UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 _____________________________________________________________ 
FORM 10-Q
 _____________________________________________________________ 
(Mark One)
QUARTERLY REPORT PURSUANT TO SECTION 13 or 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended July 2, 2021April 1, 2022
or
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from ____ to ____
Commission File Number 1-16137
 _____________________________________________________________ 
itgr-20220401_g1.jpg
INTEGER HOLDINGS CORPORATION
(Exact name of Registrant as specified in its charter)
 _____________________________________________________________ 
Delaware 16-1531026
(State or other jurisdiction of incorporation or organization) (I.R.S. Employer Identification No.)
5830 Granite Parkway,Suite 1150Plano,Texas 75024
(Address of principal executive offices) (Zip Code)
(214) 618-5243
(Registrant’s telephone number, including area code)
Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading Symbol(s)Name of each exchange on which registered
Common Stock, $0.001 par value per shareITGRNew York Stock Exchange
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    Yes      No  
Indicate by checkmark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).    Yes       No  
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
Large accelerated filer  Accelerated filerNon-accelerated filer
Smaller reporting company  Emerging growth company
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.   
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).    Yes      No  
The number of shares outstanding of the Company’s common stock, $0.001 par value per share, as of July 23, 2021April 22, 2022 was: 33,000,05833,102,550 shares.



INTEGER HOLDINGS CORPORATION
Form 10-Q
For the Quarterly Period Ended July 2, 2021April 1, 2022
TABLE OF CONTENTS
Page
ITEM 1.
ITEM 2.
ITEM 3.
ITEM 4.
ITEM 1.
ITEM 1A.
ITEM 6.

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Table of Contents
PART I—FINANCIAL INFORMATION
ITEM 1. FINANCIAL STATEMENTS
INTEGER HOLDINGS CORPORATION
CONDENSED CONSOLIDATED BALANCE SHEETS (Unaudited)
(in thousands except share and per share data)(in thousands except share and per share data)July 2,
2021
December 31,
2020
(in thousands except share and per share data)April 1,
2022
December 31,
2021
ASSETSASSETSASSETS
Current assets:Current assets:Current assets:
Cash and cash equivalentsCash and cash equivalents$30,581 $49,206 Cash and cash equivalents$25,668 $17,885 
Accounts receivable, net of provision for credit losses of $0.2 million, respectively175,533 156,207 
Accounts receivable, net of provision for credit losses of $0.1 million and $0.1 million, respectivelyAccounts receivable, net of provision for credit losses of $0.1 million and $0.1 million, respectively198,041 182,310 
InventoriesInventories147,836 149,323 Inventories173,313 155,699 
Refundable income taxesRefundable income taxes5,449 2,087 Refundable income taxes3,682 4,735 
Contract assetsContract assets56,824 40,218 Contract assets66,343 64,743 
Prepaid expenses and other current assetsPrepaid expenses and other current assets18,020 15,896 Prepaid expenses and other current assets27,743 27,610 
Total current assetsTotal current assets434,243 412,937 Total current assets494,790 452,982 
Property, plant and equipment, netProperty, plant and equipment, net251,070 253,964 Property, plant and equipment, net273,866 277,099 
GoodwillGoodwill853,309 859,442 Goodwill923,594 924,704 
Other intangible assets, netOther intangible assets, net730,079 757,224 Other intangible assets, net792,395 807,810 
Deferred income taxesDeferred income taxes4,396 4,398 Deferred income taxes5,702 5,711 
Operating lease assetsOperating lease assets48,528 45,153 Operating lease assets75,521 70,053 
Other long-term assetsOther long-term assets37,514 38,739 Other long-term assets42,174 43,856 
Total assetsTotal assets$2,359,139 $2,371,857 Total assets$2,608,042 $2,582,215 
LIABILITIES AND STOCKHOLDERS’ EQUITYLIABILITIES AND STOCKHOLDERS’ EQUITYLIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:Current liabilities:Current liabilities:
Current portion of long-term debtCurrent portion of long-term debt$37,500 $37,500 Current portion of long-term debt$15,250 $15,250 
Accounts payableAccounts payable69,303 51,570 Accounts payable90,018 76,859 
Income taxes payableIncome taxes payable34 1,847 Income taxes payable1,350 725 
Operating lease liabilitiesOperating lease liabilities7,946 8,431 Operating lease liabilities10,700 9,862 
Accrued expenses and other current liabilitiesAccrued expenses and other current liabilities49,344 56,843 Accrued expenses and other current liabilities55,764 56,933 
Total current liabilitiesTotal current liabilities164,127 156,191 Total current liabilities173,082 159,629 
Long-term debtLong-term debt631,204 693,758 Long-term debt814,382 812,876 
Deferred income taxesDeferred income taxes181,154 182,304 Deferred income taxes170,908 171,505 
Operating lease liabilitiesOperating lease liabilities43,121 37,861 Operating lease liabilities64,262 59,767 
Other long-term liabilitiesOther long-term liabilities24,961 30,688 Other long-term liabilities21,058 23,741 
Total liabilitiesTotal liabilities1,044,567 1,100,802 Total liabilities1,243,692 1,227,518 
Commitments and contingencies (Note 10)Commitments and contingencies (Note 10)00Commitments and contingencies (Note 10)00
Stockholders’ equity:Stockholders’ equity:Stockholders’ equity:
Common stock, $0.001 par value; 100,000,000 shares authorized; 32,999,051 and 32,908,178 shares issued and outstanding, respectively33 33 
Common stock, $0.001 par value; 100,000,000 shares authorized; 33,102,167 and 33,063,336 shares issued and outstanding, respectivelyCommon stock, $0.001 par value; 100,000,000 shares authorized; 33,102,167 and 33,063,336 shares issued and outstanding, respectively33 33 
Additional paid-in capitalAdditional paid-in capital707,119 700,814 Additional paid-in capital716,589 713,150 
Retained earningsRetained earnings568,469 517,516 Retained earnings625,691 614,324 
Accumulated other comprehensive incomeAccumulated other comprehensive income38,951 52,692 Accumulated other comprehensive income22,037 27,190 
Total stockholders’ equityTotal stockholders’ equity1,314,572 1,271,055 Total stockholders’ equity1,364,350 1,354,697 
Total liabilities and stockholders’ equityTotal liabilities and stockholders’ equity$2,359,139 $2,371,857 Total liabilities and stockholders’ equity$2,608,042 $2,582,215 
The accompanying notes are an integral part of these condensed consolidated financial statements.
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Table of Contents
INTEGER HOLDINGS CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
AND COMPREHENSIVE INCOME (Unaudited)
Three Months EndedSix Months Ended Three Months Ended
(in thousands except per share data)(in thousands except per share data)July 2,
2021
July 3,
2020
July 2,
2021
July 3,
2020
(in thousands except per share data)April 1,
2022
April 2,
2021
SalesSales$312,023 $240,115 $602,490 $568,541 Sales$310,912 $290,467 
Cost of salesCost of sales223,277 182,252 429,258 413,976 Cost of sales229,437 205,981 
Gross profitGross profit88,746 57,863 173,232 154,565 Gross profit81,475 84,486 
Operating expenses:Operating expenses:Operating expenses:
Selling, general and administrativeSelling, general and administrative35,379 33,903 70,881 70,360 Selling, general and administrative39,560 35,502 
Research, development and engineeringResearch, development and engineering13,738 12,746 27,199 25,987 Research, development and engineering16,083 13,461 
Other operating expenses279 2,029 1,194 4,957 
Restructuring and other chargesRestructuring and other charges3,335 915 
Total operating expensesTotal operating expenses49,396 48,678 99,274 101,304 Total operating expenses58,978 49,878 
Operating incomeOperating income39,350 9,185 73,958 53,261 Operating income22,497 34,608 
Interest expenseInterest expense7,532 9,273 16,064 19,634 Interest expense5,968 8,532 
(Gain) loss on equity investments684 205 2,019 (1,720)
Loss on equity investmentsLoss on equity investments2,404 1,335 
Other (income) loss, netOther (income) loss, net356 (458)119 (1,457)Other (income) loss, net177 (237)
Income before taxesIncome before taxes30,778 165 55,756 36,804 Income before taxes13,948 24,978 
Provision (benefit) for income taxes1,345 (224)4,803 5,315 
Provision for income taxesProvision for income taxes2,581 3,458 
Net incomeNet income$29,433 $389 $50,953 $31,489 Net income$11,367 $21,520 
Earnings per share:Earnings per share:Earnings per share:
BasicBasic$0.89 $0.01 $1.55 $0.96 Basic$0.34 $0.65 
DilutedDiluted$0.89 $0.01 $1.53 $0.95 Diluted$0.34 $0.65 
Weighted average shares outstanding:Weighted average shares outstanding:Weighted average shares outstanding:
BasicBasic32,982 32,834 32,970 32,820 Basic33,091 32,957 
DilutedDiluted33,254 33,129 33,221 33,123 Diluted33,302 33,188 
Comprehensive IncomeComprehensive IncomeComprehensive Income
Net incomeNet income$29,433 $389 $50,953 $31,489 Net income$11,367 $21,520 
Other comprehensive income (loss):
Foreign currency translation gain (loss)2,484 12,948 (13,880)916 
Other comprehensive loss:Other comprehensive loss:
Foreign currency translation lossForeign currency translation loss(7,887)(16,364)
Change in fair value of cash flow hedges, net of taxChange in fair value of cash flow hedges, net of tax845 2,204 139 (6,425)Change in fair value of cash flow hedges, net of tax2,734 (706)
Other comprehensive income (loss), net of tax3,329 15,152 (13,741)(5,509)
Other comprehensive loss, net of taxOther comprehensive loss, net of tax(5,153)(17,070)
Comprehensive income, net of taxComprehensive income, net of tax$32,762 $15,541 $37,212 $25,980 Comprehensive income, net of tax$6,214 $4,450 
The accompanying notes are an integral part of these condensed consolidated financial statements.
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INTEGER HOLDINGS CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited)
Six Months Ended Three Months Ended
(in thousands)(in thousands)July 2,
2021
July 3,
2020
(in thousands)April 1,
2022
April 2,
2021
Cash flows from operating activities:Cash flows from operating activities:Cash flows from operating activities:
Net incomeNet income$50,953 $31,489 Net income$11,367 $21,520 
Adjustments to reconcile net income to net cash provided by operating activities:Adjustments to reconcile net income to net cash provided by operating activities:Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortizationDepreciation and amortization40,419 39,074 Depreciation and amortization22,542 20,294 
Debt related charges included in interest expenseDebt related charges included in interest expense2,446 2,045 Debt related charges included in interest expense481 1,372 
Inventory step-up amortizationInventory step-up amortization798 — 
Stock-based compensationStock-based compensation8,953 3,242 Stock-based compensation4,995 4,704 
Non-cash (gains) charges related to customer bankruptcy(15)567 
Non-cash lease expenseNon-cash lease expense3,947 3,875 Non-cash lease expense2,539 2,004 
Non-cash (gain) loss on equity investments2,019 (1,720)
Contingent consideration fair value adjustment(500)
Non-cash loss on equity investmentsNon-cash loss on equity investments2,404 1,335 
Other non-cash lossesOther non-cash losses44 539 Other non-cash losses1,328 45 
Deferred income taxesDeferred income taxes(242)39 Deferred income taxes(709)(242)
Changes in operating assets and liabilities, net of acquisition:
Changes in operating assets and liabilities:Changes in operating assets and liabilities:
Accounts receivableAccounts receivable(19,141)44,115 Accounts receivable(15,998)(9,373)
InventoriesInventories898 (5,933)Inventories(20,153)(5,157)
Prepaid expenses and other assetsPrepaid expenses and other assets(2,604)(3,943)Prepaid expenses and other assets(458)(189)
Contract assetsContract assets(16,792)(12,621)Contract assets(1,754)(4,677)
Accounts payableAccounts payable16,937 (5,854)Accounts payable14,997 11,434 
Accrued expenses and other liabilitiesAccrued expenses and other liabilities(13,737)(18,195)Accrued expenses and other liabilities(5,851)(7,887)
Income taxesIncome taxes(5,298)1,735 Income taxes1,633 1,246 
Net cash provided by operating activitiesNet cash provided by operating activities68,787 77,954 Net cash provided by operating activities18,161 36,429 
Cash flows from investing activities:Cash flows from investing activities:Cash flows from investing activities:
Acquisition of property, plant and equipmentAcquisition of property, plant and equipment(18,416)(26,680)Acquisition of property, plant and equipment(10,863)(7,660)
Purchase of intangible asset(4,107)
Proceeds from sale of property, plant and equipmentProceeds from sale of property, plant and equipment15 52 Proceeds from sale of property, plant and equipment465 15 
Acquisitions, net(5,219)
Net cash used in investing activitiesNet cash used in investing activities(18,401)(35,954)Net cash used in investing activities(10,398)(7,645)
Cash flows from financing activities:Cash flows from financing activities:Cash flows from financing activities:
Principal payments of long-term debt(64,750)(18,750)
Principal payments of term loansPrincipal payments of term loans(3,813)(45,375)
Proceeds from senior secured revolving line of credit185,000 
Payments of senior secured revolving line of credit(15,000)
Proceeds from revolving credit facilityProceeds from revolving credit facility15,000 — 
Payments of revolving credit facilityPayments of revolving credit facility(10,000)— 
Proceeds from the exercise of stock optionsProceeds from the exercise of stock options340 2,474 Proceeds from the exercise of stock options— 116 
Payment of debt issuance costsPayment of debt issuance costs(141)Payment of debt issuance costs— (72)
Tax withholdings related to net share settlements of restricted stock unit awardsTax withholdings related to net share settlements of restricted stock unit awards(2,988)(2,779)Tax withholdings related to net share settlements of restricted stock unit awards(1,556)(2,601)
Contingent consideration paymentsContingent consideration payments(1,621)Contingent consideration payments(493)(1,621)
Principal payments on finance leasesPrincipal payments on finance leases(24)Principal payments on finance leases(166)(9)
Net cash (used in) provided by financing activities(69,184)150,945 
Net cash used in financing activitiesNet cash used in financing activities(1,028)(49,562)
Effect of foreign currency exchange rates on cash and cash equivalentsEffect of foreign currency exchange rates on cash and cash equivalents173 (236)Effect of foreign currency exchange rates on cash and cash equivalents1,048 (26)
Net increase (decrease) in cash and cash equivalentsNet increase (decrease) in cash and cash equivalents(18,625)192,709 Net increase (decrease) in cash and cash equivalents7,783 (20,804)
Cash and cash equivalents, beginning of periodCash and cash equivalents, beginning of period49,206 13,535 Cash and cash equivalents, beginning of period17,885 49,206 
Cash and cash equivalents, end of periodCash and cash equivalents, end of period$30,581 $206,244 Cash and cash equivalents, end of period$25,668 $28,402 
The accompanying notes are an integral part of these condensed consolidated financial statements.
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INTEGER HOLDINGS CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY (Unaudited)
Three Months EndedSix Months Ended Three Months Ended
(in thousands)(in thousands)July 2,
2021
July 3,
2020
July 2,
2021
July 3,
2020
(in thousands)April 1,
2022
April 2,
2021
Total stockholders’ equity, beginning balanceTotal stockholders’ equity, beginning balance$1,277,724 $1,164,201 $1,271,055 $1,152,488 Total stockholders’ equity, beginning balance$1,354,697 $1,271,055 
Common stock and additional paid-in capitalCommon stock and additional paid-in capitalCommon stock and additional paid-in capital
Balance, beginning of periodBalance, beginning of period703,066 694,779 700,847 701,051 Balance, beginning of period713,183 700,847 
Stock awards exercised or vestedStock awards exercised or vested(163)(599)(2,648)(8,609)Stock awards exercised or vested(1,556)(2,485)
Stock-based compensationStock-based compensation4,249 1,504 8,953 3,242 Stock-based compensation4,995 4,704 
Balance, end of periodBalance, end of period707,152 695,684 707,152 695,684 Balance, end of period716,622 703,066 
Treasury stock
Balance, beginning of period(1,263)(8,809)
Treasury shares reissued754 8,300 
Balance, end of period(509)(509)
Retained earningsRetained earningsRetained earnings
Balance, beginning of periodBalance, beginning of period539,036 471,358 517,516 440,258 Balance, beginning of period614,324 517,516 
Net incomeNet income29,433 389 50,953 31,489 Net income11,367 21,520 
Balance, end of periodBalance, end of period568,469 471,747 568,469 471,747 Balance, end of period625,691 539,036 
Accumulated other comprehensive incomeAccumulated other comprehensive incomeAccumulated other comprehensive income
Balance, beginning of periodBalance, beginning of period35,622 (673)52,692 19,988 Balance, beginning of period27,190 52,692 
Other comprehensive income (loss)3,329 15,152 (13,741)(5,509)
Other comprehensive lossOther comprehensive loss(5,153)(17,070)
Balance, end of periodBalance, end of period38,951 14,479 38,951 14,479 Balance, end of period22,037 35,622 
Total stockholders’ equity, ending balanceTotal stockholders’ equity, ending balance$1,314,572 $1,181,401 $1,314,572 $1,181,401 Total stockholders’ equity, ending balance$1,364,350 $1,277,724 
The accompanying notes are an integral part of these condensed consolidated financial statements.
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INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)

(1.)    BASIS OF PRESENTATION
Integer Holdings Corporation (together with its consolidated subsidiaries, “Integer” or the “Company”) is a publicly-traded corporation listed on the New York Stock Exchange under the symbol “ITGR.” Integer is one of the largesta medical device outsource manufacturers in the worldmanufacturer 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.
The accompanying unaudited condensed consolidated financial statements have been preparedare presented in accordance with accounting principles generally accepted in the rules and regulations of the United States of America (“GAAP”("U.S.") for interim financial information (Accounting Standards Codification (“ASC”Securities and Exchange Commission ("SEC") 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 necessarydisclosures normally required by U.S. generally accepted accounting principles (“U.S. GAAP”) as contained in the Company’s Annual Report on Form 10-K. Accordingly, these condensed consolidated financial statements should be read in conjunction with the consolidated financial statements and notes thereto included in the Company’s most recent Annual Report on Form 10-K for a full presentation of financial position, results of operations, and cash flows in conformity with GAAP. the fiscal year ended December 31, 2021.
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.
OperatingThe results for interim periods are not necessarily indicative of results or trends that may be expected for the fiscal year as a whole. The preparation ofcondensed consolidated financial statements in conformity withwere prepared using U.S. GAAP, requireswhich require management to make estimates and assumptions that affect the reported amounts of assets, liabilities, certain components of equity, sales, expenses, and related disclosures at the date of the financial statements and during the reporting period. Actual results could differ materially from these estimates. For further information, refer to the consolidated financial statements and notes included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2020.
The second quarterfirst quarters of 2022 and first six months of 2021 ended on JulyApril 1 and April 2, and consisted of 92 day sand 183 days, respectively. The second quarter and first six months of 2020 ended on July 3respectively, and consisted of 91 days and 18592 days, respectively.
Reclassifications
Certain prior period amounts have been reclassified to conform to current year presentation. Refer to Note 14, “Segment Information,” for a description of the changes made to the Company’s prior period product line sales classification to reflect the current year presentation. Refer to Note 5, “Goodwill and Other Intangibles, Net,” for a description of the changes made to the Company’s prior period definite-lived asset classification to reflect the current year presentation.
Risks and Uncertainties
Beginning in early March 2020, the global spread of the novel coronavirus (“COVID-19”) has created significant uncertainty and worldwide economic disruption. Specific impacts to the Company’s business included and continue to include labor shortages, disruptions in the supply chain, delayed or reduced customer orders and sales, restrictions on associates’ ability to travel or work, and delays in shipments to and from certain countries. The extentCompany is uncertain of the future impact of the ongoing COVID-19 pandemic or recovery of prior deterioration in economic conditions to which COVID-19its sales channels, supply chain, manufacturing, and distribution. Additionally, the current conflict between Russia and Ukraine and the related sanctions and other penalties imposed by countries across the globe against Russia are creating substantial uncertainty in the global economy. While the Company does not have operations in Russia or Ukraine and does not have significant direct exposure to customers and vendors in those countries, it is unable to predict the impact that these actions will continue to impacthave on the global economy or on the Company’s operations depends on future developments, which remain highly uncertain and difficult to predict, including, among others, the duration of the outbreak, the effectiveness and utilization of vaccines for COVID-19 and its variants, new information that may emerge concerning the severity of COVID-19 and the actions, especially those taken by governmental authorities to contain the pandemic or treat its impact. As pandemic-related events continue to evolve, additional impacts may arise that the Company is not aware of currently. Any prolonged material disruption of the Company’s labor force, suppliers, manufacturing, or customers could materially impact its consolidated financial position,condition, results of operations, orand cash flows.flows as of the date of these financial statements.
Recent Accounting Pronouncements
The Company considers the applicability and impact of all Accounting Standard Updates (“ASU”) issued by the Financial Accounting Standards Board (“FASB”). The Company evaluated all recent accounting pronouncements issued, including those that are currently effective, and determined that the adoption of these pronouncements would not have a material effect on the financial position, results of operations or cash flows of the Company. There have been no new or material changes to the significant accounting policies discussed in the Company’s Annual Report on Form 10-K for the year ended December 31, 2020,2021, that are of significance, or potential significance, to the Company.
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INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)


(2.)    BUSINESS ACQUISITIONACQUISITIONS
2021 Acquisition
On February 19, 2020,December 1, 2021, the Company acquired certain assets100% of the equity interests of Oscor Inc., Oscor Caribe, LLC and liabilitiesOscor Europe GmbH (collectively “Oscor”), privately-held companies with operations in Florida, the Dominican Republic and Germany that design, develop, manufacture and market a comprehensive portfolio of InoMec Ltd. (“InoMec”), a privately-held company based in Israel that specializes in the research, development and manufacturing ofhighly specialized medical devices, including minimally invasive tools, deliveryvenous access systems tubing and diagnostic catheters surgery tools, drug-device combination, laser combinedand implantable devices for a cash purchase price of $220.4 million, of which $2.6 million is net cash acquired subject to payment in connection with working capital and tooling and production. The acquisition enablesother closing adjustments. Serving the Company to create aCompany’s current markets, Oscor broadens the Company’s product portfolio, expands its research and development center in Israel, closercapabilities, and adds low-cost manufacturing capacity. The Company used proceeds from its Senior Secured Credit Facilities to fund the customer baseacquisition. Oscor is included in the region.Company’s Medical segment. The goodwill is primarily associated with future customer relationships and an acquired assembled work force.
The Company has provisionally estimated fair valuevalues for the assets purchased, liabilities assumed and purchase consideration as of the consideration transferred was $7.0 million, which included an initial cash paymentdate of $5.3 million and $1.7 million inthe acquisition. The determination of estimated fair value of contingent consideration.
The contingent consideration represents the estimated fair value of the Company’s obligation, under the asset purchase agreement,required management to make additional payments of up to $3.5 million over the four years following the acquisitionsignificant estimates and assumptions based on specified conditions being met. Based oninformation that was available at the finaltime the consolidated financial statements were prepared. The Company recorded the preliminary purchase price allocation in the fourth quarter of 2021. During the first quarter of 2022, the Company recorded measurement period adjustment resulting in an increase to goodwill of $2.9 million which consisted of a $1.0 million decrease in inventory and a $1.9 million increase in current liabilities. The preliminary purchase price allocation remains subject to working capital adjustments. As a result, the allocation of the provisional purchase price may change in the future.
The following table summarizes the preliminary fair values of the assets acquired principally comprise $2.0 million of intangible assets, $4.8 million of goodwill, $0.3 million of acquired property, plant and liabilities assumed (in thousands):
Fair value of net assets acquired
Current assets (excluding inventory)$12,148 
Inventory11,270 
Property, plant and equipment17,977 
Goodwill80,778 
Intangible assets105,300 
Operating lease assets15,142 
Other noncurrent assets695 
Current liabilities(10,824)
Operating lease liabilities(12,044)
Fair value of net assets acquired$220,442 
Actual and a net liability for other working capital items of $0.1 million. Intangible assets included developed technology, customer relationships and non-compete provisions, which are being amortized over a weighted average period of 5.9 years from the date of acquisition.
The amount allocated to goodwill for this acquisition is deductible for income tax purposes. The fair value of the contingent consideration was estimated using the Monte Carlo valuation approach. See Note 13 “Financial Instruments and Fair Value Measurements” for additional information related to the fair value measurement of the contingent consideration.Pro Forma (unaudited) disclosures
For segment reporting purposes, the results of operations and assets from this acquisitionthe Oscor have been included in the Company’s Medical segment since the acquisition date. SalesFor the three months ended April 1, 2022, sales related to InoMecOscor were$0.9 $19.0 million.and $1.7 million, respectively, for the three and six months ended July 2, 2021. Sales related to InoMec were$0.8 millionand $1.1 million, respectively, for the three and six months ended July 3, 2020. Earnings related to the operations consistingof Oscor for the three months ended April 1, 2022 were not material.
Pro forma results of operations for the three months ended April 2, 2021, assuming the acquisition of Oscor occurred as of the beginning of fiscal year 2020, are presented in the following table (in thousands). The pro forma results include the historical results of operations of the Company and Oscor, as well as adjustments for additional amortization of the assets acquired, additional interest expense related to the financing of the transaction and liabilities acquiredother transactional adjustments. The pro forma results do not include efficiencies, cost reductions or synergies expected to result from InoMec for the three and six months ended July 2, 2021 and July 3, 2020 wereacquisition. These pro forma results do not material. purport to be indicative of the results that would have been obtained, or to be a projection of results that may be obtained in the future.
Sales$304,101 
Net income19,936 
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INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)
(2.)    BUSINESS ACQUISITIONS (Continued)
Acquisition costs
During the three and six months ended on July 3, 2020,April 1, 2022, direct costs of this acquisition of $0.1$0.4 million and $0.8 million, respectively, were expensed as incurred and included in Other operating expensesRestructuring and other charges in the Condensed Consolidated Statements of Operations and Comprehensive Income.
Pro forma financial information has not been presented for this acquisition as the net effects were not significant or material to the Company’s results of operations or financial position.
(3.)    SUPPLEMENTAL CASH FLOW INFORMATION
The following is supplemental information relating to the Condensed Consolidated Statements of Cash Flows (in thousands):
Six Months EndedThree Months Ended
July 2,
2021
July 3,
2020
April 1,
2022
April 2,
2021
Noncash investing and financing activities:Noncash investing and financing activities:Noncash investing and financing activities:
Property, plant and equipment purchases included in accounts payableProperty, plant and equipment purchases included in accounts payable$4,364 $3,282 Property, plant and equipment purchases included in accounts payable$3,688 $2,981 
Purchase of intangible asset included in accrued expenses500 
Supplemental lease disclosures:Supplemental lease disclosures:Supplemental lease disclosures:
Operating lease assets obtained in exchange for new or remeasured operating
lease liabilities
7,435 7,556 
Assets acquired under operating leasesAssets acquired under operating leases7,914 7,414 
(4.)    INVENTORIES
Inventories comprise the following (in thousands):
July 2,
2021
December 31,
2020
April 1,
2022
December 31,
2021
Raw materialsRaw materials$62,938 $72,477 Raw materials$75,749 $70,956 
Work-in-processWork-in-process72,482 58,806 Work-in-process84,586 74,152 
Finished goodsFinished goods12,416 18,040 Finished goods12,978 10,591 
TotalTotal$147,836 $149,323 Total$173,313 $155,699 
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INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)


(5.)     GOODWILL AND OTHER INTANGIBLE ASSETS, NET
Goodwill
The changes in the carrying amount of goodwill by reportable segment for the sixthree months ended July 2, 2021April 1, 2022 were as follows (in thousands):
MedicalNon- MedicalTotal
December 31, 2020$842,442 $17,000 $859,442 
Foreign currency translation(6,133)(6,133)
July 2, 2021$836,309 $17,000 $853,309 
MedicalNon- MedicalTotal
December 31, 2021$907,704 $17,000 $924,704 
Acquisitions and related adjustments (Note 2)2,891 — 2,891 
Foreign currency translation(4,001)— (4,001)
April 1, 2022$906,594 $17,000 $923,594 
Intangible Assets
The Company reclassified purchased tradenames with a net carrying value of $16.2 million from Purchased technology and patents as of December 31, 2021 to Amortizing tradenames and other to conform to the current period presentation. The Company made this reclassification to better align with the classification of amortization expense for similar assets. Intangible assets comprise the following (in thousands):
Gross
Carrying
Amount
Accumulated
Amortization
Net
Carrying
Amount
Gross
Carrying
Amount
Accumulated
Amortization
Net
Carrying
Amount
July 2, 2021
April 1, 2022April 1, 2022
Definite-lived:Definite-lived:Definite-lived:
Purchased technology and patentsPurchased technology and patents$255,872 $(158,610)$97,262 Purchased technology and patents$268,350 $(167,423)$100,927 
Customer listsCustomer lists717,156 (174,810)542,346 Customer lists779,412 (194,174)585,238 
Other4,132 (3,949)183 
Amortizing tradenames and otherAmortizing tradenames and other20,447 (4,505)15,942 
Total amortizing intangible assetsTotal amortizing intangible assets$977,160 $(337,369)$639,791 Total amortizing intangible assets$1,068,209 $(366,102)$702,107 
Indefinite-lived:Indefinite-lived:Indefinite-lived:
Trademarks and tradenamesTrademarks and tradenames$90,288 Trademarks and tradenames$90,288 
December 31, 2020
December 31, 2021December 31, 2021
Definite-lived:Definite-lived:Definite-lived:
Purchased technology and patentsPurchased technology and patents$257,453 $(152,798)$104,655 Purchased technology and patents$269,359 $(164,298)$105,061 
Customer listsCustomer lists723,791 (161,856)561,935 Customer lists783,618 (187,412)596,206 
Other4,142 (3,796)346 
Amortizing tradenames and otherAmortizing tradenames and other20,462 (4,207)16,255 
Total amortizing intangible assetsTotal amortizing intangible assets$985,386 $(318,450)$666,936 Total amortizing intangible assets$1,073,439 $(355,917)$717,522 
Indefinite-lived:Indefinite-lived:Indefinite-lived:
Trademarks and tradenamesTrademarks and tradenames$90,288 Trademarks and tradenames$90,288 
Aggregate intangible asset amortization expense comprises the following (in thousands):
Three Months EndedSix Months Ended Three Months Ended
July 2,
2021
July 3,
2020
July 2,
2021
July 3,
2020
April 1,
2022
April 2,
2021
Cost of salesCost of sales$3,233 $3,172 $6,501 $6,441 Cost of sales$3,645 $3,268 
Selling, general and administrative expensesSelling, general and administrative expenses7,106 6,979 14,288 14,154 Selling, general and administrative expenses7,959 7,182 
Total intangible asset amortization expenseTotal intangible asset amortization expense$10,339 $10,151 $20,789 $20,595 Total intangible asset amortization expense$11,604 $10,450 
Estimated future intangible asset amortization expense based on the carrying value as of July 2, 2021April 1, 2022 is as follows (in thousands):
Remainder of 20212022202320242025After 2025
Amortization Expense$20,592 40,233 38,812 37,858 36,542 465,754 
Remainder of 20222023202420252026After 2026
Amortization Expense$34,782 48,257 47,349 45,724 43,397 482,598 
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INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)


(6.)     DEBT
Long-term debt comprises the following (in thousands):
 July 2,
2021
December 31,
2020
Senior secured term loan A$210,937 $229,687 
Senior secured term loan B462,286 508,286 
Unamortized discount on term loan B and debt issuance costs(4,519)(6,715)
Total debt668,704 731,258 
Current portion of long-term debt(37,500)(37,500)
Total long-term debt$631,204 $693,758 
The Company has senior secured credit facilities (the “Senior Secured Credit Facilities”) as, which consist of July 2, 2021, consisting of (i) a $200five-year $400 million revolving credit facility (the “Revolving Credit Facility”), (ii) a termfive-year “term A” loan A facility (the “TLA Facility”), and (iii) a termseven-year “term B” loan B facility (the “TLB Facility”). The and, together with the TLA Facility, and TLB Facility are collectively referred to as the “Term Loan Facilities.”Facilities”). The TLB Facility was issued at a 1%0.50% discount. The
Long-term debt related to the Senior Secured Credit Facilities mature on October 27, 2022. The Company expects to refinance its Senior Secured Credit Facilities prior to October 27, 2021.as of April 1, 2022 and December 31, 2021, respectively, comprises the following (in thousands):
 April 1,
2022
December 31,
2021
Senior secured term loan A$464,125 $467,062 
Senior secured term loan B348,250 349,125 
Senior secured revolving credit facility24,300 19,300 
Unamortized discount on term loan B and deferred debt issuance costs(7,043)(7,361)
Total debt829,632 828,126 
Current portion of long-term debt(15,250)(15,250)
Total long-term debt$814,382 $812,876 
Revolving Credit Facility
The Revolving Credit Facility matures on September 2, 2026 and includes a $15$40 million sublimit for swingline loans and a $25 million sublimit for standby letters of credit. As of April 1, 2022, the Company had available borrowing capacity on the Revolving Credit Facility of $370.2 million after giving effect to $24.3 million of outstanding borrowings and $5.5 million of outstanding standby letters of credit.
Interest rates on the Revolving Credit Facility are at the Company’s option, either at: (i) the applicable LIBOR (or an applicable benchmark replacement) plus the applicable margin, which will range between 1.25% and 2.25%, based on the Company’s Total Net Leverage Ratio (as defined in the Senior Secured Credit Facilities agreement), or (ii) the Base Rate (as defined below) plus the applicable margin, which will range between 0.25% and 1.25%, based on the Company’s Total Net Leverage Ratio. The Base Rate is defined, for any day, as the per annum rate equal to the highest of (i) the prime rate (as defined in the Senior Secured Credit Facilities agreement), (ii) the Federal Funds Rate, as published by the Federal Reserve Bank of New York, plus 0.50%, and (iii) one-month LIBOR plus 1.00%. As of April 1, 2022, the interest rate on outstanding borrowings under the Revolving Credit Facility was 1.96%.
The Company is required to pay a commitment fee on the unused portion of the Revolving Credit Facility, which will range between 0.175%0.15% and 0.25%, depending on the Company’s Total Net Leverage Ratio (as defined in the Senior Secured Credit Facilities agreement). Ratio. As of July 2, 2021,April 1, 2022, the commitment fee on the unused portion of the Revolving Credit Facility was 0.25%0.15%. Interest rates
Term Loan Facilities
The TLA Facility and TLB Facility mature on September 2, 2026 and September 2, 2028, respectively, and require quarterly installments. The quarterly principal installments under the Revolving CreditTLA Facility as well asincrease over the term of the loan. The interest rate terms for the TLA Facility are at the Company’s option, either at: (i) the prime rate plus the applicable margin, which will range between 0.50% and 2.00%, based on the Company’s Total Net Leverage Ratio, or (ii) the applicable London Interbank Offered Rate (“LIBOR”) plus the applicable margin, which will range between 1.50% and 3.00%, based on the Company’s Total Net Leverage Ratio. The Company also pays certain of its lenders a deferred amendment fee, payable in installments of 0.03125% of the outstanding Revolving Credit Facility and TLA Facility each quarter through maturity when the Company’s total net leverage ratio equals or exceeds 3.00 to 1.00.
As of July 2, 2021, the Company had 0 outstanding borrowings onsame as those outlined above for the Revolving Credit Facility and an available borrowing capacity of $194.3 million after giving effect to $5.7 million of outstanding standby letters of credit.
Term Loan Facilities
Facility. Interest rates on the TLB Facility are, at the Company’s option, either at: (i) the prime rate plus 1.50% or (ii) the applicable LIBOR rate plus 2.50%, with LIBOR subject to a 1.00% floor.0.50% floor, or (ii) the Base Rate plus 1.50%. As of July 2, 2021,April 1, 2022, the interest rates on the TLA Facility and TLB Facility were 2.35%1.96% and 3.50%3.00%, respectively.
Covenants
The Senior Secured Credit Facilities agreement contains customary terms and conditions, including representations and warranties and affirmative and negative covenants, as well as financial covenants for the benefit of the lenders under the Revolving Credit Facility and the TLA Facility, contain covenants requiring (A)which require that (i) the Company maintain a maximum Total Net Leverage Ratio of 4.75:not to exceed 5.50:1.00 subject to a step(stepping down to 4.50 to 5.00:1.00 for the third fiscal quarter of 2021, and reverting to and remaining at 4.00 to 1.00 beginning with the fourth quarter of 20212023 through maturity and (B) a minimumsubject to increase in certain circumstances following qualified acquisitions, but shall not exceed 5.50:1.00) and (ii) the Company maintain an interest coverage ratio of adjusted EBITDA (as defined in the Senior Secured Credit Facilities) to interest expense of not less than 3.00:at least 2.50:1.00. The TLB Facility does not contain any financial maintenance covenants. As of July 2, 2021,April 1, 2022, the Company was in compliance with these financial covenants.

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INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)
(6.)     DEBT (Continued)
Contractual maturities under the Senior Secured Credit Facilities for the remainder of 20212022 and through maturity, excluding any discounts or premiums, as of July 2, 2021April 1, 2022 are as follows (in thousands):
20212022
Future minimum principal payments$18,750 654,473 
Remainder of 20222023202420252026After 2026
Future minimum principal payments$11,438 18,187 29,938 38,750 406,737 331,625 
The Company's TLA facility requires quarterly minimum principal payments of $9.4 million. The Company's TLB facility has no contractual minimum pre-payments. During the six months ended July 2, 2021, the Company prepaid $46.0 million of its TLB Facility and recognized a loss from extinguishment of debt of $0.4 million. The loss from extinguishment of debt represents the portion of the unamortized discount and debt issuance costs related to the portion of the TLB Facility that was prepaid and is included in Interest expense in the accompanying Condensed Consolidated Statements of Operations and Comprehensive Income.
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INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)


(7.)     STOCK-BASED COMPENSATION
The Company’Company maintains certain stock-based compensation plans that were approved by the Company’s stockholders and are administered by the Board of Directors (the “Board”) or the Compensation and Organization Committee of the Board. The stock-based compensation plans provide for the granting of stock options, restricted stock awards, restricted stock units (“RSUs”), stock appreciation rights and stock bonuses to employees, non-employee directors, consultants, and service providers.
On March 25, 2021, the Company’s Board adopted, subject to stockholder approval, the Integer Holdings Corporation 2021 Omnibus Incentive Plan (the “2021 Plan”). The Company’s stockholders approved the 2021 Plan at the Company’s 2021 annual meeting of stockholders on May 19, 2021, at which time the 2021 Plan replaced the Company’s 2016 Stock Incentive Plan (the “2016 Plan”) and the Company ceased granting any new awards under the 2016 Plan. The number of shares initially reserved for issuance under the 2021 Plan is (i) 1,450,000 plus (ii) the total number of shares of common stock available for issuance under the 2016 Plan, plus (iii) any shares of common stock that are subject to awards forfeited, cancelled, expired, terminated or otherwise lapsed or settled in cash, in whole or in part, without the delivery of shares under the 2016 Plan. Each of the Company’s 2011 Stock Incentive Plan, the 2009 Stock Incentive Plan and the 2005 Stock Incentive Plan have expired, and no awards are available for issuance under these expired plans.Stock-based Compensation Expense
The components and classification of stock-based compensation expense were as follows (in thousands):
Three Months EndedSix Months Ended Three Months Ended
July 2,
2021
July 3,
2020
July 2,
2021
July 3,
2020
April 1,
2022
April 2,
2021
Stock options$$10 $$23 
RSUs4,249 1,494 8,953 3,219 
RSUs and PRSUsRSUs and PRSUs$4,995 $4,704 
Total stock-based compensation expenseTotal stock-based compensation expense$4,249 $1,504 $8,953 $3,242 Total stock-based compensation expense$4,995 $4,704 
Cost of salesCost of sales$823 $230 $1,937 $684 Cost of sales$769 $1,114 
Selling, general and administrativeSelling, general and administrative3,215 1,153 6,570 2,289 Selling, general and administrative3,545 3,355 
Research, development and engineeringResearch, development and engineering211 121 446 269 Research, development and engineering325 235 
Restructuring and other chargesRestructuring and other charges356 — 
Total stock-based compensation expenseTotal stock-based compensation expense$4,249 $1,504 $8,953 $3,242 Total stock-based compensation expense$4,995 $4,704 
Stock Options
The following table summarizes the Company’s stock option activity for the sixthree month period ended July 2, 2021:April 1, 2022:
Number of
Stock
Options
Weighted
Average
Exercise
Price
Weighted
Average
Remaining
Contractual
Life
(In Years)
Aggregate
Intrinsic
Value
(In Millions)
Outstanding at December 31, 2020281,873 $36.05 
Exercised(15,075)22.50 
Outstanding and exercisable at July 2, 2021266,798 $36.81 4.4$15.6 
Number of
Stock
Options
Weighted
Average
Exercise
Price
Weighted
Average
Remaining
Contractual
Life
(In Years)
Aggregate
Intrinsic
Value
(In Millions)
Outstanding at December 31, 2021247,640 $38.03 
No activity— — 
Outstanding and exercisable at April 1, 2022247,640 $38.03 3.9$11.0 
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INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)
(7.)     STOCK-BASED COMPENSATION (Continued)
Restricted Stock Units
During the sixthree months ended July 2, 2021,April 1, 2022, the Company awarded grants of either time-based RSUs or a mix of time-based RSUs and performance-based RSUs (“PRSUs”) to certain members of its Board and management. New Board members appointed during the first quarter of 2021 received a pro-rated portion of the their annual equity retainer in the form of time-based RSUs that vest in accordance with the regularly scheduled vesting schedule applicable to existing members of the Board. All otherMost time-based RSUs granted during sixthe three months ended July 2, 2021April 1, 2022 vest over a period of three years from the grant date, subject to the recipient’s continuous service to the Company. The grant-date fair value of all time-based RSUs is equal to the closing market price of Integer common stock on the date of grant.
The following table summarizes time-vested RSU activity for the three month period ended April 1, 2022:
Time-Vested
Activity
Weighted
Average
Grant Date Fair Value
Nonvested at December 31, 2021248,131 $81.14 
Granted133,995 79.76 
Vested(60,814)78.49 
Forfeited(9,613)78.98 
Nonvested at April 1, 2022311,699 $81.13 
For the Company’s PRSUs, in addition to service conditions, the ultimate number of shares to be earned depends on the achievement of market-based performance conditions. The market-based performance 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.periods, or contingent upon achieving specified stock price milestones over a five year performance period.
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INTEGER HOLDINGS CORPORATIONThe following table summarizes PRSU activity for the three month period ended April 1, 2022:
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)


(7.)     STOCK-BASED COMPENSATION (Continued)
Performance-
Vested
Activity
Weighted
Average
Grant Date Fair Value
Nonvested at December 31, 2021198,869 $92.07 
Granted131,393 90.84 
Forfeited(51,375)99.62 
Nonvested at April 1, 2022278,887 $90.10 
The Company uses a Monte Carlo simulation model to determine the grant-date fair value of awards with TSR-basedmarket-based performance conditions. The grant-date fair value of all other RSUsPRSUs 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 PRSUsPRSU awards granted with market-based performance conditions are as follows:
Six Months Ended Three Months Ended
July 2,
2021
July 3,
2020
April 1,
2022
April 2,
2021
Weighted average fair valueWeighted average fair value$85.16 $107.42 Weighted average fair value$97.58 $85.16 
Risk-free interest rateRisk-free interest rate0.19 %1.53 %Risk-free interest rate1.58 %0.19 %
Expected volatilityExpected volatility41 %30 %Expected volatility42 %41 %
Expected life (in years)Expected life (in years)3.02.9Expected life (in years)3.93.0
Expected dividend yieldExpected dividend yield%%Expected dividend yield— %— %
The valuation of the TSR portion of themarket-based PRSUs granted during 20212022 and 20202021 also reflects a weighted average illiquidity discount of 8.19%9.25% and 8.00%8.19%, respectively, related to the six-month period that recipients are restricted from selling, transferring, pledging or assigning the underlying shares, in the event of vesting.
The following table summarizes time-vested RSU activity for the six month period ended July 2, 2021:
Time-Vested
Activity
Weighted
Average
Grant Date Fair Value
Nonvested at December 31, 2020207,923 $75.38 
Granted187,273 81.94 
Vested(80,844)65.01 
Forfeited(11,489)79.58 
Nonvested at July 2, 2021302,863 $82.05 
The following table summarizes PRSU activity for the six month period ended July 2, 2021:
Performance-
Vested
Activity
Weighted
Average
Grant Date Fair Value
Nonvested at December 31, 2020219,391 $72.33 
Granted92,345 85.16 
Vested(38,882)37.75 
Forfeited(67,952)50.37 
Nonvested at July 2, 2021204,902 $91.95 
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INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)


(8.)     RESTRUCTURING AND OTHER OPERATING EXPENSESCHARGES
OtherThe Company continuously evaluates the business and identifies opportunities to realign its resources to better serve its customers and markets, improve operational efficiency and capabilities, and lower its operating costs or improve profitability. To realize the benefits associated with these opportunities, the Company undertakes restructuring-type activities to transform its business. The Company incurs costs associated with these activities, which primarily include exit and disposal costs and other costs directly related to the restructuring initiative. The Company records exit and disposal costs (“restructuring charges”) as incurred in accordance with ASC 420, Exit or Disposal Cost Obligations, and are classified within Restructuring and other charges, while other costs directly related to the restructuring initiatives (“restructuring-related charges”) are classified within Cost of sales, Selling, general and administrative, and Research, development and engineering expenses in the Company’s Condensed Consolidated Statements of Operations and Comprehensive Income.
In addition, from time to time, the Company incurs costs associated with acquiring and integrating businesses, and certain other general expenses, including asset impairments. The Company classifies costs associated with these items within Restructuring and other charges in the Company’s Condensed Consolidated Statements of Operations and Comprehensive Income.
Restructuring and other charges comprise the following (in thousands):
 Three Months EndedSix Months Ended
 July 2,
2021
July 3,
2020
July 2,
2021
July 3,
2020
Operational excellence initiatives$191 $443 $845 $1,417 
Strategic reorganization and alignment138 686 
Manufacturing alignment to support growth60 188 
Acquisition and integration26 47 110 403 
Other general expenses62 1,341 239 2,263 
Total other operating expenses$279 $2,029 $1,194 $4,957 
 Three Months Ended
 April 1,
2022
April 2,
2021
Restructuring charges$1,103 $654 
Acquisition and integration costs1,936 84 
Other general expenses296 177 
Total restructuring and other charges$3,335 $915 
Restructuring programs
The following table comprises restructuring and restructuring-related charges by income statement classification for the three month period ended April 1, 2022 (in thousands):
Restructuring charges:
Restructuring and other charges$1,103 
Restructuring-related expenses(a):
Cost of sales155 
Selling, general and administrative318 
Research, development and engineering177 
Total restructuring and restructuring-related charges$1,753 
__________
(a) Restructuring-related expenses primarily include retention bonuses and manufacturing transfer charges. Restructuring related expense for the three month period ended April 2, 2021 were not material.
Operational excellence initiatives
The Company’s operational excellence (“OE”) initiatives mainly consist of costs associated with executing on its sales force, manufacturing, business process and performance excellence operational strategic imperatives. These projects focus on changing the Company’s organizational structure to match product line growth strategies and customer needs, transitioning its manufacturing process into a competitive advantage and standardizing and optimizing its business processes.
2022 OE Initiatives - Costs related to the Company’s 2022 OE initiatives are primarily recorded within the Medical segment or unallocated operating expenses and mainly include termination benefits. The Company estimates that it will incur aggregate pre-tax charges in connection with the 2022 OE initiatives of between approximately $3 million to $5 million, the majority of which are expected to be cash expenditures. As of April 1, 2022, total restructuring and restructuring-related charges incurred since inception were $0.4 million. These actions are expected to be substantially complete by the end of 2023.


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INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)
(8.)     RESTRUCTURING AND OTHER CHARGES (Continued)
2021 OE Initiatives - Costs related to the Company’s 2021 OE initiatives are primarily recorded within the Medical segment or unallocated operating expenses and mainly include termination benefits. The Company estimates that it will incur aggregate pre-tax charges in connection with the 2021 realignment planOE initiatives of between approximately$1 $4 million to $2$5 million, the majority of which are expected to be cash expenditures. As of July 2, 2021,April 1, 2022, total restructuring and relatedrestructuring-related charges incurred since inception was $0.6were $3.9 million. These actions are expected to be substantially completedcomplete by the end of 2021.2022.
Strategic reorganization and alignment
The Company’s strategic reorganization and alignment (“SRA”) initiatives primarily include those that align resources with market conditions and the Company’s strategic direction in order to enhance the profitability of its portfolio of products.
20202021 SRA Initiatives - During the fourth quarter of 2021, the Company initiated plans to exit certain markets served in our Medical segment to enhance profitability and reallocate manufacturing capacity needed to support our overall growth plans. The Company estimates that it will incur a range of pre-tax charges in connection with the 2021 SRA initiatives of approximately $5 million and $8 million, the majority of which are expected to be cash expenditures. Costs related to the Company’s 2020 initiatives2021 SRA Initiatives are primarily recorded within the Medical segment and mainly include termination benefits. As of July 2, 2021,April 1, 2022, total restructuring and relatedrestructuring-related charges incurred since inception was $3.1were $1.4 million. These actions were substantially complete atare expected to be completed by the end of 2020.2025.
Strategic reorganization and alignment
These initiatives primarily included aligning resources with the Company’s strategic direction, improving profitability to invest in accelerated growth and the expansion of a facility. These actions began in 2017 and were completed during the second quarter of 2020. The Company recorded, primarily within the Medical segment, $23.0 million of restructuring and related charges since inception.
Manufacturing alignment to support growth
These initiatives were designed to reduce costs, increase manufacturing capacity to accommodate growth and improve operating efficiencies by relocating certain manufacturing operations and expanding certain facilities. These actions began in 2017 and were completed during the fourth quarter of 2020. The Company recorded, primarily within the Medical segment, $5.8 million of restructuring and related charges since inception.
The following table summarizes the change in accrued liabilities, presented within Accrued expenses and other current liabilities on the Condensed Consolidated Balance Sheets, related to the initiatives described aboveactivity for restructuring reserves (in thousands):
Operational
excellence
initiatives
December 31, 2020$291 
Charges incurred, net of reversals845 
Cash payments(1,089)
July 2, 2021$47 
- 13 -

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


(8.)     OTHER OPERATING EXPENSES (Continued)
Operational
excellence
initiatives
Strategic reorganization and alignmentTotal
December 31, 2021$298 $134 $432 
Charges incurred, net of reversals647 456 1,103 
Cash payments(657)(34)(691)
April 1, 2022$288 $556 $844 
Acquisition and integration
Acquisition and integration costs primarily consist of professional fees and other costs related to business acquisitions. During the sixthree months ended July 2, 2021 and July 3, 2020,April 1, 2022, acquisition and integration costs included $0.1$1.9 million and $0.9 million, respectively, of expenses primarily related to the acquisitionacquisitions of certain assetsOscor and liabilities of InoMec, which was acquired in February 2020, and US BioDesign, LLC (“USB”), which was acquired in October 2019. Acquisition and integration costs for the six months ended July 3, 2020, also includes a $0.5 million adjustment to reduce the fair value of acquisition-related contingent consideration liability associated with the Company’s acquisition of USB. See Note 13 “Financial Instruments and Fair Value Measurements” for additional information related to the fair value measurement of the contingent consideration.Aran.
Other general expenses
During the sixthree months ended JulyApril 1, 2022 and April 2, 2021, and July 3, 2020, the Company recorded expenses related to other initiatives not described above, which relate primarily to integration and operational initiatives to reduce future costs and improve efficiencies. The 2021 and 2020 amounts primarily include data archiving expenses, information technology systems conversion expenses, and expenses related to the restructuring
- 15 -

Table of certain legal entities of the Company.Contents

INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)
(9.)    INCOME TAXES
The income tax provision for interim periods is determined using an estimate of the annual effective tax rate, adjusted for discrete items, if any, that are taken into account in the relevant period. Each quarter, the estimate of the annual effective tax rate is updated, and if the estimated effective tax rate changes, a cumulative adjustment is made. There is a potential for volatility of the effective tax rate due to several factors, including discrete items, changes in the mix and amount of pre-tax income and the jurisdictions to which it relates, changes in tax laws and foreign tax holidays, business reorganizations, settlements with taxing authorities and foreign currency fluctuations. In addition, the Company continues to explore tax planning opportunities that may have a material impact on its effective tax rate.
The Company’s effective tax rate for the secondfirst quarter of 20212022 was 4.4%18.5% on $30.8$13.9 million of income before taxes compared to (135.8)%13.8% on $0.2$25.0 million of income before taxes for the same period in 2020. The Company’s effective tax rate for the first six months of 2021 was 8.6% on $55.8 million of income before taxes compared to 14.4% on $36.8 million of income before taxes for the same period in 2020.2021. The difference between the Company’s effective tax rates and the U.S. federal statutory income tax rate of 21% for the secondfirst quarter of 2022 and first six months of 2021 and 2020 is due principally to the net impact of the Company’s earnings outside the U.S., which are generally taxed at rates that differ from the U.S federal rate, the Global Intangible Low-Taxed Income (“GILTI”) tax, the Foreign Derived Intangible Income (“FDII”) deduction,the availability of tax credits, and the recognition of certain discrete tax benefits.items. The Company recorded a discrete tax benefitsexpense of $3.8$0.5 million and $4.4 million, respectively, for the secondfirst quarter and first six months of 2021,2022, compared to discrete tax benefits of $0.1$0.6 million, and $1.0 million, respectively, for the second quarter and first six months of 2020. Approximately $3.5 million of the discrete tax benefits recognized for the second quarter and first six months of 2021 relate to the reversal of unrecognized tax benefits resulting from the effective settlement of tax audits during the second quarter of 2021. The remainder of the discrete tax benefits relateamounts for both periods are predominately related to excess tax benefits recognized upon vesting of RSUs or exercise of stock options during those quarters.quarters and/or tax shortfalls recorded for the forfeiture of certain PRSUs.
Unrecognized tax benefits reflect the difference between positions taken or expected to be taken on income tax returns and the amounts reflected in the financial statements. statements. As of July 2, 2021,April 1, 2022, the Company had unrecognized tax benefits of approximately $2.1$5.7 million, of which approximately $2.0$5.6 million would favorably impact the effective tax rate, net of federal benefit on state issues, if recognized. As of July 2, 2021,April 1, 2022, the Company believes the reasonably possible total amount of unrecognized tax benefits that could increase or decrease in the next 12 months as a result of various statute expirations, audit closures, and/or tax settlements would not be material to its consolidated financial statements.
In response to the COVID-19 pandemic, many governments have enacted or are contemplating measures to provide aid and economic stimulus. These measures may include deferring the due dates of tax payments or other changes to their income and non-income-based tax laws. The Coronavirus Aid, Relief, and Economic Security Act (the “CARES Act”), which was enacted on March 27, 2020 in the U.S., includes measures to assist companies, including temporary changes to income and non-income- basednon-income-based tax laws. The CARES Act providesprovided for deferred payment of the employer portion of social security taxes through the end of 2020, with 50% of the deferred amount due January 3, 2022 and the remaining 50% due January 3, 2023.2020. As of July 2, 2021April 1, 2022 and December 31, 2020,2021, the Company had a remaining deferred a totalamount of $9.7$4.8 million, of payroll taxes.which the Company expects to pay within the next twelve months. The deferred payroll taxes are included within Accrued expenses and other current liabilities and Other long-term liabilities on the Condensed Consolidated Balance Sheets.
- 14 -

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


(10.)    COMMITMENTS AND CONTINGENCIES
Contingent Consideration Arrangements
The Company records contingent consideration liabilities related to the earn-out provisions for certain acquisitions. See Note 13 “Financial Instruments and Fair Value Measurements” for additional information.
Litigation
The Company is subject to litigation arising from time to time in the ordinary course of its business. The Company does not expect that the ultimate resolution of any pending legal actions will have a material effect on its consolidated results of operations, financial position, or cash flows. However, litigation is subject to inherent uncertainties. As such, there can be no assurance that any pending legal action, which the Company currently believes to be immaterial, will not become material in the future.
Product Warranties
The Company generally warrants that its products will meet customer specifications and will be free from defects in materials and workmanship. The product warranty liability is presented within Accrued expenses and other current liabilities on the Condensed Consolidated Balance Sheets. The change in product warranty liability comprised the following (in thousands):
December 31, 20202021$163509 
Additions to warranty reserve, net of reversals(20)
Adjustments to pre-existing warranties(31)(111)
July 2, 2021April 1, 2022$141378 
- 16 -

Table of Contents

INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)
(11.)    EARNINGS PER SHARE (“EPS”)
The following table sets forth a reconciliation of the information used in computing basic and diluted EPS (in thousands, except per share amounts):
Three Months EndedSix Months Ended Three Months Ended
July 2,
2021
July 3,
2020
July 2,
2021
July 3,
2020
April 1,
2022
April 2,
2021
Numerator for basic and diluted EPS:Numerator for basic and diluted EPS:Numerator for basic and diluted EPS:
Net incomeNet income$29,433 $389 $50,953 $31,489 Net income$11,367 $21,520 
Denominator for basic and diluted EPS:Denominator for basic and diluted EPS:Denominator for basic and diluted EPS:
Weighted average shares outstanding - BasicWeighted average shares outstanding - Basic32,982 32,834 32,970 32,820 Weighted average shares outstanding - Basic33,091 32,957 
Dilutive effect of share-based awardsDilutive effect of share-based awards272 295 251 303 Dilutive effect of share-based awards211 231 
Weighted average shares outstanding - DilutedWeighted average shares outstanding - Diluted33,254 33,129 33,221 33,123 Weighted average shares outstanding - Diluted33,302 33,188 
Basic EPSBasic EPS$0.89 $0.01 $1.55 $0.96 Basic EPS$0.34 $0.65 
Diluted EPSDiluted EPS$0.89 $0.01 $1.53 $0.95 Diluted EPS$0.34 $0.65 
The diluted weighted average share calculations do not include the following securities, which are not dilutive to the EPS calculations or the performance criteria have not been met (in thousands):
Three Months EndedSix Months Ended Three Months Ended
July 2,
2021
July 3,
2020
July 2,
2021
July 3,
2020
April 1,
2022
April 2,
2021
Time-vested RSUsTime-vested RSUs146 131 Time-vested RSUs10 
PRSUsPRSUs63 12 64 16 PRSUs166 64 
- 1517 -

Table of Contents

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


(12.)     STOCKHOLDERS’ EQUITY
Common Stock
The following is a summary of the number of shares of common stock issued, treasury stock and common stock outstanding for the sixthree month periods ended JulyApril 1, 2022 and April 2, 2021 and July 3, 2020:2021:
IssuedTreasury StockOutstanding
Shares outstanding at December 31, 202032,908,178 32,908,178 
Stock options exercised15,075 15,075 
Vesting of RSUs, net of shares withheld to cover taxes75,798 75,798 
Shares outstanding at July 2, 202132,999,051 32,999,051 
Shares outstanding at December 31, 201932,847,017 (146,546)32,700,471 
Stock options exercised66,131 66,131 
Vesting of RSUs, net of shares withheld to cover taxes71,950 71,950 
Shares outstanding at July 3, 202032,847,017 (8,465)32,838,552 
Three Months Ended
April 1,
2022
April 2,
2021
Shares outstanding at beginning of periodShares outstanding at beginning of period33,063,336 32,908,178 
Stock options exercisedStock options exercised— 4,229 
Vesting of RSUs, net of shares withheld to cover taxesVesting of RSUs, net of shares withheld to cover taxes38,831 62,295 
Shares outstanding at end of periodShares outstanding at end of period33,102,167 32,974,702 
Accumulated Other Comprehensive Income (Loss) (“AOCI”)
Accumulated other comprehensive income comprises the following (in thousands):
Defined
Benefit
Plan
Liability
Cash
Flow
Hedges
Foreign
Currency
Translation
Adjustment
Total
Pre-Tax
Amount
TaxNet-of-Tax
Amount
April 2, 2021$(1,095)$(5,850)$41,182 $34,237 $1,385 $35,622 
Unrealized gain on cash flow hedges— 565 — 565 (118)447 
Realized gain on foreign currency hedges— (490)— (490)102 (388)
Realized loss on interest rate swap hedge— 995 — 995 (209)786 
Foreign currency translation gain— — 2,484 2,484 2,484 
July 2, 2021$(1,095)$(4,780)$43,666 $37,791 $1,160 $38,951 
December 31, 2020$(1,095)$(4,956)$57,546 $51,495 $1,197 $52,692 
Unrealized loss on cash flow hedges— (704)— (704)148 (556)
Realized gain on foreign currency hedges— (1,149)— (1,149)241 (908)
Realized loss on interest rate swap hedges— 2,029 — 2,029 (426)1,603 
Foreign currency translation loss— — (13,880)(13,880)(13,880)
July 2, 2021$(1,095)$(4,780)$43,666 $37,791 $1,160 $38,951 
Defined
Benefit
Plan
Liability
Cash
Flow
Hedges
Foreign
Currency
Translation
Adjustment
Total
Pre-Tax
Amount
TaxNet-of-Tax
Amount
December 31, 2021$(890)$(2,291)$29,720 $26,539 $651 $27,190 
Unrealized gain on cash flow hedges— 2,856 — 2,856 (600)2,256 
Realized gain on foreign currency hedges— (162)— (162)34 (128)
Realized loss on interest rate swap hedge— 767 — 767 (161)606 
Foreign currency translation loss— — (7,887)(7,887)— (7,887)
April 1, 2022$(890)$1,170 $21,833 $22,113 $(76)$22,037 
December 31, 2020$(1,095)$(4,956)$57,546 $51,495 $1,197 $52,692 
Unrealized loss on cash flow hedges— (1,269)— (1,269)266 (1,003)
Realized gain on foreign currency hedges— (659)— (659)139 (520)
Realized loss on interest rate swap hedges— 1,034 — 1,034 (217)817 
Foreign currency translation loss— — (16,364)(16,364)— (16,364)
April 2, 2021$(1,095)$(5,850)$41,182 $34,237 $1,385 $35,622 
- 1618 -

Table of Contents

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


(12.)     STOCKHOLDERS’ EQUITY (Continued)
Defined
Benefit
Plan
Liability
Cash
Flow
Hedges
Foreign
Currency
Translation
Adjustment
Total
Pre-Tax
Amount
TaxNet-of-Tax
Amount
April 3, 2020$(912)$(13,281)$10,607 $(3,586)$2,913 $(673)
Unrealized gain on cash flow hedges— 1,493 — 1,493 (314)1,179 
Realized loss on foreign currency hedges— 680 — 680 (142)538 
Realized loss on interest rate swap hedges— 617 — 617 (130)487 
Foreign currency translation gain— — 12,948 12,948 12,948 
July 3, 2020$(912)$(10,491)$23,555 $12,152 $2,327 $14,479 
December 31, 2019$(912)$(2,358)$22,639 $19,369 $619 $19,988 
Unrealized loss on cash flow hedges— (9,981)— (9,981)2,096 (7,885)
Realized loss on foreign currency hedges— 483 — 483 (101)382 
Realized loss on interest rate swap hedges— 1,365 — 1,365 (287)1,078 
Foreign currency translation gain— — 916 916 916 
July 3, 2020$(912)$(10,491)$23,555 $12,152 $2,327 $14,479 
(13.)     FINANCIAL INSTRUMENTS AND FAIR VALUE MEASUREMENTS
Assets and Liabilities Measured at Fair Value on a Recurring Basis
Fair value measurement standards apply to certain financial assets and liabilities that are measured at fair value on a recurring basis (each reporting period). For the Company, these financial assets and liabilities include its derivative instruments and contingent consideration. The Company does not have any nonfinancial assets or liabilities that are measured at fair value on a recurring basis.
The Company is exposed to global market risks, including the effect of changes in interest rates and foreign currency exchange rates, and uses derivatives to manage these exposures that occur in the normal course of business. The Company does not hold or issue derivatives for trading or speculative purposes. All derivatives are recorded at fair value on the Condensed Consolidated Balance Sheets.
The following tables provide information regarding assets and liabilities recorded at fair value on a recurring basis (in thousands):
Fair ValueQuoted
Prices in
Active
Markets
(Level 1)
Significant
Other
Observable
Inputs
(Level 2)
Significant
Unobservable
Inputs
(Level 3)
Fair ValueQuoted
Prices in
Active
Markets
(Level 1)
Significant
Other
Observable
Inputs
(Level 2)
Significant
Unobservable
Inputs
(Level 3)
July 2, 2021
April 1, 2022April 1, 2022
Assets: Foreign currency contracts$326 $$326 $
Assets: Foreign currency hedging contractsAssets: Foreign currency hedging contracts$1,887 $— $1,887 $— 
Liabilities: Foreign currency hedging contractsLiabilities: Foreign currency hedging contracts330 — 330 — 
Liabilities: Interest rate swapLiabilities: Interest rate swap5,106 5,106 Liabilities: Interest rate swap387 — 387 — 
Liabilities: Contingent considerationLiabilities: Contingent consideration2,281 2,281 Liabilities: Contingent consideration1,976 — — 1,976 
December 31, 2020
Assets: Foreign currency contracts$2,070 $$2,070 $
December 31, 2021December 31, 2021
Assets: Foreign currency hedging contractsAssets: Foreign currency hedging contracts$687 $— $687 $— 
Liabilities: Interest rate swapLiabilities: Interest rate swap7,026 7,026 Liabilities: Interest rate swap2,978 — 2,978 — 
Liabilities: Contingent considerationLiabilities: Contingent consideration3,900 3,900 Liabilities: Contingent consideration2,415 — — 2,415 
- 17 -

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


(13.)     FINANCIAL INSTRUMENTS AND FAIR VALUE MEASUREMENTS (Continued)Derivatives Designated as Hedging Instruments
Interest Rate Swaps
The Company periodically enters into interest rate swap agreements in order to reduce the cash flow risk caused by interest rate changes on its outstanding floating rate borrowings. Under these swap agreements, the Company pays a fixed rate of interest and receives a floating rate equal to one-month LIBOR. The variable rate received from the swap agreements and the variable rate paid on the outstanding debt will have the same rate of interest, excluding the credit spread, and will reset and pay interest on the same date. The Company has designated these swap agreements as cash flow hedges based on concluding the hedged forecasted transaction is probable of occurring within the period the cash flow hedge is anticipated to affect earnings.
Information regarding the Company’s outstanding interest rate swap designated as cash flow hedges as of July 2, 2021April 1, 2022 is as follows (dollars in thousands):
Notional AmountNotional AmountStart DateEnd
Date
Pay Fixed RateReceive Current Floating RateFair ValueBalance Sheet LocationNotional AmountStart DateEnd
Date
Pay Fixed RateReceive Current Floating RateFair ValueBalance Sheet Location
$150,000 Jun 2020Jun 20232.1785 %0.0950 %$(5,106)Other long-term liabilities150,000 Jun 2020Jun 20232.1785 %0.4470 %$(387)Other long-term liabilities
Information regarding the Company’s outstanding interest rate swap designated as cash flow hedges as of December 31, 20202021 is as follows (dollars in thousands):
Notional AmountNotional AmountStart DateEnd
Date
Pay Fixed RateReceive Current Floating RateFair ValueBalance Sheet LocationNotional AmountStart DateEnd
Date
Pay Fixed RateReceive Current Floating RateFair ValueBalance Sheet Location
$200,000 Jun 2020Jun 20232.1785 %0.1480 %$(7,026)Other long-term liabilities150,000 Jun 2020Jun 20232.1785 %0.1013 %$(2,978)Other long-term liabilities
- 19 -

Table of Contents

INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)
(13.)     FINANCIAL INSTRUMENTS AND FAIR VALUE MEASUREMENTS (Continued)
Foreign Currency Contracts
The Company periodically enters into foreign currency forward contracts to hedge its exposure to foreign currency exchange rate fluctuations in its international operations. The Company has designated these foreign currency forward contracts as cash flow hedges.
Information regarding outstanding foreign currency forward contracts designated as cash flow hedges as of July 2, 2021April 1, 2022 is as follows (dollars in thousands):
Notional AmountStart
Date
End
Date
$/Foreign CurrencyFair ValueBalance Sheet Location
$551 Jul 2021Aug 20210.0275UYU Peso$18 Prepaid expenses and other current assets
1,899 Jul 2021Nov 20210.0223UYU Peso43 Prepaid expenses and other current assets
2,048 Jul 2021Dec 20210.0228UYU PesoPrepaid expenses and other current assets
999 Oct 2021Dec 20210.0222UYU Peso29 Prepaid expenses and other current assets
3,594 Jul 2021Sep 20211.1980Euro(29)Prepaid expenses and other current assets
2,019 Jul 2021Sep 20210.0449MXN Peso242 Prepaid expenses and other current assets
4,333 Jul 2021Dec 20210.0481MXN Peso162 Prepaid expenses and other current assets
7,331 Jul 2021Dec 20211.2218Euro(194)Prepaid expenses and other current assets
7,333 Jul 2021Dec 20210.0489MXN Peso159 Prepaid expenses and other current assets
5,507 Jul 2021Dec 20211.2237Euro(153)Prepaid expenses and other current assets
6,689 Jul 2021Dec 20210.0496MXN Peso41 Prepaid expenses and other current assets
- 18 -

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


(13.)     FINANCIAL INSTRUMENTS AND FAIR VALUE MEASUREMENTS (Continued)
Notional AmountEnd
Date
$/Foreign CurrencyFair ValueBalance Sheet Location
$16,516 Dec 20220.0459MXN Peso$1,141 Prepaid expenses and other current assets
10,231 Dec 20221.1368Euro(220)Accrued expenses and other current liabilities
6,543 Dec 20220.0218UYU Peso746 Prepaid expenses and other current assets
10,121 Dec 20221.1245Euro(110)Accrued expenses and other current liabilities
Information regarding outstanding foreign currency forward contracts designated as cash flow hedges as of December 31, 20202021 is as follows (dollars in thousands):
Notional AmountStart
Date
End
Date
$/Foreign CurrencyFair ValueBalance Sheet Location
$16,132 Nov 2020Sep 20211.1949Euro$399 Prepaid expenses and other current assets
10,224 Jan 2021Sep 20210.0454MXN Peso922 Prepaid expenses and other current assets
2,656 Jan 2021Mar 20210.0443MXN Peso341 Prepaid expenses and other current assets
7,269 Apr 2021Dec 20210.0485MXN Peso77 Prepaid expenses and other current assets
3,252 Jan 2021Aug 20210.0232UYU Peso165 Prepaid expenses and other current assets
3,966 Jan 2021Nov 20210.0227UYU Peso166 Prepaid expenses and other current assets
Derivative Instruments with Hedge Accounting Designation
Notional AmountEnd
Date
$/Foreign CurrencyFair ValueBalance Sheet Location
$22,201 Dec 20220.0463MXN Peso$408 Prepaid expenses and other current assets
17,017 Dec 20221.1344Euro130 Prepaid expenses and other current assets
9,020 Dec 20220.0220UYU Peso149 Prepaid expenses and other current assets
The following tables present the effect of cash flow hedge derivative instruments on other comprehensive income (loss) (“OCI”),
AOCI and the Company’s Condensed Consolidated Statements of Operations and Comprehensive Income for the sixthree months ended JulyApril 1, 2022 and April 2, 2021 and July 3, 2020 (in thousands):
Three Months EndedThree Months Ended
July 2, 2021July 3, 2020April 1, 2022April 2, 2021
TotalAmount of Gain (Loss) on Cash Flow Hedge ActivityTotalAmount of Gain (Loss) on Cash Flow Hedge ActivityTotalAmount of Gain (Loss) on Cash Flow Hedge ActivityTotalAmount of Gain (Loss) on Cash Flow Hedge Activity
SalesSales$312,023 $29 $240,115 $87 Sales$310,912 $(54)$290,467 $
Cost of salesCost of sales223,277 450 182,252 (733)Cost of sales229,437 192 205,981 624 
Operating expensesOperating expenses49,396 11 48,678 (34)Operating expenses58,978 24 49,878 27 
Interest expenseInterest expense7,532 (995)9,273 (617)Interest expense5,968 (767)8,532 (1,034)

Six Months Ended
July 2, 2021July 3, 2020
TotalAmount of Gain (Loss) on Cash Flow Hedge ActivityTotalAmount of Gain (Loss) on Cash Flow Hedge Activity
Sales$602,490 $37 $568,541 $(41)
Cost of sales429,258 1,074 413,976 (408)
Operating expenses99,274 38 101,304 (34)
Interest expense16,064 (2,029)19,634 (1,365)
- 19 -

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


(13.)     FINANCIAL INSTRUMENTS AND FAIR VALUE MEASUREMENTS (Continued)
Unrealized Gain (Loss) Recognized in OCIRealized Gain (Loss) Reclassified from AOCI
Three Months EndedLocation in Statements of Operations and Comprehensive IncomeThree Months Ended
July 2,
2021
July 3,
2020
July 2,
2021
July 3,
2020
Interest rate swap$(375)$(1,003)Interest expense$(995)$(617)
Foreign exchange contracts148 483 Sales29 87 
Foreign exchange contracts725 2,085 Cost of sales450 (733)
Foreign exchange contracts67 (72)Operating expenses11 (34)
Six Months EndedLocation in Statements of Operations and Comprehensive IncomeSix Months Ended
July 2,
2021
July 3,
2020
July 2,
2021
July 3,
2020
Interest rate swaps$(109)$(7,390)Interest expense$(2,029)$(1,365)
Foreign exchange contracts(738)209 Sales37 (41)
Foreign exchange contracts166 (2,728)Cost of sales1,074 (408)
Foreign exchange contracts(23)(72)Operating expenses38 (34)
Unrealized Gain (Loss) Recognized in OCIRealized Gain (Loss) Reclassified from AOCI
Three Months EndedLocation in Statements of Operations and Comprehensive IncomeThree Months Ended
April 1,
2022
April 2,
2021
April 1,
2022
April 2,
2021
Interest rate swap$1,824 $266 Interest expense$(767)$(1,034)
Foreign exchange contracts(514)(886)Sales(54)
Foreign exchange contracts1,269 (559)Cost of sales192 624 
Foreign exchange contracts277 (90)Operating expenses24 27 
The Company expects to reclassify net losses totaling $2.8$0.9 millionrelated to its cash flow hedges from AOCI into earnings during the next twelve months.
- 20 -

Table of Contents

INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)
(13.)     FINANCIAL INSTRUMENTS AND FAIR VALUE MEASUREMENTS (Continued)
Derivatives Not Designated as Hedging Instruments
The Company also has foreign currency exposure on balances, primarily intercompany, that are denominated in a foreign currency and are adjusted to current values using period-end exchange rates. To minimize foreign currency exposure, the Company enters into foreign currency contracts with a one month maturity. At April 1, 2022, the Company had 1 contract outstanding, with a notional amount of $8.0 million and a fair value of $0.1 million. At December 31, 2021, the Company had 1 contract outstanding, with a notional amount of $15.0 million and a fair value of $(0.1) million. The Company recorded a net gain on foreign currency contracts not designated as hedging instruments of $0.3 million for the three months ended April 1, 2022, which is included in Other (income) loss, net in the Company’s Condensed Consolidated Statements of Operations and Comprehensive Income and generally offset the gains or losses from the foreign currency adjustments on the intercompany balances that are also included in Other (income) loss, net. The Company did not have foreign currency contracts not designated as hedging instruments outstanding during the three months ended April 2, 2021.
Contingent Consideration
The following table presents the changes in the estimated fair values of the Company’s liabilities for contingent consideration measured using significant unobservable inputs (Level 3) for the three and six months ended JulyApril 1, 2022 and April 2, 2021 and July 3, 2020 (in thousands):
Three Months EndedSix Months Ended Three Months Ended
April 2,
2021
April 3,
2020
July 2,
2021
July 3,
2020
April 1,
2022
April 2,
2021
Fair value measurement at beginning of periodFair value measurement at beginning of period$2,281 $6,400 $3,900 $4,200 Fair value measurement at beginning of period$2,415 $3,900 
Amount recorded for acquisitions2,700 
Fair value measurement adjustmentFair value measurement adjustment(500)Fair value measurement adjustment54 — 
Payments(1)
Payments(1)
(500)(1,621)(500)
Payments(1)
(493)(1,621)
Foreign currency translationForeign currency translation(13)(13)Foreign currency translation— 
Fair value measurement at end of periodFair value measurement at end of period$2,281 $5,887 $2,281 $5,887 Fair value measurement at end of period$1,976 $2,281 
__________On February 19, 2020, the Company acquired certain assets and liabilities of InoMec Ltd. (“InoMec”), a privately-held company based in Israel that specializes in the research, development and manufacturing of medical devices, including minimally invasive tools, delivery systems, tubing and catheters, surgery tools, drug-device combination, laser combined devices, and tooling and production. On October 7, 2019, the Company acquired certain assets and liabilities of US BioDesign, LLC (“USB”), a privately-held developer and manufacturer of complex braided biomedical structures for disposable and implantable medical devices. The contingent consideration at April 1, 2022 is the estimated fair value of the Company’s obligations, under the asset purchase agreements for InoMec and USB, to make additional payments if certain revenue goals are met.
(1)AmountsDuring 2022, the Company made a $0.5 million payment associated with the USB acquisition, resulting from achievement of revenue-based goals for the period from January 1, 2021 periods consist ofto December 31, 2021 for USB. During 2021, the Company made payments associated with the Company’s acquisitions of InoMec and USB acquisitions, resulting from achievement of revenue-based goals for the period from March 1, 2020 to February 28, 2021 for InoMec and January 1, 2020 to December 31, 2020 for USB. Amounts for 2020 periods consist
As of a payment made to settle aApril 1, 2022 and December 31, 2021, the current portion of a contingent consideration arrangement relating to a license to use technology.
On February 19, 2020,liabilities included in Accrued expenses and other current liabilities was $1.3 million and $0.9 million, respectively, and the Company acquired certain assetsnon-current portion included in Other long-term liabilities on the Condensed Consolidated Balance Sheets was $0.7 million and liabilities of InoMec. See Note 2 “Business Acquisition” for additional information about the InoMec acquisition. On October 7, 2019, the Company acquired certain assets and liabilities of USB, a privately-held developer and manufacturer of complex braided biomedical structures for disposable and implantable medical devices. The contingent consideration at July 2, 2021 is the estimated fair value of the Company’s obligations, under the asset purchase agreements for InoMec and USB, to make additional payments if certain revenue goals are met.$1.5 million, respectively.
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INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)


(13.)     FINANCIAL INSTRUMENTS AND FAIR VALUE MEASUREMENTS (Continued)
As of July 2, 2021, the current portion of contingent consideration liabilities is $1.0 million and included in Accrued expenses and other current liabilities, and the non-current portion is $1.3 million and included in Other long-term liabilities on the Condensed Consolidated Balance Sheets. As of December 31, 2020, the current portion of contingent consideration liabilities was $1.7 million and included in Accrued expenses and other current liabilities, and the non-current portion was $2.2 million and included in Other long-term liabilities on the Condensed Consolidated Balance Sheets.
The following table provides quantitative information associated with the fair value measurement of the Company’s liabilities for contingent consideration:
July 2, 2021April 1, 2022
Contingency TypeContingency TypeMaximum Payout (undiscounted)Fair ValueValuation TechniqueUnobservable InputsWeighted Average or RangeContingency TypeMaximum Payout (undiscounted)Fair ValueValuation TechniqueUnobservable InputsWeighted Average or Range
Revenue-based paymentsRevenue-based payments$6,750 $2,281 Monte CarloRevenue volatility35.0 %Revenue-based payments$5,375 $1,976 Monte CarloRevenue volatility26.7 %
Discount rate4.0 %Discount rate1.8 %
Projected year(s) of payment2022-2024Projected year(s) of payment2022-2024
December 31, 2020
Contingency TypeMaximum Payout (undiscounted)Fair ValueValuation TechniqueUnobservable InputsWeighted Average or Range
Revenue-based payments$9,000 $3,900 Monte CarloRevenue volatility35.0 %
Discount rate4.0 %
Projected year(s) of payment2021-2024
During the first quarter of 2020, the Company acquired a set of similar identifiable intangible assets relating to a license to use technology within its Non-Medical segment. At the date of acquisition, the Company estimated the original fair value of the contingent consideration to be $1.0 million, which was paid during 2020 upon achievement of the applicable milestones.
December 31, 2021
Contingency TypeMaximum Payout (undiscounted)Fair ValueValuation TechniqueUnobservable InputsWeighted Average or Range
Revenue-based payments$6,750 $2,415 Monte CarloRevenue volatility29.0 %
Discount rate1.8 %
Projected year(s) of payment2022-2024
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 securitiesare 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 comprise the following (in thousands):
July 2,
2021
December 31,
2020
Equity method investment$19,451 $21,470 
Non-marketable equity securities5,723 5,723 
Total equity investments$25,174 $27,193 
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INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)


(13.)     FINANCIAL INSTRUMENTS AND FAIR VALUE MEASUREMENTS (Continued)
April 1,
2022
December 31,
2021
Equity method investment$13,788 $16,192 
Non-marketable equity securities5,637 5,637 
Total equity investments$19,425 $21,829 
The components of (Gain) lossLoss on equity investments for each period were as follows (in thousands):
Three Months EndedSix Months Ended
July 2,
2021
July 3,
2020
July 2,
2021
July 3,
2020
Equity method investment (gain) loss$684 $205 $2,019 $(1,720)
Three Months Ended
April 1,
2022
April 2,
2021
Equity method investment loss$2,404 $1,335 
The Company’s equity method investment is in a venture capital fund focused on investing in life sciences companies. As of July 2, 2021,April 1, 2022, the Company owned 6.6%6.8% of this fund.
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INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)
(14.)     SEGMENT INFORMATION
The Company organizes its business into 2 reportable segments: (1) Medical and (2) Non-Medical. This segment structure reflects the financial information and reports used by the Company’s management, specifically its Chief Operating Decision Maker, to make decisions regarding the Company’s business, including resource allocations and performance assessments. This segment structure reflects the Company’s current operating focus in compliance with ASC 280, Segment Reporting. For purposes of segment reporting, intercompany sales between segments are not material.
The Company has communicated to certain customers that it is exiting certain markets it serves in the Advanced Surgical, Orthopedics & Portable Medical product line. In order to align with the planned exit of those markets and better align to its end markets and product line strategies, the Company recast its product line sales within the Medical segment to reflect the reclassification of certain products from the historical product lines to the product lines associated with those revenues that will be utilized for future revenue reporting. The Company believes the revised presentation will provide improved reporting and better transparency into the operational results of its business and markets. The Company has reclassified the prior year information in the table below to conform to the current year presentation. For the three months ended April 2, 2021, Cardio & Vascular sales of $8.0 million and Advanced Surgical, Orthopedics & Portable Medical sales of $5.3 million were reclassified to the Cardiac Rhythm Management & Neuromodulation product line.
The following table presents sales by product line (in thousands):
Three Months EndedSix Months Ended Three Months Ended
July 2,
2021
July 3,
2020
July 2,
2021
July 3,
2020
April 1,
2022
April 2,
2021
Segment sales by product line:Segment sales by product line:Segment sales by product line:
MedicalMedicalMedical
Cardio & VascularCardio & Vascular$152,609 $129,084 $301,774 $308,289 Cardio & Vascular$159,037 $141,206 
Cardiac & Neuromodulation119,749 71,675 228,157 179,495 
Cardiac Rhythm Management & NeuromodulationCardiac Rhythm Management & Neuromodulation123,324 121,703 
Advanced Surgical, Orthopedics & Portable MedicalAdvanced Surgical, Orthopedics & Portable Medical29,268 30,625 54,660 61,862 Advanced Surgical, Orthopedics & Portable Medical19,666 20,056 
Total MedicalTotal Medical301,626 231,384 584,591 549,646 Total Medical302,027 282,965 
Non-MedicalNon-Medical10,397 8,731 17,899 18,895 Non-Medical8,885 7,502 
Total salesTotal sales$312,023 $240,115 $602,490 $568,541 Total sales$310,912 $290,467 
The following table presents income for the Company’s reportable segments (in thousands):
Three Months EndedSix Months Ended Three Months Ended
July 2,
2021
July 3,
2020
July 2,
2021
July 3,
2020
April 1,
2022
April 2,
2021
Segment income:Segment income:Segment income:
MedicalMedical$56,439 $26,910 $111,964 $92,126 Medical$44,148 $55,525 
Non-MedicalNon-Medical3,356 2,467 3,358 3,680 Non-Medical665 
Total segment incomeTotal segment income59,795 29,377 115,322 95,806 Total segment income44,813 55,527 
Unallocated operating expensesUnallocated operating expenses(20,445)(20,192)(41,364)(42,545)Unallocated operating expenses(22,316)(20,919)
Operating incomeOperating income39,350 9,185 73,958 53,261 Operating income22,497 34,608 
Unallocated expenses, netUnallocated expenses, net(8,572)(9,020)(18,202)(16,457)Unallocated expenses, net(8,549)(9,630)
Income before taxesIncome before taxes$30,778 $165 $55,756 $36,804 Income before taxes$13,948 $24,978 
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INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)


(15.)    REVENUE FROM CONTRACTS WITH CUSTOMERS
Disaggregated Revenue
In general, the Company’s business segmentation is aligned according to the nature and economic characteristics of its products and customer relationships and provides meaningful disaggregation of each business segment’s results of operations. For a summary by disaggregated product line sales for each segment, refer to Note 14, “Segment Information.”
Revenue recognized from products and services transferred to customers over time represented 34% of total revenue for the three31% and six months ended July 2, 2021, compared to 25%and 28%29%, respectively, for the three and six months ended July 3, 2020. AllApril 1, 2022 and April 2, 2021. Substantially all of the revenue recognized from products and services transferred to customers over time during the periods presented was within the Medical segment.
The following tables present revenues by significant customers, which are defined as any customer who individually represents 10% or more of a segment’s total revenues.
Three Months Ended
July 2, 2021July 3, 2020
CustomerMedicalNon-Medical MedicalNon-Medical
Customer A20%*23%*
Customer B17%*16%*
Customer C14%*10%*
Customer D*36%*23%
Customer E***15%
All other customers49%64%51%62%

Six Months EndedThree Months Ended
July 2, 2021July 3, 2020April 1, 2022April 2, 2021
CustomerCustomerMedicalNon-MedicalMedicalNon-MedicalCustomerMedicalNon-Medical MedicalNon-Medical
Customer ACustomer A21%*21%*Customer A18%*22%*
Customer BCustomer B17%*16%*Customer B18%*13%*
Customer CCustomer C14%*14%*Customer C14%*17%*
Customer DCustomer D*32%*21%Customer D*33%*26%
Customer E***12%
All other customersAll other customers48%68%49%67%All other customers50%67%48%74%
__________
* Less than 10% of segment’s total revenues for the period.

The following tables present revenues by significant ship to location, which is defined as any country where 10% or more of a segment’s total revenues are shipped.
Three Months Ended
July 2, 2021July 3, 2020
Ship to LocationMedicalNon-Medical MedicalNon-Medical
United States53%70%55%54%
Puerto Rico10%***
Singapore***11%
Canada***14%
All other countries37%30%45%21%

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


(15.)    REVENUE FROM CONTRACTS WITH CUSTOMERS (Continued)
Six Months EndedThree Months Ended
July 2, 2021July 3, 2020April 1, 2022April 2, 2021
Ship to LocationShip to LocationMedicalNon-MedicalMedicalNon-MedicalShip to LocationMedicalNon-Medical MedicalNon-Medical
United StatesUnited States53%69%55%49%United States54%63%53%69%
United KingdomUnited Kingdom*10%*10%
CanadaCanada***13%Canada***11%
United Kingdom***12%
Puerto Rico10%*11%*
Singapore***12%
All other countriesAll other countries37%31%34%14%All other countries46%27%47%10%
__________
* Less than 10% of segment’s total revenues for the period.
Contract Balances
The opening and closing balances of the Company’s contract assets and contract liabilities are as follows (in thousands):
July 2,
2021
December 31,
2020
April 1,
2022
December 31,
2021
Contract assetsContract assets$56,824 $40,218 Contract assets$66,343 $64,743 
Contract liabilitiesContract liabilities2,521 2,498 Contract liabilities7,016 3,776 
Contract assets at July 2, 2021, increased $16.6 million from December 31, 2020, due to a contract modification to add existing products and extend the contractual term. During the three and six months ended July 2, 2021,April 1, 2022, the Company recognized $0.2$0.9 million and $1.1 million, respectively, of revenuethat was included in the contract liability balance as of December 31, 2020. During the three and six months ended July 3, 2020, the Company recognized $1.0 million and $1.1 million respectively, of revenue that was included in the contract liability balance as of December 31, 2019.2021. During the three months ended April 2, 2021, the Company recognized $0.9 million of revenue that was included in the contract liability balance as of December 31, 2020.
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INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)
(16.)    SUBSEQUENT EVENT
On April 6, 2022, the Company acquired Connemara Biomedical Holdings Teoranta, including its operating subsidiaries Aran Biomedical and Proxy Biomedical (collectively “Aran”) in an all cash transaction for €120 million (approximately $131 million at the exchange rate as of April 6, 2022), subject to customary working capital and other adjustments, with up to €10 million (approximately $11 million at the exchange rate as of April 6, 2022) of contingent consideration payable based on Aran’s achievement of 2022 revenue growth milestones. The Company funded the purchase price with borrowings under its Revolving Credit Facility.
A recognized leader in proprietary medical textiles, high precision biomaterial coverings and coatings as well as advanced metal and polymer braiding, Aran delivers development and manufacturing solutions for implantable medical devices. Consistent with the Company’s strategy, the combination with Aran further increases Integer’s ability to offer complete solutions for complex delivery and therapeutic devices in high growth cardiovascular markets such as structural heart, neurovascular, peripheral vascular, and endovascular as well as general surgery.
For segment reporting purposes, the results of operations and assets from this acquisition will be included in the Company’s Medical segment. During the three months ended April 1, 2022, direct costs of this acquisition of $0.9 million were expensed as incurred and included in Restructuring and other charges in the Condensed Consolidated Statements of Operations and Comprehensive Income. In addition to assets acquired and liabilities assumed, the Company expects to allocate the purchase price to identifiable intangible assets such as developed technology and customer relationships. The Company expects to determine the preliminary purchase price allocation prior to the end of the second quarter of 2022.
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ITEM 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
This Quarterly Report on Form 10-Q should be read in conjunction with the disclosures included in our Annual Report on Form 10-K for the year ended December 31, 2020.2021. 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 reportForm 10-Q and other written and oral statements made from time to time by us and our representatives are not statements of historical or current fact. As such, they are “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”). We have based these forward-looking statements on our current expectations, and these statements are subject to known and unknown risks, uncertainties and assumptions. Forward-looking statements include statements relating to:
the impact ofrecovery from the COVID-19 global pandemic;
future development and expected growth of our business and industry;industry, including expansion of our manufacturing capacity;
our ability to execute our business model and our business strategy;strategy, including completion and integration of current or future acquisition targets;
having available sufficient cash and borrowing capacity to meet working capital, debt service and capital expenditure requirements for the next twelve months; and
projected capital spending.
You can identify forward-looking statements by terminology such as “may,” “will,” “should,” “could,” “expects,” “intends,” “plans,” “anticipates,” “believes,” “estimates,” “predicts,” “potential,” “projects” or “continue” or variations or the negative of these terms or other comparable terminology. These statements are only predictions. Actual events or results may differ materially from those stated or implied by these forward-looking statements. In evaluating these statements and our prospects, you should carefully consider the factors set forth below. All forward-looking statements attributable to us or persons acting on our behalf are expressly qualified in their entirety by these cautionary factors and to others contained throughout this report.Form 10-Q.
Although it is not possible to create a comprehensive list of all factors that may cause actual results to differ from the results expressed or implied by our forward-looking statements or that may affect our future results, some of these factors and other risks and uncertainties that arise from time to time are described in Item 1A “Risk Factors” of our Annual Report on Form 10-K and in other periodic filings with the Securities and Exchange CommissionSEC and include the following:
operational risks, such as the duration, scope and impact of the COVID-19 pandemic, including the evolving health, economic, social and governmental environments and the effect of the pandemic on our associates, suppliers and customers as well as the global pandemic;
economy; our dependence upon a limited number of customers;
pricing pressures that we face from customers;
our reliance on third party suppliers for raw materials, key products and subcomponents;
the potential for harm to our reputation caused by quality problems related to our products;
the dependence of our energy market-related revenues on the conditions in the oil and natural gas industry;
interruptions in our manufacturing operations;
our dependence upon our information technology systems and our ability to prevent cyber-attacks and other failures;
our ability to attract, train and retain a sufficient number of qualified associates;
our dependence upon our senior management team and technical personnel; and global climate change and the emphasis on ESG matters by various stakeholders;
strategic risks, such as the intense competition we face and our ability to successfully market our products;
our ability to respond to changes in technology;
our ability to develop new products and expand into new geographic and product markets;
and our ability to successfully identify, make and integrate acquisitions to expand and develop our businessesbusiness in accordance with expectations;
financial risks, such as our significant amount of outstanding indebtedness and our ability to remain in compliance with financial and other covenants under our senior secured credit facilities;
economic and credit market uncertainties that could interrupt our access to capital markets, borrowings or financial transactions;
market financial and financialmarket risks related to our international operations and sales;
our complex international tax profile;
and our ability to realize the full value of our intangible assetsassets; and
legal and compliance risks, such as regulatory issues resulting from productsproduct complaints, recalls or regulatory audits;
the potential of becoming subject to product liability or intellectual property claims;
our ability to protect our intellectual property and proprietary rights;
our ability and the cost to comply with environmental regulations;
our ability to comply with customer-driven policies and third-partythird party standards or certification requirements;
our ability to obtain necessary licenses for new technologies;
legal and regulatory risks from our international operations; and
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INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS
the fact that the healthcare industry is highly regulated and subject to various regulatory changes.changes; and
other risks and uncertainties that arise from time to time.
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INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS
Except as required by applicable law, the Company assumes no obligation to update forward-looking statements in this reportForm 10-Q whether to reflect changed assumptions, the occurrence of unanticipated events or changes in future operating results, financial conditions or prospects, or otherwise.
In this Form 10-Q, references to “Integer,” “we,” “us,” “our” and the “Company” mean Integer Holdings Corporation and its subsidiaries, unless the context indicates otherwise.
Our Business
Integer Holdings Corporation is one of the largest medical device outsource (“MDO”) manufacturers in the world serving the cardiac, neuromodulation, vascular, orthopedics, advanced surgical and portable medical markets. We also develop batteries for high-end niche applications in the non-medical energy, military, and environmental markets. Our vision is to enhance the lives of patients worldwide by being our customers’ partner of choice for innovative technologies and services.
We organize our business into two reportable segments, Medical and Non-Medical, and derive our revenues from four principal product lines. The Medical segment includes the Cardio & Vascular, Cardiac & Neuromodulation and Advanced Surgical, Orthopedics & Portable Medical product lines and the Non-Medical segment comprises the Electrochem product line. For more information on our segments, please refer to Note 14 “Segment Information” of the Notes to Condensed Consolidated Financial Statements contained in Item 1 of this report.
The secondfirst quarter and first six months of 20212022 ended on July 2 and consisted of 92 days and 183 days, respectively. The second quarter and first six months of 2020 ended on July 3April 1 and consisted of 91 days and 185 days, respectively.the first quarter of 2021 ended on April 2 and consisted of 92 days.
Impact of COVID-19Global Events
Beginning in early March 2020, the global spread of the novel coronavirus (“COVID-19”) has created significant uncertainty and worldwide economic disruption. Specific impacts to our business include labor shortages, disruptions in the supply chain, delayed or reduced customer orders and sales, restrictions on associates’ ability to travel or work, and delays in shipments to and from certain countries. The extent to which COVID-19 will continue to impact our operations will depend on future developments, which remain highlyWe are uncertain and difficult to predict, including, among others, the duration of the outbreak,future impact of the effectiveness and utilization of vaccines forongoing COVID-19 and its variants, new information that may emerge concerning the severity of COVID-19 and the actions, especially those taken by governmental authorities to contain the pandemic or treat its impact.recovery of prior deterioration in economic conditions to our sales channels, supply chain, manufacturing, and distribution. As pandemic-related events continue to evolve, additional impacts may arise that we are not aware of currently. Any prolonged material disruption ofAdditionally, the current conflict between Russia and Ukraine and the related sanctions and other penalties imposed by countries across the globe against Russia are creating substantial uncertainty in the global economy. While we do not have operations in Russia or Ukraine and do not have significant direct exposure to customers and vendors in those countries, we are unable to predict the impact that these actions will have on the global economy or on our labor force, suppliers, manufacturing, or customers could materially impact our consolidated financial position,condition, results of operations, orand cash flows.
Recent Business AcquisitionAcquisitions
On February 19, 2020,December 1, 2021, we acquired certain assets100% of the outstanding equity interests of Oscor Inc., Oscor Caribe, LLC and liabilitiesOscor Europe GmbH (collectively “Oscor”), privately-held companies with operations in Florida, the Dominican Republic and Germany that design, develop, manufacture and market a comprehensive portfolio of InoMec Ltd. (“InoMec”), a privately-held company based in Israel that specializes in the research, development and manufacturing ofhighly specialized medical devices, including minimally invasive tools, deliveryvenous access systems tubing and diagnostic catheters surgery tools, drug-device combination, laser combined devices, and tooling and production. The acquisition enables us to create a research and development center in Israel, closer to the customer base in the region.
implantable devices. Refer to Note 2 “Business Acquisition”Acquisitions” of the Notes to Condensed Consolidated Financial Statements contained in Item 1 of this report for additional information about this acquisition.
Subsequent to the end of the first quarter, on April 6, 2022, we acquired Connemara Biomedical Holdings Teoranta, including its operating subsidiaries Aran Biomedical and Proxy Biomedical (collectively “Aran”). A recognized leader in proprietary medical textiles, high precision biomaterial coverings and coatings as well as advanced metal and polymer braiding, Aran delivers development and manufacturing solutions for implantable medical devices. Consistent with our strategy, the combination with Aran further increases our ability to offer complete solutions for complex delivery and therapeutic devices in high growth cardiovascular markets such as structural heart, neurovascular, peripheral vascular, and endovascular as well as general surgery. Given the April 6, 2022 effective date of the Aran Acquisition, Aran results are not included in this MD&A and the disclosures included herein.
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INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS
Strategic Overview
We continue to take steps to better align our resources in order to invest to grow and protect, and preserve our portfolio of products. In addition to our portfolio strategy, we continue to execute our six key operational strategic imperatives designed to drive excellence in everything we do:Product Line Sales Realignment
Sales Force Excellence:We have communicated to certain customers our intent to exit certain markets we serve in the Advanced Surgical, Orthopedics & Portable Medical product line. We are focusing our efforts withinworking closely with these customers to support the commercial organizationtransition of these products to further improve our efficiencyother suppliers. Due to quality and effectivenessregulatory requirements, we expect it will take three to four years to complete this transition and see the corresponding decline in sales. In order to align with the planned exit of those markets and better align with our end markets and product line growth strategies, and customer needs. These activities are about getting more outproduct line sales within the Medical segment have been recast to reflect the reclassification of certain products from the capabilities we already have, and increasing individual accountability and clarity of ownership, while serving customers more effectively.
Market Focused Innovation:historical product lines to the product lines associated with those revenues that will be utilized for future revenue reporting. We are ensuring we getbelieve the most return on our research and development investments. We are focused on having a clear picture of how we spend our money so we can increase investments to drive future growth.
Manufacturing Excellence: The goal is to deliver world-class operational performance in the areas of safety, quality, delivery and overall efficiency. We want to transition our manufacturing into a competitive advantage through a single, enterprise-wide manufacturing structure known as the Integer Production System. This systemrevised presentation will provide standardized systemsimproved reporting and processes by leveraging best practices and applying them across allbetter transparency into the operational results of our global sites.business and markets. Prior period amounts have been reclassified to conform to the new product line sales reporting presentation. For the three months ended April 2, 2021, Cardio & Vascular sales of $8.0 million and Advanced Surgical, Orthopedics & Portable Medical sales of $5.3 million were reclassified to the Cardiac Rhythm Management & Neuromodulation product line.
Business Process Excellence: We are taking a systematic approach to driving excellence in everything we do by standardizing, optimizing and ultimately sustaining all of our processes.
Leadership Capability: We have a robust plan to make leadership a competitive advantage for us, and as the success rate is higher with internal hires, we are focusing on finding and developing leaders from within the Company to build critical capabilities for future success.
Performance Excellence: We are raising the bar on associate performance to maximize our impact. This includes aligning key roles with critical capabilities, positioning the best talent against the biggest work, and putting tools and processes in place to provide higher financial rewards for top performers, so our top performers can see increased results in pay for increased results in their performance.
We believe we are well-positioned within the medical technology and MDO manufacturing market and that there is a robust pipeline of opportunities to pursue. We have expanded our medical device capabilities and are excited about opportunities to partner with customers to drive innovation. We believe we have the scale and global presence, supported by world-class manufacturing and quality capabilities, to capture these opportunities. We are confident in our capabilities as one of the largest MDO manufacturers, with a long history of successfully integrating companies, driving down costs and growing revenues over the long-term. Ultimately, our strategic vision is to drive shareholder value by enhancing the lives of patients worldwide by being our customers’ partner of choice for innovative technologies and services.
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INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS
Financial Overview
Net income for the secondfirst quarter and first six months of 20212022 was $29.4$11.4 million, or $0.89$0.34 per diluted share, and $51.0compared to $21.5 million, or $1.53 per diluted share, respectively, compared to $0.4 million, or $0.01 per diluted share, and $31.5 million, or $0.95$0.65 per diluted share, for the secondfirst quarter and first six months of 2020, respectively.2021. These variances are primarily the result of the following:
Sales for the secondfirst quarter and first six months of 20212022 increased $71.9$20.4 million and $33.9 million, respectively, when compared to the same periodsperiod in 2020.2021. During the secondfirst quarter of 20212022 we begancontinued to see the demand for many of our products continue to recover from the impacts of the COVID-19 pandemic.
Gross profit for the secondfirst quarter and first six months of 2021 increased $30.92022 decreased $3.0 million, and $18.7 million, respectively, primarily from an increase inincreased cost of sales volumeresulting from labor and improved volume leverage.supply constraints, partially offset by higher sales volume.
Operating expenses for the secondfirst quarter of 2022increased $9.1 million when compared to the same period in 2021, increased $0.7primarily due to higher labor costs and restructuring and other charges.
Interest expense for the first quarter of 2022 decreased $2.6 million, compared to the same period in 2020, due to increases in Selling, general and administrative and Research, development and engineering expenses, partially offset by a decrease in Other operating expenses. Operating expenses for the first six months of 2021, decreased $2.0 million, compared to the same period in 2020, due to a decrease in Other operating expenses, partially offset by increases in Selling, general and administrative and Research, development and engineering expenses.
Interest expense for the second quarter and first six months of 2021 decreased $1.7 million and $3.6 million, respectively, compared to the same periods in 2020, primarily due to lower outstanding debt balances.interest rates and debt-related charges.
During the secondfirst quarter and first six months of 2021,2022, we recognized lossesa loss on equity investments of $0.7$2.4 million, and $2.0 million, respectively, compared to a loss of $0.2$1.3 million and a gain of $1.7 million, respectively, for the secondfirst quarter and first six months of 2020.2021. Gains and losses on equity investments are generally unpredictable in nature.
Other (income) loss, net for the secondfirst quarter and first six months of 2021 were losses2022 was a loss of $0.4$0.2 million, and $0.1 million, respectively, compared to income of $0.5$0.2 million and $1.5 million, respectively, for the secondfirst quarter and first six months of 2020,2021, primarily due to fluctuations in foreign currency gains and losses in the respective periods.
We recorded provisions for income taxes for the secondfirst quarter and first six months of 20212022 of $1.3$2.6 million, and $4.8 million, respectively, compared with an income tax benefit for the second quarter of 2020 of $0.2 million and a provisionprovisions for income taxes of $5.3$3.5 million for the first six monthsquarter of 2020.2021. The changeschange in income tax expense was primarily due to relative changes in pre-tax income and the impact of discrete tax items.
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INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS
Our Financial Results
The following tables presenttable presents selected financial information derived from our Condensed Consolidated Financial Statements, contained in Item 1 of this report, for the periods presented (dollars in thousands, except per share).
Three Months Ended   Three Months Ended  
July 2,July 3,Change April 1,April 2,Change
20212020$% 20222021$%
Medical Sales:Medical Sales:Medical Sales:
Cardio & VascularCardio & Vascular152,609 $129,084 $23,525 18.2 %Cardio & Vascular159,037 $141,206 $17,831 12.6 %
Cardiac & Neuromodulation119,749 71,675 48,074 67.1 %
Cardiac Rhythm Management & NeuromodulationCardiac Rhythm Management & Neuromodulation123,324 121,703 1,621 1.3 %
Advanced Surgical, Orthopedics & Portable MedicalAdvanced Surgical, Orthopedics & Portable Medical29,268 30,625 (1,357)(4.4)%Advanced Surgical, Orthopedics & Portable Medical19,666 20,056 (390)(1.9)%
Total Medical SalesTotal Medical Sales301,626 231,384 70,242 30.4 %Total Medical Sales302,027 282,965 19,062 6.7 %
Non-MedicalNon-Medical10,397 8,731 1,666 19.1 %Non-Medical8,885 7,502 1,383 18.4 %
Total salesTotal sales312,023 240,115 71,908 29.9 %Total sales310,912 290,467 20,445 7.0 %
Cost of salesCost of sales223,277 182,252 41,025 22.5 %Cost of sales229,437 205,981 23,456 11.4 %
Gross profitGross profit88,746 57,863 30,883 53.4 %Gross profit81,475 84,486 (3,011)(3.6)%
Gross profit as a % of sales28.4 %24.1 %
Gross profit as a % of sales (“Gross margin”)Gross profit as a % of sales (“Gross margin”)26.2 %29.1 %
Operating expenses:Operating expenses:Operating expenses:
Selling, general and administrative (“SG&A”)Selling, general and administrative (“SG&A”)35,379 33,903 1,476 4.4 %Selling, general and administrative (“SG&A”)39,560 35,502 4,058 11.4 %
SG&A as a % of salesSG&A as a % of sales11.3 %14.1 %SG&A as a % of sales12.7 %12.2 %
Research, development and engineering (“RD&E”)Research, development and engineering (“RD&E”)13,738 12,746 992 7.8 %Research, development and engineering (“RD&E”)16,083 13,461 2,622 19.5 %
RD&E as a % of salesRD&E as a % of sales4.4 %5.3 %RD&E as a % of sales5.2 %4.6 %
Other operating expenses279 2,029 (1,750)(86.2)%
Restructuring and other chargesRestructuring and other charges3,335 915 2,420 NM
Total operating expensesTotal operating expenses49,396 48,678 718 1.5 %Total operating expenses58,978 49,878 9,100 18.2 %
Operating incomeOperating income39,350 9,185 30,165 NMOperating income22,497 34,608 (12,111)(35.0)%
Operating income as a % of salesOperating income as a % of sales12.6 %3.8 %Operating income as a % of sales7.2 %11.9 %
Interest expenseInterest expense7,532 9,273 (1,741)(18.8)%Interest expense5,968 8,532 (2,564)(30.1)%
Loss on equity investmentsLoss on equity investments684 205 479 NMLoss on equity investments2,404 1,335 1,069 80.1 %
Other (income) loss, netOther (income) loss, net356 (458)814 NMOther (income) loss, net177 (237)414 NM
Income before taxesIncome before taxes30,778 165 30,613 NMIncome before taxes13,948 24,978 (11,030)(44.2)%
Provision (benefit) for income taxes1,345 (224)1,569 NM
Provision for income taxesProvision for income taxes2,581 3,458 (877)(25.4)%
Effective tax rateEffective tax rate4.4 %(135.8)%Effective tax rate18.5 %13.8 %
Net incomeNet income$29,433 $389 $29,044 NMNet income$11,367 $21,520 $(10,153)(47.2)%
Net income as a % of salesNet income as a % of sales9.4 %0.2 %Net income as a % of sales3.7 %7.4 %
Diluted earnings per shareDiluted earnings per share$0.89 $0.01 $0.88 NMDiluted earnings per share$0.34 $0.65 $(0.31)(47.7)%
__________
NM Calculated amount not meaningful
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INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS
Six Months Ended
July 2,July 3,Change
20212020$%
Medical Sales:
Cardio & Vascular$301,774 $308,289 $(6,515)(2.1)%
Cardiac & Neuromodulation228,157 179,495 48,662 27.1 %
Advanced Surgical, Orthopedics & Portable Medical54,660 61,862 (7,202)(11.6)%
Total Medical Sales584,591 549,646 34,945 6.4 %
Non-Medical17,899 18,895 (996)(5.3)%
Total Sales602,490 568,541 33,949 6.0 %
Cost of sales429,258 413,976 15,282 3.7 %
Gross profit173,232 154,565 18,667 12.1 %
Gross profit as a % of sales28.8 %27.2 %
Operating expenses:
SG&A70,881 70,360 521 0.7 %
SG&A as a % of sales11.8 %12.4 %
RD&E27,199 25,987 1,212 4.7 %
RD&E, Net as a % of sales4.5 %4.6 %
Other operating expenses1,194 4,957 (3,763)(75.9)%
Total operating expenses99,274 101,304 (2,030)(2.0)%
Operating income73,958 53,261 20,697 38.9 %
Operating margin12.3 %9.4 %
Interest expense16,064 19,634 (3,570)(18.2)%
(Gain) loss on equity investments, net2,019 (1,720)3,739 NM
Other (income) loss, net119 (1,457)1,576 NM
Income before taxes55,756 36,804 18,952 51.5 %
Provision for income taxes4,803 5,315 (512)(9.6)%
Effective tax rate8.6 %14.4 %
Net income$50,953 $31,489 $19,464 61.8 %
Net income as a % of sales8.5 %5.5 %
Diluted earnings per share$1.53 $0.95 $0.58 61.1 %
NM Calculated amount not meaningful
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INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS

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INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS
Product Line Sales
For the secondfirst quarter and first six months of 2021,2022, Cardio & Vascular (“C&V”) sales increased $23.5$17.8 million, or 18%13%, and decreased $6.5 million, or 2%, respectively, versus the comparable 2020 periods. Cardio & Vascular2021 period. The increase in C&V sales for the secondfirst quarter of 2022 was driven by strong demand in the neurovascular market and first six months of 2021 reflect the continued recovery from the negative impact of COVID, with strong increases across all Cardio & Vascular markets, particularly interventional cardiology, electrophysiology,structural heart product development revenue, despite higher labor absenteeism in January 2022 and peripheral vascular. supply chain constraints. During the secondfirst quarter and first six months of 2021,2022, price changes increased Cardio & VascularC&V sales by $0.2$1.0 million and lowered sales by $0.9 million, respectively, in comparison to the 2020 periods.2021 period. Foreign currency exchange rate fluctuations increased Cardio & Vasculardecreased C&V sales for the secondfirst quarter and first six months of 20212022 by $1.0 million and $2.0 million, respectively, in comparison to the 2020 periods,2021 period, primarily due to U.S. dollar fluctuations relative to the Euro.
For the secondfirst quarter and first six months of 2021,2022, Cardiac Rhythm Management & Neuromodulation (“CRM&N”) sales increased $48.1$1.6 million, or 67%1%, and $48.7 million or 27%, respectively, versus the comparable 2020 periods.2021 period, as higher direct labor absenteeism in January 2022 and supply chain constraints impacted growth in both Cardiac & Neuromodulation sales for the second quarterRhythm Management and first six months of 2021 reflect the continued recovery from the negative impact of COVID, with increases across all Cardiac & Neuromodulation markets. Sales in the cardiac rhythm management market increased high double-digits, and sales in the neuromodulation market doubled. During the secondfirst quarter and first six months of 2021,2022, price reductions lowered Cardiac & NeuromodulationCRM&N sales by $1.9$0.8 million and $5.5 million, respectively, in comparison to the 2020 periods.2021 period. Foreign currency exchange rate fluctuations did not have a material impact on Cardiac & NeuromodulationCRM&N sales during the secondfirst quarter and first six months of 20212022 in comparison to the 2020 periods.2021 period.
In addition to Portable Medical sales, Advanced Surgical, Orthopedic & Portable Medical (“AS&O”) includes sales to the acquirer of our former AS&O Product Line, under supply agreements entered into as part of the divestiture. For the second quarter and first six months of 2021,divested Advanced Surgical, Orthopedic & Portable Medicalproduct line. For the first quarter of 2022, AS&O sales decreased $1.4$0.4 million, or 4%, and $7.2 million or 12%, respectively,2% versus the comparable 20202021 period, asdriven by a reduction in demand for COVID-related ventilator and patient monitoring components sales declined from pandemic-driven peak demand in 2020.components. Price reductionschanges and foreign currency exchange rate fluctuations did not have a material impact on Advanced Surgical, Orthopedic & Portable MedicalAS&O sales during the secondfirst quarter and first six months of 20212022 in comparison to the 2020 periods.2021 period.
For the second quarter and first six months of 2021, Non-Medical sales increased $1.7 million, or 19%, and decreased $1.0 million or 5%, respectively, versus the comparable 2020 periods. The sales increase for the second quarter was driven by the emerging recovery of the energy market, which partially offset the negative impact of COVID experienced in the first quarter of 2021.2022, Non-Medical sales increased $1.4 million, or 18%, versus the comparable 2021 period, despite negative impacts from supply chain constraints as the energy market continues to recover. Price reductions and foreign currency exchange rate fluctuations did not have a material impact on Non-Medical sales during the secondfirst quarter and first six months of 20212022 in comparison to the 2020 periods.2021 period.
Gross Profit
Changes to gross profit as a percentage of sales (“
 Three Months Ended
April 1,
2022
April 2,
2021
Gross profit81,475 84,486 
Gross margin26.2 %29.1 %
Gross Margin”) from the prior year were due to the following:
 Change From Prior Year
Three MonthsSix Months
Price(a)
(0.4)%(0.7)%
Mix(b)
1.3 0.9 
Volume Leverage(c)
3.3 1.2 
Customer Bankruptcy(d)
0.1 0.2 
Total percentage point change to gross profit as a percentage of sales4.3 %1.6 %
__________
(a)Our Gross Marginmargin for the second quarter and first six months of 2021 was negatively impacted by price reductions given to our larger OEM customers in return for long-term volume commitments.
(b)Amounts represent the impact to our Gross Margin attributable to changes in the mix of product sales during the periods.
(c)Our Gross Margin for the second quarter and first six months of 2021 was positively impacted by higher sales volume as our indirect labor and overhead costs are less variable, and in most cases fixed.
(d)In November 2019, one of our customers, Nuvectra Corporation, filed a voluntary Chapter 11 bankruptcy petition (the “Customer Bankruptcy”). During the first quarter of 2020, we incurred2022 decreased 290 basis points compared to the prior year period, primarily driven by the direct labor headwinds caused by the global supply chain challenges, labor markets and high January 2022 absenteeism caused by COVID-19. The increased spend in direct labor was caused by higher-than-normal overtime, inefficiencies from delayed material, as well as high training costs and recorded charges associated with the Customer Bankruptcy, primarily consistingincremental salaries for new associates we are hiring to support growth through the rest of charges related to inventory recorded in cost of sales in our Condensed Consolidated Statements of Operations and Comprehensive Income.2022.
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INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS
SG&A Expenses
Changes to SG&A expenses from the prior year were due to the following (in thousands):
 Change From Prior Year
 Three MonthsSix Months
Professional fees(a)
$(541)$(1,795)
Compensation and benefits(b)
1,666 3,117 
Travel and entertainment(c)
(99)(1,002)
All other SG&A(d)
450 201 
Net increase in SG&A expenses$1,476 $521 
Change From Prior Year Three Months
Compensation and benefits(a)
$1,899 
Amortization expense(b)
777 
Contract services(c)
422 
All other SG&A(d)
960 
Net increase in SG&A expenses$4,058 
__________
(a)Professional fees decreased during the second quarter and first six months of 2021 compared to the prior year periods, primarily due to lower legal costs.
(b)Compensation and benefits increased during the secondfirst quarter and first six months of 20212022 compared to the prior year periods,period primarily due to an increase in headcount from the Oscor Acquisition.
(b)Amortization expense increased during the first quarter of 2022 compared to the prior year period due to amortization of intangible assets from the Oscor Acquisition.
(c)Contract services expense increased during the first quarter of 2022 compared to the prior year period primarily due to higher stock-based compensation expense.
(c)Travel and entertainment expenses decreased as a result of the reduction in travel due to the continued impact of the COVID-19 pandemic.software costs from information technology enhancements.
(d)The net increase in all other SG&A for the secondfirst quarter and first six months of 20212022 compared to the same periodsperiod of 20202021 is primarily attributable to higher expense for contract servicesprofessional fees and insurance.travel expenses.
RD&E
RD&E expense for the secondfirst quarter andof 2022 was $16.1 million, compared to $13.5 million for the first six monthsquarter of 2021.
The increase in RD&E expense during the first quarter of 2022 compared to the first quarter of 2021 were $13.7 millionwas primarily due to investments made to support long-term revenue growth, the timing of program milestone achievements for customer funded programs, and $27.2 million, respectively, comparedincremental expense due to $12.7 million and $26.0 million, respectively, for the second quarter and first six months of 2020.Oscor Acquisition. RD&E expenses are influenced by the number and timing of in-process projects and labor hours and other costs associated with these projects. Our research and development initiatives continue to emphasize new product development, product improvements, and the development of new technological platform innovations.
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INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS
Restructuring and Other Operating ExpensesCharges
OtherWe continuously evaluate our business and identify opportunities to realign resources to better serve our customers and markets, improve operational efficiency and capabilities, and lower operating costs. To realize the benefits associated with these opportunities, we undertake restructuring-type activities to transform out business. We incur costs associated with these activities, which primarily include exit and disposal costs and other costs directly related to the restructuring initiative. Restructuring charges include exit and disposal costs from these activities and restructuring-related charges are costs directly related to the restructuring initiatives. In addition, from time to time, the Company incurs costs associated with acquiring and integrating businesses, and certain other general expenses, (“OOE”)including asset impairments.
Restructuring and other charges comprise the following (in thousands):
 Three Months EndedSix Months Ended
July 2,
2021
July 3,
2020
July 2,
2021
July 3,
2020
Operational excellence(a)
$191 $443 $845 $1,417 
Strategic reorganization and alignment(b)
— 138 — 686 
Manufacturing alignment to support growth(c)
— 60 — 188 
Acquisition and integration expenses(d)
26 47 110 403 
Other general expenses(e)
62 1,341 239 2,263 
Total other operating expenses$279 $2,029 $1,194 $4,957 
 Three Months Ended
April 1,
2022
April 2,
2021
Restructuring charges(a)
$1,103 $654 
Acquisition and integration costs(b)
1,936 84 
Other general expenses(c)
296 177 
Total restructuring and other charges$3,335 $915 
__________
(a)These projects focus on changing our organizational structure to match product line growth strategies and customer needs, transitioning our manufacturing process into a competitive advantage and standardizing and optimizing our business processes. ExpensesRestructuring charges for the secondfirst quarter and first six months of 2021 and 20202022 primarily consist of termination benefits.benefits associated with our operational excellence projects.
(b)These initiatives primarily included aligning resources with our strategic direction, improving profitability to invest in accelerated growth and the expansion of a facility. These actions began in 2017 and were completed during the second quarter of 2020.
(c)These initiatives were designed to reduce costs, increase manufacturing capacity to accommodate growth and improve operating efficiencies by relocating certain manufacturing operations and expanding certain facilities. These actions began in 2017 and were completed during the fourth quarter of 2020.
(d)Amounts include expenses related to the purchase of certain assets and liabilities from business acquisitions. The 2020 amount also includes a $0.5 million adjustment to reduceAcquisition and integration costs for the fair valuefirst quarter of acquisition-related contingent consideration liabilities. See Note 13 “Financial Instruments2022 include costs associated with the acquisition of Oscor and Fair Value Measurements”due diligence cost associated with the acquisition of the Notes to Condensed Consolidated Financial Statements contained in Item 1 of this report for additional information related to the fair value measurement of the contingent consideration.Aran.
(e)(c)Amounts include expenses related to other initiatives not described above, which relate primarily to integration and operational initiatives to reduce future costs and improve efficiencies. The 2020 amount primarily include severance, information technology systems conversion expenses, expenses incurred in connection with the Customer Bankruptcy, and expenses related to the restructuring of certain legal entities of the Company.
Refer to Note 8 “Other Operating Expenses”“Restructuring and Other Charges” of the Notes to Condensed Consolidated Financial Statements contained in Item 1 of this report for additional information regarding these initiatives.
Interest Expense Net
Information relating to our interest expense is as follows (dollars in thousands):
Three Months Ended
April 1,
2022
April 2,
2021
Change
Contractual interest expense$4,647 $6,105 $(1,458)
Loss on interest rate swap768 1,034 (266)
Amortization of deferred debt issuance costs and original issue discount481 1,026 (545)
Losses from extinguishment of debt— 346 (346)
Other interest expense72 21 51 
Total interest expense$5,968 $8,532 $(2,564)
Interest expense consists primarilyfor the first quarter of cash interest and debt related charges, such as amortization of debt issuance costs and original issue discount. For2022 decreased $2.6 million compared to the second quarter and first six months ofsame period in 2021, interest expense decreased $1.7 million and $3.6 million, respectively, versus the comparable 2020 periods, primarily due to lower amountcontractual interest rate expense and debt-related charges.
The decrease in contractual interest expense was due to lower interest rates, partially offset by higher outstanding debt balances. The lower interest rates were the result of debt outstanding.beneficial changes in our Senior Secured Credit Facilities agreement. During the second quarter of 2020 we borrowed an additional $160 million of our Revolving Credit Facility to protect against a prolonged pandemic coupled with the risk of financial market illiquidity. The additional borrowing on the Revolving Credit Facility was repaid during the third and fourth quarters of 2020.2021 we entered into and subsequently amended a new Senior Secured Credit Facilities agreement, which among other changes, lowered the spreads on our Revolving Credit Facility and TLA Facility by 75 basis points and the LIBOR floor on our TLB facility by 50 basis points. The weighted average interest rates onhigher outstanding debt balance is the result of borrowings forto fund the three months and six months ended July 2, 2021 were 3.75% and 3.84%, respectively, compared to 3.60% and 3.94%, respectively, for the comparable periods in 2020.Oscor acquisition.
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INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS
Debt related charges included in interest expense were $1.1 millioninclude the amortization and $2.4 million, respectively, during the second quarter and first six months of 2021 compared to $1.0 million and $2.0 million, respectively, during the same periods in 2020. The increases in debt related charges are primarily attributable to write-offswrite-off (losses from extinguishment of debt) of deferred debt issuance costs and unamortized discounts related to prepaymentsoriginal issue discount. Amortization of portionsdeferred debt issuance costs and original issue discount decreased as a result of our Term Loan B facility.the the extended maturity under the new Senior Secured Credit Facilities. We had $0.1 million and $0.4 million, respectively,no losses from extinguishment of debt during 2022. The losses from extinguishment of debt during the secondfirst quarter and first six months of 2021 comparedwere related to no losses inprepayments of portions of the second quarter and first six months of 2020. Term Loan B facility under the previous credit agreement.
See Note 6 “Debt” of the Notes to the Condensed Consolidated Financial Statements contained in Item 1 of this report for additional information pertaining to our debt.
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INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS
As of July 2,April 1, 2022 and December 31, 2021, approximately 22%18% of our principal amount of debt has been converted to fixed-rate borrowings with interest rate swaps, in comparison to approximately 27% as of December 31, 2020.swaps.  We enter into interest rate swap agreements in order to reduce our exposure to fluctuations in the LIBOR rate. See Note 13 “Financial Instruments and Fair Value Measurements” of the Notes to the Condensed Consolidated Financial Statements contained in Item 1 of this report for additional information pertaining to our interest rate swap agreements.
(Gain) Loss on Equity Investments
During the secondfirst quarter and first six months of 2021,2022, we recognized lossesa loss on equity investments of $0.7$2.4 million, and $2.0 million, respectively. During the second quarter and first six months of 2020, we recognizedcompared to a loss of $0.2$1.3 million and a gainduring the first quarter of $1.7 million, respectively.2021. Gains and losses on equity investments are generally unpredictable in nature. The amounts for both 20212022 and 20202021 relate to our share of equity method investee gains/losses including unrealized appreciation and depreciation of the underlying interests of the investee. As of July 2, 2021April 1, 2022 and December 31, 2020,2021, the carrying value of our equity investments was $25.2$19.4 million and $27.2$21.8 million, respectively. See Note 13 “Financial Instruments and Fair Value Measurements” of the Notes to the Condensed Consolidated Financial Statements contained in Item 1 of this report for further details regarding these investments.
Other (Income) Loss, Net
Other (income) loss, net for the secondfirst quarter and first six months of 2021 was $0.42022 were losses of $0.2 million, and $0.1compared income of $0.2 million respectively, compared to other income, net of $0.5 million and $1.5 million, respectively, for the secondfirst quarter and first six months of 2020.2021. Other income,(income) loss, net primarily includes gains/losses from the impact of exchange rates on transactions denominated in foreign currencies. Our foreign currency transaction gains/losses are based primarily on fluctuations of the U.S. dollar relative to the Euro, Mexican peso, Uruguayan peso, Malaysian ringgits, Dominican peso, or Israeli shekel.
The impact of exchange rates on transactions denominated in foreign currencies included in Other income,(income) loss, net for the secondfirst quarter and first six months of 20212022 were net losses of of $0.4 million and $0.1 million, respectively, compared to net gains of $0.5 million and $1.5$0.1 million for the secondfirst quarter and first six months of 2020, respectively.2021. We continually monitor our foreign currency exposures and seek to take steps to mitigate these risks. However, fluctuations in exchange rates could have a significant impact, positive or negative, on our financial results in the future.
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INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS
Provision for Income Taxes
We recognized income tax expense of $1.3$2.6 million for the secondfirst quarter of 20212022 on $30.8$13.9 million of income before taxes (effective tax rate of 4.4%18.5%), compared to an income tax benefitexpense of $0.2$3.5 million on $0.2$25.0 million of income before taxes (effective tax rate of (135.8)%13.8%) for the same period of 2020. The income2021. Income tax expense for the first six monthsquarter of 2021 was $4.82022 included $0.5 million on $55.8 million of income before taxes (effective tax rate of 8.6%), compared to $5.3 million on income before taxes of $36.8 million (effective tax rate of 14.4%) for the same period of 2020. Income tax expense for the second quarter and first six months of 2021 included $3.8 million and $4.4 million, respectively, of discrete tax benefits consisting principally of $3.5 million of tax benefits related to the reversal of unrecognized tax benefits resulting from effective settlement of tax audits during the second quarter of 2021. expense.
There is a potential for volatility in our effective tax rate due to several factors including changes in the mix of pre-tax income and the jurisdictions to which it relates, changes in tax laws and foreign tax holidays, business reorganizations, and settlements with taxing authorities and foreign currency fluctuations. We continue to closely monitor developments related to proposed changes in tax laws and tax rates, including current proposals for U.S. Tax Reform and a proposed 15% Minimum Global Tax Rate recently announced by the Organization for Economic Cooperation and Development. We currently have various tax planning initiatives in place and continuously evaluate planning strategies aimed at reducing our effective tax rate over the long term. This includes strategies to realize deferred tax assets that would otherwise expire unutilized.
Our effective tax rates for 20212022 differ from the U.S. federal statutory tax rate of 21% due principally to the net impact of the Company’s earnings outside the U.S., which are generally taxed at rates that differ from the U.S federal rate, the Global Intangible Low-Taxed Income (“GILTI”)GILTI tax, the FDII deduction, the availability of tax credits, and the recognition of discrete tax benefits.items. The discrete tax benefits for 2021 areamounts relate predominately related to the reversal of unrecognized tax benefits resulting from the effective settlement of tax audits and excess tax benefits recognized upon vesting of RSUs and/or exercisetax shortfalls recorded for the forfeiture of stock options.certain PRSUs.
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 currently have a tax holiday in Malaysia through April 2023 provided certain conditions continue to be met. In addition, we acquired manufacturing operations in the Dominican Republic as part of the Oscor Acquisition, and are operating under a free trade zone agreement in the Dominican Republic through March 2034. With the exception of the expiration of these tax holidays, 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.
Liquidity and Capital Resources
(dollars in thousands)(dollars in thousands)July 2,
2021
December 31,
2020
(dollars in thousands)April 1,
2022
December 31,
2021
Cash and cash equivalentsCash and cash equivalents$30,581 $49,206 Cash and cash equivalents$25,668 $17,885 
Working capitalWorking capital$270,116 $256,746 Working capital$321,708 $293,353 
Current ratioCurrent ratio2.65 2.64 Current ratio2.86 2.84 
Cash and cash equivalents at July 2, 2021 decreasedApril 1, 2022 increased by $18.6$7.8 million from December 31, 2020,2021, primarily as a result of debt payments totaling $64.8 cash generated by operating activities of $18.2 million, which include $46.0 million of accelerated payments,partially offset by net purchases of property, plant and equipment of $18.4 million, mostly offset by cash generated by operating activities of $68.8$10.4 million.
Working capital increased by $13.4$28.4 million from December 31, 2020,2021, primarily from positive working capital fluctuations associated with cash and cash equivalents, accounts receivable, contract assets and accrued expensesinventory aggregating to $43.4$41.1 million, which were partially offset by fluctuationsan increase in accounts payable of $13.2 million. During the first quarter of 2022, cash and cash equivalents and accounts payable aggregating to $36.4 million. During the first six months of 2021, accounts receivable increased mainly from higher sequential sales and contract assets increased due to a contract modification to add existing products and extend the contractual term, while accrued expenses decreased primarilycash generated from the payment of accrued incentive compensation. Cash and cash equivalents decreased primarily from accelerated debt payments in the first six months of 2021 whileoperating activities, accounts payablereceivable increased mainly from the timing of supplier paymentssales in the quarter, and inventory increased on higher purchase levels to support sales order volume. Accounts payable increased mainly from higher sequential inventory purchases.purchases and the timing of supplier payments.
At July 2, 2021,$10.8April 1, 2022, $14.3 million of our cash and cash equivalents were held by foreign subsidiaries. We intend to limit our distributions from foreign subsidiaries to previously taxed income or current period earnings. If distributions are made utilizing current period earnings, we will record foreign withholding taxes in the period of the distribution.
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INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS
Summary of Cash Flow
Six Months Ended Three Months Ended
(in thousands)(in thousands)July 2,
2021
July 3,
2020
(in thousands)April 1,
2022
April 2,
2021
Cash provided by (used in):Cash provided by (used in):Cash provided by (used in):
Operating activitiesOperating activities$68,787 $77,954 Operating activities$18,161 $36,429 
Investing activitiesInvesting activities(18,401)(35,954)Investing activities(10,398)(7,645)
Financing activitiesFinancing activities(69,184)150,945 Financing activities(1,028)(49,562)
Effect of foreign currency exchange rates on cash and cash equivalentsEffect of foreign currency exchange rates on cash and cash equivalents173 (236)Effect of foreign currency exchange rates on cash and cash equivalents1,048 (26)
Net change in cash and cash equivalentsNet change in cash and cash equivalents$(18,625)$192,709 Net change in cash and cash equivalents$7,783 $(20,804)
Operating Activities During the first sixthree months of 2021,2022, we generated cash from operations of $68.8$18.2 million, compared to $78.0$36.4 million for the first sixthree months of 2020.2021. The decrease of $9.2$18.3 million was due to a decrease of $39.0 million in cash flow provided by changes in operating assets and liabilities, partially offset by an increase of $29.9$5.3 million in net income adjusted for non-cash items such as depreciation and amortization.
Theamortization and a decrease of $13.0 million in cash flow provided by changes in operating assets and liabilities is primarily the result of fluctuations in accounts receivable and accounts payable caused by declining sales in the prior year versus sales growth in the current period. This dynamic caused a significant prior year benefit to operating cash flow from the collection of accounts receivable in a period of declining sales, which resulted from the COVID 19 pandemic. liabilities.
The increasedecrease in net income adjusted for non-cash items such as depreciation and amortization is primarily from higher gross profit fromcompensation and benefit costs, restructuring charges and acquisition and integration expenses partially offset by higher sales growthvolume and margin expansionlower interest expense. The decrease associated with changes in operating assets and liabilities is primarily related to higher inventory growth in the current period.period partially offset by related growth in accounts payable.
Investing Activities The $17.6$2.8 million decreaseincrease in net cash used in investing activities was primarily attributable to decreasedincreased purchases of property, plant and equipment of $8.3$10.9 million intangible assets of $4.1 million, and $5.2 million of cash paid for the acquisition of certain assets and liabilities from InoMec Ltd. in the first quarter of 2020.2022, compared to $7.7 million in the same period last year.
Financing Activities – Net cash used in financing activities for the first sixthree months of 2021,2022, was $69.2$1.0 million compared to $150.9$49.6 million provided by financing activities for the first sixthree months of 2020.2021. Financing activities during the first sixthree months of 2021 primarily2022 included net borrowings of $1.2 million, compared to debt payments of $64.8 million, compared to net borrowings of $151.3$45.4 million for the comparable 20202021 period.
During the second quarter of 2020, we borrowed an additional $160 million of our Revolving Credit Facility to protect against a prolonged pandemic coupled with the risk of financial market illiquidity. We subsequently paid down $135 million of the additional borrowing during the third quarter of 2020 and the remainder in the fourth quarter of 2020.
Capital Structure – As of July 2, 2021,April 1, 2022, our capital structure consists of $669$830 million of debt, net of deferred debt issuance costs and unamortized discounts, outstanding under our Senior Secured Credit Facilities and 33 million shares of common stock outstanding. We continue toAs of April 1, 2022, we have access to $194.3$370.2 million of borrowing capacity under our Revolving Credit Facility, available for normal course of business and letters of credit. Wecredit, and are also authorized to issue up to 100 million shares of common stock and 100 million shares of preferred stock. As of July 2, 2021,April 1, 2022, our contractual debt service obligations for the remainder of 2021,2022, consisting of principal and interest on our outstanding debt, are estimated to be approximately $30$26.9 million. Actual principal and interest payments may be higher if, for instance, the applicable interest rates on our Senior Secured Credit Facilities increase, we borrow additional amounts on our Revolving Credit Facility, or we pay principal amounts in excess of the required minimums reflected in the contractual debt service obligations above.above.
Based on current expectations, we believe that our projected cash flows provided by operations, available cash and cash equivalents and borrowings under our Revolving Credit Facility are sufficient to meet our working capital, debt service and capital expenditure requirements for the next twelve months. If our future financing needs increase, we may need to arrange additional debt or equity financing. We continually evaluate and consider various financing alternatives to enhance or supplement our existing financial resources, including our Senior Secured Credit Facilities. However, we cannot be assured that we will be able to enter into any such arrangements on acceptable terms or at all. In addition, the COVID-19 pandemic, which has caused disruption in the capital markets, could make any such financing more difficult and/or expensive.
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INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS
Credit Facilities - As of July 2, 2021,April 1, 2022, we had Senior Secured Credit Facilities that consist of (i) a $200$400 million revolving credit facility (the “Revolving Credit Facility”), which had available borrowing capacity of $194.3$370.2 million, (ii) a term loan A facility (the “TLA Facility”) with outstanding principal balance of $211$464 million, and (iii) a term loan B facility (the “TLB Facility”) with outstanding principal balance of $462$348 million. The Senior SecuredRevolving Credit Facilities willFacility and TLA Facility mature on October 27, 2022.September 2, 2026. The TLB Facility matures on September 2, 2028. The Senior Secured Credit Facilities include a mandatory prepayment provision customary for credit facilities of its nature. We are currently in
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active discussions with existing and potential lending sources and Table of Contents
expect to refinance our Senior Secured Credit Facilities prior to October 27, 2021.
INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS
The Revolving Credit Facility and TLA Facility contain covenants requiring (A)that we maintain (i) a maximum total net leverage ratio of 4.75:not to exceed 5.50:1.00 subject to a step(stepping down to 4.50 to 5.00:1.00 for the third fiscal quarter of 2021, and reverting to and remaining at 4.00 to 1.00 beginning with the fourth quarter of 20212023 through maturity and (B) a minimumsubject to increase in certain circumstances following certain qualified acquisitions) and (ii) an interest coverage ratio of adjusted EBITDA (as defined in the Senior Secured Credit Facilities) to interest expense of 3.0:1.0. Additionally, the total net leverage ratio can be increased by 0.50 for up to four consecutive quarters commencing in any fiscal quarter in which we consummate an Eligible Adjustment Acquisition (as defined in the Amendment) with a $40 million or greater purchase price.at least 2.50:1.00. As of July 2, 2021, the Company wasApril 1, 2022, we were in compliance with these financial covenants. The TLB Facility does not contain any financial maintenance covenants. As of July 2, 2021,April 1, 2022, our total net leverage ratio, calculated in accordance with our Senior Secured Credit Facilities agreement, was approximately 2.72.8 to 1.0. For the twelve month period ended July 2, 2021,April 1, 2022, our ratio of adjusted EBITDA to interest expense,coverage ratio, calculated in accordance with our Senior Secured Credit Facilities agreement, was approximately 8.212.8 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 July 2, 2021, our adjusted EBITDA (as defined in the Senior Secured Credit Facilities) would have to decline by approximately $104 million, or approximately 43%, in order for us to not be in compliance with our financial covenants.
See Note 6 “Debt” of the Notes to the Condensed Consolidated Financial Statements contained in Item 1 of this report for a further information on the Company’s outstanding debt.
Off-Balance Sheet Arrangements
We do not currently have off balance sheet arrangements that have or are reasonably likely to have a material current or future effect on our Condensed Consolidated Financial Statements.
Impact of Recently Issued Accounting Standards
In the normal course of business, we evaluate all new accounting pronouncements issued by the Financial Accounting Standards Board, Securities and Exchange Commission,FASB, SEC, or other authoritative accounting bodies to determine the potential impact they may have on our Condensed Consolidated Financial Statements. See Note 1 “Basis of Presentation” of the Notes to Condensed Consolidated Financial Statements contained in Item 1 of this report for additional information about these recently issued accounting standards and their potential impact on our financial condition or results of operations.
Contractual Obligations
There have been no significant changes to our contractual obligations during the quarter ended July 2, 2021 as compared to those disclosed in Part II, Item 7, “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in our Annual Report on Form 10-K for the year ended December 31, 2020.
Critical Accounting Policies and Estimates
The preparation of our Condensed Consolidated Financial Statements in accordance with accounting principles generally accepted in the U.S. requires management to make estimates, assumptions and judgments that affect the amounts reported in the financial statements and accompanying notes. Our estimates, assumptions and judgments are based on historical experience and various other assumptions believed to be reasonable under the circumstances, the results of which form the basis for making judgments about the carrying amount of assets and liabilities that are not readily apparent from other sources. Making estimates, assumptions and judgments about future events is inherently unpredictable and is subject to significant uncertainties, some of which are beyond our control. Management believes the estimates, assumptions and judgments employed and resulting balances reported in the Condensed Consolidated Financial Statements are reasonable; however, actual results could differ materially.
There have been no significant changes to the critical accounting policies and estimates as compared to those disclosed in Part II, Item 7, “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in our Annual Report on Form 10-K for the year ended December 31, 2020.2021.
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ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
Refer to information appearing under the caption “Management’s Discussion and Analysis of Financial Condition and Results of Operations” of this Form 10-Q. Furthermore, a discussion of market risk exposures is included in Part II, Item 7A, Quantitative and Qualitative Disclosure about Market Risk, of the Company’s Annual Report on Form 10-K for the year ended December 31, 2020.2021.
Other than the uncertainties resulting from the global pandemic, thereThere have been no material changes in reported market risk since the inclusion of this discussion in the Company’s Annual Report on Form 10-K referenced above.
ITEM 4. CONTROLS AND PROCEDURES
a.    Evaluation of Disclosure Controls and Procedures
Our management, including the principal executive officer and principal financial officer, evaluated our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934) related to the recording, processing, summarization and reporting of information in our reports that we file with the Securities and Exchange Commission as of July 2, 2021.April 1, 2022. These disclosure controls and procedures have been designed to provide reasonable assurance that material information relating to us, including our subsidiaries, is made known to our management, including these officers, by our employees, and that this information is recorded, processed, summarized, evaluated and reported, as applicable, within the time periods specified in the Securities and Exchange Commission’s rules and forms. Based on their evaluation, as of July 2, 2021,April 1, 2022, our principal executive officer and principal financial officer have concluded that our disclosure controls and procedures are effective.
b.    Changes in Internal Control Over Financial Reporting
During the Company’s most recent fiscal quarter, there have been no changes in the Company’s internal control over financial reporting that have materially affected, or are reasonably likely to materially affect, the Company’s internal control over financial reporting.

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PART II—OTHER INFORMATION
ITEM 1.LEGAL PROCEEDINGS
There were no new material legal proceedings that are required to be reported in the quarter ended July 2, 2021,April 1, 2022, and no material developments during the quarter in the Company’s legal proceedings as previously disclosed in the Company’s Annual Report on Form 10-K for the year ended December 31, 2020.2021.
ITEM 1A.RISK FACTORS
There have been no material changes to the Company’s risk factors as previously disclosed in the Company’s Annual Report on Form 10-K for the year ended December 31, 20202021.
ITEM 6.EXHIBITS
Exhibit NumberDescription
10.1#*
10.2#*
10.3#*
10.4#*
10.5#*
10.6#*
31.1*
31.2*
32.1**
101.INS*XBRL Instance Document - the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document.
101.SCH*XBRL Extension Schema Document
101.CAL*XBRL Extension Calculation Linkbase Document
101.LAB*XBRL Extension Label Linkbase Document
101.PRE*XBRL Extension Presentation Linkbase Document
101.DEF*XBRL Extension Definition Linkbase Document
104Cover Page Interactive Data File (embedded within the Inline XBRL document and included in Exhibit 101).
*Filed herewith.
**Furnished herewith.
#Indicates exhibits that are management contracts or compensation plans or arrangements.
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SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
Dated:July 29, 2021April 28, 2022 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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