NON INVASIVE MONITORING SYSTEMS INC /FL/ - Annual Report: 2011 (Form 10-K)
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
FORM 10-K
(Mark One)
þ | Annual report pursuant to Section 13 or 15 (d) of the Securities Exchange Act of 1934 |
For the fiscal year ended July 31, 2011
OR
o | 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 0-13176
NON-INVASIVE MONITORING SYSTEMS, INC.
(Exact name of registrant as specified in its charter)
Florida | 59-2007840 | |||
(State or other jurisdiction of | (I.R.S. Employer Identification No.) | |||
incorporation or organization) |
4400 Biscayne Blvd., Suite 180, Miami, Florida, 33137
(Address of principal executive offices) (Zip Code)
Registrants
telephone number, including area code: (305) 575-4200
Securities
registered pursuant to Section 12(b) of the Exchange Act:
None
Securities registered pursuant to Section 12(g) of the Exchange Act:
Common stock, $0.01 par value per share
(Title of Class)
Indicate by check mark whether the registrant is a well-known seasoned issuer, as defined in
Rule 405 of the Securities Act. o
Indicate by check mark whether the registrant is not required to file reports pursuant to
Section 13 or 15(d) of the Exchange Act. Yes o No þ
Indicate by check mark whether the registrant (1) has filed all reports required to be filed
by Section 13 or 15(d) of the Exchange Act during the past 12 months (or for such shorter
period that the registrant was required to file such reports), and (2) has been subject to
the filing requirements for the past 90 days. Yes þ No o
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
month (or for such shorter period that the registrant was required to submit and post such
files). Yes o No o
Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation
S-K is not contained herein, and will not be contained, to the best of registrants
knowledge, in definitive proxy or information statements incorporated by reference in Part
III of this Form 10-K or any amendment to this Form 10-K. þ
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 o | Accelerated filer o | Non-accelerated filer o | Smaller reporting company þ |
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of
the Exchange Act) Yes o No þ
The aggregate market value of the voting and non-voting common equity held by non-affiliates
computed by reference to the average bid and asked price of such common equity, as of January
31, 2011 was: $9.4 million.
As of October 24, 2011 there were 68,922,423 shares of common stock, $0.01 par value
outstanding.
DOCUMENTS INCORPORATED BY REFERENCE: None
NON-INVASIVE MONITORING SYSTEMS, INC.
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Exhibit 32.2 |
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CAUTIONARY STATEMENT REGARDING FORWARD-LOOKING STATEMENTS
This Annual Report on Form 10-K contains, in addition to historical information, certain
forward-looking statements about our expectations, beliefs or intentions regarding, among other
things, our product development and commercialization efforts, business, financial condition,
results of operations, strategies or prospects. You can identify forward-looking statements by the
fact that these statements do not relate strictly to historical or current matters. Rather,
forward-looking statements relate to anticipated or expected events, activities, trends or results
as of the date they are made. Because forward-looking statements relate to matters that have not
yet occurred, these statements are inherently subject to risks and uncertainties that could cause
our actual results to differ materially from any future results expressed or implied by the
forward-looking statements. Many factors could cause our actual activities or results to differ
materially from the activities and results described in forward-looking statements. These factors
include those set forth below as well as those contained in Item 1A Risk Factors of this Annual
Report on Form 10-K and our other filings with the Securities and Exchange Commission (SEC). We
do not undertake any obligation to update forward-looking statements, except as required by
applicable law. These forward-looking statements reflect our views only as of the date they are
made with respect to future events and financial performance.
Risks and uncertainties, the occurrence of which could adversely affect our business, include
the following:
| We have a history of operating losses, we do not expect to become profitable in the near
future and absent a significant increase in revenue or additional equity or debt financing,
we may be unable to continue as a going concern. |
| We will require additional funding, which may not be available to us on acceptable
terms, or at all. In addition, we may need to amend our Articles of Incorporation to
increase our number of authorized shares of common stock. |
| We terminated the Product and Supply Agreement with Sing Lin and may potentially be
obligated to pay amounts under the agreement. |
| We rely on third parties to manufacture and supply our products, and we presently have
no agreement with any third party to manufacture and supply our products. |
| The current worldwide economic crisis and concurrent market instability may materially
and adversely affect the demand for our products, as well as our ability to obtain credit
or secure funds through sales of our stock, which may materially and adversely affect our
business, financial condition and ability to fund our operations. |
| Healthcare policy changes, including recent reforms to the U.S. healthcare system, may
have a material adverse effect on us. |
| Our Exer-Rest device does not have a unique Medicare Reimbursement CPT Code. |
| The terms of clearances or approvals and ongoing regulation of our products may limit
how we manufacture and market our products, which could materially impair our ability to
generate anticipated revenues. |
| Our competitors may develop and market products that are more effective, safer or less
expensive than our products, negatively impacting our commercial opportunities. |
| If we are unable to obtain and enforce patent protection for our products, our business
could be materially harmed. |
| If we are unable to protect the confidentiality of our proprietary information and
know-how, the value of our technology and products could be adversely affected. |
| Our commercial success depends significantly on our ability to operate without
infringing the patents and other proprietary rights of third parties. |
| If we become involved in patent litigation or other proceedings related to a
determination of rights, we could incur substantial costs and expenses, substantial
liability for damages or be required to stop our product development and commercialization
efforts. |
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| Failure to obtain regulatory approval outside the United States will prevent us from
marketing our products abroad. |
| Non-U.S. governments often impose strict price controls, which may adversely affect our
future profitability. |
| Our business is subject to economic, political, regulatory and other risks associated
with international operations. |
| We do not anticipate paying dividends on our common stock in the foreseeable future. |
| Because our common stock is a penny stock, it may be more difficult for investors to
sell shares of our Common Stock, and the market price of our common stock may be adversely
affected. |
| Our stock price has been volatile and there may not be an active, liquid trading market
for our common stock. |
| Our quarterly results of operations will fluctuate, and these fluctuations could cause
our stock price to decline. |
| Shareholders may experience dilution of ownership interests because of the future
issuance of additional shares of our common stock and our preferred stock. |
* * * * *
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PART I
Item 1. | Business. |
General
Non-Invasive Monitoring Systems, Inc. (together with its consolidated subsidiaries, the
Company, NIMS, we, us or our) was incorporated under the laws of the State of Florida on
July 16, 1980. The Companys offices are located at 4400 Biscayne Boulevard, Miami, Florida, 33137
and its telephone number is (305) 575-4200. The Companys primary business is the research,
development, manufacture and marketing of a line of motorized, non-invasive, whole body, periodic
acceleration platforms, which are intended as aids to increase local circulation and temporary
relief of minor aches and pains, produce local muscle relaxation and reduce morning stiffness. Our
current products are derivatives of our original acceleration platform, the AT-101 (described
below), and are intended for use in homes, wellness and fitness centers, healthcare providers
offices and clinics, nursing homes, assisted living facilities, sports facilities and hospitals.
In addition, we receive royalty revenue from the sales of non-invasive diagnostic monitoring
devices and related software utilizing our intellectual property.
Company Overview
Prior to 2002, our primary business was the development of computer-assisted, non-invasive
diagnostic monitoring devices and related software designed to detect abnormal respiratory, cardiac
and other medical conditions from sensors placed externally on the bodys surface. We assigned our
patents for these ambulatory monitoring devices in 1999 to the SensorMedics Division of ViaSys
(which is now a unit of CareFusion Corporation (SensorMedics)), and to privately-held
VivoMetrics, Inc. (VivoMetrics), both of which are required to pay us royalties on sales of these
products. We continue to receive royalties from SensorMedics; however, VivoMetrics ceased
operations in July 2009 and filed for Chapter 11 bankruptcy protection in October 2009. Under
VivoMetrics proposed bankruptcy plan of reorganization, our license with VivoMetrics was assigned
to another company; however, there can be no assurance as to the future amount of royalty revenue,
if any, that we may derive from this license or from our existing license with SensorMedics.
In 2002, we began focusing on the research, development, manufacturing, marketing and sales of
non-invasive, motorized, whole body periodic acceleration (WBPA) platforms. These therapeutic
acceleration platforms are intended as aids to increase local circulation for temporary relief of
minor aches and pains, produce local muscle relaxation and reduce morning stiffness. Our first
such platform, the AT-101, was initially registered with the United States Food and Drug
Administration (the FDA) as a Class 1 (exempt) powered exercise device and was sold to physicians
and their patients. In January 2005, the FDA disagreed with our device classification, and
requested that we cease commercial sales and marketing of the AT-101 until we received clearance
from the FDA to market the device following submission of a 510(k) application incorporating
appropriate clinical trial data. Accordingly, we ceased our commercial sales and marketing of
therapeutic platforms in 2005, but continued to receive royalty revenue from sales of diagnostic
monitoring hardware and software by SensorMedics and VivoMetrics.
In January 2005, we began development of a less costly and more efficient second generation
version of the AT-101, the Exer-Rest® (now designated the Exer-Rest AT). In January
2008, we received ISO 13485 certification for Canada, the United Kingdom and Europe from SGS United
Kingdom Ltd., the worlds leading verification and certification body. ISO 13485 certification is
recognized and accepted worldwide as a sign of design and manufacturing quality for medical
devices. In addition to our ISO certification, the Exer-Rest AT acceleration therapeutic platform
(Class IIa) was awarded CE0120 certification, which requires several safety-related conformity
tests, including clinical assessment for safety and effectiveness. The CE0120 certification is
often referred to as a passport that allows manufacturers from anywhere in the world to sell
their goods throughout the European market, as well as in many other countries. Prior to obtaining
FDA registration for the sale of our therapeutic acceleration platforms in the United States, we
marketed and sold the Exer-Rest AT platforms in the United Kingdom, Canada, Europe, India and Latin
America.
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We entered into a product development and supply agreement with Sing Lin Technology Co., Ltd.
(Sing Lin) of Taichung, Taiwan on September 4, 2007. Under this agreement, Sing Lin began
manufacturing the third generation versions of our patented Exer-Rest motorized platforms
(designated the Exer-Rest AT3800 and the Exer-Rest AT4700). We filed a 510(k) premarket
notification submission with the FDA in October 2008 for approval to
market the Exer-Rest line of platforms in the United States. The submission included 23
investigational and clinical studies on the vasodilatation properties of WBPA, as well as a
controlled, four week clinical trial in a group of patients with chronic aches and pains carried
out at the Center of Clinical Epidemiology and Biostatistics at the University of Pennsylvania
Medical School. The submission supported Exer-Rest safety and efficacy for the intended uses as an
aid to temporarily increase local circulation, to provide temporary relief of minor aches and pains
and to provide local muscle relaxation. The FDA informed us in January 2009 that the full
Exer-Rest line of products would be registered as Class I (Exempt) Medical Devices as described in
the Companys 510(k) premarket notification submission, at which time we commenced marketing the
Exer-Rest in the United States. In June 2009, the FDA notified us that the additional intended use
of the Exer-Rest as an aid to reduce morning stiffness would be added to the Exer-Rests FDA
registration. We currently market and sell our Exer-Rest devices in the United States, Canada, the
UK, Europe, India, Mexico, the Middle East, the Far East and Latin America. Prior to the
termination of our development and supply agreement with them, Sing Lin marketed and sold the
Exer-Rest exclusively in certain Asian markets.
Market Opportunities
More than thirty peer reviewed scientific publications attest to the benefits of WBPA in
animal and human research investigations. According to those studies, the application of this
technology causes release of beneficial substances, such as nitric oxide, from the inner lining of
blood vessels for distribution throughout the vasculature, which improves circulation and reduces
inflammation. Additionally, these studies report that WBPA provides objective benefits in patients
with angina pectoris and increases the blood supply to the heart muscle in both healthy individuals
and patients with heart disease. These findings are not claimed as an intended use of the device
for marketing purposes, but demonstrate a potential mechanism for its benefits. We believe the
market for our products is driven by, among other factors:
| the aging population; |
| the increasing number of elderly persons reporting chronic ailments; |
| an increased awareness of the benefits of exercise, particularly as a form of
prevention; |
| an increasing portion of the population that is incapable of performing traditional
exercise; |
| the expanding body of research connecting the bodys production of nitric oxide with
vasodilatation, reduction of inflammation and improved transmission of neural impulses; and |
| the expanding body of research linking WBPA to production of nitric oxide and related
benefits. |
Our products are designed for use by people who are unable or unwilling to exercise or for
whom exercise is contraindicated. We market the Exer-Rest line of platforms for the intended uses
of temporarily increasing local circulation, relieving minor aches and pains, providing local
muscle relaxation and as an aid to reduce morning stiffness. These symptoms are frequently
reported by individuals with chronic cardiovascular, neurological or musculoskeletal conditions,
although we do not claim that the Exer-Rest is intended to treat these conditions.
Products
Whole Body Periodic Acceleration (WBPA) Therapeutic Devices
The original AT-101 was a comfortable gurney-styled device that provided movement of a
platform repetitively in a head-to-foot motion at a rapid pace. Sales of the AT-101 commenced in
October 2002 in Japan and in February 2003 in the United States. QTM Incorporated (QTM), an FDA
registered manufacturer located in Oldsmar, Florida, manufactured the device, which was built in
accordance with ISO and current Good Manufacturing Practices. As discussed above, we ceased
manufacturing and selling the AT-101 in the United States in January 2005 as we began development
of the Exer-Rest AT. We continued selling our existing inventory of AT-101 devices overseas until
the Exer-Rest AT became available in October 2007, at which time we discontinued marketing of the
AT-101.
The Exer-Rest AT is based upon the design and concept of the AT-101, but has the dimensions
and appearance of a commercial extra long twin bed. The Exer-Rest AT, which was also manufactured
by QTM until we stopped production in July 2009, weighs about half as much as the AT-101, has a
much more efficient and less costly drive mechanism, has a much lower selling price than did the
AT-101 and is designed such that the user can utilize and
operate it without assistance. The wired hand held controller provides digital values for
speed, travel and time, rather than analog values for speed and arbitrary force values as in the
AT-101. Sales of the Exer-Rest AT began outside the United States in October 2007 and in the
United States in February 2009. We discontinued manufacturing of the Exer-Rest AT in July 2009,
and we expect to utilize our remaining inventory of these units primarily for research purposes.
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The Exer-Rest AT3800 and Exer-Rest AT4700, which were manufactured for us by Sing Lin prior to
the termination of our agreement with them, are next generation versions of the Exer-Rest AT and
further advance the acceleration therapeutic platform technology. The AT3800 (38 wide) and AT4700
(47 wide) models combine improved drive technology for quieter operation, a more comfortable
memory-foam mattress, more convenient operation with a multi-function wireless remote and a more
streamlined look to improve the WBPA experience. Sales of the Exer-Rest AT3800 and Exer-Rest
AT4700 platforms began outside the United States in October 2008, and U.S. sales commenced in
February 2009.
LifeShirt®
The LifeShirt is a patented Wearable Physiological Computer that incorporates transducers,
electrodes and sensors into a sleeveless garment. These sensors transmit vital and physiological
signs to a miniaturized, battery-powered, electronic module which saves the raw waveforms and
digital data to the compact flash memory of a Personal Digital Assistant (PDA) attached to the
LifeShirt. Users of the LifeShirt can enter symptoms (with intensity), mood and medication
information directly into the PDA for integration with the physiologic information collected by the
LifeShirt garment. The flash memory can then be removed from the LifeShirt and the data uploaded
and converted into minute-by-minute median trends of more than 30 physical and emotional signs of
health and disease. Vital and physiological signs can therefore be obtained non-invasively,
continuously, cheaply and reliably with the comfortably worn LifeShirt garment system while
resting, exercising, working or sleeping. The LifeShirt was sold exclusively by VivoMetrics, but
has not been marketed since VivoMetrics ceased operations in July 2009. Under VivoMetrics proposed
bankruptcy plan of reorganization, our license with VivoMetrics was assigned to another company;
however, there can be no assurance as to the future amount of LifeShirt sales, if any, that may
result from this license.
Intellectual Property
We currently hold five United States patents with respect to both overall design and specific
features of our present and proposed products, with corresponding foreign patents issued or pending
in multiple jurisdictions. No assurance can be given as to the scope of protection afforded by any
patent issued, whether patents will be issued with respect to any pending or future patent
application, that patents issued will not be designed around, infringed or successfully challenged
by others, that we will have sufficient resources to enforce any proprietary protection afforded by
our patents or that our technology will not infringe on patents held by others. We believe that in
the event our patent protection is materially impaired, a material adverse effect on our present
and proposed business could result. The following table lists our patents, along with their
expiration dates (each of which is 20 years from the filing date):
US Patent | Inventors | Title | Expiration Date | |||
7,404,221
|
Sackner, Marvin A. | Reciprocating movement platform for the external addition of pulses to the fluid channels of a subject | August 4, 2028 | |||
7.228,576
|
Inman, D. Michael; Sackner, Marvin A. |
Reciprocating movement platform for the addition of pulses of the fluid channels of a subject | June 12, 2027 | |||
7,111,346
|
Inman, D. Michael; Sackner, Marvin A. |
Reciprocating movement platform for the addition of pulses of the fluid channels of a subject | May 15, 2023 | |||
7,090,648
|
Sackner, Marvin A.; Inman, D. Michael |
External addition of pulses to fluid channels of body to release or suppress endothelial mediators and to determine effectiveness of such intervention | September 28, 2021 | |||
6,155,976
|
Sackner, Marvin A.; Inman, D. Michael; Meichner, William J. |
Reciprocating movement platform for shifting subject to and fro in headwards-footwards direction | May 24, 2019 |
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With respect to our present and potential product line, we have seven trademarks and trade
names which are registered in the United States and in several foreign countries, including our
principal trademark, Exer-Rest.
Research and Development
Our strategy is to develop a portfolio of non-invasive products through a combination of
internal development and collaborations with external partners. We are also sponsoring or
monitoring research investigating the effectiveness of WBPA in chronic heart failure, stroke,
cystic fibrosis, delayed onset of muscle soreness (DOMS), mild traumatic brain injury, sickle cell
disease, asthma, acute myocardial infarction, Parkinsons disease, peripheral vascular disease,
lymphedema, cognitive function and daily activities of living.
Competition
We compete with several entities that market, sell or distribute therapeutic devices that are
registered with the FDA as powered exercise devices, or therapeutic vibrators. These include Power
Plate of North America, Vibraflex and CERAGEM International, Inc., all of which are larger than we
are, have longer operating histories and have financial and personnel resources far greater than
ours. We believe that we effectively compete with such competitors based upon the uniqueness of
our products and our product differentiation on the basis of intended uses and operation.
Government Regulation of our Medical Device Development and Distribution Activities
Healthcare is heavily regulated by the federal government and by state and local governments.
The federal laws and regulations affecting healthcare change constantly thereby increasing the
uncertainty and risk associated with any healthcare-related venture.
The federal government regulates healthcare through various agencies, including but not
limited to the following: (i) the FDA which administers the Food, Drug, and Cosmetic Act (FD&C
Act), as well as other relevant laws; (ii) the Centers for Medicare & Medicaid Services (CMS)
which administers the Medicare and Medicaid programs; (iii) the Office of Inspector General
(OIG), which enforces various laws aimed at curtailing fraudulent or abusive practices including,
by way of example, the Anti-Kickback Law, the Anti-Physician Referral Law, commonly referred to as
Stark, the Anti-Inducement Law, the Civil Money Penalty Law, and the laws that authorize the OIG to
exclude health care providers and others from participating in federal healthcare programs; and
(iv) the Office of Civil Rights which administers the privacy aspects of the Health Insurance
Portability and Accountability Act of 1996 (HIPAA). All of the aforementioned are agencies
within the Department of Health and Human Services (HHS). Healthcare is also provided or
regulated, as the case may be, by the Department of Defense through its TriCare program, the
Department of Veterans Affairs under, among other laws, the Veterans Health Care Act of 1992, the
Public Health Service within HHS under the Public Health Service Act, the Department of Justice
through the Federal False Claims Act and various criminal statutes, and state governments under the
Medicaid program and their internal laws regulating all healthcare activities.
FDA Regulation of the Design, Manufacture and Distribution of Medical Devices
The testing, manufacture, distribution, advertising and marketing of medical devices are
subject to extensive regulation by federal, state and local governmental authorities in the United
States, including the FDA, and by similar agencies in other countries. Any product that we develop
must receive all relevant regulatory clearances or approvals, as the case may be, before it may be
marketed in a particular country. Under United States law, a medical device (device) is an
article, which, among other things, is intended for use in the diagnosis of disease or other
conditions, or in the cure, mitigation, treatment or prevention of disease, in man or other
animals. See FD&C Act § 201(h). Substantially all of our products are classified as medical
devices and subject to regulation by numerous agencies and legislative bodies, including the FDA
and its foreign counterparts.
As a company that manufactures medical devices, we are required to register with the FDA. As
a result, we and any entity that manufactures products on our behalf will be subject to periodic
inspection by the FDA for compliance with the FDAs Quality System Regulation requirements and
other regulations. In the European Community, we will be required to maintain certain
International Organization for Standardization (ISO) certifications in order to sell products and
we or our manufacturers undergo periodic inspections by notified bodies to obtain and maintain
these certifications. These regulations require us or our manufacturers to manufacture
products and maintain documents in a prescribed manner with respect to design, manufacturing,
testing and control activities. Further, we are required to comply with various FDA and other
agency requirements for labeling and promotion. The Medical Device Reporting regulations require
that we provide information to the FDA whenever there is evidence to reasonably suggest that a
device may have caused or contributed to a death or serious injury or, if a malfunction were to
occur, could cause or contribute to a death or serious injury. In addition, the FDA prohibits us
from promoting a medical device for unapproved indications.
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The FDA in the course of enforcing the FD&C Act may subject a company to various sanctions for
violating FDA regulations or provisions of the Act, including requiring recalls, issuing Warning
Letters, seeking to impose civil money penalties, seizing devices that the agency believes are
non-compliant, seeking to enjoin distribution of a specific type of device or other product,
seeking to revoke a clearance or approval, seeking disgorgement of profits and seeking to
criminally prosecute a company and its officers and other responsible parties.
In March 2011, we received a warning letter from the FDA regarding our promotion of the
Exer-Rest. We addressed the FDAs concerns by revising our marketing material and website content.
On October 28, 2011, we received a FDA Form 483 with three
observations related to our marketing material and certain protocols.
We are currently working on remedying these observations.
2010 Health Care Reform Legislation
Congress passed health care reform legislation that President Obama signed into law in March
2010. The package signed into law by the President is considered by some to be the most dramatic
change to the countrys health care system in decades.
The principal aim of the law as currently enacted is to expand health insurance coverage to
approximately 32 million Americans who are currently uninsured. The laws most far-reaching
changes do not take effect until 2014, including a requirement that most Americans carry health
insurance. The effect of these significant coverage expansions on the sales of the Companys
products is unknown and speculative at this point.
The enacted legislation contains many provisions designed to generate the revenues necessary
to fund the coverage expansions. The most relevant of these provisions are those that impose fees
or taxes on certain health-related industries, including medical device manufacturers. Beginning
in 2013, each medical device manufacturer will have to pay an excise tax (or sales tax) in an
amount equal to 2.3 percent of the price for which such manufacturer sells its medical devices.
This tax applies to all medical devices, including the Companys products.
The legislation as enacted also provides for increased enforcement of the fraud and abuse
regulations discussed below.
Third-Party Payments, Especially payments by Medicare and Medicaid
A. | Medicare Coverage |
Inasmuch as a percentage of the projected patient population that could potentially benefit
from our devices is elderly, Medicare may be a potential source of reimbursement. Medicare is a
federal program that provides certain hospital and medical insurance benefits to persons age 65 and
over, certain disabled persons, persons with end-stage renal disease and those suffering from Lou
Gehrigs Disease. In contrast, Medicaid is a medical assistance program jointly funded by federal
and state governments and administered by each state pursuant to which benefits are available to
certain indigent patients. The Medicare and Medicaid statutory framework is subject to
administrative rulings, interpretations and discretion that affect the amount and timing of
reimbursement made under Medicare and Medicaid.
Medicare reimburses for medical devices in a variety of ways depending on where and how the
device is used. However, Medicare provides reimbursement only if CMS determines that the device
should be covered and that the use of the device is consistent with the coverage criteria. A
coverage determination can be made at the local level (Local Coverage Determination) by the
Medicare administrative contractor (formerly called carriers and fiscal intermediaries), a private
contractor that processes and pays claims on behalf of CMS for the geographic area where the
services were rendered, or at the national level by CMS through a National Coverage Determination.
There are statutory provisions intended to facilitate coverage determinations for new technologies
under the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) §§ 731 and
942. Coverage presupposes that the device has been cleared or approved by the FDA and, further,
that the coverage will be no broader than the FDA approved intended uses of the device (i.e., the
devices label) as cleared or approved by the FDA, but coverage
can be narrower. In that regard, a narrow Medicare coverage determination may undermine the
commercial viability of a device. It is unclear whether the therapies and treatments that would
use our primary products would be covered under Local or National Coverage Determinations.
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Seeking to modify a coverage determination, whether local or national, is a time-consuming,
expensive and highly uncertain proposition, especially for a new technology, and inconsistent local
determinations are possible. On average, according to an industry report, Medicare coverage
determinations for medical devices lag 15 months to five years or more behind FDA approval for
respective devices. Moreover, Medicaid programs and private insurers are frequently influenced by
Medicare coverage determinations. Our inability to obtain a favorable coverage determination may
adversely affect our ability to market our products and thus, the commercial viability of our
products.
B. | Reimbursement Levels |
We do not have Medicare or any other third-party reimbursement programs specific for our
product. Even if Medicare and other third-party payor programs cover the procedures that use our
devices, the level of reimbursement may not be sufficient for commercial success. The Medicare
reimbursement levels for covered procedures are determined annually through two sets of
rulemakings, one for outpatient departments of hospitals under the Outpatient Prospective Payment
System (OPPS) and the other, for procedures in physicians offices under the Resource-Based
Relative Value Scales (RBRVS) (the Medicare fee schedule). If the use of a device is covered by
Medicare, a physicians ability to bill a Medicare patient more than the Medicare allowable amount
is significantly constrained by the rules limiting balance billing. For covered services in a
physicians office, Medicare normally pays 80% of the Medicare allowable amount and the beneficiary
pays the remaining 20%, assuming that the beneficiary has met his or her annual Medicare deductible
and is not also a Medicaid beneficiary. For services performed in an outpatient department of a
hospital, the patients co-payment under Medicare may exceed 20%, depending on the service and
depending on whether CMS has set the co-payment at greater than 20%. If a device is used as part
of an in-patient procedure, the hospital where the procedure is performed is reimbursed under the
Inpatient Prospective Payment System (IPPS). In general, IPPS provides a single payment to the
hospital based on the diagnosis at discharge and devices are not separately reimbursed under IPPS.
Usually, Medicaid pays less than Medicare, assuming that the state covers the service. In
addition, private payors, including managed care payors, increasingly are demanding discounted fee
structures and the assumption by healthcare providers of all or a portion of the financial risk.
Efforts to impose greater discounts and more stringent cost controls upon healthcare providers by
private and public payors are expected to continue.
Significant limits on the scope of any services covered or on reimbursement rates and fees on
those services that are covered could have a material adverse effect on our ability to viably
commercialize our devices and therefore, on our liquidity and financial condition.
Anti-Fraud and Abuse Rule
There are extensive federal and state laws and regulations prohibiting fraud and abuse in the
healthcare industry that can result in significant criminal and civil penalties that can materially
affect us. These federal laws include, by way of example, the following:
| The anti-kickback statute (Section 1128B(b) of the Social Security Act) prohibits
certain business practices and relationships that might affect the provision and cost of
healthcare services reimbursable under Medicare, Medicaid and other federal healthcare
programs, including the payment or receipt of remuneration for the referral of patients
whose care will be paid by Medicare or other governmental programs; |
| The physician self-referral prohibition (Ethics in Patient Referral Act of 1989, as
amended, commonly referred to as the Stark Law, Section 1877 of the Social Security Act),
which prohibits referrals by physicians of Medicare or Medicaid patients to providers of a
broad range of designated healthcare services in which the physicians (or their immediate
family members) have ownership interests or with which they have certain other financial
arrangements. |
| The anti-inducement law (Section 1128A(a)(5) of the Social Security Act), which
prohibits providers from offering anything to a Medicare or Medicaid beneficiary to induce
that beneficiary to use items or services covered by either program; |
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| The False Claims Act (31 U.S.C. § 3729 et seq.), which prohibits any person from
knowingly presenting or causing to be presented false or fraudulent claims for payment to
the federal government (including the Medicare and Medicaid programs); and |
| The Civil Monetary Penalties Law (Section 1128A of the Social Security Act), which
authorizes the United States Department of Health and Human Services to impose civil
penalties administratively for fraudulent or abusive acts. |
Sanctions for violating these federal laws include criminal and civil penalties that range
from punitive sanctions, damage assessments, monetary penalties, imprisonment, denial of Medicare
and Medicaid payments or exclusion from the Medicare and Medicaid programs, or both. These laws
also impose an affirmative duty on those receiving Medicare or Medicaid funding to ensure that they
do not employ or contract with persons excluded from the Medicare and other government programs.
Many states have adopted or are considering legislative proposals similar to the federal fraud
and abuse laws, some of which extend beyond the Medicare and Medicaid programs, to prohibit the
payment or receipt of remuneration for the referral of patients and physician self-referrals
regardless of whether the service was reimbursed by Medicare or Medicaid. Many states have also
adopted or are considering legislative proposals to increase patient protections, such as limiting
the use and disclosure of patient specific health information. These state laws also impose
criminal and civil penalties similar to the federal laws.
In the ordinary course of their business, medical device manufacturers and suppliers have been
and are subject regularly to inquiries, investigations and audits by federal and state agencies
that oversee these laws and regulations. Recent federal and state legislation has greatly
increased funding for investigations and enforcement actions, which have increased dramatically
over the past several years. This trend is expected to continue. Private enforcement of
healthcare fraud also has increased due in large part to amendments to the civil False Claims Act
in 1986 that were designed to encourage private persons to sue on behalf of the government. These
whistleblower suits by private persons, known as qui tam relators, may be filed by almost anyone,
including present and former patients or nurses and other employees, as well as competitors.
HIPAA, in addition to its privacy provisions, created a series of new healthcare-related crimes.
As federal and state budget pressures continue, federal and state administrative agencies may
also continue to escalate investigation and enforcement efforts to root out waste and to control
fraud and abuse in governmental healthcare programs. A violation of any of these federal and state
fraud and abuse laws and regulations could have a material adverse effect on a suppliers liquidity
and financial condition. An investigation into the use of a device by physicians may dissuade
physicians from either purchasing or using the device. This could have a material adverse effect
on our ability to commercialize our devices.
The Privacy Provisions of HIPAA
HIPAA, among other things, protects the privacy and security of individually identifiable
health information by limiting its use and disclosure. HIPAA directly regulates covered
entities, such as healthcare providers, insurers and clearinghouses, as well as business
associates, with respect to the privacy of patients medical information. All entities that
receive and process protected health information are required to adopt certain procedures to
safeguard the security of that information. It is uncertain whether we would be deemed to be a
covered entity under HIPAA and it is unlikely that we, based on our current business model, would
be a business associate. Nevertheless, we will likely be contractually required to physically
safeguard the integrity and security of any patient information that we receive, store, create or
transmit. If we fail to adhere to our contractual commitments, then our physician or hospital
customers may be subject to civil monetary penalties, which could adversely affect our ability to
market our devices. Recent changes in the law wrought by the American Recovery and Reinvestment
Act of 2009, Pub. L. No. 111-5, 123 Stat. 115 (Feb. 17, 2009), may increase the likelihood that we
would be treated as a business associate thereby subjecting us to direct government regulation,
increasing our compliance costs and our exposure to civil monetary penalties and other government
sanctions.
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Manufacturing
We have no commercial manufacturing facilities, and we do not intend to build commercial
manufacturing facilities of our own in the foreseeable future. All of our manufacturing had been
performed by Sing Lin, Genemax
Medical Products Industry Corp (Genemax), QTM and other FDA registered contract
manufacturers. Genemax manufactured our product under the management of Sing Lin. All of our
contract manufacturers and their manufacturing facilities must comply with FDA regulations, current
quality system regulations (referred to as QSRs), which include current good manufacturing
practices, or cGMPs, and to the extent laboratory analysis is involved, current good laboratory
practices, or cGLPs. We notified Sing Lin in June 2010 that we were terminating our manufacturing
agreement with them, which termination was effective September 2010. As a result, we currently
have no supplier contracted to manufacture our products, and Sing Lin and its suppliers are
currently in possession of the tooling required to manufacture our products. If we are unable to
enter into a new agreement for the manufacture and supply of our devices, whether with Sing Lin or
another supplier, or if we are not able to timely regain possession or remanufacture the tooling,
we may not be able to procure additional inventory on a timely basis, in the quantities we require
or at all. We estimate that our existing inventory of Exer-Rest products will be sufficient to
meet demand through the end of the 2012 fiscal year.
Sales & Marketing
Our marketing and sales efforts are currently focused on hospitals, cardiac rehabilitation
clinics, physical therapy centers, senior living communities and other healthcare providers, as
well as their patients, professional athletes and other individuals through sales representatives
and our management. In addition to direct sales efforts by our sales management personnel, our
sales and distribution network consists of independent sales representatives and distributors. We
intend to expand our distributor and independent sale representative networks in the US, Canada and
abroad. There can be no assurance that we will be able to enter into additional distribution and
representation agreements on terms acceptable to us or at all, or that our sales and distribution
network will generate significant sales.
Employees
The Company currently employs two employees on a full-time basis who are engaged in general
and administrative, marketing, distribution, and regulatory duties. In addition, certain of our
administrative, accounting and legal functions are provided by employees of a related company on a
part-time basis under a cost-sharing arrangement under which we reimburse such related company for
those services. None of our employees are represented by a collective bargaining agreement, and we
believe relations with our employees are good.
Item 1A. | Risk Factors. |
Our future operating results may vary substantially from anticipated results due to a number
of factors, many of which are beyond our control. The following discussion highlights some of
these factors and the possible impact of these factors on our future results of operations. If any
of the following events actually occurs, our business, financial condition or results of operations
could be materially harmed. In that case, the value of our common stock could decline
substantially.
Risks Relating to Our Business.
We have a history of operating losses, we do not expect to become profitable in the near future and
absent a significant increase in revenue or additional equity or debt financing, we may be unable
to continue as a going concern.
Our consolidated financial statements for the years ended July 31, 2011 and 2010 were prepared
on a going concern basis; however substantial doubt exists about our ability to continue as a
going concern as a result of recurring losses and an accumulated deficit. We are not profitable
and have been incurring material losses. Our net losses for our fiscal years ended July 31, 2011,
2010 and 2009 were $1.4 million, $1.6 million and $1.8 million, respectively. As of July 31, 2011,
we had an accumulated deficit of $22.8 million. Although we have obtained regulatory clearance to
market our principal products in the US and abroad, there can be no assurance that our products
will achieve market acceptance. Market acceptance of our products may depend upon, among other
things: the timing of market introduction of competitive products; the safety and efficacy of our
products; and the potential advantage or disadvantages of alternative treatments. If our products
fail to achieve market acceptance, we may not be able to generate significant revenues or be
profitable. Even if we achieve profitability in the future, we may not be able to sustain
profitability in subsequent periods. Absent a significant increase in revenue or additional equity
or debt financing, we will be unable to continue as a going concern, and you may lose all of your
investment in us.
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We will require additional funding, which may not be available to us on acceptable terms, or at
all. In addition, we may need to amend our Articles of Incorporation to increase our number of
authorized shares of common stock.
We will need to raise additional capital in order for us to continue as a going concern. We have
reached our borrowing limit under our existing $1.0 million secured credit facility. In addition,
we borrowed $100,000 in September 2011 from Frost Gamma Investments Trust and an unrelated third
party of which $50,000 was received in June 2011 and $50,000 was received in September 2011. Until
we can generate a sufficient amount of product revenue to finance our cash requirements, which we
may never do, we will need to finance future cash needs primarily through public or private equity
offerings, debt financings or strategic collaborations. We do not know whether additional funding
will be available on acceptable terms, or at all. In order to raise additional capital we may need
to amend our Articles of Incorporation to increase our number of authorized shares of common stock,
which would require shareholder approval. We cannot assure you that we could obtain such approval.
If we are not able to secure additional funding when needed, we may have to delay, reduce the
scope of or eliminate our research and development programs and operations. To the extent that we
raise additional funds by issuing equity securities, our shareholders may experience significant
dilution, and debt financing, if available, may require that we agree to covenants that restrict
our operations. To the extent that we raise additional funds through collaboration and licensing
arrangements, it may be necessary to relinquish some rights to our products or grant licenses on
terms that may not be favorable to us.
We terminated the Product and Supply Agreement with Sing Lin and may potentially be obligated to
pay amounts under the agreement.
The now-terminated product and supply agreement with Sing Lin contained obligations to
purchase approximately $2.6 million of Exer-Rest units within one year of acceptance of the final
product, and an additional $4.1 million and $8.8 million of products in the second and third years
following acceptance of the final product, respectively. Under the product and supply agreement,
we were required to pay a portion of the product purchase price at the time production orders were
placed, with the balance due upon delivery. Through July 31, 2011, we paid Sing Lin $1.7 million
in connection with orders placed through that date. As of July 31, 2011, we had not placed orders
sufficient to satisfy the first-year or second-year minimum purchase obligations under the
agreement. We notified Sing Lin in June 2010 that we were terminating the agreement effective
September 2010, and Sing Lin in July 2010 demanded that we place orders sufficient to fulfill the
three year purchase obligations under the agreement. As of July 31, 2011 Sing Lin has not followed
up on its July 2010 demand. There can be no assurance that Sing Lin will not attempt to enforce its
rights under the product and supply agreement, or pursue other available remedies. If Sing Lin
seeks to enforce remedies against us, any such remedies could have a material adverse effect on our
business, liquidity and results of operations.
We rely on third parties to manufacture and supply our products, and we presently have no agreement
with any third party to manufacture and supply our products.
We do not own or operate manufacturing facilities for clinical or commercial production of our
products. We have no experience in medical device manufacturing, and we lack the resources and the
capability to manufacture any of our products on a commercial scale. We expect to depend on
third-party contract manufacturers for the foreseeable future. Our ability to replace an existing
manufacturer may be difficult because the number of potential manufacturers is limited, and the FDA
must approve any replacement manufacturer before it can begin manufacturing our product. It may be
difficult or impossible for us to identify and engage a replacement manufacturer on acceptable
terms in a timely manner, or at all.
We entered into an agreement with Sing Lin to, among other things, manufacture all of our
acceleration therapeutic platforms. We notified Sing Lin in June 2010 that we were terminating the
agreement, which termination was effective September 2010. As a result, we do not currently have a
supplier contracted to manufacture our products, and Sing Lin and its suppliers are currently in
possession of the tooling required to manufacture our products. If we are unable to enter into a
new agreement for the manufacture and supply of our devices, whether with Sing Lin or another
supplier, or if we are not able to timely regain possession or remanufacture the tooling, we may
not be able to procure additional inventory on a timely basis, in the quantities we require or at
all, which would have a material adverse effect on our business, liquidity and results of
operations.
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The current worldwide economic crisis and concurrent market instability may materially and
adversely affect the demand for our products, as well as our ability to obtain credit or secure
funds through sales of our
stock, which may materially and adversely affect our business, financial condition and ability to
fund our operations.
The current worldwide economic crisis may reduce the demand for new and innovative medical
devices, resulting in delayed market acceptance of our products. Such a delay could have a
material adverse impact on our business, expected cash flows, results of operations and financial
condition.
Additionally, we have funded our operations to date primarily through private sales of our
common stock and preferred stock and through borrowings under credit facilities available to us
from shareholders and other individuals. The current economic turmoil and instability in the
worlds equity and credit markets may materially adversely affect our ability to sell additional
shares of our stock and/or borrow cash. There can be no assurance that we will be able to raise
additional working capital on acceptable terms or at all, which may materially adversely affect our
ability to continue our operations.
Healthcare policy changes, including recently enacted legislation reforming the U.S. healthcare
system, may have a material adverse effect on us.
Healthcare costs have risen significantly over the past decade, and there have been and
continue to be proposals by legislators, regulators and third-party payors to keep these costs
down. Additionally, Congress passed significant health care reform legislation that President
Obama signed into law in March 2010.
The principal aim of the law as currently enacted is to expand health insurance coverage to
approximately 32 million Americans who are currently uninsured. The laws most far-reaching
changes do not take effect until 2014, including a requirement that most Americans carry health
insurance. The effect of these significant coverage expansions on the sales of the Companys
products is unknown and speculative at this point.
The enacted legislation contains many provisions designed to generate the revenues necessary
to fund the coverage expansions. The most relevant of these provisions are those that impose fees
or taxes on certain health-related industries, including medical device manufacturers. Beginning
in 2013, each medical device manufacturer will have to pay an excise tax (or sales tax) in an
amount equal to 2.3 percent of the price for which such manufacturer sells its medical devices.
This tax applies to all medical devices, including the Companys products.
In addition to the legislation discussed above, various healthcare reform proposals have also
emerged at the state level. We cannot predict what additional healthcare initiatives, if any, will
be implemented at the federal or state level, or the effect any such future legislation or
regulation will have on us. In addition to the taxes imposed by the new federal legislation, an
expansion in governments role in the U.S. healthcare industry may lower reimbursements for our
products, reduce medical procedure volumes and materially adversely affect our business, financial
condition and results of operations.
Our
Exer-Rest device does not have a unique Medicare Reimbursement CPT Code.
The procedures using our Exer-Rest device technology are new, and the existing Current
Procedural Terminology (CPT) codes do not accurately describe the Whole Body Periodic Acceleration
(WBPA) therapy. Medicare and other third-party payors recognize that there may be procedures
performed by physicians or other qualified health care professionals where a number of specific
code numbers could be, and have been, designated for reporting unlisted procedures. We provide a
Standard Operating Procedure for the healthcare professional to submit WBPA therapy as an unlisted
procedure using a paper claim submission. However, depending on the Medicare intermediary,
Medicare submissions using unlisted codes may not be reimbursed fully or at all. If Medicare
and/or third-party payors elect not to cover WBPA as a qualified unlisted procedure or if a new
reimbursement code is not established, it may weaken demand for our product among healthcare
providers, which could have a material adverse effect on the results of our operations and
financial position.
The terms of clearances or approvals and ongoing regulation of our products may limit how we
manufacture and market our products, which could materially impair our ability to generate
anticipated revenues.
Once regulatory clearance or approval has been granted, the cleared or approved product and
its manufacturer are subject to continual review. Any cleared or approved product may only be
promoted for its indicated uses. Accordingly, it is possible that our products may be cleared or
approved for fewer or more limited uses than we request or that clearance or approval may be
granted contingent on the performance of costly post-marketing clinical trials. In addition, if
the FDA or other non-U.S. regulatory authorities clear or approve our products, the labeling,
packaging, adverse event reporting, storage, advertising and promotion for the products will be
subject to extensive
regulatory requirements. It is possible that the FDA or other non-U.S. regulatory authorities
may not approve the labeling claims necessary or desirable for the successful commercialization of
our products. Further, regulatory agencies must approve our manufacturing facilities before they
can be used to manufacture our products, and these facilities are subject to ongoing regulatory
inspection. If we fail to comply with the regulatory requirements of the FDA and other non-U.S.
regulatory authorities, or if previously unknown problems with our products, manufacturers or
manufacturing processes are discovered, FDA may seek to revoke our clearance or clearances, or may
hold that a previously exempt device is subject to premarket notification and clearance and may not
be marketed until such clearance issues. We could also be subject to administrative or judicially
imposed sanctions. FDA may also conclude that a previously exempt or cleared device is subject to
full FDA approval and that marketing must cease until the device is approved. FDA approval is
time-consuming, extraordinarily expensive and highly uncertain.
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In addition, the FDA and other non-U.S. regulatory authorities may change their policies and
additional regulations may be enacted that could prevent or delay regulatory clearance or approval
of our products. We cannot predict the likelihood, nature or extent of government regulation that
may arise from future legislation or administrative action, either in the United States or abroad.
If we are not able to maintain regulatory compliance, we would likely not be permitted to market
our products and we may not achieve or sustain profitability.
Our competitors may develop and market products that are more effective, safer or less expensive
than our products, negatively impacting our commercial opportunities.
The life sciences industry is highly competitive, and we face significant competition from
many medical device companies that are researching and marketing products designed to address the
same ailments we are endeavoring to address. The medical devices that we have developed or are
developing will compete with other medical devices that currently exist or are being developed.
Products we may develop in the future are also likely to face competition from other medical
devices and therapies. Many of our competitors have significantly greater financial,
manufacturing, marketing and product development resources than we do. If our competitors market
products that are more effective, safer, easier to use or less expensive than our products, or that
reach the market sooner than our products, we may not achieve commercial success. In addition, the
medical device industry is characterized by rapid technological change. It may be difficult for us
to stay abreast of the rapid changes in each technology. If we fail to stay at the forefront of
technological change, then we may be unable to compete effectively. Technological advances or
products developed by our competitors may render our technologies or products obsolete or less
competitive. Any of the foregoing may have a material adverse effect on our business, liquidity and
results of operations.
If we are unable to obtain and enforce patent protection for our products, our business could be
materially harmed.
We currently hold five United States patents with respect to overall design and specific
features of our present and proposed products and have submitted applications with respect to four
foreign patents. The issuance of a patent does not guarantee that it is valid or enforceable. Any
patents we have obtained, or obtain in the future, may be challenged, invalidated, unenforceable or
circumvented. Moreover, the United States Patent and Trademark Office (the USPTO) may commence
interference proceedings involving our patents or patent applications. Any challenge to, finding
of unenforceability or invalidation or circumvention of, our patents or patent applications would
be costly, would require significant time and attention of our management and could have a material
adverse effect on our business.
Our pending patent applications may not result in issued patents. The patent position of
medical device companies, including us, is generally uncertain and involves complex legal and
factual considerations. The standards that the USPTO and its foreign counterparts use to grant
patents are not always applied predictably or uniformly and can change. There is also no uniform,
worldwide policy regarding the subject matter and scope of claims granted or allowable in medical
device patents. Accordingly, we do not know the degree of future protection for our proprietary
rights or the breadth of claims that will be allowed in any patents issued to us or to others.
If we are unable to protect the confidentiality of our proprietary information and know-how, the
value of our technology and products could be adversely affected.
In addition to patent protection, we also rely on other proprietary rights, including
protection of trade secrets, know-how and confidential and proprietary information. Adequate
remedies may not exist in the event of unauthorized use or disclosure of our confidential
information. The disclosure of our trade secrets would impair our
competitive position and may materially harm our business, financial condition and results of
operations. To the extent that our employees, consultants or contractors use technology or
know-how owned by third parties in their work for us, disputes may arise between us and those third
parties as to the rights in related inventions.
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Our commercial success depends significantly on our ability to operate without infringing the
patents and other proprietary rights of third parties.
Other entities may have or obtain patents or proprietary rights that could limit our ability
to manufacture, use, sell, offer for sale or import products or impair our competitive position.
In addition, to the extent that a third party develops new technology that covers our products, we
may be required to obtain licenses to that technology, which licenses may not be available or may
not be available on commercially reasonable terms, if at all. If licenses are not available to us
on acceptable terms, we will not be able to market the affected products or conduct the desired
activities, unless we challenge the validity, enforceability or infringement of the third party
patent or circumvent the third party patent, which would be costly and would require significant
time and attention of our management. Third parties may have or obtain valid and enforceable
patents or proprietary rights that could block us from developing products using our technology.
Our failure to obtain a license to any technology that we require may materially harm our business,
financial condition and results of operations.
If we become involved in patent litigation or other proceedings related to a determination of
rights, we could incur substantial costs and expenses, substantial liability for damages or be
required to stop our product development and commercialization efforts any of which could
materially adversely affect our liquidity, business prospects and results of operations.
Third parties may sue us for infringing their patent rights. Likewise, we may need to resort
to litigation to enforce a patent issued or licensed to us or to determine the scope and validity
of proprietary rights of others. In addition, a third party may claim that we have improperly
obtained or used its confidential or proprietary information. The cost to us of any litigation or
other proceeding relating to intellectual property rights, even if resolved in our favor, could be
substantial, and the litigation would divert our managements efforts. Some of our competitors may
be able to sustain the costs of complex patent litigation more effectively than we can because they
have substantially greater resources. Uncertainties resulting from the initiation and continuation
of any litigation could limit our ability to continue our operations.
If any parties successfully claim that our creation or use of proprietary technologies
infringes upon their intellectual property rights, we might be forced to pay damages, potentially
including treble damages, if we are found to have willfully infringed on such parties patent
rights. In addition to any damages we might have to pay, a court could require us to stop the
infringing activity or obtain a license. Any license required under any patent may not be made
available on commercially acceptable terms, if at all. In addition, such licenses are likely to be
non-exclusive and, therefore, our competitors may have access to the same technology licensed to
us. If we fail to obtain a required license and are unable to design around a patent, we may be
unable to effectively market some of our technology and products, which could limit our ability to
generate revenues or achieve profitability and possibly prevent us from generating revenue
sufficient to sustain our operations.
Failure to obtain regulatory approval outside the United States will prevent us from marketing our
products abroad.
We intend to market certain of our products in non-U.S. markets. In order to market our
existing and future products in the European Union and many other non-U.S. jurisdictions, we must
obtain separate regulatory approvals. We have had limited interactions with non-U.S. regulatory
authorities, the approval procedures vary among countries and can involve additional testing, and
the time required to obtain approval may differ from that required to obtain FDA approval. Approval
or clearance by the FDA does not ensure approval by regulatory authorities in other countries, and
approval by one or more non-U.S. regulatory authorities does not ensure approval by regulatory
authorities in other countries or by the FDA. The non-U.S. regulatory approval process may include
all of the risks associated with obtaining FDA approval or clearance. We may not obtain non-U.S.
regulatory approvals on a timely basis, if at all. We may not be able to file for non-U.S.
regulatory approvals and may not receive necessary approvals to commercialize our future product
candidates in any market.
Non-U.S. governments often impose strict price controls, which may adversely affect our future
profitability.
We have obtained approval to market certain of our products in one or more non-U.S.
jurisdictions, which subjects us to rules and regulations in those jurisdictions relating to our
products. In some countries, particularly
countries of the European Union, each of which has developed its own rules and regulations,
pricing is subject to governmental control. In these countries, pricing negotiations with
governmental authorities can take considerable time after the receipt of marketing approval for a
medical device candidate. To obtain reimbursement or pricing approval in some countries, we may be
required to conduct a clinical trial that compares the cost-effectiveness of our existing and
future product candidates to other available products. If reimbursement of our future product
candidates is unavailable or limited in scope or amount, or if pricing is set at unsatisfactory
levels, we may be unable to achieve or sustain profitability.
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Our business is subject to economic, political, regulatory and other risks associated with
international operations.
Our business is subject to risks associated with conducting business internationally, in part
due to some of our suppliers historically being located outside the United States. Accordingly, our
future results could be harmed by a variety of factors, including:
| difficulties in compliance with non-U.S. laws and regulations; |
| changes in non-U.S. regulations and customs; |
| changes in non-U.S. currency exchange rates and currency controls; |
| changes in a specific countrys or regions political or economic environment; |
| trade protection measures, import or export licensing requirements or other restrictive
actions by U.S. or non-U.S. governments; |
| negative consequences from changes in tax laws; and |
| difficulties associated with staffing and managing foreign operations, including
differing labor relations. |
Risks Relating to Our Stock.
We do not anticipate paying dividends on our common stock in the foreseeable future.
We have not declared and paid cash dividends on our common stock in the past, and we do not
anticipate paying any cash dividends in the foreseeable future. We intend to retain all of our
earnings, if any, for the foreseeable future to finance the operation and expansion of our
business. Additionally, our current credit facility prohibits us from paying dividends on our
capital stock at any time during which we have outstanding borrowings thereunder. As a result, you
may only receive a return on your investment in our common stock if the market price of our common
stock increases and you sell your shares.
Because our common stock is a penny stock, it may be more difficult for investors to sell shares
of our common stock, and the market price of our common stock may be adversely affected.
Our common stock, which trades on the OTCBB, is a penny stock since, among other things, the
stock price is below $5.00 per share, it is not listed on a national securities exchange, and it
has not met certain net tangible asset or average revenue requirements. Broker-dealers who sell
penny stocks must provide purchasers of these stocks with a standardized risk-disclosure document
prepared by the SEC. This document provides information about penny stocks and the nature and
level of risks involved in investing in the penny-stock market. A broker must also give a
purchaser, orally or in writing, bid and offer quotations and information regarding broker and
salesperson compensation, make a written determination that the penny stock is a suitable
investment for the purchaser and obtain the purchasers written agreement to the purchase.
Broker-dealers must also provide customers that hold penny stock in their accounts with such
broker-dealer a monthly statement containing price and market information relating to the penny
stock. If a penny stock is sold to an investor in violation of the penny stock rules, the investor
may be able to cancel its purchase and get its money back.
If applicable, the penny stock rules may make it difficult for investors to sell their shares
of our common stock. Because of the rules and restrictions applicable to a penny stock, there is
less trading in penny stocks and the market price of our common stock may be adversely affected.
Also, many brokers choose not to participate in penny stock transactions. Accordingly, investors
may not always be able to resell their shares of our common stock publicly at times and prices
acceptable to them.
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Our stock price has been volatile and there may not be an active, liquid trading market for our
common stock.
Our stock price has experienced significant price and volume fluctuations and may continue to
experience volatility in the future. The price of our common stock has ranged between $0.19 and
$0.35 for the 52-week period ended September 30, 2011. Factors that have a significant impact on
the price of our common stock, in addition to the other issues described in this report, include
announcements of technological innovations or new commercial products by us or others, developments
in patents and other proprietary rights by us or others, future sales of our common stock by
existing shareholders, regulatory developments or changes in regulatory guidance, the departure of
our officers, directors or key employees, and period-to-period fluctuations in our financial
results. Also, you may not be able to sell your shares at the best market price if trading in our
stock in not active or if the volume is low. There is no guarantee that an active trading market
for our common stock will be maintained on the OTCBB or elsewhere.
Our quarterly results of operations will fluctuate, and these fluctuations could cause our stock
price to decline.
Our quarterly operating results are likely to fluctuate in the future. These fluctuations
could cause our stock price to decline. The nature of our business involves variable factors, such
as the timing of the research, development and regulatory submissions of our devices that could
cause our operating results to fluctuate. As a result, in some future quarters our clinical,
financial or operating results may not meet the expectations of securities analysts and investors
which could result in a decline in the price of our stock.
Shareholders may experience dilution of ownership interests because of the future issuance of
additional shares of our common stock and our preferred stock.
In the future, we may issue our authorized but previously unissued equity securities,
resulting in the dilution of the ownership interests of our present shareholders. We are currently
authorized to issue an aggregate of 101,000,000 shares of capital stock, consisting of 100,000,000
shares of common stock and 1,000,000 shares of preferred stock with preferences and rights to be
determined by our Board of Directors. As of October 15, 2011, there were outstanding: a)
68,922,423 shares of our common stock, b) 100 shares of our Series B preferred stock, c) 62,048
shares of our Series C preferred stock, each currently convertible into 25 shares of our common
stock and d) 2,795 shares of our Series D preferred stock, each currently convertible into 5,000
shares of our common stock. Also as of October 15, 2011, there were outstanding options to
purchase 1,582,500 shares of our common stock, and we have reserved 1,551,200 shares of our common
stock for issuance upon conversion of our Series C preferred stock and 13,975,000 shares of our
common stock for issuance upon conversion of our Series D preferred stock. We may also issue
additional shares of our common stock or other securities that are convertible into or exercisable
for common stock in connection with hiring or retaining employees, future acquisitions, future
sales of our securities for capital raising purposes, or for other business purposes. The future
issuance of any such additional shares of our common stock may create downward pressure on the
trading price of the common stock. We may issue additional shares, warrants or other convertible
securities in the future in conjunction with capital raising efforts, including at a price (or
exercise price) below the price at which shares of our common stock are then currently traded on
the OTCBB.
Item 2. | Properties. |
Our principal corporate office is located at 4400 Biscayne Blvd., Miami, Florida. We rent
this space from Frost Real Estate Holdings, LLC, which is a company controlled by Dr. Phillip
Frost, one of our largest beneficial shareholders. We currently lease approximately 1,800 square
feet under the lease agreement, which is for a five-year term that began on January 1, 2008.
We house our inventory in approximately 5,200 square feet of warehouse space in Hialeah,
Florida leased from an entity controlled by Dr. Frost and Dr. Jane Hsiao, our Chairman.
Item 3. | Legal Proceedings. |
None.
Item 4. | (Removed and Reserved). |
18
Table of Contents
PART II
Item 5. | Market for Registrants Common Equity, Related Stockholder Matters and Issuer Purchases of
Equity Securities. |
Market for common stock
Our common stock is quoted on the OTCBB under the symbol NIMU.OB. The table below sets forth,
for the respective periods indicated, the high and low bid prices for the Companys common stock as
reported by the OTCBB. The following bid quotations represent inter-dealer prices, without
adjustments for retail mark-ups, mark-downs or commissions and may not necessarily represent actual
transactions.
Quarter Ended | High | Low | ||||||
October 31, 2009 |
$ | 0.46 | $ | 0.26 | ||||
January 31, 2010 |
$ | 0.43 | $ | 0.27 | ||||
April 30, 2010 |
$ | 0.43 | $ | 0.30 | ||||
July 31, 2010 |
$ | 0.36 | $ | 0.30 | ||||
October 31, 2010 |
$ | 0.34 | $ | 0.22 | ||||
January 31, 2011 |
$ | 0.29 | $ | 0.22 | ||||
April 30, 2011 |
$ | 0.29 | $ | 0.21 | ||||
July 31, 2011 |
$ | 0.30 | $ | 0.20 |
Since our inception, we have not paid any dividends on our common stock, and we do not
anticipate that we will pay dividends in the foreseeable future. Additionally, our current credit
facility prohibits us from paying dividends on our capital stock at any time during which we have
outstanding borrowings thereunder. At July 31, 2011, we had 1,505 shareholders of record based on
information provided by our transfer agent, American Stock Transfer & Trust Company. We believe
that the actual number of beneficial shareholders is considerably higher.
Item 6. | Selected Financial Data. |
As a smaller reporting company as defined in Rule 12b-2 of the Exchange Act, we are not
required to include information otherwise required by this item.
19
Table of Contents
Item 7. | Managements Discussion and Analysis of Financial Condition and Results of Operations. |
This Annual Report on Form 10-K contains, in addition to historical information, certain
forward-looking statements about our expectations, beliefs or intentions regarding, among other
things, our product development and commercialization efforts, business, financial condition,
results of operations, strategies or prospects. You can identify forward-looking statements by the
fact that these statements do not relate strictly to historical or current matters. Rather,
forward-looking statements relate to anticipated or expected events, activities, trends or results
as of the date they are made. Because forward-looking statements relate to matters that have not
yet occurred, these statements are inherently subject to risks and uncertainties that could cause
our actual results to differ materially from any future results expressed or implied by the
forward-looking statements. Many factors could cause our actual activities or results to differ
materially from the activities and results anticipated in forward-looking statements. These
factors include those set forth below as well as those contained in Item 1A Risk Factors of
this Annual Report on Form 10-K. We do not undertake any obligation to update forward-looking
statements, except as required by applicable law. These forward-looking statements reflect our
views only as of the date they are made with respect to future events and financial performance.
Overview
We are primarily engaged in the development, manufacture and marketing of non-invasive, whole
body periodic acceleration (WBPA) therapeutic platforms, which are motorized platforms that move
a subject repetitively head to foot. Our acceleration therapeutic platforms are the inventions of
Marvin A. Sackner, M.D., our founder, Chief Executive Officer and a director. Over thirty peer
reviewed scientific publications attest to the benefits of whole body periodic acceleration in
animal and human research investigations. According to those studies, the application of this
technology causes increased release of beneficial substances such as nitric oxide from the inner
lining of blood vessels throughout the vasculature for improved circulation and the reduction of
inflammation. These findings are not being claimed as an intended use of the device for marketing
purposes, but demonstrate a potential mechanism for its benefits.
The development and commercialization of the Exer-Rest has necessitated substantial
expenditures and commitments of capital, and we anticipate expenses and associated losses to
continue for the foreseeable future, as we expect to continue sales efforts in the United States,
Canada, the UK, Europe, India, Mexico, Latin America, the Middle East and the Far East. We will be
required to raise additional capital to fulfill our business plan, but no commitment to raise such
additional capital exists or can be assured. If we are unsuccessful in our efforts to expand sales
and/or raise capital, we will not be able to continue operations.
Critical Accounting Policies and Estimates
Our discussion and analysis of our financial condition and results of operations are based
upon our consolidated financial statements, which have been prepared in accordance with accounting
principles generally accepted in the United States. The preparation of these consolidated
financial statements requires us to make estimates and judgments that affect the reported amounts
of assets, liabilities, revenues and expenses, and related disclosure of contingent assets and
liabilities. On an on-going basis, we evaluate our estimates, including those related to accounts
receivable, inventory, property and equipment, intangible assets, contingencies and litigation. We
base our estimates on historical experience and on various other assumptions that are believed to
be reasonable under the circumstances, the results of which form the basis for making judgments
about the carrying values of assets and liabilities that are not readily apparent from other
sources. A more detailed discussion on the application of these and other accounting policies can
be found in Note 2 in the Notes to the Consolidated Financial Statements set forth in Item 8 of
this Annual Report on Form 10-K. Actual results may differ from these estimates under different
assumptions or conditions.
Results of Operations
In January 2005, we began developing the Exer-Rest line of acceleration therapeutic platforms,
which were designed to be more efficient and less expensive than the AT-101. The Exer-Rest
AT platform was first available for delivery to certain locations outside of the United
States in October 2007. Prior to the first export sales of the Exer-Rest AT, we continued to sell
the AT-101 in certain locations outside of the United States. In anticipation of the launch of the
Exer-Rest line, in July 2006 we wrote down as obsolete our existing inventory of AT-101 platforms
and parts to zero value. Our newest platforms, the Exer-Rest AT3800 and AT4700, which we developed
under our former agreement with Sing Lin, became available for sale in October 2008. In
January 2009, the Exer-Rest line of therapeutic platforms was registered by the FDA in the United
States as Class I (Exempt) Medical Devices. We began our U.S. and international sales activity
with aggressive marketing and promotional pricing beginning in February 2009. We opened our first
demonstration and therapy center in Toronto, Canada in April 2009; however we closed that facility
in January 2010 to focus our marketing and sales efforts on healthcare providers as well as
individuals. We currently market the Exer-Rest to individuals for treatment in their homes,
healthcare providers, hospitals, chiropractic and physical therapy centers, assisted living
facilities, as well as to professional athletes.
20
Table of Contents
Year Ended July 31, 2011 Compared to Year Ended July 31, 2010
Revenue. Total revenue increased from $617,000 for the year ended July 31, 2010 to $743,000
for the year ended July 31, 2011. This $126,000 increase primarily resulted from a $56,000
increase in net product revenue and a $70,000 increase in royalty revenue. Exer-Rest platform unit
sales for the 2011 fiscal year decreased 18% over the 2010 fiscal year, primarily due to the
terminated agreement with Sing Lin that included their distribution of the Exer-Rest at a
discounted selling price per unit in the Far East market. Royalty revenue for the fiscal year 2011
increased approximately 42% from fiscal year 2010 due to increased product sales by SensorMedics.
Cost of sales. Cost of sales decreased to $172,000 for the year ended July 31, 2011 from
$243,000 for the year ended July 31, 2010. This $71,000 net decrease was primarily due to a
decrease in number of Exer-Rest units sold during the year. Inventory adjustments for damaged,
obsolete and slow moving inventory for the years ended July 31, 2011 and 2010 totaled approximately
$0 and $35,000 respectively.
Selling, general and administrative costs and expenses. Selling, general and administrative
(SG&A) costs and expenses for the years ended July 31, 2011 and 2010 were approximately $1.4
million and $1.9 million, respectively. The $534,000 decrease for the year ended July 31, 2011
was primarily attributable to a decrease in salaries and wages related to reductions in sales and
marketing personnel and lower stock-based compensation costs. SG&A costs and expenses include
stock-based compensation expense, which totaled $68,000 for fiscal 2011, as compared to $94,000 for
fiscal 2010. The decrease in stock-based compensation was primarily due to a decrease in the
number of options granted for the year ended July 31, 2011.
Research and development costs and expenses. Research and development (R&D) costs and
expenses decreased $80,000 from $118,000 for the year ended July 31, 2010 to $38,000 for the year
ended July 31, 2011. The decrease primarily consisted of overall reduction in research related to
additional applications of WBPA technology and costs associated with the suspension of certain
clinical trials.
Total operating costs and expenses. Total operating costs and expenses decreased $255,000
from $2.3 million for the year ended July 31, 2010 to $2.0 million for the year ended July 31,
2011. This decrease is primarily attributable to the decreases in SG&A costs and expenses and R&D
costs and the expenses described above, which were partially offset with a $430,000 impairment
charge associated with the Sing Lin termination (See Note 10 to our consolidated audited financial
statements contained in this Annual Report on Form 10-K).
Other income and expense. Other income decreased $149,000 from $19,000 income for the year
ended July 31, 2010 to $130,000 expense for the year ended July 31, 2011. The decrease was
primarily attributable to a $59,000 increase in foreign currency exchange loss at our Canadian
subsidiary and a $90,000 increase in net interest expense, primarily attributed to the borrowings
under our $1.0 million revolving credit facility.
Liquidity and Capital Resources
Our operations have been primarily financed through private sales of our equity securities and
advances under credit facilities available to us. We currently do not have any additional
borrowing capacity under our $1.0 million revolving credit facility, described below, and, in
September 2011, we issued promissory notes in the aggregate principal amount of $100,000, of which
$50,000 had been received as an advance on June 24, 2011. At July 31, 2011, we had cash of $64,000
and negative working capital of approximately $681,000. We expect that our existing funds will be
sufficient to support our marketing efforts in the United States and Canada only through November
2011. We will be required to obtain additional external financing to continue operations beyond
November 2011. No assurance can be given that such additional financing will be available on
acceptable terms or at all. Our ability to sell additional shares of our stock and/or borrow cash
could be materially adversely affected by the recent economic uncertainty in the global equity and
credit markets. Current economic conditions have been, and continue
to be, volatile, and continued instability in these market conditions may limit our ability to
access the capital necessary to fund and grow our business and to replace, in a timely manner,
maturing liabilities.
21
Table of Contents
Net cash used in operating activities decreased to $528,000 for the year ended July 31, 2011
from $1.3 million for the year ended July 31, 2010. This $781,000 decrease was principally due to
reductions in R&D and SG&A for the year ended July 31, 2011.
Net cash provided by investing activities for the year ended July 31, 2011 was $6,000 as a
result of the sale of fixed assets. No cash was used or provided by investing activities for the
year ended July 31, 2010.
Net cash provided by financing activities decreased from $600,000 for the year ended July 31,
2010 to $419,000 for the year ended July 31, 2011. This $181,000 decrease was principally due a
$220,000 decrease in advances under our $1.0 million revolving credit facility, described below,
for the year ended July 31, 2011 and was offset by a $38,000 reduction in repayments of notes
payable and $1,000 increase in proceeds from exercised options.
Aggregate collections of royalty payments from VivoMetrics and SensorMedics were $238,000 and
$168,000 for the years ended July 31, 2011 and 2010, respectively. There can be no assurances that
we will continue to receive similar royalty payments. VivoMetrics ceased operations in July 2009
and filed for Chapter 11 bankruptcy protection in October 2009. Thereafter, the VivoMetrics
license was assigned to a third party. The Company does not anticipate any additional royalty
income from the license for the foreseeable future.
Under our now-terminated agreement with Sing Lin, we were committed to purchase approximately
$2.6 million of Exer-Rest units within one year of acceptance of the final product, which
acceptance occurred in September 2008, and an additional $4.1 million and $8.8 million of products
in the second and third years following acceptance of the final product, respectively. Under the
agreement, we were required to pay a portion of the product purchase price at the time production
orders were placed, with the balance due upon delivery. Through July 31, 2011, we paid Sing Lin
$1.7 million in connection with orders placed through that date. As of July 31, 2011, we had not
placed orders sufficient to satisfy the first-year or second-year purchase obligations under the
agreement. We notified Sing Lin in June 2010 that we were terminating the agreement effective
September 2010, and Sing Lin in July 2010 demanded that we place orders sufficient to fulfill the
three year minimum purchase obligations in the agreement. There can be no assurance that Sing Lin
will not attempt to enforce its remedies against us, or pursue other potential remedies. If Sing
Lin seeks to enforce remedies against us, any such remedies could have a material adverse effect on
our business, liquidity and results of operations. As of July 31, 2011, the Company had payables
due to Sing Lin of approximately $41,000. The Company also recorded a $430,000 impairment charge on
the value of its assets related to Sing Lin for the year ended July 31, 2011 (See Note 10 to our
consolidated audited financial statements contained in this Annual Report on Form 10-K).
At July 31, 2011, we had available federal and state net operating loss carryforwards of
approximately $12.1 million which expire in various years through 2030.
2010 Credit Facility. On March 31, 2010, we entered into a new Note and Security Agreement
with Frost Gamma Investments Trust, a trust controlled by Dr. Phillip Frost, which beneficially
owns in excess of 10% of our common stock, and Hsu Gamma Hsu Gamma Investments, LP, an entity
controlled by our Chairman (together, the Lenders), pursuant to which the Lenders have provided a
revolving credit line (the Credit Facility) in the aggregate principal amount of up to $1.0
million, secured by all of our personal property. We are permitted to borrow and reborrow from
time to time under the Credit Facility until July 31, 2012 (the Credit Facility Maturity Date).
The interest rate payable on amounts outstanding under the Credit Facility is 11% per annum, and
increases to 16% per annum after the Credit Facility Maturity Date or after an event of default.
All amounts owing under the Credit Facility are required to be repaid by the Credit Facility
Maturity Date, and amounts outstanding are prepayable at any time. As of July 31, 2011, we had
drawn an aggregate of $1,000,000 under the Credit Facility.
2011 Promissory Notes. On September 12, 2011, the Company entered into a Promissory Note in
the principal amount of $50,000.00 with Frost Gamma Investments Trust, a trust controlled by Dr.
Phillip Frost, which beneficially owns in excess of 10% of the Companys common stock. Also, on
September 12, 2011, NIMS entered into a Promissory Note in the principal amount of $50,000 with an
unrelated third party. The interest rate payable by NIMS on both the Frost Gamma Note and the
unrelated third party note is 11% per annum, payable on the maturity date of September 12, 2014.
The Company may prepay either or both notes without premium or penalty.
22
Table of Contents
As of October 21, 2011, we had cash and cash equivalents of approximately $112,000, and did
not have any further funding available under the Credit Facility. If we are unable to generate
significant revenues from sales of Exer-Rest platforms, we will have insufficient funds to repay
debt and continue operations beyond November 2011 without raising additional capital. There can be
no assurance that we will be able to raise such additional capital on terms acceptable to us or at
all.
Item 7A. | Quantitative and Qualitative Disclosures About Market Risk. |
As a smaller reporting company as defined in Rule 12b-2 of the Exchange Act, we are not
required to include the information otherwise required by this item.
Item 8. | Financial Statements and Supplementary Data. |
24 | ||||
25 | ||||
26 | ||||
27 | ||||
28 | ||||
29 | ||||
23
Table of Contents
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
Board of Directors and Stockholders
Non-Invasive Monitoring Systems, Inc.
Non-Invasive Monitoring Systems, Inc.
We have audited the accompanying consolidated balance sheets of Non-Invasive Monitoring Systems,
Inc. and subsidiaries (the Company) as of July 31, 2011 and 2010, and the related consolidated comprehensive
statements of operations, changes in shareholders (deficit) equity and cash flows for the years
then ended. These consolidated financial statements are the responsibility of the Companys
management. Our responsibility is to express an opinion on these consolidated financial statements
based on our audits.
We conducted our audits in accordance with the standards of the Public Company Accounting Oversight
Board (United States). Those standards require that we plan and perform the audit to obtain
reasonable assurance about whether the financial statements are free of material misstatement.
The Company is not required to have, nor were we engaged to perform,
an audit of its internal control over financial reporting.
Our audit includes consideration of internal control over financial reporting as a basis for
designing audit procedures that are appropriate in the circumstances, but not for the purpose of
expressing an opinion on the effectiveness of the Companys internal control over financial
reporting. Accordingly, we express no such opinion. An audit includes examining, on a test basis,
evidence supporting the amounts and disclosures in the financial statements. An audit also
includes assessing the accounting principles used and significant estimates made by management, as
well as evaluating the overall financial statement presentation. We believe that our audits
provide a reasonable basis for our opinion.
In our opinion, the consolidated financial statements referred to above present fairly, in all
material respects, the financial position of Non-Invasive Monitoring Systems, Inc. and subsidiaries
as of July 31, 2011 and 2010, and the results of their operations and their cash flows for the
years then ended in conformity with accounting principles generally accepted in the United States
of America.
The accompanying consolidated financial statements have been prepared assuming that the Company
will continue as a going concern. As discussed in the Note 1 to the consolidated financial
statements, the Company has experienced recurring net losses, cash outflows from operating
activities and has an accumulated deficit, working capital deficit and substantial purchase
commitments that raise substantial doubt about its ability to continue as a going concern.
Managements plans in regard to these matters are also described in Note 1. The consolidated
financial statements do not include any adjustments that might result from the outcome of this
uncertainty.
/s/ Morrison, Brown Argiz & Farra, LLC
|
||
Miami, Florida |
||
October 31, 2011 |
24
Table of Contents
NON-INVASIVE MONITORING SYSTEMS, INC.
CONSOLIDATED BALANCE SHEETS
(In thousands, except share and per share data)
July 31, 2011 | July 31, 2010 | |||||||
ASSETS |
||||||||
Current assets |
||||||||
Cash |
$ | 64 | $ | 165 | ||||
Royalties and other receivables, net |
69 | 211 | ||||||
Inventories, net |
531 | 766 | ||||||
Advances to contract manufacturer |
| 90 | ||||||
Prepaid expenses, deposits, and other current assets |
31 | 57 | ||||||
Total current assets |
695 | 1,289 | ||||||
Tooling and equipment, net |
28 | 342 | ||||||
Total assets |
$ | 723 | $ | 1,631 | ||||
LIABILITIES AND SHAREHOLDERS (DEFICIT) EQUITY |
||||||||
Current liabilities |
||||||||
Notes payable Related party |
$ | 1,000 | $ | 600 | ||||
Notes payable other |
50 | 33 | ||||||
Accounts payable and accrued expenses |
326 | 276 | ||||||
Customer deposits |
| 16 | ||||||
Total current liabilities |
1,376 | 925 | ||||||
Total liabilities |
$ | 1,376 | $ | 925 | ||||
Shareholders (deficit) equity |
||||||||
Series B Preferred Stock, par value $1.00 per share;
100 shares authorized, issued and outstanding; liquidation preference $10 |
| | ||||||
Series C Convertible Preferred Stock, par value $1.00 per share;
62,048 shares authorized, issued and outstanding; liquidation preference $62 |
62 | 62 | ||||||
Series D Convertible Preferred Stock, par value $1.00 per share; 5,500 shares authorized;
2,795 and 2,828 shares issued and outstanding as of July 31,
2011 and 2010, respectively; liquidation preference $4,193 and
$4,242, respectively |
3 | 3 | ||||||
Common Stock, par value $0.01 per share; 100,000,000 shares authorized;
68,922,423 and 68,738,165 shares issued and outstanding as of July 31, 2011 and 2010,
respectively |
689 | 687 | ||||||
Additional paid in capital |
21,487 | 21,419 | ||||||
Accumulated deficit |
(22,819 | ) | (21,427 | ) | ||||
Accumulated other comprehensive loss |
(75 | ) | (38 | ) | ||||
Total shareholders (deficit) equity |
(653 | ) | 706 | |||||
Total liabilities and shareholders (deficit) equity |
$ | 723 | $ | 1,631 | ||||
The accompanying notes are an integral part of these consolidated financial statements.
25
Table of Contents
NON-INVASIVE MONITORING SYSTEMS, INC.
CONSOLIDATED COMPREHENSIVE STATEMENTS OF OPERATIONS
Years ended July 31, 2011 and 2010
(In thousands, except per share data)
2011 | 2010 | |||||||
Revenues |
||||||||
Product sales, net |
$ | 505 | $ | 449 | ||||
Royalties |
238 | 168 | ||||||
Total revenues |
743 | 617 | ||||||
Operating costs and expenses |
||||||||
Cost of sales |
172 | 243 | ||||||
Selling, general and administrative |
1,365 | 1,899 | ||||||
Research and development |
38 | 118 | ||||||
Impairment loss |
430 | | ||||||
Total operating costs and expenses |
2,005 | 2,260 | ||||||
Operating loss |
(1,262 | ) | (1,643 | ) | ||||
Other income |
||||||||
Interest income (expense), net |
(106 | ) | (16 | ) | ||||
Other income (expense) |
(24 | ) | 35 | |||||
Total other income |
(130 | ) | 19 | |||||
Net loss |
$ | (1,392 | ) | $ | (1,624 | ) | ||
Other comprehensive loss |
||||||||
Foreign currency translation adjustment |
(37 | ) | (16 | ) | ||||
Comprehensive net loss |
$ | (1,429 | ) | $ | (1,640 | ) | ||
Net loss attributable to common shareholders and loss per common share: |
||||||||
Net loss |
(1,392 | ) | (1,624 | ) | ||||
Net loss attributable to common shareholders |
$ | (1,392 | ) | $ | (1,624 | ) | ||
Weighted average number of common |
||||||||
shares outstanding basic and diluted |
68,892 | 68,497 | ||||||
Basic and diluted loss per common share |
$ | (0.02 | ) | $ | (0.02 | ) | ||
The accompanying notes are an integral part of these consolidated financial statements.
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Table of Contents
NON-INVASIVE MONITORING SYSTEMS, INC.
CONSOLIDATED STATEMENTS OF CHANGES IN SHAREHOLDERS (DEFICIT) EQUITY
Years ended July 31, 2011 and 2010
(Dollars in Thousands)
Accumu- | ||||||||||||||||||||||||||||||||||||||||||||||||
lated Other | ||||||||||||||||||||||||||||||||||||||||||||||||
Preferred Stock | Additional | Accum- | Compre- | |||||||||||||||||||||||||||||||||||||||||||||
Series B | Series C | Series D | Common Stock | Paid in | ulated | hensive | ||||||||||||||||||||||||||||||||||||||||||
Shares | Amount | Shares | Amount | Shares | Amount | Shares | Amount | Capital | Deficit | Loss | Total | |||||||||||||||||||||||||||||||||||||
Balance at July 31, 2009 |
100 | $ | | 62,048 | $ | 62 | 2,891 | $ | 3 | 68,385,637 | $ | 684 | $ | 21,327 | ($19,803 | ) | $ | (22 | ) | $ | 2,251 | |||||||||||||||||||||||||||
Common stock issued for
cash on exercise of
options and warrants |
| | | | | | 13,333 | | 1 | | | $ | 1 | |||||||||||||||||||||||||||||||||||
Cashless exercise of
39,999 options |
| | | | | | 24,195 | | | | | $ | | |||||||||||||||||||||||||||||||||||
Conversion of Series D
Preferred Stock into
Common Stock |
| | | | (63 | ) | | 315,000 | 3 | (3 | ) | | | $ | | |||||||||||||||||||||||||||||||||
Stock based compensation |
| | | | | | | | 94 | | | $ | 94 | |||||||||||||||||||||||||||||||||||
Foreign currency
translation adjustment |
| | | | | | | | | | (16 | ) | ($16 | ) | ||||||||||||||||||||||||||||||||||
Net loss |
| | | | | | | | | (1,624 | ) | | ($1,624 | ) | ||||||||||||||||||||||||||||||||||
Balance at July 31, 2010 |
100 | $ | | 62,048 | $ | 62 | 2,828 | $ | 3 | 68,738,165 | $ | 687 | $ | 21,419 | ($21,427 | ) | ($38 | ) | $ | 706 | ||||||||||||||||||||||||||||
Common stock issued for
cash on exercise of
options and warrants |
| | | | | | 13,333 | | 2 | | | $ | 2 | |||||||||||||||||||||||||||||||||||
Cashless Exercise of
13,333 options |
| | | | | | 5,925 | | | | | $ | | |||||||||||||||||||||||||||||||||||
Conversion of Series D
Preferred Stock into
Common Stock |
| | | | (33 | ) | | 165,000 | 2 | (2 | ) | | | $ | | |||||||||||||||||||||||||||||||||
Stock based compensation |
| | | | | | | | 68 | | | $ | 68 | |||||||||||||||||||||||||||||||||||
Foreign currency
translation adjustment |
| | | | | | | | | | (37 | ) | ($37 | ) | ||||||||||||||||||||||||||||||||||
Net loss |
| | | | | | | | | (1,392 | ) | | ($1,392 | ) | ||||||||||||||||||||||||||||||||||
Balance at July 31, 2011 |
100 | $ | | 62,048 | $ | 62 | 2,795 | $ | 3 | 68,922,423 | $ | 689 | $ | 21,487 | ($22,819 | ) | ($75 | ) | $ | (653 | ) | |||||||||||||||||||||||||||
The accompanying notes are an integral part of these consolidated financial statements.
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Table of Contents
NON-INVASIVE MONITORING SYSTEMS, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS
Years ended July 31, 2011 and 2010
(Dollars in Thousands)
2011 | 2010 | |||||||
Operating Activities |
||||||||
Net loss |
$ | (1,392 | ) | $ | (1,624 | ) | ||
Adjustments to reconcile net loss to net cash used in operating activities: |
||||||||
Depreciation and amortization |
119 | 123 | ||||||
Impairment charge |
430 | | ||||||
Stock-based compensation expense |
68 | 94 | ||||||
Loss on disposal of assets |
| 3 | ||||||
Allowance for doubtful accounts |
(10 | ) | | |||||
Inventory valuation adjustment |
| 35 | ||||||
Foreign currency transaction gain |
24 | (38 | ) | |||||
Changes in operating assets and liabilities |
||||||||
Accounts and royalties receivable |
2 | (150 | ) | |||||
Inventories, net |
252 | 145 | ||||||
Advances to contract manufacturer |
| 54 | ||||||
Prepaid expenses, deposits and other current assets |
26 | 19 | ||||||
Accounts payable and accrued expenses |
(31 | ) | 23 | |||||
Customer deposits |
(16 | ) | 7 | |||||
Net cash used in operating activities |
(528 | ) | (1,309 | ) | ||||
Investing Activities |
||||||||
Fixed asset sale |
6 | | ||||||
Net cash provided by investing activities |
6 | | ||||||
Financing Activities |
||||||||
Net proceeds from issuance of common stock and exercise of options and warrants |
2 | 1 | ||||||
Net proceeds from issuance of notes payable |
450 | 670 | ||||||
Repayments of notes payable |
(33 | ) | (71 | ) | ||||
Net cash provided by financing activities |
419 | 600 | ||||||
Effect of exchange rate changes on cash |
2 | (12 | ) | |||||
Net increase (decrease) in cash |
(101 | ) | (721 | ) | ||||
Cash, beginning of year |
165 | 886 | ||||||
Cash, end of year |
$ | 64 | $ | 165 | ||||
Supplemental schedule of non-cash financing activities |
||||||||
Transfer of demonstration units from inventory to fixed assets |
$ | | $ | (8 | ) | |||
The accompanying notes are an integral part of these consolidated financial statements.
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NON-INVASIVE MONITORING SYSTEMS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
1. ORGANIZATION AND BUSINESS
Organization. Non-Invasive Monitoring Systems, Inc., a Florida corporation (together with its
consolidated subsidiaries, the Company or NIMS), began business as a medical diagnostic
monitoring company to develop computer-aided continuous monitoring devices to detect abnormal
respiratory and cardiac events using sensors on the human bodys surface. It has ceased to operate
in this market and has licensed the rights to its technology. The Company is now focused on
developing and marketing its Exer-Rest® line of acceleration therapeutic platforms based
upon unique, patented whole body periodic acceleration (WBPA) technology. The Exer-Rest line of
acceleration therapeutic platforms currently includes the Exer-Rest AT, AT3800 and AT4700 models.
Business. The Company is developing and marketing its Exer-Rest® line of acceleration
therapeutic platforms based upon unique, patented whole body periodic acceleration (WBPA)
technology. The Exer-Rest line of acceleration therapeutic platforms currently includes the
Exer-Rest AT, AT3800 and AT4700 models.
The Company received revenue from royalties on sales of diagnostic monitoring hardware and software
by SensorMedics and from VivoMetrics in prior years. VivoMetrics ceased operations in July 2009
and filed for Chapter 11 bankruptcy protection in October 2009. Under VivoMetrics proposed
bankruptcy plan of reorganization, our license with VivoMetrics was assigned to another company;
however, there can be no assurance as to the future amount of royalty revenue, if any, that we may
derive from this license or from our existing license with SensorMedics. Additionally, the Company
receives revenues from sales of parts and service and from sales of acceleration therapeutics
platforms used for research purposes. In fiscal year 2009, NIMS began commercial sales of its
third generation Exer-Rest therapeutic platforms.
During the calendar years 2005 to 2007, the Company designed, developed and manufactured the first
Exer-Rest platform (now the Exer-Rest AT), a second generation acceleration therapeutics platform,
and updated its operations to promote the Exer-Rest AT overseas as an aid to improve
circulation and joint mobility and to relieve minor aches and pains.
The Company has developed a third generation of Exer-Rest acceleration therapeutic
platforms (designated the Exer-Rest AT3800 and the Exer-Rest AT4700) that had
been manufactured by Sing Lin Technologies Co. Ltd. (Sing Lin) based in Taichung, Taiwan (see
Note 10).
NIMS, an ISO 13485 certified company, began marketing operations in the United States in 2009 upon
receiving the FDA clearance. The Company is also permitted to sell Exer-Rest in Canada, the United
Kingdom, the European Economic Area, India, the Middle East and certain other markets that
recognize FDA and/or CE certifications, and began international marketing operations during fiscal
2008.
The Companys financial statements have been prepared and presented on a basis assuming it will
continue as a going concern. As reflected in the accompanying consolidated financial statements,
the Company had net losses in the amount of $1.4 million and $1.6 million, respectively, for the
years ended July 31, 2011 and 2010, and has experienced cash outflows from operating activities.
The Company also has an accumulated deficit of $22.8 million and working capital deficit of
$681,000 as of July 31, 2011, and has purchase commitments at July 31, 2011 (see note 10). The
Company had $64,000 of cash at July 31, 2011. These matters raise substantial doubt about the
Companys ability to continue as a going concern.
Absent any significant revenues from product sales, additional debt or equity financing will be
required for the Company to continue its business activities, which are currently focused on the
production, marketing and commercial sale of the Exer-Rest. Management intends to obtain any
additional capital needed to continue its business activities through new debt or equity financing,
but there can be no assurance that it will be successful in this regard. The accompanying
consolidated financial statements do not include any adjustments that might be necessary from the
outcome of this uncertainty.
As further discussed in Note 10, the Company in 2010 terminated its agreement with Sing Lin. As of
July 31, 2011, the Company has payables due to Sing Lin of approximately $41,000. The Company also
recorded a $430,000 impairment loss on the value of its assets related to Sing Lin (Note 10) during
the year ended July 31, 2011.
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2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
Consolidation. The consolidated financial statements for the years ended July 31, 2011
and 2010 include the accounts of the Company and its wholly-owned subsidiaries, Non-Invasive
Monitoring Systems of Florida, Inc., which has no current operations, and NIMS of Canada, Inc., a
Canadian corporation. All inter-company accounts and transactions have been eliminated in
consolidation.
Use of Estimates. The preparation of financial statements in conformity with accounting principles
generally accepted in the United States of America (GAAP) requires management to make estimates
and assumptions, such as accounts receivable, warranty accrual and deferred taxes as estimates,
that affect the reported amounts of assets and liabilities and disclosure of contingent assets and
liabilities at the date of the financial statements and reported amounts of revenues and expenses
during the reporting period. Such items include input variables for stock based compensation,
accounts receivable, warranty accrual and deferred taxes. Actual results could differ materially
from these estimates.
Cash and Cash Equivalents. The Company considers all highly liquid short-term investments
purchased with an original maturity date of three months or less to be cash equivalents. The
Company includes overnight repurchase agreements securing its depository bank accounts (sweep
accounts) in its cash balances. The Company had approximately $64,000 and $125,000 on deposit in
such sweep accounts at July 31, 2011 and 2010, respectively.
Allowances for Doubtful Accounts. The Company provides an allowance for royalties and other
receivables it believes it may not collect in full. Receivables are written off when they are
deemed to be uncollectible and all collection attempts have ceased. The amount of bad debt
recorded each period and the resulting adequacy of the allowance at the end of each period are
determined using a combination of the Companys historical loss experience, customer-by-customer
analysis of the Companys accounts receivable each period and subjective assessments of the
Companys future bad debt exposure.
Inventories. Inventories are stated at lower of cost or market using the first-in, first-out
method, and are evaluated at least annually for impairment. Inventories at July 31, 2011 and 2010
primarily consisted of finished Exer-Rest units and accessories. Provisions for potentially
obsolete or slow-moving inventory are made based on managements analysis of inventory levels,
historical obsolescence and future sales forecasts.
Tooling and Equipment. These assets are stated at cost and depreciated or amortized using the
straight-line method over their estimated useful lives.
Long-lived Assets. The Company reviews its long-lived assets for impairment whenever events or
changes in circumstances indicate that the carrying amount may not be recoverable. In performing
the review for recoverability, the Company estimates the future undiscounted cash flows expected to
result from the use of the asset and its eventual disposition. If the sum of the expected future
cash flows is less than the carrying amount of the assets, an impairment loss is recognized as the
difference between the fair value and the carrying amount of the asset.
Income Taxes. The Company provides for income taxes using an asset and liability based approach.
Deferred income tax assets and liabilities are recorded to reflect the tax consequences in future
years of temporary differences between the carrying amounts of assets and liabilities for financial
statement and income tax purposes. The deferred tax asset for loss carryforwards and other
potential future tax benefits has been fully offset by a valuation allowance since it is uncertain
whether any future benefit will be realized. The Company files its tax returns as prescribed by
the laws of the jurisdictions in which it operates. Tax years ranging from 2008 to 2010 remain
open to examination by various taxing jurisdictions as the statute of limitations has not expired.
It is the Companys policy to include income tax interest and penalty expense in its tax provision.
Revenue Recognition. Revenue from product sales is recognized when persuasive evidence of an
arrangement exists, the goods are shipped and title has transferred, the price is fixed or
determinable, and the collection of the sales proceeds is reasonably assured. The Company
recognizes royalties as they are earned, based on reports from licensees. Research and consulting
revenue and revenue from sales of extended warranties on therapeutic platforms are recognized over
the term of the respective agreements.
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Advertising Costs. The Company expenses all costs of advertising and promotions as incurred.
Advertising and promotional costs for the years ended July 31, 2011 and 2010 totaled $17,000 and
$64,000, respectively, and are included in selling, general and administrative costs and expenses
for all periods presented.
Research and Development Costs. Research and development costs are expensed as incurred, and
primarily consist of payments to third parties for research and development of the Exer-Rest device
and regulatory testing costs to obtain FDA approval.
Warranties. The Companys warranties are two years on all Exer-Rest products sold domestically and
one year for products sold outside of the U.S. and are accrued based on managements estimates and
the history of warranty costs incurred. There were no material warranty costs incurred for the
years ended July 31, 2011 and 2010, and management estimates that the Companys accrued warranty
expense at July 31, 2011 will be sufficient to offset claims made for units under warranty.
Stock-based compensation. The Company recognizes all share-based payments, including grants of
stock options, as operating expenses, based on their grant date fair values. Stock-based
compensation expense is recognized over the vesting life of the underlying stock options and is
included in selling, general and administrative costs and expenses in the comprehensive statements
of operations for all periods presented.
Fair Value of Financial Instruments. Fair value estimates discussed herein are based upon certain
market assumptions and pertinent information available to management as of July 31, 2011 and 2010.
The respective carrying value of certain on-balance-sheet financial instruments such as cash and
cash equivalents, royalties and other receivables, accounts payable, accrued expenses and notes
payable approximate fair values because they are short term in nature or they bear current market
interest rates.
Foreign Currency Translation. The functional currency for the Companys foreign subsidiary is the
local currency. Assets and liabilities are translated at exchange rates in effect at the balance
sheet date while income and expense amounts are translated at average exchange rates during the
period. The resulting foreign currency translation adjustments are disclosed as a separate
component of shareholders (deficit) equity and other comprehensive loss. There were $37,000 and
$16,000 of foreign currency translation losses for the years ended July 31, 2011 and 2010,
respectively.
Comprehensive Income (Loss). Comprehensive income (loss) is defined as the change in equity of a
business enterprise during a period from transactions and other events and circumstances from
non-owner sources, including foreign currency translations.
Loss
Contingencies. We recognize contingent losses that are both
probable and estimable. In this context, we define probability as
circumstances under which events are likely to occur. In regards to
legal costs, we record such costs as incurred.
3. INVENTORIES
The Companys inventory consists of the following (in thousands):
July 31, 2011 | July 31, 2010 | |||||||
Work-in-progress, including sub-assemblies and spare parts |
$ | 4 | $ | 5 | ||||
Finished goods |
527 | 761 | ||||||
Total inventories |
$ | 531 | $ | 766 | ||||
The Company did not record any inventory valuation adjustment for the year ended July 31, 2011.
The Company recorded an inventory valuation adjustment of $35,000 for the year ended July 31, 2010,
which is included in cost of sales in the accompanying consolidated comprehensive statements of
operations.
4. STOCK-BASED COMPENSATION
The Company measures the cost of employee, officer and director services received in exchange for
an award of equity instruments based on the grant-date fair value of the award. The fair value of
the Companys stock option awards is expensed over the vesting life of the underlying stock options
using the graded vesting method, with each tranche of vesting options valued separately. The
Company recorded stock based compensation expense of $68,000 and $94,000, respectively, for the
years ended July 31, 2011 and 2010. All stock based compensation is included in the Companys
selling, general and administrative costs and expenses.
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The Companys 2000 Stock Option Plan, as amended (the Plan), provides for the issuance of up to
2,000,000 shares of the Companys common stock. The Plan allows the issuance of incentive stock
options, stock appreciation rights and restricted stock awards. The exercise price of the options
is determined by the compensation committee of the Companys Board of Directors, but incentive
stock options, if any, must be granted at an exercise price not less than the fair market value of
the Companys common stock as of the grant date or an exercise price of not less than 110% of the
fair value for a 10% shareholder. Options expire up to ten years from the date of the grant and
are exercisable according to the terms of the individual option agreements.
In November 2010, the Board and Compensation Committee approved the Non-Invasive Monitoring
Systems, Inc. 2011 Stock Incentive Plan (the 2011 Plan). Awards granted under the 2011 Plan may
consist of incentive stock options, stock appreciation rights (SAR), restricted stock grants,
restricted stock units (RSU) performance shares, performance units or cash awards. The 2011 Plan
authorizes up to 4,000,000 shares of our common stock for issuance pursuant to the terms of the
2011 Plan. The 2011 Plan has not yet been approved by our shareholders, and no awards have been
granted under the 2011 Plan.
The Company did not grant any stock options for the year ended July 31, 2011, and the Company
granted 355,000 stock options during the year ended July 31, 2010. The weighted average grant date
fair value of the options granted during 2010 was $0.339 per share. The fair values of options
granted are estimated on the date of their grant using the Black-Scholes option pricing model based
on the assumptions included in the table below. The expected term of stock option awards granted
is generally based upon the simplified method for plain vanilla options discussed in SEC Staff
Accounting Bulletin (SAB) No. 107, as amended by SAB No. 110. The expected volatility is derived
from historical volatility of the Companys stock on the OTCBB for a period that matches the
expected term of the option. The risk-free interest rate is the yield from a Treasury bond or note
corresponding to the expected term of the option. The Company has not paid cash dividends and does
not expect to pay cash dividends in the future. Forfeiture rates are based on managements
estimates. The fair value of each option granted during the year ended July 31, 2010 was estimated
using the following assumptions:
Year ended July 31, 2010 | ||
Expected volatility |
112.21% - 116.86% | |
Expected dividend yield |
0.00% | |
Risk-free interest rate |
1.93% - 2.51% | |
Expected life |
4.0 - 5.5 years | |
Forfeiture rate |
2.50% |
A summary of the Companys stock option activity for the years ended July 31, 2011 and 2010 is as
follows:
Weighted average | ||||||||||||||||
remaining | ||||||||||||||||
Weighted Average | contractual term | Aggregate Intrinsic | ||||||||||||||
Shares | Exercise Price | (years) | Value | |||||||||||||
Options outstanding, July 31, 2009 |
2,350,164 | $ | 0.564 | |||||||||||||
Options granted |
355,000 | $ | 0.430 | |||||||||||||
Options exercised |
(53,332 | ) | $ | 0.150 | ||||||||||||
Options forfeited |
(106,000 | ) | $ | 0.501 | ||||||||||||
Options outstanding, July 31, 2010 |
2,545,832 | $ | 0.557 | |||||||||||||
Options granted |
0 | $ | 0.000 | |||||||||||||
Options exercised |
(26,666 | ) | $ | 0.150 | ||||||||||||
Options forfeited |
(677,916 | ) | $ | 0.478 | ||||||||||||
Options outstanding, July 31, 2011 |
1,841,250 | $ | 0.592 | 2.56 | $ | 4,800 | ||||||||||
Options expected to vest, July
31, 2011 |
1,820,916 | $ | 0.594 | 2.53 | $ | 4,800 | ||||||||||
Options exercisable, July 31, 2011 |
1,582,500 | $ | 0.624 | 2.11 | $ | 4,800 | ||||||||||
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Of the 1,841,250 options outstanding at July 31, 2011, 848,750 were issued under the 2000 Plan and
992,500 were issued outside of shareholder approved plans. The options forfeited in the year ended
July 31, 2011 include both those granted under the 2000 Plan as well as those granted outside of
the shareholder approved plans. The options exercised and forfeited during the year ended July 31,
2010 include both those granted outside of shareholder approved plans and those granted under the
2000 Plan.
For the year ended July 31, 2011, the Company received $2,000 from an existing option holder for
the exercise of options to purchase 13,333 shares of common stock, and 5,925 shares were issued to
an existing option holder upon the cashless exercise of 13,333 options. For the year ended July
31, 2010, the Company received $1,000 from an existing option holder for the exercise of options to
purchase 13,333 shares of common stock, and 24,195 shares were issued to other option holders upon
the cashless exercise of 39,999 options. The intrinsic value of the 26,666 options exercised for
the year ended July 31, 2011 was $2,000 on the dates exercised, and the intrinsic value of the
53,332 options exercised for the year ended July 31, 2010 was $13,000 on the dates exercised.
There was no tax effect on the exercise of options in the consolidated statements of cash flows
because the Company has a full valuation allowance against its deferred income tax assets.
As of July 31, 2011, there was approximately $43,000 of unrecognized costs related to outstanding
stock options. These costs are expected to be recognized over a weighted average period of 1.70
years.
5. ROYALTIES
The Company is a party to two licensing agreements and has received royalty income from the sale of
its diagnostic monitoring hardware and software from SensorMedics and VivoMetrics.
Royalty income from these licenses amounted to $238,000 and $168,000 for the years ended July 31,
2011 and 2010, respectively. VivoMetrics ceased operations in July 2009 and filed for Chapter 11
bankruptcy protection in October 2009. At July 31, 2010, the Company had a $10,000 receivable from
VivoMetrics that was fully reserved in allowances for doubtful accounts. As a condition to the
transfer of the VivoMetrics license to a new licensee pursuant to VivoMetrics court-approved plan
of reorganization, VivoMetrics paid the $10,000 outstanding balance in January 2011.
6. NOTES PAYABLE
2010 Credit Facility. On March 31, 2010, the Company entered into a new Note and Security
Agreement with Frost Gamma Investments Trust, a trust controlled by Dr. Phillip Frost, which
beneficially owns in excess of 10% of the Companys common stock, and Hsu Gamma Hsu Gamma
Investments, LP, an entity controlled by the Companys Chairman (together, the Lenders), pursuant
to which the Lenders have provided a revolving credit line (the Credit Facility) in the aggregate
principal amount of up to $1.0 million, secured by all of the Companys personal property. The
Company is permitted to borrow and reborrow from time to time under the Credit Facility until July
31, 2012 (the Credit Facility Maturity Date). The interest rate payable on amounts outstanding
under the Credit Facility is 11% per annum, and increases to 16% per annum after the Credit
Facility Maturity Date or after an event of default. All amounts owing under the Credit Facility
are required to be repaid by the Credit Facility Maturity Date, and amounts outstanding are
prepayable at any time. As of July 31, 2011, the Company had drawn an aggregate of $1,000,000
under the Credit Facility.
2011 Promissory Note. On September 12, 2011, NIMS entered into a Promissory Note in the principal
amount of $50,000 with an unrelated third party. The Company received the cash from the unrelated
third party in advance of the note on June 24, 2011. The interest rate payable by NIMS on the
unrelated third party note is 11% per annum, payable on the maturity date of September 12, 2014.
The Company may prepay the note without premium or penalty.
7. SHAREHOLDERS EQUITY
For the year ended July 31, 2011, the Company received $2,000 from an existing option holder for
the exercise of options to purchase 13,333 shares of common stock, and 5,925 shares were issued to
an existing option holder upon the cashless exercise of 13,333 options. The Company also issued
165,000 shares of common stock for the year ended July 31, 2011 upon the conversion of an aggregate
of 33 shares of Series D Preferred Stock pursuant to the
terms described below. For the year ended July 31, 2010, the Company received $1,000 from an
existing option holder for the exercise of options to purchase 13,333 shares of common stock, and
24,195 shares were issued to other option holders upon the cashless exercise of 39,999 options. The
Company also issued 315,000 shares of common stock for the year ended July 31, 2010 upon the
conversion of an aggregate of 63 shares of Series D Preferred Stock pursuant to the terms described
below.
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The Company has three classes of Preferred Stock. Holders of Series B Preferred Stock, Series C
Preferred Stock and Series D Preferred Stock are entitled to vote with the holders of common stock
as a single class on all matters.
Series B Preferred Stock is not redeemable by the Company and has a liquidation value of $100 per
share, plus declared and unpaid dividends, if any. Dividends are non-cumulative, and are at the
rate of $10 per share, if declared.
Series C Preferred Stock is redeemable by the Company at a price of $0.10 per share upon 30 days
prior written notice. This series has a liquidation value of $1.00 per share plus declared and
unpaid dividends, if any. Dividends are non-cumulative, and are at the rate of $0.10 per share, if
declared. Each share of Series C Preferred Stock is convertible into 25 shares of the Companys
common stock upon payment of a conversion premium of $4.20 per share of common stock. The
conversion rate and the conversion premium are subject to adjustments in the event of stock splits,
stock dividends, reverse stock splits and certain other events.
Series D Preferred Stock is not redeemable by the Company. This series has a liquidation value of
$1,500 per share, plus declared and unpaid dividends, if any. Each share of Series D Preferred
Stock is convertible into 5,000 shares of the Companys common stock. The conversion rate is
subject to adjustments in the event of stock splits, stock dividends, reverse stock splits and
certain other events.
No preferred stock dividends have been declared as of July 31, 2011.
8. BASIC AND DILUTED LOSS PER SHARE
Basic net loss per common share is computed by dividing net loss attributable to common
shareholders by the weighted average number of common shares outstanding during the period.
Diluted net loss per common share is computed giving effect to all dilutive potential common shares
that were outstanding during the period. Diluted potential common shares consist of incremental
shares issuable upon exercise of stock options and warrants and conversion of preferred stock. In
computing diluted net loss per share for the years ended July 31, 2011 and 2010, no dilution
adjustment has been made to the weighted average outstanding common shares because the assumed
exercise of outstanding options and warrants and the conversion of preferred stock would be
anti-dilutive.
Potential common shares not included in calculating diluted net loss per share are as follows:
July 31, 2011 | July 31, 2010 | |||||||
Stock options |
1,841,250 | 2,545,832 | ||||||
Series C Preferred Stock |
1,551,200 | 1,551,200 | ||||||
Series D Preferred Stock |
13,975,000 | 14,140,000 | ||||||
Total |
17,367,450 | 18,237,032 | ||||||
9. RELATED PARTY TRANSACTIONS
The Company signed a five year lease for office space in Miami, Florida with a company controlled
by Dr. Phillip Frost, who is the beneficial owner of more than 10% of the Companys common stock.
The current rental payments under the Miami office lease, which commenced January 1, 2008, are
approximately $5,000 per month and escalate 4.5% annually over the life of the lease. For the
years ended July 31, 2011 and 2010, the Company recorded rent expense related to the Miami lease of
$54,000 and $55,000, respectively.
The Company signed a three year lease for warehouse space in Hialeah, Florida with a company
jointly controlled by Dr. Frost and Dr. Jane Hsiao, the Companys Chairman. The rental payments
under the Hialeah warehouse lease, which commenced February 1, 2009, are approximately $5,000 per
month for the first year and escalate 3.5% annually over the life of the lease. The Company
recorded $61,000 and $54,000 of rent expense related to the Hialeah lease for the years ended July
31, 2011 and 2010, respectively.
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As more fully described in Note 6, the Company entered into a $1.0 million Credit Facility in March
2010 with both an entity controlled by Dr. Frost and an entity controlled by Dr. Hsiao. Advances
under the Credit Facility totaled $400,000 and $600,000 for the years ended July 31, 2011 and 2010,
respectively, and $1,000,000 was outstanding as of July 31, 2011. The Company accrued interest
expense related to the Credit Facility of approximately $106,000 and $16,000 for the year ended
July 31, 2011 and 2010, respectively. A total of $122,000 in accumulated interest payable remained
outstanding as of July 31, 2011.
Dr. Hsiao, Dr. Frost and directors Steven Rubin and Rao Uppaluri are each significant stockholders,
officers and/or directors of SafeStitch Medical, Inc. (SafeStitch), a publicly-traded,
developmental-stage medical device manufacturer, Aero Pharmaceuticals, Inc. (Aero), a privately
held pharmaceutical distributor, Tiger X Medical, Inc. (Tiger X) (Formerly known as Cardo
Medical, Inc.), a publicly-traded shell company, and SearchMedia Holdings Limited (SearchMedia),
a publicly-traded media company operating primarily in China. The Companys Chief Financial
Officer also serves as the Chief Financial Officer and supervises the accounting staffs of
SafeStitch and Aero under a board-approved cost sharing arrangement whereby the total salaries of
the accounting staffs of NIMS, SafeStitch and Aero are shared. Since December 2009, the Companys
Chief Legal Officer has served under a similar board-approved cost sharing arrangement as Corporate
Counsel of SearchMedia and as the Chief Legal Officer of each of SafeStitch and Tiger X. The
Company recorded additions to selling, general and administrative costs and expenses to account for
the sharing of costs under these arrangements of $132,000 and $53,000 for the years ended July 31,
2011 and 2010, respectively. Aggregate accounts payable to SafeStitch totaled approximately $3,200
and $10,000 at July 31, 2011 and 2010, respectively. Aero ceased its participation in the shared
cost arrangement as of July 2011.
Dr. Frost and Dr. Marvin Sackner, the Companys President, Chief Executive Officer and a director,
each served as a director of Continucare Corporation (Continucare), a publicly-traded provider of
outpatient healthcare services, until October 5, 2011. The Company markets its products to
Continucare and other healthcare service providers in the normal course of business. For the year
ended July 31, 2010, the Company recorded net product sales revenues to Continucare of
approximately $22,000. No such revenues were recorded for the year ended July 31, 2011. These
related party sales were approved by the Companys Audit Committee. No accounts receivable from
Continucare were outstanding as of July 31, 2011 and 2010.
During 2008 and until August 2009, Dr. Hsiao served as a director of Great Eastern Bank of Florida,
a bank where the Company maintains a bank account in the normal course of business. As of July 31,
2011 and 2010, the Company had approximately $61,000 and $150,000 on deposit with Great Eastern
Bank of Florida.
10. COMMITMENTS
Leases.
The Company is obligated under various operating lease agreements for office, warehouse and retail
space that expire in 2013. Generally, the lease agreements require the payment of base rent plus
escalations for increases in building operating costs and real estate taxes. Rental expense under
these operating leases amounted to $129,000 and $129,000 for the years ended July 31, 2011 and
2010, respectively. At July 31, 2011, the Company was obligated under non-cancellable operating
leases to make future minimum lease payments (excluding sales taxes) as follows:
Year Ending July 31, | ||||
2012 |
105,000 | |||
2013 |
32,000 | |||
$ | 137,000 | |||
Product Development and Supply Agreement.
On September 4, 2007, the Company entered into a Product Development and Supply Agreement (the
Agreement) with Sing Lin Technologies Co. Ltd., a company based in Taichung, Taiwan (Sing Lin).
Pursuant to the Agreement, the Company consigned to Sing Lin the development and design of the
next generation Exer-Rest and
related devices. The Agreement commenced as of September 3, 2007 and had a term that extended
three years from the acceptance by NIMS of the first run of production units. Thereafter, the
Agreement automatically renewed for successive one year terms unless either party sent the other a
notice of non-renewal. Either party was permitted to terminate the Agreement with ninety days
prior written notice. Upon termination, each partys obligations under the Agreement were to be
limited to obligations related to confirmed orders placed prior to the termination date.
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Pursuant to the Agreement, Sing Lin designed, developed and manufactured the tooling required to
manufacture the acceleration therapeutic platforms for a total cost to the Company of $471,000.
Sing Lin utilized the tooling in the performance of its production obligations under the Agreement.
The Company paid Sing Lin $150,000 of the tooling cost upon execution of the Agreement and
$150,000 upon the Companys approval of the product prototype concepts and designs. The balance of
the final tooling cost became due and payable in September 2008 upon acceptance of the first units
produced using the tooling, and was paid in full during the year ended July 31, 2009.
Under the now-terminated Agreement, the Company also granted Sing Lin the exclusive distribution
rights for the products in certain countries in the Far East, including Taiwan, China, Japan, South
Korea, Malaysia, Indonesia and certain other countries. Sing Lin agreed not to sell the Products
outside its geographic areas in the Far East.
The Agreement provided for the Company to purchase approximately $2.6 million of Exer-Rest units
within one year of the September 2008 acceptance of the final product. The Agreement further
provided for the Company to purchase $4.1 million and $8.8 million of Exer-Rest products in the
second and third years following such acceptance, respectively. These minimum purchase amounts
were based upon 2007 product costs multiplied by volume commitments. Through July 31, 2011, the
Company had paid Sing Lin $1.7 million in connection with orders placed through that date. Of this
amount, $90,000 was previously included as advances to contract manufacturer. As of July 31, 2011,
the Company has approximately $41,000 of payables due to Sing Lin. As of July 31, 2011, aggregate
minimum future purchases under the Agreement totaled approximately $13.9 million.
As of July 31, 2011, the Company had not placed orders sufficient to meet the first-year or
second-year minimum purchase obligations under the Agreement. The Company notified Sing Lin in
June 2010 that it was terminating the Agreement effective September 2010, and Sing Lin in July 2010
demanded that the Company place orders sufficient to fulfill the three year minimum purchase
obligations in the Agreement. As of September 30, 2011 Sing Lin has not followed up on its July
2010 demand. There can be no assurance that Sing Lin will not attempt to enforce its remedies under
the Agreement, or pursue other potential remedies.
For the year ended July 31, 2011, the Company recognized a $430,000 impairment loss on assets
relating to Sing Lin due to the uncertainty of recoverability as a result of the termination of the
agreement. The following table summarizes the asset accounts that are included in the impairment
loss:
Accounts receivable Trade |
$ | 152,000 | ||
Tooling and equipment, net |
$ | 188,000 | ||
Advance to manufacturer |
$ | 90,000 | ||
Impairment Loss |
$ | 430,000 | ||
11. LONG-LIVED ASSETS
The Companys long-lived assets include furniture and equipment, computers, tooling, websites and
software, leasehold improvements, patents and trademarks. Tooling and equipment, net of
accumulated depreciation, consisted of the following at July 31, 2011 and 2010 (in thousands):
Estimated | July 31, | July 31, | ||||||||
Useful Life | 2011 | 2010 | ||||||||
Tooling and equipment (Note 10) |
5 years | $ | | $ | 471 | |||||
Furniture and fixtures, leasehold
improvements, office equipment and
computers |
3 5 years | 92 | 99 | |||||||
Website and software |
3 years | 26 | 26 | |||||||
118 | 596 | |||||||||
Less accumulated depreciation |
(90 | ) | (254 | ) | ||||||
Tooling and equipment, net |
$ | 28 | $ | 342 | ||||||
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Depreciation expense was $119,000 and $123,000 for the years ended July 31, 2011 and 2010,
respectively. Eleven Exer-Rest AT3800 and AT4700 demonstration units are included in furniture and
fixtures at an aggregate cost of $33,000. These units were placed in service in fiscal 2009 and
2010, and are being depreciated based upon five-year estimated useful lives.
12. INCOME TAXES
The Company accounts for income taxes using the asset and liability method, the objective of which
is to establish deferred tax assets and liabilities for the temporary differences between the
financial reporting and the tax bases of the Companys assets and liabilities at enacted tax rates
expected to be in effect when such amounts are realized or settled. A valuation allowance related
to deferred tax assets is recorded when it is more likely than not that some portion or all of the
deferred tax assets will not be realized.
The accounting for uncertain tax positions guidance under ASC 740 requires that we recognize the
financial statement benefit of a tax position only after determining that the relevant tax
authority would more likely than not sustain the position following an audit. For tax positions
meeting the more-likely-than-not threshold, the amount recognized in the financial statements is
the largest benefit that has a greater than 50 percent likelihood of being realized upon ultimate
settlement with the relevant tax authority. The application of this guidance does not impact the
Companys financial position, results of operations or cash flows for the years ended July 31, 2011
and 2010.
The Company files its tax returns in the U.S. federal jurisdiction, Canada federal jurisdiction and
with various U.S. states and the Ontario province of Canada. The Company is subject to tax audits
in all jurisdictions for which it files tax returns. Tax audits by their very nature are often
complex and can require several years to complete. There are currently no tax audits that have
commenced with respect to income tax or any other returns in any jurisdiction. Tax years ranging
from 2008 to 2010 remain open to examination by various taxing jurisdictions as the statute of
limitations has not expired. Because the Company is carrying forward income tax attributes, such
as net operating losses and tax credits from 2007 and earlier tax years, these attributes can still
be audited when utilized on returns filed in the future. It is the Companys policy to include
income tax interest and penalties expense in its tax provision.
The difference between income taxes at the statutory federal income tax rate and income taxes
reported in the consolidated comprehensive statements of operations are attributable to the
following:
July 31, 2011 | July 31, 2010 | |||||||
Income tax benefit at the federal statutory rate |
34.00 | % | 34.00 | % | ||||
State and local income taxes, net of effect of federal taxes |
3.52 | 3.11 | ||||||
Expiration of net operating losses |
(10.75 | ) | (0.11 | ) | ||||
Other, net |
(0.12 | ) | (0.40 | ) | ||||
Increase in valuation allowance |
(26.65 | ) | (36.60 | ) | ||||
Provision for income tax |
0.00 | % | 0.00 | % | ||||
The tax effects of temporary differences that give rise to significant portions of the deferred tax
assets consist of the following (in thousands):
July 31, 2011 | July 31, 2010 | |||||||
Federal and State net operating loss |
$ | 4,990 | $ | 4,568 | ||||
Foreign net operating loss |
158 | 145 | ||||||
Stock-based compensation and other |
292 | 354 | ||||||
5,440 | 5,067 | |||||||
Less: Valuation allowance |
(5,440 | ) | (5,067 | ) | ||||
Net deferred tax asset |
$ | | $ | | ||||
At July 31, 2011, the Company had available Federal and State net operating loss carry forwards of
approximately $13.3 million and foreign net operating loss carry forwards of approximately $0.5
million which expire in various years through 2031. Total Federal and State net operating loss
carry forwards include approximately $2.0 million generated from the exercise of non-statutory
stock options. The net operating loss carry forwards may be subject to limitation due to change of
ownership provisions under section 382 of the Internal Revenue Code and similar state provisions.
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A valuation allowance is required to reduce the deferred tax assets reported if, based on the
weight of the evidence, it is more likely than not that some portion or all of the deferred tax
assets will not be realized. After consideration of all the evidence, both positive and negative,
management has determined that a full $5.4 million valuation allowance at July 31, 2011 ($5.1
million at July 31, 2010) was necessary. The increases in the valuation allowance for the years
ended July 31, 2011 and 2010 were $373,000 and $609,000, respectively. Of the total increase in
the valuation allowance for the years ended July 31, 2011 and 2010, approximately $2,500 and
$5,000, respectively, was attributed to the exercise of non-statutory stock options.
The Company paid no income taxes in 2011 or 2010.
The following table reconciles the Companys losses before income taxes by jurisdiction (in
thousands):
Year
Ended July 31, 2011 |
Year
Ended July 31, 2010 |
|||||||
U.S. |
$ | (1,351 | ) | $ | (1,395 | ) | ||
Foreign |
(41 | ) | (229 | ) | ||||
Total |
$ | (1,392 | ) | $ | (1,624 | ) | ||
13. EMPLOYEE BENEFIT PLANS
Effective July 2008, the Non-Invasive Monitoring Systems 401(k) Plan (the 401k Plan) permits
employees to contribute up to 100% of qualified annual compensation up to annual statutory
limitations. Employee contributions may be made on a pre-tax basis to a regular 401(k) account, or
on an after-tax basis to a Roth 401(k) account. The Company contributes to the 401k Plan a safe
harbor match of 100% of each participants contributions to the 401k Plan up to a maximum of 4% of
the participants qualified annual earnings. For the years ended July 31, 2011 and 2010, the
Company recorded compensation expense related to matching contributions to the 401k Plan totaling
approximately $14,000 and $19,000, respectively.
14. CONCENTRATIONS OF RISK
Financial instruments that potentially subject the Company to risk consist principally of cash,
royalties and other receivables, and purchases and advances to contract manufacturer.
Cash. The Company at times may have cash deposits in excess of the Federal Deposit Insurance
Corporation (FDIC) limit. The Company maintains its cash with banks and deposits above the FDIC
limit are maintained in sweep accounts collateralized by overnight repurchase agreements. The
Company has not experienced losses on these accounts and management believes that the Company is
not exposed to significant risks on such accounts.
Royalties and Other Receivables. The Company currently grants credit to a limited number of
customers, substantially all of whom are corporations and medical providers located throughout the
United States and Canada. The Company typically does not require collateral from these customers.
Purchases from and Advances to Contract Manufacturer. Substantially all of the Companys current
inventory has been acquired from Sing Lin pursuant to the now-terminated Agreement. The Company
notified Sing Lin in June 2010 that it was terminating the agreement effective September 2010. If
the Company is unable to establish a contract and obtain a sufficient alternative supply from Sing
Lin or another supplier, it may not be able to procure additional inventory on a timely basis or in
the quantities required. Sing Lin and its subcontractors currently maintain custody of the
Companys specialized tooling, which could adversely impact the Companys ability to reallocate
production to other vendors.
Major
Customers. Approximately 24% and 28% of the Companys revenues for the year ended July 31, 2011
and 2010. respectively, resulted from sales to authorized distributors outside of the United States. Sales to foreign
distributors generally require prepayment by such distributors or letter of credit guarantees in
respect of payments by such distributors.
15. SUBSEQUENT EVENTS
Subsequent Debt
On September 12, 2011, the Company entered into a Promissory Note in the principal amount of
$50,000.00 with Frost Gamma Investments Trust, a trust controlled by Dr. Phillip Frost, which
beneficially owns in excess of 10% of the Companys common stock. The Company received the cash
from the Frost Gamma Investments Trust note on September 16, 2011. Also, on September 12, 2011,
NIMS entered into a Promissory Note in the principal amount of $50,000 with an unrelated third
party. The Company received the cash from the unrelated third party in advance of the note on June
24, 2011 (see Note 6). The interest rate payable by NIMS on both the Frost Gamma Note and the unrelated third
party note is 11% per annum, payable on the maturity date of September 12, 2014. The Company may
prepay either or both notes without premium or penalty.
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Item 9. | Changes in and Disagreements with Accountants on Accounting and Financial Disclosure. |
None.
Item 9A(T). | Controls and Procedures. |
The Companys management, with the participation of its Chief Executive Officer and Chief
Financial Officer, evaluated the effectiveness of the design and operation of the Companys
disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) or 15d-15(e)) as of
July 31, 2011. Based upon that evaluation, the Chief Executive Officer and Chief Financial Officer
concluded that, as of that date, the Companys disclosure controls and procedures were effective as
of the end of the period covered by this annual report.
Managements Report on Internal Control over Financial Reporting
Management is responsible for establishing and maintaining adequate internal control over
financial reporting. Internal control over financial reporting is a process designed to provide
reasonable assurance regarding the reliability of financial reporting and the preparation of
financial statements for external purposes in accordance with generally accepted accounting
principles. Internal control over financial reporting includes those policies and procedures that:
(i) pertain to the maintenance of records that in reasonable detail accurately and fairly reflect
the transactions and dispositions of the assets of the Company; (ii) provide reasonable assurance
that transactions are recorded as necessary to permit preparation of financial statements in
accordance with generally accepted accounting principles, and that receipts and expenditures of the
Company are being made only in accordance with authorizations of management and directors of the
Company; and (iii) provide reasonable assurance regarding prevention or timely detection of
unauthorized acquisition, use or disposition of the Companys assets that could have a material
effect on the financial statements.
Because of its inherent limitations, internal control over financial reporting may not prevent
or detect misstatements. Also, projections of any evaluation of effectiveness to future periods
are subject to the risk that controls may become inadequate because of changes in conditions, or
that the degree of compliance with the policies or procedures may deteriorate.
For the period ended July 31, 2011, pursuant to Section 404 of the Sarbanes-Oxley Act of 2002,
management (with the participation of our principal executive officer and principal financial
officer) conducted an evaluation of the effectiveness of our internal control over financial
reporting based on the framework established in Internal ControlIntegrated Framework issued by
the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Based on this
evaluation, management concluded that, as of July 31, 2011, our internal control over financial
reporting was effective.
This annual report does not include an attestation report of our registered public accounting
firm, Morrison, Brown, Argiz & Farra, LLC, regarding internal control over financial reporting.
Managements report was not subject to attestation by our registered public accounting firm
pursuant to rules of the Securities and Exchange Commission that permit us to provide only
managements report in this annual report.
Changes in Internal Controls Over Financial Reporting
There were no changes in the Companys internal control over financial reporting during the
last quarter that have materially affected, or are reasonably likely to materially affect, the
Companys internal control over financial reporting.
Item 9B. | Other Information. |
None.
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PART III
Item 10. | Directors, Executive Officers and Corporate Governance. |
We believe that the combination of the respective qualifications, skills and experience of our
directors contribute to an effective and well-functioning board and that, individually and as a
whole, our directors possess the necessary qualifications to provide effective oversight of our
business and quality advice to our management. Our directors are elected annually and serve until
the next annual meeting of shareholders and until their successors are elected and appointed, or
until his or her earlier resignation, removal from office or death. Information regarding the age,
experience and qualifications of each director is set forth below.
Name | Age | |||
Jane H. Hsiao, Ph.D., MBA |
64 | |||
Marvin A. Sackner, M.D. |
79 | |||
Taffy Gould |
69 | |||
Morton J. Robinson, M.D. |
79 | |||
Steven D. Rubin |
51 | |||
Subbarao V. Uppaluri, Ph.D. |
62 |
Jane H. Hsiao, Ph.D., MBA. Dr. Hsiao has served as a Director and Chairman of the Board of
Directors (the Board) of the Company since October 2008. Dr. Hsiao has served since May 2007 as
Vice-Chairman of the board and Chief Technical Officer of OPKO Health, Inc. (OPKO), a specialty
healthcare company. Dr. Hsiao also serves as President and a director of Aero Pharmaceuticals,
Inc., a privately-held pharmaceutical distributor and as Chairman of the Board of medical device
developer, SafeStitch Medical, Inc. (SafeStitch), a position she has held since September 2007.
Dr Hsiao also serves on the Boards of Directors of PROLOR Biotech, Inc. (PROLOR Biotech), a
developmental stage biopharmaceutical company, Neovasc, Inc. a developer of vascular devices
(Neovasc), and Sorrento Therapeutics, Inc., a development stage biopharmaceutical company
(Sorrento). Dr. Hsiao is a member of The Frost Group, LLC (The Frost Group), a private
investment firm. Dr. Hsiao previously served as the Vice Chairman-Technical Affairs and Chief
Technical Officer of IVAX Corporation (IVAX) from 1995 until IVAX was acquired in January 2006 by
Teva Pharmaceutical Industries Ltd. Dr. Hsiao also served as Chairman, CEO and President of IVX
Animal Health, IVAXs veterinary products subsidiary, from 1998 until 2006, and as IVAXs Chief
Regulatory Officer from 1992 to 1995. Dr. Hsiao previously served on the board of directors of
IVAX and the board of directors of Ivax Diagnostics, Inc., a medical device company and Protalix
Bio Therapeutics, Inc.
Dr. Hsiaos background in the pharmaceutical and medical device industry, her strong technical
expertise, as well as her senior management experience, allow her to play an integral role as
Chairman of the Board. Her broad experience in many biotechnology and life science companies gives
her a keen understanding and appreciation of the many regulatory and developmental issues
confronting medical device, pharmaceutical and biotechnology companies.
Marvin A. Sackner, M.D. Dr. Sackner has served as a Director since he was first elected as our
Chairman of the Board, Chief Executive Officer and Director in November 1989 and served as Chairman
of the Board from November 1989 until October 2008. He served as our CEO from 1989 until 2002 and
from December 2007 to the present. In 1977, Dr. Sackner co-founded Respitrace Corporation, a
predecessor to the Company, and was the Chairman of its board of directors from 1981 until October
1989. Dr. Sackner served as a director of Continucare Corporation (Continucare), a provider of
outpatient healthcare services, until October 2011. From 1974 until October 1991, Dr. Sackner was
the Director of Medical Services at Mount Sinai in Miami Beach, Florida. From 1973 through 1996,
he served as Professor of Medicine, University of Miami at Mount Sinai. Since 2004, he has been
Voluntary Professor of Medicine, Leonard Miller Medical School of University of Miami. From 1979
to 1980, Dr. Sackner was the President of the American Thoracic Society. Dr. Sackner was the
Chairman of the Pulmonary Disease Subspecialty Examining Board of the American Board of Internal
Medicine from 1977 to 1980. In 2007, he was awarded an Honorary Doctorate Degree for outstanding
work in the entire field of pulmonology and sleep
disorders, by the University of Zurich (Switzerland). Dr. Sackner holds more than 30 U.S.
patents and has published four books and more than 200 scientific papers.
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Dr. Sackners experience as the Companys CEO, as a medical doctor and as the primary inventor
of the Companys products enables him to provide valuable board leadership and insight into the
development of our products.
Taffy Gould. Ms. Gould has served as a Director of the Company since December, 2000 and
served as Vice Chairman of the Board from April 2002 to October 2008. Since 1977, she has been the
President of Housing Engineers of Florida, Inc., a Florida real estate management company. Since
2002 she has served as Chairman of the Oceania University of Medicine, an internationally
accredited medical school located in Apia, Samoa. Additionally, she has served since March 2002 as
the managing member of e-Medical Education, LLC, a company founded in 2002 that creates and
delivers online medical education and administers the Oceania University of Medicine.
Ms. Goulds varied marketing, business, healthcare and medical education experience bring
valuable insight, leadership and a unique perspective to the Board.
Morton J. Robinson, M.D. has served as a Director of the Company since November 1989, and
served as Secretary of the Company from August 2001 to November 2009. Dr. Robinson has been a
practicing pathologist since 1961, and from 1987 until December 2004, Dr. Robinson served as
Director and Chairman of the Department of Pathology and Laboratory Medicine at Mount Sinai Medical
Center, Miami Beach. Dr. Robinson has served as Chairman Emeritus of that department since January
2005.
Dr. Robinsons medical background and expertise brings a unique perspective to our Board on a
variety of medical and healthcare related issues. We expect Dr. Robinsons insight and experience
will be valuable in our efforts to further develop our products.
Steven D. Rubin. Mr. Rubin has served as a Director of the Company since October 2008. Mr.
Rubin has served as Executive Vice President-Administration and as a director of OPKO since March
2007. He is also a member of The Frost Group. Mr. Rubin served as the Senior Vice President,
General Counsel and Secretary of IVAX from August 2001 until September 2006. Mr. Rubin currently
serves on the board of directors of Dreams, Inc., a vertically-integrated sports licensing and
products company, PROLOR Biotech, SafeStitch, Kidville, Inc. (Kidville), which operates upscale
learning and play facilities for newborns through five-year children and their families,
SearchMedia Holdings Limited (SearchMedia), a multi-platform media company based in China, Tiger
X Medical, Inc. (Tiger X), a former medical device company, Neovasc and Castle Brands, Inc.,
developer and marketer of premium brand spirits. Mr. Rubin previously served as a director of
Ideation Acquisition Corp from 2007 until 2009.
Mr. Rubin brings to the Board his extensive leadership, business and legal experience, as well
as his extensive knowledge of the pharmaceutical and life science industry generally. Mr. Rubin
has more than 20 years experience advising a broad range of companies in many aspects of business,
regulatory, transactional and legal affairs. His experience as a practicing lawyer, general
counsel and board member for multiple public companies, including several life sciences, medical
device and pharmaceutical companies, has given him broad understanding and expertise, particularly
relating to strategic planning and acquisitions.
Subbarao V. Uppaluri, Ph.D. Dr. Uppaluri has served as a Director of the Company since
October 2008. Dr. Uppaluri has served as Senior Vice President and Chief Financial Officer of OPKO
since May 2007 and is a member of The Frost Group. Dr. Uppaluri served as the Vice President,
Strategic Planning and Treasurer of IVAX from 1997 until December 2006. Before joining IVAX, from
1987 to August 1996, Dr. Uppaluri was Senior Vice President, Senior Financial Officer and Chief
Investment Officer with Intercontinental Bank, a publicly traded commercial bank in Florida. In
addition, he served in various positions, including Senior Vice President, Chief Investment Officer
and Controller, at Peninsula Federal Savings & Loan Association, a publicly traded Florida S&L,
from October 1983 to 1987. His prior employment, during 1974 to 1983, included engineering,
marketing and research positions with multinational companies and research institutes in India and
the United States. Dr. Uppaluri currently serves on the board of directors of Kidville and Tiger X.
Dr. Uppaluri previously served on the boards of OPKO, Winston Pharmaceuticals Inc. and Ideation
Acquisition Corp.
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Dr. Uppaluri brings extensive leadership, business, and accounting experience, as well as
knowledge of our business and the pharmaceutical industry generally, to the Board. His experience
as the chief financial officer of OPKO and board member to multiple public companies, including
several pharmaceutical and life sciences companies, has given him broad understanding and
expertise, particularly relating to business, accounting and finance matters.
Identification of Executive Officers
The following individuals are our executive officers:
Name | Age | Position | ||
Marvin A. Sackner, M.D. |
79 | Chief Executive Officer, President and Director | ||
James J. Martin |
44 | Chief Financial Officer and Treasurer |
Each of our officers serves until the earlier of his resignation, removal by the Board or
death.
Biographical information for Dr. Sackner is set forth above.
James J. Martin. Mr. Martin, has served as our Chief Financial Officer since January 2011,
and, from July 2010 through January 2011, he served as our Controller. Since January 2011, Mr.
Martin has served as Vice President of Finance of Aero and Chief Financial Officer of SafeStitch.
From July 2010 through January 2011, Mr. Martin served as Controller of each of SafeStitch and
Aero. Prior to joining NIMS, from 2008 through 2010, Mr. Martin served as Controller of AAR
Aircraft Services-Miami, a subsidiary of AAR Corp, an aerospace and defense company at which he was
responsible for all financial reporting and logistics for AAR Aircraft Services-Miami. From
2005-2008, Mr. Martin served as Controller of Avborne Heavy Maintenance, a commercial aircraft
maintenance repair and overhaul company.
Section 16(a) Beneficial Ownership Reporting Compliance
Under section 16(a) of the Securities Exchange Act of 1934, as amended (the Exchange Act),
the Companys directors, executive officers and persons who own more than ten percent (10%) of our
common stock are required to file with the Securities and Exchange Commission (the SEC) initial
reports of ownership and reports of changes in ownership of the common stock and other equity
securities of the Company. To the Companys knowledge, based solely on a review of copies of such
reports furnished to the Company during and/or with respect to Fiscal 2011, the Company is not
aware of any late or delinquent filings required under Section 16(a) of the Exchange Act in respect
of the Companys common stock or other equity securities.
Code of Ethics
We have adopted a Code of Business Conduct and Ethics that applies to our principal executive
officer, principal financial officer and other persons performing similar functions. A copy of our
Code of Business Conduct and Ethics is available on our website at
www.nims-inc.com. We intend to
post amendments to, or waivers from a provision of, our Code of Business Conduct and Ethics that
apply to our principal executive officer, principal financial officer or persons performing similar
functions on our website. Neither our website nor any information contained or linked therein
constitutes a part of this report.
Audit Committee
We have a separately-designated standing audit committee, established in accordance with
section 3(a)(58)(A) of the Exchange Act. The Audit Committee is composed of the following
non-employee directors: Dr. Subbarao V. Uppaluri, Chairman, Taffy Gould and Steven D. Rubin. Our
Board has determined that Dr. Uppaluri is an independent audit committee financial expert as
defined in Item 407(d)(5)(ii) of Regulation S-K.
42
Table of Contents
Item 11. | Executive Compensation. |
Summary Compensation Table
The following table summarizes the compensation information for the years ended July 31, 2011
and 2010 for our principal executive officer and each of the two most highly compensated executive
officers receiving compensation in excess of $100,000 in any such fiscal year. We refer to these
persons as our named executive officers.
SUMMARY COMPENSATION TABLE
Option | All Other | |||||||||||||||||||||||
Awards ($) | Compensation | Total | ||||||||||||||||||||||
Name and Principal Position | Year | Salary ($) | Bonus ($) | (1) | ($) (2) | ($) | ||||||||||||||||||
Marvin Sackner
President and CEO |
2011 | 18,000 | | 0 | | 18,000 | ||||||||||||||||||
2010 | 52,000 | | 25,703 | | 77,703 | |||||||||||||||||||
Steven Mrha
Former COO (3) |
2011 | 195,048 | | 0 | 7,802 | 202,850 | ||||||||||||||||||
2010 | 255,730 | | 25,703 | 9,442 | 290,875 |
(1) | Represents the aggregate grant date fair value computed in accordance with
FASB ASC Topic 718. Assumptions made in the calculation of these amounts are described in
Note 4 to the Companys audited financial statements, included in this Annual Report on
Form 10-K. |
|
(2) | Includes the Companys match of employee 401(k) contributions under safe harbor
matching guidelines. |
|
(3) | Mr. Mrha resigned as the companys COO effective July 2011 |
Dr. Sackner is an at-will employee and does not have an employment contract with us.
Prior to his resignation, Mr. Mrha was an at-will employee, and did not have an employment contract
with us. Pursuant to a Stock Purchase Agreement entered into in 2005, for as long as Frost Gamma
Investments Trust (the beneficial owner of more than 10% of our common stock) owns at least
5,000,000 shares of our common stock, it has the right to: (i) recommend and approve both the Chief
Executive Officer and the Director of Marketing, and (ii) cap all executive salaries, including
that of Dr. Marvin Sackner, which was originally set under such agreement at $52,000 per year.
Beginning December 4, 2010 Dr. Marvin Sackners salary was reduced to zero. See Certain
Relationships and Related Transactions, below.
Outstanding Equity Awards as of July 31, 2011
The following table sets forth information with respect to outstanding option awards as of
July 31, 2011 for our named executive officers. We did not grant any stock awards in Fiscal 2011.
Option Awards | |||||||||||||||
Number of | Number of | ||||||||||||||
Securities | Securities | ||||||||||||||
Underlying | Underlying | ||||||||||||||
Unexercised | Unexercised | Option | |||||||||||||
Options (#) | Options (#) | Exercise | |||||||||||||
Name | Exercisable | Unexercisable | Price($) | Option Expiration Date | |||||||||||
Marvin
Sackner,
|
35,000 | | $ | 0.88 | October 17, 2012 | ||||||||||
President and CEO |
15,000 | | $ | 0.40 | October 28, 2013 | ||||||||||
25,000 | 25,000 | (1) | $ | 0.32 | February 23, 2016 | ||||||||||
18,750 | 56,250 | (2) | $ | 0.43 | March 8, 2017 | ||||||||||
Steven Mrha,
Former
|
225,000 | | $ | 0.67 | January 14, 2013 | ||||||||||
COO and Secretary |
25,000 | 25,000 | (1) | $ | 0.32 | February 23, 2016 | |||||||||
18,750 | 56,250 | (2) | $ | 0.43 | March 8, 2017 |
(1) | Options were granted on February 23, 2009 and vest annually in four
equal tranches beginning on February 23, 2010. |
|
(2) | Options were granted on March 8, 2010 and vest annually in four equal
tranches beginning on March 8, 2011. |
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Risk Considerations in our Compensation Programs
We have reviewed our compensation structures and policies as they pertain to risk and have
determined that our compensation programs do not create or encourage the taking of risks that are
reasonably likely to have a material adverse effect on the Company.
We did not grant any stock awards in the year ended July 31, 2011. As of July 31, 2011, the
aggregate number of outstanding stock options (both exercisable and unexercisable) for each
non-employee director was as follows:
Name | Stock Options | |||
Jane H. Hsiao, Chairman |
45,000 | |||
Taffy Gould |
235,000 | |||
Morton J. Robinson, M.D. |
47,500 | |||
Steven D. Rubin |
35,000 | |||
Subbarao V. Uppaluri, Ph.D. |
35,000 |
Director Compensation
For the year ended July 31, 2011, our Directors did not receive any compensation for their
respective service on our Board or any committee thereof. The exception is Dr. Sackner, whose
compensation for service as Director is fully reflected in the Summary Compensation Table contained
in this Item 11 of Form 10-K. The compensation included for Dr. Sackner contained in this Item 11
reflects his compensation as our CEO.
Item 12. | Security Ownership of Certain Beneficial Owners and Management and Related Stockholder
Matters. |
SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT
The following table sets forth certain information as of October 15, 2011 concerning the
beneficial ownership of our voting stock by (i) each person known by us to be the beneficial owner
of more than 5% of the outstanding shares of each class of voting stock, (ii) each of our
directors, (iii) each current named executive officer, and (iv) all of our current named executive
officers and directors as a group. Unless otherwise noted, all holders listed below have sole
voting power and investment power over the shares beneficially owned by them, except to the extent
such power may be shared with such persons spouse.
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Table of Contents
Series C Convertible | Series D Convertible | |||||||||||||||||||||||
Common Stock | Preferred Stock | Preferred Stock | ||||||||||||||||||||||
No. of Shares | Percent | No. of Shares | Percent | No. of Shares | Percent | |||||||||||||||||||
Names and Addresses of Directors, | Beneficially | of Class | Beneficially | of Class | Beneficially | of Class | ||||||||||||||||||
Officers and 5% Beneficial Holders (1) | Owned (2) | (3) | Owned(2) | (4) | Owned(2) | (5) | ||||||||||||||||||
Jane H. Hsiao, Ph.D., Chairman of the Board (6)(15) |
8,265,000 | 11.1 | % | | * | 1,164 | 41.6 | % | ||||||||||||||||
Marvin A. Sackner, M.D., CEO and Director (7) |
13,315,932 | 19.0 | % | 36,856 | 59.4 | % | 50 | 1.8 | % | |||||||||||||||
Taffy Gould, Director (8) |
1,776,998 | 2.6 | % | | * | 50 | 1.8 | % | ||||||||||||||||
Morton Robinson, M.D., Director (9) |
1,067,820 | 1.5 | % | 1,073 | 1.7 | % | | * | ||||||||||||||||
Steven D. Rubin, Director |
35,000 | * | | * | | * | ||||||||||||||||||
Subbarao V. Uppaluri, Ph.D., Director |
35,000 | * | | * | | * | ||||||||||||||||||
All Directors and Executive Officers as a group (6
Persons) (10) |
25,043,250 | 32.4 | % | 37,929 | 61.1 | % | 1,314 | 47.0 | % | |||||||||||||||
Phillip Frost, M.D. (11) |
17,848,125 | 23.7 | % | 525 | * | 1,267 | 45.3 | % | ||||||||||||||||
Frost Gamma Investments Trust (12) |
17,847,500 | 23.7 | % | 500 | * | 1,267 | 45.3 | % | ||||||||||||||||
Hsu Gamma Investments, L.P. (13) |
3,670,000 | 5.1 | % | | * | 734 | 26.3 | % |
* | Less than 1% |
|
(1) | The mailing address of each 5% beneficial holder listed is 4400 Biscayne Blvd., Miami, Florida 33137. |
|
(2) | A person is deemed to be the beneficial owner of common stock and preferred stock that can be acquired by such person within 60 days from July
31, 2011 upon exercise of option and warrants, or through the conversion of convertible preferred stock. |
|
(3) | Based on 68,922,423 shares of common stock issued and outstanding as of July 31, 2011. Each beneficial owners percentage ownership is
determined by assuming that options and warrants that are held by such person (but not those held by any other person) and that are exercisable
within 60 days from the date hereof have been exercised and that any convertible secured stock held by such person (but no other person) has been
converted into common stock.. |
|
(4) | Based on 62,048 shares of Series C Convertible Preferred Stock issued and outstanding as of July 31, 2011. Each share of Series C Convertible
Preferred Stock converts into 25 shares of common stock upon payment of a $4.20 per share of common stock conversion premium. Holders of Series
C Convertible Stock are entitled to one vote for each share of Series C Convertible Stock. |
|
(5) | Based on 2,795 shares of Series D Convertible Preferred Stock issued and outstanding as of July 31, 2011. Each share of Series D Convertible
Preferred Stock converts into 5,000 shares of common stock. Holders of Series D Convertible Stock are entitled to one vote for each share of
Series D Convertible Stock. |
|
(6) | Common stock holdings include 2,150,000 shares of common stock that may be acquired upon conversion of 430 shares of Series D Convertible
Preferred Stock held by the Chin Hsiung Hsiao Family Trust A, and 3,670,000 shares of common stock that may be acquired upon conversion of 734
shares of Series D Convertible Preferred Stock held by Hsu Gamma Investments, L.P. Dr. Hsiao is trustee of the Chin Hsiung Hsiao Family Trust A. |
|
(7) | Common stock holdings include options to purchase 93,750 shares of common stock, 324,096 shares of common stock held by Dr. Sackners spouse,
895,774 shares of common stock which may be acquired upon conversion of 35,831 shares of Series C Convertible Preferred Stock, 250,000 shares of
common stock which may be acquired upon conversion of 50 shares of Series D Convertible Preferred Stock and 25,625 shares of common stock which
may be acquired by Dr. Sackners spouse upon conversion of 1,025 shares of Series C Convertible Preferred Stock. Preferred Stock holdings
include 1,025 shares of Series C Convertible Preferred Stock held by Dr. Sackners spouse. |
|
(8) | Common stock holdings include options to purchase 235,000 shares of common stock and 250,000 shares of common stock which may be acquired upon
conversion of 50 shares of Series D Convertible Preferred Stock. Includes securities held by the Taffy Gould Revocable Trust of which Ms. Gould
is trustee and sole beneficiary and over which she has power to revoke. Does not include shares of common stock and options to purchase common
stock held by family members. |
|
(9) | Includes options to purchase 47,500 shares of common stock, 186,159 shares held jointly with Dr. Robinsons spouse and 26,250 shares owned by Dr.
Robinsons spouse. Includes 26,829 shares of common stock which may be acquired upon conversion of 1,073 shares of Series C Convertible
Preferred Stock. |
|
(10) | Common stock holdings include options to purchase 788,750 shares of common stock, 948,228 shares of common stock which may be acquired upon
conversion of 37,929 Series C Convertible Preferred Stock and 6,570,000 shares of common stock which may be acquired upon conversion of 1,314
shares of Series D Convertible Preferred Stock. |
|
(11) | Common stock holdings include 625 shares of common stock that may be acquired upon conversion of 25 shares of Series C Convertible Preferred
Stock. Common stock and Preferred Stock holdings include beneficial ownership of shares held by Frost Gamma Investments Trust (see Note 14). |
|
(12) | Common stock holdings include 13,125 shares of common stock that may be acquired upon conversion of 525 shares of Series C Convertible Preferred
Stock and 6,335,000 shares of common stock that may be acquired upon conversion of 1,267 shares of Series D Convertible Preferred Stock. Dr.
Phillip Frost is the trustee and Frost Gamma, Limited Partnership is the sole and exclusive beneficiary of Frost Gamma Investments Trust. Dr.
Frost is one of two limited partners of Frost Gamma, Limited Partnership. The general partner of Frost Gamma Limited Partnership is Frost Gamma
Inc. and the sole shareholder of Frost Gamma, Inc. is Frost-Nevada Corporation. Dr. Frost is also the sole shareholder of Frost-Nevada
Corporation. |
|
(13) | Common stock holdings include 3,670,000 shares of common stock that may be acquired upon conversion of 734 shares of Series D Convertible
Preferred Stock. Dr. Jane Hsiao is the general partner of Hsu Gamma Investments, L.P. |
45
Table of Contents
Equity Compensation Plan Information
A majority of our shareholders approved the Non-Invasive Monitoring Systems, Inc. 2000 Stock
Option Plan (the 2000 Plan) on March 28, 2001, which is currently our sole equity compensation
plan. We have reserved a total of 2,000,000 shares of our common stock for issuance under the 2000
Plan, subject to adjustment for stock splits or any future stock dividends or other similar changes
in our common stock or our capital structure. As of July 31, 2011, options to purchase 1,500,000
shares of common stock have been granted under the 2000 Plan. A more detailed summary of the 2000
Plan is contained in Note 4 to our consolidated financial statements set forth
herein under Item 8 of this Annual Report on Form 10-K. The following table provides
information about our equity compensation plans as of July 31, 2011:
Number of securities | ||||||||||||
Number of securities | Weighted-average | remaining available for | ||||||||||
to be issued upon | exercise price of | future issuance under | ||||||||||
exercise of | outstanding | equity compensation plans | ||||||||||
outstanding options, | options, warrants | (excluding securities | ||||||||||
warrants and rights | and rights | reflected in column (a)) | ||||||||||
(a) | (b) | (c) | ||||||||||
Equity compensation
plans approved by
security
holders(1) |
848,750 | $ | 0.47 | 1,151,250 | ||||||||
Equity compensation
plans not approved by
security holders(2) |
992,500 | $ | 0.71 | | ||||||||
Total |
1,841,250 | $ | 0.59 | 1,151,250 |
(1) | Non-Invasive Monitoring Systems, Inc. 2000 Stock Option Plan. |
|
(2) | The approximately one million outstanding options that were not granted under
shareholder approved plans consist of standalone grants made by the Board of Directors on five
separate occasions, which were not part of formal equity compensation plans. In each case,
the features of the grant are fully-encompassed in the grant documents. In all five grants,
the only features that differ materially from grants under the 2000 Plan are as follows: (a)
the options are transferable; and (b) Compensation Committee approval is not required for the
holder to elect a cashless exercise. The material terms of these grants are as follows: |
# Options | ||||||||||||
Exercise | Outstanding as of | |||||||||||
Grant Date | Price | Expiration Date | July 31, 2011 | |||||||||
May 29, 2002 |
$ | 0.75 | May 29, 2012 | 210,000 | ||||||||
March 1, 2003 |
$ | 0.50 | March 1, 2011 | 100,000 | ||||||||
May 10, 2004 |
$ | 0.20 | May 10, 2014 | 160,000 | ||||||||
October 17, 2007 |
$ | 0.88 | October 17, 2012 | 522,500 |
In November 2010, our Board and Compensation Committee approved the Non-Invasive
Monitoring Systems, Inc. 2011 Stock Incentive Plan (the 2011 Plan). Awards granted under the
2011 Plan may consist of incentive stock options, stock appreciation rights (SAR), restricted stock
grants, restricted stock units (RSU) performance shares, performance units or cash awards. The 2011
Plan authorizes up to 4,000,000 shares of our common stock for issuance pursuant to the terms of
the 2011 Plan. The 2011 Plan has not yet been approved by our shareholders, and no awards have
been granted thereunder.
Item 13. | Certain Relationships and Related Transactions, and Director Independence. |
CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS
Our principal corporate office is located at 4400 Biscayne Blvd., Suite 180, Miami, Florida.
We rent this space from Frost Real Estate Holdings, LLC, a company controlled by Dr. Phillip Frost,
who is the beneficial owner of more than 10% of our common stock. We currently lease approximately
1,800 square feet under the lease agreement, which has a five-year term that began on January 1,
2008. The lease currently requires annual rent of approximately $52,000, which amount increases by
4.5% per year.
We also lease approximately 5,200 square feet of warehouse space in Hialeah, Florida from a
company jointly controlled by Dr. Frost and Dr. Hsiao, our Chairman of the Board. The warehouse
lease, which has a three-year term that began on February 1, 2009, currently requires annual rent
of approximately $56,000, which escalates by 3.5% per year.
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Table of Contents
Dr. Frost, Dr. Hsiao, Mr. Rubin and Dr. Uppaluri are each significant shareholders, directors
and/or officers of SafeStitch, Aero, Tiger X, Sorrento and SearchMedia. Our Chief Financial
Officer also serves as the Chief Financial Officer and supervises the accounting staffs of
SafeStitch and Aero under a Board-approved cost sharing
arrangement whereby the total salaries of the accounting staffs of NIMS, SafeStitch and Aero
are shared. Since December 2009, our Chief Legal Officer has served under a similar Board-approved
cost sharing arrangement as Corporate Counsel of SearchMedia and as the Chief Legal Officer of each
of SafeStitch and Tiger X. Since June 2011, our Chief Legal Officer has served as Corporate Counsel
for Sorrento. There is no written cost sharing arrangement between the companies. The shared
employee costs are allocated to the participating companies based on an estimate of the time each
employee is expected to spend in addressing each companys requirements. The allocations are
reviewed quarterly and, if any adjustment to the allocation is warranted, such proposed adjustment
is presented to the Audit Committee or Board of each company for approval prior to implementation.
Under the cost sharing arrangement, certain accounting, finance and legal professionals make
themselves available to the other parties to the arrangement. We reimbursed SafeStitch aggregate
fees of $132,000 for the year ended July 31, 2011 for the sharing of costs under this arrangement.
Dr. Frost and Dr. Sackner each served as a director of Continucare until October 2011. We
market our products to Continucare and other healthcare service providers in the normal course of
business. For the year ended July 31, 2011 we did not have any product sales revenues in
Continucare and for the year ended July 31, 2010, we recorded net product sales revenues to
Continucare of approximately $22,000.
On March 31, 2010, we entered into a Note and Security Agreement with both an entity
controlled by Dr. Frost and an entity controlled by Dr. Hsiao (the Lenders), pursuant to which
the Lenders granted us a revolving credit line (the Credit Facility) in the aggregate principal
amount of $1.0 million, secured by all of our personal property. We are permitted to borrow and
reborrow from time to time under the Credit Facility until July 31, 2012. The interest rate
payable by us on amounts outstanding under the Credit Facility is 11% per annum and increases to
16% per annum after the Maturity Date or after an event of default. We are required to repay all
amounts owing under the Credit Facility by the maturity date, and amounts outstanding are
prepayable at any time. As of July 31, 2011, we had drawn an aggregate of $1.0 million under the
Credit Facility.
Pursuant to the Stock Purchase Agreement dated August 1, 2005 (the 2005 SPA), between us and
various investors (the 2005 Investors, which include Dr. Hsiao and Frost Gamma Investments Trust,
a trust controlled by Dr. Frost), we granted certain registration rights to the 2005 Investors with
respect to the 28,500,000 shares of common stock (including shares of common stock underlying
warrants) acquired pursuant to the 2005 SPA. In addition, under the 2005 SPA, for as long as Frost
Gamma Investments Trust owns at least 5,000,000 shares of our common stock, it has the right to:
(i) recommend and approve both the Chief Executive Officer and the Director of Marketing, and (ii)
cap all executive salaries, including that of Dr. Marvin Sackner, which was originally set under
the 2005 SPA at $52,000 per year. Frost Gamma Investments Trust has not exercised its rights to
cap executive salaries other than Dr. Sackners.
During 2008 and until August 2009, Dr. Hsiao served as a director of Great Eastern Bank of
Florida, a bank where we maintain a bank account in the normal course of business. As of July 31,
2010, we had approximately $150,000 on deposit with Great Eastern Bank of Florida, including
approximately $125,000 collateralized by repurchase contracts for US Government securities.
The Audit Committee of the Board reviews and approves all transactions that are required to be
reported under Item 404(a) of Regulation S-K, including each transaction described above. In order
to approve a related party transaction, the Audit Committee requires that (i) such transactions be
fair and reasonable to us at the time it is authorized by the Audit Committee and (ii) such
transaction must be authorized, approved or ratified by the affirmative vote of a majority of the
members of the Audit Committee who have no interest, either directly or indirectly, in any such
related party transaction.
Director Independence
The Board of Directors, in the exercise of its reasonable business judgment, has determined
that each of the Companys directors qualifies as an independent director pursuant to Nasdaq Stock
Market Rule 5605(a)(2) and applicable SEC rules and regulations, with the exception of Dr. Marvin
Sackner, who is employed as the Companys CEO. Dr. Subbarao V. Uppaluri, Steven D. Rubin and Taffy
Gould comprise our Audit Committee, and each such person is independent for audit committee
purposes as defined by the more stringent standard contained in Nasdaq Stock Market Rule
5605(c)(2).
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Table of Contents
Item 14. | Principal Accountant Fees and Services. |
Principal Accountant
Morrison,
Brown, Argiz and Farra, LLC (MBAF) has served as our independent registered public
accounting firm since May 14, 2009.
Fees and Services
The following table sets forth the total fees billed to us by MBAF for its audit of our
consolidated annual financial statements and other services for the years ended July 31, 2011 and
2010.
2011 | 2010 | |||||||
Audit Fees |
$ | 81,000 | $ | 81,000 | ||||
Audit-Related Fees |
| | ||||||
Tax Fees |
| | ||||||
All Other Fees |
| | ||||||
Total Fees |
$ | 81,000 | $ | 81,000 | ||||
Pre-Approval Policies and Procedures
Our Audit Committee has a policy in place that requires its review and pre-approval of all
audit and permissible non-audit services provided by our independent auditors. The services
requiring pre-approval by the audit committee may include audit services, audit related services,
tax services and other services. The pre-approval requirement is waived with respect to the
provision of non-audit services if (i) the aggregate amount of all such non-audit services provided
to us constitutes not more than 5% of the total fees paid by us to our independent auditors during
the fiscal year in which such non-audit services were provided, (ii) such services were not
recognized at the time of the engagement to be non-audit services, and (iii) such services are
promptly brought to the attention of the Audit Committee or by one or more of its members to whom
authority to grant such approvals has been delegated by the Audit Committee. During fiscal 2010
and 2011, 100% of the audit related services, tax services and all other services provided by MBAF
for the periods as our principal independent registered public accountant were pre-approved by the
Audit Committee.
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Table of Contents
PART IV
Item 15. | Exhibits, Financial Statement Schedules |
(a) List of documents filed as part of this report:
1. Financial Statements: The information required by this item is contained in Item 8 of this
Annual Report on Form 10-K.
2. Financial Statement Schedules: The information required by this item is included in the
consolidated financial statements contained in Item 8 of this Annual Report on Form 10-K.
3. Exhibits: See Index to Exhibits.
49
Table of Contents
SIGNATURES
Pursuant to the requirements of Section 13 or 15(d) 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.
NON-INVASIVE MONITORING SYSTEMS, INC. |
||||
Date: October 31, 2011 | By: | /s/ Marvin A. Sackner, M.D. | ||
Marvin A. Sackner, M.D. | ||||
Chief Executive Officer and President |
Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been
signed below by the following persons on behalf of the registrant and in the capacities and on the
dates indicated.
Signature | Title | Date | ||
/s/ Marvin A. Sackner, M.D.
|
Chief Executive Officer and President (Principal Executive Officer) | October 31, 2011 | ||
/s/ Jane H. Hsiao, Ph.D.
|
Chairman of the Board of Directors | October 31, 2011 | ||
/s/ Taffy Gould
|
Director | October 31, 2011 | ||
/s/ Morton J. Robinson, M.D.
|
Director | October 31, 2011 | ||
/s/ Steven D. Rubin
|
Director | October 31, 2011 | ||
/s/ Subbarao V. Uppaluri
|
Director | October 31, 2011 | ||
/s/ James J. Martin
|
Chief Financial Officer (Principal Financial Officer) |
October 31, 2011 |
50
Table of Contents
INDEX TO EXHIBITS
The following exhibits are filed as part of, or incorporated by reference into, this Annual Report
on Form 10-K.
Exhibit | ||||
No. | Description of Exhibits | |||
3.1 | Articles of Incorporation, as amended (Incorporated by Reference from Exhibit 3.1 to Form 8-K filed
on April 8, 2008) |
|||
3.2 | Articles of Amendment to Articles of Incorporation (Incorporated by Reference from Exhibit 3.1 to
Form 8-K filed on December 3, 2008) |
|||
3.3 | Articles of Amendment to Articles of Incorporation (Incorporated by Reference from Exhibit 3.3 to
Form 10-Q filed on March 17, 2010) |
|||
3.4 | By-Laws, as amended (Incorporated by reference from Exhibit 3.1 to the Companys Quarterly Report
on Form 10-Q filed on December 15, 2009) |
|||
10.1 | License Agreement dated as of May 22, 1996 between the Company and SensorMedics Corporation
(Incorporated by reference from Exhibit 10.1 to Form 10-KSB/A filed on April 22, 2008) |
|||
10.2 | Letter of Agreement dated April 21, 1999 between the Company and SensorMedics Corporation
(Incorporated by reference from Exhibit 10.2 to Form 10-KSB/A filed on April 22, 2008) |
|||
10.3 | Agreement Regarding Assignment of Patents and Intellectual Property dated August 14, 2000 between
the Company and LifeShirt.com, Inc. (Incorporated by reference from Exhibit 10.3 to Form 10-KSB/A
filed on April 22, 2008) |
|||
10.4 | Amendment to Agreement Regarding Assignment of Patents and Intellectual Property dated December 23,
2000 between the Company and LifeShirt.com, Inc. (Incorporated by reference from Exhibit 10.4 to
Form 10-KSB/A filed on April 22, 2008) |
|||
10.5 | Form of Preferred Stock Purchase Agreements dated as of December 1 and 2, 2008 between the Company
and the Investors named therein (Incorporated by reference from Exhibit 10.1 to Form 8-K filed on
December 3, 2008) |
|||
10.6 | Preferred Stock Purchase Agreement dated as of January 29, 2009 between the Company and the
Investors named therein (Incorporated by reference from Exhibit 10.1 to Form 8-K filed on April 8,
2008) |
|||
10.7 | Product Development and Supply Agreement executed September 4, 2007 between Sing Lin Technologies
Ltd and the Company (Incorporated by reference from Exhibit 10.1 to Form 10-QSB/A filed on April
22, 2008) (Confidentiality Treatment has been granted for portions of this Exhibit) |
|||
10.8 | Note and Security Agreement dated as of August 28, 2008 between the Company and various lenders
(incorporated by reference from Exhibit 10.1 to Form 8-K filed on September 12, 2008) |
|||
10.12 | 2000 Stock Option Plan (Incorporated by reference from the Companys Information Statement on
Schedule 14C filed on April 5, 2001)(SEC Accession No. 0000950170-01-000484) |
|||
10.13 | Lease Agreement dated January 1, 2008 between the Registrant and Frost Real Estate Holdings, LLC
(incorporated by reference from Exhibit 10.17 to Form 10-K filed on October 29, 2009). |
|||
10.14 | Lease Agreement dated February 1, 2009 between the Registrant and Hialeah Warehouse Holdings, LLC
(incorporated by reference from Exhibit 10.18 to Form 10-K filed on October 29, 2009). |
|||
10.15 | First Amendment to Letter of Agreement, dated as of April 21, 2009 between the Registrant and
Cardinal Health 211, Inc. (as successor in interest to SensorMedics Corporation)(incorporated by
reference from Exhibit 10.1 to Form 8-K filed on June 9, 2009). |
|||
10.16 | Note and Security Agreement dated as of March 31, 2010 between the Company and Frost Gamma
Investments Trust and Hsu Gamma Investments, L.P. (incorporated by reference from Exhibit 10.1 to
Form 8-K filed on April 6, 2010). |
|||
10.17 | First Amendment Dated March 14, 2011 Note and Security Agreement dated as of March 31, 2010 between
the Company and Frost Gamma Investments Trust and Hsu Gamma Investments, L.P. (incorporated by
reference from Exhibit 10.1 to Form 8-K filed on March l 8, 2011). |
|||
10.18 | Second Amendment Dated July 29, 2011 Note and Security Agreement dated as of March 31, 2010 between
the Company and Frost Gamma Investments Trust and Hsu Gamma Investments, L.P. (incorporated by
reference from Exhibit 10.1 to Form 8-K filed on August 04, 2011). |
Table of Contents
Exhibit | ||||
No. | Description of Exhibits | |||
10.19 | Promissory Note Dated September 12, 2011 between the Company and Frost Gamma Investments Trust
(incorporated by reference from Exhibit 10.1 to Form 8-K filed on September 16, 2011). |
|||
10.20 | Promissory Note Dated September 12, 2011 between the Company and Marie Wolf (incorporated by
reference from Exhibit 10.2 to Form 8-K filed on September 16, 2011). |
|||
14.1 | Code of Ethics (incorporated by reference from Exhibit 14.1 to Form 10-K filed on October 29, 2009). |
|||
21.1 | * | Subsidiaries of the Company |
||
31.1 | * | Certification of Periodic Report by Chief Executive Officer pursuant to Rule 13a-14 and 15d-14 of
the Securities Exchange Act of 1934. |
||
31.2 | * | Certification of Periodic Report by Chief Financial Officer pursuant to Rule 13a-14 and 15d-14 of
the Securities Exchange Act of 1934. |
||
32.1 | * | Certification of Chief Executive Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to
Section 906 of the Sarbanes-Oxley Act of 2002 |
||
32.2 | * | Certification of Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to
Section 906 of the Sarbanes-Oxley Act of 2002 |
* | Filed herewith |