KORU Medical Systems, Inc. - Quarter Report: 2012 August (Form 10-Q)
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
(Mark One)
[X] QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended August 31, 2012
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: 0-12305
REPRO-MED SYSTEMS, INC.
(Exact name of registrant as specified in its charter)
New York | 13-3044880 |
(State or other jurisdiction of incorporation or organization) | (I.R.S. Employer Identification No.) |
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24 Carpenter Road, Chester New York | 10918 |
(Address of principal executive offices) | (Zip Code) |
(845) 469-2042
(Registrant’s telephone number, including area code)
n/a
(Former name, former address, and former fiscal year, if changed since last report)
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. [X] Yes [ ] No
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files). Yes [ ] No [X]
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act.
| Large accelerated filer [ ] | Accelerated filer [ ] |
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| Non-accelerated filer [ ] (Do not check if a smaller reporting company) | Smaller reporting company [X] |
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). [ ] Yes [X] No
As of October 12, 2012, 36,661,667 shares of common stock, $.01 par value per share, were outstanding.
REPRO-MED SYSTEMS, INC.
TABLE OF CONTENTS
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PART I – FINANCIAL INFORMATION | ||
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ITEM 1. | Financial Statements |
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| Balance Sheets – August 31, 2012 (Unaudited) and February 29, 2012 | 3 |
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| Statements of Operations (Unaudited) - for the Three Months and Six Months Ended August 31, 2012 and 2011 | 4 |
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| Statements of Cash Flows (Unaudited) - for the Six Months Ended August 31, 2012 and 2011 | 5 |
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| Notes to Financial Statements | 6 |
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ITEM 2. | Management’s Discussion and Analysis of Financial Condition and Results of Operations | 7-11 |
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ITEM 3. | Quantitative and Qualitative Disclosures About Market Risk | 11 |
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ITEM 4. | Controls and Procedures | 11 |
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PART II – OTHER INFORMATION | ||
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ITEM 1. | Legal Proceedings | 12 |
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ITEM 1A. | Risk Factors | 12 |
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ITEM 2. | Unregistered Sales of Equity Securities and Use of Proceeds | 12 |
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ITEM 3. | Defaults Upon Senior Securities | 12 |
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ITEM 4. | Mine Safety Disclosures | 12 |
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ITEM 5. | Other Information | 12 |
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ITEM 6. | Exhibits | 12 |
Page 2
PART I – FINANCIAL INFORMATION
ITEM 1. FINANCIAL STATEMENTS.
REPRO-MED SYSTEMS, INC.
BALANCE SHEETS
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| August 31, |
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| February 29, |
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| 2012 |
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| 2012 |
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| Unaudited |
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ASSETS |
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CURRENT ASSETS: |
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Cash and cash equivalents |
| $ | 1,684,369 |
| $ | 1,757,223 |
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Certificates of deposit |
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| 255,356 |
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| 255,228 |
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Accounts receivable less allowance for doubtful accounts of $21,456 and $17,718 for August 31, 2012 and February 29, 2012 respectively |
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| 962,154 |
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| 884,727 |
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Inventory |
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| 1,251,385 |
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| 1,167,456 |
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Prepaid expenses |
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| 158,369 |
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| 188,902 |
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Total Current Assets |
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| 4,311,633 |
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| 4,253,536 |
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PROPERTY & EQUIPMENT, net |
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| 845,360 |
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| 498,940 |
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OTHER ASSETS: |
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Patents, net of accumulated amortization of $109,838 and $107,640 at August 31, 2012 and February 29, 2012, respectively |
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| 23,315 |
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| 24,513 |
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Security deposit |
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| 30,968 |
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| 28,156 |
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Total Other Assets |
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| 54,283 |
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| 52,669 |
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TOTAL ASSETS |
| $ | 5,211,276 |
| $ | 4,805,145 |
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LIABILITIES AND STOCKHOLDERS’ EQUITY |
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CURRENT LIABILITIES |
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Note payable - current portion |
| $ | 2,157 |
| $ | 2,077 |
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Notes payable to related parties - current portion |
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| 42,675 |
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| 41,417 |
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Deferred capital gain - current portion |
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| 22,481 |
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| 22,481 |
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Accounts payable |
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| 112,504 |
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| 199,527 |
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Accrued expenses |
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| 107,547 |
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| 153,800 |
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Accrued payroll and related taxes |
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| 56,540 |
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| 41,551 |
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Accrued tax liability |
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| 214,092 |
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| 98,000 |
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Total Current Liabilities |
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| 557,996 |
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| 558,853 |
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OTHER LIABILITIES |
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Note payable - less current portion |
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| 375 |
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| 1,474 |
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Note payable to related parties - less current portion |
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| 416,175 |
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| 437,832 |
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Deferred capital gain less current portion |
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| 123,656 |
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| 134,895 |
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Deferred tax liability |
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| 121,363 |
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| 121,363 |
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Total Other Liabilities |
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| 661,569 |
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| 695,564 |
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Total Liabilities |
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| 1,219,565 |
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| 1,254,417 |
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STOCKHOLDERS’ EQUITY |
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Common stock, $0.01 par value, 50,000,000 shares authorized and 38,936,667 and 37,471,667 shares issued; 36,661,667 and 35,196,667 shares outstanding at August 31, 2012 and February 29, 2012, respectively. |
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| 389,367 |
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| 374,717 |
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Additional paid-in capital |
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| 3,512,294 |
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| 3,263,244 |
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Retained earnings |
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| 495,750 |
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| 54,767 |
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| 4,397,411 |
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| 3,692,728 |
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Less: Treasury stock, 2,275,000 shares at cost at August 31, 2012 and February 29, 2012 |
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| (142,000 | ) |
| (142,000 | ) |
Deferred compensation cost |
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| (263,700 | ) |
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Total Stockholders’ Equity |
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| 3,991,711 |
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| 3,550,728 |
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Total Liabilities and Stockholders’ Equity |
| $ | 5,211,276 |
| $ | 4,805,145 |
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The accompanying notes are an integral part of these Financial Statements
Page 3
REPRO-MED SYSTEMS, INC.
STATEMENTS OF OPERATIONS (UNAUDITED)
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| For the Three Months Ended |
| For the Six Months Ended |
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| August 31 |
| August 31 |
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| 2012 |
| 2011 |
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| 2011 |
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NET SALES |
| $ | 1,951,608 |
| $ | 1,362,217 |
| $ | 3,695,773 |
| $ | 2,856,187 |
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Cost and Expense |
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Cost of goods sold |
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| 666,235 |
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| 493,064 |
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| 1,303,597 |
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| 1,033,249 |
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Selling, general and administrative |
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| 663,432 |
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| 656,338 |
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| 1,545,202 |
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| 1,243,116 |
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Research and development |
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| 37,015 |
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| 9,969 |
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| 75,390 |
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| 22,696 |
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Depreciation and amortization |
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| 42,933 |
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| 23,959 |
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| 83,470 |
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| 46,278 |
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Total Costs and Expenses |
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| 1,409,615 |
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| 1,183,330 |
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| 3,007,659 |
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| 2,345,339 |
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Net Operating Profit |
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| 541,993 |
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| 178,887 |
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| 688,114 |
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| 510,848 |
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Other Income/(Expenses) |
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Gain (Loss) Currency Exchange |
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| (3,572 | ) |
| 1,375 |
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| (6,585 | ) |
| 11,266 |
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Interest Expense |
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| (7,179 | ) |
| (7,823 | ) |
| (14,386 | ) |
| (15,899 | ) |
Interest and Other Income |
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| 1,198 |
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| 24,900 |
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| 2,932 |
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| 30,342 |
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Total other Income/(Expense) |
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| (9,553 | ) |
| 18,452 |
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| (18,039 | ) |
| 25,709 |
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NET PROFIT BEFORE TAXES |
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| 532,440 |
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| 197,339 |
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| 670,075 |
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| 536,557 |
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Provision for Income Taxes |
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| (181,796 | ) |
| (79,266 | ) |
| (229,092 | ) |
| (220,525 | ) |
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Net Income |
| $ | 350,644 |
| $ | 118,073 |
| $ | 440,983 |
| $ | 316,032 |
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NET INCOME PER SHARE |
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Basic |
| $ | 0.01 |
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| $ | 0.01 |
| $ | 0.01 |
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Diluted |
| $ | 0.01 |
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| $ | 0.01 |
| $ | 0.01 |
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WEIGHTED AVERAGE COMMON SHARES OUTSTANDING |
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Basic |
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| 35,546,993 |
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| 36,863,808 |
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| 35,371,830 |
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| 36,720,738 |
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Diluted |
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| 35,551,934 |
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| 36,967,975 |
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| 35,421,253 |
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| 36,824,905 |
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The accompanying notes are an integral part of these Financial Statements
Page 4
REPRO-MED SYSTEMS, INC.
STATEMENTS OF CASH FLOWS (UNAUDITED)
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| For the Six Months Ended |
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| August 31, |
| August 31, |
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| 2011 |
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CASH FLOWS FROM OPERATING ACTIVITIES |
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Net Income |
| $ | 440,983 |
| $ | 316,032 |
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Adjustments to reconcile net income to net cash from operating activities: |
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Depreciation and amortization |
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| 83,470 |
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| 46,278 |
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Deferred capital gain - building lease |
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| (11,239 | ) |
| (11,240 | ) |
Changes in operating assets and liabilities: |
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(Increase) decrease in accounts receivable |
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| (77,427 | ) |
| 105,238 |
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(Increase) in inventory |
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| (83,929 | ) |
| (421,743 | ) |
Decrease in prepaid expense |
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| 30,533 |
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| 7,488 |
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Increase in security deposits |
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| (2,812 | ) |
| — |
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Decrease in deferred tax asset |
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| — |
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| 18,449 |
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Increase (decrease) in accounts payable |
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| (87,023 | ) |
| 13,864 |
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Increase in accrued payroll and related taxes |
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| 14,989 |
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| 19,631 |
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Increase (decrease) in accrued expense |
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| (46,253 | ) |
| 77,791 |
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Increase in accrued tax liability |
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| 116,092 |
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| — |
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NET CASH PROVIDED BY OPERATING ACTIVITIES |
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| 377,384 |
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| 171,788 |
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CASH FLOWS FROM INVESTING ACTIVITIES |
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Payments for property and equipment |
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| (427,692 | ) |
| (88,676 | ) |
Purchase of certificates of deposit |
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| (128 | ) |
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Payments for patents |
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| (1,000 | ) |
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NET CASH USED IN INVESTING ACTIVITIES |
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| (428,820 | ) |
| (88,676 | ) |
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CASH FLOWS FROM FINANCING ACTIVITIES |
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Proceeds from issuing common stock |
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| — |
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| 121,500 |
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Payments on note payable to related parties |
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| (20,399 | ) |
| (19,212 | ) |
Payments on notes payable |
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| (1,019 | ) |
| (946 | ) |
Excess tax benefits from share-based payments arrangements |
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| — |
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| 202,076 |
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NET CASH PROVIDED BY (USED IN) FINANCING ACTIVITIES |
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| (21,418 | ) |
| 303,418 |
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NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS |
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| (72,854 | ) |
| 386,530 |
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CASH AND CASH EQUIVALENTS, BEGINNING OF PERIOD |
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| 1,757,223 |
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| 1,322,250 |
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CASH AND CASH EQUIVALENTS, END OF PERIOD |
| $ | 1,684,369 |
| $ | 1,708,780 |
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Supplemental Information |
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Cash paid during the period for: |
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Interest |
| $ | 14,386 |
| $ | 15,899 |
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Taxes |
| $ | 113,000 |
| $ | 3,125 |
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Non Cash Activities |
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Deferred compensation cost |
| $ | 263,700 |
| $ | — |
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The accompanying notes are an integral part of these Financial Statements
Page 5
REPRO-MED SYSTEMS, INC.
NOTES TO THE UNAUDITED FINANCIAL STATEMENTS
NATURE OF OPERATIONS AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
THE NATURE OF OPERATIONS
Repro-Med Systems, Inc. (the “Company”) designs, manufactures, and markets proprietary medical devices primarily for the ambulatory infusion market and emergency medical applications. The FDA regulates these products.
BASIS OF PRESENTATION
The accompanying unaudited financial statements as of August 31, 2012 have been prepared in accordance with generally accepted accounting principles in accordance with instructions to regulation S-X. Accordingly, they do not include all of the information and disclosures required by accounting principles generally accepted in the United States of America for complete financial presentation.
In the opinion of the Company’s management, the financial statements contain all adjustments (consisting of normal recurring accruals) necessary to present fairly the Company’s financial position as of August 31, 2012 and the results of operations and cash flow for the three-month and six month periods ended August 31, 2012 and 2011.
The results of operations for the three months and six months ended August 31, 2012 and 2011 are not necessarily indicative of the results to be expected for the full year. These interim financial statements should be read in conjunction with the financial statements and notes thereto of the Company and management’s discussion and analysis of financial condition and results of operations included in the Company’s Annual Report for the year ended February 29, 2012, as filed with the Securities and Exchange Commission on Form 10-K.
EMPLOYEE STOCK AWARDS
In July 2012, 1,465,000 shares were authorized to issue to employees as share compensation valued at $0.18 per share, the market value on the date of the board authorization. The value of these shares will be amortized into operations over the one to two year restriction on the shares.
INVENTORIES
Our inventory includes $349,000 of certain subassemblies which did not meet our specifications and were rejected by us and returned to the vendor for correction or replacement.
USE OF ESTIMATES IN THE FINANCIAL STATEMENTS
The preparation of financial statements in conformity with U.S. generally accepted accounting principles (“GAAP”) requires management to make estimates and assumptions that affect the amounts reported in the consolidated financial statements and accompanying notes. Actual results could differ from those estimates. Important estimates include but are not limited to, asset lives, valuation allowances, inventory, and accruals.
SUBSEQUENT EVENTS EVALUATION
The Company has evaluated subsequent events through October 15, 2012, the date on which the financial statements were issued.
EMERGING ACCOUNTING STANDARDS
Management does not believe that any of the standards adopted by the Financial Accounting Standards Board that have been adopted but are not yet effective will have a material effect on the Company’s financial reporting.
LEASED AIRCRAFT
The Company leases an aircraft from a Company controlled by the president. The lease payments aggregated were $5,375 for the three-months ended August 31, 2012 and 2011 and $10,750 for the six months ended August 31, 2012 and August 31, 2011. The original lease agreement has expired and the Company is currently on a month-to-month basis for rental payments.
Page 6
PART I – ITEM 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS.
This Quarterly Report on Form 10-Q contains certain “forward-looking” statements (as such, term is defined in the Private Securities Litigation Reform Act of 1995) and information relating to us that are based on the beliefs of the management, as well as assumptions made and information currently available. Our actual results may vary materially from the forward-looking statements made in this report due to important factors such as uncertainties associated with future operating results, unpredictability related to Food and Drug Administration regulations, introduction of competitive products, limited liquidity, reimbursement related risks, government regulation of the home health care industry, success of the research and development effort, market acceptance of FREEDOM60®, availability of sufficient capital to continue operations and dependence on key personnel. When used in this report, the words “estimate,” “project,” “believe,” “anticipate,” “intend,” “expect” and similar expressions are intended to identify forward-looking statements. Such statements reflect current views with respect to future events based on currently available information and are subject to risks and uncertainties that could cause actual results to differ materially from those contemplated in such forward-looking statements. Readers are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date hereof. These statements involve risks and uncertainties with respect to the ability to raise capital to develop and market new products, acceptance in the marketplace of new and existing products, ability to penetrate new markets, our success in enforcing and obtaining patents, obtaining required Government approvals and attracting and maintaining key personnel that could cause the actual results to differ materially. Repro-Med does not undertake any obligation to release publicly any revision to these forward-looking statements to reflect events or circumstances after the date hereof or to reflect the occurrence of unanticipated events.
THREE MONTHS ENDED AUGUST 31, 2012 VS. AUGUST 31, 2011
Net sales increased 43.3% overall from $1,362,217 in the quarter ended August 31, 2011 to $1,951,608 in the quarter ended August 31, 2012. This was due in part to a substantial increase in sales of RMS HIgH-Flo™ Subcutaneous Safety Needle Sets, quarter over quarter. Available in Europe since late February, 2011, the new RMS HIgH-Flo™ Subcutaneous Safety Needle Sets were formally introduced to the US market in September 2011, through an advertising campaign that included trade shows, mailings, and a direct sales campaign. The company’s sales of its FREEDOM60® and RMS HIgH-Flo™ needle set product lines improved in both domestic and international markets.
Net Operating Profit was $541,993 for the quarter ended August 31, 2012 as compared with $178,887 during the same period last year. This change is attributable to the increase in net sales coupled with an improvement in the gross profit margin and a low rate of increase in selling, general and administrative costs compared with 2011. Accordingly, net income increased 197.0% from $118,073 for the quarter ended August 31, 2011 to $350,644 for the quarter ended August 31, 2012.
Selling, General and Administrative costs were nearly flat, increasing 1.1% from $656,338 in 2011 to $663,432 in 2012. A non-recurring bonus payment to the CEO in 2011 was offset by the addition of staff in the sales and marketing areas, higher administrative expenses and increased marketing expenses for a more intensive schedule of advertising and trade shows in 2012.
Cost of goods sold increased $173,171, or 35.1%, from $493,064 to $666,235 due to an increase in sales, an expanded production payroll, and the addition of a cost differential for a night shift with related benefits. The gross profit margin increased this quarter to 65.9% compared to 63.8% to the same quarter in 2011
Interest expense decreased by 8.2% to $7,179 in 2012 from $7,823 for the comparative quarter in 2011 as a result of lower interest payments on long-term debt.
Research and Development expenses increased $27,046 or 271.3% from $9,969 in 2011 to $37,015 primarily due to R & D expenses incurred on new product development associated with the RMS HIgH-Flo™ Subcutaneous Safety Needle Sets, and research on manufacturing improvements and other new products.
Depreciation and amortization expenses increased by $18,974 from $23,959 in 2011 to $42,933 in 2012 due to increased investment in capital equipment.
Page 7
SIX MONTHS ENDED AUGUST 31, 2012 VS. AUGUST 31, 2011
Net sales increased 29.4% overall from $2,856,187 for the six month period ended August 31, 2011 to $3,695,773 in the quarter ended August 31, 2012. This was due in part to a substantial increase in sales of RMS HIgH-Flo™ Subcutaneous Safety Needle Sets, period over period. Available in Europe since late February, 2011, the new RMS HIgH-Flo™ Subcutaneous Safety Needle Sets were formally introduced to the US market in September 2011, through an advertising campaign that included trade shows, mailings, and a direct sales campaign. The company’s sales of its FREEDOM60® and RMS HIgH-Flo™ needle set product lines improved in both domestic and international markets.
Net Operating Profit was $688,114 for the six months ended August 31, 2012 as compared with $510,848 during the same period last year. This change is attributable to the increase in net sales coupled with an improvement in the gross profit margin and non-production expenses that grew at a slower rate than sales. Accordingly, net income increased 39.5% from $316,032 to $440,983.
Selling, General and Administrative costs increased 24.3% from $1,243,116 in 2011 to $1,545,202 in 2012. Increased costs resulting from the addition of staff in the sales and marketing areas, higher administrative expenses and increased marketing expenses for a more intensive schedule of advertising and trade shows in 2012 were partially offset by a non-recurring bonus to the CEO paid in 2011.
Cost of goods sold increased $270,348, or 26.2%, from $1,033,249 to $1,303,597 due to an increase in sales, an expanded production payroll, and the addition of a cost differential for a night shift with related benefits. The gross profit margin increased for the six month period ended August 31, 2012 to 64.7% compared to 63.8% from the same period in 2011.
Interest expense decreased by 9.5% to $14,386 in 2012 from $15,899 for the comparative six-month period in 2011 as a result of lower interest payments on long-term debt.
Research and Development expenses increased $52,694 or 232.2% from $22,696 in 2011 to $75,390 primarily due to R & D expenses incurred on new product development associated with the RMS HIgH-Flo™ Subcutaneous Safety Needle Sets, and research on manufacturing improvements and other new products.
Depreciation and amortization expenses increased by $37,192 from $46,278 in 2011 to $83,470 in 2012 due to increased investment in capital equipment.
LIQUIDITY AND CAPITAL RESOURCES
Net Cash provided from Operations was $377,384 for the six months ended August 31, 2012 as compared with net cash provided by operations of $171,788 for the previous six months ended August 31, 2011. This change is primarily due to an increase in net income and a lower rate of inventory growth compared with 2011.
In August, 2012 we acquired a residence adjacent to our facility for use as additional office and R&D space. We continue to invest in new equipment and facility improvements to accommodate our sales growth.
We continue to experience an increase in sales. With these increases and the capital we currently have at the end of this period, we will continue to meet or exceed the company’s liquidity needs for the next twelve months.
BRANDING AND RECOGNITION
We continue to enhance marketing effects with an expanded schedule of advertising for its product lines in appropriate industry publications on a monthly basis. The company also exhibited at several infusion and EMS trade shows in the first and second quarters of the fiscal year.
FREEDOM60®
The FREEDOM60® Syringe Infusion Pump is designed for ambulatory medication infusions. For the home care patient, FREEDOM60® is an easy-to-use lightweight mechanical pump using a 60cc syringe, completely portable, cost effective and maintenance free, with no batteries to replace and no cumbersome IV pole. For the infusion professional, FREEDOM60® delivers accurate infusion rates and uniform flow profiles providing consistent transfer of medication.
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The FREEDOM60® is popular in the treatment of Primary Immune Deficiency by injecting immune globulin (IgG) under the skin as a subcutaneous administration (SCIg). This method has provided patients with vastly improved quality of life with much fewer unpleasant side effects over the traditional intravenous route. The FREEDOM60® is an ideal system for this administration since the patient is able to self-medicate at home. The pump is easily configured for this application, and the FREEDOM60® is the lowest cost infusion system available in a heavily cost constrained market. We have advertised to the IgG market that FREEDOM60® operates in “dynamic equilibrium,” that is, the pump finds and maintains a balance between what a patient’s subcutaneous tissues are able to manage and what the pump infuses. This balance is created by a safe, limited, and controlled pressure, which adjusts the flow rate automatically to the patient’s needs providing a reliable, faster, and more comfortable administration with fewer side effects for those patients.
We have expanded the use of the FREEDOM60® to cover antibiotics including the widely used and somewhat difficult to administer Vancomycin and beta lactams with longer infusion times. We have also found a following for FREEDOM60® for use in treating thalassemia with the drug Desferal®. In Europe, we found success in using the FREEDOM60® for pain control, specifically post-operative epidural pain administration. Our European market also uses the FREEDOM60®for chemotherapy as well as subcutaneous immune globulin.
RMS HIGH-FLO™ SUBCUTANEOUS SAFETY NEEDLE SET ADDITION TO FREEDOM60® PRODUCT LINE
We received approval from the U.S. Food and Drug Administration (FDA) on May 20, 2011, for domestic marketing of our new subcutaneous needle administration set. Previously available internationally, the needle set is branded the RMS High-Flo™ Subcutaneous Safety Needle Set.
The RMS High-Flo™ Subcutaneous Safety Needle Set was developed as an improvement in performance and safety over similar devices. Our design permits drug flows, which are the same, or faster than those achieved with larger gauge needles currently on the market. Offered in needle lengths of 4mm, 6mm, 9mm, 12mm and 14mm, the sets are available in combinations for single, double, triple, and quadruple infusions. Using a Low Residual “Y” Connector, needle sets can deliver to as many as eight infusion sites.
On June 5, 2012, we announced that the results of an Active Controlled Clinical Simulated Use Study confirmed that RMS High-Flow™ Subcutaneous Needle Sets are “safety sets.” The sets’ butterfly wing closures encase needles after use and help to protect against accidental needle stick injuries, an area of concern to the medical community. The sets were renamed to RMS High-Flo™ Subcutaneous Safety Needle Sets to reflect the safety feature. This new name is used in this filing.
THE MARKET FOR INFUSION PUMPS & DISPOSABLES
The ambulatory infusion market has been rapidly changing due to reimbursement issues. Insurance reimbursement has drastically reduced the market share of high-end electronic type delivery systems as well as high-cost disposable non-electric devices, providing an opportunity for the FREEDOM60®. We believe market pressures have moved providers to consider alternatives to expensive electronic systems especially for new subcutaneous administrations that usually cannot be done with gravity. Due to cost concerns, some patients have been trained to administer intravenous drugs through IV push where the drug is pushed into the vein directly from a syringe. This is a low-cost option but has been associated with complications and considered by many to be a high-risk procedure. Thus, the overall trend has been towards syringe pumps due to the low-cost of disposables.
IMPORTANCE OF INSURANCE REIMBURSEMENT TO FREEDOM60® SALES
In order to receive more favorable Medicare reimbursement for our FREEDOM60® Syringe Infusion System, we had submitted a formal request for a HCPCS coding verification with the Statistical Analysis Durable Medical Equipment Regional Carrier (SADMERC). It was the determination that the Medicare HCPCS code(s) to bill the four Durable Medical Regional Carries (DMERCs) should be: “E0779 Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater.” The new code significantly increases the reimbursement for the FREEDOM60® for billable syringe pump application approved by Medicare. Current approved uses under Medicare include among others, subcutaneous immune globulin, antivirals, antifungals, and chemotherapeutics. In June 2007, Medicare issued a letter of clarification stating in part:
“The FREEDOM60® Syringe Infusion Pump is the only allowable pump to be billed with the Subcutaneous Immune Globulin (SCIg). The code for this pump for dates of service 1/1/00 - 5/16/07 is E0780. For dates of service on or after 5/17/07, the correct code is E0779 per SADMERC. The items being billed must be supported by corresponding documentation. All other pumps or modifiers will result in a denial.”
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COMPETITION FOR THE FREEDOM60®
Competition for the FREEDOM60® for IgG is consists mostly of electrically powered infusion devices that are more costly and can create high pressures during delivery that can cause complications for the administration of IgG. However, there can be no assurance that other companies with greater resources will not enter the market with competitive products that will have an adverse effect on our sales.
In expanded uses beyond SCIg, competition for FREEDOM60® would come from gravity bags and elastomeric pumps in addition to electric/electronic pumps.
There is the potential for new drugs to enter the market, such as using Hyaluronidase, which can facilitate absorption of IgG, making multiple site infusions unnecessary and changing the market conditions for devices such as the FREEDOM60®. We believe the principle behind the FREEDOM60® is ideal for all these new drug combinations, but there can be no assurance that these newer drugs will have the same needs and requirements as the current drugs being used.
There can be no assurance that Medicare will continue to provide reimbursement for the FREEDOM60® or they may allow reimbursement for other infusion pumps that are currently in the market or new ones that may enter shortly, which could adversely affect our sales into this market.
RES-Q-VAC® PORTABLE MEDICAL SUCTION
The RES-Q-VAC® Emergency Airway Suction System is a lightweight, portable, hand-operated suction device that removes fluids from a patient’s airway by attaching the RES-Q-VAC® pump to various proprietary sterile and non-sterile single-use catheters sized for adult and pediatric suctioning. The one-hand operation makes it extremely effective and the product is generally found in emergency vehicles, hospitals and wherever portable aspiration is a necessity, including backup support for powered suction systems. The Full Stop Protection® filter(FSP) and disposable features of the RES-Q-VAC® reduce the risk of exposing health professional to HIV or SARS when suctioning a patient or during post treatment cleanup. All of the parts that connect to the pump are disposable.
A critical component and advantage of the RES-Q-VAC® system is our Full Stop Protection® filter, a patented filtering system that both prevents leakage and overflow of the aspirated fluids, even at full capacity, and traps virtually all air and fluid borne pathogens and potentially infectious materials within the sealable container. This protects users from potential exposure to disease and contamination. The Full Stop Protection® meets the requirement of the Occupational Safety and Health Administration ‘Occupational Exposure to Bloodborne Pathogens’ CFR29 1910.1030. The Company has received a letter from OSHA confirming that the RES-Q-VAC® with the Full Stop Protection® falls under the engineering controls of the Bloodborne Pathogen regulation and that the Product’s use would fulfill the regulatory requirements.
Recent concerns are for diseases that are easily transmitted by small aerosolized droplets such as Asian Bird Flu, Swine Flu, and resistant tuberculosis. Other concerns are hepatitis and HIV, among others.
One advantage of our RES-Q-VAC® airway suction system is versatility. With the addition of Full Stop Protection®, we created specific custom RES-Q-VAC® kits for various vertical markets:
Emergency Medicine - we make several special kits for emergency use, which contain all the catheters necessary to treat adults as well as infants or children. These first responder kits are generally non-sterile. We also have special attachments available for the advanced paramedic to treat patients who are intubated.
Respiratory - in-home care, long-term care, situations requiring frequent suctioning such as cystic fibrosis patients, patients with swallowing disorders, elderly, patients on ventilators and with tracheostomies all benefit from the portability, cost and performance of the RES-Q-VAC®. In hospitals, the RES-Q-VAC® provides emergency backup due to power loss or breakdown of the wall suction system.
Hospital Use - for crash carts, the emergency room, patients in isolation, patient transport (e.g., from ICU to Radiology) and backup for respiratory, RES-Q-VAC® is available sterile with Full Stop Protection® for the ultimate in performance and to meet all the OSHA regulations and CDC guidelines for use in treating patients in isolation, and in any location. Hospitals are required under the EMTALA regulations to provide emergency treatment to patients anywhere in the primary facility and up to 250 yards away. The RES-Q-VAC® ensures full compliance with these regulations and helps minimize unfavorable outcomes and potential lawsuits. We provide special hospital kits, which are fully stocked to meet all hospital applications for both adult and pediatric.
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Nursing Homes, Hospice, Sub-acute - we provide special configurations for dining areas and portable suctioning for outside events and travel. Chronic suction can be accommodated with RES-Q-VAC®, which can be left by the bedside for immediate use during critical times.
Dental Applications - we offer a version of the RES-Q-VAC®, called DENTAL-EVAC®, which addresses the needs of oral surgeons for emergency backup suction during a procedure. DENTAL-EVAC® is supplied with the dental suction attachments such as saliva ejector and high volume evacuator.
Military Applications - due to its lightweight, portability, and rapid deployment, we believe that the RES-Q-VAC® is ideal for any military situation. In addition, exposure to chemical weapons of mass destruction such as Sarin is best treated by rapid, aggressive, and repeated suctioning. We believe that the RES-Q-VAC®’s compact size, powerful pump, and full protection of the user from any contamination, gives us a competitive edge in this market.
We continue actively pursuing a direct sales effort into the hospital market and continue our effort into nursing homes working with direct sales and several regional distributors in the respiratory market. We also work with national regional distributors who are well represented in the hospital respiratory market.
As part of our sales efforts in the emergency medicine field, we exhibited at the EMS Today Show in Baltimore, March 5-9, 2012. This offered emergency medicine technicians, paramedics, firefighting and police professionals, and others the opportunity to test RES-Q-VAC® for themselves and helped to support the efforts of RES-Q-VAC distributors.
COMPETITION FOR THE RES-Q-VAC®
We believe that the RES-Q-VAC® is currently the performance leader for manual, portable suction instruments. In the emergency market, the primary competition is the V-Vac™ from Laerdal. The V-Vac™ is more difficult to use, cannot suction infants, and cannot be used while wearing heavy gloves such as in chemical warfare or in the extreme cold. Laerdal has more resources than Repro-Med Systems and had begun marketing the V-Vac™ before RES-Q-VAC® entered the market. Another competitor is Ambu, with the Res-Cue brand pump, a product similar to our design, made in China. We believe that the product is not as well made or as versatile, and may not be purchased by the military segment of the market due to lines of supply concerns. We believe that the addition of Full Stop Protection® substantially separates the RES-Q-VAC® from competitive units, which tend to leak fluid when becoming full or could pass airborne pathogens during use. There is a heightened concern from healthcare professionals concerning exposure to disease and we believe the RES-Q-VAC® provides improved protection for these users.
PART I – ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK.
Not Applicable
PART I – ITEM 4. CONTROLS AND PROCEDURES.
The Company’s management, including the Company’s Principal Executive Officer and Chief Financial Officer, have evaluated the effectiveness of the Company’s disclosure controls and procedures as such is defined in Rule 13a-15(e) promulgated under the Securities Exchange Act of 1934, as amended (the “Exchange Act”). Based upon their evaluations, the Principal Executive Officer and Chief Financial Officer concluded that, as of the end of the period covered by this report, the Company’s disclosure controls and procedures were effective for the purpose of ensuring that the information required to be disclosed in the reports that the Company files or submits under the Exchange Act with the Securities and Exchange Commission (the “SEC”) (1) is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms and (2) is accumulated and communicated to the Company’s management, including its Principal Executive Officer and Chief Financial Officer, as appropriate to allow timely decisions regarding required disclosure.
There have been no changes in the Company’s internal control over financial reporting during the quarter ended August 31, 2012 that have materially affected, or are reasonably likely to materially affect, the Company’s internal control over financial reporting.
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PART II – OTHER INFORMATION
ITEM 1. LEGAL PROCEEDINGS.
We are, from time to time, subject to claims and suits arising in the ordinary course of business, including claims for damages for personal injuries and employment related claims.
ITEM 1A. RISK FACTORS.
Not required for smaller reporting companies.
ITEM 2. UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS.
None.
ITEM 3. DEFAULTS UPON SENIOR SECURITIES.
None.
ITEM 4. MINE SAFETY DISCLOSURES.
Not applicable.
ITEM 5. OTHER INFORMATION.
None.
ITEM 6. EXHIBITS.
| Certification of Principal Executive Officer Pursuant to Section 302 of Sarbanes-Oxley Act 2002 | |
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| Certification of Chief Financial Officer Pursuant to Section 302 of Sarbanes-Oxley Act 2002 | |
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| Certification of Principal Executive Officer Pursuant to Section 906 of the Sarbanes-Oxley Act 2002 | |
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| Certification of Chief Financial Officer Pursuant to Section 906 of the Sarbanes-Oxley Act 2002 | |
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| 101* | Interactive Data Files of Financial Statements and Notes. |
* To be submitted by amendment.
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.
| REPRO-MED SYSTEMS, INC. |
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October 15, 2012 | /s/ Andrew I. Sealfon |
| Andrew I. Sealfon, President, Chairman of the Board, Director, Principal Executive Officer |
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October 15, 2012 | /s/ Michael R. Boscher |
| Michael R. Boscher, Treasurer and Chief Financial Officer |
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