Avanos Medical 10Q 2024 Q1 Quarterly report

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, 2024

☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from ________ to ________

Commission file number 001-36440

AVANOS MEDICAL, INC.

(Exact name of registrant as specified in its charter)

Delaware

46-4987888

(State or other jurisdiction of incorporation)

(I.R.S. Employer Identification No.)

5405 Windward Parkway

Suite 100 South

Alpharetta,

Georgia

30004

(Address of principal executive offices)

(Zip code)

Registrant’s telephone number, including area code: (844) 428-2667

Securities registered pursuant to Section 12(b) of the Act:


Title of each class	Trading Symbol	Name of exchange on which registered
Common Stock - $0.01 Par Value	AVNS	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 check mark 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, or a smaller reporting 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

☐

Emerging growth company

☐

Smaller reporting 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 ☒

As of April 25, 2024, there were 45,903,911 shares of the registrant’s common stock outstanding.

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PART I – FINANCIAL INFORMATION

Item 1. Financial Statements			4

Unaudited Condensed Consolidated Income Statements for the Three Months Ended March 31, 2024 and 202 3			4

Unaudited Condensed Consolidated Statements of Comprehensive Income for the Three Months Ended March 3 1 , 202 4 and 202 3			5

Unaudited Condensed Consolidated Balance Sheets as of March 31, 2024 and December 31, 202 3			6

Unaudited Condensed Consolidated Statements of Stockholders’ Equity for the Three Months Ended March 31, 2024 and 202 3			7

Unaudited Condensed Consolidated Cash Flow Statements for the Three Months Ended M arch 31, 2024 and 202 3			8

Notes to the Unaudited Condensed Consolidated Financial Statements			9

Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations			23

Item 3. Quantitative and Qualitative Disclosures About Market Risk			28

Item 4. Controls and Procedures			28

PART II – OTHER INFORMATION			29

Item 1. Legal Proceedings			29
Item 1A. Risk Factors			29
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds			29
Item 3. Defaults Upon Senior Securities			29
Item 4. Mine Safety Disclosures			29
Item 5. Other Information			29
Item 6. Exhibits			30
Signatures			31

Information Concerning Forward-Looking Statements

This Quarterly Report on Form 10-Q (this “Form 10-Q”) contains “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995. These forward-looking statements are included throughout this Form 10-Q, including in the section entitled “Management’s Discussion and Analysis of Financial Condition and Results of Operations.” Forward-looking statements include all statements that do not relate solely to historical or current facts, and can generally be identified by the use of words such as “may,” “believe,” “will,” “expect,” “intend,” “predict,” “potential,” “project,” “estimate,” “anticipate,” “plan,” or “continue” and similar expressions, among others. The matters discussed in these forward-looking statements are based on the current plans and expectations of our management and are subject to certain risks and uncertainties that could cause actual results to differ materially from those projected, anticipated or implied in the forward-looking statements. These factors include, but are not limited to:

•general economic conditions, particularly in the United States;

•weakening of economic conditions that could adversely affect the level of demand for our products;

•pricing pressures generally, including cost-containment measures that could adversely affect the price of or demand for our products;

•fluctuations in global equity and fixed-income markets;

•our ability to successfully execute on or achieve the expected benefits of our restructuring initiative;

•supply chain issues and inflationary pressures;

•a resurgence of the ongoing COVID-19 pandemic;

•the competitive environment;

•the loss of current customers or the inability to obtain new customers;

•cybersecurity threats, including breaches of or cyberattacks on our information systems;

•the ongoing regional conflicts between Russia and Ukraine and in the Middle East;

•concentration of our manufacturing operations in Mexico;

•financial conditions affecting the banking system and the potential threats to the solvency of commercial banks

•litigation and enforcement actions;

•disruption in the supply of raw materials or the distribution of finished goods;

•price fluctuations in key commodities;

•fluctuations in currency exchange rates;

•changes in governmental regulations that are applicable to our business;

•our ability to realize the intended benefits of our restructuring initiatives or our divestiture, acquisition or merger transactions;

•changes in asset valuations, including write-downs of assets such as inventory, accounts receivable or other assets for impairment or other reasons; and

•any other matters described in Item 1A - “Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2023 (the “Form 10-K”) and Part II, Item 1A - “Risk Factors” in this Form 10-Q.

You are cautioned not to unduly rely on such forward-looking statements when evaluating the information in this Form 10-Q. Where, in any forward-looking statement, an expectation or belief as to future results or events is expressed, such expectation or belief is based on the current plans and expectations of our management and expressed in good faith, and is believed to have a reasonable basis. There can be no assurance that any such expectation or belief will be achieved or accomplished.

Any forward-looking statement made in this Form 10-Q speaks only as of the date of this report. Factors or events that could cause our actual results to differ may emerge from time to time, and it is not possible for us to predict all of them. We undertake no obligation to publicly update any forward-looking statement, whether as a result of new information, future developments or otherwise, except as may be required by applicable securities laws.


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PART I – FINANCIAL INFORMATION

Item 1. Financial Statements

AVANOS MEDICAL, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED INCOME STATEMENTS

(in millions, except per share amounts)

(Unaudited)


	Three Months Ended March 31,
		2024		2023
Net Sales		$	166.1	$	159.3
Cost of products sold		71.3		67.9
Gross Profit		94.8		91.4
Research and development		7.0		7.5
Selling and general expenses		83.6		88.8
Other expense, net		0.2		1.2
Operating Income (Loss)		4.0		(6.1)
Interest income		0.6		0.5
Interest expense		(3.1)		(3.5)
Income (Loss) Before Income Taxes		1.5		(9.1)
Income tax (provision) benefit		(1.0)		1.3
Income (Loss) from Continuing Operations		0.5		(7.8)
(Loss) Income from discontinued operations, net of tax		(1.4)		7.3
Net Loss		$	(0.9)	$	(0.5)

Basic Earnings (Loss) Per Share
Continuing operations		$	0.01	$	(0.17)
Discontinued operations		(0.03)		0.16
Basic Loss Per Share		$	(0.02)	$	(0.01)

Diluted Earnings (Loss) Per Share
Continuing operations		$	0.01	$	(0.17)
Discontinued operations		(0.03)		0.16
Diluted Loss Per Share		$	(0.02)	$	(0.01)

The accompanying notes are an integral part of these Condensed Consolidated Financial Statements.


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AVANOS MEDICAL, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)

(in millions)

(Unaudited)


	Three Months Ended March 31,
		2024		2023
Net Loss		$	(0.9)	$	(0.5)
Other Comprehensive (Loss) Income, Net of Tax
Unrealized currency translation adjustments		(2.2)		4.5
Defined benefit plans		(0.3)		—

Total Other Comprehensive (Loss) Income, Net of Tax		(2.5)		4.5
Comprehensive (Loss) Income		$	(3.4)	$	4.0

The accompanying notes are an integral part of these Condensed Consolidated Financial Statements.


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AVANOS MEDICAL, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETS

(in millions, except share data)

(Unaudited)


	March 31, 2024		December 31, 2023
ASSETS
Current Assets
Cash and cash equivalents	$	75.8	$	87.7
Accounts receivable, net of allowances	131.3		142.8
Inventories	165.6		163.2
Prepaid and other current assets	28.6		28.8
Assets held for sale	66.5		64.5
Total Current Assets	467.8		487.0
Property, Plant and Equipment, net	116.2		117.2
Operating Lease Right-of-Use Assets	24.2		26.8
Goodwill	794.9		796.1
Other Intangible Assets, net	232.8		239.5
Deferred Tax Assets	6.3		6.5
Other Assets	19.1		19.3
TOTAL ASSETS	$	1,661.3	$	1,692.4
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current Liabilities
Current portion of long-term debt	$	9.4	$	8.6
Current portion of operating lease liabilities	11.5		12.8
Trade accounts payable	57.0		56.3
Accrued expenses	75.1		93.2
Liabilities held for sale	52.2		63.7
Total Current Liabilities	205.2		234.6
Long-Term Debt	167.2		159.4
Operating Lease Liabilities	26.6		28.3
Deferred Tax Liabilities	23.6		23.8
Other Long-Term Liabilities	10.8		10.0
Total Liabilities	433.4		456.1

Commitments and Contingencies

Stockholders’ Equity
Preferred stock - $0.01 par value - authorized 20,000,000 shares, none issued	—		—
Common stock - $0.01 par value - authorized 300,000,000 shares, 46,066,997 outstanding as of March 31, 2024 and 46,174,337 outstanding as of December 31, 2023	0.5		0.5
Additional paid-in capital	1,667.7		1,663.6
Accumulated deficit	(315.8)		(314.9)
Treasury stock	(95.0)		(85.9)
Accumulated other comprehensive loss	(29.5)		(27.0)
Total Stockholders’ Equity	1,227.9		1,236.3
TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY	$	1,661.3	$	1,692.4

The accompanying notes are an integral part of these Condensed Consolidated Financial Statements.


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AVANOS MEDICAL, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENT OF STOCKHOLDERS’ EQUITY

(in millions)

(Unaudited)


	Three Months Ended March 31,
		2024		2023
Common Stock		$	0.5	$	0.5
Additional Paid-in Capital, beginning of period		1,663.6		1,646.4
Exercise or redemption of share-based awards		0.5		0.6
Stock-based compensation expense		3.6		4.0
Additional Paid-in Capital, end of period		1,667.7		1,651.0
Accumulated Deficit, beginning of period		(314.9)		(253.1)
Net loss		(0.9)		(0.5)
Accumulated Deficit, end of period		(315.8)		(253.6)
Treasury Stock, beginning of period		(85.9)		(66.8)
Purchases of treasury stock		(9.1)		(1.1)
Treasury Stock, end of period		(95.0)		(67.9)
Accumulated Other Comprehensive Loss, beginning of period		(27.0)		(35.8)
Other comprehensive (loss) income, net of tax		(2.5)		4.5
Accumulated Other Comprehensive Loss, end of period		(29.5)		(31.3)
Total Stockholders’ Equity, end of period		$	1,227.9	$	1,298.7

The accompanying notes are an integral part of these Condensed Consolidated Financial Statements.


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AVANOS MEDICAL, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED CASH FLOW STATEMENTS

(in millions)

(Unaudited)


	Three Months Ended March 31,
	2024		2023
Operating Activities
Net loss	$	(0.9)	$	(0.5)
Depreciation and amortization	11.4		12.1
Stock-based compensation expense	3.6		4.0
Net loss on asset dispositions and impairments	0.3		—
Changes in operating assets and liabilities, net of acquisition:
Accounts receivable	8.2		26.2
Inventories	(4.7)		(8.6)
Prepaid expenses and other assets	(0.2)		(1.5)
Accounts payable	2.3		(7.9)
Accrued expenses	(27.6)		(27.5)
Deferred income taxes and other	(0.4)		(3.1)
Cash Used in Operating Activities	(8.0)		(6.8)
Investing Activities
Capital expenditures	(4.1)		(4.0)
Proceeds from RH Divestiture post-closing settlement	2.1		—
Cash Used in Investing Activities	(2.0)		(4.0)
Financing Activities

Secured debt repayments	(1.6)		(1.6)
Revolving credit facility proceeds	20.0		—
Revolving credit facility repayments	(10.0)		(20.0)
Purchases of treasury stock	(9.1)		(1.1)

Proceeds from the exercise of stock options	0.5		0.6
Payment of contingent consideration liabilities	(0.5)		—
Cash Used in Financing Activities	(0.7)		(22.1)
Effect of Exchange Rate Changes on Cash and Cash Equivalents	(1.2)		0.9
Decrease in Cash and Cash Equivalents	(11.9)		(32.0)
Cash and Cash Equivalents - Beginning of Period	87.7		127.7
Cash and Cash Equivalents - End of Period	$	75.8	$	95.7

The accompanying notes are an integral part of these Condensed Consolidated Financial Statements.


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AVANOS MEDICAL, INC. AND SUBSIDIARIES

NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

Note 1. Accounting Policies

Background and Basis of Presentation

Avanos Medical, Inc. is a medical technology company focused on delivering clinically superior medical device solutions that will help patients get back to the things that matter. Headquartered in Alpharetta, Georgia, we are committed to addressing some of today’s most important healthcare needs, including providing a vital lifeline for nutrition to patients from hospital to home, and reducing the use of opioids while helping patients move from surgery to recovery. We develop, manufacture and market our recognized brands globally and hold leading market positions in multiple categories across our portfolio. References herein to “Avanos,” “the Company,” “we,” “our” and “us” refer to Avanos Medical, Inc. and its consolidated subsidiaries.

Interim Financial Statements

We prepared the accompanying unaudited condensed consolidated financial statements in accordance with accounting principles generally accepted in the United States (“GAAP”) for interim financial information and the instructions to the Quarterly Report on Form 10-Q and Rule 10-01 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by GAAP for complete financial statements, and the condensed consolidated financial statements in this Form 10-Q should be read in conjunction with our Annual Report on Form 10-K for the year ended December 31, 2023. Our unaudited interim condensed consolidated financial statements contain all necessary material adjustments, which are of a normal and recurring nature, to fairly state our financial condition, results of operations and cash flows for the periods presented.

Use of Estimates

Preparation of our condensed consolidated financial statements in accordance with GAAP requires us to make estimates and assumptions that affect the reported amounts of assets and liabilities at the date of the financial statements and the reported amounts of net sales and expenses during the reporting periods. Estimates are used in accounting for, among other things, certain amounts included in discontinued operations, certain amounts included in assets and liabilities held for sale, distributor rebate accruals, future cash flows associated with impairment testing for goodwill and long-lived assets, loss contingencies, and deferred tax assets and potential income tax assessments. Actual results could differ from these estimates, and the effect of any change could be material to our financial statements. Changes in these estimates are recorded when known.

Goodwill

We test goodwill for impairment annually or more frequently whenever events or circumstances more likely than not indicate that the fair value of the reporting unit may be below its carrying value. We operate as a single reportable operating segment with one reporting unit. The fair value of our reporting unit is estimated using a combination of income (discounted cash flow analysis) and market approaches. The income approach is dependent upon several assumptions regarding future periods such as sales growth and a terminal growth rate. A weighted average cost of capital (“WACC”) was used to discount future estimated cash flows to their present values. The WACC was based on externally observable data considering market participants’ cost of equity and debt, optimal capital structure and risk factors specific to us. The market approach estimates the value of our company using a market capitalization methodology.

We determined that the fair value of our reporting unit exceeds the net carrying amount in our most recent goodwill impairment test on July 1, 2023. However, there can be no assurance that the assumptions and estimates made for purposes of the annual goodwill impairment test will prove to be accurate. Volatility in the equity and debt markets, or increases in interest rates, could result in a higher discount rate. Changes in sales volumes, selling prices and costs of goods sold, and increases in interest rates could cause changes in our forecasted cash flows. Unfavorable changes in any of the factors described above, as well as a decline in our stock price, could result in a goodwill impairment charge in the future.

Recently Adopted Accounting Pronouncements

Effective January 1, 2023, we adopted ASU No. 2021-08, Business Combinations: Accounting for Contract Assets and Contract Liabilities from Contracts with Customers. This ASU pertains to acquired revenue contracts with customers in a business combination and addresses diversity in practice and inconsistency related to recognition of an acquired contract liability and payment terms and their effect on subsequent revenue recognized by the acquirer. Adoption of this ASU did not have a material effect on our financial position, results of operations or cash flows.

Recently Issued Accounting Pronouncements

In December 2023, the FASB issued ASU No. 2023-09, Income Taxes: Improvement to Income Tax Disclosures. This ASU pertains to disaggregation of income tax disclosures and enhances annual income tax disclosures to address investor requests


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for more information about the tax risks and opportunities present in an entity’s worldwide operations. The two primary enhancements disaggregate existing income tax disclosures related to the effective tax rate reconciliation and income taxes paid, and requires entities to disclose a tabular reconciliation of expected tax and reported tax on income from continuing operations using both percentages and amounts, broken out into specific categories with certain reconciling items at or above 5% of the expected tax further broken out by nature and/or jurisdiction. Additionally, this ASU requires disclosure around income taxes paid (net of refunds received) broken out between federal, state, local and foreign, and income taxes paid (net of refunds received) to an individual jurisdiction when greater than 5% of total income taxes paid. This ASU will be effective for annual periods beginning after December 15, 2024, with early adoption permitted. Adoption of this ASU is not expected to have a material effect on our financial position, results of operations or cash flows.

In November 2023, the FASB issued ASU No. 2023-07, Segment Reporting: Improvements to Reportable Segment Disclosures. This ASU enhances segment reporting under Topic 280 by expanding the breadth and frequency of segment disclosures, and aims to improve reportable segment disclosure requirements, primarily through enhanced disclosures about significant segment expenses. In addition, the amendments enhance interim disclosure requirements, clarify circumstances in which an entity can disclose multiple segment measures of profit or loss, provide new segment disclosure requirements for entities with a single reportable segment, and contain other disclosure requirements. This ASU will be effective for fiscal years beginning after December 15, 2023, and interim periods within fiscal years beginning after December 15, 2024, with early adoption permitted. Adoption of this ASU is not expected to have a material effect on our financial position, results of operations or cash flows.

In August 2023, the FASB issued ASU No. 2023-05, Business Combinations: Joint Venture Formations. This ASU is intended to address diversity in practice regarding accounting and provide decision-useful information related to contributions made to joint ventures and requires entities that qualify as either a joint venture or a corporate joint venture to apply a new basis of accounting upon the formation of the joint venture. Specifically, the ASU provides that a joint venture or a corporate joint venture must initially measure its assets and liabilities at fair value on the formation date. This ASU will be effective for all newly-formed joint venture entities with a formation date on or after January 1, 2025, with early adoption permitted. Joint ventures formed prior to the adoption date may elect to apply the new guidance retrospectively back to their original formation date. Adoption of this ASU is not expected to have a material effect on our financial position, results of operations or cash flows.

Note 2. Discontinued Operations

On June 7, 2023, we entered into a Purchase Agreement (“Purchase Agreement”) by and among us and certain of our affiliates and SunMed Group Holdings, LLC (“Buyer”) pursuant to which Buyer agreed to purchase substantially all of the assets primarily relating to or primarily used in our Respiratory Health (“RH”) business (the “RH Divestiture”). On October 2, 2023, we closed the RH Divestiture for a total purchase price of $110 million in cash, subject to certain adjustments as provided in the Purchase Agreement based on the indebtedness and inventory transferred to Buyer at the closing and the chargebacks assumed by Buyer but that would otherwise have been payable by the Company and its subsidiaries on or after October 2, 2023 to distributors of the Company’s RH products located in the United States (the “Initial Closing”).

The RH Divestiture represents a key component of Avanos’ ongoing three-year transformation process, and is aimed at accelerating the Company’s efforts to focus its portfolio on markets where it is well positioned to succeed.

At or before the closing of the RH Divestiture, we and Buyer entered into various transition services agreements pursuant to which we, Buyer and each company’s respective affiliates provide to each other various transitional services, including, but not limited to, product manufacturing and distribution, facilities, order fulfillment, invoicing, quality assurance, regulatory support, audit support and other services. The services generally commenced on the closing date of the Divestiture and terminate no later than one to three years thereafter.

We have also entered into distribution agreements with Buyer under which we will remain a limited risk distributor for RH products on Buyer’s behalf for sales outside of the United States. As a result, we have $11.4 million of RH products included in “Prepaid expenses and other current assets” in the accompanying consolidated balance sheet as of March 31, 2024, compared to $11.9 million as of December 31, 2023 . We anticipate the limited risk distributor arrangements will terminate no later than three years from the date of the Purchase Agreement.


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Pursuant to an agreement under which we provide manufacturing services for the Buyer, certain manufacturing facilities and equipment did not transfer to the Buyer upon the Initial Closing, and remain in “Assets Held for Sale” as of March 31, 2024 with a corresponding liability representing our obligation to transfer the manufacturing facilities and equipment to the buyer at a later date. Likewise, the results of operations from these manufacturing operations continue to be classified as “(Loss) income from discontinued operations, net of tax.

The following table summarizes the financial results of our discontinued operations for all periods presented herein (in millions):


	Three Months Ended March 31,
		2024		2023
Net Sales		$	16.9	$	32.4
Cost of products sold		15.9		19.3
Gross Profit		1.0		13.1
Research and development		—		0.4
Selling and general expenses		—		3.9
Other expense, net		2.9		0.1
Operating (Loss) Income		(1.9)		8.7
(Loss) Income from discontinued operations before income taxes		(1.9)		8.7
Income tax benefit (provision) from discontinued operations		0.5		(1.4)
Net (Loss) Income from discontinued operations, net of tax		$	(1.4)	$	7.3

(Loss) Earnings Per Share
Basic		$	(0.03)	$	0.16
Diluted		$	(0.03)	$	0.16

In accordance with accounting principles generally accepted in the United States (“GAAP”), only expenses specifically identifiable and related to a business to be disposed may be allocated to discontinued operations. Accordingly, the cost of products sold, research and development, selling and general expenses and other expense, net in discontinued operations include expenses incurred directly to solely support our respiratory health business.

Details on assets and liabilities classified as held for sale in the accompanying consolidated balance sheets are presented in the following table (in millions):


	March 31, 2024		December 31, 2023
Assets held for sale - discontinued operations
Inventories	$	19.3	$	17.5
Property, Plant and Equipment, net	44.1		43.9
Operating Lease Right-of-Use Assets	3.1		3.1
Total assets classified as held for sale	$	66.5	$	64.5
Liabilities held for sale - discontinued operations
Current Portion of Operating Lease Liabilities	$	0.8	$	0.8
Accrued expenses	50.1		61.3
Non-Current Operating Lease Liability	1.3		1.6
Total liabilities held for sale - discontinued operations	$	52.2	$	63.7

Assets and liabilities held for sale as of March 31, 2024 were classified as current since we expect the RH Divestiture to be completed within one year.


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The following table provides operating and investing cash flow information for our discontinued operations (in millions):


	Three Months Ended March 31,
	2024		2023
Operating Activities:
Depreciation and amortization	$	—	$	1.4
Stock-based compensation expense	—		0.1
Investing Activities:
Capital expenditures	0.4		0.4

Note 3. Restructuring Activities

Post-RH Divestiture Restructuring Plan

In the three months ended March 31, 2024, we initiated a post-RH Divestiture restructuring plan (the “Plan”). The current scope of the Plan is intended to align our organizational structure with our remaining business, but may be expanded to include other operational initiatives that have not been finalized. We expect the Plan will be substantially complete by the end of 2025 and currently expect to incur up to $5.0 million of cash expenses, primarily for employee termination benefits. In the three months ended March 31, 2024, we incurred $0.7 million of costs related to the Plan. These costs were included in “Selling and general expenses” in the accompanying condensed consolidated income statements.

Transformation Process

In January 2023, we initiated a three-year restructuring initiative intended to align the Company under a single commercial organization, rationalize our product portfolio, undertake additional cost management activities to enhance the Company’s operating profitability and pursue efficient capital allocation strategies (the “Transformation Process”). The RH Divestiture represents a key component of our three-year transformation process. We expect the Transformation Process will be substantially complete by the end of 2025.

We expect to incur up to $30.0 million of cash expenses in connection with the Transformation Process, consisting of between $9.0 million and $12.0 million of program management consulting and employee retention expenses; between $8.0 million and $11.0 million of expenses associated with manufacturing and supply chain improvements and portfolio rationalization; and the remainder for expenses associated with organization design and alignment and other related activities. These amounts include between $6.0 million and $8.0 million of employee severance and benefits costs.

In the three months ended March 31, 2024, we incurred expenses of $2.9 million, primarily related to employee severance and benefits costs in connection with the Transformation Process. These costs were included in “Cost of products sold” and “Selling and general expenses” in the accompanying condensed consolidated income statements. Plan-to-date we have incurred expenses of $31.1 million in connection with the Transformation Process.

Restructuring Liability

Our liability for costs associated with our restructuring initiatives as of March 31, 2024 is summarized below (in millions):


	As of March 31, 2024
Beginning balance	$	2.3
Restructuring and transformation costs, excluding non-cash charges	3.5
Payments and adjustments, net	(3.9)
Ending balance	$	1.9


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Note 4. Business Acquisition

Diros Technology

On June 17, 2023 we entered into a definitive agreement to acquire Diros Technology Inc., (“Diros”) a leading manufacturer of innovative radiofrequency ablation (“RFA”) products used to treat chronic pain conditions. On July 24, 2023, we closed the acquisition of Diros. The total purchase price paid in connection with our acquisition of Diros was $53.0 million, consisting of $2.5 million in cash paid upon entry into the definitive agreement and $50.5 million in cash paid at closing (subject to certain working capital and other adjustments), with up to an additional $7.0 million payable in contingent cash consideration based on achievement of certain performance objectives defined in the purchase agreement (the “Diros Acquisition”). The purchase price for the Diros Acquisition was funded by proceeds from our Revolving Credit Facility. The accompanying condensed consolidated income statement includes $4.7 million of net sales from Diros for the three months ended March 31, 2024. In the three months ended March 31, 2024, we incurred $0.2 million of costs in connection with the Diros Acquisition, which are included in “Selling and general expenses.” In the three months ended March 31, 2024, we made contingent consideration payments of $0.5 million and to date we have made contingent consideration payments of $2.0 million.

Under the acquisition method of accounting for business combinations, the purchase price paid is allocated to the underlying net assets in proportion to their respective fair values. Any excess of the purchase price over the estimated fair values is recorded as goodwill. Fair values of assets acquired and liabilities assumed are being determined using discounted cash flow analyses and the fair value of the contingent consideration is being estimated using a Monte Carlo simulation. Assumptions supporting the estimated fair values are based on facts and circumstances that existed on the valuation date. The purchase price allocation is shown in the table below (in millions):


Current assets, net of cash acquired	$	7.5
Current liabilities, excluding contingent consideration	(7.0)
Contingent consideration	(5.3)
Other noncurrent assets (liabilities), net	(0.5)
Deferred tax liabilities	(8.1)
Identifiable intangible assets	29.6
Goodwill	33.4
Total	$	49.6

The identifiable intangible assets relating to the Diros Acquisition include the following (in millions, except years):


	Identifiable Intangible Asset Amount		Weighted Average Useful Lives (Years)
Trade names and trademarks	$	2.9	15
Customer relationships	21.2		14
Developed technology and other	5.5		13
Total	$	29.6


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The following unaudited pro forma financial information is presented in the table below for the three months ended March 31, 2023 as if the Diros Acquisition had occurred on January 1, 2022 (in millions except per share amounts):



	Three Months Ended March 31, 2023
Net sales	$	162.9

Net loss from continuing operations	(7.6)
Income from discontinued operations, net of tax	7.3
Net Loss	$	(0.3)

Basic (Loss) Earnings Per Share
Continuing operations	$	(0.16)
Discontinued operations	$	0.16
Basic Loss Per Share	$	—

Diluted (Loss) Earnings Per Share
Continuing operations	$	(0.16)
Discontinued operations	$	0.16
Diluted Loss Per Share	$	—

The pro forma financial information has been adjusted to include the effects of the Diros Acquisition, including acquisition-related costs, amortization of acquired intangibles and related tax effects. The pro-forma financial information is not necessarily indicative of the results of operations that would have been achieved.

Note 5. Supplemental Balance Sheet Information

Accounts Receivable

Accounts receivable consist of the following (in millions):


	March 31, 2024		December 31, 2023
Accounts receivable	$	122.5	$	134.0
Income tax receivable	14.1		14.1
Allowances and doubtful accounts:
Doubtful accounts	(4.8)		(5.1)
Sales discounts	(0.5)		(0.2)
Accounts receivable, net	$	131.3	$	142.8

Losses on receivables are estimated based on known troubled accounts and historical experience. Receivables are considered impaired and written off when it is probable that payments due will not be collected. Allowance for doubtful accounts was $0.1 million for the three months ended March 31, 2024, compared to $0.2 million for the three months ended March 31, 2023.

Inventories

Inventories at the lower of cost (determined on the FIFO method) or net realizable value consists of the following (in millions):


	March 31, 2024		December 31, 2023
Raw materials	$	51.0	$	50.3
Work in process	25.8		19.8
Finished goods	84.0		88.5
Supplies and other	4.8		4.6

Total Inventory	$	165.6	$	163.2


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We incurred $1.5 million of expense for inventory write-offs and obsolescence in the three months ended March 31, 2024, compared to $1.0 million in the three months ended March 31, 2023.

Property, Plant and Equipment

Property, plant and equipment consists of the following (in millions):


	March 31, 2024		December 31, 2023
Land	$	1.4	$	1.3
Buildings and leasehold improvements	38.6		38.0
Machinery and equipment	181.6		182.8
Construction in progress	21.1		18.0

	242.7		240.1
Less accumulated depreciation	(126.5)		(122.9)

Total	$	116.2	$	117.2

Depreciation expense was $5.3 million for the three months ended March 31, 2024, compared to $4.9 million for the three months ended March 31, 2023, respectively.

Goodwill and Intangible Assets

The changes in the carrying amount of goodwill are as follows (in millions):


	Goodwill
Balance, December 31, 2023	$	796.1
Currency translation adjustment	(1.2)
Balance, March 31, 2024	$	794.9

Intangible assets subject to amortization consist of the following (in millions):


	March 31, 2024						December 31, 2023
	Gross Carrying Amount		Accumulated Amortization		Net Carrying Amount		Gross Carrying Amount		Accumulated Amortization		Net Carrying Amount
Trademarks	$	41.6	$	(29.0)	$	12.6	$	42.0	$	(28.8)	$	13.2
Patents and acquired technologies	248.5		(174.3)		74.2		248.6		(171.9)		76.7
Other	207.5		(61.5)		146.0		207.7		(58.1)		149.6
Total	$	497.6	$	(264.8)	$	232.8	$	498.3	$	(258.8)	$	239.5

Amortization expense for intangible assets is included in “Cost of products sold” and “Selling and general expenses” and was $6.1 million for the three months ended March 31, 2024, compared to $5.8 million for the three months ended March 31, 2023, respectively. As of March 31, 2024 we had unrealized currency translation adjustments of $0.6 million related to our acquired intangibles from the acquisition of Diros.

Amortization expense for the remainder of 2024, the following four years and thereafter is estimated as follows (in millions):


	Amount
Remainder of 2024	$	19.4
2025	25.0
2026	24.5
2027	22.8
2028	22.6
Thereafter	118.5
Total	$	232.8


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Accrued Expenses

Accrued expenses consist of the following (in millions):


	March 31, 2024		December 31, 2023
Accrued rebates and customer incentives	$	14.1	$	17.7
Accrued salaries and wages	20.8		31.5
Accrued taxes and other	17.5		16.7
Other	22.7		27.3
Total	$	75.1	$	93.2

Other Long-Term Liabilities

Other long-term liabilities consist of the following (in millions):


	March 31, 2024		December 31, 2023

Accrued compensation and benefits	$	6.7	$	5.9
Other	4.1		4.1
Total	$	10.8	$	10.0

Note 6. Fair Value Information

The following fair value information is based on a fair value hierarchy that prioritizes the inputs to valuation techniques used to measure fair value. The three levels in the hierarchy used to measure fair value are:

Level 1: Unadjusted quoted prices in active markets accessible at the reporting date for identical assets and liabilities.

Level 2: Quoted prices for similar assets or liabilities in active markets. Quoted prices for identical or similar assets and liabilities in markets that are not considered active or financial instruments for which all significant inputs are observable, either directly or indirectly.

Level 3: Prices or valuations that require inputs that are significant to the valuation and are unobservable.

A financial instrument’s level within the fair value hierarchy is based on the lowest level of any input that is significant to the fair value measurement. The following table includes the fair value of our financial instruments for which disclosure of fair value is required (in millions):


		March 31, 2024				December 31, 2023
	Fair Value Hierarchy Level	Carrying Amount		Estimated Fair Value		Carrying Amount		Estimated Fair Value
Assets
Cash and cash equivalents	1	$	75.8	$	75.8	$	87.7	$	87.7
Liabilities
Revolving Credit Facility	2	$	60.0	$	60.0	$	50.0	$	50.0
Term Loan Facility	2	116.6		116.6		118.0		118.0
Contingent consideration related to acquisition	3	3.3		3.3		5.3		5.3

Cash equivalents are recorded at cost, which approximates fair value due to their short-term nature. The fair value of amounts borrowed under our Revolving Credit Facility and Term Loan Facility approximates carrying value because borrowings are subject to a variable rate as described in Note 7, “Debt”.


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Note 7. Debt

As of March 31, 2024 and December 31, 2023, our respective debt balances were as follows (in millions):


	Weighted-Average Interest Rate		Maturity	March 31, 2024		December 31, 2023
Revolving Credit Facility	6.86	%	2027	$	60.0	$	50.0
Term Loan Facility	6.78	%	2027	117.2		118.8
				177.2		168.8
Unamortized debt issuance costs				(0.6)		(0.8)
Current portion of long-term debt				(9.4)		(8.6)
Total Long-Term Debt, net				$	167.2	$	159.4

On June 24, 2022, we entered into a credit agreement (the “Credit Agreement”) with certain lenders which established credit facilities in an aggregate principal amount of $500.0 million, consisting of a five-year senior secured term loan of $125.0 million (the “Term Loan Facility”) and a five-year senior secured revolving credit facility allowing borrowings of up to $375.0 million, with a letter of credit sub-facility in an amount of $75.0 million (the “Revolving Credit Facility”). All obligations under the Credit Agreement and certain hedging agreements and cash management arrangements thereunder are: (i) guaranteed by each of the Company’s direct and indirect, existing and future, material wholly owned domestic subsidiaries (“Guarantors”) and (ii) secured by a first priority lien on substantially all the assets of the Company and the Guarantors. The Credit Agreement contains an accordion feature that allows us to incur incremental term loans under the Term Loan Facility or under new term loan facilities or to increase the amount of the commitments under the Revolving Credit Facility, including through the establishment of one or more tranches under the Revolving Credit Facility. The Credit Agreement will mature on June 24, 2027.

Borrowings under the Term Loan Facility and Revolving Credit Facility bear interest at our option at either: (i) an adjusted term secured overnight financing rate (“SOFR”), plus a margin ranging between 1.50% to 2.00% per annum, depending on our consolidated total leverage ratio; (ii) an adjusted daily simple SOFR rate, plus a margin ranging between 1.50% to 2.00% per annum, depending on our consolidated total leverage ratio; or (iii) a base rate (calculated as the greatest of (a) the prime rate, (b) the NYFRB rate (being the greater of the federal funds effective rate or the overnight bank funding rate) plus 0.50%, and (c) the one month adjusted term SOFR rate plus 1.00%), plus a margin ranging between 0.50% to 1.00% per annum, depending on our consolidated total leverage ratio. The unused portion of the Revolving Credit Facility will be subject to a commitment fee ranging between 0.20% to 0.25% per annum, depending on our consolidated total leverage ratio. Unamortized debt discount and issuance costs are being amortized to interest expense over the life of the Term Loan Facility using the interest method, resulting in an effective interest rate of 6.6% as of March 31, 2024.

The Credit Agreement requires compliance with certain customary operational and financial covenants. As of March 31, 2024, we were in compliance with these covenants. In addition, the Credit Agreement contains certain other customary limitations on our ability to, among other things: incur additional indebtedness; pay dividends on or repurchase or redeem our capital stock; make loans, investments and acquisitions; sell, transfer or otherwise dispose of assets; guarantee other obligations; create or grant liens; and enter into certain types of transactions with affiliates. Notwithstanding such limitations, the Credit Agreement allows us to pay dividends, repurchase stock and make investments up to an “Available Amount,” as defined in the Credit Agreement, provided no event of default has occurred and certain financial ratios have been achieved on a pro forma basis. We are permitted to prepay all or a portion of the Term Loan Facility and the Revolving Credit Facility at any time without premium or penalty.

Debt Payments

The Credit Agreement requires quarterly principal installment payments on the Term Loan Facility of 10% of the total principal borrowed for the first eight quarters following funding and then quarterly installment payments of 20% of the total principal borrowed, at which time the remaining unpaid principal amount of the Term Loan Facility is due and payable by the Company upon the maturity date of June 24, 2027. The current portion of the Term Loan Facility is $9.4 million. Interest is payable quarterly. We have the right to voluntarily prepay the Term Loan Facility in accordance with the terms of the Credit Agreement. Interest is payable at the same rates set forth above for the Revolving Credit Facility.

During the three months ended March 31, 2024, we repaid $1.6 million of the Term Loan Facility. During the three months ended March 31, 2024, we borrowed $20.0 million and repaid $10.0 million of the Revolving Credit Facility. As of March 31, 2024, we had letters of credit outstanding of $6.2 million.


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As of March 31, 2024, the aggregate amounts of long-term debt that will mature during each of the next four years are as follows (in millions):


	Amount
Remainder of 2024	$	7.0
2025	9.4
2026	10.2
2027	150.6
2028	—
Total	$	177.2

Note 8. Accumulated Other Comprehensive Income

The changes in the components of Accumulated Other Comprehensive Income (“AOCI”), net of tax, are as follows (in millions):


	Unrealized Currency Translation		Defined Benefit Plans		Accumulated Other Comprehensive Loss
Balance, December 31, 2023	$	(27.0)	$	—	$	(27.0)
Other comprehensive loss	(2.2)		(0.3)		(2.5)
Balance, March 31, 2024	$	(29.2)	$	(0.3)	$	(29.5)

The net changes in the components of AOCI, including the tax effect, are as follows (in millions):


	Three Months Ended March 31,
		2024		2023
Unrealized currency translation		$	(2.2)	$	4.5
Defined benefit pension plans		(0.3)		—

Defined benefit pension plans, net of tax		(0.3)		—



Change in AOCI		$	(2.5)	$	4.5

Note 9. Stock-Based Compensation

Stock-based compensation expense is included in “Cost of products sold,” “Research and development,” and “Sales and general expenses.” Stock-based compensation expense for the three months ended March 31, 2024 and 2023 is shown in the table below (in millions):


	Three Months Ended March 31,
		2024		2023
Stock options		$	—	$	0.2
Time-based restricted share units		2.5		2.9
Performance-based restricted share units		1.0		0.8
Employee stock purchase plan		0.1		0.1
Total stock-based compensation		$	3.6	$	4.0

Note 10. Commitments and Contingencies

Legal Matters

We are subject to various legal proceedings, claims and governmental inspections, audits or investigations pertaining to issues such as contract disputes, product liability, tax matters, patents and trademarks, advertising, governmental regulations, employment and other matters. Under the terms of the distribution agreement we entered into with Kimberly-Clark Corporation (“Kimberly-Clark”) prior to our 2014 spin-off from Kimberly-Clark, legal proceedings, claims and other liabilities that are primarily related to our business are our responsibility and we are obligated to indemnify and hold Kimberly-Clark harmless for such matters.


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Government Investigation

In June 2015, we were served with a subpoena from the Department of Veterans Affairs Office of the Inspector General (“VA OIG”) seeking information related to the design, manufacture, testing, sale and promotion of MicroCool and other surgical gowns produced by the Company. In July 2015, we became aware that the VA OIG subpoena and an earlier VA OIG subpoena served on Kimberly-Clark requesting information about gown sales to the federal government were related to a United States Department of Justice (“DOJ”) investigation. In May 2016, April 2017 and September 2018, we received additional subpoenas from the DOJ seeking further information related to the Company’s surgical gowns.

On July 6, 2021, we entered into a Deferred Prosecution Agreement (“DPA”) with the DOJ that resolved their criminal investigation related to our MicroCool surgical gowns. Pursuant to the terms of the DPA, in July 2021 the Company made a payment of $22.2 million. We continue to comply with the terms of the DPA.

Patent Litigation

We operate in an industry characterized by extensive patent litigation. Competitors may claim that our products infringe upon their intellectual property. Resolution of patent litigation or other intellectual property claims is typically time consuming and costly and can result in significant damage awards and injunctions that could prevent the manufacture and sale of the affected products or require us to make significant royalty payments in order to continue selling the affected products.

At any given time, we may be involved as either a plaintiff or a defendant in a number of patent infringement actions, the outcomes of which may not be known for prolonged periods of time.

General

While we maintain general and professional liability, product liability and other insurance, our insurance policies may not cover all of these matters and may not fully cover liabilities arising out of these matters. In addition, we may be obligated to indemnify our directors and officers against these matters.

We record provisions in the consolidated financial statements for pending litigation when we determine that an unfavorable outcome is probable and the amount of the loss can be reasonably estimated. For any matters that are reasonably possible to result in loss and for which no possible loss or range of loss is disclosed in this Form 10-Q, management has determined that it is unable to estimate the possible loss or range of loss because, in each case, at least the following facts applied: (a) the matter is at an early stage of the proceedings; (b) the damages are indeterminate, unspecified or determined to be immaterial; and (c) significant factual issues have yet to be resolved. At present, although the results of litigation and claims cannot be predicted with certainty, we believe that the ultimate resolution of any pending legal proceeding to which we are a party will not have a material adverse effect on our business, financial condition, results of operations or liquidity.

Environmental Compliance

We are subject to federal, state and local environmental protection laws and regulations with respect to our business operations. We believe we are operating in compliance with, or are taking action aimed at ensuring compliance with, these laws and regulations. None of our compliance obligations with environmental protection laws and regulations, individually or in the aggregate, is expected to have a material adverse effect on our business, financial condition, results of operations or liquidity.

Note 11. Earnings Per Share (“EPS”)

Basic EPS is calculated by dividing net income by the weighted average number of common shares outstanding during each period. Diluted earnings per share is calculated by dividing net income by the number of common shares outstanding and the effect of all dilutive common stock equivalents outstanding during each period, as determined using the treasury stock method.


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The calculation of basic and diluted earnings (loss) per share for the three months ended March 31, 2024 and 2023 is set forth in the following table (in millions, except per share amounts):


	Three Months Ended March 31,
		2024		2023
Net income (loss) from continuing operations		$	0.5	$	(7.8)
Net (loss) income from discontinued operations		(1.4)		7.3
Net loss		$	(0.9)	$	(0.5)

Weighted Average Shares Outstanding:
Basic weighted average shares outstanding		46.2		46.6
Dilutive effect of stock options and restricted share unit awards		0.5		—
Diluted weighted average shares outstanding		46.7		46.6
Earnings (Loss) Per Share
Basic:
Continuing Operations		$	0.01	$	(0.17)
Discontinued Operations		(0.03)		0.16
Basic Loss Per Share		$	(0.02)	$	(0.01)

Diluted:
Continuing Operations		$	0.01	$	(0.17)
Discontinued Operations		(0.03)		0.16
Diluted Loss Per Share		$	(0.02)	$	(0.01)

Restricted share units (“RSUs”) contain provisions allowing for the equivalent of any dividends paid on common stock during the restricted period to be reinvested into additional RSUs at the then fair market value of the common stock on the date the dividends are paid. Such awards are to be included in the EPS calculation under the two-class method. Currently, we do not anticipate any cash dividends for the foreseeable future and our outstanding RSU awards are not material in comparison to our weighted average shares outstanding. Accordingly, all EPS amounts reflect shares as if they were fully vested and the disclosures associated with the two-class method are not presented herein.

For the three months ended March 31, 2024, 1.7 million of potentially dilutive stock options and RSU awards were excluded from the computation of earnings per share as their effect would have been anti-dilutive.

Note 12. Business and Products Information

We conduct our business in one operating and reportable segment that provides our medical device products to healthcare providers and patients globally with manufacturing facilities in the United States and Mexico.


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Avanos develops, manufactures and markets its recognized brands globally and holds leading market positions in multiple categories across its portfolio. Our management evaluates net sales by product category within our single reportable segment as follows (in millions):


	Three Months Ended March 31,
		2024		2023
Digestive Health		$	94.7	$	88.8
Pain Management and Recovery:
Surgical pain and recovery		31.2		34.7
Interventional pain		40.2		35.8
Total Pain Management and Recovery		71.4		70.5
Total Net Sales		$	166.1	$	159.3

Digestive Health is a portfolio of products such as our MIC-KEY enteral feeding tubes, Corpak patient feeding solutions and NeoMed neonatal and pediatric feeding solutions.

Pain Management and Recovery is a portfolio of products including:

•Surgical pain and recovery products such as ON-Q and ambIT surgical pain pumps and Game Ready cold and compression therapy systems; and

•Interventional pain solutions, which provide minimally invasive pain relief therapies, such as our COOLIEF pain therapy, OrthogenRx’s knee osteoarthritis HA pain relief injection products and Diros’ RFA products used to treat chronic pain conditions.

Liabilities for estimated returns, rebates and incentives are presented in the table below (in millions):


	March 31, 2024		December 31, 2023
Accrued rebates	$	6.9	$	10.4
Accrued customer incentives	7.2		7.3
Accrued rebates and customer incentives	14.1		17.7
Accrued sales returns(a)	0.1		0.1
Total estimated liabilities	$	14.2	$	17.8

__________________________________________________

(a)Accrued sales returns are included in “Other” in the accrued expenses table in Note 5, “Supplemental Balance Sheet Information”.

Due to the nature of our business, we receive purchase orders for products under supply agreements which are normally fulfilled within three to four weeks. Our performance obligations under purchase orders are satisfied and revenue is recognized at a point in time, which is upon shipment or upon delivery of our products, depending on shipping terms. Accordingly, we normally do not have transactions that give rise to material unfulfilled performance obligations.

Note 13. Share Repurchase Program

On July 28, 2023, the Board of Directors approved a new one-year program under which we may repurchase up to $25.0 million of our common stock. Repurchases under this program will be made from time to time at management’s discretion on the open market or through privately negotiated transactions in compliance with Rule 10b-18 under the Exchange Act, subject to market conditions, applicable legal requirements and other relevant factors. We have established a pre-arranged trading plan under Rule 10b5-1 of the Exchange Act in connection with this share repurchase program. This share repurchase program does not obligate us to purchase any particular amount of common stock and may be suspended, modified or discontinued by us without prior notice. In the third quarter of 2023, we repurchased $9.2 million of our common stock and during the fourth quarter of 2023, we repurchased an additional $5.8 million of our common stock.

For the three months ended March 31, 2024, our repurchases of our common stock were as summarized in the table below.


	Shares Repurchased		Aggregate Purchase Price (in millions)		Average Price per Share		Amount Remaining in Program for Purchase (in millions)
	# of Shares	Program to Date
First quarter of 2024	342,680	1,085,333	$	6.7	$	19.45	$	3.3


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From April 1, 2024 to April 12, 2024, we repurchased 169,571 shares of our common stock for the remaining $3.3 million, or an average of $19.67 per share.

In addition to the share repurchase program, we withheld 125,819 shares of common stock for $2.4 million in taxes associated with stock-based compensation transactions for the three months ended March 31, 2024.


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

Introduction

Avanos is a medical technology company focused on delivering clinically superior medical device solutions that help patients get back to the things that matter. We are committed to addressing some of today’s most important healthcare needs, including providing a vital lifeline for nutrition to patients from hospital to home, and reducing the use of opioids while helping patients move from surgery to recovery. We develop, manufacture and market our recognized brands globally and hold leading market positions in multiple categories across our portfolio.

This Management’s Discussion and Analysis of Financial Condition and Results of Operations (“MD&A”) is intended to provide investors with an understanding of our recent performance, and should be read in conjunction with the condensed consolidated financial statements contained in Item 1, “Financial Statements” in this Form 10-Q and our audited consolidated financial statements and related notes included in our Annual Report on Form 10-K for the year ended December 31, 2023. This MD&A contains forward-looking statements. Refer to “Information Concerning Forward-Looking Statements” at the beginning of this Form 10-Q for an explanation of these types of statements.

The following will be discussed and analyzed:

•Restructuring Activities;

•Divestiture of the Respiratory Health Business

•Discontinued Operations

•Business Acquisition

•Results of Operations and Related Information;

•Liquidity and Capital Resources; and

•Critical Accounting Policies and Use of Estimates.

Restructuring Activities

Post-RH Divestiture Restructuring Plan

In the three months ended March 31, 2024, we initiated a restructuring plan (the “Plan”) following the divestiture of our Respiratory Health (“RH”) business in the fourth quarter of 2023 (the “RH Divestiture”). The current scope is intended to align our organizational structure with our remaining business, but may be expanded to include other operational initiatives that have not been finalized. We expect the Plan will be substantially complete by the end of 2025 and currently expect to incur up to $5.0 million of cash expenses, primarily for employee termination benefits. In the three months ended March 31, 2024, we incurred $0.7 million of costs related to the Plan. These costs were included in “Selling and general expenses” in the accompanying condensed consolidated income statements.

Transformation Process

In January 2023, we initiated a three-year restructuring initiative pursuant to which we plan to: (i) combine our Chronic Care and Pain Management franchises into a single commercial organization focused on the Digestive Health and Orthopedic Pain & Recovery product categories; (ii) rationalize our product portfolio including certain low-margin, low-growth product categories through targeted divestitures; (iii) undertake additional cost management activities to enhance the Company’s operating profitability; and (iv) pursue efficient capital allocation strategies, including through acquisitions that meet the Company’s strategic and financial criteria (the “Transformation Process”).

By 2025, we expect total gross savings of between $45.0 million and $55.0 million compared to 2022, most of which will be achieved in 2024. We expect the Transformation Process will be substantially complete by the end of 2025.

We expect to incur up to $30.0 million of cash expenses in connection with the Transformation Process, consisting of between $9.0 million and $12.0 million of program management consulting and employee retention expenses, between $8.0 million and $11.0 million of expenses associated with manufacturing and supply chain improvements and portfolio rationalization; and the remainder for expenses associated with organization design and alignment and other related activities. These amounts include between $6.0 million and $8.0 million of employee severance and benefits costs. The accompanying condensed consolidated income statements for the three months ended March 31, 2024 include costs of $2.9 million, incurred in connection with the Transformation Process in “Selling and general expenses.”

Divestiture

On October 2, 2023, we closed the sale of our RH business to SunMed Group Holdings, LLC (“Buyer”) for a total purchase price of $110 million in cash, subject to certain adjustments as provided in the Purchase Agreement based on the indebtedness


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and inventory transferred to Buyer at the closing and the chargebacks assumed by Buyer but that would otherwise have been payable by the Company and its subsidiaries on or after October 2, 2023 to distributors of the Company’s RH products located in the United States.

The RH Divestiture represents a key component of the Transformation Process, and is aimed at accelerating the Company’s efforts to focus its portfolio on markets where it is well positioned to succeed.

In conjunction with the RH Divestiture, we and Buyer entered into various transition services agreements pursuant to which we, Buyer and each company’s respective affiliates will provide to each other various transitional services, including, but not limited to, product manufacturing and distribution, facilities, order fulfillment, invoicing, quality assurance, regulatory support, audit support and other services. The services generally commenced on the closing date of the Divestiture and terminate no later than one to three years thereafter.

Discontinued Operations

As a result of the RH Divestiture, the results of operations from our RH business are reported as “(Loss) income from discontinued operations, net of tax” and the related assets and liabilities are classified as “held for sale” in the condensed consolidated financial statements. Net sales from discontinued operations were $16.9 million in the three months ended March 31, 2024, compared to $32.4 million in the three months ended March 31, 2023.

Business Acquisition

On June 17, 2023 we entered into a definitive agreement to acquire Diros Technology Inc., (“Diros”) a leading manufacturer of innovative radiofrequency ablation (RFA) products used to treat chronic pain conditions. On July 24, 2023, we closed the acquisition of Diros for approximately $53.0 million, consisting of $2.5 million cash paid upon entry into the definitive agreement and $50.5 million in cash paid at closing (subject to certain working capital and other adjustments), with an additional $7.0 million payable in contingent cash consideration based on achievement of certain performance objectives defined in the purchase agreement (the “Diros Acquisition”). The purchase price for the Diros Acquisition was funded by proceeds from our Revolving Credit Facility.

See Note 4, “Business Acquisition” in Item 1 of this Form 10-Q for further details regarding the acquisition.

Results of Operations and Related Information

Use of Non-GAAP Measures

In this section, we present “Adjusted operating profit (loss),” which is a profitability measure that is not calculated in accordance with accounting principles generally accepted in the United States (“GAAP”) and is therefore referred to as non-GAAP financial measure. We provide this non-GAAP measure because we use it to measure our operational performance and provide greater insight into our ongoing business operations. This measure is not intended to be, and should not be, considered separately from, or an alternative to, the most directly comparable GAAP financial measures. A reconciliation of the non-GAAP measure to the most directly comparable GAAP financial measures is provided below under “Adjusted operating profit.”

Net Sales

Our net sales are summarized in the following table for the three months ended March 31, 2024 and 2023 (in millions):


			Three Months Ended March 31,
					2024			2023			Change
Digestive Health					$	94.7		$	88.8		6.6	%
Pain Management and Recovery:
Surgical pain and recovery					31.2			34.7			(10.1)	%
Interventional pain					40.2			35.8			12.3	%
Total Pain Management and Recovery					71.4			70.5			1.3	%
Total Net Sales					$	166.1		$	159.3		4.3	%

	Total		Volume		Pricing/Mix			Currency			Other(a)

Net sales - percentage change	4.3	%	5.2	%	(1.1)		%	0.1		%	0.1	%

______________________________

(a) Other includes rounding.


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Product Category Descriptions

Digestive Health is a portfolio of products such as our MIC-KEY enteral feeding tubes, Corpak patient feeding solutions and NeoMed neonatal and pediatric feeding solutions.

Pain Management and Recovery is a portfolio of products including:

•Surgical pain and recovery products such as ON-Q and ambIT surgical pain pumps and Game Ready cold and compression therapy systems; and

Net Sales

First Quarter of 2024 Compared to First Quarter of 2023

For the three months ended March 31, 2024, net sales were $166.1 million, an increase of 4.3% compared to the prior year period, primarily due to strong demand and volume in our Digestive Health portfolio, primarily from our NeoMed neonatal and pediatric feeding solutions, as well as overall favorable volume in our Pain Management and Recovery portfolio, primarily driven by Game Ready and Diros. This was partially offset by slightly unfavorable pricing for our Pain Management and Recovery products.

Net Sales by Geographic Region

Net sales by region is presented in the table below (in millions):


	Three Months Ended March 31,
		2024		2023		Change
North America		$	132.1	$	130.4	1.3	%
Europe, Middle East and Africa		23.0		17.4		32.2
Asia Pacific and Latin America		11.0		11.5		(4.3)
Total net sales		$	166.1	$	159.3	4.3	%

Gross Profit (in millions)


	Three Months Ended March 31,
		2024			2023
Net sales		$	166.1		$	159.3
Cost of products sold		71.3			67.9
Gross profit		94.8			91.4
Gross profit margin		57.1		%	57.4		%

First Quarter of 2024 Compared to First Quarter of 2023

For the three months ended March 31, 2024 compared to the prior year period, gross profit margin decreased primarily due to costs related to our Transformation priorities and plant separation costs associated with the RH Divestiture, partially offset by favorable volume and product mix.

Research and Development (in millions)


	Three Months Ended March 31,
		2024			2023
Research and development		$	7.0		$	7.5
Percentage of net sales		4.2		%	4.7		%

Research and development consists primarily of compensation for personnel and expenses for product trial costs, outside laboratory and license fees, the cost of laboratory equipment and facilities and asset write-offs for equipment associated with unsuccessful product launches. Research and development has historically ranged between 4% and 6% of net sales.


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Selling and General Expenses (in millions)


	Three Months Ended March 31,
		2024			2023
Selling and general expenses		$	83.6		$	88.8
Percentage of net sales		50.3		%	55.7		%

Selling and general expenses decreased to $83.6 million for the three months ended March 31, 2024, as compared to the prior year period, driven by savings realized from the execution on the Transformation Process and a reduction in external spending.

Other Expense, net (in millions)


	Three Months Ended March 31,
		2024			2023
Other expense, net		$	0.2		$	1.2
Percentage of net sales		0.1		%	0.8		%

Other expense, net was $0.2 million for the three months ended March 31, 2024, compared to $1.2 million in the prior year period. In the three months ended March 31, 2023, other expense, net primarily consisted of acquisition and integration costs.

Operating Profit (in millions)


	Three Months Ended March 31,
		2024			2023
Operating profit (loss)		$	4.0		$	(6.1)
Operating profit margin		2.4		%	(3.8)		%

The items previously described drove operating profit to $4.0 million for the three months ended March 31, 2024, compared to operating loss of $6.1 million for the three months ended March 31, 2023.

Adjusted Operating Profit

A reconciliation of adjusted operating profit, a non-GAAP measure, to operating profit (loss) is provided in the table below (in millions):


	Three Months Ended March 31,
		2024		2023
Operating profit (loss), as reported (GAAP)		$	4.0	$	(6.1)
Acquisition and integration-related charges		0.3		1.5
Restructuring and transformation charges		2.9		8.9
Post-RH Divestiture transition charges		1.0		—
Post-RH Divestiture restructuring		0.7		—
EU MDR Compliance		1.3		1.1

Intangibles amortization		6.1		5.8
Adjusted operating profit (non-GAAP)		$	16.3	$	11.2

The items noted in the table above are described below:

Acquisition and integration-related charges: Acquisition and integration-related charges were $0.3 million and $1.5 million for the three months ended March 31, 2024 and 2023, respectively. Expenses in the three months ended March 31, 2024 were driven by the acquisition of Diros and expenses in the three months ended March 31, 2023 were related to our acquisition of OrthogenRx, Inc.

Restructuring and transformation charges: In January 2023, we initiated the Transformation Process, a three-year restructuring initiative intended to align the Company under a single commercial organization, rationalize our product portfolio, undertake additional cost management activities to enhance the Company’s operating profitability and pursue efficient capital allocation strategies. In the three months ended March 31, 2024 we incurred expenses of $2.9 million related to the Transformation Process, primarily for employee severance and benefits costs. In the three months ended March 31, 2023 we incurred expenses


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of $8.9 million related to the Transformation Process, which consisted of costs associated with program management consulting and employee retention expenses and employee severance and benefits costs.

Post-RH Divestiture transition charges: In conjunction with the divestiture of our RH business, we incurred accounting, legal and other professional fees of approximately $1.0 million for the three months ended March 31, 2024.

Post-RH Divestiture restructuring charges: In the three months ended March 31, 2024, we initiated a post-RH Divestiture restructuring plan intended to align our operations and organizational structure with our remaining business. In the three months ended March 31, 2024 we incurred expenses of $0.7 million related to the Plan, which primarily consisted of employee severance and benefits costs.

EU MDR Compliance: The European Union Medical Device Regulation (the “EU MDR”) brings significant new requirements for our medical devices sold in the European Union. Incremental costs associated with EU MDR compliance are primarily related to re-certification of our products under the enhanced standards. We incurred $1.3 million and $1.1 million of costs for EU MDR compliance for the three months ended March 31, 2024 and 2023, respectively. In early 2023, the deadlines for compliance were extended after compliance was proceeding slower than expected by the European Commission due to a number of factors including insufficient capacity for timely issuance of device certifications under the new requirements. We expect the activities associated with EU MDR compliance will be substantially complete by the end of 2025.

Intangibles amortization: Intangibles amortization is related primarily to intangibles acquired in business acquisitions and was $6.1 million for the three months ended March 31, 2024 and $5.8 million for the three months ended March 31, 2023, respectively.

Interest Expense

Interest expense consists of interest accrued and amortization of debt issuance costs on our revolving credit facility net of interest capitalized on long-term capital projects. See Note 7, “Debt” in Item 1 of this Form 10-Q. Interest expense was $3.1 million for the three months ended March 31, 2024, compared to $3.5 million in the comparable period last year. Our outstanding debt balances, net of unamortized discounts, were $176.6 million and $168.0 million as of March 31, 2024 and December 31, 2023, respectively.

Income Taxes

The income tax provision was $1.0 million in the three months ended March 31, 2024, compared to an income tax benefit of $1.3 million in the three months ended March 31, 2023. Our effective tax rate was 66.7% in the three months ended March 31, 2024. For the three months ended March 31, 2023, our effective rate was 14.3%.

Liquidity and Capital Resources

General

Our primary sources of liquidity are cash on hand provided by operating activities and amounts available with our Revolving Credit Facility under our Credit Agreement. We expect our operating cash flow will be sufficient to meet our working capital requirements and fund capital expenditures in the next twelve months. In addition, with our borrowing capacity, we expect to have the ability to fund capital expenditures and other investments necessary to grow our business for the foreseeable future for both our domestic and international operations.

As of March 31, 2024, $41.2 million of our $75.8 million of cash and cash equivalents was held by foreign subsidiaries. We consider the undistributed earnings of our foreign subsidiaries to be indefinitely reinvested overseas and currently do not have plans to repatriate such earnings. We do not expect restrictions on repatriation of cash held outside of the United States to have a material effect on our overall liquidity, financial condition or results of operations for the foreseeable future.

Cash and cash equivalents decreased by $11.9 million to $75.8 million as of March 31, 2024, compared to $87.7 million as of December 31, 2023. The decrease was primarily driven by $8.0 million of cash used in operations, $4.1 million of capital expenditures, payments of $10.0 million on our revolving credit facility and $9.1 million used to repurchase shares of our common stock. This was partially offset by $20.0 million in proceeds from our revolving credit facility.

Cash and cash equivalents decreased by $32.0 million to $95.7 million as of March 31, 2023. The decrease was primarily driven by $6.8 million of cash used in operating activities, payments of $20.0 million on our revolving credit facility and $1.6 million on our term loan and $4.0 million of capital expenditures.

Long-Term Debt


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million, with a letter of credit sub-facility in an amount of $75.0 million (the “Revolving Credit Facility”). All obligations under the Credit Agreement and certain hedging agreements and cash management arrangements thereunder are: (i) guaranteed by each of the Company’s direct and indirect, existing and future, material wholly owned domestic subsidiaries (“Guarantors”) and (ii) secured by a first priority lien on substantially all the assets of the Company and the Guarantors. The Credit Agreement contains an accordion feature that allows us to incur incremental term loans under the Term Loan Facility or under new term loan facilities or to increase the amount of the commitments under the Revolving Credit Facility, including through the establishment of one or more tranches under the Revolving Credit Facility. The Credit Agreement will mature on June 24, 2027.

See Note 7, “Debt” in Item 1 of this Form 10-Q for further details regarding our debt agreements.

Critical Accounting Policies and Use of Estimates

Our financial statements are prepared by applying certain accounting policies. See Note 1, “Accounting Policies” in Item 8, “Financial Statements and Supplementary Data” in the Form 10-K, which describes our most significant accounting policies. In addition, our critical accounting policies and estimates are presented under the caption “Critical Accounting Policies and Use of Estimates” in Item 7, “Management's Discussion and Analysis of Financial Condition and Results of Operation” in the Form 10-K. Certain of these policies require management to make estimates or assumptions that may prove inaccurate or be subject to variations that may significantly affect our reported results and financial position for the period or in future periods. Management views these policies as critical accounting policies. See Note 1, “Accounting Policies” in Item 1 of this Form 10-Q for updates to our critical accounting policies and a discussion of recent accounting pronouncements. In the three months ended March 31, 2024, there were no significant changes to our critical accounting estimates from those disclosed in Item 7, “Management's Discussion and Analysis of Financial Condition and Results of Operation” in the Form 10-K.

Item 3. Quantitative and Qualitative Disclosures About Market Risk

There have been no material changes regarding our market risk position from the information provided under Item 7A – “Quantitative and Qualitative Disclosures About Market Risk” in the Form 10-K.

Item 4. Controls and Procedures

With the participation of management, our Chief Executive Officer (principal executive officer) and our Senior Vice President, and Chief Financial Officer (principal financial officer) carried out an evaluation, pursuant to Rule 13a-15(b) of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), of the effectiveness of our disclosure controls and procedures (as defined in Rule 13a-15(e) of the Exchange Act) as of the end of the period covered by this report. Based upon that evaluation, our Chief Executive Officer and our Senior Vice President and Chief Financial Officer concluded that our disclosure controls and procedures were operating effectively as of March 31, 2024.

Changes in Internal Control Over Financial Reporting

There have been no changes in our internal control over financial reporting that occurred during the three months ended March 31, 2024 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.


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PART II – OTHER INFORMATION

Item 1. Legal Proceedings

We are subject to various legal proceedings, claims and governmental inspections, audits or investigations pertaining to issues such as contract disputes, product liability, tax matters, patents and trademarks, advertising, governmental regulations, employment and other matters. At present, although the results of litigation and claims cannot be predicted with certainty, we believe that the ultimate resolution of any pending legal proceeding to which we are a party will not have a material adverse effect on our business, financial condition, results of operations or liquidity.

Item 1A. Risk Factors

There have been no material changes to the risk factors described in Part I, Item 1A, “Risk Factors,” of the Form 10-K.

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds

Not applicable

Item 3. Defaults Upon Senior Securities

Not applicable

Item 4. Mine Safety Disclosures

Not applicable

Item 5. Other Information

None


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Item 6. Exhibits

(a)Exhibits


Exhibit Number						Description
2.2						First Amendment to Purchase Agreement dated as of October 2, 023 by and between Avanos Medical, Inc. and SunMed Group Holdings, LLC, incorporated by reference to Exhibit 2.2 to the Company’s Current Report on Form 8-K filed on October 2, 2023
3.1						Second Amended and Restated Certificate of Incorporation of the Company, incorporated by reference to Exhibit 3.1 of the Company’s Current Report on Form 8-K filed on May 6, 2020
3.2						Sixth Amended and Restated Bylaws of the Company, incorporated by reference to Exhibit 3.2 of the Company’s Current Report on Form 8-K filed on May 6, 2020
31(a)						Section 302 CEO Certification, filed herewith
31(b)						Section 302 CFO Certification, filed herewith
32(a)**						Section 906 CEO Certification, furnished herewith
32(b)**						Section 906 CFO Certification, furnished herewith
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 Taxonomy Extension Schema Document
101.CAL						XBRL Taxonomy Extension Calculation Linkbase Document
101.DEF						XBRL Taxonomy Extension Definition Linkbase Document
101.LAB						XBRL Taxonomy Extension Label Linkbase Document
101.PRE						XBRL Taxonomy Extension Presentation Linkbase Document
104						Cover Page Interactive Data File (formatted as inline XBRL and contained in Exhibit 101)

** The certifications attached as Exhibit 32(a) and 32(b) that accompany this Form 10-Q are not deemed filed with the Securities and Exchange Commission and are not to be incorporated by reference into any filing of Avanos Medical, Inc. under the Securities Act of 1933, as amended, or the Securities Exchange Act of 1934, as amended, whether made before or after the date of this Form 10-Q, irrespective of any general incorporation language contained in such filing.


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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.


	AVANOS MEDICAL, INC.
	(Registrant)

May 2, 2024	By:	/s/ Michael C. Greiner
		Michael C. Greiner
		Senior Vice President,
		Chief Financial Officer and Chief Transformation Officer
		(Principal Financial Officer)

May 2, 2024	By:	/s/ John J. Hurley
		John J. Hurley
		Controller
		(Principal Accounting Officer)

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Avanos Medical (AVNS) 10-Q2024 Q1 Quarterly report

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