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HTRN Htetf (MM)

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Healthtronics, Inc. - Annual Report (10-K)

12/03/2008 4:28pm

Edgar (US Regulatory)


_______________________________________________________

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549

_____________________________

FORM 10-K

[X] Annual Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934
For the fiscal year ended December 31, 2007
OR
[ ] Transition Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934
For the transition period from ________ to ________

Commission File Number: 000-30406


_____________________________

HEALTHTRONICS, INC.
(Exact name of registrant as specified in its charter)


  GEORGIA     58-2210668
  (State or other jurisdiction of
incorporation or organization)
    (I.R.S. Employer
Identification No.)



1301 Capital of Texas Highway, Suite B-200, Austin, Texas 78746
           (Address of principal executive office)                (Zip code)

(512) 328-2892
(Registrant’s telephone number, including area code)

Securities registered pursuant to Section 12(b) of the Act:
None
Securities registered pursuant to Section 12(g) of the Act:
Common Stock

      Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. YES __ NO X

      Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or 15(d) of the Act. YES __ NO X

      Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. YES X NO __

      Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be contained, to the best of the registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of the Form 10-K or any amendment to this Form 10-K.

      Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, or a non-accelerated filer. See definition of “accelerated filer” and “large accelerated filer” in Rule 12b-2 of the Exchange Act. (check one):


Large accelerated filer   ¨                  Accelerated filer   x                  Non-accelerated filer   ¨


      Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). YES __ NO X

      State the aggregate market value of the voting and non-voting common equity held by non-affiliates computed by reference to the price at which the common equity was sold, or the average bid and asked price of such common equity, as of the last business day of the registrant’s most recently completed second fiscal quarter.


Aggregate Market Value at June 30, 2007: $ 125,167,000


Indicate the number of shares outstanding of each of the registrant’s classes of common stock, as of the latest practicable date.


  Title of Each Class
     Common Stock, no par value
  Number of Shares Outstanding at February 28, 2008
35,783,811

DOCUMENTS INCORPORATED BY REFERENCE

      Selected portions of the Registrant’s definitive proxy material for the 2008 annual meeting of stockholders are incorporated by reference into Part III of the Form 10-K.


HEALTHTRONICS, INC.
ANNUAL REPORT ON FORM 10-K
FOR THE FISCAL YEAR ENDED DECEMBER 31, 2007
PART I

ITEM 1.     BUSINESS

General

We provide healthcare services and manufacture medical devices, primarily for the urology community. Prior to July 31, 2006, we also designed and manufactured trailers and coaches that transport high technology medical devices and equipment for mobile command and control centers and the media and broadcast industry. On July 31, 2006, we completed the sale of our specialty vehicle manufacturing division. For a further discussion of this sale, see “Specialty Vehicle Manufacturing” under this Part I.

For a discussion of recent developments, see “Management’s Discussion and Analysis of Financial Condition and Results of Operations–Recent Developments.”

On November 10, 2004, Prime Medical Services, Inc. (“Prime”) completed a merger with HealthTronics Surgical Services, Inc. (“HSS”) pursuant to which Prime merged with and into HSS, with HealthTronics, Inc. (“HealthTronics”) as the surviving corporation. Under the terms of the merger agreement, as a result of the merger, Prime’s stockholders received one share of HealthTronics common stock for each share of Prime common stock they owned. Immediately following the merger, Prime’s stockholders owned approximately 62% of the outstanding shares of HealthTronics common stock, and Prime’s directors and senior management represented a majority of the combined company’s directors and senior management. As a result, Prime was deemed to be the acquiring company for accounting purposes and the merger was accounted for as a reverse acquisition under the purchase method of accounting for business combinations in accordance with accounting principles generally accepted in the United States. The consideration paid (purchase price) was allocated to the tangible and intangible net assets of HSS based on their fair values, and the net assets of HSS were recorded at their fair values as of the completion of the merger and added to those of Prime. The assets acquired and liabilities assumed were deemed to be those of HealthTronics because HealthTronics was the surviving legal entity.

In this document, references to “we,” “us,” “our” and “HealthTronics” shall mean HealthTronics and its consolidated subsidiaries after the merger, except when the context requires, such references shall refer to HealthTronics and its consolidated subsidiaries either before or after the merger. References to “Prime” shall mean Prime and its consolidated subsidiaries before the merger, and references to “HSS” shall mean HSS and its consolidated subsidiaries before the merger.

Urology

Our lithotripsy services are provided principally through limited partnerships or other entities that we manage, which use lithotripsy devices. In 2007, physicians who are affiliated with us used our lithotripters to perform approximately 48,000 procedures in the U.S. We do not render any medical services. Rather, the physicians do.

We have two types of contracts, retail and wholesale, that we enter into in providing our lithotripsy services. Retail contracts are contracts where we contract with the hospital and private insurance payors. Wholesale contracts are contracts where we contract only with the hospital. The two approaches functionally differ in that, under a retail contract, we generally bill for the entire non-physician fee for all patients other than governmental pay patients, for which the hospital bills the non-physician fee. Under a wholesale contract, the hospital generally bills for the entire non-physician fee for all patients. In both cases, the billing party contractually bears the costs associated with the billing service, including pre-certification, as well as non-collection. The non-billing party is generally entitled to its fees regardless of whether the billing party actually collects the non-physician fee. Accordingly, under the wholesale contracts where we are the non-billing party, the hospital generally receives a greater proportion of the total non-physician fee to compensate for its billing costs and collection risk. Conversely, under the retail contracts where we generally provide the billing services and bear the collection risk, we receive a greater proportion of the total non-physician fee.


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Although the non-physician fee under both retail and wholesale contracts varies widely based on geographical markets and the identity of the third party payor, we estimate that nationally, on average, our share of the non-physician fee was roughly $2,100, respectively, for both 2007 and 2006. At this time, we do not anticipate a material shift between our retail and wholesale arrangements.

As the general partner of the limited partnerships or the manager of the other types of entities, we also provide services relating to operating our lithotripters, including scheduling, staffing, training, quality assurance, regulatory compliance, and contracting with payors, hospitals and surgery centers.

Also in the urology segment, we provide treatments for benign and cancerous conditions of the prostate. In treating benign prostate disease, we deploy three technologies: (1) trans-urethral microwave therapy (TUMT), (2) photo-selective vaporization of the prostate (PVP), and (3) trans-urethral needle ablation (TUNA). All three technologies apply an energy source which reduces the size of the prostate gland. In September 2007, we completed the sale of our Rocky Mountain Prostate business, which represented almost our entire TUMT treatment operations. For treating prostate and other cancers prior to November 30, 2006, we used a procedure called cryosurgery, a process which uses a double freeze thaw cycle to destroy cancer cells. We sold our cryosurgery business on November 30, 2006 and have classified it as discontinued operations in the accompanying consolidated financial statements.

We recognize urology revenue primarily from the following sources:


 

Fees for urology services . A substantial majority of our urology revenue is derived from fees related to lithotripsy treatments performed using our lithotripters. We, through our partnerships or other entities, facilitate the use of our equipment and provide other support services in connection with these treatments at hospitals and other health care facilities. The professional fee payable to the physician performing the procedure is generally billed and collected by the physician. Benign prostate disease and prostate cancer treatment services are billed in the same manner as our lithotripsy services under either retail or wholesale contracts. These services are also primarily performed through limited partnerships, which we manage.

 
 

Fees for operating our lithotripters . Through our partnerships and otherwise directly by us, we provide services related to operating our lithotripters and receive a management fee for performing these services.


Medical Products

We manufacture, sell and maintain lithotripters and their related consumables. We also manufacture, sell and maintain intra-operative X-ray imaging systems and other mobile patient management tables, and are the exclusive U.S. distributor of the Revolix branded laser. The operations of our Claripath pathology laboratory are also included in our medical products segment at this time.


 

Fees for maintenance services . We provide equipment maintenance services to our partnerships as well as outside parties. These services are billed either on a time and material basis or at a fixed monthly contractual rate.

 

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Fees for equipment sales, consumable sales and licensing applications . We manufacture, sell and maintain lithotripters and certain medical tables, we distribute the Revolix laser and we also manufacture and sell consumables related to the lithotripters. With respect to some lithotripter sales, in addition to the original sales price, we receive a licensing fee from the buyer of the lithotripter for each patient treated with such lithotripter. In exchange for this licensing fee, we provide the buyer of the lithotripter with certain consumables. All the sales for equipment and consumables are recognized when the related items are delivered. Revenues from licensing fees are recorded when the patient is treated. In some cases, we lease certain equipment to our partnerships as well as third parties. Revenues from these leases are recognized on a monthly basis or as procedures are performed.

 
 

Fees for Claripath anatomical pathology services . We provide anatomical pathology services primarily to the urology marketplace. Revenues from these services are recorded when the related laboratory procedures are performed.


Specialty Vehicle Manufacturing

Before July 31, 2006, we designed, constructed and engineered mobile trailers, coaches, and special purpose mobile units that transport high technology medical devices such as magnetic resonance imaging, or MRI, cardiac catheterization labs, CT scanware, lithotripters and positron emission tomography, or PET, and equipment designed for mobile command and control centers, and broadcasting and communications applications.

Before July 31, 2006, a significant portion of our revenue had been derived from our manufacturing operations. Revenue from the manufacture of trailers where we had a customer contract prior to beginning production was recognized when the project was substantially complete. Substantially complete is when the following has occurred (1) all significant work on the project is done; (2) the specifications under the contract have been met; and (3) no significant risks remain. Revenue from the manufacture of trailers built to an OEM’s forecast was recognized upon delivery.

On June 22, 2006, HealthTronics and AK Acquisition Corp., a wholly-owned subsidiary of Oshkosh Truck Corporation (“Oshkosh”), entered into an Interest and Stock Purchase Agreement pursuant to which Oshkosh agreed to acquire our specialty vehicle manufacturing segment for $140 million in cash. We completed this sale on July 31, 2006 and have classified it as discontinued operations in the accompanying consolidated financial statements.

Orthotripsy

In orthopaedics, we provided non-invasive surgical solutions for a wide variety of orthopaedic conditions such as chronic plantar fasciitis and chronic lateral epicondylitis, more commonly known as heel pain and tennis elbow, respectively. We provided these services with our device called the OssaTron, which is an evolution of the lithotripsy technology. The OssaTron is approved by the FDA for the two previously stated indications and has been demonstrated to be effective through clinical studies. In August 2005, we sold our orthopaedics business unit to SanuWave, Inc., a company controlled by Prides Capital Partners L.L.C.

Revenues and Industry Segments

The information required by Regulation S-K Items 101(b) and 101(d) related to financial information about segments and financial information about sales is contained in Note K of our consolidated financial statements, which are included in this Annual Report on Form 10-K.


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Competition

The lithotripsy services market is highly fragmented and competitive. We compete with other companies, private facilities and medical centers that offer lithotripsy machines and services, including smaller regional and local lithotripsy service providers. Certain of our current and potential competitors have substantial financial resources and may compete with us for acquisitions and development of operations in markets targeted by us. Additionally, while we believe that lithotripsy has emerged as the superior treatment for kidney stone disease, we also compete with hospitals, clinics and individual medical practitioners that offer alternative treatments for kidney stones.

In Medical Products, we also compete with other manufacturers of minimally invasive medical devices in our markets. The primary competitors include Dornier MedTech GmbH, Siemens AG, Storz Medical, Richard Wolf GmbH and Direx.

Potential Liabilities-Insurance

All medical procedures performed in connection with our business activities are conducted directly by, or under the supervision of, physicians who are not our employees. We do not provide medical services to any patients. However, patients being treated at health care facilities at which we provide our non-medical services could suffer a medical emergency resulting in serious injury or death, which subjects us to the risk of lawsuits seeking substantial damages.

We may also face product liability claims as a result of our medical device manufacturing.

We currently maintain general and professional liability insurance with a total limit of $1,000,000 per loss event and $3,000,000 policy aggregate and an umbrella excess limit of $10,000,000, with a deductible of $50,000 per occurrence. In addition, we require medical professionals who utilize our services to maintain professional liability insurance. All of these insurance policies are subject to annual renewal by the insurer. If these policies were to be canceled or not renewed, or failed to provide sufficient coverage for our liabilities, we might be forced to self-insure against the potential liabilities referred to above. In that event, a single incident might result in an award of damages that might have a material adverse effect on our results of operations or financial condition. We sponsor a partially self-insured group medical insurance plan. The plan is designed to provide a specified level of coverage, with stop-loss coverage provided by a commercial insurer. Our maximum claim exposure is limited to $100,000 per person per policy year.

Government Regulation and Supervision

We are directly, or indirectly through physicians and hospitals and other health care facilities, which we will refer to as Customers, subject to extensive regulation by both the federal government and the governments in states in which we conduct business, including:


 

the federal False Claims Act;

 
 

the federal Medicare and Medicaid Anti-Kickback Law, and state anti-kickback prohibitions;

 
 

federal and state billing and claims submission laws and regulations;

 
 

the federal Health Insurance Portability and Accountability Act of 1996 and state laws relating to patient privacy;

 

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the federal physician self-referral prohibition commonly known as the Stark Law and the state law equivalents of the Stark Law;

 
 

state laws that prohibit the practice of medicine by non-physicians, and prohibit fee-splitting arrangements involving physicians; and

 
 

federal and state laws governing the equipment we use in our business concerning patient safety and equipment operating specifications.


Practices prohibited by these statutes include, but are not limited to, the payment, receipt, offer, or solicitation of money or other consideration in connection with the referral of patients for services covered by a federal or state health care program. We contract with physicians under a variety of financial arrangements, and physicians have ownership interests in some entities in which we also have an interest. If our operations are found to be in violation of any of the laws and regulations to which we or our Customers are subject, we may be subject to the applicable penalty associated with the violation, including civil and criminal penalties, damages, fines, exclusion from the Medicare, Medicaid, and other governmental healthcare programs, loss of licenses, and the curtailment of our operations. While we believe that we are in compliance with all applicable laws, we cannot assure that our activities will be found to be in compliance with these laws if scrutinized by regulatory authorities. Any penalties, damages, fines or curtailment of our operations, individually or in the aggregate, could adversely affect our ability to operate our business and our financial results. The risks of us being found in violation of these laws and regulations is increased by the fact that many of them have not been fully interpreted by the regulatory authorities or in the courts, and their provisions are open to a variety of interpretations. Any action brought against us for violation of these laws or regulations, even if we were to successfully defend against it, could cause us to incur significant legal expenses and divert our management’s attention from the operation of our business.

In July 2007, the Centers for Medicare & Medicaid Services proposed new regulations under which physician ownership of interests in our non-lithotripsy partnerships might be deemed a prohibited financial relationship under the physician self-referral prohibitions under the Stark Law. If the proposed rules were to go into effect, the proposed rules might require us to significantly change our partnership model for those of our partnerships and limited liability companies that provide services to treat benign prostatic hyperplasia and prostate cancer. We cannot predict with any certainty whether or when these proposed regulations might be finalized and, if finalized, whether physician-owned interests in our non-lithotripsy partnerships would become prohibited financial relationships. If that were to occur, we might be required to, among other things, repurchase the ownership interests of such physicians in such partnerships or otherwise dissolve such partnerships. This in turn could impair our relationships with the physicians or the hospitals at which our non-lithotripsy partnerships provide services. We can give you no assurances that, if the proposed regulations are finalized, the final rules would not have a material adverse effect on our operations, financial condition or results of operations.

As previously reported on a Form 8-K filed by Prime on September 28, 2004, we concluded an internal investigation of a business transaction involving our specialty vehicle manufacturing division, which transaction may have violated the federal anti-kickback laws. We voluntarily reported the transaction to the U.S. General Services Administration, or GSA. The GSA has assigned a government investigator in response to our voluntary disclosure and we intend to fully cooperate with any GSA investigation. Based on the findings of our outside legal counsel, we (1) believe this was an isolated incident, and (2) do not believe the pending resolution of this matter will materially and adversely affect our financial condition, results of operation, or business.

Equipment

We either manufacture or purchase our urology equipment and maintain that equipment with either internal personnel or pursuant to service contracts with the manufacturers or other service companies. For mobile lithotripsy, we either purchase or lease the tractor, usually for a term up to five years, and purchase the trailer or a self contained coach. We are not dependent on one manufacturer of medical equipment.

Employees

As of February 28, 2008, we employed approximately 413 full-time employees and approximately 6 part-time employees.


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Risk Factors

In addition to the other information set forth in this report, you should carefully consider the factors discussed below, which could materially affect our business, financial condition or future results.

If we are not able to establish or maintain relationships with physicians and hospitals, our ability to successfully commercialize our current or future service offerings will be materially harmed.

We are dependent on health care providers in two respects. First, if physicians and hospitals and other health care facilities, which we will refer to as Customers, determine that our services are not of sufficiently high quality or reliability, or if our Customers determine that our services are not cost effective, they will not utilize our services. In addition, any change in the rates of or conditions for reimbursement could substantially reduce (1) the number of procedures for which we or our Customers can obtain reimbursement or (2) the amounts reimbursed to us or our Customers for services provided by us. If third-party payors reduce the amount of their payments to Customers, our Customers may seek to reduce their payments to us or seek an alternate supplier of services. Because unfavorable reimbursement policies have constricted and may continue to constrict the profit margins of the hospitals and other healthcare facilities we bill directly, we may need to lower our fees to retain existing customers and attract new ones. These reductions could have a significant adverse effect on our revenues and financial results by decreasing demand for services or creating downward pricing pressure. Second, physicians generally own equity interests in our partnerships. We provide a variety of services to the partnerships and in general manage their day-to-day affairs. Our operations could become disrupted, and financial results adversely affected, if these physician partners became dissatisfied with our services, if these physician partners believe that our competitors or other persons provide higher quality services or a more cost-beneficial model or service, or if we became involved in disputes with our partners.

We are subject to extensive federal and state health care regulation.

We are subject to extensive regulation by both the federal government and the governments in states in which we conduct business. See “Government Regulation and Supervision” under this Part I for further discussion on these regulations.

Third party payors could refuse to reimburse health care providers for use of our current or future service offerings and products, which could make our revenues decline.

Third party payors are increasingly attempting to contain health care costs by limiting both coverage and the level of reimbursement of medical procedures and treatments. In addition, significant uncertainty exists as to the reimbursement status of newly approved health care products. Lithotripsy treatments are reimbursed under various federal and state programs, including Medicare and Medicaid, as well as under private health care programs, primarily at fixed rates. Governmental programs are subject to statutory and regulatory changes, administrative rulings, interpretations of policy and governmental funding restrictions, and private programs are subject to policy changes and commercial considerations, all of which may have the effect of decreasing program payments, increasing costs or requiring us to modify the way in which we operate our business. These changes could have a material adverse effect on us.

New and proposed federal and state laws and regulatory initiatives relating to various initiatives in health care reform (such as improving privacy and the security of patient information and combating health care fraud) could require us to expend substantial sums to appropriately respond to and comply with this broad variety of legislation (such as acquiring and implementing new information systems for privacy and security protection), which could negatively impact our financial results.


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Recent legislation and several regulatory initiatives at the state and federal levels address patient privacy concerns. New federal legislation extensively regulates the use and disclosure of individually identifiable health-related information and the security and standardization of electronically maintained or transmitted health-related information. We do not yet know the total financial or other impact of these regulations on our business. Continuing compliance with these regulations will likely require us to spend substantial sums, including, but not limited to, purchasing new computer systems, which could negatively impact our financial results. Additionally, if we fail to comply with the privacy regulations, we could suffer civil penalties of up to $25,000 per calendar year per standard (with well over fifty standards with which to comply) and criminal penalties with fines of up to $250,000 for willful and knowing violations. In addition, health care providers will continue to remain subject to any state laws that are more restrictive than the federal privacy regulations. These privacy laws vary by state and could impose additional penalties.

The provisions of HIPAA criminalize situations that previously were handled exclusively civilly through repayments of overpayments, offsets and fines by creating new federal health care fraud crimes. Further, as with the federal laws, general state criminal laws may be used to prosecute health care fraud and abuse. We believe that our business arrangements and practices comply with existing health care fraud law. However, a violation could subject us to penalties, fines and/or possible exclusion from Medicare or Medicaid. Such sanctions could significantly reduce our revenue or profits.

A number of proposals for health care reform have been made in recent years, some of which have included radical changes in the health care system. Health care reform could result in material changes in the financing and regulation of the health care business, and we are unable to predict the effect of such change on our future operations. It is uncertain what legislation on health care reform, if any, will ultimately be implemented or whether other changes in the administration of or interpretation of existing laws involving governmental health care programs will occur. There can be no assurance that future health care legislation or other changes in the administration of or interpretation of existing legislation regarding governmental health care programs will not have a material adverse effect on our business or the results of our operations.

We face intense competition and rapid technological change that could result in products that are superior to the products we manufacture or superior to the products on which our current or proposed services are based.

Competition in our business segments is intense. We compete with national, regional and local providers of urology services. This competition could lead to a decrease in our profitability. Moreover, if our customers determine that our competitors offer better quality products or services or are more cost effective, we could lose business to these competitors. The medical device industry is subject to rapid and significant technological change. Others may develop technologies or products that are more effective or less costly than our products or the products on which our services are based, which could render our products or services obsolete or noncompetitive. Our business is also impacted by competition between lithotripsy services, on the one hand, and surgical and other established methods for treating urological conditions, on the other hand.

We may be subject to costly and time-consuming product liability actions that would materially harm our business.

Our urology services and manufacturing business exposes us to potential product liability risks that are inherent in these industries. All medical procedures performed in connection with our business activities are performed by or under the supervision of physicians who are not our employees. We do not perform medical procedures. However, we may be held liable if patients undergoing urology treatments using our devices are injured. We may also face product liability claims as a result of our medical device manufacturing. We cannot ensure that we will be able to avoid product liability exposure. Product liability insurance is generally expensive, if available at all. We cannot ensure that our present insurance coverage is adequate or that we can obtain adequate insurance coverage at a reasonable cost in the future.


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Our success will depend partly on our ability to operate without infringing on or utilizing the proprietary rights of others.

The medical device industry is characterized by a substantial amount of litigation over patent and other intellectual property rights. No one claims that any of our medical devices infringe on their intellectual property rights; however, it is possible that we may have unintentionally infringed on others’ patents or other intellectual property rights. Intellectual property litigation is costly. If we do not prevail in any litigation, in addition to any damages we might have to pay, we could be required to stop the infringing activity or obtain a license. Any required license may not be available to us on acceptable terms. If we fail to obtain a required license or are unable to design around a patent, we may be unable to sell some of our products, which would reduce our revenues and net income.

If we fail to attract and retain key personnel and principal members of our management staff, our business, financial condition and operating results could be materially harmed.

Our success depends greatly on our ability to attract and retain qualified management and technical personnel, as well as to retain the principal members of our existing management staff. The loss of services of any key personnel could adversely affect our current operations and our ability to implement our growth strategy. There is intense competition within our industry for qualified staff, and we cannot assure you that we will be able to attract and retain the necessary qualified staff to develop our business. If we fail to attract and retain key management staff, or if we lose any of our current management team, our business, financial condition and operating results could be materially harmed.

The market price of our common stock may experience substantial fluctuation for reasons over which we have little control.

Our stock price has a history of volatility. Fluctuations have occurred even in the absence of significant developments pertaining to our business. Stock prices and trading volume of companies in the health care and health services industry have fallen and risen dramatically in recent years. Both company-specific and industry-wide developments may cause this volatility. Factors that could impact the market price of our common stock include the following:


 

future announcements concerning us, our competition or the health care services market generally;

 
 

developments relating to our relationships with hospitals, other health care facilities, or physicians;

 
 

developments relating to our sources of supply;

 
 

claims made or litigation filed against us;

 
 

changes in, or new interpretations of, government regulations;

 
 

changes in operating results from quarter to quarter;

 
 

sales of stock by insiders;

 

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news reports relating to trends in our markets;

 
 

acquisitions and financings in our industry; and

 
 

overall volatility of the stock market.


Furthermore, stock prices for many companies fluctuate widely for reasons that may be unrelated to their operating results. These fluctuations, coupled with changes in our results of operations and general economic, political and market conditions, may adversely affect the market price of our common stock.

Our acquisition strategy could fail or present unanticipated problems for our business in the future, which could adversely affect our ability to make acquisitions or realize anticipated benefits from those acquisitions.

We have followed an acquisition strategy that has resulted in rapid growth in our business. This acquisition strategy includes acquiring healthcare services businesses and is dependent on the continued availability of suitable acquisition candidates and our ability to finance and complete any particular acquisition successfully. Moreover, the U.S. Federal Trade Commission, or FTC, initiated an investigation in 1991 to determine whether the limited partnerships in which Lithotripters, Inc., now one of our wholly-owned subsidiaries, was the general partner posed an unreasonable threat to competition in the healthcare field. While the FTC closed its investigation and took no action, the FTC or another governmental authority charged with the enforcement of federal or state antitrust laws or a private litigant might, due to our size and market share, seek to (1) restrict our future growth by prohibiting or restricting the acquisition of additional lithotripsy operations or (2) require that we divest certain of our lithotripsy operations. Furthermore, acquisitions involve a number of risks and challenges, including:


 

diversion of management’s attention;

 
 

the need to integrate acquired operations;

 
 

potential loss of key employees of the acquired companies; and

 
 

an increase in our expenses and working capital requirements.


Any of these factors could adversely affect our ability to achieve anticipated levels of cash flows from our acquired businesses or realize other anticipated benefits from those acquisitions.

Our results of operations could be adversely affected as a result of goodwill impairments.

Goodwill represents the excess of the purchase price paid for a company over the fair value of that company’s tangible and intangible net assets acquired. As of December 31, 2007, we had goodwill of $217.5 million. If we determine in the future that the fair value of any of our reporting segments does not exceed the carrying value of the related reporting segment, goodwill in that reporting segment will be deemed impaired. If impaired, the amount of goodwill will be reduced to the value determined by us to be the fair value of the reporting segment. The amount of the reduction will be deducted from earnings during the period in which the impairment occurs. An impairment will also reduce stockholders’ equity in the period incurred by the amount of the impairment. In the fourth quarter of 2007, in connection with our annual goodwill impairment test, we recorded an impairment to our urology services segment goodwill totaling $20.8 million. This impairment was due to a decrease in our estimated future discounted cash flows from this segment. This decrease was primarily caused by lower projected growth rates for our laser operations as well as the timing of certain future growth for our IGRT operations. In the fourth quarter of 2006, we recorded an impairment to our goodwill totaling $12.2 million related to our urology services segment and $8.4 million related to our medical products segment. The impairment to our urology services segment was due primarily to a decrease in the number of overall procedures during 2006, primarily across our western region partnerships, combined with the loss of certain partnerships and contracts late in 2006 to competitors. The impairment in our medical products segment relates primarily to our decision to reduce or exit certain product lines, specifically patient management tables and orthopedic consumables during the fourth quarter of 2006 along with the closing of our European operations. For further discussion of our 2007 and 2006 goodwill impairments, see footnote C to our consolidated financial statements included elsewhere in this Annual Report on Form 10-K.


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Our manufacturing operations are partially dependent upon third-party suppliers, making us vulnerable to a supply shortage.

We obtain materials and manufactured components from third-party suppliers. Some of our suppliers are the sole source for a particular supply item. Any delay in our suppliers’ abilities to provide us with necessary material and components may affect our manufacturing capabilities or may require us to seek alternative supply sources. Delays in obtaining supplies may result from a number of factors affecting our suppliers, such as capacity constraints, labor disputes, the impaired financial condition of a particular supplier, suppliers’ allocations to other purchasers, weather emergencies or acts of war or terrorism. Any delay in receiving supplies could impair our ability to deliver products to our customers and, accordingly, could have a material adverse effect on our business, results of operations and financial condition.

We could be adversely affected by special risks and requirements related to our medical products manufacturing business.

We are subject to various special risks and requirements associated with being a medical equipment manufacturer, which could have adverse effects. These include the following:


 

the need to comply with applicable federal Food and Drug Administration and foreign regulations relating to good manufacturing practices and medical device approval requirements, and with state licensing requirements;

 
 

the need for special non-governmental certifications and registrations regarding product safety, product quality and manufacturing procedures in order to market products in the European Union;

 
 

potential product liability claims for any defective goods that are distributed; and

 
 

the need for research and development expenditures to develop or enhance products and compete in the equipment markets.


Our indebtedness may limit our financial and operating flexibility.

As of December 31, 2007, we had indebtedness of approximately $8.5 million related to equipment purchased by our limited partnerships, which indebtedness will be repaid from the cash flows of the partnerships. We also have a revolving line of credit with a borrowing limit of $50.0 million pursuant to a senior credit facility we entered into in March 2005. As of December 31, 2007, there were no amounts drawn on the revolver. Prior to July 31, 2006, we had outstanding a $125.0 million senior secured term loan B due 2011. This term loan B was repaid on July 31, 2006 with a portion of the proceeds we received from the sale of our specialty vehicles manufacturing division.

We have been assigned a B-1 senior implied rating by Moody’s Investor Service Inc. We have also been assigned a BB- corporate credit rating by Standard and Poor’s Ratings Group. All of these ratings are below investment grade. As a result, at times we may have difficulty accessing capital markets or raising capital on favorable terms as we will incur higher borrowing costs than our competitors that have higher ratings. Therefore, our financial results may be negatively affected by our inability to raise capital or the cost of such capital as a result of our credit ratings.


11


We must comply with various covenants contained in our revolving credit facility and any other future debt arrangements that, among other things, limit our ability to:


 

incur additional debt or liens;

 
 

make payments in respect of or redeem or acquire any debt or equity issued by us;

 
 

sell assets;

 
 

make loans or investments;

 
 

acquire or be acquired by other companies; and

 
 

amend some of our contracts.


Although we have no monies drawn on our revolving line of credit, that could change and the level of indebtedness could have important consequences to you. For example, it could:


 

increase our vulnerability to general adverse economic and industry conditions;

 
 

limit our ability to fund future working capital and capital expenditures, to engage in future acquisitions, or to otherwise realize the value of our assets and opportunities fully because of the need to dedicate a portion of our cash flow from operations to payments on our debt or to comply with any restrictive terms of our debt;

 
 

limit our flexibility in planning for, or reacting to, changes in the industry in which we operate; and

 
 

place us at a competitive disadvantage as compared to our competitors that have less debt.


In addition, if we fail to comply with the terms of any of our debt, our lenders will have the right to accelerate the maturity of that debt and foreclose upon the collateral, if any, securing that debt. Realization of any of these factors could adversely affect our business, financial condition and results of operations.

We have in the past identified material weaknesses in our internal control over financial reporting, and the identification of any significant deficiencies or material weaknesses in the future could affect our ability to ensure timely and reliable financial reports.

In connection with our management’s assessment of internal control over financial reporting as of December 31, 2005 under Section 404 of the Sarbanes-Oxley Act of 2002 and the related rules issued by the Securities and Exchange Commission (“SEC”), which assessment is set forth in our Annual Report on Form 10-K for 2005, we identified two material weaknesses in our internal control over financial reporting. The Public Company Accounting Oversight Board defines a material weakness as a single deficiency, or combination of deficiencies, that results in more than a remote likelihood that a material misstatement of the annual or interim financial statements will not be prevented or detected. We have remedied these material weaknesses.


12


Although our management will continue to periodically review and evaluate the effectiveness of our internal controls, we can give you no assurance that there will be no material weaknesses in our internal control over financial reporting. We may in the future have material weaknesses in our internal control over financial reporting as a result of our controls becoming inadequate due to changes in conditions, the degree of compliance with our internal control policies and procedures deteriorating, or for other reasons. If we have significant deficiencies or material weaknesses in our internal control over financial reporting, our ability to record, process, summarize and report financial information within the time periods specified in the rules and forms of the SEC will be adversely affected. This failure could materially and adversely impact our business, our financial condition and the market value of our securities.

Executive Officers

As of February 28, 2008, our executive officers were as follows:


Name Age   Position
 
James S.B. Whittenburg 36    Chief Executive Officer and President
 
Ross A. Goolsby 40    Chief Financial Officer and Senior Vice President
 
Richard A. Rusk 46    Vice President, Corporate Controller, Treasurer and Secretary

The foregoing does not include positions held in our subsidiaries. Our officers are elected for annual periods. There are no family relationships between any of our executive officers and/or directors.

Mr. Whittenburg was appointed as our President and Chief Executive Officer on August 13, 2007. From June 2006 until August 13, 2007, Mr. Whittenburg served as President of our Urology Division, and he was our acting President and Chief Executive Officer from May 2007 until August 2007. He served as President of our Specialty Vehicle Manufacturing Division from December 2005 until its sale in July 2006 and was our General Counsel and Senior Vice President—Development from March 2004 until June 2006. Previously Mr. Whittenburg practiced law at Akin Gump Strauss Hauer & Feld LLP, where he specialized in corporate and securities law. Mr. Whittenburg, a CPA, is licensed to practice law in Texas.

Mr. Goolsby joined us as our Chief Financial Officer and Senior Vice President on January 8, 2007. Prior to such appointment, Mr. Goolsby served as the Chief Financial Officer, Vice President of Finance and Secretary of SigmaTel, Inc., a publicly-traded semiconductor company, from September 2001 to December 2006. From 1999 until 2001, Mr. Goolsby served as Chief Financial Officer of Utiliserve, Inc., an electrical utility products distributor. From 1993 until 1999, Mr. Goolsby served as a Vice President and Controller of Cameron Ashley Building Products, Inc., a publicly-traded building products distributor. Mr. Goolsby holds a Bachelor of Business Administration in Accounting from the University of Houston.

Mr. Rusk joined us in August 2000 as our Corporate Controller and was named Vice President in June 2002. In June 2006, Mr. Rusk was named our Treasurer and in September 2006, Mr. Rusk was named our Secretary. Before joining us, Mr. Rusk, a CPA, was with KPMG LLP for approximately seventeen years, the last ten years as a senior audit manager.


13


Available Information

We file annual, quarterly, and current reports, proxy statements, and other documents with the Securities and Exchange Commission (“SEC”) under the Securities Exchange Act of 1934 (the “Exchange Act”). You may read and copy any materials that we file with the SEC at the SEC’s public reference room at 450 Fifth Street, NW, Washington, DC 20549. The public may obtain information on the operation of the public reference room by calling the SEC at 1-800-SEC-0330. Also, the SEC maintains a website that contains these SEC filings. You can obtain these filings at the SEC’s website at http://www.sec.gov.

We also make available free of charge on or through our website (http://www.healthtronics.com) our Annual Report on Form 10-K, Quarterly Reports on Form 10-Q, Current Reports on Form 8-K, and, if applicable, amendments to those reports filed or furnished pursuant to Section 13(a) of the Exchange Act as soon as reasonably practicable after we electronically file such material with, or furnish it to, the SEC.

ITEM 1A.     RISK FACTORS

The information required by this item is set forth under “Risk Factors” in Part I, Item 1.

ITEM 1B.     UNRESOLVED STAFF COMMENTS

None.

ITEM 2.     PROPERTIES

Our principal executive office is located in Austin, Texas in an office building owned by us. In addition, in May 2005, we entered into a five-year lease on a 41,000 square foot facility in Kennesaw, Georgia related to our Medical Products operations for approximately $23,000 a month.

ITEM 3.     LEGAL PROCEEDINGS

We are involved in various claims and legal actions that have arisen in the ordinary course of business. We believe that any liabilities arising from these actions will not have a material adverse effect on our financial condition, results of operations or cash flows.

ITEM 4.     SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS

None.


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PART II

ITEM 5.     MARKET FOR REGISTRANT’S COMMON EQUITY, RELATED STOCKHOLDER
                    MATTERS AND ISSUER PURCHASES OF EQUITY SECURITIES

The following table sets forth the high and low closing prices per share for our common stock on the Nasdaq Global Select Market for the years ended December 31, 2007 and 2006 (NASDAQ Symbol “HTRN”).


2007
2006
High
Low
High
Low
First Quarter     $ 6 .60 $ 5 .06 $ 8 .60 $ 7 .08
  Second Quarter     $ 5 .47 $ 4 .35 $ 8 .50 $ 6 .67
  Third Quarter     $ 5 .25 $ 3 .66 $ 7 .60 $ 5 .97
  Fourth Quarter     $ 5 .30 $ 4 .03 $ 7 .38 $ 6 .10

On February 12, 2008, we had 617 holders of record of our common stock.

We are not currently paying dividends on our common stock. We have the authority to declare and pay dividends on our common stock at our discretion, as long as we have funds legally available to do so and our senior credit facility permits the declaration and payment. Our senior credit facility restricts our ability to pay cash dividends. In addition, we intend to retain our earnings to finance the expansion of our business and for general corporate purposes. Therefore, we do not anticipate paying cash dividends on our common stock in the foreseeable future.

Equity Compensation Plan Information

At December 31, 2007, we had seven separate equity compensation plans: the Prime 1993 and 2003 stock option plans, the HSS general, 2000, 2001 and 2002 stock option plans, and the HSS 2004 equity incentive plan. The plans, and all amendments thereto, had been approved by Prime’s and HSS’ shareholders, as the case may be. The following table sets forth certain information as of December 31, 2007 about our equity compensation plans:


(a)
(b)
(c)
 





Plan Category




Number of shares of our
common stock to be issued
upon exercise of
outstanding options






Weighted-average exercise
price of outstanding options

Number of shares of our
common stock remaining
available for future
issuance under equity
compensation plans
(exceeding securities
reflected in column (a))

Prime 1993 stock option plan       105,666   $ 7 .79   --  
 
  Prime 2003 stock option plan       129,000   $ 5 .84   --  
 
  HSS equity incentive plan and stock    
       option plans       2,959,499   $ 7 .10   1,005,944  
 
  Other equity compensation plans    
      approved by our security holders       N/A     N/A     N/A  


15


Performance Graph

The following graph compares our cumulative total shareholder return with the cumulative total shareholder returns of the Nasdaq Market Index and the Nasdaq Health Services Index, for the period from December 31, 2003 through December 31, 2007.


 

ITEM 6.      SELECTED FINANCIAL DATA

The following tables set forth our summary consolidated historical financial information that has been derived from (a) our audited consolidated statements of income and cash flows for each of the years ended December 31, 2007, 2006, 2005, 2004 and 2003, (b) our audited consolidated balance sheets as of December 31, 2007, 2006, 2005, and 2004, (c) our unaudited consolidated balance sheet as of December 31, 2003, and (d) our unaudited consolidated statements of income and cash flows for each of the three months ended December 31, September 30, June 30, and March 31, for 2007 and 2006. As discussed under “Business-General” under Part I, Item 1 of this Annual Report on Form 10-K, the merger of Prime and HSS was accounted for as a reverse acquisition under the purchase method of accounting for business combinations in accordance with U.S. generally accepted accounting principles. As a result, the financial information presented below reflects the results of operations of Prime and HSS on a consolidated basis after November 10, 2004 and the results of operations of Prime for the periods prior to November 10, 2004. In addition, the financial information presented below reflects our financial condition on a consolidated basis as of December 31, 2007, 2006, 2005 and 2004 and Prime’s financial condition as of December 31, 2003. You should read this financial information in conjunction with “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and our historical financial statements and notes thereto included elsewhere in this Annual Report on Form 10-K. The historical results are not necessarily indicative of results to be expected in any future period.


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(In thousands, except per share data) Years Ended December 31,
  2007
2006
2005
2004
2003
Revenues:                                
Urology Services     $ 122,736   $ 123,265   $ 133,360   $ 75,361   $ 58,702  
Medical Products       17,101     19,080     18,202     10,846     1,714  
Other       581     546     705     936     1,022  





Revenues from continuing operations     $ 140,418   $ 142,891   $ 152,267   $ 87,143   $ 61,438  





Income (loss) from:    
    Continuing Operations     $ (14,485 ) $ (16,446 ) $ 10,933   $ 5,261   $ 6,301  
    Discontinued Operations       (147 )   25,129     (1,745 )   (3,908 )   121  





    Net income (loss)     $ (14,632) (1) $ 8,683 (2) $ 9,188 $ 1,353 (3) $ 6,422      





Diluted earnings (loss) per share:    
    Continuing Operations     $ (0.41 ) $ (0.47 ) $ 0.31 $ 0.24 $ 0.36      
    Discontinued Operations       --     0.72 (0.05 )   (0.18 )   0.01





    Total     $ (0.41 ) $ 0.25 $ 0.26 $ 0.06 $ 0.37





Dividends per share       None   None   None   None   None
Total assets     $ 336,056   $ 346,733   $ 483,037   $ 474,158   $ 279,378  





Long-term obligations (a)     $ 4,269   $ 6,063   $ 129,980   $ 114,442   $ 113,125  





(a) Includes long term debt, other long term obligations and deferred compensation liability.


Quarterly Data
Quarter Ended
(in thousands, except per share data)

March 31
June 30
Sept. 30
Dec. 31
2007 (unaudited)
 
Revenues     $ 32,751   $ 35,563   $ 35,955   $ 36,149  
Net income (loss)     $ (30 ) $ 179   $ 745   $ (15,526 ) (1)
Per share amounts (basic):    
     Net income (loss)     $ --   $ 0.01   $ 0.02   $ (0.44 )
     Weighted average shares outstanding       35,406     35,425     35,425     35,425  
Per share amounts (diluted):    
     Net income (loss)     $ --   $ 0.01   $ 0.02   $ (0.44 )
     Weighted average shares outstanding       35,417     35,426     35,425     35,425  



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Quarterly Data
Quarter Ended
(in thousands, except per share data) March 31
June 30
Sept. 30
Dec. 31
2006 (unaudited)
Revenues     $ 37,106   $ 36,474   $ 35,863   $ 33,448  
Net income (loss)     $ 1,273   $ 1,368   $ 31,177   $ (25,135 ) (2)
Per share amounts (basic):    
     Net income (loss)     $ 0.04   $ 0.04   $ 0.88   $ (0.71 )
     Weighted average shares outstanding       34,906     35,056     35,286     35,373  
Per share amounts (diluted):    
     Net income (loss)     $ 0.04   $ 0.04   $ 0.88   $ (0.71 )
     Weighted average shares outstanding       35,251     35,361     35,370     35,373  

 

(1) In the fourth quarter of 2007, in connection with our annual goodwill impairment test, we recorded an impairment to our urology services segment goodwill totaling $20.8 million. This impairment was due to a decrease in our estimated future discounted cash flows for this segment. This decrease was primarily caused by lower projected growth rates for our laser operations as well as the timing of certain future growth for our IGRT operations.

(2) In the third quarter of 2006, we completed the sale of our Specialty Vehicle Manufacturing segment and recognized a gain of $53.6 million. This gain utilized approximately $20.4 million of our deferred tax asset. In the fourth quarter of 2006, we recorded an impairment to our goodwill totaling $12.2 million related to our urology services segment and $8.4 million related to our medical products segment. The impairment to our urology services segment was due primarily to a decrease in the number of overall procedures during 2006, primarily across our western region partnerships, combined with the loss of certain partnerships and contracts late in 2006 to competitors. The impairment in our medical products segment relates primarily to our decision to reduce or exit certain product lines, specifically patient management tables and orthopedic consumables during the fourth quarter of 2006 along with the closing of our European operations.

(3) In the fourth quarter of 2004, we incurred $1 million of costs related to the Prime and HSS merger. These costs primarily included certain severance costs of Prime employees, costs related to our new HealthTronics branding and certain costs for exiting board members primarily for the cashless exercise of stock options. We also accrued $1.9 million of costs related to our discretionary bonus plan. We also incurred costs totaling $6 million related to the closing of our manufacturing plants in Carlisle, Pennsylvania and Sanford, Florida. In connection with completing this closing process, we also reorganized our division management and culled backlog of commitments based on revised cost structure and resources, which resulted in a write-down of work in process for projects that would be unprofitable and raw materials for product lines which we are discontinuing.


ITEM 7.      MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION
                    AND RESULTS OF OPERATIONS

Forward-Looking Statements

This Annual Report on Form 10-K includes “forward-looking statements” within the meaning of Section 21E of the Exchange Act and the Private Securities Litigation Reform Act of 1995 about us that are subject to risks and uncertainties. All statements other than statements of historical fact included in this document are forward-looking statements. Although we believe that in making such statements our expectations are based on reasonable assumptions, such statements may be influenced by factors that could cause actual outcomes and results to be materially different from those projected.


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Statements that are predictive in nature, that depend upon or refer to future events or conditions, or that include words such as “will”, “would”, “should”, “plans”, “likely”, “expects”, “anticipates”, “intends”, “believes”, “estimates”, “thinks”, “may”, and similar expressions, are forward-looking statements. The following important factors, in addition to those discussed under “Risk Factors” under Part I, Item 1, could affect the future results of the health care industry in general, and us in particular, and could cause those results to differ materially from those expressed in such forward-looking statements.


 

uncertainties in our establishing or maintaining relationships with physicians and hospitals;

 
 

the impact of current and future laws and governmental regulations;

 
 

uncertainties inherent in third party payors’ attempts to limit health care coverages and levels of reimbursement;

 
 

the effects of competition and technological changes;

 
 

the availability (or lack thereof) of acquisition or combination opportunities; and

 
 

general economic, market or business conditions.


General

We provide healthcare services and manufacture medical devices, primarily for the urology community. Prior to July 31, 2006, we also designed and manufactured trailers and coaches that transport high technology medical devices and equipment for mobile command and control centers and the media and broadcast industry.

Urology Services . Our lithotripsy services are provided principally through limited partnerships or other entities that we manage, which use lithotripsy devices. In 2007, physicians who are affiliated with us used our lithotripters to perform approximately 48,000 procedures in the U.S. We do not render any medical services. Rather, the physicians do.

We have two types of contracts, retail and wholesale, that we enter into in providing our lithotripsy services. Retail contracts are contracts where we contract with the hospital and private insurance payors. Wholesale contracts are contracts where we contract only with the hospital. The two approaches functionally differ in that, under a retail contract, we generally bill for the entire non-physician fee for all patients other than governmental pay patients, for which the hospital bills the non-physician fee. Under a wholesale contract, the hospital generally bills for the entire non-physician fee for all patients. In both cases, the billing party contractually bears the costs associated with the billing service, including pre-certification, as well as non-collection. The non-billing party is generally entitled to its fees regardless of whether the billing party actually collects the non-physician fee. Accordingly, under the wholesale contracts where we are the non-billing party, the hospital generally receives a greater proportion of the total non-physician fee to compensate for its billing costs and collection risk. Conversely, under the retail contracts where we generally provide the billing services and bear the collection risk, we receive a greater proportion of the total non-physician fee.

Although the non-physician fee under both retail and wholesale contracts varies widely based on geographical markets and the identity of the third party payor, we estimate that nationally, on average, our share of the non-physician fee was roughly $2,100 for both 2007 and 2006. At this time, we do not anticipate a material shift between our retail and wholesale arrangements.


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As the general partner of the limited partnerships, we also provide services relating to operating our lithotripters, including scheduling, staffing, training, quality assurance, regulatory compliance, and contracting with payors, hospitals and surgery centers.

Also in the urology segment, we provide treatments for benign and cancerous conditions of the prostate. In treating benign prostate disease, we deploy three technologies: (1) trans-urethral microwave therapy (TUMT), (2) photo-selective vaporization of the prostate (PVP), and (3) trans-urethral needle ablation (TUNA). All three technologies apply an energy source which reduces the size of the prostate gland. In September 2007, we completed the sale of our Rocky Mountain Prostate business, which represented almost our entire TUMT treatment operations. For treating prostate and other cancers, prior to November 30, 2006, we used a procedure called cryosurgery, a process which uses a double freeze thaw cycle to destroy cancer cells.

We recognize urology revenue primarily from the following sources:


 

Fees for urology services . A substantial majority of our urology revenue is derived from fees related to lithotripsy treatments performed using our lithotripters. We, through our partnerships or other entities, facilitate the use of our equipment and provide other support services in connection with these treatments at hospitals and other health care facilities. (For a further discussion on our partnerships, see “Urology” and “Government Regulation and Supervision” in Part I.) The professional fee payable to the physician performing the procedure is generally billed and collected by the physician. Benign prostate disease and prostate cancer treatment services are billed in the same manner as our lithotripsy services under either retail or wholesale contracts. These services are also primarily performed through limited partnerships, which we manage.

 
 

Fees for operating our lithotripters . Through our partnerships and otherwise directly by us, we provide services related to operating our lithotripters and receive a management fee for performing these services.


Medical Products . We manufacture, sell and maintain lithotripters and their related consumables. We also manufacture, sell and maintain intra-operative X-ray imaging systems and other mobile patient management tables, and are the exclusive U.S. distributor of the Revolix branded laser. The operations of our Claripath pathology laboratory are also included in our medical products segment at this time.

We recognize medical products revenue from the following sources:


 

Fees for maintenance services . We provide equipment maintenance services to our partnerships as well as outside parties. These services are billed either on a time and material basis or at a fixed monthly contractual rate.

 
 

Fees for equipment sales, consumable sales and licensing applications . We manufacture, sell and maintain lithotripters and certain medical tables, we distribute the Revolix laser and we also manufacture and sell consumables related to the lithotripters. With respect to some lithotripter sales, in addition to the original sales price, we receive a licensing fee from the buyer of the lithotripter for each patient treated with such lithotripter. In exchange for this licensing fee, we provide the buyer of the lithotripter with certain consumables. All the sales for equipment and consumables are recognized when the related items are delivered. Revenues from licensing fees are recorded when the patient is treated. In some cases, we lease certain equipment to our partnerships as well as third parties. Revenues from these leases are recognized on a monthly basis or as procedures are performed.



20


 

Fees for Claripath anatomical pathology services . We provide anatomical pathology services primarily to the urology marketplace. Revenues from these services are recorded when the related laboratory procedures are performed.

 

Recent Developments

Effective April 28, 2007, we acquired all of the outstanding capital stock of Keystone ABG, Inc., which owns a 21% general partner interest in Keystone Mobile Partners, L.P. (the “Partnership”), and an approximate 14% limited partner interest in the Partnership from the owners thereof, for an aggregate purchase price of $6.8 million, plus certain additional cash consideration to be paid depending on the number of limited partner units sold by us in a post-closing offering of such units, plus an earnout. In August 2007, we completed our post-closing offering of the limited partner units and paid an additional $934,000.

On August 7, 2007, Sam B. Humphries, our President and Chief Executive Officer, died as a result of complications from a May 21, 2007 cardiac event. Mr. Humphries had been on medical leave since May 21, 2007.

On August 13, 2007, our Board of Directors appointed James S. B. Whittenburg as our President and Chief Executive Officer and as a member of our Board of Directors. Mr. Whittenburg had been serving as acting President and Chief Executive Officer since late May, 2007. Prior to that appointment, Mr. Whittenburg served as President-Urology Services.

On September 28, 2007, we completed the sale of our Rocky Mountain Prostate business. As a result of this sale we received proceeds totaling $1.35 million in cash and recognized a gain of $450,000. Accordingly, all activities related to our Rocky Mountain Prostate business have been included in discontinued operations in the accompanying condensed consolidated financial statements.

Critical Accounting Policies and Estimates

Management has identified the following critical accounting policies and estimates:

Impairments of goodwill and other intangible assets are both a critical accounting policy and estimate that require judgment and are based on assumptions of future operations. We are required to test for impairments at least annually or if circumstances change that would reduce the fair value of a reporting unit below its carrying value. We test for impairment of goodwill during the fourth quarter. We now have two reporting units, urology services and medical products. The fair value of each reporting unit is estimated using a combination of the income, or discounted cash flows, approach and the market approach, which utilizes comparable companies’ data. Because we have recognized goodwill based solely on our controlling interest, the fair value of each reporting unit also relates only to our controlling interest. If the carrying amount of a reporting unit exceeds its fair value, the second step of the goodwill impairment test is performed to measure the amount of impairment loss, if any. The second step of the goodwill impairment test compares the implied fair value of the reporting unit’s goodwill with the carrying value of that goodwill. If the carrying amount of the reporting unit’s goodwill exceeds the implied fair value of that goodwill, an impairment loss is recognized in an amount equal to that excess. The implied fair value of goodwill is determined in the same manner as the amount of goodwill recognized in a business combination. That is, the fair value of the reporting unit is allocated to all of the assets and liabilities of that unit as if the reporting unit had been acquired in a business combination and the fair value of the reporting unit was the purchase price paid to acquire the reporting unit. Both the income approach and the market approach require significant assumptions to determine the fair value of each reporting unit. The significant assumptions used in the income approach include estimates of our future revenues, profits, capital expenditures, working capital requirements, operating plans, industry data and other relevant factors. The significant assumptions utilized in the market approach include the determination of appropriate market comparables, the estimated multiples of revenue, EBIT and EBITDA a willing buyer is likely to pay, and the estimated control premium a willing buyer is likely to pay. For a discussion of our 2007 and 2006 goodwill impairments and the specific assumptions used in the income and market approaches in the 2007 and 2006 analyses, see footnote C to our consolidated financial statements included elsewhere in this Annual Report on Form 10-K.


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A second critical accounting policy and estimate which requires judgment of management is the estimated allowance for doubtful accounts and contractual adjustments. We have based our estimates on historical collection amounts, current contracts with payors, current changes of the facts and circumstances relating to these matters and certain negotiations with related payors.

A third critical accounting policy is consolidation of our investment in partnerships or limited liability companies (LLCs) where we, as the general partner or managing member, exercise effective control, even though our ownership is less than 50%. The consolidated financial statements include our accounts, our wholly-owned subsidiaries, and entities more than 50% owned and limited partnerships or LLCs where we, as the general partner or managing member, exercise effective control, even though our ownership is less than 50%. The related agreements provide us with broad powers. The other parties do not participate in the management of the entity and do not have the substantial ability to remove us. Investment in entities in which our investment is less than 50% ownership and we do not have significant control are accounted for by the equity method if ownership is between 20%–50%, or by the cost method if ownership is less than 20%. We have reviewed each of the underlying agreements and determined we have effective control; however, if it was determined this control did not exist, these investments would be reflected on the equity method of accounting. Although this would change individual line items within our consolidated financial statements, it would have no effect on our net income and/or total stockholders’ equity.

Year ended December 31, 2007 compared to the year ended December 31, 2006

Our total revenues decreased $2,473,000 (2%) as compared to 2006. Revenues from our urology services decreased $529,000 (0.4%) as compared to 2006. Revenues from our lithotripsy business decreased $1,694,000 in 2007 as compared to 2006, while revenues from our prostate business increased $1,165,000 in 2007 as compared to 2006. The actual number of lithotripsy procedures performed in 2007 decreased by 5% compared to 2006, primarily due to partnership and mobile route closures in late 2006 and continued weak performance across our western region partnerships in early 2007. The average rate per procedure increased by 3% in 2007 as compared to 2006. Revenues for our medical products segment decreased by $1,979,000 (10%) compared to 2006 primarily due to less sales of our lithotripters and the discontinuation of sales of certain tables in early 2007. Medical products revenues before intersegment eliminations totaled $26.1 million for 2007 and $28.4 million for 2006. We sold 8 lithotripters and 28 tables in 2007 compared to 17 lithotripters and 100 tables in 2006. Revenues from our service operations and consumable sales decreased $2,173,000 in 2007 as compared to 2006. This decrease relates primarily to lower electrode sales especially as related to our foreign operations which we closed in 2006. Revenues from our new laboratory which commenced operations in January 2006, totaled $3,418,000 and $1,138,000 for the years ended December 31, 2007 and 2006, respectively.

Our costs of services and general and administrative expenses for 2007 decreased $7,726,000 (6%) compared to 2006. Our cost of services associated with our urology services operations increased $2,228,000 (4%) in 2007 as compared with 2006. The cause of this increase relates primarily to increased rental expenses paid on Revolix units leased from our medical products division of $1,500,000 and a decrease in gains resulting from sales of various partnership interests in 2007 as compared to 2006 of $969,000 which are recorded against operating expenses. This was partially offset by lower laser supply costs of $1,087,000, which corresponds to more partnerships utilizing the Revolix laser as compared to the greenlight laser. Our cost of services associated with our medical products operations for 2007 decreased $5,572,000 (33%) compared to 2006. The primary cause of this decrease relates to significant decreases in external sales of lithotripters and tables in 2007, a cost reduction recorded as a result of the receipt of lease payments from our urology services division on Revolix units noted above, partially offset by approximately $900,000 in increased expenses at our new lab. A significant portion of medical products costs relate to providing maintenance services to our urology services segment and are allocated to the urology services segment. In the future we expect margins in medical products to continue to vary significantly from period to period based on the mix of intercompany and third-party sales. Our selling, general and administrative costs decreased $4,414,000 (22%) in 2007 as compared to 2006. This is primarily attributable to approximately $1,850,000 in costs paid to strategic consultants, $1 million in severance payments, $500,000 in higher share based compensation costs which were incurred in 2006 compared to 2007, as well as approximately $516,000 in decreased personnel, insurance, marketing, recruiting and other costs. In addition we received approximately $900,000 as a result of our former Swiss manufacturing subsidiary’s insolvency proceedings in 2007, which was recorded against selling, general and administrative expenses.


22


In the fourth quarter of 2007, in connection with our annual goodwill impairment test, we recorded an impairment to our urology services segment goodwill totaling $20.8 million. This impairment was due to a decrease in our estimated future discounted cash flows for this segment. This decrease was primarily caused by lower projected growth rates for our laser operations as well as the timing of certain future growth for our IGRT operations. In the fourth quarter of 2006, we recorded an impairment to our goodwill totaling $12.2 million related to our urology services segment and $8.4 million related to our medical products segment. The impairment to our urology services segment was due primarily to a decrease in the number of overall procedures during 2006, primarily across our western region partnerships, combined with the loss of certain partnerships and contracts late in 2006 to competitors. The impairment in our medical products segment relates primarily to our decision to reduce or exit certain product lines, specifically patient management tables and orthopedic consumables during the fourth quarter of 2006 along with the closing of our European operations.

Income from discontinued operations in 2007 decreased $25,276,000 compared to 2006. Income from discontinued operations in 2006 included $33,542,000 attributable to our specialty vehicle manufacturing segment and $8,413,000 in losses attributable to our HIFU, cryosurgery, and Rocky Mountain Thermotherapy (“RMPT”) operations. We recognized a gain, net of tax, totaling $33.2 million in 2006 from the sale of our specialty vehicle manufacturing segment. In 2007, we had a loss from discontinued operations of $147,000 attributable to our RMPT and HIFU operations. This loss included a gain of $450,000 from the sale of our RMPT business, which closed September 28, 2007.

Depreciation and amortization expense decreased $168,000 in 2007 compared to 2006.

Minority interest in consolidated income for 2007 increased $2,291,000 (5%) compared to 2006, as a result of increases in minority interest percentages at certain partnerships.

Provision for income taxes in 2007 increased $1,709,000 compared to 2006 due to lower taxable loss in 2007 than 2006.


23


Year ended December 31, 2006 compared to the year ended December 31, 2005

Our total revenues decreased $9,376,000 (6%) as compared to 2005. Revenues from our urology services segment decreased $10,095,000 (8%) as compared to 2005. Revenues from our lithotripsy business decreased $8,386,000 in 2006 as compared to 2005, while revenues from our prostate business decreased $1,709,000 in 2006 as compared to 2005. The actual number of lithotripsy procedures performed in 2006 decreased by 9% compared to 2005, primarily due to weak performance across our western region partnerships and the loss of certain partnerships and contracts in late 2006. The average rate per procedure increased by 1% in 2006 as compared to 2005. Revenues for our medical products segment increased by $878,000 (5%) compared to 2005 primarily due to a mix of sales between external customers and sales to our urology services segment. Medical products revenues before intersegment eliminations totaled $28.4 million for 2006 and $27.4 million for 2005. We sold 17 lithotripters and 100 tables in 2006 compared to 16 lithotripters and 73 tables in 2005. Revenues from our service operations and consumable sales decreased $399,000 in 2006 as compared to 2005. Revenues from our new lab which started operations in January 2006, totaled $1,138,000 for the year ended December 31, 2006.

Our costs of services and general and administrative expenses for 2006 increased $33,907,000 (39%) compared to 2005. Our cost of services associated with our urology services operations increased $98,000 (0.2%) in 2006 as compared with 2005. The primary cause of this increase relates to increased salaries and benefits costs of $640,000 related to annual merit increases, increased rental expenses paid to our medical products segment on Revolix units of approximately $900,000, and an increase in expenses related to a new entity of approximately $811,000 in 2006. This was partially offset by an increase in capital gains of $938,000 resulting from sales of various partnership interests, which is recorded against divisional expenses and decreases in laser supply costs of $1,013,000, which corresponds to our shift from the greenlight laser to the Revolix laser. Our cost of services associated with our medical products operations for 2006 increased $7,572,000 (82%) compared to 2005. The primary causes of this increase relate to approximately $4 million in increased costs of goods sold related to increased sales to outside customers as well as certain inventory write downs due to discontinued product lines in late 2006, $1.2 million in increased costs at our new lab, increases in salaries and benefits expenses of $600,000 primarily related to increased head count in our sales force, increased legal expenses of $400,000 and increased expenses of $750,000 related to increased insurance, consulting and professional fees and bad debt expense. A significant portion of medical products costs relate to providing maintenance services to our urology services segment and are allocated to the urology segment. In the future we expect margins in medical products to vary significantly from period to period based on the mix of intercompany and third-party sales. Our selling, general and administrative costs increased $5,806,000 (40%) in 2006 as compared to 2005. This is primarily attributable to increases in 2006 in salaries and benefit expenses of $700,000 primarily related to increases in our marketing head count, costs related to severance payments of approximately $1 million, $1.5 million in new costs related to share based compensation expense, and $1.8 million paid to strategic consultants in 2006.

In the fourth quarter of 2006, we recorded an impairment to our goodwill totaling $12.2 million related to our urology services segment and $8.4 million related to our medical products segment. The impairment to our urology services segment was due primarily to a decrease in the number of overall procedures during 2006, primarily across our western region partnerships, combined with the loss of certain partnerships and contracts late in 2006 to competitors. The impairment in our medical products segment relates primarily to our decision to reduce or exit certain product lines, specifically patient management tables and orthopedic consumables during the fourth quarter of 2006 along with the closing of our European operations.

On June 22, 2006, we entered into an agreement to sell our specialty vehicle manufacturing segment. Accordingly, in 2005 we have classified this segment as held for sale in the accompanying consolidated financial statements. The sale was completed on July 31, 2006. As a result of the sale we realized a gain of $53.6 million, which is included in discontinued operations in the accompanying financial statements. This gain utilized approximately $20.4 million of our deferred tax assets.


24


Depreciation and amortization expense decreased $169,000 in 2006 compared to 2005.

Minority interest in consolidated income for 2006 decreased $4,539,000 (9%) compared to 2005, as a result of a decrease in income from our urology services segment due primarily to lower revenues noted above.

Provision for income taxes in 2006 decreased $11,065,000 compared to 2005 due to a decrease in taxable income, primarily related to our goodwill impairment recorded in 2006. Our effective tax rate significantly increased in 2006 as compared to 2005, since approximately half of our goodwill impairment was not deductible for tax purposes.

2008 Outlook

As discussed above under “Recent Developments,” the urology services segment experienced a decrease in overall lithotripsy procedures during 2007 (as compared to 2006), primarily across our western region partnerships, combined with loss of certain partnerships and contracts in the fourth quarter of 2006. In addition, we exited or reduced sales efforts in certain product lines in the medical products segment in the fourth quarter of 2006. The numbers of procedures performed have remained relatively stable over the third and fourth quarters of 2007. We intend to increase our urology services operations primarily through forming new operating partnerships in new markets as well as by acquisitions. We intend to grow our medical products operations by offering new equipment and expanding our customer base. As of the date of filing this Annual Report on Form 10-K, we anticipate that the levels of revenues and income from continuing operations (exclusive of goodwill impairments) for 2008 will be materially consistent with the reported financial results for 2007, but we cannot provide assurances that the 2008 results will be materially consistent with our 2007 results. See “Forward Looking Statements” under this Item 7 and “Risk Factors” under Part I, Item 1.

Liquidity and Capital Resources

Cash Flows

Our cash and cash equivalents were $25,198,000 and $27,857,000 at December 31, 2007 and 2006, respectively. Our subsidiaries generally distribute all of their available cash quarterly, after establishing reserves for estimated capital expenditures and working capital. For the years ended December 31, 2007 and 2006, our subsidiaries distributed cash of approximately $42,736,000 and $46,969,000, respectively, to minority interest holders.

Cash provided by our operations, after minority interest, was $61,877,000 for the year ended December 31, 2007 and $48,892,000 for the year ended December 31, 2006. From 2006 to 2007, fee and other revenue collected decreased by $1,837,000 due primarily to decreased revenues. Cash paid to employees, suppliers of goods and others decreased by $874,000 in 2007. This fluctuation is attributable to the significant payoff of accrued expenses in 2007 partially offset by a decrease in our overall expenses.

Cash used by our investing activities for the year ended December 31, 2007, was $18,757,000. We used approximately $8 million in cash to acquire our interests in the new Keystone partnership and we used $4 million to acquire increased ownership in two other partnerships. We purchased equipment and leasehold improvements totaling $9,469,000 in 2007. Cash used by our investing activities for the year ended December 31, 2006, was $128,409,000, primarily due to cash from discontinued operations which was $138,971,000 and represents the sales proceeds from the sale of our specialty vehicle manufacturing segment, partially offset by $11,902,000 in equipment and leasehold improvements purchases.


25


Cash used in our financing activities for the year ended December 31, 2007, was $45,581,000, primarily due to distributions to minority interests of $42,736,000 and payments on notes payable of $5,760,000 partially offset by borrowings on notes payable of $2,546,000. Cash used in our financing activities for the year ended December 31, 2006, was $175,369,000, primarily due to distributions to minority interests of $46,969,000 and net payments on notes payable of $129,600,000 which included repayment in full of our term loan B. We also received $1,907,000 in proceeds from the exercise of stock options in 2006.

Accounts receivable as of December 31, 2007 has decreased $863,000 from December 31, 2006. This decrease relates primarily to lower revenues as well as to the timing of collections.

Inventory as of December 31, 2007 totaled $10,221,000 and decreased $1,253,000 from December 31, 2006.

Senior Credit Facility

Our senior credit facility is comprised of a five-year $50 million revolver and a $125 million senior secured term loan B due 2011. We entered into this senior credit facility in March 2005. The loan bears interest at a variable rate equal to LIBOR + 1.25 to 2.25% or prime + .25 to 1.25%. On July 31, 2006, we used a portion of the proceeds from the sale of our specialty vehicle manufacturing segment to repay the term loan B in full. As of December 31, 2007, there were no amounts drawn on the revolver. Our senior credit facility contains covenants that, among other things, limit our ability to incur debt, create liens, make investments, sell assets, pay dividends, make capital expenditures, make restricted payments, enter into transactions with affiliates, and make acquisitions. In addition, our facility requires us to maintain certain financial ratios. We were in compliance with the covenants under our senior credit facility as of December 31, 2007.

8.75% Notes

In April 2005, our $125 million term loan B referred to above was funded and we used the proceeds to redeem the $100 million of unsecured senior subordinated notes. The notes were subject to an 8.75% rate of interest and interest was payable semi-annually on April 1st and October 1st.

Other

Other long term debt . As of December 31, 2007, we had notes totaling $8.5 million related to equipment purchased by our limited partnerships. These notes are paid from the cash flows of the related partnerships. They bear interest at LIBOR or prime plus a certain premium and are due over the next three years.

Other long term obligations . At December 31, 2007, we had an obligation totaling $75,000 related to payments to the previous owner of Aluminum Body Corporation, a wholly owned subsidiary of ours that we sold as part of the sale of our specialty vehicles manufacturing segment (“ABC”), for $75,000 per quarter until March 31, 2008 as consideration for a noncompetition agreement. Also at December 31, 2007, as part of our acquisition of Medstone International Inc. in February 2004, we had an obligation totaling $58,338 related to payments to an employee for $4,167 a month continuing until February 28, 2009 as consideration for a noncompetition agreement. We have an obligation totaling $100,000 related to payments of $3,333 a month until June 15, 2010 as consideration for a noncompetition agreement with a previous employee of our Medical Products division.


26


Unrecognized Tax Benefits : As of December 31, 2007, we had $2.3 million of unrecognized tax benefits. This represents the tax benefits associated with various tax positions taken, or expected to be taken, on domestic and international tax returns that have not been recognized in our financial statements due to uncertainty regarding their resolution. The resolution or settlement of these tax positions with the taxing authorities is at various stages and therefore we are unable to make a reliable estimate of the eventual cash flows by period that will be required to settle these matters. In addition, certain of these matters may not require cash settlement due to the existence of credit and operating loss carryforwards as well as other offsets, including the indirect benefit from other taxing jurisdictions that may be available.

General

The following table presents our contractual obligations as of December 31, 2007 (in thousands):


  Payments due by period
Contractual Obligations
Total
Less than
1 year

1-3 years
3-5 years
More than 5 years
Long Term Debt (1)     $ 8,526   $ 4,332   $ 3,667   $ 496   $ 31  
Operating Leases (2)       6,397     1,652     2,715     1,524     506  
Non-compete contracts (3)       233     165     68     --     --  
Unrecognized tax benefit (4)       2,294     --     --     --     2,294  
 




Total     $ 17,450   $ 6,149   $ 6,450   $ 2,020   $ 2,831  






  (1) Represents long term debt as discussed above.
  (2) Represents operating leases in the ordinary course of our business.
  (3) Represents an obligation of $75 due to the previous owner of one of our subsidiaries, at a rate of $75 per quarter until March 2008, an obligation of $58 due to an employee of Medstone, at a rate of $4 per month continuing until February 28, 2009, and an obligation of $100 due to a previous employee of ours, at a rate of $3 per month until June 15, 2010.
  (4) Represents unrecognized tax benefits as discussed above.

In addition, the scheduled principal repayments for all long term debt as of December 31, 2007 are payable as follows:


($ in thousands)
  2008     $ 4,332  
  2009       2,406  
  2010       1,261  
  2011       426  
  2012       70  
  Thereafter       31  
 
  Total     $ 8,526  
 

Our primary sources of cash are cash flows from operations and borrowings under our senior credit facility. Our cash flows from operations and therefore our ability to make scheduled payments of principal, or to pay the interest on, or to refinance, our indebtedness, or to fund planned capital expenditures, will depend on our future performance, which is subject to general economic, financial competitive, legislative, regulatory and other factors discussed under “Risk Factors” under Part I. Likewise, our ability to borrow under our senior credit facility will depend on these factors, which will affect our ability to comply with the covenants in our facility and our ability to obtain waivers for, or otherwise address, any noncompliance with the terms of our facility with our lenders.

We intend to increase our urology services operations primarily through forming new operating subsidiaries in new markets as well as by acquisitions. We seek opportunities to grow our medical products operations by offering new equipment and expanding our customer base. We intend to fund the purchase price for future acquisitions and developments using borrowings under our senior credit facility and cash flows from our operations. In addition, we may use shares of our common stock in such acquisitions where we deem appropriate.


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Based upon the current level of our operations and anticipated cost savings and revenue growth, we believe that cash flows from our operations and available cash, together with available borrowings under our senior credit facility, will be adequate to meet our future liquidity needs both for the short term and for at least the next several years. However, there can be no assurance that our business will generate sufficient cash flows from operations, that we will realize our anticipated revenue growth and operating improvements or that future borrowings will be available under our senior credit facility in an amount sufficient to enable us to service our indebtedness or to fund our other liquidity needs.

Inflation

Our operations are not significantly affected by inflation because we are not required to make large investments in fixed assets. However, the rate of inflation will affect certain of our expenses, such as employee compensation and benefits.

Recently Issued Accounting Pronouncements

In December 2007, the FASB issued Statement of Financial Accounting Standards (“SFAS”) No. 141 (revised 2007), " Business Combinations ", (“SFAS 141R”). SFAS 141R establishes principles and requirements for how an acquirer recognizes and measures in its financial statements the identifiable assets acquired, including goodwill, the liabilities assumed and any non-controlling interest in the acquiree. The Statement also establishes disclosure requirements to enable users of the financial statements to evaluate the nature and financial effects of the business combination. SFAS 141R is effective for business combinations for which the acquisition date is on or after the beginning of the first annual reporting period beginning on or after December 15, 2008. The impact of adopting SFAS 141R will be dependent on the future business combinations that we may pursue after its effective date.

In December 2007, the FASB issued SFAS No. 160, " Noncontrolling Interests in Consolidated Financial Statements–an amendment of ARB No. 51 " (“SFAS 160”). This Statement amends ARB 51 to establish accounting and reporting standards for the noncontrolling interest in a subsidiary and for the deconsolidation of a subsidiary. SFAS 160 requires companies to report a noncontrolling interest in a subsidiary as equity. Additionally, companies are required to include amounts attributable to both the parent and the noncontrolling interest in the consolidated net income and provide disclosure of net income attributable to the parent and to the noncontrolling interest on the face of the consolidated statement of income. This Statement clarifies that after control is obtained, transactions which change ownership but do not result in a loss of control are accounted for as equity transactions. Prior to this Statement being issued, decreases in a parent’s ownership interest in a subsidiary could be accounted for as equity transactions or as transactions with gain or loss recognition in the income statement. A change in ownership of a consolidated subsidiary that results in a loss of control and deconsolidation would result in a gain or loss in net income. SFAS 160 is effective for fiscal years beginning on or after December 15, 2008 with earlier adoption prohibited. The adoption of SFAS 160 will revise our presentation of consolidated financial statements and further impact will be dependent on our future changes in ownership in subsidiaries after the effective date.

In February 2007, the FASB issued SFAS No. 159, “ The Fair Value Option for Financial Assets and Financial Liabilities – Including an amendment of FASB Statement No. 115 ” ("SFAS 159"). SFAS 159 expands the use of fair value accounting to many financial instruments and certain other items. The fair value option is irrevocable and generally made on an instrument-by-instrument basis, even if a company has similar instruments that it elects not to measure based on fair value. SFAS 159 is effective for fiscal years beginning after November 15, 2007. Based on our current operations, we do not expect that the adoption of SFAS 159 will have a material impact on our financial position or results of operations.


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In September 2006, the FASB issued SFAS No. 157, " Fair Value Measurements " (“SFAS 157”). SFAS 157 defines fair value, establishes a framework for measuring fair value in GAAP and expands disclosures about fair value measurements. SFAS 157 is effective for fiscal years beginning after November 15, 2007 and interim periods within those fiscal years. In December 2007, the FASB released a proposed FASB Staff Position (FSP FAS 157-b-Effective Date of FASB Statement No. 157) which, if adopted as proposed, would delay the effective date of SFAS 157 for all nonfinancial assets and nonfinancial liabilities, except those that are recognized or disclosed at fair value in the financial statements on a recurring basis (at least annually). Based on our current operations, we do not expect that the adoption of SFAS 157 will have a material impact on our financial position or results of operations.







29


ITEM 7A.      QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

Interest Rate Risk

As of December 31, 2007, we had long-term debt (including current portion) totaling $8,526,000, of which $6,132,000 had fixed rates of 1% to 11%, and $2,394,000 incurred interest at a variable rate equal to a specified prime rate. We are exposed to some market risk due to the remaining floating interest rate debt totaling $2,394,000. We make monthly or quarterly payments of principal and interest on $1,201,000 of the floating rate debt. An increase in interest rates of 1% would result in a $12,000 annual increase in interest expense on this existing principal balance


ITEM 8.      FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA

The information required by this item is contained in Appendix A attached hereto.


ITEM 9.      CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON
                    ACCOUNTING AND FINANCIAL DISCLOSURE

None.


ITEM 9A.      CONTROLS AND PROCEDURES

(a) Disclosure Controls and Procedures

As of December 31, 2007, under the supervision and with the participation of our management, including our Chief Executive Officer (our principal executive officer) and our Chief Financial Officer (our principal financial officer), we evaluated the effectiveness of our disclosure controls and procedures (as defined under Rule 13a-15(e) of the Securities Exchange Act of 1934, as amended (the “Exchange Act”)). Based on this evaluation, our Chief Executive Officer and our Chief Financial Officer concluded that, as of December 31, 2007, our disclosure controls and procedures were effective.

(b) Management’s Report on Internal Control Over Financial Reporting

Our management is responsible for establishing and maintaining effective internal control over financial reporting as defined in Rule 13a-15(f) under the Exchange Act. Our internal control over financial reporting is designed to provide reasonable assurance to our management and board of directors regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with U.S. generally accepted accounting principles.

Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of the effectiveness of internal control over financial reporting to future periods are subject to the risk that controls may become inadequate because of changes in conditions or that the degree of compliance with the policies or procedures may deteriorate.

Our management assessed the effectiveness of our internal control over financial reporting as of December 31, 2007 based on the criteria set forth by the Committee of Sponsoring Organizations of the Treadway Commission (COSO) in its report entitled Internal Control—Integrated Framework .

Based on this assessment, our management concluded that, as of December 31, 2007, our internal control over financial reporting was effective based on those criteria.


30


Ernst & Young, LLP, our independent registered public accounting firm, has issued an audit report on management’s assessment of our internal control over financial reporting. The report of Ernst & Young, LLP is included herein.

(c) Changes in Internal Control over Financial Reporting

There have been no changes in our internal control over financial reporting that occurred during the three months ended December 31, 2007 that have materially affected, or are reasonably likely to materially affect, such internal control over financial reporting.


ITEM 9B.      OTHER INFORMATION

In the fourth quarter of 2007, in connection with our annual goodwill impairment test, we recorded an impairment to our urology services segment goodwill totaling $20.8 million. This impairment was due to a decrease in our estimated future discounted cash flows for this segment. This decrease was primarily caused by lower projected growth rates for our laser operations as well as the timing of certain future growth for our IGRT operations. For further discussion of this impairment, see footnote C to our consolidated financial statements included elsewhere in this Annual Report on Form 10-K.


31


Report of Independent Registered Public Accounting Firm


The Board of Directors and Shareholders of HealthTronics, Inc.

We have audited HealthTronics, Inc.’s internal control over financial reporting as of December 31, 2007, based on criteria established in Internal Control—Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (the COSO criteria). HealthTronics, Inc.’s management is responsible for maintaining effective internal control over financial reporting, and for its assessment of the effectiveness of internal control over financial reporting included in the accompanying Management’s Report on Internal Control over Financial Reporting. Our responsibility is to express an opinion on the company’s internal control over financial reporting based on our audit.

We conducted our audit in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether effective internal control over financial reporting was maintained in all material respects. Our audit included obtaining an understanding of internal control over financial reporting, assessing the risk that a material weakness exists, testing and evaluating the design and operating effectiveness of internal control based on the assessed risk, and performing such other procedures as we considered necessary in the circumstances. We believe that our audit provides a reasonable basis for our opinion.

A company’s internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles. A company’s internal control over financial reporting includes those policies and procedures that (1) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the company; (2) provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with generally accepted accounting principles, and that receipts and expenditures of the company are being made only in accordance with authorizations of management and directors of the company; and (3) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use, or disposition of the company’s assets that could have a material effect on the financial statements.

Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.

In our opinion, HealthTronics, Inc. maintained, in all material respects, effective internal control over financial reporting as of December 31, 2007, based on the COSO criteria.

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States), the consolidated balance sheets of HealthTronics, Inc. as of December 31, 2007, and the related consolidated statements of operations, shareholders’ equity, and cash flows for year then ended of HealthTronics, Inc. and our report dated March 6, 2008, expressed an unqualified opinion thereon.

/s/: Ernst & Young LLP  
Austin, Texas
March 6, 2008


32


PART III

ITEM 10.      DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE

The information required by this item will be contained in our definitive proxy statement to be filed in connection with our 2008 annual meeting of stockholders, except for the information regarding our executive officers, which is presented in Part I of this Form 10-K. The information required by this item contained in our definitive proxy statement is incorporated herein by reference.


ITEM 11.      EXECUTIVE COMPENSATION

The information required by this item will be contained in our definitive proxy statement to be filed in connection with our 2008 annual meeting of stockholders and is incorporated herein by reference.


ITEM 12.      SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND
                      MANAGEMENT AND RELATED STOCKHOLDER MATTERS

The information required by this item will be contained in our definitive proxy statement to be filed in connection with our 2008 annual meeting of stockholders and is incorporated herein by reference.


ITEM 13.      CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS, AND DIRECTOR
                      INDEPENDENCE

The information required by this item will be contained in our definitive proxy statement to be filed in connection with our 2008 annual meeting of stockholders and is incorporated herein by reference.


ITEM 14.      PRINCIPAL ACCOUNTANT FEES AND SERVICES

The information required by this item will be contained in our definitive proxy statement to be filed in connection with our 2008 annual meeting of stockholders and is incorporated herein by reference.


33


PART IV

ITEM 15.      EXHIBITS AND FINANCIAL STATEMENT SCHEDULES

(a) 1. Financial Statements.

          The information required by this item is contained in Appendix A attached hereto.

     

         

(b) Exhibits. (1)

 3.1
 
 
 3.2
 
 
 3.3
 
 4.1
 
 10.1
 
 
 10.2
 
 
 10.3*
 
 
 10.4*
 
 
 10.5*
 
 10.6*
 
 
 10.7*
 
 
 10.8*
 
 10.9*
 
 10.10*
 
 10.11*
 10.12*
 10.13
 
 
 
 
Amended and Restated Articles of Incorporation of the Company (Incorporated by
reference to Annex D to the Rule 424(b)(3) joint proxy statement/prospectus, dated
October 6, 2004, filed by HealthTronics with the SEC on October 7, 2004)
Amended and Restated Bylaws of the Company (Incorporated by reference to Annex E to
the Rule 424(b)(3) joint proxy statement/prospectus, dated October 6, 2004, filed by
HealthTronics with the SEC on October 7, 2004)
First Amendment to Bylaws of HealthTronics, Inc. (incorporated by reference to
Exhibit 3.1 of HealthTronics’ Current Report Form 8-K filed on December 17, 2007.)
Specimen of Common Stock Certificate (Filed as an Exhibit to the HSS Registration
Statement on Form S-4 (Registration No. 33-56900))
Form of Indemnification Agreement dated October 11, 1993 between the Company and
certain of its officers and directors (Filed as an Exhibit to the Current Report on
Form 8-K of Prime dated October 18, 1993)
Release and Severance Agreement dated December 30, 2001 by and between Prime Medical
Services Inc. and Kenneth S. Shifrin (Filed as an Exhibit to the Annual Report on Form
10-K of Prime for the year ended December 31, 2001)
Amended and Restated 1993 Stock Option Plan, as amended June 18, 2002 (Filed as an
Exhibit to the Annual Report on Form 10-K of Prime for the year ended December 31,
2002)
Prime Medical Services, Inc., 2003 Stock Option Plan (Incorporated by reference to
Annex D of the Rule 424(b)(3) joint proxy statement/prospectus, dated January 7, 2004,
filed by Prime with the SEC on January 8, 2004)
HealthTronics 2004 Equity Incentive Plan (Incorporated by reference to Exhibit 10.2 to
HealthTronics’ current report on Form 8-K filed on January 25, 2005)
Form of Board Service and Release Agreement by and between HealthTronics and Argil J.
Wheelock, M.D. (Filed as Exhibit 10.22 to the HSS Registration Statement on Form S-4
(Registration No. 333-117102))
Board Service, Amendment and Release Agreement by and between HealthTronics and
Kenneth S. Shifrin (Incorporated by reference to the HSS Registration Statement on
Form S-4 (Registration No. 333-117102))
HSS Stock Option Plan - 2002 (Incorporated by reference to Exhibit 10.1 of
HealthTronics’ Current Report on Form 8-K filed on January 25, 2005)
HSS Stock Option Plan - 2001 (Incorporated by reference to Appendix A to HSS’ proxy
statement filed with the SEC on April 18, 2001)
HSS Stock Option Plan - 2000 (Incorporated by reference to Appendix A to HSS’ proxy
statement filed with the SEC on April 25, 2000)
Form of Incentive Stock Option Agreement
Form of Nonstatutory Stock Option Agreement
Credit Agreement, dated as of March 23, 2005, among HealthTronics, Inc. the lenders
party thereto, Bank of America, N.A., as Syndication Agent, and JPMorgan Chase Bank,
National Association, as Administrative Agent for the lenders (Incorporated by
reference to Exhibit 10.1 of the Company’s 10-Q filed with the Securities and Exchange
Commission on November 8, 2005).
34


10.14*



10.15*


10.16


10.17*


10.18*


10.19*


10.20*



10.21*



10.22




10.23



10.24



10.25




10.26*



10.27*



Executive Employment Agreement, effective October 1, 2005, by and between
HealthTronics, Inc. and James S. B. Whittenburg (incorporated by reference to
Exhibit 99.4 to the Company’s Form 8-K filed with the Securities and Exchange
Commission on September 27, 2005).
First Amendment to the HealthTronics, Inc. 2004 Equity Incentive Plan (incorporated by
reference to Exhibit 10.1 to HealthTronics’ Quarterly Report on Form 10-Q for the
quarter ended June 30, 2005, filed on August 5, 2005).
Form of Indemnification Agreement for directors and certain officers of HealthTronics
(incorporated by reference to Exhibit 99.1 to HealthTronics’ Current Report on Form 8-K
filed on June 1, 2005).
First Amendment to Board Service and Release Agreement, dated as of March 2, 2006, by
and between HealthTronics and Argil J. Wheelock, M.D. (incorporated by reference to
Exhibit 10.1 of HealthTronics’ Current Report Form 8-K filed on March 8, 2006.)
Second Amendment to the Company’s 2004 Equity Incentive Plan (incorporated by
reference to Exhibit 10.1 to the Company’s Current Report on Form 8-K filed with the
Securities and Exchange Commission on June 14, 2006.)
Form of Restricted Stock Award Agreement (incorporated by reference to Exhibit 10.2
to the Company’s Current Report on Form 8-K filed with the Securities and Exchange
Commission on June 14, 2006).
Executive Employment Agreement, effective January 8, 2007, by and between
HealthTronics and Ross A. Goolsby (incorporated by reference to Exhibit 10.1 to the
Company’s Current Report on Form 8-K filed with the Securities and Exchange
Commission on December 11, 2006).
Second Amendment to Executive Employment Agreement, dated as of October 26, 2007,
by and between HealthTronics, Inc. and James S. B. Whittenburg (incorporated by
reference to Exhibit 10.1 to the Company’s Form 8-K filed with the Securities and
Exchange Commission on November 1, 2007).
Stock Purchase Agreement, dated as of February 13, 2007, by and among HealthTronics, Inc.,
Lithotripters, Inc., Keystone ABG Inc., Keystone Kidney Associates, PC, David Arsht, D.O., P.
Kenneth Brownstein, M.D., Larry E. Goldstein, M.D. and Michael Dernoga (incorporated by
reference to Exhibit 10.1 to the Company’s Current Report on Form 8-K filed with the Securities
and Exchange Commission on February 20, 2007).
Interest Purchase Agreement, dated as of February 13, 2007, by and among HealthTronics, Inc.,
Lithotripters, Inc., David Arsht, D.O., P. Kenneth Brownstein, M.D., Larry E. Goldstein, M.D. and
Michael Dernoga (incorporated by reference to Exhibit 10.2 to the Company’s Current Report on
Form 8-K filed with the Securities and Exchange Commission on February 20, 2007).
Amended and Restated Distribution Agreement, dated as of February 28, 2007, by and among
HealthTronics, Inc., Lisa Laser USA, Inc., and LISA laser products OHG (incorporated by
reference to Exhibit 10.1 to the Company’s Current Report on Form 8-K filed with the Securities
and Exchange Commission on March 6, 2007).
First Amendment to Interest Purchase Agreement, dated as of May 25, 2007, by and among
HealthTronics, Inc., Lithotripters, Inc., David Arsht, D.O., P. Kenneth Brownstein, M.D., Larry E.
Goldstein, M.D. and Michael Dernoga (incorporated by reference to Exhibit 10.2 to the
Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on
May 31, 2007).
Termination and Consulting Agreement, dated July 9, 2007, by and between HealthTronics, Inc.
and Christopher B. Schneider. (incorporated by reference to Exhibit 10.2 to the Company’s
Current Report on Form 8-K filed with the Securities and Exchange Commission on July 12,
2007).
First Amendment to Executive Employment Agreement, dated as of August 10, 2007, by and
between HealthTronics, Inc. and James S. B. Whittenburg (incorporated by reference to Exhibit
10.1 to the Company’s Current Report on Form 8-K filed with the Securities and Exchange
Commission on August 15, 2007).
35


21.1
23.1
23.2
31.1
31.2
32.1
32.2
List of subsidiaries of the Company. (Filed herewith)
Consent of Independent Registered Public Accounting Firm. (Filed herewith)
Consent of Independent Registered Public Accounting Firm. (Filed herewith)
Certification of Chief Executive Officer. (Filed herewith)
Certification of Chief Financial Officer. (Filed herewith)
Certification of Chief Executive Officer. (Filed herewith)
Certification of Chief Financial Officer. (Filed herewith)

_____________________
* Executive compensation plans and arrangements.


  (1)

The exhibits listed above will be furnished to any security holder upon written request for such exhibit to Ross A. Goolsby, HealthTronics, Inc., 1301 Capital of Texas Highway, Suite 200B, Austin, Texas 78746. The Securities and Exchange Commission (the “SEC”) maintains a website that contains reports, proxy and information statements and other information regarding registrants that file electronically with the SEC at “http://www.sec.gov”.




36


SIGNATURES


Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.


                                                     







                                                     
                                                     
                                                     
HEALTHTRONICS, INC.







By: /s/ James S. B. Whittenburg                                
        James S. B. Whittenburg,
       Chief Executive Officer and
        President (Principal Executive Officer)

       Date: March 11, 2008







Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed by the following persons on behalf of the registrant and in the capacities and on the dates indicated.


By:
         





Date:





By:
         




Date:





By:
         


Date:



By:
         


Date:



By:
         


Date:



By:
         


Date:
/s/ James S. B. Whittenburg
James S. B. Whittenburg,
Chief Executive Officer and
President (Principal Executive Officer)
and Director


March 11, 2008





/s/ Ross A. Goolsby
Ross A. Goolsby,
Senior Vice President and Chief Financial
Officer (Principal Financial and Accounting Officer)


March 11, 2008





/s/ R. Steven Hicks
R. Steven Hicks, Non-executive Chairman of the Board


March 11, 2008



/s/ Donny R. Jackson
Donny R. Jackson, Director


March 11, 2008



/s/ Timothy J. Lindgren
Timothy J. Lindgren, Director


March 11, 2008



/s/ Kevin A. Richardson II
Kevin A. Richardson II, Director


March 11, 2008
37


By:
         





Date:





By:
         


Date:



By:
         


Date:



By:
         


Date:



/s/ Kenneth S. Shifrin
Kenneth S. Shifrin, Director





March 11, 2008





/s/ Perry M. Waughtal
Perry M. Waughtal, Director


March 11, 2008



/s/ Argil J. Wheelock, M.D.
Argil J. Wheelock, M.D., Director


March 11, 2008



/s/ Mark G. Yudof
Mark G. Yudof, Director


March 11, 2008
38


APPENDIX A


INDEX

  Page
 
Reports of Independent Registered Public Accounting Firms

Consolidated Financial Statements:

     Consolidated Statements of Income for the years ended December 31, 2007, 2006

    and 2005.

     Consolidated Balance Sheets at December 31, 2007 and 2006.

     Consolidated Statements of Stockholders’ Equity for the years ended December 31, 2007,

     2006 and 2005.

     Consolidated Statements of Cash Flows for the years ended December 31, 2007, 2006 and 2005.

     Notes to Consolidated Financial Statements.
A-2



A-4



A-5

A-7



A-8

A-11





A-1


Report of Independent Registered Public Accounting Firm


The Board of Directors and Stockholders
HealthTronics, Inc.:

We have audited the accompanying consolidated balance sheets of HealthTronics, Inc. and subsidiaries as of December 31, 2007 and 2006, and the related consolidated statements of income, stockholders' equity, and cash flows for each of the two years in the period ended December 31, 2007. These financial statements are the responsibility of the Company's management. Our responsibility is to express an opinion on these financial statements and based on our audits.

We conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion.

In our opinion, the financial statements referred to above present fairly, in all material respects, the consolidated financial position of HealthTronics, Inc. and subsidiaries at December 31, 2007 and 2006, and the consolidated results of its operations and its cash flows for each of the two years in the period ended December 31, 2007, in conformity with U.S. generally accepted accounting principles.

As discussed in Note I to the consolidated financial statements, effective January 1, 2006, the Company changed its method of accounting for stock-based compensation to conform to Statement of Financial Accounting Standards No. 123(R), Share-Based Payment. As discussed in Note J to the consolidated financial statements, effective January 1, 2007, the Company changed its method of accounting for income taxes to conform to Financial Accounting Board Interpretation No. 48, Accounting for Uncertainty in Income Taxes.

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States), the effectiveness of HealthTronics, Inc. and subsidiaries’ internal control over financial reporting as of December 31, 2007, based on criteria established in Internal Control-Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission and our report dated March 6, 2008, expressed an unqualified opinion thereon.

/s/: Ernst & Young LLP   
Austin, Texas
March 6, 2008


A-2


Report of Independent Registered Public Accounting Firm


The Board of Directors and Stockholders
HealthTronics, Inc:

We have audited the accompanying consolidated statements of income, stockholders’ equity, and cash flows of HealthTronics, Inc. and subsidiaries for the year ended December 31, 2005. These consolidated financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on these consolidated financial statements based on our audit.

We conducted our audit in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audit provides a reasonable basis for our opinion.

In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the results of operations and the cash flows of HealthTronics, Inc. and subsidiaries for the year ended December 31, 2005, in conformity with U.S. generally accepted accounting principles.

/s/: KPMG LLP
Austin, Texas

April 13, 2006, except as to Note L, 2005 information related
to Specialty Vehicles Manufacturing, CryoSurgery, Rocky Mountain Prostate
Thermotherapies, and HIFU discontinued operations, which is as of March 12, 2007


A-3


HEALTHTRONICS, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF INCOME


($ in thousands, except per share data) Years Ended December 31,
2007
2006
2005
Revenue:                
     Urology Services     $ 122,736   $ 123,265   $ 133,360  
     Medical Products       17,101     19,080     18,202  
     Other       581     546     705  



        Total revenue       140,418     142,891     152,267  



Cost of services and general and administrative expenses:    
     Urology Services       53,490     51,262     51,164  
     Medical Products       11,225     16,797     9,225  
     Selling, general and administrative       15,884     20,298     14,492  
     Impairment charges       20,800     20,600     --  
     Depreciation and amortization       11,107     11,275     11,444  



        112,506     120,232     86,325  



Operating income       27,912     22,659     65,942  
 
Other income (expenses):    
     Interest and dividends       1,146     755     448  
     Interest expense       (829 )   (1,146 )   (1,139 )



        317     (391 )   (691 )



Income from continuing operations before provision    
     for income taxes and minority interest       28,229     22,268     65,251  
 
Minority interest in consolidated income       45,568     43,277     47,816  
Provision (benefit) for income taxes       (2,854 )   (4,563 )   6,502  



Income (loss) from continuing operations       (14,485 )   (16,446 )   10,933  
Income (loss) from discontinued operations, net of tax       (147 )   25,129     (1,745 )



Net income (loss)     $ (14,632 ) $ 8,683   $ 9,188  



Basic earnings per share:    
     Income (loss) from continuing operations     $ (0.41 ) $ (0.47 ) $ 0.32  
     Income (loss) from discontinued operations     $ --   $ 0.72   $ (0.05 )



        Net income (loss)     $ (0.41 ) $ 0.25   $ 0.27  



     Weighted average shares outstanding       35,421     35,157     34,311  



Diluted earnings per share:    
     Income (loss) from continuing operations     $ (0.41 ) $ (0.47 ) $ 0.31  
     Income (loss) from discontinued operations     $ --   $ 0.72   $ (0.05 )



        Net income (loss)     $ (0.41 ) $ 0.25   $ 0.26  



     Weighted average shares outstanding       35,421     35,347     35,182  




See accompanying notes to consolidated financial statements.


A-4



HEALTHTRONICS, INC. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS

($ in thousands)
December 31,
2007
2006
ASSETS            
 
Current assets:    
     Cash and cash equivalents     $ 25,198   $ 27,857  
     Accounts receivable, less allowance for doubtful    
         accounts of $2,368 in 2007 and $2,166 in 2006       21,889     22,752  
     Other receivables       2,703     1,201  
     Deferred income taxes       12,547     6,825  
     Prepaid expenses and other current assets       1,656     1,716  
     Inventory       10,221     11,474  


         Total current assets       74,214     71,825  


Property and equipment:    
     Equipment, furniture and fixtures       47,751     46,155  
     Building and leasehold improvements       12,437     12,710  


        60,188     58,865  
     Less accumulated depreciation and    
         amortization       (27,169 )   (24,595 )


         Property and equipment, net       33,019     34,270  


Assets held for sale       --     1,258  
Other investments       1,353     1,348  
Goodwill, at cost       217,505     229,261  
Intangible assets       5,220     5,669  
Other noncurrent assets       4,745     3,102  


      $ 336,056   $ 346,733  




See accompanying notes to consolidated financial statements.



A-5



HEALTHTRONICS, INC. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS (continued)

($ in thousands, except share data) December 31,
2007
2006
LIABILITIES            
 
Current liabilities:    
     Current portion of long-term debt     $ 4,332   $ 5,664  
     Accounts payable       5,859     6,295  
     Accrued distributions to minority interests       226     7,687  
     Accrued expenses       7,275     10,477  


         Total current liabilities       17,692     30,123  
 
Liabilities held for sale       --     258  
Long-term debt, net of current portion       4,194     5,673  
Other long term obligations       75     134  
Deferred income taxes       30,024     24,924  


         Total liabilities       51,985     61,112  
 
Minority interest       41,653     30,104  
 
STOCKHOLDERS' EQUITY    
 
Preferred stock, $.01 par value, 30,000,000 shares authorized: none outstanding       --     --  
Common stock, no par value, 70,000,000 authorized: 35,610,236 issued    
     and 35,560,097 outstanding in 2007; 35,475,236 issued and 35,379,831    
     outstanding in 2006       202,049     200,941  
Accumulated earnings       40,841     55,473  
Treasury stock, at cost, 50,139 shares in 2007 and 95,405 shares in 2006       (472 )   (897 )


         Total stockholders' equity       242,418     255,517  


      $ 336,056   $ 346,733  




See accompanying notes to consolidated financial statements.



A-6



HEALTHTRONICS, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY
For the years ended December 31, 2007, 2006 and 2005



($ in thousands, except share data) Issued Common Stock
Accumulated Treasury Stock
Shares
Amount
Earnings
Shares
Amount
Total
Balance, December 31, 2004       33,196,565   $ 179,510   $ 37,602     --   $ --   $ 217,112  
     Net income       --     --     9,188     --     --     9,188  
     Purchase of treasury stock       --     --     --     (143,921 )   (1,388 )   (1,388 )
     Issuance of stock for acquisitions       89,200     1,236     --     --     --     1,236  
     Exercise of stock options, including    
        tax benefit totaling $2,509       1,675,207     15,334     --     --     --     15,334  
     Exercise of stock warrants       49,684     --     --     --     --     --  

Balance, December 31, 2005       35,010,656     196,080     46,790     (143,921 )   (1,388 )   241,482  
     Net income       --     --     8,683     --     --     8,683  
     Purchase of treasury stock       --     --     --     (10,000 )   (73 )   (73 )
     Contribution of treasury stock       --     --     --     58,516     564     564  
     Issuance of stock for acquisitions       166,666     1,095     --     --     --     1,095  
     Exercise of stock options, including    
        tax benefit totaling $69       297,914     1,978     --     --     --     1,978  
     Share-based compensation       --     1,788     --     --     --     1,788  

Balance, December 31, 2006       35,475,236     200,941     55,473     (95,405 )   (897 ) 255,517  
     Net loss       --     --     (14,632 )   --     --     (14,632 )
     Contribution of treasury stock       --     --     --     45,266     425     425  
     Share-based compensation       135,000     1,108     --     --     --     1,108  

Balance, December 31, 2007       35,610,236   $ 202,049   $ 40,841     (50,139 ) $ (472 ) $ 242,418  



See accompanying notes to consolidated financial statements.




A-7



HEALTHTRONICS, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS

($ in thousands)
Years Ended December 31,
2007
2006
2005
CASH FLOWS FROM OPERATING ACTIVITIES:                
     Fee and other revenue collected     $ 144,821   $ 146,658   $ 158,739  
     Cash paid to employees, suppliers of goods and others       (82,361 )   (83,235 )   (96,638 )
     Interest received       1,146     755     448  
     Interest paid       (835 )   (1,296 )   1,140  
     Taxes paid       (538 )   (475 )   (407 )
     Discontinued operations       (356 )   (13,515 )   (7,022 )



        Net cash provided by operating activities       61,877     48,892     56,260  



CASH FLOWS FROM INVESTING ACTIVITIES:    
     Purchase of entities, net of cash acquired       (11,829 )   --     2,417  
     Purchases of equipment and leasehold improvements       (9,469 )   (11,902 )   (10,578 )
     Proceeds from sales of assets       1,224     1,365     2,198  
     Distributions from investments       --     --     992  
     Other       (18 )   (25 )   --  
     Discontinued operations       1,335     138,971     (2,122 )



        Net cash (used in) provided by investing activities       (18,757 )   128,409     (7,093 )



CASH FLOWS FROM FINANCING ACTIVITIES:    
     Borrowings on notes payable       2,546     4,657     163,814  
     Payments on notes payable, exclusive of interest       (5,760 )   (134,257 )   (173,265 )
     Distributions to minority interest       (42,736 )   (46,969 )   (46,434 )
     Contributions by minority interest, net of buyouts       389     (314 )   963  
     Exercise of stock options       --     1,907     12,825  
     Purchase of treasury stock       --     (73 )   (1,388 )
     Discontinued operations       (20 )   (320 )   (1,915 )



        Net cash used in financing activities       (45,581 )   (175,369 )   (45,400 )



NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS       (2,461 )   1,932     3,767  
 
Cash and cash equivalents, beginning of period, includes cash    
     from discontinued operations of $(198), $4,650    
     and $2,292 for 2007, 2006 and 2005, respectively       27,659     25,727     21,960  



Cash and cash equivalents, end of period, includes cash    
     from discontinued operations of $(198) and $4,650    
     for 2006 and 2005 respectively     $ 25,198   $ 27,659   $ 25,727  





See accompanying notes to consolidated financial statements.




A-8



HEALTHTRONICS, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS (continued)

($ in thousands)
Years Ended December 31,
2007
2006
2005
Reconciliation of net income to net cash                
     provided by operating activities:    
Net income (loss)     $ (14,632 ) $ 8,683   $ 9,188  
Adjustments to reconcile net income (loss) to cash provided    
     by operating activities:    
         Minority interest in consolidated income       45,568     43,277     47,816  
         Depreciation and amortization       11,107     11,275     11,444  
         Provision for uncollectible accounts       (108 )   581     835  
         Equity in earnings of affiliates       --     --     (987 )
         Provision for deferred income taxes       (624 )   (4,997 )   3,975  
         Proceeds from termination of interest rate swap       --     --     (564 )
         Non-cash share-based compensation       1,534     2,352     --  
         Impairment charges       20,800     20,600     --  
         Other       70     (636 )   (134 )
     Discontinued Operations       (117 )   (38,643 )   (2,294 )
     Changes in operating assets and liabilities,    
         net of effect of purchase transactions:    
             Accounts receivable       1,008     1,821     1,823  
             Other receivables       (1,124 )   2,094     (2,273 )
             Other assets       2,026     1,036     (5,360 )
             Accounts payable       (579 )   482     (103 )
             Accrued expenses       (3,052 )   967     (7,106 )



     Total adjustments       76,509     40,209     47,072  



Net cash provided by operating activities     $ 61,877   $ 48,892   $ 56,260  





See accompanying notes to consolidated financial statements.




A-9



HEALTHTRONICS, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS (continued)

($ in thousands)
Years Ended December 31,
2007
2006
2005
SUPPLEMENTAL INFORMATION OF NON-CASH                
     INVESTING AND FINANCING ACTIVITIES:    
 
At December 31, the Company had accrued distributions payable    
     to minority interests. The effect of this transaction was as follows:    
         Current liabilities increased by     $ 226   $ 7,687   $ 8,250  
         Minority interest decreased by       226     7,687     8,250  
 
In 2007, the Company acquired two lithotripsy partnerships and sold    
     three lithotripsy partnerships. The net assets and    
     liabilities acquired/sold were as follows:    
         Current assets increased by       580     --     --  
         Noncurrent assets increased by       1,816     --     --  
         Goodwill increased by       9,044     --     --  
         Current liabilities increased by       380     --     --  
         Other long-term obligations decreased by       354     --     --  
         Minority interest increased by       802     --     --  
 
In 2005, the Company acquired two lithotripsy partnerships and made    
     residual adjustments for 2004 acquisitions. The acquired    
     assets and liabilities were as follows:    
         Current assets increased by       --     --     356  
         Noncurrent assets increased by       --     --     (4,973 )
         Goodwill increased by       --     --     10,295  
         Current liabilities increased by       --     --     3,272  
         Other long-term obligations increased by       --     --     83  
         Stockholders' equity increased by       --     --     1,236  


See accompanying notes to consolidated financial statements.




A-10



HEALTHTRONICS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

A.   ORGANIZATION AND OPERATION OF THE COMPANY

We now provide healthcare services and manufacture medical devices, primarily for the urology community. Prior to July 31, 2006, we also designed and manufactured trailers and coaches that transport high technology medical devices and equipment for mobile command and control centers and the media and broadcast industry.

We are headquartered in Austin, Texas and provide urology services in approximately 40 states.

On November 10, 2004, Prime Medical Services, Inc. (Prime) completed a merger with HealthTronics Surgical Services, Inc. (HSS) pursuant to which Prime merged with and into HSS, with HealthTronics, Inc. (HealthTronics) as the surviving corporation. Under the terms of that agreement, as a result of the merger, Prime’s stockholders received one share of HealthTronics common stock for each share of Prime’s common stock. Because Prime’s stockholders now own approximately 62% of the shares of HealthTronics common stock due to the merger, and because Prime’s directors and senior management represent a majority of the combined company’s directors and senior management, Prime was deemed to be the acquiring company for accounting purposes and the merger was accounted for as a reverse acquisition under the purchase method of accounting for business combinations in accordance with U.S. generally accepted accounting principles. The consideration paid (purchase price) was allocated to the tangible and intangible net assets of HSS based on their fair values, and the net assets of HSS were recorded at fair value as of the completion of the merger and added to those of Prime. The assets acquired and liabilities assumed were deemed to be those of HealthTronics because HealthTronics is the surviving legal entity.

On June 22, 2006, we and AK Acquisition Corp., a wholly-owned subsidiary of Oshkosh Truck Corporation (“Oshkosh”), entered into an Interest and Stock Purchase Agreement pursuant to which Oshkosh agreed to acquire our specialty vehicle manufacturing segment for $140 million in cash. We completed this sale on July 31, 2006. Accordingly, we have included our specialty vehicle manufacturing segment in discontinued operations in the accompanying consolidated financial statements.

During the fourth quarter of 2006, we also sold our cryosurgery operations, committed to a plan to sell our Rocky Mountain Prostate business and announced our decision to discontinue our involvement in the clinical trials of the Ablatherm device. Accordingly, all of these activities have been reflected as discontinued operations in the accompanying consolidated financial statements. In September 2007, we completed the sale of our Rocky Mountain Prostate business.

B.   SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

Consolidation

The consolidated financial statements include the accounts of the Company, our wholly-owned subsidiaries, and entities more than 50% owned and limited partnerships or limited liability corporations (LLCs) where we, as the general partner or managing member, exercise effective control, even though our ownership is less than 50%. The related agreements provide for broad powers by us. The other parties do not participate in the management of the entity and do not have the substantial ability to remove us. In accordance with Financial Accounting Standards Board (FASB) Interpretation 46R, Consolidation of Variable Interest Entities (VIE), an Interpretation of ARB No. 51 (FIN 46), we have determined that one of our consolidated partnerships, acquired in the HSS Merger and in which we have a 20% interest, has related party relationships with two VIEs and has consolidated those entities. Investments in entities in which our investment is less than 50% ownership and we do not have significant control are accounted for by the equity method if ownership is between 20%–50%, or by the cost method if ownership is less than 20%. All significant intercompany accounts and transactions have been eliminated.


A-11



HEALTHTRONICS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

Cash Equivalents

We consider as cash equivalents demand deposits and all short-term investments with a maturity at date of purchase of three months or less.

Property and Equipment

Property and equipment are stated at cost. Major betterments are capitalized while normal maintenance and repairs are charged to operations. Depreciation is computed by the straight-line method using estimated useful lives of three to twenty years. Leasehold improvements are generally amortized over ten years or the term of the lease, whichever is shorter. When assets are sold or retired, the corresponding cost and accumulated depreciation or amortization are removed from the related accounts and any gain or loss is credited or charged to operations. Depreciation expense for property and equipment was $10,079,000, $9,844,000 and $10,183,000 for the years ended December 31, 2007, 2006 and 2005, respectively.

Impairment of long-lived assets

We review long-lived assets, other than goodwill and other intangible assets with indefinite lives, for impairment whenever facts and circumstances indicate that the carrying amounts of the assets may not be recoverable. An impairment loss is recognized only if the carrying amount of the asset is not recoverable and exceeds its fair value. Recoverability of assets to be held and used is measured by comparing the carrying amount of an asset to the estimated undiscounted future net cash flows expected to be generated by the asset. If the asset’s carrying value is not recoverable, an impairment charge is recognized for the amount by which the carrying amount of the asset exceeds its fair value. We determine fair values by using a combination of comparable market values and discounted cash flows, as appropriate.

Goodwill and Other Intangible Assets

We record as goodwill the excess of the purchase price over the fair value of the net assets associated with acquired businesses. Goodwill and intangible assets with indefinite useful lives are not amortized, but instead are tested for impairment at least annually. Intangible assets with definite useful lives are amortized over their respective estimated useful lives to their estimated residual values. We now have two reporting units, urology services and medical products. We test for impairment of goodwill at least annually, during the fourth quarter, at the reporting unit level by comparing the reporting unit’s carrying amount, including goodwill, to the fair value of the reporting unit. The fair value of the reporting units are estimated using a combination of the income, or discounted cash flows approach and the market approach, which utilizes comparable companies’ data. Because we have recognized goodwill based only on our controlling interest, the fair value of each reporting unit also relates only to our controlling interest. If the carrying amount of a reporting unit exceeds its fair value, the second step of the goodwill impairment test is performed to measure the amount of impairment loss, if any. The second step of the goodwill impairment test compares the implied fair value of the reporting unit’s goodwill with the carrying amount of that goodwill. If the carrying amount of the reporting unit’s goodwill exceeds the implied fair value of that goodwill, an impairment loss is recognized in an amount equal to that excess. The implied fair value of goodwill is determined in the same manner as the amount of goodwill recognized in a business combination. That is, the fair value of the reporting unit is allocated to all of the assets and liabilities of that unit as if the reporting unit had been acquired in a business combination and the fair value of the reporting unit was the purchase price paid to acquire the reporting unit.


A-12



HEALTHTRONICS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

Revenue Recognition

Our revenue recognition policies are in accordance with the SEC’s Staff Accounting Bulletin (“SAB”) No. 101, Revenue Recognition in Financial Statements , SAB No. 104, Revenue Recognition, and other authoritative accounting literature. In the case of arrangements which require significant production, modification or customization of products, we follow the guidance in the AICPA Statement of Position (“SOP”) 81-1, Accounting for Performance of Construction-Type and Certain Production Type Contracts , whereby we apply the completed contract method, since all our contracts are of a short-term nature. After the sale of our specialty vehicles manufacturing segment in July 2006, we no longer have any sale arrangements which follow SOP 81-1.

Our fees for urology services are recorded when the procedure is performed and are based on a contracted rate with a hospital (wholesale contract) or based on a contractual rate with commercial insurance carriers (retail contract), individual or state and federal health care agencies, net of contractual fee reduction. Management fees from limited partnerships are recorded monthly when earned. Distributions from cost basis investments are recorded when received and totaled $1,321,000, $1,005,000 and $987,000 in 2007, 2006 and 2005, respectively.

Sales of medical devices including related accessories (which started in February 2004 with the acquisition of Medstone International, Inc. (“Medstone”)) are recorded when delivered to the customer and any trial period ends. There are no post-shipment obligations after revenue is recognized except a possible maintenance equipment contract. If the sale includes maintenance services over a period of time, we defer the fair value of the maintenance services and recognize it ratably over the contract period. Fair value of undelivered elements is determined based on prices when the items are sold separately. Licensing fees (which started with the acquisition of Medstone in February 2004) are recorded when the related lithotripsy procedure is performed on the equipment we sold to third parties; leasing fees and revenues from maintenance contracts are recorded monthly as the related services are provided; sales of consumable products are recorded when delivered to the customer. We provide anatomical pathology services primarily to the urology market place. Revenues from these services are recorded when the related laboratory procedures are performed.

Prior to the sale of our specialty vehicle manufacturing segment on July 31, 2006, revenue from the manufacture of trailers where we had a customer contract prior to beginning production was recognized when the project was substantially complete. Substantially complete was when the following had occurred (1) all significant work on the project was done; (2) the specifications under the contract had been met; and (3) no significant risks remained. Revenue from the manufacture of trailers built to an OEM’s forecast was recognized upon delivery. Costs incurred, which primarily consist of labor and materials, on uncompleted projects were capitalized as work in process. Provisions for estimated losses on uncompleted projects were made in the period in which the losses were determined.

Major Customers and Credit Concentrations

For the years ending December 31, 2007, 2006 and 2005, we had no customers who exceeded 10% of consolidated revenues. Concentrations of credit risk with respect to cash relate to deposits held with banks in excess of insurance provided. Generally, these deposits may be redeemed upon demand and, therefore, in the opinion of management, bear minimal risk. Concentrations of credit risk with respect to receivables are limited due to the wide variety of customers, as well as their dispersion across many geographic areas. Other than as disclosed below, we do not consider ourselves to have any significant concentrations of credit risk. At December 31, 2007, approximately 28% of accounts receivable relate to units operating in New York, 7% relate to units in Louisiana, 6% relate to units operating in Florida, 6% related to units in Indiana, and 5% each relate to units in Texas and Minnesota. At December 31, 2006, approximately 23% of accounts receivable relate to units operating in New York, 7% relate to units operating in Florida, 7% relate to units in Louisiana, 6% related to units in Texas, and 5% each relate to units in Georgia, Indiana and Minnesota.


A-13



HEALTHTRONICS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

Income Tax

Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases and operating loss and tax credit carryforwards. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date.

Accounts Receivable

Accounts receivable are recorded based on revenues, net of contractual fee reductions and less an estimated allowance for doubtful accounts. The allowance for doubtful accounts is based on our assessment of the collectibility of customer accounts. We regularly review the allowance by considering factors such as historical experience, credit quality, age of the accounts receivable balances, and current economic conditions that may affect a customer’s ability to pay. The following is a summary of accounts receivable allowances:




($ in thousands)


Balance at
Beginning of
Year

Costs and
Expenses

Deductions
Other
Balance at
End of Year

Allowance for Doubtful Accounts:
2007     $ 2,166   $ 329   $ 127   $ --   $ 2,368  
2006     $ 1,491   $ 776   $ 101   $ --   $ 2,166  
2005     $ 812   $ 835   $ 156   $ --   $ 1,491  

Inventory

Inventory is stated at the lower of cost or market. Cost is determined using the average cost method. Certain components that meet our manufacturing requirements are only available from a limited number of suppliers. The inability to obtain components as required or to develop alternative sources, if and as required in the future, could result in delays or reduction in product shipments, which in turn could have a material adverse effect on our manufacturing business, financial condition and results of operations.


A-14



HEALTHTRONICS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

As of December 31, 2007 and 2006, inventory consists of the following (in thousands):


2007
2006
Raw Materials     $ 6,144   $ 7,070  
Finished Goods       4,077     4,404  


        $ 10,221   $ 11,474  



Stock-Based Compensation

On January 1, 2006, we adopted Statement of Financial Accounting Standard (“SFAS”) No. 123(R), Share-Based Payment , which requires the measurement and recognition of compensation expense for all share-based payment awards made to employees and directors including stock option grants based on estimated fair values. SFAS No. 123(R) requires companies to estimate the fair value of share-based payment awards on the date of grant using an option-pricing model. The value of the award’s portion that is ultimately expected to vest is recognized as expense over the requisite service periods. Prior to the adoption of SFAS No. 123(R), we accounted for share-based awards to employees and directors using the intrinsic valued method in accordance with Accounting Principles Board Opinion (“APB”) No. 25 as allowed under SFAS No. 123, Accounting for Stock-Based Compensation . Under the intrinsic value method, share-based compensation expense was only recognized by us if the exercise price of the stock option was less than the fair market value of the underlying stock at the date of grant.

We have elected to use the modified prospective application method whereby SFAS No. 123(R) applies to new awards, the unvested portion of existing awards and to awards modified, repurchased or canceled after the effective date. In accordance with the modified prospective method, our consolidated financial statements for the year ended December 31, 2005 and prior have not been restated to reflect, and do not include, the impact of SFAS No. 123(R). We have provided proforma disclosures of net income and earnings per share as if the fair value-based method prescribed by SFAS No. 123 had been applied in measuring compensation expense in footnote I.

Debt Issuance Costs

We expense debt issuance costs as incurred.

Advertising costs

Costs related to advertising are expensed as incurred.

Research and Development

Research and development costs are expensed as incurred and are not material in any of the periods presented.

Estimates Used to Prepare Consolidated Financial Statements

Management uses estimates and assumptions in preparing financial statements in accordance with U.S. generally accepted accounting principles. Those estimates and assumptions affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities, and the reported revenues and expenses. Actual results could vary from the estimates that were assumed in preparing the consolidated financial statements.


A-15



HEALTHTRONICS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

Reclassification

Certain reclassifications have been made to expense catagories presented in previous years to be consistent with the 2007 presentation. In 2006, we classified our operating expenses in the accompanying consolidated statements of income by nature using the following categories: Salaries, wages and benefits; Other cost of services; General and administrative; Legal and professional; Manufacturing costs; Advertising; and Other. In 2007, in order to more closely match each class of revenue we have reclassified our operating expense categories by function as follows: Urology services, Medical products, and Sales, general & administrative. These reclassifications were between operating expense categories and did not change total operating expense in any period.

Earnings Per Share

Basic earnings per share is based on the weighted average shares outstanding without any dilutive effects considered. Diluted earnings per share reflects dilution from all contingently issuable shares, including options and warrants. A reconciliation of such earnings per share data is as follows:


(In thousands, except per share data)

Net Income
(loss)

No. of Shares
Per Share Amounts
For the year ended December 31, 2007                
Basic     $ (14,632 )   35,421   $ (0.41 )
Effect of dilutive securities:    
     Options           --  



Diluted     $ (14,632 )   35,421   $ (0.41 )



For the year ended December 31, 2006    
Basic     $ 8,683     35,157   $ 0.25
Effect of dilutive securities:    
     Options             190  



Diluted     $ 8,683     35,347   $ 0.25



For the year ended December 31, 2005    
Basic     $ 9,188     34,311   $ 0.27
Effect of dilutive securities:    
     Options             871  



Diluted     $ 9,188     35,182   $ 0.26




Unexercised employee stock options and warrants to purchase 3,329,000, 3,223,000 and 751,000 shares of our common stock as of December 31, 2007, 2006 and 2005, respectively, were not included in the computations of diluted EPS because the exercise prices were greater than the average market price of our common stock during the respective periods.

Recently Issued Pronouncements

In December 2007, the FASB issued Statement of Financial Accounting Standards (“SFAS”) No. 141 (revised 2007), “ Business Combinations ”, (“SFAS 141R”). SFAS 141R establishes principles and requirements for how an acquirer recognizes and measures in its financial statements the identifiable assets acquired, including goodwill, the liabilities assumed and any non-controlling interest in the acquiree. The Statement also establishes disclosure requirements to enable users of the financial statements to evaluate the nature and financial effects of the business combination. SFAS 141R is effective for business combinations for which the acquisition date is on or after the beginning of the first annual reporting period beginning on or after December 15, 2008. The impact of adopting SFAS 141R will be dependent on the future business combinations that we may pursue after its effective date.


A-16



HEALTHTRONICS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

In December 2007, the FASB issued SFAS No. 160, “ Noncontrolling Interests in Consolidated Financial Statements–an amendment of ARB No. 51 ” (“SFAS 160”). This Statement amends ARB 51 to establish accounting and reporting standards for the noncontrolling interest in a subsidiary and for the deconsolidation of a subsidiary. SFAS 160 requires companies to report a noncontrolling interest in a subsidiary as equity. Additionally, companies are required to include amounts attributable to both the parent and the noncontrolling interest in the consolidated net income and provide disclosure of net income attributable to the parent and to the noncontrolling interest on the face of the consolidated statement of income. This Statement clarifies that after control is obtained, transactions which change ownership but do not result in a loss of control are accounted for as equity transactions. Prior to this Statement being issued, decreases in a parent’s ownership interest in a subsidiary could be accounted for as equity transactions or as transactions with gain or loss recognition in the income statement. A change in ownership of a consolidated subsidiary that results in a loss of control and deconsolidation would result in a gain or loss in net income. SFAS 160 is effective for fiscal years beginning on or after December 15, 2008 with earlier adoption prohibited. The adoption of SFAS 160 will revise our presentation of the consolidated financial statements and further impact will be dependent on our future changes in ownership in subsidiaries after the effective date.

In February 2007, the FASB issued SFAS No. 159, “ The Fair Value Option for Financial Assets and Financial Liabilities – Including an amendment of FASB Statement No. 115 ” (“SFAS 159”). SFAS 159 expands the use of fair value accounting to many financial instruments and certain other items. The fair value option is irrevocable and generally made on an instrument-by-instrument basis, even if a company has similar instruments that it elects not to measure based on fair value. SFAS 159 is effective for fiscal years beginning after November 15, 2007. Based on our current operations, we do not expect that the adoption of SFAS 159 will have a material impact on our financial position or results of operations.

In September 2006, the FASB issued SFAS No. 157, “ Fair Value Measurements ” (“SFAS 157”). SFAS 157 defines fair value, establishes a framework for measuring fair value in GAAP and expands disclosures about fair value measurements. SFAS 157 is effective for fiscal years beginning after November 15, 2007 and interim periods within those fiscal years. In December 2007, the FASB released a proposed FASB Staff Position (FSP FAS 157-b–Effective Date of FASB Statement No. 157) which, if adopted as proposed, would delay the effective date of SFAS 157 for all nonfinancial assets and nonfinancial liabilities, except those that are recognized or disclosed at fair value in the financial statements on a recurring basis (at least annually). Based on our current operations, we do not expect that the adoption of SFAS 157 will have a material impact on our financial position or results of operations.

C.   GOODWILL AND OTHER INTANGIBLE ASSETS

We adopted SFAS No. 142 “ Goodwill and Other Intangible Assets ” effective January 1, 2002. Under this standard, we no longer amortize goodwill and indefinite life intangible assets, but those assets are subject to annual impairment tests. As of December 31, 2007, we had $4 million in indefinite life intangible assets related to the HealthTronics brand name. Other intangible assets with finite lives consisted primarily of non-compete agreements, hospital contracts and patents at December 31, 2007 and 2006. The agreements will continue to be amortized over their useful lives.





A-17



HEALTHTRONICS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

The net carrying value of goodwill as of December 31, 2007 and 2006 is comprised of the following:


Total
Urology Services
Medical Products
Balance, December 31, 2005     $ 255,817   $ 238,298   $ 17,519  
    Additions       402     402     --  
    Deletions       (6,358 )   (6,358 )   --  
    Impairments       (20,600 )   (12,200 )   (8,400 )



Balance, December 31, 2006     $ 229,261   $ 220,142   $ 9,119  
    Additions       11,735     11,735     --  
    Deletions       (2,691 )   (2,691 )   --  
    Impairments       (20,800 )   (20,800 )   --  



Balance, December 31, 2007     $ 217,505   $ 208,386   $ 9,119  




In the fourth quarter of 2007, in connection with our annual goodwill impairment test, we recorded an impairment to our urology services segment goodwill totaling $20.8 million. This impairment was due to a decrease in our estimated future discounted cash flows for this segment. This decrease was primarily caused by lower projected growth rates for our laser operations as well as the timing of certain future growth for our IGRT operations. In the fourth quarter of 2006, we recorded an impairment to our goodwill totaling $12.2 million related to our urology services segment and $8.4 million related to our medical products segment. The impairment to our urology services segment was due primarily to a decrease in the number of overall procedures during 2006, primarily across our western region partnerships, combined with the loss of certain partnerships and contracts late in 2006 to competitors. The impairment in our medical products segment relates primarily to our decision to reduce or exit certain product lines, specifically patient management tables and orthopedic consumables, during the fourth quarter of 2006 along with the closing of our European operations.

We record as goodwill the excess of the purchase price over the fair value of the net assets associated with acquired businesses. Goodwill and intangible assets with indefinite useful lives are not amortized, but instead are tested for impairment at least annually. Intangible assets with definite useful lives are amortized over their respective estimated useful lives to their estimated residual values. We now have two reporting units, urology services and medical products. We test for impairment of goodwill at least annually, during the fourth quarter, at the reporting unit level by comparing the reporting unit’s carrying amount, including goodwill, to the fair value of the reporting unit. The fair values of the reporting units are estimated using a combination of the income, or discounted cash flows, approach and the market approach, which utilizes comparable companies’ data. Because we have recognized goodwill based only on our controlling interest, the fair value of each reporting unit also relates only to our controlling interest.

If the carrying amount of a reporting unit exceeds its fair value, the second step of the goodwill impairment test is performed to measure the amount of impairment loss, if any. The second step of the goodwill impairment test compares the implied fair value of the reporting unit’s goodwill with the carrying amount of that goodwill. If the carrying amount of the reporting unit’s goodwill exceeds the implied fair value of that goodwill, an impairment loss is recognized in an amount equal to that excess. The implied fair value of goodwill is determined in the same manner as the amount of goodwill recognized in a business combination. That is, the fair value of the reporting unit is allocated to all of the assets and liabilities of that unit as if the reporting unit had been acquired in a business combination and the fair value of the reporting unit was the purchase price paid to acquire the reporting unit.




A-18



HEALTHTRONICS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

Our discounted cash flow projections for each reporting unit were based on five-year financial forecasts. The five-year forecasts were based on annual financial forecasts developed internally by management for use in managing our business and through discussions with an independent valuation firm engaged by us. The significant assumptions of these five-year forecasts included annual revenue growth rates ranging from -5.0% to 8.1% and from -19.3% to 23.5% for the urology services and medical products reporting units, respectively. The future cash flows were discounted to present value using a mid-year convention and a discount rate of 11.0% for the urology services reporting unit and 12.0% for the medical products reporting unit. Terminal values for both reporting units were calculated using a Gordon growth methodology with a long-term growth rate of 5.0%. The future terminal values of the urology services and medical products reporting units were $283,660 and $45,158 respectively at December 31, 2007. The future terminal values of the urology services and medical products reporting units were $299,995 and $51,547 respectively at December 31, 2006.

The significant assumptions used in determining fair values of reporting units using comparable company market values include the determination of appropriate market comparables, the estimated multiples of revenue, EBIT, and EBITDA a willing buyer is likely to pay, and the estimated control premium a willing buyer is likely to pay.

Other intangible assets as of December 31, 2007 and 2006, subject to amortization expense, are comprised of the following:


Gross
Carrying
Amount

Accumulated
Amortization

Net
December 31, 2007                
Urology Services     $ 2,590   $ 1,759   $ 831  
Medical Products       2,776     2,387     389  



  Total     $ 5,366   $ 4,146   $ 1,220  



December 31, 2006    
Urology Services     $ 2,130   $ 1,215   $ 915  
Medical Products       2,656     1,902     754  



  Total     $ 4,786   $ 3,117   $ 1,669  




Amortization expense for other intangible assets with finite lives was $1,028,000, $1,431,000 and $1,261,000 for the years ended December 31, 2007, 2006 and 2005, respectively. We estimate annual amortization expense for each of the five succeeding fiscal years as follows:


Year
Amount
    2008     $ 598,000  
    2009       304,000  
    2010       153,000  
    2011       82,000  
    2012       82,000  



A-19



HEALTHTRONICS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

D.   ACQUISITIONS

Effective April 28, 2007, we acquired a 21% general partner interest in Keystone Mobile Partners, L.P. (“Keystone”) and an additional 14% limited partner interest in Keystone for an aggregate purchase price of approximately $6.8 million plus certain additional cash consideration to be paid depending on the number of limited partner units sold by us in a post-closing offering of such units, plus certain earnouts. In August 2007, we completed our post-closing offering of the limited partner units and paid an additional $934,000. Keystone provides lithotripsy services to the Greater Philadelphia and eastern Pennsylvania area. We recorded approximately $8 million of goodwill related to this transaction, all of which is tax deductible.

In 2007, we increased our ownership in two partnerships for an aggregate purchase price of approximately $4 million. We recorded approximately $3.6 million of goodwill related to these transactions, all of which is tax deductible.

Unaudited proforma combined income data for the years ended December 31, 2007 and 2006 of the Company assuming the acquisitions were effective January 1, of each year is as follows:


  ($ in thousands, except per share data) 2007   2006  
 

Total revenues     $ 145,387   $ 152,603      
  Total expenses       158,921     166,493  
  Discontinued Operations       (147 )   25,129  
 

       Net income (loss)     $ (13,681 ) $ 11,239  
 

       Diluted earnings per share     $ (0.39) $ 0.32
 


E. FAIR VALUE OF FINANCIAL INSTRUMENTS

The carrying amounts and estimated fair values of our significant financial instruments as of December 31, 2007 and 2006 are as follows:


2007
2006
( $ in thousands)

Carrying
Amount
  Fair Value   Carrying
Amount
  Fair Value  




Financial assets:                    
     Cash and cash equivalents     $ 25,198   $ 25,198   $ 27,857   $ 27,857  
     Warrants/Common Stock       450     360     150     544  
Financial liabilities:    
     Debt     $ 8,526   $ 8,526   $ 11,337   $ 11,337  
     Other long-term obligations       75     67     134     130  



A-20



HEALTHTRONICS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

The following methods and assumptions were used by us in estimating our fair value disclosures for financial instruments.

Cash and Cash Equivalents

The carrying amounts for cash and cash equivalents approximate fair value because they mature in less than 90 days and do not present unanticipated credit concerns.

Debt

The carrying value of the debt at December 31, 2007 and 2006 approximates fair value.

Other Long-Term Obligations

At December 31, 2007, as part of our acquisition of Medstone International Inc. in February 2004, we had an obligation totaling $58,338 related to payments to an employee for $4,167 per month continuing until February 28, 2009 as consideration for a noncompetition agreement. We have an obligation totaling $100,000 related to payments of $3,333 a month until June 15, 2010 as consideration for a noncompetition agreement with a previous employee of our Medical Products division.

Warrants

In November, 2006, we announced our decision to discontinue our involvement in the clinical trials of the Ablatherm device manufactured by EDAP TMS S.A. (EDAP). This decision results in our forfeiting the exclusive rights to distribute such device in the United States, when and if a Pre-Market Approval of such device is granted by the FDA and forfeits our rights to vest in additional warrants to EDAP common stock. We have accordingly included our costs related to the clinical trials of High Intensity Focused Ultrasound (“HIFU”) in discontinued operations in the accompanying condensed consolidated statements of income. At December 31, 2006, we had 200,000 warrants to purchase EDAP TMS S.A. common stock. During 2007, we exercised these warrants and now own 200,000 shares of EDAP common stock.

Limitations

Fair value estimates are made at a specific point in time, based on relevant market information and information about the financial instrument. Fair value estimates are based on existing balance sheet financial instruments without attempting to estimate the value of anticipated future business and the value of assets and liabilities that are not considered financial instruments. In addition, the tax ramifications related to the realization of the unrealized gains and losses can have a significant effect on fair value estimates and have not been considered in the aforementioned estimates.




A-21



HEALTHTRONICS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

F.   ACCRUED EXPENSES

Accrued expenses consist of the following:


  December 31,
  ($ in thousands)

2007
2006
Accrued group insurance costs     $ 393   $ 321  
  Compensation and payroll related expense       3,840     3,339  
  Accrued interest       7     13  
  Accrued taxes       871     2,937  
  Accrued professional fees       170     480  
  Unearned revenues       913     1,325  
  Other       1,081     2,062  
 

        $ 7,275   $ 10,477  
 


G.   INDEBTEDNESS

Long-term debt is as follows:


($ in thousands) December31,
Interest Rates
Maturities
2007
2006
Floating       2007-20 12 $ 2,394   $ 3,712  
1%-11%       2007-20 12   6,132     7,625  


        $ 8,526   $ 11,337  
Less current portion of long-term debt             4,332     5,664  


        $ 4,194   $ 5,673  



Senior Credit Facility

In March 2005, we refinanced our then existing revolving credit facility with a $175 million senior credit facility comprised of a five year $50 million revolver and a $125 million senior secured term loan B (“term loan B”), due 2011. In April 2005, we used the proceeds from the new term loan B to redeem our $100 million of 8.75% unsecured senior subordinated notes and reduce the amounts outstanding under our new revolving credit facility. We paid approximately $1.2 million in loan fees in March 2005 related to this refinancing and paid a $1.5 million premium to redeem the 8.75% notes in April 2005.

This loan bore interest at a variable rate equal to LIBOR + 1.25 to 2.25% or prime + .25 to 1.25%. We were required to make quarterly principal payments in connection with the term loan B of $312,500 until February 2010, when quarterly payments would have increased to $29.7 million. On July 31, 2006, we used a portion of the proceeds from the sale of our specialty vehicle manufacturing segment to repay the term loan B in full. At December 31, 2007, there were no amounts drawn on the revolver. Our senior credit facility contains covenants that, among other things, limit our ability to incur debt, create liens, make investments, sell assets, pay dividends, make capital expenditures, make restricted payments, enter into transactions with affiliates, and make acquisitions. In addition, our facility requires us to maintain certain financial ratios. Our assets and the stock of our subsidiaries collateralize the revolving credit facility. We were in compliance with the covenants under our senior credit facility as of December 31, 2007.




A-22



HEALTHTRONICS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

8.75% Notes

In April 2005, our $125 million term loan B was funded and we used the proceeds to redeem the $100 million of 8.75% unsecured senior subordinated notes. The notes were subject to an 8.75% rate of interest and interest was payable semi-annually on April 1st and October 1st.

Other long term debt

On July 31, 2006, we used a portion of the proceeds from the sale of our specialty vehicle manufacturing segment to repay approximately $3.5 million of mortgage debt related to our building in Austin, Texas. As of December 31, 2007, we had notes totaling $8.5 million related to equipment purchased by our limited partnerships. These notes are paid from the cash flows of the related partnerships. They bear interest at LIBOR or prime plus a certain premium and are due over the next three years. These notes include a revolver at one of our partnerships which totals $1.8 million. As of December 31, 2007, $1,193,000 was drawn on this revolver.

Interest Rate Swap

In August 2002, we entered into an interest rate swap which was designated as a fair value hedge pursuant to the provisions of FAS No. 133, Accounting for Derivative Instruments and Hedging Activities, and FAS No. 138, Accounting for Certain Derivative Instruments and Certain Hedging Activities, An Amendment of FASB Statement No. 133 . This swap was executed to convert $50 million of the 8.75% notes from a fixed to floating rate instrument. The floating rate was based on LIBOR plus 4.56%. In March 2003, we amended our interest rate swap agreement to add an additional $25 million with a floating rate based on LIBOR plus 5.11%. We terminated the swaps in May 2003. In August 2003, we entered into two new interest rate swaps for $25 million each which were also designated as fair value hedges. The floating rates of these two interest rate swap agreements were based on LIBOR plus 4.72% and 4.97%, respectively. In January 2004, we terminated these swaps for approximately $150,000. In the second quarter of 2005, approximately $564,000 in proceeds from these swaps were recognized when the 8.75% notes were redeemed as described above.

The stated principal repayments for all indebtedness as of December 31, 2007 are payable as follows:


Year
Amount
    2008     $ 4,332  
    2009       2,406  
    2010       1,261  
    2011       426  
    2012       70  
    Thereafter       31  

H. COMMITMENTS AND CONTINGENCIES

We are involved in various claims and legal actions that have arisen in the ordinary course of business. Management believes that any liabilities arising from these actions will not have a material adverse effect on our financial condition, results of operations or cash flows.


A-23



HEALTHTRONICS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

We sponsor a partially self-insured group medical insurance plan. The plan is designed to provide a specified level of coverage, with stop-loss coverage provided by a commercial insurer. Our maximum claim exposure is limited to $100,000 per person per policy year. At December 31, 2007, we had 244 employees enrolled in the plan. The plan provides non-contributory coverage for employees and contributory coverage for dependents. Our contributions totaled $2,852,000, $2,351,000 and $2,586,000, in 2007, 2006 and 2005 respectively.

We lease office space in several locations. Rent expense totaled $1,757,000, $1,491,000 and $2,665,000 for the years ended December 31, 2007, 2006 and 2005. Future annual minimum lease payments under all noncancelable operating leases are as follows:


($ in thousands)
Year

Amount
    2008     $ 1,652  
    2009       1,462  
    2010       1,253  
    2011       946  
    2012       578  
    Thereafter       506  

I. STOCK BASED COMPENSATION

On January 1, 2006, we adopted SFAS No. 123(R), Share-Based Payment , which requires the measurement and recognition of compensation expense for all share-based payment awards made to employees and directors including stock option grants based on estimated fair values. SFAS No. 123(R) requires companies to estimate the fair value of share-based payment awards on the date of grant using an option-pricing model. The value of the award’s portion that is ultimately expected to vest is recognized as expense over the requisite service periods. Prior to the adoption of SFAS No. 123(R), we accounted for share-based awards to employees and directors using the intrinsic valued method in accordance with Accounting Principles Board Opinion (“APB”) No. 25 as allowed under SFAS No. 123, Accounting for Stock-Based Compensation . Under the intrinsic value method, share-based compensation expense was only recognized by us if the exercise price of the stock option was less than the fair market value of the underlying stock at the date of grant.

We have elected to use the modified prospective application method such that SFAS No. 123(R) applies to new awards, the unvested portion of existing awards and to awards modified, repurchased or canceled after the effective date. In accordance with the modified prospective method, our consolidated financial statements for the year ended December 31, 2005 has not been restated to reflect, and does not include, the impact of SFAS No. 123(R).

Under SFAS No. 123R, nonvested stock awards are awards that the employee has not yet earned the right to sell, and are subject to forfeiture if the terms of service are not satisfied. These awards should be measured based on the market prices of otherwise identical (i.e., identical except for the vesting condition) common stock at the grant date. A nonvested equity share awarded to an employee shall be measured at its fair value as if it were vested and issued on the grant date. The vesting restrictions are taken into account by recognizing compensation cost only for awards for which the employee has rendered the requisite service (i.e., vested).


A-24



HEALTHTRONICS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

As of December 31, 2007, total unrecognized share-based compensation cost related to unvested stock options was approximately $2.8 million, which is expected to be recognized over a weighted average period of approximately 1.8 years. As of December 31, 2007, there was $612,000 of total unrecognized compensation cost related to nonvested share-based compensation arrangements granted under the Plan. That cost is expected to be recognized over a weighted-average period of 4 years. For the years ended December 31, 2007 and 2006, we have included approximately $1,108,000 and $1,788,000, respectively, for share-based compensation cost (in 2006 $167,000 of cost were included in discontinued operations) in the accompanying consolidated statement of income.

Share-based compensation expense recognized during the years ended December 31, 2007 and December 31, 2006 is related to awards granted prior to, but not yet fully vested as of, January 1, 2006 and awards granted subsequent to December 31, 2005. We have historically, and continue to estimate the fair value of share-based awards using the Black-Scholes-Merton (“Black Scholes”) option-pricing model.

Our income before income taxes for the years ended December 31, 2007 and 2006, was lower by $1,108,000 and $1,788,000, respectively, and net income was lower by $978,000 and $1,450,000 respectively, than if we had continued to account for share-based compensation under APB Opinion No. 25. For the same period, basic earnings per share was $0.03 and $0.04 lower, and diluted earnings per share was $0.03 and $0.04 lower for the years ended December 31, 2007 and 2006 due to our adopting SFAS 123R.

Stock Option Plans

At December 31, 2007, we had seven separate equity compensation plans: the Prime 1993 and 2003 stock option plans, the HSS general, 2000, 2001 and 2002 stock option plans, and the HSS 2004 equity incentive plan. The plans, and all amendments thereto, had been approved by Prime’s and HSS’ shareholders, as the case may be. Since November 2004, the only active plan has been our 2004 equity incentive plan, which, as amended, authorized the grant of up to 2,950,000 shares to purchase our common stock, including 2,000,000 shares approved in June 2006.

Options granted under the plans shall terminate no later than ten years from the date the option is granted, unless the option terminates sooner by reason of termination of employment, disability or death. Options may vest immediately or over one to five years. In the third quarter of 2006, we modified the vesting terms of approximately 87,000 options related to employees of our specialty vehicle segment which was sold July 31, 2006, and recognized $167,000 in discontinued operations in 2006. In the second half of 2005, we modified the vesting terms of approximately 50,000 options related to employees of our orthotripsy segment which was sold, and recognized approximately $116,000 in discontinued operations in 2005.

The following table sets forth certain information as of December 31, 2007 about our equity compensation plans:




A-25



HEALTHTRONICS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

(a)
(b)
(c)






Plan Category




Number of shares of our
common stock to be issued
upon exercise of
outstanding options






Weighted-average exercise
price of outstanding options

Number of shares of our
common stock remaining
available for future
issuance under equity
compensation plans
(exceeding securities
reflected in column (a))

Prime 1993 stock option plan       105,666   $ 7 .79   --  
 
Prime 2003 stock option plan       129,000   $ 5 .84   --  
 
HSS equity incentive plan and stock    
     option plans       2,959,499   $ 7 .10   1,005,944  
 
Other equity compensation plans    
    approved by our security holders       N/A     N/A     N/A  

Share-Based Compensation Cost under SFAS No. 123

Prior to January 1, 2006, we disclosed compensation cost in accordance with SFAS No. 123. The provisions of SFAS No. 123 require us to disclose the assumptions used in calculating the fair value pro forma expense. Had compensation expense for the plans been determined based on the fair value of the options at grant dates for awards under the plans consistent with SFAS No. 123, our net income and earnings per share would have been as follows:


  ($ in thousands)

December 31, 2005
Net income, as reported     $ 9,188  
  Share-based compensation recorded, net of tax       72  
  Share-based compensation proforma, net of tax       (2,607 )
 
  Pro forma net income     $ 6,653  
 
  Pro forma earnings per share:    
      Basic     $ 0.19  
 
      Diluted     $ 0.19  
 

To estimate compensation expense which would have been recognized under SFAS No. 123 for the year ended December 31, 2005 and to calculate the compensation cost that was recognized under SFAS No. 123(R) for the years ended December 31, 2007 and 2006, we used the Black-Scholes option-pricing model with the following weighted-average assumptions for equity awards granted. For December 31, 2007, 2006 and 2005, respectively: risk-free interest rates were 4.6%, 4.9% and 3.9%; dividend yields were 0%, 0% and 0%; volatility factors of the expected market price of our common stock were 47%, 47% and 46%; and a weighted-average expected life of the option of 6 years, 6 years and 4 years.

The risk-free interest rate is based on the implied yield available on U.S. Treasury issues with an equivalent expected term. We have not paid dividends in the past and do not plan to pay any dividends in the future. We utilized the guidelines of Staff Accounting Bulletin No. 107 (SAB 107) of the Securities and Exchange Commission relative to "plain vanilla" options in determining the expected term of option grants. SAB 107 permits the expected term of "plain vanilla" options to be calculated as the average of the option's vesting term and contractual period. This simplified method is based on the vesting period and the contractual term for each grant or for each vesting tranche for awards with graded vesting. The mid-point between the vesting date and the expiration date is used as the expected term under this method. We have used this method in determining the expected term of all options granted after December 31, 2005. We have determined volatility using historical stock prices over a period consistent with the expected term of the option. We recognize compensation cost for awards with graded vesting on a straight-line basis over the requisite service period for the entire award. The amount of compensation expense recognized at any date is at least equal to the portion of the grant date value of the award that is vested at that date.


A-26



HEALTHTRONICS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

Activity and pricing information regarding all stock options to purchase shares of our common stock are summarized as follows:


2007
2006
2005
Options (000)
Weighted
Average Price

Options (000)
Weighted
Average Price

Options (000)
Weighted
Average Price

Outstanding at beginning of year       3,908   $ 7.32   3,048   $ 7.65   4,327   $ 7.39
Granted       245     5.82   1,992     7.05   652     8.75
Exercised       --   -- (298 )   6.40   (1,675 )   7.59
Cancelled       (552 )   8.07   (588 )   8.78   (256 )   6.53
Forfeited       (407 )   7.38   (246 )   6.94   --   --

 
 
 
 
 
 
Outstanding at end of year       3,194   $ 7.07   3,908   $ 7.32   3,048   $ 7.65

 
 
 
Exercisable at end of year       2,049   $ 7.35   2,450   $ 7.51   2,813   $ 7.71
Weighted-average fair value of
   options granted during the period     $2.99     $3.38     $ 5.44    

During the year ended December 31, 2007, there were no exercises of options to purchase common stock and the total fair value of shares vested during 2007 was $966,000. During the year ended December 31, 2006, the total intrinsic value of options exercised to purchase common stock was approximately $353,000 and the total fair value of shares vested during 2006 was $1.7 million.

During the year ended December 31, 2007, there was no financing cash generated from share-based compensation arrangements for the purchase of shares upon exercise of options. During the year ended December 31, 2006, financing cash generated from share-based compensation arrangements amounted to $1,908,000 for the purchase of shares upon exercise of options. We issue new shares upon exercise of options to purchase our common stock.

Additional information regarding options outstanding for all plans as of December 31, 2007, is as follows:




A-27



HEALTHTRONICS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

Outstanding Options
Exercisable Options
Range of Exercise Prices Options (000)
Weighted Average Remaining Contractual Life
Weighted Average Exercise Price
Options(000)
Weighted Average Remaining Contractual Life
Weighted Average Exercise Price
$4.49 - $6.49       422   7.4 years     $ 5 .93     212 5.6 years     $ 5 .98
$6.50 - $6.99       1,640   7.0 years       6 .66   781 4.9 years       6 .62
$7.00 - $7.50       547   6.9 years       7 .37   472 6.7 years       7 .40
$7.51 - $9.20       383   6.0 years       7 .98   383 6.0 years       8 .00
$9.21 - $14.25       202   5.2 years       10 .25   201 5.2 years       10 .25




      3,194         $ 7 .07   2,049 $ 7. 35




Aggregate intrinsic value (in thousands)     $ 12             $     --



The aggregate intrinsic value in the table above is based on our closing stock price of $4.59 per share as of December 31, 2007.

A summary of the status of the our nonvested shares as of December 31, 2007 and changes during the year ended December 31, 2007 is as follows:


  Nonvested Shares
Shares (000)
Weighted-Average
Grant-Date Fair Value

Nonvested at January 1, 2007       --   $ --  
  Granted       135     4.75
  Vested       --     --  
  Forfeited       --     --  
 

  Nonvested at December 31, 2007       135   $ 4.75
 

J. INCOME TAXES

We file a consolidated tax return with our wholly-owned subsidiaries and also own varying interests in numerous partnerships. A substantial portion of consolidated book income from continuing operations before provision for income taxes and minority interest is not taxed at the corporate level as it represents income attributable to other partners who are responsible for the tax on that income. Accordingly, only the portion of income from these partnerships attributable to our ownership interests is included in taxable income in the consolidated tax return and financial statements.

Components of income from continuing operations before income taxes are as follows:


  Years Ended December 31,
  ($ in thousands)

2007
2006
2005
United States     $ (17,881 ) $ (19,947 ) $ 15,944  
  Foreign       542   (1,062 )   1,491  
 


        $ (17,339 ) $ (21,009 ) $ 17,435  
 





A-28



HEALTHTRONICS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

Income tax expense (benefit) consists of the following:


Years Ended December 31,
  ($ in thousands)

2007
2006
2005
Federal:                
      Current     $ --   $ 681   $ --  
      Deferred       (2,878 )   (4,877 )   5,611  
  State:    
      Current       212     456     154  
      Deferred       (401 )   (582 )   398  
  Foreign    
      Current       --     --     339  
      Deferred       213     (241 )   --  
 


        $ (2,854 ) $ (4,563 ) $ 6,502  
 



A reconciliation of expected income tax expense (computed by applying the United States statutory income tax rate of 35% to earnings before income taxes) to total income tax expense in the accompanying consolidated statements of income follows:


Years Ended December 31,
  ($ in thousands)

2007
2006
2005
Expected federal income tax     $ (6,069 ) $ (7,353 ) $ 6,102  
  State taxes       (123 )   (82 )   359  
  Foreign rate differential       17     130     (183 )
  Goodwill impairment       3,589     3,090     --  
  Other       (268 )   (348 )   224  
 


        $ (2,854 ) $ (4,563 ) $ 6,502  
 



The tax effects of temporary differences that give rise to significant portions of the deferred tax assets and deferred tax liabilities at December 31, 2007 and 2006 are presented below:


($ in thousands)

2007
2006
Deferred tax assets:            
    Net operating loss carryforward     $ 9,193   $ 3,754  
    Allowance for bad debts       123     328  
    FAS 123(R) expense       552     295  
    AMT Credit       578     783  
    Capitalized costs       1,105     707  
    Accrued expenses deductible for tax purposes when paid       996     958  


        Total gross deferred tax assets       12,547     6,825  
        Less valuation allowance       --     --  


        Net deferred tax assets       12,547     6,825  


Deferred tax liabilities:    
    Property and equipment, principally due to differences in depreciation       (894 )   (292 )
    Intangible assets, principally due to differences in amortization periods for tax purposes       (26,683 )   (24,632 )


    Total gross deferred tax liability       (27,577 )   (24,924 )


    Net deferred tax liability     $ (15,030 ) $ (18,099 )





A-29



HEALTHTRONICS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

In assessing the realizablity of deferred tax assets, management considers whether it is more likely than not that some portion or all of the deferred tax assets will be realized. The ultimate realization of deferred tax assets is dependent upon the generation of future taxable income during the periods in which those temporary differences become deductible. Management considers the scheduled reversals of deferred tax liabilities, projected future taxable income and tax planning strategies in making this assessment. In order to fully realize the deferred tax assets, we will need to generate future taxable ordinary income approximating $26.1 million prior to the expiration of net operating loss. Based on projections of future taxable income over the periods in which the deferred tax assets are deductible and tax planning strategies, management believes it is more likely than not that we will realize the benefits of these deductible differences at December 31, 2007. At December 31, 2007, we have federal net operating loss carry forwards of approximately $26.1 million which are available to offset federal taxable income in future years through 2027.

As a result of our merger with HealthTronics in 2004, we acquired certain tax benefits, a portion of which are subject to limitations imposed by Section 382 of the Internal Revenue Code. These tax benefits include built-in losses, which are available to offset future taxable income of approximately $57.9 million, capital loss carry forwards which are available to offset future capital gain income through 2008 of approximately $28 million, and net operating loss carry forwards which are available to offset future taxable income through 2021 of approximately $27.6 million. Due to the uncertainty of our ability to realize these tax benefits, there was no recognition of them in our purchase accounting at the time of our acquisition. Accordingly, these tax benefits are not reflected as deferred tax assets in our schedules above.

With regards to a portion of these tax benefits, in October 2005, we filed amended federal income tax returns for the years ended December 31, 2000, 2001, 2002 and 2003 requesting refunds totaling $4.3 million. Additionally, we have utilized a portion of these tax benefits to determine our federal and state income tax liabilities for the years ended December 31, 2004, 2005, and 2006. Due to the amounts of our refund requests, we are currently under audit or review by the Internal Revenue Service for the 2000, 2001, 2002, 2003, 2004, 2005, and 2006 tax years.

Notwithstanding the likelihood of completion in 2008, management, at this time, is unable to determine with any level of certainty that any of these tax benefits will be realized; accordingly, these tax benefits have not been recognized for any purpose in these financial statements. Future recognition, if any, of these tax benefits, net of a valuation allowance, will be credited to goodwill. Interest income received as the result of our refund requests with the Internal Revenue Service, if any, will be reported as interest income in the period in which the Internal Revenue Service determines we are entitled to the refunds.

Effective January 1, 2007, we adopted Financial Accounting Board Interpretation No. 48 “ Accounting for Uncertainty in Income Taxes ” (“FIN 48”). FIN 48 specifies the way public companies are to account for uncertainties in income tax reporting, and prescribes a methodology for recognizing, reversing, and measuring the tax benefits of a tax position taken, or expected to be taken, in a tax return. Adoption of FIN 48 on January 1, 2007 did not result in a cumulative effect adjustment to our retained earnings. At January 1, 2007, our unrecognized tax benefits totaled $2.3 million and are included in deferred and other tax liabilities, none of which, if recognized in total, would impact the effective income tax rate.

A reconciliation of the beginning and ending amount of our unrecognized tax benefit is as follows:


A-30



HEALTHTRONICS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

($ in thousands)        
 
  Balance at beginning of year     $ 2,294  
  Additions based on tax positions related to the current year       --  
  Additions for tax positions of prior years       --  
  Reductions for tax provisions for prior years       --  
  Settlements       --  
  Reductions for lapse of statute of limitations       --  
 
  Balance at end of year     $ 2,294  
 

Our continuing practice is to recognize interest accrued related to unrecognized tax benefits in interest expense and penalties in operating expenses. We had approximately $153,000 of accrued interest and no accrued penalties at December 31, 2007. The accrued interest is included as a component of the deferred tax liabilities noted above.

As previously stated above, we are under audit or review by the Internal Revenue Service for the 2000, 2001, 2002, 2003, 2004, 2005, and 2006 tax years. It is reasonable to expect that the examination phase of the Internal Revenue Service audit may conclude in the next 12 months and that the related unrecognized tax benefits for the tax positions taken in previously filed tax returns may differ from recorded liabilities for uncertain tax positions in our financial statements at January 1, 2007. However, based on the current status of the examination it is not possible to estimate the effect of any such change to previously recorded uncertain tax positions.

Deferred taxes are not provided on undistributed earnings of foreign subsidiaries because such earnings are expected to be indefinitely reinvested outside the United States. If these amounts were not considered permanently reinvested, a cumulative deferred tax liability approximating $118,000 and $50,000 would be provided for in 2007 and 2006, respectively.

K.    SEGMENT REPORTING

We now have two reportable segments: urology services and medical products. Our specialty vehicle manufacturing division, which was sold on July 31, 2006 was also considered a reportable segment prior to its sale. The urology services segment provides services related to the operation of the lithotripters, including scheduling, staffing, training, quality assurance, maintenance, regulatory compliance and contracting with payors, hospitals and surgery centers. Also in the urology segment, we provide treatments for benign and cancerous conditions of the prostate. In treating benign prostate disease, we deploy three technologies: (1) trans-urethral microwave therapy (TUMT), (2) photo-selective vaporization of the prostate (PVP), and (3) trans-urethral needle ablation (TUNA). All three technologies apply an energy source which reduces the size of the prostate gland. Our medical products segment manufactures, sells and maintains lithotripters and their related consumables. They also manufacture, sell and maintain intra-operative X-ray imaging systems and other mobile patient management tables, and are the exclusive U.S. distributor of the Revolix branded laser. The operations of our Claripath pathology laboratory are also included in our medical products segment at this time.

The accounting policies of the segments are the same as those described in Note B, Summary of Significant Accounting Policies. We measure performance based on the pretax income or loss after consideration of minority interests from our operating segments, which do not include unallocated corporate general and administrative expenses and corporate interest income and expense.




A-31



HEALTHTRONICS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

Our segments are divisions that offer different services, and require different technology and marketing approaches. The majority of the urology services segment is comprised of acquired entities.

Substantially all of our revenues are earned in the United States and long-lived assets are located in the United States. We do not have any major customers who account for more than 10% of our revenues.


($ in thousands)

Urology Services   Medical Products  
 
 
 
2007            
   Revenue from external customers     $ 122,736   $ 17,101  
   Intersegment revenues       --     9,039  
   Interest income       523     38  
   Interest expense       767     --  
   Depreciation and amortization       8,116     2,322  
   Impairment of Goodwill       20,800     --  
   Segment profit (loss)       (10,991 )   738  
   Segment assets       285,239     37,732  
   Capital expenditures       3,321     5,775  
 
2006    
   Revenue from external customers     $ 123,265   $ 19,080  
   Intersegment revenues       --     9,296  
   Interest income       294     55  
   Interest expense       872     1  
   Depreciation and amortization       8,535     1,972  
   Impairment of Goodwill       12,200     8,400  
   Segment profit (loss)       1,346     (11,586 )
   Segment assets       293,119     37,065  
   Capital expenditures       8,743     4,315  
 
2005    
   Revenue from external customers     $ 133,360   $ 18,202  
   Intersegment revenues       --     9,250  
   Interest income       230     64  
   Interest expense       834     --  
   Depreciation and amortization       9,707     855  
   Segment profit       18,233     5,164  
   Segment assets       314,887     43,319  
   Capital expenditures       10,207     382  



A-32



HEALTHTRONICS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

The following is a reconciliation of revenues per above to the consolidated revenues per the consolidated statements of income:


($ in thousands)

2007   2006   2005  
 
 
 
 
Total revenues for reportable segments     $ 148,876   $ 151,641   $ 160,812  
Corporate revenue       581     546     705  
Elimination of intersegment revenues       (9,039 )   (9,296 )   (9,250 )



Total consolidated revenues     $ 140,418   $ 142,891   $ 152,267  




The following is a reconciliation of profit per above to income before taxes per the consolidated statements of income:


($ in thousands)

2007   2006   2005  
 
 
 
 
Total profit (loss) for reportable segments     $ (10,253 ) $ (10,240 ) $ 23,397  
Corporate revenue       581     546     705  
Unallocated corporate expenses:    
   General and administrative       (7,519 )   (10,680 )   (5,634 )
   Net interest expense       522     133     (150 )
   Other, net       (670 )   (768 )   (883 )



Unallocated corporate expenses total       (7,667 )   (11,315 )   (6,667 )



Income (loss) before income taxes     $ (17,339 ) $ (21,009 ) $ 17,435  




The following is a reconciliation of segment assets per above to the consolidated assets per the consolidated balance sheets:


($ in thousands)

2007   2006   2005  
 
 
 
 
Total assets for reportable segments     $ 322,971   $ 330,184   $ 358,206  
Unallocated corporate assets       13,085     16,549     124,831  



Consolidated total     $ 336,056   $ 346,733   $ 483,037  






A-33



HEALTHTRONICS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

The reconciliation of the other significant items to the amounts reported in the consolidated financial statements is as follows:


($ in thousands)

Segments
Corporate
Eliminating Entries
Consolidated
2007                    
Interest and dividends     $ 561   $ 585   $ --   $ 1,146  
Interest expense       767     62     --     829  
Depreciation and amortization       10,438     669     --     11,107  
Capital expenditures       9,096     373     --     9,469  
 
2006    
Interest and dividends     $ 349   $ 406   $ --   $ 755  
Interest expense       873     273     --     1,146  
Depreciation and amortization       10,507     768     --     11,275  
Capital expenditures       13,058     202     (1,358 )   11,902  
 
2005    
Interest and dividends     $ 294   $ 250   $ (96 ) $ 448  
Interest expense       834     401     (96 )   1,139  
Depreciation and amortization       10,562     882     --     11,444  
Capital expenditures       10,589     535     (546 )   10,578  

The amounts in 2007, 2006 and 2005 for interest income and expense, depreciation and amortization and capital expenditures represent amounts recorded by the operations of our corporate functions, which have not been allocated to the segments.

L.    DISCONTINUED OPERATIONS

In November, 2006 we announced our decision to discontinue our involvement in the clinical trials of the Ablatherm device manufactured by EDAP TMS S.A. (EDAP). This decision results in our forfeiting the exclusive rights in the United States, when and if a Pre-Market Approval is granted by the FDA and forfeits our rights to earn additional warrants to EDAP common stock. We have accordingly included our costs related to the clinical trials in discontinued operations in the accompanying consolidated statements of income.

In the fourth quarter of 2006, we committed to a plan to sell our Rocky Mountain Prostate Thermotherapies (“RMPT”) business. In July 2007, we entered into a purchase agreement to sell the RMPT business for $1.35 million. This sale closed on September 28, 2007. We classified this business as held for sale in the accompanying 2006 consolidated balance sheet and included its results from operations in discontinued operations.

On November 30, 2006, we sold our cryosurgery operations to Advanced Medical Partners, Inc. (AMPI). Under the terms of the sale, we received approximately 10% of the outstanding shares of AMPI as consideration. Due to the uncertainty of any future distributions, we have assigned no value to this investment in a closely held private company. We have included the operations of this business in discontinued operations in the accompanying consolidated statements of income.


A-34



HEALTHTRONICS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

During the second quarter 2006, we committed to a plan to sell our specialty vehicle manufacturing segment. On June 22, 2006, we entered into an Interest and Stock Purchase Agreement pursuant to which Oshkosh agreed to acquire our specialty vehicle manufacturing segment for $140 million in cash. We completed this sale on July 31, 2006, and recognized a gain on the sale totaling $53.6 million. This gain utilized approximately $20.4 million of our deferred tax assets. Our specialty vehicle manufacturing segment has been reported in discontinued operations for all periods presented.

The following table details selected financial information included in income (loss) from discontinued operations in the consolidated statements of income for December 31, 2007, 2006 and 2005.

Consolidated Statements of Income




($ in thousands)

2007
2006
2005
For the Year Ended December 31                
Revenue    
     Specialty Vehicles Manufacturing     $ --   $ 57,526   $ 109,447  
     CryoSurgery       --     1,490     2,589  
     Rocky Mountain Prostate Thermotherapies       3,268     4,289     3,391  
     Orthotripsy       --     --     6,613  
     HIFU       --     --     --  
Cost of services    
     Specialty Vehicles Manufacturing       --     (51,616 )   (98,170 )
     CryoSurgery       --     (1,235 )   (1,780 )
     Rocky Mountain Prostate Thermotherapies       (3,739 )   (4,587 )   (2,976 )
     Orthotripsy       --     --     (7,714 )
     HIFU       (216 )   (1,233 )   (192 )
Depreciation and amortization    
     Specialty Vehicles Manufacturing       --     (542 )   (1,215 )
     CryoSurgery       --     (512 )   (558 )
     Rocky Mountain Prostate Thermotherapies       --     (224 )   (84 )
     Orthotripsy       --     --     (280 )
     HIFU       (3 )   (17 )   (3 )
Other    
     Specialty Vehicles Manufacturing       --     (72 )   (109 )
     CryoSurgery       --     (118 )   (229 )
     Rocky Mountain Prostate Thermotherapies       --     (4 )   --  
     Orthotripsy       --     --     (1,077 )
     HIFU       --     --     --  



Income (loss) from discontinued operations     $ (690 ) $ 3,145   $ 7,653  






A-35



HEALTHTRONICS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

($ in thousands)

Year Ended December 31,
2007
2006
2005
Gain on sale of specialty vehicle manufacturing     $ --   $ 53,551   $ --  
Gain on Sale of Rocky Mountain Prostate Thermotherapy       451  
Loss from disposal of cryosurgery operations       --     (3,729 )   --  
Impairment of Rocky Mountain Prostate Thermotherapy       --     (4,263 )   --  
Income from discontinued operations       (690 )   3,145     7,653  
Interest allocated to discontinued operations       --     (4,830 )   (10,648 )
Income tax (expense) benefit on discontinued operations       92     (18,745 )   1,250  



Income (loss) from discontinued operations, net of tax     $ (147 ) $ 25,129   $ (1,745 )




Assets and liabilities held for sale as of December 31, 2006 relate entirely to our RMPT operations and primarily consist of accounts receivable, supplies and accrued expenses.

Pursuant to EITF 87-24 “ Allocation of Interest to Discontinued Operations, ” we have allocated certain interest and the related fees incurred to refinance our senior credit facility that was required to be repaid as a result of the disposal of our specialty vehicle manufacturing segment. Accordingly, we have included in discontinued operations interest expense totaling $4,830,000 and $7,806,000 for the years ended December 31, 2006 and 2005. We have also included loan fees and bond call premium of $2,842,000 year ended December 31, 2005, which were incurred solely related to the refinancing of the debt which was required to be repaid.

The gain on sale of our specialty vehicle manufacturing operations, the loss from disposal of our cryosurgery operations, and the impairment of Rocky Mountain Prostate Thermotherapy, noted above, include charges to goodwill of $50.4 million, $2.7 million and $3.25 million, respectively.

In the fourth quarter of 2004, we decided to divest our orthopaedics business unit. In July 2005, we sold our orthopaedics business unit to SanuWave, Inc., a company controlled by Prides Capital Partners L.L.C., a related party. Under the terms of the sale we received $6.4 million in cash, two $2 million unsecured notes and a small passive ownership interest in the acquiring entity. The notes bear interest at 6% per annum with no payments for the first five years, then interest only payments for the next five years with a balloon payment after ten years. Due to the uncertainty of future estimated collections, we have assigned no value to the notes or the ownership interest. Prior to this divesture, we provided approximately $700,000 of maintenance services to our orthopaedics business unit which were eliminated in consolidation. Subsequent to this sale, we have provided limited assistance to SanuWave, Inc. related to certain sales and service operations. We were paid $100,000 per month from August 2005 until January 2006 related to these services. At December 31, 2007 and 2006, SanuWave, Inc. owed us a net amount of approximately $52,000 and $1,000,000, respectively. We terminated all sales operations effective April 30, 2006.

As part of the merger between Prime and HSS in November 2004, HSS had a minority owned Swiss subsidiary, HMT Holding AG (“HMT”), which was in a net liability position at the date of acquisition. In December 2004, we decided to no longer fund the operations of HMT as part of our plan to rationalize its acquired manufacturing activities. Also in December 2004, the directors of HMT received a letter from their external auditors informing them HMT was over-indebted. Based on this action, the directors had a statutory obligation to initiate insolvency proceedings and in January 2005 filed for relief under Swiss insolvency laws. We deconsolidated the operations of HMT in December 2004.




A-36



HEALTHTRONICS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – (Continued)

We purchased debt of HMT AG in the first quarter of 2005. We paid $1.3 million and incurred certain contingent obligations in the amount of $350,000 in return for assignment of a $5.1 million claim against HMT AG held by a foreign bank. In addition to the claim, we also received an assignment from the bank of a pledge of HMT AG’s accounts receivable that secured the $5.1 million claim. Through December 31, 2007, we had recovered approximately $2.8 million. Any additional recoveries in the future will be recorded as income when received.

M.   VARIABLE INTEREST ENTITIES

We have determined that one of our consolidated partnerships, acquired in the HSS merger and in which we have a 20% interest, has certain related party relationships with two Variable Interest Entities (VIE), and in accordance with FIN 46(R), has consolidated those entities. As a result of consolidating the VIEs, of which the partnership is the primary beneficiary, we have recognized minority interest of approximately $1 million on our consolidated balance sheets at December 31, 2007 and 2006, which represents the difference between the assets and the liabilities recorded upon the consolidation of the VIEs. The liabilities recognized as a result of consolidating the VIEs do not represent additional claims on our general assets. Rather, they represent claims against the specific assets of the consolidated VIEs. Conversely, assets recognized as a result of consolidating these VIEs do not represent additional assets that could be used to satisfy claims against our general assets. Reflected on our consolidated balance sheet are $4 million and $3.6 million in both 2007 and 2006, respectively, of VIE assets, representing all of the assets of the VIEs. The VIEs assist the partnership in providing urological services, minimally invasive prostate treatments, and other services in the Greater New York metropolitan area.

N.    RELATED PARTY TRANSACTIONS

On July 27, 2006, John Q. Barnidge resigned, effective August 10, 2006, from his positions as our Senior Vice President and Chief Financial Officer. In connection with his departure, we entered into a severance and non-competition agreement with Mr. Barnidge whereby (1) we agreed to make a severance payment of $310,000 to Mr. Barnidge and (2) Mr. Barnidge agreed to a four-year non-competition provision in exchange for a payment from us equal to $150,000 for each year under the non-competition provision. Such Payment totaled $910,000 was expensed when paid on August 10, 2006.

In March 2006, we and Argil J. Wheelock, M.D., our then chairman of the board, amended Dr. Wheelock’s board service and release agreement to provide that he would receive the $1,410,000 severance payment referred to in that agreement upon his no longer serving as our chairman of the board. After the amendment, Dr. Wheelock resigned from his position as chairman of the board, and we paid him the severance amount. Dr. Wheelock continues to serve as a member of our board of directors and will continue to be paid his monthly board service compensation set forth in his board service agreement.


A-37



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