UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 _____________________________________________________________ 
FORM 10-Q
 _____________________________________________________________ 
(Mark One) 
QUARTERLY REPORT PURSUANT TO SECTION 13 or 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended June 28,September 27, 2019
or
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from ____ to ____
Commission File Number 1-16137
 _____________________________________________________________ 
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INTEGER HOLDINGS CORPORATION
(Exact name of Registrant as specified in its charter)
 _____________________________________________________________ 
Delaware 16-1531026
(State or other jurisdiction of incorporation or organization) (I.R.S. Employer Identification No.)
5830 Granite Parkway,Suite 1150Plano,Texas 75024
(Address of principal executive offices) (Zip Code)
(214) 618-5243
(Registrant’s telephone number, including area code)
Securities registered pursuant to Section 12(b) of the Act:
Title of each class Trading Symbol(s) Name of each exchange on which registered
Common Stock, $0.001 par value per share ITGR New York Stock Exchange
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    Yes      No  
Indicate by checkmark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).    Yes       No  
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
Large accelerated filer  Accelerated filer Non-accelerated filer
       
Smaller reporting company  Emerging growth company   
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.   
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).    Yes      No  
The number of shares outstanding of the Company’s common stock, $0.001 par value per share, as of July 26,October 25, 2019 was: 32,646,37332,678,605 shares.




INTEGER HOLDINGS CORPORATION
Form 10-Q
For the Quarterly Period Ended June 28,September 27, 2019
TABLE OF CONTENTS
  Page
   
ITEM 1.
   
 
   
 
   
 
   
 
   
 
   
 
   
ITEM 2.
   
ITEM 3.
   
ITEM 4.
   
   
ITEM 1.
   
ITEM 1A.
   
ITEM 6.
   



PART I—FINANCIAL INFORMATION
ITEM 1. FINANCIAL STATEMENTS
INTEGER HOLDINGS CORPORATION
CONDENSED CONSOLIDATED BALANCE SHEETS (Unaudited)
(in thousands except share and per share data)June 28,
2019
 December 28,
2018
September 27,
2019
 December 28,
2018
ASSETS      
Current assets:      
Cash and cash equivalents$15,922
 $25,569
$14,719
 $25,569
Accounts receivable, net of allowance for doubtful accounts of $0.6 million, respectively217,732
 185,501
Accounts receivable, net of allowance for doubtful accounts of $0.3 million and
$0.6 million, respectively
216,671
 185,501
Inventories187,154
 190,076
197,977
 190,076
Prepaid expenses and other current assets24,978
 15,104
23,704
 15,104
Total current assets445,786
 416,250
453,071
 416,250
Property, plant and equipment, net229,209
 231,269
230,683
 231,269
Goodwill831,368
 832,338
825,318
 832,338
Other intangible assets, net791,472
 812,338
774,744
 812,338
Deferred income taxes4,099
 3,937
4,070
 3,937
Operating lease assets44,793
 
43,670
 
Other long-term assets26,926
 30,549
27,263
 30,549
Total assets$2,373,653
 $2,326,681
$2,358,819
 $2,326,681
LIABILITIES AND STOCKHOLDERS’ EQUITY      
Current liabilities:      
Current portion of long-term debt$37,500
 $37,500
$37,500
 $37,500
Accounts payable73,120
 57,187
77,383
 57,187
Income taxes payable12,034
 9,393
12,228
 9,393
Accrued expenses and other current liabilities61,288
 60,490
61,827
 60,490
Total current liabilities183,942
 164,570
188,938
 164,570
Long-term debt825,438
 888,007
790,420
 888,007
Deferred income taxes201,350
 203,910
199,966
 203,910
Operating lease liabilities39,788
 
38,724
 
Other long-term liabilities11,440
 9,701
12,193
 9,701
Total liabilities1,261,958
 1,266,188
1,230,241
 1,266,188
Stockholders’ equity:      
Common stock, $0.001 par value; 100,000,000 shares authorized; 32,816,622 and 32,624,494 shares issued, respectively; 32,640,614 and 32,473,167 shares outstanding, respectively33
 33
Common stock, $0.001 par value; 100,000,000 shares authorized; 32,841,183 and
32,624,494 shares issued, respectively; 32,668,627 and 32,473,167 shares
outstanding, respectively
33
 33
Additional paid-in capital697,648
 691,083
699,915
 691,083
Treasury stock, at cost, 176,008 and 151,327 shares, respectively(10,565) (8,125)
Treasury stock, at cost, 172,556 and 151,327 shares, respectively(10,373) (8,125)
Retained earnings398,648
 344,498
429,234
 344,498
Accumulated other comprehensive income25,931
 33,004
9,769
 33,004
Total stockholders’ equity1,111,695
 1,060,493
1,128,578
 1,060,493
Total liabilities and stockholders’ equity$2,373,653
 $2,326,681
$2,358,819
 $2,326,681
The accompanying notes are an integral part of these condensed consolidated financial statements.


INTEGER HOLDINGS CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (Unaudited)
Three Months Ended Six Months EndedThree Months Ended Nine Months Ended
(in thousands except per share data)June 28,
2019
 June 29,
2018
 June 28,
2019
 June 29,
2018
September 27,
2019
 September 28,
2018
 September 27,
2019
 September 28,
2018
Sales$314,194
 $314,464
 $628,870
 $606,890
$303,587
 $305,088
 $932,457
 $911,978
Cost of sales217,210
 215,699
 443,276
 424,593
210,201
 213,165
 653,477
 637,758
Gross profit96,984
 98,765
 185,594
 182,297
93,386
 91,923
 278,980
 274,220
Operating expenses:              
Selling, general and administrative expenses33,143
 36,780
 68,099
 73,209
32,935
 34,091
 101,034
 107,300
Research, development and engineering costs11,396
 12,935
 22,991
 26,211
11,729
 12,234
 34,720
 38,445
Other operating expenses3,108
 4,692
 5,998
 8,476
2,241
 4,139
 8,239
 12,615
Total operating expenses47,647
 54,407
 97,088
 107,896
46,905
 50,464
 143,993
 158,360
Operating income49,337
 44,358
 88,506
 74,401
46,481
 41,459
 134,987
 115,860
Interest expense13,612
 15,234
 27,442
 30,829
12,337
 54,526
 39,779
 85,355
(Gain) loss on equity investments, net1,611
 (284) 1,652
 (5,254)(986) (291) 666
 (5,545)
Other income, net(718) (2,387) (552) (1,427)
Income from continuing operations before taxes34,832
 31,795
 59,964
 50,253
Provision for income taxes6,610
 8,739
 10,376
 14,113
Income from continuing operations$28,222
 $23,056
 $49,588
 $36,140
Other (income) loss, net(369) 1,684
 (921) 257
Income (loss) from continuing operations before taxes35,499
 (14,460) 95,463
 35,793
Provision for (benefit from) income taxes4,913
 (6,157) 15,289
 7,956
Income (loss) from continuing operations$30,586
 $(8,303) $80,174
 $27,837
              
Discontinued operations:              
Income (loss) from discontinued operations before taxes4,930
 (1,374) 5,316
 (7,623)
Income from discontinued operations before taxes
 195,874
 5,316
 188,251
Provision for income taxes95
 1,660
 178
 377

 73,492
 178
 73,869
Income (loss) from discontinued operations$4,835
 $(3,034) $5,138
 $(8,000)
Income from discontinued operations$
 $122,382
 $5,138
 $114,382
              
Net income$33,057
 $20,022
 $54,726
 $28,140
$30,586
 $114,079
 $85,312
 $142,219
              
Basic earnings (loss) per share:              
Income from continuing operations$0.87
 $0.72
 $1.52
 $1.13
Income (loss) from discontinued operations0.15
 (0.09) 0.16
 (0.25)
Income (loss) from continuing operations$0.94
 $(0.26) $2.46
 $0.87
Income from discontinued operations
 3.80
 0.16
 3.57
Basic earnings per share1.01
 0.62
 1.68
 0.88
0.94
 3.54
 2.62
 4.44
              
Diluted earnings (loss) per share:              
Income from continuing operations$0.85
 $0.70
 $1.50
 $1.11
Income (loss) from discontinued operations0.15
 (0.09) 0.16
 (0.25)
Income (loss) from continuing operations$0.92
 $(0.26) $2.43
 $0.86
Income from discontinued operations
 3.80
 0.16
 3.52
Diluted earnings per share1.00
 0.61
 1.66
 0.86
0.92
 3.54
 2.58
 4.38
              
Weighted average shares outstanding:              
Basic32,621
 32,038
 32,579
 31,970
32,660
 32,211
 32,606
 32,050
Diluted33,009
 32,720
 32,995
 32,572
33,068
 32,211
 33,019
 32,451
The accompanying notes are an integral part of these condensed consolidated financial statements.

INTEGER HOLDINGS CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS) (Unaudited)
 Three Months Ended Six Months Ended
(in thousands)June 28,
2019
 June 29,
2018
 June 28,
2019
 June 29,
2018
Comprehensive Income (Loss)       
Net income$33,057
 $20,022
 $54,726
 $28,140
Other comprehensive income (loss):       
Foreign currency translation gain (loss)4,510
 (25,885) (2,328) (12,444)
Change in fair value of cash flow hedges, net of tax(4,043) (2,086) (4,745) 1,323
Other comprehensive income (loss)467
 (27,971) (7,073) (11,121)
Comprehensive income (loss)$33,524
 $(7,949) $47,653
 $17,019
 Three Months Ended Nine Months Ended
(in thousands)September 27,
2019
 September 28,
2018
 September 27,
2019
 September 28,
2018
Comprehensive Income       
Net income$30,586
 $114,079
 $85,312
 $142,219
Other comprehensive income:       
Foreign currency translation loss(14,810) (2,809) (17,138) (15,253)
Change in fair value of cash flow hedges, net of tax(1,352) 634
 (6,097) 1,957
Other comprehensive loss, net of tax(16,162) (2,175) (23,235) (13,296)
Comprehensive income, net of tax$14,424
 $111,904
 $62,077
 $128,923
The accompanying notes are an integral part of these condensed consolidated financial statements.


INTEGER HOLDINGS CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited)
Six Months EndedNine Months Ended
(in thousands)June 28,
2019
 June 29,
2018
September 27,
2019
 September 28,
2018
Cash flows from operating activities:      
Net income$54,726
 $28,140
$85,312
 $142,219
Adjustments to reconcile net income to net cash provided by operating activities:      
Depreciation and amortization38,535
 48,591
57,397
 68,447
Debt related charges included in interest expense3,676
 5,083
5,280
 47,173
Stock-based compensation5,433
 6,107
6,894
 7,684
Non-cash (gain) loss on equity investments1,652
 (763)666
 (1,043)
Other non-cash gains(311) (2,307)(1,088) (771)
Deferred income taxes(1,126) 8,894
(1,086) 66,953
Gain on sale of discontinued operations(4,974) 
(4,974) (194,734)
Changes in operating assets and liabilities:      
Accounts receivable(30,545) (11,306)(29,962) (4,805)
Inventories2,846
 (20,948)(8,567) (19,688)
Prepaid expenses and other assets(12,942) 3,306
(10,829) 5,155
Accounts payable16,289
 8,898
17,760
 10,488
Accrued expenses and other liabilities(8,593) (3,929)(8,988) (14,904)
Income taxes payable2,884
 (2,547)4,162
 8,562
Net cash provided by operating activities67,550
 67,219
111,977
 120,736
Cash flows from investing activities:      
Acquisition of property, plant and equipment(15,506) (19,224)(24,704) (33,340)
Proceeds from sale of property, plant and equipment5
 960
5
 1,366
Purchase of equity investments(327) (831)(417) (1,230)
Proceeds from sale of discontinued operations4,734
 
4,734
 582,359
Net cash used in investing activities(11,094) (19,095)
Net cash (used in) provided by investing activities(20,382) 549,155
Cash flows from financing activities:      
Principal payments of long-term debt(80,750) (75,062)(97,125) (670,094)
Proceeds from issuance of long-term debt15,000
 
Proceeds from senior secured revolving line of credit20,000
 
Payments of senior secured revolving line of credit(25,000) 
Proceeds from the exercise of stock options1,600
 3,625
2,654
 11,757
Payment of debt issuance and redemption costs
 (688)
 (31,991)
Tax withholdings related to net share settlements of restricted stock unit awards(2,123) (2,206)(2,961) (2,568)
Other financing activities
 (192)
Net cash used in financing activities(66,273) (74,523)(102,432) (692,896)
Effect of foreign currency exchange rates on cash and cash equivalents170
 2,363
(13) 1,790
Net decrease in cash and cash equivalents(9,647) (24,036)(10,850) (21,215)
Cash and cash equivalents, beginning of period25,569
 44,096
25,569
 44,096
Cash and cash equivalents, end of period$15,922
 $20,060
$14,719
 $22,881
The accompanying notes are an integral part of these condensed consolidated financial statements.


INTEGER HOLDINGS CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY (Unaudited)
Three Months Ended Six Months EndedThree Months Ended Nine Months Ended
(in thousands)June 28,
2019
 June 29,
2018
 June 28,
2019
 June 29,
2018
September 27,
2019
 September 28,
2018
 September 27,
2019
 September 28,
2018
Total equity, beginning balance$1,075,972
 $920,389
 $1,060,493
 $893,381
$1,111,695
 $917,734
 $1,060,493
 $893,381
              
Common stock and additional paid-in capital              
Balance, beginning of period694,943
 673,138
 691,116
 669,788
697,681
 678,188
 691,116
 669,788
Stock awards exercised or vested18
 2,165
 1,132
 2,293
806
 7,912
 1,938
 10,205
Stock-based compensation2,720
 2,885
 5,433
 6,107
1,461
 1,577
 6,894
 7,684
Balance, end of period697,681
 678,188
 697,681
 678,188
699,948
 687,677
 699,948
 687,677
Treasury stock              
Balance, beginning of period(10,026) (5,964) (8,125) (4,654)(10,565) (5,720) (8,125) (4,654)
Treasury shares purchased(782) (21) (2,905) (2,209)(56) (359) (2,961) (2,568)
Treasury shares reissued243
 265
 465
 1,143
248
 411
 713
 1,554
Balance, end of period(10,565) (5,720) (10,565) (5,720)(10,373) (5,668) (10,373) (5,668)
Retained earnings              
Balance, beginning of period365,591
 184,186
 344,498
 176,068
398,648
 204,208
 344,498
 176,068
Adoption of ASC 842 (Note 1)
 
 (576) 

 
 (576) 
Net income33,057
 20,022
 54,726
 28,140
30,586
 114,079
 85,312
 142,219
Balance, end of period398,648
 204,208
 398,648
 204,208
429,234
 318,287
 429,234
 318,287
Accumulated other comprehensive income              
Balance, beginning of period25,464
 69,029
 33,004
 52,179
25,931
 41,058
 33,004
 52,179
Other comprehensive income (loss)467
 (27,971) (7,073) (11,121)
Other comprehensive loss(16,162) (2,175) (23,235) (13,296)
Reclassified to earnings, net
 152
 
 152
Balance, end of period25,931
 41,058
 25,931
 41,058
9,769
 39,035
 9,769
 39,035
Total equity, ending balance$1,111,695
 $917,734
 $1,111,695
 $917,734
$1,128,578
 $1,039,331
 $1,128,578
 $1,039,331
The accompanying notes are an integral part of these condensed consolidated financial statements.



INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)
(1.)     BASIS OF PRESENTATION
Integer Holdings Corporation (together with its consolidated subsidiaries, “Integer” or the “Company”) is a publicly tradedpublicly-traded corporation listed on the New York Stock Exchange under the symbol “ITGR.” Integer is one of the largest medical device outsource manufacturers in the world serving the cardiac, neuromodulation, vascular, orthopedics, advanced surgical and portable medical markets. The Company provides innovative, high-quality medical technologies that enhance the lives of patients worldwide. In addition, it develops batteries for high-end niche applications in the energy, military, and environmental markets. The Company’s reportable segments are: (1) Medical and (2) Non-Medical. The Company’s customers include large multi-national original equipment manufacturers (“OEMs”) and their affiliated subsidiaries.
On May 3, 2018, the Company entered into a definitive agreement to sell the Advanced Surgical and Orthopedic product lines (the “AS&O Product Line”) within its Medical segment to Viant (formerly MedPlast, LLC), and on July 2, 2018 completed the sale.  The results of operations of the AS&O Product Line are reported as discontinued operations in the Condensed Consolidated Statements of Operations for all periods presented. The Condensed Consolidated Statements of Cash Flows includes cash flows related to the discontinued operations due to Integer’s centralized treasury and cash management processes, and, accordingly, cash flow amounts for discontinued operations are disclosed in Note 2 “Discontinued Operations, Divestitures and Divestiture.Acquisitions.” All results and information in the condensed consolidated financial statements are presented as continuing operations and exclude the AS&O Product Line unless otherwise noted specifically as discontinued operations. Refer to Note 2 “Discontinued Operations, Divestitures and Divestiture”Acquisitions” for additional information.
The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America for interim financial information (Accounting Standards Codification (“ASC”) 270, Interim Reporting) and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, these financial statements do not include all of the information necessary for a full presentation of financial position, results of operations, and cash flows in conformity with accounting principles generally accepted in the United States of America (“GAAP”). In the opinion of management, the condensed consolidated financial statements reflect all adjustments (consisting of normal recurring adjustments) considered necessary for a fair presentation of the results of the Company for the periods presented. Intercompany transactions and balances have been fully eliminated in consolidation.
Operating results for interim periods are not necessarily indicative of results that may be expected for the fiscal year as a whole. The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets, liabilities, certain components of equity, sales, expenses, and related disclosures at the date of the financial statements and during the reporting period. Actual results could differ materially from these estimates. For further information, refer to the consolidated financial statements and notes included in the Company’s Annual Report on Form 10-K for the year ended December 28, 2018.
TheHistorically, the Company utilizeshas utilized a fifty-two, fifty-three week52/53-week fiscal year ending on the Friday nearest December 31. The second quarterOn October 9, 2019, the Board of 2019 and 2018 each contained 13 weeks and endedDirectors of Integer approved a change to the Company’s fiscal year from a year ending on June 28 and June 29, respectively. Thethe Friday nearest December 31 to a calendar year ending on December 31. Upon receipt of the customary approval of the lenders under the Company’s 2019senior secured credit facilities, the Company’s current fiscal year will end on December 31, 2019, instead of January 3, 2020, with subsequent fiscal years beginning on January 1 and ending on December 31 of each year. The Company’s first three fiscal quarters in each fiscal year will be a fifty-three week period.continue to end on the Friday nearest March 31, June 30 and September 30, respectively. Fiscal year 2018 ended on December 28, 2018 and was a fifty-two week period.
The third quarter of 2019 and 2018 each contained 13 weeks and ended on September 27 and September 28, respectively, and were not impacted by the change in fiscal year.
Recent Accounting Pronouncements
The Company considers the applicability and impact of all Accounting Standard Updates (“ASU”) issued by the Financial Accounting Standards Board ("FASB"). ASUs not yet adopted that are not listed below were assessed and determined to be either not applicable or are expected to have minimal impact on our consolidated result of operations, financial position and cash flows. With the exception of the accounting pronouncements adopted as discussed below, there have been no new or material changes to the significant accounting policies discussed in the Company’s Annual Report on Form 10-K for the fiscal year ended December 28, 2018, that are of significance, or potential significance, to the Company.

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


(1.)     BASIS OF PRESENTATION (Continued)
Recently Adopted Accounting Guidance
Adoption of ASC Topic 842
Effective December 29, 2018, the Company adopted ASC 842, Leases, which requires the recognition of lease assets and lease liabilities by lessees for those leases classified as operating leases under previous guidance. The Company elected to transition to ASC 842 using the option to not restate comparative periods and apply the standard as of the date of initial application. In addition, certain practical expedients were elected which permit the Company to not reassess whether existing contracts are or contain leases, to not reassess the lease classification of any existing leases, and to not reassess initial direct costs for any existing leases. The Company also elected the practical expedient to not separate lease and non-lease components for all classes of underlying assets and the practical expedient related to land easements, allowing the Company to carry-forward its accounting treatment for land easements on existing agreements. The Company did not elect the practical expedient pertaining to the use of hindsight. The Company also made an accounting policy election to keep leases with an initial term of 12 months or less and no purchase option the Company is reasonably certain to exercise off the balance sheet for all classes of underlying assets.
As a result of the adoption of ASC 842, the Company recognized operating lease right-of-use assets of $40.9 million and lease liabilities of $43.4 million on December 29, 2018. The difference between the lease assets and lease liabilities primarily represents the existing prepaid rent assets, deferred rent liabilities, and tenant improvement allowances, along with a cumulative-effect adjustment to beginning retained earnings. The adoption of ASC 842 did not have a material impact on the Company’s Condensed Consolidated Statement of Operations and Condensed Consolidated Statement of Cash Flows for the periods presented.
Refer to Note 11 “Leases” for additional information on the Company’s leases.
Adoption of ASU 2017-12 and ASU 2018-16
In August 2017, the FASB issued ASU 2017-12, Derivatives and Hedging (Topic 815): Targeted Improvements to Accounting for Hedging Activities. ASU 2017-12 amends the designation and measurement guidance for qualifying hedging transactions and the presentation of hedge results in an entity’s financial statements. The new guidance removes the concept of separately measuring and reporting hedge ineffectiveness and requires a company to present the earnings effect of the hedging instrument, including any ineffectiveness, in the same income statement line item in which the earnings effect of the hedged item is reported.
ASU 2017-12 continues to allow an entity to exclude the time value of options and forward points from the assessment of hedge effectiveness. For excluded components in cash flow hedges, the base recognition model under this ASU is an amortization approach. An entity still may elect to record changes in the fair value of the excluded component currently in earnings; however, such an election will need to be applied consistently to similar hedges. The Company has elected to continue to record changes in the fair value of the excluded components of its derivative instruments currently in earnings given their highly effective nature.
Finally, this ASU continues to require an initial prospective quantitative hedge effectiveness assessment and documentation at hedge inception. However, if certain criteria are met, entities can elect to subsequently perform prospective and retrospective effectiveness assessments qualitatively, unless facts and circumstances change, and the hedge effectiveness assessment generally does not need to be completed until the first quarterly hedge effectiveness assessment date (i.e., up to three months).
The Company adopted ASU 2017-12 on December 29, 2018, the first day of the Company’s 2019 fiscal year, which did not materially affect the Company’s results of operations. The Company adopted the guidance on the modified retrospective basis and did not recognize a cumulative effect adjustment upon adoption as the Company had not recognized ineffectiveness on any of the hedging instruments existing as of the date of adoption. Refer to Note 14 “Financial Instruments and Fair Value Measurements” for additional information and disclosures of the Company’s derivatives and hedging activities.
In October 2018, the FASB issued ASU 2018-16, Derivatives and Hedging (Topic 815): Inclusion of the Secured Overnight Financing Rate (SOFR) Overnight Index Swap (OIS) Rate as a Benchmark Interest Rate for Hedge Accounting Purposes. The amendments in ASU 2018-16 permit the use of the OIS rate based on SOFR as a benchmark interest rate for hedge accounting purposes under Topic 815. The amendments in this update were effective for fiscal years beginning after December 15, 2018. The Company adopted this guidance prospectively as of December 29, 2018, concurrent with the adoption of ASU 2017-12, to be applied on a prospective basis for qualifying new or redesignated hedging relationships entered into on or after the date of adoption. Adoption of this guidance had no impact on the Condensed Consolidated Financial Statements.


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


(1.)BASIS OF PRESENTATION (Continued)
Not Yet Adopted Accounting Guidance
In June 2016, the FASB issued ASU 2016-13, Financial Instruments-Credit Losses (Topic 326): Measurement of Credit Losses on Financial Instruments, which replaces the current incurred loss impairment methodology for most financial assets with the current expected credit loss (“CECL”) methodology. Under the CECL method, the Company will be required to immediately recognize an estimate of credit losses expected to occur over the life of the financial asset at the time financial asset is originated or acquired.  Estimated credit losses are determined by taking into consideration historical loss conditions, current conditions and reasonable and supportable forecasts.  Changes to the expected lifetime credit losses are required to be recognized each period.  The standard will be effective for the Company on January 1, 2020 and will be adopted using a modified retrospective transition method through a cumulative-effect adjustment to retained earnings in the period of adoption.  The Company has initiated implementation efforts and is in the process of accumulating historical, current and forward-looking information to be used in the estimation of credit losses. The Company is assessing the risk characteristics related to trade receivables and contract assets, which are the primary financial assets of the Company that will be within the scope of this guidance.  The adoption of ASU 2016-13 is not expected to have a material impact to on the Condensed Consolidated Financial Statements.
(2.)     DISCONTINUED OPERATIONS, DIVESTITURES AND DIVESTITUREACQUISITIONS
AS&O Divestiture
On May 3, 2018, the Company entered into a definitive agreement to sell its AS&O Product Line to Viant, and on July 2, 2018, completed the sale, collecting cash proceeds of approximately $581 million, which is net of transaction costs and adjustments set forth in the definitive agreement. In connection with the sale, the parties executed a transition services agreement whereby the Company would provide certain corporate services (including accounting, payroll, and information technology services) to Viant for a period of up to one year from the date of the closing to facilitate an orderly transfer of business operations. Viant paid Integer for these services as specified in the transition services agreement, which endedwere complete as of June 28, 2019. Accordingly, there was no income recognized under the transition services agreement during the second quarterthree months ended September 27, 2019. The Company recognized $2.9 million of 2019. Forincome under the transition services agreement for the performance of services during the three and sixnine months ended June 28,September 27, 2019, the Company recognized $1.2 million and $2.9 million, respectively, of income under the transition services agreement. For the six months ended June 28, 2019,which $0.1 million is recorded as a reduction of Cost of sales and $2.8 million is recorded as a reduction of Selling, general and administrative expenses. The Company recognized $1.9 million of income under the transition services agreement for the performance of services during the three and sixnine months ended JuneSeptember 28, 2019, $1.22018, of which $0.1 million is recorded as a reduction of Cost of sales and $2.8$1.8 million respectively, is recorded as a reduction of Selling, general and administrative expenses. In addition, the parties executed long-term supply agreements under which the Company and Viant have agreed to supply the other with certain products at prices specified in the agreements for a term of three years.
In connection with the closing of the transaction but prior to a net working capital adjustment, the Company recognized a pre-tax gain on sale of discontinued operations of $195.0 million during the year ended December 28, 2018. During the quarternine months ended June 28,September 27, 2019, the Company received $4.8 million due to a net working capital adjustment agreed to with Viant. This was recognized as gain on sale from discontinued operations during the quarter ended June 28, 2019.

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


(2.)DISCONTINUED OPERATIONS, DIVESTITURES AND ACQUISITIONS (Continued)
The operating results of the AS&O Product Line have been classified as discontinued operations in the Condensed Consolidated Statements of Operations for all periods presented. The discontinued operations of the AS&O Product Line are reported in the Medical segment. Income (loss) from discontinued operations net of taxes, were as follows (in thousands):
Three Months Ended Six Months EndedThree Months Ended Nine Months Ended
June 28,
2019
 June 29,
2018
 June 28,
2019
 June 29,
2018
September 27,
2019
 September 28,
2018
 September 27,
2019
 September 28,
2018
Sales$
 $88,701
 $
 $178,020
$
 $
 $
 $178,020
Cost of sales
 71,276
 
 148,357

 
 
 148,357
Gross profit
 17,425
 
 29,663

 
 
 29,663
Selling, general and administrative expenses
 4,096
 
 8,905

 
 
 8,905
Research, development and engineering costs
 1,090
 
 2,352

 
 
 2,352
Other operating expenses
 2,497
 
 3,990
Other operating expenses (income)(1)

 (2,185) 
 1,805
Interest expense
 11,007
 
 21,857

 976
 
 22,833
Gain on sale of discontinued operations(4,974) 
 (4,974) 

 (194,734) (4,974) (194,734)
Other (income) loss, net44
 109
 (342) 182

 69
 (342) 251
Income (loss) from discontinued operations
before taxes
4,930
 (1,374) 5,316
 (7,623)
Income from discontinued operations before taxes
 195,874
 5,316
 188,251
Provision for income taxes95
 1,660
 178
 377

 73,492
 178
 73,869
Income (loss) from discontinued operations$4,835
 $(3,034) $5,138
 $(8,000)
Income from discontinued operations$
 $122,382
 $5,138
 $114,382

__________
(1)
The Company recorded $2.2 million of transaction costs in Other operating expenses (income) from discontinued operations during the three months ended June 29, 2018, which were reclassified to the Gain on sale of discontinued operations during the three months ended September 28, 2018.
Cash flow information from discontinued operations was as follows (in thousands):
Six Months EndedNine Months Ended
June 28,
2019
 June 29,
2018
September 27,
2019
 September 28,
2018
Cash used in operating activities$(58) $(5,465)$(58) $(12,388)
Cash provided by (used in) investing activities4,734
 (3,596)4,734
 578,763
  

Depreciation and amortization$
 $7,450

 7,450
Capital expenditures
 3,610

 3,610

Acquisition of Assets from US BioDesign, LLC
On October 7, 2019, the Company acquired certain assets of US BioDesign, LLC, a privately held developer and manufacturer of complex braided biomedical structures for disposable and implantable medical devices. The acquisition adds a differentiated capability related to the complex development and manufacture of braided and formed biomedical structures to the Company’s broad portfolio. The Company paid $15 million in cash and may pay up to an additional $5.5 million of contingent earn out over the next four years based on specified conditions being met. The Company expects to determine the preliminary purchase price allocation prior to the end of the fourth quarter of 2019.

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


(3.)SUPPLEMENTAL CASH FLOW INFORMATION
The following is supplemental information relating to the Condensed Consolidated Statements of Cash Flows, including information related to discontinued operations:
Six Months EndedNine Months Ended
(in thousands)June 28,
2019
 June 29,
2018
September 27,
2019
 September 28,
2018
Noncash investing and financing activities:      
Property, plant and equipment purchases included in accounts payable$2,297
 $3,002
$5,125
 $2,585

Refer to Note 2 “Discontinued Operations, Divestitures and Divestiture”Acquisitions” for additional supplemental cash flow information pertaining to discontinued operations and Note 11 “Leases” for additional supplemental cash flow information pertaining to leases.
(4.)     INVENTORIES
Inventories are comprised of the following (in thousands):
June 28,
2019
 December 28,
2018
September 27,
2019
 December 28,
2018
Raw materials$81,155
 $80,213
$83,171
 $80,213
Work-in-process73,999
 75,711
78,803
 75,711
Finished goods32,000
 34,152
36,003
 34,152
Total$187,154
 $190,076
$197,977
 $190,076


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


(5.)     GOODWILL AND OTHER INTANGIBLE ASSETS, NET
Goodwill
The changes in the carrying amount of goodwill by reportable segment for the sixnine months ended June 28,September 27, 2019 were as follows (in thousands):
Medical Non- Medical TotalMedical Non- Medical Total
December 28, 2018$815,338
 $17,000
 $832,338
$815,338
 $17,000
 $832,338
Foreign currency translation(970) 
 (970)(7,020) 
 (7,020)
June 28, 2019$814,368
 $17,000
 $831,368
September 27, 2019$808,318
 $17,000
 $825,318

Intangible Assets
Intangible assets at June 28,September 27, 2019 and December 28, 2018 were as follows (in thousands):
Gross
Carrying
Amount
 
Accumulated
Amortization
 
Net
Carrying
Amount
Gross
Carrying
Amount
 
Accumulated
Amortization
 
Net
Carrying
Amount
June 28, 2019    
September 27, 2019    
Definite-lived:          
Purchased technology and patents$241,473
 $(131,882) $109,591
$239,905
 $(134,560) $105,345
Customer lists709,344
 (117,759) 591,585
702,723
 (123,617) 579,106
Other3,503
 (3,495) 8
3,503
 (3,498) 5
Total$954,320
 $(253,136) $701,184
$946,131
 $(261,675) $684,456
Indefinite-lived:          
Trademarks and tradenames

   $90,288


   $90,288
          
December 28, 2018    
    
Definite-lived:          
Purchased technology and patents$241,726
 $(125,540) $116,186
$241,726
 $(125,540) $116,186
Customer lists710,406
 (104,556) 605,850
710,406
 (104,556) 605,850
Other3,503
 (3,489) 14
3,503
 (3,489) 14
Total$955,635
 $(233,585) $722,050
$955,635
 $(233,585) $722,050
Indefinite-lived:          
Trademarks and tradenames

   $90,288


   $90,288

Aggregate intangible asset amortization expense is comprised of the following (in thousands):
Three Months Ended Six Months EndedThree Months Ended Nine Months Ended
June 28,
2019
 June 29,
2018
 June 28,
2019
 June 29,
2018
September 27,
2019
 September 28,
2018
 September 27,
2019
 September 28,
2018
Cost of sales$3,195
 $3,673
 $6,457
 $7,389
$3,165
 $3,367
 $9,622
 $10,756
Selling, general and administrative expenses6,636
 6,808
 13,228
 13,706
6,617
 6,490
 19,845
 20,196
Research, development and engineering costs
 38
 
 77

 39
 
 116
Discontinued operations
 350
 
 1,410
Total intangible asset amortization expense$9,831
 $10,869
 $19,685
 $22,582
$9,782
 $9,896
 $29,467
 $31,068

Estimated future intangible asset amortization expense based on the carrying value as of June 28,September 27, 2019 is as follows (in thousands):
 2019 2020 2021 2022 2023 After 2023
Amortization Expense$20,427
 40,449
 39,597
 38,564
 36,721
 525,426
 Remainder of 2019 2020 2021 2022 2023 After 2023
Amortization Expense$10,492
 40,065
 39,219
 38,194
 36,359
 520,127


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


(6.)     DEBT
Long-term debt is comprised of the following (in thousands):
June 28,
2019
 December 28,
2018
September 27,
2019
 December 28,
2018
Senior secured term loan A$285,937
 $304,687
$276,563
 $304,687
Senior secured term loan B580,286
 632,286
563,286
 632,286
Revolving line of credit10,000
 5,000

 5,000
Unamortized discount on term loan B and debt issuance costs(13,285) (16,466)(11,929) (16,466)
Total debt862,938
 925,507
827,920
 925,507
Current portion of long-term debt(37,500) (37,500)(37,500) (37,500)
Total long-term debt$825,438
 $888,007
$790,420
 $888,007

The Company has senior secured credit facilities (the “Senior Secured Credit Facilities”) as of September 27, 2019, consisting of (i) a revolving credit facility (the “Revolving Credit Facility”) with $200 million of borrowing capacity as described below, (ii) a $286$277 million term loan A facility (the “TLA Facility”), and (iii) a $580$563 millionterm loan B facility (the “TLB Facility”). The TLA Facility and TLB Facility are collectively referred to as the “Term Loan Facilities.” The TLB Facility was issued at a 1% discount.
Revolving Credit Facility
The Revolving Credit Facility matures on October 27, 2020. The Revolving Credit Facility includes a $15 million sublimit for swingline loans and a $25 million sublimit for standby letters of credit. The Company is required to pay a commitment fee on the unused portion of the Revolving Credit Facility, which will range between 0.175% and 0.25%, depending on the Company’s Total Net Leverage Ratio (as defined in the Senior Secured Credit Facilities agreement). As of September 27, 2019, the commitment fee on the unused portion of the Revolving Credit Facility was 0.25%. Interest rates on the Revolving Credit Facility, as well as the TLA Facility, are at the Company’s option, either at: (i) the prime rate plus the applicable margin, which will range between 0.75% and 2.25%, based on the Company’s Total Net Leverage Ratio, or (ii) the applicable LIBOR rate plus the applicable margin, which will range between 1.75% and 3.25%, based on the Company’s Total Net Leverage Ratio.
As of June 28,September 27, 2019, the Company had $10 million ofno outstanding borrowings on the Revolving Credit Facility and an available borrowing capacity of $183.2$193.2 million after giving effect to $6.8$6.8 million of outstanding standby letters of credit. As of June 28, 2019, the weighted average interest rate on outstanding borrowings under the Revolving Credit Facility was 4.91%.
Term Loan Facilities
The TLA Facility and TLB Facility mature on October 27, 2021 and October 27, 2022, respectively. Interest rates on the TLB Facility are, at the Company’s option, either at: (i) the prime rate plus 2.00% or (ii) the applicable LIBOR rate plus 3.00%, with LIBOR subject to a 1.00% floor. As of June 28,September 27, 2019, the interest rates on the TLA Facility and TLB Facility were 4.91%4.31% and 5.42%5.05%, respectively.
Covenants
The Revolving Credit Facility and TLA Facility contain covenants requiring (A) a maximum Total Net Leverage Ratio of 5.00:4.75:1.00, subject to periodicquarterly step downs of 25 basis points beginning in the thirdfourth quarter of 2019 and ending in the second quarter of 2020and (B) a minimum interest coverage ratio of adjusted EBITDA (as defined in the Senior Secured Credit Facilities) to interest expense of not less than 3.00:1.00. The TLB Facility does not contain any financial maintenance covenants. As of June 28,September 27, 2019, the Company was in compliance with these financial covenants.
9.125% Senior Notes due 2023
On October 27, 2015, the Company completed a private offering of $360 million aggregate principal amount of 9.125% senior notes due on November 1, 2023 (the “Senior Notes”). On July 10, 2018, the Company completed the redemption in full of the Senior Notes at a redemption price of 100% of the principal amount of the Senior Notes plus the applicable “make-whole” premium of $31.3 million and accrued and unpaid interest through the redemption date. The “make-whole” premium is included in Interest Expense for the three and nine months ended September 28, 2018 in the accompanying Condensed Consolidated Statements of Operations.

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


(6.)     DEBT (Continued)
Contractual maturities under the Senior Secured Credit Facilities for the remainder of 2019 and the next three years (through maturity), excluding any discounts or premiums, as of June 28,September 27, 2019 are as follows (in thousands):
  2019 2020 2021 2022
Future minimum principal payments $18,750
 47,500
 229,687
 580,286
  2019 2020 2021 2022
Future minimum principal payments $9,375
 37,500
 229,688
 563,286

The Company prepaid portions of its TLB Facility during 2019 and 2018. The Company recognized losses from extinguishment of debt during the three and sixnine months ended June 28,September 27, 2019 of $0.6$0.3 million and $1.0$1.3 million, respectively, and $0.4 million and $1.5 million,respectively. The Company recognized losses from extinguishment of debt during the three and sixnine months ended June 29,September 28, 2018 of $9.3 million and $10.8 million, respectively. The loss from extinguishment of debt represents the portion of the unamortized discount and debt issuance costs related to the portion of the TLB Facility that was prepaid and is included in Interest Expense in the accompanying Condensed Consolidated Statements of Operations. The loss from extinguishment of debt for the three and nine months ended September 28, 2018 also includes the unamortized debt issuance costs related to the Senior Notes.

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


(7.)     STOCK-BASED COMPENSATION
The Company maintains certain stock-based compensation plans that were approved by the Company’s stockholders and are administered by the Board of Directors, or the Compensation and Organization Committee of the Board. The stock-based compensation plans provide for the granting of stock options, restricted stock awards (“RSAs”), restricted stock units (“RSUs”), stock appreciation rights and stock bonuses to employees, non-employee directors, consultants, and service providers.
The components and classification of stock-based compensation expense were as follows (in thousands):
Three Months Ended Six Months EndedThree Months Ended Nine Months Ended
June 28,
2019
 June 29,
2018
 June 28,
2019
 June 29,
2018
September 27,
2019
 September 28,
2018
 September 27,
2019
 September 28,
2018
Stock options$102
 $197
 $203
 $511
$101
 $215
 $304
 $726
RSAs and RSUs (time-based)1,545
 1,207
 3,465
 3,169
Performance-based RSUs (“PRSUs”)1,073
 796
 1,765
 1,503
RSAs and RSUs1,360
 1,872
 6,590
 6,544
Stock-based compensation expense - continuing operations2,720
 2,200
 5,433
 5,183
1,461
 2,087
 6,894
 7,270
Discontinued operations
 685
 
 924

 (510) 
 414
Total stock-based compensation expense$2,720
 $2,885
 $5,433
 $6,107
$1,461
 $1,577
 $6,894
 $7,684
              
Cost of sales$281
 $200
 $598
 $376
$168
 $222
 $766
 $598
Selling, general and administrative expenses2,334
 1,968
 4,664
 4,747
1,155
 1,821
 5,819
 6,568
Research, development and engineering costs58
 31
 124
 55
69
 44
 193
 99
Other operating expenses47
 1
 47
 5
69
 
 116
 5
Discontinued operations
 685
 
 924

 (510) 
 414
Total stock-based compensation expense$2,720
 $2,885
 $5,433
 $6,107
$1,461
 $1,577
 $6,894
 $7,684

There were no stock options granted during the sixnine months ended June 28,September 27, 2019. The weighted average fair value and assumptions used to value options granted during the sixnine months ended June 29,September 28, 2018 are as follows:
Weighted average fair value $14.89
Risk-free interest rate 2.21%
Expected volatility 39%
Expected life (in years) 4.0
Expected dividend yield %

The following table summarizes the Company’s stock option activity:
 
Number of
Stock
Options
 
Weighted
Average
Exercise
Price
 
Weighted
Average
Remaining
Contractual
Life
(In Years)
 
Aggregate
Intrinsic
Value
(In Millions)
Outstanding at December 28, 2018522,783
 $31.88
    
Exercised(93,472) 17.12
    
Outstanding at June 28, 2019429,311
 $35.09
 5.5 $21.0
Exercisable at June 28, 2019394,996
 $34.74
 5.3 $19.4



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


(7.)     STOCK-BASED COMPENSATION (Continued)
The following table summarizes the Company’s stock option activity:
 
Number of
Stock
Options
 
Weighted
Average
Exercise
Price
 
Weighted
Average
Remaining
Contractual
Life
(In Years)
 
Aggregate
Intrinsic
Value
(In Millions)
Outstanding at December 28, 2018522,783
 $31.88
    
Exercised(116,904) 22.70
    
Outstanding at September 27, 2019405,879
 $34.52
 5.3 $16.3
Exercisable at September 27, 2019371,564
 $34.10
 5.1 $15.1

During the sixnine months ended June 28,September 27, 2019, the Company awarded grants to members of its Board of Directors and certain members of management. The Board of Directors received grants of time-based RSUs that vest in equal quarterly installments of 25% on the first day of each quarter of the Company’s 2019 fiscal year. The members of management received either time-based RSUs or a mix of time-based RSUs and PRSUs.performance-based RSUs (“PRSUs”). The time-based RSUs vest ratably, subject to the recipient’s continuous service to the Company over a period of generally three to four years from the grant date. For the Company's PRSUs, in addition to service conditions, the ultimate number of shares to be earned depends on the achievement of financial performance or market-based conditions. The financial performance condition is based on the Company's sales targets. The marketmarket-based conditions are based on the Company’s achievement of a relative total shareholder return (“TSR”) performance requirement, on a percentile basis, compared to a defined group of peer companies over three year performance periods.
The Company uses a Monte Carlo simulation model to determine the grant-date fair value of TSR awards.awards with TSR-based performance conditions. The grant-date fair value of all other restricted stock awardsRSAs and RSUs is equal to the closing market price of Integer common stock on the date of grant.
The weighted average fair value and assumptions used to value the TSR portion of the PRSUs granted are as follows:
Six Months EndedNine Months Ended
June 28,
2019
 June 29,
2018
September 27,
2019
 September 28,
2018
Weighted average fair value$117.03
 $37.46
$117.03
 $37.46
Risk-free interest rate2.46% 2.28%2.46% 2.28%
Expected volatility40% 40%40% 40%
Expected life (in years)2.8
 2.9
2.8
 2.9
Expected dividend yield% %% %

The following table summarizes RSA and RSU activity:
 
Time-Vested
Activity
 Weighted Average Fair Value
Nonvested at December 28, 2018142,236
 $49.78
Granted97,296
 83.70
Vested(18,310) 59.66
Forfeited(5,310) 48.57
Nonvested at June 28, 2019215,912
 $64.29
The following table summarizes PRSU activity:
 
Performance-
Vested
Activity
 
Weighted
Average
Fair Value
Nonvested at December 28, 2018287,134
 $36.15
Granted50,492
 101.17
Vested(75,008) 28.41
Forfeited(65,293) 32.68
Nonvested at June 28, 2019197,325
 $56.87

 
Time-Vested
Activity
 Weighted Average Fair Value
Nonvested at December 28, 2018142,236
 $49.78
Granted104,636
 82.96
Vested(24,752) 63.34
Forfeited(16,009) 57.49
Nonvested at September 27, 2019206,111
 $64.40

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


(7.)     STOCK-BASED COMPENSATION (Continued)
The following table summarizes PRSU activity:
 
Performance-
Vested
Activity
 
Weighted
Average
Fair Value
Nonvested at December 28, 2018287,134
 $36.15
Granted50,492
 101.17
Vested(75,008) 28.41
Forfeited(68,153) 34.17
Nonvested at September 27, 2019194,465
 $56.71

(8.)     OTHER OPERATING EXPENSES
Other Operating Expenses is comprised of the following (in thousands):
Three Months Ended Six Months EndedThree Months Ended Nine Months Ended
June 28,
2019
 June 29,
2018
 June 28,
2019
 June 29,
2018
September 27,
2019
 September 28,
2018
 September 27,
2019
 September 28,
2018
Strategic reorganization and alignment$1,656
 $3,727
 $3,390
 $5,781
$962
 $2,643
 $4,352
 $8,424
Manufacturing alignment to support growth561
 1,103
 1,146
 1,616
515
 877
 1,661
 2,493
Consolidation and optimization initiatives
 (14) 
 561

 137
 
 698
Asset dispositions, severance and other891
 (124) 1,462
 518
764
 482
 2,226
 1,000
Other operating expenses - continuing operations3,108
 4,692
 5,998
 8,476
2,241
 4,139
 8,239
 12,615
Discontinued operations(1)
 2,497
 
 3,990

 (2,185) 
 1,805
Total other operating expenses$3,108
 $7,189
 $5,998
 $12,466
$2,241
 $1,954
 $8,239
 $14,420

__________
(1)
The Company recorded $2.2 million of transaction costs in Other operating expenses (income) from discontinued operations during the three months ended June 29, 2018, which were reclassified to the Gain on sale of discontinued operations during the three months ended September 28, 2018.
Strategic Reorganization and Alignment
As a result of the strategic review of its customers, competitors and markets, the Company began taking steps in 2017 to better align its resources in order to enhance the profitability of its portfolio of products. These initiatives include improving its business processes and redirecting investments away from projects where the market does not justify the investment, as well as aligning resources with market conditions and the Company’s future strategic direction. The Company estimates that it will incur aggregate pre-tax charges in connection with the strategic reorganization and alignment plan, including projects reported in discontinued operations, of between approximately $20 million to $22 million, the majority of which an estimated $16 million to $20 million are expected to result inbe cash outlays.expenditures. During the sixnine months ended June 28,September 27, 2019, the Company incurred charges relating to this initiative, which primarily included severance and fees for professional services recorded within the Medical segment. As of June 28,September 27, 2019, total expense incurred for this initiative since inception, including amounts reported in discontinued operations, was $19.9$20.9 million. These actions are expected to be substantially completed by the end of 2019.
Manufacturing Alignment to Support Growth
In 2017, the Company initiated several initiatives designed to reduce costs, increase manufacturing capacity to accommodate growth and improve operating efficiencies.  The plan involves the relocation of certain manufacturing operations and expansion of certain of the Company's facilities. The Company estimates that it will incur aggregate pre-tax restructuring related charges in connection with the realignment plan of between approximately $7$6 million to $9$7 million, the majority of which are expected to be cash expenditures. Costs related to the Company’s manufacturing alignment to support growth initiative were primarily recorded within the Medical segment. As of June 28,September 27, 2019, total expense incurred for this initiative since inception, including amounts reported in discontinued operations, was $4.6$5.1 million. These actions are expected to be substantially completed by the end of 2019.

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


(8.)     OTHER OPERATING EXPENSES (Continued)
Consolidation and Optimization Initiatives
Costs related to the Company’s consolidation and optimization initiatives were primarily recorded within the Medical segment. The Company does not expect to incur any material additional costs associated with these activities.
The following table summarizes the change in accrued liabilities, presented within Accrued Expense and Other Current Liabilities on the Condensed Consolidated Balance Sheets, related to the initiatives described above (in thousands):
Severance and Retention Other TotalSeverance and Retention Other Total
December 28, 2018$1,668
 $202
 $1,870
$1,668
 $202
 $1,870
Restructuring charges1,263
 3,273
 4,536
1,345
 4,668
 6,013
Cash payments(887) (3,469) (4,356)(1,629) (4,863) (6,492)
June 28, 2019$2,044
 $6
 $2,050
September 27, 2019$1,384
 $7
 $1,391

Asset Dispositions, Severance and Other
During the sixnine months ended June 28,September 27, 2019 and June 29,September 28, 2018, the Company recorded expenses related to other initiatives not described above, which relate primarily to integration and operational initiatives to reduce future operating costs and improve operational efficiencies.

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


(9.)     INCOME TAXES
The income tax provision for interim periods is determined using an estimate of the annual effective tax rate, adjusted for discrete items, if any, that are taken into account in the relevant period. Each quarter, the estimate of the annual effective tax rate is updated, and if the estimated effective tax rate changes, a cumulative adjustment is made. There is a potential for volatility of the effective tax rate due to several factors, including discrete items, changes in the mix and amount of pre-tax income and the jurisdictions to which it relates, changes in tax laws and foreign tax holidays, business reorganizations, settlements with taxing authorities and foreign currency fluctuations. In addition, we continuethe Company continues to explore tax planning opportunities that may have a material impact on ourits effective tax rate.
The Company’s effective tax rate for continuing operations for the secondthird quarter of 2019 was 19.0%13.8% on $34.8$35.5 million of income from continuing operations before taxes compared to 27.5%42.6% on $31.8$14.5 million of incomelosses from continuing operations before taxes for the same period in 2018. The Company’s effective tax rate for continuing operations for the first sixnine months ofended September 27, 2019 was 17.3%16.0% on $60.0$95.5 million of income from continuing operations before taxes compared to 28.1%22.2% on $50.3$35.8 million of income from continuing operations before taxes for the same period of 2018. The difference between the Company’s effective tax rates and the U.S. federal statutory income tax rate of 21% for the secondthird quarter of 2019 and first sixnine months ofended September 27, 2019 is primarily attributable to discrete tax benefits of $0.4$2.3 million and $2.1$4.4 million, respectively, as well as the estimated net impact of the Global Intangible Low-Taxed Income tax, the Company’s earnings outside the U.S., which are generally taxed at rates that differ from the U.S federal rate, and the availability of certain tax credits. The discrete tax benefits for 2019 are predominately related to excess tax benefits recognized upon vesting of RSUs or exercise of stock options.options, favorable return to provision adjustments related to the 2018 tax year, and the release of certain reserves for unrecognized tax benefits.
As of JuneSeptember 27, 2019 and December 28, 2019,2018, the balance ofCompany had unrecognized tax benefits from continuing operations isof approximately $4.2 million and $5.4 million.million, respectively. During the third quarter of 2019, the Company obtained information that impacted its judgment regarding the sustainability of certain tax deductions taken in prior years. As a result, the Company released $1.2 million of unrecognized tax benefits as a discrete item during the third quarter of 2019. It is reasonably possible that a reduction of up to $0.9$0.6 million of the balance of unrecognized tax benefits may occur within the next twelve months as a result of potential audit settlements. ApproximatelyAs of September 27, 2019 and December 28, 2018, approximately $4.1 million and $5.3 million, respectively, of the balance of unrecognized tax benefits would favorably impact the effective tax rate, net of federal benefit on state issues, if recognized.

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


(10.)     COMMITMENTS AND CONTINGENCIES
Litigation
The Company is subject to litigation arising from time to time in the ordinary course of its business. The Company does not expect that the ultimate resolution of any pending legal actions will have a material effect on its consolidated results of operations, financial position, or cash flows. However, litigation is subject to inherent uncertainties. As such, there can be no assurance that any pending legal action, which the Company currently believes to be immaterial, will not become material in the future.
In April 2013, the Company commenced an action against AVX Corporation and AVX Filters Corporation (collectively “AVX”) alleging that AVX had infringed on the Company’s patents by manufacturing and selling filtered feedthrough assemblies used in implantable pacemakers and cardioverter defibrillators that incorporate the Company’s patented technology. Two juries in the U.S. District Court for the District of Delaware have returned verdicts finding that AVX infringed on three3 of the Company’s patents and awarded the Company $37.5 million in damages. In March 2018, the U.S. District Court for the District of Delaware vacated the original damage award and ordered a retrial on damages. In the January 2019 retrial on damages, the jury awarded the Company $22.2 million in damages. That award is subject to post-trial proceedings. On July 31, 2019, the U. S.U.S. District Court for the District of Delaware entered an order in the AVX litigation denying AVX’s post-trial motion to overturn the jury verdict in favor of the Company. On August 23, 2019, AVX filed its notice of appeal with the United States Court of Appeals for the Federal Circuit. On September 5, 2019, the Company filed its notice of cross-appeal with the United States Court of Appeals for the Federal Circuit. To date, the Company has recorded no0 gains in connection with this litigation.

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


(10.)     COMMITMENTS AND CONTINGENCIES (Continued)
Product Warranties
The Company generally warrants that its products will meet customer specifications and will be free from defects in materials and workmanship. The Company does not expect future product warranty claims will have a material effect on its condensed consolidated results of operations, financial position, or cash flows. However, there can be no assurance that any future customer complaints or negative regulatory actions regarding the Company’s products, which the Company currently believes to be immaterial, does not become material in the future. The product warranty liability is presented within Accrued Expense and Other Current Liabilities on the Condensed Consolidated Balance Sheets. The change in product warranty liability was comprised of the following (in thousands):
December 28, 2018$2,600
$2,600
Additions to warranty reserve195
441
Adjustments to pre-existing warranties(635)(988)
Warranty claims settled(465)(1,221)
June 28, 2019$1,695
September 27, 2019$832


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


(11.)     LEASES
The Company primarily leases certain office and manufacturing facilities under operating leases, with additional operating leases for machinery, office equipment and vehicles.  An arrangement is considered to contain a lease if it conveys the right to use an identified asset for a period of time in exchange for consideration.  If it is determined that an arrangement contains a lease, classification of a lease as operating or finance is determined by evaluating the five criteria outlined within ASC 842 at inception. The Company does not currently have any finance leases. The Company’s lease agreements do not contain any residual value guarantees or any material restrictive covenants.
Right-of-use (“ROU”) lease assets represent the Company’s right to use an underlying asset for the lease term and lease liabilities represent the Company’s obligation to make payments in exchange for that right of use.  Operating lease ROU assets are presented as Operating Lease Assets, the current portion of operating lease liabilities are presented within Accrued Expense and Other Current Liabilities, and the non-current portion of operating lease liabilities are presented as Operating Lease Liabilities on the Condensed Consolidated Balance Sheets. The current portion of operating lease liabilities was $7.3 million as of June 28,September 27, 2019. Leases with a term of 12 months or less are not recorded on the balance sheet.
The Company’s real estate leases often contain options to renew, and less frequently, termination options. The exercise of such renewal and termination options are generally at the Company’s sole discretion.  The Company evaluates renewal and termination options at lease commencement to determine if such options are reasonably certain to be exercised based on economic factors.
For certain leases where rent escalates based upon a change in a financial index, such as the Consumer Price Index, the difference between the rate at lease inception and the subsequent fluctuations in that rate are included in variable lease costs.  Additionally, because the Company has elected to not separate lease and non-lease components, variable costs also include payments to the landlord for common area maintenance, real estate taxes, insurance and other operating expenses.  Lease expense is recognized on a straight-line basis over the lease term, with variable lease payments recognized in the period those payments are incurred.
The discount rate implicit within ourthe Company’s leases is not readily determinable, and therefore, the Company uses its estimated incremental borrowing rate in determining the present value of lease payments.  The incremental borrowing rate is determined based on the Company’s recent debt issuances, lease term and the currency in which lease payments are made.
The following table presents the weighted average remaining lease term and discount rate:
 June 28,September 27,
2019
Weighted-average remaining lease term of operating leases (in years)7.77.6
Weighted-average discount rate of operating leases5.5%

The components and classification of lease cost are as follows (in thousands):
 Three Months Ended September 27, 2019 Nine Months Ended September 27, 2019
Operating lease cost$2,470
 $7,361
Short-term lease cost (leases with initial term of 12 months or less)12
 46
Variable lease cost638
 1,845
Sublease income(475) (1,420)
Total lease cost$2,645
 $7,832
    
Cost of sales$2,220
 $6,562
Selling, general and administrative expenses285
 837
Research, development and engineering costs138
 416
Other operating expenses2
 17
Total lease cost$2,645
 $7,832



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


(11.)     LEASES (Continued)
The components and classification of lease cost are as follows (in thousands):
 
Three Months Ended
June 28, 2019
 
Six Months Ended
June 28, 2019
Operating lease cost$2,442
 $4,891
Short-term lease cost (leases with initial term of 12 months or less)17
 34
Variable lease cost652
 1,207
Sublease income(478) (945)
Total lease cost$2,633
 $5,187
    
Cost of sales$2,190
 $4,342
Selling, general and administrative expenses297
 552
Research, development and engineering costs139
 278
Other operating expenses7
 15
Total lease cost$2,633
 $5,187

The Company’s sublease income is derived primarily from certain real estate leases to several non-affiliated tenants under operating sublease arrangements.
At June 28,September 27, 2019, the maturities of operating lease liabilities were as follows (in thousands):
Remainder of 2019$5,178
$2,519
20209,268
9,454
20218,964
9,132
20226,865
7,055
20236,119
6,274
20245,600
5,752
Thereafter16,399
16,615
Total lease payments58,393
56,801
Less imputed interest(11,273)(10,852)
Total$47,120
$45,949

As of June 28,September 27, 2019, the Company did not have any leases that have not yet commenced.
Supplemental cash flow information related to leases for the sixnine months ended June 28,September 27, 2019 is as follows (in thousands):
Cash paid for amounts included in the measurement of operating lease liabilities$5,107
$7,713
ROU assets obtained in exchange for new operating lease liabilities7,249
8,215

During the threenine months ended June 28,September 27, 2019, the Company extended the lease terms of threefor four of its manufacturing facilities. As a result of these lease modifications, the Company re-measured the lease liability and adjusted the ROU asset on the modification dates.
The Company’s future minimum lease commitments, net of sublease income, as of December 28, 2018, under ASC 840, the predecessor to ASC 842, are as follows (in thousands):
 2019 2020 2021 2022 2023 After 2023
Future minimum lease payments$8,562
 7,290
 7,348
 5,269
 5,112
 14,589


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


(12.)     EARNINGS (LOSS) PER SHARE (“EPS”)
The following table sets forth a reconciliation of the information used in computing basic and diluted EPS (in thousands, except per share amounts):
Three Months Ended Six Months EndedThree Months Ended Nine Months Ended
June 28,
2019
 June 29,
2018
 June 28,
2019
 June 29,
2018
September 27,
2019
 September 28,
2018
 September 27,
2019
 September 28,
2018
Numerator for basic and diluted EPS:              
Income from continuing operations$28,222
 $23,056
 $49,588
 $36,140
Income (loss) from discontinued operations4,835
 (3,034) 5,138
 (8,000)
Income (loss) from continuing operations$30,586
 $(8,303) $80,174
 $27,837
Income from discontinued operations
 122,382
 5,138
 114,382
Net income$33,057
 $20,022
 $54,726
 $28,140
$30,586
 $114,079
 $85,312
 $142,219
              
Denominator for basic and diluted EPS:              
Weighted average shares outstanding - Basic32,621
 32,038
 32,579
 31,970
32,660
 32,211
 32,606
 32,050
Dilutive effect of assumed exercise of stock options, restricted stock and RSUs388
 682
 416
 602
Dilutive effect of share-based awards408
 
 413
 401
Weighted average shares outstanding - Diluted33,009
 32,720
 32,995
 32,572
33,068
 32,211
 33,019
 32,451
              
Basic earnings (loss) per share:              
Income from continuing operations$0.87
 $0.72
 $1.52
 $1.13
Income (loss) from discontinued operations0.15
 (0.09) 0.16
 (0.25)
Income (loss) from continuing operations$0.94
 $(0.26) $2.46
 $0.87
Income from discontinued operations
 3.80
 0.16
 3.57
Basic earnings per share1.01
 0.62
 1.68
 0.88
0.94
 3.54
 2.62
 4.44
              
Diluted earnings (loss) per share:              
Income from continuing operations$0.85
 $0.70
 $1.50
 $1.11
Income (loss) from discontinued operations0.15
 (0.09) 0.16
 (0.25)
Income (loss) from continuing operations$0.92
 $(0.26) $2.43
 $0.86
Income from discontinued operations
 3.80
 0.16
 3.52
Diluted earnings per share1.00
 0.61
 1.66
 0.86
0.92
 3.54
 2.58
 4.38

The diluted weighted average share calculations do not include the following securities, which are not dilutive to the EPS calculations or the performance criteria have not been met (in thousands):
Three Months Ended Six Months EndedThree Months Ended Nine Months Ended
June 28,
2019
 June 29,
2018
 June 28,
2019
 June 29,
2018
September 27,
2019
 September 28,
2018
 September 27,
2019
 September 28,
2018
Time-vested stock options, restricted stock and RSUs53
 
 56
 50
Time-vested stock options, RSAs and RSUs
 797
 29
 436
Performance-vested restricted stock and PRSUs48
 92
 47
 122
50
 303
 48
 220


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


(13.)     STOCKHOLDERS’ EQUITY
The following is a summary of the number of shares of common stock issued, treasury stock and common stock outstanding for the sixnine month periods ended June 28,September 27, 2019 and June 29,September 28, 2018:
Six months ended June 28, 2019 Six months ended June 29, 2018Nine Months Ended September 27, 2019 Nine Months Ended September 28, 2018
Issued Treasury Stock Outstanding Issued Treasury Stock OutstandingIssued Treasury Stock Outstanding Issued Treasury Stock Outstanding
Balance, beginning of period32,624,494
 (151,327) 32,473,167
 31,977,953
 (106,526) 31,871,427
32,624,494
 (151,327) 32,473,167
 31,977,953
 (106,526) 31,871,427
Stock options exercised93,472
 
 93,472
 108,305
 
 108,305
116,904
 
 116,904
 381,793
 
 381,793
RSAs issued, net of forfeitures(2,354) 
 (2,354) (2,354) 20,092
 17,738
Vesting of RSUs30,895
 (3,683) 27,212
 7,113
 2,766
 9,879
Vesting of PSUs70,115
 (20,998) 49,117
 127,191
 (38,103) 89,088
RSAs issued, net of forfeitures,
and vesting of RSUs
99,785
 (21,229) 78,556
 141,963
 (12,496) 129,467
Balance, end of period32,816,622
 (176,008) 32,640,614
 32,218,208
 (121,771) 32,096,437
32,841,183
 (172,556) 32,668,627
 32,501,709
 (119,022) 32,382,687


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


(13.)     STOCKHOLDERS’ EQUITY (Continued)
Accumulated Other Comprehensive Income (“AOCI”) is comprised of the following (in thousands):
Defined
Benefit
Plan
Liability
 
Cash
Flow
Hedges
 
Foreign
Currency
Translation
Adjustment
 
Total
Pre-Tax
Amount
 Tax 
Net-of-Tax
Amount
Defined
Benefit
Plan
Liability
 
Cash
Flow
Hedges
 
Foreign
Currency
Translation
Adjustment
 
Total
Pre-Tax
Amount
 Tax 
Net-of-Tax
Amount
March 29, 2019$(295) $2,551
 $23,701
 $25,957
 $(493) $25,464
June 28, 2019$(295) $(2,567) $28,211
 $25,349
 $582
 $25,931
Unrealized loss on cash flow hedges
 (4,415) 
 (4,415) 927
 (3,488)
 (1,459) 
 (1,459) 307
 (1,152)
Realized loss on foreign currency hedges
 11
 
 11
 (2) 9

 191
 
 191
 (40) 151
Realized gain on interest rate swap hedge
 (714) 
 (714) 150
 (564)
 (444) 
 (444) 93
 (351)
Foreign currency translation gain
 
 4,510
 4,510
 
 4,510
June 28, 2019$(295) $(2,567) $28,211
 $25,349
 $582
 $25,931
Foreign currency translation loss
 
 (14,810) (14,810) 
 (14,810)
September 27, 2019$(295) $(4,279) $13,401
 $8,827
 $942
 $9,769
                      
December 28, 2018$(295) $3,439
 $30,539
 $33,683
 $(679) $33,004
$(295) $3,439
 $30,539
 $33,683
 $(679) $33,004
Unrealized loss on cash flow hedges
 (4,569) 
 (4,569) 959
 (3,610)
 (6,028) 
 (6,028) 1,266
 (4,762)
Realized gain on foreign currency hedges
 (34) 
 (34) 7
 (27)
Realized loss on foreign currency hedges
 157
 
 157
 (33) 124
Realized gain on interest rate swap hedges
 (1,403) 
 (1,403) 295
 (1,108)
 (1,847) 
 (1,847) 388
 (1,459)
Foreign currency translation loss
 
 (2,328) (2,328) 
 (2,328)
 
 (17,138) (17,138) 
 (17,138)
June 28, 2019$(295) $(2,567) $28,211
 $25,349
 $582
 $25,931
September 27, 2019$(295) $(4,279) $13,401
 $8,827
 $942
 $9,769
March 30, 2018$(1,422) $7,733
 $63,641
 $69,952
 $(923) $69,029
Unrealized loss on cash flow hedges
 (2,223) 
 (2,223) 467
 (1,756)
June 29, 2018$(1,422) $5,094
 $37,756
 $41,428
 $(370) $41,058
Unrealized gain on cash flow hedges
 1,424
 
 1,424
 (299) 1,125
Realized gain on foreign currency hedges
 (18) 
 (18) 3
 (15)
 (141) 
 (141) 30
 (111)
Realized gain on interest rate swap hedges
 (398) 
 (398) 83
 (315)
 (482) 
 (482) 102
 (380)
Foreign currency translation loss
 
 (25,885) (25,885) 
 (25,885)
 
 (2,809) (2,809) 
 (2,809)
June 29, 2018$(1,422) $5,094
 $37,756
 $41,428
 $(370) $41,058
Reclassifications to earnings(1)
948
 
 (514) 434
 (282) 152
September 28, 2018$(474) $5,895
 $34,433
 $39,854
 $(819) $39,035
                      
December 29, 2017$(1,422) $3,418
 $50,200
 $52,196
 $(17) $52,179
$(1,422) $3,418
 $50,200
 $52,196
 $(17) $52,179
Unrealized gain on cash flow hedges
 2,901
 
 2,901
 (609) 2,292

 4,325
 
 4,325
 (908) 3,417
Realized gain on foreign currency hedges
 (593) 
 (593) 124
 (469)
 (734) 
 (734) 154
 (580)
Realized gain on interest rate swap hedge
 (632) 
 (632) 132
 (500)
 (1,114) 
 (1,114) 234
 (880)
Foreign currency translation loss
 
 (12,444) (12,444) 
 (12,444)
 
 (15,253) (15,253) 
 (15,253)
June 29, 2018$(1,422) $5,094
 $37,756
 $41,428
 $(370) $41,058
Reclassifications to earnings(1)
948
 
 (514) 434
 (282) 152
September 28, 2018$(474) $5,895
 $34,433
 $39,854
 $(819) $39,035

__________
(1)
Accumulated foreign currency translation losses of $0.5 million and defined benefit plan liabilities of $0.7 million (net of income taxes of $0.3 million) were reclassified to earnings during the three months ended September 28, 2018 as a result of the divestiture of the AS&O Product Line and are included in “Gain on sale of discontinued operations, net of tax” in the Condensed Consolidated Statements of Operations.

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


(14.)     FINANCIAL INSTRUMENTS AND FAIR VALUE MEASUREMENTS
Assets and Liabilities Measured at Fair Value on a Recurring Basis
Fair value measurement standards apply to certain financial assets and liabilities that are measured at fair value on a recurring basis (each reporting period). For the Company, these financial assets and liabilities include its derivative instruments. The Company does not have any nonfinancial assets or liabilities that are measured at fair value on a recurring basis.
The Company is exposed to global market risks, including the effect of changes in interest rates and foreign currency exchange rates, and uses derivatives to manage these exposures that occur in the normal course of business. The Company does not hold or issue derivatives for trading or speculative purposes. All derivatives are recorded at fair value on the balance sheet.
Interest Rate Swaps
The Company periodically enters into interest rate swap agreements in order to reduce the cash flow risk caused by interest rate changes on its outstanding floating rate borrowings. Under these swap agreements, the Company pays a fixed rate of interest and receives a floating rate equal to one-month London Interbank Offered Rate (“LIBOR”). The variable rate received from the swap agreements and the variable rate paid on the outstanding debt will have the same rate of interest, excluding the credit spread, and will reset and pay interest on the same date. The Company has designated these swap agreements as cash flow hedges based on concluding the hedged forecasted transaction is probable of occurring within the period the cash flow hedge is anticipated to affect earnings. The unrealized gains and losses on these contracts are reported in AOCI in the Condensed Consolidated Balance Sheets and are subsequently reclassified into earnings when interest on the related debt is accrued.
The fair value of the Company’s swap agreements are determined through the use of a cash flow model that utilizes observable market data inputs. These observable market data inputs include LIBOR, swap rates, and credit spread curves. In addition, the Company receives a fair value estimate from the swap agreement counterparty to verify the reasonableness of the Company’s estimate. The estimated fair value of the swap agreements represents the amount the Company would receive (pay) to terminate the contracts.
Information regarding the Company’s outstanding interest rate swaps designated as cash flow hedges as of June 28,September 27, 2019 is as follows (dollars in thousands):
Notional AmountNotional Amount Start Date 
End
Date
 Pay Fixed Rate Receive Current Floating Rate Fair Value Balance Sheet LocationNotional Amount Start Date 
End
Date
 Pay Fixed Rate Receive Current Floating Rate Fair Value Balance Sheet Location
$200,000
 Jun 2017 Jun 2020 1.1325% 2.4041% $1,448
 Accrued expenses and other current liabilities200,000
 Jun 2017 Jun 2020 1.1325% 2.0536% $883
 Accrued expenses and other current liabilities
75,00075,000
 Jul 2019 Jul 2020 1.8900
 2.0536
 (90) Accrued expenses and other current liabilities
400,000400,000
 Apr 2019 Apr 2020 2.4150
 2.0421
 (1,306) Accrued expenses and other current liabilities
200,000200,000
 Jun 2020 Jun 2023 2.1785
 
(a) 
 (2,794) Other long-term liabilities200,000
 Jun 2020 Jun 2023 2.1785
 
(a) 
 (3,753) Other long-term liabilities
400,000
 Apr 2019 Apr 2020 2.4150
 2.4185
 (1,485) Accrued expenses and other current liabilities
__________ 
(a) The interest rate swap is not in effect until June 2020.
As of December 28, 2018, the Company had outstanding an interest rate swap with a notional amount of $200 million. The fair value as of December 28, 2018 was $4.2 million and was included in Other assets in the Condensed Consolidated Balance Sheets.
Foreign Currency Contracts
The Company periodically enters into foreign currency forward contracts to hedge its exposure to foreign currency exchange rate fluctuations in its international operations. The Company has designated these foreign currency forward contracts as cash flow hedges. The unrealized gains and losses on these contracts are reported in AOCI in the Condensed Consolidated Balance Sheets and are reclassified to earnings in the same periods during which the hedged transactions affect earnings.
Information regarding outstanding foreign currency forward contracts designated as cash flow hedges as of June 28, 2019 is as follows (dollars in thousands):
Notional Amount 
Start
Date
 
End
Date
 $/Foreign Currency Fair Value Balance Sheet Location
$11,337
 Jul 2019 Sep 2019 1.1628 Euro $(195) Prepaid expenses and other current assets
10,499
 Jul 2019 Dec 2019 0.0500 Peso 254
 Prepaid expenses and other current assets
12,085
 Jul 2019 Dec 2019 0.0504 Peso 205
 Prepaid expenses and other current assets


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


(14.)     FINANCIAL INSTRUMENTS AND FAIR VALUE MEASUREMENTS (Continued)
Information regarding outstanding foreign currency forward contracts designated as cash flow hedges as of September 27, 2019 is as follows (dollars in thousands):
Notional Amount 
Start
Date
 
End
Date
 $/Foreign Currency Fair Value Balance Sheet Location
$5,249
 Jul 2019 Dec 2019 0.0500 Peso $26
 Accrued expenses and other current liabilities
6,042
 Jul 2019 Dec 2019 0.0504 Peso (12) Accrued expenses and other current liabilities
8,339
 Oct 2019 Dec 2019 1.1119 Euro (95) Accrued expenses and other current liabilities
11,166
 Jan 2020 Jun 2020 0.0490 Peso 68
 Accrued expenses and other current liabilities

Information regarding outstanding foreign currency contracts designated as cash flow hedges as of December 28, 2018 is as follows (dollars in thousands):
Notional
Amount
 
Start
Date
 
End
Date
 $/Foreign Currency 
Fair
Value
 Balance Sheet Location
$12,621
 Jan 2019 Jun 2019 1.1686
Euro $(149) Accrued Expenses
10,991
 Jan 2019 Jun 2019 0.0523
Peso (494) Accrued Expenses
10,535
 Jan 2019 Jun 2019 1.1705
Euro (141) Accrued Expenses
11,019
 Jan 2019 Jun 2019 0.0483
Peso (316) Accrued Expenses
10,499
 Jul 2019 Dec 2019 0.0500
Peso 368
 Accrued Expenses

The fair value of foreign currency contracts are determined through the use of cash flow models that utilize observable market data inputs to estimate fair value. These observable market data inputs include foreign exchange rates and credit spread curves. In addition, the Company receives fair value estimates from the foreign currency contract counterparties to verify the reasonableness of the Company’s estimates.
Derivative Instruments with Hedge Accounting Designation
The following tables present the fair values of derivative instruments formally designated as hedging instruments as of June 28,September 27, 2019 and December 28, 2018 (in thousands).
 Fair Value Fair Value
 Fair Value Hierarchy Assets Liabilities Fair Value Hierarchy Assets Liabilities
June 28, 2019    
September 27, 2019    
Interest rate swaps Level 2 $
 $2,831
 Level 2 $
 $4,266
Foreign currency contracts Level 2 264
 
 Level 2 
 13
        
December 28, 2018        
Interest rate swaps Level 2 $4,171
 $
 Level 2 $4,171
 $
Foreign currency contracts Level 2 
 732
 Level 2 
 732


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


(14.)     FINANCIAL INSTRUMENTS AND FAIR VALUE MEASUREMENTS (Continued)
The following tables present the amounts in the Condensed Consolidated Statements of Operations in which the effects of cash flow hedges are recorded and the effects of cash flow hedge activity on these line items for the three and sixnine months ended June 28,September 27, 2019 and June 29,September 28, 2018 (in thousands):
 Three Months Ended Three Months Ended
 June 28, 2019 June 29, 2018 September 27, 2019
September 28, 2018
 Total Amount of Gain (Loss) on Cash Flow Hedge Activity Total Amount of Gain (Loss) on Cash Flow Hedge Activity Total Amount of Gain (Loss) on Cash Flow Hedge Activity Total Amount of Gain (Loss) on Cash Flow Hedge Activity
Sales $314,194
 $(473) $314,464
 $(141) $303,587
 $(500) $305,088
 $(252)
Cost of sales 217,210
 462
 215,699
 159
 210,201
 309
 213,165
 393
Interest expense 13,612
 714
 15,234
 398
 12,337
 444
 54,526
 482

 Six Months Ended Nine Months Ended
 June 28, 2019 June 29, 2018 September 27, 2019 September 28, 2018
 Total Amount of Gain (Loss) on Cash Flow Hedge Activity Total Amount of Gain (Loss) on Cash Flow Hedge Activity Total Amount of Gain (Loss) on Cash Flow Hedge Activity Total Amount of Gain (Loss) on Cash Flow Hedge Activity
Sales $628,870
 $(794) $606,890
 $(2) $932,457
 $(1,294) $911,978
 $(254)
Cost of sales 443,276
 828
 424,593
 595
 653,477
 1,137
 637,758
 988
Interest expense 27,442
 1,403
 30,829
 632
 39,779
 1,847
 85,355
 1,114
The following tables present the amounts affecting the Condensed Consolidated Statements of Operations for the three and nine months ended September 27, 2019 and September 28, 2018 (in thousands):
  
Amount of Gain (Loss)
Recognized in Other
Comprehensive Income (Loss) on Derivatives
 
Amount of Gain (Loss) Reclassified from
AOCI into Earnings
  Three months ended, 
Location of Gain (Loss)
Reclassified from AOCI into Earnings
 Three months ended,
  September 27,
2019
 September 28,
2018
  September 27,
2019
 September 28,
2018
Interest rate swap $(991) $415
 Interest expense $444
 $482
Foreign exchange forwards (400) 384
 Sales (500) (252)
Foreign exchange forwards (68) 625
 Cost of sales 309
 393
           
  Nine Months Ended 
Location of Gain (Loss)
Reclassified from AOCI into Earnings
 Nine Months Ended
  September 27,
2019
 September 28,
2018
  September 27,
2019
 September 28,
2018
Interest rate swap $(6,590) $2,524
 Interest expense $1,847
 $1,114
Foreign exchange forwards (1,099) (92) Sales (1,294) (254)
Foreign exchange forwards 1,661
 1,893
 Cost of sales 1,137
 988

The Company expects to reclassify net losses totaling $0.5 million related to its cash flow hedges from AOCI into earnings during the next twelve months.

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


(14.)     FINANCIAL INSTRUMENTS AND FAIR VALUE MEASUREMENTS (Continued)
The following tables present the amounts affecting the Condensed Consolidated Statements of Operations for the three and six months ended June 28, 2019 and June 29, 2018 (in thousands):
  
Amount of Gain (Loss)
Recognized in Other
Comprehensive Income (Loss) on Derivatives
 
Amount of Gain (Loss) Reclassified from
AOCI into Earnings
  Three months ended, 
Location of Gain (Loss)
Reclassified from AOCI into Earnings
 Three months ended,
  June 28,
2019
 June 29,
2018
  June 28,
2019
 June 29,
2018
Interest rate swap $(5,151) $610
 Interest expense $714
 $398
Foreign exchange forwards 1
 (1,114) Sales (473) (141)
Foreign exchange forwards 735
 (1,719) Cost of sales 462
 159
           
  Six months ended, 
Location of Gain (Loss)
Reclassified from AOCI into Earnings
 Six months ended,
  June 28,
2019
 June 29,
2018
  June 28,
2019
 June 29,
2018
Interest rate swap $(5,599) $2,109
 Interest expense $1,403
 $632
Foreign exchange forwards (699) (476) Sales (794) (2)
Foreign exchange forwards 1,729
 1,268
 Cost of sales 828
 595

The Company expects to reclassify net gains totaling $0.2 million related to its cash flow hedges from AOCI into earnings during the next twelve months.
Assets and Liabilities Measured at Fair Value on a Nonrecurring Basis
Fair value standards also apply to certain assets and liabilities that are measured at fair value on a nonrecurring basis. The carrying amounts of cash, accounts receivable, accounts payable, and accrued expenses approximate fair value because of the short-term nature of these items.
Borrowings under the Company’s Revolving Credit Facility, TLA Facility and TLB Facility accrue interest at a floating rate tied to a standard short-term borrowing index, selected at the Company’s option, plus an applicable margin. The carrying amount of this floating rate debt approximates fair value based upon the respective interest rates adjusting with market rate adjustments.
Equity Investments
The Company holds long-term, strategic investments in companies to promote business and strategic objectives. These investments are included in Other Long-Term Assets on the Condensed Consolidated Balance Sheets. Non-marketable equity securities are equity securities without readily determinable fair value. The Company has elected the practicability exception to use an alternative approach that measures the securities at cost minus impairment, if any, plus or minus changes resulting from qualifying observable price changes. If an impairment is recognized on the Company’s non-marketable equity securities during the period, these assets are classified as Level 3 within the fair value hierarchy based on the nature of the fair value inputs.
Equity investments are comprised of the following (in thousands):
     June 28,
2019
 December 28,
2018
Equity method investment    $14,910
 $15,148
Non-marketable equity securities    6,092
 7,667
Total equity investments    $21,002
 $22,815

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


(14.)     FINANCIAL INSTRUMENTS AND FAIR VALUE MEASUREMENTS (Continued)
     September 27,
2019
 December 28,
2018
Equity method investment    $15,977
 $15,148
Non-marketable equity securities    6,092
 7,667
Total equity investments    $22,069
 $22,815
The components of (Gain) Loss on Equity Investments, Net for each period were as follows (in thousands):
Three Months Ended Six Months EndedThree Months Ended Nine Months Ended
June 28,
2019
 June 29,
2018
 June 28,
2019
 June 29,
2018
September 27,
2019
 September 28,
2018
 September 27,
2019
 September 28,
2018
Equity method investment (income) loss$36
 $(284) 77
 (5,254)
Equity method investment income$(986) $(291) $(909) $(5,545)
Impairment charges1,575
 
 1,575
 

 
 1,575
 
Observable price adjustments on non-marketable
equity securities

 
 
 

 
 
 
Total (gain) loss on equity investments, net$1,611
 $(284) $1,652
 $(5,254)$(986) $(291) $666
 $(5,545)

In May 2019, the Company determined that an investment in one of its non-marketable equity securities was impaired and determined the fair value to be zero based upon available market information. An impairment charge of $1.6 million was recognized during the second quarter of 2019. This assessment was based on qualitative indications of impairment. Factors that significantly influenced the determination of the impairment loss included the equity security’s investee’s financial condition, priority claims to the equity security, distributions rights and preferences, and status of the regulatory approval required to bring its product to market.
The Company’s equity method investment is in a Chinese venture capital fund focused on investing in life sciences companies. As of June 28,September 27, 2019, the Company owned 6.7% of this fund.

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


(15.)     SEGMENT INFORMATION
The Company organizes its business into two2 reportable segments: (1) Medical and (2) Non-Medical. This segment structure reflects the financial information and reports used by the Company’s management, specifically its Chief Operating Decision Maker, to make decisions regarding the Company’s business, including resource allocations and performance assessments. This segment structure reflects the Company’s current operating focus in compliance with ASC 280, Segment Reporting. There were noFor purposes of segment reporting, intercompany sales between segments during the six months ended June 28, 2019 and June 29, 2018.are not material.
The following table presents sales from continuing operations by product line (in thousands).
Three Months Ended Six Months EndedThree Months Ended Nine Months Ended
June 28,
2019
 June 29,
2018
 June 28,
2019
 June 29,
2018
September 27,
2019
 September 28,
2018
 September 27,
2019
 September 28,
2018
Segment sales from continuing operations by product line:Segment sales from continuing operations by product line:      Segment sales from continuing operations by product line:      
Medical              
Cardio & Vascular$150,397
 $148,766
 $302,971
 $285,629
$148,581
 $150,230
 $451,552
 $435,859
Cardiac & Neuromodulation114,488
 115,941
 231,399
 224,851
106,533
 109,620
 337,932
 334,471
Advanced Surgical, Orthopedics & Portable Medical32,646
 34,751
 64,234
 68,692
34,310
 32,789
 98,544
 101,481
Total Medical297,531
 299,458
 598,604
 579,172
289,424
 292,639
 888,028
 871,811
Non-Medical16,663
 15,006
 30,266
 27,718
14,163
 12,449
 44,429
 40,167
Total sales from continuing operations$314,194
 $314,464
 $628,870
 $606,890
$303,587
 $305,088
 $932,457
 $911,978


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


(15.)SEGMENT INFORMATION (Continued)
The following table presents income from continuing operations for the Company’s reportable segments (in thousands).
Three Months Ended Six Months EndedThree Months Ended Nine Months Ended
June 28,
2019
 June 29,
2018
 June 28,
2019
 June 29,
2018
September 27,
2019
 September 28,
2018
 September 27,
2019
 September 28,
2018
Segment income from continuing operations:              
Medical$63,706
 $61,179
 $120,086
 $108,694
$62,648
 $58,929
 $182,734
 $167,623
Non-Medical5,298
 4,393
 9,609
 7,591
3,318
 3,521
 12,927
 11,112
Total segment income from continuing operations69,004
 65,572
 129,695
 116,285
Total segment income65,966
 62,450
 195,661
 178,735
Unallocated operating expenses(19,667) (21,214) (41,189) (41,884)(19,485) (20,991) (60,674) (62,875)
Operating income from continuing operations49,337
 44,358
 88,506
 74,401
Operating income46,481
 41,459
 134,987
 115,860
Unallocated expenses, net(14,505) (12,563) (28,542) (24,148)(10,982) (55,919) (39,524) (80,067)
Income before taxes from continuing operations$34,832
 $31,795
 $59,964
 $50,253
Income (loss) from continuing operations before taxes$35,499
 $(14,460) $95,463
 $35,793


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


(16.)
REVENUE FROM CONTRACTS WITH CUSTOMERS
Revenue Recognition
The majority of the Company’s revenues consist of sales of various medical devices and products to large, multinational OEMs and their affiliated subsidiaries.  Revenue is recognized when performance obligations are satisfied and the customer has obtained control of the products.  Under the provisions of the majority of the Company’s contracts with customers, revenue is recognized at the point in time when title and risk of ownership transfers to the customer, which is primarily determined based upon the shipping terms.  When contracts with customers for products that do not have an alternative use to the Company contain provisions that provide the Company with an enforceable right to payment for performance completed to date with a recapture of costs incurred plus an applicable margin throughout the duration of the contract, revenue is recognized over time as control is deemed to have transferred to the customer. The Company uses an input measure to determine progress towards completion and total estimated costs at completion. Under this method, sales and gross profit are recognized as work is performed generally based on actual costs incurred. For arrangements recognized over time, the Company records a contract asset for unbilled revenue associated with non-cancellable customer orders. Revenue is recognized net of sales tax, value-added taxes and other taxes.
Disaggregated Revenue
In general, the Company's business segmentation is aligned according to the nature and economic characteristics of its products and customer relationships and provides meaningful disaggregation of each business segment's results of operations. For a summary by disaggregated product line sales for each segment, refer to Note 15, “Segment Information.”
Revenue recognized from products and services transferred to customers over time represented 10% and 12%11%, respectively, of total revenue for the three and sixnine months ended June 28,September 27, 2019, substantially all of which was within the Medical segment. The Company did not have any significant revenue related to contracts recognized over time for the sixnine months ended June 29,September 28, 2018.
The following table presents revenues by significant customers, which are defined as any customer who individually represents 10% or more of a segment’s total revenues.
 Three Months Ended Six Months Ended Three Months Ended Nine Months Ended
 June 28, 2019 June 28, 2019 September 27, 2019 September 27, 2019
Customer Medical Non-Medical Medical Non-Medical Medical Non-Medical Medical Non-Medical
Customer A 21% 


 23%   20% *
 22% *
Customer B 18% 


 18%   18% *
 18% *
Customer C 13% 


 12%   13% *
 12% *
Customer D 


 25%   25% *
 22% *
 24%
Customer E *
 12% *
 *
All other customers 48% 75% 47% 75% 49% 66% 48% 76%

(16.)REVENUE FROM CONTRACTS WITH CUSTOMERS (Continued)
  Three Months Ended Nine Months Ended
  September 28, 2018 September 28, 2018
Customer Medical Non-Medical Medical Non-Medical
Customer A 23% *
 22% *
Customer B 20% *
 19% *
Customer C 12% *
 12% *
Customer D *
 30% *
 28%
All other customers 45% 70% 47% 72%
__________
* Less than 10% of segment’s total revenues for the period.

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



(16.)REVENUE FROM CONTRACTS WITH CUSTOMERS (Continued)
  Three Months Ended Six Months Ended
  June 29, 2018 June 29, 2018
Customer Medical Non-Medical Medical Non-Medical
Customer A 21% 


 21%  
Customer B 20% 


 20%  
Customer C 11% 


 11%  
Customer D 


 35%   28%
All other customers 48% 65% 48% 72%
The following table presents revenues by significant ship to location, which is defined as any country where 10% or more of a segment’s total revenues are shipped to.shipped.
 Three Months Ended Six Months Ended Three Months Ended Nine Months Ended
 June 28, 2019 June 28, 2019 September 27, 2019 September 27, 2019
Ship to Location Medical Non-Medical Medical Non-Medical Medical Non-Medical Medical Non-Medical
United States 56% 56% 56% 56% 55% 61% 56% 58%
Puerto Rico 12% 

 13% 

 11% * 13% *
Canada 

 14% 

 14% * 12% * 13%
Singapore 10% 
All other countries 32% 20% 31% 30% 34% 27% 31% 29%

 Three Months Ended Six Months Ended Three Months Ended Nine Months Ended
 June 29, 2018 June 29, 2018 September 28, 2018 September 28, 2018
Ship to Location Medical Non-Medical Medical Non-Medical Medical Non-Medical Medical Non-Medical
United States 55% 69% 56% 69% 58% 65% 56% 68%
Puerto Rico 13% 

 13%  13% * 13% *
Canada 

 

 10% * 10% * 10%
All other countries 32% 31% 31% 21% 29% 25% 31% 22%

__________
* Less than 10% of segment’s total revenues for the period.
Contract Balances
The opening and closing balances of the Company's contract assets and contract liabilities are as follows (in thousands):
June 28,
2019
 December 28,
2018
September 27,
2019
 December 28,
2018
Contract assets included in prepaid expenses and other current assets$11,180
 $
$10,561
 $
Contract liabilities included in accrued expenses and other current liabilities2,363
 2,264
2,079
 2,264

During the three and sixnine months ended June 28,September 27, 2019, the Company recognized $0.1$0.4 million and $0.4$0.8 million, respectively, of revenue that was included in the contract liability balance as of December 28, 2018. During the three and sixnine months ended June 29,September 28, 2018, the Company recognized $0.9$0.2 million and $1.3$0.6 million, respectively, of revenue that was included in the contract liability balance as of December 29, 2017.


ITEM 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
This Quarterly Report on Form 10-Q should be read in conjunction with the disclosures included in our Annual Report on Form 10-K for the fiscal year ended December 28, 2018. In addition, please read this section in conjunction with our Condensed Consolidated Financial Statements and Notes to Condensed Consolidated Financial Statements contained herein.
Forward-Looking Statements
Some of the statements contained in this report and other written and oral statements made from time to time by us and our representatives are not statements of historical or current fact. As such, they are “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. We have based these forward-looking statements on our current expectations, and these statements are subject to known and unknown risks, uncertainties and assumptions. Forward-looking statements include statements relating to:
future sales, expenses, and profitability;
future development and expected growth of our business and industry;
our ability to execute our business model and our business strategy;
our ability to identify trends within our industries and to offer products and services that meet the changing needs of those markets;
our ability to remain in compliance with the financial covenants contained in the agreement governing our Senior Secured Credit Facilities; and
projected capital expenditures.
You can identify forward-looking statements by terminology such as “may,” “will,” “should,” “could,” “expects,” “intends,” “plans,” “anticipates,” “believes,” “estimates,” “predicts,” “potential” or “continue” or “variations” or the negative of these terms or other comparable terminology. These statements are only predictions. Actual events or results may differ materially from those stated or implied by these forward-looking statements. In evaluating these statements and our prospects, you should carefully consider the factors set forth below. All forward-looking statements attributable to us or persons acting on our behalf are expressly qualified in their entirety by these cautionary factors and to others contained throughout this report.
Although it is not possible to create a comprehensive list of all factors that may cause actual results to differ from the results expressed or implied by our forward-looking statements or that may affect our future results, some of these factors include the following: our indebtedness, our inability to pay principal and interest on this outstanding indebtedness or to remain in compliance with financial and other covenants under our Senior Secured Credit Facilities, and the risk that this indebtedness limits our ability to invest in our business and overall financial flexibility; our dependence upon a limited number of customers; customer ordering patterns; product obsolescence; our inability to market current or future products; pricing pressure from customers; our ability to timely and successfully implement cost savings and consolidation initiatives; our reliance on third partythird-party suppliers for raw materials, products and subcomponents; fluctuating operating results; our inability to maintain high qualityhigh-quality standards for our products; challenges to our intellectual property rights; product liability claims; product field actions or recalls; our inability to successfully consummate and integrate acquisitions and to realize synergies and to operate these acquired businesses in accordance with expectations; our unsuccessful expansion into new markets; our failure to develop new products; the timing, progress and ultimate success of pending regulatory actions and approvals; our inability to obtain licenses to key technology; regulatory changes, including health care reform, or consolidation in the healthcare industry; global economic factors, including currency exchange rates and interest rates; the resolution of various legal actions brought against the Company; enactment related and ongoing impacts related toresulting from the U.S. Tax Cuts and Jobs Act (the “Tax Reform Act”), including the Global Intangible Low-Taxed Income (“GILTI”) tax; and other risks and uncertainties that arise from time to time and are described in Item 1A “Risk Factors” of our Annual Report on Form 10-K and in other periodic filings with the Securities and Exchange Commission. Except as required by applicable law, the Company assumes no obligation to update forward-looking statements in this report whether to reflect changed assumptions, the occurrence of unanticipated events or changes in future operating results, financial conditions or prospects, or otherwise.
In this Form 10-Q, references to “Integer,” “we,” “us,” “our” and the “Company” mean Integer Holdings Corporation and its subsidiaries, unless the context indicates otherwise.

INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS

Our Business
Integer Holdings Corporation is one of the largest medical device outsource (“MDO”) manufacturers in the world serving the cardiac, neuromodulation, vascular, orthopedics, advanced surgical and portable medical markets. We also develop batteries for high-end niche applications in the non-medical energy, military, and environmental markets. Our vision is to enhance the lives of patients worldwide by being our customers’ partner of choice for innovative technologies and services.
We organize our business into two reportable segments, Medical and Non-Medical, and derive our revenues from four principal product lines. The Medical segment includes the Advanced Surgical, Orthopedics & Portable Medical, Cardio & Vascular and Cardiac & Neuromodulation product lines and the Non-Medical segment is comprised of the Electrochem product line.
We utilizeHistorically, we have utilized a fifty-two, fifty-three week52/53-week fiscal year ending on the Friday nearest December 31. The second quarterOn October 9, 2019, Integer’s Board of 2019 and 2018Directors approved a change in our fiscal year from a year ending on the Friday nearest December 31 to a year ending on December 31 each contained 13 weeks and ended on June 28 and June 29, respectively. The Company’s 2019year. Upon receipt of the customary approval of the lenders under our Senior Secured Credit Facilities, our current fiscal year will end on December 31, 2019, instead of January 3, 2020, with subsequent fiscal years beginning on January 1 and ending on December 31 of each year. The change in fiscal year was implemented so that, on a going forward basis, each of our fiscal years (except for leap years) has 365 days, which will be a fifty-three week period.allow for consistent comparison between fiscal years. Our first three fiscal quarters in each fiscal year will continue to end on the Friday nearest March 31, June 30 and September 30, respectively. Fiscal year 2018 ended on December 28, 2018 and was a fifty-two week period.
The third quarter of 2019 and 2018 each contained 13 weeks and ended on September 27 and September 28, respectively, and were not impacted by the change in fiscal year.
Discontinued Operations and Divestiture
On July 2, 2018, we completed the sale of the Advanced Surgical and Orthopedic product lines (the “AS&O Product Line”) for net cash proceeds of approximately $581 million, resulting in the recognition of a pre-tax gain of approximately $195 million during the year ended December 28, 2018. In connection with the sale, the parties executed a transition services agreement whereby we provided certain corporate services (including accounting, payroll, and information technology services) to Viant to facilitate an orderly transfer of business operations. Viant paid us for these services as specified in the performance oftransition services agreement, which by Integer was substantiallywere complete as of June 28, 2019. In addition, the parties executed long-term supply agreements under which the parties have agreed to supply the other with certain products at prices specified in the agreements for a term of three years.
On June 14, 2019, Viant paid us $4.8 million for the final net working capital adjustment, which was recognized as gain on sale from discontinued operations, net of taxes, during the quarter endingended June 28, 2019.
The results of operations of the AS&O Product Line have been classified as discontinued operations for all periods presented. Prior period amounts have been reclassified to conform to the continuing operations reporting presentation. All results and information presented exclude the AS&O Product Line unless otherwise noted.
Refer to Note 2 “Discontinued Operations, Divestitures and Divestiture”Acquisitions” of the Notes to Condensed Consolidated Financial Statements contained in Item 1 of this report for additional information about the divestiture of the AS&O Product Line.
Recent Acquisitions
In October 2019, we purchased certain assets of US BioDesign, LLC, a developer and manufacturer of complex braided biomedical structures for disposable and implantable medical devices. The acquisition adds a differentiated capability related to the development and manufacture of complex braided and formed biomedical structures to our broad portfolio, that we believe further positions us as a partner of choice for innovative medical technologies.
Strategic Overview
We continue to take steps to better align our resources in order to invest to grow, protect, preserve and to enhance the profitability of our portfolio of products. In addition to our portfolio strategy, we have launched the execution of six key operational strategic imperatives designed to drive excellence in everything we do:
Sales Force Excellence: We are changing the organization structure to match product line growth strategies and customer needs. This change is about getting more out of the capabilitycapabilities we already have, and will increase individual accountability and clarity of ownership.
Market Focused Innovation: We are ensuring we get the most return on our research &and development investments. Integer is currently focusing on getting a clearer picture of how we spend our money and ensuring we are spending it in the right places so we can increase investments to drive future growth.

INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS

Manufacturing Process Excellence: The goal is to deliver world-class operational performance in the areas of safety, quality, delivery and overall efficiency. We want to transition our manufacturing into a competitive advantage through a single, enterprise-wide manufacturing structure known as the Integer Production System. This system will provide standardized systems and processes by leveraging best practices and applying them across all of our global sites.
Business Process Excellence: Integer is taking a systematic approach to driving excellence in everything we do by standardizing, optimizing and ultimately sustaining all of our processes.
Performance Excellence: We are raising the bar on associate performance to maximize our impact. This includes aligning key roles with critical capabilities, positioning the best talent against the biggest work, and putting tools and processes in place to provide higher financial rewards for top performers, so our top performers can see increased results in pay for increased results in their performance.
Leadership Capability: We have a robust plan to make leadership a competitive advantage for Integer, and since the success rate is higher with internal hires, we are focusing on finding and developing leaders from within the Company to build critical capabilities for future success.

INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS

We believe Integer is well-positioned within the medical technology and MDO manufacturing market and that there is a robust pipeline of opportunities to pursue. We have expanded our medical device capabilities and are excited about opportunities to partner with customers to drive innovation. We believe we have the scale and global presence, supported by world-class manufacturing and quality capabilities, to capture these opportunities. We are confident in our capabilities as one of the largest MDO manufacturers, with a long history of successfully integrating companies, driving down costs and growing revenues over the long-term. Ultimately, our strategic vision is to drive shareholder value by enhancing the lives of patients worldwide by being our customers’ partner of choice for innovative technologies and services.
Revised 2019 Outlook(a) 
(dollars in millions, except per share amounts)
  GAAP 
Non-GAAP(b)
Continuing Operations: As Reported Growth Adjusted Growth
Sales $1,265 to $1,280 4% to 5% $1,265 to $1,280 4% to 6%
Income $95106 to $102$110 102%125% to 117%134% $140150 to $147$154 13%21% to 18%23%
EBITDA N/A N/A $277282 to $285$286 7%9% to 10%
Earnings per Diluted Share $2.893.22 to $3.09$3.32 101%123% to 115%130% $4.254.55 to $4.45$4.65 12%20% to 17%22%
(a)Except as described below, further reconciliations by line item to the closest corresponding financial measure prepared in accordance with generally accepted accounting principles in the United States of America (“GAAP”) for Adjusted Sales, Adjusted Income, earnings before interest, taxes, depreciation, and amortization (“EBITDA”), and Adjusted EBITDA and Adjusted Earnings per diluted share (“EPS”), all from continuing operations, included in our “2019 Outlook” above, are not available without unreasonable efforts on a forward-looking basis due to the high variability, complexity and visibility of the charges excluded from these non-GAAP financial measures.
(b)Adjusted income and diluted EPS, both from continuing operations, for 2019 are expected to consist of GAAP income from continuing operations and diluted EPS from continuing operations, excluding items such as intangible amortization, IP-related litigation costs, consolidationcertain legal expenses, reorganization and realignment costs, asset dispositions, severance, gains and losses on equity investments and loss and loss on extinguishment of debt totaling approximately $57$56 million, pre-tax. The after-tax impact of these items is estimated to be approximately $45$44 million, or approximately $1.36$1.33 per diluted share.
Adjusted EBITDA from continuing operations is expected to consist of Adjusted income from continuing operations, excluding items such as depreciation, interest, stock-based compensation and taxes, totalingwhich are expected to be approximately $138$132 million.

INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS

Financial Overview of Continuing Operations
Income from continuing operations for the secondthird quarter andof 2019 was $30.6 million, or $0.92 per diluted share, compared to a loss from continuing operations of $8.3 million, or $0.26 per diluted share, for the third quarter of 2018. Income from continuing operations for the first sixnine months of 2019 was $28.2$80.2 million, or $0.85$2.43 per diluted share and $49.6 million, or $1.50 per diluted share, respectively, compared to income from continuing operations of $23.1$27.8 million, or $0.70 per diluted share, and $36.1 million, or $1.11$0.86 per diluted share, for the second quarter and first sixnine months of 2018, respectively.2018. These year over year variances are primarily the result of the following:
Sales from continuing operations for the second quarter of 2019 decreased $0.3 million and increased $22.0 million for the first six months of 2019 when compared to the same periods in 2018. The increase for the first six months of 2019 was due to growth in Cardio & Vascular, Cardiac & Neuromodulation and Electrochem sales, partially offset by lower Advanced Surgical, Orthopedic & Portable Medical in comparison to the first six months of 2018. During the second quarter and first six months of 2019, price reductions given to our larger OEM customers in return for long-term volume commitments lowered sales by $3.7 million and $6.4 million, respectively, in comparison to the same periods in 2018. In comparison to the prior year periods, foreign currency exchange rates decreased sales from continuing operations by approximately $0.7 million and $1.6 million for the second quarter and first six
Sales from continuing operations for the third quarter of 2019 decreased $1.5 million and increased $20.5 million for the first nine months of 2019 when compared to the same periods in 2018. The increase for the first nine months of 2019 was due to growth in Cardio & Vascular, Cardiac & Neuromodulation and Electrochem sales, partially offset by lower Advanced Surgical, Orthopedic & Portable Medical sales in comparison to the first nine months of 2018. During the third quarter and first nine months of 2019, price reductions given to our larger OEM customers in return for long-term volume commitments lowered sales by $3.2 million and $9.6 million, respectively, in comparison to the same periods in 2018. In comparison to the prior year periods, foreign currency exchange rates decreased sales from continuing operations by approximately $0.6 million and $2.2 million for the third quarter and first nine months of 2019, respectively.
Gross profit from continuing operations for the secondthird quarter of 2019 decreased $1.8increased $1.5 million, compared to the same period in 2018, primarily due to a $3.0 million decrease in cost of sales, partially offset by a decrease in sales and price reductions and inflation, partially mitigated by production efficiencies.given to our customers. Gross profit from continuing operations for the first sixnine months of 2019 increased $3.3$4.8 million, compared to the same period in 2018, primarily due to the increase in sales from continuing operations and benefits of production efficiencies achieved, partially offset by price reductions given to our customers and inflation.
Operating expenses for the secondthird quarter and first sixnine months of 2019 were lower by $6.8$3.6 million and $10.8$14.4 million, respectively, compared to the same periods in 2018, due to decreases in all categories of operating expenses.
Interest expense for the secondthird quarter and first sixnine months of 2019 decreased by $1.6$42.2 million and $3.4$45.6 million, respectively, compared to the same periods in 2018, primarily due to lower outstanding debt balances due to the repayment of debt over the last year.year and extinguishment of debt charges included in the 2018 periods related to the repayment of indebtedness in connection with the divestiture of the AS&O Product Line. Debt extinguishment expenses included in interest expense for the third quarter and first nine months of 2019 were lower by $40.4 million and $40.9 million, respectively, compared to the same periods in 2018.
During the secondthird quarter and first sixnine months of 2019, we recognized a net lossesgain on equity investments of $1.6$1.0 million and $1.7a net loss of $0.7 million, respectively, and net gains for the secondthird quarter and first sixnine months of 2018 of $0.3 million and $5.3$5.5 million, respectively. Gains and losses on equity investments are generally unpredictable in nature.
Other income, net for the second quarter and first six months of 2019 was $0.7 million and $0.6 million, respectively, compared to $2.4 million and $1.4 million during the same periods in 2018, primarily due to lower foreign currency gains in the 2019 periods compared to the same periods in 2018.
We recorded provisions for income taxes for the second quarter and first six months of 2019 of $6.6 million and $10.4 million, respectively, compared with $8.7 million and $14.1
Otherincome, net for the third quarter and first nine months of 2019 was $0.4 million and $0.9 million, respectively, compared to other loss of $1.7 million and $0.3 million during the same periods in 2018, primarily due to foreign currency gains in the 2019 periods compared to foreign currency losses for the same periods in 2018.
We recorded an income tax provision of $4.9 million for the third quarter of 2019, compared to a benefit of $6.2 million for the third quarter of 2018. The income tax provision for the first nine months of 2019 and 2018 was $15.3 million and $8.0 million, respectively. Refer to Note 9 “Income Taxes” of the Notes to Condensed Consolidated Financial Statements contained in Item 1 of this report and the “Provision for Income Taxes” section of this Item for additional information.
Our CEO’s View
We delivered strong organic profitincome growth in the secondthird quarter, on flat revenue which was in line with our expectations. We are on track to deliver on our improved full year guidance, which reflects slight increases in income, adjusted EBITDA and EPS.
Strong cash flow generation enabled continued debt leverage reduction to 3.1 times adjusted EBITDA.sales. We continue to execute on our operational strategy and have increased our full year profit outlook.  In the fourth quarter of 2019, we executed a bolt-on acquisition to add complex braiding for high-growth C&V markets.  Strong cash flow generation enabled continued reductions to our debt leverage ratio.

INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS

Our Financial Results of Continuing Operations
The following tables present selected financial information from continuing operations derived from our Condensed Consolidated Financial Statements, contained in Item 1 of this report, for the periods presented (dollars in thousands, except per share). All financial information presented is from continuing operations unless otherwise specified.
Three Months Ended    Three Months Ended    
June 28, June 29, ChangeSeptember 27, September 28, Change
2019 2018 $ %2019 2018 $ %
Medical Sales:              
Cardio & Vascular$150,397
 $148,766
 $1,631
 1.1 %$148,581
 $150,230
 $(1,649) (1.1)%
Cardiac & Neuromodulation114,488
 115,941
 (1,453) (1.3)%106,533
 109,620
 (3,087) (2.8)%
Advanced Surgical, Orthopedics & Portable Medical32,646
 34,751
 (2,105) (6.1)%34,310
 32,789
 1,521
 4.6 %
Total Medical Sales297,531
 299,458
 (1,927) (0.6)%289,424
 292,639
 (3,215) (1.1)%
Non-Medical16,663
 15,006
 1,657
 11.0 %14,163
 12,449
 1,714
 13.8 %
Total Sales314,194
 314,464
 (270) (0.1)%303,587
 305,088
 (1,501) (0.5)%
Cost of sales217,210
 215,699
 1,511
 0.7 %210,201
 213,165
 (2,964) (1.4)%
Gross profit96,984
 98,765
 (1,781) (1.8)%93,386
 91,923
 1,463
 1.6 %
Gross profit as a % of sales30.9% 31.4%    30.8% 30.1 %    
Selling, general and administrative expenses (“SG&A”)33,143
 36,780
 (3,637) (9.9)%32,935
 34,091
 (1,156) (3.4)%
SG&A as a % of sales10.5% 11.7%    10.8% 11.2 %    
Research, development and engineering costs (“RD&E”)11,396
 12,935
 (1,539) (11.9)%11,729
 12,234
 (505) (4.1)%
RD&E as a % of sales3.6% 4.1%    3.9% 4.0 %    
Other operating expenses3,108
 4,692
 (1,584) (33.8)%2,241
 4,139
 (1,898) (45.9)%
Operating income49,337
 44,358
 4,979
 11.2 %46,481
 41,459
 5,022
 12.1 %
Operating margin15.7% 14.1%    15.3% 13.6 %    
Interest expense13,612
 15,234
 (1,622) (10.6)%12,337
 54,526
 (42,189) (77.4)%
(Gain) loss on equity investments, net1,611
 (284) 1,895
 
NM 
Other income, net(718) (2,387) 1,669
 (69.9)%
Income from continuing operations before income taxes34,832
 31,795
 3,037
 9.6 %
Provision for income taxes6,610
 8,739
 (2,129) (24.4)%
Gain on equity investments, net(986) (291) (695) 
NM 
Other (income) loss, net(369) 1,684
 (2,053) 
NM 
Income (loss) from continuing operations before taxes35,499
 (14,460) 49,959
 
NM 
Provision for (benefit from) income taxes4,913
 (6,157) 11,070
 
NM 
Effective tax rate19.0% 27.5%    13.8% 42.6 %    
Income from continuing operations$28,222
 $23,056
 $5,166
 22.4 %
Income from continuing operations as a % of sales9.0% 7.3%    
Diluted earnings per share from continuing operations$0.85
 $0.70
 $0.15
 21.4 %
Income (loss) from continuing operations$30,586
 $(8,303) $38,889
 
NM 
Income (loss) from continuing operations as a % of sales10.1% (2.7)%    
Diluted earnings (loss) per share from continuing operations$0.92
 $(0.26) $1.18
 
NM 


INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS

Six Months Ended    Nine Months Ended    
June 28, June 29, ChangeSeptember 27, September 28, Change
2019 2018 $ %2019 2018 $ %
Medical Sales:              
Cardio & Vascular$302,971
 $285,629
 $17,342
 6.1 %$451,552
 $435,859
 $15,693
 3.6 %
Cardiac & Neuromodulation231,399
 224,851
 6,548
 2.9 %337,932
 334,471
 3,461
 1.0 %
Advanced Surgical, Orthopedics & Portable Medical64,234
 68,692
 (4,458) (6.5)%98,544
 101,481
 (2,937) (2.9)%
Total Medical Sales598,604
 579,172
 19,432
 3.4 %888,028
 871,811
 16,217
 1.9 %
Non-Medical30,266
 27,718
 2,548
 9.2 %44,429
 40,167
 4,262
 10.6 %
Total Sales628,870
 606,890
 21,980
 3.6 %932,457
 911,978
 20,479
 2.2 %
Cost of sales443,276
 424,593
 18,683
 4.4 %653,477
 637,758
 15,719
 2.5 %
Gross profit185,594
 182,297
 3,297
 1.8 %278,980
 274,220
 4,760
 1.7 %
Gross profit as a % of sales29.5% 30.0%    29.9% 30.1%    
SG&A68,099
 73,209
 (5,110) (7.0)%101,034
 107,300
 (6,266) (5.8)%
SG&A as a % of sales10.8% 12.1%    10.8% 11.8%    
RD&E22,991
 26,211
 (3,220) (12.3)%34,720
 38,445
 (3,725) (9.7)%
RD&E, Net as a % of sales3.7% 4.3%    3.7% 4.2%    
Other operating expenses5,998
 8,476
 (2,478) (29.2)%8,239
 12,615
 (4,376) (34.7)%
Operating income88,506
 74,401
 14,105
 19.0 %134,987
 115,860
 19,127
 16.5 %
Operating margin14.1% 12.3%    14.5% 12.7%    
Interest expense27,442
 30,829
 (3,387) (11.0)%39,779
 85,355
 (45,576) (53.4)%
(Gain) loss on equity investments, net1,652
 (5,254) 6,906
 
NM 
666
 (5,545) 6,211
 
NM 
Other income, net(552) (1,427) 875
 (61.3)%
Income from continuing operations before income taxes59,964
 50,253
 9,711
 19.3 %
Other (income) loss, net(921) 257
 (1,178) 
NM 
Income from continuing operations before taxes95,463
 35,793
 59,670
 
NM 
Provision for income taxes10,376
 14,113
 (3,737) (26.5)%15,289
 7,956
 7,333
 92.2 %
Effective tax rate17.3% 28.1%    16.0% 22.2%    
Income from continuing operations$49,588
 $36,140
 $13,448
 37.2 %$80,174
 $27,837
 $52,337
 
NM 
Income from continuing operations as a % of sales7.9% 6.0%    8.6% 3.1%    
Diluted earnings per share from continuing operations$1.50
 $1.11
 $0.39
 35.1 %$2.43
 $0.86
 $1.57
 
NM 
NM Calculated amount not meaningful

INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS

Product Line Sales offrom Continuing Operations Highlights
For the secondthird quarter and first sixnine months of 2019, Cardio & Vascular sales increaseddecreased $1.6 million, or 1%, and $17.3increased $15.7 million or 6%4%, respectively, versus the comparable 2018 periods. The increasedecrease in the secondthird quarter of 2019 compared to the same quarter in 2018 was primarily due to strongan end of life electrophysiology program, which experienced the largest quarterly decline to date, partially offset by peripheral vascular and structural heart growth, partially offset by the expected impact of an electrophysiology program maturing life cycle and a supplier quality related delay.growth. The increase in the first sixnine months of 2019 was driven by customer share gains, new product launches, and the impact of a long-term agreement with a current customer related to their existing products. During the secondthird quarter and first sixnine months of 2019, price reductions lowered Cardio & Vascular sales by $1.7$1.4 million and $3.5$4.9 million, respectively, in comparison to the 2018 periods. Foreign currency exchange rate fluctuations decreased Cardio & Vascular sales for the secondthird quarter and first sixnine months of 2019 by $0.7 million and $1.6 million, respectively, in comparison to the 2018 periods primarily due to U.S. dollar fluctuations relative to the Euro.
For the secondthird quarter and first sixnine months of 2019, Cardiac & Neuromodulation sales decreased $1.5$3.1 million, or 1%3%, and increased $6.5$3.5 million or 3%1%, respectively, versus the comparable 2018 periods. The decrease in the third quarter of 2019 compared to the same quarter in 2018 was primarily due to neuromodulation customer demand shift to the fourth quarter and flat cardiac rhythm management sales. The increase in the first sixnine months of 2019 in Cardiac & Neuromodulation sales was mainly due to the impact of the aforementioned long-term customer agreement. Neuromodulation continued growth driven by spinal cord stimulation and increasingly stronger revenue from early-stage neuromodulation companies. During the secondthird quarter and first sixnine months of 2019, price reductions lowered Cardiac & Neuromodulation sales by $2.1$1.7 million and $3.3$5.0 million, respectively, in comparison to the to the 2018 periods. Foreign currency exchange rate fluctuations did not have a material impact on Cardiac & Neuromodulation sales during the secondthird quarter and first sixnine months of 2019 in comparison to the same periods of 2018.
In addition to Portable Medical sales, Advanced Surgical, Orthopedic & Portable Medical includes sales to the acquirer of our AS&O Product Line, Viant, under the long-term supply agreements (“LSAs”) entered into as of the closing of the divestiture for the sale of products by the Company to Viant. For the secondthird quarter and first sixnine months of 2019, Advanced Surgical, Orthopedic & Portable Medical sales decreased $2.1increased $1.5 million, or 6%5%, and $4.5decreased $2.9 million or 6%3%, respectively, versus the comparable 2018 periods. The quarterly sales declines were due toincrease was driven by an increase in the advanced surgical base products and new product launches in Portable Medical, growth beingwhich was more than offset on a year-to-date basis by a decline in advanced surgical and orthopedic products. Price reductions lowered Advanced Surgical, Orthopedic & Portable Medical sales for the third quarter and foreignfirst nine months of 2019 by $0.2 million, in comparison to the 2018 periods. Foreign currency exchange rate fluctuations did not have a material impact on Advanced Surgical, Orthopedic & Portable Medical sales during the secondthird quarter and first sixnine months of 2019 in comparison to the same periods of 2018.
For the secondthird quarter and first sixnine months of 2019, Non-Medical sales increased $1.7 million, or 11%14%, and $2.5$4.3 million or 9%11%, respectively, versus the comparable 2018 periods. The increases in Non-Medical sales were primarily due to energy market demand and increased customer penetration.favorable military order timing. Price reductions and foreign currency exchange rate fluctuations did not have a material impact on Non-Medical sales during the secondthird quarter and first sixnine months of 2019 in comparison to the same periods of 2018.

INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS

Gross Profit
Changes to gross profit as a percentage of sales (“Gross Margin”) from the prior year were due to the following:
Change From Prior YearChange From Prior Year
Three
Months
 
Six
 Months
Three
Months
 
Nine
 Months
Price(a)
(1.2)% (1.0)%(1.1)% (1.0)%
Mix(b)
0.1
 0.2
(0.1) 0.1
Incentive compensation(c)
(0.3) (0.2)0.1
 (0.1)
Production efficiencies and volume leverage(d)
0.9
 0.5
1.8
 0.8
Total percentage point change to gross profit as a percentage of sales(0.5)% (0.5)%0.7 % (0.2)%
 
__________ 
(a) 
Our Gross Margin for the secondthird quarter and first sixnine months of 2019 has been negatively impacted by price reductions given to our larger OEM customers in return for long-term volume commitments.
(b) 
OurAmounts represent the impact to our Gross Margin forattributable to favorable (unfavorable) changes in the second quarter and first six months of 2019 has been positively impacted by a higher mix of product sales of higher margin products.during the period.
(c) 
Amounts represent the impact to our Gross Margin attributable to our cash and stock incentive compensation programs, including performance-based compensation, which is accrued based upon actual results achieved.
(d) 
Represents various increases and decreases to our Gross Margin. Overall, our Gross Margin for the secondthird quarter and first sixnine months of 2019 was positively impacted by production efficiencies, mainly due to our Manufacturing Excellence initiative, as well as lower amortization expense and, on a year-to-date basis, higher sales volume.
SG&A Expenses
Changes to SG&A expenses from the prior year were due to the following (in thousands):
Change From Prior YearChange From Prior Year
Three
Months
 
Six
Months
Three
Months
 
Nine
Months
Transition services agreement(a)
$(1,161) $(2,758)$1,834
 $(924)
Professional fees(b)
(659) 173
(1,267) (1,094)
Compensation and benefit costs(513) (724)(748) (1,472)
Intangible asset amortization(172) (477)
Depreciation and amortization(86) (740)
Other general and administrative expenses(1,132) (1,324)(889) (2,036)
Net decrease in SG&A Expenses$(3,637) $(5,110)$(1,156) $(6,266)
 
__________ 
(a) 
Represents the amount included in SG&A Expenses, which was charged to Viant for transition services provided duringbeginning in the third quarter of 2018 through the second quarter and first six months of 2019. We executed a transition services agreement in conjunction with the sale of the AS&O Product Line, whereby we agreed to provide certain corporate services (including accounting, payroll, and information technology services) to Viant to facilitate an orderly transfer of business operations. This provision of services under the agreement was completed during the second quarter of 2019.
(b) 
Professional fees decreased during the secondthird quarter and first nine months of 2019 compared to the prior year period, primarily due to lower legal costs, including legal expenses incurred related to our on-going patent infringement case. Refer to Note 10 “Commitments and Contingencies” of the Notes to the Condensed Consolidated Financial Statements contained in Item 1 of this report for information related to this patent infringement litigation.
RD&E
RD&E expensecosts for the three and sixnine months ended June 28,September 27, 2019 was $11.4$11.7 million and $23.0$34.7 million, respectively, compared to $12.9$12.2 million and $26.2$38.4 million for the three and sixnine months ended June 29,September 28, 2018. RD&E expense iscosts are influenced by the number and timing of in-process projects and labor hours and other costs associated with these projects. Our research and development initiatives continue to emphasize new product development, product improvements, and the development of new technological platform innovations.

INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS

Other Operating Expenses
Refer to Note 8 “Other Operating Expenses” of the Notes to the Condensed Consolidated Financial Statements contained in Item 1 of this report for further information related to these initiatives. Other Operating Expenses (“OOE”) is comprised of the following (in thousands):
Three Months Ended Six Months EndedThree Months Ended Nine Months Ended
June 28,
2019
 June 29,
2018
 June 28,
2019
 June 29,
2018
September 27,
2019
 September 28,
2018
 September 27,
2019
 September 28,
2018
Strategic reorganization and alignment(a)
$1,656
 $3,727
 $3,390
 $5,781
$962
 $2,643
 $4,352
 $8,424
Manufacturing alignment to support growth(b)
561
 1,103
 1,146
 1,616
515
 877
 1,661
 2,493
Consolidation and optimization expenses(c)

 (14) 
 561

 137
 
 698
Asset dispositions, severance and other(d)
891
 (124) 1,462
 518
764
 482
 2,226
 1,000
Total other operating expenses$3,108
 $4,692
 $5,998
 $8,476
$2,241
 $4,139
 $8,239
 $12,615
 
__________ 
(a) 
As a result of the strategic review of our customers, competitors and markets, we began taking steps in the fourth quarter of 2017 to better align our resources in order to enhance the profitability of our portfolio of products. These initiatives include improving our business processes and redirecting investments away from projects where the market does not justify the investment, as well as aligning resources with market conditions and our future strategic direction. Expenses for the secondthird quarter and first sixnine months of 2019 and 2018 primarily consist of severance costs and fees for professional services.
(b) 
In 2017, we initiated several initiatives designed to reduce costs, improve operating efficiencies and increase manufacturing capacity to accommodate growth.  The plan involves the relocation of certain manufacturing operations and expansion of certain of our facilities.
(c) 
During 2018, we incurred costs primarily related to the closure of our Clarence, NY facility.
(d) 
Amounts include expenses related to other initiatives not described above, which relate primarily to integration and operational initiatives to reduce costs and improve operational efficiencies. Expenses for the secondthird quarter and first sixnine months of 2019 and 2018 primarily include severance costs and fees for professional services.
We continually evaluate our operating structure in order to maximize efficiencies and drive margin expansion. For 2019, Other Operating Expenses is expected to be approximately $10 million to $15$13 million.

INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS

Interest Expense
Interest Expense for the three and sixnine months ended June 28,September 27, 2019 was $13.6$12.3 million and $27.4$39.8 million, respectively, compared to $15.2$54.5 million and $30.8$85.4 million for the three and sixnine months ended June 29,September 28, 2018. We paid down $50.4$36.3 million of debt during the secondthird quarter of 2019 and $65.8$102.1 million during the first sixnine months of 2019 on our Term Loan Facilities. The weighted average interest rates paid on outstanding borrowings for the three and sixnine months ended June 28,September 27, 2019 was 5.16%4.96% and 5.14%5.08%, respectively, compared to 5.13%4.95% and 4.99%4.97%, for the comparable periods in 2018. The weighted average interest rates paid in 2019 reflect increases in LIBOR during 2018, partially offset by reductions to the applicable interest rate marginsmargin of our Term Loan A and Term Loan B facilities.A. Cash interest expense decreased $1.6$1.7 million and $2.6$4.3 million for the three and sixnine months ended June 28,September 27, 2019, when compared to the same periods in 2018, primarily due to the decrease in outstanding borrowings.
Debt related charges included in interest expense (i.e. deferred feedebt issuance costs and discount amortization) for the three and sixnine months ended June 28,September 27, 2019 were $1.9$1.6 million and $3.7$5.3 million, respectively, compared to $1.9$42.1 million and $4.4$46.5 million for the three and sixnine months ended June 29,September 28, 2018. The decrease in debt related charges during the first sixthree and nine months periods of 2019 compared to the same periods in 2018 is primarily attributable to lower accelerated write-offs (losses from extinguishment of debt) of deferred fees and original issue discount related to prepayments of portions of our Term Loan B facility.facility and Senior Notes during the respective periods and a “make-whole” premium of $31.3 million paid as a result of redeeming our Senior Notes in July 2018. We recognized losses from extinguishment of debt during the three and sixnine months ended June 28,September 27, 2019 of $0.6$0.3 million and $1.0$1.3 million, respectively, compared to $0.4$40.7 million and $1.5$42.1 million for the three and sixnine months ended June 29,September 28, 2018. See Note 6 “Debt” of the Notes to the Condensed Consolidated Financial Statements contained in Item 1 of this report for additional information pertaining to our debt.
As of June 28,September 27, 2019, approximately 32%20% of our principal amount of debt outstanding was subject to variable rates, in comparison to approximately79% as of December 28, 2018.  In AprilDuring the second and third quarters of 2019, we entered into interest rate swap agreements that we expect will further reduce our interest expense and exposure to fluctuations in the LIBOR rate.  These swap agreements converted $400convert $475 million of our outstanding debt to fixed rate indebtedness for the next year,six to nine months, as well as extended our $200 million interest rate swap for an additional three years.

In July 2019, we entered into an additional interest rate swap agreement that will convert $85 million of our outstanding debt to fixed rate indebtedness until July 2020.  If this additional interest rate swap agreement had been in place as of June 28, 2019, approximately 22% of our principal amount of debt outstanding would be subject to variable rates.
(Gain) Loss on Equity Investments, Net
During the three and sixnine months ended June 28,September 27, 2019, we recognized net gains of $1.0 million and net losses of $1.6 million and $1.7$0.7 million, respectively, compared to net gains of $0.3 million and $5.3$5.5 million during the three and sixnine months ended June 29,September 28, 2018, respectively, on our equity investments. Gains and losses on equity investments are generally unpredictable in nature. During the second quarter of 2019, we recognized an impairment charge of $1.6 million related to an investment in one of our non-marketable equity securities. The residual amounts for 2019 and 2018 relate to our share of equity method investee gains/losses, including unrealized appreciation of the underlying interests of the investee. As of June 28,September 27, 2019 and December 28, 2018, we held $21.0$22.1 million and $22.8 million, respectively, of equity investments. See Note 14 “Financial Instruments and Fair Value Measurements” of the Notes to the Condensed Consolidated Financial Statements contained in Item 1 of this report for further details regarding these investments.
Other Income,(Income) Loss, Net
Other Income,(Income) Loss, Net for the three and sixnine months ended June 28,September 27, 2019 was $0.7income of $0.4 million and $0.6$0.9 million, respectively, compared to $2.4losses of $1.7 million and $1.4$0.3 million for the three and sixnine months ended June 29,September 28, 2018, respectively. Other Income,(Income) Loss, Net is primarily comprised of income (loss) from the impact of foreign currency exchange rates on transactions denominated in foreign currencies. Our foreign currency transaction gains/losses are based on fluctuations of the U.S. dollar relative to the Euro, Mexican peso, Uruguayan pesos or Malaysian ringgits.
The impact of foreign currency exchange rates on transactions denominated in foreign currencies included in Other Income,(Income) Loss, Net for the three and sixnine months ended June 28,September 27, 2019 waswere gains of $0.3 million and $0.1$0.4 million, respectively, compared to $2.2losses of $1.7 million and $0.9$0.8 million for the three and sixnine months ended June 29,September 28, 2018, respectively. We continually monitor our foreign currency exposures and seek to take steps to mitigate these risks. However, fluctuations in foreign currency exchange rates could have a significant impact, positive or negative, on our financial results in the future.

INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS

Provision for Income Taxes
We recognized income tax expense of $6.6$4.9 million (effective tax rate of 19.0%13.8%) for the secondthird quarter of 2019 on $34.8$35.5 million of pre-tax income from continuing operations compared to income tax expensebenefit of $8.7$6.2 million (effective tax rate of 27.5%42.6%) on $31.8$14.5 million of pre-tax incomeloss from continuing operations for the same period of 2018. The income tax expense for the first sixnine months of 2019 was $10.4$15.3 million (effective tax rate of 17.3%16.0%) on income from continuing operations before taxes of $60.0$95.5 million compared to $14.1$8.0 million (effective tax rate of 28.1%22.2%) on $50.3$35.8 million of income from continuing operations before taxes for the same period of 2018.
Our effective tax rate for the secondthird quarter and first sixnine months of 2019 differs from the secondthird quarter and first sixnine months of 2018 due principally to the impact of the Global Intangible Low-Taxed Income (GILTI) tax, as well as the impact of our earnings realized in foreign jurisdictions with statutory rates that are different than the federal statutory rate. The GILTI provisions require the inclusion of our foreign subsidiary earnings in excess of a deemed return on the foreign subsidiary’s tangible assets in our U.S. income tax return. There is a statutory deduction of 50% of the GILTI inclusion, however the deduction is subject to limitations based on U.S. taxable income. As of the secondthird quarter of 2018, we had net operating losses to offset substantially all of our forecasted U.S. taxable income and as such, waswere temporarily subject to the deduction limitation, which correspondingly imposes an incremental impact on U.S. income tax. We are not forecasting a limitation of the GILTI deduction in 2019.
We expect continued volatility in our effective tax rate due to several factors including: changes in the mix of pre-tax income from continuing operations and the jurisdictions to which it relates, changes in tax laws and foreign tax holidays, business reorganizations, settlements with taxing authorities and foreign currency fluctuations. We continuously evaluate and currently have various tax planning initiatives in place that areand continuously evaluate planning strategies aimed at reducing our effective tax rate over the long term. This includes strategies to realize deferred tax assets that would otherwise expire unutilized.
Our effective tax rate for 2019 differs from the U.S. federal statutory tax rate of 21% due principally to the net impact of the GILTI tax, the Company’s earnings outside the U.S., which are generally taxed at rates that differ from the U.S federal rate, and the availability of tax credits.

INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS

Our earnings outside the U.S. are generally taxed at blended rates that are marginally lower than the U.S. federal rate. The GILTI provisions require us to include foreign subsidiary earnings in excess of a deemed return on the foreign subsidiary’s tangible assets in our U.S. income tax return. The foreign jurisdictions in which we operate and where our foreign earnings are primarily derived, include Switzerland, Mexico, Uruguay, Malaysia and Ireland. While we are not currently aware of any material trends in these jurisdictions that are likely to impact our current or future tax expense, our future effective tax rates could be adversely affected by earnings being lower than anticipated in countries where we have lower effective tax rates and higher than anticipated in countries where we have higher effective tax rates, or by changes in tax laws or regulations. We regularly assess any significant exposure associated with increases in tax rates in international jurisdictions and adjustments are made as events occur that warrant adjustment to our tax provisions.

INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS

Liquidity and Capital Resources
(dollars in thousands)June 28,
2019
 December 28,
2018
September 27,
2019
 December 28,
2018
Cash and cash equivalents$15,922
 $25,569
$14,719
 $25,569
Working capital261,844
 251,680
264,133
 251,680
Current ratio2.42
 2.53
2.40
 2.53
Cash and cash equivalents at June 28,September 27, 2019 decreased by $9.6$10.9 million from December 28, 2018 as excess cash on hand was used to pay down our debt. Working capital increased by $10.2$12.5 million from December 28, 2018, primarily due to an increase in accounts receivable, inventories and prepaid and other current assets, partially offset by the reduced cash balance and increase in accounts payable.
At June 28,September 27, 2019, $6.5$5.4 million of our cash and cash equivalents were held by foreign subsidiaries. We intend to limit our distributions from foreign subsidiaries to previously taxed income or current period earnings. If distributions are made utilizing current period earnings, we will record foreign withholding taxes in the period of the distribution.
Summary of Cash Flow
Six Months EndedNine Months Ended
(in thousands)June 28,
2019
 June 29,
2018
September 27,
2019
 September 28,
2018
Cash provided by (used in):      
Operating activities$67,550
 $67,219
$111,977
 $120,736
Investing activities(11,094) (19,095)(20,382) 549,155
Financing activities(66,273) (74,523)(102,432) (692,896)
Effect of foreign currency exchange rates on cash and cash equivalents170
 2,363
(13) 1,790
Net change in cash and cash equivalents$(9,647) $(24,036)$(10,850) $(21,215)
The cash flow information presented includes cash flows related to the discontinued operations.
Operating Activities During the sixnine months ended June 28,September 27, 2019, we generated cash from operations of $67.6$112.0 million compared to $67.2$120.7 million for the sixnine months ended June 29,September 28, 2018. This increasedecrease was primarily due to a $3.5$21.2 million decrease in cash flow provided by working capital, partially offset by a $3.9$12.5 million increase in cash net income (i.e. net income plus adjustments to reconcile net income to net cash provided by operating activities). The cash flow from working capital change during the period was primarily due to higher accounts receivable as a result of increased sales during the second quarter of 2019due to timing as well as the payment of customer rebates.
Investing Activities The $8.0$569.5 million decrease in net cash used in investing activities was primarily attributable to the receipt oflower net cash proceeds of $4.8 million from Viant during the second quarter of 2019 resulting from the net working capital adjustment for the sale of the AS&O Product Line, as well aspartially offset by lower purchases of property, plant, and equipment, due to the sale of the AS&O Product Line. Investing activities for the nine months ended September 27, 2019 included $4.8 million of cash proceeds from Viant (received during the second quarter of 2019) resulting from the net working capital adjustment for the sale of the AS&O Product Line, compared to net cash proceeds from the sale of approximately $582 million (received during the third quarter of 2018).
Our current expectation is that capital spendingpurchases for 2019 will be in the range of $50$50 million to $55 million. We anticipate that cash on hand, cash flows from operations and available borrowing capacity under our Revolving Credit Facility will be sufficient to fund these capital expenditures.
Financing Activities – Net cash used in financing activities for the second quarter ofnine months ended September 27, 2019, was $66.3$102.4 million compared to $74.5$692.9 million in the comparable 2018 period. Financing activities during the first sixnine months of 2019 included net payments of $65.8$102.1 million related to paying down our debt obligations compared to $75.1$670.1 million for the comparable 2018 period.
In connection with the completion of the sale of our AS&O Product Line, during the third quarter of 2018 we repaid $548 million of our debt, which included $360 million of our 9.125% Senior Notes, $114 million of our Term Loan B Facility and $74 million outstanding on our Revolving Credit Facility.

INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS


Capital Structure – As of June 28,September 27, 2019, our capital structure consists of $863$828 million of debt, net of deferred fees and discounts, outstanding under our Senior Secured Credit Facilities and 33 million shares of common stock outstanding. We have access to $183$193 million of borrowing capacity under our Revolving Credit Facility. We are also authorized to issue up to 100 million shares of common stock and 100 million shares of preferred stock. Our debt service obligations, comprised of principal and interest payments for the remainder of 2019, are estimated to be approximately $40$20 million.

INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS

Based on current expectations, we believe that our projected cash flows provided by operations, available cash and cash equivalents and potential borrowings under our Revolving Credit Facility are sufficient to meet our working capital, debt service and capital expenditure requirements for the next twelve months. If our future financing needs increase, we may need to arrange additional debt or equity financing. Accordingly, weWe continually evaluate and consider from time to time various financing alternatives to enhance or supplement our existing financial resources.resources, including our Senior Secured Credit Facilities. However, we cannot be assured that we will be able to enter into any such arrangements on acceptable terms or at all.
Credit Facilities - As of June 28,September 27, 2019, we had senior secured credit facilities (the “Senior Secured Credit Facilities”) that consist of (i) a $200 million revolving credit facility (the “Revolving Credit Facility”), which had available borrowing capacity of $183.2$193.2 million as of June 28,September 27, 2019, (ii) a $286$277 million term loan A facility (the “TLA Facility”), and (iii) an $580$563 million term loan B facility (the “TLB Facility”). The Revolving Credit Facility will mature on October 27, 2020, the TLA Facility will mature on October 27, 2021 and the TLB Facility will mature on October 27, 2022.
The Revolving Credit Facility and TLA Facility contain financial covenants requiring (A) a maximum total net leverage ratio of 5.00:4.75:1.0, subject to periodicquarterly step downs of 25 basis points beginning in the thirdfourth quarter of 2019 and ending in the second quarter of 2020, and (B) a minimum interest coverage ratio of adjusted EBITDA (as defined in the Senior Secured Credit Facilities) to interest expense of 3.0:1.0.The TLB Facility does not contain any financial maintenance covenants. As of June 28,September 27, 2019, our total net leverage ratio, calculated in accordance with our Senior Secured Credit Facilities agreement, was approximately 2.92.7 to 1.0. For the twelve month period ended June 28,September 27, 2019, our ratio of adjusted EBITDA to interest expense, calculated in accordance with our Senior Secured Credit Facilities agreement, was approximately 6.26.5 to 1.0.
Failure to comply with these financial covenants would result in an event of default as defined under the Revolving Credit Facility and TLA Facility unless waived by the lenders. An event of default may result in the acceleration of our indebtedness. As a result, management believes that compliance with these covenants is material to us. As of June 28,September 27, 2019, we were in full compliance with the financial covenants described above. As of June 28,September 27, 2019, our adjusted EBITDA would have to decline by approximately $125$129 million, or approximately 42%, in order for us to not be in compliance with our financial covenants. The Revolving Credit Facility is supported by a consortium of thirteenfourteen lenders with no lender controlling more than 33%27% of the facility.
See Note 6 “Debt” of the Notes to the Condensed Consolidated Financial Statements contained in Item 1 of this report for a further information on the Company’s outstanding debt.
Off-Balance Sheet Arrangements
We have no off-balance sheet arrangements within the meaning of Item 303(a)(4) of Regulation S-K.
Impact of Recently Issued Accounting Standards
In the normal course of business, we evaluate all new accounting pronouncements issued by the Financial Accounting Standards Board, Securities and Exchange Commission, or other authoritative accounting bodies to determine the potential impact they may have on our Condensed Consolidated Financial Statements. See Note 1 “Basis of Presentation” of the Notes to Condensed Consolidated Financial Statements contained in Item 1 of this report for additional information about these recently issued accounting standards and their potential impact on our financial condition or results of operations.
Contractual Obligations
There have been no significant changes to our contractual obligations during the quarter ended June 28,September 27, 2019 as compared to those disclosed in Part II, Item 7, “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in our Annual Report on Form 10-K for the year ended December 28, 2018.

INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS

Critical Accounting Policies and Estimates
The preparation of our Condensed Consolidated Financial Statements in accordance with accounting principles generally accepted in the U.S. requires management to make estimates, assumptions and judgments that affect the amounts reported in the financial statements and accompanying notes. Our estimates, assumptions and judgments are based on historical experience and various other assumptions believed to be reasonable under the circumstances, the results of which form the basis for making judgments about the carrying amount of assets and liabilities that are not readily apparent from other sources. Making estimates, assumptions and judgments about future events is inherently unpredictable and is subject to significant uncertainties, some of which are beyond our control. Management believes the estimates, assumptions and judgments employed and resulting balances reported in the Condensed Consolidated Financial Statements are reasonable; however, actual results could differ materially.

INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS

There have been no significant changes to the critical accounting policies and estimates as compared to those disclosed in Part II, Item 7, “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in our Annual Report on Form 10-K for the year ended December 28, 2018.
Use of Non-GAAP Financial Information
We prepare our condensed consolidated financial statements in accordance with generally accepted accounting principles in the United States of America (“GAAP”).GAAP. Additionally, we report and discuss in this management's discussion and analysis, our earnings releases and investor presentations adjusted pre-tax income, adjusted income, adjusted earnings per diluted share (“EPS”), earnings before interest, taxes, depreciation, and amortization (“EBITDA”)EPS, EBITDA and adjusted EBITDA, all from continuing operations.
Adjusted pre-tax income, adjusted income and adjusted diluted EPS from continuing operations consist of GAAP amounts adjusted for the following to the extent occurring during the period: (i) acquisition and integration related charges and expenses, (ii) amortization of intangible assets, (iii) facility consolidation, optimization, manufacturing transfer and system integration charges, (iv) asset write-down and disposition charges, (v) charges in connection with corporate realignments or a reduction in force, (vi) certain litigation expenses, charges and gains, (vii) unusual or infrequently occurring items, (viii) gain/loss on equity investments, (ix) extinguishment of debt charges, (x) the net impact of long-term supply agreements (“LSAs”) entered into as of the closing of the divestiture of the AS&O Product Line, (xi) the income tax (benefit) related to these adjustments (not for adjusted pre-tax income) and (xii) certain tax items that are outside the normal provision for the period (not for adjusted pre-tax income). Adjusted diluted EPS is calculated by dividing adjusted income from continuing operations by diluted weighted average shares outstanding.
EBITDA from continuing operations is calculated by adding back interest expense, GAAP provision (benefit) for income taxes, depreciation and amortization expense, to income from continuing operations, which is the most directly comparable GAAP measure. Adjusted EBITDA from continuing operations consists of EBITDA from continuing operations plus GAAP stock-based compensation and the same adjustments as listed above except for items (ii), (ix), (xi) and (xii).
We believe that the presentation of adjusted income, adjusted diluted EPS, EBITDA, and adjusted EBITDA, all from continuing operations, provides important supplemental information to management and investors seeking to understand the financial and business trends relating to our financial condition and results of operations, including compliance with our bank covenant calculations.

INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS

Income from Continuing Operations and Diluted EPS Reconciliations
A reconciliation of GAAP income (loss) from continuing operations and diluted earnings per share (“EPS”)EPS from continuing operations to adjusted amounts is as follows (in thousands, except per share amounts):
Three Months EndedThree Months Ended
June 28, 2019 June 29, 2018September 27, 2019 September 28, 2018
Pre-Tax Net of Tax 
Per
Diluted
Share
 Pre-Tax Net of Tax 
Per
Diluted
Share
Pre-Tax Net of Tax 
Per
Diluted
Share
 Pre-Tax Net of Tax 
Per
Diluted
Share
As reported income from continuing operations (GAAP)$34,832
 $28,222
 $0.85
 $31,795
 $23,056
 $0.70
Income (loss) from continuing operations (GAAP)$35,499
 $30,586
 $0.92
 $(14,460) $(8,303) $(0.26)
Adjustments:   
  
    
  
Amortization of intangibles(a)
9,782
 7,750
 0.23
 9,896
 7,830
 0.24
Certain legal expenses (SG&A)(a)(b)
99
 78
 
 749
 591
 0.02
Strategic reorganization and alignment (OOE)(a)(c)
962
 740
 0.02
 2,643
 2,085
 0.06
Manufacturing alignment to support growth (OOE)(a)(d)
515
 366
 0.01
 877
 657
 0.02
Consolidation and optimization expenses (OOE)(a)(e)

 
 
 137
 108
 
Asset dispositions, severance and other (OOE)(a)(f)
764
 604
 0.02
 482
 412
 0.01
Gain on equity investments, net(a)
(986) (779) (0.02) (291) (230) (0.01)
Loss on extinguishment of debt(a)(g)
291
 230
 0.01
 40,654
 32,117
 0.98
Tax adjustments(h)

 
 
 
 (417) (0.01)
Adjusted income from continuing operations (Non-GAAP)$46,926
 $39,575
 $1.20
 $40,687
 $34,850
 $1.06
           
Diluted weighted average shares for adjusted EPS(j)


 33,068
  
 

 32,899
  
           
Nine Months Ended
September 27, 2019 September 28, 2018
Pre-Tax Net of Tax 
Per
Diluted
Share
 Pre-Tax Net of Tax 
Per
Diluted
Share
Income from continuing operations (GAAP)$95,463
 $80,174
 $2.43
 $35,793
 $27,837
 $0.86
Adjustments:   
  
    
  
   
  
    
  
Amortization of intangibles(a)
9,831
 7,778
 0.24
 10,519
 8,296
 0.25
29,467
 23,324
 0.71
 31,068
 24,523
 0.75
Certain legal expenses (SG&A)(a)(b)
680
 537
 0.02
 476
 376
 0.01
2,175
 1,718
 0.05
 1,546
 1,221
 0.04
Strategic reorganization and alignment (OOE)(a)(c)
1,656
 1,287
 0.04
 3,727
 2,950
 0.09
4,352
 3,377
 0.10
 8,424
 6,662
 0.20
Manufacturing alignment to support growth (OOE)(a)(d)
561
 393
 0.01
 1,103
 815
 0.02
1,661
 1,173
 0.04
 2,493
 1,841
 0.06
Consolidation and optimization expenses (OOE)(a)(e)

 
 
 (14) (10) 

 
 
 698
 553
 0.02
Asset dispositions, severance and other (OOE)(a)(f)
891
 699
 0.02
 (124) (106) 
2,226
 1,756
 0.05
 1,000
 776
 0.02
(Gain) loss equity investments, net(a)
1,611
 1,273
 0.04
 (284) (225) (0.01)666
 526
 0.02
 (5,545) (4,381) (0.13)
Loss on extinguishment of debt(a)(g)
562
 443
 0.01
 417
 329
 0.01
1,265
 999
 0.03
 42,128
 33,281
 1.02
LSA adjustments(a)(h)

 
 
 (3,283) (2,594) (0.08)
Tax adjustments(i)

 
 
 
 1,857
 0.06
LSA adjustments(a)(i)

 
 
 (6,119) (4,834) (0.15)
Tax adjustments(h)

 
 
 
 2,534
 0.08
Adjusted income from continuing operations (Non-GAAP)$50,624
 $40,632
 $1.23
 $44,332
 $34,744
 $1.06
$137,275
 $113,047
 $3.42
 $111,486
 $90,013
 $2.75
                      
Diluted weighted average shares for adjusted EPS

 33,009
  
 

 32,720
  
           
Six Months Ended
June 28, 2019 June 29, 2018
Pre-Tax Net of Tax 
Per
Diluted
Share
 Pre-Tax Net of Tax 
Per
Diluted
Share
As reported income from continuing operations (GAAP)$59,964
 $49,588
 $1.50
 $50,253
 $36,140
 $1.11
Adjustments:   
  
    
  
Amortization of intangibles(a)
19,685
 15,574
 0.47
 21,172
 16,693
 0.51
Certain legal expenses (SG&A)(a)(b)
2,076
 1,640
 0.05
 797
 630
 0.02
Strategic reorganization and alignment (OOE)(a)(c)
3,390
 2,637
 0.08
 5,781
 4,577
 0.14
Manufacturing alignment to support growth (OOE)(a)(d)
1,146
 807
 0.02
 1,616
 1,184
 0.04
Consolidation and optimization expenses (OOE)(a)(e)

 
 
 561
 445
 0.01
Asset dispositions, severance and other (OOE)(a)(f)
1,462
 1,152
 0.03
 518
 364
 0.01
(Gain) loss equity investments, net(a)
1,652
 1,305
 0.04
 (5,254) (4,151) (0.13)
Loss on extinguishment of debt(a)(g)
974
 769
 0.02
 1,474
 1,164
 0.04
LSA adjustments(a)(h)

 
 
 (6,119) (4,834) (0.15)
Tax adjustments(i)

 
 
 
 2,951
 0.09
Adjusted income from continuing operations (Non-GAAP)$90,349
 $73,472
 $2.23
 $70,799
 $55,163
 $1.69
           
Diluted weighted average shares for adjusted EPS  32,995
  
   32,572
  
Diluted weighted average shares for adjusted EPS(j)
  33,019
  
   32,681
  
__________ 

INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS

(a) 
The difference between pre-tax and net of tax amounts is the estimated tax impact related to the respective adjustment. Net of tax amounts are computed using a 21% U.S. tax rate, and the statutory tax rates in Mexico, Netherlands, Uruguay, Ireland and Switzerland, as adjusted for the existence of net operating losses (“NOLs”). Amortization of intangibles and other operating expense for 2018 have also beenwere adjusted to reflect the estimated impact relating to our disallowed deduction of the GILTI tax, as described in footnote (i)(h) below. Expenses that are not deductible for tax purposes (i.e. permanent tax differences) are added back at 100%.
(b) 
In 2013, we filed suit against AVX Corporation alleging they wereit was infringing our intellectual property. Given the complexity and significant costs incurred pursuing this litigation, we are excluding these litigation expenses from adjusted amounts. This matter proceeded to trial during the first quarter of 2016 and again in the third quarter of 2017 that resulted in a jury awarding damages in the amount of $37.5 million.  In March 2018, the court vacated that damage award and ordered a new trial on damages. In the January 2019 retrial on damages, the jury awarded damages in the amount of $22.2 million. This award is subject to post-trial proceedings. On July 31, 2019, the U. S. District Court for the District of Delaware entered an order in the AVX litigation denying AVX’s post-trial motion to overturn the jury verdict in our favor. To date, no gains have been recognized in connection with this litigation. The secondthird quarter and nine months ended September 27, 2019 also includes costs associated with responding to a subpoena in connection with a legal matter to which we are a non-party witness.
(c) 
Amounts include expenses related to implementing our strategy that is designed to better align our resources in order to invest to grow, protect, preserve and to enhance the profitability of our portfolio of products, including focusing our investment in RD&E and manufacturing, improving our business processes and redirecting investments away from projects where the market does not justify the investment. During 2019 and 2018, we incurred charges related to this strategy, which primarily consisted of severance costs and fees for professional services.
(d) 
Includes expenses related to several initiatives designed to reduce costs, improve operating efficiencies and increase manufacturing capacity to accommodate growth.  The plan involves the relocation of certain manufacturing operations and expansion of certain of our facilities.
(e) 
During 2018, we incurred costs primarily related to the closure of our Clarence, NY facility.
(f) 
Amounts include expenses related to other initiatives not described above, which relate primarily to integration and operational initiatives to reduce costs and improve operational efficiencies.
(g) 
Represents debt extinguishment charges in connection with pre-payments made on our Term Loan B Facility, which are included in interest expense.
(h) 
The tax adjustment for 2018 represents the estimated impact relating to our disallowed deduction of the GILTI tax, as mandated by the Tax Reform Act.  This disallowed deduction of the GILTI tax (approximately 50% of the total GILTI tax) is due to the Company making use of its U.S. NOLs during 2018.  This adjustment makes our adjusted diluted EPS from continuing operations more comparable with other global companies that are not subject to this disallowed GILTI tax deduction and more comparable to the Company’s results following the full utilization of its U.S. NOLs.
(i)
Reflects the net impact of the LSAs entered into as of the closing of the divestiture of the AS&O Product Line. These LSAs govern the sale of products supplied by Viant to the Company for further resale to customers and by the Company to Viant for further resale to customers.
(i)(j) 
The tax adjustmentdiluted weighted average shares for adjusted EPS for the three and nine months ended September 28, 2018 representsincludes potentially dilutive shares not included in the estimated impact relating to our disallowed deductioncomputation of the GILTI tax, as mandated by the Tax Reform Act.  This disallowed deduction of the GILTI tax (approximately 50% of the total GILTI tax) is due to the Company making use of its U.S. NOLs during 2018.  This adjustment makes our Adjusted Diluteddiluted weighted average common shares for GAAP diluted EPS from continuing operations more comparable with other global companies that are not subject to this disallowed GILTI tax deduction and more comparable to the Company’s results following the full utilization of its U.S. NOLs.purposes because their effect would have been anti-dilutive.

INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS

EBITDA and Adjusted EBITDA Reconciliation
A reconciliation of GAAP income (loss) from continuing operations to EBITDA from continuing operations and adjusted EBITDA from continuing operations is as follows (dollars in thousands):
Three Months Ended Six Months EndedThree Months Ended Nine Months Ended
June 28,
2019
 June 29,
2018
 June 28,
2019
 June 29,
2018
September 27,
2019
 September 28,
2018
 September 27,
2019
 September 28,
2018
Income from continuing operations (GAAP)$28,222
 $23,056
 $49,588
 $36,140
Income (loss) from continuing operations (GAAP)$30,586
 $(8,303) $80,174
 $27,837
              
Interest expense13,612
 15,234
 27,442
 30,829
12,337
 54,526
 39,779
 85,355
Provision for income taxes6,610
 8,739
 10,376
 14,113
Provision for (benefit from) income taxes4,913
 (6,157) 15,289
 7,956
Depreciation9,046
 10,006
 18,850
 19,969
9,080
 9,960
 27,930
 29,929
Amortization9,831
 10,519
 19,685
 21,172
9,782
 9,896
 29,467
 31,068
EBITDA from continuing operations (Non-GAAP)67,321
 67,554
 125,941
 122,223
66,698
 59,922
 192,639
 182,145
Certain legal expenses680
 476
 2,076
 797
99
 749
 2,175
 1,546
Stock-based compensation (excluding OOE)2,673
 2,199
 5,386
 5,178
1,392
 2,087
 6,778
 7,265
Strategic reorganization and alignment1,656
 3,727
 3,390
 5,781
962
 2,643
 4,352
 8,424
Manufacturing alignment to support growth561
 1,103
 1,146
 1,616
515
 877
 1,661
 2,493
Consolidation and optimization expenses
 (14) 
 561

 137
 
 698
Asset dispositions, severance and other891
 (124) 1,462
 518
764
 482
 2,226
 1,000
(Gain) loss on equity investments, net1,611
 (284) 1,652
 (5,254)(986) (291) 666
 (5,545)
LSA adjustments
 (3,283) $
 $(6,119)
 
 $
 $(6,119)
Adjusted EBITDA from continuing operations
(Non-GAAP)
$75,393
 $71,354
 $141,053
 $125,301
$69,444
 $66,606
 $210,497
 $191,907


ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
Refer to information appearing under the caption “Management’s Discussion and Analysis of Financial Condition and Results of Operations” of this Form 10-Q. Furthermore, a discussion of market risk exposures is included in Part II, Item 7A, Quantitative and Qualitative Disclosure about Market Risk, of the Company’s Annual Report on Form 10-K for the year ended December 28, 2018. There have been no material changes in reported market risk since the inclusion of this discussion in the Company’s Annual Report on Form 10-K referenced above.
ITEM 4. CONTROLS AND PROCEDURES
a.Evaluation of Disclosure Controls and Procedures
Our management, including the principal executive officer and principal financial officer, evaluated our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934) related to the recording, processing, summarization and reporting of information in our reports that we file with the Securities and Exchange Commission as of June 28,September 27, 2019. These disclosure controls and procedures have been designed to provide reasonable assurance that material information relating to us, including our subsidiaries, is made known to our management, including these officers, by our employees, and that this information is recorded, processed, summarized, evaluated and reported, as applicable, within the time periods specified in the Securities and Exchange Commission’s rules and forms. Based on their evaluation, as of June 28,September 27, 2019, our principal executive officer and principal financial officer have concluded that our disclosure controls and procedures are effective.
b.Changes in Internal Control Over Financial Reporting
During the Company’s most recent fiscal quarter, there have been no changes in the Company’s internal control over financial reporting that have materially affected, or are reasonably likely to materially affect, the Company’s internal control over financial reporting.



PART II—OTHER INFORMATION
ITEM 1.LEGAL PROCEEDINGS
There were no new material legal proceedings that are required to be reported in the quarter ended June 28,September 27, 2019, and no material developments during the quarter in the Company’s legal proceedings as previously disclosed in the Company’s Annual Report on Form 10-K for the year ended December 28, 2018, except that with respect to the AVX litigation, (i) on July 31, 2019, the U. S.U.S. District Court for the District of Delaware entered an order in the AVX litigation denying AVX’s post-trial motion to overturn the jury verdict in favor of the Company.Company, (ii) on August 23, 2019, AVX filed its notice of appeal with the United States Court of Appeals for the Federal Circuit, and (iii) on September 5, 2019, the Company filed its notice of cross-appeal with the United States Court of Appeals for the Federal Circuit.
ITEM 1A.RISK FACTORS
There have been no material changes to the Company’s risk factors as previously disclosed in the Company’s Annual Report on Form 10-K for the year ended December 28, 2018.
ITEM 6.EXHIBITS
Exhibit Number Description
10.1#*
  
31.1* 
  
31.2* 
  
32.1** 
  
101.INS* XBRL Instance Document - the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document.
  
101.SCH* XBRL Extension Schema Document
  
101.CAL* XBRL Extension Calculation Linkbase Document
  
101.LAB* XBRL Extension Label Linkbase Document
  
101.PRE* XBRL Extension Presentation Linkbase Document
  
101.DEF* XBRL Extension Definition Linkbase Document
104Cover Page Interactive Data File (embedded within the Inline XBRL document and included in Exhibit 101).

*Filed herewith.
**Furnished herewith.
#Indicates exhibits that are management contracts or compensation plans or arrangements.


SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
Dated:August 1,October 31, 2019 INTEGER HOLDINGS CORPORATION
    
   By: /s/ Joseph W. Dziedzic
     Joseph W. Dziedzic
     President and Chief Executive Officer
     (Principal Executive Officer)
      
   By: /s/ Jason K. Garland
     Jason K. Garland
     
Executive Vice President and
  Chief Financial Officer
     (Principal Financial Officer)
     
   By: /s/ Tom P. Thomas
     Tom P. Thomas
     Vice President, Corporate Controller
     (Principal Accounting Officer)



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