AtriCure, Inc. ((ATRC), a leading innovator in treatments for atrial fibrillation (Afib) and left atrial appendage (LAA) management, today announced third quarter 2021 financial results.

"Our results were driven by strong growth across key product lines, including the addition of new Cryo Nerve Block and Hybrid AF™ Therapy accounts, providing further validation of demand across our business," said Michael Carrel, President and Chief Executive Officer of AtriCure. "We feel encouraged by our progress this quarter and are well positioned to capitalize upon the recent approval from the CONVERGE™ trial. I remain impressed with the excellence our team delivers as they continue to execute against a difficult backdrop as the impacts of the delta variant were felt across the country."

Third Quarter 2021 Financial Results

Revenue for the third quarter 2021 was $70.5 million, an increase of 28.7% (an increase of 28.6% on a constant currency basis) over third quarter 2020 revenue. U.S. revenue was $57.5 million, an increase of $12.8 million or 28.7%, compared to third quarter 2020 revenue. U.S. revenue reflected healthy growth across all product lines as conditions improved from 2020 as a result of stabilizing cardiac surgery procedure volumes and increasing demand for our Cryo Nerve Block and Hybrid AF therapy products. International revenue increased $2.9 million or 28.5% (an increase of 27.9% on a constant currency basis) to $12.9 million, reflecting rebounding activity and growth in most major markets and across product lines. On a sequential basis, worldwide revenue for the third quarter 2021 decreased approximately 1.3% over second quarter 2021.

Gross profit for the third quarter 2021 was $52.2 million compared to $40.3 million for the third quarter 2020. Gross margin was 74.1% and 73.7% for the third quarters 2021 and 2020 respectively, reflecting a favorable product mix.

Income from operations for the third quarter 2021 was $98.7 million, compared to a loss from operations of $4.0 million for the third quarter 2020. Third quarter 2021 income from operations includes a $189.9 million credit to operating expenses for the change in fair value of contingent consideration, offset partially by a $82.3 million intangible asset impairment charge for the IPR&D asset associated with the aMAZE™ trial. Basic and diluted net income per share was $2.15 and $2.11, respectively, for the third quarter 2021, compared to basic and diluted loss per share of $0.11 for the third quarter 2020.

Adjusted EBITDA was positive for the third quarters 2021 and 2020, at $0.7 million and $4.2 million, respectively. Adjusted loss per share for the third quarter 2021 was $0.23 compared to $0.11 for the third quarter 2020.

Constant currency revenue, adjusted EBITDA and adjusted loss per share are non-GAAP measures. We discuss these non-GAAP measures and provide reconciliations to GAAP measures later in this release.

2021 Financial Guidance

Management is maintaining revenue guidance for full year 2021 at a range of $270 to $275 million, corresponding to growth of approximately 31% to 33% for the year. As with previous guidance, continued uncertainty relating to the dynamic environment with the COVID-19 pandemic could materially impact this projection. The Company is also maintaining guidance for full year 2021 adjusted EBITDA loss of approximately $10 million and an adjusted loss per share of approximately $1.20.

Conference Call

AtriCure will host a conference call at 4:30 p.m. Eastern Time on Wednesday, November 3, 2021 to discuss its third quarter 2021 financial results. The call may be accessed through an operator by calling (844) 884-9951 for domestic callers and (661) 378-9661 for international callers using conference ID number 5139213. A live audio webcast of the presentation may be accessed by visiting the Investors page of AtriCure's corporate website at ir.atricure.com. A replay of the presentation will be available for 90 days following the presentation.

About AtriCure

AtriCure, Inc. provides innovative technologies for the treatment of Afib and related conditions. Afib affects more than 33 million people worldwide. Electrophysiologists and cardiothoracic surgeons around the globe use AtriCure technologies for the treatment of Afib and reduction of Afib related complications. AtriCure's Isolator^®Synergy™ Ablation System is the first medical device to receive FDA approval for the treatment of persistent Afib. AtriCure's AtriClip Left Atrial Appendage Exclusion System products are the most widely sold LAA management devices worldwide. AtriCure's Hybrid AF™ Therapy is a minimally invasive procedure that provides a lasting solution for long-standing persistent Afib patients. AtriCure's cryoICE cryoSPHERE^® probe is cleared for temporary ablation of peripheral nerves to block pain, providing pain relief in cardiac and thoracic procedures. For more information, visit AtriCure.com or follow us on Twitter @AtriCure. The information contained on our website, Twitter or any other third-party website is not incorporated by reference in this earnings release.

Forward-Looking Statements

This press release contains "forward-looking statements"– that is, statements related to future events that by their nature address matters that are uncertain. This press release also includes forward-looking projected financial information that is based on current estimates and forecasts. Actual results could differ materially. For details on the uncertainties that may cause our actual results to be materially different than those expressed in our forward-looking statements, visit http://www.atricure.com/fls as well as our Annual Reports on Form 10-K and Quarterly Reports on Form 10-Q which contain risk factors. Except where otherwise noted, the information contained in this release and the related attachment is as of November 3, 2021. We assume no obligation to update any forward-looking statements contained in this release and the related attachment as a result of new information or future events or developments.

Use of Non-GAAP Financial Measures

To supplement AtriCure's condensed consolidated financial statements prepared in accordance with accounting principles generally accepted in the United States of America, or GAAP, AtriCure provides certain non-GAAP financial measures in this release as supplemental financial metrics.

Revenue reported on a constant currency basis is a non-GAAP measure, calculated by applying previous period foreign currency exchange rates, which are determined by the average daily Euro to Dollar exchange rate, to each of the comparable periods. Management analyzes revenue on a constant currency basis to better measure the comparability of results between periods. Because changes in foreign currency exchange rates have a non-operating impact on revenue, the Company believes that evaluating growth in revenue on a constant currency basis provides an additional and meaningful assessment of revenue to both management and investors.

Adjusted EBITDA is calculated as net income (loss) before other income/expense (including interest), income tax expense, depreciation and amortization expense, share-based compensation expense, acquisition costs, legal settlement costs, impairment of intangible asset, and change in fair value of contingent consideration liabilities. Due to the nonrecurring nature of the third quarter 2021 impairment of an intangible asset, the Company has modified the calculation of adjusted EBITDA to exclude impairment charges. The impairment of intangible asset reflects the one-time charge recognized by the Company as a result of the impact of aMAZE trial results on the related IPR&D asset. The Company believes it is now appropriate to modify the calculation of adjusted EBITDA to exclude impairment of intangible asset because the Company has concluded that such adjustment is generally nonrecurring and is not reflective of the operational results of the Company's core business. The Company also believes this approach is more comparable to peer company reporting.

Management believes in order to properly understand short-term and long-term financial trends, investors may wish to consider the impact of these excluded items in addition to GAAP measures. The excluded items vary in frequency and/or impact on our continuing results of operations and management believes that the excluded items are typically not reflective of our ongoing core business operations and financial condition. Further, management uses adjusted EBITDA for both strategic and annual operating planning. A reconciliation of adjusted EBITDA reported in this release to the most comparable GAAP measure for the respective periods appears in the table captioned "Reconciliation of Non-GAAP Adjusted Income (Loss) (Adjusted EBITDA)" later in this release.

Adjusted income (loss) per share is a non-GAAP measure which calculates the net income (loss) per share before non-cash adjustments in fair value of contingent consideration liabilities and impairment of intangible asset. Due to the nonrecurring nature of the impairment of intangible asset, the Company believes it is now appropriate to modify the calculation of adjusted income (loss) per share to exclude such amount. A reconciliation of adjusted income (loss) per share reported in this release to the most comparable GAAP measure for the respective periods appears in the table captioned "Reconciliation of Non-GAAP Adjusted Income (Loss) Per Share" later in this release.

The non-GAAP financial measures used by AtriCure may not be the same or calculated in the same manner as those used and calculated by other companies. Non-GAAP financial measures have limitations as analytical tools and should not be considered in isolation or as a substitute for AtriCure's financial results prepared and reported in accordance with GAAP. We urge investors to review the reconciliation of these non-GAAP financial measures to the comparable GAAP financials measures included in this press release, and not to rely on any single financial measure to evaluate our business.

ATRICURE, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(In Thousands, Except Per Share Amounts)
(Unaudited)

	Three Months Ended September 30,						Nine Months Ended September 30,
	2021			2020			2021			2020
United States Revenue:
Open ablation	$	23,779		$	19,911		$	69,693		$	54,679
Minimally invasive ablation	9,990			6,979			28,077			18,295
Appendage management	23,401			17,430			69,144			47,870
Total ablation and appendage management	57,170			44,320			166,914			120,844
Valve tools	367			381			1,002			994
Total United States	57,537			44,701			167,916			121,838
International Revenue:
Open ablation	6,699			4,907			16,629			13,766
Minimally invasive ablation	1,849			1,692			4,698			4,346
Appendage management	4,373			3,445			11,825			8,778
Total ablation and appendage management	12,921			10,044			33,152			26,890
Valve tools	2			12			43			78
Total international	12,923			10,056			33,195			26,968
Total revenue	70,460			54,757			201,111			148,806
Cost of revenue	18,234			14,423			50,267			41,934
Gross profit	52,226			40,334			150,844			106,872
Operating (benefit) expenses:
Research and development expenses	11,284			10,576			34,698			32,199
Selling, general and administrative expenses	49,873			33,557			150,939			106,257
Change in fair value of contingent consideration	(189,900		)	192			(184,800		)	(4,854		)
Intangible asset impairment	82,300			—			82,300			—
Total operating (benefit) expenses	(46,443		)	44,325			83,137			133,602
Income (loss) from operations	98,669			(3,991		)	67,707			(26,730		)
Other expense, net	(1,523		)	(962		)	(3,632		)	(2,847		)
Income (loss) before income tax expense	97,146			(4,953		)	64,075			(29,577		)
Income tax expense (benefit)	38			(4		)	135			16
Net income (loss)	$	97,108		$	(4,949	)	$	63,940		$	(29,593	)
Basic net income (loss) per share	$	2.15		$	(0.11	)	$	1.42		$	(0.71	)
Diluted net income (loss) per share	$	2.11		$	(0.11	)	$	1.39		$	(0.71	)
Weighted average shares used in computing net income (loss) per share:
Basic	45,258			44,012			44,977			41,442
Diluted	46,100			44,012			45,996			41,442

ATRICURE, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS
(In Thousands)
(Unaudited)

	September 30, 2021			December 31, 2020
Assets
Current assets:
Cash, cash equivalents, and short-term investments	$	119,746		$	244,218
Accounts receivable, net	33,498			23,146
Inventories	38,587			35,026
Prepaid and other current assets	3,876			4,347
Total current assets	195,707			306,737
Property and equipment, net	29,901			28,290
Operating lease right-of-use assets	2,465			1,914
Long-term investments	105,097			14,178
Goodwill and intangible assets, net	278,744			362,980
Other noncurrent assets	1,055			440
Total assets	$	612,969		$	714,539
Liabilities and Stockholders' Equity
Current liabilities:
Accounts payable and accrued liabilities	$	49,373		$	40,720
Other current liabilities and current maturities of debt and leases	4,581			8,417
Total current liabilities	53,954			49,137
Long-term debt	56,354			53,435
Finance lease liabilities	10,317			10,969
Operating lease liabilities	1,593			1,180
Contingent consideration and other noncurrent liabilities	2,282			187,424
Total liabilities	124,500			302,145
Stockholders' equity:
Common stock	46			45
Additional paid-in capital	755,048			742,389
Accumulated other comprehensive (loss) income	(213		)	312
Accumulated deficit	(266,412		)	(330,352		)
Total stockholders' equity	488,469			412,394
Total liabilities and stockholders' equity	$	612,969		$	714,539

ATRICURE, INC. AND SUBSIDIARIES
RECONCILIATION OF GAAP RESULTS TO NON-GAAP RESULTS
(In Thousands)
(Unaudited)

Reconciliation of Non-GAAP Adjusted Income (Loss) (Adjusted EBITDA)

	Three Months Ended September 30,						Nine Months Ended September 30,
	2021			2020			2021			2020
Net income (loss), as reported	$	97,108		$	(4,949	)	$	63,940		$	(29,593	)
Income tax expense (benefit)	38			(4		)	135			16
Other expense, net	1,523			962			3,632			2,847
Depreciation and amortization expense	2,828			2,479			7,608			7,381
Share-based compensation expense	6,794			5,549			20,539			16,126
Change in fair value of contingent consideration	(189,900		)	192			(184,800		)	(4,854		)
Intangible asset impairment	82,300			—			82,300			—
Acquisition costs	—			—			—			138
Non-GAAP adjusted income (loss) (adjusted EBITDA)	$	691		$	4,229		$	(6,646	)	$	(7,939	)

Reconciliation of Non-GAAP Adjusted Loss Per Share

	Three Months Ended September 30,						Nine Months Ended September 30,
	2021			2020			2021			2020
Net income (loss), as reported	$	97,108		$	(4,949	)	$	63,940		$	(29,593	)
Change in fair value of contingent consideration	(189,900		)	192			(184,800		)	(4,854		)
Intangible asset impairment	82,300			—			82,300			—
Non-GAAP adjusted net loss	$	(10,492	)	$	(4,757	)	$	(38,560	)	$	(34,447	)
Basic and diluted adjusted net loss per share	$	(0.23	)	$	(0.11	)	$	(0.86	)	$	(0.83	)
Weighted average shares used in computing adjusted net loss per share
Basic and diluted	45,258			44,012			44,977			41,442

View source version on businesswire.com: https://www.businesswire.com/news/home/20211103006056/en/

AtriCure Reports Third Quarter 2021 Financial Results