Edgar Filing: Symmetry Medical Inc.

Unassociated Document

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d)

OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended October 2, 2010

Commission File Number: 001-32374

SYMMETRY MEDICAL INC.

(Exact name of registrant as specified in its charter)

Delaware	35-1996126
(State or other jurisdiction of incorporation or organization)	(I.R.S. Employer Identification No.)

3724 North State Road 15, Warsaw, Indiana	46582
(Address of principal executive offices)	(Zip Code)

(574) 268-2252
(Registrant’s telephone number, including area code)

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. þ Yes ¨ No

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (S232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).

¨ Yes ¨ No

Indicate by checkmark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act.

	Large accelerated filer ¨		Accelerated filerþ
	Non-accelerated filer ¨ (Do not check if a smaller reporting company)		Smaller reporting company ¨

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). ¨ Yes þ No

The number of shares outstanding of the registrant’s common stock as of November 10, 2010 was 35,941,988 shares.

TABLE OF CONTENTS

PART I FINANCIAL INFORMATION

Item 1	Financial Statements:

	Condensed Consolidated Balance Sheets: As of October 2, 2010 and January 2, 2010	4

	Condensed Consolidated Statements of Operations: Three and Nine Months Ended October 2, 2010 and October 3, 2009	5

	Condensed Consolidated Statements of Cash Flows: Nine Months Ended October 2, 2010 and October 3, 2009	6

	Notes to Condensed Consolidated Financial Statements	7

Item 2	Management’s Discussion and Analysis of Financial Condition and Results of Operations	15

Item 3	Quantitative and Qualitative Disclosures about Market Risk	21

Item 4	Controls and Procedures	21

PART II OTHER INFORMATION

Item 1	Legal Proceedings	22

Item 1A	Risk Factors	22

Item 6	Exhibits	23

Signatures		24

Cautionary Note Regarding Forward-Looking Statements

Throughout this Quarterly Report on Form 10-Q or in other reports or registration statements filed from time to time with the Securities and Exchange Commission under the Securities Exchange Act of 1934, or under the Securities Act of 1933, as well as in documents we incorporate by reference or in press releases or oral statements made by our officers or representative, we may make statements that express our opinions, expectations or projections regarding future events or future results, in contrast with statements that reflect historical facts. These predictive statements, which we generally precede or accompany by such typical conditional words such as “anticipate,” “intend,” “believe,” “estimate,” “plan,” “seek,” “project,” “potential,” or “expect,” or by the words “may,” “will,” “could,” or “should,” and similar expressions or terminology are intended to operate as “forward-looking statements” of the kind permitted by the Private Securities Litigation Reform Act of 1995. That legislation protects such predictive statements by creating a “safe harbor” from liability in the event that a particular prediction does not turn out as anticipated.

Forward-looking statements convey our current expectations or forecast future events. While we always intend to express our best judgment when we make statements about what we believe will occur in the future, and although we base these statements on assumptions that we believe to be reasonable when made, these forward-looking statements are not a guarantee of performance, and you should not place undue reliance on such statements. Forward-looking statements are subject to many uncertainties and other variable circumstances, many of which are outside of our control, that could cause our actual results and experience to differ materially from those we thought would occur.

We also refer you to and believe that you should carefully read the “Cautionary Note Regarding Forward-Looking Statements” and “Risk Factors” portions of our Annual Report for fiscal 2009 on Form 10-K, as well as in other reports which we file with the Securities and Exchange Commission, to better understand the risks and uncertainties that are inherent in our business and in owning our securities. These reports are available publicly on the SEC website, www.sec.gov and on our website, www.symmetrymedical.com.

Any forward-looking statements which we make in this report or in any of the documents that are incorporated by reference herein speak only as of the date of such statement, and we undertake no ongoing obligation to update such statements. Comparisons of results between current and any prior periods are not intended to express any future trends or indications of future performance, unless expressed as such, and should only be viewed as historical data.

PART I FINANCIAL INFORMATION

ITEM I. FINANCIAL STATEMENTS

SYMMETRY MEDICAL INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(In Thousands)

	October 2,		January 2,
	2010		2010
ASSETS:	(unaudited)
Current Assets:
Cash and cash equivalents	$	13,869	$	14,219
Accounts receivable, net		48,322		38,221
Inventories		72,422		62,301
Refundable income taxes		2,904		3,048
Deferred income taxes		4,822		5,816
Other current assets		3,922		3,648

Total current assets		146,261		127,253
Property and equipment, net		108,068		113,369
Goodwill		153,983		153,813
Intangible assets, net of accumulated amortization		40,418		42,729
Other assets		1,347		1,181

Total Assets	$	450,077	$	438,345

LIABILITIES AND SHAREHOLDERS' EQUITY:
Current Liabilities:
Accounts payable	$	27,765	$	19,494
Accrued wages and benefits		7,863		7,607
Other accrued expenses		3,231		5,113
Accrued income taxes		196		257
Deferred income taxes		-		78
Revolving line of credit		2,415		3,320
Derivative valuation liability		1,893		-
Current portion of capital lease obligations		451		529
Current portion of long-term debt		1,424		20,400

Total current liabilities		45,238		56,798
Accrued income taxes		6,534		6,362
Deferred income taxes		17,211		17,646
Derivative valuation liability		-		2,982
Capital lease obligations, less current portion		2,540		2,887
Long-term debt, less current portion		86,675		69,200

Total Liabilities		158,198		155,875

Shareholders' Equity:
Common Stock, $.0001 par value; 75,000 shares authorized; shares issued October 2, 2010--35,942; January 2, 2010--35,840		4		4
Additional paid-in capital		278,985		278,176
Retained earnings		9,959		277
Accumulated other comprehensive income (loss)		2,931		4,013

Total Shareholders' Equity		291,879		282,470

Total Liabilities and Shareholders' Equity	$	450,077	$	438,345

See accompanying notes to condensed consolidated financial statements.

SYMMETRY MEDICAL INC.

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(In Thousands, Except per Share Data; Unaudited)


	Three Months Ended						Nine Months Ended
	October 2,			October 3,			October 2,			October 3,
	2010			2009			2010			2009

Revenue	$	91,538		$	87,164		$	264,856		$	289,540
Cost of Revenue		71,708			65,441			207,627			216,488
Gross Profit		19,830			21,723			57,229			73,052
Selling, general and administrative expenses		12,248			10,587			37,124			37,007
Facility closure and severance costs		57			702			917			864
Operating Income		7,525			10,434			19,188			35,181

Other (income)/expense:
Interest expense		1,504			1,666			4,565			5,050
Derivatives valuation gain		(389	)		(178	)		(1,177	)		(746	)
Other		715			687			796			379
Income before income taxes		5,695			8,259			15,004			30,498
Income tax expense		2,123			2,851			5,322			9,268
Net income	$	3,572		$	5,408		$	9,682		$	21,230

Net income per share:
Basic	$	0.10		$	0.15		$	0.27		$	0.60
Diluted	$	0.10		$	0.15		$	0.27		$	0.59

Weighted average common shares and equivalent shares outstanding:
Basic		35,456			35,326			35,449			35,301
Diluted		35,870			35,620			35,802			35,498

See accompanying notes to condensed consolidated financial statements.

SYMMETRY MEDICAL INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOW

(In Thousands; Unaudited)


	Nine Months Ended
	October 2,			October 3,
	2010			2009

Operating activities
Net income	$	9,682		$	21,230
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation		13,576			14,281
Amortization		2,198			2,203
Net loss on sale of assets		103			139
Deferred income tax provision		666			4,491
Stock-based compensation		693			2,035
Derivative valuation gain		(1,177	)		(746	)
Foreign currency transaction loss		566			204
Change in operating assets and liabilities:
Accounts receivable		(10,288	)		11,109
Other assets		(506	)		1,419
Inventories		(10,394	)		(3,434	)
Current income taxes		112			1,715
Accounts payable		9,093			(8,511	)
Accrued expenses and other		(2,400	)		(6,197	)

Net cash provided by operating activities		11,924			39,938

Investing activities
Purchases of property and equipment		(9,592	)		(13,453	)
Proceeds from the sale of property and equipment		611			67

Net cash used in investing activities		(8,981	)		(13,386	)

Financing activities
Proceeds from bank revolver		43,275			76,005
Payments on bank revolver		(32,693	)		(83,943	)
Issuance of long-term debt		2,711			-
Payments on long-term debt and capital lease obligations		(16,383	)		(13,586	)
Proceeds from the issuance of common stock		99			106

Net cash used in financing activities		(2,991	)		(21,418	)
Effect of exchange rate changes on cash		(302	)		1,107

Net increase (decrease) in cash and cash equivalents		(350	)		6,241
Cash and cash equivalents at beginning of period		14,219			10,191

Cash and cash equivalents at end of period	$	13,869		$	16,432

Supplemental disclosures:
Cash paid for interest	$	4,018		$	5,475

Cash paid for income taxes	$	3,728		$	3,022

See accompanying notes to condensed consolidated financial statements.

SYMMETRY MEDICAL INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(In Thousands, Except Per Share Data; Unaudited)

1. Basis of Presentation

The condensed consolidated financial statements include the accounts of Symmetry Medical Inc. and its wholly-owned subsidiaries (collectively referred to as the Corporation): Symmetry Medical USA Inc., Jet Engineering, Inc., Ultrexx, Inc., Symmetry Medical Switzerland SA (formerly known as Riley Medical Europe, SA), Symmetry Medical Everest LLC, Symmetry Medical Ireland Limited (formerly known as Everest Metal International Limited), Symmetry Medical Cheltenham Limited, Symmetry Medical PolyVac, SAS, Symmetry Medical Sheffield Limited (formerly known as Thornton Precision Components Limited), Symmetry Medical Malaysia SDN, Clamonta Limited, Specialty Surgical Instrumentation Inc. and Symmetry Medical New Bedford Inc. The Corporation is a global supplier of integrated products consisting primarily of surgical implants, instruments and cases to orthopedic and other medical device companies.

The condensed consolidated financial statements of the Corporation have been prepared without audit, pursuant to the rules and regulations of the Securities and Exchange Commission. Certain information and footnote disclosures normally included in financial statements prepared in accordance with generally accepted accounting principles have been condensed or omitted pursuant to such rules and regulations. In the opinion of management, the accompanying condensed consolidated financial statements contain all adjustments of a normal recurring nature considered necessary to present fairly the consolidated financial position of the Corporation, its results of operations and cash flows. The Corporation’s results are subject to seasonal fluctuations. Interim results are not necessarily indicative of results for a full year. The condensed consolidated financial statements included herein should be read in conjunction with the fiscal year 2009 consolidated financial statements and the notes thereto included in the Corporation’s Annual Report on Form 10-K for fiscal year 2009.

The Corporation’s fiscal year is the 52 or 53 week period ending on the Saturday closest to December 31. Fiscal year 2010 is a 52 week year ending January 1, 2011. The Corporation’s interim quarters for 2010 are 13 weeks long and quarter-end dates have been set as April 3, 2010, July 3, 2010 and October 2, 2010. Fiscal year 2009 was a 52 week year (ending January 2, 2010). The Corporation’s interim quarters for 2009 were 13 weeks long, ending April 4, 2009, July 4, 2009 and October 3, 2009. References in these condensed consolidated financial statements to the three months ended refer to these financial periods, respectively. The Corporation has evaluated subsequent events up through the time of filing with the SEC for the quarter ended October 2, 2010.

2. Inventories

Inventories consist of the following:

	October 2,		January 2,
	2010		2010
	(unaudited)
Raw material and supplies	$	16,194	$	15,099
Work-in-process		32,155		27,120
Finished goods		24,073		20,082

	$	72,422	$	62,301

3. Property and Equipment

Property and equipment, including depreciable lives, consists of the following:

	October 2,			January 2,
	2010			2010
	(unaudited)
Land	$	6,673		$	6,965
Buildings and improvements (20 to 40 years)		41,489			42,252
Machinery and equipment (5 to 15 years)		141,951			138,182
Office equipment (3 to 5 years)		13,957			13,194
Construction-in-progress		6,636			3,750

		210,706			204,343
Less accumulated depreciation		(102,638	)		(90,974	)

	$	108,068		$	113,369

4. Intangible Assets

Intangible assets were acquired in connection with our business acquisitions. As of October 2, 2010, the balances of intangible assets, other than goodwill, were as follows:


	Weighted-Average	Gross					Net
	Amortization	Intangible		Accumulated			Intangible
	Period	Assets		Amortization			Assets
	(unaudited)	(unaudited)		(unaudited)			(unaudited)
Acquired technology and patents	10 years	$	2,332	$	(1,221	)	$	1,111
Acquired customers	18 years		42,550		(11,049	)		31,501
Non-compete agreements	5 years		591		(410	)		181
Intangible assets subject to amortization	17 years		45,473		(12,680	)		32,793

Proprietary processes	Indefinite							3,551
Trademarks	Indefinite							4,074
Indefinite-lived intangible assets, other than goodwill								7,625

Total							$	40,418

As of January 2, 2010, the balances of intangible assets, other than goodwill, were as follows:

	Weighted-Average	Gross					Net
	Amortization	Intangible		Accumulated			Intangible
	Period	Assets		Amortization			Assets
Acquired technology and patents	10 years	$	2,343	$	(1,020	)	$	1,323
Acquired customers	18 years		42,613		(9,166	)		33,447
Non-compete agreements	5 years		691		(420	)		271
Intangible assets subject to amortization	17 years		45,647		(10,606	)		35,041

Proprietary processes	Indefinite							3,586
Trademarks	Indefinite							4,102
Indefinite-lived intangible assets, other than goodwill								7,688

Total							$	42,729

5. Debt Arrangements

On November 3, 2010, the Corporation refinanced substantially all of its debt arrangements that were to mature in June 2011 resulting in a loss on debt extinguishment of $833, which will be recorded in the fourth quarter. Further, as a result of the refinancing, as of October 2, 2010, the Corporation’s borrowings under its Senior Credit Agreement, including the revolving credit facility with a balance of $11,663, have been classified as long-term on the condensed consolidated balance sheets.

The Corporation's new arrangement is a senior-secured revolving credit facility with a total capacity of up to $200 million and an additional expansion option that may be exercised by the Corporation to allow additional funding of up to $100 million. The revolving credit facility contains various financial covenants, including covenants requiring a maximum total debt to EBITDA ratio and a minimum EBITDA to fixed charges ratio. The revolving credit facility agreement also contains covenants restricting certain corporate actions, including asset dispositions, acquisitions, paying dividends and certain other restricted payments, changes of control, incurring indebtedness, incurring liens, making loans and investments and transactions with affiliates. The revolving credit facility is secured by substantially all of the Corporation’s assets. The Corporation’s revolving credit facility also contains customary events of default. The Corporation was in compliance with its covenants as of October 2, 2010.

In March, 2010, our Sheffield, UK unit obtained a new £3,000 facility, comprised of a 24-month asset-based term note and short-term revolver facility. The term note matures in March 2012 with monthly payments plus interest at 2.75% per year. The short-term revolver is due on demand and accrues interest at 3.50% per year. As of October 2, 2010, $2,136 was outstanding on the term loan and there were no borrowings on the short-term revolver. The term note and revolver are secured by certain assets of our Sheffield, UK unit, which had a net book value of approximately $5,977 as of October 2, 2010.

6. New Accounting Pronouncements

Disclosures about Fair Value Measurements. In January 2010, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2010-06, “Improving Disclosures about Fair Value Measurements.” ASU 2010-06 requires additional disclosures about fair value measurements including transfers in and out of Levels 1 and 2 and a higher level of disaggregation for the different types of financial instruments. For the reconciliation of Level 3 fair value measurements, information about purchases, sales, issuances and settlements are presented separately. This standard is effective for interim and annual reporting periods beginning after December 15, 2009 with the exception of revised Level 3 disclosure requirements which are effective for interim and annual reporting periods beginning after December 15, 2010. Comparative disclosures are not required in the year of adoption. The Corporation adopted the provisions of the standard on January 3, 2010, which did not have an impact on the Corporation’s financial position, results of operations or cash flows.

7. Segment Reporting

The Corporation primarily designs, develops and manufactures implants and related surgical instruments and cases for orthopedic device companies and companies in other medical device markets such as dental, osteobiologic and endoscopy. The Corporation also sells products to the aerospace industry. The Corporation manages its business in multiple operating segments. Because of the similar economic characteristics of these operations, including the nature of the products, comparable level of FDA regulations, and same or similar customers, those operations have been aggregated for segment reporting purposes. The results of one segment which sells exclusively to aerospace customers has not been disclosed separately as it does not meet the quantitative disclosure requirements.

The Corporation is a multi-national Corporation with operations in the United States, United Kingdom, France, Ireland and Malaysia. As a result, the Corporation's financial results can be impacted by currency exchange rates in the foreign markets in which the Corporation sells its products. Revenues are attributed to geographic locations based on the location to which we ship our products.

Revenue to External Customers:

	Three Months Ended				Nine Months Ended
	October 2,		October 3,		October 2,		October 3,
	2010		2009		2010		2009
	(unaudited)				(unaudited)
United States	$	67,508	$	63,207	$	194,436	$	214,527
Ireland		8,544		9,234		25,058		28,532
United Kingdom		6,906		7,313		20,649		22,674
Other foreign countries		8,580		7,410		24,713		23,807

Total net revenues	$	91,538	$	87,164	$	264,856	$	289,540

Concentration of Credit Risk:

A substantial portion of the Corporation’s revenue is derived from a limited number of customers. Revenue from customers of the Corporation which individually account for 10% or more of the Corporation’s revenue is as follows:

Three months ended October 2, 2010 – Two customers represented approximately 30.7% and 12.4% of revenue, respectively.

Nine months ended October 2, 2010 – Two customers represented approximately 31.9% and 10.6% of revenue, respectively.

Three months ended October 3, 2009 – Two customers represented approximately 36.2% and 10.1% of revenue, respectively.

Nine months ended October 3, 2009 – One customer represented approximately 40.0% of revenue.

Revenue by Product Category:

Following is a summary of the composition by product category of the Corporation’s revenue to external customers. Revenues from aerospace products are included in the “other” category.

	Three Months Ended				Nine Months Ended
	October 2,		October 3,		October 2,		October 3,
	2010		2009		2010		2009
	(unaudited)				(unaudited)
Instruments	$	36,027	$	41,327	$	103,096	$	134,679
Implants		28,332		24,237		85,058		83,255
Cases		21,495		16,353		60,127		53,725
Other		5,684		5,247		16,575		17,881

Total net revenues	$	91,538	$	87,164	$	264,856	$	289,540

8. Net Income Per Share

The following table sets forth the computation of earnings per share.


	Three Months Ended						Nine Months Ended
	October 2,			October 3,			October 2,			October 3,
	2010			2009			2010			2009
	(unaudited)						(unaudited)
Earnings per share - Basic:
Net income	$	3,572		$	5,408		$	9,682		$	21,230
Less: Undistributed earnings allocated to nonvested stock		(33	)		(69	)		(89	)		(277	)
Income available to common shares - Basic		3,539			5,339			9,593			20,953

Weighted-average common shares outstanding - Basic		35,456			35,326			35,449			35,301

Earnings per share - Basic	$	0.10		$	0.15		$	0.27		$	0.60

Earnings per share - Diluted:
Net income	$	3,572		$	5,408		$	9,682		$	21,230
Less: Undistributed earnings allocated to nonvested stock		-			(24	)		-			(163	)
Income available to common shares - Diluted		3,572			5,384			9,682			21,067

Weighted-average common shares outstanding - Basic		35,456			35,326			35,449			35,301
Effect of dilution		414			294			353			197
Weighted-average common shares outstanding - Diluted		35,870			35,620			35,802			35,498

Earnings per share - Diluted	$	0.10		$	0.15		$	0.27		$	0.59

The diluted weighted average share calculations for the three and nine month periods ended October 2, 2010 do not include performance based restricted stock awarded March 24, 2010, totaling 324,550 shares because the measurement period is not complete. Restricted stock awarded July 1, 2009, totaling 119,925 shares was not included in the diluted weighted average share calculations for the three and nine month periods ended October 3, 2009 because the measurement period was not complete.

9. Commitments and Contingencies

Legal & Environmental Matters. The Corporation is involved, from time to time, in various contractual, product liability, patent (or intellectual property) and other claims and disputes incidental to its business. Currently, there is no environmental or other litigation pending or, to the knowledge of the Corporation, threatened, that the Corporation expects to have a material adverse effect on its financial condition, results of operations or liquidity. While litigation is subject to uncertainties and the outcome of litigated matters is not predictable with assurance, the Corporation currently believes that the disposition of all pending or, to the knowledge of the Corporation, threatened claims and disputes, individually or in the aggregate, should not have a material adverse effect on the Corporation’s consolidated financial condition, results of operations or liquidity.

Following the discovery of certain accounting irregularities at our Sheffield, UK operating unit (as further described in this Form 10-Q at Part II, Item 1), the Audit Committee self-reported the matter to the staff of the Securities and Exchange Commission (SEC) in October 2007. Thereafter, the SEC commenced an informal inquiry into this matter. The Corporation has fully cooperated with the SEC in its investigation. At this time, the Corporation is unable to predict the timing of the ultimate resolution of this investigation or the impact thereof.

Unconditional Purchase Obligations. The Corporation has contracts to purchase minimum quantities of plastic, cobalt chrome and titanium through December 2012. Based on contractual pricing at October 2, 2010, remaining minimum purchase obligations total $16,611. Purchases under plastic, cobalt chrome and titanium contracts total approximately $15,549 for the nine month period ended October 2, 2010. These purchases are not in excess of our forecasted requirements.

10. Comprehensive Income

Comprehensive income is comprised of net income, gains (losses) resulting from currency translations of foreign entities and unrealized gain and losses on our derivative designated as a hedge under ASC 815, Hedging (formerly SFAS 133). Comprehensive income consists of the following:

	Three Months Ended					Nine Months Ended
	October 2,		October 3,			October 2,			October 3,
	2010		2009			2010			2009
	(unaudited)					(unaudited)

Net Income	$	3,572	$	5,408		$	9,682		$	21,230
Foreign currency translation adjustments		4,981		320			(1,032	)		5,338
Derivative, net of tax benefit (1)		14		(160	)		(50	)		(260	)

Comprehensive income	$	8,567	$	5,568		$	8,600		$	26,308

(1)	Derivative gains (losses) are reported net of income tax (expense)/benefit of ($9) and $106 for the three month periods ended October 2, 2010 and October 3, 2009, respectively, and $35 and $173 for the nine month periods ended October 2, 2010 and October 3, 2009, respectively.

11. Derivatives

The Corporation utilizes derivative instruments to minimize the volatility of cash flows and income statement impacts associated with interest rate payments on its variable rate debt. The Corporation recognizes all derivative instruments as either assets or liabilities at fair value on the consolidated balance sheets. The Corporation utilizes third party valuations to assist in the determination of the fair value of these derivatives. The Corporation considers its derivative instrument valuations to be Level 2 fair value measurements under the provision of the FASB Statement on fair value measurements (See Note 12).

To the extent a derivative instrument is designated effective as a cash flow hedge of an exposure to changes in the fair value of a future transaction, the change in fair value of the derivative is deferred in accumulated other comprehensive income / (loss), a component of shareholders’ equity in the condensed consolidated balance sheets, until the underlying transaction hedged is recognized in the unaudited condensed consolidated statements of operations. The Corporation accounts for certain derivatives hedging the payment of interest as cash flow hedges and the impact of the hedge is reclassified to interest expense in the unaudited condensed consolidated statements of operations upon payment of interest.

The Corporation’s profitability and cash flows are affected by changes in interest rates, specifically the LIBOR rate. The primary purpose of the Corporation’s interest rate risk management activities is to hedge its exposure to changes in interest rates. In 2009, the Corporation entered into a forward swap contract to manage interest rate risk related to a portion of its current variable rate senior secured term loan. The Corporation has hedged the future interest payments related to $64,100 of the total outstanding term loan indebtedness due in 2011 pursuant to this forward swap contract. This swap contract, which had a fair value of ($472) at October 2, 2010, is designated as a cash flow hedge of the future payment of variable rate interest with three-month LIBOR fixed at 1.34% per annum in 2009, 2010 and 2011.

In 2006, the Corporation entered into a forward swap contract to manage interest rate risk related to $40,000 of its then existing variable rate senior secured first lien term loan to a fixed payment obligation of 5.45% per annum for the period commencing July 3, 2006 and ending on June 10, 2011. This swap contract, which had a fair value of ($1,421) at October 2, 2010, was not designated as a cash flow hedge of the future variable rate payment of interest. The entire change in the fair value of this interest rate swap is recorded to derivative valuation (gain) / loss in the unaudited condensed consolidated statements of operations. For the three months ended October 2, 2010 and October 3, 2009, the Corporation recorded gains of $389 and $178, respectively, and gains of $1,177 and $746 for the nine months then ended.

In connection with the refinancing of its debt, the Corporation terminated and settled both of its outstanding forward interest rate swap agreements.

12. Fair Value of Financial Instruments

As of October 2, 2010 and January 2, 2010, the Corporation held certain assets that are required to be measured at fair value on a recurring basis. These included the Corporation’s interest rate derivative instruments. The Corporation’s derivative instruments consist of contracts that are not traded on a public exchange. The fair values of interest rate derivative instruments are determined based on inputs that are readily available in public markets or can be derived from information available in publicly quoted markets. Therefore, the Corporation has categorized these swap contracts as Level 2 in accordance with the FASB Statement on fair value measurement.

The following table summarizes certain fair value information at October 2, 2010 and January 2, 2010 for assets and liabilities measured at fair value on a recurring basis.

	October 2, 2010										January 2, 2010
	Fair Value Measurements										Fair Value Measurements
	Level 1		Level 2			Level 3		Total			Level 1		Level 2			Level 3		Total
Liabilities
Interest rate swaps	$	-	$	(1,893	)	$	-	$	(1,893	)	$	-	$	(2,982	)	$	-	$	(2,982	)
	$	-	$	(1,893	)	$	-	$	(1,893	)	$	-	$	(2,982	)	$	-	$	(2,982	)

Additionally, financial instruments also consist of cash and cash equivalents, accounts receivable, and long-term debt. The carrying value of these financial instruments approximates fair value.

13. Facility Closure and Severance Costs

Results of Operations include pre-tax charges of $57 and $702 for the three months ended October 2, 2010 and October 3, 2009, respectively, and $917 and $864 for the nine months then ended, associated with employee cost reduction and efficiency actions and the consolidation of our Whitman, MA and Auburn, ME facilities into other facilities that produce similar products. For the three month period ended October 2, 2010, these costs are comprised of $38 of severance costs and an additional $19 of moving expenses compared to $432 of severance costs, plus $270 of moving expenses for the period ended October 3, 2009. For the nine month period ended October 2, 2010, these costs are comprised of $628 of severance costs and an additional $289 of moving expenses compared to $594 of severance costs and an additional $270 of moving expenses for the period ended October 3, 2009.

As of October 2, 2010 and January 2, 2010, severance accruals related to these cost reduction and efficiency actions totaled $56 and $836, respectively, and are included in accrued and other liabilities in the condensed consolidated balance sheets. The reduction in the accrual from January 2, 2010 represents payments made during the first three quarters of 2010 of $1,408, offset by additional severance costs incurred of $628.

ITEM 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

(In millions)

Business Overview

We are a leading independent provider of implants and related instruments and cases to orthopedic device manufacturers and other medical markets. We also design, develop and produce these products for companies in other segments of the medical device market, including arthroscopy, dental, laparoscopy, osteobiologic and endoscopy sectors, and provide limited specialized products to non-healthcare markets, such as the aerospace industry.

We offer our customers Total Solutions® for complete implant systems—implants, instruments and cases. While our revenue to date has been derived primarily from the sale of implants, instruments and cases separately, or instruments and cases together, our ability to provide Total Solutions® for complete implant systems has already proven to be attractive to our customers, and we expect this capability will provide us with growth opportunities. In addition, we expect that our Total Solutions® capability will increase the relative percentage of value added products that we supply to our customers.

During the third quarter 2010, our revenue increased $4.3 million, or 5.0%, compared to the third quarter 2009. This increase was primarily driven by increased demand in cases and implants, offset by reduced demand in instruments and unfavorable foreign currency exchange rate impacts of $1.7 million. The overall economic environment continues to have an unfavorable impact on our major customers’ growth rates and our major customers also increased their inventory levels in the third quarter of 2010. However, we did experience a 3.1% increase in revenue in the third quarter 2010 as compared to the second quarter 2010, primarily driven by increased demand in cases, and we believe we will continue to see a sequential increase in revenue during the fourth quarter 2010.

Despite the current economic impact on our customers, we continue to be optimistic about the long term future as the larger OEMs are increasingly focused on improving their supply chains. This focus should result in consolidation of suppliers who in turn will be expected to provide a wider range of services, higher quality and reduced overall costs. We believe that we are well positioned to benefit from increased OEM outsourcing and consolidation of suppliers.

Our focus remains on being a leader in our core orthopedic business, while capitalizing on our leadership to extend our Total Solutions® approach into other medical markets. We continue to see a favorable customer response to our offerings as more and more of our customers are impacted by increased quality and regulatory requirements. We are increasingly able to use the leverage of our global resources while providing a local presence across the global marketplace. This allows us to be close to our customers, provide quicker response times, and increase our value added services.

During the first quarter of 2010, the U.S. Congress passed and the President signed into law the Patient Protection and Affordable Care Act, as well as the Health Care and Education Reconciliation Act of 2010, which represent a significant change to the current U.S. healthcare system. A detailed discussion of these risks and other factors is provided in Item 1A of our Annual Report on Form 10-K for the year ended January 2, 2010, and Part II, Item 1A in this report.

Third Quarter Results of Operations

Revenue. Revenue for the three month period ended October 2, 2010 increased $4.3 million, or 5.0%, to $91.5 million from $87.2 million for the comparable 2009 period. Revenue for each of our principal product categories in these periods was as follows:

Product Category	Three Months Ended
	October 2,		October 3,
	2010		2009
	(unaudited)
Instruments	$	36.0	$	41.3
Implants		28.3		24.2
Cases		21.5		16.4
Other		5.7		5.3

Total	$	91.5	$	87.2

The $4.3 million, or 5.0%, increase in revenue resulted from increased demand within our cases, implants, and other product lines partially offset by lower instrument demand and unfavorable foreign currency exchange rate fluctuations of $1.7 million. We experienced higher revenues of 6.2% from our five largest OEM customers which drove the overall increase in revenue. Instrument revenue decreased $5.3 million. This decrease was primarily driven by lower revenue from our five largest OEM customers as several large projects for our top customers in the prior year were not repeated. Foreign currency exchange rate fluctuations further impacted instrument revenues with an unfavorable impact of $0.1 million. Implant revenue increased $4.1 million, driven by increased revenue from our five largest OEM customers, partially offset by an unfavorable foreign currency exchange rate fluctuations of $1.0 million. Case revenue increased $5.1 million due to increased revenue from our five largest OEM customers with increases in both the orthopedic and other medical device markets, partially offset by $0.4 million of unfavorable foreign currency exchange rate fluctuations. Other product revenue increased $0.4 million primarily driven by increased customer demand partially offset by unfavorable foreign currency exchange rate fluctuations of $0.2 million.

Gross Profit. Gross profit for the three month period ended October 2, 2010 decreased $1.9 million, or 8.7%, to $19.8 million from $21.7 million for the comparable 2009 period due to a decrease in gross margin partially offset by the increase in revenue. Gross margin as a percentage of revenue for the third quarter 2010 was 21.7% compared to 24.9% in the same period last year. This 3.2% reduction was primarily due to increased subcontracting and labor costs related to headcount increases and compensation necessary to meet customer order requirements during the quarter.

Selling, General and Administrative Expenses. For the three month period ended October 2, 2010, selling, general and administrative expenses (“SG&A”) were $12.2 million compared with the three month period ended October 3, 2009 of $10.6 million. The increase was primarily driven by increased employee compensation and benefits including higher healthcare expenses. The increase in employee compensation is partially attributable to an increases in headcount related to research and development and direct sales activities.

Facility Closure and Severance Costs. Results of Operations include pre-tax charges of $0.1 million and $0.7 million for the three months ended October 2, 2010 and October 3, 2009, respectively, associated with employee cost reduction and efficiency actions and the consolidation of our Whitman, MA and Auburn, ME facilities into other facilities that produce similar products. For the three month period ended October 2, 2010, these costs are comprised of $0.1 million of severance costs compared to $0.4 million of severance costs in addition to $0.3 million associated with moving costs for the period ended October 3, 2009. Costs charged to operations in the third quarter of 2010 were paid during the third quarter. Included in accrued and other liabilities in the consolidated balance sheet as of October 2, 2010 is $0.1 million of severance costs incurred during fiscal 2009 that have not yet been paid. These costs are all expected to be paid during 2010.

Other (Income) Expense. Interest expense for the three month period ended October 2, 2010 decreased $0.2 million, or 9.7%, to $1.5 million from $1.7 million for the comparable period in 2009. This decrease reflects the reduction in aggregate outstanding indebtedness of $16.7 million, or 15.2% as compared to October 3, 2009. The derivative gain in the third quarter 2010 consists of a gain on interest rate swap valuation of $0.4 million related to our interest rate swap that has not been designated as a hedge as compared to a gain of $0.2 million for the comparable period in 2009. The interest rate swaps are used to convert our variable rate long-term debt to fixed rates. Other income for the three month period ended October 2, 2010 did not change from the comparable period in 2009 and is primarily composed of exchange rate gains and losses on transactions denominated in foreign currencies.

Provision for Income Taxes. Our effective tax rate was 37.3% for the three month period ended October 2, 2010 as compared to 34.5% for the three month period ended October 3, 2009. Provision for income taxes decreased by $0.7 million, or 25.5%, to $2.1 million for the three month period ended October 2, 2010 from $2.9 million for the comparable 2009 period primarily due to a $2.6 million decrease in pre-tax income. Our effective tax rate in 2010 differed from the U.S. Federal statutory rate of 35% primarily due to state taxes. Additionally in 2010, we have been adversely impacted by the absence of the research & development tax credit, which expired at the end of 2009. Pending legislation would retroactively reinstate the R&D tax credit to the beginning of 2010. This legislation, if enacted, would positively impact the effective tax rate in the period that it is enacted.

Nine Months Results of Operations

Revenue. Revenue for the nine month period ended October 2, 2010 decreased $24.6 million, or 8.5%, to $264.9 million from $289.5 million for the comparable 2009 period. Revenue for each of our principal product categories in these periods was as follows:

Product Category	Nine Months Ended
	October 2,		October 3,
	2010		2009
	(unaudited)
Instruments	$	103.1	$	134.7
Implants		85.1		83.2
Cases		60.1		53.7
Other		16.6		17.9

Total	$	264.9	$	289.5

The $24.6 million decrease in revenue resulted from a decline in revenue from our top five OEM customers of 14.3% and unfavorable foreign currency exchange rate fluctuations of $1.2 million. Instrument revenue decreased $31.6 million. This decrease was driven entirely by decreased revenue from our top five OEM customers due to the timing of launch activities and management of inventory levels. Implant revenue increased $1.9 million, driven by increased revenues from our top five OEM customers related to specific product launches and management of inventory levels, partially offset by unfavorable foreign currency exchange rate fluctuations of $0.7 million. Case revenue increased $6.4 million due to increased revenues from our top five OEM customers with increases in both the orthopedic and other medical device markets related to specific product launches and management of inventory levels, partially offset by $0.4 million of unfavorable foreign currency exchange rate fluctuations. Other product revenue decreased $1.3 million driven by a reduction in customer demand of $1.2 million in addition to unfavorable foreign currency exchange rate fluctuations of $0.1 million.

Gross Profit. Gross profit for the nine month period ended October 2, 2010 decreased $15.8 million, or 21.7%, to $57.2 million from $73.1 million for the comparable 2009 period due to the $24.6 million decline in revenue and a decline in gross margin. Gross margin as a percentage of revenue for the nine month period ended October 2, 2010 was 21.6% compared to 25.2% in the same period last year. This 3.6% reduction was primarily due to the 8.5% decline in revenue which reduced our ability to leverage fixed overhead costs, increased subcontracting costs and product mix. The increase in subcontracting costs related to our case product line and the consolidation of our Auburn, ME facility as well as equipment break downs.

Selling, General and Administrative Expenses. For the nine month period ended October 2, 2010, selling, general and administrative expenses (“SG&A”) were $37.1 million compared with the nine month period ended October 3, 2009 of $37.0 million.

Facility Closure and Severance Costs. Results of Operations include pre-tax charges of $0.9 million and $0.9 million for the nine months ended October 2, 2010 and October 3, 2009, respectively, associated with employee cost reduction and efficiency actions and the consolidation of our Whitman, MA and Auburn, ME facilities into other facilities that produce similar products. For the nine month period ended October 2, 2010, these costs are comprised of $0.6 million of severance costs and an additional $0.3 million of moving expenses compared to $0.6 million of severance costs and an additional $0.3 million of moving expenses for the period ended October 3, 2009. As of October 2, 2010 and January 2, 2010, severance accruals related to these cost reduction and efficiency actions totaled $0.1 and $0.8 million, respectively, and are included in accrued and other liabilities in the condensed consolidated balance sheets. The reduction in the accrual from January 2, 2010 represents payments made during the first three quarters of 2010 of $1.4 million, offset by additional severance costs incurred of $0.6 million. Remaining costs are all expected to be paid during 2010.

Other (Income) Expense. Interest expense for the nine month period ended October 2, 2010 decreased $0.5 million, or 9.6%, to $4.6 million from $5.1 million for the comparable period in 2009. This decrease reflects the reduction in aggregate outstanding indebtedness of $16.7 million, or 15.2% as compared to October 3, 2009. The derivatives gain for the first three quarters of 2010 consists of a gain on interest rate swap valuation of $1.2 million related to our interest rate swap that has not been designated as a hedge as compared to a gain of $0.7 million for the comparable period in 2009. The interest rate swaps are used to convert our variable rate long-term debt to fixed rates. Other expense for the nine month period ended October 2, 2010 increased $0.4 million from the comparable period in 2009, from $0.4 million to $0.8 million, due to unfavorable foreign currency exchange rate fluctuations on transactions denominated in foreign currencies.

Provision for Income Taxes. Our effective tax rate was 35.5% for the nine month period ended October 2, 2010 as compared to 30.4% for the nine month period ended October 3, 2009. Provision for income taxes decreased by $3.9 million, or 42.6%, to $5.3 million for the nine month period ended October 2, 2010 from $9.3 million for the comparable 2009 period due to the decline in pre-tax income. Our effective tax rate in 2010 differed from the US Federal rate of 35% primarily due to state taxes. Additionally in 2010, we have been adversely impacted by the absence of the research & development tax credit, which expired at the end of 2009. Pending legislation would retroactively reinstate the R&D tax credit to the beginning of 2010. This legislation, if enacted, would positively impact the effective tax rate in the period that it is enacted.

Liquidity and Capital Resources

Current Market Conditions

We continue to experience challenging business conditions due to the overall economic environment and as our major OEM customers manage the timing of their various product launch activities.

Current global economic conditions have resulted in increased volatility in the financial markets. During the first three quarters of Fiscal 2010, we actively monitored the financial health of our supplier base, tightened requirements for customer credit, and increased spending controls across the company. We will continue to monitor and manage these activities depending on current and expected market developments.

Liquidity

Our principal sources of liquidity in the nine month period ended October 2, 2010 were cash generated from operations and borrowings under our senior revolving credit facility. Principal uses of cash in the nine month period ended October 2, 2010 included increased working capital and capital expenditures as well as debt service. We expect that our principal uses of cash in the future will be to finance working capital, to pay for capital expenditures, to service debt and to fund possible future acquisitions.

We believe our cash resources will permit us to stay committed to our strategic plan of increasing our share in the orthopedic market and expanding into other medical device segments and growing the business.

Operating Activities. Operating activities generated cash of $11.9 million in the nine month period ended October 2, 2010 compared to $39.9 million for the nine month period ended October 3, 2009, a decrease of $28.0 million. The decrease in cash from operations for the nine month period ended October 2, 2010 is primarily a result of a $11.5 reduction in net income and increased working capital requirements for accounts receivable and inventory driven by increases in revenue and production requirements in the second and third quarter of 2010 as compared to the third and fourth quarters of 2009.

Investing Activities. Capital expenditures of $9.6 million were $3.9 million lower in the nine month period ended October 2, 2010 compared to the nine month period ended October 3, 2009.

Financing Activities. Financing activities used $3.0 million of cash in the nine month period ended October 2, 2010 compared to $21.4 million for the nine month period ended October 3, 2009, due primarily to payments on long-term debt and capital leases of $16.4 million, offset by cash received from a new asset-based 24 month term note of $2.7 million at our Sheffield, UK facility and net borrowings on our revolving line of credit of $10.6 million. Amounts outstanding on the revolving credit facility do materially fluctuate each quarter due to normal changes in our working capital. Specifically, our maximum amount borrowed during the third quarter was $11.7 million.

Capital Expenditures

Capital expenditures totaled $9.6 million for the nine months ended October 2, 2010, compared to $13.5 million for the nine month period ended October 3, 2009. Capital expenditures have been focused on areas strategically aligned to expand our capabilities to further support our Spine customers, expand our Malaysia operations and continue to increase efficiencies throughout our facilities.

Debt and Credit Facilities

As of October 2, 2010, we had an aggregate of $93.5 million of outstanding indebtedness, which consisted of $74.3 million of term loan borrowings outstanding under our Senior Credit Agreement, $11.7 million of borrowings outstanding under our revolving credit facility, $2.1 million of borrowings under our new UK asset-based 24-month term note, $2.4 million of borrowings under our Malaysia short-term credit facility, and $3.0 million of capital lease obligations. We had two outstanding letters of credit as of October 2, 2010 in the amounts of $3.5 million and $0.2 million.

In March, 2010, our Sheffield, UK unit obtained a new £3.0 million facility, comprised of a 24-month asset-based term note and short-term revolver facility. The term note matures in March 2012 with monthly payments plus interest at 2.75% per year. The short-term revolver is due on demand and accrues interest at 3.50% per year. As of October 2, 2010, $2.1 million was outstanding on the term loan and there were no borrowings on the short-term revolver. The term note and revolver are secured by certain assets of our Sheffield, UK unit, which had a net book value of approximately $6.0 million as of October 2, 2010.

On November 3, 2010, the Corporation refinanced substantially all of its debt arrangements that were to mature in June 2011 resulting in a loss on debt extinguishment of $0.8 million, which will be recorded in the fourth quarter. As of October 2, 2010, the Corporation’s borrowings under its Senior Credit Agreement, including the revolving credit facility with a balance of $11.7 million, have been classified as long-term on the condensed consolidated balance sheets.

The Corporation’s new arrangement is a senior-secured revolving credit facility with a total capacity of up to $200 million. The revolving credit facility contains various financial covenants, including covenants requiring a maximum total debt to EBITDA ratio and a minimum EBITDA to fixed charges ratio. The revolving credit facility agreement also contains covenants restricting certain corporate actions, including asset dispositions, acquisitions, paying dividends and certain other restricted payments, changes of control, incurring indebtedness, incurring liens, making loans and investments and transactions with affiliates. The revolving credit facility is secured by substantially all of the Corporation’s assets. The Corporation’s revolving credit facility also contains customary events of default.

The Corporation was in compliance with its financial and restrictive covenants as of October 2, 2010.

Contractual Obligations and Commercial Commitments

The following table reflects our contractual obligations as of October 2, 2010.

	Payments Due By Period
	Total		Less than 1 year		1-3 years		4-5 years		More than 5 years
	(In Millions)
Long-term debt obligations (1)	$	88.1	$	1.4	$	0.7	$	86.0	$	-
Capital lease obligations	$	5.2		0.3		2.7		1.6		0.6
Operating lease obligations	$	3.6		0.5		2.4		0.5		0.2
Purchase obligations (2)	$	18.8		5.8		13.0		-		-

Total	$	115.7	$	8.0	$	18.8	$	88.1	$	0.8

(1)

For purposes of this table, the long-term debt obligations are based upon the new agreement and represents principal and maturities only and, therefore excludes the effects of interest and interest rate swaps. Scheduled payments for our Revolving Credit Facility exclude interest payments as rates are variable. Borrowings under the Revolving Credit Facility bear interest at a variable rate based on the London Interbank Offer Rate (LIBOR) or a base rate determined by the lender's prime rate plus an applicable margin, as defined in the agreement. The applicable margin for borrowings under the agreement ranges from 0.75% to 1.75% for base rate borrowings and 1.75% to 2.75% for LIBOR borrowings, subject to the Corporation's Leverage Ratio applicable on such date.

(2)

For the purposes of this table, contractual obligations for purchases of goods or services are defined as agreements that are enforceable and legally binding and that specify all significant terms, including: fixed or minimum quantities, fixed, minimum or variable price provisions; and the approximate timing of the transaction. Our purchase orders are normally based on our current manufacturing needs and are fulfilled by our vendors within a short time. We enter into blank orders with vendors that have preferred pricing terms; however, these orders are normally cancelable by us without penalty. Amounts predominantly represent purchase agreements to buy minimum quantities of plastic, cobalt chrome and titanium through December 2012.

This table does not include liabilities for unrecognized tax benefits of $6.5 million as reasonable estimates could not be made regarding the timing of future cash outflows associated with those liabilities.

Off-Balance Sheet Arrangements

Our off-balance sheet arrangements include our operating leases and letters of credit, which are available under the senior credit facility. We had two letters of credit outstanding as of October 2, 2010 in the amounts of $3.5 million and $0.2 million.

Environmental

Our facilities and operations are subject to extensive federal, state, local and foreign environmental and occupational health and safety laws and regulations. These laws and regulations govern, among other things, air emissions; wastewater discharges; the generation, storage, handling, use and transportation of hazardous materials; the handling and disposal of hazardous wastes; the cleanup of contamination; and the health and safety of our employees. Under such laws and regulations, we are required to obtain permits from governmental authorities for some of our operations. If we violate or fail to comply with these laws, regulations or permits, we could be fined or otherwise sanctioned by regulators. We could also be held responsible for costs and damages arising from any contamination at our past or present facilities or at third-party waste disposal sites. We cannot completely eliminate the risk of contamination or injury resulting from hazardous materials, and we may incur material liability as a result of any contamination or injury.

We incurred approximately $0.1 million in capital expenditures for environmental, health and safety in the nine month period ended October 2, 2010 compared to $0.4 million for the comparable 2009 period.

In connection with past acquisitions, we completed Phase I environmental assessments and did not identify any significant issues that need to be remediated. We cannot be certain that environmental issues will not be discovered or arise in the future related to these acquisitions.

In conjunction with the New Bedford acquisition in January 2008, we purchased $5.0 million of environmental insurance coverage for this facility. This policy expires January 25, 2013. While the insurance may mitigate the risk of certain environmental liabilities, we cannot guarantee that a particular liability will be covered by this insurance.

Based on information currently available, we do not believe that we have any material environmental liabilities.

Critical Accounting Policies and Estimates

The preparation of our financial statements requires management to make estimates, judgments and assumptions that affect the reported amounts of assets, liabilities, revenues and expenses during the periods presented. Our Annual Report on Form 10-K for fiscal year ended January 3, 2009 includes a summary of the critical accounting policies we believe are the most important to aid in understanding our financial results. There have been no material changes to these critical accounting policies that impacted our reported amounts of assets, liabilities, revenues or expenses during the three months ended October 2, 2010.

New Accounting Pronouncements

Disclosures about Fair Value Measurements. In January 2010, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2010-06, “Improving Disclosures about Fair Value Measurements”. ASU 2010-06 requires additional disclosures about fair value measurements including transfers in and out of Levels 1 and 2 and a higher level of disaggregation for the different types of financial instruments. For the reconciliation of Level 3 fair value measurements, information about purchases, sales, issuances and settlements are presented separately. This standard is effective for interim and annual reporting periods beginning after December 15, 2009 with the exception of revised Level 3 disclosure requirements which are effective for interim and annual reporting periods beginning after December 15, 2010. Comparative disclosures are not required in the year of adoption. The Corporation adopted the provisions of the standard on January 3, 2010, which did not have an impact on the Corporation’s financial position, results of operations or cash flows.

ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

For financial market risks related to changes in interest rates, foreign currency exchange rates, commodity prices and the effects of inflation, reference is made to Item 7a “Quantitative and Qualitative Disclosures About Market Risk” contained in Part II of our Annual Report on Form 10-K for the fiscal year ended January 2, 2010. Our exposure to these risks, at the end of the third quarter covered by this report, has not changed materially since January 2, 2010.

ITEM 4. CONTROLS AND PROCEDURES

This Report includes the certifications of our Chief Executive Officer and Chief Financial Officer required by Rule 13a-14 of the Securities Exchange Act of 1934 (the “Exchange Act”). See Exhibits 31.1 and 31.2. This Item 4 includes information concerning the controls and control evaluations referred to in those certifications.

(a) Evaluation of Disclosure Controls and Procedures

Disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act) are designed to ensure that information required to be disclosed in reports filed or submitted under the Exchange Act is recorded, processed, summarized, and reported within the time periods specified in the SEC rules and forms and that such information is accumulated and communicated to management, including the Chief Executive Officer and the Chief Financial Officer, to allow timely decisions regarding required disclosures.

In connection with the preparation of this Report, our management, under the supervision and with the participation of the Chief Executive Officer and Chief Financial Officer, conducted an evaluation of the effectiveness of the design and operation of our disclosure controls and procedures as of the end of the fiscal quarter covered by this report on Form 10-Q. Based on that evaluation, our Chief Executive Officer and Chief Financial Officer have concluded that our disclosure controls and procedures were effective as of October 2, 2010.

(b) Changes in Internal Control over Financial Reporting

There have been no changes in our “internal control over financial reporting” (as defined in Rule 13a-15(f) of the Exchange Act) that occurred during the fiscal quarter covered by this report on Form 10-Q that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

PART II OTHER INFORMATION

ITEM 1. LEGAL PROCEEDINGS

SEC Inquiry

Following the discovery of the accounting irregularities at our Sheffield, UK operating unit, the Audit Committee self-reported the matter to the staff of the SEC in October 2007. Thereafter, the SEC commenced an informal inquiry regarding this matter.

We have fully cooperated with the SEC in its investigation. At this time we are unable to predict the time period necessary to resolve the investigation or the ultimate resolution thereof. To date, considerable legal, tax and accounting expenses have been incurred in connection with our Audit Committee’s investigation into this matter and expenditures may continue to be incurred in the future with regard to the SEC’s investigation. It is also possible that the investigation may continue to require management’s time and attention as well as accounting and legal resources, which could otherwise be devoted to the operation of our business. Moreover, any action by the SEC against us, or members of our management, may cause us to be subject to injunctions, fines or other penalties or sanctions or result in private civil actions, loss of key personnel or other adverse consequences and may require us to devote additional time and resources to these matters. The investigation may adversely affect our ability to obtain, and /or increase the cost of obtaining directors’ and officers’ liability insurance and/or other types of insurance, which could have a material adverse affect on our business, results of operations and financial condition. In addition, the SEC investigation and the remedies applied may affect certain of our business relationships and consequently may have an adverse effect on our business in the future.

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 “Risk Factors” contained in our Annual Report on Form 10-K for the fiscal year ended January 2, 2010, which could materially affect our business, financial condition or future results. Except as set forth below, there have been no material changes from the risk factors disclosed in our Annual Report on Form 10-K. The risk factor under “RISKS RELATED TO OUR INDUSTRY” entitled “Recent discussion of US Healthcare reform may impact our medical device customers or business directly.” is replaced in its entirety by the following:

The impact of recently enacted federal legislation, including healthcare reform legislation, remains uncertain.

On March 30, 2010, the Heath Care and Education Reconciliation Act of 2010 (the Reconciliation Bill) was signed into law by President Obama. The Reconciliation Bill amended the Patient Protection and Affordable Care Act (PPACA), which was singed into law on March 23, 2010. The PPACA, as amended, includes funding provisions to raise nearly $400 billion over 10 years through tax increases, including an excise tax on manufacturers of certain medical devices equal to 2.3% of the sale price of specified medical devices sold by the manufacturer. The excise tax applies to sales of certain products in the United States after December 31, 2012. While the Company is still evaluating the impact of this tax on our overall business, the excise tax will result in an increase in our tax burden, which will have a negative impact on our results of operations and cash flows beginning after December 31, 2012.

One of the principal aims of the PPACA as currently enacted is to expand health insurance coverage to approximately 32 million Americans who are currently uninsured. The consequences of these significant coverage expansions on the sale of our products are unknown at this point.

We cannot predict the exact effect newly enacted laws or future legislation or regulations will have on demand for our products or any other effects on our business from this or other health care legislation that could be enacted at either the federal or state level.

The recently enacted Dodd-Frank Wall Street Reform and Consumer Protection Act (“Dodd-Frank”) institutes a wide range of reforms, some of which may impact the Company. Among other things, Dodd-Frank contains significant corporate governance and executive compensation related provisions that authorize or require the SEC to adopt additional rules and regulations in these areas, such as shareholder “say on pay” voting and proxy access. The impact of these provisions on the Company’s business is uncertain.

ITEM 6. EXHIBITS

10.1				Credit Agreement, dated November 3, 2010, among Symmetry Medical Inc. as borrower, JPMorgan Chase Bank, N.A. as Administrative Agent, the lenders identified on the signature pages thereto, Wells Fargo Bank, National Association as Syndication Agent and Fifth Third Bank, Bank of America, N.A. and PNC Bank National Association as Co-Documentation Agents (incorporated by reference to EX-99.1 to our Form 8-K filed November 9, 2010).

31.1				Certification of Chief Executive Officer required by Item 307 of Regulation S-K as promulgated by the Securities and Exchange Commission and pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.*

31.2				Certification of Chief Financial Officer required by Item 307 of Regulation S-K as promulgated by the Securities and Exchange Commission and pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.*

32.1				Certification of Chief Executive Officer and Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.*

* Filed concurrently herewith.

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.

	SYMMETRY MEDICAL INC.

	By	/s/ Brian S. Moore
		Brian S. Moore,
		President and Chief Executive Officer
		(Principal Executive Officer)

	By	/s/ Fred L. Hite
		Fred L. Hite,
		Senior Vice President and Chief Financial Officer
		(Principal Financial Officer)

November 10, 2010