================================================================================ UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 ---------- FORM 10-Q [X] Quarterly report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 FOR THE QUARTERLY PERIOD ENDED SEPTEMBER 30, 2006 COMMISSION FILE NUMBER: 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 N., SUITE 105 MINNEAPOLIS, MINNESOTA 55447 (Address of principal executive offices) (Zip Code) Registrant's telephone number, including area code: (763) 553-7736 Not Applicable (Former name, former address and former fiscal year, if changed since last report) Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes X No ----- ----- Indicate by check mark whether the registrant 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 Exchange Act). Yes No X ----- ----- The number of shares outstanding of each of the registrant's classes of common stock as of October 30, 2006, was: Common Stock, $.01 par value 40,279,892 shares ================================================================================ TABLE OF CONTENTS Page(s) ------- PART I. FINANCIAL INFORMATION ITEM 1. Financial Statements (Unaudited) Consolidated Balance Sheets as of September 30, 2006 and December 31, 2005 3 Consolidated Statements of Operations for the three and nine months ended September 30, 2006 and 2005 4 Consolidated Statements of Cash Flows for the nine months ended September 30, 2006 and 2005 5 Notes to Consolidated Financial Statements 6 - 15 ITEM 2. Management's Discussion and Analysis of Financial Condition and Results of Operations 16 - 23 ITEM 3. Quantitative and Qualitative Disclosures About Market Risk 23 ITEM 4. Controls and Procedures 24 PART II. OTHER INFORMATION ITEM 1 Legal Proceedings 25 ITEM 1A. Risk Factors 26 ITEM 4. Submission of Matters to a Vote of Security Holders 27 ITEM 6. Exhibits 28 SIGNATURES 29 EXHIBIT INDEX 30 2 PART I. FINANCIAL INFORMATION ITEM 1. FINANCIAL STATEMENTS ATS MEDICAL, INC. CONSOLIDATED BALANCE SHEETS (in thousands, except per share and share data) SEPTEMBER 30, DECEMBER 31, 2006 2005 ------------- ------------ (UNAUDITED) ASSETS Current assets: Cash and cash equivalents $ 11,695 $ 16,620 Short-term investments 4,648 5,089 Accounts receivable, net 11,304 10,453 Other receivables 2,017 -- Inventories 19,269 21,286 Prepaid expenses 1,220 1,204 --------- -------- Total current assets 50,153 54,652 Leasehold improvements, furniture and equipment, net 7,991 8,330 Intangible assets 33,807 22,015 Other assets 455 446 --------- -------- Total assets $ 92,406 $ 85,443 ========= ======== LIABILITIES AND SHAREHOLDERS' EQUITY Current liabilities: Accounts payable $ 4,416 $ 3,598 Accrued compensation 2,461 2,394 Accrued distributor liabilities 406 752 Other accrued liabilities 2,088 568 Due to related party -- 90 Current maturities of notes payable 1,133 833 --------- -------- Total current liabilities 10,504 8,235 Convertible senior notes payable, net of unamortized discounts and bifurcated derivatives of $5,036 and $3,624 at September 30, 2006 and December 31, 2005 17,364 18,776 Notes payable 1,478 903 Shareholders' equity: Common stock, $.01 par value: Authorized shares - 100,000,000 Issued and outstanding shares- 40,274,892 and 31,114,131 at September 30, 2006 and December 31, 2005 403 311 Additional paid-in capital 166,061 139,743 Deferred compensation -- (566) Accumulated other comprehensive income (loss) 86 (64) Accumulated deficit (103,490) (81,895) --------- -------- Total shareholders' equity 63,060 57,529 --------- -------- Total liabilities and shareholders' equity $ 92,406 $ 85,443 ========= ======== The accompanying notes are an integral part of the consolidated financial statements. 3 ATS MEDICAL, INC. CONSOLIDATED STATEMENTS OF OPERATIONS (unaudited) (in thousands, except per share data) THREE MONTHS ENDED NINE MONTHS ENDED SEPTEMBER 30, SEPTEMBER 30, ------------------- ------------------- 2006 2005 2006 2005 -------- -------- -------- -------- Net sales $ 9,122 $ 8,333 $ 29,709 $ 24,703 Cost of goods sold 3,894 5,714 14,302 15,489 -------- -------- -------- -------- Gross profit 5,228 2,619 15,407 9,214 Operating expenses: Sales and marketing 5,287 4,323 15,233 13,765 Research and development 528 409 1,370 1,118 Acquired in-process research and development 14,400 -- 14,400 -- General and administrative 2,067 1,928 6,288 5,443 -------- -------- -------- -------- Total operating expenses 22,282 6,660 37,291 20,326 -------- -------- -------- -------- Operating loss (17,054) (4,041) (21,884) (11,112) Net interest expense (446) (37) (1,235) (58) Change in value of derivative liability bifurcated from convertible senior notes 245 -- 1,525 -- -------- -------- -------- -------- Net loss ($17,255) ($ 4,078) ($21,594) ($11,170) ======== ======== ======== ======== Net loss per share: Basic and diluted ($0.55) ($0.13) ($0.69) ($0.36) Weighted average number of shares used in calculation: Basic and diluted 31,358 31,039 31,256 30,981 The accompanying notes are an integral part of the consolidated financial statements. 4 ATS MEDICAL, INC. CONSOLIDATED STATEMENTS OF CASH FLOW (unaudited) (in thousands) NINE MONTHS ENDED SEPTEMBER 30, ------------------- 2006 2005 -------- -------- CASH FLOWS FROM OPERATING ACTIVITIES Net loss ($21,594) ($11,170) Adjustments to reconcile net loss to net cash used in operating activities: Depreciation 1,317 1,145 Loss on disposal of equipment 26 -- Stock compensation expense 794 359 Non-cash interest expense 350 22 Lower of cost or market adjustment -- 700 Change in value of convertible senior notes derivative liability (1,525) -- Acquired in-process research & development 14,400 -- Changes in operating assets and liabilities, net of the effect of acquisitions: Accounts and other receivables (844) (2,407) Inventories 2,609 2,821 Prepaid expenses 121 222 Other (113) (4) Accounts payable and accrued expenses (873) (1,374) -------- -------- Net cash used in operating activities (5,332) (9,686) CASH FLOWS FROM INVESTING ACTIVITIES Purchases of short-term investments (7,725) (497) Maturities of short-term investments 8,179 6,235 Business acquisition costs, net of cash acquired (555) -- Payments for technology and distribution licenses (210) (1,817) Purchases of furniture, machinery and equipment (485) (1,507) -------- -------- Net cash provided by (used in) investing activities (796) 2,414 CASH FLOWS FROM FINANCING ACTIVITIES Advances on notes payable 1,500 -- Repayments of notes payable (625) (556) Net proceeds from sales of common stock 178 413 -------- -------- Net cash provided by (used in) financing activities 1,053 (143) -------- -------- Effect of exchange rate changes on cash 150 132 -------- -------- Decrease in cash and cash equivalents (4,925) (7,283) Cash and cash equivalents at beginning of period 16,620 8,302 -------- -------- Cash and cash equivalents at end of period $ 11,695 $ 1,019 ======== ======== The accompanying notes are an integral part of the consolidated financial statements. 5 ATS MEDICAL, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED) NOTE 1. BASIS OF PRESENTATION The consolidated financial statements included in this Form 10-Q have been prepared by ATS Medical, Inc. (hereinafter the "Company," "ATS," "we," "us" or "our") without audit, pursuant to the rules and regulations of the Securities and Exchange Commission (SEC). The consolidated financial statements include the accounts of the Company and its subsidiaries, and all significant inter-company accounts and transactions are eliminated in consolidation. Certain information and footnote disclosures normally included in financial statements prepared in accordance with accounting principles generally accepted in the United States have been condensed or omitted pursuant to these rules and regulations. The year-end balance sheet was derived from audited financial statements but does not include all disclosures required by accounting principles generally accepted in the United States. These unaudited consolidated interim financial statements should be read in conjunction with the Company's consolidated financial statements and related notes included in the Company's Annual Report on Form 10-K (as amended) for the fiscal year ended December 31, 2005. These statements reflect, in management's opinion, all adjustments (which include only normal, recurring adjustments) necessary for a fair presentation of the financial position and the results of operations and cash flows for the periods presented. The results of operations for any interim period may not be indicative of results for the full year. NOTE 2. STOCK-BASED COMPENSATION The Company accounts for its stock-based employee compensation plans under the recognition and measurement principles of Financial Accounting Standards Board (FASB) Statement No. 123 (Revised 2004), Share-Based Payment (Statement 123(R)), which revises FASB Statement No. 123, Accounting for Stock-Based Compensation, 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 No. 123. However, Statement 123(R) requires all share-based payments to employees 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 adopted Statement 123(R) using the modified prospective transition method. In accordance with the modified prospective transition method, the Company has not restated its consolidated financial statements for prior periods. Under this transition method, stock-based compensation expense for 2006 includes stock-based compensation expense for all of the Company's stock-based compensation awards granted prior to, but not yet vested as of, January 1, 2006, based on the grant-date fair value estimated in accordance with the provision of Statement No. 123. Stock-based compensation expense for all stock-based compensation awards granted on or after January 1, 2006 will be based on the grant-date fair value estimated in accordance with the provisions of Statement 123(R). The Company uses the Black-Scholes-Merton (Black-Scholes) option pricing model as its method for determining fair value of stock option grants, which was also used by the Company for its pro forma information disclosures of stock-based compensation expense as required under Statement No. 123, prior to the adoption of Statement 123(R). The weighted average per share fair value of these option grants is shown below and was estimated at the date of grant using the Black-Scholes model with the following weighted average assumptions: Nine months ended September 30, ----------------- 2006 2005 ------- ------- Assumptions used: Expected volatility 0.83 0.87 Risk-free interest rate 4.8% 3.8% Expected life 5 years 7 years Dividend yield 0% 0% Weighted average per share fair value of options granted $2.03 $2.73 6 The expected volatility is a measure of the amount by which the Company's stock price is expected to fluctuate during the expected term of options granted. The Company determines the expected volatility solely based upon the historical volatility of the Company's Common Stock over a period commensurate with the option's expected life. The Company does not believe that the future volatility of its Common Stock over an option's expected life is likely to differ significantly from the past. The risk-free interest rate is the implied yield available on U.S. Treasury Strip issues with a remaining term equal to the option's expected life on the grant date. The expected life of options granted represents the period of time for which options are expected to be outstanding and is derived from the Company's historical stock option exercise experience and option expiration data. For purposes of estimating the expected life, the Company has aggregated all individual option awards into one group as the Company does not expect substantial differences in exercise behavior among its employees. The dividend yield is zero since the Company has never declared or paid any cash dividends on its Common Stock and does not expect to do so in the foreseeable future. The fair value of restricted stock unit awards (RSUs) is determined based on the closing market price on the award date. The Company uses the single option (i.e. straight-line) method of attributing the value of stock-based compensation expense for all stock option grants. Upon adoption of Statement 123(R), the Company changed its method of attributing the value of stock-based compensation expense on RSUs from the multiple-option (i.e. accelerated) approach to the single option method. Compensation expense for RSUs awarded prior to January 1, 2006 will continue to be subject to the accelerated multiple option method specified in FASB Interpretation No. 28 (FIN 28), Accounting for Stock Appreciation Rights and Other Variable Stock Option or Award Plans, while compensation expense for RSUs awarded on or after January 1, 2006 will be recognized using the single option method. Stock compensation expense for all stock-based grants and awards is recognized over the service or vesting period of each grant or award. Statement 123(R) requires forfeitures to be estimated at the time of grant and revised, if necessary, in subsequent periods if actual forfeitures differ from those estimates in order to derive the Company's best estimate of awards ultimately expected to vest. Forfeitures represent only the unvested portion of a surrendered option and are typically estimated based on historical experience. Based on an analysis of the Company's historical data, the Company applied forfeiture rates of 9.57%, 10.14% and 11.85% to stock options outstanding in determining its Statement 123(R) stock compensation expense for the quarters ended September 30, 2006, June 30, 2006 and March 31, 2006, respectively, which it believes is a reasonable forfeiture estimate for these periods. In the Company's pro forma information required under Statement No. 123 for the periods prior to 2006, the Company accounted for forfeitures as they occurred. The Company has a Stock Incentive Plan (the Plan) under which stock options to purchase Common Stock of the Company may be granted or RSUs may be awarded to employees and non-employees of the Company. Stock options may be granted under the Plan as incentive stock options (ISO) or as non-qualified stock options (non-ISO). The Company also has stock options outstanding from a previous equity compensation plan as well as free-standing options not under any plan. In addition, the Company has an Employee Stock Purchase Plan (ESPP) under which employees are eligible to purchase Common Stock of the Company on a quarterly basis 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. All stock issued under options exercised, RSUs awarded or ESPP shares purchased are new shares of the Company's Common Stock. Option grants generally carry contractual terms of up to ten years. RSU awards generally carry contractual terms of up to five years. The following table summarizes the changes in stock options outstanding under the Company's stock-based compensation plans during the nine months ended September 30, 2006: Stock Options Outstanding Weighted Under the Plans Average Option ------------------------- Non-Plan Exercise Price ISO Non-ISO Options Total Per Share --------- ------- --------- --------- -------------- Balance at December 31, 2005 1,006,700 350,000 2,897,902 4,254,602 $3.09 Options granted -- 5,000 -- 5,000 2.95 Options exercised (7,625) -- (32,202) (39,827) 0.91 Options cancelled (46,450) (33,500) (275,000) (354,950) 4.44 --------- ------- --------- --------- ----- Balance at September 30, 2006 952,625 321,500 2,590,700 3,864,825 ========= ======= ========= ========= 7 The following table summarizes the ranges of exercise prices for outstanding and exercisable stock options as of September 30, 2006: Options Outstanding at Options Exercisable at September 30, 2006: September 30, 2006: ----------------------------------------- ---------------------- Weighted Weighted Weighted Average Average Average Range of Number Remaining Exercise Number Exercise Exercise Prices Outstanding Contractual Life Price Exercisable Price - --------------- ----------- ---------------- -------- ----------- -------- $0.37 - $ 0.52 766,000 6.14 years $0.44 641,875 $0.43 0.79 - 2.35 650,000 6.51 years $1.44 467,500 $1.45 2.51 - 3.36 697,700 6.55 years $2.97 605,700 $3.02 3.46 - 3.80 981,750 7.32 years $3.69 959,250 $3.69 3.99 - 8.19 646,875 5.86 years $5.33 646,875 $5.33 8.50 - 12.44 122,500 3.56 years $9.43 122,500 $9.43 --------- ---------- ----- --------- ----- $0.37 - $12.44 3,864,825 6.45 years $2.99 3,443,700 $3.17 ========= ========= As of September 30, 2006, the aggregate intrinsic value of options outstanding and exercisable was $2.1 million and $1.7 million, respectively. The aggregate intrinsic value of options exercised during the nine months ended September 30, 2006 was approximately $0.1 million. The aggregate intrinsic value represents the total pre-tax intrinsic value (the difference between the closing price of the Company's Common Stock on September 30, 2006 of $2.36 per share and the exercise price of each-in-the-money option) that would have been received by the option holders had all option holders exercised their options on September 30, 2006. The following table summarizes the changes in RSU awards outstanding under the Plan during the nine months ended September 30, 2006: Weighted Weighted Average Average No. of Award Date Remaining Shares Fair Value Contractual Term --------- ---------- ---------------- Unvested at December 31, 2005 348,000 $3.25 1.53 years Awards granted 807,272 2.83 -- Awards vested (87,000) 3.25 -- Awards forfeited (55,000) 3.12 -- --------- ----- ---------- Unvested at September 30, 2006 1,013,272 $2.92 2.11 years ========= As of September 30, 2006, the aggregate intrinsic value of RSU awards outstanding was $2.4 million. The aggregate intrinsic value represents the total pre-tax value of Common Stock RSU holders would have received (based on the closing price of the Company's Common Stock on September 30, 2006 of $2.36 per share) had all RSUs vested and Common Stock been issued to the RSU holders on September 30, 2006. The Company had a total of 6,049,325 shares of Common Stock reserved for stock option grants and RSU awards at September 30, 2006, of which 1,171,228 shares were available for future grants or awards under the Plan. For the three months ended September 30, 2006, the Company recognized $0.2 million of stock compensation expense in connection with the adoption of Statement 123(R). Total stock compensation expense recognized during the three months ended September 30, 2006 totaled $0.3 million (or $0.01 per share), of which $0.1 million was included in general and administrative expenses and $0.2 million was included in sales and marketing expenses. For the nine months ended September 30, 2006, the Company recognized $0.4 million in stock compensation expense in connection with the adoption of Statement 123(R). Total stock compensation expense recognized during the nine months ended September 30, 2006 totaled $0.8 million (or $0.03 per share), of which $0.3 million was included in general and administrative expenses and $0.5 million was included in sales and marketing expenses. For the three and nine months ended September 30, 2005, the Company recognized $0.3 million and $0.4 million in stock compensation expense, respectively. 8 Because the Company maintained a full valuation allowance on its U.S. deferred tax assets, the Company did not recognize any tax benefit related to its stock-based compensation expense for the three or nine months ended September 30, 2006. As of September 30, 2006, the Company had $0.3 million of total unrecognized compensation expense, net of estimated forfeitures, related to stock options that will be recognized over a weighted average period of approximately one year, and $1.9 million of total unrecognized compensation expense, net of estimated forfeitures, related to RSU awards that will be recognized over a weighted average period of approximately two years. Prior to the adoption of Statement 123(R), the Company accounted for its stock-based employee compensation plans under the recognition and measurement principles of APB Opinion No. 25, Accounting for Stock Issued to Employees (APB 25), and related interpretations. The exercise price of the Company's employee stock options generally equaled the market price of the underlying stock on the date of grant for all options granted, and thus, under APB 25, no compensation expense was recognized. Pro forma information regarding net loss and net loss per share is required by Statement No. 123 and has been determined as if the Company had accounted for its employee stock options under the fair value method of Statement No. 123. The following table illustrates the pro forma effect on net loss and net loss per share if the Company had applied the fair value recognition provisions of Statement No. 123 to stock-based employee compensation for the three and nine months ended September 30, 2005. Since stock-based compensation expense for the three and nine months ended September 30, 2006, was calculated and recorded under the provisions of Statement 123(R), no pro forma disclosure for those periods is presented: Three months ended Nine months ended (in thousands, except per share data) September 30, 2005 September 30, 2005 - ------------------------------------- ------------------ ------------------ Net loss, as reported ($4,078) ($11,170) Less: Total stock-based employee compensation expense determined under fair value based method for all awards (547) (1,629) ------- -------- Pro forma net loss ($4,625) ($12,799) ======= ======== Net loss per share: As reported Basic and diluted ($0.13) ($0.36) Pro forma Basic and diluted ($0.15) ($0.41) 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 its Stock Incentive Plan or as a free- standing option not under any plan. Options to purchase 1,294,232 shares of Common Stock (affecting 86 employees) were subject to this acceleration. The decision to accelerate vesting of these underwater options was made primarily to minimize future compensation expense that the Company would otherwise recognize in its consolidated statement of operations with respect to these options pursuant to Statement 123(R). The aggregate future expense eliminated as a result of the acceleration of the vesting of these options was approximately $3.3 million. NOTE 3. ACQUISITION OF 3F THERAPEUTICS, INC. On September 29, 2006, the Company completed the 100% acquisition of all voting and non-voting stock of 3F Therapeutics, Inc. (3F), a privately-held medical device company specializing in heart tissue valve replacement. The Company views the acquisition of 3F as a significant step in executing its vision of obtaining a leadership position in all segments of the cardiac surgery market. The acquisition was consummated pursuant to an agreement and plan of merger dated January 23, 2006, as amended (the Merger Agreement). Under the terms of the Merger Agreement, upon closing, the Company paid each 3F stockholder its pro-rata portion of an initial payment of 9 million shares of the Company's Common Stock, subject to certain adjustments. The Company deposited 1,425,000 shares of the closing payment in escrow to be held for at 9 least 18 months ("escrow period") after closing of the merger to cover indemnification claims and certain contingencies. At the conclusion of the escrow period, the balance of the escrow account 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 million shares of the Company's Common Stock upon obtaining either CE mark or FDA approval of certain key products on or prior to December 31, 2013, up to an aggregate of 10 million shares of the Company's Common Stock. Milestone share payments may be accelerated upon completion of certain transactions involving these key products. These contingent payments are subject to certain rights of set-off for indemnification claims and certain other events. PURCHASE PRICE The Company has accounted for the acquisition of 3F as a purchase under U.S. generally accepted accounting principles. Under the purchase method of accounting, the assets and liabilities of 3F were recorded as of the acquisition date, at their respective fair values, and consolidated with those of the Company. The purchase price allocation is based upon preliminary estimates of the fair value of assets acquired and liabilities assumed. The Company is in the process of gathering information to finalize its valuation of certain assets, primarily the valuation of acquired intangible assets. The purchase price allocation will be finalized once the Company has all the necessary information to complete its estimate, but no later than one year from the acquisition date. The preparation of the valuation required the use of significant assumptions and estimates. Critical estimates included, but were not limited to, future expected cash flows and the applicable discount rates. These estimates were based on assumptions that the Company believes to be reasonable. However, actual results may differ from these estimates. The preliminary purchase price is as follows (amounts in thousands): Fair value of ATS Common Stock $26,100 Other estimated acquisition-related costs 3,154 ------- Total preliminary purchase price $29,254 ======= PRELIMINARY PURCHASE PRICE ALLOCATION The following table summarizes the 3F preliminary purchase price allocation (amounts in thousands): Cash $ 2,599 Other current assets 2,846 Intangible assets subject to amortization 7,150 Goodwill 4,662 Other long-term assets 519 Acquired in-process research and development 14,400 Current liabilities (2,922) ------- Total preliminary purchase price allocation $29,254 ======= In connection with the accounting for the acquisition of 3F, the Company wrote-up inventory acquired from manufacturing cost to fair value resulting in an increase of $0.2 million. Fixed assets were also recorded at fair value resulting in an increase of $0.2 million. 10 The excess of the purchase price over the fair value of net tangible assets acquired was allocated to specific intangible asset categories and in-process research and development as follows: Weighted Average Amount Amortization (in thousands) Assigned Period -------- ---------------- Definite-lived intangible assets: Technology - core $ 5,200 20 years Technology - developed 700 9 years Tradenames and trademarks 1,200 15 years Other 50 7 years ------- -------- Total definite-lived intangible assets $ 7,150 18 years ======= ======== Goodwill $ 4,662 ======= Acquired in-process research and development $14,400 ======= The Company believes that the estimated intangible assets so determined represent the fair value at the date of acquisition. The Company used the income approach to determine the fair value of the amortizable intangible assets and purchased research and development. The $14.4 million acquired in-process research and development associated with the acquisition relates to the Enable product line of 3F and has been recorded as a non-recurring charge to operations for the three and nine months ended September 30, 2006. As the acquisition closed on September 29, 2006, no results of operations of 3F have been included in the Company's Statements of Operations for the three and nine months ended September 30, 2006, except for the charge for acquired in-process research and development. PRO FORMA RESULTS OF OPERATIONS The following unaudited pro forma information presents a summary of consolidated results of operations of the Company and 3F as if the acquisition had occurred at the beginning of the earliest period presented. The historical consolidated financial information has been adjusted to give effect to pro forma events that are directly attributable to the merger and are factually supportable. The unaudited pro forma condensed consolidated financial information is presented for informational purposes only. The pro forma information is not necessarily indicative of what the financial position or results of operations actually would have been had the acquisition been completed at the dates indicated. In addition, the unaudited pro forma condensed consolidated financial information does not purport to project the future financial position or operating results of the Company after completion of the acquisition. Three Months Ended Nine Months Ended September 30, September 30, ------------------- -------------------- (in thousands, except per share data) 2006 2005 2006 2005 -------- -------- -------- --------- Net sales $ 9,130 $ 8,398 $ 29,795 $ 25,014 License revenue 3,650 3,710 11,031 4,943 -------- -------- -------- --------- Total revenue $ 12,780 $ 12,108 $ 40,826 $ 29,957 ======== ======== ======== ========= Net loss ($3,596) ($3,073) ($7,797) ($15,209) ======== ======== ======== ========= Net loss per share - basic and diluted ($ 0.09) ($ 0.08) ($ 0.19) ($ 0.38) ======== ======== ======== ========= License revenue relates to license, supply and training agreements 3F had with Edwards Life Sciences (Edwards). The Edwards agreements were terminated in the fourth quarter of 2006 and no additional license revenue will be recognized. The pro forma net loss for the three and nine months ended September 30, 2006 and 2005 includes $0.1 million in each period for the amortization of purchased intangible assets and the increase in depreciation expense of 3F related to the step-up of fixed assets to fair value. The pro forma net loss for the nine months ended September 30, 2006 and 2005 includes $0.4 million in each period for the amortization of purchased intangible assets and the increase in 11 depreciation expense for the step-up of fixed assets to fair value. The unaudited pro forma financial information for all periods presented excludes the $14.4 million non-recurring charge for acquired in-process research and development. NOTE 4. INVENTORIES Inventories consist of the following, stated at the lower of cost (first-in, first-out basis) or market: September 30, December 31, (in thousands) 2006 2005 ------------- ------------ Raw materials $ 4,648 $ 5,047 Work in process 4,349 4,462 Finished goods 10,482 11,992 Obsolescence reserve (210) (215) ------- ------- Total, net $19,269 $21,286 ======= ======= NOTE 5. COMPREHENSIVE INCOME (LOSS) Comprehensive income (loss) for the Company includes gains and losses from foreign currency translation which are charged or credited to the cumulative translation account within shareholders' equity. Gains and losses from foreign currency translation are not material. Comprehensive income also includes unrealized gains and losses on the Company's investment portfolio, which are also charged or credited to shareholders' equity. Unrealized gains and losses on investments are not material. NOTE 6. INTANGIBLE ASSETS 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 2006 and determined that the Company's indefinite-lived intangible assets were not impaired. NOTE 7. LONG-TERM DEBT 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 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 authorized shares of its Common Stock available for the Note holders if conversion was elected. The Note holders 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 12 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, in either cash or Common Stock. The Company agreed to file a Registration Statement on Form S-3 covering the resale of all of the shares of the Company's Common Stock issuable upon conversion of the Notes and exercise of the Warrants 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 analyzed all of the above provisions in the 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 interpretations and SEC rules. The Company has determined that four such provisions in the convertible debt agreement are considered derivatives under FASB Statement No. 133: 1. The embedded written option relating to the Common Stock that may be potentially issuable upon conversion ("conversion feature derivative") 2. The option for Note holders to put back debt to the Company in connection with certain corporate change of control transactions 3. The provision relating to an additional payment in connection with the automatic conversion of the Notes prior to October 15, 2008 4. 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 Notes. The derivative liability is adjusted to fair value on a quarterly basis. The adjustment to fair value for the three and nine months ended September 30, 2006 was $0.2 million and $1.5 million, respectively, and was credited to other income. The derivative liability is presented in the balance sheet within the same line as the Convertible Senior Notes payable. At its annual shareholder meeting held on September 25, 2006, the Company received approval from its shareholders to increase its authorized shares to 100,000,000, eliminating the previous deficiency in authorized shares. Since the Company now has sufficient authorized shares to settle the Notes if converted, the conversion feature derivative is no longer accounted for as an embedded derivative under FASB Statement No. 133. The remaining fair value of the conversion feature derivative liability at September 30, 2006 ($1.4 million) was offset against the related debt discount. The derivative liability remaining at September 30, 2006 was $0.2 million. The discount related to the derivative liability is being amortized to interest expense using the effective interest method over 20 years. At September 30, 2006, the remaining unamortized discounts relating to the Warrants and the derivative liability was $5.3 million. In 2004, the Company entered into a secured credit facility with a bank, consisting of a $2.5 million term note and a $6.0 million line of credit. The Company fully drew down the $2.5 million term note, which calls for equal installment payments over 36 months, which commenced in February 2005. As of September 30, 2006, the balance due on this note was $1.1 million. The Company is subject to certain financial covenants under the secured credit facility agreement, as amended, to maintain a liquidity ratio of not less than 2.0 to 1.0 and a net tangible net worth of at least $40 million. At September 30, 2006, the Company was in compliance with these financial covenants. On March 29, 2006, the Company entered into a second amendment to the secured credit facility whereby the bank agreed to waive the prohibition set forth in the credit facility agreement with respect to the Company's pending acquisition of 3F, and the bank consented to such acquisition. In addition, the bank agreed to provide for advances of up to $1.5 million, which the Company may use to finance or refinance eligible equipment purchased on or after 13 June 1, 2005 and on or before May 31, 2006. Such equipment advances will be amortized over a 60-month period and carry an interest rate of prime plus 1.75%. On March 31, 2006, the Company fully drew down the $1.5 million advance amount, all of which was outstanding at September 30, 2006. NOTE 8. RECENTLY ISSUED ACCOUNTING PRONOUNCEMENTS In December 2004, the FASB issued Statement No. 123 (Revised 2004), Share-Based Payment, which revises FASB Statement No. 123, Accounting for Stock-Based Compensation, supersedes APB Opinion No. 25, Accounting for Stock Issued to Employees, and amends FASB Statement No. 95, Statement of Cash Flows. Statement 123(R) was adopted by the Company on January 1, 2006. The impact of adopting this Standard is discussed above in Note 2, "Stock-Based Compensation." In May 2005, the FASB issued Statement No. 154, Accounting Changes and Error Corrections (Statement 154), which replaces APB Opinion No. 20, Accounting Changes, and Statement No.3, Reporting Accounting Changes in Interim Financial Statements. This Statement changes the requirements for the accounting for and reporting of a change in accounting principle, and applies to all voluntary changes in accounting principles, as well as changes required by an accounting pronouncement in the unusual instance it does not include specific transition provisions. Specifically, this Statement requires retrospective application to prior periods' financial statements, unless it is impracticable to determine the period-specific effects or the cumulative effect of the change. When it is impracticable to determine the effects of the change, the new accounting principle must be applied to the balances of assets and liabilities as of the beginning of the earliest period for which retrospective application is practicable and a corresponding adjustment must be made to the opening balance of retained earnings for that period rather than being reported in an income statement. When it is impracticable to determine the cumulative effect of the change, the new principle must be applied as if it were adopted prospectively from the earliest date practicable. The adoption of Statement 154 did not have an impact on the Company's consolidated financial statements. In July 2006, the FASB issued FASB interpretation (FIN) No. 48, Accounting for Uncertainty in Income Taxes-an interpretation of FASB Statement 109. FIN 48 prescribes a comprehensive model for recognizing, measuring, presenting and disclosing in the financial statements tax positions taken or expected to be taken on a tax return, including the decision whether to file or not to file in a particular jurisdiction. FIN 48 is effective for fiscal years beginning after December 15, 2006. If there are changes in net assets as a result of the application of FIN 48, these will be accounted for as an adjustment to retained earnings. The Company is currently assessing the impact of FIN 48 on its consolidated financial position and results of operations. In September 2006, the FASB issued Statement No. 157, Fair Value Measurements (Statement 157). Statement 157 establishes a common definition for fair value to be applied to U.S. GAAP guidance requiring use of fair value, establishes a framework for measuring fair value, and expands disclosure about such fair value measurements. Statement 157 is effective for fiscal years beginning after November 15, 2007. The Company is currently assessing the impact of Statement 157 on its consolidated financial position and results of operations. In September 2006, the SEC staff issued Staff Accounting Bulletin 108, Considering the Effects of Prior Year Misstatements when Quantifying Misstatements in Current Year Financial Statements (SAB 108). SAB 108 requires that public companies utilize a "dual-approach" to assessing the quantitative effects of financial misstatements. This dual-approach includes both an income statement focused assessment and a balance sheet focused assessment. The guidance in SAB 108 must be applied to annual financial statements for fiscal years ending after November 15, 2006. The Company is currently assessing the impact of adopting SAB 108 but does not expect that it will have a material effect on the consolidated financial position or results of operations. 14 NOTE 9. LITIGATION On January 23, 2006, following execution of the Merger Agreement between the Company and 3F Therapeutics, 3F was informed of a summons and complaint dated January 19, 2006, which was filed in the United States District Court in the Southern District of New York by Arthur N. Abbey ("Abbey") against 3F Partners Limited Partnership II (a major stockholder of 3F, "3F Partners II"), Theodore C. Skokos (the then chairman of the board and a stockholder of 3F), 3F Management II, LLC (the general partner of 3F Partners II), and 3F (collectively, the "Defendants") (the "Abbey I Litigation"). The summons and complaint alleges that the Defendants committed fraud under federal securities laws, common law fraud and negligent misrepresentation in connection with the purchase by Abbey of certain securities of 3F Partners II. In particular, Abbey claims that Defendants induced Abbey to invest $4 million in 3F Partners II, which, in turn, invested $6 million in certain preferred stock of 3F, by allegedly causing Abbey to believe, among other things, that such investment would be short-term. Pursuant to the complaint, Abbey is seeking rescission of his purchase of his limited partnership interest in 3F Partners II and return of the amount paid therefor (together with pre-and post-judgment interest), compensatory damages for the alleged lost principal of his investment (together with interest thereon and additional general, consequential and incidental damages), general damages for all alleged injuries resulting from the alleged fraud in an amount to be determined at trial and such other legal and equitable relief as the court may deem just and proper. Abbey did not purchase any securities directly from 3F and is not a stockholder of 3F. On March 23, 2006, 3F filed a motion to dismiss the complaint. Under the Private Securities Litigation Reform Act, no discovery will be permitted until the judge rules upon the motion to dismiss. On May 15, 2006, 3F filed and served a reply memorandum of law in further support of its motion to dismiss Abbey's complaint with prejudice. On or about June 14, 2006, Abbey commenced a second civil action in the Court of Chancery in the State of Delaware by serving 3F with a complaint naming both 3F and Theodore C. Skokos as defendants (the "Abbey II Litigation"). The complaint alleges, among other things, fraud and breach of fiduciary duties in connection with the purchase by Abbey of his partnership interest in 3F Partners II. The Delaware action seeks: (1) a declaration that (a) for purposes of the proposed merger, Abbey is a record stockholder of 3F (even though he is not himself a record owner of any of the capital stock of 3F) and is thus entitled to withhold his consent to the merger and seek appraisal rights if the merger is consummated and (b) the irrevocable stockholder consent submitted by 3F Partners II to approve the merger be voided as unenforceable; and (2) damages based upon allegations that 3F aided and abetted Mr. Skokos in breaching Mr. Skokos's fiduciary duties of loyalty and faith to Abbey. On July 17, 2006, 3F filed a motion to dismiss the complaint in the Abbey II Litigation, or, alternatively, to stay the action pending adjudication of the Abbey I Litigation. On October 10, 2006, the Delaware Chancery Court entered an order staying the Delaware action pending the outcome of the prior action filed in the United States District Court in the Southern District of New York. 3F has been notified by its director and officer insurance carrier that such carrier will provide a defense and cover all defense costs as to 3F and Theodore C. Skokos in the Abbey I Litigation and Abbey II Litigation, subject to policy terms and full reservation of rights. In addition, under the Merger Agreement, 3F and the 3F stockholder representative have agreed that the Abbey I Litigation and Abbey II Litigation are matters for which express indemnification is provided, the effect of which is that the escrow shares and milestone shares (if any) may be used by ATS to satisfy in part ATS's set-off rights and indemnification claims for damages and losses incurred by 3F or ATS (and their directors, officers and affiliates) that are not otherwise covered by applicable insurance arising from the Abbey I Litigation and Abbey II Litigation. See Note 3 of Notes to Consolidated Financial Statements in this Report for a description of the escrow and milestone shares. The Company believes that the Abbey I Litigation and Abbey II Litigation will not result in a material impact on the Company's financial position or results of operations. 15 ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS This document contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Words such as "may," "expect," "believe," "anticipate" or "estimate" identify such forward-looking statements. These statements by their nature involve substantial risks and uncertainties, and actual results may differ materially from those expressed in such forward-looking statements. Some of the factors that could cause such material differences are identified in Part I, Item 1A of our Annual Report on Form 10-K for the fiscal year ended December 31, 2005 (as amended) and in Part II, Item IA on page 26 of this Report. We undertake no obligation to correct or update any forward-looking statements, whether as a result of new information, future events or otherwise. You are advised, however, to consult any future disclosures we make on related subjects in future filings with the SEC. 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, tissue heart valve therapies, 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 executed technology and license agreements with Carbomedics and 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 40% for the first nine months of 2006. 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. (CryoCath) to market CryoCath's surgical cryotherapy products for the ablation of cardiac arrhythmias. The agreement with CryoCath has resulted in revenue for our Company in both 2005 and 2006. 16 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 doctors, hospitals, clinics and patients throughout North America. The agreement with ATC has also resulted in revenue for our Company in both 2005 and 2006. 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 has produced revenue for our Company in 2006. On September 29, 2006, the Company completed the acquisition of 3F Therapeutics, Inc. (3F), a privately-held medical device company specializing in heart tissue valve replacement. The Company views the acquisition of 3F as a significant step in executing its vision of obtaining a leadership position in all segments of the cardiac surgery market. The acquisition was consummated pursuant to an agreement and plan of merger dated January 23, 2006, as amended (the Merger Agreement). Under the terms of the Merger Agreement, upon closing, the Company paid each 3F stockholder its pro-rata portion of an initial payment of 9 million shares of the Company's Common Stock, subject to certain adjustments. The Company deposited 1,425,000 shares of the closing payment in escrow to be held for at least 18 months ("escrow period") after closing of the merger to cover indemnification claims and certain contingencies. At the conclusion of the escrow period, the balance of the escrow account 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 million 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 million 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. See Note 3 of "Notes to Consolidated Financial Statements" in this report for additional information regarding the acquisition, including the purchase price and the preliminary allocation of the purchase price. Also in September 2006, we entered into an exclusive distribution agreement with Novare Surgical Systems, Inc. for Novare's Enclose II(R) cardiac anastomosis assist device. We will distribute the device in the United States, Germany, France and the United Kingdom. The Enclose II anastomosis assist device is used by cardiac surgeons to attach a bypass vessel to the aorta during coronary artery bypass graft surgery. 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. Management's discussion and analysis of financial condition and results of operations are based upon the 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 assets and liabilities. At each balance sheet date, we evaluate our estimates and judgments. The critical accounting policies that are most important to fully understanding and evaluating the financial condition and results of operations are discussed in our most recent Annual Report on Form 10-K, as amended, on file with the SEC. The Financial Accounting Standards Board issued FASB Statement No. 123 (Revised 2004), Share-Based Payment (Statement 123(R)), which was adopted by ATS on January 1, 2006, using the modified prospective transition method. Statement 123(R) requires all share-based payments to employees, including grants of employee stock options and restricted stock unit awards, to be recognized in the income statement based on their fair values. Pro forma disclosure is no longer an alternative. See Note 2 of "Notes to Consolidated Financial Statements" and the discussion under "Results of Operations-General & Administrative" below for additional information regarding stock-based compensation plans and our adoption of Statement 123(R). 17 RESULTS OF OPERATIONS The following table provides the dollar and percentage change in the Statements of Operations for the three and nine month periods ended September 30, 2006 and 2005. THREE MONTHS ENDED SEPTEMBER 30, NINE MONTHS ENDED SEPTEMBER 30, ------------------------------------------ ------------------------------------------- Increase (Decrease) Increase (Decrease) ------------------- ------------------- (In thousands) 2006 2005 $ % 2006 2005 $ % --------- -------- ------- ------ --------- --------- ------- ------ Net sales $ 9,122 $ 8,333 $ 789 9.5% $ 29,709 $ 24,703 $ 5,006 20.3% Cost of goods sold 3,894 5,714 (1,820) (31.9)% 14,302 15,489 (1,187) (7.7)% --------- -------- ------- ------ --------- --------- ------- ------ Gross profit 5,228 2,619 2,609 99.6% 15,407 9,214 6,193 67.2% Gross profit % 57.3% 31.4% 51.9% 37.3% Operating expenses: Sales and marketing 5,287 4,323 964 22.3% 15,233 13,765 15,233 10.7% Research and development 528 409 119 29.1% 1,370 1,118 252 22.5% Acquired in-process R & D 14,400 -- 14,400 -- 14,400 -- 14,400 -- General and administrative 2,067 1,928 139 7.2% 6,288 5,443 845 15.5% --------- -------- ------- ------ --------- --------- ------- ------ Total operating expenses 22,282 6,660 15,622 234.6% 37,291 20,326 16,965 83.5% --------- -------- ------- ------ --------- --------- ------- ------ Operating loss (17,054) (4,041) 13,013 (322.0)% (21,884) (11,112) 10,772 96.9% Net interest income (expense) (446) (37) 409 1105.4% (1,235) (58) 1,177 2029.3% Change in value of derivative liability bifurcated from convertible senior notes 245 -- 245 -- 1,525 -- 1,525 -- --------- -------- ------- ------ --------- --------- ------- ------ Net loss ($17,255) ($4,078) $13,177 323.1% ($21,594) ($11,170) $10,424 93.3% ========= ======== ======= ====== ========= ========= ======= ====== The following table presents the Statements of Operations as a percentage of net sales for the three and nine month periods ended September 30, 2006 and 2005. THREE MONTHS ENDED NINE MONTHS ENDED SEPTEMBER 30, SEPTEMBER 30, ------------------ ----------------- 2006 2005 2006 2005 ------ ----- ----- ----- Net sales 100.0% 100.0% 100.0% 100.0% Cost of goods sold 42.7% 68.6% 48.1% 62.7% ------ ----- ----- ----- Gross profit 57.3% 31.4% 51.9% 37.3% Operating expenses: Sales and marketing 58.0% 51.9% 51.3% 55.7% Research and development 5.8% 4.9% 4.6% 4.5% Acquired in-process R & D 157.9% 0.0% 48.5% 0.0% General and administrative 22.7% 23.1% 21.2% 22.0% ------ ----- ----- ----- Total operating expenses 244.3% 79.9% 125.5% 82.3% ------ ----- ----- ----- Operating loss (187.0)% (48.5)% (73.7)% (45.0)% Net interest income (expense) (4.9)% (0.4)% (4.2)% (0.2)% Change in value of derivative liability bifurcated from convertible senior notes 2.7% 0.0% 5.1% 0.0% ------ ----- ----- ----- Net loss (189.2)% (48.9)% (72.7)% (45.2)% ====== ===== ===== ===== 18 NET SALES. The following table provides the dollar and percentage change in net sales inside and outside the United States and Canada for the three and nine month periods ended September 30, 2006 and 2005. THREE MONTHS ENDED SEPTEMBER 30, NINE MONTHS ENDED SEPTEMBER 30, ----------------------------------- ------------------------------------- Increase Increase (In thousands) 2006 2005 (Decrease) % 2006 2005 (Decrease) % ------ ------ ---------- ---- ------- ------- ---------- ---- United States and Canada $3,799 $3,392 $407 12.0% $11,859 $ 9,514 $2,345 24.6% Outside U. S. and Canada 5,323 4,941 382 7.7% 17,850 15,189 2,661 17.5% ------ ------ ---- ---- ------- ------- ------ ---- Total $9,122 $8,333 $789 9.5% $29,709 $24,703 $5,006 20.3% ====== ====== ==== ==== ======= ======= ====== ==== The following table provides net sales inside and outside the United States and Canada as a percentage of total net sales for the three and nine month periods ended September 30, 2006 and 2005. THREE MONTHS ENDED NINE MONTHS ENDED SEPTEMBER 30, SEPTEMBER 30, ------------------ ----------------- 2006 2005 2006 2005 ----- ----- ----- ----- Share of total sales: United States and Canada 41.6% 40.7% 39.9% 38.5% Outside U. S. and Canada 58.4% 59.3% 60.1% 61.5% ----- ----- ----- ----- Total 100.0% 100.0% 100.0% 100.0% ===== ===== ===== ===== Since late 2002, 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 in the United States and Canada. Mechanical heart valve sales, which comprise approximately 83% of the Company's worldwide sales base for the first nine months of 2006, were flat in the United States and Canada for the quarter ended September 30, 2006, and increased 5.5% for the nine months ended September 30, 2006, compared to the same periods in the prior year. Average selling price (ASP) in the United States and Canada for the first nine months of 2006 was approximately 3% lower compared to the same period in 2005 due primarily to initial stocking sales to a new Canadian distributor. Also during the last three 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 direct markets. Prices in some of these territories are lower than our historical manufacturing costs. We believed this strategy was reasonable because it allowed us to increase our market share while reducing our high priced but paid-for inventories. We also believe that future lower product costs, related to carbon components manufactured internally, will allow us to achieve reasonable profit margins in these international markets. Mechanical heart valve sales increased 3.5% in international markets for the quarter ended September 30, 2006, and increased 11.9% for the nine months ended September 30, 2006, compared to the same periods in the prior year. International ASP was approximately 5% lower for the first nine months of 2006 compared to the same period in 2005 due to a shift in sales mix from higher-margin industrialized countries to lower-margin lesser-developed countries. This mix shift occurred primarily in the second quarter of 2006 and was due in part to negotiations on a new distribution arrangement with one of our larger industrialized-country distributors. Both domestic and international net sales in 2006 have been 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 17% of our worldwide revenue for the first nine months of 2006 was derived from non-mechanical heart valve products commercialized within the past 24 months. 19 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 several 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. 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 lower cost valves that have been entirely manufactured in our facilities. By the end of the first quarter of 2006, we had substantially depleted our high-priced but paid-for inventories of carbon components purchased from Carbomedics, moving into lower-cost carbon material cost layers. This favorably impacted our third quarter and year-to-date 2006 gross profit by approximately $1.4 million and $3.6 million, respectively, and improved our gross profit percentage of net sales by approximately 15.0% and 9.7%, respectively. Our gross profit as a percentage of net sales has also been favorably impacted by the new business initiatives and partnerships discussed above, principally surgical cryotherapy repair products and processed cardiovascular allograft tissue. Revenue and gross profit from these new business initiatives caused 2006 third quarter and year-to-date gross profit percentages to be higher by approximately 1.8% and 2.7%, respectively, and caused 2005 third quarter and year-to-date gross profit percentages to be higher by approximately 6.6% and 3.5%, respectively. We have made write-downs to our inventories during the past three fiscal years due to future selling prices being lower than manufacturing costs in select international markets. These write-downs resulted in lower-of-cost-or-market (LCM) inventory reserves, which were used as high-cost pyrolytic carbon components purchased from Carbomedics were sold into low selling-price international markets. During the third quarter of 2005, we recorded LCM write-downs of $0.7 million, which lowered our 2005 third quarter and year-to-date gross profit percentages by 8.4% and 2.8%, respectively. During the first quarter of 2006, the remaining LCM reserves were fully utilized in connection with the depletion of our high-priced but paid-for inventories of carbon components discussed above. Consequently, LCM inventory write-downs are not anticipated in 2006. The ATS mechanical heart 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 mechanical 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. In the United States, our sales and marketing costs rose 21% in the third quarter of 2006 to $3.77 million, compared to $3.12 million for the third quarter of the prior year. For the first nine months of 2006, our U.S. sales and marketing costs rose 9% to $10.77 million, compared to $9.88 million for the same period in the prior year. These increases are due primarily to $0.46 million of stock compensation expense recognized in 2006 related to the adoption of Statement 123(R) on January 1, 2006, and to increased costs associated with our attendance at the European Association for Cardio Thoracic Surgeons trade show in Stockholm, Sweden in September 2006. During the past three fiscal years, our U.S. sales and marketing organization has steadily grown to more than 30 sales territories in the United States and has a marketing department that now consists of 15 employees. Internationally, our sales and marketing costs increased 27% in the third quarter of 2006 to $1.52 million, compared to $1.20 million for the third quarter in 2005. For the first nine months of 2006, our international sales and marketing costs increased 15% to $4.46 million, compared to $3.89 million for same period in 2005. The increases in 2006 over the prior year reflect our continued investment in international markets, including the early 2005 set up of direct sales operations in Germany, the establishment of a European export company in the third quarter of 2006, higher sales and marketing expenses in Eastern Europe, Asia and China, and increased sales management. RESEARCH AND DEVELOPMENT. Research and development (R & D) expenses increased 29% in the third quarter of 2006 and 23% for the first nine months of 2006, compared to the same periods in 2005, due to increased costs to develop and improve current and future products and the related regulatory and clinical activities for these products. R & D costs also increased due to staff additions and an increase in the number of R & D programs. 20 IN-PROCESS R & D. In connection with our acquisition of 3F, we recorded a non-recurring in-process R & D charge of $14.4 million in September 2006. See Note 3 of "Notes to Consolidated Financial Statements" in this report for additional information regarding the acquisition, including the purchase price and the preliminary allocation of the purchase price. GENERAL AND ADMINISTRATIVE. General and administrative (G & A) expenses increased $0.1 million to $2.1 million for the third quarter of 2006 and increased $0.8 million to $6.3 million for the first nine months of 2006 over the same periods in 2005. Major cost increases in G & A expenses for the first nine months of 2006 over the same period in 2005 were for outside consulting, legal and professional services of $0.4 million ($0.2 million in the third quarter of 2006) and bad debt expense of 0.4 million ($0.1 million in the third quarter of 2006) related primarily to the termination of an international distributor. These increases were partially offset by the allocation of 401(k) company match expense from G & A to individual operating departments beginning in 2006. We recognized total stock compensation expense in the first nine months of 2006 of $0.8 million, of which $0.3 million was included in G & A expenses and $0.5 million in sales & marketing expenses. Of the $0.8 million total stock compensation expense for the first nine months of 2006, $0.4 million was attributable to the adoption of Statement 123(R), which we adopted on January 1, 2006. For the full year 2006, we estimate $0.6 million of additional stock compensation expense attributable to the adoption of Statement 123(R). 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 Stock Incentive Plan or as a free standing option not under any plan. Options to purchase 1,294,232 shares of Common Stock (affecting 86 employees) 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. NET INTEREST INCOME (EXPENSE). In 2006, net interest expense was attributable primarily to the October 2005 sale of $22.4 million aggregate principal amount of 6% Convertible Senior Notes (Notes). Interest expense on the Notes in the third quarter and first nine months of 2006 was $0.5 million and $1.6 million, respectively, which also includes amortization of financing costs, the discount related to the implied value of Common Stock warrants sold with the Notes and the discounts related to the bifurcated Notes derivatives. See Note 7 of "Notes to Consolidated Financial Statements" in this report for more information regarding the Notes discounts. Interest expense in both 2006 and 2005 is also attributable to our credit facility with Silicon Valley Bank. Interest income was $0.17 million and $0.02 million for the third quarters of 2006 and 2005, respectively, and $0.54 million and $0.13 million for the first nine months of 2006 and 2005, respectively. Interest income is attributable to the investment of our cash balances. CHANGE IN VALUE OF DERIVATIVE LIABILITY BIFURCATED FROM CONVERTIBLE SENIOR NOTES. In the third quarter and first nine months of 2006, we recorded non-operating income of $0.24 million and $1.52 million to adjust the Notes derivative liability to fair value. See Note 7 of "Notes to Consolidated Financial Statements" in this report for more information regarding the Notes derivative liability and the accounting for this liability under FASB Statement No. 133, Accounting for Derivative Instruments and Hedging Activities. INCOME TAXES. At the end of 2005, we had 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 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 decrease in net loss for the third quarter and first nine months of 2006 compared to the same periods in 2005 resulted from changes in sales offset by changes in operating costs and non-operating income and expenses, all of which are described above. 21 LIQUIDITY AND CAPITAL RESOURCES Cash, cash equivalents and short-term investments totaled $16.3 million at September 30, 2006 (including $2.6 million in cash acquired from 3F Therapeutics) compared to $21.7 million at December 31, 2005. OPERATING ACTIVITIES. During the first nine months of 2006, we received cash payments from customers of $28.8 million and made payments to employees and suppliers of $33.3 million. During the first nine months of 2005, we received cash payments from customers of $22.6 million and made cash payments to employees and suppliers of $31.9 million. Our operating losses during the past three fiscal years were significantly funded through the depletion of inventories and the use of existing cash and investment balances. Since 2002, we have 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, combined with cash generated from operations, will be adequate to fund our operating activities during the next twelve months. INVESTING ACTIVITIES. We incurred $3.2 million of transaction costs related to the acquisition of 3F, including professional, investment banking, attorneys and accounting fees, offset in large part by $2.6 million in cash acquired in the transaction. In the second quarter of 2006, we made a $0.2 million additional license fee payment in connection with our global partnership agreement with CryoCath. We purchased property and equipment of $0.5 million and $1.5 million during the first nine months of 2006 and 2005, 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 significant portion of our 2005 purchases supported our pyrolytic carbon facility production increase efforts, which are substantially completed. FINANCING ACTIVITIES. We received proceeds of approximately $0.2 million and $0.4 million during the first nine months of 2006 and 2005, respectively, from the issuance of Common Stock through exercises of stock options and purchases under our employee stock purchase plan. In 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 each of the first nine months of 2006 and 2005 we repaid $0.6 million on the note. We are subject to certain financial covenants under the secured credit facility agreement, as amended, to maintain a liquidity ratio of not less than 2.0 to 1.0 and a net tangible net worth of at least $40 million. At September 30, 2006, we were in compliance with these financial covenants. On March 29, 2006, we entered into a second amendment to the secured credit facility whereby the bank agreed to waive the prohibition set forth in the credit facility agreement with respect to our pending acquisition of 3F, and the bank consented to such acquisition. In addition, the bank agreed to provide for advances of up to $1.5 million which we may use to finance or refinance eligible equipment purchased on or after June 1, 2005 and on or before May 31, 2006. Such equipment advances will be amortized over a 60 month period and carry an interest rate of prime plus 1.75%. On March 31, 2006, we fully drew down the $1.5 million advance amount. Repayments on this advance begin October 2006. In October 2005, we sold a combined $22.4 million aggregate principal amount of 6% Convertible Senior Notes (Notes) due 2025 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 are using these proceeds for general corporate purposes, working capital, capital expenditures and to fund business development opportunities. The first interest payment on these Notes, totaling $0.7 million, was paid in April 2006. 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. 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. 22 CASH MANAGEMENT By the end of the first quarter of 2006, we had substantially depleted our high-priced but paid-for inventories of pyrolytic carbon components. During the last two years we have been increasing 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 fund operations during 2006. Based upon the current forecast of sales and operating expenses, we believe we will have adequate cash to fund our operations for the next twelve months. However, 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 the rules and regulations of the SEC) 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. ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK The primary objective of our investment activities is to preserve principal while at the same time maximizing the income we receive from our investments without significantly increasing risk. Some of the securities that we invest in may have market risk. This means that a change in prevailing interest rates may cause the fair market value of the principal amount of the investment to fluctuate. For example, if we hold a security that was issued with a fixed interest rate at the then prevailing rate and the prevailing interest rate later rises, the fair value of the principal amount of our investment will probably decline. To minimize this risk, our portfolio of cash equivalents and short-term investments may be invested in a variety of securities, including commercial paper, money market funds, and both government and non-government debt securities. The average duration of all our investments has generally been less than one year. Due to the short-term nature of these investments, we believe we have no material exposure to interest rate risk arising from our investments. We do not use derivative financial instruments to manage interest rate risk or to speculate on future changes in interest rates. In the United States, Canada, France and Germany, we sell our products directly to hospitals. In other international markets, we sell our products to independent distributors who, in turn, sell to medical hospitals. Loss, termination, or ineffectiveness of distributors to effectively promote our product would have a material adverse effect on our financial condition and results of operations. Transactions with U.S. and non-U.S. customers and distributors, other than in France and Germany, are entered into in U.S. dollars, precluding the need for foreign currency hedges on such sales. Sales through our French and German subsidiaries are in Euros, so we are subject to profitability risk arising from exchange rate movements. We have not used foreign exchange contracts or similar instruments to reduce this risk. We will evaluate the need to use foreign exchange contracts or similar instruments if sales in France and Germany increase substantially. We do not believe that inflation has had a material effect on our results of operations in recent years and periods. There can be no assurance, however, that our business will not be adversely affected by inflation in the future. 23 ITEM 4. CONTROLS AND PROCEDURES EVALUATION OF DISCLOSURE CONTROLS AND PROCEDURES We maintain disclosure controls and procedures, which are designed to ensure that information required to be disclosed in the reports we file or submit under the Securities Exchange Act of 1934, as amended (Exchange Act), is recorded, processed, summarized and reported within the time periods specified in the SEC's rules and forms, and that such information is accumulated and communicated to our management, including our Principal Executive Officer as appropriate, to allow timely decisions regarding required disclosure. Under the supervision and with the participation of our management, including our Principal Executive Officer and our Principal Financial Officer, we evaluated the effectiveness of the design and operation of our disclosure controls and procedures (as defined in Rule 13a-15(e) under the Exchange Act). Based on that evaluation, the Principal Executive Officer and Principal Financial Officer concluded that, as of the end of the period covered by this report, our disclosure controls and procedures were effective. CHANGES IN INTERNAL CONTROL OVER FINANCIAL REPORTING Other than in connection with the restatements described below, 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 September 30, 2006 that has materially affected, or is reasonably likely to materially affect our internal control over financial reporting. We completed the acquisition of 3F on September 29, 2006 and had not completed our documentation and testing of 3F's internal control over financial reporting as of the end of the period covered by this Report. In the third quarter of 2006 we strengthened our internal controls over financial reporting by hiring a Senior Director of Finance. The responsibilities of this new position will include oversight of the worldwide finance and accounting functions, internal and external financial reporting, planning and analysis, treasury and cash management. The addition of this position adds depth to our finance organization and increases our internal knowledge of generally accepted accounting principles and financial reporting. RESTATEMENTS The Company has restated its financial statements as of and for the year ended December 31, 2005 and the three months ended March 31, 2006. 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 FASB Statement No. 133, Accounting for Derivative Instruments and Hedging Activities, and related Emerging Issues Task Force interpretations and SEC rules. The 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 required 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 amendments to our Form 10-K for the year ended December 31, 2005 and our Form 10-Q for the quarter ended March 31, 2006. 24 PART II. OTHER INFORMATION ITEM 1. LEGAL PROCEEDINGS On January 23, 2006, following execution of the Merger Agreement between the Company and 3F Therapeutics, 3F was informed of a summons and complaint dated January 19, 2006, which was filed in the United States District Court in the Southern District of New York by Arthur N. Abbey ("Abbey") against 3F Partners Limited Partnership II (a major stockholder of 3F, "3F Partners II"), Theodore C. Skokos (the then chairman of the board and a stockholder of 3F), 3F Management II, LLC (the general partner of 3F Partners II), and 3F (collectively, the "Defendants") (the "Abbey I Litigation"). The summons and complaint alleges that the Defendants committed fraud under federal securities laws, common law fraud and negligent misrepresentation in connection with the purchase by Abbey of certain securities of 3F Partners II. In particular, Abbey claims that Defendants induced Abbey to invest $4 million in 3F Partners II, which, in turn, invested $6 million in certain preferred stock of 3F, by allegedly causing Abbey to believe, among other things, that such investment would be short-term. Pursuant to the complaint, Abbey is seeking rescission of his purchase of his limited partnership interest in 3F Partners II and return of the amount paid therefor (together with pre-and post-judgment interest), compensatory damages for the alleged lost principal of his investment (together with interest thereon and additional general, consequential and incidental damages), general damages for all alleged injuries resulting from the alleged fraud in an amount to be determined at trial and such other legal and equitable relief as the court may deem just and proper. Abbey did not purchase any securities directly from 3F and is not a stockholder of 3F. On March 23, 2006, 3F filed a motion to dismiss the complaint. Under the Private Securities Litigation Reform Act, no discovery will be permitted until the judge rules upon the motion to dismiss. On May 15, 2006, 3F filed and served a reply memorandum of law in further support of its motion to dismiss Abbey's complaint with prejudice. On or about June 14, 2006, Abbey commenced a second civil action in the Court of Chancery in the State of Delaware by serving 3F with a complaint naming both 3F and Theodore C. Skokos as defendants (the "Abbey II Litigation"). The complaint alleges, among other things, fraud and breach of fiduciary duties in connection with the purchase by Abbey of his partnership interest in 3F Partners II. The Delaware action seeks: (1) a declaration that (a) for purposes of the proposed merger, Abbey is a record stockholder of 3F (even though he is not himself a record owner of any of the capital stock of 3F) and is thus entitled to withhold his consent to the merger and seek appraisal rights if the merger is consummated and (b) the irrevocable stockholder consent submitted by 3F Partners II to approve the merger be voided as unenforceable; and (2) damages based upon allegations that 3F aided and abetted Mr. Skokos in breaching Mr. Skokos's fiduciary duties of loyalty and faith to Abbey. On July 17, 2006, 3F filed a motion to dismiss the complaint in the Abbey II Litigation, or, alternatively, to stay the action pending adjudication of the Abbey I Litigation. On October 10, 2006, the Delaware Chancery Court entered an order staying the Delaware action pending the outcome of the prior action filed in the United States District Court in the Southern District of New York. 3F has been notified by its director and officer insurance carrier that such carrier will provide a defense and cover all defense costs as to 3F and Theodore C. Skokos in the Abbey I Litigation and Abbey II Litigation, subject to policy terms and full reservation of rights. In addition, under the Merger Agreement, 3F and the 3F stockholder representative have agreed that the Abbey I Litigation and Abbey II Litigation are matters for which express indemnification is provided, the effect of which is that the escrow shares and milestone shares (if any) may be used by ATS to satisfy in part ATS's set-off rights and indemnification claims for damages and losses incurred by 3F or ATS (and their directors, officers and affiliates) that are not otherwise covered by applicable insurance arising from the Abbey I Litigation and Abbey II Litigation. See Note 3 of Notes to Consolidated Financial Statements in this Report for a description of the escrow and milestone shares. We believe that the Abbey I Litigation and Abbey II Litigation will not result in a material impact on the Company's financial position or results of operations. 25 ITEM 1A. RISK FACTORS In addition to the other information set forth in this report, you should carefully consider the factors discussed in Part I, Item 1A of our Annual Report on Form 10-K for the fiscal year ended December 31, 2005 (as amended), which could have a material impact on our business, financial condition or results of operations. The risks described in our Annual Report on Form 10-K are not the only risks facing the Company. Additional risks and uncertainties not presently known to us or that we currently believe to be immaterial may also adversely affect our business, financial condition or results of operations. We are updating the risk factors set forth in our Annual Report on Form 10-K by adding the following risk factors. Purchase accounting treatment of the merger with 3F could result in net losses for the foreseeable future. We have accounted for the merger with 3F using the purchase method of accounting. Under purchase accounting, the estimated market value of shares of our Common Stock issued in the merger and the amount of the merger transaction costs were recorded as the cost of acquiring 3F. That cost has been allocated on a preliminary basis to the individual assets acquired and liabilities assumed, including various identifiable intangible assets such as acquired technology, acquired trademarks and tradenames, based on their estimated fair values at the date of acquisition. The excess of the purchase price over the fair market value of the net assets has been allocated as goodwill. The amount of purchase price currently allocated to goodwill and the other intangible assets is approximately $11.8 million. Our estimates are based upon currently available information and assumptions that we believe are reasonable. We are in the process of gathering information to finalize the valuation of certain assets, primarily the valuation of acquired intangible assets. However, there can be no assurance that the actual useful lives will not differ significantly from the current estimates. The amortization of goodwill and the other intangible assets could result in net losses for ATS for the foreseeable future, which could have a material adverse effect on the market value of our Common Stock. We ultimately may experience a delay in introducing, or may not successfully complete development of, products that are currently under development, resulting in harm to our business. Both ATS and 3F are in the process of developing certain products, including but not limited to 3F's Enable and Entrata products. The Enable product is currently in the early phases of clinical trials, and the Entrata product is still under development. In 2006, ongoing clinical trial results in Europe have resulted in 3F undertaking a review of the Enable valve cuff design. Successfully completing the development of these products and technologies presents substantial technical, medical and engineering challenges as well as regulatory hurdles. We may not successfully complete the development of these products, or these products may fail to work in the manner intended. If we are unable to successfully develop the products that are currently under development, we may suffer financial difficulties, which may have a material adverse effect on our business, financial condition and results of operations. 26 ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS Our Annual Meeting of Shareholders was held on September 25, 2006 at which time the following proposals were approved: 1) The issuance of up to 19,000,000 shares of our Common Stock pursuant to an Agreement and Plan of Merger, dated as of January 23, 2006, by and between us, Seabiscuit Acquisition Corp., our subsidiary, 3F Therapeutics, Inc. and Mr. Boyd D. Cox, as representative of the 3F Therapeutics stockholders, as amended by Amendment No. 1, dated June 13, 2006, and Amendment No. 2, dated August 10, 2006, by and among the same parties (collectively, as amended, the "Amended Merger Agreement"); 2) An amendment to the our Restated Articles of Incorporation to increase the number of authorized shares of our capital stock from 40,000,000 to 100,000,000, and to authorize the filing of an amendment to the Restated Articles of Incorporation in connection herewith; 3) The election of four directors to our Board of Directors to hold office for the ensuing year and until their successors are elected and qualified; 4) An amendment to the ATS Medical, Inc. 1998 Employee Stock Purchase Plan to increase the number of shares of our Common Stock which may be purchased under the plan by 500,000 shares; and 5) An amendment to the ATS Medical 2000 Stock Incentive Plan to provide that, in lieu of automatic non-qualified stock option grants, non-employee directors will be automatically granted restricted stock units upon election and re-election to our Board of Directors. Proxies for the Company were solicited pursuant to Section 14(a) of the Exchange Act, and there was no solicitation in opposition to management's solicitations. All nominees for directors as listed in the proxy statement were elected. The voting results were as follows: Broker For Withhold Against Abstain Non-Votes ---------- -------- --------- ------- ---------- Issuance of up to 19,000,000 shares of our common stock pursuant to the Amended Merger Agreement 12,951,512 -- 191,529 255,043 13,746,233 Amendment to Restated Articles of Incorporation to increase the number of authorized shares of capital stock 25,633,687 -- 1,356,788 153,824 -- Election of Directors: Michael D. Dale 26,892,150 252,149 -- -- -- Steven M. Anderson 26,896,115 248,184 -- -- -- Robert E. Munzenrider 26,793,469 350,830 -- -- -- Eric W. Sivertson 26,409,248 735,051 -- -- -- Amendment to 1998 Employee Stock Purchase Stock Plan 12,852,744 -- 395,631 149,691 13,746,233 Amendment to 2000 Stock Incentive Plan 12,567,788 -- 610,572 219,706 13,746,233 27 ITEM 6. EXHIBITS 2.1 Amendment No. 2 to Agreement and Plan of Merger, dated as of August 10, 2006, by and among the Company, Seabiscuit Acquisition Corp., 3F Therapeutics, Inc. and Boyd D. Cox, as stockholder representative (Incorporated by reference to Exhibit 2.1 to the Company's Current Report on Form 8-K filed on August 15, 2006) 3.1 Second Restated Articles of Incorporation of ATS Medical, Inc, filed herewith 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) 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) 10.1* Exclusive Distribution Agreement, effective as of October 1, 2006, by and between the Company and Novare Surgical Systems, Inc., filed herewith 10.2 Amendment No. 2 dated September 1, 2006, to Original Lease Agreement dated April 29, 2000, by and between the Company and St. Paul Properties, Inc., filed herewith 10.3 Amendment No. 11 dated September 1, 2006, to Original Lease Agreement dated December 22, 1987, by and between the Company and St. Paul Properties, Inc., filed herewith 10.4 Amendment, dated August 15, 2006, to the Loan and Security 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 August 17, 2006) 10.5 ATS Medical, Inc. 1998 Employee Stock Purchase Plan, as amended through September 25, 2006 (Incorporated by reference to Exhibit 10.1 to the Company's Current Report on Form 8-K filed on September 29, 2006) 10.6 ATS Medical, Inc. 2000 Stock Incentive Plan, as amended through September 25, 2006 (Incorporated by reference to Exhibit 10.1 to the Company's Current Report on Form 8-K filed on September 29, 2006) 31.1 Certification of Principal Executive Officer pursuant to Rules 13a-15(e)/15d-15(e) of the Securities Exchange Act, as amended (Section 302 Certification) 31.2 Certification of Principal Financial Officer pursuant to Rules 13a-15(e)/15d-15(e) of the Securities Exchange Act, as amended (Section 302 Certification) 32.1 Certification of the Principal Executive Officer pursuant to 18 U.S.C. Section 1350 (Section 906 Certification) 32.2 Certification of the Principal Financial Officer pursuant to 18 U.S.C. Section 1350 (Section 906 Certification) - ---------- * Pursuant to Rule 24b-2 of the Exchange Act, confidential portions of this exhibit have been deleted and filed separately with the Securities and Exchange Commission pursuant to a request for confidential treatment. 28 SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized. Date: November 8, 2006 ATS MEDICAL, INC. By: /s/ Michael D. Dale ------------------------------------ Michael D. Dale, Chief Executive Officer (Duly Authorized Officer) By: /s/ Michael R. Kramer ------------------------------------ Michael R. Kramer, Senior Director of Finance (Principal Financial Officer) 29 EXHIBIT INDEX EXHIBIT NUMBER DESCRIPTION - ------- ----------- 2.1 Amendment No. 2 to Agreement and Plan of Merger, dated as of August 10, 2006, by and among the Company, Seabiscuit Acquisition Corp., 3F Therapeutics, Inc. and Boyd D. Cox, as stockholder representative (Incorporated by reference to Exhibit 2.1 to the Company's Current Report on Form 8-K filed on August 15, 2006) 3.1 Second Restated Articles of Incorporation of ATS Medical, Inc, filed herewith 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) 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) 10.1* Exclusive Distribution Agreement, effective as of October 1, 2006, by and between the Company and Novare Surgical Systems, Inc., filed herewith 10.2 Amendment No. 2 dated September 1, 2006, to Original Lease Agreement dated April 29, 2000, by and between the Company and St. Paul Properties, Inc., filed herewith 10.3 Amendment No. 11 dated September 1, 2006, to Original Lease Agreement dated December 22, 1987, by and between the Company and St. Paul Properties, Inc., filed herewith 10.4 Amendment, dated August 15, 2006, to the Loan and Security 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 August 17, 2006) 10.5 ATS Medical, Inc. 1998 Employee Stock Purchase Plan, as amended through September 25, 2006 (Incorporated by reference to Exhibit 10.1 to the Company's Current Report on Form 8-K filed on September 29, 2006) 10.6 ATS Medical, Inc. 2000 Stock Incentive Plan, as amended through September 25, 2006 (Incorporated by reference to Exhibit 10.1 to the Company's Current Report on Form 8-K filed on September 29, 2006) 31.1 Certification of the Principal Executive Officer pursuant to Rules 13a-15(e)/15d-15(e) of the Securities Exchange Act, as amended (Section 302 Certification) 31.2 Certification of the Principal Financial Officer pursuant to Rules 13a-15(e)/15d-15(e) of the Securities Exchange Act, as amended (Section 302 Certification) 32.1 Certification of the Principal Executive Officer pursuant to 18 U.S.C. Section 1350 (Section 906 Certification) 32.2 Certification of the Principal Financial Officer pursuant to 18 U.S.C. Section 1350 (Section 906 Certification) * Pursuant to Rule 24b-2 of the Exchange Act, confidential portions of this exhibit have been deleted and filed separately with the Securities and Exchange Commission pursuant to a request for confidential treatment. 30