This Amendment No. 7 (this “Amendment”) to Schedule 13D amends the Schedule 13D filed by (i) Deerfield Mgmt III, L.P. (“Deerfield Mgmt III”), (ii) Deerfield Private Design Fund III, L.P. (“Deerfield Private Design Fund III”), (iii) Deerfield Mgmt, L.P. (“Deerfield Mgmt”), (iv) Deerfield Partners, L.P. (“Deerfield Partners”), (v) Deerfield Management Company, L.P. (“Deerfield Management”) and (vi) James E. Flynn, a natural person (“Flynn” and, collectively with Deerfield Mgmt III, Deerfield Private Design Fund III, Deerfield Mgmt, Deerfield Partners and Deerfield Management, the “Reporting Persons”), as amended by Amendment Nos. 1, 2, 3, 4, 5 and 6 thereto (as previously amended, the “Schedule 13D”), with respect to the common stock of Acutus Medical, Inc (the “Company”). Deerfield Private Design Fund III and Deerfield Partners are collectively referred to herein as the “Deerfield Funds”. Except as otherwise described herein, the information contained in the Schedule 13D remains in effect. Capitalized terms used but not otherwise defined in this Amendment have the meanings ascribed to them in the Schedule 13D.
Item 4. | Purpose of Transaction. |
Item 4 of the Schedule 13D is hereby amended to add the following:
In connection with the Medtronic Sale Agreement and further to the aforementioned Specified Restructuring Transactions, the Company announced on November 30, 2024 its intention to reduce (i) the size of its organization while complying with its remaining obligations to Medtronic and (ii) operations to a scale designed solely to support the manufacturing and distribution of Medtronic’s left-heart access products through the transition of the production of these products to Medtronic pursuant to the Medtronic Sale Agreement and the Distribution Agreement, dated June 30, 2022, with Medtronic (the “Distribution Agreement”), as more fully described in the Current Report on Form 8-K filed by the Company with the Securities and Exchange Commission on December 4, 2024.
Subsequently, the Company requested that the Deerfield Funds amend certain terms in the Amended and Restated Credit Agreement and the warrants in order to permit and facilitate the Specified Restructuring Transactions and related wind down initiatives. The Company and the Deerfield Funds are in discussions regarding the potential terms of such an amendment, which may include, among other things, restricting business operations to the Medtronic contracts, increasing the restrictiveness of the affirmative and negative covenants to reflect the Company’s reduced operations, appointment of a chief restructuring officer and changes to the Company’s financial reporting requirements and other restrictive covenants to permit the Company to deregister its common stock by filing a Form 15 with the SEC to terminate its ongoing periodic reporting obligations. In connection with such discussions, on December 12, 2024, representatives of the Deerfield Funds proposed that the warrants currently owned by the Reporting Persons would terminate in consideration for a cash payment of $500,000. Following such proposal, on December 16, 2024, representatives of the Deerfield Funds submitted a revised proposal to terminate such warrants for a cash payment of $300,000. The Deerfield Funds expect to continue to negotiate the treatment of the warrants in connection with the foregoing discussions. No assurances can be given that such discussions will result in an amendment to the Amended and Restated Credit Agreement or a termination of the warrants on the foregoing terms, or at all.
The Reporting Persons and their respective representatives have engaged and/or may engage, from time to time, in discussions with the Company’s management and/or the board of directors of the Company (the “Board”), including any special committees of the Board, and/or their respective advisors, regarding, among other things, the Company’s business, strategies, management, governance, operations, performance, financial matters, capital structure, corporate expenses, status of projects, market positioning and strategic and other transactions (including transactions involving one or more of the Reporting Persons ). The Reporting Persons intend to consider, explore and develop plans, make proposals and negotiate agreements with respect to or relating to, among other things, the foregoing matters and may take other steps seeking to bring about changes with respect to the Company as well as pursue other plans or proposals that relate to or could result in any of the matters set forth in clauses (a)-(j) of Item 4 of Schedule 13D. The Reporting Persons may also take steps to explore or prepare for various plans, proposals or actions, or propose transactions, regarding any of the foregoing matters, before forming an intention to engage in any such plans, proposals or actions or proceed with any such transactions.
Depending on various factors and subject to the obligations described herein, the Reporting Persons may take such actions with respect to their investments in the Company as they deem appropriate, including, without limitation, purchasing or selling some or all of their beneficial or economic holdings in the public market, in privately negotiated transactions or otherwise, modifying or seeking to modify the terms of any securities held by them, entering into derivatives transactions and other agreements or instruments that increase or decrease the Reporting Persons’ economic exposure with respect to their investment in the Company, or otherwise changing their intention with respect to any and all matters referred to in Item 4 of Schedule 13D.