TRANS RESOURCES INC
SC 13D/A, 1999-06-16
INDUSTRIAL INORGANIC CHEMICALS
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                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549

                                 SCHEDULE 13D/A

                    Under the Securities Exchange Act of 1934
                               (Amendment No. 11)*



                            ESC Medical Systems Ltd.
                                (Name of Issuer)

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

                                    M40868107
                                 (CUSIP Number)

                             Edward Klimerman, Esq.
                      Rubin Baum Levin Constant & Friedman
                        30 Rockefeller Plaza, 29th Floor
                            New York, New York 10112
                                 (212) 698-7700
       (Name, Address and Telephone Number of Person Authorized to Receive
                          Notices and Communications)

                                  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 ss.ss.240.13d-1(e),  240.13d-1(f) or 240.13d-1(g), check the
following box. |_|

                                  Page 1 of 16



<PAGE>


                                  SCHEDULE 13D

- --------------------------------                  ------------------------------
           CUSIP NO.                                      Page 2 of 16
           M40868107
- --------------------------------                  ------------------------------

- --------------------------------------------------------------------------------
   1     NAME OF REPORTING PERSON
         S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS
         Arie Genger
- --------------------------------------------------------------------------------
   2     CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*               (a) |_|
                                                                         (b) |X|
- --------------------------------------------------------------------------------
   3     SEC USE ONLY

- --------------------------------------------------------------------------------
   4     SOURCE OF FUNDS*

         WC, PF, OO
- --------------------------------------------------------------------------------
   5     CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED
         PURSUANT TO ITEMS 2(d) or 2(e)

- --------------------------------------------------------------------------------
   6     CITIZENSHIP OR PLACE OF ORGANIZATION

         United States and Israel
- --------------------------------------------------------------------------------

  NUMBER OF        7     SOLE VOTING POWER       99,210(1)(3)
   SHARES          -------------------------------------------------------------
BENEFICIALLY
  OWNED BY         8     SHARED VOTING POWER    2,332,062(2)(3)
    EACH           -------------------------------------------------------------
 REPORTING
   PERSON          9     SOLE DISPOSITIVE POWER    99,210(1)(3)
    WITH           -------------------------------------------------------------

                   10    SHARED DISPOSITIVE POWER   2,332,062(2)(3)

- --------------------------------------------------------------------------------
  11     AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
                               2,431,272(1)(2)(3)

- --------------------------------------------------------------------------------
  12     CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES*
                                                                             |_|

- --------------------------------------------------------------------------------
  13     PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
                                      9.5%

- --------------------------------------------------------------------------------
  14     TYPE OF REPORTING PERSON*
                                       IN

- --------------------------------------------------------------------------------

(1) Includes  40,000 shares owned by a trust for the benefit of a minor child of
a third  party of which Mr.  Genger  is sole  trustee,  as to which  Mr.  Genger
disclaims beneficial ownership.

(2) Includes 4,000 shares beneficially owned by Mr. Genger's spouse, as to which
he disclaims beneficial ownership.

(3) Does not  include  3,000  shares  beneficially  owned by a trust for a minor
child of Mr. Genger, as to which Mr. Genger has no voting or investment control.


                      *SEE INSTRUCTIONS BEFORE FILLING OUT!
          INCLUDE BOTH SIDES OF THE COVER PAGE, RESPONSES TO ITEMS 1-7
       (INCLUDING EXHIBITS) OF THE SCHEDULE AND THE SIGNATURE ATTESTATION.

<PAGE>


                                  SCHEDULE 13D

- --------------------------------                  ------------------------------
           CUSIP NO.                                      Page 3 of 16
           M40868107
- --------------------------------                  ------------------------------

- --------------------------------------------------------------------------------
   1     NAME OF REPORTING PERSON
         S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS

         TPR Investment Associates, Inc.
         (I.R.S. Employer Identification No. 13-3506464)
- --------------------------------------------------------------------------------
   2     CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*               (a) |_|
                                                                         (b) |X|
- --------------------------------------------------------------------------------
   3     SEC USE ONLY

- --------------------------------------------------------------------------------
   4     SOURCE OF FUNDS*

         WC, OO
- --------------------------------------------------------------------------------
   5     CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED
         PURSUANT TO ITEMS 2(d) or 2(e)

- --------------------------------------------------------------------------------
   6     CITIZENSHIP OR PLACE OF ORGANIZATION

         Delaware
- --------------------------------------------------------------------------------

  NUMBER OF        7     SOLE VOTING POWER    - 0 -
   SHARES          -------------------------------------------------------------
BENEFICIALLY
  OWNED BY         8     SHARED VOTING POWER    2,328,062
    EACH           -------------------------------------------------------------
 REPORTING
   PERSON          9     SOLE DISPOSITIVE POWER      - 0 -
    WITH           -------------------------------------------------------------

                   10    SHARED DISPOSITIVE POWER    2,328,062
- --------------------------------------------------------------------------------
  11     AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
                                    2,328,062

- --------------------------------------------------------------------------------
  12     CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES*
                                                                             |_|

- --------------------------------------------------------------------------------
  13     PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
                                      9.1%

- --------------------------------------------------------------------------------
  14     TYPE OF REPORTING PERSON*
                                       CO

- --------------------------------------------------------------------------------


                      *SEE INSTRUCTIONS BEFORE FILLING OUT!
          INCLUDE BOTH SIDES OF THE COVER PAGE, RESPONSES TO ITEMS 1-7
       (INCLUDING EXHIBITS) OF THE SCHEDULE AND THE SIGNATURE ATTESTATION.

<PAGE>

                                  SCHEDULE 13D

- --------------------------------                  ------------------------------
           CUSIP NO.                                      Page 4 of 16
           M40868107
- --------------------------------                  ------------------------------

- --------------------------------------------------------------------------------
   1     NAME OF REPORTING PERSON
         S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS
         Trans-Resources, Inc. (I.R.S. Employer Identification No. 36-2729497)
- --------------------------------------------------------------------------------
   2     CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*               (a) |_|
                                                                         (b) |X|

- --------------------------------------------------------------------------------
   3     SEC USE ONLY


- --------------------------------------------------------------------------------
   4     SOURCE OF FUNDS*

         WC, OO
- --------------------------------------------------------------------------------
   5     CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED
         PURSUANT TO ITEMS 2(d) or 2(e)

- --------------------------------------------------------------------------------
   6     CITIZENSHIP OR PLACE OF ORGANIZATION

         Delaware
- --------------------------------------------------------------------------------

  NUMBER OF        7     SOLE VOTING POWER    - 0 -
   SHARES          -------------------------------------------------------------
BENEFICIALLY
  OWNED BY         8     SHARED VOTING POWER    2,115,562
    EACH           -------------------------------------------------------------
 REPORTING
   PERSON          9     SOLE DISPOSITIVE POWER    - 0 -
    WITH           -------------------------------------------------------------

                   10    SHARED DISPOSITIVE POWER      2,115,562

- --------------------------------------------------------------------------------
  11     AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
                                    2,115,562

- --------------------------------------------------------------------------------
  12     CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES*
                                                                             |_|

- --------------------------------------------------------------------------------
  13     PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
                                      8.2%

- --------------------------------------------------------------------------------
  14     TYPE OF REPORTING PERSON*
                                       CO

- --------------------------------------------------------------------------------


                      *SEE INSTRUCTIONS BEFORE FILLING OUT!
          INCLUDE BOTH SIDES OF THE COVER PAGE, RESPONSES TO ITEMS 1-7
       (INCLUDING EXHIBITS) OF THE SCHEDULE AND THE SIGNATURE ATTESTATION.

<PAGE>

                                  SCHEDULE 13D

- --------------------------------                  ------------------------------
           CUSIP NO.                                      Page 5 of 16
           M40868107
- --------------------------------                  ------------------------------

- --------------------------------------------------------------------------------
   1     NAME OF REPORTING PERSON
         S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS

         Haifa Chemicals Holdings Ltd.
         (Israeli corporation with no United States I.R.S. Identification No.)
- --------------------------------------------------------------------------------
   2     CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*               (a) |_|
                                                                         (b) |X|
- --------------------------------------------------------------------------------
   3     SEC USE ONLY


- --------------------------------------------------------------------------------
   4     SOURCE OF FUNDS*

         WC, OO
- --------------------------------------------------------------------------------
   5     CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED
         PURSUANT TO ITEMS 2(d) or 2(e)

- --------------------------------------------------------------------------------
   6     CITIZENSHIP OR PLACE OF ORGANIZATION

         Israel
- --------------------------------------------------------------------------------

  NUMBER OF        7     SOLE VOTING POWER    - 0 -
   SHARES          -------------------------------------------------------------
BENEFICIALLY
  OWNED BY         8     SHARED VOTING POWER    682,312
    EACH           -------------------------------------------------------------
 REPORTING
   PERSON          9     SOLE DISPOSITIVE POWER    - 0 -
    WITH           -------------------------------------------------------------

                   10    SHARED DISPOSITIVE POWER    682,312

- --------------------------------------------------------------------------------
  11     AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
                                     682,312

- --------------------------------------------------------------------------------
  12     CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES*
                                                                             |_|

- --------------------------------------------------------------------------------
  13     PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
                                      2.7%

- --------------------------------------------------------------------------------
  14     TYPE OF REPORTING PERSON*
                                       CO

- --------------------------------------------------------------------------------


                      *SEE INSTRUCTIONS BEFORE FILLING OUT!
          INCLUDE BOTH SIDES OF THE COVER PAGE, RESPONSES TO ITEMS 1-7
       (INCLUDING EXHIBITS) OF THE SCHEDULE AND THE SIGNATURE ATTESTATION.

<PAGE>



                                  SCHEDULE 13D

- --------------------------------                  ------------------------------
           CUSIP NO.                                      Page 6 of 16
           M40868107
- --------------------------------                  ------------------------------

- --------------------------------------------------------------------------------
   1     NAME OF REPORTING PERSON
         S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS

         Thomas G. Hardy
- --------------------------------------------------------------------------------
   2     CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*               (a) |_|
                                                                         (b) |X|
- --------------------------------------------------------------------------------
   3     SEC USE ONLY


- --------------------------------------------------------------------------------
   4     SOURCE OF FUNDS*

         PF
- --------------------------------------------------------------------------------
   5     CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED
         PURSUANT TO ITEMS 2(d) or 2(e)

- --------------------------------------------------------------------------------
   6     CITIZENSHIP OR PLACE OF ORGANIZATION

         Australia
- --------------------------------------------------------------------------------

  NUMBER OF        7     SOLE VOTING POWER  54,250
   SHARES          -------------------------------------------------------------
BENEFICIALLY
  OWNED BY         8     SHARED VOTING POWER   - 0 -
    EACH           -------------------------------------------------------------
 REPORTING
   PERSON          9     SOLE DISPOSITIVE POWER  54,250
    WITH           -------------------------------------------------------------

                   10    SHARED DISPOSITIVE POWER  - 0 -

- --------------------------------------------------------------------------------
  11     AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
                                     54,250

- --------------------------------------------------------------------------------
  12     CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES*
                                                                             |_|

- --------------------------------------------------------------------------------
  13     PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
                                      0.2%

- --------------------------------------------------------------------------------
  14     TYPE OF REPORTING PERSON*
                                       IN

- --------------------------------------------------------------------------------



<PAGE>



     This Amendment No. 11 (the "Amendment") amends and supplements the Schedule
13D filed on October 9, 1998,  as  previously  amended and restated by Amendment
No. 1, filed on March 12, 1999 and further  amended by Amendment  No. 2 filed on
March 23, 1999,  Amendment No. 3 filed on March 26, 1999,  Amendment No. 4 filed
on April 15,  1999,  Amendment  No. 5 filed on April 20, 1999,  Amendment  No. 6
filed on May 11, 1999,  Amendment  No. 7 filed on May 13, 1999,  Amendment No. 8
filed on May 21, 1999,  Amendment  No. 9 filed on June 2, 1999 and Amendment No.
10 filed on June 3, 1999 (the  "Schedule  13D"),  on behalf of Mr.  Arie  Genger
("Genger"),  TPR Investment  Associates,  Inc., a Delaware  corporation ("TPR"),
TPR's subsidiary,  Trans-Resources,  Inc., a Delaware corporation ("TRI"), TRI's
indirect  subsidiary,  Haifa Chemicals Holdings Ltd., a company  incorporated in
the State of  Israel  ("HCH";  Genger  and said  corporations,  all of which are
directly or indirectly  controlled by Genger, being collectively called the "TRI
Entities"),  and Mr. Thomas G. Hardy ("Hardy";  Hardy and the TRI Entities being
collectively  called the  "Reporting  Persons")  with  respect  to the  Ordinary
Shares,  par value NIS 0.10 per share (the  "Shares"),  of ESC  Medical  Systems
Ltd.,  a  company  incorporated  in the  State of Israel  (the  "Company").  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 3. Source and Amount of Funds or Other Consideration.

     Item 3 of the Schedule 13D is hereby amended and supplemented as follows:

     See Item 5 hereof for certain  information  regarding  recent  purchases of
Shares  by  TPR at an  aggregate  price  (excluding  brokerage  commissions)  of
$88,750, paid for with general corporate funds of TPR.

Item 4. Purpose of Transaction.

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

     In response to shareholder inquiries regarding Messrs. Genger's and Barnard
J.  Gottstein's  ("Gottstein")  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 30 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 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.



                                  Page 7 of 16

<PAGE>


Item 5. Interest in Securities of the Issuer.

     Item 5 of the Schedule 13D is hereby amended and supplemented as follows:

     On June 3, 1999,  TPR (which is  controlled  by  Genger)  purchased  10,000
Shares at a price per Share of $5.9375 and on June 4, 1999, TPR purchased  5,000
Shares at a price per Share of $5.875.  The  transactions  were  effected in the
open  market.  Reference is made to the  information  contained in Items 7-13 of
each Reporting Person's separate cover page for the updated aggregate number and
percentage of total  outstanding  Shares  beneficially  owned by each  Reporting
Person.

     The  percentages set forth in each Reporting  Person's  separate cover page
have been  recalculated to be based upon 25,716,000  Shares  outstanding,  which
represents  the  weighted  average  number  of  Shares  outstanding  during  the
three-month  period ended March 31, 1999, as reported in the Company's Form 6-K,
which was filed with the Securities and Exchange Commission on May 18, 1999.

     In addition to 212,500 Shares which TPR directly  owns,  TPR, as the parent
corporation of TRI, may be deemed to share voting and disposition power with TRI
with respect to the Shares directly owned by TRI and HCH.

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:

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

Item 7. Material to be Filed as Exhibits.

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

     Exhibit 30:    Open Letter to the Shareholders of the Company, dated
                    June 15, 1999, from Messrs. Genger and Gottstein


                                  Page 8 of 16

<PAGE>


                                    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/  Arie Genger
                                   ---------------------------------------------
                                   Arie Genger


                                   TPR INVESTMENT ASSOCIATES, INC.


                                   By:  /s/ Arie Genger
                                        ----------------------------------------
                                            Arie Genger, President


                                   TRANS-RESOURCES, INC.


                                   By:  /s/ Arie Genger
                                        ----------------------------------------
                                            Arie Genger, Chairman of the Board


                                   HAIFA CHEMICALS HOLDINGS LTD.(1)


                                   By:  /s/ Arie Genger
                                        ----------------------------------------
                                            Arie Genger

                                    /s/ Thomas G. Hardy
                                    --------------------------------------------
                                            Thomas G. Hardy


- --------
(1) Pursuant to power of attorney

                                  Page 9 of 16

<PAGE>



                                  EXHIBIT INDEX



Exhibit
 Number                            Title                                Page
 ------                            -----                                ----
   30              Open Letter to the Shareholders of the                11
                   Company, dated June 15, 1999, from
                   Messrs. Genger and Gottstein


                                  Page 10 of 16




                                                                      Exhibit 30

                        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!

                                  Page 11 of 16

<PAGE>



                       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.

                                  Page 12 of 16

<PAGE>



*    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 we
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.


                                  Page 13 of 16

<PAGE>



*    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 exit 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  caused by the  hundreds  in  millions in claimed
     market  value losses by  shareholders,  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 so 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.


                                  Page 14 of 16

<PAGE>



                    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


                                  Page 15 of 16

<PAGE>


                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!


                                  Page 16 of 16



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