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Haemonetics
Annual Report 2004

HAE · NYSE Healthcare
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Industry Medical - Instruments & Supplies
Employees 1001-5000
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FY2004 Annual Report · Haemonetics
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2004 Annual Report

gaining momentum

leveraging strengths

Haemonetics is the world’s leading supplier of automated blood processing systems

that  support  the  ever-present  demand  for  a  safe,  available  supply  of  blood  for

patient transfusions and for use in pharmaceuticals. Our systems include medical

devices,  the  consumables  used  with  these  devices,  and  the  associated  data

management software. For more than thirty years, we have been innovators in our

market. In that time, we have also earned a solid reputation for technical expertise,

world-class  quality  and  service,  and  operational  excellence.  Today,  we  employ

1,400 people worldwide and market our products in more than 50 countries.

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.

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Table of Contents:

Inside Front Cover: Product Portfolios & Markets

p.1: Financial Highlights

p.2–5: Shareholders’ Letter

p.6–7: Q&A

p.8: Leadership Team p.9: Financials

Inside Back Cover: Corporate Governance

P A R T N E R I N G   F O R   L I F E

product portfolios markets

(at a glance)

&

Plasma Disposable Sales
Dollars in millions

Blood Bank Disposable Sales
Dollars in millions

Red Cell Disposable Sales
Dollars in millions

$110 $114 $114

$112

$103 $100

$22

$16

$11

Surgical Disposable Sales
Dollars in millions

$77

$67 $68

Donor Products
.
.

.

The  Technology

We market our donor products to blood
and plasma collection agencies world-
wide. Each system automates the col-
lection of specific blood components
(plasma, platelets, or red cells), but
they all operate in the same way. Blood
is collected from a donor and flows into
a centrifuge bowl which separates the
blood into its components. The desired
component is directed into a collection
bag, and the remaining blood parts
are returned to the donor. This process
occurs in a sterile, closed-circuit, 
consumable set attached to our device.

’02

’03 ’04

’02

’03 ’04

’02

’03 ’04

Patient Products

’02

’03 ’04

P l a s m a

B l o o d   B a n k

R e d   C e l l

Plasma is transfused to trauma or surgical
patients. More often, though, plasma is used as
a raw material by pharmaceutical companies to
manufacture drugs like IVIG and Factor VIII.

Our PCS(cid:2)2 system automates the collection

of two units of plasma from one donor. Our
technology improves customers’ time and labor
efficiencies, product yields, and donor safety. We
also offer plasma customers data management
software that automates their operations.

There remains increasing demand for plasma-
derived pharmaceuticals, but there is still market
volatility. For example, consolidation has resulted
in many plasma collection centers (our customers)
closing operations, and an oversupply of plasma
has reduced the number of collections needed
in the short term. However, we believe that
supply will soon level with demand and that the
collection industry will return to traditional
growth rates of 2–4%.

Platelets aid in clotting and are often transfused
to cancer patients whose own platelets have
been damaged by chemotherapy.

Our MCS(cid:2) systems automate the collection of

one to two “doses” of platelets from one donor.
These “single donor platelets” benefit patients by
minimizing exposure to certain transfusion risks.
Our technology improves customers’ efficiencies
and product yields. It is the only technology
portable enough for use on mobile blood drives.
The platelet collection market is mature, and
increased collection efficiencies may offset future
increased platelet demand.

Detecting bacteria in platelets is a growing
trend as bacterial contamination poses significant
risks to patients. Bacterial detection may negatively
affect platelet supplies as testing reduces the
limited, five-day shelf life of platelets. Blood
collectors may strategically turn to mobile
platelet collection to increase supplies. Cost
issues may also drive increased automated
platelet collections.

Red blood cells are the most frequently trans-
fused blood component and are often given to
surgical and trauma patients or patients with
anemia-related diseases.

Our MCS(cid:2) systems automate the collection

of two units of red cells from one donor. Our
technology helps customers address operational
challenges by improving efficiencies and yield
while supporting regulatory compliance. Donors
appreciate the ease of donation and the ability 
to help two patients with one donation.

Red cell shortages are a common problem
plaguing healthcare systems. The ability to collect
two units of red cells from one donor using our
technology can have a significant positive effect
on blood supplies. While our technology is taking
hold in the U.S., automated collections with our
system represent only 4% of the 15 million U.S.
red cell collections done annually. Globally, 
this is a largely untapped market, and so we
expect ongoing, significant revenue growth from
this product.

.

.

.

The  Technology

Transfusions replace blood lost during
surgery or trauma. Our patient products
salvage blood lost by the patient, so
he can get back his own blood rather
than receive a transfusion of unknown
donor blood. We market our products
to hospitals and service providers for
different surgeries, but each product
operates in the same way. Blood is
suctioned from a wound site, collected
in a centrifuge, and cleaned. The blood
is transferred to a collection bag and
made available for transfusion back to
the patient. This process occurs in a
sterile, closed-circuit, consumable set
attached to our device.

S u r g i c a l

Our patient products are surgical blood salvage
systems that can reduce or eliminate a patient’s
dependence on donated blood as this carries
risks or the need for a patient to pre-donate his
own blood before surgery. Blood shortages and
rising blood prices have reinforced the benefits 
of surgical blood salvage.

Our Cell Saver(cid:2) system is targeted to rapid and
high volume blood loss surgeries. This is a mature
market which is declining in the U.S. due to
improved surgical techniques minimizing blood
loss and new technology reducing the number 
of open heart surgeries.

Our OrthoPAT(cid:2) system targets orthopedic 
surgeries with slower, lower volume blood loss that
often occurs well after surgery. This is a large,
exciting emerging market that we are only just
beginning to penetrate. The OrthoPAT system
was first to market, and we have no competition.
OrthoPAT sales are driving patient business growth.

financial highlights

$ in millions, except share data

2000

2001

2002

2003

2004

Net revenues
Gross profit
R&D expenses
Total operating expenses
Operating income
Net income

$ 281
131
15
111
20
$ 15

$ 294
142
19
129
13
7

$

$ 320
155
20
118
36
$ 30

$ 337
155
20
117
37
$ 28

$ 364
172
18
126
46
$ 29

Net income per share (diluted)

$0.58

$0.28

$1.11

$1.13

$1.19

Cash flow from operations
Invested cash
Debt

$ 51
61
74

$ 57
74
70

$ 33
68
72

$ 46
50
71

$ 75
118
58

generating positive drop-through

Revenue Growth
Percent Over Prior Year

Gross Margin
Percent of Sales

Operating Margin
Percent of Sales

50

40

30

20

10

0

15

12

8.1

8.9

4.7

5.3

9

6

3

0

-1.4

46.8 48.5 48.4

45.9 47.3

12.6

11.4 11.1

7.3

4.6

’00

’01

’02

’03

’04

’00

’01

’02

’03

’04

’00

’01

’02

’03

’04

1

10

8

6

4

2

0

-2

Brad Nutter
President and CEO

Ronald A. Matricaria
Chairman of the Board

developing new strategies

To Our Shareholders,  2003  was  a  dynamic  year  for  the  financial  community.  Issues  of  trans-
parency, governance, compensation, and financial reporting were brought into public debate. New reg-

ulations have raised the bar for reporting and accountability. Our goal at Haemonetics has always been

to adhere to the very highest standards of corporate governance.

When we assumed our positions at the beginning of the year, we joined a company with strong fun-

damentals—a company with a thirty-year history of leading corporate governance practices, innovation,

and the highest standard in financial reporting. Our commitment to this standard remains unchanged.

With  the  year  complete,  we  also  remain  convinced  that  Haemonetics’  brand  name,  global  market

strength,  and  cash  generating  business  model  are  tremendous  assets  that  can  be  managed  to  deliver

enhanced performance.

We marked this as a transition year, but also as a year that positioned your company for continued

stability  and  increased  shareholder  value.  We  will  not  be  satisfied  until  we  have  identified  additional

areas for future growth. However, we met some significant challenges in the year and are proud of our

accomplishments:

• We implemented financial and operating processes that strengthened our businesses and enhanced

our profitability.

• We gained share in many markets and across all product lines.

• We expanded our partnerships and product portfolio to boost sales.

• We reorganized the business to better respond to customers’ needs and industry trends.

• We diversified and strengthened our leadership team.

• We commenced a rigorous strategic planning process to better identify growth opportunities.

2

Financial and Operating Progress

This year, we moved to annual guidance, recognizing that quarterly fluctuations cannot be planned

with certainty. We met our guidance and reported improved profitability as we leveraged 8% sales growth

into 11% gross profit growth and a 22% increase in operating income. We will continue to focus on

creating positive “drop-through.”

Our consumables business model generates exceptionally strong cash flows. At year end, we had a cash

balance of $118 million, up from $50 million in fiscal 2003, and a debt position of $58 million, down

from $71 million in fiscal 2003. Cash flow from operations increased 60% over fiscal 2003 to $75 million.

Market Share Gains

Many of our markets are mature and highly penetrated. Despite this, we identified opportunities for

expansion, and our sales growth outpaced market growth.

The Plasma industry continues to consolidate and an oversupply of plasma remains. As a result, col-

lections are declining, challenging our part of the industry—plasma collection. We also lost our largest

plasma  customer  when  it  was  acquired.  The  acquiring  company  failed  to  honor  our  supply  contracts

although  these  contracts  were  assumed  in  the  purchase.  We  filed  an  arbitration  claim  to  enforce  the

contracts, and we remain confident in the strength of our case.

Despite the declining market for plasma collections, our disposable sales remained level with fiscal

2003 at $114 million. There is work to be done here, but we are encouraged by our ability to maintain

sales in an adverse market. We believe that once the industry works through its excess plasma inventory,

we are poised to return to historical low single digit growth. We remain focused on solidifying our position

as the supplier of choice to plasma collection centers not owned by our competitor.

Our Blood Bank systems are sold in a mature market, but our disposables revenue increased to $112

million, up 12% over fiscal 2003. We grew platelet collection share in Japan and Europe. We also iden-

tified Canada as a new growth market and signed a marketing agreement with Pall Corporation, giving

us better access to Canadian blood collectors through Pall’s established distribution channel.

In  the  U.S.  blood  bank  market,  where  our  share  is  less  than  10%,  we  are  positioning  for  growth.

Industry experts expect a new mandated test to decrease platelet supplies by 5–10%. To increase supplies,

some blood collectors are adding platelet collection to community blood drives, and our technology is

uniquely designed for this.

meeting commitments .

.

.

Metric

Revenue
Earnings per share
Gross profit margin
Operating margin

FY04 Guidance

FY04 Actual

+7–9%
$1.13 range
44–49%
>11.1%

+8%
$1.19
47%
12.6%

)

3

Exciting growth continued in the Red Cell product line, an emerging market that we created. Global

sales  reached  more  than  $22  million,  44%  over  last  year.  Blood  shortages  and  economics  are  driving

demand for our technology in the U.S. as it enables blood centers to collect twice as much blood from

many donors.

Almost 4% of the 15 million red cell units collected each year in the U.S. are now collected using our

technology. This year, we added twelve new regions of the American Red Cross as customers, so we

now  have  installed  systems  at  more  than  50%  of  their  regions.  Our  systems  are  also  used  across  the

network of the second largest U.S. blood collector. In fiscal 2005, we will focus on partnering with our

customers to accelerate adoption of our red cell technology.

Our Surgical disposables revenue was $77 million, up 12% over fiscal 2003. Demand for our traditional

Cell Saver products is under pressure because of advanced surgical techniques and a decline in open heart

surgeries, and there is no market growth. Despite this trend, we gained some competitive accounts and

increased market penetration.

Our newer OrthoPAT system is the first and only system designed for orthopedic surgical blood salvage.

It is rapidly penetrating this large, untapped market. Disposables revenue was up 67% for the year. In

fiscal 2004, we also renewed our agreement with Zimmer Holdings, our U.S. OrthoPAT marketing partner,

for an additional five years. Zimmer remains a powerful U.S. marketing channel for us.

Expanded Product Portfolio

We expanded our product portfolio through partner marketing agreements. Two examples of this are:

• In Japan, we now sell a patient warming blanket manufactured by Arizant.

• In Europe, Latin America, and Africa, we now sell a platelet bacterial detection system.

These products complement our existing product families without requiring additional development

resources. They are excellent extensions for growth.

Business Reorganization

A  significant  achievement  was  a  business  restructuring  that  expanded  our  customer  base.  Rather

than  viewing  our  customers  as  blood  collectors  or  surgeons,  we  now  define  customers  as  the  blood

donor or surgical patient—the ultimate beneficiary of our products. As a result, we reorganized as two

global product families—Donor and Patient.

The reorganization positioned us for increased efficiency, and we realized some expense reductions.

More significantly, we’ve become more nimble and aggressive in approaching our broader markets.

making progress

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.

.

“

In all, we’re pleased with the year’s progress, but we are not satisfied. It is important

to take the time necessary to review the business and to implement processes that

are the foundation for the long-term growth of your company. We now have many

of those processes in place.”

—Brad Nutter
President and CEO

4

Strengthened Leadership

We continue to build a world-class leadership team, adding people whose strengths and backgrounds

complement those of our existing team. Peter Allen and Brian Concannon joined us as Presidents over the

Donor and Patient Divisions, respectively. Both have significant experience at large healthcare companies.

William Still, formerly in business development at Advanced Respiratory Systems and St. Jude Medical,

joined the Company as Vice President, Strategic Marketing and Business Development. Lawrence Best,

Senior Vice President and Chief Financial Officer at Boston Scientific Corporation, joined our Board

of Directors.

The Future—Haemonetics’ Five-Year Strategic Plan

As a foundation to a five-year strategic planning exercise, we began a rigorous process to identify and

leverage our core competencies to contribute significantly to revenue growth. We defined a core com-

petency as a best in class, unique internal activity that can contribute significant value, is a competitive

advantage, and is able to be leveraged to other market opportunities. The process began with an employee

survey, netting thousands of responses. We tested and qualified this data, refining it to 25 strengths to

analyze. Internal and external validation further distilled this list to three possible core competencies.

These are:

1) A superior level of customer service—Despite competing against multi-billion dollar companies,
we retain and gain market share because we do an excellent job of servicing our customers. For
the fourth consecutive year, we have been awarded the NorthFace Scoreboard Award by our cus-
tomers for world-class service.

2) Rigorous manufacturing process management and control—We have a workforce skilled in appli-
cation  problem  solving.  Using  tools  like  six  sigma  and  Total  Quality  of  Management,  we  have
developed a reputation for quality that is unsurpassed and delivers a real competitive advantage.

3) Robust software development for medical device applications—This stems from our Fifth Dimension
Information Systems subsidiary which designs software for use by blood collectors and hospitals.

The core competency review dissected our business with great specificity. We now will validate that

the above are, in fact, world class core competencies. After this, we will identify ways to leverage them

in other therapeutic classes in the medical device market. This may include marketing partnerships and

acquisitions, but our strategy will foremost consider the creation of shareholder value.

We are already operating with a strategic mission to make our traditional businesses more profitable.

However, we are also working on a more comprehensive, five-year strategic plan. We look forward to

reporting our future results to you.

In all, we’re pleased with the year’s progress, but we are not yet satisfied. It is important to continue to

review  the  business  and  to  implement  processes  as  the  foundation  for  the  long-term  growth  of  your

company. We now have processes in place to identify thoughtful and responsible expansion opportunities.

We thank you, our shareholders, for your support and confidence. We faced serious challenges this

year,  and  we  are  still  in  transition,  but  we  are  confident  in  the  core  competency  review  and  excited

about the direction our strategic plan gives. We also thank our customers for their patronage and our

employees for their commitment to building a company that delivers long-term shareholder value.

5

&QA

leading with a strong team

Q.

Haemonetics’ financials were impacted by several factors in fiscal 2004. What were these?

Five factors significantly impacted our P&L in fiscal 2004. First, we lost a major plasma customer

when the acquiring company breached our supply contract resulting in a revenue loss for us of $7 mil-

lion. Second, we had a 53-week fiscal year as we adjusted our fiscal calendar resulting in a $4.5 million

sales benefit. Third, foreign exchange was favorable. Fourth, our income tax rate increased from 31% to

36%. Fifth, we reorganized the company. Disciplined expense management combined with the factors

Brad Nutter 
President and CEO

above still provided strong positive “drop-through.”

Q.

Haemonetics markets products in mature, slow growth markets. What is driving your

revenue growth faster than market growth?

Three  factors  enabled  us  to  outpace  market  growth.  First,  our  traditional  businesses  gained

market share in some regions. Second, our OrthoPAT and red cell product lines, which address unmet

market needs, grew more than 40%. Third, our emphasis on partnering added products to our offerings.

—Brad Nutter, President and CEO

6

Q.

You have $118 million in cash on your balance sheet. How do you plan to use this cash?

We  are  taking  some  cash  to  invest  more  in  the  business.  We  are  poised  to  exploit  market

trends, and it is the right time to invest in R&D as well as sales and marketing. More importantly, though,

we expect our Core Competency Review process will identify external areas for expansion. These may

be  marketing  partnerships  requiring  no  capital  from  us,  but  they  may  also  be  acquisitions  that  make

strategic and financial sense. We will use our available cash to capitalize on these opportunities.

—Brad Nutter, President and CEO

Q.

The  plasma  industry  has  been  volatile  over  the  past  few  years.  How  has  this  affected

Haemonetics?

Demand  for  the  plasma-derived  drug  IVIG  (intravenous  immunoglobulin)  is  growing  6–8%

each year, driving plasma demand. Currently, there is a significant glut of source plasma in the market and

consolidation  continues  among  fractionators  and  plasma  collectors,  all  resulting  in  plasma  collection

center closures and a reduction in plasma collections. All of this affects us negatively.

In fiscal 2004, plasma disposables revenue was level with fiscal 2003. It may take fractionators

more than a year to work through excess inventories, and we expect lower levels of plasma collection

during this time. Historically, though, the market has always rebounded, and we expect this cycle will

eventually be followed by a cycle of increased plasma collections. On a positive note, on a comparable

center basis in the U.S., our customers are collecting more plasma than the competition.

Q.

The platelet collection market is mature yet you showed strong growth in fiscal 2004. Why

is that? Is it sustainable?

More than 90% of our platelets sales are international, so foreign exchange had a positive impact

on these revenues, but we also had sales successes. We implemented some technology enhancements in

Europe which were well received and we gained modest market share in this region. We expect this trend

to continue. In Japan, under Dr. Sakurada’s leadership, opportunistic sales initiatives and our reputation

for quality led to market share growing four points to an exceptional 76%. Going forward, Pete Allen

sees opportunity in the U.S. where our share is less than 10%. Finally, we are enhancing our platelet

collection platform which will advance our technology and help us retain and gain market share in the

longer term.

Q.

Haemonetics has always been an innovator. What is the next product you expect to

introduce?

The next new product in our pipeline is the CardioPAT(cid:2) device. This is a perioperative sur-
gical  blood  salvage  device  designed  for  use  in  cardiovascular  surgeries  with  low  to  moderate  blood

loss.  The  device  has  a  worldwide  market  potential  of  about  $100–$120  million.  We  expect  the

CardioPAT device to be in limited market release later in fiscal 2005.

7

Pete Allen 
President
D O N O R   D I V I S I O N

Dr. Uli Eckert
President
E U R O P E

Brian Concannon
President
PAT I E N T   D I V I S I O N

leading by example

From left to right:

Ronald A. Matricaria
Chairman

Brad Nutter
Director, President and CEO

Lisa Lopez
Board Secretary, General Counsel and 
VP of Administration

Ronald Gelbman
Director

Harvey Klein, M.D.
Director

Yutaka Sakurada, Ph.D.
Director

Donna Williamson
Director

Benjamin Holmes
Director

Lawrence Best
Director

8

)

governing responsibly

The following are some examples of Haemonetics’ corporate governance principles:

1. Directors
• A majority of our directors are 

independent

• We have three standing committees:

Audit; Management Development and
Compensation; and Nominating and
Governance

• There are executive sessions of

independent directors

• The Board conducts an annual per-

formance review of itself, its committees,
and our CEO

• The Board has an active role in our

strategy

• Directors are encouraged to limit 

directorships to five

• Conflicts of interest are not allowed

• Our Audit Committee reviews earnings

releases, earnings guidance, and
Management’s Discussion and Analysis

• Our Chairman and CEO positions 

are separate

2. Compensation
• We require shareholder approval of

stock plans

• We will not reprice stock options

• We will not make loans to officers 

or directors

• We have stock ownership guidelines for

directors and senior management

3. General
• We have adopted a code of business

conduct

• We have adopted a shareholder 

rights plan

400 Wood Road, Braintree, Massachusetts, USA 02184-9114 / 781.848.7100 / www.haemonetics.com