Integer Holdings Corporation

Good day and thank you for standing by. Welcome to the Integer Holdings Corporation Q3 2021 earnings call. At this time, all participants are in a listen-only mode. After the speaker's presentation, there will be a question and answer session. To ask a question during the session, you'll need to press star 1 on your telephone. Please be advised that today's conference is being recorded. If you require any further assistance, please press star 0. I would now like to hand the conference over to your speaker today, Mr. Tony Barwick, Senior Vice President of Investor Relations. Please go ahead, sir.

Good morning, everyone. Thank you for joining us and welcome to Integer's third 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 some 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 more details on the recently announced strategic investments, including the agreement we announced today to acquire Oscorp, Inc. And then Jason will review our financial results for the third quarter, our benefits from refinancing, and we'll provide an update on our full-year guidance. Joe will come back on to provide his closing remarks, and 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. Integer's dedicated associates have continued to deliver for our customers during these dynamic times and have also remained focused on executing our strategy. I'm excited to share with you today our strong third quarter results, as well as some significant steps we've taken to execute our strategy to accelerate our growth and generate a premium valuation for shareholders. We delivered our second quarter in a row of 30% sales growth versus last year. Our adjusted operating income grew 86%, and our adjusted EPS grew 110%. We continued our strong cash flow generation and reduced our debt leverage to 2.6 times adjusted EBITDA, the lowest level since 2015. The strength of our third quarter supports our increased full-year guidance with adjusted net income now up 41% to 50% versus last year. Earlier today, we announced our planned acquisition of Oscor, a highly respected and trusted medical device outsourcing company with a 40-year history of designing, developing, and manufacturing medical devices for the cardiovascular, cardiac rhythm management, and neuromodulation market. Oscor is a clear strategic fit with Integer that adds proprietary products and technologies complementary capabilities, and low-cost manufacturing capacity. We're excited to welcome OSCOR to Integer upon closing later this quarter. In addition, last month, we announced the planned construction of a new innovation and manufacturing facility in the MedTech hub of Galway, Ireland. This important investment will provide the development and manufacturing capacity needed to support increased demand from our customers that already have a significant presence in the region. We signed the agreement with Oscor yesterday and are excited to welcome their 900 associates to Integer. We have a shared philosophy of delivering innovation and manufacturing excellence to our customers. They have an expansive portfolio of proprietary products, intellectual property, and manufacturing know-how that delivers life-saving and life-enhancing technologies to their customers. Oscor is headquartered in Palm Harbor, Florida, where they perform design and development work for customers with their primary manufacturing operation in the Dominican Republic. We expect the addition of Oscor to bring sales growth and operating synergies that will be accretive to EPS in 2022. oscar has been serving the medical device industry for 40 years as a privately owned and operated company they generated 57 million dollars of sales in 2020 and have historically grown their sales high single digits the strong strategic fit with integer makes this an attractive and compelling acquisition and OSCQR will expand our highly differentiated cardiovascular access and neurostimulation lead wire finished product offerings in fast-growing end markets that are aligned with Integer's growth strategy. Integer can bring scale and manufacturing excellence through our Integer production system and lead manufacturing practices that we expect to deliver operating synergies and even higher levels of customer service. The purchase price of $220 million will be debt financed. The acquisition structure includes a tax election that is expected to reduce cash taxes by approximately $43 million over the next 15 years. After the acquisition, we expect our debt leverage to still be within our target range of 2.5 to 3.5 times adjusted EBITDA. And we expect OSCOR to increase our 2022 EPS growth rate by low single digits. The combination of Integer and Oscor will deliver for both customers and shareholders. In the cardiovascular space, Oscor brings an extensive offering of proprietary regulatory-approved introducers and steerable sheaths that are complementary to Integer's existing finished guidewire and introducer offering. The combination will expand Integer's presence with leading customers in the structural heart, electrophysiology, and peripheral vascular spaces, all strategic markets defined in our current strategy. The resulting broader offering will provide customers an even more comprehensive, one-stop shop for products that meet their needs as they work to accelerate their speed to market. Combining Oscor's complex leads system know-how and their broad neuro and cardiac leads portfolio with Integer's IPG and leads capability creates what we believe are the most comprehensive end-to-end active and planable capabilities of any medical device outsourcer, serving both emerging and large OEMs. The combination of Integer and Oscor's engineering and innovation expertise will deliver both additional capacity and speed to market for our combined customer portfolio. And the addition of a large-scale, low-cost manufacturing facility in the Dominican Republic will support the accelerated growth of both OSCOR and Integer. We are excited for the opportunities this combination brings. As we look beyond the OSCOR acquisition and into 2022, we expect to generate annual acquisition capacity of between $200 to $250 million. The source of this capacity is our annual free cash flow combined with our organic growth and acquired EBITDA. This capacity level is consistent with our targeted leverage of 2.5 to 3.5 times adjusted EBITDA. Our plan is to deploy this capacity for acquisitions that both enable and accelerate the execution of our strategy in the markets we currently serve. We are confident in our ability to create value through acquisitions because of the progress we've made in implementing our operational strategic comparatives across Integer. We are approaching the end of the third full year of executing our strategy to win in the markets we serve and achieve excellence at everything we do. We believe our operational processes have reached a level of maturity to repeatedly acquire, integrate, and grow acquisitions, all while maintaining our target debt leverage range. We have developed the capacity and capability to execute our acquisition strategy, and OSCOR is the first of what we expect to be a regular cadence of acquisitions. In addition to inorganic growth through acquisition, We continue to invest organically in the fastest growing end markets we serve. Ireland is a well-recognized medical device hub for many of the largest OEMs in the industry, as well as many of their suppliers. Integer has been operating in Ireland for more than 25 years and currently has about 1,300 associates designing, developing, and manufacturing products for our customers. Last summer, we opened an 8,000 square foot R&D center as an interim step to this larger facility. As we have secured new customer programs, that R&D center is now at capacity and reinforces the need for this new innovation and manufacturing facility. We are starting with a 60,000 square foot facility that can be expanded to 147,000 as needed. The demand from our customers in the fastest growing in markets we serve supports this investment, and we are excited to expand in this thriving MedTech hub. I will now turn the call over to Jason.

Thanks, Joe. Good morning, everyone, and thank you again for joining our call. I'll provide more details on our third quarter 2021 adjusted financial results, talk about the benefits of our recent debt financing, summarize our product line sales trend, and conclude with our increased outlook for 2021. Starting with our third quarter results, at $306 billion, sales had significant growth over last year of $70 million at 30%. Our adjusted operating income was $47 million, up $22 million compared to the prior year, an increase of 86% as we continue to benefit from the leverage associated with higher sales and the ongoing impact of our manufacturing excellence strategic imperative. With adjusted net income at $35 million, we delivered $1.05 of adjusted diluted earnings per share, up $0.55 from the third quarter of last year. Our third quarter financial results represent another strong quarter of growth versus last year. Adjusted net income increased $18 million in the third quarter compared to the prior year, driven mostly by our sales volume returning to pre-pandemic levels. Our manufacturing and supply chain teams are doing an excellent job of accelerating production to meet growing demand from industry recovery and new product introductions. We delivered $24 million of operational improvement as compared to last year, despite the headwinds of a difficult labor and supply chain environment. And we will continue to prioritize meeting our customer and patient needs, even with higher costs. FX was favorable, contributing to $1 million of improvement versus the prior year. Adjusted net income also improved $3 million year over year from a reduction of interest expense. This was driven by our continued focus on debt repayment and realizing approximately one month of savings from the debt refinancing we completed in the third quarter, which I'll cover further in a few slides. Our adjusted effective tax rate was 13% in the third quarter. While this is generally a very favorable rate, we saw a year-over-year headwind of $10 million due to the adjusted effective tax rate in the third quarter of 2020 being negative 14.7%. You may recall that we benefited from several significant discrete items recorded in the third quarter of 2020 related to the favorable impact of final tax reform regulations, the benefit of our tax planning strategy, and favorable R&D tax credits. The discrete items in the third quarter of 2021 were also favorable, but not as significant as the prior year. We continued a strong conversion of income to cash in the third quarter, generating $49 million in cash flow from operating activities. This was primarily lifted by the benefit of third quarter cash collection from our recovering sales. we generated $37 million in free cash flow, inclusive of $11 million of capital expenditures. As we continue to invest in our strategy, we expect the full-year capital expenditures to be in the range of $50 million to $55 million. Consistent with our strategy, we further reduced our net total debt in the third quarter by $31 million. And with that reduction and improving adjusted EBITDA, Our debt leverage ended the quarter at 2.6 times adjusted EBITDA, which is down from 3.1 in the second quarter, and as Joe noted, is the lowest leverage the business has seen since 2015. As further demonstration of our commitment to strong debt management, we are excited to share that in September, we completed a refinancing of our credit facilities to better align with our strategy and deliver lower borrowing costs. The new structure consists of a five-year, $400 million revolving credit facility, a five-year, $250 million term loan A, and a seven-year, $350 million term loan B. With our improved financial strength, we're able to achieve credit rating upgrades and capitalize on a more favorable credit market to arrange a facility with meaningfully lower borrowing costs. With this new structure, we reduced our all-in effective interest rate by approximately 120 basis points, which we expect will improve our annualized earnings per share by approximately 15 cents. To support the execution of our ongoing acquisition strategy, we increased liquidity by doubling our revolver size from $200 million to $400 million, and we improved our covenants to provide greater flexibility. We benefited from great support from our bank partners throughout the process and believe that the discipline management of our capital structure positions us to better execute our strategy with lower borrowing costs. We'll now transition to our product line discussion. As a reminder, slide 20 reflects trailing four-quarter organic adjusted sales year-over-year changes. Through the first quarter of 2021, our sales were significantly impacted by the COVID pandemic. The trend reversed in the second quarter and continued to improve in the third quarter as reflected in significant improvement in our trailing four-quarter sales growth rate. Starting with our first product line, cardio and vascular sales were up 29% organically in the third quarter. This is compared to the third quarter of 2020 when COVID had the greatest impact on CNV sales. The third quarter growth was driven by double-digit sales increases across all cardiovascular markets with neurovascular and electrophysiology delivering particularly strong year-over-year growth. We expect the trailing four-quarter sales to grow high single-digit year-over-year in the fourth quarter of 2021. Moving to cardiac rhythm management and neuromodulation, the product line had another strong quarter growing 46% organically in the third quarter on continued customer demand. Both cardiac rhythm management and neuromodulation increased high double digits. We expect the CRM&N product line trailing four quarter sales to continue to grow strong double digits versus year over year in fourth quarter of 2021. As a reminder, The advanced surgical orthopedics and portable medical product line includes sales under supply agreement to the acquirer of our divested ASNO product line, in addition to our portable medical sales. Third quarter organic sales declined 5% versus the prior year, mostly due to the decreased demand for ventilator and patient monitoring components that peaked last year during the pandemic. For the fourth quarter, we expect the trailing four-quarter sales to continue at high, single-digit, year-over-year decline. Finally, wrapping up with the lecture count, our non-medical segment, we have seen a continued improvement in the energy market, and with that, our third-quarter sales increased 14% organically versus the prior year. We remain focused on monitoring the market, and the indications are that it will continue to recover through the rest of the year and in 2022. Moving to the expectations for the remainder of 2021, I'm pleased to share that for the third consecutive quarter, we are increasing our outlook. Please note that the 2021 guidance presented excludes any impact from the OSCOR acquisition. We now expect 2021 sales to be in the range of $1,205,000 to $1,220,000, an increase of 12% to 14% versus 2020. This increases the low end of our range by $5 million. Customer demand and our current backlog gives us confidence in the outlook. The third quarter sales were in line with our previous guidance and we now expect fourth quarter sales to be similar to the third quarter. We are delivering the 12% to 14% revenue growth, while our manufacturing and supply chain teams are managing the difficult labor and supply environment. With our full-year sales expected to now be in the range of $1,200,005,000, to $1,220,000,000, we are also raising the low end of our outlook for adjusted operating income and now expect to be between $185 million and $195 million, reflecting growth of 29% to 36%. Our manufacturing and supply chain teams have continued to manage through an exceptionally difficult labor and supply environment, incurring some additional costs. Despite these costs, we still expect to achieve our financial objective of growing adjusted operating income at a rate two times that of our year-over-year sales growth rate. We're increasing the adjusted net income outlook to a range of $130 million to $138 million, resulting in a growth of 41% to 50%. This reflects the growth of adjusted operating income as well as the benefits from improvement in our interest expense and adjusted effective tax rate. We now forecast our adjusted ETR to be 14.5 to 15.5% down from the prior guidance of 15.5 to 17.5% as we continue to execute tax planning initiatives in 2021. Our total year guidance reflects the continued year-over-year strength of our financial performance and demonstrates our commitment to serve our customers and the patients they support. As I conclude, we are maintaining our cash flow outlook and expect to generate between $150 to $170 million in cash flow from operation. Free cash flow is estimated to be in the range of $95 to $115 million. And net total debt reduction is expected to be in the range of $90 to $110 million. The difference between free cash flow and debt pay down includes withholding taxes on restricted stock units and the cost of a recently completed debt refinancing. As a reminder, the outlook does not reflect the impact of the announced acquisition of Oscor. However, as we have mentioned, we will still expect to remain within our target leverage range post the acquisition closing. With that, I'll turn the call back to Joe. Thank you.