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Integer Holdings Corp
Integer Holdings Corporation Reports First Quarter 2025 Results
Business
Apr 24 2025
27 min read

Integer Holdings Corporation Reports First Quarter 2025 Results

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~ Strong start to the year with 1Q25 financial results ~
~ Reiterating 2025 sales and adjusted operating income outlook; raising adjusted EPS outlook ~

PLANO, Texas, April 24, 2025 (GLOBE NEWSWIRE) -- Integer Holdings Corporation (NYSE:ITGR) today announced results for the three months ended March 28, 2025.

First Quarter 2025 Highlights (compared to First Quarter 2024, except as noted)

  • Sales increased 7% to $437 million, with organic growth of 6%.

  • GAAP operating income increased $11 million to $50 million, an increase of 28%. Non-GAAP adjusted operating income increased $9 million to $71 million, an increase of 14%.

  • GAAP income (loss) from continuing operations decreased $43 million to a $22 million loss, primarily from debt conversion inducement expense related to the exchange of 2028 convertible notes. Non-GAAP adjusted net income increased $7 million to $46 million, an increase of 19%.

  • GAAP diluted EPS from continuing operations decreased $1.25 to a loss of $0.66. Non-GAAP adjusted EPS increased $0.17 to $1.31.

  • Adjusted EBITDA increased $11 million to $92 million, an increase of 14%.

  • On March 18, 2025, Integer closed its offering of $1.0 billion aggregate principal amount of 1.875% convertible notes due 2030, resulting in an expected $13 million reduction to interest expense in 2025.

  • From the end of 2024, total debt increased $245 million to $1.235 billion and Non-GAAP net total debt increased $275 million to $1.230 billion, primarily to finance the acquisitions of Precision Coating and VSi Parylene, and costs associated with the 2030 convertible note offering, resulting in a leverage ratio of 3.3 times adjusted EBITDA as of March 28, 2025.

“Integer started the year off strong with first quarter 2025 sales growing at 7% year-over-year as we continue to execute our strategy by launching new products and adding capabilities in targeted growth markets. Integer also delivered 14% adjusted operating income growth,” said Joseph Dziedzic, Integer’s president and CEO. “We continue to expect sales growth of 8% to 10% and are raising our adjusted net income growth outlook to 19% to 26%.”

Discussion of Product Line First Quarter 2025 Sales

  • Cardio & Vascular sales increased 17% in the first quarter 2025 compared to the first quarter 2024, driven by new product ramps in electrophysiology and acquisitions, partially offset by the impact of fewer shipping days in the first quarter 2025 versus the first quarter 2024.

  • Cardiac Rhythm Management & Neuromodulation sales increased 2% in the first quarter 2025 compared to the first quarter 2024, driven by strong growth in emerging neuromodulation customers with PMA (pre-market approval) products and normalized cardiac rhythm management growth, offset by the impact of fewer shipping days in the first quarter 2025 versus the first quarter 2024.

  • Other Markets sales decreased 37% in the first quarter 2025 compared to the first quarter 2024, primarily driven by the planned multi-year Portable Medical exit announced in 2022.

2025 Outlook(a)

  • 2025 Outlook is updated to reflect the estimated full year impact of the convertible note offering completed in the first quarter 2025.

(dollars in millions, except per share amounts)

 

GAAP

 

Non-GAAP(b)

 

 

 

As Reported

 

Change from Prior Year

 

Adjusted

 

Change from Prior Year

Sales

 

$1,846 to $1,880

 

8% to 10%

 

N/A

 

N/A

Operating income

 

$242 to $258

 

16% to 24%

 

$315 to $331

 

11% to 16%

EBITDA

 

N/A

 

N/A

 

$401 to $422

 

11% to 17%

Income from continuing operations

 

$108 to $120

 

(11)% to (1)%

 

$218 to $231

 

19% to 26%

Diluted earnings per share

 

$3.00 to $3.36

 

(14)% to (4)%

 

$6.15 to $6.51

 

16% to 23%

Cash flow from operating activities(c)

 

$235 to $255

 

15% to 24%

 

N/A

 

N/A

 

 

(a)

Except as described below, further reconciliations by line item to the closest corresponding GAAP financial measure for adjusted operating income, adjusted EBITDA, adjusted net income and adjusted earnings per share (“EPS”), included in our “2025 Outlook” above, and adjusted total interest expense, adjusted effective tax rate and leverage ratio in “Supplemental Financial Information” below, are not available without unreasonable efforts on a forward-looking basis due to the high variability, complexity and visibility of the charges excluded from these non-GAAP financial measures.

 

 

(b)

Adjusted operating income for 2025 consists of GAAP operating income, excluding items such as amortization of intangible assets, restructuring and restructuring-related charges, and acquisition and integration costs, totaling approximately $74 million, pre-tax.

Adjusted net income for 2025 consists of GAAP income from continuing operations, excluding items such as amortization of intangible assets, restructuring and restructuring-related charges, acquisition and integration costs, debt conversion inducement expense, and gain or loss on equity investments totaling approximately $121 million, pre-tax. The after-tax impact of these items is estimated to be approximately $111 million, or approximately $3.09 per diluted share.

Adjusted EPS for 2025 consists of GAAP diluted EPS from continuing operations, excluding the after-tax impact of the Adjusted net income items noted above and the estimated dilution resulting from the potential conversion of our 2028 Convertible Notes expected to be offset by capped call option contracts, which is approximately $0.06 per diluted share.

Adjusted EBITDA is expected to consist of adjusted net income, excluding items such as depreciation, interest, stock-based compensation and taxes totaling approximately $183 million to $191 million.

 

 

(c)

Prior year cash flow from operating activities included an immaterial amount related to discontinued operations.

 

 

Supplemental Financial Information

(dollars in millions)

2025
Outlook

 

2024
Actual

Depreciation and amortization

$114 to $124

 

$107

Adjusted total interest expense(a)

$40 to $42

 

$56

Stock-based compensation

$23 to $26

 

$24

Restructuring, acquisition and other charges(b)

$14 to $18

 

$22

Adjusted effective tax rate(c)

19.0% to 21.0%

 

18.3%

Leverage ratio(d)

2.5x to 3.5x

 

2.6x

Capital expenditures(e)

$110 to $120

 

$105

Cash income tax payments

$40 to $44

 

$36

 

 

 

 

 

(a)

Adjusted total interest expense refers to our expected full-year GAAP interest expense, expected to range from $41 million to $43 million for 2025, adjusted to remove the full-year impact of charges associated with the accelerated write-off of debt discounts and deferred issuance costs (loss on extinguishment of debt) included in GAAP interest expense, if any. There were no adjustments to GAAP interest expense for 2024.

 

 

(b)

Restructuring, acquisition and other charges consists of restructuring and restructuring-related charges, acquisition and integration costs, other general expenses and incremental costs of complying with the new European Union medical device regulations.

 

 

(c)

Adjusted effective tax rate refers to our full-year GAAP effective tax rate, expected to range from 26.0% to 28.0% for 2025, adjusted to reflect the full-year impact of the items that are excluded in providing adjusted net income and certain other identified items. Adjusted effective tax rate of 18.3% for 2024 consists of GAAP effective tax rate of 18.0% adjusted to reflect the impact on the income tax provision related to Non-GAAP adjustments.

 

 

(d)

Please see “Notes Regarding Non-GAAP Financial Information” for additional information regarding leverage ratio.

 

 

(e)

Capital expenditures is calculated as cash used to acquire property, plant, and equipment (“PP&E”) less cash proceeds from the sale of PP&E.

 

 

Summary Financial Results
(dollars in thousands, except per share data)

 

 

Three Months Ended

 

 

March 28,
2025

 

March 29,
2024

 

QTD Change

Operating income

$

49,552

 

 

$

38,701

 

28.0%

Income (loss) from continuing operations

$

(22,465

)

 

$

20,591

 

NM

Diluted EPS from continuing operations

$

(0.66

)

 

$

0.59

 

NM

 

 

 

 

 

 

EBITDA(a)

$

31,638

 

 

$

64,496

 

(50.9)%

Adjusted EBITDA(a)

$

91,509

 

 

$

80,229

 

14.1%

Adjusted operating income(a)

$

70,923

 

 

$

62,195

 

14.0%

Adjusted net income(a)

$

45,938

 

 

$

38,668

 

18.8%

Adjusted EPS(a)

$

1.31

 

 

$

1.14

 

14.9%

 

 

 

 

 

 

 

 

 

 

(a)

EBITDA, adjusted EBITDA, Adjusted operating income, Adjusted net income, and Adjusted EPS are non-GAAP financial measures. Please see “Notes Regarding Non-GAAP Financial Information” for additional information regarding our use of non-GAAP financial measures. Refer to Tables A, B and C at the end of this release for reconciliations of adjusted amounts to the closest corresponding GAAP financial measures.

 

 

NM - Calculated change not meaningful.

 

Summary Product Line Results
(dollars in thousands)

 

 

Three Months Ended

 

 

March 28,
2025

 

March 29,
2024

 

QTD Change

 

Organic Change(a)

Product Line Sales

 

 

 

 

 

 

 

Cardio & Vascular

$

258,871

 

$

221,851

 

16.7

%

 

10.9

%

Cardiac Rhythm Management & Neuromodulation

 

160,345

 

 

156,931

 

2.2

%

 

2.2

%

Other Markets

 

18,176

 

 

29,014

 

(37.4

)%

 

(22.9

)%

Total Sales

$

437,392

 

$

407,796

 

7.3

%

 

6.3

%

 

 

 

 

 

 

 

 

 

 

 

 

 

(a)

Organic sales change is a non-GAAP financial measure. Please see “Notes Regarding Non-GAAP Financial Information” for additional information regarding our use of non-GAAP financial measures and refer to Table D at the end of this release for a reconciliation of these amounts to the closest corresponding GAAP financial measures.

 

 

Planned CEO Succession

In a separate press release issued today, the Company announced that Mr. Dziedzic will retire as President and Chief Executive Officer and will step down from the Board of Directors, effective October 24, 2025. At that time, Payman Khales, Chief Operating Officer, will assume the President and CEO position and join the Company’s Board. Mr. Dziedzic will serve as an advisor to the Company through March 31, 2026.

Conference Call Information

The Company will host a conference call on Thursday, April 24, 2025, at 8 a.m. CT / 9 a.m. ET to discuss these results. The scheduled conference call will be webcast live and is accessible through our website at investor.integer.net or by dialing (800) 715-9871 (U.S.) or (646) 307-1963 (outside U.S.) and the conference ID is 3120125. The call will be archived on the Company’s website. An earnings call slide presentation containing supplemental information about the Company’s results will be posted to our website at investor.integer.net prior to the conference call and will be referenced during the conference call.

From time to time, the Company posts information that may be of interest to investors on its website at investor.integer.net. To automatically receive Integer financial news by email, please visit investor.integer.net and subscribe to email alerts.

About Integer®

Integer Holdings Corporation (NYSE: ITGR) is one of the largest medical device contract development and manufacturing organizations (CDMO) in the world, serving the cardiac rhythm management, neuromodulation, and cardio and vascular markets. As a strategic partner of choice to medical device companies and OEMs, Integer is committed to enhancing the lives of patients worldwide by providing innovative, high-quality products and solutions. The company's brands include Greatbatch Medical® and Lake Region Medical®. Additional information is available at www.integer.net.

Investor Relations:

Kristen Stewart
551.337.3973
kristen.stewart@integer.net

Notes Regarding Non-GAAP Financial Information

In addition to our results reported in accordance with generally accepted accounting principles in the United States of America (“GAAP”), we provide adjusted net income, adjusted EPS, earnings before interest, taxes, depreciation and amortization (“EBITDA”), adjusted EBITDA, adjusted operating income, and organic sales change. Unless otherwise indicated, all financial metrics presented reflect continuing operations only.

Adjusted net income and adjusted EPS consist of GAAP income (loss) from continuing operations and diluted EPS from continuing operations, respectively, adjusted for the following to the extent occurring during the period: (i) amortization of intangible assets, (ii) certain legal expenses; (iii) restructuring and restructuring-related charges; (iv) acquisition and integration related costs; (v) other general expenses; (vi) (gain) loss on equity investments; (vii) extinguishment of debt charges, (viii) debt conversion inducement expense; (ix) European Union medical device regulation incremental charges; (x) inventory step-up amortization; (xi) unusual, or infrequently occurring items; (xii) the income tax provision (benefit) related to these adjustments and (xiii) certain tax items that are outside the normal tax provision for the period. Adjusted EPS is calculated by dividing adjusted net income by adjusted weighted average shares.

The weighted average shares used to calculate diluted EPS in accordance with GAAP includes dilution, when applicable, resulting from the potential conversion of our 2028 Convertible Notes and 2030 Convertible Notes (collectively, the “Convertible Notes”). In connection with the issuance of the Convertible Notes, we entered into capped call contracts which are expected to reduce the potential dilution on our common stock in connection with any conversion of the Convertible Notes, subject to a cap. Adjusted weighted average shares consists of GAAP weighted average shares used to calculate diluted EPS, including, when applicable, dilutive common stock equivalents that were excluded from weighted average shares used to calculate diluted EPS as their inclusion would be anti-dilutive and excluding, when applicable, dilution resulting from the potential conversion of our Convertible Notes expected to be offset by the capped call contracts.

EBITDA is calculated by adding back interest expense, provision for income taxes, depreciation expense, and amortization expense from intangible assets and financing leases, to income (loss) from continuing operations, which is the most directly comparable GAAP financial measure. Adjusted EBITDA consists of EBITDA plus adding back stock-based compensation and the same adjustments as listed above except for items (i), (vii), (xii) and (xiii). Adjusted operating income consists of operating income adjusted for the same items listed above except for items (vi), (vii), (viii), (xii) and (xiii).

Organic sales change is reported sales growth adjusted to remove the impact of foreign currency, the contribution of acquisitions and the strategic exit of the Portable Medical market. To calculate the impact of foreign currency on sales growth rates, we convert any sale made in a foreign currency by converting current period sales into prior period sales using the exchange rate in effect at that time and then compare the two, negating any effect foreign currency had on our transactional revenue. For contribution of acquisitions, we exclude the impact on the growth rate attributable to the contribution of acquisitions in all periods where there were no comparable sales. For the strategic exit of the Portable Medical market, we exclude the impact on the growth rate attributable to Portable Medical sales for all periods presented.

We believe that the presentation of adjusted net income, adjusted EPS, EBITDA, adjusted EBITDA, adjusted operating income, and organic sales change, provides important supplemental information to management and investors seeking to understand the financial and business trends relating to our financial condition and results of operations. In addition to the performance measures identified above, we believe that net total debt and leverage ratio provide meaningful measures of liquidity and a useful basis for assessing our ability to fund our activities, including the financing of acquisitions and debt repayments. Net total debt is calculated as total principal amount of debt outstanding less cash and cash equivalents. We calculate leverage ratio as net total debt divided by adjusted EBITDA for the trailing 4 quarters.

Forward-Looking Statements

Some of the statements contained in this press release are “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, including statements relating to: our 2025 outlook, including with respect to future sales, cash flows from operating activities, expenses, and profitability; 2025 outlook for depreciation and amortization, interest expense, stock based compensation, restructuring, acquisition and other charges, tax rate, leverage ratio, capital expenditures and cash tax payments; and other events, conditions or developments that will or may occur in the future. You can identify forward-looking statements by terminology such as “outlook,” “projected,” “may,” “will,” “should,” “could,” “expects,” “intends,” “plans,” “anticipates,” “believes,” “estimates,” “predicts,” “potential,” “project,” or “continue” or variations or the negative of these terms or other comparable terminology. These statements are only predictions. Actual events or results may differ materially from those stated or implied by these forward-looking statements. In evaluating these statements and our prospects, you should carefully consider the factors set forth below.

Although it is not possible to create a comprehensive list of all factors that may cause actual results to differ from the results expressed or implied by our forward-looking statements or that may affect our future results, some of these factors and other risks and uncertainties that arise from time to time are described in Item 1A, “Risk Factors” of our Annual Report on Form 10-K and in our other periodic filings with the SEC and include the following:

  • operational risks, such as our dependence upon a limited number of customers; pricing pressures and contractual pricing restraints we face from customers; our reliance on third-party suppliers for raw materials, key products and subcomponents; interruptions in our manufacturing operations; our ability to attract, train and retain a sufficient number of qualified associates to maintain and grow our business; the potential for harm to our reputation and competitive advantage caused by quality problems related to our products; our dependence upon our information technology systems and our ability to prevent cyber-attacks and other failures; global climate change and the emphasis on Environmental, Social and Governance matters by various stakeholders; our dependence upon our senior management team and key technical personnel; and consolidation in the healthcare industry resulting in greater competition;

  • strategic risks, such as the intense competition we face and our ability to successfully market our products; our ability to respond to changes in technology; our ability to develop new products and expand into new geographic and product markets; and our ability to successfully identify, make and integrate acquisitions to expand and develop our business in accordance with expectations;

  • financial and indebtedness risks, such as our ability to accurately forecast future performance based on operating results that often fluctuate; our significant amount of outstanding indebtedness and our ability to remain in compliance with financial and other covenants under the credit agreement governing our Senior Secured Credit Facilities; economic and credit market uncertainties that could interrupt our access to capital markets, borrowings or financial transactions; the conditional conversion features of our Convertible Notes adversely impacting our liquidity; the conversion of our Convertible Notes diluting ownership interests of existing holders of our common stock; the counterparty risk associated with our capped call transactions; the financial and market risks related to our international sales and operations; our complex international tax profile; and our ability to realize the full value of our intangible assets;

  • legal and compliance risks, such as regulatory issues resulting from product complaints, recalls or regulatory audits; the potential of becoming subject to product liability or intellectual property claims; our ability to protect our intellectual property and proprietary rights; our ability to comply with customer-driven policies and third-party standards or certification requirements; our ability to obtain and/or retain necessary licenses from third parties for new technologies; our ability and the cost to comply with environmental regulations; legal and regulatory risks from our international operations; the fact that the healthcare industry is highly regulated and subject to various regulatory changes; and our business being indirectly subject to healthcare industry cost containment measures that could result in reduced sales of our products; and

  • other risks and uncertainties that arise from time to time.

Except as may be required by law, we assume no obligation to update forward-looking statements in this press release whether to reflect changed assumptions, the occurrence of unanticipated events or changes in future operating results, financial conditions or prospects, or otherwise.

Condensed Consolidated Balance Sheets - Unaudited

(in thousands)

 

 

 

March 28,
2025

 

December 31,
2024

ASSETS

 

 

 

Current assets:

 

 

 

Cash and cash equivalents

$

31,711

 

 

$

46,543

 

Accounts receivable, net

 

276,235

 

 

 

245,269

 

Inventories

 

260,103

 

 

 

247,126

 

Contract assets

 

102,930

 

 

 

103,772

 

Prepaid expenses and other current assets

 

31,224

 

 

 

28,409

 

Total current assets

 

702,203

 

 

 

671,119

 

Property, plant and equipment, net

 

495,963

 

 

 

465,798

 

Goodwill

 

1,082,385

 

 

 

1,017,729

 

Other intangible assets, net

 

856,208

 

 

 

778,286

 

Deferred income taxes

 

8,370

 

 

 

8,309

 

Operating lease assets

 

99,147

 

 

 

86,082

 

Financing lease assets

 

29,928

 

 

 

27,689

 

Other long-term assets

 

23,499

 

 

 

22,959

 

Total assets

$

3,297,703

 

 

$

3,077,971

 

LIABILITIES AND STOCKHOLDERS’ EQUITY

 

 

 

Current liabilities:

 

 

 

Current portion of long-term debt

$

11

 

 

$

10,000

 

Accounts payable

 

112,023

 

 

 

101,498

 

Operating lease liabilities

 

8,708

 

 

 

7,352

 

Accrued expenses and other current liabilities

 

85,661

 

 

 

108,323

 

Total current liabilities

 

206,403

 

 

 

227,173

 

Long-term debt

 

1,235,204

 

 

 

980,153

 

Deferred income taxes

 

111,201

 

 

 

124,608

 

Operating lease liabilities

 

85,688

 

 

 

77,702

 

Financing lease liabilities

 

24,998

 

 

 

23,760

 

Other long-term liabilities

 

27,505

 

 

 

25,360

 

Total liabilities

 

1,690,999

 

 

 

1,458,756

 

Stockholders’ equity:

 

 

 

Common stock

 

35

 

 

 

34

 

Additional paid-in capital

 

754,021

 

 

 

741,977

 

Treasury stock

 

(26,858

)

 

 

 

Retained earnings

 

868,760

 

 

 

891,247

 

Accumulated other comprehensive income (loss)

 

10,746

 

 

 

(14,043

)

Total stockholders’ equity

 

1,606,704

 

 

 

1,619,215

 

Total liabilities and stockholders’ equity

$

3,297,703

 

 

$

3,077,971

 


Condensed Consolidated Statements of Operations - Unaudited

(in thousands, except per share data)

 

 

 

 

 

 

 

 

Three Months Ended

 

March 28,
2025

 

March 29,
2024

Sales

$

437,392

 

 

$

407,796

 

Cost of sales

 

317,074

 

 

 

299,523

 

Gross profit

 

120,318

 

 

 

108,273

 

Operating expenses:

 

 

 

Selling, general and administrative

 

51,160

 

 

 

46,435

 

Research, development and engineering

 

14,201

 

 

 

15,274

 

Restructuring and other charges

 

5,405

 

 

 

7,863

 

Total operating expenses

 

70,766

 

 

 

69,572

 

Operating income

 

49,552

 

 

 

38,701

 

Interest expense

 

14,805

 

 

 

13,991

 

Gain on equity investments

 

(181

)

 

 

(1,136

)

Other loss, net

 

47,927

 

 

 

1,007

 

Income (loss) from continuing operations before taxes

 

(12,999

)

 

 

24,839

 

Provision for income taxes

 

9,466

 

 

 

4,248

 

Income (loss) from continuing operations

 

(22,465

)

 

 

20,591

 

Loss from discontinued operations, net of tax

 

(22

)

 

 

(83

)

Net income (loss)

$

(22,487

)

 

$

20,508

 

 

 

 

 

Basic earnings (loss) per share:

 

 

 

Income (loss) from continuing operations

$

(0.66

)

 

$

0.62

 

Loss from discontinued operations

$

 

 

$

 

Basic earnings (loss) per share

$

(0.66

)

 

$

0.61

 

 

 

 

 

Diluted earnings (loss) per share:

 

 

 

Income (loss) from continuing operations

$

(0.66

)

 

$

0.59

 

Loss from discontinued operations

$

 

 

$

 

Diluted earnings (loss) per share

$

(0.66

)

 

$

0.59

 

 

 

 

 

Weighted average shares outstanding:

 

 

 

Basic

 

33,916

 

 

 

33,478

 

Diluted

 

33,916

 

 

 

34,993

 


Condensed Consolidated Statements of Cash Flows - Unaudited (a)

(in thousands)

 

 

 

 

 

Three Months Ended

 

 

March 28,
2025

 

March 29,
2024


Cash flows from operating activities:

 

 

 

Net income (loss)

$

(22,487

)

 

$

20,508

 

Adjustments to reconcile net income (loss) to net cash provided by operating activities:

 

 

 

Depreciation and amortization

 

29,832

 

 

 

26,185

 

Debt related charges included in interest expense

 

1,882

 

 

 

931

 

Debt conversion inducement expense

 

46,681

 

 

 

 

Inventory step-up amortization

 

 

 

 

1,056

 

Stock-based compensation

 

6,880

 

 

 

6,848

 

Non-cash lease expense

 

2,455

 

 

 

2,295

 

Non-cash gains on equity investments

 

(181

)

 

 

(1,136

)

Other non-cash losses

 

2,574

 

 

 

805

 

Deferred income taxes

 

4,055

 

 

 

 

Gain on sale of discontinued operations

 

(46

)

 

 

 

Changes in operating assets and liabilities, net of acquisitions:

 

 

 

Accounts receivable

 

(18,232

)

 

 

7,667

 

Inventories

 

(7,695

)

 

 

(17,271

)

Prepaid expenses and other assets

 

(1,169

)

 

 

(4,208

)

Contract assets

 

1,219

 

 

 

(5,255

)

Accounts payable

 

10,207

 

 

 

2,669

 

Accrued expenses and other liabilities

 

(23,495

)

 

 

(19,026

)

Income taxes payable

 

(1,204

)

 

 

1,171

 

Net cash provided by operating activities

 

31,276

 

 

 

23,239

 


Cash flows from investing activities:

 

 

 

Acquisition of property, plant and equipment

 

(25,218

)

 

 

(29,072

)

Proceeds from sale of property, plant and equipment

 

5

 

 

 

 

Acquisitions, net

 

(171,954

)

 

 

(139,126

)

Net cash used in investing activities

 

(197,167

)

 

 

(168,198

)


Cash flows from financing activities:

 

 

 

Principal payments of long-term debt

 

(613,683

)

 

 

 

Proceeds from issuance of convertible notes, net of discount

 

977,500

 

 

 

 

Proceeds from revolving credit facility

 

216,000

 

 

 

192,000

 

Payments of revolving credit facility

 

(342,000

)

 

 

(12,000

)

Purchase of capped calls

 

(71,000

)

 

 

 

Proceeds from the exercise of stock options

 

 

 

 

313

 

Tax withholdings related to net share settlements of restricted stock unit awards

 

(14,132

)

 

 

(9,348

)

Principal payments on finance leases

 

(1,177

)

 

 

(8,386

)

Other financing activities

 

70

 

 

 

715

 

Net cash provided by financing activities

 

151,578

 

 

 

163,294

 

Effect of foreign currency exchange rates on cash and cash equivalents

 

(519

)

 

 

147

 

Net increase (decrease) in cash and cash equivalents

 

(14,832

)

 

 

18,482

 

Cash and cash equivalents, beginning of period

 

46,543

 

 

 

23,674

 

Cash and cash equivalents, end of period

$

31,711

 

 

$

42,156

 

 

 

 

 

 

 

 

 

 

(a)

The Condensed Consolidated Statements of Cash Flows - Unaudited includes cash flows related to discontinued operations.

 

 

Table A: Adjusted Net Income and Diluted EPS from Continuing Operations Reconciliations
(in thousands, except per share amounts)

 

 

Three Months Ended

 

 

March 28, 2025

 

March 29, 2024

 

 

 

Pre-Tax

 

 

 

Net of Tax

 

 

 

Per
Diluted
Share(a)

 

 

 

Pre-Tax

 

 

 

Net of Tax

 

 

 

Per
Diluted
Share(a)

 

Income (loss) from continuing operations (GAAP)

$

(12,999

)

 

$

(22,465

)

 

$

(0.66

)

 

$

24,839

 

 

$

20,591

 

 

$

0.59

 

Adjustments(b):

 

 

 

 

 

 

 

 

 

 

 

Amortization of intangible assets

 

14,851

 

 

 

11,949

 

 

 

0.34

 

 

 

13,351

 

 

 

10,745

 

 

 

0.32

 

Certain legal expenses (SG&A)(c)

 

102

 

 

 

81

 

 

 

 

 

 

 

 

 

 

 

 

 

Restructuring and restructuring-related charges(d)

 

1,102

 

 

 

889

 

 

 

0.03

 

 

 

1,887

 

 

 

1,587

 

 

 

0.05

 

Acquisition and integration costs(e)

 

4,742

 

 

 

3,751

 

 

 

0.11

 

 

 

6,335

 

 

 

5,024

 

 

 

0.15

 

Other general expenses(f)

 

(1

)

 

 

(1

)

 

 

 

 

 

118

 

 

 

88

 

 

 

 

Gain on equity investments(g)

 

(181

)

 

 

(143

)

 

 

 

 

 

(1,136

)

 

 

(897

)

 

 

(0.03

)

Loss on extinguishment of debt(h)

 

737

 

 

 

582

 

 

 

0.02

 

 

 

 

 

 

 

 

 

 

Debt conversion inducement expense(i)

 

46,681

 

 

 

46,681

 

 

 

1.33

 

 

 

 

 

 

 

 

 

 

Medical device regulations(j)

 

250

 

 

 

197

 

 

 

0.01

 

 

 

275

 

 

 

217

 

 

 

0.01

 

Other adjustments(k)

 

325

 

 

 

256

 

 

 

0.01

 

 

 

472

 

 

 

373

 

 

 

0.01

 

Inventory step-up amortization (COS)(l)

 

 

 

 

 

 

 

 

 

 

1,056

 

 

 

834

 

 

 

0.02

 

Tax adjustments(m)

 

 

 

 

4,161

 

 

 

0.12

 

 

 

 

 

 

106

 

 

 

 

Impact of capped call option contracts(n)

 

 

 

 

 

 

 

0.02

 

 

 

 

 

 

 

 

 

0.02

 

Adjusted net income (non-GAAP)

$

55,609

 

 

$

45,938

 

 

$

1.31

 

 

$

47,197

 

 

$

38,668

 

 

$

1.14

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted average shares for diluted EPS (GAAP)

 

 

 

33,916

 

 

 

 

 

 

 

34,993

 

 

 

Add: Dilutive common stock equivalents(a)

 

 

 

2,036

 

 

 

 

 

 

 

 

 

 

Less: Convertible Notes capped call options impact

 

 

 

(803

)

 

 

 

 

 

 

(1,028

)

 

 

Adjusted weighted average shares (non-GAAP)

 

 

 

35,149

 

 

 

 

 

 

 

33,965

 

 

 

 

 

 

(a)

Income from continuing operations (GAAP) per diluted share amounts are calculated in accordance with GAAP using weighted average shares for diluted EPS. The per share amounts for the adjustments in the table above and adjusted net income are calculated using adjusted weighted average shares. For purposes of measuring diluted loss per share under GAAP, common stock equivalents were excluded from weighted average shares for the first quarter of 2025 as their inclusion would be anti-dilutive. However, for purposes of computing Adjusted EPS, the Company has included the impact of dilutive common stock equivalents for the first quarter of 2025.

 

 

(b)

The difference between pre-tax and net of tax amounts is the estimated tax impact related to the respective adjustment. Net of tax amounts are computed using a 21% U.S. tax rate, and the statutory tax rates applicable in foreign tax jurisdictions, as adjusted for the existence of net operating losses (“NOLs”). Expenses that are not deductible for tax purposes (i.e. permanent tax differences) are added back at 100%.

 

 

(c)

Certain legal expenses associated with non-ordinary course legal matters.

 

 

(d)

We initiate discrete restructuring programs primarily to realign resources to better serve our customers and markets, improve operational efficiency and capabilities, and lower operating costs or improve profitability. Depending on the program, restructuring charges may include termination benefits, contract termination, facility closure and other exit and disposal costs. Restructuring-related expenses are directly related to the program and may include retention bonuses, accelerated depreciation, consulting expense and costs to transfer manufacturing operations among our facilities.

 

 

(e)

Acquisition and integration costs are incremental costs that are directly related to a business or asset acquisition. These costs may include, among other things, professional, consulting and other fees, system integration costs, and fair value adjustments relating to contingent consideration.

 

 

(f)

Other general expenses are discrete transactions occurring sporadically and affect period-over-period comparisons.

 

 

(g)

Amounts reflect our share of equity method investee (gains) losses including unrealized appreciation/depreciation of the underlying interests of the investee.

 

 

(h)

Loss on extinguishment of debt consists of accelerated write-offs of unamortized deferred debt issuance costs and discounts, which are included in interest expense.

 

 

(i)

Debt conversion inducement expense relates to the partial exchange of the 2028 Convertible Notes and is recorded within Other loss, net in the Condensed Consolidated Statements of Operations.

 

 

(j)

The charges represent incremental costs of complying with the new European Union medical device regulations for previously registered products and primarily include charges for contractors supporting the project and other direct third-party expenses.

 

 

(k)

Amount primarily relates to costs associated with certain formal strategic projects. Strategic projects primarily involve system reconfiguration to support our manufacturing excellence operational strategic imperative and investments in certain technology and platform development to align our capabilities to meet customer needs.

 

 

(l)

The accounting associated with our acquisitions requires us to record inventory at its fair value, which is sometimes greater than the previous book value of inventory. The increase in inventory value is amortized to cost of sales over the period that the related inventory is sold. We exclude inventory step-up amortization from our non-GAAP financial measures because it is a non-cash expense that we do not believe is indicative of our ongoing operating results.

 

 

(m)

Tax adjustments predominately relate to changes to uncertain tax benefits and associated interest. The first quarter of 2025 includes a $4.1 million write off of a deferred tax asset related to a portion of the unamortized original issue discount due to the partial exchange of the 2028 Convertible Notes.

 

 

(n)

Represents the per share amount attributable to the reduction in dilution upon assumed exercise of the capped call option contracts.

 

 

Please see “Notes Regarding Non-GAAP Financial Information” for additional information regarding our use of non-GAAP financial measures.

 

Table B: Adjusted Operating Income Reconciliations
(in thousands)

 

Three Months Ended

 

March 28,
2025

 

March 29,
2024

Operating income (GAAP)

$

49,552

 

 

$

38,701

Adjustments:

 

 

 

Amortization of intangible assets

 

14,851

 

 

 

13,351

Certain legal expenses

 

102

 

 

 

Restructuring and restructuring-related charges

 

1,102

 

 

 

1,887

Acquisition and integration costs

 

4,742

 

 

 

6,335

Other general expenses

 

(1

)

 

 

118

Medical device regulations

 

250

 

 

 

275

Other adjustments

 

325

 

 

 

472

Inventory step-up amortization

 

 

 

 

1,056

Adjusted operating income (non-GAAP)

$

70,923

 

 

$

62,195

 

Table C: EBITDA Reconciliations
(in thousands)

 

 

Three Months Ended

 

 

March 28,
2025

 

March 29,
2024

Income (loss) from continuing operations (GAAP)

$

(22,465

)

 

$

20,591

 

 

 

 

 

 

 

 

 

 

Interest expense

 

14,805

 

 

 

13,991

 

Provision for income taxes

 

9,466

 

 

 

4,248

 

Depreciation(a)

 

13,986

 

 

 

11,814

 

Amortization of intangible assets and financing leases

 

15,846

 

 

 

13,852

 

EBITDA (non-GAAP)

 

31,638

 

 

 

64,496

 

Stock-based compensation

 

6,851

 

 

 

6,726

 

Certain legal expenses

 

102

 

 

 

 

Restructuring and restructuring-related charges

 

1,102

 

 

 

1,887

 

Acquisition and integration costs

 

4,742

 

 

 

6,335

 

Other general expenses

 

(1

)

 

 

118

 

Gain on equity investments

 

(181

)

 

 

(1,136

)

Debt conversion inducement expense

 

46,681

 

 

 

 

Medical device regulations

 

250

 

 

 

275

 

Other adjustments

 

325

 

 

 

472

 

Inventory step-up amortization

 

 

 

 

1,056

 

Adjusted EBITDA (non-GAAP)

$

91,509

 

 

$

80,229

 

 

 

(a)

Excludes amounts included in Restructuring and restructuring-related charges.

 

 

Table D: Organic Sales Change Reconciliation (% Change)

 

 

GAAP Reported Growth

 

Impact of Foreign Currency(a)

 

Impact of Strategic
Exits and Acquisitions(a)

 

Non-GAAP Organic Change


QTD Change (1Q 2025 vs. 1Q 2024)

 

 

 

 

 

 

 

Product Line

 

 

 

 

 

 

 

Cardio & Vascular

16.7

%

 

0.2

%

 

5.6

%

 

10.9

%

Cardiac Rhythm Management & Neuromodulation

2.2

%

 

%

 

%

 

2.2

%

Other Markets

(37.4

)%

 

%

 

(14.5

)%

 

(22.9

)%

Total Sales

7.3

%

 

0.1

%

 

0.9

%

 

6.3

%

 

 

 

 

 

 

 

 

 

 

 

 

 

(a)

Sales growth has been adjusted to exclude the impact of foreign currency exchange rate fluctuations, when applicable, and strategic exits and acquisitions.

Table E: Net Total Debt Reconciliation
(in thousands)

 

March 28,
2025

 

December 31,
2024

Total debt

$

1,235,215

 

$

990,153

Add: Debt discounts and deferred issuance costs included in Total debt

 

26,097

 

 

10,841

Total principal amount of debt outstanding

 

1,261,312

 

 

1,000,994

Less: Cash and cash equivalents

 

31,711

 

 

46,543

Net Total Debt (Non-GAAP)

$

1,229,601

 

$

954,451