VISX INC
10-Q, 1996-11-08
ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS
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<PAGE>

                     SECURITIES AND EXCHANGE COMMISSION
                            WASHINGTON, D. C. 20549
                             _____________________


                                   FORM 10-Q


    (X)  QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES
                             EXCHANGE ACT OF 1934

               FOR THE QUARTERLY PERIOD ENDED SEPTEMBER 30, 1996

                                      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 1-10694

                              ___________________

                              VISX, INCORPORATED
            (EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)
                              ___________________


                 DELAWARE                         06-1161793
              -------------                    ----------------
      (STATE OR OTHER JURISDICTION OF            (IRS EMPLOYER
       INCORPORATION OR ORGANIZATION)          IDENTIFICATION NO.)

             3400 CENTRAL EXPRESSWAY, SANTA CLARA, CALIFORNIA  95051
            ---------------------------------------------------------
        (ADDRESS OF PRINCIPAL EXECUTIVE OFFICES)              (ZIP CODE)

     (REGISTRANT'S TELEPHONE NUMBER, INCLUDING AREA CODE):  (408) 733-2020
                                                            --------------

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 _______

      Total number of shares of common stock outstanding as of 
      October 31, 1996: 15,410,066.
                        -----------

<PAGE>

                              VISX, INCORPORATED
                               TABLE OF CONTENTS




                                                                          PAGE
                                                                            
PART I.     FINANCIAL INFORMATION                                           
            
   ITEM 1.  CONDENSED CONSOLIDATED INTERIM FINANCIAL STATEMENTS             
            
            Condensed Consolidated Interim Balance Sheets as                3
            of September 30, 1996 and December 31, 1995
            
            Condensed Consolidated Interim Statements of Operations for     4
            the Three Months Ended September 30, 1996 and 1995 and for
            the Nine Months Ended September 30, 1996 and 1995
            
            Condensed Consolidated Interim Statements of Cash Flows for     5
            the Nine Months Ended September 30, 1996 and 1995
            
            Notes to Condensed Consolidated Interim Financial Statements    6
            
   ITEM 2.  MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION
            AND RESULTS OF OPERATIONS
            
            Overview                                                        7

            Results of Operations                                           7
            
            Liquidity and Capital Resources                                 8
            
PART II     OTHER INFORMATION
            
   ITEM 1.  Legal Proceedings                                               9

   ITEM 6.  Exhibits and Reports on Form 8-K                               11
            
SIGNATURES                                                                 12


                                                                        Page 2

<PAGE>

PART I. FINANCIAL INFORMATION

 ITEM 1.   CONDENSED CONSOLIDATED INTERIM FINANCIAL STATEMENTS

                      VISX, INCORPORATED AND SUBSIDIARIES
                                       
                 CONDENSED CONSOLIDATED INTERIM BALANCE SHEETS
              (IN THOUSANDS, EXCEPT SHARE AND PER SHARE AMOUNTS)

<TABLE>
<CAPTION>

                                    ASSETS
                                                            September 30,         December 31,
                                                               1996                   1995
                                                           --------------        --------------
                                                             (unaudited)
<S>                                                       <C>                   <C>

  CURRENT ASSETS:
   Cash and cash equivalents                                    $ 24,677             $  32,332
   Short-term investments                                         59,291                42,887
   Accounts receivable, net of allowance for doubtful
    accounts of $600 and $0, respectively                         15,388                 6,667
   Inventories                                                     6,618                 6,742
   Prepaid expenses                                                  626                   234
                                                                --------               -------
     Total current assets                                        106,600                88,862

  PROPERTY AND EQUIPMENT, NET                                      3,081                 1,565
  OTHER ASSETS                                                     2,805                   651
                                                                --------               -------
                                                                $112,486               $91,078
                                                                --------               -------
                                                                --------               -------

                      LIABILITIES AND STOCKHOLDERS' EQUITY

  CURRENT LIABILITIES:
   Accounts payable                                              $ 3,314              $  2,506
   Accrued liabilities                                            16,249                 8,691
                                                                --------               -------
     Total current liabilities                                    19,563                11,197
                                                                --------               -------
  STOCKHOLDERS' EQUITY:
   Common stock - $.01 par value, 90,000,000 shares authorized;
    15,415,259 and 15,173,855 shares issued, respectively            154                   152
   Additional paid-in capital                                    134,114               131,185
   Treasury stock,at cost - 58,247 and 0 shares, respectively     (1,229)                   --
   Accumulated deficit                                           (40,125)              (51,568)
   Unrealized holding gain on available-for-sale securities            9                   112
                                                                --------               -------
       Total stockholders' equity                                 92,923                79,881
                                                                --------               -------
                                                                $112,486               $91,078
                                                                --------               -------
                                                                --------               -------
</TABLE>

          The accompanying notes are an integral part of these condensed 
                  consolidated interim financial statements.

                                                                        Page 3

<PAGE>

                      VISX, INCORPORATED AND SUBSIDIARIES

            CONDENSED CONSOLIDATED INTERIM STATEMENTS OF OPERATIONS
                   (IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)

<TABLE>
<CAPTION>

                                                        Three months ended               Nine months ended
                                                           September 30,                    September 30,
                                                       ---------------------            -------------------
                                                       1996             1995            1996           1995
                                                      ------          -------          ------         ------
                                                           (unaudited)                       (unaudited)
<S>                                                 <C>               <C>            <C>            <C>

  REVENUES:
   Product sales                                     $  14,484         $  2,800       $ 39,385       $  5,600
   Product sales to Alcon, a related party                  --               --             --          1,680
   Service and other revenues                            5,183            1,151         11,391          3,146
                                                     ---------         --------       --------       --------
    Total revenues                                      19,667            3,951         50,776         10,426
                                                     ---------         --------       --------       --------

  COSTS AND EXPENSES:
   Cost of revenues                                      7,662            2,702         21,904          7,140
   Marketing, general and administrative                 4,227            1,737         12,869          5,653
   Research, development and regulatory                  2,845            2,069          6,804          6,677
                                                     ---------         --------       --------       --------
    Total costs and expenses                            14,734            6,508         41,577         19,470
                                                     ---------         --------       --------       --------
  Income (loss) from operations                          4,933           (2,557)         9,199         (9,044)

  Interest and other income                              1,146              179          3,106            637
  Litigation settlement                                     --               --             --         (2,250)
                                                     ---------         --------       --------       --------
  Income (loss) before income taxes                      6,079           (2,378)        12,305        (10,657)
  Provision for income taxes                               466               --            862             --
                                                     ---------         --------       --------       --------

  Net income (loss)                                  $   5,613         $ (2,378)      $ 11,443       $(10,657)
                                                     ---------         --------       --------       --------
                                                     ---------         --------       --------       --------
  Earnings (loss) per share                          $    0.35         $  (0.20)      $   0.72       $  (0.90)
                                                     ---------         --------       --------       --------
                                                     ---------         --------       --------       --------
                                                                                                                                  
  Weighted average number of shares and equivalents                                                                             
    outstanding                                         15,840           12,156         15,988         11,823
                                                     ---------         --------       --------       --------
                                                     ---------         --------       --------       --------

</TABLE>

         The accompanying notes are an integral part of these condensed 
                  consolidated interim financial statements.

                                                                         Page 4

<PAGE>

                      VISX, INCORPORATED AND SUBSIDIARIES

            CONDENSED CONSOLIDATED INTERIM STATEMENTS OF CASH FLOWS
                                (IN THOUSANDS)

<TABLE>
<CAPTION>

                                                                           Nine months ended
                                                                              September 30,
                                                                         ---------------------
                                                                          1996           1995
                                                                        -------        -------
                                                                               (unaudited)
<S>                                                                    <C>           <C>

CASH FLOWS FROM OPERATING ACTIVITIES:
  Net income (loss)                                                     $ 11,443      $(10,657)
  Adjustments to reconcile net income (loss) to net cash 
   provided by (used in) operating activities:                                                                       
     Depreciation and amortization                                           618           462

CHANGES IN ASSETS AND LIABILITIES:
  Increase in accounts receivable                                         (8,721)       (3,943)
  Decrease in accounts receivable from Alcon, a related party                 --         2,659
  Decrease (increase) in inventories                                         124        (2,572)
  Increase in prepaid expenses                                              (392)         (160)
  (Increase) decrease in other assets                                     (2,170)          253
  Increase in accounts payable                                               808           685
  Increase (decrease) in accrued liabilities                               7,558          (431)
                                                                         --------      --------
     Net cash provided by (used in) operating activities                   9,268       (13,704)
                                                                         --------      --------

CASH FLOWS FROM INVESTING ACTIVITIES:
  Capital expenditures                                                    (2,118)         (481)
  Purchase of short-term investments                                     (37,698)       (8,712)
  Proceeds from maturities of short-term investments                      21,191         2,653
                                                                         --------      --------
     Net cash used in investing activities                               (18,625)       (6,540)
                                                                         --------      --------

CASH FLOWS FROM FINANCING ACTIVITIES:
  Net proceeds from issuance of common stock                               2,931        15,305
  Purchases of treasury stock, net of shares used for option exercises    (1,229)           --
                                                                         --------      --------
     Net cash provided by financing activities                             1,702        15,305
                                                                         --------      --------
     Net decrease in cash and cash equivalents                            (7,655)       (4,939)
  Cash and cash equivalents, beginning of period                          32,332        11,161
                                                                         --------      --------
  Cash and cash equivalents, end of period                              $ 24,677      $  6,222
                                                                         --------      --------
                                                                         --------      --------
</TABLE>

          The accompanying notes are an integral part of these condensed 
                  consolidated interim financial statements.

                                                                         Page 5

<PAGE>

                      VISX, INCORPORATED AND SUBSIDIARIES
         NOTES TO CONDENSED CONSOLIDATED INTERIM FINANCIAL STATEMENTS
                              September 30, 1996
                                  (Unaudited)

The accompanying interim financial statements and related notes should be read
in conjunction with the financial statements and related notes included in the
Company's 1995 Annual Report and Form 10-K.

1.   BASIS OF PRESENTATION:

The Condensed Consolidated Interim Financial Statements included herein have 
been prepared by the Company, without audit, pursuant to the rules and 
regulations of the Securities and Exchange Commission. Certain information 
and footnote disclosures normally included in financial statements prepared 
in accordance with generally accepted accounting principles have been 
condensed or omitted pursuant to such rules and regulations. These Condensed 
Consolidated Interim Financial Statements should be read in conjunction with 
the consolidated financial statements and the notes thereto included in the 
Company's Annual Report on Form 10-K for the year ended December 31, 1995.

The Condensed Consolidated Interim Financial Statements included herein 
reflect, in the opinion of management, all adjustments (consisting primarily 
only of normal recurring adjustments) necessary to present fairly the results 
for the interim period. The results of operations for the three and nine 
month periods ended  September 30, 1996 are not necessarily indicative of 
results to be expected for the full year ending December 31, 1996.

2.   PILLAR POINT PARTNERS ROYALTIES:

The Company records a royalty payable to Pillar Point Partners when VISX 
systems and VisionKey-Registered Trademark- cards are sold in the United 
States. The Company records royalty revenue as service and other revenues 
when Pillar Point Partners reports the amount of royalty distribution, net of 
expenses, due the Company. The Company received its first report of royalty 
distribution from Pillar Point Partners in the first quarter of 1996.

3.   EARNINGS (LOSS) PER SHARE:

Earnings per share was computed based on the weighted average number of 
common and common equivalent shares outstanding during 1996. Common share 
equivalents were calculated using the treasury stock method, and represent 
dilutive shares issuable upon the exercise of stock options.

Net loss per share was computed based on the weighted average number of 
common shares outstanding during 1995. Common equivalent shares were excluded 
from the computation since their effect would be to reduce the net loss per 
share amount.

4.   INVENTORIES (in thousands):
                                            September 30,       December 31,
                                                1996                1995
                                            ------------        ------------
         Raw materials and subassemblies         $ 2,610             $ 2,878
         Work in process                           3,284               1,348
         Finished goods                              724               2,516
                                              ----------           ---------
           Total                                 $ 6,618             $ 6,742
                                              ----------           ---------
                                              ----------           ---------
                                                                        Page 6

<PAGE>

ITEM 2.   MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
          RESULTS OF OPERATIONS

The following Management's Discussion and Analysis of Financial Condition and 
Results of Operations contains forward-looking statements that involve risks 
and uncertainties. The Company's actual results of operations could differ 
materially from those anticipated in such forward-looking statements as a 
result of certain factors, including those factors identified below. The 
Management's Discussion and Analysis of Financial Condition and Results of 
Operations should be read in conjunction with the Management's Discussion and 
Analysis of Financial Condition and Results of Operations included in the 
Company's 1995 Annual Report and Form 10-K.

OVERVIEW

Since its inception, VISX has been engaged in the design and development of 
proprietary technologies and systems for laser vision correction ("LVC") and 
has been manufacturing such systems since 1987. In March 1995, the Company 
introduced a new model of the VISX System. The FDA approved pre-market 
approval ("PMA") applications for use of the VISX System for phototherapeutic 
keratectomy ("PTK") on September 29, 1995 and for photorefractive keratectomy 
("PRK") treatment of low to moderate myopia on March 27, 1996.

Notwithstanding approval by the FDA and subsequent increases in sales, the 
Company's future growth and profitability cannot be predicted with certainty 
and will be influenced by a variety of factors. These factors include the 
extent to which LVC is broadly accepted in the United States and key 
international markets targeted by the Company, the degree to which Pillar 
Point Partners is successful in generating royalty income from patent rights 
and defending against legal challenges relating to its structure and 
operation, developments in patent litigation both in support of the Company's 
patents and in defense of claims of infringement such as pending patent 
litigation against the Company brought by Summit Technology, developments 
with respect to other litigation to which the Company is a party or in which 
it may become involved, and competition from other vision correction products 
and procedures which are currently in use or may be developed and introduced 
in the future. Results of operations in the current or any prior fiscal 
period should not be considered as indicative of results to be expected for 
any future fiscal period.

RESULTS OF OPERATIONS

<TABLE>
<CAPTION>

                          Three Months Ended September 30,   Nine Months Ended September 30,
                         --------------------------------   --------------------------------
REVENUE                   1996       1995         Change     1996       1995        Change
- -------                  ------     ------        ------    ------     ------       ------
<S>                     <C>        <C>           <C>       <C>        <C>          <C>

Product sales            14,484      2,800         417%     39,385      7,280        441%
  PERCENT OF REVENUE       73.6%      70.9%                   77.6%      69.8%
Service & other revenues  5,183      1,151         350%     11,391      3,146        262%
  PERCENT OF REVENUE       26.4%      29.1%                   22.4%      30.2%
Total                    19,667      3,951         398%     50,776     10,426        387%


</TABLE>

Product sales increased due to the FDA's approval of the Company's PMA 
application for use of the VISX System (for PTK on September 29, 1995 and for 
PRK treatment of low to moderate myopia on March 27, 1996). This allowed the 
Company to sell VISX Systems in the United States, which generated an 
increase in unit sales over the comparable periods of the prior year. In 
addition, average selling prices were higher in 1996 because the Company was 
selling through its own direct sales force in the United States, as 
contrasted to 1995 when the Company was only selling outside the United 
States at lower prices through its distributor, Alcon Pharmaceuticals, Ltd.

                                                                         Page 7

<PAGE>

Until May 26, 1995, Alcon was a related party to the Company by virtue of its 
representation on the Company's board of directors. Alcon's representatives 
did not stand for reelection at the Company's 1995 stockholders' meeting. 
Accordingly, Alcon was no longer considered a related party after that time. 
Certain portions of the derivative litigation brought by stockholders of the 
Company relate to Alcon's marketing of the VISX System. On January 9, 1996 
the California Superior Court approved a settlement reached by Alcon, VISX 
and the other participants in VISX's stockholder derivative litigation 
pursuant to which, among other things, the domestic and international 
marketing agreement between VISX and Alcon was terminated. This settlement 
became effective on March 12, 1996.

Service and other revenues increased principally due to continued growth in 
Pillar Point Partners royalty revenue. Royalty license revenue and service 
and parts revenue also contributed to the increase.

<TABLE>
<CAPTION>

                             Three Months Ended September 30,    Nine Months Ended September 30,
                             -------------------------------     -------------------------------
COSTS & EXPENSES             1996        1995         Change     1996        1995       Change
- ----------------            ------      ------       --------   ------      ------     --------
<S>                        <C>         <C>           <C>       <C>         <C>        <C>

Cost of revenues            7,662       2,702          184%     21,904      7,140        207%
  PERCENT OF REVENUE         39.0%       68.4%                    43.1%      68.5%
Marketing, gen'l and admin  4,227       1,737          143%     12,869      5,653        128%
  PERCENT OF REVENUE         21.5%       44.0%                    25.3%      54.2%
R&D and regulatory          2,845       2,069           38%      6,804      6,677          2%
  PERCENT OF REVENUE         14.5%       52.4%                    13.4%      64.0%

</TABLE>

Gross profit margins improved mainly as the result of higher average selling 
prices for systems and lower overhead cost per unit due to increased 
production. Royalty revenue, principally from Pillar Point Partners, also 
contributed significantly to higher gross profit margins in 1996.

Marketing, general and administrative expenses increased as the Company 
created its own direct sales force to replace Alcon, developed marketing 
programs and began direct advertising about the VISX System for LVC. In 
addition, legal expenses were higher than in the prior year due to litigation 
and other matters primarily related to the Company's patents.

Research & development costs increased 108% in the third quarter and 51% in 
the first nine months of 1996 over the comparable periods of 1995. These 
increases were the result of higher spending to develop new products and 
technologies and a third quarter charge related to incremental compensation 
expense. Research & development costs declined as a percentage of net sales 
in both the third quarter and the first nine months of 1996 from the 
comparable periods in 1995 due primarily to increased net sales during the 
1996 periods. Regulatory costs were lower in both the third quarter and the 
first nine months of 1996 than in the comparable periods of 1995 when the 
Company incurred incremental costs for staff, consultants and other 
regulatory expenses necessary to pursue PMA applications filed with the FDA.

Interest and other income increased in the third quarter and first nine 
months of 1996 over the comparable periods in 1995 due to higher interest 
income generated by funds raised in the November 1995 common stock offering.

LIQUIDITY AND CAPITAL RESOURCES

Higher sales in the third quarter of 1996 over the fourth quarter of 1995 
contributed to the increase in accounts receivable. Increases in accrued 
liabilities, principally cash received as deposits accompanying orders for 
VISX Systems and warranty accruals, largely offset the increase in accounts 
receivable. Purchases of short-term investments reflect reinvestment of the 
proceeds from maturities of short-term investments and investment of cash and 
cash equivalents in short-term investments.

                                                                        Page 8

<PAGE>

The Company anticipates that its current cash, cash equivalents and 
short-term investments, as well as anticipated cash flows from operations, 
will be sufficient to cover working capital and capital equipment needs 
through the end of 1997. The Company may, however, seek to raise additional 
capital during this time frame and any such additional capital may not be 
available on satisfactory terms.

PART II.  OTHER INFORMATION

ITEM 1.   LEGAL PROCEEDINGS.

The following discussion of legal proceedings contains forward-looking 
statements that involve risks and uncertainties. The Company's actual results 
of operations could differ materially from those anticipated in such 
forward-looking statements as a result of certain factors, including those 
factors identified below.

The Company is a party to various pending legal proceedings. For a complete 
description of such proceedings, see the Company's report on Form 10-K 
for the year ended December 31, 1995 and report on Form 10-Q for the quarter 
ended June 30, 1996. During the quarter ended September 30, 1996 there were 
no material developments with respect to such previously existing 
proceedings, except as follows:

PRODUCT LIABILITY

VISX requires all investigators participating in clinical trials sponsored by 
VISX to advise persons treated in United States clinical trials that the 
procedure is investigational and has not been determined to be safe or 
effective by the FDA and requires that signed consents be obtained prior to 
treatment.  Notwithstanding these requirements, certain individuals who were 
treated in United States clinical trials of the VISX System have sued their 
ophthalmologists and VISX following their surgery. Two lawsuits, one in 
Michigan and one in New Jersey, were voluntarily dismissed by the plaintiffs 
during the respective quarter ended September 30, 1996. In a third lawsuit, 
brought in Pennsylvania, discovery is ongoing, and the plaintiff has recently 
amended its complaint to add a claim for punitive damages. In addition to 
punitive damages, plaintiff is seeking money damages of $2,000,000 from the 
Company. VISX believes that it has meritorious defenses to the Pennsylvania 
action, and that its resolution will not have a material adverse effect on 
the Company's financial position or results of operations. Nevertheless, the 
action is still in discovery, and there can be no assurance as to its 
outcome. In particular, the prospect of punitive damages could, depending on 
the results at trial, have an adverse impact on the Company. In addition to 
the foregoing, the Company has been named as a "respondent in discovery" in a 
lawsuit brought in Illinois. Under Illinois law, a respondent in discovery 
must respond to discovery by a plaintiff as if it were a defendant, and the 
respondent in discovery may be added as a defendant under certain 
circumstances. There is no indication at this stage that VISX will be added 
as a defendant in that case, and it is too early to determine what, if any, 
impact the resolution of this case could have on the Company's financial 
position or results of operations.

The following new proceedings have arisen since June 30, 1996.

VISX PARTNER, INC. V. SUMMIT TECHNOLOGY, INC.  On August 28, 1996, the
Company's wholly-owned subsidiary, VISX Partner, Inc., brought suit against
Summit Technology, Inc. ("Summit"). The suit, filed in the United States
District Court for the District of Massachusetts, alleges breach of contract
by Summit under its license agreement with Pillar Point Partners. VISX Partner
brought the suit on behalf 

                                                                        Page 9

<PAGE>

of the Partnership in accordance with provisions of the partnership agreement 
governing resolution of disputes. VISX Partner seeks damages in an amount not 
less than $4,500,000. The action is in the early phase of discovery, and 
there can be no prediction as to the outcome of the action or the effect, if 
any, that the case will have on the Company's financial position or results 
of operations.

PATENT LITIGATION

PILLAR POINT PARTNERS V. APPLER.  On September 9, 1996, Pillar Point Partners 
brought suit in the United States District Court for the District of Columbia 
against William D. Appler, an individual. The suit alleges that Mr. Appler 
has induced others to infringe the partnership's patents and interference 
with prospective business relationships, and seeks money damages and 
injunctive relief.

PILLAR POINT PARTNERS V. BARNET DULANEY EYE CENTER.  On September 9, 1996, 
Pillar Point Partners brought suit in the United States District Court for 
the District of Arizona against David Dulaney and Anna Marie Dulaney (husband 
and wife), Ronald Barnet and Teri Lynn Barnet (husband and wife) and Barnet 
Dulaney Eye Center P.L.L.C. The suit alleges infringement of certain of the 
partnership's patents, and seeks money damages and injunctive relief.

PILLAR POINT PARTNERS V. JON DISHLER, ET AL.  On October 9, 1996, Pillar 
Point Partners brought suit in the United States District Court for the 
District of Colorado against Jon G. Dishler, DTC Eye Surgery Center, Inc., 
D.T.C. Eye Associates, P.C., and Laser Institute of the Rockies, LLC. The 
suit alleges infringement of certain of the partnership's patents, and seeks 
money damages and injunctive relief.

SHEPHERD V. PILLAR POINT PARTNERS, ET AL.  On September 5, 1996, an action 
was filed by a Nevada ophthalmologist against Pillar Point Partners, Summit 
Technology, Inc., Summit Partner, Inc., VISX, and VISX Partner, Inc. The 
action was filed in the United States District Court for the Northern 
District of California. Generally, the plaintiff alleges that the per 
procedure royalty charged by Pillar Point Partners to its licensees is a 
violation of the Sherman Act, or alternatively a violation of corresponding 
Nevada and California antitrust laws. The plaintiff is not a licensee of 
Pillar Point Partners, and does not own a VISX System. The plaintiff seeks 
money damages of $56,250 (plus $12,500 per month through the judgment date). 
VISX believes that it has meritorious defenses to this action, and that its 
resolution will not have a material adverse effect on the Company's financial 
position or results of operations. However, the suit is in the early stages 
of discovery and there can be no assurance as to its outcome.

AUTONOMOUS TECHNOLOGIES CORPORATION  V. PILLAR POINT PARTNERS, ET AL.  On 
October 24, 1996, Autonomous Technologies Corporation ("Autonomous") brought 
an action in the United States District Court for the District of Delaware, 
against Pillar Point Partners, Summit, Summit Partner, Inc., VISX, and VISX 
Partner, Inc. The action seeks declaratory relief that one of the 
Partnership's patents is not infringed, is invalid and unenforceable, and 
that the defendants are otherwise promissorily estopped from claiming that 
the Autonomous system infringes the same patent. VISX believes that it has 
meritorious defenses to this action, and that its resolution will not have a 
material adverse effect on the Company's financial position or results of 
operations. However, the suit is in the early stages of discovery and there 
can be no assurance as to its outcome.

The patent litigation described above involves patent infringement issues 
relating to whether or not patents licensed to Pillar Point Partners are 
valid and/or are infringed by the activities of the other parties to such 
actions. In addition, the structure and operation of Pillar Point Partners 
has been alleged by certain of such other parties to be in violation of 
federal and, in certain cases, state antitrust laws. Adverse determinations 
in such proceedings with respect to the patents licensed to Pillar Point 
Partners or with respect to whether or not the structure and operation of 
Pillar Point Partners is in violation of

                                                                       Page 10

<PAGE>

antitrust laws could have a material adverse effect on the business, 
financial condition and results of operations of the Company.

AUTONOMOUS TECHNOLOGIES CORPORATION V. VISX.  On October 24, 1996, Autonomous 
brought an action in the Federal Court of Canada (Trial Division), against 
VISX. The action seeks declaratory relief that one of VISX's patents is not 
infringed, is invalid and unenforceable, and that VISX is otherwise 
promissorily estopped from claiming that the Autonomous system infringes the 
same patent. VISX believes that it has meritorious defenses to this action, 
and that its resolution will not have a material adverse effect on the 
Company's financial position or results of operations. However, the suit is 
in the early stages of discovery and there can be no assurance as to its 
outcome.

ITEM 6.   EXHIBITS AND REPORTS ON FORM 8-K.

a) EXHIBITS.

   Ex. 3  Amended and Restated Certificate of Incorporation

   Ex. 27 Financial Data Schedule

b) REPORTS ON FORM 8-K.

   None

                                                                       Page 11

<PAGE>

SIGNATURES

Pursuant to the requirements 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.

                                            VISX, Incorporated
                                            ------------------
                                               (REGISTRANT)





November 08, 1996                       /s/Mark B. Logan
(Date)                                  ---------------------------------
                                           Mark B. Logan
                                           Chairman of the Board and
                                           Chief Executive Officer




November 08, 1996                      /s/Timothy R. Maier
(Date)                                 -----------------------------------
                                          Timothy R. Maier
                                          Vice President and
                                          Chief Financial Officer (PRINCIPAL
                                          FINANCIAL AND ACCOUNTING OFFICER)


                                                                       Page 12

<PAGE>
                                                                       EXHIBIT 3
 
                              AMENDED AND RESTATED
                          CERTIFICATE OF INCORPORATION
                                       OF
                               VISX, INCORPORATED
                            ------------------------
 
    VISX,  INCORPORATED (the  "Company"), a  corporation organized  and existing
under and by virtue of the General Corporation Law of the State of Delaware (the
"General  Corporation   Law"),  having   filed  its   original  Certificate   of
Incorporation  on June 7,  1988, under the  name of TTI  Acquisition Corp., DOES
HEREBY   CERTIFY:   That   the   amendment  and  restatement  of  the  Company's
Certificate  of  Incorporation  was  duly  approved  by  the Company's  Board of
Directors,  and  by  a  majority  of  the  Company's Stockholders, in accordance
with  the  provisions of  Sections 242 and 245 of the General Corporation Law of
the  State  of  Delaware.   Pursuant  to  Sections 242  and 245  of the  General
Corporation  Law,  this  Restated  Certificate  of  Incorporation  restates  and
integrates   and  further  amends   the   provisions   of  the   Certificate  of
Incorporation  of  the  Company.   The  text  of  the  Company's  Certificate of
Incorporation  as  heretofore  amended or  supplemented  is  hereby  amended and
restated in its entirety to read as follows:

         I: The name of the Company is VISX, Incorporated.
 
        II: The address  of its registered  office in the  State of Delaware  is
    1209  Orange  Street, City  of Wilmington,  County  of New  Castle, Delaware
    19801. The name of the registered agent at such address is The Corporation 
    Trust Company.
 
        III: The nature of the business or purposes to be conducted or  promoted
    is  to engage in  any lawful act  or activity for  which corporations may be
    organized under the General Corporation Law of Delaware.
 
        IV:  The  total number  of shares  of all  classes of  stock that  the
       Company  is  authorized  to  issue  is  ninety million (90,000,000) 
       shares of Common Stock with a par value of $0.01 per share.
 
         V: The Company reserves the right to amend, alter, change or repeal any
    provision  contained in this certificate of incorporation, in the manner now
    or hereafter  prescribed by  statute, and  all rights  and powers  conferred
    herein   upon  stockholders  and  directors  are  granted  subject  to  this
    reservation.
 
        VI: In furtherance  and not  in limitation  of the  powers conferred  by
    statute,  the Board of Directors is  expressly authorized to adopt, alter or
    repeal the Bylaws of the Company.
 
       VII: Meetings of  stockholders shall  be held  at such  place, within  or
    without  the State  of Delaware, as  may be  designated by or  in the manner
    provided in the Bylaws, or, if  not so designated, at the registered  office
    of  the Company in the State of Delaware. Elections of directors need not be
    by written ballot unless and to the extent that the Bylaws so provide.
 
      VIII: To the fullest extent permitted by the Delaware General  Corporation
    Law  as the  same exists  or may  hereafter be  amended, a  director of this
    Company shall not be liable to the Company or its stockholders for  monetary
    damages  for breach  of fiduciary duty  as a director.  Without limiting the
    foregoing in any respect, a director of this Company shall not be personally
    liable to the Company or its stockholders for monetary damages for breach of
    fiduciary duty as a director,
 
 
<PAGE>

    except for liability (1) for any breach of the director's duty of loyalty to
    the Company or its stockholders, (2) for acts or omissions not in good faith
    or which involve intentional misconduct or  a knowing violation of law,  (3)
    under  Section 174 of the  Delaware General Corporation Law,  or (4) for any
    transaction from which the director derived an improper personal benefit.
 
        IX: (A) RIGHT TO INDEMNIFICATION.
 
               (1) Each person who was or is made a party or is threatened to be
           made a party  to or is  involved in any  action, suit or  proceeding,
           whether    civil,    criminal,   administrative    or   investigative
           (hereinafter, a "proceeding"), by reason of the fact that he or  she,
           or  a person of whom he or she is the legal representative, is or was
           a director or officer of the Company, including service with  respect
           to  employee benefit plans,  whether the basis  of such proceeding is
           alleged action  in  an  official capacity  as  a  director,  officer,
           employee  or  agent  or in  any  other  capacity while  serving  as a
           director, officer , employee or agent, shall be indemnified and  held
           harmless  by  the Company  to the  fullest  extent authorized  by the
           Delaware General Corporation Law, as the same exists or may hereafter
           be amended  (but, in  the case  of any  such amendment,  only to  the
           extent  that such  amendment permits  the Company  to provide broader
           indemnification rights than said law permitted the Company to provide
           prior to such  amendment), against all  expenses, liability and  loss
           (including  attorneys' fees, judgments, fines,  ERISA excise taxes or
           penalties and amounts paid  or to be  paid in settlement)  reasonably
           incurred  or suffered by such person in connection therewith and such
           indemnification shall continue as to a person who has ceased to be  a
           director,  officer, employee or agent and  shall inure to the benefit
           of his or her heirs, executors and administrators.
 
               (2) The Company shall indemnify and hold harmless in such  manner
           any  person who was or is made a  party or is threatened to be made a
           party to a proceeding by reason of the fact that he, she or a  person
           of  whom he or she is the  legal representative, is or was serving at
           the request of the Company as a director, officer, employee or  agent
           of  another  corporation or  a partnership,  joint venture,  trust or
           other enterprise;
 
               (3)  Notwithstanding  the  foregoing,   except  as  provided   in
           paragraph  IX(B) below, the  Company shall indemnify  any such person
           seeking indemnification  in connection  with  a proceeding  (or  part
           thereof)  initiated by such  person only if  such proceeding (or part
           thereof) was authorized by the Board of Directors of the Company.  In
           the  event a  director or  officer of  the Company  shall serve  as a
           director, officer, employee or agent of any corporation, partnership,
           joint venture,  trust  or  other  enterprise  in  which  the  Company
           maintains  an  investment  it  shall  be  conclusively  presumed  for
           purposes of  the indemnification  provided for  in subsection  (A)(2)
           above  that such  service has been  undertaken at the  request of the
           Company. The foregoing presumption shall apply regardless of  whether
           such  director or officer is serving such  entity at the request of a
           third party or that his or her service with such entity was commenced
           prior to  the effectiveness  of this  Article of  the Certificate  of
           Incorporation  or prior to his or her becoming an officer or director
           of the Company. The right to indemnification conferred in  subsection
           (A)(1)  above shall be a contract right  based upon an offer from the
           Company which shall be deemed to be accepted by such person's service
           or continued  service  with the  Company  for any  period  after  the
           adoption  of  this Article  of the  Certificate of  Incorporation and
           shall include  the right  to  be paid  by  the Company  the  expenses
           incurred  in defending  any such proceeding  in advance  of its final
           disposition;  PROVIDED,  HOWEVER,  that  (if  the  Delaware   General
           Corporation  Law requires) the payment of such expenses incurred by a
           director or officer in his or  her capacity as a director or  officer
           (and not in any other capacity in which service was or is rendered by
           such   person  while  a  director   or  officer,  including,  without
           limitation, service to an  employee benefit plan)  in advance of  the
           final disposition of a proceeding shall be made only upon delivery to
           the  Company of an undertaking,  by or on behalf  of such director or
           officer, to repay all


<PAGE>

           amounts so advanced if  it shall ultimately  be determined that  such
           director  or officer  is not  entitled to  be indemnified  under this
           Section or otherwise.  The Company  may, by  action of  its Board  of
           Directors,  provide  indemnification to  employees  or agents  of the
           Company  with   the  same   scope  and   effect  as   the   foregoing
           indemnification of directors and officers.
 
           (B)  RIGHT OF  CLAIMANT TO  BRING SUIT.  If a  claim under subsection
       IX(A)(1) of this Article is not paid in full by the Company within thirty
       days after a written claim has been received by the Company, the claimant
       may at any time thereafter bring suit against the Company to recover  the
       unpaid  amount of the claim, and, if  successful in whole or in part, the
       claimant shall be  entitled to be  paid also the  expense of  prosecuting
       such  claim. It  shall be  a defense  to any  such action  (other than an
       action brought to enforce a claim for expenses incurred in defending  any
       proceeding  in  advance  of  its  final  disposition  where  the required
       undertaking, if any is required, has  been tendered to the Company)  that
       the  claimant  has  not  met  the  standards  of  conduct  which  make it
       permissible under the Delaware General Corporation Law for the Company to
       indemnify the claimant for the amount claimed. Neither the failure of the
       Company (including its Board of Directors, independent legal counsel,  or
       its  stockholders) to have made a determination prior to the commencement
       of such action  that indemnification  of the  claimant is  proper in  the
       circumstances  because  he  or she  has  met the  applicable  standard of
       conduct set forth in the Delaware General Corporation Law, nor an  actual
       determination   by  the  Company  (including   its  Board  of  Directors,
       independent legal counsel, or its stockholders) that the claimant has not
       met such applicable standard of conduct, shall be a defense to the action
       or create a  presumption that  the claimant  has not  met the  applicable
       standard of conduct.
 
           (C)  NON-EXCLUSIVITY OF RIGHTS. The  right to indemnification and the
       payment of expenses incurred in defending a proceeding in advance of  its
       final disposition conferred in this Section shall not be exclusive of any
       other right which any person may have or hereafter acquire under statute,
       provision of the Certificate of Incorporation, by-law, agreement, vote of
       stockholders or disinterested directors, or otherwise.
 
           (D) INSURANCE. The Company may maintain insurance, at its expense, to
       protect  itself  and  any director,  officer,  employee or  agent  of the
       Company or  another corporation,  partnership,  joint venture,  trust  or
       other  enterprise against any such expense, liability or loss, whether or
       not the Company  would have the  power to indemnify  such person  against
       such expense, liability or loss under the Delaware Corporation Law.
 
         X: Whenever a compromise or arrangement is proposed between the Company
    and  its creditors or any  class of them and/or  between the Company and its
    stockholders or  any class  of  them, any  court of  equitable  jurisdiction
    within the State of Delaware may, on the application in a summary way of the
    Company  or of any creditor or stockholder  thereof or on the application of
    any receiver or receivers appointed for the Company under the provisions  of
    Section  291 Title 8 of the Delaware  Code or on the application of trustees
    in dissolution or any receiver or receivers appointed for the Company  under
    the  provisions of  Section 279  of Title  8 of  the Delaware  Code, order a
    meeting of the creditors or class  of creditors, and/or of the  stockholders
    or  class of stockholders of the Company, as the case may be, to be summoned
    in such  manner  as  the  said  court  directs.  If  a  majority  in  number
    representing  three-fourths in value of the creditors or class of creditors,
    and/or of the stockholders or class  of stockholders of the Company, as  the
    case   may  be,  agree   to  any  compromise  or   arrangement  and  to  any
    reorganization of  this  Company as  a  consequence of  such  compromise  or
    arrangement,  the said compromise or arrangement and the said reorganization
    shall, if sanctioned  by the court  to which the  said application has  been
    made,  be binding on all  the creditors or class  of creditors and/or on all
    the stockholders or class  of stockholders of the  Company, as the case  may
    be, and also on the Company.
 

<PAGE>

    RESOLVED  FURTHER, that  the foregoing  Amended and  Restated Certificate of
Incorporation is hereby approved and adopted.
 
    IN WITNESS WHEREOF, VISX, INCORPORATED has caused this Restated  Certificate
to  be signed by Mark B. Logan,  its President and Chief Executive Officer, this
20th day of September  , 1996.
 
                                          VISX, INCORPORATED
 
                                          By: /s/ Mark B. Logan
                                             -----------------------------------
                                              Mark B. Logan
                                             PRESIDENT AND CHIEF EXECUTIVE
                                              OFFICER

<TABLE> <S> <C>

<PAGE>
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<PERIOD-TYPE>                   9-MOS
<FISCAL-YEAR-END>                          DEC-31-1996
<PERIOD-START>                             JAN-01-1996
<PERIOD-END>                               SEP-30-1996
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                                0
                                          0
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