DATE: April 23, 2003 AMERICAN MEDICAL SYSTEMS REPORTS ANOTHER RECORD SALES QUARTER Women's Health Revenues Grow 48% MINNEAPOLIS, April 23 -- American Medical Systems Holdings Inc. (Nasdaq: AMMD) reported record sales in the first quarter of 2003 of $39.3 million, a 13 percent increase over sales of $34.7 million in the comparable quarter of 2002 (11 percent before gain from foreign currency changes). Net income in the quarter was $5.5 million, or $0.16 per share, up slightly from $5.4 million, or $0.16 per share, in the comparable quarter of 2002. Net income in 2002 benefited from the company's pension fund termination, without which 2002 net income would have been $5.0 million, or $.15 per share; net income in 2003 was net of after-tax losses from the newly acquired CryoGen operations, without which net income would have increased 34 percent to $6.7 million, or $.20 per share. A summary of the adjustments is attached. Douglas W. Kohrs, president and CEO, commented, "We are proud of our first-quarter performance and the early progress we have made with the CryoGen acquisition. Revenues from our major product groups continue to show strong growth, with revenue from women's health products leading the way at 48 percent growth over the first quarter of 2002. Included in this record growth in women's health were net revenues from the sale of CryoGen's Her Option disposables of $0.7 million, in line with our expectations for the quarter. Male continence revenues grew 14 percent for the quarter and erectile restoration revenues grew 3 percent. We again demonstrated strong expense controls, resulting in operating margins for the non-CryoGen business expanding to 27 percent of sales from 22 percent of sales in 2002." Commenting further on the sales growth, Mr. Kohrs noted, "We are very pleased with the growth from women's health products, including both the SPARC and the Monarc sling systems for stress urinary incontinence. As we said in our April 14 Monarc announcement, this new subfascial hammock system was released in several European countries during the first quarter, and we are looking forward to having U.S. availability in the second half of 2003. The company also reached a significant milestone in the first quarter as total company continence revenues exceeded erectile restoration revenues for the first time in our 30 year history." OUTLOOK Looking forward, Mr. Kohrs said AMS still expects full year sales to increase 17 to 22 percent over 2002 sales, including the increase from the sales of Her Option products and full-year operating margin for 2003 to show improvement over the full year 2002 operation margin. Operating margins in the first half of 2003 are expected to be adversely affected by significant start-up expenses of the CryoGen acquisition. In the second quarter of 2003, AMS expects total revenues to be in the range of $41 to $43 million dollars. Operating margin as a percent of sales for the second quarter of 2003 is expected to be slightly better than the first quarter of 2003 and slightly lower than the second quarter of 2002. AMERICAN MEDICAL SYSTEMS APRIL 23, 2003 Page 2 of 7 EARNINGS CALL INFORMATION American Medical Systems will host a conference call today at 5:00 p.m. eastern time to discuss its first quarter 2003 results. A live web cast of the call is available from the Company's corporate website at www.AmericanMedicalSystems.com and via replay two hours after the completion of the call. ABOUT AMERICAN MEDICAL SYSTEMS American Medical Systems, headquartered in Minnetonka, Minnesota, is a world leader in medical devices and procedures to treat erectile dysfunction (ED); other men's health problems, (including incontinence, BPH, and stricture); and women's health problems, including, menorrhagia, incontinence, and other pelvic floor defects. Although not often life-threatening, these disorders can significantly diminish one's quality of life and profoundly affect social relationships. In recent years, the number of people seeking treatment has increased markedly as a result of longer life expectancy, higher quality-of-life expectations, and greater awareness of new treatment alternatives. Physicians use American Medical Systems' products to reduce or eliminate the incapacitating effects of these diseases, often through minimally invasive surgery. The company believes its products were used to treat over 70,000 patients in 54 countries during the last 12 months. More information about the company and its products may be found at: www.AmericanMedicalSystems.com. FORWARD-LOOKING STATEMENTS Statements about the company's future product availability, sales, and financial results are forward-looking statements subject to risks and uncertainties including the timing and success of new product introductions, continued physician endorsement and use of the company's products, competitor activities, changes in reimbursement rates, potential product recalls, and the integra- tion of acquired businesses and product lines. These risks and uncertainties are more fully described in the company's Annual Report on Form 10-K for the year ended December 28, 2002, and its other filings. Actual results may differ materially from anticipated results. AMS 700, Her Option, InhibiZone, Monarc, and SPARC are AMS trademarks. Contact: Doug Kohrs President and Chief Executive Officer 952-930-6118 Doug.Kohrs@AmericanMedicalSystems.com Jim Call Executive Vice President and Chief Financial Officer 952-930-6238 Jim.Call@AmericanMedicalSystems.com AMERICAN MEDICAL SYSTEMS APRIL 23, 2003 Page 3 of 7 AMERICAN MEDICAL SYSTEMS HOLDINGS INC. STATEMENTS OF OPERATIONS (In thousands, except per share data) Three months through March ---------------------------------- 2002 2003 ---------------- -------------- NET SALES $34,715 $39,347 OPERATING EXPENSES Cost of goods sold 7,132 6,943 Marketing and selling 12,810 14,797 General and administrative 3,279 4,070 Research and development 2,834 3,791 Amortization of intangibles 939 1,065 ------- ------- Total operating expenses 26,994 30,666 ------- ------- OPERATING INCOME 7,721 8,681 OTHER INCOME (EXPENSE) Royalty income 783 777 Other income 721 35 Interest expense, net (330) (596) ------- ------- Total other income (expense) 1,174 216 ------- ------- INCOME BEFORE INCOME TAXES 8,895 8,897 PROVISION FOR INCOME TAXES Income tax expense 3,478 3,443 ------- ------- NET INCOME $ 5,417 $ 5,454 ======= ======= NET INCOME PER SHARE Basic $0.17 $0.17 Diluted $0.16 $0.16 WEIGHTED AVERAGE SHARES USED IN CALCULATION Basic 32,005 32,547 Diluted 34,221 34,042 AMERICAN MEDICAL SYSTEMS APRIL 23, 2003 Page 4 of 7 AMERICAN MEDICAL SYSTEMS HOLDINGS INC. CONSOLIDATED BALANCE SHEET (In thousands) December 28, 2002 March 29, 2003 ------------------ ---------------- ASSETS Current assets Cash and short-term investments $ 79,429 $ 42,767 Accounts receivable, net 27,208 27,905 Inventories 13,475 15,451 Deferred taxes and other current assets 5,697 5,775 -------- -------- Total current assets 125,809 91,898 Property, plant and equipment, net 21,328 23,294 Goodwill and intangibles, net 96,298 135,056 Deferred taxes and other assets 8,210 7,748 -------- -------- Total assets $251,645 $257,996 ======== ======== LIABILITIES AND STOCKHOLDERS' EQUITY Current liabilities Accounts payable $ 3,000 $ 3,483 Accrued liabilities and taxes 19,523 20,195 Current portion of notes payable 6,000 6,000 -------- -------- Total current liabilities 28,523 29,678 Long-term notes payable 18,000 16,636 Other long-term liability 860 444 Stockholders' equity 204,262 211,238 -------- -------- Total liabilities and stockholders' equity $251,645 $257,996 ======== ======== Note: The CryoGen purchase price has been allocated to goodwill pending completion of the acquisition valuation study. AMERICAN MEDICAL SYSTEMS APRIL 23, 2003 Page 5 of 7 AMERICAN MEDICAL SYSTEMS HOLDINGS INC. CONDENSED STATEMENTS OF CASH FLOWS (In thousands) Three months through March ------------------------------ 2002 2003 ----------- ---------- CASH FLOWS FROM OPERATING ACTIVITIES Net income $5,417 $5,454 Adjustments to reconcile net income to net cash provided by operating activities: Depreciation 950 1,383 Amortization of intangibles, including deferred financing 1,010 1,136 costs Non-cash deferred compensation 59 46 Income tax benefit related to stock option plans 279 170 Change in net deferred taxes 108 (83) Changes in operating assets and liabilities (4,145) (7,345) -------- -------- Net cash provided by operating activities 3,678 761 CASH FLOWS FROM INVESTING ACTIVITIES Purchase of property, plant and equipment (440) (707) Purchase of businesses, net of cash acquired 0 (36,940) Purchase of investments, net of sales (6,123) 0 -------- -------- Net cash used in investing activities (6,563) (37,647) CASH FLOWS FROM FINANCING ACTIVITIES Issuance of common stock 430 570 Payments on long-term debt (2,182) (1,956) -------- -------- Net cash provided by financing activities (1,752) (1,386) EFFECT OF EXCHANGE RATES (56) 1,610 -------- -------- NET DECREASE IN CASH AND CASH EQUIVALENTS ($4,693) ($36,662) ======== ======== Note: Changes in operating assets and liabilities include approximately $3.8 million in CryoGen accrued acquisition liabilities AMERICAN MEDICAL SYSTEMS APRIL 23, 2003 Page 6 of 7 AMERICAN MEDICAL SYSTEMS HOLDINGS INC. SELECTED SALES INFORMATION (In Thousands) Three months through March ------------------------------- 2002 2003 ----------- ----------- SALES Product line Erectile restoration $17,295 $17,854 Other men's health Male continence 9,028 10,283 Prostate treatments 1,645 1,199 ------- ------- Total 10,673 11,482 Women's health 6,747 10,011 ------- ------- Total $34,715 $39,347 ======= ======= Geography United States $29,159 $32,347 Outside United States 5,556 7,000 ------- ------- Total $34,715 $39,347 ======= ======= SHARE OF TOTAL SALES Product line Erectile restoration 50% 45% Other men's health Male continence 26% 26% Prostate treatments 5% 3% ------- ------- Total 31% 29% Women's health 19% 25% ------- ------- Total 100% 100% Geography United States 84% 82% Outside United States 16% 18% ------- ------- Total 100% 100% AMERICAN MEDICAL SYSTEMS APRIL 23, 2003 Page 7 of 7 AMERICAN MEDICAL SYSTEMS HOLDINGS INC. ADJUSTMENTS TO OPERATING INCOME, NET INCOME, AND EARNINGS PER SHARE FOR CONSISTENT PRESENTATION FROM 2002 TO 2003 (In thousands, except per share data) Three months through March ---------------------------- 2002 2003 ---------- ---------- ADJUSTMENTS TO OPERATING INCOME Reported operating income $7,721 $8,681 Add back operating loss for CryoGen 0 1,971 ------- ------- Adjusted operating income $ 7,721 $10,652 ======= ======= ADJUSTMENTS TO NET INCOME Reported net income $5,417 $5,454 Adjust for 2002 pension fund termination Pension accrual reversal (716) 0 Tax impact 272 0 ------- ------- Decrease in net income (444) 0 ------- ------- Add back after tax loss for CryoGen Operating loss for CryoGen 0 1,971 Tax impact 0 (749) ------- ------- Increase in net income 0 1,222 Adjusted net income $ 4,973 $ 6,676 ======= ======= NET INCOME PER SHARE Reported Basic $0.17 $0.17 Diluted $0.16 $0.16 Adjusted Basic $0.16 $0.21 Diluted $0.15 $0.20