SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
---------
FORM 10-K
_X_ Annual report pursuant to Section 13 or 15(d) of the
Securities Exchange Act of 1934
FOR THE FISCAL YEAR ENDED DECEMBER 31, 1996
COMMISSION FILE NO. 0-18602
ATS MEDICAL, INC.
(Exact name of registrant as specified in its charter)
MINNESOTA 41-1595629
(State or other jurisdiction of (I.R.S. Employer Identification No.)
incorporation or organization)
3905 ANNAPOLIS LANE
MINNEAPOLIS, MINNESOTA 55447
(Address of principal executive offices) (Zip Code)
Registrant's telephone number, including area code: (612) 553-7736
Securities registered pursuant to Section 12(b) of the Act: None
Securities registered pursuant to Section 12(g) of the Act: Common Stock $.01
par value
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 if disclosure of delinquent filers pursuant to
Item 405 of Regulation S-K is not contained herein, and will not be contained,
to the best of registrant's knowledge, in definitive proxy or information
statements incorporated by reference in Part III of this Form 10-K or any
amendment to this Form 10-K. ( )
The aggregate market value of voting stock held by nonaffiliates of the
registrant as of January 1, 1997 was approximately $111,360,742 (based on the
last sale price of such stock as reported by the NASDAQ National Market).
The number of shares outstanding of each of the registrant's classes of
common stock as of January 1,1997 was:
Common Stock, $.01 par value 15,288,042 shares
DOCUMENTS INCORPORATED BY REFERENCE
Pursuant to General Instruction G(3), the responses to Items 10, 11, 12
and 13 of Part III of this report are incorporated herein by reference to
certain information contained in the Company's definitive proxy statement for
its 1997 Annual Meeting of Shareholders to be filed with the Securities and
Exchange Commission on or before April 28, 1997.
ATS MEDICAL, INC.
1996 FORM 10-K
PART I
ITEM 1. BUSINESS
GENERAL
ATS Medical, Inc. ("ATS Medical" or the "Company") manufactures and markets a
pyrolytic carbon bileaflet mechanical heart valve. The Company believes, based
on preliminary clinical results, that the ATS Open Pivot(TM) valve (the "ATS
Medical valve" or the "Valve") offers superior performance compared to other
commercially available mechanical heart valves. The Company began selling the
ATS Medical(TM) valve in international markets in 1992. In December, 1996 the
U.S. Food and Drug Administration (FDA) conditionally approved the Company's
Investigational Device Exemption (IDE) allowing the Company to initiate a
clinical study of the valve with the eventual goal of regulatory approval in the
United States.
THE ATS OPEN PIVOT VALVE
The ATS Open Pivot valve is designed to advance the standard of existing
mechanical heart valves by combining a proprietary open pivot design and certain
innovative features with the widely accepted biocompatibility and durability of
pyrolytic carbon. Based on preliminary clinical results, the Company believes
that the ATS Medical valve offers superior performance compared to other
commercially available mechanical heart valves. The following characteristics
are the primary advances of the ATS Medical valve:
POTENTIAL FOR REDUCED RATES OF THROMBOEMBOLIC COMPLICATIONS
The ATS Medical valve's pivot areas are designed to protrude into the orifice
and be exposed to the washing action of the blood flowing through the Valve. All
other currently marketed bileaflet valves contain pivot cavities in the orifice
wall into which protrusions from the semi-circular leaflets extend to allow the
leaflets to swing open and shut. These cavities are areas of flow stagnation and
possible blood clot formation. The proprietary open pivot areas of the ATS
Medical valve feature spherical protrusions from the orifice that match
spherical notches in the leaflets. The pivot areas project into the normal blood
flow pattern where the pivots are washed by the flowing blood. By eliminating
the cavities in the orifice and placing the pivot areas within the normal blood
flow, the Company believes the improved washing action lowers the likelihood of
blood clot formation and the resulting incidence of thromboembolism. The open
pivot design as well as the angled inflow and outflow pivot stops also result in
low levels of hemolysis (damage to blood cells) which the Company believes
further contributes to a low rate of thromboembolic complications.
IMPROVED BLOOD FLOW EFFICIENCIES
The Company believes the Valve has several features that result in improved
blood flow efficiency as compared to other commercially available valves. The
Valve's orifice is a solid pyrolytic carbon ring. In contrast, the industry
standard valve orifice is composed of a soft graphite substrate which is coated
on all sides by pyrolytic carbon. By eliminating the graphite substrate, the
Company is able to make the orifice as durable but thinner, thereby resulting in
a larger inside diameter. The Company believes that this design results in lower
pressure gradients in the ATS Medical valve. The Valve also has less
regurgitation (backflow of blood when the valve is closing and closed) than
other valves due to geometry's that minimize the direct leakage paths. These
design characteristics result in superior blood flow efficiencies which should
reduce the workload on the heart.
EASE OF IMPLANT
The Valve and its supporting materials are designed for ease of use by the
implanting cardiac surgeon. The ATS Medical valve has a low profile design to
avoid complications in the implant procedure. The orifice also is rotatable,
thereby allowing the surgeon to optimize valve orientation by adjusting the
position of the leaflets after the Valve has been sutured in the natural
anatomical position in the patient's heart. The packaging and accessories of the
Valve also are designed to facilitate the implant procedure by including all of
the required items pre-assembled in a sterilized dual barrier container.
IMPROVED FOLLOW-UP DIAGNOSTIC CAPABILITY
The ATS Medical valve eases the follow-up diagnostic process by being more
visible to x-rays than other commercially available valves. The titanium
stiffening ring provides a clear image on x-rays taken from any angle. The
leaflets also have a higher percentage of tungsten impregnated in the substrate
than the industry standard valve, making them more visible to x-rays. This
increased visibility to x-rays assists cardiologists during follow-up
examinations.
IMPROVED PATIENT QUALITY OF LIFE THROUGH LOWER NOISE LEVELS
Patients with other implanted mechanical heart valves frequently complain of
disturbances resulting from the clicking sound created as the valve closes.
These disturbances range from irritability and insomnia to paranoia and
depression. Spouses of patients with implanted mechanical valves also report
disturbances resulting from the noise of the valve. Initial clinical reports and
preliminary studies indicate that the ATS Medical valve is quieter than
competitors' valves and below the threshold of hearing for most patients. The
Company believes that the reduced noise level of the Valve further improves the
quality of life of the patient.
CLINICAL DATA AND TESTING RESULTS
The Company began the development of the ATS Medical valve in November 1990.
During 1991 and 1992, the Company performed in vitro and animal testing of the
Valve. The in vitro testing included accelerated wear testing which subjected
the Valves to repeated opening and closing at speeds and forces greatly in
excess of those found in the human heart. The Company has continued these
accelerated wear tests beyond 1992 and, as of December 31, 1995, has accumulated
wear data in excess of 600 million cycles or equivalent to 15 years of
performance in a human. The results of these accelerated wear tests show average
wear rates similar to the St. Jude valves used as control valves. The results of
the animal testing and the other in vitro testing also show performance
characteristics either equivalent or superior to the St. Jude valves used as
control valves.
Beginning in May 1992, after obtaining approval from its Medical Advisory Board,
the Company commenced human implants in international markets. Through January
1, 1997, the Company estimates that over 14,000 ATS Medical valves have been
implanted in patients outside of the United States. The Company has received
implant registration data from over 130 institutions in 29 countries which have
implanted the ATS Medical valve in patients. While no long-term in vivo studies
of the Valve have yet been completed, the Company believes, based on discussions
with surgeons and analysis of short-term implant data, that the Valve is
demonstrating superior performance compared to the industry standard mechanical
valve. Based on these preliminary clinical reports, the Company believes that
the ATS Medical valve is experiencing a lower rate of thromboembolic events,
superior blood flow efficiencies, lower levels of hemolysis and lower noise
levels than the industry standard valve. In 1996, three prominent surgical
groups were recognized for their work with the ATS Open Pivot valve through the
publication of their clinical results in scientific journals. The published
materials were critical to the continued penetration of key European markets.
The first published paper detailed results of the Japanese clinical trials. It
was essential in aiding the rapid entry into the Japanese market following
regulatory approval which occurred two months after publication. In short order,
two more scientific articles appeared. These articles, originating from Belgium
and the United Kingdom, became very effective selling tools in Europe as well as
other parts of the world.
PROSTHETIC HEART VALVE MARKET
Prosthetic heart valves have been in general use since the 1960's and represent
an estimated $600 million worldwide market. The worldwide prosthetic heart valve
market has consistently grown at a rate of over 5 percent annually over the last
20 years, principally due to the expansion of cardiovascular surgery facilities
and the acceptance of valve replacement.
The worldwide prosthetic heart valve market is projected to continue to increase
at annual rates of 4 to 5 percent due to the aging of the population and the
expansion of cardiovascular surgery in international markets. One of the
principal causes of valve replacement is the deterioration of natural valves
through the aging process, with the average age of valve replacement patients in
excess of 50 years. As this segment of the population increases, the market for
prosthetic heart valves is expected to increase. In addition, rheumatic heart
disease is a principal cause of valve replacement, particularly in areas where
penicillin has been unavailable until relatively recently. As cardiovascular
surgery facilities expand in developing markets, the number of prosthetic heart
valve implants is expected to increase. The countries of Eastern Europe, the
Middle East and South America all offer the potential for greater than 10
percent annual growth in the number of implants of prosthetic valves.
Over 70 percent of the prosthetic valves implanted worldwide are mechanical
valves. Outside of the United States, mechanical valves represent approximately
75 percent of the prosthetic valve implants. Furthermore, as life expectancies
continue to increase, cardiac surgeons have been less likely to use tissue
valves in older patients and thereby subject the patient to the risks of a
possible re-operation. Mechanical valves are used in many instances to replace
degenerative prosthetic tissue valves.
MARKETING AND SALES
The Company's marketing strategy is to combine the substantial cardiovascular
sales experience of its senior officers with a network of experienced
independent distributors to sell the Valve internationally while pursuing
regulatory approval in the United States.
Manuel A. Villafana and Richard W. Kramp, the Company's Chief Executive Officer
and Chief Operating Officer, respectively, previously recruited, selected and
managed the independent distributor network of St. Jude Medical, Inc. ("St.
Jude"). St. Jude was founded in 1976 by Mr. Villafana to develop a bileaflet
mechanical heart valve that has become the world's most frequently implanted
prosthetic heart valve and is currently the industry standard. Mr. Kramp headed
St. Jude's worldwide sales and marketing efforts for almost 10 years. St. Jude
terminated most of its independent distributors as it converted to direct sales
of the St. Jude valve beginning in the United States in 1988 and internationally
in 1990. Many of these international distributors, who have long-established
relationships with cardiac surgeons and cardiologists, have contracted to serve
as independent distributors of the ATS Medical valve.
Since 1992, the Company has contracted with independent distributors in most of
the developed international markets. The Company believes that this independent
distributor network provides a rapid and cost efficient means of introducing the
Valve in a wide range of international markets through an experienced sales
force. The selection of an independent distributor does not involve significant
expense to the Company and does not expose the Company to currency fluctuation
risk since the distributor purchases Valves directly from the Company in United
States dollars. The Company has been able to attract experienced mechanical
valve sales organizations familiar with local markets and customs to act as
distributors.
The Company has a standard distributor agreement with variations for certain
distributors. Most of the distributor agreements establish quotas for sales of
the Valve in the distributor's territory. Most of the distributor agreements
also provide for termination at the option of the Company upon the departure of
certain key employees of the distributor or the change in control of ATS
Medical, Inc.
The Company supports its independent distributors through the Company's sales,
marketing and customer service personnel. The Company displays the Valve at
major international, national and regional medical meetings attended by
cardiovascular surgeons and cardiologists. The Company also develops and
distributes product brochures and product information bulletins and conducts
product training sessions. When feasible, the Company also responds to special
requests from physicians for supporting accessories and custom devices.
In January, 1996 over sixty distributors and their representatives convened in
Europe for the first all distributor sales meeting. The two day meeting included
the distribution of a complete set of new selling tools, followed by intensive
training by Senior Sales and Marketing management. In addition to continuing
training of our core group of distributors, the meeting also provided direct
training to the many new representatives who had joined the Company in 1995 or
who were starting as distributors in early 1996. Distributors from as far away
as Japan enjoyed the opportunity to learn, from the Company's staff as well as
their peers, the best methods for selling and supporting the valve in their
markets.
COMPETITION
The mechanical heart valve market is highly competitive with one dominant
company. In 1994, according to industry estimates, St. Jude represented
approximately 64% of the mechanical heart valves sold worldwide. St. Jude was
founded in 1976 by Mr. Villafana and has sold substantially the same bileaflet
valve since it was first introduced in 1977, although certain minor alterations
have recently been made to the valve.
Other companies that sell mechanical valves include Medtronic, Inc.,
CarboMedics, Inc. ("CMI"), Baxter Edwards and Sorin Biomedica sPa. Medtronic,
Inc. sells a monoleaflet mechanical valve that was introduced in the late 1970's
as well as a tissue valve. CMI, which manufactures pyrolytic carbon components
for the Company's valve, markets a bileaflet pyrolytic carbon valve with cavity
pivot areas resembling those in the St. Jude valve. CMI introduced its bileaflet
valve in international markets in 1986 and in 1993 received FDA approval to sell
the valve in the United States. Baxter Edwards reintroduced a bileaflet valve in
international markets. Sorin Biomedica sPa is an Italian company that sells a
monoleaflet and a bileaflet mechanical valve. These competitors have
significantly greater financial resources than the Company.
The Company also is aware of several companies that are developing new
prosthetic heart valves. Several companies are developing and testing new
autologous (created from the patient's own tissue) valves, more durable tissue
valves and new bileaflet and trileaflet mechanical valves. Advancements also are
being made in surgical procedures such as mitral valve reconstruction, whereby
the natural mitral valve is repaired, thereby delaying the need for a
replacement valve. Other companies are pursuing biocompatible coatings to be
applied to mechanical valves in an effort to reduce the incidence of
thromboembolic events.
The Company believes that the most important factors in a physician's selection
of a particular prosthetic valve are the physician's perceived benefits of the
valve and the physician's confidence in the valve design. As a result, valves
that have developed a favorable clinical performance record have a significant
marketing advantage over new valves. In addition, negative publicity resulting
from isolated incidents can have a significant negative effect on a valve's
overall acceptance. The Company competes with existing mechanical heart valves
by combining the advanced technical features of the Valve with the substantial
sales and heart valve marketing experience of its key management and independent
distributors. The Company's success is dependent upon the surgeon's willingness
to use a new prosthetic heart valve as well as the future clinical performance
of the Valve compared with the more established competition.
The Company believes that mechanical heart valves are currently being marketed
to hospitals at prices that vary significantly from country to country due to
market conditions, currency valuations, distributor mark-ups and government
regulations. The Company believes that, after distributor mark-up, the ATS
Medical valve sells at or above the current price of other valves in most
markets. In many markets, government agencies are imposing or proposing price
controls or restrictions on medical products. The Company works with its
independent distributors to price the Valve in each market to meet these
limitations. In addition, the Company's primary competitors have the ability,
due to their internal carbon manufacturing facilities and economies of scale, to
manufacture their valves at lower cost than the Company can manufacture the ATS
Medical valve.
MANUFACTURING AND COMPONENT SUPPLY
The basic design from which the ATS Medical valve evolved was developed by CMI.
CMI is the largest and most experienced manufacturer of pyrolytic carbon
components used in mechanical heart valves. CMI has designed and patented
numerous mechanical valves, and was in the process of pursuing the regulatory
and marketing steps for another mechanical valve that it had developed when it
agreed to license its patent (the "CMI Patent") on the basic design of an open
pivot bileaflet mechanical valve to the Company in 1990.
The Company commenced its valve development program by entering into four
agreements with CMI: a license agreement, a development agreement, a supply
agreement and an option agreement. Under the terms of the license agreement with
CMI (the "License Agreement"), the Company received a royalty-free worldwide
exclusive license to the licensed patent. The License Agreement does not include
the right to manufacture the pyrolytic carbon components, except that if CMI is
unable to produce the components, the Company has the right and license to make
or have made components. The License Agreement may be terminated by CMI or CMI
may declare the license to be non-exclusive if the Company fails to meet the
minimum purchase requirements under a supply agreement with CMI (the "Supply
Agreement"). Upon satisfaction of the Company's minimum purchase requirements
under the Supply Agreement, the Company will have a paid-up, exclusive,
royalty-free, worldwide license to the licensed patent. At the same time it
entered into the License Agreement, the Company entered into a development
agreement (the "Development Agreement") with CMI to complete design development
of the pyrolytic carbon components and perform testing of the Valve. The
Development Agreement provided that CMI, at the Company's direction, perform
preliminary tests of the Valve and assist the Company in making changes in the
design. As a result of these tests and certain design changes initiated by the
Company, the Company finalized the design of the Valve and filed and received an
additional U.S. patent covering the design modifications. The design
improvements and the U.S. patent covering the modifications are the exclusive
property of the Company. This today is the ATS Open Pivot valve.
In late 1992, upon completion of the Development Agreement, the Company began
purchasing sets of Valve components from CMI under the Supply Agreement. The
Company and CMI entered into an amendment to the Supply Agreement in December
1993 that modified the minimum purchase requirements. The Supply Agreement, as
amended, has a term of 15 contract years and provides that the Company purchase
a minimum number of Valve components in each of the first eight contract years.
The fourth contract year was completed in December 1996. The total commitment
for the next four contract years is approximately $60 million. If the minimum
purchase requirements are not met during any of the first eight contract years,
CMI may terminate the License Agreement or may declare the License Agreement to
be non-exclusive. The Company may not purchase Valve components from any source
other than CMI during the first eight contract years unless CMI is unable to
deliver the components. After the eighth contract year, the Company must
purchase the lower of either certain specified amounts or the number of Valves
sold and/or disposed of by any means by the Company. The price for each Valve
component set is determined for all fifteen contract years, with a price
reduction for volume purchases and sales into certain developing countries, and
a yearly price adjustment for changes in the U.S. Department of Labor Employment
Cost Index.
The Company's manufacturing operation consists of fabricating the sewing cuff
and assembling, inspecting, testing and packaging all of the components into a
finished Valve. The standard Valve is available in seven sizes ranging from 19mm
to 31mm in diameter, with each size available with sewing cuffs for either
aortic valve or mitral valve replacement. An extended sewing cuff is available
with the pyrolytic carbon components of a 31mm mitral valve to create a 33mm
valve for special mitral valve replacements.
The Company introduced the Advanced Performance ("AP") series of the ATS Medical
valve in international markets in early 1994 and is available in seven sizes
ranging from 16mm to 28mm in diameter. The AP series consists of a reconfigured
sewing cuff, allowing a larger valve to be used in small anulus situations.
The Company receives, inspects and assembles components in its Minneapolis,
Minnesota facility. The finished subassemblies are inspected, packaged and
shipped to Scotland where the Valve is assembled, inspected, packaged and
sterilized for shipment to distributors. Since it has now received approval of
its IDE application from the FDA, the Company has begun to assemble Valves for
implant in the United States, and certain other countries, at its Minneapolis,
Minnesota facility.
At any time during the ninth through the fifteenth contract years of the Supply
Agreement, the Company may exercise an option to acquire the carbon technology
necessary to manufacture the Valve under an option agreement with CMI (the
"Option Agreement"). The option may be exercised by paying a one time fee to
CMI. The Option Agreement may be terminated by CMI if the Company fails to meet
the minimum purchase levels for any of the first eight contract years of the
Supply Agreement or if the Company purchases carbon components from a source
other than CMI at any time during the term of the Supply Agreement.
PATENTS AND PROPRIETARY TECHNOLOGY
The Company's policy is to protect its proprietary position by, among other
methods, obtaining United States and international patents to protect
technology, inventions and improvements important to the development of its
business. The Company has received a royalty-free license on the basic design of
the Valve under the CMI Patent, subject to certain continuing component purchase
requirements. See "Business--Manufacturing and Component Supply." The Company
refined the design of the Valve to make it suitable for implantation and filed
an additional United States patent application covering the design improvements.
The United States patent on the design improvements was issued in October 1994.
The Company also has filed patent applications in Japan, Belgium, France,
Germany, Netherlands, Spain, Switzerland and the United Kingdom relating to the
design improvements. No assurance can be given that pending patent applications
will be approved or that any patents will not be challenged or circumvented by
competitors.
The Company also relies on trade secrets and technical know-how in its
manufacture and marketing of the Valve. The Company typically requires its
employees, consultants and contractors to execute appropriate confidentiality
agreements with respect to the Company's proprietary information.
The Company claims trademark protection to ATS Medical(TM) and ATS Open
Pivot(TM).
FDA AND OTHER GOVERNMENT REGULATIONS
As a manufacturer of medical devices, the Company is subject to extensive
regulation by the United States Food and Drug Administration (the "FDA") and, in
some jurisdictions, by state and foreign governmental authorities. These
regulations govern the introduction of new medical devices, the observance of
certain standards with respect to the manufacture, testing and labeling of such
devices, the maintenance of certain records, the ability to track devices and
the reporting of potential product defects and other matters. These regulations
have a material impact on the Company. Developments such as the enactment of the
Safe Medical Devices Act of 1990 reflect a trend toward more stringent product
regulation by the FDA. Recently, the FDA has pursued a more rigorous enforcement
program to ensure that regulated businesses comply with applicable laws and
regulations.
The sale and use of mechanical heart valves is regulated extensively in the
United States by the FDA. Pursuant to the Medical Device Amendments of 1976 to
the Federal Food, Drug and Cosmetic Act, medical devices intended for human use
are classified into three categories, Classes I, II and III, depending on the
degree of regulatory control to which they will be subject. Mechanical heart
valves are considered to be Class III devices which are subject to the strictest
testing requirements. Before clinical studies to determine safety and
effectiveness in humans can begin, a battery of laboratory and animal tests must
be conducted. The Company has proceeded with these pre-clinical tests on the
Valve since 1991.
The Company received conditional approval of an Investigational Device Exemption
(IDE) Application in December, 1996. The IDE allows limited clinical studies in
the U.S. during which the Company must submit reports to the FDA regarding
testing and patient follow-up. The IDE study and follow-up is expected to take
at least two years. After obtaining sufficient data from its clinical studies,
the Company may submit a Pre-Market Approval ("PMA") application. The PMA review
process is extremely lengthy and no assurance can be given concerning the
ultimate timing or outcome of a PMA application. Upon receipt of a PMA, the
Company would be able to commence full marketing of the Valve in the United
States.
In addition to the FDA approval process, the Company is subject to significant
additional FDA and other United States regulations. The Company's standard
operating procedures and system of documentation used in the manufacturing
process will be subject to the FDA's guidelines for Good Manufacturing Practices
("GMP's"). The Company also will become subject to periodic inspections by the
FDA to audit compliance with GMP's. To the extent the Company will sell the
Valve to Medicare or Medicaid beneficiaries, the Company will become subject to
the "fraud and abuse" laws and regulations promulgated by the U.S. Department of
Health and Human Services and the U.S. Health Care Finance Administration. These
regulations prohibit direct or indirect payment arrangements designed to induce
or encourage the purchase or recommendation of products reimbursable under
Medicaid or Medicare. The Company also will be required to comply with various
FDA regulations for advertising, labeling, patient tracking, post market studies
and reporting of any adverse experience. The FDA actively enforces regulations
and the failure to comply with applicable regulatory requirements can result in
fines, seizures, recalls and criminal prosecutions.
Regulation of heart valves varies widely in foreign countries, but generally is
less stringent than in the United States. Foreign countries vary from having no
regulations to having pre-market notice to a pre-market approval process. The
Company or its independent distributor must obtain the appropriate approval, if
any, from each country's regulatory agency prior to marketing the Valve in that
country. The Company received CE Mark approval for all European Union Countries
in March, 1995. The Company will continue to be subjected to various audits and
tests under the European Community directives. In June, 1996, the Company
received approval to begin commercial sales in the Japanese market through a
Shonin regulatory approval obtained by its distributor, Century Medical, Inc.
The Company is in the process of pursuing regulatory approval for the Valve in
Australia, Canada and Taiwan.
PRODUCT LIABILITY AND INSURANCE
Cardiovascular device companies are subject to an inherent risk of product
liability and other liability claims in the event that the use of their products
results in personal injury. A mechanical heart valve is a life-sustaining
device, and the failure of any mechanical heart valve usually results in the
death of the patient. ATS Medical has not received any reports of mechanical
failure of the Valves implanted to date and has not experienced any product
liability claims. Any future significant failure of the ATS Medical valve would
subject the Company to substantial litigation, damages and adverse publicity.
The Company currently maintains a $5 million product liability insurance policy,
which is required by the Supply Agreement. The Company is financially
responsible for any uninsured claims or claims which exceed the insurance policy
limits. At the present time, product liability insurance is expensive and
extremely difficult to obtain for mechanical valves. If insurance becomes
completely unavailable, the Company must either develop a self-insurance program
or sell without insurance, and the Company would be required to obtain the
consent of CMI. The development of a self-insurance program would require
significant capital.
CMI has made no warranty on the Valve components. The Company has agreed to hold
CMI harmless and indemnify CMI in the event claims are made or damages are
assessed against CMI as a result of the Valve.
EMPLOYEES
As of January 1, 1997, the Company had 50 full-time employees, of whom 13 were
engaged in regulatory affairs and quality assurance, 13 in production, 17 in
administrative, purchasing and marketing activities, and 7 in the Scotland
production facility.
DISCONTINUED OPERATIONS
The Company was organized in 1987 to design and operate a large-scale mammalian
cell culture system for contract protein manufacturing services to biotechnology
and pharmaceutical companies. In January 1991, the Company's Board of Directors
decided to suspend the biotechnology operations. In February 1992, the Company
entered into an agreement and sold all of the biotechnology assets and
technology. As a result of the sale of the biotechnology business, the Company's
current total operations consist of the Valve business.
ITEM 2. PROPERTIES
The Company currently maintains administrative offices, production and
engineering facilities in 20,535 square feet of leased space in a suburb of
Minneapolis, Minnesota. The lease expires on December 31, 1997. The Company
believes the current facility is adequate for its near-term needs.
The Company's wholly-owned subsidiary, ATS Medical, Ltd., entered into a lease
effective November 1993 for approximately 1,500 square feet of clean room and
administrative space in Glasgow, Scotland. The Scotland facility is used for
final assembly, packaging and shipping the ATS Medical valve. The Company leases
the facility on a month-to-month basis. The Company believes the Scotland
facility is adequate for its near-term needs.
ITEM 3. LEGAL PROCEEDINGS
None
ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS
None
EXECUTIVE OFFICERS OF THE COMPANY
The executive officers of the Company are as follows:
NAME AGE POSITION
Manuel A. Villafana 56 Chairman and Chief Executive Officer
Richard W. Kramp 51 President and Chief Operating Officer
Russell W. Felkey 46 Executive Vice President of Regulatory Affairs
and Secretary
John H. Jungbauer 47 Vice President, Treasurer and Chief Financial Officer
MANUEL A. VILLAFANA, a founder of the Company, has served as Chief Executive
Officer and Chairman of the Board since the Company's inception in 1987. From
1983 to 1987, Mr. Villafana served as Chairman of GV Medical, Inc., a company
co-founded by Mr. Villafana to develop, manufacture and market the LASTAC
System, a laser transluminal angioplasty catheter system. From 1976 to 1982, Mr.
Villafana served as President and Chairman of St. Jude Medical, Inc., a company
founded by Mr. Villafana to develop, manufacture and market a prosthetic
bileaflet heart valve manufactured from pyrolytic carbon. From 1972 to 1976, Mr.
Villafana served as President and Chairman of Cardiac Pacemakers, Inc., a
company founded by Mr. Villafana to develop, manufacture and market a new
generation of lithium powered pacemakers.
RICHARD W. KRAMP has served as President and Chief Operating Officer and a
Director of the Company since joining the Company in March 1988. Prior to
joining the Company, Mr. Kramp was Vice President of Sales and Marketing for St.
Jude Medical, Inc., where Mr. Kramp served in a variety of sales and marketing
capacities from 1978 to 1988. From 1976 through 1978, Mr. Kramp served as
Illinois Sales Manager for Life Instruments, a distributor of cardiovascular
products. From 1972 to 1976, Mr. Kramp was the Senior Design Engineer and then
Supervisor of Electrical Design for Cardiac Pacemakers, where he designed the
first lithium powered demand pacemaker for which he received a U. S. patent. Mr.
Kramp also is a director of MedAmicus, Inc., a medical products company.
RUSSELL W. FELKEY has served as Executive Vice President of Regulatory Affairs
of the Company since April 1991 and has served as Secretary since October, 1995.
From 1989 to 1991, Mr. Felkey was Vice President of Regulatory Affairs and
Quality Assurance at Cardiovascular Imaging Systems, Inc., a company involved in
the development of peripheral and coronary ultrasound catheters. From 1984 to
1989, Mr. Felkey was Vice President of Regulatory Affairs at GV Medical, Inc.
JOHN H. JUNGBAUER has served as Vice President of the Company since April 1,
1995 and has served as Treasurer and Chief Financial Officer of the Company
since October 1990. From 1988 to 1990, Mr. Jungbauer was Executive Vice
President of Titan Medical, Inc., a medical products company. Prior to 1987, Mr.
Jungbauer was Vice President of Finance at St. Jude Medical, Inc.
MEDICAL ADVISORY BOARD
The Company has a Medical Advisory Board that meets periodically to review and
guide the design and testing of the Valve as well as to provide assessments of
potential new cardiovascular products. The members of the Medical Advisory Board
are as follows:
DR. DEMETRE M. NICOLOFF is a world-renowned cardiac surgeon practicing with
Cardiac Surgical Associates in association with the Minneapolis Heart Institute
and St. Paul Heart and Lung Center. Previously, Dr. Nicoloff was an Associate
Professor of Surgery at the University of Minnesota and taught in the Department
of Surgery at the University of Minnesota for over 15 years. Dr. Nicoloff
participated in the first human implant of the ATS Medical valve in May 1992.
Dr. Nicoloff also participated in the design of the first generation of
bileaflet valves and performed the first human implant of the most frequently
implanted mechanical bileaflet valve. Dr. Nicoloff previously was a member of
the Scientific Advisory Board of St. Jude Medical, Inc. Dr. Nicoloff received
his medical degree from Ohio State University.
DR. H. DAVID FRIEDBERG is a Clinical Professor of Medicine and Cardiology at the
University of South Florida. Dr. Friedberg is certified in cardiac pacing and
electrophysiology. He is a Fellow of the American College of Cardiology,
American College of Chest Physicians and the Council of Clinical Cardiology of
the American Heart Association. Dr. Friedberg participated in the first implant
of the ATS Medical valve in May 1992. Dr. Friedberg previously was a member of
the Scientific Advisory Board of St. Jude Medical, Inc. Dr. Friedberg obtained
his medical degree in South Africa and performed his internal medicine studies
and residencies in London, England.
PART II
ITEM 5. MARKET OR REGISTRANTS COMMON EQUITY AND RELATED SHAREHOLDER MATTERS
The Company's common stock (the "Common Stock") is traded on the Nasdaq National
Market under the symbol "ATSI." The following table sets forth the high and low
sale prices since January 1, 1995. Prices represent transactions between dealers
and do not reflect retail markups, markdowns or commissions.
1996 HIGH LOW 1995 HIGH LOW
First Quarter $12.00 $9.00 First Quarter $ 6.63 $ 3.75
Second Quarter 11.88 9.38 Second Quarter 9.75 5.63
Third Quarter 11.00 7.00 Third Quarter 9.88 7.75
Fourth Quarter 8.63 6.25 Fourth Quarter 9.75 7.75
As of December 31, 1996, there were 642 record holders of the Common Stock. The
Company has not paid cash dividends and has no present intentions of paying cash
dividends on its Common Stock.
ITEM 6. SELECTED FINANCIAL DATA
The following selected consolidated financial data of the Company have been
derived from its financial statements for the years ended December 31, 1996,
1995, 1994, 1993 and 1992, which financial statements have been audited by Ernst
& Young LLP. The data should be read in conjunction with the Company's audited
financial statements and the notes thereto and "Management's Discussion and
Analysis of Financial Condition and Results of Operations" appearing elsewhere
herein.
Year ended December 31,
----------------------------------------------------------------------------
STATEMENTS OF OPERATIONS DATA:
1996 1995 1994 1993 1992
------------ ------------ ------------ ------------ ------------
REVENUES:
Net sales $ 11,859,765 $ 9,300,540 $ 6,763,408 $ 5,057,640 $ 634,226
Less cost of goods sold 7,474,065 6,011,025 4,189,426 3,082,169 430,648
------------ ------------ ------------ ------------ ------------
GROSS PROFIT FROM OPERATIONS 4,385,700 3,289,515 2,573,982 1,975,471 203,578
OPERATING EXPENSES:
Research, development and engineering 617,571 718,189 640,032 679,675 2,670,773
Selling, general and administrative 3,065,402 2,549,570 1,993,447 2,428,630 2,246,538
------------ ------------ ------------ ------------ ------------
TOTAL EXPENSES FROM OPERATIONS 3,682,973 3,267,759 2,633,479 3,108,305 4,917,311
Interest income 641,375 752,880 74,706 165,202 175,264
Other income 0 0 0 599,218 279
Interest expense 0 (31,224) (31,317) 0 0
Income taxes (22,500) (28,888) (25,243) 0 0
------------ ------------ ------------ ------------ ------------
NET INCOME (LOSS) $ 1,321,602 $ 714,524 ($ 41,351) ($ 368,414) ($ 4,538,190)
============ ============ ============ ============ ============
NET INCOME (LOSS) PER SHARE $ 0.08 $ 0.05 $ 0.00 ($ 0.03) ($ 0.48)
============ ============ ============ ============ ============
Cash dividends declared 0 0 0 0 0
Weighted average number of shares
outstanding during the period 16,303,317 15,328,596 11,177,881 10,841,123 9,404,587
============ ============ ============ ============ ============
December 31,
----------------------------------------------------------------------------
BALANCE SHEET DATA: 1996 1995 1994 1993 1992
------------ ------------ ------------ ------------ ------------
Cash and cash equivalents............ $ 2,320,010 $ 2,213,632 $ 628,368 $ 2,735,421 $ 6,984,021
Working capital...................... 30,643,942 27,802,438 11,214,977 10,983,019 9,869,377
Total assets......................... 33,320,300 31,329,128 14,558,450 13,887,233 11,910,266
Long-term debt....................... 0 0 0 0 0
Total liabilities.................... 1,393,561 2,269,707 1,790,773 1,171,733 856,348
Accumulated deficit.................. (20,593,921) (21,915,523) (22,630,047) (22,588,696) (22,220,282)
Shareholders' equity................. 31,926,739 29,059,421 12,767,677 12,715,500 11,053,918
ITEM 7. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
OF OPERATIONS
RESULTS OF OPERATION
YEAR ENDED DECEMBER 31, 1996 COMPARED TO 1995
Net sales totaled $11,859,765 for the year ended December 31, 1996, an increase
of $2,559,225 or 28% over the net sales of $9,300,540 reported for the year
ended December 31, 1995. Unit sales increased 17% overall from 1995. During 1996
the Company's heart valve ("Valve") was approved for commercial distribution in
Japan which accounted for approximately 14% of the sales growth. The Company
sells to independent distributors with assigned territories (generally a
specific country or region) who in turn sell the valve to a hospital or clinic.
The Company sells in U.S. dollars so currency risk is borne by the distributor.
In 1996 and each of the previous years a portion of the sales increase has come
from opening new markets as well as increased usage within each market. The
Company has begun sales in most developed countries and several lesser developed
countries ("LDC's") so future sales growth is expected to come from increased
usage in existing markets.
In 1996, the Company instituted a volume/price discount program in its major
markets incorporating a 5% price increase which could be "averaged down" as
volume increased. The net price increase varied from market to market as volume
increases also varied. However an average price increase of 3% was achieved.
The Valve is sold in seven sizes and with three cuff designs. In order to be
prepared for surgery a hospital must stock or have available on the shelf a
minimum of seven to nine valves. Depending on the timing of opening hospital
accounts and the subsequent rate of implants, distributors will place bulk
orders which may fall just within or just outside of a particular period. As
such, the Company may receive fewer orders in one period than the next even
though market share is increasing in a given territory. In 1996, sales to
several distributors were lower than in 1995. Sales to many distributors
increased in 1996 compared to 1995 and in one case the increase was greater than
5% of total 1995 sales. Net unit sales increased at about three times the rate
of market growth.
All sales of Valves to December 31, 1996 were to customers outside of the United
States. In December, 1996 the Company's application for an Investigational
Device Exemption ("IDE") with the U.S. Food and Drug Administration ("FDA") was
approved. Consequently, the Company will commence a clinical study of the Valve
at a limited number of hospitals in the United States in 1997. During the study,
valves will be sold to the hospitals at prices comparable to other available
heart valves. The Company will be expected to pay the costs of additional tests
and to collect patient data so U.S. sales during the clinical study are not
expected to increase net income.
Cost of goods sold increased 24% to $7,474,065 for the year ended December 31,
1996 from $6,011,025 total cost of goods sold for the year ended December 31,
1995. Cost cost of goods sold as a percentage of sales declined from 65% for the
year ended December 31, 1995 to 63% for the year ended December 31, 1996,
primarily due to increased absorption of overhead which was the result of an
approximate 14% increase in production.
The Company purchases pyrolytic carbon components for the valve from
Carbomedics, Inc. ("CMI"). Approximately 75% of the total cost of a valve is
contained in the cost of the carbon components. The price of the components is
set under a multi-year supply agreement between the Company and CMI. The price
was established in 1990, and varies according to volumes and is adjusted
annually according to changes in the U.S. Department of Labor Employment Cost
Index. The Company uses the first-in first-out ("FIFO") method of accounting for
inventory. Approximately 75% of the valves sold in 1996 were made with carbon
purchased in 1994 (under FIFO) and the remainder with carbon purchased in 1995.
The cost of carbon components, after giving effect to volume discounts and
inflationary adjustments rose 11% in 1994 (the second contract year), 3.3% in
1995, and decreased .07% in 1996. For 1997 (the fifth contract year) the Company
expects to pay 3% more for carbon components than in 1996.
Gross profit increased from $3,289,515 for the twelve months ended December 31,
1995 to $4,385,700 for the twelve months ended December 31, 1996. Gross profit
as a percent of sales was 37% in 1996 and 35% in 1995. The increase in the
average selling price per unit was the most significant factor in the
improvement in the gross margin.
Research, development and engineering expenses totaled $617,571 for the year
ended December 31, 1996 compared to $718,189 for the year ended December 31,
1995. The Company's research efforts in 1996 were primarily on improved package
design and tooling for valve assembly. Approximately 56% of 1996 and 62% of 1995
R & D expenses related to the clinical study of the Valve outside the United
States and physical testing of the Valve and related consulting to support the
Company's IDE application to the FDA.
Selling, general and administrative expenses increased 20% from $2,549,570 for
the year ended December 31, 1995 to $3,065,402 for the year ended December 31,
1996. In November, 1996 the Company sponsored the Second International Symposium
on the ATS Medical Heart Valve. This two day meeting brought together surgeons
from 23 countries to exchange experiences with their colleagues on the Valve.
This meeting accounted for almost two thirds of the SG&A increase with salaries
and benefits increases accounting for the remainder. No equivalent meeting was
held in 1995 and no similar meeting is scheduled for 1997. The personnel hired
in the sales and marketing department in the middle of 1995 were on board for
all of 1996. For the first 10 months of 1995, the Company attempted to conserve
cash by scheduling a four day- 36 hour work week. For most of 1996, the
Company's work schedule was a five day 40 hour week. This increased payroll
expenses by 10%. The Company also had directors and officers liability insurance
(D & O) in place from November 1995 (2 months) through all of 1996 (12 months).
In early 1995, the Company borrowed against its line of credit and incurred
$31,224 of interest expense. The Company did not have any interest expense in
1996.
Following the Company's stock offering in March 1995, the Company had cash, cash
equivalents and short-term investments earning interest. Interest income in 1996
declined to $641,375 for the year ended December 31, 1996 compared to $752,880
for the year ended December 31, 1995. A decrease in the amount of cash invested
and lower market interest rates account for the decline.
The Company recorded $22,500 and $28,888 in income tax expense for 1996 and
1995, respectively. These taxes arose from certain items of income in the United
Kingdom.
Net income increased $607,078 from $714,524 for the twelve months ended December
31, 1995 to $1,321,602 for the twelve months ended December 31, 1996. The
increase in income from operations more than offset the decline in interest
income. This was due to the increased volume of business and the corresponding
increase in gross profit.
Net income per share increased from $.05 for 1995 to $.08 for 1996. The weighted
average number of shares outstanding increased 6% due to option and warrant
exercises.
The Company has accumulated net operating loss carryforwards in both the U.S.
and the U.K. Section 382 of the Internal Revenue Code of 1986, as amended,
provides, in part, that if an "ownership change" occurs with respect to any
corporation with net operating loss carryforwards, such as the Company, the net
operating loss carryforwards can be used to offset future income only to the
extent of the annual "Section 382 limitation." An ownership change generally
occurs if there has been more than a 50 percent change in the stock ownership of
a corporation over a three year period. The Section 382 limitation is an amount
determined by multiplying the value of the corporation's stock on the date of an
ownership change by the federal long-term tax-exempt rate which is published by
the Internal Revenue Service as in effect for the month of the ownership change.
As a result of Section 382, utilization of all or a portion of a corporation's
net operating loss carryforwards may be limited. The Company believes that as a
result of the Company's registered direct equity offering in early 1995, the
Company experienced an ownership change, and the Company's ability to fully
utilize $19 million of its existing net operating loss carryforwards will be
restricted to approximately $3 million per year. Due to the application of the
annual Section 382 limitation and the other provisions of Section 382, some of
the net operating loss carryforwards of the Company may expire before they can
be used by the Company to reduce its federal income tax liabilities.
YEAR ENDED DECEMBER 31, 1995 COMPARED TO 1994
Net sales increased 38% from $6,763,408 in 1994 to $9,300,540 for 1995. Unit
sales increased 50% during the same period, while the average unit selling price
declined as the Company was selling into additional price sensitive markets and
the Company encountered price competition in developed markets.
Cost of goods sold totaled $6,011,025 for the year ended December 31, 1995, a
43% increase over cost of goods sold of $4,189,426 for the year ended December
31, 1994. Cost of goods sold as a percentage of sales increased from 62% during
1994 to 65% during 1995. The average selling price per unit declined slightly in
1995 as revenue from sales to customers in price sensitive markets increased.
Gross profit increased by 28% from $2,573,982 for the year ended December 31,
1994 to $3,289,515 for the year ended December 31, 1995. Gross profit as a
percent of sales was 35% in 1995 and 38% in 1994. The change in the average
selling price and cost of goods sold account for the decline in gross profit
percentage.
Research, development and engineering expenses totaled $718,189 for the twelve
months ended December 31, 1995 compared to $640,032 for the twelve months ended
December 31, 1994. The Company's research efforts are focused on packaging and
accessories for the Valve. In 1995, the Company began reporting costs associated
with its clinical studies of the Valve as research and development expense. As a
result, for the year ended December 31, 1994, $260,845 was reclassified from
selling, general and administrative expenses to research and development
expenses. Expenses for 1995 totaled $444,449. A significant portion of research
and development expenses is spent with independent laboratories and consultants
for testing and verifying the Valve and materials associated with the Valve.
Selling, general and administrative expenses increased by $556,123 to $2,549,570
for the year ended December 31, 1995 from $1,993,447 for the year ended December
31, 1994. This 28% increase was attributable to a number of factors. The Company
increased its allowance for doubtful accounts to $150,000 in 1995 compared to
$30,000 in 1994. The Company sells to a limited number of customers which
results in a concentration of credit risk among a few accounts. In addition, as
the Company expands its presence in emerging markets, the risk of non-payment or
delayed payment increases. The Company was accruing $10,000 per quarter to
establish an allowance for bad debts during the last three quarters of 1994 and
all of 1995. At the end of 1995, management reviewed specific accounts and
accrued an additional $80,000. An increase in insurance expenses constituted
nearly 20% of the selling, general and administrative increase. Product
liability premiums increased as sales volume increased. During 1995, the Company
also obtained D&O liability insurance. Insurance expenses for 1994 included the
benefit of a refund on 1993 premiums. Midway through 1995, the Company added a
Director of Sales and a Senior Product Manager.
The Company borrowed against its line of credit from September 1994 to March
1995. Interest expense for 1994 and 1995 was approximately $31,000 each year.
The proceeds of the Company's registered direct secondary stock offering were
received on March 9, 1995. Interest income on the net proceeds was $752,880
during 1995. The Company earned $74,706 in interest income during 1994. The
increase was due to the substantially larger amount of money invested.
The Company accrued $28,888 and $25,243 for income taxes in 1995 and 1994. These
amounts arise from state alternative minimum income taxes and the tax on certain
items of income in the United Kingdom.
LIQUIDITY AND CAPITAL RESOURCES
Cash, cash equivalents, and short-term investments decreased by $2,796,982 from
$12,984,611 at December 31, 1995 to $10,187,620 at December 31, 1996. Inventory
increased by $4,820,321 from $13,421,745 at December 31, 1995 to $18,242,066 at
December 31, 1996. Under the terms of the multi-year agreement with CarboMedics,
Inc., the Company is required to purchase annual minimum quantities of
components. The minimum number of units which the Company purchased during each
of the first four years of the contract have exceeded unit sales and the Company
expects that until the Valve is approved for sale in the United States by the
FDA, the minimum required purchases will continue to exceed sales. During 1997,
the Company is obligated to purchase $11.4 million of heart valve components.
Over the three contract years subsequent to 1997, the aggregate purchases total
approximately $50 million.
Accounts receivable decreased by $85,548 from $3,225,107 at December 31, 1995 to
$3,139,559 at December 31, 1996. All of the Company's sales have been to
customers in international markets and, while the Company attempts to get
standard 60 day terms for receivables, competitive pressures and geographical
economic situations have caused the Company to selectively extend the terms for
payment. Accounts receivable represented 98 Days Sales Outstanding (DSO) at
December 31, 1996 and 188 DSO at December 31, 1995.
Accounts payable decreased by $797,231 from $1,988,189 at December 31, 1995 to
$1,190,958 at December 31, 1996. In 1995 and 1996, the Company scheduled the
receipt of over 50% of the entire year's components during the fourth quarter.
The decrease in accounts payable at December 31, 1996 is due to timing of
component shipments from CMI.
In May 1995 the Company entered into a new line of credit agreement with a bank.
Under the agreement, the Company may borrow up to $5,000,000 as long as it
maintains collateral defined as cash and marketable securities with a discounted
valve at least equal to the line amount. The agreement expires on June 30, 1997.
There were no borrowings under the line at December 31, 1996.
As explained in Note 12 to the Company's Consolidated Financial Statements, the
Company received $14.75 million in cash on February 7, 1997 through the sale of
1,568,940 shares of Common Stock. When added to the cash on hand at December 31,
1996, the Company's cash, cash equivalents and short-term investments total
approximately $25 million.
The Company expects the obligations under the supply agreement with CMI to
require more cash than will be generated by operations through the year 2000.
During these same years (1997 through 2000) the Company will be conducting a
clinical study of the Valve in the United States and submitting data obtained
from the study to the FDA for PreMarket Approval Application (PMA) and the
opportunity to sell the Valve in the United States. The Company estimates that
existing cash, cash equivalents and short-term investments will be sufficient to
satisfy its capital requirements through at least the year 2000.
The Private Securities Litigation Reform Act of 1995 (the "Act") provides a
"safe harbor" for forward-looking statements to encourage companies to provide
prospective information about their business, so long as those statements are
identified as forward-looking and are accompanied by meaningful cautionary
statements identifying important factors that could cause actual results to
differ materially from those discussed in the statement. ATS Medical, Inc.
desires to take advantage of the safe harbor provisions with respect to any
forward-looking statements it may make in this filing, other filings with the
Securities and Exchange Commission and any public oral statements or written
releases. The words or phrases "will likely," "is expected," "will continue,"
"is anticipated," "estimate," "projected," "forecast," or similar expressions
are intended to identify forward-looking statements within the meaning of the
Act. Such statements are subject to certain risks and uncertainties that could
cause actual results to differ materially from those projected. The Company
cautions readers not to place undue reliance on any such forward-looking
statements, which speak only as of the date made.
In accordance with the Act, the Company identifies the following important
general factors which if altered from the current status could cause the
Company's actual results to differ from those described in any forward-looking
statements: the continued acceptance of the Company's only product, a mechanical
heart Valve in international markets; the acceptance by the FDA of the Company's
regulatory submissions; the continued performance of the Company's mechanical
heart valve without structural failure; the actions of the Company's competitors
including pricing changes and new product introductions; the continued
performance of the Company's independent distributors in selling the Valve; and
the actions of the Company's supplier of pyrolytic carbon components for the
Valve. This list is not exhaustive, and the Company may supplement this list in
any future filing or in connection with the making of any specific
forward-looking statement.
ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA
The consolidated financial statements of the Company are included (with an index
listing all such statements) in a separate financial section at the end of this
Annual Report on Form 10-K.
ITEM 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND
FINANCIAL DISCLOSURE
None
PART III
ITEM 10. DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT
See Part I of this Report. Pursuant to General Instruction G(3), reference is
made to information contained under the heading "Election of Directors" and
"Section 16(a) Beneficial Ownership Reporting Compliance" in the Company's
definitive proxy statement for its 1997 Annual Meeting of Shareholders to be
filed with the Securities and Exchange Commission on or before April 28, 1997,
which information is incorporated herein.
ITEM 11. EXECUTIVE COMPENSATION
See Part I of this Report. Pursuant to General Instruction G(3), reference is
made to information contained under the heading "Executive Compensation" in the
Company's definitive proxy statement for its 1997 Annual Meeting of Shareholders
to be filed with the Securities and Exchange Commission on or before April 28,
1997, which information is incorporated herein.
ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT
Pursuant to General Instruction G(3), reference is made to information contained
under the headings "Security Ownership of Certain Beneficial Owners and
Management" and "Election of Directors" in the Company's definitive proxy
statement for its 1997 Annual Meeting of Shareholders to be filed with the
Securities and Exchange Commission on or before April 28, 1997, which
information is incorporated herein.
ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS
Pursuant to General Instruction G(3), reference is made to information contained
under the headings Election of Directors and Executive Compensation in the
Company's definitive proxy statement for its 1997 Annual Meeting of Shareholders
to be filed with the Securities and Exchange Commission on or before April 28,
1997, which information is incorporated herein.
PART IV
ITEM 14. EXHIBITS, FINANCIAL STATEMENT SCHEDULES, AND REPORTS ON FORM 8-K
(a) 1. FINANCIAL STATEMENTS
The financial statements of the Company are included (with an index listing all
such statements) in a separate financial section at the end of this Annual
Report on Form 10-K.
(a) 2. FINANCIAL STATEMENT SCHEDULES
The financial statement schedule is included (with an index listing such
schedule) in a separate financial section at the end of this Annual Report on
Form 10-K.
All other schedules have been omitted because of absence of conditions under
which they are required or because the required information is included in the
financial statements or notes thereto.
(a) 3. LISTING OF EXHIBITS
EXHIBIT
NUMBER DESCRIPTION
3.1 Restated Articles of Incorporation, as amended to date (Incorporated by
reference to Exhibit 3.1 to the Company's Annual Report on Form 10-K
for the year ended December 31, 1993 (the "1993 Form 10-K")).
3.2 Bylaws of the Company, as amended to date.
4.1 Specimen certificate for shares of Common Stock of the Company
(Incorporated by reference to Exhibit 4.1 to the Company's Annual
Report on Form 10-K for the year ended December 31, 1992 (the "1992
Form 10-K")).
4.3 Form of Warrant issued in 1992 Private Placement (Incorporated by
reference to Exhibit 4 to the Company's Quarterly Report on Form 10-Q
for the quarter ended September 30, 1992).
4.4 Form of Warrant issued in 1993 Private Placement (Incorporated by
reference to Exhibit 4.4 to the 1993 Form 10-K).
10.1** 1987 Stock Option and Stock Award Plan (1991 Restatement) (Incorporated
by reference to Exhibit 3.2 to the 1991 Form 10-K).
10.2** Employment Agreement with Richard W. Kramp dated March 21, 1988
(Incorporated by reference to Exhibit 10(Q) to the Company's
Registration Statement on Form S-18, File No. 33-34785-C (the "Form
S-18")).
10.3** Agreement between the Company and Manuel A. Villafana dated January 26,
1995 (Incorporated by reference to Exhibit 10.3 to the Company's Annual
Report on Form 10-K for the year ended December 31, 1994 (the "1994
Form 10-K")).
10.4 Lease Agreement between the Company and Crow Plymouth Land Limited
Partnership dated December 22, 1987 (Incorporated by reference to
Exhibit 10(d) to the Form S-18).
10.5 Amendment No. 1 to Lease Agreement between the Company and Crow
Plymouth Land Limited Partnership, dated January 5, 1989 (Incorporated
by reference to Exhibit 10(e) to the Form S-18).
10.6 Amendment No. 2 to Lease Agreement between the Company and Crow
Plymouth Land Limited Partnership, dated January 1989 (Incorporated by
reference to Exhibit 10(f) to the Form S-18).
10.7 Amendment No. 3 to Lease Agreement between the Company and Crow
Plymouth Land Limited Partnership, dated June 14, 1989 (Incorporated by
reference to Exhibit 10(g) to the Form S-18).
10.8 Amendment No. 4 to Lease Agreement between the Company and Plymouth
Business Center Limited Partnership, dated February 10, 1992.
10.9 Development Agreement dated September 24, 1990, with CarboMedics, Inc.
(confidential treatment granted).*
10.10 O.E.M. Supply Contract dated September 24, 1990, with CarboMedics, Inc.
(confidential treatment granted).*
10.11 License Agreement dated September 24, 1990, with CarboMedics, Inc.
(confidential treatment granted).*
10.12 Option Agreement dated September 24, 1990, with CarboMedics, Inc.
(confidential treatment granted).*
10.13 Helix BioCore, Inc. Self-Insurance Trust Agreement dated February 28,
1991.
10.14 Amendment 1 to License Agreement dated December 16, 1993, with
CarboMedics, Inc. (Incorporated by reference to Exhibit 10.17 to the
1993 Form 10-K.)
10.15 Amendment 4 to O.E.M. Supply Contract dated December 16, 1993, with
CarboMedics, Inc. (confidential treatment granted)* (Incorporated by
reference to Exhibit 10.18 to the 1993 Form 10-K.)
10.16 Amendment 5 to O.E.M. Supply Contract dated September 1, 1994, with
CarboMedics, Inc. (confidential treatment granted)* (Incorporated by
reference to Exhibit 10.19 to the 1994 Form 10-K).
10.17 Amendment 1 to Option Agreement dated December 16, 1993, with
CarboMedics, Inc. (confidential treatment granted)* (Incorporated by
reference to Exhibit 10.19 to the 1993 Form 10-K.)
10.18 Line of Credit dated August 11, 1994, between the Company and First
Bank National Association (Incorporated by reference to Exhibit 10.1 to
the Company's Form 10-Q for the quarter ended September 30, 1994).
10.19 Form of Distributor Agreement. (Incorporated by reference to Exhibit
10.22 to the 1994 Form 10-K).
10.20** Form of Agreement between ATS Medical, Inc. and each officer dated June
30, 1995 concerning severance benefits upon a change in control.
(Incorporated by reference to Exhibit 10.23 to the Company's Annual
Report on Form 10-K for the year ended December 31, 1995 (The "1995
Form 10-K")).
10.21 ATS Medical, Inc. Change in Control Severance Pay Plan. (Incorporated
by reference to Exhibit 10.24 to the Company's Annual Report on Form
10-K for the year ended December 31, 1995 (the 1995 Form 10-K)).
10.22 Amendment No. 5 to Lease Agreement between the Company and St. Paul
Properties, Inc., dated May 30, 1996.
21 Subsidiaries of the Company.
23 Consent of Ernst & Young LLP.
24 Power of Attorney.
27 Financial Data Schedule.
*Pursuant to Rule 24b-2 of the Securities and Exchange Act of 1934, as amended,
confidential portions of this exhibit have been deleted.
**Represents a management contract or compensatory plan or arrangement required
to be filed as an exhibit pursuant to Item 14(c) of Form 10-K.
(b) Reports on Form 8-K
None
(c) Exhibits
See Exhibit Index and Exhibits attached as a separate section of this report.
(d) Financial Statement Schedule
SIGNATURES
Pursuant to the requirements of Section 13 or 15(d) of the Securities
Exchange Act of 1934, the registrant has duly caused this report to be signed on
its behalf by the undersigned, thereunto duly authorized.
Dated: March 25, 1997 ATS MEDICAL, INC.
By /s/ John H. Jungbauer
---------------------
John H. Jungbauer
Chief Financial Officer
Pursuant to the requirements of the Securities Exchange Act of 1934,
this report has been signed below by the following persons on behalf of the
registrant and in the capacities and on the date indicated.
SIGNATURE TITLE
Manuel A. Villafana* Chairman, Chief Executive )
Officer, and Director )
(principal executive officer))
)
Richard W. Kramp* President, Chief Operating )
Officer and Director ) By:/s/ John H. Jungbauer
) ---------------------
) John H. Jungbauer
John H. Jungbauer* Vice President, Treasurer ) Pro se and
and Chief Financial Officer ) Attorney-in-fact
(principal financial )
accounting officer) )
) Dated: March 25, 1997
Charles F. Cuddihy, Jr.* Director )
)
James F. Lyons* Director )
)
A. Jay Graf* Director )
*By Power of Attorney filed with this report as Exhibit 24 hereto.
ATS MEDICAL, INC.
ANNUAL REPORT ON FORM 10-K
YEAR ENDED DECEMBER 31, 1996
ITEM 8 AND ITEM 14(a) (1) AND (2) AND (d)
FINANCIAL STATEMENTS AND FINANCIAL STATEMENT SCHEDULE
COMMISSION FILE NUMBER 0-18602
ATS MEDICAL, INC.
FORM 10-K ITEM 8 AND ITEM 14(a) (1) and (2) and (d)
LIST OF FINANCIAL STATEMENTS AND STATEMENT SCHEDULE
The following financial statements of ATS Medical, Inc. are incorporated in Part
II, Item 8 and Part IV, Item 14(a)(1) of this Annual Report on Form 10-K by this
reference:
Report of Independent Auditors.
Consolidated Statements of Financial Position at December 31, 1996 and 1995.
Consolidated Statements of Operations for the years ended December 31, 1996,
1995 and 1994.
Consolidated Statement of Changes in Shareholders Equity for the years ended
December 31, 1996, 1995 and 1994.
Consolidated Statements of Cash Flows for the years ended December 31, 1996,
1995 and 1994.
Notes to Consolidated Financial Statements.
The following financial statement schedule of ATS Medical, Inc. is incorporated
in Part IV, Item 14(a)(2) and (d) of this Annual Report on Form 10-K by this
reference:
Schedule II - Valuation and Qualifying Accounts and Reserves
INDEX TO CONSOLIDATED FINANCIAL STATEMENTS
Page
----
Report of Independent Auditors F-2
Consolidated Statements of Financial Position
as of December 31, 1996 and 1995 F-3
Consolidated Statements of Operations for the
years ended December 31, 1996, 1995 and 1994 F-4
Consolidated Statement of Changes in
Shareholders' Equity for the years ended
December 31, 1996, 1995 and 1994 F-5
Consolidated Statements of Cash Flows for
the years ended December 31, 1996, 1995 and 1994 F-6
Notes to Consolidated Financial Statements F-7
Report of Independent Auditors
Board of Directors and Shareholders
ATS Medical, Inc.
We have audited the accompanying consolidated statements of financial position
of ATS Medical, Inc. and subsidiary as of December 31, 1996 and 1995, and the
related consolidated statements of operations, changes in shareholders' equity
and cash flows for each of the three years in the period ended December 31,
1996. Our audit also included the financial statement schedule listed in the
index at item 14(a). These financial statements and schedule are the
responsibility of the Company's management. Our responsibility is to express an
opinion on these financial statements based on our audits.
We conducted our audits in accordance with generally accepted auditing
standards. Those standards require that we plan and perform the audit to obtain
reasonable assurance about whether the financial statements are free of material
misstatement. An audit includes examining, on a test basis, evidence supporting
the amounts and disclosures in the financial statements. An audit also includes
assessing the accounting principles used and significant estimates made by
management, as well as evaluating the overall financial statement presentation.
We believe that our audits provide a reasonable basis for our opinion.
In our opinion, the financial statements referred to above present fairly, in
all material respects, the consolidated financial position of ATS Medical, Inc.
and subsidiary at December 31, 1996 and 1995, and the consolidated results of
their operations and their cash flows for each of the three years in the period
ended December 31, 1996, in conformity with generally accepted accounting
principles. Also, in our opinion, the related financial statement schedule, when
considered in relation to the basic financial statements taken as a whole,
presents fairly in all material respects the information set forth therein.
Ernst & Young LLP
Minneapolis, Minnesota
February 6, 1997
ATS Medical, Inc.
Consolidated Statements of Financial Position
DECEMBER 31
1996 1995
---------------------------------
ASSETS
Current assets:
Cash and cash equivalents $ 2,320,010 $ 2,213,632
Short-term investments 7,867,619 10,770,979
---------------------------------
10,187,629 12,984,611
Accounts receivable, less allowance of $200,000
in 1996 and $150,000 in 1995 3,139,559 3,225,107
Inventories 18,242,066 13,421,745
Prepaid expenses 468,249 440,682
---------------------------------
Total current assets 32,037,503 30,072,145
Furniture and equipment, net 894,564 887,549
Other assets 388,233 369,434
---------------------------------
Total assets $ 33,320,300 $ 31,329,128
=================================
LIABILITIES AND SHAREHOLDERS' EQUITY
Current liabilities:
Accounts payable $ 1,190,958 $ 1,988,189
Accrued payroll and expenses 202,603 281,518
---------------------------------
Total current liabilities 1,393,561 2,269,707
Shareholders' equity:
Common Stock, $.01 par value:
Authorized shares--40,000,000
Issued and outstanding shares--15,288,042 in 1996
and 14,963,604 in 1995 152,880 149,636
Additional paid-in capital 52,313,315 50,777,154
Other 54,465 48,154
Accumulated deficit (20,593,921) (21,915,523)
---------------------------------
Total shareholders' equity 31,926,739 29,059,421
Commitments
---------------------------------
Total liabilities and shareholders' equity $ 33,320,300 $ 31,329,128
=================================
SEE ACCOMPANYING NOTES.
ATS Medical, Inc.
Consolidated Statements of Operations
YEAR ENDED DECEMBER 31
1996 1995 1994
-------------------------------------------
Net sales $ 11,859,765 $ 9,300,540 $ 6,763,408
Cost of goods sold 7,474,065 6,011,025 4,189,426
-------------------------------------------
Gross profit 4,385,700 3,289,515 2,573,982
Expenses:
Research, development and engineering 617,571 718,189 640,032
Selling, general and administrative 3,065,402 2,549,570 1,993,447
-------------------------------------------
3,682,973 3,267,759 2,633,479
-------------------------------------------
Operating income (loss) 702,727 21,756 (59,497)
Other income (expense):
Interest income 641,375 752,880 74,706
Interest expense -- (31,224) (31,317)
-------------------------------------------
641,375 721,656 43,389
-------------------------------------------
Income (loss) before income taxes 1,344,102 743,412 (16,108)
Income taxes 22,500 28,888 25,243
-------------------------------------------
Net income (loss) $ 1,321,602 $ 714,524 $ (41,351)
===========================================
Net income (loss) per share $ .08 $ .05 $ (.00)
===========================================
Weighted average number of shares outstanding 16,303,317 15,328,596 11,177,881
===========================================
SEE ACCOMPANYING NOTES.
ATS Medical, Inc.
Consolidated Statement of Changes in Shareholders' Equity
COMMON STOCK ADDITIONAL
---------------------------- PAID-IN ACCUMULATED
SHARES AMOUNT CAPITAL OTHER DEFICIT
---------------------------------------------------------------------------------
Balance at January 1, 1994 11,177,881 $ 111,779 $ 35,198,622 $ (6,205) $(22,588,696)
Compensation expense on stock options -- -- 54,738 -- --
Change in foreign currency translation -- -- -- 38,790 --
Net loss for the year -- -- -- -- (41,351)
---------------------------------------------------------------------------------
Balance at December 31, 1994 11,177,881 111,779 35,253,360 32,585 (22,630,047)
Common Stock issued in public offering, net
of selling expenses of $1,400,447 3,600,000 36,000 14,763,553 -- --
Compensation expense on stock options -- -- 13,666 -- --
Change in unrealized gains on short-term
investments, net of tax -- -- -- 12,852 --
Stock options exercised 81,143 811 273,161 -- --
Stock warrants exercised 104,580 1,046 473,414 -- --
Change in foreign currency translation -- -- -- 2,717 --
Net income for the year -- -- -- -- 714,524
---------------------------------------------------------------------------------
Balance at December 31, 1995 14,963,604 149,636 50,777,154 48,154 (21,915,523)
Change in unrealized gains on short-term
investments, net of tax -- -- -- (7,262) --
Stock options exercised 58,643 586 129,804 -- --
Stock warrants exercised 265,795 2,658 1,406,357 -- --
Change in foreign currency translation -- -- -- 13,573 --
Net income for the year -- -- -- -- 1,321,602
---------------------------------------------------------------------------------
Balance at December 31, 1996 15,288,042 $ 152,880 $ 52,313,315 $ 54,465 $(20,593,921)
=================================================================================
SEE ACCOMPANYING NOTES
ATS Medical, Inc.
Consolidated Statements of Cash Flows
YEAR ENDED DECEMBER 31
1996 1995 1994
---------------------------------------------
OPERATING ACTIVITIES
Net income (loss) $ 1,321,602 $ 714,524 $ (41,351)
Adjustments to reconcile net income (loss) to net cash used
in operating activities:
Depreciation 233,867 229,736 233,645
Loss on disposal of equipment 17,925 916 10,791
Compensation expense on stock options -- 13,666 54,738
Changes in operating assets and liabilities:
Accounts receivable 85,548 (437,975) (865,791)
Prepaid expenses (27,567) (182,574) (45,527)
Other assets (18,799) 255,764 25,946
Inventories (4,820,321) (4,089,603) (2,704,817)
Accounts payable and accrued expenses (876,146) 1,728,934 (630,960)
---------------------------------------------
Net cash used in operating activities (4,083,891) (1,766,612) (3,963,326)
INVESTING ACTIVITIES
Purchases of short-term investments (9,486,341) (16,564,890) --
Maturities of short-term investments 12,382,440 5,806,763 658,084
Purchases of furniture and equipment (258,808) (190,699) (90,601)
---------------------------------------------
Net cash provided by (used in) investing activities 2,637,291 (10,948,826) 567,483
FINANCING ACTIVITIES
Proceeds from notes payable -- -- 1,250,000
Payments on notes payable -- (1,250,000) --
Net proceeds from issuance of Common Stock 1,539,405 15,547,985 --
---------------------------------------------
Net cash provided by financing activities 1,539,405 14,297,985 1,250,000
Effect of exchange rate changes on cash 13,573 2,717 38,790
---------------------------------------------
Increase (decrease) in cash and cash equivalents 106,378 1,585,264 (2,107,053)
Cash and cash equivalents at beginning of year 2,213,632 628,368 2,735,421
---------------------------------------------
Cash and cash equivalents at end of year $ 2,320,010 $ 2,213,632 $ 628,368
=============================================
SEE ACCOMPANYING NOTES.
ATS Medical, Inc.
Notes to Consolidated Financial Statements
December 31, 1996
1. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
BUSINESS ACTIVITY
ATS Medical, Inc. (the "Company") manufactures and sells a bileaflet mechanical
heart valve. The principal markets for the Company's mechanical heart valve
include Europe, Asia, South Africa and South America. The Company is sponsoring
clinical trials of the valve in Australia, Canada and the United States in order
to demonstrate safety and effectiveness and be allowed to market the valve in
these countries. The Company has an assembly facility in Scotland.
PRINCIPLES OF CONSOLIDATION
The consolidated financial statements include the accounts of the Company and
its wholly-owned subsidiary, ATS Medical, Ltd., after elimination of significant
intercompany accounts and transactions.
CASH EQUIVALENTS
The Company considers all highly liquid investments with maturities of three
months or less at the time of purchase to be cash equivalents. Cash equivalents
are carried at cost which approximates market value.
SHORT-TERM INVESTMENTS
Short-term investments are composed of debt securities and are classified as
available-for-sale. Available-for-sale securities are carried at fair value,
with the unrealized gains and losses, net of tax, reported as a separate
component of shareholders' equity. Realized gains and losses and declines in
value judged to be other than temporary on available-for-sale securities are
included in other income.
INVENTORIES
Inventories are carried at the lower of cost (first-in, first-out basis) or
market. The majority of inventory consists of purchased components.
OTHER ASSETS
Prior to obtaining directors' and officers' liability insurance, the Company had
placed $353,987 and $338,364 as of December 31, 1996 and 1995, respectively, in
a self-insurance trust. A VAT deferment account of $34,246 and $31,070 at
December 31, 1996 and 1995, respectively, was established to guarantee VAT
liabilities for transferring inventory transferred to Scotland for
manufacturing.
FURNITURE AND EQUIPMENT
Furniture and equipment are stated at cost. Depreciation is provided for at
rates calculated to amortize the cost of the property over its estimated useful
life (three to ten years) using the straight-line method. Leasehold improvements
are amortized over the related lease term or estimated useful life, whichever is
shorter.
REVENUE RECOGNITION
The Company recognizes revenue at the time of shipment of the product.
USE OF ESTIMATES
The preparation of financial statements in conformity with generally accepted
accounting principles requires management to make estimates and assumptions that
affect the amounts reported in the financial statements and accompanying notes.
Actual results could differ from those estimates.
INCOME TAXES
Income taxes are accounted for under the liability method. Deferred income taxes
are provided for temporary differences between financial reporting and tax bases
of assets and liabilities.
STOCK-BASED COMPENSATION
The Company follows Accounting Principles Board Opinion No. 25, ACCOUNTING FOR
STOCK ISSUED TO EMPLOYEES ("APB 25"), and related interpretations in accounting
for its stock options. Under APB 25, when the exercise price of stock options
equals the market price of the underlying stock on the date of grant, no
compensation expense is recognized.
NET INCOME (LOSS) PER SHARE
Net income (loss) per share is computed by dividing net income (loss) by the
weighted average number of common shares outstanding and dilutive common stock
equivalents, if applicable.
RECLASSIFICATIONS
Certain reclassifications have been made to the 1994 and 1995 financial
statements to conform to the 1996 presentation.
2. SHORT-TERM INVESTMENTS
The following is a summary of available-for-sale securities:
DECEMBER 31
1996 1995
--------------------------------------
U.S. Treasury debt securities:
Cost $7,858,301 $10,749,558
Unrealized gains 9,318 21,421
--------------------------------------
Fair value $7,867,619 $10,770,979
======================================
All investments have original maturity dates of one year or less.
3. FURNITURE AND EQUIPMENT
Furniture and equipment consists of the following:
DECEMBER 31
1996 1995
--------------------------------
Furniture and fixtures $ 168,960 $ 160,211
Equipment 1,347,034 1,221,890
Leasehold improvements 474,042 459,542
Construction in progress 24,403 7,477
--------------------------------
2,014,439 1,849,120
Less accumulated depreciation 1,119,875 961,571
--------------------------------
$ 894,564 $ 887,549
================================
4. FINANCING ARRANGEMENT
The Company has a $5 million revolving line of credit with a bank which accrues
interest at a rate .5% below the bank's reference rate (7.75% at December 31,
1996) and is secured by a portion of the Company's short-term investments. The
Company must repay any amounts owed under the line of credit by June 30, 1997.
Interest on the line of credit is payable monthly. The Company had no borrowings
against this facility at December 31, 1996.
5. COMMON STOCK
On June 25, 1990, the Company completed an initial public offering in which the
Company sold 1,840,000 shares of Common Stock at $3.50 per share, including a
warrant to the underwriters to purchase an additional 160,000 shares of Common
Stock exercisable at $4.20 per share. All of the warrants expire on November 13,
1997. As of December 31, 1996 and 1995, the Company had 8,000 and 68,000 of
these warrants outstanding, respectively.
On November 16, 1992, the Company completed a private placement of 1,613,944
units at $6.00 per unit. Each unit consisted of one share of the Company's
Common Stock and a warrant to purchase an additional share of Common Stock at
$9.00 per share. The Company also issued warrants to the agent in the private
placement to purchase 161,394 shares of Common Stock at $7.00 per share and
161,394 shares of Common Stock at $9.00 per share. All of the warrants expire on
November 13, 1997. As of December 31, 1996 and 1995, the Company had 1,850,485
and 1,924,152 of these warrants outstanding, respectively.
On December 21, 1993, the Company completed a private placement of 416,667 units
at $6.00 per unit. Each unit consisted of one share of the Company's Common
Stock and a warrant to purchase an additional share of Common Stock at $9.00 per
share. The warrants expire on December 22, 1998 and none have been exercised as
of December 31, 1996.
On March 2, 1995, the Company completed a public offering in which the Company
sold 3,600,000 shares of Common Stock at $4.50 per share, including warrants to
purchase an additional 900,000 shares of Common Stock exercisable at $6.75 per
share. As of December 31, 1996 and 1995, the Company had warrants outstanding to
purchase 826,813 and 900,000 shares of Common Stock, respectively. These
warrants expire on March 2, 1997. The Company also issued a warrant to the agent
to purchase 180,000 shares of Common Stock at $5.40 per share. The warrant
expires on March 9, 2000. In 1996, 121,059 shares were tendered in the exercise
of the warrant to purchase 180,000 shares for a net issuance of 58,941 shares.
6. STOCK OPTIONS
The Company has a Stock Option and Stock Award Plan (the "Plan") under which
options to purchase Common Stock of the Company may be awarded to employees and
non-employees of the Company. The options may be granted under the Plan as
incentive stock options (ISO) or as non-qualified stock options (non-ISO).
The following table summarizes the options to purchase shares of the Company's
Common Stock under the Plan:
STOCK OPTIONS OUTSTANDING
SHARES UNDER THE PLAN WEIGHTED AVERAGE
RESERVED ----------------------------- EXERCISE PRICE
FOR GRANT ISO NON-ISO PER SHARE
----------------------------------------------------------------
Balance January 1, 1994 666,754 340,250 555,000 $3.66
Options granted (706,750) 446,250 260,500 3.62
Options canceled 506,750 (308,750) (198,000) 5.83
---------------------------------------------
Balance December 31, 1994 466,754 477,750 617,500 2.60
Options granted (12,500) 2,500 10,000 7.90
Options exercised - (66,687) (18,500) 3.62
Options canceled 15,750 (7,750) (8,000) 3.63
---------------------------------------------
Balance December 31, 1995 470,004 405,813 601,000 2.56
Options granted (395,000) 299,500 95,500 9.00
Options exercised - (29,643) (29,000) 2.22
Options canceled 38,125 (21,000) (17,125) 6.07
---------------------------------------------
Balance December 31, 1996 113,129 654,670 650,375 $4.37
=============================================
The following table summarizes information about stock options outstanding at
December 31, 1996:
OPTIONS OUTSTANDING OPTIONS EXERCISABLE
-------------------------------------------- -------------------------------------
WEIGHTED AVERAGE
REMAINING WEIGHTED AVERAGE WEIGHTED AVERAGE
RANGE OF EXERCISE PRICES NUMBER OUTSTANDING CONTRACTUAL LIFE EXERCISE PRICE NUMBER EXERCISABLE EXERCISE PRICE
- ------------------------------------------------------------------------- ------------------------------------------------------
$ 0.0041 286,000 1 year $ 0.0041 286,000 $ 0.0041
1.00 - 3.63 636,545 6 years 3.40 483,296 3.32
6.25 - 8.25 202,500 9 years 7.80 25,625 7.20
9.00 - 10.13 215,000 9 years 9.88 21,500 9.57
===================== ================
$ 0.0041 - $10.13 1,340,045 6 years $ 4.37 816,421 $ 2.44
===================== ================
The weighted-average fair value of options granted during the years ended
December 31, 1996 and 1995 was $9.00 and $7.90, respectively.
Non-Plan options to purchase 35,000 shares exercisable at a weighted-average
exercise price of $3.63 per share were outstanding at December 31, 1996, 1995
and 1994, respectively.
At December 31, 1996, 1995 and 1994, Plan and non-Plan options for 816,421,
744,687 and 620,936 shares of Common Stock, respectively, were exercisable at a
weighted-average exercise price of $2.44, $2.09 and $1.83 per share,
repectively. Options can be exercised by tendering shares previously acquired.
In 1995, 4,044 shares were tendered in the exercise of 85,187 options for a net
issuance of 81,143 shares. No options were exercised in 1994.
The issuance of certain stock options to employees and consultants caused the
Company to account for the excess of the fair market value of the Company's
Common Stock on the date of grant over the option exercise prices as
compensation. The expense is recognized over the period of expected services.
The compensation expense does not involve the outlay of cash. During the years
ended December 31, 1996, 1995 and 1994, $-0-, $13,666 and $54,738, respectively,
of expense had been recognized for the unexercised options.
The Company has elected to follow Accounting Principles Board Opinion No. 25,
ACCOUNTING FOR STOCK ISSUED TO EMPLOYEES ("APB 25") and related interpretations
in accounting for its employee stock options because, as discussed below, the
alternative fair value accounting provided for under FASB Statement No. 123,
ACCOUNTING FOR STOCK-BASED COMPENSATION ("Statement 123"), requires use of
option valuation models that were not developed for use in valuing employee
stock options.
Pro forma information regarding net loss and loss per share is required by
Statement 123, and has been determined as if the Company had accounted for its
employee stock options under the fair value method of Statement 123. The fair
value of these options was estimated at the date of grant using the
Black-Scholes option pricing model with the following weighted-average
assumptions for 1996 and 1995: risk-free interest rate of 6.03% and 5.29%,
respectively; dividend yield of 0%; volatility factor of the expected market
price of the Company's common stock of .46 and a weighted-average expected life
of the option of 4 years.
The Black-Scholes option valuation model was developed for use in estimating the
fair value of traded options which have no vesting restrictions and are fully
transferable. In addition, option valuation models require the input of highly
subjective assumptions. Because the Company's employee stock options have
characteristics significantly different from those of traded options, and
because changes in the subjective input assumptions can materially affect the
fair value estimate, in management's opinion, the existing models do not
necessarily provide a reliable single measure of the fair value of its employee
stock options.
For purposes of pro forma disclosures, the estimated fair value of the options
is amortized to expense over the options' vesting period. The Company's pro
forma information is as follows:
1996 1995
--------------------------------
Pro forma net income $1,122,778 $679,801
Pro forma net income per share $.07 $.04
The pro forma effect on net income for 1996 and 1995 is not representative of
the pro forma effect on net income in future years because it does not take into
consideration pro forma compensation expense related to grants made prior to
1995.
7. LEASES
The Company has an operating lease for its facilities in Plymouth, Minnesota.
The lease is for a period of six years and expires December 31, 1997. Total rent
expense as of December 31, 1996, 1995 and 1994 was $147,101, $143,000 and
$143,000, respectively.
8. INCOME TAXES
At December 31, 1996, the Company had net operating loss carryforwards of
approximately $18,782,000 plus credits for increasing research and development
costs of approximately $620,000 which are available to offset future taxable
income through 2011. The net operating loss carryforwards exclude results of
operations for ATS Medical, Ltd. for 1996, 1995 and 1994. The Company paid
income taxes of $23,000, $29,000 and $20,000 in 1996, 1995 and 1994,
respectively, consisting principally of foreign income taxes. The effective tax
rate differs from the federal statutory rate due to foreign income taxes as of
December 31, 1996, 1995 and 1994, respectively.
Components of deferred tax assets and liabilities are as follows:
DECEMBER 31
1996 1995
--------------------------
Deferred tax assets:
Net operating loss carryforwards $ 7,513,000 $ 8,748,000
Research and development credits 620,000 612,000
Accrued compensation 341,000 378,000
Other accrued expenses 27,000 26,000
--------------------------
8,501,000 9,764,000
Deferred tax liabilities:
Depreciation (555,000) (543,000)
Other -- (2,000)
--------------------------
(555,000) (545,000)
--------------------------
Net deferred tax assets before valuation allowance 7,946,000 9,219,000
Less valuation allowance (7,946,000) (9,219,000)
--------------------------
Net deferred tax assets $ -- $ --
==========================
The Company's ability to utilize its net operating loss carryforwards to offset
future taxable income is subject to certain limitations under Section 382 of the
Internal Revenue Code due to changes in the equity ownership of the Company.
Income tax expense consists of:
DECEMBER 31
1996 1995 1994
---------------------------
Current:
Federal $ -- $ -- $ --
State -- -- --
Foreign 22,500 28,888 25,243
---------------------------
$22,500 $28,888 $25,243
===========================
Reconciliation of the statutory federal income tax rate to the Company's
effective tax rate is as follows:
DECEMBER 31
1996 1995 1994
-------------------------
Tax at statutory rate 34.0% 34.0% (34.0%)
State income taxes 6.0 6.0 (6.0)
Foreign income taxes 1.7 3.9 156.7
Impact of net operating
loss carryforwards (40.0) (40.0) 40.0
-------------------------
1.7% 3.9% 156.7%
=========================
9. COMMITMENTS
On September 24, 1990, the Company entered into various agreements with
CarboMedics, Inc. giving the Company the exclusive worldwide license to
manufacture and sell a bileaflet mechanical heart valve under patents held by
CarboMedics, Inc. As part of the agreements, the Company entered into a 15 year
supply contract that was amended in December 1993. Under the amended supply
contract, as of December 31, 1996, the Company remains obligated to purchase a
minimum of $61 million of component sets through December 7, 2000. Thereafter,
the Company must purchase the lower of either certain specified amounts or the
number of component sets sold and/or disposed of by the Company. Payments to
CarboMedics, Inc. were $11,289,218, $6,182,596 and $5,710,545 in 1996, 1995 and
1994, respectively.
At December 31, 1996, the Company's inventory is in excess of its current
requirements based on the recent level of sales. Management feels that excess
quantities will be utilized upon FDA approval of its technology and believes no
loss will be incurred on its disposition. As of December 31, 1996, management
cannot estimate a range of amounts of loss that could occur if FDA approval is
not granted. Management is unable to make a meaningful estimate of inventory
usage for the next twelve months and, accordingly, inventory is classified as a
current asset as of December 31, 1996.
10. BENEFIT PLAN
The Company has a defined contribution salary deferral plan covering
substantially all employees under Section 401(k) of the Internal Revenue Code.
The plan allows eligible employees to contribute up to 12% of their annual
compensation with the Company contributing an amount equal to 25% of each
employee's contribution. The Company realized expense for contributions to the
plan of $38,125, $32,911 and $28,591 during 1996, 1995 and 1994, respectively.
11. SIGNIFICANT CUSTOMERS AND CONCENTRATION OF CREDIT RISK
The Company sells to independent distributors who cover assigned international
territories. Approximately 49% and 56% of net sales for 1996 and 1995,
respectively, were a result of sales to three distributors. Approximately 63% of
net sales for 1994 were a result of sales to four distributors.
12. SUBSEQUENT EVENT
On February 7, 1997, the Company issued 1,568,940 shares of Common Stock at
$9.40 per share from which the Company received proceeds of $14,750,000 which
are available for general corporate purposes.
ATS MEDICAL, INC.
SCHEDULE II - VALUATION AND QUALIFYING ACCOUNTS AND RESERVES
COL. A COL. B COL. C COL. D COL. E
Additions
(1) (2)
Balance at Charged to Costs Charged to Balance at
Beginning and Expenses Other Accounts- Deductions- End of
Description of Period Describe Describe Period
Year ended December 31, 1996:
Deducted from asset accounts:
Allowance for doubtful accounts $150,000 $ 50,000 -- -- $200,000
-------- -------- -------- -------- --------
Totals $150,000 $ 50,000 $ 0 $ 0 $200,000
Year ended December 31, 1995:
Deducted from asset accounts:
Allowance for doubtful accounts $ 30,000 $120,000 -- -- $150,000
-------- -------- -------- -------- --------
Totals $ 30,000 $120,000 $ 0 $ 0 $150,000
Year ended December 31, 1994:
Deducted from asset accounts:
Allowance for doubtful accounts $ 0 $ 30,000 -- -- $ 30,000
-------- -------- -------- -------- --------
Totals $ 0 $ 30,000 $ 0 $ 0 $ 30,000
EXHIBIT INDEX
EXHIBIT
NUMBER DESCRIPTION
3.1 Restated Articles of Incorporation, as amended to date (Incorporated by
reference to Exhibit 3.1 to the Company's Annual Report on Form 10-K
for the year ended December 31, 1993 (the "1993 Form 10-K")).
3.2 Bylaws of the Company, as amended to date .
4.1 Specimen certificate for shares of Common Stock of the Company
(Incorporated by reference to Exhibit 4.1 to the Company's Annual
Report on Form 10-K for the year ended December 31, 1992 (the "1992
Form 10-K")).
4.3 Form of Warrant issued in 1992 Private Placement (Incorporated by
reference to Exhibit 4 to the Company's Quarterly Report on Form 10-Q
for the quarter ended September 30, 1992).
4.4 Form of Warrant issued in 1993 Private Placement (Incorporated by
reference to Exhibit 4.4 to the 1993 Form 10-K).
10.1** 1987 Stock Option and Stock Award Plan (1991 Restatement) (Incorporated
by reference to Exhibit 3.2 to the 1991 Form 10-K).
10.2** Employment Agreement with Richard W. Kramp dated March 21, 1988
(Incorporated by reference to Exhibit 10(Q) to the Company's
Registration Statement on Form S-18, File No. 33-34785-C (the "Form
S-18")).
10.3** Agreement between the Company and Manuel A. Villafana dated January 26,
1995 (Incorporated by reference to Exhibit 10.3 to the Company's Annual
Report on Form 10-K for the year ended December 31, 1994 (the "1994
Form 10-K")).
10.4 Lease Agreement between the Company and Crow Plymouth Land Limited
Partnership dated December 22, 1987 (Incorporated by reference to
Exhibit 10(d) to the Form S-18).
10.5 Amendment No. 1 to Lease Agreement between the Company and Crow
Plymouth Land Limited Partnership, dated January 5, 1989 (Incorporated
by reference to Exhibit 10(e) to the Form S-18).
10.6 Amendment No. 2 to Lease Agreement between the Company and Crow
Plymouth Land Limited Partnership, dated January 1989 (Incorporated by
reference to Exhibit 10(f) to the Form S-18).
10.7 Amendment No. 3 to Lease Agreement between the Company and Crow
Plymouth Land Limited Partnership, dated June 14, 1989 (Incorporated by
reference to Exhibit 10(g) to the Form S-18).
10.8 Amendment No. 4 to Lease Agreement between the Company and Plymouth
Business Center Limited Partnership, dated February 10, 1992.
10.9 Development Agreement dated September 24, 1990, with CarboMedics, Inc.
(confidential treatment granted).*
10.10 O.E.M. Supply Contract dated September 24, 1990, with CarboMedics, Inc.
(confidential treatment granted).*
10.11 License Agreement dated September 24, 1990, with CarboMedics, Inc.
(confidential treatment granted).*
10.12 Option Agreement dated September 24, 1990, with CarboMedics, Inc.
(confidential treatment granted).*
10.13 Helix BioCore, Inc. Self-Insurance Trust Agreement dated February 28,
1991.
10.14 Amendment 1 to License Agreement dated December 16, 1993, with
CarboMedics, Inc. (Incorporated by reference to Exhibit 10.17 to the
1993 Form 10-K.)
10.15 Amendment 4 to O.E.M. Supply Contract dated December 16, 1993, with
CarboMedics, Inc. (confidential treatment granted)* (Incorporated by
reference to Exhibit 10.18 to the 1993 Form 10-K.)
10.16 Amendment 5 to O.E.M. Supply Contract dated September 1, 1994, with
CarboMedics, Inc. (confidential treatment granted)* (Incorporated by
reference to Exhibit 10.19 to the 1994 Form 10-K).
10.17 Amendment 1 to Option Agreement dated December 16, 1993, with
CarboMedics, Inc. (confidential treatment granted)* (Incorporated by
reference to Exhibit 10.19 to the 1993 Form 10-K.)
10.18 Line of Credit dated August 11, 1994, between the Company and First
Bank National Association (Incorporated by reference to Exhibit 10.1 to
the Company's Form 10-Q for the quarter ended September 30, 1994).
10.19 Form of Distributor Agreement. (Incorporated by reference to Exhibit
10.22 to the 1994 Form 10-K).
10.20** Form of Agreement between ATS Medical, Inc. and each officer dated June
30, 1995 concerning severance benefits upon a change in control.
(Incorporated by reference to Exhibit 10.23 to the Company's Annual
Report on Form 10-K for the year ended December 31, 1995 (The "1995
Form 10-K")).
10.21 ATS Medical, Inc. Change in Control Severance Pay Plan. (Incorporated
by reference to Exhibit 10.24 to the Company's Annual Report on Form
10-K for the year ended December 31, 1995 (the 1995 Form 10-K)).
10.22 Amendment No. 5 to Lease Agreement between the Company and St. Paul
Properties, Inc., dated May 30, 1996.
21 Subsidiaries of the Company.
23 Consent of Ernst & Young LLP.
24 Power of Attorney.
27 Financial Data Schedule.
*Pursuant to Rule 24b-2 of the Securities and Exchange Act of 1934, as amended,
confidential portions of this exhibit have been deleted.
**Represent a management contract or compensatory plan or arrangement required
to be filed as an exhibit pursuant to Item 14(c) of Form 10-K.