BIOLASE(BIOL) - 2018 Q4 - Annual Report

Financial Performance - The company reported net revenues of $46.2 million, $46.9 million, and $51.8 million for the years 2018, 2017, and 2016, respectively, with net losses of $21.5 million, $16.9 million, and $15.4 million during the same periods[10]. - In 2018, net revenue from laser systems was $29.733 million, accounting for 64.4% of total revenue, while consumables and other generated $8.287 million, representing 18.0%[71]. - International revenue accounted for approximately 38% of total net revenue in 2018, with the U.S. generating $28.661 million and international sales at $17.494 million[73]. - Seasonal fluctuations in revenue are observed, with typically lower sales in the first quarter and higher sales in the fourth quarter due to dentists' purchasing patterns[80]. Product Development and Innovation - The company is focused on expanding its product line and clinical applications to meet future demand for improved dental care[5]. - The company aims to broaden its customer base and increase the utilization of its products to drive higher margin consumables revenue[21]. - The company plans to expand its product line and clinical applications by developing enhancements and transformational innovations, particularly in dental and adjacent medical applications[61]. - The company is exploring collaborations to expand FDA-cleared indications for its proprietary laser technologies in various medical fields, including ophthalmology and pain management[61]. - The company has entered into a development and distribution agreement with IPG Medical to collaborate on new dental laser products and applications[84]. Regulatory and Compliance - The company’s products are subject to extensive FDA regulations, requiring compliance with safety and efficacy standards, which can extend the development process significantly[90][92]. - Medical devices marketed in the U.S. must obtain either a Section 510(k) premarket notification clearance or a premarket approval (PMA), which can take several years[91]. - The company is subject to various federal, state, and local laws regarding safe working conditions and environmental protection, which may incur significant compliance costs[107]. - The company’s manufacturing processes involve hazardous materials, and compliance with environmental laws is critical to avoid potential liabilities[108]. - The company operates under extensive federal and state laws, including anti-kickback statutes, which impose significant penalties for violations, including criminal fines up to $25,000 and civil fines up to $74,792 per violation[109]. Intellectual Property - The company has approximately 255 issued and 73 pending U.S. and international patents, primarily related to Waterlase technology[9]. - The company intends to expand its patent portfolio to protect its technology leadership and enhance its product offerings to dental practitioners[60]. - The majority of existing patents related to core technology are set to expire between 2025 and 2036, with only 4 patents expiring in 2019 and 2020[85]. - The company believes that the number of new patent grants will exceed the number of patents expiring, mitigating potential adverse effects on business operations[85]. Market Strategy - The company formed a Southern California Dental Advisory Board to enhance local market efforts and plans to replicate this initiative in the Dallas/Fort Worth area[19]. - The company aims to increase awareness and demand for its products through education and participation in industry events, targeting both dental practitioners and patients[53]. - The company plans to strengthen its sales and distribution capabilities, expanding its presence in group practices and government channels to drive revenue growth[57]. - The company markets its laser systems through various channels, including educational events and digital media, targeting dental practitioners and patients[66][68]. Operational Challenges - The company relies on a limited group of suppliers for key components, with three critical components supplied by single-source suppliers, posing a risk of manufacturing delays[64]. - The company recorded a contingent loss of $1.5 million related to a settlement agreement with CAO Group, Inc. concerning intellectual property litigation[22]. - The company is focused on improving product quality and achieving high standards for defect-free delivery of products, supported by dedicated maintenance services[59]. - The company operates in a competitive market where traditional tools are generally less expensive than its laser systems, which can cost significantly more than $2,500[88]. Workforce and Leadership - The Company employed approximately 190 people as of December 31, 2018, with no collective bargaining agreements in place[135]. - The executive team includes Todd A. Norbe as President and CEO, John R. Beaver as Executive Vice President and CFO, Ryan T. Meardon as VP of U.S. Sales, and Richard R. Whipp as VP of Operations[136][137][138][139]. Legal and Financial Risks - Future legislation and reimbursement policies may adversely affect product demand, particularly due to potential cuts in Medicare reimbursements, including a 2% cut extended through fiscal year 2025[130]. - The Affordable Care Act mandates coverage of essential health benefits, which may increase third-party reimbursement availability for certain medical procedures using the Company's products[131]. - The Company cannot guarantee that government or private payers will cover procedures using its products in the future, which could impact financial performance[132]. - Third-party payments may not cover providers' actual costs, leading to potential challenges in product adoption despite clinical benefits[134].