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By Brian R. Hook

Transforming a small startup into a publicly held company takes a mixture of ingredients, including access to capital, talent and infrastructure. “St. Louis has a very good supply of all three ingredients,” says Bevil Hogg, president and CEO of Stereotaxis Inc.

St. Louis-based Stereotaxis, which makes high-tech systems for use during cardiac surgery, is the first of the region’s advanced-technology startups to launch a public offering. Hogg says St. Louis provided Stereotaxis with the needed ingredients. “Missouri has had an activist approach toward facilitating venture capital. St. Louis has been very accommodating with regards to research incubators,” he says. “I don’t think there are any ingredients lacking.”


Accessing capital is the hardest ingredient to locate, Hogg says. “Obviously more capital is always better than less capital. But St. Louis has a flourishing venture capital scene,” he says.

Stereotaxis relocated to St. Louis in late 1994 from Menlo Park, Calif. with two employees and $5 million in financing organized by St. Louis-based venture capital firm, Gateway Associates. Stereotaxis eventually raised a total of $130 million prior to its August 2004 initial public offering, according to the State of the Greater St. Louis Region’s Venture Capital Industry 2004 Annual Report. Stereotaxis’ IPO brought in another $48 million. Stereotaxis then went back and raised yet another $61.7 million earlier this year


Transforming a small startup into a publicly held company takes a mixture of ingredients, including access to capital, talent and infrastructure. “St. Louis has a very good supply of all three ingredients,” says Bevil Hogg, president and CEO of Stereotaxis Inc.

Along with raising the necessary capital, the right mix of talent is also needed. “We’re attracting talented people who are relocating from out of state. We have over 100 employees, and we’re contributing very significant payroll dollars to the local community,” Hogg says.

To accommodate Stereotaxis’ expanding need for research and office space, the company moved into the first building opened by the Center of Research and Technology and Entrepreneurial Expertise (CORTEX) in midtown St. Louis in December. The 179-acre CORTEX West urban research and redevelopment district is a collaboration of Washington University in St. Louis, Saint Louis University, University of Missouri-St. Louis, Barnes-Jewish Hospital Foundation and the Missouri Botanical Garden, with support from the City of St. Louis, Civic Progress and the RCGA.

Stereotaxis graduated from the Center for Emerging Technologies incubator located nearby. CET is a public-private-academic partnership supported by the University of Missouri - St. Louis, the Missouri Department of Economic Development, St. Louis Development Corp., Missouri Development Finance Board and the U.S. Economic Development Administration, among a handful of St. Louis-based companies. Hogg says CET was yet another necessary ingredient for Stereotaxis, providing a “nurturing environment at very reasonable rates.”

Underlying the need for the right mix of capital, talent and infrastructure is access to the right technology. “Obviously you have to have technology that works. Getting the technology to work and deliver value is the first challenge,” Hogg says. Stereotaxis’ technology is an advanced cardiology-instrument-control system for use in a hospital’s interventional surgical suite. It provides image-guided delivery of catheters and guidewires through blood vessels and chambers of the heart to treatment sites. This is achieved using computer-controlled, externally applied magnetic fields that govern the motion of the working tip of the catheter or guidewire.

The core components of the Stereotaxis system have received regulatory clearance in both the U.S. and Europe. A delay in the regulatory process in the U.S. hurt revenues at Stereotaxis last year. Revenues for 2005 totaled $15 million compared to $18.8 million in 2004. The outlook is once again bright, however, now that the U.S. Food and Drug Administration recently approved two catheters for use with the company’s Niobe magnetic navigation system.

Stereotaxis also pleased shareholders and analysts when the company announced in February that it had received 72 orders worldwide, as of December 31, 2005—of which 42 had been delivered. “Our backlog had built more rapidly than had been expected by Wall Street, which would account for the positive reaction on the share price the following day,” Hogg says.

Stereotaxis expects total revenue for 2006 will range from $26 million to $30 million. But Hogg warned shareholders when releasing the company’s annual results that Stereotaxis expects the year to be back-end loaded, as the order and revenue rates recover from the impact of last year’s regulatory delays. He told investors that Stereotaxis’ sales cycle is similar to other companies selling capital equipment to hospitals, which is often “relatively long and can be subject to lumpiness from quarter to quarter” due to last-minute budget decisions and delays.

“Prudence dictates that we should anticipate the occasional impact on our quarterly results of such unexpected delays,” Hogg told shareholders. Investors will also have to wait to see profits. Like many other startups, Stereotaxis has yet to turn a profit. But Hogg says the company is following the right course of action, and there is no need now to switch direction.

“We plan on growing through expansion of our technology platform and expansion of our clinical applications,” Hogg says. “We think we can grow rapidly within the confines of our business model. We don’t have to go and switch horses and start acquiring companies.”

Hogg says the ingredients already in place in St. Louis should help other startups to flourish as well. “Stereotaxis is very grateful to St. Louis and the State of Missouri. We recognize that being part of the community has been a major-ingredient in our success,” he says.
 

 

 


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