UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 ---------- FORM 10-K/A (AMENDMENT NO. 2) Annual Report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 FOR THE FISCAL YEAR ENDED DECEMBER 31, 2005 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 incorporation or organization) Identification No.) 3905 ANNAPOLIS LANE NORTH MINNEAPOLIS, MINNESOTA 55447 (Address of principal executive offices) (Zip Code) Registrant's telephone number, including area code: (763) 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 if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes No X --- --- Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act. Yes No X --- --- 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. X --- Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, or a non-accelerated filer. See definition of "accelerated filer and large accelerated filer" in Rule 12b-2 of the Exchange Act (Check one): Large accelerated filer Accelerated filer X Non-accelerated filer --- --- --- Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act). Yes No X --- --- The aggregate market value of voting and non-voting stock held by non-affiliates of the registrant as of June 30, 2005, was approximately $107,457,665 (based on the last sale price of such stock as reported by the NASDAQ National Market on such date). The number of shares outstanding of the registrant's common stock, $.01 par value per share, as of July 5, 2006, was 31,231,891 shares. Documents Incorporated by Reference: None. 1 EXPLANATORY NOTES OVERVIEW. This Amendment No. 2 on Form 10-K/A (the "Form 10-K/A") to our Annual Report on Form 10-K for the fiscal year ended December 31, 2005, initially filed with the Securities and Exchange Commission ("SEC") on March 7, 2006 (the "Original Filing") and as amended by Amendment No. 1 filed on April 28, 2006, is being filed to restate our 2005 consolidated financial statements, certain notes to our 2005 consolidated financial statements and other financial information to give effect to derivative accounting treatment required for the Company's Convertible Senior Notes issued in October, 2005 (the "Notes"). The information contained in this Form 10-K/A, including the financial statements and notes thereto, amends only Items 1A, 6, 7, 8, 9A and 15 of our Original Filing, in each case to reflect only the adjustments described herein, and no other information in our Original Filing is amended hereby. Except for the foregoing amended information, the Original Filing, as amended, continues to describe conditions as of March 7, 2006, the date of the Original Filing, and does not reflect events occurring after March 7, 2006, or modify or update those disclosures that may have been affected by subsequent events. FINANCIAL STATEMENT RESTATEMENT. As stated above, we are filing this Form 10-K/A to restate our 2005 consolidated financial statements and other financial information to give effect to derivative accounting treatment required for the Notes. The determination to restate these financial statements was made after an error was discovered in June 2006 in the accounting for embedded derivatives related to the Notes under Financial Accounting Standards Board (FASB) Statement No.133, Accounting for Derivative Instruments and Hedging Activities and related Emerging Issues Task Force (EITF) interpretations and SEC rules. The following table summarizes the effect of the restatement on the statement of operations (dollars in thousands): Year Ended December 31, 2005 ----------------------------------------- As Previously Reported Adjustments As Restated ------------- ----------- ----------- Operating loss $(16,187) -- $(16,187) Interest expense, net of interest income (376) 38 (338) Change in value of derivative liability bifurcated from convertible senior notes -- 2,131 2,131 Net loss $(16,563) $2,169 $(14,394) Net loss per share-basic and diluted $ (0.53) $ 0.07 $ (0.46) The restatement does not have an impact on cash flow. IMPACT ON MANAGEMENT'S ASSESSMENT OF INTERNAL CONTROL OVER FINANCIAL REPORTING. In connection with the restatement, we reevaluated our disclosure controls and procedures. We concluded that our failure to correctly apply FASB Statement No.133 and its related interpretations and rules with respect to the embedded derivative accounting treatment required for our Convertible Senior Notes constituted a material weakness in our internal control over financial reporting. Solely as a result of this material weakness, we concluded that our disclosure controls and procedures were not effective as of December 31, 2005. We have performed a thorough analysis of all of the provisions in the Notes and related agreements for embedded derivatives under FASB Statement No.133 and the related EITF interpretations and SEC rules, in an effort to ensure that this Amendment reflects all necessary adjustments. CERTIFICATIONS. Pursuant to the rules of the SEC, Item 15 of Part IV of the Original Filing has been amended to contain currently-dated certifications from our Chief Executive Officer and Chief Financial Officer, as required by Sections 302 and 906 of the Sarbanes-Oxley Act of 2002. The certifications of our Chief Executive Officer and Chief Financial Officer are attached to this Form 10-K/A as Exhibits 31.1, 31.2, 32.1 and 32.2. 2 PART I ITEM 1A. RISK FACTORS Our business faces many risks. Any of the risks discussed below, or elsewhere in this Form 10-K or our other filings with the Securities and Exchange Commission, could have a material impact on our business, financial condition or results of operations. Additional risks and uncertainties not presently known to us or that we currently believe to be immaterial may also impair our business operations. IF OUR HEART VALVE DOES NOT ACHIEVE WIDESPREAD MARKET ACCEPTANCE IN THE UNITED STATES, OUR OPERATING RESULTS WILL BE HARMED AND WE MAY NOT ACHIEVE PROFITABILITY. Our success will depend, in large part, on the medical community's acceptance of the ATS heart valve in the United States, which is the largest revenue market in the world for heart valves. The U.S. medical community's acceptance of the ATS heart valve will depend upon our ability to demonstrate the safety and efficacy, advantages, long-term clinical performance and cost-effectiveness of the ATS heart valve as compared to other prosthetic heart valves. We cannot predict whether the U.S. medical community will accept the ATS heart valve or, if accepted, the extent of its use. Negative publicity resulting from isolated incidents involving the ATS heart valve or other prosthetic heart valves could have a significant adverse effect on the overall acceptance of our heart valve. If we encounter difficulties developing a market for the ATS heart valve in the United States, we may not be able to increase our revenue enough to achieve profitability and our business and results of operations will be seriously harmed. WE CURRENTLY RELY ON THE ATS HEART VALVE AS OUR PRIMARY SOURCE OF REVENUE. IF WE ARE NOT SUCCESSFUL IN SELLING THIS PRODUCT, OUR OPERATING RESULTS WILL BE HARMED. While we commenced marketing additional products during 2005 that totaled 10% of net revenues for the year ended December 31, 2005, there can be no assurance that these new products will decrease our dependence on the sales of mechanical heart valves. Increasing revenues from new products cannot be guaranteed. Even if we were to develop additional products, regulatory approval would likely be required to sell them. Clinical testing and the approval process itself are very expensive and can take many years. Therefore, we do not expect to be in a position to sell additional products in the foreseeable future. Adverse rulings by regulatory authorities, product liability lawsuits, the failure to achieve widespread U.S. market acceptance, the loss of market acceptance outside of the United States, or other adverse publicity may significantly and adversely affect our sales of the ATS heart valve, and, as a result, would adversely affect our business, financial condition and results of operations. THE ANTICIPATED BENEFITS OF ACQUIRING 3F THERAPEUTICS MAY NOT BE REALIZED. ATS and 3F entered into the merger agreement with the expectation that the merger will result in various benefits, including, among others, benefits relating to an expanded heart valve product line, enhanced revenues, a strengthened market position for ATS in the heart valve industry, cross selling opportunities, technology, cost savings and operating efficiencies. Achieving the anticipated benefits of the merger is subject to a number of uncertainties, including whether 3F's development-stage products are ultimately marketable, whether ATS integrates 3F in an efficient and effective manner, and general competitive factors in the marketplace. Failure to achieve these anticipated benefits could result in increased costs, decreases in the amount of expected revenues and diversion of management's time and energy and could materially impact ATS's business, financial condition and operating results. ATS MEDICAL MAY HAVE DIFFICULTY INTEGRATING 3F THERAPEUTICS AND MAY INCUR SUBSTANTIAL COSTS IN CONNECTION WITH THE INTEGRATION. Integrating 3F's operations into ATS's business will be a complex, time-consuming and expensive process. Before the merger, ATS and 3F operated independently, each with its own business, products, customers, employees, culture and systems. ATS may experience material unanticipated difficulties or expenses in connection with the integration of 3F due to various factors. These factors may include: 1 - retaining and integrating management and other key employees of the combined company; - costs and delays in implementing common systems and procedures and integrating 3F's products and operations into ATS's business; - potential charges to earnings resulting from the application of purchase accounting to the transaction; - difficulty comparing financial reports due to differing financial and accounting systems; - diversion of management resources from the business of the combined company; and - reduction or loss of customer sales due to the potential for market confusion, hesitation and delay. Many of these factors are outside the control of either company. The time and expense associated with converting the businesses of the combined company to a single combined company may exceed management's expectations and limit or delay the intended benefits of the transaction. To the extent any of these events occurs, the benefits of the transaction may be reduced, at least for a period of time. In addition, it is possible that unexpected transaction costs, such as taxes, fees or professional expenses, or unexpected future operating expenses, such as increased personnel costs, as well as other types of unanticipated adverse developments, could have a material adverse effect on ATS's business, financial condition and results of operations. IF THE CONDITIONS TO THE MERGER ARE NOT MET, THE MERGER MAY NOT OCCUR. Certain conditions set forth in the merger agreement must be satisfied or waived to complete the merger. If the conditions are not satisfied or waived, the merger will not occur or will be delayed, and each of ATS and 3F may lose some or all of the intended benefits of the merger. In addition to other customary closing conditions, the following conditions must be satisfied or waived, if permissible, before ATS and 3F are obligated to complete the merger: - the issuance of the shares in the merger must be approved by the shareholders of ATS; and - there must be no fact, event or circumstance that would have a material adverse effect on the business of ATS or 3F, taken as a whole. We cannot assure you that these conditions will be satisfied. IN 2002, WE BEGAN USING A COMBINATION OF DIRECT SALES PERSONS AND INDEPENDENT MANUFACTURING REPRESENTATIVES TO SELL OUR VALVES IN THE UNITED STATES. IF OUR U.S. SALES STRATEGY IS NOT SUCCESSFUL, WE WILL NOT BE ABLE TO CONTINUE OUR OPERATIONS AS PLANNED. Our sales approach for the sale of the ATS valve in the United States consists primarily of direct salespersons with a few independent manufacturer's representatives. We will need to continue to expend significant funds and management resources to develop and maintain this hybrid sales force. We believe there is significant competition for sales personnel and independent manufacturing representatives with the advanced sales skills and technical knowledge we need. If we are unable to recruit, retain and motivate qualified personnel and representatives, U.S. sales of the ATS valve could be adversely affected. The loss of key salespersons or independent manufacturer's representatives could have a material adverse effect on our sales or potential sales to current customers and prospects serviced by such salespersons or representatives. Further, we cannot assure the successful expansion of our network of independent manufacturer's representatives on terms acceptable to ATS, if at all, or the successful marketing of our products by our hybrid sales force. To the extent we rely on sales through independent manufacturer's representatives, any revenues we receive will depend primarily on the efforts of these parties. We do not control the amount and timing of marketing resources that these third parties devote to our product. If our U.S. sales strategy is not successful, we may be forced to change our U.S. sales strategy again. Any such change could disrupt sales in the United States. Further, any change in our U.S. sales strategy could be expensive and would likely have a material adverse impact on our results of operations. 2 WE CURRENTLY DEPEND ON THE MARKETING AND SALES EFFORTS OF INTERNATIONAL INDEPENDENT DISTRIBUTORS, AND OUR SALES HAVE BEEN CONCENTRATED IN THREE COUNTRIES. The ATS heart valve is sold internationally through independent distributors. The loss of an international distributor could seriously harm our business and results of operations if a new distributor could not be found on a timely basis in the relevant geographic market. We do not control the amount and timing of marketing resources that these third parties devote to our product. Furthermore, to the extent we rely on sales through independent distributors, any revenues we receive will depend primarily on the efforts of these parties. WE ARE DEPENDENT UPON SALES OUTSIDE THE UNITED STATES, WHICH ARE SUBJECT TO A NUMBER OF RISKS INCLUDING A DROP IN SALES DUE TO CURRENCY FLUCTUATIONS. For the year ended December 31, 2005, almost 62% of our net sales were derived from international operations. We expect that international sales will account for a substantial majority of our revenue until the ATS heart valve receives wider market acceptance from U.S. customers. Accordingly, any material decrease in foreign sales may materially and adversely affect our results of operations. We sell in U.S. dollars to most of our customers abroad. An increase in the value of the U.S. dollar in relation to other currencies can and has adversely affected our sales outside of the United States. In prior years, the decrease in sales was due primarily to the change in the value of the U.S. dollar against the Euro, as well as competitor price pressure. Our dependence on sales outside of the United States will continue to expose us to U.S. dollar currency fluctuations for the foreseeable future. Our future results of operations could also be harmed by risks inherent in doing business in international markets, including: - unforeseen changes in regulatory requirements and government health programs; - weaker intellectual property rights protection in some countries; - new export license requirements, changes in tariffs or trade restrictions; - political and economic instability in our target markets; and - greater difficulty in collecting payments from product sales. Slow payment of receivables by our international distributors, or the occurrence of any of the other factors listed above, could harm our ability to successfully commercialize our product internationally and could harm our business. WE HAVE A HISTORY OF NET LOSSES. IF WE DO NOT HAVE NET INCOME IN THE FUTURE, WE MAY BE UNABLE TO CONTINUE OUR OPERATIONS. We are not currently profitable and have a very limited history of profitability. As of December 31, 2005, we had an accumulated deficit in excess of $80 million. We expect to incur significant expenses over the next several years as we continue to devote substantial resources to the commercialization of the ATS heart valve in the United States. We will not generate net income unless we are able to significantly increase revenue from U.S. sales. If we continue to sustain losses, we may not be able to continue our business as planned. WE HAVE A HISTORY OF REGULARLY RAISING FUNDS AND INCURRING DEBT TO FUND NET LOSSES. IF OUR CURRENT CASH AND INVESTMENT BALANCES ARE INADEQUATE TO CARRY US TO PROFITABILITY, WE MAY NEED TO RAISE EQUITY OR INCUR DEBT IN THE FUTURE. During the last three years, we have completed financings to fund our operations. If our future operations require greater cash than our current balances, we would again be required to raise equity or issue debt. If we were unable to raise these funds, we may not be able to continue our business as planned. 3 THE MARKET FOR PROSTHETIC HEART VALVES IS HIGHLY COMPETITIVE, AND A NUMBER OF OUR COMPETITORS ARE LARGER AND HAVE MORE FINANCIAL RESOURCES. IF WE DO NOT COMPETE EFFECTIVELY, OUR BUSINESS WILL BE HARMED. The market for prosthetic heart valves is highly competitive. We expect that competition will intensify as additional companies enter the market or modify their existing products to compete directly with us. Our primary competitor, St. Jude Medical, Inc., currently controls approximately 50% of the worldwide mechanical heart valve market. Many of our competitors have long-standing FDA approval for their valves and extensive clinical data demonstrating the performance of their valves. In addition, they have greater financial, manufacturing, marketing and research and development capabilities than we have. For example, many of our competitors have the ability, due to their internal carbon manufacturing facilities and economies of scale, to manufacture their heart valves at a lower cost than we can manufacture the ATS heart valve. Our primary competitor has recently used price as a method to compete in several international markets. If heart valve prices decline significantly we might not be able to compete successfully, which would harm our results of operations. OUR FUTURE RESULTS WILL BE HARMED IF THE USE OF MECHANICAL HEART VALVES DECLINES. Our business could suffer if the use of mechanical heart valves declines. Historically, mechanical heart valves have accounted for over two-thirds of all heart valve replacements. Recently, there has been an increase in the use of tissue valves. We estimate that mechanical heart valves are currently being used in 40% to 65% of all heart valve replacements, depending on the geographic market, down from 65% to 75% about ten years ago. We believe the tissue manufacturers' claims of improvements in tissue valve longevity and an increase in the average age of valve patients have contributed to the recent increase in the use of tissue valves. NEW PRODUCTS OR TECHNOLOGIES DEVELOPED BY OTHERS COULD RENDER OUR PRODUCT OBSOLETE. The medical device industry is characterized by significant technological advances. Several companies are developing new prosthetic heart valves based on new or potentially improved technologies. Significant advances are also being made in surgical procedures, which may delay the need for replacement heart valves. A new product or technology may emerge that renders the ATS heart valve noncompetitive or obsolete. This could materially harm our results of operations or force us to cease doing business altogether. WE LICENSE PATENTED TECHNOLOGY AND OTHER PROPRIETARY RIGHTS FROM CARBOMEDICS. IF THESE AGREEMENTS ARE BREACHED OR TERMINATED, OUR RIGHT TO MANUFACTURE THE ATS HEART VALVE COULD BE TERMINATED. Under our carbon technology agreement with Carbomedics, we have obtained a license to use Carbomedics' pyrolytic carbon technology to manufacture components for the ATS heart valve. If this agreement is breached or terminated, we would be unable to manufacture our own product. If our inventory is exhausted and we do not have any other sources of carbon components, we would be forced to cease doing business. A DELAY OR INTERRUPTION IN OUR MANUFACTURING OF PYROLYTIC CARBON COMPONENTS COULD DELAY PRODUCT DELIVERY OR FORCE US TO CEASE OPERATIONS. Although we have a supply agreement with Carbomedics under which it agrees to supply us with a minimum annual number of pyrolytic carbon components starting in 2007 continuing through 2011, the amounts available under this agreement are not expected to be sufficient to supply all of our needs for components in those years. If our inventory is exhausted and we are unable to manufacture carbon components or obtain them from other sources, we could be forced to reduce or cease operations. BECAUSE WE LACK MANUFACTURING EXPERIENCE, WE MAY NOT REALIZE EXPECTED SAVINGS FROM MANUFACTURING OUR OWN PRODUCT. IN ADDITION, WE COULD EXPERIENCE PRODUCTION DELAYS AND SIGNIFICANT ADDITIONAL COSTS. Under our agreement with Carbomedics, we have been granted an exclusive worldwide license to manufacture pyrolytic carbon components for the ATS heart valve. We cannot be certain that our strategy to establish internal manufacturing capabilities will result in a cost-effective means for manufacturing the ATS heart valve. We have limited experience in manufacturing pyrolytic carbon. Although we have an FDA-approved carbon manufacturing facility, we have only just started increasing production to higher levels. In the future, as we continue to increase 4 production at the plant, we may encounter difficulties in maintaining and expanding our manufacturing operations, including problems involving: - production yields; - quality control; - per unit manufacturing costs; - shortages of qualified personnel; and - compliance with FDA and international regulations and requirements regarding good manufacturing practices. Difficulties encountered by us in establishing or maintaining a commercial-scale manufacturing facility may limit our ability to manufacture our heart valve and therefore could seriously harm our business and results of operations. OUR BUSINESS COULD BE SERIOUSLY HARMED IF THIRD-PARTY PAYERS DO NOT REIMBURSE THE COSTS FOR OUR HEART VALVE. Our ability to successfully commercialize the ATS heart valve depends on the extent to which reimbursement for the cost of our product and the related surgical procedure is available from third-party payers, such as governmental programs, private insurance plans and managed care organizations. Third-party payers are increasingly challenging the pricing of medical products and procedures that they consider not to be cost-effective or are used for a non-approved indication. The failure by physicians, hospitals and other users of our products to obtain sufficient reimbursement from third-party payers would seriously harm our business and results of operations. In recent years, there have been numerous proposals to change the health care system in the United States. Some of these proposals have included measures that would limit or eliminate payment for medical procedures or treatments. In addition, government and private third-party payers are increasingly attempting to contain health care costs by limiting both the coverage and the level of reimbursement. In international markets, reimbursement and health care payment systems vary significantly by country. In addition, we have encountered price resistance from government-administered health programs. Significant changes in the health care system in the United States or elsewhere, including changes resulting from adverse trends in third-party reimbursement programs, could have a material adverse effect on our business and results of operations. WE MAY FACE PRODUCT LIABILITY CLAIMS, WHICH COULD RESULT IN LOSSES IN EXCESS OF OUR INSURANCE COVERAGE AND WHICH COULD NEGATIVELY AFFECT OUR ABILITY TO ATTRACT AND RETAIN CUSTOMERS. The manufacture and sale of mechanical heart valves entails significant risk of product liability claims and product recalls. A mechanical heart valve is a life-sustaining device and the failure of any mechanical heart valve usually results in the patient's death or need for re-operation. A product liability claim or product recall, regardless of the ultimate outcome, could require us to spend significant time and money in litigation or to pay significant damages and could seriously harm our business. We currently maintain product liability insurance coverage in an aggregate amount of $25 million. However, we cannot be assured that our current insurance coverage is adequate to cover the costs of any product liability claims made against us. Product liability insurance is expensive and does not cover the costs of a product recall. In the future, product liability insurance may not be available at satisfactory rates or in adequate amounts. A product liability claim or product recall could also materially and adversely affect our ability to attract and retain customers. OUR BUSINESS WOULD BE ADVERSELY AFFECTED IF WE ARE NOT ABLE TO PROTECT OUR INTELLECTUAL PROPERTY RIGHTS. Our success depends in part on our ability to maintain and enforce our patents and other proprietary rights. We rely on a combination of patents, trade secrets, know-how and confidentiality agreements to protect the proprietary aspects of our technology. These measures afford only limited protection, and competitors may gain access to our intellectual property and proprietary information. The patent positions of medical device companies are generally uncertain and involve complex legal and technical issues. Litigation may be necessary to enforce our intellectual property rights, to protect our trade secrets and to determine the validity and scope of our proprietary rights. Any litigation could be costly and divert our attention from the growth of the business. We cannot assure you that our patents and other proprietary rights will not be successfully challenged, or that others will not independently develop substantially equivalent information and technology or otherwise gain access to our proprietary technology. 5 WE MAY BE SUED BY THIRD PARTIES WHICH CLAIM THAT OUR PRODUCT INFRINGES ON THEIR INTELLECTUAL PROPERTY RIGHTS. ANY SUCH SUITS COULD RESULT IN SIGNIFICANT LITIGATION OR LICENSING EXPENSES OR WE MIGHT BE PREVENTED FROM SELLING OUR PRODUCT. We may be exposed to future litigation by third parties based on intellectual property infringement claims. Any claims or litigation against us, regardless of the merits, could result in substantial costs and could harm our business. In addition, intellectual property litigation or claims could force us to: - cease manufacturing and selling our product, which would seriously harm us; - obtain a license from the holder of the infringed intellectual property right, which license may not be available on reasonable terms, if at all; or - redesign our product, which could be costly and time-consuming. WE ARE SUBJECT TO EXTENSIVE GOVERNMENTAL REGULATION, WHICH IS COSTLY, TIME CONSUMING AND CAN SUBJECT US TO UNANTICIPATED DELAYS. The ATS heart valve and our manufacturing activities are subject to extensive regulation by a number of governmental agencies, including the FDA and comparable international agencies. We are required to: - maintain the approval of the FDA and international regulatory agencies to continue selling the ATS heart valve; - obtain the approval of international regulatory agencies in countries where the ATS heart valve is not yet marketed; - satisfy content requirements for all of our labeling, sales and promotional materials; - comply with manufacturing and reporting requirements; and - undergo rigorous inspections by these agencies. Compliance with the regulations of these agencies may delay or prevent us from introducing any new or improved products. Violations of regulatory requirements may result in fines, marketing restrictions, product recall, withdrawal of approvals and civil and criminal penalties. THE PRICE OF OUR COMMON STOCK HAS BEEN VOLATILE, WHICH MAY RESULT IN LOSSES TO INVESTORS. Historically, the market price of our common stock has fluctuated over a wide range and it is likely that the price of our common stock will fluctuate in the future. The market price of our common stock could be impacted by the following: - the success of our management in operating ATS effectively; - the failure of the ATS valve to gain market acceptance in the United States; - announcements of technical innovations or new products by our competitors; - the status of component supply arrangements; - changes in reimbursement policies; - government regulation; - developments in patent or other proprietary rights; - public concern as to the safety and efficacy of products developed by us or others; and - general market conditions. In addition, due to one or more of the foregoing factors, in future years our results of operations may fall below the expectations of securities analysts and investors. In that event, the market price of our common stock could be materially and adversely affected. Finally, in recent years the stock market has experienced extreme price and 6 volume fluctuations. This volatility has had a significant effect on the market prices of securities issued by many companies for reasons unrelated to their operating performance. These broad market fluctuations may materially adversely affect our stock price, regardless of our operating results. OUR CHARTER DOCUMENTS AND MINNESOTA LAW MAY DISCOURAGE AND COULD DELAY OR PREVENT A TAKEOVER OF OUR COMPANY. Provisions of our articles of incorporation, bylaws and Minnesota law could make it more difficult for a third party to acquire us, even if doing so would be beneficial to our shareholders. These provisions include the following: - No cumulative voting by shareholders for directors; - The ability of our board to set the size of the board of directors, to create new directorships and to fill vacancies; - The ability of our board, without shareholder approval, to issue preferred stock, which may have rights and preferences that are superior to our common stock; - The ability of our board to amend the bylaws; and - Restrictions under Minnesota law on mergers or other business combinations between us and any holder of 10% or more of our outstanding common stock. 7 PART II ITEM 6. SELECTED FINANCIAL DATA Year Ended December 31, --------------------------------------------------------- 2005 2004 2003 2002 2001 ---------- --------- --------- --------- -------- (in thousands, except per share data) (Restated) STATEMENT OF OPERATIONS DATA: Net sales $ 34,636 $ 28,015 $ 18,484 $ 13,301 $ 15,080 Cost of sales 22,828 21,227 17,632 12,307 10,310 --------- --------- --------- --------- -------- Gross profit 11,808 6,788 852 994 4,770 Operating expenses: Sales and marketing 18,948 16,520 10,180 2,425 3,906 Research and development 1,733 1,011 1,764 3,312 4,904 General and administrative 7,314 5,954 4,350 3,114 3,844 Impairment of technology license -- -- -- 8,100 -- Reorganization expense -- -- -- 1,130 -- Distributor termination expenses -- -- -- 821 -- Gain on extinguishment of debt -- -- (2,575) -- -- --------- --------- --------- --------- -------- Total operating expenses 27,995 23,485 13,719 18,902 12,654 --------- --------- --------- --------- -------- Operating loss (16,187) (16,697) (12,867) (17,908) (7,884) Interest income (expense) (338) 54 (425) (304) 1,040 Change in value of derivative liability bifurcated from convertible senior notes 2,131 -- -- -- -- --------- --------- --------- --------- -------- Loss before income taxes (14,394) (16,643) (13,292) (18,212) (6,844) Income tax expense -- -- -- -- -- --------- --------- --------- --------- -------- Net loss ($14,394) ($16,643) ($13,292) ($18,212) ($6,844) ========= ========= ========= ========= ======== Net loss per share: Basic ($0.46) ($0.58) ($0.55) ($0.82) ($0.31) Diluted ($0.46) ($0.58) ($0.55) ($0.82) ($0.31) Weighted average number of shares outstanding: Basic 31,009 28,856 24,076 22,259 22,159 Diluted 31,009 28,856 24,076 22,259 22,159 As of December 31, --------------------------------------------------------- 2005 2004 2003 2002 2001 ---------- ------- ------- ------- ------- (in thousands) (Restated) BALANCE SHEET DATA: Cash and cash equivalents $16,620 $ 8,302 $ 6,472 $ 7,472 $ 5,079 Working capital 46,417 41,459 31,275 21,674 32,466 Total assets 85,443 79,051 76,134 91,756 94,971 Long-term liabilities, excluding current maturities 19,679 1,826 307 9,514 -- Shareholders' equity 57,529 69,441 72,803 74,127 92,223 8 ITEM 7. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS (RESTATED) EXECUTIVE OVERVIEW We develop, manufacture, and market medical devices. Our primary interest lies with devices used by cardiovascular surgeons in the cardiac surgery operating theater. Currently, we participate in the markets for mechanical bileaflet replacement heart valves, allograft tissues, the surgical treatment of atrial fibrillation, and the market for surgical tools and accessories. We also are engaged in a development project for autotransfusion products. Sulzer Carbomedics (Carbomedics) developed the basic design from which the ATS heart valve evolved. Carbomedics is a large and experienced manufacturer of pyrolytic carbon components used in mechanical heart valves. Carbomedics has also designed and patented numerous mechanical valves. In 1990, Carbomedics offered to license a patented and partially developed valve to us if we would complete the development of the valve and agree to purchase carbon components from Carbomedics. As a result, we now hold an exclusive, royalty-free, worldwide license to an open pivot, bileaflet mechanical heart valve design owned by Carbomedics from which the ATS heart valve has evolved. In addition, we have an exclusive, worldwide right and license to use Carbomedics' pyrolytic carbon technology to manufacture components for the ATS heart valve. We commenced selling the ATS heart valve in international markets in 1992. In October 2000, we received FDA approval to sell the ATS Open Pivot(R) MHV and commenced sales and marketing of our valve in the United States. The original sales forecasts as well as the pricing models that were used when our original supply agreement was signed with Carbomedics proved to be too optimistic. Accordingly, to keep the supply agreement active and the license to sell the valve exclusive, we purchased quantities of inventory far in excess of demand. With inventory purchases exceeding sales through the years, we built up our inventory levels. Since 2002, we have drawn down these paid-for inventories and used the cash it generated to fund operations. During 2004 and 2005, we developed and implemented a plan to ramp-up our own manufacturing facility for pyrolytic carbon. By the end of 2005, this process was substantially complete. From 1990 through 2003, we paid Carbomedics approximately $125 million for the development of our valve, the technology to manufacture pyrolytic carbon components, and for pyrolytic valve components manufactured by Carbomedics. By the end of 2002, we had remaining payments due under the technology agreement that totaled $28 million. This led us in 2003 to negotiate an accelerated but reduced payment for all outstanding debts to Carbomedics related to the technology agreement. In 2003 we paid $12 million to satisfy all future obligations under this agreement. During 2002, we reorganized the Company, laying off more than half of the work force, including all executive management. With the hiring of a new president late in 2002, we started the process of rebuilding our sales and marketing teams, especially in the United States. This rebuilding is the most significant factor in our operating expense levels during the last three fiscal years. Because sales prices in the United States exceed selling prices elsewhere, we feel that our future success will depend on achieving increased market share in the United States. Our U.S. sales as a percentage of our overall sales have grown from 4% in 2000 to 38% in 2005. During 2004, we made our first investments outside the mechanical heart valve market by completing two business development agreements. The first, signed in April, was with ErySave AB, a Swedish research firm, for exclusive worldwide rights to ErySave's PARSUS filtration technology for cardiac surgery procedures. We had no revenues in 2005 nor do we expect any for 2006 from this technology. In November 2004, we completed a global partnership agreement with CryoCath Technologies, Inc. to market CryoCath's surgical cryotherapy products for the ablation of cardiac arrhythmias. The agreement with CryoCath has resulted in revenues for our Company in 2005. During 2005, we continued to develop our business outside the mechanical heart valve market by entering into two additional business development agreements. In June, we entered into a marketing services agreement with Alabama Tissue Center, Inc. (ATC, a/k/a Regeneration Technologies, Inc. - Cardiovascular), a subsidiary of Regeneration Technologies, Inc. Under the terms of the agreement, ATC has appointed us as its exclusive marketing services representative to promote, market and solicit orders for ATC's processed cardiovascular allograft tissue from 9 doctors, hospitals, clinics and patients throughout North America. The agreement with ATC has also resulted in revenues for our Company in 2005. Also in June 2005, we entered into an exclusive development, supply and distribution agreement with Genesee BioMedical, Inc. (GBI), under which GBI will develop, supply, and manufacture cardiac surgical products to include annuloplasty repair rings, c-rings and accessories, and we will have exclusive worldwide rights to market and sell such products. Our agreement with GBI will produce revenues for our Company in 2006. On January 23, 2006, we entered into an agreement and plan of merger with 3F Therapeutics, Inc. (3F). Under the terms of the merger agreement, upon closing we will pay each 3F stockholder its pro-rata portion of an initial payment of 9,000,000 shares of our common stock, subject to certain post-closing adjustments and a 10% escrow fund. We will deposit 900,000 of the shares to be delivered at closing into an escrow to be held for at least 18 months after closing of the merger to cover indemnification claims and certain contingencies. After expiration of the escrow, any shares remaining in the escrow will be distributed pro-rata to holders of 3F capital stock. In addition to the initial closing payment, we will be obligated to deliver up to an additional 10 million shares of our common stock to 3F stockholders. These additional shares will be made in two payments of up to 5 million shares each, each of which are contingent upon ATS obtaining either CE mark or FDA approval for 3F's key products on or prior to December 31, 2013. These contingent payments are subject to certain rights of set-off for indemnification claims and certain other events, and also may be paid in whole or in part in the event that ATS engages in a sale of one or more of those key products. The consummation of the merger with 3F is subject to customary conditions, and the merger agreement is subject to approval by our shareholders and the stockholders of 3F; however, stockholders of 3F holding the number of shares necessary to approve the transaction have agreed to do so. We anticipate that the merger will close in the second quarter of fiscal 2006. CRITICAL ACCOUNTING POLICIES AND ESTIMATES We base our estimates on historical experience and on various other assumptions that we believe to be reasonable under the circumstances. This discussion and analysis of our financial condition and results of operations is based upon our consolidated financial statements, which have been prepared in accordance with accounting principles generally accepted in the United States. The preparation of these financial statements requires us to make estimates and judgments that affect (1) the reported amounts of assets, liabilities, revenues, and expenses and (2) the related disclosure of contingent liabilities. At each balance sheet date, we evaluate our estimates, including but not limited to, those related to accounts receivable, inventories, long-lived assets, and income taxes. The critical accounting policies that are most important in fully understanding and evaluating the financial condition and results of operations are discussed below. REVENUE RECOGNITION POLICY. A significant portion of our revenue in the United States, Canada, France and Germany is generated from consigned inventory maintained at hospitals or with field representatives. In these situations, revenue is recognized at the time that the product has been implanted or used. In all other instances, revenue is recognized at the time product is shipped. Certain independent distributors in select international markets receive rebates against invoiced sales amounts. In these situations, we accrue for these rebates at the time of the original sale. The total of these accrued rebates was $0.1 million and $0.4 million as of December 31, 2005 and 2004, respectively. ALLOWANCE FOR DOUBTFUL ACCOUNTS. We maintain an allowance for doubtful accounts that is calculated using subjective judgments and estimates to establish this valuation account. Our distribution in international markets through independent distributors concentrates relatively large amounts of receivables in relatively few customer accounts. We have successfully done business with most of these distributors for many years. We monitor amounts that are not paid according to terms. We attempt to accrue for potential losses due to non-payment. Financial conditions in international markets can change very quickly and our allowance for doubtful accounts cannot anticipate all potential changes. Our allowance for doubtful accounts was approximately $0.4 million at both December 31, 2005 and 2004. As a percentage of total accounts receivable, the allowance was 3.3% on December 31, 2005 and 4.7% on December 31, 2004. The decrease in allowance as a percent of total accounts receivable is due primarily to the legal resolution late in 2005 of a large international distributor account receivable. 10 INVENTORY VALUATION. Inventories are recorded at the lower of manufacturing cost or net realizable value. We have historically had manufacturing costs exceeding net realizable values in certain international markets requiring us to write-down certain inventories to expected selling prices due to high purchase prices of pyrolytic valve components under our supply agreement with Carbomedics. This lower of cost or market adjustment is charged to cost of sales and is calculated by estimating future selling volume and prices by market and comparing this to actual inventory levels, both finished goods and work in process. An adjustment is made in those cases where our manufacturing costs are or will be greater than our eventual selling price. If our estimates of future selling prices or volumes prove incorrect, future adjustments to inventory carrying values would be necessary and could have a material impact on operations. Lower of cost or market adjustments were $0.7 million, $0.8 million, and $4.4 million during 2005, 2004, and 2003, respectively. We believe that future manufacturing costs will be lower as we manufacture our own pyrolytic carbon components. This should decrease the risk of these adjustments as current inventories are depleted. We maintain an obsolescence allowance against certain finished goods inventories to cover resterilization charges for expired items. This allowance totaled $0.2 million at December 31, 2005 and 2004. A portion of inventories on hand at December 31, 2004 were not likely to be sold in the following twelve month period and therefore were not classified as a current asset. The estimate of inventories necessary to support current sales includes our projections not only of sales but inventories for new consignment accounts and contingencies; accordingly, these amounts were classified as a current asset. INTANGIBLE ASSETS. We assess the carrying value of our indefinite-lived intangible assets annually in accordance with the provisions of Statement of Financial Accounting Standard No. 142, Goodwill and Other Intangible Assets. The assessment of potential impairment requires certain judgments and estimates, including the determination of an event indicating impairment, the future cash flows to be generated by the asset, risks associated with those cash flows, and the discount rate to be utilized. As of December 31, 2005, we believe that the carrying value of our indefinite-lived intangible assets, specifically the Carbomedics carbon technology license and the CryoCath agency and distribution agreements, are recoverable and no impairment charge is currently necessary. DEFERRED TAX ASSETS. We have incurred tax losses of approximately $81 million. The losses are carried forward for U.S. and state corporate income taxes and can be used to reduce future taxable income. As a result, at December 31, 2005 we had net deferred tax assets totaling approximately $31.4 million. We have recorded a full valuation allowance against these assets because of the limited lives of the carryforwards and our lack of earnings history, which has resulted in our conclusion that it is not more than likely we will be able to utilize our loss carryforwards CONVERTIBLE DEBT AND DERIVATIVE INSTRUMENTS. We account for embedded derivatives related to our Convertible Senior Notes under Financial Accounting Standards Board (FASB) Statement No.133, Accounting for Derivative Instruments and Hedging Activities and related Emerging Issues Task Force (EITF) interpretations and Securities and Exchange Commission (SEC) rules, which require certain embedded derivative financial instruments to be bifurcated from the debt agreement and accounted for as a liability. Our Convertible Senior Notes contain several embedded derivatives. The valuation of derivatives requires management to make certain judgments and estimates, including the potential future fair value of the Company's common stock, the probability of a change in control of the Company and the probability that the debt may be put back to or called by the Company. 11 RESULTS OF OPERATIONS The following table provides the dollar and percentage change in our Statements of Operations for 2005 compared to 2004 and 2004 compared to 2003. INCREASE INCREASE 2005 2004 (DECREASE) % 2004 2003 (DECREASE) % ---------- --------- ---------- ------ --------- --------- ---------- ----- (in thousands) (RESTATED) Net sales $ 34,636 $ 28,015 $6,621 23.6% $ 28,015 $ 18,484 $ 9,531 51.6% Cost of sales 22,828 21,227 1,601 7.5% 21,227 17,632 3,595 20.4% --------- --------- ------ ------ --------- --------- -------- ----- Gross profit 11,808 6,788 5,020 74.0% 6,788 852 5,936 696.7% Operating expenses: Sales and marketing 18,948 16,520 2,428 14.7% 16,520 10,180 6,340 62.3% Research and development 1,733 1,011 722 71.4% 1,011 1,764 (753) -42.7% General and administrative 7,314 5,954 1,360 22.8% 5,954 4,350 1,604 36.9% Gain on extinguishment of debt -- -- -- -- -- (2,575) 2,575 -- --------- --------- ------ ------ --------- --------- -------- ----- Total operating expenses 27,995 23,485 4,510 19.2% 23,485 13,719 9,766 71.2% --------- --------- ------ ------ --------- --------- -------- ----- Operating loss (16,187) (16,697) 510 3.1% (16,697) (12,867) (3,830) -29.8% Interest income (expense) (338) 54 (392) -725.9% 54 (425) 479 112.7% Change in value of derivative liability bifurcated from convertible senior notes 2,131 -- 2,131 -- -- -- -- -- --------- --------- ------ ------ --------- --------- -------- ----- Net loss ($14,394) ($16,643) $2,249 13.5% ($16,643) ($13,292) ($3,351) -25.2% ========= ========= ====== ====== ========= ========= ======== ===== The following table presents the statement of operations as a percentage of sales for 2005, 2004, and 2003. 2005 2004 2003 ---------- ----- ----- (RESTATED) Net sales 100.0% 100.0% 100.0% Cost of sales 65.9% 75.8% 95.4% ----- ----- ----- Gross profit 34.1% 24.2% 4.6% Operating expenses: Sales and marketing 54.7% 59.0% 55.1% Research and development 5.0% 3.6% 9.5% General and administrative 21.1% 21.3% 23.5% Gain on extinguishment of debt 0.0% 0.0% -13.9% ----- ----- ----- Total operating expenses 80.8% 83.8% 74.2% ----- ----- ----- Operating loss -46.7% -59.6% -69.6% Interest income (expense) -1.0% 0.2% -2.3% Change in value of convertible senior notes derivative liability 6.2% 0.0% 0.0% ----- ----- ----- Net loss -41.6% -59.4% -71.9% ===== ===== ===== NET SALES. The following table provides the dollar and percentage change in net sales inside and outside the United States for 2005 compared to 2004 and 2004 compared to 2003. 2005 2004 INCREASE % 2004 2003 INCREASE % ------- ------- -------- ---- ------- ------- -------- ---- (in thousands) United States $13,194 $ 9,330 $3,864 41.4% $ 9,330 $ 5,141 $4,189 81.5% Outside United States 21,442 18,685 2,757 14.8% 18,685 13,343 5,342 40.0% ------- ------- ------ ---- ------- ------- ------ ---- Total $34,636 $28,015 $6,621 23.6% $28,015 $18,484 $9,531 51.6% ======= ======= ====== ==== ======= ======= ====== ==== 12 The following table provides net sales inside and outside the United States as a percentage of total net sales for 2005, 2004, and 2003. 2005 2004 2003 ----- ----- ----- Share of net sales: United States 38.1% 33.3% 27.8% Outside United States 61.9% 66.7% 72.2% ----- ----- ----- Total 100.0% 100.0% 100.0% ===== ===== ===== The following table provides the percentage change in average sales price, unit sales, and net sales for mechanical heart valves inside and outside the United States for 2005 from 2004 and 2004 from 2003. 2005 2004 ----------------------- ----------------------- Average Average Sales Unit Net Sales Unit Net Price Sales Sales Price Sales Sales ------- ----- ----- ------- ----- ----- United States 2.8% 10.2% 13.4% 2.0% 77.9% 81.5% Outside United States -6.9% 17.3% 9.7% -4.0% 45.9% 40.0% ----- ---- ---- ----- ---- ---- Total -4.7% 16.3% 10.9% -3.2% 56.5% 51.6% ===== ==== ==== ===== ==== ==== Starting in the fourth quarter of 2002 and continuing through 2005, we have been building a new sales organization in the United States, which has grown to four area directors managing more than 30 sales territories. Our representation within these territories consists of both direct sales representatives and independent agents. This new sales organization and overall greater sales efforts contributed to our net sales increases and to our sales within the United States. accounting for a larger percentage of overall sales. During the last three fiscal years, we have aggressively entered several international markets that represented opportunities for greater mechanical heart valve sales unit growth but at prices lower than our other markets. Prices in some of these territories are lower than our historical manufacturing costs. We felt this strategy was reasonable because it allowed us to increase our market share while reducing our high priced but paid-for inventories. Net sales in 2005 were also favorably impacted by revenue from the new business initiatives and partnerships discussed above, mainly revenue derived from surgical cryotherapy products and processed cardiovascular allograft tissue. Approximately 10% of our 2005 revenue was derived from new products. COST OF GOODS SOLD AND GROSS PROFIT. Our costs of goods sold and gross profit as a percentage of net sales has improved over the last three years due in part to increases in our mechanical heart valve average selling prices, which are much higher in the United States than in international markets and are rising modestly. Our gross profit is anticipated to continue improving as sales within the United States. increase as a percentage of total sales and as we start selling valves that have been entirely manufactured in our facilities. During 2004 and 2005, we developed and implemented a plan to ramp-up our manufacturing facility for pyrolytic carbon. By the end of 2005, this process was substantially complete. Ramp-up costs totaled approximately $1.8 million and $1.9 million, representing 5.1% and 6.7% of net sales, for 2005 and 2004, respectively. We have made write-downs to our inventories the past three years due to future selling prices being lower than manufacturing costs in select international markets. These write-downs have declined as our high-cost carbon components purchased from Carbomedics have been depleted and sold, which has had favorable year-to-year impacts on both cost of goods sold and gross profit as a percentage of net sales. The write-downs totaled $0.7 million, $0.8 million, and $4.4 million, representing 2.0%, 2.9%, and 23.8% of net sales for 2005, 2004, and 2003, respectively. 13 Our gross profit as a percentage of net sales in 2005 was also favorably impacted by revenue and gross profit from the new business initiatives and partnerships discussed above, mainly revenue derived from surgical cryotherapy products and processed cardiovascular allograft tissue. Our 2005 gross margin as a percentage of net sales improved approximately 6.6% over 2004 due to these new business initiatives. The ATS valve is made of materials that do not deteriorate. Other than the need to resterilize the valves periodically, there is no risk of perishability. Pyrolytic carbon, which is the substrate used in manufacturing our valves, has been the only material used to manufacture mechanical heart valves for humans for many years and remains the most advanced raw material for our products. The other sources of prosthetic heart valves for humans are cadaver and animal tissues. For our heart valves, however, obsolescence issues are remote due to certain advantages offered by mechanical heart valves, including superior durability. Similarly, we believe that, given the lead time that would be required, there is no material risk that there would be the introduction and FDA approval of another substrate that would replace pyrolytic carbon prior to the end of the period over which we expect to sell our inventory of valves. SALES AND MARKETING. Cost increases in 2005 over 2004 and 2004 over 2003 were for the further development of our worldwide sales and marketing organization and the substantial increase in sales and marketing personnel. In the United States, our sales and marketing costs rose approximately 6% in 2005 and 50% in 2004, to $13.6 million and $12.8 million, respectively. U.S. sales and marketing costs have risen in support of an increase in sales territories, the development of marketing programs in support of new products and services, and new marketing programs directed at increasing the U.S. market share of our mechanical heart valves. Starting in late 2002, we began building a sales and marketing organization that has steadily grown to more than 30 sales territories in the United States and has a marketing department that now consists of 14 employees. Internationally, our sales and marketing costs increased approximately 46% in 2005 and 128% in 2004, to $5.4 million and $3.7 million, respectively. These increases reflect our continued investment in international markets. In 2003, we set up direct operations in France; in 2004, we set up infrastructure to support sales in China, and in early 2005, we set up direct sales operations in Germany. Cost increases in 2005 also included separation costs in France and increased sales management. RESEARCH AND DEVELOPMENT. Research and development (R & D) expenses include the costs to develop and improve current and future products, the costs for regulatory and clinical activities for these products, and prior to 2004, the costs to set up and maintain our carbon components manufacturing facility while it was in a pre-production mode. The following table compares the different components of R & D costs for 2005, 2004, and 2003. Year Ended December 31, ------------------------ 2005 2004 2003 ------ ------ ------ (in thousands) Costs related to manufacturing facility $ -- $ -- $1,209 All other R & D costs 1,733 1,011 555 ------ ------ ------ Total R & D costs $1,733 $1,011 $1,764 ====== ====== ====== R & D expenses increased 71% in 2005 due to costs to develop and improve current and future products and the costs for regulatory and clinical activities for these products. The 2005 increase in R & D spending also reflects staff additions as well as an increase in the number of R & D programs. The decrease in R & D expenses in 2004 is attributable primarily to the plan to ramp-up our pyrolytic carbon facility. Accordingly, beginning in 2004, these costs became part of our manufacturing costs and inventories and will be expensed through cost of goods sold as products are sold. GENERAL AND ADMINISTRATIVE. During 2005, major cost increases in general and administrative (G & A) expenses were for employee salary and benefits of $0.3 million, non-cash stock compensation and bonus expense of $0.6 million, legal fees in support of business development of $0.3 million, corporate insurance costs of $0.1 million and outside consulting services relating primarily to Board of Directors fees of $0.1 million. During 2004, we experienced costs increases of approximately $0.2 million for salaries and benefits of our employees, $0.3 million 14 for corporate insurances, $0.3 million for bad debt expense, and $0.6 million for outside consultants and additional audit expenses to document and test internal controls in support of Sarbanes-Oxley. In 2005, we granted restricted stock awards for 351,000 shares of common stock to officers and certain employees, resulting in non-cash stock compensation expense charged to G & A expenses of approximately $0.6 million during 2005. The Financial Accounting Standards Board (FASB) has issued FASB Statement No. 123 (Revised 2004), Share-Based Payment, which was adopted by ATS on January 1, 2006. Statement 123(R) requires all share-based payments to employees, including grants of employee stock options and restricted stock awards, to be recognized in the income statement based on their fair values. Pro forma disclosure is no longer an alternative. We are completing our evaluation of the methodology to use in adopting Statement 123(R). We estimate that total stock compensation expense to be recognized under stock options and restricted stock awards outstanding at December 31, 2005, will be between $0.7 million and $0.9 million in fiscal 2006, between $0.3 million and $0.4 million in fiscal 2007, and approximately $0.1 million in fiscal 2008. In December 2005, we authorized the acceleration of vesting of all otherwise unvested stock options held by our employees with an exercise price of $3.00 or greater granted under the 2000 Stock Incentive Plan or as a free standing option not under any plan. Options to purchase 1,294,232 shares of common stock were subject to this acceleration. The decision to accelerate vesting of these underwater options was made primarily to minimize future compensation expense that we would otherwise recognize in our consolidated statement of operations with respect to these options pursuant to Statement 123(R). We believe that the aggregate future expense eliminated as a result of the acceleration of the vesting of these options is approximately $3.3 million. GAIN ON EXTINGUISHMENT OF DEBT. In 2003, we entered into an agreement and paid Centerpulse USA Holdings Co. (Centerpulse) $12 million in exchange for cancellation of all of our payment obligations under our carbon technology agreement and after which we would own a fully paid exclusive license to use the carbon technology to produce components for our valve. Prior to this agreement, we were obligated to pay Centerpulse an aggregate of $28 million under the technology agreement over a period of approximately four years. These payments were accrued as milestones were met. Of the total $28 million, there were two uncompleted milestones totaling $12 million that were not accrued. Since the amount accrued exceeded the amount we paid, we realized a non-cash gain on the extinguishment of debt in the amount of $2.6 million on this transaction. NET INTEREST INCOME (EXPENSE). In 2005, net interest expense was attributable primarily to the October 2005 sale of $22.4 million aggregate principal amount of 6% Convertible Senior Notes, discussed further below. Interest expense on these Notes in 2005 was $0.4 million, which also includes amortization of 1) financing costs, 2) the discount related to the implied value of common stock warrants sold with the Notes and 3) the discounts related to the bifurcated Convertible Senior Notes derivatives. See Note 7 of Notes to Consolidated Financial Statements in this Report for more information regarding the Convertible Senior Notes conversion feature. In both 2005 and 2004, interest expense was also attributable to the credit facility with Silicon Valley Bank and the amortization of the financing costs to set up this facility. Net interest expense in 2003 was primarily attributable to the imputed interest on our long-term debt previously owed to Centerpulse. Interest income was $0.3 million, $0.2 million and $0.1 million in 2005, 2004 and 2003, respectively, and is attributable to the investment of our cash balances. CHANGE IN VALUE OF CONVERTIBLE SENIOR NOTES DERIVATIVE LIABILITY. For 2005, we recorded a non-operating gain of $2.1 million to adjust the Convertible Senior Notes derivative liability to fair value at December 31, 2005. See Note 7 of Notes to Consolidated Financial Statements in this Report for more information regarding the Convertible Senior Notes derivative liability and our accounting for the related derivative financial instruments under Financial Accounting Standards Board (FASB) Statement No.133, Accounting for Derivative Instruments and Hedging Activities. INCOME TAXES. We have accumulated approximately $81 million of net operating loss ("NOL") carryforwards for U.S. tax purposes. We believe that our ability to fully utilize the existing NOL carryforwards could be restricted on a portion of the NOL for changes in control that may have occurred or may occur in the future. We have not conducted a formal study of whether a change in control of ATS has occurred in the past that impairs our NOL carryforwards because we are unable to utilize such NOL carryforwards until we achieve profitability and because this study would be very expensive to complete. When we attain profitability, we will conduct a formal study of any 15 restrictions on our carryforwards. We have not recorded any deferred tax asset related to our NOL carryforwards and other deferred items as we currently cannot determine that it is more likely than not that this asset will be realized and we, therefore, have provided a valuation allowance for the entire asset. NET LOSS. Our net loss in 2005, which was lower than our net loss in 2004, and the increase in net loss in 2004 compared to 2003 resulted from changes in sales offset by changes in operating costs, all of which are described above. LIQUIDITY AND CAPITAL RESOURCES Cash, cash equivalents, and short-term investments totaled $21.7 million and $16.0 million at December 31, 2005 and December 31, 2004, respectively. OPERATING ACTIVITIES. During 2005, we received cash payments from customers of $32.1 million and made payments to employees and suppliers of $42.5 million. During 2004, we received cash payments from customers of $25.1 million and made cash payments to employees and suppliers of $31.1 million. Our operating losses during the past three fiscal years were significantly funded through the depletion of inventories. Since 2002, we incurred significant expenses commercializing the ATS heart valve in the United States. As we build sales in future periods and our cost of inventories decrease, we believe our operating losses will decrease and we will move steadily towards a cash flow breakeven on sales and eventually to profitability. We believe our current cash balances are adequate to fund our operating activities during 2006. INVESTING ACTIVITIES. We purchased property and equipment of $2.3 million, $2.9 million and $0.7 million during 2005, 2004 and 2003, respectively. Capital purchases during 2005 were mainly in support of increasing production in our pyrolytic carbon facility. During 2006, our spending on property and equipment should decline as a substantial portion of our 2005 purchases supported our pyrolytic carbon facility production increase efforts, which are substantially completed. In November 2004, we signed a global partnership agreement with CryoCath Technologies, Inc. to market CryoCath's surgical cryotherapy products for the ablation of cardiac arrhythmias. For certain customers that we will market, we agreed to make a payment to CryoCath representing a portion of the prior year's sales to these customers and future payments of a certain percentage of the sales occurring over the following three-year period. These payments are refundable to us upon cancellation of the agreements. In June 2005, the Company made $1.6 million in licensing fee payments to CryoCath under the partnership agreement. In April 2004, we signed an exclusive development and licensing agreement with ErySave AB and made an initial milestone payment of approximately $0.2 million. In July 2005, we made additional milestone payments of $0.3 million. Future payments under this agreement, based upon the attainment of developmental milestones, could total an additional $1.0 million. These payments are expected to occur during 2006 and 2007. In 2003, we paid $12.0 million of debt related to our technology agreement with Carbomedics. We have no future payment obligations under the technology agreement. FINANCING ACTIVITIES. We have historically funded our operations through equity investments. During 2004 and 2003, we raised $12.4 million and $11.4 million, respectively, through private placement equity offerings, net of offering costs. During 2005, 2004, and 2003, we also raised approximately $0.5 million, $0.8 million, and $0.2 million, respectively, through the issuance of common stock through stock options and our employee stock purchase plan. In July 2004, we entered into a secured credit facility consisting of a $2.5 million term note and a $6.0 million line of credit. We fully drew down the $2.5 million term note, which was used to fund equipment purchases for our pyrolytic carbon facility. The term note calls for equal installment payments over 36 months which commenced in February 2005. Accordingly, during 2005 we repaid $0.8 million on the note. Under an amendment to the secured credit facility agreement effective April 1, 2005, we are subject to certain financial covenants, including a liquidity ratio of not less than 2.0 to 1.0 and a net tangible net worth of at least $39 16 million through June 30, 2005, and $36 million thereafter. At December 31, 2005, the Company was in compliance with its financial covenants. In October 2005, we sold a combined $22.4 million aggregate principal amount of 6% Convertible Senior Notes due 2025 (Notes) and issued warrants to purchase 1,344,000 shares of our common stock (Warrants). The Warrants are exercisable at $4.40 per share and expire in 2010. We plan to use these proceeds to fund business development opportunities. The Notes are convertible into common stock at any time at a fixed conversion price of $4.20 per share, subject to certain adjustments. If fully converted, the Notes would convert into approximately 5,333,334 shares of our common stock and would require us to increase our authorized shares. If the Notes are converted under certain circumstances on or prior to October 15, 2008, we will pay the investors the interest they would have received on the Notes through that date. We have the right to redeem the Notes at 100% of the principal amount plus accrued interest at any time on or after October 20, 2008, and the investors have the right to require us to repurchase the Notes at 100% of the principal amount plus accrued interest on October 15 in 2010, 2015 and 2020. See Note 7 of Notes to Consolidated Financial Statements in this Report for a full description of the terms and provisions of the Notes. CASH MANAGEMENT During 2006, we will deplete our high priced but paid-for inventories of pyrolytic carbon components. During the last two years we have increased production of these components in our own factory. We estimate that operating costs will remain high in comparison to sales during 2006 and will require the use of cash to fund operations. We will draw down cash balances to build inventories and fund operations during 2006. Based upon the current forecast of sales and operating expenses, we anticipate having cash to fund our operations through 2006. However, as identified in Item 1A of this Form 10-K, any adverse change that affects our revenue, access to the capital markets or future demand for our products will affect our long-term viability. Maintaining adequate levels of working capital depends in part upon the success of our products in the marketplace, the relative profitability of those products and our ability to control operating and capital expenses. Funding of our operations in future periods may require additional investments in ATS in the form of equity or debt. There can be no assurance that we will achieve desired levels of sales or profitability, or that future capital infusions will be available. OFF-BALANCE SHEET ARRANGEMENTS We do not have any "off-balance sheet arrangements" (as such term is defined in Item 303 of Regulation S-K) that are reasonably likely to have a current or future effect on our financial condition, changes in financial condition, revenues or expenses, results of operations, liquidity, capital expenditures or capital resources. CONTRACTUAL OBLIGATIONS The following table sets forth our future payment obligations: Payments Due By Period --------------------------------------------------- Less One to Three to More than Than Three Five Five Total One year Years Years Years ------- -------- ------- -------- --------- (thousands) Convertible notes payable $22,400 -- -- $22,400 -- Bank notes payable 1,736 $ 833 $ 903 -- -- Operating leases 1,717 503 1,122 92 -- Purchase obligations 21,750 -- 15,000 6,750 -- ------- ------ ------- ------- --- Total $47,603 $1,336 $17,025 $29,242 -- ======= ====== ======= ======= === 17 CAUTIONARY STATEMENTS This document contains forward-looking statements within the meaning of federal securities laws that may include statements regarding intent, belief or current expectations of our Company and our management. The Private Securities Litigation Reform Act of 1995 provides a "safe harbor" for forward-looking statements to encourage companies to provide prospective information without fear of litigation 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 projected in the statement. We desire to take advantage of these "safe harbor" provisions. Accordingly, we have identified in Item 1A of this Form 10-K important risk factors which could cause our actual results to differ materially from any such results which may be projected, forecast, estimated or budgeted by us in forward-looking statements made by us from time to time in reports, proxy statements, registration statements and other written communications, or in oral forward-looking statements made from time to time by our officers and agents. We do not intend to update any of these forward-looking statements after the date of this Form 10-K to conform them to actual results. ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA Our Consolidated Financial Statements and the reports of our registered public accounting firm are included in this Annual Report on Form 10-K beginning on page F-1. The index to this report and the financial statements is included in Item 15 below. ITEM 9A. CONTROLS AND PROCEDURES (RESTATED) RESTATEMENT The Company has restated its financial statements for 2005. The determination to restate these financial statements was made after an error was discovered in June 2006 in the accounting for embedded derivatives related to its Convertible Senior Notes (the Notes) under Financial Accounting Standards Board (FASB) Statement No.133, Accounting for Derivative Instruments and Hedging Activities and related Emerging Issues Task Force interpretations and SEC rules. The Convertible Senior Notes agreement permits Note holders to exchange their debt instruments for common stock at a conversion rate of $4.20 per share. The Company had insufficient authorized common shares as of the closing date, which requires this embedded instrument to be bifurcated from the debt agreement and classified as a liability in accordance with EITF 00-19. After management's review of the Note agreements, our historical accounting for the Notes and the related derivative accounting requirements connected with the Notes, management recommended to the Audit Committee that, based on our analysis of the impact of the items described above, our previously filed financial statements be restated to reflect the correction of these items. The Audit Committee agreed with this recommendation. On July 13, 2006, the Audit Committee approved our restated financial statements and authorized their filing in an amendment to our Form 10-K for the year ended December 31, 2005. EVALUATION OF DISCLOSURE CONTROLS AND PROCEDURES In connection with the restatement, we reevaluated the effectiveness of the design and operation of our disclosure controls and procedures (as defined in Rule 13a-15(e) under the Securities Exchange Act of 1934, as amended) as of the end of the period covered by this annual report. We concluded that our failure to correctly apply FASB Statement No. 133, and its related interpretations, with respect to the accounting for embedded derivatives related to the Notes constituted a material weakness in our internal control over financial reporting. Solely as a result of this material weakness, our Chief Executive Officer and Chief Financial Officer concluded that our disclosure controls and procedures were not effective as of December 31, 2005. We have performed a thorough analysis of all of the provisions in the Notes and related agreements for embedded derivatives under FASB Statement No.133 and the related EITF interpretations and SEC rules, in an effort to ensure that the restated financial statements and this annual report, as amended, reflect all necessary adjustments. 18 MANAGEMENT'S REPORT ON INTERNAL CONTROL OVER FINANCIAL REPORTING Our management is responsible for establishing and maintaining adequate internal control over financial reporting, as such term is defined in Exchange Act Rule 13a-15(f). Our internal control system was designed to provide reasonable assurance to our management and board of directors regarding the preparation and fair presentation of published financial statements. All internal control systems, no matter how well designed, have inherent limitations. Therefore, even those systems determined to be effective can provide only reasonable assurance with respect to financial statement preparation and presentation. Under the supervision and with the participation of our management, including our Chief Executive Officer and Chief Financial Officer, we conducted an evaluation of the effectiveness of our internal control over financial reporting based on the framework in "Internal Control -- Integrated Framework" issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Based on our evaluation under the framework in "Internal Control -- Integrated Framework," our management concluded, in the Company's original 2005 Form 10-K, filed on March 7, 2006, that our internal control over financial reporting was effective as of December 31, 2005. Subsequently, management concluded that our failure to correctly apply FASB Statement No. 133, and its related interpretations, with respect to the accounting for embedded derivatives related to the Notes constituted a material weakness in our internal control over financial reporting. Solely as a result of this material weakness, our management has revised its earlier assessment and concluded that our internal control over financial reporting was not effective as of December 31, 2005. This material weakness has caused us to amend our original 2005 Form 10-K, in order to restate our consolidated financial statements as of and for the year ended December 31, 2005. Management's revised assessment of the effectiveness of internal control over financial reporting as of December 31, 2005, has been audited by Ernst & Young LLP, the independent registered public accounting firm who also has audited the Company's restated consolidated financial statements included in this Form 10-K/A. Ernst & Young's attestation report on management's assessment of the Company's internal control over financial reporting appears on pages F-2 and F-3 of this Form 10-K/A. CHANGES IN INTERNAL CONTROL OVER FINANCIAL REPORTING As previously reported, in connection with our assessment of the effectiveness of our internal control over financial reporting at the end of fiscal year 2004, we identified a material weakness in our internal control over financial reporting. The deficiency in our internal control related to ineffective application of inventory verification procedures, including cycle count procedures. Historically, we had relied on cycle count procedures to substantiate inventory quantities in lieu of taking physical inventories. During our evaluation of internal control over our cycle counting procedures, we determined that our processes in place during 2004 were neither sufficient nor documented adequately to rely upon. Because of the material weakness in our inventory verification procedures described above, management concluded that (i) the Company did not maintain effective internal control over financial reporting as of December 31, 2004, based on the criteria established in "Internal Control - - Integrated Framework" issued by COSO, and (ii) as a result of this material weakness our disclosure controls and procedures were not effective as of December 31, 2004. To remediate this material weakness, commencing with the first quarter of fiscal 2005 we instituted a practice of conducting periodic physical inventories instead of relying on the cycle count procedures previously in use. We relied on this physical inventory procedure when our management concluded as of March 31, June 30 and September 30, 2005, that our disclosure controls and procedures were effective. During the fourth quarter of fiscal year 2005 we completed the development and testing of a new and more robust process for documenting and executing our cycle counts. As a result, in September, 2005 we stopped conducting physical inventories and commenced using this new cycle count procedure to verify our inventory. Other than this change from physical inventory counts to the new cycle count procedures, there has been no change in our internal control over financial reporting (as defined in Rule 13a-15(f) under the Exchange Act) during the fiscal quarter ended December 31, 2005 that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting. 19 PART IV ITEM 15. EXHIBITS AND FINANCIAL STATEMENT SCHEDULES FINANCIAL STATEMENTS Our Consolidated Financial Statements and the Independent Auditor's Reports thereon are included herein (page numbers refer to pages in this amended Annual Report on Form 10-K/A): Reports of Independent Registered Public Accounting Firm Page F-1 Consolidated Balance Sheets as of December 31, 2005 (Restated) and 2004 Page F-4 Consolidated Statements of Operations for the years ended December 31, 2005 (Restated), 2004, and 2003 Page F-5 Consolidated Statement of Changes in Shareholders' Equity for the years ended December 31, 2005 (Restated), 2004, and 2003 Page F-6 Consolidated Statements of Cash Flows for the years ended December 31, 2005 (Restated), 2004, and 2003 Page F-7 Notes to Consolidated Financial Statements for the years ended Page F-8 through December 31, 2005 (Restated), 2004, and 2003 F-23 20 FINANCIAL STATEMENT SCHEDULES ATS MEDICAL, INC. SCHEDULE II - VALUATION AND QUALIFYING ACCOUNTS AND RESERVES (in thousands) ADDITIONS - -------------------------------------------------------------- CHARGED TO BALANCE AT CHARGED TO OTHER BALANCE AT BEGINNING COSTS AND ACCOUNTS - DEDUCTIONS END OF DESCRIPTION OF PERIOD EXPENSES DESCRIBE DESCRIBE PERIOD ----------- ---------- ---------- ---------- ---------- ---------- VALUATION ACCOUNTS: Deducted from asset accounts: YEAR ENDED DECEMBER 31, 2005: Allowance for doubtful accounts $388 $ 0 $0 ($28)(1) $360 Allowance for obsolete inventories $200 $ 50 $0 ($35)(2) $215 YEAR ENDED DECEMBER 31, 2004: Allowance for doubtful accounts $270 $150 $0 ($32)(1) $388 Allowance for obsolete inventories $200 $ 0 $0 $0 $200 YEAR ENDED DECEMBER 31, 2003: Allowance for doubtful accounts $420 $ 0 $0 ($150)(2) $270 Allowance for obsolete inventories $200 $ 0 $0 $0 $200 (1) Uncollectible accounts written off, net of recoveries. (2) Changes in estimate recovered through a reduction in expenses. 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. 21 EXHIBITS Note: All Exhibits listed under Item 15 in the Original Filing are unchanged except for the filing of an updated Consent of Ernst & Young LLP and updated Certifications pursuant to Sections 302 and 906 of the Sarbanes-Oxley Act of 2002: EXHIBIT NUMBER DESCRIPTION - ------- ----------- 2.1*** Agreement and Plan of Merger, dated as of January 23, 2006, among ATS Medical, Inc., Seabiscuit Acquisition Corp.; 3F Therapeutics, Inc.; and Boyd D. Cox, as Stockholder Representative (Incorporated by reference to Exhibit 10.1of the Company's Current Report on Form 8-K filed on January 26, 2006). 3.1 Restated Articles of Incorporation, as amended to date (Incorporated by reference to Exhibit 3.1 to the Company's Annual Report on 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 (Incorporated by reference to Exhibit 3.2 to the Company's Annual Report on Form 10-K for the year ended December 31, 1996 (the "1996 Form 10-K")). 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, 1997 (the "1997 Form 10-K")). 4.2 Indenture, dated as of October 7, 2005, between ATS Medical, Inc. and Wells Fargo Bank, National Association, as Trustee (Incorporated by reference to Exhibit 4.1 of the Company's Current Report on Form 8-K filed on October 12, 2005 (the "October 12, 2005 Form 8-K")). 4.3 First Supplemental Indenture, dated October 13, 2005, to the Indenture dated as of October 7, 2005, by and between ATS Medical, Inc. and Wells Fargo Bank, National Association, as Trustee (Incorporated by reference to Exhibit 4.3 of the Company's October 18, 2005 Form 8-K). 4.4 Form of 6% Convertible Senior Notes due 2025 (Incorporated by reference to Exhibit 4.1 of the Company's Current Report on Form 8-K filed on October 18, 2005 (the "October 18, 2005 Form 8-K")). 4.5 Form of Warrant (Incorporated by reference to Exhibit 4.2 of the Company's October 18, 2005 Form 8-K). 10.1** 1987 Stock Option and Stock Award Plan, as restated and amended to date (Incorporated by reference to Exhibit 10.1 to the Company's Quarterly Report on Form 10-Q for the quarter ended June 30, 1997). 10.2** ATS Medical Inc. 2000 Stock Incentive Plan (Incorporated by reference to the appendix to the Company's Definitive Proxy Statement filed on March 28, 2003). 10.3** Agreement between the Company and Manuel A. Villafana dated September 11, 2001 (Incorporated by reference to Exhibit 10.3 to the Company's Annual Report on Form 10-K for the year ended December 31, 2001 (the "2001 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 Company's Registration Statement on Form S-18, File No. 33-34785-C (the "Form S-18")). 22 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 (Incorporated by reference to Exhibit 10.8 to the 1996 Form 10-K). 10.9* O.E.M. Supply Contract dated September 24, 1990, with CarboMedics, Inc. (Incorporated by reference to Exhibit 10.10 to the 1996 Form 10-K). 10.10* License Agreement dated September 24, 1990, with CarboMedics, Inc. (Incorporated by reference to Exhibit 10.11 to the 1996 Form 10-K). 10.11** Employment Agreement between the Company and Michael D. Dale dated September 18, 2002 (Incorporated by reference to Exhibit 10.12 to the Company's Form 10-K for the year ended 2002 (the "2002 Form 10-K")). 10.12 Helix BioCore, Inc. Self-Insurance Trust Agreement dated February 28, 1991 (Incorporated by reference to Exhibit 10.13 to the 1996 Form 10-K). 10.13* 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). 10.14* Amendment 4 to O.E.M. Supply Contract dated December 16, 1993, with CarboMedics, Inc. (Incorporated by reference to Exhibit 10.18 to the 1993 Form 10-K). 10.15* Amendment 5 to O.E.M. Supply Contract dated September 1, 1994, with CarboMedics, Inc. (Incorporated by reference to Exhibit 10.19 to the 1994 Form 10-K). 10.16 Letter Agreement between the Company and Sulzer Carbomedics, Inc., dated June 27, 2002 (Incorporated by reference to Exhibit 10.1 to the Company's Quarterly Report on Form 10-Q for the quarter ended June 20, 2002). 10.17 Form of International Distributor Agreement (Incorporated by reference to Exhibit 10.22 to the 1994 Form 10-K). 10.18** 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). 10.19 Amendment No. 5 to Lease Agreement between the Company and St. Paul Properties, Inc., dated May 30, 1996 (Incorporated by reference to Exhibit 10.22 to the 1996 Form 10-K). 10.20** Letter Agreement dated November 1, 2002, extending the agreement dated September 11, 2001 between the Company and Manuel A. Villafana (Incorporated by reference to Exhibit 10.23 to the 2002 Form 10-K). 10.21 Amendment No. 6 to Lease Agreement between the Company and St. Paul Properties, Inc., dated November 25, 1997 (Incorporated by reference to Exhibit 10.23 to the 1997 Form 10-K). 10.22 1998 Employee Stock Purchase Plan (Incorporated by reference to Exhibit 4 to the Company's Registration Statement on Form S-8, File No. 333-57527). 23 10.23** 1998 Management Incentive Compensation Plan (Incorporated by reference to Exhibit 10.25 to the Annual Report on Form 10-K for the year ended December 31, 1998). 10.24* Carbon Agreement by and between Sulzer Carbomedics, Inc. and ATS Medical, Inc., dated December 29, 1999 (Incorporated by reference to Exhibit 99.1 to the Current Report on Form 8-K filed on January 13, 2000 (the "January 2000 Form 8-K"). 10.25* Amendment 7 to OEM Supply Contract by and between Sulzer Carbomedics, Inc. and ATS Medical, Inc., dated December 29, 1999 (Incorporated by reference to Exhibit 99.2 to the January 2000 Form 8-K). 10.26* Amendment 2 to License Agreement by and between Sulzer Carbomedics, Inc. and ATS Medical, Inc., dated December 29, 1999 (Incorporated by reference to Exhibit 99.3 to the January 2000 Form 8-K). 10.27 Amendment No. 7 to Lease Agreement between the Company and St. Paul Properties, Inc., dated May 18, 2000 (Incorporated by reference to Exhibit 10.2 to the Company's Quarterly Report on Form 10-Q for the quarter ended June 30, 2000). 10.28 Lease Agreement between the Company and St. Paul Properties, Inc., dated April 29, 2000 (Incorporated by reference to Exhibit 10.1 to the Company's Quarterly Report on Form 10-Q for the quarter ended June 30, 2000). 10.29 Amendment No. 8 to Lease Agreement between the Company and St. Paul Properties, Inc., dated December 14, 2000 (Incorporated by reference to Exhibit 10.32 to the Company's Annual Report on Form 10-K for the year ended December 31, 2000 (the "2000 Form 10-K")). 10.30* Amendment 8 to OEM Supply Contract by and between Sulzer Carbomedics, Inc. and ATS Medical, Inc., dated November 3, 2000 (Incorporated by reference to Exhibit 10.33 to the 2000 Form 10-K). 10.31 Form of U.S. Distribution Agreement (Incorporated by reference to Exhibit 10.34 to the 2002 Form 10-K). 10.32 Amendment No. 9 to Lease Agreement between the Company and St. Paul Properties, Inc., dated September 8, 2003 (Incorporated by reference to Exhibit 10.1 to the Company's Quarterly Report on Form 10-Q for the quarter ended September 30, 2003). 10.33 Form of Employee Stock Option Agreement under the company's 2000 Stock Incentive Plan (Incorporated by reference to Exhibit 10.2 to the Company's Quarterly Report of Form 10-Q for the quarter ended September 30, 2004 (the "September 2004 Form 10-Q")). 10.34 Form of Non-Qualified Stock Option Agreement under the Company's 2000 Stock Incentive Plan (Incorporated by reference to Exhibit 10.3 to the Company's September 2004 Form 10-Q). 10.35 Form of Non-Plan Non-Qualified Stock Option Agreement (Incorporated by reference to Exhibit 10.4 to the Company's September 2004 Form 10-Q). 10.36* Development and License Agreement dated as of April 26, 2004 between the Company and ErySave AB (Incorporated by reference to Exhibit 10.1 to the Company's September 2004 Form 10-Q). 10.37 Credit Agreement between Silicon Valley Bank and the Company, dated July 28, 2004 (Incorporated by reference to Exhibit 10.1 to the Company's September 2004 Form 10-Q). 24 10.38 Amendment No. 10 to Lease Agreement between the Company and St. Paul Properties, Inc. dated as of October 1, 2004 (Incorporated by reference to Exhibit 10.40 to the Company's Annual Report on Form 10-K for the year ended December 31, 2004 (the "2004 Form 10-K")). 10.39* Agent Agreement dated November 9, 2004 between the Company and CryoCath Technologies, Inc. (Incorporated by reference to Exhibit 10.1 to the Company's Current Report on Form 8-K filed on May 10, 2005). 10.40* Distribution Agreement dated November 9, 2004 between the Company and CryoCath Technologies, Inc. (Incorporated by reference to Exhibit 10.2 to the Company's Current Report on Form 8-K filed on May 10, 2005). 10.41 Letter Agreement between the Company and Centerpulse USA Holding Co. dated July 9, 2003 (Incorporated by reference to Exhibit 10.1 to the Company's Current Report on Form 8-K filed on September 26, 2003). 10.42 Amendment dated June 22, 2005, to Development and License Agreement between the Company and ErySave AB (Incorporated by reference to Exhibit 10.1 of the Company's Quarterly Report on Form 10-Q for the quarter June 30, 2005 (the "June 2005 Form 10-Q")). 10.43* Marketing Services Agreement with Alabama Tissue Center, Inc. (also known as Regeneration Technologies, Inc. - Cardiovascular), a subsidiary of Regeneration Technologies, Inc., effective as of July 21, 2005. 10.44* Exclusive Development, Supply and Distribution Agreement with Genesee BioMedical, Inc., dated June 23, 2005. 10.45 Amendment Agreement, dated March 24, 2005, to the Credit Agreement between Silicon Valley Bank and the Company, dated July 28, 2004 (Incorporated by reference to Exhibit 10.1 to the Company's Current Report on Form 8-K filed on March 30, 2005). 10.46** 2005 ATS Medical Management Incentive Compensation Plan (Incorporated by reference to Exhibit 10.2 of the Company's Quarterly Report on Form 10-Q for the quarter ended March 31, 2005). 10.47 Securities Purchase Agreement, dated as of October 6, 2005, by and among ATS Medical, Inc. and the Buyers listed on the Schedule of Buyers attached thereto as Exhibit A (Incorporated by reference to Exhibit 10.1 of the Company's October 12, 2005 Form 8-K). 10.48 Amendment No. 1, dated October 12, 2005, to the Securities Purchase Agreement by and among ATS Medical, Inc. and the Buyers listed therein, dated as of October 6, 2005 (Incorporated by reference to Exhibit 10.1 of the Company's October 18, 2005 Form 8-K). 10.49 Registration Rights Agreement, dated as of October 7, 2005, by and among ATS Medical, Inc. and the Buyers listed on the Schedule of Buyers attached thereto as Exhibit A (Incorporated by reference to Exhibit 10.2 of the Company's October 12, 2005 Form 8-K). 10.50 Amendment No. 1, dated October 13, 2005, to the Registration Rights Agreement by and among ATS Medical, Inc. and the Buyers listed therein, dated as of October 7, 2005 (Incorporated by reference to Exhibit 10.2 of the Company's October 18, 2005 Form 8-K). 10.51 Warrant Agent Agreement, dated as of October 7, 2005, between ATS Medical, Inc. and Wells Fargo Bank, National Association, as Warrant Agent (Incorporated by reference to Exhibit 10.3 of the Company's October 12, 2005 Form 8-K). 10.52** Form of Lock-Up Agreement with Executive Officers (Incorporated by reference to Exhibit 99.1 of the Company's Current Report on Form 8-K filed on December 29, 2005). 25 10.53** Form of Restricted Stock Unit Agreement under the Company's 2000 Stock Incentive Plan. 21 List of Subsidiaries. 23 Consent of Ernst & Young LLP. 31.1 Certification of Chief Executive Officer pursuant to Rule 13a-14(a) and Rule 15d-14(a) of the Securities Exchange Act, as amended. 31.2 Certification of Chief Financial Officer pursuant to Rule 13a-14(a) and Rule 15d-14(a) of the Securities Exchange Act, as amended. 32.1 Certification of the Chief Executive Officer pursuant to 18 U.S.C. Section 1350 as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. 32.2 Certification of the Chief Financial Officer pursuant to 18 U.S.C. Section 1350 as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. - ---------- * Pursuant to Rule 24b-2 of the Securities Exchange Act of 1934, as amended, confidential portions of these exhibits have been deleted and filed separately with the Securities and Exchange Commission pursuant to a request for confidential treatment. ** Represents a management contract or compensatory plan or arrangement required to be filed as an exhibit pursuant to Item 15 of Form 10-K. *** Exhibits and Schedules to the Merger Agreement have been omitted but will be provided supplementally to the Securities and Exchange Commission upon request. 26 SIGNATURE 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: July 17, 2006 ATS MEDICAL, INC. By /s/ Michael D. Dale ------------------------------------- Michael D. Dale Chief Executive Officer 27 EXHIBIT INDEX EXHIBIT NUMBER DESCRIPTION - ------- ----------- 2.1*** Agreement and Plan of Merger, dated as of January 23, 2006, among ATS Medical, Inc., Seabiscuit Acquisition Corp.; 3F Therapeutics, Inc.; and Boyd D. Cox, as Stockholder Representative (Incorporated by reference to Exhibit 10.1of the Company's Current Report on Form 8-K filed on January 26, 2006). 3.1 Restated Articles of Incorporation, as amended to date (Incorporated by reference to Exhibit 3.1 to the Company's Annual Report on 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 (Incorporated by reference to Exhibit 3.2 to the Company's Annual Report on Form 10-K for the year ended December 31, 1996 (the "1996 Form 10-K")). 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, 1997 (the "1997 Form 10-K")). 4.2 Indenture, dated as of October 7, 2005, between ATS Medical, Inc. and Wells Fargo Bank, National Association, as Trustee (Incorporated by reference to Exhibit 4.1 of the Company's Current Report on Form 8-K filed on October 12, 2005 (the "October 12, 2005 Form 8-K")). 4.3 First Supplemental Indenture, dated October 13, 2005, to the Indenture dated as of October 7, 2005, by and between ATS Medical, Inc. and Wells Fargo Bank, National Association, as Trustee (Incorporated by reference to Exhibit 4.3 of the Company's October 18, 2005 Form 8-K). 4.4 Form of 6% Convertible Senior Notes due 2025 (Incorporated by reference to Exhibit 4.1 of the Company's Current Report on Form 8-K filed on October 18, 2005 (the "October 18, 2005 Form 8-K")). 4.5 Form of Warrant (Incorporated by reference to Exhibit 4.2 of the Company's October 18, 2005 Form 8-K). 10.1** 1987 Stock Option and Stock Award Plan, as restated and amended to date (Incorporated by reference to Exhibit 10.1 to the Company's Quarterly Report on Form 10-Q for the quarter ended June 30, 1997). 10.2** ATS Medical Inc. 2000 Stock Incentive Plan (Incorporated by reference to the appendix to the Company's Definitive Proxy Statement filed on March 28, 2003). 10.3** Agreement between the Company and Manuel A. Villafana dated September 11, 2001 (Incorporated by reference to Exhibit 10.3 to the Company's Annual Report on Form 10-K for the year ended December 31, 2001 (the "2001 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 Company's Registration Statement on Form S-18, File No. 33-34785-C (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). 28 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 (Incorporated by reference to Exhibit 10.8 to the 1996 Form 10-K). 10.9* O.E.M. Supply Contract dated September 24, 1990, with CarboMedics, Inc. (Incorporated by reference to Exhibit 10.10 to the 1996 Form 10-K). 10.10* License Agreement dated September 24, 1990, with CarboMedics, Inc. (Incorporated by reference to Exhibit 10.11 to the 1996 Form 10-K). 10.11** Employment Agreement between the Company and Michael D. Dale dated September 18, 2002 (Incorporated by reference to Exhibit 10.12 to the Company's Form 10-K for the year ended 2002 (the "2002 Form 10-K")). 10.12 Helix BioCore, Inc. Self-Insurance Trust Agreement dated February 28, 1991 (Incorporated by reference to Exhibit 10.13 to the 1996 Form 10-K). 10.13* 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). 10.14* Amendment 4 to O.E.M. Supply Contract dated December 16, 1993, with CarboMedics, Inc. (Incorporated by reference to Exhibit 10.18 to the 1993 Form 10-K). 10.15* Amendment 5 to O.E.M. Supply Contract dated September 1, 1994, with CarboMedics, Inc. (Incorporated by reference to Exhibit 10.19 to the 1994 Form 10-K). 10.16 Letter Agreement between the Company and Sulzer Carbomedics, Inc., dated June 27, 2002 (Incorporated by reference to Exhibit 10.1 to the Company's Quarterly Report on Form 10-Q for the quarter ended June 20, 2002). 10.17 Form of International Distributor Agreement (Incorporated by reference to Exhibit 10.22 to the 1994 Form 10-K). 10.18** 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). 10.19 Amendment No. 5 to Lease Agreement between the Company and St. Paul Properties, Inc., dated May 30, 1996 (Incorporated by reference to Exhibit 10.22 to the 1996 Form 10-K). 10.20** Letter Agreement dated November 1, 2002, extending the agreement dated September 11, 2001 between the Company and Manuel A. Villafana (Incorporated by reference to Exhibit 10.23 to the 2002 Form 10-K). 10.21 Amendment No. 6 to Lease Agreement between the Company and St. Paul Properties, Inc., dated November 25, 1997 (Incorporated by reference to Exhibit 10.23 to the 1997 Form 10-K). 10.22 1998 Employee Stock Purchase Plan (Incorporated by reference to Exhibit 4 to the Company's Registration Statement on Form S-8, File No. 333-57527). 10.23** 1998 Management Incentive Compensation Plan (Incorporated by reference to Exhibit 10.25 to the Annual Report on Form 10-K for the year ended December 31, 1998). 29 10.24* Carbon Agreement by and between Sulzer Carbomedics, Inc. and ATS Medical, Inc., dated December 29, 1999 (Incorporated by reference to Exhibit 99.1 to the Current Report on Form 8-K filed on January 13, 2000 (the "January 2000 Form 8-K"). 10.25* Amendment 7 to OEM Supply Contract by and between Sulzer Carbomedics, Inc. and ATS Medical, Inc., dated December 29, 1999 (Incorporated by reference to Exhibit 99.2 to the January 2000 Form 8-K). 10.26* Amendment 2 to License Agreement by and between Sulzer Carbomedics, Inc. and ATS Medical, Inc., dated December 29, 1999 (Incorporated by reference to Exhibit 99.3 to the January 2000 Form 8-K). 10.27 Amendment No. 7 to Lease Agreement between the Company and St. Paul Properties, Inc., dated May 18, 2000 (Incorporated by reference to Exhibit 10.2 to the Company's Quarterly Report on Form 10-Q for the quarter ended June 30, 2000). 10.28 Lease Agreement between the Company and St. Paul Properties, Inc., dated April 29, 2000 (Incorporated by reference to Exhibit 10.1 to the Company's Quarterly Report on Form 10-Q for the quarter ended June 30, 2000). 10.29 Amendment No. 8 to Lease Agreement between the Company and St. Paul Properties, Inc., dated December 14, 2000 (Incorporated by reference to Exhibit 10.32 to the Company's Annual Report on Form 10-K for the year ended December 31, 2000 (the "2000 Form 10-K")). 10.30* Amendment 8 to OEM Supply Contract by and between Sulzer Carbomedics, Inc. and ATS Medical, Inc., dated November 3, 2000 (Incorporated by reference to Exhibit 10.33 to the 2000 Form 10-K). 10.31 Form of U.S. Distribution Agreement (Incorporated by reference to Exhibit 10.34 to the 2002 Form 10-K). 10.32 Amendment No. 9 to Lease Agreement between the Company and St. Paul Properties, Inc., dated September 8, 2003 (Incorporated by reference to Exhibit 10.1 to the Company's Quarterly Report on Form 10-Q for the quarter ended September 30, 2003). 10.33 Form of Employee Stock Option Agreement under the company's 2000 Stock Incentive Plan (Incorporated by reference to Exhibit 10.2 to the Company's Quarterly Report of Form 10-Q for the quarter ended September 30, 2004 (the "September 2004 Form 10-Q")). 10.34 Form of Non-Qualified Stock Option Agreement under the Company's 2000 Stock Incentive Plan (Incorporated by reference to Exhibit 10.3 to the Company's September 2004 Form 10-Q). 10.35 Form of Non-Plan Non-Qualified Stock Option Agreement (Incorporated by reference to Exhibit 10.4 to the Company's September 2004 Form 10-Q). 10.36* Development and License Agreement dated as of April 26, 2004 between the Company and ErySave AB (Incorporated by reference to Exhibit 10.1 to the Company's September 2004 Form 10-Q). 10.37 Credit Agreement between Silicon Valley Bank and the Company, dated July 28, 2004 (Incorporated by reference to Exhibit 10.1 to the Company's September 2004 Form 10-Q). 10.38 Amendment No. 10 to Lease Agreement between the Company and St. Paul Properties, Inc. dated as of October 1, 2004 (Incorporated by reference to Exhibit 10.40 to the Company's Annual Report on Form 10-K for the year ended December 31, 2004 (the "2004 Form 10-K")). 30 10.39* Agent Agreement dated November 9, 2004 between the Company and CryoCath Technologies, Inc. (Incorporated by reference to Exhibit 10.1 to the Company's Current Report on Form 8-K filed on May 10, 2005). 10.40* Distribution Agreement dated November 9, 2004 between the Company and CryoCath Technologies, Inc. (Incorporated by reference to Exhibit 10.2 to the Company's Current Report on Form 8-K filed on May 10, 2005). 10.41 Letter Agreement between the Company and Centerpulse USA Holding Co. dated July 9, 2003 (Incorporated by reference to Exhibit 10.1 to the Company's Current Report on Form 8-K filed on September 26, 2003). 10.42 Amendment dated June 22, 2005, to Development and License Agreement between the Company and ErySave AB (Incorporated by reference to Exhibit 10.1 of the Company's Quarterly Report on Form 10-Q for the quarter June 30, 2005 (the "June 2005 Form 10-Q")). 10.43* Marketing Services Agreement with Alabama Tissue Center, Inc. (also known as Regeneration Technologies, Inc. - Cardiovascular), a subsidiary of Regeneration Technologies, Inc., effective as of July 21, 2005. 10.44* Exclusive Development, Supply and Distribution Agreement with Genesee BioMedical, Inc., dated June 23, 2005. 10.45 Amendment Agreement, dated March 24, 2005, to the Credit Agreement between Silicon Valley Bank and the Company, dated July 28, 2004 (Incorporated by reference to Exhibit 10.1 to the Company's Current Report on Form 8-K filed on March 30, 2005). 10.46** 2005 ATS Medical Management Incentive Compensation Plan (Incorporated by reference to Exhibit 10.2 of the Company's Quarterly Report on Form 10-Q for the quarter ended March 31, 2005). 10.47 Securities Purchase Agreement, dated as of October 6, 2005, by and among ATS Medical, Inc. and the Buyers listed on the Schedule of Buyers attached thereto as Exhibit A (Incorporated by reference to Exhibit 10.1 of the Company's October 12, 2005 Form 8-K). 10.48 Amendment No. 1, dated October 12, 2005, to the Securities Purchase Agreement by and among ATS Medical, Inc. and the Buyers listed therein, dated as of October 6, 2005 (Incorporated by reference to Exhibit 10.1 of the Company's October 18, 2005 Form 8-K). 10.49 Registration Rights Agreement, dated as of October 7, 2005, by and among ATS Medical, Inc. and the Buyers listed on the Schedule of Buyers attached thereto as Exhibit A (Incorporated by reference to Exhibit 10.2 of the Company's October 12, 2005 Form 8-K). 10.50 Amendment No. 1, dated October 13, 2005, to the Registration Rights Agreement by and among ATS Medical, Inc. and the Buyers listed therein, dated as of October 7, 2005 (Incorporated by reference to Exhibit 10.2 of the Company's October 18, 2005 Form 8-K). 10.51 Warrant Agent Agreement, dated as of October 7, 2005, between ATS Medical, Inc. and Wells Fargo Bank, National Association, as Warrant Agent (Incorporated by reference to Exhibit 10.3 of the Company's October 12, 2005 Form 8-K). 10.52** Form of Lock-Up Agreement with Executive Officers (Incorporated by reference to Exhibit 99.1 of the Company's Current Report on Form 8-K filed on December 29, 2005). 10.53** Form of Restricted Stock Unit Agreement under the Company's 2000 Stock Incentive Plan. 21 List of Subsidiaries. 31 23 Consent of Ernst & Young LLP. 31.1 Certification of Chief Executive Officer pursuant to Rule 13a-14(a) and Rule 15d-14(a) of the Securities Exchange Act, as amended. 31.2 Certification of Chief financial Officer pursuant to Rule 13a-14(a) and Rule 15d-14(a) of the Securities Exchange Act, as amended. 32.1 Certification of the Chief Executive Officer pursuant to 18 U.S.C. Section 1350 as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. 32.2 Certification of the Chief Financial Officer pursuant to 18 U.S.C. Section 1350 as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. - ---------- * Pursuant to Rule 24b-2 of the Securities Exchange Act of 1934, as amended, confidential portions of these exhibits have been deleted and filed separately with the Securities and Exchange Commission pursuant to a request for confidential treatment. ** Represents a management contract or compensatory plan or arrangement required to be filed as an exhibit pursuant to Item 15 of Form 10-K. *** Exhibits and Schedules to the Merger Agreement have been omitted but will be provided supplementally to the Securities and Exchange Commission upon request. 32 Report of Independent Registered Public Accounting Firm The Board of Directors and Shareholders ATS Medical, Inc. We have audited the accompanying consolidated balance sheets of ATS Medical, Inc. (the "Company") as of December 31, 2005 and 2004, 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, 2005. Our audits also included the financial statement schedule presented at Item 15. These financial statements 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 the standards of the Public Company Accounting Oversight Board (United States). 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 consolidated financial statements referred to above present fairly, in all material respects, the consolidated financial position of the Company as of December 31, 2005 and 2004, and the consolidated results of its operations and its cash flows for each of the three years in the period ended December 31, 2005, in conformity with accounting principles generally accepted in the United States. Also, in our opinion, the related financial statement schedule, when considered in relation to the basic consolidated financial statements taken as a whole, presents fairly, in all material respects, the information set forth therein. As discussed in Note 2 to the consolidated financial statements, the consolidated financial statements have been restated. We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States), the effectiveness of the Company's internal control over financial reporting as of December 31, 2005, based on criteria established in Internal Control - Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission, and our report dated March 6, 2006, except for the effects of the material weakness described in the sixth paragraph of that report, as to which the date is July 13, 2006, expressed an unqualified opinion on management's assessment of and an adverse opinion on the effectiveness of internal control over financial reporting. /s/ ERNST & YOUNG LLP Minneapolis, Minnesota March 6, 2006, except for Note 2, as to which the date is July 13, 2006 F-1 Report of Independent Registered Public Accounting Firm The Board of Directors and Shareholders ATS Medical, Inc. We have audited management's assessment, included in the accompanying Management's Report on Internal Control over Financial Reporting (as restated), that ATS Medical, Inc. (the "Company") did not maintain effective internal control over financial reporting as of December 31, 2005, because of the effect of the Company's material weakness relating to the accounting for embedded derivatives related to its Convertible Senior Notes, based on criteria established in Internal Control - Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (the "COSO criteria"). The Company's management is responsible for maintaining effective internal control over financial reporting and for its assessment of the effectiveness of internal control over financial reporting. Our responsibility is to express an opinion on management's assessment and an opinion on the effectiveness of the Company's internal control over financial reporting based on our audit. We conducted our audit in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether effective internal control over financial reporting was maintained in all material respects. Our audit included obtaining an understanding of internal control over financial reporting, evaluating management's assessment, testing and evaluating the design and operating effectiveness of internal control, and performing such other procedures as we considered necessary in the circumstances. We believe that our audit provides a reasonable basis for our opinion. A company's internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles. A company's internal control over financial reporting includes those policies and procedures that (1) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the company; (2) provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with generally accepted accounting principles, and that receipts and expenditures of the company are being made only in accordance with authorizations of management and directors of the company; and (3) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use, or disposition of the company's assets that could have a material effect on the financial statements. Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate. In our report dated March 6, 2006, we expressed an unqualified opinion on management's previous assessment that the Company maintained effective internal control over financial reporting as of December 31, 2005 and an unqualified opinion that the Company maintained, in all material respects, effective internal control over financial reporting as of December 31, 2005, based on the COSO criteria. Management has subsequently determined that a deficiency in controls relating to the accounting for derivatives embedded in its Convertible Senior Notes existed as of the previous assessment date, and has further concluded that such deficiency represented a material weakness as of December 31, 2005. As a result, management has revised its assessment, as presented in the accompanying Management's Report on Internal Control over Financial Reporting, to conclude that the Company's internal control over financial reporting was not effective as of December 31, 2005. Accordingly, our present opinion on the effectiveness of the Company's internal control over financial reporting as of December 31, 2005, as expressed herein, is different from that expressed in our previous report. A material weakness is a control deficiency, or combination of control deficiencies, that results in more than a remote likelihood that a material misstatement of the annual or interim financial statements will not be prevented or detected. The following material weakness has been identified and included in management's assessment: In its assessment as of December 31, 2005, management identified a material weakness in the Company's accounting for embedded derivatives related to its Convertible Senior Notes and, as a result, concluded the Company's previously reported other income had been understated. The insufficient controls resulted in the restatement of the Company's consolidated financial statements as of and for the year ended December 31, 2005. This material weakness was considered in determining the nature, timing, and extent of audit tests applied in our audit of the 2005 F-2 consolidated financial statements, and this report does not affect our report dated March 6, 2006 except for Note 2 as to which the date is July 13, 2006, on those consolidated financial statements (as restated). In our opinion, management's assessment that the Company did not maintain effective internal control over financial reporting as of December 31, 2005, is fairly stated, in all material respects, based on the COSO control criteria. Also, in our opinion, because of the effect of the material weakness described above on the achievement of the objectives of the control criteria, the Company has not maintained effective internal control over financial reporting as of December 31, 2005, based on the COSO control criteria. /s/ ERNST & YOUNG LLP Minneapolis, Minnesota March 6, 2006, except for the effects of the material weakness described in the sixth paragraph above, as to which the date is July 13, 2006 F-3 ATS Medical, Inc. Consolidated Balance Sheets (In Thousands, Except Share Data) DECEMBER 31 --------------------- 2005 2004 ---------- -------- (RESTATED) ASSETS Current assets: Cash and cash equivalents $ 16,620 $ 8,302 Short-term investments 5,089 7,692 -------- -------- 21,709 15,994 Accounts receivable, less allowance of $360 in 2005 and $388 in 2004 10,453 7,893 Inventories, net 21,286 24,303 Prepaid expenses 1,204 1,053 -------- -------- Total current assets 54,652 49,243 Leasehold improvements, furniture, and equipment, net 8,330 7,650 Inventories -- 3,000 Intangible assets 22,015 18,720 Other assets 446 438 -------- -------- Total assets $ 85,443 $ 79,051 ======== ======== LIABILITIES AND SHAREHOLDERS' EQUITY Current liabilities: Accounts payable $ 3,598 $ 4,049 Due to related party 90 217 Accrued compensation 2,394 1,797 Accrued distributor liabilities 752 527 Other accrued liabilities 568 430 Current maturities of note payable 833 764 -------- -------- Total current liabilities 8,235 7,784 Convertible senior notes payable, net of unamortized discounts and bifurcated derivatives of $3,624 18,776 -- Note payable 903 1,736 Due to related party -- 90 Shareholders' equity: Common Stock, $0.01 par value: Authorized shares - 40,000,000 Issued and outstanding shares - 31,114,131 in 2005 and 30,889,637 in 2004 311 309 Additional paid-in capital 139,743 136,562 Accumulated deficit (81,895) (67,501) Accumulated other comprehensive income (loss) (64) 95 Deferred compensation (566) (24) -------- -------- Total shareholders' equity 57,529 69,441 -------- -------- Total liabilities and shareholders' equity $ 85,443 $ 79,051 ======== ======== See accompanying notes. F-4 ATS Medical, Inc. Consolidated Statements of Operations (In Thousands, Except Per Share Amounts) YEAR ENDED DECEMBER 31 -------------------------------- 2005 2004 2003 ---------- -------- -------- (RESTATED) Net sales $ 34,636 $ 28,015 $ 18,484 Cost of goods sold 22,828 21,227 17,632 -------- -------- -------- Gross profit 11,808 6,788 852 Operating expenses: Sales and marketing 18,948 16,520 10,180 Research and development 1,733 1,011 1,764 General and administrative 7,314 5,954 4,350 Gain on extinguishment of debt -- -- (2,575) -------- -------- -------- Total operating expenses 27,995 23,485 13,719 -------- -------- -------- Operating loss (16,187) (16,697) (12,867) Interest income 323 156 81 Interest expense (661) (102) (506) Change in value of derivative liability bifurcated from convertible senior notes 2,131 -- -- -------- -------- -------- Net loss $(14,394) $(16,643) $(13,292) ======== ======== ======== Net loss per share: Basic and diluted $ (0.46) $ (0.58) $ (0.55) Weighted average number of shares outstanding: Basic and diluted 31,009 28,856 24,076 See accompanying notes. F-5 ATS Medical, Inc. Consolidated Statement of Changes in Shareholders' Equity (In Thousands) ACCUMULATED COMMON STOCK ADDITIONAL OTHER --------------- PAID-IN COMPREHENSIVE DEFERRED ACCUMULATED SHARES AMOUNT CAPITAL INCOME (LOSS) COMPENSATION DEFICIT TOTAL ------ ------ ---------- -------------- ------------ ----------- -------- Balance at December 31, 2002 22,306 $223 $111,474 $ (4) -- $(37,566) $ 74,127 Common Stock issued under the Employee Stock Purchase Plan 37 1 55 -- -- -- 56 Stock options exercised 36 -- 111 -- -- -- 111 Common stock issued in private placement, net of offering costs 4,400 44 11,381 -- -- -- 11,425 Stock option issued for services -- -- 218 -- -- -- 218 Deferred compensation related to stock options -- -- 173 -- (173) -- -- Amortization of deferred compensation -- -- -- -- 103 -- 103 Change in foreign currency translation -- -- -- 55 -- -- 55 Net loss for the year -- -- -- -- -- (13,292) (13,292) -------- Comprehensive loss (13,237) ------ ---- -------- ----- ------- -------- -------- Balance at December 31, 2003 26,779 268 123,412 51 (70) (50,858) 72,803 Common Stock issued under the Employee Stock Purchase Plan 90 1 297 -- -- -- 298 Stock options exercised 334 3 458 -- -- -- 461 Common stock issued in private placement, net of offering costs 3,687 37 12,381 -- -- -- 12,418 Deferred compensation related to stock options -- -- 14 -- (14) -- -- Amortization of deferred compensation -- -- -- -- 60 -- 60 Change in foreign currency translation -- -- -- 44 -- -- 44 Net loss for the year -- -- -- -- -- (16,643) (16,643) -------- Comprehensive loss (16,599) ------ ---- -------- ----- ------- -------- -------- Balance at December 31, 2004 30,890 309 136,562 95 (24) (67,501) 69,441 Common Stock issued under the Employee Stock Purchase Plan 120 1 347 -- -- -- 348 Stock options exercised 104 1 185 -- -- -- 186 Warrants issued in connection with sale of convertible debt securities -- -- 1,522 -- -- -- 1,522 Deferred compensation related to stock options and awards -- -- 1,127 -- (1,127) -- -- Amortization of deferred compensation -- -- -- -- 585 -- 585 Change in foreign currency translation -- -- -- (159) -- -- (159) Net loss for the year -- -- -- -- -- (14,394) (14,394) -------- Comprehensive loss -- -- -- -- -- -- (14,553) ------ ---- -------- ----- ------- -------- -------- BALANCE AT DECEMBER 31, 2005 (RESTATED) 31,114 $311 $139,743 $ (64) $ (566) $(81,895) $ 57,529 ====== ==== ======== ===== ======= ======== ======== See accompanying notes. F-6 ATS Medical, Inc. Consolidated Statements of Cash Flows (In Thousands) YEAR ENDED DECEMBER 31 -------------------------------- 2005 2004 2003 ---------- -------- -------- (RESTATED) OPERATING ACTIVITIES Net loss $(14,394) $(16,643) $(13,292) Adjustments to reconcile net loss to net cash used in operating activities: Depreciation 1,563 1,088 792 Loss on disposal of equipment 35 17 4 Non-cash interest expense 138 12 320 Compensation expense related to stock options 585 60 321 Change in value of convertible senior notes derivative liability (2,131) -- -- Gain on extinguishment of debt -- -- (2,575) Lower of cost or market adjustment 700 819 4,400 Changes in operating assets and liabilities: Accounts receivable (2,560) (2,954) (1,382) Inventories 5,317 9,255 11,099 Accounts payable and accrued expenses 292 3,779 (42) Other (163) (543) (125) -------- -------- -------- Net cash used in operating activities (10,618) (5,110) (480) INVESTING ACTIVITIES Purchases of short-term investments (5,503) (8,688) (5,231) Maturities of short-term investments 8,106 2,999 5,729 Payments for technology license -- -- (12,000) Payments for other intangibles (1,817) (232) -- Purchases of leasehold improvements, furniture, and equipment (2,278) (2,860) (665) -------- -------- -------- Net cash used in investing activities (1,492) (8,781) (12,167) FINANCING ACTIVITIES Sale of convertible senior notes, net of financing costs 20,817 -- -- Advances (payments) on note payable (764) 2,500 -- Net proceeds from issuance of common stock 534 13,177 11,592 -------- -------- -------- Net cash provided by financing activities 20,587 15,677 11,592 Effect of exchange rate changes (159) 44 55 -------- -------- -------- Increase (decrease) in cash and cash equivalents 8,318 1,830 (1,000) Cash and cash equivalents at beginning of year 8,302 6,472 7,472 -------- -------- -------- Cash and cash equivalents at end of year $ 16,620 $ 8,302 $ 6,472 ======== ======== ======== SUPPLEMENTAL CASH FLOW INFORMATION Net cash paid during the year for: Interest $ 201 $ 82 $ 11 ======== ======== ======== See accompanying notes. F-7 ATS Medical, Inc. Notes to Consolidated Financial Statements 1. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (RESTATED) BUSINESS ACTIVITY ATS Medical, Inc. (the Company) develops, manufactures, and markets medical devices. The Company's interest lies with devices used by cardiovascular surgeons in the cardiac surgery operating theater. Currently, the Company participates in the markets for mechanical bileaflet replacement heart valves, allograft tissues, the surgical treatment of atrial fibrillation, and surgical tools and accessories. PRINCIPLES OF CONSOLIDATION The consolidated financial statements include the accounts of the Company and both of its wholly owned subsidiaries, ATS Medical Sales, Inc., ATS Medical France SARL, and ATS Germany Gmbh (since its inception in February 2005), after elimination of intercompany accounts and transactions. Effective January 1, 2006, ATS Medical Sales, Inc. was merged into ATS Medical, Inc. 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 comprised of debt securities and are classified as available-for-sale. Available-for-sale securities are carried at cost which approximates fair value. ACCOUNTS RECEIVABLE Credit is extended based on evaluation of a customer's financial condition and, generally, collateral is not required. Accounts receivable are generally due within 30-180 days and are stated at amounts due from customers net of an allowance for doubtful accounts. Accounts receivable outstanding longer than the contractual payment terms are considered past due. The Company determines its allowance by considering a number of factors, including the length of time trade accounts receivable are past due, the Company's previous loss history, the customer's current ability to pay its obligation to the Company, and the condition of the general economy and the industry as a whole. The Company writes off accounts receivable when they become uncollectible, and payments subsequently received on such receivables are credited to the allowance for doubtful accounts. INVENTORIES The Company carries and relieves inventories at the lower of cost (first-in, first-out basis) or market. The Company has recorded a valuation reserve against inventories of $0.2 million at December 31, 2005 and 2004. Write-downs have been recorded on a portion of its inventories to provide for the lower of cost or market value expected to be realized on future sales in lesser-developed countries. The write-downs were $0.7 million in 2005, $0.8 in 2004, and $4.4 million in 2003. These write-downs were included in cost of goods sold in the statements of operations F-8 ATS Medical, Inc. Notes to Consolidated Financial Statements At December 31, 2005 and 2004, inventories consisted of the following (in thousands): 2005 2004 ------- ------- Raw materials $ 5,047 $ 6,640 Work-in-process 4,462 8,398 Finished goods 11,992 12,465 Obsolescence reserve (215) (200) ------- ------- $21,286 $27,303 ======= ======= At December 31, 2004, the Company's inventory was in excess of its current requirements based on the historical and anticipated level of sales. Management believes that excess quantities will be utilized over several years. The Company therefore classified $3.0 million of inventories as non-current assets at December 31, 2004. OTHER ASSETS Prior to obtaining directors' and officers' liability insurance, the Company had placed monies into a self-insurance trust to provide coverage for potential issues. At December 31, 2005 and 2004, the deposits within the trust amounted to $0.4 million. LEASEHOLD IMPROVEMENTS, FURNITURE, AND EQUIPMENT Leasehold improvements, furniture, and equipment are stated at cost. Depreciation is provided using the straight-line method over the estimated useful lives of the assets as follows: Furniture and fixtures 7 years Equipment 5 to 7 years Computers 2 years Leasehold improvements are amortized over the related lease term or estimated useful life, whichever is shorter. TECHNOLOGY LICENSES The Company holds various technology licenses (see Note 5) which are included in intangible assets and which are tested annually for impairment in accordance with Statement of Financial Accounting Standard 142 (SFAS 142) "Goodwill and Other Intangible Assets". INDEFINITE-LIVED INTANGIBLE ASSETS Indefinite-lived intangible assets are carried at cost. The Company applies Statement of Financial Accounting Standard 142 (SFAS 142) "Goodwill and Other Intangible Assets" to its intangible assets, which prohibits the amortization of intangible assets with indefinite useful lives and requires that these assets be reviewed for impairment at least annually. Management reviews indefinite-lived intangible assets for impairment annually as of the last day of the second quarter, or more frequently if a change in circumstances or occurrence of events suggests the remaining value may not be recoverable. The test for impairment requires management to make estimates about fair-value which are based either on the expected undiscounted future cash flows or on other measures of value such as the market capitalization of the Company. If the carrying amount of the assets is greater than the measures of fair value, impairment is considered to have occurred and a write-down of the asset is recorded. Management completed the annual impairment tests in the second quarter of 2005 and determined that the Company's indefinite-lived intangible assets were not impaired. F-9 ATS Medical, Inc. Notes to Consolidated Financial Statements REVENUE RECOGNITION A significant portion of the Company's revenue in the United States, Canada, France and Germany is generated from consigned inventory maintained at hospitals or with field representatives. In these situations, revenue is recognized at the time that the product has been implanted or used. In all other instances, revenue is recognized at the time product is shipped. Certain independent distributors in select international markets receive rebates against invoiced sales amounts. In these situations, the Company accrues for these rebates at the time of the original sale. These rebates are treated as a reduction of revenue. USE OF ESTIMATES The preparation of consolidated financial statements in conformity with accounting principles generally accepted in the United States requires management to make estimates and assumptions that affect the amounts reported in the consolidated financial statements and accompanying notes. Actual results could differ from those estimates. ADVERTISING AND PROMOTIONAL COSTS Advertising and promotional costs are charged to operations in the year incurred. Advertising and promotional costs charged to operations during 2005, 2004, and 2003 were $0.1 million each year. FOREIGN CURRENCY TRANSLATION The financial statements for operations outside the United States are maintained in their local currency. All assets and liabilities of the Company's international subsidiary are translated to United States dollars at year-end exchange rates, while elements of the statement of operations are translated at average exchange rates in effect during the year. Translation adjustments arising from the use of differing exchange rates are included in accumulated other comprehensive income (loss) in shareholders' equity. Gains and losses on foreign currency transactions were not significant during 2005, 2004, or 2003. INCOME TAXES The Company accounts for income taxes under Statement of Financial Accounting Standards 109 (SFAS 109) "Accounting for Income Taxes". Deferred taxes are provided on an asset and liability method whereby deferred tax assets are recognized for deductible temporary differences and operating loss and tax credit carry forwards and deferred tax liabilities are recognized for taxable temporary differences. Temporary differences are the differences between the amounts of assets and liabilities recorded for income tax and financial reporting purposes. Deferred tax assets are reduced by a valuation allowance when, in the opinion of management, it is more likely than not that some portion or all of the deferred tax assets will not be realized. Deferred tax assets and liabilities are adjusted for the effects of changes in tax laws and rates on the date of enactment. WARRANTIES The Company adopted Financial Accounting Standards Board Interpretation No. 45, Guarantor's Accounting and Disclosure Requirements for Guarantees, Including Indirect Indebtedness to Others (FIN 45), during the first quarter of 2003. FIN 45 requires disclosures concerning the Company's obligations under certain guarantees. The Company has indemnified the supplier of its valve components against claims made or damages assessed as the result of the supplier's manufacture of the valve components. The Company has determined that given its history of no reports of product failures or liability claims, the likelihood of claims and subsequent payments is remote, and accordingly, no liabilities in conjunction with this indemnification have been accrued. F-10 ATS Medical, Inc. Notes to Consolidated Financial Statements STOCK-BASED COMPENSATION The Company has stock-based employee compensation plans, which are described more fully in Note 9. The plans are accounted for under the recognition and measurement principles of Accounting Principles Board (APB) Opinion No. 25, Accounting for Stock Issued to Employees, and related interpretations. Under APB No. 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. The following table illustrates the effect on net loss and net loss per share if the Company had applied the fair value recognition provisions of SFAS No. 123, Accounting for Stock-Based Compensation, to stock-based employee compensation (in thousands, except per share amounts): 2005 2004 2003 ---------- -------- -------- (RESTATED) Net loss as reported $(14,394) $(16,643) $(13,292) Deduct total stock-based employee compensation expense determined under fair value-based method for all awards (5,301) (2,350) (1,357) -------- -------- -------- Pro forma net loss $(19,695) $(18,993) $(14,649) ======== ======== ======== Net loss per share: Basic and diluted - as reported $ (0.46) $ (0.58) $ (0.55) Basic and diluted - pro forma $ (0.64) $ (0.66) $ (0.61) Pro forma information regarding net loss and net loss per share is required by SFAS No. 123 and has been determined as if the Company had accounted for its employee stock options under the fair value method of SFAS No. 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: 2005 2004 2003 ------- ------- ------- Assumptions used: Volatility 0.87 0.89 0.93 Risk-free interest rate 3.8% 4.0% 3.7% Expected life 7 YEARS 7 years 8 years Dividend yield 0% 0% 0% The pro forma effect on net loss is not representative of the pro forma effect on net income (loss) in future years. In December 2005, the Company authorized the acceleration of vesting of all otherwise unvested stock options held by its employees with an exercise price of $3.00 or greater granted under the Company's 2000 Stock Incentive Plan or as a free standing option not under any plan. Options to purchase 1,294,232 shares of the Company's common stock were subject to this acceleration. The decision to accelerate vesting of these underwater options was made primarily to minimize certain future compensation expense that the Company would otherwise recognize in its consolidated statement of operations with respect to these options pursuant to Financial Accounting Standards Board Statement No. 123 (revised 2004), "Share-Based Payment" (FAS 123R), which the Company has adopted effective January 1, 2006. The Company believes that the aggregate future expense that will be eliminated as a result of the acceleration of the vesting of these options is approximately $3.3 million. F-11 ATS Medical, Inc. Notes to Consolidated Financial Statements NET LOSS PER SHARE Basic net loss per share is computed by dividing net loss by the weighted average shares outstanding and excludes any dilutive effects of options, warrants, and convertible securities. For all periods presented, diluted net loss per share is equal to basic net loss per share because the effect of including potential common shares for stock options outstanding would have been anti-dilutive. Had net income been achieved, approximately 1,214,000 of common stock equivalents would have been included in the computation of diluted net income per share for the year ended December 31, 2005. CONVERTIBLE DEBT AND DERIVATIVE INSTRUMENTS The Company accounts for embedded derivatives related to its convertible senior notes under Financial Accounting Standards Board (FASB) Statement No.133, Accounting for Derivative Instruments and Hedging Activities and related Emerging Issues Task Force (EITF) and Securities and Exchange Commission (SEC) rules, which require certain embedded derivative financial instruments to be bifurcated from the debt agreement and accounted for as a liability. The Company determines the value of these derivatives by making judgments and estimates of the probability that future conditions giving rise to such derivatives may occur. 2. RESTATEMENT OF FINANCIAL STATEMENTS The Company has restated its financial statements for 2005. In addition, certain disclosures in notes 1, 7, 12 and 17 of the notes to the consolidated financial statements in this report have been revised to reflect the restatement adjustments. The determination to restate these financial statements was made after an error was discovered in June 2006 in the accounting for embedded derivatives related to its Convertible Senior Notes (the Notes) under Financial Accounting Standards Board (FASB) Statement No.133, Accounting for Derivative Instruments and Hedging Activities and related Emerging Issues Task Force (EITF) interpretations and Securities and Exchange Commission (SEC) rules. The Convertible Senior Notes agreement permits Note holders to exchange their debt instruments for common stock at a conversion rate of $4.20 per share. The Company had insufficient authorized common shares as of the closing date, which requires this embedded instrument to be bifurcated from the debt agreement and classified as a liability in accordance with EITF 00-19. In addition, certain other features have been identified as derivatives and included in the liability as described in Note 7. The adjustments made to restate the financial statements as of and for the year ended December 31, 2005 were: (a) Establish the beginning value ($5.5 million) of the derivative liability bifurcated from the Notes and the offsetting discount. (b) Amortize the discount to interest expense from the date of issuance of the Notes and adjust amortization on the discount related to warrants issued with the Notes, resulting in a net reduction to interest expense. (c) Adjust the Notes bifurcated derivative liability to fair value at December 31, 2005, resulting in non-operating other income of $2.1 million. The following table presents the effect of the restatement on the balance sheet (dollars in thousands): DECEMBER 31, 2005 ------------------------------------------------------- AS PREVIOUSLY ADJUSTMENT REPORTED ADJUSTMENTS DESCRIPTION AS RESTATED ------------- ----------- ----------- ----------- Convertible senior notes payable, net of unamortized discount and bifurcated derivatives of $3,624 $ 20,945 $(2,169) (a)(b)(c) $ 18,776 Accumulated deficit $(84,064) $ 2,169 (b)(c) $(81,895) F-12 ATS Medical, Inc. Notes to Consolidated Financial Statements The following table presents the effect of the restatement on the statement of operations (dollars in thousands): YEAR ENDED DECEMBER 31, 2005 ------------------------------------------------------- AS PREVIOUSLY ADJUSTMENT REPORTED ADJUSTMENTS DESCRIPTION AS RESTATED ------------- ----------- ----------- ----------- Operating loss $(16,187) $(16,187) Interest income 323 323 Interest expense (699) 38 (b) (661) Change in value of derivative liability bifurcated from convertible senior notes -- 2,131 (c) 2,131 -------- ------ -------- Net loss $(16,563) $2,169 $(14,394) ======== ====== ======== Net loss per share: Basic and diluted $ (0.53) $ 0.07 $ (0.46) Weighted average number of shares outstanding: Basic and diluted 31,009 -- 31,009 The following table presents the effect of the restatement on the statement of cash flows (dollars in thousands): YEAR ENDED DECEMBER 31, 2005 ------------------------------------------------------- AS PREVIOUSLY ADJUSTMENT REPORTED ADJUSTMENTS DESCRIPTION AS RESTATED ------------- ----------- ----------- ----------- OPERATING ACTIVITIES Net loss $(16,563) $ 2,169 (b) (c) $(14,394) Adjustments to reconcile net loss to net cash used in operating activities: Depreciation 1,563 1,563 Loss on disposal of equipment 35 35 Non-cash interest expense 176 (38) (b) 138 Compensation expense related to stock options 585 585 Change in value of convertible senior notes derivative liability -- (2,131) (c) (2,131) Lower of cost or market adjustment 700 700 Changes in operating assets and liabilities: Accounts receivable (2,560) (2,560) Inventories 5,317 5,317 Accounts payable and accrued expenses 292 292 Other (163) (163) -------- ------- -------- Net cash used in operating activities $(10,618) -- $(10,618) F-13 ATS Medical, Inc. Notes to Consolidated Financial Statements 3. SHORT-TERM INVESTMENTS At December 31, 2005 and 2004, the cost of short-term investments held by the Company of $5.1 million and $7.7 million, respectively, had maturity dates of approximately one year or less, approximated their fair value and consisted of the following (in thousands): 2005 2004 ------ ------ Corporate Bonds $2,008 $1,061 Certificates of Deposit 1,367 -- U.S. Agency 1,008 3,566 Commercial Paper 706 3,065 ------ ------ $5,089 $7,692 ====== ====== 4. LEASEHOLD IMPROVEMENTS, FURNITURE, AND EQUIPMENT, NET At December 31, 2005 and 2004, leasehold improvements, furniture, and equipment consisted of the following (in thousands): 2005 2004 ------- ------- Furniture and fixtures $ 625 $ 577 Equipment 9,674 6,601 Leasehold improvements 3,346 3,294 Construction in progress 810 2,080 ------- ------- 14,455 12,552 Less accumulated depreciation 6,125 4,902 ------- ------- $ 8,330 $ 7,650 ======= ======= 5. PRIVATE PLACEMENTS OF COMMON STOCK In August 2003, the Company completed a private placement of common stock selling 4.4 million shares at $2.80 a share for gross proceeds of $12.3 million. The proceeds were used to pay Centerpulse USA Holdings, Co. in conjunction with the agreement reached in July 2003 for the cancellation of remaining obligations under the carbon technology agreement discussed below in Note 7. In June 2004, the Company completed a private placement of common stock selling 3.7 million shares at $3.55 a share for gross proceeds of $13.1 million. The proceeds were used for general working capital purposes. F-14 ATS Medical, Inc. Notes to Consolidated Financial Statements 6. INTANGIBLE ASSETS Intangible assets activity is summarized as follows (in thousands): ASSETS SUBJECT ASSETS NOT SUBJECT TO AMORTIZATION TO AMORTIZATION ------------------------- ------------------------- ERYSAVE CRYOCATH DEFERRED DEVELOPMENT & AGENCY AND CARBON FINANCING LICENSING DISTRIBUTION TECHNOLOGY COSTS AGREEMENT AGREEMENTS LICENSE TOTAL --------- ------------- ------------ ---------- ------- Balance at December 31, 2003 -- -- -- $18,500 $18,500 Payments $ 44 $188 -- -- 232 Amortization (12) -- -- -- (12) ------ ---- ------ ------- ------- Balance at December 31, 2004 32 188 -- 18,500 $18,720 Payments 1,583 262 1,555 -- 3,400 Amortization (105) -- -- -- (105) ------ ---- ------ ------- ------- BALANCE AT DECEMBER 31, 2005 $1,510 $450 $1,555 $18,500 $22,015 ====== ==== ====== ======= ======= The deferred financing costs at December 31, 2005 are in connection with the 6% Convertible Senior Notes discussed in Note 6 below and are being amortized over five years. Amortization of deferred financing costs is estimated at $0.3 million per year for 2006 through 2010. In April 2004, the Company signed an exclusive development and licensing agreement with ErySave AB and made an initial milestone licensing fee payment of approximately $0.2 million. The agreement grants the Company worldwide rights for ErySave's filtration technology for cardiac surgery procedures. In July 2005, the Company made additional licensing fee payments of $0.3 million to ErySave. Future payments under this agreement, based upon the attainment of developmental milestones, could total an additional $1.0 million. Upon payment of all milestones, an evaluation of the life of the technology will be made and an amortization period will be set. In November 2004, the Company signed an exclusive agency agreement and a distribution agreement with Canadian-based CryoCath Technologies, Inc. The agreements grant the Company co-promotion rights in the United States as well as exclusive distribution rights in the rest of the world including Europe and Asia for CryoCath's cryotherapy products for the ablation of cardiac arrhythmias. During the quarter ended June 30, 2005, the Company made $1.6 million in licensing fee payments to CryoCath under the agreements. These payments are refundable upon cancellation of the agreements. The Company holds an exclusive, worldwide right and license to use Sulzer Carbomedics, Inc. pyrolytic carbon technology. The license was originally obtained in 1999. License fee milestone payments were made or accrued from 1999 through 2002, totaling $29 million. An impairment charge of $8.1 million and imputed interest of $2.4 million were charged against the carrying value of the license in 2002. Statement of Financial Accounting Standard No. 142, Goodwill and Other Intangible Assets (SFAS 142), guides the accounting treatment for the Company's intangible assets. Under SFAS 142, the Sulzer Carbomedics license and the exclusive distribution and agency agreements with CryoCath Technologies are considered indefinite-lived assets and are therefore not subject to amortization. These intangible assets are considered indefinite-lived due, in the case of the Sulzer Carbomedics license, to the broad scope and general nature of the technology licensed and, in the case of the CryoCath agreements, to unique contract provisions which encourages renewal of the agreements and provides for agreement cancellation payments which would likely exceed the original license payments made by the Company. F-15 ATS Medical, Inc. Notes to Consolidated Financial Statements 7. LONG-TERM DEBT (RESTATED) On October 7, 2005 and October 12, 2005, the Company sold a combined $22.4 million aggregate principal amount of 6% Convertible Senior Notes due 2025 (Notes) and issued warrants to purchase 1,344,000 shares of the Company's common stock (Warrants). Interest is payable under the Notes each April and October, beginning in 2006. The Warrants are exercisable at $4.40 per share and expire in 2010. The Company has reserved 105% of the shares necessary for the exercise of the Warrants. The Warrants were valued at $1.13 per share using the Black-Scholes valuation model. The total value of the Warrants on the date of issuance was $1.5 million, is treated as a discount to the Convertible Senior Notes and is amortized to interest expense over the 20 year life of the Notes using the effective interest method. The Notes are convertible into common stock at any time at a fixed conversion price of $4.20 per share, subject to adjustment under certain circumstances including, but not limited to, the payment of cash dividends on common stock. If fully converted, the Notes would convert into 5,333,334 shares of the Company's common stock. At the date of issuance of the Notes, the Company had 19,222 shares of its common stock available for the Note holders if conversion was elected. The Company has agreed to ask its shareholders for approval to increase its authorized shares at its next regularly scheduled shareholder meeting. If the Note holders convert their notes prior to receiving approval for additional authorized shares, the Company has the right to make settlement in cash, or at the Company's option, with a combination of cash and shares. The Note holders also have the right to require the Company to repurchase the Notes at 100% of the principal amount plus accrued and unpaid interest on October 15 in 2010, 2015 and 2020 or in connection with certain corporate change of control transactions. If the Note holders elect to convert the Notes prior to October 15, 2010 in connection with certain corporate change of control transactions, the Company will increase the conversion rate for the notes surrendered for conversion by a number of additional shares based on the stock price of the Company on the date of the change of control. The Company has the right to redeem the Notes at 100% of the principal amount plus accrued and unpaid interest at any time on or after October 20, 2008. At any time prior to maturity, the Company may also elect to automatically convert some or all of the Notes into shares of its common stock if the closing price of the common stock exceeds $6.40 for a period as specified in the indenture. If an automatic conversion of the Notes occurs prior to October 15, 2008, the Company will make an additional payment to the Note holders equal to three full years of interest, less any interest actually paid or provided for prior to the conversion date. This payment can be made, at the option of the Company, either in cash or common stock. The Company agreed to file a Registration Statement on Form S-3 covering the resale of all of the Registrable Securities using its best efforts to have the Registration Statement declared effective within 120 days of the closing. Depending on the length of time after this 120 day period for the Registration Statement to be declared effective, the penalty can range from .8% to 1.2% of the principal amount of the Notes and Warrants. The maximum penalty that may be incurred is approximately $0.6 million. The Company has analyzed all of the above provisions in the Convertible Notes and related agreements for embedded derivatives under FASB Statement No.133, Accounting for Derivative Instruments and Hedging Activities and related Emerging Issues Task Force (EITF) interpretations and Securities and Exchange Commission (SEC) rules. The Company has determined that four such provisions in the convertible debt agreement are considered derivatives under FASB Statement No. 133: - The embedded written option relating to the common stock that may be potentially issuable upon conversion - The option for Note holders to put back debt to the Company in connection with certain corporate change of control transactions F-16 ATS Medical, Inc. Notes to Consolidated Financial Statements - The provision relating to an additional payment in connection with the automatic conversion of the Notes prior to October 15, 2008 - The provision to increase the conversion rate in the event of a change in control transaction The Company prepared valuations of each of the above derivatives and recorded a $5.5 million liability on the date of issuance of the Notes, with an offsetting discount to the Convertible Senior Notes. The derivative liability was adjusted to fair value at December 31, 2005, with the resulting $2.1 million change in valuation credited to other income. The liability was $3.4 million at December 31, 2005. The derivative liability is presented in the balance sheet in the same line as the Convertible Senior Notes The discount related to the derivative liability is being amortized to interest expense using the effective interest method over 20 years. At December 31, 2005, the remaining unamortized discount relating to the Warrants and the derivative liability was $7.0 million. In July 2004 the Company entered into an agreement with Silicon Valley Bank to establish a secured revolving credit facility for $8.5 million. Under terms of the agreement, the Company received a $2.5 million three-year term loan as well as a two-year $6.0 million line of credit. Borrowings available under the line of credit are based on certain receivable and inventory balances. At December 31, 2005, the Company is eligible to borrow $4.4 million on the line of credit. The term loan carries an interest rate of prime plus 1.0% with a minimum of 5.25%. At December 31, 2005, the actual rate was 8.25%. The line of credit carries an interest rate of prime plus 1.5% with a minimum rate of 5.75%. The credit facility contains two financial covenants, a liquidity ratio and a minimum tangible net worth. Under an amendment to the secured credit facility agreement effective April 1, 2005, the financial covenants were amended to require a liquidity ratio of not less than 2.0 to 1.0 and a tangible net worth of at least $39 million through June 30, 2005, and $36 million thereafter. At December 31, 2005, the Company was in compliance with its financial covenants. During 2004 the Company drew down all $2.5 million of the three-year term loan. The term loan carries 36 equal installment payments which began in February 2005. The future maturities of the long-term debt are $0.8 million in 2006 and 2007 and $0.1 million in 2008. The Company has not drawn any advances and accordingly has no outstanding balances on the line of credit at December 31, 2005. 8. EXTINGUISHMENT OF DEBT In July 2003, the Company entered into an agreement with Centerpulse USA Holdings, Co. (Centerpulse) under which the Company would pay Centerpulse $12 million in exchange for cancellation of all of the Company's payment obligations under its carbon technology license agreement with Sulzer Carbomedics, Inc. and provide for Company ownership of the technology license. Prior to this agreement, the Company was obligated to pay Centerpulse an aggregate of approximately $28 million under the technology agreement over a period of approximately four years. The obligations per the agreement were accrued as specific criteria were met. Of the total $28 million, there were two uncompleted milestones totaling $12 million not accrued at the time of the agreement. As the $12 million payment made under the agreement was exceeded by the Company's accrued liability by approximately $2.6 million, the Company recognized a gain during the year ended December 31, 2003. F-17 ATS Medical, Inc. Notes to Consolidated Financial Statements 9. EMPLOYEE STOCK PURCHASE PLAN In May 1998, the Company implemented the 1998 ATS Medical, Inc. Employee Stock Purchase Plan. Under the terms of the plan, employees are eligible to purchase common stock of the Company on a quarterly basis. Employees can purchase common stock at 85% of the lesser of the market price of the common stock on the first day of the quarter or the last day of the quarter. The following table summarizes the shares issued and issuance prices under the Plan: FISCAL YEAR NUMBER OF SHARES PRICE RANGE - ----------- ---------------- ------------- 2005 120,465 $2.54 - $3.14 2004 90,203 $2.93 - $4.34 2003 36,762 $0.41 - $2.72 10. COMMON STOCK AND STOCK OPTIONS The Company has a Stock Option Plan and a Stock Award Plan (the Plans) 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 Plans as incentive stock options (ISO) or as non-qualified stock options (non-ISO). The following tables summarize the options to purchase shares of the Company's Common Stock under the Plans: STOCK OPTIONS OUTSTANDING UNDER THE PLANS ------------------------- WEIGHTED AVERAGE NON-PLAN OPTION EXERCISE ISO NON-ISO OPTIONS PRICE PER SHARE --------- -------- --------- ---------------- Balance at December 31, 2002 758,127 997,667 325,000 5.07 Increase in shares reserved for grant -- -- -- -- Options granted 828,448 20,000 2,500,000 2.49 Options exercised (5,875) (30,000) -- 3.11 Options canceled (285,404) (99,167) (100,000) 5.34 --------- -------- --------- ---- Balance at December 31, 2003 1,295,296 888,500 2,725,000 3.32 Options granted 25,000 50,000 916,000 4.30 Options exercised (45,750) (120,000) (167,944) 1.38 Options canceled (34,596) (358,000) (487,500) 5.43 --------- -------- --------- ---- Balance at December 31, 2004 1,239,950 460,500 2,985,556 3.27 Increase in shares reserved for grant -- -- -- -- Options granted 750 15,000 293,000 3.49 Options exercised (52,125) (2,500) (49,404) 1.82 Options canceled (181,875) (123,000) (331,250) 4.78 --------- -------- --------- ---- Balance at December 31, 2005 1,006,700 350,000 2,897,902 3.09 ========= ======== ========= F-18 ATS Medical, Inc. Notes to Consolidated Financial Statements OPTIONS OUTSTANDING AT OPTIONS EXERCISABLE AT DECEMBER 31, 2005: DECEMBER 31, 2005: ------------------------------------ ---------------------- WEIGHTED AVERAGE WEIGHTED WEIGHTED REMAINING AVERAGE AVERAGE RANGE OF NUMBER CONTRACTUAL EXERCISE NUMBER EXERCISE EXERCISE PRICES OUTSTANDING LIFE PRICE EXERCISABLE PRICE - --------------- ----------- ----------- -------- ----------- -------- $0.37 - $ 0.52 790,291 6.89 years $0.44 516,166 $0.44 0.79 - 2.51 900,036 7.28 years $1.72 398,036 $1.74 2.70 - 3.60 796,700 7.89 years $3.35 731,700 $3.36 3.64 - 3.80 879,000 7.70 years $3.74 879,000 $3.74 3.99 - 8.19 749,075 6.31 years $5.34 749,075 $5.34 8.50 - 12.44 139,500 3.91 years $9.37 139,500 $9.37 - -------------- --------- ---------- ----- --------- ----- $0.37 - $12.44 4,254,602 7.13 years $3.09 3,413,477 $3.51 ========= ========= The weighted average fair value of options granted during the years ended December 31, 2005, 2004, and 2003, was $3.49, $3.32, and $2.05, respectively. At December 31, 2005, 2004, and 2003, Plan and non-Plan options for 3,413,477, 1,398,293, and 1,045,851 shares of Common Stock, respectively, were exercisable at weighted average prices of $3.51, $4.33, and $6.35 per share, respectively. Options can be exercised by tendering shares previously acquired. In 2002, 50,000 non-Plan options were granted to a non-employee, vesting over three years to coincide with the period of service. As such, these options were revalued at each reporting date using an accelerated expense attribution method and expensed over the vesting periods, which ended in 2005. In 2003, 120,000 non-Plan options were granted to non-employees for prior services rendered, vesting ratably over two to four year periods. During 2003, the Company recognized $0.2 million of deferred compensation and $0.1 million of expense related to these non-Plan, non-employee options. During 2004 and 2005, the costs recognized by the Company for deferred compensation and expense related to these non-Plan, non-employee options were not significant. During the year ended December 31, 2005, restricted stock awards for 351,000 shares of common stock were granted to certain employees. Restricted stock awards are grants that entitle the holder to shares of common stock as the award vests. The value of such stock was established by the market price on the date of the grants. Compensation expense is being recorded over the applicable restricted stock vesting periods, generally four years. Compensation expense charged to general and administrative expense related to restricted stock awards granted was $0.6 million during 2005. The following table summarizes restricted stock awards activity: WEIGHTED WEIGHTED AVERAGE AVERAGE REMAINING GRANT DATE CONTRACTUAL NO. OF SHARES FAIR VALUE TERM ------------- ---------- ----------- Unvested at December 31, 2004 -- -- -- Awards granted 351,000 $3.37 -- Awards vested -- -- -- Awards forfeited (3,000) 3.66 -- ------- ----- ---------- Unvested at December 31, 2005 348,000 $3.25 1.53 years ======= At December 31, 2005, the Company had 6,517,852 shares of Common Stock reserved for issuance under stock option and award grants, of which 1,915,250 shares were available for future grants or awards. F-19 ATS Medical, Inc. Notes to Consolidated Financial Statements 11. LEASES The Company has operating leases for its facilities in Plymouth, Minnesota as well as France, Germany and China. These leases expire at various dates through November 2011. Future minimum lease payments under these agreements are as follows (in thousands): Year ending December 31: 2006 $ 503 2007 511 2008 461 2009 150 2010 and thereafter 92 ------ $1,717 ====== Rent expense was $0.5 million, $0.4 million, and $0.3 million for 2005, 2004 and 2003, respectively. 12. INCOME TAXES (RESTATED) At December 31, 2005, the Company had net operating loss carryforwards of approximately $81 million and credits for increasing research and development costs of approximately $0.3 million, which are available to offset future taxable income or reduce taxes payable through 2025. These loss carryforwards will begin expiring in 2006. The credits continue to expire in 2006 through 2018. Included as part of the Company's net operating loss carryforwards are approximately $3.4 million in tax deductions that resulted from the exercise of stock options. When these loss carryforwards are realized, the corresponding change in valuation allowance will be recorded as additional paid-in capital. Components of deferred tax assets and liabilities are as follows (in thousands): DECEMBER 31 --------------------- 2005 2004 ---------- -------- (RESTATED) Deferred tax assets (liabilities): Net operating loss carryforwards $ 29,886 $ 23,085 Foreign net operating loss caryforwards 832 -- Research and development credits 285 416 Alternative minimum tax credits 31 -- Inventory reserves 80 1,062 Depreciation 847 701 Convertible senior notes derivatives (779) -- Technology license amortization (456) (2,624) Compensation reserves 460 179 Other 259 313 -------- -------- Net deferred tax assets before valuation allowance 31,445 23,132 Less valuation allowance (31,445) (23,132) -------- -------- 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. F-20 ATS Medical, Inc. Notes to Consolidated Financial Statements Reconciliation of the statutory federal income tax rate to the Company's effective tax rate is as follows: 2005 2004 2003 ----- ----- ----- Tax at statutory rate (34.0)% (34.0)% (34.0)% State income taxes (4.0) (4.0) (4.0) Impact of changes in valuation allowance 38.0 38.0 38.0 ----- ----- ----- --% --% --% ===== ===== ===== 13. COMMITMENTS In 2002 the Company amended the supply and technology transfer agreements with Sulzer Carbomedics. The amendment to the supply agreement suspended component set purchases until January 2007. This postpones component purchases totaling approximately $21.5 million for the years ended December 31, 2003 to 2006. In January of 2007, the purchase obligations for 2003 would resume, with the obligations for 2004 through 2006 to follow in each subsequent year. 14. 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 recognized expense for contributions to the plan of $0.2 million in 2005 and $0.1 million in both 2004 and 2003. 15. SIGNIFICANT CUSTOMERS AND CONCENTRATION OF CREDIT RISK Since its inception, the Company has operated in a single industry segment: developing, manufacturing, and marketing medical devices. As a result, the information disclosed herein materially represents all of the financial information related to the Company's principal operating segment. The Company derived the following percentages of its net sales from the following geographic regions: 2005 2004 2003 ---- ---- ---- United States 38% 33% 28% Europe 28 28 29 Asia Pacific 26 33 32 Other Markets 8 6 11 Sales to one customer, Century Medical-Japan, represented 13%, 16%, and 21% of the Company's net sales for the years ended December 31, 2005, 2004, and 2003, respectively. The Company had balances owing from five customers which aggregated 37% of its accounts receivable balances at December 31, 2005. The Company had balances owing from two customers which represented 24% and 11% of its outstanding accounts receivable balances, respectively, at December 31, 2004 and 2003. 16. RELATED-PARTY TRANSACTION The Company has a consulting agreement with a former director of the Company which provides for future compensation through May 2006. An expense for a substantial portion of the compensation was recognized at the time the agreement was signed as the Company deferred only the fair value of expected services to be received under the agreement. The expense related to this agreement has not been significant for either 2005 or 2004. An expense of $0.1 million was recognized as a result of this agreement during 2003. F-21 ATS Medical, Inc. Notes to Consolidated Financial Statements 17. QUARTERLY FINANCIAL DATA (UNAUDITED AND RESTATED) Quarterly data for 2005 and 2004 was as follows (in thousands, except loss per share): QUARTER ---------------------------------------- FIRST SECOND THIRD FOURTH ------- ------- ------- ---------- (RESTATED) YEAR ENDED DECEMBER 31, 2005 Net sales $ 7,063 $ 9,307 $ 8,333 $ 9,933 Gross profit 2,762 3,833 2,619 2,594 Net loss (3,959) (3,133) (4,078) (3,224) Net basic and diluted loss per share $ (0.13) $ (0.10) $ (0.13) $ (0.10) YEAR ENDED DECEMBER 31, 2004 Net sales $ 6,694 $ 7,548 $ 6,547 $ 7,226 Gross profit 1,927 2,120 1,369 1,371 Net loss (3,305) (3,368) (4,526) (5,444) Net basic and diluted loss per share $ (0.12) $ (0.12) $ (0.15) $ (0.18) The conversion feature liability of the Company's Senior Convertible Notes was adjusted to fair value at December 31, 2005, resulting in a $2.1 million change in valuation credited to other income, as more fully described in Note 7 above. The Company charged $1.8 million of production variances and ramp-up costs related to its pyrolytic carbon manufacturing activities to cost of goods sold in the fourth quarter of 2005. The Company recorded lower of cost or market value adjustments against inventories of $0.7 million in the third quarter of 2005 and $0.8 million in the fourth quarter of 2004. 18. RECENTLY ISSUED ACCOUNTING PRONOUNCEMENTS On December 16, 2004, the Financial Accounting Standards Board (FASB) issued FASB Statement No. 123 (Revised 2004), Share-Based Payment, which is a revision of FASB Statement No. 123, Accounting for Stock-Based Compensation. Statement 123(R) supersedes APB Opinion No. 25, Accounting for Stock Issued to Employees, and amends FASB Statement No. 95, Statement of Cash Flows. Generally, the approach in Statement 123(R) is similar to the approach described in Statement 123. However, Statement 123(R) requires all share-based payments to employees, including grants of employee stock options, to be recognized in the income statement based on their fair values. Pro forma disclosure is no longer an alternative. Statement 123(R) was adopted by the Company on January 1, 2006. The Company is completing its evaluation of the methodology to use in adopting Statement 123(R) and estimates that stock compensation expense to be recognized in future years due to the adoption of Statement 123(R) will be between $0.4 million and $0.6 million in fiscal 2006 and between $0.1 million and $0.2 million in fiscal 2007. In December 2004, the FASB issued FASB Statement No. 151, Inventory Costs. Statement 151 requires abnormal amounts of inventory costs related to idle facility, freight handling, and wasted material expenses to be recognized as current period charges. Additionally, Statement 151 requires that allocation of fixed production overheads to the costs of conversion be based on the normal capacity of the production facilities. The standard is effective for fiscal years beginning after June 15, 2005. The Company believes the adoption of FASB Statement No. 151 will not have a material impact on its consolidated financial results. F-22 ATS Medical, Inc. Notes to Consolidated Financial Statements 19. SUBSEQUENT EVENT On January 23, 2006, the Company entered into an agreement and plan of merger with 3F Therapeutics, Inc. ("3F"). Under the terms of the Merger Agreement, upon closing the Company will pay each 3F stockholder its pro-rata portion of an initial payment of 9,000,000 shares of the Company's common stock, subject to certain adjustments. The Company will deposit 900,000 shares of the closing payment in escrow to be held for at least 18 months after closing of the merger to cover indemnification claims and certain contingencies, and the balance will be distributed pro-rata to holders of 3F capital stock. In addition to the initial closing payment, the Company will be obligated to make additional contingent payments to 3F stockholders of up to 5,000,000 shares of the Company's common stock upon obtaining either CE mark or FDA approval for 3F's key products on or prior to December 31, 2013, up to an aggregate of 10,000,000 shares of the Company's common stock. Milestone events also include certain transactions involving these key products. These contingent payments are subject to certain rights of set-off for indemnification claims and certain other events. The consummation of the merger is subject to customary conditions, and the Merger Agreement is subject to approval by the Company's shareholders. The Merger Agreement has already been approved by the requisite number of 3F stockholders. Subject to these conditions being resolved, the Company anticipates that the merger will close in the second quarter of fiscal 2006. F-23