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STAAR Surgical Company

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FY2019 Annual Report · STAAR Surgical Company
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UNITED STATES 
SECURITIES AND EXCHANGE COMMISSION 
Washington, D.C. 20549 
Form 10-K 

(Mark One) 
☑  ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 

1934 

For the fiscal year ended January 3, 2020 
Or 
☐  TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT 

OF 1934 

For the transition period from          to 
Commission file number: 0-11634 

STAAR SURGICAL COMPANY 

(Exact name of registrant as specified in its charter) 

Delaware 
(State or other jurisdiction of 
incorporation or organization) 
25651 Atlantic Ocean Drive 
Lake Forest, California 
(Address of Principal Executive Offices) 

95-3797439 
(I.R.S. Employer 
Identification No.) 

92630 
(Zip Code) 

(626) 303-7902 
(Registrant’s telephone number, including area code) 
Securities registered pursuant to Section 12(b) of the Act: 

Title of each class 
Common 

Trading Symbol(s) 
STAA 

Name of each exchange on which registered 
NASDAQ 

Securities registered pursuant to Section 12(g) of the Act:  None 

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.  Yes ☑      No ☐ 
Indicate  by  check  mark  if  the  registrant  is  not  required  to  file  reports  pursuant  to  Section 13  or  Section 15(d)  of  the 

Act.  Yes ☐      No ☑

Indicate  by  check  mark  whether  the  registrant  (1) has  filed  all  reports  required  to  be  filed  by  Section 13  or  15(d)  of  the  Securities 
Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and 
(2) has been subject to such filing requirements for the past 90 days. Yes ☑     No ☐ 

Indicate  by  check  mark  whether  the  registrant  has  submitted  electronically  every  Interactive  Data  File  required  to  be  submitted 
pursuant  to  Rule 405  of  Regulation S-T  (§ 232.405  of  this  chapter)  during  the  preceding  12 months  (or  for  such  shorter  period  that  the 
registrant was required to submit such files).    Yes ☑     No ☐ 

Indicate  by  check  mark  whether  the  registrant  is  a  large  accelerated  filer,  an  accelerated  filer,  a  non-accelerated  filer,  a  smaller 
reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting 
company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.  

Large accelerated filer 
Non-accelerated filer  
Emerging growth company 

☑  
☐  
☐  

Accelerated filer 
Smaller reporting company 

☐ 
☐ 

If  an  emerging  growth  company,  indicate  by  check  mark  if  the  registrant  has  elected  not  to  use  the  extended  transition  period  for 

complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).  Yes ☐     No ☑ 

The aggregate market value of the voting and non-voting common equity held by non-affiliates of the registrant as of June 28, 2019, 
the  last  business  day  of  the  registrant’s  most  recently  completed  second  fiscal  quarter,  was  approximately  $1,308,394,773  based  on  the 
closing price per share of $29.38 of the registrant’s Common Stock on that date. 

The registrant has 44,962,983 shares of common stock, par value $0.01 per share, issued and outstanding as of February 20, 2020. 

Portions of the registrant’s definitive proxy statement relating to its 2020 annual meeting of stockholders, which will be filed with the 
Securities  and  Exchange  Commission  pursuant  to  Regulation  14A  within  120  days  of  the  close  of  the  registrant’s  last  fiscal  year,  are 
incorporated by reference into Part III of this report. 

DOCUMENTS INCORPORATED BY REFERENCE 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
STAAR SURGICAL COMPANY 

TABLE OF CONTENTS 

Business 
Risk Factors 
Unresolved Staff Comments 
Properties 
Legal Proceedings 
Mine Safety Disclosures 

Market for Registrant’s Comment Equity, Related Stockholder Matters, and Issuer 
Purchases of Equity Securities 
Selected Financial Data 
Management’s Discussion and Analysis of Financial Condition and Results of Operations 
Quantitative and Qualitative Disclosures About Market Risk 
Financial Statements and Supplementary Data 
Changes in and Disagreements with Accountants on Accounting and Financial Disclosure 
Controls and Procedures 
Other Information 

Directors, Executive Officers, and Corporate Governance 
Executive Compensation 
Security Ownership of Certain Beneficial Owners and Management and Related 
Stockholder Matters 
Certain Relationships and Related Transactions, and Director Independence 
Principal Accounting Fees and Services 

Exhibits and Financial Statement Schedules 
Form 10-K Summary 

PART I 
ITEM 1. 
ITEM 1A. 
ITEM 1B. 
ITEM 2. 
ITEM 3. 
ITEM 4. 
PART II 
ITEM 5. 

ITEM 6. 
ITEM 7. 
ITEM 7A. 
ITEM 8. 
ITEM 9. 
ITEM 9A. 
ITEM 9B. 
PART III 
ITEM 10. 
ITEM 11. 
ITEM 12. 

ITEM 13. 
ITEM 14. 
PART IV 
ITEM 15. 
ITEM 16. 
SIGNATURES  

PAGE 
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1 

 
 
 
 
 
 
 
 
 
 
PART I 

This Annual Report on Form 10-K contains statements that constitute “forward-looking statements” within the meaning 
of  Section  27A  of  the  Securities  Act  of  1933,  as  amended,  and  Section  21E  of  the  Securities  Exchange  Act  of  1934,  as 
amended, and the Private Securities Litigation Reform Act of 1995, and is subject to the safe harbor created therein. These 
statements  include  comments  regarding  the  intent,  belief  or  current  expectations  of  the  Company  and  its  management. 
Readers  can  recognize  forward-looking  statements  by  the use  of  words  like  “anticipate,”  “estimate,”  “expect,”  “intend,” 
“plan,”  “believe,”  “will,”  “should,”  “forecast”  and  similar  expressions  in  connection  with  any  discussion  of  future 
operating  or  financial  performance.  STAAR  Surgical  Company  cautions  investors  and prospective  investors  that  any  such 
forward-looking  statements  are  not  guarantees  of  future  performance  and  involve  risks  and  uncertainties,  and  that  actual 
results  may  differ  materially  from  those  projected  in  the  forward-looking  statements.  We  caution  you  not  to  place  undue 
reliance  on  these  forward-looking  statements  and  to  note  they  speak  only  as  of  the  date  hereof.  Factors  that  could  cause 
actual results to differ materially from those set forth in the forward-looking statements are included in the risk factors set 
forth in Item 1A, “Risk Factors.”  We  disclaim any  intention or obligation to update or revise  any financial projections or 
forward-looking statements due to new information or other events. 

ITEM 1. 

Business 

STAAR  Surgical  Company  designs,  develops,  manufactures,  and  sells  implantable  lenses  for  the  eye  and  delivery 
systems used to deliver the lenses into the eye. We are the leading manufacturer of lenses used worldwide in corrective or 
“refractive” surgery.   We have been dedicated solely to ophthalmic surgery for over 30 years.   Our goal is to position our 
refractive lenses throughout the world as primary and premium solutions for patients seeking visual freedom from wearing 
eyeglasses or contact lenses while achieving excellent visual acuity through refractive vision correction. We also make lenses 
for use in surgery that treats cataracts. 

Unless the context indicates otherwise, “we,” “us,” the “Company,” and “STAAR” refer to STAAR Surgical Company 

and its consolidated subsidiaries. 

A  glossary  explaining  many  of  the  technical  terms  used  in  this  report  begins  on  page  13. The  reader  may  also  find  it 

helpful to refer to the discussion of the structure and function of the human eye that begins on page 6. 

Operations 

STAAR  has significant operations  globally.  Activities outside the United States (U.S.) accounted for 95% of our total 
sales  in  fiscal  year  2019,  primarily  due  to  the  pacing  of  product  approvals  and  commercialization  that  tend  to  occur  first 
outside  the  United  States.  STAAR  sells  its  products  in  more  than  75  countries,  with  direct  distribution  (i.e.,  via  STAAR 
representatives)  in  Japan,  Spain,  the  U.S.,  Germany,  Canada,  the  U.K.  and  Singapore,  with  a  combination  of  direct 
distribution and independent  distribution (i.e., via distributors and STAAR representatives)  in China, Korea and India, and 
with independent distribution in the remainder of the countries where we sell. 

STAAR  maintains  operational  and  administrative  facilities  in  the  U.S.,  Switzerland,  and  Japan.  Its  current  global 

operations are as follows: 

  United States. STAAR operates its global administrative  offices and principal manufacturing facility in Monrovia, 
California.  The  Monrovia  manufacturing  facility  primarily  makes  the  Visian  implantable  Collamer  lens  product 
family,  including  the  EVO  Visian  ICL  (collectively  referred  to  as  ICLs),  preloaded  silicone  intraocular  lenses 
(IOLs), and injector systems.  We manufacture  the  raw  material for Collamer lenses in our facility in Aliso Viejo, 
California.    STAAR  also  operates  a  Technology  Center  housing  its  Research  &  Development  team  and  labs  in 
Tustin, California.   STAAR’s facility in Lake Forest, California  serves as our corporate headquarters.  It contains 
executive  offices  and  operational  facilities  we  expect  to  use  for  future  manufacturing  of  STAAR’s  Presbyopia 
lenses. 

 

 

Switzerland. STAAR operates an administrative, distribution and operational facility in Brugg, Switzerland under its 
wholly owned subsidiary, STAAR Surgical AG. We are in the process of expanding our manufacturing capabilities 
for STAAR’s ICL products in the Nidau, Switzerland facility. 

Japan.  STAAR  operates  administrative  and  distribution  facilities  in  Japan  under  its  wholly  owned  subsidiary, 
STAAR  Japan  Inc.  STAAR  Japan’s  administrative  facility  is  in  Shin-Urayasu  and  its  distribution  facility  is  in 
Ichikawa City. STAAR performs final packaging of its silicone preloaded IOL injectors and final inspection of its 
acrylic preloaded IOL injectors at the Ichikawa City facility. 

2 

Financial Information about Segments and Geographic Areas 

100% of the Company’s sales are generated from the ophthalmic surgical product segment and, therefore, the Company 
operates  as  one  operating  segment  for  financial  reporting  purposes.  The  Company’s  principal  products  are  ICLs  used  in 
refractive  surgery  and  IOLs  used  in  cataract  surgery.  See  Note  17  to  the  Consolidated  Financial  Statements  for  financial 
information about product lines and operations in geographic areas. 

Principal Products 

In designing our products, we seek to delight patients and surgeons by: 

 

Improving patient outcomes; 

  Minimizing patient risk; and 

  Simplifying ophthalmic procedures and post-operative care for the surgeon and the patient. 

EVO  Visian  ICL  and  Visian  ICL.    Refractive  surgery  corrects  visual  disorders  that  eyeglasses  or  contact  lenses  have 
traditionally  treated  (myopia,  hyperopia,  astigmatism,  and  presbyopia).  The  field  of  refractive  surgery  includes  both  lens-
based procedures, using products like our ICL, and laser-based procedures like LASIK. The ICL product line treats a wide 
range  of  refractive  errors  within  commonly  known  vision  disorders  such  as  myopia  (nearsightedness),  hyperopia 
(farsightedness) and astigmatism. 

The  ICL  folds  for  minimally  invasive  implantation  behind  the  iris  and  in  front  of  the  natural  crystalline  lens,  using 
techniques similar to those used to implant an IOL during cataract surgery, except that the natural lens remains intact in the 
eye. Lenses of this type are generically called “phakic IOLs” or “phakic implants” because they work along with the patient’s 
natural  lens,  or  phakos,  rather  than  replacing  it.  The  surgeon  typically  implants  the  ICL  using  topical  anesthesia  on  an 
outpatient basis. The patient usually experiences immediate vision improvement within a day. 

Our ICL is the only posterior chamber phakic IOL (PIOL) approved by the  Food and Drug  Administration (FDA)  for 
marketing  and  sale  in  the  U.S.,  and  we  believe  it  is  the  world’s  largest  selling  phakic  IOL.  Our  biocompatible  Collamer 
material  belongs  to  a  family  of  materials  known  as  collagen  copolymers.  Collagen  copolymers  are  compounds  formed  by 
joining molecules of collagen derived from biological sources with synthetic monomer molecules. The proprietary Collamer 
material is exclusive to us. We believe that the biocompatibility of the Collamer material used for the ICL product line is a 
significant factor in the ability to place this lens safely in the posterior chamber of the eye.  

The ICL has been implanted into more  than 1,000,000 eyes worldwide. STAAR began selling the ICL for myopia for 
use  outside  the  U.S.  in  1997.  U.S.  sales  commenced  in  2006.  In  September  2011,  STAAR  launched  the  ICL  with 
CentraFLOW technology, which uses a port in the center of the ICL optic in markets outside the U.S. The port is of a size 
intended to optimize the flow of fluid within the eye without affecting the quality of vision.  The central port also eliminates 
the need for the surgeon to perform a YAG peripheral iridotomy procedure days before the ICL implant. The CentraFLOW 
technology  makes  the  visual  outcomes of the ICL available  through a  simpler and  more comfortable surgical implantation 
experience.  We  are  authorized  to  sell  the  ICL  with  CentraFLOW  technology  in  the  following  ex-U.S.  regions:   the  31 
countries that require the European Union CE Mark, China, Canada, Korea, Japan, India, Argentina, Singapore, and several 
countries in the Middle East. In December 2015, we received the CE Mark for EVO+, an ICL with CentraFLOW technology 
and  an  expanded  optical  zone  of  up  to  20%.  We  believe  the  expanded  optical  zone  may  further  improve  certain  patients’ 
visual experience, thus making the ICL increasingly desirable for both patients and ophthalmic surgeons. We are authorized 
to sell the EVO+ in the following ex-U.S. regions:  the 31 countries that require the European Union CE Mark, Korea, Japan, 
India,  Canada,  Hong  Kong,  Turkey,  and  several  countries  in  the  Middle  East.    The  Hyperopic  ICL,  which  treats  far-
sightedness, is sold primarily in countries that require the European Union CE Mark. Typically, ICL surgery is an elective 
procedure paid for or financed by the patient. 

Globally, the ICL is available for myopia and hyperopia and is available in multiple models, powers and lengths totaling 
hundreds of different types of inventoried lenses. This requires us to carry a significant amount of inventory to meet customer 
preference for rapid delivery.  The Toric ICL (TICL), which also corrects for astigmatism, is available for myopia in the same 
powers and lengths and carries additional parameters of cylinder and axis.   

According  to  Market  Scope,  LLC  a  publisher  of  ophthalmic  industry  data,  approximately  4.0  million  refractive 
procedures,  primarily  laser  vision  procedures,  were  performed  worldwide  in  2019.  The  incidence  of  myopia  is  growing 
globally, with high myopia becoming more common according to recently published articles, affecting nearly 5 billion and 1 
billion  people,  respectively,  by  2050  (Global  Prevalence  of  Myopia  and  High  Myopia  and  Temporal  Trends  from  2000 
through 2050, Ophthalmology, Vol. 123, No. 5, May 2016; Global trends in myopia management attitudes and strategies in 

3 

clinical  practice,  Contact  Lens  and  anterior  Eye,  Vol.  39,  2016).    We  believe  this  will  result  in  a  significantly  increased 
number of patients seeking refractive procedures. We believe that over the past decade negative publicity regarding LASIK 
has reduced patient interest in the LASIK procedure. The ICL is a lens-based refractive procedure (unlike LASIK) with over 
1,000,000 ICLs implanted to date. Surgeons have published over 100 peer-reviewed articles with clinical data regarding the 
safety, effectiveness, and visual quality of the ICL. We believe the ICL provides a safe and effective solution for the growing 
number of myopic patients who will seek visual freedom from eyeglasses and contact lenses. 

We plan to continue to develop and launch innovative products to support clinical needs and to address the increasing 
demands  of  our  customers.  As  part  of  our  sales  and  marketing  efforts,  we  attend  and  participate  in  major  ophthalmic 
conventions  around  the  world  and  invest  in  market  development,  practice  support,  healthcare  professional  training  and 
patient  outreach.  We  have  started  working  more  closely  with  leading  refractive  clinics  in  the  area  of  training,  product 
awareness and practice development. Our marketing programs seek to position the ICL as a premium and primary option for 
appropriate patients at the clinic and via digital and social media. 

In September 2018, the FDA granted approval of our PMA Supplement for the Visian Toric ICL for the correction of 
myopia  with  astigmatism  for  marketing  and  sale  in  the  United  States.    In  July  2019,  we  submitted  to  DEKRA,  STAAR’s 
European Notified Body, data from our multi-site European pivotal clinical trial for the EVO+ Visian® ICL with Aspheric 
(EDOF)  Optic  (“EDOF  Lens”),  a  lens  that  is  designed  to  provide  correction  or  reduction  of  myopia  or  hyperopia  and 
presbyopia (the age-related loss of near vision).  In August 2019, the FDA notified us that it had determined that STAAR had 
provided  sufficient  data  to  support  initiation  of  a  human  clinical  study  in  the  United  States  of  the  EVO/EVO+  VISIAN® 
Implantable Collamer® Lens for Myopia, and EVO/EVO+ VISIAN® Toric Implantable Collamer® Lens for Myopia with 
Astigmatism.  On January 31, 2020, the first patient was implanted in our U.S. human clinical study for our EVO ICL family 
of lenses.  In December 2019, DEKRA approved expansion of STAAR’s labeling to include use in pseudophakic eyes (those 
eyes  with  an  intraocular  lens  after  cataract  surgery)  for  EVO/EVO+  and  VISIAN®  Implantable  Collamer®  Lenses  for 
myopia and hyperopia, and EVO/EVO+ and VISIAN® Toric Implantable Collamer® Lenses for myopia and hyperopia with 
astigmatism.   

Sales of ICLs (including EVO+ and TICLs) accounted for approximately  86% of our total sales in fiscal 2019, 82% of 

our total sales in fiscal 2018 and 75% of our total sales in fiscal 2017. 

Other Products 

Intraocular Lenses (IOLs). We produce and market a line of foldable IOLs manufactured from silicone in a three-piece 
design with Polyimide loop haptics attached to the optic. STAAR also sells aspheric IOLs made of silicone that use optical 
designs that produce a clearer image than traditional spherical lenses, especially in low light. In most of the countries where 
STAAR does business, government agencies reimburse  most or all of  the cost of cataract surgery and IOLs.   Government 
agencies continue to reduce the reimbursement rates for cataract surgery and IOLs. In response, we continue to assess and 
rationalize our low margin IOLs.   For example, during the fourth quarter of 2019, we decided to phase out our nanoFLEX 
IOL, a single piece aspheric IOL. 

In Japan and parts of Europe, we sell a  “Preloaded Injector” with a silicone or acrylic IOL packaged and shipped in a 
pre-sterilized,  disposable  injector  ready  for  use  in  cataract  surgery.  We  believe  the  Preloaded  Injector  offers  surgeons 
improved  convenience  and  reliability.  The  acrylic  lens-based  Preloaded  Injector  uses  a  lens  supplied  by  a  third  party. The 
supplier also assembles and sells the acrylic Preloaded Injector under its own brand, using injector parts purchased from us. 

Sales of IOLs accounted for approximately 11% of our total sales in fiscal 2019, 13% of our total sales in fiscal 2018 and 

19% of our total sales in fiscal 2017. 

Other Surgical Products.  We sell injector parts to our acrylic lens supplier for their preloaded acrylic IOL that they sell 
under their own brand. Also, we sell other related instruments and devices that we manufacture, or that are manufactured by 
others.  Generally,  these  products  have  lower  overall  gross  profit  margins  relative  to  our  ICLs  and  IOLs.  Sales  of  other 
surgical products accounted for approximately  3% of our total sales in fiscal 2019, 5% of our total sales in fiscal 2018 and 
6% of our total sales in fiscal 2017. 

Sources and Availability of Raw Materials 

STAAR  uses  a  wide  range  of  raw  materials  in  the  production  of  its  products.  STAAR  purchases  most  of  the  raw 
materials  and  components  from  external  suppliers.  Some  of  our  raw  materials  are  single-sourced  due  to  regulatory 
constraints, cost effectiveness, availability, quality, and vendor reliability issues. Many of our components are standard parts 
or materials and are available from a variety of sources. We do not typically pursue regulatory and quality certification of 
multiple sources of supply. 

4 

Patents, Trademarks, and Licenses 

We strive to protect our investment in the research, development, manufacturing, and marketing of our products through 
the use of patents, trademarks, licenses, trade secrets, and copyrights. We own or have rights to a number of patents, licenses, 
trademarks, copyrights, trade secrets, know-how and other intellectual property related and important to our business. As of 
January 3, 2020, we owned approximately 63 United States and foreign patents and had 36 patent applications pending. We 
rely more on trade secrets than patents and believe that no particular patent is so important that its loss or expiration would 
materially adversely affect our operations as a whole.  

Our  intellectual  property  generally  relates  to  the  design,  production,  and  manufacture  of  the  Collamer  lens  material, 
ICLs,  IOLs,  and  lens  delivery  systems  for  folding  intraocular  lenses  (injectors  and  cartridges,  both  stand-alone  and 
preloaded) used with ICLs and IOLs. We believe it would require extensive time and effort for a competitor to duplicate our 
intellectual property and processes to develop a product with comparable capabilities to our ICL product lines. 

Worldwide, we sell all of our major products under trademarks we consider to be important to our business. STAAR®, 
EVO  Visian  ICL™,  Evolution  in  Visual  Freedom®,  Visian®,  Collamer®,  CentraFLOW®,  AquaPORT®,  nanoFLEX® 
nanoPOINT® and  Afinity® are trademarks or registered trademarks of STAAR  in  the  U.S., the European Union, or other 
countries. The scope and duration of trademark protection varies widely throughout the world. In some countries, trademark 
protection continues only as long as the mark is used. Other countries require registration of trademarks and the payment of 
registration fees. Trademark registrations are generally for fixed but renewable terms. 

We  protect  our  proprietary  technology,  in  part,  through  confidentiality  and  nondisclosure  agreements  with  employees, 
consultants,  and  other  parties.  Our  confidentiality  agreements  with  employees  and  consultants  generally  contain  standard 
provisions requiring those individuals to assign to STAAR, without additional consideration, inventions conceived or reduced 
to  practice  by  them  while  employed  or  retained  by  STAAR,  subject  to  customary  exceptions.  We  cannot  provide  any 
assurance  that  employees  and  consultants  will  abide  by  the  confidentiality  or  other  terms  of  their  agreements.  Despite 
measures taken to protect our intellectual property, unauthorized parties may copy aspects of our products or obtain and use 
information that we regard as proprietary. 

Seasonality 

While certain individual markets may be impacted by seasonal trends on a quarterly basis, in the aggregate, seasonality 

does not materially affect our sales. 

Working Capital Requirements 

There are no special inventory requirements or credit terms extended to customers that have a material adverse effect on 

our working capital. 

Distribution and Customers 

We  market  our  products  to  a  variety  of  health  care  providers,  including  ophthalmic  surgeons,  vision  centers,  surgical 

centers, hospitals, government facilities, and distributors. The primary user of our products is an ophthalmologist. 

We  sell  our  products  directly  through  our  own  sales  representatives  in  Japan,  Spain,  the  U.S.,  Germany,  Canada,  the 
U.K. and Singapore. We sell through a combination of our own representatives and independent distributors in China, Korea 
and  India.  We  sell  through  independent  distributors  in  other  countries.    Our  products  are  sold  in  more  than  75  countries 
worldwide. We maintain a global marketing team, as well as regional marketing personnel to support the promotion and sale 
of  our  products.  The  global  marketing  department  supports  selling  efforts  by  developing  and  providing  promotional 
materials, speakers’ programs, digital and social media sites, participation in trade shows and technical presentations. Where 
we distribute products directly, we rely on local sales representatives to help generate sales by promoting and demonstrating 
our  products  with  physicians.  In  the  U.S.,  we  also  rely  on  independent  sales  representatives  to  sell  our  products  under  the 
supervision  of  directly  employed  sales  managers.  Our  clinical  affairs  personnel  provide  training  and  educational  courses 
globally. 

5 

One  customer, Shanghai  Langsheng, our  China distributor  who sells in  to China and Hong Kong, accounted  for  more 
than  43% of our consolidated net sales during  fiscal  2019.  Net sales to Shanghai  Langsheng during each of the  last three 
fiscal years were as follows:  

Net Sales to Shanghai Langsheng 

Fiscal Year 
2019 
2018 
2017 

   $ 
   $ 
   $ 

Net Sales 
($, in thousands) 

Net Sales as Percentage of 
Consolidated Net Sales 

64,820        
46,070        
24,473        

43.2 % 
37.2 % 
27.0 % 

Backlog 

The  dollar amount of  STAAR’s backlogged orders is not  material in relation to total annual  sales.  We  generally keep 

sufficient inventory on hand to ship product immediately or shortly after receipt of an order.  

Government Contracts 

No  material  portion  of  our  business  is  subject  to  renegotiation  of  profits  or  termination  of  any  particular  contract  or 

subcontract at the election of the U.S. Government. 

Competition 

Competition in the ophthalmic surgical product market is intense and is primarily driven by technological innovation and 
the regulatory approval required to commercialize products in the key markets around the world. The development of new or 
improved products may make existing products less attractive, reduce them to commodity status or even make them obsolete. 
To  remain  competitive,  companies  such  as  STAAR  must  devote  continued  efforts  and  significant  financial  resources  to 
enhance their existing products and to develop new products. 

In  the  refractive  market,  our  ICL  technology  competes  with  other  elective  surgical  procedures  such  as  laser  vision 
correction  (e.g.,  LASIK)  for  those  consumers  who  are  looking  for  an  alternative  to  eyeglasses  or  contact  lenses  to  correct 
their vision. In the cataract surgery market, our IOLs primarily compete based on our technology’s quality and value. 

We believe our primary competition in selling the ICL to patients seeking surgery to correct refractive conditions lies not 
in  similar  products  to  the  ICL,  but  in  laser  surgical  procedures.    Alcon  (formerly  a  part  of  Novartis),  Johnson  &  Johnson 
(formerly Advanced Medical Optics or AMO), Bausch Health Companies (formerly Valeant, Bausch & Lomb or B+L), and 
Carl Zeiss Meditec AG, all market lasers for corneal refractive surgery and promote their sales worldwide.   

Phakic implants that compete with the ICL are also available in the marketplace. The two principal types of phakic IOLs 
are  (1)  posterior  chamber  designs  like  the  ICL,  and  (2)  iris  clip  anterior  chamber  PIOLs  like  the  Artisan®  and  Artiflex® 
lenses made by Ophtec. We believe the ICL has compelling clinical advantages over the other lenses, which are reflected in 
our strong market share of the global phakic IOL market. The ICL is the only foldable, minimally invasive PIOL approved 
for sale in the U.S. In addition, competitors from Asia are beginning to appear in the market with their low-cost version of a 
posterior chamber implantable contact lens, increasing the level of competition. 

The  global  cataract  market  is  highly  concentrated,  with  the  top  five  competitors  (Alcon,  Johnson  &  Johnson,  Hoya, 
Bausch  Health  Companies  and  Carl  Zeiss  Meditec)  combined  accounting  for  approximately  67%  of  total  market  revenue, 
according to a 2019 report by Market Scope. 

The Human Eye 

The following discussion provides background information on the structure, function, and some of the disorders of the 
human eye  to enhance the reader’s understanding of our products described in this report.  The human eye is a  specialized 
sensory  organ  capable  of  receiving  visual  images  and  transmitting  them  to  the  visual  center  in  the  brain.  The  eye  has  an 
anterior segment and a posterior segment that are separated by the natural crystalline lens. 

The  anterior  segment  consists  of  the  cornea,  the  iris  and  ciliary  body  and  the  trabecular  meshwork.  It  is  filled  with  a 
water-based fluid called aqueous humor and is divided, by the iris, into an anterior chamber and a posterior chamber. The 
cornea is a clear lens at the front of the eye through which light first passes and is focused towards the back of the eye. The 
interior surface of the cornea is lined with a single layer of flat, tile-like endothelial cells, whose function is to maintain the 
transparency  of  the  cornea.  The  iris  is  a  pigmented  muscular  curtain  located  behind  the  cornea  which  opens  and  closes  to 

6 

 
  
  
    
  
 
regulate  the  amount  of  light  entering  the  eye  through  the  pupil,  an  opening  at  the  center  of  the  iris.  The  crystalline  lens, 
located behind the iris, completes the focusing of light and can change shape to focus objects at different distances onto the 
retina,  located  in  the  back  of  the  eye.  The  trabecular  meshwork,  a  drainage  channel  located  between  the  iris  and  the 
surrounding  white  portion  of  the  eye,  maintains  a  normal  pressure  in  the  anterior  chamber  of  the  eye  by  draining  excess 
aqueous humor. 

The  posterior  segment  of  the  eye  that  is  behind  the  natural  lens  is  filled  with  a  jelly-like  material  called  the  vitreous 
humor. The  retina is a layer of nerve tissue in the back of the  eye  consisting of  millions of light receptors called rods and 
cones, which receive the light image and transmit it to the brain via the optic nerve. 

Common visual disorders, disease or trauma can affect the  eye. One of the most prevalent ocular disorders is cataracts. 
Cataract  formation  is  generally  an  age-related  disorder  that  involves  the  hardening  and  loss  of  transparency  of  the  natural 
crystalline lens, impairing visual acuity. 

Refractive disorders, which generally are not age-related, include myopia, hyperopia, and astigmatism. A normal, well-
functioning eye receives images of objects at varying distances from the eye and focuses the images on the retina. Refractive 
errors occur when the eye’s natural optical system does not properly focus an image on the retina. Myopia, also known as 
nearsightedness, occurs when the eye’s lens focuses images in front of the retina. Hyperopia, or farsightedness, occurs when 
the  eye’s  lens  focuses  images  behind  the  plane  of  the  retina.  Individuals  with  myopia  or  hyperopia  may  also  have 
astigmatism. Astigmatism is due to an irregular curvature of the cornea or defects in the natural lens that causes light to not 
focus  at  a  single  depth  in  the  eye  resulting  in  blurred  vision.  Presbyopia  is  an  age-related  refractive  disorder  that  limits  a 
person’s ability to see in the near and middle distance range as the natural crystalline lens loses its elasticity, reducing  the 
eye’s ability to accommodate or adjust its focus for varying distances. 

Regulatory Matters 

Nearly all countries where we sell our products have regulations requiring premarket clearance or approval of medical 
devices by governmental or regulatory authorities. Various federal, state, local and foreign laws also apply to our operations, 
including,  among  other  things,  working  conditions,  laboratory,  clinical,  advertising  and  promotions,  and  design  and 
manufacturing practices, and the use and disposal of hazardous or potentially hazardous substances. 

The requirements for clearance or approval to market medical products vary widely by country. The requirements range 
from  minimal  requirements  to  rigorous  requirements  comparable  to  those  established  by  the  FDA.  Obtaining  clearance  or 
approval to distribute medical products is complex, costly, and time-consuming in virtually all the major markets where we 
sell medical devices. We cannot give any assurance that any new medical devices we develop will be cleared or approved in 
any country where we propose to sell our medical devices or, if approved, whether such approvals will be granted in a timely 
or cost-effective manner, be as broad in scope as we seek, or be conditioned on post-market study requirements or restrictive 
labeling. We also cannot give any assurance that if our medical devices are approved for sale in a country, subsequent action 
will not be taken by the responsible regulatory authorities in the country with respect to our medical devices that might affect 
our ability to maintain the required approvals in the country or to continue to sell our medical devices in the country.  The 
regulatory  requirements  in  our  most  important  current  markets,  China,  Europe,  Japan,  Korea  and  the  U.S.,  are  discussed 
below. 

Regulatory Requirements in the United States. 

Under  the  United  States  Federal  Food,  Drug &  Cosmetic  Act,  as  amended  (the  Act),  the  FDA  has  the  authority  to 
regulate,  among  other  things,  the  design,  development,  manufacturing,  preclinical  and  clinical  testing,  labeling,  product 
safety,  marketing,  sales,  distribution,  premarket  clearance  and  approval,  recordkeeping,  reporting,  advertising,  promotion, 
post-market surveillance, and import and export of medical devices. 

Most  of  our  products  are  classified  as  medical  devices  intended  for  human  use  within  the  meaning  of  the  Act  and, 

therefore, are subject to FDA regulation. 

Each medical device we seek to commercially distribute in the United States must first receive clearance to market under 
a  notification  submitted  pursuant  to  Section  510(k)  of  the  Act,  known  as  the  510(k)  premarket  notification,  or  premarket 
approval (PMA) from the FDA,  unless specifically exempted by the agency or subject to another  form of  FDA premarket 
review.  The  FDA  classifies  all  medical  devices  into  one  of  three  classes.  The  FDA  establishes  procedures  for  compliance 
based upon the device’s classification as Class I (general controls, such as establishment registration and device listing with 
FDA, labeling and record-keeping requirements), Class II (performance standards in addition to general controls) or Class III 
(premarket approval (PMA) required before commercial  marketing). Devices deemed to pose lower risk are categorized as 
either Class I (low risk) or II (moderate risk). Manufacturers of Class II devices are generally required to submit to the FDA a 

7 

510(k) premarket notification requesting clearance of the device for commercial distribution in the United States. Most low 
risk (Class I) devices and some Class II devices are exempt from this requirement. The FDA deems Class III devices to pose 
the greatest risk and are the most extensively regulated. These devices include life-supporting, life sustaining, or implantable 
devices,  or  devices  deemed  not  substantially  equivalent  to  a  previously  510(k)  cleared  device.  The  effect  of  assigning  a 
device to Class III is to require each manufacturer to submit to the FDA a PMA that includes information on the safety and 
effectiveness of the device. The FDA reviews device applications and notifications through its Office of Device Evaluation 
(ODE). 

510(k) Clearance. Our lens injector systems are  Class I devices subject to the  510(k) premarket review and clearance 
process. A medical device that is substantially equivalent to either a previously-cleared medical device or a device that was in 
commercial  distribution  before  May  28,  1976  for  which  the  FDA  has  not  yet  called  for  the  submission  of  a  PMA,  or  is  a 
device  that  has  been  reclassified  from  Class  III  to  either  Class  II  or  I  may  be  eligible  for  the  FDA’s  510(k)  premarket 
notification  process.  FDA  clearance  under  Section 510(k)  of  the  Act  does  not  imply  that  the  safety,  reliability,  and 
effectiveness of the medical device has been approved or validated by the FDA. The review period and FDA determination as 
to substantial equivalence generally takes from three to twelve months from the date the application is submitted and filed. 
However,  the  process  may  take  significantly  longer,  and  clearance  is  never  assured.  Although  many  510(k)  premarket 
notifications are cleared without clinical data, in some cases, the FDA requires significant clinical data to support substantial 
equivalence.  In  reviewing  a  premarket  notification,  the  FDA  may  request  additional  information  including  clinical  data, 
which may significantly prolong the review process. 

After a  device  receives 510(k) clearance, any  modification that could significantly affect its safety or effectiveness, or 
that  would  constitute  a  major  change  in  its  intended  use,  will  require  a  new  510(k)  clearance  or  could  require  premarket 
approval.  The  FDA  requires  each  manufacturer  to  make  its  own  initial  determination  as  to  whether  a  change  meets  this 
threshold.  However,  the  FDA  can  review  any  such  decision  and  can  disagree  with  a  manufacturer’s  determination.  If  the 
FDA disagrees with a manufacturer’s determination, the FDA can  require the manufacturer to cease marketing or recall the 
modified device until 510(k) clearance or a PMA is obtained.  

Premarket  Approval.  Our  ICLs  and  IOLs  are  Class  III  devices  subject  to  the  PMA  approval  process  and  not  510(k) 
clearance.  The more rigorous PMA process requires us to demonstrate that a new medical device is safe and effective for its 
intended  use.  The  FDA  may  require  that  a  PMA  be  supported  by,  among  other  things,  extensive  technical,  pre-clinical, 
clinical testing, manufacturing, and labeling data to demonstrate to the FDA’s satisfaction, the safety and effectiveness of the 
device. 

After a PMA application is submitted and filed, the FDA begins an in-depth review of the submitted information, which 
typically  takes  between  one  and  three  years,  but  may  take  significantly  longer.  During  the  review  period,  the  FDA  may 
request additional information or clarification of information already provided. In addition to its own review, the FDA may 
organize an independent advisory panel of experts to review the PMA whenever a device is the first of its kind or the FDA 
otherwise  determines  panel  review  is  warranted.  The  FDA  holds  panels  on  a  regular  basis,  but  the  need  to  schedule  panel 
review  usually  adds  some  weeks  or  months  to  the  review  process.  In  addition,  the  FDA  will  conduct  a  pre-approval 
inspection  of  the  manufacturing  facility  to  ensure  compliance  with  Quality  System  Regulation  (QSR)  which  imposes 
elaborate  design,  development,  testing,  control,  validation,  documentation,  complaint  handling,  supplier  control,  and  other 
quality assurance procedures in the design and manufacturing process. The FDA may approve a PMA application with post-
approval conditions intended to ensure the safety and effectiveness of the device including, among other things, restrictions 
on labeling, promotion, sale and distribution and conduct of additional post-approval clinical studies or collection of  long-
term follow-up from patients in the clinical study that supported approval. Failure to comply with the conditions of approval 
can result in materially adverse enforcement action, including the loss or withdrawal of the approval. 

If  a  manufacturer  plans  to  make  significant  modifications  to  the  manufacturing  process,  labeling,  or  design  of  an 
approved PMA device, the manufacturer must submit an application called a “PMA Supplement” regarding the change. The 
FDA generally reviews PMA  Supplements on a 180-day agency timetable,  which  may be extended if significant questions 
arise  in  review  of  the  supplement.  A  manufacturer  may  implement  limited  changes  prior  to  the  FDA’s  review  of  a  PMA 
Supplement.  The  FDA  designates  some  PMA  Supplements  as  “panel-track”  supplements,  which  means  that  the  agency 
believes review by an advisory panel may be warranted. Designation as a panel-track supplement does not necessarily mean 
that panel review will occur. 

Clinical or Market Trials. A clinical trial is typically required to support a PMA application and is sometimes required 
for  a  510(k)  premarket  notification.  Clinical  trials  conducted  to  support  premarket  clearance  or  approval  generally  require 
submission of an application for an Investigational Device Exemption (IDE) to the FDA. Appropriate data must support the 
IDE application, such as animal and laboratory testing results, showing that it is safe to test the device in humans and that the 
investigational protocol is scientifically sound. The IDE application must be approved by the FDA for a specified number of 
patients,  unless the product is deemed eligible  for  more abbreviated IDE requirements.  Clinical trials  for a significant risk 

8 

device  may  begin  once  the  FDA  approves  the  IDE  application.  All  FDA-regulated  clinical  studies,  whether  significant  or 
non-significant risk, must be approved and overseen by the appropriate institutional review boards (IRBs) at the clinical trial 
sites, and informed consent of the patients participating in the clinical trial must be obtained. After a trial begins, the  FDA 
may  place  it  on  hold  or  terminate  it,  if,  among  other  reasons,  it  concludes  that  the  clinical  subjects  are  exposed  to  an 
unacceptable health risk. Any trials we conduct in the United States must be conducted in accordance with FDA regulations 
as well as other federal regulations and state laws concerning human subject protection and privacy. Moreover, the results of 
a clinical trial may not be sufficient to obtain clearance or approval of the product. 

Oversight of compliance with quality, medical device reporting, clinical study, and other regulations. Both before and 
after we receive premarket clearance or approval and release a product commercially, we have ongoing responsibilities under 
FDA regulations. The FDA reviews design and manufacturing practices, labeling and record keeping, product complaints and 
manufacturer’s required reports of adverse experiences, product corrections and removals, and other information to identify 
potential  problems  with  marketed  medical  devices.  We  are  also  subject  to  periodic  inspection  by  the  FDA  for  compliance 
with the FDA’s QSR and other requirements, such as requirements for advertising and promotion. The Good Manufacturing 
Practice  (GMP)  regulations  for  medical  devices  embodied  in  the  QSR  govern  the  methods  used  in,  and  the  facilities  and 
controls  used  for,  the  design,  manufacture,  packaging,  labeling,  and  servicing  of  all  finished  medical  devices  intended  for 
human use. 

The  FDA’s  Bioresearch  Monitoring  Program  (BIMO),  reviews  our  activities  as  a  sponsor  of  clinical  research.  BIMO 
conducts  facilities  inspections  as  part  of  a  program  designed  to  ensure  that  data  and  information  contained  in  requests  for 
IDEs,  PMA  applications  and  510(k)  submissions  are  scientifically  valid,  reliable,  and  accurate.  Another  objective  of  the 
program is to ensure that human subjects are protected from undue hazard or risk during scientific investigations. 

If  the  FDA  were  to  conclude  that  we  are  not  in  compliance  with  applicable  laws  or  regulations,  or  that  any  of  our 
medical devices are ineffective or pose an unreasonable health risk, the FDA could require us to notify health professionals 
and others that the devices present unreasonable risk or substantial harm to public health, order a recall, repair, replacement, 
or refund of the devices, detain, or seize adulterated or misbranded medical devices, or ban the medical devices. The FDA 
may also issue warning letters or untitled letters, refuse our request for 510(k) clearance or PMA approval, revoke existing 
510(k) clearances or PMA approvals previously granted, impose operating restrictions, enjoin, and restrain certain violations 
of applicable law pertaining to medical devices and assess civil or criminal penalties against our officers, employees, or us. 
The FDA may also recommend prosecution to the Department of Justice. In the case of devices subject to pending premarket 
clearance  or  approval  applications,  FDA  has  broad  authority  to  halt  the  review  of  applications  and  require  significant 
additional data analyses, audits, and other corrective actions where clinical data contained in an application are deemed to be 
actually or potentially unreliable, inaccurate, or not in compliance with clinical study or good clinical practice requirements. 

For  example,  on  May  27,  2014,  we  received  a  warning  letter  from  the  FDA  (2014  Warning  Letter)  citing  alleged 
violations of current good manufacturing practice (cGMP) regulations that were identified by the FDA during an inspection 
of our  manufacturing facility  in Monrovia, California between February 10, 2014, and March 21, 2014. On November 14, 
2014 and continuing through February 4, 2015, the FDA again inspected our Monrovia facility. On February 4, 2015, at the 
conclusion  of  the  inspection,  the  FDA  issued  an  FDA-483  with  ten  inspectional  observations  (2015  FDA-483).  STAAR 
responded  to  the  2014  Warning  Letter  and  the  2015  FDA-483  and  implemented  its  corrective  action  plans  relating  to  the 
2014 Warning Letter and the 2015 FDA-483.  On April 30, 2018 continuing through May 18, 2018 FDA again inspected our 
Monrovia facility, and on June 19, 2018, we received a close-out letter from the FDA lifting the 2014 Warning Letter. 

Healthcare Fraud and Abuse Laws and Regulations. 

Even though we do not control referrals of healthcare services or bill directly to Medicare, Medicaid or other third-party 
payers,  certain  federal,  state  and  international  healthcare  laws  and  regulations  pertaining  to  fraud  and  abuse  and  patients’ 
rights  are  applicable  to  our  business.  We  are  subject  to  healthcare  fraud  and  abuse  and  patient  privacy  regulation  by  the 
federal government, the states and the international jurisdictions in which we conduct our business. The regulations that may 
affect our ability to operate include, without limitation: 

 

 

the  federal  Anti-Kickback Statute,  which prohibits, among  other things, any person  from knowingly and  willfully 
offering,  soliciting,  receiving,  or  providing  remuneration,  directly  or  indirectly,  to  induce  either  the  referral  of  an 
individual,  for  an  item  or  service  or  the  purchasing  or  ordering  of  a  good  or  service,  for  which  payment  may  be 
made under federal healthcare programs such as the Medicare and Medicaid programs; 

the  federal  False  Claims  Act,  which  prohibits,  among  other  things,  individuals,  or  entities  from  knowingly 
presenting, or causing to be presented, false claims, or knowingly using false statements, to obtain payment from the 
federal government, and which may apply to entities that provide coding and billing advice to customers; 

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 

 

 

 

federal criminal laws that prohibit executing a  scheme to defraud any  healthcare benefit  program or  making  false 
statements relating to healthcare matters; 

the  federal physician sunshine requirements under the Patient Protection and Affordable Care Act of 2010,  which 
requires  manufacturers  of  drugs,  devices,  biologics,  and  medical  supplies  to  report  annually  to  the  Centers  for 
Medicare & Medicaid Services information related to payments and other transfers of value relating to certain drugs, 
devices,  biologics,  and  medical  supplies  to  physicians,  other  healthcare  providers,  and  teaching  hospitals,  and 
ownership  and  investment  interests  held  by  physicians  and  other  healthcare  providers  and  their  immediate  family 
members; 

the  federal  Health  Insurance  Portability  and  Accountability  Act  of  1996,  as  amended  by  the  Health  Information 
Technology  for  Economic  and  Clinical  Health  Act  of  2009,  which  governs  the  conduct  of  certain  electronic 
healthcare transactions and protects the security and privacy of protected health information; and 

state and international law equivalents of each of the above federal laws, such as anti-kickback and false claims laws 
which may apply to items or services reimbursed by any third-party payer, including commercial insurers; state laws 
that  require  device  companies  to  comply  with  the  industry’s  voluntary  compliance  guidelines  and  the  applicable 
compliance guidance promulgated by the federal government, or otherwise restrict payments that may be made to 
healthcare  providers  and  other  potential  referral  sources;  state  and  international  laws  that  require  device 
manufacturers  to  report  information  related  to  payments  and  other  transfers  of  value  to  physicians  and  other 
healthcare providers or marketing expenditures; and state and international laws governing the privacy and security 
of health information in certain circumstances, which may differ from each other and may not have the same effect, 
thus complicating compliance efforts. 

Because  of  the  breadth  of  these  laws  and  the  narrowness  of  the  statutory  exceptions  and  safe  harbors  available,  it  is 
possible that some of our business activities could be subject to challenge under one or more of such laws. In addition, recent 
health care reform legislation has strengthened these laws. For example, the Health Care Reform Law, among other things, 
amends the intent requirement of the Federal Anti-Kickback Statute and criminal healthcare fraud statutes. A person or entity 
no  longer  needs  to  have  actual  knowledge  of  the  statute  or  specific  intent  to  violate  it.  In  addition,  the  Patient  Protection 
Affordable  Care  Act  provides  that  the  government  may  assert  that  a  claim  including  items  or  services  resulting  from  a 
violation of the Federal Anti-Kickback Statute constitutes a false or fraudulent claim for purposes of the False Claims Act. 

Regulatory Requirements Outside the United States. 

CE  Marking.  In  the  European  Economic  Area  (EEA),  which  is  comprised  of  the  27  Member  States  of  the  European 
Union  plus  Norway,  Iceland,  and  Liechtenstein,  medical  devices  must  comply  with  the  essential  requirements  of  the  EU 
Medical Devices Directive (Council Directive 93/42/EEC). Compliance  with the essential requirements of the  EU Medical 
Device  Directive  is  a  prerequisite  to  be  able  to  affix  a  Conformité  Européenne  Mark  (CE  Mark),  without  which  medical 
devices cannot be marketed or sold in the EEA. To demonstrate compliance with the essential requirements, medical device 
manufacturers must undergo a conformity assessment procedure, which varies according to the type of medical device and its 
classification. 

The method of assessing conformity varies depending on the class of the product, but normally involves a combination 
of self-assessment by the  manufacturer and a third-party assessment by a “Notified Body.” Notified Bodies are a group of 
private  quality-monitoring  organizations  that  are  accredited  to  review  medical  devices  and  to  monitor  quality  systems  and 
adverse event reporting. The independent Notified Bodies perform, on a privatized basis, functions similar to the FDA in the 
U.S.  and  the  Pharmaceuticals  and  Medical  Devices  Agency  (PMDA)  in  Japan.  Our  facilities  in  the  United  States  and 
Switzerland  are  subject  to  regular  inspection  by  a  designated  Notified  Body.  Other  countries,  such  as  Switzerland,  have 
voluntarily  adopted  laws  and  regulations  that  mirror  those  of  the  European  Union  with  respect  to  medical  devices,  and  a 
number of countries outside of Europe permit importation of devices bearing the CE Mark. 

The European Union regulatory bodies finalized a new Medical Device Regulation (MDR) in 2017, which replaced the 
existing  Directives  and  provided  three  years  for  transition  and  compliance.  The  MDR  will  change  several  aspects  of  the 
existing regulatory framework, such as updating clinical data requirements and introducing new ones, such as Unique Device 
Identification  (UDI).  We  and  the  Notified  Bodies  who  will  oversee  compliance  to  the  new  MDR  face  uncertainties  and 
increased  costs  as  the  MDR  is  rolled  out  and  enforced  by  the  European  Commission  and  EEA  Competent  Authorities, 
creating risks in several areas, including the CE Marking process and data transparency, in the upcoming years. The exit of 
the UK from the European Union (BREXIT) has resulted in the requirement to re-certify our preloaded acrylic IOL under a 
non-UK Notified Body, and to separately register our CE Marked products for sale in the UK. 

10 

We  have  affixed  the  CE  Mark  to  all  our  principal  products  sold  in  CE  Mark  jurisdictions  including  ICLs,  IOLs  and 
injector systems. In July 2017, our Notified Body in the European Union, DEKRA, re-certified the CE Marking for all our 
currently  certified  and  commercially  available  medical  devices.  In  March  2018,  DEKRA  performed  audits  of  our  US  and 
Swiss facilities certifying them to EN ISO 13485:2016 as well as to the “Medical Device Single Audit Program” (MDSAP). 
MDSAP  provides  for  a  single  audit  recognized  by  Australia,  Brazil,  Canada,  Japan  and  the  United  States  demonstrating 
routine  compliance  with  QSR/GMP  requirements.  DEKRA  performed  an  unannounced  audit  in  December  2018,  and 
completed surveillance audits by July 2019 reconfirming our compliance to EN ISO 13485:2016 and MDSAP. 

Medical Device Regulation in Japan. The Japanese Ministry of Health, Labor, and Welfare (MHLW) regulates the sale 
of  medical  devices  under  Japan’s  Pharmaceutical  Affairs  Law  (PAL).  The  Pharmaceuticals  and  Medical  Devices  Agency 
(PMDA),  a  quasi-governmental  organization,  performs  many  of  the  medical  device  review  functions  for  MHLW.  Medical 
devices  generally  must  undergo  thorough  safety  examinations  and  demonstrate  medical  efficacy  before  the  MHLW  grants 
shonin  (premarket  device  approval)  or  ninsho  (certification).  Manufacturers  and  resellers  (referred  to  as  Marketing 
Authorization  Holders  or  MAHs)  must  also  satisfy  certain  requirements  before  the  MHLW  grants  a  business  license,  or 
kyoka.  Requirements  for  manufacturers  and  MAHs  include  compliance  with  Japanese  regulations  covering  GQP  (good 
quality control practice) and GVP (good vigilance practice), which largely include conformity to the ISO 13485 standard and 
are  similar  to  good  manufacturing  practice  and  post-market  surveillance  requirements  in  the  United  States,  as  well  as  the 
assignment of internal supervisors over marketing, quality assurance, and safety control. 

Approval for a new medical device that lacks a substantial equivalent in the Japanese market will generally require the 
submission of clinical trial data. Only a licensed MAH can apply for premarket device approval in Japan, and in most cases, 
the clinical trial data must include data gathered from Japanese subjects. For example, STAAR Japan conducted a separate 
clinical  trial  in  Japan  for  the  shonin  application  for  the  ICL.  Also,  approval  for  a  new  medical  device  will  require  the 
manufacturer  to  undertake  to  reexamine  the  safety  and  efficacy  of  the  device  with  a  review  of  post-market  data  gathered 
within  a  certain  period  -  normally  four  years  -  after  approval.  The  specific  post-market  reexamination  requirement  for  a 
medical device is announced at the time of approval. 

STAAR Japan currently holds shonin approval for the ICL products, preloaded injectors, and their associated lenses, and 
kyoka licensing as a manufacturer and MAH of medical devices. The sponsor of a clinical trial submitted to the MHLW must 
strictly  follow  Good  Clinical  Practice  (GCP)  standards,  and  must  follow  the  trial  with  standard  Good  Post-Market  Study 
Practice  (GPSP)  reporting  and  a  follow-up  program.  MHLW  and  PMDA  also  assess  the  quality  management  systems  of 
manufacturers and the conformity of products to the requirements of PAL. STAAR is subject to inspection for compliance by 
these agencies. A company’s failure to comply with PAL can result in severe penalties, including revocation or suspension of 
a company’s business license and possible criminal sanctions. If the PMDA were to conclude that we are not in compliance 
with applicable laws or regulations, or that any of our medical devices are ineffective or pose an unreasonable health risk, 
they could take a variety of regulatory or legal actions, similar to the FDA, which could have a material and negative impact 
on the Company. 

Medical Device Regulation in China and Korea. Sales of our products in China and Korea, as in other countries, are also 
subject to regulatory requirements.  In China, medical devices such as our ICLs require testing by a government recognized 
laboratory qualified as a medical device testing center in accordance with Chinese standards.  Results from the testing center, 
together  with  registration  documents, are  submitted  to  the  Center  for  Medical  Device  Evaluation  (CMDE)  of  the  Chinese 
FDA  (CFDA)  for technical  evaluation  and  if  accepted,  then  approval  and  registration  by  CFDA.   In  China,  we  obtain 
registration of our products from CFDA ourselves.  In Korea, medical devices such as our ICLs and IOLs require registration 
and approval from the Korean Ministry of Food and Drug Safety (MFDS) prior to commercialization.  Typically, the MFDS 
requires similar documentation as required to obtain a CE Mark.  Our distributor in Korea is contractually required to obtain, 
with our assistance, the necessary health registrations, governmental approvals, or clearances to import, market and sell our 
products.  In Korea, we provide our distributor with information and data to obtain appropriate registrations and approvals, 
and  the  distributor  in  each  country  obtains  such  registrations.  If  the  CFDA  or  MFDS  were  to  conclude  that  we  are  not  in 
compliance with applicable laws or regulations, or that any of our medical devices are ineffective or pose an unreasonable 
health risk, they could take a variety of regulatory or legal actions in their respective countries, similar to the FDA, which 
could have a material and negative impact on the Company. In January 2018, the MFDS audited our facilities then concluded 
we met the regulatory requirements and were in compliance with the current Korean quality system standards, and therefore 
would recommend renewal of our medical device license. 

11 

Third Party Coverage and Reimbursement. 

Health  care  providers  generally  rely  on  third-party  payers,  including  governmental  payers  such  as  Medicare  and 
Medicaid, private insurance plans and workers’ compensation plans, to cover and reimburse  the cost of medical devices and 
related services. These third-party payers may deny coverage or reimbursement for a  medical device if they determine that 
the product or procedure using the product was not medically appropriate or necessary and are increasingly challenging the 
price of medical devices and services. 

Our  ICL  products  generally  are  not  covered  by  third-party  payers,  and  patients  incur  out-of-pocket  costs  for  these 
products and related procedures using our products. Our IOL products used in cataract procedures generally are covered by 
third-party payers, including Medicare, in whole or in part depending upon a variety of factors, including the specific product 
used and geographic location where the procedure using the covered product is performed. The market for some of our IOL 
products therefore is influenced by third-party payers’ policies. 

In the United States, the Centers for Medicare & Medicaid Services (CMS), the agency responsible for administering the 
Medicare program, sets coverage and reimbursement policies for the Medicare program. CMS may modify its coverage and 
reimbursement policies related to IOLs, including our IOLs, as well as cataract procedures using IOLs, at any time. Since the 
enactment of the Patient Protection and Affordable  Care Act, as amended by the Health Care and Education Reconciliation 
Act,  or  collectively,  the  Health  Care  Reform  Law,  there  have  been  an  increasing  number  of  legislative  initiatives  in  the 
United States to contain health care coverage and reimbursement by governmental and other payers. These laws, as well as 
future laws that may be enacted, may result in additional reductions in Medicare and other health care funding, which could 
have a material adverse effect on our customers and thus, our financial operations. 

In  international  markets,  reimbursement  and  healthcare  payment  systems  vary  significantly  by  country,  and  many 
countries  have  instituted  cost  containment  initiatives  similar  to  those  in  the  United  States.  There  can  be  no  assurance  that 
third-party  coverage  and  reimbursement  will  be  available  or  adequate,  or  that  such  policies  or  any  future  legislation  or 
regulation  will  not  adversely  affect  the  demand  for  our  IOLs  or  our  ability  to  sell  these  products  at  prices  we  consider 
adequate. 

Research and Development   

We  focus  on  furthering  technological  advancements  in  the  ophthalmic  products  industry  through  the  development  of 
innovative  premium  ophthalmic  products  (lenses  and  companion  delivery  systems),  materials  and  designs.  We  maintain 
active internal research and development programs. To achieve our business objectives, we will continue our investment in 
research and development. 

During 2020, we intend to continue our focus on research and development in the following areas: 

  Development  of  presbyopia-correcting  ophthalmic  lenses,  including  models  that  correct  sphere  and  cylinder, 

including clinical trials of the same; 

  Development of preloaded injector systems for ophthalmic lenses; and 

  Development of a new generation of ophthalmic lenses and materials. 

Environmental Matters 

We are subject to federal, state, local and foreign environmental laws, and regulations. We believe that our operations 
comply in all  material respects  with applicable environmental laws and regulations in each country  where  we do business. 
We do not expect compliance with these laws to affect materially our capital expenditures, earnings, or competitive position. 
We  have  no  plans  to  invest  in  material  capital  expenditures  for  environmental  control  facilities  for  the  remainder  of  our 
current  fiscal  year  or  for  the  next  fiscal  year.  We  are  not  aware  of  any  pending  actions,  litigation  or  significant  financial 
obligations  arising  from  current  or  past  environmental  practices  that  are  likely  to  have  a  material  adverse  impact  on  our 
financial  position.  However,  environmental  problems  relating  to  our  properties  could  develop  in  the  future,  and  such 
problems  could  require  significant  expenditures.  In  addition,  we  cannot  predict  changes  in  environmental  legislation  or 
regulations that may be adopted or enacted in the future and that may adversely affect us. 

Employees 

As of January 3, 2020, we had approximately 550 full-time equivalent employees.  

12 

Code of Ethics 

STAAR  has  adopted  a  revised  Code  of  Business  Conduct  and  Ethics  that  applies  to  all  its  directors,  officers,  and 
employees.  The  Code  of  Business  Conduct  and  Ethics  is  posted  on  our  website,  www.staar.com —  Investor  Information: 
Corporate Governance. 

Additional Information 

We  make  available  free  of  charge  through  our  website,  www.staar.com,  our  Annual  Report  on  Form  10-K,  Quarterly 
Reports on Form 10-Q, Current Reports on Form 8-K and amendments to any reports filed or furnished pursuant to Section 
13(a) of the Securities Exchange Act of 1934, as soon as reasonably practicable, after those reports are filed with or furnished 
to the Securities and Exchange Commission (“SEC”). 

The  SEC  maintains  an  Internet  site  that  contains  reports,  proxy  and  information  statements,  and  other  information 

regarding STAAR and other issuers that file electronically with the SEC at http://www.sec.gov. 

Glossary 

The following glossary is intended to help the reader understand some of the terms used in this Report. 

acrylic – a broadly used family of plastics. Acrylic materials used in IOLs have been both water repelling (hydrophobic) 
and  water-absorbing  (hydrophilic).  The  most  popular  IOLs  in  the  U.S.,  Europe  and  Japan  are  made  of  a  flexible,  water-
repellent acrylic material. 

aspheric  –  aspheric  lenses  are  lenses  that  are  designed  in  a  shape  that  creates  a  more  clearly  focused  image  than 
traditional spheric lenses. By reducing spherical aberrations, IOLs that feature aspheric optics generally deliver better night 
vision and contrast sensitivity than spheric IOLs. 

collagen  copolymer  -  compounds  formed  by  joining  molecules  of  collagen  derived  from  biological  sources  with 
synthetic monomer molecules. STAAR’s Collamer® is a collagen copolymer engineered specifically for use in implantable 
lenses. 

contrast sensitivity - the ability to visually distinguish an object from its background. 

crystalline lens – the natural lens that is present in the eye at birth, which is a clear structure, located behind the iris that 

changes shape to focus light onto the retina. 

excimer laser – a specialized ultraviolet laser used in ophthalmology to cut or shape eye tissue. The excimer laser is used 

during LASIK and PRK surgery. 

foldable IOL – an intraocular lens  made of flexible  material,  which can be  inserted  with an injector system through  a 

small incision in minimally invasive cataract surgery. 

haptic – the part of an IOL that contacts the structures of the eye and holds the IOL in place. IOLs in which the haptic is 
also a part of the optic material is called a single-piece IOL, while IOLs in which the haptics are attached to the optic is called 
a three-piece IOL. 

hyperopia  –  the  refractive  disorder  commonly  known  as  farsightedness,  which  occurs  when  the  eye’s  lens  focuses 
images behind the plane of the retina rather than on the retinal surface. An adult with moderate to high hyperopia cannot see 
close  objects  without  eyeglasses  or  contact  lenses.  Because  presbyopia  often  results  in  the  need  for  reading  glasses,  it  is 
sometimes confused with farsightedness. 

intraocular – within the eye. 

injector or injector system – a device in the form of a syringe that is used to deliver a foldable IOL into the eye through a 

slender nozzle in minimally invasive cataract surgery. 

iridotomy – a small hole created in the iris, usually made with a YAG laser. Prior to implantation of some ICL models a 
YAG peripheral iridotomy is made in an unobtrusive area at the periphery of the iris to ensure continued fluid flow in the eye 
after implantation. The ICL with CentraFLOW technology, marketed with the brand names EVO and EVO+, have a central 
port for fluid flow, which eliminates the need for an iridotomy or iridectomy. 

13 

LASIK  –  an  acronym  for  laser-assisted  in-situ  keratomileusis,  a  surgical  operation  that  reshapes  the  cornea  to  correct 
nearsightedness, farsightedness, or astigmatism. LASIK involves first the cutting of a hinged flap to separate the surface layer 
of the cornea, using a microkeratome (a special blade) or a laser. An excimer laser is then used to ablate tissue and reshape 
the inner cornea, after which the flap is returned to position. 

myopia  –  the  refractive  disorder  also  known  as  nearsightedness,  which  occurs  when  the  eye’s  lens  focuses  images  in 
front  of  the  retina  rather  than  on  the  retinal  surface.  A  person  with  myopia  cannot  clearly  see  distant  objects  without 
eyeglasses or contact lenses. 

ophthalmologist – a surgeon who specializes in the diseases and disorders of the eye and the related visual pathway. 

ophthalmic – of or related to the eye. 

optic – the central part of an IOL or ICL, the part that functions as a lens and focuses images on the retina. 

PRK – an acronym for photorefractive keratectomy, the first type of laser surgical operation to correct nearsightedness, 

farsightedness, or astigmatism. 

preloaded  injector  -  an  IOL  packaged  and  shipped  in  a  pre-sterilized,  disposable  injector.  This  differs  from  the 
conventional  method  of  packaging  IOLs,  which  requires  the  surgeon  or  an  assistant  to  manually  load  each  lens  into  an 
injector before surgery. 

presbyopia – an age-related condition in which the crystalline lens loses its ability to focus on both near and far objects. 
People who have had normal vision will typically begin to need eyeglasses for reading or other close tasks at some point after 
age 40 due to presbyopia. 

QSR  -  the  FDA’s  Quality  System  Regulation,  or  current  Good  Manufacturing  Practice  (cGMP)  regulation,  includes 
requirements related to the  methods used in, and the  facilities and controls  used  for, designing,  manufacturing, packaging, 
labeling,  storing,  installing,  and  servicing  of  medical  devices  intended  for  human  use.  The  regulation  sets  forth  the 
framework for medical device manufacturers to follow in achieving quality requirements, including requirements related to 
complaint  handling  and  control  of  purchased  or  supplied  services,  components,  and  materials  bearing  on  the  quality  of 
medical devices. 

RLE  –  refractive  lens  exchange,  a  refractive  surgical  procedure  in  which  the  natural  crystalline  lens  is  removed  and 
replaced  with  an  IOL  (essentially  the  same  as  cataract  surgery  but  performed  primarily  to  address  refractive  issues  not  to 
remove a cataract). 

refractive  market  –  as  used  in  this  report  “refractive  market”  means  the  overall  market  volume  for  refractive  surgical 
procedures of all kinds, including LASIK, PRK, RLE, the ICL product family and other phakic IOLs. As used in this report, 
the term does not include sales of non-surgical products like eyeglasses and contact lenses. 

silicone – a type of plastic often used in implantable devices that is inert, generally flexible and water-repelling. 

single-piece IOL – in a single piece IOL the haptics and the optic are fashioned from a single piece of lens material. 

spheric lenses – a spheric lens has surfaces that are shaped like sections of a sphere.  

three-piece IOL – a three-piece IOL has a central, disk-shaped optic and two spring-like haptics attached at either side. 

The haptics are positioned against structures of the eye to hold the IOL in place. 

toric – refers to the shape of a lens designed to correct astigmatism, which has greater refractive power in some sections 

of the lens than others. 

YAG – an acronym for yttrium-aluminum-garnet, a  mineral crystal. Lasers using neodymium-doped yttrium aluminum 
garnet  crystals  (Nd:YAG)  generate  a  high-energy  beam  that  can  be  used  in  a  number  of  ophthalmic  procedures,  including 
creating iridotomies before implantation of some models of the ICL. 

14 

ITEM 1A.  Risk Factors 

Investment in our securities involves a high degree of risk. Investors should carefully consider the following risk factors, 
in addition to other information contained in this report before making a decision to invest in our common stock. These risks 
are not the only ones we face. These risks and uncertainties, as well as other risks that we cannot foresee at this time, have the 
potential to affect our business, financial condition, results of operations, cash flows, strategies and prospects in a material 
and adverse manner. The trading price of our common stock could decline due to any of these risks, and investors may lose 
all or part of their investment. This Annual Report on Form 10-K contains forward-looking statements that involve risks and 
uncertainties.  Actual  results  could  differ  materially  from  those  anticipated  or  implied  in  these  forward-looking  statements 
because of factors beyond our control, including the risks faced by us described below. 

We may not be able to continue our growth and profitability trajectory. 

Risks Related to Our Business 

In 2019 our revenue grew by  21% and we achieved $0.30 diluted earnings per share.  While we plan to continue sales 
growth  and  remain  profitable,  there  can  be  no  guarantee  that  we  will  achieve  our  growth  and  profitability  plans  in  2020.  
While we achieved profitability in the past two years, we  reported losses in three of the past five years. Our profitability is 
challenged by the competitive nature of our industry and the other risks to our business detailed herein. 

Compliance issues may adversely impact our operations. 

Quality system and other deficiencies observed by the FDA at certain of our facilities in the past resulted in delays in 
product  approvals.    We  plan  to  remain  in  compliance  with  regulatory  requirements  established  by  applicable  global 
regulatory agencies, however, there can be no guaranty that we will do so. If we cannot maintain compliance with a particular 
jurisdiction’s regulatory requirements, it could adversely impact our financial performance/have a material adverse effect on 
our ongoing business and operations.  We expect to continue to devote resources and attention to our quality systems and 
compliance and other regulatory requirements as part of the ordinary course of business. We cannot ensure that our efforts 
will  be  successful  and  failure  to  achieve  or  maintain  compliance  may  materially  and  adversely  impact  our  business  and 
operations. 

We rely and depend on independent distributors in international markets. 

Except for the U.S., Japan, Spain, Germany, Canada, the U.K. and Singapore, we sell our products through independent 
distributors who generally control the importation and marketing of our product within their territories. We generally grant 
exclusive rights to these distributors and rely on them to understand local market conditions, to diligently sell our products 
and to comply with local laws and regulations. Our agreements with distributors and local laws can make it difficult for us to 
quickly change from a distributor  who  we  feel is underperforming. If  we do terminate  an independent distributor,  we may 
lose  customers  who  have  been  dealing  with  that  distributor,  and  may  be  required  to  compensate  the  distributor  for 
termination.  Because  these  distributors  are  independent,  it  may  be  difficult  for  us  to  detect  failures  in  our  distributors’ 
performance or compliance. Actions by independent distributors could result in declining sales in that territory, harm to the 
reputation of our company or our products, or legal liability. For example, if Shanghai Langsheng, which accounted for more 
than  43% of our fiscal 2019 consolidated net  sales,  ceased to serve as our distributor, or significantly underperformed our 
expectations, we may experience a substantial reduction in sales. 

Unfavorable  economic  conditions  or  negative  publicity  concerning  complications  of  laser  eye  surgery,  or  medical 

devices in general, could hurt sales of our refractive products. 

Approximately  eighty-six  percent  (86%)  of  our  revenue  was  derived  from  ICL  lenses  used  in  refractive  procedures. 
Refractive surgery is an elective procedure generally not covered by health insurance. Patients must pay for the procedure, 
frequently through installment financing arrangements with third parties. They can defer the choice to have refractive surgery 
if they lack the disposable income to pay for it or do not feel their income is secure. Economic stagnation, lack of consumer 
confidence or new recessions in any of our larger markets could slow ICL sales growth or, if severe, cause declines in sales. 
Because  the  ICL  is  our  best  selling  and  highest  gross  margin  product,  restricted  growth  or  a  decline  in  its  sales  could 
materially harm our business. 

We  believe  that negative publicity in the past regarding the potential complications of refractive  surgery and potential 
patient dissatisfaction, in particular because of LASIK and other corneal laser-based procedures, decreased patient interest in 
LASIK as well as all other refractive procedures. Depending on the nature and severity of any future negative publicity about 
refractive  surgery,  the  growth  of  ICL  sales  could  be  limited  or  sales  could  decline  due  to  decreased  patient  interest  in  all 
refractive  surgery.    Recent  negative  publicity  regarding  alleged  harm  to  patients  caused  by  LASIK  may  decrease  patient 
interest in undergoing a medical procedure involving a medical device such as our ICL. 

15 

Disruptions in our supply chain or failure to adequately forecast product demand could result in significant delays or 

lost sales. 

The  loss of a  material  supplier could significantly disrupt  our business. In some cases,  we obtain components  used in 
certain of our products from single sources. If we experience difficulties acquiring sufficient quantities of required materials 
or  products  from  our  existing  suppliers,  or  if  our  suppliers  are  found  to  be  non-compliant  with  the  FDA’s  QSR,  other 
applicable laws, or STAAR’s requirements, then qualifying and obtaining the required regulatory approvals to use alternative 
suppliers may be a lengthy and uncertain process during which production could be delayed and we could lose sales. 

Our sources of supply for raw materials may be threatened by shortages and other market forces, by natural disasters, by 
the  supplier’s  failure  to  maintain  adequate  quality  or  a  recall  initiated  by  the  supplier.  Even  when  substitute  suppliers  are 
available,  the  need  to  verify  the  substitute  supplier’s  regulatory  compliance  and  the  quality  standards  of  the  replacement 
material could significantly delay production and materially reduce our sales. 

In particular, we manufacture the proprietary collagen-containing raw material used in our ICLs internally. If the supply 
of  these  collagen-containing  raw  materials  is  disrupted,  it  could  result  in  our  inability  to  manufacture  those  products  and 
would have a  material adverse effect on STAAR. The loss of our external supply source for silicone material, polymer  for 
injectors or acrylic lenses could also cause us material harm. 

Further, any failure by us to forecast demand for or to maintain an adequate supply of, raw material and finished product 
could result in an interruption in the  supply of certain products  and a decline in the sales of that product.  For example, in 
2019  our  ICL  sales  grew  28%.  If  our  suppliers  or  we  are  unable  or  our  suppliers  are  unwilling  to  meet  our  increased 
manufacturing requirements, we may not be able to produce enough materials or products in a timely manner, which could 
cause a decline in our sales. 

Because  our  business  is  global  our  sales  and  profits  may  fluctuate  or  decline  in  response  to  changes  in  foreign 

currency exchange rates and/or other international risks (including tariffs). 

Activities  outside  the  U.S.  accounted  for  approximately  95%  of  our  total  sales  during  2019.  Foreign  currency 
fluctuations  could  result  in  volatility  of  our  revenue.  The  results  of  operations  and  the  financial  position  of  our  Japanese 
subsidiary are reported in Japanese yen and then translated into U.S. dollars at the applicable exchange rates for inclusion in 
our consolidated financial statements, exposing us to translation risk. In addition, we are exposed to transaction risk because 
we incur some of our sales and expenses in currencies other than the U.S. dollar. Our most significant currency exposures are 
to the Japanese yen, the euro, and the Swiss franc, and the exchange rates between these currencies and the U.S. dollar may 
fluctuate substantially. We do not actively  hedge our exposure to currency rate  fluctuations. The strengthening of the  U.S. 
dollar  would  likely  negatively  impact  our  results.  We  price  some  of  our  products  in  U.S.  dollars,  and  thus  changes  in 
exchange rates can make our products more expensive in some offshore markets and reduce our sales. Inflation in emerging 
markets could also make our products more expensive and increase the credit risks to which we are exposed.  Future foreign 
currency fluctuations could favorably or unfavorably impact and increase the volatility of our revenue, profitability, and stock 
price. 

Economic, social, and political conditions, laws, practices, and local customs vary widely among the countries in which 
we sell our products. Our operations outside of the U.S. face a number of risks and potential costs, including, enjoying less 
stringent  protection  of  intellectual  property,  and  facing  economic,  political,  and  social  uncertainty  in  some  countries, 
especially in emerging markets. For example, sales in certain Asian and developing markets may result in lower margins and 
higher exposure to intellectual property infringement or counterfeits. Further, trade disputes between the United States and its 
significant trading partners may adversely affect our sales, including as a result of the imposition of tariffs or other barriers or 
restrictions  on  trade,  or  increase  our  costs.    The  institution  of  trade  tariffs  both  globally  and  between  the  U.S.  and  China 
specifically  could  negatively  impact  the  overall  economic  condition  in  our  markets,  including  China,  which  could  have  a 
negative effect on our sales. Also, we are exposed to credit and collectability risk on our trade receivables with customers in 
certain  international  markets.  There  can  be  no  assurance  we  can  effectively  limit  our  credit  risk  and  avoid  losses  and  our 
ability  to  transfer  foreign  earnings  to  the  U.S.  may  be  subject  to  taxes  or  restricted or result  in  incurring  substantial  costs.  
Our continued success as a global company depends, in part, on our ability to develop and implement policies and strategies 
that are effective in anticipating and managing these and other risks in the countries where we do business. These and other 
risks may have a material adverse effect on our operations in any particular country and on our business, financial condition 
and results of operations as a whole. 

16 

We may not be able to fully use our recorded tax loss carryforwards. 

We  have  accumulated  approximately  $129.0  million  of  U.S.  federal  tax  net  operating  loss  carryforwards  as  of 
January 3, 2020,  which  can  be  used  to  offset  taxable  income  in  future  years  if  our  U.S.  operations  become  profitable.  If 
unused,  the  pre-2018  tax  loss  carryforwards  will  begin  to  expire  between  2020  and  2037.    Recently  enacted  legislation 
commonly  known  as  the  Tax  Cuts  and  Jobs  Act  of  2017,  or  the  Tax  Act,  subjects  a  U.S.  shareholder  to  tax  on  Global 
Intangible  Low  Tax  Income  (GILTI)  earned  by  certain  foreign  subsidiaries.    At  this  time,  our  U.S.  operations  are  not 
profitable, however, recognizing GILTI may offset federal net operating loss carryforwards, as it did for fiscal years 2019 and 
2018.    Our  ability  to  utilize  any  future  net  operating  losses  may  also  be  limited  by  the  Tax  Act.    Under  the  Tax  Act,  the 
amount  of  post-2017  net  operating  losses  we  are  permitted  to  deduct  in  any  taxable  year  is  limited  to  80%  of  our  taxable 
income in such year. The unused net operating losses, pre-2018 tax year can still offset 100% of taxable income.  In addition, 
the Tax Act generally eliminates the ability to carry back any net operating loss to prior taxable years, while allowing post-
2017 unused net operating losses to be carried forward indefinitely. Due to these changes under the Tax Act, we may not be 
able  to  realize  a  tax  benefit  from  the  use  of  our  net  operating  losses,  whether  or  not  we  generate  profits  in  future  years.  
Moreover, if we were to experience a significant change in ownership, Internal Revenue Code Section 382 may restrict the 
future utilization of our tax loss carryforwards even if our U.S. operations generate significant profits. 

We are vulnerable to any loss of use of our principal manufacturing facility. 

We  manufacture  most  of  our  products  at  a  single  facility  in  Monrovia,  California.  All  or  a  portion  of  the  Monrovia 
facility  could  suffer  catastrophic  loss  due  to  fire,  flood,  earthquake,  terrorism  or  other  natural  or  man-made  disasters, 
including  manufacturing  challenges  such  as  equipment  failure.    Developing  additional  manufacturing  sites  may  require 
significant  expense  for  personnel  and  equipment  and  a  long  period  to  obtain  regulatory  approvals.    Our  California  and 
Japanese facilities are in areas where earthquakes could cause catastrophic loss. 

In  our  major  markets,  regulatory  approval  to  manufacture  materials  and  sell  our  products  is  generally  limited  to  the 
current  manufacturing  site,  and  changing  the  site  requires  applications  to  and  approval  from  regulatory  bodies  prior  to 
commercialization. To satisfy our own quality standards as  well as regulations,  we  must follow strict protocols to confirm 
that products and materials made at a new site are equivalent to those made at the currently approved site. For example, we 
have commenced activities to resume manufacturing ICLs at our Swiss facility, but there can be no guaranty whether or when 
that facility will be prepared and approved by regulators for manufacturing. Even minor changes in equipment, supplies or 
processes  require  validation.  Unanticipated  delays  with  a  transferred  process  or  difficulties  in  manufacturing  a  transferred 
material could interrupt our supply of products. Any sustained interruption in supply could cause us to lose market share and 
harm our business, financial condition and results of operations. 

If any or a portion of our facilities were to experience a catastrophic loss, or if one of our facilities is found not to be in 
compliance  with regulatory requirements, it could disrupt  our operations, delay production and shipments, delay or reduce 
sales  and  revenue  and  result  in  large  expenses  to  repair  or  replace  the  facility,  as  well  as  lost  customers  or  sales.  Our 
insurance for property damage and business interruption may not cover any particular loss, or, if covered, be sufficient. We 
do not carry insurance or reserve funds for interruptions or potential losses arising from earthquakes or terrorism. 

Public health crises, political crises, and other catastrophic events or other events outside of our control may impact 

our business. 

In 2019, we generated approximately 95% of our total sales outside the U.S.  A natural disaster (such as tsunami, power 
shortage,  or  flood),  public  health  crisis  (such  as  a  pandemic  or  epidemic),  political  crisis  (such  as  terrorism,  war,  political 
instability or other conflict), or other events outside of our control that may occur anywhere around the world, may adversely 
impact  our  business  and  operating  results.  Moreover,  these  types  of  events  could  negatively  impact  surgeon  or  patient 
spending  in  the  impacted  region(s)  or  depending  upon  the  severity,  globally,  which  could  adversely  impact  our  operating 
results. For example, in December 2019, a strain of coronavirus was reported to have surfaced in Wuhan, China, resulting in 
temporary hospital and clinic closures and a decrease in consumer traffic in China, our largest single market. At this point, 
the  extent  to  which  the  coronavirus  may  impact  our  full  year  2020  results  is  uncertain.  We  monitor  such  events  and  take 
actions that we deem reasonable given the circumstances. In the future other types of crises, may create an environment of 
business uncertainty around the world, which may hinder sales and/or supplies of our products nationally and internationally 

We depend on key employees. 

We depend on the continued service of our senior management and other key employees. The loss of a key employee 
could hurt our business. It could be particularly detrimental if any key employee or employees went to work for a competitor. 
Also, our future success depends on our ability to identify, attract, train, motivate and retain other highly skilled personnel. 

17 

Failure  to do so may adversely affect our results. We do not maintain insurance policies to cover the cost of replacing the 
services of any of our key employees who may unexpectedly die or become disabled. 

We compete with much larger companies and low-cost Asian manufacturers. 

Our primary competitors, including Alcon (formally Novartis), Johnson & Johnson (formerly Abbott Medical Optics, or 
AMO)  and  Bausch  Health  Companies  (formerly  Valeant  or  Bausch  &  Lomb),  have  much  greater  financial,  technical, 
marketing  and  distribution  resources  and  brand  name  recognition  than  we  do  and  some  of  them  have  large  international 
markets for a full suite of ophthalmic products. Their greater resources for research, development and marketing, and their 
greater capacity to offer comprehensive products and equipment to providers, makes for intense competition. Over the past 
several  years,  we  have  lost  market  share  in  IOL  sales  to  some  of  our  competitors.  In  addition,  competitors  from  Asia  are 
beginning to appear in  some  markets  with their low-cost  version of an implantable contact lens,  which competes  with our 
ICL.    With  our  increased  commercial  success  with  the  ICL,  additional  companies  may  seek  to  enter  the  refractive  phakic 
intraocular lens market. 

Non-compliance with anti-corruption laws could lead to penalties or harm our reputation. 

We  are  subject  to  anti-corruption  laws  in  the  jurisdictions  in  which  we  operate,  including  the  U.S.  Foreign  Corrupt 
Practices  Act  (FCPA).  Any  failure  to  comply  with  these  laws,  even  if  inadvertent,  could  result  in  significant  penalties  or 
otherwise  harm our reputation, business,  financial  condition and results of operations.  Our reliance on foreign subsidiaries 
and independent distributors requires vigilance in maintaining our policy against participation in corrupt activity. In many  of 
our markets outside the U.S., doctors and hospital administrators may be deemed government officials. Despite precautions 
we may take, non-compliance may occur that could harm our reputation and financial results.  Other U.S. companies in the 
medical device and pharmaceutical field have faced criminal penalties under the FCPA for allowing their agents to deviate 
from appropriate practices in doing business with such individuals. 

We could experience losses due to product liability claims. 

We  have  been  subject  to  product  liability  claims  in  the  past  and  may  experience  such  claims  in  the  future.  Product 
liability claims against us may not be covered, may exceed the coverage limits of our insurance policies or cause us to record 
a loss in excess of our deductible. A product liability claim that exceeds our insurance coverage could materially harm our 
business, financial condition, and results of operations. Even if an insurance policy covers a product liability loss, we must 
generally pay for losses until they reach the level of the policy’s stated deductible or retention amount after which the insurer 
begins  paying.  The  payment  of  retentions  or  deductibles  for  a  significant  number  of  claims  could  have  a  material  adverse 
effect on our business, financial condition, and results of operations. 

Any  product  liability  claim  would  divert  managerial  and  financial  resources  and  could  harm  our  reputation  with 
customers. We cannot assure investors that we will not have product liability claims in the future or that such claims would 
not have a material adverse effect on our business. 

Our  defined  benefit  pension  plans  are  currently  underfunded  and  we  may  be  subject  to  significant  increases  in 

pension benefit obligations under those pension plans. 

We  sponsor  two  defined  benefit  pension  plans  through  our  wholly  owned  Swiss  and  Japanese  subsidiaries,  which  we 
refer to as the “Swiss Plan” and the “Japan Plan”, respectively. Both plans are underfunded and may require significant cash 
payments. 

We determine our pension benefit obligations and funding status using many assumptions. If the investment performance 
does  not  meet  our  expectations,  or  if  other  actuarial  assumptions  are  modified,  or  not  realized,  we  may  be  required  to 
contribute  more  than  we  currently  expect  and  increase  our  future  pension  benefit  obligations  to  be  funded  from  our 
operations. 

Our pension plans taken together are underfunded by approximately  $7.8 million  ($1.7 million for the Japan Plan and 

$6.1 million for the Swiss Plan) as of January 3, 2020. 

If  our  cash  flow  from  operations  is  insufficient  to  fund  our  worldwide  pension  obligations,  as  well  as  other  cash 

requirements, we may be materially and adversely harmed and have to seek additional capital. 

18 

Our activities involve hazardous materials, emissions, and use of an irradiator and may subject us to environmental 

liability. 

Our manufacturing, research and development activities involve the use of hazardous materials and equipment and use of 
an irradiator. Federal, state and local laws and regulations govern the use, manufacturing, storage, handling and disposal of 
these materials and certain waste products in the places where we have operations. We cannot eliminate the risk of accidental 
contamination  or  injury  from  these  materials  and  equipment.  Remedial  environmental  actions  could  require  us  to  incur 
substantial unexpected costs, which could materially and adversely affect our financial condition and results of operations. If 
we were involved in an environmental accident or found to be in substantial non-compliance with applicable environmental 
laws, it could harm our reputation, and we could be held liable for damages or penalized with fines. 

Data  corruption,  cyber-based  attacks  or  network  security  breaches  and/or  noncompliance  with  data  protection 

regulations could negatively impact our operations. 

We  depend  on  information  technology  networks  and  our  information  technology  infrastructure  for  electronic 
communications  among  our  locations  around  the  world  and  between  our  personnel  and  our  subsidiaries,  customers,  and 
suppliers. The integrity and protection of our customer, vendor, supplier, employee, and other Company data, is an important 
part of our business.  Addressing applicable security and privacy regulations  may increase our operating costs or adversely 
affect our business operations. 

Unauthorized parties may also gain access to our systems or facilities, and may,  among other things, prevent access to 
our systems.  Security breaches could disrupt our operations, and result in  lost or  misappropriated information. Despite the 
security  measures  we  have in place, our facilities and  systems, and those of our suppliers, distributors and customers  with 
whom we do business, may be vulnerable to security breaches, cyber-attacks, or other similar events. Any security breach of 
Company  information  could  have  a  material  adverse  effect  on  our  business,  results  of  operations  and  financial  condition. 
Also, certain of our information technology systems are not redundant, and our disaster recovery planning is not sufficient for 
every eventuality. Despite any precautions  we  may take, such events could  harm our reputation and  financial results.  For 
example, while we maintain cyber insurance, it may be insufficient to address any potential loss incurred. 

We  are  subject  to  various  data  protection  regulations  in  different  jurisdictions,  including  the  General  Data  Protection 
Regulation (Regulation (EU) 2016/679) (GDPR) and the California Consumer Privacy Act. We have made and continue to 
engage  in  compliance  efforts  to  satisfy  these  regulations,  however,  we  may  be  unsuccessful  in  complying  with  applicable 
requirements, and may be at risk of enforcement actions and/or subject to fines, including those imposed by a data protection 
authority.  As  a  result,  we  may  incur  substantial  expense  in  complying  with  data  protection  regulations,  exposure  resulting 
from a data breach, ransomware or non-compliance and may be distracted from other aspects of our business. 

The increased use of social media platforms and mobile technologies presents additional risks and challenges. 

New technologies are increasingly used to communicate about our products and the health conditions they are intended 
to  treat.  The  use  of  these  media  poses  risks  to  our  business  and  requires  specific  attention  and  monitoring.  For  example, 
patients, competitors, or others may use these channels to comment on the safety or effectiveness of a product and to report 
an alleged adverse event. Negative posts or comments about us or our business on any social networking web site could harm 
our reputation. In addition, our employees may use social media tools and mobile technologies inappropriately, which may 
give rise to liability, or which could lead to the exposure of sensitive information. In either case, such uses of social media 
and mobile technologies could have a material adverse effect on our business, financial condition, and results of operations. 

Acquisitions of technologies, products, and businesses could disrupt our operations, involve increased expenses and 

present risks not contemplated at the time of the transactions. 

We  may consider and, as appropriate, make acquisitions of technologies, products, and  businesses that  we  believe are 
complementary  to  our  business.  Acquisitions  typically  entail  many  risks  and  could  result  in  difficulties  in  integrating  the 
operations, personnel, technologies, and products acquired, and mitigating the risk of unknown liabilities some of which may 
result in significant payments or charges to earnings. 

If we are unable to successfully integrate our acquisitions with our existing business, we may not obtain the advantages 
that the acquisitions were intended to create, which may materially adversely affect our business, and our ability to develop 
and introduce new products. Actual costs and sales synergies, if achieved at all, may be lower than we expect and may take 
longer  to  achieve  than  we  anticipate.  Acquisitions  may  also  divert  management’s  attention  from  our  core  business. 
Furthermore,  the  products  of  companies  we  acquire  may  overlap  with  our  products  or  those  of  our  customers,  creating 
conflicts with existing relationships or with other commitments that are detrimental to the integrated businesses. 

19 

If we are not able to manage growth successfully, this could adversely affect our business, financial condition, and 

results of operations. 

If  we  continue  to  experience  rapid  growth,  this  places  a  significant  strain  on  financial,  operational,  and  managerial 
resources.  We  must  continue  to  implement  and  enhance  our  managerial,  operational  and  financial  systems,  expand  our 
operations, and continue to recruit and train qualified personnel. There can be no assurance that our strategic and operational 
planning  will  allow  us  to  adequately  manage  anticipated  growth.  In  addition,  the  expense  associated  with  increased 
manufacturing  and  sales/marketing  to  meet  increased  demand  may  exceed  our  expectations.  Any  inability  to  successfully 
manage growth could materially and adversely affect our business, financial condition, and results of operation. 

Risks Related to the Ophthalmic Products Industry 

Unless we keep pace with advances in our industry and persuade physicians to adopt our new products, our sales will 

not grow and may decline. 

Our future growth depends, in part, on our ability to timely develop products to treat diseases and disorders of the eye 
that are more effective, safer, or incorporate emerging technologies better than our competitors’ products, and are accepted 
by physicians and patients. Sales of our existing products may decline rapidly if one of our competitors introduces a superior 
product, or if we announce a new product of our own. If we focus on research and development or technologies that do not 
lead to better products, more effective or advanced products could surpass our current and planned products. In addition, such 
product development efforts could require a significant investment of resources.  If we are able to develop new products, we 
must  manufacture  these  products  economically  and  market  them  successfully  by  demonstrating  to  enough  eye-care 
professionals the overall benefits of using them.  If we do not timely develop new products that meet market demand or if 
there is insufficient demand for our new products, our sales and results of operations could be harmed.  For example, it is 
uncertain  whether  physicians  in  countries  that  recognize  the  CE  Mark  will  adopt  the  EVO  Visian  ICL  for  use  in 
pseudophakic  eyes  (those  eyes  with  an  intraocular  lens  after  cataract  surgery),  which  or  Notified  Body  approved  for 
marketing and sale in December 2019. 

Resources  devoted  to  research  and  development  may  not  yield  new  products  that  achieve  regulatory  approval  or 

commercial success. 

Development of new implantable technology, from discovery through testing and registration to initial product launch, is 
expensive  and  time-consuming.  Because  of  the  complexities  and  uncertainties  of  ophthalmic  research  and  development, 
products we are developing, including those currently in development, may not complete the development process or obtain 
the  regulatory  approvals  required  for  us  to  successfully  market  the  products.  Our  new  products,  including  those  currently 
under development, may fail to become commercially successful. 

We  may  be  required  to  conduct  extensive  clinical  trials  to  demonstrate  safety  and  efficacy  of  new  or  enhanced 

products, such clinical trials are expensive, complex, can take years to complete, and have highly uncertain outcomes. 

In order to further advance the development of, and ultimately receive regulatory approval to manufacture and sell, our 
new products or product enhancements, we may be required to conduct extensive clinical trials to demonstrate their safety 
and efficacy to the satisfaction of the FDA or regulatory authorities in other countries. Clinical trials are expensive, complex, 
can take many years to complete, and have highly uncertain outcomes. Delays, setbacks, or failures can occur at any time, or 
in any phase of the clinical trials, and can result from concerns about safety, a lack of demonstrated efficacy, or poor study or 
trial design.  For example,  we cannot ensure that our on-going clinical  trial of the EVO Visian ICL  with EDOF optic  will 
succeed  in  obtaining  a  claim  for  correcting  early  presbyopia  by  our  Notified  Body.    Nor  can  we  ensure  that  our  on-going 
clinical trial of EVO Visian ICL will succeed in obtaining approval for correcting myopia or astigmatism by the FDA.  The 
commencement and completion of clinical trials may be delayed or prevented by many factors, including, but not limited to: 

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an inability to reach agreement with regulatory authorities regarding the scope or extent of a proposed clinical trial; 

an  inability  to  timely  identify  and  reach  agreement  on  acceptable  terms  with  prospective  clinical  trial  sites  and 
entities involved in the conduct of our clinical trials; 

failure by third-party clinical trial managers to comply with applicable regulations or protocols; 

flaws in the design of the clinical trials; 

slower than expected rates of patient recruitment and enrollment; 

periodic amendments to clinical trial protocols to address certain variables which arise during the course of a trial; 

lack of effectiveness of our products; or 

unforeseen safety issues. 

20 

We are subject to extensive government regulation worldwide, which increases our costs and could prevent us from 

selling our products. 

We are regulated by regional, national, state and local agencies in the U.S. as well as governmental authorities in those 
international countries in which we  manufacture or distribute products, such as in Europe and Asia. These regulations may 
govern  the  research,  development,  manufacturing,  and  commercial  activities  relating  to  medical  devices,  including  their 
design, pre-clinical and clinical testing, clearance or approval, production, labeling,  sale, distribution, import,  export,  post-
market  surveillance,  advertising,  dissemination  of  information  and  promotion.    Failure  to  receive  necessary  approvals  in 
foreign jurisdictions on a timely basis, or at all, could harm our business and operating results. In addition, regulations and 
requirements  for  approvals  can  vary  in  each  international  country,  which  can  significantly  increase  the  costs  to  sell  our 
products in these international countries. 

Complying with government regulation substantially increases the cost of developing, manufacturing and selling our 

products. 

Competing  in  the  ophthalmic  products  industry  requires  us  to  introduce  new  or  improved  products  and  processes 
continuously, and to submit these to the FDA and other regulatory bodies for clearance or approval. Obtaining clearance or 
approval can be a long and expensive process, and clearance or approval is never certain. For example, the FDA or another 
country’s regulatory agency, could require us to conduct an additional clinical trial prior to granting clearance or approval of 
a product and such clinical trial could take a long time and have substantial expense. Furthermore, there is no assurance that 
clearance or approval will be granted. 

If a regulatory authority delays or does not grant approval of a potentially significant product, the potential sales of  the 
product and its value to us can be substantially reduced. Even if the FDA or another regulatory agency clears or approves a 
product, the clearance or approval may limit the indicated patient populations or uses of the product, or may otherwise limit 
our ability to promote, sell and distribute the product, or may require expensive post-marketing studies or surveillance. If we 
cannot obtain timely regulatory clearance or approval of our new products, or if the clearance or approval is too narrow, we 
will not be able to successfully market these products, which would eliminate or reduce our potential sales and earnings. 

In addition, the FDA and other regulatory authorities may change their clearance and approval policies, adopt additional 
regulations,  or  revise  existing  regulations,  or  take  other  actions  which  may  prevent  or  delay  approval  or  clearance  of  our 
products under development,  cause the loss of previously received approvals or clearances or impact our ability to  modify 
our  currently  cleared  products  on  a  timely  basis.    Also,  we  expect  to  incur  additional  costs  complying  with  the  European 
Union’s new Medical Device Regulation (MDR). 

We depend on proprietary technology but our intellectual property protections may be limited. 

While we rely on various intellectual property laws, contractual provisions and confidentiality procedures and copyright 
laws  to  protect  the  proprietary  aspects  of  our  technology,  we  rely  more  on  trade  secrets  and  know-how,  which  may  not 
prevent third parties from using publicly available information to access our technology.  With respect to our patents, any of 
them may be challenged, invalidated, circumvented or rendered unenforceable. Any of our pending patent applications may 
fail  to  result  in  an  issued  patent  or  fail  to  provide  meaningful  protection  against  competitors  or  competitive  technology. 
Litigation may be necessary to enforce our intellectual property rights, and to protect or determine the validity and scope of 
our proprietary rights. We also challenge others’ patents or patent applications from time to time.  Any litigation could result 
in substantial expense, may reduce our profits, and may not adequately protect our intellectual property rights. In addition, we 
may  be  exposed  to  future  litigation  by  third  parties  based  on  claims  that  our  products  infringe  their  intellectual  property 
rights.  This  risk  is  exacerbated  by  the  fact  that  the  validity  and  breadth  of  claims  covered  by  patents  in  our  industry  may 
involve  complex  legal  issues  that  are  open  to  dispute.  Any  litigation  or  claims  against  or  instituted  by  us,  whether  or  not 
successful,  could  result  in  substantial  costs,  divert  resources  and  the  efforts  of  our  personnel  away  from  daily  operations, 
harm our reputation, result in the impairment of our  intellectual property rights,  limit our ability to pursue  future products 
and/or otherwise materially adversely impact our business. 

21 

We may not successfully replace our existing products, including those that lose or have lost patent protection. 

As our existing patents expire, many of which already expired over the past several years, our competitors may introduce 
products using the same technology. Because of this possible increase in competition, we may lose sales and/or may need to 
reduce  our  prices  to  maintain  sales  of  our  products,  which  would  make  them  less  profitable.  If  we  fail  to  develop  and 
successfully launch new products and/or obtain new patents, our sales and profits with respect to our products could decline 
significantly. We may not be able to develop and successfully launch more advanced replacement products. 

While we will continue developing intellectual property protections for our future products, third parties may pursue 

blocking patents that limit our ability to manufacture such products. 

We plan to continue relying on our intellectual property rights to protect products and technology that we may develop 
or employ in the future, but third parties may develop and obtain patents covering such products or technology. In such event, 
we may need to obtain licenses for such patents. However, we may not be able to obtain licenses on reasonable terms, if at 
all, which could limit our ability to manufacture our future products and operate our business. 

Laws  pertaining  to  healthcare  fraud  and  abuse  could  materially  adversely  affect  our  business,  financial  condition, 

and results of operations. 

We are subject to various federal, state, local and international laws targeting fraud and abuse in the healthcare industry, 
including  anti-kickback  and  false  claims  laws.  Violations  of  these  laws  are  punishable  by  criminal  or  civil  sanctions, 
including  substantial  fines,  imprisonment,  and  exclusion  from  participation  in  healthcare  programs  such  as  Medicare  and 
Medicaid,  and  health  programs  outside  the  United  States.  These  laws  and  regulations  are  wide  ranging  and  subject  to 
changing interpretation and application, which could restrict our sales or marketing practices. Furthermore, because many of 
our  customers,  particularly  IOL  customers,  rely  on  reimbursement  from  Medicare,  Medicaid,  and  other  governmental 
programs  to  cover  a  substantial  portion  of  their  expenditures,  our  exclusion  from  such  programs  because  of  a  violation  of 
these laws could have a material adverse effect on our business, results of operations, financial condition, and cash flow. 

If we recall a product, the cost and damage to our reputation could harm our business. 

We  have  voluntarily  recalled  our  products  in  the  past  and  recalls  could  take  place  again.  We  may  also  be  subject  to 
recalls initiated by manufacturers of products we distribute. We cannot eliminate the risk of a material recall in the future. 
Recalls  can  result  in  lost  sales  of  the  recalled  products  themselves,  and  can  result  in  further  lost  sales  while  replacement 
products are manufactured, especially if the replacements must be redesigned or approved by regulatory authorities prior to 
distribution.  If  recalled  products  have  already  been  implanted,  we  may  bear  some  or  all  of  the  cost  of  corrective  surgery. 
Recalls may also damage our professional reputation and the reputation of our products. The inconvenience caused by recalls 
and related interruptions in supply, the underlying causal issues, and the damage to our reputation, could cause professionals 
to discontinue using our products. 

Companies are required to maintain certain records of actions, even if they determine such actions are not reportable to 
the FDA or other regulatory bodies. If we determine that certain actions do not require notification of the FDA or others, the 
FDA  or  other  regulatory  bodies  may  disagree  with  our  determinations  and  require  us  to  report  those  actions  as  recalls.  In 
addition, the FDA or other regulatory bodies could take enforcement action for failing to report the recalls when they were 
conducted or failing to timely report or initiate a reportable product action. Moreover, depending on the corrective action we 
take to redress a product’s deficiencies or defects, the FDA or other regulatory bodies may require, or we may decide, that we 
will  need  to  obtain  new  approvals  or  clearances  for  the  device  before  we  may  market  or  distribute  the  corrected  device. 
Seeking such approvals or clearances may delay our ability to replace the recalled devices in a timely manner.  

Changes  in  FDA  or  international  regulations  related  to  product  approval,  including  those  that  apply  retroactively, 

could make us less competitive and harm our business. 

FDA and foreign regulations depend heavily on administrative interpretation, and we cannot assure investors that future 
interpretations  made  by  the  FDA  or  other  regulatory  bodies,  with  possible  retroactive  effect,  will  not  adversely  affect  us. 
Additionally, any changes, whether in interpretation or substance, in existing regulations or policies, or any future adoption 
of new regulations or policies by relevant regulatory bodies, could rescind, prevent or delay approval of our products, which 
could materially impact our competitive position, business, and financial results. Further, we or our distributors have obtained 
regulatory approvals outside the United States for many of our products. We or our distributors may be unable to maintain 
regulatory qualifications, clearances or approvals in these countries or obtain qualifications, clearances, or approvals in other 
countries. If we are not successful in doing so, our business and financial condition will be harmed. 

22 

If our products, or malfunction of our products, cause or contribute to a death or a serious injury, we will be subject 
to medical device reporting regulations, which can result in voluntary corrective actions, agency enforcement actions and 
harm to our results. 

Under the FDA regulations, we are required to report to the FDA any incident in which our product may have caused or 
contributed to a death or serious injury or in which our product malfunctioned and, if the malfunction were to recur, would 
likely cause or contribute to death or serious injury. In addition, all manufacturers placing medical devices in international 
markets, such as European Union and Asian markets, are legally bound to report any serious or potentially serious incidents 
involving devices they produce or sell to the relevant authority in whose jurisdiction the incident occurred. In the future,  we 
may experience events that would require reporting to the FDA pursuant to the Medical Device Reporting (MDR) regulations 
or to other regulatory bodies pursuant to international regulations. Any adverse event involving our products could result in 
future voluntary corrective actions, such as product actions or customer notifications, or agency actions, such as inspection, 
mandatory recall, or other enforcement action. Any corrective action, whether voluntary or involuntary, as well as defending 
ourselves in a lawsuit, will require the dedication of our time and capital, distract management from operating our business, 
and may harm our reputation and financial results. 

The decision to file an MDR involves a judgment by us as the manufacturer. We have made decisions that certain types 
of  events  are  not  reportable  under  the  MDR  and  similar  regulations;  however,  there  can  be  no  assurance  that  the  FDA  or 
other regulatory bodies will agree with our decisions. If we fail to report MDRs to the FDA or other regulatory bodies within 
the required timeframes, or at all, or if the FDA or others disagree with any of our determinations regarding the reportability 
of certain events, the FDA or other regulatory bodies could take enforcement actions against us, which could have an adverse 
impact on our reputation and financial results. 

If  we  modify  our  products,  we  may  have  to  obtain  new  marketing  clearances  or  approvals,  or  may  have  to  cease 

marketing or recall the modified products until clearances or approvals are obtained. 

Any  modification  to  a  510(k)  cleared  device  that  could  significantly  affect  its  safety  or  effectiveness,  including  any 
significant  change  in  design  or  manufacture,  or  that  would  constitute  a  major  change  in  its  intended  use,  requires  a  new 
510(k) clearance or, possibly, approval of a PMA. The FDA requires every manufacturer to make this determination in the 
first instance, but the FDA may review any manufacturer’s decision. The FDA may not agree with our decisions regarding 
whether  new  clearances  or  approvals  are  necessary.  We  have  modified  some  of  our  510(k)  cleared  and  PMA  approved 
products,  and  have  determined  based  on  our  review  of  the  applicable  FDA  guidance  that  in  certain  instances  new  510(k) 
clearances or premarket approvals are not required. If the FDA disagrees with our determination and requires us to submit 
new  510(k)  notifications  or  PMAs  for  modifications  to  our  previously  cleared  products  for  which  we  have  concluded  that 
new clearances or approvals are unnecessary, we may be required to cease marketing and/or to recall the modified product 
until we obtain clearance or approval, and we may be subject to significant regulatory fines or penalties. 

Regulatory agencies in other countries similarly require approval or clearance prior to our marketing or selling products 
in  those  countries.  We  rely  on  our  distributors  to  obtain  regulatory  clearances  or  approvals  of  our  products  in  certain 
countries outside of the United States. If we or our distributors are unable to obtain additional clearances or approvals needed 
to  market  existing  or  new  products  in  the  United  States  or  elsewhere  or  obtain  these  clearances  or  approvals  in  a  timely 
fashion  or  at  all,  or  if  our  existing  clearances  or  approvals  are  revoked  or  restricted,  our  revenues  and  profitability  may 
decline. 

Investigations and allegations, whether or not they lead to enforcement action or litigation, can materially harm our 

business and our reputation. 

Our  failure  to  comply  with  the  requirements  of  the  FDA  or  other  regulators  can  result  in  civil  and  criminal  fines,  the 
recall of products, the total or partial suspension of manufacturing or distribution, seizure of products, injunctions, lawsuits, 
failure  to  obtain  approval  of  pending  product  applications,  withdrawal  of  existing  product  approvals,  exclusion  from 
participation  in  government  healthcare  programs  and  other  sanctions.  Any  threatened  or  actual  government  enforcement 
action  can  also  generate  adverse  publicity  and  require  us  to  divert  substantial  resources  from  more  productive  uses  in  our 
business. Enforcement actions could affect our ability to distribute our products commercially and could materially harm our 
business. 

In addition, negative publicity about investigations or allegations of misconduct, even without a finding of misconduct, 
could  harm  our  reputation  with  healthcare  professionals  and  also  with  the  market  for  our  common  stock.  Responding  to 
investigations or conducting internal investigations can be costly, time-consuming, and disruptive to our business. 

23 

The market price of our common stock is likely to be volatile. 

Risks Related to Ownership of Our Common Stock 

The  market  price  for  our  common  stock  has  fluctuated  widely.  The  closing  price  of  our  common  stock  ranged  from 
$23.08 to $40.78 per share during the year ended January 3, 2020. Our stock price could continue to experience significant 
fluctuations in response to factors such as market perceptions, quarterly variations in operating results, operating results  that 
vary from the  expectations of securities analysts and investors, changes in financial estimates,  changes in the business and 
market  valuations of competitors, announcements by  us or our competitors of a  material nature, additions or departures of 
key  personnel,  future  sales  of  our  common  stock  and  stock  volume  fluctuations.  Also,  general  political  and  economic 
conditions such as a recession or interest rate fluctuations may adversely affect the market price of our common stock. 

Because we do not intend to pay dividends, stockholders will benefit from an investment in our common stock only if 

it appreciates in value. 

We  have  not  paid  any  cash  dividends  on  our  common  stock  since  our  inception.  We  currently  expect  to  retain  any 
earnings  for use to  further develop our business, and do not expect to declare cash dividends on our common stock  in the 
foreseeable  future.  The  declaration  and  payment  of  any  such  dividends  in  the  future  depends  upon  our  earnings,  financial 
condition,  capital  needs,  and  other  factors  deemed  relevant  by  our  Board  of  Directors,  and  may  be  restricted  by  future 
agreements with lenders. As a result, the success of an investment in our common stock will depend entirely upon any future 
appreciation.  There  is  no  guarantee  that  our  common  stock  will  appreciate  in  value  or  even  maintain  the  price  at  which 
stockholders purchase their shares. 

Our  Certificate  of  Incorporation  and  Bylaws,  anti-takeover  provisions  of  Delaware  law,  and  contractual  provisions 

could delay or prevent an acquisition or sale of our company. 

Our Certificate of Incorporation empowers our Board of Directors to issue one or more series of preferred stock, and to 
determine the rights of each such series as provided in our Certificate of Incorporation. These provisions give our Board of 
Directors the ability to deter, discourage or make more difficult a change in control of our company, even if such a change in 
control could be deemed in the interest of our stockholders or if such a change in control  would provide our stockholders 
with a substantial premium for their shares over the then-prevailing market price for our common stock. Our Certificate of 
Incorporation and Bylaws contain other provisions that could have an anti-takeover effect, including the following: 

 

 

 

stockholders cannot act by written consent; 

stockholders cannot fill vacancies on our Board of Directors; 

certain provisions, including those related to changing the number of directors, limiting our stockholders’ ability to 
fill  vacancies  on  our  Board  of  Directors,  prohibiting  stockholder  action  by  written  consent,  and  amending  such 
provisions,  cannot  be  altered,  amended  or  repealed,  and  provisions  inconsistent  therewith  cannot  be  adopted, 
without the affirmative vote of holders of at least two-thirds in voting power of our outstanding shares of common 
stock entitled to vote thereon; and 

 

stockholders must give advance notice to nominate directors or propose other business. 

In addition, we are generally subject to the anti-takeover provisions of Section 203 of the Delaware General Corporation 
Law,  which  regulates  corporate  acquisitions.  These  provisions  could  discourage  potential  acquisition  proposals  and  could 
delay  or  prevent  a  change  in  control  transaction.  They  could  also  have  the  effect  of  discouraging  tender  offers  for  our 
common stock or prevent changes in our management. 

Ownership of our common stock is concentrated among a few investors, which may affect the ability of a third party 

to acquire control of us. Substantial sales by such investors could cause our common stock price to decline. 

Our  largest  investor  beneficially  owns  approximately  24%  of  our  outstanding  common  stock,  and  our  largest  five 
investors  beneficially  own  approximately  51%  of  our  outstanding  common  stock.  Three  of  our  current  five  directors  were 
recommended by our investors. The sale of a substantial number of shares of our common stock by any or all of our largest 
investors or our other stockholders within a short period of time could cause our common stock price to decline, make it more 
difficult for us to raise funds through future offerings of our common stock or acquire other businesses using our common 
stock as consideration.  

In addition, having such a concentration of ownership may have the effect of making it more difficult for a third party to 
acquire, or of discouraging a third party from seeking to acquire, a majority of our outstanding common stock or control of 
our Board of Directors, including through a proxy solicitation.  

24 

Future sales of our common stock could reduce our stock price. 

We could issue additional shares of common or preferred stock to raise additional capital or for other corporate purposes 
without stockholder approval. In addition, we could designate and sell a class of preferred stock with preferential rights over 
our common stock with respect to dividends or other distributions. Also, we have filed a universal shelf registration statement 
with  the  Securities  and  Exchange  Commission.    The  shelf  registration  statement  is  available  to  cover  the  future  public 
offering  and  sale  of  up  to  approximately  $127,000,000  in  equity  or  debt  securities  or  any  combination  of  such  securities. 
Sales  of  our  common  or  preferred  stock  under  the  shelf  registration  or  in  other  transactions  could  dilute  the  interest  of 
existing stockholders and reduce the  market price  of our common stock. Even in the absence of such sales,  the perception 
among investors that additional sales of equity securities may take place could reduce the market price of our common stock. 

ITEM 1B.  Unresolved Staff Comments 

None. 

ITEM 2. 

Properties 

Our  operations  are  conducted  in  leased  facilities  throughout  the  world.  Our  global  administrative  offices,  principal 
manufacturing,  warehouse  and  distribution,  are  in  Monrovia,  California.  STAAR  Surgical  AG  maintains  administrative 
offices,  manufacturing  capabilities,  warehouse  and  distribution  facilities  in  Nidau  and  Brügg,  Switzerland.    Our  facility  in 
Lake Forest, California serves as our corporate headquarters and is expected to handle manufacturing of the EVO Visian ICL 
with EDOF to correct or reduce presbyopia after the product’s approval and the facility’s approval.   The Company leases a 
research and development facility in Tustin, California and a facility in Aliso Viejo, California for raw material production 
and  research  and  development  activities.  STAAR  Japan  maintains  executive  offices  in  Shin-Urayasu,  Japan  and  a  final 
packaging  and  inspection  and  distribution  facility  in  Ichikawa  City,  Japan.  We  believe  our  operating  facilities  in  the  U.S., 
Switzerland  and  Japan  are  suitable  and  adequate  for  our  current  requirements.  The  Company  could  increase  capacity  as 
needed. 

ITEM 3. 

Legal Proceedings 

Certain  of  the  legal  proceedings  in  which  we  are  involved  are  discussed  under  “Litigation  and  Claims”  in  Note  13, 
“Commitments and Contingencies,” to our Consolidated Financial Statements in this Annual Report on Form 10-K, and are 
hereby incorporated by reference.   

ITEM 4.  Mine Safety Disclosures 

None. 

25 

 
 
ITEM 5.  Market for Registrant’s Common Equity, Related Stockholder Matters, and Issuer Purchases of Equity 

PART II 

Securities 

Market Information 

Our common stock is traded on the Nasdaq Global Market (NASDAQ) under the symbol “STAA.”  

Holders 

As of February 20, 2020, there were approximately 306 record holders of our Common Stock. 

Dividends 

We  have  not  paid  any  cash  dividends  on  our  Common  Stock  since  our  inception.  We  currently  expect  to  retain  any 
earnings for use to further develop our business and not to declare cash dividends on our Common Stock in the foreseeable 
future.  The  declaration  and  payment  of  any  such  dividends  in  the  future  depends  upon  the  Company’s  earnings,  financial 
condition,  capital  needs,  and  other  factors  deemed  relevant  by  the  Board  of  Directors  and  may  be  restricted  by  future 
agreements with lenders. 

Stock Performance Graph 

This performance graph shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as 
amended (the Exchange Act), or incorporated by reference into any filing of STAAR Surgical Company under the Securities Act 
of 1933, as amended, or the Exchange Act, except as shall be expressly set forth by specific reference in such filing. 

The  following  graph  shows  a  comparison  from  January  2,  2015  to  January  3,  2020  of  the  total  performance  of  the 

following: 

  STAAR Surgical Company; 

 

 

the Nasdaq Stock Market; 

a peer group we have selected consisting of five companies within our industry or closely related industries: Anika 
Therapeutics (ANIK); Cutera Inc. (CUTR); Integra LifeSciences Holdings Corp. (IART); Iridex Corp. (IRIX); and 
Merit Medical Systems, Inc. (MMSI). Cynosure Inc. (CYNO), Volcano Corporation (VOLC), Synergetics USA Inc. 
(SURG) and Syneron Medical Ltd. (ELOS) were previously included in the peer group, but were acquired and are 
no longer independent public companies.  In 2018, we revised our peer group, based on data and advice provided by 
the Radford Group, to increase the number of companies in our peer group (in response to the limited  number of 
companies still operating as independent public companies from our original peer group), and to better reflect our 
current company profile and market capitalization.  The  chart below shows our performance compared to both the 
prior peer group and the new peer group.  The new peer group consists of the following 16 companies: 

Angio Dynamics (ANGO) 
Anika Therapeutics (ANIK) 
AtriCure (ATRC) 
Atrion (ATRI) 
AxoGen (AXGN) 
Cardiovascular Systems (CSII) 
CryoLife (CRY) 
Glaukos (GKOS) 

Inogen (INGN) 
LeMaitre Vascular (LMAT) 
Merit Medical Systems (MMSI) 
Nevro (NVRO) 
Penumbra (PEN) 
Surmodics (SRDX) 
Tactile Systems Technology (TCMD) 
Tandem Diabetes Care (TNDM) 

26 

Returns in the graph below reflect historical results;  we do  not intend to  suggest  they predict  future performance. The data 
assumes $100 was invested on January 2, 2015 in STAAR common stock and in each of the composite indices, and that dividends 
(if any) were reinvested. We have never paid dividends on our common stock and have no present plans to do so. 

Comparison of 5 Year Cumulative Total Return
Assumes Initial Investment of $100
January 3, 2020

400.00

350.00

300.00

250.00

200.00

150.00

100.00

50.00

0.00

1/2/2015

1/1/2016

12/30/2016

12/29/2017

12/28/2018

1/03/2020

STAAR Surgical Company

NASDAQ Stock Market (US and Foreign Companies)

New Peer Group

Old Peer Group

Prepared by Zacks Investment Research, Inc. Used with Permission. All rights reserved. 

Total Returns Index for Fiscal Years: 
STAAR Surgical Company 
The Nasdaq Stock Market (US and Foreign 
   Companies) 
Old Peer Group 
New Peer Group 

Notes: 

2014 
     100.00       

2015 

2016 

2017 

2018 

2019 

79.07        120.16        171.65        346.19        380.74   

     100.00        107.17        116.61        150.85        145.30        199.85   
     100.00        116.88        152.98        202.94        190.73        200.67   
     100.00        107.63        136.03        174.91        203.76        236.95   

A.  The lines represent monthly index levels derived from compounded daily returns that include all dividends. 

B.  These indexes are reweighted daily, using the market capitalization from the previous trading day. 

C.  If the monthly interval, based on the fiscal year-end, is not a trading day, the preceding trading day is used. 

D.  The index level for all series was set to $100.00 on January 2, 2015. 

27 

 
 
 
  
    
    
    
    
    
  
 
ITEM 6. 

Selected Financial Data 

The following table sets forth selected consolidated financial data with respect to the five most recent fiscal years ended 
January 3,  2020,  December 28,  2018,  December 29,  2017,  December  30,  2016  and  January  1,  2016.  The  selected 
Consolidated  Statement  of  Operations  data  set  forth  below  for  each  of  the  three  most  recent  fiscal  years,  and  the  selected 
Consolidated  Balance  Sheet  data  set  forth  below  at  January 3,  2020  and  December 28,  2018  are  derived  from  our 
Consolidated  Financial  Statements,  which  have  been  audited  by  BDO  USA,  LLP,  our  independent  registered  public 
accounting  firm,  as  indicated  in  their  report  included  in  this  Annual  Report.  The  selected  Consolidated  Statement  of 
Operations data set forth below for each of the two fiscal years in the periods ended December 30, 2016 and January 1, 2016 
and the Consolidated Balance Sheet data set forth below at December 29, 2017, December 30, 2016 and January 1, 2016 are 
derived from audited  Consolidated Financial Statements of the Company not included in this  Annual  Report.  The selected 
consolidated financial data should be read in conjunction with the Consolidated Financial Statements of the Company, and 
the  Notes  thereto,  included  in  this  Annual  Report,  and  “Item  7.  Management’s  Discussion  and  Analysis  of  Financial 
Condition and Results of Operations.” 

Statement of Operations 
Net sales 
Cost of sales 
Gross profit 
General and administrative 
Marketing and selling 
Research and development 
Operating income (loss) 
Total other income (expense), net 
Income (loss) before income taxes 
Income tax provision (benefit) 
Net income (loss) 
Net income (loss) per share: 

Basic 
Diluted 

Weighted average shares outstanding: 

Basic 
Diluted 

Balance Sheet Data 
Working capital 
Total assets 
Long-term obligations 
Stockholders’ equity 

January 3, 
2020(2) 

December 30, 
December 29, 
December 28, 
2016(1) 
2017(1) 
2018(1) 
(In thousands except per share data) 

January 1, 
2016(1) 

  $  150,185     $ 
38,231       
     111,954       
29,313       
45,491       
25,298       
11,852       
1,174       
13,026       
(1,022 )     
14,048     $ 

  $ 

123,954     $ 
32,444       
91,510       
24,287       
38,600       
22,028       
6,595       
44       
6,639       
1,671       
4,968     $ 

90,611     $ 
26,331       
64,280       
19,465       
28,402       
20,044       
(3,631 )     
1,335       
(2,296 )     
(157 )     
(2,139 )   $ 

82,432     $ 
24,063       
58,369       
21,671       
28,685       
20,668       
(12,655 )     
211       
(12,444 )     
(315 )     
(12,129 )   $ 

77,123   
24,400   
52,723   
18,840   
23,970   
15,250   
(5,337 ) 
(268 ) 
(5,605 ) 
928   
(6,533 ) 

  $ 
  $ 

0.32     $ 
0.30     $ 

0.12     $ 
0.11     $ 

(0.05 )   $ 
(0.05 )   $ 

(0.30 )   $ 
(0.30 )   $ 

(0.17 ) 
(0.17 ) 

44,493       
46,895       

42,587       
45,257       

41,004       
41,004       

40,329       
40,329       

39,260   
39,260   

  $  140,188     $ 
     206,865       
12,503       
     159,884       

123,844     $ 
167,339       
7,185       
132,426       

34,802     $ 
67,932       
5,908       
42,936       

28,450     $ 
65,443       
6,471       
37,905       

31,117   
62,382   
6,019   
38,846   

(1)  The Company adopted ASU 2014-09, “Revenue  from Contracts with Customers (Topic 606)” in fiscal 2018 using the 
modified retrospective method. As such, fiscal 2015 through 2017 are presented under the previous revenue recognition 
standard, i.e. ASC 605. 

(2)  The Company adopted ASU 2016-02, “Leases (Topic 842)” in fiscal 2019 using the modified retrospective method.  As 

such fiscal 2015 through 2018 are presented under the previous lease accounting standard, i.e. ASC 840. 

28 

  
  
  
    
    
    
    
  
  
  
  
    
        
        
        
        
    
    
    
    
    
    
    
    
    
    
        
        
        
        
    
    
        
        
        
        
    
    
    
    
        
        
        
        
    
    
 
ITEM 7.  Management’s Discussion and Analysis of Financial Condition and Results of Operations 

The matters addressed in this Item 7 that are not historical information constitute “forward-looking statements” within 
the  meaning of Section 27A of the  Securities Act of 1933, as amended, and Section 21E of the Securities Exchange  Act of 
1934,  as  amended.  Readers  can  recognize  forward-looking  statements  by  the  use  of  words  like  “anticipate,”  “estimate,” 
“expect,”  “intend,”  “plan,”  “believe,”  “will,”  “should,”  “forecast”  and  similar  expressions  in  connection  with  any 
discussion of future operating or financial performance. In particular, these include statements about any of the following: 
any  guidance  as  to  earnings,  revenue,  sales,  profit  margins,  expense  rate,  cash,  effective  tax  rate,  capital  expense  or  any 
other financial items; the plans, strategies, and objectives of management for future operations or prospects for achieving 
such plans; statements regarding new, existing, or improved products, including but not limited to, expectations for success 
of new, existing, and improved products in the U.S. or international markets or government approval of a new or improved 
products  (including  the  EVO  family  of  lenses  in  the  U.S.  and  the  EDOF  ICL  for  presbyopia  internationally); 
commercialization of new or improved products; future economic conditions or size of market opportunities; expected costs 
of  operations;  statements  of  belief,  including  as  to  achieving  2020  business  plans;  expected  regulatory  activities  and 
approvals, product launches, and any statements of assumptions underlying any of the foregoing. 

Although we believe that the expectations reflected in these forward-looking statements are reasonable, such statements 
are  inherently subject to risks and we  can give  no assurance that  our expectations will prove to be correct.  Actual results 
could differ from those described in this report because of numerous factors, many of which are beyond our control. These 
factors  include,  without  limitation,  those  described  in  this  Annual  Report  in  “Item  1A.  Risk  Factors.”  We  undertake  no 
obligation to update these forward-looking statements after the date of this report to reflect future events or circumstances or 
to reflect actual outcomes. 

The  following  discussion  should  be  read  in  conjunction  with  the  audited  consolidated  financial  statements  of  STAAR, 

including the related notes, provided in this report. 

Overview 

STAAR  Surgical  Company  designs,  develops,  manufactures,  and  sells  implantable  lenses  for  the  eye  and  companion 
delivery systems used  to deliver the lenses into the eye. We  are  the  world’s leading  manufacturer of intraocular lenses for 
patients seeking lens-based refractive vision correction, and we also make lenses for use in surgery to treat cataracts. All the 
lenses we make are foldable, which allows the surgeon to insert them into the eye through a small incision during minimally 
invasive surgery. Refractive surgery is performed to treat the type of visual disorders that have traditionally been corrected 
using eyeglasses or contact lenses. We refer to our lenses used in refractive surgery as “implantable Collamer® lenses” or 
“ICLs.” The field of refractive surgery includes both lens-based procedures, using products like our ICL family of products, 
and laser-based procedures like LASIK. Successful refractive surgery can correct common vision disorders such as myopia, 
hyperopia, and astigmatism. Cataract surgery is a common outpatient procedure where the eye’s natural lens that has become 
cloudy with age is removed and replaced with an artificial lens called an intraocular lens (IOL) to restore the patient’s vision. 
STAAR  employs  a  commercialization  strategy  that  strives  for  increased  share  of  the  refractive  market  and  sustainable 
profitable growth. Our goal is to position our refractive lenses throughout the world as primary and premium solutions for 
patients  seeking  visual  freedom  from  wearing  eyeglasses  or  contact  lenses  while  achieving  excellent  visual  acuity  through 
refractive vision correction. We position our IOL lenses used in surgery that treats cataracts based on quality and value. 

See Item 1.  “Business,” for a discussion of: 

  Operations 

  Principal Products 

  Distribution and Customers 

  Competition 

  Regulatory Matters 

  Research and Development 

Strategic Priorities for 2020 

For 2020 we intend to continue achieving and strengthening our 2019 strategic priorities, which are as follows:  

  Position EVO Implantable Lenses as a Special and Transformational Pathway to Visual Freedom; 

  Execute Go-to-Market Strategy to Significantly Expand Market Share Globally; 

 

Innovate and Develop a Pipeline of Next Generation Premium Collamer-Based Intraocular Lenses; 

29 

  Support  the  Transformation  of  the  Refractive  Surgery  Paradigm  to  Lens-Based  through  Clinical  Validation  and 

Medical Affairs Excellence; 

  Continue our Focus on and Commitment to STAAR’s Culture of Quality; and 

  Deliver Shareholder Value. 

To realize these priorities, we are planning to: 

  Continue  to  invest  in  manufacturing  and  facilities  expansion  that  include,  among  other  things:  (i)  increasing 
manufacturing capacity at our Monrovia, California facility for our myopia ICLs; (ii) reopening and expanding 
our manufacturing and distribution facilities in Switzerland; (iii) preparing for the validation of our Lake Forest, 
California facility for the manufacturing of our ICL with EDOF for presbyopia lenses, which we expect to be 
approved for sale initially in CE Mark countries; 

  Continue  market share gains in all  global markets, including China.  We  will continue  to focus on increasing 

consideration and usage of low and mid-diopter ICLs; 

  Continue  to  increase  investment  in  Direct-to-Consumer  marketing  and  patient  education  in  targeted  markets; 

and 

  Continue to strengthen existing and finalize new strategic agreements and alliances with global partners. 

We believe that if we accomplish our plans, we will achieve the following target results for 2020: 

 

ICL unit growth percentage target increase of 30% or above compared with 2019 ICL unit growth; 

  Overall  revenue  growth  percentage  target  an  increase  in  the  range  of  16%  to  20%  over  2019  (despite  an 
expected  overall  sales  decline  in  our  Other  Products  segment  of  approximately  $3.0  million,  including  an 
approximately $2.3 million reduction in IOLs and $0.50 million reduction in sales of low margin injector parts); 

  GAAP  Net  Income  is  anticipated  as  similar  to  2019,  excluding  the  tax  benefit  in  2019 of  $0.07  earnings  per 

share; and 

  Positive full year cash flow and cash balance increase. 

Finally, we will continue to evaluate opportunities to acquire new product lines, technologies, and companies. 

We continue to assess and manage through the potential impact of the coronavirus, which remains uncertain at this time 
and may adversely affect our financial results. For example, our customers in China have experienced a mandated pause in 
procedures during the month of February and our ICL unit volume will be impacted in the first quarter of fiscal 2020. We 
currently expect a potential $5  million to $7  million delay in  sales orders. We understand that our customers in China are 
hopeful to resume robust clinical activities, including implantation of the EVO ICL  family of lenses, in March.  Excluding 
any potential full year impact from the coronavirus, at this time we are maintaining our full year sales outlook. 

Results of Operations 

The  following  table  sets  forth  the  percentage  of  total  sales  represented  by  certain  items  reflected  in  the  Company’s 

Consolidated Statement of Operations for the period indicated.   

Net sales 
Cost of sales 
Gross profit 
General and administrative 
Marketing and selling 
Research and development 
Total selling, general and administrative 
Operating income (loss) 
Total other income, net 
Income (loss) before income taxes 
Provision (benefit) for income taxes 
Net income (loss) 

Percentage of Net Sales 
2018 

2017 

2019 

100.0 %      
25.5 %      
74.5 %      
19.5 %      
30.3 %      
16.8 %      
66.6 %      
7.9 %      
0.8 %      
8.7 %      
(0.7 )%     
9.4 %      

100.0 %     
26.2 %     
73.8 %     
19.6 %     
31.1 %     
17.8 %     
68.5 %     
5.3 %     
0.0 %     
5.3 %     
1.3 %     
4.0 %     

100.0 % 
29.1 % 
70.9 % 
21.5 % 
31.3 % 
22.1 % 
74.9 % 
(4.0 )% 
1.5 % 
(2.5 )% 
(0.2 )% 
(2.3 )% 

30 

 
  
  
  
  
  
  
  
     
  
    
    
    
    
    
    
    
    
    
    
    
    
 
Net Sales   

The following table presents our net sales, by product for the fiscal years presented (dollars in thousands): 

ICLs 
Other product sales 

IOLs 
Other surgical products 

Total other product sales 

Net sales 

2019 

2018 

2017 

% of 
Total 

      Sales 
86.1 %   $ 129,322       

% of 
Total 

      Sales 
81.5 %   $ 101,082       

% of 
Total 

      Sales 
75.4 %   $  68,325   

3.4 %     

10.5 %      15,689       
5,174       
13.9 %      20,863       
100.0 %   $ 150,185       

5.4 %     

13.1 %      16,193       
6,679       
18.5 %      22,872       
100.0 %   $ 123,954       

5.6 %     

19.0 %      17,258   
5,028   
24.6 %      22,286   
100.0 %   $  90,611   

Net sales for 2019 were $150.2 million, a 21% increase over the $124.0 million reported in fiscal 2018. The increase in 
net sales was due to an increase in ICL sales of $28.2 million, partially offset by a decrease in other product sales of  $2.0 
million. Changes in foreign currency unfavorably impacted net sales by $1.3 million. 

Net sales for 2018 were $124.0 million, a 37% increase over the $90.6 million reported in fiscal  2017. The increase in 
net  sales  was  due  to  increases  in  ICL  sales  of  $32.8  million  and  other  product  sales  of  $0.6  million.  Changes  in  foreign 
currency favorably impacted net sales by $0.2 million. 

Total ICL sales for  2019 were  $129.3 million, a  28% increase from $101.1 million reported for fiscal  2018,  with unit 
growth up 33.4%. The sales increase was driven by the APAC region, which grew 40% with unit growth of 44%, primarily 
due to sales growth in Japan up 67%, China up 41%, Korea up 26%, other APAC Distributors up 16% and India up 12%.  
The  Europe,  Middle  East,  Africa  and  Latin  America  region,  grew  2%  with  unit  growth  of  7%,  primarily  due  to  increased 
sales in UK up 19%, Germany up 9% and Spain up 7%, partially offset by decrease sales in the Middle East of 9% and Latin 
America of 8%.  The North America  region  grew  18%,  with unit  growth of 4%, primarily due  to growth in  the  U.S., as a 
result  of  sales  of  the  Toric  ICL  in  2019,  partially  offset  by  decreased  sales  in  Canada.    Changes  in  foreign  currency 
unfavorably impacted ICL sales by $1.3 million.  ICL sales represented 86.1% of our total sales for fiscal year 2019.  

Total  ICL  sales  for  2018  were  $101.1  million,  a  48%  increase  from  $68.3  million  reported  for  fiscal  2017,  with  unit 
growth up 54%. The sales increase was driven by the APAC region, which grew 73% with unit growth of 82%, primarily due 
to sales growth in China up 91%, Japan up 90%, and Korea up 37%.   The Europe, Middle East, Africa and Latin America 
region, grew 20% with unit growth of 12%, due to increased sales in Middle East up 39%, Germany up 31%, Latin America 
up 14%, Spain up 13%, Distributor Operations up 8% and the U.K. up 6%.  The North America region grew 4%, with unit 
growth of 6%, primarily due to growth in Canada.  In November 2018, the U.S. started to sell Toric ICLs. Changes in foreign 
currency favorably impacted ICL sales by $0.1 million.  ICL sales represented 81.5% of our total sales for fiscal year 2018. 

Other product sales, including IOLs were $20.9 million for fiscal 2019, a decrease of 8.8% from $22.9 million reported 
in fiscal 2018.  The decrease is due to the decreases in preloaded injector part sales to a third-party manufacturer for product 
they sell to their customers and in IOL sales.  Other product sales represented 13.9% of our total sales for fiscal year 2019. 

Other product sales, including IOLs were $22.9 million for fiscal 2018, an increase of 2.6% from $22.3 million reported 
in fiscal 2017.  The increase is due to an increase in preloaded injector part sales to a third-party manufacturer for product 
they sell to their customers, offset by a decrease in IOL sales.  Changes in foreign currency favorably impacted other product 
sales by $0.1 million.  Other product sales represented 18.5% of our total sales for fiscal year 2018. 

Gross Profit   

The following table presents our gross profit and gross profit margin for the fiscal years presented (dollars in thousands): 

2019 

2018 

2017 

      Percentage Change 
2018 vs. 
2017 

2019 vs. 
2018 

Gross profit 
Gross margin 

  $  111,954      $  91,510      $  64,280        
70.9 %     

74.5 %     

73.8 %     

22.3 %     

42.4 % 

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Gross  profit  for  2019  was  $112.0  million,  a  22.3%  increase  compared  to  the  $91.5  million  reported  for  2018.    Gross 
profit margin increased to 74.5% of revenue for 2019 compared to 73.8% of revenue for 2018, due to favorable product mix 
resulting from increased sales of ICLs, partially offset by period costs associated with the project to resume manufacturing in 
Switzerland.    The  gross  margin  impact  of  lower  average  selling  prices  was  more  than  offset  by  the  favorable  impact  of 
improved product mix. 

Gross profit for 2018 was $91.5 million, a 42.4% increase compared to the $64.3 million reported for 2017.  Gross profit 
margin increased to 73.8% of revenue for 2018 compared to 70.9% of revenue for 2017, due to favorable product mix, lower 
unit costs as a  result of significantly increased production volumes, to support the 47.9% growth in ICL sales,  resulting in 
better overhead absorption, and lower inventory provisions and freight costs, partially offset by the effect of lower average 
selling prices. 

General and Administrative Expense   

The following table presents our general and administrative expense for the fiscal years presented (dollars in thousands): 

2019 

2018 

2017 

      Percentage Change 
2018 vs. 
2017 

2019 vs. 
2018 

General and administrative expense 
Percentage of sales 

  $  29,313      $  24,287      $  19,465        
21.5 %     

19.5 %     

19.6 %     

20.7 %     

24.8 % 

General  and  administrative  expenses  for  2019  were  $29.3  million,  an  increase  of  20.7%  when  compared  with  $24.3 
million  reported  for  2018.  The  increase  in  general  and  administrative  expenses  was  due  to  an  increase  in  headcount  and 
salary-related expenses including stock-based compensation, increased facility costs and professional fees. 

General  and  administrative  expenses  for  2018  were  $24.3  million,  an  increase  of  24.8%  when  compared  with  $19.5 
million  reported  for  2017.  The  increase  in  general  and  administrative  expenses  was  due  to  an  increase  in  headcount  and 
salary-related expenses including stock-based compensation, and increased facility costs. 

Marketing and Selling Expense   

The following table presents our marketing and selling expense for the fiscal years presented (dollars in thousands): 

2019 

2018 

2017 

      Percentage Change 
2018 vs. 
2017 

2019 vs. 
2018 

Marketing and selling expense 
Percentage of sales 

  $  45,491      $  38,600      $  28,402        
31.3 %     

30.3 %     

31.1 %     

17.9 %     

35.9 % 

Marketing and selling expenses for 2019 were $45.5 million, an increase of 17.9% when compared with $38.6 million 
for  2018. The increase in  marketing and selling expenses  was due to an increase in  headcount and  salary-related expenses 
including  stock-based  compensation  and  continuing  investments  in  digital,  consumer,  and  strategic  marketing,  and  travel 
expenses. 

Marketing and selling expenses for 2018 were $38.6 million, an increase of 35.9% when compared with $28.4 million 
for  2017. The  increase in  marketing and selling expenses  was due  to an increase in  headcount and salary-related expenses 
including  stock-based  compensation  and  investments  in  digital,  consumer,  and  strategic  marketing  and  commercial 
infrastructure. 

Research and Development Expense   

The following table presents our research and development expense for the fiscal years presented (dollars in thousands): 

2019 

2018 

2017 

      Percentage Change 
2018 vs. 
2017 

2019 vs. 
2018 

Research and development expense 
Percentage of sales 

  $  25,298      $  22,028      $  20,044        
22.1 %     

17.8 %     

16.8 %     

14.8 %     

9.9 % 

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Research and development expenses for 2019 were $25.2 million, an increase of 14.8% compared to $22.0 million for 
2018.  The  increase  was  due  to  an  increase  in  headcount  and  salary-related  expenses  including  stock-based  compensation, 
increased clinical expenses associated with our EDOF clinical trial in Europe and EVO clinical trial in the U.S. 

Research  and  development  expenses  for  2018  were  $22.0  million,  an  increase  of  9.9%  compared  to  $20.0  million  for 
2017.  The  increase  was  due  to  an  increase  in  headcount  and  salary-related  expenses  including  stock-based  compensation, 
increased clinical expenses associated with our clinical trial for the next generation ICL with an EDOF optic, and an increase 
in medical affairs expenses. 

Research and development expense consist primarily of compensation and related costs for personnel responsible for the 
research and development of new and existing products, the regulatory and clinical activities required to acquire and maintain 
product approvals globally and medical affairs expenses. These costs are expensed as incurred. 

Other Income (Expense), Net   

The following table presents our other income (expense), net for the fiscal years presented (dollars in thousands): 

Other income, net 
Percentage of sales 

  $ 

*  Denotes change is greater than +100%. 

2019 

1,174   

   2018 
  $ 
0.8 %     

44      $ 
0.0 %     

      Percentage Change    

2017 

1,335   

2019 vs. 
2018 

2018 vs. 
2017 

—*       

(96.7 )% 

1.5 %      

Other income for 2019, 2018 and 2017 was $1.2 million, $0.0 million, and $1.3 million, respectively.  The increase in 
2019 is mainly due to an increase in interest income earned on cash and cash equivalents and a decrease in foreign exchange 
losses (primarily euro).  The decrease in 2018 was mainly due to losses on foreign currency transactions compared to gains in 
2017, partially offset by a net increase in interest income due to higher cash balances. 

Other  income,  net  generally  relates  to  interest  income  earned  on  cash  and  cash  equivalents,  interest  expense  on  notes 
payable and finance lease obligations, gains or losses on foreign currency transactions, and royalty income. The table below 
summarizes the year over year changes in other income, net (in thousands). 

Interest income, net 
Foreign exchange 
Royalty income 
Other 

Net change in other income (expense), net 

Provision (Benefit) for Income Taxes    

Favorable (Unfavorable) 

2019 vs. 2018 

2018 vs. 2017 

   $ 

   $ 

823      $ 
319        
(82 )      
70        
1,130      $ 

277   
(1,655 ) 
52   
35   
(1,291 ) 

The following table presents our provision (benefit) for income taxes for the fiscal years presented (in thousands): 

2019 

2018 

2017 

     Percentage Change 
2018 vs. 
2017 

2019 vs. 
2018 

Provision (benefit) for income taxes 

  $ 

(1,022 )   $ 

1,671     $ 

(157 )     

—*       

—*   

*  Denotes change is greater than +100%. 

We recorded an income tax benefit for 2019 due to a release of the federal and certain state valuation allowances, offset 
by the income tax expense from profits generated in our Swiss and Japan operations.  We recorded income taxes for 2018 as 
a result of income tax expense generated primarily from profits in our Swiss and Japan operations and U.S. withholding taxes 
on those profits.  We recorded a benefit from income taxes for 2017 due primarily to a U.S. income tax benefit related to the 
refund of a portion of our alternative minimum tax (AMT) carryforward, offset by income tax expense generated from profits 
in our Swiss and Japan operations.  During 2019, 2018 and 2017, there are no unrecognized tax benefits related to uncertain 
tax positions taken by us.  

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All  earnings  from  our  subsidiaries  are  not  considered  to  be  permanently  reinvested.   Accordingly,  we  provided 
withholding and U.S. taxes on all unremitted foreign earnings through 2018.  Beginning 2019, we no longer need to accrue 
withholding  taxes  on  foreign  earnings  (Note  10  to  the  Consolidated  Financial  Statements).   During  2019,  2018  and  2017 
there were no withholding taxes paid to foreign jurisdictions. 

On December 22, 2017, the United States enacted major tax reform legislation, the 2017 Tax Act, which enacted a broad 
range of changes to the federal tax code. Key provisions that could have an impact on our Consolidated Financial Statements 
are the deemed repatriation of foreign earnings, the remeasurement of certain net deferred assets and other liabilities for the 
change in the U.S. corporate tax rate from 35 percent to 21 percent, and the elimination of the AMT.   

We  applied  the  guidance  in  SAB  118  when  accounting  for  the  enactment-date  effects  of  the  2017  Tax  Act  and 
throughout 2018.  At that time, for 2017,  we  made reasonable estimates of the impact and included $5.7 million in  foreign 
earnings, which were fully offset by the deemed foreign tax credit.  This inclusion amount was later finalized at $7.5 million. 
At December 28, 2018, we completed our accounting for all the enactment-date income tax effects of the 2017 Tax Act.  

As we have an AMT credit from a prior year, we can carry the credit forward to offset regular tax.  To the extent we do 
not  have  a  federal  tax  liability,  a  portion  of  the  credit  is  now  refundable  each  year  starting  in  2018,  with  any  remaining 
balance  fully  refundable  in  2021.    As  we  will  ultimately  receive  a  full  refund  for  the  credit,  the  valuation  allowance 
attributable  to  the  AMT  credit  carryforward  was  released,  creating  a  deferred  tax  benefit  of  $0.5  million  for  2017.    We 
received a refund of $0.3 million of this AMT credit with the filing of our 2018 U.S. federal tax return.  We expect to receive 
a refund of $0.1 million of this AMT credit with the filing of our 2019 U.S. federal tax return. 

Beginning in 2018, the 2017 Tax Act subjects a U.S. shareholder to tax on Global Intangible Low Tax Income (GILTI) 
earned by certain foreign subsidiaries.  In January 2018, the FASB released guidance (Staff Q&A Topic 740, No. 5) on the 
accounting for tax on the GILTI provisions of the 2017 Tax Act.  In general, GILTI is the excess of a U.S. shareholder’s total 
net foreign income over a deemed return on tangible assets. The provision further allows a deduction of 50 percent of GILTI, 
however this deduction is limited by our net operating loss carryforwards.  For 2019 and 2018, we included GILTI of $16.1 
million and $7.7 million, respectively, in U.S. gross income, which was fully offset with net operating loss carryforwards.   

ASC  740  requires  that  a  valuation  allowance  be  established  when  it  is  more  likely  than  not  that  all  or  a  portion  of  a 
deferred tax asset may not be realizable.  The ultimate realization of deferred tax assets is dependent upon future generation 
of income during the periods in which temporary differences representing net future deductible amounts become deductible. 
We  considered  the  projected  future  income,  tax  planning  strategies  and  all  other  available  evidence  in  making  this 
assessment. As of January 3, 2020, we had three years of accumulated profits for federal income tax purposes as a result of 
GILTI.  Therefore, based upon our findings that the positive evidence outweighed the negative evidence, sufficient for us to 
rely on our projected future profits, we reduced the valuation allowance. 

For 2019, we have made a policy election to apply the incremental cash tax savings approach when analyzing the impact 
GILTI could have on our U.S. valuation allowance.  As a result of future expected GILTI inclusions, and because of the Tax 
Act’s  ordering  rules,  U.S.  companies  may  now  expect  to  utilize  tax  attribute  carryforwards  (e.g.  net  operating  losses  and 
deferred tax assets) for which a valuation allowance has historically been recorded (this is referred to as the “tax law ordering 
approach”). However, due to the mechanics of the GILTI rules, companies that have a GILTI inclusion may realize a reduced 
(or no) cash tax savings from utilizing such tax attribute carryforwards (this view is referred to as the “incremental cash tax 
savings approach”).  Applying the incremental cash tax savings approach, resulted in the valuation allowance release of $3.0 
million and $0.4 million for Federal and state purposes, respectively, during 2019.  The remaining valuation allowance was 
$30.8 million and $6.6 million for federal and state purposes, respectively, as of January 3, 2020. 

See Critical Accounting Policies included later in this Item 7 for additional information about our provision for income 

taxes. 

A reconciliation of the federal statutory income tax rate to our effective tax rate is set forth  in Note 10 of Notes to the 

Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K. 

34 

Liquidity and Capital Resources   

We  believe  our  current  cash  balances  coupled  with  cash  flows  from  operating  activities  is  expected  to  be  adequate  to 
cover our operational and business needs through at least the next 12 months from the issuance of this Annual Report.  Our 
financial condition at January 3, 2020, December 28, 2018 and December 29, 2017 included the following (in millions): 

Cash and cash equivalents 
Current assets 
Current liabilities 
Working capital 

2019 

2018 

2017 

2019 vs. 
2018 

2018 vs. 
2017 

  $ 
  $ 

  $ 

120.0     $ 
174.7     $ 
34.5       
140.2     $ 

103.9     $ 
151.6     $ 
27.7       
123.9     $ 

18.5     $ 
53.9     $ 
19.1       
34.8     $ 

16.1     $ 
23.1     $ 
6.8       
16.3     $ 

85.4   
97.7   
8.6   
89.1   

We  invest  the  net  proceeds  in  short-term  interest-bearing  obligations,  investment-grade  instruments,  certificates  of 
deposit or direct or guaranteed obligations of the U.S. government.  Additionally, at January 3, 2020, we have a line of credit 
with  a  Japanese  lender,  in  the  amount  of  $4.6  million,  with  $2.8  million  of  availability  and  a  line  of  credit  with  a  Swiss 
lender, in the amount of $1.0 million, which is fully available for borrowing.  

Overview of changes in cash and cash equivalents and other working capital accounts.   

Net  cash provided by operating activities  was  $25.8 million,  $12.8  million and $2.9  million  for  2019, 2018 and 2017, 
respectively.  For 2019, net cash provided by operating activities consisted of $14.0 million in net income and $13.0 million 
in  non-cash  items,  offset  by  $1.2  million  in  working-capital  changes.    For  2018,  net  cash  provided  by  operating  activities 
consisted  of  $12.3  million  in  non-cash  items  and  $5.0  million  in  net  income,  offset  by  $4.5  million  in  working-capital 
changes.    For  2017,  net  cash  provided  by  operating  activities  consisted  of  $9.0  million  in  non-cash  items,  offset  by  $4.0 
million in working-capital changes and a $2.1 million net loss.  

Net  cash  used  in  investing  activities  was  $10.2  million,  $2.2  million  and  $1.0  million  for  2019,  2018  and  2017 
respectively,  and  relate  primarily  to  the  acquisition  of  property,  plant,  and  equipment.    The  increase  in  investment  in 
property,  plant  and  equipment  during  2019,  relative  to  2018,  is  primarily  due  to  continued  increased  investments  in 
manufacturing facilities intending to satisfy growing demand for our products.  The increase in investment in property, plant 
and  equipment  during  2018,  relative  to  2017,  is  primarily  due  to  continued  increased  investments  in  manufacturing  and 
quality system improvement projects.   

Net  cash  provided  by  financing  activities  was  $0.1  million,  $74.6  million  and  $2.4  million  for  2019,  2018  and  2017, 
respectively.  For 2019, net cash used in financing activities consisted of $2.0 million repayment on the Japan line of credit 
and  $1.3  million  repayment  of  finance  lease  obligations,  offset  by  $3.5  million  of  proceeds  from  the  exercise  of  stock 
options.  For 2018, net cash provided by financing activities resulting primarily from the proceeds of $72.2 million from the 
equity offering (refer to Note 12 to the Consolidated Financial Statements).  In addition, the increase also consisted of $5.2 
million of proceeds from the exercise of stock options offset by $1.9 million repayment of finance lease obligations and $0.7 
million repayment on the Japan line of credit.  For 2017, net cash provided by financing activities consisted of $4.0 million in 
proceeds from the exercise of stock options, offset by $1.3 million repayment on finance lease obligations and $0.2 million in 
the repurchase of common stock shares from employees to satisfy minimum tax withholdings.   

Accounts  receivable,  net  was  $31.0  million  and  $25.9  million  at  January 3,  2020  and  December 28,  2018, 

respectively.  Days’ Sales Outstanding (DSO) was 76 days in 2019 and 2018.  

Inventories,  net  was  $17.1  million  and  $16.7  million  at  January 3,  2020  and  December 28,  2018,  respectively.  Days’ 
Inventory on Hand (DOH) was 118 days in 2019 and 139 days in 2018 for finished goods, including consignment inventory.  
The  decrease  in  DOH  is  due  to  increased  sales  of  ICL  products  resulting  in  more  frequent  inventory  turnover  and  due  to 
decreased preloaded IOL inventory.  

Shelf Registration 

On May 11, 2017, STAAR filed a universal shelf registration statement with the SEC covering the future public offering 
and  sale  of  up  to  $200  million  in  equity  or  debt  securities  or  any  combination  of  such  securities.  The  shelf  registration 
statement  became  effective  on  June 9, 2017  and  expires  on  June  9,  2020.    As  a  result  of  the  August  8,  2018  offering,  the 
amount available for any future public offering and sale of equity, debt securities or any combination, is approximately $127 
million.    Among  the  purposes  for  which  STAAR  could  use  the  proceeds  of  securities  sold  in  the  future  under  the  shelf 
registration statement are  working capital,  capital expenditures,  expansion of  sales and  marketing, and continuing research 

35 

 
  
  
    
    
    
    
  
    
 
 
and development. STAAR could also use a portion of the net proceeds to acquire or invest in businesses, assets, products, and 
technologies  that  are  complementary  to  our  own,  although  we  are  not  currently  contemplating  or  negotiating  any  such 
acquisitions or investments. The availability of financing in the public capital markets through the shelf registration statement 
depends  on  several  factors  in  place  at  the  time  of  financing,  including  the  strength  of  STAAR’s  business  performance, 
general  economic  conditions  and  investment  climate,  and  investor  perceptions  of  those  factors.  If  STAAR  seeks  financing 
under the shelf registration statement in the future, we cannot assure that such financing will be available on favorable terms, 
if at all.  

Credit Facilities, Lease Line of Credit, Contractual Obligations, and Commitments 

Credit Facilities 

We have credit facilities with different lenders to support operations as detailed below. 

Lines of Credit 

Since  1998,  our  wholly  owned  Japanese  subsidiary,  STAAR  Japan,  has  had  an  agreement  with  Mizuho  Bank  which 
provides  for  borrowings  of  up  to  500,000,000  Yen,  at  an  interest  rate  equal  to  the  uncollateralized  overnight  call  rate 
(approximately 0.06% as of January 3, 2020) plus a 0.50% spread, and may be renewed quarterly (the current line expires on 
February 21, 2020).  The credit facility is not collateralized.  We had 197,500,000 Yen and 417,500,000 Yen outstanding on 
the  line  of  credit  as  of  January 3,  2020  and  December 28,  2018,  respectively,  (approximately  $1,827,000  and  $3,780,000 
based on the foreign exchange rates on January 3, 2020 and December 28, 2018, respectively), which approximates fair value 
due  to  the  short-term  maturity  and  market  interest  rates  of  the  line  of  credit.  In  case  of  default,  the  interest  rate  will  be 
increased to 14% per annum.  There was 302,500,000 Yen and 82,500,000 Yen available for borrowing as of January 3, 2020 
and  December 28,  2018,  respectively  (approximately  $2,798,000  and  $747,000  based  on  the  foreign  exchange  rate  on 
January 3, 2020 and December 28, 2018, respectively).  At maturity on February 21, 2020, this line of credit  was renewed 
until May 21, 2020, with similar terms. 

In September 2013, our wholly owned Swiss subsidiary, STAAR Surgical AG, entered into a framework agreement for 
loans (“framework agreement”) with Credit Suisse (the “Bank”). The framework agreement provides for borrowings of up to 
1,000,000  CHF  (Swiss  Francs)  (approximately  $1.0  million  at  the  rate  of  exchange  on  January 3,  2020  and 
December 28, 2018),  to  be  used  for  working  capital  purposes.  Accrued  interest  and  0.25%  commissions  on  average 
outstanding borrowings is payable quarterly and the interest rate will be determined by the Bank based on the then prevailing 
market conditions at the time of borrowing. The framework agreement is automatically renewed on an annual basis based on 
the  same  terms  assuming  there  is  no  default.  The  framework  agreement  may  be  terminated  by  either  party  at  any  time  in 
accordance  with  its  general  terms  and  conditions.  The  framework  agreement  is  not  collateralized  and  contains  certain 
conditions  such  as  providing  the  Bank  with  audited  financial  statements  annually  and  notice  of  significant  events  or 
conditions, as defined in the framework agreement. The Bank may also declare all amounts outstanding to be immediately 
due and payable upon a change of control or a “material qualification” in STAAR Surgical independent auditors’ report, as 
defined. There were no borrowings outstanding as of January 3, 2020 and December 28, 2018. 

Covenant Compliance 

We are in compliance with the covenants of our credit facilities and lines of credit as of January 3, 2020. 

Lease Line of Credit (Finance Leases) 

During 2019, we converted the lease line of credit schedule 011 with Farnam Street Financial, Inc. into a finance lease 

liability of approximately $500,000. 

36 

Contractual Obligations   

The following table represents the Company’s known contractual obligations as of January 3, 2020 (in thousands): 

Contractual Obligations 
Line of credit (Note 8)* 
Finance lease obligations (Note 9) 
Operating lease obligations (Note 9)* 
Pension benefit payments (Note 11)* 
Severance (Note 13)* 
Asset retirement obligation (Note 13)* 
Open purchase orders (Note 13)* 
Total 

Payments Due by Period 
2 – 3 
Years 

4 – 5 
Years 

     1 Year 

   Total 
  $ 

1,827     $ 
962       
7,104       
4,021       
10       
211       
13,450       

1,827     $ 
590       
2,850       
109       
10       
211       
10,192       
  $  27,585     $  15,789     $ 

—     $ 
362       
2,914       
336       
—       
—       
3,196       
6,808     $ 

More than 
5 Years    
—   
—   
73   
3,020   
—   
—   
—   
3,093   

—     $ 
10       
1,267       
556       
—       
—       
62       
1,895     $ 

*  Refer to the Notes to the Consolidated Financial Statements in this Annual Report on Form 10-K 

Critical Accounting Policies   

The preparation of financial statements in accordance with accounting principles generally accepted in the United States 
of  America  requires  management  to  make  significant  estimates  and  assumptions  that  affect  the  reported  amounts  of  assets 
and  liabilities  and  disclosure  of  contingent  assets  and  liabilities  at  the  date  of  the  financial  statements  and  the  reported 
amounts of sales and expenses during the reporting period. On an on-going basis, we evaluate our estimates, including those 
related  to  revenue  recognition,  allowances  for  doubtful  accounts  and  sales  returns,  inventory  reserves  and  income  taxes, 
among others.  Our estimates are based on historical experiences, market trends and financial forecasts and projections, and 
on various other assumptions that management believes are reasonable under the circumstances and at that certain point in 
time. Actual results may differ, significantly at times, from these if actual conditions differ from our assumptions. 

We believe the following represent our critical accounting policies. 

Revenue Recognition 

We  recognize  revenue  when  our  contractual  performance  obligations  with  customers  are  satisfied.    Our  performance 
obligations are generally limited to single sales orders with product shipping to the customer within a month of receipt of the 
sales order.  Substantially all of our revenues are recognized at a point-in-time when control of our products transfers to the 
customer, which is typically upon shipment (as discussed below).  We present sales tax and similar taxes we collect from our 
customers on a net basis (excluded from revenues). 

We sell certain injector parts to an unrelated customer and supplier (collectively referred to as “supplier”) whereby these 
injector  part  sales  are  either  made  as  a  final  sale  to  the  supplier  or,  are  sold  to  be  combined  with  an  acrylic  IOL  by  the 
supplier into finished goods inventory (a preloaded acrylic IOL).  These finished goods are then sold back to us at an agreed 
upon, contractual price.  We make a profit margin on either type of sale with the supplier and each type of sale is made under 
separate  purchase and  sales orders between the two parties resulting in cash settlement for the orders sold or repurchased.  
For parts that are sold as a final sale, we recognize a sale and those sales are classified as other product sales in total net sales.  
For the injector parts that are sold to be combined with an acrylic IOL into finished goods, we record the transaction at its 
carrying value deferring any profit margin as contra-inventory, until the finished goods inventory is sold to an end-customer 
(not the supplier) at which point we recognize revenues.  

For all sales, we are considered the principal in the transaction as we are the party providing specified goods under our 
control  prior  to  when  control  is  transferred  to  the  customer.    Cost  of  sales  includes  cost  of  production,  freight  and 
distribution, and inventory provisions, net of any purchase discounts.  Shipping and handling activities that occur after the 
customer obtains control of the goods are recognized as fulfillment costs. 

Non-consignment sales   

We recognize revenue from non-consignment product sales at a point-in-time when control has been transferred, which 
is  typically  at  shipping  point,  except  for  certain  customers  and  for  our  STAAR  Japan  subsidiary,  which  is  typically 
recognized  when  the  customer  receives  the  product.    We  generally  do  not  have  significant  deferred  as  delivery  to  the 
customer is generally made within the same or the next day of shipment. 

37 

 
  
  
  
    
    
    
    
    
    
    
    
    
 
We  also  enter  into  certain  strategic  cooperation  agreements  with  customers  in  which,  as  consideration  for  certain 
commitments made by the customer, including minimum purchase commitments, we agree, among other things, to pay for 
marketing, educational training and general  support of our products.  The provisions in these arrangements allow for these 
payments  to  be  made  directly  to  the  customer  or  payments  can  be  made  directly  to  a  third  party  for  distinct  marketing, 
educational training and general support services provided to or on behalf of the customer by the third party.  For payments 
we  make  to  another  party,  or  reimburse  the  customer  for  distinct  marketing  and  support  services,  we  recognize  these 
payments as sales and marketing expense as incurred.  These strategic cooperation agreements are generally for periods of 12 
months or more with quarterly minimum purchase commitments.  We recognize sales and marketing expenses in the period 
in  which  it  expects  the  customer  will  achieve  its  minimum  purchase  commitment,  generally  quarterly,  and  any  unpaid 
amounts  are  recorded  in  Other  Current  Liabilities  in  “Other”  on  the  Consolidated  Balance  Sheets,  see  Note  7  to  the 
Consolidated  Financial  Statements.    Reimbursements  made  directly  to  the  customer  for  general  marketing  incentives  are 
treated  as  a  reduction  in  revenues.    Our  performance  obligations  generally  occur  in  the  same  quarter  as  the  shipment  of 
product.   

Since the payments for distinct or non-distinct services occur within the quarter corresponding with the purchases made 
by the customer and our shipments to that customer, there is no remaining performance obligation.  Accordingly, there are no 
deferred revenues associated with these types of arrangements.   

Consignment Sales 

Our  products  are  marketed  to  ophthalmic  surgeons,  hospitals,  ambulatory  surgery  centers  or  vision  centers,  and 
distributors. IOLs and ICLs may be offered to surgeons and hospitals on a consignment basis.  We maintain title and risk of 
loss on consigned inventory and recognize revenue for consignment inventory at a point-in-time when we are notified that the 
lenses have been implanted, thus completing the performance obligation. 

Sales Return Reserves 

Generally,  we  may  permit  returns  of  product  if  the  product,  upon  issuance  of  a  Returned  Goods  Authorization,  is 
returned within the time allowed by our return policies, and in good condition. We provide allowances for sales returns based 
on  an  analysis  of  our  historical  patterns  of  returns  matched  against  the  sales  from  which  they  originated.  While  such 
allowances have historically been within our expectations, we cannot guarantee that we will continue to experience the same 
return rates that we have in the past.  Measurement of such returns requires consideration of, among other factors, historical 
returns experience and trends, including the need to adjust for current conditions and product lines, the entry of a competitor, 
and judgments about the probable effects of relevant observable data. We consider all available information in our quarterly 
assessments of the adequacy of the allowance for sales returns.  Sales are reported net of estimated returns.  If the actual sales 
returns are higher or lower than estimated by management, additional reduction or increase in sales may occur. 

Allowance for Doubtful Accounts 

We maintain provisions for uncollectible accounts based on estimated losses resulting from the inability of our customers 
to  remit  payments.  If  the  financial  condition  of  customers  were  to  deteriorate,  thereby  resulting  in  an  inability  to  make 
payments, additional allowances could be required. We perform ongoing credit evaluations of our customers and adjust credit 
limits  based  upon  customer  payment  history  and  current  creditworthiness,  as  determined  by  our  review  of  our  customers’ 
current credit information. We continuously monitor collections and payments from our customers and maintain a provision 
for estimated credit losses based upon our historical  experience and any specific customer collection issues that have been 
identified.  We  write  off  amounts  determined  to  be  uncollectible  against  the  allowance  for  doubtful  accounts.  While  such 
credit losses have historically been within our expectations and the provisions established, we cannot guarantee that we will 
continue to experience the same credit loss rates that we have in the past. Measurement of such losses requires consideration 
of historical loss experience, including the need to adjust for current conditions, and judgments about the probable effects  of 
relevant  observable  data,  including  present  economic  conditions  such  as  delinquency  rates  and  financial  health  of  specific 
customers.  We  consider  all  available  information  in  our  assessments  of  the  adequacy  of  the  reserves  for  uncollectible 
accounts. 

Stock-Based Compensation 

We account for the issuance of stock options to employees and directors by estimating the fair value of options issued 
using the  Black-Scholes pricing  model. This  model’s calculations include the exercise price, the  market price  of shares on 
grant  date,  risk-free  interest  rates,  expected  term  of  the  option,  expected  volatility  of  our  stock  and  expected  dividend 
yield.  The amounts recorded in the financial statements for share-based compensation could vary significantly if we were to 
use  different  assumptions.  We  also  issue  restricted  stock  units,  or  RSUs,  which  contain  a  service  condition  such  that  they 
vest if the grantee is still employed with us on a range of measurement dates, which are typically three years after the grant 

38 

date.  On occasion, we also issue RSUs to certain employees which contain a performance condition such that they vest if the 
internally established target is met or exceeded and the grantee is still employed with us on the measurement date, which is 
typically  one  year  after  the  grant  date.  We  recognize  compensation  cost  for  the  RSUs  when  it  is  probable  that  the 
performance condition will be achieved, net of an estimate of pre-vesting forfeitures, over the requisite service period based 
on  the  grant-date  fair  value  of  the  stock.  We  reassess  the  probability  of  vesting  at  each  reporting  period  and  adjust 
compensation cost based on our probability assessment.  

Income Taxes 

We  account  for  income  taxes,  on  a  jurisdiction-by-jurisdiction  basis,  under  the  asset  and  liability  method,  whereby 
deferred  tax  assets  and  liabilities  are  recognized  for  the  future  tax  consequences  attributable  to  differences  between  the 
financial statement carrying amounts of existing assets and liabilities and their respective tax bases. Deferred tax assets and 
liabilities  are  measured  using  enacted  tax  rates  expected  to  apply  in  the  years  in  which  those  temporary  differences  are 
expected to be recovered or settled in the jurisdictions in which they arise. The effect on deferred tax assets and liabilities of a 
change in tax rates is recognized in income in the period that includes the enactment date. We evaluate the need to establish a 
valuation allowance for deferred tax assets based on the amount of existing temporary differences, the period in which they 
are expected to be recovered and expected levels of taxable income. A valuation allowance to reduce deferred tax assets is 
established  when  it  is  more  likely  than  not  that  some  or  all  the  deferred  tax  assets  will  not  be  realized.    We  have  made  a 
policy election to apply the incremental cash tax savings approach when analyzing the impact GILTI could have on our U.S. 
valuation allowance assessment. 

In many countries, including the U.S., we are subject to transfer pricing and other tax regulations designed to ensure that 
appropriate levels of income are reported as earned by our U.S. and foreign entities and are taxed accordingly.  In the normal 
course  of  business,  we  are  audited  by  federal,  state  and  foreign  tax  authorities,  and  subject  to  inquiries  from  those  tax 
authorities  regarding  the  amount  of  taxes  due.  These  inquiries  may  relate  to  the  timing  and  amount  of  deductions  and  the 
allocation of income among various tax jurisdictions. We believe that our tax positions comply with applicable tax law and 
intend to defend our positions, if necessary. Our effective tax rate in each financial statement period could be impacted if we 
prevailed  in  matters  for  which  reserves  have  been  established,  or  were  required  to  pay  amounts  more  than  established 
reserves. 

Inventories  

We  provide  estimated  inventory  allowances  for  excess,  slow  moving,  expiring  and  obsolete  inventory  as  well  as 
inventory  whose  carrying  value  is  more  than  net  realizable  value.  These  reserves  are  based  on  current  assessments  about 
future  demands,  market  conditions  and  related  management  initiatives.  If  market  conditions  and  actual  demands  are  less 
favorable than those projected by management, additional inventory write-downs may be required. We value our inventory at 
the lower of cost or net realizable market values. We regularly review inventory quantities on hand and record a provision for 
excess  and  obsolete  inventory  based  primarily  on  the  expiration  of  products  with  a  shelf  life  of  less  than  four  months, 
estimated  forecasts  of  product  demand  and  production  requirements  for  the  next  twelve  months.  Several  factors  may 
influence  the  realizability  of  our  inventories,  including  decisions  to  exit  a  product  line,  technological  change,  and  new 
product  development.  These  factors  could  result  in  an  increase  in  the  amount  of  obsolete  inventory  quantities  on  hand. 
Additionally, estimates of future product demand may prove to be inaccurate, in which case the provision required for excess 
and obsolete inventory may be understated or overstated. If in the future, we determine that our inventory was overvalued, we 
would be required to recognize such costs in cost of sales at the time of such determination. Likewise, if we determine that 
our inventory  was undervalued, cost of sales in previous periods could have been overstated and  we  would be required to 
recognize such additional operating income at the time of sale. While such inventory losses have historically been within our 
expectations and the provisions established, we cannot guarantee that we will continue to experience the same loss rates that 
we have in the past. Therefore, although we make every effort to ensure the accuracy of forecasts of future product demand, 
including the impact of planned future product launches, any significant unanticipated changes in demand or technological 
developments could have a significant impact on the value of our inventory and our reported operating results. 

Lease Accounting 

We recognize right-of-use (“ROU”) assets and lease liabilities for leases with terms greater than twelve months.  Leases 
are classified as either finance or operating, with classification affecting the pattern of expense recognition.  Certain leases 
may have non-lease components such as common area maintenance expense for building leases and maintenance expenses 
for automobile leases.  In  general,  we separate  common area  maintenance expense component  from the value of the  ROU 
asset and lease liability when evaluating rental properties, whereas,  we include the maintenance and service components in 
the  value  of the  ROU asset and lease liability  while evaluating automobile leases. We review  ROU assets,  for impairment 
whenever events or changes in circumstances indicate the carrying amount of an asset may not be recoverable. We measure 
recoverability of these assets by comparing the carrying value of such assets to the estimated undiscounted future cash flows 

39 

the assets are expected to generate. When the estimated undiscounted future cash flows  are less than their carrying amount, 
an impairment loss is recognized equal to the difference between the assets’ fair value and their carrying value.   

Impairment of Long-Lived Assets 

Intangible  and  other  long  lived-assets  are  reviewed  for  impairment  whenever  events  such  as  product  discontinuance, 
plant  closures,  product  dispositions  or  other  changes  in  circumstances  indicate  that  the  carrying  amount  may  not  be 
recoverable.  Certain  factors  which  may  occur  and  indicate  that  an  impairment  exists  include,  but  are  not  limited  to,  the 
following:  significant  underperformance  relative  to  expected  historical  or  projected  future  operating  results;  significant 
changes  in  the  manner  of  use  of  the  underlying  assets;  and  significant  adverse  industry  or  market  economic  trends.  In 
reviewing for impairment, we compare the carrying value of such assets to the estimated undiscounted future net cash flows 
expected  from  the  use  of  the  assets  and  their  eventual  disposition.  If  the  carrying  value  of  assets  is  determined  to  be 
unrecoverable, we would estimate the fair value of the assets and record an impairment charge for the excess of the carrying 
value over the fair value. The estimate of fair value requires management to make several assumptions and projections, which 
could include, but would not be limited to, future revenues, earnings and the probability of certain outcomes and scenarios. 
Our policy is consistent with current accounting guidance as prescribed by ASC 360-10-35, “Accounting for the Impairment 
or Disposal of Long-Lived Assets.” 

Goodwill 

Goodwill,  which  has  an  indefinite  life,  is  not  amortized,  but  instead  is  subject  to  periodic  testing  for  impairment. 
Goodwill is tested for impairment on an annual basis or between annual tests if an event occurs or circumstances change that 
would reduce the fair value of a reporting unit below its carrying amount. Certain factors which may occur and indicate that 
impairment exists include, but are not limited to the following: significant underperformance relative to expected historical or 
projected  future  operating  results;  significant  changes  in  the  manner  of  our  use  of  the  underlying  assets;  and  significant 
adverse  industry  or  market  economic  trends.  If  the  carrying  value  of  assets  is  determined  to  be  unrecoverable,  we  would 
estimate the fair value of the reporting unit and record an impairment charge for the excess of the carrying value over the fair 
value. The estimate of fair value requires management to make several assumptions and projections, which could include, but 
would not be limited to, future revenues, earnings and the probability of certain outcomes and scenarios, including the use of 
experts.   

Definite-Lived Intangible Assets 

We  also  have  other  intangible  assets  mainly  consisting  of  patents  and  licenses,  certain  acquired  rights,  developed 
technologies, and customer relationships. We capitalize the cost of acquiring patents and licenses.   Amortization is computed 
on  the  straight-line  basis  over  the  estimated  useful  lives  of  the  assets,  which  is  our  best  estimate  of  the  pattern  of  the 
economic  benefits,  which  are  based  on  legal,  contractual,  and  other  provisions,  and  range  from  3  to  20  years  for  patents, 
certain  acquired  rights  and  licenses,  10  years  for  customer  relationships  and  3  to  10  years  for  developed  technology.   We 
review intangible assets for impairment in the assessment discussed above regarding Impairment of Long-Lived Assets. 

Employee Defined Benefit Plans - Pension 

We  have  maintained  a  passive  pension  plan  (the  “Swiss  Plan”)  covering  employees  of  our  Swiss  subsidiary.  We 
determined that the features of the Swiss Plan conform to the features of a defined benefit plan.  As a result, we adopted the 
recognition  and  disclosure  requirements  of  ASC  715,  “Employers’  Accounting  for  Defined  Benefit  Pension  and  Other 
Postretirement Plans.” 

STAAR Japan has a noncontributory defined benefit pension plan (the “Japan Plan”) substantially covering employees 
of our Japan subsidiary.  The Japan Plan has also adopted the recognition and disclosure requirements of ASC 715. STAAR 
Japan is not required, and we do not intend to provide any future contributions to this pension plan to meet benefit obligations 
and will therefore not have any plan assets.   Benefit payments are made to beneficiaries from operating cash flows as they 
become due. 

We recognize the funded status, or difference between the fair value of plan assets and the projected benefit obligations 
of  the  pension  plan  on  the  statement  of  financial  position  with  a  corresponding  adjustment  to  accumulated  other 
comprehensive income or loss. If the projected benefit obligation exceeds the fair value of plan assets, then that difference or 
unfunded  status  represents  the  pension  liability.  We  record  a  net  periodic  pension  cost  in  the  consolidated  statement  of 
operations.  The  liabilities  and  annual  income  or  expense  of  both  plans  are  determined  using  methodologies  that  involve 
several actuarial assumptions, the  most significant of  which are the discount rate, and the expected long-term rate  of asset 
return.  Assumptions  of  expected  asset  returns  and  market-related  values  of  plan  assets  are  applicable  to  the  Swiss  Plan 
only.  The fair values of plan assets are determined based on prevailing market prices.  The amounts recorded in the financial 
statements pertaining to our employee defined benefit plans could vary significantly if we were to use different assumptions. 

40 

Foreign Exchange 

Management does not believe that the fluctuation in the value of the dollar in relation to the currencies of its suppliers or 
customers in the last three fiscal years has adversely affected our ability to purchase or sell products at agreed upon prices. 
No  assurance  can  be  given,  however,  that  adverse  currency  exchange  rate  fluctuations  will  not  occur  in  the  future,  which 
could significantly affect our operating results. We do not currently hedge transactions to offset changes in foreign currency. 

Inflation 

Management  believes  inflation  has  not  had  a  significant  impact  on  our  net  sales  and  revenues  and  on  income  from 

continuing operations during the past three years. 

Off Balance Sheet Arrangements 

We do not have any off-balance sheet arrangements. 

Recent Accounting Pronouncements 

See  “Part  II.  Item  8.  “Financial  Statements  and  Supplementary  Data  –  Note  1  –  Organization  and  Description  of 

Business and Accounting Policies – Recent Accounting Pronouncements” of this Annual Report on Form 10-K. 

ITEM 7A.  Quantitative and Qualitative Disclosures About Market Risk 

In the normal course of business, our operations are exposed to risks associated  with fluctuations in interest rates and 
foreign currency exchange rates. The Company manages its risks based on management’s judgment of the appropriate trade-
off  between  risks,  opportunity,  and  costs  and  does  not  generally  enter  into  interest  rate  or  foreign  exchange  rate  hedge 
instruments. 

Interest rate risk 

As of January 3, 2020, we had $1.8 million of foreign debt. Our $1.8 million of foreign debt bears an interest rate that is 
equal  to  the  uncollateralized  overnight  call  rate  in  Japan  (approximately  0.06%)  plus  a  0.50%  spread.  Thus,  our  interest 
expense would fluctuate with any change in the base interest rate. If the uncollateralized overnight call rate were to increase 
or decrease by 1% for the year, our annual interest expense would increase or decrease by approximately $18,000. 

Foreign currency risk 

Fluctuations in the rate of exchange between the U.S. dollar and foreign currencies in which we transact business could 

adversely affect our financial results.   

Our international subsidiaries operate in and are net recipients of currencies other than the U.S. dollar and, as a result, 
our sales benefit from a weaker dollar and are reduced by a stronger dollar relative to major currencies worldwide (primarily, 
the euro and the Japanese yen).  Accordingly, changes in exchange rates, and particularly the strengthening of the U.S. dollar, 
may  negatively  affect  our  consolidated  sales  and  gross  profit  as  expressed  in  U.S.  dollars.  Fluctuations  during  any  given 
reporting  period  result  in  the  re-measurement  of  our  foreign  currency  denominated  cash,  receivables,  and  payables, 
generating  currency  transaction  gains  or  losses  and  are  reported  in  total  other  income  (expense),  net  in  our  consolidated 
statements  of  operations.    In  the  normal  course  of  business,  we  also  face  risks  that  are  either  non-financial  or  non-
quantifiable. Such risks include those set forth in “Item 1A. Risk Factors.” 

ITEM 8. 

Financial Statements and Supplementary Data 

Financial  Statements  and  the  Report  of  Independent  Registered  Public  Accounting  Firm  are  filed  with  this  Annual 

Report on Form 10-K in a separate section following Part IV, as shown on the index under Item 15 of this Annual Report. 

ITEM 9. 

Changes in and Disagreements with Accountants on Accounting and Financial Disclosure 

None. 

41 

ITEM 9A.  Controls and Procedures 

Attached as exhibits to this Annual Report on Form 10-K are certifications of STAAR’s Chief Executive Officer (CEO) 
and Chief Financial Officer (CFO),  which are required in  accordance  with Rule 13a-14 of the  Securities Exchange  Act of 
1934, as amended (the Exchange Act). This “Controls and Procedures” section includes information concerning the controls 
and  controls  evaluation  referred  to  in  the  certifications.  The  report  of  BDO  USA,  LLP,  our  independent  registered  public 
accounting firm, regarding its audit of STAAR’s internal control over financial reporting follows below. This section should 
be read in conjunction with the certifications and the BDO USA, LLP report for a more complete understanding of the topics 
presented. 

Evaluation of Disclosure Controls and Procedures 

As  of  the  end  of  the  period  covered  by  this  report,  we  carried  out  an  evaluation,  under  the  supervision  and  with  the 
participation  of  our  management,  including  our  CEO  and  CFO,  of  the  effectiveness  of  the  design  and  operation  of  the 
disclosure controls and procedures of the Company.  Based on that evaluation, our CEO and CFO concluded, as of the end of 
the period covered by our Form 10-K for the fiscal year ended January 3, 2020, that our disclosure controls and procedures 
were  effective.  For  purposes  of  this  statement,  the  term  “disclosure  controls  and  procedures”  means  controls  and  other 
procedures  of  the  Company  that  are  designed  to  ensure  that  information  required  to  be  disclosed  by  the  Company  in  the 
reports that it files or submits under the Securities Exchange Act (15 U.S.C. 78a et seq) is recorded, processed, summarized, 
and  reported,  within  the  time  periods  specified  in  the  Commission’s  rules  and  forms.  Disclosure  controls  and  procedures 
include, without limitation, controls and procedures designed to ensure that information required to be disclosed by the issuer 
in the reports that it files or submits under the Act is accumulated and communicated to the issuer’s management, including 
its principal executive and principal financial officers, or persons performing similar functions, as appropriate to allow timely 
decisions regarding required disclosure. 

Changes in Internal Control over Financial Reporting 

There was no change during the fiscal quarter ended January 3, 2020 that has materially affected, or is reasonably likely 

to materially affect, our internal control over financial reporting. 

Management’s Annual Report on Internal Control over Financial Reporting 

The  Company’s  management,  including  our  CEO  and  CFO,  is  responsible  for  establishing  and  maintaining  adequate 
internal  control  over  financial  reporting  (as  such  term  is  defined  in  Exchange  Act  Rule  13a-15(f)  and  15d-15(f))  for  the 
Company.  The  Company’s  internal  control  system  was  designed  to  provide  reasonable  assurance  to  the  Company’s 
management  and  Board  of  Directors  regarding  the  preparation  and  fair  presentation  of  published  consolidated  financial 
statements in accordance with accounting principles generally accepted in the United States of America. 

Because  of  its  inherent  limitations,  a  system  of  internal  control  over  financial  reporting  can  provide  only  reasonable 
assurance  and  may  not  prevent  or  detect  misstatements.  Further,  because  of  changing  conditions,  effectiveness  of  internal 
control  over  financial  reporting  may  vary  over  time.  The  Company’s  processes  contain  self-monitoring  mechanisms,  and 
actions are taken to correct deficiencies as they are identified. 

Management  has  assessed  the  effectiveness  of  the  Company’s  internal  control  over  financial  reporting  as  of 
January 3, 2020,  based  on  the  criteria  for  effective  internal  control  described  in  Internal  Control — Integrated  Framework 
(2013)  issued  by  the  Committee  of  Sponsoring  Organizations  of  the  Treadway  Commission.  Based  on  its  assessment, 
management concluded that the Company’s internal control over financial reporting was effective as of January 3, 2020. 

42 

Report of Independent Registered Public Accounting Firm 

Shareholders and Board of Directors   
STAAR Surgical Company 
Lake Forest, California 

Opinion on Internal Control over Financial Reporting 

We  have  audited  STAAR  Surgical  Company  (the  “Company’s”)  internal  control  over  financial  reporting  as  of 
January 3, 2020, based on criteria established in Internal Control – Integrated Framework (2013) issued by the Committee of 
Sponsoring Organizations of the Treadway Commission (the “COSO criteria”). In our opinion, the Company maintained, in 
all material respects, effective internal control over financial reporting as of January 3, 2020, based on the COSO criteria.  

We  also  have  audited,  in  accordance  with  the  standards  of  the  Public  Company  Accounting  Oversight  Board  (United 
States)  (“PCAOB”),  the  consolidated  balance  sheets  of  the  Company  as  of  January  3,  2020  and  December  28,  2018,  the 
related consolidated statements of operations, comprehensive income (loss), stockholders’ equity, and cash flows for each of 
the  three  years  in  the  period  ended  January  3,  2020,  and  the  related  notes  and  financial  statement  schedule  listed  in  the 
accompanying index and our report dated February 26, 2020 expressed an unqualified opinion thereon. 

Basis for Opinion 

The Company’s management is responsible for maintaining effective internal control over financial reporting and for its 
assessment  of  the  effectiveness  of  internal  control  over  financial  reporting,  included  in  the  accompanying  Item  9A, 
Management’s Annual Report on Internal Control over Financial Reporting. Our responsibility is to express an opinion on 
the Company’s internal control over financial reporting based on our audit. We are a public accounting firm registered with 
the PCAOB and are required to be independent with respect to the Company in accordance  with U.S. federal securities laws 
and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB. 

We  conducted  our  audit  of  internal  control  over  financial  reporting  in  accordance  with  the  standards  of  the  PCAOB. 
Those standards require that we plan and perform the audit to obtain reasonable assurance about whether effective internal 
control  over  financial  reporting  was  maintained  in  all  material  respects.  Our  audit  included  obtaining  an  understanding  of 
internal  control  over  financial  reporting,  assessing  the  risk  that  a  material  weakness  exists,  and  testing  and  evaluating  the 
design  and  operating  effectiveness  of  internal  control  based  on  the  assessed  risk.  Our  audit  also  included  performing  such 
other procedures as we considered necessary in the circumstances. We believe that our audit provides a reasonable basis for 
our opinion. 

Definition and Limitations of Internal Control over Financial Reporting 

A company’s internal control over financial reporting is a  process designed to provide reasonable assurance regarding 
the  reliability  of  financial  reporting  and  the  preparation  of  financial  statements  for  external  purposes  in  accordance  with 
generally accepted accounting principles. A company’s internal control over financial reporting includes those policies and 
procedures  that  (1)  pertain  to  the  maintenance  of  records  that,  in  reasonable  detail,  accurately  and  fairly  reflect  the 
transactions and dispositions of the assets of the company; (2) provide reasonable assurance that transactions are recorded as 
necessary to permit preparation of financial statements in accordance with generally accepted accounting principles, and that 
receipts  and  expenditures  of  the  company  are  being  made  only  in  accordance  with  authorizations  of  management  and 
directors  of  the  company;  and  (3)  provide  reasonable  assurance  regarding  prevention  or  timely  detection  of  unauthorized 
acquisition, use, or disposition of the company’s assets that could have a material effect on the financial statements. 

Because  of  its  inherent  limitations,  internal  control  over  financial  reporting  may  not  prevent  or  detect  misstatements. 
Also,  projections  of  any  evaluation  of  effectiveness  to  future  periods  are  subject  to  the  risk  that  controls  may  become 
inadequate  because  of  changes  in  conditions,  or  that  the  degree  of  compliance  with  the  policies  or  procedures  may 
deteriorate.  

/s/ BDO USA, LLP 

Los Angeles, California 
February 26, 2020 

43 

ITEM 9B.  Other Information 

None. 

ITEM 10.  Directors, Executive Officers and Corporate Governance 

PART III 

The information required by this item is incorporated herein by reference to the section entitled “Election of Directors” 
contained in the proxy statement for the  2020 annual  meeting of stockholders (the “Proxy Statement”) to be filed with the 
Securities and Exchange Commission within 120 days of the close of the fiscal year ended January 3, 2020. 

ITEM 11.  Executive Compensation 

The information required by this item is incorporated herein by reference to the section entitled “Election of Directors” 

contained in the Proxy Statement. 

ITEM 12.  Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters 

The information required by this item is incorporated herein by reference to the section entitled “General Information—
Security  Ownership  of  Certain  Beneficial  Owners  and  Management”  and  “Election  of  Directors”  contained  in  the  Proxy 
Statement. 

ITEM 13.  Certain Relationships and Related Transactions, and Director Independence 

The information required by this item is incorporated herein by reference to the section entitled “Election of Directors” 

contained in the Proxy Statement. 

ITEM 14.  Principal Accounting Fees and Services 

The  information  required  by  this  item  is  incorporated  herein  by  reference  to  the  section  entitled  “Ratification  of  the 

Appointment of Independent Registered Public Accounting Firm” contained in the Proxy Statement. 

ITEM 15.  Exhibits and Financial Statement Schedules 

We have filed the following documents as part of this Annual Report on Form 10-K: 

PART IV 

(1) 

  Consolidated Financial Statements 

  Report of Independent Registered Public Accounting Firm 

  Consolidated Balance Sheets 

  Consolidated Statements of Operations 

  Consolidated Statements of Comprehensive Income (Loss) 

  Consolidated Statements of Stockholders’ Equity 

  Consolidated Statements of Cash Flows 

  Notes to Consolidated Financial Statements 

(2) 

  Schedules required by Regulation S-X are filed as an exhibit to this report 

  II. Schedule II — Valuation and Qualifying Accounts and Reserves 

   Page 

   F-2 

   F-4 

   F-5 

   F-6 

   F-7 

   F-8 

   F-9 

   F-45 

All  other  schedules  have  been  omitted  because  they  are  not  required,  not  applicable,  or  the  required  information  is 

otherwise included. 

44 

 
  
   
  
 
 
 
 
 
 
  
 
 
 
 
 
  
 
 
 
 
 
  
 
 
 
 
 
  
 
 
 
 
 
  
 
 
 
 
 
  
 
 
 
 
 
  
 
 
 
 
 
  
 
 
 
 
 
 
  
 
(3) 

  Exhibits  

    3.1 

  Amended and Restated Certificate of Incorporation.(1) 

    3.2 

  Amended and Restated Bylaws.(2) 

    4.1 

  Form of Certificate for Common Stock, par value $0.01 per share.(3) 

  †4.2 

  Amended and Restated Omnibus Equity Incentive Plan.(4) 

  4.3 

  Description of the Registrant’s Securities.* 

  10.1 

Amendment  No. 1  to  Standard  Industrial/Commercial  Multi-Tenant  Lease  dated  January 3,  2003,  by  and 
between the Company and California Rosen LLC.(5) 

†10.2 

  Form of Indemnification Agreement between the Company and certain officers and directors.(6) 

†10.3 

  Employment Agreement, dated December 16, 2004 by and between the Company and Hans Blickensdoerfer.(7) 

  10.4 

  Credit Agreement between STAAR Japan Inc. and Mizuho Bank Inc., dated October 31, 2007.(8) 

  10.5 

  Amended Credit Agreement between STAAR Japan Inc. and Mizuho Bank Ltd., dated June 30, 2009.(8) 

  10.6 

  Amended Credit Agreement between STAAR Japan Inc. and Mizuho Bank Ltd., dated December 28, 2012.(9) 

   10.7 

   10.8 

   10.9 

Basic Agreement on Unsterilized Intraocular Lens Sales Transactions between Canon Staar Co., Inc. and Nidek 
Co., Ltd., dated May 23, 2005.(10) 

Basic  Agreement  on  Injector  Product  Sales  Transactions  between  Canon  Staar  Co.,  Inc.  and  Nidek  Co.,  Ltd., 
dated May 23, 2005.(10) 

Memorandum  of  Understanding  Concerning  Basic  Agreements  for  Purchase  and  Sale  between  STAAR  Japan 
Inc. and Nidek Co., Ltd., dated December 25, 2008.(10) 

   10.10 

Acrylic  Preset  Supply  Warranty  Agreement  between  STAAR  Japan  Inc.  and  Nidek  Co.,  Ltd.,  dated 
December 25, 2008.(10) 

   10.11 

  Framework Agreement for Loans between Credit Suisse and STAAR Surgical AG, dated September 2013.(11) 

  †10.12    Form of Executive Severance Agreement.(12) 

  †10.13    Form of Executive Change in Control Agreement.(12) 

   10.14 

Standard  Industrial/Commercial  Single  –  Tenant  Lease  –  Net  dated  August  17,  2012,  by  and  between  the 
Company and Pacific Equity Partners, LLC.(13) 

  †10.15 

Letter of the Company dated March 27, 2012 to Samuel Gesten, Vice President and General Counsel, regarding 
compensation.(9) 

  †10.16 

Letter  of  the  Company  dated  July  27,  2015  to  Keith  Holliday,  Vice  President  of  Research  and  Development, 
regarding compensation.(14) 

   10.17 

  Amendment Agreement between STAAR Surgical Company and Nidek Co., Ltd., dated March 31, 2016.(15) 

  †10.18 

Employment  Agreement  effective  March  1,  2015  by  and  between  the  Company  and  Caren  Mason,  dated 
March 1, 2015.(16) 

   10.19 

  Form of Option Grant and Stock Option Agreement for employees.(17) 

   10.20 

  Form of Option Grant and Stock Option Agreement for Non-Employee Directors.(17) 

   10.21 

  Form of Restricted Stock Unit Grant and Agreement.(17) 

   10.22 

  Form of Restricted Stock Award Grant and Restricted Stock Award Agreement.(17) 

   10.23 

  Form of Amendment to Credit Agreement between STAAR Japan Inc. and Mizuho Bank Ltd.(11) 

   10.24 

Master  Lease  Agreement  dated  May  30,  2006  by  and  between  the  Company  and  Farnam  Street  Financial, 
Inc.(17) 

   10.25 

  Lease  Schedule  No.  009R  dated  January  31,  2017,  of  Master  Lease  Agreement  dated  May  30,  2006,  by  and 

45 

 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
between the Company and Farnam Street Financial, Inc.(17) 

   10.26 

Lease Schedule No. 010R dated March 8, 2018, of Lease Agreement dated May 30, 2006, by and between the 
Company and Farnam Street Financial, Inc.(22) 

   10.27 

Lease Schedule No. 011 and Purchase Option dated March 8, 2018 of Lease Agreement dated May 30, 2006, by 
and between the Company and Farnam Street Financial, Inc.(22) 

   10.28 

Letter  of  the  Company  dated  September  27,  2017  to  Deborah  Andrews,  Vice  President  of  Finance,  Chief 
Financial Officer, regarding compensation.(18) 

   10.29 

  Lease dated August 10, 2017 by and between the Company and 2000 Gold L.P.(19) 

   10.30 

Lease  Agreement  commencing  May  1,  2018  between  Bukewihge  Properties,  LLC  and  STAAR  Surgical 
Company.(20) 

   10.31 

  Form of Distributorship Agreement.(6) 

   10.32 

  Lease Agreement dated January 29, 2019 between GZK Real Estate Ltd. and STAAR Surgical Ltd.(23) 

   10.33 

Lease Agreement dated June 13, 2019 between Einfache Gesellschaft Calderari & Schwab. and STAAR Surgical 
AG.(24) 

  †10.34 

Letter of the Company dated August 10, 2012 to James Francese, Vice  President, Global Marketing, regarding 
compensation.(9) 

  †10.35 

Letter  of  the  Company  dated  June  15,  2015  to  Jon  K.  Hayashida,  Vice  President  Global  Clinical  Affairs, 
regarding compensation.(14) 

  †10.36 

Employment  Agreement  effective  October  1,  2017  by  and  between  the  Company  and  Scott  Barnes,  dated 
September 11 2011.* 

  †10.37 

Letter of the Company dated December 15, 2015 to Graydon Hansen, Vice President of Operations, regarding 
compensation.* 

   14.1 

  Code of Business Conduct and Ethics.(21) 

   21.1 

  List of Subsidiaries.* 

   23.1 

  Consent of BDO USA, LLP.* 

   31.1 

   31.2 

   32.1 

    101 

Certification  Pursuant  to  Rule 13a-14(a)  of  the  Securities  Exchange  Act  of  1934,  Adopted  Pursuant  to 
Section 302 of the Sarbanes-Oxley Act of 2002.* 

Certification  Pursuant  to  Rule 13a-14(a)  of  the  Securities  Exchange  Act  of  1934,  Adopted  Pursuant  to 
Section 302 of the Sarbanes-Oxley Act of 2002.* 

Certification Pursuant to 18 U.S.C. Section 1350, Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 
2002.** 

The following materials from the Company’s Annual Report on Form 10-K for the year ended January 3, 2020 
formatted inline Extensible Business Reporting Language (iXBRL): (i) the Consolidated Balance Sheets, (ii) the 
Consolidated Statements of Operations, (iii) the Consolidated Statements of Comprehensive Income (Loss), (iv) 
the  Consolidated Statements of Stockholders’ Equity, (v) the Consolidated Statements of Cash Flows, and (vi) 
related notes. 

    104 

The cover page from the Company’s Annual Report on Form 10-K for the fiscal year ended January 3, 2020, has 
been formatted in Inline XBRL with applicable taxonomy extension information contained in Exhibit 101. 

* 
** 
† 
(1) 

(2) 

(3) 

  Filed herewith. 
  Furnished herewith. 
  Management contract or compensatory plan. 
Incorporated by reference to Appendix 2 of the Company’s Proxy Statement on Form DEF 14A as filed with the 
Commission on April 13, 2018. 
Incorporated by reference to Appendix 3 of the Company’s Proxy Statement on Form DEF 14A as filed with the 
Commission on April 13, 2018. 
Incorporated by reference to Exhibit 4.1 to Amendment No. 1 to the Company’s Registration Statement on Form 
8-A/A as filed with the Commission on April 18, 2003. 

46 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
(4) 

(5) 

(6) 

(7) 

(8) 

(9) 

(10) 

(11) 

(12) 

(13) 

(14) 

(15) 

(16) 

(17) 

(18) 

(19) 

(20) 

(21) 

(22) 

(23) 

(24) 

to 

to 

the  year  ended 

the  year  ended 

the  Company’s  Annual  Report  on  Form  10-K,  for 

the  Company’s  Annual  Report  on  Form  10-K,  for 

Incorporated by reference to Appendix 1 of the Company’s Proxy Statement on Form DEF 14A as filed with the 
Commission on April 13, 2018. 
Incorporated by reference to the Company’s Annual Report on Form 10-K, for the year ended January 2, 2004, 
as filed with the Commission on March 17, 2004. 
Incorporated  by  reference  from  the  Company’s  Quarterly  Report  on  Form  10-Q,  for  the  period  ended 
June 29, 2018, as filed with the Commission on August 1, 2018. 
Incorporated  by  reference  to  the  Company’s  Current  Report  on  Form  8-K  as  filed  with  the  Commission  on 
October 1, 2009. 
Incorporated  by  reference  to  the  Company’s  Quarterly  Report  on  Form  10-Q,  for  the  period  ended 
October 2, 2009, as filed with the Commission on November 12, 2009. 
Incorporated  by  reference 
December 31, 2012, as filed with the commission on March 12, 2013. 
Incorporated by reference to the Company’s Annual Report on Form 10-K, for the year ended January 1, 2010 as 
filed with the Commission on April 1, 2010.   
Incorporated  by  reference 
December 29, 2017, as filed with the commission on February 28, 2018. 
Incorporated  by  reference  to  the  Company’s  Quarterly  Report  on  Form 10-Q,  for  the  period  ended 
September 30, 2011, as filed with the Commission on November 2, 2011. 
Incorporated  by  reference  to  the  Company’s  Current  Report  on  Form  8-K  as  filed  with  the  Commission  on 
August 23, 2012. 
Incorporated  by  reference  to  the  Company’s  Quarterly  Report  on  Form  10-Q,  for  the  period  ended 
October 2, 2015, as filed with the Commission on November 4, 2015. 
Incorporated by reference to the Company’s Quarterly Report on Form 10-Q, for the period ended April 1, 2016, 
as filed with the Commission on May 11, 2016. 
Incorporated  by  reference  to  the  Company’s  Current  Report  on  Form  8-K  as  filed  with  the  Commission  on 
March 3, 2015. 
Incorporated  by  reference 
December 30, 2016, as filed with the Commission on March 2, 2017. 
Incorporated  by  reference  to  the  Company’s  Current  Report  on  Form  8-K  as  filed  with  the  Commission  on 
September 28, 2017. 
Incorporated  by  reference  to  the  Company’s  Quarterly  Report  on  Form 10-Q,  for  the  period  ended 
September 29, 2017, as filed with the Commission on November 8, 2017. 
Incorporated  by  reference  to  the  Company’s  Quarterly  Report  on  Form 10-Q,  for  the  period  ended 
March 30, 2018, as filed with the Commission on May 2, 2018. 
Incorporated  by  reference  to  the  Company’s  Quarterly  Report  on  Form  10-Q/A,  for  the  period  ended 
June 29, 2012, as filed with the Commission on August 8, 2012. 
Incorporated  by  reference 
to 
December 28 2018, as filed with the Commission on February 21, 2019. 
Incorporated  by  reference  to  the  Company’s  Quarterly  Report  on  Form  10-Q,  for  the  period  ended 
March 29, 2019, as filed with the Commission on May 1, 2019. 
Incorporated by reference to the Company’s Quarterly Report on Form 10-Q, for the period ended June 28, 2019, 
as filed with the Commission on July 31, 2019. 

the  Company’s  Annual  Report  on  Form  10-K,  for 

the  Company’s  Annual  Report  on  Form  10-K,  for 

the  year  ended 

the  year  ended 

to 

ITEM 16.  Form 10-K Summary 

None. 

47 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Pursuant  to  the  requirements  of  Section  13  or  15(d)  of  the  Securities  Exchange  Act  of  1934,  the  registrant  has  duly 

caused this report to be signed on its behalf by the undersigned, thereunto duly authorized. 

SIGNATURES 

Date:  February 26, 2020 

STAAR SURGICAL COMPANY 

By:  /s/  CAREN MASON 
   Caren Mason 

President and Chief Executive Officer 
(principal executive officer) 

Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following 

persons on behalf of the registrant and in the capacities and on the dates indicated. 

Name 

/s/  CAREN MASON 
Caren Mason 

Title 

Date 

   President, Chief Executive Officer and Director 

   February 26, 2020 

(principal executive officer) 

/s/  DEBORAH J. ANDREWS 
Deborah J. Andrews 

   Vice President, Chief Financial Officer 

(principal accounting and financial officer) 

   February 26, 2020 

/s/  LOUIS E. SILVERMAN 
Louis E. Silverman 

/s/  STEPHEN C. FARRELL 
Stephen C. Farrell 

/s/  JOHN C. MOORE 
John C. Moore  

/s/  WILLIAM P. WALL 
William P. Wall  

   Chairman of the Board, Director 

   February 26, 2020 

   Director 

   Director 

   Director 

   February 26, 2020 

   February 26, 2020 

   February 26, 2020 

48 

 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
 
  
  
  
  
  
  
  
  
  
 
  
  
  
  
 
  
  
 
  
  
  
  
 
  
  
  
 
  
  
  
  
 
  
  
  
 
 
  
  
  
 
  
  
  
 
  
  
  
  
 
  
  
  
  
 
STAAR SURGICAL COMPANY AND SUBSIDIARIES 
CONSOLIDATED FINANCIAL STATEMENTS 
Years Ended January 3, 2020, December 28, 2018 and December 29, 2017 

TABLE OF CONTENTS 

Report of Independent Registered Public Accounting Firm 

Consolidated Balance Sheets at January 3, 2020 and December 28, 2018 

Consolidated Statements of Operations for the years ended January 3, 2020, December 28, 2018 and 

December 29, 2017 

Consolidated Statements of Comprehensive Income (Loss) for the years ended January 3, 2020, 

December 28, 2018 and December 29, 2017 

Consolidated Statements of Stockholders’ Equity for the years ended January 3, 2020, December 28, 2018 

and December 29, 2017 

Consolidated Statements of Cash Flows for the years ended January 3, 2020, December 28, 2018 and 

December 29, 2017 

Notes to Consolidated Financial Statements 

Schedule II Valuation and Qualifying Accounts and Reserves 

F-2 

F-4 

F-5 

F-6 

F-7 

F-8 

F-9 

F-45 

F-1 

 
  
  
  
 
  
  
  
 
  
  
  
 
  
  
  
 
  
  
  
 
  
  
  
 
  
  
  
 
  
 
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM 

Shareholders and Board of Directors 
STAAR Surgical Company  
Lake Forest, California 

Opinion on the Consolidated Financial Statements 

We  have audited the accompanying consolidated balance sheets of STAAR Surgical Company (the “Company”) as of 
January  3,  2020  and  December  28,  2018,  the  related  consolidated  statements  of  operations,  comprehensive  income  (loss), 
stockholders’ equity, and cash flows for each of the three years in the period ended January 3, 2020, and the related notes and 
financial  statement  schedule  listed  in  the  accompanying  index  (collectively  referred  to  as  the  “consolidated  financial 
statements”).  In  our  opinion,  the  consolidated  financial  statements  present  fairly,  in  all  material  respects,  the  financial 
position of the Company at January 3, 2020 and December 28, 2018, and the results of its operations and its cash flows for 
each of the three years in the period ended January 3, 2020, in conformity with accounting principles generally accepted in 
the United States of America. 

We  also  have  audited,  in  accordance  with  the  standards  of  the  Public  Company  Accounting  Oversight  Board  (United 
States)  (“PCAOB”),  the  Company's  internal  control  over  financial  reporting  as  of  January  3,  2020,  based  on  criteria 
established in Internal Control – Integrated Framework (2013) issued by the Committee of Sponsoring Organizations of the 
Treadway Commission (“COSO”) and our report dated February 26, 2020 expressed an unqualified opinion thereon. 

Change in Accounting Method Related to Leases and Revenue 

As  discussed  in  Notes  1  and  9  to  the  consolidated  financial  statements,  the  Company  has  changed  its  method  of 
accounting for leases during the year ended January 3, 2020 due to the adoption of the Accounting Standards Codification 
(“ASC”) 842, “Leases.” 

As discussed in Note 1 to the consolidated financial statements, the Company has changed its method of accounting for 
revenue  during  the  year  ended  December  28,  2018  due  to  the  adoption  of  the  ASC  606,  “Revenue  from  Contracts  with 
Customers.” 

Basis for Opinion 

These  consolidated  financial  statements  are  the  responsibility  of  the  Company’s  management.  Our  responsibility  is  to 
express an opinion on the Company’s consolidated financial statements based on our audits. We are a public accounting firm 
registered  with  the  PCAOB  and  are  required  to  be  independent  with  respect  to  the  Company  in  accordance  with  the  U.S. 
federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB. 

We  conducted  our  audits  in  accordance  with  the  standards  of  the  PCAOB.  Those  standards  require  that  we  plan  and 
perform  the  audit  to  obtain  reasonable  assurance  about  whether  the  consolidated  financial  statements  are  free  of  material 
misstatement, whether due to error or fraud.   

Our  audits  included  performing  procedures  to  assess  the  risks  of  material  misstatement  of  the  consolidated  financial 
statements, whether due to error or fraud, and performing procedures that respond to those risks. Such procedures included 
examining,  on  a  test  basis,  evidence  regarding  the  amounts  and  disclosures  in  the  consolidated  financial  statements.  Our 
audits  also  included  evaluating  the  accounting  principles  used  and  significant  estimates  made  by  management,  as  well  as 
evaluating the overall presentation of the consolidated financial statements. We believe that our audits provide a reasonable 
basis for our opinion. 

Critical Audit Matters 

The  critical  audit  matters  communicated  below  are  matters  arising  from  the  current  period  audit  of  the  consolidated 
financial statements that were communicated or required to be communicated to the audit committee and that: (1) relate to 
accounts or disclosures that are material to the consolidated financial statements and (2) involved our especially challenging, 
subjective, or complex judgments. The communication of critical audit matters does not alter in any way our opinion on the 
consolidated  financial  statements,  taken  as  a  whole,  and  we  are  not,  by  communicating  the  critical  audit  matters  below, 
providing separate opinions on the critical audit matters or on the accounts or disclosures to which they relate. 

F-2 

Income Tax Provision  

As described in Notes 1 and 10 to the Company’s consolidated financial statements, the Company operates in multiple 
jurisdictions through its wholly-owned subsidiaries. The Company serves international markets and is subject to income taxes 
in the U.S. and numerous foreign jurisdictions, which affect the Company’s provision for income taxes. The tax provision is 
an estimate based on management’s understanding of current enacted tax laws and tax rates of each tax jurisdiction.  

We  identified the Company’s calculation of the provision  for income taxes as a critical audit  matter. Management  is 
required to apply significant judgments  in  calculating  the provision  for income taxes related to the evaluation of tax laws, 
including the methods used to allocate taxable income to various jurisdictions and transfer pricing methods. Auditing these 
elements involved especially complex auditor judgment due to the nature of audit evidence and extent of audit effort required 
to address these matters, including the need to involve personnel with specialized skill and knowledge.  

The primary procedures we performed to address this critical audit matter included: 

  Testing the design and operating effectiveness of controls over management’s calculation of its provision for 
income  taxes,  including  controls  over:  (i)  evaluating  allocation  methodologies,  and  (ii)  reviewing  the 
assumptions and data utilized in determining the allocation of income to applicable tax jurisdictions. 

  Recalculating income tax expense and agreeing the data used in the calculations to the Company’s underlying 

books and records. 

  Utilizing personnel with specialized skill and knowledge in domestic and international tax law to assist in: (i) 
evaluating  the  application  of  tax  laws  used  in  management’s  allocation  methodologies  based  on  the 
Company’s structure and operations, and (ii) recalculating the income tax expense utilizing enacted tax rates. 
  Utilizing personnel with specialized skill and knowledge in transfer pricing regulations to assist in assessing 
the appropriateness of intercompany transactions and the rates used to cross charge and allocate costs based 
on transfer pricing agreements. 

Deferred Tax Asset Valuation Allowance 

As  described  in  Notes  1  and  10  to  the  Company’s  consolidated  financial  statements,  the  Company  released 
approximately $3.4 million valuation allowance on its deferred tax assets in the U.S Jurisdiction, utilizing the “incremental 
cash  tax  savings  approach.”  In  evaluating  the  Company’s  ability  to  realize  the  deferred  tax  assets  management  considered 
available  positive  and  negative  evidence,  including  scheduled  reversals  of  deferred  tax  liabilities,  projected  future  taxable 
income, tax-planning strategies, and results of recent operations. 

We  identified  the  Company’s  evaluation  of  whether  the  deferred  tax  assets  are  realizable  as  a  critical  audit  matter. 
Significant  management  judgments  are  required  to  develop  the  forecasts  and  assumptions  related  to  the  projected  sales 
growth,  margins,  costs,  and  income  that  are  used  to  assess  the  realizability  of  deferred  tax  assets.  These  forecasts  include 
various  assumptions  including  the  likelihood  of  continued  growth  in  certain  key  markets,  projected  industry-wide 
performance,  macro  and  micro  economic  factors,  and  the  development  and  approval  of  new  products.  Auditing  these 
elements involved especially complex auditor judgment due to the nature and extent of audit effort required to address these 
matters, including the need to involve personnel with specialized skill and knowledge.   

The primary procedures we performed to address this critical audit matter included:  

  Testing the design and operating effectiveness of controls over the realizability of deferred tax assets.  
  Assessing  the  reasonableness  of  the  Company’s  future  forecasts  and  related  assumptions  against  the 
Company’s historical performance, industry conditions and outlooks, and evidence obtained in other areas of 
the audit.  

  Utilizing  personnel  with  specialized  knowledge  and  skill  in  taxes  to  assist  in  evaluating  both  positive  and 
negative  evidence  and  assessing  the  reasonableness  of  assumptions  used  in  the  Company’s  valuation 
allowance.    

/s/ BDO USA, LLP 

We have served as the Company's auditor since 1993. 

Los Angeles, California  
February 26, 2020 

F-3 

 
STAAR SURGICAL COMPANY AND SUBSIDIARIES 

CONSOLIDATED BALANCE SHEETS 
January 3, 2020 and December 28, 2018 

(In thousands, except par value amounts) 

ASSETS 

Current assets: 

Cash and cash equivalents 
Accounts receivable trade, net 
Inventories, net 
Prepayments, deposits and other current assets 

Total current assets 
Property, plant and equipment, net 
Finance lease right-of-use assets, net 
Operating lease right-of-use assets, net 
Intangible assets, net 
Goodwill 
Deferred income taxes 
Other assets 

Total assets 

LIABILITIES AND STOCKHOLDERS’ EQUITY 

Current liabilities: 
Line of credit 
Accounts payable 
Obligations under finance leases 
Obligations under operating leases 
Allowance for sales returns 
Other current liabilities 

Total current liabilities 

Obligations under finance leases 
Obligations under operating leases 
Deferred income taxes 
Asset retirement obligations 
Deferred rent 
Pension liability 

Total liabilities 

   $ 

   $ 

   $ 

2019 

2018 

119,968      $ 
30,996        
17,142        
6,560        
174,666        
17,065        
1,867        
6,684        
296        
1,786        
3,750        
751        
206,865      $ 

1,827      $ 
8,050        
560        
2,700        
3,644        
17,697        
34,478        
366        
4,086        
—        
211        
—        
7,840        
46,981        

103,877   
25,946   
16,704   
5,045   
151,572   
11,451   
—   
—   
243   
1,786   
1,278   
1,009   
167,339   

3,780   
6,524   
1,098   
—   
2,895   
13,431   
27,728   
459   
—   
1,022   
206   
188   
5,310   
34,913   

Commitments and contingencies (Note 13) 

Stockholders’ equity: 
Common stock, $0.01 par value; 60,000 shares authorized: 44,822 and 44,195 
   shares issued and outstanding at January 3, 2020 and December 28, 2018, 
   respectively 
Additional paid-in capital 
Accumulated other comprehensive loss 
Accumulated deficit 

Total stockholders’ equity 

Total liabilities and stockholders’ equity 

448        
304,288        
(3,048 )      
(141,804 )      
159,884        
206,865      $ 

442   
289,584   
(1,320 ) 
(156,280 ) 
132,426   
167,339   

   $ 

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

F-4 

 
  
  
    
  
     
         
    
     
         
    
     
     
     
     
     
     
     
     
     
     
     
     
         
    
     
         
    
     
     
     
     
     
     
     
     
     
     
     
     
     
     
         
    
     
         
    
     
     
     
     
     
 
STAAR SURGICAL COMPANY AND SUBSIDIARIES 

CONSOLIDATED STATEMENTS OF OPERATIONS 
Years Ended January 3, 2020, December 28, 2018 and December 29, 2017 

(In thousands, except per share amounts) 

Net sales 
Cost of sales 
Gross profit 
Selling, general and administrative expenses: 

General and administrative 
Marketing and selling 
Research and development 

Total selling, general and administrative expenses 
Operating income (loss) 

Other income (expense), net: 

Interest income (expense), net 
Gain (loss) on foreign currency transactions 
Royalty income 
Other income, net 

Total other income, net 

Income (loss) before income taxes 
Provision (benefit) for income taxes 
Net income (loss) 
Net income (loss) per share: 

Basic 
Diluted 

Weighted average shares outstanding: 

Basic 
Diluted 

2019 

2018 

2017 

   $ 

150,185      $ 
38,231        
111,954        

123,954      $ 
32,444        
91,510        

29,313        
45,491        
25,298        
100,102        
11,852        

988        
(517 )      
551        
152        
1,174        
13,026        
(1,022 )      
14,048      $ 

24,287        
38,600        
22,028        
84,915        
6,595        

165        
(836 )      
633        
82        
44        
6,639        
1,671        
4,968      $ 

0.32      $ 
0.30      $ 

0.12      $ 
0.11      $ 

   $ 

   $ 
   $ 

90,611   
26,331   
64,280   

19,465   
28,402   
20,044   
67,911   
(3,631 ) 

(112 ) 
819   
581   
47   
1,335   
(2,296 ) 
(157 ) 
(2,139 ) 

(0.05 ) 
(0.05 ) 

44,493        
46,895        

42,587        
45,257        

41,004   
41,004   

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

F-5 

 
  
  
    
    
  
     
     
     
         
         
    
     
     
     
     
     
     
         
         
    
     
     
     
     
     
     
     
     
         
         
    
     
         
         
    
     
     
 
STAAR SURGICAL COMPANY AND SUBSIDIARIES 

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS) 
Years Ended January 3, 2020, December 28, 2018 and December 29, 2017  

(In thousands) 

Net income (loss) 
Other comprehensive income (loss): 

Defined benefit plans: 

Net change in plan assets 
Reclassification into other income (expense), net 

Foreign currency translation gain 
Tax effect 

Other comprehensive loss, net of tax 
Comprehensive income (loss) 

2019 

2018 

2017 

   $ 

14,048      $ 

4,968      $ 

(2,139 ) 

(2,265 )      
107        
291        
139        
(1,728 )      
12,320      $ 

(498 )      
101        
242        
(15 )      
(170 )      
4,798      $ 

(485 ) 
73   
387   
(75 ) 
(100 ) 
(2,239 ) 

   $ 

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

F-6 

 
  
  
    
    
  
     
         
         
    
     
         
         
    
     
     
     
     
     
 
STAAR SURGICAL COMPANY AND SUBSIDIARIES 

CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY 
Years Ended January 3, 2020, December 28, 2018 and December 29, 2017 

(In thousands) 

Balance, at December 30, 2016 

Net loss 
Other comprehensive loss 
Common stock issued upon exercise of options 
Stock-based compensation 
Repurchase of employee common stock for taxes withheld 
Unvested restricted stock 
Vested restricted stock 

Balance, at December 29, 2017 

Net income 
Other comprehensive loss 
Proceeds from public offering of stock 
Common stock issued upon exercise of options 
Stock-based compensation 
Repurchase of employee common stock for taxes withheld 
Unvested restricted stock 
Vested restricted stock 

Balance, at December 28, 2018 

Net income 
Impact of the adoption of lease accounting standard 
Impact of adoption of nonemployee share-based payment standard 
Other comprehensive loss 
Common stock issued upon exercise of options 
Stock-based compensation 
Unvested restricted stock 
Vested restricted stock 
Balance, at January 3, 2020 

Common 
Stock 
Shares 

Common 
Stock Par 
Value 

Additional 
Paid-In 
Capital 

Accumulated 
Other 
Compre- 
hensive 

Income (Loss)      

Accumulated 
Deficit 

Total 

40,732       $ 
—         
—         
557         
—         
(24 )       
21         
97         
41,383         
—         
—         
2,000         
595         
—         
—         
11         
206         
44,195         
—         
—         
—         
—         
387         
—         
11         
229         
44,822       $ 

407       $ 
—         
—         
6         
—         
—         
—         
1         
414         
—         
—         
20         
6         
—         
—         
—         
2         
442         
—         
—         
—         
—         
4         
—         
—         
2         
448       $ 

197,657       $ 
—         
—         
3,964         
3,533         
(234 )       
—         
—         
204,920         
—         
—         
72,130         
5,189         
7,399         
(54 )       
—         
—         
289,584         
—         
—         
(315 )       
—         
3,455         
11,564         
—         
—         
304,288       $ 

(1,050 )     $ 
—         
(100 )       
—         
—         
—         
—         
—         
(1,150 )       
—         
(170 )       
—         
—         
—         
—         
—         
—         
(1,320 )       
—         
—         
—         
(1,728 )       
—         
—         
—         
—         
(3,048 )     $ 

(159,109 )     $ 
(2,139 )       
—         
—         
—         
—         
—         
—         
(161,248 )       
4,968         
—         
—         
—         
—         
—         
—         
—         
(156,280 )       
14,048         
113         
315         
—         
—         
—         
—         
—         
(141,804 )     $ 

37,905   
(2,139 ) 
(100 ) 
3,970   
3,533   
(234 ) 
—   
1   
42,936   
4,968   
(170 ) 
72,150   
5,195   
7,399   
(54 ) 
—   
2   
132,426   
14,048   
113   
—   
(1,728 ) 
3,459   
11,564   
—   
2   
159,884   

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

F-7 

 
  
  
     
     
     
     
  
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
 
STAAR SURGICAL COMPANY AND SUBSIDIARIES 

CONSOLIDATED STATEMENTS OF CASH FLOWS 
Years Ended January 3, 2020, December 28, 2018 and December 29, 2017 

(In thousands) 

Cash flows from operating activities: 
Net income (loss) 
Adjustments to reconcile net income (loss) to net cash provided by 
   operating activities: 

2019 

2018 

2017 

   $ 

14,048      $ 

4,968      $ 

(2,139 ) 

Depreciation of property, plant, and equipment 
Amortization of intangibles 
Deferred income taxes 
Change in net pension liability 
Loss on disposal of property and equipment 
Stock-based compensation expense 
Provision for sales returns and bad debts 
Inventory provision 
Changes in working capital: 
Accounts receivable 
Inventories 
Prepayments, deposits, and other current assets 
Accounts payable 
Other current liabilities 

Net cash provided by operating activities 

Cash flows from investing activities: 

Acquisition of property and equipment 
Acquisition of patents and licenses 

Net cash used in investing activities 

Cash flows from financing activities: 

Proceeds from public offering of stock 
Repayment of finance lease obligations 
Repayment on line of credit 
Repurchase of employee common stock for taxes withheld 
Proceeds from the exercise of stock options 
Proceeds from vested restricted stock 

Net cash provided by financing activities 

Effect of exchange rate changes on cash, cash equivalents and 
   restricted cash 
Increase in cash, cash equivalents and restricted cash 
Cash, cash equivalents and restricted cash, at beginning of year 
Cash, cash equivalents and restricted cash, at end of year 

3,665        
34        
(3,481 )      
359        
14        
10,547        
275        
1,580        

(4,502 )      
(950 )      
(1,313 )      
1,084        
4,435        
25,795        

(10,095 )      
(83 )      
(10,178 )      

—        
(1,294 )      
(2,018 )      
—        
3,459        
2        
149        

2,430        
34        
441        
231        
10        
6,762        
905        
1,473        

(6,040 )      
(4,194 )      
(598 )      
243        
6,102        
12,767        

(2,245 )      
—        
(2,245 )      

72,150        
(1,907 )      
(747 )      
(54 )      
5,195        
2        
74,639        

203        
15,969        
103,999        
119,968      $ 

197        
85,358        
18,641        
103,999      $ 

   $ 

3,133   
221   
(547 ) 
186   
623   
3,161   
463   
1,739   

(1,857 ) 
312   
(64 ) 
(2,501 ) 
123   
2,853   

(1,046 ) 
—   
(1,046 ) 

—   
(1,300 ) 
—   
(234 ) 
3,970   
1   
2,437   

279   
4,523   
14,118   
18,641   

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

F-8 

 
  
  
    
    
  
     
         
         
    
     
         
         
    
     
     
     
     
     
     
     
     
     
         
         
    
     
     
     
     
     
     
     
         
         
    
     
     
     
     
         
         
    
     
     
     
     
     
     
     
     
     
     
 
STAAR SURGICAL COMPANY AND SUBSDIARIES 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS 

Note 1 — Organization and Description of Business and Accounting Policies 

Organization and Description of Business 

STAAR  Surgical  Company and subsidiaries (the  “Company”), a Delaware corporation, was first  incorporated in 1982 
for the purpose of developing, producing, and marketing implantable lenses for the eye and delivery systems used to deliver 
the lenses into the eye.  Principal products are implantable Collamer lenses (“ICLs”) and intraocular lenses (“IOLs”).  ICLs, 
consisting of the Company’s ICL family of products, including the Toric implantable Collamer lenses (“TICL”) and EVO+ 
Visian  ICL,  are  intraocular  lenses  used  to  correct  refractive  conditions  such  as  myopia  (near-sightedness),  hyperopia  (far-
sightedness) and astigmatism.   IOLs are prosthetic intraocular lenses used to restore vision that has been adversely affected 
by  cataracts,  and  include  the  Company’s  lines  of  silicone  IOLs  and  the  Preloaded  Injector  (a  silicone  or  acrylic  IOL 
preloaded into a single-use disposable injector). 

As of January 3, 2020, the Company’s significant subsidiaries consisted of: 

  STAAR  Surgical  AG,  a  wholly  owned  subsidiary  formed  in  Switzerland  that  markets  and  distributes  ICLs  and 

Preloaded IOLs. 

  STAAR Japan, a wholly owned subsidiary that markets and distributes Preloaded IOLs and ICLs. 

The Company operates as one operating segment, the ophthalmic surgical market, for financial reporting purposes (see 

Note 17). 

Principles of Consolidation 

The accompanying consolidated financial statements include the accounts of STAAR Surgical Company and its wholly-
owned subsidiaries and have been prepared in accordance with accounting principles generally accepted in the United States 
of  America  (“GAAP”).  All  significant  intercompany  balances  and  transactions  have  been  eliminated. 
  Certain 
reclassifications have been made to financial statements of prior years to conform to the current year presentation (see Note 
20). 

Fiscal Year and Interim Reporting Periods 

The  Company’s  fiscal  year  ends  on  the  Friday  nearest  December  31  and  each  of  the  Company’s  quarterly  reporting 
periods generally consists of 13 weeks.  Fiscal year 2019 is based on a 53-week period and fiscal years  2018 and 2017 are 
based on a 52-week period.  

Foreign Currency 

The functional currency of the Company’s Japanese subsidiary, STAAR Japan, Inc., is the Japanese yen. The functional 

currency of the Company’s Swiss subsidiary, STAAR Surgical AG, is the U.S. dollar. 

Assets and liabilities of the Company’s Japanese subsidiary are translated at rates of exchange in effect at the close of the 
period. Sales and expenses are translated at the weighted average of exchange rates in effect during the period. Net foreign 
translation gain (loss) was as follows (in thousands): 

Foreign currency translation gain(1) 
Gain (loss) on foreign currency transactions(2) 

2019 

Years Ended 
2018 

2017 

   $ 

291      $ 
(517 )      

242      $ 
(836 )      

387   
819   

(1)  Shown as a separate line item on the Consolidated Statements of Comprehensive Income (Loss). 
(2)  Shown as a separate line item on the Consolidated Statements of Operations. 

F-9 

 
  
  
  
  
  
    
    
  
     
 
STAAR SURGICAL COMPANY AND SUBSDIARIES 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) 

Note 1 — Organization and Description of Business and Accounting Policies (Continued) 

Use of Estimates 

The consolidated financial statements have been prepared in conformity with GAAP and, as such, include amounts based 
on  significant  estimates  and  judgments  of  management  with  consideration  given  to  materiality.  Significant  estimates  used 
include  determining  valuation  allowances  for  uncollectible  trade  receivables,  sales  returns  reserves,  obsolete  and  excess 
inventory reserves, deferred income taxes, and tax reserves, including valuation allowances for deferred tax assets, pension 
liabilities, evaluation of asset impairment,  in determining the  useful life of depreciable and definite-lived intangible  assets, 
and  in  the  variables  and  assumptions  used  to  calculate  and  record  stock-based  compensation.  Actual  results  could  differ 
materially from those estimates. 

Cash and Cash Equivalents and Restricted Cash 

The  Company  considers  all  highly  liquid  investments  purchased  with  a  maturity  of  three  months  or  less  to  be  cash 
equivalents. The Company maintains cash deposits with major banks which from time to time may exceed federally insured 
limits. The Company periodically assesses the financial condition of the institutions and believes that the risk of any  loss is 
minimal.    The  following  table  provides  a  reconciliation  of  cash,  cash  equivalents,  and  restricted  cash  reported  within  the 
Consolidated Balance Sheets that sum to the total of the same such amounts shown in the Consolidated Statements of Cash 
Flows at January 3, 2020, December 28, 2018 and December 29, 2017 (in thousands): 

Cash and cash equivalents 
Restricted cash(1) 

Total cash, cash equivalents and restricted cash 

(1) 

Included in other assets on the Consolidated Balance Sheets. 

2019 

2018 

2017 

   $ 

   $ 

119,968      $ 
—        
119,968      $ 

103,877      $ 
122        
103,999      $ 

18,520   
121   
18,641   

The  Company  had  restricted  cash  set  aside  as  collateral  for  a  standby  letter  of  credit  required  by  the  California 
Department of Public Health for unforeseen future regulatory costs related to the decommissioning of certain manufacturing 
equipment.    Since  the  quarter  ended  June  28,  2019,  the  Company  was  no  longer  required  to  set  aside  collateral  for  this 
standby letter of credit. 

Revenue Recognition 

On  December  30,  2017 (beginning  of  fiscal  year  2018),  the  Company  adopted  Financial  Accounting  Standards  Board 
(“FASB”) Accounting Standards Update (“ASU”) 2014-09, “Revenue from Contracts with Customers (Topic 606)” and its 
subsequent  amendments,  using  the  modified  retrospective  method,  and  determined  that  there  was  no  cumulative  effect 
adjustment on the Consolidated Financial Statements. The Company determined that the adoption of the new standard did not 
materially impact the revenue recognition on its Consolidated Financial Statements.  Revenue recognition for 2017 continue 
to be in accordance with Topic 605. 

The  Company  recognizes  revenue  when  its  contractual  performance  obligations  with  customers  are  satisfied.    The 
Company’s performance obligations are generally limited to single sales orders with product shipping to the customer within 
a month of receipt of the sales order.  Substantially all of the  Company’s revenues are recognized at a point-in-time  when 
control  of  its  products  transfers  to  the  customer,  which  is  typically  upon  shipment  (as  discussed  below).    The  Company 
presents sales tax and similar taxes it collects from its customers on a net basis (excluded from revenues). 

F-10 

 
 
 
  
  
    
    
  
     
 
 
STAAR SURGICAL COMPANY AND SUBSDIARIES 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) 

Note 1 — Organization and Description of Business and Accounting Policies (Continued) 

Revenue Recognition (Continued) 

The  Company  sells  certain  injector  parts  to  an  unrelated  customer  and  supplier  (collectively  referred  to  as  “supplier”) 
whereby these injector part sales are either made as a final sale to the supplier or, are sold to be combined with an acrylic IOL 
by  the  supplier  into  finished  goods  inventory  (a  preloaded  acrylic  IOL).    These  finished  goods  are  then  sold  back  to  the 
Company at an agreed upon, contractual price.  The Company makes a profit margin on either type of sale with the supplier 
and each type of sale is made under separate purchase and sales orders between the two parties resulting in cash settlement 
for the orders sold or repurchased.  For parts that are sold as a final sale, the Company recognizes a sale and those sales are 
classified as other product sales in total net sales.  For the injector parts that are sold to be combined with an acrylic IOL into 
finished  goods,  the  Company  records  the  transaction  at  its  carrying  value  deferring  any  profit  margin  as  contra-inventory, 
until  the  finished  goods  inventory  is  sold  to  an  end-customer  (not  the  supplier)  at  which  point  the  Company  recognizes 
revenues.  

For all sales, the Company is considered the principal in the transaction as the Company is the party providing specified 
goods  it  has  control  over  prior  to  when  control  is  transferred  to  the  customer.    Cost  of  sales  includes  cost  of  production, 
freight and distribution, and inventory provisions, net of any purchase discounts.  Shipping and handling activities that  occur 
after the customer obtains control of the goods are recognized as fulfillment costs. 

The Company disaggregates its revenue into the following categories:  non-consignment sales and consignment sales. 

Non-consignment Sales 

The  Company  recognizes  revenue  from  non-consignment  product  sales  at  a  point-in-time  when  control  has  been 
transferred,  which  is  typically  at  shipping  point,  except  for  certain  customers  and  for  the  Company’s  STAAR  Japan 
subsidiary, which is typically recognized when the customer receives the product.  The Company does not have significant 
deferred revenues as of January 3, 2020, December 28, 2018 and December 29, 2017, as delivery to the customer is generally 
made within the same or the next day of shipment. 

The  Company  also  enters  into  certain  strategic  cooperation  agreements  with  customers  in  which,  as  consideration  for 
certain commitments made by the customer, including minimum purchase commitments, the Company agrees, among other 
things, to pay for marketing, educational training  and general support of the Company’s products.  The provisions in these 
arrangements allow for these payments to be made directly to the customer or payments can be made directly to a third party 
for distinct marketing, educational training and general support services provided to or on behalf of the customer by the third 
party.    For  payments  the  Company  makes  to  another  party,  or  reimburses  the  customer  for  distinct  marketing  and  support 
services, the Company recognizes these payments as sales and marketing expense as incurred in accordance with ASC 606-
10-32-25.  These strategic cooperation agreements are generally for periods of 12 months or more with quarterly minimum 
purchase  commitments.    The  Company  recognizes  sales  and  marketing  expenses  in  the  period  in  which  it  expects  the 
customer will achieve its minimum purchase commitment, generally quarterly, and any unpaid amounts are recorded in Other 
Current  Liabilities  in  “Other”  on  the  Consolidated  Balance  Sheets,  see  Note  7.    Reimbursements  made  directly  to  the 
customer for general marketing incentives are treated as a reduction in revenues.  The Company’s performance obligations 
generally occur in the same quarter as the shipment of product.   Sales and marketing expenses for distinct services were as 
follows (in thousands): 

Marketing and support services related to strategic cooperation 
agreements 

   $ 

485      $ 

629      $ 

120   

2019 

Years Ended 
2018 

2017 

F-11 

 
 
 
  
  
  
  
  
    
    
  
 
STAAR SURGICAL COMPANY AND SUBSDIARIES 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) 

Note 1 — Organization and Description of Business and Accounting Policies (Continued) 

Revenue Recognition (Continued) 

Non-consignment Sales (Continued) 

Since the payments for distinct or non-distinct services occur within the quarter corresponding with the purchases made 
by the customer and the shipments made by the Company to that customer, there is no remaining performance obligation by 
the Company to the customer.  Accordingly, there are no deferred revenues associated with these types of arrangements as of 
January 3, 2020, December 28, 2018 and December 29, 2017. 

Consignment Sales 

The Company’s products are marketed to ophthalmic surgeons, hospitals, ambulatory surgery centers or vision centers, 
and distributors.  IOLs and ICLs may be offered to surgeons and hospitals on a consignment basis.  The Company maintains 
title and risk of loss on consigned inventory and recognizes revenue for consignment inventory at a point-in-time when the 
Company is notified that the lenses have been implanted, thus completing the performance obligation. 

See Note 17 for additional information on disaggregation of revenues, geographic sales information and product sales. 

Allowance for Doubtful Accounts 

The Company performs ongoing credit evaluations of its customers and adjusts credit limits based on customer payment 
history  and  credit  worthiness,  as  determined  by  the  Company’s  review  of  its  customers’  current  credit  information.    The 
Company  continuously  monitors  collections  and  payments  from  customers  and  maintains  a  provision  for  estimated  credit 
losses and uncollectible accounts based upon its historical experience and any specific customer collection issues that have 
been identified.  Amounts determined to be uncollectible are written off against the allowance for doubtful accounts. 

Concentration of Credit Risk and Revenues 

Financial  instruments  that  potentially  subject  the  Company  to  credit  risk  principally  consist  of  trade  receivables.  This 
risk  is  limited  due  to  the  large  number  of  customers  comprising  the  Company’s  customer  base,  and  their  geographic 
dispersion. As of January 3, 2020 and December 28, 2018, there was one customer who accounted for 43% and 36% of the 
Company’s  consolidated  trade  receivables,  respectively.    Ongoing  credit  evaluations  of  customers’  financial  condition  are 
performed  and,  generally,  no  collateral  is  required.  The  Company  maintains  reserves  for  potential  credit  losses  and  such 
losses, taken together, have not exceeded management’s expectations. 

There was one customer who accounted for 43%, 37% and 27% of the Company’s consolidated net sales for the years 

ended 2019, 2018 and 2017, respectively. 

F-12 

 
 
 
STAAR SURGICAL COMPANY AND SUBSDIARIES 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) 

Note 1 — Organization and Description of Business and Accounting Policies (Continued) 

Sales Return Reserve 

The Company generally may permit returns of product if the product, upon issuance of a Return Goods Authorization, is 
returned within the time allowed by its return policies and records an allowance for estimated returns at the time revenue is 
recognized.  The  Company’s  allowance  for  estimated  returns  considers  historical  trends  and  experience,  the  impact  of  new 
product  launches,  the  entry  of  a  competitor,  availability  of  timely  and  pertinent  information  and  the  various  terms  and 
arrangements offered, including sales with extended credit terms.  For estimated returns, sales are reported net of estimated 
returns and cost of sales are reported net of estimated returns that can be resold.  On the Consolidated Balance Sheets, the 
balances associated for estimated sales returns were as follows (in thousands): 

Estimated returns - inventory(1) 
Allowance for sales returns 

(1)  Recognized in inventories, net on the Consolidated Balance Sheets 

Fair Value of Financial Instruments 

2019 

2018 

   $ 

869      $ 
3,644        

722   
2,895   

Fair  value  is  defined  as  the  price  that  would  be  received  to  sell  an  asset  or  paid  to  transfer  a  liability  in  an  orderly 
transaction between market participants at the measurement date. To increase the comparability of fair value measures, the 
following hierarchy prioritizes the inputs to valuation methodologies used to measure fair value (ASC 820-10-50): 

  Level  1  –  Inputs  to  the  valuation  methodology  are  quoted  prices  (unadjusted)  for  identical  assets  or  liabilities  in 

active markets. 

  Level 2 – Inputs to the valuation methodology include quoted prices for similar assets or liabilities in active markets, 
and inputs that are observable for the assets or liability, either directly or indirectly, for substantially the full term of 
the financial instruments. 

  Level 3 – Inputs to the valuation methodology are unobservable; that reflect management’s own assumptions about 

the assumptions market participants would make and significant to the fair value. 

The  carrying  values  reflected  on  the  Consolidated  Balance  Sheets  for  cash  and  cash  equivalents,  trade  accounts 
receivable, net, prepayments, deposits and other current assets, accounts payable, other current liabilities and line of credit 
approximate their fair values because of the short maturity of these instruments. 

Inventories, Net 

Inventories,  net  are  valued  at  the  lower  of  cost,  determined  on  a  first-in,  first-out  basis,  or  net  realizable  value. 
Inventories  include  the  costs  of  raw  material,  labor,  and  manufacturing  overhead,  work  in  process  and  finished  goods. 
Inventories also include as a contra item, deferred margins for certain injector parts described under the revenue recognition 
policy. The Company provides estimated inventory allowances for excess, expiring, slow moving and obsolete inventory as 
well as inventory whose carrying value is in excess of net realizable value to properly reflect inventory at the lower of cost or 
market. 

F-13 

 
 
 
  
  
    
  
     
 
STAAR SURGICAL COMPANY AND SUBSDIARIES 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) 

Note 1 — Organization and Description of Business and Accounting Policies (Continued) 

Property, Plant, and Equipment 

Property, plant, and equipment are recorded at cost. Depreciation on property, plant, and equipment is computed using 
the straight-line method over the estimated useful lives of the assets as noted below. Leasehold improvements are amortized 
over the lesser of the estimated useful lives of the assets or the related lease term. Major improvements are capitalized and 
minor replacements, maintenance and repairs are charged to expense as incurred. 

Also included in property, plant and equipment is construction in process.  Construction in process includes the cost of 
design  plans  and  build  out  of  facilities  and  the  cost  of  equipment,  as  well  as  the  direct  costs  incurred  in  the  testing  and 
validation of machinery and equipment and facilities before they are ready for productive use.  Upon placement in service, 
costs are reclassified into the appropriate asset category and depreciation commences 

The estimated useful lives of assets are as follows: 

Machinery and equipment 
Computer equipment and software 
Furniture and equipment 
Leasehold improvements 

   5-10 years 
   2-5 years 
   3-7 years 
   The shorter of the useful life of the asset or the term of the associated lease 

Goodwill 

Goodwill,  which  has  an  indefinite  life,  is  not  amortized  but  instead  is  tested  for  impairment  on  an  annual  basis  or 
between annual tests if an event occurs or circumstances change that would indicate the carrying amount may be impaired. 
Impairment  testing  for  goodwill  is  done  at  the  reporting  unit  level.  Reporting  units  can  be  one  level  below  the  operating 
segment  level,  and  can  be  combined  when  reporting  units  within  the  same  operating  segment  have  similar  economic 
characteristics. The Company has determined that its reporting units have similar economic characteristics, and therefore, can 
be combined into one reporting unit  for the purposes of  goodwill impairment testing.  The Company performed its  annual 
impairment  test  and  determined  that  its  goodwill  was  not  impaired.  As  of  January 3,  2020  and  December 28,  2018,  the 
carrying value of goodwill was $1,786,000.   

Long-Lived Assets 

The  Company  reviews  property,  plant,  and  equipment  and  intangible  assets,  excluding  goodwill,  for  impairment 
whenever events or changes in circumstances indicate the carrying amount of an asset may not be recoverable. The Company 
measures recoverability of these assets by comparing the carrying value of such assets to the estimated undiscounted future 
cash flows the assets are expected to generate. When the estimated undiscounted future cash flows are less than their carrying 
amount, an impairment loss is recognized equal to the difference between the assets’ fair value and their carrying value. A 
review of long-lived assets was conducted as of January 3, 2020 and December 28, 2018 and no impairment was identified. 

Amortization  is  computed  on  the  straight-line  basis,  which  is  the  Company’s  best  estimate  of  the  economic  benefits 
realized over the estimated useful lives of the assets  which range from 3 to 20 years for patents, certain acquired rights and 
licenses, 10 years for customer relationships, and 3 to 10 years for developed technology. 

F-14 

 
 
 
 
STAAR SURGICAL COMPANY AND SUBSDIARIES 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) 

Note 1 — Organization and Description of Business and Accounting Policies (Continued) 

Lease Accounting 

On  December  29,  2018  (beginning  of  fiscal  year  2019),  the  Company  adopted  FASB  ASU  2016-02,  “Leases  (Topic 
842)” and its subsequent amendments affecting the Company: (i) ASU 2018-10, “Codification Improvements to Topic 842, 
Leases,”  and  (ii)  ASU  2018-11,  “Leases  (Topic  842):   Targeted  improvements,”  using  the  modified  retrospective  method.  
Upon  adoption  of  Topic  842,  the  Company  recognized  a  cumulative  adjustment  of  $113,000  which  decreased  the 
accumulated  deficit  and  recognized  right-of-use  (“ROU”)  assets  and  lease  liabilities  for  operating  leases,  whereby  the 
Company’s accounting finance leases remained substantially unchanged. 

The  Company  recognizes  ROU  assets  and  lease  liabilities  for  leases  with  terms  greater  than  twelve  months  in  the 
Consolidated Balance Sheets.  Leases are classified as either finance or operating, with classification affecting the pattern of 
expense recognition in the Consolidated Statement of Income.   

A contract contains a lease if the contract conveys the right to control an identified asset for a period of time in exchange 
for consideration.  An asset is either explicitly identified or implicitly identified and must be physically distinct.  In addition, 
the Company must have both the right to obtain substantially all of the economic benefits from use of the identified asset and 
has the right to direct the use of the identified asset. 

Certain  leases  may  have  non-lease  components  such  as  common  area  maintenance  expense  for  building  leases  and 
maintenance  expenses  for  automobile  leases.    In  general,  the  Company  separates  common  area  maintenance  expense 
component from the value of the ROU asset and lease liability when evaluating rental properties under  Topic 842, whereas, 
the  Company  includes  the  maintenance  and  service  components  in  the  value  of  the  ROU  asset  and  lease  liability  while 
evaluating automobile leases under Topic 842. 

When determining whether a lease is a finance lease or an operating lease, Topic 842 does not specifically define criteria 
to determine  “major part of remaining economic life of the underlying asset”  and “substantially all of the fair value of the 
underlying asset.”  For lease classification determination, the Company continues to use (i) greater  than or equal to 75% to 
determine whether the lease term is a major part of the remaining economic life of the underlying asset and (ii) greater than 
or equal to 90% to determine whether the present value of the sum of lease payments is substantially all of the fair value of 
the underlying asset. 

The  Company  uses  either  the  rate  implicit  in  the  lease  or  its  incremental  borrowing  rate  as  the  discount  rate  in  lease 

accounting. 

When  adopting  Topic  842,  the  Company  did  not  reassess  any  expired  or  existing  contracts,  reassess  the  lease 
classification for any expired or existing leases and reassess initial direct costs for exiting leases.  The Company also elected 
not to capitalize leases that have terms of twelve months or less. 

The Company reviews ROU assets, for impairment whenever events or changes in circumstances indicate the carrying 
amount of an asset may not be recoverable. The Company measures recoverability of these assets by comparing the carrying 
value of such assets to the estimated undiscounted future cash flows the assets are expected to generate. When the estimated 
undiscounted future cash flows are less than their carrying amount, an impairment loss is recognized equal to the difference 
between the assets’ fair value and their carrying value. 

F-15 

 
 
STAAR SURGICAL COMPANY AND SUBSDIARIES 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) 

Note 1 — Organization and Description of Business and Accounting Policies (Continued) 

Vendor Concentration 

As  of  January 3,  2020  there  was  one  vendor  who  accounted  for  over  11%  of  the  Company’s  consolidated  accounts 
payable. As of December 28, 2018, there were no vendors who accounted for 10% of the Company’s consolidated accounts 
payable.  There were no vendors who accounted for over 10% of the Company’s consolidated purchases for the years ended 
2019 and 2017.  There was one vendor who accounted for over 10% of the Company’s consolidated purchases for the year 
ended 2018. 

Research and Development Costs 

Expenditures  for  research  activities  relating  to  product  development  and  improvement  are  charged  to  expense  as 

incurred. 

Advertising Costs 

Advertising costs, which are included in marketing and selling expenses, are expensed as incurred, and were as follows 

(in thousands): 

Advertising costs 

Income Taxes 

2019 

Years Ended 
2018 

2017 

   $ 

10,990      $ 

8,981   

  $ 

6,102   

On December 22, 2017, the United States enacted major tax reform legislation, the 2017 Tax Act, which enacted a broad 
range of changes to the federal tax code.  Key provisions that could have an impact on the Company’s Consolidated Financial 
Statements  are  the  deemed  repatriation  of  foreign  earnings,  the  remeasurement  of  certain  net  deferred  assets  and  other 
liabilities for the change in the U.S. corporate tax rate from 35 percent to 21 percent, and the elimination of the alternative 
minimum  tax  (“AMT”)  which  were  included  in  the  Company’s  2017  Consolidated  Financial  Statements.    The  Company 
applied the guidance in SAB 118 when accounting for the enactment-date effects of the 2017 Tax Act in 2017 and throughout 
2018. At December 28, 2018, the Company has completed its accounting for all the enactment-date income tax effects of the 
Tax Act. 

Beginning in 2017, the 2017 Tax Act subjects a U.S. shareholder to tax on Global Intangible Low Tax Income (“GILTI”) 
earned by certain foreign subsidiaries.  In January 2018, the FASB released guidance (Staff Q&A Topic 740, No. 5) on the 
accounting for tax on the GILTI provisions of the 2017 Tax Act. In general, GILTI is the excess of a U.S. shareholder’s total 
net foreign income over a deemed return on tangible assets.  The provision further allows a deduction of 50 percent of GILTI, 
however this deduction is limited by the Company’s  net operating loss carryforwards.  In addition, Staff Q&A Topic 740, 
No.  5  states  that  an  entity  can  make  an  accounting  policy  election  to  either  recognize  deferred  taxes  for  temporary  basis 
differences expected to reverse as GILTI in future years or to provide for the tax expense related to GILTI in the year the tax 
is  incurred  as  a  period  expense  only.    The  Company  has  elected  to  account  for  GILTI  as  a  current  period  expense  when 
incurred. 

F-16 

 
 
 
  
  
  
  
  
    
    
  
 
 
STAAR SURGICAL COMPANY AND SUBSDIARIES 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) 

Note 1 — Organization and Description of Business and Accounting Policies (Continued) 

Income Taxes (Continued) 

The  Company  recognizes  the  income  tax  benefit  from  an  uncertain  tax  position  when  it  is  more  likely  than  not  that, 
based on technical  merits, the position  will be  sustained  upon examination, including resolutions of any related appeals or 
litigation processes. The amount of tax benefit recorded, if any, is limited to the amount that is greater than 50 percent likely 
to  be  realized  upon  settlement  with  the  taxing  authority  (that  has  full  knowledge  of  all  relevant  information).  Accrued 
interest, if any, related to uncertain tax positions is included as a component of income tax expense, and penalties, if incurred, 
are recognized as a component of operating income or loss. The Company does not have any uncertain tax positions as of any 
of the periods presented. The Company did not incur significant interest and penalties for any period presented. 

The  Company  recognizes  deferred  tax  assets  and  liabilities  for  temporary  differences  between  the  financial  reporting 
basis and the tax basis of the Company’s assets and liabilities, net operating loss and credit carryforwards, and uncertainty in 
income taxes, on a jurisdiction-by-jurisdiction basis.  In evaluating the Company’s ability to recover the deferred tax assets 
within  a  jurisdiction  from  which  they  arise,  management  considers  all  available  positive  and  negative  evidence,  including 
scheduled reversals of deferred tax liabilities, projected future taxable income, tax-planning strategies, and results of recent 
operations.  In  projecting  future  taxable  income,  the  Company  begins  with  historical  results  and  incorporates  assumptions 
including  overall  current  and  projected  business  and  industry  conditions,  the  amount  of  future  federal,  state,  and  foreign 
pretax operating income, the reversal of temporary differences and the successful implementation of feasible and prudent tax-
planning  strategies.  These  assumptions  require  significant  judgment  about  the  forecasts  of  future  taxable  income  and  are 
consistent with the plans and estimates the Company uses to manage the underlying businesses. In evaluating the objective 
evidence  that  historical  results  provide,  the  Company  considers  three  years  of  cumulative  operating  results.  Valuation 
allowances, or reductions to deferred tax assets, are recognized if, based on the weight of all the available evidence, it is more 
likely than not that some portion or all the deferred tax asset may not be realized.  The impact on deferred taxes of changes in 
tax rates and laws, if any, are applied to the years during which temporary differences are expected to be settled and reflected 
in the financial statements in the period of enactment.  

The Company has made a policy election to apply the incremental cash tax savings approach when analyzing the impact 
GILTI could have on its U.S. valuation allowance. As a result of future expected GILTI inclusions, and because of the Tax 
Act’s  ordering  rules,  U.S.  companies  may  now  expect  to  utilize  tax  attribute  carryforwards  (e.g.,  net  operating  losses  and 
deferred tax assets) for which a valuation allowance has historically been recorded (this is referred to as the “tax law ordering 
approach”). However, due to the mechanics of the GILTI rules, companies that have a GILTI inclusion may realize a reduced 
(or no) cash tax savings from utilizing such tax attribute carryforwards (this view is referred to as the “incremental cash tax 
savings approach”). 

Basic and Diluted Net Income (Loss) Per Share 

The  Company  has  only  one  class  of  common  stock  and  no  participating  securities  which  would  require  the  two-class 
method of calculating basic earnings per share. Basic per share information is calculated by dividing net income (loss) by the 
weighted average number of shares outstanding, net of unvested restricted stock and unvested restricted stock units, during 
the  period.  Diluted  per  share  information  is  calculated  by  dividing  net  income  (loss)  by  the  weighted  average  number  of 
shares  outstanding,  adjusted  for  the  effects  of  potentially  dilutive  common  stock,  which  are  comprised  of  outstanding 
warrants,  stock  options,  unvested  restricted  stock,  and  restricted  stock  units,  during  the  period,  using  the  treasury-stock 
method (See Note 16). 

F-17 

 
 
STAAR SURGICAL COMPANY AND SUBSDIARIES 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) 

Note 1 — Organization and Description of Business and Accounting Policies (Continued) 

Employee Defined Benefit Plans 

The  Company  maintains  a  passive  pension  plan  (the  “Swiss  Plan”)  covering  employees  of  its  Swiss  subsidiary.  The 

Swiss Plan conforms to the features of a defined benefit plan.   

The  Company  also  maintains  a  noncontributory  defined  benefit  pension  plan  which  covers  substantially  all  the 

employees of STAAR Japan.   

The Company recognizes the funded status, or difference between the fair value of plan assets and the projected benefit 
obligations of the pension plan on the Consolidated Balance Sheets, with a corresponding adjustment to accumulated other 
comprehensive income (loss). If the projected benefit obligation exceeds the fair value of plan assets, then that difference  or 
unfunded  status  represents  the  pension  liability.  The  Company  records  a  net  periodic  pension  cost  in  the  Consolidated 
Statements  of  Operations.  The  liabilities  and  annual  income  or  expense  of  both  plans  are  determined  using  methodologies 
that involve several actuarial assumptions, the most significant of which are the discount rate and the expected long-term rate 
of  asset  return  (asset  returns  and  fair-value  of  plan  assets  are  applicable  for  the  Swiss  Plan  only).  The  fair  values  of  plan 
assets are determined based on prevailing market prices (see Note 11).  

Stock-Based Compensation 

Stock-based  compensation  expense  for  all  stock-based  compensation  awards  granted  is  based  on  the  grant-date  fair 
value.  The  Company  recognizes  these  compensation  costs  on  a  straight-line  basis  over  the  requisite  service  period  of  the 
award, which is generally the option vesting term of three to four years for executive officers and employees, and one year 
for members of its Board of Directors (the “Board”) (see Note 12). 

The  Company  also,  at  times,  issues  restricted  stock  to  its  executive  officers,  employees  and  the  Board,  which  are 
restricted and unvested common shares issued at fair market value on the date of grant. For the restricted shares issued to the 
Board, the restricted stock vests over a one-year service period, for executive officers and employees, it is typically a three-
year  service  period,  and  are  subject  to  forfeiture  (or  acceleration,  depending  upon  the  circumstances)  until  vested  or  the 
service period is completed.  Restricted stock compensation expense is recognized on a straight-line basis over the requisite 
service  period  of  one  to  three  years,  based  on  the  grant-date  fair  value  of  the  stock.  Restricted  stock  is  considered  legally 
issued and outstanding on the grant date (see Notes 12 and 16). 

The  Company  issues  restricted  stock  units  (“RSUs”)  (see  Note  12),  which  can  have  only  a  service  condition  or  a 
performance contingent restricted stock award based upon the Company meeting certain internally established performance 
conditions  that  vest  only  if  those  conditions  are  met  or  exceeded  and  the  grantee  is  still  employed  with  the  Company. 
Restricted  stock  unit  compensation  expense  is  recognized  on  a  straight-line  basis  over  the  requisite  service  period.  The 
Company recognizes compensation cost for the performance condition RSUs when the Company concludes that it is probable 
that the performance condition will be achieved, net of an estimate of pre-vesting forfeitures, over the requisite service period 
based on the grant-date  fair value of the stock. The Company reassesses the probability of vesting at  each reporting period 
and adjusts compensation cost based on its probability assessment. 

Once the RSUs are vested, equivalent common shares will be issued or issuable to the grantee and therefore the RSUs 

are not included in total common shares issued and outstanding until vested (see Notes 12 and 16). 

F-18 

 
 
STAAR SURGICAL COMPANY AND SUBSDIARIES 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) 

Note 1 — Organization and Description of Business and Accounting Policies (Continued) 

Comprehensive Income (Loss) 

The  Company  presents  comprehensive  income  (loss)  in  the  Consolidated  Balance  Sheets  and  the  Consolidated 
Statements  of  Comprehensive  Income  (Loss).  Total  comprehensive  income  (loss)  includes,  in  addition  to  the  net  income 
(loss), changes in equity that are excluded from the Consolidated Statements of Operations and are recorded directly into a 
separate section of stockholders’ equity on the Consolidated Balance Sheets. The following table summarizes the changes in 
the  accumulated  balances  for  each  component  of  accumulated  other  comprehensive  income  (loss)  attributable  to  the 
Company for the years ended January 3, 2020, December 28, 2018 and December 29, 2017 (in thousands):   

Balance, at December 30, 2016 

Other comprehensive income (loss) 
Tax effect 

Balance, at December 29, 2017 

Other comprehensive income (loss) 
Tax effect 

Balance, at December 28, 2018 

Other comprehensive income (loss) 
Tax effect 

Balance, at January 3, 2020 

Foreign 
Currency 
Translation     

Defined 
Benefit 
Pension 
Plan –
 Japan 

Defined 
Benefit 
Pension 
Plan – 
Switzerland     

Accumulated 
Other Com- 
prehensive 
Income 
(Loss) 

  $ 

  $ 

11     $ 
387       
(120 )     
278       
242       
(74 )     
446       
291       
(86 )     
651     $ 

88     $ 
(6 )     
6       
88       
(107 )     
29       
10       
34       
(6 )     
38     $ 

(1,149 )   $ 
(406 )     
39       
(1,516 )     
(290 )     
30       
(1,776 )     
(2,192 )     
231       
(3,737 )   $ 

(1,050 ) 
(25 ) 
(75 ) 
(1,150 ) 
(155 ) 
(15 ) 
(1,320 ) 
(1,867 ) 
139   
(3,048 ) 

Recently Adopted Accounting Pronouncements and Recent Accounting Pronouncements Not Yet Adopted 

On  December  29,  2018  (beginning  of  fiscal  year  2019),  the  Company  adopted  ASU  2018-02,  “Income  Statement  – 
Reporting  Comprehensive  Income  (Topic  220):    Reclassification  of  Certain  Tax  Effects  from  Accumulated  Other 
Comprehensive  Income,”  provides  an  option  to  reclassify  stranded  tax  effects  within  Accumulated  Other  Comprehensive 
Income to retained earnings in each period in which the effect of the change in the U.S. federal corporate income tax rate in 
the  Tax  Cuts  and  Jobs  Act  is  recorded.    The  adoption  of  ASU 2018-02  did  not  have  material  impact  on  the  Consolidated 
Financial Statements. 

On  December  29,  2018  (beginning  of  fiscal  year  2019),  the  Company  adopted  ASU  2018-07,  “Compensation-Stock 
Compensation  (Topic 718):   Improvements  to  Nonemployee  Share-Based  Payment  Accounting,”  aligns  the  accounting  for 
share-based payments to nonemployees similar to employees.  Upon the adoption of ASU 2018-07, the Company recognized 
a cumulative adjustment of $315,000 which decreased the accumulated deficit.   

F-19 

 
 
 
  
  
    
  
    
    
    
    
    
    
    
    
 
STAAR SURGICAL COMPANY AND SUBSDIARIES 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) 

Note 1 — Organization and Description of Business and Accounting Policies (Continued) 

Recently Adopted Accounting Pronouncements and Recent Accounting Pronouncements Not Yet Adopted (Continued) 

In  June  2016,  the  FASB  issued  ASU  2016-13,  “Financial  Instruments  –  Credit  Losses  (Topic  326):    Measurement  of 
Credit Losses on Financial Instruments,” which (i) significantly changes the impairment model for most financial assets that 
are measured at amortized cost and certain other instruments from an incurred loss model to an expected loss model; and (ii) 
provides for recording credit losses on available-for-sale debt securities through an allowance account.  ASU 2016-13 also 
requires certain incremental disclosures.  Subsequently, the FASB issued ASU 2018-19, ASU 2019-04 and ASU 2019-05 to 
clarify  and  improve  ASU  2016-13.    ASU  2016-13  is  effective  for  fiscal  years  ending  after  December 15, 2019,  including 
interim periods, within those fiscal years.  The Company will adopt this standard as of January 4, 2020 (beginning of fiscal 
year  2020).    The  adoption  of  ASU  2016-13  is  not  expected  to  have  a  material  impact  on  the  Consolidated  Financial 
Statements. 

In  August  2018,  the  FASB  issued  ASU  2018-13,  “Fair  Value  Measurement  (Topic  820):    Disclosure  Framework  – 
Changes to the Disclosure Requirements for Fair Value Measurement,” which modifies certain disclosures requirements for 
reporting  fair  value  measurements.    ASU  2018-13  is  effective  for  fiscal  years  beginning  after  December  15,  2019.    Early 
adoption is permitted.  The Company  will adopt this standard as of January 4, 2020  (beginning of fiscal  year 2020).  The 
adoption of ASU 2018-13 is not expected to have a material impact on the Consolidated Financial Statements. 

In  August  2018,  the  FASB  issued  ASU  2018-14,  “Compensation  –  Retirement  Benefits  –  Defined  Benefit  Plans  – 
General  (Subtopic  715-20);  Disclosure  Framework  –  Changes  in  the  Disclosure  Requirement  for  Defined  Benefit  Plans,” 
which  modifies  disclosure  requirements  for  employers  that  sponsor  defined  benefit  pension  or  other  post  retirement  plans.  
This is effective for fiscal years ending after December 15, 2020.  Early adoption is permitted.  The Company will adopt this 
standard  for  fiscal  year  2020  and  is  currently  evaluating  the  disclosure  requirements  and  its  effect  on  the  Consolidated 
Financial Statements. 

In  December  2019,  the  FASB  issued  ASU  2019-12,  “Income  Taxes  (Topic  740):    Simplifying  the  Accounting  for 
Income Taxes.” ASU 2019-12 removes the following exceptions:  exception to the incremental approach for intraperiod tax 
allocation;  exception  to  accounting  for  basis  differences  when  there  are  ownership  changes  in  foreign  investments;  and 
exception to interim period tax accounting for year to date losses that exceed anticipated losses.  ASU 2019-12 also improves 
financial reporting for franchise taxes that are partially based on income; transactions with a government that result in a step 
up in the tax basis of goodwill; separate financial statements of legal entities that are not subject to tax; and enacted changes 
in  tax  laws  in  interim  periods.    ASU  2019-12  is  effective  for  fiscal  years  beginning  after  December  15,  2020  and  interim 
periods within those fiscal years.  Early adoption is permitted.  The Company will adopt this standard as of January 2, 2021 
(beginning  of  fiscal  year  2021)  and  is  currently  evaluating  the  disclosure  requirements  and  its  effect  on  the  Consolidated 
Financial Statements. 

Note 2 — Accounts Receivable Trade, Net 

Accounts receivable trade, net consisted of the following at January 3, 2020 and December 28, 2018 (in thousands): 

Domestic 
Foreign 

Total accounts receivable trade, gross 

Less allowance for doubtful accounts 

Total accounts receivable trade, net 

2019 

2018 

989      $ 
30,095        
31,084        
88        
30,996      $ 

807   
25,689   
26,496   
550   
25,946   

   $ 

   $ 

F-20 

 
 
 
  
  
    
  
     
     
     
 
STAAR SURGICAL COMPANY AND SUBSDIARIES 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) 

Note 3 — Inventories, Net 

Inventories, net consisted of the following at January 3, 2020 and December 28, 2018 (in thousands): 

Raw materials and purchased parts 
Work in process 
Finished goods 

Total inventories, gross 

Less inventory reserves 
Total inventories, net 

2019 

2018 

3,334      $ 
1,870        
12,976        
18,180        
1,038        
17,142      $ 

2,678   
2,195   
13,214   
18,087   
1,383   
16,704   

   $ 

   $ 

Note 4 — Prepayments, Deposits and Other Current Assets 

Prepayments, deposits and other current assets consisted of the following at January 3, 2020 and December 28, 2018 (in 

thousands): 

Prepayments and deposits 
Prepaid insurance 
Consumption tax receivable 
Value added tax (VAT) receivable 
Income tax receivable 
Other(1) 

Total prepayments, deposits and other current assets 

2019 

2018 

3,031      $ 
1,488        
875        
713        
138        
315        
6,560      $ 

1,707   
1,271   
912   
565   
285   
305   
5,045   

   $ 

   $ 

(1)  No individual item in “other” exceeds 5% of the total prepayments, deposits and other current assets. 

Note 5 — Property, Plant and Equipment, Net 

Property, plant and equipment, net consisted of the following at January 3, 2020 and December 28, 2018 (in thousands): 

Machinery and equipment 
Computer equipment and software 
Furniture and fixtures 
Leasehold improvements 
Construction in process 

Total property, plant and equipment, gross 

Less accumulated depreciation 

Total property, plant and equipment, net 

2019 

2018 

17,173      $ 
6,244        
4,169        
10,151        
8,477        
46,214        
29,149        
17,065      $ 

16,905   
5,992   
3,868   
10,045   
2,095   
38,905   
27,454   
11,451   

   $ 

   $ 

Depreciation expense and loss on disposal of property, plant and equipment were as follows (in thousands): 

Depreciation expense 
Loss on disposal of property, plant and equipment 

F-21 

2019 

Years Ended 
2018 

2017 

   $ 

3,665      $ 
14        

2,430      $ 
10        

3,133   
623   

 
 
 
  
  
    
  
     
     
     
     
 
 
  
  
    
  
     
     
     
     
     
 
 
  
  
    
  
     
     
     
     
     
     
 
 
  
  
  
  
  
    
    
  
     
STAAR SURGICAL COMPANY AND SUBSDIARIES 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) 

Note 5 — Property, Plant and Equipment, Net (Continued) 

The  loss  recognized  for  the  year  ended  December 29,  2017  consisted  primarily  of  an  asset,  with  a  net  book  value  of 

$599,000, that was no longer in use. 

Note 6 — Intangible Assets, Net  

Intangible assets, net consisted of the following at January 3, 2020 and December 28, 2018 (in thousands): 

Long-lived amortized intangible assets 
Patents and licenses 

2019 

2018 

Gross 
Carrying 
Amount     

Accumulated 
Amortization      Net 

Gross 
Carrying 
Amount     

Accumulated 
Amortization      Net 

  $ 

9,353     $ 

(9,057 )   $ 

296     $ 

9,257     $ 

(9,014 )   $ 

243   

Amortization expense for intangible assets were as follows (in thousands): 

Amortization expense 

2019 

Years Ended 
2018 

2017 

   $ 

34      $ 

34      $ 

221   

Future amortization of intangible assets is as follows (in thousands): 

Year Ended 
2020 
2021 
2022 
2023 
2024 
Thereafter 
Total 

Amount 

   $ 

   $ 

35   
35   
35   
35   
35   
121   
296   

Note 7 — Other Current Liabilities 

Other current liabilities consisted of the following at January 3, 2020 and December 28, 2018 (in thousands): 

Accrued salaries and wages 
Accrued bonuses 
Accrued insurance 
Income taxes payable 
Accrued consumption tax 
Other(1) 

Total other current liabilities 

(1)  No individual item in “Other” exceeds 5% of the other current liabilities. 

F-22 

2019 

2018 

4,400      $ 
4,184        
1,346        
2,710        
1,164        
3,893        
17,697      $ 

3,172   
5,113   
1,061   
1,105   
995   
1,985   
13,431   

   $ 

   $ 

 
 
 
 
  
  
    
  
  
    
  
 
 
  
  
  
  
  
    
    
  
 
 
  
  
  
  
  
  
  
  
  
  
  
  
 
 
  
  
    
  
     
     
     
     
     
 
STAAR SURGICAL COMPANY AND SUBSDIARIES 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) 

Note 8 — Lines of Credit 

Since 1998, the Company’s wholly owned Japanese subsidiary, STAAR Japan, has had an agreement with Mizuho Bank 
which provides for borrowings of up to 500,000,000 Yen, at an interest rate equal to the uncollateralized overnight call rate 
(approximately 0.06% as of January 3, 2020) plus a 0.50% spread, and may be renewed quarterly (the current line expires on 
February  21,  2020).  The  credit  facility  is  not  collateralized.  The  Company  had  197,500,000  Yen  and  417,500,000  Yen 
outstanding on the line of credit as of January 3, 2020 and December 28, 2018, respectively (approximately $1,827,000 and 
$3,780,000  based  on  the  foreign  exchange  rates  on  January 3,  2020  and  December 28,  2018,  respectively),  which 
approximates fair value due to the short-term maturity and market interest rates of the line of credit.  In case of default, the 
interest rate will be increased to 14% per annum.  There was 302,500,000 Yen and 82,500,000 Yen available for borrowing 
as  of  January 3,  2020  and  December 28, 2018, respectively  (approximately  $2,798,000  and  $747,000 based  on  the  foreign 
exchange  rates  on  January 3,  2020  and  December 28,  2018,  respectively).    At  maturity  on  February  21,  2020,  this  line  of 
credit was renewed until May 21, 2020, with similar terms. 

In  September  2013,  the  Company’s  wholly  owned  Swiss  subsidiary,  STAAR  Surgical  AG,  entered  into  a  framework 
agreement  for  loans  (“framework  agreement”)  with  Credit  Suisse  (the  “Bank”).  The  framework  agreement  provides  for 
borrowings of up to 1,000,000 CHF (Swiss  Francs)  (approximately $1,000,000 at the rate of exchange on  January 3,  2020 
and  December 28,  2018),  to  be  used  for  working  capital  purposes.  Accrued  interest  and  0.25%  commissions  on  average 
outstanding borrowings is payable quarterly and the interest rate will be determined by the Bank based on the then prevailing 
market conditions at the time of borrowing. The framework agreement is automatically renewed on an annual basis based on 
the  same  terms  assuming  there  is  no  default.  The  framework  agreement  may  be  terminated  by  either  party  at  any  time  in 
accordance  with  its  general  terms  and  conditions.  The  framework  agreement  is  not  collateralized  and  contains  certain 
conditions  such  as  providing  the  Bank  with  audited  financial  statements  annually  and  notice  of  significant  events  or 
conditions, as defined in the framework agreement. The Bank may also declare all amounts outstanding to be immediately 
due and payable upon a change of control or a “material qualification” in STAAR Surgical independent auditors’ report, as 
defined. There were no borrowings outstanding as of January 3, 2020 and December 28, 2018. 

Covenant Compliance 

The Company is in compliance with covenants of its credit facilities and lines of credit as of January 3, 2020. 

Lease Line of Credit (Finance Leases) 

During  2019,  the  Company  converted  the  lease  line  of  credit  schedule  011  with  Farnam  Street  Financial,  Inc.  into  a 

finance lease liability of approximately $500,000.  

F-23 

 
 
STAAR SURGICAL COMPANY AND SUBSDIARIES 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) 

Note 9 — Leases 

Finance Leases 

The  Company  entered  into  finance  leases  primarily  related  to  purchases  of  equipment  used  for  manufacturing  or 
computer-related equipment.  These finance leases are two to five years in length and have fixed payment amounts for the 
term  of  the  contract  and  have  options  to  purchase  the  assets  at  the  end  of  the  lease  term.    Supplemental  balance  sheet 
information related to finance leases consisted of the following (dollars in thousands): 

Machinery and equipment 
Computer equipment and software 
Furniture and fixtures 
Leasehold improvements 

Finance lease ROU assets, gross 

Less accumulated depreciation 

Finance lease ROU assets, net 

Total finance lease liability 
Weighted-average remaining lease term (in years) 
Weighted-average discount rate 

2019 

   $ 

   $ 

   $ 

1,885   
912   
102   
27   
2,926   
1,059   
1,867   

926   
1.1   
6.17 % 

Supplemental cash flow information related to finance leases consisted of the following (in thousands): 

Amortization of finance lease ROU asset 
Interest on finance lease liabilities 
Cash paid for amounts included in the measurement of finance lease liabilities: 

   $ 

Operating cash flows 
Financing cash flows 

ROU assets obtained in exchange for new finance lease liabilities 

Operating Leases 

Year Ended 
2019 

584   
72   

72   
1,294   
679   

The  Company  entered  into  operating  leases  primarily  related  to  real  property  (office,  manufacturing  and  warehouse 
facilities),  automobiles  and  copiers.    These  operating  leases  are  two  to  five  years  in  length  with  options  to  extend.    The 
Company did not include any lease extensions in the initial valuation unless the Company was reasonably certain to extend 
the  lease.    Depending  on  the  lease,  there  are  those  with  fixed  payment  amounts  for  the  entire  length  of  the  contract  or 
payments which increase periodically as noted in the contract or increased at an inflation rate indicator.  For operating leases 
that increase using an inflation rate indicator, the Company used the inflation rate at the time the lease was entered into for 
the length of the lease term.  Supplemental balance sheet information related to operating leases consisted of the following 
(dollars in thousands): 

F-24 

 
 
 
  
  
  
     
     
     
     
     
  
     
    
     
     
 
 
  
  
  
  
  
  
     
     
    
     
     
     
 
 
STAAR SURGICAL COMPANY AND SUBSDIARIES 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) 

Note 9 — Leases (Continued) 

Operating Leases (Continued) 

Machinery and equipment 
Computer equipment and software 
Real property 

Operating lease ROU assets, gross 

Less accumulated depreciation 

Operating lease ROU assets, net 

Total operating lease liability 
Weighted-average remaining lease term (in years) 
Weighted-average discount rate 

Supplemental cash flow information related to operating leases was as follows (in thousands): 

Operating lease cost 
Cash paid for amounts included in the measurement of operating lease liabilities: 

Operating cash flows 

ROU assets obtained in exchange for new operating lease liabilities 

   $ 

   $ 

   $ 

   $ 

2019 

765   
462   
11,116   
12,343   
5,659   
6,684   

6,786   
2.3   
1.82 % 

Year Ended 
2019 

2,749   

2,774   
3,495   

ROU assets related to operating leases of $5,726,000 were recorded upon the adoption of Topic 842. 

Future Minimum Lease Commitments  

Estimated future minimum lease payments under operating and finance leases having initial or remaining non-cancelable 

lease terms more than one year as of January 3, 2020 are as follows (in thousands): 

Year Ended 
2020 
2021 
2022 
2023 
2024 
Thereafter 

Total minimum lease payments, including interest 
Less amounts representing interest 
Total minimum lease payments 

Operating 
Leases 

Finance 
Leases 

   $ 

   $ 

   $ 

2,850      $ 
1,694        
1,220        
921        
346        
73        
7,104      $ 
318        
6,786      $ 

590   
349   
13   
8   
2   
—   
962   
36   
926   

F-25 

 
 
 
  
  
  
     
     
     
     
  
     
    
     
     
 
 
  
  
  
  
  
  
     
    
     
     
 
 
  
    
  
     
     
     
     
     
     
 
 
STAAR SURGICAL COMPANY AND SUBSDIARIES 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) 

Note 10 — Income Taxes   

Provision (Benefit) for Income Taxes 

Income (loss) from continuing operations before provision (benefit) for income taxes was as follows (in thousands): 

Domestic 
Foreign 

Income (loss) before income taxes 

2019 

Years Ended 
2018 

   $ 

   $ 

(5,321 )    $ 
18,347        
13,026      $ 

(2,629 )    $ 
9,268        
6,639      $ 

2017 

(3,318 ) 
1,022   
(2,296 ) 

The provision (benefit) for income taxes consisted of the following (in thousands): 

Current tax provision: 

U.S. federal 
State 
Foreign 

Total current provision 

Deferred tax provision (benefit): 

U.S. federal 
State 
Foreign 

Total deferred provision (benefit) 

Provision (benefit) for income taxes 

2019 

Years Ended 
2018 

2017 

   $ 

   $ 

—      $ 
13        
2,446        
2,459        

(3,003 )      
(373 )      
(105 )      
(3,481 )      
(1,022 )    $ 

—      $ 
10        
1,220        
1,230        

—        
—        
441        
441        
1,671      $ 

—   
12   
378   
390   

(546 ) 
—   
(1 ) 
(547 ) 
(157 ) 

F-26 

 
 
 
  
  
  
  
  
    
    
  
     
 
 
  
  
  
  
  
    
    
  
     
         
         
    
     
     
     
     
         
         
    
     
     
     
     
 
STAAR SURGICAL COMPANY AND SUBSDIARIES 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) 

Note 10 — Income Taxes (Continued) 

Provision (Benefit) for Income Taxes (Continued) 

A  reconciliation  of  the  statutory  U.S.  federal  tax  rate  to  the  Company’s  effective  tax  rate  was  as  follows  (dollars  in 

thousands): 

2019 

   Rate 

   Amount      Rate 

Years Ended 
2018 
      Amount      Rate 

2017 
      Amount   

Computed provision (benefit) for taxes based on 
   income at statutory rate 
Increase (decrease) in taxes resulting from: 

Permanent differences 
Change in the future federal tax rate 
State taxes, net of federal income 
   tax benefit 
State tax benefit 
Foreign tax differential 
Expiration of state net operating tax loss 
   carryforwards 
Foreign earnings not permanently reinvested, 
   net of the participation exemption 
Foreign dividend withholding 
ASC 718 share based payment adjustment 
Other 
Valuation allowance 

Effective tax provision (benefit) 

21.0 %    $  2,735       

21.0 %   $  1,394       

34.0 %   $ 

(781 ) 

17.4   
—   

(2.2 ) 
0.7   
(11.6 ) 

2,266       
—       

0.6        
—        

41       
—       

(0.9 )      

21   
(833.0 )       19,125   

(284 )     
93       
(1,514 )     

0.1        
(6.7 )      
(11.0 )      

8       
(447 )     
(730 )     

(0.3 )      
8.3        
(1.3 )      

8   
(190 ) 
29   

8.0   

1,039       

—        

—       

(36.4 )      

836   

(0.1 ) 
—   
—   
1.0   
(42.0 ) 

(7 )     
—       
—       
122       
(5,472 )     
(7.8 )%   $  (1,022 )     

(14.0 )      
(926 )     
4.8        
317       
(6.5 )      
(434 )     
0.5        
30       
2,418       
36.4        
25.2 %   $  1,671       

108.1        
(0.3 )      
—        
(2.6 )      

(2,482 ) 
7   
—   
59   
731.2         (16,789 ) 
(157 ) 

6.8 %   $ 

The Company recorded an income tax benefit of $1,022,000 during the year ended 2019 due to the income tax benefit 
from the release of the U.S. and certain states valuation allowances, offset by income tax expense from profits generated in its 
foreign operations. The Company recorded an income tax provision of $1,671,000 during the year ended 2018, due to profits 
generated in its foreign operations.  The Company recorded an income tax benefit of $157,000 during the year ended 2017 
due primarily to a U.S. income tax benefit related to an alternative minimum tax carryforward, offset by income tax expense 
generated from profits in its foreign operations.  

For the year ended 2019, there was a decrease to the state deferred tax asset of $387,000 and a decrease to the valuation 
allowance of $760,000, primarily related to the release of certain states valuation allowances as well as the expiration of state 
net  operating  loss  carryforwards.    Included  in  the  state  tax  provision  was  an  increase  to  the  state  deferred  tax  asset  and 
corresponding  increase  to  the  valuation  allowance  of  $447,000  for  the  year  ended  2018,  primarily  related  to  the  losses 
generated in 2018.  For the year ended 2017, there was a decrease to the state deferred tax asset and corresponding decrease 
to the valuation allowance of $646,000, primarily related to the expiration of state net operating loss carryforwards. 

F-27 

 
 
 
  
  
  
  
  
    
    
  
  
  
    
    
    
    
        
         
        
         
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
 
STAAR SURGICAL COMPANY AND SUBSDIARIES 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) 

Note 10 — Income Taxes (Continued) 

Provision (Benefit) for Income Taxes (Continued) 

For the years ended 2019 and 2017, there was a decrease in foreign deferred liabilities of $46,000 and $47,000, respectively. 

Included in the foreign deferred tax provision is an increase of $36,000 in foreign deferred liabilities for the year ended 2018   

All earnings from the Company’s subsidiaries are not considered to be permanently reinvested.  Accordingly, the Company 
provided withholding and U.S. taxes on all unremitted foreign earnings for 2018 and 2017 (see STAAR Surgical UK discussion 
below).  During 2019, 2018 and 2017 there were no withholding taxes paid to foreign jurisdictions.   

As discussed in Note 1, on December 22, 2017, the United States enacted major tax reform legislation, the 2017 Tax Act, 
which enacted a broad range of changes to the federal tax code.  Most of the changes from the new law are effective for years 
beginning after December 31, 2017, with the noted exception of the deemed repatriation of the offshore earnings.   

For 2019 and 2018, in accordance with the 2017 Tax Act, the Company included GILTI of  $16,100,000 and $7,700,000, 
respectively, in U.S. gross income, which was fully offset with net operating loss carryforwards.  The Company was not able to 
utilize the deduction of 50 percent of GILTI, as this deduction is limited by the Company’s pre-GILTI U.S. tax income. 

Deferred Tax Assets and Liabilities 

Deferred income taxes reflect the net  tax effects of temporary differences between the carrying amounts of assets and 
liabilities  for  financial  reporting  purposes  and  the  amounts  used  for  income  tax  purposes.      Significant  components  of  the 
Company’s deferred tax assets (liabilities) at January 3, 2020 and December 28, 2018 were as follows (in thousands): 

Deferred tax assets: 

Allowance for doubtful accounts and sales returns 
Inventories 
Accrued vacation 
Accrued other expenses 
Stock-based compensation 
Pensions 
Depreciation and amortization 
Net operating loss carryforwards 
Business, foreign, AMT and R&D credit carryforwards 
Prepaid expenses 
Capitalized R&D 
Operating lease liability 
Other 
Valuation allowance 

Total deferred tax assets 

Deferred tax liabilities: 

Foreign tax withholding 
Operating lease ROU assets 
Amortization of R&D 
Net foreign earnings not permanently reinvested 

Total deferred tax liabilities 
Total net deferred tax assets 

F-28 

2019 

2018 

233      $ 
703        
428        
1,036        
3,455        
1,159        
162        
32,251        
3,164        
272        
986        
1,309        
5        
(37,603 )      
7,560      $ 

(1,295 )    $ 
(1,309 )      
(805 )      
(401 )      
(3,810 )      
3,750      $ 

252   
560   
387   
1,232   
2,489   
884   
843   
34,347   
3,256   
272   
968   
—   
122   
(43,075 ) 
2,537   

(1,282 ) 
—   
(759 ) 
(240 ) 
(2,281 ) 
256   

   $ 

   $ 

   $ 

   $ 

 
 
 
  
  
    
  
     
         
    
     
     
     
     
     
     
     
     
     
     
     
     
     
     
         
    
     
     
     
     
 
STAAR SURGICAL COMPANY AND SUBSDIARIES 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) 

Note 10 — Income Taxes (Continued) 

Deferred Tax Assets and Liabilities (Continued) 

As of January 3, 2020, the Company had combined federal and state net deferred tax assets of $3,512,000, net deferred 
tax assets  in Japan of $896,000, and  net deferred tax liabilities in  Switzerland of $658,000 (which  included $1,295,000 of 
withholding taxes on unremitted foreign earnings) included in the Company’s components of deferred income tax assets and 
liabilities table. As of December 28, 2018, the Company had net deferred tax assets in the U.S. of $273,000 and in Japan of 
$905,000, and had net deferred tax liabilities in Switzerland of $922,000 (which included $1,282,000 of withholding taxes on 
unremitted foreign earnings) included in the Company’s components of deferred income tax assets and liabilities table.   

The  Company  had  accrued  net  income  taxes  payable  of  $2,572,000  and  $820,000  at  January 3,  2020  and 

December 28, 2018, respectively, primarily due to taxes owed in foreign jurisdictions. 

U.S. Jurisdiction 

The ultimate realization of deferred tax assets is dependent upon future generation of income during the periods in which 
temporary  differences  representing  net  future  deductible  amounts  become  deductible.  Management  considers  the  projected 
future income and tax planning strategies in making this assessment. As of January 3, 2020, the Company has three years of 
accumulated profits for federal income tax purposes as a result of GILTI.  However, the three-year income position  is not 
solely  determinative  and,  accordingly,  management  considers  all  other  available  positive  and  negative  evidence  in  its 
analysis. This includes existing profits in foreign jurisdiction as well as projected future profits. After consideration of all the 
information  available,  the  Company  determined  that  a  release  of  the  federal  valuation  and  certain  states  valuation  were 
appropriate.    Under  the  incremental  cash  tax  savings  approach,  the  Company  recorded  a  valuation  allowance  release  of 
$3,003,000 and $373,000 against the federal and certain states deferred tax assets, respectively.  Under this method, valuation 
allowances  of  $33,813,000  and  $6,643,000  for  federal  and  state,  respectively,  remain  as  the  usage  of  the  remaining  net 
operating losses and deferred tax assets will not result in cash tax savings and therefore provide no additional benefit. 

Further  included  in  the  federal  deferred  tax  asset  balance is  $2,285,000  in  foreign  tax  credits  and  foreign  withholding 

taxes that are unlikely to be realized in the future under the new tax act and the mechanics of GILTI. 

As of January 3, 2020, the Company had net deferred tax assets in the U.S. of $3,139,000, which consisted of the federal 
valuation  allowance  release  of  $3,003,000  and  the  refundable  alternative  minimum  tax  credit  of  $136,000.    Also,  as  of 
January 3, 2020, the Company  had state net deferred tax assets of $373,000, which consisted of the release of certain state 
valuation allowances. 

As of January 3, 2020, the Company had federal net operating loss carryforwards of $129,000,000 available to reduce 
future income taxes of its U.S. operations. The pre-2018 federal net operating loss carryforwards expire in varying amounts 
between  2020  and  2037.  In  California,  the  main  state  from  which  the  Company  conducts  its  domestic  operations,  the 
Company has state net operating losses of $33,000,000 available to reduce future California income taxes.  The California net 
operating loss carryforwards expire in varying amounts between 2028 and 2039. 

Further, pursuant to the provisions of Internal Revenue Code Section 382, significant changes in ownership may restrict 

the future utilization of these tax loss carry forwards. 

F-29 

 
 
STAAR SURGICAL COMPANY AND SUBSDIARIES 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) 

Note 10 — Income Taxes (Continued) 

Foreign Jurisdictions 

STAAR Surgical UK  

On  October  9,  2019  STAAR  US  formed  STAAR  Surgical  UK  Limited  (“STAAR  UK”)  as  a  holding  company  in  the 
United  Kingdom  for  their  foreign  subsidiaries.    On  December  30,  2019,  STAAR  US  transferred  their  shares  in  STAAR 
Surgical  AG  to  STAAR  UK.    STAAR  UK  will  act  as  the  main  foreign  group  holding  company  (“STAAR  Group”).    The 
STAAR Group intends to consolidate the group’s global operations to create a centralized hub to hold all future subsidiaries 
of  the  group,  as  well  as  expand  into  the  United  Kingdom  market.    STAAR  UK’s  activity  will  include  the  training  and 
promotion of the entire product line with private and government hospitals in the United Kingdom. 

Based on the current tax treaties there is no withholding on distributions between Switzerland and the United Kingdom, 
and the United Kingdom  and the U.S.  Accordingly, the Company will no longer accrue Swiss withholding tax on foreign 
earnings after fiscal 2018. 

STAAR Surgical AG 

Due to STAAR  Surgical  AG’s history of profits, the deferred tax assets are  considered fully realizable. The Company 
had  net  deferred  tax  liabilities  in  Switzerland  of  $658,000  and  $922,000  as  of  January 3,  2020  and  December 28,  2018, 
respectively, as discussed above. 

STAAR Japan, Inc. 

Since  2012,  STAAR  Japan  functions  as  a  limited-risk  distributor  with  a  guaranteed  return  from  STAAR  AG  and 
accordingly, STAAR Japan’s deferred tax assets are considered fully realizable.  The Company had net deferred tax assets of 
$896,000 and $905,000 as of January 3, 2020 and December 28, 2018, respectively.  STAAR Japan net deferred tax assets 
included a valuation allowance of $46,000 and $44,000 as of January 3, 2020 and December 28, 2018, respectively, related to 
non-deductible stock compensation for directors. 

The following tax years remain subject to examination: 

Significant jurisdictions 
U.S. Federal 
California 
Switzerland 
Japan 

Open Years 
2016 – 2018 
2015 – 2018 
2018 
2017 – 2018 

F-30 

 
 
 
  
  
  
  
  
  
STAAR SURGICAL COMPANY AND SUBSDIARIES 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) 

Note 11 – Employee Benefit Plans 

Defined Benefit Plan – Switzerland 

The Company maintains a passive pension plan (the “Swiss Plan”) covering employees of its Swiss subsidiary, which is 

accounted for as a defined benefit plan. 

In  Switzerland  employers  are  required  to  provide  a  minimum  pension  plan  for  their  staff.    Contributions  of  both  the 
employees  and  employer  finance  the  Swiss  Plan.  The  amount  of  the  contributions  is  defined  by  the  plan  regulations  and 
cannot be decreased without amending the plan regulations. It is required that the employer contribute an amount equal to or 
greater than the employee contribution. 

The following table shows the changes in the benefit obligation and plan assets and the Swiss Plan’s funded status as of 

January 3, 2020 and December 28, 2018 (in thousands): 

2019 

2018 

Change in Projected Benefit Obligation: 

Projected benefit obligation, beginning of period 
Service cost 
Interest cost 
Participant contributions 
Benefits deposited (paid) 
Actuarial loss 
Prior service credit 

Projected benefit obligation, end of period 

Change in Plan Assets: 

Plan assets at fair value, beginning of period 
Actual return on plan assets (including foreign currency impact) 
Employer contributions 
Participant contributions 
Benefits deposited (paid) 

Plan assets at fair value, end of period 
Funded status (pension liability), end of year(1) 

Amount Recognized in Accumulated Other Comprehensive Income 
   (Loss), net of tax: 

Actuarial loss on plan assets 
Actuarial loss on benefit obligation 
Actuarial gain recognized in current year 
Prior service credit 
Effect of curtailments 

Accumulated other comprehensive loss 
Accumulated benefit obligation at year end 

   $ 

   $ 

   $ 

   $ 
   $ 

   $ 

   $ 
   $ 

8,794      $ 
739        
77        
458        
492        
2,429        
(125 )      
12,864      $ 

5,130      $ 
152        
542        
458        
492        
6,774      $ 
(6,090 )    $ 

(1,031 )    $ 
(4,317 )      
744        
258        
609        
(3,737 )    $ 
(12,043 )    $ 

7,445   
474   
56   
361   
189   
269   
—   
8,794   

4,144   
3   
433   
361   
189   
5,130   
(3,664 ) 

(1,035 ) 
(2,145 ) 
630   
165   
609   
(1,776 ) 
(8,230 ) 

(1)  The underfunded balance was included in pension liability on the Consolidated Balance Sheets. 

F-31 

 
 
 
  
  
    
  
     
         
    
     
     
     
     
     
     
     
         
    
     
     
     
     
     
         
    
     
     
     
     
 
STAAR SURGICAL COMPANY AND SUBSDIARIES 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) 

Note 11 – Employee Benefit Plans (Continued) 

Defined Benefit Plan – Switzerland (Continued) 

Net periodic pension cost associated with the Swiss Plan included the following components (in thousands): 

Service cost(1) 
Interest cost(2) 
Expected return on plan assets(2) 
Prior service credit(2),(3) 
Actuarial loss recognized in current period(2),(3) 

Net periodic pension cost 

2019 

Years Ended 
2018 

2017 

   $ 

   $ 

739      $ 
77        
(147 )      
(21 )      
129        
777      $ 

474      $ 
56        
(116 )      
(21 )      
113        
506      $ 

381   
53   
(94 ) 
(7 ) 
72   
405   

(1)  Recognized in selling general and administrative expenses on the Consolidated Statements of Operations. 
(2)  For years ended 2019 and 2018, recognized in other income (expense), net, and for the year ended 2017, recognized in 

selling, general and administrative expenses on the Consolidated Statements of Operations. 

(3)  Amounts reclassified from accumulated other comprehensive income (loss). 

Changes in other comprehensive income (loss), net of tax, associated with the Swiss included the following components 

(in thousands): 

Current year actuarial gain (loss) on plan assets 
Current year actuarial loss on benefit obligation 
Actuarial gain recorded in current year 
Prior service credit 

Change in other comprehensive loss 

2019 

Years Ended 
2018 

2017 

   $ 

   $ 

4      $ 
(2,172 )      
114        
93        
(1,961 )    $ 

(101 )    $ 
(243 )      
103        
(19 )      
(260 )    $ 

98   
(644 ) 
65   
126   
(355 ) 

The amount in accumulated other comprehensive income (loss) as of January 3, 2020 that is expected to be recognized as 

a component of the net periodic pension costs during fiscal year 2020 is $318,000. 

Net  periodic  pension  cost  and  projected  and  accumulated  pension  obligation  for  the  Company’s  Swiss  Plan  were 

calculated on January 3, 2020 and December 28, 2018 using the following assumptions: 

Discount rate 
Salary increases 
Expected return on plan assets 
Expected average remaining working lives in years 

2019 

2018 

0.3 % 
2.0 % 
2.5 % 

10.0   

0.8 % 
2.0 % 
2.5 % 

10.0   

The discount rates are based on an assumed duration of the pension obligations and estimated using the rates of returns 
for AAA and AA-rated Swiss and foreign CHF-denominated corporate bonds listed on the SIX Swiss Exchange.  The salary 
increase rate was based on the Company’s best estimate of future increases over time.  The expected long-term rate of return 
on plan assets is based on the expected asset allocation and assumptions concerning long-term interest rates, inflation rates, 
and risk premiums for equities above the risk-free rates of return. These assumptions take into consideration historical long-
term rates of return for relevant asset categories. 

F-32 

 
 
 
  
  
  
  
  
    
    
  
     
     
     
     
 
 
  
  
  
  
  
    
    
  
     
     
     
 
 
  
  
  
  
  
     
    
     
    
     
    
     
    
 
STAAR SURGICAL COMPANY AND SUBSDIARIES 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) 

Note 11 – Employee Benefit Plans (Continued) 

Defined Benefit Plan – Switzerland (Continued) 

Under Swiss law, pension funds are legally independent from the employer and all the contributions are invested with 
regulated entities. The Company has a contract with Allianz Suisse Life Insurance Company’s BVG Collective Foundation 
(the  “Foundation”)  to  manage  its  Swiss  pension  fund.  Multiple  employers  contract  with  the  Foundation  to  manage  the 
employers’ respective pension plans. The Foundation manages the pension plans of its contracted employers as a collective 
entity.  The  investment  strategy  is  determined  by  the  Foundation  and  applies  to  all  members  of  the  collective  Foundation. 
There  are  no  separate  financial  statements  for  each  employer  contract.  The  pension  plan  assets  of  all  the  employers  that 
contract  with  the  Foundation  are  comingled.  They  are  considered  multiple-employer  plans  under  ASC  715-30-35-70  and 
therefore accounted for as single-employer plans. 

As there are no separate financial statements for each employer contract, there are no individual investments that can be 
directly  attributed  to  the  Company’s  pension  plan  assets.  However,  the  funds  contributed  by  an  employer  are  specifically 
earmarked for its employees and the total assets of the plan allocable to Company’s employees are separately tracked by the 
Foundation.  The  lack  of  visibility  into  the  specific  investments  of  the  plan  assets  and  how  they  are  valued  is  a  significant 
unobservable input,  therefore, the Company considers the  plan assets collectively to be Level 3 assets  under the  fair value 
hierarchy (see Note 1). 

The  table  below  sets  forth  the  fair  value  of  Plan  assets  at  December 28,  2018  and  January 3,  2020,  and  the  related 

activity in years ended 2018 and 2019, in accordance with ASC 715-20-50-1(d) (in thousands): 

Beginning balance at December 29, 2017 

Actual return on plan assets 
Purchases, sales, and settlement 
Ending balance at December 28, 2018 

Actual return on plan assets 
Purchases, sales, and settlement 
Ending balance at January 3, 2020 

Insurance 
Contracts 
(Level 3) 

4,144   
3   
983   
5,130   
152   
1,492   
6,774   

   $ 

   $ 

   $ 

During fiscal year 2020, the Company expects to make cash contributions totaling approximately $631,000 to the Swiss 

Plan. 

The estimated future benefit payments for the Swiss Plan are as follows (in thousands): 

Year Ended 
2020 
2021 
2022 
2023 
2024 
Thereafter 
Total 

Amount 

   $ 

   $ 

65   
79   
99   
117   
132   
1,961   
2,453   

F-33 

 
 
 
  
  
  
  
  
  
  
  
  
  
  
 
 
  
  
  
  
  
  
  
  
  
  
  
  
 
STAAR SURGICAL COMPANY AND SUBSDIARIES 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) 

Note 11 – Employee Benefit Plans (Continued) 

Defined Benefit Plan-Japan 

STAAR  Japan  maintains  a  noncontributory  defined  benefit  pension  plan  (“Japan  Plan”)  substantially  covering  all  the 
employees  of  STAAR  Japan. Benefits  under  the  Japan  Plan  are  earned,  vested,  and  accumulated  based  on  a  point-system, 
primarily based on the combination of years of service, actual and expected future grades (management or non-management) 
and actual and future zone (performance) levels of the employees.  Each point earned is worth a fixed monetary value, 1,000 
Yen per point, regardless of the level grade or zone of the employee.  Gross benefits are calculated based on the cumulative 
number of points earned over the  service  period multiplied by 1,000 Yen.  The mandatory retirement age limit is 60 years 
old. 

STAAR Japan administers the pension plan and funds the obligations of the Japan Plan from STAAR Japan’s operating 
cash  flows.    STAAR  Japan  is  not  required,  and  does  not  intend,  to  provide  contributions  to  the  Plan  to  meet  benefit 
obligations and therefore does not have any plan assets.   Benefit payments are made to beneficiaries as they become due. 

The funded status of the benefit plan at January 3, 2020 and December 28, 2018 was as follows (in thousands):  

Change in Projected Benefit Obligation: 

Projected benefit obligation, beginning of period 
Service cost 
Interest cost 
Actuarial gain 
Benefits paid 
Foreign exchange adjustment 

Projected benefit obligation, end of period 

Change in Plan Assets: 

Plan assets at fair value, beginning of period 
Actual return on plan assets 
Employer contributions 
Benefits paid 
Distribution of plan assets 
Foreign exchange adjustment 

Plan assets at fair value, end of period 
Funded status (pension liability), end of year(1) 

Amount Recognized in Accumulated Other Comprehensive Income 
   (Loss), net of tax: 

Transition obligation 
Actuarial loss 
Prior service cost 
Net gain 

Accumulated other comprehensive income 

Accumulated benefit obligation at year end 

2019 

2018 

1,646      $ 
185        
7        
(58 )      
(66 )      
36        
1,750      $ 

—      $ 
—        
—        
—        
—        
—        
—      $ 
(1,750 )    $ 

—      $ 
(37 )      
7        
68        
38      $ 
(1,599 )    $ 

1,352   
153   
4   
119   
(9 ) 
27   
1,646   

—   
—   
—   
—   
—   
—   
—   
(1,646 ) 

—   
(36 ) 
8   
38   
10   
(1,416 ) 

   $ 

   $ 

   $ 

   $ 
   $ 

   $ 

   $ 
   $ 

(1)  The underfunded balance was included in pension liability on the Consolidated Balance Sheets. 

F-34 

 
 
 
 
  
  
    
  
     
         
    
     
     
     
     
     
     
         
    
     
     
     
     
     
     
         
    
     
     
     
 
STAAR SURGICAL COMPANY AND SUBSDIARIES 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) 

Note 11 – Employee Benefit Plans (Continued) 

Defined Benefit Plan-Japan (Continued) 

Net periodic pension cost associated with the Japan Plan included the following components (in thousands): 

Service cost(1) 
Interest cost(2) 
Net amortization of transitional obligation(2),(3) 
Prior service credit(2),(3) 
Actuarial loss recognized in current period(2),(3) 

Net periodic pension cost 

2019 

   $ 

   $ 

Years Ended 
2018 

2017 

185      $ 
7        
—        
(1 )      
—        
191      $ 

153          $ 
4           
11           
(1 )         
—           
167         $ 

147   
4   
11   
(1 ) 
(3 ) 
158   

(1)  Recognized in selling general and administrative expenses on the Consolidated Statements of Operations. 
(2)  For the years ended 2019 and 2018, recognized in other income (expense), net, and for the year ended 2017, recognized 

in selling, general and administrative expenses on the Consolidated Statements of Operations. 

(3)  Amounts reclassified from accumulated other comprehensive loss. 

Changes  in  other  comprehensive  income  (loss),  net  of  tax,  associated  with  the  Japan  Plan  include  the  following 

components (in thousands): 

Amortization of net transition obligation 
Amortization of actuarial loss 
Prior service cost 
Actuarial income (loss) recorded in current year 

Change in other comprehensive income (loss) 

2019 

Years Ended 
2018 

2017 

   $ 

   $ 

—      $ 
(1 )      
(1 )      
30        
28      $ 

7      $ 
(1 )      
—        
(84 )      
(78 )    $ 

8   
—   
—   
(22 ) 
(14 ) 

The amount in accumulated other comprehensive income (loss) as of January 3, 2020 that is expected to be recognized as 

a component of the net periodic pension cost in fiscal year 2020 is approximately $1,000. 

Net  periodic  pension  cost  and  projected  and  accumulated  pension  obligation  for  the  Company’s  Japan  Plan  were 

calculated on January 3, 2020 and December 28, 2018 using the following assumptions: 

Discount rate 
Salary increases 
Expected return on plan assets 
Expected average remaining working lives in years 

2019 

2018 

0.3 %      
4.5 %      
N/A      
10.0         

0.4 % 
6.0 % 
N/A   
9.4   

The discount rates are based on the yield curve of corporate bonds rated AA or higher.  The salary increase average rate 

was based on the Company’s best estimate of future increases over time. 

F-35 

 
 
 
  
  
  
  
  
    
        
  
     
     
     
     
 
 
  
  
  
  
  
    
    
  
     
     
     
 
 
  
  
     
  
     
     
  
     
 
STAAR SURGICAL COMPANY AND SUBSDIARIES 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) 

Note 11 – Employee Benefit Plans (Continued) 

Defined Benefit Plan-Japan (Continued) 

The estimated future benefit payments for the Japan Plan are as follows (in thousands): 

Year Ended 
2020 
2021 
2022 
2023 
2024 
Thereafter 
Total 

Defined Contribution Plan 

Amount 

   $ 

   $ 

44   
110   
48   
210   
97   
1,059   
1,568   

The Company has a 401(k) profit sharing plan (“401(k) Plan”) for the benefit of qualified employees in the U.S. During 
the year ended January 3, 2020 employees who participate may elect to make salary deferral contributions to the 401(k) Plan 
up  to  $19,000  of  the  employees’  eligible  payroll  subject  to  annual  Internal  Revenue  Code  maximum  limitations  (with  a 
$6,000 annual catch-up contribution permitted for those over 50 years old). The Company’s contribution percentage is 80% 
of  the  employee’s  contribution  up  to  the  first  6%  of  the  employee’s  compensation.  In  addition,  STAAR  may  make  a 
discretionary contribution to qualified employees, in accordance with the 401(k) Plan.  The Company’s contributions, net of 
forfeitures, to the 401(k) Plan were as follows (in thousands): 

Employer contributions, net of forfeitures 

   $ 

1,279      $ 

996      $ 

764   

2019 

Years Ended 
2018 

2017 

Note 12 — Stockholders’ Equity 

Incentive Plan 

The  Amended  and  Restated  Omnibus  Equity  Incentive  Plan  (“the  Plan”)  provides  for  various  forms  of  stock-based 
incentives. To date, of the available forms of awards under the Plan, the Company has granted only stock options, restricted 
stock, unrestricted share grants, and restricted stock units (“RSUs”). Options under the Plan are granted at fair market value 
on the date of grant, become exercisable generally over a three-year period, or as determined by the Board of Directors, and 
expire over periods not exceeding 10 years from the date of grant. Certain option and share awards provide for accelerated 
vesting  if  there  is  a  change  in  control  and  pre-established  financial  metrics  are  met  (as  defined  in  the  Plan).  Grants  of 
restricted  stock  outstanding  under  the  Plan  generally  vest  over  periods  of  one  to  three  years.  Grants  of  RSUs  outstanding 
under  the  Plan  generally  vest  based  on  service,  performance,  or  a  combination  of  both.  On  June  14,  2018,  stockholders 
approved a proposal to increase the number of shares under the Plan by 2,235,000 shares, for a total of 15,385,000 shares. As 
of January 3, 2020, there were 1,633,221 shares available for grant under the Plan. 

Stock-Based Compensation 

There  was  no  net  income  tax  benefit  recognized  in  the  Consolidated  Statements  of  Operations  for  stock-based 
compensation expense for non-qualified stock options, as the Company fully offsets net deferred tax assets with a valuation 
allowance (see Note 10).   The Company does not recognize deferred income taxes for incentive stock option compensation 
expense, and records a tax deduction only when a disqualified disposition has occurred (see Note 10). 

F-36 

 
 
 
  
  
  
  
  
  
  
  
  
  
  
  
 
 
  
  
  
  
  
    
    
  
 
STAAR SURGICAL COMPANY AND SUBSDIARIES 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) 

Note 12 — Stockholders’ Equity (Continued) 

Stock-Based Compensation (Continued) 

The  following  table  represents  the  fair  value  of  stock-based  compensation  granted  during  the  year  ended  2019  (in 

thousands): 

Stock options 
Restricted stock units 
Restricted stock 

Total stock-based compensation expense 

Fair Value 

14,813   
728   
313   
15,854   

   $ 

   $ 

The cost that has been charged against income for stock-based compensation is set forth below (in thousands):  

Employee stock option 
Restricted stock 
Restricted stock units 
Nonemployee stock options 

Total stock-based compensation expense 

2019 

Years Ended 
2018 

2017 

   $ 

   $ 

8,144      $ 
320        
1,905        
178        
10,547      $ 

4,013      $ 
274        
2,120        
355        
6,762      $ 

1,731   
186   
1,226   
18   
3,161   

The Company recorded stock-based compensation expense in the following categories (in thousands): 

Cost of sales 
General and administrative 
Marketing and selling 
Research and development 

   $ 

Total stock-based compensation expense, net 

Amounts capitalized as part of inventory 

Total stock-based compensation expense, gross 

   $ 

2019 

Years Ended 
2018 

2017 

52      $ 
4,010        
3,318        
3,167        
10,547        
1,017        
11,564      $ 

15      $ 
2,635        
1,805        
2,307        
6,762        
637        
7,399      $ 

8   
1,487   
805   
861   
3,161   
372   
3,533   

As  of  January 3,  2020,  total  unrecognized  compensation  cost  related  to  non-vested  stock-based  compensation 

arrangements granted under the Plan were as follows (in thousands): 

Stock options 
Restricted stock and restricted stock units 

Total unrecognized stock-based compensation cost 

   $ 

   $ 

2019 

14,817   
594   
15,411   

This cost is expected to be recognized over a weighted-average period of approximately two years. 

F-37 

 
 
 
  
  
  
  
  
  
  
 
 
  
  
  
  
  
    
    
  
     
     
     
 
  
  
  
  
  
    
    
  
     
     
     
     
     
  
 
  
  
  
  
  
 
STAAR SURGICAL COMPANY AND SUBSDIARIES 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) 

Note 12 — Stockholders’ Equity (Continued) 

Assumptions 

The  fair  value  of  each  option  award  is  estimated  on  the  date  of  grant  using  a  Black-Scholes  option  valuation  model 
applying  the  weighted-average  assumptions  noted  in  the  following  table.  Expected  volatilities  are  based  on  historical 
volatility  of  the  Company’s  stock.  The  expected  term  of  options  granted  is  derived  from  the  historical  exercises  and  post-
vesting cancellations, and represents the period of time that options granted are expected to be outstanding. The Company has 
calculated an  8% estimated forfeiture rate  based on historical  forfeiture  experience. The risk-free rate  is based on the U.S. 
Treasury yield curve corresponding to the expected term at the time of the grant.   

Expected dividend yield 
Expected volatility 
Risk-free interest rate 
Expected term (in years) 

Stock Options 

2019 

Years Ended 
2018 

2017 

0 %      
53 %      
2.40 %      
5.66         

0 %      
53 %      
2.71 %      
5.72         

0 % 
57 % 
1.96 % 
5.67   

A summary of option activity under the Plan for the year ended January 3, 2020 is presented below: 

Outstanding at December 28, 2018 
Granted 
Exercised 
Forfeited or expired 
Outstanding at January 3, 2020 
Exercisable at January 3, 2020 

Weighted- 
Average 
Exercise 
Price 

Shares 

(in 000’s)      

Weighted- 
Average 
Remaining 
Contractual 
Term 
(years) 

Aggregate 
Intrinsic 
Value 
(in 000’s)    

3,920      $ 
824        
(388 )      
(30 )      
4,326      $ 
3,047      $ 

11.80        
35.40        
8.92        
25.87        
16.46        
10.66        

6.51      $ 
5.54      $ 

78,995   
72,393   

A summary of unvested options activity under the Plan for the year ended January 3, 2020 was as follows: 

Unvested at December 28, 2018 
Granted 
Forfeited or expired 
Vested 
Unvested at January 3, 2020 

F-38 

Shares 
(in 000’s) 

Weighted- 
Average 
Grant-Date 
Fair Value 

1,260      $ 
824        
(30 )      
(775 )      
1,279      $ 

9.67   
17.95   
13.29   
8.83   
15.44   

 
 
 
  
  
  
  
  
  
  
  
  
  
     
     
     
     
 
 
  
  
    
    
     
         
    
     
         
    
     
         
    
     
         
    
     
     
 
 
  
  
    
  
     
     
     
     
     
STAAR SURGICAL COMPANY AND SUBSDIARIES 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) 

Note 12 — Stockholders’ Equity (Continued) 

Stock Options (Continued) 

The weighted average grant date fair value of options granted and the total intrinsic value of options exercised were as 

follows: 

Weighted-average grant-date fair value 
Intrinsic value of options (in thousands) 

Restricted Stock 

2019 

Years Ended 
2018 

2017 

   $ 
   $ 

17.95      $ 
9,955      $ 

11.95      $ 
13,699      $ 

5.42   
3,065   

A summary of restricted stock activity under the Plan for the year ended January 3, 2020 was as follows: 

Outstanding at December 28, 2018 
Granted 
Vested 
Outstanding at January 3, 2020 

Restricted Stock Units 

Shares 
(in 000’s) 

Weighted- 
Average Grant- 
Date Fair Value   
29.80   
29.39   
29.80   
29.39   

11      $ 
11        
(11 )      
11      $ 

A summary of restricted stock units’ activity under the Plan for the year ended January 3, 2020 was as follows: 

Outstanding at December 28, 2018 
Granted 
Vested 
Forfeited or expired 
Outstanding at January 3, 2020 

Stock Offering   

Units 
(in 000’s) 

Weighted- 
Average Grant- 
Date Fair Value   
10.46   
37.98   
12.58   
11.57   
10.79   

322      $ 
19        
(229 )      
(8 )      
104      $ 

On August 10, 2018, the Company closed an offering of its common stock.  As part of this  transaction, the Company 
issued  1,999,850  shares  of  its  common  stock  at  a  price  of  $36.309  per  share.    Net  proceeds,  after  deducting  expenses, 
received from this offering were $72,150,000.   

F-39 

 
 
 
  
  
  
  
  
    
    
  
 
 
 
  
  
    
     
     
     
     
 
 
  
  
    
     
     
     
     
     
 
STAAR SURGICAL COMPANY AND SUBSDIARIES 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) 

Note 13 — Commitments and Contingencies 

Asset Retirement Obligation 

The Company recorded certain Asset Retirement Obligations (“ARO”), in accordance with ASC 410-20 in connection 
with the Company’s obligation to return its Japan facility to its “original condition”, as defined in the lease agreement. The 
Company has recorded approximately $211,000 and $206,000, representing the fair value of the ARO liability obligation in 
noncurrent liabilities at January 3, 2020 and December 28, 2018, respectively. The lease was renewed for another two years 
expiring in 2021. 

Open Purchase Orders and Severance Payable 

As of January 3, 2020, there were open purchase orders of $13,450,000 and severance payable of $10,000. 

Indemnification Agreements 

The Company has entered into indemnification agreements with its directors and officers that may require the Company: 
(a) to indemnify them against liabilities that may arise by reason of their status or service as directors or officers, except as 
prohibited by applicable law; (b) to advance their expenses incurred as a result of any proceeding  against them as to which 
they could be indemnified; and (c) to make a good faith determination whether or not it is practicable for the Company to 
obtain  directors’  and  officers’  insurance.  The  Company  currently  has  directors’  and  officers’  liability  insurance  through  a 
third-party  carrier.  Also,  in  connection  with  the  sale  of  products  and  entering  into  business  relationships  in  the  ordinary 
course of business, the Company may make representations affirming, among other things, that its products do not infringe 
on  the  intellectual  property  rights  of  others  and  agrees  to  indemnify  customers  against  third-party  claims  for  such 
infringement  as  well  as  its  negligence.  The  Company  has  not  been  required  to  make  material  payments  under  such 
provisions. 

Tax Filings 

The Company’s tax filings are subject to audit by taxing authorities in jurisdictions  where it conducts business. These 
audits may result in assessments of additional taxes that are subsequently resolved with the authorities or potentially through 
the courts. Management believes the Company has adequately provided for taxes; however, final assessments, if any, could 
be significantly different than the amounts recorded in the consolidated financial statements. 

Employment Agreements 

The  Company’s  Chief  Executive  Officer  entered  into  an  employment  agreement  with  the  Company,  effective 
March 1, 2015. She and certain officers have as provisions of their agreements certain rights, including continuance of cash 
compensation and benefits,  upon a “change in control,”  which  may include an acquisition of substantially all its assets, or 
termination “without cause or for good reason” as defined in the employment agreements. 

Litigation and Claims 

From time to time, the Company is involved in various legal proceedings and other matters arising in the normal course 
of business.  These legal proceedings and other matters may relate to, among other things, contractual rights and obligations, 
employment  matters,  or  claims  of  product  liability.    STAAR  maintains  insurance  coverage  for  various  matters,  including 
product liability and certain securities claims.  While the Company does not believe that any of the claims known is likely to 
have  a  material  adverse  effect  on  the  Company’s  financial  condition  or  results  of  operations,  new  claims  or  unexpected 
results of existing claims could lead to significant financial harm. 

F-40 

 
 
STAAR SURGICAL COMPANY AND SUBSDIARIES 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) 

Note 14 — Related Party Transactions   

The  Company  has  made  various  advances  to  certain non-executive  employees.  Amounts  due  from  employees  are 
included in prepayments, deposits, and other current assets  at  January 3, 2020 and  December 28, 2018  were as follows (in 
thousands):   

Due from employees 

Note 15 — Supplemental Disclosure of Cash Flow Information 

2019 

2018 

   $ 

1      $ 

10   

The Company’s non-cash operating activities, non-cash investing and financing activities, and cash paid were as follows 

(in thousands): 

Non-cash operating activities: 

Insurance receivable 
Settlement liability 

Non-cash investing and financing activities: 

Right-of-use-assets obtained in exchange for new finance lease 
liabilities 
Purchase of property and equipment included in accounts payable 

Cash paid: 
Interest 
Taxes 

2019 

Years Ended 
2018 

2017 

—      $ 
—      $ 

—      $ 
—      $ 

7,000   
7,000   

679      $ 
381      $ 

105      $ 
792      $ 

1,656      $ 
207      $ 

130      $ 
635      $ 

563   
121   

90   
881   

   $ 
   $ 

   $ 
   $ 

   $ 
   $ 

Note 16 — Basic and Diluted Net Income (Loss) Per Share 

The following table sets forth the computation of basic and diluted net income (loss) per share (in thousands except per 

share amounts): 

Numerator: 

Net income (loss) 

Denominator: 

Weighted average common shares: 
Common shares outstanding 
Less:  Unvested restricted stock 

Denominator for basic calculation 

Weighted average effects of potentially diluted common stock: 

Stock options 
Unvested restricted stock 
Restricted stock units 

Denominator for diluted calculation 

Net income (loss) per share: 

Basic 
Diluted 

F-41 

2019 

Years Ended 
2018 

2017 

   $ 

14,048      $ 

4,968      $ 

(2,139 ) 

44,504        
(11 )      
44,493        

2,254        
6        
142        
46,895        

42,598        
(11 )      
42,587        

2,360        
10        
300        
45,257        

   $ 
   $ 

0.32      $ 
0.30      $ 

0.12      $ 
0.11      $ 

41,025   
(21 ) 
41,004   

—   
—   
—   
41,004   

(0.05 ) 
(0.05 ) 

 
 
 
  
  
    
  
 
 
  
  
  
  
  
    
    
  
     
         
         
    
     
         
         
    
     
         
         
    
 
  
  
  
  
  
    
    
  
     
         
         
    
     
         
         
    
     
         
         
    
     
     
     
     
         
         
    
     
     
     
     
     
         
         
    
STAAR SURGICAL COMPANY AND SUBSDIARIES 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) 

Note 16 — Basic and Diluted Net Income (Loss) Per Share (Continued) 

Because  the  Company  had a  net loss  for the  year ended 2017, the number of diluted shares is equal to the number of 
basic shares.  Outstanding options, restricted stock and restricted stock units would have had an anti-dilutive effect on diluted 
per share amounts.  The following table sets forth (in thousands) the weighted average number of options to purchase shares 
of common stock, restricted stock, and restricted stock units with either exercise prices or unrecognized compensation cost 
per share greater than the average market price per share of the Company’s common stock, which were not included in the 
calculation of diluted per share amounts because the effects would be anti-dilutive. 

Stock options 
Restricted stock and restricted stock units 

Total 

2019 

Years Ended 
2018 

1,503        
—        
1,503        

315        
—        
315        

2017 

2,237   
203   
2,440   

Note 17 — Disaggregation of Revenues, Geographic Sales and Product Sales 

In the following tables, revenues are disaggregated by category, sales by geographic market and sales by product data.  

The following breaks down revenues into the following categories (in thousands):   

Non-consignment sales 
Consignment sales 
Total net sales 

2019 

Years Ended 
2018 

   $ 

   $ 

132,716      $ 
17,469        
150,185      $ 

106,338      $ 
17,616        
123,954      $ 

2017 

74,163   
16,448   
90,611   

The  Company  markets  and  sells  its  products  in  more  than  75  countries  and  conducts  its  manufacturing  in  the  United 
States. Other than China and Japan, the Company does not conduct business in any country in which its sales in that country 
exceed 10% of consolidated net sales. Sales are attributed to countries based on location of customers. The composition of 
the Company’s net sales to unaffiliated customers was as follows (in thousands):  

Domestic 
Foreign: 

China(1) 
Japan 
Other(2) 

Total foreign sales 
Total net sales 

(1)  The China region includes sales into China and Hong Kong.   
(2)  No other location individually exceeds 10% of the total net sales. 

2019 

Years Ended 
2018 

2017 

   $ 

8,106      $ 

7,316      $ 

7,894   

64,820        
26,881        
50,378        
142,079        
150,185      $ 

46,070        
23,151        
47,417        
116,638        
123,954      $ 

24,473   
18,125   
40,119   
82,717   
90,611   

   $ 

F-42 

 
 
 
  
  
  
  
  
    
    
  
     
     
     
 
 
  
  
  
  
  
    
    
  
     
 
 
  
  
  
  
  
    
    
  
     
         
         
    
     
     
     
     
 
STAAR SURGICAL COMPANY AND SUBSDIARIES 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) 

Note 17 — Disaggregation of Revenues, Geographic Sales and Product Sales (Continued) 

100%  of  the  Company’s  sales  are  generated  from  the  ophthalmic  surgical  product  segment  and  the  chief  operating 
decision  maker  makes  the  operating  decisions  and  allocates  resources  based  upon  the  consolidated  operating  results, 
therefore,  the  Company  operates  as  one  operating  segment  for  financial  reporting  purposes.  The  Company’s  principal 
products are IOLs used in cataract surgery and ICLs used in refractive surgery.  The composition of the Company’s net sales 
by product line was as follows (in thousands): 

ICLs 
Other product sales 

IOLs 
Other surgical products 

Total other product sales 

Total net sales 

2019 

Years Ended 
2018 

2017 

   $ 

129,322      $ 

101,082      $ 

68,325   

15,689        
5,174        
20,863        
150,185      $ 

16,193        
6,679        
22,872        
123,954      $ 

17,258   
5,028   
22,286   
90,611   

   $ 

The  Company  sells  its  products  internationally,  which  subjects  the  Company  to  several  potential  risks,  including 
fluctuating exchange rates (to the extent the Company’s transactions are not in U.S. dollars), regulation of fund transfers by 
foreign governments, U.S. and foreign export and import duties and tariffs, and political instability 

Note 18 —Geographic Assets 

The composition of the Company’s long-lived assets between those in the U.S., Japan and Switzerland is set forth below 

as of January 3, 2020 and December 28, 2018 (in thousands):  

Property, plant and equipment, net 
Finance lease ROU assets, net 
Operating lease ROU assets, net 
Intangible assets, net 

Total 

Property, plant and equipment, net 
Finance lease ROU assets, net 
Operating lease ROU assets, net 
Intangible assets, net 

Total 

U.S. 

Japan 

2019 
     Switzerland     

Total 

14,956      $ 
1,756        
2,920        
83        
19,715      $ 

306      $ 
80        
919        
213        
1,518      $ 

1,803      $ 
31        
2,845        
—        
4,679      $ 

17,065   
1,867   
6,684   
296   
25,912   

U.S. 

Japan 

2018 
     Switzerland     

Total 

10,416      $ 
—        
—        
—        
10,416      $ 

330      $ 
—        
—        
243        
573      $ 

705      $ 
—        
—        
—        
705      $ 

11,451   
—   
—   
243   
11,694   

   $ 

   $ 

   $ 

   $ 

F-43 

 
 
 
  
  
  
  
  
    
    
  
     
         
         
    
     
     
     
 
  
  
  
  
  
    
  
     
     
     
  
     
         
         
         
    
  
  
  
  
  
    
  
     
     
     
 
STAAR SURGICAL COMPANY AND SUBSDIARIES 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED) 

Note 19 — Quarterly Financial Data (Unaudited) 

Summary unaudited quarterly financial data from continuing operations for years ended 2019 and 2018 was as follows 
(in thousands except per share data). The Company has derived this data from the unaudited consolidated interim financial 
statements  that,  in  the  Company’s  opinion,  have  been  prepared  on  substantially  the  same  basis  as  the  audited  financial 
statements contained elsewhere in this report and include all normal recurring adjustments necessary for a fair presentation of 
the financial information for the periods presented. These unaudited quarterly results should be read in conjunction with the 
financial  statements  and  notes  thereto  included  elsewhere  in  this  report.  The  operating  results  in  any  quarter  are  not 
necessarily indicative of the results that may be expected for any future period. 

January 3, 2020 
Net sales 
Gross profit 
Net income 
Net income per share – basic 
Net income per share – diluted 

December 28, 2018 
Net sales 
Gross profit 
Net income (loss) 
Net income per share – basic 
Net income per share – diluted 

   1st Quarter      2nd Quarter      3rd Quarter      4th Quarter   
38,883   
   $ 
28,824   
6,379   
0.14   
0.14   

39,664      $ 
29,899        
3,914        
0.09        
0.08        

39,055      $ 
29,051        
2,388        
0.05        
0.05        

32,583      $ 
24,180        
1,367        
0.03        
0.03        

   1st Quarter      2nd Quarter      3rd Quarter      4th Quarter   
31,186   
   $ 
22,992   
1,096   
0.02   
0.02   

33,905      $ 
25,227        
1,830        
0.04        
0.04        

31,770      $ 
23,860        
1,459        
0.03        
0.03        

27,093      $ 
19,431        
583        
0.01        
0.01        

Quarterly and year-to-date computations of net income per share amounts are made independently. Therefore, the sum of 

the per share amounts for the quarters may not agree with the per share amounts for the year. 

Note 20 – Reclassifications 

Computer equipment and software was reclassed into a separate line item from furniture and fixtures and construction in 
process  was  reclassed  into  a  separate  line  item  from  machinery  and  equipment  in  Note  5  for  2018  to  conform  to  2019 
presentation.   

F-44 

 
 
 
     
     
     
     
  
     
         
         
         
    
     
     
     
     
STAAR SURGICAL COMPANY AND SUBSDIARIES 

SCHEDULE II — VALUATION AND QUALIFYING ACCOUNTS AND RESERVES 

Column A 

  Column B      Column C - Additions       Column D      Column E   

Description 

2019 

Allowance for doubtful accounts 
Sales return reserve 
Deferred tax asset valuation allowance 

2018 

Allowance for doubtful accounts 
Sales return reserve 
Deferred tax asset valuation allowance 

2017 

Allowance for doubtful accounts 
Sales return reserve 
Deferred tax asset valuation allowance 

Balance at 
Beginning 

Charged 
to costs 
and 

of Year      

expenses      

Charged 
to other 
accounts      Deductions     

Balance at 
End of 
Year 

(in thousands) 

  $ 

550     $ 
2,895       
43,075       
  $  46,520     $ 

(320 )    $ 
6,183        
(5,259 )      
604      $ 

  $ 

349     $ 
2,182       
40,656       
  $  43,187     $ 

207      $ 
5,474        
2,534        
8,215      $ 

  $ 

276     $ 
1,780       
57,446       
  $  59,502     $ 

81      $ 
4,313        
2,253        
6,647      $ 

—     $ 
—       
—       
—     $ 

—     $ 
—       
—       
—     $ 

—     $ 
—       
—       
—     $ 

142     $ 
5,434       
213       
5,789     $ 

88   
3,644   
37,603   
41,335   

6     $ 
4,761       
115       
4,882     $ 

550   
2,895   
43,075   
46,520   

8     $ 
3,911       
19,043       
22,962     $ 

349   
2,182   
40,656   
43,187   

F-45 

 
 
  
  
  
  
  
  
    
        
         
        
        
    
    
    
  
    
        
         
        
        
    
    
    
  
    
        
         
        
        
    
    
    
  
 
EXHIBIT 4.3 

DESCRIPTION OF REGISTRANT’S SECURITIES 

As  of  February  27  2020,  STAAR  Surgical  Company,  a  Delaware  corporation 
(hereinafter, the “Company”), had one class of securities registered pursuant to Section 12 of the 
U.S. Securities Exchange Act of 1934, as amended: Common Stock, par value $0.01 per share 
(the  “Common  Stock”).    The  Common  Stock  is  listed  on  The  NASDAQ  Stock  Market  LLC 
under the trading symbol “STAA.”  The following summary includes a brief description of the 
Common Stock, as well as certain related additional information. 

General.  The  Company’s  authorized  capital  stock  consists  of  60,000,000,000  shares  of 
Common  Stock,  and  10,000,000  shares  of  preferred  stock,  par  value  $0.01  per  share  (the 
“Preferred  Stock”)  issuable  in  one  or  more  series  from  time  to  time  by  resolution  of  the 
Company’s Board of Directors (the “Board”).  Except for restricted stock issued to some of our 
employees as incentive compensation, all of the outstanding shares of the Company’s Common 
Stock are fully paid and non-assessable.  

Voting Rights.  Holders of Common Stock are entitled to one vote for each share held of 
record on all matters submitted to a vote of the stockholders.  Holders of Common Stock are not 
entitled to cumulative voting rights in the election of directors. 

Dividend Rights. Subject to the preferences of any then outstanding shares of Preferred 
Stock, each holder of Common Stock is entitled to receive a pro rata share of any dividends that 
may be declared by the Board of Directors out of funds legally available for that purpose.  

No  Preemption,  Conversion  or  Redemption  Rights;  No  Sinking  Fund  Provisions. 
Holders of Common Stock have no preemptive rights and no right to convert their common stock 
into any other securities. No redemption or sinking fund provisions apply to any of our common 
stock.  

Right  to  Receive  Liquidation  Distributions.  If  the  Company  is  liquidated,  dissolved  or 
wound up, each holder of Common Stock is entitled to a pro rata share of the net proceeds after 
payment of all liabilities and the payment of the liquidation preferences of any then outstanding 
shares of Preferred Stock. 

Anti-Takeover Effects of the Provisions of Delaware Law and the Charter Documents 

of the Company.  

Delaware Takeover Statute  

The  Company  is  incorporated  in  Delaware  and  is  thus  subject  to  Section  203  of  the 
Delaware  General  Corporation  Law.  This  is  an  anti-takeover  law,  which  restricts  transactions 
and business combinations between a corporation and an interested stockholder owning 15% or 
more of a corporation’s  outstanding voting stock, for a period of three  years from the date the 
stockholder becomes an interested stockholder. With some exceptions, unless the transaction is 
approved by the Board and the holders of at least two-thirds of the outstanding voting stock of a 
corporation,  excluding  shares  held  by  the  interested  stockholder,  this  law  prohibits  significant 
business  transactions  such  as  a  merger  with,  disposition  of  assets  to,  or  receipt  of 
disproportionate  financial  benefits  by,  the  interested  stockholder,  or  any  other  transaction  that 

 
would increase the interested stockholder’s proportionate ownership of any class or series of the 
corporation’s  stock.  The  statutory  ban  does  not  apply  to  a  person  who  became  an  interested 
stockholder  in  a  transaction  approved  by  the  Board.  The  statutory  ban  also  does  not  apply  if, 
upon consummation of the transaction in which a person becomes an interested stockholder, the 
interested stockholder owns at least 85% of the outstanding voting stock of the corporation. This 
calculation  does  not  include  shares  held  by  persons  who  are  both  directors  and  officers  or  by 
employee stock plans.  

Charter Documents  

Provisions of the Certificate of Incorporation and Bylaws could make it more difficult for 
a  third  party  to  acquire  the  Company,  or  discourage  a  third  party  from  attempting  to  acquire 
control of the Company. These provisions are intended to discourage coercive takeover practices 
and  inadequate  takeover  bids  and  to  encourage  persons  seeking  to  acquire  control  of  the 
Company to first negotiate with the Board. However, these provisions could also limit the price 
investors might be willing to pay in the future for Common Stock and could have the effect of 
delaying  or  preventing  a  change  in  control.  The  Board  believes  that  the  benefits  of  increased 
protection  of  its  ability  to  negotiate  with  the  proponent  of  an  unsolicited  acquisition  proposal 
outweigh  the  disadvantages  of  discouraging  these  proposals  because,  among  other  things, 
negotiation  may  result  in  an  improvement  of  their  terms.  Nevertheless,  these  provisions  could 
limit the price that investors might be willing to pay in the future for shares of Common Stock. 
These provisions include the following:  

• stockholders may not act by written consent;  

•  some  of  the  limitations  on  actions  by  stockholders  cannot  be  changed  without  a  66-

2/3% supermajority vote of stockholders;  

• stockholders must give advance notice to nominate directors or propose other business 

at meetings; and  

• the Board has the authority to issue up to 10,000,000 shares of Preferred Stock and to 
determine  the  price,  rights,  preferences,  privileges  and  restrictions  of  those  shares  without  any 
further vote or action by the stockholders. 

The foregoing summary does not purport to be complete and is subject to, and qualified 
in  its  entirety  by,  the  full  text  of  the  Certificate  of  Incorporation  and  Bylaws.  For  additional 
information  we  encourage  you  to  read  the  Certificate  of  Incorporation  and  Bylaws,  including 

amendments,  all  of  which  are  exhibits  to  the  Company’s  Annual  Report  on  Form  10‑K,  and 
Law. 
applicable 

Corporation 

provisions 

Delaware 

General 

the 

of 

 
 
 
Exhibit 10.36 

September 11, 20l7 

Dr. Scott Barnes 

Dear Scott, 

STAAR  Surgical  Company  is  pleased  to  offer  you  the  position  of  Chief  Medical  Officer  reporting  to  Caren 
Mason,  President  and  CEO.  Your  beginning  wage  will  be  $16,730.80  per  bi-weekly  pay  period  for  26  pay 
periods per year ($435,000 per year), in addition to all the benefits offered in our current policies. 

You  will also receive a  sign  on bonus of  $60,000 payable upon  your  first day of  work.  As is customary  with 
signing  bonus’,  if  you  choose  to  leave  the  company  before  twenty  four  months,  a  prorated  claw  back  of  the 
bonus will need to be repaid to the company. 

You  will  receive  an  initial  grant  of  25,000  STAAR  Surgical  Company  Stock  Options  and  12,500  Restricted 
Stock Units. The Options and RSU’s  will vest over a period of three  years, commencing on  your first day of 
employment. 

As a participant in the Executive  Long Term Incentive  Plan,  you  will also be eligible  for annual stock equity 
grants which generally are a combination of Stock Options and Restricted Stock Units. 

In  addition,  you  will  participate  in  our  Corporate  Annual  Incentive  Bonus  Program.  You  will  have  a  target 
bonus of 40% of your annual base salary, which will be payable on an annual basis and subject to the successful 
achievement of corporate and personal goals and objectives. 

You are also eligible to participate in the Executive Severance and Change In Control benefit plans. 

Upon acceptance of this offer and the successful completion of a drug screen, you may begin work. Your start 
date is October 1st. On your first day of employment you will need to bring identification in order to complete 
all necessary paperwork, including your Employment Eligibility Verification (Form I-9). 

All arrangements between  you and STAAR Surgical  regarding  your desire and ability to continue performing 
ophthalmic surgery procedures untethered from STAAR is addressed in the attached Agreements. 

Employment  is  at  the  mutual  consent  of  the  employee  and  STAAR  and  can  be  terminated  “at  will,”  with  or 
without cause, by either you or STAAR in its sole discretion at any time. 

Scott, we are very excited about the possibility of your joining the STAAR Executive Team. We believe your 
contributions to the Company will quickly have significant and long lasting impact on STAAR and will benefit 
patients worldwide. We look forward to seeing you soon. 

Thank you, 

Accepted by: 

/s/ Bill Goodmen 
Bill Goodmen 
Vice President Global Human Resources 

9/12/17 
Cc:   Caren Mason 

BARNES.SCOTT.DANIE    
L.1098947899 
Scott Barnes 

____11 September 2017_____________ 
Date 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Exhibit 10.37 

December 15, 2015 

Mr. Graydon Hansen 
13 Dogwood 
Lake Forest, CA 92630 

Dear Graydon, 

STAAR  Surgical  Company  is  pleased  to  offer  you  the  position  of  Vice  President  of  Operations  reporting  to 
Caren Mason, President and CEO. When you accept this offer and begin employment, your beginning wage will 
be $10,769.24 per bi-weekly pay period for 26 pay periods per year ($280,000 per year), in addition to all the 
benefits offered in our current policy. As a member of the Executive Team, you will be entitled to an Executive 
Health Program and a Company paid Variable Universal Executive Life Insurance policy, which would include 
a $500,000 death benefit. 

Subject  to  approval  by  the  Board  of  Directors,  you  will  receive  25,000  STAAR  Surgical  Company  Stock 
options and 12,282 restricted stock units. The options and RSU's will vest 1/3 annually over a period of three 
years, commencing on your first day of employment. 

As a participant in the Executive  Long Term Incentive Plan,  you  will also be eligible  for annual stock equity 
grants which generally are a combination of Stock Options and Restricted Shares. 

In addition, you will be eligible to participate in our Corporate Annual Incentive Bonus Program. You will have 
a  target  bonus  of  35%  of  your  annual  salary,  which  will  be  payable  on  an  annual  basis  and  subject  to  the 
successful  achievement  of  corporate  and  personal  goals  and  objectives.  Bonus  awards  are  subject  to 
recommendation by the Compensation Committee of the Board of Directors and approved by the entire Board 
of Directors. 

You will be eligible to participate in the Executive Change of Control and Severance Program. 

Upon  acceptance  of  this  offer  and  the  successful  completion  of  a  drug  screen,  you  may  begin  work  on  the 
projected started date of 01/25/2016. This offer is valid until December 18, 2015. 

Please make note, employment is at the mutual consent of the employee and STAAR and can be terminated "at 
will," with or without cause, by either you or STAAR in its sole discretion at any time. 

On  your  first  day  of  employment  you  will  need  to  bring  with  you  identification  in  order  to  complete  all 
necessary paperwork, including your Employment Eligibility Verification (Form I-9). 

Graydon,  we  are  very  excited  about  the  possibility  of  you  joining  the  STAAR  Executive  TEAM,  helping  us 
accomplish  our  mission  and  we  hope  you  enjoy  the  many  great  opportunities  STAAR  has  to  offer.  I  look 
forward to you joining our TEAM. 

Thank you, 

/s/ Bill Goodmen 
Bill Goodmen 
Vice President Global Human Resources 

Accepted by: 

/s/ Graydon Hansen 
Graydon Hansen 

2015/12/16 
Date 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Exhibit 21.1 

Subsidiaries of STAAR Surgical Company 

Name of Subsidiary 
STAAR Surgical UK LTD 
STAAR Surgical AG 
STAAR Japan Inc. 
STAAR Surgical PTE. LTD 
STAAR Optical Equipment 
Technology (Shanghai) Co., LTD 

Other Names Under 
Which it Does Business 
None 
None 
STAAR Japan Godo Kaisha 
None 

State or Other 
Jurisdiction of Incorporation 
United Kingdom 
Switzerland 
Japan 
Singapore 

None 

China 

 
 
 
  
  
 
 
  
  
  
  
  
  
  
  
CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM 

Exhibit 23.1 

STAAR Surgical Company 
Lake Forest, California 

We  hereby  consent  to  the  incorporation  by  reference  in  the  Registration  Statements  on  Form  S-3  (No.  333-
217888,  No.  333-148902,  No.  333-143131,  No.  333-124022  and  No.  333-116901)  and  Form S-8  (No.  333-
228138,  No.  333-213046,  No.  333-201232,  No.  333-167595  and  No.  333-111154)  of  STAAR  Surgical 
Company of our reports dated February 26, 2020, relating to the consolidated financial statements and financial 
statement  schedule,  and  the  effectiveness  of  STAAR  Surgical  Company’s  internal  control  over  financial 
reporting, which appear in this Form 10-K.   

/s/ BDO USA, LLP 

Los Angeles, California 
February 26, 2020

 
 
 
Exhibit 31.1  

I, Caren Mason certify that: 

CERTIFICATIONS 

1. I have reviewed this annual report on Form 10-K of STAAR Surgical Company; 

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to 
state  a  material  fact  necessary  to  make  the  statements  made,  in  light  of  the  circumstances  under  which  such 
statements were made, not misleading with respect to the period covered by this report; 

3. Based on my knowledge, the financial statements, and other financial information included in this report, 
fairly  present  in  all  material  respects  the  financial  condition,  results  of  operations  and  cash  flows  of  the 
registrant as of, and for, the periods presented in this report; 

4.  The  registrant’s  other  certifying  officer(s)  and  I  are  responsible  for  establishing  and  maintaining 
disclosure  controls  and  procedures  (as  defined  in  Exchange  Act  Rules  13a-15(e)  and  15d-15(e))  and  internal 
control over financial reporting (as defined in Exchange  Act  Rules 13a-15(f) and 15d-15(f)) for the registrant 
and have: 

a)  Designed  such  disclosure  controls  and  procedures,  or  caused  such  disclosure  controls  and 
procedures  to  be  designed  under  our  supervision,  to  ensure  that  material  information  relating  to  the 
registrant,  including  its  consolidated  subsidiaries,  is  made  known  to  us  by  others  within  those  entities, 
particularly during the period in which this report is being prepared; 

b)  Designed  such  internal  control  over  financial  reporting,  or  caused  such  internal  control  over 
financial reporting to be designed under our supervision, to provide reasonable assurance regarding the 
reliability  of  financial  reporting  and  the  preparation  of  financial  statements  for  external  purposes  in 
accordance with generally accepted accounting principles; 

c) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in 
this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end 
of the period covered by this report based on such evaluation; and 

d) Disclosed in this report any change in the registrant’s internal control over financial reporting that 
occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case 
of  an  annual  report)  that  has  materially  affected,  or  is  reasonably  likely  to  materially  affect,  the 
registrant’s internal control over financial reporting; and 

5. The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of 
internal control over financial reporting, to the registrant’s auditors and the audit committee of registrant’s board 
of directors (or persons performing the equivalent functions): 

a) All significant deficiencies and material weaknesses in the design or operation of internal control 
over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, 
process, summarize and report financial information; and 

b)  Any  fraud,  whether  or  not  material,  that  involves  management  or  other  employees  who  have  a 

significant role in the registrant’s internal control over financial reporting. 

Dated:   February 26, 2020 

/s/ CAREN MASON 
Caren Mason 
President, Chief Executive Officer, and 
Director (principal executive officer) 

 
 
  
 
  
  
CERTIFICATIONS 

Exhibit 31.2  

I, Deborah J. Andrews, certify that: 

1. I have reviewed this annual report on Form 10-K of STAAR Surgical Company; 

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to 
state  a  material  fact  necessary  to  make  the  statements  made,  in  light  of  the  circumstances  under  which  such 
statements were made, not misleading with respect to the period covered by this report; 

3. Based on my knowledge, the financial statements, and other financial information included in this report, 
fairly  present  in  all  material  respects  the  financial  condition,  results  of  operations  and  cash  flows  of  the 
registrant as of, and for, the periods presented in this report; 

4.  The  registrant’s  other  certifying  officer(s)  and  I  are  responsible  for  establishing  and  maintaining 
disclosure  controls  and  procedures  (as  defined  in  Exchange  Act  Rules  13a-15(e)  and  15d-15(e))  and  internal 
control over financial reporting (as defined in Exchange  Act  Rules 13a-15(f) and 15d-15(f)) for the registrant 
and have: 

a)  Designed  such  disclosure  controls  and  procedures,  or  caused  such  disclosure  controls  and 
procedures  to  be  designed  under  our  supervision,  to  ensure  that  material  information  relating  to  the 
registrant,  including  its  consolidated  subsidiaries,  is  made  known  to  us  by  others  within  those  entities, 
particularly during the period in which this report is being prepared; 

b)  Designed  such  internal  control  over  financial  reporting,  or  caused  such  internal  control  over 
financial reporting to be designed under our supervision, to provide  reasonable assurance regarding the 
reliability  of  financial  reporting  and  the  preparation  of  financial  statements  for  external  purposes  in 
accordance with generally accepted accounting principles; 

c) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in 
this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end 
of the period covered by this report based on such evaluation; and 

d) Disclosed in this report any change in the registrant’s internal control over financial reporting that 
occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case 
of  an  annual  report)  that  has  materially  affected,  or  is  reasonably  likely  to  materially  affect,  the 
registrant’s internal control over financial reporting; and 

5. The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of 
internal control over financial reporting, to the registrant’s auditors and the audit committee of registrant’s board 
of directors (or persons performing the equivalent functions): 

a) All significant deficiencies and material weaknesses in the design or operation of internal control 
over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, 
process, summarize and report financial information; and 

b)  Any  fraud,  whether  or  not  material,  that  involves  management  or  other  employees  who  have  a 

significant role in the registrant’s internal control over financial reporting 

Dated:   February 26, 2020 

/s/ DEBORAH J. ANDREWS 
Deborah J. Andrews 
Chief Financial Officer  
(principal financial officer)  

 
 
 
 
 
  
Exhibit 32.1  

CERTIFICATION PURSUANT TO 18 U.S.C. SECTION 1350, 
AS ADOPTED PURSUANT TO SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002 

In connection with the filing of the Annual Report on Form 10-K for the year ended January 3, 2020 (the 

“Report”) by STAAR Surgical Company (“the Company”), each of the undersigned hereby certifies that: 

1.  The  Report  fully  complies  with  the  requirements  of  Section  13(a)  or  15(d)  of  the  Securities 

Exchange Act of 1934, as amended, and 

2.  The  information  contained  in  the  Report  fairly  presents,  in  all  material  respects,  the  financial 

condition and results of operations of the Company as of and for the periods presented in the Report. 

Dated:  February 26, 2020 

Dated:   February 26, 2020 

/s/ CAREN MASON  
Caren Mason 
President, Chief Executive Officer, 
and Director (principal executive officer) 

/s/ DEBORAH J. ANDREWS 
Deborah J. Andrews 
Chief Financial Officer  
(principal financial officer) 

A signed original of this statement has been provided to the Company and will be retained by the Company 

and furnished to the Securities and Exchange Commission or its staff upon request.