
|
|
2002
|
|
Assets: |
|
|
|
|
|
|
|
Current assets: |
|
|
|
|
|
|
|
|
Cash and cash equivalents |
|
$ |
156,064 |
|
$ |
54,485 |
|
|
Accounts receivable, net |
|
|
199,938 |
|
|
152,896 |
|
|
Accounts receivableother |
|
|
|
|
|
175,000 |
|
|
Inventories, net |
|
|
32,253 |
|
|
37,934 |
|
|
Deferred income taxes |
|
|
22,749 |
|
|
|
|
|
Prepaid expenses and other current assets |
|
|
11,811 |
|
|
9,760 |
|
|
|
|
|
|
|
|
|
Total current assets |
|
|
422,815 |
|
|
430,075 |
|
|
|
|
|
|
|
Net property, plant and equipment |
|
|
145,208 |
|
|
105,549 |
|
Loan and preferred stock issuance costs, less accumulated amortization of $1,014 in 2003 and $11,949 in 2002 |
|
|
19,779 |
|
|
5,911 |
|
Goodwill |
|
|
48,797 |
|
|
46,357 |
|
Other assets, less accumulated amortization of $8,190 in 2003 and $6,840 in
2002 |
|
|
28,497 |
|
|
30,167 |
|
|
|
|
|
|
|
|
|
$ |
665,096 |
|
$ |
618,059 |
|
|
|
|
|
|
|
Liabilities and Shareholders' Deficit: |
|
|
|
|
|
|
|
Current liabilities: |
|
|
|
|
|
|
|
|
Accounts payable |
|
$ |
34,386 |
|
$ |
11,156 |
|
|
Accrued expenses |
|
|
112,652 |
|
|
61,556 |
|
|
Current installments of long-term debt |
|
|
4,800 |
|
|
30,550 |
|
|
Current installments of capital lease obligations |
|
|
1,576 |
|
|
157 |
|
|
Derivative financial instruments |
|
|
2,402 |
|
|
1,341 |
|
|
Income taxes payable |
|
|
39,403 |
|
|
14,615 |
|
|
Current deferred income taxes |
|
|
|
|
|
55,887 |
|
|
|
|
|
|
|
|
|
Total current liabilities |
|
|
195,219 |
|
|
175,262 |
|
|
|
|
|
|
|
Long-term obligations, net of current installments |
|
|
678,100 |
|
|
491,300 |
|
Capital lease obligations, net of current installments |
|
|
1,351 |
|
|
95 |
|
Deferred income taxes |
|
|
26,566 |
|
|
20,452 |
|
Deferred gain, sale of headquarters facility |
|
|
9,183 |
|
|
10,023 |
|
Other noncurrent liabilities |
|
|
212 |
|
|
1,363 |
|
|
|
|
|
|
|
|
|
|
910,631 |
|
|
698,495 |
|
Series A convertible preferred stock, issued and outstanding 264 in 2003 |
|
|
261,719 |
|
|
|
|
Shareholders' equity (deficit): |
|
|
|
|
|
|
|
|
Common stock; authorized 150,000 in 2003 and 100,000 in 2002; issued and outstanding 41,270 in 2003 and 70,928 in 2002 |
|
|
41 |
|
|
71 |
|
|
Additional paid-in capital |
|
|
1,157 |
|
|
|
|
|
Deferred compensation |
|
|
185 |
|
|
|
|
|
Retained deficit |
|
|
(518,955 |
) |
|
(76,216 |
) |
|
Accumulated other comprehensive income (loss) |
|
|
10,318 |
|
|
(4,291 |
) |
|
|
|
|
|
|
|
|
Shareholders' deficit |
|
|
(507,254 |
) |
|
(80,436 |
) |
|
|
|
|
|
|
|
|
$ |
665,096 |
|
$ |
618,059 |
|
|
|
|
|
|
|
See
accompanying notes to consolidated financial statements.
F-3
KINETIC CONCEPTS, INC. AND SUBSIDIARIES
Consolidated Statements of Earnings
(in thousands, except per share data)
|
|
Year Ended December 31,
|
|
|
|
2003
|
|
2002
|
|
2001
|
|
Revenue: |
|
|
|
|
|
|
|
|
|
|
|
Rental |
|
$ |
582,801 |
|
$ |
453,061 |
|
$ |
361,634 |
|
|
Sales |
|
|
181,035 |
|
|
127,371 |
|
|
94,313 |
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
|
763,836 |
|
|
580,432 |
|
|
455,947 |
|
Rental expenses |
|
|
356,075 |
|
|
276,476 |
|
|
220,485 |
|
Cost of goods sold |
|
|
64,118 |
|
|
51,824 |
|
|
32,952 |
|
|
|
|
|
|
|
|
|
|
|
Gross profit |
|
|
343,643 |
|
|
252,132 |
|
|
202,510 |
|
Selling, general and administrative expenses |
|
|
193,658 |
|
|
142,713 |
|
|
114,828 |
|
Recapitalization expenses |
|
|
70,085 |
|
|
|
|
|
|
|
Unusual item-litigation settlement (gain) |
|
|
(75,000 |
) |
|
(173,250 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating earnings |
|
|
154,900 |
|
|
282,669 |
|
|
87,682 |
|
Interest income |
|
|
1,065 |
|
|
496 |
|
|
280 |
|
Interest expense |
|
|
(52,098 |
) |
|
(40,943 |
) |
|
(45,116 |
) |
Foreign currency gain (loss) |
|
|
7,566 |
|
|
3,935 |
|
|
(1,638 |
) |
|
|
|
|
|
|
|
|
|
|
Earnings before income taxes |
|
|
111,433 |
|
|
246,157 |
|
|
41,208 |
|
Income taxes |
|
|
41,787 |
|
|
96,001 |
|
|
17,307 |
|
|
|
|
|
|
|
|
|
|
|
Net earnings |
|
$ |
69,646 |
|
$ |
150,156 |
|
$ |
23,901 |
|
Series A convertible preferred stock dividends |
|
|
(9,496 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings available to common shareholders |
|
$ |
60,150 |
|
$ |
150,156 |
|
$ |
23,901 |
|
|
|
|
|
|
|
|
|
|
|
Net earnings per share available to common shareholders: |
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic |
|
$ |
1.03 |
|
$ |
2.12 |
|
$ |
0.34 |
|
|
|
|
|
|
|
|
|
|
|
|
Diluted |
|
$ |
0.93 |
|
$ |
1.93 |
|
$ |
0.32 |
|
|
|
|
|
|
|
|
|
|
|
Weighted average shares outstanding: |
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic |
|
|
58,599 |
|
|
70,927 |
|
|
70,917 |
|
|
|
|
|
|
|
|
|
|
|
|
Diluted |
|
|
64,493 |
|
|
77,662 |
|
|
73,996 |
|
|
|
|
|
|
|
|
|
See
accompanying notes to consolidated financial statements.
F-4
KINETIC CONCEPTS, INC. AND SUBSIDIARIES
Consolidated Statements of Cash Flows
(in thousands)
|
|
Year Ended December 31,
|
|
|
|
2003
|
|
2002
|
|
2001
|
|
Cash flows from operating activities: |
|
|
|
|
|
|
|
|
|
|
|
Net earnings |
|
$ |
69,646 |
|
$ |
150,156 |
|
$ |
23,901 |
|
|
Adjustments to reconcile net earnings to net cash provided by operating activities: |
|
|
|
|
|
|
|
|
|
|
|
|
Depreciation |
|
|
43,287 |
|
|
33,404 |
|
|
29,530 |
|
|
|
Amortization |
|
|
3,606 |
|
|
3,594 |
|
|
7,685 |
|
|
|
Provision for uncollectible accounts receivable |
|
|
6,702 |
|
|
7,623 |
|
|
8,932 |
|
|
|
Amortization of deferred loss on interest rate swap |
|
|
|
|
|
|
|
|
843 |
|
|
|
Amortization of deferred gain on sale of headquarters facility |
|
|
(841 |
) |
|
(426 |
) |
|
|
|
|
|
Write-off of deferred loan issuance costs |
|
|
5,233 |
|
|
|
|
|
|
|
|
|
Non-cash accrual of recapitalization expenses |
|
|
7,131 |
|
|
|
|
|
|
|
|
|
Non-cash amortization of stock award to directors |
|
|
185 |
|
|
|
|
|
|
|
|
|
Non-cash gain on litigation settlement |
|
|
|
|
|
(173,250 |
) |
|
|
|
|
|
Change in assets and liabilities net of effects from purchase of subsidiaries, recapitalization expenses and unusual items: |
|
|
|
|
|
|
|
|
|
|
|
|
|
Increase in accounts receivable, net |
|
|
(53,597 |
) |
|
(38,217 |
) |
|
(39,571 |
) |
|
|
|
Decrease in other accounts receivable |
|
|
175,000 |
|
|
|
|
|
|
|
|
|
|
Decrease (increase) in inventories |
|
|
5,723 |
|
|
2,612 |
|
|
(16,664 |
) |
|
|
|
Decrease (increase) in prepaid expenses and other current assets |
|
|
(2,046 |
) |
|
(423 |
) |
|
681 |
|
|
|
|
Increase in accounts payable |
|
|
23,251 |
|
|
2,568 |
|
|
2,069 |
|
|
|
|
Increase in accrued expenses |
|
|
44,289 |
|
|
11,864 |
|
|
6,835 |
|
|
|
|
Increase in income taxes payable |
|
|
24,788 |
|
|
5,732 |
|
|
4,467 |
|
|
|
|
Increase (decrease) in current deferred income taxes |
|
|
(78,636 |
) |
|
55,887 |
|
|
|
|
|
|
|
Increase (decrease) in deferred income taxes, net |
|
|
6,485 |
|
|
15,130 |
|
|
1,187 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash provided by operating activities |
|
|
280,206 |
|
|
76,254 |
|
|
29,895 |
|
|
|
|
|
|
|
|
|
Cash flows from investing activities: |
|
|
|
|
|
|
|
|
|
|
|
Additions to property, plant and equipment |
|
|
(76,276 |
) |
|
(54,546 |
) |
|
(43,997 |
) |
|
Decrease (increase) in inventory to be converted into equipment for short-term rental |
|
|
2,100 |
|
|
(300 |
) |
|
(2,700 |
) |
|
Dispositions of property, plant and equipment |
|
|
3,575 |
|
|
1,703 |
|
|
2,744 |
|
|
Proceeds from sale of headquarters facility |
|
|
|
|
|
18,232 |
|
|
|
|
|
Business acquisitions, net of cash acquired |
|
|
(2,224 |
) |
|
(3,596 |
) |
|
(80 |
) |
|
Increase in other assets |
|
|
(328 |
) |
|
(520 |
) |
|
(4,292 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Net cash used by investing activities |
|
|
(73,153 |
) |
|
(39,027 |
) |
|
(48,325 |
) |
|
|
|
|
|
|
|
|
Cash flows from financing activities: |
|
|
|
|
|
|
|
|
|
|
|
Proceeds from (repayments of) notes payable, long-term, capital lease and other obligations, excluding the recapitalization transaction |
|
|
(114,649 |
) |
|
16,091 |
|
|
16,805 |
|
|
Proceeds from the exercise of stock options |
|
|
1,725 |
|
|
9 |
|
|
24 |
|
|
Recapitalization: |
|
|
|
|
|
|
|
|
|
|
|
|
Payoff of long-term debt and bonds |
|
|
(408,226 |
) |
|
|
|
|
|
|
|
|
Proceeds from issuance of new debt and bonds |
|
|
685,000 |
|
|
|
|
|
|
|
|
|
Proceeds from issuance of Series A convertible preferred stock, net |
|
|
258,017 |
|
|
|
|
|
|
|
|
|
Purchase of common stock |
|
|
(509,597 |
) |
|
|
|
|
|
|
|
|
Debt and preferred stock issuance costs |
|
|
(20,729 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash provided (used) by financing activities |
|
|
(108,459 |
) |
|
16,100 |
|
|
16,829 |
|
|
|
|
|
|
|
|
|
Effect of exchange rate changes on cash and cash equivalents |
|
|
2,985 |
|
|
959 |
|
|
(339 |
) |
|
|
|
|
|
|
|
|
Net increase (decrease) in cash and cash equivalents |
|
|
101,579 |
|
|
54,286 |
|
|
(1,940 |
) |
Cash and cash equivalents, beginning of year |
|
|
54,485 |
|
|
199 |
|
|
2,139 |
|
|
|
|
|
|
|
|
|
Cash and cash equivalents, end of year |
|
$ |
156,064 |
|
$ |
54,485 |
|
$ |
199 |
|
|
|
|
|
|
|
|
|
Non-cash activity: |
|
|
|
|
|
|
|
|
|
|
Non-cash consideration for exercise of stock options |
|
$ |
334 |
|
$ |
|
|
$ |
|
|
|
|
|
|
|
|
|
|
See accompanying notes to consolidated financial statements.
F-5
KINETIC CONCEPTS, INC. AND SUBSIDIARIES
Consolidated Statements of Shareholders' Deficit
Three Years Ended December 31, 2003
(in thousands)
|
|
Common
Stock
|
|
Additional
Paid-in
Capital
|
|
Deferred
Compensation
|
|
Retained
Earnings
(Deficit)
|
|
Accumulated
Other
Comprehensive
Income (Loss)
|
|
Total
Shareholders'
Deficit
|
|
Balances at December 31, 2000 |
|
$ |
71 |
|
$ |
|
|
$ |
|
|
$ |
(250,306 |
) |
$ |
(7,718 |
) |
$ |
(257,953 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings |
|
|
|
|
|
|
|
|
|
|
|
23,901 |
|
|
|
|
|
23,901 |
|
Foreign currency translation adjustment |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1,213 |
) |
|
(1,213 |
) |
Net derivative loss, net of taxes of $1,592 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(2,956 |
) |
|
(2,956 |
) |
Reclassification adjustment for losses included in income, net of taxes of $713 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,323 |
|
|
1,323 |
|
Reclassification adjustment for loss recognized on termination of interest rate swap, net of taxes of $372 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
691 |
|
|
691 |
|
Reclassification adjustment for amortization of loss recognized on termination of interest rate swap, net of tax benefit of $76 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(142 |
) |
|
(142 |
) |
Exercise of stock options |
|
|
|
|
|
|
|
|
|
|
|
24 |
|
|
|
|
|
24 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balances at December 31, 2001 |
|
$ |
71 |
|
$ |
|
|
$ |
|
|
$ |
(226,381 |
) |
$ |
(10,015 |
) |
$ |
(236,325 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings |
|
|
|
|
|
|
|
|
|
|
|
150,156 |
|
|
|
|
|
150,156 |
|
Foreign currency translation adjustment |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
5,511 |
|
|
5,511 |
|
Net derivative loss, net of taxes of $562 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1,045 |
) |
|
(1,045 |
) |
Reclassification adjustment for losses included in income, net of taxes of $972 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,807 |
|
|
1,807 |
|
Reclassification adjustment for loss recognized on termination of interest rate swap, net of tax benefit of $305 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(549 |
) |
|
(549 |
) |
Exercise of stock options |
|
|
|
|
|
|
|
|
|
|
|
9 |
|
|
|
|
|
9 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balances at December 31, 2002 |
|
$ |
71 |
|
$ |
|
|
$ |
|
|
$ |
(76,216 |
) |
$ |
(4,291 |
) |
$ |
(80,436 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings |
|
|
|
|
|
|
|
|
|
|
|
69,646 |
|
|
|
|
|
69,646 |
|
Foreign currency translation adjustment |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
15,298 |
|
|
15,298 |
|
Net derivative loss, net of taxes of $1,402 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(2,603 |
) |
|
(2,603 |
) |
Reclassification adjustment for losses included in income, net of taxes of $1,030 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,914 |
|
|
1,914 |
|
Purchase of common stock in recapitalization |
|
|
(30 |
) |
|
|
|
|
|
|
|
(509,567 |
) |
|
|
|
|
(509,597 |
) |
Prefered stock dividends declared |
|
|
|
|
|
|
|
|
|
|
|
(9,244 |
) |
|
|
|
|
(9,244 |
) |
Beneficial conversion feature |
|
|
|
|
|
|
|
|
|
|
|
5,776 |
|
|
|
|
|
5,776 |
|
Amortization of beneficial conversion feature |
|
|
|
|
|
|
|
|
|
|
|
(252 |
) |
|
|
|
|
(252 |
) |
Shares issued to directors |
|
|
|
|
|
|
|
|
185 |
|
|
|
|
|
|
|
|
185 |
|
Exercise of stock options |
|
|
|
|
|
1,157 |
|
|
|
|
|
902 |
|
|
|
|
|
2,059 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balances at December 31, 2003 |
|
$ |
41 |
|
$ |
1,157 |
|
$ |
185 |
|
$ |
(518,955 |
) |
$ |
10,318 |
|
$ |
(507,254 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
See accompanying notes to consolidated financial statements.
F-6
KINETIC CONCEPTS, INC. AND SUBSIDIARIES
Notes to Consolidated Financial Statements
NOTE 1. Summary of Significant Accounting Policies
The consolidated financial statements presented herein include the accounts of Kinetic Concepts, Inc., together with our consolidated subsidiaries ("KCI").
All significant inter-company balances and transactions have been eliminated in consolidation. Certain reclassifications of amounts related to prior years have been made to conform with the 2003
presentation.
Kinetic Concepts, Inc. is a global medical technology company with leadership positions in advanced wound care and therapeutic surfaces. We design,
manufacture, market and service a wide range of proprietary products which can significantly improve clinical outcomes while reducing the overall cost of patient care by accelerating the healing
process or preventing complications. We derive our revenue from the rental and sale of products in two primary categories: Advanced Wound Care and Therapeutic Surfaces. Our advanced wound care systems
incorporate our proprietary Vacuum Assisted Closure, or V.A.C. technology, which has been clinically demonstrated to promote wound healing and reduce the cost of treating patients with
difficult-to-treat wounds. Our therapeutic
surfaces, including specialty hospital beds, mattress replacement systems and overlays, are designed to address complications associated with immobility and obesity, such as pressure sores and
pneumonia.
We
have direct operations in the United States, Canada, Europe, Australia and South Africa, and conduct additional business through distributors in Latin America, the Middle East and
Asia. We manage our business in two geographical segments, USA and International. In the United States, which accounted for 75.9% of our revenue for the year ended December 31, 2003, we have a
substantial presence in all care settings.
In
the U.S. acute and extended care settings, which accounted for more than half of our domestic revenue, we bill our customers, such as hospitals and extended care facilities, directly.
Also in the U.S. acute and extended care settings, we contract with both proprietary hospital groups and voluntary group purchasing organizations ("GPOs"). Proprietary hospital groups own all of the
hospitals which they represent and, as a result, can ensure complete compliance with an executed national agreement. Voluntary GPOs negotiate contracts on behalf of member hospital organizations but
cannot ensure that their members will comply with the terms of an executed national agreement. Approximately 41%, 44% and 49% of our revenue during 2003, 2002 and 2001, respectively, was generated
under national agreements with GPOs. During 2003, 2002 and 2001, we recorded approximately $128.7 million, $113.1 million and $109.9 million, respectively in V.A.C. and
therapeutic surfaces revenues under contracts with Novation, LLC, a GPO.
In
the U.S. home care setting, where our revenue comes predominantly from V.A.C. systems, we provide products and services directly to patients and bill third party payers, such as
Medicare and private insurance. During 2003, 2002 and 2001, we recorded approximately $83.6 million, $57.9 million and $29.4 million, respectively, in revenues from Medicare.
The preparation of financial statements in conformity with accounting principles generally accepted in the United States requires management to make estimates and
assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the
F-7
financial
statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates.
We recognize revenue in accordance with Staff Accounting Bulletin No. 101, as amended by Staff Accounting Bulletin No. 104, when each of the
following four criteria are met:
- 1)
- A
contract or sales arrangement exists.
- 2)
- Products
have been shipped and title has transferred or services have been rendered.
- 3)
- The
price of the products or services is fixed or determinable.
- 4)
- Collectibility
is reasonably assured.
We
recognize rental revenue based on the number of days a product is in use by the patient/facility and the contracted rental rate. Sales revenue is recognized when products are shipped.
Reductions to rental revenue are recorded to provide for payment adjustments including capitation agreements, evaluation/free trial days, credit memos, rebates, pricing adjustments, utilization
adjustments, cancellations and payer adjustments. In addition, we establish reserves against revenue to allow for uncollectible items relating to unbilled receivables over 60 days old and
patient co-payments, based on historical collection experience.
We consider all highly liquid investments with an original maturity of ninety days or less to be cash equivalents.
The carrying amount reported in the balance sheet for cash, accounts receivable, long-term investments, accounts payable and long-term
obligations approximates fair value. We estimate the fair value of long-term obligations by discounting the future cash flows of the respective instrument, using our incremental rate of
borrowing for a similar instrument.
Accounts receivable consist of amounts due directly from facilities (hospitals, extended care facilities, etc.), third-party payers ("TPP") (both governmental and
non-governmental) and patient pay accounts.
Significant
concentrations of accounts receivable include:
|
|
2003
|
|
2002
|
|
Facilities / dealers |
|
60 |
% |
63 |
% |
TPPManaged care and commercial |
|
25 |
% |
26 |
% |
TPPGovernmental |
|
13 |
% |
9 |
% |
Other |
|
2 |
% |
2 |
% |
F-8
The
third-party payer reimbursement process requires extensive documentation which has had the short-term effect of slowing both the billing and cash collection cycles
relative to the rest of the business, and therefore, increasing total accounts receivable.
We
utilize a combination of factors in evaluating the collectibility of account receivables. For unbilled receivables, we establish reserves against revenue to allow for denied or
uncollectible items beginning at 60 days after the end of service or usage. Items that remain unbilled for more than 90 days or beyond an established billing window are reversed out of
revenue and receivables. For billed receivables, we generally establish reserves for bad debt based on the length of time that the receivables are past due. The reserve rates vary by payer group and
are based upon our historical experience on a weighted average basis. The reserves range in value from 0% for current amounts to 50% for amounts over 150 days for most payer groups and 100% for
certain higher risk payers. In addition, we have recorded specific reserves for bad debt when we become aware of a customer's inability to satisfy its debt obligations, such as in the event of a
bankruptcy filing. If circumstances change, such as higher than expected claims denials, payment defaults or an unexpected material adverse change in a major customer's or payer's ability to meet its
obligations, our estimates of the realizability of amounts due from trade receivables could be reduced by a material amount.
Inventories are stated at the lower of cost (first-in, first-out) or market (net realizable value). Costs include material, labor and
manufacturing overhead costs. Inventory expected to be converted into equipment for short-term rental is reclassified to property, plant and equipment. We review our inventory balances
monthly for excess sale products or obsolete inventory levels. Except where firm orders are on-hand, inventory quantities of sale products in excess of the last twelve months sales usage
are considered excess and are reserved at 50% of cost. For rental products, we review both product usage and product life cycle to classify inventory as active, discontinued or obsolete. Obsolescence
reserve balances are established on an increasing basis from 0% for active, high-demand products to 100% for obsolete products. The reserve is reviewed, and if necessary, adjustments made
on a monthly basis. We rely on historical information and material requirements planning forecasts to support our reserve and utilize management's business judgment for "high risk" items, such as
products that have a fixed shelf life. Once the inventory is written down, we do not adjust the reserve balance until the inventory is sold.
We
have a three-year contract effective October 1, 2002 with one supplier to supply the majority of our inventory generating V.A.C. sales revenue.
Property, plant and equipment are stated at cost. Betterments, which extend the useful life of the equipment, are capitalized. Loan issuance costs include costs
incurred in connection with the issuance of debt in our 2003 recapitalization. These costs are amortized using the effective interest method over the respective term of debt to which they specifically
relate. We also capitalized approximately $950,000 of issuance costs on the issuance of our Series A Convertible Preferred Stock which we are amortizing using the effective interest method over
the conversion period. Other assets consist principally of patents, trademarks, long-term investments and our investment in assets subject to leveraged leases. Patents and trademarks are
amortized over the estimated useful life of the respective asset using the straight-line method.
F-9
Depreciation
on property, plant and equipment is calculated on the straight-line method over the estimated useful lives (30 to 40 years for buildings and between three
and five years for most of our other property and equipment) of the assets. Amortization for leasehold improvements is taken over the shorter of the estimated useful life of the asset or over the
remaining lease term.
Goodwill represents the excess purchase price over the fair value of net assets acquired. Prior to 2002, goodwill was amortized over three to
twenty-five years from the date of acquisition using the straight-line method. Effective January 1, 2002, we have applied the provisions of Statement of Financial
Accounting Standards No. 142, ("SFAS 142"), "Goodwill and Other Intangible Assets," in our accounting for goodwill. SFAS 142
requires that goodwill and other intangible assets that have indefinite lives not be amortized but instead be tested at least annually for impairment, or more frequently when events or changes in
circumstances indicate that the asset might be impaired. For indefinite lived intangible assets, impairment is tested by comparing the carrying value of the asset to the fair value of the reporting
unit to which they are assigned.
Goodwill
and other indefinite lived intangible assets have been tested for impairment during the first and fourth quarters of 2002 and fourth quarter of 2003. They will be tested for
impairment at least annually, in the fourth quarter based upon September 30 financial information, using a two-step process. The first step is a comparison of an estimate of the
fair value of a reporting unit with the reporting unit's carrying value. We have determined that our reporting units are our two operating segmentsU.S. and International. If the fair
value of a reporting unit exceeds its carrying amount, the goodwill of the reporting unit is not considered impaired, and as a result, the second step of the impairment test is not required. If
required, the second step compares the fair value of reporting unit goodwill with the carrying amount of that goodwill. If we determine that reporting unit goodwill is impaired, the fair value of
reporting unit goodwill would be measured by comparing the discounted expected future cash flows of the reporting unit with the carrying value of reporting unit goodwill. Any excess in the carrying
value of reporting unit goodwill to the estimated fair value would be recognized as an expense at the time of the measurement. We recorded no impairments to our reporting units as a result of the
application of SFAS 142 during 2002 and 2003.
The
goodwill of a reporting unit will be tested annually or if an event occurs or circumstances change that would likely reduce the fair value of a reporting unit below its carrying
amount. Examples of such events or circumstances include, but are not limited to, a significant adverse change in legal factors or business climate, an adverse regulatory action or unanticipated
competition.
We account for income taxes using the liability method. Under this method, deferred tax assets and liabilities are determined based on differences between
financial reporting and tax bases of assets and liabilities and are measured using the enacted tax rates in effect for the years in which the differences are expected to reverse. The provision for
deferred income tax expense represents the change in net deferred tax assets and liabilities during the year.
F-10
Basic earnings per common share ("EPS") is computed by dividing net earnings available to common shareholders by the weighted average number of common shares
outstanding for the period. Diluted EPS reflects the potential dilution that could occur if securities or other contracts to issue common stock were exercised or converted into common stock or
resulted in the issuance of common stock that then shared in our earnings when dilutive.
We pay licensing fees for the right to market our V.A.C. devices. Licensing fee expenses are based on V.A.C. revenue and recognized in the period that the related
revenue is earned.
We established the KCI employee benefit trust as a self-insurer for certain risks related to our U.S. employee health plan and certain other benefits.
We retain various levels of loss related to certain of our benefits including all short-term disability claims and losses under our Texas Employee Injury Plan up to $500,000 per
occurrence. Our health, group life and accidental death and dismemberment plan along with our long-term disability plan are all fully insured. We fund the benefit trust based on the value
of expected future payments, including claims incurred but not reported. The liability for retained losses is determined actuarially. These liabilities are not discounted.
The functional currency for the majority of our foreign operations is the applicable local currency. The translation of the applicable foreign currencies into
U.S. dollars is performed for balance sheet accounts using the exchange rates in effect at the balance sheet date and for revenue and expense accounts using a weighted average exchange rate during the
period. Gains and losses resulting from the foreign currency translations are included in accumulated other comprehensive income.
We use the intrinsic value method to account for our stock option plans. In 2003 and 2002, compensation costs of approximately $43.9 million and $824,000
respectively, net of estimated taxes, have been recognized in the financial statements related to our plans. Compensation costs for 2003 include $42.2 million of expenses, net of taxes, related
to the recapitalization completed during the third quarter of 2003. If the compensation cost for our stock-based employee compensation plan had been determined based upon a fair value method
consistent with Statement of Financial Accounting Standards No. 123 ("SFAS 123"), "Accounting for Stock-Based Compensation," our net
earnings available to common shareholders and earnings per share would have been adjusted to the pro forma amounts indicated below. For purposes of pro forma disclosures, the estimated fair value of
the options is recognized as an expense
F-11
over
the options' respective vesting periods. Our pro forma calculations are as follows (dollars in thousands, except for earnings per share information):
|
|
Year ended December 31,
|
|
|
|
2003
|
|
2002
|
|
2001
|
|
Net earnings available to common shareholders as reported |
|
$ |
60,150 |
|
$ |
150,156 |
|
$ |
23,901 |
|
Pro forma net earnings: |
|
|
|
|
|
|
|
|
|
|
|
Net earnings available to common shareholders as reported |
|
$ |
60,150 |
|
$ |
150,156 |
|
$ |
23,901 |
|
|
Compensation expense under intrinsic method |
|
|
43,855 |
|
|
824 |
|
|
|
|
|
Compensation expense under fair value method |
|
|
(4,869 |
) |
|
(1,405 |
) |
|
(1,375 |
) |
|
|
|
|
|
|
|
|
Pro forma net earnings |
|
$ |
99,136 |
|
$ |
149,575 |
|
$ |
22,526 |
|
|
|
|
|
|
|
|
|
Earnings per share as reported: |
|
|
|
|
|
|
|
|
|
|
|
Basic earnings per common share |
|
$ |
1.03 |
|
$ |
2.12 |
|
$ |
0.34 |
|
|
Diluted earnings per common share |
|
$ |
.93 |
|
$ |
1.93 |
|
$ |
0.32 |
|
Pro forma earnings per share: |
|
|
|
|
|
|
|
|
|
|
|
Basic earnings per common share |
|
$ |
1.69 |
|
$ |
2.11 |
|
$ |
0.32 |
|
|
Diluted earnings per common share |
|
$ |
1.54 |
|
$ |
1.93 |
|
$ |
0.30 |
|
The
fair value for options granted during the three fiscal years ended December 31, 2003, 2002 and 2001, respectively, was estimated using a Black-Scholes option pricing model
with expected stock volitility of .27, .22 and .24. Other valuation assumptions are as follows:
|
|
2003
|
|
2002
|
|
2001
|
|
Expected dividend yield |
|
|
|
|
|
|
|
Risk-free interest rate |
|
2.9 |
% |
2.6 |
% |
4.0 |
% |
Expected life (years) |
|
5.0 |
|
7.3 |
|
7.2 |
|
We
are not required to apply, and have not applied, the method of accounting prescribed by Statement 123 to stock options granted prior to January 1, 1995. Moreover, the
pro forma compensation cost reflected above may not be representative of future expense.
The focus of our research and development program has been to develop new products and make technological improvements to existing products. The types of costs
classified as research and development expense include salaries of technical staff, consultant costs, facilities and utilities costs related to offices occupied by technical staff, depreciation on
equipment and facilities used by technical staff, supplies and materials for research and development and outside services such as prototype development and testing and third-party research and
development costs. Expenditures for research and development, including expenses related to clinical studies, are expensed as incurred and totalled $23.0 million, $18.7 million and
$14.3 million for years ended December 31, 2003, 2002 and 2001, respectively.
We use derivative financial instruments to manage the economic impact of fluctuations in interest rates. Periodically, we enter into interest rate protection
agreements to modify the interest characteristics of our outstanding debt. Each interest rate swap is designated as a hedge of interest payments associated
F-12
with
specific principal balances and terms of our debt obligations. These agreements involve the exchange of amounts based on variable interest rates for amounts based on fixed interest rates over the
life of the agreement without an exchange of the notional amount upon which the payments are based. The differential to be paid or received, as interest rates change, is accrued and recognized as an
adjustment to interest expense related to the debt. (See Note 5)
We include shipping and handling costs in rental expense. Shipping and handling costs of $1.6 million and $1.5 million recovered from customers in
2003 and 2002, respectively, are included in sales revenue for these periods.
Advertising costs are expensed as incurred. Advertising expenses were $5.1 million, $4.8 million and $2.1 million for the years ended
December 31, 2003, 2002 and 2001, respectively.
In June 2001, the Financial Accounting Standards Board issued Statement of Financial Accounting Standards No. 143, or ("SFAS 143"), "Accounting for
Asset Retirement Obligations," effective for fiscal
years beginning after June 15, 2002. This statement addresses financial accounting and reporting obligations associated with the retirement of tangible long-lived assets and the
associated asset retirement costs. The statement requires us to record the fair value of a liability for an asset retirement obligation in the period in which it is incurred and to adjust its present
value in each subsequent period. In addition, we must capitalize an amount equal to the adjustment by increasing the carrying amount of the related long-lived asset, which is depreciated
over the remaining useful life of the related asset. We adopted SFAS 143 during the first quarter of 2003 and it did not have a significant effect on our financial position or results of
operations.
In
January 2003, the Financial Accounting Standards Board ("FASB") issued Interpretation No. 46 ("FIN 46"), "Consolidation of Variable
Interest Entities," and in December 2003 issued a revised interpretation ("FIN 46R"). FIN 46 and FIN 46R address the accounting for, and disclosure
of, investments in variable interest entities. As a result of the issuance of FIN 46 and FIN 46R, we evaluated our accounting for and disclosure of our beneficial ownership of two Grantor
Trusts and determined that no changes to our accounting methods or disclosures related to these trusts were required. As such, our adoption of FIN 46 and FIN 46R during 2003 did not have
a significant effect on our financial position or results of operations.
In
April 2003, the FASB issued Statement of Financial Accounting Standards No. 149, or ("SFAS 149"), "Amendment of Statement 133 on
Derivative Instruments and Hedging Activities." This statement amends SFAS 133 to provide clarification on the financial accounting and reporting of derivative
instruments and hedging activities and requires contracts with similar characteristics to be accounted for on a comparable basis. Our adoption of SFAS 149 during 2003 did not have a material
effect on our financial condition or results of operations.
In
May 2003, the FASB issued Statement of Financial Accounting Standards No. 150, or ("SFAS 150"), "Accounting for Certain Financial Instruments
with Characteristics of both Liabilities and Equity." The statement established standards for classifying and measuring as liabilities certain financial
F-13
instruments
that embody obligations of the issuer and have characteristics of both liabilities and equity. SFAS 150 must be applied immediately to instruments entered into or modified after
May 31, 2003. We have applied the terms of SFAS 150 to the Series A Convertible Participating Preferred Stock issued as a part of the recapitalization and determined that it
should be reported in the mezzanine section of our balance sheet. All dividends paid or accrued on the preferred stock will be reported as dividends in the Consolidated Financial Statements.
NOTE 2. Recapitalization
Issuance of 73/8% Senior Subordinated Notes. On August 11, 2003, we issued and sold an aggregate of
$205.0 million principal amount of our 73/8% Senior Subordinated Notes due 2013. Our obligations under the notes are fully and unconditionally guaranteed, jointly and severally,
on a senior subordinated basis, by most of our direct and indirect domestic subsidiaries. (See Note 5.)
New Senior Credit Facility. Concurrently with the issuance and sale of the notes, we entered into a new senior credit
facility. The senior credit facility consists of a $480.0 million seven-year term loan facility and an undrawn $100.0 million six-year revolving credit facility.
Initially, we borrowed $480.0 million under the new term loan facility. We used $208.2 million of the proceeds from borrowings under the new credit facility to repay all amounts then
outstanding under our previously existing senior credit facility. Borrowings under the new senior credit facility are secured by a first priority security interest in substantially all of our existing
and hereafter acquired assets, including substantially all of the capital stock or membership interests of all of our subsidiaries that are guarantors under the new credit facility and 65% of the
capital stock or membership interests of certain of our foreign subsidiaries. (See Note 5.)
Issuance of Preferred Stock. Concurrently with the issuance and sale of the notes, we also issued and sold
$263.8 million of our Series A Convertible Participating Preferred Stock, par value $.001 per share. (See Note 9.)
Redemption of 95/8% Senior Subordinated Notes. As of August 11, 2003, we had outstanding
$200.0 million in 95/8% Senior Subordinated Notes due 2007. On that date, we notified holders of the notes that, pursuant to their terms, we would redeem all such outstanding
notes for a purchase price of 104.813% of their principal amount plus accrued but unpaid interest to the date of redemption. The redemption was completed on August 14, 2003. In addition, we
paid approximately $1.5 million in early redemption consent fees related to amending the indenture governing the notes to allow for their early redemption. (See Note 5.)
Share Repurchase. On August 11, 2003, we commenced a tender offer to purchase for cash up to $589.8 million of
our common stock and vested stock options at a price equivalent to $17.00 per share of common stock. Upon closing, we purchased and retired approximately 30.0 million shares of outstanding
common stock for $17.00 per share. We also settled for cash approximately 4.7 million vested stock options at a price equivalent to $17.00 per share of common stock.
The
issuance and sale of the 73/8% Senior Subordinated Notes due 2013 and the preferred stock, the repayment of our old senior credit facility with proceeds from the new
senior credit facility, the redemption of our 95/8% senior subordinated notes due 2007 and the share repurchase are referred to herein collectively as the "recapitalization."
F-14
The following sets forth the sources and uses of funds in connection with the recapitalization (dollars in millions):
|
|
Amount
|
Source of Funds: |
|
|
|
Gross proceeds from the sale of the 73/8% Senior Subordinated Notes Due 2013 |
|
$ |
205.0 |
Borrowings under the new senior credit facility |
|
|
480.0 |
Gross proceeds from the sale of convertible preferred stock |
|
|
263.8 |
Tax benefits realized from transaction fees and expenses |
|
|
32.4 |
Cash on hand |
|
|
37.4 |
|
|
|
|
Total |
|
$ |
1,018.6 |
|
|
|
Use of Funds: |
|
|
|
Redemption of 95/8% Senior Subordinated Notes Due 2007(1) |
|
$ |
211.1 |
Repayment of debt under the old senior credit facility |
|
|
208.2 |
Share repurchase |
|
|
570.3 |
Transaction fees and expenses for the recapitalization |
|
|
29.0 |
|
|
|
|
Total |
|
$ |
1,018.6 |
|
|
|
- (1)
- Includes
early redemption premium of 4.813% of the aggregate principal amount, or $9.6 million, pursuant to the terms of the 95/8% Senior Subordinated Notes due
2007, in addition to the payment of approximately $1.5 million in early redemption consent fees related to amending these notes.
Our
December 31, 2003 results reflect the impact of the recapitalization including a charge to earnings of $86.4 million, before tax benefits related to the
recapitalization of $32.4 million. The charge to earnings, pretax, included a $67.5 million charge to compensation expense for the repurchase, or cash settlement, of vested options,
together with $11.1 million in expenses for the payment of a consent fee and an early redemption premium related to the redemption of the 95/8% Senior Subordinated Notes due
2007. In addition, we wrote off debt issuance costs related to our old senior credit facility and the 95/8% Senior Subordinated Notes due 2007 totaling approximately
$5.2 million, pretax. The remaining expenses of approximately $2.6 million, pretax, were related to miscellaneous fees and expenses associated with the share repurchase. Both the premium
paid on the redemption of our 95/8% Senior Subordinated Notes and the write-off of commitment fees on unused credit facilities were charged to interest expense. Financing
costs of approximately $19.8 million have been deferred and will be amortized over the lives of the debt facilities. Direct and incremental costs related to the issuance of the preferred stock
of approximately $950,000 have been deferred and will be amortized over 12 years unless the preferred stock is previously converted or redeemed. (See Note 9.)
NOTE 3. Acquisitions and Dispositions
On May 23, 2003, we acquired all of the outstanding capital stock of MedClaim Inc., a North Carolina corporation, for approximately
$2.2 million in cash, net of cash acquired, and other consideration of $450,000. MedClaim Inc. processes Medicare Part B insurance claims for us and continues to act in that
capacity. The operating results of MedClaim Inc. have been included in KCI's consolidated financial statements since the acquisition date.
F-15
In
1996, we acquired a 26% interest in the capital stock of Polymedics N.V., ("Polymedics"), a Belgium manufacturer of foam used in certain V.A.C. dressings which was accounted for on a
cost basis. During the first quarter of 2002, we acquired the remaining 74% of Polymedics stock for approximately $3.6 million in cash at which time the financial position and results of
operations were reflected on a consolidated basis. Polymedics' operating results did not have a material impact on our results of operations for 2003, 2002 or 2001.
In
August 2002, we sold our corporate headquarters facility and adjacent land and buildings under a 10-year sale/leaseback arrangement. The properties were sold for
$17.9 million, net of selling costs, resulting in a deferred gain of approximately $10.7 million. The deferred gain is being amortized over the term of the lease. Approximately $841,000
and $426,000 of amortization was recognized in income in 2003 and 2002, respectively. The initial lease term is 10 years and requires minimum annual lease payments ranging from
$3.2 million to $3.8 million. We have two consecutive options to renew the lease for a term of three or five years each at our option. If we exercise either renewal option, the terms of
the renewal lease will be on prevailing market rental terms, including the lease rate, any improvement allowance or other inducements available to renewing tenants on prevailing market terms. In order
to exercise our renewal options, we must give notice at least six months prior to the expiration of the then existing term. Rental expense of $3.6 million and $1.5 million was recognized
in 2003 and 2002, respectively. The following table indicates the estimated future cash lease payments, inclusive of executory costs, for the years set forth below (dollars in thousands):
Year ended December 31,
|
|
Estimated
Cash Lease
Payments
|
2004 |
|
$ |
3,311 |
2005 |
|
|
3,390 |
2006 |
|
|
3,470 |
2007 |
|
|
3,549 |
2008 |
|
|
3,628 |
2009 and thereafter |
|
|
13,447 |
|
|
|
|
|
$ |
30,795 |
|
|
|
F-16
NOTE 4. Supplemental Balance Sheet Data
Accounts receivable consist of the following (dollars in thousands):
|
|
December 31,
2003
|
|
December 31,
2002
|
|
Trade accounts receivable: |
|
|
|
|
|
|
|
|
Facilities / dealers |
|
$ |
122,339 |
|
$ |
97,336 |
|
|
Third-party payers: |
|
|
|
|
|
|
|
|
|
Medicare / Medicaid |
|
|
35,434 |
|
|
29,125 |
|
|
|
Managed care, insurance and other |
|
|
76,694 |
|
|
50,245 |
|
|
|
|
|
|
|
|
|
|
234,467 |
|
|
176,706 |
|
Medicare V.A.C. receivables prior to October 1, 2000(1) |
|
|
13,438 |
|
|
14,351 |
|
Employee and other receivables |
|
|
1,724 |
|
|
2,410 |
|
|
|
|
|
|
|
|
|
|
249,629 |
|
|
193,467 |
|
Less: Allowance for doubtful accounts |
|
|
(36,253 |
) |
|
(26,220 |
) |
|
Allowance for Medicare V.A.C. receivables prior to October 1, 2000(1) |
|
|
(13,438 |
) |
|
(14,351 |
) |
|
|
|
|
|
|
|
|
$ |
199,938 |
|
$ |
152,896 |
|
|
|
|
|
|
|
- (1)
- During
the year ended December 31, 2003, the Company collected approximately $913,000 of Medicare V.A.C. receivables prior to October 1, 2000. Collectibility of the
remaining of these receivables is uncertain, however, the Company will continue to pursue collection.
Inventories
consist of the following (dollars in thousands):
|
|
December 31,
2003
|
|
December 31,
2002
|
|
Finished goods |
|
$ |
12,137 |
|
$ |
16,411 |
|
Work in process |
|
|
2,847 |
|
|
2,411 |
|
Raw materials, supplies and parts |
|
|
28,689 |
|
|
31,825 |
|
|
|
|
|
|
|
|
|
|
43,673 |
|
|
50,647 |
|
Less: Amounts expected to be converted into equipment for short-term rental |
|
|
(9,000 |
) |
|
(11,100 |
) |
|
Reserve for excess and obsolete inventory |
|
|
(2,420 |
) |
|
(1,613 |
) |
|
|
|
|
|
|
|
|
$ |
32,253 |
|
$ |
37,934 |
|
|
|
|
|
|
|
F-17
Net
property, plant and equipment consist of the following (dollars in thousands):
|
|
December 31,
2003
|
|
December 31,
2002
|
|
Land |
|
$ |
549 |
|
$ |
549 |
|
Buildings |
|
|
10,819 |
|
|
10,528 |
|
Equipment for short-term rental |
|
|
233,459 |
|
|
178,022 |
|
Machinery, equipment and furniture(1) |
|
|
115,382 |
|
|
89,742 |
|
Leasehold improvements |
|
|
4,530 |
|
|
3,209 |
|
Inventory to be converted to equipment |
|
|
9,000 |
|
|
11,100 |
|
|
|
|
|
|
|
|
|
|
373,739 |
|
|
293,150 |
|
Less accumulated depreciation(1) |
|
|
(228,531 |
) |
|
(187,601 |
) |
|
|
|
|
|
|
|
|
$ |
145,208 |
|
$ |
105,549 |
|
|
|
|
|
|
|
- (1)
- Net
property, plant and equipment as of December 31, 2003 and 2002 includes $2.8 million and $100,000, respectively, in machinery, equipment and furniture under various
capital leases.
Accrued
expenses consist of the following (dollars in thousands):
|
|
December 31,
2003
|
|
December 31,
2002
|
Payroll, commissions and related taxes |
|
$ |
43,341 |
|
$ |
26,363 |
Royalty accrual |
|
|
27,992 |
|
|
6,530 |
Recapitalization accruals |
|
|
7,131 |
|
|
|
Interest accruals |
|
|
2,011 |
|
|
4,017 |
Insurance accruals |
|
|
4,941 |
|
|
2,758 |
Other accrued expenses |
|
|
27,236 |
|
|
21,888 |
|
|
|
|
|
|
|
$ |
112,652 |
|
$ |
61,556 |
|
|
|
|
|
F-18
NOTE 5. Long-Term Obligations and Derivative Financial Instruments
Long-term obligations consist of the following (dollars in thousands):
|
|
December 31,
2003
|
|
December 31,
2002
|
|
2003 Senior Credit Facility: |
|
|
|
|
|
|
|
|
Term loan B due 2010 |
|
$ |
477,600 |
|
$ |
|
|
|
Revolving credit facility due 2009 |
|
|
|
|
|
|
|
Previous Senior Credit Facility: |
|
|
|
|
|
|
|
|
Term loans: |
|
|
|
|
|
|
|
|
|
Tranche A due 2003 |
|
|
|
|
|
27,500 |
|
|
|
Tranche B due 2004 |
|
|
|
|
|
85,500 |
|
|
|
Tranche C due 2005 |
|
|
|
|
|
85,500 |
|
|
|
Tranche D due 2006 |
|
|
|
|
|
93,575 |
|
|
|
Tranche E due 2005 |
|
|
|
|
|
29,775 |
|
|
Revolving credit facility |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
477,600 |
|
|
321,850 |
|
73/8% Senior Subordinated Notes due 2013 |
|
|
205,000 |
|
|
|
|
95/8% Senior Subordinated Notes due 2007 |
|
|
|
|
|
200,000 |
|
Note PayableMedClaims, Inc. |
|
|
300 |
|
|
|
|
|
|
|
|
|
|
|
|
|
682,900 |
|
|
521,850 |
|
Less current installments |
|
|
(4,800 |
) |
|
(30,550 |
) |
|
|
|
|
|
|
|
|
$ |
678,100 |
|
$ |
491,300 |
|
|
|
|
|
|
|
New Senior Credit Facility
On August 11, 2003, we entered into a new senior credit facility consisting of a $480.0 million term loan facility due 2010 and an undrawn
$100.0 million revolving credit facility.
Loans. The senior credit facility consists of a $480.0 million term loan facility and an undrawn $100.0 million
revolving credit facility. Up to $30.0 million of the revolving credit facility is available for letters of credit. At December 31, 2003, $477.6 million was outstanding under the
term loan facility and we had no revolving loans outstanding. However, we had outstanding letters of credit in the aggregate amount of $11.3 million. The resulting availability under the
revolving credit facility was $88.7 million at December 31, 2003.
Interest. Amounts outstanding under the senior credit facility bear interest at a rate equal to the base rate (defined as the
higher of Citibank, N.A.'s prime rate or 1/2 of 1% in excess of the federal funds rate) or the Eurodollar rate (the reserve-adjusted LIBOR rate), in each case plus an applicable margin.
The applicable margin is equal to (a) with respect to the new revolving credit facility, 2.50% in the case of loans based on the Eurodollar rate and 1.50% in the case of loans based on the base
rate and (b) with respect to the new term loan B facility, (1) at any time that the leverage ratio is greater than 3.00 to 1.00, 2.75% in the case of loans based on the Eurodollar rate
and 1.75% in the case of loans based on the base rate and (2) 2.50% at any other time, in the case of loans based on the Eurodollar rate and 1.50% in the case of loans based on the base rate.
F-19
We
may choose base rate or Eurodollar pricing and may elect interest periods of 1, 2, 3 or 6 months for the Eurodollar borrowings. Interest on base rate borrowings is payable
quarterly in arrears. Interest on Eurodollar borrowings is payable at the end of each applicable interest period or every three months in the case of interest periods in excess of three months.
Interest on all past due amounts will accrue at 2.00% over the applicable rate. The senior credit facility requires that we fix the base-borrowing rate applicable to at least 50% of the
outstanding amount of the term loan under the senior credit facility. As of December 31, 2003, the current interest rate swap agreements effectively fix the base-borrowing rate on
73.3% of our outstanding amounts under the term loan facility.
Collateral. The senior credit facility is secured by a first priority lien and security interest in (i) substantially
all shares of capital stock and intercompany debt of each of our present and future subsidiaries (limited in the case of certain foreign subsidiaries to 65% of the voting stock of such entity),
(ii) substantially all of our present and future real property (with a value in excess of $5 million individually) and assets and the present and future personal property and assets of
our subsidiaries that will be guarantors under the senior credit facility and (iii) all proceeds and products of the property and assets described in (i) and (ii) above. The
security interest is subject to certain exceptions and permitted liens.
Guarantors. Our obligations under the senior credit facility are guaranteed by each of our direct and indirect 100% owned
subsidiaries, other than a controlled foreign corporation within the definition of Section 957 of the Internal Revenue Code or a holding company whose only assets are investments in a
controlled foreign corporation.
Repayments. Amounts available under the new revolving credit facility are available for borrowing and reborrowing until
maturity. No amounts repaid under the term loan B facility may be reborrowed.
Maturity. The term loan facility matures on August 11, 2010. The revolving credit facility matures on
August 11, 2009.
Prepayments. We may prepay, in full or in part, borrowings under the senior credit facility without premium or penalty,
subject to minimum prepayment amount and increment limitations. We are required to prepay borrowings under the senior credit facility from certain asset dispositions, debt issuances and equity
issuances and beginning after fiscal year 2004 a percentage of excess cash flow, subject to customary exceptions.
Covenants. The senior credit agreement contains affirmative and negative convents customary for similar agreements and
transactions. All of the material covenants and other restrictive covenants in the senior credit agreement are summarized as follows:
-
- quarterly
and annual financial reporting requirements;
-
- limitations
on other debt, with baskets for, among other things, intercompany debt, debt used to acquire fixed or capital assets, debt of foreign subsidiaries for
working-capital purposes, debt of newly-acquired subsidiaries, debt under certain nonspeculative interest rate and foreign currency swaps, certain ordinary-course debt, the 73/8% Senior
Subordinated Notes due 2013 and certain other subordinated debt, and certain sale-leaseback transactions;
F-20
-
- limitations
on other liens, with baskets for, among other things, certain ordinary-course liens and liens under allowed sale-leaseback transactions, and liens
securing debt that may be allowed under one or more of the baskets referred to above;
-
- limitations
on guarantees, with baskets for certain intercompany guarantees, and guarantees of KCI's subsidiaries under the 73/8% Senior Subordinated Notes
due 2013 and certain other subordinated debt;
-
- limitations
on mergers or consolidations and on sales of assets;
-
- limitations
on investments, with baskets for, among other things, certain ordinary-course extensions of trade credit, investments in cash equivalents, certain intercompany
investments, interest rate and foreign currency swaps otherwise permitted, and certain acquisitions;
-
- limitations
on early retirement of subordinated debt;
-
- limitations
of capital expenditures;
-
- limitations
on changes in the nature of the business, on changes in KCI's fiscal year, and on changes in organizational documents; and
-
- limitations
on changes in documents evidencing or related to indebtedness that are materially adverse to the interests of the lenders under the senior credit facility and
changes in accounting policies or reporting practices.
In
addition, the senior credit agreement prohibits us from declaring or paying any dividend on, or repurchasing or redeeming, any of our outstanding equity securities, subject to certain
exceptions including our ability to repurchase or redeem up to $10 million of equity securities in any fiscal year, plus additional limited carry-forwards of unused amounts in prior fiscal
years. The senior credit agreement also prohibits our subsidiaries, subject to certain specified exceptions, from:
-
- paying
dividends or making distributions in respect of equity securities of such subsidiary held by us;
-
- making
loans or advances to us or any other subsidiary; or
-
- transferring
any of such subsidiary's assets to us or any other subsidiary.
The
senior credit agreement contains financial covenants requiring us to meet certain leverage and interest coverage ratios and maintain minimum levels of EBITDA (as defined in the
senior credit agreement). Under the senior credit agreement, EBITDA excludes charges associated with the recapitalization. It will be an event of default if we permit any of the following:
-
- for
any period of four consecutive quarters ending at the end of any fiscal quarter beginning with the fiscal quarter ending December 31, 2003, the ratio of EBITDA,
as defined, to consolidated cash interest expense, to be less than certain specified ratios ranging from 4.30 to 1.00 for the fiscal quarter ending December 31, 2003 to 5.50 to 1.00 for the
fiscal quarter ending December 31, 2006 and each fiscal quarter following that quarter;
-
- as
of the last day of any fiscal quarter beginning with the fiscal quarter ending December 31, 2003, our leverage ratio of debt to EBITDA, as defined, to be greater
than certain specified leverage ratios ranging from 4.30 to 1.00 for the fiscal quarter ending December 31, 2003 to 2.50 to 1.00 for the fiscal quarter ending December 31, 2006 and each
fiscal quarter following that quarter; or
F-21
-
- for
any period of four consecutive fiscal quarters ending at the end of any fiscal quarter beginning with the fiscal quarter ending December 31, 2003, EBITDA, as
defined, to be less than certain amounts ranging from $156.4 million for the fiscal quarter ending December 31, 2003 to $240.0 million for the fiscal quarter ending December 31,
2006 and each fiscal quarter following that quarter.
Events of Default. The new senior credit facility contains events of default including, but not limited to, failure to pay
principal or interest, breaches of representations and warranties, violations of affirmative or negative covenants, cross-defaults to other indebtedness, a bankruptcy or similar proceeding being
instituted by or against us, rendering of certain monetary judgments against us, impairments of loan documentation or security, changes of ownership or operating control and defaults with respect to
certain ERISA obligations.
On
December 5, 2003, we entered into an amendment to the 2003 senior credit facility which allows us, subject to certain limitations, to redeem or repurchase notes with
(1) the net after tax proceeds of the $75.0 million Hillenbrand antitrust settlement that we received on December 31, 2003, (2) cash strike
payments arising from the exercise of outstanding options to purchase our common stock as part of the recapitalization and (3) the estimated tax benefit to us from the recapitalization.
Accordingly, we may, from time to time, repurchase notes in the open market or in privately-negotiated transactions.
73/8% Senior Subordinated Notes due 2013
On August 11, 2003, we issued and sold an aggregate of $205.0 million principal amount of our 73/8% Senior Subordinated Notes due
2013. Interest on the notes accrues at the rate of 73/8% per annum and is payable semi-annually in cash on each May 15 and November 15, commencing on
November 15, 2003, to the persons who are registered holders at the close of business on May 1 and November 1 immediately preceding the applicable interest payment date. Interest
on the notes accrues from and includes the most recent date to which interest has been paid or, if no interest has been paid, from and including the date of issuance of the notes. Interest is computed
on the basis of a 360-day year consisting of twelve 30-day months and, in the case of a partial month, the actual number of days elapsed. The notes are not entitled to the
benefit of any mandatory sinking fund.
The
notes are unsecured obligations of KCI, ranking subordinate in right of payment to all senior debt of KCI. The notes are fully and unconditionally guaranteed, jointly and severally,
by each of our direct and indirect 100% owned subsidiaries, other than any entity that is a controlled foreign corporation within the definition of Section 957 of the Internal Revenue Code or a
holding company whose only assets are investments in a controlled foreign corporation. Each of these subsidiaries is a restricted subsidiary, as defined in the indenture governing the notes. The new
notes are guaranteed by the following subsidiaries of KCI:
1. |
|
KCI Holding Company, Inc. |
|
6. |
|
KCI Real Properties Limited |
2. |
|
KCI Real Holdings, LLC |
|
7. |
|
KCI USA, Inc. |
3. |
|
KCI International, Inc. |
|
8. |
|
KCI USA Real Holdings, LLC |
4. |
|
KCI Licensing, Inc. |
|
9. |
|
MedClaim, Inc. |
5. |
|
KCI Properties Limited |
|
|
|
|
F-22
The
following entities were formerly guarantors of the recently redeemed 95/8% Senior Subordinated Notes due 2007, but are not guarantors of the recently issued
73/8% Senior Subordinated Notes due 2013.
1. |
|
KCI Therapeutic Services, Inc. |
2. |
|
KCI New Technologies, Inc. |
3. |
|
KCI Air, Inc. |
4. |
|
KCI-RIK Acquisition Corp. |
5. |
|
Plexus Enterprises, Inc. |
6. |
|
Medical Retro Design, Inc. |
These
entities no longer exist due to a corporate change such as dissolution or merger into an existing KCI subsidiary. However, the assets of each of these former guarantors remain in the
consolidated group.
Each
guarantor jointly and severally guarantees KCI's obligation under the notes. The guarantees are subordinated to guarantor senior debt on the same basis as the notes are subordinated
to senior debt. The obligations of each guarantor under its guarantor senior debt will be limited as necessary to prevent the guarantor senior debt from constituting a fraudulent conveyance under
applicable law.
The
indenture governing the notes limits our ability, among other things, to:
-
- incur
additional debt;
-
- make
payments on subordinated debt or make investments;
-
- place
limitations on distributions from our restricted subsidiaries;
-
- issue
or sell capital stock of restricted subsidiaries;
-
- issue
guarantees;
-
- sell
or exchange assets;
-
- enter
into transactions with affiliates;
-
- create
liens; and
-
- effect
mergers.
In
addition, subject to certain specified exceptions, the indenture prohibits us from:
-
- declaring
or paying any dividend or making any distribution in respect of our equity securities;
-
- purchasing
or redeeming any equity securities;
-
- purchasing
or redeeming any indebtedness that is subordinate or junior to the notes; or
-
- making
certain specified investments if, following such event,
-
- we
would be in default under the indenture,
-
- our
consolidated fixed charge coverage ratio, as defined, would be greater than 2.0 to 1.0, or
-
- the
aggregate of such payments shall exceed certain amounts determinable under specified formulas.
The
indenture also prohibits our subsidiaries, subject to certain specified exceptions, from:
-
- paying
dividends or making distributions to us or any other subsidiary;
-
- paying
any indebtedness owed to us or any other subsidiary; or
F-23
-
- transferring
any property or assets from any subsidiary to us or any other subsidiary.
KCI
may redeem some or all of the notes, on and after May 15, 2008, upon not less than 30 nor more than 60 days' notice, at the following redemption prices (expressed as
percentages of the principal amount) if redeemed during the twelve-month period commencing on May 15 of the year set forth below, plus, in each case, accrued and unpaid interest thereon, if
any, to the date of redemption:
If Redeemed During the 12-Month Period Commencing
|
|
Redemption Price
|
|
|
2008 |
|
103.688 |
% |
|
2009 |
|
102.458 |
% |
|
2010 |
|
101.229 |
% |
|
2011 and thereafter |
|
100.000 |
% |
In
addition, at any time prior to May 15, 2008, we may, at our option, redeem the notes, in whole or in part, from time to time, upon not less than 30 nor more than
60 days' notice at a redemption price equal to the greater of (a) 101% of the principal amount of the notes so redeemed, plus accrued and unpaid interest, and (b) a
make-whole premium (as defined in the indenture) with respect to the notes, or the portions thereof, to be redeemed, plus, to the extent not included in the make-whole premium,
accrued and unpaid interest to the date of redemption.
At
any time, or from time to time, on or prior to May 15, 2006, we may, on any one or more occasions, use all or a portion of the net cash proceeds of one or more equity offerings
to redeem the notes at a redemption price equal to 107.375% of the principal amount thereof plus accrued and unpaid interest thereon, if any, to the date of redemption; provided that at least 65% of
the principal amount of notes originally issued remains outstanding immediately after any such redemption. In order to effect the foregoing redemption with the proceeds of any equity offering, we
shall make such redemption not more than 90 days after the consummation of any such equity offering.
Interest Rate Protection
We follow SFAS 133, "Accounting for Derivative Instruments and Hedging Activities," and its amendments,
SFAS 137 and 138, in accounting for our derivative instruments. SFAS 133 requires that all derivative instruments be recorded on the balance sheet at fair value. We have designated our
interest rate swap agreements as cash flow hedge instruments. The swap agreements are used to manage exposure to interest rate movements by effectively changing the variable interest rate to a fixed
rate. The critical terms of the interest rate swap agreements and the interest-bearing debt associated with the swap agreements must be the same to qualify for the shortcut method of accounting.
Changes in the effective portion of the fair value of the interest rate swap agreement will be recognized in other comprehensive income, net of tax effects, until the hedged item is recognized into
earnings.
F-24
The
following chart summarizes interest rate hedge transactions effective during 2003 (dollars in thousands):
Accounting Method
|
|
Effective Dates
|
|
Nominal
Amount
|
|
Fixed
Interest Rate
|
|
Status
|
Shortcut |
|
12/31/02-12/31/03 |
|
$ |
80,000 |
|
1.745 |
% |
Matured 12/31/03 |
Shortcut |
|
12/31/02-12/31/04 |
|
$ |
100,000 |
|
2.375 |
% |
Outstanding |
Shortcut |
|
08/21/03-08/22/05 |
|
$ |
60,000 |
|
2.150 |
% |
Outstanding |
Shortcut |
|
08/21/03-08/22/05 |
|
$ |
20,000 |
|
2.130 |
% |
Outstanding |
Shortcut |
|
08/21/03-08/21/05 |
|
$ |
20,000 |
|
2.135 |
% |
Outstanding |
Shortcut |
|
08/21/03-08/21/06 |
|
$ |
50,000 |
|
2.755 |
% |
Outstanding |
Shortcut |
|
08/21/03-08/21/06 |
|
$ |
50,000 |
|
2.778 |
% |
Outstanding |
Shortcut |
|
08/21/03-08/21/06 |
|
$ |
50,000 |
|
2.788 |
% |
Outstanding |
As
of December 31, 2002, two $100 million interest rate swap agreements were in effect to manage the economic impact of fluctuations in interest rates. On
January 31, 2003, we sold $20 million of our $100 million, 1.7450% interest rate swap effective March 31, 2003 which resulted in an expense of approximately $74,000 which
was recorded in the first quarter of 2003. Our 2003 senior credit facility requires that we fix the base-borrowing rate applicable to at least 50% of the outstanding amount of our term
loan under the senior credit facility for a period of two years from the date of issuance. In August 2003, we entered into six new interest rate swap agreements pursuant to which we fixed the
rates on an additional $250 million notional amount of our outstanding variable rate borrowings outstanding at December 31, 2003. As a result of the swap agreements currently in effect
as of December 31, 2003, approximately 73.3% of our variable interest rate debt outstanding is fixed.
All
of the interest rate swap agreements have quarterly interest payments, based on three month LIBOR, due on the last day of each March, June, September and December, which began on
September 30, 2003. The fair value of these swaps at inception was zero. Due to subsequent movements in interest rates, as of December 31, 2003, the fair values of these swap agreements
were negative and were adjusted to reflect a liability of approximately $2.4 million. During 2003 and 2002, we recorded interest expense of approximately $2.9 million and
$2.8 million, respectively, as a result of interest rate protection agreements.
Interest and Future Maturities
Interest paid during 2003, 2002 and 2001 was approximately $44.9 million, $39.0 million and $42.9 million, respectively.
F-25
As a result of the senior credit refinancing, future maturities of long-term debt at December 31, 2003 were (dollars in thousands):
Year
|
|
Amount
|
2004 |
|
$ |
4,800 |
2005 |
|
$ |
4,950 |
2006 |
|
$ |
4,950 |
2007 |
|
$ |
4,800 |
2008 |
|
$ |
4,800 |
Thereafter |
|
$ |
658,600 |
NOTE 6. Accounting for Goodwill and Other Noncurrent Assets
Goodwill represents the excess purchase price over the fair value of net assets acquired. Prior to 2002, goodwill was amortized over three to
twenty-five years from the date of acquisition using
the straight-line method. Effective January 1, 2002, we have applied the provisions of Statement of Financial Accounting Standards No. 142, ("SFAS 142"),
"Goodwill and Other Intangible Assets," in our accounting for goodwill. SFAS 142 requires that goodwill and other intangible assets that have
indefinite lives not be amortized but instead be tested at least annually for impairment, or more frequently when event or changes in circumstances indicate that the asset might be impaired. For
indefinite lived intangible assets, impairment is tested by comparing the carrying value of the asset to the fair value of the reporting unit to which they are assigned. Intangible assets with finite
useful lives will continue to be amortized over their useful lives. Goodwill has been tested for impairment during the first and fourth quarters of 2002 and fourth quarter of 2003. It will be tested
for impairment at least annually.
Goodwill
was $48.8 million at December 31, 2003, compared to $46.4 million at December 31, 2002. This increase relates to our acquisition of
MedClaim Inc. in the second quarter of 2003. (See Note 3.) Goodwill represented 7.3% and 7.5% of total assets at December 31, 2003 and December 31, 2002, respectively.
The
following table shows the effect of the adoption of SFAS 142 on our net income as if the adoption had occurred on January 1, 2001 (dollars in thousands, except per
share data):
|
|
Pro Forma
Year ended December 31,
|
|
|
2003
|
|
2002
|
|
2001
|
Net earnings available to common shareholders-as reported |
|
$ |
60,150 |
|
$ |
150,156 |
|
$ |
23,901 |
Amortization adjustment |
|
|
|
|
|
|
|
|
3,372 |
|
|
|
|
|
|
|
Adjusted net earnings |
|
$ |
60,150 |
|
$ |
150,156 |
|
$ |
27,273 |
|
|
|
|
|
|
|
Basic earnings per common shareas reported |
|
$ |
1.03 |
|
$ |
2.12 |
|
$ |
0.34 |
Amortization adjustment |
|
|
|
|
|
|
|
|
0.04 |
|
|
|
|
|
|
|
Adjusted basic earnings per common share |
|
$ |
1.03 |
|
$ |
2.12 |
|
$ |
0.38 |
|
|
|
|
|
|
|
Dilutive earnings per common shareas reported |
|
$ |
0.93 |
|
$ |
1.93 |
|
$ |
0.32 |
Amortization adjustment |
|
|
|
|
|
|
|
|
0.05 |
|
|
|
|
|
|
|
Adjusted dilutive earnings per common share |
|
$ |
0.93 |
|
$ |
1.93 |
|
$ |
0.37 |
|
|
|
|
|
|
|
F-26
We
have recorded amortizable intangible assets, which are included in Other Assets on our consolidated balance sheets. Other assets include the following (dollars in thousands):
|
|
December 31,
2003
|
|
December 31,
2002
|
|
Patents, trademarks and other |
|
$ |
12,240 |
|
$ |
12,269 |
|
Accumulated amortization |
|
|
(8,190 |
) |
|
(6,840 |
) |
|
|
|
|
|
|
|
|
|
4,050 |
|
|
5,429 |
|
Investment in assets subject to leveraged leases |
|
|
16,445 |
|
|
16,445 |
|
Deposits and other |
|
|
8,002 |
|
|
8,293 |
|
|
|
|
|
|
|
Other tangible, noncurrent assets, net |
|
|
24,447 |
|
|
24,738 |
|
|
|
|
|
|
|
Total other assets, net |
|
$ |
28,497 |
|
$ |
30,167 |
|
|
|
|
|
|
|
We
acquired beneficial ownership of two Grantor Trusts in December 1996 and December 1994. The assets held by each Trust consist of a McDonnell Douglas DC-10
aircraft and three engines. In connection with the acquisitions, KCI paid cash equity of $7.2 million and $7.6 million, respectively. At the date of the acquisition, the Trusts held debt
of $48.4 million and $51.8 million, respectively, which is non-recourse to KCI. The aircraft are leased to the Federal Express Corporation through June 2012 and
January 2012, respectively. Federal Express pays monthly rent to a third party who, in turn, pays the entire amount to the holders of the non-recourse indebtedness, which is secured
by the aircraft. The holder's recourse in the event of a default is limited to the Trust assets.
Amortization
expense, related to finite-lived intangibles, was approximately $1.3 million, $1.3 million, and $1.9 million for 2003, 2002, and 2001, respectively. We
amortize these intangible assets over 5 to 17 years, depending on the estimated economic life of the individual asset. The following table shows the estimated amortization expense, in total for
all finite-lived intangible assets, to be incurred over the next five years (dollars in thousands):
Year ended December 31,
|
|
Estimated
Amortization
Expense
|
2004 |
|
$ |
512 |
2005 |
|
$ |
375 |
2006 |
|
$ |
319 |
2007 |
|
$ |
290 |
2008 |
|
$ |
290 |
Loan
issuance costs include approximately $19.8 million of costs incurred in connection with the issuance of debt in our 2003 recapitalization. These costs are amortized using the
effective interest method over the respective term of debt to which they specifically relate. We also capitalized approximately $950,000 of issuance costs on the issuance of our Series A
Convertible Preferred Stock which we are amortizing using the effective interest method over the conversion period. Amortization of loan and preferred stock issuance costs recorded for the years ended
December 31, 2003, 2002 and 2001 are $7.5 million, $2.3 million and $2.3 million, respectively. The amortization for 2003 includes approximately $5.2 million of loan
issuance costs written off associated with the debt retired as part of our 2003 recapitalization.
F-27
NOTE 7. Leasing Obligations
We are obligated for equipment under various capital leases, which expire at various dates during the next two years. At December 31, 2003, the gross
amount of equipment under capital leases totaled approximately $5.2 million and related accumulated depreciation was approximately $2.4 million.
We
lease our headquarters facility, computer and telecommunications equipment, service vehicles, office space, various storage spaces and manufacturing facilities under
non-cancelable operating leases, which expire at various dates over the next ten years. Total rental expense for operating leases was $22.2 million, $17.7 million and
$13.0 million for the years ended December 31, 2003, 2002 and 2001, respectively.
Future
minimum lease payments under capital and non-cancelable operating leases (with initial or remaining lease terms in excess of one year) as of December 31, 2003
are as follows (dollars in thousands):
|
|
Capital
Leases
|
|
Operating
Leases
|
2004 |
|
$ |
1,765 |
|
$ |
22,698 |
2005 |
|
|
1,035 |
|
|
18,506 |
2006 |
|
|
348 |
|
|
15,261 |
2007 |
|
|
4 |
|
|
11,386 |
2008 |
|
|
|
|
|
8,903 |
Thereafter |
|
|
|
|
|
16,973 |
|
|
|
|
|
Total minimum lease payments |
|
$ |
3,152 |
|
$ |
93,727 |
|
|
|
|
|
|
Less amount representing interest |
|
|
225 |
|
|
|
|
|
|
|
|
|
Present value of net minimum capital lease payments |
|
|
2,927 |
|
|
|
Less current portion |
|
|
1,576 |
|
|
|
|
|
|
|
|
|
Obligations under capital leases, excluding current installments |
|
$ |
1,351 |
|
|
|
|
|
|
|
|
|
NOTE 8. Income Taxes
Earnings before income taxes consists of the following (dollars in thousands):
|
|
Year Ended December 31,
|
|
|
2003
|
|
2002
|
|
2001
|
Domestic |
|
$ |
81,874 |
|
$ |
229,270 |
|
$ |
28,824 |
Foreign |
|
|
29,559 |
|
|
16,887 |
|
|
12,384 |
|
|
|
|
|
|
|
|
|
$ |
111,433 |
|
$ |
246,157 |
|
$ |
41,208 |
|
|
|
|
|
|
|
F-28
Income
tax expense attributable to income from continuing operations consists of the following (dollars in thousands):
|
|
Year Ended December 31, 2003
|
|
|
Current
|
|
Deferred
|
|
Total
|
Federal |
|
$ |
97,222 |
|
$ |
(65,862 |
) |
$ |
31,360 |
State |
|
|
5,539 |
|
|
(3,570 |
) |
|
1,969 |
International |
|
|
9,278 |
|
|
(820 |
) |
|
8,458 |
|
|
|
|
|
|
|
|
|
$ |
112,039 |
|
$ |
(70,252 |
) |
$ |
41,787 |
|
|
|
|
|
|
|
|
|
Year Ended December 31, 2002
|
|
|
Current
|
|
Deferred
|
|
Total
|
Federal |
|
$ |
15,195 |
|
$ |
68,256 |
|
$ |
83,451 |
State |
|
|
1,318 |
|
|
4,204 |
|
|
5,522 |
International |
|
|
7,922 |
|
|
(894 |
) |
|
7,028 |
|
|
|
|
|
|
|
|
|
$ |
24,435 |
|
$ |
71,566 |
|
$ |
96,001 |
|
|
|
|
|
|
|
|
|
Year Ended December 31, 2001
|
|
|
Current
|
|
Deferred
|
|
Total
|
Federal |
|
$ |
9,371 |
|
$ |
1,818 |
|
$ |
11,189 |
State |
|
|
2,283 |
|
|
(433 |
) |
|
1,850 |
International |
|
|
4,467 |
|
|
(199 |
) |
|
4,268 |
|
|
|
|
|
|
|
|
|
$ |
16,121 |
|
$ |
1,186 |
|
$ |
17,307 |
|
|
|
|
|
|
|
Income
tax expense attributable to earnings before income taxes differed from the amounts computed by applying the statutory tax rate of 35 percent to pre-tax earnings
from continuing operations as a result of the following (dollars in thousands):
|
|
Year Ended December 31,
|
|
|
|
2003
|
|
2002
|
|
2001
|
|
Computed "expected" tax expense |
|
$ |
39,002 |
|
$ |
86,155 |
|
$ |
14,423 |
|
Nondeductible goodwill |
|
|
|
|
|
|
|
|
324 |
|
State income taxes, net of federal benefit |
|
|
1,280 |
|
|
3,590 |
|
|
1,202 |
|
Tax-exempt interest from municipal bonds |
|
|
(175 |
) |
|
(32 |
) |
|
|
|
Nondeductible meals and entertainment |
|
|
558 |
|
|
357 |
|
|
236 |
|
Foreign income taxed at other than U.S. rates |
|
|
(1,887 |
) |
|
(441 |
) |
|
(419 |
) |
Utilization of foreign net operating loss |
|
|
|
|
|
(47 |
) |
|
(48 |
) |
Non-consolidated foreign net operating loss |
|
|
|
|
|
1,606 |
|
|
401 |
|
Foreign, other |
|
|
2,517 |
|
|
3,817 |
|
|
1,693 |
|
Other, net |
|
|
492 |
|
|
996 |
|
|
(505 |
) |
|
|
|
|
|
|
|
|
|
|
$ |
41,787 |
|
$ |
96,001 |
|
$ |
17,307 |
|
|
|
|
|
|
|
|
|
F-29
The
tax effects of temporary differences that give rise to significant portions of the deferred tax assets and deferred tax liabilities at December 31, 2003 and 2002 are presented
below (dollars in thousands):
|
|
2003
|
|
2002
|
|
Deferred Tax Assets: |
|
|
|
|
|
|
|
Accounts receivable, principally due to allowance for doubtful accounts |
|
$ |
13,093 |
|
$ |
7,553 |
|
Foreign net operating loss carry forwards |
|
|
2,466 |
|
|
1,606 |
|
Inventories, principally due to additional costs capitalized for tax purposes pursuant to the Tax Reform Act of 1986 |
|
|
1,575 |
|
|
981 |
|
Deferred gain on sale of headquarters facility |
|
|
3,077 |
|
|
3,401 |
|
Derivative tax adjustments |
|
|
841 |
|
|
469 |
|
Accrued liabilities |
|
|
7,240 |
|
|
1,948 |
|
Deferred foreign tax asset |
|
|
2,272 |
|
|
1,453 |
|
Other |
|
|
5,408 |
|
|
5,561 |
|
|
|
|
|
|
|
Total gross deferred tax assets |
|
|
35,972 |
|
|
22,972 |
|
Less: valuation allowance |
|
|
(2,466 |
) |
|
(1,606 |
) |
|
|
|
|
|
|
Net deferred tax assets |
|
|
33,506 |
|
|
21,366 |
|
|
|
|
|
|
|
Deferred Tax Liabilities: |
|
|
|
|
|
|
|
Plant and equipment, principally due to differences in depreciation and basis |
|
|
(34,310 |
) |
|
(29,360 |
) |
Deferred revenue |
|
|
|
|
|
(61,250 |
) |
Deferred state tax liability |
|
|
(923 |
) |
|
(4,737 |
) |
Net intangible assets, deducted for book purposes over a longer life than for tax purposes |
|
|
(2,045 |
) |
|
(857 |
) |
Other |
|
|
(45 |
) |
|
(1,501 |
) |
|
|
|
|
|
|
Total gross deferred tax liabilities |
|
|
(37,323 |
) |
|
(97,705 |
) |
|
|
|
|
|
|
Net deferred tax liability |
|
|
(3,817 |
) |
|
(76,339 |
) |
Less: current portion |
|
|
22,749 |
|
|
(55,887 |
) |
|
|
|
|
|
|
|
|
$ |
(26,566 |
) |
$ |
(20,452 |
) |
|
|
|
|
|
|
At
December 31, 2003, $2.5 million of foreign operating loss carryforwards, which can be utilized indefinitely, are available to reduce future taxable earnings of certain
foreign subsidiaries. A valuation allowance has been provided for the deferred tax assets related to the foreign loss carryforwards. The net valuation allowance increased by approximately $860,000 and
$943,000 and decreased by approximately $13,000 for the years ended December 31, 2003, 2002 and 2001, respectively. We anticipate that the reversal of existing taxable temporary differences and
future income will provide sufficient taxable income to realize the tax benefit of the remaining deferred tax assets.
Undistributed
earnings of the Company's foreign subsidiaries amounted to approximately $79.9 million, $57.3 million and $38.8 million at December 31, 2003,
2002 and 2001. These earnings are considered to be permanently reinvested and, accordingly, no provision for U.S. federal or state income taxes has been provided thereon. Upon distribution of those
earnings in the form of dividend or otherwise, the Company would be subject to both U.S. income taxes (subject to an adjustment for foreign tax credits) and withholding taxes payable to various
foreign countries. Determination of the amount of unrecognized
F-30
deferred
U.S. income tax liability is not practicable because of the complexities associated with its hypothetical calculation.
Income
taxes paid during 2003, 2002 and 2001 were $90.4 million, $24.6 million and $12.0 million, respectively.
NOTE 9. Shareholders' Equity and Employee Benefit Plans
We are authorized to issue 150.0 million shares of Common Stock, $0.001 par value (the "Common Stock"). The number of shares of Common Stock issued and
outstanding at the end of 2003 and 2002 was 41,270,202 and 70,928,040, respectively.
On August 9, 2003, the board of directors of KCI approved the creation of a class of preferred stock designated as Series A Convertible
Participating Preferred Stock with a par value of $0.001 per share. On August 11, 2003, we issued a total of 263,794 shares of the preferred stock at an original issue price and stated value of
$1,000 per share. The preferred stock is convertible to common stock at a ratio of $17.00 per share of common stock (the estimated fair value of the common stock at the date of
issuance). The preferred stock accrues cumulative dividends quarterly at the rate of 9% per annum (or the dividends paid on common stock, whichever is greater), and must be paid in kind for the first
three years from the date of issuance, and after that point may be paid in cash or in kind, at KCI's option. We recorded dividends-in-kind, which are paid in kind by increasing
the stated value of the preferred stock, of $9.2 million during 2003.
Upon
an initial public offering above $22.00 per share, or upon 20 consecutive post-initial public offering trading days for which the trading price of the common exceeds
$23.50, the preferred stock is mandatorily convertible into common stock. If we have an initial public offering at less than $22.00 per share, we can force conversion if we make the holders of the
preferred stock whole for the shortfall between the initial public offering price and $22.00 per share. Additionally, if the conversion has not been triggered based on trading price, we can force
conversion by making the preferred stockholders whole by issuing them additional common stock as if they had converted at a value of $23.50 per share.
If,
prior to December 31, 2005, conversion of the preferred stock occurs through automatic conversion as a result of an initial public offering or post initial public offering
trading as discussed above, or as a result of our forcing conversion as described above, or should KCI be sold, the holders would be entitled to receive paid-in-kind dividends
as if the preferred stock had remained outstanding through December 31, 2005.
Except
as otherwise required by law, the holders of the preferred stock are entitled to vote, on an as-converted basis, together with our common shareholders. KCI, Fremont
Partners, L.P., Blum Capital Partners, L.P. and Dr. Leininger, and their affiliates, entered into an Investors' Rights Agreement with the other holders of the preferred stock, which provides
for "piggyback" registration rights, restrictions on transfer of the shares of the preferred stock, rights of first offer, "tag-along" rights and "bring-along" rights. Fremont Partners,
L.P., Blum Capital Partners, L.P. and Dr. Leininger and their respective affiliates purchased an aggregate of $190.0 million of the preferred stock.
F-31
We
paid approximately $5.8 million in arrangement fees to the preferred stock investors. Because the net cash received from the investors related to the preferred stock is
approximately $258.0 million and the preferred stock holders are entitled to immediate conversion to common stock for value equal to $263.8 million, a beneficial conversion feature of
$5.8 million exists. We have recorded the net proceeds received from the preferred stock holders in equity and have recorded a beneficial conversion feature which has the effect of reducing the
preferred stock recorded to $252.2 million. We will accrete through preferred dividends the amount recorded for preferred stock up to its conversion amount over future periods to the redemption
date, using the effective interest method. Dividends no longer accrete after twelve years. We also incurred approximately $950,000 in direct and incremental costs related to the preferred stock. We
have capitalized these costs and they will be amortized to dividends over 12 years unless the preferred stock is previously converted or redeemed.
After
August 11, 2006, the preferred stock dividends may be paid in cash or in kind, at our option. If we opt to pay the dividends in kind, a new beneficial conversion may exist
and would be evaluated and recorded at that time.
The
terms of our preferred stock restrict us from declaring and paying dividends on our common stock until such time as all outstanding dividends have been paid related to the preferred
stock. The preferred stock shall, with respect to the right to receive dividends or distributions of assets and rights upon KCI's liquidation, dissolution or winding up, rank senior to the common
stock. The stated value for the preferred stock is equal to the initial stated value together with any accrued dividends through such date that have been added to the stated valued through accretion.
The
preferred stock shall be mandatorily redeemed by KCI on the twelfth anniversary of the issue date, subject to two extension periods, which can extend the mandatory redemption date
through the seventeenth anniversary of the issue date. The preferred stock must be redeemed for cash, common stock or a combination of cash and common stock, at our option, for fair market value of
the common stock along with any cash, equal to the stated value of the preferred stock or the average closing price of the common stock into which such preferred stock is then convertible for the 20
consecutive trading days immediately preceding such redemption. However, such common stock must be listed on a United States national securities exchange or quoted on the NASDAQ stock market and the
common stock to be issued in redemption shall not represent more then 35% of the fully diluted common stock of KCI.
We have an Investment Plan intended to qualify as a deferred compensation plan under Section 401(k) of the Internal Revenue Code of 1986. The Investment
Plan is available to all domestic employees and we match employee contributions up to a specified limit. In 2003, 2002 and 2001, we made matching contributions and charged to expense approximately
$3.4 million, $2.0 million and $1.4 million, respectively.
KCI offers a deferred compensation plan for key management personnel. The deferred compensation plan was started in 1995 and guarantees the employee a rate of
return for a defined plan year as stated in the enrollment form for each plan year. The employee may receive distributions in a lump sum, or over five or ten years upon retirement as defined, or at a
date previously specified. The Company's obligation under the Plan is that of an unsecured promise to pay in the future. Amounts payable to a participant shall
F-32
be
paid from the general assets of the Company, exclusively. The Company has established a Rabbi Trust to increase security for the Plan benefits. At December 31, 2003, the assets in the Rabbi
Trust include approximately $5.2 million of cash surrender value under life insurance policies for the participants and the liability of the Plan is approximately $5.5 million. Both the
assets and the liabilities of the plan have been reflected in our consolidated financial statements.
NOTE 10. Stock Option Plans
In October 1995, the Financial Accounting Standards Board (FASB) issued Statement No. 123, "Accounting and Disclosure of
Stock-Based Compensation." While the accounting standard encouraged the adoption of a new fair-value method for expense recognition, Statement 123 allows companies
to continue accounting for stock options and other stock-based awards as provided in Accounting Principles Board Opinion No. 25, "Accounting for Stock Issued to
Employees" ("APB 25"). We have elected to follow the provisions of APB 25 and related interpretations in accounting for our stock options plans because, as discussed below, the
alternative fair-value method prescribed by FASB Statement No. 123 requires the use of option valuation models that were not developed for use in valuing employee stock options.
Under APB 25, because the exercise price of our employee stock options generally equals the market price of the underlying stock on the date of grant, no compensation expense is recognized.
In
December 1997, our Board of Directors approved the 1997 Management Equity Plan. The maximum aggregate number of shares of Common Stock that may be issued in connection with
grants under the Management Equity Plan, as amended, is approximately 13.9 million shares, subject to adjustment as provided for in the plan. The Management Equity Plan is administered, and
grants determined, by a committee of the Board of Directors. The exercise price and term of options granted under the Management Equity Plan shall be determined by the committee, however, in no event
shall the term of any option granted under the Management Equity Plan exceed ten years. The Management Equity Plan supersedes all other stock option plans. During the 1997 recapitalization
transaction, 60 employees rolled stock options covering an additional 5.5 million shares of our common stock into the 1997 Management Equity Plan. No new grants will be made under this plan.
In
May 2003, our board of directors approved the 2003 Non-Employee Directors Stock Plan (the "Directors Stock Plan"). Automatic grants of options, restricted stock and
stock under this plan shall be made to non-employee directors of the Company. The maximum aggregate number of shares of common stock that may be issued in connection with grants under the Directors
Stock Plan is 400,000 shares, subject to adjustment as provided for in the plan. The exercise price of options granted under this plan is determined as the fair market value, as determined by our
Board of Directors, of the shares of the Company's common stock on the date that such option is granted. The options granted will vest and become exercisable incrementally over a period of three
years. The right to exercise an option shall terminate seven years after the grant date, unless sooner as provided for in the plan. The Directors Stock Plan is administered by a committee of the board
of directors.
F-33
The
following table summarizes the number of common shares reserved for future issuance under our stock option plans:
1997 Management Equity Plan (see Note 17) |
|
850,010 |
2003 Non-Employee Directors Stock Plan |
|
308,120 |
|
|
|
|
|
1,158,130 |
|
|
|
See
Note 17 regarding subsequent event relating to stock option plans.
The
following table summarizes information about stock options outstanding at December 31, 2003 (options in thousands):
Range of Exercise Prices
|
|
Options
Outstanding
at 12/31/03
|
|
Weighted
Average
Remaining
Contract
Life
(years)
|
|
Weighted
Average
Exercise
Price
|
|
Options
Exercisable
at 12/31/03
|
|
Weighted
Average
Exercise
Price
|
$0.91 to $1.68 |
|
354 |
|
.9 |
|
$ |
1.14 |
|
354 |
|
$ |
1.14 |
$1.69 to $4.12 |
|
1,914 |
|
2.2 |
|
$ |
2.97 |
|
1,914 |
|
$ |
2.97 |
$4.13 to $6.99 |
|
8,163 |
|
4.4 |
|
$ |
4.76 |
|
4,039 |
|
$ |
4.70 |
$7.00 to $17.00 |
|
1,166 |
|
6.4 |
|
$ |
9.09 |
|
76 |
|
$ |
7.31 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
11,597 |
|
4.1 |
|
$ |
4.79 |
|
6,383 |
|
$ |
4.02 |
|
|
|
|
|
|
|
|
|
|
|
|
|
A
summary of our stock option activity, and related information, for years ended December 31, 2003, 2002 and 2001 follows (options in thousands):
|
|
2003
|
|
2002
|
|
2001
|
|
|
Options
|
|
Weighted
Average
Exercise
Price
|
|
Options
|
|
Weighted
Average
Exercise
Price
|
|
Options
|
|
Weighted
Average
Exercise
Price
|
Options outstandingbeginning of year |
|
17,075 |
|
$ |
4.32 |
|
17,542 |
|
$ |
4.28 |
|
16,985 |
|
$ |
4.18 |
Granted |
|
682 |
|
$ |
10.58 |
|
323 |
|
$ |
7.00 |
|
1,677 |
|
$ |
5.09 |
Exercised(1) |
|
(5,730 |
) |
$ |
4.09 |
|
(121 |
) |
$ |
3.69 |
|
(734 |
) |
$ |
3.67 |
Forfeited |
|
(430 |
) |
$ |
5.02 |
|
(669 |
) |
$ |
4.42 |
|
(386 |
) |
$ |
4.81 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Options outstandingend of year |
|
11,597 |
|
$ |
4.79 |
|
17,075 |
|
$ |
4.32 |
|
17,542 |
|
$ |
4.28 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Exercisable at end of year |
|
6,383 |
|
$ |
4.02 |
|
11,575 |
|
$ |
4.00 |
|
9,540 |
|
$ |
3.78 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted average fair value of options granted during the year |
|
|
|
$ |
1.82 |
|
|
|
$ |
2.15 |
|
|
|
$ |
1.84 |
- (1)
- The
2003 options exercised includes 4,664,739 options exercised in relation to the recapitalization completed in 2003. (See Note 2.)
F-34
NOTE 11. Other Comprehensive Income
The components of other comprehensive income are as follows (dollars in thousands):
|
|
Year ended December 31,
|
|
|
|
2003
|
|
2002
|
|
2001
|
|
Net earnings |
|
$ |
69,646 |
|
$ |
150,156 |
|
$ |
23,901 |
|
Foreign currency translation adjustment |
|
|
15,298 |
|
|
5,511 |
|
|
(1,213 |
) |
Net derivative loss, net of taxes of $1,402 in 2003, $562 in 2002 and $1,592 in 2001 |
|
|
(2,603 |
) |
|
(1,045 |
) |
|
(2,956 |
) |
Reclassification adjustment for losses included in income, net of taxes of $1,030 in 2003, $972 in 2002 and $713 in 2001 |
|
|
1,914 |
|
|
1,807 |
|
|
1,323 |
|
Reclassification adjustment for loss recognized on termination of interest rate swap, net of taxes (benefit) of $305 in 2002 and $372 in 2001 |
|
|
|
|
|
(549 |
) |
|
691 |
|
Reclassification adjustment for amortization of loss recognized on termination of interest rate swap, net of tax benefit of $76 |
|
|
|
|
|
|
|
|
(142 |
) |
|
|
|
|
|
|
|
|
Other comprehensive income |
|
$ |
84,255 |
|
$ |
155,880 |
|
$ |
21,604 |
|
|
|
|
|
|
|
|
|
As
of December 31, 2003, derivative financial instruments valued at a liability of approximately $2.4 million were recorded as a result of our adoption of FASB Statement
No. 133, "Accounting for Derivative Instruments and Hedging Activities". This liability is based upon the valuation of our interest rate
protection agreements associated with our new senior credit facility. (See Note 5.)
NOTE 12. Earnings Per Share
The following table sets forth the reconciliation from basic to diluted average common shares and the calculations of net earnings per common share. Net earnings
per share was calculated using the weighted average number of common shares outstanding. Dilutive potential common shares, which consist of stock options and Series A convertible preferred
stock, were excluded from the computation of the weighted
F-35
average
number of common shares outstanding in 2003 because their effect was antidilutive (dollars in thousands, except per share data) (See Note 1 (p).)
|
|
Year ended December 31,
|
|
|
2003
|
|
2002
|
|
2001
|
Net earnings |
|
$ |
69,646 |
|
|
150,156 |
|
$ |
23,901 |
Series A convertible preferred stock dividends |
|
|
(9,496 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings available to common shareholders |
|
$ |
60,150 |
|
$ |
150,156 |
|
$ |
23,901 |
|
|
|
|
|
|
|
Average common shares: |
|
|
|
|
|
|
|
|
|
|
Basic (weighted-average outstanding shares) |
|
|
58,599 |
|
|
70,927 |
|
|
70,917 |
|
Dilutive potential common shares from stock options |
|
|
5,894 |
|
|
6,735 |
|
|
3,079 |
|
Dilutive potential common shares from preferred stock conversion(1) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Diluted (weighted-average outstanding shares) |
|
|
64,493 |
|
|
77,662 |
|
|
73,996 |
|
|
|
|
|
|
|
Basic earnings per common share |
|
$ |
1.03 |
|
$ |
2.12 |
|
$ |
0.34 |
|
|
|
|
|
|
|
Diluted earnings per common share |
|
$ |
0.93 |
|
$ |
1.93 |
|
$ |
0.32 |
|
|
|
|
|
|
|
- (1)
- Due
to their antidilutive effect, 7,522,004 dilutive potential common shares from preferred stock conversion have been excluded from the diluted weighted average shares calculation
for 2003.
NOTE 13. Commitments and Contingencies
On February 21, 1992, Novamedix Limited, or Novamedix, filed a lawsuit against us in the United States District Court for the Western District of Texas,
San Antonio Division. Novamedix manufactures a product that competes directly with one of our vascular products, the PlexiPulse. The suit alleges that the PlexiPulse infringes several patents held by
Novamedix, that we breached a confidential relationship with Novamedix and a variety of ancillary claims. Novamedix seeks injunctive relief and monetary damages. A judicial stay which was in effect
with respect to all patent claims in this case has been lifted. Although it is not possible to reliably predict the outcome of this litigation or the damages which
could be awarded, we believe that our defenses to these claims are meritorious and that the litigation will not have a material adverse effect on our business, financial condition or results of
operations.
On
July 1, 1998, Mondomed N.V. filed an opposition in the European Patent Office to a European patent owned by Wake Forest University, which we license for our V.A.C. system. They
were joined in this opposition by Paul Hartmann A.G. on December 16, 1998. The patent was upheld at a hearing before a European Patent Office Opposition Division Panel on December 9,
2003. The patent, as originally granted, was corrected to expand the range of pressures covered by the patent from 0.10 - 0.99 atmospheres to
0.01 - 0.99 atmospheres and was modified to provide that the "screen means" covered by our patent is polymer foam and, under European patent law, its equivalents. The screen
means in the patent, among other things, helps to remove fluid from within and around the wound, distributes negative pressure within the wound, enhances the growth of granulation tissue and prevents
wound overgrowth. In our V.A.C. systems, the foam dressing placed in the wound serves as the screen means. We use two different types of polymer foams as the screen means in our V.A.C. systems. A
written ruling is expected in the next several months. Any party to the Opposition is entitled to appeal after the issuance of the written order. We intend
F-36
to
appeal the new screen means definition established by the panel. We believe it will take two to three years to complete the appeal process. During the pendency of the appeal, the original patents
will remain in place. We believe that this decision will not affect our U.S. patents.
On
January 4, 2002, Safe Bed Technologies Company, or Safe Bed, filed a lawsuit against us in the United States District Court for the Northern District of Illinois, Eastern
Division. The suit alleges that certain of our therapeutic surfaces products, including the TriaDyne and BariAir products, infringe a Safe Bed patent. We have asserted counterclaims for declarations
of non-infringement and patent invalidity. Although it is not possible to reliably predict the outcome of this litigation or the damages which could be awarded, we believe that we have
meritorious defenses to Safe Bed's claim that the litigation will not have a material adverse effect on our business, financial condition or results of operations.
On
August 28, 2003, KCI, KCI Licensing Inc., KCI USA, Inc. and Wake Forest University Health Sciences filed a lawsuit against BlueSky Medical Corporation, Medela AG,
Medela, Inc. and Patient Care Systems, Inc. in the United States District Court for the Western District of Texas, San Antonio Division alleging infringement of multiple claims under two
V.A.C. patents, arising from the manufacturing and marketing of a medical device by BlueSky. In addition to patent infringement, we have asserted causes of action for breach of contract, tortious
interference and unfair competition. BlueSky and Medela, Inc. have filed answers to the complaint and have asserted counterclaims against us for declarations of non-infringement and
patent invalidity. Patient Care Systems, Inc. has filed an answer, but has not asserted any counterclaims. Medela AG has filed a motion to dismiss based on lack of personal jurisdiction. Such
motion has not been ruled upon by the Court. A trial date for the lawsuit has been set for June 2005. Although it is not possible to reliably predict the outcome of this litigation, we believe
our claims are meritorious.
We
are a party to a number of additional lawsuits arising in the ordinary course of our business. Provisions have been made in our financial statements for estimated exposures related to
these lawsuits. We anticipate that the legal fees incurred in connection with the litigation discussed above will be immaterial. In the opinion of management, the disposition of these matters will not
have a material adverse effect on our business, financial condition or results of operations.
The
manufacturing and marketing of medical products necessarily entails an inherent risk of product liability claims. We currently have certain product liability claims pending for which
provision has been made in our financial statements. Management believes that resolution of these claims will not have a material adverse effect on our business, financial condition or results of
operations. We have not experienced any significant losses due to product liability claims and management believes that we currently maintain adequate liability insurance coverage.
Other
than commitments for new product inventory, including disposable "for sale" products of $17.6 million, we have no material long-term capital commitments and can
adjust our level of capital expenditures as circumstances dictate.
See
discussion of our self-insurance program at Note 1 and leases at Note 7.
F-37
NOTE 14. Segment and Geographic Information
We are principally engaged in the rental and sale of innovative therapeutic systems and surfaces throughout the United States and in 15 primary countries
internationally. Revenues are attributed to individual countries based on the location of the customer.
We
define our business segments based on geographic management responsibility. We have two reportable segments: USA, which includes operations in the United States, and International,
which includes operations for all international units. We have two primary product lines including V.A.C. and Therapeutic Surfaces/Other. Revenues for each of our product lines are disclosed for our
operating segments. No discrete financial information is available for our product lines other than revenue. Our product lines are marketed and serviced by the same infrastructure and, as such, we do
not manage our business by product line but rather by operating segments, which include our USA and our International Segments. We measure segment profit as operating earnings, which is defined as
income before interest income or expense, foreign currency gains and losses, and income taxes. All intercompany transactions are eliminated in computing revenue, operating earnings and assets. Prior
years have been made to conform
F-38
with
the current presentation. Information on segments and a reconciliation of consolidated totals are as follows (dollars in thousands):
|
|
Year Ended December 31,
|
|
|
|
2003
|
|
2002
|
|
2001
|
|
Revenue: |
|
|
|
|
|
|
|
|
|
|
|
USA: |
|
|
|
|
|
|
|
|
|
|
|
|
V.A.C. |
|
$ |
399,854 |
|
$ |
269,158 |
|
$ |
166,242 |
|
|
|
Therapeutic surfaces/other |
|
|
180,028 |
|
|
180,033 |
|
|
187,881 |
|
|
|
|
|
|
|
|
|
|
|
|
Subtotal - USA |
|
|
579,882 |
|
|
449,191 |
|
|
354,123 |
|
|
|
|
|
|
|
|
|
|
International: |
|
|
|
|
|
|
|
|
|
|
|
|
V.A.C. |
|
|
81,946 |
|
|
44,256 |
|
|
23,759 |
|
|
|
Therapeutic surfaces/other |
|
|
102,008 |
|
|
86,985 |
|
|
78,065 |
|
|
|
|
|
|
|
|
|
|
|
|
Subtotal - International |
|
|
183,954 |
|
|
131,241 |
|
|
101,824 |
|
|
|
|
|
|
|
|
|
|
|
$ |
763,836 |
|
$ |
580,432 |
|
$ |
455,947 |
|
|
|
|
|
|
|
|
|
Operating earnings: |
|
|
|
|
|
|
|
|
|
|
|
USA |
|
$ |
199,147 |
|
$ |
145,541 |
|
$ |
109,471 |
|
|
International |
|
|
25,455 |
|
|
18,348 |
|
|
19,124 |
|
|
Recapitalization expenses |
|
|
(70,085 |
) |
|
|
|
|
|
|
|
Unusual item-litigation settlement (gain) |
|
|
75,000 |
|
|
173,250 |
|
|
|
|
|
Other(1): |
|
|
|
|
|
|
|
|
|
|
|
|
Executive |
|
|
(16,415 |
) |
|
(12,272 |
) |
|
(13,060 |
) |
|
|
Finance |
|
|
(21,081 |
) |
|
(17,175 |
) |
|
(13,040 |
) |
|
|
Manufacturing/Engineering |
|
|
(7,563 |
) |
|
(6,695 |
) |
|
(4,394 |
) |
|
|
Administration |
|
|
(29,558 |
) |
|
(18,328 |
) |
|
(10,419 |
) |
|
|
|
|
|
|
|
|
|
|
|
Total other |
|
|
(74,617 |
) |
|
(54,470 |
) |
|
(40,913 |
) |
|
|
|
|
|
|
|
|
|
|
$ |
154,900 |
|
$ |
282,669 |
|
$ |
87,682 |
|
|
|
|
|
|
|
|
|
Depreciation and amortization: |
|
|
|
|
|
|
|
|
|
|
|
USA |
|
$ |
22,010 |
|
$ |
18,865 |
|
$ |
19,902 |
|
|
International |
|
|
14,211 |
|
|
9,302 |
|
|
8,296 |
|
|
Other(1): |
|
|
|
|
|
|
|
|
|
|
|
|
Executive |
|
|
341 |
|
|
484 |
|
|
2,123 |
|
|
|
Finance |
|
|
5,263 |
|
|
3,553 |
|
|
2,780 |
|
|
|
Manufacturing/Engineering |
|
|
1,762 |
|
|
1,983 |
|
|
1,632 |
|
|
|
Administration |
|
|
3,306 |
|
|
2,811 |
|
|
2,482 |
|
|
|
|
|
|
|
|
|
|
|
|
Total other |
|
|
10,672 |
|
|
8,831 |
|
|
9,017 |
|
|
|
|
|
|
|
|
|
|
|
$ |
46,893 |
|
$ |
36,998 |
|
$ |
37,215 |
|
|
|
|
|
|
|
|
|
F-39
|
|
Year Ended December 31,
|
|
|
2003
|
|
2002
|
|
2001
|
Total Assets: |
|
|
|
|
|
|
|
|
|
|
USA |
|
$ |
431,166 |
|
$ |
280,870 |
|
$ |
222,433 |
|
International |
|
|
157,369 |
|
|
114,192 |
|
|
74,015 |
|
Other: |
|
|
|
|
|
|
|
|
|
|
|
Executive |
|
|
7,672 |
|
|
8,834 |
|
|
14,869 |
|
|
Finance |
|
|
14,778 |
|
|
12,270 |
|
|
7,234 |
|
|
Manufacturing/Engineering |
|
|
13,292 |
|
|
13,605 |
|
|
13,046 |
|
|
Administration |
|
|
40,819 |
|
|
188,288 |
|
|
11,596 |
|
|
|
|
|
|
|
|
|
|
Total other |
|
|
76,561 |
|
|
222,997 |
|
|
46,745 |
|
|
|
|
|
|
|
|
|
$ |
665,096 |
|
$ |
618,059 |
|
$ |
343,193 |
|
|
|
|
|
|
|
Gross capital expenditures: |
|
|
|
|
|
|
|
|
|
|
USA |
|
$ |
31,848 |
|
$ |
24,263 |
|
$ |
24,771 |
|
International |
|
|
22,541 |
|
|
14,203 |
|
|
8,097 |
|
Other: |
|
|
|
|
|
|
|
|
|
|
|
Executive |
|
|
|
|
|
|
|
|
|
|
|
Finance |
|
|
20,207 |
|
|
14,677 |
|
|
8,201 |
|
|
Manufacturing/Engineering |
|
|
1,680 |
|
|
1,403 |
|
|
2,928 |
|
|
Administration |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total other |
|
|
21,887 |
|
|
16,080 |
|
|
11,129 |
|
|
|
|
|
|
|
|
|
$ |
76,276 |
|
$ |
54,546 |
|
$ |
43,997 |
|
|
|
|
|
|
|
- (1)
- Other
includes general headquarter expenses which are not allocated to the individual segments and are included in selling, general and administrative expenses within our Consolidated
Statements of Operations.
The following is other selected geographic financial information of KCI (dollars in thousands):
|
|
Year Ended December 31,
|
|
|
2003
|
|
2002
|
|
2001
|
Geographic location of long-lived assets: |
|
|
|
|
|
|
|
|
|
|
Domestic |
|
$ |
184,165 |
|
$ |
150,133 |
|
$ |
149,689 |
|
Foreign |
|
|
58,116 |
|
|
37,851 |
|
|
22,438 |
|
|
|
|
|
|
|
|
|
Total long-lived assets |
|
$ |
242,281 |
|
$ |
187,984 |
|
$ |
172,127 |
|
|
|
|
|
|
|
F-40
NOTE 15. Quarterly Financial Data (unaudited)
The unaudited consolidated results of operations by quarter are summarized below (dollars in thousands, except per share data):
|
|
Year Ended December 31, 2003
|
|
|
|
First
Quarter
|
|
Second
Quarter
|
|
Third
Quarter
|
|
Fourth
Quarter
|
|
Revenue |
|
$ |
167,003 |
|
$ |
182,877 |
|
$ |
198,042 |
|
$ |
215,914 |
|
Gross profit |
|
$ |
73,979 |
|
$ |
80,253 |
|
$ |
87,472 |
|
$ |
101,939 |
|
Recapitalization expenses |
|
|
|
|
|
|
|
$ |
69,955 |
|
$ |
130 |
|
Unusual item-litigation settlement |
|
|
|
|
|
|
|
|
|
|
$ |
75,000 |
|
Operating earnings |
|
$ |
33,073 |
|
$ |
35,764 |
|
$ |
(31,184 |
) |
$ |
117,247 |
|
Net earnings |
|
$ |
16,927 |
|
$ |
19,018 |
|
$ |
(34,253 |
) |
$ |
67,954 |
|
Series A convertible preferred stock dividends |
|
$ |
|
|
$ |
|
|
$ |
(3,427 |
) |
$ |
(6,069 |
) |
Net earnings available to common shareholders |
|
$ |
16,927 |
|
$ |
19,018 |
|
$ |
(37,680 |
) |
$ |
61,885 |
|
Net earnings per share available to common shareholders: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic |
|
$ |
0.24 |
|
$ |
0.27 |
|
$ |
(0.74 |
) |
$ |
1.50 |
|
|
Dilutive |
|
$ |
0.21 |
|
$ |
0.25 |
|
$ |
(0.74 |
) |
$ |
1.03 |
|
Average common shares: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic (weighted average outstanding shares) |
|
|
70,995 |
|
|
71,070 |
|
|
51,139 |
|
|
41,203 |
|
|
|
|
|
|
|
|
|
|
|
|
Diluted (weighted average outstanding shares) |
|
|
79,861 |
|
|
77,236 |
|
|
51,139 |
|
|
65,842 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, 2002
|
|
|
First
Quarter
|
|
Second
Quarter
|
|
Third
Quarter
|
|
Fourth
Quarter
|
Revenue |
|
$ |
127,460 |
|
$ |
137,428 |
|
$ |
150,887 |
|
$ |
164,657 |
Gross profit |
|
$ |
55,746 |
|
$ |
58,719 |
|
$ |
65,352 |
|
$ |
72,315 |
Unusual item-litigation settlement |
|
|
|
|
|
|
|
|
|
|
$ |
173,250 |
Operating earnings |
|
$ |
24,554 |
|
$ |
26,148 |
|
$ |
26,398 |
|
$ |
205,569 |
Net earnings |
|
$ |
8,433 |
|
$ |
11,596 |
|
$ |
9,103 |
|
$ |
121,024 |
Net earnings per share available to common shareholders: |
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic |
|
$ |
0.12 |
|
$ |
0.16 |
|
$ |
0.13 |
|
$ |
1.71 |
|
Dilutive |
|
$ |
0.11 |
|
$ |
0.15 |
|
$ |
0.12 |
|
$ |
1.56 |
Weighted average shares outstanding: |
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic |
|
|
70,925 |
|
|
70,926 |
|
|
70,928 |
|
|
70,928 |
|
|
|
|
|
|
|
|
|
|
Diluted |
|
|
77,721 |
|
|
77,683 |
|
|
77,664 |
|
|
77,643 |
|
|
|
|
|
|
|
|
|
Earnings per share for the full year may differ from the total of the quarterly earnings per share due to rounding differences.
NOTE 16. Unusual ItemLitigation Settlement
During the fourth quarters of 2003 and 2002, we recorded gains in connection with two separate payments from the settlement of an antitrust lawsuit with
Hillenbrand Industries, Inc. and Hill-Rom Company, Inc., a wholly-owned subsidiary of Hillenbrand (together, "Hillenbrand"). On December 31, 2002, under the
settlement, Hillenbrand agreed to pay KCI $250.0 million. The initial payment of
F-41
$175.0 million
was paid on January 2, 2003. Net of legal fees and expenses, this transaction added $173.3 million of pretax income and $106.4 million of net earnings to the
2002 results. We recorded a $66.8 million current deferred tax liability related to this gain. The second payment of $75.0 million was received on December 31, 2003 and added
$75.0 million of pre-tax income and $46.9 million of net earnings to the 2003 results.
NOTE 17. Subsequent Events (unaudited)
On March 22, 2004, we made a prepayment of $50.0 million on our new senior credit facility.
On
March 10, 2004, we launched an exchange offer to all holders of our 73/8% Senior Subordinated Notes due 2013 pursuant to which the holders may exchange their
notes for a new issue of notes pursuant to
a registration rights agreement and a Registration Statement on Form S-4 declared effective on March 2, 2004 by the SEC. The exchange notes will be identical in all material
respects to the notes being exchanged, except that the exchange notes will not contain terms restricting their transfer or any terms related to registration rights. For each note surrendered pursuant
to the exchange offer and not withdrawn by the holder, the holder of the note will receive an exchange note having the principal amount equal to that of the surrendered note. The exchange notes will
bear interest from the most recent date on which interest has been paid on the original notes. The exchange offer and withdrawal rights will expire at 5:00 p.m., New York City time, on
April 7, 2004, unless terminated or extended by us.
On
February 27, 2004, we closed an initial public offering of our common stock at a price of $30.00 per share, through which we sold 3,500,000 newly-issued shares and the selling
shareholders sold an aggregate of 17,200,000 existing shares. On February 27, 2004, upon the closing of the initial public offering, we issued an irrevocable notice to the holders of our
73/8% Senior Subordinated Notes due 2013 to redeem $71.75 million principal amount of such notes on March 29, 2004 pursuant to a provision in the indenture governing the
notes that permits us to use all or a portion of the net cash proceeds of an equity offering to redeem the notes at a redemption price equal to 107.375% of their principal amount plus accrued and
unpaid interest to the date of redemption.
Upon
the closing of our initial public offering, all of the then-outstanding shares of our Series A convertible preferred stock were automatically converted into
19,199,520 shares of common stock.
Additionally,
we amended our new senior credit agreement effective upon the closing of our initial public offering as follows:
-
- There
will be a new term loan B facility that will be used to repay the existing term loan B facility, and the applicable margin with respect to the new term loan B facility
will be (a) at any time the leverage ratio is greater than 2.25 to 1.00, 1.25% in the case of base rate loans and 2.25% in the case of Eurodollar loans, (b) at any time the leverage
ratio is less than or equal to 2.25 to 1.00, 1.00% in the case of base rate loans and 2.00% in the case of Eurodollar loans, and (c) at any time our leverage ratio is less than 1.75 to 1.00,
and the loans are rated at least Ba2 by Moody's and BB+ by Standard and Poor's, .75% in the case of base rate loans and 1.75% in the case of Eurodollar loans.
-
- We
will be permitted to either prepay our 73/8% Senior Subordinated Notes due 2013 or our term loan B with the proceeds of the offering not used to pay
bonuses to management and transaction fees and expenses. In addition, we will be permitted to prepay our 73/8% Senior Subordinated Notes due 2013 with any cash tax benefits associated
with bonuses paid to management, any cash on hand.
F-42
On
February 9, 2004, in connection with the initial public offering, the Company's shareholders amended the Company's Articles of Incorporation to increase the number of shares of
stock authorized to be issued by the Company to 225,000,000 shares of common stock and 50,000,000 shares of preferred stock. In addition, on that same date, the Company's shareholders approved the
2004 Equity Plan and the 2004 Employee Stock Purchase Plan (the "2004 ESPP"). The 2004 Equity Plan will be effective on the date our securities are listed on the NYSE and reserves for issuance a
maximum of 7,000,000 shares of common stock to be awarded as stock options, stock appreciation rights, restricted stock and/or restricted stock units. Of the 7,000,000 shares, 20% may be issued in the
form of restricted stock, restricted stock units or a combination of the two. No awards have been made under this plan.
The
2004 ESPP will become effective in the second quarter of 2004. The maximum number of shares of common stock reserved for issuance under the 2004 ESPP is 2,500,000 shares. Under the
2004 ESPP, each eligible employee will be permitted to purchase shares of our common stock through regular payroll deductions in an amount between 1% and 10% of the employee's compensation for each
payroll period, not to exceed $25,000 per year. The 2004 ESPP provides six-month offering periods. Each six-month offering period will be composed of an identical six-month purchase period.
Participating employees will be able to purchase shares of common stock with payroll deductions at a purchase price equal to 85% of the fair market value of the common stock at either the beginning of
each offering period or the end of each respective purchase period, whichever price is lower.
Our
shareholders also approved an amendment to the 1997 Management Equity Plan which provides that no additional awards will be issued under that plan.
NOTE 18. Related Party Transactions
Pursuant to a Management Services Agreement entered into in November 1997 by and among KCI and our primary shareholders, Fremont Partners,
Dr. Leininger and Blum Capital Partners, we made semi-annual payments to each of Fremont Partners, Dr. Leininger and Blum Capital Partners of approximately $300,000, $250,000
and $200,000 respectively, as a management fee. On August 11, 2003, as part of the recapitalization, we amended the Management Services Agreement to, among other things, terminate the
management fee.
We
issued to our primary shareholders, Fremont Partners, Blum Capital Partners, and Dr. Leininger, and their affiliates, an aggregate of $190.0 million of the
Series A convertible preferred stock that we
F-43
offered
in connection with the recapitalization. In addition, we issued to John P. Byrnes, Harry R. Jacobson, M.D., David J. Simpson and C. Thomas Smith, all of whom are
non-employee directors of ours, an aggregate $1.8 million of the Series A convertible preferred stock that we offered in connection with the recapitalization. We anticipate
that all outstanding shares of our Series A convertible preferred stock will be converted into shares of our common stock immediately prior to the closing of the announced initial public
offering.
A
member of our Board of Directors, David J. Simpson, is an officer of Stryker corporation, with which we conduct business on a limited basis. During fiscal 2003, 2002 and 2001,
we purchased approximately $2.5 million, $3.6 million and $1.5 million in hospital bed frames from Stryker, respectively. During those same periods, we sold approximately
$246,000, $220,000 and $340,000 of therapeutic surfaces to Stryker, respectively.
A
member of our board of directors, C. Thomas Smith, became a member of our board of directors in April 2003, after he had retired as the Chief Executive Officer and
President of VHA Inc. VHA Inc. is affiliated with Novation, LLC. Novation is a GPO with which we have had major supply contracts since
the 1980s. During fiscal 2003, 2002 and 2001, respectively, we received approximately $128.7 million, $113.1 million and $109.9 million in V.A.C. and therapeutic surfaces revenues
under our Novation contracts.
NOTE 19. Guarantor Condensed Consolidating Financial Statements
On August 11, 2003, we issued and sold an aggregate of $205.0 million principal amount of 73/8% Senior Subordinated Notes due 2013.
The
notes are fully and unconditionally guaranteed, jointly and severally, by each of KCI's direct and indirect 100% owned subsidiaries, other than any entity that is a controlled
foreign corporation within the definition of Section 957 of the Internal Revenue code or a holding company whose only assets are investments in a controlled foreign corporation. Each of these
subsidiaries is a restricted subsidiary, as defined in the indenture governing the notes. (See Note 5.) We have not presented separate financial statements and other disclosures concerning the
subsidiary guarantors because management has determined that such information is not material to investors.
The
following tables present the condensed consolidating balance sheets of KCI as a parent company, our guarantor subsidiaries and our non-guarantor subsidiaries as of
December 31, 2003 and 2002 and the related condensed consolidating statements of operations and cash flows for each year in the three-year period ended December 31, 2003.
F-44
Condensed Consolidating Guarantor, Non-Guarantor And
Parent Company Balance Sheet
December 31, 2003
(in thousands)
|
|
Kinetic
Concepts, Inc.
Parent
Company
Borrower
|
|
Guarantor
Subsidiaries
|
|
Non-
Guarantor
Subsidiaries
|
|
Reclassifications and
Eliminations
|
|
Kinetic
Concepts,
Inc.
and Subsidiaries
|
|
ASSETS: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Current assets: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents |
|
$ |
|
|
$ |
129,695 |
|
$ |
26,369 |
|
$ |
|
|
$ |
156,064 |
|
|
Accounts receivable, net |
|
|
|
|
|
153,199 |
|
|
49,903 |
|
|
(3,164 |
) |
|
199,938 |
|
|
Inventories, net |
|
|
|
|
|
17,114 |
|
|
15,139 |
|
|
|
|
|
32,253 |
|
|
Deferred income taxes |
|
|
|
|
|
22,749 |
|
|
|
|
|
|
|
|
22,749 |
|
|
Prepaid expenses and other current assets |
|
|
|
|
|
9,594 |
|
|
3,926 |
|
|
(1,709 |
) |
|
11,811 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total current assets |
|
|
|
|
|
332,351 |
|
|
95,337 |
|
|
(4,873 |
) |
|
422,815 |
|
Net property, plant and equipment |
|
|
|
|
|
103,555 |
|
|
55,924 |
|
|
(14,271 |
) |
|
145,208 |
|
Loan and preferred stock issuance costs, net |
|
|
|
|
|
19,779 |
|
|
|
|
|
|
|
|
19,779 |
|
Goodwill |
|
|
|
|
|
39,785 |
|
|
9,012 |
|
|
|
|
|
48,797 |
|
Other assets, net |
|
|
|
|
|
28,049 |
|
|
17,683 |
|
|
(17,235 |
) |
|
28,497 |
|
Intercompany investments and advances |
|
|
(245,401 |
) |
|
642,737 |
|
|
15,333 |
|
|
(412,669 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
(245,401 |
) |
$ |
1,166,256 |
|
$ |
193,289 |
|
$ |
(449,048 |
) |
$ |
665,096 |
|
|
|
|
|
|
|
|
|
|
|
|
|
LIABILITIES AND SHAREHOLDERS' EQUITY (DEFICIT): |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Current liabilities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Accounts payable |
|
$ |
|
|
$ |
24,690 |
|
$ |
9,696 |
|
$ |
|
|
$ |
34,386 |
|
Accrued expenses |
|
|
134 |
|
|
89,268 |
|
|
23,250 |
|
|
|
|
|
112,652 |
|
Current installments of long-term debt |
|
|
|
|
|
4,800 |
|
|
|
|
|
|
|
|
4,800 |
|
Current installments of capital lease obligations |
|
|
|
|
|
75 |
|
|
1,501 |
|
|
|
|
|
1,576 |
|
Intercompany payables |
|
|
|
|
|
22,136 |
|
|
|
|
|
(22,136 |
) |
|
|
|
Derivative financial instruments |
|
|
|
|
|
2,402 |
|
|
|
|
|
|
|
|
2,402 |
|
Income taxes payable |
|
|
|
|
|
36,803 |
|
|
2,600 |
|
|
|
|
|
39,403 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total current liabilities |
|
|
134 |
|
|
180,174 |
|
|
37,047 |
|
|
(22,136 |
) |
|
195,219 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Long-term obligations, net of current installments |
|
|
|
|
|
678,100 |
|
|
|
|
|
|
|
|
678,100 |
|
Capital lease obligations, net of current installments |
|
|
|
|
|
|
|
|
1,351 |
|
|
|
|
|
1,351 |
|
Intercompany payables, noncurrent |
|
|
|
|
|
(21,500 |
) |
|
21,500 |
|
|
|
|
|
|
|
Deferred income taxes, net |
|
|
|
|
|
28,838 |
|
|
|
|
|
(2,272 |
) |
|
26,566 |
|
Deferred gain, sale of headquarters facility |
|
|
|
|
|
9,183 |
|
|
|
|
|
|
|
|
9,183 |
|
Other noncurrent liabilities |
|
|
|
|
|
15,175 |
|
|
|
|
|
(14,963 |
) |
|
212 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
134 |
|
|
889,970 |
|
|
59,898 |
|
|
(39,371 |
) |
|
910,631 |
|
Series A convertible preferred stock |
|
|
261,719 |
|
|
|
|
|
|
|
|
|
|
|
261,719 |
|
Shareholders' equity (deficit) |
|
|
(507,254 |
) |
|
276,286 |
|
|
133,391 |
|
|
(409,677 |
) |
|
(507,254 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
(245,401 |
) |
$ |
1,166,256 |
|
$ |
193,289 |
|
$ |
(449,048 |
) |
$ |
665,096 |
|
|
|
|
|
|
|
|
|
|
|
|
|
F-45
Condensed Consolidating Guarantor, Non-Guarantor And
Parent Company Balance Sheet
December 31, 2002
(in thousands)
|
|
Kinetic
Concepts, Inc.
Parent
Company
Borrower
|
|
Guarantor
Subsidiaries
|
|
Non-
Guarantor
Subsidiaries
|
|
Reclassifications and Eliminations
|
|
Kinetic
Concepts,
Inc.
and Subsidiaries
|
|
ASSETS: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Current assets: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents |
|
$ |
|
|
$ |
41,185 |
|
$ |
13,300 |
|
$ |
|
|
$ |
54,485 |
|
|
Accounts receivable, net |
|
|
|
|
|
125,106 |
|
|
35,612 |
|
|
(7,822 |
) |
|
152,896 |
|
|
Accounts receivableother |
|
|
175,000 |
|
|
|
|
|
|
|
|
|
|
|
175,000 |
|
|
Inventories, net |
|
|
|
|
|
20,113 |
|
|
17,821 |
|
|
|
|
|
37,934 |
|
|
Prepaid expenses and other current assets |
|
|
|
|
|
6,377 |
|
|
3,383 |
|
|
|
|
|
9,760 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total current assets |
|
|
175,000 |
|
|
192,781 |
|
|
70,116 |
|
|
(7,822 |
) |
|
430,075 |
|
Net property, plant and equipment |
|
|
|
|
|
96,458 |
|
|
23,516 |
|
|
(14,425 |
) |
|
105,549 |
|
Loan issuance costs, net |
|
|
|
|
|
5,911 |
|
|
|
|
|
|
|
|
5,911 |
|
Goodwill |
|
|
|
|
|
38,724 |
|
|
7,633 |
|
|
|
|
|
46,357 |
|
Other assets, net |
|
|
|
|
|
31,420 |
|
|
20,247 |
|
|
(21,500 |
) |
|
30,167 |
|
Intercompany investments and advances |
|
|
(187,076 |
) |
|
508,045 |
|
|
23,447 |
|
|
(344,416 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
(12,076 |
) |
$ |
873,339 |
|
$ |
144,959 |
|
$ |
(388,163 |
) |
$ |
618,059 |
|
|
|
|
|
|
|
|
|
|
|
|
|
LIABILITIES AND SHAREHOLDERS' EQUITY (DEFICIT): |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Current liabilities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Accounts payable |
|
$ |
|
|
$ |
4,632 |
|
$ |
6,524 |
|
$ |
|
|
$ |
11,156 |
|
|
Accrued expenses |
|
|
1,522 |
|
|
46,058 |
|
|
13,976 |
|
|
|
|
|
61,556 |
|
|
Current installments of long-term debt |
|
|
|
|
|
30,550 |
|
|
|
|
|
|
|
|
30,550 |
|
|
Current installments of capital lease obligations |
|
|
|
|
|
157 |
|
|
|
|
|
|
|
|
157 |
|
|
Intercompany payables |
|
|
|
|
|
22,497 |
|
|
|
|
|
(22,497 |
) |
|
|
|
|
Derivative financial instruments |
|
|
|
|
|
1,341 |
|
|
|
|
|
|
|
|
1,341 |
|
|
Income taxes payable |
|
|
|
|
|
8,615 |
|
|
6,000 |
|
|
|
|
|
14,615 |
|
|
Current deferred income taxes |
|
|
66,838 |
|
|
(10,951 |
) |
|
|
|
|
|
|
|
55,887 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total current liabilities |
|
|
68,360 |
|
|
102,899 |
|
|
26,500 |
|
|
(22,497 |
) |
|
175,262 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Long-term obligations, net of current installments |
|
|
|
|
|
491,300 |
|
|
|
|
|
|
|
|
491,300 |
|
Capital lease obligations, net of current installments |
|
|
|
|
|
75 |
|
|
20 |
|
|
|
|
|
95 |
|
Intercompany payables, noncurrent |
|
|
|
|
|
(21,500 |
) |
|
21,500 |
|
|
|
|
|
|
|
Deferred income taxes, net |
|
|
|
|
|
20,202 |
|
|
|
|
|
250 |
|
|
20,452 |
|
Deferred gain, sale of headquarters facility |
|
|
|
|
|
10,023 |
|
|
|
|
|
|
|
|
10,023 |
|
Other noncurrent liabilities |
|
|
|
|
|
22,863 |
|
|
|
|
|
(21,500 |
) |
|
1,363 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
68,360 |
|
|
625,862 |
|
|
48,020 |
|
|
(43,747 |
) |
|
698,495 |
|
Shareholders' equity (deficit) |
|
|
(80,436 |
) |
|
247,477 |
|
|
96,939 |
|
|
(344,416 |
) |
|
(80,436 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
(12,076 |
) |
$ |
873,339 |
|
$ |
144,959 |
|
$ |
(388,163 |
) |
$ |
618,059 |
|
|
|
|
|
|
|
|
|
|
|
|
|
F-46
Condensed Consolidating Guarantor, Non-Guarantor And
Parent Company Statement of Earnings
For the year ended December 31, 2003
(in thousands)
|
|
Kinetic
Concepts, Inc.
Parent
Company
Borrower
|
|
Guarantor
Subsidiaries
|
|
Non-
Guarantor
Subsidiaries
|
|
Reclassifications
and
Eliminations
|
|
Kinetic
Concepts, Inc.
and
Subsidiaries
|
|
Revenue: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Rental |
|
$ |
|
|
$ |
460,204 |
|
$ |
122,597 |
|
$ |
|
|
$ |
582,801 |
|
|
Sales |
|
|
|
|
|
156,761 |
|
|
66,854 |
|
|
(42,580 |
) |
|
181,035 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
|
|
|
|
616,965 |
|
|
189,451 |
|
|
(42,580 |
) |
|
763,836 |
|
Rental expenses |
|
|
|
|
|
242,565 |
|
|
113,510 |
|
|
|
|
|
356,075 |
|
Cost of goods sold |
|
|
|
|
|
59,959 |
|
|
21,158 |
|
|
(16,999 |
) |
|
64,118 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Gross profit |
|
|
|
|
|
314,441 |
|
|
54,783 |
|
|
(25,581 |
) |
|
343,643 |
|
Selling, general and administrative expenses |
|
|
|
|
|
177,489 |
|
|
29,224 |
|
|
(13,055 |
) |
|
193,658 |
|
Recapitalization expenses |
|
|
|
|
|
70,085 |
|
|
|
|
|
|
|
|
70,085 |
|
Unusual itemlitigation settlement (gain) |
|
|
(75,000 |
) |
|
|
|
|
|
|
|
|
|
|
(75,000 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating earnings |
|
|
75,000 |
|
|
66,867 |
|
|
25,559 |
|
|
(12,526 |
) |
|
154,900 |
|
Interest income |
|
|
|
|
|
878 |
|
|
187 |
|
|
|
|
|
1,065 |
|
Interest expense |
|
|
|
|
|
(52,098 |
) |
|
(2,867 |
) |
|
2,867 |
|
|
(52,098 |
) |
Foreign currency gain |
|
|
|
|
|
|
|
|
7,566 |
|
|
|
|
|
7,566 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earnings before income taxes and equity in earnings of subsidiaries |
|
|
75,000 |
|
|
15,647 |
|
|
30,445 |
|
|
(9,659 |
) |
|
111,433 |
|
Income taxes |
|
|
28,125 |
|
|
8,572 |
|
|
8,713 |
|
|
(3,623 |
) |
|
41,787 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earnings before equity in earnings of subsidiaries |
|
|
46,875 |
|
|
7,075 |
|
|
21,732 |
|
|
(6,036 |
) |
|
69,646 |
|
Equity in earnings of subsidiaries |
|
|
22,771 |
|
|
21,732 |
|
|
|
|
|
(44,503 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings |
|
$ |
69,646 |
|
$ |
28,807 |
|
$ |
21,732 |
|
$ |
(50,539 |
) |
$ |
69,646 |
|
Series A convertible preferred stock dividends |
|
|
(9,496 |
) |
|
|
|
|
|
|
|
|
|
|
(9,496 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings available to common shareholders |
|
$ |
60,150 |
|
$ |
28,807 |
|
$ |
21,732 |
|
$ |
(50,539 |
) |
$ |
60,150 |
|
|
|
|
|
|
|
|
|
|
|
|
|
F-47
Condensed Consolidating Guarantor, Non-Guarantor And
Parent Company Statement of Earnings
For the year ended December 31, 2002
(in thousands)
|
|
Kinetic
Concepts, Inc.
Parent
Company
Borrower
|
|
Guarantor
Subsidiaries
|
|
Non-
Guarantor
Subsidiaries
|
|
Reclassifications
and
Eliminations
|
|
Kinetic
Concepts, Inc.
and
Subsidiaries
|
|
Revenue: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Rental |
|
$ |
|
|
$ |
365,782 |
|
$ |
87,279 |
|
$ |
|
|
$ |
453,061 |
|
|
Sales |
|
|
|
|
|
107,164 |
|
|
44,828 |
|
|
(24,621 |
) |
|
127,371 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
|
|
|
|
472,946 |
|
|
132,107 |
|
|
(24,621 |
) |
|
580,432 |
|
Rental expenses |
|
|
|
|
|
198,828 |
|
|
77,648 |
|
|
|
|
|
276,476 |
|
Cost of goods sold |
|
|
|
|
|
49,387 |
|
|
16,514 |
|
|
(14,077 |
) |
|
51,824 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Gross profit |
|
|
|
|
|
224,731 |
|
|
37,945 |
|
|
(10,544 |
) |
|
252,132 |
|
Selling, general and administrative expenses |
|
|
|
|
|
129,530 |
|
|
13,183 |
|
|
|
|
|
142,713 |
|
Unusual item-litigation settlement (gain) |
|
|
(173,250 |
) |
|
|
|
|
|
|
|
|
|
|
(173,250 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating earnings |
|
|
173,250 |
|
|
95,201 |
|
|
24,762 |
|
|
(10,544 |
) |
|
282,669 |
|
Interest income |
|
|
|
|
|
294 |
|
|
202 |
|
|
|
|
|
496 |
|
Interest expense |
|
|
|
|
|
(40,943 |
) |
|
1,702 |
|
|
(1,702 |
) |
|
(40,943 |
) |
Foreign currency gain |
|
|
|
|
|
3,555 |
|
|
380 |
|
|
|
|
|
3,935 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earnings before income taxes and equity in earnings of subsidiaries |
|
|
173,250 |
|
|
58,107 |
|
|
27,046 |
|
|
(12,246 |
) |
|
246,157 |
|
Income taxes |
|
|
66,838 |
|
|
22,682 |
|
|
11,257 |
|
|
(4,776 |
) |
|
96,001 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earnings before equity in earnings of subsidiaries |
|
|
106,412 |
|
|
35,425 |
|
|
15,789 |
|
|
(7,470 |
) |
|
150,156 |
|
Equity in earnings of subsidiaries |
|
|
43,744 |
|
|
15,790 |
|
|
|
|
|
(59,534 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings |
|
$ |
150,156 |
|
$ |
51,215 |
|
$ |
15,789 |
|
$ |
(67,004 |
) |
$ |
150,156 |
|
|
|
|
|
|
|
|
|
|
|
|
|
F-48
Condensed Consolidating Guarantor, Non-Guarantor And
Parent Company Statement of Earnings
For the year ended December 31, 2001
(in thousands)
|
|
Kinetic
Concepts, Inc.
Parent
Company
Borrower
|
|
Guarantor
Subsidiaries
|
|
Non-
Guarantor
Subsidiaries
|
|
Reclassifications
and
ElimiNations
|
|
Kinetic
Concepts, Inc.
and Subsidiaries
|
|
Revenue: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Rental |
|
$ |
|
|
$ |
291,145 |
|
$ |
70,489 |
|
$ |
|
|
$ |
361,634 |
|
|
Sales |
|
|
|
|
|
74,564 |
|
|
27,608 |
|
|
(7,859 |
) |
|
94,313 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
|
|
|
|
365,709 |
|
|
98,097 |
|
|
(7,859 |
) |
|
455,947 |
|
Rental expenses |
|
|
|
|
|
165,618 |
|
|
54,867 |
|
|
|
|
|
220,485 |
|
Cost of goods sold |
|
|
|
|
|
31,859 |
|
|
8,202 |
|
|
(7,109 |
) |
|
32,952 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Gross profit |
|
|
|
|
|
168,232 |
|
|
35,028 |
|
|
(750 |
) |
|
202,510 |
|
Selling, general and administrative expenses |
|
|
|
|
|
105,460 |
|
|
9,368 |
|
|
|
|
|
114,828 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating earnings |
|
|
|
|
|
62,772 |
|
|
25,660 |
|
|
(750 |
) |
|
87,682 |
|
Interest income |
|
|
|
|
|
174 |
|
|
106 |
|
|
|
|
|
280 |
|
Interest expense |
|
|
|
|
|
(45,116 |
) |
|
|
|
|
|
|
|
(45,116 |
) |
Foreign currency loss |
|
|
|
|
|
(1,322 |
) |
|
(316 |
) |
|
|
|
|
(1,638 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earnings before income taxes and equity in earnings of subsidiaries |
|
|
|
|
|
16,508 |
|
|
25,450 |
|
|
(750 |
) |
|
41,208 |
|
Income taxes |
|
|
|
|
|
8,852 |
|
|
8,770 |
|
|
(315 |
) |
|
17,307 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earnings before equity in earnings of subsidiaries |
|
|
|
|
|
7,656 |
|
|
16,680 |
|
|
(435 |
) |
|
23,901 |
|
Equity in earnings of subsidiaries |
|
|
23,901 |
|
|
16,680 |
|
|
|
|
|
(40,581 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings |
|
$ |
23,901 |
|
$ |
24,336 |
|
$ |
16,680 |
|
$ |
(41,016 |
) |
$ |
23,901 |
|
|
|
|
|
|
|
|
|
|
|
|
|
F-49
Condensed Consolidating Guarantor, Non-Guarantor And
Parent Company Statement of Cash Flows
For the year ended December 31, 2003
(in thousands)
|
|
Kinetic
Concepts, Inc.
Parent
Company
Borrower
|
|
Guarantor
Subsidiaries
|
|
Non-
Guarantor
Subsidiaries
|
|
Reclassifications
and
Eliminations
|
|
Kinetic
Concepts, Inc.
and Subsidiaries
|
|
Cash flows from operating activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings |
|
$ |
69,646 |
|
$ |
28,807 |
|
$ |
21,732 |
|
$ |
(50,539 |
) |
$ |
69,646 |
|
Adjustments to reconcile net earnings to net cash provided by operating activities |
|
|
84,187 |
|
|
76,739 |
|
|
10,889 |
|
|
38,745 |
|
|
210,560 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash provided by operating activities |
|
|
153,833 |
|
|
105,546 |
|
|
32,621 |
|
|
(11,794 |
) |
|
280,206 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash flows from investing activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Additions to property, plant and equipment |
|
|
|
|
|
(39,814 |
) |
|
(36,596 |
) |
|
134 |
|
|
(76,276 |
) |
Decrease in inventory to be converted into equipment for short-term rental |
|
|
|
|
|
2,100 |
|
|
|
|
|
|
|
|
2,100 |
|
Dispositions of property, plant and equipment |
|
|
|
|
|
678 |
|
|
2,897 |
|
|
|
|
|
3,575 |
|
Business acquisitions, net of cash acquired |
|
|
|
|
|
(2,224 |
) |
|
|
|
|
|
|
|
(2,224 |
) |
Decrease (increase) in other assets |
|
|
|
|
|
2,752 |
|
|
1,185 |
|
|
(4,265 |
) |
|
(328 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Net cash used by investing activities |
|
|
|
|
|
(36,508 |
) |
|
(32,514 |
) |
|
(4,131 |
) |
|
(73,153 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Cash flows from financing activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Proceeds from (repayments of) notes payable, long-term, capital lease and other obligations |
|
|
|
|
|
(117,481 |
) |
|
2,832 |
|
|
|
|
|
(114,649 |
) |
Proceeds from the exercise of stock options |
|
|
1,725 |
|
|
|
|
|
|
|
|
|
|
|
1,725 |
|
Payoff of long-term debt and bonds |
|
|
|
|
|
(408,226 |
) |
|
|
|
|
|
|
|
(408,226 |
) |
Proceeds from issuance of new debt and bonds |
|
|
|
|
|
685,000 |
|
|
|
|
|
|
|
|
685,000 |
|
Proceeds from issuance of preferred stock, net |
|
|
258,017 |
|
|
|
|
|
|
|
|
|
|
|
258,017 |
|
Purchase of common stock |
|
|
(509,597 |
) |
|
|
|
|
|
|
|
|
|
|
(509,597 |
) |
Debt and preferred stock issuance costs |
|
|
|
|
|
(20,729 |
) |
|
|
|
|
|
|
|
(20,729 |
) |
Proceeds (payments) on intercompany investments and advances |
|
|
81,413 |
|
|
(120,174 |
) |
|
8,113 |
|
|
30,648 |
|
|
|
|
Other |
|
|
14,609 |
|
|
1,082 |
|
|
2,017 |
|
|
(17,708 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash provided (used) by financing activities: |
|
|
(153,833 |
) |
|
19,472 |
|
|
12,962 |
|
|
12,940 |
|
|
(108,459 |
) |
Effect of exchange rate changes on cash and cash equivalents |
|
|
|
|
|
|
|
|
|
|
|
2,985 |
|
|
2,985 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Net increase in cash and cash equivalents |
|
|
|
|
|
88,510 |
|
|
13,069 |
|
|
|
|
|
101,579 |
|
Cash and cash equivalents, beginning of year |
|
|
|
|
|
41,185 |
|
|
13,300 |
|
|
|
|
|
54,485 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents, end of year |
|
$ |
|
|
$ |
129,695 |
|
$ |
26,369 |
|
$ |
|
|
$ |
156,064 |
|
|
|
|
|
|
|
|
|
|
|
|
|
F-50
Condensed Consolidating Guarantor, Non-Guarantor And
Parent Company Statement of Cash Flows
For the year ended December 31, 2002
(in thousands)
|
|
Kinetic
Concepts, Inc.
Parent
Company
Borrower
|
|
Guarantor
Subsidiaries
|
|
Non-
Guarantor
Subsidiaries
|
|
Reclassifications
and
Eliminations
|
|
Kinetic
Concepts, Inc.
and
Subsidiaries
|
|
Cash flows from operating activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings |
|
$ |
150,156 |
|
$ |
51,215 |
|
$ |
15,789 |
|
$ |
(67,004 |
) |
$ |
150,156 |
|
Noncash gain on litigation settlement |
|
|
(173,250 |
) |
|
|
|
|
|
|
|
|
|
|
(173,250 |
) |
Adjustments to reconcile net earnings to net cash provided by operating activities |
|
|
22,866 |
|
|
3,991 |
|
|
8,638 |
|
|
63,853 |
|
|
99,348 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash provided (used) by operating activities |
|
|
(228 |
) |
|
55,206 |
|
|
24,427 |
|
|
(3,151 |
) |
|
76,254 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash flows from investing activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Additions to property, plant and equipment |
|
|
|
|
|
(31,957 |
) |
|
(24,499 |
) |
|
1,910 |
|
|
(54,546 |
) |
Increase in inventory to be converted into equipment for short-term rental |
|
|
|
|
|
(300 |
) |
|
|
|
|
|
|
|
(300 |
) |
Dispositions of property, plant and equipment |
|
|
|
|
|
365 |
|
|
1,338 |
|
|
|
|
|
1,703 |
|
Proceeds from sale of headquarters facility |
|
|
|
|
|
18,232 |
|
|
|
|
|
|
|
|
18,232 |
|
Business acquisitions, net of cash acquired |
|
|
|
|
|
|
|
|
(3,596 |
) |
|
|
|
|
(3,596 |
) |
Decrease (increase) in other assets |
|
|
|
|
|
(2,672 |
) |
|
2,152 |
|
|
|
|
|
(520 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Net cash used by investing activities |
|
|
|
|
|
(16,332 |
) |
|
(24,605 |
) |
|
1,910 |
|
|
(39,027 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Cash flows from financing activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Proceeds from notes payable, long-term, capital lease and other obligations |
|
|
|
|
|
16,071 |
|
|
20 |
|
|
|
|
|
16,091 |
|
Proceeds from the exercise of stock options |
|
|
9 |
|
|
|
|
|
|
|
|
|
|
|
9 |
|
Proceeds (payments) on intercompany investments and advances |
|
|
(5,506 |
) |
|
(8,994 |
) |
|
872 |
|
|
13,628 |
|
|
|
|
Other |
|
|
5,725 |
|
|
(4,766 |
) |
|
7,285 |
|
|
(8,244 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash provided by financing activities: |
|
|
228 |
|
|
2,311 |
|
|
8,177 |
|
|
5,384 |
|
|
16,100 |
|
Effect of exchange rate changes on cash and cash equivalents |
|
|
|
|
|
|
|
|
|
|
|
959 |
|
|
959 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Net increase in cash and cash equivalents |
|
|
|
|
|
41,185 |
|
|
7,999 |
|
|
5,102 |
|
|
54,286 |
|
Cash and cash equivalents, beginning of year |
|
|
|
|
|
|
|
|
5,301 |
|
|
(5,102 |
) |
|
199 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents, end of year |
|
$ |
|
|
$ |
41,185 |
|
$ |
13,300 |
|
$ |
|
|
$ |
54,485 |
|
|
|
|
|
|
|
|
|
|
|
|
|
F-51
Condensed Consolidating Guarantor, Non-Guarantor And
Parent Company Statement of Cash Flows
For the year ended December 31, 2001
(in thousands)
|
|
Kinetic
Concepts, Inc.
Parent
Company
Borrower
|
|
Guarantor
Subsidiaries
|
|
Non-
Guarantor
Subsidiaries
|
|
Reclassifications
and
Eliminations
|
|
Kinetic
Concepts, Inc.
and
Subsidiaries
|
|
Cash flows from operating activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings |
|
$ |
23,901 |
|
$ |
24,336 |
|
$ |
16,680 |
|
$ |
(41,016 |
) |
$ |
23,901 |
|
Adjustments to reconcile net earnings to net cash provided by operating activities |
|
|
(23,901 |
) |
|
(18,699 |
) |
|
(4,465 |
) |
|
53,059 |
|
|
5,994 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash provided by operating activities |
|
|
|
|
|
5,637 |
|
|
12,215 |
|
|
12,043 |
|
|
29,895 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash flows from investing activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Additions to property, plant and equipment |
|
|
|
|
|
(39,651 |
) |
|
(6,424 |
) |
|
2,078 |
|
|
(43,997 |
) |
Increase in inventory to be converted into equipment for short-term rental |
|
|
|
|
|
(2,700 |
) |
|
|
|
|
|
|
|
(2,700 |
) |
Dispositions of property, plant and equipment |
|
|
|
|
|
1,392 |
|
|
1,352 |
|
|
|
|
|
2,744 |
|
Business acquisitions, net of cash acquired |
|
|
|
|
|
|
|
|
(80 |
) |
|
|
|
|
(80 |
) |
Increase in other assets |
|
|
|
|
|
(4,069 |
) |
|
(223 |
) |
|
|
|
|
(4,292 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Net cash used by investing activities |
|
|
|
|
|
(45,028 |
) |
|
(5,375 |
) |
|
2,078 |
|
|
(48,325 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Cash flows from financing activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Proceeds from notes payable, long-term, capital lease and other obligations |
|
|
|
|
|
16,805 |
|
|
|
|
|
|
|
|
16,805 |
|
Proceeds from the exercise of stock options |
|
|
24 |
|
|
|
|
|
|
|
|
|
|
|
24 |
|
Proceeds (payments) on intercompany investments and advances |
|
|
275 |
|
|
22,626 |
|
|
(2,319 |
) |
|
(20,582 |
) |
|
|
|
Other |
|
|
(299 |
) |
|
(40 |
) |
|
(5,376 |
) |
|
5,715 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash provided (used) by financing activities |
|
|
|
|
|
39,391 |
|
|
(7,695 |
) |
|
(14,867 |
) |
|
16,829 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Effect of exchange rate changes on cash and cash equivalents |
|
|
|
|
|
|
|
|
|
|
|
(339 |
) |
|
(339 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Net decrease in cash and cash equivalents |
|
|
|
|
|
|
|
|
(855 |
) |
|
(1,085 |
) |
|
(1,940 |
) |
Cash and cash equivalents, beginning of year |
|
|
|
|
|
|
|
|
6,156 |
|
|
(4,017 |
) |
|
2,139 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents, end of year |
|
$ |
|
|
$ |
|
|
$ |
5,301 |
|
$ |
(5,102 |
) |
$ |
199 |
|
|
|
|
|
|
|
|
|
|
|
|
|
F-52
Schedule II
KINETIC CONCEPTS, INC. AND SUBSIDIARIES
VALUATION AND QUALIFYING ACCOUNTS
(in thousands)
Three years ended December 31, 2003
Description
|
|
Balance at
Beginning of
Period
|
|
Additions Charged to
Costs and Expenses
|
|
Additions Charged to Other Accounts
|
|
Deductions
|
|
12/31/01
Balance at
End of Period
|
Allowance for doubtful accounts |
|
$ |
20,725 |
|
$ |
8,932 |
|
$ |
5,031 |
(1) |
$ |
4,157 |
|
$ |
30,531 |
|
|
|
|
|
|
|
|
|
|
|
Inventory reserve |
|
$ |
764 |
|
$ |
1,612 |
|
$ |
|
|
$ |
1,477 |
|
$ |
899 |
|
|
|
|
|
|
|
|
|
|
|
Deferred tax asset valuation allowance |
|
$ |
676 |
|
$ |
|
|
$ |
401 |
|
$ |
414 |
|
$ |
663 |
|
|
|
|
|
|
|
|
|
|
|
Description
|
|
Balance at
Beginning of
Period
|
|
Additions Charged to
Costs and Expenses
|
|
Additions Charged to Other Accounts
|
|
Deductions
|
|
12/31/02
Balance at
End of Period
|
Allowance for doubtful accounts |
|
$ |
30,531 |
|
$ |
7,623 |
|
$ |
11,677 |
(1) |
$ |
9,260 |
|
$ |
40,571 |
|
|
|
|
|
|
|
|
|
|
|
Inventory reserve |
|
$ |
899 |
|
$ |
2,150 |
|
$ |
|
|
$ |
1,436 |
|
$ |
1,613 |
|
|
|
|
|
|
|
|
|
|
|
Deferred tax asset valuation allowance |
|
$ |
663 |
|
$ |
|
|
$ |
990 |
|
$ |
47 |
|
$ |
1,606 |
|
|
|
|
|
|
|
|
|
|
|
Description
|
|
Balance at
Beginning of
Period
|
|
Additions Charged to
Costs and Expenses
|
|
Additions Charged to Other Accounts
|
|
Deductions
|
|
12/31/03
Balance at
End of Period
|
Allowance for doubtful accounts |
|
$ |
40,571 |
|
$ |
6,702 |
|
$ |
16,554 |
(1) |
$ |
14,136 |
|
$ |
49,691 |
|
|
|
|
|
|
|
|
|
|
|
Inventory reserve |
|
$ |
1,613 |
|
$ |
2,586 |
|
$ |
|
|
$ |
1,779 |
|
$ |
2,420 |
|
|
|
|
|
|
|
|
|
|
|
Deferred tax asset valuation allowance |
|
$ |
1,606 |
|
$ |
|
|
$ |
860 |
|
$ |
|
|
$ |
2,466 |
|
|
|
|
|
|
|
|
|
|
|
- (1)
- Additions
to the allowance for doubtful accounts charged to other accounts include reserves established directly against revenue to allow for uncollectible items where collectibility
is not reasonably assured in accordance with the provisions of Staff Accounting Bulletin No. 101, as amended by Staff Accounting Bulletin No. 104.
F-53
KINETIC CONCEPTS, INC. AND SUBSIDIARIES
Condensed Consolidated Balance Sheets
(in thousands)
|
|
March 31,
2004
|
|
December 31,
2003
|
|
|
|
(unaudited)
|
|
|
|
Assets: |
|
|
|
|
|
|
|
Current assets: |
|
|
|
|
|
|
|
|
Cash and cash equivalents |
|
$ |
93,243 |
|
$ |
156,064 |
|
|
Accounts receivable, net |
|
|
200,034 |
|
|
199,938 |
|
|
Inventories, net |
|
|
30,102 |
|
|
32,253 |
|
|
Deferred income taxes |
|
|
22,925 |
|
|
22,749 |
|
|
Prepaid expenses and other current assets |
|
|
14,421 |
|
|
11,811 |
|
|
|
|
|
|
|
|
|
Total current assets |
|
|
360,725 |
|
|
422,815 |
|
|
|
|
|
|
|
Net property, plant and equipment |
|
|
155,085 |
|
|
145,208 |
|
Loan and preferred stock issuance costs, less accumulated amortization of $1,590 in 2004 and $1,014 in 2003 |
|
|
14,931 |
|
|
19,779 |
|
Goodwill |
|
|
48,791 |
|
|
48,797 |
|
Other assets, less accumulated amortization of $8,359 in 2004 and $8,190 in 2003 |
|
|
28,741 |
|
|
28,497 |
|
|
|
|
|
|
|
|
|
$ |
608,273 |
|
$ |
665,096 |
|
|
|
|
|
|
|
Liabilities and Shareholders' Deficit: |
|
|
|
|
|
|
|
Current liabilities: |
|
|
|
|
|
|
|
|
Accounts payable |
|
$ |
30,719 |
|
$ |
34,386 |
|
|
Accrued expenses |
|
|
100,153 |
|
|
112,652 |
|
|
Current installments of long-term debt |
|
|
4,308 |
|
|
4,800 |
|
|
Current installments of capital lease obligations |
|
|
1,536 |
|
|
1,576 |
|
|
Derivative financial instruments |
|
|
4,293 |
|
|
2,402 |
|
|
Income taxes payable |
|
|
14,793 |
|
|
39,403 |
|
|
|
|
|
|
|
|
|
Total current liabilities |
|
|
155,802 |
|
|
195,219 |
|
|
|
|
|
|
|
Long-term debt, net of current installments |
|
|
556,842 |
|
|
678,100 |
|
Capital lease obligations, net of current installments |
|
|
1,337 |
|
|
1,351 |
|
Deferred income taxes, net |
|
|
26,191 |
|
|
26,566 |
|
Deferred gain, sale of headquarters facility |
|
|
8,915 |
|
|
9,183 |
|
Other noncurrent liabilities |
|
|
212 |
|
|
212 |
|
|
|
|
|
|
|
|
|
|
749,299 |
|
|
910,631 |
|
Series A convertible preferred stock, 0 issued and outstanding at March 31, 2004 and 264 at December 31, 2003 |
|
|
|
|
|
261,719 |
|
Shareholders' equity (deficit): |
|
|
|
|
|
|
|
|
Common stock; authorized 225,000 at March 31, 2004 and 150,000 at December 31, 2003; issued and outstanding 64,814 at March 31, 2004 and 41,270 at December 31, 2003 |
|
|
65 |
|
|
41 |
|
|
Additional paid-in capital |
|
|
429,501 |
|
|
1,157 |
|
|
Deferred compensation |
|
|
226 |
|
|
185 |
|
|
Retained deficit |
|
|
(579,101 |
) |
|
(518,955 |
) |
|
Accumulated other comprehensive income |
|
|
8,283 |
|
|
10,318 |
|
|
|
|
|
|
|
|
|
Shareholders' deficit |
|
|
(141,026 |
) |
|
(507,254 |
) |
|
|
|
|
|
|
|
|
$ |
608,273 |
|
$ |
665,096 |
|
|
|
|
|
|
|
See
accompanying notes to condensed consolidated financial statements.
F-54
KINETIC CONCEPTS, INC. AND SUBSIDIARIES
Condensed Consolidated Statements of Earnings
(in thousands, except per share data)
(unaudited)
|
|
Three months ended
March 31,
|
|
|
|
2004
|
|
2003
|
|
Revenue: |
|
|
|
|
|
|
|
|
Rental |
|
$ |
165,908 |
|
$ |
129,442 |
|
|
Sales |
|
|
58,926 |
|
|
37,561 |
|
|
|
|
|
|
|
|
|
Total revenue |
|
|
224,834 |
|
|
167,003 |
|
Rental expenses |
|
|
105,406 |
|
|
79,379 |
|
Cost of goods sold |
|
|
16,768 |
|
|
13,645 |
|
|
|
|
|
|
|
|
|
Gross profit |
|
|
102,660 |
|
|
73,979 |
|
Selling, general and administrative expenses |
|
|
48,542 |
|
|
36,481 |
|
Research and development expenses |
|
|
7,119 |
|
|
4,425 |
|
Initial public offering bonuses |
|
|
19,534 |
|
|
|
|
|
|
|
|
|
|
|
|
Operating earnings |
|
|
27,465 |
|
|
33,073 |
|
Interest income |
|
|
371 |
|
|
400 |
|
Interest expense |
|
|
(18,844 |
) |
|
(8,178 |
) |
Foreign currency gain (loss) |
|
|
(464 |
) |
|
1,788 |
|
|
|
|
|
|
|
|
|
Earnings before income taxes |
|
|
8,528 |
|
|
27,083 |
|
Income taxes |
|
|
3,070 |
|
|
10,156 |
|
|
|
|
|
|
|
|
|
Net earnings |
|
$ |
5,458 |
|
$ |
16,927 |
|
Series A convertible preferred stock dividends |
|
|
(65,604 |
) |
|
|
|
|
|
|
|
|
|
|
|
Net earnings (loss) available to common shareholders |
|
$ |
(60,146 |
) |
$ |
16,927 |
|
|
|
|
|
|
|
|
|
Net earnings (loss) per share available to common shareholders: |
|
|
|
|
|
|
|
|
|
|
Basic |
|
$ |
(1.19 |
) |
$ |
0.24 |
|
|
|
|
|
|
|
|
|
|
Diluted |
|
$ |
(1.19 |
) |
$ |
0.21 |
|
|
|
|
|
|
|
|
|
Weighted average shares outstanding: |
|
|
|
|
|
|
|
|
|
|
Basic |
|
|
50,332 |
|
|
70,995 |
|
|
|
|
|
|
|
|
|
|
Diluted |
|
|
50,332 |
|
|
79,861 |
|
|
|
|
|
|
|
See
accompanying notes to condensed consolidated financial statements.
F-55
KINETIC CONCEPTS, INC. AND SUBSIDIARIES
Condensed Consolidated Statements of Cash Flows
(in thousands)
(unaudited)
|
|
Three months ended March 31,
|
|
|
|
2004
|
|
2003
|
|
Cash flows from operating activities: |
|
|
|
|
|
|
|
|
Net earnings |
|
$ |
5,458 |
|
$ |
16,927 |
|
|
Adjustments to reconcile net earnings to net cash provided (used) by operating activities: |
|
|
|
|
|
|
|
|
|
Depreciation and amortization |
|
|
13,724 |
|
|
10,665 |
|
|
|
Provision for uncollectible accounts receivable |
|
|
3,177 |
|
|
1,749 |
|
|
|
Amortization of deferred gain on sale of headquarters facility |
|
|
(268 |
) |
|
(259 |
) |
|
|
Write-off of deferred loan fees |
|
|
3,342 |
|
|
|
|
|
|
Non-cash amortization of stock award to directors |
|
|
42 |
|
|
|
|
|
|
Change in assets and liabilities: |
|
|
|
|
|
|
|
|
|
|
Increase in accounts receivable, net |
|
|
(3,313 |
) |
|
(6,983 |
) |
|
|
|
Decrease in other accounts receivable |
|
|
|
|
|
175,000 |
|
|
|
|
Decrease in current deferred income taxes |
|
|
(176 |
) |
|
(66,838 |
) |
|
|
|
Decrease in inventories |
|
|
2,135 |
|
|
2,992 |
|
|
|
|
Increase in prepaid expenses and other current assets |
|
|
(2,608 |
) |
|
(3,541 |
) |
|
|
|
Increase (decrease) in accounts payable |
|
|
(3,671 |
) |
|
1,455 |
|
|
|
|
Increase (decrease) in accrued expenses |
|
|
(10,381 |
) |
|
3,025 |
|
|
|
|
Increase (decrease) in income taxes payable |
|
|
(24,611 |
) |
|
71,606 |
|
|
|
|
Increase (decrease) in deferred income taxes, net |
|
|
279 |
|
|
(677 |
) |
|
|
|
|
|
|
|
|
|
|
Net cash provided (used) by operating activities |
|
|
(16,871 |
) |
|
205,121 |
|
|
|
|
|
|
|
Cash flows from investing activities: |
|
|
|
|
|
|
|
|
Additions to property, plant and equipment |
|
|
(20,841 |
) |
|
(17,678 |
) |
|
Increase in inventory to be converted into equipment for short-term rental |
|
|
(3,100 |
) |
|
(200 |
) |
|
Dispositions of property, plant and equipment |
|
|
395 |
|
|
404 |
|
|
Increase in other assets |
|
|
(408 |
) |
|
(323 |
) |
|
|
|
|
|
|
|
|
|
|
Net cash used by investing activities |
|
|
(23,954 |
) |
|
(17,797 |
) |
|
|
|
|
|
|
Cash flows from financing activities: |
|
|
|
|
|
|
|
|
Repayment of notes payable, long term, capital lease and other obligations |
|
|
(121,805 |
) |
|
(105,787 |
) |
|
Initial public offering of common stock: |
|
|
|
|
|
|
|
|
|
Proceeds from issuance of common stock |
|
|
105,000 |
|
|
|
|
|
|
Stock issuance costs |
|
|
(10,604 |
) |
|
|
|
|
Proceeds from exercise of stock options |
|
|
5,443 |
|
|
663 |
|
|
|
|
|
|
|
|
|
|
|
Net cash used by financing activities |
|
|
(21,966 |
) |
|
(105,124 |
) |
|
|
|
|
|
|
Effect of exchange rate changes on cash and cash equivalents |
|
|
(30 |
) |
|
506 |
|
|
|
|
|
|
|
Net increase (decrease) in cash and cash equivalents |
|
|
(62,821 |
) |
|
82,706 |
|
Cash and cash equivalents, beginning of period |
|
|
156,064 |
|
|
54,485 |
|
|
|
|
|
|
|
Cash and cash equivalents, end of period |
|
$ |
93,243 |
|
$ |
137,191 |
|
|
|
|
|
|
|
Cash paid during the three months for: |
|
|
|
|
|
|
|
|
Interest(1) |
|
$ |
12,794 |
|
$ |
2,730 |
|
|
Income taxes |
|
$ |
3,915 |
|
$ |
5,508 |
|
Non-cash activity: |
|
|
|
|
|
|
|
|
Non-cash consideration for exercise of stock options |
|
$ |
2,136 |
|
$ |
|
|
- (1)
- 2004
amount includes a bond call premium of $5.3 million related to the IPO.
See
accompanying notes to condensed consolidated financial statements.
F-56
KINETIC CONCEPTS, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)
(1) SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
The unaudited condensed consolidated financial statements presented herein include the accounts of Kinetic Concepts, Inc., together with our consolidated
subsidiaries ("KCI"). The unaudited condensed consolidated financial statements appearing in this quarterly report on Form 10-Q should be read in conjunction with the financial
statements and notes thereto included in KCI's latest annual report on Form 10-K. The accompanying unaudited condensed consolidated financial statements have been prepared in
accordance with accounting principles generally accepted in the United States for interim financial information and with the instructions to Form 10-Q and Article 10 of
Regulation S-X. Accordingly, they do not include all of the information necessary for a fair presentation of results of operations, financial position and cash flows in conformity
with accounting principles generally accepted in the United States. Operating results from interim periods are not necessarily indicative of results that may be expected for the fiscal year as a
whole. In our opinion, the consolidated financial statements reflect all adjustments, consisting of normal recurring accruals, considered necessary for a fair presentation of our results for the
periods presented. Certain reclassifications of amounts related to the prior year have been made to conform with the 2004 presentation.
We use the intrinsic value method to account for our stock option plans. If the compensation cost for our stock-based employee compensation plan had been
determined based upon a fair value method consistent with Statement of Financial Accounting Standards No. 123 ("SFAS 123"), "Accounting for Stock-Based
Compensation," our net earnings to common shareholders and earnings per share would have been adjusted to the pro forma amounts indicated below. For purposes of pro forma
disclosures, the estimated fair value of the options is recognized as an expense over the options' respective vesting periods. Our pro forma calculations are as follows (dollars in thousands, except
for earnings per share information):
|
|
Three months ended
March 31,
|
|
|
|
2004
|
|
2003
|
|
Net earnings (loss) available to common shareholders as reported |
|
$ |
(60,146 |
) |
$ |
16,927 |
|
|
|
|
|
|
|
Pro forma net earnings: |
|
|
|
|
|
|
|
|
Net earnings (loss) available to common shareholders as reported |
|
$ |
(60,146 |
) |
$ |
16,927 |
|
|
Compensation charge under intrinsic method |
|
|
27 |
|
|
659 |
|
|
Compensation expense under fair value method |
|
|
(301 |
) |
|
(374 |
) |
|
|
|
|
|
|
Pro forma net earnings |
|
$ |
(60,420 |
) |
$ |
17,212 |
|
|
|
|
|
|
|
Earnings (loss) per share as reported |
|
|
|
|
|
|
|
|
Basic earnings (loss) per common share |
|
$ |
(1.19 |
) |
$ |
0.24 |
|
|
Diluted earnings (loss) per common share |
|
$ |
(1.19 |
) |
$ |
0.21 |
|
Pro forma earnings per share |
|
|
|
|
|
|
|
|
Basic earnings per common share |
|
$ |
(1.20 |
) |
$ |
0.24 |
|
|
Diluted earnings per common share |
|
$ |
(1.20 |
) |
$ |
0.22 |
|
F-57
We
are not required to apply, and have not applied, the method of accounting prescribed by SFAS 123 to stock options granted prior to January 1, 1995. Moreover, the pro
forma compensation cost reflected above may not be representative of future expense.
For further information, see Note 1 of the Notes to the Consolidated Financial Statements included in KCI's Annual Report on Form 10-K
for the year ended December 31, 2003.
(2) INITIAL PUBLIC OFFERING
On February 27, 2004, we closed an initial public offering ("IPO") of our common stock, through which we sold 3,500,000 newly-issued shares and selling
shareholders sold an aggregate of 17,200,000 existing shares at a price of $30.00 per share. Net proceeds of the IPO to the Company, after underwriter's discounts and fees of $6.3 million and
other offering costs of $4.3 million, were $94.4 million. The net proceeds, along with cash on hand, were used to redeem $71.75 million principal amount of our
73/8% Senior Subordinated Notes due 2013, together with a bond call premium of $5.3 million, prepay $50.0 million of debt under our senior credit facility and pay
management bonuses and payroll taxes related to the IPO of $19.3 million. In March 2004, we wrote off $3.3 million in loan issuance costs associated with the retirement of the
debt, which is included in interest expense.
As
part of the closing of our IPO, the holders of our then-outstanding Series A convertible preferred stock received cumulative preferred dividends
paid-in-kind through December 31, 2005 of $65.6 million, and immediately thereafter, all of the then-outstanding shares of preferred stock were
automatically converted into 19,199,520 shares of common stock.
F-58
(3) SUPPLEMENTAL BALANCE SHEET DATA
Accounts receivable consist of the following (dollars in thousands):
|
|
March 31,
2004
|
|
December 31,
2003
|
|
Trade accounts receivable: |
|
|
|
|
|
|
|
|
Facilities / dealers |
|
$ |
120,906 |
|
$ |
122,339 |
|
|
Third-party payers: |
|
|
|
|
|
|
|
|
|
Medicare / Medicaid |
|
|
31,280 |
|
|
35,434 |
|
|
|
Managed care, insurance and other |
|
|
85,248 |
|
|
76,694 |
|
|
|
|
|
|
|
|
|
|
237,434 |
|
|
234,467 |
|
Medicare V.A.C. receivables prior to |
|
|
|
|
|
|
|
|
October 1, 2000 |
|
|
13,445 |
|
|
13,445 |
|
Employee and other receivables |
|
|
1,656 |
|
|
1,724 |
|
|
|
|
|
|
|
|
|
|
252,535 |
|
|
249,636 |
|
Less: Allowance for doubtful accounts |
|
|
(39,056 |
) |
|
(36,253 |
) |
Allowance for Medicare V.A.C. receivables prior to
October 1, 2000 |
|
|
(13,445 |
) |
|
(13,445 |
) |
|
|
|
|
|
|
|
|
$ |
200,034 |
|
$ |
199,938 |
|
|
|
|
|
|
|
Inventories
are stated at the lower of cost (first-in, first-out) or market (net realizable value). Inventories are comprised of the following (dollars in
thousands):
|
|
March 31,
2004
|
|
December 31,
2003
|
|
Finished goods |
|
$ |
12,039 |
|
$ |
12,137 |
|
Work in process |
|
|
4,408 |
|
|
2,847 |
|
Raw materials, supplies and parts |
|
|
28,432 |
|
|
28,689 |
|
|
|
|
|
|
|
|
|
|
44,879 |
|
|
43,673 |
|
Less: Amounts expected to be converted into equipment for short- term rental |
|
|
(12,100 |
) |
|
(9,000 |
) |
Reserve for excess and obsolete inventory |
|
|
(2,677 |
) |
|
(2,420 |
) |
|
|
|
|
|
|
|
|
$ |
30,102 |
|
$ |
32,253 |
|
|
|
|
|
|
|
F-59
(4) LONG-TERM OBLIGATIONS AND DERIVATIVE FINANCIAL INSTRUMENTS
Long-term obligations consist of the following (dollars in thousands):
|
|
March 31,
2004
|
|
December 31,
2003
|
|
2003 Senior Credit Facility |
|
$ |
427,600 |
|
$ |
477,600 |
|
73/8% Senior Subordinated Notes due 2013 |
|
|
133,250 |
|
|
205,000 |
|
Note PayableMedClaims |
|
|
300 |
|
|
300 |
|
|
|
|
|
|
|
|
|
|
561,150 |
|
|
682,900 |
|
Less current installments |
|
|
(4,308 |
) |
|
(4,800 |
) |
|
|
|
|
|
|
|
|
$ |
556,842 |
|
$ |
678,100 |
|
|
|
|
|
|
|
Senior Credit Facility
On March 22, 2004, we made an optional prepayment of $50.0 million on our senior credit facility.
73/8% Senior Subordinated Notes due 2013
On August 11, 2003 we issued and sold an aggregate of $205.0 million principal amount of our 73/8% Senior Subordinated Notes due
2013. On March 29, 2004, we redeemed $71.75 million principal amount of our 73/8% Senior Subordinated Notes due 2013 at a price equal to 107.375% of the principal amount
plus accrued but unpaid interest to the redemption date. On April 7, 2004, we completed an exchange offer to all holders of the notes, pursuant to which all holders exchanged their notes for a
new issue of registered notes. The exchange notes are identical in all material respects to the notes that were exchanged, except that the exchange notes do not contain terms restricting their
transfer or any terms related to registration rights. The exchange notes bear interest from the most recent date on which interest has been paid on the original notes.
Interest Rate Protection
On March 8, 2004, we terminated our $100.0 million, 2.375% interest rate swap and entered into a new $100.0 million, 2.375% interest rate
swap agreement. The amount included in other comprehensive income as of March 31, 2004 continued to be recognized over the original date through which interest payments were hedged because the
hedged item (interest payments) continued to exist. Although no cash was exchanged, the new $100.0 million swap did not qualify for the shortcut method because the fair value of the swap was
not zero at inception (it had a negative value). We elected to use the "hypothetical derivative" method to measure effectiveness, which allowed us to use the change in the fair value of a
"hypothetical derivative" (one which had no fair value at inception with terms mirroring the actual derivative that would be assumed to be perfectly effective) as a proxy for the change in the
expected fair value of the hedged transactions. As of March 31, 2004, there was no significant hedge ineffectiveness.
The
fair value of each of the swaps, except the swap initiated on March 8, 2004, was zero at inception. Due to subsequent movements in interest rates, as of March 31, 2004,
the fair values of our swap agreements were negative and were adjusted to reflect a liability of approximately $4.3 million. During the first quarter of 2004 and 2003, we recorded interest
expense of approximately $1.2 million and $400,000, respectively, as a result of interest rate protection agreements.
F-60
(5) EARNINGS (LOSS) PER SHARE
The following table sets forth the reconciliation from basic to diluted average common shares and the calculations of net earnings (loss) per common share. Net
earnings (loss) per share was calculated using the weighted average number of common shares outstanding. Common stock equivalents, which consist of stock options and convertible preferred stock, were
excluded from the computation of the weighted average number of common shares outstanding for the three-month period ended March 31, 2004 because their effect was antidilutive. Net earnings
(loss) for basic and diluted calculations do not differ (dollars in thousands, except per share data): (See Note 1 (b).)
|
|
Three months ended
March 31,
|
|
|
2004
|
|
2003
|
Net earnings |
|
$ |
5,458 |
|
$ |
16,927 |
Series A convertible preferred stock dividends |
|
|
(65,604 |
) |
|
|
|
|
|
|
|
Net earnings (loss) available to common shareholders |
|
$ |
(60,146 |
) |
$ |
16,927 |
|
|
|
|
|
Average common shares: |
|
|
|
|
|
|
|
Basic (weighted average outstanding shares) |
|
|
50,332 |
|
|
70,995 |
|
Dilutive potential common shares from stock options(1) |
|
|
|
|
|
8,866 |
|
Dilutive potential common shares from preferred stock conversion(1) |
|
|
|
|
|
|
|
|
|
|
|
|
Diluted (weighted average outstanding shares) |
|
|
50,332 |
|
|
79,861 |
|
|
|
|
|
Basic net earnings (loss) per common share |
|
$ |
(1.19 |
) |
$ |
0.24 |
|
|
|
|
|
Diluted net earnings (loss) per common share |
|
$ |
(1.19 |
) |
$ |
0.21 |
|
|
|
|
|
- (1)
- Due
to their antidilutive effect, 5,934,824 dilutive potential common shares from stock options and 12,026,073 dilutive potential common shares from preferred stock conversion have
been excluded from the diluted weighted average shares calculation for the three-month period ended March 31, 2004.
(6) OTHER COMPREHENSIVE INCOME
The components of other comprehensive income are as follows (dollars in thousands):
|
|
Three months ended
March 31,
|
|
|
|
2004
|
|
2003
|
|
Net earnings |
|
$ |
5,458 |
|
$ |
16,927 |
|
Foreign currency translation adjustment |
|
|
(796 |
) |
|
1,329 |
|
Net derivative loss net of taxes of $1,083 in 2004 and $264 in 2003 |
|
|
(2,016 |
) |
|
(491 |
) |
Reclassification adjustment for losses included in earnings, net of taxes of $418 in 2004 and $141 in 2003 |
|
|
777 |
|
|
263 |
|
|
|
|
|
|
|
|
Other comprehensive income (loss) |
|
$ |
3,423 |
|
$ |
18,028 |
|
|
|
|
|
|
|
F-61
(7) COMMITMENTS AND CONTINGENCIES
We are party to a number of legal proceedings for which provisions are made in our financial statements to cover estimated expenses. For a description of recent
developments in our legal proceedings for the first quarter of 2004, please see our Quarterly Report on Form 10-Q for the quarter ended March 31, 2004 under the heading "Part II.
Item 1. Legal Proceedings." Other than commitments for new product inventory, including disposable "for sale" products of $20.7 million, we have no material long-term capital
commitments and can adjust our level of capital expenditures as circumstances dictate.
(8) SEGMENT AND GEOGRAPHIC INFORMATION
We are principally engaged in the rental and sale of innovative therapeutic systems and surfaces throughout the United States and in 16 primary countries
internationally. Revenues are attributed to individual countries based on the location of the customer.
We
define our business segments based on geographic management responsibility. We have two reportable segments: USA, which includes operations in the United States, and International,
which includes operations for all international units. We have two primary product lines including V.A.C. and Therapeutic Surfaces/Other. Revenues for each of our product lines are disclosed for our
operating segments. No discrete financial information is available for our product lines other than revenue. Our product lines are marketed and serviced by the same infrastructure and, as a result, we
do not manage our business by product line but rather by operating segments, which include our USA and our International Segments. We use operating earnings to measure segment profit. We define
operating earnings as income before interest income or expense, foreign currency gains and losses, and income taxes. All intercompany transactions are eliminated in computing revenue, operating
earnings and assets. Prior years have been
F-62
made
to conform with the current presentation. Information on segments and a reconciliation of consolidated totals are as follows (dollars in thousands):
|
|
Three months ended
March 31,
|
|
|
|
2004
|
|
2003
|
|
Revenue: |
|
|
|
|
|
|
|
|
USA |
|
|
|
|
|
|
|
|
|
V.A.C. |
|
$ |
121,589 |
|
$ |
82,380 |
|
|
|
Therapeutic surfaces/other |
|
|
48,352 |
|
|
45,248 |
|
|
|
|
|
|
|
|
|
|
Subtotal - USA |
|
|
169,941 |
|
|
127,628 |
|
|
International |
|
|
|
|
|
|
|
|
|
V.A.C. |
|
|
26,721 |
|
|
15,824 |
|
|
|
Therapeutic surfaces/other |
|
|
28,172 |
|
|
23,551 |
|
|
|
|
|
|
|
|
|
|
Subtotal - International |
|
|
54,893 |
|
|
39,375 |
|
|
|
|
|
|
|
|
|
$ |
224,834 |
|
$ |
167,003 |
|
|
|
|
|
|
|
Operating earnings: |
|
|
|
|
|
|
|
|
USA |
|
$ |
60,163 |
|
$ |
44,522 |
|
|
International |
|
|
6,739 |
|
|
4,447 |
|
|
Initial public offering bonuses |
|
|
(19,534 |
) |
|
|
|
|
Other(1): |
|
|
|
|
|
|
|
|
|
Executive |
|
|
(4,596 |
) |
|
(4,023 |
) |
|
|
Finance |
|
|
(5,871 |
) |
|
(4,873 |
) |
|
|
Manufacturing/Engineering |
|
|
(1,591 |
) |
|
(1,157 |
) |
|
|
Administration |
|
|
(7,845 |
) |
|
(5,843 |
) |
|
|
|
|
|
|
|
|
|
Total other |
|
|
(19,903 |
) |
|
(15,896 |
) |
|
|
|
|
|
|
|
|
$ |
27,465 |
|
$ |
33,073 |
|
|
|
|
|
|
|
- (1)
- Includes
general headquarter expenses which are not allocated to the individual segments and are included in selling, general and administrative expenses within our Condensed
Consolidated Statements of Earnings.
(9) RELATED PARTY TRANSACTIONS
C. Thomas Smith became a member of our board of directors in April 2003, after he had retired as the Chief Executive Officer and President of
VHA Inc. VHA Inc. is affiliated with Novation, LLC. Novation is a GPO with which we have had major supply contracts since the 1980s. During the first quarters of 2004 and 2003,
respectively, we received approximately $35.9 million and $30.5 million in V.A.C. and therapeutic surfaces revenues under our Novation contracts.
Additional
related party transactions are discussed in our Annual Report on Form 10-K for the year ended December 31, 2003 under the heading "Part III.
Item 13. Certain Relationships and Related Transactions."
F-63
(10) SUBSEQUENT EVENT
On May 13, 2004, we purchased $24.4 million principal amount of our 73/8% Senior Subordinated Notes due 2013 at a market price of
$26.2 million, plus approximately $900,000 in accrued but unpaid interest. In connection with this purchase, we wrote off $511,000 in loan issuance costs associated with the retirement of these
notes. We may purchase additional amounts of our 73/8% Senior Subordinated Notes due 2013 in the open market and/or in privately negotiated transactions from time to time, subject to
limitations in our senior credit facility.
(11) GUARANTOR CONDENSED CONSOLIDATING FINANCIAL STATEMENTS
On August 11, 2003, we issued and sold an aggregate of $205.0 million principal amount of 73/8% Senior Subordinated Notes due 2013.
The
notes are guaranteed by each of KCI's direct and indirect 100% owned subsidiaries, other than any entity that is a controlled foreign corporation within the definition of
Section 957 of the Internal Revenue code or a holding company whose only assets are investments in a controlled foreign corporation. Each of these subsidiaries is a restricted subsidiary, as
defined in the indenture governing the notes. (See Note 4.) We have not presented separate financial statements and other disclosures concerning the subsidiary guarantors because management has
determined that such information is not material to investors.
The
following tables present the condensed consolidating balance sheets of KCI as a parent company, our guarantor subsidiaries and our non-guarantor subsidiaries as of
March 31, 2004 and December 31, 2003 and the related condensed consolidating statements of earnings and cash flows for the three-month periods ended March 31, 2004 and 2003,
respectively.
F-64
Condensed Consolidating Guarantor, Non-Guarantor And
Parent Company Balance Sheet
March 31, 2004
(in thousands)
(unaudited)
|
|
Kinetic
Concepts, Inc.
Parent
Company
Borrower
|
|
Guarantor
Subsidiaries
|
|
Non-
Guarantor
Subsidiaries
|
|
Reclassifications and
Eliminations
|
|
Kinetic
Concepts,
Inc.
and Subsidiaries
|
|
Assets: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Current assets: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents |
|
$ |
|
|
$ |
62,880 |
|
$ |
30,363 |
|
$ |
|
|
$ |
93,243 |
|
|
Accounts receivable, net |
|
|
|
|
|
156,329 |
|
|
50,185 |
|
|
(6,480 |
) |
|
200,034 |
|
|
Inventories, net |
|
|
|
|
|
13,886 |
|
|
16,216 |
|
|
|
|
|
30,102 |
|
|
Deferred income taxes |
|
|
|
|
|
22,925 |
|
|
|
|
|
|
|
|
22,925 |
|
|
Prepaid expenses and other current
assets |
|
|
|
|
|
8,880 |
|
|
5,541 |
|
|
|
|
|
14,421 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total current assets |
|
|
|
|
|
264,900 |
|
|
102,305 |
|
|
(6,480 |
) |
|
360,725 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Net property, plant and equipment |
|
|
|
|
|
108,166 |
|
|
57,344 |
|
|
(10,425 |
) |
|
155,085 |
|
Loan and preferred stock issuance costs, net |
|
|
|
|
|
14,931 |
|
|
|
|
|
|
|
|
14,931 |
|
Goodwill |
|
|
|
|
|
39,779 |
|
|
9,012 |
|
|
|
|
|
48,791 |
|
Other assets, net |
|
|
|
|
|
28,129 |
|
|
17,937 |
|
|
(17,325 |
) |
|
28,741 |
|
Intercompany investments and
advances |
|
|
(141,012 |
) |
|
563,720 |
|
|
6,886 |
|
|
(429,594 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
(141,012 |
) |
$ |
1,019,625 |
|
$ |
193,484 |
|
$ |
(463,824 |
) |
$ |
608,273 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Liabilities and Shareholders' Equity (Deficit): |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Current liabilities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Accounts payable |
|
$ |
|
|
$ |
23,726 |
|
$ |
6,993 |
|
$ |
|
|
$ |
30,719 |
|
|
Accrued expenses |
|
|
14 |
|
|
76,867 |
|
|
23,272 |
|
|
|
|
|
100,153 |
|
|
Current installments of long-term
debt |
|
|
|
|
|
4,308 |
|
|
|
|
|
|
|
|
4,308 |
|
|
Current installments of capital lease
obligations |
|
|
|
|
|
35 |
|
|
1,501 |
|
|
|
|
|
1,536 |
|
|
Derivative financial instruments |
|
|
|
|
|
4,293 |
|
|
|
|
|
|
|
|
4,293 |
|
|
Intercompany payables |
|
|
|
|
|
17,630 |
|
|
|
|
|
(17,630 |
) |
|
|
|
|
Income taxes payable |
|
|
|
|
|
13,658 |
|
|
1,135 |
|
|
|
|
|
14,793 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total current liabilities |
|
|
14 |
|
|
140,517 |
|
|
32,901 |
|
|
(17,630 |
) |
|
155,802 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Long-term debt, net of current installments |
|
|
|
|
|
556,842 |
|
|
|
|
|
|
|
|
556,842 |
|
Capital lease obligations, net of current installments |
|
|
|
|
|
|
|
|
1,337 |
|
|
|
|
|
1,337 |
|
Intercompany payables, noncurrent |
|
|
|
|
|
(26,284 |
) |
|
26,284 |
|
|
|
|
|
|
|
Deferred income taxes, net |
|
|
|
|
|
28,553 |
|
|
|
|
|
(2,362 |
) |
|
26,191 |
|
Deferred gain, sale of headquarters facility |
|
|
|
|
|
8,915 |
|
|
|
|
|
|
|
|
8,915 |
|
Other noncurrent liabilities |
|
|
|
|
|
15,175 |
|
|
|
|
|
(14,963 |
) |
|
212 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
14 |
|
|
723,718 |
|
|
60,522 |
|
|
(34,955 |
) |
|
749,299 |
|
Shareholders' equity (deficit) |
|
|
(141,026 |
) |
|
295,907 |
|
|
132,962 |
|
|
(428,869 |
) |
|
(141,026 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
(141,012 |
) |
$ |
1,019,625 |
|
$ |
193,484 |
|
$ |
(463,824 |
) |
$ |
608,273 |
|
|
|
|
|
|
|
|
|
|
|
|
|
F-65
Condensed Consolidating Guarantor, Non-Guarantor And
Parent Company Balance Sheet
December 31, 2003
(in thousands)
|
|
Kinetic
Concepts,
Inc.
Parent
Company
Borrower
|
|
Guarantor
Subsidiaries
|
|
Non-
Guarantor
Subsidiaries
|
|
Reclassifications and
Eliminations
|
|
Kinetic
Concepts,
Inc.
and Subsidiaries
|
|
Assets: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Current assets: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents |
|
$ |
|
|
$ |
129,695 |
|
$ |
26,369 |
|
$ |
|
|
$ |
156,064 |
|
|
Accounts receivable, net |
|
|
|
|
|
153,199 |
|
|
49,903 |
|
|
(3,164 |
) |
|
199,938 |
|
|
Inventories, net |
|
|
|
|
|
17,114 |
|
|
15,139 |
|
|
|
|
|
32,253 |
|
|
Deferred income taxes |
|
|
|
|
|
22,749 |
|
|
|
|
|
|
|
|
22,749 |
|
|
Prepaid expenses and other current
assets |
|
|
|
|
|
9,594 |
|
|
3,926 |
|
|
(1,709 |
) |
|
11,811 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total current assets |
|
|
|
|
|
332,351 |
|
|
95,337 |
|
|
(4,873 |
) |
|
422,815 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Net property, plant and equipment |
|
|
|
|
|
103,555 |
|
|
55,924 |
|
|
(14,271 |
) |
|
145,208 |
|
Loan and preferred stock issuance costs, net |
|
|
|
|
|
19,779 |
|
|
|
|
|
|
|
|
19,779 |
|
Goodwill |
|
|
|
|
|
39,785 |
|
|
9,012 |
|
|
|
|
|
48,797 |
|
Other assets, net |
|
|
|
|
|
28,049 |
|
|
17,683 |
|
|
(17,235 |
) |
|
28,497 |
|
Intercompany investments and
advances |
|
|
(245,401 |
) |
|
642,737 |
|
|
15,333 |
|
|
(412,669 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
(245,401 |
) |
$ |
1,166,256 |
|
$ |
193,289 |
|
$ |
(449,048 |
) |
$ |
665,096 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Liabilities and Shareholders' Equity (Deficit): |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Current liabilities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Accounts payable |
|
$ |
|
|
$ |
24,690 |
|
$ |
9,696 |
|
$ |
|
|
$ |
34,386 |
|
|
Accrued expenses |
|
|
134 |
|
|
89,268 |
|
|
23,250 |
|
|
|
|
|
112,652 |
|
|
Current installments of long-term
debt |
|
|
|
|
|
4,800 |
|
|
|
|
|
|
|
|
4,800 |
|
|
Current installments of capital lease
obligations |
|
|
|
|
|
75 |
|
|
1,501 |
|
|
|
|
|
1,576 |
|
|
Derivative financial instruments |
|
|
|
|
|
2,402 |
|
|
|
|
|
|
|
|
2,402 |
|
|
Intercompany payables |
|
|
|
|
|
22,136 |
|
|
|
|
|
(22,136 |
) |
|
|
|
|
Income taxes payable |
|
|
|
|
|
36,803 |
|
|
2,600 |
|
|
|
|
|
39,403 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total current liabilities |
|
|
134 |
|
|
180,174 |
|
|
37,047 |
|
|
(22,136 |
) |
|
195,219 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Long-term debt, net of current installments |
|
|
|
|
|
678,100 |
|
|
|
|
|
|
|
|
678,100 |
|
Capital lease obligations, net of current installments |
|
|
|
|
|
|
|
|
1,351 |
|
|
|
|
|
1,351 |
|
Intercompany payables, noncurrent |
|
|
|
|
|
(21,500 |
) |
|
21,500 |
|
|
|
|
|
|
|
Deferred income taxes, net |
|
|
|
|
|
28,838 |
|
|
|
|
|
(2,272 |
) |
|
26,566 |
|
Deferred gain, sale of headquarters facility |
|
|
|
|
|
9,183 |
|
|
|
|
|
|
|
|
9,183 |
|
Other noncurrent liabilities |
|
|
|
|
|
15,175 |
|
|
|
|
|
(14,963 |
) |
|
212 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
134 |
|
|
889,970 |
|
|
59,898 |
|
|
(39,371 |
) |
|
910,631 |
|
Series A convertible preferred stock |
|
|
261,719 |
|
|
|
|
|
|
|
|
|
|
|
261,719 |
|
Shareholders' equity (deficit) |
|
|
(507,254 |
) |
|
276,286 |
|
|
133,391 |
|
|
(409,677 |
) |
|
(507,254 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
(245,401 |
) |
$ |
1,166,256 |
|
$ |
193,289 |
|
$ |
(449,048 |
) |
$ |
665,096 |
|
|
|
|
|
|
|
|
|
|
|
|
|
F-66
Parent Company Statement of Earnings
For the three months ended March 31, 2004
(in thousands)
(unaudited)
|
|
Kinetic
Concepts, Inc.
Parent
Company
Borrower
|
|
Guarantor
Subsidiaries
|
|
Non-
Guarantor
Sub-
sidiaries
|
|
Reclassifications
and
Eliminations
|
|
Historical
Kinetic
Concepts, Inc.
and
Subsidiaries
|
|
Revenue: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Rental |
|
$ |
|
|
$ |
129,273 |
|
$ |
36,635 |
|
$ |
|
|
$ |
165,908 |
|
|
Sales |
|
|
|
|
|
46,413 |
|
|
18,910 |
|
|
(6,397 |
) |
|
58,926 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
|
|
|
|
175,686 |
|
|
55,545 |
|
|
(6,397 |
) |
|
224,834 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Rental expenses |
|
|
|
|
|
68,536 |
|
|
36,870 |
|
|
|
|
|
105,406 |
|
Cost of goods sold |
|
|
|
|
|
15,196 |
|
|
4,769 |
|
|
(3,197 |
) |
|
16,768 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Gross profit |
|
|
|
|
|
91,954 |
|
|
13,906 |
|
|
(3,200 |
) |
|
102,660 |
|
Selling, general and administrative expenses |
|
|
|
|
|
43,322 |
|
|
5,220 |
|
|
|
|
|
48,542 |
|
Research and development expenses |
|
|
|
|
|
6,261 |
|
|
858 |
|
|
|
|
|
7,119 |
|
Initial public offering bonuses |
|
|
19,430 |
|
|
104 |
|
|
|
|
|
|
|
|
19,534 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating earnings (loss) |
|
|
(19,430 |
) |
|
42,267 |
|
|
7,828 |
|
|
(3,200 |
) |
|
27,465 |
|
Interest income |
|
|
|
|
|
324 |
|
|
47 |
|
|
|
|
|
371 |
|
Interest expense |
|
|
|
|
|
(18,844 |
) |
|
(44 |
) |
|
44 |
|
|
(18,844 |
) |
Foreign currency gain (loss) |
|
|
|
|
|
(928 |
) |
|
464 |
|
|
|
|
|
(464 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earnings (loss) before income taxes (benefit) and equity in earnings of subsidiaries |
|
|
(19,430 |
) |
|
22,819 |
|
|
8,295 |
|
|
(3,156 |
) |
|
8,528 |
|
Income taxes (benefit) |
|
|
(7,286 |
) |
|
9,359 |
|
|
2,133 |
|
|
(1,136 |
) |
|
3,070 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earnings (loss) before equity in earnings of subsidiaries |
|
|
(12,144 |
) |
|
13,460 |
|
|
6,162 |
|
|
(2,020 |
) |
|
5,458 |
|
|
|
Equity in earnings of subsidiaries |
|
|
17,602 |
|
|
6,161 |
|
|
|
|
|
(23,763 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings |
|
$ |
5,458 |
|
$ |
19,621 |
|
$ |
6,162 |
|
$ |
(25,783 |
) |
$ |
5,458 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Series A convertible preferred stock dividends |
|
|
(65,604 |
) |
|
|
|
|
|
|
|
|
|
|
(65,604 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings (loss) available to common shareholders |
|
$ |
(60,146 |
) |
$ |
19,621 |
|
$ |
6,162 |
|
$ |
(25,783 |
) |
$ |
(60,146 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
F-67
Condensed Consolidating Guarantor, Non-Guarantor And
Parent Company Statement of Earnings
For the three months ended March 31, 2003
(in thousands)
(unaudited)
|
|
Kinetic
Concepts, Inc.
Parent
Company
Borrower
|
|
Guarantor
Subsidiaries
|
|
Non-
Guarantor
Subsidiaries
|
|
Reclassifications
and
Eliminations
|
|
Historical
Kinetic
Concepts, Inc.
and Subsidiaries
|
|
Revenue: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Rental |
|
$ |
|
|
$ |
103,150 |
|
$ |
26,292 |
|
$ |
|
|
$ |
129,442 |
|
|
Sales |
|
|
|
|
|
31,736 |
|
|
13,051 |
|
|
(7,226 |
) |
|
37,561 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
|
|
|
|
134,886 |
|
|
39,343 |
|
|
(7,226 |
) |
|
167,003 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Rental expenses |
|
|
|
|
|
54,676 |
|
|
24,703 |
|
|
|
|
|
79,379 |
|
Cost of goods sold |
|
|
|
|
|
13,138 |
|
|
4,527 |
|
|
(4,020 |
) |
|
13,645 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Gross profit |
|
|
|
|
|
67,072 |
|
|
10,113 |
|
|
(3,206 |
) |
|
73,979 |
|
Selling, general and administrative expenses |
|
|
|
|
|
32,276 |
|
|
4,205 |
|
|
|
|
|
36,481 |
|
Research and development expenses |
|
|
|
|
|
3,979 |
|
|
446 |
|
|
|
|
|
4,425 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating earnings |
|
|
|
|
|
30,817 |
|
|
5,462 |
|
|
(3,206 |
) |
|
33,073 |
|
Interest income |
|
|
|
|
|
339 |
|
|
61 |
|
|
|
|
|
400 |
|
Interest expense |
|
|
|
|
|
(8,178 |
) |
|
|
|
|
|
|
|
(8,178 |
) |
Foreign currency gain |
|
|
|
|
|
1,522 |
|
|
266 |
|
|
|
|
|
1,788 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earnings before income taxes and equity in earnings of subsidiaries |
|
|
|
|
|
24,500 |
|
|
5,789 |
|
|
(3,206 |
) |
|
27,083 |
|
Income taxes |
|
|
|
|
|
9,794 |
|
|
1,565 |
|
|
(1,203 |
) |
|
10,156 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earnings before equity in earnings of subsidiaries |
|
|
|
|
|
14,706 |
|
|
4,224 |
|
|
(2,003 |
) |
|
16,927 |
|
|
|
Equity in earnings of subsidiaries |
|
|
16,927 |
|
|
4,224 |
|
|
|
|
|
(21,151 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings |
|
$ |
16,927 |
|
$ |
18,930 |
|
$ |
4,224 |
|
$ |
(23,154 |
) |
$ |
16,927 |
|
|
|
|
|
|
|
|
|
|
|
|
|
F-68
Condensed Consolidating Guarantor, Non-Guarantor And
Parent Company Statement of Cash Flows
For the three months ended March 31, 2004
(in thousands)
(unaudited)
|
|
Kinetic
Concepts, Inc.
Parent
Company
Borrower
|
|
Guarantor
Subsidiaries
|
|
Non-
Guarantor
Subsidiaries
|
|
Reclassi-
fications
and
Eliminations
|
|
Kinetic
Concepts,
Inc.
and Subsidiaries
|
|
Cash flows from operating activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings |
|
$ |
5,458 |
|
$ |
19,621 |
|
$ |
6,162 |
|
$ |
(25,783 |
) |
$ |
5,458 |
|
|
Adjustments to reconcile net earnings to net cash provided (used) by operating activities |
|
|
(17,680 |
) |
|
(27,168 |
) |
|
(2,672 |
) |
|
25,191 |
|
|
(22,329 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Net cash provided (used) by operating activities |
|
|
(12,222 |
) |
|
(7,547 |
) |
|
3,490 |
|
|
(592 |
) |
|
(16,871 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Cash flows from investing activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Additions to property, plant and equipment |
|
|
|
|
|
(23,655 |
) |
|
6,570 |
|
|
(3,756 |
) |
|
(20,841 |
) |
|
Increase in inventory to be converted into equipment for short-term rental |
|
|
|
|
|
(3,100 |
) |
|
|
|
|
|
|
|
(3,100 |
) |
|
Dispositions of property, plant and equipment |
|
|
|
|
|
129 |
|
|
266 |
|
|
|
|
|
395 |
|
|
Increase in other assets |
|
|
|
|
|
(244 |
) |
|
(254 |
) |
|
90 |
|
|
(408 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Net cash provided (used) by investing activities |
|
|
|
|
|
(26,870 |
) |
|
6,582 |
|
|
(3,666 |
) |
|
(23,954 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Cash flows from financing activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Repayments of notes payable, long-term, capital lease and other obligations |
|
|
|
|
|
(121,791 |
) |
|
(14 |
) |
|
|
|
|
(121,805 |
) |
|
Initial public offering of common stock: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Proceeds from issuance of common stock |
|
|
105,000 |
|
|
|
|
|
|
|
|
|
|
|
105,000 |
|
|
|
Stock issuance costs |
|
|
(10,604 |
) |
|
|
|
|
|
|
|
|
|
|
(10,604 |
) |
Proceeds from exercise of stock options |
|
|
5,443 |
|
|
|
|
|
|
|
|
|
|
|
5,443 |
|
Proceeds (payments) on intercompany investments and advances |
|
|
(85,809 |
) |
|
74,910 |
|
|
13,231 |
|
|
(2,332 |
) |
|
|
|
|
Other |
|
|
(1,808 |
) |
|
14,483 |
|
|
(19,295 |
) |
|
6,620 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash provided (used) by financing activities |
|
|
12,222 |
|
|
(32,398 |
) |
|
(6,078 |
) |
|
4,288 |
|
|
(21,966 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Effect of exchange rate changes on cash and cash equivalents |
|
|
|
|
|
|
|
|
|
|
|
(30 |
) |
|
(30 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Net increase (decrease) in cash and cash equivalents |
|
|
|
|
|
(66,815 |
) |
|
3,994 |
|
|
|
|
|
(62,821 |
) |
Cash and cash equivalents, beginning of period |
|
|
|
|
|
129,695 |
|
|
26,369 |
|
|
|
|
|
156,064 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents, end of period |
|
$ |
|
|
$ |
62,880 |
|
$ |
30,363 |
|
$ |
|
|
$ |
93,243 |
|
|
|
|
|
|
|
|
|
|
|
|
|
F-69
Condensed Consolidating Guarantor, Non-Guarantor And
Parent Company Statement of Cash Flows
For the three months ended March 31, 2003
(in thousands)
(unaudited)
|
|
Kinetic
Concepts, Inc.
Parent
Company
Borrower
|
|
Guarantor
Subsidiaries
|
|
Non-
Guarantor
Subsidiaries
|
|
Reclassifications
and
Eliminations
|
|
Kinetic
Concepts, Inc.
and Subsidiaries
|
|
Cash flows from operating activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings |
|
$ |
16,927 |
|
$ |
18,930 |
|
$ |
4,224 |
|
$ |
(23,154 |
) |
$ |
16,927 |
|
Adjustments to reconcile net earnings to net cash provided (used) by operating activities |
|
|
90,459 |
|
|
79,459 |
|
|
(7,416 |
) |
|
25,692 |
|
|
188,194 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash provided (used) by operating activities |
|
|
107,386 |
|
|
98,389 |
|
|
(3,192 |
) |
|
2,538 |
|
|
205,121 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash flows from investing activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Additions to property, plant and equipment |
|
|
|
|
|
(10,607 |
) |
|
(6,319 |
) |
|
(752 |
) |
|
(17,678 |
) |
|
Increase in inventory to be converted into equipment for short-term rental |
|
|
|
|
|
(200 |
) |
|
|
|
|
|
|
|
(200 |
) |
|
Dispositions of property, plant and equipment |
|
|
|
|
|
280 |
|
|
124 |
|
|
|
|
|
404 |
|
|
Increase in other assets |
|
|
|
|
|
(181 |
) |
|
(142 |
) |
|
|
|
|
(323 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Net cash used by investing activities |
|
|
|
|
|
(10,708 |
) |
|
(6,337 |
) |
|
(752 |
) |
|
(17,797 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Cash flows from financing activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Repayments of notes payable, long-term, capital lease and other obligations |
|
|
|
|
|
(105,785 |
) |
|
(2 |
) |
|
|
|
|
(105,787 |
) |
|
Proceeds from exercise of stock options |
|
|
663 |
|
|
|
|
|
|
|
|
|
|
|
663 |
|
|
Proceeds (payments) on intercompany investments and advances |
|
|
(109,150 |
) |
|
100,753 |
|
|
9,279 |
|
|
(882 |
) |
|
|
|
|
Other |
|
|
1,101 |
|
|
(595 |
) |
|
904 |
|
|
(1,410 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash provided (used) by financing activities |
|
|
(107,386 |
) |
|
(5,627 |
) |
|
10,181 |
|
|
(2,292 |
) |
|
(105,124 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Effect of exchange rate changes on cash and cash equivalents |
|
|
|
|
|
|
|
|
|
|
|
506 |
|
|
506 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Net increase in cash and cash equivalents |
|
|
|
|
|
82,054 |
|
|
652 |
|
|
|
|
|
82,706 |
|
Cash and cash equivalents, beginning of period |
|
|
|
|
|
41,185 |
|
|
13,300 |
|
|
|
|
|
54,485 |
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents, end of period |
|
$ |
|
|
$ |
123,239 |
|
$ |
13,952 |
|
$ |
|
|
$ |
137,191 |
|
|
|
|
|
|
|
|
|
|
|
|
|
F-70
16,000,000 Shares
Common Stock
P R O S P E C T U S
Merrill Lynch & Co.
JPMorgan
Goldman, Sachs & Co.
Citigroup
Piper Jaffray
SG Cowen & Co.
June , 2004
PART IIINFORMATION NOT REQUIRED IN PROSPECTUS
Unless otherwise defined, all capitalized terms contained in this Part II shall have the meanings ascribed to them in the prospectus, which forms a part of
this Registration Statement. Kinetic Concepts, Inc. is sometimes referred to in this Part II as the "Registrant".
Item 13. Other Expenses of Issuance and Distribution.
The following table sets forth the costs and expenses, other than underwriting discounts and commissions, to be paid by the Registrant in connection with the sale
of the common stock being registered. All amounts other than the SEC registration fee and the NASD filing fees are estimates.
|
|
Amount
to be Paid
|
SEC registration fee |
|
$ |
109,687 |
NASD filing fee |
|
$ |
30,500 |
Legal fees and expenses |
|
$ |
1,050,000 |
Accounting fees and expenses |
|
$ |
350,000 |
Printing and engraving |
|
$ |
250,000 |
Transfer agent and registrar fees |
|
$ |
50,000 |
Miscellaneous expenses |
|
$ |
1,394,813 |
|
|
|
Total |
|
$ |
3,235,000 |
|
|
|
Item 14. Indemnification of Directors and Officers.
Texas law, our articles of incorporation and by-laws contain provisions for indemnification of our directors and officers.
Article 2.02-1
of the Texas Business Corporation Act, or TBCA, provides generally that a person sued as a director, officer, employee or agent of a corporation, or
while serving at the request of the corporation as a director, officer, partner, employee, agent, or similar functionary of another enterprise, may be indemnified by the corporation against judgments,
penalties, fines, settlements and reasonable expenses if it is determined that such person has conducted himself in good faith and it is reasonably believed, in the case of conduct in his official
capacity with the corporation, that his conduct was in the corporation's best interests, and in all other cases, that his conduct was at least not opposed to the corporation's best interests (and, in
the case of any criminal proceeding, had no reasonable cause to believe his conduct was unlawful). The TBCA provides that a corporation may advance expenses incurred by a director in defending a suit
or similar proceeding. A Texas corporation is also permitted to indemnify and advance expenses to officers, employees and agents who are not directors to such extent as may be provided by its articles
of incorporation, by-laws, action of board of directors, a contract or required by common law. Indemnification of a person found liable to the corporation or found liable on the basis that
personal benefit was improperly received by him is limited to reasonable expenses actually incurred by the person in connection with the proceeding, and shall not be made if the person is found liable
for willful or intentional misconduct in the performance of his duty to the corporation. Indemnification is mandatory, however, in the case of such person being wholly successful, on the merits or
otherwise, in the defense of the proceeding.
Article 2.02-1
also authorizes a corporation to purchase and maintain insurance on behalf of any person who is or was a director, officer, employee or agent of the
corporation or who is or was serving at the request of the corporation as a director, officer, employee, agent or similar functionary of another entity or enterprise against any liability asserted
against him and incurred by him in such a capacity or arising out of his status as such, whether or not the corporation would have the power to indemnify him against that liability under
Article 2.02-1.
II-1
Article 1302-7.06
of the Texas Miscellaneous Corporation Laws Act, or TMCLA, provides that a corporation's articles of incorporation may limit or eliminate the
directors' liability for monetary damages to the corporation or its shareholders for an act or omission in the director's capacity as a director, except that no limitation or elimination of liability
is permitted to the extent the director is found liable for a breach of the duty of loyalty, an act or omission not in good faith or that involves intentional misconduct or a knowing violation of the
law, a transaction involving an improper personal benefit to the director, or an act or omission for which liability is expressly provided by an applicable statute.
Similarly,
Article Eight of our articles of incorporation states that, to the extent permitted by the TBCA and/or the TMCLA, as each is currently in effect or as each may be hereinafter
modified, a director of the Registrant shall not be personally liable to the Registrant or its shareholders for monetary damages for an act or omission in the director's capacity as a director, except
for liability for (a) a breach of the director's duty of loyalty to the Registrant or its shareholders, (b) an act or omission not in good faith that constitutes a breach of duty of the
director to the Registrant or an act or omission that involves intentional misconduct or a knowing violation of the law, (c) a transaction from which the director received an improper benefit,
whether or not the benefit resulted from an action taken within the scope of the director's office, or (d) an act or omission for which the liability for the director is expressly provided for
by statute.
Article
Twelve of our articles of incorporation states that we shall indemnify our directors to the fullest extent provided by the TBCA.
Article VIII,
Section 2 of our by-laws provides that, subject to certain conditions, we shall indemnify a director who acted in good faith and in a manner which
he reasonably believed to be in, or not opposed to, our best interests, and in the case of any criminal proceeding, had no reasonable cause to believe the conduct was unlawful. Indemnification would
cover expenses reasonably incurred, including attorneys' fees, judgments, fines and amounts paid in settlement.
Article VIII,
Section 10 of our by-laws provides that the Registrant will advance expenses to a present director after the Registrant receives a written
affirmation by such director of a good faith belief that the standard of conduct necessary for indemnification set forth in Article VIII, Section 2 of the by-laws has been
met and a written undertaking by or on behalf of the director to repay the amount paid or reimbursed if it is ultimately determined that the director has not met that standard or if it is ultimately
determined that indemnification of the director against such expenses is otherwise prohibited by the by-laws. In addition, the Registrant may indemnify and advance expenses to a former
director or officer, or a present or former employee or agent of the Registrant on any terms the board of directors considers appropriate.
Article VIII,
Section 16 of our by-laws provides that our board of directors may cause us to purchase and maintain insurance on behalf of any present or past
director, officer, employee or agent (including any such person who is serving, at the request of the Registrant, in a similar or related capacity for another entity), insuring against any liability
asserted against such person incurred in the
capacity of such position or arising out of such status, regardless of whether we would have the power to indemnify such person.
We
will indemnify each of Fremont Partners, James R. Leininger, M.D. and Blum Capital Partners and its respective directors, members, officers, employees, agents, representatives and
affiliates for losses, damages, costs or expenses which such person may suffer arising out of such person's performance of services under a management services agreement, provided that such person
will not be indemnified for losses resulting primarily from such person's own gross negligence or willful misconduct.
Insofar
as indemnification for liabilities arising under the Securities Act may be permitted to directors, officers or persons controlling us pursuant to the foregoing provisions, we
have been informed that in the opinion of the SEC, such indemnification is against public policy as expressed in the Securities Act and is therefore unenforceable.
The
Registrant has obtained liability insurance for its officers and directors.
II-2
In
addition, we have entered into an indemnity agreement with each of our directors and executive officers pursuant to which we agreed to indemnify each director and executive officer
who is, or is threatened to be made, a party to any proceeding because the person is or was one of our directors, officers or agents to the fullest extent permitted by Texas law from and against any
expenses, judgments, penalties, fines and amounts paid in settlement actually and reasonably incurred by such person in connection with such proceeding. These indemnity agreements provide that we will
indemnify our directors and executive officers to the fullest extent permissible under applicable law. Item 15. Recent Sales of Unregistered Securities. Since December 24, 2000, the Registrant
has issued and sold the following unregistered securities:
Item 15. Recent Sales of Unregistered Securities
- 1.
- On
August 11, 2003, the Registrant issued a total of 263,794 shares of Series A Convertible Participating Preferred Stock for an aggregate consideration of
$258.0 million, in cash and/or in exchange for the repurchase of outstanding common stock and vested options, to GS Capital Partners 2000, L.P., GS Capital Partners 2000 Offshore, L.P., GS
Capital Partners 2000 GmbH & Co. Beteiligungs KG, GS Capital Partners 2000 Employee Fund, L.P., Goldman Sachs Direct Investment Fund 2000, L.P., DLJ Merchant Banking Partners III, L.P., DLJ
Merchant Banking III, Inc., its Advisory General Partner on behalf of DLJ Offshore Partners III, C.V., DLJ Merchant Banking III, Inc. as Advisory General
Partner on behalf of DLJ Offshore Partners III-1, C.V. and as attorney-in-fact for DLJ Merchant Banking III, L.P., as Associate General Partner of DLJ Offshore
Partners III-1, C.V., DLJ Merchant Banking III, Inc. as Advisory General Partner on behalf of DLJ Offshore Partners III-2, C.V. and as attorney-in-fact for
DLJ Merchant Banking III, L.P., as Associate General Partner of DLJ Offshore Partners III-2, C.V., DLJ MB Partners III GmbH & Co. KG, Millennium Partners II, L.P.,
MBP III Plan Investors, L.P., Fremont Partners III, L.P., Fremont Partners III Side-By-Side, L.P., Fremont Acquisition Company II, L.L.C., Fremont Acquisition Company IIA,
L.L.C., Blum Strategic Partners II, L.P., Blum Strategic Partners II GmbH and Co. KG, Stinson Capital Partners II, L.P., RCBA-KCI Capital Partners, L.P., James R. Leininger, M.D., John P.
Byrnes, Harry R. Jacobson, M.D., David J. Simpson and C. Thomas Smith.
- 2.
- On
August 11, 2003, the Registrant issued an aggregate of $205.0 million principal amount of 73/8% Senior Subordinated Notes due 2013 to qualified
institutional buyers pursuant to Rule 144A under the Securities Act and outside the United States in compliance with Regulation S under the Securities Act.
- 3.
- From
December 24, 2000 through February 26, 2004 (the "Pre-IPO Period"), the Registrant granted options to purchase 2,531,996 shares of common stock to employees
under its 1997 Management Equity Plan at exercise prices ranging from $4.81 to $17.00 per share. Of the options granted, 1,923,155 remain outstanding, 218,103 have been exercised and tendered and
390,738 have been cancelled and returned to the Management Equity Plan. The Registrant issued 1,035,172 shares of common stock under its 1997 Management Equity Plan during the Pre-IPO Period.
- 4.
- During
the Pre-IPO Period, the Registrant granted options to purchase 41,764 shares of common stock and issued 50,116 shares of restricted common stock to
non-employee directors under its 2003 Non-Employee Directors Stock Plan, pursuant to the exemption from registration provided by Rule 701 under the Securities Act. The
options have exercise prices ranging from $10.00 to $17.00 per share. None of these options have been exercised or cancelled.
- 5.
- On
April 1, 2004, the Registrant granted options to purchase 886,200 shares of common stock to employees under its 2004 Equity Plan. The options have an exercise price of
$44.41 per share. None of these issuances are deemed to be "sales" of securities under the Securities Act.
II-3
- 6.
- On
April 30, 2004, the Registrant granted options to purchase 18,500 shares of common stock to employees under its 2004 Equity Plan. The options have an exercise price of
$48.40 per share. None of these issuances are deemed to be "sales" of securities under the Securities Act.
The
263,794 shares of Series A Convertible Participating Preferred Stock described in paragraph 1 above were deemed by the Registrant to be exempt from the registration
requirements of the Securities Act pursuant to the exemption provided in Section 4(2) of the Securities Act. The Registrant believes that such persons had adequate access to the kind of
information which would be disclosed in a registration statement filed with the Commission pursuant to the Securities Act. The recipients of the preferred stock represented to the Registrant, at the
time of the transaction, that they were accredited investors and that they intended to acquire the shares for investment purposes only and not with a view to or for sale in connection with any
distribution thereof. Appropriate restrictive legends were affixed to the share certificates.
With
respect to the offer and sale of the securities described in paragraph 2 above (the "Notes"), the Registrant did not engage in general solicitation, general advertising or
directed selling efforts. The Registrant offered and sold Notes (i) within the United States, only to qualified institutional buyers, and (ii) outside the United States, only to persons
other than U.S. persons (within the meaning of Regulation S). Appropriate restrictive legends were affixed to the global Notes.
With
respect to the securities described in paragraphs 3 and 4 above, (i) options to purchase 2,573,760 shares were granted and 1,081,456 shares (the "701 Shares") were issued
pursuant to the exemption from registration provided by Rule 701 promulgated under the Securities Act, and (ii) 95,168 shares (the "4(2) Shares") were issued pursuant to the exemption
provided by Section 4(2) of the Securities Act.
The
aggregate exercise price of all options granted during any consecutive 12-month period within the Pre-IPO Period, together with the sales price of all shares of common
stock issued other than pursuant to option exercises, did not exceed 15% of the total assets of the Registrant, measured at the Registrant's then most recent annual balance sheet date.
The
Registrant provided a copy of the applicable compensatory benefit plan, a summary description of the plan, information about the risks of the investment and financial statements to
each recipient of 701 Shares prior to the issuance of 701 Shares to such recipient.
The
4(2) Shares were issued to 12 persons, each of whom was at the time of grant and issuance either an officer of the Registrant or was an employee deemed by the Registrant to be a
member of its management. The Registrant believes that such persons had adequate access to the kind of information which would be disclosed in a registration statement filed with the Commission
pursuant to the Securities Act. The recipients of common stock represented in such transactions to the Registrant their intentions to acquire the shares for investment purposes only and not with a
view to or for sale in connection with any distribution thereof. Appropriate restrictive legends were affixed to the share certificates.
The
issuances of the options described in paragraphs 5 and 6 above were exempt pursuant to Rule 504 and/or Section 4(2) under the Securities Act, and no "sale" was deemed to have
occurred in connection with the issuances of the options.
II-4
Item 16. Exhibits and Financial Statement Schedules.
Exhibit No.
|
|
Exhibit
|
1.1 |
|
Form of Underwriting Agreement (filed as Exhibit 1.1 to Amendment No. 1 to our Registration Statement on Form S-1, filed on June 7, 2004). |
3.4 |
|
Restated Articles of Incorporation (with Amendments) of KCI (filed as Exhibit 3.4 to Amendment No. 1 to our Registration Statement on Form S-1, filed on February 2, 2004, as thereafter amended). |
3.5 |
|
Amended and Restated Articles of Incorporation of KCI (filed as Exhibit 3.5 to Amendment No. 1 to our Registration Statement on Form S-1, filed on February 2, 2004, as thereafter amended). |
3.6 |
|
Third Amended and Restated By-laws of KCI (filed as Exhibit 3.6 to our Registration Statement on Form S-1, filed on May 28, 2004). |
3.7 |
|
Audit and Compliance Committee Charter (filed as Exhibit 3.7 to Amendment No. 2.to our Registration Statement on Form S-1, filed on February 11, 2004, as thereafter amended). |
3.8 |
|
Compensation Committee Charter (filed as Exhibit 3.8 to Amendment No. 2 to our Registration Statement on Form S-1, filed on February 11, 2004, as thereafter amended). |
3.9 |
|
Director Affairs Committee Charter (filed as Exhibit 3.9 to Amendment No. 2 to our Registration Statement on Form S-1, filed on February 11, 2004, as thereafter amended). |
4.1 |
|
Indenture, dated as of August 11, 2003, among KCI, as Issuer, the Guarantors, and U.S. Bank National Association, as Trustee (filed as Exhibit 4.1 on Form S-4, filed on September 29, 2003). |
4.2 |
|
Form of Series B 73/8% Senior Subordinated Notes due 2013 (included in Exhibit 4.1). |
4.3 |
|
Specimen Common Stock Certificate (filed as Exhibit 4.3 to Amendment No. 1 to our Registration Statement on Form S-1, filed on February 2, 2004, as thereafter amended). |
5.1 |
|
Opinion of Cox & Smith Incorporated (filed as Exhibit 5.1 to Registration Statement on Form S-1, filed May 28, 2004). |
10.1 |
|
Registration Rights Agreement, dated as of August 11, 2003, among KCI, as Issuer, the Guarantors, and Morgan Stanley & Co. Incorporated, Credit Suisse First Boston LLC, Goldman, Sachs & Co., J.P. Morgan Securities
Inc., Scotia Capital (USA) Inc., and Wells Fargo Securities, LLC, as Placement Agents (filed as Exhibit 10.1 on Form S-4, filed on September 29, 2003). |
10.2 |
|
Credit Agreement, dated as of August 11, 2003 (filed as Exhibit 10.2 on Form S-4, filed on September 29, 2003). |
10.3 |
|
Guarantee and Collateral Agreement, dated as of August 11, 2003 (filed as Exhibit 10.3 on Form S-4, filed on September 29, 2003). |
10.4 |
|
Security and Control Agreement, dated as of August 11, 2003, among KCI, U.S. Bank National Association, as Trustee, and U.S. Bank National Association, as Securities Intermediary (filed as Exhibit 10.4 on Form S-4, filed
on September 29, 2003). |
10.5 |
|
Series A Preferred Stock Purchase Agreement, dated as of August 11, 2003, among KCI, the Non-Sponsor Investors, the Sponsor Investors and the Director Investors (filed as Exhibit 10.5 on Form S-4, filed on September 29,
2003). |
10.6 |
|
Investors' Rights Agreement, dated as of August 11, 2003, among KCI, the Non-Sponsor Investors, the Sponsor Investors and the Director Investors (filed as Exhibit 10.6 on Form S-4, filed on September 29,
2003). |
|
|
|
II-5
10.7 |
|
Statement of Designations, Preferences and Rights of the Series A Convertible Participating Preferred Stock of Kinetic Concepts, Inc. (filed as Exhibit 10.7 on Form S-4, filed on September 29, 2003). |
10.8 |
|
Agreement Among Shareholders, dated as of November 5, 1997 (filed as Exhibit 10.26 to Registration Statement on Form S-4, filed on December 19, 1997) |
10.9 |
|
Joinder and Amendment Agreement, dated as of June 25, 2003 (filed as Exhibit 10.9 on Form S-4/A, as amended on October 24, 2003). |
10.10 |
|
Waiver and Consent, effective as of September 27, 2002 (filed as Exhibit 10.10 on Form S-4, filed on September 29, 2003). |
10.11 |
|
Amendment and Waiver, dated as of August 11, 2003 (filed as Exhibit 10.11 on Form S-4, filed on September 29, 2003). |
10.12 |
|
Amendment, Acknowledgement and Waiver (Agreement Among Shareholders) dated as of February 17, 2004 (filed as Exhibit 10.35 to Amendment No. 3 to Registration Statement on Form S-1, filed on
February 20, 2004, as amended). |
10.13 |
|
KCI Employee Benefits Trust Agreement (filed as Exhibit 10.21 to our Annual Report on Form 10-K/A, dated December 31, 1994). |
10.14 |
|
Deferred Compensation Plan (filed as Exhibit 99.2 to our Quarterly Report on Form 10-Q for the quarter ended September 30, 1995). |
10.15 |
|
Kinetic Concepts, Inc. Senior Executive Stock Option Plan (filed as Exhibit 10.31 to our Annual Report on Form 10-K for the year ended December 31, 1996). |
10.16 |
|
Form of Option Instrument with respect to Senior Executive Stock Option Plan (filed as Exhibit 10.32 to our Annual Report on Form 10-K for the year ended December 31, 1996). |
10.17 |
|
Kinetic Concepts Management Equity Plan effective October 2, 1997 (filed as Exhibit 10.33 to our Annual Report on Form 10-K for the year ended December 31, 1997). |
10.18 |
|
Form of Option Instrument with Respect to the Kinetic Concepts, Inc. Management Equity Plan (filed as Exhibit 10.14 to our Annual Report on Form 10-K for the year ended December 31, 2000). |
10.19 |
|
Kinetic Concepts, Inc. CEO Special Bonus Plan (filed as Exhibit 10.12 to our Annual Report on Form 10-K for the year ended December 31, 2000). |
10.20 |
|
Kinetic Concepts, Inc. 2000 Special Bonus Plan (filed as Exhibit 10.13 to our Annual Report on Form 10-K for the year ended December 31, 2000). |
10.21 |
|
Employee Benefits Trust Agreement, by and between the Company and Keith D. Thatcher, dated September 1, 1992 (filed as Exhibit 10.21 to our Annual Report on Form 10-K/A, dated December 31, 1994). |
10.22 |
|
Letter, dated March 28, 2000, from KCI to Dennert O. Ware outlining the terms of his employment (filed as Exhibit 10.12 to our Quarterly Report on Form 10-Q for the quarter ended March 31, 2000). |
10.23 |
|
Letter, dated November 22, 1994, from KCI to Christopher M. Fashek outlining the terms of his employment (filed as Exhibit 10.23 to our Annual Report on Form 10-K/A, dated December 31, 1994). |
10.24 |
|
Settlement Agreement, by and among the Company and certain of its subsidiaries and shareholders and Hillenbrand Industries, Inc. and certain of its subsidiaries and shareholders, dated December 31, 2002 (filed as Exhibit
10.16 to our Annual Report on Form 10-K for the year ended December 31, 2002). |
|
|
|
II-6
10.25 |
|
Exhibits to Supplier Agreement, dated September 1, 2001, between Novation, LLC and KCI USA, Inc. (Supplier Agreement filed as Exhibit 10.16 to our Quarterly Report on Form 10-Q for the quarter ended September 30, 2001)
(filed as Exhibit 10.24 to Amendment No. 4 to Registration Statement on Form S-1, filed February 23, 2004). |
10.26 |
|
Therapeutic Specialty Beds, Therapeutic Surfaces & Related Products Supplier Agreement, dated effective September 1, 2001 between Novation, LLC and KCI USA, Inc., as amended by that certain Amendment of Agreement (MS
10730), dated effective May 13, 2002 (filed as Exhibit 10.16 to our Quarterly Report on Form 10-Q for the quarter ended September 30, 2001). |
10.27 |
|
Standard Office Building Lease Agreement, dated July 31, 2002 between CKW San Antonio, L.P. d/b/a San Antonio CKW, L.P. and Kinetic Concepts, Inc. for the lease of approximately 138,231 square feet of space in the
building located at 8023 Vantage Drive, San Antonio, Bexar County, Texas 78230 (filed as Exhibit 10.27 on Form S-4, filed on September 29, 2003). |
10.28 |
|
Amended and Restated Manufacturing Agreement, by and between the Company and Avail Medical Products, Inc., dated December 18, 2002 (filed as Exhibit 10.27 to Amendment No. 4 to Registration Statement on Form S-1, filed on
February 23, 2004). |
10.29 |
|
First Amended and Restated Management Services Agreement, dated as of August 11, 2003, among KCI, Dr. James Leininger, Blum Capital Partners, L.P., Blum Strategic GP II, L.L.C., Fremont Partners, L.L.C. and Fremont
Partners III, L.L.C. (filed as Exhibit 10.29 on Form S-4, filed on September 29, 2003). |
10.30 |
|
License Agreement, dated as of October 6, 1993, between Wake Forest University and Kinetic Concepts, Inc., as amended by that certain Amendment to License Agreement, dated as of July 1, 2000 (filed as
Exhibit 10.29 to Amendment No. 4 to Registration Statement on Form S-1, filed on February 23, 2004). |
10.31 |
|
Amendment No. 1 to Credit Agreement, dated December 5, 2003 (filed as Exhibit 10.30 on Form S-4, as amended on December 31, 2003). |
10.32 |
|
Form of Indemnity Agreement (filed as Exhibit 10.31 to Amendment No. 1 to Registration Statement on Form S-1, filed on February 2, 2004, as amended). |
10.33 |
|
2004 Equity Plan (filed as Exhibit 10.32 to Amendment No. 1 to Registration Statement on Form S-1, filed on February 2, 2004, as amended). |
10.34 |
|
2004 Employee Stock Purchase Plan (filed as Exhibit 10.33 to Amendment No. 1 to Form S-1, filed on February 2, 2004, as amended). |
10.35 |
|
Form of Amendment No. 2 to Credit Agreement (filed as Exhibit 10.34 to Amendment No. 3 to Registration Statement on Form S-1, filed on February 20, 2004, as amended). |
10.36 |
|
2003 Non-Employee Directors Stock Plan (filed as Exhibit 10.1 to our Quarterly Report on Form 10-Q for the quarter ended June 30, 2003). |
10.37 |
|
Contract of Employment, dated July 1, 2001, between KCI Europe Holdings B.V. and Jorg Menten (filed as Exhibit 10.29 to our Annual Report on Form 10-K for the year ended December 31, 2003). |
21.1 |
|
List of Subsidiaries (filed as Exhibit 21.1 to our Annual Report on Form 10-K for the year ended December 31, 2003). |
23.1 |
|
Consent of Cox & Smith Incorporated (included in Exhibit 5.1). |
23.2 |
|
Consent of Ernst & Young LLP. |
24.1 |
|
Power of Attorney (included on signature page). |
-
- Confidential
treatment granted on certain portions of this exhibit. An unredacted version of this exhibit has been filed separately with the Securities and Exchange
Commission.
II-7
- (b)
- Financial
Statement Schedules.
Schedules
other than those referred to above have been omitted because they are not applicable or not required or because the information is included elsewhere in the consolidated
financial statements of the Registrant or the notes thereto.
Item 17. Undertakings.
The Registrant hereby undertakes to provide the Underwriters at the closing specified in the Underwriting Agreement certificates in such denominations and
registered in such names as required by the Underwriters to permit prompt delivery to each purchaser.
Insofar
as indemnification for liabilities arising under the Securities Act of 1933, as amended, may be permitted to directors, officers and controlling persons of the Registrant
pursuant to the provisions described in Item 14, or otherwise, the Registrant has been informed that in the opinion of the Securities and Exchange Commission such indemnification is against public
policy as expressed in the
Securities Act and is therefore unenforceable. In the event that a claim for indemnification by the Registrant against such liabilities (other than the payment by the registrant of expenses incurred
or paid by a director, officer, or controlling person of the registrant in the successful defense of any action, suit, or proceeding) is asserted by such director, officer, or controlling person in
connection with the securities being registered, the Registrant will, unless in the opinion of its counsel the matter has been settled by controlling precedent, submit to a court of appropriate
jurisdiction the question whether such indemnification by it is against public policy as expressed in the Securities Act of 1933 and will be governed by the final adjudication of such issue.
The
undersigned Registrant hereby undertakes that:
(1) For
purposes of determining any liability under the Securities Act of 1933, as amended, the information omitted from the form of prospectus filed as part of this
registration statement in reliance upon Rule 430A and contained in a form of prospectus filed by the Registrant pursuant to Rule 424(b)(1) or (4) or 497(h) under the Securities
Act shall be deemed to be part of this registration statement as of the time it was declared effective.
(2) For
the purpose of determining any liability under the Securities Act of 1933, as amended, each post-effective amendment that contains a form of prospectus
shall be deemed to be a new registration statement relating to the securities offered therein, and the offering of such securities at that time shall be deemed to be the initial bona fide offering
thereof.
II-8
SIGNATURES
Pursuant to the requirements of the Securities Act of 1933, as amended, the Registrant has duly caused this amendment no. 2 to the registration statement
to be signed on its behalf by the undersigned, thereunto duly authorized, in the City of San Antonio, Texas, on June 15, 2004.
|
KINETIC CONCEPTS, INC. |
|
By: |
|
/s/ DENNERT O. WARE
|
|
Name: |
|
Dennert O. Ware |
|
Title: |
|
President and Chief Executive Officer |
Pursuant to the requirement of the Securities Act of 1933, this amendment no. 2 to the registration statement has been signed by the following persons in
the capacities and on the dates indicated:
Signature
|
|
Title
|
|
Date
|
|
|
|
|
|
* ROBERT JAUNICH II |
|
Chairman of the Board of Directors |
|
June 15, 2004 |
* DENNERT O. WARE |
|
Director, President and Chief Executive Officer (Principal Executive Officer) |
|
June 15, 2004 |
* MARTIN J. LANDON |
|
Vice President and Chief Financial Officer (Principal Financial and Principal Accounting Officer) |
|
June 15, 2004 |
* JAMES R. LEININGER, M.D. |
|
Director, Chairman Emeritus |
|
June 15, 2004 |
JOHN P. BYRNES |
|
Director |
|
|
* RONALD W. DOLLENS |
|
Director |
|
June 15, 2004 |
* JAMES T. FARRELL |
|
Director |
|
June 15, 2004 |
* HARRY R. JACOBSON, M.D. |
|
Director |
|
June 15, 2004 |
|
|
|
|
|
II-9
* N. COLIN LIND |
|
Director |
|
June 15, 2004 |
* DAVID J. SIMPSON |
|
Director |
|
June 15, 2004 |
C. THOMAS SMITH |
|
Director |
|
|
* DONALD E. STEEN |
|
Director |
|
June 15, 2004 |
*By: |
|
/s/ DENNIS E. NOLL DENNIS E. NOLL |
|
Attorney-in-Fact |
|
June 15, 2004 |
II-10
Exhibit Index
Exhibit No.
|
|
Exhibit
|
1.1 |
|
Form of Underwriting Agreement (filed as Exhibit 1.1 to Amendment No. 1 to our Registration Statement on Form S-1, filed on June 7, 2004). |
3.4 |
|
Restated Articles of Incorporation (with Amendments) of KCI (filed as Exhibit 3.4 to Amendment No. 1 to our Registration Statement on Form S-1, filed on February 2, 2004, as thereafter amended). |
3.5 |
|
Amended and Restated Articles of Incorporation of KCI (filed as Exhibit 3.5 to Amendment No. 1 to our Registration Statement on Form S-1, filed on February 2, 2004, as thereafter amended). |
3.6 |
|
Third Amended and Restated By-laws of KCI (filed as Exhibit 3.6 to our Registration Statement on Form S-1, filed on May 28, 2004). |
3.7 |
|
Audit and Compliance Committee Charter (filed as Exhibit 3.7 to Amendment No. 2.to our Registration Statement on Form S-1, filed on February 11, 2004, as thereafter amended). |
3.8 |
|
Compensation Committee Charter (filed as Exhibit 3.8 to Amendment No. 2 to our Registration Statement on Form S-1, filed on February 11, 2004, as thereafter amended). |
3.9 |
|
Director Affairs Committee Charter (filed as Exhibit 3.9 to Amendment No. 2 to our Registration Statement on Form S-1, filed on February 11, 2004, as thereafter amended). |
4.1 |
|
Indenture, dated as of August 11, 2003, among KCI, as Issuer, the Guarantors, and U.S. Bank National Association, as Trustee (filed as Exhibit 4.1 on Form S-4, filed on September 29, 2003). |
4.2 |
|
Form of Series B 73/8% Senior Subordinated Notes due 2013 (included in Exhibit 4.1). |
4.3 |
|
Specimen Common Stock Certificate (filed as Exhibit 4.3 to Amendment No. 1 to our Registration Statement on Form S-1, filed on February 2, 2004, as thereafter amended). |
5.1 |
|
Opinion of Cox & Smith Incorporated (filed as Exhibit 5.1 to Registration Statement on Form S-1, filed May 28, 2004). |
10.1 |
|
Registration Rights Agreement, dated as of August 11, 2003, among KCI, as Issuer, the Guarantors, and Morgan Stanley & Co. Incorporated, Credit Suisse First Boston LLC, Goldman, Sachs & Co., J.P. Morgan Securities
Inc., Scotia Capital (USA) Inc., and Wells Fargo Securities, LLC, as Placement Agents (filed as Exhibit 10.1 on Form S-4, filed on September 29, 2003). |
10.2 |
|
Credit Agreement, dated as of August 11, 2003 (filed as Exhibit 10.2 on Form S-4, filed on September 29, 2003). |
10.3 |
|
Guarantee and Collateral Agreement, dated as of August 11, 2003 (filed as Exhibit 10.3 on Form S-4, filed on September 29, 2003). |
10.4 |
|
Security and Control Agreement, dated as of August 11, 2003, among KCI, U.S. Bank National Association, as Trustee, and U.S. Bank National Association, as Securities Intermediary (filed as Exhibit 10.4 on Form S-4, filed
on September 29, 2003). |
10.5 |
|
Series A Preferred Stock Purchase Agreement, dated as of August 11, 2003, among KCI, the Non-Sponsor Investors, the Sponsor Investors and the Director Investors (filed as Exhibit 10.5 on Form S-4, filed on September 29,
2003). |
10.6 |
|
Investors' Rights Agreement, dated as of August 11, 2003, among KCI, the Non-Sponsor Investors, the Sponsor Investors and the Director Investors (filed as Exhibit 10.6 on Form S-4, filed on September 29,
2003). |
10.7 |
|
Statement of Designations, Preferences and Rights of the Series A Convertible Participating Preferred Stock of Kinetic Concepts, Inc. (filed as Exhibit 10.7 on Form S-4, filed on September 29, 2003). |
10.8 |
|
Agreement Among Shareholders, dated as of November 5, 1997 (filed as Exhibit 10.26 to Registration Statement on Form S-4, filed on December 19, 1997) |
|
|
|
10.9 |
|
Joinder and Amendment Agreement, dated as of June 25, 2003 (filed as Exhibit 10.9 on Form S-4/A, as amended on October 24, 2003). |
10.10 |
|
Waiver and Consent, effective as of September 27, 2002 (filed as Exhibit 10.10 on Form S-4, filed on September 29, 2003). |
10.11 |
|
Amendment and Waiver, dated as of August 11, 2003 (filed as Exhibit 10.11 on Form S-4, filed on September 29, 2003). |
10.12 |
|
Amendment, Acknowledgement and Waiver (Agreement Among Shareholders) dated as of February 17, 2004 (filed as Exhibit 10.35 to Amendment No. 3 to Registration Statement on Form S-1, filed on
February 20, 2004, as amended). |
10.13 |
|
KCI Employee Benefits Trust Agreement (filed as Exhibit 10.21 to our Annual Report on Form 10-K/A, dated December 31, 1994). |
10.14 |
|
Deferred Compensation Plan (filed as Exhibit 99.2 to our Quarterly Report on Form 10-Q for the quarter ended September 30, 1995). |
10.15 |
|
Kinetic Concepts, Inc. Senior Executive Stock Option Plan (filed as Exhibit 10.31 to our Annual Report on Form 10-K for the year ended December 31, 1996). |
10.16 |
|
Form of Option Instrument with respect to Senior Executive Stock Option Plan (filed as Exhibit 10.32 to our Annual Report on Form 10-K for the year ended December 31, 1996). |
10.17 |
|
Kinetic Concepts Management Equity Plan effective October 2, 1997 (filed as Exhibit 10.33 to our Annual Report on Form 10-K for the year ended December 31, 1997). |
10.18 |
|
Form of Option Instrument with Respect to the Kinetic Concepts, Inc. Management Equity Plan (filed as Exhibit 10.14 to our Annual Report on Form 10-K for the year ended December 31, 2000). |
10.19 |
|
Kinetic Concepts, Inc. CEO Special Bonus Plan (filed as Exhibit 10.12 to our Annual Report on Form 10-K for the year ended December 31, 2000). |
10.20 |
|
Kinetic Concepts, Inc. 2000 Special Bonus Plan (filed as Exhibit 10.13 to our Annual Report on Form 10-K for the year ended December 31, 2000). |
10.21 |
|
Employee Benefits Trust Agreement, by and between the Company and Keith D. Thatcher, dated September 1, 1992 (filed as Exhibit 10.21 to our Annual Report on Form 10-K/A, dated December 31, 1994). |
10.22 |
|
Letter, dated March 28, 2000, from KCI to Dennert O. Ware outlining the terms of his employment (filed as Exhibit 10.12 to our Quarterly Report on Form 10-Q for the quarter ended March 31, 2000). |
10.23 |
|
Letter, dated November 22, 1994, from KCI to Christopher M. Fashek outlining the terms of his employment (filed as Exhibit 10.23 to our Annual Report on Form 10-K/A, dated December 31, 1994). |
10.24 |
|
Settlement Agreement, by and among the Company and certain of its subsidiaries and shareholders and Hillenbrand Industries, Inc. and certain of its subsidiaries and shareholders, dated December 31, 2002 (filed as Exhibit
10.16 to our Annual Report on Form 10-K for the year ended December 31, 2002). |
10.25 |
|
Exhibits to Supplier Agreement, dated September 1, 2001, between Novation, LLC and KCI USA, Inc. (Supplier Agreement filed as Exhibit 10.16 to our Quarterly Report on Form 10-Q for the quarter ended September 30, 2001)
(filed as Exhibit 10.24 to Amendment No. 4 to Registration Statement on Form S-1, filed February 23, 2004). |
10.26 |
|
Therapeutic Specialty Beds, Therapeutic Surfaces & Related Products Supplier Agreement, dated effective September 1, 2001 between Novation, LLC and KCI USA, Inc., as amended by that certain Amendment of Agreement (MS
10730), dated effective May 13, 2002 (filed as Exhibit 10.16 to our Quarterly Report on Form 10-Q for the quarter ended September 30, 2001). |
|
|
|
10.27 |
|
Standard Office Building Lease Agreement, dated July 31, 2002 between CKW San Antonio, L.P. d/b/a San Antonio CKW, L.P. and Kinetic Concepts, Inc. for the lease of approximately 138,231 square feet of space in the
building located at 8023 Vantage Drive, San Antonio, Bexar County, Texas 78230 (filed as Exhibit 10.27 on Form S-4, filed on September 29, 2003). |
10.28 |
|
Amended and Restated Manufacturing Agreement, by and between the Company and Avail Medical Products, Inc., dated December 18, 2002 (filed as Exhibit 10.27 to Amendment No. 4 to Registration Statement on Form S-1, filed on
February 23, 2004). |
10.29 |
|
First Amended and Restated Management Services Agreement, dated as of August 11, 2003, among KCI, Dr. James Leininger, Blum Capital Partners, L.P., Blum Strategic GP II, L.L.C., Fremont Partners, L.L.C. and Fremont
Partners III, L.L.C. (filed as Exhibit 10.29 on Form S-4, filed on September 29, 2003). |
10.30 |
|
License Agreement, dated as of October 6, 1993, between Wake Forest University and Kinetic Concepts, Inc., as amended by that certain Amendment to License Agreement, dated as of July 1, 2000 (filed as
Exhibit 10.29 to Amendment No. 4 to Registration Statement on Form S-1, filed on February 23, 2004). |
10.31 |
|
Amendment No. 1 to Credit Agreement, dated December 5, 2003 (filed as Exhibit 10.30 on Form S-4, as amended on December 31, 2003). |
10.32 |
|
Form of Indemnity Agreement (filed as Exhibit 10.31 to Amendment No. 1 to Registration Statement on Form S-1, filed on February 2, 2004, as amended). |
10.33 |
|
2004 Equity Plan (filed as Exhibit 10.32 to Amendment No. 1 to Registration Statement on Form S-1, filed on February 2, 2004, as amended). |
10.34 |
|
2004 Employee Stock Purchase Plan (filed as Exhibit 10.33 to Amendment No. 1 to Form S-1, filed on February 2, 2004, as amended). |
10.35 |
|
Form of Amendment No. 2 to Credit Agreement (filed as Exhibit 10.34 to Amendment No. 3 to Registration Statement on Form S-1, filed on February 20, 2004, as amended). |
10.36 |
|
2003 Non-Employee Directors Stock Plan (filed as Exhibit 10.1 to our Quarterly Report on Form 10-Q for the quarter ended June 30, 2003). |
10.37 |
|
Contract of Employment, dated July 1, 2001, between KCI Europe Holdings B.V. and Jorg Menten (filed as Exhibit 10.29 to our Annual Report on Form 10-K for the year ended December 31, 2003). |
21.1 |
|
List of Subsidiaries (filed as Exhibit 21.1 to our Annual Report on Form 10-K for the year ended December 31, 2003). |
23.1 |
|
Consent of Cox & Smith Incorporated (included in Exhibit 5.1). |
23.2 |
|
Consent of Ernst & Young LLP. |
24.1 |
|
Power of Attorney (included on signature page). |
-
- Confidential
treatment granted on certain portions of this exhibit. An unredacted version of this exhibit has been filed separately with the Securities and Exchange
Commission.
EX-23.2
2
a2137293zex-23_2.htm
EXHIBIT 23.2
Exhibit 23.2
Consent of Independent Registered Public Accounting Firm
We consent to the reference to our firm under the caption "Experts" and to the use of our report dated January 29, 2004, in Amendment No. 2 to the
Registration Statement (Form S-1 No. 333-115965) and related Prospectus of Kinetic Concepts, Inc. for the registration of 16,000,000 shares of its common
stock.
San
Antonio, Texas
June 11, 2004
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