SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 Form 10-Q (Mark One) [X] QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the Quarterly period ended June 30, 1997 OR [ ] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from ____________ to _____________ Commission file number 1-9913 KINETIC CONCEPTS, INC. - ------------------------------------------------------------------- (Exact name of registrant as specified in its charter) Texas 74-1891727 - ------------------------------- ----------------------------------- (State of Incorporation) (I.R.S. Employer Identification No.) 8023 Vantage Drive San Antonio, Texas 78230 (210) 524-9000 - ------------------------------- ----------------------------------- (Address of principal executive (Registrant's phone number) offices and zip 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 X No ___ Indicate the number of shares outstanding of each of the issuer's classes of common stock, as of the latest practicable date. Common Stock: 42,664,418 shares as of August 1, 1997 PART I - FINANCIAL INFORMATION ITEM 1. FINANCIAL STATEMENTS - ------------------------------ KINETIC CONCEPTS, INC. AND SUBSIDIARIES Condensed Consolidated Balance Sheets (in thousands) June 30, December 31, 1997 1996 ----------- ------------ Assets: (unaudited) - ------- Current assets: Cash and cash equivalents........... $ 38,388 $ 59,045 Accounts and notes receivable, net.. 74,129 58,241 Inventories......................... 21,173 20,042 Prepaid expenses and other......... 8,722 6,860 ------- ------- Total current assets............. 142,412 144,188 ------- ------- Net property, plant and equipment..... 72,060 65,224 Notes receivable...................... 3,250 -- Goodwill, less accumulated amortiza- tion of $12,510 in 1997 and $12,021 in 1996............................. 23,047 13,541 Other assets, less accumulated amortization of $2,906 in 1997 and $2,837 in 1996...................... 30,488 30,440 ------- ------- $271,257 $253,393 ======= ======= Liabilities and Shareholders' Equity: - ------------------------------------- Current liabilities: Accounts payable.................... $ 4,740 $ 3,974 Current installments of capital lease obligations....................... 134 118 Accrued expenses.................... 32,299 29,792 Income tax payable.................. 3,242 2,970 ------- ------- Total current liabilities........ 40,415 36,854 Capital lease obligations, net of current installments........................ 378 396 Deferred income taxes, net............ 7,528 5,065 Other................................. 218 -- ------- ------- 48,539 42,315 ------- ------- Minority interest..................... 204 -- Shareholders' equity: Common stock; issued and outstanding 42,305 in 1997 and 42,355 in 1996 42 42 Retained earnings................... 225,314 210,816 Cumulative foreign currency trans- lation adjustment................. (2,602) 555 Notes receivable from officers...... (240) (335) ------- ------- 222,514 211,078 ------- ------- $271,257 $253,393 ======= ======= See accompanying notes to condensed consolidated financial statements. ITEM 1. FINANCIAL STATEMENTS (CONTINUED) KINETIC CONCEPTS, INC. AND SUBSIDIARIES Condensed Consolidated Statements of Earnings (in thousands, except per share data) (unaudited) Three months ended Six months ended June 30, June 30, ------------------ ------------------ 1997 1996 1997 1996 ------- ------- ------- ------- Revenue: Rental and service..... $61,300 $54,095 $123,125 $110,885 Sales and other........ 13,731 10,177 25,087 20,974 ------ ------ ------- ------- Total revenue........ 75,031 64,272 148,212 131,859 Rental expenses......... 38,904 35,611 76,616 72,857 Cost of goods sold...... 5,770 3,786 10,012 7,829 ------ ------ ------- ------- 44,674 39,397 86,628 80,686 ------ ------ ------- ------- Gross profit........ 30,357 24,875 61,584 51,173 Selling, general and administrative expenses 14,134 12,154 29,144 24,711 ------ ------ ------- ------- Operating earnings.. 16,223 12,721 32,440 26,462 Net interest income..... 399 904 853 1,874 ------ ------ ------- ------- Earnings before income taxes and minority interest.......... 16,622 13,625 33,293 28,336 Income taxes............ 6,649 5,438 13,317 11,335 Minority interest....... 21 -- 21 -- ------ ------ ------- ------- Net earnings........ $ 9,952 $ 8,187 $ 19,955 $ 17,001 ====== ====== ======= ======= Earnings per common and common equivalent share............. $ 0.23 $ 0.18 $ 0.46 $ 0.37 ====== ====== ======= ======= Shares used in earnings per share computa- tions 43,806 46,459 43,737 46,015 ====== ====== ======= ======= See accompanying notes to condensed consolidated financial statements. ITEM 1. FINANCIAL STATEMENTS (CONTINUED) KINETIC CONCEPTS, INC. AND SUBSIDIARIES Condensed Consolidated Statements of Cash Flows (in thousands) (unaudited) Six months ended June 30, --------------------- 1997 1996 ---------- --------- Cash flows from operating activities: Net earnings................................ $ 19,955 $ 17,001 Adjustments to reconcile net earnings to net cash provided by operating activities: Depreciation and amortization........... 10,974 11,709 Provision for uncollectible accounts receivable............................ 1,434 1,187 Change in assets and liabilities: Increase in accounts receivable....... (15,656) (1,736) Increase in inventories............... (643) (1,983) Increase in prepaid and other assets.. (1,816) (2,395) Increase (decrease) in accounts payable............................. (291) 597 Increase (decrease) in accrued expenses............................ 1,065 (99) Increase in income taxes payable...... 272 630 Increase in deferred income taxes..... 2,463 492 ------- ------- Net cash provided by operating activities........................ 17,757 25,403 ------- ------- Cash flows from investing activities: Additions to property, plant, and equipment................................. (13,533) (12,480) Increase in inventory to be converted into equipment for short-term rental...... (3,645) (150) Dispositions of property, plant, and equipment................................. 1,096 750 Business acquired in purchase transactions, net of cash acquired...................... (12,445) -- Decrease in note receivable from principal shareholder............................... -- 10,000 Increase in other assets.................... (3,223) (1,340) ------ ------- Net cash used by investing activities (31,750) (3,220) ------ ------- Cash flows from financing activities: Repayments of capital lease obligations..... (53) -- Proceeds from the exercise of stock options. 1,963 4,276 Purchase and retirement of treasury stock... (4,133) (10,363) Cash dividends paid to shareholders......... (3,205) (3,331) Other....................................... 217 (138) ------ ------ Net cash used by financing activities (5,211) (9,556) ------ ------ Effect of exchange rate changes on cash and cash equivalents............................ (1,453) (160) ------ ------ Net increase in cash and cash equivalents..... (20,657) 12,467 Cash and cash equivalents, beginning of year 59,045 52,399 ------ ------ Cash and cash equivalents, end of period...... $ 38,388 $ 64,866 ====== ====== Supplemental disclosure of cash flow information: Cash paid during the first six months for: Interest................................. 84 82 Income taxes............................. 8,783 6,160 See accompanying notes to condensed consolidated financial statements. ITEM 1. FINANCIAL STATEMENTS (CONTINUED) KINETIC CONCEPTS, INC. AND SUBSIDIARIES NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (unaudited) (1) BASIS OF PRESENTATION --------------------- The financial statements presented herein include the accounts of Kinetic Concepts, Inc. and all subsidiaries (the "Company"). The condensed consolidated financial statements appearing in this quarterly report on Form 10-Q should be read in conjunction with the financial statements and notes thereto included in the Company's latest annual report. Certain information and footnote disclosures normally included in financial statements prepared in accordance with generally accepted accounting principles have been condensed or omitted. The foregoing financial information reflects all adjustments (consisting only of normal recurring adjustments) which are, in the opinion of management, necessary for a fair presentation of the financial position and results of operations for the interim periods presented. Interim period operating results are not necessarily indicative of the results to be expected for the full fiscal year. (2) INVENTORY COMPONENTS --------------------- Inventories are stated at the lower of cost (first- in, first-out) or market (net realizable value). Inventories are comprised of the following (in thousands): June 30, December 31, 1997 1996 -------- ----------- Finished goods...................... $ 4,006 $ 5,586 Work in process..................... 3,143 1,893 Raw materials, supplies and parts... 22,219 17,113 ------ ------ 29,368 24,592 Less amounts expected to be converted into equipment for short-term rental 8,195 4,550 ------ ------ Total inventories $21,173 $20,042 ====== ====== (3) NOTES RECEIVABLE ----------------- Notes receivable included a $3.0 million note received from James R. Leininger, M.D., the principal shareholder and chairman of the Company's Board of Directors, the proceeds of which were used to finance a construction project for Home Dome, L.L.C., a third party affiliated with Dr. Leininger. The note carries a variable interest rate which will fluctuate between 6.25% and 10.25% per annum, and requires quarterly interest payments beginning May 3, 1997. Monthly principal payments commence March 3, 1998 based on a 20-year note amortization. The note has a final maturity date of February 3, 2002, at which time the entire amount of unpaid principal and interest shall be due. The note is secured by 300,000 shares of the Company's Common Stock and a mortgage on the property under construction. ITEM 1. FINANCIAL STATEMENTS (CONTINUED) KINETIC CONCEPTS, INC. AND SUBSIDIARIES NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (unaudited) (4) ACQUISITIONS/DISPOSITIONS ------------------------- On April 18, 1997, the Company acquired 80% of the outstanding capital stock of Ethos Medical Group, Ltd. located in Athlone, Ireland, for approximately $2.3 million in cash plus other consideration. Ethos manufactures the Keene Roto Rest r trauma bed and other medical devices and rents specialty support surfaces to caregivers throughout Ireland. Ethos Medical's operating results are not expected to have a material impact on the Company's results of operations for 1997. On February 1, 1997, the Company acquired the assets of H.F. Systems, Inc. of Los Angeles. H.F. Systems offers a complete line of therapeutic specialty support surfaces primarily to the California extended care marketplace. The Company acquired the assets of H.F. Systems in a single transaction for approximately $8.0 million in cash plus other consideration. H.F. Systems will be integrated into Kinetic Concepts' extensive distribution system and, as a result, the Company expects to benefit from the elimination of certain redundant expenses. H.F. Systems recorded revenue of approximately $7.0 million for 1996 and is not expected to have a material impact on the Company's results of operations for 1997. On January 3, 1997 the Company purchased from Trac Medical, Inc., a North Carolina corporation, all assets and technology rights to the "Access" patient care device, an environmental control system arm which is mountable on hospital beds. The Company purchase price of the Access device was approximately $2.0 million in cash plus other consideration. (5) SHARES USED IN EARNINGS PER COMMON AND COMMON EQUIVALENT SHARE COMPUTATIONS -------------------------------------- The weighted average number of common and common equivalent shares used in the computation of earnings per share is as follows (in thousands): Three months ended Six months ended June 30, June 30, ------------------ ----------------- 1997 1996 1997 1996 -------- -------- ------- ------- Average outstanding common shares........ 42,317 44,307 42,322 44,332 Average common equiva- lent share-dilutive effect of option shares.............. 1,489 2,152 1,415 1,683 ------ ------ ------ ------ Shares used in earnings per share computations......... 43,806 46,459 43,737 46,015 ====== ====== ====== ====== ITEM 1. FINANCIAL STATEMENTS (CONTINUED) KINETIC CONCEPTS, INC. AND SUBSIDIARIES NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (unaudited) Earnings per common and common equivalent share are computed by dividing net earnings by the weighted average number of common and dilutive common equivalent shares outstanding during the period. Dilutive common equivalent shares consist of stock options (using the treasury stock method). Earnings per share computed on a fully diluted basis is not presented as it is not significantly different from earnings per share computed on a primary basis. (6) COMMITMENTS AND CONTINGENCIES ----------------------------- The Company is party to several lawsuits generally incidental to its business and is contesting certain adjustments proposed by the Internal Revenue Service to prior years' tax returns. Provisions have been made in the accompanying financial statements for estimated exposures related to these lawsuits and adjustments. In the opinion of management, the disposition of these items will not have a material effect on the Company's financial statements. (7) NEW PRONOUNCEMENTS ------------------ In February 1997, the Financial Accounting Standards Board issued Statement No. 128, Earnings per Share, which is required to be adopted on December 31, 1997. At that time, the Company will be required to change the method currently used to compute earnings per share and to restate all prior periods. Under the new requirements for calculating primary ("basic") earnings per share, the dilutive effect of stock options will be excluded. The impact is expected to result in an increase in basic earnings per share for the six month period ended June 30, 1997 and June 30, 1996 of $0.01 and $0.01 per share, respectively. The impact of Statement 128 on the calculation of fully diluted earnings per share for these periods is not expected to be material. ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS - ------------------------------------------------ Results of Operations Second Quarter of 1997 Compared to Second Quarter of 1996 - --------------------------------------------------------- The following table sets forth, for the periods indicated, the percentage relationship of each item to total revenue as well as the change in each line item as compared to the second quarter of the prior year ($ in thousands): Three Months Ended June 30, ----------------------------- Revenue Increase Relationship (Decrease) ------------ -------------- 1997 1996 $ Pct ----- ---- ------- --- Revenue: Rental and service.......... 82% 84% $ 7,205 13% Sales and other............. 18% 16% 3,554 35% --- --- ------- -- Total Revenue............. 100% 100% 10,759 17% Rental expenses............... 52% 55% 3,293 9% Cost of goods sold............ 7% 6% 1,984 52% --- --- ------ -- Gross profit.............. 41% 39% 5,482 22% Selling, general and administrative expenses..... 19% 19% 1,980 16% --- --- ------ -- Operating earnings........ 22% 20% 3,502 28% Interest income, net.......... -% 1% (505) (56%) --- --- ------ -- Earnings before income taxes and minority interest... 22% 21% 2,997 22% Income taxes.................. 9% 8% 1,211 22% Minority interest............. -% -% 21 -% --- --- ------ -- Net earnings.............. 13% 13% $ 1,765 22% === === ====== == The Company's revenue is derived from three primary markets. The following table sets forth the amount of revenue derived from each of these markets for the periods indicated ($ in millions): Three months ended June 30, ------------------- 1997 1996 ------- ------- Domestic Specialty Surfaces $48.8 $43.0 International............... 17.2 16.9 Medical Devices............. 8.7 4.2 Other....................... .3 .2 ---- ---- $75.0 $64.3 ==== ==== Total revenue in the second quarter of 1997 increased 16.7% to $75.0 million, from $64.3 million in the second quarter of 1996. Revenue from the Company's domestic specialty surface business was $48.8 million, up $5.8 million, or 13.6% from the second quarter of 1996. The increased revenue was derived from core business ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS (CONTINUED) - ----------------------------------------------------------- growth in all care settings, due primarily to higher patient therapy days, and the addition of H.F. Systems, which the Company acquired in February 1997. H.F. Systems contributed revenue of approximately $2.1 million to the second quarter of 1997. Revenue from the Company's international operations was $17.2 million, up $300,000 or 1.7%, from the second quarter of 1996. The international revenue increase reflects higher therapy days in virtually all mid and lower-tier markets, e.g., the Netherlands, Canada and Switzerland, which were largely offset by softness in Germany and the United Kingdom and by unfavorable currency exchange fluctuations of $1.5 million. Revenue from Ethos Medical Group operations, which the Company acquired in April 1997, was not material during the period. Revenue from medical device operations increased $4.5 million, or 107.1%, to $8.7 million in the second quarter of 1997 due to the continued success of The V.A.C. wound closure device and increased rental revenue for the PlexiPulse foot/calf pump resulting from the distribution agreement signed with Mediq/PRN at the beginning of this year. Rental, or field, expenses were 63.5% of total rental revenue in the second quarter of 1997 compared to 65.8% in the second quarter of 1996. This decrease is primarily attributable to the increase in rental revenue, as the majority of rental expenses are relatively fixed, e.g. facility and service costs. Gross profit increased $5.5 million, or 22.0%, to $30.4 million in the second quarter of 1997 from $24.9 million in the second quarter of 1996 due to increased rental revenue as well as increased sales volumes of disposable products associated with medical devices. Selling, general and administrative expenses increased $2.0 million, or 16.3%, to $14.1 million in the second quarter of 1997 from $12.2 million in the second quarter of 1996. The increase is due in part to costs associated with certain key investments (e.g. improved marketing and information systems) as well as increased legal and professional fees. As a percentage of total revenue, selling, general and administrative expenses were at 18.8% in the second quarter of 1997 as compared with 18.9% in the second quarter of 1996. Operating earnings for the period increased $3.5 million, or 27.5%, to $16.2 million compared to $12.7 million in the prior- year quarter resulting largely from the revenue growth discussed above. Net interest income for the three months ended June 30, 1997 was approximately $400,000 compared to approximately $900,000 in the prior year. The decrease in interest income resulted from the early payment in October 1996 of all remaining notes receivable from Mediq/PRN and lower invested cash balances due to acquisition activities in the first six months of 1997. The Company's effective income tax rate in the second quarter of 1997 was 40%, consistent with the second quarter of 1996. Net earnings increased $1.8 million, or 21.6%, to $10.0 million in the second quarter of 1997. This increase was due to the increase in revenue as discussed above combined with controlled spending levels. ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS (CONTINUED) - ------------------------------------------------------------ First Six Months of 1997 Compared to First Six Months of 1996 - ------------------------------------------------------------- The following table sets forth, for the periods indicated, the percentage relationship of each item to total revenue as well as the change in each line item as compared to the first six months of the prior year ($ in thousands): Six Months Ended June 30, --------------------------- Revenue Increase Relationship (Decrease) ------------ ------------- 1997 1996 $ PCT ---- ---- ------- ---- Revenue: Rental and service........... 83% 84% $ 12,240 11% Sales and other.............. 17% 16% 4,113 20% --- --- ------ -- Total Revenue.............. 100% 100% 16,353 12% Rental expenses................ 51% 55% 3,759 5% Cost of goods sold............. 7% 6% 2,183 28% --- --- ------ -- Gross profit............... 42% 39% 10,411 20% Selling, general and administrative expenses...... 20% 19% 4,433 18% --- --- ------ -- Operating earnings......... 22% 20% 5,978 23% Interest income, net........... -% 1% (1,021) (54%) --- --- ------ -- Earnings before income taxes and minority interest.... 22% 21% 4,957 17% Income taxes................... 9% 8% 1,982 17% Minority interest.............. -% -% 21 -% --- --- ------ -- Net earnings............... 13% 13% $ 2,954 17% === === ====== == The Company's revenue is derived from three primary markets. The following table sets forth the amount of revenue derived from each of these markets for the periods indicated ($ in millions): Six months ended June 30, ------------------- 1997 1996 ------- -------- Domestic Specialty Surfaces $ 97.9 $ 88.5 International.............. 33.8 34.2 Medical Devices............ 16.0 9.0 Other...................... .5 .2 ------ ----- $148.2 $131.9 ===== ===== ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS (CONTINUED) - ------------------------------------------------------------ Total revenue for the first six months of 1997 increased by $16.3 million, or 12.4%, to $148.2 million. Revenue from the Company's domestic specialty surface business was $97.9 million, up $9.4 million, or 11.0%, from the six months ended June 30, 1996 as all major product lines showed growth. Revenue from the Company's international operations of $33.8 million remained flat compared to the six months ended June 30, 1996 despite unfavorable currency exchange rate fluctuations of approximately $2.6 million for the period. Revenue from medical device operations in the first six months of 1997 was $16.0 million, up $7.0 million, or 77.0%, primarily due to increased rental revenue from both the V.A.C. wound closure device and the PlexiPulse foot/calf pump. Rental expenses were 62.2% of total rental revenue in the six months ended June 30, 1997 compared to 65.7% in the six months of 1996. This decrease is primarily attributable to the increase in rental revenue, as the majority of rental expenses are fixed, combined with certain operating efficiencies associated with implementation of the Genesis service delivery system and processes. Overall, rental expenses increased $3.8 million, or 5.2% compared to the first six months of 1996. Gross profit increased $10.4 million, or 20.3%, to $61.6 million in the six months ended June 30, 1997 due to the increase in revenue, controlled growth in rental expenses and improved sales volumes. Selling, general and administrative expenses increased $4.4 million, or 17.9%, to $29.1 million in the first six months of 1997 from $24.7 million in the first six months of 1996. Key investments in marketing programs and information systems as well as higher legal and professional fees accounted for the majority of this increase. Operating earnings for the period increased $6.0 million, or 22.6%, to $32.4 million compared to $26.5 million in the prior- year resulting largely from the above-mentioned revenue growth. Net interest income for the six months ended June 30, 1997 was $900,000 compared to $1.9 million in the prior year. The decrease in interest income resulted from the early payment in October 1996 of all remaining notes receivable from Mediq/PRN and lower invested cash balances due to acquisition activities in 1997. The Company's effective income tax rate in the first six months ended June 30, 1997 was 40%, consistent with the first six months of 1996. Net earnings increased $3.0 million, or 17.4%, to $20.0 million in the first six months of 1997 from $17.0 million in the first six months of 1996. This increase was due to the relative decrease in rental expenses and the change in revenue as discussed above. ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS (CONTINUED) - ------------------------------------------------------------ Financial Condition - -------------------- The change in revenue and expenses experienced by the Company during the six months ended June 30, 1997 and other factors resulted in changes to the Company's balance sheet as follows: Cash and cash equivalents were $38.4 million at June 30, 1997, a decrease of $20.7 million from December 1996. The cash decrease is primarily attributable to business/asset acquisitions totaling $12.4 million and a temporary increase in accounts receivable resulting from a recent billing systems conversion. Accounts receivable at June 30, 1997 were $74.1 million, a $15.9 million or 27.3%, increase from year-end. On January 2, 1997, the Company converted to a new billing and accounts receivable system. Implementation activities had a negative timing impact on collections for the period. The Company expects future receivable balances to decrease over time. Business acquisition activities during the first half of 1997 have also increased accounts receivable. Inventory at June 30, 1997 increased 5.6% to $21.2 million from $20.0 million at December 31, 1996 primarily due to planned product introductions and the recent acquisition of Ethos Medical Group, which had inventory of approximately $800,000. Net property, plant and equipment at June 30, 1997 increased 10.5% to $72.1 million from $65.2 million at December 31, 1996 due in part to asset acquisitions such as H.F. Systems. Capital expenditures were $16.1 million during the first six months of 1997 as the Company invested in new products for its rental fleet and new computer systems. Depreciation and amortization for the first six months of 1997 totaled $11.0 million, down 6.3% from the same period in 1996. Notes receivable consisted of a $3.0 million note received from James R. Leininger, M.D., the Company's principal shareholder and chairman of the Board of Directors. The note is secured by a Deed of Trust/Security Agreement, Vendor's Lien and 300,000 shares of KCI Common Stock. The note bears interest at market rates and has a final maturity of February 3, 2002. Goodwill increased $9.5 million during the period, to $23.0 million, due primarily to the Company's three business acquisitions in the period. Accrued expenses at June 30, 1997 increased $2.5 million, or 8.4%, to $32.3 million from $29.8 million at December 31, 1996. Accruals for payments in connection with the H.F. System acquisition and other operating costs accounted for the majority of this increase. ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS (CONTINUED) - ------------------------------------------------------------ Market Trends - ------------- The health care industry continues to face various challenges, including increased pressure on health care providers to control costs, the accelerating migration of patients from acute care facilities into extended care (e.g. skilled nursing facilities and rehabilitation centers) and home care settings, the consolidation of health care providers and national and regional group purchasing organizations and the growing demand for clinically proven and cost effective therapies. In an effort to reduce the federal deficit and lower overall federal health care expenditures, President Clinton recently signed into law the Balanced Budget Act of 1997 (the "BBA"). The BBA contains a number of provisions which will impact the federal reimbursement of health care and reduce projected payments under the Medicare system by $115 billion over the next five years. The majority of the savings are scheduled for the fourth and fifth years of this plan. The provisions include (i) a reduction exceeding $30 billion in the level of payments made to acute care hospitals under Medicare Part A over the next five years (which will be funded primarily through a freeze and/or reduction in future consumer price index increases); (ii) a change on July 1, 1998 in the manner in which skilled nursing facilities ("SNFs") are reimbursed from a cost-based system to a prospective payment system under which the SNFs will receive an all inclusive, case-mix-adjusted per diem payment for each of their Medicare patients; and (iii) a five-year freeze on consumer price index updates for Medicare Part B services in the home and the implementation of competitive bidding trials for five categories of home care products. Less than 10% of the Company's revenue is received directly from the Medicare system. However, many of the health care providers who pay the Company for its products are reimbursed, either directly or indirectly, by the Federal government under the Medicare system for the use of those products. We do not believe that the changes introduced by the BBA will have a material impact on our hospital customers or the dealers we partner with in home health care. However, the changes to the Medicare system introduced by the BBA may have an impact on the manner in which the Company's extended care customers make purchasing decisions. Because the Company has focused on providing clinically efficacious and cost effective products, it believes it is well positioned for the changes in extended care reimbursement introduced by the BBA. Although these changes may impact revenue in the short term as the Company's extended care customers begin to understand the impact of the changes on their respective businesses, the Company does not believe that any of the changes in the Medicare system introduced by the BBA will have a material adverse impact on its business. The Company's market continues to increase based upon demographic trends as most of the Company's patients are over 50 years old. Further, its broad product line and national distribution system enable it to compete effectively in the changing healthcare environment. ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS (CONTINUED) - ----------------------------------------------------------- Market Trends (continued) - ------------------------- More recently, sales have increased as a portion of the Company's revenue. The Company believes this trend will continue because certain U.S. health care providers are purchasing products that are less expensive and easier to maintain such as medial devices, mattress overlays and mattress replacement systems. In addition, international health care providers tend to purchase products more often than U.S. health care providers. Legal Proceedings - ----------------- On February 21, 1992, Novamedix Limited ("Novamedix") filed a lawsuit against the Company in the United States District Court for the Western District of Texas. Novamedix manufactures the principal product which directly competes with the PlexiPulse. The suit alleges that the PlexiPulse infringes several patents held by Novamedix, that the Company breached a confidential relationship with Novamedix and a variety of ancillary claims. Novamedix seeks injunctive relief and monetary damages. Initial discovery in this case has been substantially completed. Although it is not possible to predict the outcome of this litigation or the damages which could be awarded, the Company believes that its defenses to these claims are meritorious and that the litigation will not have a material adverse effect on the Company's business, financial condition or results of operations. On August 16, 1995, the Company filed a civil antitrust lawsuit against Hillenbrand Industries, Inc. and one of its subsidiaries, Hill-Rom. The suit was filed in the United States District Court for the Western District of Texas. The suit alleges that Hill-Rom used its monopoly power in the standard hospital bed business to gain an unfair advantage in the specialty hospital bed business. Specifically, the allegations set forth in the suit include a claim that Hill-Rom required hospitals and purchasing groups to agree to exclusively rent specialty beds in order to receive substantial discounts on products over which they have monopoly power -- hospital beds and head wall units. The suit further alleges that HillRom engaged in activities which constitute predatory pricing and refusals to deal. Hill-Rom has filed an answer denying the allegations in the suit. Although discovery has not been completed and it is not possible to predict the outcome of this litigation or the damages which might be awarded, the Company believes that its claims are meritorious. On October 31, 1996 the Company received a counterclaim which had been filed by Hillenbrand Industries, Inc. in the antitrust lawsuit which the Company filed in 1995. The counterclaim alleges that the Company's antitrust lawsuit and other actions were designed to enable KCI to monopolize the bed market. Although it is not possible to predict the outcome of this litigation, the Company believes that the counterclaim is without merit. ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS (CONTINUED) - ------------------------------------------------------------ Legal Proceedings (continued) - ----------------------------- On December 26, 1996, Hill-Rom, a subsidiary of Hillenbrand Industries, Inc., filed a lawsuit against the Company alleging that the Company's TriaDyne bed infringes a patent issued to Hill-Rom December 24, 1996. This suit was filed in the United States District Court for the District of South Carolina. Substantive discovery in the case has not begun. Based upon its preliminary investigation, the Company believes that its defenses to the lawsuit are meritorious and that this lawsuit will not have a material adverse impact on the marketing of the TriaDyne bed. The Company is a party to several lawsuits arising in the ordinary course of its business and is contesting adjustments proposed by the Internal Revenue Service to prior years' tax returns. To the extent management believes reserves are justified, reserves, have been made in the Company's financial statements for estimated exposures related to these lawsuits and adjustments. In the opinion of management, the disposition of these matters will not have a material adverse effect on the Company's business, financial condition or results of operations. The manufacturing and marketing of medical products necessarily entails an inherent risk of product liability claims. The Company currently has certain product liability claims pending for which provision has been made in the Company's financial statements. Management believes that resolution of these claims will not have a material adverse effect on the Company's business, financial condition or results of operations. The Company has not experienced any significant losses due to product liability claims and currently maintains adequate liability insurance coverage. Liquidity and Capital Resources - ------------------------------- During the six months ended June 30, 1997, the Company generated net cash provided by operating activities of $17.8 million compared to $25.4 million in the prior year period. The majority of this decrease was attributable to the temporary increase in accounts receivable, which increased $15.9 million from year-end 1996. The Company made three business acquisitions during the period for an aggregate purchase price of approximately $12.4 million in cash. At June 30, 1997, cash and cash equivalents totaling $38.4 million were available for general corporate purposes. Additionally, the Company maintains a Credit Agreement with a bank as an agent for itself and certain other financial institutions. The Credit Agreement currently permits borrowings of up to $50 million. At June 30, 1997, the entire amount of the Credit Agreement was unused. The Company believes that current cash reserves combined with operating cash flows and available credit facilities during the next twelve month period will be sufficient to provide for new investments, e.g., business acquisitions, technology or equipment, and any working capital needed during the period. At June 30, 1997, the Company was committed to purchase approximately $3.4 million of inventory associated with new products over the remainder of this year. The Company did not have any other material purchase commitments. ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS - ------------------------------------------------------------ The 1996 Annual Meeting of the Shareholders of Kinetic Concepts, Inc. was held at 9:00 a.m. on May 13, 1997. The following matters were acted upon by the shareholders at the annual meeting: 1. Sam A. Brooks, Frank A. Ehmann, Raymond R. Hannigan, Wendy L. Gramm, P.h.D., James R. Leininger, M.D., Peter A. Leininger, M.D., and Bernhard T. Mittemeyer, M.D. were each elected to serve as Directors of the Company until the 1998 Annual Meeting of Shareholders and until their successors were duly elected and qualified. With respect to the election of Mr. Brooks, Mr. Ehmann, Mr. Hannigan, Dr. Gramm, Dr. James Leininger, Dr. Peter Leininger, and Dr. Mittemeyer, each nominee as a director received 40,096,897 or more votes. No shareholders abstained in the election of the directors and there were no broker non-votes. 2. The Kinetic Concepts, Inc. Senior Executive Stock Option Plan was approved. There were 38,836,714 votes for approval and 998,102 votes against approval. 3. The 1997 Kinetic Concepts, Inc. Employee Stock Purchase Plan was approved. There were 39,778,810 votes for approval and 206,901 votes against approval. 4. The appointment of Ernst & Young LLP as the Company's auditors for 1997 was approved. There were 40,104,213 votes for approval and 20,964 votes against approval PART II - OTHER INFORMATION ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K - ----------------------------------------- (a) EXHIBITS A list of all exhibits filed or included as part of this quarterly report on Form 10-Q is as follows: Exhibit Description ------- ----------- 3.1 Restatement of Articles of Incorporation (filed as Exhibit 3.2 to the Company's Registration Statement on Form S-1, as amended (Registration No. 33-21353), and incorporated herein by reference). 3.2 Restated By-Laws of the Company (filed as Exhibit 3.3 to the Company's Registration Statement on Form S-1, as amended (Registration No. 33-21353), and incorporated herein by reference). 4.1 Specimen Common Stock Certificate of the Company (filed as Exhibit 4.1 to the Annual Report on Form 10-K for the year ended December 31, 1988, and incorporated herein by reference). 10.1 Agreement dated September 29, 1987, by and between the Company and Hill-Rom Company, Inc. (filed as Exhibit 10.7 to the Company's Registration Statement on Form S- 1, as amended (Registration No. 33-21353), and incorporated herein by reference). 10.2 Employment and Non-Competition Agreement dated December 26, 1986, by and between the Company and James R. Leininger, M.D. (filed as Exhibit 10.10 to the Company's Registration Statement on Form S-1, as amended (Registration No. 33-21353), and incorporated herein by reference). 10.3 Contract dated September 30, 1985, by and between Ryder Truck Rental, Inc. and the Company regarding the rental of delivery trucks (filed as Exhibit 10.23 to the Company's Registration Statement on Form S-1, as amended (Registration No. 33-21353), and incorporated herein by reference). 10.4 1988 Kinetic Concepts, Inc. Directors Stock Option Plan (filed as Exhibit 10.26 to the Company's Registration Statement on Form S-1, as amended (Registration No. 33-21353), and incorporated herein by reference). 10.5 Kinetic Concepts, Inc. Employee Stock Ownership Plan and Trust dated January 1, 1989 (filed as Exhibit 10.2 to the Company's Quarterly Report on Form 10-Q for the quarter ended June 30, 1989, and incorporated herein by reference). EXHIBITS (continued) -------------------- 10.6 1987 Key Contributor Stock Option Plan, as amended, dated October 27, 1989 (filed as Exhibit 10.9 to the Company's Annual Report on Form 10-K for the year ended December 31, 1989, and incorporated herein by reference). 10.7 Amendment No. 1 to Asset Purchase Agreement dated September 30, 1994 by and among Kinetic Concepts, Inc., a Texas corporation, KCI Therapeutic Services, Inc., a Delaware corporation, MEDIQ Incorporated, a Delaware corporation, PRN Holdings, Inc., a Delaware corporation and MEDIQ/PRN Life Support Services-I, Inc., a Delaware corporation (filed as Exhibit 2.2 to the Company's Form 8K dated October 17, 1994, and incorporated herein by reference). 10.17 Credit Agreement dated as of May 8, 1995 by and among the Company and Bank of America National Trust and Savings Association, as Agent (filed as Exhibit 10 to the Company's Quarterly Report on Form 10-Q for the quarter ended March 31, 1995, and incorporated herein by reference). 10.18 Purchasing Agreement, dated February 1, 1994, between the Company, KCI Therapeutic Services, Inc. and Voluntary Hospitals of America, Inc.(filed as Exhibit 10.18 to the Company's Amended Annual Report on Form 10K/A, dated January 23, 1996, for the year ended December 31, 1994, and incorporated herein by reference). 10.19 Rental/Purchasing Agreement, dated April 1, 1993 between the Company, KCI Therapeutic Services, Inc. and AmHS Purchasing Partners, L.P. (filed as Exhibit 10.19 to the Company's Amended Annual Report on Form 10-K/A, dated January 23, 1996, for the year ended December 31, 1994, and incorporated herein by reference). 10.20 KCI Management 1994 Incentive Program (filed as Exhibit 10.20 to the Company's Amended Annual Report on Form 10-K/A, dated January 23, 1996, for the year ended December 31, 1994, and incorporated herein by reference). 10.21 KCI Employee Benefits Trust Agreement (filed as Exhibit 10.21 to the Company's Amended Annual Report on Form 10-K/A, dated January 23, 1996, for the year ended December 31, 1994, and incorporated herein by reference). EXHIBITS (continued) -------------------- 10.22 Letter, dated September 19, 1994, from the Company to Raymond R. Hannigan outlining the terms of his employment (filed as Exhibit 10.22 to the Company's Amended Annual Report on Form 10-K/A, dated January 23, 1996, for the year ended December 31, 1994, and incorporated herein by reference). 10.23 Letter, dated November 22, 1994, from the Company to Christopher M. Fashek outlining the terms of his employment (filed as Exhibit 10.23 to the Company's Amended Annual Report on Form 10-K/A, dated January 23, 1996, for the year ended December 31, 1994, and incorporated herein by reference). 10.24 Option Agreement, dated November 21, 1994, between Dr. James R. Leininger, Cecilia Leininger and Raymond R. Hannigan (filed as Exhibit 10.24 to the Company's Amended Annual Report on Form 10-K/A, dated January 23, 1996, for the year ended December 31, 1994, and incorporated herein by reference). 10.25 Option Agreement, dated August 23, 1995, between Dr. James R. Leininger, Cecilia Leininger and Bianca A. Rhodes (filed as Exhibit 10.25 to the Company's Amended Annual Report on Form 10-K/A, dated January 23, 1996, for the year ended December 31, 1994, and incorporated herein by reference). 10.26 Stock Purchase Agreement dated June 15, 1995 among KCI Financial Services, Inc., Kinetic Concepts, Inc., Cura Capital Corporation, MG Acquisition Corporation and the Principal Shareholders of Cura Capital Corporation (filed as Exhibit 10 to the Company's Quarterly Report on Form 10-Q for the quarter ended June 30, 1995, and incorporated herein by reference). 10.27 Promissory Note dated August 21, 1995 in the principal amount of $10,000,000 payable to James R. Leininger, M.D. to the order of Kinetic Concepts, Inc., a Texas corporation (filed as Exhibit 2.2 to the Company's Quarterly Report on Form 10-Q for the quarter ended September 30, 1995, and incorporated herein by reference). 10.28 Stock Pledge Agreement dated August 21, 1995 by and between James R. Leininger, M.D. and Kinetic Concepts, Inc., a Texas corporation (filed as Exhibit 2.3 to the Company's Quarterly Report on Form 10-Q for the quarter ended September 30, 1995, and incorporated herein by reference). EXHIBITS (continued) --------------------- 10.29 Executive Committee Stock Ownership Plan (filed as Exhibit 10 to the Company's Quarterly Report on Form 10-Q for the quarter ended June 30, 1995, and incorporated herein by reference). 10.30 Deferred Compensation Plan (filed as Exhibit 99.2 to the Company's Quarterly Report on Form 10-Q for the quarter ended September 30, 1995 and incorporated herein by reference). 10.31 Kinetic Concepts, Inc. Senior Executive Stock Option Plan (filed as Exhibit 10.31 to the Company's Annual Report on Form 10-K for the year ended December 31, 1996 and incorporated herein by reference). 10.32 Form of Option Instrument with respect to Senior Executive Stock Option Plan (filed as Exhibit 10.32 to the Company's Annual Report on Form 10-K for the year ended December 31, 1996 and incorporated herein by reference). 10.33 Asset Purchase Agreement dated January 3, 1997 by and among Trac Medical, Inc., a North Carolina corporation, Terry Williams, David Mattis, George Parrish and KCI Therapeutic Services, Inc., a Delaware corporation(filed as Exhibit 10.33 to the Company's Quarterly Report on Form 10-Q for the quarter ended March 31, 1997 and incorporated herein by reference). 10.34 Asset Purchase Agreement dated January 27, 1997 by and among Hydrothermic Floatation Systems, Inc., a California corporation, Y. Jeremy Levy and KCI Therapeutic Services, Inc., a Delaware corporation (filed as Exhibit 10.34 to the Company's Quarterly Report on Form 10-Q for the quarter ended March 31, 1997 and incorporated herein by reference). *10.35 Agreement for the sale and purchase of 80% of the issued share capital of Ethos Medical Group Limited by KCI International, Inc. dated April 18, 1997. 11.1 Earnings Per Share Computation (filed as Exhibit 11.1 to the Company's Annual Report on Form 10-K for the year ended December 31, 1996 and incorporated herein by reference). 13.1 Kinetic Concepts, Inc. 1996 Annual Report to Shareholders (furnished for the information of the Commission and not deemed to be "filed," except for those portions expressly incorporated herein by reference)(filed as Exhibit 13.1 to the Company's Annual Report on Form 10-K for the year ended December 31, 1996 and incorporated herein by reference). EXHIBITS (continued) -------------------- 16.1 Letter from KPMG Peat Marwick LLP to the Securities and Exchange Commission regarding agreement with statements made by Registrant under Item 9 of its Form 10-K dated March 28, 1997 (filed as Exhibit 16.1 to the Company's Annual Report on Form 10-K for the year ended December 31, 1996 and incorporated herein by reference). 22.1 List of Subsidiaries (filed as Exhibit 22.1 to the Company's Annual Report on Form 10-K for the year ended December 31, 1996 and incorporated herein by reference). *27.1 Financial Data Schedule. Note: (*) Exhibits filed herewith. (b) REPORTS ON FORM 8-K No reports on Form 8-K have been filed during the quarter for which this report is filed. 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. KINETIC CONCEPTS, INC. By: /S/ JAMES R. LEININGER, M.D. ---------------------------- James R. Leininger, M.D. Chairman of the Board By: /S/ RAYMOND R. HANNIGAN ------------------------ Raymond R. Hannigan President and Chief Executive Officer By: /S/ MARTIN J. LANDON -------------------- Martin J. Landon Vice President, Accounting and Corporate Controller Date: August 13, 1997