UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

 

FORM 10-Q

 

(Mark One)

 

For the quarterly period ended July 25, 2014 or

 

 

For the transition period from ______________ to _______________

 

 

Cyberonics, Inc.

 

(Exact name of registrant as specified in its charter)

 

 

(281) 228-7200

(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   ☑No  ◻

 

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    ☑No  ◻

 

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer or a smaller reporting company.  See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act.

 

 

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).

 

 

Indicate the number of shares outstanding of each of the issuer's classes of common stock, as of the latest practicable date.

 

 

 

 

 

 

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CYBERONICS, INC.

 

TABLE OF CONTENTS

 

 

In this Quarterly Report on Form 10-Q, “Cyberonics,” “the Company,” “we,” “us” and “our” refer to Cyberonics, Inc. and its consolidated subsidiaries (Cyberonics Europe BVBA, Cyberonics France Sarl, Cyberonics Holdings LLC, CYBX Netherlands C.V., Cyberonics Spain, S.L. and Cyberonics Latam, S.R.L.).

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Index 

 

PART I. FINANCIAL INFORMATION

 

ITEM 1 CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

 

CYBERONICS, INC. AND SUBSIDIARIES

 

CONDENSED CONSOLIDATED STATEMENTS OF INCOME (UNAUDITED)

 

 

 

 

 

 

CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (UNAUDITED)

 

 

 

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Index 

 

CYBERONICS, INC. AND SUBSIDIARIES

 

CONDENSED CONSOLIDATED BALANCE SHEETS

 

 

 

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Index 

 

CYBERONICS, INC. AND SUBSIDIARIES

 

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)

 

 

 

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Index 

 

CYBERONICS, INC. AND SUBSIDIARIES

 

CONDENSED CONSOLIDATED STATEMENT OF STOCKHOLDERS EQUITY (UNAUDITED)

 

 

 

 

 

 

 

 

 

 

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Index 

 

 

CYBERONICS, INC. AND SUBSIDIARIES

 

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)

For the Period Ended July 25, 2014

 

Note 1.  Basis of Presentation and Use of Accounting Estimates

 

Nature of Operations.  We are a medical device company, incorporated in 1987, engaged in the design, development, sales and marketing of implantable medical devices that deliver a unique therapy, vagus nerve stimulation (“VNS”) therapy, using pulsed electrical signals applied to the vagus nerve approved for the treatment of drug-resistant epilepsy and treatment-resistant depression (“TRD”). We are focused on creating new markets, continuing to advance our current products, developing new medical devices for patients with epilepsy and expanding our business into other indications and other neuroscience opportunities. We are headquartered in Houston, Texas and are approved to market the VNS Therapy® System in more than 73 countries worldwide.

 

Basis of Presentation. The accompanying unaudited condensed consolidated financial statements of Cyberonics, Inc. and its consolidated subsidiaries (collectively “Cyberonics”) at July 25, 2014 have been prepared in accordance with generally accepted accounting principles in the United States of America (“U.S. GAAP”) for interim financial information, the instructions to Form 10-Q and Rule 10-01 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 accompanying condensed consolidated balance sheet of Cyberonics at April 25, 2014 has been prepared from audited financial statements. In the opinion of management, all the adjustments, consisting of normal recurring adjustments, considered necessary for a fair presentation have been included. Operating results for the thirteen weeks ended July 25, 2014 are not necessarily indicative of the results that may be expected for any other interim period or the full year ending April 24, 2015. The financial information presented herein should be read in conjunction with the audited consolidated financial statements and notes thereto included in our Annual Report on Form 10-K for the fiscal year ended April 25, 2014 (“2014 Form 10-K”).

 

Fiscal Year-End.  We utilize a 52/53-week fiscal year that ends on the last Friday in April. Our fiscal years 2015 and 2014 will end or ended April 24, 2015 and April 25, 2014, respectively, and are 52-week years.

 

Use of Estimates. The preparation of our condensed consolidated financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the amounts reported in such financial statements and accompanying notes. These estimates are based on management's best knowledge of current events and actions we may undertake in the future. Estimates are used in accounting for, among other items, useful lives for depreciation of plant and equipment, valuation of  intangible asset investments, amortization of intangible assets, deferred tax assets and liabilities and uncertain income tax positions and stock-based compensation. Actual results could differ materially from those estimates.

 

Consolidation.  The accompanying consolidated financial statements include Cyberonics, Inc. and our wholly-owned subsidiaries. All significant intercompany accounts and transactions have been eliminated.

 

Segments.  We have one operating and reportable segment that develops, manufactures and markets our proprietary implantable medical devices that deliver VNS therapy. Our chief operating decision-maker reviews financial information presented on a consolidated basis for purposes of making operating decisions and assessing financial performance.

 

 

Note 2.  Accounts Receivable and Allowance for Bad Debt

 

Accounts receivable, net consisted of the following:

 

 

 

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Note 3.  Inventories

 

Inventories consisted of the following:

 

 

 

Note 4.  Property, Plant and Equipment

 

Property, plant and equipment consisted of the following:

 

 

Note 5.  Intangible Assets

 

Schedules of finite-lived intangible assets:

 

 

The weighted average amortization period in years for our intangible assets at July  25, 2014:

 

 

Aggregate intangible asset amortization was $324,712 and $346,162 for the thirteen weeks ended July 25, 2014 and July 26, 2013, respectively, which was primarily reported in research and development expense in the consolidated statements of income. Amortization recorded for the thirteen weeks ended July 26, 2013 included net impairment losses of approximately $62,000 of developed technology rights. This impairment loss was due to intellectual property that no longer factored into our product plans.

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The estimated future amortization expense based on our finite-lived intangible assets at July 25, 2014:

 

 

 

 

 

Note 6. Investments

 

Short-Term Investments detail.  Our short-term investments consist of securities with maturities ranging from 6 to 12 months and carried at amortized cost.  Refer to “Note 16. Fair Value Measurements.” 

 

 

 

Long-Term Investments detail: Our long-term investments consisted of equity positions in two privately-held companies carried at original cost under the cost-method,  refer to “Note 16. Fair Value Measurements”:

 

 

 

 

Note 7.  Accrued Liabilities

 

Accrued liabilities consisted of the following:

 

 

 

Note 8.  Long-Term Liabilities

 

Other long-term liabilities consisted of the following:

 

 

 

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Note 9.  Commitments and Contingencies

 

Litigation

 

 

On December 5, 2013, the United States District Court for the District of Massachusetts unsealed a qui tam action (13-cv-10214) filed by former employee Andrew Hagerty against us under the Federal False Claims Act (“FCA”) and the false claims statutes of 28 different states and the District of Columbia.  The FCA prohibits the submission of a false claim or the making of a false record or statement to secure reimbursement from, or limit reimbursement to, a government-sponsored program.  A “qui tam” action is a lawsuit brought by a private individual, known as a relator, purporting to act on behalf of the government.  The action is filed under seal, and the government, after reviewing and investigating the allegations, may elect to participate, or intervene, in the lawsuit. Typically, following the government’s election, the qui tam action is unsealed.

 

In October 2013, the United States Department of Justice declined to intervene in the qui tam action, but reserved the right to do so in the future.  In December 2013, the district court unsealed the action.  In April 2014, we filed a motion to dismiss the qui tam complaint, alleging a number of deficiencies in the lawsuit.  In May 2014, the relator filed a First Amended Complaint.  We filed another motion to dismiss in June 2014, and the parties completed their briefing on the motion in July 2014. 

 

On July 29, 2014, the Court heard oral arguments on the pending Motion to Dismiss the relator’s First Amended Complaint.

 

Previously, in August 2012, Mr. Hagerty filed a related lawsuit in the same court and then voluntarily dismissed that lawsuit immediately prior to filing this qui tam action. In addition to his claims for wrongful and retaliatory discharge stated in the first lawsuit, the qui tam lawsuit alleges that we violated the FCA and various state false claims statutes while marketing our VNS Therapy System and seeks an unspecified amount consisting of treble damages, civil penalties, and attorneys’ fees and expenses.

 

 We believe that our marketing practices were and are in compliance with applicable legal standards, and we will continue to defend this case vigorously. We can make no assurance as to the resources that will be needed to respond to these matters or the final outcome,  and we cannot estimate a range of potential loss or damages.

 

Additionally, we are the subject of various pending or threatened legal actions and proceedings that arise in the ordinary course of our business.  These matters are subject to many uncertainties and outcomes that are not predictable with assurance and that may not be known for extended periods of time.  Since the outcome of these matters cannot be predicted with certainty, the costs associated with them could have a material adverse effect on our consolidated net income, financial position or cash flows.

 

Licensing and Technology Agreements

 

In June 2012, we entered into a patent license agreement and a technology transfer agreement with Imricor Medical Systems, Inc. for the integration of magnetic resonance imaging compatibility with our leads. We agreed to a  future milestone-based payment and minimum royalty fees. We expect future minimum expenditures of $1.3 million through fiscal year 2019.

 

In October 2009, we entered into a contractual arrangement with Flint Hills Scientific, L.L.C. that includes minimum consulting and royalty fees related primarily to cardiac-based seizure detection patents and patent applications. We expect future minimum expenditures of $3.1 million through fiscal year 2019.

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Note 10.  Stock-Based Incentive Plans

 

Stock-Based Incentive Plans

 

Stock-based awards may be granted under the Cyberonics, Inc. Amended and Restated New Employee Equity Inducement Plan (“Inducement Plan”) or the Cyberonics, Inc. 2009 Stock Plan (“2009 Plan”). The Inducement Plan, is not a stockholder-approved plan and may be used only for awards offered as an inducement to new employees.  Our stockholders approved the 2009 Plan in September 2009 and approved an amendment to the 2009 Plan in September 2012 increasing the aggregate maximum number of shares that can be issued under the plan. These plans provide for the grant of non-qualified and incentive stock options, stock appreciation rights, restricted stock, restricted stock units, phantom stock units, and other stock-based awards.

 

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Stock-Based Compensation

 

Amounts of stock-based compensation recognized in the consolidated statement of income by expense category are as follows:

 

 

Amounts of stock-based compensation expense recognized in the consolidated statement of income by type of arrangement are as follows:

 

 

 

 

 

Note 11.  Employee Retirement Savings Plan and Deferred Compensation Plan

 

The Employee Retirement Savings Plan.  We sponsor the Cyberonics, Inc. Employee Retirement Savings Plan (the “Savings Plan”), which qualifies under Section 401(k) of the IRC. We match 50% of employees’ contributions up to 6% of eligible earnings, subject to a five-year vesting period. We incurred expenses for these contributions of approximately $549,000 and $600,000 for the thirteen weeks ended July 25, 2014 and July 26, 2013, respectively.

 

The Deferred Compensation Plan.  Effective as of January 1, 2013, we offered the Cyberonics, Inc. Nonqualified Deferred Compensation Plan (the “Deferred Compensation Plan”) to a group consisting of certain members of middle and senior management. The Deferred Compensation Plan is an arrangement intended to be exempt from the requirements of Title I of the Employee Retirement Income Security Act of 1974 and in compliance with Section 409A of the Internal Revenue Code (“IRC”). As part of our overall compensation program, the Deferred Compensation Plan provides an opportunity for the group to defer up to 50% of their annual base salary and commissions and 100% of their bonus or performance-based compensation until the earlier of (i) termination of employment or (ii) an elected distribution date. In addition, effective January 1, 2014, we agreed to match 50% of the contributions of non-officer members of the group up to 6% of eligible earnings, subject to a five-year vesting period. As of July 25, 2014, the liability for compensation deferred under the Deferred Compensation Plan was $0.9 million. We incurred expenses, including company match, for this plan of approximately $49,000 for the thirteen weeks ended July 25, 2014. 

 

 

Note 12.  Stockholders’ Equity

 

Common shares are repurchased on the open market pursuant to the Company’s repurchase plans. In December 2013, the Board authorized the repurchase of one million shares of common stock, which is expected to be completed by April 2015. As of July 25, 2014, we have 550,700 shares available for future repurchases under the current plan. 

 

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Note 13.  Income Taxes

 

Our effective tax rate for the thirteen weeks ended July 25, 2014 was 39.1%. This rate was primarily due to the federal income tax rate of 35.0%, plus state and foreign income taxes, permanent differences and discrete items. We recorded a 2.6% unfavorable discrete item related to a change in our international ownership structure. In addition, we estimate that our rate was unfavorably affected by 1.0% due to the federal research and development tax credit that has not yet been enacted for calendar year 2014. Permanent differences relate to transactions that are reported for GAAP purposes but are not reported for income tax purposes in accordance with the Internal Revenue Code.

 

Our effective tax rate for the quarter ended July 26, 2013 was 35.8%, which was primarily due to our federal income tax rate of 35% plus state and foreign income taxes and permanent differences, less the favorable effect of the Texas R&D tax credit which was enacted during the thirteen weeks ended July 26, 2013.

 

 

Note 14.  Income Per Share

 

The following table sets forth the computation of basic and diluted net income per share of common stock:

 

 

 

 

 

 

Note 15. Foreign Currency

 

We operate in a number of international markets and are exposed to the risk of foreign currency exchange rate movements, particularly with respect to the U.S. dollar versus the euro. The effect on earnings of our aggregate foreign currency exchange gains and losses are reported in Other Income Expense, Net in the consolidated income statement. Our foreign currency exchange gains for the thirteen weeks ended July 25, 2014 were approximately $171,000, and losses for the thirteen weeks ended July 26, 2013 were approximately $131,000. We did not hedge our foreign currency risk in the quarter ended July 25, 2014 or in fiscal year 2014, however, in the future we may hedge our foreign currency exposures.

 

 

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Note 16. Fair Value Measurements

 

Fair value is defined as the exit price or the amount that we would receive upon selling our assets in an orderly transaction to a market participant as of the period ending on the measurement date. The guidance also establishes a hierarchy for inputs used in measuring fair value. The hierarchy is broken down into three levels defined as follows:

 

 

Observable inputs are inputs market participants would use in valuing the asset based on market data obtained from sources independent of us. Unobservable inputs are inputs that reflect our assumptions about the factors market participants would use in valuing our asset and are developed based on the best information available in the circumstances. The categorization of assets within the valuation hierarchy is based on the lowest level of input that is significant to the fair value measurement. Level 3 financial assets include investment securities for which there is limited market activity such that the determination of fair value requires significant judgment or estimation. 

 

Financial Instruments  

 

The carrying values of our cash and cash equivalents, accounts receivable, accounts payable and accrued liabilities approximate their fair values due to the short-term nature of these items.

 

Short-Term Investments

 

Our short-term investments consisted of certificates of deposit and commercial paper with maturities of six to 12 months that are considered held-to-maturity debt securities and carried at amortized cost, which approximated fair value. The next contractual maturity date will be in December 2014 for our certificate of deposit and in January 2015 for our commercial paper.  Refer to “Note 6. Investments” for further information.

 

Investment in Cost-Method Equity Securities

 

Our investment in cost-method equity securities consisted of convertible preferred stock of two privately-held companies for which there are no quoted market prices. Refer to “Note 6. Investments” for further information. We have not estimated the fair value of these investments because their fair value is not readily determinable without incurring excessive cost. However, each reporting period we evaluate whether an event or change in circumstances may indicate a significant adverse effect on the fair value of these investments. Impairment indicators include failed clinical trials, adverse regulatory actions, a change in the investees’ competitive position or difficulty in raising funds. The information we review falls into Level 3 of the fair value hierarchy.

 

 

 

Note 17.  Geographic Information

 

 

 

 

 

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Note 18. New Accounting Pronouncement

 

In July 2013, the Financial Accounting Standards Board (“FASB”) issued amended guidance on the financial statement presentation of an unrecognized tax benefit when a net operating loss carry-forward, similar tax loss, or tax credit carryforward exists. The guidance requires an unrecognized tax benefit, or a portion of an unrecognized tax benefit, to be presented as a reduction of a deferred tax asset when a net operating loss carry-forward, similar tax loss, or tax credit carry-forward exists, with certain exceptions. This accounting guidance is effective prospectively.  As a result of our adoption of this guidance during the quarter ended July 25, 2014, we reclassified the entire balance of our liability for uncertain tax benefits to current deferred tax assets. See “Note 8. Long-Term Liabilities” in the notes to our consolidated financial statements.

 

In May 2014, the Financial Accounting Standards Board (the “FASB”) issued accounting guidance on revenue recognition for revenue from contracts with customers. This guidance requires an entity to recognize the amount of revenue to which it expects to be entitled for the transfer of promised goods or services to customers and will replace most existing revenue recognition guidance when it becomes effective. This new standard is effective for annual reporting periods beginning after December 15, 2016. Early application is not permitted and the standard permits the use of either the retrospective or cumulative effect transition method. We are evaluating the effect this standard will have on our financial statements and related disclosures. We have not yet selected a transition method nor have we determined the effect of the standard on our ongoing financial reporting.

 

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Index 

ITEM 2.  MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

 

Cautionary Statement Regarding Forward Looking Statements

 

This Quarterly Report on Form 10-Q (“Form 10-Q”) contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”). The Private Securities Litigation Reform Act of 1995 provides a “safe harbor” for certain forward-looking statements. The words “believe,” “potential,” “forecast,” “project,” “expect,” “anticipate,” “plan,” “intend,” “foresee,” “should,” “would,” “could,” “may,” “estimate,” “project” or other similar expressions are intended to identify forward-looking statements. These forward-looking statements are based on our current expectations and beliefs concerning future developments and their potential effects on us. There can be no assurance that future developments affecting us will be those that we anticipate. All comments concerning our expectations for future revenues and operating results are based on our forecasts for our existing operations. These forward-looking statements involve significant risks and uncertainties (some of which are beyond our control) and assumptions. They are subject to change based on various factors, including but not limited to the risks and uncertainties summarized below:

 

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Other factors that could cause our actual results to differ from our projected results are described in (1) “Part II, Item 1A. Risk Factors” and elsewhere in this Form 10-Q, (2) our Annual Report on Form 10-K for the period ended April 25, 2014 (“2014 Form 10-K”), (3) our reports and registration statements filed and furnished from time to time with the U.S. Securities and Exchange Commission (“SEC”) and (4) other announcements we make from time to time.

 

Readers are cautioned not to place undue reliance on forward-looking statements, which speak only as of the date hereof.  We undertake no obligation to update or revise any forward-looking statements after the date they are made, whether as a result of new information, future events or otherwise. You should read the following discussion and analysis in conjunction with our unaudited consolidated financial statements and related notes included elsewhere in this report. Operating results for the thirteen weeks ended July 25, 2014 are not necessarily indicative of future results, including the full fiscal year. You should also refer to our “Annual Consolidated Financial Statements,” “Notes” thereto, and “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and “Risk Factors” contained in our 2014 Form 10-K.

 

Business Overview

 

We are a medical device company, incorporated in 1987, engaged in the design, development, sales and marketing of an implantable medical device, the VNS Therapy System, which provides neuromodulation therapy for the treatment of refractory epilepsy and treatment-resistant depression (“TRD”). We are also investigating neuromodulation therapy for another indication,  chronic heart failure, and developing non-implantable device solutions for the management of epilepsy.

 

Our VNS Therapy System includes the following:

 

 

The VNS therapy pulse generator and lead are surgically implanted, generally during an outpatient procedure.  The battery contained in the generator has a finite life, which varies according to the model and the stimulation parameters used for each patient. At or near the end of the useful life of a battery, a patient may, with the advice of a physician, choose to have a generator implanted, with or without replacing the original lead.

 

VNS Therapy for Epilepsy

 

The U.S. Food and Drug Administration (“FDA”) approved our VNS Therapy System in July 1997 for use as an adjunctive therapy in epilepsy patients over 12 years of age in reducing the frequency of partial onset seizures that are refractory or resistant to antiepileptic drugs. Regulatory bodies in Canada, the European Economic Area, certain countries in Eastern Europe, including Russia, South America and Africa, Australia and certain countries in Asia, including Japan, China and Taiwan, have approved the VNS Therapy System for the treatment of epilepsy, many without age restrictions or seizure-type limitations.

 

We sell the VNS Therapy System for refractory epilepsy to hospitals and ambulatory surgery centers. In addition to maintaining and expanding our regulatory approvals, our ability to successfully expand the commercialization of the VNS Therapy System depends on obtaining and maintaining favorable insurance coverage, coding and reimbursement for the device, the implant procedure and follow-up care.  This coverage allows our customers to invoice and be paid by third-party payers. Currently, there is broad coverage, coding and reimbursement for the VNS Therapy System for the treatment of refractory epilepsy.

 

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VNS Therapy for Depression

 

In July 2005, the FDA approved the VNS Therapy System for the adjunctive long-term treatment of chronic or recurrent depression for patients 18 years of age or older who are experiencing a major depressive episode and have not had an adequate response to four or more adequate anti-depressant treatments. Regulatory bodies in the European Economic Area, Canada and Israel have approved the VNS Therapy System for the treatment of chronic or recurrent depression in patients who are in a treatment-resistant or treatment-intolerant depressive episode without age restrictions. In May 2007, the Centers for Medicare and Medicaid Services (“CMS”) issued a national determination of non-coverage within the U.S. with respect to reimbursement of VNS Therapy for patients with TRD, significantly limiting access to this therapeutic option for most patients. Following this determination, we have not engaged in active commercial efforts with respect to TRD in any of our markets.  As a result of new clinical evidence, including the completion of a post-approval dosing study and more than five publications in peer-reviewed journals, we submitted a formal request to CMS for reconsideration of VNS therapy for TRD for a Medicare beneficiary sub-population that is estimated to represent approximately 0.2% of CMS’s patient population.  CMS declined our request for reconsideration in May 2013.  We continue to support patient and psychiatrist appeals to the national non-coverage determination and are working with other interested parties to pursue access to the VNS Therapy System for patients experiencing TRD.  The timing and outcome of these efforts remain uncertain.

 

Product Releases and Future Development

 

In 2011, we commenced a program to ascertain whether the VNS Therapy System could be utilized for treating patients with chronic heart failure (“CHF”). This program included the ANTHEM-HF pilot study, which has been concluded. Regulatory submission to obtain a CE Mark is now underway with the recent submission of the first module comprising the clinical data.  We expect to complete the submission before the end of the calendar year 2014.  We may consider partnering with another company to further develop or commercialize this technology.

 

During the quarter ended July 25, 2014, we submitted the ProGuardian™ System for FDA approval. The ProGuardian System is an in-home event monitoring system, capable of seizure monitoring, logging and notification using external heart-monitoring and movement-related sensor advancements. The first ProGuardian System product will be the ProGuardianREST™ System for use during nighttime and periods of rest.

 

In addition, we continue to invest in and support the regulatory approval of the AspireSR™ generator in the U.S. and the development of future generations of our VNS Therapy System that include generators with wireless communication technology (Centro™ generators), new stimulation paradigms, rechargeable battery technology and the integration of magnetic resonance imaging compatibility with our leads. We also sponsor post-marketing studies in refractory epilepsy and support a variety of studies for our product development efforts to build clinical evidence for VNS therapy. A description and the status of these studies may be found at www.clinicaltrials.gov.

 

Reimbursement

 

The CMS annually updates and issues its reimbursement rates under the comprehensive Ambulatory Payment Classification (“APC”) system.  We estimate that the Centers for Medicare and Medicaid Services (“CMS”) pay for approximately 25% to 30% of the VNS Therapy System implants under Medicare and approximately 15% to 20% under Medicaid. CMS announced calendar year 2014 final rates in November 2013.  The final APC rates for calendar year 2014 were increased as compared to the calendar year 2013 final APC rates by 7.7% for full systems and 5.1% for generator-only replacements. The calendar year 2013 reimbursement rates increased over the calendar year 2012 rates by 5.7% for full systems and 7.9% for generator-only replacements. We believe reimbursement or payment rates from private insurers were largely unchanged over the past year.

 

On July 3, 2014, CMS released the calendar year 2015 proposed APC rates. The proposed rates have decreased as compared to the calendar year 2014 final APC rates by 5.7% for full systems and 1.9% for generator only replacements. A decrease in reimbursement rates or change in reimbursement methodology by CMS, including the proposed new comprehensive APCs, could have an adverse impact on our business and our future operating results.

 

Patents, Licenses and Proprietary Rights

 

Proprietary protection for our products is important to our business. We seek U.S. and foreign patents on selected inventions, acquire licenses under selected patents of third parties, and enter into confidentiality agreements with our employees, vendors and consultants with respect to technology that we consider important to our business. We also rely on trade secrets, unpatented know-how and continuing technological innovation to develop and maintain our competitive position.

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Index 

Significant Accounting Policies and Critical Accounting Estimates

 

We have adopted various accounting policies in preparing the consolidated financial statements in accordance with U.S. generally accepted accounting principles (“U.S. GAAP”). Our significant accounting policies are disclosed in Note 1 to the Consolidated Financial Statements included in our 2014 Form 10-K.

 

Preparation of our unaudited condensed consolidated financial statements in conformity with U.S. GAAP requires us to adopt various accounting policies and to make estimates and assumptions that affect the reported amounts in such financial statements and accompanying notes. On an ongoing basis, we evaluate our estimates and assumptions, including those related to sales return reserves, amortization periods for and impairment of intangible assets, income taxes and stock-based compensation. We base our estimates on historical experience and various other assumptions that we believe to be reasonable under the circumstances, and the results form the basis for making judgments about the reported value of assets, liabilities, revenues and expenses. Actual results may differ from these estimates. There have been no material changes to our critical accounting policies from the information provided in “Part II, Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations” included in our 2014 Form 10-K.

 

Results of Operations

Net Sales

 

The table below illustrates comparative net product revenue and unit sales by geographic area and our licensing revenues.  Product shipped to destinations outside the U.S. is classified as “International” sales (in thousands except unit sales):

 

 

 

 

 

U.S. net product sales for the thirteen weeks ended July 25, 2014 increased by $2.5 million, or 4.4%, as compared to the thirteen weeks ended July 26, 2013, due to increased unit sales of 1.8% and an increased average selling price of 2.6%. The average selling price increased due to continued market penetration of our higher-priced AspireHC generator and price increases effective January 1, 2014. Unit sales increased in the U.S. by 1.8%, which was less than the equivalent prior year period unit growth rate of 6.2%. We believe that the lower growth rate of U.S. unit sales was partly as a result of decreased new patient adoption in comprehensive epilepsy centers. We attribute this decrease to the increase of available alternative therapeutic options. In addition, we believe that the transition of Medicaid beneficiaries to privately managed health plans has resulted in a slower rate of new patient adoption. The average selling price increased by 2.6% as compared to the equivalent prior year period growth rate of 4.6%, this decline was primarily due to lead sales having declined as a percent of generator sales. 

 

International net product sales for the thirteen weeks ended July 25, 2014 increased by $2.1 million, or 19.2%, as compared to the thirteen weeks ended July 26, 2013, due primarily to increased unit sales of 13.9% and an increased average selling price of 5.3%. Unit sales increased in most of our international markets due to continued market penetration. The average selling price increased primarily due to a 4.7% favorable foreign currency impact. On a constant currency basis, international sales increased by 14.5%. 

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Licensing revenues decreased to zero from $1.5 million when comparing the thirteen weeks ended July 25, 2014 to the equivalent prior year period due to our having fully amortized the balance of deferred revenue during the prior year period. Our analysis of cost of sales and major expenses in the table below includes the effects of deferred revenue. If deferred revenue were excluded from the quarter ended July 26, 2013, selling, general and administrative (“SG&A”) as a percent of net sales would have been 43.5% and the increase in SG&A would have been 2.4%.

 

 

Cost of Sales and Expenses

 

The table below illustrates our cost of sales and major expenses as a percent of net sales:

 

 

 

 

Cost of Sales

 

Cost of sales consists primarily of direct labor, allocated manufacturing overhead, the acquisition cost of raw materials and components and the medical device excise tax (“MDET”). Our cost of sales as a percent of net sales for the thirteen weeks ended July 25, 2014 decreased by 0.6% to 8.9%, as compared to the thirteen weeks ended July 26, 2013. This decrease was primarily due to economies of scale and product mix. 

 

Selling, General and Administrative (“SG&A”) Expenses

 

SG&A expenses are comprised of sales, marketing, general and administrative activities. SG&A expenses as a percent of net sales for the thirteen weeks ended July 25, 2014 increased by 3.3% to 45.9%, as compared to the thirteen weeks ended July 26, 2013, primarily due to higher sales and marketing expenses and pre-operational expenses at our Costa Rica manufacturing facility. Our sales and marketing expenses were up primarily due to the expansion of our sales force and increased marketing efforts in both the U.S. and our international markets. In addition, our international SG&A expenses included an unfavorable foreign currency impact. On a constant currency basis SG&A expenses increase by 3.0%.

 

Research and Development (“R&D”) Expenses

 

R&D expenses consist of expenses related to our product design and development efforts, clinical trial programs and regulatory activities. R&D expenses as a percentage of sales for the thirteen weeks ended July 25, 2014 decreased 2.7% to 14.7%, as compared to the thirteen weeks ended July 26, 2013.  This decrease in R&D expense was primarily due to the completion of certain projects submitted for regulatory approval and the timing of expenditures with respect to other projects. 

 

Litigation Settlement

 

We settled a lawsuit relating to our 1988 patent license agreement with Dr. Jacob Zabara, resulting in a $7.4 million charge, before a tax benefit of $2.7 million, recorded as a separate item in our operating expenses in the consolidated statement of income for the thirteen weeks ended July 26, 2013. 

 

Other Income (Expense), Net

 

Other Income (Expense), Net consisted of foreign exchange gains and losses. We operate in a number of international markets and are exposed to the risk of foreign currency exchange rate movements, particularly with respect to the U.S. dollar versus the euro. Our  aggregate foreign currency exchange gains for the thirteen weeks ended July 25, 2014 were approximately $171,000, and losses for the thirteen weeks ended July 26, 2013 were approximately $131,000. We did not hedge our foreign currency risk in the quarter ended July 25, 2014 or in fiscal year 2014; however, in the future we may hedge our foreign currency exposures.

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Income Taxes

 

Our effective tax rates were 39.1% and 35.8% for the thirteen weeks ended July 25, 2014 and July 26, 2013, respectively. The rate for the thirteen weeks ended July 25, 2014 was primarily due to our federal income tax rate of 35%, plus state and foreign income taxes, permanent differences plus a 2.6% unfavorable discrete tax item related to a change in our international ownership structure. In addition, we were unable to record a federal R&D tax credit since it has not been enacted for calendar year 2014 that caused our effective tax rate, for the quarter ended July 25, 2014, to be 1.0% higher than expected.  Our effective tax rate for the quarter ended July 26, 2013 was 35.8%. This rate was primarily due to our federal income tax rate of 35%, plus state and foreign income taxes, permanent differences and the favorable effect of the Texas R&D tax credit, which was enacted during the thirteen weeks ended July 26, 2013.  Permanent differences relate to transactions that are reported for GAAP purposes but are not reported for income tax purposes in accordance with the Internal Revenue Code.

 

Liquidity and Capital Resources

 

Cash and Cash Equivalents

 

Cash Flows

 

Net cash provided by (used in) operating, investing and financing activities for the thirteen weeks ended July 25, 2014 and July 26, 2013 was as follows (in thousands):

 

 

 

 

Operating Activities

 

Cash provided by operating activities increased by $8.6 million during the thirteen weeks ended July 25, 2014 as compared to the thirteen weeks ended July 26, 2013, primarily due to a $4.8 million increase in net income, an increase in non-cash expenses, net of non-cash income, of $5.8 million, offset by an increased net cash outflow from operating assets and liabilities of $2.0 million. For the quarter ended July 25, 2014, the utilization of deferred tax assets related primarily to tax credits added $3.4 million to operating cash flow. In addition, for the quarter ended July 25, 2014; our accounts receivable collections added $2.1 million to operating cash flow due to remittances from a single international customer, we used cash of $1.1 million to increase inventory to ensure an adequate supply of products and to prepare our Costa Rica manufacturing facility for operations, and we used operating cash of $5.0 million to settle liabilities related primarily to prior year-end incentive compensation accruals. 

 

Investing Activities

 

Cash used in investing activities decreased by $15.3 million during the thirteen weeks ended July 25, 2014, as compared to the thirteen weeks ended July 26, 2013. In the current quarter our funding of short-term investments fell by $10.0 million, in addition, our investment in PP&E fell by $3.7 million, due to a reduction in infrastructure improvement in the U.S. offset by continued investment in manufacturing equipment for our Costa Rica manufacturing plant. This plant is expected to be operational late in calendar year 2014. Our investments in intangible assets fell by $1.3 million, as we did not purchase any intellectual property during the quarter ended July 25, 2014.

 

Financing Activities

 

Cash used in financing activities increased by $5.0  million during the thirteen weeks ended July 25, 2014, as compared to the thirteen weeks ended July 26, 2013, primarily due to a $4.2 million reduction in cash proceeds related to stock-based compensation. The stock-based compensation tax proceeds are equity-based tax benefits and are considered a financing cash source. 

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Index 

Liquidity

 

We believe our current liquidity and capital resources will be adequate to fund anticipated business activities for the next 12 months. Our liquidity could be adversely affected by factors affecting future operating results, including those referred to in “Item 1A. Risk Factors” previously.

 

ITEM 3.    QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

 

We are exposed to certain market risks as part of our ongoing business operations, including risks from foreign currency exchange rates and concentration of credit that could adversely affect our consolidated balance sheet, net income and cash flow. We manage these risks through regular operating and financing activities and, at certain times, derivative financial instruments. Quantitative and qualitative disclosures about these risks are included in our 2014 Form 10-K for the year ended April 25, 2014 in Part II, Item 7A. There have been no material changes from the information provided therein.

 

ITEM 4.   CONTROLS AND PROCEDURES

 

Evaluation and Disclosure Controls and Procedures

 

We maintain a system of disclosure controls and procedures, as defined in Rules 13a-15(e) and 15d-15(e) of the Exchange Act, that are designed to ensure that information required to be disclosed in our reports filed under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms. This information is also accumulated and communicated to management, including our Chief Executive Officer and Chief Financial Officer, as appropriate, to allow timely decisions regarding required disclosure. Our management, under the supervision and with the participation of our Chief Executive Officer and Chief Financial Officer, evaluated the effectiveness of the design and operation of our disclosure controls and procedures as of the end of the most recent fiscal quarter reported on herein.  Based on that evaluation, our Chief Executive Officer and Chief Financial Officer concluded that our disclosure controls and procedures were effective as of July 25, 2014.

 

Changes in Internal Control over Financial Reporting

 

During the thirteen weeks ended July 25, 2014, there have been no changes that have materially affected or are reasonably likely to materially affect our internal control over financial reporting.

 

 

PART II.  OTHER INFORMATION

 

ITEM 1.  LEGAL PROCEEDINGS

 

We are the subject of various pending or threatened legal actions and proceedings that arise in the ordinary course of our business.  Such matters are subject to many uncertainties and outcomes that are not predictable with assurance and that may not be known for extended periods of time.  Any material legal proceedings are discussed in “Note 9. Commitments and Contingencies - Litigation” in the Notes to Condensed Consolidated Financial Statements and are incorporated herein by reference.  Since the outcome of such lawsuits or other proceedings cannot be predicted with certainty, the costs associated with such proceedings could have a material adverse effect on our consolidated net income, financial position or cash flows.

 

ITEM 1A.  RISK FACTORS

 

Our business faces many risks. Any of the risks referenced below or elsewhere in this Form 10-Q or our other SEC filings could have a material impact on our business and consolidated financial position or results of operations.  Additional risks and uncertainties not presently known to us or that we currently believe to be immaterial may also impair our business operations.

 

For a detailed discussion of the risk factors that should be understood by any investor contemplating investment in our stock, please refer to “Item 1A. Risk Factors” in our 2014 Form 10-K. There has been no material change in the risk factors set forth in our 2014 Form 10-K. 

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Index 

 

ITEM 2.  UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS

 

 

 

 

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Index 

ITEM 6.   EXHIBITS

 

The exhibits marked with the asterisk symbol (*) are filed, or furnished in the case of Exhibit 32.1, with this Form 10-Q.