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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 


 

Form 10-Q

 

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

 

for the quarterly period ended June 30, 2002

 

or

 

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

 

Commission file number 000-30406

 

HealthTronics Surgical Services, Inc.

(Exact name of registrant as specified in its charter)

 

 

 

Georgia

 

58-2210668

(State or other jurisdiction of
incorporation or organization)

 

(I.R.S. Employer
Identification No.)

 

 

 

 

1841 West Oak Parkway, Suite A
Marietta, Georgia

 

30062

 

(Address of principal executive offices)

 

(Zip Code)

 

 

 

(770) 419-0691

(Registrant’s telephone number, including area code)

 


 

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

 

Yes ý      No o

 

Indicate the number of shares outstanding of each of the issuer’s classes of common stock.

 

11,205,904 Shares of No Par Value Common Stock as of July 31, 2002

 

 



 

HEALTHTRONICS SURGICAL SERVICES, INC.

 

INDEX TO FORM 10-Q

 

PART I.

FINANCIAL INFORMATION

 

 

Item 1.

Financial Statements

 

 

Condensed Consolidated Balance Sheets as of June 30, 2002 and December 31, 2001

 

 

 

 

 

Condensed Consolidated Statements of Income for the three-month and the six-month periods ended June 30, 2002 and 2001

 

 

 

 

 

Condensed Consolidated Statements of Cash Flows for the six months ended June 30, 2002 and 2001

 

 

 

 

 

Notes to Condensed Consolidated Financial Statements

 

 

Item 2.

Management’s Discussion and Analysis of Financial Condition and Results of Operations

 

 

Item 3.

Quantitative and Qualitative Disclosure of Market Risk

 

 

PART II.

OTHER INFORMATION

 

 

Item 4.

Submission of Matters to a Vote of Security Holders

 

 

Item 6.

Exhibits and Reports on Form 8-K

 

 

 

Signatures

 

2



 

Part 1.               Financial Information

 

Item 1.              Financial Statements

 

HealthTronics Surgical Services, Inc. and Subsidiaries

 

Condensed Consolidated Balance Sheets

 

 

 

June 30,
2002

 

December 31,
2001

 

 

 

(Unaudited)

 

 

 

Assets

 

 

 

 

 

Current assets:

 

 

 

 

 

Cash and cash equivalents

 

$

10,402,936

 

$

9,522,501

 

Trade accounts receivable, less allowance for doubtful accounts of $895,547 and $1,094,819 at June 30, 2002 and December 31, 2001, respectively

 

15,790,490

 

14,049,606

 

Other receivables

 

1,814,974

 

3,203,349

 

Inventory

 

6,919,681

 

4,720,013

 

Prepaid expenses and other current assets

 

682,175

 

618,523

 

Assets held for sale

 

7,129,602

 

7,265,284

 

Total current assets

 

42,739,858

 

39,379,276

 

 

 

 

 

 

 

Property and equipment, at cost:

 

 

 

 

 

Land

 

349,300

 

349,300

 

Building and leasehold improvements

 

881,832

 

738,519

 

Medical devices placed in service

 

20,223,881

 

18,544,489

 

Office equipment, furniture and fixtures

 

1,236,730

 

897,999

 

Vehicles and accessories

 

2,712,653

 

2,913,437

 

 

 

25,404,396

 

23,443,744

 

Less accumulated depreciation

 

(7,525,098

)

(5,279,276

)

Net property and equipment

 

17,879,298

 

18,164,468

 

 

 

 

 

 

 

Partnership investments

 

222,030

 

433,482

 

Goodwill (net of accumulated amortization of $860,156 at June 30, 2002 and December 31, 2001)

 

41,517,947

 

41,269,111

 

Patent license (net of accumulated amortization of $69,984 and $64,986 at June 30, 2002 and December 31, 2001, respectively)

 

30,016

 

35,014

 

Other assets

 

2,643,306

 

2,287,440

 

Total assets

 

$

105,032,455

 

$

101,568,791

 

 

3



 

 

 

June 30,
2002

 

December 31,
2001

 

 

 

(Unaudited)

 

 

 

Liabilities and shareholders’ equity

 

 

 

 

 

Current liabilities:

 

 

 

 

 

Trade accounts payable

 

$

3,560,725

 

$

3,170,960

 

Customer deposits

 

66,879

 

121,600

 

Income taxes payable

 

2,033,979

 

512,379

 

Other accrued expenses

 

4,437,155

 

3,781,701

 

Deferred profit on service contracts and sales of partnership interests

 

685,904

 

1,065,127

 

Short-term borrowings

 

9,000,000

 

11,400,000

 

Current portion of capital lease obligations

 

623,560

 

481,269

 

Current portion of long-term debt

 

3,680,616

 

3,704,665

 

Liabilities held for sale

 

4,927,881

 

4,922,984

 

Total current liabilities

 

29,016,699

 

29,160,685

 

 

 

 

 

 

 

Deferred profit on medical device sales to related parties subject to debt guarantees

 

461,447

 

411,267

 

Capital lease obligations, less current portion

 

2,000,499

 

1,104,853

 

Long-term debt, less current portion

 

33,051,460

 

34,511,585

 

Minority interest

 

12,636,272

 

12,125,670

 

Other liabilities

 

2,222,493

 

2,379,030

 

Total liabilities

 

79,388,870

 

79,693,090

 

 

 

 

 

 

 

Shareholders’ equity:

 

 

 

 

 

Common stock – no par value, voting:

 

 

 

 

 

Authorized – 30,000,000 shares at June 30, 2002 and December 31, 2001;

 

 

 

 

 

Issued – 11,185,070 and 11,103,737 shares at June 30, 2002 and December 31, 2001, respectively;

 

 

 

 

 

Outstanding – 11,132,070 and 11,050,737 at June 30, 2002 and December 31, 2001, respectively

 

15,060,734

 

14,303,581

 

Accumulated other comprehensive expense

 

(140,349

)

 

Retained earnings

 

10,723,200

 

7,572,120

 

Total shareholders’ equity

 

25,643,585

 

21,875,701

 

Total liabilities and shareholders’ equity

 

$

105,032,455

 

$

101,568,791

 

 

See accompanying notes.

 

4



 

HealthTronics Surgical Services, Inc. and Subsidiaries

 

Condensed Consolidated Statements of Income

(Unaudited)

 

 

 

Three months ended June 30,

 

Six months ended June 30,

 

 

 

2002

 

2001

 

2002

 

2001

 

 

 

 

 

 

 

 

 

 

 

Net revenue

 

$

22,776,975

 

$

9,056,729

 

$

43,826,675

 

$

19,214,727

 

 

 

 

 

 

 

 

 

 

 

Cost of devices, service parts and consumables

 

3,975,665

 

2,541,652

 

7,016,882

 

5,356,435

 

Salaries, general and administrative expenses

 

9,317,750

 

2,838,361

 

18,286,037

 

6,816,788

 

Depreciation and amortization

 

1,507,324

 

1,007,994

 

3,118,565

 

1,945,675

 

 

 

7,976,236

 

2,668,722

 

15,405,191

 

5,095,829

 

Equity in earnings of unconsolidated partnerships

 

60,415

 

29,625

 

115,365

 

77,338

 

Partnership distributions from cost based investments

 

200,692

 

78,642

 

282,157

 

192,923

 

Gain on sale of investment interest

 

452,075

 

909,154

 

440,475

 

1,918,767

 

Gain on sale of property and equipment

 

107,504

 

 

276,231

 

 

Interest expense

 

(1,010,044

)

(64,849

)

(1,683,269

)

(165,773

)

Interest income

 

54,398

 

32,509

 

99,586

 

107,379

 

Income before minority interest and income taxes

 

7,841,276

 

3,653,803

 

14,935,736

 

7,226,463

 

Minority interest

 

(5,153,484

)

(2,516,464

)

(9,685,528

)

(4,490,680

)

Income before income taxes

 

2,687,792

 

1,137,339

 

5,250,208

 

2,735,783

 

Provision for income taxes

 

(1,074,628

)

(466,308

)

(2,099,128

)

(1,121,670

)

Net income

 

$

1,613,164

 

$

671,031

 

$

3,151,080

 

$

1,614,113

 

Income per common share:

 

 

 

 

 

 

 

 

 

Basic

 

$

0.15

 

$

0.06

 

$

0.28

 

$

0.15

 

Diluted

 

$

0.14

 

$

0.06

 

$

0.27

 

$

0.14

 

Weighted average common shares outstanding:

 

 

 

 

 

 

 

 

 

Basic

 

11,095,588

 

10,985,778

 

11,074,990

 

10,979,404

 

Diluted

 

11,805,852

 

11,469,579

 

11,624,245

 

11,351,827

 

 

See accompanying notes.

 

5



 

HealthTronics Surgical Services, Inc. and Subsidiaries

 

Condensed Consolidated Statements of Cash Flows

(Unaudited)

 

 

 

Six months ended June 30,

 

 

 

2002

 

2001

 

 

 

 

 

 

 

Operating activities

 

 

 

 

 

Net income

 

$

3,151,080

 

$

1,614,113

 

Adjustments to reconcile net income to cash provided by operating activities:

 

 

 

 

 

Net change in fair value of interest rate swap

 

(140,349

)

 

Depreciation and amortization

 

3,118,565

 

1,945,675

 

Amortization of loan costs

 

140,006

 

 

Provision for doubtful accounts

 

(199,272

)

(14,398

)

Deferred profit on medical device sales to related parties

 

50,180

 

784,326

 

Deferred profit on service contracts

 

(379,223

)

(25,417

)

Equity in earnings of unconsolidated partnerships, net of dividends

 

(98,529

)

(10,522

)

Minority interest in subsidiaries, net of distributions to minority interests

 

510,602

 

2,570,353

 

Gain on sale of property and equipment

 

(276,231

)

 

Changes in operating assets and liabilities, net of businesses acquired:

 

 

 

 

 

Trade accounts receivable

 

(1,541,612

)

(3,326,151

)

Other receivables

 

1,388,375

 

16,509

 

Inventory

 

(2,199,668

)

(590,760

)

Prepaid expenses and other assets

 

(419,518

)

139,354

 

Assets held for sale

 

135,682

 

 

Trade accounts payable

 

389,765

 

2,149,038

 

Income tax receivable

 

 

894,763

 

Customer deposits

 

(54,721

)

(463,198

)

Income taxes payable

 

1,521,600

 

216,145

 

Accrued expenses and other liabilities

 

498,917

 

(223,431

)

Liabilities held for sale

 

4,897

 

 

Net cash provided by operating activities

 

5,600,546

 

5,676,399

 

 

Investing activities

 

 

 

 

 

Purchases of property and equipment, net of businesses acquired

 

$

(3,453,516

)

$

(6,200,317

)

Proceeds from sale of property and equipment

 

901,352

 

 

Acquisition of partnership interest, net of distributions

 

309,981

 

114,645

 

Acquisition of businesses, net of cash acquired

 

(248,836

)

(416,744

)

Net cash used in investing activities

 

(2,491,019

)

(6,502,416

)

 

 

 

 

 

 

Financing activities

 

 

 

 

 

Proceeds from issuance of common stock

 

757,153

 

86,000

 

Proceeds from issuance of long-term debt

 

1,746,837

 

864,280

 

Principal payments on long-term debt and capital leases

 

(2,333,082

)

(862,857

)

Proceeds from issuance of short-term borrowings

 

2,000,000

 

8,422,343

 

Principal payments on short-term borrowings

 

(4,400,000

)

(9,018,457

)

Net cash used in financing activities

 

(2,229,092

)

(508,691

)

 

 

 

 

 

 

Net increase (decrease) in cash and cash equivalents

 

880,435

 

(1,334,708

)

Cash and cash equivalents at beginning of period

 

9,522,501

 

5,822,626

 

Cash and cash equivalents at end of period

 

$

10,402,936

 

$

4,487,918

 

 

See accompanying notes.

6



 

HealthTronics Surgical Services, Inc and Subsidiaries

Notes To Condensed Consolidated Financial Statements

(Unaudited)

 

1.                                       Basis of Presentation

 

The accompanying condensed consolidated financial statements include the accounts of HealthTronics Surgical Services, Inc. (“HealthTronics” or the “Company”) and its subsidiaries.  All significant intercompany transactions have been eliminated.

 

In the opinion of HealthTronics management, the accompanying consolidated financial statements include all the necessary adjustments (consisting of normal recurring adjustments) for a fair presentation of its consolidated financial position and results of operations for the interim periods presented.  The information presented in these financial statements was prepared in conformity with generally accepted accounting principles for interim financial information and instructions for Form 10-Q and Rule 10-01 of Regulation S-X.  Although management believes that the disclosures in these financial statements are adequate to make the information presented not misleading, certain information and disclosures normally included in financial statements prepared in accordance with generally accepted accounting principles have been condensed or omitted.  These financial statements should be read in conjunction with the Company’s Annual Report on Form 10-KSB for the year ended December 31, 2001 filed with the Securities and Exchange Commission.

 

Preparation of these interim consolidated financial statements in accordance with generally accepted accounting principles requires management to make certain estimates and assumptions that affect the amounts reported in the financial statements and accompanying notes.  The interim results may not be indicative of the results that may be expected for the year.

 

Certain prior year balances have been reclassified to conform to the 2002 presentation.

 

2.                                       Description of Business

 

HealthTronics was incorporated in the state of Georgia in 1995.  The Company was founded for the purpose of providing state-of-the-art non-invasive treatment services for certain urologic and orthopaedic conditions.  Physician partners are commonly involved in the entities providing these services.

 

It is the Company’s strategy to generate revenues from four sources: 1) fees for urologic and orthopaedic services provided to doctors, medical facilities and patients; 2) sales of medical devices including related accessories; 3) revenues from sales of consumable products and maintenance of equipment; and 4) management fees from partnerships and joint ventures.

 

7



 

The Company has been providing kidney lithotripsy services with the LithoTron® lithotripter since 1997.  The primary customers for the Company’s lithotripsy services are hospitals and surgery centers. To these facilities, the Company provides turnkey service, which includes use of the equipment, clinical technician and consumables.  The Company also operates some facilities that bill third-party payors directly for their services.

 

In 2001, the Company began providing orthopaedic treatments with the OssaTron®, the first FDA-approved orthopaedic shock wave device.  The OssaTron is currently being used for the treatment of heel spurs (plantar fasciitis).  In most cases, the Company contracts for access to medical facilities to provide its orthopaedic treatment services, and the Company directly bills the patient and third-party payors.  The American Medical Association CPT Editorial Panel approved a CPT Category III Code for extracorporeal shock wave treatment of plantar fasciitis in September 2001.

 

In addition to providing the above services, the Company sells urologic and orthopaedic medical devices and related post-sale maintenance and consumables to independent third parties.

 

The Company operates under the terms of distribution agreements with HMT that grant the Company the exclusive right to distribute the LithoTron and OssaTron and related parts in the United States, Canada and Mexico.  In 1996, HMT, the third-party manufacturer from which the Company sources its equipment, granted to the Company the right to purchase the manufacturing rights to the OssaTron medical device.

 

In order to appropriately reflect the nature of the Company’s operations and its relationship to its subsidiaries, the accompanying consolidated statements of income include the Company’s appropriate majority or minority equity ownership interest in the net revenues and expenses of each of its subsidiaries.

 

3.             Business Acquisition

 

On December 11, 2001, the Company purchased all of the issued and outstanding capital stock of Litho Group, Inc. (“LGI”) for $42,500,000 in cash, pursuant to a Stock Purchase Agreement with Integrated Health Services, Inc.  The results of LGI’s operations have been included in the consolidated financial statements since that date.   The Company also assumed certain assets and certain liabilities of LGI, which includes debt that is secured by equipment in operating partnerships and funded from the operating cash flows generated by the partnerships.  The purchase was a result of the Company’s bid which was approved by the United States Bankruptcy Court.

 

The purchase price was determined and negotiated by the parties based on the  expected annual cash flow to be generated by LGI.  The Company financed the  acquisition through a $50,000,000 senior credit facility.  The Company may sell some of its interest in the operating partnerships of LGI to physician limited partners.  The proceeds of the sale of this ownership interest will be used to reduce debt used in financing the acquisition.

 

The total estimated purchase price of the acquisition has been allocated on a preliminary basis to assets and liabilities based on management's estimate of their fair values.  These allocations are subject to change pending the completion of the final analysis of the total purchase price and fair values of the assets acquired and liabilities assumed.  The impact of any of these changes could be material.

 

8



 

4.             Inventory

 

Inventory is carried at the lower of cost (first-in, first-out) or market and consists of the following:

 

 

 

June 30,
2002

 

December 31, 2001

 

 

 

 

 

 

 

Medical devices / other equipment

 

$

5,569,507

 

$

3,618,346

 

Spare parts

 

584,207

 

622,741

 

Consumables

 

765,967

 

478,926

 

 

 

$

6,919,681

 

$

4,720,013

 

 

5.             Gain on Sale of Investment Interest

 

The Company sold a portion of the partnership interests of certain limited liability partnerships and recognized gains of $909,154 and $1,918,767 for the three and six months ended June 30, 2001, respectively and $452,075 and $440,475 for the three and six months ended June 30, 2002, respectively.  The gains represent the excess of the sales price over the Company’s investment basis in the partnership interest.

 

6.                                       Interest Rate Swaps

 

In order to protect the Company from interest rate volatility, effective February 12, 2002, the Company entered into two two-year interest rate swap agreements (“the swaps”), with a total notional amount of $20,000,000. The swaps effectively convert a portion of the Company’s floating-rate debt to a fixed-rate basis for the next two years, thus reducing the impact of interest-rate changes on future interest expense.  This fixed-rate is 3.2525% plus the applicable percentage (currently 2.75%), based on the previous quarter leverage ratio, within the credit facility agreement. The swaps qualify as cash flow hedges under Statement of Financial Accounting Standards No. 133, Accounting for Derivative Instruments and Hedging Activities, and expire on February 12, 2004.  The Company believes that its hedge is effective with changes in fair value to be reported in other comprehensive income. As of June 30, 2002 the market value of the derivatives was a liability of $140,349 which is included on the accompanying balance sheet, and the related comprehensive expense of $140,349 has been recorded for the six months ended June 30, 2002.

 

The counterparties to the interest rate swap agreements are major commercial banks.  The Company is exposed to counterparty credit risk for nonperformance and, in the event of nonperformance, to market risk for changes in interest rates. The Company does not anticipate nonperformance of the counterparties.

 

9



 

7.                                       Goodwill and Other Intangible Assets

 

The Company fully adopted Statement of Financial Accounting Standards No. 142, Goodwill and Other Intangible Assets, (“SFAS 142”) effective January 1, 2002 (the Company had implemented the transition provisions of SFAS 142 relating to its acquisition of LGI effective December 11, 2001).   Under the provisions of SFAS 142, goodwill and intangible assets with indefinite lives are no longer amortized.  Following is a summary of the impact on the Company’s earnings relating to the adoption of SFAS 142:

 

 

 

Three months ended June 30,

 

Six months ended June 30,

 

 

 

2002

 

2001

 

2002

 

2001

 

 

 

 

 

 

 

 

 

 

 

Reported net income

 

$

1,613,164

 

$

671,031

 

$

3,151,080

 

$

1,614,113

 

Add back: goodwill amortization

 

 

66,822

 

 

133,644

 

Adjusted net income

 

$

1,613,164

 

$

737,853

 

$

3,151,080

 

$

1,747,757

 

 

 

 

 

 

 

 

 

 

 

Basic income per share:

 

 

 

 

 

 

 

 

 

Reported net income

 

$

0.15

 

$

0.06

 

$

0.28

 

$

0.15

 

Goodwill amortization

 

 

0.01

 

 

0.01

 

Adjusted net income

 

$

0.15

 

$

0.07

 

$

0.28

 

$

0.16

 

 

 

 

 

 

 

 

 

 

 

Diluted earnings per share:

 

 

 

 

 

 

 

 

 

Reported net income

 

$

0.14

 

$

0.06

 

$

0.27

 

$

0.14

 

Goodwill amortization

 

 

0.00

 

 

0.01

 

Adjusted net income

 

$

0.14

 

$

0.06

 

$

0.27

 

$

0.15

 

 

8.                                       Comprehensive Income

 

The components of comprehensive income are as follows for the three months and six months ended June 30, 2002:

 

 

 

Three months ended
June 30, 2002

 

Six months ended
June 30, 2002

 

 

 

 

 

 

 

Net income

 

$

1,613,164

 

$

3,151,080

 

 

 

 

 

 

 

Net change in fair value of interest rate swap

 

(299,993

)

(140,349

)

 

 

 

 

 

 

Comprehensive income

 

$

1,313,171

 

$

3,010,731

 

 

10



 

9.             Earnings Per Share Information

 

The following table sets forth the computation of earnings per share:

 

 

 

Three Months Ended June 30,

 

Six Months Ended June 30,

 

 

 

2002

 

2001

 

2002

 

2001

 

Numerator: Net income

 

$

1,613,164

 

$

671,031

 

$

3,151,080

 

$

1,614,113

 

Weighted average shares outstanding

 

11,095,588

 

10,985,778

 

11,074,990

 

10,979,404

 

Effect of dilutive securities:

 

 

 

 

 

 

 

 

 

Stock options

 

710,263

 

483,801

 

549,255

 

372,423

 

Denominator for diluted earnings per share

 

11,805,852

 

11,469,579

 

11,624,245

 

11,351,827

 

Basic earnings per share

 

$

0.15

 

$

0.06

 

$

0.28

 

$

0.15

 

Diluted earnings per share

 

$

0.14

 

$

0.06

 

$

0.27

 

$

0.14

 

 

10.           Subsequent Events

 

In July 2002, Litho Management, Inc., a wholly owned subsidiary of the Company, sold its general and limited partnership interests in US Lithotripsy, L.P., a consolidated entity, to US Medical Development, Inc., a Nevada corporation for $6.8 million.  We anticipate this sale will generate a one-time gain on sale of assets of approximately $3 million pre-tax that will be booked in the third quarter of 2002.

 

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

 

The following discussion and analysis of financial condition and results of consolidated operations should be read in conjunction with the unaudited condensed consolidated financial statements included elsewhere in this Form 10-Q.

 

Overview

 

We provide equipment as well as technical and administrative services to physicians, hospitals, and surgery centers performing lithotripsy and Orthotripsy® extracorporeal shock wave treatment.  We were formed in December 1995 and began offering lithotripsy services in 1996.  In October 2000, we received FDA approval to market the OssaTron orthopaedic extracorporeal shock wave treatment (“ESWT”) device, and since then we have invested significant resources in developing our orthopaedic services network while expanding our lithotripsy operations.

 

Our services are provided principally through limited partnerships or other entities we manage that use lithotripsy or Orthotripsy ESWT devices.  Many of these partnerships were formed by us, and we have retained an equity interest averaging 35% to 45% while selling the remaining interests to physicians.  We generally retain the sole general partnership interest in the partnerships and manage their daily operations.  We also provide equipment maintenance services to the partnerships and supply them with various consumables used in lithotripsy and Orthotripsy extracorporeal shock wave treatment procedures.  To date we have expanded our

 

11



 

operations by forming partnerships in new geographic markets and by acquiring interests in partnerships from third parties, and we expect to continue to do this in the future.

 

As a result of the control we exert over the partnerships by virtue of our sole general partnership interest, management contract and otherwise, for financial reporting purposes we consolidate the results of operations of the partnerships with our own even though we own less than all (and in many cases less than 50%) of their outstanding equity interests.  We reflect the equity of third-party partners in the partnerships’ results of operations in our consolidated statements of income and on our consolidated balance sheet as minority interest.

 

In certain instances, we do not control partnerships or other entities in which we have ownership interests.  We account for our interests in these entities either on the equity or cost basis, depending on the degree of influence we exert over the entity.

 

We recognize revenue in our consolidated statements of income from the following three principal sources:

 

                  Fees for clinical services provided by the partnerships.  A substantial majority of our consolidated revenues are derived from fees relating to treatments performed by physicians using our equipment and to related services.  We bill for these fees under two different models.  Under the “wholesale” billing model, we charge a fee to the hospital or surgery center at which the treatment is performed.  Our fee might be a set fee per procedure, a set fee per month based on a specified number of days of service per month at the facility, or set as a percentage of revenue derived.  Under the “retail” billing model, we charge the patient’s insurer, HMO or other responsible party, and we pay a fee to the health care facility for access to its premises.  Under either model, the professional fee payable to the physician performing the procedure is typically billed and collected by the physician.  The billing and collection cycle for wholesale fees is typically significantly shorter than for retail fees, although the gross margin for retail billing is moderately higher than for wholesale billing.  During 2001 on a pro forma basis assuming all of our acquisitions had been completed by January 1, 2001, approximately 30% of our lithotripsy services revenues, and substantially all of our orthopaedic services, were billed on a retail basis.

 

                  Technical services, equipment maintenance and sale of consumables to unaffiliated third parties.  We charge fees for equipment maintenance, technical support and related services to unaffiliated third parties who own or operate lithotripsy devices.  We also sell a variety of consumables used in lithotripsy and orthopaedic extracorporeal shock wave treatment procedures to unaffiliated third parties.

 

                  Equipment sales to third parties.  To a limited extent, we generate revenue from the sale of lithotripsy and Orthotripsy ESWT devices to third parties.

 

Historically, our revenue was derived primarily from equipment maintenance fees and the sale of lithotripsy devices and related consumables.  We have implemented a strategy of structuring our operations to focus on revenues from treatment fees, which generate significantly

 

12



 

greater operating margins.  Our revenues from treatment fees as a percentage of total revenues increased from approximately 66% in fiscal year 2000 to 76% in fiscal year 2001, and from 73% for the six-month period ended June 30, 2001 to 87% for the same period in 2002.

 

As the percentage of our revenue attributable to treatment fees increases, we have become more dependent, both directly in the case of “retail” billing and indirectly in the case of “wholesale” billing, on the reimbursement policies of governmental and private third-party payors.  While the reimbursement status of lithotripsy is well established, orthopaedic extracorporeal shock wave treatment is a relatively new procedure in the U.S., and the reimbursement policies of third-party payors for this treatment are still developing.  Our results of operations could be significantly affected by changes in reimbursement policies regarding lithotripsy or by decisions made regarding the reimbursement status of Orthotripsy extracorporeal shock wave treatment.

 

We completed several acquisitions in 2001 that significantly expanded our operations.  In May 2001 we acquired Heritage Medical Services of Texas, Inc. and HSC of Gulf Coast, Inc. for $565,000 in cash.  These entities provided lithotripsy operations similar to our own and recorded net revenues in 2000 of $4.1 million.  In December 2001 we acquired Litho Group, Inc. for $42.5 million in cash.  We financed this purchase with borrowings under a credit facility established at the time of the acquisition.  Litho Group, Inc., which also provided lithotripsy services similar to our own, had net revenues in 2000 of $57.6 million and net revenues in 2001 (through the date of acquisition) of $50.4 million.  Each of these acquisitions was accounted for as a purchase, and consequently the results of operations of the acquired companies are included in our own since the date of their respective acquisitions.

 

In October 2000 we received FDA approval to market our Orthotripsy extracorporeal shock wave treatment device for the treatment of plantar fasciitis.  Since then we have been engaged in an active program of forming orthopaedic services partnerships, selling interests in these partnerships to physicians, and other activities designed to promote this new orthopaedic treatment modality.  We have completed a clinical trial for the treatment of lateral epicondylitis, or tennis elbow, using Orthotripsy extracorporeal shock wave treatment and have applied to the FDA for approval for this indication.  In addition, we are establishing test sites for clinical trials of Orthotripsy extracorporeal shock wave treatment for additional indications.  We expect most of our near-term growth to come from orthopaedics.

 

Results of Consolidated Operations

 

General

 

HealthTronics Surgical Services continues to shift its focus from being a seller of equipment, equipment maintenance and consumables to being a provider of clinical services.  During the second quarter of 2002, approximately 85% of the Company’s revenues were generated by clinical services, particularly lithotripsy and Orthotripsy® extracorporeal shock wave treatment (“ESWT”).  During this quarter, HealthTronics treated 10,585 patients, a 105%

 

13



 

increase over the 5,175 treatments performed during the same period last year.  Much of this increase is related to our December 11, 2001 acquisition of Litho Group, Inc.

 

The Company has continued to aggressively grow its core lithotripsy business and has worked diligently to integrate the partnerships from the Litho Group acquisition into our organization.  During the first quarter of 2002, the Company’s primary focus was the establishment of good relations with the physicians in the Litho Group partnerships.  We believe the integration of the acquisition has gone extremely well and we are very pleased to be working with our new physician partners.

 

HealthTronics has also been focused on increasing utilization of the OssaTron devices currently in the US market.  The Company recently announced that it has entered into a network provider contract with Blue Shield of California for Orthotripsy ESWT utilizing the OssaTron.  Blue Shield of California provides HMO and PPO products in the state of California to approximately 2.1 million members.  To date, insurance companies representing approximately 9.9 million people have negotiated a reimbursement rate with the Company for the treatment of plantar fasciitis.  This and other efforts in the reimbursement area are enabling HealthTronics to make continued progress in receiving payment from third-party insurers for such treatments.

 

Three Months Ended June 30, 2002 Compared to Three Months Ended June 30, 2001

 

Net Revenue: Net revenue increased from $9,056,729 for the three months ended June 30, 2001 to $22,776,975 for the three months ended June 30, 2002, an increase of 151%. This increase is primarily attributable to the increase in device sales and clinical treatment revenue generated by the acquisition of Heritage Medical Services of Texas, Inc., HSC of Gulf Coast, Inc. and Litho Group, Inc. and, to a lesser extent, to the increase in clinical treatment procedures generated by orthopaedic and urologic partnerships over the second quarter of 2001.

 

Cost of Devices, Service Parts and Consumables: Cost of devices, service parts and consumables increased from $2,541,652 for the three months ended June 30, 2001 to $3,975,665 for the three months ended June 30, 2002, an increase of 56%. This increase is mainly attributable to device sales, service parts expense for Orthotripsy ESWT related business, and to increased consumable sales.

 

Salaries, General and Administrative Expenses: Salaries, general and administrative expenses increased from $2,838,361 for the three months ended June 30, 2001 to $9,317,750 for the three months ended June 30, 2002, an increase of 228%. This increase is primarily attributable to the 2001 lithotripsy partnership acquisitions as well as (1) the addition of personnel for corporate administration, reimbursement administration and Orthotripsy extracorporeal shock wave treatment partnership operations and (2) marketing and general expenses for the expansion of reimbursement and corporate administrative functions related to the Orthotripsy extracorporeal shock wave treatment business.

 

Depreciation and Amortization: Depreciation and amortization expenses increased from $1,007,994 for the three months ended June 30, 2001 to $1,507,324 for the three months ended June 30, 2002, an increase of 50%. This increase is primarily attributable to the 2001

 

14



 

acquisitions of Heritage Medical Services of Texas, Inc., HSC of Gulf Coast, Inc. and Litho Group, Inc.

 

Gain on Sale of Investment Interest: Gain on sale of investment interest decreased from $909,154 for the three months ended June 30, 2001 to $452,075 for the three months ended June 30, 2002, a decrease of 50%. The significant amount of gain on sale of investment interest in the 2001 quarter resulted from the sale of partnership interests in newly formed Orthotripsy extracorporeal shock wave treatment partnerships.  Subsequent to FDA approval in October 2000, we established and sold interests in a significant number of these partnerships in order to launch this new treatment and create the technical and clinical infrastructure to support it.

 

Partnership Distributions from Cost Based Investments: Partnership distributions from cost based investments increased from $78,642 for the three months ended June 30, 2001, to $200,692 for the three months ended June 30, 2002, an increase of 155%. This increase is attributable to the growth in earnings, and related distributions, of cost based partnerships over the second quarter of 2001.

 

Interest Expense: Interest expense increased from $64,849 for the three months ended June 30, 2001 to $1,010,044 for the three months ended June 30, 2002, an increase of 1458%. This increase is primarily attributable to the interest relating to the new credit facility used to finance the acquisition of Litho Group, Inc.

 

Minority Interest: Minority interest increased from $2,516,464 for the three months ended June 30, 2001 to $5,153,484 for the three months ended June 30, 2002, an increase of 105%. This increase is attributable to the increase in the number of minority investors in the Company’s consolidated subsidiaries primarily as a result of the acquisition of Litho Group, Inc. as well as the increase in the income of the new and existing subsidiaries.

 

Provision for Income Taxes: Provision for income taxes increased from $466,308 for the three months ended June 30, 2001 to $1,074,628 for the three months ended June 30, 2002, an increase of 130%. The increase is attributable to the increase in taxable income over the second quarter of 2001.

 

Six Months Ended June 30, 2002 Compared to Six Months Ended June 30, 2001

 

Net revenue increased from $19,214,727 for the six months ended June 30, 2001 to $43,826,675 for the six months ended June 30, 2002, an increase of 128%. This increase is primarily attributable to the increase in clinical treatment revenue generated by the acquisition of Heritage Medical Services of Texas, Inc., HSC of Gulf Coast, Inc. and Litho Group, Inc. and, to a lesser extent, to the increase of clinical treatment procedures generated by orthopaedic and urologic partnerships over the first half of 2001.

 

Cost of Devices, Service Parts and Consumables: Cost of devices, service parts and consumables increased from $5,356,435 for the six months ended June 30, 2001 to $7,016,882 for the six months ended June 30, 2002, an increase of 31%.  This increase is mainly attributable

 

15



 

to the acquisition of Heritage Medical Services of Texas, Inc., HSC of Gulf Coast, Inc. and Litho Group, Inc.

 

Salaries, General and Administrative Expenses: Salaries, general and administrative expenses increased from $6,816,788 for the six months ended June 30, 2001 to $18,286,037 for the six months ended June 30, 2002, an increase of 168%. This increase is primarily attributable to the 2001 lithotripsy partnership acquisitions as well as (1) the addition of personnel for corporate administration, reimbursement administration and Orthotripsy extracorporeal shock wave treatment partnership operations and (2) marketing and general expenses for the expansion of reimbursement and corporate administrative functions related to the Orthotripsy extracorporeal shock wave treatment business.

 

Depreciation and Amortization: Depreciation and amortization expenses increased from $1,945,675 for the six months ended June 30, 2001 to $3,118,565 for the six months ended June 30, 2002, an increase of 60%. This increase is primarily attributable to the 2001 acquisitions of Heritage Medical Services of Texas, Inc., HSC of Gulf Coast, Inc. and Litho Group, Inc.

 

Partnership Distributions from Cost Based Investments: Partnership distributions from cost based investments increased from $192,923 for the six months ended June 30, 2001, to $282,157 for the six months ended June 30, 2002, an increase of 46%. This increase is attributable to the growth in earnings, and related distributions, of cost based partnerships over the first six months of 2001.

 

Gain on Sale of Investment Interest: Gain on sale of investment interest decreased from $1,918,767 for the six months ended June 30, 2001 to $440,475 for the six months ended June 30, 2002, a decrease of 77%.  The significant amount of gain on sale of investment interest in the 2001 quarter resulted from the sale of partnership interests in newly formed Orthotripsy extracorporeal shock wave treatment partnerships.  Subsequent to FDA approval in October 2000, we established and sold interests in a significant number of these partnerships in order to launch this new treatment and create the technical and clinical infrastructure to support it.

 

Interest Expense: Interest expense increased from $165,773 for the six months ended June 30, 2001 to $1,683,269 for the six months ended June 30, 2002, an increase of 915%. This increase is primarily attributable to the interest relating to the new credit facility used to finance the acquisition of Litho Group, Inc.

 

Minority Interest: Minority interest increased from $4,490,680 for the six months ended June 30, 2001 to $9,685,528 for the six months ended June 30, 2002, an increase of 116%. This increase is attributable to the increase in the number of minority investors in the Company’s consolidated subsidiaries primarily as a result of the acquisition of Litho Group, Inc. as well as the increase in the income of the new and existing subsidiaries.

 

Provision for Income Taxes: Provision for income taxes increased from $1,121,670 for the six months ended June 30, 2001 to $2,099,128 for the six months ended June 30, 2002, an increase of 87%. The increase is attributable to the increase in taxable income over the same period of 2001.

 

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Critical Accounting Policies

 

We believe the following critical accounting policies require our more significant judgments and estimates used in the preparation of our consolidated financial statements:

 

Consolidation

 

The discussion and analysis of our financial condition and results of operations are based upon our consolidated financial statements, which have been prepared in accordance with accounting principles generally accepted in the United States of America.  The preparation of these financial statements requires us to make estimates and judgments that affect the reported amounts of assets, liabilities, revenues and expenses, and related disclosure of contingent assets and liabilities.  On an on-going basis, we evaluate our estimates.  We base our estimates on historical experience and on various other assumptions that we believe are reasonable under the circumstances.  The results form the basis for making judgments about the 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.

 

We consolidate our investment in certain limited partnerships where we, as the general partner, exercise effective control, even though our ownership is less than 50%.  We have reviewed each of the underlying agreements and determined we have effective control; however, if it was determined this control did not exist, these investments would be reflected on the equity method of accounting.  Although this would change individual line items within our consolidated financial statements, it would have no effect on our net income and/or total stockholders’ equity.

 

Revenue Recognition, Allowance for Doubtful Accounts and Gain Recognition

 

Net revenue includes treatment fees for medical devices in the clinical setting.  Treatment revenue is derived primarily from “wholesale” or “retail” billing arrangements.  Wholesale billings are generated primarily from fixed fee contracts with various medical facilities and is recorded in the month the related treatments are performed.  Retail billings are recorded when we bill third-party payors for medical facility and technical fees at the time services are rendered.  These third-party billings may or may not be based on pre-existing contracts.  Adjustments which reduce revenue from established contractual or estimated non-contractual billing rates to amounts estimated to be reimbursable are recognized in the period the services are rendered.  Differences in estimates recorded and final settlements are reported during the period final settlements are made and could be significant.

 

Revenue is recognized upon delivery at the customer’s destination for sales of medical devices to unaffiliated entities.  For miscellaneous sales of consumables, revenue is recognized at the time of shipment by the Company.

 

During the year ended December 31, 2001, we sold medical devices to certain limited partnerships and limited liability corporations in which we have a minority interest and have guaranteed a portion of the long-term obligations related to the purchase of the medical devices. 

 

17



 

We have accounted for these minority interests using the equity or cost basis methods of accounting (depending upon our ability to exercise significant influence over the operating and financial policies of the investment partnership).  A pro-rata portion of the profit was deferred on sales of the medical devices to these entities.  There were no sales of medical devices to these entities in the six months ended June 30, 2002.

 

Revenue generated from service contracts is recognized ratably over the life of the related contract.

 

An allowance for doubtful accounts is established for accounts estimated to be uncollectible. This allowance is adjusted periodically based upon management’s evaluation of current economic conditions, historical collection experience, and other relevant factors which, in management’s opinion, deserve recognition in estimating the allowance.

 

The American Medical Association CPT Editorial Panel approved a CPT Category III Code for extracorporeal shock wave treatment of plantar fasciitis in September 2001.  The issuance of this code should enable HealthTronics to make continued progress in receiving payment from third party insurers for such treatments.  The Company believes that it has made appropriate estimates in recording amounts expected to be collected.

 

During 2002 and 2001, we formed wholly owned limited partnerships in which we are the general partner and into which we contribute an OssaTron.  We may sell an interest in these partnerships to physicians or other unrelated investors.  We generally recognize gain on the interest sold at the time the subscription agreement is signed.  Included in other receivables on the accompanying June 30, 2002 and December 31, 2001 balance sheets is $376,500 and $2,576,500, respectively, relating to sales of partnership interests.

 

Income Taxes

 

We account for income taxes in accordance with Statement of Financial Accounting Standards No. 109, Accounting for Income Taxes.  Under this method, deferred tax assets and liabilities are determined based on differences between the financial reporting and tax bases of assets and liabilities.  They are measured using the enacted tax rates and laws that are expected to be in effect when the differences are expected to be recovered or settled.

 

We recognize deferred tax assets and liabilities based on the differences between the financial statement carrying amounts and the tax bases of assets and liabilities.  We regularly review our deferred tax assets for recoverability and establish a valuation allowance based upon projected future taxable income and the expected timing of the reversals of existing temporary differences.  As a result of this review, we have established a full valuation allowance against our deferred tax assets.

 

Related Party Transactions

 

Transactions between related parties occur in the normal course of business.  We provide services and products to our subsidiaries; our subsidiaries provide services and products to other

 

18



 

subsidiaries.  We eliminate transactions with our consolidated subsidiaries and appropriately disclose other significant related party transactions.

 

Recently Issued Accounting Standards

 

In July 2001, the FASB issued Statement of Financial Accounting Standards No. 141, Business Combinations (“SFAS 141”), which is effective for all business combinations completed after June 30, 2001.  We adopted this accounting standard relating to the acquisition of Litho Group, Inc. and adopted this standard for the entire Company as of January 1, 2002.

 

In July 2001, the FASB issued Statement of Financial Accounting Standards No. 142, Goodwill and Other Intangible Assets (“SFAS 142”), which establishes new rules on the accounting for goodwill and other intangible assets. Under SFAS 142, goodwill and intangible assets with indefinite lives are no longer amortized; however, they are subject to annual impairment tests as prescribed by the statement. Intangible assets with definite lives will continue to be amortized over their estimated useful lives. We have adopted SFAS 142 effective January 1, 2002; however, the transition provisions of this statement preclude the amortization of goodwill acquired in a business combination for which the acquisition date is after June 30, 2001.  In accordance with these transition provisions, we did not amortize the goodwill acquired through the acquisition of Litho Group, Inc. on December 11, 2001.

 

In October 2001, the FASB issued Statement of Financial Accounting Standards No. 144, Accounting for the Impairment or Disposal of Long-Lived Assets (“SFAS 144”). SFAS 144 establishes a single accounting model for the impairment of long-lived assets, including discontinued operations. SFAS 144 supersedes Statement of Financial Accounting Standards No.  121 Accounting for the Impairment of Long-Lived Assets and for Long-Lived Assets to Be Disposed Of and APB Opinion No. 30, “Reporting the Results of Operations-Reporting the Effects of Disposal of a Segment of a Business, and Extraordinary, Unusual and Infrequently Occurring Events and Transactions.” The provisions of SFAS 144 are effective for fiscal years beginning after December 15, 2001 and, in general, are to be applied prospectively. We adopted SFAS 144 effective January 1, 2002.

 

In July 2002, the FASB issued Statement of Financial Accounting Standards No. 146, Accounting for Costs Associated with Exit or Disposal Activities (“SFAS 146”).  SFAS 146 addresses financial accounting and reporting for costs associated with exit or disposal activities and supercedes EITF Issue No. 94-3, “Liability Recognition for Certain Employee Termination Benefits and Other Costs to Exit an Activity (including Certain Costs Incurred in a Restructuring).”  SFAS 146 requires that a liability for a cost associated with an exit or disposal activity be recognized when the liability is incurred. The provisions of this Statement are effective for exit or disposal activities that are initiated after December 31, 2002.  We do not expect adoption of SFAS 146 to have a material impact on our results of operations or financial position.

 

Liquidity and Capital Resources

 

We have funded our working capital requirements and capital expenditures from net cash provided by operating activities and borrowings under bank credit facilities.  In conjunction with

 

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the purchase of Litho Group, we obtained a $50,000,000 credit facility.  At June 30, 2002, we had approximately $43,000,000 outstanding under the credit facility plus additional debt of approximately $6,700,000 primarily at the subsidiary level.  Debt at the subsidiary level is typically related to equipment purchased and operated by that subsidiary and is secured by that equipment.  Cash and cash equivalents was $9,905,210 at December 31, 2001 and $11,573,216 at June 30, 2002.

 

The $50,000,000 credit facility was obtained from Bank of America, SunTrust Bank and Regions Bank.  The credit facility consists of a five-year term loan of $35,000,000 with scheduled quarterly payments of principal and interest through 2006.  There is also a $15,000,000 revolving credit facility which can be drawn down and paid in flexible increments throughout its five-year life.  Amounts may be borrowed under the credit lines either as Base Rate loans or Eurodollar loans.  The applicable interest rate is calculated by adding the rate for Eurodollar loans or Base Rate loans, both as defined in the credit facility agreement, to an applicable percentage based on the Company’s leverage ratio.  This applicable percentage is updated quarterly based on the previous quarter leverage ratio.

 

Net cash provided by operating activities for the six months ended June 30, 2002 was $5,600,546 compared to $5,676,399 for the six months ended June 30, 2001.  This increase was primarily the result of increased earnings before depreciation and amortization and minority interest.  Net cash used in investing activities was $2,491,019 for the six months ended June 30, 2002 compared to $6,502,416 for the six months ended June 30, 2001.  The decrease in 2002 was due primarily to decreased capital expenditures.  Net cash used in financing activities aggregated $2,229,092 in the six months ended June 30, 2002 and $508,691 in the six months ended June 30, 2001 and consisted primarily of principal payments on short-term borrowings and long-term debt offset by proceeds from short-term borrowings and long-term debt.

 

Our capital expenditures, primarily for the purchase of medical devices, aggregated $3,453,516 in the six months ended June 30, 2002.  We currently estimate that our capital expenditures will aggregate approximately $8,000,000 to $10,000,000 for the year ended December 31, 2002 and will be used to purchase additional medical devices for partnerships.  We continuously review new investment opportunities and believe that our financial position can support higher levels of capital expenditures, if justified by opportunities to increase revenue or decrease recurring costs.  Accordingly, it is possible that our capital expenditures in 2002 could be higher than anticipated.   We plan to use our cash generated from operations and borrowings under our revolving credit facility to fund these expenditures.

 

We believe that our cash generated from operations and borrowings under our revolving credit facility will be sufficient to meet our liquidity and capital spending needs at least through the end of 2002.

 

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We have a commitment to purchase certain machinery from HMT under our distributorship agreements.  The initial term of our LithoTron distributorship agreement expired in July 2002 and automatically renewed for an additional five-year term.  Based upon current market prices, the purchase commitments under our distributorship agreement are approximately $7,000,000 in 2002  (on an annualized basis).  This and other significant contractual obligations are as follows:

 

Contractual Obligations

 

Payments Due by Period

 

 

 

Total

 

Less than
1 year

 

1-3 years

 

4-5 years

 

After 5
years

 

Short-Term Borrowings

 

$

9,000,000

 

$

9,000,000

 

$

 

$

 

$

 

Long-Term Debt

 

36,732,076

 

3,680,616

 

12,194,076

 

20,857,384

 

 

Capital Lease Obligations

 

2,624,059

 

623,560

 

1,267,949

 

732,550

 

 

Operating Leases

 

7,126,832

 

1,181,344

 

1,988,461

 

1,848,576

 

2,108,451

 

Purchase Obligations

 

7,000,000

 

7,000,000

 

 

 

 

Total Contractual Cash Obligations

 

$

62,482,967

 

$

21,485,520

 

$

15,450,486

 

$

23,438,510

 

$

2,108,451

 

 

Quantitative and Qualitative Disclosure of Market Risk

 

We are subject to market risk from exposure to changes in interest rates on our variable rate debt.  Although there can be no assurances that interest rates will not change significantly, we do not expect changes in interest rates to have a material effect on income or cash flows in 2002.  As of June 30, 2002, our fixed-rate debt was approximately $26.0 million, and our corresponding variable-rate debt was approximately $23.7 million.  Based on our variable-rate debt at June 30, 2002, a one-percent change in interest rates would result in an annual change in interest rate expense of approximately $237,000.

 

In order to protect the Company from interest rate volatility, effective February 12, 2002, the Company entered into two two-year interest rate swap agreements (“the swaps”), with a total notional amount of $20,000,000.  The swaps effectively convert a portion of the Company’s floating-rate debt to a fixed-rate basis for the next two years, thus reducing the impact of interest-rate changes on future interest expense.  This fixed-rate is 3.2525% plus the applicable percentage (currently 2.75%), based on the previous quarter leverage ratio, within the credit facility agreement. The swaps qualify as cash flow hedges under Statement of Financial Accounting Standards No. 133, Accounting for Derivative Instruments and Hedging Activities and expire on February 12, 2004.  The Company believes that its hedge is effective with changes in fair value to be reported in other comprehensive income.  As of June 30, 2002 the market value of the derivatives was a liability of $140,349 which is included on the accompanying balance sheet and the related comprehensive expense of $140,349 has been recorded.

 

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The counterparties to the interest rate swap agreements are major commercial banks.  The Company is exposed to counterparty credit risk for nonperformance and, in the event of nonperformance, to market risk for changes in interest rates.  The Company does not anticipate nonperformance of the counterparties.

 

Cautionary Statements

 

Included in this report are forward-looking statements that reflect management’s current outlook for future periods.  As always, these expectations and projections are based on currently available competitive, financial, and economic data, along with operating plans, and are subject to future events and uncertainties.  Among the events and uncertainties which could adversely affect future periods are: inability to establish or maintain relationships with physicians and hospitals; health care regulatory developments that prevent certain transactions with healthcare professionals or facilities; inability of healthcare providers to obtain reimbursement for use of the Company’s current or future products; competition or technological change that impacts the market for the Company’s products; and difficulty in managing the Company’s growth.  Readers are cautioned that, in addition to the above cautionary statements, all forward-looking statements contained herein should be read in conjunction with the detailed risk factors found in the Company’s Annual Report on Form 10-KSB for the fiscal year ended December 31, 2001.

 

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Item 3.              Quantitative and Qualitative Disclosure of Market Risk

 

The information called for by this item is provided under the caption “Quantitative and Qualitative Disclosure of Market Risk” under Item 2 – Management’s Discussion and Analysis of Financial Condition and Results of Operations.

 

PART II.          OTHER INFORMATION

 

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

 

A.            The annual meeting of shareholders was held on May 17, 2002.

 

B.            The following directors were elected to the board of directors:

 

James R. Andrews

Roy S. Brown

Jon Burke

Scott Cochran

W. Price Dunaway

Russell Maddox

Michael D. Martin

Argil J. Wheelock

 

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C.            The following matters were voted upon at the annual meeting:

 

 

 

 

 

For

 

Against

 

Abstain

1.

 

To elect the following directors to serve for the ensuing year:

 

 

 

 

 

 

 

 

James R. Andrews

 

8,135,215

 

220,631

 

430,000

 

 

Roy S. Brown

 

8,163,904

 

191,942

 

430,000

 

 

Jon Burke

 

8,344,815

 

11,031

 

430,000

 

 

Scott Cochran

 

8,344,815

 

11,031

 

430,000

 

 

W. Price Dunaway

 

8,344,815

 

11,031

 

430,000

 

 

Russell Maddox

 

8,344,815

 

11,031

 

430,000

 

 

Michael D. Martin

 

8,101,815

 

254,031

 

430,000

 

 

Argil J. Wheelock

 

8,164,004

 

191,842

 

430,000

 

 

 

 

 

 

 

 

 

2.

 

To approve adoption of the Company’s 2002 Employee Stock Option Plan and the reservation of 500,000 shares of common stock for issuance thereunder.

 

7,372,649

 

972,336

 

440,861

 

 

 

 

 

 

 

 

 

3.

 

To ratify the appointment of Ernst & Young LLP as independent auditors for the fiscal year ending December 31, 2002.

 

8,743,493

 

9,892

 

32,461

 

Item 6.              Exhibits and Reports on Form 8-K

 

(a)          Exhibits

 

None

 

 (b) Reports on Form 8-K

 

None

 

 

SIGNATURES

 

Pursuant to the requirements 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.

 

 

 

HEALTHTRONICS SURGICAL
SERVICES, INC.

 

 

 

 

By:

/s/ Victoria W. Beck

 

 

 

 

 

 

Victoria W. Beck

 

 

Chief Accounting Officer

 

 

 

Date:  August 13, 2002

 

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