UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 _____________________________________________________________ 
FORM 10-Q
 _____________________________________________________________ 
(Mark One)
QUARTERLY REPORT PURSUANT TO SECTION 13 or 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended July 3, 2020April 2, 2021
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 1-16137
 _____________________________________________________________ 
itgr-20210402_g1.jpg
INTEGER HOLDINGS CORPORATION
(Exact name of Registrant as specified in its charter)
 _____________________________________________________________ 
Delaware 16-1531026
(State or other jurisdiction of incorporation or organization) (I.R.S. Employer Identification No.)
5830 Granite Parkway,Suite 1150Plano,Texas 75024
(Address of principal executive offices) (Zip Code)
(214) 618-5243
(Registrant’s telephone number, including area code)
Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading Symbol(s)Name of each exchange on which registered
Common Stock, $0.001 par value per shareITGRNew York Stock Exchange
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      No  
Indicate by checkmark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).    Yes       No  
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
Large accelerated filer  Accelerated filerNon-accelerated filer
Smaller reporting company  Emerging growth company
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.   
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).    Yes      No  
The number of shares outstanding of the Company’s common stock, $0.001 par value per share, as of July 24, 2020April 23, 2021 was: 32,848,95032,975,085 shares.



INTEGER HOLDINGS CORPORATION
Form 10-Q
For the Quarterly Period Ended July 3, 2020April 2, 2021
TABLE OF CONTENTS
Page
ITEM 1.
ITEM 2.
ITEM 3.
ITEM 4.
ITEM 1.
ITEM 1A.
ITEM 6.

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PART I—FINANCIAL INFORMATION
ITEM 1. FINANCIAL STATEMENTS
INTEGER HOLDINGS CORPORATION
CONDENSED CONSOLIDATED BALANCE SHEETS (Unaudited)
(in thousands except share and per share data)(in thousands except share and per share data)July 3,
2020
December 31,
2019
(in thousands except share and per share data)April 2,
2021
December 31,
2020
ASSETSASSETSASSETS
Current assets:Current assets:Current assets:
Cash and cash equivalentsCash and cash equivalents$206,244  $13,535  Cash and cash equivalents$28,402 $49,206 
Accounts receivable, net of provision for credit losses of $2.2 million and allowance for doubtful accounts of $2.4 million, respectively147,751  191,985  
Accounts receivable, net of provision for credit losses of $0.2 million, respectivelyAccounts receivable, net of provision for credit losses of $0.2 million, respectively165,826 156,207 
InventoriesInventories172,458  167,256  Inventories153,815 149,323 
Refundable income taxesRefundable income taxes2,461 2,087 
Contract assetsContract assets37,389  24,767  Contract assets44,686 40,218 
Prepaid expenses and other current assetsPrepaid expenses and other current assets15,660  17,852  Prepaid expenses and other current assets14,047 15,896 
Total current assetsTotal current assets579,502  415,395  Total current assets409,237 412,937 
Property, plant and equipment, netProperty, plant and equipment, net247,646  246,185  Property, plant and equipment, net248,993 253,964 
GoodwillGoodwill844,972  839,617  Goodwill852,243 859,442 
Other intangible assets, netOther intangible assets, net762,434  775,784  Other intangible assets, net739,334 757,224 
Deferred income taxesDeferred income taxes5,152  4,438  Deferred income taxes4,381 4,398 
Operating lease assetsOperating lease assets47,327  42,379  Operating lease assets50,433 45,153 
Other long-term assetsOther long-term assets36,422  29,295  Other long-term assets38,731 38,739 
Total assetsTotal assets$2,523,455  $2,353,093  Total assets$2,343,352 $2,371,857 
LIABILITIES AND STOCKHOLDERS’ EQUITYLIABILITIES AND STOCKHOLDERS’ EQUITYLIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:Current liabilities:Current liabilities:
Current portion of long-term debtCurrent portion of long-term debt$37,500  $37,500  Current portion of long-term debt$37,500 $37,500 
Accounts payableAccounts payable54,000  64,975  Accounts payable62,395 51,570 
Income taxes payableIncome taxes payable4,760  3,023  Income taxes payable3,610 1,847 
Operating lease liabilitiesOperating lease liabilities8,102  7,507  Operating lease liabilities7,904 8,431 
Accrued expenses and other current liabilitiesAccrued expenses and other current liabilities49,286  66,073  Accrued expenses and other current liabilities50,142 56,843 
Total current liabilitiesTotal current liabilities153,648  179,078  Total current liabilities161,551 156,191 
Long-term debtLong-term debt930,385  777,272  Long-term debt649,630 693,758 
Deferred income taxesDeferred income taxes187,300  187,978  Deferred income taxes180,779 182,304 
Operating lease liabilitiesOperating lease liabilities40,552  37,114  Operating lease liabilities45,150 37,861 
Other long-term liabilitiesOther long-term liabilities30,169  19,163  Other long-term liabilities28,518 30,688 
Total liabilitiesTotal liabilities1,342,054  1,200,605  Total liabilities1,065,628 1,100,802 
Commitments and contingencies (Note 10)Commitments and contingencies (Note 10)Commitments and contingencies (Note 10)00
Stockholders’ equity:Stockholders’ equity:Stockholders’ equity:
Common stock, $0.001 par value; 100,000,000 shares authorized; 32,847,017 shares issued; 32,838,552 and 32,700,471 shares outstanding, respectively33  33  
Common stock, $0.001 par value; 100,000,000 shares authorized; 32,974,702 and 32,908,178 shares issued and outstanding, respectivelyCommon stock, $0.001 par value; 100,000,000 shares authorized; 32,974,702 and 32,908,178 shares issued and outstanding, respectively33 33 
Additional paid-in capitalAdditional paid-in capital695,651  701,018  Additional paid-in capital703,033 700,814 
Treasury stock, at cost, 8,465 and 146,546 shares, respectively(509) (8,809) 
Retained earningsRetained earnings471,747  440,258  Retained earnings539,036 517,516 
Accumulated other comprehensive incomeAccumulated other comprehensive income14,479  19,988  Accumulated other comprehensive income35,622 52,692 
Total stockholders’ equityTotal stockholders’ equity1,181,401  1,152,488  Total stockholders’ equity1,277,724 1,271,055 
Total liabilities and stockholders’ equityTotal liabilities and stockholders’ equity$2,523,455  $2,353,093  Total liabilities and stockholders’ equity$2,343,352 $2,371,857 
The accompanying notes are an integral part of these condensed consolidated financial statements.
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INTEGER HOLDINGS CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
AND COMPREHENSIVE INCOME (Unaudited)
 Three Months EndedSix Months Ended
(in thousands except per share data)July 3,
2020
June 28,
2019
July 3,
2020
June 28,
2019
Sales$240,115  $314,194  $568,541  $628,870  
Cost of sales182,252  217,210  413,976  443,276  
Gross profit57,863  96,984  154,565  185,594  
Operating expenses:
Selling, general and administrative expenses33,903  33,143  70,360  68,099  
Research, development and engineering costs12,746  11,396  25,987  22,991  
Other operating expenses2,029  3,108  4,957  5,998  
Total operating expenses48,678  47,647  101,304  97,088  
Operating income9,185  49,337  53,261  88,506  
Interest expense, net9,273  13,612  19,634  27,442  
(Gain) loss on equity investments, net205  1,611  (1,720) 1,652  
Other income, net(458) (718) (1,457) (552) 
Income from continuing operations before taxes165  34,832  36,804  59,964  
Provision (benefit) for income taxes(224) 6,610  5,315  10,376  
Income from continuing operations$389  $28,222  $31,489  $49,588  
Discontinued operations:
Income from discontinued operations before taxes—  4,930  —  5,316  
Provision for income taxes—  95  —  178  
Income from discontinued operations$—  $4,835  $—  $5,138  
Net income$389  $33,057  $31,489  $54,726  
Basic earnings per share:
Income from continuing operations$0.01  $0.87  $0.96  $1.52  
Income from discontinued operations—  0.15  —  0.16  
Basic earnings per share0.01  1.01  0.96  1.68  
Diluted earnings per share:
Income from continuing operations$0.01  $0.85  $0.95  $1.50  
Income from discontinued operations—  0.15  —  0.16  
Diluted earnings per share0.01  1.00  0.95  1.66  
Weighted average shares outstanding:
Basic32,834  32,621  32,820  32,579  
Diluted33,129  33,009  33,123  32,995  
 Three Months Ended
(in thousands except per share data)April 2,
2021
April 3,
2020
Sales$290,467 $328,426 
Cost of sales205,981 231,724 
Gross profit84,486 96,702 
Operating expenses:
Selling, general and administrative35,502 36,457 
Research, development and engineering13,461 13,241 
Other operating expenses915 2,928 
Total operating expenses49,878 52,626 
Operating income34,608 44,076 
Interest expense8,532 10,361 
(Gain) loss on equity investments1,335 (1,925)
Other income, net(237)(999)
Income before taxes24,978 36,639 
Provision for income taxes3,458 5,539 
Net income$21,520 $31,100 
Earnings per share:
Basic$0.65 $0.95 
Diluted$0.65 $0.94 
Weighted average shares outstanding:
Basic32,957 32,807 
Diluted33,188 33,117 
Comprehensive Income
Net income$21,520 $31,100 
Other comprehensive loss:
Foreign currency translation loss(16,364)(12,032)
Change in fair value of cash flow hedges, net of tax(706)(8,629)
Other comprehensive loss, net of tax(17,070)(20,661)
Comprehensive income, net of tax$4,450 $10,439 
The accompanying notes are an integral part of these condensed consolidated financial statements.
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INTEGER HOLDINGS CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOMECASH FLOWS (Unaudited)
 Three Months EndedSix Months Ended
(in thousands)July 3,
2020
June 28,
2019
July 3,
2020
June 28,
2019
Comprehensive Income
Net income$389  $33,057  $31,489  $54,726  
Other comprehensive income (loss):
Foreign currency translation gain (loss)12,948  4,510  916  (2,328) 
Change in fair value of cash flow hedges, net of tax2,204  (4,043)  (6,425) (4,745) 
Other comprehensive income (loss), net of tax15,152  467  (5,509) (7,073) 
Comprehensive income, net of tax$15,541  $33,524  $25,980  $47,653  
 Three Months Ended
(in thousands)April 2,
2021
April 3,
2020
Cash flows from operating activities:
Net income$21,520 $31,100 
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization20,294 19,494 
Debt related charges included in interest expense1,372 1,023 
Stock-based compensation4,704 1,738 
Non-cash (gains) charges related to customer bankruptcy(24)628 
Non-cash lease expense2,004 1,930 
Non-cash (gain) loss on equity investments1,335 (1,925)
Contingent consideration fair value adjustment(500)
Other non-cash (gains) losses69 (585)
Deferred income taxes(242)61 
Changes in operating assets and liabilities, net of acquisition:
Accounts receivable(9,373)(8,165)
Inventories(5,157)(4,365)
Prepaid expenses and other assets(189)929 
Contract assets(4,677)(14,279)
Accounts payable11,434 18,458 
Accrued expenses and other liabilities(7,887)(18,108)
Income taxes1,246 4,963 
Net cash provided by operating activities36,429 32,397 
Cash flows from investing activities:
Acquisition of property, plant and equipment(7,660)(14,925)
Purchase of intangible asset(3,500)
Proceeds from sale of property, plant and equipment15 52 
Acquisitions, net(5,219)
Net cash used in investing activities(7,645)(23,592)
Cash flows from financing activities:
Principal payments of long-term debt(45,375)(9,375)
Proceeds from senior secured revolving line of credit25,000 
Proceeds from the exercise of stock options116 2,201 
Payment of debt issuance costs(72)
Tax withholdings related to net share settlements of restricted stock unit awards(2,601)(2,664)
Contingent consideration payments(1,621)
Principal payments on finance leases(9)
Net cash provided by (used in) financing activities(49,562)15,162 
Effect of foreign currency exchange rates on cash and cash equivalents(26)(243)
Net increase (decrease) in cash and cash equivalents(20,804)23,724 
Cash and cash equivalents, beginning of period49,206 13,535 
Cash and cash equivalents, end of period$28,402 $37,259 
The accompanying notes are an integral part of these condensed consolidated financial statements.
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INTEGER HOLDINGS CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWSSTOCKHOLDERS’ EQUITY (Unaudited)
 Six Months Ended
(in thousands)July 3,
2020
June 28,
2019
Cash flows from operating activities:
Net income$31,489  $54,726  
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization39,074  38,535  
Debt related charges included in interest expense2,045  3,676  
Stock-based compensation3,242  5,433  
Non-cash charges related to customer bankruptcy567  —  
Non-cash lease expense3,875  3,750  
Non-cash (gain) loss on equity investments(1,720) 1,652  
Other non-cash (gains) losses39  (311) 
Deferred income taxes39  (1,126) 
Gain on sale of discontinued operations—  (4,974) 
Changes in operating assets and liabilities, net of acquisition:
Accounts receivable44,115  (30,545) 
Inventories(5,933) 2,846  
Prepaid expenses and other assets(16,564) (16,692) 
Accounts payable(5,854) 16,289  
Accrued expenses and other liabilities(18,195) (8,593) 
Income taxes payable1,735  2,884  
Net cash provided by operating activities77,954  67,550  
Cash flows from investing activities:
Acquisition of property, plant and equipment(26,680) (15,506) 
Purchase of intangible asset(4,107) —  
Proceeds from sale of property, plant and equipment52   
Purchase of equity investments—  (327) 
Acquisitions, net(5,219) —  
Proceeds from sale of discontinued operations—  4,734  
Net cash used in investing activities(35,954) (11,094) 
Cash flows from financing activities:
Principal payments of long-term debt(18,750) (70,750) 
Proceeds from senior secured revolving line of credit185,000  15,000  
Payments of senior secured revolving line of credit(15,000) (10,000) 
Proceeds from the exercise of stock options2,474  1,600  
Tax withholdings related to net share settlements of restricted stock unit awards(2,779) (2,123) 
Net cash provided by (used in) financing activities150,945  (66,273) 
Effect of foreign currency exchange rates on cash and cash equivalents(236) 170  
Net increase (decrease) in cash and cash equivalents192,709  (9,647) 
Cash and cash equivalents, beginning of period13,535  25,569  
Cash and cash equivalents, end of period$206,244  $15,922  
 Three Months Ended
(in thousands)April 2,
2021
April 3,
2020
Total stockholders’ equity, beginning balance$1,271,055 $1,152,488 
Common stock and additional paid-in capital
Balance, beginning of period700,847 701,051 
Stock awards exercised or vested(2,485)(8,010)
Stock-based compensation4,704 1,738 
Balance, end of period703,066 694,779 
Treasury stock
Balance, beginning of period(8,809)
Treasury shares reissued7,546 
Balance, end of period(1,263)
Retained earnings
Balance, beginning of period517,516 440,258 
Net income21,520 31,100 
Balance, end of period539,036 471,358 
Accumulated other comprehensive income (loss)
Balance, beginning of period52,692 19,988 
Other comprehensive loss(17,070)(20,661)
Balance, end of period35,622 (673)
Total stockholders’ equity, ending balance$1,277,724 $1,164,201 
The accompanying notes are an integral part of these condensed consolidated financial statements.
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INTEGER HOLDINGS CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY (Unaudited)
 Three Months EndedSix Months Ended
(in thousands)July 3,
2020
June 28,
2019
July 3,
2020
June 28,
2019
Total stockholders’ equity, beginning balance$1,164,201  $1,075,972  $1,152,488  $1,060,493  
Common stock and additional paid-in capital
Balance, beginning of period694,779  694,943  701,051  691,116  
Stock awards exercised or vested(599) 18  (8,609) 1,132  
Stock-based compensation1,504  2,720  3,242  5,433  
Balance, end of period695,684  697,681  695,684  697,681  
Treasury stock
Balance, beginning of period(1,263) (10,026) (8,809) (8,125) 
Treasury shares purchased—  (782) —  (2,905) 
Treasury shares reissued754  243  8,300  465  
Balance, end of period(509) (10,565) (509) (10,565) 
Retained earnings
Balance, beginning of period471,358  365,591  440,258  344,498  
Adoption of ASC 842, Leases
—  —  —  (576) 
Net income389  33,057  31,489  54,726  
Balance, end of period471,747  398,648  471,747  398,648  
Accumulated other comprehensive income (loss)
Balance, beginning of period(673) 25,464  19,988  33,004  
Other comprehensive income (loss)15,152  467  (5,509) (7,073) 
Balance, end of period14,479  25,931  14,479  25,931  
Total stockholders’ equity, ending balance$1,181,401  $1,111,695  $1,181,401  $1,111,695  
The accompanying notes are an integral part of these condensed consolidated financial statements.

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INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)
(1.)    BASIS OF PRESENTATION
Integer Holdings Corporation (together with its consolidated subsidiaries, “Integer” or the “Company”) is a publicly-traded corporation listed on the New York Stock Exchange under the symbol “ITGR.” Integer is one of the largest medical device outsource manufacturers in the world serving the cardiac, neuromodulation, vascular, orthopedics, advanced surgical and portable medical markets. The Company provides innovative, high-quality medical technologies that enhance the lives of patients worldwide. In addition, it develops batteries for high-end niche applications in the energy, military, and environmental markets. The Company’s reportable segments are: (1) Medical and (2) Non-Medical. The Company’s customers include large multi-national original equipment manufacturers (“OEMs”) and their affiliated subsidiaries.
On July 2, 2018, the Company completed the sale of the Advanced Surgical and Orthopedic product lines (the “AS&O Product Line”). The results of operations of the AS&O Product Line are reported as discontinued operations in the Condensed Consolidated Statements of Operations for all periods presented. The cash flows related to discontinued operations have not been segregated, and are included in the Condensed Consolidated Statements of Cash Flows. Unless otherwise noted specifically as discontinued operations, discussion within these notes to the Company’s condensed consolidated financial statements relates to continuing operations. See Note 16 “Discontinued Operations” for additional information related to discontinued operations.
The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America (“GAAP”) for interim financial information (Accounting Standards Codification (“ASC”) 270, Interim Reporting) and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, these financial statements do not include all of the information necessary for a full presentation of financial position, results of operations, and cash flows in conformity with accounting principles generally accepted in the United States of America (“GAAP”).GAAP. In the opinion of management, the condensed consolidated financial statements reflect all adjustments (consisting of normal recurring adjustments) considered necessary for a fair presentation of the results of the Company for the periods presented. Intercompany transactions and balances have been fully eliminated in consolidation.
Operating results for interim periods are not necessarily indicative of results that may be expected for the fiscal year as a whole. The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets, liabilities, certain components of equity, sales, expenses, and related disclosures at the date of the financial statements and during the reporting period. Actual results could differ materially from these estimates. For further information, refer to the consolidated financial statements and notes included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2019.2020.
The secondfirst quarter of 2021 ended on April 2 and consisted of 92 days, and the first six monthsquarter of 2020 ended on JulyApril 3 2020 and consisted of 91 days94 days.
Risks and 185 days, respectively. The second quarter and first six months of 2019 ended on June 28, 2019 and consisted of 91 days and 182 days, respectively.
Supplier Financing ArrangementsUncertainties
Beginning in early March 2020, the Company began utilizing supplier financing arrangements with financial institutions to sell certain accounts receivable on a non-recourse basis. These transactions are treated as a saleglobal spread of the novel coronavirus (“COVID-19”) created significant uncertainty and are accounted for as a reduction to, accounts receivable. The agreements transfer control and risk relatedworldwide economic disruption. Specific impacts to the receivablesCompany’s business include delayed or reduced customer orders and sales, restrictions on its associates’ ability to travel or work, delays in shipments to and from certain countries, and disruptions in its supply chain. The extent to which COVID-19 impacts the financial institutions. The Company has no continuing involvement inCompany’s operations will depend on future developments, which are highly uncertain and difficult to predict, including, among others, the transferred receivables subsequentduration of the outbreak, the effectiveness and utilization of vaccines for COVID-19 and its variants, new information that may emerge concerning the severity of COVID-19 and the actions, especially those taken by governmental authorities to contain the sale. During the three and six months ended July 3, 2020,pandemic or treat its impact. As pandemic-related events continue to evolve, additional impacts may arise that the Company sold and de-recognized accounts receivable and collectedis not aware of currently. Any prolonged material disruption of the Company’s associates, suppliers, manufacturing, or customers could materially impact its consolidated financial position, results of operations or cash of $15.4 million and $30.9 million, respectively. The costs associated with the supplier financing arrangements were not material for the three and six months ended July 3, 2020.flows.
Recent Accounting Pronouncements
The Company considers the applicability and impact of all Accounting Standard Updates (“ASU”) issued by the Financial Accounting Standards Board ("FASB"). ASUs not yet adoptedThe Company evaluated all recent accounting pronouncements issued, including those that are not listed below were assessedcurrently effective, and determined to be eitherthat the adoption of these pronouncements would not applicable or are expected to have minimal impacta material effect on our consolidatedthe financial position, results of operations financial position andor cash flows. With the exceptionflows of the accounting pronouncements adopted as discussed below, thereCompany. There have been no new or material changes to the significant accounting policies discussed in the Company’s Annual Report on Form 10-K for the year ended December 31, 2019,2020, that are of significance, or potential significance, to the Company.
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INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)


(1.) BASIS OF PRESENTATION (Continued)
Recently Adopted Accounting Guidance
Adoption of Accounting Standards Codification Topic 326
The Company adopted ASC 326, Financial Instruments-Credit Losses, effective January 1, 2020. Under the current expected credit losses (“CECL”) model, the Company immediately recognizes an estimate of credit losses expected to occur over the life of the financial asset at the time the financial asset is originated or acquired.  Estimated credit losses are determined by taking into consideration historical loss conditions, current conditions and reasonable and supportable forecasts.  Changes to the expected lifetime credit losses are recognized each period. The adoption of ASC 326 did not have a material impact to the Company’s Condensed Consolidated Financial Statements.
In March 2020, the FASB issued ASU 2020-04, Reference Rate Reform (Topic 848) - Facilitation of the Effects of Reference Rate Reform on Financial Reporting, in response to concerns about structural risks of interbank offered rates (“IBORs”). ASU 2020-04 provides optional expedients and exceptions for applying GAAP to contracts, hedging relationships, and other transactions if certain criteria are met. The ASU applies only to contracts, hedging relationships, and other transactions that reference LIBOR or another reference rate expected to be discontinued because of reference rate reform. The amendments in ASU 2020-04 are effective for all entities as of March 12, 2020 through December 31, 2022. ASU 2020-04 has not yet affected the Company’s Condensed Consolidated Financial Statements.
(2.)    BUSINESS ACQUISITIONSACQUISITION
On February 19, 2020, the Company acquired certain assets and liabilities of InoMec Ltd. (“InoMec”), a privately-held company based in Israel that specializes in the research, development and manufacturing of medical devices, including minimally invasive tools, delivery systems, tubing and catheters, surgery tools, drug-device combination, laser combined devices, and tooling and production. The acquisition enables the Company to create a research and development center in Israel, closer to the customer base in the region. The fair value of the consideration transferred was $7.0 million, which included an initial cash payment of $5.3 million and $1.7 million in estimated fair value of contingent consideration.
The contingent consideration represents the estimated fair value of the Company’s obligation, under the asset purchase agreement, to make additional payments of up to $3.5 million over the next four years following the acquisition based on specified conditions being met. Based on the preliminaryfinal purchase price allocation, the assets acquired principally comprise $2.0 million of intangible assets, $4.8 million of goodwill, $0.3 million of acquired property, plant and equipment, and a net liability for other working capital items of $0.1 million. Intangible assets included developed technology, customer relationships and non-compete provisions, which are being amortized over a weighted average period of 5.9 years.
On October 7, 2019, the Company acquired certain assets and liabilities of US BioDesign, LLC (“USB”), a privately-held developer and manufacturer of complex braided biomedical structures for disposable and implantable medical devices. The acquisition added a differentiated capability related to the complex development and manufacture of braided and formed biomedical structures to the Company’s broad portfolio. The fair value of the consideration transferred was $19.1 million, which included a cash payment of $14.9 million, which reflects a $0.1 million favorable working capital adjustment finalized in the first quarter of 2020, and $4.2 million in estimated fair value of contingent consideration.
The contingent consideration represents the estimated fair value of the Company’s obligation, under the asset purchase agreement, to make additional payments of up to $5.5 million if certain revenue goals are met through 2023. The assets acquired principally consist of $7.4 million of developed technology, $10.4 million of goodwill, $0.7 million of acquired property, plant and equipment, and $0.6 million of other working capital items. The developed technology intangible asset is being amortized over a useful life of 8 years. The $10.4 million of goodwill reflects a $0.1 million decrease resultingyears from the working capital adjustment. The company finalized the valuation and completed the purchase price allocation for the USB acquisition during the second quarterdate of 2020.acquisition.
The amount allocated to goodwill for these acquisitionsthis acquisition is deductible for income tax purposes. The fair value of the contingent consideration was estimated using the Monte Carlo valuation approach. See Note 13 “Financial Instruments and Fair Value Measurements” for additional information related to the fair value measurement of the contingent consideration.
- 9 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)


(2.)BUSINESS ACQUISITIONS (Continued)
For segment reporting purposes, the results of operations and assets from these acquisitionsthis acquisition have been included in the Company’s Medical segment since the respective acquisition dates. For the three and six months ended July 3, 2020, salesdate. Sales related to InoMec were$0.8 millionand USB were $1.8$0.4 million, respectively, for the three months ended April 2, 2021 and $3.2 million, respectively.April 3, 2020. Earnings related to the operations consisting of the assets and liabilities acquired from InoMec and USB for the three and six months ended JulyApril 2, 2021 and April 3, 2020 were not material. During the sixthree months ended Julyon April 3, 2020, direct costs of these acquisitionsthis acquisition of $0.8$0.7 million were expensed as incurred and included in Other Operating Expensesoperating expenses in the Condensed Consolidated StatementStatements of Operations.Operations and Comprehensive Income.
Pro forma financial information has not been presented for these acquisitionsthis acquisition as the net effects were not significant or material to the Company’s results of operations or financial position.
(3.)    SUPPLEMENTAL CASH FLOW INFORMATION
The following is supplemental information relating to the Condensed Consolidated Statements of Cash Flows (in thousands):
Six Months Ended
July 3,
2020
June 28,
2019
Noncash investing and financing activities:
Property, plant and equipment purchases included in accounts payable$3,282  $2,297  
Purchase of intangible asset included in accrued expenses at period end500  —  
Supplemental lease disclosures:
Operating lease assets obtained in exchange for new or remeasured operating
lease liabilities
7,556  —  
Refer to Note 16 “Discontinued Operations” for additional supplemental cash flow information pertaining to discontinued operations.
Three Months Ended
April 2,
2021
April 3,
2020
Noncash investing and financing activities:
Property, plant and equipment purchases included in accounts payable$2,981 $4,481 
Purchase of intangible asset included in accrued expenses1,000 
Supplemental lease disclosures:
Operating lease assets obtained in exchange for new or remeasured operating
   lease liabilities
7,414 7,427 
(4.)    INVENTORIES
Inventories comprise the following (in thousands):
July 3,
2020
December 31,
2019
Raw materials$83,666  $79,742  
Work-in-process59,899  60,042  
Finished goods28,893  27,472  
Total$172,458  $167,256  
(5.)  GOODWILL AND OTHER INTANGIBLE ASSETS, NET
Goodwill
The changes in the carrying amount of goodwill by reportable segment for the six months ended July 3, 2020 were as follows (in thousands):
MedicalNon- MedicalTotal
December 31, 2019$822,617  $17,000  $839,617  
Foreign currency translation640  —  640  
Acquisitions and related adjustments (Note 2)4,715  —  4,715  
July 3, 2020$827,972  $17,000  $844,972  
April 2,
2021
December 31,
2020
Raw materials$70,552 $72,477 
Work-in-process64,320 58,806 
Finished goods18,943 18,040 
Total$153,815 $149,323 
- 108 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)


(5.)     GOODWILL AND OTHER INTANGIBLE ASSETS, NET (Continued)
Intangible AssetsGoodwill
Intangible assets at July 3, 2020 and December 31, 2019The changes in the carrying amount of goodwill by reportable segment for the three months ended April 2, 2021 were as follows (in thousands):
Gross
Carrying
Amount
Accumulated
Amortization
Net
Carrying
Amount
July 3, 2020
Definite-lived:
Purchased technology and patents$253,740  $(144,969) $108,771  
Customer lists708,284  (145,379) 562,905  
Other4,099  (3,629) 470  
Total$966,123  $(293,977) $672,146  
Indefinite-lived:
Trademarks and tradenames$90,288  
December 31, 2019
Definite-lived:
Purchased technology and patents$248,264  $(138,435) $109,829  
Customer lists706,852  (131,185) 575,667  
Other3,503  (3,503) —  
Total$958,619  $(273,123) $685,496  
Indefinite-lived:
Trademarks and tradenames$90,288  
MedicalNon- MedicalTotal
December 31, 2020$842,442 $17,000 $859,442 
Foreign currency translation(7,199)(7,199)
April 2, 2021$835,243 $17,000 $852,243 
When acquiring certainIntangible Assets
Intangible assets comprise the Company assesses whether the acquired assets are a result of a business combination or a purchase of an asset. In the first quarter of 2020, the Company acquired a set of similar identifiable intangible assets relating to a license to use technology within its Non-Medical segment. The Company paid $3.5 million upon closing, $0.5 million in the second quarter, and expects to pay $0.5 million in additional consideration subject to the completion of certain milestones. In addition, the Company has capitalized $0.1 million of costs associated with acquiring the license as an intangible asset. The intangible asset of $4.6 million is being amortized over 11 years, the remaining useful life of the patented technology. See Note 13 “Financial Instruments and Fair Value Measurements” for additional information related to the fair value measurement of the contingent consideration.following (in thousands):
Gross
Carrying
Amount
Accumulated
Amortization
Net
Carrying
Amount
April 2, 2021
Definite-lived:
Purchased technology and patents$255,606 $(155,278)$100,328 
Customer lists716,081 (167,620)548,461 
Other4,120 (3,863)257 
Total amortizing intangible assets$975,807 $(326,761)$649,046 
Indefinite-lived:
Trademarks and tradenames$90,288 
December 31, 2020
Definite-lived:
Purchased technology and patents$257,453 $(152,798)$104,655 
Customer lists723,791 (161,856)561,935 
Other4,142 (3,796)346 
Total amortizing intangible assets$985,386 $(318,450)$666,936 
Indefinite-lived:
Trademarks and tradenames$90,288 
Aggregate intangible asset amortization expense comprises the following (in thousands):
Three Months EndedSix Months Ended Three Months Ended
July 3,
2020
June 28,
2019
July 3,
2020
June 28,
2019
April 2,
2021
April 3,
2020
Cost of salesCost of sales$3,172  $3,195  $6,441  $6,457  Cost of sales$3,268 $3,269 
Selling, general and administrative expensesSelling, general and administrative expenses6,979  6,636  14,154  13,228  Selling, general and administrative expenses7,182 7,175 
Total intangible asset amortization expenseTotal intangible asset amortization expense$10,151  $9,831  $20,595  $19,685  Total intangible asset amortization expense$10,450 $10,444 
Estimated future intangible asset amortization expense based on the carrying value as of July 3, 2020April 2, 2021 is as follows (in thousands):
Remainder of 2020202120222023 2024After 2024
Amortization Expense$20,289  40,766  39,727  38,320  37,378  495,666  

Remainder of 2021202220232024 2025After 2025
Amortization Expense$30,835 40,170 38,751 37,798 36,483 465,009 
- 119 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)


(6.)     DEBT
Long-term debt comprises the following (in thousands):
July 3,
2020
December 31,
2019
April 2,
2021
December 31,
2020
Senior secured term loan ASenior secured term loan A$248,437  $267,188  Senior secured term loan A$220,312 $229,687 
Senior secured term loan BSenior secured term loan B558,286  558,286  Senior secured term loan B472,286 508,286 
Revolving line of credit170,000  —  
Unamortized discount on term loan B and debt issuance costsUnamortized discount on term loan B and debt issuance costs(8,838) (10,702) Unamortized discount on term loan B and debt issuance costs(5,468)(6,715)
Total debtTotal debt967,885  814,772  Total debt687,130 731,258 
Current portion of long-term debtCurrent portion of long-term debt(37,500) (37,500) Current portion of long-term debt(37,500)(37,500)
Total long-term debtTotal long-term debt$930,385  $777,272  Total long-term debt$649,630 $693,758 
The Company has senior secured credit facilities (the “Senior Secured Credit Facilities”) as of July 3, 2020,April 2, 2021, consisting of (i) a $200 million revolving credit facility (the “Revolving Credit Facility”), (ii) a term loan A facility (the “TLA Facility”), and (iii) a term loan B facility (the “TLB Facility”). The TLA Facility and TLB Facility are collectively referred to as the “Term Loan Facilities.” The TLB Facility was issued at a 1% discount.
Revolving Credit Facility
The Revolving Credit Facility matures on October 27, 2022. The Revolving Credit Facility includes a $15 million sublimit for swingline loans and a $25 million sublimit for standby letters of credit. The Company is required to pay a commitment fee on the unused portion of the Revolving Credit Facility, which will range between 0.175% and 0.25%, depending on the Company’s Total Net Leverage Ratio (as defined in the Senior Secured Credit Facilities agreement). As of July 3, 2020,April 2, 2021, the commitment fee on the unused portion of the Revolving Credit Facility was 0.25%. Interest rates on the Revolving Credit Facility, as well as the TLA Facility, are at the Company’s option, either at: (i) the prime rate plus the applicable margin, which will range between 0.50% and 2.00%, based on the Company’s Total Net Leverage Ratio, or (ii) the applicable LIBOR rateLondon Interbank Offered Rate (“LIBOR”) plus the applicable margin, which will range between 1.50% and 3.00%, based on the Company’s Total Net Leverage Ratio. The Company also pays certain of its lenders a deferred amendment fee, payable in installments of 0.03125% of the outstanding Revolving Credit Facility and TLA Facility each quarter through maturity when the Company’s total net leverage ratio equals or exceeds 3.00 to 1.00.
As of July 3, 2020,April 2, 2021, the Company had available borrowing capacity0 outstanding borrowings on the Revolving Credit Facility and an available borrowing capacity of $23.3$193.3 million after giving effect to $170.0 million of outstanding borrowings and $6.7 million of outstanding standby letters of credit. As of July 3, 2020, the weighted average interest rate on outstanding borrowings under the Revolving Credit Facility was 2.18%.
Term Loan Facilities
The TLA Facility and TLB Facility mature on October 27, 2022. Interest rates on the TLB Facility are, at the Company’s option, either at: (i) the prime rate plus 1.50% or (ii) the applicable LIBOR rate plus 2.50%, with LIBOR subject to a 1.00% floor. As of July 3, 2020,April 2, 2021, the interest rates on the TLA Facility and TLB Facility were 2.19%2.36% and 3.50%, respectively.
Covenants
As of July 3, 2020, theThe Revolving Credit Facility and TLA Facility contain covenants requiring (A) a maximum Total Net Leverage Ratio of 4.00:4.75:1.00, subject to a step down to 4.50 to 1.00 for the third fiscal quarter of 2021, and reverting to and remaining at 4.00 to 1.00 beginning with the fourth quarter of 2021 through maturity, and (B) a minimum interest coverage ratio of adjusted EBITDA (as defined in the Senior Secured Credit Facilities) to interest expense of not less than 3.00:1.00. The TLB Facility does not contain any financial maintenance covenants. As of July 3, 2020,April 2, 2021, the Company was in compliance with these financial covenants.
Contractual maturities under the Senior Secured Credit Facilities for the remainder of 20202021 and through maturity, excluding any discounts or premiums, as of July 3, 2020April 2, 2021 are as follows (in thousands):
202020212022
Future minimum principal payments$18,750  37,500  920,473  
20212022
Future minimum principal payments$28,125 664,473 
TheDuring the three months ended April 2, 2021, the Company prepaid portions$36.0 million of its TLB Facility during 2019. The Companyand recognized lossesa loss from extinguishment of debt during the three and six months ended June 28, 2019 of $0.6 million and $1.0 million, respectively.$0.3 million. The loss from extinguishment of debt represents the portion of the unamortized discount and debt issuance costs related to the portion of the TLB Facility that was prepaid and is included in Interest Expenseexpense in the accompanying Condensed Consolidated Statements of Operations.Operations and Comprehensive Income.
- 1210 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)


(6.)  DEBT (Continued)
Amendment to the Senior Secured Credit Facilities
On July 13, 2020, the Company amended the Senior Secured Credit Facilities (the “Amendment”) to increase the Total Net Leverage Ratio. The Amendment increases the Total Net Leverage Ratio from a ratio of 4.00 to 1.00 to 4.75 to 1.00 for the period beginning with the third fiscal quarter of 2020 through the second fiscal quarter of 2021. The Total Net Leverage Ratio steps down to 4.50 to 1.00 for the third fiscal quarter of 2021, and reverts to and remains at 4.00 to 1.00 beginning with the fourth quarter of 2021 through maturity. Additionally, the Company added a credit facility feature where its Net Leverage Ratio can be increased by 0.50 for up to four consecutive quarters commencing in any fiscal quarter in which it consummates an Eligible Adjustment Acquisition (as defined in the Amendment) with a $40 million or greater purchase price.
In connection with the Amendment, the Company agreed to pay each consenting lender an advanced amendment fee of 0.1% of the unused commitments and the outstanding loans on the Revolving Credit Facility and TLA Facility on the amendment effective date. The Company will also pay the consenting lenders a deferred amendment fee, payable in installments of 0.03125% of the outstanding Revolving Credit Facility and TLA Facility each quarter through maturity when the Company’s Total Net Leverage Ratio equals or exceeds 3.00 to 1.00.
(7.)     STOCK-BASED COMPENSATION
The Company maintains certain stock-based compensation plans that were approved by the Company’s stockholders and are administered by the Board of Directors or the Compensation and Organization Committee of the Board. The stock-based compensation plans provide for the granting of stock options, restricted stock awards, restricted stock units (“RSUs”), stock appreciation rights and stock bonuses to employees, non-employee directors, consultants, and service providers.
The components and classification of stock-based compensation expense were as follows (in thousands):
Three Months EndedSix Months Ended Three Months Ended
July 3,
2020
June 28,
2019
July 3,
2020
June 28,
2019
April 2,
2021
April 3,
2020
Stock optionsStock options$10  $102  $23  $203  Stock options$$13 
RSUsRSUs1,494  2,618  3,219  5,230  RSUs4,704 1,725 
Total stock-based compensation expenseTotal stock-based compensation expense$1,504  $2,720  $3,242  $5,433  Total stock-based compensation expense$4,704 $1,738 
Cost of salesCost of sales$230  $281  $684  $598  Cost of sales$1,114 $454 
Selling, general and administrative expenses1,153  2,334  2,289  4,664  
Research, development and engineering costs121  58  269  124  
Other operating expenses—  47  —  47  
Selling, general and administrativeSelling, general and administrative3,355 1,136 
Research, development and engineeringResearch, development and engineering235 148 
Total stock-based compensation expenseTotal stock-based compensation expense$1,504  $2,720  $3,242  $5,433  Total stock-based compensation expense$4,704 $1,738 
Stock Options
The following table summarizes the Company’s stock option activity:activity for the three month period ended April 2, 2021:
Number of
Stock
Options
Weighted
Average
Exercise
Price
Weighted
Average
Remaining
Contractual
Life
(In Years)
Aggregate
Intrinsic
Value
(In Millions)
Outstanding at December 31, 2019384,013  $34.96  
Exercised(66,131) 37.41  
Outstanding at July 3, 2020317,882  $34.45  4.8$12.0  
Exercisable at July 3, 2020315,332  $34.36  4.7$12.0  
Number of
Stock
Options
Weighted
Average
Exercise
Price
Weighted
Average
Remaining
Contractual
Life
(In Years)
Aggregate
Intrinsic
Value
(In Millions)
Outstanding at December 31, 2020281,873 $36.05 
Exercised(4,229)27.32 
Outstanding and exercisable at April 2, 2021277,644 $36.18 4.5$15.4 

Restricted Stock Units
- 13 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)


(7.)  STOCK-BASED COMPENSATION (Continued)
During the sixthree months ended July 3, 2020,April 2, 2021, the Company awarded grants to certain members of its Board of Directors, certain members of management, and other employees. The Board of Directors received grants of time-based RSUs that vest in 4 substantially equal quarterly installments beginning on the three-month anniversary of the grant date. The members of management and other employees received either time-based RSUs or a mix of time-based RSUs and performance-based RSUs (“PRSUs”). The to certain members of its Board of Directors and management. Newly appointed members to the Board of Directors received a pro-rated portion of the their annual equity retainer in the form of time-based RSUs that vest in accordance with the regularly scheduled vesting schedule applicable to existing members of the Board of Directors. All other time-based RSUs granted during three months ended April 2, 2021 vest ratably, subject to the recipient’s continuous service to the Company over a period of generally three years from the grant date. For the Company’s PRSUs, in addition to service conditions, the ultimate number of shares to be earned depends on the achievement of financial performance or market-based conditions. The financial performance condition is based on the Company’s sales targets. The market-based conditions are based on the Company’s achievement of a relative total shareholder return (“TSR”) performance requirement, on a percentile basis, compared to a defined group of peer companies over three year performance periods.
The Company uses a Monte Carlo simulation model to determine the grant-date fair value of awards with TSR-based performance conditions. The grant-date fair value of all other RSUs is equal to the closing market price of Integer common stock on the date of grant.
- 11 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)


(7.)     STOCK-BASED COMPENSATION (Continued)
The weighted average fair value and assumptions used to value the TSR portion of the PRSUs granted are as follows:
Six Months Ended Three Months Ended
July 3,
2020
June 28,
2019
April 2,
2021
April 3,
2020
Weighted average fair valueWeighted average fair value$107.27  $117.03  Weighted average fair value$85.16 $107.42 
Risk-free interest rateRisk-free interest rate1.29 %2.46 %Risk-free interest rate0.19 %1.53 %
Expected volatilityExpected volatility30 %40 %Expected volatility41 %30 %
Expected life (in years)Expected life (in years)2.92.8Expected life (in years)3.02.9
Expected dividend yieldExpected dividend yield— %— %Expected dividend yield%%
The valuation of the TSR portion of the PRSUs granted during 2021 and 2020 also reflects a weighted average illiquidity discount of 8.19% and 8.00%, determined utilizing the Chaffe model valuation technique, andrespectively, related to the six-month period that recipients are restricted from selling, transferring, pledging or assigning the underlying shares, in the event of vesting.
The following table summarizes time-vested RSU activity:activity for the three month period ended April 2, 2021:
Time-Vested
Activity
Weighted
Average
Grant Date Fair Value
Time-Vested
Activity
Weighted
Average
Grant Date Fair Value
Nonvested at December 31, 2019205,223  $64.75  
Nonvested at December 31, 2020Nonvested at December 31, 2020207,923 $75.38 
GrantedGranted140,121  84.26  Granted146,247 79.09 
VestedVested(70,955) 56.60  Vested(59,143)63.94 
ForfeitedForfeited(11,827) 74.76  Forfeited(2,327)80.24 
Nonvested at July 3, 2020262,562  $76.91  
Nonvested at April 2, 2021Nonvested at April 2, 2021292,700 $79.51 
The following table summarizes PRSU activity:activity for the three month period ended April 2, 2021:
Performance-
Vested
Activity
Weighted
Average
Grant Date Fair Value
Performance-
Vested
Activity
Weighted
Average
Grant Date Fair Value
Nonvested at December 31, 2019191,592  $56.30  
Nonvested at December 31, 2020Nonvested at December 31, 2020219,391 $72.33 
GrantedGranted67,268  95.06  Granted92,345 85.16 
VestedVested(35,363) 31.17  Vested(38,882)37.75 
ForfeitedForfeited(4,106) 51.54  Forfeited(65,941)49.00 
Nonvested at July 3, 2020219,391  $72.33  
Nonvested at April 2, 2021Nonvested at April 2, 2021206,913 $91.98 
- 1412 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)


(8.)     OTHER OPERATING EXPENSES
Other Operating Expenses consists ofoperating expenses comprise the following (in thousands):
Three Months EndedSix Months Ended Three Months Ended
July 3,
2020
June 28,
2019
July 3,
2020
June 28,
2019
April 2,
2021
April 3,
2020
Operational excellence initiativesOperational excellence initiatives$654 $974 
Strategic reorganization and alignmentStrategic reorganization and alignment$138  $1,656  $686  $3,390  Strategic reorganization and alignment548 
Manufacturing alignment to support growthManufacturing alignment to support growth60  561  188  1,146  Manufacturing alignment to support growth128 
2020 restructuring plan443  —  1,417  —  
Acquisition and integration expenses47  —  403  —  
Acquisition and integrationAcquisition and integration84 356 
Other general expensesOther general expenses1,341  891  2,263  1,462  Other general expenses177 922 
Total other operating expensesTotal other operating expenses$2,029  $3,108  $4,957  $5,998  Total other operating expenses$915 $2,928 
Strategic reorganization and alignment
As a result of the strategic review of its customers, competitors and markets, the Company began taking steps in 2017 to better align its resources in order to enhance the profitability of its portfolio of products. TheseOperational excellence initiatives include improving its business processes and redirecting investments away from projects where the market does not justify the investment, as well as aligning resources with market conditions and the Company’s future strategic direction. During the six months ended July 3, 2020, the Company incurred charges relating to these initiatives, which primarily included severance recorded within the Medical segment. As of July 3, 2020, total expense incurred for these initiatives since inception, including amounts reported in discontinued operations, was $23.0 million. These actions were completed as of July 3, 2020.
Manufacturing alignment to support growth
In 2017, the Company initiated several initiatives designed to reduce costs, increase manufacturing capacity to accommodate growth and improve operating efficiencies.  The plan involves the relocation of certain manufacturing operations and expansion of certain of the Company’s facilities. The Company estimates that it will incur aggregate pre-tax restructuring related charges in connection with the realignment plan of approximately $6 million, the majority of which are expected to be cash expenditures. Costs related to the Company’s manufacturing alignment to support growth initiative were primarily recorded within the Medical segment. As of July 3, 2020, total expense incurred for this initiative since inception was $5.8 million. These actions were substantially completed at the end of 2019.
2020 restructuring plan
The Company’s 2020 restructuring planoperational excellence initiatives mainly consistsconsist of costs associated with executing on its sales force, excellence, manufacturing, excellence and business process and performance excellence operational strategic imperatives. These projects focus on changing the Company’s organizational structure to match product line growth strategies and customer needs, transitioning its manufacturing process into a competitive advantage and standardizing and optimizing its business processes.
2021 Initiatives - Costs related to the Company’s 2021 initiatives are primarily recorded within the Medical segment and mainly include termination benefits. The Company estimates that it will incur aggregate pre-tax restructuring related charges in connection with the 2020 restructuring2021 realignment plan of between approximately $2$1 million to $3$2 million, the majority of which are expected to be cash expenditures. Costs related to the Company’s 2020 restructuring plan are expected to be primarily recorded within the Medical segment. As of July 3, 2020,April 2, 2021, total expenserestructuring and related charges incurred for this initiative since inception was $1.4 million, which was primarily severance.$0.4 million. These actions are expected to be substantially completecompleted by the end of 2021.
2020 Initiatives - Costs related to the Company’s 2020 initiatives are primarily recorded within the Medical segment and mainly include termination benefits. As of April 2, 2021, total restructuring and related charges incurred since inception was $3.0 million. These actions were substantially complete at the end of 2020.
Strategic reorganization and alignment
These initiatives primarily included aligning resources with the Company’s strategic direction, improving profitability to invest in accelerated growth and the expansion of a facility. These actions began in 2017 and were completed during the second quarter of 2020. The Company recorded, primarily within the Medical segment, $23.0 million of restructuring and related charges since inception.
Manufacturing alignment to support growth
These initiatives were designed to reduce costs, increase manufacturing capacity to accommodate growth and improve operating efficiencies by relocating certain manufacturing operations and expanding certain facilities. These actions began in 2017 and were completed during the fourth quarter of 2020. The Company recorded, primarily within the Medical segment, $5.8 million of restructuring and related charges since inception.
The following table summarizes the change in accrued liabilities, presented within Accrued expenses and other current liabilities on the Condensed Consolidated Balance Sheets, related to the initiatives described above (in thousands):
Operational
excellence
initiatives
December 31, 2020$291 
Charges incurred, net of reversals654 
Cash payments(306)
April 2, 2021$639 
- 1513 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)


(8.)     OTHER OPERATING EXPENSES (Continued)
The following table summarizes the change in accrued liabilities, presented within Accrued ExpenseAcquisition and Other Current Liabilities on the Condensed Consolidated Balance Sheets, related to the initiatives described above (in thousands):
Severance and RetentionOtherTotal
December 31, 2019$1,389  $596  $1,985  
Restructuring charges1,637  654  2,291  
Cash payments(2,466) (1,248) (3,714) 
July 3, 2020$560  $ $562  
integration
Acquisition and integration expenses
costs primarily consist of professional fees and other costs related to business acquisitions. During the sixthree months ended JulyApril 2, 2021 and April 3, 2020, acquisition and integration expensescosts included $0.1 million and $0.9 million, respectively, of expenses related to the acquisition of certain assets and liabilities of InoMec and USB,US BioDesign, LLC (“USB”), which was acquired in October 2019. Acquisition and integration costs for the three months ended April 3, 2020, also includes a $0.5 million adjustment to reduce the fair value of acquisition-related contingent consideration liabilities. Acquisitionliability associated with the Company’s acquisition of USB. See Note 13 “Financial Instruments and integration costs primarily include direct acquisition costs incurred which consistFair Value Measurements” for additional information related to the fair value measurement of professional fees and other costs.the contingent consideration.
Other general expenses
During the sixthree months ended JulyApril 2, 2021 and April 3, 2020, and June 28, 2019, the Company recorded expenses related to other initiatives not described above, which relate primarily to actions to align labor with customer demand as a result of COVID-19 and the decline of the energy market, integration and operational initiatives to reduce future costs and improve operational efficiencies. The 20202021 and 20192020 amounts primarily include severance,data archiving expenses, information technology systems conversion expenses, and expenses related to the restructuring of certain legal entities of the Company.
(9.)    INCOME TAXES
The income tax provision for interim periods is determined using an estimate of the annual effective tax rate, adjusted for discrete items, if any, that are taken into account in the relevant period. Each quarter, the estimate of the annual effective tax rate is updated, and if the estimated effective tax rate changes, a cumulative adjustment is made. There is a potential for volatility of the effective tax rate due to several factors, including discrete items, changes in the mix and amount of pre-tax income and the jurisdictions to which it relates, changes in tax laws and foreign tax holidays, business reorganizations, settlements with taxing authorities and foreign currency fluctuations. In addition, the Company continues to explore tax planning opportunities that may have a material impact on its effective tax rate.
The Company’s effective tax rate for continuing operations for the secondfirst quarter of 20202021 was (135.8)%13.8% on $0.2$25.0 million of income from continuing operations before taxes compared to 19.0%15.1% on $34.8$36.6 million of income from continuing operations before taxes for the same period in 2019. The Company’s effective tax rate for continuing operations for the first six months of 2020 was 14.4% on $36.8 million of income from continuing operations before taxes compared to 17.3% on $60.0 million of income from continuing operations before taxes for the same period in 2019.2020. The difference between the Company’s effective tax rates and the U.S. federal statutory income tax rate of 21% for the secondfirst quarter of 2021 and first six months of 2020 and 2019 is primarily attributabledue principally to discrete tax benefits, as well as the estimated net impact of the Company’s earnings outside the U.S., which are generally taxed at rates that differ from the U.S federal rate, the estimated net impact of the Global Intangible Low-Taxed Income (“GILTI”) tax, and the availability of tax credits, and certain discrete tax credits. Thebenefits. For the first quarter of 2021 and 2020, the Company recorded discrete tax benefits of $0.1$0.6 million and $1.0 million, respectively, for the second quarter and first six months of 2020, compared to discrete tax benefits of $0.4 million and $2.1 million, respectively, for the second quarter and first six months of 2019.respectively. The discrete tax benefits for allboth periods are predominately related to excess tax benefits recognized upon vesting of RSUs or exercise of stock options.options during those quarters.
As of July 3, 2020April 2, 2021 and December 31, 2019,2020, the Company had unrecognized tax benefits from continuing operations of approximately $4.6 million and $4.4 million, respectively.$5.5 million. It is reasonably possible that a reduction of up to $0.6$3.4 million of the balance of unrecognized tax benefits may occur within the next twelve months as a result of potential audit settlements. As of July 3, 2020April 2, 2021 and December 31, 2019,2020, approximately $4.6$5.5 million and $4.4 million, respectively, of the unrecognized tax benefits would favorably impact the effective tax rate, net of federal benefit on state issues, if recognized.
- 16 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)


(9.) INCOME TAXES (Continued)
In response to the COVID-19 pandemic, many governments have enacted or are contemplating measures to provide aid and economic stimulus. These measures may include deferring the due dates of tax payments or other changes to their income and non-income-based tax laws. The Coronavirus Aid, Relief, and Economic Security Act (the “CARES Act”), which was enacted on March 27, 2020 in the U.S., includes measures to assist companies, including temporary changes to income and non-income-basednon-income- based tax laws. The CARES Act provides for deferred payment of the employer portion of social security taxes through the end of 2020, with 50% of the deferred amount due December 31, 2021January 3, 2022 and the remaining 50% due January 3, 2023. As of April 2, 2021 and December 31, 2022. As allowed under2020, the CARES Act, weCompany had deferred a total of $9.7 million of payroll taxes. The deferred payroll taxes are deferring payment ofincluded within Accrued expenses and other current liabilities and Other long-term liabilities on the employer portion of Social Security taxes through the end of 2020. For the six months ended July 3, 2020, there were no material income tax impacts to our Condensed Consolidated Financial Statements as it relates to COVID-19 measures. We continue to monitor additional guidance issued by the U.S. Treasury Department, the Internal Revenue Service and others.Balance Sheets.
- 14 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)


(10.)    COMMITMENTS AND CONTINGENCIES
Contingent Consideration Arrangements
The Company records contingent consideration liabilities related to the earn-out provisions for certain acquisitions. See Note 13 “Financial Instruments and Fair Value Measurements” for additional information.
Litigation
The Company is subject to litigation arising from time to time in the ordinary course of its business. The Company does not expect that the ultimate resolution of any pending legal actions will have a material effect on its consolidated results of operations, financial position, or cash flows. However, litigation is subject to inherent uncertainties. As such, there can be no assurance that any pending legal action, which the Company currently believes to be immaterial, will not become material in the future.
In April 2013, the Company commenced an action against AVX Corporation and AVX Filters Corporation (collectively “AVX”) alleging that AVX had infringed on the Company’s patents by manufacturing and selling filtered feedthrough assemblies used in implantable pacemakers and cardioverter defibrillators that incorporate the Company’s patented technology. Following four trials, the Company was awarded approximately $27 million in damages. In August 2019, AVX filed a notice of appeal with the United States Court of Appeals for the Federal Circuit and the Company subsequently filed a notice of cross-appeal. In July 2020, the United States Court of Appeals for the Federal Circuit affirmed, in all respects, the judgment in favor of the Company. To date, the Company has recorded 0 gains in connection with this litigation.
Product Warranties
The Company generally warrants that its products will meet customer specifications and will be free from defects in materials and workmanship. The product warranty liability is presented within Accrued Expenseexpenses and Other Current Liabilitiesother current liabilities on the Condensed Consolidated Balance Sheets. The change in product warranty liability was comprised of the following (in thousands):
December 31, 20192020$1,933163 
Additions to warranty reserve, net of reversals(117)15 
Adjustments to pre-existing warranties(66)(63)
Warranty claims settled(997)
July 3, 2020April 2, 2021$753115 
- 17 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)


(11.)    EARNINGS PER SHARE (“EPS”)
The following table sets forth a reconciliation of the information used in computing basic and diluted EPS (in thousands, except per share amounts):
 Three Months EndedSix Months Ended
July 3,
2020
June 28,
2019
July 3,
2020
June 28,
2019
Numerator for basic and diluted EPS:
Income from continuing operations$389  $28,222  $31,489  $49,588  
Income from discontinued operations—  4,835  —  5,138  
Net income$389  $33,057  $31,489  $54,726  
Denominator for basic and diluted EPS:
Weighted average shares outstanding - Basic32,834  32,621  32,820  32,579  
Dilutive effect of share-based awards295  388  303  416  
Weighted average shares outstanding - Diluted33,129  33,009  33,123  32,995  
Basic earnings per share:
Income from continuing operations$0.01  $0.87  $0.96  $1.52  
Income from discontinued operations—  0.15  —  0.16  
Basic earnings per share0.01  1.01  0.96  1.68  
Diluted earnings per share:
Income from continuing operations$0.01  $0.85  $0.95  $1.50  
Income from discontinued operations—  0.15  —  0.16  
Diluted earnings per share0.01  1.00  0.95  1.66  
 Three Months Ended
April 2,
2021
April 3,
2020
Numerator for basic and diluted EPS:
Net income$21,520 $31,100 
Denominator for basic and diluted EPS:
Weighted average shares outstanding - Basic32,957 32,807 
Dilutive effect of share-based awards231 310 
Weighted average shares outstanding - Diluted33,188 33,117 
Basic EPS$0.65 $0.95 
Diluted EPS$0.65 $0.94 
The diluted weighted average share calculations do not include the following securities, which are not dilutive to the EPS calculations or the performance criteria have not been met (in thousands):
 Three Months EndedSix Months Ended
July 3,
2020
June 28,
2019
July 3,
2020
June 28,
2019
Time-vested stock options, RSAs and RSUs146  53  131  56  
Performance-vested restricted stock and PRSUs12  48  16  47  
 Three Months Ended
April 2,
2021
April 3,
2020
Time-vested RSUs10 101 
PRSUs64 24 
- 1815 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)


(12.)     STOCKHOLDERS’ EQUITY
The following is a summary of the number of shares of common stock issued, treasury stock and common stock outstanding for the sixthree month periods ended JulyApril 2, 2021 and April 3, 2020 and June 28, 2019:2020:
Six Months Ended July 3, 2020Six Months Ended June 28, 2019
IssuedTreasury StockOutstandingIssuedTreasury StockOutstanding
Balance, beginning of period32,847,017  (146,546) 32,700,471  32,624,494  (151,327) 32,473,167  
Stock options exercised—  66,131  66,131  93,472  —  93,472  
RSAs issued, net of forfeitures,
and vesting of RSUs
—  71,950  71,950  98,656  (24,681) 73,975  
Balance, end of period32,847,017  (8,465) 32,838,552  32,816,622  (176,008) 32,640,614  

IssuedTreasury StockOutstanding
Shares outstanding at December 31, 202032,908,178 32,908,178 
Stock options exercised4,229 4,229 
Vesting of RSUs, net of shares withheld to cover taxes62,295 62,295 
Shares outstanding at April 2, 202132,974,702 32,974,702 
Shares outstanding at December 31, 201932,847,017 (146,546)32,700,471 
Stock options exercised58,658 58,658 
Vesting of RSUs, net of shares withheld to cover taxes66,876 66,876 
Shares outstanding at April 3, 202032,847,017 (21,012)32,826,005 
Accumulated Other Comprehensive Income (Loss) (“AOCI”) comprises the following (in thousands):
Defined
Benefit
Plan
Liability
Cash
Flow
Hedges
Foreign
Currency
Translation
Adjustment
Total
Pre-Tax
Amount
TaxNet-of-Tax
Amount
April 3, 2020$(912) $(13,281) $10,607  $(3,586) $2,913  $(673) 
Unrealized gain on cash flow hedges—  1,493  —  1,493  (314) 1,179  
Realized loss on foreign currency hedges—  680  —  680  (142) 538  
Realized loss on interest rate swap hedge—  617  —  617  (130) 487  
Foreign currency translation gain—  —  12,948  12,948  —  12,948  
July 3, 2020$(912) $(10,491) $23,555  $12,152  $2,327  $14,479  
December 31, 2019$(912) $(2,358) $22,639  $19,369  $619  $19,988  
Unrealized loss on cash flow hedges—  (9,981) —  (9,981) 2,096  (7,885) 
Realized loss on foreign currency hedges—  483  —  483  (101) 382  
Realized loss on interest rate swap hedges—  1,365  —  1,365  (287) 1,078  
Foreign currency translation gain—  —  916  916  —  916  
July 3, 2020$(912) $(10,491) $23,555  $12,152  $2,327  $14,479  
Defined
Benefit
Plan
Liability
Cash
Flow
Hedges
Foreign
Currency
Translation
Adjustment
Total
Pre-Tax
Amount
TaxNet-of-Tax
Amount
December 31, 2020$(1,095)$(4,956)$57,546 $51,495 $1,197 $52,692 
Unrealized loss on cash flow hedges— (1,269)— (1,269)266 (1,003)
Realized gain on foreign currency hedges— (659)— (659)139 (520)
Realized loss on interest rate swap hedges— 1,034 — 1,034 (217)817 
Foreign currency translation loss— — (16,364)(16,364)(16,364)
April 2, 2021$(1,095)$(5,850)$41,182 $34,237 $1,385 $35,622 
March 29, 2019$(295) $2,551  $23,701  $25,957  $(493) $25,464  
Unrealized loss on cash flow hedges—  (4,415) —  (4,415) 927  (3,488) 
Realized loss on foreign currency hedges—  11  —  11  (2)  
Realized gain on interest rate swap hedges—  (714) —  (714) 150  (564) 
Foreign currency translation gain—  —  4,510  4,510  —  4,510  
June 28, 2019$(295) $(2,567) $28,211  $25,349  $582  $25,931  
December 28, 2018$(295) $3,439  $30,539  $33,683  $(679) $33,004  
Unrealized loss on cash flow hedges—  (4,569) —  (4,569) 959  (3,610) 
Realized gain on foreign currency hedges—  (34) —  (34)  (27) 
Realized gain on interest rate swap hedge—  (1,403) —  (1,403) 295  (1,108) 
Foreign currency translation loss—  —  (2,328) (2,328) —  (2,328) 
June 28, 2019$(295) $(2,567) $28,211  $25,349  $582  $25,931  
December 31, 2019$(912)$(2,358)$22,639 $19,369 $619 $19,988 
Unrealized loss on cash flow hedges— (11,474)— (11,474)2,410 (9,064)
Realized gain on foreign currency hedges— (197)— (197)41 (156)
Realized loss on interest rate swap hedges— 748 — 748 (157)591 
Foreign currency translation loss— — (12,032)(12,032)(12,032)
April 3, 2020$(912)$(13,281)$10,607 $(3,586)$2,913 $(673)
- 1916 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)


(13.)     FINANCIAL INSTRUMENTS AND FAIR VALUE MEASUREMENTS
Assets and Liabilities Measured at Fair Value on a Recurring Basis
Fair value measurement standards apply to certain financial assets and liabilities that are measured at fair value on a recurring basis (each reporting period). For the Company, these financial assets and liabilities include its derivative instruments and contingent consideration. The Company does not have any nonfinancial assets or liabilities that are measured at fair value on a recurring basis.
The Company is exposed to global market risks, including the effect of changes in interest rates and foreign currency exchange rates, and uses derivatives to manage these exposures that occur in the normal course of business. The Company does not hold or issue derivatives for trading or speculative purposes. All derivatives are recorded at fair value on the balance sheet.Condensed Consolidated Balance Sheets.
The following tables provide information regarding assets and liabilities recorded at fair value on a recurring basis (in thousands):
Fair ValueQuoted
Prices in
Active
Markets
(Level 1)
Significant
Other
Observable
Inputs
(Level 2)
Significant
Unobservable
Inputs
(Level 3)
July 3, 2020
Liabilities: Foreign currency contracts$1,398  $—  $1,398  $—  
Liabilities: Interest rate swaps9,093  —  9,093  —  
Liabilities: Contingent consideration (Note 2)5,387  —  —  5,387  
Liabilities: Contingent consideration (Note 5)500  —  —  500  
December 31, 2019
Assets: Foreign currency contracts$710  $—  $710  $—  
Liabilities: Interest rate swaps3,068  —  3,068  —  
Liabilities: Contingent consideration (Note 2)4,200  —  —  4,200  
Fair ValueQuoted
Prices in
Active
Markets
(Level 1)
Significant
Other
Observable
Inputs
(Level 2)
Significant
Unobservable
Inputs
(Level 3)
April 2, 2021
Assets: Foreign currency contracts$28 $$28 $
Liabilities: Foreign currency contracts152 152 
Liabilities: Interest rate swap5,726 5,726 
Liabilities: Contingent consideration2,281 2,281 
December 31, 2020
Assets: Foreign currency contracts$2,070 $$2,070 $
Liabilities: Interest rate swap7,026 7,026 
Liabilities: Contingent consideration3,900 3,900 
Interest Rate Swaps
The Company periodically enters into interest rate swap agreements in order to reduce the cash flow risk caused by interest rate changes on its outstanding floating rate borrowings. Under these swap agreements, the Company pays a fixed rate of interest and receives a floating rate equal to one-month LIBOR. The variable rate received from the swap agreements and the variable rate paid on the outstanding debt will have the same rate of interest, excluding the credit spread, and will reset and pay interest on the same date. The Company has designated these swap agreements as cash flow hedges based on concluding the hedged forecasted transaction is probable of occurring within the period the cash flow hedge is anticipated to affect earnings.
Information regarding the Company’s outstanding interest rate swapsswap designated as cash flow hedges as of July 3,April 2, 2021 is as follows (dollars in thousands):
Notional AmountStart DateEnd
Date
Pay Fixed RateReceive Current Floating RateFair ValueBalance Sheet Location
$150,000 Jun 2020Jun 20232.1785 %0.1091 %$(5,726)Other long-term liabilities
Information regarding the Company’s outstanding interest rate swap designated as cash flow hedges as of December 31, 2020 is as follows (dollars in thousands):
Notional AmountNotional AmountStart DateEnd
Date
Pay Fixed RateReceive Current Floating RateFair ValueBalance Sheet LocationNotional AmountStart DateEnd
Date
Pay Fixed RateReceive Current Floating RateFair ValueBalance Sheet Location
$45,000  Jul 2019Jul 20201.8900 %0.1836 %$(51) Accrued expenses and other current liabilities200,000 Jun 2020Jun 20232.1785 %0.1480 %$(7,026)Other long-term liabilities
200,000  Jun 2020Jun 20232.1785  0.1803  (9,042) Other long-term liabilities
- 2017 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)


(13.)     FINANCIAL INSTRUMENTS AND FAIR VALUE MEASUREMENTS (Continued)
Information regarding the Company’s outstanding interest rate swaps designated as cash flow hedges as of December 31, 2019 is as follows (dollars in thousands):
Notional AmountStart DateEnd
Date
Pay Fixed RateReceive Current Floating RateFair ValueBalance Sheet Location
$200,000  Jun 2017Jun 20201.1325 %1.7920 %$543  Accrued expenses and other current liabilities
65,000  Jul 2019Jul 20201.8900  1.7920  (72) Accrued expenses and other current liabilities
400,000  Apr 2019Apr 20202.4150  1.7101  (730) Accrued expenses and other current liabilities
200,000  Jun 2020Jun 20232.1785  
(a)
(2,809) Other long-term liabilities
__________
(a) The interest rate swap did not take effect until June 2020.
Foreign Currency Contracts
The Company periodically enters into foreign currency forward contracts to hedge its exposure to foreign currency exchange rate fluctuations in its international operations. The Company has designated these foreign currency forward contracts as cash flow hedges. Information regarding outstanding foreign currency forward contracts designated as cash flow hedges as of April 2, 2021 is as follows (dollars in thousands):
Notional AmountStart
Date
End
Date
$/Foreign CurrencyFair ValueBalance Sheet Location
$1,553 Apr 2021Aug 20210.0232UYU Peso$30 Prepaid expenses and other current assets
3,270 Apr 2021Nov 20210.0227UYU Peso10 Prepaid expenses and other current assets
2,048 Jul 2021Dec 20210.0228UYU Peso(12)Prepaid expenses and other current assets
8,973 Apr 2021Sep 20211.1949Euro(133)Accrued expenses and other current liabilities
6,101 Apr 2021Sep 20210.0454MXN Peso480 Accrued expenses and other current liabilities
7,269 Apr 2021Dec 20210.0485MXN Peso(1)Accrued expenses and other current liabilities
10,985 Apr 2021Dec 20211.2206Euro(362)Accrued expenses and other current liabilities
9,069 Apr 2021Dec 20210.0490MXN Peso(136)Accrued expenses and other current liabilities
Information regarding outstanding foreign currency forward contracts designated as cash flow hedges as of July 3,December 31, 2020 is as follows (dollars in thousands):
Notional AmountStart
Date
End
Date
$/Foreign CurrencyFair ValueBalance Sheet Location
$8,756  Apr 2020Sep 20201.0945Euro$250  Prepaid expenses and other current assets
15,332  Jul 2020Dec 20200.0491MXN Peso(1,559) Accrued expenses and other current liabilities
4,285  Mar 2020Dec 20200.0241UYU Peso(89) Accrued expenses and other current liabilities
Information regarding outstanding foreign currency contracts designated as cash flow hedges as of December 31, 2019 is as follows (dollars in thousands):
Notional AmountStart
Date
End
Date
$/Foreign CurrencyFair ValueBalance Sheet Location
$11,166  Jan 2020Jun 20200.0490MXN Peso$710  Prepaid expenses and other current assets
Contingent Consideration
The Company estimated the original fair value of the contingent consideration liabilities for the InoMec and USB acquisitions using a Monte Carlo simulation in order to forecast the value of the potential future payment. In periods subsequent to the initial measurement, contingent consideration liabilities are remeasured to fair value each reporting period until the contingent consideration is settled using various assumptions including estimated revenues (based on internal operational budgets and long-range strategic plans), discount rates, revenue volatility and projected payment dates. The assumptions used in the determination of fair value of contingent consideration liabilities are not observable in the market, thus representing a Level 3 measurement within the fair value hierarchy. The contingent consideration liabilities are included in Accrued expenses and other current liabilities and Other long-term liabilities in the Condensed Consolidated Balance Sheets. Adjustments to the fair value of contingent consideration liabilities are included in Other operating expenses in the Company’s Condensed Consolidated Statements of Operations.
For the February 19, 2020 InoMec acquisition, additional purchase price payments ranging from 0 to $3.5 million are contingent upon the achievement of certain revenue targets through February 29, 2024. At the date of acquisition, the Company estimated the original fair value of the contingent consideration to be $1.7 million. At July 3, 2020, the estimated fair value of the contingent consideration associated with the InoMec acquisition was $1.7 million.
- 21 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)


(13.)  FINANCIAL INSTRUMENTS AND FAIR VALUE MEASUREMENTS (Continued)
For the October 7, 2019 USB acquisition, additional purchase price payments ranging from 0 to $5.5 million are contingent upon the achievement of certain revenue targets through December 31, 2023. At the date of acquisition, the Company estimated the original fair value of the contingent consideration to be $4.2 million. During the six months ended July 3, 2020, the Company recognized a gain from the fair value adjustment of contingent consideration of $0.5 million. The fair value adjustment for the six months ended July 3, 2020 was due to a change in the timing of the projected future revenues, rise in the estimated revenue volatility, and increase in the discount rate used to calculate the present value of the contingent consideration liability. At July 3, 2020, the estimated fair value of the contingent consideration associated with the USB acquisition was $3.7 million.
During the first quarter of 2020, the Company acquired a set of similar identifiable intangible assets relating to a license to use technology within its Non-Medical segment. At the date of acquisition, the Company estimated the original fair value of the contingent consideration to be $1.0 million. During the second quarter of 2020, the Company paid $0.5 million to settle a portion of this contingent consideration arrangement. At July 3, 2020, the estimated fair value of the contingent consideration associated with the license to use technology was $0.5 million, which represents the estimated fair value of contingent consideration payable upon completion of certain milestones.
The following table presents the changes in the estimated fair values of the Company’s liabilities for contingent consideration measured using significant unobservable inputs (Level 3) for the six months ended July 3, 2020 (in thousands):
December 31, 2019$4,200 
Contingent consideration liabilities recorded for acquisitions2,700 
Fair value adjustment included in Other operating expenses(500)
Settlements(500)
Foreign currency translation(13)
July 3, 2020$5,887 

Notional AmountStart
Date
End
Date
$/Foreign CurrencyFair ValueBalance Sheet Location
$16,132 Nov 2020Sep 20211.1949Euro$399 Prepaid expenses and other current assets
10,224 Jan 2021Sep 20210.0454MXN Peso922 Prepaid expenses and other current assets
2,656 Jan 2021Mar 20210.0443MXN Peso341 Prepaid expenses and other current assets
7,269 Apr 2021Dec 20210.0485MXN Peso77 Prepaid expenses and other current assets
3,252 Jan 2021Aug 20210.0232UYU Peso165 Prepaid expenses and other current assets
3,966 Jan 2021Nov 20210.0227UYU Peso166 Prepaid expenses and other current assets
Derivative Instruments with Hedge Accounting Designation
The following table presentstables present the impacteffect of cash flow hedge derivative instruments on other comprehensive income (loss) (“OCI”),
AOCI and the Company’s Condensed Consolidated StatementStatements of Operations for the three and six months ended JulyApril 2, 2021 and April 3, 2020 and June 28, 2019 (in thousands):
Three Months EndedThree Months Ended
July 3, 2020June 28, 2019April 2, 2021April 3, 2020
TotalAmount of Gain (Loss) on Cash Flow Hedge ActivityTotalAmount of Gain (Loss) on Cash Flow Hedge ActivityTotalAmount of Gain (Loss) on Cash Flow Hedge ActivityTotalAmount of Gain (Loss) on Cash Flow Hedge Activity
SalesSales$240,115  $87  $314,194  $(473) Sales$290,467 $$328,426 $(128)
Cost of salesCost of sales182,252  (733) 217,210  462  Cost of sales205,981 624 231,724 325 
Operating expensesOperating expenses48,678  (34) 47,647  —  Operating expenses49,878 27 52,626 
Interest expenseInterest expense9,273  (617) 13,612  714  Interest expense8,532 (1,034)10,361 (748)
Six Months Ended
July 3, 2020June 28, 2019
TotalAmount of Loss on Cash Flow Hedge ActivityTotalAmount of Gain (Loss) on Cash Flow Hedge Activity
Sales$568,541  $(41) $628,870  $(794) 
Cost of sales413,976  (408) 443,276  828  
Operating expenses101,304  (34) 97,088  —  
Interest expense19,634  (1,365) 27,442  1,403  
- 18 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)


(13.)     FINANCIAL INSTRUMENTS AND FAIR VALUE MEASUREMENTS (Continued)
Unrealized Gain (Loss) Recognized in OCIRealized Gain (Loss) Reclassified from AOCI
Three months ended,Location in Statements of Operations and Comprehensive IncomeThree months ended,
April 2,
2021
April 3,
2020
April 2,
2021
April 3,
2020
Interest rate swap$266 $(6,387)Interest expense$(1,034)$(748)
Foreign exchange forwards(886)(274)Sales(128)
Foreign exchange forwards(559)(4,813)Cost of sales624 325 
Foreign exchange forwards(90)Operating expenses27 
The Company expects to reclassify net losses totaling $3.2 millionrelated to its cash flow hedges from AOCI into earnings during the next twelve months.
Contingent Consideration
The following table presents the changes in the estimated fair values of the Company’s liabilities for contingent consideration measured using significant unobservable inputs (Level 3) for the three months ended April 2, 2021 and April 3, 2020 (in thousands):
 Three Months Ended
April 2,
2021
April 3,
2020
Fair value measurement at beginning of period$3,900 $4,200 
Amount recorded for acquisitions2,700 
Fair value measurement adjustment(500)
Payments(1)
(1,621)
Foreign currency translation
Fair value measurement at end of period$2,281 $6,400 
__________
(1)Consists of payments associated with the Company’s acquisitions of InoMec and USB, resulting from achievement of revenue-based goals for the period from March 1, 2020 to February 28, 2021 for InoMec and January 1, 2020 to December 31, 2020 for USB.
On February 19, 2020, the Company acquired certain assets and liabilities of InoMec. See Note 2 “Business Acquisition” for additional information about the InoMec acquisition. On October 7, 2019, the Company acquired certain assets and liabilities of USB, a privately-held developer and manufacturer of complex braided biomedical structures for disposable and implantable medical devices. The contingent consideration at April 2, 2021 is the estimated fair value of the Company’s obligations, under the asset purchase agreements for InoMec and USB, to make additional payments if certain revenue goals are met.
As of April 2, 2021, the current portion of contingent consideration liabilities is$1.0 millionand included in Accrued expenses and other current liabilities, and the non-current portion is $1.3 millionand included in Other long-term liabilities on the Condensed Consolidated Balance Sheets. As of December 31, 2020, the current portion of contingent consideration liabilities was $1.7 million and included in Accrued expenses and other current liabilities, and the non-current portion was $2.2 million and included in Other long-term liabilities on the Condensed Consolidated Balance Sheets.
- 2219 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)


(13.)     FINANCIAL INSTRUMENTS AND FAIR VALUE MEASUREMENTS (Continued)
The following tables presenttable provides quantitative information associated with the amounts affectingfair value measurement of the Condensed Consolidated StatementsCompany’s liabilities for contingent consideration:
April 2, 2021
Contingency TypeMaximum Payout (undiscounted)Fair ValueValuation TechniqueUnobservable InputsWeighted Average or Range
Revenue-based payments$6,750 $2,281 Monte CarloRevenue volatility35.0 %
Discount rate4.0 %
Projected year(s) of payment2022-2024
December 31, 2020
Contingency TypeMaximum Payout (undiscounted)Fair ValueValuation TechniqueUnobservable InputsWeighted Average or Range
Revenue-based payments$9,000 $3,900 Monte CarloRevenue volatility35.0 %
Discount rate4.0 %
Projected year(s) of payment2021-2024
During the first quarter of Operations and Condensed Consolidated Statements2020, the Company acquired a set of Comprehensive Income forsimilar identifiable intangible assets relating to a license to use technology within its Non-Medical segment. At the three and six months ended July 3,date of acquisition, the Company estimated the original fair value of the contingent consideration to be $1.0 million, which was paid during 2020 and June 28, 2019 (in thousands):
Unrealized Gain (Loss) Recognized in OCIRealized Gain (Loss) Reclassified from AOCI
Three months ended,Location in Statement of OperationsThree months ended,
July 3,
2020
June 28,
2019
July 3,
2020
June 28,
2019
Interest rate swap$(1,003) $(5,151) Interest expense$(617) $714  
Foreign exchange forwards483   Sales87  (473) 
Foreign exchange forwards2,085  735  Cost of sales(733) 462  
Foreign exchange forwards(72) —  Operating expenses(34) —  

Unrealized Gain (Loss) Recognized in OCIRealized Gain (Loss) Reclassified from AOCI
Six Months EndedLocation in Statement of OperationsSix Months Ended
July 3,
2020
June 28,
2019
July 3,
2020
June 28,
2019
Interest rate swaps$(7,390) $(5,599) Interest expense$(1,365) $1,403  
Foreign exchange contracts209  (699) Sales(41) (794) 
Foreign exchange contracts(2,728) 1,729  Cost of sales(408) 828  
Foreign exchange forwards(72) —  Operating expenses(34) —  
The Company expects to reclassify net losses totaling $5.3 million related to its cash flow hedges from AOCI into earnings duringupon achievement of the next twelve months.applicable milestones.
Assets and Liabilities Measured at Fair Value on a Nonrecurring Basis
Fair value standards also apply to certain assets and liabilities that are measured at fair value on a nonrecurring basis. The carrying amounts of cash, accounts receivable, accounts payable, and accrued expenses approximate fair value because of the short-term nature of these items.
Borrowings under the Company’s Revolving Credit Facility, TLA Facility and TLB Facility accrue interest at a floating rate tied to a standard short-term borrowing index, selected at the Company’s option, plus an applicable margin. The carrying amount of this floating rate debt approximates fair value based upon the respective interest rates adjusting with market rate adjustments.
Equity Investments
The Company holds long-term, strategic investments in companies to promote business and strategic objectives. These investments are included in Other Long-Term Assetslong-term assets on the Condensed Consolidated Balance Sheets. Non-marketable equity securities are equity securities without readily determinable fair value. The Company has elected the practicability exception to use an alternative approach that measures the securities at cost minus impairment, if any, plus or minus changes resulting from qualifying observable price changes. If an impairment is recognized on the Company’s non-marketable equity securities during the period, these assets are classified as Level 3 within the fair value hierarchy based on the nature of the fair value inputs.
Equity investments are comprised ofcomprise the following (in thousands):
July 3,
2020
December 31,
2019
April 2,
2021
December 31,
2020
Equity method investmentEquity method investment$17,888  $16,167  Equity method investment$20,135 $21,470 
Non-marketable equity securitiesNon-marketable equity securities6,092  6,092  Non-marketable equity securities5,723 5,723 
Total equity investmentsTotal equity investments$23,980  $22,259  Total equity investments$25,858 $27,193 
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INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)


(13.)     FINANCIAL INSTRUMENTS AND FAIR VALUE MEASUREMENTS (Continued)
The components of (Gain) Lossloss on Equity Investments, Netequity investments for each period were as follows (in thousands):
Three Months EndedSix Months Ended
July 3,
2020
June 28,
2019
July 3,
2020
June 28,
2019
Equity method investment (income) loss$205  $36  $(1,720) $77  
Impairment charges—  1,575  —  1,575  
Total (gain) loss on equity investments, net$205  $1,611  $(1,720) $1,652  
Three Months Ended
April 2,
2021
April 3,
2020
Equity method investment (gain) loss$1,335 $(1,925)
The Company’s equity method investment is in a Chinese venture capital fund focused on investing in life sciences companies. As of July 3, 2020,April 2, 2021, the Company owned 6.6% of this fund.
(14.)     SEGMENT INFORMATION
The Company organizes its business into 2 reportable segments: (1) Medical and (2) Non-Medical. This segment structure reflects the financial information and reports used by the Company’s management, specifically its Chief Operating Decision Maker, to make decisions regarding the Company’s business, including resource allocations and performance assessments. This segment structure reflects the Company’s current operating focus in compliance with ASC 280, Segment Reporting. For purposes of segment reporting, intercompany sales between segments are not material.
The following table presents sales from continuing operations by product line (in thousands).
Three Months EndedSix Months Ended Three Months Ended
July 3,
2020
June 28,
2019
July 3,
2020
June 28,
2019
April 2,
2021
April 3,
2020
Segment sales from continuing operations by product line:
Segment sales by product line:Segment sales by product line:
MedicalMedicalMedical
Cardio & VascularCardio & Vascular$129,084  $150,397  $308,289  $302,971  Cardio & Vascular$149,165 $179,205 
Cardiac & NeuromodulationCardiac & Neuromodulation71,675  114,488  179,495  231,399  Cardiac & Neuromodulation108,408 107,820 
Advanced Surgical, Orthopedics & Portable MedicalAdvanced Surgical, Orthopedics & Portable Medical30,625  32,646  61,862  64,234  Advanced Surgical, Orthopedics & Portable Medical25,392 31,237 
Total MedicalTotal Medical231,384  297,531  549,646  598,604  Total Medical282,965 318,262 
Non-MedicalNon-Medical8,731  16,663  18,895  30,266  Non-Medical7,502 10,164 
Total sales from continuing operations$240,115  $314,194  $568,541  $628,870  
Total salesTotal sales$290,467 $328,426 
The following table presents income from continuing operations for the Company’s reportable segments (in thousands).
Three Months EndedSix Months Ended Three Months Ended
July 3,
2020
June 28,
2019
July 3,
2020
June 28,
2019
April 2,
2021
April 3,
2020
Segment income from continuing operations:
Segment income:Segment income:
MedicalMedical$26,910  $63,706  $92,126  $120,086  Medical$55,525 $65,216 
Non-MedicalNon-Medical2,467  5,298  3,680  9,609  Non-Medical1,213 
Total segment incomeTotal segment income29,377  69,004  95,806  129,695  Total segment income55,527 66,429 
Unallocated operating expensesUnallocated operating expenses(20,192) (19,667) (42,545) (41,189) Unallocated operating expenses(20,919)(22,353)
Operating incomeOperating income9,185  49,337  53,261  88,506  Operating income34,608 44,076 
Unallocated expenses, netUnallocated expenses, net(9,020) (14,505) (16,457) (28,542) Unallocated expenses, net(9,630)(7,437)
Income from continuing operations before taxes$165  $34,832  $36,804  $59,964  
Income before taxesIncome before taxes$24,978 $36,639 
- 2421 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)


(15.)    REVENUE FROM CONTRACTS WITH CUSTOMERS
Disaggregated Revenue
In general, the Company’s business segmentation is aligned according to the nature and economic characteristics of its products and customer relationships and provides meaningful disaggregation of each business segment’s results of operations. For a summary by disaggregated product line sales for each segment, refer to Note 14, “Segment Information.”
Revenue recognized from products and services transferred to customers over time for the threerepresented 35% and six months ended July 3, 2020 represented 25% and 28%, respectively, of total revenue. Revenue recognized from products and services transferred to customers over time for the three and six months ended June 28, 2019 represented 10% and 12%30%, respectively, of total revenue for the three months ended April 2, 2021 and April 3, 2020. All revenue recognized from products and services transferred to customers over time during the periods presented was within the Medical segment.
The following table presents revenues by significant customers, which are defined as any customer who individually represents 10% or more of a segment’s total revenues.
Three Months EndedThree Months Ended
July 3, 2020June 28, 2019April 2, 2021April 3, 2020
CustomerCustomerMedical Non-Medical Medical Non-MedicalCustomerMedical Non-Medical Medical Non-Medical
Customer ACustomer A23%*21%*Customer A22%*20%*
Customer BCustomer B16%*18%*Customer B13%*18%*
Customer CCustomer C10%*13%*Customer C17%*16%*
Customer DCustomer D*23%*25%Customer D*26%*19%
Customer E*15%**
All other customersAll other customers51%62%48%75%All other customers48%74%46%81%

Six Months Ended
July 3, 2020June 28, 2019
CustomerMedicalNon-MedicalMedicalNon-Medical
Customer A21%*23%*
Customer B16%*18%*
Customer C14%*12%*
Customer D*21%*25%
Customer E12%**
All other customers49%67%47%75%
__________
* Less than 10% of segment’s total revenues for the period.

The following tables present revenues by significant ship to location, which is defined as any country where 10% or more of a segment’s total revenues are shipped.
Three Months Ended
July 3, 2020June 28, 2019
Ship to LocationMedical Non-Medical Medical Non-Medical
United States55%54%56%56%
Puerto Rico**12%*
Singapore*11%*10%
Canada*14%*14%
All other countries45%21%32%20%
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INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)


(15.) REVENUE FROM CONTRACTS WITH CUSTOMERS (Continued)

Six Months Ended
July 3, 2020June 28, 2019
Ship to LocationMedicalNon-MedicalMedicalNon-Medical
United States55%49%56%56%
Puerto Rico11%*13%*
United Kingdom*12%**
Singapore*12%**
Canada*13%*14%
All other countries34%14%31%30%
__________
* Less than 10% of segment’s total revenues for the period.
The following tables present revenues by significant ship to location, which is defined as any country where 10% or more of a segment’s total revenues are shipped.
Three Months Ended
April 2, 2021April 3, 2020
Ship to LocationMedical Non-Medical Medical Non-Medical
United States53%69%55%44%
Puerto Rico**12%*
United Kingdom*10%*15%
Singapore***14%
Canada*11%*12%
All other countries47%10%33%15%
__________
* Less than 10% of segment’s total revenues for the period.
Contract Balances
The opening and closing balances of the Company’s contract assets and contract liabilities are as follows (in thousands):
July 3,
2020
December 31,
2019
April 2,
2021
December 31,
2020
Contract assetsContract assets$37,389  $24,767  Contract assets$44,686 $40,218 
Contract liabilities included in accrued expenses and other current liabilities$2,415  $1,975  
Contract liabilitiesContract liabilities2,379 2,498 
Contract assets at July 3, 2020,April 2, 2021, increased $12.6$4.5 million from December 31, 2019,2020, due to a new contract with a customer where control is transferred over time.modification to add existing products and extend the contractual term. During the three and six months ended July 3, 2020,April 2, 2021, the Company recognized $1.0$0.9 million and $1.1 million, respectively, of revenue that was included in the contract liability balance as of December 31, 2019.2020. During the three and six months ended June 28, 2019,April 3, 2020, the Company recognized $0.1 million and $0.4 million, respectively, of revenue that was included in the contract liability balance as of December 28, 2018.31, 2019.
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INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)


(16.)DISCONTINUED OPERATIONS
On July 2, 2018, the Company completed the sale of its AS&O Product Line to Viant. In connection with the sale, the parties executed a transition services agreement whereby the Company would provide certain corporate services (including accounting, payroll, and information technology services) to Viant for a period of up to one year from the date of the closing to facilitate an orderly transfer of business operations. Viant paid Integer for these services as specified in the transition services agreement, which were complete as of June 28, 2019. For the performance of services during the three and six months ended June 28, 2019, the Company recognized $1.2 million and $2.9 million, respectively, of income under the transition services agreement. For the six months ended June 28, 2019, $0.1 million is within Cost of sales and for the three and six months ended June 28, 2019, $1.2 million and $2.8 million, is within Selling, general and administrative expenses.
During the quarter ended June 28, 2019, the Company received $4.8 million due to a net working capital adjustment agreed to with Viant. This was recognized as gain on sale from discontinued operations during the quarter ended June 28, 2019.
The operating results of the AS&O Product Line have been classified as discontinued operations in the Condensed Consolidated Statements of Operations for all periods presented. The discontinued operations of the AS&O Product Line are reported in the Medical segment. Income from discontinued operations net of taxes, were as follows (in thousands):
 Three Months EndedSix Months Ended
July 3,
2020
June 28,
2019
July 3,
2020
June 28,
2019
Gain on sale of discontinued operations$—  $(4,974) $—  $(4,974) 
Other income, net—  44  —  (342) 
Provision for income taxes—  95  —  178  
Income from discontinued operations$—  $4,835  $—  $5,138  
Cash flow information from discontinued operations was as follows (in thousands):
Six Months Ended
July 3,
2020
June 28,
2019
Cash used in operating activities$— $(58)
Cash provided by investing activities— 4,734 
(17.) RECENT DEVELOPMENTS
Beginning in early March 2020, the global spread of the novel coronavirus (“COVID-19”), has created significant uncertainty and worldwide economic disruption. Specific impacts to the Company’s business include delayed or reduced customer orders and sales, restrictions on its associates’ ability to travel or work, delays in shipments to and from certain countries, and disruptions in its supply chain. Further, the collapse in the demand for oil caused by this unprecedented global health and economic crisis, coupled with oil oversupply, has adversely impacted the demand for products in the Company’s Non-Medical reportable segment. Considering these events and circumstances, the Company elected to bypass a qualitative analysis of its Non-Medical reporting unit’s goodwill and performed a quantitative analysis as of the first quarter of 2020. The fair value of the Non-Medical reporting unit exceeded its carrying amount as of April 3, 2020.
In response to COVID-19 and the related uncertainty, the Company is taking prudent measures to improve its liquidity and strengthen its financial position. On April 10, 2020, the Company drew a $160 million portion of its Revolving Credit Facility to protect against a prolonged pandemic coupled with financial market illiquidity. Additionally, on July 13, 2020, the Company amended the terms of its senior secured credit facility to increase the total net leverage ratio.
The extent to which COVID-19 impacts the Company’s operations will depend on future developments, which are highly uncertain, including, among others, the duration of the outbreak, new information that may emerge concerning the severity of COVID-19 and the actions, especially those taken by governmental authorities, to contain the pandemic or treat its impact. As pandemic-related events continue to evolve, additional impacts may arise that the Company is not aware of currently. Any prolonged material disruption of the Company’s associates, suppliers, manufacturing, or customers could materially impact its consolidated financial position, results of operations or cash flows.
- 2722 -


ITEM 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
This Quarterly Report on Form 10-Q should be read in conjunction with the disclosures included in our Annual Report on Form 10-K for the year ended December 31, 2019.2020. In addition, please read this section in conjunction with our Condensed Consolidated Financial Statements and Notes to Condensed Consolidated Financial Statements contained herein.
Forward-Looking Statements
Some of the statements contained in this report and other written and oral statements made from time to time by us and our representatives are not statements of historical or current fact. As such, they 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.amended (the “Exchange Act”). We have based these forward-looking statements on our current expectations, and these statements are subject to known and unknown risks, uncertainties and assumptions. Forward-looking statements include statements relating to:
the impact of the COVID-19 global pandemic;
future sales, expenses, and profitability;
future development and expected growth of our business and industry;
our ability to execute our business model and our business strategy;
having available sufficient cash and borrowing capacity to meet working capital, debt service and capital expenditure requirements for the next twelve months; and
projected capital spending.
You can identify forward-looking statements by terminology such as “may,” “will,” “should,” “could,” “expects,” “intends,” “plans,” “anticipates,” “believes,” “estimates,” “predicts,” “potential”“potential,” “projects” or “continue” or “variations”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. All forward-looking statements attributable to us or persons acting on our behalf are expressly qualified in their entirety by these cautionary factors and to others contained throughout this report.
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 other periodic filings with the Securities and Exchange Commission and include the following:
the duration, scope and impact of the COVID-19 pandemic, including government, social, business and other actions taken in response to the pandemic and the effect of the pandemic on our associates, suppliers and customers as well as the global economy;pandemic;
our dependence upon a limited number of customers;
pricing pressures that we face from customers;
our ability to respond to changes in technology;
the intense competition we face and our ability to successfully market our products;
our ability to develop new products and expand into new geographic and product markets;
our reliance on third party suppliers for raw materials, key products and subcomponents;
the potential for harm to our reputation caused by quality problems related to our products;
regulatory issues resulting from products complaints, recalls or regulatory audits;the dependence of our energy market-related revenues on the conditions in the oil and natural gas industry;
interruptions in our manufacturing operations;
our dependence upon our information technology systems and our ability to prevent cyber-attacks and other failures;
our dependence upon our senior management team and technical personnel;
the potential of becoming subjectintense competition we face and our ability to product liability claims;successfully market our products;
our ability to protect respond to changes in technology;
our intellectual propertyability to develop new products and proprietary rights;expand into new geographic and product markets;
our ability to successfully identify, make and integrate acquisitions to expand and develop our businesses in accordance with expectations;
our significant amount of outstanding indebtedness and our ability to remain in compliance with financial and other covenants under our senior secured credit facilities;
economic and credit market uncertainties that could interrupt our abilityaccess to integrate acquisitions and operate acquired businesses in accordance with expectations;capital markets, borrowings or financial transactions;
market and financial risks related to our dependence upon our senior management teaminternational operations and technical personnel;
our ability to realize the benefits from cost savings and consolidation initiatives;
interruptions in our manufacturing operations;
our ability to comply with environmental regulations;sales;
our complex international tax profile;
our dependence upon our information technology systems and our ability to prevent cyber-attacks and other failures;realize the full value of our intangible assets
market, financial and other risks related to our international operations and sales;regulatory issues resulting from products complaints, recalls or regulatory audits;
global economic factors, including currency exchange ratesthe potential of becoming subject to product liability or intellectual property claims;
our ability to protect our intellectual property and interest rates;proprietary rights;
our ability and the cost to comply with environmental regulations;
our ability to comply with customer-driven policies and third-party standards or certification requirements;
our ability to obtain necessary licenses for new technologies;
legal and regulatory risks from our international operations; and
the fact that the healthcare industry is highly regulated and subject to various regulatory changes;
the dependence of our energy market-related revenues on the conditions in the oil and natural gas industry; andchanges.
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INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS
other risks and uncertainties that arise from time to time and are described in Item 1A “Risk Factors” of our Annual Report on Form 10-K and in other periodic filings with the Securities and Exchange Commission.
Except as required by applicable law, the Company assumes no obligation to update forward-looking statements in this report whether to reflect changed assumptions, the occurrence of unanticipated events or changes in future operating results, financial conditions or prospects, or otherwise.
In this Form 10-Q, references to “Integer,” “we,” “us,” “our” and the “Company” mean Integer Holdings Corporation and its subsidiaries, unless the context indicates otherwise.
Our Business
Integer Holdings Corporation is one of the largest medical device outsource (“MDO”) manufacturers in the world serving the cardiac, neuromodulation, vascular, orthopedics, advanced surgical and portable medical markets. We also develop batteries for high-end niche applications in the non-medical energy, military, and environmental markets. Our vision is to enhance the lives of patients worldwide by being our customers’ partner of choice for innovative technologies and services.
We organize our business into two reportable segments, Medical and Non-Medical, and derive our revenues from four principal product lines. The Medical segment includes the Cardio & Vascular, Cardiac & Neuromodulation and Advanced Surgical, Orthopedics & Portable Medical product lines and the Non-Medical segment comprises the Electrochem product line. For more information on our segments, please refer to Note 14 “Segment Information” of the Notes to Condensed Consolidated Financial Statements contained in Item 1 of this report.
The secondfirst quarter of 2021 ended on April 2 and consisted of 92 days, and the first six monthsquarter of 2020 ended on JulyApril 3 2020 and consisted of 91 days and 185 days, respectively. The second quarter and first six months94 days.
Impact of 2019 ended on June 28, 2019 and consisted of 91 days and 182 days, respectively.COVID-19
Recent Developments
We have continued to actively monitorBeginning in early March 2020, the global spread of the novel coronavirus or COVID-19,(“COVID-19”) created significant uncertainty and although the magnitude of the COVID-19 pandemic remains unpredictable, we continue to take steps in response to the pandemic to mitigate the impact to us posed by its spread and related third party responses, including from government authorities, our associates, customers and suppliers. We continue to prioritize the safety of our associates while continuing to provide critical products that patients rely on every day. Additionally, we have implemented numerous cost reduction actions to reduce discretionary expenses for the balance of the year. The following is a summary of a variety of the actions we have taken and continue to take.
Governmental Actions
Regulatory authorities worldwide have imposed various and fluctuating restrictions regarding the conduct of business and the movement of people. However, we have been able to continue our operations throughout the pandemic because of the essential nature of the products we develop and manufacture. In response to the pandemic, many governments have also recently enacted legislation designed to support businesses and workers impacted by COVID-19. While we will seek benefits under this legislation where available, we do not expect that such benefits will have a material impact on our operations and financial condition.
Associates
The health and safety of our associates is a priority for us. We have implemented measures to safeguard our associates from COVID-19 infection and exposure, consistent with guidelines promulgated by the World Health Organization, the United States Center for Disease Control, and other applicable regional authorities.  These measures consist of policies, procedures, protocols, and guidance related to, among other things, COVID-19 symptom awareness, effective hygiene practices, travel restrictions, visitor restrictions, social distancing, face covering expectations, temperature and health screening, work-from-home requirements, absenteeism policies, enhanced workplace cleaning, and large-scale decontamination.
To balance cost management during what we expect to be temporary sales declines in certain areas, we are utilizing reductions-in-force, furloughs and temporary shutdowns to more closely align labor with customer demand, and we will continue to assess the need for further actions in this area. In doing so, we are monitoring benefits availableeconomic disruption. Specific impacts to our associates under various governmental programs, including assistance for associates unable to work for COVID-19 reasons. We have, and will continue to, seek to understand whether these benefits apply to our associates, how the available benefits support the best interests of our associates, and how the available benefits may impact our business now and in the future as we return to more normalized operations.
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INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS
Customers
Likewise, we remain in close contact with our customers to respond to increased critical needs such as ventilator and patient monitor components and to understand the impact of COVID-19 on their business. COVID-19 has introduced volatility and uncertainty to all of our customers, which has resulted in the need for us to react and respond. As expected, we did experience decreased sales in the second quarter of 2020, largely because of delays in medical procedures. Because of our position in the supply chain, anyinclude delayed or reduced customer demandorders and sales, restrictions on our associates’ ability to travel or work, delays in shipments to and from certain countries, and disruptions in our supply chain. The extent to which COVID-19 impacts our operations will depend on future developments, which are highly uncertain and difficult to predict, including, among others, the duration of the outbreak, the effectiveness and utilization of vaccines for COVID-19 and its variants, new information that may emerge concerning the severity of COVID-19 and the actions, especially those taken by governmental authorities to contain the pandemic or treat its impact. As pandemic-related events continue to evolve, additional impacts may arise that we continue to experience will likely lag any similar delay or reduction in sales by our customers to their customers. This impact could be mitigated or enhanced depending on the various inventory management approaches utilized by our customers. We have had, and will continue to have, close conversation with our customers to be in the best possible position to respond to their needs.
Supply Chain
Our suppliers are also experiencing the impactnot aware of COVID-19 on their businesses. Becausecurrently. Any prolonged material disruption of our ability to continue to operate under government rules relating to essentialassociates, suppliers, manufacturing, or permitted businesses and services,customers could materially impact our suppliers also have generally been permitted to continue conducting business to the extent they support our work. However, our suppliers also have had challenges in maintaining an adequate workforce, securing materials from their own suppliers, implementing workplace safety practices, and have instituted periodic closures as a result of COVID-19. We are taking steps to validate our suppliers’ ability to continue to deliver to us on time, which may also be affected by the impact of COVID-19 on their ownconsolidated financial condition.
Internal Controls over Financial Reporting and Disclosure Controls
We have taken proactive measures to ensure we have maintained an appropriate internal control environment while certain of our workforce continue to work from home, in response to various government orders to “stay in place” or “shelter in place”.  Our control environment allows access to technology and online communications that has not required a change in controls. We believe our existing disclosure controls are appropriate to address the financial reporting implications as a result of the COVID-19 pandemic.
Governance
We are conducting regular leadership calls with global and regional leaders to review the effectiveness of associate safety measures, monitor the spread of the virus in the geographies in which we operate, discuss the evolving availability of testing and therapeutic medicine, and assess the impact of the pandemic on our business. These meetings also serve to identify actions we must take to manage COVID-19 risks or opportunities on an enterprise-wide or on a regional basis, and to ensure that progress is made on actions to which we have previously committed. Moreover, through formal meetings and other communications, we are in regular contact with our Board of Directors and Committees of the Board of Directors on the COVID-19 pandemic risks. This regular contact provides opportunities to ensure our board members remain informed, and can perform their duties of risk oversight. This communication also allows management to gain the valuable business and governance perspectives of our board members. Most importantly, we have been communicating with all associates regularly regarding, among other things, the steps we are taking to safeguard their health and safety, the flexible work and pay arrangements we have instituted as result of the COVID-19 pandemic, and the progress we are making in managing the effects of the pandemic on our business.
Discontinued Operations
On July 2, 2018, we completed the sale of the Advanced Surgical and Orthopedic product lines (the “AS&O Product Line”) to Viant. In connection with the sale, the parties executed a transition services agreement whereby we provided certain corporate services (including accounting, payroll, and information technology services) to Viant to facilitate an orderly transfer of business operations. Viant paid us for these services as specified in the transition services agreement, which were complete as of June 28, 2019. Theposition, results of operations of the AS&O Product Line were classified as discontinued operations. All results and information presented exclude discontinued operations unless otherwise noted. Refer to Note 16 “Discontinued Operations” of the Notes to Condensed Consolidated Financial Statements contained in Item 1 of this report for additional information.or cash flows.
Recent Business AcquisitionsAcquisition
On February 19, 2020, we acquired certain assets and liabilities of InoMec Ltd. (“InoMec”), a privately-held company based in Israel that specializes in the research, development and manufacturing of medical devices, including minimally invasive tools, delivery systems, tubing and catheters, surgery tools, drug-device combination, laser combined devices, and tooling and production. The acquisition enables us to create a research and development center in Israel, closer to the customer base in the region.
In October 2019, we purchased certain assets and liabilities of US BioDesign, LLC (“USB”), a privately-held developer and manufacturer of complex braided biomedical structures for disposable and implantable medical devices. The acquisition added a differentiated capability related to the development and manufacture of complex braided and formed biomedical structures to our broad portfolio, that we believe further positions us as a partner of choice for innovative medical technologies.
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INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS
Refer to Note 2 “Business Acquisitions”Acquisition” of the Notes to Condensed Consolidated Financial Statements contained in Item 1 of this report for additional information about these acquisitions.this acquisition.
- 24 -


INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS
Strategic Overview
We continue to take steps to better align our resources in order to invest to grow and protect, and preserve our portfolio of products. In addition to our portfolio strategy, we have launched the execution ofcontinue to execute our six key operational strategic imperatives designed to drive excellence in everything we do:
Sales Force Excellence: We are changingfocusing our efforts within the organizational structurecommercial organization to matchfurther improve our efficiency and effectiveness and to align with product line growth strategies and customer needs. This change isThese activities are about getting more out of the capabilities we already have, and will increaseincreasing individual accountability and clarity of ownership, while serving customers more effectively.
Market Focused Innovation: We are ensuring we get the most return on our research and development investments. Integer is currently focusingWe are focused on gettinghaving a clearerclear picture of how we spend our money and ensuring we are spending it in the right places so we can increase investments to drive future growth.
Manufacturing Excellence: The goal is to deliver world-class operational performance in the areas of safety, quality, delivery and overall efficiency. We want to transition our manufacturing into a competitive advantage through a single, enterprise-wide manufacturing structure known as the Integer Production System. This system will provide standardized systems and processes by leveraging best practices and applying them across all of our global sites.
Business Process Excellence: Integer isWe are taking a systematic approach to driving excellence in everything we do by standardizing, optimizing and ultimately sustaining all of our processes.
Leadership Capability: We have a robust plan to make leadership a competitive advantage for Integer,us, and sinceas the success rate is higher with internal hires, we are focusing on finding and developing leaders from within the Company to build critical capabilities for future success.
Performance Excellence: We are raising the bar on associate performance to maximize our impact. This includes aligning key roles with critical capabilities, positioning the best talent against the biggest work, and putting tools and processes in place to provide higher financial rewards for top performers, so our top performers can see increased results in pay for increased results in their performance.
We believe Integer iswe are well-positioned within the medical technology and MDO manufacturing market and that there is a robust pipeline of opportunities to pursue. We have expanded our medical device capabilities and are excited about opportunities to partner with customers to drive innovation. We believe we have the scale and global presence, supported by world-class manufacturing and quality capabilities, to capture these opportunities. We are confident in our capabilities as one of the largest MDO manufacturers, with a long history of successfully integrating companies, driving down costs and growing revenues over the long-term. Ultimately, our strategic vision is to drive shareholder value by enhancing the lives of patients worldwide by being our customers’ partner of choice for innovative technologies and services.
- 31 -


INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS
Financial Overview of Continuing Operations
Income from continuing operationsNet income for the secondfirst quarter and first six months of 20202021 was $0.4$21.5 million, or $0.01$0.65 per diluted share, and $31.5compared to $31.1 million, or $0.95 per diluted share, respectively, compared to income from continuing operations of $28.2 million, or $0.85 per diluted share, and $49.6 million, or $1.50$0.94 per diluted share for the secondfirst quarter and first six months of 2019, respectively.2020. These variances are primarily the result of the following:
Sales for the secondfirst quarter and first six months of 20202021 decreased $74.1$38.0 million and $60.3 million, respectively, when compared to the same periodsperiod in 2019,2020, primarily due to the impacton-going impacts of the COVID-19 pandemic.
Gross profit for the secondfirst quarter and first six months of 20202021 decreased $39.1$12.2 million, and $31.0 million, respectively, primarily due to thefrom a decrease in sales due to the impact of the COVID-19 pandemicvolume and price reductions given to our customers, partially offset by production efficiencies resulting from our Manufacturing Excellence strategic imperative.customers.
Operating expenses for the first quarter and first six months of 2020 increased $1.02021 decreased $2.7 million, and $4.2 million, respectively, compared to the same periodsperiod in 2019,2020, primarily due to increasesdecreases of $1.0 million in Selling, general and administrative expenses and Research, development and engineering costs, partially offset by decreases$2.0 million in Other operating expenses.
Interest expense for the first quarter and first six months of 20202021 decreased $4.3$1.8 million, and $7.8 million, respectively, compared to the same periodsperiod in 2019,2020, primarily due to lower interest rates.rates and lower outstanding debt balances.
During the secondfirst quarter and first six months of 2020,2021, we recognized a net loss on equity investments of $0.2$1.3 million, andcompared to a net gain of $1.7 million, respectively, compared to net losses of $1.6 million and $1.7$1.9 million for the secondfirst quarter and first six months of 2019, respectively.2020. Gains and losses on equity investments are generally unpredictable in nature.
Other income, net for the secondfirst quarter and first six months of 20202021 was $0.5$0.2 million and $1.5 million, respectively, compared to $0.7$1.0 million and $0.6 million, respectively, for the secondfirst quarter and first six months of 2019,2020, primarily due to higherfluctuations in foreign currency gains and losses in the 2020 periods compared to the same periods in 2019.respective periods.
We recorded an income tax benefit for the second quarter of 2020 of $0.2 million and a provision for income taxes of $5.3 million for the first six months of 2020, compared with provisions for income taxes for the first quarter of $6.62021 and 2020 of $3.5 million and $10.4$5.5 million, during the same periods in 2019.respectively. The changeschange in income tax werewas primarily due to relative changes in pre-tax income.income and the impact of discrete tax items.
- 3225 -


INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS
Our Financial Results of Continuing Operations
The following tables present selected financial information from continuing operations derived from our Condensed Consolidated Financial Statements, contained in Item 1 of this report, for the periods presented (dollars in thousands, except per share). All financial information presented is from continuing operations unless otherwise specified.
Three Months Ended   Three Months Ended  
July 3,June 28,Change April 2,April 3,Change
20202019$% 20212020$%
Medical Sales:Medical Sales:Medical Sales:
Cardio & VascularCardio & Vascular129,084  $150,397  $(21,313) (14.2)%Cardio & Vascular149,165 $179,205 $(30,040)(16.8)%
Cardiac & NeuromodulationCardiac & Neuromodulation71,675  114,488  (42,813) (37.4)%Cardiac & Neuromodulation108,408 107,820 588 0.5 %
Advanced Surgical, Orthopedics & Portable MedicalAdvanced Surgical, Orthopedics & Portable Medical30,625  32,646  (2,021) (6.2)%Advanced Surgical, Orthopedics & Portable Medical25,392 31,237 (5,845)(18.7)%
Total Medical SalesTotal Medical Sales231,384  297,531  (66,147) (22.2)%Total Medical Sales282,965 318,262 (35,297)(11.1)%
Non-MedicalNon-Medical8,731  16,663  (7,932) (47.6)%Non-Medical7,502 10,164 (2,662)(26.2)%
Sales240,115  314,194  (74,079) (23.6)%
Total salesTotal sales290,467 328,426 (37,959)(11.6)%
Cost of salesCost of sales182,252  217,210  (34,958) (16.1)%Cost of sales205,981 231,724 (25,743)(11.1)%
Gross profitGross profit57,863  96,984  (39,121) (40.3)%Gross profit84,486 96,702 (12,216)(12.6)%
Gross profit as a % of salesGross profit as a % of sales24.1 %30.9 %Gross profit as a % of sales29.1 %29.4 %
Selling, general and administrative expenses (“SG&A”)33,903  33,143  760  2.3 %
Operating expenses:Operating expenses:
Selling, general and administrative (“SG&A”)Selling, general and administrative (“SG&A”)35,502 36,457 (955)(2.6)%
SG&A as a % of salesSG&A as a % of sales14.1 %10.5 %SG&A as a % of sales12.2 %11.1 %
Research, development and engineering costs (“RD&E”)12,746  11,396  1,350  11.8 %
Research, development and engineering (“RD&E”)Research, development and engineering (“RD&E”)13,461 13,241 220 1.7 %
RD&E as a % of salesRD&E as a % of sales5.3 %3.6 %RD&E as a % of sales4.6 %4.0 %
Other operating expensesOther operating expenses2,029  3,108  (1,079) (34.7)%Other operating expenses915 2,928 (2,013)(68.8)%
Total operating expensesTotal operating expenses49,878 52,626 (2,748)(5.2)%
Operating incomeOperating income9,185  49,337  (40,152) (81.4)%Operating income34,608 44,076 (9,468)(21.5)%
Operating margin3.8 %15.7 %
Operating income as a % of salesOperating income as a % of sales11.9 %13.4 %
Interest expenseInterest expense9,273  13,612  (4,339) (31.9)%Interest expense8,532 10,361 (1,829)(17.7)%
Loss on equity investments, net205  1,611  (1,406) (87.3)%
(Gain) loss on equity investments(Gain) loss on equity investments1,335 (1,925)3,260 NM
Other income, netOther income, net(458) (718) 260  (36.2)%Other income, net(237)(999)762 (76.3)%
Income from continuing operations before taxes165  34,832  (34,667) (99.5)%
Provision (benefit) for income taxes(224) 6,610  (6,834) (103.4)%
Income before taxesIncome before taxes24,978 36,639 (11,661)(31.8)%
Provision for income taxesProvision for income taxes3,458 5,539 (2,081)(37.6)%
Effective tax rateEffective tax rate(135.8)%19.0 %Effective tax rate13.8 %15.1 %
Income from continuing operations$389  $28,222  $(27,833) (98.6)%
Income from continuing operations as a % of sales0.2 %9.0 %
Diluted earnings per share from continuing operations$0.01  $0.85  $(0.84) (98.8)%
Net incomeNet income$21,520 $31,100 $(9,580)(30.8)%
Net income as a % of salesNet income as a % of sales7.4 %9.5 %
Diluted earnings per shareDiluted earnings per share$0.65 $0.94 $(0.29)(30.9)%
NM Calculated amount not meaningful
- 33 -


INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS
Six Months Ended
July 3,June 28,Change
20202019$%
Medical Sales:
Cardio & Vascular$308,289  $302,971  $5,318  1.8 %
Cardiac & Neuromodulation179,495  231,399  (51,904) (22.4)%
Advanced Surgical, Orthopedics & Portable Medical61,862  64,234  (2,372) (3.7)%
Total Medical Sales549,646  598,604  (48,958) (8.2)%
Non-Medical18,895  30,266  (11,371) (37.6)%
Total Sales568,541  628,870  (60,329) (9.6)%
Cost of sales413,976  443,276  (29,300) (6.6)%
Gross profit154,565  185,594  (31,029) (16.7)%
Gross profit as a % of sales27.2 %29.5 %
SG&A70,360  68,099  2,261  3.3 %
SG&A as a % of sales12.4 %10.8 %
RD&E25,987  22,991  2,996  13.0 %
RD&E, Net as a % of sales4.6 %3.7 %
Other operating expenses4,957  5,998  (1,041) (17.4)%
Operating income53,261  88,506  (35,245) (39.8)%
Operating margin9.4 %14.1 %
Interest expense19,634  27,442  (7,808) (28.5)%
(Gain) loss on equity investments, net(1,720) 1,652  (3,372) 
NM
Other income, net(1,457) (552) (905) 
NM
Income from continuing operations before taxes36,804  59,964  (23,160) (38.6)%
Provision for income taxes5,315  10,376  (5,061) (48.8)%
Effective tax rate14.4 %17.3 %
Income from continuing operations$31,489  $49,588  $(18,099) (36.5)%
Income from continuing operations as a % of sales5.5 %7.9 %
Diluted earnings per share from continuing operations$0.95  $1.50  $(0.55) (36.7)%
- 3426 -


INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS
Product Line Sales from Continuing Operations
For the secondfirst quarter and first six months of 2020,2021, Cardio & Vascular sales decreased $21.3$30.0 million, or 14%17%, and increased $5.3 million or 2%, respectively, versus the comparable 2019 periods.2020 period. Cardio & Vascular sales for the secondfirst quarter and first six months of 20202021 were negatively impacted by the COVID-19 pandemic and a blend of our customers’ responses across nearly all Cardio & Vascular markets, though structural heart continued to growalso declined due to development programs. the first quarter of 2020 which included the discrete benefit from the signing of a customer contract on existing business. During the secondfirst quarter and first six months of 2020,2021, price reductions lowered Cardio & Vascular sales by $1.8$1.1 million and $3.8 million, respectively, in comparison to the 2019 periods.2020 period. Foreign currency exchange rate fluctuations decreasedincreased Cardio & Vascular sales for the secondfirst quarter and first six months of 20202021 by $0.2$1.0 million and $0.5 million, respectively, in comparison to the 2019 periods2020 period, primarily due to U.S. dollar fluctuations relative to the Euro.
For the secondfirst quarter and first six months of 2020,2021, Cardiac & Neuromodulation sales decreased 42.8increased $0.6 million, or 37%1%, and $51.9 million or 22%, respectively, versus the comparable 2019 periods. 2020 period. Cardiac & Neuromodulation sales for the secondfirst quarter and first six months of 2020 declined commensurate with the market impact and a blend of our customers’ responses. Additionally, the Nuvectra bankruptcy created a $7 million headwind.2021 continued to be negatively impacted by COVID-19. During the secondfirst quarter and first six months of 2020,2021, price reductions lowered Cardiac & Neuromodulation sales by $2.7$3.6 million and $4.7 million, respectively, in comparison to the 2019 periods.2020 period. Foreign currency exchange rate fluctuations did not have a material impact on Cardiac & Neuromodulation sales during the secondfirst quarter and first six months of 20202021 in comparison to the 2019 periods.2020 period.
In addition to Portable Medical sales, Advanced Surgical, Orthopedic & Portable Medical includes sales to the acquirer of our former AS&O Product Line, Viant, under long-term supply agreements entered into as part of the closing of the divestiture for the sale of products by the Company to Viant.divestiture. For the secondfirst quarter and first six months of 2020,2021, Advanced Surgical, Orthopedic & Portable Medical sales decreased $2.0$5.8 million, or 6%19%, and$2.4 millionor4%, respectively, versus the comparable 2019 periods,2020 period, driven by the impact of COVID-19COVID-19. Price reductions and a blend of our customers’ responses, partially offset by increased demand for ventilator and patient monitoring components. During the second quarter and first six months of 2020, price reductions lowered Advanced Surgical, Orthopedic & Portable Medical sales by $0.5 million and $1.0 million, respectively, in comparison to the 2019 periods. Foreignforeign currency exchange rate fluctuations did not have a material impact on Advanced Surgical, Orthopedic & Portable Medical sales.sales during the first quarter of 2021 in comparison to the 2020 period.
For the secondfirst quarter and first six months of 2020,2021, Non-Medical sales decreased $7.9$2.7 million, or 48%26%, and $11.4 million or 38%, respectively, versus the comparable 2019 periods,2020 period, driven by a severecontinued decline in the energy market and demand fall-out from the COVID-19 pandemic. Price reductions and foreign currency exchange rate fluctuations did not have a material impact on Non-Medical sales during the secondfirst quarter and first six months of 20202021 in comparison to the 2019 periods.2020 period.
Gross Profit
Changes to gross profit as a percentage of sales (“Gross Margin”) from the prior year were due to the following:
 Change From Prior Year
Three MonthsSix Months
Price(a)
(2.1)%(1.7)%
Mix(b)
(1.1) (0.7) 
Volume Leverage(c)
(3.6) 0.2  
Nuvectra Bankruptcy(d)
—  (0.1) 
Total percentage point change to gross profit as a percentage of sales(6.8)%(2.3)%
Change From Prior Year Three Months
Price(a)
(1.1)%
Mix(b)
0.6 
Volume Leverage(0.1)
Customer Bankruptcy(c)
0.3 
Total percentage point change to gross profit as a percentage of sales(0.3)%
__________
(a)Our Gross Margin for the secondfirst quarter and first six months of 20202021 was negatively impacted by price reductions given to our larger OEM customers in return for long-term volume commitments.
(b)Amounts represent the impact to our Gross Margin attributable to changes in the mix of product sales during the periods.
(c)Our gross margin forIn November 2019, one of our customers, Nuvectra Corporation, filed a voluntary Chapter 11 bankruptcy petition (the “Customer Bankruptcy”). During the secondfirst quarter and first six months of 2020, was negatively impacted by lowerwe incurred costs and recorded charges associated with the Customer Bankruptcy, primarily consisting of charges related to inventory recorded in cost of sales from the COVID-19 pandemic. Givenin our indirect labor and overhead costs are less variable, and in most cases fixed, the reduction in sales negatively impacted gross margin. However, we continue to execute on our Manufacturing Excellence strategic imperative and maintain our facility infrastructure as we expect the sales decline to be temporary.
(d)Amount represents the impact to our Gross Margincondensed consolidated statement of $0.8 million of pre-tax charges attributable to the Nuvectra Bankruptcy for the second quarter and first six months of 2020.operations.
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INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS
SG&A Expenses
Changes to SG&A expenses from the prior year were due to the following (in thousands):
 Change From Prior Year
 Three MonthsSix Months
Transition services agreement(a)
$1,184  $2,733  
Professional fees(b)
(264) (1,178) 
All other SG&A(c)
(160) 706  
Net increase in SG&A Expenses$760  $2,261  
Change From Prior Year Three Months
Professional fees(a)
$(1,261)
Compensation and benefit costs(b)
1,451 
Travel and entertainment(c)
(904)
All other SG&A(d)
(241)
Net decrease in SG&A expenses$(955)
__________
(a)Represents the amount included in SG&A Expenses which was charged to Viant for transition services during the second quarter and first six months of 2019. We executed a transition services agreement in conjunction with the sale of the AS&O Product Line, whereby we agreed to provide certain corporate services (including accounting, payroll, and information technology services) to Viant to facilitate an orderly transfer of business operations. This provision of services under the agreement was completed during the second quarter of 2019.
(b)Professional fees decreased during the secondfirst quarter and first six months of 20202021 compared to the same prior year periods,period, primarily due to lower consulting and legal costs.
(b)Compensation and benefits costs increased during the first quarter of 2021 compared to the prior year period, primarily due to higher stock-based compensation expense.
(c)Travel and entertainment expenses decreased as a result of the reduction in travel due to the COVID-19 pandemic.
(d)The net decrease in all other SG&A for the secondfirst quarter of 20202021 compared to the second quartersame period of 20192020 is primarily attributable to lower travel related expensesexpense for supplies and depreciation expense, partially offset by an increase in amortization. The net increase for the first six months of 2020 compared to the same prior year period is primarily from increases in amortization and contract services, partially offset by a decrease in depreciation expense.depreciation.
RD&E
RD&E costs for the secondfirst quarter and first six months of 20202021 were $12.7$13.5 million and $26.0 million, respectively, compared to $11.4 million and $23.0$13.2 million for the secondfirst quarter and first six months of 2019. The increase in RD&E costs for the second quarter and first six months compared to the same prior year periods is primarily attributable to increased compensation and benefits costs, consistent with our strategy to invest in capabilities for growth.2020. RD&E expenses are influenced by the number and timing of in-process projects and labor hours and other costs associated with these projects. Our research and development initiatives continue to emphasize new product development, product improvements, and the development of new technological platform innovations.
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INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS
Other Operating Expenses
Refer to Note 8 “Other Operating Expenses” of the Notes to the Condensed Consolidated Financial Statements contained in Item 1 of this report for further information related to these initiatives. Other Operating Expensesoperating expenses (“OOE”) consist ofcomprise the following (in thousands):
Three Months EndedSix Months Ended Three Months Ended
July 3,
2020
June 28,
2019
July 3,
2020
June 28,
2019
April 2,
2021
April 3,
2020
Strategic reorganization and alignment(a)
$138  $1,656  $686  $3,390  
Manufacturing alignment to support growth(b)
60  561  188  1,146  
2020 restructuring plan(c)
443  —  1,417  —  
Operational excellence(a)
Operational excellence(a)
$654 $974 
Strategic reorganization and alignment(b)
Strategic reorganization and alignment(b)
— 548 
Manufacturing alignment to support growth(c)
Manufacturing alignment to support growth(c)
— 128 
Acquisition and integration expenses(d)
Acquisition and integration expenses(d)
47  —  403  —  
Acquisition and integration expenses(d)
84 356 
Other general expenses(e)
Other general expenses(e)
1,341  891  2,263  1,462  
Other general expenses(e)
177 922 
Total other operating expensesTotal other operating expenses$2,029  $3,108  $4,957  $5,998  Total other operating expenses$915 $2,928 
__________
(a)As a result of the strategic review of our customers, competitors and markets, we began taking steps in 2017 to better align our resources in order to enhance the profitability of our portfolio of products. These initiatives include improving our business processes and redirecting investments away from projects where the market does not justify the investment, as well as aligning resources with market conditions and our future strategic direction. Expenses for the second quarter and first six months of 2020 and 2019 primarily consist of severance costs.
(b)In 2017, we initiated several initiatives designed to reduce costs, improve operating efficiencies and increase manufacturing capacity to accommodate growth.  The plan involves the relocation of certain manufacturing operations and expansion of certain of our facilities.
(c)Our 2020 restructuring plan mainly consists of costs associated with executing our imperatives for sales force excellence, manufacturing excellence and business process excellence. These projects focus on changing our organizational structure to match product line growth strategies and customer needs, transitioning our manufacturing process into a competitive advantage and standardizing and optimizing our business processes. Expenses for the first quarter of 2021 and 2020 primarily consist of termination benefits.
(b)These initiatives primarily included aligning resources with our strategic direction, improving profitability to invest in accelerated growth and the expansion of a facility. These actions began in 2017 and were completed during the second quarter of 2020.
(c)These initiatives were designed to reduce costs, increase manufacturing capacity to accommodate growth and improve operating efficiencies by relocating certain manufacturing operations and expanding certain facilities. These actions began in 2017 and were completed during the fourth quarter of 2020.
(d)Amounts include expenses related to the purchase of certain assets and liabilities from USB and InoMec, net ofbusiness acquisitions. The 2020 amount also includes a $0.5 million adjustment to reduce the fair value of acquisition-related contingent consideration liabilities. See Note 13 “Financial Instruments and Fair Value Measurements” of the Notes to Condensed Consolidated Financial Statements contained in Item 1 of this report for additional information related to the fair value measurement of the contingent consideration.
(e)Amounts include expenses related to other initiatives not described above, which relate primarily to actions to align labor with customer demand as a result of COVID-19 and the decline of the energy market, integration and operational initiatives to reduce future costs and improve operational efficiencies. The 20202021 and 20192020 amounts primarily include severance, information technology systems conversion expenses, expenses incurred in connection with the Customer Bankruptcy, and expenses related to the restructuring of certain legal entities of the Company.
We continually evaluate our operating structureRefer to Note 8 “Other Operating Expenses” of the Notes to Condensed Consolidated Financial Statements contained in order to maximize efficiencies and drive margin expansion.Item 1 of this report for additional information regarding these initiatives.
Interest Expense, Net
Interest expense consists primarily of cash interest and debt related charges, such as amortization of debt issuance costs and original issue discount. For the secondfirst quarter and first six months of 2020,2021, interest expense decreased $4.3$1.8 million, and $7.8 million, respectively versus the comparable 2019 periods,2020 period, primarily from lessa decrease in cash interest.interest due to lower amount of debt outstanding and lower interest rates. The weighted average interest rates paid on outstanding borrowings for the three and six months ended July 3, 2020April 2, 2021 was 3.60% and 3.94%3.92%, respectively, compared to 5.16% and 5.14%4.28% for the comparable periodsperiod in 2019.2020. The weighted average interest ratesrate paid in 20202021 reflects decreases in LIBOR subsequent to theLIBOR.
Debt related charges included in interest expense were $1.4 million during first quarter of 2019 and reductions to the applicable interest rate margin of our Term Loan A facility. In November 2019, we reduced the applicable interest rate margins by amending our Senior Secured Credit Facilities. In addition, our average principal amount of debt outstanding was $7.5 million more and $46.8 million less, respectively, in the second quarter and first six months of 20202021 compared to the second quarter and first six months of 2019. The $46.8$1.0 million decrease in average principal amount of debt outstanding for the first six months of 2020 as compared to the first six months of 2019 is primarily due to accelerated payments on our Senior Secured Credit Facilities during the last six months of 2019, partially offset by borrowing an additional $160 million of our Revolving Credit Facilitysame period in the second quarter of 2020, to protect against a prolonged pandemic coupled with financial market illiquidity.
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INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS
Debt related charges decreased $0.9 million and $1.6 million, respectively, during second quarter and first six months of 2020 when compared to the same periods in 2019, primarily attributable to lowerhigher accelerated write-offs (losses from extinguishment of debt) of deferred feesissuance costs and original issue discountunamortized discounts related to prepayments of portions of our Term Loan B facility. We had no$0.3 million of losses from extinguishment of debt during the first six monthsquarter of 20202021 compared to $0.6 million and $1.0 million, respectively,no losses inthe secondfirst quarter and first six months of 2019.of 2020. See Note 6 “Debt” of the Notes to the Condensed Consolidated Financial Statements contained in Item 1 of this report for additional information pertaining to our debt.
As of July 3, 2020,April 2, 2021, approximately 75%22% of our principal amount of debt outstanding was subjecthas been converted to variable rates,fixed-rate borrowings with interest rate swaps, in comparison to approximately 20%27% as of December 31, 2019.2020.  We have enteredenter into interest rate swap agreements thatin order to reduce our exposure to fluctuations in the LIBOR rate. See Note 13 “Financial Instruments and Fair Value Measurements” of the Notes to the Condensed Consolidated Financial Statements contained in Item 1 of this report for additional information pertaining to our interest rate swap agreements.
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INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS
(Gain) Loss on Equity Investments Net
During the secondfirst quarter and first six months of 2020,2021, we recognized net lossesa loss on equity investments of $0.2$1.3 million, and net gains of $1.7 million, respectively, compared to net lossesa gain of $1.6 million and $1.7$1.9 million during the secondfirst quarter and first six months of 2019, respectively, on our equity investments.2020. Gains and losses on equity investments are generally unpredictable in nature. The amounts for both 20202021 and 20192020 relate to our share of equity method investee gains/losses including unrealized appreciation of the underlying interests of the investee. As of July 3, 2020April 2, 2021 and December 31, 2019,2020, the carrying value of our equity investments were $24.0$25.9 million and $22.3$27.2 million, respectively. See Note 13 “Financial Instruments and Fair Value Measurements” of the Notes to the Condensed Consolidated Financial Statements contained in Item 1 of this report for further details regarding these investments.
Other Income, Net
Other Income, Netincome, net for the secondfirst quarter and first six months of 20202021 was $0.5$0.2 million, and $1.5 million, respectively, compared to $0.7 million and $0.6$1.0 million for the secondfirst quarter and first six months of 2019, respectively.2020. Other Income, Netincome, net primarily comprisesincludes gains/losses from the impact of exchange rates on transactions denominated in foreign currencies. Our foreign currency transaction gains/losses are based primarily on fluctuations of the U.S. dollar relative to the Euro, Mexican peso, Uruguayan pesos,peso, Malaysian ringgits, or Israeli shekel.
The impact of exchange rates on transactions denominated in foreign currencies included in Other Income, Netincome, net for the second quarterfirst quarters of 2021 and first six months of 2020 were gains of $0.5 million and $1.5 million, respectively, compared to $0.3 million and $0.1$1.0 million, for the second quarter and first six months of 2019, respectively. We continually monitor our foreign currency exposures and seek to take steps to mitigate these risks. However, fluctuations in exchange rates could have a significant impact, positive or negative, on our financial results in the future.
Provision for Income Taxes
We recognized an income tax benefitexpense of $0.2$3.5 million for the secondfirst quarter of 2020 on $0.2$25.0 million of income from continuing operations before taxes (effective tax rate of (135.8)%13.8%), compared to income tax expense of $6.6$5.5 million on $34.8$36.6 million of income from continuing operations before taxes (effective tax rate of 19.0%15.1%) for the same period of 2019. The income tax expense for the first six months of 2020 was $5.3 million on income from continuing operations before taxes of $36.8 million (effective tax rate of 14.4%), compared to $10.4 million on income from continuing operations before taxes of $60.0 million (effective tax rate of 17.3%) for the same period of 2019.
2020. There is a potential for volatility in our effective tax rate due to several factors including changes in the mix of pre-tax income from continuing operations and the jurisdictions to which it relates, changes in tax laws and foreign tax holidays, business reorganizations, and settlements with taxing authorities and foreign currency fluctuations. We currently have various tax planning initiatives in place and continuously evaluate planning strategies aimed at reducing our effective tax rate over the long term. This includes strategies to realize deferred tax assets that would otherwise expire unutilized.
Our effective tax rate for 20202021 differs from the U.S. federal statutory tax rate of 21% due principally to the net impact of the Company’s earnings outside the U.S., which are generally taxed at rates that differ from the U.S federal rate, the Global Intangible Low-Taxed Income (“GILTI”) tax, and the availability of tax credits.
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INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS
credits, and discrete tax benefits. The discrete tax benefits for 2021 are predominately related to excess tax benefits recognized upon vesting of RSUs or exercise of stock options.
Our earnings outside the U.S. are generally taxed at blended rates that are marginally lower than the U.S. federal rate. The GILTI provisions require us to include foreign subsidiary earnings in excess of a deemed return on the foreign subsidiary’s tangible assets in our U.S. income tax return. The foreign jurisdictions in which we operate and where our foreign earnings are primarily derived, include Switzerland, Mexico, Uruguay, Malaysia and Ireland. While we are not currently aware of any material trends in these jurisdictions that are likely to impact our current or future tax expense, our future effective tax rates could be adversely affected by earnings being lower than anticipated in countries where we have lower effective tax rates and higher than anticipated in countries where we have higher effective tax rates, or by changes in tax laws or regulations. We regularly assess any significant exposure associated with increases in tax rates in international jurisdictions and adjustments are made as events occur that warrant adjustment to our tax provisions.
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INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS
Liquidity and Capital Resources
(dollars in thousands)(dollars in thousands)July 3,
2020
December 31,
2019
(dollars in thousands)April 2,
2021
December 31,
2020
Cash and cash equivalentsCash and cash equivalents$206,244  $13,535  Cash and cash equivalents$28,402 $49,206 
Working capitalWorking capital425,854  236,317  Working capital$247,686 $256,746 
Current ratioCurrent ratio3.77  2.32  Current ratio2.53 2.64 
Cash and cash equivalents at July 3, 2020 increasedApril 2, 2021 decreased by $192.7$20.8 million from December 31, 2019,2020, primarily as a result of borrowings on our Senior Secured Credit Facility andfinancing activity cash generatedpayments in the quarter totaling $49.6 million, mainly from operating activities, inclusive of proceeds from the sale of accounts receivable under a supplier financing program,an accelerated debt payment, partially offset by purchasescash generated by operating activities of property, plant and equipment. As of July 3,$36.4 million.
Working capital decreased by $9.1 million from December 31, 2020, we had $90.0 million of cash and cash equivalents held in time-deposits with original maturities that were less than 90 days. The increaseprimarily from fluctuations in cash and cash equivalents is consistentand accounts payable aggregating to $31.6 million which were partially offset by positive working capital fluctuations associated with our actions to increase liquidity given the uncertainty surrounding the COVID-19 pandemic.
During the first six months of 2020, we began utilizing supplier financing arrangements with financial institution to sell certain accounts receivable on a non-recourse basis. These transactions are treated as a sale of, and are accounted for as a reduction to, accounts receivable.  The agreement transfers control and risk related to the receivables to the respective financial institution. We have no continuing involvement in the transferred receivables subsequent to the sale. We sold and de-recognized accounts receivable and collected cash of $30.9 million under these agreements during the first six months of 2020.
Working capital increased by $189.5 million from December 31, 2019, primarily dueaccrued expenses aggregating to an increase in cash$16.3 million. Cash and cash equivalents decreased primarily from borrowings on our Senior Secured Credit Facility, and cash generatedaccelerated debt payments in the first quarter of 2021 while accounts payable increased mainly from operating activities.the timing of supplier payments. Accounts receivable declinedincreased in the period but was mostly offset by an increase in contract assets, decreases infirst quarter of 2021 mainly from higher sequential sales while accrued expenses and accounts payabledecreased primarily from the payment of accrued incentive compensation, and lower inventory purchases.compensation.
At July 3, 2020, $9.9 April 2, 2021, $10.0million of our cash and cash equivalents were held by foreign subsidiaries. We intend to limit our distributions from foreign subsidiaries to previously taxed income or current period earnings. If distributions are made utilizing current period earnings, we will record foreign withholding taxes in the period of the distribution.
Summary of Cash Flow
The following cash flow summary information includes cash flows related to discontinued operations (in thousands):
 Six Months Ended
(in thousands)July 3,
2020
June 28,
2019
Cash provided by (used in):
Operating activities$77,954  $67,550  
Investing activities(35,954) (11,094) 
Financing activities150,945  (66,273) 
Effect of foreign currency exchange rates on cash and cash equivalents(236) 170  
Net change in cash and cash equivalents$192,709  $(9,647) 
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INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS
 Three Months Ended
(in thousands)April 2,
2021
April 3,
2020
Cash provided by (used in):
Operating activities$36,429 $32,397 
Investing activities(7,645)(23,592)
Financing activities(49,562)15,162 
Effect of foreign currency exchange rates on cash and cash equivalents(26)(243)
Net change in cash and cash equivalents$(20,804)$23,724 
Operating Activities During the first sixthree months of 2020,2021, we generated cash from operations of $78.0$36.4 million, compared to $67.6$32.4 million for the first sixthree months of 2019.2020. The increase of $10.4$4.0 million was due to an increase of $33.1$5.9 million in cash flow provided by working capitalchanges in operating assets and liabilities, offset by a decrease of $22.7$1.9 million in cash net income (net income plus adjustments to reconcile net income to net cash provided by operating activities). adjusted for non-cash items such as depreciation and amortization.
The increase in cash flow from working capitalprovided by changes in operating assets and liabilities is the result of changesthe decline in certain assets and liabilities affecting cash flows, primarily an increase in cash flows fromthe build of accounts receivable of $74.7 million, which decreasedand contract assets compared with the prior year period, mainly due to lower sales and a discrete benefit in the first six monthsprior year from the signing of 2020a customer contract on existing business, and lower accrued incentive compensation payments in the current period. These favorable impacts were partially offset with accounts payable fluctuations based on timing of supplier payments. The decrease in net income adjusted for non-cash items such as depreciation and amortization is primarily from lower sales, and supplier financing, partiallywhich was mostly offset by a decrease in cash flows from accounts payable, accruedlower operating expenses, interest expense, and inventory of $22.1 million, $9.6 million, an $8.8 million, respectively.income tax expense.
Investing Activities The $24.9$15.9 million increasedecrease in net cash used in investing activities was primarily attributable to increaseddecreased purchases of property, plant, and equipment of $11.2$7.3 million, intangible assets of $4.1$3.5 million, and cash paid of $5.3$5.2 million for the acquisition of certain assets and liabilities from InoMec Ltd. in the first quarter of 2020.
Financing Activities – Net cash used in financing activities for first three months of 2021, was $49.6 million compared to $15.2 million provided by financing activities for the first quarter of 2020, was $150.9 million compared to $66.3 million used in financing activities for the first sixthree months of 2019.2020. Financing activities during the first sixthree months of 20202021 primarily included net borrowingspayments of $151.3$45.4 million, compared to net paymentsborrowings of $65.8$15.6 million for the comparable 20192020 period.
On April 10, 2020, we borrowed an additional $160 million of our Revolving Credit Facility to protect against a prolonged pandemic coupled with financial market illiquidity.
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INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS
Capital Structure – As of July 3, 2020,April 2, 2021, our capital structure consists of $968$687 million of debt, net of deferred debt issuance costs and unamortized discounts, outstanding under our Senior Secured Credit Facilities and 33 million shares of common stock outstanding. Total debt outstanding includes $160 million borrowed under our Revolving Credit Facility in the second quarter of 2020 to protect against a prolonged pandemic coupled with potential financial market illiquidity. We continue to have access to $23.3$193.3 million of borrowing capacity under our Revolving Credit Facility, available for normal course of business and letters of credit.We are also authorized to issue up to 100 million shares of common stock and 100 million shares of preferred stock. As of July 3, 2020,April 2, 2021, our contractual debt service obligations for the remainder of 2020,2021, consisting of principal and interest on our outstanding debt, are estimated to be approximately $36$45 million. Actual principal and interest payments may be higher if, for instance, the applicable interest rates on our Senior Secured Credit Facilities increase, we borrow additional amounts on our Revolving Credit Facility, or we pay principal amounts in excess of the required minimums reflected in the contractual debt service obligations above.
Based on current expectations, we believe that our projected cash flows provided by operations, available cash and cash equivalents and borrowings under our Revolving Credit Facility are sufficient to meet our working capital, debt service and capital expenditure requirements for the next twelve months. If our future financing needs increase, we may need to arrange additional debt or equity financing. We continually evaluate and consider various financing alternatives to enhance or supplement our existing financial resources, including our Senior Secured Credit Facilities. However, we cannot be assured that we will be able to enter into any such arrangements on acceptable terms or at all. In addition, the recent COVID-19 pandemic, which has caused disruption in the capital markets, could make any such financing more difficult and/or expensive.
Credit Facilities - As of July 3, 2020,April 2, 2021, we had Senior Secured Credit Facilities that consist of (i) a $200 million revolving credit facility (the “Revolving Credit Facility”) with outstanding borrowings, which had available borrowing capacity of $170$193.3 million, (ii) a term loan A facility (the “TLA Facility”) with outstanding principal balance of $248$220 million, and (iii) a term loan B facility (the “TLB Facility”) with outstanding principal balance of $558$472 million. The Senior Secured Credit Facilities will mature on October 27, 2022. The Senior Secured Credit Facilities include a mandatory prepayment provision customary for credit facilities of its nature.
As of July 3, 2020, theThe Revolving Credit Facility and TLA Facility contain covenants requiring (A) a maximum total net leverage ratio of 4.00:1.0,4.75:1.00 subject to a step down to 4.50 to 1.00 for the third fiscal quarter of 2021, and reverting to and remaining at 4.00 to 1.00 beginning with the fourth quarter of 2021 through maturity, and (B) a minimum interest coverage ratio of adjusted EBITDA (as defined in the Senior Secured Credit Facilities) to interest expense of 3.0:1.0. Additionally, the total net leverage ratio can be increased by 0.50 for up to four consecutive quarters commencing in any fiscal quarter in which we consummate an Eligible Adjustment Acquisition (as defined in the Amendment) with a $40 million or greater purchase price. As of April 2, 2021, the Company was in compliance with these financial covenants. The TLB Facility does not contain any financial maintenance covenants. As of July 3, 2020,April 2, 2021, our total net leverage ratio, calculated in accordance with our Senior Secured Credit Facilities agreement, was approximately 3.53.2 to 1.0. For the twelve month period ended July 3, 2020,April 2, 2021, our ratio of adjusted EBITDA to interest expense, calculated in accordance with our Senior Secured Credit Facilities agreement, was approximately 7.06.8 to 1.0.
On July 13, 2020, the Company amended the Senior Secured Credit Facilities to increase the Total Net Leverage Ratio. The amendment increases the Total Net Leverage Ratio from a ratio to 4.75 to 1.00 for the period beginning with the third fiscal quarter of 2020 through the second fiscal quarter of 2021. The Total Net Leverage Ratio steps down to 4.50 to 1.00 for the third fiscal quarter of 2021 and reverts to and remains at 4.00 to 1.00 beginning with the fourth quarter of 2021 through maturity.
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INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS
Failure to comply with these financial covenants would result in an event of default as defined under the Revolving Credit Facility and TLA Facility unless waived by the lenders. An event of default may result in the acceleration of our indebtedness. As a result, management believes that compliance with these covenants is material to us. As of July 3, 2020, we were in full compliance with the financial covenants described above. As of July 3, 2020,April 2, 2021, our adjusted EBITDA (as defined in the Senior Secured Credit Facilities) would have to decline by approximately $36$70 million, or approximately 13%33%, in order for us to not be in compliance with our financial covenants. The Revolving Credit Facility is supported by a consortium of fourteen lenders with no lender controlling more than 27% of the facility.
See Note 6 “Debt” of the Notes to the Condensed Consolidated Financial Statements contained in Item 1 of this report for a further information on the Company’s outstanding debt.
Off-Balance Sheet Arrangements
We do not currently have no off-balanceoff balance sheet arrangements within the meaning of Item 303(a)(4) of Regulation S-K.that have or are reasonably likely to have a material current or future effect on our Condensed Consolidated Financial Statements.
Impact of Recently Issued Accounting Standards
In the normal course of business, we evaluate all new accounting pronouncements issued by the Financial Accounting Standards Board, Securities and Exchange Commission, or other authoritative accounting bodies to determine the potential impact they may have on our Condensed Consolidated Financial Statements. See Note 1 “Basis of Presentation” of the Notes to Condensed Consolidated Financial Statements contained in Item 1 of this report for additional information about these recently issued accounting standards and their potential impact on our financial condition or results of operations.
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INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS
Contractual Obligations
Other than the $160.0 million draw down on our Revolving Credit Facility, thereThere have been no significant changes to our contractual obligations during the quarter ended July 3, 2020April 2, 2021 as compared to those disclosed in Part II, Item 7, “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in our Annual Report on Form 10-K for the year ended December 31, 2019. The Revolving Credit Facility was amended effective July 13, 2020, as described under “Liquidity and Capital Resources – Credit Facilities.”2020.
Critical Accounting Policies and Estimates
The preparation of our Condensed Consolidated Financial Statements in accordance with accounting principles generally accepted in the U.S. requires management to make estimates, assumptions and judgments that affect the amounts reported in the financial statements and accompanying notes. Our estimates, assumptions and judgments are based on historical experience and various other assumptions believed to be reasonable under the circumstances, the results of which form the basis for making judgments about the carrying amount of assets and liabilities that are not readily apparent from other sources. Making estimates, assumptions and judgments about future events is inherently unpredictable and is subject to significant uncertainties, some of which are beyond our control. Management believes the estimates, assumptions and judgments employed and resulting balances reported in the Condensed Consolidated Financial Statements are reasonable; however, actual results could differ materially.
There have been no significant changes to the critical accounting policies and estimates as compared to those disclosed in Part II, Item 7, “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in our Annual Report on Form 10-K for the year ended December 31, 2019.2020.
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ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
Refer to information appearing under the caption “Management’s Discussion and Analysis of Financial Condition and Results of Operations” of this Form 10-Q. Furthermore, a discussion of market risk exposures is included in Part II, Item 7A, Quantitative and Qualitative Disclosure about Market Risk, of the Company’s Annual Report on Form 10-K for the year ended December 31, 2019.2020.
Other than the uncertainties resulting from the global pandemic, there have been no material changes in reported market risk since the inclusion of this discussion in the Company’s Annual Report on Form 10-K referenced above.
ITEM 4. CONTROLS AND PROCEDURES
a.    Evaluation of Disclosure Controls and Procedures
Our management, including the principal executive officer and principal financial officer, evaluated our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934) related to the recording, processing, summarization and reporting of information in our reports that we file with the Securities and Exchange Commission as of July 3, 2020.April 2, 2021. These disclosure controls and procedures have been designed to provide reasonable assurance that material information relating to us, including our subsidiaries, is made known to our management, including these officers, by our employees, and that this information is recorded, processed, summarized, evaluated and reported, as applicable, within the time periods specified in the Securities and Exchange Commission’s rules and forms. Based on their evaluation, as of July 3, 2020,April 2, 2021, our principal executive officer and principal financial officer have concluded that our disclosure controls and procedures are effective.
b.    Changes in Internal Control Over Financial Reporting
During the Company’s most recent fiscal quarter, there have been no changes in the Company’s internal control over financial reporting that have materially affected, or are reasonably likely to materially affect, the Company’s internal control over financial reporting.

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PART II—OTHER INFORMATION
ITEM 1.LEGAL PROCEEDINGS
InThere were no new material legal proceedings that are required to be reported in the quarter ended April 2013,2, 2021, and no material developments during the Company commenced an action against AVX Corporation and AVX Filters Corporation (collectively “AVX”) alleging that AVX had infringed onquarter in the Company’s patents by manufacturing and selling filtered feedthrough assemblies usedlegal proceedings as previously disclosed in implantable pacemakers and cardioverter defibrillators that incorporate the Company’s patented technology. Following four trials, the Company was awarded approximately $27 million in damages. AVX filed a notice of appeal in August 2019. In July 2020, the United States Court of AppealsAnnual Report on Form 10-K for the Federal Circuit affirmed, in all respects, the judgment in favor of the Company.

year ended December 31, 2020.
ITEM 1A.RISK FACTORS
Information concerning ourThere have been no material changes to the Company’s risk factors is containedas previously disclosed in Item 1A of ourthe Company’s Annual Report on Form 10-Q10-K for the quarteryear ended April 3,December 31, 2020 and is incorporated by reference herein.
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.


ITEM 6.EXHIBITS
Exhibit NumberDescription
10.1#*
10.2#*
31.1*
31.2*
32.1**
101.INS*XBRL Instance Document - the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document.
101.SCH*XBRL Extension Schema Document
101.CAL*XBRL Extension Calculation Linkbase Document
101.LAB*XBRL Extension Label Linkbase Document
101.PRE*XBRL Extension Presentation Linkbase Document
101.DEF*XBRL Extension Definition Linkbase Document
104Cover Page Interactive Data File (embedded within the Inline XBRL document and included in Exhibit 101).
*Filed herewith.
**Furnished herewith.
#Indicates exhibits that are management contracts or compensation plans or arrangements.
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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.
Dated:July 30, 2020April 29, 2021 INTEGER HOLDINGS CORPORATION
 By:/s/ Joseph W. Dziedzic
 Joseph W. Dziedzic
 President and Chief Executive Officer
 (Principal Executive Officer)
 By:/s/ Jason K. Garland
 Jason K. Garland
 Executive Vice President and
Chief Financial Officer
 (Principal Financial Officer)
 By:/s/ Tom P. Thomas
 Tom P. Thomas
 Vice President, Corporate Controller
 (Principal Accounting Officer)


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