Integer Holdings Corporation

Excuse me, this is the operator. Today's conference is scheduled to begin momentarily. Until that time, your lines will again be placed on hold. Thank you for your patience. Once again, today's conference is scheduled to begin momentarily. Until that time, your lines will again be placed on hold. Thank you for your patience. Oh, my God.

Good morning, everyone. Thank you for joining us and welcome to Integer's second quarter 2021 earnings conference call. With me today are Joe Disick, President and Chief Executive Officer, and Jason Garland, Executive Vice President and Chief Financial Officer. As a reminder, The results and data we discussed today reflect the consolidated results of Integer for the periods indicated. During our call, we will discuss the non-GAAP measures. For reconciliation of these non-GAAP measures, please refer to the appendix of today's presentation, today's earnings press release, and the trending schedules, which are available on our website at integer.net. Please note that today's presentation includes forward-looking statements please refer to the company's SEC filings for a discussion of the risk factors that could cause our actual results to differ materially. On today's call, Joe will provide his opening comments, and Jason will review our financial results for the second quarter and provide an update on our full year guidance. Joe will come back on to provide his closing remarks, then we will open up the call for your questions. With that, I will turn the call over to Joe. Thank you, Tony. And thanks to everyone for joining the call today. Our second quarter results demonstrate continued strong recovery from the pandemic. Our dedicated associates continue to deliver for our customers and patients, despite the widely recognized manufacturing supply chain constraints and accelerating volumes. We continue to invest in the execution of our strategy to drive above market top line growth and continued margin expansion. Our investments in capabilities, capacity, and talented associates will enable us to deliver for all integer stakeholders. We delivered 30% sales growth and 130% profit growth versus last year. We also continued to grow sequentially as the second quarter grew about 7% from the first quarter. Our continued debt reduction and significant year-over-year EBITDA growth reduced our net total debt leverage ratio to 3.1 times adjusted EBITDA, which is almost back to pre-COVID levels and well within our target range of 2.5 to 3.5. The strength of our second quarter supports the increase in our full-year guidance for sales, adjusted operating income, and cash. This slide summarizes our sales recovery from the pandemic, starting with the quarterly average from 2019 on the far left and then plotting each quarter since the beginning of 2020. As we previously highlighted, Integer sales were not impacted by the pandemic during the first quarter of 2020. Our customers did not adjust their demand on Integer until the second quarter of 2020. We experienced the bottom of the pandemic during both the second and third quarters of last year. Unlike our customers who largely bottomed in the second quarter and then quickly rebounded in the third quarter. Our recovery started in the fourth quarter of last year and has continued to progressively increase each quarter. Although our second quarter sales of 312 million are about the same as the 2019 quarterly average, We believe some customers accelerated volume into the second quarter this year to mitigate some of the supply chain constraints being experienced across many second and third-level suppliers. We believe this happened in the month of June, which saw a 50% increase over last year. This has been factored into our increased full-year guidance. I'll now turn the call over to Jason to cover our financial results. Thank you, Joe. Good morning, everyone, and thank you again for joining our call. I'll provide more details on our second quarter 2021 adjusted financial results, summarize our product line sales trends, and conclude with our increase outlook for 2021. I'll start with our second quarter results. At $312 million, sales were up $72 million compared to the prior year, which is a strong 30% increase. Additionally, sales were up $22 million sequentially compared to the first quarter of 2021. As Joe mentioned earlier, our second quarter sales have essentially returned to pre-pandemic levels, being similar to our quarterly sales average for 2019. Our adjusted operating income was $50 million, up $28 million compared to the prior year, a considerable increase of 130% as we continue to benefit from the leverage associated with higher sales. With adjusted net income at $36 million, we delivered $1.07 of adjusted diluted earnings per share, up 75 cents from last year. Our second quarter financial results represent strong growth versus last year and, again, improved sequentially as our recovery from the pandemic continues. Our adjusted net income increased $25 million in the second quarter of 2021 as compared to the prior year, driven mostly by our sales volume returning to the pre-pandemic level. We continue to manage our supply chain and our hiring process to meet our customer and patient needs, but we have had to spend to ramp up our volume, and our profitability leverage was dampened. We are also seeing the emerging headwinds from direct labor constraints in the current global supply chain environment, and we'll speak to these more in our outlook discussion. Adjusted net income also improved due to continued reduction of interest expense, contributing $1 million year over year, driven by our continued focus on debt reduction. Our adjusted effective tax rate was 15.9% in the second quarter, This delivered $1 million in improvement in adjusted net income versus last year, as the adjusted effective tax rate in the second quarter of 2020 was 19.2%. Moving to slide 11, we continued solid conversion of income to cash in the second quarter, generating $32 million in cash flow from operating activities. This was $4 million lower than the first quarter, as we will collect the strong sales growth during the month of June in the third quarter. We generated $22 million in free cash flow, inclusive of $11 million of capital expenditures. As we continue to invest in our strategy, we will still expect the full-year capital expenditures to be in the $50 million, $60 million range. Consistent with our strategy, we further reduced our net total debt in the second quarter by $22 million. Our net total debt leverage ratio is now 3.1 times adjusted EBITDA. This is down 0.6 points, which is a significant reduction from the peak of 3.7 times caused by the pandemic. As a related update, the company expects to refinance its senior security credit facilities prior to October 27, 2021, when the debt will become due within one year. As a reminder, slide 13 reflects trailing four-quarter organic adjusted sales rates. Through the first quarter of 2021, our sales were significantly impacted by COVID. As expected, the trend has reversed as the second quarter represents a return to pre-pandemic sales levels, driving the significant improvement in our trailing four-quarter sales growth rate. Moving to the first product line, cardio and vascular sales were up 17% organically in the second quarter. This is compared to the second quarter of 2020, which was the beginning of COVID's impact on our financial results. The second quarter growth was driven in particular by strength in the interventional cardiology, electrophysiology, and peripheral vascular markets. As expected, the trend of sequential improvement continues, and sales in our cardio and vascular product line have returned to pre-pandemic levels. Moving to the next product line, cardiac rhythm management and neuromodulation grew 67% organically in the second quarter as compared to the prior year. CRMN saw the steepest decline in our medical segment last year in the second quarter, particularly in the markets impacted by more elective procedures like neuromodulation. This low baseline drives a significant increase in second quarter 2021 versus second quarter 2020. With that said, we experienced very strong growth across all markets, with sales in the CRM market increasing high double digits and the sales in the neuromodulation market doubling. Consequently, compared to the first quarter of 2021, sales increased 10% driven by low double-digit growth in the CRM market, while neuromodulation grew high single-digit. On slide 16, we'll cover the final part of our medical segment. As a reminder, the advanced surgical, orthopedics, and portable medical product line shown today includes our portable medical sales, as well as our sales under supply agreement to the acquirer of our former ASNO product line, which we divested in July of 2018. Second quarter organic sales declined 4% versus the prior year due to decreased demand for ventilator and patient monitoring components from the pandemic-driven peak during 2020. Sequentially, second quarter sales also increased 15% from the first quarter of 2021. We expect trailing four-quarter sales to remain flat to slightly declining, partially due to the higher sales of ventilator and patient monitoring component sales in the prior year. Finally, slide 17 summarizes Electrochem, our non-medical segment. Electrochem's second quarter sales increased 19% organically versus the prior year, driven by evidence of an emerging recovery in the energy market. The sales run rate continues to remain much lower than our 2019 quarterly sales run rate. The same emerging recovery in the energy market drove second quarter sales to sequentially increase 39% from the first quarter of 2021. We expect the energy market to continue to recover in the second half of 2021 and into 2022. We'll now move to our expectations for 2021. For the second consecutive quarter, we are increasing our sales and adjusted operating income outlook. We now expect 2021 sales to be in the range of $1,200,000,000 to $1,220,000,000, an increase of 12% to 14% versus 2020. This increases the low end of our range by $25 million and the high end of our range by $15 million. We delivered strong sales growth in the second quarter, growing 30% over the prior year. We expect similarly strong year-over-year growth in the third quarter, but we also expect sales will be slightly lower than the second quarter as we believe customers built some inventory in the second quarter to protect against potential global supply chain constraints. With our full-year sales expected to now be in the range of $1.2 billion to $1.2 billion, We are also increasing our outlook for adjusted operating income and now expect to be between $180 million and $195 million, reflecting growth of 25% to 36% as we expect to return to meeting one of the financial objectives of our strategy, growing our adjusted operating income at a rate two times that of our year-over-year sales growth rate. We now expect adjusted net income to be between $122 million to $134 million, reflecting growth of 32% to 46%. As we look at our second half outlook, we expect to grow profit with sales, but not at a full variable profit margin for three primary reasons. First, as we had mentioned previously, the impact of the year-over-year increase of incentive compensation will ramp during the year as it returns to normal levels. 2020 variable compensation was commensurate with a reduced pandemic-driven payout. Second, to support our volume growth, we are adding back some of the discretionary costs that we curtailed in 2020. And third, we are managing through the increased costs associated with the direct labor shortages and global supply chain constraints in order to support customer demand. This may include increased direct labor overtime, cost of hiring and training resources, higher transportation costs, and some temporary inflation and costs to expedite the receipt of material and supplies required. We'll continue to prioritize serving our customers and patients and believe we are taking the long view. We expect to be able to manage these costs out over time. Despite these headwinds, we have increased our 2021 outlook and now expect to see a 160 to 260 basis point year over year increase in our adjusted operating income as a percent of sales for the total year. And finally, commensurate with our increased outlook, In income, we are also increasing our cash flow outlook and expect to generate between $150 to $170 million in cash flow from operations. Free cash flow is now estimated to be in the range of $95 to $115 million, and with net total debt reduction remaining at the previously expected range of $90 to $110 million. The difference between free cash flow and debt pay down may include withholding taxes on restricted stock units, acquisition earn-out payments, and the estimated cost of our pending debt refinance. We have returned to meeting another financial objective of our strategy as our leverage ratio is back within our targeted range of 2.5 to 3.5 times adjusted EBITDA, and we expect to continue to improve as the quarters with COVID-reduced EBITDA have a diminishing impact on the leverage calculations. With that, I'll turn the call back to Joe. Thank you. Thank you, Jason. I'd like to reiterate the message we shared last quarter, which is that we believe now is a good time to be an integer shareholder. We have a clear vision, a compelling strategy, and strong values, combined with the most talented associates amongst all medical device outsourcers. The industry dynamics of mid-single-digit growth and high barriers to entry combined with Integer's breadth of product portfolio creates a very resilient business model. Integer's world-class research and development capabilities, our global manufacturing footprint combined with our deep customer relationships creates a compelling growth strategy. Our commitment to our associates and investment in their growth coupled with our focus on building leadership capability to deliver performance excellence, creates a performance culture that is creating a competitive advantage. Finally, our track record of delivering on our financial commitments and generating strong cash flow reinforces our financial strength. To wrap up, we delivered strong year-over-year results and continued sequential growth during the second quarter, while reducing debt leverage almost back to pre-pandemic levels. We've increased all financial metrics in our guidance. I remain confident in our strategy, in our associates, and our ability to execute our strategy to earn a valuation premium for our shareholders. Thank you for joining our call this morning. I will now turn the call back to our moderator for the Q&A portion of our call.

Thank you. At this time, you would like to take any questions you might have for us today. And as a reminder, to ask a question, you will need to press star, then the number 1 on your telephone keypad. Again, that is star 1 to ask a question. To withdraw your request, you may press the pound or hash key. We'll pause for a moment to compile the Q&A list. We have our first question. It comes from the line of Matthew Michon. Your line is open. Please go ahead.