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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549

FORM 10-Q

x QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended September 30, 2021March 31, 2022
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 000-51470

AtriCure, Inc.
(Exact name of Registrant as specified in its charter)

Delaware34-1940305
(State or other jurisdiction of
incorporation)
(IRS Employer
Identification No.)
7555 Innovation Way
Mason, OH 45040
(Address of principal executive offices)
(513) 755-4100
(Registrant’s telephone number, including area code)
(Former name, former address and former fiscal year, if changed since last report)

Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading Symbol(s)Name of each exchange on which registered
Common Stock, $.001 par valueATRCNASDAQ
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days: Yes x No ¨
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 x No ¨
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer or 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 FilerxAccelerated Filer¨Emerging growth company¨
Non-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 x
Indicate the number of shares outstanding of each of the issuer’s classes of common stock, as of the latest practicable date.
ClassOutstanding at November 1, 2021May 2, 2022
Common Stock, $.001 par value45,931,81946,287,944


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Item 5.


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PART I. FINANCIAL INFORMATION
Item 1. Financial Statements
ATRICURE, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS
(In Thousands, Except Per Share Amounts)
(Unaudited)
September 30,
2021
December 31,
2020
March 31,
2022
December 31,
2021
AssetsAssetsAssets
Current assets:Current assets:Current assets:
Cash and cash equivalentsCash and cash equivalents$39,886$41,944Cash and cash equivalents$28,141$43,654
Short-term investmentsShort-term investments79,860202,274Short-term investments83,25675,436
Accounts receivable, less allowance for credit losses of $1,161 and $1,09633,49823,146
Accounts receivable, less allowance for credit losses of $1,096Accounts receivable, less allowance for credit losses of $1,09640,87833,021
InventoriesInventories38,58735,026Inventories40,76238,964
Prepaid and other current assetsPrepaid and other current assets3,8764,347Prepaid and other current assets6,5705,001
Total current assetsTotal current assets195,707306,737Total current assets199,607196,076
Long-term investmentsLong-term investments70,514104,338
Property and equipment, netProperty and equipment, net29,90128,290Property and equipment, net32,86731,409
Operating lease right-of-use assetsOperating lease right-of-use assets2,4651,914Operating lease right-of-use assets4,5094,761
Long-term investments105,09714,178
Intangible assets, netIntangible assets, net43,963128,199Intangible assets, net42,02042,992
GoodwillGoodwill234,781234,781Goodwill234,781234,781
Other noncurrent assetsOther noncurrent assets1,055440Other noncurrent assets685955
Total AssetsTotal Assets$612,969$714,539Total Assets$584,983$615,312
Liabilities and Stockholders’ EquityLiabilities and Stockholders’ EquityLiabilities and Stockholders’ Equity
Current liabilities:Current liabilities:Current liabilities:
Accounts payableAccounts payable$17,527$12,736Accounts payable$20,294$18,597
Accrued liabilitiesAccrued liabilities31,84627,984Accrued liabilities25,32136,092
Other current liabilities and current maturities of debt and leases4,5818,417
Current maturities of leasesCurrent maturities of leases1,7601,756
Total current liabilitiesTotal current liabilities53,95449,137Total current liabilities47,37556,445
Long-term debtLong-term debt56,35453,435Long-term debt59,84859,741
Finance lease liabilitiesFinance lease liabilities10,31710,969Finance lease liabilities9,84510,082
Operating lease liabilitiesOperating lease liabilities1,5931,180Operating lease liabilities3,8654,068
Contingent consideration and other noncurrent liabilities2,282187,424
Other noncurrent liabilitiesOther noncurrent liabilities1,2251,220
Total LiabilitiesTotal Liabilities124,500302,145Total Liabilities122,158131,556
Commitments and contingencies (Note 7)00
Commitments and contingencies (Note 8)Commitments and contingencies (Note 8)00
Stockholders’ Equity:Stockholders’ Equity:Stockholders’ Equity:
Common stock, $0.001 par value, 90,000 shares authorized and 45,933 and 45,346 issued and outstanding4645
Common stock, $0.001 par value, 90,000 shares authorized and 46,268 and 46,016 issued and outstandingCommon stock, $0.001 par value, 90,000 shares authorized and 46,268 and 46,016 issued and outstanding4646
Additional paid-in capitalAdditional paid-in capital755,048742,389Additional paid-in capital761,580764,811
Accumulated other comprehensive (loss) income(213)312
Accumulated other comprehensive lossAccumulated other comprehensive loss(3,465)(948)
Accumulated deficitAccumulated deficit(266,412)(330,352)Accumulated deficit(295,336)(280,153)
Total Stockholders’ EquityTotal Stockholders’ Equity488,469412,394Total Stockholders’ Equity462,825483,756
Total Liabilities and Stockholders’ EquityTotal Liabilities and Stockholders’ Equity$612,969$714,539Total Liabilities and Stockholders’ Equity$584,983$615,312
See accompanying notes to condensed consolidated financial statements.
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ATRICURE, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE INCOME (LOSS)LOSS
(In Thousands, Except Per Share Amounts)
(Unaudited)
Three Months Ended
September 30,
Nine Months Ended
September 30,
2021202020212020
Revenue$70,460 $54,757 201,111 $148,806 
Cost of revenue18,234 $14,423 50,267 41,934 
Gross profit52,226 $40,334 150,844 106,872 
Operating (benefit) expenses:
Research and development expenses11,284 10,576 34,698 32,199 
Selling, general and administrative expenses49,873 33,557 150,939 106,257 
Change in fair value of contingent consideration (Note 2)(189,900)192 (184,800)(4,854)
Intangible asset impairment (Note 3)82,300 82,300 
Total operating (benefit) expenses(46,443)44,325 83,137 133,602 
Income (loss) from operations98,669 (3,991)67,707 (26,730)
Other income (expense):
Interest expense(1,449)(1,232)(3,835)(3,691)
Interest income117 246 354 914 
Other(191)24 (151)(70)
Income (loss) before income tax expense97,146 (4,953)64,075 (29,577)
Income tax expense (benefit)38 (4)135 16 
Net income (loss)$97,108 $(4,949)$63,940 $(29,593)
Net income (loss) per share
Basic net income (loss) per share$2.15 $(0.11)$1.42 $(0.71)
Diluted net income (loss) per share$2.11 $(0.11)$1.39 $(0.71)
Weighted average shares outstanding
Basic45,258 44,012 44,977 41,442
Diluted46,100 44,012 45,996 41,442
Comprehensive income (loss):
Unrealized (loss) gain on investments$(14)$(85)$(177)$26 
Foreign currency translation adjustment(112)238 (348)189 
Other comprehensive (loss) income(126)153 (525)215 
Net income (loss)97,108 (4,949)63,940 (29,593)
Comprehensive income (loss), net of tax$96,982 $(4,796)$63,415 $(29,378)
Three Months Ended
March 31,
20222021
Revenue$74,576 $59,275 
Cost of revenue18,981 14,735 
Gross profit55,595 44,540 
Operating expenses:
Research and development expenses13,629 11,217 
Selling, general and administrative expenses56,116 49,208 
Total operating expenses69,745 60,425 
Loss from operations(14,150)(15,885)
Other income (expense):
Interest expense(1,000)(1,189)
Interest income116 134 
Other(93)54 
Loss before income tax expense(15,127)(16,886)
Income tax expense56 31 
Net loss$(15,183)$(16,917)
Basic and diluted net loss per share$(0.33)$(0.38)
Weighted average shares outstanding—basic and diluted45,528 44,632 
Comprehensive loss:
Unrealized loss on investments$(2,339)$(31)
Foreign currency translation adjustment(178)(299)
Other comprehensive loss(2,517)(330)
Net loss(15,183)(16,917)
Comprehensive loss, net of tax$(17,700)$(17,247)
See accompanying notes to condensed consolidated financial statements.
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ATRICURE, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY
(In Thousands)
(Unaudited)
Three-Month Period Ended September 30, 2020
Common Stock
 
Additional
Paid-in
Capital
 Accumulated
Deficit
 
Accumulated
Other
Comprehensive
Income (Loss)
 
Total
Stockholders’
Equity
Shares
 
Amount
    
Balance—June 30, 202044,939 $45 $723,754 $(306,841)$(96)$416,862 
Impact of equity compensation plans82 — 5,466 — — 5,466 
Other comprehensive income— — — — 153 153 
Net loss— — — (4,949)— (4,949)
Balance—September 30, 202045,021 $45 $729,220 $(311,790)$57 $417,532 
 Three-Month Period Ended September 30, 2021
 
Common Stock
Additional
Paid-in
Capital
Accumulated
Deficit
Accumulated
Other
Comprehensive
Income (Loss)
Total
Stockholders’
Equity
 
Shares
Amount
Balance—June 30, 202145,881 $46 $748,644 $(363,520)$(87)$385,083 
Impact of equity compensation plans52 — 6,404 — — 6,404 
Other comprehensive loss— — — — (126)(126)
Net income— — — 97,108 — 97,108 
Balance—September 30, 202145,933 $46 $755,048 $(266,412)$(213)$488,469 
 Nine-Month Period Ended September 30, 2020
 
Common Stock
Additional
Paid-in
Capital
Accumulated
Deficit
Accumulated
Other
Comprehensive
Income (Loss)
Total
Stockholders’
Equity
 
Shares
Amount
Balance—December 31, 201939,655 $40 $529,658 $(282,197)$(158)$247,343 
Issuance of common stock through public offering4,574 188,953 — — 188,958 
Impact of equity compensation plans792 — 10,609 — — 10,609 
Other comprehensive income— — — — 215 215 
Net loss— — — (29,593)— (29,593)
Balance—September 30, 202045,021 $45 $729,220 $(311,790)$57 $417,532 
 
 Nine-Month Period Ended September 30, 2021
 
Common Stock
Additional
Paid-in
Capital
Accumulated
Deficit
Accumulated
Other
Comprehensive
Income (Loss)
Total
Stockholders’
Equity
 
Shares
Amount
Balance—December 31, 202045,346 $45 $742,389 $(330,352)$312 $412,394 
Impact of equity compensation plans587 12,659 — — 12,660 
Other comprehensive loss— — — — (525)(525)
Net income— — — 63,940 — 63,940 
Balance—September 30, 202145,933 $46 $755,048 $(266,412)$(213)$488,469 
 Three Months Ended March 31, 2021
 
Common Stock
Additional
Paid-in
Capital
Accumulated
Deficit
Accumulated
Other
Comprehensive
Income (Loss)
Total
Stockholders’
Equity
 
Shares
Amount
Balance—December 31, 202045,346 $45 $742,389 $(330,352)$312 $412,394 
Impact of equity compensation plans277 (3,905)— — (3,904)
Other comprehensive loss— — — — (330)(330)
Net loss— — — (16,917)— (16,917)
Balance—March 31, 202145,623 $46 $738,484 $(347,269)$(18)$391,243 
 
 Three Months Ended March 31, 2022
 
Common Stock
Additional
Paid-in
Capital
Accumulated
Deficit
Accumulated
Other
Comprehensive
Income (Loss)
Total
Stockholders’
Equity
 
Shares
Amount
Balance—December 31, 202146,016 $46 $764,811 $(280,153)$(948)$483,756 
Impact of equity compensation plans252 — (3,231)— — (3,231)
Other comprehensive loss— — — — (2,517)(2,517)
Net loss— — — (15,183)— (15,183)
Balance—March 31, 202246,268 $46 $761,580 $(295,336)$(3,465)$462,825 
See accompanying notes to condensed consolidated financial statements.
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ATRICURE, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(In Thousands)
(Unaudited)
Nine Months Ended
September 30,
Three Months Ended
March 31,
2021202020222021
Cash flows from operating activities:Cash flows from operating activities:  Cash flows from operating activities:
Net income (loss)$63,940 $(29,593)
Adjustments to reconcile net income (loss) to net cash used in operating activities:
Net lossNet loss$(15,183)$(16,917)
Adjustments to reconcile net loss to net cash used in operating activities:Adjustments to reconcile net loss to net cash used in operating activities:
Share-based compensation expenseShare-based compensation expense20,53916,126Share-based compensation expense7,049 6,604 
DepreciationDepreciation5,6725,937Depreciation1,895 1,884 
Amortization of intangible assetsAmortization of intangible assets1,9361,444Amortization of intangible assets972 238 
Amortization of deferred financing costsAmortization of deferred financing costs628423Amortization of deferred financing costs128 124 
Loss on disposal of property and equipmentLoss on disposal of property and equipment6893Loss on disposal of property and equipment18 17 
Amortization of investmentsAmortization of investments1,847628Amortization of investments559 555 
Change in fair value of contingent considerationChange in fair value of contingent consideration(184,800)(4,854)Change in fair value of contingent consideration— 2,500 
Intangible asset impairment82,300
Other non-cash adjustments to incomeOther non-cash adjustments to income896871Other non-cash adjustments to income320 254 
Changes in operating assets and liabilities:Changes in operating assets and liabilities:Changes in operating assets and liabilities:
Accounts receivableAccounts receivable(10,583)2,675Accounts receivable(7,950)(6,696)
InventoriesInventories(3,809)(4,746)Inventories(1,934)(1,264)
Other current assetsOther current assets436 481 Other current assets(1,581)(891)
Accounts payableAccounts payable4,527(515)Accounts payable1,729 2,835 
Accrued liabilitiesAccrued liabilities3,987(13,688)Accrued liabilities(10,701)1,799 
Other noncurrent assets and liabilitiesOther noncurrent assets and liabilities(1,665)895Other noncurrent assets and liabilities47 (358)
Net cash used in operating activitiesNet cash used in operating activities(14,081)(23,823)Net cash used in operating activities(24,632)(9,316)
Cash flows from investing activities:Cash flows from investing activities:Cash flows from investing activities:
Purchases of available-for-sale securities(160,577)(200,795)
Sales and maturities of available-for-sale securitiesSales and maturities of available-for-sale securities190,04749,984Sales and maturities of available-for-sale securities23,103 64,913 
Purchases of property and equipmentPurchases of property and equipment(7,043)(4,207)Purchases of property and equipment(3,381)(1,326)
Proceeds from capital grant800
Net cash provided by (used in) investing activities22,427(154,218)
Net cash provided by investing activitiesNet cash provided by investing activities19,722 63,587 
Cash flows from financing activities:Cash flows from financing activities:Cash flows from financing activities:
Proceeds from sale of stock, net of offering costs of $0 and $218188,958
Payments on debt and leases(2,269)(468)
Payments of debt fees(34)
Proceeds from stock option exercises and employee stock purchase plan10,0207,412
Payments on leasesPayments on leases(217)(198)
Proceeds from stock option exercisesProceeds from stock option exercises355 4,588 
Shares repurchased for payment of taxes on stock awardsShares repurchased for payment of taxes on stock awards(17,900)(12,929)Shares repurchased for payment of taxes on stock awards(10,635)(15,097)
Net cash (used in) provided by financing activities(10,149)182,939
Net cash used in financing activitiesNet cash used in financing activities(10,497)(10,707)
Effect of exchange rate changes on cash and cash equivalentsEffect of exchange rate changes on cash and cash equivalents(255)— Effect of exchange rate changes on cash and cash equivalents(106)(128)
Net (decrease) increase in cash and cash equivalentsNet (decrease) increase in cash and cash equivalents(2,058)4,898Net (decrease) increase in cash and cash equivalents(15,513)43,436 
Cash and cash equivalents—beginning of periodCash and cash equivalents—beginning of period41,94428,483Cash and cash equivalents—beginning of period43,654 41,944 
Cash and cash equivalents—end of periodCash and cash equivalents—end of period$39,886$33,381Cash and cash equivalents—end of period$28,141 $85,380 
Supplemental cash flow information:Supplemental cash flow information:Supplemental cash flow information:
Cash paid for interestCash paid for interest$3,225$3,286Cash paid for interest$866 $1,066 
Cash paid for income taxes, net of refundsCash paid for income taxes, net of refunds153206Cash paid for income taxes, net of refunds50 47 
Non-cash investing and financing activities:Non-cash investing and financing activities:Non-cash investing and financing activities:
Accrued purchases of property and equipmentAccrued purchases of property and equipment60688Accrued purchases of property and equipment1,558 239 
See accompanying notes to condensed consolidated financial statements.
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ATRICURE, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(In Thousands, except per share amounts)
(Unaudited)

1.DESCRIPTION OF BUSINESS AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
Nature of the Business—The “Company” or “AtriCure” consists of AtriCure, Inc. and its wholly-owned subsidiaries. The Company is a leading innovator in surgical treatments and therapies for atrial fibrillation (Afib) and, left atrial appendage (LAA) management and post-operative pain management and sells its products to medical centers globally through its direct sales force and distributors.
Basis of Presentation—The accompanying interim financial statements have been prepared in accordance with the rules and regulations of the Securities and Exchange Commission (SEC). The accompanying interim financial statements are unaudited, but in the opinion of the Company’s management, contain all normal, recurring adjustments considered necessary to present fairly the financial position, results of operations and cash flows for the periods presented in conformity with accounting principles generally accepted in the United States of America (GAAP) applicable to interim periods. Certain information and footnote disclosures included in annual financial statements prepared in accordance with GAAP have been omitted or condensed. The Company believes the disclosures herein are adequate to make the information presented not misleading. Results of operations are not necessarily indicative of the results expected for the full year or for any future period.
The accompanying interim financial statements should be read in conjunction with the Company’s audited financial statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 20202021 filed with the SEC. All intercompany accounts and transactions have been eliminated in consolidation.
Reclassification—In the quarter ended September 30, 2021, the Company changed the presentation of its condensed consolidated statement of operations and comprehensive income (loss) to separately disclose the change in contingent consideration, previously reported in selling, general and administrative expenses. Amounts for comparative prior fiscal periodsThere have been reclassified to conform to the current period presentation. This reclassification had no impact on previously reported net income or financial position.
Cash and Cash Equivalents—The Company considers highly liquid investments with maturities of three months or less at the date of purchase as cash equivalents. Cash equivalents include demand deposits, money market funds and repurchase agreements on deposit with financial institutions.
Investments—The Company invests primarily in government and agency obligations, corporate bonds, commercial paper and asset-backed securities and classifies all investments as available-for-sale. Investments maturing in less than one year are classified as short-term investments. Investments are recorded at fair value, with unrealized gains and losses recorded as accumulated other comprehensive income (loss). Gains and losses are recognized using the specific identification method when securities are sold and are included in interest income.
Revenue Recognition—The Company recognizes revenue when control of promised goods is transferred to customers in an amount that reflects the consideration the Company expects to be entitled to in exchange for those goods. This generally occurs upon shipment of goods to customers. See Note 8 for further discussion on revenue.
Sales Returns and Allowances—The Company maintains a provision for potential returns of defective or damaged products and invoice adjustments. The Company adjusts the provision using the expected value method based on historical experience. Increases to the provision reduce revenue, and the provision is included in accrued liabilities.
Allowance for Credit Losses on Accounts Receivable—The Company evaluates the expected credit losses on accounts receivable, considering historical credit losses, current customer-specific information and other relevant factors when determining the allowance. An increase to the allowance for credit losses results in a corresponding increase in selling, general and administrative expenses. The Company charges off uncollectible receivables against the allowance when all attempts to collect the receivable have failed. The Company’s history of write-offs has not been significant.
Inventories—Inventories are stated at the lower of cost or net realizable value based on the first-in, first-out cost method (FIFO) and consist of raw materials, work in process and finished goods. The Company’s industry is characterized by rapid product development and frequent new product introductions. Uncertain timing of regulatory approvals, variability in product launch strategies and variation in product use all impact inventory reserves for excess, obsolete and expired products. An increase to inventory reserves results in a corresponding increase in cost of revenue. Inventories are written off against the reserve when they are physically disposed.
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ATRICURE, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(In Thousands, except per share amounts)
(Unaudited)
Inventories consist of the following:
September 30,
2021
 December 31,
2020
Raw materials$13,053$11,966
Work in process3,3572,424
Finished goods22,17720,636
Inventories$38,587$35,026
Property and Equipment—Property and equipment is stated at cost less accumulated depreciation. Depreciation is computed using the straight-line method over the estimated useful lives of assets. The estimated useful life by major asset category is the following:
Estimated Useful Life
Generators and related equipment1 - 3 years
Building and building under finance lease15 - 20 years
Computers, software and office equipment3 - 5 years
Machinery and equipment3 - 7 years
Furniture and fixtures3 - 7 years
Leasehold improvements5 - 15 years
Equipment under finance leases3 - 5 years
The Company assesses the useful lives of property and equipment at least annually and retires assets no longer in use. Maintenance and repair costs are expensed as incurred. The Company reviews property and equipment for impairment at least annually using its best estimates based on reasonable and supportable assumptions and expected future cash flows. Property and equipment impairments have not been significant.
The Company’s radiofrequency (RF) and cryo generators are generally placed with customers that use the Company’s disposable products. The estimated useful lives of generators are based on anticipated usage by customers and may change in future periods with changes in usage or introduction of new technology. Depreciation of generators and related equipment, which is included in cost of revenue, was $532 and $613the Company's significant accounting policies for the three months ended September 30, 2021 and 2020 and $1,735 and $1,898March 31, 2022 as compared to the significant accounting policies described in the Company's Annual Report on Form 10-K for the nine monthsyear ended September 30, 2021 and 2020. As of September 30, 2021 and December 31, 2020, the net carrying value of generators and related equipment included in net property and equipment was $3,609 and $3,410.
Leases— The Company leases office, manufacturing and warehouse facilities and computer equipment under leases that qualify as either financing or operating leases, as determined at the inception of the lease arrangement. Lease assets represent the right to use an underlying asset for the lease term, and lease liabilities represent the obligation to make lease payments arising from the lease. Lease assets and liabilities are measured and recorded at the commencement date based on the present value of lease payments over the lease term.
Lease assets and liabilities exclude lease incentives and include options to extend or terminate when it is reasonably certain the Company will exercise that option. The Company uses the implicit rate when readily determinable; however, as most leases do not provide an implicit rate, the Company uses its incremental borrowing rate based on the information available at measurement. The Company also applies the short-term lease recognition exemption, recognizing lease payments in profit or loss, for leases that have a lease term of 12 months or less at commencement and do not include an option to extend the lease whose exercise is reasonably certain. For real estate and equipment leases, the Company accounts for the lease and non-lease components as a single lease component. Additionally, the portfolio approach is applied for the operating leases based on the terms of the underlying leases.
Operating leases are included in operating lease right-of-use (ROU) assets and operating lease liabilities, while finance leases are included in property and equipment and finance lease liabilities. The short-term portions of both lease liabilities are included in other current liabilities and current maturities of debt and leases. Operating lease expense is recognized on a straight-line basis over the lease term. See Note 6 for further discussion.
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ATRICURE, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(In Thousands, except per share amounts)
(Unaudited)
Intangible Assets—Intangible assets with determinable useful lives are amortized on a straight-line basis over the estimated periods benefited. Intangible assets include In Process Research and Development (IPR&D), representing the value of technology acquired in business combinations that has not yet reached technological feasibility. The primary basis for determining technological feasibility is obtaining specific regulatory approvals. IPR&D is accounted for as an indefinite-lived intangible asset until completion or abandonment of the IPR&D project. Upon completion of the development project, IPR&D will be amortized over its estimated useful life. Due to the nature of IPR&D projects, the Company may experience future delays or failures to obtain regulatory approvals or market clearances, or may discontinue or abandon the project, all which may impact the estimated fair value of the IPR&D project. As a result, the Company may have a full or partial impairment charge related to the IPR&D, calculated as the excess carrying value of the IPR&D asset over the estimated fair value.
The Company reviews intangible assets at least annually for impairment using its best estimates based on reasonable and supportable assumptions and projections. The Company performs impairment testing annually on October 1 or more often if impairment indicators are present.
Through April 2021 the IPR&D asset included an estimate of the fair value of the pre-market approval (PMA) that could result from the CONVERGE IDE and aMAZE™ IDE clinical trials. The Company received PMA approval for CONVERGE on April 28, 2021 and began amortizing the $44,021 technology asset over an estimated fifteen year life. During the third quarter 2021, the Company identified indicators of impairment for the IPR&D asset that represents an estimate of the fair value of the PMA that could result from the aMAZE clinical trial. As a result of the analysis performed, the Company recorded an impairment loss of $82,300. See Note 3 for further discussion.
Goodwill—Goodwill represents the excess of purchase price over the fair value of the net assets acquired in business combinations. The Company’s goodwill is accounted for in a single reporting unit representing the Company as a whole. The Company performs impairment testing annually on October 1 or more often if impairment indicators are present.
Contingent Consideration and Other Noncurrent Liabilities—This balance consists of contingent consideration from business combinations, as well as deferred payroll taxes as a result of the Coronavirus Aid, Relief, and Economic Security Act (CARES Act), asset retirement obligations and other contractual obligations. The contingent consideration balance is included in noncurrent liabilities as any settlement is expected to be made primarily in shares of the Company’s common stock pursuant to the SentreHEART, Inc. (SentreHEART) merger agreement. See Note 2 for further discussion.
Other Income (Expense)—Other income (expense) consists primarily of foreign currency transaction gains and losses generated by settlements of intercompany balances denominated in Euros and customer invoices transacted in British Pounds.
Taxes—Deferred income tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of assets and liabilities and their respective tax bases and operating loss and tax credit carryforwards. Deferred income tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred income tax assets and liabilities from a change in tax rates is recognized in the period that includes the enactment date.
The Company’s estimate of the valuation allowance for deferred income tax assets requires significant estimates and judgments about future operating results. Deferred income tax assets are reduced by valuation allowances if, based on the consideration of all available evidence, it is more-likely-than-not that the deferred income tax asset will not be realized. Significant weight is given to evidence that can be objectively verified. The Company evaluates deferred income tax assets on an annual basis to determine if valuation allowances are required. Deferred income tax assets are realized by having sufficient future taxable income to allow the related tax benefits to reduce taxes otherwise payable. The sources of taxable income that may be available to realize the benefit of deferred income tax assets are future taxable income, future reversals of existing taxable temporary differences, carryforwards and tax planning strategies that are both prudent and feasible. In evaluating the need for a valuation allowance, the existence of cumulative losses in recent years is significant objectively verifiable negative evidence that must be overcome by objectively verifiable positive evidence to avoid the need for a valuation allowance. The Company has established a full valuation allowance against substantially all net deferred income tax assets as it is more-likely-than-not that the benefit of the deferred income tax assets will not be recognized in future periods. The Company has not reclassified income tax effects of the Tax Cuts and Jobs Act within accumulated other comprehensive income (loss) to retained earnings due to its full valuation allowance.
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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(In Thousands, except per share amounts)
(Unaudited)
Earnings Per Share—Basic earnings per share is computed by dividing net income available to common stockholders by the weighted average number of shares of common stock outstanding during the period. Diluted earnings per share reflects net income available to common stockholders divided by the weighted average number of common shares outstanding during the period and any dilutive common share equivalents, including shares issuable upon the vesting of restricted stock awards and restricted stock units, exercise of stock options as well as shares issuable under the Company's employee stock purchase plan (ESPP).
Three Months Ended
September 30,
Nine Months Ended
September 30,
2021202020212020
Net income (loss) available to common stockholders$97,108 $(4,949)$63,940 $(29,593)
Basic weighted average common shares outstanding45,25844,01244,977 41,442 
Effect of dilutive securities8421,019 — 
Diluted weighted average common shares outstanding46,10044,01245,996 41,442 
Basic net income (loss) per common share$2.15 $(0.11)$1.42 $(0.71)
Diluted net income (loss) per common share$2.11 $(0.11)$1.39 $(0.71)
For the three and nine months ended September 30, 2020, net loss per share excludes the effect of 2,687 shares because the effect would be anti-dilutive. The computation of diluted earnings per share in the three and nine month periods ended September 30, 2021 excludes 491 and 582 shares because the effect would be anti-dilutive.
Comprehensive Income (Loss) and Accumulated Other Comprehensive Income (Loss)—In addition to net income (loss), the comprehensive income (loss) includes foreign currency translation adjustments and unrealized gains (losses) on investments.
Accumulated other comprehensive income (loss) consisted of the following, net of tax:
Three Months Ended
September 30,
Nine Months Ended
September 30,
2021202020212020
Total accumulated other comprehensive income (loss) at beginning of period$(87)$(96)$312$(158)
Unrealized Gains (Losses) on Investments
Balance at beginning of period$(109)$211$54$100
Other comprehensive (loss) income before reclassifications(14)(85)(177)7
Amounts reclassified from accumulated other comprehensive income (loss) to other income (expense)— 19
Balance at end of period$(123)$126$(123)$126
Foreign Currency Translation Adjustment
Balance at beginning of period$22 $(307)$258$(258)
Other comprehensive (loss) income before reclassifications(293)290(555)177 
Amounts reclassified from accumulated other comprehensive income (loss) to other income (expense)181(52)20712
Balance at end of period$(90)$(69)$(90)$(69)
Total accumulated other comprehensive income (loss) at end of period$(213)$57 $(213)$57 
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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(In Thousands, except per share amounts)
(Unaudited)
Research and Development Costs—Research and development costs are expensed as incurred. These costs include compensation and other internal and external costs associatedfiled with the development and research of new and existing products or concepts, preclinical studies, clinical trials and related regulatory activities, as well as amortization of technology assets.SEC.
Advertising CostsThe Company expenses advertising costs as incurred. Advertising costs were not significant during the three and nine months ended September 30, 2021 and 2020.
Share-Based Compensation—The Company records share-based compensation for all share-based payment awards, including stock options, restricted stock awards, restricted stock units, performance shares (PSAs) and stock purchases related to an employee stock purchase plan, based on estimated fair values. The value of the portion of an award that is ultimately expected to vest, net of estimated forfeitures, is recognized as expense over the service period. The Company estimates forfeitures at the time of grant and revises them, as necessary, in subsequent periods as actual forfeitures differ from those estimates. The Company recognized share-based compensation expense of $6,794 and $5,549 for the three months ended September 30, 2021 and 2020 and $20,539 and $16,126 for the nine months ended September 30, 2021 and 2020.
The Company estimates the fair value of time-based options on the date of grant using the Black-Scholes option-pricing model (Black-Scholes model). The Company’s determination of the fair value is affected by the Company’s stock price as well as several subjective assumptions, such as the Company’s expected stock price volatility over the term of the awards and actual and projected employee stock option exercise behaviors. The Company estimates the fair value of restricted stock awards and restricted stock units based upon the grant date closing market price of the Company’s common stock.
The Company estimates the fair value of PSAs with a performance condition based on the closing stock price on the date of grant assuming the performance goal will be achieved and may adjust expense over the performance period based on changes to estimates of performance target achievement. If such goals are not met or service is not rendered for the requisite service period, no compensation cost is recognized, and any recognized compensation cost will be reversed. For PSAs with a market condition, a Monte Carlo simulation is performed to estimate the fair value on the date of grant, and compensation cost is recognized over the requisite service period as the employee renders service, even if the market condition is not satisfied. The Company’s determination of the fair value is affected by the Company and the peer group’s stock price, as defined by the award agreement, at the beginning of the service period and grant date, the expected volatility of the Company and peer group’s stock price over the performance period and the correlation coefficient of the daily returns for the Company and peer group over the performance period.
The Company also has an employee stock purchase plan (ESPP) which is available to all eligible employees as defined by the plan document. Under the ESPP, shares of the Company’s common stock may be purchased at a discount. The Company estimates the number of shares to be purchased under the ESPP at the beginning of each purchase period based upon the fair value of the stock at the beginning of the purchase period using the Black-Scholes model and records estimated compensation expense during the purchase period. Expense is adjusted at the time of stock purchase.
Use of Estimates—The preparation of the financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, including intangible assets, disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expense during the reporting period. Estimates are based on historical experience, where applicable, and other assumptions believed to be reasonable by management. Actual results could differ from those estimates.
Segments—The chief operating decision maker for the Company is the Chief Executive Officer. The Chief Executive Officer reviews financial information presented on a consolidated basis, accompanied only by information about revenue by product type and geographic area, for purposes of allocating resources and evaluating financial performance. Accordingly, the Company has determined that it has a single operating segment. The Company’s long-lived assets are located primarily in the United States, except for $1,321 as of March 31, 2022 and $1,399 as of December 31, 2021 located primarily in Europe.
Net Loss Per Share—Basic and diluted net loss per share is computed by dividing the net loss by the weighted average number of shares of common shares outstanding during the period. Since the Company has experienced net losses for all periods presented, net loss per share excludes the effect of 1,567 and 1,955 stock options, restricted shares, restricted stock units and performance award shares as of March 31, 2022 and 2021 because they are anti-dilutive. Therefore, the number of shares calculated for basic net loss per share is also used for the diluted net loss per share calculation.
2.FAIR VALUE
The Financial Accounting Standards Board’s (FASB) Accounting Standards Codification (ASC) 820, “Fair Value Measurements and Disclosures” (ASC 820), defines fair value as the exchange price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date. Valuation techniques used to measure fair value must maximize the use of observable inputs and minimize the use of unobservable inputs. The fair value hierarchy is based on three
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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(In Thousands, except per share amounts)
(Unaudited)
levels of inputs, of which the first two are considered observable and the last unobservable, that may be used to measure fair value:
Level 1—Quoted prices in active markets for identical assets or liabilities.
Level 2—Inputs other than Level 1 that are observable, either directly or indirectly, such as quoted prices for similar assets or liabilities; quoted prices in markets that are not active; or other inputs that are observable or can be corroborated by observable market data for substantially the full term of the assets or liabilities.
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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(In Thousands, except per share amounts)
(Unaudited)
Level 3—Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities.
The Company classifies cash and investments in government and agency obligations, accounts receivable, short-term other assets, accounts payable and accrued liabilities as Level 1 within the fair value hierarchy. The carrying amounts of these assets and liabilities approximate their fair value due to their relatively short-term nature. Cash equivalents and investments in corporate bonds, commercial paper and asset-backed securities are classified as Level 2 within the fair value hierarchy. The fair value of fixed term debt is estimated by calculating the net present value of future debt payments at current market interest rates and is classified as Level 2. The book value of the Company’s fixed term debt approximates its fair value because the interest rate varies with market rates.
The following table represents the Company’s fair value hierarchy for its financial assets and liabilities measured at fair value on a recurring basis as of September 30, 2021:March 31, 2022:
Quoted Prices in
Active Markets for
Identical Assets
(Level 1)
Significant Other
Observable Inputs
(Level 2)
Significant Other
Unobservable
Inputs (Level 3)
TotalQuoted Prices in
Active Markets for
Identical Assets
(Level 1)
Significant Other
Observable Inputs
(Level 2)
Significant Other
Unobservable
Inputs (Level 3)
Total
Assets:Assets:Assets:
Money market fundsMoney market funds$$36,262$$36,262Money market funds$$25,244$$25,244
Commercial paperCommercial paper28,96828,968Commercial paper22,98922,989
Government and agency obligationsGovernment and agency obligations27,93627,936Government and agency obligations31,91931,919
Corporate bondsCorporate bonds98,50598,505Corporate bonds84,05984,059
Asset-backed securitiesAsset-backed securities29,54829,548Asset-backed securities14,80314,803
Total assetsTotal assets$27,936$193,283$$221,219Total assets$31,919$147,095$$179,014
Liabilities:
Contingent consideration$$$$
Total liabilities$$$$
There were no changes in the levels or methodology of measurement of financial assets and liabilities during the three and nine months ended September 30, 2021.
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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(In Thousands, except per share amounts)
(Unaudited)
March 31, 2022.
The following table represents the Company’s fair value hierarchy for its financial assets and liabilities measured at fair value on a recurring basis as of December 31, 2020:2021:
Quoted Prices in
Active Markets for
Identical Assets
(Level 1)
Significant Other
Observable Inputs
(Level 2)
Significant Other
Unobservable
Inputs (Level 3)
TotalQuoted Prices in
Active Markets for
Identical Assets
(Level 1)
Significant Other
Observable Inputs
(Level 2)
Significant Other
Unobservable
Inputs (Level 3)
Total
Assets:Assets:Assets:
Money market fundsMoney market funds$$38,452$$38,452Money market funds$$38,360$$38,360
Commercial paperCommercial paper76,91476,914Commercial paper22,97822,978
Government and agency obligationsGovernment and agency obligations45,39945,399Government and agency obligations32,69032,690
Corporate bondsCorporate bonds73,73073,730Corporate bonds95,84595,845
Asset-backed securitiesAsset-backed securities20,40920,409Asset-backed securities28,26128,261
Total assetsTotal assets$45,399$209,505$$254,904Total assets$32,690$185,444$$218,134
Liabilities:
Contingent consideration$$$184,800184,800
Total liabilities$$$184,800$184,800
Contingent Consideration. The Company’s contingent consideration arrangements arising from the SentreHEART acquisition obligate the Company to pay certain defined amounts to former shareholders of SentreHEART if specified milestones are met related to the aMAZE IDE clinical trial, including PMA approval and reimbursement for the therapy involving SentreHEART’s devices. As of December 31, 2020, the terms of the contingent consideration arrangements under the nContact merger agreement expired.
The Company measures contingent consideration liabilities using unobservable inputs by applying the probability-weighted scenario method, an income approach. Various key assumptions, such as the probability and timing of achievement of the agreed milestones, are significant to the determination of fair value of contingent consideration arrangements and are not observable in the market, thus representing a Level 3 measurement within the fair value hierarchy. Contingent consideration liabilities are periodically measured, with changes in the estimated fair value reflected in operating expenses. Changes in the discount rate, projected time until payment and probability of payment may result in materially different fair value measurements. A decrease in the discount rate would result in a higher fair value measurement, while a decrease in the probability of payment would result in a lower fair value measurement. Movement in the forecasted timing of achievement to later in the milestone periods would cause a decrease in the fair value measurement.
In July 2021, the Company was informed that data from the aMAZE clinical trial did not achieve statistical superiority. Specifically, while the trial met the safety endpoint, the trial did not meet the primary efficacy endpoint. As the contingent consideration arrangements were success-based milestone payments, the fair value of the SentreHEART contingent consideration was remeasured as of September 30, 2021 resulting in a decrease in fair value due to changes in estimates related to both the forecasted timing and probability of achievement of the regulatory and reimbursement milestones. Specifically, the Companyhas assessed the projected probability of payment during the contractual achievement periods to be remote, as of September 30, 2021, resulting in no remaining fair value. Accordingly, the Company recorded a credit to operating expensesvalue as of $189,900 in the third quarter 2021, reflecting the change in fair value of the contingent consideration during the three months ended September 30,March 31, 2022 and December 31, 2021.
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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(In Thousands, except per share amounts)
(Unaudited)
The following table represents the Company’s Level 3 fair value measurements using significant other unobservable inputs for acquisition-related contingent consideration:
Nine Months Ended
September 30, 2021
Twelve Months Ended
December 31, 2020
Beginning Balance$184,800$185,157
Amounts acquired
Changes in fair value included in earnings(184,800)(357)
Ending Balance$$184,800
3.INTANGIBLE ASSETSINVENTORIES
The following table provides a summaryInventories consist of the Company’s intangible assets:following:
  September 30, 2021 December 31, 2020
Estimated Useful LifeCostAccumulated
Amortization
CostAccumulated
Amortization
Technology5 - 15 years$55,712$11,749$11,691$9,813
IPR&D126,321
Total$55,712$11,749$138,012$9,813
Following PMA approval of the EPi-Sense® System in the second quarter 2021, the related IPR&D asset with a value of $44,021 was determined to have a finite useful life. The intangible asset is now included in technology assets and is amortized over an estimated fifteen year life.
As a result of data from the aMAZE clinical trial not achieving statistical superiority, the Company identified indicators of impairment for the IPR&D asset that represents an estimate of the fair value of the PMA that could result from the aMAZE clinical trial. During the third quarter 2021, an impairment test was performed using estimates based on reasonable and supportable assumptions and projections of expected future cash flows, and the Company recorded an impairment charge of $82,300, reducing the carrying value of the aMAZE IPR&D asset to $0 at September 30, 2021. This impairment charge is reflected as a component of operating expenses.
Amortization expense of intangible assets with definite lives, which excludes IPR&D assets, was $971 and $467 for the three months ended September 30, 2021 and 2020 and $1,936 and $1,444 for the nine months ended September 30, 2021 and 2020.
Future amortization expense is projected as follows:
2021 (excluding the nine months ended September 30, 2021)$972
20223,653
20232,953
20242,953
20252,953
2026 and thereafter30,479
Total$43,963
March 31,
2022
December 31,
2021
Raw materials$13,709$12,653
Work in process2,4972,064
Finished goods24,55624,247
Total$40,762$38,964
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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(In Thousands, except per share amounts)
(Unaudited)
4.INTANGIBLE ASSETS
The following table provides a summary of the Company’s intangible assets:
  March 31, 2022 December 31, 2021
Estimated Useful LifeCostAccumulated
Amortization
CostAccumulated
Amortization
Technology10 - 15 years$55,712$13,692$55,712$12,720
Total$55,712$13,692$55,712$12,720
Amortization expense of intangible assets was $972 and $238 for the three months ended March 31, 2022 and 2021. Future amortization expense is projected as follows:
2022 (excluding the three months ended March 31, 2022)$2,681
20232,953
20242,953
20252,953
20262,953
2027 and thereafter27,527
Total$42,020
5.ACCRUED LIABILITIES
Accrued liabilities consistedconsist of the following:
September 30,
2021
 December 31,
2020
March 31,
2022
 December 31,
2021
Accrued compensation and employee-related expensesAccrued compensation and employee-related expenses$26,670$17,730Accrued compensation and employee-related expenses$20,305$30,990
Sales returns and allowancesSales returns and allowances2,6111,889Sales returns and allowances2,1732,416
Accrued taxes and value-added taxes payableAccrued taxes and value-added taxes payable1,4871,256Accrued taxes and value-added taxes payable1,5921,452
Accrued royaltiesAccrued royalties783703Accrued royalties774754
Other accrued liabilitiesOther accrued liabilities285406Other accrued liabilities477480
Accrued legal settlement106,000
TotalTotal$31,846$27,984Total$25,321$36,092
5.6.INDEBTEDNESS
Credit Facility. The Company has a Loan and Security Agreement, as amended and modified effective November 1, 2021 (Loan Agreement) with Silicon Valley Bank (SVB), which. The Loan Agreement includes a $60,000 term loan, and a $20,000 revolving line of credit. The total combined term loan and$30,000 revolving line of credit, outstandingand an option to make available an additional $30,000 in term loan borrowings. The Loan Agreement has a five year term, expiring November 2026.
Principal payments under the Loan Agreement cannot exceed $70,000 at any time priorare to SVB’s consent. The term loan and revolving credit facility both mature or expire, as applicable, on August 1, 2024. On February 8, 2021,be made ratably commencing 24 months after inception through the loan's maturity date. At the option of the Company, and SVB entered into an amendment to the Loan Agreement which modified the covenant reporting requirements and allowed the Company to defer thecommencement of term loan principal payments until September 2021. The amendment was treated as a debt modification.
Term loan principal payments commenced September 1, 2021.may be extended an additional twelve months. The term loan accrues interest at the greater of the Prime Rate or 5.00%, plus 0.75%1.25% and is subject to an additional 3.00% fee on the $60,000 term loan principal payableamount at maturity or upon acceleration or prepayment of the term loan.maturity. The Company is accruing the 3.00% fee over the term of the Loan Agreement, with $1,020 accrued$150 included in the current portion of the outstanding loan balance as of September 30, 2021.March 31, 2022. Additionally, the unamortized original financing costs related to the term loan of $313$302 are netted against the outstanding loan balance in the Condensed Consolidated Balance Sheets and are amortized ratably over the term of the Loan Agreement.
The revolving line of credit is subject to an annual facility fee of 0.15%0.20% of the revolving line of credit, and any borrowings thereunder bear interest at the greater of the Prime Rate or 5.00%.Rate. Borrowing availability under the revolving credit facility is based on the lesser of $20,000$30,000 or a borrowing base calculation as defined by the Loan Agreement. As of September 30, 2021,March 31, 2022, the Company had no borrowings under the revolving credit facility and had borrowing availability of approximately $10,000.$28,750. Financing costs related
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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(In Thousands, except per share amounts)
(Unaudited)
to the revolving line of credit are included in other assets in the Condensed Consolidated Balance Sheets and amortized ratably over the twelve-month period of the annual fee.
The Loan Agreement also provides for certain prepayment and early termination fees, as well as establishes a minimum liquidity covenant and dividend restrictions, along with other customary terms and conditions. Specified assets have been pledged as collateral.
Effective November 1, 2021, the Company and SVB entered into the Sixth Amendment to the Loan and Security Agreement (Amended Loan and Security Agreement). The agreement provides for a $60,000 term loan, with an option to make available an additional $30,000 in term loan borrowings, and a $30,000 revolving line of credit. The Amended Loan and Security Agreement has a five year term, expiring November 2026. Principal payments are to be made ratably commencing 24 months after the inception of the loan through the loan's maturity date. At the option of the Company, the commencement of term loan principal payments may be extended an additional twelve months. The term loan accrues interest at the Prime Rate plus 1.25% and is subject to an additional 3.00% fee on the term loan principal amount at maturity. The revolving line of credit is subject to an annual facility fee of 0.20%, and any borrowings bear interest at the floating Prime Rate. The Amended Loan and Security Agreement also provides for certain prepayment and early termination fees, as well as establishes a liquidity covenant, along with other customary terms and conditions similar to those in the Company's current agreement with SVB. This refinancing has been treated as a debt modification, with the $1,667 principal repayment made in October 2021 classified as current, while the remaining borrowings of $56,666 have been classified as long-term in the Condensed Consolidated Balance Sheet as of September 30, 2021.
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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(In Thousands, except per share amounts)
(Unaudited)
Future maturities of long-term debt, excluding the term loan final fee, and after consideration of the refinancing transaction in November 2021, are projected as follows:
2021 (excluding the nine months ended September 30, 2021)$
2022
2022 (excluding the three months ended March 31, 2022)2022 (excluding the three months ended March 31, 2022)$
202320233,33320233,333
2024202420,000202420,000
2025202520,000202520,000
2026202616,667202616,667
Total long-term debtTotal long-term debt$60,000Total long-term debt$60,000
6.7.LEASES
The Company has operating and finance leases for offices, manufacturing and warehouse facilities and computer equipment. The Company’s leases have remaining lease terms of less than one year to tennine years. Options to renew or extend leases beyond their initial term have been excluded from measurement of the ROU assets and lease liabilities for the majority of leases as exercise is not reasonably certain.
The weighted average remaining lease term and the discount rate for the reporting periods are as follows:
September 30, 2021December 31, 2020March 31, 2022December 31, 2021
Operating LeasesOperating LeasesOperating Leases
Weighted average remaining lease term (years)Weighted average remaining lease term (years)3.33.2Weighted average remaining lease term (years)5.03.6
Weighted average discount rateWeighted average discount rate5.60%5.68%Weighted average discount rate4.69%4.69%
Finance leasesFinance leasesFinance leases
Weighted average remaining lease term (years)Weighted average remaining lease term (years)8.99.7Weighted average remaining lease term (years)8.48.6
Weighted average discount rateWeighted average discount rate6.91%6.91%Weighted average discount rate6.92%6.91%
A $1,250 letter of credit for $1,250 was issued to the lessor of the Company's corporate headquarters building in October 2015, which is renewed annually and remains outstanding as of September 30, 2021.March 31, 2022.
The components of lease expense are as follows:
Three Months Ended
September 30,
Nine Months Ended
September 30,
Three Months Ended
March 31,
2021202020212020 20222021
Operating lease costOperating lease cost$234$293$715$986Operating lease cost$286 $279 
Finance lease cost:Finance lease cost:Finance lease cost:
Amortization of right-of-use assetsAmortization of right-of-use assets267260765786Amortization of right-of-use assets169 256 
Interest on lease liabilitiesInterest on lease liabilities196209599638Interest on lease liabilities189 203 
Total finance lease costTotal finance lease cost$463$469$1,364$1,424Total finance lease cost$358 $459 
Short termShort-term lease expense was not significant for the three and nine months ended September 30, 2021March 31, 2022 and 2020.2021.
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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(In Thousands, except per share amounts)
(Unaudited)
Supplemental cash flow information related to leases was as follows:
Nine Months Ended
September 30, 2021
Nine Months Ended
September 30, 2020
Three Months Ended
March 31, 2022
Three Months Ended
March 31, 2021
Cash paid for amounts included in the measurement of lease liabilities:Cash paid for amounts included in the measurement of lease liabilities:Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows from operating leasesOperating cash flows from operating leases$748$944Operating cash flows from operating leases$251 $331 
Operating cash flows from finance leasesOperating cash flows from finance leases597638Operating cash flows from finance leases189 203 
Financing cash flows from finance leasesFinancing cash flows from finance leases599468Financing cash flows from finance leases217 198 
Right-of-use assets obtained in exchange for lease obligations:
Operating Leases1,2211,691
Finance Leases
Early termination of operating lease2,473
No right-of-use assets were obtained in exchange for lease obligations during the three months ended March 31, 2022 and 2021.
Supplemental balance sheet information related to leases was as follows:
September 30, 2021December 31, 2020March 31, 2022December 31, 2021
Operating LeasesOperating LeasesOperating Leases
Operating lease right-of-use assetsOperating lease right-of-use assets$2,465$1,914Operating lease right-of-use assets$4,509 $4,761 
Other current liabilities and current maturities of debt and leases1,020927
Current maturities of leasesCurrent maturities of leases845 861 
Operating lease liabilitiesOperating lease liabilities1,5931,180Operating lease liabilities3,865 4,068 
Total operating lease liabilitiesTotal operating lease liabilities$2,613$2,107Total operating lease liabilities$4,710 $4,929 
Finance LeasesFinance LeasesFinance Leases
Property and equipment, at costProperty and equipment, at cost$14,607$14,659Property and equipment, at cost$14,607 $14,607 
Accumulated depreciationAccumulated depreciation(5,862)(5,247)Accumulated depreciation(6,285)(6,116)
Property and equipment, netProperty and equipment, net$8,745$9,412Property and equipment, net$8,322 $8,491 
Other current liabilities and current maturities of debt and leases$874$823
Current maturities of leasesCurrent maturities of leases$915 $895 
Finance lease liabilitiesFinance lease liabilities10,31710,969Finance lease liabilities9,845 10,082 
Total finance lease liabilitiesTotal finance lease liabilities$11,191$11,792Total finance lease liabilities$10,760 $10,977 
Maturities of lease liabilities as of March 31, 2022 were as follows:
Operating LeasesFinance Leases
2022 (excluding the three months ended March 31, 2022)$610 $1,223 
20231,160 1,652 
20241,164 1,674 
2025920 1,625 
2026592 1,657 
2027 and thereafter868 6,515 
Total payments$5,314 $14,346 
Less imputed interest(604)(3,586)
Total$4,710 $10,760 
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ATRICURE, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(In Thousands, except per share amounts)
(Unaudited)
Maturities of lease liabilities as of September 30, 2021 were as follows:
Operating LeasesFinance Leases
2021 (excluding the nine months ended September 30, 2021)$252$406
20229671,629
20236821,652
20246091,674
20253481,625
2026 and thereafter8,172
Total payments$2,858$15,158
Less imputed interest(245)(3,967)
Total$2,613$11,191
7.8.COMMITMENTS AND CONTINGENCIES
Royalty Agreements. The Company has a royalty agreementsagreement in place with terms that include payment of royalties of 3% to 5% of specified product sales. One royaltyThe agreement remains in effect through 2025, while the other agreement remains in effect untilterminates the later of 2023 or upon expiration of the underlying patents or patent applications.applications, which is expected to occur after 2023. Parties to the royalty agreementsagreement have the right at any time to terminate the agreement immediately for cause. Royalty expense of $792$794 and $699$722 was recorded as a component of Cost of Revenue in the accompanying Condensed and Consolidated Statement of Operations for the three months ended September 30, 2021March 31, 2022 and 2020 and $2,356 and $1,880 for the nine months ended September 30, 2021 and 2020.2021.
Purchase Agreements. The Company enters into standard purchase agreements with vendors in the ordinary course of business, generally with terms that allow cancellation. The Company is committed to funding renovation of a recently purchased building for additional manufacturing capacity. The Company estimates the cost of the construction project to be approximately $5,500.
Legal. The Company may, from time to time, become a party to legal proceedings. Such matters are subject to many uncertainties and to outcomes of which the financial impacts are not predictable with assurance and that may not be known for extended periods of time. A liability is established once management determines a loss is probable and an amount that can be reasonably estimated.
The Company received a Civil Investigative Demand (CID) from the U.S. Department of Justice (USDOJ) in December 2017 stating that it is investigating the Company to determine whether the Company has violated the False Claims Act, relating to the promotion of certain medical devices related to the treatment of atrial fibrillation for off-label use and submitted or caused to be submitted false claims to certain federal and state health care programs for medically unnecessary healthcare services related to the treatment of atrial fibrillation. The CID covers the period from January 2010 to December 2017 and required the production of documents and answers to written interrogatories. The Company had no knowledge of the investigation prior to receipt of the CID. The Company maintains rigorous policies and procedures to promote compliance with the False Claims Act and other applicable regulatory requirements. The Company provided the USDOJ with documents and answers to the written interrogatories. In March 2021, USDOJ informed the Company that its investigation was based on a lawsuit brought on behalf of the United States and the various state and local governmentsgovernment under the qui tam provisions of federal and certain state and local False Claims Acts. Although the USDOJ and all of the state and local governments declined to intervene, the relator continues to pursue the case. TheWhile the Company is vigorously contesting the case, however, it is not possible to predict when this matter may be resolved or what impact, if any, the outcome of this matter might have on our consolidated financial position, results of operations, or cash flows.
The Company acquired nContact Surgical, Inc. pursuant to a merger agreement dated October 4, 2015. The merger agreement provided for contingent consideration or “earnout” to be paid upon attaining specified regulatory approvals and clinical and revenue milestones. The merger agreement’s earnout provisions requiredDuring the Company to deliver periodic earnout reports to a designated representative of former nContact stockholders. In response to the reports delivered in and after February 2018,first quarter, the Company received letters from representatives purportinga notice of breach under a license agreement regarding its potential underpayment of royalties. The notice asserts that the Company's calculation of royalties payable under the license agreement throughout the agreement term did not include sales of all products that were subject to serveroyalties. The Company disputes the basis of the claim and any potential underpayment. While a loss related to this claim is possible, the Company does not believe such loss is probable or estimable at this time.
9.REVENUE
The Company develops, manufactures and sells devices designed primarily for the surgical ablation of cardiac tissue, the exclusion of the left atrial appendage, and blocking pain by temporarily ablating peripheral nerves. These devices are developed and marketed to a broad base of medical centers globally. The Company recognizes revenue when control of promised goods is transferred to customers in an amount that reflects the consideration the Company expects to be entitled to in exchange for those goods.
In the quarter ended March 31, 2022, the Company changed the presentation of its disaggregated revenue within the notes to the Condensed Consolidated Financial Statements to align with current product line offerings. Specifically, pain management revenue, representing sales of the cryoSPHERE® product, was historically presented within open ablation revenue and is now a separately stated revenue product type. Valve revenue, historically presented as “earnout objection statements” (as that terma separate product type revenue, is definednow included in open ablation revenue. Revenue amounts for comparative prior fiscal periods have been reclassified to conform to the merger agreement) and claim that for purposes of determining the commercial milestone payment, thecurrent period presentation.
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ATRICURE, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(In Thousands, except per share amounts)
(Unaudited)
Company should be including revenuesRevenue reclassified by product type for 2021 is as follows:
Three Months Ended
March 31, 2021June 30, 2021September 30, 2021December 31, 2021
United States Revenue:
Open ablation$17,439 $19,503 $17,893 $17,561 
Minimally invasive ablation8,385 9,702 9,990 11,303 
Pain management3,898 5,709 6,253 6,927 
Total ablation29,722 34,914 34,136 35,791 
Appendage management20,587 25,156 23,401 25,424 
Total United States$50,309 $60,070 $57,537 $61,215 
International Revenue:
Open ablation$4,434 $5,526 $6,690 $6,544 
Minimally invasive ablation1,274 1,575 1,849 1,711 
Pain management— 11 11 39 
Total ablation5,708 7,112 8,550 8,294 
Appendage management3,258 4,194 4,373 3,709 
Total International$8,966 $11,306 $12,923 $12,003 
Total revenue$59,275 $71,376 $70,460 $73,218 
United States revenue by product type is as follows:
Three Months Ended
March 31,
20222021
Open ablation$18,974$17,439
Minimally invasive ablation8,6158,385
Pain management8,0143,898
Total ablation$35,603$29,722
Appendage management26,66920,587
Total United States$62,272$50,309
International revenue by product type is as follows:
 Three Months Ended
March 31,
 20222021
Open ablation$6,492$4,434
Minimally invasive ablation1,5331,274
Pain management140
Total ablation$8,165$5,708
Appendage management4,1393,258
Total International$12,304$8,966
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Table of certain additional items and products that the Company has not included in its earnout statements. During February 2021, the Company entered into a settlement agreement with the former nContact stockholders requiring payment of $6,000. The Company recorded the $6,000 settlementContents
ATRICURE, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(In Thousands, except per share amounts)
(Unaudited)
Revenue attributed to customer geographic locations is as a component of current liabilities as of December 31, 2020 as the underlying cause occurred prior to December 31, 2020, and has made substantially all of the settlement payment as of September 30, 2021.follows:
Three Months Ended
March 31,
20222021
United States$62,272$50,309
Europe7,2375,766
Asia4,5572,873
Other International510327
Total International12,3048,966
Total revenue$74,576$59,275
8.REVENUE
Revenue is generated primarily from the sale of medical devices. The Company recognizes revenue in an amount that reflects the consideration the Company expects to be entitled to in exchange for those devices when control of promised devices is transferred to customers. At contract inception, the Company assesses the products promised in its contracts with customers and identifies a performance obligation for each promise to transfer to the customer a product that is distinct. The Company’s devices are distinct and represent performance obligations. These performance obligations are satisfied, and revenue is recognized at a point in time upon shipment or delivery of products. Sales of devices are categorized as follows: open ablation, minimally invasive ablation, appendage management and valve tools. Shipping and handling activities performed after control over products transfers to customers are considered activities to fulfill the promise to transfer the products rather than as separate promises to customers.
Products are sold primarily through a direct sales force and through distributors in certain international markets. Terms of sale are generally consistent for both end-users and distributors except that payment terms are generally net 30 days for end-users and net 60 days for distributors, with some exceptions. The Company does not maintain any post-shipping obligations to customers. No installation, calibration or testing of products is performed by the Company subsequent to shipment in order to render products operational.
Significant judgments and estimates involved in the Company’s recognition of revenue include the estimation of a provision for returns. The Company estimates the provision for sales returns and allowances using the expected value method based on historical experience and other factors that we believe could impact our expected returns, including defective or damaged products and invoice adjustments. In the normal course of business, the Company generally does not accept product returns unless a product is defective as manufactured. The Company does not provide customers with the right to a refund.
The Company expects to be entitled to the total consideration for the products ordered by customers as product pricing is fixed according to the terms of customer contracts and payment terms are short. Payment terms fall within the one-year guidance for the practical expedient which allows the Company to forgo adjustment of the promised amount of consideration for the effects of a significant financing component. The Company excludes taxes assessed by governmental authorities on revenue-producing transactions from the measurement of the transaction price.
Costs associated with product sales include commissions and royalties. Considering that product sales are performance obligations in contracts that are satisfied at a point in time, commission expense associated with product sales and royalties paid based on sales of certain products is incurred at that point in time rather than over time. Therefore, the Company applies the practical expedient and recognizes commissions and royalties as expense when incurred because the expense is incurred at a point in time and the amortization period is less than one year. Commissions are included in selling expense while royalties are included in cost of revenue.
See Note 11 for disaggregated revenue by geographic area and by product category.
9.10.INCOME TAX PROVISION
The Company files federal, state and foreign income tax returns in jurisdictions with varying statutes of limitations. The Company uses the asset and liability method to determine its provision for income taxes. The Company’s provision for income taxes in interim periods is computed by applying the discrete method and is based on financial results through the end of the interim period. The Company determined that using the discrete method is more appropriate than using the annual effective tax rate method. The Company is unable to estimate the annual effective tax rate with sufficient precision to use the effective tax rate method, which requires a full-year projection of income. The effective tax rate for the three months ended September 30,March 31, 2022 and 2021 was (0.37%) and 2020 was 0.04% and 0.08%(0.18%). The effective tax rate for the nine months ended September 30, 2021 and 2020 was 0.21% and (0.05%) The Company’s worldwide effective tax rate differs from the US statutory rate of 21% primarily due to the Company’s valuation allowance in the United States and Netherlands.
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ATRICURE, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(In Thousands, except per share amounts)
(Unaudited)
allowance.
Federal, state and local returns of the Company are routinely subject to review by various taxing authorities. The Company has not accrued any interest and penalties related to unrecognized income tax benefits as a result of offsetting of net operating losses. However, if required, the Company will recognize interest and penalties within income tax expense and within the related tax liability.
10.11.EQUITY COMPENSATION PLANS
The Company has 2 share-based incentive plans: the 2014 Stock Incentive Plan (2014 Plan) and the 20182019 Employee Stock Purchase Plan (ESPP).
Stock Incentive Plan
Under the 2014 Plan, the Board of Directors may grant incentive stock options to Company employees and may grant restricted stock awards, or restricted stock units, (collectively RSAs), nonstatutory stock options, performance share awards (PSAs) orand stock appreciation rights to Company employees, directors and consultants. The Compensation Committee of the Board of Directors, as the administrator of the 2014 Plan, has the authority to determine the terms of any awards, including the number of shares subject to each award, the exercisability of the awards and the form of consideration. As of September 30, 2021,March 31, 2022, 12,899 shares of common stock had been reserved for issuance under the 2014 Plan, and 1,4711,152 shares were available for future grants.
Stock options, restricted stock awards and restricted stock units granted generally vest at a rate of 33.3% on the first, second and third anniversaries of the grant date. Stock options generally expire ten years from the date of grant.
The award agreements for the PSAs provide that each PSA that vests represents the right to receive 1 share of the Company’s common stock at the end of the performance period. With respect to the PSAs, the number of shares that vest and are issued to the recipient is based upon the Company’s performance with respect to specified targets at the end of the three year performance period. Payout opportunities range from 0% to 100% of the target amount for awards granted prior to 2021, while awards granted in 2021 have payout opportunities ranging from 0% to 200% of the target amount. These ranges are used to calculate the number of shares that will be issuable when the award vests. All or a portion of the PSAs may vest following a change of control or a termination of service by reason of death or disability. PSAs granted prior to 2021 have performance targets based on the Company’s revenue compound annual growth rate (CAGR) over the three year performance period. PSAs granted in 2021 have two equally weighted performance targets measured at the end of the three year performance period: (i) the Company’s revenue CAGR; and (ii) relative total shareholder return (TSR). TSR is measured against the Nasdaq Health Care Index constituents and the 20-trading-day average stock price prior to the end of the performance period over the 20- trading-day average stock price prior to the beginning of the performance period. The performance and market condition payouts will be determined independently and accumulated to determine the total payout for the three year performance period, subject to the maximum payout defined in the PSA agreements.
Employee Stock Purchase Plan
Under the ESPP, shares of the Company’s common stock may be purchased at a discount (15%) of the lesser of the closing price of the Company’s common stock on the first trading day or the last trading daydays of the offering period. The offering period (currently six months) and the offering price are subject to change. Participants may not purchase a value of more than $25 of the Company’s common stock in a calendar year and may not purchase a value of more than 3 shares during an offering period. As of September 30, 2021,March 31, 2022, there were 338305 shares available for future issuance under the ESPP.
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ATRICURE, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(In Thousands, except per share amounts)
(Unaudited)
Share-Based Compensation Expense Information Under FASB ASC 718
The following table summarizes the allocation of share-based compensation expense:
Three Months Ended
September 30,
Nine Months Ended
September 30,
Three Months Ended
March 31,
202120202021202020222021
Cost of revenueCost of revenue$622 $366$1,639$1,004Cost of revenue$571 $419 
Research and development expensesResearch and development expenses1,077 8593,0972,531Research and development expenses1,130 937 
Selling, general and administrative expensesSelling, general and administrative expenses5,095 4,32415,80312,591Selling, general and administrative expenses5,348 5,248 
TotalTotal$6,794 $5,549 $20,539 $16,126 Total$7,049 $6,604 
11.12.SEGMENTCOMPREHENSIVE LOSS AND GEOGRAPHIC INFORMATIONACCUMULATED OTHER COMPREHENSIVE LOSS
The Company develops, manufactures,In addition to net losses, comprehensive loss includes foreign currency translation adjustments and sells devices designed primarily for the surgical ablation of cardiac tissue, systems designed for the exclusionunrealized gains (losses) on investments.
Accumulated other comprehensive loss consisted of the left atrial appendage, and devices designed to block pain by temporarily ablating peripheral nerves. These devices are developed and marketed to a broad basefollowing, net of medical centers globally. Management considers all such sales to be part of a single operating segment. Revenue attributed to customer geographic locations is as follows:tax:
Three Months Ended
September 30,
Nine Months Ended
September 30,
2021202020212020
United States$57,537$44,701$167,916$121,838
Europe7,7706,51420,55116,775
Asia4,7343,19611,6959,367
Other international419346949826
Total international12,92310,05633,19526,968
Total revenue$70,460$54,757$201,111$148,806
United States revenue by product type is as follows:
Three Months Ended
September 30,
Nine Months Ended
September 30,
2021202020212020
Open ablation$23,779$19,911$69,693$54,679
Minimally invasive ablation9,9906,97928,07718,295
Appendage management23,40117,43069,14447,870
Total ablation and appendage management57,17044,320166,914120,844
Valve tools3673811,002994
Total United States$57,537$44,701$167,916$121,838
Three Months Ended
March 31,
20222021
Total accumulated other comprehensive (loss) income at beginning of period$(948)$312 
Unrealized Gains (Losses) on Investments
Balance at beginning of period$(887)$54
Other comprehensive loss before reclassifications(2,339)(31)
Amounts reclassified from accumulated other comprehensive loss to other income (expense)
Balance at end of period$(3,226)$23
Foreign Currency Translation Adjustment
Balance at beginning of period$(61)$258 
Other comprehensive loss before reclassifications(261)(298)
Amounts reclassified from accumulated other comprehensive loss to other income (expense)83(1)
Balance at end of period$(239)$(41)
Total accumulated other comprehensive loss at end of period$(3,465)$(18)
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ATRICURE, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(In Thousands, except per share amounts)
(Unaudited)
International revenue by product type is as follows:
 Three Months Ended
September 30,
Nine Months Ended
September 30,
 2021202020212020
Open ablation$6,699$4,907$16,629$13,766
Minimally invasive ablation1,8491,6924,6984,346
Appendage management4,3733,44511,8258,778
Total ablation and appendage management12,92110,04433,15226,890
Valve tools2124378
Total international$12,923$10,056$33,195$26,968
The Company’s long-lived assets are located primarily in the United States, except for $1,415 as of September 30, 2021 and $1,693 as of December 31, 2020 located primarily in Europe.
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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
(Dollar amounts referenced in this Item 2 are in thousands, except per share amounts.)
The following discussion and analysis of our financial condition and results of operations should be read in conjunction with the accompanying Condensed Consolidated Financial Statements and notes thereto contained in Item 1 of Part I of this Form 10-Q and our audited financial statements and notes thereto as of and for the year ended December 31, 20202021 included in our Form 10-K filed with the Securities and Exchange Commission (SEC) to provide an understanding of our results of operations, financial condition and cash flows.
Forward-Looking Statements
This Form 10-Q, including the sections titled “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and “Risk Factors,” contains forward-looking statements regarding our future performance. All forward-looking information is inherently uncertain and actual results may differ materially from assumptions, estimates or expectations reflected or contained in the forward-looking statements as a result of various factors, including those set forth under “Risk Factors” and elsewhere in this quarterly report on Form 10-Q, and in our annual report on Form 10-K for the year ended December 31, 2020.2021. There may be additional risks of which we are not presently aware or that we currently believe are immaterial which could have an adverse impact on our business. Forward-looking statements address our expected future business, financial performance, financial condition and results of operations, and often contain words such as “intends,” “estimates,” “anticipates,” “hopes,” “projects,” “plans,” “expects,” “seek,” “believes,” “see,” “should,” “will,” “would,” “could,” “can,” “may,” “future,” “predicts,” “target,” and similar expressions and the negative versions thereof. Such statements are based only upon current expectations of AtriCure. Any forward-looking statement speaks only as of the date made. Reliance should not be placed on forward-looking statements because they involve known and unknown risks, uncertainties and other factors which may cause actual results, performance or achievements to differ materially from those expressed or implied. Forward-looking statements include statements that address activities, events, circumstances or developments that AtriCure expects, believes or anticipates will or may occur in the future. Forward-looking statements are based on AtriCure’s experience and perception of current conditions, trends, expected future developments and other factors it believes are appropriate under the circumstances and are subject to numerous risks and uncertainties, many of which are beyond AtriCure’s control including developments related to the COVID-19 pandemic, as discussed herein. With respect to the forward-looking statements, we claim the protection of the safe harbor for forward-looking statements contained in the Private Securities Litigation Reform Act of 1995. These forward-looking statements speak only as of the date of this Form 10-Q. We undertake no obligation to publicly update or revise any forward-looking statements to reflect new information or future events or otherwise unless required by law.
Overview
We are a leading innovator in treatments for atrial fibrillation (Afib) and, left atrial appendage (LAA) management and post-operative pain management. According to the American Heart Association, Afib affects 1-2% of the population in the United States. It is the most common cardiac arrhythmia, or irregular heartbeat, encountered in clinical practice and results in high utilization of healthcare services. Patients often progress from being in Afib intermittently (paroxysmal) to being in Afib continuously. The continuous Afib patient population includes persistent Afib, which lasts seven days to one year, and long-standing persistent Afib, which lasts longer than one year. Afib often occurs in conjunction with other cardiovascular diseases, including hypertension, congestive heart failure, left ventricular dysfunction, coronary artery disease and valvular disease. Our ablation and left atrial appendage management (LAAM) products are used by physicians during both open-heart and minimally invasive procedures. In open-heart procedures, the physician is performing heart surgery for other conditions, and our products are used in conjunction with (“concomitant” to) such a procedure. Minimally invasive procedures are performed on a standalone basis, and often include multi-disciplinary or “hybrid” approaches, combining both surgical procedures using AtriCure ablation and LAAM products and catheter ablation.
We have several product lines forbelieve that we are currently the ablationmarket leader in the surgical treatment of cardiac tissue, including ourAfib. Our Isolator® Synergy™ Ablation System is approved by the United States Food and Drug Administration (FDA) for the treatment of persistent and long-standing persistent forms of Afib concomitant to other open-heart surgical procedures. The EPi-Sense® systemSystem is approved by FDA to treat patients with long-standing persistent Afib. All of our other ablation devices are approvedcleared for sale in the United States under FDA 510(k) clearances, including our other RFradio frequency (RF) and cryoablation products, which are indicated for the ablation of cardiac tissue and/or the treatment of cardiac arrhythmias. In addition, certain of our cryoablation probes are cleared for managing pain by temporarily ablating peripheral nerves.nerves, or Cryo Nerve Block therapy. Our AtriClip® LAA Exclusion System products are 510(k)-cleared with an indication for the exclusion of the heart’s LAA, performed under direct visualization and in conjunction with other cardiac surgical procedures. Direct visualization, in this context, requires that the surgeon is able to see the heart directly, with or without assistance from a camera, endoscope or other appropriate viewing technologies. The LARIAT® system is cleared under the 510(k) process for soft tissue ligation. Several of our products are currently being studied
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to expand labeling claims or to support indications specifically for the treatment of Afib. Our Isolator Synergy clamps, Isolator Synergy pens, Coolrail® linear pen, cryoablation devices, cryoSPHERE® probe, certain products of the AtriClip LAA Exclusion System, COBRA Fusion® Ablation System, the EPi-Sense® Guided Coagulation System with VisiTrax® technology,system and LARIAT Suture Delivery Device bear the CE mark and may be commercially distributed throughout the member states of the European Union and other countries that comply with or mirror the Medical Device Directive. Our Isolator Synergy clamps, Isolator Synergy pens, Coolrail linear pen, cryoablation devices and certain products of the AtriClip
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LAA Exclusion System are available in select Asia-Pacific countries. We anticipate that substantially all of our revenue for the foreseeable future will relate to products we currently sell or are in the process of developing.
We sell our products to medical centers through our direct sales force in the United States and in certain international markets, such as Germany, France, the United Kingdom and the Benelux region. We also sell our products tothrough distributors who in turn sell our products to medical centers in other international markets. Our business is primarily transacted in U.S. Dollars, with certain exceptions. The majority of direct sales transactions outside the exception of transactions with our European subsidiaries, whichUnited States are transacted in Euros or the Euro or British Pounds.Pound.
Recent Developments
Throughout 2020 and the beginning of the first quarter of 2021,During early 2022, we experienced a significant decrease invariability and intermittent demand for our products asnon-emergent procedures were being indeterminately deferred in order to preserve resources for COVID-19 patients and caregivers and hospital staffing was impacted by the pandemic and related factors. We expect this variability to protect patients from potential exposure to COVID-19. Whilecontinue as we have seenoperate in many geographic regions with diverse restrictions that are impacted as new COVID-19 variants emerge. However, we saw many regions begin to stabilize at the end of the first quarter of 2022 with improvements in procedure volumes, there continues to be variability throughout our markets and uncertainty as variants of the virus emerge. We can make no assurance regarding any future level of demand for our products, and COVID-19 may adversely impact our results of operations and financial condition.
We are continuing to serve our customers while taking every precaution to provide a safe work environment for our employees and customers. Field-based sales and clinical employees continue to support cases, using technology to engage with customers in virtual settings when physical access is prohibited. We are maintaining manufacturing and fulfillment operations to continue providing products to our customers. We continue to modify our remote working protocols and evaluate hybrid work models for our office-based employees, and we will take further actions in the best interests of our employees or as required by law.
volumes. Despite the challenging environment resulting from the pandemic, we continue to build on our strategic initiatives of product innovation, investing in clinical science and expanding awareness and adoption by providing superior training and education. We remain confident in our liquidity position, which includes cash and investments of $224,843 as of September 30, 2021, and access to additional funding through our credit facility.
PRODUCT INNOVATION. In July 2021,Recently, we receivedannounced the launch of the new EnCompass Clamp®, following the receipt of 510(k) clearance for the new ENCOMPASS® clamp, and we have initiated a limited product launch.ablation of cardiac tissue during cardiac surgery in July 2021. The ENCOMPASSEnCompass clamp marks innovation in our core open ablation market and is designed to make concomitant surgical ablations more efficient. It is expected to drive deeper penetration of cardiac surgery procedures.
TRAINING. Our professional education and marketing teams have adapted to the pandemic by conducting online and mobile trainings for physicians and our sales team. These adaptations expanded our training methods and ensured invaluable access to continuing education and awareness of our products and related procedures. The recent FDA approval of the EPi-Sense system has enabled us to educate and train physicians on the benefits of Hybrid AF™ therapy in treating long-standing persistent Afib patients. The first of several training courses planned for 2021 was held in June.
CLINICAL SCIENCE. We continue to invest in studies to expand labeling claims or support indications for the treatment of Afib, and we also conduct various studies to gather clinical data regarding our products.
HEAL-IST. In February 2022, FDA approved the protocol for the Hybrid Epicardial and Endocardial Sinus Node Sparing Ablation Therapy for Inappropriate Sinus Tachycardia, (HEAL-IST) clinical trial. The HEAL-IST clinical trial is designed to study the safety and efficacy of a hybrid sinus node sparing ablation procedure using the Isolator Synergy Surgical Ablation System for the treatment of symptomatic, drug refractory or drug intolerant IST. The trial is a prospective, multicenter, single arm trial that evaluates safety 30 days post-procedure and evaluates primary effectiveness of freedom from IST at 12 months post-procedure. The trial provides for enrollment of up to 142 patients at up to 40 sites in the United States, United Kingdom and European Union. The Company anticipates enrollment to begin this year.
LeAAPS. In April 2022, FDA approved the protocol for the Left Atrial Appendage Exclusion for Prophylactic Stroke Reduction (LeAAPS) IDE clinical trial. The trial is designed to evaluate the effectiveness of prophylactic LAA exclusion using the AtriClip LAA Exclusion System for the prevention of ischemic stroke or systemic arterial embolism in cardiac surgery patients without pre-operative AF diagnosis who are at risk for these events. The trial is a prospective, multicenter, randomized trial that evaluates safety at 30 days post-procedure to demonstrate no increased risk with LAA exclusion during cardiac surgery. The trial provides for enrollment of up to 6,500 subjects at up to 250 sites worldwide. The Company anticipates enrollment to begin this year.
TRAINING. Our professional education and marketing teams conduct virtual, in-person and mobile training for physicians and our sales team. These training methods ensure invaluable access to continuing education and awareness of our products and related procedures. The 2021 we announced the PMAFDA approval of the EPi-Sense system for treatmenthas enabled us to educate and train physicians on the benefits of symptomatic, drug-refractory, long-standing persistent atrial fibrillation, when augmented with an endocardial ablation catheter. We believe the Convergent procedure, or Hybrid AFAF™ therapy provides the only compelling treatment option for a large and vastly underpenetrated patient population. The CONVERGE™ trial demonstrated superiority in the hybrid therapy arm compared to endocardial catheter ablation alone. In patients diagnosed withtreating long-standing persistent Afib the hybrid therapy arm showed a 29% absolute difference in efficacy at 12 months (78% relative improvement) and an absolute difference of 35% at 18 months (110% relative improvement). There was also a 33% absolute difference in Afib burden reduction in favor of the hybrid AF therapy at 12 months, which increased to 37% at 18 months.
aMAZE. Enrollment was completed in December 2019. Patient follow-up for twelve months post pulmonary vein isolation catheter ablationpatients. Our Hybrid Training Course is requiredco-sponsored by the study protocol and was completed in April 2021. In January 2020, we received approval for a Continued Access Protocol (CAP) for the aMAZE study. The aMAZE CAP provides for additional enrollment of up to 85 patients at existing aMAZE trial sites, with the opportunity to further expand to 250 patients while the PMA application is under review. In July 2021, the Company was informed that data from the aMAZE clinical trial did not achieve statistical superiority. Specifically, while the trial met the safety endpoint, the trial did not meet the primary efficacy endpoint. The Company has paused enrollment in the aMAZE CAP, and is in the process of further analyzing aMAZE trial data and determining next steps for the trial, PMA application and any related future development activities.Hearth Rhythm Society (HRS).
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Results of Operations
Three months ended September 30, 2021March 31, 2022 compared to three months ended September 30, 2020March 31, 2021
The following table sets forth, for the periods indicated, our results of operations expressed as dollar amounts and as percentages of revenue:
Three Months Ended
September 30,
20212020
Amount% of
Revenues
Amount% of
Revenues
Revenue$70,460 100.0 %$54,757 100.0 %
Cost of revenue18,234 25.9  %14,423 26.3  %
Gross profit52,226 74.1  %40,334 73.7  %
Operating (benefit) expenses:
Research and development expenses11,284 16.0  %10,576 19.3  %
Selling, general and administrative expenses49,873 70.8  %33,557 61.3  %
Change in fair value of contingent consideration(189,900)(269.5) %192 0.4  %
Intangible asset impairment82,300 116.8  %— 0.0  %
Total operating (benefit) expenses(46,443)(65.9) %44,325 80.9  %
Income (loss) from operations98,669 140.0  %(3,991)(7.3) %
Other income (expense)(1,523)(2.2) %(962)(1.8) %
Income (loss) before income tax expense97,146 137.9  %(4,953)(9.0) %
Income tax expense (benefit)38 0.1  %(4) 0.0  %
Net income (loss)$97,108 137.8  %$(4,949)(9.0) %
Three Months Ended
March 31,
20222021
Amount% of
Revenues
Amount% of
Revenues
Revenue$74,576 100.0  %$59,275 100.0  %
Cost of revenue18,981 25.5  %14,735 24.9  %
Gross profit55,595 74.5  %44,540 75.1  %
Operating expenses:
Research and development expenses13,629 18.3  %11,217 18.9  %
Selling, general and administrative expenses56,116 75.2  %49,208 83.0  %
Total operating expenses69,745 93.5  %60,425 101.9  %
Loss from operations(14,150)(19.0) %(15,885)(26.8) %
Other expense, net:(977)(1.3) %(1,001)(1.7) %
Loss before income tax expense(15,127)(20.3) %(16,886)(28.5) %
Income tax expense56 0.1  %31 0.1  %
Net loss$(15,183)(20.4) %$(16,917)(28.5) %
Revenue. RevenueThe following table sets forth, for the periods indicated, our revenue by product type and geography expressed as dollar amounts and the corresponding change in such revenues between periods, in both dollars and percentages:
Three Months Ended
March 31,
Change
20222021Amount%
Open ablation$18,974 $17,439 $1,535 8.8  %
Minimally invasive ablation8,615 8,385 230 2.7  %
Pain management8,014 3,898 4,116 105.6  %
Appendage management26,669 20,587 6,082 29.5  %
Total United States$62,272 $50,309 $11,963 23.8  %
Total International12,304 8,966 3,338 37.2  %
Total revenue$74,576 $59,275 $15,301 25.8  %
Worldwide revenue increased 28.7% (28.6% on a constant currency basis) reflecting an upturn in activity within each franchise and across our key markets globally from an improvement in cardiac surgery procedure volumes over 2020 as well as increasing adoption of our products. Revenue from customers in the United States increased $12,836, or 28.7% while revenue from international customers increased $2,867 or 28.5% (27.9%25.8% (26.7% on a constant currency basis). In the United States, we experienced growth across key product lines and franchises. Appendage management and pain management sales increases were driven by sales of the AtriClip® Flex⋅V® device and cryoSPHERE® probe. The soft launch of the new EnCompass Clamp contributed to the open ablation sales increased $3,868 (19.4%) primarily from growth, in Cryo Nerve Block therapy. Minimally invasive (MIS) ablation sales increased $3,011 (43.1%) driven by Hybrid AF therapy procedure growth from the PMA approvalwhile adoption of the EPi-Sense system in late April 2021. Appendage management sales rose $5,971 (34.3%) as a result of continued volume growth of the AtriClip® Flex·V® and AtriClip Pro·VTM devices and other appendage management product lines. SimilarSystem alone drove increases in minimally invasive ablation. International sales increased 37.2% (43.1% on a constant currency basis), rising across all major franchises due primarily to the resultsAsian markets and our direct markets in the United States, international revenue increased in most major marketsKingdom and across product lines.Germany.
Revenue reported on a constant currency basis is a non-GAAP measure and is calculated by applying previous period foreign currency (Euro) exchange rates, which are determined by the average daily Euro to Dollar exchange rate, to each of the comparable periods. Revenue is analyzed on a constant currency basis to better measure the comparability of results between periods. Because changes in foreign currency exchange rates have a non-operating impact on revenue, we believe that evaluating growth in revenue growth on a constant currency basis provides an additional and meaningful assessment of revenue to both management and our investors.
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Cost of revenue and gross margin. Cost of revenue increased $3,811$4,246, reflecting revenue growth,higher sales volumes, while gross margin improveddecreased approximately 4060 basis points. The improvement in gross margin reflects favorablepoints, reflecting geographic and product mix , largely offset by inventory management charges related to the Lariat systembetween periods and unfavorable geographic mix.cost increases.
Research and development expenses. Research and development expenses increased $708$2,412 or 6.7%21.5%. Personnel costs grew $995 from increased headcount as a result of a $1,571 rise in personnel costs duewe continue to an increase in headcount and variable compensation. This increase in research and development expense was offset by a $1,377 decrease inbuild our product development, project costs.regulatory and clinical teams and travel activity resumes. Amortization of the technology asset related to the PMA resulting from the CONVERGE IDE clinical trial, which commenced in April 2021, drove higher depreciation and amortization expense of $730. Finally, share-based compensation increased $193 compared with the prior period.
Selling, general and administrative expenses. Selling, general and administrative expenses increased $16,316$6,908, or 48.6% as a result14.0%. Additional headcount and travel activities of a $10,678$5,301 drove the increase in personnelexpenses, primarily reflecting the expansion of our sales and training teams, while meetings, trainings and tradeshow activities contributed $2,915 of the increase as we saw further transition from virtual to in-person events. Other operating costs, primarily driven by increases in headcount, variable compensation and travel. Other increases in selling, generalincluding IT, legal and administrative expenses included $1,008 additional training costs and $1,127 of incremental tradeshow and marketing activities,grew $768 as well as legal, professional and consulting fees of $1,645 and share-based
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compensation of $772. The remaining fluctuation in selling, general and administrative expenses relatescompared to other corporate costs, such as IT software and payment processing fees.
Changethe prior period. Partially offsetting these increases was a $2,500 charge for the change in fair value of the SentreHEART contingent consideration. The credit to operating expenses during the three months ended September 30, 2021 reflects a changeconsideration liability in the forecasted timing and probability of achievement of the regulatory and reimbursement milestones related to the aMAZE clinical trial. See Note 2 of the condensed consolidated financial statements for further discussion.
Impairment of intangible assets. During the three months ended September 30, 2021, the Company recorded an impairment charge for the IPR&D asset associated with the aMAZE PMA. See Note 3 of the condensed consolidated financial statements for further discussion.2021.
Other income (expense). Other income and expense consists primarily of net interest expense and foreign currency transaction gains and losses. Net interest expense increased $346$171 driven by lower interest income from a decline in investment yields.
Nine months ended September 30, 2021 compared to nine months ended September 30, 2020
The following table sets forth, for the periods indicated, our results of operations expressed as dollar amounts and as percentages of revenue:
Nine Months Ended
September 30,
20212020
Amount% of
Revenues
Amount% of
Revenues
Revenue$201,111 100.0  %$148,806 100.0  %
Cost of revenue50,267 25.0  %41,934 28.2  %
Gross profit150,844 75.0  %106,872 71.8  %
Operating (benefit) expenses:
Research and development expenses34,698 17.3  %32,199 21.6  %
Selling, general and administrative expenses150,939 75.1  %106,257 71.4  %
Change in fair value of contingent consideration(184,800)(91.9) %(4,854)(3.3) %
Intangible asset impairment82,300 40.9  %— 0.0  %
Total operating (benefit) expenses83,137 41.3  %133,602 89.8  %
Income (loss) from operations67,707 33.7  %(26,730)(18.0) %
Other income (expense):(3,632)(1.8) %(2,847)(1.9) %
Income (loss) before income tax expense64,075 31.9  %(29,577)(19.9) %
Income tax expense135 0.1  %16 0.0  %
Net income (loss )$63,940 31.8  %$(29,593)(19.9) %
Revenue. Revenue increased 35.1% (34.4% on a constant currency basis). Revenue from customers in the United States increased $46,078, or 37.8%, while revenue from international customers increased $6,227, or 23.1% (19.0% on a constant currency basis). Sales in the United States grew across all product lines with MIS ablation sales increasing $9,782 (53.5%), appendage management sales increasing $21,274 (44.4%), and open ablation sales increasing $15,014 (27.5%). International sales rose across all major franchises driven primarily by Germany and Asian markets.
Cost of revenue and gross margin. Cost of revenue increased $8,333, reflecting higher sales volumes, while gross margin increased more than 300 basis points. The overall increase in gross margin was driven largely by a return to normal production activity in 2021, leverage from higher revenue, and favorable geographic and product mix.
Research and development expenses. Research and development expenses increased $2,499 or 7.8%. Personnel costs grew $3,979 driven by additional variable compensation and headcount as we continue to build our product development, regulatory, and clinical teams. This increase isyields partially offset by a $1,428 decrease in product development project costs.
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Selling, general and administrative expenses. Selling, general and administrative expenses increased $44,682, or 42.1%. Additional headcount, variable compensation, and travel expenses totaling $32,646 was the largest driver of the increase in expenses. In addition, as quarantine and travel restrictions have lifted from 2020, there has been an increase in live events. As a result, training expenses increased $3,975, while tradeshow and marketing activities increased $1,189 as compared to the prior year. Other changes included a $3,212 increase in share-based compensation and a $2,605 increase in legal, professional and consulting expenses.
Change in fair value of contingent consideration. The credit to operating expenses during the nine months ended September 30, 2021 reflects a change in the forecasted timing and probability of achievement of the regulatory and reimbursement milestones related to the aMAZE clinical trial. See Note 2 of the condensed consolidated financial statements for further discussion.
Impairment of intangible assets. During the nine months ended September 30, 2021, the Company recorded an impairment charge for the IPR&D asset associated with the aMAZE PMA. See Note 3 of the condensed consolidated financial statements for further discussion.
Other income (expense). Other income and expense consists primarily of net interest expense and foreign currency transaction gains and losses. Net interest expense increased $704 driven by lower interest incomeexpense on the term loan, stemming from a decline in investment yields.the November 2021 refinancing.
Liquidity and Capital Resources
As of September 30, 2021,March 31, 2022, the Company had cash, cash equivalents and investments of $224,843$181,911 and outstanding debt of $58,333.$60,000. We had unused borrowing capacity of approximately $10,000$28,750 under our revolving credit facility. Most of our operating cash and all cash equivalents and investments are held by United States financial institutions. We had net working capital of $141,753$152,232 and an accumulated deficit of $266,412$295,336 as of September 30, 2021.March 31, 2022.
Three Months Ended March 31,
20222021Change
(dollars in thousands)
Net cash used in operating activities$(24,632)$(9,316)$15,316 
Net cash provided by investing activities19,722 63,587 (43,865)
Net cash used in financing activities(10,497)(10,707)(210)
Cash flows used in operating activities.We Net cash used $14,081 of net cash in operating activities duringincreased $15,316 in 2022 compared to 2021. This change is driven by the nine months ended September 30, 2021. The net cash outflow from operating activities reflects our net income of $63,940, offset by $70,914 of non-cash adjustments, as well as $7,107 net cash used for operatingfluctuation in working capital and other assets and liabilities. Non-cash adjustments reflectliabilities of $15,815, driven by the $12,500 reduction in accrued liabilities primarily as a result of higher annual variable compensation payments due to improved operating performance and a $1,254 increase in accounts receivable as a result of sales growth. The remaining fluctuation is a decrease in the net loss of $1,734, driven by a decrease in non-cash expenses of $1,235. Fluctuation in non-cash expenses is largely the $2,500 non-cash impact for the fair value adjustment of the aMAZE trial results contributing to a $184,800 change in value of theSentreHEART contingent consideration liability in 2021, offset partially by an $82,300 impairment charge onamortization of the aMAZE IPR&DCONVERGE technology asset. Other non-cash expenses included $20,539 share-based compensation, as well as $7,608 of depreciation and amortization. Net cash used for operating assets and liabilities was driven by higher customer receivables in the first nine months of 2021 due to the increase in revenue and continued investment in inventories, offset by increases to both accounts payable and accrued liabilities balances, reflecting the increase in inventories, operating expenses and variable compensation as of September 30, 2021.
Cash flows provided by investing activities.We generated $22,427 of net Net cash fromprovided by investing activities during the nine months ended September 30,decreased by $43,865 in 2022 compared to 2021, reflecting $29,470 of netdue to a decrease in sales and maturities of available-for-sale securities partiallyof $41,810, offset by $7,043an increase of purchases$2,055 for the purchase of property and equipment.equipment to support our new product introductions and construction costs to expand our manufacturing facilities.
Cash flows used in financing activities. WeNet cash used $10,149 of net cash in financing activities during the nine months ended September 30, 2021. Activity included $17,900 for shares repurchased for paymentdecreased by $210 in 2022 due primarily to lower stock option exercise activity of taxes on stock awards and $2,269 repayment of debt and lease obligations, partially$4,233 offset by $10,020a decrease of proceeds$4,462 in cash tax payments from stock option exercisesrestricted and ESPP purchases.performance share vesting.
Credit facility. Our Loan and Security Agreement, as amended and modified effective November 1, 2021 (Loan Agreement) with Silicon Valley Bank (SVB), as amended, (Loan Agreement), provides for a $60,000 term loan, and a $20,000$30,000 revolving line of credit. The term loancredit, and revolving credit facility both mature or expire, as applicable, on August 1, 2024. The term loan accrues interest at the greater of the Prime Rate or 5.00%, plus 0.75% and is subject to an additional 3.00% fee on the $60,000 term loan principal amount, payable at maturity or upon acceleration or prepayment of the term loan. Our borrowing availability under the revolving credit facility is based on the lesser of $20,000 or a borrowing base calculation as defined by the Loan Agreement. Borrowing availability under the revolving credit facility is further limited by a cap on total debt outstanding under the Loan Agreement, including outstanding letters of credit, of $70,000. As of September 30, 2021 we had no borrowings under the revolving credit facility, and we had borrowing availability approximately of $10,000. The Loan Agreement also provides for certain prepayment and early termination fees if the term loan is repaid before maturity and establishes a minimum liquidity ratio and dividend restrictions, along with other customary terms and conditions. Specified assets have been pledged as collateral. Principal payments on the term loan commenced September 1, 2021 and were made through October 2021.
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Effective November 1, 2021, the Company and SVB entered into the Sixth Amendment to the Loan and Security Agreement (Amended Loan and Security Agreement). This amendment provides for a $60,000 term loan, with an option to make available an additional $30,000 in term loan borrowings, and a $30,000 revolving line of credit.borrowings. The Amended Loan and Security Agreement has a five year term, expiring November 2026. Principal payments are to be made ratably commencing 24 months after the inception of the loan through the loan's maturity date. At the option of the Company, the commencement of term loan principal payments may be extended an additional twelve months. The term loan accrues interest at the Prime Rate plus 1.25% and is subject to an additional 3.00% fee on the term loan principal amount at maturity. TheAs of March 31, 2022, our outstanding debt was $60,000 and is classified as
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noncurrent. We had unused borrowing capacity of approximately $28,750 under our revolving line of credit is subject to an annual facility fee of 0.20% offacility. For additional information on the revolving line of credit fully earned at close,terms and any borrowings bear interest at the floating Prime Rate. The Amended Loan and Security Agreement also provides for certain prepayment and early termination fees,conditions, as well as establishes a liquidity covenant, along with other customary termsapplicable interest and conditions similar to those in the Company's current agreement with SVB. This refinancing has been treated as a debt modification, with the $1,667 principal repayment made in October 2021 classified as current, while the remaining borrowings of $56,666 have been classified as long-term in the Condensed Consolidated Balance Sheet as of September 30, 2021.fee payments, see Note 6 — Indebtedness.
Our corporate headquarters lease agreement requires a $1,250 letter of credit which renews annually and remains outstanding as of September 30, 2021.March 31, 2022.
Uses of liquidity and capital resources. Our executive officers and Board of Directors review our funding sources and future capital requirements in connection with our annual operating plan and periodic updates to the plan. Our future capital requirements depend on a number of factors, including, without limitation: market acceptance of our current and future products; the resources we devotecosts to developingdevelop and supportingsupport our products, including professional training costs;training; future expenses to supportexpand and expandsupport our sales and marketing efforts; operating and filing costs relating to changes in regulatory policies or laws that affect our operations and cost of filings;laws; costs associated withfor clinical trials and securingto secure regulatory approval for new products; costs associated with acquiringto prosecute, defend and integrating businesses; costs associated with prosecuting, defending and enforcingenforce our intellectual property rights; maintenance and enhancements to our information systems and security; and possible acquisitions and joint ventures.ventures, including potential business integration costs. We continue to evaluate additional measures to maintain financial flexibility, and we will continue to closely monitor our liquidity and capital resources through the recovery from, and any further disruptions caused by, COVID-19.
We have on file with the SEC a shelf registration statement which allows us to sell any combination Our principal cash requirements include costs of senior or subordinated debt securities, common stock, preferred stock, warrants, depository shares and units in one or more offerings should we choose to do so in the future. We expect to maintain the effectiveness of this shelf registration statement for the foreseeable future.
We believe that our current cash, cash equivalents and investments, along with the cash we expect to generate or use for operations, or access via our credit facility agreement with SVB, will be sufficient to meet our anticipated cash needs for working capital and capital expenditures, for at least the next twelve months. The SentreHEART acquisition provides for contingent consideration to be paid upon PMA approval before December 2023 and CPT reimbursement before December 2026. Subject to the terms and conditions of the SentreHEART merger agreement, such contingent consideration must be paid primarily in AtriCure common stock, up to a specified maximum number of shares. We do not expect our cash requirements to include significant cash payments for contingent consideration based on likelihood and progress towards achievement of the related success-based milestones and terms of the acquisition agreement over the next twelve months.
If our sources of cash are insufficient to satisfy our liquidity requirements, we may seek to sell additional equity or debt securities or obtain a revised or additional credit facility. The sale of additional equity or convertible debt securities could result in dilution to our stockholders. If additional funds are raised through the issuance of debt securities, these securities could have rights senior to those associated with our common stock and could contain covenants that would restrict our operations. Finally, our term loan agreement and revolving line of credit require compliance with certain financialservice costs and other covenants. If we are unable to maintain these financing arrangements, we may be required to reduce the scope of our planned research and development, clinical activities and selling, training, education and marketing efforts.contractual obligations.
Critical Accounting Policies and Estimates
Our discussion and analysis of our financial condition and results of operations is based upon our financial statements, which have been prepared in accordance with accounting principles generally accepted in the United States of America (GAAP). The preparation of financial statements requires management to make estimates and judgments that affect the reported amounts of assets and liabilities, revenue and expenses and disclosures of contingent assets and liabilities at the date of the financial statements. On a periodic basis, we evaluate our estimates, including those related to sales returns and allowances, accounts receivable, inventories, intangible assets including goodwill, contingent liabilitiesshare-based compensation and share-based compensation.income taxes. We use authoritative pronouncements, historical experience and other assumptions as the basis for making estimates. Actual results could differ from those estimates under different assumptions or conditions. Our Annual Report on Form 10-K for the fiscal
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year ended December 31, 20202021 includes additional information about the Company, our operations, our financial position and our critical accounting policies and estimates and should be read in conjunction with this Quarterly Report on Form 10-Q.
Recent Accounting Pronouncements
As of September 30, 2021,March 31, 2022, there were no material changes to the information provided in Note 2, “Recent Accounting Pronouncements” in the Company’s Form 10-K for the fiscal year ended December 31, 2020.2021.
Item 3. Quantitative and Qualitative Disclosures About Market Risk
As of September 30, 2021March 31, 2022, there were no material changes to the information provided under Item 7A, “Quantitative and Qualitative Disclosures About Market Risk” in the Company’s Form 10-K for the year ended December 31, 2020.2021.
Item 4. Controls and Procedures
Evaluation of Disclosure Controls and Procedures
The Company’s management, with the participation of the President and Chief Executive Officer (the Principal Executive Officer) and Chief Financial Officer (the Principal Accounting and Financial Officer), has evaluated the effectiveness of the Company’s disclosure controls and procedures, as defined in Rules 13(a)-15(e) and 15(d) -15(e) of the Securities Exchange Act of 1934 as amended (Exchange Act), as of the end of the period covered by this report. Based on this evaluation, we concluded that, as of the end of the period covered by this report, our disclosure controls and procedures were effective in providing reasonable assurance that information required to be disclosed by us in the reports we file or submit under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the SEC’s forms and rules, and the material information relating to the Company is accumulated and communicated to management, including the President and Chief Executive Officer and the Chief Financial Officer, as appropriate, to allow timely decisions regarding required disclosures.
Control systems, no matter how well designed and operated, can provide only reasonable, not absolute, assurance that control objectives are met. Because of inherent limitations in all control systems, no evaluation of controls can provide assurance that all control issues and instances of fraud, if any, within a company will be detected. Additionally, controls can be circumvented by individuals, by collusion of two or more people or by management override. Over time, controls can become
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inadequate because of changes in conditions or the degree of compliance may deteriorate. Further, the design of any system of controls is based in part upon assumptions about the likelihood of future events. There can be no assurance that any design will succeed in achieving its stated goals under all future conditions. Because of the inherent limitations in any cost-effective control system, misstatements due to errors or fraud may occur and not be detected.
Changes in Internal Control Over Financial Reporting
In the ordinary course of business, we routinely enhance our information systems by either upgrading current systems or implementing new ones. There were no changes in our internal control over financial reporting that occurred during the three months ended September 30, 2021March 31, 2022 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.
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PART II. OTHER INFORMATION
Item 1. Legal Proceedings
Information with respect to legal proceedings can be found under the heading “Legal” in Note 78 – Commitments and Contingencies to the Condensed Consolidated Financial Statements in Part I, Item 1 of this Quarterly Report on Form 10-Q, and is incorporated herein by reference.
Item 1A. Risk Factors
In addition to the other information set forth in this report, careful consideration should be given to the factors discussed in Item 1A, “Risk Factors” in our Form 10-K for the year ended December 31, 2020, as amended by our Form 10-Q for the quarter ended June 30, 2021, all of which could materially affect our business, financial condition or future results. The risks described therein are not the only risks facing us. Additional risks and uncertainties not currently known to us, or that we currently deem to be immaterial, also may adversely affect our business, financial condition and/or operating results. There have been no material changes with respect to the risk factors previously disclosed in our Annual Report on Form 10-K for the year ended December 31, 2020, as amended by risk factors provided in our Form 10-Q for the quarter ended June 30, 2021 which are incorporated herein by reference.

2021.
Item 5. Other Information
Effective November 1, 2021, the Company and SVB entered into the Sixth Amendment to the Loan and Security Agreement (Amended Loan and Security Agreement). This amendment provides for a $60,000 term loan, with an option to make available an additional $30,000 in term loan borrowings, and a $30,000 revolving line of credit. The Amended Loan and Security Agreement has a five year term, expiring November 2026. Principal payments are to be made ratably commencing 24 months after the inception of the loan through the loan's maturity date. At the option of the Company, the commencement of term loan principal payments may be extended an additional twelve months. The term loan accrues interest at Prime Rate plus 1.25% and is subject to an additional 3.00% fee on the term loan principal amount at maturity. The revolving line of credit is subject to an annual facility fee of 0.20% of the revolving line of credit fully earned at close, and any borrowings bear interest at the floating Prime Rate. The Amended Loan and Security Agreement also provides for certain prepayment and early termination fees, as well as establishes a liquidity covenant, along with other customary terms and conditions similar to those in the Company's current agreement with SVB.
The foregoing description of the Amended Loan and Security Agreement does not purport to be complete. The Amended Loan and Security Agreement is attached to this report as Exhibit 10.2 and is incorporated by reference into this Item 5 in its entirety.
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Item 6. Exhibits
Exhibit No.Description
10.1#
10.2
31.1
31.2
32.1
32.2
101.INSXBRL Instance Document
101.SCHXBRL Taxonomy Extension Schema Document
101.CALXBRL Taxonomy Extension Calculation Linkbase Document
101.DEFXBRL Taxonomy Definition Linkbase Document
101.LABXBRL Taxonomy Extension Label Linkbase Document
101.PREXBRL Taxonomy Extension Presentation Linkbase Document
104Cover Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101)
____________________________
#    Compensatory plan or arrangement.

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SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
AtriCure, Inc.
(REGISTRANT)
Date: NovemberMay 4, 20212022/s/ Michael H. Carrel
Michael H. Carrel
President and Chief Executive Officer
(Principal Executive Officer)
Date: NovemberMay 4, 20212022/s/ Angela L. Wirick
Angela L. Wirick
Chief Financial Officer
(Principal Accounting and Financial Officer)
3222