ESC MEDICAL SYSTEMS LTD
SC 13D/A, 1999-06-15
MEDICAL, DENTAL & HOSPITAL EQUIPMENT & SUPPLIES
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 CUSIP No. M40868107           13D
 --------------------------------------------------------------------------

                     SECURITIES AND EXCHANGE COMMISSION
                          WASHINGTON, D.C.  20549

                                SCHEDULE 13D
                               (Rule 13d-101)

           INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT
          TO RULE 13d-1(a) AND AMENDMENTS THERETO FILED PURSUANT TO
                                RULE 13d-2(a)

                            (Amendment No. 12)


                          ESC Medical Systems Ltd.
              ---------------------------------------------------
                              (Name of Issuer)


                Ordinary Shares, NIS 0.10 par value per share
              ---------------------------------------------------
                       (Title of Class of Securities)

                                  M40868107
              ---------------------------------------------------
                               (CUSIP Number)


                           Barnard J. Gottstein
                        Carr-Gottstein Properties
                     550 West 77th Avenue, Suite 1540
                          Anchorage, Alaska 99501
                              (907) 278-2277
              ---------------------------------------------------
                (Name, Address and Telephone Number of Person
               Authorized to Receive Notices and Communications)

                              with a copy to:

                           Joseph J. Giunta, Esq.
                  Skadden, Arps, Slate, Meagher & Flom LLP
                     300 South Grand Avenue, Suite 3400
                    Los Angeles, California  90071-3144
                               (213) 687-5000


                                 June 15, 1999
           -------------------------------------------------------
           (Date of Event which Requires Filing of This Statement)


 If the filing person has previously filed a statement on Schedule 13G to
 report the acquisition that is the subject of this Schedule 13D, and is
 filing this schedule because of Rule 13d-1(e), 13d-1(f) or 13d-1(g), check
 the following box:
                                                 [  ]



 CUSIP No. M40868107           13D
 --------------------------------------------------------------------------

      This Amendment No. 12 (the "Amendment") amends and supplements the
 Statement on Schedule 13D, dated September 29, 1998, as amended by
 Amendment No. 1, dated January 15, 1999, Amendment No. 2, dated March 9,
 1999, Amendment No. 3, dated March 22, 1999, Amendment No. 4, dated March
 24, 1999, Amendment No. 5, dated April 14, 1999, Amendment No. 6, dated
 April 19, 1999, Amendment No. 7, dated May 10, 1999, Amendment No. 8, dated
 May 11, 1999, Amendment No. 9, dated May 20, 1999, Amendment No. 10,
 dated May 27, 1999, and Amendment No. 11, dated May 29, 1999 (the "Original
 Schedule 13D"), relating to the Ordinary Shares, par value NIS 0.10 per
 share (the "Shares"), of ESC Medical Systems Ltd., an Israeli corporation
 (the "Company").  Each of the Barnard J. Gottstein Revocable Trust, Barnard
 J. Gottstein, as trustee of the Barnard J. Gottstein Revocable Trust, and
 Barnard J. Gottstein, as an individual (collectively, the "Reporting
 Persons"), are filing this Amendment to update the information with respect
 to the Reporting Persons' purposes and intentions with respect to the
 Shares.

 ITEM 4.   PURPOSE OF TRANSACTION.

       Item 4 of the Original Schedule 13D is hereby amended and
 supplemented as follows:

           In response to shareholder inquiries regarding Messrs. Genger's
 and Gottstein's intentions with respect to the Company, Messrs. Genger and
 Gottstein recently developed a blueprint that they envision their proposed
 nominees, if elected, might refer to in order to remedy the problems facing
 the Company.  The blueprint is described in a letter being mailed today to
 all shareholders of the Company.  A copy of the letter is attached hereto
 as Exhibit 26 and is incorporated herein by reference.  There can be no
 assurance that, if Messrs. Genger's and Gottstein's nominees are elected to
 the Board, the newly constituted Board will adopt any or all of the
 recommendations set forth in the blueprint.

       Other than as described above and as previously described in the
 Original Schedule 13D, the Reporting Persons do not have any present plans
 or proposals which relate to or would result in (although they reserve the
 right to develop such plans or proposals) any transaction, change or event
 specified in clauses (a) through (j) of Item 4 of the form of Schedule 13D.




 CUSIP No. M40868107           13D
 --------------------------------------------------------------------------

 ITEM 6.  CONTRACTS, ARRANGEMENTS, UNDERSTANDINGS OR RELATIONSHIPS WITH
          RESPECT TO SECURITIES OF THE ISSUER.

       Item 6 of the Original Schedule 13D is hereby amended and
 supplemented as follows:

       On June 3, 1999 and June 4, 1999, a corporation controlled by
 Mr. Genger purchased in the aggregate 15,000 Shares.  Pursuant to an oral
 understanding between Messrs. Genger and Gottstein solely with respect to
 the 15,000 Shares, Mr. Gottstein agreed to purchase in the near future
 7,500 of such shares from Mr. Genger at cost.

 ITEM 7.   MATERIAL TO BE FILED AS EXHIBITS.

       Item 7 of the Original Schedule 13D is hereby amended to add the
 following exhibit:

       Exhibit 26:  Open Letter to the Shareholders of the Company, dated
                    June 15, 1999, from Messrs. Genger and Gottstein



 CUSIP No. M40868107           13D
 --------------------------------------------------------------------------

                                 SIGNATURE

           After reasonable inquiry and to the best of my knowledge and
 belief, I certify that the information set forth in this statement is true,
 complete and correct.

 Dated: June 15, 1999


                                /s/ Barnard J. Gottstein
                                ------------------------------------
                                Barnard J. Gottstein
                                Individually and as Trustee of the
                                Barnard J. Gottstein Revocable Trust


                                BARNARD J. GOTTSTEIN REVOCABLE TRUST


                                /s/ Barnard J. Gottstein
                                ------------------------------------
                                Barnard J. Gottstein
                                Trustee



 CUSIP No. M40868107           13D
 -------------------------------------------------------------------------

                               EXHIBIT INDEX


 Exhibit
 Number                        Title                           Page
 -------                       -----                           ----
   26       Open Letter to the Shareholders of the Company,      6
            dated June 15, 1999, from Messrs. Genger and
            Gottstein





                                                            Exhibit 26


                 WE HAVE ALL LOST MORE THAN ENOUGH
           WE MAY NEVER HAVE A SECOND CHANCE TO SAVE ESC
            VOTE YOUR ENCLOSED NEW BLUE PROXY TODAY!


                                                          June 15, 1999

 Dear Fellow ESC Shareholder:

 In a little more than one week the combined Extraordinary and Annual
 General Meeting of Shareholders of ESC Medical Systems Ltd. will be held on
 Wednesday, June 23, 1999 at 10:00 A.M. in New York City.

 WE BELIEVE IT IS CRITICAL TO THE VALUE OF ALL OUR INVESTMENTS IN ESC
 MEDICAL TO ELECT A NEW INDEPENDENT BOARD OF DIRECTORS TO LEAD ESC BACK TO
 PROFITABILITY AND TO RESTORE THE CONFIDENCE OF DOCTORS AND THE MEDICAL
 COMMUNITY, EMPLOYEES, SHAREHOLDERS AND FINANCIAL ANALYSTS.

 *     The new board must have a majority of its members who are NOT
       BEHOLDEN TO SHIMON ECKHOUSE OR RESPONSIBLE FOR THE FAILED PROGRAMS
       OF THE PAST.

 *     WE CANNOT AFFORD TO HAVE ECKHOUSE AND HIS BOARD MISMANAGE ESC FOR
       ANOTHER YEAR.

 *     THIS MAY BE YOUR ONE AND ONLY CHANCE TO SALVAGE YOUR INVESTMENT IN
       ESC.

 *     Please join with us to elect a new Board of Directors by signing,
       dating and returning promptly the enclosed BLUE proxy.

 *     Since Telephone and Internet voting are presently NOT available
       because of the competing slates of directors, please ACT PROMPTLY!

 In an attempt to win at any cost, ECKHOUSE'S LAWYERS HAVE TOLD US THEY
 INTEND TO CHALLENGE THE VALIDITY OF THE BLUE PROXIES SENT TO YOU EARLIER.
 These proxies contained proposals that Eckhouse's management decided to
 abandon after we had already mailed to most ESC shareholders.
 Unfortunately, the original yellow proxies we also asked you to sign for
 the Extraordinary Meeting will not insure our simultaneous success at the
 Annual Meeting.

 While we believe the previously signed BLUE proxies are PERFECTLY LEGAL --
 DON'T LET THEM ATTEMPT TO DISENFRANCHISE YOU FROM VOTING.  PLEASE SIGN THE
 NEW BLUE PROXY TODAY!

                  DON'T MISS YOUR LAST CHANCE TO VOTE
                TO SAVE YOUR INVESTMENT IN ESC MEDICAL!

 REMEMBER, we were forced to start this proxy campaign after numerous
 frustrating efforts to get the ESC Board and management to focus on
 enhancing the Company's financial performance and increasing the price of
 ESC's shares.  EVEN THOUGH WE TOGETHER OWN ESC'S LARGEST BLOCK OF STOCK --
 MORE THAN 4.3 MILLION SHARES OR 17% OF ESC'S OUTSTANDING STOCK -- OUR
 CONSTRUCTIVE ADVICE AND OFFERS OF ASSISTANCE WERE REJECTED.

            VOTE YOUR NEW BLUE PROXY TO REPLACE THE OLD BOARD
        VOTE FOR OUR BLUEPRINT TO RESTORE VALUE FOR SHAREHOLDERS

 The new independent Board of Directors proposed by us is composed of highly
 qualified and experienced professionals well prepared to turn ESC around.
 They are committed to putting ESC on the right track to profitability and
 to restoring shareholder value.  If you elect the new Board, they will have
 the mandate to initiate a plan that will address each of the critical
 business elements within ESC.  Tell them you want steps taken to best
 assure a prompt curtailment of losses by year-end and the repositioning of
 the Company for profitability and growth for the future.

         OUR BLUEPRINT FOR VALUE -- PHASE ONE IS AN "INTENSIVE CARE"
            ANSWER DESIGNED TO ADDRESS ESC'S IMMEDIATE NEEDS

 We believe the new independent Board can immediately start to restore
 confidence in the Company and value for shareholders.  Our recommendation
 is a plan consisting of two phases.  If adopted by the new Board, Phase One
 could be implemented with the assistance of a leading management consulting
 firm.  The new Board would be able to move quickly with this firm and
 assemble a team with the necessary talents in the medical device field and
 in turnarounds and corporate strategy within the first ninety days after
 their election.  Phase One should be fully in place by year-end.

 We believe the Phase One steps discussed below are necessary to stop
 further bleeding and to begin the healing process for the Company and its
 shareholders.

 *     The Board should establish a Committee to recruit a new CEO and
       review other immediate management needs and make changes as
       appropriate.

 *     The CEO candidates should have PROVEN EXPERIENCE AS A CEO OR CHIEF
       OPERATING OFFICER OF A SIGNIFICANT MEDICAL DEVICE COMPANY, A TRACK
       RECORD OF SUCCESSFUL TURNAROUND EXPERIENCE AND A DEMONSTRATED
       ABILITY TO PROVIDE LEADERSHIP IN A GROWTH ENVIRONMENT.

 *     We have already spoken with two qualified candidates that the new
       Board may want to consider who have indicated serious interest and
       near term availability.  We have already started discussions about
       other candidates with an internationally recognized executive search
       firm that the new Board could interview to recruit a top flight CEO.

 *     The Board should establish a strong Finance and Capital Committee of
       the Board that can work with the new CEO TO BRING COST STRUCTURE IN
       LINE WITH A REALISTIC REVENUE RUN RATE ($120 million using Q1 1999
       actual).

 *     The Finance and Capital committee should have A PRIORITY TO PRESERVE
       CASH RESOURCES UNTIL PROFITABILITY IS ASSURED AND SUSTAINED.

 *     The new Board and management should take immediate steps, such as
       the creation of a strong outside Medical Advisory Group, TO RE-
       ESTABLISH THE CONFIDENCE of customers and create a program to
       communicate ESC's new dedication to customer satisfaction and
       support.

 *     An advertising and promotional campaign directed to physicians and
       consumers should be developed to generate traffic and improve their
       business.

                          THE NEED FOR CHANGE IS CLEAR
                            BUT TIME IS RUNNING OUT!

 *     A new pricing structure for certain products, using a significant
       downpayment and a per use fee, should be considered to stimulate
       sales while maintaining overall profit margins.

 *     THE WELL-KNOWN AND HIGHLY REGARDED SHARPLAN BRAND NAME SHOULD BE
       REINSTATED.

 *     Additional and more appropriate sales incentives should be
       developed.  All of the above initiatives should be supported by
       major investments in customer service and training.

 *     Manufacturing costs, which account for 45% of total costs need to be
       cut further by considering additional consolidation of facilities
       and physical plants and elimination of slow moving or low margin
       products.  Headcount plans should be reexamined (950 employees is
       far too many in light of the low current sales run rate).

 *     Sales and Marketing expenses, which were 63% of sales in Q1 1999,
       ARE OUT OF CONTROL and need to be brought back to not more than 25%
       - 30% of sales.

 *     R & D expenses, which ballooned to 16% because of the dramatic drop
       of sales in Q1 1999, NEED TO BE BROUGHT BACK TO 8% OF SALES GOING
       FORWARD.  This can be achieved by focusing on high growth projects
       and outsourcing technology while also stressing product
       modifications and enhancements most likely to immediately raise
       profitability and by addressing glaring needs in the marketplace.

                      OUR BLUEPRINT FOR VALUE -- PHASE TWO IS
                        TO RELAUNCH A STRATEGIC GROWTH PLAN

 WE ARE EXTREMELY CONFIDENT OF THE NEW BOARD'S ABILITY TO RESTORE
 SHAREHOLDER VALUE BASED ON THE QUALIFICATIONS OF OUR DIRECTOR CANDIDATES
 AND ON THE SIMILAR EXPERIENCE OF TURNING AROUND LASER.  IF ESC'S NEW BOARD
 TAKES THE SAME STEPS MR. GENGER TOOK OF INSTALLING A NEW MANAGEMENT TEAM
 AND MONITORING AND SUPPORTING THEM, WE BELIEVE ESC CAN RETURN TO
 SATISFACTORY GROSS MARGIN PROFITS AND OPERATING PROFITS TARGETS IN THE
 FIRST FULL YEAR.

 We believe Phase Two of the Blueprint can be fully developed by year-end
 1999 and implemented throughout 2000, with the goal to generate sustainable
 and solid profitability levels and to return ESC to growth.

 *     ESC should seek to dramatically increase its current actual
       quarterly sales run rate, which was only $31 million in Q1 1999.  We
       believe a realistic target must be established because we should not
       expect to return to the $50-60 million quarterly sales rates
       overnight.

 *     In Phase Two the objective should be to re-launch ESC on a growth
       trajectory with ANNUAL GROWTH RATE TARGETS OF 15%-20% by continuing
       to focus on customer service and satisfaction.

 *     ESC should focus the strategy on a core group of markets and market
       segments and exist existing marginal businesses, markets and
       products.

 *     We believe ESC needs to finalize the implementation of sound and
       effective Management Information and Control Systems and take
       advantage of opportunities to improve new product introductions by
       improving communication among R&D, Production and Marketing and
       especially our customers.

 *     ESC should create additional appropriate incentives to attract and
       retain top-flight talent at all levels of management.

 *     ESC NEEDS TO AGGRESSIVELY WORK TO RESOLVE ALL OUTSTANDING
       LITIGATION, ESPECIALLY THE LAWSUITS FILED BY SHAREHOLDERS CAUSED BY
       THE HUNDREDS IN MILLIONS IN CLAIMED MARKET VALUE LOSSES, BUT ALSO
       THE LAWSUITS AND CLAIMS BY OUR PHYSICIAN CUSTOMERS.

 *     ESC must also create a capital program to address liquidity
       requirements and to develop real alternatives regarding the $115
       million in Convertible Bonds that come due and payable on September
       1, 2002.

 Finally, ESC must continue a communication program to keep shareholders,
 potential shareholders and industry analysts fully informed as to the
 current progress of ESC and its realistic outlook.

            ENOUGH IS ENOUGH -- WE CAN'T AFFORD ANY MORE UNFORESEEN
           LOSSES, DRAMATIC SALES DECLINES, AND SURPRISE WRITE-OFFS!

 In his recent proxy mailing to you, Shimon Eckhouse asked you to support
 his "current version" of a strategic plan.  Even this most recent strategy,
 which we believe is in response to our proxy contest, is superficial and
 seriously flawed.  It fails to address ESC's most critical problems, lacks
 specific details, and offers no means or metrics to measure progress.  LET
 US NOT FORGET THAT THIS PLAN IS OFFERED BY ECKHOUSE, WHO HAS FAILED TO
 DISMALLY TO DELIVER ON HIS PROMISES.

 *     THE VALUE OF OUR ESC SHARES IN THE PAST TWELVE MONTHS FELL ALMOST
       90% FROM A HIGH OF $46.50 TO A LOW OF $4.75 PER SHARE.

 *     DETERIORATING PRODUCT QUALITY, POOR CUSTOMER SERVICE AND SUPPORT ON
       TOP OF POOR FISCAL MISMANAGEMENT HAVE ALL CONTRIBUTED TO THE SERIOUS
       REVENUE PROBLEM AND FINANCIAL CRISIS FACING ESC MEDICAL.

 *     WE BELIEVE ECKHOUSE'S CURRENT BOARD OF DIRECTORS HAS TO BE HELD
       RESPONSIBLE FOR THESE CATASTROPHIC RESULTS.

                 REPLACE THE ECKHOUSE BOARD OF DIRECTORS!
                    VOTE YOUR NEW BLUE PROXY TODAY!

 In summary, we believe the "Blueprint to Restore Shareholder Value" program
 is a practical business plan.  It is designed to stop the bleeding and to
 bring in new leadership, create an emphasis on customer service and
 satisfaction, and focus on restoring shareholder value.  WE BELIEVE THE
 PLAN IS ACHIEVABLE AND HAS BEEN BUILT UPON PROGRAMS TESTED AND USED
 SUCCESSFULLY AT LASER INDUSTRIES.

                  SHAREHOLDERS HAVE TOO MUCH AT STAKE!
                 WE CAN NO LONGER AFFORD TO BELIEVE IN
                 SHIMON ECKHOUSE OR HIS "PHANTOM" PLAN!

 TIME IS SHORT!  We urge you to take the time now to sign, date and return
 the enclosed new BLUE proxy.  Thank you for your continued support.


                            Sincerely,


    /s/ Barnard J. Gottstein                     /s/ Arie Genger


               VOTE FOR A BUSINESS PLAN THAT YOU CAN BELIEVE IN!

                  VOTE FOR DIRECTORS THAT YOU CAN DEPEND ON!

 Any questions or requests for assistance or additional copies of this Open
 Letter to Shareholders, the Proxy, the Proxy Statement and any other
 related materials may be directed to the Information Agent at the address
 and telephone number set forth below.  Shareholders may also contact their
 broker, dealer, commercial bank, trust company or other nominee for
 assistance concerning Mr. Genger's and Mr. Gottstein's proposal (the
 "Proposal").

                 THE INFORMATION AGENT FOR THE PROPOSAL IS:

                               MACKENZIE
                             PARTNERS, INC.
                           156 FIFTH AVENUE
                       NEW YORK, NEW YORK 10010
                     (212) 929-5500 (CALL COLLECT)
                                   OR
                     CALL TOLL-FREE: (800) 322-2885

                   VOTE TO STOP THE BLEEDING AT ESC!

                    VOTE THE  NEW BLUE PROXY TODAY!





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