Bay Street News

Integer Holdings Corporation Reports Results for Fourth Quarter and Full Year 2023

~ Strong 4Q and Full Year sales and profit increase versus last year ~
~ Expect 9% to 11% sales growth in 2024 with expanding margins ~

PLANO, Texas, Feb. 15, 2024 (GLOBE NEWSWIRE) — Integer Holdings Corporation (NYSE:ITGR), a leading medical device outsource manufacturer, today announced results for the three and twelve months ended December 31, 2023. Unless otherwise stated, all results and comparisons are from continuing operations.

Fourth Quarter 2023 Financial Results (compared to fourth quarter 2022, except as noted)

Full Year 2023 Financial Results (compared to full year 2022)

Pulse Technologies Acquisition

“Integer delivered strong fourth quarter and full year 2023 sales and income with full year sales up 16% and adjusted operating income growth of 26%,” said Joseph Dziedzic, Integer’s president and CEO.

“We expect 9% to 11% sales growth in 2024 and expect adjusted operating income to grow 13% to 20%. We continue to execute our strategy by launching new products and adding capabilities in targeted growth markets. We also completed the previously announced acquisition of Pulse Technologies in January 2024 to deepen our precision micro machining capabilities and further strengthen our pipeline.”

Discussion of Product Line Fourth Quarter and Full Year Sales

2024 Outlook(a)

(dollars in millions, except per share amounts)   GAAP   Non-GAAP(b)
    As Reported   Change from
Prior Year
  Adjusted   Change from
Prior Year
Sales   $1,735 to $1,770   9% to 11%   N/A   N/A
Operating income   $202 to $220   20% to 31%   $272 to $290   13% to 20%
EBITDA   N/A   N/A   $355 to $375   15% to 21%
Net income   $115 to $130   27% to 43%   $171 to $185   8% to 18%
Diluted earnings per share   $3.30 to $3.71   23% to 38%   $5.01 to $5.43   7% to 16%
Cash flow from operating activities   $185 to $205   3% to 14%   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”), all from continuing operations, included in our “2024 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 2024 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 $71 million, pre-tax. Adjusted net income and Adjusted EPS for 2024 consist of GAAP net income and diluted EPS, excluding items such as amortization of intangible assets, restructuring and restructuring-related charges, acquisition and integration costs, and gain or loss on equity investments totaling approximately $71 million, pre-tax. The after-tax impact of these items is estimated to be approximately $56 million, or approximately $1.63 per diluted share. The 2024 Outlook Adjusted EPS is calculated using adjusted dilutive weighted average shares, calculated by adding back the estimated dilutive impact of the 2028 Convertible Notes.

Adjusted EBITDA is expected to consist of Adjusted net income, excluding items such as depreciation, interest, stock-based compensation and taxes totaling approximately $184 million to $190 million.

Supplemental Financial Information

(dollars in millions) 2024
Outlook
  2023
Actual
Depreciation and amortization $105 to $115   $97
Adjusted total interest expense(a) $56 to $61   $49
Stock-based compensation $24 to $27   $23
Restructuring, acquisition and other charges(b) $15 to $20   $22
Adjusted effective tax rate(c) 19.0% to 21.0%   17.7%
Leverage ratio(d) 2.5x to 3.5x   3.1x
Capital expenditures(d) $90 to $110   $120
Cash income tax payments $43 to $47   $30
       

(a)   Adjusted total interest expense refers to our expected full-year GAAP interest expense, expected to range from $56 million to $61 million for 2024, 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 total interest expense, if any. Adjusted total interest expense of $48.9 million for 2023 consists of GAAP Interest expense of $53.4 million less $4.5 million of losses from the extinguishment of debt.

(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 19.0% to 21.0% for 2024, 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 17.7% for 2023 consists of GAAP effective tax rate of 15.5% less 2.2% for the impact on income tax provision related to Non-GAAP adjustments.

(d)   Please see “Notes Regarding Non-GAAP Financial Information” for additional information regarding leverage ratio. 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 December 31,   Year Ended December 31,
    2023     2022   Change     2023     2022   Change
Operating income $ 43,513   $ 36,865   18.0 %   $ 167,330   $ 121,327   37.9 %
Income from continuing operations $ 26,357   $ 17,090   54.2 %   $ 90,650   $ 65,350   38.7 %
Diluted EPS from continuing operations $ 0.78   $ 0.51   52.9 %   $ 2.69   $ 1.96   37.2 %
                       
EBITDA(a) $ 67,105   $ 58,153   15.4 %   $ 258,867   $ 206,581   25.3 %
Adjusted EBITDA(a) $ 86,135   $ 73,082   17.9 %   $ 309,336   $ 256,101   20.8 %
Adjusted operating income(a) $ 67,570   $ 57,284   18.0 %   $ 241,468   $ 191,951   25.8 %
Adjusted net income(a) $ 47,393   $ 37,030   28.0 %   $ 157,796   $ 129,548   21.8 %
Adjusted EPS(a) $ 1.39   $ 1.11   25.2 %   $ 4.67   $ 3.88   20.4 %
                                   

(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.

Summary Product Line Results
(dollars in thousands)

  Three Months Ended December 31,
    2023     2022   Change   Organic
Change
(a)
Medical Sales              
Cardio & Vascular $ 222,642   $ 185,697   19.9 %   16.9 %
Cardiac Rhythm Management & Neuromodulation   152,806     142,680   7.1 %   7.1 %
Advanced Surgical, Orthopedics & Portable Medical   28,613     28,401   0.7 %   (9.1)  %
Total Medical Sales   404,061     356,778   13.3 %   11.9 %
Non-Medical Sales   9,090     15,645   (41.9) %   (41.9) %
Total Sales $ 413,151   $ 372,423   10.9 %   9.5 %
               
  Year Ended December 31,
    2023     2022   Change   Organic
Change
(a)
Medical Sales              
Cardio & Vascular $ 836,342   $ 699,469   19.6 %   18.0 %
Cardiac Rhythm Management & Neuromodulation   610,577     532,580   14.6 %   14.6 %
Advanced Surgical, Orthopedics & Portable Medical   106,421     97,502   9.1 %   (6.5) %
Total Medical Sales   1,553,340     1,329,551   16.8 %   15.8 %
Non-Medical Sales   43,333     46,545   (6.9) %   (6.9) %
Total Sales $ 1,596,673   $ 1,376,096   16.0 %   15.0 %
 

(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.

Conference Call Information
The Company will host a conference call on Thursday, February 15, 2024, 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 (888) 330-3567 (U.S.) or (646) 960-0842 (outside U.S.) and the conference ID is 9252310. 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 outsource (MDO) manufacturers in the world serving the cardiac rhythm management, neuromodulation, vascular, portable medical and orthopedics markets. The Company provides innovative, high-quality medical technologies that enhance the lives of patients worldwide. In addition, the Company develops batteries for high-end niche applications in energy, military, and environmental markets. The Company’s brands include Greatbatch Medical®, Lake Region Medical® and Electrochem®. Additional information is available at www.integer.net.

Investor Relations

Andrew Senn    
763.951.8312    
andrew.senn@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.

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

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 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), (vi), (x) and (xi). Adjusted operating income consists of operating income adjusted for the same items listed above except for items (v), (vi), (x) and (xi).

Adjusted EBITDA for Pulse Technologies is calculated as GAAP net income adjusted for the following items: interest expense, depreciation and amortization expense, as well as items affecting comparability, including adjustments to eliminate expenses associated with excess executive compensation costs and above-market lease expense, and add certain expenses to align with Integer’s accounting policies.

Beginning in the fourth quarter of 2023, we changed the method of calculating Organic sales change to exclude the impact on the growth rate attributable to Portable Medical sales for all periods presented. 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; 2024 outlook including future sales, expenses, and profitability; our ability to stay within our leverage targets in future periods; our ability to execute our business model and our business strategy; our ability to execute our business model and our business strategy, including integration of Pulse Technologies and completion and integration of other current or future acquisition targets; having available sufficient cash and borrowing capacity to meet working capital, debt service and capital expenditure requirements for the next twelve months; projected capital spending; labor attrition; 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:

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)
   
  December 31,
2023
  December 31,
2022
ASSETS      
Current assets:      
Cash and cash equivalents $ 23,674   $ 24,272
Accounts receivable, net   238,277     224,325
Inventories   239,716     208,766
Refundable income taxes   1,998     2,003
Contract assets   85,871     71,927
Prepaid expenses and other current assets   28,132     27,005
Total current assets   617,668     558,298
Property, plant and equipment, net   407,954     317,243
Goodwill   1,011,007     982,192
Other intangible assets, net   783,146     819,889
Deferred income taxes   7,001     6,247
Operating lease assets   81,632     74,809
Financing lease assets   11,828     8,852
Other long-term assets   22,417     26,856
Total assets $ 2,942,653   $ 2,794,386
LIABILITIES AND STOCKHOLDERS’ EQUITY      
Current liabilities:      
Current portion of long-term debt $   $ 18,188
Accounts payable   120,293     110,780
Income taxes payable   3,896     10,923
Operating lease liabilities   8,692     10,362
Accrued expenses and other current liabilities   88,088     73,499
Total current liabilities   220,969     223,752
Long-term debt   959,925     907,073
Deferred income taxes   145,625     160,671
Operating lease liabilities   72,339     64,049
Financing lease liabilities   10,388     8,006
Other long-term liabilities   14,365     13,379
Total liabilities   1,423,611     1,376,930
Stockholders’ equity:      
Common stock   33     33
Additional paid-in capital   727,435     731,393
Retained earnings   771,351     680,701
Accumulated other comprehensive income   20,223     5,329
Total stockholders’ equity   1,519,042     1,417,456
Total liabilities and stockholders’ equity $ 2,942,653   $ 2,794,386
 
Condensed Consolidated Statements of Operations – Unaudited        
(in thousands except per share data)              
       
  Three Months Ended
December 31,
  Year Ended
December 31,
    2023       2022     2023     2022  
Sales $ 413,151     $ 372,423   $ 1,596,673   $ 1,376,096  
Cost of sales (COS)   302,895       274,507     1,178,384     1,017,090  
Gross profit   110,256       97,916     418,289     359,006  
Operating expenses:              
Selling, general and administrative (SG&A)   45,804       41,037     175,619     160,578  
Research, development and engineering   13,257       13,841     63,771     60,918  
Restructuring and other charges   7,682       6,173     11,569     16,183  
Total operating expenses   66,743       61,051     250,959     237,679  
Operating income   43,513       36,865     167,330     121,327  
Interest expense   12,690       14,215     53,370     38,632  
Loss on equity investments, net   2,219       2,025     5,691     7,636  
Other (income) loss, net   (724 )     33     975     (899 )
Income from continuing operations before income taxes   29,328       20,592     107,294     75,958  
Provision for income taxes   2,971       3,502     16,644     10,608  
Income from continuing operations $ 26,357     $ 17,090   $ 90,650   $ 65,350  
               
Discontinued operations:              
Income from discontinued operations before income taxes         1,323         1,323  
Provision for income taxes         296         296  
Income from discontinued operations $     $ 1,027   $   $ 1,027  
               
Net income $ 26,357     $ 18,117   $ 90,650   $ 66,377  
               
Basic earnings per share:              
Income from continuing operations $ 0.79     $ 0.52   $ 2.72   $ 1.97  
Income from discontinued operations         0.03         0.03  
Basic earnings per share   0.79       0.55     2.72     2.00  
               
Diluted earnings per share:              
Income from continuing operations $ 0.78     $ 0.51   $ 2.69   $ 1.96  
Income from discontinued operations         0.03         0.03  
Diluted earnings per share   0.78       0.54     2.69     1.99  
               
Weighted average shares outstanding:              
Basic   33,364       33,161     33,320     33,127  
Diluted   33,987       33,438     33,758     33,357  
                           
Condensed Consolidated Statements of Cash Flows(a)– Unaudited
(in thousands)
   
  Year Ended December 31,
    2023       2022  
Cash flows from operating activities:      
Net income $ 90,650     $ 66,377  
Adjustments to reconcile net income to net cash provided by operating activities:      
Depreciation and amortization   98,841       91,991  
Debt related charges included in interest expense   8,054       2,036  
Inventory step-up amortization   590       798  
Stock-based compensation   23,283       21,023  
Non-cash lease expense   11,248       10,914  
Non-cash loss on equity investments   5,691       7,636  
Contingent consideration fair value adjustment   (736 )     3,097  
Other non-cash losses   4,379       5,854  
Deferred income taxes   (9,490 )     (17,498 )
Changes in operating assets and liabilities, net of acquisitions:      
Accounts receivable   (7,437 )     (41,380 )
Inventories   (30,178 )     (56,721 )
Prepaid expenses and other assets   (930 )     764  
Contract assets   (13,646 )     (7,543 )
Accounts payable   (520 )     26,038  
Accrued expenses and other liabilities   7,908       (9,529 )
Income taxes payable   (7,494 )     12,524  
Net cash provided by operating activities   180,213       116,381  
Cash flows from investing activities:      
Acquisition of property, plant and equipment   (119,938 )     (74,728 )
Proceeds from sale of property, plant and equipment   173       639  
Proceeds from return of capital from equity investments         304  
Acquisitions, net of cash acquired   (43,602 )     (126,636 )
Net cash used in investing activities   (163,367 )     (200,421 )
Cash flows from financing activities:      
Principal payments of term loans   (415,938 )     (25,249 )
Proceeds from issuance of convertible notes, net of discount   486,250        
Proceeds from revolving credit facility   383,103       166,000  
Payments of revolving credit facility   (424,801 )     (45,000 )
Purchase of capped calls   (35,000 )      
Payment of debt issuance costs   (2,181 )      
Proceeds from the exercise of stock options   2,303       150  
Tax withholdings related to net share settlements of restricted stock units   (3,098 )     (2,929 )
Proceeds from contingent consideration         1,319  
Payment of contingent consideration   (7,660 )     (972 )
Principal payments on finance leases   (992 )     (843 )
Net cash provided (used in) by financing activities   (18,014 )     92,476  
Effect of foreign currency exchange rates on cash and cash equivalents   570       (2,049 )
Net increase (decrease) in cash and cash equivalents   (598 )     6,387  
Cash and cash equivalents, beginning of year   24,272       17,885  
Cash and cash equivalents, end of year $ 23,674     $ 24,272  
 

(a) The Condensed Consolidated Statements of Cash Flows – Unaudited includes cash flows related to discontinued operations.

Reconciliations of Non-GAAP Measures from Continuing Operations

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

  Three Months Ended December 31,
    2023     2022
  Pre-Tax   Net of
Tax
  Per
Diluted
Share
  Pre-Tax   Net of
Tax
  Per
Diluted
Share
Income from continuing operations (GAAP) $ 29,328   $ 26,357   $ 0.78   $ 20,592     $ 17,090     $ 0.51
Adjustments(a):                      
Amortization of intangible assets(b)   13,394     10,584     0.31     12,298       9,720       0.29
Restructuring and restructuring-related charges(c)   4,820     4,238     0.12     3,370       2,647       0.08
Acquisition and integration costs(d)   1,729     1,324     0.04     4,209       3,375       0.10
Other general expenses(e)   1,973     1,330     0.04     61       41      
Loss on equity investments(f)   2,219     1,753     0.05     2,025       1,600       0.05
Loss on extinguishment of debt(g)               114       90      
Medical device regulations(h)   364     287     0.01     493       389       0.01
Other adjustments(i)   1,187     938     0.03     (12 )     (11 )    
Inventory step-up amortization (COS)(j)   590     466     0.01                
Tax adjustments(k)       116               2,089       0.06
Adjusted net income (Non-GAAP) $ 55,604   $ 47,393   $ 1.39   $ 43,150     $ 37,030     $ 1.11
                       
Weighted average shares for diluted EPS       33,987             33,438      
                       
  Year Ended December 31,
    2023     2022
  Pre-Tax   Net of
Tax
  Per
Diluted
Share
  Pre-Tax   Net of
Tax
  Per
Diluted
Share
Income from continuing operations (GAAP) $ 107,294   $ 90,650   $ 2.69   $ 75,958     $ 65,350     $ 1.96
Adjustments(a):                      
Amortization of intangible assets(b)   52,530     41,518     1.23     48,313       38,185       1.14
Restructuring and restructuring-related charges(c)   10,444     8,723     0.26     9,265       7,251       0.22
Acquisition and integration costs(d)   3,444     2,606     0.08     10,075       8,029       0.24
Other general expenses(e)   2,110     1,437     0.04     1,188       902       0.03
Loss on equity investments(f)   5,691     4,496     0.13     7,636       6,033       0.18
Loss on extinguishment of debt(g)   4,518     3,569     0.11     114       90      
Medical device regulations(h)   1,605     1,268     0.04     1,105       873       0.03
Other adjustments(i)   3,415     2,698     0.08     (120 )     (95 )    
Inventory step-up amortization (COS)(j)   590     466     0.01     798       630       0.02
Tax adjustments(k)       365     0.01           2,300       0.07
Adjusted net income (Non-GAAP) $ 191,641   $ 157,796   $ 4.67   $ 154,332     $ 129,548     $ 3.88
                       
Weighted average shares for diluted EPS       33,758             33,357      
                             

(a)   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%.

(b)   Total expense from amortization of intangible assets and financing leases less amounts included in Restructuring and restructuring-related charges.

(c)   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. Included in restructuring charges for the fourth quarter of 2023 are $3.6 million in costs related to the relocation and closure of our R&D facility in Israel.

(d)   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.

(e)   The expenses for the 2023 and 2022 periods include gains and losses in connection with the disposal of property, plant and equipment. The 2023 amounts also include $2.0 million of property loss and related expenses resulting from a fire which occurred in the fourth quarter of 2023 at one of our manufacturing facilities.

(f)   During the third and fourth quarters of 2023, we determined that investments in our non-marketable equity securities were impaired and recorded impairment charges of of $2.0 million and $3.3 million, respectively. The residual amounts for 2023 and 2022 relate to our share of equity method investee losses including unrealized appreciation/depreciation of the underlying interests of the investee.

(g)   Loss on extinguishment of debt consists of accelerated write-offs of unamortized deferred debt issuance costs and discounts which are included in interest expense. The 2023 amounts represent a write-off of unamortized deferred debt issuance costs and discounts in connection with the amendments to the credit agreement governing our credit facilities, prepayments of portions of our Term Loan A facility, and repayment in full of our Term B Loan Facility.

(h)   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.

(i)   For the 2023 periods, amounts relate to costs associated with leadership transitions and certain formal strategic projects. Leadership transition costs primarily include severance costs associated with the departure of executives and incremental costs associated with the related leadership transitions. 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. Other adjustments for the quarter and year ended December 31, 2023 included pre-tax leadership transition costs of $0.5 million and $1.7 million, respectively, and pre-tax costs related to strategic projects of $0.7 million and $1.7 million, respectively. The 2022 amounts relate to a former customer that filed bankruptcy in November 2019 and are predominantly due to favorable settlements on supplier purchase order termination clauses and benefits recognized from the utilization or sale of previously reserved inventory.

(j)   The accounting associated with our acquisitions require 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.

(k)   For the 2023 and 2022 periods, tax adjustments predominately relate to acquired foreign tax credits, including utilization, changes to uncertain tax benefits and associated interest. For the 2023 periods, tax adjustments also include equity investment impairments that are not deductible for tax purposes. For the 2022 periods, tax adjustments also include acquisition costs that are not deductible for tax purposes.

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
December 31,
  Year Ended
December 31,
    2023     2022       2023     2022  
Operating income (GAAP) $ 43,513   $ 36,865     $ 167,330   $ 121,327  
Adjustments:              
Amortization of intangible assets   13,394     12,298       52,530     48,313  
Restructuring and restructuring-related charges   4,820     3,370       10,444     9,265  
Acquisition and integration costs   1,729     4,209       3,444     10,075  
Other general expenses   1,973     61       2,110     1,188  
Medical device regulations   364     493       1,605     1,105  
Other adjustments   1,187     (12 )     3,415     (120 )
Inventory step-up amortization   590           590     798  
Adjusted operating income (Non-GAAP) $ 67,570   $ 57,284     $ 241,468   $ 191,951  
 

Table C: EBITDA Reconciliations
(in thousands)

  Three Months Ended
December 31,
  Year Ended
December 31,
    2023     2022       2023     2022  
Income from continuing operations (GAAP) $ 26,357   $ 17,090     $ 90,650   $ 65,350  
               
Interest expense   12,690     14,215       53,370     38,632  
Provision for income taxes   2,971     3,502       16,644     10,608  
Depreciation   11,324     10,736       44,306     42,617  
Amortization of intangible assets and financing leases(a)   13,763     12,610       53,897     49,374  
EBITDA (Non-GAAP)   67,105     58,153       258,867     206,581  
Stock-based compensation(b)   6,148     4,783       23,170     19,573  
Restructuring and restructuring-related charges   4,820     3,370       10,444     9,265  
Acquisition and integration costs   1,729     4,209       3,444     10,075  
Other general expenses   1,973     61       2,110     1,188  
Loss on equity investments   2,219     2,025       5,691     7,636  
Medical device regulations   364     493       1,605     1,105  
Other adjustments   1,187     (12 )     3,415     (120 )
Inventory step-up amortization   590           590     798  
Adjusted EBITDA (Non-GAAP) $ 86,135   $ 73,082     $ 309,336   $ 256,101  
 

(a)  Total expense from amortization of intangible assets and financing leases less amounts included in Restructuring and restructuring-related charges.

(b)  Total stock-based compensation expense less amounts included in Restructuring and restructuring-related charges and Acquisition and integration costs.

2023 Adjusted EBITDA for Pulse Technologies of $11.0 million is calculated as GAAP net income ($4.6 million) adjusted for the following items: interest expense ($0.9 million), depreciation and amortization expense ($3.7 million), as well as items affecting comparability, including adjustments to eliminate expenses associated with excess executive compensation costs and above-market lease expense, and add certain expenses to align with Integer’s accounting policies ($1.8 million).

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 (4Q 2023 vs. 4Q 2022)              
Medical Sales              
Cardio & Vascular 19.9 %   0.2 %   2.8 %   16.9 %
Cardiac Rhythm Management & Neuromodulation 7.1 %   %   %   7.1 %
Advanced Surgical, Orthopedics & Portable Medical 0.7 %   %   9.8 %   (9.1 )%
Total Medical Sales 13.3 %   0.1 %   1.3 %   11.9 %
Non-Medical Sales (41.9 )%           (41.9 )%
Total Sales 10.9 %   0.1 %   1.3 %   9.5 %
               
YTD Change (2023 vs. 2022)              
Medical Sales              
Cardio & Vascular 19.6 %   0.2 %   1.4 %   18.0 %
Cardiac Rhythm Management & Neuromodulation 14.6 %   %   %   14.6 %
Advanced Surgical, Orthopedics & Portable Medical 9.1 %   %   15.6 %   (6.5 )%
Total Medical Sales 16.8 %   %   1.0 %   15.8 %
Non-Medical Sales (6.9 )%           (6.9 )%
Total Sales 16.0 %   %   1.0 %   15.0 %
                       

(a)   Sales growth has been adjusted to exclude the impact of foreign currency exchange rate fluctuations and acquisitions and strategic exits.

Table E: Net Total Debt Reconciliation
(in thousands)

  December 31,
2023
  September 29,
2023
  December 31,
2022
Total debt $ 959,925   $ 941,383   $ 925,261
Add: Debt discounts and deferred issuance costs included in Total debt   14,075     14,864     5,977
Total principal amount of debt outstanding   974,000     956,247     931,238
LESS: Cash and cash equivalents   23,674     32,142     24,272
Net Total Debt (Non-GAAP) $ 950,326   $ 924,105   $ 906,966

 


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