UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 FORM 10-Q [X] QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended September 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____________ SUMMIT MEDICAL SYSTEMS, INC. (Exact name of registrant as specified in its charter) Minnesota 41-1545493 (State or other jurisdiction of (IRS Employer ID No.) incorporation or organization) 10900 Red Circle Drive Suite 100 Minnetonka, MN 55343 612-939-2200 (Address including zip code, of Registrant's principal executive offices and 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 has been subject to such filing requirements for the past 90 days. X Yes No --- --- The number of shares outstanding of the Registrant's Common Stock on September 30, 1997 was 10,114,921 shares $.01 Par Value INDEX Part I. Financial Information Item 1. Financial Statements (Unaudited) Consolidated statements of financial position--September, 30 1997 and December 31, 1996 Consolidated statements of operations -- Three months ended September 30, 1997 and 1996 Nine months ended September 30, 1997 and 1996 Consolidated statements of cash flows -- Nine months ended September 30, 1997 and 1996 Notes to consolidated financial statements -- September 30, 1997 Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations Item 3. Quantitative and Qualitative Disclosures About Market Risk Part II. Other Information Item 1. Legal Proceedings Item 2. Changes in Securities Item 3. Defaults upon Senior Securities Item 4. Submission of Matters to a Vote of Security Holders Item 5. Other Information Item 6. Exhibits and Reports on Form 8-K (a) Exhibits 10.1 Agreement dated as of July 31, 1997 By and Between Summit Medical Systems, Inc., Duke University, DR Ware LLC, Donald F. Fortin, M.D., Robert M. Califf, M.D. and Harry Phillips, M.D. 11.1 Computation of Earnings per Share 27 Financial Data Schedule (b) Reports on Form 8-K Signatures Safe Harbor Statement under the Private Securities Litigation Reform Act of 1995 This Quarterly Report on Form 10-Q contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended and Section 21E of the Securities Exchange Act of 1934, as amended. These forward-looking statements include statements regarding intent, belief or current expectations of Summit Medical Systems, Inc. (the "Company") and its management. Such forward-looking statements are not guarantees of future performance and involve risks and uncertainties that may cause the Company's actual results to differ materially from the results discussed in the forward- looking statements. Factors that might cause such differences include, but are not limited to, failure of the Company's client/server database products or on- line registries to achieve market acceptance, significant delays in developing and implementing system interfaces related to the Company's client/server database products, discovery of technical difficulties or defects in the client/server products and on-line registries, and failure of the Company's initiatives to increase Vista product sales, expand its data management services and reduce its expense base. The forward-looking statements herein are qualified in their entirety by the cautions and risk factors set forth in Exhibit 99, under the caption "Cautionary Statement," to the Company's Annual Report on Form 10-K, as amended pursuant to amendments filed on April 4, 1997 and April 30, 1997, respectively. A copy of the Form 10- K may be obtained from the Public Reference Branch of the SEC at 450 Fifth Street NW, Washington, DC at prescribed rates. SUMMIT MEDICAL SYSTEMS, INC. CONSOLIDATED STATEMENTS OF FINANCIAL POSITION September 30, December 31, 1997 1996 (unaudited) ---------------------------- ASSETS CURRENT ASSETS Cash and cash equivalents $ 5,397,897 $ 9,386,069 Short-term investments 25,986,493 35,243,624 Accounts receivable (net of allowance of $1,162,000 at 3,227,954 3,776,351 September 30, 1997; $650,000 at December 31, 1996) Other current assets 1,409,251 678,627 ---------------------------- Total current assets 36,021,595 49,084,671 Equipment and fixtures, net 1,630,075 3,203,931 Computer software costs, net - 1,198,573 ---------------------------- Total assets $37,651,670 $53,487,175 ============================ LIABILITIES AND SHAREHOLDERS' EQUITY CURRENT LIABILITIES Accounts payable and accrued expenses $2,886,622 $3,617,718 Accrued compensation 1,268,916 1,236,118 Accrued royalties 113,835 375,332 Deferred revenue & payables 3,164,174 1,867,006 Income taxes payable 26,248 7,648 Notes payable and convertible debentures - 100,000 Line of credit - 150,000 Current portion of long-term debt 9,542 23,628 ---------------------------- Total current liabilities 7,469,337 7,377,450 LONG-TERM DEBT 23,553 26,525 SHAREHOLDERS' EQUITY Common stock, $.01 par value: Authorized shares - 38,933,333 Issued and outstanding shares - 10,114,921 at September 30, 1997; 10,343,830 at December 31, 1996 101,149 103,438 Additional paid-in capital 69,149,190 69,700,376 Accumulated deficit (39,091,559) (23,720,614) ---------------------------- Total shareholders' equity 30,158,780 46,083,200 ---------------------------- Total liabilities and shareholders' equity $37,651,670 $53,487,175 ============================ The accompanying notes are an integral part of these financial statements. Page 1 SUMMIT MEDICAL SYSTEMS, INC. CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED) THREE MONTHS ENDED NINE MONTHS ENDED SEPTEMBER 30, SEPTEMBER 30, -------------------------------------------------------------------- 1997 1996 1997 1996 (unaudited) (restated) (unaudited) (restated) -------------------------------------------------------------------- Revenue Software license $ 537,038 $1,507,511 $ 1,831,650 $ 5,515,445 Support and service 947,892 989,117 2,806,427 3,965,497 Research & consulting services 2,025,022 1,530,734 6,008,081 4,578,074 --------------------------- ---------------------------- Total revenue 3,509,952 4,027,362 10,646,158 14,059,016 Cost of Sales Software license 1,208,695 186,375 2,065,010 715,342 Support and service 1,133,793 587,677 3,045,555 1,806,722 Research & consulting services 987,154 1,137,724 3,807,406 2,932,775 --------------------------- ---------------------------- Total cost of sales 3,329,642 1,911,776 8,917,971 5,454,839 Gross profit 180,310 2,115,586 1,728,187 8,604,177 Operating expenses Selling and marketing 1,393,689 1,944,595 4,997,199 6,070,668 Research and development 955,614 950,684 2,772,676 1,969,639 General and administrative 3,884,758 1,561,955 11,908,380 3,959,044 --------------------------- ---------------------------- Total operating expenses 6,234,061 4,457,234 19,678,255 11,999,351 ---------------------------- ---------------------------- Loss from operations (6,053,751) (2,341,648) (17,950,068) (3,395,174) Gain on Sale of Subsidiaries 1,072,699 - 1,072,699 - Interest income, net 430,936 628,586 1,524,847 1,225,802 --------------------------- ---------------------------- Loss before income taxes (4,550,116) (1,713,062) (15,352,522) (2,169,372) Income tax expense 13,715 500 18,423 17,804 --------------------------- ---------------------------- Net loss ($4,563,831) ($1,713,562) ($15,370,945) ($2,187,176) =========================== ============================ Net loss per share: Primary & fully diluted ($0.44) ($0.17) ($1.49) ($0.24) =========================== ============================ Weighted average shares outstanding: Primary & fully diluted 10,343,790 10,226,856 10,350,129 9,088,043 --------------------------- ---------------------------- The accompanying notes are an integral part of these financial statements. Page 2 SUMMIT MEDICAL SYSTEM, INC. CONSOLIDATED STATEMENTS OF CASH FLOW (UNAUDITED) NINE MONTHS ENDED SEPTEMBER 30, -------------------------------------- 1997 1996 (unaudited) (restated) -------------------------------------- Operating activities: Net loss $ (15,370,945) $ (2,187,176) Adjustments to reconcile net loss to net cash - provided by (used in) operating activities: - Depreciation 1,667,443 548,632 Amortization 1,200,653 68,769 Loss on disposal of equipment 465,405 60,343 Gain on sale of subsidiaries (1,072,699) - Changes in operating assets and liabilities: Accounts receivable (net of allowance of $1,161,993 and $110,331 239,829 1,180,869 in 1997 and 1996, respectively) Advances to officers - 47,500 Other current assets (401,959) (412,366) Accounts payable and accrued expenses 10,054 (230,581) Accrued compensation 139,746 661,821 Accrued royalties (261,497) (27,382) Income tax payable 18,600 - Deferred revenue 1,412,168 (232,111) -------------------------------------- Net cash used in operating activities (11,953,202) (521,682) Investing activities: - Purchase of short-term investments (19,308,976) (52,891,425) Sales and maturities of short-term investments 28,566,107 37,891,271 Purchases of equipment and fixtures (743,755) (1,455,673) Net proceeds on sale of subsidiaries 436,540 - Cash distributed in sale of subsidiaries (280,298) - Capitalized software cost (2,080) (33,297) ------------------------------------- Net cash provided by (used in) investing activities 8,667,538 (16,489,124) Financing activities: Proceeds from long-term debt - 51,431 Principal payments on long-term debt (17,058) (47,996) Principal payments on notes payable and convertible debentures (100,000) (15,000) Net proceeds from line of credit (150,000) (20,000) Payments on note payable - officer - (17,991) Distributions to shareholders - (262,784) Net proceeds from common stock transactions 53,135 29,450,282 Repurchase of common stock (563,750) - Net proceeds from exercise of common stock options 75,165 122,756 ------------------------------------- Net cash provided by (used in) financing activities (702,508) 29,260,698 Increase (decrease) in cash and cash equivalents (3,988,172) 12,249,892 Cash and cash equivalents at beginning of period 9,386,069 2,202,004 ------------------------------------- Cash and cash equivalents at end of period $ 5,397,897 $14,451,896 ===================================== Supplemental disclosures of cash flow information: Cash paid during the year for interest $ 5,352 $ 10,015 Supplemental disclosures of noncash financing activities: Common stock received in sale of BSM subsidiary $ 318,024 - Common stock issued in McIntosh settlement $ 199,999 - The accompanying notes are an integral part of these financial statements. Page 3 Summit Medical Systems, Inc. Notes to Consolidated Financial Statements September 30, 1997 (Unaudited) Note A - Basis of Presentation The accompanying unaudited consolidated financial statements have been prepared in accordance with generally accepted accounting principles for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by generally accepted accounting principles for complete financial statements. In the opinion of management, all adjustments (consisting of normal recurring accruals) considered necessary for a fair presentation have been included. Operating results for the nine month period ended September 30, 1997 are not necessarily indicative of the results that may be expected for the year ended December 31, 1997. For further information, refer to the consolidated financial statements and footnotes thereto for the year ended December 31, 1996 included in the Annual Report of the Company. Note B - Cash, Cash Equivalents and Investments Cash in excess of current operating needs is invested in highly liquid money market and/or marketable debt securities in accordance with the Company's investment policy. Cash equivalents are highly liquid investments with remaining maturities of 90 days or less at the time of purchase. Other highly liquid investments with remaining maturities of one year or less at the time of purchase are considered short-term investments. Note C - New Accounting Pronouncement In March 1997, the Financial Accounting Standards Board released Statement of Financial Accounting Standards No. 128 ("SFAS 128"), "Earnings per Share," which requires the disclosure of basic earnings per share and diluted earnings per share information. The Company expects to adopt SFAS 128 at the end of 1997 and anticipates it will not have a material impact on previously reported earnings per share. Note D - Significant Transactions During the third quarter of 1997, the Company sold two wholly owned subsidiaries originally acquired in 1995, the BSM Consulting Group ("BSM") and Medical Information Systems Company, Inc. ("MIS"), in separate transactions. Proceeds on the sale of these two subsidiaries, less related fees and commissions, totaled $1.6 million, including cash in the amount of $575,000 received October 1997 and the return of 137,000 shares of Company common stock by the principal of BSM. The Company recorded a one-time gain of $1.1 million in third quarter 1997 related to these transactions. In August 1997, the Board of Directors authorized a stock repurchase program under which up to 1.0 million shares of Common Stock may be repurchased. The Company incurred certain special charges and reserves amounting to approximately $3.5 million during the three months ended September 30, 1997. These charges and reserves included: (i) A $1.0 million charge to write off the unamortized balance on capitalized software primarily related to Crescendo! Forte originally recorded in connection with the acquisition of 100% of the equity interest in Cordillera L.L.C. ("Cordillera") joint venture in December 1996. The Company has ceased marketing Crescendo! Forte. (ii) Severance and outplacement services of $450,000 related primarily to a downsizing in September 1997. (iii) Depreciation expense of $1,000,000 to reduce surplus personal computers and office furniture to net realizable value following significant reductions in the Company's workforce in 1997. (iv) An expected cost of $325,000 to renegotiate the lease on the Company's headquarters facility with the intention of reducing the lease obligation by approximately 20,000 square feet, or 40% of total space. Costs related to this reduction in space include writing off unamortized leasehold improvements, related broker commissions and penalties and an estimate of accrued lease expense on the excess space over the period pending final settlement. (v) A $600,000 increase in allowance for bad debts primarily to cover uncollected accounts dating back to 1996 on annual support and maintenance agreements. (vi) Payment of approximately $120,000 to the Society of Thoracic Surgeons (STS) covering an underpayment of prior year royalties stipulated under the STS National Database Agreement. 4 ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS OVERVIEW - -------- Summit Medical Systems, Inc. (the "Company") is a leading provider of outcomes management systems and regulatory consulting services to the healthcare industry. Database technology and research and consultive services offered by the Company give healthcare providers and manufacturers information tools to capture, manage and report clinical, economic and patient-reported outcomes. Regulatory consulting services assist medical device manufacturers in meeting stringent regulatory requirements for approval on new products. The Company currently offers database products primarily on two technology platforms, Crescendo! and Vista. The Crescendo! platform is designed for use in hospital cardiac and cardiovascular surgery centers. In the second half of 1996, the Company introduced Crescendo! Forte, a client/server, relational database product for use in high volume cardiac and cardiovascular surgery centers. In 1997, the Company ceased marketing Crescendo! Forte after concluding that the market for this product was limited and that supporting and servicing the product was prohibitively expensive for the Company. In the third quarter of 1997, the Company began beta testing the first release of a Crescendo! product for medium and low volume centers ("Crescendo! 1.0"), which provides core functionality, simplified installation and reduced pricing compared to Crescendo! Forte. The Vista platform is a Windows based, flat file application, covering a product line of over 40 database software modules that is primarily used in four medical specialties: cardiac and thoracic surgery, cardiology, ophthalmology, and orthopedics. The Company also provides a range of regulatory and research consulting services through its C.L. McIntosh & Associates ("CLMA") subsidiary. In late 1996, the Company introduced registry services designed to evaluate the efficacy of specific medical devices or drug therapies utilizing on-line data collection through the World Wide Web. During the third quarter of 1997, the Company sold two wholly-owned subsidiaries originally acquired in 1995, the BSM Consulting Group (BSM) and Medical Information Systems Company, Inc. (MIS), in separate transactions. BSM was sold back to its original owner, Bruce Maller. The Company sold these subsidiaries as part of its strategy to focus on information systems and services in the cardiovascular arena and research and data management services provided through it's C.L.McIntosh & Associates subsidiary (CLMA). BSM provides strategic, financial and systems planning services to healthcare providers and vendors in various areas, such as opthalmology, which fall outside this focus. MIS develops and markets WELLCAST R.O.I., an information system that enables healthcare purchasers to develop cost-effective preventive care and occupational health, medical and pharmacological intervention strategies. Proceeds on the sale of these two subsidiaries, less related fees and commissions, totaled $1.6 million including return of 137,000 shares of Company common stock by the principal of BSM. The Company recorded a one-time gain of $1.1 million in third quarter 1997 related to these transactions. Combined quarterly financial results for the BSM and MIS subsidiaries for 1995, 1996 and nine months ending September 30, 1997 are summarized below: Amounts in Thousands 1995 1996 1997 -------------------------------- ------------------------------- ------------------------ Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Qtr 4 Qtr 1 Qtr 2 Qtr 3 Revenue Software License $ 19 $ 32 $109 $ 30 $ 56 $ 25 $ 54 $ (21) $ 99 $ (11) $129 Support and Service 51 30 49 42 113 97 34 14 14 17 54 Research and Consulting Services 466 435 404 520 530 541 749 611 571 724 614 ---- ----- ---- ---- ---- ---- ---- ----- ----- ----- ---- Total Revenue 536 497 562 592 699 663 837 604 684 730 797 Cost of Sales Software License 4 15 24 (10) 31 31 2 0 9 13 7 Support and Service 17 19 20 31 25 22 41 68 64 97 48 Research and Consulting Services 349 299 280 311 277 526 616 612 465 606 254 ---- ----- ---- ---- ---- ---- ---- ----- ----- ----- ---- Total Cost of Sales 370 333 324 332 333 579 659 680 538 716 309 Operating Expenses Selling and Marketing 40 53 46 38 53 50 67 102 46 1 1 Research and Development 40 29 44 68 61 57 72 94 83 7 11 General and Administrative 162 261 220 246 257 18 128 171 249 200 271 ---- ----- ---- ---- ---- ---- ---- ----- ----- ----- ---- Total Operating Expense 242 343 310 352 371 125 267 367 378 208 283 Income (loss) from Operations (76) (179) (72) (92) (5) (41) (89) (443) (232) (194) 205 Interest Income, Net -0- (1) -0- (7) (1) 2 3 2 1 2 2 ---- ----- ---- ---- ---- ---- ---- ----- ----- ----- ---- Income (loss) Before Taxes (76) (180) (72) (99) (6) (39) (86) (441) (231) (192) 207 Income Tax Expense -0- -0- -0- -0- 16 (1) -0- 1 -0- -0- 1 ---- ----- ---- ---- ---- ---- ---- ----- ----- ----- ---- Net Income (Loss) $(76) $(180) $(72) $(99) $(22) $(38) $(86) $(442) $(231) $(192) $206 -5- THIRD QUARTER 1997 RESULTS. The Company incurred an operating loss of $6.1 million during the three months ended September 30, 1997, which included special charges and reserves amounting to approximately $3.5 million. These charges and reserves included: (i) A $1.0 million charge to write off the unamortized balance on capitalized software primarily related to Crescendo! Forte originally recorded in connection with the acquisition of 100% of the equity interest in Cordillera L.L.C. ("Cordillera") joint venture in December 1996. As discussed above, the Company has ceased marketing Crescendo! Forte. (ii) Severance and outplacement services of $450,000 related primarily to a downsizing in September 1997. (iii) Depreciation expense of $1,000,000 to reduce surplus personal computers and office furniture to net realizable value following significant reductions in the Company's workforce in 1997. (iv) An expected cost of $325,000 to renegotiate the lease on the Company's headquarters facility with the intention of reducing the lease obligation by approximately 20,000 square feet, or 40% of total space. Reductions in the work force have created excess space since the lease was negotiated in late 1996. Through this renegotiation process, the Company seeks to save $2.6 million in lease payment over the next eight years. Costs related to this reduction in space include writing off unamortized leasehold improvements, related broker commissions and penalties and an estimate of accrued lease expense on the excess space over the period pending final settlement. (v) A $600,000 increase in allowance for bad debts primarily to cover uncollected accounts dating back to 1996 on annual support and maintenance agreements. (vi) Payment of approximately $120,000 to the Society of Thoracic Surgeons (STS) covering an underpayment of prior year royalties stipulated under the STS National Database Agreement. Revenues in the third quarter 1997 continued to be adversely impacted by the transition from the Vista product line to the Crescendo! product line. Software license revenue for the third quarter of 1997 was lower than the comparable period of 1996, reflecting the Company's termination of direct marketing of its Windows-based Vista product line in early 1997, and the lack of revenue from contracts for Crescendo! products. In third quarter 1997, the Company resumed marketing its Vista product line on a limited basis with a sales campaign aimed at cross-selling additional Vista modules to existing Vista customers. Beginning in fourth quarter 1997, the Company plans on targeting users of its DOS product in an effort to upgrade them to Vista. This campaign is expected to continue into the first half of 1998, and is not expected to generate additional revenues until first quarter 1998. The Company currently plans to discontinue support of its DOS product at the end of 1998. Also in the fourth quarter, the Company expects to introduce two predefined consulting services to its Vista customers, with a price point in the $5,000 range. The initiatives outlined above represent forward-looking statements of intentions that are not yet fully developed and have not been tested in the market. Accordingly, there can be no assurance that these initiatives will result in increased revenues. The Company has been selling Crescendo! 1.0 since early 1997 in order to provide reference sites and validation of the technology. Installation and training on the first three beta sites for Crescendo! 1.0 commenced in July 1997, and installation of six additional sites is underway at this time. The Company has closed nineteen contracts for Crescendo! 1.0 to date, for a total contract value of approximately $2.0 million which includes support and maintenance revenues that will be recognized over the next three years. A full- scale marketing and promotional effort for Crescendo! 1.0 did not commence until mid-November. -6- No revenues will be recorded on Crescendo! 1.0 contracts until all significant contractual obligations have been met, including installation of related system interfaces and customization of the data set. No installations have been completed to date, and it is uncertain whether any will be completed in the fourth quarter 1997. In general, the Company anticipates that revenues from Crescendo! 1.0 will be affected by a longer sales and implementation cycle associated with more complex, higher priced client/server products, uncertainty as to the market demand for such products and lack of referenceable accounts. The Company has not recorded any revenue on its four Crescendo! Forte installations due to outstanding obligations to develop additional modules and interfaces. In light of the Company's decision to cease marketing the Crescendo! Forte product, the Company is seeking to renegotiate its agreement with each of the four installed Crescendo! Forte customers to reduce the scope of its deliverables. These deliverables are expected to be replaced by a combination of available products including Crescendo! 1.0, Vista and limited versions of Crescendo! Forte. It is not known at this time what the value of these revised agreements will be, or when any related revenues will be recorded. In accordance with Company policy, no revenue will be recorded on these contracts until all obligations are substantially fulfilled. With respect to other initiatives to improve overall profitability, the Company's CLMA subsidiary plans on expanding into data management services for medical device manufacturers, and has begun to respond to related request for proposals (RFP's). It is too early to determine if this initiative will be successful. The Company has also taken additional measures to reduce its expense base, including a September 1997 downsizing which eliminated 25 positions, or 15% of the workforce. YEAR TO DATE RESULTS. The $18.0 million loss from operations for the nine months ended September 30, 1997 included special charges for payments and reserves amounting to approximately $8.7 million. This amount included $3.5 million recorded in the third quarter, as summarized above, and $5.2 million recorded in the first half of 1997 covering primarily: (i) A charge of $2.8 million covering agreements reached with the parties, including members of management, who received Company stock, options or warrants in connection with the Company's December 1996 acquisitions of CLMA and 100% of the equity interest in the Cordillera joint venture. The agreements involve cash payments to these parties and repricing of warrants issued in connection with the Cordillera acquisition. In return, the Company has received, or will receive, a general release from these parties against certain possible claims arising since the acquisitions, primarily related to the Company's restatement of revenues. The Board of Directors authorized the agreements based on the importance and unique position of CLMA and the Crescendo! technology developed by Cordillera to the Company's future operations. In order to preserve the value to the Company of the CLMA and Cordillera operations and their assets, the Board determined that it was in the best interest of the Company and its shareholders to resolve these issues promptly. The agreement with the CLMA parties was concluded, and related payments made in June 1997. The Company has reached an agreement with the Cordillera parties. (ii) Accounting fees incurred in connection with the Company's restatement of revenues. (iii) Reserves for legal fees expected to be incurred in connection with various shareholder lawsuits and investigations by the Securities and Exchange Commission ("SEC"). (iv) The cost of renegotiating various development contracts involving certain medical specialties. In April 1997, the Company decided to significantly reduce its involvement in a number of medical specialty markets that were not central to its near term strategy, and to focus more directly on the cardiology and cardiovascular medical specialty markets. The Company determined that the near term revenue potential associated with these medical specialties, including vascular, electrophysiology (EP), urology and critical care, did not warrant the related development and marketing expenses. The Company has revised or terminated commitments made in 1995 and 1996 under development and support agreements with various subsidiaries of Boston Scientific Corporation related to these specialty markets, and has partially refunded amounts received under these agreements, including amounts received for contract development work performed in prior years. In June, 1997, The Company executed an agreement with Boston Scientific -7- Corporation to market the Company's Crescendo! product line on a non-exclusive basis. (v) Severance costs, including those associated with a downsizing that occurred in March 1997 and the departure of the Company's former Chief Executive Officer. (vi) A reserve for an obligation included in the Company's headquarters lease requiring the Company to make a $350,000 penalty payment if it fails to exercise an option to lease additional space at such facility by mid 1998, a currently unoccupied portion of the building. The Company will not require this additional space, and will settle this obligation in connection with the current lease renegotiations. Revenues in the first three quarters of 1997 suffered due to the transition from the Vista to Crescendo! product line as discussed in "Third Quarter 1997 Results" above. Expenses in the first three quarters of 1997 increased, in part, because of the additional cost of developing, marketing, implementing and supporting the more complex Crescendo! 1.0 and Crescendo! Forte products. In various cost reduction initiatives taken throughout the year, the Company has reduce its headcount from 208 full-time employees at December 31, 1996 to 140 at September 30, 1997. Following the sale of BSM, the number of full-time employees was approximately 115. RESULT OF OPERATIONS - -------------------- TOTAL REVENUE. The Company's revenue for the third quarter of 1997 was derived primarily from software license fees, annual support and maintenance services related to its Vista products and consulting services provided by its BSM and CLMA subsidiaries. Revenues totaled $3.5 million for the third quarter of 1997, a decrease of $517,000, or 13%, as compared with third quarter of 1996, reflecting (i) termination of direct marketing efforts for Vista products and (ii) lack of revenues arising from sales of Crescendo! 1.0, which was not officially launched until November 1997. Revenue of $10.6 million for the first nine months ending September 30, 1997 represented a 24% decrease over the same period in 1996 that was also largely due to these factors. Software license revenue was $1.8 million in the first nine months of 1997, $3.7 million or 67% below the first nine months of 1996 as a result of the various factors discussed above. SOFTWARE LICENSE REVENUE. The Company's software license revenue primarily consists of sales of database software licenses, software upgrades and networking fees. Sales of software licenses were $537,000 for the third quarter of 1997, consisting primarily of sales of additional Vista modules to existing Vista customers and sale of the Wellcast R.O.I. product. This represents a decline of $1.0 million, or 64%, from the third quarter of 1996 as a result of the various factors discussed previously. Software license revenue was $1.8 million in the first nine months of 1997, $3.7 million or 67% below the first three quarters of 1996 as a result of these same factors. Software license revenue from sales to marketing partners comprised 30% of total software revenue in the first three quarters of 1997, largely related to sales made through Boston Scientific Corporation in the first quarter. SUPPORT AND SERVICE REVENUE. Support and service revenue primarily includes fees from annual support and service agreements, training, consulting, module development and hardware. Support and service revenue was $948,000 for the third quarter of 1997, down slightly from third quarter 1996. Support and service revenue for the nine months ended September 30, 1997 was $2.8 million, a 29% decrease over the same period in 1996 which was attributable to fewer new customers and attrition among existing customers. RESEARCH AND CONSULTING SERVICES REVENUE. Research and consulting services revenue consists of (i) fees received by BSM for providing strategic development, financial analysis and systems planning services to health care providers and vendors, (ii) fees received by CLMA for regulatory affairs and data management services provided primarily to manufacturers of new medical device and biologic products in order to secure Food and Drug Administration ("FDA") approval and (iii) revenues from pharmaceutical companies and device manufacturers for registry programs involving collection of outcomes data related to specific in-market drugs or medical devices. Research and consulting services revenue was $2.0 million for the third quarter of 1997, an increase of $495,000, or 32% over the third quarter of 1996. This increase was primary due to revenue generated from completing the software development phase of a pilot registry program with Eli Lilly Company ("Eli Lilly"), as described below, and a newly -8- established biologics division of CLMA. Consulting revenues for the first nine months of 1997 were $6.0 million, a 31% increase over the first nine months of 1996 due primarily to CLMA'S newly established biologics division. In February 1997, the Company entered into an agreement with Eli Lilly to participate in a pilot program for a registry to collect, analyze and report on the use of a platelet aggregation inhibitor during coronary interventions. This agreement has a contract value of $400,000, and involves installation of an on-line data capture system at ten pilot catheterization labs, utilizing Crescendo! technology. During August 1997, the Company successfully completed development of an internet version of this on-line system, which utilizes a World Wide Web-based front-end installed at the lab site. The Company recorded revenues of $250,000 in third quarter 1997 upon completion of the development phase of this on-line system, in accordance with the contract. Three labs have signed participation agreements as pilot sites to date, which is less than originally planned. It has been more difficult than originally expected to find sites willing to participate in the registry program, and the Company is reviewing its approach towards motivating sites to participate in the program. It is now expected that all ten sites will be selected and installed during fourth quarter 1997 and first quarter 1998. The Company will record the remaining revenue under this contract over a six month period following the installation of the pilot sites. Effective September 30, 1997, the Company sold its BSM subsidiary as discussed in the "Overview" section above. TOTAL COST OF SALES. Cost of sales as a percentage of total revenue was 95% in third quarter 1997, compared to 47% in third quarter 1996, reflecting a $1.0 million charge to write off the unamortized balance on capitalized Crescendo! Forte Software, as discussed in "Overview", severance payments, the impact of fixed personnel costs on a lower revenue base and the addition of support and implementation personnel to support the Crescendo! product line. A portion of this increase reflected personnel costs in the implementation area that were classified as operating expense in third quarter 1996 rather than cost of sales. For the first nine months of 1997, cost of sales was 84% of revenues as compared to 39% in the same period of 1996 for these same reasons. COST OF SOFTWARE LICENSE REVENUE. Cost of software license revenue consists of expenses directly related to sales of software licenses, including royalties, freight, user guides, diskettes, amortization of capitalized software and an allocation of costs incurred by the client relations department for various software related activities. The following table sets forth, for the periods indicated, the relationship of cost of software license revenue to software license revenue: THREE MONTHS ENDED NINE MONTHS ENDED SEPTEMBER 30, SEPTEMBER 30, (IN THOUSANDS) (IN THOUSANDS) ------------------- ------------------ 1997 1996 1997 1996 Software license revenue $ 537 $1,508 $1,832 $5,515 Cost of software license revenue 1,209 186 2,065 715 Cost of software license revenue as a percentage of software license revenue 225% 12% 113% 13% The increase in cost of software license revenue as a percent of software license revenue during third quarter and first nine months of 1997 primarily reflects the $1.0 million third quarter charge to write off the unamortized balance on capitalized Crescendo! Forte software and a reduction in software license revenue in those periods as compared to the same periods in 1996. COST OF SUPPORT AND SERVICE REVENUE. Cost of support and service revenue consists of expenses directly related to sales of support and service, including royalties, customer service personnel costs, and expenses for training and clinical data services. The following table sets forth, for the periods indicated, the relationship of cost of support and services revenue to support and service revenue: -9- THREE MONTHS ENDED NINE MONTHS ENDED SEPTEMBER 30, SEPTEMBER 30, (IN THOUSANDS) (IN THOUSANDS) ------------------ ----------------- 1997 1996 1997 1996 Support and service revenue $ 948 $ 989 $2,806 $3,965 Cost of support and service revenue 1,134 588 3,045 1,807 Cost of support and service revenue as a percentage of support and service revenue 120% 59% 109% 46% The increase in cost of support and service revenue as a percent of support and service revenue during third quarter reflects increased staffing in the implementation and technical services departments and a $120,000 payment to the STS to correct an underpayment of prior years royalties as discussed in "Overview." The increase in cost of support and service revenue as a percent of support and service revenue during the first nine months of 1997 also reflects a reduction in support and service revenue in that quarter as compared to the same periods in 1996. Support and service costs in 1997 also included personnel costs for eight employees in the implementation and technical services areas that were classified as operating expense in nine months of 1996 rather than cost of sales. COST OF RESEARCH AND CONSULTING SERVICES REVENUE. Cost of research and consulting services revenue consists of personnel costs and related expenses associated with thE BSM, CLMA and the Company's registry product line. The following table sets forth, for the periods indicated, the relationship of the cost of research and consulting services revenue to research and consulting services revenue: THREE MONTHS ENDED NINE MONTHS ENDED SEPTEMBER 30, SEPTEMBER 30, (IN THOUSANDS) (IN THOUSANDS) ------------------ ----------------- 1997 1996 1997 1996 Research and consulting services revenue $2,025 $1,531 $6,008 $4,578 Cost of research and consulting services revenue 987 1,138 3,807 2,933 Cost of research and consulting services revenue as a percentage of research and consulting services revenue 49% 74% 63% 64% Cost of research and consulting services revenue decreased to 49% of related revenue in third quarter 1997 from 74% in third quarter 1996, due to higher revenue, including recognition of a portion of the Eli Lilly registry contract, and reduction of expenses at BSM following layoffs. SELLING AND MARKETING EXPENSES. Selling and marketing expenses were $1.4 million during the third quarter of 1997, a decrease of $552,000, or 28%, compared to the same quarter of 1996 due primarily to personnel costs in the implementation area that were classified as marketing expense in third quarter 1996 and cost of sales in 1997. This reclassification also accounts for a 18% decline in selling and marketing expenses during the first nine months of 1997 as compared to the same period in 1996. RESEARCH AND DEVELOPMENT EXPENSES. Research and development expense was $955,000 in the third quarter of 1997, essentially the same as the third quarter 1996 expense. Research and development expense for the first nine months of 1997 amounted to $2.8 million as compared to $2.0 million for the comparable period in 1996 as the Company increased its development staff and its use of outside consultants to develop its Crescendo! product line. The dual development of the Crescendo! products and Vista Elite also resulted in greater research and development expense during the early part of 1997. As discussed previously, efforts to develop Vista Elite were discontinued in first quarter 1997. -10- GENERAL AND ADMINISTRATIVE EXPENSES. General and administrative expense was $3.9 million for third quarter 1997, an increase of $2.3 million over third quarter 1996. the increase is due primarily to charges amounting to approximately $2.2 million to cover costs discussed under "Overview", including write down of surplus office furniture and equipment, renegotiation of the headquarters lease, severance and reserves for bad debt. General and administrative expense was $11.9 million for the nine months ended September 30, 1997 as compared to $4.0 million for the first nine months of 1996. The $7.9 million increase related to special reserves and charges detailed in "Overview - Year To Date Results". Of $8.7 million in total reserves and charges detailed therein, approximately $7.4 million was recorded in general and administrative expense. GAIN ON SALE OF SUBSIDIARIES. During third quarter 1997, the Company recorded gains totaling $1.1 million on the sale of its BSM and MIS subsidiaries as discussed in the "Overview" section above. Proceeds from the sale of these subsidiaries, less related fees and commissions, totaled $1.6 million including return of 137,000 shares of Company common stock by the principal of BSM. INTEREST INCOME. Interest income, net, decreased to $431,000 in third quarter 1997 from $629,000 in third quarter 1996 as operating losses in 1997 have depleted cash available for investment. Interest income, net, for the three quarters of 1997 amounted to $1.5 million as compared to $1.2 million in the same period of 1996 as proceeds from the Company's July 1996 secondary stock offering were invested in short term securities. INCOME TAX EXPENSE. To date, the Company has not incurred any substantial income tax liability because of its historical operating losses. The deferred tax asset related to operating loss carry forwards generated in the first half of 1997 and 1996 were fully offset by an increase in the valuation allowance because of the Company's history of operating losses. LIQUIDITY AND CAPITAL RESOURCES - -------------------------------- During the nine months ended September 30, 1997, the Company's cash and cash equivalents decreased by $4.0 million reflecting $12.0 million used in operating activities and $744,000 used for the purchase of computer and networking equipment, offset by net reduction in investments of $9.3 million and proceeds of $437,000 (net of commissions) on the sale of MIS. The sale of BSM involved cash proceeds of $575,000 which were not received until October 1997. Cash provided by investing activities was $8.7 million in the first nine months of 1997 which consisted primarily of the sale or maturity of short- term investments of $28.6 million partially offset by the purchase of short- term investments in the amount of $19.3 million. Cash used in financing activities of $703,000 primarily represented repurchase of shares of the Company's common stock and repayment of long term debt. As of September 30, 1997, the Company had net working capital of $28.5 million, compared to $41.7 million at December 31, 1996. The $13.2 million decrease in working capital resulted primarily from operating losses, excluding depreciation and amortization, of $15.4 million during the first nine months of 1997. The Company believes that the continued expenditure of funds will be necessary to support its future operations, and that cash and short-term investments of $31.4 million on hand at September 30, 1997 will be sufficient to fund its operations, capital requirements, potential settlement payments as discussed above and expansion needs for the foreseeable future. As of November 3, 1997, cash and short term investments totaled $30.9 million. In August 1997, the Board of Directors authorized a stock repurchase program under which up to 1.0 million shares of the Company's common stock may be repurchased. The Company may purchase such common stock from time to time at prevailing prices in the open market, by purchases or in private transactions. Through November 3, the Company has repurchased 251,000 shares of common stock for approximately $564,000. In addition, in October 1997, 137,000 shares of common stock were returned to the Company as part of the proceeds received on the sale of BSM. Partially offsetting these reductions, 88,888 additional shares of common stock were issued in August as part of the settlement agreement with the principals of CLMA discussed above and 109,091 shares of stock were issued in October to the new CEO in return for a cash payment of $100,000 and a promissory note for $200,000. As of November 3, 1997, there were approximately 10.2 million shares of the Company's common stock issued and outstanding. -11- Item 3. Quantitative and Qualitative Disclosures About Market Risk. None Part II. Other Information Item 1. Legal Proceedings The Company is a defendant in In re Summit Medical Systems, Inc. Securities Litigation, a consolidated federal court securities action venued in the United States District Court, District of Minnesota. The putative class action was filed on March 10, 1997 and alleges violations of Section 10(b) of the Securities and Exchange Act of 1934, as amended (the "Exchange Act") and Rule 10b-5, Section 20(a) of the Exchange Act, Section 11 of the Securities Act of 1933, as amended (the "Securities Act"), and Section 15 of the Securities Act. The Company is also a defendant in a federal court securities action captioned Teachers' Retirement System of Louisiana v. Summit Medical Systems, Inc. et. al. The Teachers' Retirement action was filed on April 16, 1997 in the United States District Court, District of Minnesota and is not a class action. In addition to the claims alleged in the consolidated action, the Teachers' Retirement complaint alleges a claim under Section 18(a) of the Exchange Act, common law fraud, and negligent misrepresentation. Each action alleges, in essence, that the Company made misleading public disclosures relating to its financial statements and seeks compensatory damages for losses incurred as a result of each alleged misleading public disclosure. As to federal securities law claims, both actions are subject to the Private Securities Litigation Reform Act of 1995 (the "Reform Act"). The Company has made a motion to dismiss certain claims and intends to defend against these actions vigorously. The Company has been informed by the Division of Enforcement of the Securities and Exchange Commission (the "Commission"), through service of a subpoena on March 25, 1997, that the Commission is conducting an investigation of the Company, relating to the Company's restatement of certain financial statements. The Company is cooperating fully with the Commission and its investigation. Item 2. Changes in Securities None Item 3. Defaults upon Senior Securities None Item 4. Submission of Matters to a Vote of Security Holders None Item 5. Other Information None Item 6. Exhibits and Reports on Form 8-K (a) Exhibits The following exhibits are included herein: 10.1 Agreement dated as of July 31, 1997 By and Between Summit Medical Systems, Inc., Duke University, DR Ware LLC, Donald F. Fortin, M.D., Robert M. Califf, M.D. and Harry Phillips, M.D. 11.1 Computation of Earnings per Share 27 Financial Data Schedule (b) Reports on From 8-K None 12 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 Summit Medical Systems, Inc. ---------------------------- Date: November 14, 1997 /s/ Richard J. Willemin - ----------------------- ------------------------------------ Richard J. Willemin Interim Chief Executive Officer and Chief Financial Officer 13