UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q

☒ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

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


For the quarterly period ended			Commission File Number
~~September~~June 30, ~~2020~~2021			001-39218

CONMED CORPORATION

(Exact name of the registrant as specified in its charter)

Delaware

16-0977505

(State or other jurisdiction of incorporation or organization)

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

~~525 French Road~~11311 Concept Blvd

~~Utica,~~Largo,

~~New York~~Florida

~~13502~~33773

(Address of principal executive offices)

(Zip Code)

~~(315) 797-8375~~(727) 392-6464

(Registrant's telephone number, including area code)

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


Title of each class	Trading Symbol	Name of each exchange on which registered
Common Stock, $0.01 par value	CNMD	NYSE

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, 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 (Check one).

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 registrant's common stock, as of ~~October~~July 26, ~~2020~~2021 is ~~28,601,599~~29,162,891 shares.

CONMED CORPORATION

QUARTERLY REPORT ON FORM 10-Q

FOR THE QUARTER ENDED ~~SEPTEMBER~~JUNE 30, ~~2020~~2021

PART I FINANCIAL INFORMATION

Item Number

Page

Item 1.

Financial Statements (unaudited)

– Consolidated Condensed Statements of Comprehensive Income (Loss) for the three and ~~nine~~six months ended ~~September~~June 30, ~~2020~~2021 and ~~2019~~2020

– Consolidated Condensed Balance Sheets as of ~~September~~June 30, ~~2020~~2021 and December 31, ~~2019~~2020

– Consolidated Condensed Statements of Shareholders' Equity for the ~~nine~~six months ended ~~September~~June 30, ~~2020~~2021 and ~~2019~~2020

– Consolidated Condensed Statements of Cash Flows for the ~~nine~~six months ended ~~September~~June 30, ~~2020~~2021 and ~~2019~~2020

– Notes to Consolidated Condensed Financial Statements

Item 2.

Management's Discussion and Analysis of Financial Condition and Results of Operations

2421

Item 3.

Quantitative and Qualitative Disclosures About Market Risk

3228

Item 4.

Controls and Procedures

3228

PART II OTHER INFORMATION

Item 1.

Legal Proceedings

~~Item 1A.~~

~~Risk Factors~~

PART I FINANCIAL INFORMATION

Item 1.

CONMED CORPORATION

CONSOLIDATED CONDENSED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)

(Unaudited, in thousands except per share amounts)


		Three Months Ended						Nine Months Ended							Three Months Ended				Six Months Ended
		September 30,						September 30,							June 30,				June 30,
		2020		2019		2020		2019			2021		2020		2021		2020
Net sales	Net sales	$	237,835	$	233,590	$	609,631	$	690,232	Net sales	$	255,161	$	157,785	$	487,837	$	371,796

Cost of sales	Cost of sales	104,137		103,479		284,845		307,492		Cost of sales	113,737		85,856		217,964		180,707

Gross profit	Gross profit	133,698		130,111		324,786		382,740		Gross profit	141,424		71,929		269,873		191,089

Selling and administrative expense	Selling and administrative expense	94,380		98,187		274,721		298,140		Selling and administrative expense	104,399		84,475		202,739		180,343

Research and development expense	Research and development expense	9,936		10,985		28,756		33,366		Research and development expense	11,318		8,700		21,344		18,820

Operating expenses	Operating expenses	104,316		109,172		303,477		331,506		Operating expenses	115,717		93,175		224,083		199,163

Income from operations		29,382		20,939		21,309		51,234
Income (loss) from operations										Income (loss) from operations	25,707		(21,246)		45,790		(8,074)

Interest expense	Interest expense	11,943		11,174		32,938		32,382		Interest expense	9,420		11,401		19,772		20,993

Other expense	Other expense	89		321		266		4,867		Other expense	0		89		0		178

Income (loss) before income taxes	Income (loss) before income taxes	17,350		9,444		(11,895)		13,985		Income (loss) before income taxes	16,287		(32,736)		26,018		(29,245)

Provision for income taxes		10,500		2,474		2,728		299
Provision (benefit) for income taxes										Provision (benefit) for income taxes	2,997		(5,336)		2,868		(7,772)

Net income (loss)	Net income (loss)	$	6,850	$	6,970	$	(14,623)	$	13,686	Net income (loss)	$	13,290	$	(27,400)	$	23,150	$	(21,473)

Comprehensive income (loss)	Comprehensive income (loss)	$	8,976	$	4,661	$	(16,858)	$	11,508	Comprehensive income (loss)	$	17,743	$	(24,713)	$	28,486	$	(25,834)

Per share data:	Per share data:									Per share data:

Net income (loss)	Net income (loss)									Net income (loss)
Basic	Basic	$	0.24	$	0.25	$	(0.51)	$	0.48	Basic	$	0.46	$	(0.96)	$	0.80	$	(0.75)
Diluted	Diluted	0.23		0.23		(0.51)		0.47		Diluted	0.41		(0.96)		0.72		(0.75)

Weighted average common shares	Weighted average common shares									Weighted average common shares
Basic	Basic	28,583		28,353		28,529		28,280		Basic	29,125		28,542		29,052		28,506
Diluted	Diluted	29,426		29,792		28,529		29,354		Diluted	32,464		28,542		31,964		28,506

See notes to consolidated condensed financial statements.

Table of Contents

CONMED CORPORATION

CONSOLIDATED CONDENSED BALANCE SHEETS

(Unaudited, in thousands except share and per share amounts)


		September 30, 2020		December 31, 2019			June 30, 2021		December 31, 2020
ASSETS	ASSETS					ASSETS
Current assets:	Current assets:					Current assets:
Cash and cash equivalents	Cash and cash equivalents	$	35,598	$	25,856	Cash and cash equivalents	$	46,388	$	27,356
Accounts receivable, net	Accounts receivable, net	166,593		189,097		Accounts receivable, net	168,966		177,152
Inventories	Inventories	182,668		164,616		Inventories	211,323		194,868
Prepaid expenses and other current assets	Prepaid expenses and other current assets	19,369		17,794		Prepaid expenses and other current assets	16,503		17,278
Total current assets	Total current assets	404,228		397,363		Total current assets	443,180		416,654
Property, plant and equipment, net	Property, plant and equipment, net	112,253		118,883		Property, plant and equipment, net	107,722		111,407
Goodwill	Goodwill	617,393		618,042		Goodwill	618,280		618,440
Other intangible assets, net	Other intangible assets, net	509,684		532,800		Other intangible assets, net	486,623		501,537
Other assets	Other assets	99,571		108,007		Other assets	106,169		103,635
Total assets	Total assets	$	1,743,129	$	1,775,095	Total assets	$	1,761,974	$	1,751,673

LIABILITIES AND SHAREHOLDERS' EQUITY	LIABILITIES AND SHAREHOLDERS' EQUITY					LIABILITIES AND SHAREHOLDERS' EQUITY
Current liabilities:	Current liabilities:					Current liabilities:
Current portion of long-term debt	Current portion of long-term debt	$	16,805	$	13,596	Current portion of long-term debt	$	21,868	$	18,415
Accounts payable	Accounts payable	57,197		55,968		Accounts payable	55,665		53,310
Accrued compensation and benefits	Accrued compensation and benefits	44,869		53,690		Accrued compensation and benefits	49,192		50,171
Other current liabilities	Other current liabilities	60,168		64,833		Other current liabilities	71,733		68,305
Total current liabilities	Total current liabilities	179,039		188,087		Total current liabilities	198,458		190,201

Long-term debt	Long-term debt	760,451		755,211		Long-term debt	707,808		735,221
Deferred income taxes	Deferred income taxes	72,906		74,488		Deferred income taxes	57,622		57,875
Other long-term liabilities	Other long-term liabilities	47,592		46,842		Other long-term liabilities	53,587		59,338
Total liabilities	Total liabilities	1,059,988		1,064,628		Total liabilities	1,017,475		1,042,635

Commitments and contingencies	Commitments and contingencies					Commitments and contingencies	0		0

Shareholders' equity:	Shareholders' equity:					Shareholders' equity:
Preferred stock, par value $0.01 per share;	Preferred stock, par value $0.01 per share;					Preferred stock, par value $0.01 per share;
authorized 500,000 shares; NaN outstanding	authorized 500,000 shares; NaN outstanding	0		0		authorized 500,000 shares; NaN outstanding	0		0
Common stock, par value $0.01 per share; 100,000,000 shares authorized; 31,299,194 shares issued in 2020 and 2019, respectively		313		313
Common stock, par value $0.01 per share; 100,000,000 shares authorized; 31,299,194 shares issued in 2021 and 2020, respectively						Common stock, par value $0.01 per share; 100,000,000 shares authorized; 31,299,194 shares issued in 2021 and 2020, respectively	313		313
Paid-in capital	Paid-in capital	381,119		379,324		Paid-in capital	393,663		382,628
Retained earnings	Retained earnings	439,086		470,844		Retained earnings	468,924		457,417
Accumulated other comprehensive loss	Accumulated other comprehensive loss	(61,512)		(59,277)		Accumulated other comprehensive loss	(58,345)		(63,681)
Less: 2,703,178 and 2,876,729 shares of common stock in treasury, at cost in 2020 and 2019, respectively		(75,865)		(80,737)
Less: 2,139,851 and 2,410,045 shares of common stock in treasury, at cost in 2021 and 2020, respectively						Less: 2,139,851 and 2,410,045 shares of common stock in treasury, at cost in 2021 and 2020, respectively	(60,056)		(67,639)
Total shareholders’ equity	Total shareholders’ equity	683,141		710,467		Total shareholders’ equity	744,499		709,038
Total liabilities and shareholders’ equity	Total liabilities and shareholders’ equity	$	1,743,129	$	1,775,095	Total liabilities and shareholders’ equity	$	1,761,974	$	1,751,673

See notes to consolidated condensed financial statements.

Table of Contents

CONMED CORPORATION

CONSOLIDATED CONDENSED STATEMENTS OF SHAREHOLDERS' EQUITY

(Unaudited, in thousands except per share amounts)


		Common Stock					Paid-in Capital		Retained Earnings		Accumulated Other Comprehensive Loss			Treasury Stock			Shareholders’ Equity			Common Stock				Paid-in Capital		Retained Earnings		Accumulated Other Comprehensive Loss		Treasury Stock		Shareholders’ Equity
		Shares	Amount																Retained Earnings		Accumulated Other Comprehensive Loss		Treasury Stock										Shareholders’ Equity
Balance at December 31, 2019		31,299	$	313	$	379,324							$	470,844		$	(59,277)	$							(80,737)	$	710,467
Balance at December 31, 2020																	Balance at December 31, 2020	31,299		$	313	$	382,628	$	457,417	$	(63,681)	$	(67,639)	$	709,038
Common stock issued under employee plans	Common stock issued under employee plans				(7,736)						2,696			(5,040)			Common stock issued under employee plans					2,944						5,271		8,215
Stock-based compensation	Stock-based compensation				3,032									3,032			Stock-based compensation					3,387								3,387
Dividends on common stock ($0.20 per share)	Dividends on common stock ($0.20 per share)						(5,703)							(5,703)			Dividends on common stock ($0.20 per share)							(5,813)						(5,813)

Comprehensive income (loss):	Comprehensive income (loss):																Comprehensive income (loss):
Cash flow hedging gain, net																	Cash flow hedging gain, net									3,926
Pension liability, net																	Pension liability, net									631
Foreign currency translation adjustments	Foreign currency translation adjustments								(9,988)								Foreign currency translation adjustments									(3,674)
Pension liability, net									535
Cash flow hedging gain, net									2,405
Net income	Net income						5,927										Net income							9,860
Total comprehensive loss														(1,121)
Balance at March 31, 2020		31,299	$	313	$	374,620	$	471,068	$	(66,325)	$	(78,041)		$	701,635
Total comprehensive income																	Total comprehensive income													10,743
Balance at March 31, 2021																	Balance at March 31, 2021	31,299		$	313	$	388,959	$	461,464	$	(62,798)	$	(62,368)	$	725,570
Common stock issued under employee plans	Common stock issued under employee plans				(1,150)						1,283			133			Common stock issued under employee plans					414						2,312		2,726
Stock-based compensation	Stock-based compensation				3,555									3,555			Stock-based compensation					4,290								4,290
Dividends on common stock ($0.20 per share)	Dividends on common stock ($0.20 per share)						(5,712)							(5,712)			Dividends on common stock ($0.20 per share)							(5,830)						(5,830)
Comprehensive income (loss):	Comprehensive income (loss):																Comprehensive income (loss):
Cash flow hedging gain, net																	Cash flow hedging gain, net									1,221
Pension liability, net																	Pension liability, net									631
Foreign currency translation adjustments	Foreign currency translation adjustments								4,581								Foreign currency translation adjustments									2,601
Pension liability, net									535
Cash flow hedging loss, net									(2,429)
Net loss							(27,400)
Total comprehensive loss														(24,713)
Balance at June 30, 2020		31,299	$	313	$	377,025	$	437,956	$	(63,638)	$	(76,758)		$	674,898
Common stock issued under employee plans					562						893			1,455
Stock-based compensation					3,532									3,532
Dividends on common stock ($0.20 per share)							(5,720)							(5,720)
Comprehensive income (loss):
Foreign currency translation adjustments									4,617
Pension liability, net									535
Cash flow hedging loss, net									(3,026)
Net income	Net income						6,850										Net income							13,290
Total comprehensive income	Total comprehensive income													8,976			Total comprehensive income													17,743
Balance at September 30, 2020		31,299	$	313	$	381,119	$	439,086	$	(61,512)	$	(75,865)		$	683,141
Balance at June 30, 2021																	Balance at June 30, 2021	31,299		$	313	$	393,663	$	468,924	$	(58,345)	$	(60,056)	$	744,499

~~Table of Contents~~


		Common Stock					Paid-in Capital		Retained Earnings		Accumulated Other Comprehensive Loss			Treasury Stock			Shareholders’ Equity			Common Stock				Paid-in Capital		Retained Earnings		Accumulated Other Comprehensive Loss		Treasury Stock		Shareholders’ Equity
		Shares	Amount																Retained Earnings		Accumulated Other Comprehensive Loss		Treasury Stock										Shareholders’ Equity
Balance at December 31, 2018		31,299	$	313	$	341,738							$	464,851		$	(55,737)	$							(88,895)	$	662,270
Common stock issued under employee plans					(769)						2,517			1,748
Stock-based compensation					2,703									2,703
Dividends on common stock ($0.20 per share)							(5,643)							(5,643)
Convertible notes discount, net					39,145									39,145
Convertible notes hedge, net					(38,829)									(38,829)
Issuance of warrants					30,567									30,567
Comprehensive income (loss):
Foreign currency translation adjustments									(578)
Pension liability, net									547
Cash flow hedging gain, net									106
Net income							1,021
Total comprehensive income														1,096

Balance at March 31, 2019		31,299	$	313	$	374,555	$	460,229	$	(55,662)	$	(86,378)		$	693,057
Balance at December 31, 2019																	Balance at December 31, 2019	31,299		$	313	$	379,324	$	470,844	$	(59,277)	$	(80,737)	$	710,467
Common stock issued under employee plans	Common stock issued under employee plans				(1,144)						1,894			750			Common stock issued under employee plans					(7,736)						2,696		(5,040)
Stock-based compensation	Stock-based compensation				3,108									3,108			Stock-based compensation					3,032								3,032
Dividends on common stock ($0.20 per share)	Dividends on common stock ($0.20 per share)						(5,657)							(5,657)			Dividends on common stock ($0.20 per share)							(5,703)						(5,703)
Comprehensive income (loss):	Comprehensive income (loss):																Comprehensive income (loss):
Cash flow hedging gain, net																	Cash flow hedging gain, net									2,405
Pension liability, net																	Pension liability, net									535
Foreign currency translation adjustments	Foreign currency translation adjustments								1,108								Foreign currency translation adjustments									(9,988)
Pension liability, net									546
Cash flow hedging loss, net									(1,598)
Net income	Net income						5,695										Net income							5,927
Total comprehensive income														5,751
Balance at June 30, 2019		31,299	$	313	$	376,519	$	460,267	$	(55,606)	$	(84,484)		$	697,009
Total comprehensive loss																	Total comprehensive loss													(1,121)
Balance at March 31, 2020																	Balance at March 31, 2020	31,299		$	313	$	374,620	$	471,068	$	(66,325)	$	(78,041)	$	701,635
Common stock issued under employee plans	Common stock issued under employee plans				(390)						2,307			1,917			Common stock issued under employee plans					(1,150)						1,283		133
Stock-based compensation	Stock-based compensation				3,008									3,008			Stock-based compensation					3,555								3,555
Dividends on common stock ($0.20 per share)	Dividends on common stock ($0.20 per share)						(5,673)							(5,673)			Dividends on common stock ($0.20 per share)							(5,712)						(5,712)
Comprehensive income (loss):	Comprehensive income (loss):																Comprehensive income (loss):
Cash flow hedging loss, net																	Cash flow hedging loss, net									(2,429)
Pension liability, net																	Pension liability, net									535
Foreign currency translation adjustments	Foreign currency translation adjustments								(4,770)								Foreign currency translation adjustments									4,581
Pension liability, net									546
Cash flow hedging gain, net									1,915
Net income							6,970
Total comprehensive income														4,661
Balance at September 30, 2019		31,299	313		379,137		461,564		(57,915)		(82,177)			700,922
Net loss																	Net loss							(27,400)
Total comprehensive loss																	Total comprehensive loss													(24,713)
Balance at June 30, 2020																	Balance at June 30, 2020	31,299		$	313	$	377,025	$	437,956	$	(63,638)	$	(76,758)	$	674,898

See notes to consolidated condensed financial statements.

Table of Contents

CONMED CORPORATION

CONSOLIDATED CONDENSED STATEMENTS OF CASH FLOWS

(Unaudited, in thousands)


		Nine Months Ended							Six Months Ended
		September 30,							June 30,
		2020		2019			2021		2020
Cash flows from operating activities:	Cash flows from operating activities:					Cash flows from operating activities:
Net income (loss)	Net income (loss)	$	(14,623)	$	13,686	Net income (loss)	$	23,150	$	(21,473)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:	Adjustments to reconcile net income (loss) to net cash provided by operating activities:					Adjustments to reconcile net income (loss) to net cash provided by operating activities:
Depreciation	Depreciation	13,617		14,225		Depreciation	8,741		9,234
Amortization of debt discount	Amortization of debt discount	7,239		6,038		Amortization of debt discount	5,031		4,810
Amortization of deferred debt issuance costs	Amortization of deferred debt issuance costs	2,697		2,535		Amortization of deferred debt issuance costs	2,116		1,686
Amortization	Amortization	40,973		38,837		Amortization	27,316		27,392
Stock-based compensation	Stock-based compensation	10,119		8,819		Stock-based compensation	7,676		6,587
Impairment charges		0		312

Deferred income taxes	Deferred income taxes	(786)		(5,506)		Deferred income taxes	(1,781)		(9,490)
Loss on early extinguishment of debt		0		300

Increase (decrease) in cash flows from changes in assets and liabilities:	Increase (decrease) in cash flows from changes in assets and liabilities:					Increase (decrease) in cash flows from changes in assets and liabilities:
Accounts receivable	Accounts receivable	21,574		10,756		Accounts receivable	7,780		43,732
Inventories	Inventories	(19,396)		(15,645)		Inventories	(16,693)		(13,029)
Accounts payable	Accounts payable	1,477		(10,104)		Accounts payable	2,547		(15,703)
Accrued compensation and benefits	Accrued compensation and benefits	(8,864)		1,728		Accrued compensation and benefits	(769)		(16,646)
Other assets	Other assets	(6,013)		(13,202)		Other assets	(12,289)		(3,634)
Other liabilities	Other liabilities	(3,628)		1,478		Other liabilities	3,798		(4,206)
		59,009		40,571
Net cash provided by operating activities	Net cash provided by operating activities	44,386		54,257		Net cash provided by operating activities	56,623		9,260

Cash flows from investing activities:	Cash flows from investing activities:					Cash flows from investing activities:
Proceeds from sale of a facility		3,227		0

Purchases of property, plant and equipment	Purchases of property, plant and equipment	(9,864)		(13,875)		Purchases of property, plant and equipment	(6,103)		(6,577)
Payments related to business and asset acquisitions, net of cash acquired	Payments related to business and asset acquisitions, net of cash acquired	(3,852)		(364,928)		Payments related to business and asset acquisitions, net of cash acquired	0		(3,852)
Net cash used in investing activities	Net cash used in investing activities	(10,489)		(378,803)		Net cash used in investing activities	(6,103)		(10,429)

Cash flows from financing activities:	Cash flows from financing activities:					Cash flows from financing activities:
Payments on term loan	Payments on term loan	(9,938)		(151,000)		Payments on term loan	(8,281)		(6,625)
Proceeds from term loan		0		265,000

Payments on revolving line of credit	Payments on revolving line of credit	(142,000)		(435,000)		Payments on revolving line of credit	(161,000)		(70,000)
Proceeds from revolving line of credit	Proceeds from revolving line of credit	152,000		370,000		Proceeds from revolving line of credit	139,000		108,000
Proceeds from convertible notes		0		345,000

Payments related to contingent consideration	Payments related to contingent consideration	(2,071)		(5,687)		Payments related to contingent consideration	0		(2,071)
Payments related to debt issuance costs	Payments related to debt issuance costs	(2,057)		(16,210)		Payments related to debt issuance costs	0		(2,057)
Dividends paid on common stock	Dividends paid on common stock	(17,099)		(16,927)		Dividends paid on common stock	(11,588)		(11,387)
Purchases of convertible notes hedges		0		(51,198)
Proceeds from issuance of warrants		0		30,567

Other, net	Other, net	(3,730)		3,310		Other, net	10,902		(5,090)
Net cash provided by (used in) financing activities	Net cash provided by (used in) financing activities	(24,895)		337,855		Net cash provided by (used in) financing activities	(30,967)		10,770

Effect of exchange rate changes on cash and cash equivalents	Effect of exchange rate changes on cash and cash equivalents	740		(752)		Effect of exchange rate changes on cash and cash equivalents	(521)		(474)

Net increase in cash and cash equivalents	Net increase in cash and cash equivalents	9,742		12,557		Net increase in cash and cash equivalents	19,032		9,127

Cash and cash equivalents at beginning of period	Cash and cash equivalents at beginning of period	25,856		17,511		Cash and cash equivalents at beginning of period	27,356		25,856

Cash and cash equivalents at end of period	Cash and cash equivalents at end of period	$	35,598	$	30,068	Cash and cash equivalents at end of period	$	46,388	$	34,983

Non-cash investing and financing activities:	Non-cash investing and financing activities:					Non-cash investing and financing activities:
Dividends payable	Dividends payable	$	5,720	$	5,673	Dividends payable	$	5,830	$	5,712

See notes to consolidated condensed financial statements.

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CONMED CORPORATION

NOTES TO CONSOLIDATED CONDENSED FINANCIAL STATEMENTS

(Unaudited, in thousands except per share amounts)

Note 1 – Operations

CONMED Corporation (“CONMED”, the “Company”, “we” or “us”) is a medical technology company that provides surgical devices and equipment for minimally invasive procedures. The Company’s products are used by surgeons and ~~physicians~~other healthcare professionals in a variety of specialties including orthopedics, general surgery, gynecology, ~~neurosurgery,~~ thoracic surgery and gastroenterology.

Note 2 - Interim Financial Information

The accompanying unaudited consolidated condensed financial statements have been prepared in accordance with generally accepted accounting principles for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by generally accepted accounting principles for annual financial statements. The information herein reflects all normal recurring material adjustments, which are, in the opinion of management, necessary to fairly present the results for the periods presented. The consolidated condensed financial statements herein consist of all wholly-owned domestic and foreign subsidiaries with all significant intercompany transactions eliminated. Results for the period ended ~~September~~June 30, ~~2020~~2021 are not necessarily indicative of the results that may be expected for the year ending December 31, ~~2020.~~2021.

The consolidated condensed financial statements and notes thereto should be read in conjunction with the consolidated financial statements and notes for the year ended December 31, ~~2019~~2020 included in our Annual Report on Form 10-K.

Use of Estimates

Preparation of the consolidated condensed financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the consolidated condensed financial statements and the reported amounts of revenue and expenses during the reporting period.

Due to the COVID-19 pandemic, there has been uncertainty and disruption in the global economy and financial markets. We are not aware of any specific event or circumstance that would require an update to our estimates or judgments or a revision of the carrying value of our assets or liabilities as of ~~October~~July 29, ~~2020,~~2021, the date of issuance of this Quarterly Report on Form 10-Q. These estimates may change, as new events occur and additional information is obtained. Actual results could differ materially from these estimates under different assumptions or conditions.

~~Note 3 - Business Acquisition~~

On February 11, 2019 we acquired Buffalo Filter, LLC and all of the issued and outstanding common stock of Palmerton Holdings, Inc. from Filtration Group FGC LLC (the "Buffalo Filter Acquisition") for approximately $365 million in cash. Buffalo Filter develops, manufactures and markets smoke evacuation technologies that are complementary to our general surgery offering. The business combination was funded through a combination of cash on hand and long-term borrowings.

The unaudited pro forma information for the three and nine months ended September 30, 2019, assuming the Buffalo Filter Acquisition occurred as of January 1, 2018 are presented below. This information has been prepared for comparative purposes only and does not purport to be indicative of the results of operations which actually would have resulted had the Buffalo Filter Acquisition occurred on the dates indicated, or which may result in the future.

Three Months Ended September 30, Nine Months Ended September 30,
2019 2019
Net sales $ 233,590 $ 695,250
Net income 8,675 26,045

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These pro forma results include certain adjustments, primarily due to increases in amortization expense due to fair value adjustments of intangible assets, increases in interest expense due to additional borrowings incurred to finance the acquisition and amortization of debt issuance costs incurred to finance the transaction, and acquisition related costs including transaction costs such as legal, accounting, valuation and other professional services as well as integration costs such as severance and retention.

Acquisition related costs excluded from the determination of pro forma net income for the three months ended September 30, 2019 were $0.2 million in cost of goods sold and $1.5 million in selling and administrative expense and for the nine months ended September 30, 2019 were $1.3 million in cost of goods sold and $11.2 million in selling and administrative expense on the consolidated condensed statements of comprehensive income.

Net sales associated with Buffalo Filter of $13.9 million and $33.4 million have been recorded in the consolidated condensed statements of comprehensive income for the three and nine months ended September 30, 2019, respectively. It is impracticable to determine the earnings recorded in the consolidated condensed statements of comprehensive income for the three and nine months ended September 30, 2019 as these amounts are not separately measured.

~~In conjunction with the December 2019 acquisition of a distributor, we paid $3.8 million during the nine months ended September 30, 2020.~~

Note 43 - Revenues

The following tables present revenue disaggregated by primary geographic market where the products are sold, by product line and timing of revenue recognition:


	Three Months Ended						Three Months Ended
	June 30, 2021						June 30, 2020
	Orthopedic Surgery		General Surgery		Total		Orthopedic Surgery		General Surgery		Total
Primary Geographic Markets
United States	$	40,777	$	102,813	$	143,590	$	21,387	$	66,038	$	87,425
Europe, Middle East & Africa	27,120		20,143		47,263		13,715		16,146		29,861
Asia Pacific	26,284		16,136		42,420		19,799		10,481		30,280
Americas (excluding the United States)	13,712		8,176		21,888		5,582		4,637		10,219
Total sales from contracts with customers	$	107,893	$	147,268	$	255,161	$	60,483	$	97,302	$	157,785

Timing of Revenue Recognition
Goods transferred at a point in time	$	97,649	$	146,105	$	243,754	$	53,670	$	96,422	$	150,092
Services transferred over time	10,244		1,163		11,407		6,813		880		7,693
Total sales from contracts with customers	$	107,893	$	147,268	$	255,161	$	60,483	$	97,302	$	157,785


		Three Months Ended										Three Months Ended											Six Months Ended				Six Months Ended
		September 30, 2020										September 30, 2019											June 30, 2021				June 30, 2020
		Orthopedic Surgery		General Surgery		Total		Orthopedic Surgery		General Surgery		Total			Orthopedic Surgery		General Surgery		Total		Orthopedic Surgery		General Surgery		Total
Primary Geographic Markets	Primary Geographic Markets													Primary Geographic Markets
United States	United States	$	38,913	$	95,292	$	134,205	$	42,530	$	85,652	$	128,182	United States	$	77,907	$	189,625	$	267,532	$	58,426	$	147,847	$	206,273
Europe, Middle East & Africa														Europe, Middle East & Africa	53,172		38,688		91,860		39,622		32,761		72,383
Asia Pacific	Asia Pacific	26,403		15,405		41,808		26,037		16,115		42,152		Asia Pacific	52,886		28,798		81,684		40,333		18,805		59,138
Europe, Middle East & Africa		23,104		17,584		40,688		24,692		14,139		38,831
Americas (excluding the United States)	Americas (excluding the United States)	13,767		7,367		21,134		17,069		7,356		24,425		Americas (excluding the United States)	31,093		15,668		46,761		21,385		12,617		34,002
Total sales from contracts with customers	Total sales from contracts with customers	$	102,187	$	135,648	$	237,835	$	110,328	$	123,262	$	233,590	Total sales from contracts with customers	$	215,058	$	272,779	$	487,837	$	159,766	$	212,030	$	371,796

Timing of Revenue Recognition	Timing of Revenue Recognition													Timing of Revenue Recognition
Goods transferred at a point in time	Goods transferred at a point in time	$	93,000	$	134,745	$	227,745	$	101,454	$	122,620	$	224,074	Goods transferred at a point in time	$	195,339	$	270,499	$	465,838	$	144,222	$	210,324	$	354,546
Services transferred over time	Services transferred over time	9,187		903		10,090		8,874		642		9,516		Services transferred over time	19,719		2,280		21,999		15,544		1,706		17,250
Total sales from contracts with customers	Total sales from contracts with customers	$	102,187	$	135,648	$	237,835	$	110,328	$	123,262	$	233,590	Total sales from contracts with customers	$	215,058	$	272,779	$	487,837	$	159,766	$	212,030	$	371,796

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Nine Months Ended Nine Months Ended
September 30, 2020 September 30, 2019
Orthopedic Surgery General Surgery Total Orthopedic Surgery General Surgery Total
Primary Geographic Markets
United States $ 97,339 $ 243,137 $ 340,476 $ 131,120 $ 243,023 $ 374,143
Europe, Middle East & Africa 62,726 50,345 113,071 86,199 45,826 132,025
Asia Pacific 66,737 34,211 100,948 74,313 39,217 113,530
Americas (excluding the United States) 35,152 19,984 55,136 47,890 22,644 70,534
Total sales from contracts with customers $ 261,954 $ 347,677 $ 609,631 $ 339,522 $ 350,710 $ 690,232
Timing of Revenue Recognition
Goods transferred at a point in time $ 237,224 $ 345,068 $ 582,292 $ 312,964 $ 348,972 $ 661,936
Services transferred over time 24,730 2,609 27,339 26,558 1,738 28,296
Total sales from contracts with customers $ 261,954 $ 347,677 $ 609,631 $ 339,522 $ 350,710 $ 690,232

Contract liability balances related to the sale of extended warranties to customers are as follows:

September 30, 2020 December 31, 2019
Contract liability $ 13,317 $ 14,276


	June 30, 2021		December 31, 2020

Contract liability	$	15,076	$	13,666

Revenue recognized during the ~~nine~~six months ended ~~September~~June 30, ~~2020~~2021 and ~~September~~June 30, ~~2019~~2020 from amounts included in contract liabilities at the beginning of the period were ~~$7.6~~$6.1 million and $5.5 million, respectively. There were no material contract assets as of ~~September~~June 30, ~~2020~~2021 and December 31, ~~2019.~~2020.

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Note 54 – Comprehensive Income ~~(loss)~~(Loss)

Comprehensive income (loss) consists of the following:


		Three Months Ended September 30,						Nine Months Ended September 30,							Three Months Ended June 30,				Six Months Ended June 30,
		2020		2019		2020		2019			2021		2020		2021		2020
Net income (loss)	Net income (loss)	$	6,850	$	6,970	$	(14,623)	$	13,686	Net income (loss)	$	13,290	$	(27,400)	$	23,150	$	(21,473)

Other comprehensive income (loss):	Other comprehensive income (loss):									Other comprehensive income (loss):
Cash flow hedging gain (loss), net of income tax (income tax expense (benefit) of $388 and $(774) for the three months ended June 30, 2021 and 2020, respectively, and $1,639 and $(8) for the six months ended June 30, 2021 and 2020, respectively)										Cash flow hedging gain (loss), net of income tax (income tax expense (benefit) of $388 and $(774) for the three months ended June 30, 2021 and 2020, respectively, and $1,639 and $(8) for the six months ended June 30, 2021 and 2020, respectively)	1,221		(2,429)		5,147		(24)
Pension liability, net of income tax (income tax expense of $201 and $170 for the three months ended June 30, 2021 and 2020, respectively, and $402 and $340 for the six months ended June 30, 2021 and 2020, respectively)										Pension liability, net of income tax (income tax expense of $201 and $170 for the three months ended June 30, 2021 and 2020, respectively, and $402 and $340 for the six months ended June 30, 2021 and 2020, respectively)	631		535		1,262		1,070
Foreign currency translation adjustment	Foreign currency translation adjustment	4,617		(4,770)		(790)		(4,240)		Foreign currency translation adjustment	2,601		4,581		(1,073)		(5,407)
Pension liability, net of income tax (income tax expense of $170 and $174 for the three months ended September 30, 2020 and 2019, respectively, and $510 and $521 for the nine months ended September 30, 2020 and 2019, respectively)		535		546		1,605		1,639
Cash flow hedging gain (loss), net of income tax (income tax expense (benefit) of $(964) and $610 for the three months ended September 30, 2020 and 2019, respectively, and $(972) and $135 for the nine months ended September 30, 2020 and 2019, respectively)		(3,026)		1,915		(3,050)		423

Comprehensive income (loss)	Comprehensive income (loss)	$	8,976	$	4,661	$	(16,858)	$	11,508	Comprehensive income (loss)	$	17,743	$	(24,713)	$	28,486	$	(25,834)

Accumulated other comprehensive loss consists of the following:


		Cash Flow Hedging Gain (Loss)		Pension Liability		Cumulative Translation Adjustments		Accumulated Other Comprehensive Income (Loss)			Cash Flow Hedging Gain (Loss)		Pension Liability		Cumulative Translation Adjustments		Accumulated Other Comprehensive Income (Loss)
Balance, December 31, 2019		$	493	$	(31,691)	$	(28,079)	$	(59,277)
Balance, December 31, 2020										Balance, December 31, 2020	$	(5,945)	$	(36,620)	$	(21,116)	$	(63,681)

Other comprehensive income (loss) before reclassifications, net of tax	Other comprehensive income (loss) before reclassifications, net of tax	(1,916)		0		(790)		(2,706)		Other comprehensive income (loss) before reclassifications, net of tax	2,723		0		(1,073)		1,650
Amounts reclassified from accumulated other comprehensive income (loss) before tax^a	Amounts reclassified from accumulated other comprehensive income (loss) before tax^a	(1,496)		2,115		0		619		Amounts reclassified from accumulated other comprehensive income (loss) before taxa	3,196		1,664		0		4,860
Income tax	Income tax	362		(510)		0		(148)		Income tax	(772)		(402)		0		(1,174)

Net current-period other comprehensive income (loss)	Net current-period other comprehensive income (loss)	(3,050)		1,605		(790)		(2,235)		Net current-period other comprehensive income (loss)	5,147		1,262		(1,073)		5,336

Balance, September 30, 2020		$	(2,557)	$	(30,086)	$	(28,869)	$	(61,512)
Balance, June 30, 2021										Balance, June 30, 2021	$	(798)	$	(35,358)	$	(22,189)	$	(58,345)


		Cash Flow Hedging Gain (Loss)		Pension Liability		Cumulative Translation Adjustments		Accumulated Other Comprehensive Income (Loss)			Cash Flow Hedging Gain (Loss)		Pension Liability		Cumulative Translation Adjustments		Accumulated Other Comprehensive Income (Loss)
Balance, December 31, 2018		$	4,085	$	(31,718)	$	(28,104)	$	(55,737)
Balance, December 31, 2019										Balance, December 31, 2019	$	493	$	(31,691)	$	(28,079)	$	(59,277)

Other comprehensive income (loss) before reclassifications, net of tax	Other comprehensive income (loss) before reclassifications, net of tax	5,120		0		(4,240)		880		Other comprehensive income (loss) before reclassifications, net of tax	770		0		(5,407)		(4,637)
Amounts reclassified from accumulated other comprehensive income (loss) before tax^a	Amounts reclassified from accumulated other comprehensive income (loss) before tax^a	(6,193)		2,160		0		(4,033)		Amounts reclassified from accumulated other comprehensive income (loss) before taxa	(1,048)		1,410		0		362
Income tax	Income tax	1,496		(521)		0		975		Income tax	254		(340)		0		(86)

Net current-period other comprehensive income (loss)	Net current-period other comprehensive income (loss)	423		1,639		(4,240)		(2,178)		Net current-period other comprehensive income (loss)	(24)		1,070		(5,407)		(4,361)

Balance, September 30, 2019		$	4,508	$	(30,079)	$	(32,344)	$	(57,915)
Balance, June 30, 2020										Balance, June 30, 2020	$	469	$	(30,621)	$	(33,486)	$	(63,638)

(a) The cash flow hedging gain (loss) and pension liability accumulated other comprehensive income (loss) components are included in sales or cost of sales and as a component of net periodic pension cost, respectively. Refer to Note 65 and Note ~~12,~~11, respectively, for further details.

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Note 65 – Fair Value of Financial Instruments

We enter into derivative instruments for risk management purposes only. We operate internationally and, in the normal course of business, are exposed to fluctuations in interest rates, foreign exchange rates and commodity prices. These fluctuations can increase the costs of financing, investing and operating the business. We use forward contracts, a type of derivative instrument, to manage certain foreign currency exposures.

By nature, all financial instruments involve market and credit risks. We enter into forward contracts with major investment grade financial institutions and have policies to monitor the credit risk of those counterparties. While there can be no assurance, we do not anticipate any material non-performance by any of these counterparties.

Foreign Currency Forward Contracts. We hedge forecasted intercompany sales denominated in foreign currencies through the use of forward contracts. We account for these forward contracts as cash flow hedges. To the extent these forward contracts meet hedge accounting criteria, changes in their fair value are not included in current earnings but are included in accumulated other comprehensive loss. These changes in fair value will be recognized into earnings as a component of sales or cost of sales when the forecasted transaction occurs.

We also enter into forward contracts to exchange foreign currencies for United States dollars in order to hedge our currency transaction exposures on intercompany receivables designated in foreign currencies. These forward contracts settle each month at month-end, at which time we enter into new forward contracts. We have not designated these forward contracts as hedges and have not applied hedge accounting to them.

The following table presents the notional contract amounts for forward contracts outstanding:


			As of								As of
		FASB ASC Topic 815 Designation	September 30, 2020		December 31, 2019			FASB ASC Topic 815 Designation	June 30, 2021		December 31, 2020
Forward exchange contracts	Forward exchange contracts	Cash flow hedge	$	141,376	$	156,818	Forward exchange contracts	Cash flow hedge	$	172,705	$	154,504
Forward exchange contracts	Forward exchange contracts	Non-designated	41,074		33,867		Forward exchange contracts	Non-designated	39,270		42,380

The remaining time to maturity as of ~~September~~June 30, ~~2020~~2021 is within two years for hedge designated foreign exchange contracts and approximately one month for non-hedge designated forward exchange contracts.

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Statement of comprehensive income (loss) presentation

Derivatives designated as cash flow hedges

Foreign exchange contracts designated as cash flow hedges had the following effects on accumulated other comprehensive income (loss) and net earnings on our consolidated condensed statements of comprehensive income (loss) and our consolidated condensed balance sheets:

Amount of Gain (Loss) Recognized in AOCI Consolidated Condensed Statements of Comprehensive Income (Loss) Amount of Gain (Loss) Reclassified from AOCI
Three Months Ended September 30,
Total Amount of Line Item Presented
Derivative Instrument 2020 2019 Location of amount reclassified 2020 2019 2020 2019
Foreign exchange contracts $ (3,542) $ 4,887 Net Sales $ 237,835 $ 233,590 $ 663 $ 2,241
Cost of Sales 104,137 103,479 (215) 120
Pre-tax gain (loss) $ (3,542) $ 4,887 $ 448 $ 2,361
Tax expense (benefit) (856) 1,181 108 570
Net gain (loss) $ (2,686) $ 3,706 $ 340 $ 1,791


	Amount of Gain (Loss) Recognized in AOCI				Consolidated Condensed Statements of Comprehensive Income (Loss)					Amount of Gain (Loss) Reclassified from AOCI
	Three Months Ended June 30,
						Total Amount of Line Item Presented
Derivative Instrument	2021		2020		Location of amount reclassified	2021		2020		2021		2020

Foreign exchange contracts	$	(3)	$	(3,279)	Net Sales	$	255,161	$	157,785	$	(2,022)	$	342
					Cost of Sales	113,737		85,856		410		(418)
Pre-tax loss	$	(3)	$	(3,279)						$	(1,612)	$	(76)
Tax benefit	(1)		(792)							(389)		(18)
Net loss	$	(2)	$	(2,487)						$	(1,223)	$	(58)


		Amount of Gain (Loss) Recognized in AOCI					Consolidated Condensed Statements of Comprehensive Income (Loss)										Amount of Gain (Loss) Reclassified from AOCI						Amount of Gain (Loss) Recognized in AOCI				Consolidated Condensed Statements of Comprehensive Income (Loss)		Amount of Gain (Loss) Reclassified from AOCI
		Nine Months Ended September 30,																									Six Months Ended June 30,
							Total Amount of Line Item Presented																Total Amount of Line Item Presented
Derivative Instrument	Derivative Instrument	2020		2019		Location of amount reclassified	2020		2019		2020		2019		Derivative Instrument	2021		2020		Location of amount reclassified	2021		2020		2021		2020

Foreign exchange contracts	Foreign exchange contracts	$	(2,526)	$	6,751	Net Sales	$	609,631	$	690,232	$	2,206	$	5,834	Foreign exchange contracts	$	3,590	$	1,015	Net Sales	$	487,837	$	371,796	$	(3,871)	$	1,543
						Cost of Sales	284,845		307,492		(710)		359							Cost of Sales	217,964		180,707		675		(495)
Pre-tax gain (loss)	Pre-tax gain (loss)	$	(2,526)	$	6,751						$	1,496	$	6,193	Pre-tax gain (loss)	$	3,590	$	1,015						$	(3,196)	$	1,048
Tax expense (benefit)	Tax expense (benefit)	(610)		1,631							362		1,496		Tax expense (benefit)	867		245							(772)		254
Net gain (loss)	Net gain (loss)	$	(1,916)	$	5,120						$	1,134	$	4,697	Net gain (loss)	$	2,723	$	770						$	(2,424)	$	794

At ~~September~~June 30, ~~2020, $1.9~~2021, $1.2 million of net unrealized losses on forward contracts accounted for as cash flow hedges, and included in accumulated other comprehensive loss, are expected to be recognized in earnings in the next twelve months.

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Derivatives not designated as cash flow hedges

Net ~~gains and~~ losses from derivative instruments not accounted for as hedges and gains and losses on our intercompany receivables on our consolidated condensed statements of comprehensive income (loss) were:


			Three Months Ended September 30,						Nine Months Ended September 30,								Three Months Ended June 30,				Six Months Ended June 30,
Derivative Instrument	Derivative Instrument	Location on Consolidated Condensed Statements of Comprehensive Income (Loss)	2020		2019		2020		2019		Derivative Instrument	Location on Consolidated Condensed Statements of Comprehensive Income (Loss)	2021		2020		2021		2020

Net gain (loss) on currency forward contracts		Selling and administrative expense	$	(682)	$	138	$	(1,224)	$	(355)
Net loss on currency forward contracts											Net loss on currency forward contracts	Selling and administrative expense	$	(809)	$	(302)	$	(350)	$	(547)
Net gain (loss) on currency transaction exposures	Net gain (loss) on currency transaction exposures	Selling and administrative expense	$	312	$	(368)	$	143	$	(530)	Net gain (loss) on currency transaction exposures	Selling and administrative expense	$	243	$	22	$	(879)	$	(169)

Balance sheet presentation

We record these forward foreign exchange contracts at fair value. The following tables summarize the fair value for forward foreign exchange contracts outstanding at ~~September~~June 30, ~~2020~~2021 and December 31, ~~2019:~~2020:


September 30, 2020		Location on Consolidated Condensed Balance Sheet	Asset Fair Value		Liabilities Fair Value		Net Fair Value
June 30, 2021									June 30, 2021	Location on Consolidated Condensed Balance Sheet	Asset Fair Value		Liabilities Fair Value		Net Fair Value
Derivatives designated as hedged instruments:	Derivatives designated as hedged instruments:								Derivatives designated as hedged instruments:
Foreign exchange contracts	Foreign exchange contracts	Other current liabilities	$	529	$	(3,338)	$	(2,809)	Foreign exchange contracts	Other current liabilities	$	1,885	$	(3,411)	$	(1,526)
Foreign exchange contracts	Foreign exchange contracts	Other long-term liabilities	103		(948)		(845)		Foreign exchange contracts	Other long-term assets	745		(271)		474
			$	632	$	(4,286)	$	(3,654)			$	2,630	$	(3,682)	$	(1,052)

Derivatives not designated as hedging instruments:	Derivatives not designated as hedging instruments:								Derivatives not designated as hedging instruments:
Foreign exchange contracts	Foreign exchange contracts	Other current liabilities	9		(158)		(149)		Foreign exchange contracts	Other current liabilities	40		(71)		(31)

Total derivatives	Total derivatives		$	641	$	(4,444)	$	(3,803)	Total derivatives		$	2,670	$	(3,753)	$	(1,083)


December 31, 2019		Location on Consolidated Condensed Balance Sheet	Asset Fair Value		Liabilities Fair Value		Net Fair Value
December 31, 2020									December 31, 2020	Location on Consolidated Condensed Balance Sheet	Asset Fair Value		Liabilities Fair Value		Net Fair Value
Derivatives designated as hedged instruments:	Derivatives designated as hedged instruments:								Derivatives designated as hedged instruments:
Foreign exchange contracts	Foreign exchange contracts	Prepaids and other current assets	$	2,307	$	(1,341)	$	966	Foreign exchange contracts	Other current liabilities	$	1,500	$	(8,826)	$	(7,326)
Foreign exchange contracts	Foreign exchange contracts	Other long-term liabilities	38		(353)		(315)		Foreign exchange contracts	Other long-term liabilities	23		(535)		(512)
			$	2,345	$	(1,694)	$	651			$	1,523	$	(9,361)	$	(7,838)

Derivatives not designated as hedging instruments:	Derivatives not designated as hedging instruments:								Derivatives not designated as hedging instruments:
Foreign exchange contracts	Foreign exchange contracts	Other current liabilities	22		(159)		(137)		Foreign exchange contracts	Other current liabilities	25		(150)		(125)

Total derivatives	Total derivatives		$	2,367	$	(1,853)	$	514	Total derivatives		$	1,548	$	(9,511)	$	(7,963)

Our forward foreign exchange contracts are subject to a master netting agreement and qualify for netting in the consolidated condensed balance sheets.

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Fair Value Disclosure. FASB guidance defines fair value and establishes a framework for measuring fair value and related disclosure requirements. This guidance applies when fair value measurements are required or permitted. The guidance indicates, among other things, that a fair value measurement assumes that the transaction to sell an asset or transfer a liability occurs in the principal market for the asset or liability or, in the absence of a principal market, the most advantageous market for the asset or liability. Fair value is defined based upon an exit price model.

Valuation Hierarchy. A valuation hierarchy was established for disclosure of the inputs to the valuations used to measure fair value. This hierarchy prioritizes the inputs into three broad levels as follows. Level 1 inputs are quoted prices (unadjusted) in active markets for identical assets or liabilities. Level 2 inputs are quoted prices for similar assets and liabilities in active markets, quoted prices for identical or similar assets in markets that are not active, inputs other than quoted prices that are observable for the asset or liability, including interest rates, yield curves and credit risks, or inputs that are derived principally from or corroborated by observable market data through correlation. Level 3 inputs are unobservable inputs based on our own assumptions used to measure assets and liabilities at fair value. A financial asset or liability’s classification within the hierarchy is determined based on the lowest level input that is significant to the fair value measurement. There have been no significant changes in the assumptions.

Valuation Techniques. Assets and liabilities carried at fair value and measured on a recurring basis as of ~~September~~June 30, ~~2020~~2021 consist of forward foreign exchange contracts. The Company values its forward foreign exchange contracts using quoted prices for similar assets. The most significant assumption is quoted currency rates. The value of the forward foreign exchange contract assets and liabilities were valued using Level 2 inputs and are listed in the table above.

The carrying amounts reported in our consolidated condensed balance sheets for cash and cash equivalents, accounts receivable, accounts payable and long-term debt approximate fair value.

Note 76 - Inventories

Inventories consist of the following:


		September 30, 2020		December 31, 2019			June 30, 2021		December 31, 2020
Raw materials	Raw materials	$	62,604	$	51,103	Raw materials	$	72,090	$	71,807
Work-in-process	Work-in-process	18,944		15,142		Work-in-process	17,828		15,864
Finished goods	Finished goods	101,120		98,371		Finished goods	121,405		107,197
Total	Total	$	182,668	$	164,616	Total	$	211,323	$	194,868

Note 87 – Earnings (Loss) Per Share

Basic earnings (loss) per share (“basic EPS”) is computed by dividing net income (loss) by the weighted average number of common shares outstanding for the reporting period. Diluted earnings (loss) per share (“diluted EPS”) gives effect to all dilutive potential shares outstanding resulting from employee stock options, restricted stock units, performance share units and stock appreciation rights ("SARs") as well as the Notes and related hedge transactions during the period.

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The following table sets forth the computation of basic and diluted earnings ~~(loss)~~ per share for the three and ~~nine~~six months ended ~~September~~June 30, ~~2020~~2021 and ~~2019:~~2020:


		Three Months Ended September 30,						Nine Months Ended September 30,							Three Months Ended June 30,				Six Months Ended June 30,
		2020		2019		2020		2019			2021		2020		2021		2020
Net income (loss)	Net income (loss)	$	6,850	$	6,970	$	(14,623)	$	13,686	Net income (loss)	$	13,290	$	(27,400)	$	23,150	$	(21,473)

Basic – weighted average shares outstanding	Basic – weighted average shares outstanding	28,583		28,353		28,529		28,280		Basic – weighted average shares outstanding	29,125		28,542		29,052		28,506

Effect of dilutive potential securities	Effect of dilutive potential securities	843		1,439		0		1,074		Effect of dilutive potential securities	3,339		0		2,912		0

Diluted – weighted average shares outstanding	Diluted – weighted average shares outstanding	29,426		29,792		28,529		29,354		Diluted – weighted average shares outstanding	32,464		28,542		31,964		28,506

Net income (loss) (per share)	Net income (loss) (per share)									Net income (loss) (per share)
Basic	Basic	$	0.24	$	0.25	$	(0.51)	$	0.48	Basic	$	0.46	$	(0.96)	$	0.80	$	(0.75)
Diluted	Diluted	0.23		0.23		(0.51)		0.47		Diluted	0.41		(0.96)		0.72		(0.75)

The shares used in the calculation of diluted EPS exclude options and SARs to purchase shares where the exercise price was greater than the average market price of common shares for the period and the effect of the inclusion would be anti-dilutive. Such shares aggregated approximately ~~1.6 million for the three months ended September 30, 2020 and 0.8~~0.7 million and ~~0.7~~0.5 million for the three and ~~nine~~six months ended ~~September~~June 30, ~~2019,~~2021, respectively. As the Company was in a net loss position for the ~~nine~~three and six months ended ~~September~~June 30, 2020, there were 0no anti-dilutive shares. Our 2.625% convertible notes due in 2024 (the “Notes”) are convertible under certain circumstances, as defined in the indenture, into a combination of cash and CONMED common stock.

The following is intended to describe the impact of the Notes and related hedge transactions on the calculation of diluted EPS. Additional shares to be issued pursuant to the terms of the Notes and related hedge transactions, if any, would occur at maturity.

The calculation of diluted EPS ~~would include~~includes potential diluted shares upon conversion of the Notes when the average market price per share of our common stock for the period is greater than the conversion price of the Notes of $88.80. We intend to settle in cash the principal outstanding and use the treasury stock method when calculating their potential dilutive effect, if any.

During the three and ~~nine~~six months ended ~~September~~June 30, ~~2020~~2021, our average share price exceeded the conversion price of the Notes and ~~nine~~we included in our diluted share count 1.4 million and 1.2 million shares, respectively, assumed to be issued if the Notes were converted. During the three and six months ended ~~September~~June 30, ~~2019,~~2020, our average share price had not exceeded the conversion price of the Notes; therefore, under the net share settlement method, there were no potential shares issuable under the Notes to be used in the calculation of diluted EPS. During the three months ended September 30, 2019, our average share price exceeded the conversion price of the Notes and we included 0.2 million shares assumed to be issued if the Notes were converted in our diluted share count.

We ~~intend to settle in cash the principal outstanding and use the treasury stock method when calculating their potential dilutive effect, if any. We have~~previously entered into convertible notes hedge transactions to increase the effective conversion price of the Notes to $114.92. However, our convertible notes hedges are not included when calculating potential dilutive shares since their effect is always anti-dilutive.

Concurrently with entering into the hedge transactions, we also previously entered into warrant transactions under which we agreed to sell shares of our common stock at $114.92.

The calculation of diluted EPS also includespotential diluted shares to be issued under the warrants when the average market price per share of our common stock for the period is greater than $114.92. During the three and six months ended June 30, 2021, our average share price exceeded $114.92 and we therefore included in our diluted share count an additional 0.6 million and 0.4 million shares, respectively, assumed to be issued under the warrants.

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Note 98 – Goodwill and Other Intangible Assets

The changes in the net carrying amount of goodwill for the ~~nine~~six months ended ~~September~~June 30, ~~2020~~2021 are as follows:


Balance as of December 31, ~~2019~~2020	$	~~618,042~~618,440

~~Goodwill adjustment resulting from business acquisition~~	~~(1,009)~~

Foreign currency translation	~~360~~ (160)

Balance as of ~~September~~June 30, ~~2020~~2021	$	~~617,393~~618,280

Assets and liabilities of acquired businesses are recorded at their estimated fair values as of the date of acquisition. Goodwill represents costs in excess of fair values assigned to the underlying net assets of acquired businesses. ~~During the nine months ended September 30, 2020, the Company recorded a measurement period adjustment related to a prior business combination.~~

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Other intangible assets consist of the following:


		September 30, 2020									December 31, 2019						June 30, 2021				December 31, 2020
		Weighted Average Amortization Period (Years)	Gross Carrying Amount		Accumulated Amortization		Gross Carrying Amount		Accumulated Amortization			Weighted Average Amortization Period (Years)	Gross Carrying Amount		Accumulated Amortization		Gross Carrying Amount		Accumulated Amortization
Intangible assets with definite lives:	Intangible assets with definite lives:										Intangible assets with definite lives:

Customer and distributor relationships	Customer and distributor relationships	24	$	342,523	$	(129,706)	$	342,568	$	(115,311)	Customer and distributor relationships	24	$	342,575	$	(143,738)	$	342,639	$	(134,555)

Sales representation, marketing and promotional rights	Sales representation, marketing and promotional rights	25	149,376		(52,500)		149,376		(48,000)		Sales representation, marketing and promotional rights	25	149,376		(57,000)		149,376		(54,000)

Developed technology	Developed technology	16	106,604		(18,071)		106,604		(13,171)		Developed technology	16	106,604		(23,112)		106,604		(19,705)

Patents and other intangible assets	Patents and other intangible assets	15	73,181		(48,267)		70,646		(46,456)		Patents and other intangible assets	16	75,235		(49,861)		73,516		(48,882)

Intangible assets with indefinite lives:	Intangible assets with indefinite lives:										Intangible assets with indefinite lives:

Trademarks and tradenames	Trademarks and tradenames		86,544		—		86,544		—		Trademarks and tradenames		86,544		—		86,544		—

		22	$	758,228	$	(248,544)	$	755,738	$	(222,938)		22	$	760,334	$	(273,711)	$	758,679	$	(257,142)

Customer and distributor relationships, trademarks and tradenames, developed technology and patents and other intangible assets primarily represent allocations of purchase price to identifiable intangible assets of acquired businesses. Sales representation, marketing and promotional rights represent intangible assets created under our agreement with Musculoskeletal Transplant Foundation (“MTF”).

Amortization expense related to intangible assets which are subject to amortization totaled ~~$8.6~~$8.2 million and ~~$8.4~~$8.5 million in the three months ended ~~September~~June 30, ~~2020~~2021 and ~~2019,~~2020, respectively, and ~~$25.6~~$16.6 million and ~~$24.1~~$17.0 million in the ~~nine~~six months ended ~~September~~June 30, ~~2020~~2021 and ~~2019,~~2020, respectively, and is included as a reduction of revenue (for amortization related to our sales representation, marketing and promotional rights) and in selling and administrative expense (for all other intangible assets) in the consolidated condensed statements of comprehensive income (loss). Included in developed technology is $6.0 million of earn-out consideration that is considered probable as of ~~September~~June 30, ~~2020~~2021 associated with a prior asset acquisition. This is recorded in other current liabilities at ~~September~~June 30, ~~2020.~~2021.

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The estimated intangible asset amortization expense remaining for the year ending December 31, ~~2020~~2021 and for each of the five succeeding years is as follows:


		Amortization included in expense		Amortization recorded as a reduction of revenue		Total			Amortization included in expense		Amortization recorded as a reduction of revenue		Total
Remaining, 2020		$	6,970	$	1,500	$	8,470
2021		27,523		6,000		33,523
Remaining, 2021								Remaining, 2021	$	13,909	$	3,000	$	16,909
2022	2022	26,369		6,000		32,369		2022	26,474		6,000		32,474
2023	2023	25,588		6,000		31,588		2023	25,609		6,000		31,609
2024	2024	24,777		6,000		30,777		2024	24,884		6,000		30,884
2025	2025	25,023		6,000		31,023		2025	25,105		6,000		31,105
2026								2026	24,576		6,000		30,576

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Note 109 - Long-Term Debt

Long-term debt consists of the following:


		September 30, 2020		December 31, 2019			June 30, 2021		December 31, 2020
Revolving line of credit	Revolving line of credit	$	230,000	$	220,000	Revolving line of credit	$	185,000	$	207,000
Term loan, net of deferred debt issuance costs of $1,562 and $1,528 in 2020 and 2019, respectively		243,563		253,535
2.625% convertible notes, net of deferred debt issuance costs of $5,920 and $7,252 in 2020 and 2019, respectively, and unamortized discount of $36,073 and $43,312 in 2020 and 2019, respectively		303,007		294,436
Term loan, net of deferred debt issuance costs of $1,373 and $1,668 in 2021 and 2020, respectively						Term loan, net of deferred debt issuance costs of $1,373 and $1,668 in 2021 and 2020, respectively	232,158		240,145
2.625% convertible notes, net of deferred debt issuance costs of $4,588 and $5,475 in 2021 and 2020, respectively, and unamortized discount of $28,589 and $33,620 in 2021 and 2020, respectively						2.625% convertible notes, net of deferred debt issuance costs of $4,588 and $5,475 in 2021 and 2020, respectively, and unamortized discount of $28,589 and $33,620 in 2021 and 2020, respectively	311,823		305,904
Financing leases	Financing leases	686		836		Financing leases	695		587
Total debt	Total debt	777,256		768,807		Total debt	729,676		753,636
Less: Current portion	Less: Current portion	16,805		13,596		Less: Current portion	21,868		18,415
Total long-term debt	Total long-term debt	$	760,451	$	755,211	Total long-term debt	$	707,808	$	735,221

On February 7, 2019 we entered into a sixth amended and restated senior credit agreement consisting of: (a) a $265.0 million term loan facility and (b) a $585.0 million revolving credit facility. The revolving credit facility ~~will~~then in effect was due to terminate and the loans outstanding under the term loan facility ~~will expire~~then in effect were scheduled to mature on the earlier of (i) February 7, 2024 or (ii) 91 days prior to the earliest scheduled maturity date of the 2.625% convertible notes due in 2024 described below, (if, as of such date, more than $150.0 million in aggregate principal amount of such convertible notes (or any refinancing thereof) ~~remains~~remained outstanding). The term loan facility iswas payable in quarterly installments increasing over the term of the facility. Proceeds from the term loan facility and borrowings under the revolving credit facility were used to repay the then existing senior credit agreement and in part to finance the acquisition of Buffalo Filter. On April 17, 2020, we amended our sixth amended and restated senior credit agreement to suspend our required leverage ratios for up to four quarters as a result of the potential impact from the COVID-19 ~~pandemic (as further described in Note 17). Under the terms of the~~pandemic. On November 20, 2020, we entered into a third amendment ~~there are certain minimum liquidity and fixed charge coverage ratio requirements. Interest rates are also adjusted so that~~under our senior credit agreement to lower the applicable margin ~~for base rate~~on the loans ~~is 2.50% per annum~~ and ~~for~~lower the interest floor on Eurocurrency ~~rate~~ loans ~~is 3.50% per annum, and the applicable commitment fee rate for the revolving credit facility is 0.50%. Following~~agreed upon in April 2020. On April 15, 2021, we terminated the suspension period, ~~the~~thus reinstating our required leverage ratios. The applicable margin ~~will depend~~depended upon CONMED’s consolidated senior secured leverage ratio, using the pricing grid set forth in the November 2020 amendment. Interest rates were at LIBOR (subject to ~~1.00%~~0.125% floor) plus an interest rate margin of ~~3.50% (4.50%~~2.50% (2.625% at ~~September~~June 30, ~~2020)~~2021).

There were ~~$245.1~~$233.5 million in borrowings outstanding on the term loan facility as of ~~September~~June 30, ~~2020.~~2021. There were ~~$230.0~~$185.0 million in borrowings outstanding under the revolving credit facility as of ~~September~~June 30, ~~2020.~~2021. Our available borrowings on the revolving credit facility at ~~September~~June 30, ~~2020~~2021 were ~~$352.5~~$397.4 million with approximately ~~$2.5~~$2.6 million of the facility set aside for outstanding letters of credit.

The sixth amended and restated senior credit agreement iswas collateralized by substantially all of our personal property and assets. The sixth amended and restated senior credit agreement contained covenants and restrictions which, among other things, required the maintenance of certain financial ratios and restricted dividend payments and the incurrence of certain indebtedness and other activities, including acquisitions and dispositions. We were in full compliance with these covenants and

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restrictions as of June 30, 2021. We were also required, under certain circumstances, to make mandatory prepayments from net cash proceeds from any issuance of equity and asset sales.

On July 16, 2021, we entered into a seventh amended and restated senior credit agreement consisting of: (a) a $233.5 million term loan facility and (b) a $585.0 million revolving credit facility. The revolving credit facility will terminate and the loans outstanding under the term loan facility will expire on the fifth anniversary of the closing date. The term loan is payable in quarterly installments increasing over the term of the facility. Initial interest rates are at LIBOR plus an interest rate margin of 1.75%. For those borrowings where we elect to use the alternate base rate, the initial base rate will be the greatest of (i) the Prime Rate, (ii) the Federal Funds Rate plus 0.50% or (iii) the one-month Adjusted LIBOR plus 1.00%, plus, in each case, an interest rate margin. The seventh amended and restated senior credit agreement contains covenants and restrictions which, among other things, require the maintenance of certain financial ratios and restrict dividend payments and the incurrence of certain indebtedness and other activities, including acquisitions and dispositions. We were in full compliance with these covenants and restrictions as of September 30, 2020. We are also required, under certain circumstances, to make mandatory prepayments from net cash proceeds from any issuance of equity and asset sales.

On January 29, 2019, we issued $345.0 million in 2.625% convertible notes due in 2024 (the "Notes"). Interest is payable semi-annually in arrears on February 1 and August 1 of each year, commencing August 1, 2019. The Notes will mature on February 1, 2024, unless earlier repurchased or converted. The Notes represent subordinated unsecured obligations and are convertible under certain circumstances, as defined in the indenture, into a combination of cash and CONMED common stock. The Notes may be converted at an initial conversion rate of 11.2608 shares of our common stock per $1,000 principal amount of Notes (equivalent to an initial conversion price of approximately $88.80 per share of common stock). Holders of the Notes may convert the Notes at their option at any time on or after November 1, 2023 through the second scheduled trading day preceding the maturity date. Holders of the Notes will also have the right to convert the Notes prior to November 1, 2023, but only upon the occurrence of specified events. The conversion rate is subject to anti-dilution adjustments if certain events occur. A portion of the net proceeds from the offering of the Notes were used as part of the financing for the Buffalo Filter acquisition and $21.0 million were used to pay the cost of certain convertible notes hedge transactions as further described below.

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Our effective borrowing rate for nonconvertible debt at the time of issuance of the Notes was estimated to be 6.14%, which resulted in $51.6 million of the $345.0 million aggregate principal amount of Notes issued, or $39.1 million after taxes, being attributable to equity. For both the three months ended ~~September~~June 30, ~~2020~~2021 and ~~2019,~~2020, we have recorded interest expense related to the amortization of debt discount on the Notes of ~~$2.4~~$2.5 million ~~and $2.3 million, respectively,~~ and for the ~~nine~~six months ended ~~September~~June 30, ~~2020~~2021 and ~~2019,~~2020, we have recorded interest expense related to the amortization of debt discount on the Notes of ~~$7.2~~$5.0 million and ~~$6.0~~$4.8 million, respectively, at the effective interest rate of 6.14%. The debt discount on the Notes is being amortized through February 2024. For both the three months ended ~~September~~June 30, ~~2020~~2021 and ~~2019,~~2020, we have recorded interest expense on the Notes of $2.3 million and for both the ~~nine~~six months ended ~~September~~June 30, ~~2020~~2021 and ~~2019,~~2020, we have recorded interest expense on the Notes of ~~$6.8~~$4.5 million ~~and $6.0 million, respectively,~~ at the contractual coupon rate of 2.625%.

In connection with the offering of the Notes, we entered into convertible note hedge transactions with a number of financial institutions (each, an “option counterparty”). The convertible note hedge transactions cover, subject to anti-dilution adjustments substantially similar to those applicable to the Notes, the number of shares of our common stock underlying the Notes. Concurrently with entering into the convertible note hedge transactions, we also entered into separate warrant transactions with each option counterparty whereby we sold to such option counterparty warrants to purchase, subject to customary anti-dilution adjustments, the same number of shares of our common stock.

The convertible note hedge transactions are expected generally to reduce the potential dilution upon conversion of the Notes and/or offset any cash payments we are required to make in excess of the principal amount of converted Notes, as the case may be, in the event that the market price per share of our common stock, as measured under the terms of the convertible note hedge transactions, is greater than the strike price ~~($114.92)~~ of the convertible note hedge transactions, which initially corresponds to the conversion price of the Notes and is subject to anti-dilution adjustments substantially similar to those applicable to the conversion rate of the Notes. If, however, the market price per share of our common stock, as measured under the terms of the warrant transactions, exceeds the strike price ($114.92) of the warrants, there would nevertheless be dilution to the extent that such market price exceeds the strike price of the ~~warrants.~~warrants as noted in Note 7, unless we elect to settle the warrants in cash.

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The scheduled maturities of long-term debt outstanding at ~~September~~June 30, ~~2020~~2021 are as follows:


Remaining 2020		$	3,312
2021		18,219
Remaining 2021				Remaining 2021	$	9,937
2022	2022	24,844		2022	24,844
2023	2023	428,750		2023	383,750
2024	2024	345,000		2024	345,000
2025				2025	0

The above amounts exclude debt discount, deferred debt issuance costs and financing leases.

Note 1110 – Guarantees

We provide warranties on certain of our products at the time of sale and sell extended warranties. The standard warranty period for our capital equipment is generally one year and our extended warranties typically vary from one to three years. Liability under warranty policies is based upon a review of historical claim experience. Adjustments are made to accruals as claim data and historical experience warrant.

Changes in the liability for standard warranties for the ~~nine~~six months ended ~~September~~June 30, are as follows:


		2020		2019			2021		2020
Balance as of January 1,	Balance as of January 1,	$	2,186	$	1,585	Balance as of January 1,	$	1,826	$	2,186

Provision for warranties	Provision for warranties	616		1,495		Provision for warranties	864		427
Claims made	Claims made	(932)		(821)		Claims made	(440)		(584)

Balance as of September 30,		$	1,870	$	2,259
Balance as of June 30,						Balance as of June 30,	$	2,250	$	2,029

Costs associated with extended warranty repairs are recorded as incurred and amounted to ~~$4.4~~$3.4 million and ~~$4.0~~$3.0 million for the ~~nine~~six months ended ~~September~~June 30, ~~2020~~2021 and ~~2019,~~2020, respectively.

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Note 1211 – Pension Plan

Net periodic pension cost consists of the following:


		Three Months Ended September 30,						Nine Months Ended September 30,							Three Months Ended June 30,				Six Months Ended June 30,
		2020		2019		2020		2019			2021		2020		2021		2020
Service cost	Service cost	$	179	$	253	$	537	$	759	Service cost	$	248	$	179	$	496	$	358

Interest cost on projected benefit obligation	Interest cost on projected benefit obligation	639		782		1,917		2,346		Interest cost on projected benefit obligation	451		639		902		1,278

Expected return on plan assets	Expected return on plan assets	(1,255)		(1,181)		(3,765)		(3,543)		Expected return on plan assets	(1,289)		(1,255)		(2,578)		(2,510)

Net amortization and deferral	Net amortization and deferral	705		720		2,115		2,160		Net amortization and deferral	832		705		1,664		1,410

Net periodic pension cost	Net periodic pension cost	$	268	$	574	$	804	$	1,722	Net periodic pension cost	$	242	$	268	$	484	$	536

We do not expect to make any pension contributions during ~~2020.~~2021. Non-service cost of $0.1 million and ~~$0.3~~$0.2 million for the three and six months ended ~~September~~June 30, 2020, ~~and 2019,~~ respectively, ~~and $0.3 million and $1.0 million for the nine months ended September 30, 2020 and 2019, respectively, are~~is included in other expense in the consolidated condensed statements of comprehensive income (loss). Non-service pension cost was immaterial for the three and six months ended June 30, 2021.

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Note 1312 – Acquisition and Other Expense

Acquisition and other expense consist of the following, which are included in cost of sales or selling and administrative ~~expense or other~~ expense depending on the nature of the charge:


		Three Months Ended September 30,						Nine Months Ended September 30,							Three Months Ended June 30,				Six Months Ended June 30,
		2020		2019		2020		2019			2021		2020		2021		2020

Plant underutilization costs	Plant underutilization costs	$	0	$	0	$	6,586	$	0	Plant underutilization costs	$	0	$	6,586	$	0	$	6,586
Product rationalization costs - inventory	Product rationalization costs - inventory	0		0		2,169		0		Product rationalization costs - inventory	0		2,169		0		2,169
Restructuring costs	Restructuring costs	0		0		1,087		0		Restructuring costs	0		1,087		0		1,087
Manufacturing consolidation costs	Manufacturing consolidation costs	606		1,430		3,993		1,430		Manufacturing consolidation costs	0		1,602		0		3,387
Acquisition and integration costs	Acquisition and integration costs	796		171		2,253		1,335		Acquisition and integration costs	0		652		0		1,457
Acquisition and other expense included in cost of sales	Acquisition and other expense included in cost of sales	$	1,402	$	1,601	$	16,088	$	2,765	Acquisition and other expense included in cost of sales	$	0	$	12,096	$	0	$	14,686

Restructuring and related costs	Restructuring and related costs	$	1,009	$	0	$	3,133	$	0	Restructuring and related costs	$	0	$	2,124	$	414	$	2,124
Product rationalization costs - field inventory	Product rationalization costs - field inventory	0		0		2,095		0		Product rationalization costs - field inventory	0		2,095		0		2,095
Acquisition and integration costs	Acquisition and integration costs	0		1,490		1,192		11,196		Acquisition and integration costs	0		439		0		1,192
Acquisition and other expense included in selling and administrative expense	Acquisition and other expense included in selling and administrative expense	$	1,009	$	1,490	$	6,420	$	11,196	Acquisition and other expense included in selling and administrative expense	$	0	$	4,658	$	414	$	5,411

Debt refinancing costs included in other expense		$	0	$	0	$	0	$	3,904

During the ~~nine months ended September 30,~~second quarter of 2020, we recorded a $6.6 million charge to cost of sales related to plant underutilization due to abnormally low production as a result of decreased sales caused by the COVID-19 pandemic.

During ~~nine months ended September 30,~~the second quarter of 2020, we performed an analysis of our product lines and determined certain catalog numbers, principally related to capital equipment, would be discontinued and consolidated into existing product offerings. We consequently recorded a $2.2 million charge to cost of sales to write-off inventory of the discontinued products.

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In addition, we incurred $2.1 million in costs related to the write-off of field inventory used for customer demonstration and evaluation of the discontinued products which we charged to selling and administrative expense.

During the ~~nine months ended September 30,~~second quarter of 2020, we incurred $1.1 million in restructuring costs related to a voluntary separation arrangement with employees as a result of the COVID-19 pandemic ~~which~~that were charged to cost of sales based on the job function of the affected employees. ~~Substantially all~~We additionally recorded a charge of $2.1 million primarily related to the restructuring of our Orthopedic sales force and a voluntary separation arrangement with employees as a result of the COVID-19 pandemic that was charged to selling and administrative expenses based on the nature of the costs ~~associated with~~and function of the ~~voluntary separation arrangement were paid during~~affected employees. During the ~~third quarter.~~six months ended June 30, 2021, we recorded a charge of $0.4 million related to the restructuring of our sales force which consisted primarily of termination payments to Orthopedic distributors made in exchange for ongoing assistance to transition to employee-based sales representatives and severance that was charged to selling and administrative expenses.

During the three and ~~nine~~six months ended ~~September~~June 30, 2020, we incurred ~~$0.6~~$1.6 million and ~~$4.0~~$3.4 million, respectively, in costs related to the consolidation of certain manufacturing operations which were charged to cost of sales. These costs related to winding down operations at certain locations and moving production lines to other facilities.

During the three and ~~nine~~six months ended ~~September~~June 30, ~~2019,~~2020, we incurred ~~$1.4~~costs for inventory step-up adjustments and other costs of $0.7 million ~~in costs~~and $1.5 million, respectively, related to ~~the consolidation of certain manufacturing operations. These costs mainly related to severance and~~a previous acquisition, which were charged to cost of sales.

During the three and ~~nine~~six months ended September 30, 2020, we recognized costs for inventory step-up adjustments and other costs related to a previous acquisition of $0.8 million and $2.3 million, respectively. During the three and nine months ended September 30, 2019, we incurred costs of $0.2 million and $1.3 million, respectively, for inventory adjustments associated with the acquisition of Buffalo Filter as further described in Note 3. These costs were charged to cost of sales.

During the three and nine months ended September 30, 2020, we recorded charges of $1.0 million and $2.3 million respectively, related to the restructuring of our Orthopedic sales force which was charged to selling and administrative expense. The charges for Orthopedic sales force restructuring consist primarily of termination payments to distributors made in exchange for ongoing assistance to transition to employee-based sales representatives.

During the nine months ended September 30, 2020, we recorded $0.8 million in restructuring charges principally related to a voluntary separation arrangement with employees as a result of the COVID-19 pandemic which were charged to selling and administrative expense based on the nature of the costs and function of the affected employees. Substantially all of the costs associated with the voluntary separation arrangement were paid during the third quarter.

~~During the nine months ended September~~June 30, 2020, we incurred $0.4 million and $1.2 million, respectively, in severance and integration costs mainly related to the Buffalo Filter ~~acquisition. During the three and nine months ended September 30, 2019, we incurred $1.5 million and $11.2 million, respectively, in costs associated with the~~ acquisition of Buffalo Filter as further described in Note 3. These costs include investment banking fees in the first quarter of 2019, and, consulting fees, legal fees, severance and integration related costs in the three and nine months ended September 30, 2019. These costswhich were included in selling and administrative expense.

During the nine months ended September 30, 2019, we incurred a $3.6 million charge related to commitment fees paid to certain of our lenders, which provided a financing commitment for the Buffalo Filter acquisition and recorded a loss on the early extinguishment of debt of $0.3 million in conjunction with the sixth amended and restated senior credit agreement.

~~During the third quarter of 2020, we sold a vacant facility for $3.2 million that was classified as an asset held for sale at the end of the second quarter of 2020.~~

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Note 1413 — Business Segment

We are accounting and reporting for our business as a single operating segment entity engaged in the development, manufacturing and sale on a global basis of surgical devices and related equipment. Our chief operating decision maker (the CEO) evaluates the various global product portfolios on a net sales basis and evaluates profitability, investment, cash flow metrics and allocates resources on a consolidated worldwide basis due to shared infrastructure and resources. Our product lines consist of orthopedic surgery and general surgery. Orthopedic surgery consists of sports medicine instrumentation and small bone, large bone and specialty powered surgical instruments as well as imaging systems for use in minimally invasive surgery procedures ~~including 2DHD and 3DHD vision technologies~~ and fees related to the sales representation, promotion and marketing of sports medicine allograft tissue. General surgery consists of a complete line of endo-mechanical instrumentation for minimally invasive laparoscopic and gastrointestinal procedures, smoke evacuation devices, a line of cardiac monitoring products as well as electrosurgical generators and related instruments. These product lines' net sales are as follows:


		Three Months Ended September 30,						Nine Months Ended September 30,							Three Months Ended June 30,				Six Months Ended June 30,
		2020		2019		2020		2019			2021		2020		2021		2020
Orthopedic surgery	Orthopedic surgery	$	102,187	$	110,328	$	261,954	$	339,522	Orthopedic surgery	$	107,893	$	60,483	$	215,058	$	159,766
General surgery	General surgery	135,648		123,262		347,677		350,710		General surgery	147,268		97,302		272,779		212,030
Consolidated net sales	Consolidated net sales	$	237,835	$	233,590	$	609,631	$	690,232	Consolidated net sales	$	255,161	$	157,785	$	487,837	$	371,796

Note 1514 – Legal Proceedings

From time to time, the Company may receive an information request, subpoena or warrant from a government agency such as the Securities and Exchange Commission, Department of Justice, Equal Employment Opportunity Commission, the Occupational Safety and Health Administration, the United States Food and Drug Administration, the Department of Labor, the Treasury Department or other federal and state agencies or foreign governments or government agencies. These information requests, subpoenas or warrants may or may not be routine inquiries, or may begin as routine inquiries and over time develop into enforcement actions of various types. Likewise, if we receive reports of alleged misconduct from employees and third parties, we investigate as appropriate.

Manufacturers of medical devices have been the subject of various enforcement actions relating to interactions with health care providers domestically or internationally whereby companies are claimed to have provided health care providers with inappropriate incentives to purchase their products. Similarly, the Foreign Corrupt Practices Act ("FCPA") imposes obligations on manufacturers with respect to interactions with health care providers who may be considered government officials based on their affiliation with public hospitals. The FCPA also requires publicly listed manufacturers to maintain accurate books and records, and maintain internal accounting controls sufficient to provide assurance that transactions are accurately recorded, lawful and in accordance with management's authorization. The FCPA poses unique challenges both because manufacturers operate in foreign cultures in which conduct illegal under the FCPA may not be illegal in local jurisdictions, and because, in some cases, a United States manufacturer may face risks under the FCPA based on the conduct of third parties over whom the manufacturer may not have complete control. While CONMED has not experienced any material enforcement action to date, there can be no assurance that the Company will not be subject to a material enforcement action in the future, or that the Company will not incur costs including, in the form of fees for lawyers and other consultants, that are material to the Company’s results of operations in the course of responding to a future inquiry or investigation.

Manufacturers of medical products may face exposure to significant product liability claims, as well as patent infringement and other claims incurred in the ordinary course of business. To date, we have not experienced any claims that have been material to our financial statements or financial condition, but any such claims arising in the future could have a material adverse effect on our business, results of operations or cash flows. We currently maintain commercial product liability insurance of $30 million per incident and $30 million in the aggregate annually, which we believe is adequate. This coverage is on a claims-made basis. There can be no assurance that claims will not exceed insurance coverage, that the carriers will be solvent or that such insurance will be available to us in the future at a reasonable cost.

Our operations are subject, and in the past have been subject, to a number of environmental laws and regulations governing, among other things, air emissions; wastewater discharges; the use, handling and disposal of hazardous substances and wastes; soil and groundwater remediation and employee health and safety. Likewise, the operations of our suppliers and sterilizers are subject to similar environmental laws and regulations. In some jurisdictions, environmental requirements may be

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entire cost of site restoration upon each of the parties that may have contributed to conditions at the site regardless of fault or the lawfulness of the party’s activities. While we do not believe that the present costs of environmental compliance and remediation are material, there can be no assurance that future compliance or remedial obligations would not have a material adverse effect on our financial condition, results of operations or cash flows.

In 2014, the Company acquired EndoDynamix, Inc. The agreement governing the terms of the acquisition provides that, if various conditions are met, certain contingent payments relating to the first commercial sale of the products (the milestone payment), as well as royalties based on sales (the revenue based payments), are due to the seller. In 2016, we notified the seller that there was a need to redesign the product, and that, as a consequence, the first commercial sale had been delayed. Consequently, the payment of contingent milestone and revenue-based payments were delayed. On January 18, 2017, the seller provided notice ("the Notice") seeking $12.7 million under a liquidated damages clause, which essentially represents the seller's view as to the sum of the projected contingent milestone and revenue-based payments on an accelerated basis. CONMED responded to the Notice denying that there was any basis for acceleration of the payments due under the acquisition agreement. On February 22, 2017, the representative of the former shareholders of EndoDynamix filed a complaint in Delaware Chancery Court claiming breach of contract with respect to the duty to commercialize the product and seeking the contingent payments on an accelerated basis. We believe that there was a substantive contractual basis to support the Company's decision to redesign the product, such that there was no legitimate basis for seeking the ~~acceleration of the contingent payments at that time.~~liquidated damages. In the third quarter of 2018, the Company decided to halt the development of the EndoDynamix clip applier. We previously recorded a charge to write off assets and released a previously accrued contingent consideration liability. In a pre-trial filing the Plaintiffs claim to seek liquidated damages, as well as additional damages up to $24.8 million. A non-jury trial ~~is now scheduled to take place~~ in the Delaware Chancery Court ~~in December 2020.~~commenced on March 18, 2021, and testimony concluded on April 7, 2021. The parties have submitted post-trial briefs, and the Court will hear oral arguments at a hearing scheduled for September 2021, with the Court to issue a ruling at some point thereafter. The Company has not recorded any expense related to potential damages in connection with this matter because the Company does not believe any potential loss is probable. We expect to defend the claims asserted by the sellers of EndoDynamix, although there can be no assurance that we will prevail in the trial and/or any resulting appeals.

On June 17, 2020, our Seoul, South Korea Office was served with a search warrant by the Incheon Customs Office ("ICO") as part of what we believe to be an industry-wide criminal investigation concerning alleged manipulation of transfer pricing and maximum reimbursement pricing. We understand that the period under investigation with respect to CONMED currently relates to 2016-2019, although this could change as the investigation develops over time. CONMED is ~~cooperating~~defending two Georgia State Court actions. The first was filed by various employees, former employees, contract workers and others against CONMED, and against a contract sterilizer. The second action is against CONMED’s landlord and other related entities. Plaintiffs in the lawsuits allege personal injury and related claims purportedly arising from or relating to exposure to Ethylene Oxide, a chemical used to sterilize certain products. CONMED is defending the claims asserted directly against it and is providing indemnification for certain other defendants based on contractual provisions. CONMED has submitted all of the claims for insurance coverage. One insurer is providing coverage for certain of the claims asserted directly against the Company. CONMED is currently in litigation with one of the ~~investigation, which we~~other insurers regarding coverage for one of the indemnification claims and is waiting for the carrier to make a coverage determination for the other indemnification claim. The Company is unable to estimate any range of possible loss at this time, and has not recorded any expense related to potential damages in connection with this matter because the Company does not believe any potential loss is probable.

Both actions are in ~~its~~their early ~~stages. The ICO~~stages and discovery has ~~previously audited the transfer pricing applied~~not yet started. CONMED believes it has strong defenses to the ~~majority of our imports into Korea, without any resulting material adjustments.~~ ~~We believe our transfer pricing was appropriate, on an aggregate basis,~~claims and ~~we intend to~~will vigorously defend ~~our position in~~itself and all parties it is indemnifying. As with any litigation, there are risks, including the ~~investigation, although there can be no assurance~~risk that CONMED may not prevail with respect to the ~~outcome~~defense of the ~~investigation,~~underlying claims, or with respect to securing adequate insurance coverage for the ~~related costs, given that the investigation is in a relatively early stage.~~indemnification claims.

We record reserves sufficient to cover probable and estimable losses associated with any such pending claims. We do not expect that the resolution of any pending claims, investigations or reports of alleged misconduct will have a material adverse effect on our financial condition, results of operations or cash flows. There can be no assurance, however, that future claims or investigations, or the costs associated with responding to such claims, investigations or reports of misconduct, especially claims and investigations not covered by insurance, will not have a material adverse effect on our financial condition, results of operations or cash flows.

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Note 1615 – New Accounting Pronouncements

~~Recently Adopted Accounting Standards~~

In June 2016, the FASB issued ASU No. 2016-13 Financial Instruments-Credit Losses (Topic 326): Measurement of Credit Losses on Financial Instruments, along with subsequent amendments issued in 2019. This ASU requires instruments measured at amortized cost, including accounts receivable, to be presented at the net amount expected to be collected. The new model requires an entity to estimate credit losses based on historical information, current information, and reasonable and supportable forecasts, including estimates of prepayments. This ASU is effective for fiscal years beginning after December 31, 2019 and the Company adopted the new standard on January 1, 2020. We adopted this ASU by applying historical loss rates to our accounts receivable aging schedule to estimate expected credit losses. We further adjusted expected credit losses for specifically identified and forecasted credit losses. This update did not have a material impact on our net income (loss), earnings (loss) per share or cash flows.

In August 2018, the FASB issued ASU 2018-13, Fair Value Measurement (Topic 820): Disclosure Framework-Changes to the Disclosure Requirements for Fair Value Measurement, which modifies the disclosure requirements on fair value measurements. This ASU is effective for fiscal years beginning after December 15, 2019 and early adoption is permitted. We

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~~adopted this update as of January 1, 2020 and it did not have a material impact on our net income (loss), earnings (loss) per share or cash flows.~~

In December 2019, the FASB issued ASU 2019-12, Income Taxes (Topic 740): Simplifying the Accounting for Income Taxes, which results in the removal of certain exceptions to the general principles of ASC 740 and simplifies other aspects of the accounting for income taxes. This ASU is effective for fiscal years beginning after December 15, 2020 and early adoption is permitted in any interim period. We early adopted this new guidance effective April 1, 2020 and it did not have a material impact on the consolidated financial statements.

Recently Issued Accounting Standards, Not Yet Adopted

In August 2018, the FASB issued ASU 2018-14, Compensation-Retirement Benefits-Defined Benefit Plans-General (Topic 715-20): Disclosure Framework-Changes to the Disclosure Requirements for Defined Benefit Plans, which modifies the disclosure requirements for defined benefit pension plans and other postretirement plans. This ASU is effective for fiscal years ending after December 15, 2020 and early adoption is permitted. The Company will include the required disclosures in the 2020 year-end consolidated financial statements.

In March 2020, the FASB issued ASU 2020-04, Reference Rate Reform (Topic 848): Facilitation of the Effects of Reference Rate Reform on Financial Reporting, which provides optional guidance if certain criteria are met for entities that have contracts, hedging relationships, and other transactions that reference LIBOR or other reference rates expected to be discontinued as a result of reference rate reform. This ASU is effective as of March 12, 2020 through December 31, 2022. The Company has not adopted ~~the~~this ASU as of ~~September~~June 30, ~~2020,~~2021, however will continue to monitor the impact of reference rates and will elect to apply this guidance in our consolidated financial statements in the event that we are impacted by reference rate reform.

In August 2020, the FASB issued ASU 2020-06, Debt—Debt with Conversion and Other Options (Subtopic 470-20) and Derivatives and Hedging—Contracts in Entity’s Own Equity (Subtopic 815-40): Accounting for Convertible Instruments and Contracts in an Entity’s Own Equity, which simplifies the accounting for convertible instruments by removing certain separation models requiring separate accounting for embedded conversion features which will result in more convertible debt instruments accounted for as a single liability. The ASU eliminates certain settlement conditions that are required for equity classification to qualify for the derivative scope exception. The ASU addresses how convertible instruments are accounted for in the calculation of diluted earnings per share by using the if-converted method. The ASU is effective for fiscal years beginning after December 15, 2021, with early adoption permitted no earlier than fiscal years beginning after December 15, 2020. The Company is currently assessing the impact of this guidance on our consolidated financial statements.

Note ~~17 - COVID-19~~16 – Subsequent Events

~~We experienced lower sales in the first and second quarters of 2020 compared to 2019 as~~On July 16, 2021, we entered into a result of the emergence of the COVID-19 virus, which was first identified in Wuhan, China in December 2019 and then spread throughout Asia before emerging and becoming a pandemic in the United States, Europe and elsewhere. Our sales were negatively impacted first in the Asia Pacific geography and later in the United States, and the rest of the world as temporary closures occurred and hospitals and surgery centers postponed many non-urgent surgical procedures in order to minimize the risk of infection with COVID-19.

In compliance with various governmental orders, beginning in March we restricted access to our main facilities to only essential personnel required to be onsite (primarily manufacturing and distribution) with substantially all other personnel working remotely. As a medical device manufacturer, we were designated as an “essential business” by the relevant authorities in New York, Florida, Georgia and Mexico and have maintained production or distribution at our facilities in these locations. We returned to year over year sales growth in the third quarter of 2020 as temporary closures were lifted in jurisdictions in the United States and around the world and hospitals and surgery centers resumed many surgical procedures.

~~Because of the ongoing uncertainty of the prevalence and impact of COVID-19 on our business, on April 17, 2020, we amended our sixth~~seventh amended and restated senior credit agreement ~~to suspend our required leverage ratios for up to four quarters. Under the terms of the amendment, we have certain minimum liquidity~~consisting of: (a) a $233.5 million term loan facility and fixed charge coverage ratio requirements with which we were in full compliance as of September 30, 2020. We are forecasting that sales and earnings will be sufficient to remain in compliance with the liquidity and fixed charge coverage ratio requirements under the terms of the amendment and we will have sufficient availability under our(b) a $585.0 million revolving credit facility. The revolving credit facility ~~to meet our liquidity needs. We have undertaken steps to reduce our spending~~will terminate and ~~expenses in light~~the loans outstanding under the term loan facility will expire on the fifth anniversary of the ~~impact~~closing date. The term loan is payable in quarterly installments increasing over the term of ~~COVID-19 on revenue~~the facility. Proceeds from the term loan facility and ~~earnings. While~~borrowings under the revolving credit facility were used to repay the then existing senior credit agreement. Initial interest rates are at LIBOR plus an interest rate margin of 1.75%. For those borrowings where we ~~expect that we~~elect to use the alternate base rate, the initial base rate will be ~~well positioned when surgeries begin to return to their pre-pandemic levels, we are unable to predict with certainty how long~~ the ~~COVID-19 pandemic will last,~~greatest of (i) the Prime Rate, (ii) the Federal Funds Rate plus 0.50% or ~~resurgence thereof, or how severe its economic impact will be. Even after~~(iii) the ~~COVID-19~~

~~Table~~one-month Adjusted LIBOR plus 1.00%, plus, in each case, an interest rate margin. The seventh amended and restated senior credit agreement contains covenants and restrictions which, among other things, require the maintenance of ~~Contents~~

~~pandemic~~certain financial ratios and ~~government responses thereto have subsided, residual economic~~restrict dividend payments and the incurrence of certain indebtedness and other ~~effects may have an impact on the demand for post-pandemic surgery levels that are difficult to predict. If the downturn is more severe~~activities, including acquisitions and ~~prolonged than we currently expect, we may need to take further steps to reduce our costs, or to refinance our debt.~~

Additionally, the Coronavirus Aid, Relief, and Economic Security (CARES) Act was signed into law on March 27, 2020 to provide economic relief in the early wake of the COVID-19 pandemic. The CARES Act includes many measures to assist companies, including temporary changes to income and non-income-based tax laws. Income tax relief includes temporary favorable changes to net operating loss and interest expense annual deduction limitations. These provisions are not expected to result in any material impact to our financial results.

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Item 2.			MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

Forward-Looking Statements

In this Report on Form 10-Q, we make forward-looking statements about our financial condition, results of operations and business. Forward-looking statements are statements made by us concerning events that may or may not occur in the future. These statements may be made directly in this document or may be “incorporated by reference” from other documents. Such statements may be identified by the use of words such as “anticipates”, “expects”, “estimates”, “intends” and “believes” and variations thereof and other terms of similar meaning.

Forward-Looking Statements are not Guarantees of Future Performance

Forward-looking statements involve known and unknown risks, uncertainties and other factors, including those that may cause our actual results, performance or achievements or industry results, to be materially different from any future results, performance or achievements expressed or implied by such forward-looking statements. Such factors include those identified under “Risk Factors” in our Annual Report on Form 10-K for the year-ended December 31, ~~2019~~2020 and the following, among others:

•general economic and business conditions;

•compliance with and changes in regulatory requirements;

•COVID-19 global pandemic poses significant risks to our business, financial condition and results of operations, which may be heightened if the pandemic, and various government responses to it, continue for an extended period of time;

•environmental compliance risks, including lack of availability of sterilization with Ethylene Oxide (“EtO”) or other compliance costs associated with the use of EtO;

•the possibility that United States or foreign regulatory and/or administrative agencies may initiate enforcement actions against us or our distributors;

•competition;

•changes in customer preferences;

•changes in technology;

•the introduction and acceptance of new products;

•the availability and cost of materials;

•the risk of an information security breach, including a cybersecurity breach;

•cyclical customer purchasing patterns due to budgetary and other constraints;

•the quality of our management and business abilities and the judgment of our personnel;

•the availability, terms and deployment of capital;

•future levels of indebtedness and capital spending;

•changes in foreign exchange and interest rates;

•the ability to evaluate, finance and integrate acquired businesses, products and companies;

•changes in business strategy;

•~~the risk of an information security breach, including a cybersecurity breach;~~

•the risk of a lack of allograft tissues due to reduced donations of such tissues or due to tissues not meeting the appropriate high standards for screening and/or processing of such tissues;

•the ability to defend and enforce intellectual property, including the risks related to theft or compromise of intellectual property in connection with our international operations;

•the risk of patent, product and other litigation, as well as the cost associated with such litigation; and

•trade protection measures, tariffs and other border taxes, and import or export licensing requirements.

See “Management’s Discussion and Analysis of Financial Condition and Results of Operations” ~~and "Risk Factors"~~ below and “Risk Factors” and “Business” in our Annual Report on Form 10-K for the year-ended December 31, ~~2019~~2020 for a further discussion of these factors. You are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date hereof. We do not undertake any obligation to publicly release any revisions to these forward-looking statements to reflect events or circumstances after the date of this Quarterly Report on Form 10-Q or to reflect the occurrence of unanticipated events.

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Overview

Our product lines consist of orthopedic surgery and general surgery. Orthopedic surgery consists of sports medicine instrumentation and small bone, large bone and specialty powered surgical instruments as well as, imaging systems for use in minimally invasive surgery procedures ~~including 2DHD and 3DHD vision technologies~~ and service fees related to the promotion and marketing of sports medicine allograft tissue. General surgery consists of a complete line of endo-mechanical instrumentation for minimally invasive laparoscopic and gastrointestinal procedures, smoke evacuation devices, a line of cardiac monitoring products as well as electrosurgical generators and related instruments. These product lines as a percentage of consolidated net sales are as follows:


		Three Months Ended September 30,						Nine Months Ended September 30,							Three Months Ended June 30,				Six Months Ended June 30,
		2020		2019		2020		2019			2021		2020		2021		2020
Orthopedic surgery	Orthopedic surgery	43	%	47	%	43	%	49	%	Orthopedic surgery	42	%	38	%	44	%	43	%
General surgery	General surgery	57	%	53	%	57	%	51	%	General surgery	58	%	62	%	56	%	57	%
Consolidated net sales	Consolidated net sales	100	%	100	%	100	%	100	%	Consolidated net sales	100	%	100	%	100	%	100	%

A significant amount of our products are used in surgical procedures with approximately ~~82%~~81% of our revenues derived from the sale of single-use products. Our capital equipment offerings also facilitate the ongoing sale of related single-use products and accessories, thus providing us with a recurring revenue stream. We manufacture substantially all of our products in facilities located in the United States and Mexico. We market our products both domestically and internationally directly to customers and through distributors. International sales approximated ~~44% and 46%~~45% during both the ~~nine~~six months ended ~~September~~June 30, ~~2020~~2021 and ~~2019, respectively.~~2020.

Business Environment

Our business ~~has been~~was, and to a lesser extent continues today to be, significantly impacted by the emergence of the COVID-19 ~~virus, with the Company experiencing lower sales in the first and second quarters of 2020 compared to 2019,~~pandemic, first in the Asia Pacific geography and later in the United States, Europe and elsewhere as temporary closures occurred and hospitals and surgery centers postponed many non-urgent surgical procedures in order to minimize the risk of infection. In compliance with various governmental orders, beginning in March 2020 we restricted access to our main facilities to only essential personnel required to be onsite while maintaining production and distribution. WeAlthough such restrictions continued to be in place as of June 30, 2021, we are ~~uncertain~~developing plans in certain of our facilities to ease such restrictions as the number of COVID-19 cases decline and vaccination rates increase. During the first six months of 2021, revenues increased compared to the ~~outlook for~~first six months of 2020. We have seen and believe we will continue to experience market variability that could influence sales, ~~growth for~~suppliers, patients and customers. We also have seen and continue to expect general surgery to rebound faster than orthopedic surgery due to the ~~remainder~~nature of the ~~year~~products. However, there remains uncertainty related to the COVID-19 pandemic, including the duration and ~~2021 until such time as an effective vaccine is generally available.~~severity of future impacts to the business. See additional discussion ~~in Note 10 and Note 17 to the consolidated condensed financial statements, as well as~~ in Liquidity and Capital Resources below.

Critical Accounting Policies

Preparation of our financial statements requires us to make estimates and assumptions which affect the reported amounts of assets, liabilities, revenues and expenses. Note 1 to the Consolidated Financial Statements in our Annual Report on Form 10-K for the year-ended December 31, ~~2019~~2020 describes the significant accounting policies used in preparation of the Consolidated Financial Statements. On an ongoing basis, we evaluate the critical accounting policies used to prepare our consolidated financial statements, including, but not limited to, those related to goodwill and intangible ~~assets.~~assets and our pension benefit obligation.

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Consolidated Results of Operations

The following table presents, as a percentage of net sales, certain categories included in our consolidated condensed statements of income ~~(loss)~~ for the periods indicated:

Three Months Ended September 30, Nine Months Ended September 30,
2020 2019 2020 2019
Net sales 100.0 % 100.0 % 100.0 % 100.0 %
Cost of sales 43.8 44.3 46.7 44.5
Gross profit 56.2 55.7 53.3 55.5
Selling and administrative expense 39.7 42.0 45.1 43.2
Research and development expense 4.2 4.7 4.7 4.8
Income from operations 12.4 9.0 3.5 7.4
Interest expense 5.0 4.8 5.4 4.7
Other expense — 0.1 — 0.7
Income (loss) before income taxes 7.3 4.0 (2.0) 2.0
Income tax expense 4.4 1.1 0.4 —
Net income (loss) 2.9 % 3.0 % (2.4) % 2.0 %

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	Three Months Ended June 30,				Six Months Ended June 30,
	2021		2020		2021		2020
Net sales	100.0	%	100.0	%	100.0	%	100.0	%
Cost of sales	44.6		54.4		44.7		48.6
Gross profit	55.4		45.6		55.3		51.4
Selling and administrative expense	40.9		53.5		41.6		48.5
Research and development expense	4.4		5.5		4.4		5.1
Income (loss) from operations	10.1		(13.5)		9.4		(2.2)
Interest expense	3.7		7.2		4.1		5.6
Other expense	—		0.1		—		—
Income (loss) before income taxes	6.4		(20.7)		5.3		(7.9)
Provision (benefit) for income taxes	1.2		(3.4)		0.6		(2.1)
Net income (loss)	5.2	%	(17.4)	%	4.7	%	(5.8)	%

Net Sales

The following table presents net sales by product line for the three and ~~nine~~six months ended ~~September~~June 30, ~~2020~~2021 and ~~2019:~~2020:


		Three Months Ended																			Three Months Ended
						% Change															% Change
		2020		2019		As Reported		Impact of Foreign Currency		Constant Currency			2021		2020		As Reported		Impact of Foreign Currency		Constant Currency
Orthopedic surgery	Orthopedic surgery	$	102.2	$	110.3	-7.4	%	0.3	%	-7.1	%	Orthopedic surgery	$	107.9	$	60.5	78.4	%	-5.5	%	72.9	%
General surgery	General surgery	135.6		123.3		10.0	%	-0.2	%	9.8	%	General surgery	147.3		97.3		51.4	%	-2.3	%	49.1	%
Net sales	Net sales	$	237.8	$	233.6	1.8	%	—	%	1.8	%	Net sales	$	255.2	$	157.8	61.7	%	-3.5	%	58.2	%

Single-use products	Single-use products	$	190.9	$	184.4	3.6	%	—	%	3.6	%	Single-use products	$	208.9	$	128.5	62.6	%	-3.6	%	59.0	%
Capital products	Capital products	46.9		49.2		-4.7	%	-0.2	%	-4.9	%	Capital products	46.3		29.3		58.0	%	-3.4	%	54.6	%
Net sales	Net sales	$	237.8	$	233.6	1.8	%	—	%	1.8	%	Net sales	$	255.2	$	157.8	61.7	%	-3.5	%	58.2	%

		Nine Months Ended																			Six Months Ended
						% Change															% Change
		2020		2019		As Reported		Impact of Foreign Currency		Constant Currency			2021		2020		As Reported		Impact of Foreign Currency		Constant Currency
Orthopedic surgery	Orthopedic surgery	$	261.9	$	339.5	-22.8	%	1.2	%	-21.6	%	Orthopedic surgery	$	215.0	$	159.8	34.6	%	-3.3	%	31.3	%
General surgery	General surgery	347.7		350.7		-0.9	%	0.4	%	-0.5	%	General surgery	272.8		212.0		28.7	%	-1.7	%	27.0	%
Net sales	Net sales	$	609.6	$	690.2	-11.7	%	0.9	%	-10.8	%	Net sales	$	487.8	$	371.8	31.2	%	-2.3	%	28.9	%

Single-use products	Single-use products	$	497.1	$	547.0	-9.1	%	0.9	%	-8.2	%	Single-use products	$	396.3	$	306.2	29.4	%	-2.2	%	27.2	%
Capital products	Capital products	112.5		143.2		-21.5	%	0.7	%	-20.8	%	Capital products	91.5		65.6		39.6	%	-2.8	%	36.8	%
Net sales	Net sales	$	609.6	$	690.2	-11.7	%	0.9	%	-10.8	%	Net sales	$	487.8	$	371.8	31.2	%	-2.3	%	28.9	%

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Net sales increased ~~1.8%~~61.7% and ~~decreased 11.7%~~31.2% in the three and ~~nine~~six months ended ~~September~~June 30, ~~2020, respectively. The increase during the three months ended September 30, 2020~~2021, respectively, compared to the same ~~period~~periods a year ago ~~was~~ driven by ~~strong general surgery sales. Net sales decreased~~increases across all product lines as the COVID-19 pandemic had a significant impact on sales during the ~~nine months ended September 30, 2020 as a result~~second quarter of ~~the COVID-19 pandemic.~~2020.

•Orthopedic surgery sales ~~decreased 7.4%~~increased 78.4% and ~~22.8%~~34.6% in the three and ~~nine~~six months ended ~~September~~June 30, 2021, respectively. 2020 ~~respectively, primarily driven~~was significantly impacted by ~~continued deferral of non-urgent surgeries as a result of~~ the COVID-19 ~~pandemic. A significant portion of this decline was driven by a reduction in capital equipment purchases~~pandemic as hospitals and surgery centers ~~conserve cash~~deferred non-urgent surgeries and ~~defer~~customers also deferred capital ~~outlays.~~equipment purchases. Sales have increased since the first quarter of 2021 with growth in single-use products as non-urgent surgeries continue to increase.

•General surgery sales increased ~~10.0%~~51.4% and ~~decreased 0.9%~~28.7% in the three and ~~nine~~six months ended ~~September~~June 30, 2021, respectively. 2020 ~~respectively.~~was significantly impacted by the COVID-19 pandemic as hospitals and surgery centers deferred non-urgent surgeries. General surgery sales increased from the first quarter of 2021 mainly driven by continued growth in our advanced surgical products, including in our Buffalo Filter and AirSeal products, as well as growth in our advanced endoscopic technologies products. We believe the deferral of non-urgent procedures has had a lesser impact on our general surgery ~~lines~~products as a result of the nature of the products and procedures in which they are used and this belief was borne out in the third quarter by a resumption in growth in these lines, including continued growth in our Buffalo Filter and AirSeal products. The decrease during the nine months ended September 30, 2020 was a result of the deferral of non-urgent surgeries during the first half of the year as a result of the COVID-19 pandemic.used.

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Cost of Sales

Cost of sales increased to ~~$104.1~~$113.7 million in the three months ended ~~September~~June 30, ~~2020~~2021 as compared to ~~$103.5~~$85.9 million in the three months ended ~~September~~June 30, ~~2019~~2020 and ~~decreased~~increased to ~~$284.8~~$218.0 million in the ~~nine~~six months ended ~~September~~June 30, ~~2020~~2021 as compared to ~~$307.5~~$180.7 million in the ~~nine~~six months ended ~~September~~June 30, ~~2019.~~2020. Gross profit margins increased 50980 basis points to ~~56.2%~~55.4% in the three months ended ~~September~~June 30, ~~2020~~2021 as compared to ~~55.7%~~45.6% in the three months ended ~~September~~June 30, ~~2019~~2020 and ~~decreased 220~~increased 390 basis points to ~~53.3%~~55.3% in the ~~nine~~six months ended ~~September~~June 30, ~~2020~~2021 as compared to ~~55.5%~~51.4% in the ~~nine~~six months ended ~~September~~June 30, ~~2019.~~2020.

The increase in gross profit margin of 50980 basis points in the three months ended ~~September~~June 30, ~~2020~~2021 and 390 basis points in the six months ended June 30, 2021 was ~~primarily due to lower production costs~~driven by an increase in sales as well as ~~favorable product and channel mix.~~

~~The decrease~~the absence in 2021 of ~~220 basis points~~certain costs incurred in ~~gross margin in the nine months ended September 30,~~ 2020 ~~compared to the same period a year ago was primarily driven by a decline in net sales as well as~~including the following:

•$6.6 million in costs related to plant underutilization due to abnormally low production as a result of decreased sales caused by the COVID-19 ~~pandemic;~~pandemic in the second quarter of 2020;

•$2.2 million in costs related to product ~~rationalization;~~rationalization in the second quarter of 2020;

•$1.1 million in restructuring costs related to a voluntary separation arrangement as a result of the COVID-19 ~~pandemic; and~~pandemic in the second quarter of 2020;

•$~~4.0~~1.6 million and $3.4 million for the three and six months ended June 30, 2020, respectively, in costs related to the consolidation of certain manufacturing operations related to winding down operations at certain locations and moving production lines to other ~~facilities.~~facilities; and

•$0.7 million and $1.5 million for the three and six months ended June 30, 2020, respectively, related inventory step-up adjustments from a previous acquisition.

Refer to Note 1312 for further details on the above items.

Selling and Administrative Expense

Selling and administrative expense ~~decreased~~increased to ~~$94.4~~$104.4 million in the three months ended ~~September~~June 30, ~~2020~~2021 as compared to ~~$98.2~~$84.5 million in the three months ended ~~September~~June 30, ~~2019~~2020 and ~~decreased~~increased to ~~$274.7~~$202.7 million in the ~~nine~~six months ended ~~September~~June 30, ~~2020~~2021 as compared to ~~$298.1~~$180.3 million in the ~~nine~~six months ended ~~September~~June 30, ~~2019.~~2020. Selling and administrative expense as a percentage of net sales decreased to ~~39.7%~~40.9% in the three months ended ~~September~~June 30, ~~2020~~2021 as compared to ~~42.0%~~53.5% in the three months ended ~~September~~June 30, ~~2019~~2020 and ~~increased~~decreased to ~~45.1%~~41.6% in the ~~nine~~six months ended ~~September~~June 30, ~~2020~~2021 as compared to ~~43.2%~~48.5% in the ~~nine~~six months ended ~~September~~June 30, ~~2019.~~2020.

The decrease in selling and administrative expense as a percentage of net sales for the three and ~~nine~~six months ended ~~September~~June 30, ~~2020~~2021 was mainly driven ~~mainly~~ by ~~actions taken~~higher sales in 2021 while continuing to ~~reduce~~monitor our expenses in response to the COVID-19 pandemic. We experienced reduced travel due to safety measures put in place and reduced trade show costs as shows were cancelled during the year. We also had lower commission costs during the nine months ended September 30, 2020 as sales declined compared to the same period a year ago. In addition, ~~during~~2020 included the ~~nine months ended September 30, 2019, we incurred $11.2 million in acquisition and integration costs relating to the Buffalo Filter acquisition compared to $3.1~~following expenses:

•$2.1 million in severance costs related to a voluntary termination program and costs associated with the restructuring of our Orthopedic sales force ~~and~~ in the second quarter of 2020;

•a $2.1 million write-off of field inventory used for customer demonstration and evaluation of products resulting from the product rationalization initiative ~~discussed above during~~in the ~~nine~~second quarter of 2020; and

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•$0.4 million and $1.2 million, respectively, in severance and integration costs mainly related to the Buffalo Filter acquisition in the three and six months ended ~~September~~June 30, 2020. ~~Refer to Note 13 for further details.~~

Research and Development Expense

Research and development expense ~~decreased~~increased to ~~$9.9~~$11.3 million in the three months ended ~~September~~June 30, ~~2020~~2021 as compared to ~~$11.0~~$8.7 million in the three months ended ~~September~~June 30, ~~2019.~~2020. Research and development expense increased to $21.3 million in the six months ended June 30, 2021 as compared to $18.8 million in the six months ended June 30, 2020. As a percentage of net sales, research and development expense decreased 50110 basis points to ~~4.2%~~4.4% in the three months ended ~~September~~June 30, ~~2020~~2021 as compared to ~~4.7%~~5.5% in the three months ended ~~September~~June 30, ~~2019. Research~~2020 and ~~development~~decreased 70 basis points to 4.4% in the six months ended June 30, 2021 as compared to 5.1% in the six months ended June 30, 2020. The lower spend as a percentage of sales is driven by higher sales in 2021.

Interest Expense

Interest expense decreased to ~~$28.8~~$9.4 million in the ~~nine~~three months ended ~~September~~June 30, 2021 from $11.4 million in the three months ended June 30, 2020 and decreased to $19.8 million in the six months ended June 30, 2021 from $21.0 million in the six months ended June 30, 2020. The weighted average interest rates on our borrowings decreased to 2.97% in the three months ended June 30, 2021 as compared to ~~$33.4 million~~3.75% in the ~~nine~~three months ended ~~September~~June 30, ~~2019. As a percentage of net sales, research~~2020 and ~~development expense decreased 10 basis points to 4.7%~~3.17% in the ~~nine~~six months ended ~~September~~June 30, ~~2020~~2021 as compared to ~~4.8%~~3.44% in the ~~nine~~six months ended ~~September~~June 30, ~~2019.~~2020. The decrease in interest expense is primarily due to lower ~~spend is driven by cost cutting measures~~borrowings and decreases in ~~light of~~our weighted average interest rates compared to the ~~COVID-19 pandemic while still investing in key projects.~~same periods a year ago.

Other Expense

Other expense in the three and six months ended ~~September~~June 30, 2020 ~~and 2019~~is related to non-service pension costs as further described in Note ~~12.~~

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11.

~~Other expense in the nine months ended September 30, 2020 related to non-service pension costs as further described in Note 12 and~~Provision (Benefit) for the nine months ended September 30, 2019 it mainly related to non-service pension costs and costs associated with our sixth amended and restated senior credit agreement entered into on February 7, 2019. These costs include a $3.6 million charge related to commitment fees paid to certain of our lenders, which provided a financing commitment for the Buffalo Filter acquisition, and a loss on the early extinguishment of debt of $0.3 million.

~~Interest Expense~~

Interest expense increased to $11.9 million in the three months ended September 30, 2020 from $11.2 million in the three months ended September 30, 2019 and increased to $32.9 million in the nine months ended September 30, 2020 from $32.4 million in the nine months ended September 30, 2019. The weighted average interest rates on our borrowings increased to 4.01% in the three months ended September 30, 2020 as compared to 3.66% in the three months ended September 30, 2019 and decreased to 3.63% in the nine months ended September 30, 2020 as compared to 3.83% in the nine months ended September 30, 2019.

The increase in interest expense during the three months ended September 30, 2020 was due to higher interest rates as compared to the prior period resulting from the amendment to our senior credit facility as more fully described in Note 10 and an increase in non-cash interest expense. The increase in interest expense during the nine months ended September 30, 2020 as compared to the prior period is primarily due to an increase in non-cash interest expense offset by a decrease in interest rates.

Income ~~Tax Expense~~Taxes

Income tax expense has been recorded at an effective tax rate of ~~60.5%~~18.4% for the three months ended ~~September~~June 30, ~~2020~~2021 compared to ~~26.2%~~income tax benefit at an effective tax rate of 16.3% for the three months ended ~~September~~June 30, ~~2019.~~2020. Income tax expense has been recorded at an effective tax rate of ~~(22.9)%~~11.0% for the ~~nine~~six months ended ~~September~~June 30, ~~2020~~2021 compared to ~~2.1%~~income tax benefit at an effective tax rate of 26.6% for the ~~nine~~six months ended ~~September~~June 30, ~~2019.~~2020. We calculate our estimated tax liability each quarter based on the level of income and tax liability on a year-to-date basis. AtThe tax rates for the ~~end~~three months and six months ended June 30, 2020 were primarily the result of ~~the~~our second quarter ofloss position. The three months ended June 30, 2020 ~~our loss position resulted in an~~included a discrete income tax benefit associated with stock options which increased the effective tax rate ~~of 26.6% through the first~~by 1.2%. The six months ofended June 30, 2020 included discrete income tax benefit associated with stock options and other federal income tax items which increased the year. Given the increase in income in the third quarter of 2020, the year-to-date income level changed and drove a higher level of tax liability in the third quarter on a year-to-date basis. This resulted in aeffective tax rate by 10.9%. Our income position for the ~~third quarter of 2020 of 60.5%~~three and six months ended June 30, 2021 generated tax expense which ~~included a~~was offset by discrete income tax benefit from federal tax deductions relating to stock option exercises that decreased the ~~final issuance of~~effective tax ~~regulations regarding US tax on foreign earnings at different rates.~~rate by 9.8% and 15.1%, respectively. A reconciliation of the United States statutory income tax rate to our effective tax rate is included in our Annual Report on Form 10-K for the year ended December 31, ~~2019,~~2020, under Note 8 to the consolidated financial statements.

Non-GAAP Financial Measures

Net sales on a "constant currency" basis is a non-GAAP measure. The Company analyzes net sales on a constant currency basis to better measure the comparability of results between periods. To measure percentage sales growth in constant currency, the Company removes the impact of changes in foreign currency exchange rates that affect the comparability and trend of net sales.

Because non-GAAP financial measures are not standardized, it may not be possible to compare this financial measure with other companies' non-GAAP financial measures having the same or similar names. This adjusted financial measure should not be considered in isolation or as a substitute for reported net sales growth, the most directly comparable GAAP financial measure. This non-GAAP financial measure is an additional way of viewing net sales that, when viewed with our GAAP results, provides a more complete understanding of our business. The Company strongly encourages investors and shareholders to review our financial statements and publicly-filed reports in their entirety and not to rely on any single financial measure.

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Liquidity and Capital Resources

Our liquidity needs arise primarily from capital investments, working capital requirements and payments on indebtedness under the sixth amended and restated senior credit agreement, described below. We have historically met these liquidity requirements with funds generated from operations and borrowings under our revolving credit facility. In addition, we have historically used term borrowings, including borrowings under the sixth amended and restated senior credit agreement, and borrowings under separate loan facilities, in the case of real property purchases, to finance our acquisitions. We also have the ability to raise funds through the sale of stock or we may issue debt through a private placement or public offering.

As a result of the COVID-19 pandemic, we experienced lower sales in ~~the first and second quarters of 2020 and although we returned to sales growth in the third quarter of 2020, we are uncertain as to the outlook for sales growth for the~~

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~~remainder of the year and 2021 until such time as an effective vaccine is generally available. Due to the decrease in sales, we incurred a net loss in the nine months ended September 30,~~ 2020. On April 17, 2020 we amended our senior credit agreement to suspend our required leverage ratios for up to four quarters. ~~Under the terms of the amendment, we~~We continued to have certain minimum liquidity and fixed charge coverage ratio ~~requirements with which~~requirements. On November 20, 2020, we ~~were~~entered into a third amendment under our senior credit agreement to lower the applicable margin on loans and lower the interest floor on Eurocurrency loans agreed upon in ~~full compliance with as of September 30,~~April 2020. ~~We are forecasting that sales and earnings will be sufficient to remain in compliance with~~On April 15, 2021, we terminated the ~~liquidity and fixed charge coverage ratio requirements under the terms of the amendment.~~suspension period, thus reinstating our required leverage ratios. Management believes that cash flow from operations, including cash and cash equivalents on hand and available borrowing capacity under our revolving credit facility, will be adequate to meet our liquidity needs for the foreseeable future. We ~~have undertaken steps~~continue to ~~reduce~~monitor our spending and expenses in light of our expectation that our revenues will continue to be ~~depressed over~~impacted by the ~~next several months.~~pandemic. While ~~we expect that we will be well positioned when surgeries begin~~the results of operations support continued recovery, there remains uncertainty in the financial markets related to ~~return to their pre-pandemic levels, we are unable to predict with certainty how long~~ the COVID-19 pandemic ~~will last, or how severe its economic impact will be. Even after the COVID-19 pandemic and government responses thereto have subsided, residual economic and other effects~~which may have an impact on the demand for post-pandemic surgery levels that are difficult to predict. If the downturn is more severe and prolonged than we currently expect, we may need to take further steps to reduce our costs, or to refinance our debt.

Operating cash flows

Our net working capital position was ~~$225.2~~$244.7 million at ~~September~~June 30, ~~2020.~~2021. Net cash provided by operating activities was ~~$44.4~~$56.6 million and ~~$54.3~~$9.3 million in the ~~nine~~six months ended ~~September~~June 30, ~~2020~~2021 and ~~2019,~~2020, respectively, generated on net income (loss) of ~~$(14.6)~~$23.2 million and ~~$13.7~~$(21.5) million for the ~~nine~~six months ended ~~September~~June 30, ~~2020~~2021 and ~~2019,~~2020, respectively. The ~~decrease~~increase in cash provided by operating activities in ~~2020~~2021 as compared to ~~2019~~2020 was mainly driven by ~~lower sales and~~higher net ~~loss~~income in 2020 resulting from the COVID-19 pandemic. Significant impacts to operating cash flows in 2020 includes increases from accounts receivable as amounts owed by customers as of December 31, 2019 were collected during the nine months ended September 30, 2020. These increases to operating cash flow from accounts receivable were largely offset by decreases in operating cash flow caused by higher inventories on lower sales2021 compared to the same period a year ago.

Investing cash flows

Net cash used in investing activities in the ~~nine~~six months ended ~~September~~June 30, ~~2020~~2021 decreased ~~$368.3~~$4.3 million from the same period a year ago ~~mainly~~ due to ~~the $364.9 million payment for the Buffalo Filter Acquisition in 2019 and $3.2~~$3.9 million in ~~cash received from~~payments mainly related to the ~~sale~~acquisition of a ~~facility during the third quarter of~~distributor in 2020. Capital expenditures were ~~also lower during~~$6.1 million in the ~~nine~~six months ended ~~September~~June 30, ~~2020 at $9.9 million~~2021 compared to ~~$13.9~~$6.6 million in the same period a year ago.

Financing cash flows

Net cash used in financing activities in the ~~nine~~six months ended ~~September~~June 30, ~~2020~~2021 was ~~$24.9~~$31.0 million compared to cash provided by financing activities of ~~$337.9~~$10.8 million during ~~2019.~~2020. Below is a summary of the significant financing activities impacting the change during the ~~nine~~six months ended ~~September~~June 30, ~~2020~~2021 compared to ~~2019:~~2020:

•We ~~received proceeds of $345.0 million during the nine months ended September 30, 2019 related to the issuance of 2.625% convertible notes as further described below.~~

•We entered into a $265.0 million term loan during the nine months ended September 30, 2019 in conjunction with the refinancing of our senior credit agreement. This new term loan replaced the previous term loan and resulted in net proceeds of $114.0 million during the nine months ended September 30, 2019 compared to $9.9 million in payments in the current year.

•We had net ~~proceeds~~payments on our revolving line of credit of ~~$10.0~~$22.0 million compared to ~~$65.0~~$38.0 million in ~~payments~~net borrowings during the ~~nine~~six months ended ~~September~~June 30, ~~2019.~~2020.

•~~During~~We had net cash proceeds of $13.1 million related to stock issued under employee plans for the ~~nine~~six months ended ~~September~~June 30, ~~2019, we paid $51.2 million~~2021 compared to ~~purchase hedges related to our convertible notes. Partially offsetting this, were proceeds of $30.6 million from the issuance of warrants as further described below.~~

•~~During the nine months ended September 30, 2019, we paid $16.2~~$2.2 million in ~~debt issuance costs associated with~~ the 2.625% convertible notes and the sixth amended and restated senior credit agreement compared to $2.1 million in debt issuance costs during the nine months ended September 30, 2020 in connection with the April 17, 2020 amendment of our sixth amended and restated senior credit agreement as further described below.same period a year ago.

•We paid $2.1 million in contingent consideration related to a prior ~~acquisitions~~acquisition during the ~~nine~~six months ended ~~September~~June 30, 2020.

•We paid $2.1 million in debt issuance costs related to the April 2020 ~~as compared~~amendment to ~~$5.7 million~~our sixth amended and restated senior credit agreement during the ~~nine~~six months ended ~~September~~June 30, ~~2019.~~2020.

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loans outstanding under the term loan facility ~~will expire~~then in effect were scheduled to mature on the earlier of (i) February 7, 2024 or (ii) 91 days prior to the earliest scheduled maturity date of the ~~$345.0 million in~~ 2.625% convertible notes due in 2024 described below, (if, as of such date, more than $150.0 million in aggregate principal amount of such convertible notes (or any refinancing thereof) ~~remains~~remained outstanding). The term loan facility iswas payable in quarterly installments increasing over the term of the facility. Proceeds from the term loan facility and borrowings under the revolving credit facility were used to repay the then existing senior credit agreement and in part to finance the acquisition of Buffalo Filter. As noted above, on April 17, 2020 we amended our sixth amended and restated senior credit agreement to suspend our required leverage ratios for up to four

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quarters. ~~Under the terms of the amendment, there are~~We continued to have certain minimum liquidity and fixed charge coverage ratio requirements. ~~Interest rates are also adjusted so that~~On November 20, 2020, we entered into a third amendment under our senior credit agreement to lower the applicable margin ~~for base rate~~on the loans ~~is 2.50% per annum~~ and ~~for~~lower the interest floor on Eurocurrency ~~rate~~ loans ~~is 3.50% per annum, and the applicable commitment fee rate for the revolving credit facility is 0.50%. Following~~agreed upon in April 2020. On April 15, 2021, we terminated the suspension period, ~~the~~thus reinstating our required leverage ratios. The applicable margin ~~will depend~~depended upon CONMED’s consolidated senior secured leverage ratio, using the pricing grid set forth in the November 2020 amendment. Interest rates were at LIBOR (subject to ~~1.00%~~0.125% floor) plus an interest rate margin of ~~3.50% (4.50%~~2.50% (2.625% at ~~September~~June 30, ~~2020)~~2021).

On July 16, 2021, we entered into a seventh amended and restated senior credit agreement consisting of: (a) a $233.5 million term loan facility and (b) a $585.0 million revolving credit facility. The revolving credit facility will terminate and the loans outstanding under the term loan facility will expire on the fifth anniversary of the closing date. The term loan is payable in quarterly installments increasing over the term of the facility. Proceeds from the term loan facility and borrowings under the revolving credit facility were used to repay the then existing senior credit agreement. Initial interest rates are at LIBOR plus an interest rate margin of 1.75%. For those borrowings where we elect to use the alternate base rate, the initial base rate will be the greatest of (i) the Prime Rate, (ii) the Federal Funds Rate plus 0.50% or (iii) the one-month Adjusted LIBOR plus 1.00%, plus, in each case, an interest rate margin. The seventh amended and restated senior credit agreement contains covenants and restrictions which, among other things, require the maintenance of certain financial ratios and restrict dividend payments and the incurrence of certain indebtedness and other activities, including acquisitions and dispositions. We were in full compliance with these covenants and restrictions as of September 30, 2020. We are also required, under certain circumstances, to make mandatory prepayments from net cash proceeds from any issuance of equity and asset sales.

The convertible note hedge transactions are expected generally to reduce the potential dilution upon conversion of the Notes and/or offset any cash payments we are required to make in excess of the principal amount of converted Notes, as the case may be, in the event that the market price per share of our common stock, as measured under the terms of the convertible note hedge transactions, is greater than the strike price ~~($114.92)~~ of the convertible note hedge transactions, which initially corresponds to the conversion price of the Notes and is subject to anti-dilution adjustments substantially similar to those applicable to the conversion rate of the Notes. If, however, the market price per share of our common stock, as measured under the terms of the warrant transactions, exceeds the strike price ($114.92) of the warrants, there would nevertheless be dilution to the extent that such market price exceeds the strike price of the warrants as noted in Note 7, unless we elect to settle the warrants in cash.

Our Board of Directors has authorized a $200.0 million share repurchase program. Through ~~September~~June 30, ~~2020,~~2021, we have repurchased a total of 6.1 million shares of common stock aggregating $162.6 million under this authorization and have $37.4

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million remaining available for share repurchases. The repurchase program calls for shares to be purchased in the open market or in private transactions from time to time. We may suspend or discontinue the share repurchase program at any time. We have not purchased any shares of common stock under the share repurchase program during ~~2020.~~2021. We have financed the

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repurchases and may finance additional repurchases through operating cash flow and from available borrowings under our revolving credit facility.

Management believes that cash flow from operations, including cash and cash equivalents on hand and available borrowing capacity under our ~~sixth~~seventh amended and restated senior credit agreement, will be adequate to meet our anticipated operating working capital requirements, debt service, funding of capital expenditures, dividend payments and common stock repurchases in the foreseeable future.

New accounting pronouncements

See Note 1615 to the consolidated condensed financial statements for a discussion of new accounting pronouncements.

Item 3. Quantitative and Qualitative Disclosures About Market Risk

There have been no significant changes in our primary market risk exposures or in how these exposures are managed during the ~~nine~~six months ended ~~September~~June 30, ~~2020.~~2021. Reference is made to Item 7A. of our Annual Report on Form 10-K for the year ended December 31, ~~2019~~2020 for a description of Qualitative and Quantitative Disclosures About Market Risk.

Item 4. Controls and Procedures

As of the end of the period covered by this report, an evaluation was carried out by CONMED Corporation’s management, with the participation of our Chief Executive Officer and Chief Financial Officer, of the effectiveness of our disclosure controls and procedures (as defined in Rule 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934). Based upon that evaluation, our Chief Executive Officer and Chief Financial Officer concluded that these disclosure controls and procedures were effective as of the end of the period covered by this report. In addition, no change in our internal control over financial reporting (as defined in Rule 13a-15(f) and 15d-15(f) under the Securities Exchange Act of 1934) occurred during the quarter ended ~~September~~June 30, ~~2020~~2021 that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

PART II OTHER INFORMATION

Item 1. Legal Proceedings

Reference is made to Item 3 of the Company’s Annual Report on Form 10-K for the year-ended December 31, ~~2019~~2020 and to Note 1514 of the Notes to Consolidated Condensed Financial Statements included in Part I of this Report for a description of certain legal matters.

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~~Item 1A. Risk Factors~~

This Form 10-Q should be read in conjunction with the risk factors and information disclosed in our Annual Report on Form 10-K under Part I, Item 1A for the year ended December 31, 2019. There have been no material changes in the risk factors described in our Annual Report on Form 10-K under Part I, Item 1A for the year ended December 31, 2019, except for the risk factor below.

~~The COVID-19 global pandemic may pose significant risks to our business if the pandemic, and various government responses to it, continue for an extended period of time.~~

The public health actions being undertaken to reduce the spread of the virus are and may continue to create significant disruptions with respect to the demand for non-urgent surgeries, hospital and ambulatory surgery center operating volumes, and potentially to our ability to adequately rely on our supply chain.

~~As of the date of this report:~~

1.In some geographies or territories, our field-based sales representatives may be limited in their ability to travel to service or call on customers, with in-person visits in many cases dependent on requests by physicians to cover surgeries, the policies of individual hospitals, surgery centers or other institutions, and the availability of appropriate personal protective equipment;

2.~~Our office-based employees continue to work remotely, and~~

3.~~Our manufacturing facilities and warehouses continue to operate with precautions including, increased hygiene and cleaning within facilities, social distancing and monitoring of temperatures.~~

As such, the COVID-19 pandemic has directly and indirectly adversely impacted the Company’s business, financial condition and operating results. The extent to which this will continue will depend on numerous evolving factors that are highly uncertain, rapidly changing and cannot be predicted with precision or certainty at this time, including:

•~~the duration and scope of the COVID-19 pandemic, including any resurgence of the pandemic in some areas;~~

•governmental, business and individual actions that have been, continue to be, or may in the future be taken in response to the COVID-19 pandemic including, for example, business and travel restrictions, “stay-at-home” and “shelter-in-place” directives, quarantines, and slowdowns, suspensions or delays of commercial activity;

•the effect of the COVID-19 pandemic on our partners and customers, including their ability to conduct surgeries, to continue to purchase our products, to pay for the products purchased from us and/or to collect reimbursement, or their ability to do so in the volumes that existed prior to the pandemic;

•~~the effect of the COVID-19 pandemic and the governmental response on the budgets of our partners and customers;~~

•our ability during the COVID-19 pandemic to continue operations and/or adjust our production schedules in an efficient manner, as a result of current and anticipated weakened demand and/or production delays, if any, from our suppliers;

•~~significant reductions or volatility in demand for certain surgeries or for certain of our products;~~

•~~the effect of the COVID-19 pandemic on our supply chain’s reliability and costs;~~

•costs incurred as a result of actions intended to protect the health and safety of our employees and continued operations, including enhanced cleaning processes, protocols designed to implement appropriate social distancing practices, and/or adoption of additional wage and benefit programs to assist employees;

•~~potential future restructuring, impairment and other charges;~~

•~~the impact of the COVID-19 pandemic on the financial and credit markets and economic activity generally;~~

~~Table of Contents~~

•~~our ability to access lending, capital markets, and other sources of liquidity when needed on reasonable terms or at all;~~

•our ability to comply with the financial covenants in our debt agreements if a material economic downturn as a result of the COVID-19 pandemic results in substantially increased indebtedness and/or lower earnings; and

•~~the exacerbation of negative impacts resulting from the occurrence of a global or national recession, depression or other sustained adverse market event as a result of the COVID-19 pandemic.~~

We have undertaken steps to reduce our spending and expenses in light of the uncertainty concerning forecasting demand, and consequently revenues. While we expect that we will be well positioned if and/or when surgeries begin to return to their pre-pandemic levels, we are unable to predict with certainty how long the COVID-19 pandemic will last, or how severe its economic impact will be. Even after the COVID-19 pandemic and government responses thereto have subsided, residual economic and other effects may have an impact on the demand for post-pandemic surgery levels that are difficult to predict. If the downturn is more severe and prolonged than we currently expect, we may need to take further steps to reduce our costs, or to refinance our debt.

In addition to the other information set forth in this report, you should carefully consider the factors discussed under “Risk Factors” in our annual report on Form 10-K for the 2019 fiscal year. These risks may be heightened by the COVID-19 pandemic and could materially and adversely affect our business. The risks and uncertainties presented in this report and in our annual report on Form 10-K are not the only ones facing us. Additional risks and uncertainties not presently known to us, or that we currently believe to be immaterial, may also adversely affect our business.

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Item 6. Exhibits


Exhibit Index

Exhibit No.			Description of Exhibit

31.1			Certification of Curt R. Hartman pursuant to Rule 13a-14(a) or Rule 15d-14(a) of the Securities Exchange Act, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

31.2			Certification of Todd W. Garner pursuant to Rule 13a-14(a) or Rule 15d-14(a) of the Securities Exchange Act, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

32.1			Certifications of Curt R. Hartman and Todd W. Garner 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 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 - the cover page XBRL tags are embedded within the Inline XBRL document (included in Exhibit 101)

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SIGNATURES

Pursuant to the requirements of Section 13 or 15(d) 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 on the date indicated below.


						CONMED CORPORATION



						By: /s/ Todd W. Garner
						Todd W. Garner
						Executive Vice President and
						Chief Financial Officer

						Date:
						~~October~~July 29, ~~2020~~2021

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