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BSD MEDICAL CORP - 10-Q - Management's Discussion and Analysis of Financial Condition and Results of Operations
(Edgar Glimpses Via Acquire Media NewsEdge) This Management's Discussion and Analysis of Financial Condition and Results of
Operations and other parts of this quarterly report on Form 10-Q contain
forward-looking statements that involve risks and uncertainties. Forward-looking
statements can also be identified by words such as "anticipates," "expects,"
"believes," "plans," "predicts," and similar terms. Forward-looking statements
are not guarantees of future performance and our actual results may differ
significantly from the results discussed in the forward-looking
statements. Factors that might cause such differences include, but are not
limited to, those discussed in the subsection entitled "Forward-Looking
Statements" below. The following discussion should be read in conjunction with
our financial statements and notes thereto included in this report. We assume no
obligation to revise or update any forward-looking statements for any reason,
except as required by law.
Overview
We develope, manufacture, market, and service systems to treat cancer and benign
diseases using heat therapy delivered using focused radiofrequency (RF) and
microwave energy. Our product lines include both ablation and hyperthermia
treatment systems. Our microwave ablation system has been developed as a
stand-alone therapy to employ precision-guided microwave energy to ablate
(destroy) soft tissue. Our hyperthermia cancer treatment systems, which have
been in use for several years in the United States, Europe and Asia, are used to
treat certain tumors with heat (hyperthermia) while increasing the effectiveness
of other therapies such as radiation therapy. We have developed extensive
intellectual property, multiple products in the market and established
distribution in the United States, Europe and Asia. Certain of our products have
received regulatory approvals and clearances in the United States, Europe and
China.
MicroThermX® Microwave Ablation System
Our MicroThermX® Microwave Ablation System ("MicroThermX®") is a compact,
mobile, state-of-the-art, proprietary system that includes a microwave
generator, single-patient-use disposable antennas, and a thermistor-based
temperature monitoring system. The innovative design of the MicroThermX® is the
first of its kind that allows delivery of higher power levels using a single
generator. The MicroThermX® utilizes innovative synchronous phased array
technology that was developed and patented by us to provide larger and more
uniform zones of ablation during a single procedure.
The MicroThermX® introduces into our product line an innovative SynchroWave
disposable antenna that is used in each ablation treatment, which we believe
will provide a significant ongoing revenue stream after the sale of the
system. We expanded the MicroThermX® market opportunity by introducing a new
SynchroWave short tip ("ST") antenna that can be used to deliver smaller,
spherical ablation zones that more accurately target smaller tumors. The
existing SynchroWave long tip ("LT") antenna delivers larger ablation zones,
reducing the need for multiple ablations on larger tumors. The multiple
configurations of the SynchroWave antenna provide physicians the ability to
precisely target the ablation zone to the numerous sizes and shapes of diseased
tissue, significantly increasing the number of cases that can be treated with
the MicroThermX®. The soft tissue ablation world market potential is estimated
to exceed $2.3 billion.
We introduced a new Table Top MicroThermX® Microwave Ablation System ("T2")
designed for our fee-per-use rental program, which is more fully described
below. Portability and ease of use are keys to successful implementation of the
equipment rental program. The T2 is a small, lightweight, tabletop configuration
that has the same advanced features as the original MicroThermX® configuration.
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In August 2010, the FDA granted us a 510(k) clearance to market the MicroThermX®
for ablation of soft tissue. Clearance from the FDA of the 510(k) Premarket
Notification submission authorizes the commercial sale of the MicroThermX® in
the United States. We have also received CE Marking for the MicroThermX®, which
allows us to market the MicroThermX® in the thirty countries that comprise the
European Union ("EU") and the European Free Trade Association ("EFTA"). CE
Marking is also recognized in many countries outside of the EU, providing us the
ability to market the MicroThermX® to a number of international markets. As
further discussed below, we have established distribution in a number of EU
countries and have accepted purchase orders for and have shipped both
MicroThermX® systems and SynchroWave antennas.
Increased sales activity has resulted in a full schedule of clinical evaluations
and an increase in the number of sites evaluating MicroThermX® equipment for
purchase. We have placed a select number of MicroThermX® systems with pivotal,
high-profile, interventional oncology opinion leaders. These medical facilities
continue to reorder disposable SynchroWave antennas, validating the ongoing
revenue stream we anticipate. Existing users of the MicroThermX® continue to
report positive clinical results in the treatment of cancerous tumors.
Over 380 patients have been successfully treated with the MicroThermX® at
hospitals throughout the U.S. and Europe. Clinicians have used the MicroThermX®
to treat patients with cancers of the liver, lung, bone, and kidneys. These
evaluations represent an important milestone in the MicroThermX® sales
cycle. However, with hospital capital budgeting, committee review and other
approvals, the sales cycle for the MicroThermX® may extend to well over six
months. Political and economic uncertainty in the industry due to recent
government healthcare reform is also slowing hospital acquisition of capital
equipment at all levels.
To bolster our MicroThermX® sales line and accelerate and maximize revenues, we
have added a MicroThermX® fee-per-use equipment rental program. We have
experienced ongoing success with a MicroThermX® fee-per-use equipment rental
program in the Salt Lake City, Utah area. The Company launched a program with 5
hospitals in Salt Lake City that allowed hospitals to purchase disposable
SynchroWave antennas and pay a fee-per-use equipment rental for the treatment of
patients using the MicroThermX®, dramatically shortening the sales cycle. This
rental program has generated a revenue stream from sales of disposable
SynchroWave antennas combined with highly profitable equipment rental fees, and
we continue an aggressive rollout of this successful equipment rental program
throughout the U.S.
We expanded the successful equipment rental program throughout the U.S., hiring
new direct sales representatives in key major metropolitan areas who will
provide "personal service" to new users of the microwave ablation
technique. These new hires are experienced interventional sales representatives
with seasoned contacts in the field of interventional oncology. We also added a
new Vice President of Sales and Marketing with a 36 year history in marketing
medical equipment to physicians. He will initially focus his efforts exclusively
on the worldwide sale of our MicroThermX® line of products and the
implementation of our fee-per-use equipment rental program. Our U.S. sales
program also includes one domestic specialty distribution firm.
This new sales model will allow us to clearly focus on major areas of
opportunity in the ablation market. We have hired direct sales representatives
to cover the following key metropolitan areas: Florida, New York, New Jersey,
Philadelphia, Chicago, Phoenix, Las Vegas, Southern California, Dallas and
Houston, Ohio, Western Pennsylvania, Northern Kentucky and Oklahoma. We plan to
continue to expand the direct sales program into other metropolitan areas in the
future.
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We also continue our emphasis on Europe and other international markets. We
hired a Director of International Sales, have met with several international
distribution firms and have entered into exclusive distribution agreements with
specialty distribution firms in Italy, Ireland, Northern Ireland, The
Netherlands and Turkey. These firms have purchased MicroThermX® systems and
SynchroWave antennas. We provide our international sales teams with extensive
hands-on training to ensure success in clinical use of the MicroThermX®
system. We continue to build our international sales and distribution network to
expand upon a dedicated team of medically trained sales representatives
presenting the advantages of the MicroThermX® to interventional oncologists
throughout Europe. We anticipate reaching agreements with additional
international distribution firms, and we anticipate additional international
shipments of the MicroThermX® and supplies of SynchroWave antennas in calendar
year 2013.
Hyperthermia Systems
BSD-500. Our BSD-500 Hyperthermia System, or the BSD-500, is used to deliver
either superficial hyperthermia therapy, which is non-invasive and delivered
externally using antennae placed over the tumor, or interstitial hyperthermia
therapy, which is delivered using antennae that are inserted into the tumor, or
both. These systems include a touch screen display monitor by which the operator
controls the hyperthermia treatment, computer equipment and software that
controls the delivery of microwave energy to the tumor, and a generator that
creates the needed microwave energy for the treatment. Additionally, the systems
include a variety of applicator (radiating antennae) configurations, depending
on the system. Various configurations of non-invasive applicators (antennae) are
used for superficial hyperthermia treatments. For interstitial hyperthermia
treatments, the system may include up to 24 small microwave heat-delivering
antennae that are inserted into catheters used for internal radiation therapy
(called brachytherapy).
Our primary FDA approval (described as a pre-market approval, or "PMA", which is
the standard FDA approval required to market Class III medical devices in the
United States) for the BSD-500 is for the use of hyperthermia and radiation
therapy to treat certain tumors using the BSD-500. The BSD-500 is indicated for
use alone or in conjunction with radiation therapy in the palliative management
of certain solid surface and subsurface malignant tumors (i.e., melanoma,
squamous- or basal-cell carcinoma, adenocarcinoma, or sarcoma) that are
progressive or recurrent despite conventional therapy.
There are some clinical studies that have been published that show the
effectiveness and safety for the use of hyperthermia and certain chemotherapy
drugs for the treatment of some cancers. However, we do not currently have FDA
approval for the use of hyperthermia in conjunction with
chemotherapy. Physicians are allowed to utilize medical devices that have been
approved or cleared by the FDA, including the BSD-500, for off label indications
(indications for use that are not included in the FDA approval or clearance),
but a manufacturer cannot promote for an off label use in the United States, as
the FDA considers this to be an unproven clinical application.
We have received FDA approval through FDA supplements for implementation of a
new operating system and a new power generation system and other commercial
upgrades for the BSD-500 configurations. We have also certified the BSD-500
systems for the CE Mark, which is required for export into some European and
non-European countries.
BSD is currently in discussions with our notified body, DQS Medizinprodukte
GmbH, to resolve some outstanding issues with our CE certificate for our
Hyperthermia Systems. Although we cannot predict the ultimate outcome of these
discussions, we are confident we will be able to solve the outstanding issues in
a timely manner.
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BSD-2000. The BSD-2000 Hyperthermia System, or the BSD-2000, family of products
includes the BSD-2000, the BSD-2000/3D and the BSD-2000/3D/MR. These systems
non-invasively deliver localized therapeutic heating (hyperthermia) to solid
tumors by applying radiofrequency (RF) energy to certain cancerous tumors,
including those located deep within the body. These systems consist of four
major subsystems: an RF power generator delivery subsystem; a proprietary,
thermistor-based, thermometry subsystem; a computerized monitoring and control
subsystem; and an applicator subsystem that includes an applicator and patient
support system; as well as various accessories. The BSD-2000 delivers energy to
a patient using a power source and an array of multiple antennae that surround
the patient's body. The BSD-2000 systems create a central focusing of energy
that can be adjusted to target the shape, size, and location of the tumor, thus
providing dynamic control of the heating delivered to the tumor region. The
basic BSD-2000 has eight microwave antennae, enabling electronic steering of
energy within the patient's body. The BSD-2000/3D has 24 microwave antennae
enabling additional electronic steering along the long axis of the body. The 3D
steering is particularly useful when used with a magnetic resonance system that
provides non-invasive 3D imaging of the heated regions, thus permitting the
clinician to view the heating pattern in the tumor and steer the energy to the
tumor site.
We have received CE Marking for the BSD-2000 family of products, which allows us
to market the BSD-2000 systems in the thirty countries that comprise the EU and
the EFTA. CE Marking is also recognized in many countries outside of the EU,
providing us the ability to market the BSD-2000 family of products to a number
of international markets. We have also obtained regulatory approval for the sale
of the BSD-2000 in the People's Republic of China.
On May 18, 2009, the FDA granted HUD designation for our BSD-2000 for use in
conjunction with radiation therapy for the treatment of cervical carcinoma
patients who are ineligible for chemotherapy. This is the first of the two steps
required to obtain HDE marketing approval. Subsequent to the FDA granting the
HUD for the BSD-2000, which confirms that the intended use population is fewer
than 4,000 patients per year, we filed an HDE submission with the FDA.
On November 21, 2011, we announced that the Company had obtained HDE marketing
approval for the BSD-2000 from the FDA. The BSD-2000 is approved for use in
conjunction with radiation therapy for the treatment of cervical cancer patients
who normally would be treated with combined chemotherapy and radiation but are
ineligible for chemotherapy due to patient related factors. The HDE approval
authorizes the commercial sale of the BSD-2000. An HDE approval is obtained
after a company has demonstrated the product's safety and probable benefit for
the treatment of a disease affecting fewer than 4,000 people in the United
States every year. In addition, we cannot charge an amount for an HDE approved
device that exceeds the costs of research and development, fabrication, and
distribution. A device can have both PMA and an HDE approval as long as the
approvals are for different indications for use. In addition, a product can have
multiple HDE approvals for different applications, and we may decide to pursue a
PMA and/or additional HDE approvals for the BSD-2000 in the future.
Development of the BSD-2000, the BSD-2000/3D and the BSD-2000/3D/MR has required
substantial effort involving the cooperative work of such United States research
institutions as Duke University, Northwestern University, University of Southern
California, Stanford University, University of Utah and University of Washington
St. Louis. Contributing European research institutions include Daniel den Hoed
Cancer Center of the Academisch Ziekenhuis (Rotterdam, Netherlands), Haukeland
University Hospital (Bergen, Norway), Dusseldorf University Medical School,
Tübingen University Medical School, Essen University Hospital, Charité Medical
School of Humboldt University (Berlin), Luebeck University Medical School,
Munich University Medical School Grosshadern, Interne Klinik Argirov of the
Munich Comprehensive Cancer Center, University of Erlangen (all of Germany),
University of Verona Medical Center (Italy), Graz University Medical School
(Austria) and Kantonsspital Aarau (Switzerland).
BSD-2000/3D. Through research funded by the National Cancer Institute in the
United States and supportive efforts by other domestic and international
research institutions, we enhanced the BSD-2000 to create the BSD-2000/3D. The
BSD-2000/3D adds three-dimensional steering of deep focused energy, enabling
additional electronic steering along the long axis of the body. As part of our
international collaborative research efforts, sophisticated treatment planning
software for the BSD-2000/3D has also been developed.
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We have not yet submitted to the FDA a marketing application for the
BSD-2000/3D. However, we have obtained the CE Mark necessary to export the
BSD-2000/3D to certain European countries and other countries requiring CE Mark
certification.
BSD-2000/3D/MR. As a further enhancement of the BSD-2000/3D, we have added to it
the option of concurrent magnetic resonance imaging, or MRI, used for monitoring
the delivery of deep hyperthermia therapy. Using sophisticated microwave
filtering and imaging software, the BSD-2000/3D/MR allows an MRI system to be
interfaced with and operate simultaneously with a BSD-2000/3D. The development
of MRI treatment monitoring is a significant breakthrough in the development of
hyperthermic oncology primarily because it allows non-invasive "on-line" review
of hyperthermic treatment progress.
We installed and tested the first BSD-2000/3D/MR system at a leading German
oncological research institution, the Clinic of Medical Oncology of the Klinikum
Großhadern Medical School of Ludwigs-Maximilians-Universität München, in Munich,
Germany. We have since installed BSD-2000/3D/MR systems at multiple other
locations.
As is the case for the BSD-2000/3D, we have not yet submitted to the FDA a
marketing application for the BSD-2000/3D/MR. We can, however, market the
BSD-2000/3D/MR in Europe, as we have CE Mark approval for the BSD-2000/3D/MR,
provided we interface the system with an MRI system that also is approved in
Europe.
Marketing and Distribution of MicroThermX®. As previously discussed, our U.S.
network of direct sales representatives and one domestic specialty distribution
firm provides nationwide sales coverage for the MicroThermX® line of products.
In addition, we have a Director of International Sales and have entered into
exclusive distribution agreements with specialty distribution firms in Italy,
Ireland, Northern Ireland, The Netherlands and Turkey.
Marketing and Distribution of Hyperthermia Systems. To support our direct sales
and marketing efforts for our hyperthermia systems and products in the United
States, we currently utilize independent sales representatives supported by
senior management of the Company.
Historically, a significant portion of our revenues have been derived from sales
to Dr. Sennewald Medizintechnik GmbH ("Medizintechnik") located in Munich,
Germany, which is our exclusive distributor of hyperthermia systems in Germany,
Austria and Switzerland, and to certain medical institutions in Belgium and the
Netherlands. This company is owned by Dr. Gerhard W. Sennewald, one of our
directors and a significant stockholder. We have also sold systems in Poland and
Italy, and have conducted our own direct sales and marketing efforts in India
and other countries in Europe and Asia.
In 2005, we entered into an agreement with Dalian Orientech Co. LTD
("Orientech"), a privately owned company, to assist us in obtaining regulatory
approval for the sale of the BSD-2000 in the People's Republic of China, and
thereafter to act as our distributor for the sale of the BSD-2000 in that
country. We subsequently obtained Chinese regulatory approval, allowing the
distributor to begin to market and sell the BSD-2000 system to hospitals in
China. We renewed this exclusive distribution agreement in February 2012, which
requires Orientech to purchase a minimum number of BSD-2000 Hyperthermia Systems
from us each year. Orientech is also leading efforts to renew our Chinese
regulatory approval.
In December 2011, we announced that the Company signed an exclusive agreement
with CyberKnife Korea ("CKK") for the sale and distribution of our hyperthermia
products in South Korea. CKK is a premier distributor of sophisticated medical
devices in South Korea and represents a number of major medical device
companies. CKK is a leading distributor of oncology products in South Korea and
has established strong relationships with radiation oncologists throughout the
country. As part of the agreement, CKK is required to purchase a minimum number
of hyperthermia systems from us each year. We are in the process of obtaining
regulatory approval for the BSD-2000 in South Korea.
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In August 2012, we announced that the Company had obtained approval to market
its hyperthermia systems in the Russian Federation. The marketing approval
covers all BSD-2000 Hyperthermia System configurations and the BSD-500
Hyperthermia System.
Backlog
As of the date of the filing of this report, we had a hyperthermia systems sales
backlog of $735,000.
Results of Operations
Fluctuation in Operating Results
Our results of operations have fluctuated in the past and may fluctuate in the
future from year to year as well as from quarter to quarter. Revenue may
fluctuate as a result of factors relating to the demand and market acceptance
for our ablation and hyperthermia systems and related component parts and
services, world-wide economic conditions, availability of financing for our
customers, changes in the medical capital equipment market, changes in order mix
and product order configurations, competition, regulatory developments,
insurance reimbursement and other matters. Operating expenses may fluctuate as a
result of the timing of sales and marketing activities, research and
development, and general and administrative expenses associated with our
potential growth. For these and other reasons described elsewhere, our results
of operations for a particular period may not be indicative of operating results
for any other period.
Revenues
We recognize revenue from the sale of our ablation and hyperthermia cancer
treatment systems and related parts and accessories (collectively, product
sales), the sale of disposables used with certain of our systems, training,
service support contracts and other miscellaneous revenues. During the three
months ended November 30, 2012 and 2011, we also recognized revenues from
equipment rental, including our fee-per-use rental income from our
MicroThermX®. Our revenues can fluctuate significantly from period to period
because our sales, to date, have been based upon a relatively small number of
hyperthermia systems, the sales price of each being substantial enough to
greatly impact revenue levels in the periods in which they occur. Sales of a few
hyperthermia systems, particularly BSD-2000/3D/MR systems, can cause a large
change in our revenues from period to period and the sales cycle for our systems
generally extends over multiple financial reporting periods. In addition,
differences in the configuration of the hyperthermia systems sold, pricing, and
other factors can result in significant differences in the sales price per
system and in the total revenues reported in a given period. As a result, there
may be quarterly financial reporting periods where we may report no or minimal
revenues from the sale of hyperthermia systems. Through fiscal year 2012, we had
minimal revenues from our MicroThermX® family of products. However, with the
successful introduction of our fee-per-use rental program and accelerating sales
of disposable SynchroWave antennas, our revenues from our MicroThermX® family of
products continue to grow.
To date, hyperthermia therapy has not gained wide acceptance by cancer-treating
physicians. We believe this is due in part to the lingering impression created
by the inability of early hyperthermia therapy technologies to focus and control
heat directed at specific tissue locations and inaccurate conclusions drawn in
early scientific studies that hyperthermia was only marginally effective.
Additionally, we do not believe that reimbursement rates from third-party payers
have been adequate to promote hyperthermia therapy acceptance in the medical
community.
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We also believe the continuing worldwide economic downturn has made it difficult
for many of our customers to obtain approval for the purchase of our
hyperthermia and microwave ablation systems and to arrange related financing.
Political, economic and regulatory influences are subjecting the U.S. healthcare
industry to fundamental changes. We may continue to face significant uncertainty
in the industry due to recent governmental healthcare reform. We believe the
uncertainties regarding the ultimate features of reform initiatives and their
enactment and implementation may also have an adverse effect on our customers'
purchasing decisions regarding our products and services.
As a result of these negative factors, we have been unable to sustain a
significant increase in the number of hyperthermia systems sold, and we believe
these difficulties may continue to negatively impact the sales of our
hyperthermia systems and our MicroThermX®, and our operating results. We sold no
hyperthermia systems in the three months ended November 30, 2012.
The following table summarizes the number of our ablation and hyperthermia
systems sold for the three months ended November 30, 2012 and 2011:
Three Months Ended
November 30,
2012 2011
MicroThermX® 5 -
Hyperthermia Systems:
BSD-500 - 1
BSD-2000 - 1
BSD-2000/3D - -
BSD-2000/3D/MR - -
Total - 2
We have historically derived a significant portion of our revenues from sales to
related parties. All of the related party revenue was for the sale of
hyperthermia systems and related component parts and services sold to Dr.
Sennewald Medizintechnik GmbH. We derived $70,271, or approximately 11%, of our
total revenue in the three months ended November 30, 2012 from sales to related
parties, compared to $300,860 or approximately 46%, in the three months ended
November 30, 2011. We had no sales of hyperthermia systems to related parties in
the three months ended November 30, 2012.
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Total revenues for the three months ended November 30, 2012 of $659,785 were
comparable to total revenues for the three months ended November 30, 2011 of
$658,998. The following tables summarize the sources of our revenues for the
three months ended November 30, 2012 and 2011:
Three Months Ended
November 30,
2012 2011
Non-Related Parties
Product sales $ 219,000 $ 225,000
Consumable devices 224,425 42,355
Service contracts 69,522 43,747
Other 4,667 6,386
Total $ 517,614 $ 317,488
Three Months Ended
November 30,
2012 2011
Related Parties
Product sales $ 50,000 $ 294,850
Consumable devices 1,350 -
Other 18,921 6,010
Total $ 70,271 $ 300,860
All of the product sales revenues for the three months ended November 30, 2012
were from the sale of MicroThermX® systems. The significant increase in
consumable devices revenues for the three months ended November 30, 2012
compared to the three months ended November 30, 2011 was due primarily to
increasing sales of SynchroWave disposable antennas that are used in each
ablation treatment.
During the three months ended November 30, 2012 and 2011, we had equipment
rental revenues of $71,900 and $40,650, respectively, with the increase in the
current year first quarter attributable to increasing fee-per-use rental
revenues from our MicroThermX®.
Cost of Revenues
Cost of sales includes raw material, labor and allocated overhead costs. We
calculate and report separately cost of sales for both non-related and related
party sales, which are sales to Medizintechnik and Dr. Sennewald. Cost of sales
as a percentage of sales will fluctuate from period to period depending on the
mix of sales for the period and the type and configuration of the hyperthermia
systems sold during the period.
Cost of equipment rental includes installation, training, maintenance and
support costs and depreciation of rental equipment.
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Total cost of revenues for the three months ended November 30, 2012 was $473,194
compared to $370,878 for the three months ended November 30, 2011, an increase
of $102,316, or approximately 28%. This increase resulted primarily from a
different mix of sales in the three months ended November 30, 2012 compared to
the three months ended November 30, 2011, particularly fewer sales of
hyperthermia systems sold in the current year which have lower cost of sales as
a percent of sales than our MicroThermX® systems.
Gross Margin
Our gross margin and gross margin percentage will fluctuate from period to
period depending on the mix of revenues reported for the period and the type and
configuration of the hyperthermia systems or other products sold during the
period. Our total gross margin was $186,591, or approximately 28% of total
revenues, for the three months ended November 30, 2012 and $288,120, or
approximately 44%, for the three months ended November 30, 2011. The decrease in
gross margin and gross margin percentage in the first three months of the
current fiscal year resulted primarily from the decrease in hyperthermia systems
sold, which systems have higher gross margins.
Operating Costs and Expenses
Research and Development Expenses - Research and development expenses include
expenditures for new product development and development of enhancements to
existing products. Research and development expenses for the three months ended
November 30, 2012 were $527,267 which is comparable to $536,735 for the three
months ended November 30, 2011, a decrease of $9,468 or 2%.
Selling, General and Administrative Expenses - Selling, general and
administrative expenses were $1,889,249 for the three months ended November 30,
2012 compared to $1,454,835 for the three months ended November 30, 2011, an
increase of $434,414, or approximately 30%. Included in this increase is
$110,740 for severance to be paid to the Company's former Chief Financial
Officer. The remaining increase of $323,674 is due primarily to our continuing
roll out of the MicroThermX® product line and the support of its global
distribution network. We have increased our marketing and sales staff and
incurred additional marketing, sales and related operating expenses. We believe
that the level of our selling, general and administrative expenses may continue
to increase over the levels reported for the first quarter of our current fiscal
year, and the increase may be significant.
Other Income (Expense)
During the three months ended November 30, 2012 and 2011, other income (expense)
was not material to our operations.
Liquidity and Capital Resources
Since inception through November 30, 2012, we have generated an accumulated
deficit of $39,595,911 where generally our operating revenues have been
insufficient to cover our operating expenses. We have financed our operations
primarily through the sale of our common stock and the exercise of stock options
and warrants. As of November 30, 2012, we had cash and cash equivalents of
$9,142,517, comprised primarily of money market funds and savings accounts.
As of November 30, 2012, we had current liabilities totaling $843,296, comprised
of accounts payable, accrued liabilities, customer deposits and deferred revenue
incurred in the normal course of our business. Our long-term liabilities
consisted of deferred revenue of $87,719.
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Stock Offerings
On October 1, 2009, a universal shelf registration statement (the "2009
Registration Statement") was declared effective by the SEC for the issuance of
common stock, preferred stock, warrants, senior debt, subordinated debt and
units up to an aggregate amount of $50.0 million. We completed four stock
offerings utilizing the universal shelf registration statement during calendar
year 2010, and we received total net proceeds of approximately $19.0 million,
including proceeds from the exercise of warrants issued in the stock offerings.
On September 28, 2012, we again filed a universal shelf registration statement
with the SEC to replace the 2009 Registration Statement, for the issuance of
common stock, preferred stock, warrants, senior debt, subordinated debt and
units up to an aggregate amount of $50.0 million. We may periodically offer one
or more of these securities in amounts, prices and on terms to be announced when
and if the securities are offered. At the time any of the securities covered by
the registration statement are offered for sale, a prospectus supplement will be
prepared and filed with the SEC containing specific information about the terms
of any such offering. On October 11, 2012, the universal shelf registration
statement was declared effective by the SEC.
Cash Flows from Operating, Investing and Financing Activities
During the three months ended November 30, 2012, we used net cash of $1,955,831
in operating activities, primarily as a result of our net loss of $2,218,664,
decreased by non-cash expenses of $327,184, including depreciation and
amortization and stock-based compensation. Net cash used in operating activities
included increases in receivables of $170,244, other current assets of $16,304,
and accrued liabilities of $34,756 and a decrease in deferred revenue of $3,318,
partially offset by a decrease in inventories of $59,899 and increases in
accounts payable of $14,590 and customer deposits of $16,270.
During the three months ended November 30, 2011, we used net cash of $1,378,264
in operating activities, primarily as a result of our net loss of $1,687,405,
decreased by non-cash expenses of $326,232, including depreciation and
amortization, stock-based compensation, and loss on disposition of property and
equipment. Net cash used in operating activities also included an increase in
inventories of $57,055, and decreases in accounts payable of $130,524, accrued
liabilities of $66,070 and deferred revenue of $10,329, partially offset by
decreases in receivables of $223,563 and other current assets of $23,324.
Net cash used in investing activities, resulting from the purchase of property
and equipment, was $4,160 and $29,120 for the three months ended November 30,
2012 and 2011, respectively.
We had no net cash provided by or used in financing activities for the three
months ended November 30, 2012 and 2011.
We believe our current cash and cash equivalents will be sufficient to fund our
operations for the next twelve months.
If we cannot cover any future cash shortfalls with cost cutting or available
cash, or our sales are less than projected, we would need to obtain additional
financing. Due to adverse conditions in the global financial markets, we cannot
be certain that any financing will be available when needed or will be available
on terms acceptable to us. If we raise equity capital, our stockholders will be
diluted. Insufficient funds may require us to delay, scale back or eliminate
some or all of our programs designed to facilitate the commercial introduction
of our systems or entry into new markets.
As of November 30, 2012, we had no significant commitments for the purchase of
property and equipment.
We had no material off balance sheet arrangements as of November 30, 2012.
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Critical Accounting Policies
The following is a discussion of our critical accounting policies and estimates
that management believes are material to an understanding of our results of
operations and which involve the exercise of judgment or estimates by
management.
Revenue Recognition: Revenue from the sale of cancer treatment systems is
recognized when a purchase order has been received, the system has been shipped,
the selling price is fixed or determinable, and collection is reasonably
assured. Most system sales are F.O.B. shipping point; therefore, shipment is
deemed to have occurred when the product is delivered to the transportation
carrier. Most system sales do not include installation. If installation is
included as part of the contract, revenue is not recognized until installation
has occurred, or until any remaining installation obligation is deemed to be
perfunctory. Some sales of systems may include training as part of the sale. In
such cases, the portion of the revenue related to the training, calculated based
on the amount charged for training on a stand-alone basis, is deferred and
recognized when the training has been provided. The sales of our cancer
treatment systems do not require specific customer acceptance provisions and do
not include the right of return except in cases where the product does not
function as warranted by us. To date, returns have not been significant.
Revenue from the sale of consumable devices is recognized when a purchase order
has been received, the devices have been shipped, the selling price is fixed or
determinable, and collection is reasonably assured. Currently, our customers are
not required to purchase a minimum number of disposable devices in connection
with the purchase of our systems.
Revenue from training services is recorded when an agreement with the customer
exists for such training, the training services have been provided, and
collection is reasonably assured.
Revenue from service support contracts is recognized on a straight-line basis
over the term of the contract, which approximates recognizing it as it is
earned.
Revenue from equipment rental under an operating lease is recognized when billed
in accordance with the lease agreement.
Our revenue recognition policy is the same for sales to both related parties and
non-related parties. We provide the same products and services under the same
terms for non-related parties as with related parties.
Sales to distributors are recognized in the same manner as sales to end-user
customers.
Deferred revenue and customer deposits include amounts from service contracts as
well as cash received for the sales of products, which have not been shipped.
Inventory Reserves: We maintain a reserve for obsolete inventories to reduce
excess and obsolete inventories to their estimated net realizable value. This
reserve is a significant estimate and we periodically reviewed our inventory
levels and usage, paying particular attention to slower-moving items. If
projected sales do not materialize or if our hyperthermia systems do not receive
increased market acceptance, we may be required to increase the reserve for
obsolete inventories in future periods.
Product Warranty: We provide product warranties on our systems. These warranties
vary from contract to contract, but generally consist of parts and labor
warranties for one year from the date of installation. To date, expenses
resulting from such warranties have not been material. We record a warranty
expense at the time of each sale. This reserve is estimated based on prior
history of service expense associated with similar units sold in the past.
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Allowance for Doubtful Accounts: We maintain an allowance for doubtful accounts
for estimated losses resulting from the inability of our customers to make
required payments. This allowance is a significant estimate and is regularly
evaluated by us for adequacy by taking into consideration factors such as past
experience, credit quality of the customer base, age of the receivable balances,
both individually and in the aggregate, and current economic conditions that may
affect a customer's ability to pay. If the financial condition of our customers
were to deteriorate, resulting in an impairment of their ability to make
payments, additional allowances may be required.
Stock-based Compensation: Stock-based compensation cost of stock options and
other stock-based awards to employees and directors is measured at the grant
date based on the estimated value of the award granted, using the Black-Scholes
option pricing model, and recognized over the period in which the award
vests. For stock awards no longer expected to vest, any previously recognized
stock compensation expense is reversed in the period of termination. The
stock-based compensation expense has been allocated to the various categories of
operating costs and expenses in a manner similar to the allocation of payroll
expense. The Black-Scholes valuation model utilizes inputs that are subject to
change over time, including the volatility of the market price of our common
stock, risk free interest rates, requisite service periods and assumptions made
by us regarding the assumed life and vesting of stock options and stock-based
awards. As new options or stock-based awards are granted, additional non-cash
compensation expense will be recorded by us.
Income Taxes: We account for income taxes using the asset and liability
method. Under the asset and liability method, deferred tax assets and
liabilities are recognized for the future consequences attributable to
differences between the financial statement carrying amounts of existing assets
and liabilities and their respective tax bases. Deferred tax assets and
liabilities are measured using enacted tax rates expected to apply to taxable
income in the years in which those temporary differences are expected to be
recovered or settled. The effect on deferred tax assets and liabilities of a
change in tax rates is recognized in income in the period that includes the
enactment date.
We maintain valuation allowances where it is more likely than not that all or a
portion of a deferred tax asset will not be realized. Changes in valuation
allowances are included in our income tax provision in the period of change. In
determining whether a valuation allowance is warranted, we evaluate factors such
as prior earnings history, expected future earnings and our ability to carry
back reversing items within two years to offset income taxes previously paid.
To the extent that we have the ability to carry back current period taxable
losses to offset income taxes previously paid, we record an income tax
receivable and a current income tax benefit.
Recent Accounting Pronouncements
No new accounting pronouncements were issued during the three months ended
November 30, 2012 and through the date of filing this report that we believe are
applicable or would have a material impact on our financial statements.
FORWARD-LOOKING STATEMENTS
With the exception of historical facts, the statements contained in
"Management's Discussion and Analysis of Financial Condition and Results of
Operations" and other parts of this quarterly report on Form 10-Q are
forward-looking statements within the meaning of the Private Securities
Litigation Reform Act of 1995, which reflect our current expectations and
beliefs regarding our future results of operations, performance and
achievements. These statements are subject to risks and uncertainties and are
based upon assumptions and beliefs that may or may not materialize. These
forward-looking statements include, but are not limited to, statements
concerning:
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· our belief about the market opportunities for our products;
· our anticipated financial performance and business plan;
· our belief that the MicroThermX® will be a major part of our business
plan moving forward and that the growth in our revenues and our ultimate
profitability will be largely dependent on the success of our
MicroThermX® marketing and sales efforts;
· our expectations that we will continue and grow the successful results
from our MicroThermX® fee-per-use equipment rental program throughout
the U.S. that we have experienced to date;
· our expectations that the SynchroWave antennas to be used in conjunction
with the MicroThermX® will represent a significant ongoing revenue
stream;
· our expectations that we will reach agreements with additional
international distribution firms;
· our expectations that additional international shipments of the
MicroThermX® and supplies of SynchroWave antennas will occur in calendar
year 2013;
· our belief that the level of our operating expenses, including selling,
general and administrative expenses, will increase and that the increase
may be significant;
· our belief that our operating results, revenue and operating expenses
may fluctuate in the future from year to year as well as from quarter to
quarter; and
· our belief that our current cash and cash equivalents will be sufficient
to fund our operations for the next twelve months.
We wish to caution readers that the forward-looking statements and our operating
results are subject to various risks and uncertainties that could cause our
actual results and outcomes to differ materially from those discussed or
anticipated, including the factors set forth in Item 1A - "Risk Factors" in our
Annual Report on Form 10-K for the year ended August 31, 2012 and our other
filings with the Securities and Exchange Commission. We also wish to advise
readers not to place any undue reliance on the forward-looking statements
contained in this report, which reflect our beliefs and expectations only as of
the date of this report. We assume no obligation to update or revise these
forward-looking statements to reflect new events or circumstances or any changes
in our beliefs or expectations, other than as required by law.
Item 3. Quantitative and Qualitative Disclosures About Market Risk
There are no material changes to our market risk as described in our annual
report on Form 10-K for the year ended August 31, 2012.
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Item 4. Controls and Procedures
Evaluation of disclosure controls and procedures.
As of the end of the period covered by this report, we conducted an evaluation,
under the supervision and with the participation of our management including our
principal executive officer and principal financial officer, of the
effectiveness of the design and operation of our disclosure controls and
procedures (as defined in Rule 13a-15(e) or 15d-15(e) under the Securities
Exchange Act of 1934 ("Exchange Act"). Based on this evaluation, the principal
executive officer and principal financial officer concluded that, as of the end
of the period covered by this report, our disclosure controls and procedures
were effective in ensuring that information required to be disclosed by us in
the reports that we file or submit under the Exchange Act is recorded,
processed, summarized and reported within the time periods specified in
applicable rules and forms and that such information is accumulated and
communicated to our management, including our principal executive officer and
principal financial officer, in a manner that allows timely decisions regarding
required disclosure.
Changes in internal controls over financial reporting.
There was no change in our internal control over financial reporting (as defined
in Rule 13a-15(f) under the Exchange Act) during our most recently completed
fiscal quarter that has materially affected, or is reasonably likely to
materially affect, our internal control over financial reporting.
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PART II - OTHER INFORMATION
Item 1A. Risk Factors
In addition to the other information set forth in this report, you should
carefully consider the risk factors reported in our Annual Report on Form 10-K
for the year ended August 31, 2012.
Item 6. Exhibits
The following exhibits are filed as part of this report:
Exhibit No. Description of Exhibit
10.1 Separation Agreement and Release of All Claims
between the Company and Dennis Gauger
31.1 Certification of the Principal Executive Officer
Required Pursuant to Section 302 of the
Sarbanes-Oxley Act of 2002.
31.2 Certification of the Principal Accounting Officer
Required Pursuant to Section 302 of the
Sarbanes-Oxley Act of 2002.
32.1 Certification of Principal Executive Officer
Required Pursuant to Section 906 of the
Sarbanes-Oxley Act of 2002.
32.2 Certification of Principal Accounting Officer
Required Pursuant to Section 906 of the
Sarbanes-Oxley Act of 2002.
101.INS* XBRL Instance Document
101.SCH* XBRL Taxonomy Extension Schema
101.CAL* XBRL Taxonomy Extension Calculation Linkbase
101.DEF* XBRL Taxonomy Extension Definition Linkbase Document
101.LAB* XBRL Taxonomy Extension Label Linkbase
101.PRE* XBRL Taxonomy Extension Presentation Linkbase
* The XBRL related information in Exhibit 101 shall not be deemed "filed" for
purposes of Section 18 of the Securities Exchange Act of 1934, as amended, or
otherwise subject to liability of that section and shall not be incorporated by
reference into any filing or other document pursuant to the Securities Act of
1933, as amended, except as shall be expressly set forth by specific reference
in such filing or document.
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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.
BSD MEDICAL CORPORATION
Date: January 9, 2013 /s/ Harold R. Wolcott
Harold R. Wolcott
President (Principal Executive Officer)
Date: January 9, 2013 /s/ William S. Barth
William S. Barth
Chief Financial Officer (Principal Accounting Officer)
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