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ITGR Integer

Filed: 29 Apr 21, 4:02pm

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 April 2, 2021
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-20210402_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 April 23, 2021 was: 32,975,085 shares.



INTEGER HOLDINGS CORPORATION
Form 10-Q
For the Quarterly Period Ended April 2, 2021
TABLE OF CONTENTS

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PART I—FINANCIAL INFORMATION
ITEM 1. FINANCIAL STATEMENTS
INTEGER HOLDINGS CORPORATION
CONDENSED CONSOLIDATED BALANCE SHEETS (Unaudited)
(in thousands except share and per share data)April 2,
2021
December 31,
2020
ASSETS
Current assets:
Cash and cash equivalents$28,402 $49,206 
Accounts receivable, net of provision for credit losses of $0.2 million, respectively165,826 156,207 
Inventories153,815 149,323 
Refundable income taxes2,461 2,087 
Contract assets44,686 40,218 
Prepaid expenses and other current assets14,047 15,896 
Total current assets409,237 412,937 
Property, plant and equipment, net248,993 253,964 
Goodwill852,243 859,442 
Other intangible assets, net739,334 757,224 
Deferred income taxes4,381 4,398 
Operating lease assets50,433 45,153 
Other long-term assets38,731 38,739 
Total assets$2,343,352 $2,371,857 
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
Current portion of long-term debt$37,500 $37,500 
Accounts payable62,395 51,570 
Income taxes payable3,610 1,847 
Operating lease liabilities7,904 8,431 
Accrued expenses and other current liabilities50,142 56,843 
Total current liabilities161,551 156,191 
Long-term debt649,630 693,758 
Deferred income taxes180,779 182,304 
Operating lease liabilities45,150 37,861 
Other long-term liabilities28,518 30,688 
Total liabilities1,065,628 1,100,802 
Commitments and contingencies (Note 10)00
Stockholders’ equity:
Common stock, $0.001 par value; 100,000,000 shares authorized; 32,974,702 and 32,908,178 shares issued and outstanding, respectively33 33 
Additional paid-in capital703,033 700,814 
Retained earnings539,036 517,516 
Accumulated other comprehensive income35,622 52,692 
Total stockholders’ equity1,277,724 1,271,055 
Total liabilities and stockholders’ equity$2,343,352 $2,371,857 
The accompanying notes are an integral part of these condensed consolidated financial statements.
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INTEGER HOLDINGS CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
AND COMPREHENSIVE INCOME (Unaudited)
 Three Months Ended
(in thousands except per share data)April 2,
2021
April 3,
2020
Sales$290,467 $328,426 
Cost of sales205,981 231,724 
Gross profit84,486 96,702 
Operating expenses:
Selling, general and administrative35,502 36,457 
Research, development and engineering13,461 13,241 
Other operating expenses915 2,928 
Total operating expenses49,878 52,626 
Operating income34,608 44,076 
Interest expense8,532 10,361 
(Gain) loss on equity investments1,335 (1,925)
Other income, net(237)(999)
Income before taxes24,978 36,639 
Provision for income taxes3,458 5,539 
Net income$21,520 $31,100 
Earnings per share:
Basic$0.65 $0.95 
Diluted$0.65 $0.94 
Weighted average shares outstanding:
Basic32,957 32,807 
Diluted33,188 33,117 
Comprehensive Income
Net income$21,520 $31,100 
Other comprehensive loss:
Foreign currency translation loss(16,364)(12,032)
Change in fair value of cash flow hedges, net of tax(706)(8,629)
Other comprehensive loss, net of tax(17,070)(20,661)
Comprehensive income, net of tax$4,450 $10,439 
The accompanying notes are an integral part of these condensed consolidated financial statements.
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INTEGER HOLDINGS CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited)
 Three Months Ended
(in thousands)April 2,
2021
April 3,
2020
Cash flows from operating activities:
Net income$21,520 $31,100 
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization20,294 19,494 
Debt related charges included in interest expense1,372 1,023 
Stock-based compensation4,704 1,738 
Non-cash (gains) charges related to customer bankruptcy(24)628 
Non-cash lease expense2,004 1,930 
Non-cash (gain) loss on equity investments1,335 (1,925)
Contingent consideration fair value adjustment(500)
Other non-cash (gains) losses69 (585)
Deferred income taxes(242)61 
Changes in operating assets and liabilities, net of acquisition:
Accounts receivable(9,373)(8,165)
Inventories(5,157)(4,365)
Prepaid expenses and other assets(189)929 
Contract assets(4,677)(14,279)
Accounts payable11,434 18,458 
Accrued expenses and other liabilities(7,887)(18,108)
Income taxes1,246 4,963 
Net cash provided by operating activities36,429 32,397 
Cash flows from investing activities:
Acquisition of property, plant and equipment(7,660)(14,925)
Purchase of intangible asset(3,500)
Proceeds from sale of property, plant and equipment15 52 
Acquisitions, net(5,219)
Net cash used in investing activities(7,645)(23,592)
Cash flows from financing activities:
Principal payments of long-term debt(45,375)(9,375)
Proceeds from senior secured revolving line of credit25,000 
Proceeds from the exercise of stock options116 2,201 
Payment of debt issuance costs(72)
Tax withholdings related to net share settlements of restricted stock unit awards(2,601)(2,664)
Contingent consideration payments(1,621)
Principal payments on finance leases(9)
Net cash provided by (used in) financing activities(49,562)15,162 
Effect of foreign currency exchange rates on cash and cash equivalents(26)(243)
Net increase (decrease) in cash and cash equivalents(20,804)23,724 
Cash and cash equivalents, beginning of period49,206 13,535 
Cash and cash equivalents, end of period$28,402 $37,259 
The accompanying notes are an integral part of these condensed consolidated financial statements.
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INTEGER HOLDINGS CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY (Unaudited)
 Three Months Ended
(in thousands)April 2,
2021
April 3,
2020
Total stockholders’ equity, beginning balance$1,271,055 $1,152,488 
Common stock and additional paid-in capital
Balance, beginning of period700,847 701,051 
Stock awards exercised or vested(2,485)(8,010)
Stock-based compensation4,704 1,738 
Balance, end of period703,066 694,779 
Treasury stock
Balance, beginning of period(8,809)
Treasury shares reissued7,546 
Balance, end of period(1,263)
Retained earnings
Balance, beginning of period517,516 440,258 
Net income21,520 31,100 
Balance, end of period539,036 471,358 
Accumulated other comprehensive income (loss)
Balance, beginning of period52,692 19,988 
Other comprehensive loss(17,070)(20,661)
Balance, end of period35,622 (673)
Total stockholders’ equity, ending balance$1,277,724 $1,164,201 
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 largest medical device outsource manufacturers in the world serving the cardiac, neuromodulation, vascular, orthopedics, advanced surgical and portable medical markets. The Company provides innovative, high-quality medical technologies that enhance the lives of patients worldwide. In addition, it develops batteries for high-end niche applications in the energy, military, and environmental markets. The Company’s reportable segments are: (1) Medical and (2) Non-Medical. The Company’s customers include large multi-national original equipment manufacturers (“OEMs”) and their affiliated subsidiaries.
The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America (“GAAP”) for interim financial information (Accounting Standards Codification (“ASC”) 270, Interim Reporting) and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, these financial statements do not include all of the information necessary for a full presentation of financial position, results of operations, and cash flows in conformity with GAAP. In the opinion of management, the condensed consolidated financial statements reflect all adjustments (consisting of normal recurring adjustments) considered necessary for a fair presentation of the results of the Company for the periods presented. Intercompany transactions and balances have been fully eliminated in consolidation.
Operating results for interim periods are not necessarily indicative of results that may be expected for the fiscal year as a whole. The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets, liabilities, certain components of equity, sales, expenses, and related disclosures at the date of the financial statements and during the reporting period. Actual results could differ materially from these estimates. For further information, refer to the consolidated financial statements and notes included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2020.
The first quarter of 2021 ended on April 2 and consisted of 92 days, and the first quarter of 2020 ended on April 3 and consisted of 94 days.
Risks and Uncertainties
Beginning in early March 2020, the global spread of the novel coronavirus (“COVID-19”) created significant uncertainty and worldwide economic disruption. Specific impacts to the Company’s business include delayed or reduced customer orders and sales, restrictions on its associates’ ability to travel or work, delays in shipments to and from certain countries, and disruptions in its supply chain. The extent to which COVID-19 impacts the Company’s operations will depend on future developments, which are 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 associates, suppliers, manufacturing, or customers could materially impact its consolidated financial position, results of operations or cash flows.
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, 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 ACQUISITION
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. The acquisition enables the Company to create a research and development center in Israel, closer to the customer base in the region. The fair value of the consideration transferred was $7.0 million, which included an initial cash payment of $5.3 million and $1.7 million in estimated fair value of contingent consideration.
The contingent consideration represents the estimated fair value of the Company’s obligation, under the asset purchase agreement, to make additional payments of up to $3.5 million over the four years following the acquisition based on specified conditions being met. Based on the final purchase price allocation, the assets acquired principally comprise $2.0 million of intangible assets, $4.8 million of goodwill, $0.3 million of acquired property, plant and equipment, 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.
For segment reporting purposes, the results of operations and assets from this acquisition have been included in the Company’s Medical segment since the acquisition date. Sales related to InoMec were $0.8 million and $0.4 million, respectively, for the three months ended April 2, 2021 and April 3, 2020. Earnings related to the operations consisting of the assets and liabilities acquired from InoMec for the three months ended April 2, 2021 and April 3, 2020 were not material. During the three months ended on April 3, 2020, direct costs of this acquisition of $0.7 million were expensed as incurred and included in Other operating expenses 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):
Three Months Ended
April 2,
2021
April 3,
2020
Noncash investing and financing activities:
Property, plant and equipment purchases included in accounts payable$2,981 $4,481 
Purchase of intangible asset included in accrued expenses1,000 
Supplemental lease disclosures:
Operating lease assets obtained in exchange for new or remeasured operating
   lease liabilities
7,414 7,427 
(4.)    INVENTORIES
Inventories comprise the following (in thousands):
April 2,
2021
December 31,
2020
Raw materials$70,552 $72,477 
Work-in-process64,320 58,806 
Finished goods18,943 18,040 
Total$153,815 $149,323 
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INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)


(5.)     GOODWILL AND OTHER INTANGIBLE ASSETS, NET
Goodwill
The changes in the carrying amount of goodwill by reportable segment for the three months ended April 2, 2021 were as follows (in thousands):
MedicalNon- MedicalTotal
December 31, 2020$842,442 $17,000 $859,442 
Foreign currency translation(7,199)(7,199)
April 2, 2021$835,243 $17,000 $852,243 
Intangible Assets
Intangible assets comprise the following (in thousands):
Gross
Carrying
Amount
Accumulated
Amortization
Net
Carrying
Amount
April 2, 2021
Definite-lived:
Purchased technology and patents$255,606 $(155,278)$100,328 
Customer lists716,081 (167,620)548,461 
Other4,120 (3,863)257 
Total amortizing intangible assets$975,807 $(326,761)$649,046 
Indefinite-lived:
Trademarks and tradenames$90,288 
December 31, 2020
Definite-lived:
Purchased technology and patents$257,453 $(152,798)$104,655 
Customer lists723,791 (161,856)561,935 
Other4,142 (3,796)346 
Total amortizing intangible assets$985,386 $(318,450)$666,936 
Indefinite-lived:
Trademarks and tradenames$90,288 
Aggregate intangible asset amortization expense comprises the following (in thousands):
 Three Months Ended
 April 2,
2021
April 3,
2020
Cost of sales$3,268 $3,269 
Selling, general and administrative expenses7,182 7,175 
Total intangible asset amortization expense$10,450 $10,444 
Estimated future intangible asset amortization expense based on the carrying value as of April 2, 2021 is as follows (in thousands):
Remainder of 2021202220232024 2025After 2025
Amortization Expense$30,835 40,170 38,751 37,798 36,483 465,009 
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INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)


(6.)     DEBT
Long-term debt comprises the following (in thousands):
 April 2,
2021
December 31,
2020
Senior secured term loan A$220,312 $229,687 
Senior secured term loan B472,286 508,286 
Unamortized discount on term loan B and debt issuance costs(5,468)(6,715)
Total debt687,130 731,258 
Current portion of long-term debt(37,500)(37,500)
Total long-term debt$649,630 $693,758 
The Company has senior secured credit facilities (the “Senior Secured Credit Facilities”) as of April 2, 2021, consisting of (i) a $200 million revolving credit facility (the “Revolving Credit Facility”), (ii) a term loan A facility (the “TLA Facility”), and (iii) a term loan B facility (the “TLB Facility”). The TLA Facility and TLB Facility are collectively referred to as the “Term Loan Facilities.” The TLB Facility was issued at a 1% discount.
Revolving Credit Facility
The Revolving Credit Facility matures on October 27, 2022. The Revolving Credit Facility includes a $15 million sublimit for swingline loans and a $25 million sublimit for standby letters of credit. The Company is required to pay a commitment fee on the unused portion of the Revolving Credit Facility, which will range between 0.175% and 0.25%, depending on the Company’s Total Net Leverage Ratio (as defined in the Senior Secured Credit Facilities agreement). As of April 2, 2021, the commitment fee on the unused portion of the Revolving Credit Facility was 0.25%. Interest rates on the Revolving Credit Facility, as well as the TLA Facility, are at the Company’s option, either at: (i) the prime rate plus the applicable margin, which will range between 0.50% 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 April 2, 2021, the Company had 0 outstanding borrowings on the Revolving Credit Facility and an available borrowing capacity of $193.3 million after giving effect to $6.7 million of outstanding standby letters of credit.
Term Loan Facilities
The TLA Facility and TLB Facility mature on October 27, 2022. 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. As of April 2, 2021, the interest rates on the TLA Facility and TLB Facility were 2.36% and 3.50%, respectively.
Covenants
The Revolving Credit Facility and TLA Facility contain covenants requiring (A) a maximum Total Net Leverage Ratio of 4.75:1.00, subject to a step down to 4.50 to 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 2021 through maturity, and (B) a minimum interest coverage ratio of adjusted EBITDA (as defined in the Senior Secured Credit Facilities) to interest expense of not less than 3.00:1.00. The TLB Facility does not contain any financial maintenance covenants. As of April 2, 2021, the Company was in compliance with these financial covenants.
Contractual maturities under the Senior Secured Credit Facilities for the remainder of 2021 and through maturity, excluding any discounts or premiums, as of April 2, 2021 are as follows (in thousands):
20212022
Future minimum principal payments$28,125 664,473 
During the three months ended April 2, 2021, the Company prepaid $36.0 million of its TLB Facility and recognized a loss from extinguishment of debt of $0.3 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 maintains certain stock-based compensation plans that were approved by the Company’s stockholders and are administered by the Board of Directors or the Compensation and Organization Committee of the Board. The stock-based compensation plans provide for the granting of stock options, restricted stock awards, restricted stock units (“RSUs”), stock appreciation rights and stock bonuses to employees, non-employee directors, consultants, and service providers.
The components and classification of stock-based compensation expense were as follows (in thousands):
 Three Months Ended
 April 2,
2021
April 3,
2020
Stock options$$13 
RSUs4,704 1,725 
Total stock-based compensation expense$4,704 $1,738 
Cost of sales$1,114 $454 
Selling, general and administrative3,355 1,136 
Research, development and engineering235 148 
Total stock-based compensation expense$4,704 $1,738 
Stock Options
The following table summarizes the Company’s stock option activity for the three month period ended April 2, 2021:
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(4,229)27.32 
Outstanding and exercisable at April 2, 2021277,644 $36.18 4.5$15.4 
Restricted Stock Units
During the three months ended April 2, 2021, 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 of Directors and management. Newly appointed members to the Board of Directors 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 of Directors. All other time-based RSUs granted during three months ended April 2, 2021 vest ratably, subject to the recipient’s continuous service to the Company over a period of three years from the grant date. For the Company’s PRSUs, in addition to service conditions, the ultimate number of shares to be earned depends on the achievement of market-based conditions. The market-based conditions are based on the Company’s achievement of a relative total shareholder return (“TSR”) performance requirement, on a percentile basis, compared to a defined group of peer companies over three year performance periods.
The Company uses a Monte Carlo simulation model to determine the grant-date fair value of awards with TSR-based performance conditions. The grant-date fair value of all other RSUs is equal to the closing market price of Integer common stock on the date of grant.
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INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)


(7.)     STOCK-BASED COMPENSATION (Continued)
The weighted average fair value and assumptions used to value the TSR portion of the PRSUs granted are as follows:
 Three Months Ended
 April 2,
2021
April 3,
2020
Weighted average fair value$85.16 $107.42 
Risk-free interest rate0.19 %1.53 %
Expected volatility41 %30 %
Expected life (in years)3.02.9
Expected dividend yield%%
The valuation of the TSR portion of the PRSUs granted during 2021 and 2020 also reflects a weighted average illiquidity discount of 8.19% and 8.00%, 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 three month period ended April 2, 2021:
Time-Vested
Activity
Weighted
Average
Grant Date Fair Value
Nonvested at December 31, 2020207,923 $75.38 
Granted146,247 79.09 
Vested(59,143)63.94 
Forfeited(2,327)80.24 
Nonvested at April 2, 2021292,700 $79.51 
The following table summarizes PRSU activity for the three month period ended April 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(65,941)49.00 
Nonvested at April 2, 2021206,913 $91.98 
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INTEGER HOLDINGS CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)


(8.)     OTHER OPERATING EXPENSES
Other operating expenses comprise the following (in thousands):
 Three Months Ended
 April 2,
2021
April 3,
2020
Operational excellence initiatives$654 $974 
Strategic reorganization and alignment548 
Manufacturing alignment to support growth128 
Acquisition and integration84 356 
Other general expenses177 922 
Total other operating expenses$915 $2,928 
Operational excellence initiatives
The Company’s operational excellence 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.
2021 Initiatives - Costs related to the Company’s 2021 initiatives are primarily recorded within the Medical segment and mainly include termination benefits. The Company estimates that it will incur aggregate pre-tax charges in connection with the 2021 realignment plan of between approximately $1 million to $2 million, the majority of which are expected to be cash expenditures. As of April 2, 2021, total restructuring and related charges incurred since inception was $0.4 million. These actions are expected to be substantially completed by the end of 2021.
2020 Initiatives - Costs related to the Company’s 2020 initiatives are primarily recorded within the Medical segment and mainly include termination benefits. As of April 2, 2021, total restructuring and related charges incurred since inception was $3.0 million. These actions were substantially complete at the end of 2020.
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 above (in thousands):
Operational
excellence
initiatives
December 31, 2020$291 
Charges incurred, net of reversals654 
Cash payments(306)
April 2, 2021$639 
- 13 -

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


(8.)     OTHER OPERATING EXPENSES (Continued)
Acquisition and integration
Acquisition and integration costs primarily consist of professional fees and other costs related to business acquisitions. During the three months ended April 2, 2021 and April 3, 2020, acquisition and integration costs included $0.1 million and $0.9 million, respectively, of expenses related to the acquisition of certain assets and liabilities of InoMec and US BioDesign, LLC (“USB”), which was acquired in October 2019. Acquisition and integration costs for the three months ended April 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.
Other general expenses
During the three months ended April 2, 2021 and April 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 of certain legal entities of the Company.
(9.)    INCOME TAXES
The income tax provision for interim periods is determined using an estimate of the annual effective tax rate, adjusted for discrete items, if any, that are taken into account in the relevant period. Each quarter, the estimate of the annual effective tax rate is updated, and if the estimated effective tax rate changes, a cumulative adjustment is made. There is a potential for volatility of the effective tax rate due to several factors, including discrete items, changes in the mix and amount of pre-tax income and the jurisdictions to which it relates, changes in tax laws and foreign tax holidays, business reorganizations, settlements with taxing authorities and foreign currency fluctuations. In addition, the Company continues to explore tax planning opportunities that may have a material impact on its effective tax rate.
The Company’s effective tax rate for the first quarter of 2021 was 13.8% on $25.0 million of income before taxes compared to 15.1% on $36.6 million of income before taxes for the same period in 2020. The difference between the Company’s effective tax rates and the U.S. federal statutory income tax rate of 21% for the first quarter 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 availability of tax credits, and certain discrete tax benefits. For the first quarter of 2021 and 2020, the Company recorded discrete tax benefits of $0.6 million and $1.0 million, respectively. The discrete tax benefits for both periods are predominately related to excess tax benefits recognized upon vesting of RSUs or exercise of stock options during those quarters.
As of April 2, 2021 and December 31, 2020, the Company had unrecognized tax benefits of approximately $5.5 million. It is reasonably possible that a reduction of up to $3.4 million of the balance of unrecognized tax benefits may occur within the next twelve months as a result of potential audit settlements. As of April 2, 2021 and December 31, 2020, approximately $5.5 million of the unrecognized tax benefits would favorably impact the effective tax rate, net of federal benefit on state issues, if recognized.
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- based tax laws. The CARES Act provides 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. As of April 2, 2021 and December 31, 2020, the Company had deferred a total of $9.7 million of payroll taxes. 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, 2020$163 
Additions to warranty reserve, net of reversals15 
Adjustments to pre-existing warranties(63)
April 2, 2021$115 
(11.)    EARNINGS PER SHARE (“EPS”)
The following table sets forth a reconciliation of the information used in computing basic and diluted EPS (in thousands, except per share amounts):
 Three Months Ended
April 2,
2021
April 3,
2020
Numerator for basic and diluted EPS:
Net income$21,520 $31,100 
Denominator for basic and diluted EPS:
Weighted average shares outstanding - Basic32,957 32,807 
Dilutive effect of share-based awards231 310 
Weighted average shares outstanding - Diluted33,188 33,117 
Basic EPS$0.65 $0.95 
Diluted EPS$0.65 $0.94 
The diluted weighted average share calculations do not include the following securities, which are not dilutive to the EPS calculations or the performance criteria have not been met (in thousands):
 Three Months Ended
April 2,
2021
April 3,
2020
Time-vested RSUs10 101 
PRSUs64 24 
- 15 -

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


(12.)     STOCKHOLDERS’ EQUITY
The following is a summary of the number of shares of common stock issued, treasury stock and common stock outstanding for the three month periods ended April 2, 2021 and April 3, 2020:
IssuedTreasury StockOutstanding
Shares outstanding at December 31, 202032,908,178 32,908,178 
Stock options exercised4,229 4,229 
Vesting of RSUs, net of shares withheld to cover taxes62,295 62,295 
Shares outstanding at April 2, 202132,974,702 32,974,702 
Shares outstanding at December 31, 201932,847,017 (146,546)32,700,471 
Stock options exercised58,658 58,658 
Vesting of RSUs, net of shares withheld to cover taxes66,876 66,876 
Shares outstanding at April 3, 202032,847,017 (21,012)32,826,005 
Accumulated Other Comprehensive Income (Loss) (“AOCI”) comprises the following (in thousands):
Defined
Benefit
Plan
Liability
Cash
Flow
Hedges
Foreign
Currency
Translation
Adjustment
Total
Pre-Tax
Amount
TaxNet-of-Tax
Amount
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 $35,622 
December 31, 2019$(912)$(2,358)$22,639 $19,369 $619 $19,988 
Unrealized loss on cash flow hedges— (11,474)— (11,474)2,410 (9,064)
Realized gain on foreign currency hedges— (197)— (197)41 (156)
Realized loss on interest rate swap hedges— 748 — 748 (157)591 
Foreign currency translation loss— — (12,032)(12,032)(12,032)
April 3, 2020$(912)$(13,281)$10,607 $(3,586)$2,913 $(673)
- 16 -

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


(13.)     FINANCIAL INSTRUMENTS AND FAIR VALUE MEASUREMENTS
Assets and Liabilities Measured at Fair Value on a Recurring Basis
Fair value measurement standards apply to certain financial assets and liabilities that are measured at fair value on a recurring basis (each reporting period). For the Company, these financial assets and liabilities include its derivative instruments and contingent consideration. The Company does not have any nonfinancial assets or liabilities that are measured at fair value on a recurring basis.
The Company is exposed to global market risks, including the effect of changes in interest rates and foreign currency exchange rates, and uses 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)
April 2, 2021
Assets: Foreign currency contracts$28 $$28 $
Liabilities: Foreign currency contracts152 152 
Liabilities: Interest rate swap5,726 5,726 
Liabilities: Contingent consideration2,281 2,281 
December 31, 2020
Assets: Foreign currency contracts$2,070 $$2,070 $
Liabilities: Interest rate swap7,026 7,026 
Liabilities: Contingent consideration3,900 3,900 
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 April 2, 2021 is as follows (dollars in thousands):
Notional AmountStart DateEnd
Date
Pay Fixed RateReceive Current Floating RateFair ValueBalance Sheet Location
$150,000 Jun 2020Jun 20232.1785 %0.1091 %$(5,726)Other long-term liabilities
Information regarding the Company’s outstanding interest rate swap designated as cash flow hedges as of December 31, 2020 is as follows (dollars in thousands):
Notional 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 liabilities
- 17 -

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 April 2, 2021 is as follows (dollars in thousands):
Notional AmountStart
Date
End
Date
$/Foreign CurrencyFair ValueBalance Sheet Location
$1,553 Apr 2021Aug 20210.0232UYU Peso$30 Prepaid expenses and other current assets
3,270 Apr 2021Nov 20210.0227UYU Peso10 Prepaid expenses and other current assets
2,048 Jul 2021Dec 20210.0228UYU Peso(12)Prepaid expenses and other current assets
8,973 Apr 2021Sep 20211.1949Euro(133)Accrued expenses and other current liabilities
6,101 Apr 2021Sep 20210.0454MXN Peso480 Accrued expenses and other current liabilities
7,269 Apr 2021Dec 20210.0485MXN Peso(1)Accrued expenses and other current liabilities
10,985 Apr 2021Dec 20211.2206Euro(362)Accrued expenses and other current liabilities
9,069 Apr 2021Dec 20210.0490MXN Peso(136)Accrued expenses and other current liabilities
Information regarding outstanding foreign currency forward contracts designated as cash flow hedges as of December 31, 2020 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
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 for the three months ended April 2, 2021 and April 3, 2020 (in thousands):
Three Months Ended
April 2, 2021April 3, 2020
TotalAmount of Gain (Loss) on Cash Flow Hedge ActivityTotalAmount of Gain (Loss) on Cash Flow Hedge Activity
Sales$290,467 $$328,426 $(128)
Cost of sales205,981 624 231,724 325 
Operating expenses49,878 27 52,626 
Interest expense8,532 (1,034)10,361 (748)
- 18 -

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 ended,Location in Statements of Operations and Comprehensive IncomeThree months ended,
April 2,
2021
April 3,
2020
April 2,
2021
April 3,
2020
Interest rate swap$266 $(6,387)Interest expense$(1,034)$(748)
Foreign exchange forwards(886)(274)Sales(128)
Foreign exchange forwards(559)(4,813)Cost of sales624 325 
Foreign exchange forwards(90)Operating expenses27 
The Company expects to reclassify net losses totaling $3.2 million related to its cash flow hedges from AOCI into earnings during the next twelve months.
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 months ended April 2, 2021 and April 3, 2020 (in thousands):
 Three Months Ended
April 2,
2021
April 3,
2020
Fair value measurement at beginning of period$3,900 $4,200 
Amount recorded for acquisitions2,700 
Fair value measurement adjustment(500)
Payments(1)
(1,621)
Foreign currency translation
Fair value measurement at end of period$2,281 $6,400 
__________
(1)Consists of payments associated with the Company’s acquisitions of InoMec and USB, 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.
On February 19, 2020, the Company acquired certain assets 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 April 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.
As of April 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.
- 19 -

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


(13.)     FINANCIAL INSTRUMENTS AND FAIR VALUE MEASUREMENTS (Continued)
The following table provides quantitative information associated with the fair value measurement of the Company’s liabilities for contingent consideration:
April 2, 2021
Contingency TypeMaximum Payout (undiscounted)Fair ValueValuation TechniqueUnobservable InputsWeighted Average or Range
Revenue-based payments$6,750 $2,281 Monte CarloRevenue volatility35.0 %
Discount rate4.0 %
Projected 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.
Assets and Liabilities Measured at Fair Value on a Nonrecurring Basis
Fair value standards also apply to certain assets and liabilities that are measured at fair value on a nonrecurring basis. The carrying amounts of cash, accounts receivable, accounts payable, and accrued expenses approximate fair value because of the short-term nature of these items.
Borrowings under the Company’s Revolving Credit Facility, TLA Facility and TLB Facility accrue interest at a floating rate tied to a standard short-term borrowing index, selected at the Company’s option, plus an applicable margin. The carrying amount of this floating rate debt approximates fair value based upon the respective interest rates adjusting with market rate adjustments.
Equity Investments
The Company holds long-term, strategic investments in companies to promote business and strategic objectives. These investments are included in Other long-term assets on the Condensed Consolidated Balance Sheets. Non-marketable equity securities are equity securities without readily determinable fair value. The Company has elected the practicability exception to use an alternative approach that measures the securities at cost minus impairment, if any, plus or minus changes resulting from qualifying observable price changes. If an impairment is recognized on the Company’s non-marketable equity securities during the period, these assets are classified as Level 3 within the fair value hierarchy based on the nature of the fair value inputs.
Equity investments comprise the following (in thousands):
April 2,
2021
December 31,
2020
Equity method investment$20,135 $21,470 
Non-marketable equity securities5,723 5,723 
Total equity investments$25,858 $27,193 
- 20 -

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


(13.)     FINANCIAL INSTRUMENTS AND FAIR VALUE MEASUREMENTS (Continued)
The components of (Gain) loss on equity investments for each period were as follows (in thousands):
Three Months Ended
April 2,
2021
April 3,
2020
Equity method investment (gain) loss$1,335 $(1,925)
The Company’s equity method investment is in a venture capital fund focused on investing in life sciences companies. As of April 2, 2021, the Company owned 6.6% of this fund.
(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 following table presents sales by product line (in thousands).
 Three Months Ended
April 2,
2021
April 3,
2020
Segment sales by product line:
Medical
Cardio & Vascular$149,165 $179,205 
Cardiac & Neuromodulation108,408 107,820 
Advanced Surgical, Orthopedics & Portable Medical25,392 31,237 
Total Medical282,965 318,262 
Non-Medical7,502 10,164 
Total sales$290,467 $328,426 
The following table presents income for the Company’s reportable segments (in thousands).
 Three Months Ended
April 2,
2021
April 3,
2020
Segment income:
Medical$55,525 $65,216 
Non-Medical1,213 
Total segment income55,527 66,429 
Unallocated operating expenses(20,919)(22,353)
Operating income34,608 44,076 
Unallocated expenses, net(9,630)(7,437)
Income before taxes$24,978 $36,639 
- 21 -

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 35% and 30%, respectively, of total revenue for the three months ended April 2, 2021 and April 3, 2020. All revenue recognized from products and services transferred to customers over time during the periods presented was within the Medical segment.
The following table presents revenues by significant customers, which are defined as any customer who individually represents 10% or more of a segment’s total revenues.
Three Months Ended
April 2, 2021April 3, 2020
CustomerMedical Non-Medical Medical Non-Medical
Customer A22%*20%*
Customer B13%*18%*
Customer C17%*16%*
Customer D*26%*19%
All other customers48%74%46%81%
__________
* 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
April 2, 2021April 3, 2020
Ship to LocationMedical Non-Medical Medical Non-Medical
United States53%69%55%44%
Puerto Rico**12%*
United Kingdom*10%*15%
Singapore***14%
Canada*11%*12%
All other countries47%10%33%15%
__________
* 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):
April 2,
2021
December 31,
2020
Contract assets$44,686 $40,218 
Contract liabilities2,379 2,498 
Contract assets at April 2, 2021, increased $4.5 million from December 31, 2020, due to a contract modification to add existing products and extend the contractual term. 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. During the three months ended April 3, 2020, the Company recognized $0.1 million of revenue that was included in the contract liability balance as of December 31, 2019.
- 22 -


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. In addition, please read this section in conjunction with our Condensed Consolidated Financial Statements and Notes to Condensed Consolidated Financial Statements contained herein.
Forward-Looking Statements
Some of the statements contained in this report and other written and oral statements made from time to time by us and our representatives are not statements of historical or current fact. As such, they are “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended (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 of the COVID-19 global pandemic;
future development and expected growth of our business and industry;
our ability to execute our business model and our business strategy;
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.
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 Commission and include the following:
the impact of the COVID-19 global pandemic;
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 dependence upon our senior management team and technical personnel;
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;
our ability to successfully identify, make and integrate acquisitions to expand and develop our businesses in accordance with expectations;
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 and financial risks related to our international operations and sales;
our complex international tax profile;
our ability to realize the full value of our intangible assets
regulatory issues resulting from products complaints, recalls or regulatory audits;
the potential of becoming subject to product liability or intellectual property claims;
our ability to protect our intellectual property and proprietary rights;
our ability and the cost to comply with environmental regulations;
our ability to comply with customer-driven policies and third-party standards or certification requirements;
our ability to obtain necessary licenses for new technologies;
legal and regulatory risks from our international operations; and
the fact that the healthcare industry is highly regulated and subject to various regulatory changes.
- 23 -

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 report whether to reflect changed assumptions, the occurrence of unanticipated events or changes in future operating results, financial conditions or prospects, or otherwise.
In this Form 10-Q, references to “Integer,” “we,” “us,” “our” and the “Company” mean Integer Holdings Corporation and its subsidiaries, unless the context indicates otherwise.
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 first quarter of 2021 ended on April 2 and consisted of 92 days, and the first quarter of 2020 ended on April 3 and consisted of 94 days.
Impact of COVID-19
Beginning in early March 2020, the global spread of the novel coronavirus (“COVID-19”) created significant uncertainty and worldwide economic disruption. Specific impacts to our business include delayed or reduced customer orders and sales, restrictions on our associates’ ability to travel or work, delays in shipments to and from certain countries, and disruptions in our supply chain. The extent to which COVID-19 impacts our operations will depend on future developments, which are 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 we are not aware of currently. Any prolonged material disruption of our associates, suppliers, manufacturing, or customers could materially impact our consolidated financial position, results of operations or cash flows.
Recent Business Acquisition
On February 19, 2020, we 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. The acquisition enables us to create a research and development center in Israel, closer to the customer base in the region.
Refer to Note 2 “Business Acquisition” of the Notes to Condensed Consolidated Financial Statements contained in Item 1 of this report for additional information about this acquisition.
- 24 -


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:
Sales Force Excellence: We are focusing our efforts within the commercial organization to further improve our efficiency and effectiveness and to align with product line growth strategies and customer needs. These activities are about getting more out of the capabilities we already have, and increasing individual accountability and clarity of ownership, while serving customers more effectively.
Market Focused Innovation: We are ensuring we get 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 system will provide standardized systems and processes by leveraging best practices and applying them across all of our global sites.
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.
Financial Overview
Net income for the first quarter of 2021 was $21.5 million, or $0.65 per diluted share, compared to $31.1 million, or $0.94 per diluted share for the first quarter of 2020. These variances are primarily the result of the following:
Sales for the first quarter of 2021 decreased $38.0 million when compared to the same period in 2020, primarily due to the on-going impacts of the COVID-19 pandemic.
Gross profit for the first quarter of 2021 decreased $12.2 million, primarily from a decrease in sales volume and price reductions to our customers.
Operating expenses for the first quarter of 2021 decreased $2.7 million, compared to the same period in 2020, primarily due to decreases of $1.0 million in Selling, general and administrative expenses and $2.0 million in Other operating expenses.
Interest expense for the first quarter of 2021 decreased $1.8 million, compared to the same period in 2020, primarily due to lower interest rates and lower outstanding debt balances.
During the first quarter of 2021, we recognized a loss on equity investments of $1.3 million, compared to a gain of $1.9 million for the first quarter of 2020. Gains and losses on equity investments are generally unpredictable in nature.
Other income, net for the first quarter of 2021 was $0.2 million compared to $1.0 million for the first quarter of 2020, primarily due to fluctuations in foreign currency gains and losses in the respective periods.
We recorded provisions for income taxes for the first quarter of 2021 and 2020 of $3.5 million and $5.5 million, respectively. The change in income tax was primarily due to relative changes in pre-tax income and the impact of discrete tax items.
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INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS
Our Financial Results
The following tables present selected financial information derived from our Condensed Consolidated Financial Statements, contained in Item 1 of this report, for the periods presented (dollars in thousands, except per share).
 Three Months Ended  
 April 2,April 3,Change
 20212020$%
Medical Sales:
Cardio & Vascular149,165 $179,205 $(30,040)(16.8)%
Cardiac & Neuromodulation108,408 107,820 588 0.5 %
Advanced Surgical, Orthopedics & Portable Medical25,392 31,237 (5,845)(18.7)%
Total Medical Sales282,965 318,262 (35,297)(11.1)%
Non-Medical7,502 10,164 (2,662)(26.2)%
Total sales290,467 328,426 (37,959)(11.6)%
Cost of sales205,981 231,724 (25,743)(11.1)%
Gross profit84,486 96,702 (12,216)(12.6)%
Gross profit as a % of sales29.1 %29.4 %
Operating expenses:
Selling, general and administrative (“SG&A”)35,502 36,457 (955)(2.6)%
SG&A as a % of sales12.2 %11.1 %
Research, development and engineering (“RD&E”)13,461 13,241 220 1.7 %
RD&E as a % of sales4.6 %4.0 %
Other operating expenses915 2,928 (2,013)(68.8)%
Total operating expenses49,878 52,626 (2,748)(5.2)%
Operating income34,608 44,076 (9,468)(21.5)%
Operating income as a % of sales11.9 %13.4 %
Interest expense8,532 10,361 (1,829)(17.7)%
(Gain) loss on equity investments1,335 (1,925)3,260 NM
Other income, net(237)(999)762 (76.3)%
Income before taxes24,978 36,639 (11,661)(31.8)%
Provision for income taxes3,458 5,539 (2,081)(37.6)%
Effective tax rate13.8 %15.1 %
Net income$21,520 $31,100 $(9,580)(30.8)%
Net income as a % of sales7.4 %9.5 %
Diluted earnings per share$0.65 $0.94 $(0.29)(30.9)%
NM Calculated amount not meaningful
- 26 -


INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS
Product Line Sales
For the first quarter of 2021, Cardio & Vascular sales decreased $30.0 million, or 17%, versus the comparable 2020 period. Cardio & Vascular sales for the first quarter of 2021 were negatively impacted by the COVID-19 pandemic and also declined due to the first quarter of 2020 which included the discrete benefit from the signing of a customer contract on existing business. During the first quarter of 2021, price reductions lowered Cardio & Vascular sales by $1.1 million in comparison to the 2020 period. Foreign currency exchange rate fluctuations increased Cardio & Vascular sales for the first quarter of 2021 by $1.0 million in comparison to the 2020 period, primarily due to U.S. dollar fluctuations relative to the Euro.
For the first quarter of 2021, Cardiac & Neuromodulation sales increased $0.6 million, or 1%, versus the comparable 2020 period. Cardiac & Neuromodulation sales for the first quarter of 2021 continued to be negatively impacted by COVID-19. During the first quarter of 2021, price reductions lowered Cardiac & Neuromodulation sales by $3.6 million in comparison to the 2020 period. Foreign currency exchange rate fluctuations did not have a material impact on Cardiac & Neuromodulation sales during the first quarter of 2021 in comparison to the 2020 period.
In addition to Portable Medical sales, Advanced Surgical, Orthopedic & Portable Medical includes sales to the acquirer of our former AS&O Product Line, under supply agreements entered into as part of the divestiture. For the first quarter of 2021, Advanced Surgical, Orthopedic & Portable Medical sales decreased $5.8 million, or 19%, versus the comparable 2020 period, driven by the impact of COVID-19. Price reductions and foreign currency exchange rate fluctuations did not have a material impact on Advanced Surgical, Orthopedic & Portable Medical sales during the first quarter of 2021 in comparison to the 2020 period.
For the first quarter of 2021, Non-Medical sales decreased $2.7 million, or 26%, versus the comparable 2020 period, driven by a continued decline in the energy market and demand fall-out from the COVID-19 pandemic. Price reductions and foreign currency exchange rate fluctuations did not have a material impact on Non-Medical sales during the first quarter of 2021 in comparison to the 2020 period.
Gross Profit
Changes to gross profit as a percentage of sales (“Gross Margin”) from the prior year were due to the following:
Change From Prior Year Three Months
Price(a)
(1.1)%
Mix(b)
0.6 
Volume Leverage(0.1)
Customer Bankruptcy(c)
0.3 
Total percentage point change to gross profit as a percentage of sales(0.3)%
__________
(a)Our Gross Margin for the first quarter 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)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 incurred costs and recorded charges associated with the Customer Bankruptcy, primarily consisting of charges related to inventory recorded in cost of sales in our condensed consolidated statement of operations.
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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 Months
Professional fees(a)
$(1,261)
Compensation and benefit costs(b)
1,451 
Travel and entertainment(c)
(904)
All other SG&A(d)
(241)
Net decrease in SG&A expenses$(955)
__________
(a)Professional fees decreased during the first quarter of 2021 compared to the prior year period, primarily due to lower legal costs.
(b)Compensation and benefits costs increased during the first quarter of 2021 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 COVID-19 pandemic.
(d)The net decrease in all other SG&A for the first quarter of 2021 compared to the same period of 2020 is primarily attributable to lower expense for supplies and depreciation.
RD&E
RD&E costs for the first quarter of 2021 were $13.5 million compared to $13.2 million for the first quarter of 2020. 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
Other Operating Expenses
Other operating expenses (“OOE”) comprise the following (in thousands):
 Three Months Ended
April 2,
2021
April 3,
2020
Operational excellence(a)
$654 $974 
Strategic reorganization and alignment(b)
— 548 
Manufacturing alignment to support growth(c)
— 128 
Acquisition and integration expenses(d)
84 356 
Other general expenses(e)
177 922 
Total other operating expenses$915 $2,928 
__________
(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. Expenses for the first quarter of 2021 and 2020 primarily consist of termination benefits.
(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 reduce the fair value of acquisition-related contingent consideration liabilities. See Note 13 “Financial Instruments and Fair Value Measurements” 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.
(e)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 2021 and 2020 amounts 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” of the Notes to Condensed Consolidated Financial Statements contained in Item 1 of this report for additional information regarding these initiatives.
Interest Expense, Net
Interest expense consists primarily of cash interest and debt related charges, such as amortization of debt issuance costs and original issue discount. For the first quarter of 2021, interest expense decreased $1.8 million, versus the comparable 2020 period, primarily from a decrease in cash interest due to lower amount of debt outstanding and lower interest rates. The weighted average interest rates on outstanding borrowings for the three months ended April 2, 2021 was 3.92%, compared to 4.28% for the comparable period in 2020. The weighted average interest rate paid in 2021 reflects decreases in LIBOR.
Debt related charges included in interest expense were $1.4 million during first quarter of 2021 compared to $1.0 million during the same period in 2020, primarily attributable to higher accelerated write-offs (losses from extinguishment of debt) of deferred issuance costs and unamortized discounts related to prepayments of portions of our Term Loan B facility. We had $0.3 million of losses from extinguishment of debt during the first quarter of 2021 compared to no losses in the first quarter of of 2020. See Note 6 “Debt” of the Notes to the Condensed Consolidated Financial Statements contained in Item 1 of this report for additional information pertaining to our debt.
As of April 2, 2021, approximately 22% 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.  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.
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INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS
(Gain) Loss on Equity Investments
During the first quarter of 2021, we recognized a loss on equity investments of $1.3 million, compared to a gain of $1.9 million during the first quarter of 2020. Gains and losses on equity investments are generally unpredictable in nature. The amounts for both 2021 and 2020 relate to our share of equity method investee gains/losses including unrealized appreciation of the underlying interests of the investee. As of April 2, 2021 and December 31, 2020, the carrying value of our equity investments were $25.9 million and $27.2 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, Net
Other income, net for the first quarter of 2021 was $0.2 million, compared to $1.0 million for the first quarter of 2020. Other income, 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, or Israeli shekel.
The impact of exchange rates on transactions denominated in foreign currencies included in Other income, net for the first quarters of 2021 and 2020 were gains of $0.3 million and $1.0 million, respectively. We continually monitor our foreign currency exposures and seek to take steps to mitigate these risks. However, fluctuations in exchange rates could have a significant impact, positive or negative, on our financial results in the future.
Provision for Income Taxes
We recognized income tax expense of $3.5 million for the first quarter of 2020 on $25.0 million of income before taxes (effective tax rate of 13.8%), compared to income tax expense of $5.5 million on $36.6 million of income before taxes (effective tax rate of 15.1%) for the same period of 2020. 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 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 rate for 2021 differs 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”) tax, the availability of tax credits, and discrete tax benefits. The discrete tax benefits for 2021 are predominately related to excess tax benefits recognized upon vesting of RSUs or exercise of stock options.
Our earnings outside the U.S. are generally taxed at blended rates that are marginally lower than the U.S. federal rate. The GILTI provisions require us to include foreign subsidiary earnings in excess of a deemed return on the foreign subsidiary’s tangible assets in our U.S. income tax return. The foreign jurisdictions in which we operate and where our foreign earnings are primarily derived, include Switzerland, Mexico, Uruguay, Malaysia and Ireland. While we are not currently aware of any material trends in these jurisdictions that are likely to impact our current or future tax expense, our future effective tax rates could be adversely affected by earnings being lower than anticipated in countries where we have lower effective tax rates and higher than anticipated in countries where we have higher effective tax rates, or by changes in tax laws or regulations. We regularly assess any significant exposure associated with increases in tax rates in international jurisdictions and adjustments are made as events occur that warrant adjustment to our tax provisions.
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INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS
Liquidity and Capital Resources
(dollars in thousands)April 2,
2021
December 31,
2020
Cash and cash equivalents$28,402 $49,206 
Working capital$247,686 $256,746 
Current ratio2.53 2.64 
Cash and cash equivalents at April 2, 2021 decreased by $20.8 million from December 31, 2020, primarily as a result of financing activity cash payments in the quarter totaling $49.6 million, mainly from an accelerated debt payment, partially offset by cash generated by operating activities of $36.4 million.
Working capital decreased by $9.1 million from December 31, 2020, primarily from fluctuations in cash and cash equivalents and accounts payable aggregating to $31.6 million which were partially offset by positive working capital fluctuations associated with accounts receivable and accrued expenses aggregating to $16.3 million. Cash and cash equivalents decreased primarily from accelerated debt payments in the first quarter of 2021 while accounts payable increased mainly from the timing of supplier payments. Accounts receivable increased in the first quarter of 2021 mainly from higher sequential sales while accrued expenses decreased primarily from the payment of accrued incentive compensation.
At April 2, 2021, $10.0 million of our cash and cash equivalents were held by foreign subsidiaries. We intend to limit our distributions from foreign subsidiaries to previously taxed income or current period earnings. If distributions are made utilizing current period earnings, we will record foreign withholding taxes in the period of the distribution.
Summary of Cash Flow
 Three Months Ended
(in thousands)April 2,
2021
April 3,
2020
Cash provided by (used in):
Operating activities$36,429 $32,397 
Investing activities(7,645)(23,592)
Financing activities(49,562)15,162 
Effect of foreign currency exchange rates on cash and cash equivalents(26)(243)
Net change in cash and cash equivalents$(20,804)$23,724 
Operating Activities During the first three months of 2021, we generated cash from operations of $36.4 million, compared to $32.4 million for the first three months of 2020. The increase of $4.0 million was due to an increase of $5.9 million in cash flow provided by changes in operating assets and liabilities, offset by a decrease of $1.9 million in net income adjusted for non-cash items such as depreciation and amortization.
The increase in cash flow provided by changes in operating assets and liabilities is the result of the decline in the build of accounts receivable and contract assets compared with the prior year period, mainly due to lower sales and a discrete benefit in the prior year from the signing of a customer contract on existing business, and lower accrued incentive compensation payments in the current period. These favorable impacts were partially offset with accounts payable fluctuations based on timing of supplier payments. The decrease in net income adjusted for non-cash items such as depreciation and amortization is primarily from lower sales, which was mostly offset by lower operating expenses, interest expense, and income tax expense.
Investing Activities The $15.9 million decrease in net cash used in investing activities was primarily attributable to decreased purchases of property, plant, and equipment of $7.3 million, intangible assets of $3.5 million, and cash paid of $5.2 million for the acquisition of certain assets and liabilities from InoMec Ltd. in the first quarter of 2020.
Financing Activities – Net cash used in financing activities for first three months of 2021, was $49.6 million compared to $15.2 million provided by financing activities for the first three months of 2020. Financing activities during the first three months of 2021 primarily included payments of $45.4 million, compared to net borrowings of $15.6 million for the comparable 2020 period.
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INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS
Capital Structure – As of April 2, 2021, our capital structure consists of $687 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 to have access to $193.3 million of borrowing capacity under our Revolving Credit Facility, available for normal course of business and letters of credit. We are also authorized to issue up to 100 million shares of common stock and 100 million shares of preferred stock. As of April 2, 2021, our contractual debt service obligations for the remainder of 2021, consisting of principal and interest on our outstanding debt, are estimated to be approximately $45 million. Actual principal and interest payments may be higher if, for instance, the applicable interest rates on our Senior Secured Credit Facilities increase, we borrow additional amounts on our Revolving Credit Facility, or we pay principal amounts in excess of the required minimums reflected in the contractual debt service obligations above.
Based on current expectations, we believe that our projected cash flows provided by operations, available cash and cash equivalents and borrowings under our Revolving Credit Facility are sufficient to meet our working capital, debt service and capital expenditure requirements for the next twelve months. If our future financing needs increase, we may need to arrange additional debt or equity financing. We continually evaluate and consider various financing alternatives to enhance or supplement our existing financial resources, 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.
Credit Facilities - As of April 2, 2021, we had Senior Secured Credit Facilities that consist of (i) a $200 million revolving credit facility (the “Revolving Credit Facility”), which had available borrowing capacity of $193.3 million, (ii) a term loan A facility (the “TLA Facility”) with outstanding principal balance of $220 million, and (iii) a term loan B facility (the “TLB Facility”) with outstanding principal balance of $472 million. The Senior Secured Credit Facilities will mature on October 27, 2022. The Senior Secured Credit Facilities include a mandatory prepayment provision customary for credit facilities of its nature.
The Revolving Credit Facility and TLA Facility contain covenants requiring (A) a maximum total net leverage ratio of 4.75:1.00 subject to a step down to 4.50 to 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 2021 through maturity, and (B) a minimum interest coverage ratio of adjusted EBITDA (as defined in the Senior Secured Credit Facilities) to interest expense of 3.0:1.0. 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. As of April 2, 2021, the Company was in compliance with these financial covenants. The TLB Facility does not contain any financial maintenance covenants. As of April 2, 2021, our total net leverage ratio, calculated in accordance with our Senior Secured Credit Facilities agreement, was approximately 3.2 to 1.0. For the twelve month period ended April 2, 2021, our ratio of adjusted EBITDA to interest expense, calculated in accordance with our Senior Secured Credit Facilities agreement, was approximately 6.8 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 April 2, 2021, our adjusted EBITDA (as defined in the Senior Secured Credit Facilities) would have to decline by approximately $70 million, or approximately 33%, 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, 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.
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INTEGER HOLDINGS CORPORATION
MANAGEMENT'S DISCUSSION AND ANALYSIS
Contractual Obligations
There have been no significant changes to our contractual obligations during the quarter ended April 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.
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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.
Other than the uncertainties resulting from the global pandemic, there have been no material changes in reported market risk since the inclusion of this discussion in the Company’s Annual Report on Form 10-K referenced above.
ITEM 4. CONTROLS AND PROCEDURES
a.    Evaluation of Disclosure Controls and Procedures
Our management, including the principal executive officer and principal financial officer, evaluated our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934) related to the recording, processing, summarization and reporting of information in our reports that we file with the Securities and Exchange Commission as of April 2, 2021. 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 April 2, 2021, 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 April 2, 2021, 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.
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, 2020.
ITEM 6.EXHIBITS
Exhibit NumberDescription
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:April 29, 2021 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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