Attached files

file filename
EXCEL - IDEA: XBRL DOCUMENT - Internal Fixation Systems, Inc.Financial_Report.xls
EX-31.1 - CERTIFICATION PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT - Internal Fixation Systems, Inc.f10q0911ex31i_internalfix.htm
EX-31.2 - CERTIFICATION PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT - Internal Fixation Systems, Inc.f10q0911ex31ii_internalfix.htm
EX-32.2 - CERTIFICATION PURSUANT TO SECTION 906 OF THE SARBANES-OXLEY ACT - Internal Fixation Systems, Inc.f10q0911ex32ii_internalfix.htm
EX-32.1 - CERTIFICATION PURSUANT TO SECTION 906 OF THE SARBANES-OXLEY ACT - Internal Fixation Systems, Inc.f10q0911ex32i_internalfix.htm


UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

FORM 10-Q

(Mark One)
x           Quarterly Report Under Section 13 or 15(d) of the Securities Exchange Act of 1934
For the quarterly period ended September 30, 2011

 o           Transition Report Under Section 13 or 15(d) of the Securities Exchange Act of 1934
For the transition period from __________ to ____________

Commission file number:  000-54363
 
 
INTERNAL FIXATION SYSTEMS, INC.
 
 
(Exact name of Registrant as specified in its charter)
 
 
 
Florida
 
20-4580923
 
 
(State or other jurisdiction of incorporation or organization)
 
(IRS Employer Identification No.)
 
 
 
5901 SW 74th Street, Suite 408
South Miami, FL 33143
 
 
(Address of principal executive offices)   (zip code)
 
     
 
(305) 342-9552
 
 
(Registrant’s telephone number, including area code)
 
     
 
N/A
 
 
(Former name, former address and former fiscal year, if changed since last report)
 
 
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 periods 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 o

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).
Yes  x  No o

Indicate by check mark whether the Registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer or a smaller reporting company filer.  See definition of “accelerated filer” and “large accelerated filer” in rule 12b-2 of the Exchange Act (Check one):
 
Large accelerated filer             o
Accelerated Filer
o
Non-accelerated filer               o
Smaller reporting company
x

Indicate by check mark whether the Registrant is a shell company as defined in Rule 12b-2 of the Exchange Act.
Yes o      No x

As of November 16, 2011, there were 5,338,295 shares of the Company's  Common Stock, par value $0.05 per share, issued and outstanding.
 
 
 

 
 
 
INTERNAL FIXATION SYSTEMS, INC.

TABLE OF CONTENTS
 
   
 Page
PART I
FINANCIAL INFORMATION
 
     
Item 1.
Financial Statements
 1
     
 
Condensed Balance Sheets as of September 30, 2011 (unaudited) and December 31, 2010
1
     
 
Condensed Statements of Operations for the Three and Nine Months Ended September 30, 2011, and 2010 (unaudited)
2
     
 
Condensed Statements of Cash Flows for the Nine Months ended September 30, 2011 and 2010 (unaudited)
3
     
 
Notes to Condensed Financial Statements (unaudited)
4
     
Item 2.
Management’s Discussion and Analysis of Financial Condition and Results of Operations
13
     
Item 3.
Quantitative and Qualitative Disclosures About Market Risk
16
     
Item 4. 
Controls and Procedures
16
     
PART II
OTHER INFORMATION
 
     
Item 6.
Exhibits
17
     
Signature
 
18
 
 
 
 

 
 
 
PART I - FINANCIAL INFORMATION

ITEM 1.  FINANCIAL STATEMENTS
 
INTERNAL FIXATION SYSTEMS, INC.
CONDENSED BALANCE SHEETS
             
   
September 30,
       
ASSETS
 
2011
   
December 31,
 
CURRENT ASSETS
 
(Unaudited)
   
2010
 
             
     Cash
 
$
27,647
   
$
12,691
 
  Accounts receivable, net
   
40,091
     
62,831
 
     Inventory
   
409,882
     
470,476
 
     Deferred offering costs
   
-
     
145,330
 
     Prepaid expenses and other
   
58,259
     
4,825
 
          Total current assets
   
535,879
     
696,153
 
                 
PROPERTY AND EQUIPMENT, net
   
315,439
     
340,463
 
                 
OTHER ASSETS
               
     Inventory, non-current
   
656,114
     
296,718
 
     Licenses and security deposit
   
40,782
     
16,991
 
                 
          TOTAL ASSETS
 
$
1,548,214
   
$
1,350,325
 
                 
LIABILITIES AND STOCKHOLDERS' EQUITY (DEFICIT)
                 
CURRENT LIABILITIES
               
     Accrued salaries and related expenses
 
$
167,399
   
$
208,087
 
     Accounts payable and accrued expenses
   
276,999
     
185,910
 
     Capital lease obligations, current portion
   
48,624
     
46,257
 
     Loans and notes payable - related parties
   
100,662
     
243,156
 
     Loans and notes payable - bridge loan financing, net
   
94,279
     
100,000
 
     Loans and notes payable - convertible note
   
70,000
     
-
 
     Loans and notes payable - other, current portion
   
37,791
     
36,152
 
           Total current liabilities
   
795,754
     
819,562
 
                 
OTHER LIABILITIES
               
     Capital lease obligations, less current portion
   
99,814
     
136,583
 
     Convertible loans and notes payable
   
286,000
     
761,500
 
     Loans and notes payable - other, less current portion
   
64,603
     
-
 
                 
          TOTAL LIABILITIES
   
1,246,171
     
1,717,645
 
                 
COMMITMENTS AND CONTINGENCIES
   
-
     
-
 
                 
STOCKHOLDERS' DEFICIT
               
     Common stock, $0.05 par value; 10,000,000 shares
               
        authorized, 5,155,200 and 2,793,700 issued and
               
        outstanding, respectively
   
257,761
     
139,685
 
     Additional paid in capital
   
2,492,654
     
250,213
 
     Accumulated deficit
   
(2,448,372
)
   
(757,218
)
                 
         TOTAL STOCKHOLDERS' EQUITY (DEFICIT)
   
302,043
     
(367,320
)
                 
         TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY (DEFICIT)
 
$
1,548,214
   
$
1,350,325
 
 
The accompanying notes are an integral part of these condensed financial statements.
 
 
1

 
 
 
INTERNAL FIXATION SYSTEMS, INC.
CONDENSED STATEMENTS OF OPERATIONS
 
   
Three Months Ended
   
Nine Months Ended
 
   
September 30,
(unaudited)
   
September 30,
(unaudited)
 
   
2011
 
2010
   
2011
   
2010
 
                       
                       
   Sales, net
  $ 58,268     $ 27,992     $ 185,669     $ 89,537  
                                 
   Cost of sales
    14,031       15,787       46,568       42,632  
                                 
   Gross profit
    44,237       12,205       139,101       46,905  
                                 
Selling, general and administrative expenses
                               
Officer compensation
    180,747       120,000       700,625       120,000  
Professional fees and other compensation
    232,099       39,133       644,852       67,905  
General and administrative expenses
    123,582       30,509       232,357       58,670  
Selling expenses
    31,827       12,476       94,291       41,263  
Total selling, general and administrative expenses
    568,255       202,118       1,672,125       287,838  
                                 
Operating loss
    (524,018 )     (189,913 )     (1,533,024 )     (240,933 )
                                 
Other expense
                               
         Interest expense
    45,067       76,605       158,130       143,239  
                                 
Loss before taxes
    (569,085 )     (266,518 )     (1,691,154 )     (384,172 )
                                 
Benefit for income taxes
    -       678       -       8,694  
                                 
Net loss
  $ (569,085 )   $ (265,840 )   $ (1,691,154 )   $ (375,478 )
                                 
    Basic and diluted loss per share
  $ (0.12 )   $ (0.10 )   $ (0.48 )   $ (0.16 )
                                 
    Weighted average shares  outstanding
                               
         basic and diluted
    4,690,693       2,655,231       3,547,346      
2,386,281
 
                                 
 
The accompanying notes are an integral part of these condensed financial statements.
 
 
2

 
 
 
INTERNAL FIXATION SYSTEMS, INC.
 
CONDENSED STATEMENTS OF CASH FLOWS
 
FOR THE NINE MONTHS ENDED SEPTEMBER 30, (Unaudited)
 
             
   
2011
   
2010
 
CASH FLOWS FROM OPERATING ACTIVITIES
           
     Net loss
 
$
(1,691,154
)
 
$
(375,478
)
     Adjustments to reconcile net loss to net cash
               
       used by operating activities:
               
            Amortization of discount on bridge loan financing
   
11,443
     
65,680
 
Amortization of discount on loans and notes payable -       related parties
   
81,346
     
12,500
 
            Stock based compensation
   
388,153
     
46,000
 
            Shares issued for services
   
37,198
     
20,000
 
            Stock based payments - interest
   
6,333
     
-
 
            Bad debt expense
   
3,273
     
4,294
 
            Deferred income taxes
   
-
     
(8,694
)
            Depreciation and amortization
   
71,031
     
52,727
 
            Changes in operating assets and liabilities:
               
                 Accounts receivable
   
19,467
     
(3,934
)
                  Inventory
   
(298,802
)
   
(268,295
)
                  Deferred offering costs
   
(91,442
)
   
(68,346
)
                  Prepaid expenses
   
(53,434
)
   
(3,138
)
                 Licenses and security deposit
   
(23,791
)
   
-
 
                 Accounts payable and accrued expenses
   
499,236
     
115,854
 
                 
NET CASH USED IN OPERATING ACTIVITIES
   
(1,041,143
)
   
(410,830
)
                 
CASH FLOWS FROM INVESTING ACTIVITIES
               
     Purchase of property and equipment
   
(46,007
)
   
(49,251
)
                 
NET CASH USED IN INVESTING ACTIVITIES
   
(46,007
)
   
(49,251
)
                 
CASH FLOWS FROM FINANCING ACTIVITIES
               
     Proceeds from new stock offering
   
-
     
26,000
 
     Proceeds from notes payable - convertible debenture
   
1,174,000
     
-
 
     Proceeds from notes payable - bridge loan financing
   
-
     
744,500
 
     Proceeds from exercise of stock warrants
   
-
     
5,000
 
     Proceeds from stock subscriptions receivable
   
  -
     
7,000
 
     Net payments of loans and notes
               
           payable - related parties
   
(5,579
)
   
(53,817
)
     Payments of capital lease obligations
   
(34,402
)
   
(32,208
)
     Payments of notes payable - convertible note
   
(5,000
)
   
-
 
     Payments of notes payable - other
   
(26,913
)
   
-
 
                 
NET CASH PROVIDED BY FINANCING ACTIVITIES
   
1,102,106
     
696,475
 
                 
NET INCREASE IN CASH
   
14,956
     
236,394
 
                 
CASH – Beginning
   
12,691
     
4,750
 
                 
CASH – Ending
 
$
27,647
   
$
241,144
 
                 
SUPPLEMENTARY DISCLOSURE OF CASH FLOW INFORMATION:
               
                 
     Interest paid
 
$
32,292
   
$
55,853
 
                 
     Non-cash investing and financing activities -
               
       Notes and interest payable converted to common stock
 
$
1,574,500
   
$
-
 
       Notes payable - related party converted to common stock
 
$
100,000
   
$
-
 
      Common Stock and  warrants issued in connection with bridge-loan financing
 
$
17,164
   
$
96,675
 
       Stock options issued in connection with related-party loan
 
$
31,346
   
$
-
 
       Conversion of Related Party Note to Common Stock
 
$
31,250
   
$
-
 
       Conversion of accrued salaries to Common Stock
  
$
411,345
  
  
$
-
  
       Stock warrants issued in connection with bridge-loan financing
  
$
-
  
  
$
5,000
  
       Beneficial conversion feature resulting from loan modification
 
$
-
   
$
100,000
 
 
The accompanying notes are an integral part of these condensed financial statements.
 
 
3

 
 
 
NOTES TO CONDENSED FINANCIAL STATEMENTS
 
NOTE 1.    MANAGEMENT REPRESENTATION
 
The accompanying unaudited interim condensed financial statements and related notes have been prepared in accordance with accounting principles generally accepted in the United States of America (“U.S. GAAP”) for interim financial information, and with the rules and regulations of the United States Securities and Exchange Commission (“SEC”) for Form 10-Q and Article 8 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by U.S. GAAP for complete financial statements. The unaudited interim condensed financial statements furnished reflect all adjustments which are, in the opinion of management, necessary to a fair statement of the results for the interim periods presented. Interim results are not necessarily indicative of the results for the full year. These financial statements should be read in conjunction with the financial statements of the Company for the year ended December 31, 2010 and notes thereto contained in the Company’s Registration Statement on Form S-1 declared effective by the Securities and Exchange Commission on May 13, 2011 (the “Registration Statement”).
 
NOTE 2.   BASIS OF PRESENTATION
 
Description of Business
 
Internal Fixation Systems, Inc. ("the Company" “we”, “us” or “our”) was organized and incorporated under the laws of the State of Florida in 2006 and commenced operations in 2007. Our corporate headquarters are located in South Miami, Florida, where we conduct the majority of our management operations. We also maintain a manufacturing facility in Medley, Florida. We manufacture, market and sell generically priced FDA approved orthopedic and podiatric surgical implants intended for small bone fixation surgery.
 
Accounting Standards Codification
 
In June 2009, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Codification (“FASB ASC”) Subtopic 105-10, Generally Accepted Accounting Principles ("FASB ASC 105-10"). This Standard establishes an integrated source of existing authoritative accounting principles to be applied by all non-governmental entities and is effective for interim and annual periods ending after September 15, 2009. The adoption of FASB ASC 105-10 by the Company did not have a material impact on the financial statements and only resulted in modifications in accounting reference in the footnotes and disclosures.
 
Fair Value of Financial Instruments
 
The Company calculates the fair value of its assets and liabilities which qualify as financial instruments and includes this additional information in the notes to financial statements when the fair value is different than the carrying value of these financial instruments. The estimated fair value of accounts receivable, accounts payable and accrued liabilities approximate their carrying amounts due to the relatively short maturity of these instruments. The carrying value of short and long-term debt also approximates fair value since these instruments bear market rates of interest.
 
Net income (loss) per common share
 
Net loss per common share is computed pursuant to section 260-10-45 of the FASB Accounting Standards Codification. Basic net loss per common share is computed by dividing net loss by the weighted average number of shares of common stock outstanding during the period. Diluted net loss per common share is computed by dividing net loss by the weighted average number of shares of common stock and potentially outstanding shares of common stock during the period.
 
Diluted per share loss is the same as basic per share loss when there is a loss from continuing operations. Accordingly, for purposes of dilutive earnings per share, the Company excluded the effect of warrants, options and convertible debt totaling  3,403,933 and 1,060,000 shares as of September 30, 2011 and 2010, respectively.
 
 
4

 
 
Inventory
 
The Company’s inventory consists primarily of raw materials, manufactured and purchased finished goods available for sale. Inventory is valued at the lower of cost or market determined by the weighted average method. Inventory that the Company estimates will not be sold within the next business cycle is considered non-current inventory.
 
Property and Equipment
 
Property and equipment is stated at cost. Expenditures for maintenance and repairs are charged to expense as incurred with improvements and betterments capitalized. Upon disposition, original asset cost and related accumulated depreciation are removed from the accounts with any gain or loss recognized. Depreciation expense is computed using the straight-line method over related assets estimated useful lives for financial statement purposes. All of the assets in service have a 5 year estimated useful life. Depreciation expense for the nine months ended September 30, 2011 and 2010 amounted to $71,031 and $52,727, respectively. Of these amounts, $50,511 and $48,566, respectively, were capitalized within inventory, and $20,520 and $4,161, respectively, were included within selling, general and administrative expenses.
 
Intangible Asset
 
The Company capitalizes costs associated with legal fees paid in connection with obtaining approval of the Food and Drug Administration (FDA) for the sale of the medical devices. Total fees of $10,165 were paid through September 30, 2011. In accordance with FASB ASC 350, the license is determined to have an indefinite useful life.
 
Capital Lease Obligations
 
Certain long-term lease transactions relating to the financing of equipment are accounted for as capital leases. Capital lease obligations reflect the present value of future rental payments, less an interest amount implicit in the lease. A corresponding amount is capitalized as property and equipment, and depreciated over the individual asset’s estimated useful life.
 
Deferred Offering Costs
 
Expenses incurred relating to the filing of the Registration Statement which had been capitalized as of December 31, 2010 of $145,330 has been reclassified along with current period costs of $91,442 as an offset against additional paid in capital in accordance with ASC 340-10.
 
Income Tax Matters
 
Income taxes are provided for the tax effects of transactions reported in the financial statements and consist of taxes currently due and deferred taxes. Deferred taxes are recognized for differences between the basis of assets and liabilities for financial statement and income tax purposes. The differences relate primarily to net operating losses and temporary differences in depreciation calculated for book and tax purposes. The deferred tax assets and liabilities represent the future tax consequences of those differences, which will either be taxable or deductible when assets or liabilities are recovered or settled.
 
Valuation allowances are established when necessary to reduce deferred tax assets to the amount expected to be realized. Income tax expense (benefit) is the income tax payable (receivable) for the year and the change during the year in deferred tax assets and liabilities.
 
The Company follows the provisions of the Financial Accounting Standards Board (“FASB”) Interpretation (FIN) No. 48, “Accounting for Uncertainty in Income Taxes an interpretation of FASB Statement No. 109” (“FIN 48”). FASB Statement No. 109 has been codified in FASB ASC Topic 740-10. FASB ASC Topic 740-10 contains a two-step approach to recognizing and measuring uncertain tax positions accounted for in accordance with FASB ASC Topic 740-10. The first step is to evaluate the tax position for recognition by determining if the weight of available evidence indicates it is more likely than not that the position will be sustained on audit, including resolution of related appeals or litigation processes, if any. The second step is to measure the tax benefit as the largest amount which is more than 50% likely of being realized upon ultimate settlement. The Company considers many factors when evaluating and estimating its tax positions and tax benefits, which may require periodic adjustments and which may not accurately anticipate actual outcomes. FASB ASC Topic 740-10 did not result in any adjustment to the Company’s provision for income taxes.
 
 
5

 
 
 
Research and Development Costs
 
The Company expenses research and development costs as incurred.  For the three months ending September 30, 2011 and 2010, the Company had $15,496 and $6,678 in research and development costs, respectively. For the nine months ending September 30, 2011 and 2010, the Company had $30,305 and $6,678 in research and development costs, respectively.
 
Stock-Based Compensation
 
The Company applies FASB ASC 718, “Compensation – Stock Compensation”, to stock-based compensation awards. FASB ASC 718 requires the measurement and recognition of non-cash compensation expense for all share-based payment awards made to employees and directors. The Company records common stock issued for services or for liability extinguishments at the closing market price for the date in which obligation for payment of services is incurred.
 
Stock compensation arrangements with non-employee service providers are accounted for in accordance with FASB ASC 505-50, “Equity-Based Payments to Non-Employees“ using a fair value approach. The compensation costs of these arrangements are subject to re-measurement over the vesting terms as earned. FASB ASC 505-50 replaces EITF No. 96-18, “Accounting for Equity Instruments that are issued to Other than Employees for Acquiring or in Conjunction with Selling, Goods or Services”.
 
Stock Purchase Warrants
 
The Company has issued warrants to purchase shares of its common stock. Warrants have been accounted for as equity in accordance with FASB ASC 480, “Accounting for Derivative Financial Instruments Indexed to, and Potentially Settled in, a Company’s Own Stock, Distinguishing Liabilities from Equity”.
 
Reclassifications

Certain accounts in the prior-year financial statements have been reclassified for comparative purposes to conform with the current year presentation.
 
NOTE 3.    GOING CONCERN
 
Our independent registered public accounting firm’s report on our financial statements for the year ended December 31, 2010 includes an explanatory paragraph regarding our ability to continue as a going concern. As shown in the accompanying financial statements, we have incurred substantial net losses for the nine months ended September 30, 2011 of $1,691,154.  Our cumulative net losses since inception are $2,448,372.  We have a working capital deficit at September 30, 2011 of $259,875. There is no guarantee that we will be able to generate sufficient revenue and/or raise sufficient capital to support our operations. This raises substantial doubt about our ability to continue as a going concern. The financial statements do not include any adjustments that might result from the outcome of these uncertainties.
 
We are seeking to raise capital  through the sale of our securities. Without additional funding, there can be no assurances that we will be able to continue our  operations.  Our  ability  to continue as a going concern is dependent upon our ability to raise additional capital, further implement our  business plan and generate sufficient revenues.
 
NOTE 4.    INVENTORY
 
Our inventory consists primarily of finished cannulated screws, purchased guide wires and tools for use in surgical operations and also a nominal amount of raw materials, in total amounting to $1,065,996 and $767,194 as of September 30, 2011 and December 31, 2010, respectively.  A portion of our inventory is maintained at selected customer surgery centers as well as with travelling sales representatives.  At September 30, 2011 and December 31, 2010, $656,114 and $296,718, respectively, of inventory is classified as non-current, as the amount is not expected to be sold in the next business cycle.
 
 
6

 
 
 
NOTE 5.    COMMITMENTS AND CONTINGENCIES
 
Operating Leases
 
We have entered into non-cancelable sub-lease agreements with a former shareholder for our manufacturing facility located in Medley, Florida, and for certain manufacturing equipment used at the facility. The facility sub-lease term continues through October 2012 at the rate of $3,177 monthly, plus a proportionate share of expenses. Both the facility lease and the equipment lease require us to provide insurance and pay allocable property taxes.
 
Sub-lease expenditures under these agreements amounted to $74,157 and $77,941 for the nine months ended September 30, 2011 and 2010, respectively.
 
The following is a schedule of future minimum lease payments required under these sub-lease agreements as of September 30, 2011:
 
 2011 (three months)    
 
$
9,531
 
         
 2012
   
31,770
 
         
   
$
41,301
 
 
Capital Lease Obligations
 
We lease manufacturing equipment under capital leases with terms extending through 2014.  The cost of such equipment, which was placed in service during 2010, was $287,596.  Depreciation expense of $43,130 was charged for this equipment in the accompanying statement of operations for the period ended September 30, 2011.  Assets acquired under these capital  leases are presented within property and equipment in the accompanying balance sheets.
 
Future minimum payments required under capital leases are as follows:
 
   
Amount
 
2011 (three months)
 
$
14,316
 
2012
   
57,258
 
2013
   
57,258
 
2014
   
35,316
 
     
164,148
 
Less amounts representing interest
   
(15,710
)
Present value of minimum lease payments
   
148,438
 
Less: current portion
   
(48,624
)
Capital lease obligations, net of current portion
 
$
99,814
 

NOTE 6.    LOANS AND NOTES PAYABLE – RELATED PARTIES
 
At September 30, 2011, we owe to Stephen J. Dresnick, MD, our CEO and President, $20,172 which he advanced to us on September 30,2011 in anticipation of formalizing a line of credit.  The advance is unsecured and has no stated interest rate and no specified maturity date.
 
At September 30, 2011, we are obligated to pay to Stephen J. Dresnick, MD, our CEO and President, $30,000 on a note issued by us in 2010 in the original principal amount of $125,000 which accrues interest at 9% per annum (the “$125,000 Note”).  The maturity date of the $125,000 Note is December 1, 2011 (extended during the quarter ended September 30, 2011 from September 1, 2011), whereupon all accrued interest together with principal amounts owed is due to be repaid by us.  In connection with the original issuance of the $125,000 Note, we issued to Dr. Dresnick warrants to purchase 125,000 shares of our Common Stock, at any time and from time to time through October 31, 2012, at $.25 per share.  Such warrants were valued at $0 based on an expected rate of return model discussed below in Note 8.  In connection with the extension of the maturity date on the $125,000 Note, we issued to Dr. Dresnick options to purchase 80,933 shares of our Common Stock, at any time and from time to time through June 30, 2015, at $.50 per share.  Such options were valued at $31,346 based on the Black-Scholes Pricing Model discussed below in Note 11.
 
 
7

 
 
Interest expense on the $125,000 Note for the nine months ended September 30, 2011 and 2010 was $30,000 and $8,386, respectively. Principal and accrued interest due on the $125,000 Note was $30,000 and $97,751 at September 30, 2011 and December 31, 2010, respectively. The total principal due, net of the discount, as reported in the financial statements is $30,000 and $97,488 at September 30, 2011 and December 31, 2010, respectively. Additionally, Dr. Dresnick had a second promissory note issued by us to him in consideration for his advancing $100,000 to us in 2009 The note was convertible to common stock,  accrued interest at 9% per annum and was payable interest only through September 1, 2011 (the "$100,000 Note"). As specified in the terms of the note, the total principal amount of the note was converted to  500,000 shares of our Common Stock upon the effectiveness of the Registration Statement on May 13, 2011. The value of this conversion feature was determined upon inception using the expected rate of return model discussed in Note 8, and recorded as a discount against the loan.  Interest expense on the $100,000 Note for the nine months ended September 30, 2011 and 2010 was $53,315 and $19,324, respectively. Principal and accrued interest due on the note was $0 and $102,250 at September 30, 2011 and December 31, 2010, respectively. The total principal due, net of the discount, as reported in the financial statements is $0 and $100,000 at September 30, 2011 and December 31, 2010, respectively.  

In April 2011, we issued to a current shareholder who is also providing professional services to us, a 5% secured promissory note in the principal amount of $50,490 in exchange for him loaning to us $13,000 and releasing us from our obligation to pay him $37,490 of accounts payable.  The secured promissory note is payable by us in monthly installments of principal and interest which commenced in May 2011.  In connection with the issuance of this note, we issued to him, options to purchase 100,000 shares of our Common Stock, at any time and from time to time, through  June of 2014 at $0.50 per share.  These options were valued at $38,731 based on the Black-Scholes Pricing Model discussed below in Note 11. The note is collateralized by our inventory and accounts receivable.
 
NOTE  7.   LOANS AND NOTES PAYABLE – OTHER

At September  30, 2011, we are obligated to pay to an unaffiliated third party on or before May 2014, the principal amount of $102,394 in consecutive monthly installments of $3,577 including annual interest at 6% The principal balance outstanding on this obligation is $102,394 and $129,307 as of September 30, 2011 and December 31, 2010, respectively.  Future minimum payments of this obligation are as follows: 2011 - $9,240 (three months), 2012 - $38,353, 2013 - $40,689 and 2014 - $14,112.
 
NOTE  8.   BRIDGE LOAN FINANCING

In March 2010, we borrowed $100,000 from an unaffiliated third party non-institutional lender and issued to the lender (i) a 9% unsecured promissory note in the principal amount of $100,000; and (ii) warrants to purchase 100,000 shares of our Common Stock at any time and from time to time through March 31, 2013 at $.10 per share.  The unsecured promissory note was scheduled to mature in December 2010.  In December 2010, the maturity date of the note was extended first to June 15, 2011, and then in May 2011 to December 15, 2011.  In connection with the May 2011 extension of the maturity date of the loan, we issued to the lender, warrants to purchase from time to time and at any time through December 15, 2014, 50,000 shares of the Company’s Common Stock at $1.00 per share.  Pursuant to the note, we are required to pay all accrued but unpaid interest together with principal amounts owed on December 15, 2011.  The value of the warrants issued in connection with this loan was determined using an expected rate of return model (discussed below) and recorded as a discount against the loan amortizable through the original maturity date. The fair value of each warrant issued in connection with this loan, was $.05, requiring us to record a discount on the loan of $5,000. Such value was recorded as an equity issuance. The value of the warrants issued in May 2011 was determined using the Black-Scholes model (See Note 11) and recorded as a discount against the loan amortizable through the original maturity date.  The fair value of each warrant issued in connection with the extension of the maturity date of the note was approximately $.34 per share, requiring us to record a discount on the loan of $17,164. Such value was recorded as an equity issuance. Interest recognized on the amortization of the discount amounted to $11,443 and $3,611 for the nine months ended September 30, 2011 and 2010, respectively.
 
 
8

 
 
 
From January 2010 through July 2010, we borrowed an aggregate of $644,500 from several unaffiliated third party non-institutional lenders and issued unsecured promissory notes in exchange for the loan proceeds.  In connection with the loans, we issued to the lenders, one share of our Common Stock for each one dollar of principal amount loaned.  The fair value of each share issued in connection with the loans was $.15 using the expected rate of return model (discussed below), requiring us to record a discount on the loans of $96,675.  Such value was recorded as an equity issuance. During the three and nine months ended September 30, 2010 amortization of the discount amounted to $34,606 and $62,069, respectively, and is reported in the accompanying statement of operations. As of December 31, 2010, the notes were either paid off in full or were refinanced as a part of the Convertible Debenture Financing (see Note 9).
 
NOTE 9.    CONVERTIBLE DEBENTURE FINANCING
 
During the nine months ended September 30, 2011, we issued to several unaffiliated third party non-institutional investors, $1,174,000 principal amount of our 5% convertible debentures due December 1, 2014 (the "Convertible Debentures"), bringing the total principal amount of issuances of the Convertible Debentures through September 30, 2011 to $1,935,500. Under the Convertible Debentures, we are obligated to pay interest semi-annually commencing June 2011. The Convertible Debentures are convertible into shares of our common stock at a per share conversion price equal to 85% of the volume weighted average daily price for the Common Stock, as reported by Bloomberg L.P., for the ten (10) trading days prior to conversion. From May through September 2011 $1,574,500 principal amount of Convertible Debentures were converted to 889,015 of common Shares at conversion prices ranging from $0.50 to $2.00 per share. As of September 30, 2011 and December 31, 2010 we had $286,000 and $761,500, respectively, principal amount of the Convertible Debentures outstanding. In addition, on September 27, 2011we issued a 5% convertible debenture in the amount of $75,000. Under the terms of the note we are obligated to repay the loan $28,750 of the loan by November 15, 2011 and then make equal monthly payments of $943.56 beginning December 1, 2011. The note is convertible into shares of our common stock at a per share conversion price equal to 85% of the volume weighted average daily price for the Common Stock, as reported by Bloomberg L.P., for the ten (10) trading days prior to conversion. This note replaced two earlier 5% convertible debentures held by the same party in the amounts of $25,000 and $50,000.
 
During May through September 2011 $1,574,500 principal amount of Convertible Debentures were converted.  Of the $1,574,500 principal amount of Convertible Debentures converted, $990,100 principal amount of the Convertible Debentures were converted at $2.00 per share; $9,500 principal amount of Convertible Debentures were converted at a price of $.50 per share; and  $574,900 principal amount of Convertible Debentures, were converted at a price of $1.50 per share. We decreased the conversion price for the $9,500 principal amount of  Convertible Debentures  because in connection with this conversion we were released from paying $9,500 of accounts payable to the holder of this Convertible Debenture. We decreased the conversion price for the $574,900 principal amount of  Convertible Debenture  because in connection with this conversion, we received additional cash investments in the amount of $390,400 from the holders of these Convertible Debentures.
 
NOTE 10.  RELATED PARTY TRANSACTIONS

For both the nine months ended September 30, 2011 and 2010, 11% and 41%, respectively, of our sales were made to a surgical center located in South Florida. A shareholder of the Company is currently an equity holder in the entity that owns this surgical center and Dr. Dresnick, our President and CEO was formerly an equity holder of such entity.
 
As of September 30, 2011 we have accrued but have not paid salaries and benefits to the Company’s officers in the amount of $103,284.
 
 
9

 
 
 
NOTE 11.  WARRANTS AND OPTIONS
 
Warrants
 
During the nine months ended September 30, 2011, we issued warrants to purchase 50,000 shares of our common stock.  The warrants are exercisable at any time and from time to time through December 2014 at a price of $1.00 per share.
 
The value of the warrants granted during the three and nine months ended September 30, 2011, were determined based on the Black-Scholes Pricing Model discussed in the Options section below.
 
A summary of the change in outstanding and exercisable stock warrants for the nine months ended September 30, 2011 and the year ended December 31, 2010 is as follows:
 
               
Weighted
 
         
Weighted
   
Average
 
   
Outstanding
   
Average
   
Remaining
 
   
Warrants
   
Exercise Price
   
Contractual Life
 
Balance, December 31, 2009
   
-
   
$
-
     
-
 
Warrants issued
   
275,000
     
0.1682
   
2.76 years
 
Warrants exercised
   
(50,000
)
   
(0.0151
)
 
(0.80) years
 
Balance, December 31, 2010
   
225,000
     
0.1833
   
1.96 years
 
Warrants issued
   
50,000
     
1.0000
   
1.07 years
 
Warrants exercised
   
(125,000
)
   
(0.5000
)
 
(0.46) years
 
Balance, September 30, 2011
   
150,000
   
$
0.4000
   
1.54 years
 
 
Options
 
During 2011, we issued stock options to employees and consultants as follows:
 
During April, May and July 2011, we issued to consultants, options to purchase at any time and from time to time, 100,000, 770,000 and 825,000 shares, respectively, at a per share purchase price equal to $0.50, $1.00 and $1.00, respectively, expiring at various dates during 2014 and 2015.
 
Pursuant to an employment agreement, we issued to an employee, options to purchase at any time and from time to time, through May 2015, options to purchase 100,000 shares of our common stock, at $.20 per share
 
Pursuant to the extension of the maturity date of a loan held by Dr. Dresnick, (see Note 6 above), we issued to Dr. Dresnick, options to purchase at any time and from time to time, through June 2015, 80,933 shares of our common stock at $.50 per share.
 
In May 2011, we issued to two of our executive officers, Dr. Dresnick and Kenneth West, options to purchase at any time and from time to time through May 2014, options to purchase an aggregate of 400,000 shares (200,000 shares each) of our common stock at $.50 per share.
 
 
10

 
 
 
The value of the all options granted during the nine months ended September 30, 2011, were determined based on the Black-Scholes Pricing Model using the following range of assumptions:
 
   
2011
 
Expected dividend yield (1)
    0%      
Risk-free interest rate (2)
 
0.81% to 1.31%
 
Expected volatility (3)
 
138% to 140%
 
Expected term (4)
 
3 to 3.5 years
 
 
(1)  The Company has no history or expectation of paying dividends on common stock.
 
(2)  The risk-free interest rate is based on the U.S. Treasury yield for a term consistent with the expected life of the awards in effect at the time of grant.
 
(3)  The volatility of the Company stock is based on two similar publicly traded companies.  The Company used the average volatility rate of the two companies.
 
(4)  The expected term is based on the weighted average life of the options granted.  The Company has no experience or expectation of forfeitures.
 
A summary of the change in outstanding and exercisable stock options for nine months ended September 30, 2011, and the year ended December 31, 2010 is as follows:
 
               
Weighted
 
         
Weighted
   
Average
 
   
Outstanding
   
Average
   
Remaining
 
   
Options
   
Exercise Price
   
Contractual Life
 
Balance, December 31, 2009
   
-
   
$
-
     
-
 
Options issued
   
835,000
     
0.2096
   
2.70 years
 
Balance, December 31, 2010
   
835,000
   
$
0.2096
   
2.70 years
 
Options issued
   
2,275,933
     
0.8372
   
3.50 years
 
                       
Balance, September 30, 2011
   
3,110,933
   
$
0.6688
   
3.12 years
 
 
The following table shows the number of options that vest in each of the subsequent years and the deferred compensation to be recognized in the corresponding years.
 
   
Number of Options to be Vested
   
Deferred compensation to be recognized
 
2011
   
370,833
   
$
80,655
 
2012
   
912,916
   
$
313,436
 
2013
   
787,918
   
$
267,487
 
2014
   
173,750
   
$
17,664
 
2015
   
-
   
$
 -
 
 
 
11

 
 
 
NOTE 12.  EQUITY
 
We issued 822,686 shares of common stock during  the nine months ended September 30, 2011  as satisfaction of accrued compensation of $411,345 due to employees. Of the 822,686 shares, 744,175 were issued to executive officers of the company. In addition, the company issued 24,666 shares of common stock for $37,198 for services rendered by doctors who serve on our Advisory Panel.   
From  May through September 2011 $1,574,500 principal amount of Convertible Debentures were converted.  Of the $1,574,500 principal amount of Convertible Debentures converted, $990,100 principal amount of the Convertible Debentures were converted at $2.00 per share; $9,500 principal amount of Convertible Debentures were converted at $.50 per share; and  $574,900 principal amount of Convertible Debentures, were converted at  $1.50 per share. We decreased the conversion price for the $9,500 principal amount of  Convertible Debentures  because in connection with this conversion we were released from paying $9,500 of accounts payable to the holder of this Convertible Debenture.    We decreased the conversion price for the $574,900 principal amount of  Convertible Debenture  because in connection with this conversion, we received additional cash investments in the amount of $390,400 from the holders of these Convertible Debentures.

NOTE 13.  CONCENTRATION AND CREDIT RISK
 
During the three and nine months ended September 30, 2011, we derived revenues from two and three significant customers, respectively,  which, in the aggregate, exceeded 10% of our total revenue during these periods.  For the three and nine months ended September 30, 2011 revenues from these customers were $19,209 and $75,395 respectively.  In 2010, we derived revenues of over 10% from two customers.  For the three and nine months ended September 30, 2010 revenues from these two customers were $16,345 and $51,894 respectively.
 
We extend credit to our customers in the normal course of business and generally require no collateral on such credit sales.

NOTE 14.  SUBSEQUENT EVENTS
 
We have evaluated all events that occurred after the balance sheet date through the date these financial statements were issued.
 
During October and November 2011, we issued Convertible Debentures in the aggregate principal amount of $210,500 to unrelated third parties. The Convertible Debentures are subject to the same terms as those referred to in Note 9.

In November 2011 we  sold an 8% convertible note which generated net proceeds to us of  $50,000.  The Note bears interest at the rate of 8% per annum. All interest and principal must be repaid on October 31, 2012.  The Note is convertible into common stock, at the holder’s option, at a 41% discount to the average of the five lowest closing bid prices of the common stock during the 10 trading day period prior to conversion. In the event we prepay the Note in full, we are  required to pay off all principal, interest and any other amounts owing multiplied by (i) 135% if prepaid during the period commencing on the closing date through 90 days thereafter, (ii) 140% if prepaid 91 days following the closing through 150 days following the closing, and (iii) 150% if prepaid 151 days following the closing through 180 days following the closing. After the expiration of 180 days following the date of the Note, we have no right of prepayment.

 
12

 

 
ITEM 2.  MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS.
 
FORWARD-LOOKING STATEMENTS
 
Certain statements that the Company may make from time to time, including all statements contained in this report that are not statements of historical fact, constitute “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995 and the safe harbor provisions set forth in Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. Forward-looking statements may be identified by words such as “plans,” “expects,” “believes,” “anticipates,” “estimates,” “projects,” “will,” “should,” and other words of similar meaning used in conjunction with, among other things, discussions of future operations, financial performance, product development and new product launches, market position and expenditures. The Company assumes no obligation to update any forward-looking statements.
 
OVERVIEW
 
Internal Fixation Systems, Inc.  (the “Company”, “we”, “us” or “our” ) is a manufacturer and marketer of value priced orthopedic and podiatric implants.  Our customers include ambulatory surgery centers, hospitals and orthopedic surgeons.  We seek to be innovative in all aspects of the business from product design to distribution and sales.  We endeavor to identify ways to enhance products, promote better inventory management, reduce redundancy and streamline distribution.
 
Innovative Product Design
Our strategy is to focus on commonly used, market proven products (80% of what surgeons, hospitals, and surgery centers use every day). Our Advisory Panels, comprised of nationally recognized surgeons, evaluate products for potential improvements.  The result is enhanced implants that incorporate features busy surgeons desire.  All of our products are made in the United States using high quality medical grade alloys.

Innovative Modular Set Design
We design surgical sets to allow our customers maximum flexibility while minimizing redundant inventory. Our self contained modules provide all the implants surgeons need, without tying up the implants they do not. Rather than putting multiple types of implants into large sets, our modular systems contain specific implants along with their required instruments.

Innovative Distribution
We believe that the methods by which medical implants are distributed are changing.    While many physicians prefer to have a sales representative in the operating room during surgery to assist surgical technicians with the use of our implant systems, a number of facilities, in an effort to control cost, are choosing to buy direct.  For common surgeries, many doctors and administrators do not need the assistance of an onsite representative.  In an effort to address both needs, we employ multiple distribution methods.

Innovative Pricing
We have a significantly lower cost structure than many of our larger competitors which allows us to offer implants at prices which are 40-60% lower than our competitors.

We have FDA 510 (k) approval for 25 products.  Approved products include mini to large cannulated screw systems used for bone fixation as well as. locking plate and screw systems for use in the ankle, wrist, elbow, clavicle and shoulder.    We are currently working towards to submitting 510(k) applications for cervical and lumbar spinal products and upon  approval of these 510(k) applications, of which there can be no assurance, enter the spinal implant market and as a consequence  offer products that cover the majority of fractures treated by orthopedic surgeons.

Our revenues to date have been derived from sales of 2.0, 2.4, 3.0, 3.5, and 4.0 cannulated screws used for small bone fixation primarily in the hand and foot.  In addition to the cannulated screws, we also sell K-wires and drill bits used to implant the screws.  In late September 2011, we had a limited initial release of our plate and screw systems used primarily for ankle fractures.  These products are used in trauma applications and we expect sales from this product line to represent an increasing part of our revenues going forward.

Our products are manufactured in the United States using only U.S. medical grade alloys.  A portion of our  products are manufactured by us in our Medley, Florida facility and the remainder of the manufacturing is outsourced.   All of our suppliers are based in the United States, have FDA certified facilities and use only medical grade alloys.

Our customers include ambulatory surgery centers, hospitals and orthopedic surgeons. In addition to selling to individual facilities and doctors, we currently are targeting to sell to national operators of ambulatory surgery centers as well as national Group Purchasing Organizations (GPOs).
 
 
13

 
 
 
Since inception, we have financed our operations from the sale of securities and from advances from investors and related parties. If our sales over the next several months do not meet or exceed our expectations, our resources will not be sufficient to meet our cash flow requirements.  Likewise, if our expenses exceed our expectations and our sales do not exceed our expectations sufficient to cover our expenses, we will need additional funds to implement our business plan. We will not be able to fully establish our business if we do not have adequate working capital and if we do not generate adequate working capital through operations, we will need to raise additional funds, whether through a stock offering or otherwise.

We will need to raise additional capital in order to establish a sales network to market and distribute our products.  In addition, we will need to hire personnel to run our day to day operations and currently do not have the capital to do so.  We will seek to obtain the necessary funds through increased sales of our products and if required, the sale of securities.  If we are unable to obtain this additional working capital, or if we encounter unexpected expenses, we will not have sufficient working capital to implement our business plan and will need to scale back or discontinue our operations.
 
We have incurred significant losses due to, among other things, negative cash flows and have an accumulated deficit of $2,448,372 as of September 30, 2011.  Our independent registered public accounting firm’s report on our financial statements for the fiscal year ended December 31, 2010 includes an explanatory paragraph regarding our ability to continue as a going concern.  Our financial statements do not include any adjustments that might result from the outcome of this uncertainty.
 
CRITICAL ACCOUNTING POLICIES

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 disclosures of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reporting period.  We rely on historical experience and on other assumptions we believe to be reasonable under the circumstances in making our judgment and estimates.  Actual results could differ from those estimates.  We consider our critical accounting policies to be those that are complex and those that require significant judgments and estimates, including the following: inventory valuation and classification, recognition of revenue, impairment of long-lived assets, the determination of the valuation allowance of our deferred income taxes and stock-based compensation.
 
RESULTS OF OPERATIONS
 
Three and Nine Months Ended September 30, 2011 compared to Three and Nine Months Ended September 30, 2010
 
Revenue - During the three months  ended September  30, 2011 as compared to the three months ended September 30, 2010, our net sales increased $30,276 to $58,268 from $27,992.  For the nine months ended September 30, 2011 as compared with the nine months ended September 30, 2010, net sales increased $96,132 to $185,669 from $89,537.  The increase in revenue was due to the release of additional sets of our redesigned cannulated screw systems that we launched in late 2010, the hiring of  new distributors in South Florida, Georgia and North Carolina as well as the limited initial release of our modular locking small fragment system.  We also gained new customers in 2011.
 
Cost of Sales - For the three months  ended September 30, 2011, cost of sales decreased approximately 11% to $14,031 as compared to $15,787 for the three months ended September 30, 2010.  For the nine months ended September 30, 2011 as compared to the nine months ended September 30, 2010, the cost of sales increased $3,936 to $46,568 from $42,632.   Costs of goods purchased and held for resale during the three months  ended September 30, 2011 and 2010 were $55,044 and $31,100, respectively.   For the nine months ended September 30, 2011 and 2010 the costs of goods purchased and held for resale were $87,936 and $72,983 respectively.  The costs of goods sold, as calculated using the weighted average method, were $7,471 and $7,513, respectively for the three months  ended September 30, 2011 and 2010 and $29,177 and $26,791 for the nine months ended September 30, 2011 and 2010, respectively.
 
Gross Profit –  Cost of sales as a percentage of net sales was approximately 24% for the three months  ended September 30, 2011 as compared to approximately 56% for the three months  ended September 30, 2010.  Cost of sales as a percentage of net sales was approximately 25% for the nine months ended September 30, 2011 as compared to 48% for the nine months ended September 30, 2010.  Gross profit increased approximately 362% to $44,237 for the three months  ended September 30, 2011 as compared to $12,205 for the three months  ended September 30, 2010.  Gross profit increased approximately 297% to $139,101 for the nine months ended September 30, 2011 as compared to $46,905 for the nine months ended September 30, 2010.
  
 
14

 
 
 
Selling, General and Administrative Expenses - For the three months  ended September 30, 2011 selling, general and administrative expense increased 281% to $568,255 as compared to $202,118  for the three months ended September 30, 2010.  For the nine months ended September 30, 2011 selling, general and administrative expenses increased 581% to $1,672,125 as compared to $287,838 for the nine months ended September 30, 2010. For the three months  ended September 30, 2011 officer compensation increased to $180,747 as compared to $120,000 for the three months  ended September 30, 2010.  During the nine months ended September 30, 2011 officer compensation increased to $700,625 as compared to $120,000 during the nine months ended September 30, 2010.  These increases were due to employment agreement obligations that commenced in October 2010 as well as additional options issued to Dr. Dresnick and Ken West, our Vice President-Sales and a  member of our Board of Directors. . For the three months  ended September 30, 2011,  professional fees and other compensation increased $185,526 to $224,659 as compared to $39,133 for the three months  ended September 30, 2010.  For the nine months ended September 30, 2011, professional fees and other compensation increased $564,012 to $631,917 from $67,905 for the nine months ended September 30, 2010.   For the three months  ended September 30, 2011 general and administrative  expenses increased $98,458 to $128,967 as compared to $30,509 for the quarter ended September 30, 2010.  For the nine months ended September 30, 2011, general and administrative expenses increased $173,684 to $245,916 from $58,670 for the nine months ended September 30, 2010.   For the three months ended September 30, 2011 selling expense increase $19,351 to $31,827 as compared to $12,476 for the three months ended September 2010.  For the nine months ended September 30, 2011 selling expense increased $53,028 to $94,291as compared to $41,263 for the nine months ended September 30, 2010.  The increase in selling expense was the result of increased commissions and the addition of new sales representatives.   Non-officer compensation and related expenses are anticipated to continue to increase.   Sales commissions increased due to the hiring of sales representatives on commissions only payment basis.  As we grow, of which there can be no assurance, commissions are expected to continue to grow.  Our professional fees were primarily attributable to accounting and legal fees incurred in connection with the Registration Statement, and additional SEC reporting requirements.  We anticipate that our expenses will continue to grow as these expenses are necessary to sustain our  operations.
  
Operating Loss – Our operating loss for the three months  ended September 30, 2011 was $524,018 as compared to an operating loss of $189,913 for the three months ended September 30, 2010. For the nine months ended September 30, 2011 our operating loss was $1,533,024 as compared to an operating loss of $240,933 for the nine months ended September 30, 2010.  The increase in operating loss was a direct result of the increase in operating expenses.  Interest expense decreased to $45,067 for the three months  ended September 30, 2011 as compared to $76,605 interest expense for the three months  ended September 30, 2010.  Interest expense for the nine months ended September 30, 2011 was $158,130 as compared to $143,239 for the nine months ended September 30, 2010.  The increase in interest was the result of a large increase in the amortization of discounts related to the issuances of options and warrants for the nine months ended September 2011 and 2010 of $92,789 and $16,111, a large decrease in the amortization of loan discounts for the nine months ended September 2011 and 2010 of $0 and $62,069, and a small increase in the amount of interest expense on debt for the nine months ended September 2011 and 2010 of $65,341 and $65,059, respectively.  Net loss for the three months  ended September 30, 2011 was $569,085 as compared to $265,840 for the three months  ended September 30, 2010.  Net loss for the nine months ended September 30, 2011 was $1,691,154 as compared to $375,478 for the nine months ended September 30, 2010.

LIQUIDITY AND CAPITAL RESOURCES

As reflected in the accompanying unaudited condensed financial statements, we have incurred substantial net losses for the nine months ended September 30, 2011 of $1,691,154 and has a working capital deficit of $259,875 and a accumulated deficit of $2,448,372.
 
Net cash used for operating activities for the nine months ended September 30, 2011 was $1,041,143, which includes   a net loss of $1,691,154 offset by depreciation and amortization expense of $71,031, amortization of discount on the loans of $92,789, stock based compensation of $425,351, an increase in accounts payable and accrued expenses of $499,236, and a decrease in inventory of $298,802.
 
Net cash used for operating activities for the nine months ended September 30, 2010 was $410,830, which includes  a net loss of $375,478 offset by depreciation and amortization expense of $52,727, amortization of discount on the loans of $78,180, stock based compensation and shares issued for services of $66,000, an increase in accounts payable and accrued expenses of $155,854, and a decrease in inventory of $268,295.
 
Net cash used in investing activities for the nine months ended September 30, 2011 was $46,007 compared to net cash used in investing activities for the nine months ended September 30, 2010 of $49,251.  Cash used in 2011 was attributable to the purchase of property and equipment and surgical sets.
 
Net cash provided by financing activities for the nine months ended September 30, 2011 was $1,169,000 which included a net amount of $891,500 generated from our sale of convertible debentures, offset by $34,402 of  capital lease payments and  $37,492 of loan repayments ($5,579 of which was repaid to related parties).
 
Net cash provided by financing activities for the nine months ended September 30, 2010 was $696,475, which included  $744,500 generated from our  of 9% promissory notes maturing on December 15, 2010 (all of which notes  were either  paid in full or exchanged for 5% Convertible Debentures due December 1, 2014) and an additional $38,000 loan from a stock offering and exercise of warrants, offset by $32,208 of capital lease payments and  $53,817 of loan repayments which was repaid to related parties.

Net cash on hand as of September 30, 2011 was $27,647, an increase of  $14,956 from net cash on hand as of  December 31, 2010.
 
Inventory is comprised of two components:  screw inventory which we manufacture, and the cost of products purchased and held for resale without any improvements (e.g. K-wires, drill bits and instruments).  Both screw and goods purchased and held for resale resulted in an overall increase in inventory to $1,065,996 as of September 30, 2011 as compared to $767,194 as of the year ended December 31, 2010.  A portion of the total value of inventory is carried as non-current which resulted in current total inventory of $ 409,882 as of   September 30, 2011 as compared to $470,476 as of the year ended December 31, 2010.  Non-current inventory as of September 30, 2011 was $656,114 and $296,718 as of the year ended December 31, 2010.   The increase in non-current inventory was the result of increased  production in anticipation of releasing additional surgical sets.  Each set launched requires the manufacture of inventory to stock the set as well as provide for replacement.  As of the three months  ended September 30, 2011 screw inventory was $600,666 as compared to $696,153 as of the year ended December 31, 2010.  Inventory for goods purchased and held for resale as of September 30, 2011 was $43,583 as compared to $77,176 as of the year ended December 31, 2010.  The cost of inventory as of September 30, 2011 increased by approximately 85% to $944,316, as compared to December 31, 2010 because of the increase in the number of screws held in inventory. Each surgical set requires an inventory of approximately 700 screws. This inventory is necessary so that surgeons will have the screws they need when they are performing surgery. We anticipate that our inventory will continue to grow. Overall screw inventory increased to 48,572 units as of September 30, 2011 as compared to 29,210 units as of the year ended December 31, 2010.
 
 
15

 
 

Current and Future Financing Needs
 
We have incurred negative cash flow from operations since inception and as of September 30, 2011 we have an accumulated deficit of $2,448,372.  We have expended, and expect to continue to expend, substantial amounts in connection with implementing our business strategy, including our advertising and marketing campaign, our research and development efforts and regulatory compliance and corporate governance. The actual amount of capital we will require to operate is subject to many factors, some of which are beyond our control. If our anticipated sales for the next several months do not meet our expectations and/or our expenses are higher than expected and/or we are unable to acquire additional financing, our existing resources will not be sufficient to meet our cash flow requirements and we may be unable to continue our operations.  Whether we can continue operations will depend on whether we are able to generate sufficient revenue from operations and/or raise additional funds; neither of which can be assured.  
 
Off-Balance Sheet Arrangements

We have no off-balance sheet arrangements.
 
ITEM 3.  QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
 
Our exposure to market risk due to changes in interest rates relates primarily to the increase or decrease in the amount of interest income we can earn on our cash equivalents. Our risk associated with fluctuating interest rates is limited to our investments in interest rate sensitive financial instruments. We currently do not use interest rate derivative instruments to manage exposure to interest rate changes.  We attempt to increase the safety and preservation of our invested principal funds by limiting default risk, market risk and reinvestment risk. We mitigate default risk by investing in investment grade securities. A hypothetical 100 basis point adverse move in interest rates along the entire interest rate yield curve would not materially affect the fair value of  our  interest sensitive financial instruments due to their relatively short term nature. Declines in interest rates over time will, however, reduce our  interest income while increases in interest rates over time will increase our  interest income.
 
ITEM 4. CONTROLS AND PROCEDURES

An evaluation was conducted by our Chief Executive Officer (CEO) and Chief Financial Officer (“CFO”) of the effectiveness of the design and operation of our disclosure controls and procedures as of September 30, 2011. Based on that evaluation, the CEO and CFO concluded that our controls and procedures were effective as of such date to ensure that information required to be disclosed in the reports that we file or submit under the Securities Exchange Act of 1934 is recorded, processed, summarized and reported within the time periods specified in Securities and Exchange Commission rules and forms. If we develop new business or engage or hire a new chief financial officer or similar financial expert, we intend to review our disclosure controls and procedures.

Management is aware of the lack of an independent audit committee or audit committee financial expert.  Although our board of directors serves as the audit committee it has no independent members.  Further, we have not identified an audit committee financial expert on our board of directors.  These factors are counter to corporate governance practices as defined by the various stock exchanges and may lead to less supervision over management.

The was no change in our internal control over financial reporting identified in connection with the evaluation required by paragraph (d) of Rule 13a–15 or Rule 15d–15 under the Securities Exchange Act of 1934 that occurred during our last fiscal quarter that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

 
16

 
 

PART II. OTHER INFORMATION
 
ITEM 6.    Exhibits
     
Exhibit No.   
 
Description
31.1
 
Certification of Chief Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
     
31.2
 
Certification of Chief Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
     
32.1
 
Certification of Chief Executive Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
     
32.2    
 
Certification of Chief Financial Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
     
101.INS
 
XBRL Instance Document
     
101.SCH
 
XBRL Taxonomy Extension Schema Document
     
101.CAL
 
XBRL Taxonomy Extension Calculation Linkbase Document
     
101DEF
 
XBRL Taxonomy Extension Definition Linkbase Document
     
101.LAB
 
XBRL Taxonomy Extension Labels Linkbase Document
     
101.PRE
 
XBRL Taxonomy Extension Presentation Linkbase Document
 
 
17

 
 
                   
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.
 
INTERNAL FIXATION SYSTEMS, INC.
 
       
       
/s/ Stephen J. Dresnick, MD
   
/s/ Laura Cattabriga
Name: Stephen J. Dresnick, MD
   
Name: Laura Cattabriga
Title:   Principal  Executive Officer
   
Title:  Principal  Financial Officer
       
Dated:  November 21 , 2011
     
 
 
 
 
 18