atrc-20210804x8k
false000132388500013238852021-08-042021-08-04

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, DC 20549

 

FORM 8-K

 

CURRENT REPORT

PURSUANT TO SECTION 13 OR 15(d) of the

SECURITIES EXCHANGE ACT OF 1934

Date of Report (Date of earliest event reported): August 4, 2021

 

AtriCure, Inc.

(Exact name of registrant as specified in charter)

 

Delaware

(State or other jurisdiction of incorporation)

000-51470

(Commission File Number)

34-1940305

(IRS Employer Identification No.)

7555 Innovation Way, Mason OH 45040

(Address of Principal Executive Offices, and Zip Code)

(513) 755-4100

(Registrant’s Telephone Number, Including Area Code)

Not Applicable

(Former name or former address, if changed since last report)

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below):

 

Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

 

Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

 

Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Securities registered pursuant to Section 12(b) of the Act:

 

Title of each class

Trading Symbol(s)

Name of each exchange on which registered

Common Stock, $.001 par value

ATRC

NASDAQ

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).

Emerging growth company

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.  

 


Item 2.02.    Results of Operations and Financial Condition.

On August 4, 2021, AtriCure, Inc. issued a press release regarding its financial results for the second quarter ended June 30, 2021. The Company will hold a conference call on August 4, 2021 at 4:30 p.m. Eastern Time to discuss the financial results. A copy of the press release is furnished as Exhibit 99.1 to this Form 8-K and is incorporated herein by reference.

Item 7.01.    Regulation FD Disclosure.

In July 2021, the Company was informed that data from the aMAZE clinical trial did not achieve statistical superiority. Specifically, while the trial met the safety endpoint, the trial did not meet the primary efficacy endpoint. The Company is in the process of analyzing the aMAZE trial data and determining next steps for the trial and any related future development activities. While we are unable to estimate the anticipated financial statement impact at this time, we expect potential adjustments, which may be material, will be recognized and reported within the second half of 2021. These adjustments could impact the Company’s future results of operations and financial condition.

In connection with the issuance of the press release described above, the Company is providing an updated version of its investor presentation. This presentation is available at www.ir.atricure.com, is furnished as Exhibit 99.2 to this Form 8-K and is incorporated herein by reference.

Information in the presentation contains forward-looking statements regarding future events and performance of the Company. All such forward-looking statements are based largely on the Company’s experience and perception of current conditions, trends, expected future developments and other factors, and on management’s expectations, and are subject to risks and uncertainties that could cause actual results to differ materially, including, but not limited to, those factors described in the presentation and in the Company’s filings with the Securities and Exchange Commission. The Company disclaims any intention or obligation to update or revise any financial or other projections or other forward-looking statements, whether because of new information, future events or otherwise.

The information in Item 2.02 and Item 7.01 of Form 8-K and in the press release attached as Exhibit 99.1, and the presentation attached as Exhibit 99.2 is being furnished and shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities of that Section. The information in Item 2.02 and Item 7.01 of this Form 8-K and each of Exhibit 99.1 and Exhibit 99.2 shall not be incorporated by reference in any filing or other document under the Securities Act of 1933, as amended, or the Exchange Act, except as shall be expressly set forth by specific reference in any such filing or document.

Item 9.01    Financial Statements and Exhibits.

(d)    Exhibits

No.

Description

99.1

Press Release dated August 4, 2021 relating to financial results for the second quarter ended June 30, 2021

99.2

Investor Presentation updated as of August 4, 2021

104

 

Cover Page Interactive Data File--the cover page XBRL tags are embedded within the Inline XBRL document.



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 hereunto duly authorized.

ATRICURE, INC.

Dated:

August 4, 2021

By:

/s/ Angela L. Wirick

Angela L. Wirick

Chief Financial Officer

Exhibit 991

 

 

Picture 1

Exhibit 99.1

 

For immediate release

August 4,  2021



AtriCure Reports Second Quarter 2021 Financial Results

MASON, Ohio, August 4,  2021AtriCure, Inc.  (Nasdaq: ATRC), a leading innovator in treatments for atrial fibrillation (Afib) and left atrial appendage (LAA) management, today announced second quarter 2021 financial results.



“Our second quarter results were driven by outperformance across our business, as strong underlying demand returned and we saw continued progress toward making our platforms the standard of care,” said Michael Carrel, President and Chief Executive Officer of AtriCure. “We are poised for accelerating growth with the recent FDA approval of our EPi-Sense® System to improve the lives of millions of patients with long-standing persistent Afib. This approval enriches the foundation of our Company, built on core technologies which continue to deliver solid growth as we address vastly underpenetrated markets.” 

 

Second Quarter 2021 Financial Results 

Revenue for the second quarter of 2021 was $71.4 million, an increase of 74.8% (an increase of 73.5% on a constant currency basis) over second quarter 2020 revenue. U.S. revenue was  $60.1 million,  an increase of $26.4 million or 78.4%, compared to second quarter 2020 revenue. U.S. revenue growth was seen across all product lines, driven by the receding impact of the COVID-19 pandemic in 2021 which resulted in stabilizing cardiac surgery procedure volumes and increasing demand.  International revenue increased $4.1 million or 57.9% (an increase of 50.2% on a constant currency basis) to $11.3 million, reflecting growth in most major markets and across product lines. On a sequential basis, worldwide revenue for the second quarter 2021 increased approximately 20% over first quarter 2021.



Gross profit for the second quarter of 2021 was $54.1 million compared to $27.7 million for the second quarter of 2020. Gross margin was 75.8%  and 67.7%  for the second quarters of 2021 and 2020 respectively, reflecting the increase in revenue and reduced fixed cost burden on cost of revenue with the return to normal production in 2021, along with the favorable impact of both geographic and product mix.



Loss from operations for the second quarter of 2021 was $15.1 million, compared to $7.3 million for the second quarter of 2020. Net loss per share was $0.36 for the second quarter of 2021, compared to $0.20 for the second quarter of 2020.



Adjusted EBITDA was a loss of $2.7 million for the second quarter of 2021 compared to a  $6.1 million loss for the second  quarter of 2020. Adjusted loss per share for the second quarter of 2021 was $0.30 compared to $0.38 for the second quarter of 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 updating revenue guidance for full year 2021 to 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 maintaining guidance for full year 2021 adjusted EBITDA loss of approximately $10 million, and updating guidance for 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,  August 4,  2021 to discuss its second 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 8299332. 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 AFTM 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.



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. We do not undertake to update our forward-looking statements.



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 loss before other income/expense (including interest), income tax expense, depreciation and amortization expense, share-based compensation expense, acquisition costs,  legal settlement costs, and change in fair value of contingent consideration liabilities. 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 loss per share is a non-GAAP measure which calculates the net loss per share before non-cash adjustments in fair value of contingent consideration liabilities and legal settlement costs. A reconciliation of adjusted 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 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.



 

 


 

CONTACTS:



Angie Wirick

AtriCure, Inc.

Chief Financial Officer

(513) 755-5334

awirick@atricure.com



Lynn Pieper Lewis

Gilmartin Group

Investor Relations

(415) 937-5402

lynn@gilmartinir.com

 

 


 





 

 

 

 

 

 

 

 

 

 

 

ATRICURE, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(In Thousands, Except Per Share Amounts)

(Unaudited)



 

 

 

 

 

 

 

 

 

 

 



Three Months Ended June 30,

 

Six Months Ended June 30,



2021

 

2020

 

2021

 

2020

United States Revenue:

 

 

 

 

 

 

 

 

 

 

 

Open ablation

$

24,839 

 

$

15,550 

 

$

45,914 

 

$

34,768 

Minimally invasive ablation

 

9,702 

 

 

4,755 

 

 

18,087 

 

 

11,316 

Appendage management

 

25,156 

 

 

13,021 

 

 

45,743 

 

 

30,440 

Total ablation and appendage management

 

59,697 

 

 

33,326 

 

 

109,744 

 

 

76,524 

Valve tools

 

373 

 

 

338 

 

 

635 

 

 

613 

Total United States

 

60,070 

 

 

33,664 

 

 

110,379 

 

 

77,137 

International Revenue:

 

 

 

 

 

 

 

 

 

 

 

Open ablation

 

5,513 

 

 

3,744 

 

 

9,930 

 

 

8,859 

Minimally invasive ablation

 

1,575 

 

 

1,109 

 

 

2,849 

 

 

2,654 

Appendage management

 

4,194 

 

 

2,271 

 

 

7,452 

 

 

5,333 

Total ablation and appendage management

 

11,282 

 

 

7,124 

 

 

20,231 

 

 

16,846 

Valve tools

 

24 

 

 

36 

 

 

41 

 

 

66 

Total international

 

11,306 

 

 

7,160 

 

 

20,272 

 

 

16,912 

Total revenue

 

71,376 

 

 

40,824 

 

 

130,651 

 

 

94,049 

Cost of revenue

 

17,298 

 

 

13,170 

 

 

32,033 

 

 

27,511 

Gross profit

 

54,078 

 

 

27,654 

 

 

98,618 

 

 

66,538 

Operating expenses:

 

 

 

 

 

 

 

 

 

 

 

Research and development expenses

 

12,197 

 

 

10,036 

 

 

23,414 

 

 

21,623 

Selling, general and administrative expenses

 

56,958 

 

 

24,903 

 

 

106,166 

 

 

67,654 

Total operating expenses

 

69,155 

 

 

34,939 

 

 

129,580 

 

 

89,277 

Loss from operations

 

(15,077)

 

 

(7,285)

 

 

(30,962)

 

 

(22,739)

Other expense, net

 

(1,108)

 

 

(939)

 

 

(2,109)

 

 

(1,885)

Loss before income tax expense

 

(16,185)

 

 

(8,224)

 

 

(33,071)

 

 

(24,624)

Income tax expense (benefit)

 

66 

 

 

12 

 

 

97 

 

 

20 

Net loss

$

(16,251)

 

$

(8,236)

 

$

(33,168)

 

$

(24,644)

Basic and diluted net loss per share

$

(0.36)

 

$

(0.20)

 

$

(0.74)

 

$

(0.61)

Weighted average shares used in computing net loss per share:

 

 

 

 

 

 

 

 

 

 

 

Basic and diluted

 

45,035 

 

 

41,649 

 

 

44,834 

 

 

40,160 



 

 

 

 

 

 

 

 

 

 

 





 

 


 

 

 

 

 

 

 

ATRICURE, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETS

(In Thousands)

(Unaudited)



 

 

 

 

 



June 30,

 

December 31,



2021

 

2020

Assets

 

 

 

 

 

Current assets:

 

 

 

 

 

Cash, cash equivalents, and short-term investments

$

159,865 

 

$

244,218 

Accounts receivable, net

 

33,835 

 

 

23,146 

Inventories

 

37,608 

 

 

35,026 

Prepaid and other current assets

 

4,636 

 

 

4,347 

Total current assets

 

235,944 

 

 

306,737 

Property and equipment, net

 

30,175 

 

 

28,290 

Operating lease right-of-use assets

 

2,683 

 

 

1,914 

Long-term investments

 

69,770 

 

 

14,178 

Goodwill and intangible assets, net

 

362,015 

 

 

362,980 

Other noncurrent assets

 

488 

 

 

440 

Total assets

$

701,075 

 

$

714,539 

Liabilities and Stockholders' Equity

 

 

 

 

 

Current liabilities:

 

 

 

 

 

Accounts payable and accrued liabilities

$

48,940 

 

$

40,720 

Other current liabilities and current maturities of debt and leases

 

18,493 

 

 

8,417 

Total current liabilities

 

67,433 

 

 

49,137 

Long-term debt

 

43,669 

 

 

53,435 

Finance lease liabilities

 

10,540 

 

 

10,969 

Operating lease liabilities

 

1,833 

 

 

1,180 

Contingent consideration and other noncurrent liabilities

 

192,517 

 

 

187,424 

Total liabilities

 

315,992 

 

 

302,145 

Stockholders' equity:

 

 

 

 

 

Common stock

 

46 

 

 

45 

Additional paid-in capital

 

748,644 

 

 

742,389 

Accumulated other comprehensive (loss) income

 

(87)

 

 

312 

Accumulated deficit

 

(363,520)

 

 

(330,352)

Total stockholders' equity

 

385,083 

 

 

412,394 

Total liabilities and stockholders' equity

$

701,075 

 

$

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 June 30,

 

Six Months Ended June 30,



2021

 

2020

 

2021

 

2020

Net loss, as reported

$

(16,251)

 

$

(8,236)

 

$

(33,168)

 

$

(24,644)

Income tax expense

 

66 

 

 

12 

 

 

97 

 

 

20 

Other expense, net

 

1,108 

 

 

939 

 

 

2,109 

 

 

1,885 

Depreciation and amortization expense

 

2,658 

 

 

2,458 

 

 

4,780 

 

 

4,902 

Share-based compensation expense

 

7,141 

 

 

6,193 

 

 

13,745 

 

 

10,577 

Contingent consideration adjustment

 

2,600 

 

 

(7,504)

 

 

5,100 

 

 

(5,046)

Acquisition costs

 

 —

 

 

39 

 

 

 —

 

 

138 

Non-GAAP adjusted loss (adjusted EBITDA)

$

(2,678)

 

$

(6,099)

 

$

(7,337)

 

$

(12,168)



 

 

 

 

 

 

 

 

 

 

 



 

 

 

 

 

 

 

 

 

 

 



 

 

 

 

 

 

 

 

 

 

 

Reconciliation of Non-GAAP Adjusted Loss Per Share

 

 

 

 

 

 

 

 

 

 

 



 

 

 

 

 

 

 

 

 

 

 



Three Months Ended June 30,

 

Six Months Ended June 30,



2021

 

2020

 

2021

 

2020

Net loss, as reported

$

(16,251)

 

$

(8,236)

 

$

(33,168)

 

$

(24,644)

Contingent consideration adjustment

 

2,600 

 

 

(7,504)

 

 

5,100 

 

 

(5,046)

Net loss excluding contingent consideration adjustment

$

(13,651)

 

$

(15,740)

 

$

(28,068)

 

$

(29,690)

Basic and diluted adjusted net loss per share

$

(0.30)

 

$

(0.38)

 

$

(0.63)

 

$

(0.74)

Weighted average shares used in computing adjusted net loss per share

 

 

 

 

 

 

 

 

 

 

 

Basic and diluted

 

45,035 

 

 

41,649 

 

 

44,834 

 

 

40,160 



 

 

 

 

 

 

 

 

 

 

 







 

 


Exhibit 992

Exhibit 99.2

 



Picture 1

AtriCure Investor Presentation Creating a World Class Afib Platform © 2021 AtriCure, Inc. All rights reserved. AtriCure  1 


 



Picture 2

Forward Looking Statements This presentation contains “forward-looking statements,” which are statements related to future events that by their nature address matters that are uncertain. All forward-looking information is inherently uncertain and actual results may differ materially from assumptions, estimates or expectations reflected or contained in the forward-looking statements as a result of various factors. For details on the uncertainties that may cause AtriCure’ s actual results to be materially different than those expressed in its forward-looking statements, see its Annual Report on Form 10-K and Quarterly Report on Form 10-Q filed with the SEC and available at http://www.sec.gov, which contain risk factors. Forward-looking statements address AtriCure’ s expected future business, financial performance, financial condition as well as results of operations, and often contain words such as “intends,” “estimates,” “anticipates,” “hopes,” “projects,” “plans,” “expects,” “seek,” “believes,” "see," “should,” “will,” “would,” “target,” and similar expressions and the negative versions thereof. Such statements are based only upon current expectations of AtriCure. Any forward-looking statement speaks only as of the date made. Reliance should not be placed on forward-looking statements because they involve known and unknown risks, uncertainties and other factors which may cause actual results, performance or achievements to differ materially from those expressed or implied. Forward-looking statements include statements that address activities, events or developments that AtriCure expects, believes or anticipates will or may occur in the future. Forward-looking statements are based on AtriCure’ s experience and perception of current conditions, trends, expected future developments and other factors it believes are appropriate under the circumstances and are subject to numerous risks and uncertainties, many of which are beyond AtriCure’ s control. These risks and uncertainties include, but are not limited to: whether AtriCure will be able to successfully implement commercialization plans for CONVERGE; whether the market opportunity for CONVERGE is consistent with the Company’s expectations and market research; AtriCure’ s ability to execute on the commercial launch of CONVERGE on the timeline expected, or at all; whether AtriCure will be able to generate its projected net product revenue on the timeline expected, or at all; the effects of the COVID-19 outbreak on AtriCure’ s business and results of operations, including the effects of suspension or halting of elective surgeries; other matters that could affect the availability or commercial potential of CONVERGE and AtriCure’ s other products and product candidates; whether AtriCure’ s ongoing clinical trials will meet the specified endpoints and will be approved by FDA and any other required regulatory authorities; competition from new and existing products and procedures in the highly competitive medical device industry; and other important factors, including, AtriCure’ s expectations regarding its financial performance and capital requirements, any of which could cause AtriCure’ s actual results to differ from those contained in the forward-looking statements or otherwise discussed in AtriCure’ s reports filed with the SEC. With respect to the forward-looking statements, AtriCure claims the protection of the safe harbor for forward-looking statements contained in the Private Securities Litigation Reform Act of 1995. AtriCure undertakes no obligation to publicly update or revise any forward-looking statements to reflect new information or future events or otherwise unless required by law. © 2021 AtriCure, Inc. All rights reserved. AtriCure  2 


 



Picture 3

Non-GAAP Financial Measures To supplement AtriCure’ s 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 as supplemental financial metrics in this presentation. Adjusted EBITDA is calculated as Net loss before other income/expense (including interest), income tax expense, depreciation and amortization expense, share-based compensation expense, acquisition costs, legal settlement costs, and change in fair value of contingent consideration liabilities. 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. Adjusted loss per share is a non-GAAP measure which calculates the net loss per share before non-cash adjustments in fair value of contingent consideration liabilities and legal settlement costs. 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, and not to rely on any single financial measure to evaluate our business. © 2021 AtriCure, Inc. All rights reserved. AtriCure 3 


 



Picture 4

We are passionately focused on reducing the global Afib epidemic and healing the lives of those affected Large Markets Addressing an underserved and growing patient population Strong Portfolio Existing products and solutions driving consistent growth Bright Future Novel therapies supported by growing body of clinical evidence © 2021 AtriCure, Inc. All rights reserved. AtriCure 4 


 



Picture 5

Afib: a Serious Problem Atrial Fibrillation (Afib) is an irregular heartbeat (or arrhythmia) that affects more than 33 million people worldwide.1 Approximately 1.2 million Afib diagnoses annually in the US.2 5x Risk of Stroke3 >5x Higher risk of Heart Failure 46% Greater risk of all cause Mortality 5 © 2021 AtriCure, Inc. All rights reserved. AtriCure 


 



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US Market Opportunity $350M Pain Management Procedures (Ablation) Boosting Growth via adjacent new market Estimated 140,000 thoracic patients annually $700-800M Concomitant Open Procedures (Ablation/LAAM) Steady Growth in penetration of Cardiac Surgery Market Estimated 300,000 total patients (Afib, non-Afib) annually with structural heart issue Only PMA product for the concomitant surgical treatment of Afib $2B+ and growing Standalone Hybrid Procedures (Ablation/LAAM) Expansive Growth from development of Standalone Afib Market Vastly underpenetrated market with 10-15% estimated annual market expansion Addressable market is more than 3 million patients; less than 1% treated today 25,000 long-standing persistent patients treated by catheter ablation only today Multiple approaches to treatment Hybrid Convergent + AtriClip®, DEEP Market opportunity based on internal estimates and research, as well as from publicly available information. See Supplemental Information for additional detail. © 2021 AtriCure, Inc. All rights reserved. AtriCure 6 


 



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Significant Global Market Opportunity US Market Focus Continued build of dedicated sales and training expertise Clinical data supporting multiple label expansions New product development Enhanced reimbursement US market opportunity $3B+ annually International market opportunity $2B+ annually International Market Focus Penetration of large markets first Expand product availability Improve market access via reimbursement Continued build of dedicated sales and training expertise Market opportunity based on internal estimates and research, as well as from publicly available information. See Supplemental Information for additional detail. © 2021 AtriCure, Inc. All rights reserved. AtriCure 7 


 



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2021 Priorities: Building for the Future Standalone Hybrid Procedures Ablation and LAAM CONVERGE PMA approval and launch Deepen volumes at existing sites and train new accounts Addition of AtriClip to the Convergent procedure Continued global expansion of commercial and training teams Concomitant Open Ablation EnCompass® Clamp clearance and launch Pain Management Expansion of commercial team, training programs COVID Recovery Supporting our people, patients and partners © 2021 AtriCure, Inc. All rights reserved. AtriCure 8 


 



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CONVERGE: Long-standing Persistent Afib Patient Analysis Freedom from AF/AFL/AT from 3-month blanking period through 12-months and 18-months 29% differential ~78% improvement 35% differential >100% improvement p = 0.022 66% 37% 12-months p = 0.006 61% 26% 18-months 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Covergent Catheter Ablation Superior outcomes with hybrid Convergent procedure when compared to endocardial catheter ablation alone in patients with drug refractory long-standing persistent Afib Data for long-standing persistent patients in the trial demonstrated compelling efficacy and durability Improved EP lab efficiency demonstrated by reduction in endocardial ablation time as a result of adding epicardial ablation © 2021 AtriCure, Inc. All rights reserved. AtriCure 9 


 



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Benefits of the EPi-Sense System and Hybrid AF Therapy Benefits based on 7-day continuous rhythm monitoring at 18-months post procedure Epicardial: Outside the heart 2 Endocardial: Inside the heart TRIGGER AREAS TARGETED where atrial fibrillation begins Emphasizes value of team-based approach for advanced AF treatment ≥90% LESS TIME IN AF For most patients at 1 year Patients in the Hybrid AF Arm report feeling better, both physically + emotionally6 More than 2x AS EFFECTIVE AT STOPPING AA (vs endocardial RF ablation alone) Additive to endocardial catheter ablation Patients are 2x MORE LIKELY TO NO LONGER NEED AF MEDICATION (vs endocardial RF ablation alone) © 2021 AtriCure, Inc. All rights reserved. AtriCure 10 


 



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Commercial Strategy for the EPi-Sense System TARGET Drive utilization with existing and new sites BUILD Train and develop programs, build referral channel LEVERAGE Add AtriClip to Hybrid AF Therapy EXPAND Grow commercial + training teams, broaden internationally AMPLIFY Spread awareness of Hybrid AF Therapy to patients © 2021 AtriCure, Inc. All rights reserved. AtriCure 11 


 



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Innovative and Expanding Product Portfolio Ablation ISOLATOR® SYNERGY™ CLAMP cryoICE® CRYOABLATION PROBE EPI-SENSE® DEVICE cryoSPHERE® CRYOABLATION PROBE 2H 2021 Product Launch: ISOLATOR SYNERGY ENCOMPASS® CLAMP LAA Management ATRICLIP® FLEX DEVICE ATRICLIP PRO® DEVICE ATRICLIP PRO•V® DEVICE ATRICLIP FLEX•V® DEVICE © 2021 AtriCure, Inc. All rights reserved. AtriCure 12 


 



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SPOTLIGHT: Cryo Nerve Block for Pain Management Therapy Overview Long-lasting pain management therapy, designed for use in thoracic surgical procedures Temporarily stops transmission of pain signals coming from the chest wall during surgery Nerve “scaffolds” remain intact allowing axons to regenerate and restore nerve function over time Applicability in a wide variety of thoracic surgical approaches (thoracotomy, video-assisted, robotic) and procedures (resection, transplant, thoracoabdominal, surgical rib fixation, pectus repair) HIGHLIGHTS $350M U.S. market opportunity* Dedicated commercial team established in 2019 and expanding Q1 2019 launch of cryoSPHERE probe Q4 2020 label expansion includes adolescent patients as young as 12 years of age ~7% of 2021 YTD worldwide revenue Continuing to gather data to support evidence development for therapy Potential to contribute to combatting the opioid epidemic – 1 in 7 thoracic surgery patients become reliant upon opioids after their procedure7 * Market opportunity based on internal estimates and research, as well as from publicly available information. © 2021 AtriCure, Inc. All rights reserved. AtriCure 13 


 



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SPOTLIGHT: Isolator SynergyEnCompass® Clamp Product Overview FDA 510(k) clearance to ablate cardiac tissue during surgery Designed with same benefits of the AtriCure Isolator Synergy Clamps: Parallel closure Uniform pressure Synergy algorithm provides custom power Compatible with existing AtriCure RF generator A simpler and faster approach to ablating the heart in open procedures HIGHLIGHTS FDA 510(k) clearance July 2021 Limited initial release beginning 3Q 2021 Full commercial launch expected late 2021 Continue to drive penetration of cardiac surgery market © 2021 AtriCure, Inc. All rights reserved. AtriCure 14 


 



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Key Investments Driving Growth AtriCure Pillars Foundation of our past and strengthening our future Innovation Expanding pipeline to drive Open ablation penetration and build MIS market Clinical Science Hybrid AF Therapy proven by CONVERGE trial: a complimentary and differentiated approach for advanced Afib Education Significant investment in physician education, providing multiple training options Aligning Expertise with Opportunity Dedicated commercial and education teams U.S. Cardiac 54 Sales Managers and 64 Clinical Specialists U.S. Hybrid Therapies 35 Sales and Clinical Specialists U.S. Cryo Nerve Block 21 Sales and Clinical Specialists U.S. Sales Leadership 23 Area Directors across our specialized teams U.S. Education 35 Physician + Field Supporting Roles International 40 Sales and Education Professionals © 2021 AtriCure, Inc. All rights reserved. AtriCure 15 


 



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History of Strong Financial Performance Worldwide Revenue ($ millions) Historical Results Consistent Revenue Growth Strong history of double-digit YoY growth pre-COVID-19 Steady Improvement to Gross Margin pre-COVID-19 $0 $50 $100 $150 $200 $250 2015 129.8 2016 $155.1 2017 $174.7 2018 $201.6 2019 $230.8 2020 $206.5 2021 $272.5* COVID-19 Impact Revenue Growth 20.8% 19.5% 12.6% 15.4% 14.5% (10.5%) Gross Margin 71.6% 71.6% 72.2% 73.0% 73.8% 72.3% © 2021 AtriCure, Inc. All rights reserved. AtriCure 16 


 



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Second Quarter 2021 Financial Highlights WORLDWIDE REVENUE* ($M) Year over Year Sequential Q2 2020 $40.8 75% Q2 2021 $71.4 Q1 2021 $59.3 20% Q2 2021 $71.4 COVID-19 receding in major markets Cardiac surgery procedure volumes stabilizing and demand growing Strong activity across product lines U.S. revenue of $60.1M (84% of revenue) International revenue of $11.3M (16% of revenue) KEY METRICS* GROSS MARGIN 67.7% 75.8% ADJ. EBITDA ($6.1M) ($2.7M) ADJ. LOSS PER SHARE ($0.38) ($0.30) CASH & INVESTMENTS $248M $230M FULL YEAR 2021 GUIDANCE Worldwide Revenue of $270M to $275M Adjusted EBITDA loss of ~$10M Adjusted loss per share of ~$1.20 © 2021 AtriCure, Inc. All rights reserved. AtriCure 17 


 



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An Exciting Future Ahead 2021 2020 2023 2024+ CONVERGE PMA and Hybrid AF Therapy launch Hybrid AF Therapy contribution Platform of therapies for differentiated population of Afib patients ACCELERATING GROWTH IN EP LANDSCAPE CORE TECHNOLOGIES Surgical Ablation || AtriClip || Cryo Nerve Block © 2021 AtriCure, Inc. All rights reserved. AtriCure 18 


 



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Thank You! © 2021 AtriCure, Inc. All rights reserved. AtriCure 19 


 



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Supplemental Information References for any comments, statistics, or figures in this presentation are available upon request. © 2021 AtriCure, Inc. All rights reserved. AtriCure 20 


 



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Key Investment Rationale Large Markets Addressing an underserved and growing patient population Approximately 33 million Atrial Fibrillation patients globally, with majority having advanced forms of the disease1 Multibillion dollar annual market opportunity Current standard of care for intervention (catheter ablation) does not adequately address the most advanced forms of the disease Strong Portfolio Existing products and solutions driving consistent growth Strong history of double-digit revenue growth, driven by great products, clinical evidence, commitment to education, and societal guideline support Only PMA product for the concomitant surgical treatment of Afib The AtriClip device is the most widely used Left Atrial Appendage device with approximately 300,000 sold to date Diverse and expanding product portfolio from internal development and acquisitions Bright Future Novel therapies supported by growing body of clinical evidence Only PMA product for treatment of LS persistent Afib with Hybrid AF Therapy Growing pain management business to address pain associated with surgery Early in market development process – evolution to minimally invasive therapies will drive growth, diversifying and accelerating in 2022 and beyond © 2021 AtriCure, Inc. All rights reserved. AtriCure 21 


 



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COVID-19 Response Positioning AtriCure for long-term growth Health & Safety Provide a safe work environment for our employees Enabling employees to work remotely and evaluating hybrid workplans Providing personal protection and other measures to ensure the safety of those working in our offices Limiting non-essential travel Maintaining Operations Deliver products and support to our customers Maintaining manufacturing, assembly, fulfillment – modified to adhere to safety recommendations Continuing case coverage support Utilizing online and mobile training venues to educate our customers While our plans will continue to evolve in response to changes caused by the COVID-19 pandemic, we remain committed to the AtriCure Team and to the execution of our strategic initiatives. © 2021 AtriCure, Inc. All rights reserved. AtriCure 22 


 



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Two Distinct Patient Profiles Referring Physician: GP, Cardiologist STRUCTURAL HEART ISSUE Surgery required – Afib corrected at same time (Valve, CABG) GUIDELINES8 Surgical Ablation is RECOMMENDED LAA management is REASONABLE Concomitant Open Procedures (Ablation/LAAM) NO STRUCTURAL ISSUE Afib is primary concern Intervention is better choice Medicine is effective Paroxysmal (occasional) Persistent Long-Standing Persistent Type of Afib matters! Afib is a progressive disease Standalone Hybrid Procedures (Ablation/LAAM) Catheter often first line of treatment © 2021 AtriCure, Inc. All rights reserved. AtriCure 23 


 



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US Concomitant Market Opportunity Estimated Afib Opportunity in Cardiac Surgery Annual Cardiac Surgeries12 300,000 Pre-Operative Afib Rate10 ~28% Cardiac Opportunity – Pre-Op Afib 85,000 ASP Mix (Ablation and Appendage Management)13 $4,500 Open Cardiac Surgery Opportunity – Afib $382M Estimated Non-Afib Opportunity in Cardiac Surgery Annual Cardiac Surgeries 300,000 Pre-Operative Non-Afib Rate ~72% Cardiac Opportunity – Pre-Op Afib 215,000 ASP Mix (Appendage Management ONLY)13 $1,750 Open Cardiac Surgery Opportunity – Non-Afib $376M US annual cardiac surgery volume steady over the past 5 years with shifts in procedure types9 Pre-Op Afib occurs frequently in cardiac surgery patients10 New onset Post-Op Afib is a well-documented complication of cardiac surgery, even if patients do not present with pre-op Afib11 © 2021 AtriCure, Inc. All rights reserved. AtriCure 24 


 



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US Standalone Market Opportunity Estimated Standalone Afib Opportunity 2020 Projected 2025 Long-standing Persistent Afib Catheter Ablation16 25,000 45,000 ASP Mix (Ablation + Appendage Management)13 $15,000 $15,000 Immediate Standalone Afib Opportunity $375M $675M Additional penetration Long-standing Persistent Afib patients (estimated at 5% penetration) 150,000 175,000 ASP Mix (Ablation + Appendage Management)13 $15,000 $15,000 Incremental Standalone Afib Opportunity (estimated at 5% penetration) $2B+ $3B+ Market opportunity in analysis at left considers: Addition of ablation and LAAM to existing catheter ablation procedures Catheter ablation procedures have grown 10-15% annually14 Incremental penetration of advanced Afib patient population Today, long-standing persistent Afib population represents more than 3 million patients in the United States, expected to grow to more than 4.4 million by 202515 ASP Mix reflects both ablation and AtriClip © 2021 AtriCure, Inc. All rights reserved. AtriCure 25 


 



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CONVERGE Overview SUPERIORITY TRIAL designed to support FDA approval of the EPi-Sense device Achieved statistical superiority for primary endpoints STUDY DESIGN Summary Multi-center, prospective, open label randomized 2:1 (Hybrid Convergent procedure vs endocardial catheter ablation) pivotal study Number of Subjects and Sites 153 subjects 27 sites (25 US and 2 OUS) Study Duration 12 month and 18 month monitoring, then 3 and 5 year follow-up of all subjects PRIMARY ENDPOINTS Effectiveness Primary efficacy endpoint is success or failure to be AF/AT/AFL free absent class I and III AADs except for a previously failed or intolerant class I or III AAD with no increase in dosage following the 3 month blanking period through the 12 months post procedure follow-up visit Safety Predetermined performance goal for the study is 12% freedom from MAE’s as adjudicated by the CEC for the procedural to 30-day post procedure time period CONVERGE Clinical Trial HIGHLIGHTS Completed enrollment August 2018 Data released at virtual Heart Rhythm Society (HRS) conference May 2020 PMA submission seeking approval for treatment of long-standing persistent Afib November 2020 Trial results published in Circulation: Arrhythmia and Electrophysiology November 2020 Long-standing persistent Afib patient sub-group analysis presented at 26th Annual Atrial Fibrillation (AF) Symposium January 2021 and 14th Annual Western AF Symposium February 2021 FDA approval of EPi-Sense System for treatment of long-standing persistent Afib April 2021 © 2021 AtriCure, Inc. All rights reserved. AtriCure 26 


 



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Hybrid AF Therapy: the Convergent Procedure LV PA Aorta SVC Pericardial Reflections RA IVC Epicardial Lesions of Convergent Procedure Endocardial Lesions of Convergent Procedure © 2021 AtriCure, Inc. All rights reserved. AtriCure 27 


 



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The Cox-Maze IV Procedure Left Atrial Appendage Coronary Sinus Mitral Annulus Circumflex Coronary Artery 1 2 3 4 5 6a 6b SC Right Atrial Appendage Right Coronary Artery Tricuspid Annulus IVC 1 2 3 4 5 Bipolar RF Clamp Surgical Incision Cryo- Edocardial Cryo – Epicardial © 2021 AtriCure, Inc. All rights reserved. AtriCure 28 


 



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aMAZE Overview SUPERIORITY TRIAL designed to evaluate safety and effectiveness of the LARIAT System to percutaneously isolate and ligate the Left Atrial Appendage for the treatment of persistent or longstanding persistent Afib STUDY DESIGN Summary Multi-center, prospective, open label randomized 2:1 Control Arm – PVI Treatment Arm – PVI + Ligation of LAA with Lariat System Number of Subjects and Sites 600 subjects; 65 sites, all U.S. Study Duration 12 month monitoring and then 5-year follow-up of all subjects PRIMARY ENDPOINTS Effectiveness - Freedom from episodes of Afib >30 seconds at 12 months post index pulmonary vein isolation Safety - Primary safety endpoint for the study is 10% freedom from MAE’s as adjudicated by the CEC for the period from the procedure through 30 days Time Frame: 12 months following pulmonary vein isolation catheter ablation procedure, measured by 24-hour Holter monitoring amaze LARIAT Clinical Trial HIGHLIGHTS Acquired SentreHEART® August 2019 Trial enrollment completed December 2019 Final patient follow-up in 1H 2021 Unblinded to trial results in July 2021; trial met safety goal but did not meet the primary effectiveness endpoint © 2021 AtriCure, Inc. All rights reserved. AtriCure 29 


 



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References and Abbreviations Note Reference 1 Worldwide Epidemiology of Atrial Fibrillation: A Global Burden of Disease 2010 Study 2 The American Journal of Cardiology (2013), 112: 1142-1147 3 J Geriatr Cardiol. 2016 Oct; 13(10): 880–882, doi: 10.11909/j.issn.1671-5411.2016.10.004 4 Santhanakrishnan R et al., “AF Begets Heart Failure and Vice Versa,” Circulation, 133 (2016):484-492 5 Odutayo, A. et al. (2016). Atrial fibrillation and risks of cardiovascular disease, renal disease, and deaths systematic review and meta analysis. BMJ 2016; 354:i4482 6 IFU for EPi-Sense® Guided Coagulation System Data: PMA# P200002 7 The Society of Thoracic Surgeons, Current News Release (1/30/2018): 1 in 7 Lung Surgery Patients at Risk for Opioid Dependence 8 The Society of Thoracic Surgeons 2017 Clinical Practice Guidelines for the Surgical Treatment of Atrial Fibrillation 9 STS Adult Cardiac Surgery Database, 2018/2019 Harvest Executive Summary 10 McCarthy, P.M. et al. (2019). Prevalence of atrial fibrillation before cardiac surgery and factors associated with concomitant ablation. J Thorac Cardiovasc Surg, PII: S0022-5223(19)31361-3, DOI: 10.1016/J.JTCVS.2019.06.062. 11 Lin et al, Stroke 2019 Jun; 50(6):1364-1371. doi: 10.1161/STROKEAHA.118.023921. Epub 2019 May 2. 12 Harvested from data previously available through the Society of Thoracic Surgeons 13 Average Selling Prices (ASPs) are management estimates based on a mix of products used for the various procedures 14 Estimated based on various catheter company presentations 15 Medical management estimate: Colilia, et al. Estimates of Current and Future Incidence and Prevalence of Atrial Fibrillation in the U.S. Adult Population. Am Journal of Cardiology 2013, 112: 1142-1147 Persistent patient estimate: Berisso et al Epidemiology of atrial fibrillation: European perspective Clin Epidemiol. 2014; 6: 213–220 16 Estimated based on Advisory Board data, along with various scientific presentations Key Abbreviations Afib or AF Atrial Fibrillation AA Atrial Arrythmia AAD Anti-Arrhythmic Drugs AFL Atrial Flutter AT Atrial Tachycardia CABG Coronary Artery Bypass Graft CEC Clinical Events Committee EP Electrophysiologist FDA Food & Drug Administration LAA Left Atrial Appendage LAAM LAA Management LS Long-standing MAE Material Adverse Event PMA Pre-Market Approval PVI Pulmonary Vein Isolation RF Radio Frequency © 2021 AtriCure, Inc. All rights reserved. AtriCure 30