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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549



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FORM 10-Q



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(Mark One)

|x | QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
|- | ---------------------------------------------------------------------------------------



For the quarterly period ended October 1, 2005



OR



| ̈ | TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
|- | ----------------------------------------------------------------------------------------



For the transition period from  to



Commission File Number 001-32374



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Symmetry Medical Inc.

(Exact name of registrant as specified in its charter)



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|                                                               |  |                                     
|-------------------------------------------------------------- |  | ------------------------------------
|Delaware                                                       |  | 35-1996126                          
|(State or other jurisdiction of incorporation or organization) |  | (I.R.S. Employer Identification No.)
|                                                               | 
|220 W. Market Street, Warsaw, Indiana                          |  | 46580                               
|(Address of principal executive offices)                       |  | (Zip code)                          



Registrants
telephone number, including area code (574) 268-2252



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Indicate by check mark whether the registrant (1) has filed all reports required to be filed by section 13 or 15(d) of
the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90
days.    Yes  x    No ̈



Indicate by check mark whether the registrant is an accelerated filer (as
defined in Exchange Act Rule 12b-2).    Yes ̈No  x



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



The number of shares outstanding of the registrants common stock as of October 1, 2005, was 34,683,902.



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##### Table of Contents

Table of Contents



|                                                                                                                |  |     
|--------------------------------------------------------------------------------------------------------------- |  | ----
|                                                                                                                |  | Page
|PART I FINANCIAL INFORMATION                                                                                    |  |     
|                                                                                                                | 
|Item 1. Financial Statements:                                                                                   |  |     
|                                                                                                                | 
|Condensed Consolidated Balance Sheets:As of October 1, 2005 and January 1, 2005                                 |  | 1   
|                                                                                                                | 
|Condensed Consolidated Statements of Operations:Three and Nine Months Ended October 1, 2005 and October 2, 2004 |  | 2   
|                                                                                                                | 
|Condensed Consolidated Statements of Cash Flows:Nine Months Ended October 1, 2005 and October 2, 2004           |  | 3   
|                                                                                                                | 
|Notes to Condensed Consolidated Financial Statements                                                            |  | 4   
|                                                                                                                | 
|Item 2.
Managements Discussion and Analysis of Results of Operations and Financial Condition                   |  | 10  
|                                                                                                                | 
|Item 3:
Quantitative and Qualitative Disclosures about Market Risks                                             |  | 14  
|                                                                                                                | 
|Item 4.
Controls and Procedures                                                                                 |  | 14  
|                                                                                                                | 
|PART II
OTHER INFORMATION                                                                                       |  |     
|                                                                                                                | 
|Item 1.
Legal Proceedings                                                                                       |  | 15  
|                                                                                                                | 
|Item 2.
Unregistered Sales of Equity Securities and Use of Proceeds                                             |  | 15  
|                                                                                                                | 
|Item 6.
Exhibits                                                                                                |  | 15  
|                                                                                                                | 
|Signatures                                                                                                      |  | 16  



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##### Table of Contents

Symmetry Medical Inc.



Condensed
Consolidated Balance Sheets

(In Thousands, Except Per Share Data)



|                                                                                                                         |  |             |         |   |            |   |         |  
|------------------------------------------------------------------------------------------------------------------------ |  | ----------- | ------- | - | ---------- | - | ------- | -
|                                                                                                                         |  | October 1,  |         |   | January 1, |  
|                                                                                                                         |  | 2005        |         |   | 2005       |  
|                                                                                                                         |  | (unaudited) |         |   |            |  
|Assets:                                                                                                                  |  |             |         |   |            |   |         |  
|Current Assets:                                                                                                          |  |             |         |   |            |   |         |  
|Cash and cash equivalents                                                                                                |  | $           | 15,475  |   |            | $ | 4,849   |  
|Accounts receivables, net                                                                                                |  |             | 44,292  |   |            |   | 39,640  |  
|Inventories                                                                                                              |  |             | 35,663  |   |            |   | 34,083  |  
|Refundable income taxes                                                                                                  |  |             | 1,016   |   |            |   | 2,578   |  
|Deferred income taxes                                                                                                    |  |             | 2,106   |   |            |   | 2,036   |  
|Other current assets                                                                                                     |  |             | 3,013   |   |            |   | 5,635   |  
|                                                                                                                         |  |             |         |   |            |   |         |  
|Total current assets                                                                                                     |  |             | 101,565 |   |            |   | 88,821  |  
|Property and equipment, net                                                                                              |  |             | 91,499  |   |            |   | 71,854  |  
|Interest rate swap valuation asset                                                                                       |  |             | 658     |   |            |   | 486     |  
|Goodwill                                                                                                                 |  |             | 125,260 |   |            |   | 127,369 |  
|Intangible assets, net of accumulated amortization                                                                       |  |             | 16,577  |   |            |   | 17,327  |  
|Other assets                                                                                                             |  |             | 899     |   |            |   | 1,011   |  
|                                                                                                                         |  |             |         |   |            |   |         |  
|Total Assets                                                                                                             |  | $           | 336,458 |   |            | $ | 306,868 |  
|                                                                                                                         |  |             |         |   |            |   |         |  
|Liabilities and Shareholders Equity:                                                                                    |  |             |         |   |            |   |         |  
|Current Liabilities:                                                                                                     |  |             |         |   |            |   |         |  
|Accounts payable                                                                                                         |  | $           | 19,373  |   |            | $ | 17,908  |  
|Accrued wages and benefits                                                                                               |  |             | 9,925   |   |            |   | 9,384   |  
|Other accrued expenses                                                                                                   |  |             | 2,945   |   |            |   | 3,012   |  
|Income tax payable                                                                                                       |  |             | 2,173   |   |            |   | 2,008   |  
|Revolving line of credit                                                                                                 |  |             | 3,265   |   |            |   | 1,204   |  
|Current portion of capital lease obligations                                                                             |  |             | 3,259   |   |            |   | 3,572   |  
|Current portion of long-term debt                                                                                        |  |             | 1,313   |   |            |   | 879     |  
|                                                                                                                         |  |             |         |   |            |   |         |  
|Total current liabilities                                                                                                |  |             | 42,253  |   |            |   | 37,967  |  
|Deferred income taxes                                                                                                    |  |             | 9,925   |   |            |   | 9,547   |  
|Capital lease obligations, less current portion                                                                          |  |             | 9,141   |   |            |   | 11,709  |  
|Long-term debt, less current portion                                                                                     |  |             | 27,563  |   |            |   | 31,500  |  
|                                                                                                                         |  |             |         |   |            |   |         |  
|Total Liabilities                                                                                                        |  |             | 88,882  |   |            |   | 90,723  |  
|                                                                                                                         |  |             |         |   |            |   |         |  
|Commitments and contingencies (Note 10)                                                                                  |  |             |         |   |            |   |         |  
|                                                                                                                         |  |            
|Shareholders Equity:                                                                                                    |  |             |         |   |            |   |         |  
|Common Stock, $.0001 par value; 72,410 shares authorized; shares issued (October 1, 200534,684; January 1,
200533,174) |  |             | 3       |   |            |   | 3       |  
|Additional paid-in capital                                                                                               |  |             | 268,487 |   |            |   | 255,509 |  
|Retained earnings (deficit)                                                                                              |  |             | (24,671 | ) |            |   | (49,178 | )
|Accumulated other comprehensive income                                                                                   |  |             | 3,757   |   |            |   | 9,811   |  
|                                                                                                                         |  |             |         |   |            |   |         |  
|Total Shareholders Equity                                                                                               |  |             | 247,576 |   |            |   | 216,145 |  
|                                                                                                                         |  |             |         |   |            |   |         |  
|Total Liabilities and Shareholders Equity                                                                               |  | $           | 336,458 |   |            | $ | 306,868 |  
|                                                                                                                         |  |             |         |   |            |   |         |  



See accompanying
notes to condensed consolidated financial statements.



1



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##### Table of Contents

Symmetry Medical Inc.



Condensed
Consolidated Statements of Operations

(In Thousands, Except Per Share Data)



|                                                                  |  |                    |        |   |                   |   |        |             |  |   |             |   |  |   |         |  
|----------------------------------------------------------------- |  | ------------------ | ------ | - | ----------------- | - | ------ | ----------- |  | - | ----------- | - |  | - | ------- | -
|                                                                  |  | Three Months Ended |        |   | Nine Months Ended |  
|                                                                  |  | October 1,         |        |   | October 2,        |   |        | October 1,  |  |   | October 2,  |  
|                                                                  |  | 2005               |        |   | 2004              |   |        | 2005        |  |   | 2004        |  
|                                                                  |  | (unaudited)        |        |   | (unaudited)       |   |        | (unaudited) |  |   | (unaudited) |  
|Revenue                                                           |  | $                  | 67,228 |   |                   | $ | 54,126 |             |  | $ | 201,165     |   |  | $ | 153,053 |  
|Cost of Revenue                                                   |  |                    | 47,486 |   |                   |   | 38,087 |             |  |   | 140,593     |   |  |   | 108,363 |  
|                                                                  |  |                    |        |   |                   |   |        |             |  |   |             |   |  |   |         |  
|Gross Profit                                                      |  |                    | 19,742 |   |                   |   | 16,039 |             |  |   | 60,572      |   |  |   | 44,690  |  
|Selling, general, and administrative expenses                     |  |                    | 7,455  |   |                   |   | 5,647  |             |  |   | 21,157      |   |  |   | 16,975  |  
|                                                                  |  |                    |        |   |                   |   |        |             |  |   |             |   |  |   |         |  
|Operating Income                                                  |  |                    | 12,287 |   |                   |   | 10,392 |             |  |   | 39,415      |   |  |   | 27,715  |  
|Other (income) expense:                                           |  |                    |        |   |                   |   |        |             |  |   |             |   |  |   |         |  
|Interest expense                                                  |  |                    | 635    |   |                   |   | 3,688  |             |  |   | 2,347       |   |  |   | 10,852  |  
|Interest rate swap valuation                                      |  |                    | (65    | ) |                   |   | (24    | )           |  |   | (172        | ) |  |   | (809    | )
|Other                                                             |  |                    | 927    |   |                   |   | 9      |             |  |   | 1,811       |   |  |   | (230    | )
|                                                                  |  |                    |        |   |                   |   |        |             |  |   |             |   |  |   |         |  
|Income before income taxes                                        |  |                    | 10,790 |   |                   |   | 6,719  |             |  |   | 35,429      |   |  |   | 17,902  |  
|Income tax expense                                                |  |                    | 2,567  |   |                   |   | 2,285  |             |  |   | 10,922      |   |  |   | 6,108   |  
|                                                                  |  |                    |        |   |                   |   |        |             |  |   |             |   |  |   |         |  
|Net income                                                        |  |                    | 8,223  |   |                   |   | 4,434  |             |  |   | 24,507      |   |  |   | 11,794  |  
|Preferred stock dividends                                         |  |                    |       |   |                   |   | 2,409  |             |  |   |            |   |  |   | 7,069   |  
|                                                                  |  |                    |        |   |                   |   |        |             |  |   |             |   |  |   |         |  
|Net income applicable to common shareholders                      |  | $                  | 8,223  |   |                   | $ | 2,025  |             |  | $ | 24,507      |   |  | $ | 4,725   |  
|                                                                  |  |                    |        |   |                   |   |        |             |  |   |             |   |  |   |         |  
|Net income applicable to common shareholders per share:           |  |                    |        |   |                   |   |        |             |  |   |             |   |  |   |         |  
|Basic                                                             |  | $                  | 0.24   |   |                   | $ | 0.13   |             |  | $ | 0.73        |   |  | $ | 0.30    |  
|                                                                  |  |                    |        |   |                   |   |        |             |  |   |             |   |  |   |         |  
|Diluted                                                           |  | $                  | 0.24   |   |                   | $ | 0.12   |             |  | $ | 0.71        |   |  | $ | 0.28    |  
|                                                                  |  |                    |        |   |                   |   |        |             |  |   |             |   |  |   |         |  
|Weighted average common shares and equivalent shares outstanding: |  |                    |        |   |                   |   |        |             |  |   |             |   |  |   |         |  
|Basic                                                             |  |                    | 34,310 |   |                   |   | 15,789 |             |  |   | 33,575      |   |  |   | 15,789  |  
|Diluted                                                           |  |                    | 34,987 |   |                   |   | 16,612 |             |  |   | 34,526      |   |  |   | 16,605  |  



See accompanying
notes to condensed consolidated financial statements.



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##### Table of Contents

Symmetry Medical Inc.



Condensed
Consolidated Statements of Cash Flows

(In Thousands)



|                                                                                            |  |                   |         |   |             |   |         |  
|------------------------------------------------------------------------------------------- |  | ----------------- | ------- | - | ----------- | - | ------- | -
|                                                                                            |  | Nine Months Ended |        
|                                                                                            |  | October 1,        |         |   | October 2,  |  
|                                                                                            |  | 2005              |         |   | 2004        |  
|                                                                                            |  | (unaudited)       |         |   | (unaudited) |  
|Operating activities                                                                        |  |                   |         |   |             |   |         |  
|Net Income                                                                                  |  | $                 | 24,507  |   |             | $ | 11,794  |  
|Adjustments to reconcile net income to net cash provided by (used in) operating activities: |  |                   |         |   |             |   |         |  
|Depreciation                                                                                |  |                   | 9,504   |   |             |   | 7,711   |  
|Amortization                                                                                |  |                   | 456     |   |             |   | 456     |  
|(Gain) loss from sale of assets                                                             |  |                   | 71      |   |             |   | 20      |  
|Deferred income tax provision                                                               |  |                   | 374     |   |             |   | (64     | )
|Income tax benefits from exercise of stock options                                          |  |                   | 1,199   |   |             |   |        |  
|Interest rate swap valuation change                                                         |  |                   | (172    | ) |             |   | (809    | )
|Change in operating assets and liabilities:                                                 |  |                   |         |   |             |   |         |  
|Accounts receivable                                                                         |  |                   | (6,449  | ) |             |   | (6,115  | )
|Other assets                                                                                |  |                   | 2,212   |   |             |   | (2,209  | )
|Inventories                                                                                 |  |                   | (2,761  | ) |             |   | (3,357  | )
|Accounts payable                                                                            |  |                   | 2,441   |   |             |   | 5,607   |  
|Accrued expenses and other                                                                  |  |                   | 3,173   |   |             |   | 3,534   |  
|                                                                                            |  |                   |         |   |             |   |         |  
|Net cash provided by operating activities                                                   |  |                   | 34,555  |   |             |   | 16,568  |  
|                                                                                            |  |                  
|Investing activities                                                                        |  |                   |         |   |             |   |         |  
|Purchases of property and equipment                                                         |  |                   | (31,354 | ) |             |   | (13,619 | )
|                                                                                            |  |                   |         |   |             |   |         |  
|Net cash used in investing activities                                                       |  |                   | (31,354 | ) |             |   | (13,619 | )
|                                                                                            |  |                  
|Financing activities                                                                        |  |                   |         |   |             |   |         |  
|Proceeds from bank revolver                                                                 |  |                   | 37,065  |   |             |   | 47,580  |  
|Payments on bank revolver                                                                   |  |                   | (34,695 | ) |             |   | (45,311 | )
|Payments on long-term debt and capital lease obligations                                    |  |                   | (6,452  | ) |             |   | (5,591  | )
|Proceeds from the issuance of common stock                                                  |  |                   | 11,707  |   |             |   |        |  
|Payments for redemption of common and preferred stock                                       |  |                   |        |   |             |   | (37     | )
|                                                                                            |  |                   |         |   |             |   |         |  
|Net cash provided by financing activities                                                   |  |                   | 7,625   |   |             |   | (3,359  | )
|Effect of exchange rate changes on cash                                                     |  |                   | (200    | ) |             |   | 42      |  
|                                                                                            |  |                   |         |   |             |   |         |  
|Net increase (decrease) in cash and cash equivalents                                        |  |                   | 10,626  |   |             |   | (368    | )
|Cash and cash equivalents at beginning of period                                            |  |                   | 4,849   |   |             |   | 2,348   |  
|                                                                                            |  |                   |         |   |             |   |         |  
|Cash and cash equivalents at end of period                                                  |  | $                 | 15,475  |   |             | $ | 1,980   |  
|                                                                                            |  |                   |         |   |             |   |         |  
|Supplemental disclosures:                                                                   |  |                   |         |   |             |   |         |  
|Cash paid for interest                                                                      |  | $                 | 1,837   |   |             | $ | 9,785   |  
|                                                                                            |  |                   |         |   |             |   |         |  
|Cash paid for income taxes                                                                  |  | $                 | 6,964   |   |             | $ | 2,843   |  
|                                                                                            |  |                   |         |   |             |   |         |  
|Assets acquired under capital leases                                                        |  | $                 | 283     |   |             | $ | 3,911   |  
|                                                                                            |  |                   |         |   |             |   |         |  



See accompanying
notes to condensed consolidated financial statements.



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##### Table of Contents

Symmetry Medical Inc.



Notes to
Condensed Consolidated Financial Statements

(In Thousands, Except Per Share Data)



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., Othy Limited, Poly-Vac S.A. and Mettis (UK) Limited, including its wholly-owned
subsidiary, Thornton Precision Components Limited. The Corporation is a global supplier of integrated products and services 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 material adjustments (consisting
only of normal recurring adjustments) 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 consolidated financial statements and the notes thereto included in the
Corporations Annual Report on Form 10-K for fiscal year 2004.



Certain prior year amounts have been reclassified to conform to the current-year presentation. These reclassifications had no impact on our results of operations or financial position.



The Corporations year end is the 52 or 53 week period ending the
Saturday closest to December 31. Fiscal year 2005 and 2004 are 52 week years. As such, interim quarters are 13 weeks long ending the Saturday closest to March 31, June 30, or September 30. References in these consolidated
financial statements to the three months ended refer to these financial periods, respectively.



2. Inventories



Inventories consist of the following:



|                          |  |            |        |            |   |       
|------------------------- |  | ---------- | ------ | ---------- | - | ------
|                          |  | October 1, |        | January 1,
|                          |  | 2005       |        | 2005      
|Raw material and supplies |  | $          | 6,652  |            | $ | 6,012 
|Work-in-process           |  |            | 20,609 |            |   | 20,561
|Finished goods            |  |            | 8,402  |            |   | 7,510 
|                          |  |            |        |            |   |       
|                          |  | $          | 35,663 |            | $ | 34,083
|                          |  |            |        |            |   |       



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3. Property and Equipment



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



|                                            |  |            |         |            |   |        
|------------------------------------------- |  | ---------- | ------- | ---------- | - | -------
|                                            |  | October 1, |         | January 1,
|                                            |  | 2005       |         | 2005      
|Land                                        |  | $          | 1,297   |            | $ | 1,337  
|Buildings and improvements (20 to 40 years) |  |            | 23,382  |            |   | 22,117 
|Machinery and equipment (5 to 15 years)     |  |            | 92,696  |            |   | 74,064 
|Office equipment (3 to 5 years)             |  |            | 5,113   |            |   | 5,307  
|Construction-in-progress                    |  |            | 10,776  |            |   | 4,170  
|                                            |  |            |         |            |   |        
|                                            |  |            | 133,264 |            |   | 106,995
|Less accumulated depreciation               |  |            | 41,765  |            |   | 35,141 
|                                            |  |            |         |            |   |        
|                                            |  | $          | 91,499  |            | $ | 71,854 
|                                            |  |            |         |            |   |        



4. Intangible Assets



Intangible assets subject to amortization consist of
technology and customer related intangible assets acquired in connection with our acquisition of Mettis (UK) Limited on June 11, 2003. These assets ($12,861, net, at October 1, 2005 and $13,482, net, at January 1, 2005) are being
amortized using the straight-line method over 9 to 25 years. The Corporation has $3,716 and $3,845 of indefinite lived intangible assets at October 1, 2005 and January 1, 2005, respectively.



5. New Accounting Pronouncements



On December 16, 2004, the FASB issued Statement No. 123 (revised
2004), Share-Based Payment, which is a revision of FASB Statement No. 123, Accounting for Stock Based Compensation. Statement 123(R) supersedes APB Opinion No. 25, Accounting for Stock Issued to Employees, and amends
FASB Statement No. 95, Statement of Cash Flows. Generally, the approach in Statement 123(R) is similar to the approach described in Statement 123. However, Statement 123(R) requires all share-based payments to employees and directors,
including grants of employee stock options, to be recognized in the income statement based on their fair values. Pro forma disclosure is no longer an alternative.



Statement 123(R) must be adopted by us no later than January 1, 2006. We expect to adopt Statement 123(R) on
January 1, 2006 using the modified prospective method in which compensation cost is recognized beginning with the effective date based on the requirements of Statement 123(R) for all share-based payments granted after the effective
date and based on the requirements of Statement 123 for all awards granted to employees prior to the effective date of Statement 123(R) that remain unvested on the effective date.



As permitted by Statement 123, we currently account for share-based payments to employees using Opinion 25s intrinsic
value method and, as such, generally recognize no compensation cost for employee stock options. Accordingly, the adoption of Statement 123(R)s fair value method will have a significant impact on our results of operations, although it will have
no impact on its overall financial position. The impact of adoption of Statement 123(R) cannot be predicted at this time because it will depend on levels of share-based payments granted in the future. However, had we adopted Statement 123(R) in
prior periods, the impact of that standard would have approximated the impact of Statement 123 as described in the disclosure of pro forma net income and earnings per share in Note 6. Statement 123(R) also requires the benefits of tax deductions in
excess of recognized compensation cost to be reported as a financing cash flow, rather than as an operating cash flow as required under current literature. This requirement will reduce net operating cash flows and increase net financing cash flows
related to share-based payments in periods after adoption. There were no such cash flows in prior periods.



6. Stock-Based Compensation



The Corporation has elected to follow APB No. 25, Accounting for Stock Issued to Employees, in accounting for its stock options and; accordingly, no compensation cost has been recognized for stock options in the condensed consolidated
financial statements. However, SFAS 123, Accounting for Stock-Based Compensation, as amended by SFAS No. 148, Accounting for Stock-Based Compensation-Transition and Disclosure, requires pro forma presentation as if compensation costs had been
expensed under the fair value method of SFAS No. 123. For purposes of pro forma disclosure, the estimated fair value of the options at the date of grant is amortized to expense over the vesting period.



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##### Table of Contents

The following table illustrates the effect on net income as if compensation expense had been recognized
for the periods ended:



|                                                          |  |                    |       |   |                   |   |       |            |  |   |            |   |  |   |       |  
|--------------------------------------------------------- |  | ------------------ | ----- | - | ----------------- | - | ----- | ---------- |  | - | ---------- | - |  | - | ----- | -
|                                                          |  | Three Months Ended |       |   | Nine Months Ended |  
|                                                          |  | October 1,         |       |   | October 2,        |   |       | October 1, |  |   | October 2, |  
|                                                          |  | 2005               |       |   | 2004              |   |       | 2005       |  |   | 2004       |  
|Reported net income applicable to common shareholders     |  | $                  | 8,223 |   |                   | $ | 2,025 |            |  | $ | 24,507     |   |  | $ | 4,725 |  
|Pro forma stock-based compensation expense (net of tax)   |  |                    | (62   | ) |                   |   | (48   | )          |  |   | (161       | ) |  |   | (192  | )
|Stock-based employee compensation recorded (net of tax)   |  |                    | 36    |   |                   |   |      |            |  |   | 54         |   |  |   |      |  
|                                                          |  |                    |       |   |                   |   |       |            |  |   |            |   |  |   |       |  
|Adjusted net income                                       |  | $                  | 8,197 |   |                   | $ | 1,977 |            |  | $ | 24,400     |   |  | $ | 4,533 |  
|                                                          |  |                    |       |   |                   |   |       |            |  |   |            |   |  |   |       |  
|Basic net income per share applicable to common:          |  |                    |       |   |                   |   |       |            |  |   |            |   |  |   |       |  
|Reported net income (loss) per share                      |  | $                  | 0.24  |   |                   | $ | 0.13  |            |  | $ | 0.73       |   |  | $ | 0.30  |  
|Stock-based compensation expense (net of tax) per share   |  |                    |      |   |                   |   |      |            |  |   |           |   |  |   | (0.01 | )
|                                                          |  |                    |       |   |                   |   |       |            |  |   |            |   |  |   |       |  
|Adjusted net income (loss) per share                      |  | $                  | 0.24  |   |                   | $ | 0.13  |            |  | $ | 0.73       |   |  | $ | 0.29  |  
|                                                          |  |                    |       |   |                   |   |       |            |  |   |            |   |  |   |       |  
|Diluted net income (loss) per share applicable to common: |  |                    |       |   |                   |   |       |            |  |   |            |   |  |   |       |  
|Reported net income (loss) per share                      |  | $                  | 0.24  |   |                   | $ | 0.12  |            |  | $ | 0.71       |   |  | $ | 0.28  |  
|Stock-based compensation expense (net of tax) per share   |  |                    | (0.01 | ) |                   |   |      |            |  |   |           |   |  |   | (0.01 | )
|                                                          |  |                    |       |   |                   |   |       |            |  |   |            |   |  |   |       |  
|Adjusted net income (loss) per share                      |  | $                  | 0.23  |   |                   | $ | 0.12  |            |  | $ | 0.71       |   |  | $ | 0.27  |  
|                                                          |  |                    |       |   |                   |   |       |            |  |   |            |   |  |   |       |  



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##### Table of Contents

7. Income Taxes



The Corporations effective tax rate was 23.8% and 30.8% for the three and nine month periods ended October 1, 2005 as compared to 34.0% and
34.1% for the same periods in 2004. The decrease in the effective tax rate was largely due to additional research and development credits claimed in the third quarter of 2005. During the third quarter, the Corporation completed an analysis of
research and development expenses and determined that income tax credits were available for the periods from 2001 through 2004. The Corporation recorded the benefit for these credits during the third quarter as it was deemed probable that such
credits were realizable in accordance with Statement of Financial Accounting Standards No. 109 Accounting for Income Taxes.



8. 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 has a special services business serving primarily aerospace customers, which does not meet the quantitative disclosure requirements of SFAS
131. The Corporation manages its business and operates in a single reportable business segment. Because of the similar economic characteristics of the operations, including the nature of the products, comparable level of FDA regulations, same or
similar customers, those operations have been aggregated following the provisions of SFAS 131 for segment reporting purposes.



The Corporation is a multi-national corporation with operations in the United States, the United Kingdom and France. 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. While exposure to variability in foreign currency exists, the Corporation does not believe it is significant to its
operations and any variability is somewhat offset through the location of its manufacturing facilities. Revenue is attributed to geographic locations based on the location to which we ship our products.



Revenue From External Customers:



|                        |  |                    |        |                   |   |            |  |            |         |  |   |        
|----------------------- |  | ------------------ | ------ | ----------------- | - | ---------- |  | ---------- | ------- |  | - | -------
|                        |  | Three Months Ended |        | Nine Months Ended
|                        |  | October 1,         |        | October 2,        |   | October 1, |  | October 2,
|                        |  | 2005               |        | 2004              |   | 2005       |  | 2004      
|United States           |  | $                  | 43,631 |                   | $ | 36,462     |  | $          | 131,060 |  | $ | 103,485
|Ireland                 |  |                    | 7,998  |                   |   | 5,024      |  |            | 24,288  |  |   | 14,418 
|United Kingdom          |  |                    | 8,843  |                   |   | 7,444      |  |            | 23,713  |  |   | 19,118 
|Other foreign countries |  |                    | 6,756  |                   |   | 5,196      |  |            | 22,104  |  |   | 16,032 
|                        |  |                    |        |                   |   |            |  |            |         |  |   |        
|Total Net Revenues      |  | $                  | 67,228 |                   | $ | 54,126     |  | $          | 201,165 |  | $ | 153,053
|                        |  |                    |        |                   |   |            |  |            |         |  |   |        



Concentration of Credit Risk:



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



Quarter ended October 1, 2005  Two customers representing
approximately 37% and 14% of revenue, respectively.



Quarter
ended October 2, 2004  Four customers representing approximately 23%, 15%, 15% and 10% of revenue, respectively.



Following is a summary of the composition by product category of the Corporations revenue to external customers. Revenue of the specialty services
business is included in the other category.



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##### Table of Contents

|              |  |                    |        |                   |   |            |  |            |         |  |   |        
|------------- |  | ------------------ | ------ | ----------------- | - | ---------- |  | ---------- | ------- |  | - | -------
|              |  | Three Months Ended |        | Nine Months Ended
|              |  | October 1,         |        | October 2,        |   | October 1, |  | October 2,
|              |  | 2005               |        | 2004              |   | 2005       |  | 2004      
|Implants      |  | $                  | 28,164 |                   | $ | 19,794     |  | $          | 76,578  |  | $ | 55,576 
|Instruments   |  |                    | 20,020 |                   |   | 18,424     |  |            | 67,867  |  |   | 50,559 
|Cases         |  |                    | 14,217 |                   |   | 12,121     |  |            | 43,822  |  |   | 35,602 
|Other         |  |                    | 4,827  |                   |   | 3,787      |  |            | 12,898  |  |   | 11,316 
|              |  |                    |        |                   |   |            |  |            |         |  |   |        
|Total Revenue |  | $                  | 67,228 |                   | $ | 54,126     |  | $          | 201,165 |  | $ | 153,053
|              |  |                    |        |                   |   |            |  |            |         |  |   |        



9. Net Income (Loss) Per Share



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



|                                                                   |  |                    |        |                   |   |            |  |            |        |  |   |       
|------------------------------------------------------------------ |  | ------------------ | ------ | ----------------- | - | ---------- |  | ---------- | ------ |  | - | ------
|                                                                   |  | Three Months Ended |        | Nine Months Ended
|                                                                   |  | October 1,         |        | October 2,        |   | October 1, |  | October 2,
|                                                                   |  | 2005               |        | 2004              |   | 2005       |  | 2004      
|Net income                                                         |  | $                  | 8,223  |                   | $ | 4,434      |  | $          | 24,507 |  | $ | 11,794
|Preferred stock dividends                                          |  |                    |       |                   |   | 2,409      |  |            |       |  |   | 7,069 
|                                                                   |  |                    |        |                   |   |            |  |            |        |  |   |       
|Net income available to common shareholders                        |  | $                  | 8,223  |                   | $ | 2,025      |  | $          | 24,507 |  | $ | 4,725 
|                                                                   |  |                    |        |                   |   |            |  |            |        |  |   |       
|Weighted-average common shares outstanding basic                   |  |                    | 34,310 |                   |   | 15,789     |  |            | 33,575 |  |   | 15,789
|Effect of stock options and warrants                               |  |                    | 677    |                   |   | 823        |  |            | 951    |  |   | 816   
|                                                                   |  |                    |        |                   |   |            |  |            |        |  |   |       
|Weighted-average common shares outstanding and assumed conversions |  |                    | 34,987 |                   |   | 16,612     |  |            | 34,526 |  |   | 16,605
|                                                                   |  |                    |        |                   |   |            |  |            |        |  |   |       
|Net income per share available to common shareholders:             |  |                    |        |                   |   |            |  |            |        |  |   |       
|Basic                                                              |  | $                  | 0.24   |                   | $ | 0.13       |  | $          | 0.73   |  | $ | 0.30  
|                                                                   |  |                    |        |                   |   |            |  |            |        |  |   |       
|Diluted                                                            |  | $                  | 0.24   |                   | $ | 0.12       |  | $          | 0.71   |  | $ | 0.28  
|                                                                   |  |                    |        |                   |   |            |  |            |        |  |   |       



On July 22, 2005,
the Corporation completed an offering of common stock as described in its registration statement on Form S-1, originally filed with the Securities and Exchange Commission on June 27, 2005. The Corporation issued 0.5 million new shares to
the public and received $10,624 in net proceeds, after discounts and commissions to the underwriters but before offering expenses. The Corporation used a portion of the proceeds to repay indebtedness under our short-term credit facility in the
United Kingdom. The remainder of the proceeds is for general corporate purposes. In addition, 11.0 million shares were also sold in the offering by certain of our existing shareholders.



10. Commitments and Contingencies



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 affect 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.



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##### Table of Contents

11. Comprehensive Income



Comprehensive income is comprised of net income and gains and losses resulting from currency translations of foreign entities. Comprehensive income
consists of the following:



|                                         |  |                    |       |   |                   |   |        |            |  |   |            |   |  |   |       
|---------------------------------------- |  | ------------------ | ----- | - | ----------------- | - | ------ | ---------- |  | - | ---------- | - |  | - | ------
|                                         |  | Three Months Ended |       |   | Nine Months Ended
|                                         |  | October 1,         |       |   | October 2,        |   |        | October 1, |  |   | October 2,
|                                         |  | 2005               |       |   | 2004              |   |        | 2005       |  |   | 2004      
|Net Income                               |  | $                  | 8,223 |   |                   | $ | 4,434  |            |  | $ | 24,507     |   |  | $ | 11,794
|Foreign currency translation adjustments |  |                    | (13   | ) |                   |   | (1,093 | )          |  |   | (6,054     | ) |  |   | 140   
|                                         |  |                    |       |   |                   |   |        |            |  |   |            |   |  |   |       
|Comprehensive income                     |  | $                  | 8,210 |   |                   | $ | 3,341  |            |  | $ | 18,453     |   |  | $ | 11,934
|                                         |  |                    |       |   |                   |   |        |            |  |   |            |   |  |   |       



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##### Table of Contents

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



Overview



The Corporation is the worlds largest independent provider of implants and related instruments and cases to orthopedic device manufacturers. The
Corporation also designs, develops and produces these products for companies in other segments of the medical device market, including dental, osteobiologic and endoscopy sectors, and provides limited specialized products and services to
non-healthcare markets.



The Corporation offers its customers
Total Solutionsfor complete implant systemsimplants, instruments and cases. While the
Corporations revenue to date has been derived primarily from the sale of implants, instruments and cases separately, or instruments and cases together, its ability to provide Total Solutions for complete implant systems has already proven to
be attractive to its customers and the Corporation expects this capability will provide it with growth opportunities. In addition, the Corporation expects that its Total Solutions capability will increase the relative percentage of value added
products that it supplies to its customers.



The
Corporations Annual Report on Form 10-K for the fiscal year 2004 and Registration Statement on Form S-1, as amended, originally filed June 27, 2005 with the Securities and Exchange Commission, provide additional information about the
Corporations business, operations and financial condition.



Third
Quarter Results of Operations



Revenue. Revenue for
the three month period ended October 1, 2005 increased $13.1 million, or 24.2%, to $67.2 million from $54.1 million for the comparable 2004 period. Revenue for each of the Corporations principal product categories in these periods was as
follows:



|                 |            |                    |            |  |   |     
|---------------- | ---------- | ------------------ | ---------- |  | - | ----
|Product Category |            | Three Months Ended
|                 | October 1, |                    | October 2,
|                 | 2005       |                    | 2004      
|                 |            | (in millions)     
|Implants         |            | $                  | 28.2       |  | $ | 19.8
|Instruments      |            |                    | 20.0       |  |   | 18.4
|Cases            |            |                    | 14.2       |  |   | 12.1
|Other            |            |                    | 4.8        |  |   | 3.8 
|                 |            |                    |            |  |   |     
|Total            |            | $                  | 67.2       |  | $ | 54.1
|                 |            |                    |            |  |   |     



The $13.1 million
increase in revenue resulted from increased implant, instrument, case, and non-healthcare/other sales of $8.4 million, $1.6 million, $2.1 million, and $1.0 million, respectively, as a result of increased implant finishing volume and increased demand
from customers due primarily to continued industry growth and their launches of new systems. The Corporation experienced a seasonal impact of the orthopedic industry on revenue in the third quarter of 2005. Many of our products are used in elective
procedures that tend to decline to some degree during the summer months.



Gross Profit. Gross profit for the three month period ended October 1, 2005 increased $3.7 million, or 23.1%, to $19.7 million from $16.0 million for the comparable 2004 period. This increase in gross
profit was driven by increased revenues as gross margin was 29.4% for the three month period ended October 1, 2005, compared to 29.6% for the comparable 2004 period.



Selling, General and Administrative Expenses. Selling, general and administrative expenses for the three month period
ended October 1, 2005 increased $1.9 million, or 32.0%, to $7.5 million from $5.6 million for the comparable 2004 period. This increase in expenses primarily resulted from higher professional fees and costs related to our growth in revenue. As
a percentage of revenue, selling, general and administrative expenses increased to 11.1% of revenue for the three month period ended October 1, 2005 from 10.4% of revenue for the comparable 2004 period. This 0.7% increase as a percentage of
revenue was attributable to professional fees related to Sarbanes-Oxley compliance and income tax services.



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Other (Income) Expense. Interest expense for the three month period ended October 1, 2005
decreased $3.1 million, or 82.8%, to $0.6 million from $3.7 million for the comparable 2004 period. This decrease primarily reflects the decrease in senior and subordinated debt that resulted from the repayment of such debt with proceeds of the
Corporations initial public offering of its common stock in the fourth quarter of fiscal 2004.



Other expense for the three month period ended October 1, 2005 was $0.9 million compared to $0.0 million for the comparable 2004 period. This
increase in net other expense was primarily due to costs paid in connection with the secondary public offering.



Provision for Income Taxes. The Corporations effective tax rate was 23.8% for the three month period ended October 1, 2005 as compared
to 34.0% for the comparable 2004 period. The decrease was largely due to additional research and development credits recorded in the third quarter of 2005 for the years 2001 through 2004. Provision for income taxes increased by $0.3 million, or
12.3%, to $2.6 million for the three month period ended October 1, 2005 from $2.3 million for the comparable 2004 period, due primarily to higher pre-tax earnings and offset by the tax credits noted above.



Preferred Stock Dividends. The Corporation repurchased or converted to
common stock all of the Corporations outstanding preferred stock in the fourth quarter of fiscal 2004 in connection with the Corporations initial public offering. As a result, there were no preferred stock dividends in the three months
ended October 1, 2005. The Corporation had preferred stock dividends of $2.4 million for the three months ended October 2, 2004.



Nine Months Results of Operations



Revenue. Revenue for the nine month period ended October 1, 2005 increased $48.1 million, or 31.4%, to $201.2 million from $153.1 million for
the comparable 2004 period. Revenue for each of the Corporations principal product categories in these periods was as follows:



|                 |            |                   |            |  |   |      
|---------------- | ---------- | ----------------- | ---------- |  | - | -----
|Product Category |            | Nine Months Ended
|                 | October 1, |                   | October 2,
|                 | 2005       |                   | 2004      
|                 |            | (in millions)    
|Implants         |            | $                 | 76.6       |  | $ | 55.6 
|Instruments      |            |                   | 67.9       |  |   | 50.6 
|Cases            |            |                   | 43.8       |  |   | 35.6 
|Other            |            |                   | 12.9       |  |   | 11.3 
|                 |            |                   |            |  |   |      
|Total            |            | $                 | 201.2      |  | $ | 153.1
|                 |            |                   |            |  |   |      



The $48.1 million
increase in revenue resulted from increased implant, instrument, case, and non-healthcare/other sales of $21.0 million, $17.3 million, $8.2 million, and $1.6 million, respectively, as a result of increased demand from customers due primarily to
continued industry growth and their launches of new systems.



Gross Profit. Gross profit for the nine month period ended October 1, 2005 increased $15.9 million, or 35.5%, to $60.6 million from $44.7 million for the comparable 2004 period. This increase in gross profit resulted from
increased revenues and improved leveraging of fixed costs. As a percentage of revenue, gross margin was 30.1% for the nine month period ended October 1, 2005 compared to 29.2% for the comparable 2004 period.



Selling, General and Administrative Expenses. Selling, general and
administrative expenses for the nine month period ended October 1, 2005 increased $4.2 million, or 24.6%, to $21.2 million from $17.0 million for the comparable 2004 period. This increase in expenses primarily resulted from increases in
professional fees related to Sarbanes-Oxley compliance and income tax services. As a percentage of revenue, selling, general and administrative expenses declined to 10.5% of revenue in the nine month period ended October 1, 2005 from 11.1% for
the comparable 2004 period. This 0.6% decrease as a percentage of revenue was driven by the 31.4% increase in revenue, which outpaced the rise in expenses of 24.6%.



Other (Income) Expense. Interest expense for the nine month period ended October 1, 2005 decreased $8.6 million,
or 78.4%, to $2.3 million from $10.9 million for the comparable 2004 period. This decrease primarily reflects the decrease in senior and subordinated debt that resulted from the proceeds of the Corporations initial public offering of its
common stock in the fourth quarter of fiscal 2004.



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Interest rate swap valuation for the nine month period ended October 1, 2005 was income of $0.2
million compared to income of $0.8 million for the comparable 2004 period. This decrease in income was primarily due to longer term market interest rates increasing slower in the nine months ended October 1, 2005 compared to the nine months
ended October 2, 2004, resulting in a smaller mark to market valuation gain.



Other expense for the nine month period ended October 1, 2005 was expense of $1.8 million compared to income of $0.2 million for the comparable 2004 period. This decrease in income was primarily due to secondary
public offering expenses incurred and net unrealized foreign exchange losses in the nine months ended October 1, 2005 compared to net unrealized foreign exchange gains in the comparable 2004 period.



Provision for Income Taxes. The Corporations effective tax rate
for the nine month period ended October 1, 2005 was 30.8% as compared to 34.1% for the comparable 2004 period. The decrease was largely due to additional research and development credits recorded in the third quarter of 2005 for the years 2001
through 2004. Provision for income taxes for the nine months ended October 1, 2005 increased by $4.8 million, or 78.8%, to $10.9 million from $6.1 million for the comparable 2004 period, due primarily to higher pre-tax earnings and offset by
the benefit of research and development tax credits noted above.



Preferred Stock Dividends. The Corporation repurchased or converted to common stock all of the Corporations outstanding preferred stock in the fourth quarter of fiscal 2004 in connection with the Corporations initial
public offering. As a result, there were no preferred stock dividends in the nine months ended October 1, 2005. The Corporation had preferred stock dividends of $7.1 million for the nine months ended October 2, 2004.



Liquidity and Capital Resources



The Corporations principal sources of cash in the nine month period
ended October 1, 2005 were cash generated from operations, borrowings under the Corporations revolving credit facility, and proceeds from the sale of 0.5 million shares of common stock. Principal uses of cash in the nine month period
ended October 1, 2005 included the financing of working capital, capital expenditures and debt service. The Corporation expects that its principal uses of cash in the future will be to finance working capital, capital expenditures and to
service debt.



The Corporation generated cash from operations
of $34.6 million in the nine month period ended October 1, 2005 compared to $16.6 million for the nine month period ended October 2, 2004. This increase is primarily the result of a $16.8 million increase in net income, adjusted for
non-cash items, such as depreciation expense, the income tax benefits from exercise of stock options and the interest rate swap valuation change.



Working capital increased $1.4 million in the nine month period ended October 1, 2005. The working capital provided by changes in other assets,
accounts payable and accrued expenses were offset by the use of working capital in accounts receivable and inventories.



Capital Expenditures



Capital expenditures totaled $31.4 million for the nine month ended October 1, 2005, compared to $13.6 million for the nine month period ended
October 2, 2004, and were primarily used to expand and enhance production capacity in most of the Corporations manufacturing facilities.



Debt and Credit Facilities



In connection with the Corporations initial public offering of its common stock in the fourth quarter of fiscal 2004, it entered into a $75.0
million senior secured credit facility, consisting of a $35.0 million five-year term loan and a $40.0 million five-year revolving credit facility.



As of October 1, 2005, the Corporation had an aggregate of $44.5 million of outstanding indebtedness, which consisted of $28.9 million of term loan
borrowings outstanding under its senior credit facility, no borrowings outstanding under its revolving credit facility, $3.2 million of borrowings under its U.K. short-term credit facility and $12.4 million of capital lease obligations. The
Corporation had no outstanding letters of credit as of October 1, 2005.



The Corporations senior credit agreement contains various financial covenants, including covenants requiring a maximum total debt to EBITDA ratio, minimum EBITDA to interest ratio and a minimum EBITDA to fixed
charges ratio. The Corporation was in compliance with its financial and restrictive covenants under the senior credit facility as of October 1, 2005.



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##### Table of Contents

The Corporation believes that cash flow from operating activities and borrowings under its senior credit
facility will be sufficient to fund currently anticipated working capital, planned capital spending and debt service requirements for the foreseeable future, including at least the next twelve months. The Corporation regularly reviews acquisitions
and other strategic opportunities, which may require additional debt or equity financing. The Corporation currently does not have any pending agreements to consummate any acquisition or other strategic opportunity.



Off-Balance Sheet Arrangements



The Corporations off-balance sheet arrangements and contractual
obligations include the Corporations operating leases and letters of credit. There have been no material changes from the information provided in the Companys Annual Report on Form 10-K for fiscal year 2004.



Environmental



There have been no material changes from the information provided in the Corporations Annual Report on Form 10-K for
fiscal year 2004.



Critical Accounting Policies and Estimates



The preparation of the Corporations 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. The Corporations Annual Report on Form 10-K for fiscal
year 2004 includes a summary of the critical accounting policies the Corporation believes are the most important to aid in understanding its financial results. There have been no material changes to these critical accounting policies that impacted
the Corporations reported amounts of assets, liabilities, revenues or expenses during the nine months ended October 1, 2005.



Cautionary Notice Regarding Forward-Looking Statements



Certain statements contained in this Quarterly Report on Form 10-Q and other written and oral statements made from time to time by the Corporation do not
relate strictly to historical or current facts. As such they are considered forward-looking statements that provide current expectations or forecasts of future events. Forward-looking statements typically are identified by the use of
terms such as may, will, should, expect, anticipate, believe, could, estimate, intend and similar words, although some forward-looking
statements are expressed differently. Factors that could cause the Corporations actual results to differ materially from the expectations expressed in our forward-looking statements include, but are not limited to, the following: changes in
general economic conditions in the United States and Europe; our ability to retain existing customers, particularly our key customers, and attract new customers; the timing of significant orders and shipments, including the effects of changes in
inventory management practices by our customers; the competitive nature of the orthopedic device market; the pursuit of strategic acquisitions or encountering unforeseen difficulties in integrating acquisitions; the degree to which we are leveraged
and our significant debt service obligations; the impact of work stoppages and other labor matters; general economic or business conditions affecting the orthopedic device market being less favorable than expected; our ability to anticipate changes
in technology and regulatory standards and to successfully develop and introduce new and enhanced products on a timely basis; the unpredictability of intellectual property protection and maintenance and other intellectual property issues; any future
changes in management or loss of key personnel; unforeseen problems associated with international sales and operations, including gains and losses from foreign currency exchange; product liability lawsuits brought against us or our customers;
implementation of or changes in laws, regulations or policies that could negatively affect the orthopedic device market; and other uncertainties and factors discussed in the Risk Factors section of the Corporations prospectus filed
on July 19, 2005, elsewhere in this Quarterly Report on Form 10-Q and in the Corporations other filings with the Securities and Exchange Commission.



Forward-looking statements relate only to events as of the date on which the statements are made. Except as required by law, the Corporations
undertakes no obligation to update any forward-looking statement to reflect events or circumstances after the date on which the statement is made or to reflect the occurrence of unanticipated events, even if new information becomes available in the
future.



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ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISKS



There have been no material changes from the information provided in the Companys Annual Report on Form 10-K for fiscal year 2004.



ITEM 4. CONTROLS AND PROCEDURES



(a)
Evaluation of disclosure controls and procedures.



The
Corporations chief executive officer and chief financial officer, after evaluating the effectiveness of the Corporations disclosure controls and procedures (as defined in Rule 13a-15(e) of the Securities Exchange Act of
1934), have concluded that, as of the end of the fiscal quarter covered by this report on Form 10-Q, the Corporations disclosure controls and procedures were adequate and designed to ensure that material information relating to the Corporation
and its consolidated subsidiaries would be made known to them by others within those entities.



(b) Changes in internal control over financial reporting.



There was no change in the Corporations internal control over financial reporting (as defined in Rule 13a-15(f) of the Securities Exchange Act of 1934) 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, the Corporations internal control over financial reporting.



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##### Table of Contents

PART II. OTHER INFORMATION



ITEM 1. LEGAL PROCEEDINGS



From time to time the Corporation is involved in various disputes and litigation matters that arise in the ordinary course of business. While litigation is subject to uncertainties and the outcome of litigated matters is not predictable
with assurance, the Corporation is not aware of any legal proceedings pending or threatened against it that it expects to have a material adverse affect on its financial condition or results of operations.



ITEM 2. UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS



On July 21, 2005, Windjammer Mezzanine & Equity Fund II, L.P. converted warrants to purchase 323,229.31 shares of the Corporations
common stock into 323,211 shares of the Corporations common stock.



On July 21, 2005, Antares Capital Corporation converted warrants to purchase 41,204.64 shares of the Corporations common stock into 41,203 shares of the Corporations common stock.



On July 21, 2005, Olympus Growth Fund III, L.P. exercised warrants to
purchase 69,676 shares of the Corporations common stock, 47,974 of which were purchased for $0.000128 per share and 21,702 of which were purchased for $.01 per share.



Each of the above issuances of shares of the Corporations common stock upon the conversion or exercise of warrants on
July 21, 2005 was made in reliance on the exemptions provided by Section 3(a)(9) and 4(2) of the Securities Act of 1933 and was effectuated as part of a transaction registered under the Securities Act of 1933.



On September 16, 2005, Windjammer Mezzanine & Equity Fund II,
L.P. converted warrants to purchase 143,831.96 shares of the Corporations common stock into 143,831.06 shares of the Corporations common stock. The issuance of the Corporations common stock was made without registration in reliance
on the exemptions provided by Section 3(a)(9) and 4(2) of the Securities Act of 1933.



ITEM 6. EXHIBITS



|31.1 | Rule 13a - 14(a) Certifications of Symmetry Medical Inc.s Chief Executive Officer
|---- | ----------------------------------------------------------------------------------



|31.2 | Rule 13a - 14(a) Certifications of Symmetry Medical Inc.s Chief Financial Officer
|---- | ----------------------------------------------------------------------------------



|32.1 | Section 1350 Certifications of Symmetry Medical Inc.s Chief Executive Officer
|---- | ------------------------------------------------------------------------------



|32.2 | Section 1350 Certifications of Symmetry Medical Inc.s Chief Financial Officer
|---- | ------------------------------------------------------------------------------



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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 MooreBrian Moore,President and Chief Executive Officer(Principal Executive Officer)By

/s/ Fred HiteFred Hite,Senior Vice President,Chief Financial Officer and Secretary(Principal Financial and Accounting Officer)




November 4, 2005



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