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BOSTON SCIENTIFIC          ANNUAL REPORT
                    2000
To our employees
and shareholders:

 Boston Scientific’s mission is to improve the

 quality of patient care and the productivity

 of health care delivery through the devel-

 opment and advocacy of less invasive medical

 devices and procedures. This is accomplished

 through   the   continuing   refinement   of

 existing products and procedures and the

 investigation and development of new tech-

 nologies which can reduce risk, trauma, cost,

 procedure time and the need for aftercare.
mission        va l u e s   letter




La mission de Boston Scientific est      La misión de Boston Scientific
l’amélioration de la qualité des soins   Corporation es mejorar la calidad de
cliniques et de la productivité de       la atención al paciente y la produc-
l’administration de ces soins grâce      tividad del servicio de atención
à la mise au point, la promotion         médica mediante el desarrollo y la
et la défense de méthodes et de          recomendación de dispositivos y
dispositifs médicaux moins invasifs.     procedimientos médicos menos
Ce but est atteint au moyen d’un         invasivos. Todo eso se logra mediante
perfectionnement continuel des           el constante perfeccionamiento
produits et méthodes existants ainsi     de productos y procedimientos
que par la recherche et la mise au       existentes y la investigación y el
point de nouvelles technologies          desarrollo de nuevas tecnologías
visant à réduire les risques, le         que puedan reducir el riesgo, el
traumatisme, les coûts, la durée         trauma, el costo, el tiempo del
des interventions et la nécessité        procedimiento y la necesidad de
de suivi.                                atención o cuidado posteriores.



                                         Bei Boston Scientific sind wir
                                         stets bemüht, die Qualität der
                                         Patientenbehandlung und die
                                                                                 Boston Scientific beschouwt het
                                         Leistungsfähigkeit der Gesundheit-
                                                                                 als haar missie, de kwaliteit en
                                         sversorgung durch die Entwicklung
                                                                                 productiviteit van de zorgverlening
                                         und Förderung von weniger inva-
                                                                                 aan patiënten te verbeteren door de
                                         siven medizinischen Geräten und
                                                                                 ontwikkeling en gebruiksbevordering
                                         Verfahren zu steigern – durch
                                                                                 van minder invasieve medische hulp-
                                         ständige Verbesserung bestehender
                                                                                 middelen en procedures. Aan het
                                         Produkte und Verfahren sowie
                                                                                 realiseren van deze doelstelling
                                         Erforschung und Entwicklung
                                                                                 wordt gewerkt door een voortgaande
                                         neuer Technologien, die
                                                                                 verfijning van bestaande producten
                                         Risiken, Verletzungen, Kosten,
                                                                                 en procedures en door het verrichten
                                         Behandlungszeiten sowie
                                                                                 van onderzoek naar en de ontwik-
                                         den Nachversorgungsbedarf
                                                                                 keling van nieuwe technologieën
                                         reduzieren können.
                                                                                 die kunnen bijdragen tot een
                                                                                 vermindering van risico’s, trauma,
                                                                                 behandelingskosten, behandelings-
                                                                                 duur en de noodzaak van nazorg.
mission    va l u e s    letter




The growth and success of our
organization is dependent upon
the shared values of our people.
We must learn, understand and
live by a unified set of values that
will guide us in a continually
changing medical environment:

                              Innovation
•   to provide our people
    with a strong under-
    standing of our mission
    and shared values

                                Commitment
•   to think like our


                                                              Quality
    customers and work
    hard on their behalf      •   to rely on one another,
                                  to treat each other
•   to pay relentless             well and to put the

                                                           Excellence
    attention to business         development and
    fundamentals                  motivation of our
                                  people at the top


                                                                     Success
•   to bring a commitment         of our priority lists
    to quality and a
    sense of urgency to       •   to encourage innova-
    everything we do              tion, experimentation
                                  and risk-taking               •   to provide share-
                                                                    holders with an
                              •   to recognize bureau-              attractive return
                                  cracy as an archenemy             through sustained
                                  and not allow it to               high-quality growth
                                  inhibit our good sense
                                  and creative spirit           •   to recognize and
                                                                    reward excellence
                                                                    by sharing Boston
                                                                    Scientific’s success
                                                                    with our employees
mission        va l u e s   letter




The year 2000 was a challenging one
for Boston Scientific. We continued
to make progress integrating and
consolidating the businesses we have
acquired over the past several years.


                                               A wide range of organizational and managerial
                                               improvements were introduced as well,
                                               including the addition of a number of senior
                                               leaders who brought with them decades of
                                               collective experience. And our financial
                                               performance was sound. Yet there were also
                                               frustrations, principally with our coronary
  pete nicholas,
                                               stent pipeline. It continues to be clear that the
 chairman of the
                                               financial markets will not reward our overall
      board
                                               performance until we resolve the problems
                                               with our coronary stent program. We will
                                               address this issue — and our relationship with
                   jim tobin, president
                                               our stent vendor Medinol — later in the letter.
                   and chief executive
                         officer
                                               In last year’s annual report, we told you we
                                               would remain focused on two critical themes
                                               in 2000: Innovation and Operational Excel-
                                               lence. Throughout the year, we focused
                                               intensely on these priorities, and the results
                                               have been encouraging.
mission       va l u e s       letter




Early in the year, the management structure was              In order to create an organization that can
realigned to permit maximum emphasis on these                efficiently convert innovative ideas into highly safe
objectives. Corporate research and development,              and effective new products, we have strengthened
and regulatory and clinical affairs, were concentrated       the processes, tools and core competencies in
under Kshitij Mohan, Ph.D., Senior Vice President            research and development, and regulatory and
and Chief Technology Officer, and operations and             clinical affairs.
quality were centralized under Jim Taylor, Senior
                                                             We have created a number of Centers of Technical
Vice President of Corporate Operations. Both have
                                                             Excellence and hired strong leaders to direct them.
brought substantial change and improvement to
their respective areas.
                                                             • Robert Graziadei, M.D., was recruited to head a
                                                                    newly formed Center of Clinical Sciences that
Innovation
                                                                    includes Mary Russell, M.D., who recently joined
Boston Scientific is committed to driving growth
                                                                    us as head of Cardiovascular Clinical Affairs.
through harnessing technological innovation both
                                                                    Worldwide clinical affairs is managed through
in the near and long term. Our approach includes a
                                                                    the Center.
mixture of tactical and strategic initiatives designed to
provide sustainable growth through focusing on and
                                                             • Eric Ankerud joined the company as the head of
delivering the products currently in our pipeline as
                                                                    worldwide Regulatory Affairs.
well as strengthening our product development
processes and tools. In addition, we are committed to        • Michael Helmus, Ph.D., was recruited to direct
building a strong foundation of key scientific compe-               a newly created Center for Material Sciences.
tencies that underpin our products and technologies.
                                                             Other newly established Centers include the Center
Progress included FDA clearances on 37 products, CE          for Process Technologies and the Center for Imaging
marks on eight, and approval by the Japanese Ministry        and Electronics.
of Health and Welfare on 39. We also conducted
nearly 50 clinical trials, filed 479 patent applications     We believe that consolidating and strengthening
and received 345 patents. Our commitment to tech-            our focus and technical excellence in these areas will
nological innovation was evidenced in our plans to           enhance product development as well as provide for
significantly increase our research and development          successful integration of products and technologies
spending in 2001. Progress continued during the first        that we will continue to acquire through various
two months of 2001, with six FDA approvals, four             strategic alliances.
CE marks and five approvals in Japan.
                                                             Innovation for Boston Scientific has always meant
Another promising program is our drug-coated                 combining internally developed products with those
stent platform. In October we began clinical trials          we have obtained externally, through our licensing
in Germany on a Paclitaxel-coated stent after exten-         and acquisition activities. Most successful innovation
sive animal trials. Drug-coated stents show great            programs represent a balance between organic and
promise for lowering rates of restenosis. In addition        acquired technology.
to Paclitaxel as our first choice for a drug-coated
                                                             We have recently created alliances with a number of
stent, we are building a portfolio of drugs and
                                                             companies as part of that strategy, including the
carrier materials to develop the most advantageous
                                                             following completed and pending acquisitions:
drug/carrier/stent combinations for different indi-
cations. We have also reinforced our portfolio of
                                                             • Interventional Technologies, Inc., a manufacturer
projects in the gastroenterology, endovascular
                                                                    of microsurgical devices for use in interventional
and urology areas.
                                                                    cardiology. Its flagship product is the Cutting
                                                                    Balloon® catheter, a unique balloon angioplasty
                                                                    device that makes precise incisions in arterial
plaque during balloon inflation. This technology       The plan began showing preliminary results only
   could serve as a platform for developing new ther-     months after its implementation:
   apies for treating coronary artery disease. The
                                                          • Supply chain initiatives have resulted in
   acquisition also adds sophisticated metallurgy
                                                             improved inventory management, which
   technology to Boston Scientific’s portfolio.
                                                             has reduced inventory levels and write-offs.
• Embolic Protection, Inc., the developer of the             In addition, our supplier management efforts
   Filterwire™ embolic protection device, which              have reduced materials and services costs.
   captures embolic material dislodged during
                                                          • Manufacturing process control improvements
   cardiovascular interventions. This acquisition
                                                             are steadily raising production yields and manu-
   will allow Boston Scientific to accelerate its entry
                                                             facturing efficiencies, improving quality and
   into the embolic protection market, one of the
                                                             reducing costs.
   most promising new growth segments in inter-
   ventional medicine.
                                                          • Scheduled transfers of production, aimed at
                                                             optimizing our network of plants and better
• Quanam Medical Corporation, a manufacturer
                                                             allocating our resources through the creation
   of medical devices that specializes in drug-delivery
                                                             of a more effective network of manufacturing
   stent systems. Quanam’s technology will help
                                                             and R&D facilities, are on target for completion
   Boston Scientific broaden its drug-delivery port-
                                                             by the end of 2001.
   folio with an additional implant-based technology
   and a family of proprietary biomaterials.
                                                          Looking forward to 2001 and beyond, we are
                                                          expanding our vision of improvement to include
• Catheter Innovations, Inc., a manufacturer
                                                          even shorter lead times and higher manufacturing
   of vascular access products. The acquisition of
                                                          flexibility. Servicing our customers — from time
   this technology presents opportunities for appli-
                                                          of order through receipt of product — will be the
   cations across other Boston Scientific product
                                                          focus of improvements designed to make production
   lines and therapies.
                                                          processes more robust and flexible, with reduced
We would like to welcome the new members of the           cycle times at all stages. Our customers will see the
Boston Scientific team who are joining us as a result     ultimate advantages of a more responsive organiza-
of these acquisitions.                                    tion that fully meets highest quality product supply
                                                          needs and new product launch effectiveness.
Our acquisition strategy will remain a fundamental
part of our innovation program as we continue to          Thanks to our employees, implementation of
investigate opportunities that will keep our new          the global operations plan is proceeding smoothly,
product pipeline full and diversified.                    and we are on schedule to achieve our projected
                                                          improvements, technology transfers and resulting
Operational Excellence                                    savings. The plan is forward-looking and makes clear
Joint progress on Innovation and Operational              that innovation is our future and that we’re creating
Excellence was embodied in the global operations          the opportunity to make the added investments
plan we announced in July. The plan increases             needed to support that innovation. It represents a
productivity by creating greater operational efficien-    thoughtful and thorough analysis and projection of
cies and generating savings, allowing the company to      the strategic needs of the company.
increase its ability to invest in research and develop-
ment. The plan is estimated to achieve net, pre-tax       While implementation is going well, job dislocation
operating savings of $250 million on an annualized        was an unavoidable aspect of the plan, and we want
basis beginning in 2003 by improving supply chain         to again acknowledge and thank all our affected
effectiveness, strengthening manufacturing process        employees for their dedication and continuing
control and optimizing our network of plants.             contributions during this transition period.
mission        va l u e s       letter




                                                                   develop and position its existing, emerging and
Strengthening Our Team
                                                                   future technologies.
The global operations plan is part of a series of
measures undertaken during the year to intensify our
                                                            • Dennis Ocwieja was named Vice President of
focus on Innovation and Operational Excellence.
                                                                   Quality and is responsible for establishing a
In addition to the responsibilities consolidated under
                                                                   common quality system throughout the company.
Kshitij Mohan and Jim Taylor, a number of other
appointments and promotions were made to                    • Paul Donovan was named Vice President of
strengthen the team.                                               Corporate Communications, responsible for
                                                                   employee communications, corporate identity
• Steve Moreci was appointed to the newly created
                                                                   and media relations.
   position of Senior Vice President and Group
   President for Endosurgery. Under this new group          All these new people and positions speak to the
   structure, Steve will oversee three divisions: Medi-     company’s ongoing commitment to its entrepre-
   tech, Microvasive Endoscopy and Microvasive              neurial spirit and risk-taking culture. Like most
   Urology.                                                 successful organizations, we are constantly looking
                                                            to change, adapt and improve in ways that value
• Paul LaViolette, Senior Vice President and
                                                            unconventional thinking, bold action and original
   Group President for Cardiovascular, assumed
                                                            solutions. From the beginning, we have known that
   management responsibility for three divisions:
                                                            agility, flexibility and creativity have been — and
   EP Technologies, Scimed and Target. He continues
                                                            will remain — the hallmarks of our success.
   to lead our international business and oversee
   Corporate Marketing and Corporate Sales.                 We also strengthened our team by investing in our
                                                            people. We made significant improvements in our
• Fred Colen was named Senior Vice President
                                                            employee training and development programs.
   for Cardiovascular Technology, responsible
                                                            We also improved our vacation policy for all U.S.
   for worldwide cardiovascular research and
                                                            employees, and we continued to enhance the com-
   development.
                                                            pany contribution to the 401(k) retirement program.
                                                            Finally, through the introduction of the Performance
• Mark Stautberg was named Senior Vice President
                                                            Achievement and Development Review (PADR) system,
   for Sales at Scimed, responsible for the new
                                                            we strengthened our commitment to a compensation
   cardiovascular sales organization, which serves
                                                            program that recognizes individual accomplishment.
   interventional cardiologists, radiologists and
   vascular surgeons who treat coronary disease and
                                                            Noteworthy
   peripheral vascular disease.
                                                            A number of other events and activities are
                                                            worth noting.
• Four division presidents were named: Jim
   Feenstra, Target; Dave McClellan, Medi-tech;
                                                            • Overall, we remained highly profitable, and we
   John Pedersen, Microvasive Urology; and Mike
                                                                   continued to pay down debt rapidly. By reducing
   Phalen, Microvasive Endoscopy.
                                                                   debt we strengthened our ability to fund new
                                                                   acquisitions and strategic alliances.
• Michael Glynn was named General Manager for
   Asia Pacific. He leads a strong team that was
                                                            • Our facilities in Ireland performed well in both
   distinguished by several promotions including
                                                                   output and productivity, with plans for more pro-
   Mike Daly, General Manager for Australia; Lim
                                                                   duct transfers and employment increases this year.
   Poh Lin, Group Marketing Manager for Korea;
   and Sang Yi, Vice President for North Asia               • Boston Scientific Japan again showed itself to
   Business.                                                       be a leader both within the company and in the
                                                                   industry at large. In an environment of increasing
• Art Rosenthal, Ph.D., was appointed Chief
                                                                   competition and reimbursement reduction, BSJ
   Scientific Officer and is working with physicians
   and the scientific community to help the company
grew faster than its markets and increased market      Looking ahead
   leadership in all critical franchises in the world’s   Throughout this past year — as throughout others —
   second largest health care market.                     we have been guided by our core values. While our
                                                          execution has not always been flawless, it has always
• The Boston Scientific team performed superbly           been — and will always be — informed by our best
   during the year. Particularly impressive was the       instincts. As we look ahead, we want to rededicate
   ability of the sales and marketing teams around        ourselves to living up to those values. They define
   the world to maintain and strengthen leadership        us as a company and as individuals. They motivate
   positions in most of our markets in the face of        our mission, our work and our actions.
   stiff competition.
                                                          In the coming year we will maintain our focus on
• We reached an agreement with Guidant                    Innovation and Operational Excellence. We will carry
   Corporation to settle all outstanding litigation,      the momentum of the improvements and achieve-
   which consisted of a number of lawsuits in the         ments of the past year into 2001. The changes we
   U.S. and Europe in which each had accused the          have put in place have begun to show results and
   other of patent infringement.                          will show even more in the future.
• While a jury ruled in our favor on five of six          Above all, we will continue to provide our customers
   claims in a patent infringement dispute with           the most innovative and effective products and tech-
   Johnson & Johnson, J&J was awarded a $324              nologies that help them deliver the highest quality
   million verdict based on one finding of infringe-      care to their patients. For all of you who have joined
   ment. We disagree with this finding, and we            us in this endeavor, we thank you for your support
   believe the verdict is excessive, but it is not the    and welcome your partnership as we continue
   final word. Several additional legal stages remain     our journey.
   to be played out, and we believe in the end the
   lone finding of infringement will not stand.           Respectfully,
• We remained active in the public policy arena,
   adding our voice to the national and inter-
   national dialogue on issues affecting our
   industry, particularly those involving the develop-
   ment of technology and the delivery of health
   care. We will continue to contribute to the debate
                                                          Jim Tobin                       Pete Nicholas
   on these issues, advocating sound policies and         President and Chief             Chairman of the Board
   appropriate reforms on regulation, reimburse-          Executive Officer
   ment, international trade, harmonization
   of global regulatory standards, funding for
   scientific research and other important issues.
• As has been reported elsewhere, our relationship
   with Medinol remains unresolved at this writing.
   We have been engaged in negotiations to acquire
   them, but the process has taken longer than we had
   anticipated. While we hope to reach an agreement,
   we are proceeding aggressively with our own stent
   development program. The rapid pace of innova-
   tion in the coronary stent market demands that we
   resolve our relationship with Medinol one way or
   another, and we are committed to doing so.
leadership     i n n o va t i o n   healing




   We are focused




           14,000 employees • 15 technology centers •
      direct marketing and sales operations in 40 countries •
specialties: cardiology, electrophysiology, endoscopy, endourology,
      specialties: electrophysiology, endoscopy, endourology,
    interventional cardiology, interventional neuroradiology,
         interventional neuroradiology, surgical oncology
       interventional radiology, oncology, vascular surgery
...on advancing less invasive medicine
to its fullest potential. No company has
been bolder in pushing the boundaries of
discovery and exploring better therapies
for patients. No company can match our
global reach, or our breadth and depth
of products across such a wide range of
medical specialties. No one has more
talented and capable people inspired by
shared values and an unwavering mission.
  A Leading Role in the Less Invasive Medical Device Market

                 others
                                                                                             Boston Scientific has
                                                                        boston scientific
                     23%
                                                                                27      %    remained the undisputed
                                                                                             leader in less invasive medicine
                                                                                             since it pioneered this field.
        tyco/mallinckrodt                                                                    Leadership of such duration
                3%
                                                                                             comes from a sustained
            cook, inc.                                                                       willingness to take risks,
                3%
                                                                                             literally creating new markets.
                                                                                             Our research philosophy
            c.r. bard
                                                                                             focuses not only on developing
                7%
                                                                                             products that strengthen our
                                                                           guidant
               medtronic                                                      12%            presence in the markets we
                     9%
                                                                                             serve but on finding solutions
                                                16%
                                                                                             that meet diverse and complex
                                     johnson & johnson
                                                                                             patient needs.

           Source: IMS Health projections for the four quarters ending September 30, 2000.
leadership     i n n o va t i o n   healing




We are determined




            37 new products cleared by the fda •
 345 u.s. patents issued • 479 u.s. patent applications filed
...to continue to create new tech-
nologies and products that save and
improve lives. This is both our heritage
and our future. By combining the best
people and practices with the insights
of the world’s leading physicians, we
will take innovation to an even higher
level. Our collaboration with our
physician partners will help develop
even more new therapies, provide even
better care and make it possible for
even more people to lead active and
fulfilling lives.
   Leading through technology
   Boston Scientific’s leadership is tied closely to its many technology innovations, resulting
   in new products and ongoing product improvements, as the following examples illustrate:

   The Atlantis™ SR IVUS (intravas-           Our new NIRoyal™ Elite Monorail™       The GDC® SynerG™ Detachment
   cular ultrasound) imaging catheter         Stent System represents our most       System is used in treating brain
   brings new capabilities to the diagnosis   advanced stent placement system. It    aneurysms. The latest improvements
   of coronary artery disease. It is the      combines several of our most current   in the Guglielmi Detachable Coil
   only commercially available 40MHz          and innovative technologies in one     focus on making it possible to detach
   IVUS catheter compatible with              product, providing excellent stent     a coil more accurately, efficiently
   smaller, increasingly popular 6            visualization, vessel support and      and consistently.
   French guiding catheters, and its          ease of delivery.
   high frequency makes images
   easier to read.
leadership     i n n o va t i o n   healing




We are committed




     less invasive surgery impacts quality of life:
    faster recovery time • fewer complications •
  less trauma • quicker return to normal activities
...to improving the quality of life for
patients, their families and loved ones.
We are passionate about our work
because we know we make a difference
in countless lives. We come from many
cultures. We live in many countries.
We speak many languages. Yet we are
united by one belief: that together we
can change health care for the better,
not just for a few patients, but for
thousands around the world. In the
end, it all comes down to people.
  “It’s clear from all aspects — administrative, engineering,         “Boston   Scientific’s products are without peer. They are
  sales and marketing — that Boston Scientific’s primary focus        innovative and ergonomically well designed with a lot of
  is on patients. It’s clear in everything they do. One of the best   physician input, and they’re a clear leader in the marriage
  things about working with Boston Scientific is that they bring      of coatings and devices. It’s a company of great integrity.”
  the development engineers to the table early on to work with
                                                                                                  Dr. Joseph Macaluso
  the docs who will use their products. No other company does                                       Managing Director
  it like Boston Scientific.”                                                   The Urologic Institute of New Orleans

                               Dr. Douglas Coldwell
                          Interventional Radiologist
                    Good Samaritan Hospital, Phoenix
boston scientific


                                                                 Approximately

    9,000p                                                                       75,000
                                                                                 U.S. patients had Medi-tech
                                  artnering urologists
                                                                                 venous access products
                                                                                 implanted
         Approximately
                         130,000
                         new cases per year of colon cancer are diagnosed in the U.S.



 8,000                                Over


                                             75,000
 partnering interventional
 radiologists
                                               aneurysms treated worldwide with the GDC® coil


   Approximately

                   100,000procedures                          performed in the U.S. using EPT products



 750,000pati                 ents treated worldwide using Scimed balloon catheters


                                                     Over

                                                            250,000pat                    ients worldwide
Approximately
                                                                     have advanced coronary artery disease

                8,000p                   artnering vascular surgeons



                               Approximately


                                               9,000p                       artnering gastroenterologists

  1,700,000
  angioplasty procedures performed
  worldwide using Scimed products

                                         Over


                                                1,000,000
                                               cases per year of primary liver cancers diagnosed worldwide

   1,100,000
       new and recurrent cases of coronary attack occur each year in the U.S.


        Over

                805,000
                procedures for stone management performed worldwide using Microvasive products


                                             Over

                                                    90,000
Approximately

                1,000                                venous access procedures for infusion therapies
                                                     and hemodialysis performed worldwide using
                partnering interventional
                                                     Medi-tech Vaxcel™ products
                neuroradiologists
                and neurosurgeons
for the year 2000




                 boston scientific and subsidiaries


   Consolidated
Financial Statements


            Financial Table of Contents
  management’s discussion and analysis of
  financial condition and results of operations . . . .f-2

  consolidated statements of operations . . . . . . . . .f-13

  consolidated balance sheets . . . . . . . . . . . . . . . . . .f-14

  consolidated statements of stockholders’ equity . .f-16

  consolidated statements of cash flows . . . . . . . . .f-17

  notes to consolidated financial statements . . . . . .f-18

  report of independent auditors . . . . . . . . . . . . . . .f-42

  five-year selected financial data . . . . . . . . . . . . . .f-43

  quarterly results of operations . . . . . . . . . . . . . . .f-44

  market for the company’s common stock
  and related matters . . . . . . . . . . . . . . . . . . . . . . . . .f-45




                                                          boston scientific and subsidiaries   f-1
Management’s Discussion and Analysis
of Financial Condition and Results of Operations

                                                           Gross profit as a percentage of net sales increased from
Results of Operations
                                                           65.3% in 1999 to 68.8% in 2000. The improvement
Years Ended December 31, 2000 and 1999                     in gross margin in 2000 is due primarily to the
Net sales for the year ended December 31, 2000 were        recording of a pre-tax provision of $62 million for
$2,664 million as compared to $2,842 million in            excess NIR® stent inventories and purchase commit-
1999, a decline of 6 percent. Net sales were adversely     ments during the third quarter of 1999. The improve-
affected by approximately $30 million arising from         ment is also due to benefits that the Company realized
foreign currency fluctuations compared to the prior        through its increased ability to better manage inventory
year. Net income for 2000 was $373 million, or             and lower product costs, partially offset by a shift in
$0.91 per share (diluted), as compared to net income       the Company’s product sales mix.
for 1999 of $371 million, or $0.90 per share.
                                                           The Company’s new stent systems launched in the
United States (U.S.) revenues decreased approximately      U.S. in the first quarter of 2001 will negatively impact
9% to $1,577 million during 2000, while interna-           gross margins because the systems include more
tional revenues decreased approximately 1% to $1,087       expensive gold-coated stents with higher costing delivery
million. The decrease in worldwide sales was princi-       systems. Further, the Company’s ability to effectively
pally attributable to a decline in the Company’s sales     manage its mix and levels of inventory, including con-
of coronary stents and balloons, primarily in the U.S.     signment inventory, as the Company transitions to
Worldwide coronary stent revenues and worldwide            new products will be critical in minimizing excess
coronary balloon revenues were approximately $427          inventories.
million and $357 million, respectively, during 2000,
                                                           Medinol Ltd. (Medinol), an Israeli company, is the
compared to $604 million and $429 million, respec-
                                                           supplier of the NIR® coronary stent. Any unforeseen
tively, during 1999.
                                                           delays, stoppages or interruptions in the supply
The worldwide coronary stent market is dynamic and         and/or mix of NIR® stent inventory could adversely
highly competitive, with significant market share          affect the operating results and/or revenues of the
volatility. In addition, technology and competitive        Company. Generally, the Company has less control
offerings in the market are constantly changing.           over inventory manufactured by third parties as
The Company’s reduction in coronary stent revenues         compared to inventory manufactured internally.
during 2000 reflects this volatility. The decline in       Furthermore, the purchase price of NIR® coronary
balloon revenues during 2000 results from new prod-        stents, the amount of NIR® coronary stent sales as a
uct offerings by the Company’s competitors as well as      percentage of worldwide sales and the mix of coronary
a trend towards fewer balloons being used in stent         stent platforms could significantly impact gross mar-
procedures. In early 2001, the Company received            gins. As average selling prices for the NIR® stents fluc-
approval from the U.S. Food and Drug Administra-           tuate, the Company’s cost to purchase the stents will
tion to market four NIR ® coronary stent systems as        change, because cost is based on a constant percentage
well as its Maverick® balloon dilatation catheter in the   of average selling prices. Therefore, if higher-costing
U.S. The Company believes the launch of these new          NIR® stents are being sold as average selling prices are
products will enable the Company to remain compet-         declining, gross margins could be negatively impacted.
itive in these markets. However, stent revenues for        At December 31, 2000, the Company had approxi-
2001 will be impacted by continued volatility in the       mately $149 million of net NIR® coronary stent inven-
worldwide coronary stent market, product develop-          tory and was committed to purchase approximately
ment and the timing of submission for and receipt of       $32 million of NIR® stents from Medinol. Worldwide
regulatory approvals to market next generation coro-       NIR® coronary stent sales as a percentage of worldwide
nary and peripheral stent platforms in the U.S. and        sales were approximately 15% in 2000 compared to
international markets. All of these factors could also     approximately 20% in 1999. The Company’s relation-
negatively impact the Company’s ability to transition      ship with Medinol has been contentious, and the
to new products and to continue to offer competitive       Company’s ability to manage its relationship with
stent products. Stent revenues for 2001 may be nega-       Medinol could impact the future operating results of
tively impacted by a reduction in average selling prices   the Company.
due to competitive pressures.




f-2   boston scientific and subsidiaries
Management’s Discussion and Analysis
of Financial Condition and Results of Operations (continued)

During the third quarter of 2000, the Company               the Company expects to make during 2001 with the
approved and committed to a global operations plan          remainder being primarily severance costs for employees
which encompasses a series of strategic initiatives to      terminated during 2001 but paid out in 2001 and
increase productivity and enhance innovation. The           2002. The Company anticipates that these cash out-
plan includes manufacturing process and supply chain        lays will be funded from cash flows from operating
programs and a plant optimization initiative. The           activities and from the Company’s borrowing capacity.
manufacturing process and supply chain programs             The cash outlays include severance and outplacement
are designed to lower inventory levels and the cost of      costs, transition costs and capital expenditures related
manufacturing and to minimize inventory write-              to the plan. The success of the initiative may be
downs. Gross margin benefits will not be fully realized     dependent on the Company’s ability to retain existing
until manufacturing processes are improved and his-         employees and attract new employees during the tran-
torical inventories are sold.                               sition period.
The intent of the plant optimization initiative is to       The Company estimates that the global operations
better allocate the Company’s resources by creating a       plan will achieve pre-tax operating savings, relative to
more effective network of manufacturing and research        the base year of 1999, of approximately $100 million
and development facilities. It will consolidate manu-       in 2001, $220 million in 2002 and $250 million in
facturing operations along product lines and shift sig-     annualized savings thereafter. Incremental pre-tax
nificant amounts of production to Company facilities        savings expected to be realized in 2001 relative to
in Miami and Ireland and to contract manufacturing.         2000 are estimated to be approximately $30 million.
The Company’s plan includes the discontinuation             These savings will be realized primarily as reduced cost
of manufacturing activities at two facilities in the U.S.   of sales and are expected to help mitigate gross margin
and the closure of a third facility. The Company            pressures resulting from the launch of higher costing
expects that the plan will be substantially completed       stents and stent delivery systems. Additionally, the
over the next twelve months. During 2000, the Com-          Company intends to use a portion of these savings,
pany recorded a pre-tax special charge of approximately     when generated, to increase its investment in research
$58 million associated with the plant optimization          and development.
initiative. The charge relates to severance and outplace-
                                                            Selling, general and administrative expenses as a
ment costs for the approximately 1,950 manufacturing,
                                                            percentage of sales increased from 30% of sales in
manufacturing support and management employees
                                                            1999 to 33% in 2000 and increased approximately
who are expected to be affected by the plan over the
                                                            $25 million from 1999 to $867 million. The increase
next twelve months. Less than $1 million had been
                                                            in expenses as a percentage of sales in 2000 is prima-
charged against the related accrual for the approximately
                                                            rily attributable to the reduction in sales combined
10 employees terminated pursuant to the plan as of
                                                            with an increase in costs incurred to strengthen and
December 31, 2000. In addition, during 2000, the
                                                            retain the Company’s field sales force and to expand
Company recorded pre-tax costs of $11 million as cost
                                                            its direct sales presence in international regions. The
of sales related to transition costs associated with the
                                                            Company’s ability to retain its established sales force
plant optimization plan and accelerated depreciation
                                                            may impact the operating results of the Company.
on fixed assets whose useful lives have been reduced as
a result of the initiative. During 2001, the Company
                                                            Amortization expense remained at approximately
estimates that it will record pre-tax expenses of
                                                            3% of net sales while decreasing 1% from $92 million
approximately $70 million as cost of sales related
                                                            in 1999 to $91 million in 2000.
to the plant optimization initiative, primarily for
transition costs, accelerated depreciation and              Royalties decreased approximately 20% from $46 mil-
abnormal production variances related to under-             lion in 1999 to $37 million in 2000. The reduction
utilized plant capacity.                                    in royalties is primarily due to non-recurring expenses
                                                            of approximately $7 million recorded during 1999.
The Company expects that it will make total cash
                                                            The Company continues to enter into strategic tech-
outlays, net of proceeds from building and fixed
                                                            nological alliances, some of which include royalty
asset sales, of approximately $115 million for the plant
                                                            commitments.
optimization initiative, $85 million of which




                                                                              boston scientific and subsidiaries   f-3
Management’s Discussion and Analysis
of Financial Condition and Results of Operations (continued)

Research and development expenses remained at              in the U.S. has also resulted in more complex billing
approximately 7% of net sales while increasing 1%          and collection procedures. The Company’s ability to
from $197 million in 1999 to $199 million in 2000.         react effectively to the changing environment may
The investment in research and development dollars         impact its bad debt and sales allowances in the future.
reflects spending on new product development pro-          Further, the U.S. marketplace is increasingly charac-
grams as well as regulatory compliance and clinical        terized by consolidation among health care providers
research. The Company continues to be committed            and purchasers of medical devices that prefer to limit
to refining existing products and procedures and to        the number of suppliers from which they purchase
developing new technologies that can reduce risk,          medical products. There can be no assurance that
trauma, cost, procedure time and the need for after-       these entities will continue to purchase products from
care. In 2001, the Company expects to increase its         the Company.
investment in research and development over 2000
                                                           International markets are also being affected by eco-
levels to fund the development of new products and
                                                           nomic pressure to contain reimbursement levels and
clinical trials, including the Company’s drug-coated
                                                           health care costs. The Company’s ability to benefit
stent program, the carotid program and an internally
                                                           from its international expansion may be limited by
developed stent platform. Additionally, the Company
                                                           risks and uncertainties related to economic conditions
plans to expand its research and development teams to
                                                           in these regions, regulatory and reimbursement
enhance the Company’s product development, clinical
                                                           approvals, competitive offerings, infrastructure devel-
affairs and regulatory compliance capabilities in 2001
                                                           opment, rights to intellectual property and the ability
and beyond.
                                                           of the Company to implement its overall business
Interest expense decreased from $118 million in 1999       strategy. Any significant changes in the competitive,
to $70 million in 2000. The overall decrease in inter-     political, regulatory or economic environment where
est expense is primarily attributable to a lower average   the Company conducts international operations may
debt balance. Other income (expense), net, changed         have a material impact on revenues and profits, espe-
from expense of approximately $9 million in 1999           cially in Japan given its high profitability relative
to income of approximately $17 million in 2000.            to its contribution to revenues. Deterioration in the
The change is primarily due to an increase in net gains    Japanese and/or emerging markets economies may
recognized on sales of available-for-sale securities       impact the Company’s ability to grow its business and
and to an increase in gains on derivative financial        to collect its accounts receivable. Additionally, the
instruments.                                               trend in countries around the world toward more
                                                           stringent regulatory requirements for product clear-
The Company’s effective tax rate, including the impact     ance and more vigorous enforcement activities has
of restructuring-related charges and credits, decreased    generally caused or may cause medical device manu-
from 34% in 1999 to 29% in 2000. Excluding the             facturers to experience more uncertainty, greater risk
impact of restructuring-related charges and credits,       and higher expenses. These factors may impact the rate
the Company’s effective tax rate decreased from 34%        at which Boston Scientific can grow. In addition, the
in 1999 to 30% in 2000. The decrease is primarily          impact of selling higher costing stents, the cost of
attributable to a shift in the mix of the Company’s        maintaining the Company’s sales force and increasing
U.S. and international businesses. Management cur-         its investment in research and development is expected
rently estimates that the 2001 effective tax rate will     to result in lower operating margins for 2001.
remain at approximately 30%. However, the effective        However, management believes that it is positioning
tax rate could be negatively impacted by acquisitions of   the Company to take advantage of opportunities that
businesses contemplated by the Company in 2001.            exist in the markets it serves.
Uncertainty remains with regard to future changes
within the health care industry. The trend toward
managed care and economically motivated and more
sophisticated buyers in the U.S. may result in continued
pressure on selling prices of certain products and
resulting compression on gross margins. In addition
to impacting selling prices, the trend to managed care




f-4   boston scientific and subsidiaries
Management’s Discussion and Analysis
of Financial Condition and Results of Operations (continued)

Years Ended December 31, 1999 and 1998                     Selling, general and administrative expenses as a per-
Net sales increased 27% in 1999 to $2,842 million as       centage of sales decreased from 34% of sales in 1998 to
compared to $2,234 million in 1998. The 1999               30% of sales in 1999 and increased approximately $87
results include the operations of Schneider Worldwide      million from 1998 to $842 million. The decrease as a
(Schneider), which was acquired in the third quarter       percentage of sales is primarily attributable to the
of 1998. On a pro forma basis, assuming Schneider          increase in sales due to the launch of coronary stents
revenues had been included in all of 1998, net sales       in the U.S. and Japan, the realization of synergies as
in 1999 increased approximately 14%. Net income            the Company integrated Schneider into its organiza-
for 1999 was $371 million or $0.90 per share (diluted)     tion, and improved returns in Asia Pacific and Latin
as compared to a reported net loss for 1998 of             America as the Company continued to leverage its
$264 million, or $0.68 per share, including                direct sales infrastructure. The increase in expense
merger-related charges and credits of $667 million         dollars is primarily attributable to higher selling
($527 million, net of tax).                                expenses as a result of the launch of coronary stents in
                                                           the U.S., increased costs to expand the Company’s
U.S. revenues increased approximately 25% to $1,741        direct sales presence in Asia Pacific and Latin America,
million during 1999, while international revenues          and increased legal expenses.
increased approximately 31% to $1,101 million.
Without the impact of foreign currency exchange rates      Amortization expense increased from $53 million
on translation of international revenues, worldwide        in 1998 to $92 million in 1999 and increased as a
sales for 1999 increased approximately 25%. The            percentage of sales from 2% to 3%. The increase is
increase in sales was primarily attributable to the        primarily a result of the amortization of intangibles
inclusion of Schneider sales for the entire year and       related to the purchase of Schneider.
the Company’s sales of coronary stents in the U.S.
                                                           Royalty expense increased approximately 48% from
and Japan. U.S. coronary stent revenues and world-
                                                           $31 million in 1998 to $46 million in 1999. The
wide coronary stent revenues, primarily sales of the
                                                           increase in royalties is primarily due to royalty obliga-
NIR® stent, were approximately $409 million and
                                                           tions assumed in connection with the Schneider
$604 million, respectively, during 1999, compared
                                                           acquisition and payments made to Medinol on sales
to $211 million and $324 million, respectively, during
                                                           of internally developed stent platforms.
1998. Worldwide NIR® coronary stent sales as a
percentage of worldwide sales were approximately 20%
                                                           Research and development expenses decreased as
in 1999 compared to approximately 13% in 1998.
                                                           a percentage of sales from 9% in 1998 to 7% in 1999.
                                                           Research and development expenses were $200 mil-
Gross profit as a percentage of net sales decreased
                                                           lion in 1998 and $197 million in 1999. The decrease
from 67.1% in 1998 to 65.3% in 1999. The decrease
                                                           as a percentage of sales is primarily attributable to the
in gross margin is primarily due to a provision recorded
                                                           launch of coronary stents in the U.S. and Japan and
in the third quarter of 1999 of $62 million for excess
                                                           the realization of synergies in connection with the
NIR® stent inventories and purchase commitments.
                                                           Schneider acquisition.
The excess position was driven primarily by a shortfall
in planned third-quarter NIR® stent revenues, a
                                                           During 1999, the Company identified and reversed
reduction in NIR® stent sales forecasted for 1999 and
                                                           restructuring and merger-related charges of $10 million
2000, and strategic decisions regarding versions of
                                                           no longer deemed necessary. These amounts related
the NIR® stent system to be launched. In the third
                                                           primarily to the restructuring charges accrued in the
quarter of 1998, the Company provided $31 million
                                                           fourth quarter of 1998 and reflect the reclassification
for costs associated with the Company’s decision to
                                                           of assets from held-for-disposal to held-for-use
recall voluntarily the NIR ON® RangerTM with SoxTM
                                                           resulting from management’s decision to resume a
coronary stent system in the U.S. Excluding these
                                                           development program previously planned to be elimi-
charges, gross margins were 67.5% and 68.1% for
                                                           nated. In addition, estimated severance costs for 1998
1999 and 1998, respectively. Gross margins during
                                                           initiatives were reduced as a result of attrition. During
1999 were positively impacted compared to 1998 by a
                                                           1998, the Company recorded merger-related charges
reduction in other inventory charges. However, the
                                                           and credits of $667 million ($527 million, net of tax)
reduction was offset by a decrease in average selling
                                                           primarily related to purchased research and develop-
prices and increased manufacturing costs.
                                                           ment acquired in the $2.1 billion cash purchase of



                                                                             boston scientific and subsidiaries   f-5
Management’s Discussion and Analysis
of Financial Condition and Results of Operations (continued)

Schneider. On September 10, 1998, the Company                native future uses. Accordingly, the value attributable
consummated its acquisition of Schneider, formerly           to these projects was immediately expensed at acquisi-
a member of the Medical Technology Group of Pfizer           tion. If the projects are not successful or completed in
Inc. The acquisition was accounted for using the             a timely manner, the Company may not realize the
purchase method of accounting. The consolidated              financial benefits expected for these projects.
financial statements include Schneider’s operating
                                                             The income approach was used to establish the fair
results from the date of acquisition.
                                                             values of the purchased research and development.
The aggregate purchase price of the Schneider acqui-         This approach established the fair value of an asset
sition has been allocated to the assets acquired and         by estimating the after-tax cash flows attributable
liabilities assumed based on their estimated fair values     to the in-process project over its useful life and then
at the date of acquisition. The estimated excess of pur-     discounting these after-tax cash flows back to a present
chase price over the fair value of the net tangible assets   value. Revenue estimates were based on estimates of
acquired was allocated to specific intangible asset cate-    relevant market sizes, expected market growth rates,
gories with the remainder assigned to excess of cost         expected trends in technology and expected product
over net assets acquired. At December 31, 2000, the          introductions by competitors. In arriving at the value
net intangibles recorded in connection with the              of the in-process research and development projects,
Schneider acquisition, including the excess of cost          the Company considered, among other factors, the
over net assets acquired, represented 39% and 70% of         in-process project’s stage of completion, the complexity
the Company’s total assets and stockholders’ equity,         of the work completed as of the acquisition date, the
respectively. Core technology, developed technology,         costs already incurred, the projected costs to com-
assembled workforce, trademarks and patents are              plete, the contribution of core technologies and other
being amortized on a straight-line basis over periods        acquired assets, the expected introduction date, and
ranging from 9 to 25 years. The Company is amortiz-          the estimated useful life of the technology. The dis-
ing the value assigned to customer lists (relationships)     count rate used to arrive at a present value as of the
over 25 years because it has been the Company’s              date of acquisition was based on the time value of
experience that physician and hospital relationships         money and medical technology investment risk
are built for the long term and fundamental to the           factors. For the Schneider purchased research and
Company’s business of bringing innovative products           development programs, a risk-adjusted discount rate
to market. The Company realizes that maintaining             of 28% was utilized to discount the projected cash
these and similar relationships will require ongoing         flows. The Company believes that the estimated
efforts. However, both Schneider and the Company             purchased research and development amounts so
have over a 20-year history of working closely with          determined represent the fair value at the date of
interventionalists and their institutions for both vas-      acquisition and do not exceed the amount a third party
cular and nonvascular applications, and management           would pay for the projects.
believes these relationships will continue to benefit the
                                                             The most significant Schneider purchased research
Company. In addition, after considering the long-
                                                             and development projects that were in-process at
term prospects for the less invasive medical device
                                                             the date of acquisition were brachytherapy, devices
industry and the fundamental role of catheter-based
                                                             for aneurysmal disease and coronary stents, which
interventional medicine, as well as Schneider’s com-
                                                             represented approximately 26%, 20% and 16% of the
petitive position within the industry, management
                                                             in-process value, respectively. Set forth below are
concluded that it is appropriate to amortize the excess
                                                             descriptions of these in-process projects, including
of the Schneider purchase price over the fair value of
                                                             their status at the end of 2000.
the assets acquired over 40 years. Finally, the
Company recorded a $671 million ($524 million, net
                                                             The brachytherapy system is an intravascular radiation
of tax) charge to account for purchased research and
                                                             system designed to reduce clinical restenosis after
development. The valuation of purchased research and
                                                             a balloon angioplasty and/or a stent procedure. The
development, for which management is primarily
                                                             system consists of a computer-controlled afterloader,
responsible, represents the estimated fair value at the
                                                             beta radiation source, centering catheter, source
date of acquisition related to in-process projects. As of
                                                             delivery wire and dummy wire. As of the date of acqui-
the date of acquisition, the in-process projects had not
                                                             sition, the project was expected to be completed and
yet reached technological feasibility and had no alter-
                                                             the products commercially available in the U.S. within



f-6    boston scientific and subsidiaries
Management’s Discussion and Analysis
of Financial Condition and Results of Operations (continued)

two to three years, with an estimated cost to complete       approximately $62 million, most of which represented
of approximately $5 million to $10 million.                  severance and related costs. Approximately $36 mil-
                                                             lion of the total was capitalized as part of the purchase
The aneurysmal disease projects are endoluminal              price of Schneider. The remaining $26 million was
grafts for the treatment of late stage vascular aneurysms    charged to operations during 1998. In addition, as
and occlusions. The most significant of the projects         part of the Schneider acquisition, the Company capi-
in this category at the date of acquisition was the endo-    talized estimated costs of approximately $16 million
luminal graft for the treatment of abdominal aortic          to cancel Schneider’s contractual obligations, primarily
aneurysms. As of the date of acquisition, the projects       with its distributors.
were expected to be completed and the products
commercially available in the U.S. within two to three       The Company substantially completed its rationaliza-
years, with an estimated cost to complete of approxi-        tion plan in 1999, including the closure of five
mately $10 million to $15 million.                           Schneider facilities as well as the transition of manu-
                                                             facturing for selected Boston Scientific product lines
Coronary stent systems underway at the date of acqui-        to different sites. Approximately 1,800 positions were
sition were stent systems for native coronary artery         eliminated (resulting in the termination of approxi-
disease, saphenous vein graft disease, and versions with     mately 1,500 employees) in connection with the
novel delivery systems. The Company believes that the        rationalization plan, and the anticipated cost savings
stent systems will be especially helpful in the treatment    have been achieved. As noted previously, in the third
of saphenous vein graft disease. As of the date of           quarter of 1999, the Company identified and reversed
acquisition, the projects were expected to be completed      restructuring and merger-related charges of $10 mil-
and the products commercially available for sale in the      lion no longer deemed necessary. During 1999, the
U.S. within one year with an estimated cost to com-          costs related to the transition of manufacturing
plete of approximately $1 million to $3 million.             operations were not significant and were recognized
                                                             in operations as incurred.
In the second quarter of 2000, the brachytherapy
project was discontinued due to system performance           The 1998 rationalization plan also resulted in the
issues. However, the Company recently outsourced             decision to expand, not close, the Target Thera-
this project to a third party in which it holds a minority   peutics, Inc. (Target) facilities originally provided for
interest. As part of a subsequent project consolidation      in a 1997 merger-related charge and to relocate other
program, the Schneider abdominal aortic aneurysm             product lines to those Target facilities. In the fourth
project has been integrated with another internal            quarter of 1998, the Company reversed $21 million of
project. As a result, the Company will pursue the            previously recorded merger-related charges, of which
development of next-generation products for aortic           $4 million related to facility costs and which also
aneurysmal disease with an integrated platform while         included reductions for revisions of estimates relating
minimizing duplicative research and development.             to contractual commitment payments, associated legal
The cost of the development is still estimated to be in      costs and other asset write-downs originally provided
the range of approximately $10 million to $15 million.       for as a 1997 merger-related charge.
The coronary stent projects have been completed.
                                                             In the second quarter of 1998, the Company realigned
During 1998, the Company established a rationaliza-          its operating units and decided to operate Target inde-
tion plan in conjunction with the consummation of            pendently instead of as a part of its vascular division
the Schneider acquisition, taking into consideration         as was planned at the date of the Target acquisition.
duplicate capacity as well as opportunities for further      Management believed that an independent Target
leveraging of cost and technology platforms. The             would allow the business unit to develop its technolo-
Company’s actions, approved and committed to in              gies and markets more effectively than it would as part
the fourth quarter of 1998, included the planned             of the vascular division. As a result of this decision,
displacement of approximately 2,000 positions, over          the Company reversed $20 million of 1997 Target
half of which were manufacturing positions and would         merger-related charges primarily related to revised
result in annualized cost savings of approximately           estimates for costs of workforce reductions and costs
$50 million to $75 million. During the fourth quarter        of canceling contractual commitments. In addition,
of 1998, the Company estimated the costs associated          the Company recorded purchased research and
with these activities, excluding transition costs, to be     development of approximately $11 million in connection



                                                                               boston scientific and subsidiaries   f-7
Management’s Discussion and Analysis
of Financial Condition and Results of Operations (continued)

with another acquisition consummated during 1998,             at December 31, 2000, and 1999, respectively, at
and, in the fourth quarter of 1998, the Company               weighted-average interest rates of 8.00% and 6.70%,
recorded $30 million of year-end adjustments related          respectively. In addition, the Company had approxi-
primarily to write-downs of assets no longer deemed           mately $187 million and $421 million in revolving
to be strategic. The assets related primarily to inventory,   credit facility borrowings outstanding at December 31,
long-lived and intangible assets that the Company did         2000 and 1999, respectively, at weighted-average
not believe would be sold or realized, respectively,          interest rates of 4.54% and 6.66%, respectively.
because of revisions to and terminations of strategic         At December 31, 2000, the revolving credit facilities
alliances. The provisions were recorded as costs of           totaled $1.65 billion, consisting of a $1.0 billion credit
sales ($12 million), selling, general and administrative      facility that terminates in June 2002, a $600 million
expenses ($12 million), amortization expenses                 364-day credit facility that terminates in September
($2 million), royalties ($2 million), research and            2001 and a $50 million uncommitted credit facility.
development expenses ($1 million) and other expenses          The revolving credit facilities also support the Com-
($1 million).                                                 pany’s commercial paper borrowings. Use of the
                                                              borrowings is unrestricted and the borrowings are
Interest expense increased from $68 million in 1998           unsecured. The revolving credit facilities require the
to $118 million in 1999. The overall increase in              Company to maintain a specific ratio of consolidated
interest expense was primarily attributable to a higher       funded debt (as defined) to consolidated net worth
average outstanding debt balance borrowed in con-             (as defined) plus consolidated funded debt of less than
junction with the Schneider acquisition.                      or equal to 60%. As of December 31, 2000, the ratio
                                                              was approximately 26%.
The Company’s effective tax rate, including the impact
of merger-related charges and credits, was approxi-           The Company has the ability to refinance a portion
mately 4% in 1998 and 34% in 1999. The Company’s              of its short-term debt on a long-term basis through
pro-forma effective tax rate, excluding the impact of         its revolving credit facilities. The Company does
merger-related charges and credits, increased from            not expect that its short-term borrowings as of December
approximately 33% in 1998 to 34% in 1999. The                 31, 2000, will remain outstanding beyond the next
increase is primarily attributable to a shift in the mix      twelve months and, accordingly, the Company has not
of the Company’s U.S. and international business.             reclassified any of the short-term borrowings as long-
                                                              term at December 31, 2000, compared to $108 million
                                                              of such reclassifications at December 31, 1999.
Liquidity and Capital Resources                               In March 1998, the Company issued $500 million of
                                                              seven-year senior notes. The senior notes bear a
Cash and short-term investments totaled $60 million
                                                              coupon of 6.625% payable semi-annually, and are not
at December 31, 2000, compared to $78 million
                                                              redeemable prior to maturity or subject to any sinking
at December 31, 1999. The Company had $173 mil-
                                                              fund requirements.
lion of working capital at December 31, 2000 as com-
pared to current assets equaling current liabilities at
                                                              The Company had 6.0 billion Japanese yen (translated
December 31, 1999. The increase in working capital is
                                                              to approximately $53 million and $58 million
primarily due to the repayment of approximately $340
                                                              at December 31, 2000 and 1999, respectively) of
million of short-term debt obligations using the
                                                              borrowings outstanding with a syndicate of Japanese
Company’s cash flows from operations, partially offset
                                                              banks. The interest rate on the borrowings is 2.37%
by changes in other working capital accounts. Cash
                                                              and the borrowings are payable in 2002. In addition,
proceeds during 2000 were generated primarily from
                                                              the Company had approximately 1.1 billion Japanese
operating activities. Cash proceeds during the period
                                                              yen (translated to approximately $9 million) and 1.2
were partially offset by the repayment of approximately
                                                              billion Japanese yen (translated to approximately $12
$447 million of outstanding short-term and long-
                                                              million) of borrowings outstanding from a Japanese
term debt obligations and purchases of the Company’s
                                                              bank used to finance a facility construction project
common stock of approximately $222 million.
                                                              at December 31, 2000, and 1999, respectively. The
                                                              interest rate on the borrowings is 2.1% and principal
The Company had approximately $56 million and
                                                              payments are due semi-annually through 2012.
$277 million of commercial paper outstanding




f-8    boston scientific and subsidiaries
Management’s Discussion and Analysis
of Financial Condition and Results of Operations (continued)

The Company has uncommitted Japanese credit facil-         On February 15, 2001, the Company announced the
ities with several Japanese banks, which provided for      signing of a definitive agreement to acquire
borrowings and promissory notes discounting of up to       Interventional Technologies, Inc (IVT). IVT develops,
15.0 billion Japanese yen (translated to approximately     manufactures and markets minimally invasive devices
$131 million) and 11.5 billion Japanese yen (translated    for use in interventional cardiology, including the
                                                           Cutting BalloonTM catheter and the Infiltrator® trans-
to approximately $112 million) at December 31, 2000
and 1999, respectively. There was $12 million in bor-      luminal drug delivery catheter. Boston Scientific will
rowings outstanding under the Japanese credit facili-      pay approximately $345 million in cash plus additional
ties at an interest rate of 1.5% at December 31, 2000      cash amounts contingent upon achieving performance
compared to no borrowings at December 31, 1999. At         and other milestones. The transaction is subject to
December 31, 2000, approximately $108 million of           regulatory approval and is expected to be consummat-
notes receivable were discounted at average interest       ed in the second quarter of 2001.
rates of approximately 1.5% compared to $112 million
                                                           On February 27, 2001, the Company acquired privately
of discounted notes receivable at average interest rates
                                                           held Embolic Protection, Inc., a developer of embolic
of approximately 1.4% at December 31, 1999.
                                                           protection medical devices. Boston Scientific will pay
The Company has recognized net deferred tax assets         approximately $75 million in cash and assumed restrict-
aggregating $226 million at December 31, 2000, and         ed stock and options plus additional amounts contin-
$238 million at December 31, 1999. The assets relate       gent upon achieving certain performance milestones.
principally to the establishment of inventory and          Contingent payments would be made in cash or stock
product-related reserves and purchased research and        of Boston Scientific at the Company’s election.
development. In light of the Company’s historical
                                                           On February 28, 2001, the Company announced the
financial performance, the Company believes that
                                                           signing of a definitive agreement to acquire Quanum
these assets will be substantially recovered.
                                                           Medical Corporation (Quanum), a manufacturer of
The Company is authorized to purchase on the open          medical devices that specializes in drug delivery systems.
market and in private transactions up to approximately     Boston Scientific will pay an immaterial amount in
60 million shares of the Company’s common stock.           stock as initial consideration plus additional payments
Stock repurchased under the Company’s systematic           contingent upon achieving performance and other
plan will be used to satisfy its obligations pursuant to   milestones. Contingent payments would be made in
its equity incentive plans. Under the authorization,       stock of Boston Scientific.
the Company may also repurchase shares outside of the
                                                           On March 5, 2001, the Company announced the
Company’s systematic plan. These additional shares
                                                           acquisition of Catheter Innovations, Inc., a manufac-
would principally be used to satisfy the Company’s
                                                           turer of vascular access products. Boston Scientific will
obligations pursuant to its equity incentive plans, but
                                                           pay an immaterial amount as initial consideration plus
may also be used for general corporate purposes,
                                                           additional payments contingent upon achieving per-
including acquisitions. During 2000, the Company
                                                           formance and other milestones. Contingent payments
repurchased approximately 12 million shares at an
                                                           would be made in cash or stock of Boston Scientific at
aggregate cost of $222 million. As of December 31,
                                                           the Company’s election.
2000, a total of approximately 38 million shares of
the Company’s common stock have been repurchased.
                                                           These acquisition transactions involve contingent
                                                           payments. The Company expects to make contingent
In December 2000, a jury found that the Company’s
                                                           payments in 2001 of approximately $100 million to
NIR® coronary stent infringed one claim of a patent
                                                           $200 million for performance and other milestones
owned by Johnson & Johnson. A final decision has not
                                                           achieved in connection with these transactions. All
yet been entered pending post trial motions. The
                                                           of these transactions will be accounted for using the
Company could be found liable and owe damages
                                                           purchase method of accounting.
of approximately $324 million for past sales, plus
interest, and additional damages for sales occurring
                                                           Management believes it is developing a sound plan to
after the jury verdict. The Company expects to appeal
                                                           integrate these businesses. The failure to successfully
any adverse determination and post the necessary
                                                           integrate these businesses effectively could impair the
bond pending appeal.
                                                           Company’s ability to realize the strategic and financial




                                                                             boston scientific and subsidiaries   f-9
Management’s Discussion and Analysis
of Financial Condition and Results of Operations (continued)

objectives of these transactions. As the health care      The Company enters into foreign exchange forward
environment continues to undergo rapid change,            contracts to hedge its net recognized foreign currency
management expects that it will continue to focus on      transaction exposures for periods consistent with
strategic initiatives and/or make additional invest-      commitments, generally one to six months. In addi-
ments in existing relationships. In connection with       tion, on January 1, 2000, the Company initiated a
these and other acquisitions consummated during the       program to hedge a portion of its forecasted inter-
last five years, the Company has acquired numerous        company and third-party transactions with foreign
in-process research and development projects. As the      exchange forward and option contracts upon adoption
Company continues to build its research base, it is       of the Financial Accounting Standards Board
reasonable to assume that it will acquire additional      Statement No. 133, “Accounting for Derivative
research and development platforms.                       Instruments and Hedging Activities.” Hedging activity
                                                          is intended to offset the impact of currency fluctua-
Additionally, the Company expects to incur capital        tions on forecasted earnings and cash flow. However,
expenditures of approximately $100 million during         the Company may be impacted by changes in foreign
2001. The Company expects that its cash and cash          currency exchange rates related to the unhedged
equivalents, marketable securities, cash flows from       portion. The success of the hedging program depends,
operating activities and borrowing capacity will be       in part, on forecasts of transaction activity in various
sufficient to meet its projected operating cash needs,    currencies (currently the Japanese yen and the euro).
including capital expenditures, restructuring             The Company may experience unanticipated foreign
initiatives, and the above-mentioned acquisitions of      currency exchange gains or losses to the extent that
businesses.                                               there are timing differences between forecasted and
                                                          actual activity during periods of currency volatility.
Further, the Company continues to engage in negoti-
                                                          The Company had foreign exchange forward and
ations to acquire Medinol. If the Company is success-
                                                          option contracts outstanding in the total notional
ful in its attempt to acquire Medinol, the Company
                                                          amount of $452 million and $128 million as of
will need additional financing capacity to consummate
                                                          December 31, 2000, and 1999, respectively. The
the transaction. Although the Company believes it will
                                                          Company has recorded approximately $37 million of
be able to obtain additional financing, there are no
                                                          assets and $1 million of liabilities to recognize the fair
assurances that additional financing can be or will
                                                          value of its contracts outstanding on December 31,
be obtained.
                                                          2000, as compared to an immaterial amount at
                                                          December 31, 1999. Foreign exchange contracts that
                                                          hedge net recognized foreign currency transaction
                                                          exposures should not subject the Company’s earnings
Market Risk Disclosures
                                                          and cash flow to material risk due to exchange rate
In the normal course of business, the Company is          movements because gains and losses on these contracts
exposed to market risk from changes in interest rates     should offset losses and gains on the transactions being
and foreign currency exchange rates. The Company          hedged. Hedges of anticipated transactions may sub-
addresses these risks through a risk management           ject the income statement to volatility.
program that includes the use of derivative financial
instruments. The program is operated pursuant to          A sensitivity analysis of changes in the fair value of for-
documented corporate risk management policies. The        eign exchange contracts outstanding at December 31,
Company does not enter into any derivative trans-         2000 indicates that, if the U.S. dollar uniformly
actions for speculative purposes.                         weakened by 10% against all currencies, the fair value
                                                          of these contracts would decrease by $37 million as
The Company’s floating and fixed-rate investments         compared to a $9 million decrease based on foreign
and debt obligations are subject to interest rate risk.   exchange contracts outstanding at December 31, 1999.
As of December 31, 2000, a 100-basis-point increase       While these hedging instruments are subject to fluctu-
in interest rates, assuming the amount invested and       ations in value, such fluctuations are generally offset
borrowed remained constant, would not result in           by changes in the value of the underlying exposures
a material increase in the Company’s then current         being hedged. As the Company has expanded its inter-
net interest.                                             national operations, its sales and expenses denominated




f-10   boston scientific and subsidiaries
Boston Scientific 2000 Annual Report Details Focus on Innovation and Operational Excellence
Boston Scientific 2000 Annual Report Details Focus on Innovation and Operational Excellence
Boston Scientific 2000 Annual Report Details Focus on Innovation and Operational Excellence
Boston Scientific 2000 Annual Report Details Focus on Innovation and Operational Excellence
Boston Scientific 2000 Annual Report Details Focus on Innovation and Operational Excellence
Boston Scientific 2000 Annual Report Details Focus on Innovation and Operational Excellence
Boston Scientific 2000 Annual Report Details Focus on Innovation and Operational Excellence
Boston Scientific 2000 Annual Report Details Focus on Innovation and Operational Excellence
Boston Scientific 2000 Annual Report Details Focus on Innovation and Operational Excellence
Boston Scientific 2000 Annual Report Details Focus on Innovation and Operational Excellence
Boston Scientific 2000 Annual Report Details Focus on Innovation and Operational Excellence
Boston Scientific 2000 Annual Report Details Focus on Innovation and Operational Excellence
Boston Scientific 2000 Annual Report Details Focus on Innovation and Operational Excellence
Boston Scientific 2000 Annual Report Details Focus on Innovation and Operational Excellence
Boston Scientific 2000 Annual Report Details Focus on Innovation and Operational Excellence
Boston Scientific 2000 Annual Report Details Focus on Innovation and Operational Excellence
Boston Scientific 2000 Annual Report Details Focus on Innovation and Operational Excellence
Boston Scientific 2000 Annual Report Details Focus on Innovation and Operational Excellence
Boston Scientific 2000 Annual Report Details Focus on Innovation and Operational Excellence
Boston Scientific 2000 Annual Report Details Focus on Innovation and Operational Excellence
Boston Scientific 2000 Annual Report Details Focus on Innovation and Operational Excellence
Boston Scientific 2000 Annual Report Details Focus on Innovation and Operational Excellence
Boston Scientific 2000 Annual Report Details Focus on Innovation and Operational Excellence
Boston Scientific 2000 Annual Report Details Focus on Innovation and Operational Excellence
Boston Scientific 2000 Annual Report Details Focus on Innovation and Operational Excellence
Boston Scientific 2000 Annual Report Details Focus on Innovation and Operational Excellence
Boston Scientific 2000 Annual Report Details Focus on Innovation and Operational Excellence
Boston Scientific 2000 Annual Report Details Focus on Innovation and Operational Excellence
Boston Scientific 2000 Annual Report Details Focus on Innovation and Operational Excellence
Boston Scientific 2000 Annual Report Details Focus on Innovation and Operational Excellence
Boston Scientific 2000 Annual Report Details Focus on Innovation and Operational Excellence
Boston Scientific 2000 Annual Report Details Focus on Innovation and Operational Excellence
Boston Scientific 2000 Annual Report Details Focus on Innovation and Operational Excellence
Boston Scientific 2000 Annual Report Details Focus on Innovation and Operational Excellence
Boston Scientific 2000 Annual Report Details Focus on Innovation and Operational Excellence
Boston Scientific 2000 Annual Report Details Focus on Innovation and Operational Excellence
Boston Scientific 2000 Annual Report Details Focus on Innovation and Operational Excellence
Boston Scientific 2000 Annual Report Details Focus on Innovation and Operational Excellence

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Boston Scientific 2000 Annual Report Details Focus on Innovation and Operational Excellence

  • 1. BOSTON SCIENTIFIC ANNUAL REPORT 2000
  • 2. To our employees and shareholders: Boston Scientific’s mission is to improve the quality of patient care and the productivity of health care delivery through the devel- opment and advocacy of less invasive medical devices and procedures. This is accomplished through the continuing refinement of existing products and procedures and the investigation and development of new tech- nologies which can reduce risk, trauma, cost, procedure time and the need for aftercare.
  • 3. mission va l u e s letter La mission de Boston Scientific est La misión de Boston Scientific l’amélioration de la qualité des soins Corporation es mejorar la calidad de cliniques et de la productivité de la atención al paciente y la produc- l’administration de ces soins grâce tividad del servicio de atención à la mise au point, la promotion médica mediante el desarrollo y la et la défense de méthodes et de recomendación de dispositivos y dispositifs médicaux moins invasifs. procedimientos médicos menos Ce but est atteint au moyen d’un invasivos. Todo eso se logra mediante perfectionnement continuel des el constante perfeccionamiento produits et méthodes existants ainsi de productos y procedimientos que par la recherche et la mise au existentes y la investigación y el point de nouvelles technologies desarrollo de nuevas tecnologías visant à réduire les risques, le que puedan reducir el riesgo, el traumatisme, les coûts, la durée trauma, el costo, el tiempo del des interventions et la nécessité procedimiento y la necesidad de de suivi. atención o cuidado posteriores. Bei Boston Scientific sind wir stets bemüht, die Qualität der Patientenbehandlung und die Boston Scientific beschouwt het Leistungsfähigkeit der Gesundheit- als haar missie, de kwaliteit en sversorgung durch die Entwicklung productiviteit van de zorgverlening und Förderung von weniger inva- aan patiënten te verbeteren door de siven medizinischen Geräten und ontwikkeling en gebruiksbevordering Verfahren zu steigern – durch van minder invasieve medische hulp- ständige Verbesserung bestehender middelen en procedures. Aan het Produkte und Verfahren sowie realiseren van deze doelstelling Erforschung und Entwicklung wordt gewerkt door een voortgaande neuer Technologien, die verfijning van bestaande producten Risiken, Verletzungen, Kosten, en procedures en door het verrichten Behandlungszeiten sowie van onderzoek naar en de ontwik- den Nachversorgungsbedarf keling van nieuwe technologieën reduzieren können. die kunnen bijdragen tot een vermindering van risico’s, trauma, behandelingskosten, behandelings- duur en de noodzaak van nazorg.
  • 4. mission va l u e s letter The growth and success of our organization is dependent upon the shared values of our people. We must learn, understand and live by a unified set of values that will guide us in a continually changing medical environment: Innovation • to provide our people with a strong under- standing of our mission and shared values Commitment • to think like our Quality customers and work hard on their behalf • to rely on one another, to treat each other • to pay relentless well and to put the Excellence attention to business development and fundamentals motivation of our people at the top Success • to bring a commitment of our priority lists to quality and a sense of urgency to • to encourage innova- everything we do tion, experimentation and risk-taking • to provide share- holders with an • to recognize bureau- attractive return cracy as an archenemy through sustained and not allow it to high-quality growth inhibit our good sense and creative spirit • to recognize and reward excellence by sharing Boston Scientific’s success with our employees
  • 5. mission va l u e s letter The year 2000 was a challenging one for Boston Scientific. We continued to make progress integrating and consolidating the businesses we have acquired over the past several years. A wide range of organizational and managerial improvements were introduced as well, including the addition of a number of senior leaders who brought with them decades of collective experience. And our financial performance was sound. Yet there were also frustrations, principally with our coronary pete nicholas, stent pipeline. It continues to be clear that the chairman of the financial markets will not reward our overall board performance until we resolve the problems with our coronary stent program. We will address this issue — and our relationship with jim tobin, president our stent vendor Medinol — later in the letter. and chief executive officer In last year’s annual report, we told you we would remain focused on two critical themes in 2000: Innovation and Operational Excel- lence. Throughout the year, we focused intensely on these priorities, and the results have been encouraging.
  • 6. mission va l u e s letter Early in the year, the management structure was In order to create an organization that can realigned to permit maximum emphasis on these efficiently convert innovative ideas into highly safe objectives. Corporate research and development, and effective new products, we have strengthened and regulatory and clinical affairs, were concentrated the processes, tools and core competencies in under Kshitij Mohan, Ph.D., Senior Vice President research and development, and regulatory and and Chief Technology Officer, and operations and clinical affairs. quality were centralized under Jim Taylor, Senior We have created a number of Centers of Technical Vice President of Corporate Operations. Both have Excellence and hired strong leaders to direct them. brought substantial change and improvement to their respective areas. • Robert Graziadei, M.D., was recruited to head a newly formed Center of Clinical Sciences that Innovation includes Mary Russell, M.D., who recently joined Boston Scientific is committed to driving growth us as head of Cardiovascular Clinical Affairs. through harnessing technological innovation both Worldwide clinical affairs is managed through in the near and long term. Our approach includes a the Center. mixture of tactical and strategic initiatives designed to provide sustainable growth through focusing on and • Eric Ankerud joined the company as the head of delivering the products currently in our pipeline as worldwide Regulatory Affairs. well as strengthening our product development processes and tools. In addition, we are committed to • Michael Helmus, Ph.D., was recruited to direct building a strong foundation of key scientific compe- a newly created Center for Material Sciences. tencies that underpin our products and technologies. Other newly established Centers include the Center Progress included FDA clearances on 37 products, CE for Process Technologies and the Center for Imaging marks on eight, and approval by the Japanese Ministry and Electronics. of Health and Welfare on 39. We also conducted nearly 50 clinical trials, filed 479 patent applications We believe that consolidating and strengthening and received 345 patents. Our commitment to tech- our focus and technical excellence in these areas will nological innovation was evidenced in our plans to enhance product development as well as provide for significantly increase our research and development successful integration of products and technologies spending in 2001. Progress continued during the first that we will continue to acquire through various two months of 2001, with six FDA approvals, four strategic alliances. CE marks and five approvals in Japan. Innovation for Boston Scientific has always meant Another promising program is our drug-coated combining internally developed products with those stent platform. In October we began clinical trials we have obtained externally, through our licensing in Germany on a Paclitaxel-coated stent after exten- and acquisition activities. Most successful innovation sive animal trials. Drug-coated stents show great programs represent a balance between organic and promise for lowering rates of restenosis. In addition acquired technology. to Paclitaxel as our first choice for a drug-coated We have recently created alliances with a number of stent, we are building a portfolio of drugs and companies as part of that strategy, including the carrier materials to develop the most advantageous following completed and pending acquisitions: drug/carrier/stent combinations for different indi- cations. We have also reinforced our portfolio of • Interventional Technologies, Inc., a manufacturer projects in the gastroenterology, endovascular of microsurgical devices for use in interventional and urology areas. cardiology. Its flagship product is the Cutting Balloon® catheter, a unique balloon angioplasty device that makes precise incisions in arterial
  • 7. plaque during balloon inflation. This technology The plan began showing preliminary results only could serve as a platform for developing new ther- months after its implementation: apies for treating coronary artery disease. The • Supply chain initiatives have resulted in acquisition also adds sophisticated metallurgy improved inventory management, which technology to Boston Scientific’s portfolio. has reduced inventory levels and write-offs. • Embolic Protection, Inc., the developer of the In addition, our supplier management efforts Filterwire™ embolic protection device, which have reduced materials and services costs. captures embolic material dislodged during • Manufacturing process control improvements cardiovascular interventions. This acquisition are steadily raising production yields and manu- will allow Boston Scientific to accelerate its entry facturing efficiencies, improving quality and into the embolic protection market, one of the reducing costs. most promising new growth segments in inter- ventional medicine. • Scheduled transfers of production, aimed at optimizing our network of plants and better • Quanam Medical Corporation, a manufacturer allocating our resources through the creation of medical devices that specializes in drug-delivery of a more effective network of manufacturing stent systems. Quanam’s technology will help and R&D facilities, are on target for completion Boston Scientific broaden its drug-delivery port- by the end of 2001. folio with an additional implant-based technology and a family of proprietary biomaterials. Looking forward to 2001 and beyond, we are expanding our vision of improvement to include • Catheter Innovations, Inc., a manufacturer even shorter lead times and higher manufacturing of vascular access products. The acquisition of flexibility. Servicing our customers — from time this technology presents opportunities for appli- of order through receipt of product — will be the cations across other Boston Scientific product focus of improvements designed to make production lines and therapies. processes more robust and flexible, with reduced We would like to welcome the new members of the cycle times at all stages. Our customers will see the Boston Scientific team who are joining us as a result ultimate advantages of a more responsive organiza- of these acquisitions. tion that fully meets highest quality product supply needs and new product launch effectiveness. Our acquisition strategy will remain a fundamental part of our innovation program as we continue to Thanks to our employees, implementation of investigate opportunities that will keep our new the global operations plan is proceeding smoothly, product pipeline full and diversified. and we are on schedule to achieve our projected improvements, technology transfers and resulting Operational Excellence savings. The plan is forward-looking and makes clear Joint progress on Innovation and Operational that innovation is our future and that we’re creating Excellence was embodied in the global operations the opportunity to make the added investments plan we announced in July. The plan increases needed to support that innovation. It represents a productivity by creating greater operational efficien- thoughtful and thorough analysis and projection of cies and generating savings, allowing the company to the strategic needs of the company. increase its ability to invest in research and develop- ment. The plan is estimated to achieve net, pre-tax While implementation is going well, job dislocation operating savings of $250 million on an annualized was an unavoidable aspect of the plan, and we want basis beginning in 2003 by improving supply chain to again acknowledge and thank all our affected effectiveness, strengthening manufacturing process employees for their dedication and continuing control and optimizing our network of plants. contributions during this transition period.
  • 8. mission va l u e s letter develop and position its existing, emerging and Strengthening Our Team future technologies. The global operations plan is part of a series of measures undertaken during the year to intensify our • Dennis Ocwieja was named Vice President of focus on Innovation and Operational Excellence. Quality and is responsible for establishing a In addition to the responsibilities consolidated under common quality system throughout the company. Kshitij Mohan and Jim Taylor, a number of other appointments and promotions were made to • Paul Donovan was named Vice President of strengthen the team. Corporate Communications, responsible for employee communications, corporate identity • Steve Moreci was appointed to the newly created and media relations. position of Senior Vice President and Group President for Endosurgery. Under this new group All these new people and positions speak to the structure, Steve will oversee three divisions: Medi- company’s ongoing commitment to its entrepre- tech, Microvasive Endoscopy and Microvasive neurial spirit and risk-taking culture. Like most Urology. successful organizations, we are constantly looking to change, adapt and improve in ways that value • Paul LaViolette, Senior Vice President and unconventional thinking, bold action and original Group President for Cardiovascular, assumed solutions. From the beginning, we have known that management responsibility for three divisions: agility, flexibility and creativity have been — and EP Technologies, Scimed and Target. He continues will remain — the hallmarks of our success. to lead our international business and oversee Corporate Marketing and Corporate Sales. We also strengthened our team by investing in our people. We made significant improvements in our • Fred Colen was named Senior Vice President employee training and development programs. for Cardiovascular Technology, responsible We also improved our vacation policy for all U.S. for worldwide cardiovascular research and employees, and we continued to enhance the com- development. pany contribution to the 401(k) retirement program. Finally, through the introduction of the Performance • Mark Stautberg was named Senior Vice President Achievement and Development Review (PADR) system, for Sales at Scimed, responsible for the new we strengthened our commitment to a compensation cardiovascular sales organization, which serves program that recognizes individual accomplishment. interventional cardiologists, radiologists and vascular surgeons who treat coronary disease and Noteworthy peripheral vascular disease. A number of other events and activities are worth noting. • Four division presidents were named: Jim Feenstra, Target; Dave McClellan, Medi-tech; • Overall, we remained highly profitable, and we John Pedersen, Microvasive Urology; and Mike continued to pay down debt rapidly. By reducing Phalen, Microvasive Endoscopy. debt we strengthened our ability to fund new acquisitions and strategic alliances. • Michael Glynn was named General Manager for Asia Pacific. He leads a strong team that was • Our facilities in Ireland performed well in both distinguished by several promotions including output and productivity, with plans for more pro- Mike Daly, General Manager for Australia; Lim duct transfers and employment increases this year. Poh Lin, Group Marketing Manager for Korea; and Sang Yi, Vice President for North Asia • Boston Scientific Japan again showed itself to Business. be a leader both within the company and in the industry at large. In an environment of increasing • Art Rosenthal, Ph.D., was appointed Chief competition and reimbursement reduction, BSJ Scientific Officer and is working with physicians and the scientific community to help the company
  • 9. grew faster than its markets and increased market Looking ahead leadership in all critical franchises in the world’s Throughout this past year — as throughout others — second largest health care market. we have been guided by our core values. While our execution has not always been flawless, it has always • The Boston Scientific team performed superbly been — and will always be — informed by our best during the year. Particularly impressive was the instincts. As we look ahead, we want to rededicate ability of the sales and marketing teams around ourselves to living up to those values. They define the world to maintain and strengthen leadership us as a company and as individuals. They motivate positions in most of our markets in the face of our mission, our work and our actions. stiff competition. In the coming year we will maintain our focus on • We reached an agreement with Guidant Innovation and Operational Excellence. We will carry Corporation to settle all outstanding litigation, the momentum of the improvements and achieve- which consisted of a number of lawsuits in the ments of the past year into 2001. The changes we U.S. and Europe in which each had accused the have put in place have begun to show results and other of patent infringement. will show even more in the future. • While a jury ruled in our favor on five of six Above all, we will continue to provide our customers claims in a patent infringement dispute with the most innovative and effective products and tech- Johnson & Johnson, J&J was awarded a $324 nologies that help them deliver the highest quality million verdict based on one finding of infringe- care to their patients. For all of you who have joined ment. We disagree with this finding, and we us in this endeavor, we thank you for your support believe the verdict is excessive, but it is not the and welcome your partnership as we continue final word. Several additional legal stages remain our journey. to be played out, and we believe in the end the lone finding of infringement will not stand. Respectfully, • We remained active in the public policy arena, adding our voice to the national and inter- national dialogue on issues affecting our industry, particularly those involving the develop- ment of technology and the delivery of health care. We will continue to contribute to the debate Jim Tobin Pete Nicholas on these issues, advocating sound policies and President and Chief Chairman of the Board appropriate reforms on regulation, reimburse- Executive Officer ment, international trade, harmonization of global regulatory standards, funding for scientific research and other important issues. • As has been reported elsewhere, our relationship with Medinol remains unresolved at this writing. We have been engaged in negotiations to acquire them, but the process has taken longer than we had anticipated. While we hope to reach an agreement, we are proceeding aggressively with our own stent development program. The rapid pace of innova- tion in the coronary stent market demands that we resolve our relationship with Medinol one way or another, and we are committed to doing so.
  • 10. leadership i n n o va t i o n healing We are focused 14,000 employees • 15 technology centers • direct marketing and sales operations in 40 countries • specialties: cardiology, electrophysiology, endoscopy, endourology, specialties: electrophysiology, endoscopy, endourology, interventional cardiology, interventional neuroradiology, interventional neuroradiology, surgical oncology interventional radiology, oncology, vascular surgery
  • 11. ...on advancing less invasive medicine to its fullest potential. No company has been bolder in pushing the boundaries of discovery and exploring better therapies for patients. No company can match our global reach, or our breadth and depth of products across such a wide range of medical specialties. No one has more talented and capable people inspired by shared values and an unwavering mission. A Leading Role in the Less Invasive Medical Device Market others Boston Scientific has boston scientific 23% 27 % remained the undisputed leader in less invasive medicine since it pioneered this field. tyco/mallinckrodt Leadership of such duration 3% comes from a sustained cook, inc. willingness to take risks, 3% literally creating new markets. Our research philosophy c.r. bard focuses not only on developing 7% products that strengthen our guidant medtronic 12% presence in the markets we 9% serve but on finding solutions 16% that meet diverse and complex johnson & johnson patient needs. Source: IMS Health projections for the four quarters ending September 30, 2000.
  • 12. leadership i n n o va t i o n healing We are determined 37 new products cleared by the fda • 345 u.s. patents issued • 479 u.s. patent applications filed
  • 13. ...to continue to create new tech- nologies and products that save and improve lives. This is both our heritage and our future. By combining the best people and practices with the insights of the world’s leading physicians, we will take innovation to an even higher level. Our collaboration with our physician partners will help develop even more new therapies, provide even better care and make it possible for even more people to lead active and fulfilling lives. Leading through technology Boston Scientific’s leadership is tied closely to its many technology innovations, resulting in new products and ongoing product improvements, as the following examples illustrate: The Atlantis™ SR IVUS (intravas- Our new NIRoyal™ Elite Monorail™ The GDC® SynerG™ Detachment cular ultrasound) imaging catheter Stent System represents our most System is used in treating brain brings new capabilities to the diagnosis advanced stent placement system. It aneurysms. The latest improvements of coronary artery disease. It is the combines several of our most current in the Guglielmi Detachable Coil only commercially available 40MHz and innovative technologies in one focus on making it possible to detach IVUS catheter compatible with product, providing excellent stent a coil more accurately, efficiently smaller, increasingly popular 6 visualization, vessel support and and consistently. French guiding catheters, and its ease of delivery. high frequency makes images easier to read.
  • 14. leadership i n n o va t i o n healing We are committed less invasive surgery impacts quality of life: faster recovery time • fewer complications • less trauma • quicker return to normal activities
  • 15. ...to improving the quality of life for patients, their families and loved ones. We are passionate about our work because we know we make a difference in countless lives. We come from many cultures. We live in many countries. We speak many languages. Yet we are united by one belief: that together we can change health care for the better, not just for a few patients, but for thousands around the world. In the end, it all comes down to people. “It’s clear from all aspects — administrative, engineering, “Boston Scientific’s products are without peer. They are sales and marketing — that Boston Scientific’s primary focus innovative and ergonomically well designed with a lot of is on patients. It’s clear in everything they do. One of the best physician input, and they’re a clear leader in the marriage things about working with Boston Scientific is that they bring of coatings and devices. It’s a company of great integrity.” the development engineers to the table early on to work with Dr. Joseph Macaluso the docs who will use their products. No other company does Managing Director it like Boston Scientific.” The Urologic Institute of New Orleans Dr. Douglas Coldwell Interventional Radiologist Good Samaritan Hospital, Phoenix
  • 16. boston scientific Approximately 9,000p 75,000 U.S. patients had Medi-tech artnering urologists venous access products implanted Approximately 130,000 new cases per year of colon cancer are diagnosed in the U.S. 8,000 Over 75,000 partnering interventional radiologists aneurysms treated worldwide with the GDC® coil Approximately 100,000procedures performed in the U.S. using EPT products 750,000pati ents treated worldwide using Scimed balloon catheters Over 250,000pat ients worldwide Approximately have advanced coronary artery disease 8,000p artnering vascular surgeons Approximately 9,000p artnering gastroenterologists 1,700,000 angioplasty procedures performed worldwide using Scimed products Over 1,000,000 cases per year of primary liver cancers diagnosed worldwide 1,100,000 new and recurrent cases of coronary attack occur each year in the U.S. Over 805,000 procedures for stone management performed worldwide using Microvasive products Over 90,000 Approximately 1,000 venous access procedures for infusion therapies and hemodialysis performed worldwide using partnering interventional Medi-tech Vaxcel™ products neuroradiologists and neurosurgeons
  • 17. for the year 2000 boston scientific and subsidiaries Consolidated Financial Statements Financial Table of Contents management’s discussion and analysis of financial condition and results of operations . . . .f-2 consolidated statements of operations . . . . . . . . .f-13 consolidated balance sheets . . . . . . . . . . . . . . . . . .f-14 consolidated statements of stockholders’ equity . .f-16 consolidated statements of cash flows . . . . . . . . .f-17 notes to consolidated financial statements . . . . . .f-18 report of independent auditors . . . . . . . . . . . . . . .f-42 five-year selected financial data . . . . . . . . . . . . . .f-43 quarterly results of operations . . . . . . . . . . . . . . .f-44 market for the company’s common stock and related matters . . . . . . . . . . . . . . . . . . . . . . . . .f-45 boston scientific and subsidiaries f-1
  • 18. Management’s Discussion and Analysis of Financial Condition and Results of Operations Gross profit as a percentage of net sales increased from Results of Operations 65.3% in 1999 to 68.8% in 2000. The improvement Years Ended December 31, 2000 and 1999 in gross margin in 2000 is due primarily to the Net sales for the year ended December 31, 2000 were recording of a pre-tax provision of $62 million for $2,664 million as compared to $2,842 million in excess NIR® stent inventories and purchase commit- 1999, a decline of 6 percent. Net sales were adversely ments during the third quarter of 1999. The improve- affected by approximately $30 million arising from ment is also due to benefits that the Company realized foreign currency fluctuations compared to the prior through its increased ability to better manage inventory year. Net income for 2000 was $373 million, or and lower product costs, partially offset by a shift in $0.91 per share (diluted), as compared to net income the Company’s product sales mix. for 1999 of $371 million, or $0.90 per share. The Company’s new stent systems launched in the United States (U.S.) revenues decreased approximately U.S. in the first quarter of 2001 will negatively impact 9% to $1,577 million during 2000, while interna- gross margins because the systems include more tional revenues decreased approximately 1% to $1,087 expensive gold-coated stents with higher costing delivery million. The decrease in worldwide sales was princi- systems. Further, the Company’s ability to effectively pally attributable to a decline in the Company’s sales manage its mix and levels of inventory, including con- of coronary stents and balloons, primarily in the U.S. signment inventory, as the Company transitions to Worldwide coronary stent revenues and worldwide new products will be critical in minimizing excess coronary balloon revenues were approximately $427 inventories. million and $357 million, respectively, during 2000, Medinol Ltd. (Medinol), an Israeli company, is the compared to $604 million and $429 million, respec- supplier of the NIR® coronary stent. Any unforeseen tively, during 1999. delays, stoppages or interruptions in the supply The worldwide coronary stent market is dynamic and and/or mix of NIR® stent inventory could adversely highly competitive, with significant market share affect the operating results and/or revenues of the volatility. In addition, technology and competitive Company. Generally, the Company has less control offerings in the market are constantly changing. over inventory manufactured by third parties as The Company’s reduction in coronary stent revenues compared to inventory manufactured internally. during 2000 reflects this volatility. The decline in Furthermore, the purchase price of NIR® coronary balloon revenues during 2000 results from new prod- stents, the amount of NIR® coronary stent sales as a uct offerings by the Company’s competitors as well as percentage of worldwide sales and the mix of coronary a trend towards fewer balloons being used in stent stent platforms could significantly impact gross mar- procedures. In early 2001, the Company received gins. As average selling prices for the NIR® stents fluc- approval from the U.S. Food and Drug Administra- tuate, the Company’s cost to purchase the stents will tion to market four NIR ® coronary stent systems as change, because cost is based on a constant percentage well as its Maverick® balloon dilatation catheter in the of average selling prices. Therefore, if higher-costing U.S. The Company believes the launch of these new NIR® stents are being sold as average selling prices are products will enable the Company to remain compet- declining, gross margins could be negatively impacted. itive in these markets. However, stent revenues for At December 31, 2000, the Company had approxi- 2001 will be impacted by continued volatility in the mately $149 million of net NIR® coronary stent inven- worldwide coronary stent market, product develop- tory and was committed to purchase approximately ment and the timing of submission for and receipt of $32 million of NIR® stents from Medinol. Worldwide regulatory approvals to market next generation coro- NIR® coronary stent sales as a percentage of worldwide nary and peripheral stent platforms in the U.S. and sales were approximately 15% in 2000 compared to international markets. All of these factors could also approximately 20% in 1999. The Company’s relation- negatively impact the Company’s ability to transition ship with Medinol has been contentious, and the to new products and to continue to offer competitive Company’s ability to manage its relationship with stent products. Stent revenues for 2001 may be nega- Medinol could impact the future operating results of tively impacted by a reduction in average selling prices the Company. due to competitive pressures. f-2 boston scientific and subsidiaries
  • 19. Management’s Discussion and Analysis of Financial Condition and Results of Operations (continued) During the third quarter of 2000, the Company the Company expects to make during 2001 with the approved and committed to a global operations plan remainder being primarily severance costs for employees which encompasses a series of strategic initiatives to terminated during 2001 but paid out in 2001 and increase productivity and enhance innovation. The 2002. The Company anticipates that these cash out- plan includes manufacturing process and supply chain lays will be funded from cash flows from operating programs and a plant optimization initiative. The activities and from the Company’s borrowing capacity. manufacturing process and supply chain programs The cash outlays include severance and outplacement are designed to lower inventory levels and the cost of costs, transition costs and capital expenditures related manufacturing and to minimize inventory write- to the plan. The success of the initiative may be downs. Gross margin benefits will not be fully realized dependent on the Company’s ability to retain existing until manufacturing processes are improved and his- employees and attract new employees during the tran- torical inventories are sold. sition period. The intent of the plant optimization initiative is to The Company estimates that the global operations better allocate the Company’s resources by creating a plan will achieve pre-tax operating savings, relative to more effective network of manufacturing and research the base year of 1999, of approximately $100 million and development facilities. It will consolidate manu- in 2001, $220 million in 2002 and $250 million in facturing operations along product lines and shift sig- annualized savings thereafter. Incremental pre-tax nificant amounts of production to Company facilities savings expected to be realized in 2001 relative to in Miami and Ireland and to contract manufacturing. 2000 are estimated to be approximately $30 million. The Company’s plan includes the discontinuation These savings will be realized primarily as reduced cost of manufacturing activities at two facilities in the U.S. of sales and are expected to help mitigate gross margin and the closure of a third facility. The Company pressures resulting from the launch of higher costing expects that the plan will be substantially completed stents and stent delivery systems. Additionally, the over the next twelve months. During 2000, the Com- Company intends to use a portion of these savings, pany recorded a pre-tax special charge of approximately when generated, to increase its investment in research $58 million associated with the plant optimization and development. initiative. The charge relates to severance and outplace- Selling, general and administrative expenses as a ment costs for the approximately 1,950 manufacturing, percentage of sales increased from 30% of sales in manufacturing support and management employees 1999 to 33% in 2000 and increased approximately who are expected to be affected by the plan over the $25 million from 1999 to $867 million. The increase next twelve months. Less than $1 million had been in expenses as a percentage of sales in 2000 is prima- charged against the related accrual for the approximately rily attributable to the reduction in sales combined 10 employees terminated pursuant to the plan as of with an increase in costs incurred to strengthen and December 31, 2000. In addition, during 2000, the retain the Company’s field sales force and to expand Company recorded pre-tax costs of $11 million as cost its direct sales presence in international regions. The of sales related to transition costs associated with the Company’s ability to retain its established sales force plant optimization plan and accelerated depreciation may impact the operating results of the Company. on fixed assets whose useful lives have been reduced as a result of the initiative. During 2001, the Company Amortization expense remained at approximately estimates that it will record pre-tax expenses of 3% of net sales while decreasing 1% from $92 million approximately $70 million as cost of sales related in 1999 to $91 million in 2000. to the plant optimization initiative, primarily for transition costs, accelerated depreciation and Royalties decreased approximately 20% from $46 mil- abnormal production variances related to under- lion in 1999 to $37 million in 2000. The reduction utilized plant capacity. in royalties is primarily due to non-recurring expenses of approximately $7 million recorded during 1999. The Company expects that it will make total cash The Company continues to enter into strategic tech- outlays, net of proceeds from building and fixed nological alliances, some of which include royalty asset sales, of approximately $115 million for the plant commitments. optimization initiative, $85 million of which boston scientific and subsidiaries f-3
  • 20. Management’s Discussion and Analysis of Financial Condition and Results of Operations (continued) Research and development expenses remained at in the U.S. has also resulted in more complex billing approximately 7% of net sales while increasing 1% and collection procedures. The Company’s ability to from $197 million in 1999 to $199 million in 2000. react effectively to the changing environment may The investment in research and development dollars impact its bad debt and sales allowances in the future. reflects spending on new product development pro- Further, the U.S. marketplace is increasingly charac- grams as well as regulatory compliance and clinical terized by consolidation among health care providers research. The Company continues to be committed and purchasers of medical devices that prefer to limit to refining existing products and procedures and to the number of suppliers from which they purchase developing new technologies that can reduce risk, medical products. There can be no assurance that trauma, cost, procedure time and the need for after- these entities will continue to purchase products from care. In 2001, the Company expects to increase its the Company. investment in research and development over 2000 International markets are also being affected by eco- levels to fund the development of new products and nomic pressure to contain reimbursement levels and clinical trials, including the Company’s drug-coated health care costs. The Company’s ability to benefit stent program, the carotid program and an internally from its international expansion may be limited by developed stent platform. Additionally, the Company risks and uncertainties related to economic conditions plans to expand its research and development teams to in these regions, regulatory and reimbursement enhance the Company’s product development, clinical approvals, competitive offerings, infrastructure devel- affairs and regulatory compliance capabilities in 2001 opment, rights to intellectual property and the ability and beyond. of the Company to implement its overall business Interest expense decreased from $118 million in 1999 strategy. Any significant changes in the competitive, to $70 million in 2000. The overall decrease in inter- political, regulatory or economic environment where est expense is primarily attributable to a lower average the Company conducts international operations may debt balance. Other income (expense), net, changed have a material impact on revenues and profits, espe- from expense of approximately $9 million in 1999 cially in Japan given its high profitability relative to income of approximately $17 million in 2000. to its contribution to revenues. Deterioration in the The change is primarily due to an increase in net gains Japanese and/or emerging markets economies may recognized on sales of available-for-sale securities impact the Company’s ability to grow its business and and to an increase in gains on derivative financial to collect its accounts receivable. Additionally, the instruments. trend in countries around the world toward more stringent regulatory requirements for product clear- The Company’s effective tax rate, including the impact ance and more vigorous enforcement activities has of restructuring-related charges and credits, decreased generally caused or may cause medical device manu- from 34% in 1999 to 29% in 2000. Excluding the facturers to experience more uncertainty, greater risk impact of restructuring-related charges and credits, and higher expenses. These factors may impact the rate the Company’s effective tax rate decreased from 34% at which Boston Scientific can grow. In addition, the in 1999 to 30% in 2000. The decrease is primarily impact of selling higher costing stents, the cost of attributable to a shift in the mix of the Company’s maintaining the Company’s sales force and increasing U.S. and international businesses. Management cur- its investment in research and development is expected rently estimates that the 2001 effective tax rate will to result in lower operating margins for 2001. remain at approximately 30%. However, the effective However, management believes that it is positioning tax rate could be negatively impacted by acquisitions of the Company to take advantage of opportunities that businesses contemplated by the Company in 2001. exist in the markets it serves. Uncertainty remains with regard to future changes within the health care industry. The trend toward managed care and economically motivated and more sophisticated buyers in the U.S. may result in continued pressure on selling prices of certain products and resulting compression on gross margins. In addition to impacting selling prices, the trend to managed care f-4 boston scientific and subsidiaries
  • 21. Management’s Discussion and Analysis of Financial Condition and Results of Operations (continued) Years Ended December 31, 1999 and 1998 Selling, general and administrative expenses as a per- Net sales increased 27% in 1999 to $2,842 million as centage of sales decreased from 34% of sales in 1998 to compared to $2,234 million in 1998. The 1999 30% of sales in 1999 and increased approximately $87 results include the operations of Schneider Worldwide million from 1998 to $842 million. The decrease as a (Schneider), which was acquired in the third quarter percentage of sales is primarily attributable to the of 1998. On a pro forma basis, assuming Schneider increase in sales due to the launch of coronary stents revenues had been included in all of 1998, net sales in the U.S. and Japan, the realization of synergies as in 1999 increased approximately 14%. Net income the Company integrated Schneider into its organiza- for 1999 was $371 million or $0.90 per share (diluted) tion, and improved returns in Asia Pacific and Latin as compared to a reported net loss for 1998 of America as the Company continued to leverage its $264 million, or $0.68 per share, including direct sales infrastructure. The increase in expense merger-related charges and credits of $667 million dollars is primarily attributable to higher selling ($527 million, net of tax). expenses as a result of the launch of coronary stents in the U.S., increased costs to expand the Company’s U.S. revenues increased approximately 25% to $1,741 direct sales presence in Asia Pacific and Latin America, million during 1999, while international revenues and increased legal expenses. increased approximately 31% to $1,101 million. Without the impact of foreign currency exchange rates Amortization expense increased from $53 million on translation of international revenues, worldwide in 1998 to $92 million in 1999 and increased as a sales for 1999 increased approximately 25%. The percentage of sales from 2% to 3%. The increase is increase in sales was primarily attributable to the primarily a result of the amortization of intangibles inclusion of Schneider sales for the entire year and related to the purchase of Schneider. the Company’s sales of coronary stents in the U.S. Royalty expense increased approximately 48% from and Japan. U.S. coronary stent revenues and world- $31 million in 1998 to $46 million in 1999. The wide coronary stent revenues, primarily sales of the increase in royalties is primarily due to royalty obliga- NIR® stent, were approximately $409 million and tions assumed in connection with the Schneider $604 million, respectively, during 1999, compared acquisition and payments made to Medinol on sales to $211 million and $324 million, respectively, during of internally developed stent platforms. 1998. Worldwide NIR® coronary stent sales as a percentage of worldwide sales were approximately 20% Research and development expenses decreased as in 1999 compared to approximately 13% in 1998. a percentage of sales from 9% in 1998 to 7% in 1999. Research and development expenses were $200 mil- Gross profit as a percentage of net sales decreased lion in 1998 and $197 million in 1999. The decrease from 67.1% in 1998 to 65.3% in 1999. The decrease as a percentage of sales is primarily attributable to the in gross margin is primarily due to a provision recorded launch of coronary stents in the U.S. and Japan and in the third quarter of 1999 of $62 million for excess the realization of synergies in connection with the NIR® stent inventories and purchase commitments. Schneider acquisition. The excess position was driven primarily by a shortfall in planned third-quarter NIR® stent revenues, a During 1999, the Company identified and reversed reduction in NIR® stent sales forecasted for 1999 and restructuring and merger-related charges of $10 million 2000, and strategic decisions regarding versions of no longer deemed necessary. These amounts related the NIR® stent system to be launched. In the third primarily to the restructuring charges accrued in the quarter of 1998, the Company provided $31 million fourth quarter of 1998 and reflect the reclassification for costs associated with the Company’s decision to of assets from held-for-disposal to held-for-use recall voluntarily the NIR ON® RangerTM with SoxTM resulting from management’s decision to resume a coronary stent system in the U.S. Excluding these development program previously planned to be elimi- charges, gross margins were 67.5% and 68.1% for nated. In addition, estimated severance costs for 1998 1999 and 1998, respectively. Gross margins during initiatives were reduced as a result of attrition. During 1999 were positively impacted compared to 1998 by a 1998, the Company recorded merger-related charges reduction in other inventory charges. However, the and credits of $667 million ($527 million, net of tax) reduction was offset by a decrease in average selling primarily related to purchased research and develop- prices and increased manufacturing costs. ment acquired in the $2.1 billion cash purchase of boston scientific and subsidiaries f-5
  • 22. Management’s Discussion and Analysis of Financial Condition and Results of Operations (continued) Schneider. On September 10, 1998, the Company native future uses. Accordingly, the value attributable consummated its acquisition of Schneider, formerly to these projects was immediately expensed at acquisi- a member of the Medical Technology Group of Pfizer tion. If the projects are not successful or completed in Inc. The acquisition was accounted for using the a timely manner, the Company may not realize the purchase method of accounting. The consolidated financial benefits expected for these projects. financial statements include Schneider’s operating The income approach was used to establish the fair results from the date of acquisition. values of the purchased research and development. The aggregate purchase price of the Schneider acqui- This approach established the fair value of an asset sition has been allocated to the assets acquired and by estimating the after-tax cash flows attributable liabilities assumed based on their estimated fair values to the in-process project over its useful life and then at the date of acquisition. The estimated excess of pur- discounting these after-tax cash flows back to a present chase price over the fair value of the net tangible assets value. Revenue estimates were based on estimates of acquired was allocated to specific intangible asset cate- relevant market sizes, expected market growth rates, gories with the remainder assigned to excess of cost expected trends in technology and expected product over net assets acquired. At December 31, 2000, the introductions by competitors. In arriving at the value net intangibles recorded in connection with the of the in-process research and development projects, Schneider acquisition, including the excess of cost the Company considered, among other factors, the over net assets acquired, represented 39% and 70% of in-process project’s stage of completion, the complexity the Company’s total assets and stockholders’ equity, of the work completed as of the acquisition date, the respectively. Core technology, developed technology, costs already incurred, the projected costs to com- assembled workforce, trademarks and patents are plete, the contribution of core technologies and other being amortized on a straight-line basis over periods acquired assets, the expected introduction date, and ranging from 9 to 25 years. The Company is amortiz- the estimated useful life of the technology. The dis- ing the value assigned to customer lists (relationships) count rate used to arrive at a present value as of the over 25 years because it has been the Company’s date of acquisition was based on the time value of experience that physician and hospital relationships money and medical technology investment risk are built for the long term and fundamental to the factors. For the Schneider purchased research and Company’s business of bringing innovative products development programs, a risk-adjusted discount rate to market. The Company realizes that maintaining of 28% was utilized to discount the projected cash these and similar relationships will require ongoing flows. The Company believes that the estimated efforts. However, both Schneider and the Company purchased research and development amounts so have over a 20-year history of working closely with determined represent the fair value at the date of interventionalists and their institutions for both vas- acquisition and do not exceed the amount a third party cular and nonvascular applications, and management would pay for the projects. believes these relationships will continue to benefit the The most significant Schneider purchased research Company. In addition, after considering the long- and development projects that were in-process at term prospects for the less invasive medical device the date of acquisition were brachytherapy, devices industry and the fundamental role of catheter-based for aneurysmal disease and coronary stents, which interventional medicine, as well as Schneider’s com- represented approximately 26%, 20% and 16% of the petitive position within the industry, management in-process value, respectively. Set forth below are concluded that it is appropriate to amortize the excess descriptions of these in-process projects, including of the Schneider purchase price over the fair value of their status at the end of 2000. the assets acquired over 40 years. Finally, the Company recorded a $671 million ($524 million, net The brachytherapy system is an intravascular radiation of tax) charge to account for purchased research and system designed to reduce clinical restenosis after development. The valuation of purchased research and a balloon angioplasty and/or a stent procedure. The development, for which management is primarily system consists of a computer-controlled afterloader, responsible, represents the estimated fair value at the beta radiation source, centering catheter, source date of acquisition related to in-process projects. As of delivery wire and dummy wire. As of the date of acqui- the date of acquisition, the in-process projects had not sition, the project was expected to be completed and yet reached technological feasibility and had no alter- the products commercially available in the U.S. within f-6 boston scientific and subsidiaries
  • 23. Management’s Discussion and Analysis of Financial Condition and Results of Operations (continued) two to three years, with an estimated cost to complete approximately $62 million, most of which represented of approximately $5 million to $10 million. severance and related costs. Approximately $36 mil- lion of the total was capitalized as part of the purchase The aneurysmal disease projects are endoluminal price of Schneider. The remaining $26 million was grafts for the treatment of late stage vascular aneurysms charged to operations during 1998. In addition, as and occlusions. The most significant of the projects part of the Schneider acquisition, the Company capi- in this category at the date of acquisition was the endo- talized estimated costs of approximately $16 million luminal graft for the treatment of abdominal aortic to cancel Schneider’s contractual obligations, primarily aneurysms. As of the date of acquisition, the projects with its distributors. were expected to be completed and the products commercially available in the U.S. within two to three The Company substantially completed its rationaliza- years, with an estimated cost to complete of approxi- tion plan in 1999, including the closure of five mately $10 million to $15 million. Schneider facilities as well as the transition of manu- facturing for selected Boston Scientific product lines Coronary stent systems underway at the date of acqui- to different sites. Approximately 1,800 positions were sition were stent systems for native coronary artery eliminated (resulting in the termination of approxi- disease, saphenous vein graft disease, and versions with mately 1,500 employees) in connection with the novel delivery systems. The Company believes that the rationalization plan, and the anticipated cost savings stent systems will be especially helpful in the treatment have been achieved. As noted previously, in the third of saphenous vein graft disease. As of the date of quarter of 1999, the Company identified and reversed acquisition, the projects were expected to be completed restructuring and merger-related charges of $10 mil- and the products commercially available for sale in the lion no longer deemed necessary. During 1999, the U.S. within one year with an estimated cost to com- costs related to the transition of manufacturing plete of approximately $1 million to $3 million. operations were not significant and were recognized in operations as incurred. In the second quarter of 2000, the brachytherapy project was discontinued due to system performance The 1998 rationalization plan also resulted in the issues. However, the Company recently outsourced decision to expand, not close, the Target Thera- this project to a third party in which it holds a minority peutics, Inc. (Target) facilities originally provided for interest. As part of a subsequent project consolidation in a 1997 merger-related charge and to relocate other program, the Schneider abdominal aortic aneurysm product lines to those Target facilities. In the fourth project has been integrated with another internal quarter of 1998, the Company reversed $21 million of project. As a result, the Company will pursue the previously recorded merger-related charges, of which development of next-generation products for aortic $4 million related to facility costs and which also aneurysmal disease with an integrated platform while included reductions for revisions of estimates relating minimizing duplicative research and development. to contractual commitment payments, associated legal The cost of the development is still estimated to be in costs and other asset write-downs originally provided the range of approximately $10 million to $15 million. for as a 1997 merger-related charge. The coronary stent projects have been completed. In the second quarter of 1998, the Company realigned During 1998, the Company established a rationaliza- its operating units and decided to operate Target inde- tion plan in conjunction with the consummation of pendently instead of as a part of its vascular division the Schneider acquisition, taking into consideration as was planned at the date of the Target acquisition. duplicate capacity as well as opportunities for further Management believed that an independent Target leveraging of cost and technology platforms. The would allow the business unit to develop its technolo- Company’s actions, approved and committed to in gies and markets more effectively than it would as part the fourth quarter of 1998, included the planned of the vascular division. As a result of this decision, displacement of approximately 2,000 positions, over the Company reversed $20 million of 1997 Target half of which were manufacturing positions and would merger-related charges primarily related to revised result in annualized cost savings of approximately estimates for costs of workforce reductions and costs $50 million to $75 million. During the fourth quarter of canceling contractual commitments. In addition, of 1998, the Company estimated the costs associated the Company recorded purchased research and with these activities, excluding transition costs, to be development of approximately $11 million in connection boston scientific and subsidiaries f-7
  • 24. Management’s Discussion and Analysis of Financial Condition and Results of Operations (continued) with another acquisition consummated during 1998, at December 31, 2000, and 1999, respectively, at and, in the fourth quarter of 1998, the Company weighted-average interest rates of 8.00% and 6.70%, recorded $30 million of year-end adjustments related respectively. In addition, the Company had approxi- primarily to write-downs of assets no longer deemed mately $187 million and $421 million in revolving to be strategic. The assets related primarily to inventory, credit facility borrowings outstanding at December 31, long-lived and intangible assets that the Company did 2000 and 1999, respectively, at weighted-average not believe would be sold or realized, respectively, interest rates of 4.54% and 6.66%, respectively. because of revisions to and terminations of strategic At December 31, 2000, the revolving credit facilities alliances. The provisions were recorded as costs of totaled $1.65 billion, consisting of a $1.0 billion credit sales ($12 million), selling, general and administrative facility that terminates in June 2002, a $600 million expenses ($12 million), amortization expenses 364-day credit facility that terminates in September ($2 million), royalties ($2 million), research and 2001 and a $50 million uncommitted credit facility. development expenses ($1 million) and other expenses The revolving credit facilities also support the Com- ($1 million). pany’s commercial paper borrowings. Use of the borrowings is unrestricted and the borrowings are Interest expense increased from $68 million in 1998 unsecured. The revolving credit facilities require the to $118 million in 1999. The overall increase in Company to maintain a specific ratio of consolidated interest expense was primarily attributable to a higher funded debt (as defined) to consolidated net worth average outstanding debt balance borrowed in con- (as defined) plus consolidated funded debt of less than junction with the Schneider acquisition. or equal to 60%. As of December 31, 2000, the ratio was approximately 26%. The Company’s effective tax rate, including the impact of merger-related charges and credits, was approxi- The Company has the ability to refinance a portion mately 4% in 1998 and 34% in 1999. The Company’s of its short-term debt on a long-term basis through pro-forma effective tax rate, excluding the impact of its revolving credit facilities. The Company does merger-related charges and credits, increased from not expect that its short-term borrowings as of December approximately 33% in 1998 to 34% in 1999. The 31, 2000, will remain outstanding beyond the next increase is primarily attributable to a shift in the mix twelve months and, accordingly, the Company has not of the Company’s U.S. and international business. reclassified any of the short-term borrowings as long- term at December 31, 2000, compared to $108 million of such reclassifications at December 31, 1999. Liquidity and Capital Resources In March 1998, the Company issued $500 million of seven-year senior notes. The senior notes bear a Cash and short-term investments totaled $60 million coupon of 6.625% payable semi-annually, and are not at December 31, 2000, compared to $78 million redeemable prior to maturity or subject to any sinking at December 31, 1999. The Company had $173 mil- fund requirements. lion of working capital at December 31, 2000 as com- pared to current assets equaling current liabilities at The Company had 6.0 billion Japanese yen (translated December 31, 1999. The increase in working capital is to approximately $53 million and $58 million primarily due to the repayment of approximately $340 at December 31, 2000 and 1999, respectively) of million of short-term debt obligations using the borrowings outstanding with a syndicate of Japanese Company’s cash flows from operations, partially offset banks. The interest rate on the borrowings is 2.37% by changes in other working capital accounts. Cash and the borrowings are payable in 2002. In addition, proceeds during 2000 were generated primarily from the Company had approximately 1.1 billion Japanese operating activities. Cash proceeds during the period yen (translated to approximately $9 million) and 1.2 were partially offset by the repayment of approximately billion Japanese yen (translated to approximately $12 $447 million of outstanding short-term and long- million) of borrowings outstanding from a Japanese term debt obligations and purchases of the Company’s bank used to finance a facility construction project common stock of approximately $222 million. at December 31, 2000, and 1999, respectively. The interest rate on the borrowings is 2.1% and principal The Company had approximately $56 million and payments are due semi-annually through 2012. $277 million of commercial paper outstanding f-8 boston scientific and subsidiaries
  • 25. Management’s Discussion and Analysis of Financial Condition and Results of Operations (continued) The Company has uncommitted Japanese credit facil- On February 15, 2001, the Company announced the ities with several Japanese banks, which provided for signing of a definitive agreement to acquire borrowings and promissory notes discounting of up to Interventional Technologies, Inc (IVT). IVT develops, 15.0 billion Japanese yen (translated to approximately manufactures and markets minimally invasive devices $131 million) and 11.5 billion Japanese yen (translated for use in interventional cardiology, including the Cutting BalloonTM catheter and the Infiltrator® trans- to approximately $112 million) at December 31, 2000 and 1999, respectively. There was $12 million in bor- luminal drug delivery catheter. Boston Scientific will rowings outstanding under the Japanese credit facili- pay approximately $345 million in cash plus additional ties at an interest rate of 1.5% at December 31, 2000 cash amounts contingent upon achieving performance compared to no borrowings at December 31, 1999. At and other milestones. The transaction is subject to December 31, 2000, approximately $108 million of regulatory approval and is expected to be consummat- notes receivable were discounted at average interest ed in the second quarter of 2001. rates of approximately 1.5% compared to $112 million On February 27, 2001, the Company acquired privately of discounted notes receivable at average interest rates held Embolic Protection, Inc., a developer of embolic of approximately 1.4% at December 31, 1999. protection medical devices. Boston Scientific will pay The Company has recognized net deferred tax assets approximately $75 million in cash and assumed restrict- aggregating $226 million at December 31, 2000, and ed stock and options plus additional amounts contin- $238 million at December 31, 1999. The assets relate gent upon achieving certain performance milestones. principally to the establishment of inventory and Contingent payments would be made in cash or stock product-related reserves and purchased research and of Boston Scientific at the Company’s election. development. In light of the Company’s historical On February 28, 2001, the Company announced the financial performance, the Company believes that signing of a definitive agreement to acquire Quanum these assets will be substantially recovered. Medical Corporation (Quanum), a manufacturer of The Company is authorized to purchase on the open medical devices that specializes in drug delivery systems. market and in private transactions up to approximately Boston Scientific will pay an immaterial amount in 60 million shares of the Company’s common stock. stock as initial consideration plus additional payments Stock repurchased under the Company’s systematic contingent upon achieving performance and other plan will be used to satisfy its obligations pursuant to milestones. Contingent payments would be made in its equity incentive plans. Under the authorization, stock of Boston Scientific. the Company may also repurchase shares outside of the On March 5, 2001, the Company announced the Company’s systematic plan. These additional shares acquisition of Catheter Innovations, Inc., a manufac- would principally be used to satisfy the Company’s turer of vascular access products. Boston Scientific will obligations pursuant to its equity incentive plans, but pay an immaterial amount as initial consideration plus may also be used for general corporate purposes, additional payments contingent upon achieving per- including acquisitions. During 2000, the Company formance and other milestones. Contingent payments repurchased approximately 12 million shares at an would be made in cash or stock of Boston Scientific at aggregate cost of $222 million. As of December 31, the Company’s election. 2000, a total of approximately 38 million shares of the Company’s common stock have been repurchased. These acquisition transactions involve contingent payments. The Company expects to make contingent In December 2000, a jury found that the Company’s payments in 2001 of approximately $100 million to NIR® coronary stent infringed one claim of a patent $200 million for performance and other milestones owned by Johnson & Johnson. A final decision has not achieved in connection with these transactions. All yet been entered pending post trial motions. The of these transactions will be accounted for using the Company could be found liable and owe damages purchase method of accounting. of approximately $324 million for past sales, plus interest, and additional damages for sales occurring Management believes it is developing a sound plan to after the jury verdict. The Company expects to appeal integrate these businesses. The failure to successfully any adverse determination and post the necessary integrate these businesses effectively could impair the bond pending appeal. Company’s ability to realize the strategic and financial boston scientific and subsidiaries f-9
  • 26. Management’s Discussion and Analysis of Financial Condition and Results of Operations (continued) objectives of these transactions. As the health care The Company enters into foreign exchange forward environment continues to undergo rapid change, contracts to hedge its net recognized foreign currency management expects that it will continue to focus on transaction exposures for periods consistent with strategic initiatives and/or make additional invest- commitments, generally one to six months. In addi- ments in existing relationships. In connection with tion, on January 1, 2000, the Company initiated a these and other acquisitions consummated during the program to hedge a portion of its forecasted inter- last five years, the Company has acquired numerous company and third-party transactions with foreign in-process research and development projects. As the exchange forward and option contracts upon adoption Company continues to build its research base, it is of the Financial Accounting Standards Board reasonable to assume that it will acquire additional Statement No. 133, “Accounting for Derivative research and development platforms. Instruments and Hedging Activities.” Hedging activity is intended to offset the impact of currency fluctua- Additionally, the Company expects to incur capital tions on forecasted earnings and cash flow. However, expenditures of approximately $100 million during the Company may be impacted by changes in foreign 2001. The Company expects that its cash and cash currency exchange rates related to the unhedged equivalents, marketable securities, cash flows from portion. The success of the hedging program depends, operating activities and borrowing capacity will be in part, on forecasts of transaction activity in various sufficient to meet its projected operating cash needs, currencies (currently the Japanese yen and the euro). including capital expenditures, restructuring The Company may experience unanticipated foreign initiatives, and the above-mentioned acquisitions of currency exchange gains or losses to the extent that businesses. there are timing differences between forecasted and actual activity during periods of currency volatility. Further, the Company continues to engage in negoti- The Company had foreign exchange forward and ations to acquire Medinol. If the Company is success- option contracts outstanding in the total notional ful in its attempt to acquire Medinol, the Company amount of $452 million and $128 million as of will need additional financing capacity to consummate December 31, 2000, and 1999, respectively. The the transaction. Although the Company believes it will Company has recorded approximately $37 million of be able to obtain additional financing, there are no assets and $1 million of liabilities to recognize the fair assurances that additional financing can be or will value of its contracts outstanding on December 31, be obtained. 2000, as compared to an immaterial amount at December 31, 1999. Foreign exchange contracts that hedge net recognized foreign currency transaction exposures should not subject the Company’s earnings Market Risk Disclosures and cash flow to material risk due to exchange rate In the normal course of business, the Company is movements because gains and losses on these contracts exposed to market risk from changes in interest rates should offset losses and gains on the transactions being and foreign currency exchange rates. The Company hedged. Hedges of anticipated transactions may sub- addresses these risks through a risk management ject the income statement to volatility. program that includes the use of derivative financial instruments. The program is operated pursuant to A sensitivity analysis of changes in the fair value of for- documented corporate risk management policies. The eign exchange contracts outstanding at December 31, Company does not enter into any derivative trans- 2000 indicates that, if the U.S. dollar uniformly actions for speculative purposes. weakened by 10% against all currencies, the fair value of these contracts would decrease by $37 million as The Company’s floating and fixed-rate investments compared to a $9 million decrease based on foreign and debt obligations are subject to interest rate risk. exchange contracts outstanding at December 31, 1999. As of December 31, 2000, a 100-basis-point increase While these hedging instruments are subject to fluctu- in interest rates, assuming the amount invested and ations in value, such fluctuations are generally offset borrowed remained constant, would not result in by changes in the value of the underlying exposures a material increase in the Company’s then current being hedged. As the Company has expanded its inter- net interest. national operations, its sales and expenses denominated f-10 boston scientific and subsidiaries