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

[X] Annual report pursuant to Section 13 or 15(d) of the Securities
Exchange Act of 1934 for the fiscal year ended December 31, 2003 or

[ ] Transition report pursuant to Section 13 or 15(d) of the Securities
Exchange Act of 1934.

MERIT MEDICAL SYSTEMS, INC.
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(Exact name of registrant as specified in its charter)

Utah 0-18592 87-0447695
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(State or other (Commission File No.) (IRS Employer
jurisdiction Identification No.)
of incorporation)
1600 West Merit Parkway
South Jordan, Utah 84095
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(Address of principal executive offices, including zip code)

Registrant's telephone number, including area code: (801) 253-1600

Securities registered pursuant to Section 12(b) of the Act: None
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Securities registered pursuant to Section 12(g) of the Act:
Title of Class: Common Stock, No Par Value

Indicate by check mark whether the Registrant (1) has filed all reports
required to be filed by Section 13 or 15(d) of the Securities Exchange Act of
1934 during the preceding 12 months (or for such shorter period that the
Registrant was required to file such reports), and (2) has been subject to such
filing requirements for the past 90 days. Yes [X] No [ ]

Indicate by check mark if disclosure of delinquent filers pursuant to
Item 405 of Regulation S-K is not contained herein, and will not be contained,
to the best of the Registrant's knowledge, in definitive proxy or information
statements incorporated by reference in Part III of this Form 10-K or any
amendment to this Form 10-K. [X]

Indicate by check mark whether the registrant is an accelerated filer
(as defined in rule 12b-2 of the Act) Yes [X] No [ ]

The aggregate market value of the Common Stock held by non-affiliates
of the Registrant, on June 30, 2003, which is the last day of the Registrant's
most recently completed second fiscal quarter (based upon the closing sale price
of the Common Stock on the NASDAQ National Market System on June 30, 2003), was
approximately $263 million. Shares of Common Stock held by each officer and
director and by each person who may be deemed to be an affiliate have been
excluded.

As of March 10, 2004, the Registrant had 26,095,533 shares of Common
Stock outstanding.

DOCUMENTS INCORPORATED BY REFERENCE

Portions of the following document are incorporated by reference in
Part III of this Report: the Registrant's definitive Proxy Statement relating to
the Annual Meeting of Shareholders scheduled for May 25, 2004.





TABLE OF CONTENTS


PART I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
DISCLOSURE REGARDING FORWARD-LOOKING STATEMENTS . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Item 1. Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
GENERAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
PRODUCTS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
MARKETING AND SALES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
CUSTOMERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
RESEARCH AND DEVELOPMENT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
MANUFACTURING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
COMPETITION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
PATENTS, PATENT APPLICATIONS, LICENSES, TRADEMARKS AND COPYRIGHTS . . . . . . . . . . . 11
REGULATION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
EMPLOYEES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
AVAILABLE INFORMATION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
FINANCIAL INFORMATION ABOUT FOREIGN AND DOMESTIC OPERATIONS
AND EXPORT SALES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
FACTORS THAT MAY AFFECT FUTURE RESULTS. . . . . . . . . . . . . . . . . . . . . . . . . 13

Item 2. Properties. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

Item 3. Legal Proceedings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

Item 4. Submission of Matters to a Vote of Security Holders . . . . . . . . . . . . . . . . . . 18

PART II. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

Item 5. Market for Registrant's Common Equity and Related Shareholder Matters
and Issuer Purchases of Equity Securities . . . . . . . . . . . . . . . . . . . . . 18

Item 6. Selected Financial Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

Item 7. Management's Discussion and Analysis of Financial Condition
and Results of Operations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

Item 7A. Quantitative and Qualitative Disclosure About Market Risk. . . . . . . . . . . . . . . 26

Item 8. Financial Statements and Supplementary Data . . . . . . . . . . . . . . . . . . . . . . 27

Item 9. Changes in and Disagreements with Accountants on Accounting
and Financial Disclosure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

Item 9A. Controls and Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

PART III. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

Items 10, 11, 12, 13 and 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

PART IV. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

Item 15. Exhibits, Financial Statement Schedule and Reports on Form 8-K . . . . . . . . . . . . 51

Signatures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55




PART I.

DISCLOSURE REGARDING FORWARD -LOOKING STATEMENTS

This Report includes "Forward-Looking Statements" within the meaning of
Section 27A of the Securities Act of 1933, as amended and Section 21E of the
Securities Exchange Act of 1934, as amended. All statements other than
statements of historical fact are "Forward-Looking Statements" for purposes of
these provisions, including any projections of earnings, revenues or other
financial items, any statements of the plans and objectives of management for
future operations, any statements concerning proposed new products or services,
any statements regarding future economic conditions or performance, and any
statements of assumptions underlying any of the foregoing. All Forward-Looking
Statements included in this document are made as of the date hereof and are
based on information available to the Company as of such date. The Company
assumes no obligation to update any Forward-Looking Statement. In some cases,
Forward-Looking Statements can be identified by the use of terminology such as
"may," "will," "expects," "plans," "anticipates," "intends," "believes,"
"estimates," "potential," or "continue," or the negative thereof or other
comparable terminology. Although the Company believes that the expectations
reflected in the Forward-Looking Statements contained herein are reasonable,
there can be no assurance that such expectations or any of the Forward-Looking
Statements will prove to be correct, and actual results could differ materially
from those projected or assumed in the Forward-Looking Statements. Future
financial condition and results of operations, as well as any Forward-Looking
Statements are subject to inherent risks and uncertainties, including market
acceptance of the Company's products, product introductions, potential product
recalls, delays in obtaining regulatory approvals, cost increases, fluctuations
in and obsolescence of inventory, price and product competition, availability of
labor and materials, development of new products and techniques that render the
Company's products obsolete, product liability claims, foreign currency
fluctuations, changes in health care markets related to health care reform
initiatives and other factors referred to in the Company's press releases and
reports filed with the Securities and Exchange Commission (the "SEC"). All
subsequent Forward-Looking Statements attributable to the Company or persons
acting on its behalf are expressly qualified in their entirety by these
cautionary statements. Additional factors that may have a direct bearing on the
Company's operating results are described under "Factors That May Affect Future
Results" beginning on page 12.

Item 1. Business.

GENERAL

Merit Medical Systems, Inc. (the "Company" or "Merit," "we," or "us")
was formed in 1987 by a few members of its current management for the purpose of
producing single-use medical products of high quality and superior value
primarily for use in diagnosis and treatment of cardiovascular disease. The
Company's products are designed to provide physicians and other health care
professionals with devices that enable them to perform interventional and
diagnostic procedures safely and effectively. Initially, the Company's expertise
in product design, proprietary technology and skills in injection and insert
molding enabled it to introduce innovative new products and capture significant
market share. The Company subsequently combined its plastics molding capability
with the application of proprietary electronics and sensor-based technologies to
develop a line of angioplasty inflation products with electronic sensing and
display features. These devices are now included in a group of sensor-based
products designed to address a broad range of needs related to diagnostic and
interventional catheterization procedures performed in hospitals. The Company
has expanded its product offerings to include angiographic catheters, guide
wires, needles, safety products, therapeutic infusion catheters and accessories,
drainage catheters and accessories, and a number of line extensions to core
products.
1

The Company's strategy is to offer a broad line of innovative,
disposable products for diagnosis and intervention in radiology and cardiology.
Merit continues to increase market acceptance and penetration for both its
existing and new products in the United States and in international markets.
Longer term, the Company's strategy is to extend the application of its
sensor-based technologies, plastics molding, catheter, guide wire, and
electronic capabilities and to develop products for diagnostic and
interventional procedures in additional markets such as neuroradiology,
nephrology, pain management and critical care. The Company's sales of
stand-alone products in combination with custom kits have increased as additions
have been made to the Company's product lines. In 2003, approximately 51% of the
Company's sales were made directly to U. S. hospitals and approximately 24% of
sales were made to custom packagers, distributors and original equipment
manufacturers ("OEM") companies who also distribute to U. S. hospitals.
Approximately 25% of the Company's sales in 2003 were made in international
markets.

The Company was organized in July 1987 as a Utah corporation. In July
1994, the Company purchased a controlling interest in Merit Sensor Systems, Inc.
(formerly Sentir, Inc.), a California-based manufacturer of silicon sensors, and
during 1999, the Company purchased the remaining interest in Merit Sensor
Systems, Inc. The Company also has established subsidiaries in Ireland, Germany,
France, the United Kingdom, Belgium, and the Netherlands to conduct its
international business. In January 1997, the Company purchased the operating
assets and product lines of Universal Medical Instruments Corp. ("UMI"). In
August 1999, the Company purchased the operating assets and product lines of the
Angleton, Texas division of Mallinckrodt Inc. ("Mallinckrodt"). Unless otherwise
specified or evident from the context, references to the Company include its
consolidated subsidiaries. The Company's principal offices are located in a
manufacturing and office facility at 1600 West Merit Parkway, South Jordan, Utah
84095, and its telephone number is (801) 253-1600. See "Item 2. Properties."

PRODUCTS

The Company's products have been designed and developed in response to
the needs of customers and patients. These needs have been identified primarily
through observation of procedures in cardiac catheterization and radiology
laboratories, consultation with the Company's medical advisors and consultants
and direct communication with customers. Since 1988, the Company has developed
and introduced several product lines, including the following:

o coronary control syringes (CCS(TM), Smart Tip(TM) Inject8(TM), and
Inject10(TM));

o inflation devices (IntelliSystem(R), Monarch(R), Basix(R), BasixCOMPAK(TM)
including new 30-atmosphere versions), and monitors (IntelliSystem II);

o specialty syringes (Medallion(R)and VacLok(R));

o high-pressure tubing and connectors (Excite(TM), flexible, braided, rigid,
pvc, and Sherlock(TM));

o waste management products (Merit Disposal Depot(R), Backstop(R)and
ShortStop(R), Dugout(TM));

o disposable blood pressure transducer (Meritrans(R)), and pressure monitoring
tubing;

o disposable hemostasis valves (MBA(TM), Passage(R), Access-9,(TM)Access
Plus(TM), Double-Play(TM)) and guide wire torque devices;

o manifolds and stopcocks (Marquis(R)series);

o radial artery compression systems (Radstat(TM));

2


o contrast management systems (Miser(R)and In-Line(TM) Contrast Management
System(TM), drip sets and spikes);

o angiography needles (Majestik(R) series, Majestik(R) Shielded Needle, and
Merit A.S.K. Kits(TM));

o drainage catheters and accessories (Resolve, One Step(R)and Percustay(R));

o pericardiocentesis catheters and procedure trays;

o thrombolytic infusion catheters (Fountain(R)and Mistique(TM)) and
accessories (Squirt(R));

o diagnostic angiographic pigtail catheters, diagnostic cardiology and
radiology catheters (SofTouch(R) and Performa(R)), and marker band
catheters;

o guide catheters (Trax(R));

o sheath introducers (DialEase(TM)), and vessel dilators, fixed and movable
core;

o diagnostic guide wires (Inqwire(R)), and accessories (Keep(TM) and
Ringmaster(TM)), and hydrophilic guide wires, (Merit H20(TM));

o and pressure infusor bags.


These products are sold separately and many are sold in custom kits consisting
primarily of selected combinations of products.

The Company has not experienced any significant product liability
claims; however, the sale and use of its products entail an inherent risk that
product liability claims may be asserted against the Company. The Company
maintains product liability insurance in the amount of $5,000,000 per occurrence
and in the aggregate, which may not be adequate for expenses or liabilities
actually incurred.

The following paragraphs contain a brief description of, and provide
other information regarding, Merit's key products:

Inflation Devices and Angioplasty Accessories. Inflation devices are
large, specialized syringes used in interventional catheterization procedures to
inflate balloon-tipped catheters. Each of the Company's inflation devices
incorporates patented, proprietary design features which contribute to ease of
use, including allowing the clinicians to engage or release the syringe plunger
with one hand while increasing or decreasing pressure. Each syringe also
provides a clear view of the fluid path that simplifies debubbling and
contributes to accurate measurement of pressure.

The Company's IntelliSystem(R) inflation device, which was the first
such device to incorporate electronic sensing and display features, consists of
a disposable 20cc inflation syringe and an internal pressure transducer which
connects to a monitor outside of the sterile field. The IntelliSystem(R) monitor
measures, times, records, and digitally displays information concerning the
pressure, duration and number of each inflation and deflation of the angioplasty
balloon. The Company believes that electronic sensing display of such
information is much more accurate and precise than that which can be obtained
from conventional analog gauges. The data is stored and may be displayed,
retrieved, graphed and printed.
3

In 2003, Merit launched the patented IntelliSystem II(TM) color
monitor, an advanced balloon inflation system. It gives physicians several
highly desirable options, including a large touch screen, an instant readout of
positive and negative pressures, and an enlarged graphing display to show
extremely subtle changes in pressure measurements. In addition, the readouts are
available in four languages by touching the screen. Management believes that
Merit is the only company with digital technology sensitive enough to show
subtle changes in pressure.

The Monarch(R) is a disposable inflation device which digitally
displays data concerning pressure and duration of inflations and deflations on a
small digital readout mounted on the barrel of the inflation syringe. The small
monitor does not offer the same display, storage or printing capabilities of the
IntelliSystem(R) & IntelliSystem II(TM) but offers the convenience of portable,
digital operation. In 2003, Merit launched a 30-atmosphere version of the
Monarch(R) to provide clinicians with additional options.

The Basix(R) and the BasixCOMPAK(TM) are disposable inflation syringes
which incorporate a conventional analog pressure gauge mounted on the barrel of
the inflation syringe. The Basix(R) more closely resembles devices marketed by
the Company's competitors but includes the Company's proprietary design features
and benefits. The Company believes that the Basix(R) and BasixCOMPAK(TM)
represent a significant addition to its line of inflation devices and will
contribute to increased sales where both clinical outcomes and price are a
priority.

Hemostasis Valves. The MBA(TM), Passage(R), AccessPlus(TM), and Double
Play(TM), hemostasis valves are used in conjunction with the Company's inflation
devices and as a component of the Company's angioplasty packs. These valves are
made of polycarbonate plastic for clarity and include Sherlock(TM) connectors.
The devices differ in size and function. The MBA(TM) features a valve mechanism
that minimizes blood loss during exchange of wires, catheters and other tools
through the valve. The Access Plus(TM) and Access 9(TM) are large-bore
configurations. The Double Play(TM) incorporates a double "Y" configuration for
kissing-balloon techniques.

Torque Device. The Merit torque device is a guide wire steering tool
with a tapered design and contrasting colors for improved visibility. The torque
device typically is included as a component of the Company's angioplasty packs.

Coronary Control Syringes. The Company's disposable control syringes
are utilized for one-handed control of the injection of contrast media and other
fluids during angiography, angioplasty and stent placement. (A stent is a device
that is inserted into a vessel or passage to keep it open and prevent closure
due to stricture or external pressure). Control syringes are molded from
polycarbonate material, which is stronger than glass and other plastics used in
the medical products industry. The Company offers different models and sizes of
the control syringes with varying features, according to physician preference.
These features include different configurations of syringe handles, plungers and
connectors which allow operation of the syringe in a fixed or rotating position
and varying volume sizes, including a popular 8ml model, Inject8(TM) and the
new, streamlined Inject10(TM). In response to customer requests, Merit launched
latex-free control syringes.

Specialty Syringes. Merit's Medallion(R) syringes, a line of
disposable, latex-free, color-coded specialty syringes, are used for injection
of medications, flushing manifolds and other general purposes. These syringes
are molded of polycarbonate material for added strength and are available in
hundreds of sizes, colors and custom printing combinations. The color-coding
minimizes medication errors by allowing a clinician to assign a color for each
medication to be dispensed and to differentiate syringes by their contents. The
syringes also can be custom printed to the specifications of the user. The

4


The Company believes that the design, color coding and materials used in its
specialty syringes contribute to patient safety and more efficient procedures.
The specialty syringes are sold separately and are an important component of the
Company's custom kits.

The 60ml VacLok(R) syringe is used to create negative pressure. There
are many clinical applications for a negative pressure syringe, including
abscess drainage and biopsy, balloon preparation, nephrostomy drainage, and
more.

Large-Bore Stopcock(TM). The Large-Bore(TM) Stopcock is designed to
facilitate movement of fluid. The large internal diameter (0.120") is designed
for moving drainage fluid from the body. Like all Merit stopcocks, the
large-bore version incorporates a clear body for easy visualization and a large,
easy-to-manipulate handle.

Marquis(TM) Series Stopcock. The Company's Marquis(TM) Series Stopcock
offers improvements to competitive stopcock devices, including a large,
easy-grip handle. The Marquis(TM) Series Stopcock is used in connection with
Sherlock(TM) connectors to provide improved connections during procedures.

Manifolds. The administration of saline, imaging and contrast fluids
and the management of blood-pressure monitoring, fluid injection and waste
collection in angiography or angioplasty procedures are accomplished through a
series of valves on a manifold which control the flow of various fluids. The
Company has designed its own manifold consisting of one, two, three, four or
five valves. When compared to manifolds sold by competitors, the Company
believes its manifold offers greater ease of use, simplified identification of
flow direction and leak-free operation under the pressures of manual or
mechanical injection of fluids. The Merit Manifold is sold separately but is
also a key component of the Company's custom kits.

Percu-Stay(R) - Catheter Fixation Device. Percu-Stay(R) is a one piece
catheter tube securing device and site dressing for percutaneous drainage sites.
The product provides a comfortable, low-profile fixation device for catheters
and tubes. The device is used in interventional radiology, special procedures,
cardiology, urology, home health care, and skilled nursing facilities.

MDD600(TM). The Merit Drainage Depot(TM) is specifically designed to
temporarily collect fluids. It incorporates a drainage spout for quick and easy
fluid disposal, and an internal anti-reflux valve to help prevent fluid from
backing up the line. The bag also comes packaged with an adjustable velcro strap
that can be used to attach the device to the patient's waist or leg.

High-Pressure Contrast Injection Line and Sherlock(TM) Connectors.
During angiographic and diagnostic radiology procedures, contrast media must be
injected through a catheter into a patient's artery or vein. This is sometimes
accomplished by a mechanical injector which can generate pressures up to 1200
pounds per square inch ("psi"), and requires tubing that can withstand these
pressures. The Company offers high-pressure, braided and clear, specialty tubing
with proprietary Sherlock(TM) connectors. Excite(TM) is a line of clear,
flexible, high-pressure tubing that combines the features of tubing clarity and
strength. Sherlock(TM) connectors allow coupling and uncoupling of tubing with
injectors, syringes and manifolds without over-tightening or breakage. The
Company is currently offering specialty tubing that can handle pressures ranging
from 500 to 1200 psi. The specialty tubing with Sherlock(TM) connectors is an
important component of custom kits.

RadStat(TM) Radial Artery Compression Device. The RadStat(TM) Radial
Artery Compression Device is intended to be used to apply direct pressure to the
radial artery puncture site after diagnostic and interventional procedures. In
addition to rapid controlled hemostasis, the RadStat(TM) immobilizes the wrist
comfortably, permitting rapid patient ambulation.

4

Waste Containment Systems. Because of heightened awareness of the risks
associated with blood and related waste materials, hospitals have moved toward
closed systems whenever possible. To address these concerns, the Company has
designed a waste containment bag which connects to a manifold in a closed system
and collects waste materials such as blood and other fluids during angioplasty
or other procedures. The Merit Disposal Depot(TM) is self-contained for ease of
disposal and reduces the risk of contamination. The Backstop(R) is a unique and
proprietary alternative fluid disposal basin designed to reduce exposure to
blood-borne pathogens. The DugOut(TM), a large volume (1000 ml) line extension
to the Backstop(R). The DugOut(TM) also contains an additional compartment for
the storage of accessories.

Contrast Management Systems. The Miser(TM) and the In-Line(TM) Contrast
Management System have been designed to increase catheterization lab
efficiencies by reducing contrast media waste. This small system helps save
hospitals thousands of dollars a year in wasted contrast.

Majestik(R) Angiographic Needles. The angiography needle creates the
percutaneous (through the skin) access site for virtually all invasive
diagnostic and interventional procedures performed in cardiology and radiology.
The needle provides the initial point of entry site for the introducer sheath,
guide wires, catheters and any other interventional devices. The Merit
Majestik(R) Needle helps the physician achieve precision vascular access with
one of the sharpest angiography needles on the market.

Majestik(R) Shielded Angiography Needles. The Needlestick Safety and
Prevention Act passed by the United States Congress in November 2000 requires
healthcare employers to document their exposure control plan and evaluate
safety-engineered products to protect clinicians. In 2002, Merit launched a new
line of shielded, 18-gauge angiography introducer needles that meet the
requirements of the law. Merit's management believes the Majestik(R) shielded
needle is one of the first safety-engineered devices designed to promote safer
needles in cardiology and radiology. Access Safety Kits (A.S.K. Merit) were
launched in early 2003 and include protected scalpels and needles used for
vascular access.

Fountain(R) and Mistique(TM) Infusion Catheters. Vascular occlusion is
a common anomaly that affects millions of patients each year. Both the
Fountain(R) and the Mistique(TM) catheters deliver therapeutic solutions to
dissolve thrombolytic occlusions (blood clots) in peripheral arteries,
hemodialysis grafts and deep veins. The Fountain catheter utilizes an occluding
wire to effectively block off the end hole and direct the infusion therapy
uniformly through the laser-drilled side holes. The Mistique(TM) is designed to
be used over standard 0.035 or 0.038 guide wires to block off the end hole and
direct the infusion therapy uniformly through the side holes.

Squirt(R) Fluid Dispensing System. The Squirt(R) fluid dispensing
system is a unique and proprietary product designed specifically for therapeutic
infusion for controlled, accurate and consistent fluid delivery. Some Fountain
catheter configurations contain a Squirt(R) packaged with them.

InQwire(R) Diagnostic Guide Wires. Guide wires consist of a
small-diameter wire tightly wrapped in a coated wire coil. The technology needed
to produce these wires is considerable, and Merit utilizes its guide wire center
of excellence in Ireland to manufacture the InQwire Diagnostic Guide Wire. Guide
wires vary in length, outside diameter and tip configuration, and are used to
place either a diagnostic or therapeutic catheter into a patient's heart artery
or other area of the body. In late 2003, Merit launched a line of hydrophilic
guide wires (H20).

RingMaster(TM). The RingMaster(TM) guide wire basin allows clinicians
to conveniently store guide wires to maintain sterility and organization. It
separates wires for quick selection, uses less table space than conventional
basins because it's stackable, and it helps keep wires hydrated throughout the
procedure.
5


Vessel Dilators. Dilators are used to dilate puncture sites. They are
commonly used in radiology and cardiology over a 0.035" or 0.038" guide wire to
dilate the site prior to placing sheaths and catheters in the femoral artery.

DialEase(R) Introducer Sheath. The DialEase(R) Sheath is a short
introducer ideally suited for dialysis graft intervention. It is commonly used
in conjunction with the Fountain(R) and Mistique(TM) therapeutic infusion
catheters to declot dialysis grafts.

Angiography Pigtail Catheter. In 1997, Merit acquired new product lines
and technologies from UMI, a small specialty medical manufacturing firm in the
State of New York. At that time, the Company began marketing a new line of
thin-wall, (Teflon(R)), high-flow, pigtail angiographic catheters designed for
smaller patients.

Pericardiocentesis Kit. On occasion, the pericardial sack surrounding
the heart becomes filled with blood or fluid. To remove the fluid and the
potential for heart strangulation (tamponade), a catheter is placed in the
pericardial sack to drain the excess fluid. Merit offers a complete
pericardiocentesis kit which combines a high-flow drainage catheter with
virtually all components needed to place the device in the pericardial sack. The
kit combination saves the physician both time and money by having all components
in one convenient tray.

One-Step(TM) Centesis Catheter. The One Step(TM) Catheter is intended
to be used for short-term centesis procedures. It incorporates a luer-locked
introducer needle for secure, one-handed placement. The tip of the introducer
needle is echogenically enhanced for visualization during ultrasound-guided
placement. The transition between the catheter and needle is smooth to
facilitate insertion. In 2003, Merit launched a new line of safety kits
including the One-Step centesis catheter.

Resolve(TM) Universal Drainage Catheter with Non-Locking Pigtail. The
Resolve(TM) Universal Drainage Catheter with non-locking pigtail is a standard
drainage catheter designed to expand Merit's offering of drainage products.

Meritrans(R) Pressure Transducer and Accessories. Diagnostic blood
pressure monitoring is a critical priority in virtually all diagnostic and
interventional procedures. The Meritrans(R) provides clinicians with reliable
and precise blood pressure measurement. The clear, flow-through design makes
flushing and debubbling simple and safe. The transducer is a vital component of
many custom kit configurations. Pressure Monitoring Tubing and Stopcocks are
common ancillary products to complement the Meritrans(R). Merit provides several
reusable accessories to support the Meritrans(R). The Merit Mentor(TM) is a
transducer calibration and troubleshooting device to insure accuracy and
repeatability of physiologic pressure measurements. Reusable transducer cables
connect the Meritrans(R) to the bedside monitor. Organizing brackets hold
multiple transducers to beds and IV poles.

Pressure Infusor Bag. In 2001, Merit signed a distribution agreement
for a line of Pressure Infusor Bags. These devices are used hospital-wide to
apply pressure to a sealed bag of fluid, such as IV solutions or blood products.
The pressure exerted is shown by a color-coded pressure gauge, and the device
has a valve that releases pressure to prevent inadvertent over-pressurization.
In 2003, Merit launched its own pressure infustor bags with a proprietary
over-pressure relief valve.

ShortStop(R). In 2000, Merit introduced the ShortStop(R), a small,
temporary sharps container with an adhesive base that fits on the back table in
a clinical lab. It is used for the temporary containment of needles, scalpels
and other sharp tools to help prevent inadvertent clinician injury.

6


Custom Kits. Custom kits allow physicians to obtain the medical devices
and accessories they most frequently use during angiography, angioplasty and
similar procedures in a convenient, pre-packaged and preassembled form. Custom
kits also provide cost savings over purchasing single products and reduce
hospitals' administrative costs associated with maintaining inventory of
individual, sterile products.

Universal Fluid Dispensing Syringe. In 1997, the Company received
510(k) approval from the U.S. Food and Drug Administration (the "FDA") for use
of its digital inflation devices (IntelliSystem(R) and Monarch(R) products) for
a wide range of additional clinical applications such as discography, esophageal
dilatation, trigeminal nerve compression, and retinal detachment. Universal
fluid dispensing syringes incorporate patented, proprietary design features
which contribute to ease of use, including allowing the clinicians to engage or
release the syringe plunger with one hand while increasing or decreasing
pressure. Each syringe also provides a clear view of the fluid path that
simplifies debubbling and contributes to accurate measurement of pressure. When
used in other clinical applications such as discography, the IntelliSystem(R)
accurately dispenses fluid while documenting and graphing pressures in the disc.
The Company believes that electronic sensing display of such information is much
more accurate and precise than the tactile feel of standard syringes and that of
conventional analog gauges. The data is stored and may be displayed, retrieved,
graphed and printed.

Diagnostic Cardiology Catheters. Cardiac catheterization is performed
to diagnose the nature, severity, and precise location of blockages and other
abnormalities of the heart. This technique represents the most essential
diagnostic tool in the management of patients with cardiovascular disease. The
Company manufactures and sells a complete line of diagnostic catheters used for
these procedures.

Diagnostic Radiology Catheters. Radiology catheters are engineered and
designed with distinct tip configurations to access specific vessels and organs
outside the heart (head, kidneys, legs, etc). Merit acquired a strong radiology
catheter product portfolio from Mallinckrodt's Angleton Division in 1999.

Vessel-Sizing Catheters. In 2000, Merit introduced a complete line of
adult vessel-sizing catheters, which are used by radiologists to measure the
internal diameter and length of a blood vessel under fluoroscopy. Procedures in
which these catheters are used include angioplasty, embolization, abdominal
aortic aneurysm (AAA) stent-grafts and vena cava filter placements. In 2001,
pediatric vessel-sizing catheters were introduced to complement the line.

Guide Catheters. The Company's acquisition of the operating assets and
product lines of Mallinckrodt's Angleton division in 1999 brought a line of
high-quality guide catheters used in cardiology. Coronary angioplasty requires
the use of a guiding catheter to place the balloon within the vasculature. The
catheter is inserted through a sheath into the arterial system. Once in place,
the guiding catheter acts as a conduit for the guide wire, the dilating balloon
catheter, coronary stents and radiopaque dye that is used to provide
fluoroscopic visualization during the procedure.

MARKETING AND SALES

Target Market/Industry. Cardiovascular disease is the number-one health
problem in the United States. According to American Heart Association estimates,
nearly 60 million Americans, or approximately 25% of the population, have one or
more types of heart disease. Cardiovascular disease accounts for an estimated
one million deaths annually, more than 40% of the U.S. total. A majority of the
Company's sales revenues are derived from products used in coronary angiography
and angioplasty procedures designed to treat cardiovascular disease. The Company
believes that transcatheter modalities (products and technologies utilizing


7

heart catheterization procedures) such as balloons, bare metal and drug eluding
stents, and defect repair currently represent the greatest potential to diagnose
and treat the disease. The Company intends to build upon its existing market
position in both catheter technology and accessory products to continue its
sales growth.

The global market for transcatheter products stands at a major
crossroad, even when considering the continued dynamic evolution in vascular
stent placement. The core diagnostic and therapeutic applications for basic
transcatheter technologies (balloons, stents and defect repair) are well
established, with the future growth of procedures and products dependent upon
demographic trends. This has not, however, prevented significant investment in
new technologies and applications designed to enhance patient outcomes and
enable the treatment of new populations that have been traditionally limited to
surgical intervention. Much of this additional investment relates to procedures,
devices and drugs for the treatment and prevention of coronary artery disease
that have been developed and are currently being used by physicians. These
procedures, devices and drugs include laser angioplasty, atherectomy procedures
and drug therapies, the effect of which may be to render certain of the
Company's products obsolete or to limit the markets for Merit products. However,
with the advent of vascular stents and other procedures, such as discography and
kyphoplasty, the Company has experienced continued growth in its proprietary
inflation technology. The Company is monitoring trends in the industry and
believes it is in a position to launch catheters and accessories to support
growing clinical applications.

There are a large number of projects focused on improving the diagnosis
of cardiovascular disease, solving the issue of restenosis and other less
invasive alternatives to open-heart surgery. In recent years researchers have
focused their interests on technologies and products that support the growth of
transcatheter approaches to reducing the morbidity and mortality of
cardiovascular disease, including drug-coated stents, radiated stents and
balloons, anti-platelet therapy, gene therapy, percutaneous coronary
thrombectomy and transmyocardial revascularization. One area of specific
interest to the Company is transradial catheterization which is the introduction
of vascular catheters through the radial artery allowing for rapid ambulation
which ultimately reduces total patient cost. The Company plans to continue to
develop and launch innovative products to support these clinical trends.

Market Strategy. The Company's marketing strategy is focused on
identifying and introducing highly profitable, differentiated products that meet
customer needs. The Company has targeted selected hospital market segments in
cardiology and radiology where its products are used. Suggestions for new
products and product improvements may come from engineers, sales persons,
physicians and technicians who perform the clinical procedures.

When a product suggestion demonstrates sustainable competitive
advantage, meets customer needs, fits strategically and technologically with the
Company's business, and has a good potential financial return, a "project team"
is chartered with individuals from the Company's marketing, engineering,
manufacturing, legal and quality assurance departments. This team identifies the
customer requirements, integrates the design, compiles all necessary
documentation and testing, and prepares the product for market introduction. The
Company believes that one of its marketing strengths is its capacity to rapidly
conceive, design, develop, and introduce new products.

U. S. Sales. The Company's direct sales force currently consists of a
vice president of sales, an executive sales manager, five regional sales
managers and 46 direct sales representatives located in major metropolitan areas
throughout the United States. The Company's sales people are trained by
personnel at the Company's facilities by a senior sales person in their
respective territories, at regular national and regional sales meetings by
consulting cardiologists and employees of the Company, and by observation of
procedures in catheterization laboratories.

8


International Sales. Approximately 100 independent dealer organizations
distribute the Company's products worldwide, including territories in Europe and
Asia. Approximately 17 direct sales representatives presently sell the Company's
products in Germany, France, the United Kingdom, Belgium, Netherlands, and
Ireland. In 2003, the Company's international sales grew by 27% and accounted
for approximately 25% of total sales. The Company has appointed a vice president
for international sales and established an international sales and distribution
office in Maastricht, The Netherlands. With the recent and planned additions to
its product lines, the Company believes that its international sales will
continue to increase.

International dealers are required to inventory products and sell
directly to customers within defined sales territories. Each of the Company's
products must be approved for sale under the laws of the country in which it is
sold. International dealers are responsible for compliance with all applicable
laws and regulations in their respective countries.

OEM Sales. The Company currently has an OEM division that manufactures
and sells molded components sub-assembled goods, and bulk non-sterile goods,
which may be combined with other components and/or goods from other companies
and then sold under a non-Merit label. Merit has both international and domestic
OEM sales.


CUSTOMERS

The Company serves hospital-based cardiologists, radiologists,
anesthesiologists, physiatrists (pain management physicians), neurologists,
technicians and nurses, all of whom influence the purchasing decision for
Merit's products. Hospitals and acute care facilities in the United States
purchase the Company's products through the Company's direct sales force,
distributors, OEM relationships, custom packagers and packers who assemble and
combine products in custom kits and packs. Outside the United States, customers
(hospitals and acute care facilities) purchase through the Company's direct
sales force, or in the absence of a sales force, purchase through independent
distributors and OEM relationships.

In 2003, approximately 51% of the Company sales were made directly to
domestic hospitals, approximately 14% to custom tray manufacturers and domestic
dealers, and approximately 25% to international markets. Sales to the Company's
single largest customer, a packer, accounted for approximately 7% of total sales
during the year ended December 31, 2003. Merit manufactures products for other
medical device companies through its OEM program. During the year ended December
31, 2003, OEM sales represented approximately 12% of Merit's total revenue,
which includes 2% purchased by international OEM companies.

RESEARCH AND DEVELOPMENT

The Company believes that one of its historic strengths is its ability
to quickly adapt its expertise and experience in injection molding and to apply
its electronic and sensor technologies as well as its recently developed and
acquired technologies of guide wires and catheters to a perceived need for a new
product or product improvement. The Company's development efforts are presently
focused on disposable, innovative single-patient or single-use items, which can
be included in the Company's custom kits or sold separately. Longer-term
projects include the use of sensor-based technologies in a variety of
applications and additional inflation devices with added capacities and
features. There is a new focus on interventional vascular access products, such
as needles, guide wires, and catheters. Several of the Company's executive
officers also devote a substantial portion of their time to research and
development. Research and development expenses were $4,626,459, $4,007,622 and


9

$4,117,839 in 2003, 2002 and 2001, respectively. The Company did not conduct any
customer-sponsored research and development during those periods. The Company
anticipates that its research and development expenses will range between
approximately 3% and 4% of net sales during the year ending December 31, 2004.

MANUFACTURING

Many of the Company's products are manufactured utilizing its
proprietary technology and expertise in plastic injection and insert molding.
Tooling of molds is contracted with third parties, but the Company designs and
owns all of its molds. The Company utilizes its experience in injection and
insert molding technologies in the manufacture of most of the custom components
used in its products.

The electronic monitors and sensors used in the Company's
IntelliSystem(R) and Monarch(R) inflation devices are assembled from standard
electronic components or purchased from suppliers. In July 1994, the Company
acquired a 73% interest and in August 1999 the Company acquired the remaining
interest in Merit Sensor Systems, Inc., which develops and markets silicon
sensors. Merit Sensor Systems, Inc. is presently providing virtually all of the
sensors utilized by the Company in its digital inflation devices.

The Company's products are manufactured at several facilities including
South Jordan, Utah; Santa Clara, California; Galway, Ireland; Angleton, Texas
and a leased expansion facility in Murray, Utah. See "Item 2.
Properties."

Merit's variety of suppliers for raw materials and components necessary
for the manufacture of its products, as well as its long term relationships with
such suppliers, promote stability in its manufacturing process. Historically,
Merit has not been materially affected by interruptions with such suppliers.
Further, contingency plans are in place to engage back-up suppliers so that
materials and components continue to be available.

COMPETITION

The radiology and cardiology markets encompass a large number of
suppliers of many different sizes. The Company competes with small firms, such
as Possis Medical and Microtherapeutics; medium-sized companies like Cook, Arrow
and Angio Dynamics; and large, international, multi-supply medical companies,
such as Johnson & Johnson, Boston Scientific, Guidant, Medtronic and C.R. Bard.
Many of the Company's competitors have substantially greater financial,
technical and marketing resources than the Company.

The principal competitive factors in the markets in which the Company's
products are sold are quality, performance, service and price. The Company
believes that its products have achieved rapid market acceptance due, in part,
to the quality of materials and workmanship, innovative design and ease of
operation, and the Company's prompt attention to customer inquiries. The
Company's products are priced competitively, but generally not below prices for
competing products.

The Company's management believes, based on available industry data
with respect to the number of procedures performed, that it is one of two market
leaders in the United States for control syringes, tubing and manifold kits
(together with NAMIC USA Corporation, a subsidiary of Boston Scientific), and is
the leader in the U.S. market for inflation devices and hemostasis accessories.
The Company's management also believes that the recent and planned additions to
the Merit product lines will enable Merit to compete more effectively in both
U.S. and international markets. The Company's new IntelliSystem(R) II color
monitor provides considerable improvements, including sensitivity, in Merit's
existing, patented digital technology. Management believes the Company is the
only provider of digital inflation technology in the world. There is no
assurance, however, that the Company will be able to maintain its existing
competitive advantages or to compete successfully in the future.
10


A substantial majority of the Company's revenues are presently derived
from sales of products used in coronary angiography and angioplasty procedures.
Other procedures, devices and drugs for the treatment and prevention of coronary
artery disease have been developed and are currently being used such as laser
angioplasty, atherectomy procedures and drug therapies, the effect of which may
be to render certain of the Company's products obsolete or to limit the markets
for its products. However, with the advent of vascular stents and other
procedures such as discography, the Company has experienced continued growth in
its proprietary inflation technology.

PATENTS, LICENSES, TRADEMARKS AND COPYRIGHTS

The Company considers its proprietary technology to be important in the
development and manufacture of its products and seeks to protect its technology
through a combination of patents and confidentiality agreements with its
employees and others. Merit has received 93 issued U.S. and foreign patents, and
many more are pending. Two U.S. patents were issued in 1991 covering the
mechanical aspects of the Company's angioplasty inflation devices which relate
to the ability of the user to engage or release the syringe plunger while
increasing or decreasing pressure, and two U.S. patents were obtained in 1992
and 1993 covering digital control aspects of the Company's IntelliSystem(R)
inflation device and for displaying, storing and retrieving inflation data. The
Company has obtained other patents covering each of its Monarch(R) and Basix(R)
inflation devices and additional features of the IntelliSystem(R). Patents
granted to the Company prior to 1995 expire 17 years after the date of grant,
and patents granted to the Company after 1995 expire 20 years after the date of
application.

Corresponding patent applications covering the claims included in the
Company's U.S. patents and patent applications have been initiated in several
foreign countries. The Company deems its patents and patents pending to be
materially important to its business but does not believe its business is
dependent on securing such patents. Moreover, although certain of the Company's
key patents will expire in 2008 and other patents will expire thereafter, the
Company expects that related products will continue to be valuable, in part
because of proprietary innovations made since the issue of the initial patent.
The Company negotiated a license in 1992 with respect to patents concerning
technology utilized in its IntelliSystem(R) and Monarch(R) inflation devices in
consideration of a 5.75% ongoing royalty, not to exceed $450,000 annually.
Royalties paid in each of 2003, 2002 and 2001 were $450,000.

While the Company has obtained U.S. patents and filed additional U.S.
and foreign patent applications as discussed above, there can be no assurance
that issued patents will provide the Company with any significant competitive
advantages or will not be challenged by third parties or that the patents of
others will not have an adverse effect on the ability of the Company to conduct
its business. The Company could incur substantial costs in seeking enforcement
of its patents against infringement or the unauthorized use of its proprietary
technology by others or in defending itself against similar claims of others.
Insofar as the Company relies on trade secrets and proprietary know-how to
maintain its competitive position, there can be no assurance that others may not
independently develop similar or superior technologies.

The Company has registered or applied for registration of several trade
names or trademarks. See "Products" above. The Company also places copyright
notices on its instructional and advertising materials and has registered
copyrights relating to certain software used in its electronic inflation
devices.

11


REGULATION

The development, testing, packaging, labeling and marketing of medical
devices and the manufacturing procedures relating to these devices are regulated
under the Federal Food, Drug and Cosmetic Act and additional regulations
promulgated thereunder by the FDA. In general, these statutes and regulations
require that manufacturers adhere to certain standards designed to ensure the
safety and effectiveness of medical devices. The Company employs a Vice
President of regulatory affairs and a Vice President of quality systems who are
responsible for compliance with all applicable FDA regulations. Although the
Company believes it is currently in material compliance with these requirements,
the Company's business could be adversely affected by a failure to comply with
all applicable FDA and other government regulations presently existing or
promulgated in the future.

The FDA's Good Manufacturing Practices standards regulate the Company's
manufacturing processes, require the maintenance of certain records and provide
for unscheduled inspections of the Company's facilities. Certain requirements of
state, local and foreign governments must also be complied with in the
manufacture and marketing of the Company's products.

New medical devices may also be subject to either the Section 510(k)
Pre-Market Notification regulations or the Pre-Market Approval ("PMA")
regulations promulgated by the FDA and similar regulatory authorities in foreign
countries. New products in either category require extensive documentation,
careful engineering and manufacturing controls to ensure quality. Products
needing PMA approval require extensive pre-clinical and clinical testing and
approval by the FDA prior to marketing. Products subject to the Section 510(k)
of the Federal Food Drug and Cosmetic Act require FDA clearance prior to
marketing. To date, the Company's products have required only compliance with
Section 510(k). The Company's products are subject to foreign regulatory
approvals before they may be marketed abroad. The Company places the "CE" mark
on devices and products sold in Europe. The Company has received ISO 13485
certification for its South Jordan, and Murray, Utah facilities, and Angleton
facilities. The Company has received ISO 9001 and EN46001 for its Galway,
Ireland facility. The Company has also received ISO 9002 certification for its
Merit Sensor Systems, Inc. facility in Santa Clara, California.

EMPLOYEES

As of December 31, 2003, the Company employed 1,210 persons, including
917 in manufacturing, 116 in sales and marketing, 94 in engineering, and
research and development, and 83 in administration.

Many of the Company's present employees are highly skilled. The
Company's failure or success will depend, in part, upon its ability to retain
such employees. Management is of the opinion that an adequate supply of skilled
employees is available. The Company has from time to time experienced rapid
turnover among its entry-level assembly workers as well as occasional shortages
of such workers, resulting in increased labor costs and administrative expenses
related to hiring and training of replacement and new entry-level employees. All
Merit employees are bound by policies of confidentiality. None of the Company's
employees is represented by a union or other collective bargaining group and
management of the Company believes that its relations with its employees are
good.

AVAILABLE INFORMATION

The Company files annual, quarterly and current reports and other
information with the SEC. These materials can be inspected and copied at the
SEC's Public Reference Room at 450 Fifth Street, N.W., Washington, D.C. 20549.
Copies of these materials may also be obtained by mail at prescribed rates from

12


the SEC's Public Reference Room at the above address. Information about the
Public Reference Room can be obtained by calling the SEC at 1-800-SEC-0330. The
SEC also maintains an Internet site that contains reports, proxy and information
statements, and other information regarding issuers that file electronically
with the SEC. The address of the SEC's Internet site is http://www.sec.gov.

The Company makes available, free of charge, on its Internet website,
located at http://www.merit.com, its most recent Annual Report on Form 10-K, its
most recent Quarterly Report on Form 10-Q, any current reports on Form 8-K filed
since the Company's most recent Annual Report on Form 10-K and any amendments to
such reports as soon as reasonably practicable following the electronic filing
of such report with the SEC. In addition, the Company provides electronic or
paper copies of its filings free of charge upon request.

FINANCIAL INFORMATION ABOUT FOREIGN AND DOMESTIC OPERATIONS AND EXPORT SALES

For financial information relating to the Company's foreign and
domestic sales, transfers between geographic areas, net income and identifiable
assets, see Note 9 to the Company's Consolidated Financial Statements included
in this report.

FACTORS THAT MAY AFFECT FUTURE RESULTS

The business, operations and financial condition of the Company are
subject to certain risks and uncertainties. Should one or more of these risks or
uncertainties materialize, or should any underlying assumptions prove incorrect,
actual results may vary materially from those anticipated, estimated, projected
or expected. Among the key factors that may have a direct bearing on the
Company's business, operations and financial condition are the factors
identified below:

The Company's products may be subject to recall or product liability claims.
- --------------------------------------------------------------------------------
Merit's products are used in connection with surgical procedures and in
other medical contexts in which it is important that those products function
with precision and accuracy. If the Company's products do not function as
designed, or are designed improperly, the Company may be forced by regulatory
agencies to withdraw such products from the market. In addition, if medical
personnel or their patients suffer injury as a result of any failure of the
Company's products to function as designed, or an inappropriate design, the
Company may be subject to lawsuits seeking significant compensatory and punitive
damages. Any product recall or lawsuit seeking significant monetary damages may
have a material adverse effect on the Company's business and financial
condition.

Substantially all of Merit's products are backed by a limited warranty
for returns due to defects in quality and workmanship. Merit maintains a reserve
for these future returned products, but the actual costs of such returns may
significantly exceed the reserve, which could have a material adverse effect on
the Company's financial condition.

Termination of relationships with the Company's suppliers, or failure of such
suppliers to perform, could disrupt the Company's business.
- --------------------------------------------------------------------------------
Merit relies on raw materials, component parts, finished products, and
services supplied by outside third parties in connection with its business. For
example, substantially all of the Company's products are sterilized by two
entities. In addition, some of the Company's products are manufactured or
assembled by third parties. If a supplier of significant raw materials,
component parts, finished goods or services were to terminate its relationship
with the Company, or otherwise cease supplying raw materials, component parts,


13


finished goods or services consistent with past practice, the Company's ability
to meet its obligations to its end customers may be disrupted. A disruption with
respect to numerous products, or with respect to a few significant products,
could have a material adverse effect on the Company's business and financial
condition.

The Company may be unable to compete in its markets, particularly if there is a
significant change in relevant practices and technology.
- --------------------------------------------------------------------------------
The market for each of the Company's existing and potential products is
highly competitive. The Company faces competition from several companies, many
of which are larger, better established and have greater financial, technical
and other resources and greater market presence than does Merit. Such resources
and market presence may enable the Company's competition to more effectively
market competing products or to market competing products at reduced prices in
order to gain market share.

In addition, Merit's ability to compete successfully is dependent, in
part, upon the Company's ability to respond effectively to changes in technology
and to develop and market new products which achieve significant market
acceptance. Competing companies with substantially greater resources than the
Company are actively engaged in research and development of diagnostic and
interventional methods, treatments and procedures that could limit the market
for the Company's products and eventually make certain products obsolete. A
reduction in the demand for a significant number of the Company's products, or a
few key products, could have a material adverse effect on the Company's business
and financial condition.

The Company may be unable to protect its proprietary technology or may infringe
on the proprietary technology of others.
- --------------------------------------------------------------------------------
The Company's ability to remain competitive is dependent, in part, upon
its ability to prevent other companies from using its proprietary technology
incorporated into its products. The Company seeks to protect its technology
through a combination of patents and trade secrets, as well as license,
proprietary know-how and confidentiality agreements. The Company may be unable,
however, to prevent others from using its proprietary information, or continue
to use such information itself, for numerous reasons, including the following:

o Merit's issued patents may not be sufficiently broad to prevent
others from copying its proprietary technologies;

o Merit's issued patents may be challenged by third parties and
deemed to be overbroad or unenforceable;

o Merit's products may infringe on the patents of others, requiring
it to alter or discontinue its manufacture or sale of such
products;

o Costs associated with seeking enforcement of Merit's patents
against infringement, or defending itself against allegations of
infringement, may be significant;

o Merit's pending patent applications may not be granted for various
reasons, including overbreadth or conflict with an existing
patent; and

o Other persons may independently develop, or have developed,
similar or superior technologies.

14


A significant adverse change in, or failure to comply with, governing
regulations could adversely affect the Company's business.
- --------------------------------------------------------------------------------
Substantially all of the Company's products are "devices," as defined
in the Federal Food, Drug and Cosmetic Act, and the manufacture, distribution,
record keeping, labeling and advertisement of Merit's products is subject to
regulation by the FDA in the United States and its equivalent regulatory
agencies in various foreign countries in which Merit's products are
manufactured, distributed, labeled, offered and sold. Further, the Company is
subject to continual review and periodic inspections at its current facilities
with respect to the FDA's Good Manufacturing Practices and similar requirements
of foreign countries. Merit's business and financial condition could be
adversely affected if it is found to be out of compliance with governing
regulations. In addition, if such regulations are amended to become more
restrictive and costly to comply with, the costs of compliance could adversely
affect the Company's business and financial condition.

A significant portion of the Company's revenues are derived from a few products
and procedures.
- --------------------------------------------------------------------------------
A significant portion of the Company's revenues are attributable to
sales of its inflation devices. During the year ended December 31, 2003, sales
of the Company's inflation devices (including inflation devices sold in custom
kits) accounted for approximately 33% of the Company's total revenues. Any
material decline in market demand for the Company's inflation devices could have
an adverse effect on the Company's business and financial condition.

In addition, the products that account for a majority of the Company's
historical revenues are designed for use in connection with a few related
medical procedures, including angioplasty and stent placement procedures. If
subsequent developments in medical technology or drug therapy make such
procedures obsolete, or alter the methodology of such procedures so as to
eliminate the usefulness of the Company's products, the Company may experience a
material decrease in demand for its products and experience deteriorating
financial performance.

The Company is subject to work stoppage, transportation and related risks.
- --------------------------------------------------------------------------------
Merit manufactures its products at various locations in the United
States and in Ireland and sells its products throughout the United States, in
Europe and in other parts of the world. The Company depends on third-party
transportation companies to deliver supplies necessary to manufacture Merit
products from vendors to the Company's various facilities and to move Merit
products to customers, operating divisions and other subsidiaries located within
and outside the United States. Merit's manufacturing operations, and the
operations of the transportation companies on which the Company depends, may be
adversely affected by natural disasters and significant human events, such as a
war, terrorist attack, riot, strike, slowdown or similar event. Any disruption
in the Company's manufacturing or transportation could materially adversely
affect the Company's ability to meet customer demands or its operations
generally.

Limits on reimbursement imposed by governmental and other programs may adversely
affect the Company's business.
- --------------------------------------------------------------------------------
The cost of a significant portion of medical care is funded by
governmental, social security or other insurance programs. Limits on
reimbursement imposed by such programs may adversely affect the ability of
hospitals and others to purchase Merit products. In addition, limitations on
reimbursement for procedures which utilize Merit products could adversely affect
sales.
15


Fluctuations in Euro exchange rates may negatively impact the Company's
financial results.
- --------------------------------------------------------------------------------
Fluctuations in the rate of exchange between the Euro and the U.S.
Dollar could have a negative impact on the Company's margins and financial
results. For example, during 2003, the exchange rate between the Euro and the
U.S. Dollar resulted in an increase of the Company's gross revenues of $2.4
million and 0.3% in gross profit.

For the year ended December 31, 2003, approximately $13 million, or
9.6%, of Merit's sales were denominated in Euros. If the rate of exchange
between the Euro and the U.S. Dollar declines, the Company may not be able to
increase the prices it charges its European customers for products whose prices
are denominated in Euros. Furthermore, the Company may be unable or elect not to
enter into hedging transactions which could mitigate the effect of declining
exchange rates. As a result, as the rate of exchange between Euros and the U.S.
Dollars declines, the Company's financial results may be negatively impacted.

The Company may be unable to successfully manage growth, particularly if
accomplished through acquisitions.
- --------------------------------------------------------------------------------
Successful implementation of Merit's business strategy will require
that the Company effectively manage any associated growth. To manage growth
effectively, the Company's management will need to continue to implement changes
in certain aspects of the Company's business, to enhance the Company's
information systems and operations to respond to increased demand, to attract
and retain qualified personnel and to develop, train and manage an increasing
number of management-level and other employees. Growth could place an increasing
strain on the Company's management, financial, product design, marketing,
distribution and other resources, and the Company could experience operating
difficulties. Any failure to manage growth effectively could have a material
adverse effect on the Company's results of operations and financial condition.

To the extent that the Company grows through acquisition, it will face
the additional challenges of integrating its current operations, culture,
informational management systems and other characteristics with that of the
acquired entity. The Company may incur significant expenses in connection with
negotiating and consummating one or more transactions, and it may inherit
certain liabilities in connection with the acquisition as a result of its
failure to conduct adequate due diligence or otherwise. In addition, the Company
may not realize competitive advantages, synergies or other benefits anticipated
in connection with such acquisition(s). If the Company does not adequately
identify targets for, or manage issues related to our future acquisitions, such
acquisitions may have a negative adverse effect on the Company's business and
financial results.

The market price of the Company's Common Stock has been, and may continue to be,
volatile.
- --------------------------------------------------------------------------------
The market price of Merit's common stock (the "Common Stock") has been, and may
continue to be, highly volatile for various reasons, including the following:

o Merit's announcement of new products or technical innovations, or
similar announcements by its competitors;

o Development of new procedures that use, or do not use, Merit's
technology;

o Quarter-to-quarter variances in the Company's financial results;

o Claims involving potential infringement of patents and other
intellectual property rights;

16


o Analyst and other projections or recommendations regarding the
Common Stock or medical technology stocks generally;

o Any restatement of the Company's financial statements or any
investigation into the Company by the SEC or another regulatory
authority; and

o A general decline, or rise, of stock prices in the capital markets
generally.


The Company is dependent upon key personnel.
- --------------------------------------------------------------------------------
The Company's continued success is dependent on key management
personnel, including Fred P. Lampropoulos, the Company's Chairman of the Board,
President and Chief Executive Officer. Mr. Lampropoulos is not subject to any
agreement prohibiting his departure, and the Company does not maintain key man
life insurance on his life. Mr. Lampropoulos announced his candidacy for
Governor of Utah in January 2004 and is actively campaigning as one of several
candidates vying for that seat. The loss of Mr. Lampropoulos, or of certain
other key management personnel, could materially adversely affect the Company's
business and operations. The Company's success also depends, among other
factors, on the successful recruitment and retention of key operations,
manufacturing, sales and other personnel.

Item 2. Properties.

The Company is the owner of approximately 22 acres of real property
situated in the City of South Jordan, Utah, surrounding an additional 10 acres
of leased real property on which is located the Company's 175,000 square foot
principal office and manufacturing facility. The Company sold the 10-acre site
to an unrelated developer in order to facilitate construction of such facility
and entered into a 25-year lease agreement (beginning in 1995) to finance the
new facility. Monthly lease payments are approximately $122,000. The Company
also holds an option to purchase the facility, exercisable at market value after
10 years and 25 years. The facility was constructed to the Company's
specifications and the Company estimates that it is presently at or near full
capacity. See "Item 7. Management's Discussion and Analysis of Financial
Condition and Results of Operations - Liquidity and Capital Resources".

The Company owns a building of approximately 26,500 square feet with
approximately three acres of land, in Galway, County Galway, Republic of
Ireland, as its principal office and manufacturing facility for European
operations. Of the three acres of land, the Company added 1.6 acres in January
2003 in preparation for a facility expansion which started in late 2003. The
existing Galway facility is used as the administrative headquarters to support
the Company's European direct sales force. The facility also houses a research
and development team, which has developed a new diagnostic guide wire, and is
developing other new products. Beginning in the fourth quarter of 1997, the
Company initiated manufacturing operations for several new and existing products
at the Galway facility, including custom kits and the BASIX(R) inflation device.
In 1998, the Company began the manufacture of the Company's hemostasis valve
products in Ireland. Toward the end of 2001, the Company finished an R&D project
and began manufacturing a new diagnostic guide wire. The Company's Galway
property has been improved and equipped on terms favorable to the Company in
connection with economic development incentives and grants provided by the Irish
Government.

The Company leases a manufacturing facility of approximately 50,000
square feet comprised of seven units, located in Murray, Utah. The Murray
facility is used for production of several of the Company's well-established
products. The leases related to three of the these units at the Murray facility

17


will expire in 2004 and leases related to four of these units will expire in
2007. The aggregate monthly lease payments on our Murray facilities are
approximately $29,000. The Company also leases 8,500 square feet of
manufacturing and office space located in Santa Clara, California for the
production of sensors. The lease runs through September 2004 at a monthly cost
of approximately $18,000. The Company does not plan to renew its Santa Clara,
California lease as it currently intends to relocate its sensor operations to a
new facility being built in South Jordan, Utah scheduled for completion in 2005.

In August 1999, the Company purchased the operating assets and product
lines of Mallinckrodt's Angleton, Texas division, including approximately 19
acres of land and a 75,000 square foot building.

The Company believes that its existing and proposed facilities will be
generally be adequate for its present and future anticipated level of
operations.

Item 3. Legal Proceedings.

In the course of conducting its business operations, the Company is,
from time to time, involved in litigation and other disputes. Management does
not currently anticipate that any pending litigation or dispute will have a
materially adverse effect on the Company's operations.

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

No matters were submitted to a vote of security holders during the
fourth quarter of the year ended December 31, 2003.

PART II

Item 5. Market for Registrant's Common Stock and Related Shareholder Matters.

MARKET PRICE FOR THE COMMON STOCK

The Common Stock is traded on the NASDAQ National Market System under
the symbol "MMSI." The following table sets forth high and low closing sale
price for the Common Stock for the periods indicated.

Quarter Ended High* Low*
------------- ----- ----
March 31, 2002 $ 9.88 $ 6.28
June 30, 2002 $ 11.88 $ 8.21
September 30, 2002 $ 12.06 $ 8.72
December 31, 2002 $ 13.95 $ 10.28

March 31, 2003 $ 11.86 $ 9.14
June 30, 2003 $ 12.30 $ 10.08
September 30, 2003 $ 18.00 $ 10.92
December 31, 2003 $ 24.00 $ 16.17

* Effective as of April 12, 2002, the Company effected a 5 for 4
forward stock split of the Common Stock by means of a stock split of one
additional share of Common Stock for each four shares of Common Stock
outstanding. Also, on August 15, 2003, and December 3, 2003, the Company
effected a 4 for 3 forward stock split of the Common Stock by means of a stock
split of one additional share of Common Stock for each three shares of Common
Stock outstanding. Data related to periods prior to the effective dates of the
three stock splits have been adjusted to reflect the terms of such stock splits.

18


OUTSTANDING SHARES AND NUMBER OF SHAREHOLDERS

As of March 10, 2004, the number of shares of Common Stock outstanding
was 26,095,533, held by approximately 214 shareholders of record, not including
shareholders whose shares are held in securities position listings.

DIVIDENDS

The Company has never declared or paid cash dividends on the Common
Stock. The Company presently intends to retain any future earnings for use in
its business and, therefore, does not anticipate paying any dividends on the
Common Stock in the foreseeable future. In addition, the Company's revolving
line of credit contains covenants prohibiting the declaration and distribution
of a cash dividend at any time prior to the termination of such line of credit.
*****
SECURITIES AUTHORIZED FOR ISSUANCE UNDER EQUITY COMPENSATION PLANS

The following table contains information regarding the Company's equity
compensation plans as of December 31, 2003.



Number of
Number of securities remaining
securities to be available for future
issued upon exercise Weighted-average issuance under
of outstanding exercise price of equity compensation plans
options, warrants outstanding options, (excluding securities
Plan category and rights warrants and rights reflected in column (a) )
(a) (b) (c)

Equity
compensation
plans approved by
security holders 4,188,474 (1)(3) $7.63 557,357(2)(3)

Equity
compensation
plans not approved
by security holders 0 0

Total 4,188,474 557,357


(1) Consists of 4,188,474 shares subject to the options granted under the
Company's 1999 Omnibus Stock Incentive Plan.

(2) Consists of 557,357 shares available to be issued under the Company's
Employee Stock Purchase Plans.

(3) See Note 8 to the Company's consolidated financial statements set forth in
Item 8 of this report for additional information regarding these plans.

19

Item 6. Selected Financial Data (In thousands except share data)



Year Ended December 31,
2003 2002 2001 2000 1999
---------------------------------------------------------------


Operating Data:
Net Sales $ 135,954 $ 116,227 $ 104,036 $ 91,448 $ 77,960

Cost of Sales 75,230 67,712 65,938 60,824 47,918

Gross Profit 60,724 48,515 38,098 30,624 30,042

Selling, General and Administrative
Expenses 30,468 27,732 24,040 23,300 20,407

Research and Development
Expenses 4,627 4,008 4,118 3,864 3,618

Severance Costs -- -- -- 331 --

Income from Operations 25,629 16,775 9,940 3,129 6,017

Other Expense (Income) (411) 13 938 2,355 1,256

Gain on Sale of Land (508) -- (786) -- --

Litigation Settlement (475) -- -- -- --

Income Before Income Tax Expense 27,023 16,762 9,788 774 4,761

Income Tax Benefit (Expense) (9,728) (5,452) (3,052) 53 (1,454)

Minority Interest in Subsidiary -- -- -- -- (81)

Net Income $ 17,295 $ 11,310 $ 6,736 $ 827 $ 3,226

Net Income Per Share (Diluted) $ .64 $ 0.43 $ 0.28 $ 0.04 $ 0.15

Weighted Average
Shares Outstanding (Diluted) 27,034 26,238 23,876 21,836 21,015

Balance Sheet Data:

Working Capital $ 56,931 $ 34,582 $ 26,911 $ 32,447 $ 33,934

Total Assets 107,301 78,305 66,659 71,447 72,360

Long-Term Debt 0 17 5,727 24,102 27,817

Stockholders' Equity $ 88,243 $ 63,399 $ 47,658 $ 34,773 $ 32,690


20

Item 7. Management's Discussion and Analysis of Financial Condition
and Results of Operations.
----------------------------------------------------------------------
OVERVIEW

During 2003 Merit experienced its most successful year ever in terms
of revenue and profitability. Not only did the Company's revenues grow by 17%
during 2003, but virtually every area of the Company's financial performance
improved in 2003, including net income, which increased 53% over the year ended
December 31, 2002 (previously the year in which the Company had achieved its
highest level of net income).

Gross margins as a percentage of sales improved 300 basis points
during the year ended December 31, 2003, compared to 2002, a significant
contribution to the growth in income during 2003 over 2002. Inventory turns
improved during the twelve months preceding December 31, 2003 to 3.8 times per
year from 3.4 times per year for the twelve months preceding December 31, 2002.

The Company's productivity increased to over $118,000 of sales per
employee for the year ended December 31, 2003, up 8% from the previous year.
Higher employee productivity, along with Merit's upgraded management information
systems and new incentive pay system, worked together to make the Company more
productive and profitable.

The Company's financial condition strengthened during 2003 as the
Company's cash position rose to $30.2 million, compared to $9.7 million in 2002,
an increase of 212%. Accounts receivable days outstanding improved during the
twelve months ending December 31, 2003 to 44 days from 49 days for the twelve
months ending December 31, 2002.

The Company anticipates that it will make significant investments in
new manufacturing space in 2004. The Company has announced plans to expand its
South Jordan, Utah facility by approximately 180,000 square feet, an increase of
approximately 103% and its Galway, Ireland facility by approximately 40,000
square feet, an increase of approximately 151%. Construction of these facilities
is needed to expand Merit's manufacturing capacity to meet current and future
demand of the Company's products as well as a consolidation to South Jordan,
Utah of the Company's Murray, Utah facility (56,000 square feet) and its Merit
Sensor System, Inc., wafer fab facility (8,500 square feet) from Santa Clara,
California.

Merit's management continues to leverage long-term investments in: (1)
product breadth, quality and innovation (2) direct sales forces in the United
States and Europe and (3) quality systems and facilities. Management believes
there are many more opportunities for growth within the Company in addition to
the continued growth of the markets in which the Company's, products are sold.
Furthermore, management believes market acceptance of the Company's new and
existing products, if achieved, will further enhance and leverage the position
Merit has attained.

RESULTS OF OPERATIONS

The following table sets forth certain operational data as a percentage
of sales for the periods indicated:

2003 2002 2001
-------- -------- --------

Sales 100.0% 100.0% 100.0%
Gross margin 44.7 41.7 36.6
Selling, general and administrative 22.4 23.9 23.1
Research and development 3.4 3.4 4.0
Income from operations 18.9 14.4 9.6
Income before income tax expense 19.9 14.4 9.4
Net income 12.7 9.7 6.5

21


Sales increased by $19.7 million, or 17%, in 2003, compared to an
increase of $12.2 million, or 11.7%, in 2002, and an increase of $12.6 million,
or 13.8%, in 2001. The increase in sales for 2003 resulted primarily from a 19%
increase in stand-alone product revenues, an 18% increase in custom kit
revenues, a 17% increase in inflation device revenues, and a 9% increase
catheter product revenues. The Company's revenues increased notwithstanding the
fact that the markets for many of the Company's products are experiencing slight
pricing declines; therefore substantially all of the increase in the Company's
revenues was attributable to increased unit sales, except for an increase in the
exchange rate between the EURO and the U.S. Dollar which increased sales by 1.8%
in 2003 compared to 2002. Unit growth in 2003 over 2002 was the result of
procedural growth rate of approximately seven to nine percent, introduction of
new products which accounted for growth of approximately three to four percent,
with the remainder of unit growth coming from market share gains. International
sales in 2003 were approximately $34.3 million, or 25% of total sales, compared
to approximately $27.1 million, or 23% of total sales, in 2002, and
approximately $23.8 million, or 23% of total sales, in 2001. These increases
were primarily a result of greater acceptance of the Company's products in other
international markets, ongoing growth in European direct sales, and increased
sales related to improvement in the exchange rate between the EURO and the U.S.
Dollar, compared to 2002. Direct sales in France, Germany, the U.K., Belgium,
the Netherlands and Ireland were $15.6 million, $12.3 million and $10.6 million
in 2003, 2002 and 2001, respectively.

Gross profit as a percentage of sales was 44.7%, 41.7%, and 36.6% in
2003, 2002, and 2001, respectively. The increase in the gross margin percentage
in 2003 over 2002 was favorably effected by an increase in efficiency and
productivity gains achieved by the Company's operations groups, and an increase
of the exchange rate of the EURO against the U.S. Dollar when compared to the
same period in 2002, resulting in an increase in gross profit of 0.3%. The
Company has also reduced the material costs from some of its principal vendors.
The Company is operating in a gradually declining price market. There is also a
general cost-increasing manufacturing environment. However, management presently
anticipates that the Company will maintain or slightly improve 2004 gross
margins over those achieved in 2003.

Selling, general and administrative expenses increased $2.7 million,
or 9.9%, in 2003 over 2002 and $3.7 million, or 15.4%, in 2002 over 2001. These
additional expenditures for 2003 were related to increases in commissions paid
commensurate with sales growth, costs of expanding the Company's direct sales
force in the U.S. and Europe, and an increase of the exchange rate of the EURO
against the U.S. Dollar when compared to the same period in 2002, resulting in
an increase in selling expenses for the Company's direct sales force in Europe.
Total selling, general and administrative expenses decreased as a percentage of
sales to 22.4 % in 2003 from 23.9% in 2002.

Research and development expenses for 2003 were $4.6 million, an
increase of 15.4%, compared to $4.0 million for 2002, a decrease of 2.7%
compared to $4.1 million in 2001. This slight increase in R&D during 2003
related primarily to head count additions and indirect costs to support catheter
development. The decline in R&D during 2002 was primarily a result of the
completion of R&D activities in Ireland relating to the Company's guide wire
product line and the transition of much of the Company's R&D resources to
manufacturing of the new diagnostic guide wire product line. Research and
development costs as a percentage of sales were 3.4%, 3.4% and 4.0% for 2003,
2002 and 2001, respectively. Management believes that the development of ten to
twelve projects at any given time is an appropriate level of R&D for the
Company, and is likely to provide six to eight new products a year through R&D,
regulatory, manufacturing, marketing and sales introduction.

The Company's effective tax rate for 2003 was 36%, up from 32.5% in
2002 and 31.2% in 2001, mostly because of lower taxable income in 2003 for the

22

Company's Irish operations, which are taxed at a lower rate than the U.S.
operations. The change in taxable income for Ireland from 2003 to 2002 was the
result of increased costs associated with the development of a new product which
is scheduled to be released during 2005.

Other income was $1.4 million for 2003, compared to other expense of
$13,209 and $151,231 for 2002 and 2001, respectively. The generation of other
income during 2003 was result of a gain on sale of land adjacent to our South
Jordan, Utah facility of $507,928, and the settlement of a legal dispute of
$475,000. Other income for 2003 was also effected by an increase in interest
income of $288,654 and a decrease in interest expense of $84,145, when compared
to the same period in 2002.

Net income for 2003 was $17.3 million, an increase of 52.9%, compared
to $11.3 million for 2002. Net income for 2001 was $6.7 million for 2001. Net
income for 2003 was favorably effected by higher gross profits, lower selling,
general and administrative expenses as a percentage of sales and an increase in
other income.

Effective January 1, 2002, the Company adopted Statement of Financial
Accounting Standards (SFAS) No. 142, Goodwill and Other Intangible Assets. Under
SFAS No. 142, the Company no longer amortizes goodwill from business
acquisitions and reviews annually the impairment of goodwill, or more frequently
if impairment indicators arise. The Company completed its initial testing of
goodwill as of January 1, 2002 and determined that there was no impairment. The
Company has elected to perform its annual testing of goodwill impairment as of
July 1 of the applicable fiscal year. As of July 1, 2003, the Company updated
its testing of goodwill for impairment and determined that there was no
impairment. The unamortized amount of goodwill at December 31, 2003 was
approximately $4.8 million.

With the adoption of SFAS No. 142, the Company reassessed the useful
lives and residual values of all acquired intangible assets to make any
necessary amortization period adjustments. Based on that assessment, no
adjustments were made to the amortization period or residual values of other
intangible assets.

Other recently adopted or issued financial accounting standards are as
follows, SFAS No. 144, Accounting for the impairment or Disposal of Long-Lived
Assets, SFAS No. 133, Accounting for Derivative Instruments and Hedging
Activities, SFAS No.146, Accounting for Costs Associated with Exit or Disposal
Activities, SFAS No. 148, Accounting for Stock-Based Compensation Transition and
Disclosure. See discussion of the effect of these accounting standards in Note 1
of the Company's consolidated financial statements set forth in Item 8 of this
report.

23


LIQUIDITY AND CAPITAL RESOURCES

Capital Commitments

The following table summarizes the Company's capital commitments and
contractual obligations as of December 31, 2003, including long-term debt,
operating lease payments, and office lease payments, as well as the future
periods in which such payments are currently anticipated to become due:



Payment due by period (in thousands)
------------------------------------------------
Less than After 5
Contractual Obligations Total 1 Year 1-3 Years 4-5 Years Years
- ---------------------------------- ------- -------- --------- --------- -------

Long-term debt $ 17 $ 17 -- -- --
Operating leases 26,423 2,446 $ 4,257 $ 3,478 $16,242
Royalty obligations 2,475 525 1,050 900 --
------- ------- ------- ------- -------
Total contractual cash obligations $28,915 $ 2,988 $ 5,307 $ 4,378 $16,242
======= ======= ======= ======= =======


Additional information regarding the Company's capital commitments and
contractual obligations, including royalty payments, is contained in Notes 5, 6
and 10 of the Notes to the Company's Consolidated Financial Statements, set
forth in Item 8..

As of December 31, 2003, the Company's working capital was $56.9
million, an increase of 64.5%, from the Company's net working capital on
December 31, 2002 of $34.6 million. As of December 31, 2003, the Company had a
current ratio of 4.9 to 1, compared to 4.0 to 1, as of December 31, 2002. The
increase in working capital during 2003 was primarily due to an increase in the
Company's cash balance during 2003 of $20.5 million. The Company had $0
outstanding under its line of credit at December 31, 2003. Merit has financed
leasehold improvements and equipment acquisitions through secured notes payable
and capital lease arrangements with an outstanding balance of $16,693 at
December 31, 2003. For the year ended December 31, 2003, the Company generated
cash from operations in the amount of $24.8 million, the most in the history of
the Company.

Historically, the Company has incurred significant expenses in
connection with product development and introduction of new products.
Substantial capital has also been required to finance the increase in our
receivables and inventories associated with our increased sales. During 2004,
substantial funds will be needed to construct additional facilities in South
Jordan, Utah and in Galway, Ireland. Construction of these facilities is
currently estimated to cost approximately $26 million in the aggregate. It is
anticipated that an additional $5 million, in excess of the Company's 2003
annual capital expenditures, will be spent on a finished good handling system
and other production equipment for these new facilities. Our principal source of
funding for these and other expenses has been cash generated from operations,
sale of equity, cash from loans on equipment and bank lines of credit.
Management believes that its present sources of liquidity and capital are
adequate for the current operations.

Critical Accounting Policies and Estimates

The SEC has requested that all registrants address their most critical
accounting policies. The SEC has indicated that a "critical accounting policy"

24


is one which is both important to the representation of the Company's financial
condition and results and requires management's most difficult, subjective or
complex judgments, often as a result of the need to make estimates about the
effect of matters that are inherently uncertain. The Company bases estimates on
past experience and on various other assumptions that are believed to be
reasonable under the circumstances, the results of which form the basis for
making judgments about carrying values of assets and liabilities that are not
readily apparent from other sources. Actual results may differ from these
estimates under different assumptions or conditions. The following are the
Company's most critical accounting policies:

Inventory Obsolescence Reserve: The Company writes down its inventory
for estimated obsolescence for unmarketable and/or slow moving products that may
expire prior to being sold. If market conditions become less favorable than
those projected by management, additional inventory write-downs may be required.

Allowance for Doubtful Accounts: The Company maintains allowances for
doubtful accounts for estimated losses resulting from the inability of customers
to make required payments. The allowance is based upon historical experience and
a review of individual customer balances. If the financial condition of the
Company's customers were to deteriorate, resulting in an impairment of their
ability to make payments, additional allowances may be required.

Stock-Based Compensation: The Company accounts for its stock
compensation arrangements under the provisions of Accounting Principles Board
Opinion No. 25, Accounting for Stock Issued to Employees, (APB 25) and intends
to continue to do so. Accordingly, no compensation cost has been recognized for
its stock compensation arrangements. If the compensation cost for the Company's
compensation plans had been determined consistent with Statement of Financial
Accounting Standards (SFAS) No. 123, Accounting for Stock-Based Compensation,
the Company's net income and net income per common and common share equivalent
would have changed to the pro forma amounts indicated below:



2003 2002 2001
-------------- -------------- --------------

Net income, as reported $ 17,295,398 $ 11,310,030 $ 6,735,978
Compensation cost under fair value-based
accounting method, net of tax 2,957,570 1,436,313 1,356,742
-------------- -------------- --------------
Net income, pro forma 14,337,828 9,873,717 5,379,236

Net income per common share:
Basic:
As reported $ 0.68 $ 0.47 $ 0.30
Pro forma 0.56 0.41 0.24

Diluted:
As reported 0.64 0.43 0.28
Pro forma 0.53 0.38 0.23


The fair value of each option grant is estimated on the date of grant using the
Black-Scholes option-pricing model with the following weighted-average
assumptions used for grants in 2003, 2002, and 2001: dividend yield of 0%;
expected volatility of 63.81%, 63.24%, and 63.48% for 2003, 2002, and 2001,
respectively; risk-free interest rates ranging from 2.32% to 6.71%; and expected
lives ranging from 2.33 to 4.98 years.
25


Item 7A. Quantitative and Qualitative Disclosure About Market Risk
---------------------------------------------------------
The Company's principal market risk relates to changes in the value of
the Euro relative to the value of the U.S. Dollar. The Company's Consolidated
Financial Statements are denominated in, and the Company's principal currency
is, the U.S. Dollar. A portion of the Company's revenues in 2003 ($13 million,
representing approximately 9.6% of aggregate revenues) came from sales that were
denominated in Euros. Certain of the Company's expenses are also denominated in
Euros, partially offsetting any risk associated with fluctuations of the
Euro/Dollar exchange rate. Because of the Company's Euro-denominated revenues
and expenses, in a year in which the Company's Euro-denominated revenues exceed
its Euro-based expenses, the value of such Euro-denominated net income increases
if the value of the Euro increases relative to the value of the U.S. Dollar, and
decreases if the value of the Euro decreases relative to the value of the U. S.
Dollar. During 2003, the exchange rate between the Euro and the U.S. dollar
resulted in an increase of the Company's gross revenues of $2.4 million and 0.3%
in gross profit.

At December 31, 2003, the Company had a net exposure (representing the
difference between Euro denominated receivables and Euro denominated payables)
of approximately $3 million. In order to partially offset such risk, at December
31, 2003, the Company entered into a 30 day forward EURO hedge contract. The
Company enters into similar hedging transactions various times during the year
to partially offset exchange rate risks it bears throughout the year. The
Company does not purchase or hold derivative financial instruments for
speculative or trading purposes. During the year ended December 31, 2003, the
Company experienced a net loss of $89,708 on hedging transactions it executed
during 2003 in an effort to limit its exposure to fluctuations in the
Euro/Dollar exchange rate.

As of December 31, 2003, the Company had no variable rate debt. As
long as the Company does not have variable rate debt, the Company's interest
expense would not be affected by changes in interest rates.


26


Item 8. Financial Statement and Supplement Data



INDEPENDENT AUDITORS' REPORT


To the Board of Directors and Stockholders
of Merit Medical Systems, Inc.:

We have audited the accompanying consolidated balance sheets of Merit Medical
Systems, Inc. and subsidiaries as of December 31, 2003 and 2002, and the related
consolidated statements of operations, stockholders' equity, and cash flows for
each of the three years in the period ended December 31, 2003. Our audits also
included the financial statement schedule listed in the Table of Contents at
Item 15. These financial statements and financial statement schedule are the
responsibility of the Company's management. Our responsibility is to express an
opinion on these financial statements and the financial statement schedule based
on our audits.

We conducted our audits in accordance with auditing standards generally accepted
in the United States of America. 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, such consolidated financial statements present fairly, in all
material respects, the financial position of Merit Medical Systems, Inc. and
subsidiaries as of December 31, 2003 and 2002, and the results of their
operations and their cash flows for each of the three years in the period ended
December 31, 2003, in conformity with accounting principles generally accepted
in the United States of America. Also, in our opinion, such financial statement
schedule, when considered in relation to the basic consolidated financial
statements taken as a whole, presents fairly in all material respects the
information set forth therein.

As discussed in Notes 1 and 3, the Company adopted Statement of Financial
Accounting Standards No. 142, Goodwill and Other Intangible Assets, on January
1, 2002.



/s/ DELOITTE & TOUCHE LLP
- ------------------------------
DELOITTE & TOUCHE LLP
Salt Lake City, Utah
February 27, 2004


27



MERIT MEDICAL SYSTEMS, INC. AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS
DECEMBER 31, 2003 AND 2002
- ------------------------------------------------------------------------------------------------------------------------

ASSETS 2003 2002
------------- -------------

CURRENT ASSETS:
Cash and cash equivalents $ 30,204,083 $ 9,683,578
Short-term investments 572,988 217,451
Trade receivables--net of allowance for uncollectible
accounts: 2003--$749,003; 2002--$476,294 17,728,457 15,247,892
Other receivables 374,644 1,209,804
Employee and related party receivables 267,288 299,751
Inventories 21,269,380 18,699,217
Prepaid expenses and other assets 823,221 667,151
Deferred income tax assets 220,625 143,265
------------- -------------
Total current assets 71,460,686 46,168,109
------------- -------------
PROPERTY AND EQUIPMENT:
Land 2,740,394 2,034,522
Building 5,268,260 5,118,683
Manufacturing equipment 29,480,421 25,577,837
Furniture and fixtures 11,953,358 10,823,852
Leasehold improvements 4,615,947 4,345,620
Automobiles 87,536 87,536
Construction-in-progress 4,886,530 3,008,734
------------- -------------

Total 59,032,446 50,996,784
Less accumulated depreciation and amortization (29,835,769) (25,584,648)
------------- -------------
Property and equipment--net 29,196,677 25,412,136
------------- -------------

OTHER ASSETS:
Patents and trademarks--net of accumulated amortization:
2003--$1,311,918; 2002--$1,153,965 1,846,392 1,927,160
Goodwill 4,764,596 4,764,596
Deposits 32,163 33,213
------------- -------------

Total other assets 6,643,151 6,724,969
------------- -------------

TOTAL ASSETS $ 107,300,514 $ 78,305,214
============= =============

(Continued)




28



MERIT MEDICAL SYSTEMS, INC. AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS
DECEMBER 31, 2003 AND 2002
- --------------------------------------------------------------------------------------------


LIABILITIES AND STOCKHOLDERS' EQUITY 2003 2002

CURRENT LIABILITIES:
Current portion of long-term debt $ 16,693 $ 400,182
Trade payables 5,700,491 4,121,577
Accrued expenses 8,567,093 6,618,407
Advances from employees 158,885 161,529
Income taxes payable 86,973 284,148
------------- -------------

Total current liabilities 14,530,135 11,585,843

DEFERRED INCOME TAX LIABILITIES 3,020,217 2,443,156

LONG-TERM DEBT -- 16,693

DEFERRED CREDITS 1,506,753 860,931
------------- -------------

Total liabilities 19,057,105 14,906,623
------------- -------------

COMMITMENTS AND CONTINGENCIES (Notes 6 and 10)

STOCKHOLDERS' EQUITY:
Preferred stock--5,000,000 shares authorized as of
December 31, 2003 and 2002, no shares issued
Common stock--no par value; 50,000,000 shares
authorized; 26,002,544 and 24,647,204 shares issued
at December 31, 2003 and 2002, respectively 37,701,629 30,265,963
Retained earnings 50,958,481 33,663,083
Accumulated other comprehensive loss (416,701) (530,455)
------------- -------------

Total stockholders' equity 88,243,409 63,398,591
------------- -------------

TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY $ 107,300,514 $ 78,305,214
============= =============


(Concluded)

See notes to consolidated financial statements.

29



MERIT MEDICAL SYSTEMS, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF OPERATIONS
FOR THE YEARS ENDED DECEMBER 31, 2003, 2002, AND 2001
- --------------------------------------------------------------------------------

2003 2002 2001

NET SALES $ 135,953,508 $ 116,227,201 $ 104,035,806

COST OF SALES 75,229,716 67,711,728 65,938,044
------------- ------------- -------------

GROSS PROFIT 60,723,792 48,515,473 38,097,762
------------- ------------- -------------

OPERATING EXPENSES:
Selling, general, and administrative 30,467,921 27,732,363 24,040,297
Research and development 4,626,459 4,007,622 4,117,839
------------- ------------- -------------

Total operating expenses 35,094,380 31,739,985 28,158,136
------------- ------------- -------------

INCOME FROM OPERATIONS 25,629,412 16,775,488 9,939,626
------------- ------------- -------------

OTHER INCOME (EXPENSE):
Interest income 385,596 96,942 40,530
Interest expense (9,961) (94,106) (978,009)
Miscellaneous income (expense) 1,018,334 (16,045) 786,248
------------- ------------- -------------

Other income (expense)--net 1,393,969 (13,209) (151,231)
------------- ------------- -------------

INCOME BEFORE INCOME TAXES 27,023,381 16,762,279 9,788,395

INCOME TAX EXPENSE 9,727,983 5,452,249 3,052,417
------------- ------------- -------------

NET INCOME $ 17,295,398 $ 11,310,030 $ 6,735,978
============= ============= =============

EARNINGS PER COMMON SHARE:
Basic $ .68 $ .47 $ .30
============= ============= =============
Diluted $ .64 $ .43 $ .28
============= ============= =============

AVERAGE COMMON SHARES:
Basic 25,401,445 24,226,100 22,537,975
============= ============= =============
Diluted 27,033,964 26,238,450 23,874,818
============= ============= =============


See notes to consolidated financial statements.

30




MERIT MEDICAL SYSTEMS, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY
FOR THE YEARS ENDED DECEMBER 31, 2003, 2002, AND 2001 [split table]
- --------------------------------------------------------------------------------


Common Stock Accumulated
---------------------------- Other Compre- Retained
Total Shares Amount hensive Loss Earnings
------------ ------------ ------------ ------------ ------------

BALANCE--January 1, 2001 $ 34,772,702 21,633,911 $ 19,779,765 $ (624,138) $ 15,617,075
Comprehensive income:
Net income 6,735,978 -- -- -- 6,735,978
Other comprehensive loss--
Foreign currency translation adjustment
(net of tax) (28,802) -- -- (28,802) --
------------
Comprehensive income 6,707,176 -- -- -- --
Tax benefit attributable to appreciation
of common stock options exercised 2,514,392 -- 2,514,392 -- --
Deferred compensation (37,084) (13,244) (37,084) -- --
Issuance of common stock under Employee
Stock Purchase Plans 257,702 98,843 257,702 -- --
Options and warrants exercised 5,019,939 2,302,843 5,019,939 -- --
Shares surrendered in exchange for the payment
of payroll tax liabilities (537,375) (76,987) (537,375) -- --
Shares surrendered in exchange for the
extinguishment of related party receivable (214,558) (43,172) (214,558) -- --
Shares surrendered in exchange for the
exercise of stock options (824,486) (120,823) (824,486) -- --
------------ ------------ ------------ ------------ ------------

BALANCE--December 31, 2001 47,658,408 23,781,371 25,958,295 (652,940) 22,353,053
Comprehensive income:
Net income 11,310,030 -- -- -- 11,310,030
Other comprehensive income--
Foreign currency translation adjustment
(net of tax) 122,485 -- -- 122,485 --
------------
Comprehensive income 11,432,515 -- -- -- --
Tax benefit attributable to appreciation
of common stock options exercised 2,684,444 -- 2,684,444 -- --
Sale of treasury stock 142,096 13,244 142,096 -- --
Issuance of common stock under Employee Stock
Purchase Plans 349,622 41,984 349,622 -- --
Options and warrants exercised 1,927,525 876,427 1,927,525
Shares surrendered in exchange for the
payment of payroll tax liabilities (468,668) (36,487) (468,668) -- --
Shares surrendered in exchange for
the exercise of stock options (327,351) (29,335) (327,351) -- --
------------ ------------ ------------ ------------ ------------

(Continued)

31




MERIT MEDICAL SYSTEMS, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY
FOR THE YEARS ENDED DECEMBER 31, 2003, 2002, AND 2001 [continuation of table]
- --------------------------------------------------------------------------------

Common Stock Accumulated
---------------------------- Other Compre- Retained
Total Shares Amount hensive Loss Earnings
------------ ------------ ------------ ------------ ------------

BALANCE--December 31, 2002 63,398,591 24,647,204 30,265,963 (530,455) 33,663,083
Comprehensive income:
Net income 17,295,398 -- -- -- 17,295,398
Other comprehensive income--
Foreign currency translation adjustment
(net of tax) 113,754 -- -- 113,754 --
------------
Comprehensive income 17,409,152
Tax benefit attributable to appreciation
of common stock options exercised 4,740,850 -- 4,740,850 -- --
Sale of treasury stock (41) -- (41) -- --
Issuance of common stock under Employee
Stock Purchase Plans 304,958 32,592 304,958 -- --
Options and warrants exercised 3,718,839 1,407,855 3,718,839 -- --
Shares surrendered in exchange for the
payment of payroll tax liabilities (780,606) (49,173) (780,606) -- --
Shares surrendered in exchange for the
exercise of stock options (548,334) (35,934) (548,334) -- --
------------ ------------ ------------ ------------ ------------

BALANCE--DECEMBER 31, 2003 $ 88,243,409 $ 26,002,544 $ 37,701,629 $ (416,701) $ 50,958,481
============ ============ ============ ============ ============

(Concluded)


See notes to consolidated financial statements.


32




MERIT MEDICAL SYSTEMS, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS
FOR THE YEARS ENDED DECEMBER 31, 2003, 2002, AND 2001
- --------------------------------------------------------------------------------


2003 2002 2001

CASH FLOWS FROM OPERATING ACTIVITIES:
Net income $ 17,295,398 $ 11,310,030 $ 6,735,978
------------ ------------ ------------
Adjustments to reconcile net income to net cash
provided by operating activities:
Depreciation and amortization 4,485,924 4,576,609 4,767,588
(Gains) losses on sales and abandonment of
property and equipment (516,603) 4,022 (784,729)
Write-off of certain patents and trademarks 25,469 391,217 93,291
Amortization of deferred credits (257,746) (195,472) (203,131)
Deferred income taxes 429,985 1,293,735 (45,152)
Tax benefit attributable to appreciation of
common stock options exercised 4,740,850 2,684,444 2,514,392
Changes in operating assets and liabilities:
Short-term investments (355,537) (132,165) (85,286)
Trade receivables (2,480,565) (499,871) (1,512,163)
Employee and related party receivables 537,063 (32,846) (40,809)
Inventories (2,570,163) 2,124,399 4,449,812
Prepaid expenses and other assets (156,070) (152,364) 148,315
Other receivables 330,560 (1,111,723) 668,036
Deposits 1,050 1,630 6,430
Trade payables 1,578,916 (537,718) (176,222)
Accrued expenses 1,948,686 1,800,812 1,346,556
Advances from employees (2,644) 32,905 31,846
Income taxes payable (197,175) (202,615) 453,343
------------ ------------ ------------

Total adjustments 7,542,000 10,044,999 11,632,117
------------ ------------ ------------

Net cash provided by operating activities 24,837,398 21,355,029 18,368,095
------------ ------------ ------------

CASH FLOWS FROM INVESTING ACTIVITIES:
Capital expenditures for:
Property and equipment (8,165,678) (7,954,191) (4,091,399)
Patents and trademarks (102,655) (97,467) (263,427)
Proceeds from the sale of property and equipment 569,768 2,575 952,308
------------ ------------ ------------

Net cash used in investing activities (7,698,565) (8,049,083) (3,402,518)
------------ ------------ ------------

(Continued)


33



MERIT MEDICAL SYSTEMS, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS
FOR THE YEARS ENDED DECEMBER 31, 2003, 2002, AND 2001
- --------------------------------------------------------------------------------

2003 2002 2001

CASH FLOWS FROM FINANCING ACTIVITIES:
Net payments on revolving credit facility $ -- $ (5,115,241) $(17,884,761)
Proceeds from:
Issuance of common stock 2,694,816 1,586,140 3,915,780
Deferred credits 903,568 128,123 175,572
Principal payments on notes payable to
financial institutions and capital leases (400,182) (793,352) (1,164,444)
Sale (purchase) of treasury stock for deferred
compensation -- 37,084 (37,084)
------------ ------------ ------------

Net cash provided by (used in)
financing activities 3,198,202 (4,157,246) (14,994,937)
------------ ------------ ------------

EFFECT OF EXCHANGE RATES ON CASH 183,470 193,188 (41,334)
------------ ------------ ------------

NET INCREASE (DECREASE) IN CASH AND
CASH EQUIVALENTS 20,520,505 9,341,888 (70,694)

CASH AND CASH EQUIVALENTS:
Beginning of year 9,683,578 341,690 412,384
------------ ------------ ------------

End of year $ 30,204,083 $ 9,683,578 $ 341,690
============ ============ ============

SUPPLEMENTAL DISCLOSURES OF CASH
FLOW INFORMATION--Cash paid during
the year for:
Interest (including capitalized interest of
approximately $-0-, $17,000, and $105,000
during 2003, 2002, and 2001, respectively) $ 15,904 $ 109,002 $ 1,286,872
============ ============ ============

Income taxes $ 4,354,047 $ 2,396,885 $ 127,553
============ ============ ============

(Concluded)

34


MERIT MEDICAL SYSTEMS, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS
- --------------------------------------------------------------------------------
FOR THE YEARS ENDED DECEMBER 31, 2003, 2002, AND 2001
- --------------------------------------------------------------------------------


SUPPLEMENTAL DISCLOSURES OF NONCASH INVESTING AND FINANCING ACTIVITIES:

o During 2001, the Company entered into capital lease obligations and notes
payable for approximately $271,000 for manufacturing equipment.

o During 2003, 2002, and 2001, options to purchase 49,173, 36,487, and 76,987
shares of the Company's common stock were surrendered in exchange for the
Company's recording of payroll tax liabilities in the amount of
approximately $780,000, $469,000, and $537,000.

o During 2003, 2002, and 2001, 35,934, 29,335, and 120,823 shares of Company
common stock with a value of approximately $548,000, $327,000, and
$824,000, respectively, were surrendered in exchange for the exercise of
stock options.


See notes to consolidated financial statements.
(Concluded)


MERIT MEDICAL SYSTEMS, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
FOR THE YEARS ENDED DECEMBER 31, 2003, 2002, AND 2001
- --------------------------------------------------------------------------------

1. ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

Organization--Merit Medical Systems, Inc. ("Merit") and its
wholly-owned subsidiaries, Merit Holdings, Inc. ("MHI"), and Merit
Sensor Systems, Inc. collectively own 100% of Merit Medical Systems LP
("MMSLP"). Combined with its other wholly-owned subsidiary, Merit
Medical International, Inc. ("MMI"), Merit, MHI, and Merit Sensor
Systems, Inc. collectively own 100% of Merit Services, Inc. ("MSI")
(collectively, the "Company"). The Company develops, manufactures, and
markets disposable medical products primarily for use in the diagnosis
and treatment of cardiovascular disease which is considered to be one
segment line of business. The Company manufactures its products in
plants located in the United States and in Ireland. The Company has
export sales to dealers and has direct sales forces in the United
States, and Western Europe (see Note 9).

The consolidated financial statements of the Company have been prepared
in accordance with accounting principles generally accepted in the
United States of America. The following is a summary of the more
significant of such policies.

Use of Estimates in Preparing Financial Statements--The preparation of
financial statements in conformity with accounting principles generally
accepted in the United States of America 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 financial statements and the reported amounts of
revenues and expenses during the reporting period. Actual results could
differ from those estimates.

35

Principles of Consolidation--The consolidated financial statements
include those of Merit, MMI, MHI, MSI, MMSLP and Merit Sensor systems,
Inc. Intercompany balances and transactions have been eliminated.

Receivables--The allowance for uncollectible accounts receivable is
based on the Company's historical bad debt experience and on
management's evaluation of collectibility of the individual outstanding
balances.

Revenue Recognition--The Company recognizes revenues from product sales
when the goods are shipped or delivered depending on when title and
risk passes to the customer. Provisions for certain product returns and
discounts to customers are provided for as reductions in determining
sales in the same period the related sales are recorded.

Inventories--The Company values its inventories at the lower of cost,
determined on a first-in, first-out method, or market value. Market
value for raw materials is based on replacement costs and, for other
inventory classifications, on net realizable value. We review
inventories on hand at least quarterly and record provisions for
estimated excess, slow moving, and obsolete inventory, as well as
inventory with a carrying value in excess of net realizable value. The
regular and systematic inventory valuation reviews include a current
assessment of future product demand, historical experience, and product
expiration.

Income Taxes--The Company utilizes an asset and liability approach for
financial accounting and reporting for income taxes. Deferred income
taxes are provided for temporary differences in the bases of assets and
liabilities as reported for financial statement and income tax
purposes.

Intangible Assets--Effective January 1, 2002, the Company adopted
Statement of Financial Accounting Standards ("SFAS") No. 142, Goodwill
and Other Intangible Assets. Under SFAS No. 142, the Company no longer
amortizes goodwill from business acquisitions and reviews annually the
impairment of goodwill, or more frequently if impairment indicators
arise. The Company completed its initial testing of goodwill as of
January 1, 2002 and determined that there was no impairment. The
Company has elected to perform its annual testing of goodwill
impairment as of July 1. As of July 1, 2003 and 2002, the Company
updated its testing of goodwill for impairment and determined that
there was no impairment. The unamortized amount of goodwill at December
31, 2001, was approximately $4.8 million.

With the adoption of SFAS No. 142, the Company reassessed the useful
lives and residual values of all acquired intangible assets to make any
necessary amortization period adjustments. Based on that assessment, no
adjustments were made to the amortization period or residual values of
other intangible assets.

Long-Lived Assets--In August 2001, the Financial Accounting Standards
Board ("FASB") issued SFAS No. 144, Accounting for the Impairment or
Disposal of Long-Lived Assets. SFAS No. 144 supercedes SFAS No. 121,
Accounting for the Impairment of Long-Lived Assets and for Long-Lived
Assets to be Disposed Of, but retains the requirements relating to
recognition and measurement of an impairment loss and resolves certain
implementation issues resulting from SFAS No. 121. SFAS No. 144 was
adopted by the Company on January 1, 2002 and did not have a material
impact on the results of operations or financial condition of the
Company.

36


The Company periodically reviews the carrying amount of its long-lived
assets for impairment. An asset is considered impaired when estimated
future cash flows are less than the carrying amount of the asset. In
the event the carrying amount of such asset is considered not
recoverable, the asset is adjusted to its fair value. Fair value is
generally determined based on discounted future cash flow. There were
no impairments of long-lived assets as of December 31, 2003, 2002, or
2001.

Property and Equipment--Property and equipment is stated at the
historical cost of construction or purchase. Construction costs include
payroll-related costs, an allocation of general and administrative
costs, and interest capitalized during construction. Maintenance and
repairs of property and equipment are charged to operations as
incurred. Depreciation and amortization are computed using the
straight-line method over estimated useful lives as follows:

Building 25 years
Automobiles 4 years
Manufacturing equipment 5 to 12 years
Furniture and fixtures 3 to 10 years
Leasehold improvements 4 to 25 years

During 2003, the Company recorded a gain from the sale of land of
approximately $508,000 which is included in miscellaneous income.

Accrued Expenses--Accrued expenses consist of the following at December
31, 2003 and 2002:

December 31,
---------------------------
2003 2002

Payroll taxes $ 536,135 $ 317,522
Payroll 1,146,335 940,088
Bonuses 1,884,868 1,445,888
Commissions 416,062 304,943
Vacation 1,435,862 1,025,407
Other accrued expenses 3,147,831 2,584,559
---------- ----------

Total $ 8,567,093 $ 6,618,407
=========== ===========

Deferred Credits--Deferred credits consist of grant money received from
the Irish government and deferred gains on sales leaseback
transactions. Grant money is received for a percentage of expenditures
on eligible property and equipment, specific research and development
projects, and costs of hiring and training employees. Amounts related
to the acquisition of property and equipment are amortized as a
reduction of depreciation expense over the lives of the corresponding
property. Deferred gains on sales leaseback transactions are amortized
as a reduction of rent expense over periods ranging from six to 10
years (see Note 6).

Research and Development--Research and development costs are expensed
as incurred.

Stockholders' Equity--On November 19, 2003, the Company's Board of
Directors approved a four-for-three stock split of the Company's common
stock effective December 3, 2003, for stockholders of record as of

37


November 28, 2003. On July 31, 2003, the Company's Board of Directors
approved a four-for-three stock split of the Company's common stock
effective August 15, 2003, for stockholders of record as of August 11,
2003. On March 27, 2002, the Company's Board of Directors approved a
five-for-four split of the Company's common stock effective April 11,
2002 for stockholders of record as of April 8, 2002. Additionally, on
August 14, 2001, the Company's Board of Directors approved a
five-for-four split of the Company's common stock effective August 27,
2001 for stockholders of record as of August 24, 2001. All historical
share and per share amounts have been restated to reflect these stock
splits.

Earnings per Common Share--Net income per common share is computed by
both the basic method, which uses the weighted average number of the
Company's common shares outstanding, and the diluted method, which
includes the dilutive common shares from stock options and warrants, as
calculated using the treasury stock method.

Financial Instruments--The Company's financial instruments, when valued
using market interest rates, would not be materially different from the
amounts presented in the consolidated financial statements.

Stock-Based Compensation--The Company accounts for its stock
compensation arrangements under the provisions of Accounting Principles
Board Opinion No. 25, Accounting for Stock Issued to Employees, (APB
25) and intends to continue to do so. Accordingly, no compensation cost
has been recognized for its stock compensation arrangements. If the
compensation cost for the Company's compensation plans had been
determined consistent with SFAS No. 123, Accounting for Stock-Based
Compensation, the Company's net income and net income per common and
common share equivalent would have changed to the pro forma amounts
indicated below:



2003 2002 2001


Net income, as reported $ 17,295,398 $ 11,310,030 $ 6,735,978
Compensation cost under fair value-based
accounting method, net of tax 2,957,570 1,436,313 1,356,742
-------------- -------------- -------------
Net income, pro forma 14,337,828 9,873,717 5,379,236

Net income per common share:
Basic:
As reported $ 0.68 $ 0.47 $ 0.30
Pro forma 0.56 0.41 0.24

Diluted:
As reported 0.64 0.43 0.28
Pro forma 0.53 0.38 0.23



The fair value of each option grant is estimated on the date of grant
using the Black-Scholes option-pricing model with the following
weighted-average assumptions used for grants in 2003, 2002, and 2001:
dividend yield of 0%; expected volatility of 63.81%, 63.24%, and 63.48%
for 2003, 2002, and 2001, respectively; risk-free interest rates
ranging from 2.32% to 6.71%; and expected lives ranging from 2.33 to
4.98 years.

38


Statements of Cash Flows--For purposes of the statements of cash flows,
the Company considers interest bearing deposits with an original
maturity date of three months or less to be cash equivalents.

Concentration of Credit Risk--Financial instruments that potentially
subject the Company to concentrations of credit risk consist primarily
of temporary cash and cash equivalents and accounts receivable. The
Company provides credit, in the normal course of business, primarily to
hospitals and independent third-party packers and distributors. The
Company performs ongoing credit evaluations of its customers and
maintains allowances for potential credit losses.

Foreign Currency Translation Adjustment--The financial statements of
the Company's foreign subsidiaries, which are included within MHI, are
measured using local currencies as the functional currency, with the
exception of Ireland, which uses a U.S. dollar functional currency.
Assets and liabilities are translated into U.S. dollars at year-end
rates of exchange and results of operations are translated at average
rates for the year. Gains and losses resulting from these translations
are included in accumulated other comprehensive loss as a separate
component of stockholders' equity.

Accumulated Other Comprehensive Loss--Accumulated other comprehensive
loss consists entirely of foreign currency translation adjustments.

Recently Issued Financial Accounting Standards--In June 2002, SFAS No.
146, Accounting for Costs Associated with Exit or Disposal Activities,
was issued. SFAS No. 146 requires recording costs associated with exit
or disposal activities at their fair values when a liability has been
incurred. Under previous guidance, certain exit costs were accrued upon
management's commitment to an exit plan, which is generally before a
liability has been incurred. The Company adopted SFAS No. 146 in the
third quarter of 2003. The adoption of SFAS No. 146 did not materially
impact the Company's consolidated results of operations, financial
position, or cash flow.

In December 2002, the FASB issued SFAS No. 148, Accounting for
Stock-Based Compensation--Transition and Disclosure. SFAS No. 148
amends SFAS No. 123 to provide alternative methods of transition for a
voluntary change to the fair value based method of accounting for
stock-based employee compensation. In addition, SFAS No. 148 amends the
disclosure requirements of SFAS No. 123 to require prominent
disclosures in both annual and interim financial statements about the
method of accounting for stock-based employee compensation and the
effect of the method used on reported results. The provisions of SFAS
No. 148 are effective for financial statements for fiscal years and
interim periods ending after December 15, 2002. The disclosure
provisions of SFAS No. 148 have been adopted by the Company (see
Stock-Based Compensation above). SFAS No. 148 did not require the
Company to change to the fair value based method of accounting for
stock-based compensation.

SFAS No. 150, Accounting for Certain Financial Instruments with
Characteristics of both Liability and Equity ("SFAS No. 150") was
issued in May 2003. SFAS No. 150 establishes standards for how an
issuer classifies and measures certain financial instruments with
characteristics of both liability and equity in its statement of
financial position. SFAS No. 150 became effective for the Company for
new or modified financial instruments beginning June 1, 2003, and for
existing instruments beginning June 28, 2003. The adoption of SFAS No.
150 did not have a material impact on the Company's Consolidated
Financial Statements.

39

In November 2002, the Financial Accounting Standards Board ("FASB")
issued Financial Accounting Standards Board Interpretation No. ("FIN")
45, Guarantor's Accounting and Disclosure Requirements for Guarantees,
Including Indirect Guarantees of Indebtedness of Others, which requires
the guarantor to recognize as a liability the fair value of the
obligation at the inception of the guarantee. The disclosure
requirements in FIN 45 are effective for financial statements of
interim or annual periods ending after December 15, 2002. Management
believes the Company has no guarantees that are required to be
disclosed in the financial statements. The recognition provisions are
to be applied on a prospective basis to guarantees issued after
December 31, 2002. The adoption of the recognition provisions of FIN 45
did not have a material impact on the Company's financial statements.

In January 2003, the FASB issued FIN No. 46, Consolidation of Variable
Interest Entities, an interpretation of Accounting Research Bulletin
("ARB") No. 51. FIN No. 46, as revised in December 2003, addresses
consolidation by business enterprises of variable interest entities.
FIN No. 46 applies immediately to variable interest entities created
after January 31, 2003, and to variable interest entities in which an
enterprise obtains an interest after that date. FIN No. 46 applies in
the first year or interim period ending after December 15, 2003, to
variable interest entities in which an enterprise holds a variable
interest that it acquired before February 1, 2003. The adoption of FIN
No. 46 did not have a material impact on the Company's financial
statements.

Short-term Investments--Trading securities are recorded at estimated
fair value with unrealized gains and losses included in miscellaneous
income. The basis of cost used in determining realized gains and losses
is specific identification. The estimated fair value of all securities
is determined by quoted market prices.

Deferred Compensation--During 2001, the Company established certain
non-qualified deferred compensation plans for eligible participants
(the "deferred compensation plans"). The deferred compensation plans
permit each participant to defer a portion of their salary until the
future. The deferred salary may be invested on behalf of the
participant in marketable securities, money market funds or the
Company's own stock. However, as the Company is the owner of the
invested assets, such assets are reflected in the consolidated balance
sheet as cash equivalents and short-term investments at December 31,
2003. The deferred compensation obligation is classified as an accrued
expense and adjusted, with a corresponding charge (or credit) to
compensation cost, to reflect changes in the fair value of the
underlying assets. Because the deferred compensation obligation may be
settled by delivery of cash, shares of Company stock, or diversified
assets, Company shares acquired are not included in basic earnings per
share but are included in the calculation of diluted earnings per
share. All shares of treasury stock were sold during the year ended
December 31, 2002.

2. INVENTORIES

Inventories consist of the following at December 31, 2003 and 2002:

2003 2002
------------ ------------

Finished goods $ 11,996,307 $ 8,348,940
Work-in-process 3,581,197 2,343,501
Raw materials 5,691,876 8,006,776
------------ ------------
Total $ 21,269,380 $ 18,699,217
============ ============
40


3. GOODWILL AND OTHER INTANGIBLE ASSETS

Goodwill and intangibles consisted of the following at December 31,
2003.


2003 2002

Patents, net of accumulated amortization of $710,922
and $594,160, respectively $1,502,048 $1,557,006

License agreements, net of accumulated amortization
of $419,703 and $378,512, respectively 171,301 212,492

Trademarks (not subject to amortization) 173,043 157,662
----------- -----------

Total $1,846,392 $1,927,160
=========== ===========
Cost in excess of the fair value of assets acquired
(goodwill) $4,764,596 $4,764,596
=========== ===========


The following table recociles net income and earnings per share
information for the year ended December 31, 2001, for the
non-amortization provision of goodwill for SFAS No. 142:

Year Ended
December 31,
2001
-------------

Reported net income $ 6,735,978
Add back--goodwill amortization, net of tax 196,589
-------------

Adjusted net income $ 6,932,567
=============

Basic earnings per share:
Reported earnings per common share $ 0.30
Add back--goodwill amortization, net of tax 0.01
-------------

Adjusted earnings per common share $ 0.31
=============

Diluted earnings per share:
Reported earnings per common share $ 0.28
Add back--goodwill amortization, net of tax 0.01
-------------

Adjusted earnings per common share $ 0.29
=============

Aggregate amortization expense for the years ended December 31, 2003,
2002, and 2001 is approximately $158,000, $227,000, and $298,000
respectively.

Estimated amortization expense for the intangible assets for the five
succeeding fiscal years is as follows
41


Estimated amortization expense:
Year ended December 31:
2004 $150,000
2005 165,000
2006 165,000
2007 157,000
2008 155,000

4. INCOME TAXES

Deferred income tax assets and liabilities at December 31, 2003 and
2002 consist of the following temporary differences and carryforward
items:


Current Long-Term
-------------------------- --------------------------
2003 2002 2003 2002

Deferred income tax assets:
Allowance for uncollectible
accounts receivable $ 299,601 $ 174,700 $ -- $ --
Accrued compensation expense 627,299 509,339 -- --
Inventory capitalization for
tax purposes 198,679 107,202 -- --
Inventory obsolescence reserve 608,078 855,315 -- --
Tax credits -- -- 90,000 249,328
Net operating losses of subsidiaries 52,853 66,283 302,527 227,957
Other 224,560 114,846 387,839 325,117
----------- ----------- ----------- -----------

Total deferred income tax assets 2,011,070 1,827,685 780,366 802,402

Deferred income tax liabilities:
Prepaid expenses (1,790,445) (1,683,603) -- --
Property and equipment -- -- (3,598,467) (3,005,013)
Other -- (817) (202,116) (240,545)
----------- ----------- ----------- -----------

Net $ 220,625 $ 143,265 $(3,020,217) $(2,443,156)
=========== =========== =========== ===========


42

Income tax expense differs from amounts computed by applying the
statutory Federal rate to pretax income as follows:


2003 2002 2001
----------- ----------- -----------

Computed Federal income tax expense at
statutory rate of 35% $ 9,458,183 $ 5,866,798 $ 3,425,938
State income taxes 811,042 384,358 159,770
Creation of tax credits (375,344) (355,684) (399,001)
Tax benefit of foreign sales corporation (297,437) (118,057) (141,565)
Income of subsidiaries recorded at
foreign tax rates (92,913) (286,424) (63,517)
Other--including the effect of graduated rates 224,452 (38,742) 70,792
----------- ----------- -----------
Total income tax expense $ 9,727,983 $ 5,452,249 $ 3,052,417
=========== =========== ===========

The components of the provision for income taxes are as follows:

2003 2002 2001
----------- ----------- -----------
Current expense:
Federal $ 7,993,940 $ 3,614,502 $ 2,608,391
State 1,199,839 435,612 370,707
Foreign 104,219 108,400 118,471
----------- ----------- -----------
9,297,998 4,158,514 3,097,569
----------- ----------- -----------

Deferred expense:
Federal 388,854 1,029,364 (57,070)
State 47,917 139,787 (124,908)
Foreign (6,786) 124,584 136,826
----------- ----------- -----------
429,985 1,293,735 (45,152)
----------- ----------- -----------

Total $ 9,727,983 $ 5,452,249 $ 3,052,417
=========== =========== ===========


5. REVOLVING CREDIT FACILITY AND LONG-TERM DEBT

Revolving Credit Facility--The Company maintains a long-term revolving
credit facility (the Facility) with a bank, which enables the Company
to borrow funds at variable interest rates. The credit facility was
voluntarily reduced to $500,000 in August 2002. The Facility expires on
June 30, 2006. The weighted average interest rate applied to the
outstanding balance at December 31, 2001 was 3.42%. Under the terms of
the Facility, among other things, the Company is required to maintain a
ratio of total liabilities to tangible net worth not to exceed 2.0 to
1.0, maintain a ratio of current assets to current liabilities of at
least 1.5 to 1.0, maintain minimum working capital of $25,000,000, and
is restricted from paying dividends to shareholders. For the years
ended December 31, 2003 and 2002, management of the Company believes
the Company was in compliance with all debt covenants. There were no
outstanding borrowings on the facility at December 31, 2003 and 2002.
The Facility is collateralized by trade receivables, inventories,
property and equipment, and intangible assets.
43

Long-term Debt--Long-term debt consists of the following at December
31, 2003 and 2002:

2003 2002
Notes payable to financial institutions;
payable in monthly installments through
2004, including interest at rates ranging
from 6.26% to 8.89%; collateralized by
equipment $ 16,693 $ 416,875
Less current portion (16,693) (400,182)
--------- ---------

Long-term portion $ -- $ 16,693
========= =========

6. COMMITMENTS AND CONTINGENCIES

Leases--The Company has noncancelable operating lease agreements for
off-site office and production facilities and equipment. The leases for
the off-site office and production facilities are for five years and
have renewal options of one to five years. The terms of the leases for
equipment range from five to seven years. Total rental expense on these
operating leases and on the Company's manufacturing and office building
(see below) for the years ended December 31, 2003, 2002, and 2001
approximated $2,568,000, $2,978,000, and $2,539,000, respectively.

In June 1993, the Company entered into a 25 year lease agreement with a
developer for a manufacturing and office building. Under the agreement,
the Company was granted an option to purchase the building at fair
market value after 10 years and, if not exercised, after 25 years. In
connection with this lease agreement, in 1993 the Company sold to the
developer 10 acres of land on which the building was constructed. The
$166,136 gain on the sale of the land has been recorded as a deferred
credit and is being amortized as a reduction of rent expense over ten
years. In connection with the lease agreement, the Company issued to
the developer warrants to purchase 431,836 shares of the Company's
common stock at $1.78 per share subject to carrying cost increases of
3% per year ($2.19 as of December 31, 2003). These warrants were
exercised in January 2003 with total proceeds to the Company of
approximately $950,000.

On December 22, 2000, the Company sold certain of its manufacturing
equipment with a net carrying value of approximately $1,210,000 to a
financial institution. The Company then entered into a six-year
operating lease agreement for the same equipment. The approximate
$70,000 gain on sale has been recorded as a deferred credit and is
being amortized as a reduction of rental expense over six years.

The future minimum lease payments for operating leases as of December
31, 2003 are as follows:
Operating
Leases

Year ending December 31:
2004 $ 2,445,789
2005 2,138,746
2006 2,118,793
2007 2,012,962
2008 1,465,404
Thereafter 16,241,561
-----------

Total minimum lease payments $26,423,255
===========

44

Irish Government Development Agency Grants--Through December 31, 2003,
the Company had entered into several grant agreements with the Irish
Government Development Agency of which approximately $-0- remained in
receivables at both December 31, 2003 and 2002. The Company has
recorded the grants related to research and development projects and
costs of hiring and training employees as a reduction of operating
expenses in 2003, 2002, and 2001 in the amounts of approximately $-0-,
$163,000, and $36,000, respectively. Grants related to the acquisition
of property and equipment purchased in Ireland are amortized as a
reduction to depreciation expense over lives corresponding to the
depreciable lives of such property. The balance of deferred credits
related to such grants as of December 31, 2003 and 2002 are
approximately $1,454,000 and $710,000, respectively. During 2003, 2002,
and 2001, approximately $229,000, $167,000, and $175,000, respectively,
of the deferred credit was amortized as a reduction of operating
expenses. There is a commitment to repay the Irish government grants
received from them if the Company were to cease production in Ireland
within ten years of the receipt of the last government payment.
Management does not believe it will ever have to repay any of these
grant monies.

Preferred Share Purchase Rights--In August 1997, the Company declared a
dividend of one preferred share purchase right (a "Right") for each
outstanding share of Common Stock which entitles the holder of a Right
to purchase one one-hundredth of a share of Series A Junior
Participating Preferred Stock at an exercise price of $40 in the event
a person or group acquires, or announces an intention to acquire, 15%
or more of the Company's common stock. Until such an event, the Rights
are not exercisable and are transferable with the common stock and may
be redeemed at a price of $.0001 per Right.

Litigation--In the ordinary course of business, the Company is involved
in litigation and claims which management believes will not have a
materially adverse effect on the Company's financial position or
results of operations. During 2003, the Company recorded a gain from
the settlement of a legal dispute of approximately $475,000 which is
included in miscellaneous income.

45


7. EARNINGS PER COMMON SHARE (EPS)

The following table sets forth the computation of basic and diluted
earnings per common share:


Net Per Share
Income Shares Amount
----------- ----------- --------

Year ended December 31, 2003:
Basic EPS $17,295,398 25,401,445 $ 0.68
========
Effect of dilutive stock options and warrants -- 1,632,519
----------- -----------

Diluted EPS $17,295,398 27,033,964 $ 0.64
=========== =========== ========
Year ended December 31, 2002:
Basic EPS $11,310,030 24,226,100 $ 0.47
========
Effect of dilutive stock options and warrants 2,012,350
----------- -----------

Diluted EPS $11,310,030 26,238,450 $ 0.43
=========== =========== ========
Year ended December 31, 2001:
Basic EPS $ 6,735,978 22,537,975 $ 0.30
========
Effect of dilutive stock options and warrants 1,336,843
----------- ----------

Diluted EPS $ 6,735,978 23,874,818 $ 0.28
=========== =========== ========

For the years ended December 31, 2003, 2002, and 2001, approximately
449,000, -0-, and 486,000 respectively, of stock options were not
included in the computation of diluted earnings per share because they
would have been antidilutive.

8. EMPLOYEE STOCK PURCHASE PLAN AND STOCK OPTIONS AND WARRANTS

The Company offers to its employees an Employee Stock Purchase Plan
("ESPP") which allows the employee on a quarterly basis to purchase
shares of the Company's common stock at the lesser of 85% of the market
value on the offering commencement date or offering termination date.
The Company has a qualified and a non-qualified ESPP, which expire on
June 30, 2006. The total number of shares available to employees to
purchase under the qualified plan is 1,194,444 of which 788,184 have
been purchased as of December 31, 2003. The total number of shares
available to employees to purchase under the non-qualified plan is
194,444 of which 43,347 have been purchased as of December 31, 2003.

The Company has a long-term incentive plan which provides for the
issuance of incentive stock options, nonstatutory stock options, and
certain corresponding stock appreciation rights. The maximum number of
shares of common stock for which options may be granted is 11,111,111.
Options may be granted to directors, officers, outside consultants, and
key employees of the Company and may be granted upon such terms and
such conditions as the Compensation Committee in its sole discretion
shall determine. Options vest 20% per year over either a 4.5 or 5 year
life with contractual lives of 5 and 10 years, respectively. In no
event, however, shall the exercise price be less than the fair market
value on the date of grant.
46




Changes in stock options and warrants (see Note 6) for the years ended
December 31, 2003, 2002, and 2001 are as follows:

Options Warrants
--------------------------------- -------------------------------
Weighted Weighted
Average Average
Exercise Exercise
Shares Price Shares Price
2003:

Granted 1,532,061 $ 13.33
Exercised 976,019 2.84 431,836 $ 2.19
Forfeited/expired 49,487 5.66
Outstanding at December 31 4,188,474 7.63
Exercisable 1,529,679 5.67

Weighted average fair value of
options granted during year $ 7.46

Weighted average fair value of
shares issued under Employee
Stock Purchase Plan $ 2.67




Options Warrants
--------------------------------- -------------------------------
Weighted Weighted
Average Average
Exercise Exercise
Shares Price Shares Price
2002:
Granted 148,889 $ 9.47
Exercised 876,427 2.20
Forfeited/expired 50,854 3.92
Outstanding at December 31 3,681,919 3.96 431,836 $ 2.19
Exercisable 1,567,776 3.30 431,836 2.19

Weighted average fair value of
options granted during year $ 3.59

Weighted average fair value of
shares issued under Employee
Stock Purchase Plan $ 1.47


47


Options Warrants
------------------------------ -------------------------------
Weighted Weighted
Average Average
Exercise Exercise
Shares Price Shares Price
2001:
Granted 2,515,358 $ 4.52
Exercised 2,302,843 2.18
Forfeited/expired 552,055 2.96
Outstanding at December 31 4,460,311 3.44 431,836 $ 2.13
Exercisable 1,431,940 2.06 431,836 2.13

Weighted average fair value of
options granted during year $ 2.47

Weighted average fair value of
shares issued under Employee
Stock Purchase Plan $ 0.46



The following table summarizes information about stock options and
warrants outstanding at December 31, 2003:



Options Outstanding Options Exercisable
-------------------------------------------------------------------------- ---------------------------
Weighted
Average
Remaining Weighted Weighted
Range of Contractual Average Average
Exercise Number Life Exercise Number Exercise
Prices Outstanding (in years) Price Exercisable Price

Options:

$1.62 - $2.07 1,356,225 5.08 $ 1.95 664,455 $ 1.83
$2.12 - $7.61 1,178,505 7.25 6.55 513,448 5.57
$8.86 - $10.47 1,204,404 9.07 9.83 261,776 10.11
$21.67 - $21.67 449,340 9.95 21.67 90,000 21.67


9. SEGMENT REPORTING AND FOREIGN OPERATIONS

During the years ended December 31, 2003, 2002, and 2001, the Company
had foreign sales of approximately $34,263,000, $27,062,000, and
$23,801,000 or approximately 25%, 23%, and 23%, respectively, of total
sales, primarily in Japan, Germany, France, and the United Kingdom.

The Company operates primarily in one segment in which it develops,
manufactures, and markets disposable medical products, principally for
use in the diagnosis and treatment of cardiovascular disease. Major
operations outside the United States include a manufacturing facility
in Ireland, a distribution facility in the Netherlands, and sales
subsidiaries in Europe. The following is a summary of the Company's
foreign operations by geographic area for fiscal years 2003, 2002, and
2001:
48



Transfers
Sales to Between Net
Unaffiliated Geographic Income Identifiable
Customers Areas Revenue (Loss) Assets

Fiscal year ended December 31, 2003:
United States, Canada, and
international distributors $ 115,847,199 $ 1,891,109 $ 117,738,308 $ 16,620,172 $ 88,876,413
Europe direct and European
distributors 20,106,309 9,374,000 29,480,309 351,019 18,424,101
Eliminations -- (11,265,109) (11,265,109) 324,207 --
------------- ------------- ------------- ------------- -------------

Consolidated $ 135,953,508 $ -- $ 135,953,508 $ 17,295,398 $ 107,300,514
============= ============= ============= ============= =============

Fiscal year ended December 31, 2002:
United States, Canada, and
international distributors $ 99,694,349 $ 1,787,099 $ 101,481,448 $ 11,415,816 $ 65,104,920
Europe direct and European
distributors 16,532,852 9,077,730 25,610,582 117,886 13,200,294
Eliminations -- (10,864,829) (10,864,829) (223,672) --
------------- ------------- ------------- ------------- -------------

Consolidated $ 116,227,201 $ -- $ 116,227,201 $ 11,310,030 $ 78,305,214
============= ============= ============= ============= =============

Fiscal year ended December 31, 2001:
United States, Canada, and
international distributors $ 89,208,943 $ 1,770,388 $ 90,979,331 $ 7,807,510 $ 57,151,956
Europe direct and European
distributors 14,826,863 6,101,400 20,928,263 (884,181) 9,506,859
Eliminations -- (7,871,788) (7,871,788) (187,351) --
------------- ------------- ------------- ------------- -------------

Consolidated $ 104,035,806 $ -- $ 104,035,806 $ 6,735,978 $ 66,658,815
============= ============= ============= ============= =============

Transfers between geographic areas are accounted for at amounts which
are generally above cost and consistent with the rules and regulations
of governing tax authorities. Such transfers are eliminated in the
consolidated financial statements. Net income by geographic areas
reflects foreign earnings reported by the foreign entities.
Identifiable assets are those assets that can be directly associated
with a particular foreign entity and thus do not include assets used
for general corporate purposes.

10. ROYALTY AGREEMENTS

Pursuant to a 1992 settlement agreement, the Company entered into a
license agreement with another medical product manufacturer (the
"Licensor"), whereby the Licensor granted to the Company a nonexclusive
right and license to manufacture and sell products which are subject to
the patents issued to the Licensor. The license agreement will
terminate upon the expiration or invalidation of the last related
patents. For the rights and license granted under the agreement, the
Company paid the Licensor a nonrefundable prepaid royalty in the amount
of $600,000. In addition to the prepaid royalty, the Company agreed to
pay the Licensor a continuing royalty of 5.75% of sales (which will not
exceed $450,000 for any calendar year) made in the United States, of
products covered by the license agreement. Royalties of $450,000 were
paid or accrued in each of the years ended December 31, 2003, 2002, and
2001.
49

During 2002, the Company entered into a license agreement with another
medical product manufacturer (the "Licensor"), whereby the Licensor
granted to the Company an exclusive worldwide license to manufacture
and sell products which are subject to the patents issued to the
Licensor. For the rights and license granted under the agreement, the
Company agreed to pay the Licensor a royalty of 5% of net sales, which
will not exceed $62,500 for calendar year 2003 and $75,000 per year for
calendar year 2004 through 2006.

11. EMPLOYEE BENEFIT PLAN

The Company has a contributory 401(k) savings and profit sharing plan
(the "Plan") covering all full-time employees who are at least 18 years
of age. The Plan has no minimum service requirement. The Company may
contribute at its discretion matching contributions based on the
employees' compensation. Contributions made by the Company to the Plan
for the years ended December 31, 2003, 2002, and 2001 totaled
approximately $629,000, $499,000, and $361,000, respectively.

12. QUARTERLY RESULTS OF OPERATIONS (UNAUDITED)

Quarterly data for the years ended December 31, 2003, 2002, and 2001 is
as follows:



Quarter Ended
-----------------------------------------------------------------------
2003 March 31 June 30 September 30 December 31


Net sales $ 31,741,573 $ 34,577,305 $ 34,506,889 $ 35,127,741
Gross profit 13,271,189 15,180,921 15,977,441 16,294,241
Income from operations 4,965,240 6,351,453 7,084,321 7,228,398
Income tax expense 2,081,644 2,404,031 2,557,307 2,685,001
Net income 3,752,197 4,205,546 4,651,887 4,685,768
Basic earnings per common share 0.15 0.17 0.18 0.18
Diluted earnings per common share 0.14 0.16 0.17 0.17


2002

Net sales $ 28,672,168 $ 28,789,370 $ 29,341,129 $ 29,424,534
Gross profit 11,151,780 12,033,078 12,556,666 12,773,949
Income from operations 3,483,243 4,104,019 4,624,051 4,564,175
Income tax expense 1,095,974 1,376,107 1,509,412 1,470,756
Net income 2,326,907 2,701,814 3,125,403 3,155,906
Basic earnings per common share 0.10 0.11 0.13 0.13
Diluted earnings per common share 0.09 0.10 0.12 0.12


2001

Net sales $ 26,788,373 $ 26,264,015 $ 25,694,128 $ 25,289,290
Gross profit 9,219,374 9,426,157 9,725,611 9,726,620
Income from operations 2,083,229 2,177,236 2,730,338 2,948,823
Income tax expense 460,737 785,935 854,528 951,217
Net income 1,186,425 1,858,793 1,744,996 1,945,764
Basic earnings per common share 0.06 0.08 0.08 0.08
Diluted earnings per common share 0.06 0.08 0.07 0.07


* * * * * *

50

SUPPLEMENTARY FINANCIAL DATA

The supplementary financial information required by Item 302 of
Regulation S-K is contained in Note 12 to the Consolidated Financial
Statements of the Company set forth above.

Item 9. Changes and Disagreements with Accountants on Accounting and Financial
Disclosure
----------------------------------------------------------------------
None

Item 9A. Controls and Procedures
-----------------------
(a) Under the supervision and with the participation of our management,
including our principal executive officer and principal financial officer, we
conducted an evaluation of our disclosure controls and procedures, as such term
is defined under Rule 13a-14(c) promulgated under the Securities Exchange Act of
1934, as amended (the "Exchange Act"), within 90 days of the filing date of this
report. Based on this evaluation, our principal executive officer and principal
financial officer concluded that our disclosure controls and procedures are
effective in alerting them on a timely basis to material information relating to
our Company (including its consolidated subsidiaries) required to be included in
our reports filed or submitted under the Exchange Act


There have been no significant changes (including corrective actions with regard
to significant deficiencies or material weaknesses) in our internal controls or
in other factors that could significantly affect these controls subsequent to
the date of the evaluation referenced in paragraph (a) above.

PART III

Items 10, 11, 12, 13 and 14

These items are incorporated by reference to the Company's definitive
Proxy Statement relating to the Annual Meeting of Shareholders scheduled for May
25, 2004. The definitive Proxy Statement will be filed with the Commission not
later than 120 days after December 31, 2003, pursuant to Regulation 14A of the
Securities Exchange Act of 1934, as amended.

PART IV

Item 15. Exhibits, Financial Statement Schedules and Reports on Form 8-K.
---------------------------------------------------------------
(a) Documents filed as part of this report:

(1) Financial Statements. The following consolidated financial
statements and the notes thereto, and the Independent
Auditors' Report are incorporated by reference as provided
in Item 8 of this report:

-- Independent Auditors' Report

-- Consolidated Balance Sheets as of December 31, 2003 and
2002

-- Consolidated Statements of Operations for the Years
Ended December 31, 2003, 2002 and 2000

-- Consolidated Statements of Stockholders' Equity for the
Years Ended December 31, 2003, 2002 and 2001

51


-- Consolidated Statements of Cash Flows for the Years
Ended December 31, 2003, 2002 and 2001

-- Notes to Consolidated Financial Statements


(2) Financial Statement Schedule

-- Schedule II - Valuation and qualifying accounts



VALUATION AND QUALIFYING ACCOUNTS
YEARS ENDED DECEMBER 31, 2003, 2002, AND 2001

Additions
Balance at Charged to Balance at
Beginning Costs End of
Description of Year Expenses Deductions Year

ALLOWANCE FOR UNCOLLECTIBLE
ACCOUNTS:

2001 $ (440,275) $ (50,892) $ 82,316 $ (408,851)

2002 (408,851) (81,026) 13,583 (476,294)

2003 (476,294) (322,454) 49,745 (749,003)


RESERVE FOR INVENTORY
OBSOLESCENCE:

2001 $(1,986,315) $(3,119,864) $ 1,710,818 $(3,395,361)

2002 (3,395,361) (1,830,633) 2,457,572 (2,768,422)

2003 (2,768,422) (931,430) 1,322,641 (2,377,211)




All other schedules have been omitted because they are not required, not
applicable, or the information is otherwise set forth in the financial
statements or notes thereto.

(b) Reports on Form 8-K:


Form 8-K Date of Event Description
-------- ------------- -----------

Item 12 & 7 10-24-03 Company's financial and operating results
for the quarter ended September 30, 2003


52


(c) Exhibits:

The following exhibits required by Item 601 of Regulation S-K
are filed herewith or have been filed previously with the SEC
as indicated below:



Description Exhibit No.
------------------------------

3.1 Articles of Incorporation of the Company, as amended and [Form 10-Q filed August 14,
restated* 1996, Exhibit No. 1]

3.2 Bylaws of the Company* [Form S-18 filed October 19,
1989, Exhibit No. 2]

4 Specimen Certificate of the Company's Common Stock, no par value* [Form S-18 filed October 19,
1989, Exhibit No. 10]

10.1 Merit Medical Systems, Inc. Long Term Incentive Plan (as amended [Form 10-Q filed August 14,
and restated) dated March 25, 1996* 1996, Exhibit No. 2]

10.2 Merit Medical Systems, Inc. 401(k) Profit Sharing Plan (as [Form S-1 filed February 14,
amended effective January 1, 1991* 1992, Exhibit No. 8]

10.3 License Agreement, dated April 8, 1992 between the Company and [Form S-1 filed February 14,
Utah Medical Products, Inc.* 1992, Exhibit No. 5]

10.4 Lease Agreement dated as of June 8, 1993 for office and [Form 10-K for year ended
manufacturing facility* December 31, 1994, Exhibit
No. 10.5]

10.5 Amended and Restated Loan Agreement with Zion's First National [Form 10-K for year ended
Bank dated August 11, 1999 December 31, 1995, Exhibit
No. 10.5

10.6 Amendment to Loan Agreement with Zion's First National Bank Form 10-K for year ended
3/11/2002* December 31, 2000, Exhibit
No. 10.6]

10.7 Fifth Amendment to Loan Agreement with Zion's First National [Form 10-K for year ended
Bank Date November 15, 2002* December 31, 2003, Exhibit
No. 10.7]

10.8 Employment agreement between the Company and Fred P. [Form 10-K for year ended
Lampropoulos* December 31, 2003, Exhibit
No. 10.8]

10.9 Employment agreement between the Company and Kent W. Stanger* [Form 10-K for year ended
December 31, 2003, Exhibit
No. 10.9]

10.10 Employment agreement between the Company and B. Leigh Weintraub* [Form 10-K for year ended
December 31, 2003, Exhibit
No. 10.10]

10.11 Employment agreement between the Company and Brian Ferrand* [Form 10-K for year ended
December 31, 2003, Exhibit
No. 10.11]

53


10.12 Amended and Restated Deferred Compensation plan Filed herewith

21 Subsidiaries Of Merit Medical Systems, Inc Filed herewith

23.1 Consent of Independent Auditors Filed herewith

31.1 Certification of Chief Executive Officer Filed herewith

31.2 Certification of Chief Financial Officer Filed herewith

32.1 Certification of Chief Executive Officer Filed herewith

32.2 Certification of Chief Financial Officer Filed herewith


* These exhibits are incorporated herein by reference.








54



SIGNATURES


Pursuant to the requirements of Section 13 or 15(d) of the
Securities Exchange Act of 1934, the Registrant has duly caused this report to
be signed on its behalf by the undersigned, thereunto duly authorized, on March
10, 2004.

MERIT MEDICAL SYSTEMS, INC.

By: /s/: FRED P. LAMPROPOULOS
----------------------------
Fred P. Lampropoulos, President and
Chief Executive Officer


ADDITIONAL SIGNATURE AND POWER OF ATTORNEY

Pursuant to the requirements of the Securities Exchange Act of
1934, this report has been signed below by the following persons on behalf of
the Registrant and in the capacities indicated on March 10, 2004. In addition,
each person whose signature to this report appears below hereby constitutes and
appoints Fred P. Lampropoulos and Kent W. Stanger, and each of them, as his true
and lawful attorney-in-fact and agent, with full power of substitution, to sign
on his behalf individually and in the capacity stated below and to perform any
acts necessary to be done in order to file all amendments and post-effective
amendments to this report, and any and all instruments or documents filed as
part of or in connection with this report or the amendments thereto and each of
the undersigned does hereby ratify and confirm all that said attorney-in-fact
and agent, or his substitutes, shall do or cause to be done by virtue hereof.



Signature Capacity in Which Signed
--------- ------------------------



/s/: FRED P. LAMPROPOULOS President, Chief Executive Officer and Director
- ----------------------------------------------
Fred P. Lampropoulos


/s/: KENT W. STANGER Chief Financial Officer, Secretary, Treasurer and
- ---------------------------------------------- Director (Principal financial and accounting officer)
Kent W. Stanger


/s/: RICHARD W. EDELMAN Director
- ----------------------------------------------
Richard W. Edelman


/s/: REX C. BEAN Director
- ----------------------------------------------
Rex C. Bean


/s/: JAMES J. ELLIS Director
- ----------------------------------------------
James J. Ellis


/s/: MICHAEL E. STILLABOWER Director
- ----------------------------------------------
Michael E. Stillabower



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