UTAH MEDICAL PRODUCTS INC - Quarter Report: 2011 March (Form 10-Q)

utmd10q20110331.htm

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q

Quarterly Report Under Section 13 or 15(d) of

The Securities Exchange Act of 1934

For quarter ended: March 31, 2011

Commission File No. 0-11178

UTAH MEDICAL PRODUCTS, INC.

(Exact name of Registrant as specified in its charter)

UTAH	87-0342734
(State or other jurisdiction of	(I.R.S. Employer
incorporation or organization)	Identification No.)

7043 South 300 West

Midvale, Utah 84047

Address of principal executive offices

Registrant's telephone number: (801) 566-1200

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Sections 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports) and; (2) has been subject to such filing requirements for the past 90 days. Yes x No o

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 x

Non-accelerated filer o

Smaller reporting company o

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act). Yes o No x

Indicate the number of shares outstanding of each of the issuer’s classes of common stock as of May 9, 2011: 3,622,662.

UTAH MEDICAL PRODUCTS, INC.

INDEX TO FORM 10-Q

PART I - FINANCIAL INFORMATION		PAGE

Item 1.	Financial Statements

	Consolidated Condensed Balance Sheets as of March 31, 2011 and December 31, 2010	1

	Consolidated Condensed Statements of Income for the three months ended March 31, 2011 and March 31, 2010	2

	Consolidated Condensed Statements of Cash Flows for three months ended March 31, 2011 and March 31, 2010	3

	Notes to Consolidated Condensed Financial Statements	5

Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	10

Item 3.	Quantitative and Qualitative Disclosures About Market Risk	17

Item 4.	Controls and Procedures	17


PART II – OTHER INFORMATION

Item 1.	Legal Proceedings	18

Item 1A.	Risk Factors	18

Item 2.	Unregistered Sales of Equity Securities and Use of Proceeds	18

Item 6.	Exhibits	18


SIGNATURES		18

PART I - FINANCIAL INFORMATION
Item 1. Financial Statements
UTAH MEDICAL PRODUCTS, INC. AND SUBSIDIARIES
CONSOLIDATED CONDENSED BALANCE SHEETS AS OF
MARCH 31, 2011 AND DECEMBER 31, 2010
(in thousands)
	(unaudited)			(audited)
ASSETS	MARCH 31, 2011			DECEMBER 31, 2010

Current assets:
Cash	$	7,008		$	3,818
Investments, available-for-sale		88			14,718
Accounts & other receivables - net		5,077			3,164
Inventories		4,596			3,097
Other current assets		854			346
Total current assets		17,623			25,142

Property and equipment - net		9,482			8,750

Goodwill		16,213			7,191

Other intangible assets		40,697			2,165
Other intangible assets - accumulated amortization		(2,112	)		(2,010	)
Other intangible assets - net		38,585			155

TOTAL	$	81,903		$	41,238

LIABILITIES AND STOCKHOLDERS' EQUITY

Current liabilities:
Accounts payable	$	2,520		$	398
Accrued expenses		2,920			1,290
Current portion of notes payable		5,584			215
Total current liabilities		11,024			1,903

Notes payable		22,326			909

Deferred tax liability - intangible assets		8,995			-
Other long term liabilities		500			-
Deferred revenue and income taxes		665			634
Total liabilities		43,510			3,446

Stockholders' equity:
Preferred stock - $.01 par value; authorized - 5,000
shares; no shares issued or outstanding		-			-
Common stock - $.01 par value; authorized - 50,000
shares; issued - March 31, 2011, 3,621 shares and
December 31, 2010, 3,619 shares		36			36
Accumulated other comprehensive loss		(1,230	)		(1,275	)
Additional paid-in capital		178			107
Retained earnings		39,410			38,924
Total stockholders' equity		38,393			37,792

TOTAL	$	81,903		$	41,238

see notes to consolidated condensed financial statements

-1-

UTAH MEDICAL PRODUCTS, INC. AND SUBSIDIARIES
CONSOLIDATED CONDENSED STATEMENTS OF INCOME FOR THE
THREE MONTHS ENDED MARCH 31, 2011 AND MARCH 31, 2010
(in thousands, except per share amounts)
(unaudited)
	THREE MONTHS ENDED
	MARCH 31,
	2011			2010
Sales, net	$	6,793		$	6,436

Cost of goods sold		3,083			3,113

Gross profit		3,710			3,323

Operating expense

Selling, general and administrative		1,451			939
Research & development		101			95

Total		1,552			1,034

Operating income		2,158			2,289

Other income (expense)		(15	)		19

Income before provision for income taxes		2,142			2,308

Provision for income taxes		806			781

Net income	$	1,336		$	1,527


Earnings per common share (basic)	$	0.37		$	0.42

Earnings per common share (diluted)	$	0.37		$	0.42

Shares outstanding - basic		3,620			3,618

Shares outstanding - diluted		3,632			3,645

see notes to consolidated condensed financial statements

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UTAH MEDICAL PRODUCTS, INC. AND SUBSIDIARIES
CONSOLIDATED CONDENSED STATEMENTS OF CASH FLOWS
FOR THE THREE MONTHS ENDED MARCH 31, 2011 AND MARCH 31, 2010
(in thousands - unaudited)
	MARCH 31,
	2011			2010
CASH FLOWS FROM OPERATING ACTIVITIES:
Net income	$	1,336		$	1,527
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization		265			151
Gain on investments		(6	)		(12	)
Provision for losses on accounts receivable		4			(1	)
Stock-based compensation expense		24			25
Changes in operating assets and liabilities:
Accounts receivable - trade		323			144
Accrued interest and other receivables		(52	)		(39	)
Inventories		(203	)		(24	)
Prepaid expenses and other current assets		(105	)		(85	)
Accounts payable		345			184
Accrued expenses		383			478
Other liability		449			-
Total adjustments		1,427			821
Net cash provided by operating activities		2,764			2,347

CASH FLOWS FROM INVESTING ACTIVITIES:
Capital expenditures for:
Property and equipment		(19	)		(210	)
Intangible assets		(5	)		-
Purchases of investments		(500	)		(700	)
Proceeds from sale of investments		15,155			-
Net cash paid in acquisition		(41,084	)		-
Net cash used in investing activities		(26,452	)		(910	)

CASH FLOWS FROM FINANCING ACTIVITIES:
Proceeds from issuance of common stock - options		36			364
Common stock purchased and retired		-			-
Tax benefit attributable to exercise of stock options		10			25
Proceeds from notes payable		26,934			-
Repayment of notes payable		(132	)		(20	)
Payment of dividends		-			-
Net cash provided by financing activities		26,849			370

Effect of exchange rate changes on cash		30			(17	)

NET INCREASE IN CASH		3,190			1,790

CASH AT BEGINNING OF PERIOD		3,818			410

CASH AT END OF PERIOD	$	7,008		$	2,200

see notes to consolidated condensed financial statements

-3-

UTAH MEDICAL PRODUCTS, INC. AND SUBSIDIARIES

CONSOLIDATED CONDENSED STATEMENTS OF CASH FLOWS

FOR THE THREE MONTHS ENDED MARCH 31, 2011 AND MARCH 31, 2010

(in thousands - unaudited)

-Continued-

SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION:

	MARCH 31,
	2011		2010
Cash paid during the period for income taxes	$	-	$	-
Cash paid during the period for interest	$	51	$	7

During the quarter ended March 31, 2011 the Company purchased all of the outstanding shares of Femcare Holdings Limited, including its trading subsidiaries, Femcare Nikomed Ltd. and Femcare Australia. The Company paid cash for the common stock and recorded assets and liabilities from the acquisition as follows:

Accounts receivable	$	2,176
Prepaid expenses		344
Inventory		1,319
Property & equipment		606
Intangible assets		38,796
Goodwill		9,084
Accounts payable		(1,107	)
Accrued expenses		(1,049	)
Deferred tax liability		(9,084	)
Total cash paid in acquisition	$	41,084

see notes to consolidated condensed financial statements

-4-

UTAH MEDICAL PRODUCTS, INC.

NOTES TO CONSOLIDATED CONDENSED FINANCIAL STATEMENTS

(unaudited)

(1) The unaudited financial statements have been prepared in accordance with the instructions to Form 10-Q and do not include all of the information and note disclosures required by accounting principles generally accepted in the United States. These statements should be read in conjunction with the financial statements and notes included in the Utah Medical Products, Inc. ("UTMD" or "the Company") annual report on Form 10-K for the year ended December 31, 2010. In the opinion of management, the accompanying financial statements include all adjustments (consisting only of normal recurring adjustments) necessary to summarize fairly the Company's financial position and results of operations. Currency amounts are in thousands except per-share amounts and where noted.

(2) Inventories at March 31, 2011 and December 31, 2010 consisted of the following:

	March 31,		December 31,
	2011		2010
Finished goods	$	1,905	$	1,008
Work-in-process		1,077		757
Raw materials		1,614		1,332
Total	$	4,596	$	3,097

The March 31, 2011 inventories include the acquisition of Femcare Holdings Ltd (Femcare) inventories of $1,413, consisting of $1,018 in finished goods, $162 in work-in-process and $233 in raw materials.

(3) Stock-Based Compensation. At March 31, 2011, the Company has stock-based employee compensation plans which authorize the grant of stock options to eligible employees and directors. The Company accounts for stock compensation under FASB Accounting Standards Codification (“ASC”) 718, Stock Compensation. This statement requires the Company to recognize compensation cost based on the grant date fair value of options granted to employees and directors. In first quarter (1Q) 2011, the Company recognized $24 in stock based compensation cost, compared to $25 in 1Q 2010.

(4) Comprehensive Income. Comprehensive income for the three months ending March 31, 2011 and 2010 was $1,368 and $1,373, net of provision for income taxes, respectively. The components used to calculate comprehensive income were foreign currency translation adjustments of $20 and $(169) in 2011 and 2010, respectively, and unrealized holding gains of $12 and $16 in 2011 and 2010, respectively.

(5) Acquisition. On March 18, 2011, UTMD purchased all of the common shares of Femcare Holdings Ltd (Femcare) of the United Kingdom, and its subsidiaries. Femcare is best known for its leading global brand the Filshie Clip – a female surgical contraception device (tubal ligation). UTMD expects the business combination will provide diversification, expansion and integration benefits that each company separately did not have the opportunity to achieve. UTMD anticipates that the acquisition will be accretive to financial performance in 2011 and beyond.

The purchase price of $41 million is subject to adjustments. A two-year $3.2 million escrow was set aside from the purchase price to back the warranties and representations of the sellers. UTMD is in the process of finalizing its valuation of certain tangible and intangible assets and residual goodwill acquired in the transaction which may result in a claim against the escrow and adjustment to the purchase price. UTMD intends to complete its purchase price allocation no later than one year from the date of acquisition. If a subsequent adjustment after one year is needed, it will be recorded as an expense or income. The purchase price allocation below may change as more defined analyses are completed and additional information about fair value of assets and liabilities becomes available.

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Assets Acquired
Accounts receivable	$	2,176
Prepaid expenses		344
Inventory		1,319
Property and equipment		606
Identifiable Intangibles
Patents		97
Non-compete agreements		162
Trademarks, trade names		11,559
Customer relationships		11,559
Regulatory approvals & product certifications		15,419
Goodwill		9,084
Total assets acquired		52,325

Liabilities Assumed
Accounts payable		1,107
Accrued expenses		1,049
Deferred tax liability		9,084
Total liabilities assumed		11,241

Net assets acquired	$	41,084

With respect to the assets acquired from Femcare, UTMD will amortize the patents and non-compete agreements over 10 and 5 years, respectively. The other $38,537 in identifiable intangibles will be amortized over 15 years. The $9,084 in deferred tax liability and goodwill results from the difference between the book basis and tax basis of the accumulated amortization of identifiable intangible assets. The deferred tax liability will decline to zero over 15 years as the tax basis of the intangibles declines. The goodwill, which is not deductible for income tax purposes, will not be amortized, but will be written down if and when the value becomes impaired.

The Company incurred $259 towards acquisition related expenses, all of which are categorized under General and Administrative expenses in the Consolidated Condensed Statements of Income for the period ended March 31, 2011.

Pro forma Information

Revenue for the quarter ended March 31, 2011 includes revenue from Femcare during the period after acquisition of $491. Net income from Femcare (after tax) during the period after acquisition was $76.

Revenue and net income of the combined entity as though the business combination occurred as of the beginning of the reporting period is:

	Three months ended March 31, 2011		Three months ended March 31, 2010
Revenue	$	10,712	$	9,962
Net income		2,259		1,544

Pro forma net income of $2,259 for the three months ended March 31, 2011 does not include $245 in UTMD legal costs directly attributable to the acquisition, and $1,765 in Femcare expenses for employee shareholder bonuses, loan redemption premium related to termination of ownership, buy-out of warrants, financial advisory fees and an insurance premium for sellers’ liability which are directly attributable to the acquisition.

(6) Notes payable. On March 17, 2011, UTMD obtained a $14,000 loan from JPMorgan Chase Bank, N.A. (Chase), to help finance the purchase price of Femcare. The terms and conditions of the loan require UTMD to a) repay the loan in equal monthly payments over 5 years, b) pay interest based on the 30-day LIBOR rate plus a margin starting at 2.80% and ranging from 2.00% to 3.75%, depending on the ratio of its funded debt to EBITDA (Leverage Ratio), c) pledge 65% of all foreign subsidiaries’ stock, d) provide first priority liens on all domestic business assets, e) maintain its Interest Coverage Ratio at 1.15 to 1.00 or better, f) maintain its Tangible Net Worth (TNW) above a minimum threshold 20% below UTMD’s TNW at closing on March 18, and g) maintain its Leverage Ratio at 2.75 to 1.00 or less.

-6-

On March 18, 2011, Femcare obtained an £8,000 ($12,934) loan from JP Morgan Chase, London Branch, to help refinance its debt as part of UTMD’s purchase of Femcare. Terms and conditions of the loan are the same as those listed above for the $14,000 U.S. loan.

(7) Warranty Reserve. The Company’s published warranty is: “UTMD warrants its products to conform in all material respects to all published product specifications in effect on the date of shipment, and to be free from defects in material and workmanship for a period of thirty (30) days for supplies, or twenty-four (24) months for equipment, from date of shipment. During the warranty period UTMD shall, at its option, replace any products shown to UTMD's reasonable satisfaction to be defective at no expense to the Purchaser or refund the purchase price.”

UTMD maintains a warranty reserve to provide for estimated costs which are likely to occur. The amount of this reserve is adjusted, as required, to reflect its actual experience. Based on its analysis of historical warranty claims and its estimate that existing warranty obligations were immaterial, no warranty reserve was made at January 1, 2011. Femcare had an established reserve at the time of acquisition by UTMD, which is shown as an increase in the reserve in the table below. The following table summarizes changes to UTMD’s warranty reserve during 1Q 2011:

Beginning Balance, January 1, 2011	$	0
Changes in Warranty Reserve during 1Q 2010:
Aggregate reductions for warranty repairs		-
Aggregate changes for warranties issued during reporting period		-
Aggregate changes in reserve related to preexisting warranties		32
Ending Balance, March 31, 2011	$	32

(8) Investments. As of March 31, 2011, the Company’s investments are in Citigroup (C) and General Electric (GE). Changes in the unrealized holding gain on investment securities available-for-sale and reported as a separate component of accumulated other comprehensive income are as follows:

		1Q 2011			1Q 2010
Balance, beginning of period	$	(190	)	$	(235	)
Realized loss from securities included in beginning balance		18			-
Gross unrealized holding gains (losses), in equity securities		1			26
Deferred income taxes on unrealized holding loss		(7	)		(10	)
Balance, end of period	$	(178	)	$	(219	)

(9) Fair Value Measurements. The Company follows ASC 820, Fair Value Measurement to determine fair value of its financial assets. The following table provides financial assets carried at fair value measured as of March 31, 2011:

			Fair Value Measurements Using
Description	Total Fair Value at 3/31/2011		Quoted Prices in Active Markets for Identical Assets (Level 1)		Significant Other Observable Inputs (Level 2)		Significant Unobservable Inputs (Level 3 )
Available-for-sale securities	$	88	$	88	$	0	$	0

(10) Forward-Looking Information. This report contains certain forward-looking statements and information relating to the Company that are based on the beliefs of management as well as assumptions made by management based on information currently available. When used in this document, the words “anticipate,” “believe,” “project,” “estimate,” “expect,” “intend” and similar expressions, as they relate to the Company or its management, are intended to identify forward-looking statements. Such statements reflect the current view of the Company respecting future events and are subject to certain risks, uncertainties and assumptions, including the risks and uncertainties noted throughout this document. Although the Company has attempted to identify important factors that could cause the actual results to differ materially, there may be other factors that cause the forward statement not to come true as anticipated, believed, projected, expected, or intended. Should one or more of these risks or uncertainties materialize, or should underlying assumptions prove incorrect, actual results may differ materially from those described herein as anticipated, believed, projected, estimated, expected or intended. Financial estimates are subject to change and are not intended to be relied upon as predictions of future operating results, and the Company assumes no obligation to update or disclose revisions to those estimates.

-7-

Risk Factors:

Legislative healthcare reform in the United States, as embodied in The Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (the “Acts”) adds a substantial excise tax slated to begin in 2013, increases administrative costs and may lead to decreased revenues:

The voluminous Acts, administrative rules to enforce the Acts and promised efforts to reform the Acts, make the U.S. medical device marketplace unpredictable, particularly for the thousands of small medical device manufacturers including UTMD that do not have the overhead structure that the large companies can afford. To the extent that the Acts place additional burdens on small medical device companies in the form of an excise tax on medical device sales, additional oversight of marketing and sales activities and new reporting requirements, the result is likely to be negative for UTMD’s ability to effectively compete and support continued investments in new product development and marketing of specialty devices.

Increasing regulatory burdens including premarketing approval delays may result in significant loss of revenue, unpredictable costs and loss of management focus on helping the Company thrive:

The Company’s experience in 2001-2005, when the FDA sought to shut it down without any claim of defective, ineffective or unsafe products highlights the ongoing risk of being subject to a regulatory environment which can be inappropriately punitive, arbitrary and capricious. The risks associated with such a circumstance relate not only to the substantial costs of litigation in millions of dollars, but also loss of good business reputation, the diversion of attention of key employees for an extended period of time, from new product development and routine quality control management activities, and a tremendous psychological and emotional toll on employees.

Since the FDA reserves to itself the interpretation of which vague industry standards comprise law at any point in time, it is impossible for any medical device manufacturer to ever be confident that it is operating within the Agency’s version of the law. The result is that companies, including UTMD are considered guilty prior to proving their innocence. New premarketing submission rules may increase development costs and result in delays to revenues from new or improved products.

The growth of Group Purchasing Organizations adds non-productive costs, typically weakens the Company’s marketing and sales efforts and may result in lower revenues:

GPOs, theoretically acting as bargaining agents for member hospitals, but actually collecting revenues from the companies that they are negotiating with, have made a concerted effort to turn medical devices that convey special patient safety advantages and better health outcomes, like UTMD’s, into commodities which do not consider differences in clinical outcomes. GPOs have been granted an antitrust exemption by the U.S. Congress. In other industries, the GPO business model based on “kickbacks” would be a violation of law. These bureaucratic entities do not recognize the overall cost of care as it relates to safety and effectiveness of devices, and they create a substantial administrative burden that is primarily related to collection of their administrative fees.

As the healthcare industry becomes increasingly bureaucratic it puts smaller companies like UTMD at a competitive disadvantage:

An aging population and an extended economic recession are placing greater burdens on healthcare systems, particularly hospitals. The length of time and number of administrative steps required in adopting new products for use in hospitals has grown substantially in recent years. Smaller companies like UTMD typically do not have the administrative resources to deal with substantial paperwork requirements, resulting in either loss of revenue or increased costs. As UTMD introduces new products it believes are safer and more effective, it may find itself excluded from certain customers because of the existence of long term supply agreements for preexisting products, particularly from competitors which offer hospitals a broader range of products. Restrictions used by hospital administrators to limit clinician involvement in device purchasing decisions makes communicating UTMD’s clinical advantages much more difficult.

-8-

A product liability lawsuit could result in significant legal expenses and a large award against the Company:

UTMD’s devices are frequently used in inherently risky situations to help physicians achieve a more positive outcome than what might otherwise be the case. In any lawsuit where an individual plaintiff suffers permanent physical injury, the possibility of a large award for damages exists whether or not a causal relationship exists.

The Company’s acquisition of Femcare substantially expands its reliance on third parties to market its products overseas:

UTMD’s international distributors have varying expertise in marketing and selling specialty medical devices. They also sell other devices that may result in less focus on the Company’s products. International sales may be negatively impacted by other factors of unpredictable magnitude, including: 1) liquidity of distributors, 2) strength and timing of economic recovery in overseas markets, 3) value of the U.S. Dollar in foreign exchange, 4) changes in U.S. government trade policies and the resulting reactions of other governments, particularly if the U.S. becomes more protectionist, and 5) changes in international regulatory requirements and possible restrictions for medical devices.

The loss of one or more key employees could negatively affect UTMD performance:

In a small company with limited resources, the distraction or loss of key personnel at any point in time may be disruptive to performance. The Company’s benefits programs are key to recruiting and retaining talented employees. The rapid increase in UTMD’s employee healthcare plan costs, for example, may cause the Company to have to reduce coverages which in turn represents a risk to retaining key employees.

(11) Subsequent Events. UTMD has evaluated subsequent events through the date the financial statements were issued, and concluded there were no other events or transactions during this period that required recognition or disclosure in its financial statements.

-9-

Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations

General

UTMD manufactures and markets a well-established range of specialty medical devices. The Company’s Form 10-K Annual Report for the year ended December 31, 2010 provides a detailed description of products, technologies, markets, regulatory issues, business initiatives, resources and business risks, among other details, and should be read in conjunction with this report. Because of the relatively short span of time, results for any given three month period in comparison with a previous three month period may not be indicative of comparative results for the year as a whole. Currency amounts in the report are in thousands, except per-share amounts or where otherwise noted.

Acquisition

On March 18, 2011, UTMD purchased all of the common shares of Femcare Holdings Ltd (Femcare) of the United Kingdom, and its subsidiaries. Femcare is best known for its leading global brand the Filshie Clip – a female surgical contraception device (tubal ligation). UTMD expects the business combination will provide diversification, expansion and integration benefits that each company separately did not have the opportunity to achieve. UTMD anticipates that the acquisition will be accretive to financial performance in 2011 and beyond. The operations of Femcare from March 18 to March 31, 2011 are included in the consolidated financial statements.

The purchase price of $41 million is subject to adjustments. A two-year $3.2 million escrow was set aside from the purchase price to back the warranties and representations of the sellers. UTMD is in the process of finalizing its valuation of certain tangible and intangible assets and residual goodwill acquired in the transaction which may result in a claim against the escrow and adjustment to the purchase price. UTMD intends to complete its purchase price allocation no later than one year from the date of acquisition. If a subsequent adjustment beyond one year is needed, it will be recorded as an expense or income. The purchase price allocation below may change as more defined analyses are completed and additional information about fair value of assets and liabilities becomes available.

Assets Acquired
Accounts receivable	$	2,176
Prepaid expenses		344
Inventory		1,319
Property and equipment		606
Identifiable Intangibles
Patents		97
Non-compete agreements		162
Trademarks, trade names		11,559
Customer relationships		11,559
Regulatory approvals & product certifications		15,419
Goodwill		9,084
Total assets acquired		52,325

Liabilities Assumed
Accounts payable		1,107
Accrued expenses		1,049
Deferred tax liability		9,084
Total liabilities assumed		11,241

Net assets acquired	$	41,084

-10-

On March 17, 2011, UTMD obtained a $14,000 loan from JPMorgan Chase Bank, N.A. (Chase), to help finance the purchase price of Femcare. The terms and conditions of the loan require UTMD to a) repay the loan in equal monthly payments over 5 years, b) pay interest based on the 30-day LIBOR rate plus a margin starting at 2.80% and ranging from 2.00% to 3.75%, depending on the ratio of its funded debt to EBITDA (Leverage Ratio), c) pledge 65% of all foreign subsidiaries’ stock, d) provide first priority liens on all domestic business assets, e) maintain its Interest Coverage Ratio at 1.15 to 1.00 or better, f) maintain its Tangible Net Worth (TNW) above a minimum threshold 20% below UTMD’s TNW at closing on March 18, and g) maintain its Leverage Ratio at 2.75 to 1.00 or less.

Analysis of Results of Operations

a) Overview

On March 18, 2011, UTMD acquired Femcare. The performance of Femcare after March 17 is included in first calendar quarter (1Q) of 2011 financial results.

A summary of income statement measures for 1Q 2011 compared 1Q 2010 follows:

		1Q2011		1Q 2010	change
Net Sales	$	6,793	$	6,436		+5.5	%
Gross Profit		3,710		3,323		+11.6	%
Operating Income		2,158		2,289		(5.7	%)
Income Before Tax		2,142		2,308		(7.2	%)
Net Income		1,336		1,527		(12.5	%)
Earnings per Share		.368		.419		(12.1	%)

Total 1Q 2011 sales were 6% higher than in 1Q 2010. Femcare sales for the last ten working days of 1Q were $491. Excluding Femcare, UTMD’s 1Q 2011 total sales were 2% lower than in 1Q 2010. International sales were up 25% and domestic sales were down 4%. Excluding Femcare, 1Q 2011 international sales were up 2%. The acquisition of Femcare substantially expands UTMD’s global presence, as about 80% of Femcare’s most recent fiscal year sales of $16 million were outside the U.S.

A comparison of profit margins for 1Q 2011 compared 1Q 2010 follows:

	1Q 2011		1Q 2010
Gross Profit Margin (GPM)	54.6	%	51.6	%
Operating Profit Margin (OPM)	31.8	%	35.6	%
Net Profit Margin (NPM)	19.7	%	23.7	%

UTMD’s gross profit margin (GPM), gross profits divided by sales, was 3 percentage points higher in 1Q 2011 than in 1Q 2010. Excluding Femcare, UTMD’s gross profit margin, was 1.6 percentage points higher than in 1Q 2010. This improvement is due to a combination of 1) cessation of Oregon injection molding operations after first half 2010, and 2) reallocation of shipping costs from cost of goods sold to sales and marketing expense (a component of operating expenses).

Operating profits were $2,158 in 1Q 2011 compared to $2,289 in 1Q 2010. Femcare acquisition transaction costs of $259 were included in G&A expenses in 1Q 2011. Femcare’s OPM was 25.2% for the 10-working day period under UTMD’s ownership. Excluding the Femcare contribution and UTMD’s acquisition-related expenses in 1Q 2011, UTMD’s OPM was 36.4%, about 0.8 percentage points higher than in 1Q 2010. This increase is due to the portion of higher GPM resulting from cessation of Oregon operations.

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Earnings before Taxes (EBT) decreased to $2,142 in 1Q 2011 from $2,308 in 1Q 2010. The $259 Femcare acquisition-related expenses were the primary cause of the decrease. New interest expense from the debt incurred to help finance the Femcare acquisition was $46 in 1Q 2011.

Net Income was $1,336 in 1Q 2011 compared to $1,527 in the same period of 2010. Excluding Femcare’s 10-day contribution to performance and acquisition-related expenses, UTMD’s NPM improved by 0.7 percentage points compared to 1Q 2010. $245 of the acquisition-related expenses were legal costs of structuring, negotiating terms and otherwise facilitating the transaction, and therefore were capitalized for income tax purposes. This resulted in an effective income tax provision rate for 1Q 2011, excluding Femcare, of 38.1% instead of 33.7%. Including Femcare’s profit contribution at a 28% tax rate yielded an average overall UTMD income tax provision rate of 37.6%. 1Q 2011 EPS were $.368 compared to $.419 in 1Q 2010. Excluding acquisition-related costs and Femcare’s performance, 1Q 2011 EPS were $.423.

The Company’s March 31, 2011 balance sheet changed substantially due to the Femcare acquisition. Key March 31, 2011 balance sheet changes compared to December 31, 2010 follow:

Cash & Investments	$	(11,440	)
Receivables & Inventory		3,412
Property and Equipment - net		732
Goodwill		9,022
Other Intangible Assets – net		38,430
Total Assets		40,665
Current Portion of Notes Payable		5,369
Total Current Liabilities		9,121
Notes Payable		21,417
Deferred Tax Liability		8,995
Total Liabilities		40,064
Shareholders’ Equity		601

Cash and Investments declined due to UTMD using $14,571 for the Femcare acquisition including costs associated with the acquisition. The increase in notes payable results from UTMD borrowing $26,934 from JP Morgan Chase in the U.S. and UK to help finance the acquisition.

b) Revenues

The Company believes that revenue should be recognized at the time of shipment as title generally passes to the customer at the time of shipment. Revenue recognized by UTMD is based upon documented arrangements and fixed contracts in which the selling price is fixed prior to completion of an order. Revenue from product and service sales is generally recognized at the time the product is shipped or service completed and invoiced, and collectibility is reasonably assured. There are circumstances under which revenue may be recognized when product is not shipped, all of which meet the criteria of SAB 104: the Company provides engineering services, for example, design and production of manufacturing tooling that may be used in subsequent UTMD manufacturing of custom components for other companies. This revenue is recognized when UTMD’s service has been completed according to a contractual agreement.

Total 1Q 2011 sales were up $357 (6%) from 1Q 2010. Excluding Femcare sales of $491, 1Q 2011 sales were 2% lower than in 1Q 2010. Comparing 1Q 2011 to 1Q 2010 UTMD global sales in product categories, blood pressure monitoring device/ component (BPM) sales were up 9%, neonatal device sales were down 10%, gynecology/ electrosurgery (Gyn/ES) device sales were up 25% and obstetrics device sales were up 1%. Femcare sales are included in the Gyn/ES category.

International sales were up 25% while domestic sales were down 4% compared to 1Q 2010. Femcare sales were 19% of international sales. UTMD’s Ireland subsidiary’s sales were 31% of international sales. Sales of devices from UTMD’s Ireland facility to international customers were 10% lower in US dollar terms, and 12% lower in Euro terms in 1Q 2011 compared to 1Q 2010. Without Femcare, international sales increased 2%.

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Domestic sales are comprised of domestic direct sales (sales of finished devices to users or distributors), which were down 3%, and domestic OEM sales (sales of components to other companies for use in their products), which were down 12%. Domestic OEM sales and international sales have an uneven quarter-to-quarter sales pattern because customers tend to purchase several months’ supply of products at a time to minimize transportation and import costs.

The following table provides sales dollar amounts divided into general product categories for total sales and the subset of international sales:

Global revenues by product category:

		1Q 2011	%			1Q 2010	%
Obstetrics	$	1,473		22	$	1,457		23
Gynecology/ Electrosurgery/ Urology		1,970		29		1,574		24
Neonatal		1,711		25		1,907		30
Blood Pressure Monitoring and Accessories*		1,638		24		1,498		23
Total:	$	6,793		100	$	6,436		100

*includes molded components sold to OEM customers.

International revenues by product category:

		1Q 2011	%			1Q 2010	%
Obstetrics	$	200		8	$	158		8
Gynecology/ Electrosurgery/ Urology		954		37		600		29
Neonatal		282		11		308		15
Blood Pressure Monitoring and Accessories*		1,149		44		994		48
Total:	$	2,585		100	$	2,060		100

*includes molded components sold to OEM customers.

For the remainder of 2011, UTMD’s sales are expected to increase compared to 2010 as a result of the addition of Femcare. After 1Q 2011, UTMD’s stated beginning of year objective to achieve 2011 sales approximately the same as in 2010 (excluding Femcare) remains achievable.

c) Gross Profit

UTMD’s average gross profit margin (GPM), gross profits as a percentage of sales, was 54.6% in 1Q 2011, compared to 51.6% 1Q 2010. Without Femcare contribution , the GPM was 53.2%. In 1Q 2010, UTMD experienced a lower than normal GPM due to costs associated with consolidating UTMD’s Oregon subsidiary into its Midvale, Utah operations. Looking forward, UTMD projects a combined Femcare/UTMD GPM of about 60% for the remainder of 2011.

OEM sales are sales of UTMD components and subassemblies that are marketed by other companies as part of their product offerings. UTMD utilizes OEM sales as a means to help maximize utilization of its capabilities established to satisfy its direct sales business. As a general rule, prices for OEM sales expressed as a multiple of direct variable manufacturing expenses are lower than for direct sales because, in the OEM and international channels, UTMD’s business partners incur significant expenses of sales and marketing. Because of UTMD’s small size and period-to-period fluctuations in OEM business activity, allocation of fixed manufacturing overhead expenses cannot be meaningfully allocated between direct and OEM sales. Therefore, UTMD does not report GPM by sales channels.

d) Operating Income

Operating income, or income from operations, is the surplus after operating expenses are subtracted from gross profits. Operating expenses include sales and marketing (S&M) expenses, product development (R&D) expenses and general and administrative (G&A) expenses. Combined operating expenses in 1Q 2011 were $518 higher than in 1Q 2010, due to the addition of Femcare operating expenses for the last ten days of the quarter and acquisition-related expenses of $259. Operating profit margin (OPM), operating income divided by sales, was 3.8 percentage points lower in 1Q 2011 than in 1Q 2010. The OPM in 1Q 2011 was 31.8% compared to 35.6% in 1Q 2010. Despite a higher GPM, Femcare’s OPM will be lower than UTMD’s looking forward, because of the amortization of identifiable intangible assets. Looking forward, UTMD expects its combined OPM will be in the range 28-29% of consolidated sales. This will include non-cash G&A expenses of about 6-7% of sales, depending on the foreign currency exchange rate of GBP to USD, from amortization of the identifiable intangible assets.

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S&M expenses in 1Q 2011 were $458 (6.7% of sales) compared to $371 (5.8% of sales) in 1Q 2010. In addition to the addition of Femcare’s S&M expenses, the reallocation of UTMD shipping costs in 1Q 2011 caused the increase.

R&D expenses in 1Q 2010 were $101 (1.5% of sales) compared to $95 (1.5% of sales) in 1Q 2010. Looking forward, UTMD’s product development pipeline will be enhanced by the Femcare acquisition.

G&A expenses in 1Q 2011 were $994 (14.6% of sales) compared to $568 (8.8% of sales) in 1Q 2010. As noted above, the increase is due to the Femcare acquisition: 1) acquisition transaction expenses of $259, of which $245 are not tax deductible, 2) amortization of intangibles and 3) normal Femcare G&A expenses. In addition to litigation costs, G&A expenses include the cost of outside financial auditors and corporate governance activities relating to the implementation of SEC rules resulting from the Sarbanes-Oxley Act of 2002, as well as estimated stock-based compensation cost. Option compensation expense included in G&A expenses was $24 in 1Q 2011 compared to $25 in 1Q 2010.

		1Q 2011		1Q 2010
S&M Expense	$	458	$	371
R&D Expense		101		95
G&A Expense		994		568
Total Operating Expenses:	$	1,552	$	1,034

e) Non-operating income (expense)

Non-operating expense in 1Q 2011 was $15 compared to non-operating income of $19 in 1Q 2010. The swing from income to expense was due to accrued interest expense of $46 on the Femcare loans in 1Q 2011. Femcare borrowed £8,000 ($12,934) and UTMD borrowed $14,000 from JP Morgan Chase Bank to refinance Femcare’s debt as part of the acquisition. Using profits from operations together with cash from amortization of intangible assets, UTMD expects to repay the debt over the next five years. During that period of time, using a USD/GBP exchange rate of 1.62, interest on the debt will reduce EBT by about $1,090, $890, $650, $400 and $160 in the first through fifth years, respectively.

f) Earnings Before Income Taxes

1Q 2011 earnings before income taxes (EBT) decreased to $2,142 compared to $2,308 in 1Q 2010. 1Q 2011 EBT margin was 31.5% of sales compared to 35.9% in 1Q 2010. The domestic component of EBT was $1,944 in 1Q 2011 compared to $2,197 in 1Q 2010. The foreign component (Femcare and Ireland) of EBT was $198 in 1Q 2011 compared to $111 in 1Q 2010.

g) Net Income and Earnings per Share

UTMD’s net income decreased to $1,336 in 1Q 2011 compared to $1,527 in 1Q 2010. Net profit margins (NPM), which are net income (after income tax provision) expressed as a percentage of sales, were 19.7% in 1Q 2011 compared to 23.7% in 1Q 2010. Excluding Femcare’s 10-day contribution to performance and UTMD acquisition-related expenses, UTMD’s NPM improved by 0.7 percentage points compared to 1Q 2010. $245 of the one-time acquisition expenses were legal costs of structuring, negotiating terms and otherwise facilitating the transaction, and therefore were capitalized for income tax purposes. This resulted in an effective income tax provision rate for UTMD’s 1Q 2011, excluding Femcare, of 38.1% compared to 33.8% in 1Q 2010. Diluted 1Q 2011 Earnings per Share (EPS) decreased to $.368 compared to $.419 in 1Q 2010. Looking forward, including the remaining three calendar quarters in 2011, UTMD is targeting about $1.95 EPS for the year, which would be about 18% higher than in 2010.

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1Q 2011 weighted average number of diluted common shares (the number used to calculate diluted EPS) were 3,631,800 compared to 3,644,795 shares in 1Q 2010. The Company did not repurchase any of its shares in the open market in 1Q 2011. Employees exercised options for 2,562 shares in 1Q 2011. Options outstanding at March 31, 2011 were about 278,800 shares at an average exercise price of $25.26 per share.

Increases and decreases in UTMD’s stock price impact EPS as a result of the dilution calculation for unexercised options with exercise prices below the average stock market value during each period. The dilution calculation added 11,800 shares to actual weighted average shares outstanding in 1Q 2011 compared to 26,800 in 1Q 2010. Actual outstanding common shares as of the end of 1Q 2011 were 3,621,400 compared to 3,631,500 at the end of 1Q 2010.

h) Return on Equity

Return on equity (ROE) is the portion of net income retained by UTMD (after payment of dividends) to internally finance its growth, divided by the average accumulated shareholder equity during the applicable time period. Annualized ROE in 1Q 2011 was 13%, compared to 16% in 1Q 2010. Both periods did not include a dividend payment. The dividend that normally would have been paid in early January was paid in late December of both prior years. The lower ROE in 1Q 2011 was due to higher average equity and lower net income to date in 2011. Average shareholders’ equity has been growing primarily because UTMD has remained very profitable but has not repurchased many shares since 2008. Share repurchases have a beneficial impact on ROE as long as the Company sustains net profit performance, because shareholder equity is reduced by the cost of the shares repurchased. The Company believes that repurchasing its shares when they are undervalued ultimately leads to higher shareholder returns as well as higher ROE.

Liquidity and Capital Resources

i) Cash flows

Net cash provided by operating activities, including adjustments for depreciation and amortization and other non-cash operating expenses along with changes in working capital, totaled $2,764 in 1Q 2011 compared to $2,347 in 1Q 2010. The most significant difference in the two periods was a $449 increase in other liabilities.

The Company’s payment of $41,084 to acquire Femcare was the most significant use of cash in 1Q 2011. UTMD liquidated a net of $14,655 of investments to help finance the acquisition. Capital expenditures for property and equipment were just $19 in 1Q 2011, a fraction of the amount used in 1Q 2010 during which time UTMD was investing in expanding its Utah facility to consolidate the Oregon molding operations. The Company borrowed $26,934 in 1Q 2011 to help finance the purchase of Femcare.

In 1Q 2011, UTMD received $36 and issued 2,562 shares of stock upon the exercise of employee stock options. Option exercises in 1Q 2011 were at an average price of $14.24 per share. In comparison, the Company received $364 from issuing 19,794 shares of stock on the exercise of employee stock options in 1Q 2010, net of 1,769 shares retired upon employees trading those shares in payment of the stock option exercise price. UTMD did not repurchase any of its own shares of stock in the open market during either 1Q 2011 or 1Q 2010.

UTMD Ltd. made payments of $132 on its note payable during 1Q 2011, compared to $20 during 1Q 2010. UTMD did not make cash dividend payments during either 1Q 2011 or 1Q 2010.

Management believes that income from operations and effective management of working capital will provide the liquidity needed to finance its internal growth plans. Planned capital expenditures during the remainder of 2011 are expected to be lower than they were in 2010. The Company will continue to keep facilities, equipment and tooling in good working order. In addition, the Company may use cash for marketing or product manufacturing rights to broaden the Company's product offerings; for continued share repurchases when the price of the stock is undervalued; and if available for a reasonable price, an acquisition that might strategically fit UTMD’s business and be accretive to performance.

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j) Assets and Liabilities

March 31, 2011 total assets nearly doubled from December 31, 2010 because of the Femcare acquisition, increasing from $41,238 to $81,903. The acquisition of identifiable intangible assets of $38,796 was the major portion of the increase. In addition, goodwill increased $9,084 from the tax difference associated with the amortization of the identifiable intangible assets over their useful lives. Amortization of intangibles was $101 in 1Q 2011. For reference, amortization expense was $11 in 1Q 2010. At March 31, 2011, net intangible assets including goodwill were 67% of total assets compared to 18% at year-end 2010.

Cash and investments decreased $11,440 because of the use of $14,150 in the Femcare acquisition. Receivables increased $1,913, inventories were up $1,499 and other current assets increased $508 during the period, all primarily due to the addition of Femcare’s assets. Inventory and receivables balances were within management’s productivity targets.

Working capital (current assets minus current liabilities) was $6,599 at March 31, 2011, a $16,640 decrease from $23,239 at 2010 year-end. Current liabilities increased $9,121, including a $5,369 increase in the current portion of notes payable, as a result of new borrowing to finance the Femcare acquisition. Accounts payable increased $2,122 and accrued expenses went up $1,630, again due to the addition of Femcare. As a result of the decrease in current assets and the increase in current liabilities, UTMD’s current ratio decreased to 1.6 on March 31, 2011 from 13.2 at year-end 2010. The current ratio was 8.8 on March 31, 2010. UTMD believes its working capital is sufficient to meet its normal operating needs.

Net property and equipment increased $732 in 1Q 2011 from the addition of Femcare P&E. Depreciation of $163 exceeded capital expenditures of $19.

UTMD’s notes payable at March 31, 2011 were 1) $14,000 to Chase in the U.S., of which $11,200 is long term, 2) $12,843 (£8,000) to JP Morgan Chase in the U.K., of which $10,275 is long term, and 3) $1,067 (€753) to Bank of Ireland, of which $851 is long term. The March 31, 2011 Ireland note payable balance declined €95. The deferred tax liability balance for Femcare identifiable intangible assets ($9,084 on the date of the acquisition), was $8,995 at March 31, 2011. Reduction of the deferred tax liability occurs as the book/tax difference is eliminated over the next 15 years as the intangible assets are amortized. The Femcare acquisition also added $500 to other long term liabilities. Due to the impact of the Femcare acquisition, UTMD’s total debt ratio (total liabilities/ total assets) as of March 31, 2011 increased to 53% from 8% on December 31, 2010. UTMD’s total debt ratio on March 31, 2010 was 12%.

k) Management's Outlook.

As outlined in its December 31, 2010 10-K report, UTMD’s plan for 2011 is to

1) work to retain its significant market niche shares of its established key specialty products in the U.S., and expand market shares in international markets;

2) continue to promote clinical acceptance of newer products;

3) develop additional proprietary products helpful to clinicians through internal new product development;

4) continue achieving excellent overall financial operating performance;

5) look for accretive acquisitions to augment sales and eps growth; and

6) utilize excess cash balances in shareholders’ best long-term interest, including continued cash dividends and open market share repurchases when UTMD’s share price seems undervalued.

UTMD’s objective for 2011 remains the same as above.

l) Accounting Policy Changes.

None.

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Item 3. Quantitative and Qualitative Disclosures about Market Risk

UTMD has manufacturing operations, including related assets, in the U.S. denominated in the U.S. Dollar (USD), in Ireland denominated in the Euro (EUR) and in England denominated in the British Pound (GBP). UTMD also has trading activities in the U.S. and in subsidiaries in other countries denominated in the USD, EUR, GBP and the Australian Dollar (AUD). The currencies are subject to exchange rate fluctuations that are beyond the control of UTMD. The exchange rates were .7059, .7550 and .7452 EUR per USD as of March 31, 2011, December 31, 2010 and March 31, 2010, respectively. Exchange rates were .6223 GBP per USD and .9661 AUD per USD on March 31, 2011. UTMD manages its foreign currency risk without separate hedging transactions by conducting as much business in local currencies as is practicable and by converting currencies to USD as transactions occur.

Item 4. Controls and Procedures

The Company’s management, under the supervision and with the participation of the Chief Executive Officer and the Principal Financial Officer, evaluated the effectiveness of the Company’s disclosure controls and procedures (as defined in Rule 13a-15(e) under the Securities Exchange Act of 1934, as amended) as of March 31, 2011. Based on this evaluation, the Chief Executive Officer and Principal Financial Officer concluded that, as of March 31, 2011, the Company’s disclosure controls and procedures were effective.

There were no changes in the Company’s internal controls over financial reporting that occurred during the quarter ended March 31, 2011, that have materially affected, or are reasonably likely to materially affect, the Company’s internal controls over financial reporting.

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PART II - OTHER INFORMATION

Item 1. Legal Proceedings

The Company may be a party from time to time in litigation incidental to its business. Presently, there is no litigation for which the Company believes the outcome may be material to its financial results.

Item 1A. Risk Factors

In addition to the other information set forth in this report, investors should carefully consider the factors discussed in Part I, “Item 1A. Risk Factors” in UTMD’s Annual Report on Form 10-K for the year ended December 31, 2010, which could materially affect its business, financial condition or future results. The risks described in the Annual Report on Form 10-K are not the only risks facing the Company. Additional risks and uncertainties not currently known to UTMD or currently deemed to be immaterial also may materially adversely affect the Company’s business, financial condition and/or operating results.

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds

UTMD did not purchase any of its own securities during 1Q 2011.

Item 6. Exhibits

Exhibit #	SEC Reference #	Title of Document
1	31	Certification of CEO pursuant to Rule 13a-14(a) as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
2	31	Certification of Principal Financial Officer pursuant to Rule 13a-14(a) as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
3	32	Certification of CEO pursuant to 18 U.S.C. §1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
4	32	Certification of Principal Financial Officer pursuant to 18 U.S.C. §1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002

SIGNATURES

Pursuant to the requirements of the Securities Exchanges Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

	UTAH MEDICAL PRODUCTS, INC.
	REGISTRANT

Date: 5/10/11	By: /s/ Kevin L. Cornwell
	Kevin L. Cornwell
	CEO

Date: 5/10/11	By: /s/ Paul O. Richins
	Paul O. Richins
	Principal Financial Officer

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