Exhibit 99.1 Contact: Michael Dale, President/CEO Jack Judd, Chief Financial Officer 763/553-7736 763/553-0052 Fax Minneapolis MN, October 22, 2003 ATS MEDICAL ANNOUNCES 3RD QUARTER RESULTS MINNEAPOLIS, October 22, 2003 -- Michael D. Dale, President and CEO of ATS Medical, Inc. (NASDAQ: ATSI) announced today that ATS Medical recorded sales of $4.6 million for the quarter ended September 30, 2003, compared to sales of $3.2 million for the quarter ended September 30, 2002, representing an increase of 46%. For the nine months ended September 30, 2003 sales totaled $12.9 million compared to $9.6 million for the nine months ended September 30, 2002, representing an increase of 34%. The net loss for the quarter ended September 30, 2003 totaled $307,000 or $0.01 per share compared to a net loss of $589,000 or $0.03 per share for the quarter ended September 30, 2002. Cash balances as of September 2003 remain strong at $8.9 million, a slight decrease from June 2003 balances due to the approximately $440,000 of transaction related expenses associated with the previously announced sale of 4.4 million shares of common stock in a private placement to institutional investors. The proceeds from this private placement were used to cancel the Centerpulse License Agreement and a $2.6 million non-cash gain on the extinguishment of debt was recorded. Commented Mr. Dale, "We are very pleased with third quarter results in all markets, but especially so in North America. The cardiac surgery community, thus far, has been very positive not only to our product, but to our people, and our avowed mission to establish ATS Medical as a new leader within cardiovascular surgery. Specific to North America, revenue increased 37% over second quarter of 2003, and 168% versus third quarter 2002. As of the end of September, we have completed our primary hiring objectives for North America, and have now turned our attention towards ongoing sales force training and development, and market awareness activities focused towards the cardiac surgeon." ATS Medical, Inc. manufactures and markets a pyrolytic carbon open pivot mechanical heart valve. The Company's common stock is traded in the NASDAQ National Market under the symbol "ATSI." The Company's website is www.atsmedical.com. This Press Release contains forward-looking statements that may include statements regarding intent, belief or current expectations of the Company and its management. Actual results could differ materially from those projected in the forward looking statements as a result of a number of important factors, including regulatory actions, competition, pricing pressures, supplier actions and management of growth. For a discussion of these and other risks and uncertainties that could affect the Company's activities and results, please refer to the Company's filings with the Securities and Exchange Commission including Exhibit 99.1 to its Form 10-Q for the quarter ended June 30, 2003. ATS MEDICAL, INC. CONSOLIDATED CONDENSED STATEMENTS OF OPERATIONS (UNAUDITED) Three months ended Nine months ended September 30, September 30, --------------------------- ---------------------------- REVENUES 2003 2002 2003 2002 ------------- ------------ ------------- ------------- Net sales $4,639,103 $3,184,351 $12,850,026 $9,561,856 Less cost of goods sold 3,255,380 2,179,420 9,251,830 7,194,342 ------------ ----------- ------------ ------------ Gross profit 1,383,723 1,004,931 3,598,196 2,367,514 OPERATING EXPENSES Research, development and engineering 384,453 345,790 1,212,763 1,940,140 Sales and marketing 2,808,501 389,432 6,349,923 2,691,637 General and administrative 1,090,804 634,882 3,121,148 2,089,450 Impairment of technology license 0 0 0 8,100,000 Reorganization expense 0 22,897 0 888,081 Extinguishment of debt (2,575,000) 0 (2,575,000) 0 ------------ ----------- ------------ ------------ Total expenses 1,708,758 1,393,001 8,108,834 15,709,308 ------------ ----------- ------------ ------------ Operating loss (325,035) (388,070) (4,510,638) (13,341,794) ------------ ----------- ------------ ------------- Net interest income (expense) 18,168 (201,136) (438,759) (98,496) ------------ ----------- ------------ ------------ NET LOSS FOR THE PERIOD ($306,867) ($589,206) ($4,949,397) ($13,440,290) ============ =========== ============ ============ NET LOSS PER SHARE: Basic and diluted ($0.01) ($0.03) ($0.21) ($0.60) ============ =========== ============ ============ Weighted average number of shares outstanding: Basic and diluted 24,743,314 22,270,880 23,137,865 22,245,458 CONSOLIDATED CONDENSED STATEMENTS OF FINANCIAL POSITION September 30, December 31, 2003 2002 ------------- ------------ CURRENT ASSETS (unaudited) Cash, cash equivalents and short-term investments $8,896,821 $9,973,888 Accounts receivable 4,222,405 3,557,055 Inventories 16,929,115 15,876,324 Prepaid expenses 728,307 382,107 ------------ ----------- Total current assets 30,776,648 29,789,374 Furniture, machinery & equipment, less accumulated depreciation 6,036,269 6,025,962 Other inventories 28,000,000 37,000,000 Technology License 18,500,000 18,500,000 Other assets 438,859 440,362 ------------ ----------- TOTAL ASSETS $83,751,776 $91,755,698 ============ =========== Current liabilities $2,724,486 $8,114,455 Due to related party 289,355 434,033 Long-term debt 0 9,080,000 Shareholders' equity 80,737,935 74,127,210 ------------ ----------- TOTAL LIABILITIES & SHAREHOLDERS' EQUITY $83,751,776 $91,755,698 ============ =========== CONSOLIDATED CONDENSED STATEMENTS OF CASH FLOW Nine months ended September 30, 2003 2002 ----------------- -------------- OPERATING ACTIVITIES Net loss ($4,949,397) ($13,440,290) Adjustments to reconcile net loss to net cash used in operating activites: Depreciation 583,048 536,544 Loss on disposal of equipment 1,696 29,790 Compensation expense on stock options 5,196 0 Imputed interest long-term debt 320,000 239,000 Impairment of technology license 0 8,100,000 Extinguishment of debt (2,575,000) 0 Changes in operating assets and liabilities 6,577,515 1,025,677 ------------ ----------- Net Cash used in operating activities (36,942) (3,509,279) INVESTING ACTIVITIES Purchase of short-term investments, net of sales (743,212) 6,199,814 Payments for technology license (12,000,000) 0 Net purchases of furniture, machinery and equipment (595,051) 67,321 ------------ ----------- Net cash provided by (used in) investing activities (13,338,263) 6,267,135 FINANCING ACTIVITIES Net proceeds from sale of common stock 11,554,690 108,644 ------------ ----------- Net cash provided by financing activities 11,554,690 108,644 Effect of exchange rate changes on cash 236 0 ------------ ----------- INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS ($1,820,279) $2,866,500 ============ ===========