Currency amounts are in thousands except per-share amounts and where noted.
Currencies are abbreviated as follows: the U.S. Dollar (USD or $), the Great
Britain Pound (GBP or £), the Euro (EUR or €), the Australian Dollar (AUD or
A$), the New Zealand Dollar (NZD) and the Canadian Dollar (CAD or C$).
The following comments should be read in conjunction with the accompanying
financial statements.
Overview.
The 2022-year financial results demonstrate Utah Medical Products, Inc.'s
(Nasdaq: UTMD's) continuing excellent operating performance despite many
challenges related to supply chain disruption, high input cost inflation as well
as a continued shortage of labor with higher employee turnover. The Company
exceeded its beginning of year financial projections for 2022.
Consolidated Income Statement 2022 2022 Compared to 2021 2021
Worldwide Revenues $ 52,281 +6.6% $ 49,054
Gross Profit 32,196 +4.1% 30,917
Operating Income 19,790 +4.8% 18,880
Earnings Before Income Tax 20,659 +8.4% 19,061
Net Income (US GAAP) 16,473 +11.4% 14,788
Earnings Per Share (US GAAP) $ 4.522 +11.9% $ 4.041
For perspective, 25% of UTMD's total USD consolidated worldwide revenues (sales)
were invoiced in foreign currencies. Translating 2022 foreign currency sales
into USD at the same exchange rates as in 2021 ("constant currency" sales) would
have resulted in a 9.5% increase in 2022 worldwide revenues, with an 18.2%
increase in sales outside the U.S. (OUS). In other words, constant currency
2022 worldwide revenues were $53,715.
Although UTMD's sales in 2022 were helped by an approximate 7% average increase
in UTMD unit prices, costs of manufacturing increased more than that, resulting
in a lower gross profit margin (GPM). Despite an unusual litigation expense
year, with better absorption of fixed USD operating costs, notably amortization
of identifiable intangible assets, and, in this case, a favorable foreign
currency exchange (FX) impact on OUS expenses, UTMD's Operating Income Margin
was less diluted than its GPM. Combined with Operating Income, higher
non-operating income, predominantly from interest on cash balances, leveraged
the increase in Earnings Before Income Tax (EBT) to be greater than UTMD's
increase in revenues.
The further leverage in bottom line results (Net Income and Earnings Per Share)
compared to 2021, was the result of an unfavorable adjustment in UTMD's income
tax provision in the prior year, which was not related to normal operations.
According to U.S. Generally Accepted Accounting Principles (US GAAP), Net Income
in 2Q 2021 was decreased $390 ($.107 decrease in EPS) by a long term deferred
tax liability increase on the balance of Femcare intangible assets (the
amortization of which is not tax-deductible in the UK) as a result of an enacted
increase in the UK income tax rate from 19% to 25% effective beginning in April
2023. That is, the 2021 $390 increase in deferred UK taxes from 2023 through
2026, according to US GAAP, had to be booked in the quarter in which the tax law
change was enacted. UTMD management believes that the presentation of results
excluding the unfavorable deferred tax liability adjustment to 2021 Net Income
provides meaningful supplemental information to both management and investors
that is more clearly indicative of UTMD's operating results in 2022 compared to
2021. Please note that the non-US GAAP exclusion only affects Net Income and
Earnings Per Share (EPS). All other income statement categories at and above
the EBT line were unaffected by the UK income tax rate adjustment.
Excluding the 2021 deferred tax liability increase and concomitant 2021 income
tax provision increase resulting from the enactment of the UK corporate income
tax change, UTMD's 2022 non-US GAAP Net Income and Earnings Per Share (EPS)
percentage changes are more modest and consistent with its increase in EBT, as
follows:
Consolidated Income Statement 2022 2022 Compared to 2021 2021
Net Income (Non-US GAAP) $16,473 +8.5% $15,178
EPS (Non-US GAAP)
$4.522 +9.0% $4.147
Key profit margins (profits as a percentage of sales) in 2022 compared to 2021
follow:
2022 2021
Gross Profit Margin (GPM) 61.6% 63.0%
Operating Income Margin 37.9% 38.5%
Income Before Tax Margin 39.5% 38.9%
Net Income Margin before tax adjusts 31.5% 30.9%
Net Income Margin per US GAAP 31.5% 30.1%
Measures of the Company's liquidity and overall financial condition improved as
of the end of 2022 compared to the end of 2021 with year-end working capital up
21% and Stockholders' Equity up 7% despite $3,163 in dividends paid to
stockholders and $2,495 in share repurchases during 2022 which reduced both cash
and Stockholders' Equity by $5,658. The improvement was the result of continued
strong positive cash flow from normal operations. In comparison, UTMD paid
$11,465 in stockholder cash dividends in 2021, with no share purchases. The
Company also used $809 in cash in 2022 along with $552 in 2021 to invest in new
manufacturing equipment and fixtures, as well as maintaining existing Property,
Plant and Equipment (PP&E) in good working order. The two-year capital
expenditures exceeded depreciation by $113.
More specifically, UTMD's cash equivalent balances at the end of 2022 increased
$14,077 to $75,052 from $60,974 at the end of 2021. Working capital increased
$14,546 to $83,959 at the end of 2022 from $69,412 at the end of 2021. Total
liabilities increased $1,121 despite an $1,010 reduction in UTMD's deferred tax
liability and long-tern Repatriation Tax liability, primarily because of the
early dividend payment in 4Q 2021. The Company remained without debt. UTMD's
total debt ratio (total liabilities to total assets) was 8% at the end of 2022
compared to 7% at the end of 2021. Stockholders' Equity at the end of 2022
increased to $114,254 from $107,138 at the end of 2021, despite the
aforementioned $5,658 in 2022 cash dividends and share repurchases which reduced
Stockholders' Equity.
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Productivity of Fixed Assets and Working Capital Assets.
Assets.
Year-end 2022 total consolidated assets were $123,874 comprised of $89,919 in
current assets, $10,619 in consolidated net PP&E and $23,336 in net intangible
assets. This compares to $115,636 total assets at the end of 2021 comprised of
$73,158 in current assets, $11,067 in consolidated net PP&E and $31,412 in net
intangible assets. Total asset turns (total consolidated sales divided by
average total assets for the year) in 2022 were 44% compared to 43% in 2021, as
sales increased slightly faster than the increase in average assets.
Current assets increased $16,761 due to the $14,077 increase in year-end cash
and investments, $407 higher accounts and other receivables, $2,217 higher
year-end inventories and $59 higher other current assets, due to the higher
sales activity and higher raw materials purchases relative to demand. Year-end
2022 and 2021 cash and investment balances were $75,052 and $60,974,
representing 61% and 53% of total assets, respectively. Net (after allowance
for doubtful accounts) year-end trade accounts receivable (A/R) balances were
$407 higher at the end of 2022 compared to 2021 due to 4Q 2022 sales $661 higher
than in 4Q 2021, and average days in A/R of 37 days based on 4Q trade sales
instead of 36 days at the end of 2021. Average days in A/R from date of invoice
of 37 days is well within UTMD's objective. A/R over 90 days from invoice date
rose from 2.4% of total A/R at the end of 2021 to 4.2% at the end of 2022. The
Company believes any older A/R will be collected or are within its reserve
balances for uncollectible amounts. Inventories at 2022 year-end were 34%
higher from the end of 2021.
Working capital (current assets minus current liabilities) at year-end 2022 was
21% higher at $83,959 compared to $69,412 at year-end 2021. Consistent with
Federal and State rules, the TCJA repatriation tax current liability at the end
of 2022 was $419 compared to $220 at the end of 2021. The end of 2022 working
capital exceeds UTMD's needs for normal operations in an uncertain economic
environment, funding of future organic growth and timely payment of accrued tax
liabilities, in addition to allowing for substantial funding of any future
acquisition without diluting stockholder interest, as well as continued payment
of stockholder dividends and repurchase of UTMD shares. Despite a negative
impact on Return on Stockholders' Equity of retaining a high cash balance, UTMD
believes that in times of high economic uncertainty and change, maintaining
substantial cash balances increases its likelihood of being able to take
advantage of opportunities that will benefit stockholders in the longer term,
and retain key resources that will help ensure continued excellent long term
performance.
December 31, 2022 net $10,619 total PP&E includes Utah, Ireland and England
manufacturing molds, production tooling and equipment, test equipment, and
product development laboratory equipment. In addition, PP&E includes computers
and software, warehouse equipment, furniture and fixtures, facilities and real
estate for all five locations in Utah, Ireland, UK, Canada and Australia.
Manufacturing facilities in Utah, Ireland and the UK are standalone buildings
with a combined 220,000 square feet on 15 acres of land. The distribution
facilities in Australia and Canada with a combined 8,000 square feet are part of
larger industrial condominiums. Management estimates the fair market value of
the five owned facilities to be at least $35 million excluding the contents, the
fungible value of which increases stockholder enterprise value relative to most
of UTMD's industry peers which lease their facilities.
Ending 2022 net consolidated PP&E (depreciated book value of all fixed assets)
declined $448 as a result of the combination of capital expenditures of $809,
depreciation of $612 and the effect of foreign currency exchange (FX) rates on
year-end foreign subsidiary asset balances.
The following end-of-year FX rates to USD were applied to assets and liabilities
of each applicable foreign subsidiary:
12-31-22 12-31-21
EUR 1.0694 1.1377
GBP 1.2077 1.3536
AUD 0.6805 0.7268
CAD 0.7390 0.7902
The year-end 2022 net book value (after accumulated depreciation) of
consolidated PP&E was 31% of purchase cost. End-of-year PP&E turns (Net Sales
divided by Net PP&E) was 4.9 in 2022 compared to 4.4 in 2021 due to 7% higher
2022 sales and lower USD asset values of foreign subsidiaries, offset by
investment in new PP&E assets needed for the future which are not in use yet. A
future leverage in productivity of fixed assets which will not have to be
further increased to support new business activity will be a source of continued
incremental profitability.
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Net intangible assets (after accumulated amortization) are comprised of the
capitalized costs of obtaining patents and other intellectual property, as well
as the value of identifiable intangible assets (IIA) and goodwill resulting from
acquisitions. Net intangible assets were $23,337 (19% of total assets) at the
end of 2022 compared to $31,412 (27% of total assets) at the end of 2021. Per
US GAAP, intangible assets are categorized as either 1) IIA, which are amortized
over the estimated useful life of the assets, or 2) goodwill, which is not
amortized or expensed until the associated economic value of the acquired asset
becomes impaired. Those two categories of Femcare intangibles at year-end 2022
were net IIA of $6,168 and goodwill of $6,163. The accumulated amortization of
Femcare IIA as of December 31, 2022 since the March 18, 2011 acquisition was
$22,814. The remaining Femcare IIA will be fully amortized in 3 more years. The
goodwill portion of intangible assets resulting from the Femcare acquisition,
which is not amortized, declined $744 due to a weaker GBP at year-end, i.e. the
different FX rate on fixed goodwill in GBP terms. In early 2019, UTMD acquired
an additional $21,000 IIA from the purchase of the remaining life of exclusive
U.S. distribution rights for the Filshie Clip System from CSI, of which $17,316
has been amortized through year-end 2022. The remaining CSI IIA will be fully
amortized in 4Q 2023. UTMD's goodwill balance from prior acquisitions including
Femcare, Columbia Medical, Gesco and Abcorp was $13,354 at the end of 2022.
Because the products associated with UTMD's acquisitions of Columbia Medical in
1997, Gesco in 1998, Abcorp in 2004 and Femcare in 2011 continue to be viable
parts of UTMD's overall business, UTMD does not expect the current goodwill
value associated with the four acquisitions to become impaired in 2023.
Amortization of IIA was $6,417 in 2022 compared to $6,645 in 2021. The
difference was due to £1 lower Femcare IIA amortization and the GBP FX
difference on all Femcare IIA amortization. Specifically, the 2022 non-cash
amortization expense of Femcare IIA was $1,965 (£1,589) compared to $2,189
(£1,590) in 2021. The 2023 non-cash amortization expense (included as part of
consolidated G&A operating expenses) of Femcare IIA will be £1,589, or $1,923 if
the USD/GBP average FX rate is 1.21. In other words, the 2023 Femcare IIA
amortization expense is expected to be about $42 lower because of an average
projected weaker GBP relative to the USD. Both the 2022 and 2021 non-cash
amortization expense of CSI IIA was $4,421. The 2023 operating expense resulting
from final full amortization of CSI IIA will be $3,684.
Liabilities.
As a reminder, payments for the Federal and State repatriation (REPAT) tax
liability which resulted from the U.S. TCJA enacted in 2017 were 8% of the
respective tax liability per year for the first five years, and will be 15% in
the sixth year, 20% in the seventh year and 25% in the eighth year. UTMD's
total REPAT tax liability was $2,792. Calendar year 2023 represents the sixth
year, so $419 is the current liability at 15% of the total liability, and $1,256
is the long term REPAT tax liability to be paid in years 2024-2025, representing
the remaining 45%.
Year-end 2022 current liabilities were $2,214 higher than at the end of 2021.
Ending accrued liabilities were $1,558 higher due primarily to $398 higher OEM
customer deposits and an accrued stockholder dividend payable. The $1,070
stockholder dividend declared in 4Q 2022 was paid in January 2023, whereas the
$7,309 dividend declared in 4Q 2021 was paid in December 2021. Total liabilities
were $1,121 higher at the end of 2022 compared to the end of 2021. The resulting
2022 year-end total debt ratio was 8% compared to 7% at the end of 2021.
The year-end 2022 Deferred Tax Liability balance created as a result of the
fifteen-year deferred tax consequence of the amortization of Femcare's IIA was
$1,513, down from $2,105 at the end of 2021. The difference in the $592 decline
compared to the $416 tax effect of 19% (2022 UK tax rate) times $2,189 in 2022
amortization of IIA was due to the difference in the GBP FX rate on the
remaining DTL balance at the end of 2022 as well as the USD/GBP currency
exchange conversion of the IIA amortization during 2022. In addition to
liabilities stated on the balance sheet, UTMD has operating lease and purchase
obligations described in Note 14 and Note 12, respectively, to the financial
statements.
Results of Operations.
a)Revenues.
Under accounting standards applicable for 2022, the Company believed that
revenue should be recognized at the time of shipment as title generally passes
to the customer at the time of shipment, or completion of services performed
under contract. Revenue recognized by UTMD is based upon documented
arrangements and fixed contracts in which the selling price is fixed prior to
acceptance and completion of an order. Revenue from product or service sales is
generally recognized at the time the product is shipped or service completed and
invoiced, and collectability is reasonably assured. Over 99% of UTMD's revenue
is recognized at the time UTMD ships a physical device to a customer's
designated location, where the selling price for the item shipped was agreed
prior to UTMD's acceptance and completion of the customer order. There are no
post-shipment obligations which have been or are expected to be material to
financial results.
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There are circumstances under which revenue may be recognized when product is
not shipped, which have met the criteria of ASC 606: 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 fixed contractual agreement.
Terms of sale are established in advance of UTMD's acceptance of customer
orders. In the U.S., Ireland, UK, France, Australia and Canada since the
beginning of 2017, UTMD has generally accepted orders directly from and shipped
directly to end-user clinical facilities, as well as third party
medical/surgical distributors, under UTMD's Standard Terms and Conditions (T&C)
of Sale. About 14% of UTMD's domestic end-user sales went through third party
med/surg distributors which contract separately with clinical facilities to
provide purchasing, storage and scheduled delivery functions for the applicable
facility. UTMD's T&C of Sale to end-user medical facilities are substantially
the same in the U.S., Canada, Ireland, UK, France, Australia and New Zealand.
UTMD may allow separate discounted pricing agreements with a specific clinical
facility or group of affiliated facilities based on volume of purchases.
Pricing agreements which are documented arrangements with clinical facilities,
or groups of affiliated facilities, if applicable, are established in advance of
orders accepted or shipments made. For existing customers, past actual shipment
volumes typically determine the fixed price by part number for the next
agreement period. For new customers, the customer's best estimate of volume is
usually accepted by UTMD for determining the ensuing fixed prices for the
agreement period. Prices are not adjusted after an order is accepted. For the
sake of clarity, the separate pricing agreements with clinical facilities based
on volume of purchases disclosure is not inconsistent with UTMD's disclosure
above that the selling price is fixed prior to the acceptance of a specific
customer order.
UTMD's global consolidated trade sales are comprised of domestic and OUS sales.
Domestic sales in 2022 included 1) direct domestic sales, sales of finished
devices to end-user facilities and med/surg distributors in the U.S., and 2)
domestic OEM sales, sales of components or finished products, which may not be
medical devices, to other companies for inclusion in their products. OUS sales
are export sales from UTMD in the U.S. to customers outside the U.S. invoiced in
USD, and sales from UTMD subsidiaries in Ireland, Canada, Australia and the UK
which may be invoiced in EUR, GBP, CAD, AUD, NZD or USD. The term "trade" means
sales to customers which are not part of UTMD. Each UTMD manufacturing entity
had 2022 intercompany sales of components and/or finished devices to other UTMD
entities.
The following table shows the 2022 USD-denominated revenues by sales channel
compared to 2021. Because domestic sales in foreign countries were invoiced in
native currencies, the comparison in USD terms includes the change in foreign
currency translation (FX) rates. In other words, just the FX rate relative to
the USD in 2022 compared to 2021, reduced Canada domestic sales by 3.7%, Ireland
domestic sales by 11.1%, UK domestic sales by 10.7%, France domestic sales by
10.9% and Australia/NZ domestic sales by 7.7%.
Revenue [USD denominated] 2022 2022 Compared to 2021 2021
U.S. domestic (excluding OEM) $21,087 - $21,096
Canada domestic 1,294 (6.4%) 1,382
Ireland domestic 445 - 446
UK domestic 2,748 +15.1% 2,388
France domestic 1,235 (13.3%) 1,424
Australia domestic 1,267 (25.7%) 1,705
Subtotal, Direct to End-User: $28,076 (1.3%) $28,441
All Other OUS (Sales to Int'l Distributors) 13,321 +20.6% 11,050
U.S. OEM Sales 10,884 +13.8% 9,563
Worldwide Revenues $52,281 +6.6% $49,054
In summary, UTMD total worldwide (WW) consolidated USD sales in 2022 at $52,281
were almost 7% higher than in 2021 at $49,054. But direct sales OUS in foreign
currencies were substantially reduced in USD terms by a stronger USD. Total U.S.
domestic sales including OEM were up $1,312 (+4.3%) in 2022 at $31,971 compared
to $30,659 in 2021. OUS sales including sales to foreign distributors were up
$1,916 (+10.4%) at $20,311 compared to $18,395 in 2021. Constant currency OUS
sales were up 18.2%.
Domestic Sales.
U.S. domestic sales in 2022 were 4.3% higher at $31,971 (61% of total sales)
compared to $30,659 (63% of total sales) in 2021. Components of the $1,312
higher 2022 domestic sales were $857 (14.0%) lower sales of the Filshie Clip
System devices in the U.S., $1,321 (+13.8%) higher sales of components and
finished devices used in other companies' products (OEM customers), and $848
(+5.7%) higher direct sales of all other UTMD (non-Filshie) finished devices to
domestic end-users.
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Domestic Filshie Clip System sales in 2022 were 16% of total U.S. domestic sales
compared to 20% in 2021. Filshie sales have not recovered as well as the other
domestic sales categories since the COVID-19 pandemic. Looking forward to 2023,
there remains a medical procedure trend in the U.S. to choose salpingectomy
versus tubal ligation for permanent contraception post C-Section. Despite this,
UTMD expects U.S. Filshie device sales in 2023 will remain about the same as in
2022.
Domestic OEM sales in 2022 were 34% of total U.S. domestic sales compared to 31%
in 2021. UTMD sold components and finished devices to 146 different U.S.
companies in 2022 compared to 155 different companies in 2021, for use in their
product-market offerings. Sales to UTMD's largest OEM customer represented 83%
of total domestic OEM sales in 2022 compared to 82% of total domestic OEM sales
in 2021. UTMD's largest OEM customer markets biopharmaceutical manufacturing
control systems which exclusively utilize UTMD's pressure monitoring technology,
and for which demand continued to be strong. Looking forward to 2023, UTMD
expects demand for biopharmaceutical control systems to diminish relative to the
recent past.
Domestic direct end-user sales excluding the Filshie Clip System (as well as OEM
sales) were 50% of total U.S. domestic sales in 2022 compared to 49% in 2021.
Of UTMD's four domestic direct product categories, neonatal products were $707
higher (+13%), labor & delivery (L&D) products were $45 higher (+1%),
gynecology/ electrosurgery/ urology products excluding the Filshie Clip System
were $155 higher (+3%), and blood pressure monitoring devices were $59 lower
(7%). UTMD expects 2023 domestic direct sales of its well-established devices
to increase at a low single-digit percentage rate.
OUS Sales.
Sales OUS in 2022 in USD terms were $20,310 (10.4% higher) compared to $18,395
in 2021. Using the same FX rates as in 2021 ("constant currency"), 2022 OUS
sales were $21,744 (18.2% higher).
Because a significant portion of UTMD's OUS sales are invoiced in foreign
currencies, changes in FX rates can potentially have a material effect on
period-to-period USD-denominated sales. UTMD's FX rates for income statement
purposes are transaction-weighted averages. The average rates from the
applicable foreign currency to USD during 2022 compared to 2021 follow.
2022 Change 2021
GBP 1.229 (10.7%) 1.376
EUR 1.052 (11.1%) 1.183
AUD 0.693 (7.7%) 0.751
CAD 0.768 (3.7%) 0.798
The total foreign sales-weighted FX rate change impact on 2022 sales compared to
2021 was (9.9%). In other words, consolidated USD sales in 2022 were reduced
$1,433 from what they would have been using the prior year's FX rates.
Sixty-four percent of (USD denominated) 2022 OUS sales were invoiced in foreign
currencies compared to 72% in 2021. As a portion of total USD WW consolidated
sales, 25% of UTMD's USD-equivalent sales were invoiced in foreign currencies in
2022 compared to 27% in 2021. The GBP, EUR, AUD and CAD converted sales
represented 6%, 14%, 2% and 3% of total 2022 USD sales, respectively. This
compares to 6%, 15%, 3% and 3% of total 2021 USD sales.
USD-denominated trade (excludes intercompany) sales of devices to OUS customers
(excluding France) by UTMD's Ireland facility (UTMD Ltd) were $9,478 in 2022
(27% higher despite an 11% weaker EUR) compared to $7,439 in 2021. In addition,
UTMD Ltd also sold devices that it had manufactured directly to France in 2022
due to BREXIT, which earlier were sold to Femcare Ltd in the UK on an
intercompany basis and then sold by Femcare Ltd directly to French medical
facilities. USD-denominated sales to France in 2022 were $1,235 (13% lower with
an 11% lower EUR) compared to $1,424 in 2021. Some sales, mostly to Northern
Ireland, were invoiced in GBP which was also 11% lower in 2022 compared to the
2021 USD. The total FX rate change reduced Ireland's USD-denominated sales by
$897.
In 2022, UTMD's UK subsidiary, Femcare Ltd., had $2,781 trade sales of devices
to domestic UK and certain international distributor customers, 13% higher
(despite an 11% weaker GBP) compared to $2,451 in 2021. The total FX rate change
reduced the UK's USD-denominated sales by $381.
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USD-denominated sales of devices to end-users in Australia and New Zealand by
Femcare's Australia distribution subsidiary (Femcare Australia Pty Ltd) were
$1,267 (26% lower with an 8% lower AUD) in 2022 compared to $1,705 in 2021. The
weaker AUD in 2022 reduced USD-denominated Australia sales by $105.
UTMD's Canada distribution subsidiary (Utah Medical Products Canada, Inc.)
USD-denominated sales of devices to end-users in Canada were $1,294 (6% lower
with a 4% lower CAD) compared to $1,382 in 2021. The weaker CAD reduced Canada
sales by $50.
UTMD groups its sales into four general product categories: 1) obstetrics,
comprised of labor and delivery management tools for monitoring fetal and
maternal well-being, for reducing risk in performing difficult delivery
procedures and for improving clinician and patient safety; 2) gynecology/
electrosurgery/ urology, comprised of tools for gynecological procedures
associated primarily with cervical/ uterine disease including LETZ, endometrial
tissue sampling, transvaginal uterine sonography, diagnostic laparoscopy,
surgical contraception and other MIS procedures; specialty excision and incision
tools; conservative urinary incontinence therapy devices; and urology surgical
procedure devices; 3) neonatal critical care, comprised of devices that provide
developmentally-friendly care to the most critically ill babies, including
providing vascular access, enteral feeding, administering vital fluids, oxygen
therapy while maintaining a neutral thermal environment, providing protection
and assisting in specialized applications; and 4) blood pressure monitoring/
accessories/ other, comprised of specialized transducers and components as well
as molded parts and assemblies sold on an OEM basis to other companies. In
these four categories, UTMD's primary revenue contributors enjoy significant
brand awareness by clinical users.
Global revenues by product category:
2022 % 2021 %
Obstetrics $4,661 9 $4,675 9
Gynecology/ Electrosurgery/ Urology 21,841 42 21,973 45
Neonatal
7,567 14 6,691 14
Blood Pressure Monitoring and Accessories* 18,212 35 15,715 32
Total:
$52,281 100 $49,054 100
OUS revenues by product category:
2022 % 2021 %
Obstetrics $ 676 3 $ 735 4
Gynecology/ Electrosurgery/ Urology 11,603 57 11,053 60
Neonatal
1,517 8 1,347 7
Blood Pressure Monitoring and Accessories* 6,514 32 5,260 29
Total:
$ 20,310 100 $ 18,395 100
* includes molded components and finished medical and non-medical devices sold
to OEM customers.
Looking forward to 2023 sales, UTMD's largest customer representing almost $11.6
million in 2022 WW consolidated revenues, including 83% of U.S. OEM sales and
28% of Ireland's international distributor sales, has provided mixed signals for
demand for all of 2023. UTMD is planning for a reduction in annual sales to
this customer, even though shipments together with orders received to-date for
the first nine months of 2023 for pressure transducer assemblies are higher than
in 2022. The actions of the U.S. Federal Reserve to continue to increase
interest rates because of sticky inflation, combined with a lack of a
significant U.S. recession, is likely to result in a stronger average USD in
2023 relative to 2022, resulting in a negative impact on about 25% of UTMD's
sales invoiced in foreign currencies. Another key to 2023 sales results will be
retaining U.S. Filshie device sales at a similar level as in 2022. Offsetting
the above possible negative factors, because of the sticky inflation in input
costs, UTMD has raised its unit prices again in early 2023, and expects unit
demand for its medical devices to end-users to remain stable. In summary,
management's best estimate at this time is that 2023 consolidated WW revenues
may be about the same as in 2022, but perhaps lower depending on OEM sales,
without consideration for acquiring another source of revenues not currently in
UTMD's portfolio.
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b)Gross Profit (GP).
UTMD's 2022 consolidated GP, the surplus after subtracting costs of
manufacturing, which includes purchasing and transporting raw materials, forming
components, assembling, inspecting, testing, packaging and sterilizing products,
from net revenues, was $32,196 (61.6% of sales) compared to $30,917 (63.0% of
sales) in 2021. GP in 2022 increased $1,280 (+4.1%) with a 6.6% increase in
revenues.
The Gross Profit Margin (GPM), which is GP divided by sales, contracted due to
the fact that all components of manufacturing cost increased at a rate faster
than the increase in revenues which included price increases to customers.
Manufacturing costs in Utah, where about 60% of the Company's product revenues
are manufactured, increased at a rate more than double UTMD's average price
increases, resulting in a lower U.S. GPM. U.S. direct labor and raw material
costs increased more than 10%, while manufacturing overhead (MOH) costs
increased more than 20%. The Company experienced an unfavorable year for its
self-insured U.S. health care plan, a doubling of freight for incoming materials
and significantly more engineering dedicated to process improvements, all of
which are included in MOH.
UTMD's Ireland subsidiary's (UTMD Ltd's) 2022 GP was EUR 8,538 compared to EUR
6,788 in 2021. The associated GPMs were 60.0% in 2022 and 61.2% in 2021.
Femcare UK 2022 GP was GBP 1,297 compared to GBP 913 in 2021. The 2022 UK GPM
was 52.0% compared to 46.3% in 2021. A delayed substantial UK recovery in
Filshie device sales after the COVID-19 pandemic explains the GPM improvement,
as UK manufacturing overhead costs are relatively fixed. Femcare Australia and
Femcare Canada are simply distribution facilities for UTMD finished devices in
their respective countries. GP is the result of subtracting intercompany
purchase prices of devices, plus incoming freight, from revenues. Australia 2022
GP was AUD 940 (51.4% of sales) compared to AUD 1,399 (61.6% of sales) in 2021.
Canada 2022 GP was CAD 870 (51.7% of sales) compared to CAD 907 (52.4% of sales)
in 2021. In the U.S., GP was $20,699 in 2022 compared to $20,100 in 2021. The
U.S. GPM was 54.8% in 2022 compared to 55.8% in 2021. A summation of the above
GP of each subsidiary will not yield UTMD's consolidated total GP because of
elimination of profit in inventory of intercompany sales.
In 2023, UTMD has the objective to manage manufacturing cost pressures to
maintain its GPM consistent with 2022.
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c)Operating Income.
Operating Income results from subtracting operating expenses from GP. Operating
Income in 2022 was $19,790 (37.9% of sales) compared to $18,880 (38.5% of sales)
in 2021. UTMD's 2022 Operating Income margin (Operating Income divided by
sales) contracted only 0.6 percentage points after its GPM contracted 1.4
percentage points. This was due to the fact that Intangible Asset amortization
expenses related to the Filshie Clip System (included in Operating Expenses)
were better absorbed with higher sales, that is, were 1.3 percentage points
lower than in 2021. In addition, subsidiary operating expenses in foreign
currencies were diminished when translated into USD in the same manner that
foreign currency sales were diminished by a strong USD.
The UTMD Ltd (Ireland) Operating Income margin in 2022 was 57.2% compared to
57.8% in 2021. Femcare UK's Operating Income margin per US GAAP, which includes
the IIA amortization expense of the 2011 acquisition, was negative in both 2022
and 2021. Femcare Australia's 2022 Operating Income margin was 30.9% compared
to 45.9% in 2021. Femcare Canada's 2022 Operating Income margin was 37.3%
compared to 34.5% in 2021. UTMD's 2022 Operating Income margin in the U.S. was
31.2% compared to 33.2% in 2021. For clarity, the CSI IIA amortization expense
hit the U.S. Operating Income margin, and the Femcare IIA amortization expense
hit the Femcare UK Operating Income margin.
Operating expenses include sales and marketing (S&M) expenses, product
development (R&D) expenses and general and administrative (G&A) expenses.
Consolidated WW operating expenses were $12,407 (23.7% of sales) in 2022
compared to $12,037 (24.5% of sales) in 2021. The following table provides a
comparison of operating expense categories, as well as further segmentation of
G&A expenses:
2022 2021
S&M expenses $ 1,507 $ 1,414
R&D expenses 493 526
G&A expenses:
a) litigation expense provision 670 22
b) corporate legal 4 1
c) outside directors fees 131 125
d) stock option compensation 183 166
e) profit-sharing bonus accrual 444 448
f) outside accounting audit/tax 184 179
g) Femcare IIA amortization 1,965 2,189
h) CSI IIA amortization 4,421 4,421
i) property & liability insurance premiums 101 99
j)all other G&A expenses 2,304 2,447
G&A expenses - total 10,407 10,097
Total Consolidated Operating Expense: $ 12,407 $ 12,037
Percent of sales:
23.7% 24.5%
Description of Operating Expense Categories:
i) S&M expenses:
S&M expenses in 2022 were $1,507 (2.9% of sales) compared to $1,414 (2.9% of
sales) in 2021. The higher expenses were due to higher U.S. distribution costs
including fees paid to Med/Surg distributors. OUS S&M expenses in 2022 compared
to 2021 were diminished by a stronger USD, i.e. constant currency 2022 S&M
expenses would be $34 higher.
S&M expenses are the costs of communicating UTMD's differences and product
advantages, providing training and other customer service in support of the use
of UTMD's solutions, attending clinical meetings and medical trade shows,
administering customer agreements, advertising, processing orders, shipping, and
paying commissions to outside independent representatives. In markets where UTMD
sells directly to end-users, which in 2021-2022 included the U.S., Ireland, UK,
Australia, New Zealand, France and Canada, the largest components of S&M
expenses were the cost of customer service required to timely process orders and
the distribution costs associated with shipping products.
S&M expenses include all customer support costs including training. In general,
training is not required for UTMD's products since they are well-established and
have been clinically widely used. Written "Instructions For Use" are packaged
with all finished devices. Although UTMD does not have any explicit contracts
with customers to provide training, it does provide hospital in-service and
clinical training as required and reasonably requested.
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UTMD promises prospective customers that it will provide, at no charge in
reasonable quantities, electronic media and other instructional materials
developed for the use of its products. UTMD provides customer support from
offices in the U.S., Canada, Ireland, UK and Australia by telephone to answer
user questions and help troubleshoot any user issues. Occasionally, on a
case-by-case basis, UTMD may utilize the services of an independent practitioner
to provide educational assistance to clinicians. All in-service and training
expenses are routinely expensed as they occur. Except for the consulting
services of independent practitioners and occasional use of marketing
consultants, all of these services are allocated from fixed S&M overhead costs.
Historically, additional consulting costs have been immaterial to financial
results, which is also UTMD's expectation for the future.
ii) R&D expenses:
R&D expenses in 2022 were $493 (0.9% of sales) compared to $526 (1.1% of sales)
in 2021. R&D expenses include the costs of investigating clinical needs,
developing innovative concepts, testing concepts for viability, validating
methods of manufacture, completing any necessary premarketing clinical trials,
regulatory documentation and other activities required for design control,
responding to customer requests for product enhancements, and assisting
manufacturing engineering on an ongoing basis in developing new processes or
improving existing processes. Product development (R&D) expenses declined as a
result of reassigning engineers to help with manufacturing improvements and
quality assurance in a challenging year. R&D also played a significant role in
manufacturing process improvements that were needed to support fast-growing OEM
product demand. Other than OEM products, no new UTMD devices were launched in
2022. UTMD does not pre-announce new devices that are being developed.
iii) G&A expenses:
G&A expenses in 2022 were $10,407 (19.9% of sales) compared to $10,096 (20.6% of
sales) in 2021. G&A expenses include the "front office" functional costs of
executive management and outside directors, finance and accounting, corporate
information systems, human resources, stockholder relations, corporate risk
management, corporate governance, protection of intellectual property,
amortization of identifiable intangibles and legal costs. The table above helps
identify certain specific categories of G&A expenses which might be of interest
to stockholders.
The increase in G&A expenses was essentially due to $648 higher U.S. litigation
costs, offset by $351 reduction of OUS foreign currency expenses due to a
stronger USD. An FX rate change favorable USD impact of $223 (out of the $351
total) was from the amortization of Femcare acquisition IIA, which was £1,589 in
2022 compared to £1,590 in 2021.
As stockholders likely remember, the non-cash IIA amortization expense related
to the Filshie Clip System includes IIA from both the 2011 acquisition of
Femcare Group Ltd and the 2019 purchase of the CSI exclusive U.S. distribution
rights for the Filshie Clip System. The combined IIA amortization expense in
2022 was 12.2% of total WW consolidated sales ($6,386) compared to 13.5% in 2021
($6,610). The decline in percent of sales was due both to higher sales and to a
stronger USD converting the GBP IIA amortization expense, which was about the
same in GBP as in the prior year.
The Femcare IIA amortization expense will continue at the same £397 per calendar
quarter rate ending in 1Q 2026 (or until the value of any remaining IIA becomes
impaired), subject to changes in the FX rate when converted to USD. The early
2019 purchase of CSI exclusive Filshie Clip System U.S. distribution rights is
being amortized at $1,105 per calendar quarter over the remaining life of the
Femcare distribution agreement with CSI, which will end in 4Q 2023..
Excluding the non-cash Femcare and CSI IIA amortization expenses, UTMD
consolidated operating expenses were $6,021 (11.5% of sales) in 2022 compared to
$5,427 (11.1% of sales) in 2021. The difference was due to litigation expenses.
Maintaining a consistent GPM and tightly controlling operating expenses remains
the key to UTMD's excellent profitability and Return on Stockholder Equity
(ROE).
d)Non-operating income/Non-operating expense, and Income Before Taxes (EBT).
Non-operating income includes royalties from licensing UTMD's technology, rent
from leasing underutilized property to others, income earned from investing the
Company's excess cash and gains from the sale of assets. Non-operating expense
includes interest on bank loans, bank service fees, excise taxes and losses from
the sale of assets. Also, the period-to-period remeasured value of EUR cash
balances held in the UK, and GBP balances held in Ireland, generates a gain or
loss which is booked at reporting period end as non-operating income or expense,
as applicable.
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Net non-operating income (combination of non-operating income and non-operating
expense) was $869 in 2022 and $181 in 2021. The higher non-operating income in
2022 compared to 2021 was due to higher interest income on UTMD's cash balances.
A description of components of UTMD's non-operating income or expense follows:
1) Interest Expense. There was no interest expense in 2022 or 2021. Absent an
acquisition or large repurchase of shares that requires new borrowing, UTMD does
not expect any interest expense in 2023.
2) Investment of excess cash. Consolidated investment income (including gains
and losses on sales of investments) was $661 in 2022 compared to $46 in 2021.
Average cash balances were almost $12 million higher in 2022 than in 2021. In
addition, in contrast to 2022, interest rates in 2021 were practically zero, and
UTMD had to pay negative interest on EUR bank balances in Ireland. UTMD is
projecting higher interest rates to continue in 2023, leading to another
substantial increase in non-operating income.
3) Royalties. Royalties in 2022 were $20 compared to $15 in 2021. Presently,
there is only one arrangement which began in 2020 under which UTMD is receiving
royalties on its technology.
4) Gains/ losses from remeasured currency in bank accounts. UTMD recognized a
$20 loss in 2022 compared to a $23 loss in 2021 from losses on remeasured
foreign currency bank balances. EUR currency cash balances in the UK, and GBP
currency cash bank balances in Ireland, are subject to remeasured currency
translation gains/ losses as a result of period to period changes in FX rates.
5) Other non-operating income or expense. Income received from renting unused
warehouse space in Ireland and parking lot space in Utah for a cell phone tower,
offset by bank fees, and other miscellaneous non-operating expenses resulted in
net non-operating income of $196 in 2022 compared to a net non-operating income
of $124 in 2021.
EBT results from adding net non-operating income or subtracting net
non-operating expense from Operating Income. Consolidated EBT was $20,659 (39.5%
of sales) in 2022 compared to $19,061 (38.9% of sales) in 2021. In other words,
despite the inflationary cost pressures diluting UTMD's GPM and much higher
litigation expenses, the Company expanded its EBT Margin (EBT as a percentage of
sales) on higher sales, yielding an 8.4% increase in EBT in a tough year. In
summary, UTMD's 2022 EBT substantially exceeded management's beginning of year
projections due to achieving less dilution in profit margins and greater
non-operating income than was expected.
The 2022 EBT of UTMD Ltd. (Ireland) was €8,013 (56.3% of sales) compared to
€6,277 (56.6% of sales) in 2021. Femcare Ltd's (UK) 2022 EBT was (£574)
compared to (£1,003) in 2021. Femcare Ltd, as the legal manufacturer of the
Filshie Clip System, supports worldwide regulatory requirements in addition to
absorbing the IIA amortization expense of the 2011 Femcare Group acquisition.
Femcare AUS's 2022 EBT was AUD 573 (31.3% of sales) compared to AUD 1,042 (45.9%
of sales) in 2021. Femcare Canada's 2022 EBT was CAD 622 (36.9% of sales)
compared to CAD 592 (34.2% of sales) in 2021.
As a side note for clarity of comparison of financial results, UTMD's 2021 EBT,
as well as all other income statement measures above the EBT line in the 2021
Income Statement, were unaffected by the 2Q 2021 income tax provision adjustment
as a result of a future income tax rate change in the UK, which increased UTMD's
long term deferred tax liability and reduced Net Income in 2021.
EBITDA is a non-US GAAP metric that UTMD management believes is of interest to
investors because it provides meaningful supplemental information to both
management and investors that represents profitability performance without
factoring in effects of financing, accounting decisions regarding non-cash
expenses, capital expenditures or tax environments. If the Company were to need
to borrow to pay for a major asset or acquisition, the projected EBITDA metric
would be of primary interest to a lending institution to determine UTMD's credit
worthiness. Although the U.S. Securities and Exchange Commission advises that
EBITDA is a non-GAAP metric, UTMD's non-US GAAP EBITDA is the sum of the
following elements in the table below, each of which is a US GAAP number:
2022 2021
EBT $20,659 $19,061
Depreciation Expense 612 636
Femcare IIA Amortization Expense 1,965 2,189
CSI IIA Amortization Expense
4,421 4,421
Other Non-Cash Amortization Expense 31 34
Stock Option Compensation Expense 183 166
Remeasured Foreign Currency Balances 20 23
UTMD non-US GAAP EBITDA: $27,891 $26,530
In summary, UTMD's 2022 non-US GAAP EBITDA increased 5.1% compared to 2021.
e)Net Income, Earnings Per Share (EPS) and Return on Equity (ROE).
i) Net Income
Net Income results after subtracting a provision for estimated income taxes from
EBT. UTMD's US GAAP Net Income in 2022 was $16,473 (31.5% of sales) compared to
$14,788 (30.1% of sales) in 2021. Because of a future UK income tax rate change
enacted in 2021 which reduced 2021 Net Income and EPS results per US GAAP,
management does not believe the year-to-year comparisons in US GAAP Net Income
and EPS are an accurate measure of UTMD's bottom-line 2022 financial performance
comparison with 2021. Ignoring the income tax adjustment, 2021 non-US GAAP Net
Income was $15,178 (30.9% of sales). Please see the table below which presents
Net Income both according to US GAAP and also prior to recognition of the 2021
income tax provision adjustment.
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The US GAAP consolidated income tax provision rate for 2022 was 20.3% compared
to 22.4% in 2021. The estimated tax provision adjustment in 2021 increased the
average rate. The non-US GAAP consolidated combined income tax provision rate
for 2021 was 20.4%, about the same as in 2022. For clarity, the UK income tax
rate change in 2021 from 19% to 25% beginning in April 2023 added $390 to UTMD's
2021 income tax provision, representing the increased tax which will be due over
the remaining life of amortization of Femcare's IIA, which is not a
tax-deductible expense in the UK.
In general, year-to-year fluctuations in the combined average income tax
provision rate will result from variation in EBT contribution from subsidiaries
in jurisdictions with different corporate income tax rates. Taxes in foreign
subsidiaries are based on taxable EBT in those sovereignties, which can be
different from the contribution to consolidated EBT per US GAAP. UTMD expects,
barring any new tax law changes which are currently unknown, that its combined
income tax rate for 2023 will be within the 20.3%-20.5% range.
The UK had a corporate income tax rate of 19% for both 2022 and 2021. The UK
also allowed a tax deduction for sales of UK patented products which varied from
year-to-year based on somewhat complicated rules which are sorted out for UTMD
by independent UK tax specialists. The income tax rate for AUS was 30% for both
2022 and 2021. The income tax rate for Canada was about 27% for both years.
Profits of the Ireland subsidiary were taxed at a 12.5% rate on exported
manufactured products, and a 25% rate on rental and other types of income
including income from sales of medical devices in Ireland domestically. As UTMD
stockholders likely remember, in the U.S., the Federal income tax rate was
changed after 2017 to 21% from 34% prior to the 2017 Tax Cut and Jobs Act
(TCJA). Federal taxes are not 21% of U.S. EBT, however, as income taxes paid to
the State are a deductible expense for Federal tax purposes, other expenses are
not deductible and there remains an R&D tax credit along with other credits, not
to mention a GILTI tax related to foreign income and FDII tax credit related to
profits on export sales. The Utah state income tax rate declined to 4.95% from
5% prior to the TCJA, and the State of Utah enacted income apportionment rules
that provide for additional tax relief.
ii) Earnings Per Share (EPS)
EPS are Net Income divided by the number of shares of stock outstanding (diluted
to take into consideration stock option awards which are "in the money," i.e.,
have exercise prices below the applicable period's weighted average market
value). US GAAP diluted EPS in year 2022 were $4.522 compared to $4.041 in
2021, an 11.9% increase. Excluding the income tax provision increase due to the
DTL adjustment in 2021, non-US GAAP diluted EPS in 2021 were $4.147. The 2022
EPS increase over the non-US GAAP 2021 EPS was 9.0%, which is more indicative of
normal operating results. The increase in EPS was higher than the increase in
Operating Income as a result of the 2022 improvement in net non-operating income
from higher interest on higher cash balances, and a stock buy-back in 2Q 2022.
Diluted shares were 3,643,256 for the year 2022 compared to 3,659,814 in 2021.
Dilution for "in the money" unexercised options for the year 2022 was 5,934
shares compared to 12,606 shares in 2021. Actual outstanding common shares as of
December 31, 2022 were 3,627,767. The 2022 EPS exceeded management's projection
at the beginning of the year.
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UTMD management believes the presentation of Net Income and EPS results
excluding the tax liability estimate adjustment in 2021 provides meaningful
supplemental information to both management and investors that is more clearly
indicative of UTMD's bottom line results for comparison purposes.
US GAAP:
2022 2021
Net Income $16,473 $14,788
Net Income Margin 31.5% 30.1%
EPS $ 4.522 $ 4.041
Non-US GAAP (excluding the 2021 UK DTL change):
2022 2021
Net Income $16,473 $15,178
Net Income Margin 31.5% 30.9%
EPS $ 4.522 $ 4.147
Note: The 2021 tax provision adjustment only affected UTMD's income tax
provision, Net Income and EPS, not consolidated revenues (sales), GP, Operating
Income or EBT.
The non-US GAAP financial measures indicate that the 2022 growth in Net Income
and EPS compared to 2021 was more modest, and facilitate management's internal
comparisons for purposes of planning future performance. The non-US GAAP
financial measures disclosed by UTMD should not be considered a substitute for
or superior to financial measures calculated in accordance with US GAAP, and the
financial results calculated in accordance with US GAAP and reconciliations to
those financial statements should be carefully evaluated.
Looking forward to 2023, UTMD believes that sales to its medical device
end-users will remain stable. This might be partly offset, however, if the USD
on the average is stronger, reducing the USD value of approximately 25% of
UTMD's revenues invoiced in foreign currencies. In recent years, UTMD's sales
to its largest OEM customer have grown rapidly, culminating in 22% of UTMD's
consolidated WW revenues in 2022. Projections of demand from this customer have
not been reliable in the past, and its signals for 2023 are currently mixed
despite year-to-date orders which are higher. Given the abatement of vaccine
production for COVID-19, UTMD anticipates a near term lessening of
pharmaceutical control device demand, perhaps reducing UTMD's revenues in 2023
relative to 2022 from this customer. Therefore, management believes it is
reasonable to project 2023 revenues in the range of $50 to $52 million compared
to $52.3 million in 2022, without consideration for acquiring another source of
revenues not currently in UTMD's portfolio. The Company also believes it can
maintain its Gross Profit Margin and Operating Income Margin in 2023 with
slightly lower sales, excluding unusual litigation costs, despite economic
headwinds associated with a high cost inflation environment. In the absence of
a significant use of cash to increase long term stockholder value, the
incremental litigation costs should be more than covered by UTMD's increase in
interest income on its cash reserves. The endpoint of this 2023 projection is
Net Income and EPS about the same as in 2022.
iii) ROE
Maintaining a high ROE remains a key management objective for UTMD in order to
grow without diluting stockholder interest. ROE is the quotient of Net Income
divided by average Stockholders' Equity, but more specifically it is the product
of the Net Income margin, productivity of assets and financial leverage.
Although UTMD's high Net Income margin is the primary factor that continues to
drive its ROE, cash dividends to stockholders and repurchase of shares help in
lowering average Stockholders' Equity, reducing the denominator in calculating
ROE. UTMD's 2022 ROE before stockholder dividends was 14.9%. In comparison,
2021 ROE was 14.1%.
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The higher 2022 ROE compared to 2021 was the result of 11.4% higher US GAAP Net
Income coupled with 5.4% higher average Stockholders' Equity. Average
Stockholders' Equity was $110,696 in 2022 compared to $104,980 in 2021. UTMD's
Stockholders' Equity has more than doubled over the last ten years to $114
million at the end of 2022, despite being reduced by $46 million in dividends
plus $16 million in share repurchases over that same period of time.
Maintaining a high ROE with the dilutive effect of rapidly growing Average
Stockholders' Equity (despite reductions from dividends and stock repurchases),
while maintaining excellent Net Income results, suggests an excellent increase
in stockholder value. UTMD's average ROE over the last 30 years was 24%.
Liquidity and Capital Resources
Cash Flows.
Net cash provided by operating activities in 2022 totaled $21,147 compared to
$21,203 in 2021. Net Income at $1,685 higher in 2022 compared to 2021 allowed
net cash provided by operating activities in 2022, including adjustments for
depreciation and other non-cash operating expenses, along with changes in
working capital and the tax benefit attributable to exercise of employee
incentive stock options, to be about the same as in 2021. The increase in Net
Income funded operating activities particularly including a $1,868 higher
increase in inventories than the increase in 2021 (second order derivative).
The additional inventory increase was a hedge against supply chain disruption
emanating from the COVID-19 pandemic. Other changes were a function of normal
business activity, e.g. 1) a $577 lower use of cash as a result of increasing
trade accounts receivable (A/R) $511 instead of the $1,088 increase in 2021, 2)
a $486 lower use of cash as a result of increasing accounts payable $463 instead
of the $23 decrease in 2021, 3) a $461 higher use of cash from increasing
accrued expenses only $252 compared to the $713 increase in 2021, 4) a $308
higher use of cash from reducing deferred income taxes $401 compared to the $92
reduction in 2021, and 5) $251 less cash provided from less depreciation and
amortization in 2022 compared to 2021. Also, the income tax benefit
attributable to exercise of employee stock options in 2022 was $34 lower than in
2021 because 10,210 fewer shares were exercised.
In investing activities, during 2022 UTMD used $809 in capital expenditures to
purchase new molds and manufacturing equipment and fixtures for expanded
capabilities as well as to maintain and improve existing operating capabilities,
compared to investing $552 in 2021. Capital expenditures exceeded depreciation
by $197. UTMD also expensed $40 more in 2022 compared to 2021 for tools and
equipment, including repairs.
In 2022, UTMD received $174 and issued 3,135 shares of stock upon the exercise
of employee and director stock options. Employees exercised a total of 3,501
option shares in 2022, with 366 shares immediately being retired as a result of
optionees trading the shares in payment of the exercise price of the options.
Option exercises in 2022 were at an average price of $60.34 per share. The
Company received a $6 tax benefit from option exercises in 2022. UTMD
repurchased 30,105 shares of its stock in the open market during 2022 at an
average cost of $82.88 per share.
In comparison, in 2021 UTMD received $560 and issued 11,702 shares of stock upon
the exercise of employee stock options. Employees exercised a total of 13,711
option shares in 2021, with 2,009 shares immediately being retired as a result
of optionees trading the shares in payment of the exercise price of the options.
Option exercises in 2021 were at an average price of $57.40 per share. The
Company received a $39 tax benefit from option exercises in 2021. UTMD did not
repurchase shares of its stock in the open market during 2021.
UTMD did not borrow in the years 2021 and 2022. Cash dividends paid to
stockholders were $3,162 in 2022 compared to $11,465 in 2021.
Management believes that future income from operations and effective management
of working capital will continue to provide the liquidity needed to finance
internal growth plans. In an uncertain economic environment, UTMD's cash
balances allow management to operate with the long-term best interest of
stockholders in mind. Planned 2023 capital expenditures for ongoing operations
are expected to be about the same in magnitude as depreciation of PP&E, although
additional capital expenditure opportunities are being considered.
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Management plans to utilize cash not needed to support normal operations in one
or a combination of the following: 1) in general, to continue to invest at
opportune times in ways that will enhance future profitability; 2) to make
additional investments in new technology and/or processes; and/or 3) to acquire
a product line or company that will augment revenue and EPS growth and better
utilize UTMD's existing infrastructure. If there are no better strategic uses
for UTMD's cash, the Company will continue to return cash to stockholders in the
form of dividends and share repurchases when the stock appears undervalued.
Management's Outlook.
UTMD remains relatively small compared to many other companies, but its
employees are experienced and remain diligent in their work. UTMD's passion is
in providing differentiated clinical solutions that will help improve the
outcomes of medical procedures and reduce health risks, particularly for women
and their babies.
The safety, reliability and performance of UTMD's medical devices are
consistently high and represent significant clinical benefits while providing
minimum total cost of care. UTMD will continue to leverage its reputation as a
device innovator and reliable manufacturer which will responsively take on
challenges to work with clinicians who use its specialty devices. In doing so,
UTMD will continue to differentiate itself, especially from its
commodity-oriented competitors. In 2023, UTMD again plans to
1) leverage distribution and manufacturing synergies by further integrating
capabilities and resources in its multinational operations;
2) expand manufacturing capacity at a time when resources are scarce;
3) focus on effectively differentiating the benefits of the Filshie Clip System
in the U.S.;
4) introduce additional products helpful to clinicians through product
development;
5) continue to achieve excellent overall financial operating performance;
6) utilize positive cash generation to continue providing cash dividends to
stockholders and make open market share repurchases if/when the UTMD share price
seems undervalued; and
7) remain vigilant for affordable accretive acquisition opportunities which may
be brought about by difficult burdens on small, innovative companies.
The Company has a fundamental focus to do an excellent job in meeting
clinicians' and patients' needs, while providing stockholders with excellent
returns. In the combined form of cash dividends and share repurchases, UTMD
"returned" $5,658 (34% of Net Income) in 2022 compared to $11,465 (78% of Net
Income) in 2021 to stockholders.
In 2022, the value of UTMD's stock increased, albeit less than 1%, ending the
year at $100.53/ share, while $0.87 in cash dividends/ share were paid to
stockholders. The DJIA, S&P 500 and NASDAQ (where UTMD is traded) indices were
all lower in 2022, respectively by 9%, 19% and 33%.
In comparison, in 2021, the value of UTMD's stock improved 19%, ending the year
at $100.00/ share, while $3.14 in cash dividends/ share were paid. The DJIA, S&P
500 and NASDAQ (where UTMD is traded) indices were up 19%, 27% and 27%
respectively in 2021.
The average annually compounded appreciation in UTMD stock value for the last 24
years was 12.0% per year, substantially outpacing all of the major indices.
Adding dividends, UTMD stockholder value increased at an annually compounded
rate of 12.9% over the last 24 years since 1998.
Combining share price appreciation as a result of a long-term financial
performance and a capital allocation strategy that includes opportunistic share
repurchases with steadily growing quarterly cash dividends paid to stockholders
since 2004, longer term UTMD stockholders have experienced excellent returns.
Management is committed to continue that performance.
Off Balance Sheet Arrangements
None
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Contractual Obligations
The following is a summary of UTMD's significant contractual obligations and
commitments as of December 31, 2022:
Contractual Obligations and Total 2023 2024-2025 2026-2027 2028 and thereafter
Commitments
Long-term debt obligations $ - $ - $ - $ -
$ -
Operating lease obligations 444 64 105 97 178
Purchase obligations 4,798 4,769 29 - -
Total $ 5,242 $ 4,833 $ 134 $ 97 $ 178
Critical Accounting Policies and Estimates
The preparation of these financial statements requires management to make
estimates and assumptions that affect the reported amounts of assets and
liabilities as well as the reported amounts of revenues and expenses during the
reporting period.
Management bases its estimates and judgments on historical experience, current
economic and industry conditions and on various other factors that are believed
to be reasonable under the circumstances. This forms the basis for making
judgments about the carrying values of assets and liabilities that are not
readily available from other sources. Management has identified the following as
the Company's most critical accounting policies which require significant
judgment and estimates. Although management believes its estimates are
reasonable, actual results may differ from these estimates under different
assumptions or conditions.
·Allowance for doubtful accounts: The majority of the Company's receivables are
with healthcare facilities and medical device distributors. Although the
Company has historically not had significant write-offs of bad debt, the
possibility exists, particularly with foreign distributors where collection
efforts can be difficult or in the event of widespread hospital bankruptcies.
·Inventory valuation reserves: The Company strives to maintain inventory to 1)
meet its customers' needs and 2) optimize manufacturing lot sizes while 3) not
tying-up an unnecessary amount of the Company's capital increasing the
possibility of, among other things, obsolescence. The Company believes its
method of reviewing actual and projected demand for its existing inventory
allows it to arrive at a fair inventory valuation reserve. While the Company has
historically not had significant inventory write-offs, the possibility exists
that one or more of its products may become unexpectedly obsolete for which a
reserve has not previously been created. The Company's historical write-offs
have not been materially different from its estimates.
Accounting Policy Changes
The Company's management has evaluated the recently issued accounting
pronouncements through the filing date of these financial statements and has
determined that the application of these pronouncements will not have a material
impact on the Company's financial position and results of operations.
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