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 ~~March 31,~~June 30, 2023


☐			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

_____________________________________________________________

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 1150

Plano,

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 class

Trading Symbol(s)

Name of each exchange on which registered

Common Stock, $0.001 par value per share

ITGR

New 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 filer

☐

Non-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 ~~April~~July 21, 2023 was: ~~33,276,427~~33,308,080 shares.

INTEGER HOLDINGS CORPORATION

Form 10-Q

For the Quarterly Period Ended ~~March 31,~~June 30, 2023

TABLE OF CONTENTS

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Table of Contents

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)	March 31, 2023		December 31, 2022		(in thousands except share and per share data)	June 30, 2023		December 31, 2022
ASSETS	ASSETS					ASSETS
Current assets:	Current assets:					Current assets:
Cash and cash equivalents	Cash and cash equivalents	$	40,604	$	24,272	Cash and cash equivalents	$	38,615	$	24,272
Accounts receivable, net of provision for credit losses of $0.4 million and $0.3 million, respectively	Accounts receivable, net of provision for credit losses of $0.4 million and $0.3 million, respectively	250,513		224,325		Accounts receivable, net of provision for credit losses of $0.4 million and $0.3 million, respectively	236,526		224,325
Inventories	Inventories	225,282		208,766		Inventories	228,931		208,766
Refundable income taxes	Refundable income taxes	2,056		2,003		Refundable income taxes	3,030		2,003
Contract assets	Contract assets	80,929		71,927		Contract assets	80,010		71,927

Prepaid expenses and other current assets	Prepaid expenses and other current assets	29,605		27,005		Prepaid expenses and other current assets	28,816		27,005

Total current assets	Total current assets	628,989		558,298		Total current assets	615,928		558,298
Property, plant and equipment, net	Property, plant and equipment, net	330,995		317,243		Property, plant and equipment, net	348,895		317,243
Goodwill	Goodwill	986,906		982,192		Goodwill	985,982		982,192
Other intangible assets, net	Other intangible assets, net	811,460		819,889		Other intangible assets, net	797,594		819,889
Deferred income taxes	Deferred income taxes	6,363		6,247		Deferred income taxes	6,447		6,247
Operating lease assets	Operating lease assets	72,532		74,809		Operating lease assets	70,281		74,809
Financing lease assets	Financing lease assets	8,650		8,852		Financing lease assets	8,537		8,852
Other long-term assets	Other long-term assets	27,655		26,856		Other long-term assets	27,680		26,856

Total assets	Total assets	$	2,873,550	$	2,794,386	Total assets	$	2,861,344	$	2,794,386
LIABILITIES AND STOCKHOLDERS’ EQUITY	LIABILITIES AND STOCKHOLDERS’ EQUITY					LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:	Current liabilities:					Current liabilities:
Current portion of long-term debt	Current portion of long-term debt	$	10,000	$	18,188	Current portion of long-term debt	$	5,000	$	18,188
Accounts payable	Accounts payable	124,280		110,780		Accounts payable	107,507		110,780
Income taxes payable	Income taxes payable	11,053		10,923		Income taxes payable	3,036		10,923

Operating lease liabilities	Operating lease liabilities	10,222		10,362		Operating lease liabilities	10,075		10,362
Accrued expenses and other current liabilities	Accrued expenses and other current liabilities	69,920		73,499		Accrued expenses and other current liabilities	74,214		73,499

Total current liabilities	Total current liabilities	225,475		223,752		Total current liabilities	199,832		223,752
Long-term debt	Long-term debt	992,469		907,073		Long-term debt	980,398		907,073
Deferred income taxes	Deferred income taxes	153,028		160,671		Deferred income taxes	152,926		160,671
Operating lease liabilities	Operating lease liabilities	61,975		64,049		Operating lease liabilities	59,988		64,049
Financing lease liabilities	Financing lease liabilities	7,809		8,006		Financing lease liabilities	7,677		8,006
Other long-term liabilities	Other long-term liabilities	14,858		13,379		Other long-term liabilities	14,868		13,379

Total liabilities	Total liabilities	1,455,614		1,376,930		Total liabilities	1,415,689		1,376,930
Commitments and contingencies (Note 10)	Commitments and contingencies (Note 10)					Commitments and contingencies (Note 10)
Stockholders’ equity:	Stockholders’ equity:					Stockholders’ equity:

Common stock, $0.001 par value; 100,000,000 shares authorized; 33,265,390 and 33,169,778 shares issued and outstanding, respectively		33		33
Common stock, $0.001 par value; 100,000,000 shares authorized; 33,308,080 and 33,169,778 shares issued and outstanding, respectively						Common stock, $0.001 par value; 100,000,000 shares authorized; 33,308,080 and 33,169,778 shares issued and outstanding, respectively	33		33
Additional paid-in capital	Additional paid-in capital	709,171		731,393		Additional paid-in capital	715,715		731,393

Retained earnings	Retained earnings	693,766		680,701		Retained earnings	717,737		680,701
Accumulated other comprehensive income	Accumulated other comprehensive income	14,966		5,329		Accumulated other comprehensive income	12,170		5,329
Total stockholders’ equity	Total stockholders’ equity	1,417,936		1,417,456		Total stockholders’ equity	1,445,655		1,417,456
Total liabilities and stockholders’ equity	Total liabilities and stockholders’ equity	$	2,873,550	$	2,794,386	Total liabilities and stockholders’ equity	$	2,861,344	$	2,794,386

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 (LOSS) (Unaudited)


		Three Months Ended				Three Months Ended				Six Months Ended
(in thousands except per share data)	(in thousands except per share data)	March 31, 2023		April 1, 2022			(in thousands except per share data)	June 30, 2023		July 1, 2022		June 30, 2023		July 1, 2022
Sales	Sales	$	378,785	$	310,912		Sales	$	400,044	$	350,081	$	778,829	$	660,993
Cost of sales	Cost of sales	282,112		229,437			Cost of sales	294,240		257,184		576,352		486,621
Gross profit	Gross profit	96,673		81,475			Gross profit	105,804		92,897		202,477		174,372
Operating expenses:	Operating expenses:						Operating expenses:
Selling, general and administrative	Selling, general and administrative	41,886		39,560			Selling, general and administrative	45,827		41,786		87,713		81,346
Research, development and engineering	Research, development and engineering	19,092		16,083			Research, development and engineering	16,883		14,871		35,975		30,954
Restructuring and other charges	Restructuring and other charges	1,529		3,335			Restructuring and other charges	1,518		3,533		3,047		6,868
Total operating expenses	Total operating expenses	62,507		58,978			Total operating expenses	64,228		60,190		126,735		119,168
Operating income	Operating income	34,166		22,497			Operating income	41,576		32,707		75,742		55,204
Interest expense	Interest expense	17,254		5,968			Interest expense	11,459		7,773		28,713		13,741
Loss on equity investments		155		2,404
(Gain) loss on equity investments							(Gain) loss on equity investments	(134)		320		21		2,724
Other loss, net	Other loss, net	760		177			Other loss, net	359		191		1,119		368
Income before taxes	Income before taxes	15,997		13,948			Income before taxes	29,892		24,423		45,889		38,371
Provision for income taxes	Provision for income taxes	2,932		2,581			Provision for income taxes	5,921		3,587		8,853		6,168

Net income	Net income	$	13,065	$	11,367		Net income	$	23,971	$	20,836	$	37,036	$	32,203

Earnings per share:	Earnings per share:						Earnings per share:
Basic	Basic	$	0.39	$	0.34		Basic	$	0.72	$	0.63	$	1.11	$	0.97
Diluted	Diluted	$	0.39	$	0.34		Diluted	$	0.71	$	0.62	$	1.10	$	0.97

Weighted average shares outstanding:	Weighted average shares outstanding:						Weighted average shares outstanding:
Basic	Basic	33,258		33,091			Basic	33,312		33,111		33,285		33,101
Diluted	Diluted	33,575		33,302			Diluted	33,686		33,350		33,631		33,326

Comprehensive Income
Comprehensive Income (Loss)							Comprehensive Income (Loss)
Net income	Net income	$	13,065	$	11,367		Net income	$	23,971	$	20,836	$	37,036	$	32,203
Other comprehensive income (loss):	Other comprehensive income (loss):						Other comprehensive income (loss):
Foreign currency translation gain (loss)	Foreign currency translation gain (loss)	7,925		(7,887)			Foreign currency translation gain (loss)	(2,901)		(27,274)		5,024		(35,161)
Change in fair value of cash flow hedges, net of tax	Change in fair value of cash flow hedges, net of tax	1,712		2,734			Change in fair value of cash flow hedges, net of tax	105		(47)		1,817		2,687

Other comprehensive income (loss), net of tax	Other comprehensive income (loss), net of tax	9,637		(5,153)			Other comprehensive income (loss), net of tax	(2,796)		(27,321)		6,841		(32,474)
Comprehensive income, net of tax		$	22,702	$	6,214
Comprehensive income (loss), net of tax							Comprehensive income (loss), net of tax	$	21,175	$	(6,485)	$	43,877	$	(271)

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 FLOWS (Unaudited)


		Three Months Ended					Six Months Ended
(in thousands)	(in thousands)	March 31, 2023		April 1, 2022		(in thousands)	June 30, 2023		July 1, 2022
Cash flows from operating activities:	Cash flows from operating activities:					Cash flows from operating activities:
Net income	Net income	$	13,065	$	11,367	Net income	$	37,036	$	32,203
Adjustments to reconcile net income to net cash provided by operating activities:	Adjustments to reconcile net income to net cash provided by operating activities:					Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	Depreciation and amortization	24,126		22,542		Depreciation and amortization	48,569		45,753
Debt related charges included in interest expense	Debt related charges included in interest expense	5,149		481		Debt related charges included in interest expense	6,118		962
Inventory step-up amortization	Inventory step-up amortization	—		798		Inventory step-up amortization	—		798
Stock-based compensation	Stock-based compensation	6,102		4,995		Stock-based compensation	11,603		10,951

Non-cash lease expense	Non-cash lease expense	2,741		2,539		Non-cash lease expense	5,473		5,344
Non-cash loss on equity investments	Non-cash loss on equity investments	155		2,404		Non-cash loss on equity investments	21		2,724
Contingent consideration fair value adjustment	Contingent consideration fair value adjustment	(265)		—		Contingent consideration fair value adjustment	(265)		—
Other non-cash (gains) losses	Other non-cash (gains) losses	(1,417)		1,328		Other non-cash (gains) losses	(1,437)		7,510
Deferred income taxes	Deferred income taxes	(5)		(709)		Deferred income taxes	(4)		(969)

Changes in operating assets and liabilities:
Changes in operating assets and liabilities, net of acquisition:						Changes in operating assets and liabilities, net of acquisition:
Accounts receivable	Accounts receivable	(24,206)		(15,998)		Accounts receivable	(9,742)		(37,642)
Inventories	Inventories	(17,016)		(20,153)		Inventories	(21,646)		(41,471)
Prepaid expenses and other assets	Prepaid expenses and other assets	1,657		(458)		Prepaid expenses and other assets	1,308		(783)
Contract assets	Contract assets	(8,819)		(1,754)		Contract assets	(7,983)		(6,189)
Accounts payable	Accounts payable	12,877		14,997		Accounts payable	797		25,554
Accrued expenses and other liabilities	Accrued expenses and other liabilities	(7,773)		(5,851)		Accrued expenses and other liabilities	1,781		(7,295)
Income taxes	Income taxes	(183)		1,633		Income taxes	(9,296)		(439)
Net cash provided by operating activities	Net cash provided by operating activities	6,188		18,161		Net cash provided by operating activities	62,333		37,011
Cash flows from investing activities:	Cash flows from investing activities:					Cash flows from investing activities:
Acquisition of property, plant and equipment	Acquisition of property, plant and equipment	(24,694)		(10,863)		Acquisition of property, plant and equipment	(57,416)		(22,610)

Proceeds from sale of property, plant and equipment	Proceeds from sale of property, plant and equipment	—		465		Proceeds from sale of property, plant and equipment	50		587

Acquisitions, net of cash acquired						Acquisitions, net of cash acquired	—		(126,636)

Net cash used in investing activities	Net cash used in investing activities	(24,694)		(10,398)		Net cash used in investing activities	(57,366)		(148,659)
Cash flows from financing activities:	Cash flows from financing activities:					Cash flows from financing activities:
Principal payments of term loans	Principal payments of term loans	(390,938)		(3,813)		Principal payments of term loans	(398,438)		(7,625)
Proceeds from issuance of convertible notes, net of discount	Proceeds from issuance of convertible notes, net of discount	486,250		—		Proceeds from issuance of convertible notes, net of discount	486,250		—
Proceeds from revolving credit facility	Proceeds from revolving credit facility	208,689		15,000		Proceeds from revolving credit facility	229,604		160,000
Payments of revolving credit facility	Payments of revolving credit facility	(232,500)		(10,000)		Payments of revolving credit facility	(263,443)		(34,000)
Purchase of capped calls	Purchase of capped calls	(35,000)		—		Purchase of capped calls	(35,000)		—
Payment of debt issuance costs	Payment of debt issuance costs	(1,055)		—		Payment of debt issuance costs	(2,181)		—

Proceeds from the exercise of stock options	Proceeds from the exercise of stock options	555		—		Proceeds from the exercise of stock options	1,948		—
Tax withholdings related to net share settlements of restricted stock unit awards	Tax withholdings related to net share settlements of restricted stock unit awards	(2,610)		(1,556)		Tax withholdings related to net share settlements of restricted stock unit awards	(2,930)		(1,926)

Contingent consideration payments	Contingent consideration payments	—		(493)		Contingent consideration payments	(7,660)		(493)
Principal payments on finance leases	Principal payments on finance leases	(275)		(166)		Principal payments on finance leases	(557)		(353)

Net cash provided by (used in) financing activities		33,116		(1,028)
Net cash provided by financing activities						Net cash provided by financing activities	7,593		115,603
Effect of foreign currency exchange rates on cash and cash equivalents	Effect of foreign currency exchange rates on cash and cash equivalents	1,722		1,048		Effect of foreign currency exchange rates on cash and cash equivalents	1,783		(6,247)
Net increase in cash and cash equivalents		16,332		7,783
Net increase (decrease) in cash and cash equivalents						Net increase (decrease) in cash and cash equivalents	14,343		(2,292)
Cash and cash equivalents, beginning of period	Cash and cash equivalents, beginning of period	24,272		17,885		Cash and cash equivalents, beginning of period	24,272		17,885
Cash and cash equivalents, end of period	Cash and cash equivalents, end of period	$	40,604	$	25,668	Cash and cash equivalents, end of period	$	38,615	$	15,593

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 Ended				Three Months Ended				Six Months Ended
(in thousands)	(in thousands)	March 31, 2023		April 1, 2022			(in thousands)	June 30, 2023		July 1, 2022		June 30, 2023		July 1, 2022
Total stockholders’ equity, beginning balance	Total stockholders’ equity, beginning balance	$	1,417,456	$	1,354,697		Total stockholders’ equity, beginning balance	$	1,417,936	$	1,364,350	$	1,417,456	$	1,354,697

Common stock and additional paid-in capital	Common stock and additional paid-in capital						Common stock and additional paid-in capital
Balance, beginning of period	Balance, beginning of period	731,426		713,183			Balance, beginning of period	709,204		716,622		731,426		713,183
Stock awards exercised or vested	Stock awards exercised or vested	(2,074)		(1,556)			Stock awards exercised or vested	1,043		(370)		(1,031)		(1,926)
Stock-based compensation	Stock-based compensation	6,102		4,995			Stock-based compensation	5,501		5,956		11,603		10,951
Capped calls related to the issuance of convertible notes, net of tax	Capped calls related to the issuance of convertible notes, net of tax	(26,250)		—			Capped calls related to the issuance of convertible notes, net of tax	—		—		(26,250)		—
Balance, end of period	Balance, end of period	709,204		716,622			Balance, end of period	715,748		722,208		715,748		722,208

Retained earnings	Retained earnings						Retained earnings
Balance, beginning of period	Balance, beginning of period	680,701		614,324			Balance, beginning of period	693,766		625,691		680,701		614,324

Net income	Net income	13,065		11,367			Net income	23,971		20,836		37,036		32,203
Balance, end of period	Balance, end of period	693,766		625,691			Balance, end of period	717,737		646,527		717,737		646,527
Accumulated other comprehensive income	Accumulated other comprehensive income						Accumulated other comprehensive income
Balance, beginning of period	Balance, beginning of period	5,329		27,190			Balance, beginning of period	14,966		22,037		5,329		27,190
Other comprehensive income (loss)	Other comprehensive income (loss)	9,637		(5,153)			Other comprehensive income (loss)	(2,796)		(27,321)		6,841		(32,474)

Balance, end of period	Balance, end of period	14,966		22,037			Balance, end of period	12,170		(5,284)		12,170		(5,284)

Total stockholders’ equity, ending balance	Total stockholders’ equity, ending balance	$	1,417,936	$	1,364,350		Total stockholders’ equity, ending balance	$	1,445,655	$	1,363,451	$	1,445,655	$	1,363,451

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 a medical device outsource manufacturer serving the cardiac rhythm management, neuromodulation, orthopedics, vascular, advanced surgical and portable medical markets. The Company provides innovative, high-quality medical technologies that enhance the lives of patients worldwide. In addition to medical technologies, the Company develops batteries for high-end niche applications in the energy, military, and environmental markets. The Company’s customers include large multi-national original equipment manufacturers (“OEMs”) and their affiliated subsidiaries.

The accompanying condensed consolidated financial statements are presented in accordance with the rules and regulations of the United States ("U.S.") Securities and Exchange Commission ("SEC") and do not include all of the disclosures normally required by U.S. generally accepted accounting principles (“U.S. GAAP”) as contained in the Company’s Annual Report on Form 10-K. Accordingly, these condensed consolidated financial statements should be read in conjunction with the consolidated financial statements and notes thereto included in the Company’s most recent Annual Report on Form 10-K for the fiscal year ended December 31, 2022.

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. The results for interim periods are not necessarily indicative of results or trends that may be expected for the fiscal year as a whole. The condensed consolidated financial statements were prepared using U.S. GAAP, which require 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.

The second quarter and first ~~quarters~~six months of 2023 ended on June 30 and consisted of 91 days and 181 days, respectively. The second quarter and first six months of 2022 ended on ~~March 31 and April~~July 1 ~~respectively,~~ and consisted of 9091 days and 91182 days, respectively.

Trade Accounts Receivable - Factoring Arrangements

In the second quarter of 2023, the Company entered into a receivables factoring arrangement, pursuant to which certain receivables may be sold to a financial institution without recourse in exchange for cash. Transactions under the receivables factoring arrangement are accounted for as sales under ASC 860, Transfers and Servicing of Financial Assets, with the sold receivables removed from the Company’s balance sheet. Under this arrangement, the Company does not maintain any beneficial interest in the receivables sold. Once sold, the receivables are no longer available to satisfy creditors in the event of bankruptcy. Sale proceeds are reflected in Cash flows from operating activities on the Condensed Consolidated Statements of Cash Flows. Factoring fees are recorded in Selling, general, and administrative expenses in the Company’s Condensed Consolidated Statements of Operations and Comprehensive Income (Loss). During the six months ended June 30, 2023, the Company sold, without recourse, $50.3 million of accounts receivable. Factoring fees were $0.4 million for the three and six months ended June 30, 2023.

Recent Accounting Pronouncements

The Company considers the applicability and impact of all Accounting Standard Updates (“ASU”) issued by the Financial Accounting Standards Board (“FASB”). The Company evaluated all recent accounting pronouncements issued, including those that are currently effective, and determined that the adoption of these pronouncements would not have a material effect on the financial position, results of operations or cash flows of the Company. 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, 2022, that are of significance, or potential significance, to the Company.

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INTEGER HOLDINGS CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)

(2.) BUSINESS ACQUISITIONS

On April 6, 2022, the Company acquired 100% of the equity interests of Connemara Biomedical Holdings Teoranta, including its operating subsidiaries Aran Biomedical and Proxy Biomedical (collectively “Aran”), a recognized leader in proprietary medical textiles, high precision biomaterial coverings and coatings as well as advanced metal and polymer braiding. Aran delivers development and manufacturing solutions for implantable medical devices. Consistent with the Company’s strategy, the combination with Aran further increases Integer’s ability to offer complete solutions for complex delivery and therapeutic devices in high growth cardiovascular markets such as structural heart, neurovascular, peripheral vascular, and endovascular as well as general surgery. The Company funded the purchase price with borrowings under its Revolving Credit Facility. Aran is included in the Company’s Medical segment.

The total consideration transferred was $141.3 million, which includes an initial cash payment of $133.9 million ($129.3 million net of cash acquired) and $7.4 million in estimated fair value of contingent consideration. The contingent consideration represents the estimated fair value of the Company’s obligation, under the purchase agreement, to make additional payments of up to €10 million ($10.9 million at the exchange rate as of April 6, 2022) based on Aran’s achievement of 2022 revenue growth milestones. The earn-out period ended on December 31, 2022 and, in accordance with the terms of the share purchase agreement, full payment was made in April 2023. See Note 13 “Financial Instruments and Fair Value Measurements” for additional information related to the fair value measurement of the contingent consideration.

The cost of the acquisition was allocated to the assets acquired and liabilities assumed based upon ~~its~~their estimated fair value at the date of the acquisition. There were no adjustments to the initial purchase price allocation. The following table summarizes the final fair values of the assets acquired and liabilities assumed (in thousands):








Fair value of net assets acquired

Current assets	$	9,319
Property, plant and equipment	4,151
Goodwill	68,460
Definite-lived intangible assets	71,485
Operating lease assets	3,505
Other noncurrent assets	1,354
Current liabilities	(4,370)
Operating lease liabilities	(3,258)
Other noncurrent liabilities	(9,377)
Fair value of net assets acquired	$	141,269

Pro Forma (unaudited) disclosures

The following table presents (in thousands) unaudited pro forma results of operations for the three and six months ended ~~April~~July 1, 2022 as if Aran had been included in the Company’s financial results as of the beginning of fiscal year 2021, through the date of acquisition. The pro forma results include the historical results of operations of the Company and Aran, as well as adjustments for additional amortization of the assets acquired, additional interest expense related to the financing of the transactions and other transactional adjustments. The pro forma results do not include efficiencies, cost reductions or synergies expected to result from the acquisition. These pro forma results do not purport to be indicative of the results that would have been obtained, or to be a projection of results that may be obtained in the future.

~~Sales~~

~~316,275~~

~~Net income~~

~~12,127~~


	Three Months Ended July 1, 2022		Six Months Ended July 1, 2022
Sales	$	350,081	$	666,356
Net income	22,101		34,228

Acquisition costs

Direct costs of this acquisition were not material for the three and six months ended ~~March 31,~~June 30, 2023. During the three and six months ended ~~April~~July 1, 2022, direct costs of this acquisition of ~~$0.9~~$1.5 million and $2.3 million were expensed as incurred and included in Restructuring and other charges in the Condensed Consolidated Statements of Operations and Comprehensive ~~Income.~~Income (Loss).

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INTEGER HOLDINGS CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)

(3.) SUPPLEMENTAL CASH FLOW INFORMATION

The following is supplemental information relating to the Condensed Consolidated Statements of Cash Flows (in thousands):


		Three Months Ended					Six Months Ended
		March 31, 2023		April 1, 2022			June 30, 2023		July 1, 2022
Noncash investing and financing activities:	Noncash investing and financing activities:					Noncash investing and financing activities:
Property, plant and equipment purchases included in accounts payable	Property, plant and equipment purchases included in accounts payable	$	13,434	$	3,688	Property, plant and equipment purchases included in accounts payable	$	9,059	$	6,373

Debt issuance costs incurred but not yet paid		1,125		—

Supplemental lease disclosures:	Supplemental lease disclosures:					Supplemental lease disclosures:
Assets acquired under operating leases	Assets acquired under operating leases	325		7,914		Assets acquired under operating leases	912		11,265

(4.) INVENTORIES

Inventories comprise the following (in thousands):


		March 31, 2023		December 31, 2022			June 30, 2023		December 31, 2022
Raw materials	Raw materials	$	101,762	$	98,640	Raw materials	$	102,280	$	98,640
Work-in-process	Work-in-process	110,701		98,188		Work-in-process	112,887		98,188
Finished goods	Finished goods	12,819		11,938		Finished goods	13,764		11,938
Total	Total	$	225,282	$	208,766	Total	$	228,931	$	208,766

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INTEGER HOLDINGS CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)

(5.) GOODWILL AND OTHER INTANGIBLE ASSETS, NET

Goodwill

The changes in the carrying amount of goodwill by reportable segment for the ~~three~~six months ended ~~March 31,~~June 30, 2023 were as follows (in thousands):


		Medical		Non- Medical		Total			Medical		Non- Medical		Total
December 31, 2022	December 31, 2022	$	965,192	$	17,000	$	982,192	December 31, 2022	$	965,192	$	17,000	$	982,192

Foreign currency translation	Foreign currency translation	4,714		—		4,714		Foreign currency translation	3,790		—		3,790

March 31, 2023		$	969,906	$	17,000	$	986,906
June 30, 2023								June 30, 2023	$	968,982	$	17,000	$	985,982

Intangible Assets

Intangible assets comprise the following (in thousands):


		Gross Carrying Amount		Accumulated Amortization		Net Carrying Amount			Gross Carrying Amount		Accumulated Amortization		Net Carrying Amount
March 31, 2023
June 30, 2023								June 30, 2023
Definite-lived:	Definite-lived:							Definite-lived:
Purchased technology and patents	Purchased technology and patents	$	285,143	$	(183,340)	$	101,803	Purchased technology and patents	$	284,921	$	(187,279)	$	97,642
Customer lists	Customer lists	830,354		(226,011)		604,343		Customer lists	829,550		(234,506)		595,044
Amortizing tradenames and other	Amortizing tradenames and other	21,030		(6,004)		15,026		Amortizing tradenames and other	21,012		(6,392)		14,620
Total amortizing intangible assets	Total amortizing intangible assets	$	1,136,527	$	(415,355)	$	721,172	Total amortizing intangible assets	$	1,135,483	$	(428,177)	$	707,306
Indefinite-lived:	Indefinite-lived:							Indefinite-lived:
Trademarks and tradenames	Trademarks and tradenames					$	90,288	Trademarks and tradenames					$	90,288

December 31, 2022	December 31, 2022							December 31, 2022
Definite-lived:	Definite-lived:							Definite-lived:
Purchased technology and patents	Purchased technology and patents	$	283,929	$	(178,844)	$	105,085	Purchased technology and patents	$	283,929	$	(178,844)	$	105,085
Customer lists	Customer lists	825,634		(216,546)		609,088		Customer lists	825,634		(216,546)		609,088
Amortizing tradenames and other	Amortizing tradenames and other	21,028		(5,600)		15,428		Amortizing tradenames and other	21,028		(5,600)		15,428
Total amortizing intangible assets	Total amortizing intangible assets	$	1,130,591	$	(400,990)	$	729,601	Total amortizing intangible assets	$	1,130,591	$	(400,990)	$	729,601
Indefinite-lived:	Indefinite-lived:							Indefinite-lived:
Trademarks and tradenames	Trademarks and tradenames					$	90,288	Trademarks and tradenames					$	90,288

Aggregate intangible asset amortization expense comprises the following (in thousands):


		Three Months Ended				Three Months Ended				Six Months Ended
		March 31, 2023		April 1, 2022				June 30, 2023		July 1, 2022		June 30, 2023		July 1, 2022
Cost of sales	Cost of sales	$	3,977	$	3,645		Cost of sales	$	4,037	$	4,037	$	8,014	$	7,682
Selling, general and administrative expenses	Selling, general and administrative expenses	8,947		7,959			Selling, general and administrative expenses	9,070		8,248		18,017		16,207

Total intangible asset amortization expense	Total intangible asset amortization expense	$	12,924	$	11,604		Total intangible asset amortization expense	$	13,107	$	12,285	$	26,031	$	23,889

Estimated future intangible asset amortization expense based on the carrying value as of ~~March 31,~~June 30, 2023 is as follows (in thousands):

Remainder of 2023 2024 2025 2026 2027 After 2027
Amortization Expense $ 39,507 $ 51,856 $ 51,069 $ 49,247 $ 46,283 $ 483,210


	Remainder of 2023		2024		2025		2026		2027		After 2027
Amortization Expense	$	26,368	$	51,803	$	51,014	$	49,189	$	46,232	$	482,700

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INTEGER HOLDINGS CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)

(6.) DEBT

Long-term debt comprises the following (in thousands):


		March 31, 2023						December 31, 2022							June 30, 2023						December 31, 2022
		Principal Amount		UnamortizedDiscounts and Issuance Costs		Net Carrying Amount		Principal Amount		UnamortizedDiscounts and Issuance Costs		Net Carrying Amount			Principal Amount		UnamortizedDiscounts and Issuance Costs		Net Carrying Amount		Principal Amount		UnamortizedDiscounts and Issuance Costs		Net Carrying Amount
Senior Secured Credit Facilities:	Senior Secured Credit Facilities:													Senior Secured Credit Facilities:
Revolving credit facilities	Revolving credit facilities	$	119,040	—		$	119,040	$	140,300	—		$	140,300	Revolving credit facilities	$	108,640	$	—	$	108,640	$	140,300	$	—	$	140,300
Term loan A	Term loan A	400,000		(2,095)		397,905		455,313		$	(2,172)	453,141		Term loan A	392,500		(1,958)		390,542		455,313		(2,172)		453,141
Term loan B	Term loan B	—		—		—		335,625		(3,805)		331,820		Term loan B	—		—		—		335,625		(3,805)		331,820
Convertible Senior Notes due 2028	Convertible Senior Notes due 2028	500,000		(14,476)		485,524		—		—		—		Convertible Senior Notes due 2028	500,000		(13,784)		486,216		—		—		—
Total	Total	$	1,019,040	$	(16,571)	$	1,002,469	$	931,238	$	(5,977)	$	925,261	Total	$	1,001,140	$	(15,742)	$	985,398	$	931,238	$	(5,977)	$	925,261
Current portion of long-term debt	Current portion of long-term debt					(10,000)						(18,188)		Current portion of long-term debt					(5,000)						(18,188)
Long-term debt	Long-term debt					$	992,469					$	907,073	Long-term debt					$	980,398					$	907,073

Senior Secured Credit Facilities

On September 2, 2021, the Company entered into a credit agreement (the “2021 Credit Agreement”), governing the Company’s senior secured credit facilities (the “Senior Secured Credit Facilities”). As of December 31, 2022, the Senior Secured Credit Facilities consisted of a five-year $400 million revolving credit facility (the “Revolving Credit Facility”), a five-year “term A” loan (the “TLA Facility”) and a seven-year “term B” loan (the “TLB Facility” and, together with the TLA Facility, the “Term Loan Facilities”). The TLB Facility was issued at a 0.50% discount.

Amendments to the 2021 Credit Agreement

On January 30, 2023, the Company entered into a first amendment (the “First Amendment”) to the 2021 Credit Agreement to, among other things: (i) permit the Company to issue the notes (described below under 2028 Convertible ~~Notes)~~Notes and Related Capped Call Transactions) and incur indebtedness thereunder in an aggregate principal amount of up to $600 million at any time outstanding; (ii) permit the Company to enter into bond hedge and capped call transactions; (iii) permit the Company to issue call options, warrants or purchase rights relating to the Company’s common stock; provided, in each case, that the terms of any such transaction are customary for transactions of such type.

On February 15, 2023, the Company entered into a second amendment (the “Second Amendment”) to the 2021 Credit Agreement to, among other things: (i) increase the maximum borrowing capacity under the Revolving Credit Facility by $100 million from $400 million to $500 million, (ii) extend the maturity date for both the Revolving Credit Facility and the TLA Facility to February 15, 2028, (iii) allow for borrowings by the Company under the Revolving Credit Facility denominated in Euros, subject to a sublimit equal to 50% of the maximum borrowing capacity under the Revolving Credit Facility, (iv) replace the LIBOR-based reference interest rate option with a forward-looking term rate based on the secured overnight financing rate (SOFR) for the applicable interest period plus an adjustment of 0.10% per annum (“Adjusted Term SOFR”), and (v) add carveouts to certain negative covenants included within the 2021 Credit Agreement to permit the expansion of capacity in Ireland by the Company and incur indebtedness related thereto.

The information provided below reflects the First Amendment and Second Amendment (collectively the “2023 Amendments”) described above. Details of our Long-term debt as of December 31, 2022 can be found in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022.

Revolving Credit Facility

The Revolving Credit Facility matures on February 15, 2028. As of ~~March 31,~~June 30, 2023, the Company had available borrowing capacity on the Revolving Credit Facility of ~~$377.5~~$387.9 million after giving effect to ~~$119.0~~$108.6 million of outstanding borrowings and $3.5 million of outstanding standby letters of credit. Borrowings under the Revolving Credit Facility will bear interest at a rate of Adjusted Term SOFR, in relation to any loan in U.S. dollars, and EURIBOR, in relation to any loan in Euros, plus a margin based on the Company’s Secured Net Leverage Ratio (as defined in the Senior Secured Credit Facilities agreement). In addition, the Company is required to pay a commitment fee on the unused portion of the Revolving Credit Facility, which will range between 0.15% and 0.25%, depending on the Company’s Secured Net Leverage Ratio. As of ~~March 31,~~June 30, 2023, the weighted average interest rate on outstanding borrowings under the Revolving Credit Facility was ~~4.76%~~4.92% and the commitment fee on the unused portion of the Revolving Credit Facility was ~~0.20%~~0.18%.

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INTEGER HOLDINGS CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)

(6.) DEBT (Continued)

Term Loan Facilities

The TLA Facility matures on February 15, 2028, and requires quarterly installments. The quarterly principal installments under the TLA Facility increase over the term of the loan. The interest rate terms for the TLA Facility are the same as those above for the Revolving Credit Facility borrowings in U.S. dollars. As of ~~March 31,~~June 30, 2023, the interest rate on the TLA Facility was ~~6.66%~~6.70%.

In February 2023, the Company used a portion of the proceeds from its notes offering (see 2028 Convertible Senior Notes and Related Capped Call Transactions) to settle in full principal and interest due under the TLB Facility.

Deferred Debt Issuance Costs and Discounts

The change in deferred debt issuance costs related to the Company’s Revolving Credit Facility is as follows (in thousands):






December 31, 2022	$	2,387
Financing costs incurred	579
Write-off of deferred debt issuance costs	(260)
Amortization during the period	~~(130)~~(271)
~~March 31,~~June 30, 2023	$	~~2,576~~2,435

The change in unamortized discount and deferred debt issuance costs related to the Term Loan Facilities is as follows (in thousands):


		Deferred Debt Issuance Costs		Unamortized Discount on TLB Facility		Total			Deferred Debt Issuance Costs		Unamortized Discount on TLB Facility		Total
December 31, 2022	December 31, 2022	$	4,569	$	1,408	$	5,977	December 31, 2022	$	4,569	$	1,408	$	5,977
Financing costs incurred	Financing costs incurred	418		—		418		Financing costs incurred	418		—		418
Write-off of deferred debt issuance costs and unamortized discount	Write-off of deferred debt issuance costs and unamortized discount	(2,742)		(1,391)		(4,133)		Write-off of deferred debt issuance costs and unamortized discount	(2,780)		(1,391)		(4,171)
Amortization during the period	Amortization during the period	(150)		(17)		(167)		Amortization during the period	(249)		(17)		(266)
March 31, 2023		$	2,095	$	—	$	2,095
June 30, 2023								June 30, 2023	$	1,958	$	—	$	1,958

Debt issuance costs are either deferred and amortized over the term of the associated debt or expensed as incurred. In connection with the 2023 Amendments, the Company incurred and capitalized an aggregate of $1.0 million of debt issuance costs.

In connection with the 2023 Amendments, for each separate debt instrument on a lender by lender basis, in accordance with ASC 470-50, Debt Modifications and Extinguishment, the Company performed an assessment of whether the transaction was deemed to be new debt, a modification of existing debt, or an extinguishment of existing debt.

Based on this assessment, $3.8 million of unamortized deferred debt issuance costs related to the Revolving Credit Facility and TLA Facility were deemed to be related to the issuance of new debt, or the modification of existing debt, and therefore will continue to be deferred and amortized over the term of the associated debt. The remaining $0.6 million of unamortized deferred debt issuance costs related to the Revolving Credit Facility and TLA Facility were deemed to be related to the extinguishment of debt and were expensed and included in Interest expense during the ~~three~~six months ended ~~March 31,~~June 30, 2023. Additionally, in connection with the full repayment of the TLB Facility, the Company incurred a $3.8 million loss on extinguishment of debt from the write-off of the remaining deferred debt issuance costs and original issue discount, which were expensed and included in Interest expense during the ~~three~~six months ended ~~March 31,~~June 30, 2023.

Covenants

The Senior Secured Credit Facilities agreement contains customary terms and conditions, including representations and warranties and affirmative and negative covenants, as well as financial covenants for the benefit of the lenders under the Revolving Credit Facility and the TLA Facility, which require that (i) the Company maintain a Total Net Leverage Ratio not to exceed 5.50:1.00 (stepping down to 5.00:1.00 for the third fiscal quarter of 2023 through maturity and subject to increase in certain circumstances following qualified acquisitions, but shall not exceed 5.50:1.00) and (ii) the Company maintain an interest coverage ratio of at least 2.50:1.00. As of ~~March 31,~~June 30, 2023, the Company was in compliance with these financial covenants.

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INTEGER HOLDINGS CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)

(6.) DEBT (Continued)

Contractual maturities under the Senior Secured Credit Facilities for the remainder of 2023 and through maturity, excluding any discounts or premiums, as of ~~March 31,~~June 30, 2023 are as follows (in thousands):

Remainder of 2023 2024 2025 2026 2027 After 2027
Future minimum principal payments $ 7,500 $ 10,000 $ 17,500 $ 27,500 $ 30,000 $ 426,540


	Remainder of 2023		2024		2025		2026		2027		After 2027
Future minimum principal payments	$	—	$	10,000	$	17,500	$	27,500	$	30,000	$	416,140

2028 Convertible Senior Notes and Related Capped Call Transactions

In February of 2023, the Company issued $500 million aggregate principal amount of Convertible Senior Notes due in 2028 (“2028 Notes”) in a private offering, which aggregate principal amount included the exercise in full of the initial purchasers’ option to purchase up to an additional $65 million principal amount of the 2028 Notes. The 2028 Notes mature on February 15, 2028 and bear interest at a fixed rate of 2.125% per annum, payable semiannually in arrears on February 15 and August 15 of each year, beginning on August 15, 2023. The total net proceeds from the issuance of the 2028 Notes (which includes the additional proceeds from the purchasers’ option), after deducting initial purchasers' discounts and commissions and debt issuance costs, were approximately $485 million.

Conversion and Redemption Terms of the 2028 Notes

Each $1,000 principal amount of the 2028 Notes is initially convertible into 11.4681 shares of the Company’s common stock (the “2028 Conversion Option”), which is equivalent to an initial conversion price of approximately $87.20 per share of common stock, subject to standard anti-dilutive adjustments and adjustments upon the occurrence of specified events. The initial conversion price represents a premium of approximately 32.5% to the $65.81 per share closing price of the Company’s common stock on January 31, 2023.

The 2028 Notes are convertible, in multiples of $1,000 principal amount, at the option of the holders prior to the close of business on the business day immediately preceding November 15, 2027, only under the following circumstances: (1) during any calendar quarter commencing after the calendar quarter ending on March 31, 2023 (and only during such calendar quarter), if the last reported sale price of the Company’s common stock for at least 20 trading days (whether or not consecutive) during a period of 30 consecutive trading days ending on, and including, the last trading day of the immediately preceding calendar quarter is greater than or equal to 130% of the conversion price on each applicable trading day; (2) during the five business day period after any ten consecutive trading day period (the “Measurement Period”) in which the trading price (as defined in the Indenture governing the 2028 Notes) per $1,000 principal amount of the 2028 Notes for each trading day of the Measurement Period was less than 98% of the product of the last reported sale price of the Company’s common stock and the conversion rate in effect on each such trading day; (3) if the Company calls any or all of the 2028 Notes for redemption, at any time prior to the close of business on the second scheduled trading day immediately preceding the redemption date; or (4) upon the occurrence of specified corporate events. On or after November 15, 2027 until the close of business on the second scheduled trading day immediately preceding the maturity date, holders may convert all or any portion of their 2028 Notes, in multiples of $1,000 principal amount, at the option of the holder regardless of the foregoing circumstances.

Upon conversion, the 2028 Notes will be settled in cash up to the aggregate principal amount of the 2028 Notes to be converted, and in cash, shares of the Company’s common stock or a combination thereof, at the Company’s option, in respect of the remainder, if any, of the Company’s conversion obligation in excess of the aggregate principal amount of the 2028 Notes being converted. If the Company undergoes a fundamental change (as defined in the indenture governing the 2028 Notes), subject to certain conditions, holders may require the Company to repurchase for cash all or any portion of their 2028 Notes, in principal amounts of $1,000 or a multiple thereof, at a fundamental change repurchase price equal to 100% of the principal amount of the 2028 Notes to be repurchased, plus accrued and unpaid interest, if any, to, but excluding, the fundamental change repurchase date. In addition, following certain corporate events or if the Company issues a notice of redemption, it will, under certain circumstances, increase the conversion rate for holders who elect to convert their notes in connection with such corporate event or during the relevant redemption period.

As of ~~March 31,~~June 30, 2023, the conditions allowing holders of the Convertible Notes to convert had not been met and, therefore, the Convertible Notes are classified as a long-term liability on the Condensed Consolidated Balance Sheets at ~~March 31,~~June 30, 2023.

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INTEGER HOLDINGS CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)

(6.) DEBT (Continued)

The Company may not redeem the 2028 Notes prior to February 20, 2026. The Company may redeem for cash all or any portion of the 2028 Notes, at its option, on or after February 20, 2026 and prior to February 15, 2028, if the last reported sale price of its common stock has been at least 130% of the conversion price then in effect for at least 20 trading days (whether or not consecutive) during any 30 consecutive trading day period (including the last trading day of such period) ending not more than two trading days immediately preceding the date on which the Company provides notice of redemption at a redemption price equal to 100% of the principal amount of the 2028 Notes to be redeemed, plus accrued and unpaid interest, if any, to, but excluding, the redemption date. No sinking fund is provided for the 2028 Notes.

Seniority of the 2028 Notes

The 2028 Notes are the Company’s senior unsecured obligations and rank senior in right of payment to any of the Company’s indebtedness that is expressly subordinated in right of payment to the 2028 Notes; equal in right of payment to any of the Company’s unsecured indebtedness that is not so subordinated; effectively junior in right of payment to any of the Company’s secured indebtedness to the extent of the value of the assets securing such indebtedness; and structurally junior to all indebtedness and other liabilities (including trade payables) of the Company’s subsidiaries.

Indenture

The Company issued the Notes pursuant to an indenture dated as of February 3, 2023 (the “Indenture”) by and between the Company and Wilmington Trust, National Association, as trustee. The Indenture provides for customary events of default, which include (subject in certain cases to grace and cure periods), among others: nonpayment of principal or interest; failure by the Company to comply with its conversion obligations upon exercise of a holder’s conversion right under the Indenture; breach of covenants or other agreements in the Indenture; defaults by the Company or any significant subsidiary (as defined in the Indenture) with respect to other indebtedness in excess of a threshold amount; failure by the Company or any significant subsidiary to pay final judgments in excess of a threshold amount; and the occurrence of certain events of bankruptcy, insolvency or reorganization with respect to the Company or any significant subsidiary. Generally, if an event of default occurs and is continuing under the Indenture, either the Indenture trustee or the holders of at least 25% in aggregate principal amount of the 2028 Notes then outstanding may declare the principal amount plus accrued and unpaid interest on the Notes to be immediately due and payable.

Covenants

The 2028 Notes do not contain financial maintenance covenants.

Deferred Debt Issuance Costs and Discounts

The 2028 Notes are accounted for as a single liability measured at amortized cost. The discount and issuance costs related to the 2028 Notes are being amortized to interest expense over the contractual term of the 2028 Notes at an effective interest rate of 2.76%.

Fair Value of the 2028 Notes

The estimated fair value of the 2028 Notes was approximately ~~$544~~$593 million as of ~~March 31,~~June 30, 2023. The estimated fair value of the 2028 Notes was determined through consideration of quoted market prices. The fair value of the 2028 Notes are categorized in Level 2 of the fair value hierarchy.

Capped Call Transactions

In connection with the issuance of the 2028 Notes, the Company entered into privately negotiated capped call transactions (the “Capped Calls”) with certain financial institutions. The Capped Calls are expected generally to reduce the potential dilution to the Company’s common stock in connection with any conversion of the 2028 Notes and/or offset any cash payments the Company is required to make in excess of the principal amount of converted 2028 Notes, as the case may be, with such reduction and/or offset subject to a cap based on strike price of written warrants. The initial upper strike price of the Capped Calls is $108.59 per share and is subject to certain adjustments under the terms of the Capped Calls. The Capped Calls cover, subject to anti-dilution adjustments, approximately ~~5.8~~5.7 million shares of the Company’s common stock, the same number of shares initially underlying the 2028 Notes. For accounting purposes, the Capped Calls are separate transactions, and not integrated with the issuance of the 2028 Notes. As these transactions meet certain accounting criteria, the Capped Calls are recorded in stockholders’ equity and are not accounted for as derivatives. The 2028 Notes and the Capped Calls will be integrated for tax purposes. The accounting impact of this tax treatment results in the Capped Calls being deductible as original issue discount for tax purposes over the term of the 2028 Notes, which generates an $8.8 million deferred tax asset recognized through equity. The cost to the Company of the Capped Calls was $35 million, which was recorded, net of tax, as a reduction to additional paid-in capital.

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INTEGER HOLDINGS CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)

(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 (the “Board”) or the Compensation and Organization Committee of the Board. The stock-based compensation plans provide for the granting of stock options, restricted stock awards, performance awards, time-based restricted stock units (“RSUs”), performance-based RSUs (“PRSUs”), stock appreciation rights and stock bonuses to employees, non-employee directors, consultants, and service providers.

Stock-based Compensation Expense

The components and classification of stock-based compensation expense were as follows (in thousands):


		Three Months Ended				Three Months Ended				Six Months Ended
		March 31, 2023		April 1, 2022				June 30, 2023		July 1, 2022		June 30, 2023		July 1, 2022

RSUs and PRSUs	RSUs and PRSUs	$	6,102	$	4,995		RSUs and PRSUs	$	5,501	$	5,956	$	11,603	$	10,951

Total stock-based compensation expense	Total stock-based compensation expense	$	6,102	$	4,995		Total stock-based compensation expense	$	5,501	$	5,956	$	11,603	$	10,951

Cost of sales	Cost of sales	$	1,107	$	769		Cost of sales	$	1,155	$	837	$	2,262	$	1,606
Selling, general and administrative	Selling, general and administrative	4,465		3,545			Selling, general and administrative	4,085		4,308		8,550		7,853
Research, development and engineering	Research, development and engineering	469		325			Research, development and engineering	259		338		728		663
Restructuring and other charges	Restructuring and other charges	61		356			Restructuring and other charges	2		473		63		829

Total stock-based compensation expense	Total stock-based compensation expense	$	6,102	$	4,995		Total stock-based compensation expense	$	5,501	$	5,956	$	11,603	$	10,951

Stock Options

The following table summarizes the Company’s stock option activity for the ~~three~~six month period ended ~~March 31,~~June 30, 2023:


		Number of Stock Options	Weighted Average Exercise Price		Weighted Average Remaining Contractual Life (In Years)	Aggregate Intrinsic Value (In Millions)			Number of Stock Options	Weighted Average Exercise Price		Weighted Average Remaining Contractual Life (In Years)	Aggregate Intrinsic Value (In Millions)
Outstanding at December 31, 2022	Outstanding at December 31, 2022	240,622	$	38.51				Outstanding at December 31, 2022	240,622	$	38.51

Exercised	Exercised	(35,784)	36.78					Exercised	(68,821)	38.92

Outstanding and exercisable at March 31, 2023		204,838	$	38.82	3.2	$	7.9
Outstanding and exercisable at June 30, 2023								Outstanding and exercisable at June 30, 2023	171,801	$	38.35	3.3	$	8.1

Time-Based Restricted Stock Units

Most RSUs granted to employees during the ~~three~~six months ended ~~March 31,~~June 30, 2023 vest over a period of three years from the grant date, subject to the recipient’s continuous service to the Company. RSUs are issued to members of the Board as a portion of their annual retainer and vest quarterly over a period of one year. The grant-date fair value of all time-based RSUs is equal to the closing market price of Integer common stock on the date of grant.

The following table summarizes RSU activity for the ~~three~~six month period ended ~~March 31,~~June 30, 2023:


		Time-Vested Activity	Weighted Average Grant Date Fair Value			Time-Vested Activity	Weighted Average Grant Date Fair Value
Nonvested at December 31, 2022	Nonvested at December 31, 2022	291,929	$	77.58	Nonvested at December 31, 2022	291,929	$	77.58
Granted	Granted	178,857	74.21		Granted	230,782	75.74
Vested	Vested	(84,079)	79.34		Vested	(100,648)	79.20
Forfeited	Forfeited	(8,888)	78.07		Forfeited	(40,091)	71.21
Nonvested at March 31, 2023		377,819	$	75.58
Nonvested at June 30, 2023					Nonvested at June 30, 2023	381,972	$	76.71

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INTEGER HOLDINGS CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)

(7.) STOCK-BASED COMPENSATION (Continued)

Performance-Based Restricted Stock Units

For the Company’s PRSUs, in addition to service conditions, the ultimate number of shares to be earned depends on the achievement of financial and market-based performance conditions over three year performance periods. The financial performance conditions are based on the Company’s sales targets. The market-based performance conditions are based on the Company’s achievement of a relative total shareholder return performance requirement, on a percentile basis, compared to a defined group of peer companies, or contingent upon achieving specified stock price milestones over a five year performance period.

The following table summarizes PRSU activity for the ~~three~~six month period ended ~~March 31,~~June 30, 2023:


		Performance- Vested Activity	Weighted Average Grant Date Fair Value			Performance- Vested Activity	Weighted Average Grant Date Fair Value
Nonvested at December 31, 2022	Nonvested at December 31, 2022	263,906	$	90.29	Nonvested at December 31, 2022	263,906	$	90.29
Granted	Granted	104,285	74.25		Granted	105,757	74.32
Vested	Vested	(24,427)	107.26		Vested	(24,427)	107.26
Forfeited	Forfeited	(40,467)	86.39		Forfeited	(62,396)	83.39
Nonvested at March 31, 2023		303,297	$	83.93
Nonvested at June 30, 2023					Nonvested at June 30, 2023	282,840	$	84.38

The Company uses a Monte Carlo simulation model to determine the grant-date fair value of awards with market-based performance conditions. The grant-date fair value of all other PRSUs is equal to the closing market price of Integer common stock on the date of grant. The weighted average fair value and assumptions used to value the PRSU awards granted with market-based performance conditions are as follows:


		Three Months Ended							Six Months Ended
		March 31, 2023			April 1, 2022				June 30, 2023			July 1, 2022
Weighted average fair value	Weighted average fair value	$	74.29		$	97.58		Weighted average fair value	$	74.29		$	97.58
Risk-free interest rate	Risk-free interest rate	3.79		%	1.58		%	Risk-free interest rate	3.79		%	1.58		%
Expected volatility	Expected volatility	46		%	42		%	Expected volatility	46		%	42		%
Expected life (in years)	Expected life (in years)	3.0			3.9			Expected life (in years)	3.0			3.9
Expected dividend yield	Expected dividend yield	—		%	—		%	Expected dividend yield	—		%	—		%

The valuation of the market-based PRSUs granted during 2023 and 2022 also reflects a weighted average illiquidity discount of 11.23% and 9.25%, respectively, related to the six-month period that recipients are restricted from selling, transferring, pledging or assigning the underlying shares, in the event of vesting.

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INTEGER HOLDINGS CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)

(8.) RESTRUCTURING AND OTHER CHARGES

The Company continuously evaluates the business and identifies opportunities to realign its resources to better serve its customers and markets, improve operational efficiency and capabilities, and lower its operating costs or improve profitability. To realize the benefits associated with these opportunities, the Company undertakes restructuring-type activities to transform its business. The Company incurs costs associated with these activities, which primarily include exit and disposal costs and other costs directly related to the restructuring initiative. ~~The Company records exit~~Exit and disposal costs (“restructuring charges”) are expensed as incurred in accordance with ASC 420, Exit or Disposal Cost Obligations, and are classified within Restructuring and other charges, while other costs directly related to the restructuring initiatives (“restructuring-related charges”) are classified within Cost of sales, Selling, general and administrative, and Research, development and engineering expenses in the Company’s Condensed Consolidated Statements of Operations and Comprehensive ~~Income.~~Income (Loss).

In addition, from time to time, the Company incurs costs associated with acquiring and integrating businesses, and certain other general expenses, including asset impairments. The Company classifies costs associated with these items within Restructuring and other charges in the Company’s Condensed Consolidated Statements of Operations and Comprehensive ~~Income.~~Income (Loss).

Restructuring and other charges comprise the following (in thousands):

Three Months Ended
March 31,
2023 April 1,
2022
Restructuring charges $ 1,064 $ 1,103
Acquisition and integration costs 382 1,936
Other general expenses 83 296
Total restructuring and other charges $ 1,529 $ 3,335

~~Restructuring programs~~


	Three Months Ended				Six Months Ended
	June 30, 2023		July 1, 2022		June 30, 2023		July 1, 2022
Restructuring charges	$	936	$	(5)	$	2,000	$	1,098
Acquisition and integration costs	556		3,333		938		5,269
Other general expenses	26		205		109		501
Total restructuring and other charges	$	1,518	$	3,533	$	3,047	$	6,868

The following table comprises restructuring and restructuring-related charges by ~~income statement~~ classification ~~for~~in the ~~three month periods ended March 31, 2023~~Company’s Condensed Consolidated Statements of Operations and ~~April 1, 2022~~Comprehensive Income (Loss) (in thousands):


		Three Months Ended				Three Months Ended				Six Months Ended
		March 31, 2023		April 1, 2022				June 30, 2023		July 1, 2022		June 30, 2023		July 1, 2022
Restructuring charges:	Restructuring charges:						Restructuring charges:
Restructuring and other charges	Restructuring and other charges	$	1,064	$	1,103		Restructuring and other charges	$	936	$	(5)	$	2,000	$	1,098
Restructuring-related expenses(a):	Restructuring-related expenses(a):						Restructuring-related expenses(a):
Cost of sales	Cost of sales	177		155			Cost of sales	516		179		693		334
Selling, general and administrative	Selling, general and administrative	241		318			Selling, general and administrative	1,346		384		1,587		702
Research, development and engineering	Research, development and engineering	323		177			Research, development and engineering	318		326		641		503
Total restructuring and restructuring-related charges	Total restructuring and restructuring-related charges	$	1,805	$	1,753		Total restructuring and restructuring-related charges	$	3,116	$	884	$	4,921	$	2,637

__________

(a) Restructuring-related expenses primarily include retention bonuses and consulting expenses.

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INTEGER HOLDINGS CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)

(8.) RESTRUCTURING AND OTHER CHARGES (Continued)

Restructuring programs

Operational excellence initiatives

The Company’s operational excellence ~~(“OE”)~~ initiatives mainly consist of costs associated with executing on its sales force, manufacturing, 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.

~~2022 OE Initiatives -~~ Costs related to the Company’s 2022 OE initiatives are primarily recorded within the Medical segment or unallocated operating expenses and mainly include termination benefits. The Company estimates that it will incur aggregate pre-tax charges in connection with the 2022 OE initiatives of between approximately $5 million to $6 million, the majority of which are expected to be cash expenditures. As of March 31, 2023, total restructuring and restructuring-related charges incurred since inception were $4.1 million. These actions are expected to be substantially complete by the end of 2025.

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~~INTEGER HOLDINGS CORPORATION~~

~~NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)~~

~~(8.) RESTRUCTURING AND OTHER CHARGES (Continued)~~

~~2021 OE Initiatives -~~ Costs related to the Company’s 2021 OE initiatives are primarily recorded within the Medical segment or unallocated operating expenses and mainly include termination benefits. The Company estimates that it will incur aggregate pre-tax charges in connection with the 2021 OE initiatives of approximately $5 million, the majority of which are expected to be cash expenditures. As of March 31, 2023, total restructuring and restructuring-related charges incurred since inception were $4.9 million. These actions were substantially complete by the end of 2022.

Strategic reorganization and alignment

The Company’s strategic reorganization and alignment ~~(“SRA”)~~ initiatives primarily include those that align resources with market conditions and the Company’s strategic direction in order to enhance the profitability of its portfolio of products.

~~Cost Reduction Initiatives~~ - As of March 31, 2023, the Company incurred $1.5 million since inception in restructuring charges related to cost reduction actions taken in response to higher manufacturing and direct labor costs. These charges consisted of employee termination benefits. The Company expects to incur aggregate pre-tax cash charges of up to $2 million through completion in the second quarter of 2023.

~~2021 SRA Initiatives~~ - During the fourth quarter of 2021, the Company initiated plans to exit certain markets served in its Medical segment to enhance profitability and reallocate manufacturing capacity needed to support the Company’s overall growth plans. The Company estimates that it will incur a range of pre-tax charges in connection with the 2021 SRA initiatives of approximately $7 million and $9 million, the majority of which are expected to be cash expenditures. Costs related to the Company’s 2021 SRA Initiatives are primarily recorded within the Medical segment and mainly include termination benefits. As of March 31, 2023, total restructuring and restructuring-related charges incurred since inception were $4.7 million. These actions are expected to be completed by the end of 2025.

Manufacturing alignment to support growth

In 2022, the Company commenced initiatives designed to reduce costs and improve operating efficiencies by relocating certain manufacturing operations. The Company estimates that it will incur a range of pre-tax charges in connection with these initiatives of approximately $2 million and $3 million, the majority of which are expected to be cash expenditures. As of March 31, 2023, total restructuring and restructuring-related charges incurred since inception were $0.4 million. These actions are expected to be substantially complete by the end of 2024.

The following table summarizes the activity for restructuring reserves (in thousands):


		Operational excellence initiatives		Strategic reorganization and alignment		Total			Operational excellence initiatives		Strategic reorganization and alignment		Manufacturing alignment to support growth		Total
December 31, 2022	December 31, 2022	$	232	$	2,134	$	2,366	December 31, 2022	$	232	$	2,134	$	—	$	2,366
Charges incurred, net of reversals	Charges incurred, net of reversals	498		566		1,064		Charges incurred, net of reversals	710		979		311		2,000
Cash payments	Cash payments	(417)		(1,862)		(2,279)		Cash payments	(833)		(2,170)		—		(3,003)

March 31, 2023		$	313	$	838	$	1,151
June 30, 2023								June 30, 2023	$	109	$	943	$	311	$	1,363

Acquisition and integration

Acquisition and integration costs primarily consist of professional fees and other costs related to business acquisitions. During the ~~three~~six months ended ~~March 31,~~June 30, 2023 and ~~April~~July 1, 2022, acquisition and integration costs of $0.9 million and $5.3 million, respectively, included expenses primarily related to the acquisitions of Oscor and ~~Aran of $0.4 million and $1.9 million, respectively.~~Aran. Acquisition and integration costs for the ~~three~~six months ended ~~March 31,~~June 30, 2023 and ~~April~~July 1, 2022, included a benefit of $0.3 million and expense of $0.1 million, respectively, to adjust the fair value of acquisition-related contingent consideration liabilities. See Note 13 “Financial Instruments and Fair Value Measurements” for additional information related to the fair value measurement of the contingent consideration.

Other general expenses

During the ~~three~~six months ended ~~March 31,~~June 30, 2023 and ~~April~~July 1, 2022, the Company recorded expenses related to other initiatives not described above, which relate primarily to integration and operational initiatives to reduce future costs and improve efficiencies.

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INTEGER HOLDINGS CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)

(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 the ~~first~~second quarter of 2023 was ~~18.3%~~19.8% on ~~$16.0~~$29.9 million of income before taxes compared to ~~18.5%~~14.7% on ~~$13.9~~$24.4 million of income before taxes for the same period in 2022. The Company’s effective tax rate for the six months ended June 30, 2023 was 19.3% on $45.9 million of income before taxes compared to 16.1% on $38.4 million of income before taxes for the same period of 2022. The difference between the Company’s effective tax rates and the U.S. federal statutory income tax rate of 21% for the second quarter and first ~~quarter~~six months of 2023 and 2022 is 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, the Foreign Derived Intangible Income (“FDII”) deduction, the availability of tax credits, and the recognition of certain discrete tax items. For the second quarter and first ~~quarter~~six months of 2023, ~~and 2022~~ the Company recorded discrete tax expense of ~~$0.1~~$0.4 million and $0.5 million, respectively. The Company did not record discrete tax expense for the second quarter of 2022 and recorded discrete tax expense of $0.5 million for the first six months of 2022. The discrete tax expense for the second quarter and first six months of 2023 is predominately related to unfavorable return to provision adjustments attributable to certain foreign tax returns filed during the quarter. The remainder of the discrete tax amounts ~~for both periods~~relate predominately ~~relate~~ to excess tax benefits recognized upon vesting of RSUs during those ~~quarters and/or~~periods partially offset by tax expense from shortfalls recorded for the forfeiture of certain PRSUs. The discrete tax amounts for the second quarter and first six months of 2022 are predominately related to tax expense on shortfalls recorded for the forfeiture of certain PRSUs, partially offset by excess tax benefits recognized upon vesting of RSUs during those periods.

Unrecognized tax benefits reflect the difference between positions taken or expected to be taken on income tax returns and the amounts reflected in the financial statements. As of ~~March 31,~~June 30, 2023, the Company had unrecognized tax benefits of approximately ~~$7.9~~$8.0 million, of which approximately ~~$7.8~~$7.9 million would favorably impact the effective tax rate, net of federal benefit on state issues, if recognized. As of ~~March 31,~~June 30, 2023, the Company believes it is reasonably possible that a reduction of approximately $1.9 million of the balance of unrecognized tax benefits may occur within the next 12 months as a result of various statute expirations, audit closures, and/or tax settlements.

(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.

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 expenses and other current liabilities on the Condensed Consolidated Balance Sheets. The change in product warranty liability comprised the following (in thousands):


December 31, 2022	$	77
Additions to warranty reserve, net of reversals	7


~~March 31,~~June 30, 2023	$	84

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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 Ended				Three Months Ended				Six Months Ended
		March 31, 2023		April 1, 2022				June 30, 2023		July 1, 2022		June 30, 2023		July 1, 2022
Numerator for basic and diluted EPS:	Numerator for basic and diluted EPS:						Numerator for basic and diluted EPS:

Net income	Net income	$	13,065	$	11,367		Net income	$	23,971	$	20,836	$	37,036	$	32,203

Denominator for basic and diluted EPS:	Denominator for basic and diluted EPS:						Denominator for basic and diluted EPS:
Weighted average shares outstanding - Basic	Weighted average shares outstanding - Basic	33,258		33,091			Weighted average shares outstanding - Basic	33,312		33,111		33,285		33,101
Dilutive effect of share-based awards	Dilutive effect of share-based awards	317		211			Dilutive effect of share-based awards	374		239		346		225
Weighted average shares outstanding - Diluted	Weighted average shares outstanding - Diluted	33,575		33,302			Weighted average shares outstanding - Diluted	33,686		33,350		33,631		33,326

Basic EPS	Basic EPS	$	0.39	$	0.34		Basic EPS	$	0.72	$	0.63	$	1.11	$	0.97

Diluted EPS	Diluted EPS	$	0.39	$	0.34		Diluted EPS	$	0.71	$	0.62	$	1.10	$	0.97

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 Ended		Three Months Ended			Six Months Ended
		March 31, 2023	April 1, 2022			June 30, 2023	July 1, 2022	June 30, 2023	July 1, 2022
RSUs	RSUs	3	3		RSUs	—	5	2	4
PRSUs	PRSUs	133	166		PRSUs	83	165	108	165

The dilutive effect for the Company's 2028 Notes is calculated using the if-converted method. The Company is required, pursuant to the Indenture governing the 2028 Notes, to settle the principal amount of the 2028 Notes in cash and may elect to settle the remaining conversion obligation (i.e., the stock price in excess of the conversion price) in cash, shares of the Company's common stock, or a combination thereof. Under the if-converted method, the Company includes the number of shares required to satisfy the conversion obligation, assuming all the 2028 Notes are converted. Because the average closing price of the Company's common stock for the three months ended ~~March 31,~~June 30, 2023, which is used as the basis for determining the dilutive effect on earnings per share, was less than the conversion price of $87.20, all associated shares were antidilutive.

In connection with the issuance of the 2028 Notes, the Company entered into privately negotiated capped call transactions with certain financial institutions. The Capped Calls cover, subject to anti-dilution adjustments substantially similar to those in the 2028 Notes, approximately ~~5.8~~5.7 million shares of the Company's common stock, the same number of shares initially underlying the 2028 Notes, at a strike price of approximately $108.59, subject to certain adjustments under the terms of the Capped Calls. The Capped Calls will expire upon the maturity of the 2028 Notes, subject to earlier exercise or termination. Exercise of the Capped Calls would reduce the number of shares of the Company's common stock outstanding, and therefore would be antidilutive.

See Note 6 “Debt” for additional information related to 2028 Notes and Capped Calls.

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INTEGER HOLDINGS CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)

(12.) STOCKHOLDERS’ EQUITY

Common Stock

The following is a summary of the number of shares of common stock issued, treasury stock and common stock outstanding for the ~~three~~six month periods ended ~~March 31,~~June 30, 2023 and ~~April~~July 1, 2022:


		Three Months Ended			Six Months Ended
		March 31, 2023	April 1, 2022		June 30, 2023	July 1, 2022
Shares outstanding at beginning of period	Shares outstanding at beginning of period	33,169,778	33,063,336	Shares outstanding at beginning of period	33,169,778	33,063,336
Stock options exercised	Stock options exercised	25,376	—	Stock options exercised	58,413	—
Vesting of RSUs, net of shares withheld to cover taxes	Vesting of RSUs, net of shares withheld to cover taxes	70,236	38,831	Vesting of RSUs, net of shares withheld to cover taxes	79,889	58,497
Shares outstanding at end of period	Shares outstanding at end of period	33,265,390	33,102,167	Shares outstanding at end of period	33,308,080	33,121,833

Accumulated Other Comprehensive Income

Accumulated other comprehensive income (“AOCI”) comprises the following (in thousands):


															Defined Benefit Plan Liability		Cash Flow Hedges		Foreign Currency Translation Adjustment		Total Pre-Tax Amount		Tax		Net-of-Tax Amount
March 31, 2023														March 31, 2023	$	(346)	$	3,927	$	12,075	$	15,656	$	(690)	$	14,966
Unrealized gain on cash flow hedges														Unrealized gain on cash flow hedges	—		2,126		—		2,126		(447)		1,679
Realized gain on foreign currency hedges														Realized gain on foreign currency hedges	—		(1,318)		—		(1,318)		277		(1,041)
Realized gain on interest rate swap hedge														Realized gain on interest rate swap hedge	—		(675)		—		(675)		142		(533)
Foreign currency translation loss														Foreign currency translation loss	—		—		(2,901)		(2,901)		—		(2,901)

June 30, 2023														June 30, 2023	$	(346)	$	4,060	$	9,174	$	12,888	$	(718)	$	12,170
		Defined Benefit Plan Liability		Cash Flow Hedges		Foreign Currency Translation Adjustment		Total Pre-Tax Amount		Tax		Net-of-Tax Amount
December 31, 2022	December 31, 2022	$	(346)	$	1,760	$	4,150	$	5,564	$	(235)	$	5,329	December 31, 2022	$	(346)	$	1,760	$	4,150	$	5,564	$	(235)	$	5,329
Unrealized gain on cash flow hedges	Unrealized gain on cash flow hedges	—		3,446		—		3,446		(723)		2,723		Unrealized gain on cash flow hedges	—		5,572		—		5,572		(1,170)		4,402
Realized gain on foreign currency hedges	Realized gain on foreign currency hedges	—		(692)		—		(692)		145		(547)		Realized gain on foreign currency hedges	—		(2,010)		—		(2,010)		422		(1,588)
Realized gain on interest rate swap hedge	Realized gain on interest rate swap hedge	—		(587)		—		(587)		123		(464)		Realized gain on interest rate swap hedge	—		(1,262)		—		(1,262)		265		(997)
Foreign currency translation gain	Foreign currency translation gain	—		—		7,925		7,925		—		7,925		Foreign currency translation gain	—		—		5,024		5,024		—		5,024

March 31, 2023		$	(346)	$	3,927	$	12,075	$	15,656	$	(690)	$	14,966

June 30, 2023														June 30, 2023	$	(346)	$	4,060	$	9,174	$	12,888	$	(718)	$	12,170


April 1, 2022														April 1, 2022	$	(890)	$	1,170	$	21,833	$	22,113	$	(76)	$	22,037
Unrealized loss on cash flow hedges														Unrealized loss on cash flow hedges	—		(291)		—		(291)		61		(230)
Realized gain on foreign currency hedges														Realized gain on foreign currency hedges	—		(295)		—		(295)		62		(233)
Realized loss on interest rate swap hedge														Realized loss on interest rate swap hedge	—		526		—		526		(110)		416
Foreign currency translation loss														Foreign currency translation loss	—		—		(27,274)		(27,274)		—		(27,274)

July 1, 2022														July 1, 2022	$	(890)	$	1,110	$	(5,441)	$	(5,221)	$	(63)	$	(5,284)

December 31, 2021	December 31, 2021	$	(890)	$	(2,291)	$	29,720	$	26,539	$	651	$	27,190	December 31, 2021	$	(890)	$	(2,291)	$	29,720	$	26,539	$	651	$	27,190
Unrealized gain on cash flow hedges	Unrealized gain on cash flow hedges	—		2,856		—		2,856		(600)		2,256		Unrealized gain on cash flow hedges	—		2,565		—		2,565		(539)		2,026
Realized gain on foreign currency hedges	Realized gain on foreign currency hedges	—		(162)		—		(162)		34		(128)		Realized gain on foreign currency hedges	—		(457)		—		(457)		96		(361)
Realized loss on interest rate swap hedge	Realized loss on interest rate swap hedge	—		767		—		767		(161)		606		Realized loss on interest rate swap hedge	—		1,293		—		1,293		(271)		1,022
Foreign currency translation loss	Foreign currency translation loss	—		—		(7,887)		(7,887)		—		(7,887)		Foreign currency translation loss	—		—		(35,161)		(35,161)		—		(35,161)

April 1, 2022		$	(890)	$	1,170	$	21,833	$	22,113	$	(76)	$	22,037

July 1, 2022														July 1, 2022	$	(890)	$	1,110	$	(5,441)	$	(5,221)	$	(63)	$	(5,284)

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Table of Contents

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~~may use 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 Condensed Consolidated Balance Sheets.

The following tables provide information regarding assets and liabilities recorded at fair value on a recurring basis (in thousands):


		Fair Value		Quoted Prices in Active Markets (Level 1)		Significant Other Observable Inputs (Level 2)		Significant Unobservable Inputs (Level 3)			Fair Value		Quoted Prices in Active Markets (Level 1)		Significant Other Observable Inputs (Level 2)		Significant Unobservable Inputs (Level 3)
March 31, 2023
Assets: Interest rate swap		$	669	$	—	$	669	$	—
June 30, 2023										June 30, 2023

Assets: Foreign currency hedging contracts	Assets: Foreign currency hedging contracts	3,258		—		3,258		—		Assets: Foreign currency hedging contracts	$	4,060	$	—	$	4,060	$	—

Liabilities: Contingent consideration	Liabilities: Contingent consideration	11,732		—		—		11,732		Liabilities: Contingent consideration	555		—		—		555

December 31, 2022	December 31, 2022									December 31, 2022
Assets: Interest rate swap	Assets: Interest rate swap	$	1,262	$	—	$	1,262	$	—	Assets: Interest rate swap	$	1,262	$	—	$	1,262	$	—
Assets: Foreign currency hedging contracts	Assets: Foreign currency hedging contracts	521		—		521		—		Assets: Foreign currency hedging contracts	521		—		521		—

Liabilities: Foreign currency hedging contracts	Liabilities: Foreign currency hedging contracts	23				23				Liabilities: Foreign currency hedging contracts	23				23
Liabilities: Contingent consideration	Liabilities: Contingent consideration	11,756		—		—		11,756		Liabilities: Contingent consideration	11,756		—		—		11,756

Derivatives Designated as Hedging Instruments

Interest Rate Swaps

The Company may periodically ~~enters~~enter 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 approximately the same rate of interest, excluding the credit spread, and will reset and pay interest on the same date. rate.

The Company ~~has designated these swap agreements~~had no outstanding interest rate swaps 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.~~

June 30, 2023. Information regarding the Company’s outstanding interest rate swap, designated as ~~of March 31, 2023 is as follows (dollars in thousands):~~

Notional Amount Maturity Date Pay Fixed Rate Receive Current Floating Rate Fair Value Balance Sheet Location
$ 100,000 Jun 2023 2.1785 % 4.8306 % $ 669 Prepaid expenses and other current assets

~~Information regarding the Company’s outstanding interest rate swap~~a cash flow hedge, as of December 31, 2022 is as follows (dollars in thousands):


Notional Amount		Maturity Date	Pay Fixed Rate		Receive Current Floating Rate		Fair Value		Balance Sheet Location
$	100,000	Jun 2023	2.1785	%	4.3869	%	$	1,262	Prepaid expenses and other current assets

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Table of Contents

INTEGER HOLDINGS CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)

(13.) FINANCIAL INSTRUMENTS AND FAIR VALUE MEASUREMENTS (Continued)

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.

Under master agreements with the respective counterparties to the Company’s derivative contracts, subject to applicable requirements, it has the right of set-off and is allowed to net settle transactions of the same type with a single net amount payable by one party to the other. The Company has derivative assets and liabilities associated with Euro denominated foreign currency forward contracts with the same counterparty of $289 thousand and $112 thousand, respectively. The net asset of $177 thousand is presented in Prepaid expenses and other current assets.

Information regarding outstanding foreign currency forward contracts designated as cash flow hedges as of ~~March 31,~~June 30, 2023 is as follows (dollars in thousands):


Notional Amount	Notional Amount	Maturity Date	$/Foreign Currency		Fair Value		Balance Sheet Location	Notional Amount	Maturity Date	$/Foreign Currency		Fair Value		Balance Sheet Location
$	27,653	Dec 2023	0.0485	MXN Peso	$	3,081	Prepaid expenses and other current assets	18,289	Dec 2023	0.0481	MXN Peso	$	3,436	Prepaid expenses and other current assets
41,051		Sep 2023	1.0860	Euro	177		Prepaid expenses and other current assets
40,377								40,377	Dec 2023	1.0796	Euro	624		Prepaid expenses and other current assets

Information regarding outstanding foreign currency forward contracts designated as cash flow hedges as of December 31, 2022 is as follows (dollars in thousands):


Notional Amount		Maturity Date	$/Foreign Currency		Fair Value		Balance Sheet Location


$	37,175	Dec 2023	0.0489	MXN Peso	$	504	Prepaid expenses and other current assets
2,685		Mar 2023	0.0249	UYU Peso	17		Prepaid expenses and other current assets
17,309		Mar 2023	1.0751	Euro	(23)		Accrued expenses and other current liabilities

The following tables present the effect of cash flow hedge derivative instruments on other comprehensive income (loss) (“OCI”), AOCI and the Company’s Condensed Consolidated Statements of Operations and Comprehensive Income (Loss) for the three and six months ended ~~March 31,~~June 30, 2023 and ~~April~~July 1, 2022 (in thousands):


		Three Months Ended									Three Months Ended
		March 31, 2023				April 1, 2022					June 30, 2023				July 1, 2022
		Total		Amount of Gain (Loss) on Cash Flow Hedge Activity		Total		Amount of Gain (Loss) on Cash Flow Hedge Activity			Total		Amount of Gain (Loss) on Cash Flow Hedge Activity		Total		Amount of Gain (Loss) on Cash Flow Hedge Activity
Sales	Sales	$	378,785	$	(51)	$	310,912	$	(54)	Sales	$	400,044	$	(83)	$	350,081	$	(371)
Cost of sales	Cost of sales	282,112		708		229,437		192		Cost of sales	294,240		1,384		257,184		554
Operating expenses	Operating expenses	62,507		35		58,978		24		Operating expenses	64,228		17		60,190		112
Interest expense	Interest expense	17,254		587		5,968		(767)		Interest expense	11,459		675		7,773		(526)



	Six Months Ended
	June 30, 2023				July 1, 2022
	Total		Amount of Gain (Loss) on Cash Flow Hedge Activity		Total		Amount of Gain (Loss) on Cash Flow Hedge Activity
Sales	$	778,829	$	(134)	$	660,993	$	(425)
Cost of sales	576,352		2,092		486,621		746
Operating expenses	126,735		52		119,168		136
Interest expense	28,713		1,262		13,741		(1,293)

Unrealized Gain (Loss) Recognized in OCI Realized Gain (Loss) Reclassified from AOCI
Three Months Ended Location in Statements of Operations and Comprehensive Income Three Months Ended
March 31,
2023 April 1,
2022 March 31,
2023 April 1,
2022
Interest rate swap $ (6) $ 1,824 Interest expense $ 587 $ (767)
Foreign exchange contracts 149 (514) Sales (51) (54)
Foreign exchange contracts 3,275 1,269 Cost of sales 708 192
Foreign exchange contracts 28 277 Operating expenses 35 24

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Table of Contents

INTEGER HOLDINGS CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)

(13.) FINANCIAL INSTRUMENTS AND FAIR VALUE MEASUREMENTS (Continued)


	Unrealized Gain (Loss) Recognized in OCI				Realized Gain (Loss) Reclassified from AOCI
	Three Months Ended				Location in Statements of Operations and Comprehensive Income (Loss)	Three Months Ended
	June 30, 2023		July 1, 2022			June 30, 2023		July 1, 2022
Interest rate swap	$	6	$	702	Interest expense	$	675	$	(526)
Foreign exchange contracts	364		(1,167)		Sales	(83)		(371)
Foreign exchange contracts	1,739		96		Cost of sales	1,384		554
Foreign exchange contracts	17		78		Operating expenses	17		112

	Six Months Ended				Location in Statements of Operations and Comprehensive Income (Loss)	Six Months Ended
	June 30, 2023		July 1, 2022			June 30, 2023		July 1, 2022
Interest rate swap	$	—	$	2,526	Interest expense	$	1,262	$	(1,293)
Foreign exchange contracts	513		(1,681)		Sales	(134)		(425)
Foreign exchange contracts	5,014		1,365		Cost of sales	2,092		746
Foreign exchange contracts	45		355		Operating expenses	52		136

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~~Table of Contents~~

~~INTEGER HOLDINGS CORPORATION~~

~~NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)~~

~~(13.) FINANCIAL INSTRUMENTS AND FAIR VALUE MEASUREMENTS (Continued)~~

The Company expects to reclassify net gains totaling ~~$3.9~~$4.1 million related to its cash flow hedges from AOCI into earnings during the next twelve months.

Net Investment Hedges

The Company has foreign-denominated long-term debt balances that qualify as net investment hedges. Changes in the value of these net investment hedges due to foreign currency gains or losses are deferred as foreign currency translation adjustments in Other comprehensive income (loss) on the Condensed Consolidated Statements of Operations and Comprehensive Income (Loss), and will remain in Accumulated other comprehensive income (loss) until the hedged investment is sold or substantially liquidated. We evaluate the effectiveness of the net investment hedges each quarter.

As of ~~March 31,~~June 30, 2023, the Company had a €100 million borrowing on the Revolving Credit Facility that was designated as a net investment hedge on a portion of the Company’s net investments in certain of its entities with functional currencies denominated in the Euro. There were no net investment hedges outstanding at December 31, 2022.

Derivatives Not Designated as Hedging Instruments

The Company also has foreign currency exposure on balances, primarily intercompany, that are denominated in a foreign currency and are adjusted to current values using period-end exchange rates. To minimize foreign currency exposure, the Company enters into foreign currency contracts with a one month maturity. At ~~March 31,~~June 30, 2023 and December 31, 2022, the Company had total gross notional amounts of ~~$17.0~~$15.0 million and $12.0 million, respectively, of foreign currency contracts outstanding that were not designated as hedges. The fair value of derivatives not designated as hedges was not material for any period presented. ~~The Company recorded a net gain~~Net gains/losses on foreign currency contracts not designated as hedging instruments ~~of $0.1 million and $0.3 million, for the three months ended March 31, 2023 and April 1, 2022, respectively, which~~ are included in Other loss, ~~net.~~net on the Condensed Consolidated Statements of Operations and Comprehensive Income (Loss). The Company recorded net losses of approximately $0.1 million for the three and six months ended June 30, 2023, compared to gains of $0.4 million and $0.7 million, respectively, for the three and six months ended July 1, 2022, respectively. Each of the foreign currency contracts not designated as hedging instruments will have approximately offsetting effects from the underlying intercompany loans subject to foreign exchange remeasurement.

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Table of Contents

INTEGER HOLDINGS CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)

(13.) FINANCIAL INSTRUMENTS AND FAIR VALUE MEASUREMENTS (Continued)

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 and six months ended ~~March 31,~~June 30, 2023 and ~~April~~July 1, 2022 (in thousands):


		Three Months Ended				Three Months Ended				Six Months Ended
		March 31, 2023		April 1, 2022				June 30, 2023		July 1, 2022		June 30, 2023		July 1, 2022
Fair value measurement at beginning of period	Fair value measurement at beginning of period	$	11,756	$	2,415		Fair value measurement at beginning of period	$	11,732	$	1,976	$	11,756	$	2,415

Amount recorded for current year acquisitions							Amount recorded for current year acquisitions	—		7,375		—		7,375
Fair value measurement adjustment	Fair value measurement adjustment	(265)		54			Fair value measurement adjustment	—		—		(265)		54
Payments	Payments	—		(493)			Payments	(11,177)		—		(11,177)		(493)
Foreign currency translation	Foreign currency translation	241		—			Foreign currency translation	—		(279)		241		(279)
Fair value measurement at end of period	Fair value measurement at end of period	$	11,732	$	1,976		Fair value measurement at end of period	$	555	$	9,072	$	555	$	9,072

On ~~April 6,~~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. As of June 30, 2023 and December 31, 2022, the Company ~~acquired Aran. See Note 2 “Business Acquisitions”~~assessed the probability of meeting the required revenue threshold as unlikely and determined the fair value of the contingent consideration liability relating to the acquisition of USB was zero. The final earnout period under the asset purchase agreement for ~~additional information about~~USB ends on December 31, 2023. During the ~~Aran~~six months ended July 1, 2022, the Company made a $0.5 million payment associated with the USB acquisition, ~~and related contingent consideration.~~ resulting from achievement of revenue-based goals for the period from January 1, 2021 to December 31, 2021.

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. 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 contingent consideration at March 31, 2023 is the estimated fair value of the Company’s obligations, under the asset purchase agreements for Aran, InoMec and USB, to make additional payments if certain revenue goals are met.

As of March 31, 2023 and December 31, 2022, the Company assessed the probability of meeting the required revenue threshold as unlikely and determined the fair value of the contingent consideration liability relating to the acquisition of USB was zero. During the three months ended April 1, 2022, the Company made a $0.5 million payment associated with the USB acquisition, resulting from achievement of revenue-based goals for the period from January 1, 2021 to December 31, 2021.

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~~Table of Contents~~

~~INTEGER HOLDINGS CORPORATION~~

~~NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)~~

~~(13.) FINANCIAL INSTRUMENTS AND FAIR VALUE MEASUREMENTS (Continued)~~

~~As of March 31,~~June 30, 2023 and December 31, 2022, the fair value of the contingent consideration liability relating to the acquisition of InoMec was ~~$0.8~~$0.6 million and $1.1 million, respectively. ~~The fair value~~During the six months ended June 30, 2023, the Company made a $0.3 million payment associated with the InoMec acquisition, resulting from achievement of ~~the contingent consideration liability relating to the acquisition of InoMec was calculated using projected revenue~~revenue-based goals for the ~~remaining~~period from March 1, 2022 to February 28, 2023. The final earnout period ~~and discounted using a discount~~under the asset purchase agreement for InoMec ends on February 29, 2024. ~~rate of 12.3%.~~ The remaining maximum potential undiscounted payout for the contingent consideration liability relating to the acquisition of InoMec is ~~$1.1~~$0.9 million ~~with projected payments in 2023 and 2024.~~.

On April 6, 2022, the Company acquired Aran. See Note 2 “Business Acquisitions” for additional information about the Aran acquisition and related contingent consideration. During the six months ended June 30, 2023, the Company made a $10.9 million payment associated with the final earnout period under the asset purchase agreement for Aran, resulting from achievement of the maximum revenue-based goals for the year ended December 31, 2022. As of ~~March 31, 2023 and~~ December 31, 2022, the fair value of the contingent consideration liability relating to the acquisition of Aran was ~~$10.7 million and~~ $10.9 ~~million, respectively. The Company determined that Aran achieved the maximum revenue threshold for the year ended December 31, 2022.~~ million.

The contingent consideration ~~related to Aran was paid in full in April 2023.~~

at June 30, 2023 is the estimated fair value of the Company’s remaining obligations under the asset purchase agreements for InoMec and USB. As of ~~March 31,~~June 30, 2023, contingent consideration liabilities of $0.6 million are included in Accrued expenses and other current liabilities on the Condensed Consolidated Balance Sheets. As of December 31, 2022, the current portion of contingent consideration liabilities included in Accrued expenses and other current liabilities was $11.2 million and the non-current portion included in Other long-term liabilities ~~on the Condensed Consolidated Balance Sheets~~ was $0.6 million.

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Table of Contents

INTEGER HOLDINGS CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)

(13.) FINANCIAL INSTRUMENTS AND FAIR VALUE MEASUREMENTS (Continued)

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 and TLA 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 assets on the Condensed Consolidated Balance Sheets.

Equity investments comprise the following (in thousands):


		March 31, 2023		December 31, 2022			June 30, 2023		December 31, 2022
Equity method investment	Equity method investment	$	8,097	$	8,252	Equity method investment	$	8,231	$	8,252
Non-marketable equity securities	Non-marketable equity securities	5,637		5,637		Non-marketable equity securities	5,637		5,637
Total equity investments	Total equity investments	$	13,734	$	13,889	Total equity investments	$	13,868	$	13,889

The components of ~~Loss~~(Gain) loss on equity investments for each period were as follows (in thousands):

Three Months Ended
March 31,
2023 April 1,
2022
Equity method investment loss $ 155 $ 2,404


	Three Months Ended				Six Months Ended
	June 30, 2023		July 1, 2022		June 30, 2023		July 1, 2022
Equity method investment (gain) loss	$	(134)	$	320	$	21	$	2,724

The Company’s equity method investment is in a venture capital fund focused on investing in life sciences companies. As of ~~March 31,~~June 30, 2023, the Company owned ~~7.5%~~7.4% of this fund.

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Table of Contents

INTEGER HOLDINGS CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)

(14.) SEGMENT INFORMATION

The Company organizes its business into two 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 by product line (in thousands):


		Three Months Ended				Three Months Ended				Six Months Ended
		March 31, 2023		April 1, 2022				June 30, 2023		July 1, 2022		June 30, 2023		July 1, 2022
Segment sales by product line:	Segment sales by product line:						Segment sales by product line:
Medical	Medical						Medical
Cardio & Vascular	Cardio & Vascular	$	191,203	$	159,037		Cardio & Vascular	$	208,494	$	180,604	$	399,697	$	339,641
Cardiac Rhythm Management & Neuromodulation	Cardiac Rhythm Management & Neuromodulation	145,139		123,324			Cardiac Rhythm Management & Neuromodulation	153,411		135,945		298,550		259,269
Advanced Surgical, Orthopedics & Portable Medical	Advanced Surgical, Orthopedics & Portable Medical	27,924		19,666			Advanced Surgical, Orthopedics & Portable Medical	27,206		23,285		55,130		42,951

Total Medical	Total Medical	364,266		302,027			Total Medical	389,111		339,834		753,377		641,861
Non-Medical	Non-Medical	14,519		8,885			Non-Medical	10,933		10,247		25,452		19,132
Total sales	Total sales	$	378,785	$	310,912		Total sales	$	400,044	$	350,081	$	778,829	$	660,993

The following table presents income for the Company’s reportable segments (in thousands):


		Three Months Ended				Three Months Ended				Six Months Ended
		March 31, 2023		April 1, 2022				June 30, 2023		July 1, 2022		June 30, 2023		July 1, 2022
Segment income:	Segment income:						Segment income:
Medical	Medical	$	54,806	$	44,148		Medical	$	68,497	$	54,580	$	123,303	$	98,728
Non-Medical	Non-Medical	4,026		665			Non-Medical	278		1,625		4,304		2,290
Total segment income	Total segment income	58,832		44,813			Total segment income	68,775		56,205		127,607		101,018
Unallocated operating expenses	Unallocated operating expenses	(24,666)		(22,316)			Unallocated operating expenses	(27,199)		(23,498)		(51,865)		(45,814)
Operating income	Operating income	34,166		22,497			Operating income	41,576		32,707		75,742		55,204
Unallocated expenses, net	Unallocated expenses, net	(18,169)		(8,549)			Unallocated expenses, net	(11,684)		(8,284)		(29,853)		(16,833)
Income before taxes	Income before taxes	$	15,997	$	13,948		Income before taxes	$	29,892	$	24,423	$	45,889	$	38,371

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Table of Contents

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 represented ~~28%~~27% of total revenue for the three and six months ended ~~March 31,~~June 30, 2023, compared to 32% and 31%, respectively, for the three and six months ended ~~April~~July 1, 2022. Substantially all of the revenue recognized from products and services transferred to customers over time during the periods presented was within the Medical segment.

The following tables present revenues by significant customers, which are defined as any customer who individually represents 10% or more of a segment’s total revenues.

Three Months Ended
March 31, 2023 April 1, 2022
Customer Medical Non-Medical Medical Non-Medical
Customer A 18% * 18% *
Customer B 16% * 18% *
Customer C 14% * 14% *
Customer D * 22% * 33%
All other customers 52% 78% 50% 67%

Three Months Ended

June 30, 2023

July 1, 2022

Customer

Medical

Non-Medical

Medical

Non-Medical

Customer A

17%

18%

Customer B

17%

Customer C

13%

14%

Customer D

20%

42%

All other customers

53%

80%

51%

58%

Six Months Ended

June 30, 2023

July 1, 2022

Customer

Medical

Non-Medical

Medical

Non-Medical

Customer A

18%

Customer B

17%

Customer C

13%

14%

Customer D

21%

37%

All other customers

52%

79%

51%

63%

__________

* Less than 10% of segment’s total revenues for the period.

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Table of Contents

INTEGER HOLDINGS CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)

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

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

March 31, 2023

April 1, 2022

June 30, 2023

July 1, 2022

Ship to Location

Medical

Non-Medical

Medical

Non-Medical

Ship to Location

Medical

Non-Medical

Medical

Non-Medical

United States

55%

60%

54%

63%

United States

54%

64%

52%

71%

United Kingdom

10%

Canada

12%

All other countries

45%

40%

46%

27%

All other countries

46%

24%

48%

29%

Six Months Ended

June 30, 2023

July 1, 2022

Ship to Location

Medical

Non-Medical

Medical

Non-Medical

United States

54%

62%

51%

67%

Canada

11%

All other countries

46%

27%

49%

33%

__________

* 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):


		March 31, 2023		December 31, 2022			June 30, 2023		December 31, 2022

Contract assets	Contract assets	$	80,929	$	71,927	Contract assets	$	80,010	$	71,927
Contract liabilities	Contract liabilities	6,366		5,616		Contract liabilities	8,777		5,616

During the three and six months ended ~~March 31,~~June 30, 2023, the Company recognized $1.3 million and $2.7 million, respectively, of revenue that was included in the contract liability balance as of December 31, 2022. During the three and six months ended ~~April~~July 1, 2022, the Company recognized ~~$0.9~~$0.8 million and $1.7 million, respectively, of revenue that was included in the contract liability balance as of December 31, 2021.

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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, 2022. 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 Form 10-Q 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 (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:

•~~recovery from the COVID-19 global pandemic;~~

•future sales, expenses, and profitability; customer demand; supplier performance (including delivery delays); costs (including wages, staffing levels and freight); future development and expected growth of our business and industry, including expansion of our manufacturing capacity;

•our ability to execute our business model and our business strategy, including completion and integration of current or future acquisition targets;

•having available sufficient cash and borrowing capacity to meet working capital, debt service and capital expenditure requirements for the next twelve months; and

•projected capital spending.

You can identify forward-looking statements by terminology such as “outlook,” “projected,” “may,” “will,” “should,” “could,” “expects,” “intends,” “plans,” “anticipates,” “believes,” “estimates,” “predicts,” “potential,” “projects” or “continue” or variations or the negative of these terms or other comparable terminology. These statements are only predictions. Actual events or results may differ materially from those stated or implied by these forward-looking statements. In evaluating these statements and our prospects, you should carefully consider the factors set forth below. 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 Form 10-Q.

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

•operational risks, such as the duration, scope and impact of global supply chain issues and the ~~COVID-19 pandemic,~~military conflict between Russia and Ukraine, including the evolving ~~health,~~ economic, social and governmental environments and ~~the~~their effect ~~of the pandemic~~ on our ~~associates,~~ suppliers and customers as well as the global economy; our dependence upon a limited number of customers; pricing pressures that we face from customers; our reliance on third party suppliers for raw materials, key products and subcomponents; our ability to attract, train and retain a sufficient number of qualified associates; the potential for harm to our reputation caused by quality problems related to our products; 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; and global climate change and the emphasis on ESG matters by various stakeholders;

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

•financial risks, such as 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 access to capital markets, borrowings or financial transactions; financial and market risks related to our international operations and sales; our complex international tax profile; and our ability to realize the full value of our intangible assets; and

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~~INTEGER HOLDINGS CORPORATION~~

~~MANAGEMENT'S DISCUSSION AND ANALYSIS~~

•legal and compliance risks, such as regulatory issues resulting from product complaints, recalls or regulatory audits; the potential of becoming subject to product liability or intellectual property claims; our ability to protect our intellectual property and proprietary rights; our ability 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;~~operations, including trade regulation; and the fact that the healthcare industry is highly regulated and subject to various regulatory changes; and

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

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INTEGER HOLDINGS CORPORATION

MANAGEMENT'S DISCUSSION AND ANALYSIS

Except as may be required by applicable law, the Company assumes no obligation to update forward-looking statements in this Form 10-Q 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 Rhythm Management & 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.

Impact of Global Events

Global economic challenges, including the impact of the war in Ukraine, ~~the COVID-19 pandemic,~~ severe and sustained inflation, a rising interest rate environment, fluctuations in global currencies, and supply chain disruptions may continue to cause economic uncertainty and volatility. The impact of these issues on our business will vary by geographic market and product line, but specific impacts to our business include increased borrowing costs, labor shortages, disruptions in the supply chain, delayed or reduced customer orders and sales, ~~restrictions on associates’ ability to travel or work,~~ and delays in shipments to and from certain countries. We monitor economic conditions closely. In response to potential reductions in revenue, we can take actions to align our cost structure with changes in demand and manage our working capital. However, there can be no assurance as to the effectiveness of our efforts to mitigate any impact of the current and future adverse economic conditions and other developments.

Business Acquisitions

On April 6, 2022, we acquired 100% of the equity interests of Connemara Biomedical Holdings Teoranta, including its operating subsidiaries Aran Biomedical and Proxy Biomedical (collectively “Aran”). A recognized leader in proprietary medical textiles, high precision biomaterial coverings and coatings as well as advanced metal and polymer braiding, Aran delivers development and manufacturing solutions for implantable medical devices. Consistent with our strategy, the combination with Aran further increases our ability to offer complete solutions for complex delivery and therapeutic devices in high growth cardiovascular markets such as structural heart, neurovascular, peripheral vascular, and endovascular as well as general surgery.

Refer to Note 2 “Business Acquisitions” of the Notes to Condensed Consolidated Financial Statements contained in Item 1 of this report for additional information about these acquisitions.

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INTEGER HOLDINGS CORPORATION

MANAGEMENT'S DISCUSSION AND ANALYSIS

Financial Overview

Net income for the second quarter and first ~~quarter~~six months of 2023 was ~~$13.1~~$24.0 million, or ~~$0.39~~$0.71 per diluted share, and $37.0 million, or $1.10 per diluted share, respectively, compared to ~~$11.4~~$20.8 million, or ~~$0.34~~$0.62 per diluted share, and $32.2 million, or $0.97 per diluted share for the second quarter and first ~~quarter~~six months of ~~2022.~~2022, respectively. These variances are primarily the result of the following:

•Sales for the second quarter and first ~~quarter~~six months of 2023 increased ~~$67.9~~$50.0 million and $117.8 million, respectively, when compared to the same ~~period~~periods in 2022, ~~primarily from the continued~~driven by strong demand in our Medical product ~~demand recovery from the impacts of the COVID-19 pandemic.~~lines and an improving supply chain and labor environment.

•Gross profit for the second quarter and first ~~quarter~~six months of 2023 increased ~~$15.2~~$12.9 million and $28.1 million, respectively, primarily from higher sales volume, partially offset by ~~incremental~~increased cost of sales resulting from labor and supply ~~chain costs.~~constraints.

•Operating expenses for the second quarter and first ~~quarter~~six months of 2023 increased ~~$3.5~~$4.0 million and $7.6 million, respectively, when compared to the same ~~period~~periods in 2022, primarily due to higher ~~SG&A~~labor costs and ~~RD&E costs,~~amortization expense, partially offset by lower ~~acquisition~~restructuring and ~~integration costs. Operating expenses as a percentage of sales improved to 16.5% for the first quarter of 2023 compared to 19.0% or the first quarter of 2022.~~other charges.

•Interest expense for the second quarter and first ~~quarter~~six months of 2023 increased ~~$11.3~~$3.7 million and $15.0 million, respectively, compared to the same ~~period~~periods in 2022, due to ~~increased~~higher interest rates, higher average debt outstanding and ~~$4.4 million of~~higher losses from extinguishment of debt.

•During the second quarter and first ~~quarters~~six months of 2023, ~~and 2022,~~ we recognized ~~losses~~gains on equity investments of ~~$0.2~~$0.1 million and ~~$2.4~~losses of $0.02 million, ~~respectively.~~respectively, compared to losses of $0.3 million and $2.7 million, respectively, for the second quarter and first six months of 2022. Gains and losses on equity investments are generally unpredictable in nature.

•Other loss, net for the second quarter and first ~~quarter~~six months of 2023 was ~~$0.8~~$0.4 million and $1.1 million, respectively, compared to $0.2 million and $0.4 million, respectively, for the second quarter and first ~~quarter~~six months of 2022, primarily due to fluctuations in foreign currency gains and losses in the respective periods.

•We recorded provisions for income taxes for the second quarter and first ~~quarters~~six months of 2023 ~~and 2022~~ of ~~$2.9~~$5.9 million and ~~$2.6~~$8.9 million, ~~respectively.~~respectively, compared with provisions for income taxes of $3.6 million and $6.2 million, respectively, for the second quarter and first six months of 2022. The change in income tax expense was primarily due to relative changes in pre-tax income and the impact of discrete tax items.

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INTEGER HOLDINGS CORPORATION

MANAGEMENT'S DISCUSSION AND ANALYSIS

Our Financial Results

The following table presents selected financial information derived from our Condensed Consolidated Financial Statements, contained in Item 1 of this report, for the periods presented (dollars in thousands, except per share).

Three Months Ended
March 31, April 1, Change
2023 2022 $ %
Medical Sales:
Cardio & Vascular 191,203 $ 159,037 $ 32,166 20.2 %
Cardiac Rhythm Management & Neuromodulation 145,139 123,324 21,815 17.7 %
Advanced Surgical, Orthopedics & Portable Medical 27,924 19,666 8,258 42.0 %
Total Medical Sales 364,266 302,027 62,239 20.6 %
Non-Medical 14,519 8,885 5,634 63.4 %
Total sales 378,785 310,912 67,873 21.8 %
Cost of sales 282,112 229,437 52,675 23.0 %
Gross profit 96,673 81,475 15,198 18.7 %
Gross profit as a % of sales 25.5 % 26.2 %
Operating expenses:
Selling, general and administrative (“SG&A”) 41,886 39,560 2,326 5.9 %
SG&A as a % of sales 11.1 % 12.7 %
Research, development and engineering (“RD&E”) 19,092 16,083 3,009 18.7 %
RD&E as a % of sales 5.0 % 5.2 %
Restructuring and other charges 1,529 3,335 (1,806) (54.2) %
Total operating expenses 62,507 58,978 3,529 6.0 %
Operating income 34,166 22,497 11,669 51.9 %
Operating expense as a % of sales 16.5 % 19.0 %
Operating income as a % of sales 9.0 % 7.2 %
Interest expense 17,254 5,968 11,286 189.1 %
Loss on equity investments 155 2,404 (2,249) (93.6) %
Other loss, net 760 177 583 NM
Income before taxes 15,997 13,948 2,049 14.7 %
Provision for income taxes 2,932 2,581 351 13.6 %
Effective tax rate 18.3 % 18.5 %
Net income $ 13,065 $ 11,367 $ 1,698 14.9 %
Net income as a % of sales 3.4 % 3.7 %
Diluted earnings per share $ 0.39 $ 0.34 $ 0.05 14.7 %

~~__________~~


	Three Months Ended
	June 30,			July 1,			Change
	2023			2022			$		%
Medical Sales:
Cardio & Vascular	208,494			$	180,604		$	27,890	15.4	%
Cardiac Rhythm Management & Neuromodulation	153,411			135,945			17,466		12.8	%
Advanced Surgical, Orthopedics & Portable Medical	27,206			23,285			3,921		16.8	%
Total Medical Sales	389,111			339,834			49,277		14.5	%
Non-Medical	10,933			10,247			686		6.7	%
Total sales	400,044			350,081			49,963		14.3	%
Cost of sales	294,240			257,184			37,056		14.4	%
Gross profit	105,804			92,897			12,907		13.9	%
Gross profit as a % of sales	26.4		%	26.5		%
Operating expenses:
Selling, general and administrative (“SG&A”)	45,827			41,786			4,041		9.7	%
SG&A as a % of sales	11.5		%	11.9		%
Research, development and engineering (“RD&E”)	16,883			14,871			2,012		13.5	%
RD&E as a % of sales	4.2		%	4.2		%
Restructuring and other charges	1,518			3,533			(2,015)		(57.0)	%
Total operating expenses	64,228			60,190			4,038		6.7	%
Operating income	41,576			32,707			8,869		27.1	%
Operating expense as a % of sales	16.1		%	17.2		%
Operating income as a % of sales	10.4		%	9.3		%
Interest expense	11,459			7,773			3,686		47.4	%
(Gain) loss on equity investments	(134)			320			(454)		(141.9)	%
Other loss, net	359			191			168		88.0	%
Income before taxes	29,892			24,423			5,469		22.4	%
Provision for income taxes	5,921			3,587			2,334		65.1	%
Effective tax rate	19.8		%	14.7		%
Net income	$	23,971		$	20,836		$	3,135	15.0	%
Net income as a % of sales	6.0		%	6.0		%
Diluted earnings per share	$	0.71		$	0.62		$	0.09	14.5	%

NM
~~Calculated amount not meaningful~~

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INTEGER HOLDINGS CORPORATION

MANAGEMENT'S DISCUSSION AND ANALYSIS



	Six Months Ended
	June 30,			July 1,			Change
	2023			2022			$		%
Medical Sales:
Cardio & Vascular	$	399,697		$	339,641		$	60,056	17.7	%
Cardiac Rhythm Management & Neuromodulation	298,550			259,269			39,281		15.2	%
Advanced Surgical, Orthopedics & Portable Medical	55,130			42,951			12,179		28.4	%
Total Medical Sales	753,377			641,861			111,516		17.4	%
Non-Medical	25,452			19,132			6,320		33.0	%
Total Sales	778,829			660,993			117,836		17.8	%
Cost of sales	576,352			486,621			89,731		18.4	%
Gross profit	202,477			174,372			28,105		16.1	%
Gross profit as a % of sales	26.0		%	26.4		%
Operating expenses:
SG&A	87,713			81,346			6,367		7.8	%
SG&A as a % of sales	11.3		%	12.3		%
RD&E	35,975			30,954			5,021		16.2	%
RD&E as a % of sales	4.6		%	4.7		%
Restructuring and other charges	3,047			6,868			(3,821)		(55.6)	%
Total operating expenses	126,735			119,168			7,567		6.3	%
Operating income	75,742			55,204			20,538		37.2	%
Operating expense as a % of sales	16.3		%	18.0		%
Operating income as a % of sales	9.7		%	8.4		%
Interest expense	28,713			13,741			14,972		109.0	%
Loss on equity investments	21			2,724			(2,703)		(99.2)	%
Other loss, net	1,119			368			751		204.1	%
Income before taxes	45,889			38,371			7,518		19.6	%
Provision for income taxes	8,853			6,168			2,685		43.5	%
Effective tax rate	19.3		%	16.1		%
Net income	$	37,036		$	32,203		$	4,833	15.0	%
Net income as a % of sales	4.8		%	4.9		%
Diluted earnings per share	$	1.10		$	0.97		$	0.13	13.4	%

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INTEGER HOLDINGS CORPORATION

MANAGEMENT'S DISCUSSION AND ANALYSIS

Product Line Sales

For the second quarter and first ~~quarter~~six months of 2023, Cardio & Vascular (“C&V”) sales increased ~~$32.2~~$27.9 million, or ~~20%~~15%, and $60.1 million, or 18%, respectively, versus the comparable 2022 ~~period.~~periods. The increase in C&V sales for the second quarter and first six months of 2023 was driven by continued strong demand across all markets, ~~and~~growth in key products such as guidewires, new product ramps in electrophysiology, ~~as well as~~ strong performance from the Oscor and Aran ~~acquisitions.~~ acquisitions, and supply chain improvements. Foreign currency exchange rate fluctuations ~~decreased~~increased C&V sales for the second quarter by $0.3 million and decreased sales for first ~~quarter~~six months of 2023 by ~~$0.7~~$0.4 million, in comparison to the 2022 ~~period,~~periods, primarily due to U.S. dollar fluctuations relative to the Euro.

For the second quarter and first ~~quarter~~six months of 2023, Cardiac Rhythm Management & Neuromodulation (“CRM&N”) sales increased ~~$21.8~~$17.5 million, or ~~18%~~13%, and $39.3 million, or 15%, respectively, versus the comparable 2022 ~~period,~~periods, driven by strong demand, including double-digit growth from emerging customers with PMA (premarket approval) ~~products.~~products, and supply chain improvements. Foreign currency exchange rate fluctuations did not have a material impact on CRM&N sales during the second quarter and first ~~quarter~~six months of 2023 in comparison to 2022.

Advanced Surgical, Orthopedic & Portable Medical (“AS&O”) sales for the second quarter and first ~~quarter~~six months of 2023 increased ~~$8.3~~$3.9 million, or ~~42%~~17%, and $12.2 million or 28%, respectively, versus the comparable 2022 ~~period, primarily due to~~periods, driven by increased price and demand as a result of the execution of the multi-year Portable Medical exit announced in ~~2022, partially offset by a single-digit decline in Advanced Surgical and Orthopedics.~~2022. Foreign currency exchange rate fluctuations did not have a material impact on AS&O sales during the second quarter and first ~~quarter~~six months of 2023 in comparison to ~~2022.~~the 2022 periods.

For the second quarter and first ~~quarter~~six months of 2023, Non-Medical sales increased ~~$5.6~~$0.7 million, or ~~63%~~7%, and $6.3 million, or 33%, respectively, versus the comparable 2022 ~~period,~~periods, driven by strong demand ~~across all~~in military and environmental market segments ~~and continued supplier delivery recovery.~~. Foreign currency exchange rate fluctuations did not have a material impact on Non-Medical sales during the second quarter and first ~~quarter~~six months of 2023 in comparison to ~~2022.~~the 2022 periods.

Gross Profit


		Three Months Ended						Three Months Ended					Six Months Ended
		March 31, 2023			April 1, 2022					June 30, 2023			July 1, 2022			June 30, 2023		July 1, 2022
Gross profit (in thousands)	Gross profit (in thousands)	$	96,673		$	81,475			Gross profit (in thousands)	$	105,804		$	92,897		202,477		174,372
Gross margin	Gross margin	25.5		%	26.2		%		Gross margin	26.4		%	26.5		%	26.0	%	26.4	%

Gross ~~margin~~profit as a percent of sales (“Gross margin”) for the second quarter and first ~~quarter~~six months of 2023 decreased 7010 basis points and 40 basis points, respectively, compared to the comparable 2022 ~~period,~~periods, primarily driven by incremental labor and supply chain costs related to manufacturing efficiency headwinds from supply chain volatility.

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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):


		Three Months Ended							Three Months Ended
		March 31, 2023		April 1, 2022		Change			June 30, 2023		July 1, 2022		Change
Compensation and benefits(a)	Compensation and benefits(a)	$	21,589	$	21,846	$	(257)	Compensation and benefits(a)	$	25,058	$	23,324	$	1,734
Amortization expense~~(a)~~(b)	Amortization expense~~(a)~~(b)	9,137		8,027		1,110		Amortization expense~~(a)~~(b)	9,268		8,373		895
Professional fees~~(b)~~(c)	Professional fees~~(b)~~(c)	3,471		3,173		298		Professional fees~~(b)~~(c)	3,858		3,094		764
Contract services~~(c)~~(d)	Contract services~~(c)~~(d)	2,832		2,251		581		Contract services~~(c)~~(d)	2,852		2,348		504
All other SG&A(d)		4,857		4,263		594
Bank fees and charges(e)								Bank fees and charges(e)	797		203		594
All other SG&A								All other SG&A	3,994		4,444		(450)
Net increase in SG&A expenses	Net increase in SG&A expenses	$	41,886	$	39,560	$	2,326	Net increase in SG&A expenses	$	45,827	$	41,786	$	4,041


	Six Months Ended
	June 30, 2023		July 1, 2022		Change
Compensation and benefits(a)	$	46,647	$	45,170	$	1,477
Amortization expense(b)	18,405		16,400		2,005
Professional fees(c)	7,329		6,267		1,062
Contract services(d)	5,684		4,599		1,085
Bank fees and charges(e)	1,191		403		788
All other SG&A	8,457		8,507		(50)
Net increase in SG&A expenses	$	87,713	$	81,346	$	6,367

__________

(a)Compensation and benefits expense increased during the second quarter and first six months of 2023. The increases were primarily due to annual merit increases and higher incentive compensation, partially offset by lower headcount.

(b)Amortization expense increased during the second quarter and first ~~quarter~~six months of 2023 compared to the same ~~period~~periods of 2022 primarily due to amortization of intangible assets from the Aran ~~acquisition, which was acquired in the second quarter of 2022.~~and Oscor acquisitions.

~~(b)~~(c)Professional fees increased during the second quarter and first ~~quarter~~six months of 2023 primarily due to ~~inclusion of the operations of Aran.~~increased costs associated with third-party information technology services.

~~(c)~~(d)Contract services expense increased during the second quarter and first ~~quarter~~six months of 2023 compared to the same ~~period~~periods of 2022 primarily due to higher software costs from information technology enhancements.

~~(d)~~(e)The ~~net~~ increase in ~~all other SG&A for~~bank fees and charges during the second quarter and first six months of 2023 was driven by increased factoring and supplier financing fees primarily due to the launch of an accounts receivable factoring arrangement during the second quarter of ~~2023 compared to the same period of 2022 is primarily attributable to higher supplies and travel costs partially offset by lower depreciation and insurance.~~2023.

RD&E

RD&E expense for the second quarter and first ~~quarter~~six months of 2023 was ~~$19.1~~$16.9 million and $36.0 million, respectively, compared to ~~$16.1~~$14.9 million and $31.0 million, respectively, for the second quarter and first ~~quarter~~six months of 2022. The ~~increase~~increases in RD&E ~~expenses for~~expense during the second quarter and first six months of 2023 compared to the same periods in 2022, ~~was~~were primarily due to ~~investments made~~higher labor costs attributed to ~~support long-term revenue growth, the timing of program milestone achievements for customer funded programs,~~annual merit increases and ~~incremental expense due to the Aran Acquisition.~~higher incentive compensation. 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

Restructuring and Other Charges

We continuously evaluate our business and identify opportunities to realign resources to better serve our customers and markets, improve operational efficiency and capabilities, and lower operating costs. To realize the benefits associated with these opportunities, we undertake restructuring-type activities to transform our business. We incur costs associated with these activities, which primarily include exit and disposal costs and other costs directly related to the restructuring initiative. ~~Restructuring charges include exit and disposal costs from these activities and restructuring-related charges are costs directly related to the restructuring initiatives.~~ In addition, from time to time, we incur costs associated with acquiring and integrating businesses, and certain other general expenses, including asset impairments.

Restructuring and other charges comprise the following (in thousands):


		Three Months Ended				Three Months Ended				Six Months Ended
		March 31, 2023		April 1, 2022				June 30, 2023		July 1, 2022		June 30, 2023		July 1, 2022
Restructuring charges(a)	Restructuring charges(a)	$	1,064	$	1,103		Restructuring charges(a)	$	936	$	(5)	$	2,000	$	1,098
Acquisition and integration costs(b)	Acquisition and integration costs(b)	382		1,936			Acquisition and integration costs(b)	556		3,333		938		5,269
Other general expenses(c)	Other general expenses(c)	83		296			Other general expenses(c)	26		205		109		501
Total restructuring and other charges	Total restructuring and other charges	$	1,529	$	3,335		Total restructuring and other charges	$	1,518	$	3,533	$	3,047	$	6,868

__________

(a)Restructuring charges for the first ~~three~~six months of 2023 and 2022 primarily consist of termination benefits associated with our operational excellence and strategic reorganization and alignment initiatives.

(b)Amounts include expenses related to the purchase of certain assets and liabilities from business acquisitions. Acquisition and integration costs for the ~~three~~first six months ~~ended March 31,~~of 2023 and ~~April 1,~~ 2022 include a benefit of $0.3 million and expense of $0.1 million, respectively, to adjust the fair value of acquisition-related contingent consideration liabilities. See Note 13 “Financial Instruments and Fair Value Measurements” for additional information related to the fair value measurement of the contingent consideration. Amounts for 2022 primarily include expenses related to the Aran and Oscor acquisitions.

(c)Amounts include expenses related to other initiatives not described above, which relate primarily to integration and operational initiatives to reduce future costs and improve efficiencies.

Refer to Note 8 “Restructuring and Other Charges” of the Notes to Condensed Consolidated Financial Statements contained in Item 1 of this report for additional information regarding these initiatives.

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INTEGER HOLDINGS CORPORATION

MANAGEMENT'S DISCUSSION AND ANALYSIS

Interest Expense

Information relating to our interest expense is as follows (dollars in thousands):


		Three Months Ended															Three Months Ended
		March 31, 2023					April 1, 2022					Change					June 30, 2023				July 1, 2022				Change
		Amount		Rate			Amount			Rate		Amount			Rate (bp)		Amount		Rate		Amount		Rate		Amount		Rate (bp)
Contractual interest expense	Contractual interest expense	$	12,562	5.06	%		$	4,647		2.21	%	$	7,915		285	Contractual interest expense	$	11,059	4.33	%	$	6,679	2.73	%	$	4,380	160
(Gain) loss on interest rate swap	(Gain) loss on interest rate swap	(587)		(0.24)			768			0.37		(1,355)			(61)	(Gain) loss on interest rate swap	(675)		(0.26)		526		0.21		(1,201)		(47)
Amortization of deferred debt issuance costs and original issue discount	Amortization of deferred debt issuance costs and original issue discount	756		0.38			481			0.25		275			13	Amortization of deferred debt issuance costs and original issue discount	931		0.43		482		0.22		449		21
Losses from extinguishment of debt	Losses from extinguishment of debt	4,393		1.79			—			—		4,393			179	Losses from extinguishment of debt	38		0.02		—		—		38		2
Interest expense on borrowings	Interest expense on borrowings	17,124		6.99	%		5,896			2.83	%	11,228			416	Interest expense on borrowings	11,353		4.52	%	7,687		3.16	%	3,666		136
Other interest expense	Other interest expense	130					72					58				Other interest expense	106				86				20
Total interest expense	Total interest expense	$	17,254				$	5,968				$	11,286			Total interest expense	$	11,459			$	7,773			$	3,686

						Six Months Ended
									June 30, 2023					July 1, 2022					Change
																	Amount		Rate		Amount		Rate		Amount		Rate (bp)
Contractual interest expense																Contractual interest expense	$	23,621	4.69	%	$	11,326	2.49	%	$	12,295	220
(Gain) loss on interest rate swap																(Gain) loss on interest rate swap	(1,262)		(0.25)		1,293		0.29		(2,555)		(54)
Amortization of deferred debt issuance costs and original issue discount																Amortization of deferred debt issuance costs and original issue discount	1,687		0.41		963		0.23		724		18
Losses from extinguishment of debt																Losses from extinguishment of debt	4,431		0.89		—		—		4,431		89
Interest expense on borrowings																Interest expense on borrowings	28,477		5.74	%	13,582		3.01	%	14,895		273
Other interest expense																Other interest expense	236				159				77
Total interest expense																Total interest expense	$	28,713			$	13,741			$	14,972

During 2023, contractual interest expense has increased due to higher average debt outstanding combined with increasing applicable interest rates. The higher average debt balance outstanding is the result of incremental borrowings related to ~~fund~~ the ~~Aran acquisition, while interest~~strategic change to replace some of our variable rate debt to fixed rate through issuance of the 2028 Notes. Interest rates have continued to climb due to increases in overall market ~~rates.~~rates, partially offset by a 25 basis point decrease in the interest rate margin on our Senior Secured Credit Facilities. The decrease in the interest rate margin was effective during the second quarter of 2023 based on our Secured Net Leverage Ratio.

Other components of interest expense on borrowings include gains and losses on interest rate swaps and non-cash amortization and write-off (losses from extinguishment of debt) of deferred debt issuance costs and original issue discount. Interest rate swap includes realized (gains) losses on our interest rate swap contract which fluctuate depending on the spread between the rate swap contract fixed rate and senior secured credit facility floating rate. ~~Compared to the same periods in 2022, amortization~~Our outstanding interest rate swap matured as of June 30, 2023. Amortization of deferred debt issuance costs and original issue discount increased during 2023 compared to the same periods in 2022 as a result of higher unamortized balances related to new debt. The losses from extinguishment of debt during the first ~~three~~six months of 2023 were related to prepayments of portions of the Term Loan A facility and full repayment of our Term Loan B facility in connection with ~~the~~ issuance of the convertible notes. We had no losses from extinguishment of debt during the first ~~three~~six months of 2022.

As of ~~March 31,~~June 30, 2023 and December 31, 2022, approximately ~~59%~~50% and 11%, respectively, of our principal amount of debt are fixed rate borrowings or have been converted to fixed-rate borrowings with an interest rate swap. During February 2023, we strategically replaced about half of our variable rate debt with fixed rate debt through the issuance of the 2028 Notes at a fixed rate of 2.125% and paying down our highest rate variable debt, the Term Loan B facility, and a portion of our Revolving Credit Facility. These transactions are expected to ~~reduce~~mitigate increased borrowing costs and result in a more balanced mix of fixed and floating rates to help protect against interest rate exposure. We may enter into interest rate swap agreements in order to reduce our exposure to fluctuations in floating rates.

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INTEGER HOLDINGS CORPORATION

MANAGEMENT'S DISCUSSION AND ANALYSIS

See Note 6 “Debt” and 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 debt and interest rate swap agreement.

~~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.~~

(Gain) Loss on Equity Investments

During the second quarter and first ~~quarters~~six months of 2023, we recognized gains on equity investments of $0.1 million and losses of $0.02 million, respectively. During the second quarter and first six months of 2022, we recognized losses ~~on equity investments~~ of ~~$0.2~~$0.3 million and ~~$2.4~~$2.7 million, respectively. The amounts for both 2023 and 2022 relate to our share of equity method investee losses including unrealized appreciation/depreciation of the underlying interests of the investee. As of ~~March 31,~~June 30, 2023 and December 31, 2022, the carrying value of our equity investments was ~~$13.7 million and~~ $13.9 ~~million, respectively.~~million. 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 Loss, Net

Other loss, net for the second quarter and first ~~quarter~~six months of 2023 was ~~$0.8~~$0.4 million and $1.1 million, respectively, compared to $0.2 million and $0.4 million, respectively, for the second quarter and first ~~quarter~~six months of 2022. Other loss, net primarily includes 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 peso, Malaysian ringgits, Dominican peso, or Israeli shekel.

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~~INTEGER HOLDINGS CORPORATION~~

~~MANAGEMENT'S DISCUSSION AND ANALYSIS~~

The impact of exchange rates on transactions denominated in foreign currencies included in Other loss, net for the second quarter and first ~~quarters~~six months of 2023 ~~and 2022~~ were net losses of ~~$0.8~~$0.4 million and ~~$0.1~~$1.2 million, respectively, compared to net losses of $0.4 million and $0.5 million for the second quarter and first six months of 2022, 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 income tax expense of ~~$2.9~~$5.9 million for the ~~first~~second quarter of 2023 on ~~$16.0~~$29.9 million of income before taxes (effective tax rate of ~~18.3%~~19.8%), compared to an income tax expense of ~~$2.6~~$3.6 million on ~~$13.9~~$24.4 million of income before taxes (effective tax rate of ~~18.5%~~14.7%) for the same period of 2022. The income tax expense for the first six months of 2023 was $8.9 million on $45.9 million of income before taxes (effective tax rate of 19.3%), compared to income tax expense of $6.2 million on income before taxes of $38.4 million (effective tax rate of 16.1%) for the same period of 2022. Income tax expense for the second quarter and first ~~quarters~~six months of 2023 ~~and 2022~~ included discrete tax expense of ~~$0.1~~$0.4 million and $0.5 million, respectively. We did not record discrete tax expense for the second quarter of 2022. Income tax expense for the first six months of 2022 included $0.5 million of discrete tax expense.

Our effective tax rate for 2023 differs from the U.S. federal statutory tax rate of 21% due principally to the estimated impact of Federal Tax Credits (including R&D credits and Foreign tax credits), stock-based compensation windfalls or shortfalls, and ~~the impact of earnings realized in foreign jurisdictions with statutory rates that are different than the U.S. federal statutory rate. These benefits are partially offset by~~ the impact of U.S taxes on foreign earnings, including the GILTI provision which requires us to include foreign subsidiary earnings in excess of a deemed return on a foreign subsidiary’s tangible assets in our U.S. income tax return. The U.S. tax on foreign earnings is reflected net of a statutory deduction of 50% of the GILTI inclusion (subject to limitations based on U.S. taxable income, if any) and net of FDII that provides a 37.5% deduction to domestic companies for certain foreign sales and services income. In addition, our rate is impacted by earnings realized in foreign jurisdictions with statutory rates that are different than the U.S. federal statutory rate. The primary foreign jurisdictions in which we operate and the statutory tax rate for each respective jurisdiction include Switzerland (22%), Mexico (30%), Uruguay (25%), Ireland (12.5%) and Malaysia (24%). We ~~currently have~~had been operating under a tax holiday in Malaysia, ~~through~~however this expired in April ~~2023, provided certain conditions continue to be met. In addition, we~~2023. We acquired manufacturing operations in the Dominican Republic as part of the acquisition of Oscor, and are operating under a free trade zone agreement in the Dominican Republic through March 2034.

There is a potential for volatility of our effective tax rate due to several factors, including changes in the mix of pre-tax income and the jurisdictions to which it relates, business acquisitions, settlements with taxing authorities, changes in tax rates, and foreign currency exchange rate fluctuations. We continue to closely monitor developments related to proposed changes in tax laws and tax rates, including current proposals for U.S. Tax Reform and the 15% Minimum Global Tax Rate proposed by the Organization for Economic Cooperation and Development. In addition, we continue to explore tax planning opportunities that may have a material impact on our effective tax rate.

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INTEGER HOLDINGS CORPORATION

MANAGEMENT'S DISCUSSION AND ANALYSIS

Liquidity and Capital Resources

Sources of Liquidity


(dollars in thousands)	(dollars in thousands)	March 31, 2023		December 31, 2022		(dollars in thousands)	June 30, 2023		December 31, 2022
Cash and cash equivalents	Cash and cash equivalents	$	40,604	$	24,272	Cash and cash equivalents	$	38,615	$	24,272
Working capital	Working capital	$	403,514	$	334,546	Working capital	$	416,096	$	334,546
Current ratio	Current ratio	2.79		2.50		Current ratio	3.08		2.50

Cash and cash equivalents at ~~March 31,~~June 30, 2023 increased by ~~$16.3~~$14.3 million from December 31, 2022, primarily as a result of cash generated by operating activities and proceeds from net borrowings on long-term debt, partially offset by purchases of property, plant and equipment.

Working capital increased by ~~$69.0~~$81.6 million from December 31, 2022, primarily from positive working capital fluctuations in cash, accounts receivable and ~~inventory, which were partially offset by increases in accounts payable.~~inventory. During the first ~~three~~six months of ~~2022,~~2023, accounts receivable increased mainly from an increase in sales volume, ~~and timing of~~which was offset by accelerated customer ~~receipts~~collections from a new factoring arrangement, while inventory increased to support higher product demand and sales ~~volume and material stock levels to protect availability of critical components. Accounts payable increased mainly from higher sequential inventory purchases and the timing of supplier payments.~~volume.

At ~~March 31,~~June 30, 2023, ~~$24.8~~$22.6 million 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.

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~~INTEGER HOLDINGS CORPORATION~~

~~MANAGEMENT'S DISCUSSION AND ANALYSIS~~

As of ~~March 31,~~June 30, 2023, our capital structure consisted of ~~$1,002.5~~$985.4 million of debt, net of deferred debt issuance costs and unamortized discounts and 33 million shares of common stock outstanding. As of ~~March 31,~~June 30, 2023, we had access to ~~$377.5~~$387.9 million of borrowing capacity under our Revolving Credit Facility, available for normal course of business and letters of credit, and are authorized to issue up to 100 million shares of common stock and 100 million shares of preferred stock. As of ~~March 31,~~June 30, 2023, our contractual debt service obligations for the remainder of 2023, consisting of ~~principal and~~ interest on our outstanding debt, ~~were~~are estimated to be approximately ~~$40~~$21 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. However, we cannot be assured that we will be able to enter into any such arrangements on acceptable terms or at all.

Credit Facilities and Convertible Notes

As of ~~March 31,~~June 30, 2023, we had Senior Secured Credit Facilities that consist of a $500 million Revolving Credit Facility, with an outstanding principal balance of ~~$119~~$109 million, and a TLA Facility with an outstanding principal balance of ~~$400~~$393 million. The Revolving Credit Facility and TLA Facility mature on February 15, 2028. The Senior Secured Credit Facilities include a mandatory prepayment provision customary for credit facilities of its nature.

During the first quarter of 2023, we issued $500 million aggregate principal amount of notes. The 2028 Notes mature on February 15, 2028 and bear interest at a fixed rate of 2.125% per annum. The total net proceeds from the issuance of the 2028 Notes, after deducting initial purchasers' discounts and commissions and debt issuance costs, were approximately $485 million. We used the net proceeds from the issuance of the 2028 Notes to settle in full principal and interest due of $336.1 million under the TLB Facility, pay down principal and interest due of $113.9 million under the Revolving Credit Facility, to pay related fees and expenses, and to pay the cost of the capped calls related to the issuance of our 2028 Notes.

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INTEGER HOLDINGS CORPORATION

MANAGEMENT'S DISCUSSION AND ANALYSIS

The Revolving Credit Facility and TLA Facility contain covenants requiring that we maintain (i) a Total Net Leverage Ratio not to exceed 5.50:1.00 (stepping down to 5.00:1.00 for the third fiscal quarter of 2023 through maturity and subject to increase in certain circumstances following certain qualified acquisitions) and (ii) an interest coverage ratio of at least 2.50:1.00. As of ~~March 31,~~June 30, 2023, we were in compliance with these financial covenants. As of ~~March 31,~~June 30, 2023, our Total Net Leverage Ratio, calculated in accordance with our Senior Secured Credit Facilities agreement, was approximately ~~3.1~~2.9 to 1.0. For the twelve month period ended ~~March 31,~~June 30, 2023, our interest coverage ratio, calculated in accordance with our Senior Secured Credit Facilities agreement, was approximately ~~7.7~~ 7.9to 1.0.

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.

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.

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~~INTEGER HOLDINGS CORPORATION~~

~~MANAGEMENT'S DISCUSSION AND ANALYSIS~~

Summary of Cash Flow


		Three Months Ended					Six Months Ended
(in thousands)	(in thousands)	March 31, 2023		April 1, 2022		(in thousands)	June 30, 2023		July 1, 2022
Cash provided by (used in):	Cash provided by (used in):					Cash provided by (used in):
Operating activities	Operating activities	$	6,188	$	18,161	Operating activities	$	62,333	$	37,011
Investing activities	Investing activities	(24,694)		(10,398)		Investing activities	(57,366)		(148,659)
Financing activities	Financing activities	33,116		(1,028)		Financing activities	7,593		115,603
Effect of foreign currency exchange rates on cash and cash equivalents	Effect of foreign currency exchange rates on cash and cash equivalents	1,722		1,048		Effect of foreign currency exchange rates on cash and cash equivalents	1,783		(6,247)
Net change in cash and cash equivalents	Net change in cash and cash equivalents	$	16,332	$	7,783	Net change in cash and cash equivalents	$	14,343	$	(2,292)

Operating Activities – During the first ~~three~~six months of 2023, we generated cash from operations of ~~$6.2~~$62.3 million, compared to ~~$18.2~~$37.0 million for the first ~~three~~six months of 2022. The ~~decrease~~increase of ~~$12.0~~$25.3 million was the result of a ~~$15.9~~$23.5 million ~~decrease~~increase in cash flow provided by changes in operating assets and liabilities ~~partially offset by~~and a ~~$3.9~~$1.8 million increase in net income adjusted for non-cash items such as depreciation and amortization.

The increase in net income adjusted for non-cash items such as depreciation and amortization is primarily from higher sales volume partially offset by higher interest expense. The ~~decrease~~increase associated with changes in operating assets and liabilities is primarily related to ~~higher~~less accounts receivable, inventory and ~~contract asset~~accounts payable growth. Accounts receivable benefited from a new factoring arrangement entered into during the first six months of 2023 that accelerated accounts receivable collections. Factoring activity on accounts receivable provided an increase of approximately $23 million in cash generated from operating activities during the first six months of 2023. Inventory growth was high in the ~~current period partially offset by~~first six months of 2022 from investments to support growth and protect against supply chain risk, while accounts payable yielded less benefit to cash flow in the first six months of 2023 from lower inventory ~~growth.~~growth and the timing of supplier payments.

Investing Activities – The ~~$14.3~~$91.3 million ~~increase~~decrease in net cash used in investing activities was primarily attributable to lower cash paid for acquisitions, partially offset by increased purchases of property, plant and equipment of ~~$24.7~~$57.4 million in the first ~~three~~six months of 2023, compared to ~~$10.9~~$22.6 million in the same period last year. Investing activities for the second quarter of 2022 included net cash paid of $126.6 million for the Aran acquisition and settlement of working capital and other closing adjustments with Oscor.

Financing Activities – Net cash provided by financing activities for the first ~~three~~six months of 2023, was ~~$33.1~~$7.6 million compared to ~~$1.0~~$115.6 million ~~used in financing activities~~ for the first ~~three~~six months of 2022. The cash provided by financing activities for the first ~~three~~six months of 2023 was primarily related to the issuance of our 2028 Notes of $486.3 million, which was partially offset by $335.6 million in full repayment of our term loan B facility, ~~$55.3~~$62.8 million in repayments of our term loan A facility, ~~$23.8~~$33.8 million of net payments on our Revolving Credit Facility, ~~and~~ $35.0 million of capped call purchases related to the issuance of our 2028 ~~Notes.~~Notes, and $7.7 million paid to settle certain contingent consideration liabilities related to the Aran and Inomec acquisitions. The net cash inflow for 2022 included $160.0 million in borrowings on the revolving line of credit primarily to fund the Aran acquisition.

Off-Balance Sheet Arrangements

We do not currently have off balance sheet arrangements that have or are reasonably likely to have a material current or future effect on our Condensed Consolidated Financial Statements.

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INTEGER HOLDINGS CORPORATION

MANAGEMENT'S DISCUSSION AND ANALYSIS

Impact of Recently Issued Accounting Standards

In the normal course of business, we evaluate all new accounting pronouncements issued by the FASB, SEC, 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.

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, 2022.

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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, 2022.

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 ~~March 31,~~June 30, 2023. 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 ~~March 31,~~June 30, 2023, 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

There were no new material legal proceedings that are required to be reported in the quarter ended ~~March 31,~~June 30, 2023, and no material developments during the quarter in the Company’s legal proceedings as previously disclosed in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022.

ITEM 1A.RISK FACTORS

There have been no material changes to the Company’s risk factors as previously disclosed in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022.

ITEM 5. OTHER INFORMATION

During the fiscal quarter ended June 30, 2023, none of the Company’s directors or executive officers adopted, modified or terminated any contract, instruction or written plan for the purchase or sale of Company securities that was intended to satisfy the affirmative defense conditions of Rule 10b5-1(c) or any “non-Rule 10b5-1 trading arrangement.”

ITEM 6.EXHIBITS


Exhibit Number						Description











10.1#*						Integer Holdings Corporation Director Compensation Policy (most recently amended and restated May 24, 2023).

31.1*						Certification of Chief Executive Officer pursuant to Rule 13a-14(a) of the Securities Exchange Act.

31.2*						Certification of Chief Financial Officer pursuant to Rule 13a-14(a) of the Securities Exchange Act.

32.1**						Certification of Chief Executive Officer and Chief Financial Officer pursuant to 18 U.S.C. Section 1350 as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

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

104						Cover 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:

~~April~~July 27, 2023

INTEGER HOLDINGS CORPORATION

By:

/s/ Joseph W. Dziedzic

Joseph W. Dziedzic

President and Chief Executive Officer

(Principal Executive Officer)

By:

/s/ ~~Jason K. Garland~~Diron Smith

~~Jason K. Garland~~Diron Smith

~~Executive~~ Vice President and Interim
Chief Financial Officer

(Principal Financial Officer)

By:

/s/ Tom P. Thomas

Tom P. Thomas

Vice President, Corporate Controller

(Principal Accounting Officer)

- 4145 -


		Page
PART I—FINANCIAL INFORMATION

ITEM 1.	Financial Statements	3

	Condensed Consolidated Balance Sheets (Unaudited)	3

	Condensed Consolidated Statements of Operations and Comprehensive Income (Loss) (Unaudited)	4



	Condensed Consolidated Statements of Cash Flows (Unaudited)	5

	Condensed Consolidated Statements of Stockholders’ Equity (Unaudited)	6

	Notes to Condensed Consolidated Financial Statements (Unaudited)	7

ITEM 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	2830

ITEM 3.	Quantitative and Qualitative Disclosures About Market Risk	3943

ITEM 4.	Controls and Procedures	3943

PART II—OTHER INFORMATION

ITEM 1.	Legal Proceedings	4044

ITEM 1A.	Risk Factors	4044

ITEM 5.	Other Information	44

ITEM 6.	Exhibits	4044

SIGNATURES		4145


	Three Months Ended
	March 31,			April 1,			Change
	2023			2022			$		%
Medical Sales:
Cardio & Vascular	191,203			$	159,037		$	32,166	20.2	%
Cardiac Rhythm Management & Neuromodulation	145,139			123,324			21,815		17.7	%
Advanced Surgical, Orthopedics & Portable Medical	27,924			19,666			8,258		42.0	%
Total Medical Sales	364,266			302,027			62,239		20.6	%
Non-Medical	14,519			8,885			5,634		63.4	%
Total sales	378,785			310,912			67,873		21.8	%
Cost of sales	282,112			229,437			52,675		23.0	%
Gross profit	96,673			81,475			15,198		18.7	%
Gross profit as a % of sales	25.5		%	26.2		%
Operating expenses:
Selling, general and administrative (“SG&A”)	41,886			39,560			2,326		5.9	%
SG&A as a % of sales	11.1		%	12.7		%
Research, development and engineering (“RD&E”)	19,092			16,083			3,009		18.7	%
RD&E as a % of sales	5.0		%	5.2		%
Restructuring and other charges	1,529			3,335			(1,806)		(54.2)	%
Total operating expenses	62,507			58,978			3,529		6.0	%
Operating income	34,166			22,497			11,669		51.9	%
Operating expense as a % of sales	16.5		%	19.0		%
Operating income as a % of sales	9.0		%	7.2		%
Interest expense	17,254			5,968			11,286		189.1	%
Loss on equity investments	155			2,404			(2,249)		(93.6)	%
Other loss, net	760			177			583		NM
Income before taxes	15,997			13,948			2,049		14.7	%
Provision for income taxes	2,932			2,581			351		13.6	%
Effective tax rate	18.3		%	18.5		%
Net income	$	13,065		$	11,367		$	1,698	14.9	%
Net income as a % of sales	3.4		%	3.7		%
Diluted earnings per share	$	0.39		$	0.34		$	0.05	14.7	%