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Cantel Medical Corp.

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Employees 5001-10,000
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FY2018 Annual Report · Cantel Medical Corp.
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2018ANNUAL REPORTCantel  is  a  leading  provider  of  infection  prevention  products  and  services  in  the  healthcare  market,  specializing  in  the 
following operating segments: 

     Endoscopy: Medical device reprocessing systems, disinfectants, detergents and other supplies used to high-level disinfect 
rigid endoscopes, flexible endoscopes and other instrumentation and disposable infection control products intended to 
reduce  the  challenges  associated  with  proper  cleaning  and  high-level  disinfection  of  numerous  reusable  components 
used in gastrointestinal (GI) endoscopy procedures. The segment also sells endoscope transport and storage systems,  
endoscopy consumable accessories and endoscope process tracking products and software. Additionally, this segment 
performs technical maintenance service on its products. 

  Water Purification and Filtration: Water purification equipment and services, filtration and separation products, 

disinfectants, hollow fiber filters for water and blood filtration, sterilization and decontamination products and services 
for the medical, pharmaceutical, biotech, beverage and commercial industrial markets.  

  Healthcare Disposables: Portfolio of personal protection equipment (PPE), dental unit waterline treatments, chemistries, 
sterilization,  preventives,  nitrous-oxide  equipment,  amalgam  separators  and  single-use  disposable  products.  This 
segment is dedicated to making vital contributions to healthcare through high quality solutions, compliance services and 
education in the acute care, alternate care, dental and industrial (medical device, life science and other manufacturers) 
markets.  

  Dialysis:  Medical  device  reprocessing  systems,  sterilants/disinfectants,  dialysate  concentrates  and  other  supplies  for 

renal dialysis. 

Selected Financial Highlights
(Dollar amounts in thousands, except per share data)

2018

2017

2016

Net sales

Net income

Adjusted net income 1

Adjusted EBITDAS 1

Earnings per diluted share

Adjusted earnings per diluted share 1

Dividends per common share

Total assets

Net debt 1

$ 

871,922

$ 

770,157

$ 

664,755

$   

91,041

$   

71,378

$   

59,953

$ 

104,346

$   

86,740

$   

72,938

$ 

178,270

$ 

160,942

$ 

137,949

$2.18

$2.51

$0.17

$1.71

$1.44

$2.08

$0.14

$1.75

$0.12

$ 

963,708

$ 786,373

$ 

694,532

$ 

105,903

$   

89,416

$   

87,633

Stockholders' equity

$ 

608,867

$ 

523,932

$ 

454,370

Equity per outstanding share

$14.60

$12.56

$10.89

1  Please  see  pages  28-31  of  this  Annual  Report  for  a  reconciliation  to  the  most  directly  comparable  financial  measure  in 
accordance with accounting principles generally accepted in the United States (“GAAP”) as well as the definitions of our non-
GAAP financial measures. 

 
 
 
 
 
To Our Shareholders: 

Fiscal year 2018 was another strong year for Cantel and its shareholders, as our Company 
delivered record sales and strong earnings performance while strategically investing in our 
business. These investments, combined with organic growth, new product development and 
successful mergers and acquisitions, continue to position us well to fulfill our Mission of 
delivering innovative infection prevention products, services and solutions that improve 
outcomes and help save lives. We also have adapted to the shifting landscape in which we 
operate, adding strategic new hires, reorganizing to better meet the needs of our customers 
and expanding our business to position us well today and for the future. We are pleased with 
our growth and accomplishments in fiscal year 2018 and look forward to continued success in 
fiscal year 2019.  

FINANCIAL PERFORMANCE  
In fiscal year 2018, net sales increased 13.2% to a record $871.9 million, with strong underlying 
organic growth of 8.4%. Our adjusted net income for the year was $104.3 million, or $2.51 per 
diluted share (non-GAAP) growing 20.6%, showing strong leverage despite investing heavily in 
the business to drive future growth. Adjusted earnings before interest, taxes, depreciation, 
amortization and stock-based compensation (EBITDAS) increased by 10.8% to $178.3 million.  

Our businesses both in the U.S. and internationally delivered impressive overall growth, with 
the U.S. business growing at 7.4% and overall international growth of 33.8%. These rates are a 
testament to our ability to successfully execute our strategic plan.  

In fiscal year 2018, we generated healthy cash flow of $125.9 million from operating activities, 
up 16.4% from the previous year. Our balance sheet remains very strong. At the end of the 
year, our net debt was $105.9 million, up $16.5 million from last year’s year-end. In June 2018, 
we announced the refinancing of our credit facility, which included a $200 million term loan 
and a $400 million revolving credit facility. This new facility provides us with greater financial 
flexibility and ample access to the capital necessary to support our acquisition strategy and 
other growth initiatives in the future.  

SEGMENT HIGHLIGHTS  
In Endoscopy, our largest segment, net sales grew by 18.8% to nearly $473.9 million with 
organic sales growth of 10.0% for the year. Despite significant investments, adjusted operating 
profit continued to show leverage, increasing by 20.1% for the year. These investments 
included the acquisitions of our Canadian and Australian distributors, and substantial sales and 
marketing additions in both our U.S. and direct international markets. 

In our Water Purification and Filtration segment, net sales increased 7.5% for the full year to 
$211.2 million, 7.2% of which was organic. Adjusted operating profit increased by 7.5% for the 
year, driven by strong topline performance of capital sales. After two years of stronger-than-

 
 
 
 
 
 
 
 
average growth in Medical Water, backlog decreased from the previous year. This was primarily 
driven by the normal cycle for capital equipment and some dual sourcing from one of our larger 
customers.  

In our Healthcare Disposables segment, net sales were up 7.4% to $155.2 million, mainly driven 
by the impact of acquisitions, as well as organic growth in sterility assurance, waterline 
disinfection and Accutron product lines. The segment delivered strong adjusted operating profit 
growth of 11.6%, despite investments in sales and marketing.  

Looking ahead, we plan to change our reporting segment names to Medical, Life Sciences and 
Dental, effective 1Q19, to better align with our key customers and the markets served. 

NEW PRODUCT DEVELOPMENT  
New product development remains a key driver in our five-year strategic plan, as new product 
launches have driven growth across each of our three major business segments over the past 
few years. We launched seven new products in fiscal year 2018. Most notably our ADVANTAGE 
PLUS™ Pass-Thru AER, a first-of-its-kind innovative design in the U.S., DEFENDO™ Fuji single-use 
valves, and our EON Portable RO water purification system. We are confident that our robust 
R&D pipeline and future product launches will continue to advance our leadership position in 
FY19 and beyond. Overall, we increased our R&D investments across the Company, especially in 
key technologies such as the REVOX sterilization platform. 

GLOBAL MARKET EXPANSION  
We have continued to invest in our commercial operations to drive market expansion globally. 
In fiscal year 2018, we specifically focused on building our commercial capabilities in EMEA to 
support growth and enable further margin expansion. In China, after a period of continued 
strategic investment, we were pleased to reach a key milestone in 2018 of achieving 
profitability in this incredibly important market. 

In fiscal year 2018, we expanded our direct sales operations in Canada by purchasing our 
sterility assurance business from our Canadian distributor and recently opened our new office 
in Melbourne, Australia. In addition, we are excited about our current facility expansion efforts 
in Minnesota, New York and Italy. These efforts will provide more space and capacity as we 
continue to grow as an organization. This is a positive development and a testament to our 
continued long-term commitment to our team members and the success of our business. 

MERGERS AND ACQUISITIONS  
In fiscal year 2018, Cantel successfully completed four acquisitions, further advancing our M&A 
strategy: 
 

In the first quarter, we acquired BHT Group’s Germany-based endoscope 
reprocessing and related equipment and services business for a cash purchase price 
of approximately $60.2 million. BHT Group is the German market leader in 
automated endoscope reprocessing equipment, advanced endoscope storage and 

 
 
 
 
 
 
 
drying cabinets, including the ENDODRY® Storage and Drying System, and other 
endoscopy-related products and services. Through this acquisition, our existing 
Cantel Germany business became the market leader in endoscope reprocessing with 
the broadest line of capital equipment, chemistries, consumables and other 
accessories. 

In the second quarter, we closed the acquisition of the Safe-Flo™ Saliva Ejector line 
featuring unique back-flow valves providing differentiated cross-contamination 
protection in dental procedures. This patented technology will further enable Cantel 
to help eliminate the risk of cross-contamination from patient-to-patient and 
improve the infection prevention protocol within the dental practice. 

In the third quarter, we acquired Aexis Medical’s integrated IT solutions business, 
which focuses on the tracking and monitoring of instrument reprocessing workflows 
for endoscopy suites, central sterile departments and operating rooms. The total 
deal consideration was $21.6 million in both upfront consideration and an earnout 
based on the achievement of performance milestones. The integration of Aexis 
Medical's robust IT solutions will enable Cantel to expand our current endoscopy 
portfolio and extend our footprint throughout the clinical setting where we can 
deliver advanced infection prevention solutions through healthcare data analytics to 
our customers. 

In the fourth quarter, we acquired the Syclone™ Amalgam Separator, a new 
filtration technology that captures mercury-containing amalgam particles from the 
wastewater of dental offices through a combination of mechanisms, including 
filtration and centrifugation. This transaction marked Cantel’s first entry into the 
dental wastewater management market and further enhances our dental water 
compliance products beyond DentaPure™ Cartridge for dental water purification. 

 

 

 

In late August, at the start of fiscal year 2019, we closed the acquisition of Stericycle’s 
Controlled Environmental Solutions (CES) business for a cash purchase price of $17 million. 
This business, which consists of testing and certification, monitoring and decontamination 
services for clean rooms, will enhance the value Cantel provides to existing and future 
customers by coupling the CES Business’ strong reputation for technical and service excellence 
with our expertise to deliver high-quality and innovative infection prevention solutions. 

STRATEGIC OUTLOOK  
Fiscal year 2018 marked the second year of our fiscal year 2021 strategic plan, and we continue 
to perform in line with our five-year strategic plan objectives to double sales and profits by 
fiscal year 2021. We’re achieving this through the three pillars of our strategy of New Product 

 
 
 
 
 
 
Development, Market Expansion and Strategic Acquisitions, supported by the continuing 
evolution of our Cantel Operating Model. 

During the year, we made significant investments in new product development and are 
accelerating new product launches to drive core growth in the near term. In addition, we are 
increasing our investment in our REVOX sterilization platform, which has applications across all 
segments. In the life science segment, we are optimistic about the potential for REVOX 
sterilization to access the more than $1 billion industrial life science sterilization market. In 
addition, we are investing in our low-temperature sterilization platform for the medical setting, 
which we believe can be a transformational product in this $3 billion market. 

Looking at our global footprint, over the last few years we have made significant strides in 
establishing our commercial presence in the EMEA and Asia Pacific regions through organic and 
inorganic investment. In the coming years, we look forward to driving sales growth in these 
regions with our commercial platforms for the entire Cantel portfolio, generating significant 
leverage from our existing base of operations.  

Mergers and acquisitions will continue to play an important role in our overall strategy, and we 
have a robust pipeline of acquisition targets. We continually evaluate a variety of opportunities 
both in our existing businesses, as well as in new verticals that are complementary to our 
overall Mission of infection prevention and patient safety. We are constantly enhancing our 
internal capabilities to successfully integrate these acquisitions into our Company.  

As we indicated at the outset of the year, to achieve our long-term objectives, we will need to 
evolve the Cantel Operating Model to allow our Company to deliver greater efficiency and to 
adequately scale. Our Operating Model is based on four major initiatives: Team Development, 
Commercial Excellence, Infrastructure Enhancement and Continuous Improvement. A critical 
element of this initiative is the implementation of a companywide enterprise resource planning 
system, and we will begin our initial rollout shortly after the new calendar year. 

Overall, we remain confident in the outlook for our Company and strongly believe in the 
achievability of the ambitious goals set out in our plan. 

LEADERSHIP CHANGES 
In the second quarter of fiscal year 2018, Scott Thome joined Cantel as Senior Vice President, 
Operations. Scott is an accomplished executive who brings over 30 years of leadership 
experience in manufacturing, supply chain, manufacturing engineering, process development 
engineering, facilities and customer service. He succeeds Paul Helms, Vice President, 
Operations, who retired in fiscal year 2018 after serving 22 years with the Company.  

In addition, during the second quarter of fiscal year 2018, Lawrence Conway was promoted to 
Senior Vice President, Business Systems and Integration. Lawrence’s leadership has been 
invaluable to Cantel and we look forward to his future success with our Company. 

 
 
 
 
 
 
 
 
 
In October, during the first quarter of fiscal year 2019, Bill Haydon was promoted to Senior Vice 
President and General Manager of Cantel’s Medical division. Bill is an accomplished executive 
with over 20 years of experience in general management and division leadership.  

In addition, Brian Capone was promoted to Senior Vice President, Corporate Controller and 
Chief Accounting Officer in October. Brian has over 20 years of accounting and financial 
reporting experience at various life science and medical device companies.  

Daniel Khalili joined the Company in November during the second quarter of fiscal year 2018 as 
Chief Technology Officer. Daniel is an accomplished leader with over 25 years of experience in 
R&D, new product development, regulatory affairs, quality assurance and core technology 
evolution from leading companies such as Danaher Company’s Kavo Kerr Group and Baxter 
Healthcare Corp. As part of this newly created role, Daniel has assumed responsibilities from 
Craig Smith, Vice President, Regulatory Affairs and Quality Assurance, who recently retired after 
serving 22 years with the Company.  

IN SUMMARY  
Fiscal year 2018 was another strong year for Cantel and in line with the growth objectives laid 
out in our strategic plan. We remain confident in our ability to deliver on these goals in fiscal 
year 2019 and beyond. Our focus remains on profitably, growing our Company while serving 
our customers and patients around the globe.  

Our Mission is driven by our culture and core values — treat all people with respect, act with 
integrity, deliver high-quality products, work as part of high-performance teams and act with 
accountability. We are grateful to the more than 2,700 employees who continue to work 
diligently across our segments, enabling us to achieve our goals and Mission to deliver 
innovative infection prevention products, services and solutions that improve outcomes and 
help save lives. We look ahead to fiscal year 2019 with a continued focus on areas of 
opportunity and growth, while staying true to our strategy, our Mission and our values. 

In conclusion, we would like to thank all of our shareholders and other stakeholders for their 
continued confidence in us and our Directors for their support and guidance throughout the 
year. 

Charles M. Diker  
Chairman of the 
Board                             

Jorgen B. Hansen 
President & Chief 
Executive Officer 

 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
                                                                                                                            
   
 
      
 
 
 
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

Form 10-K

ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT
OF 1934

For the fiscal year ended July 31, 2018 

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 No. 001-31337

CANTEL MEDICAL CORP.
(Exact name of registrant as specified in its charter)

Delaware

(State or other jurisdiction of

incorporation or organization)

150 Clove Road, Little Falls, New Jersey

(Address of principal executive offices)

22-1760285

(I.R.S. employer

identification no.)

07424

(Zip code)

Registrant’s telephone number, including area code: (973) 890-7220

Securities registered pursuant to Section 12(b) of the Act:

Title of each class

Common Stock, $0.10 par value

Securities registered pursuant to Section 12(g) of the Act: None

Name of each exchange

on which registered

New York Stock Exchange

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.  Yes 

  No 

Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act.  Yes 

  No 

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 check mark 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 if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K (§229.405 of this chapter) is not contained herein, and will not 
be contained, to the best of registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any 
amendment to this Form 10-K.  

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”, “small reporting company,” and "emerging growth company" in 
Rule 12b-2 of the Exchange Act.

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 

State the aggregate market value of the voting and non-voting common equity held by non-affiliates computed by reference to the price at which the common 
equity was last sold, or the average bid and asked price of such common equity, as of the last business day of the registrant’s most recently completed second 
fiscal quarter, as quoted by the New York Stock Exchange on that date: $4,121,209,905.

Indicate the number of shares outstanding of each of the registrant’s classes of common stock as of the close of business on August 31, 2018: 41,706,084

Documents incorporated by reference: Portions of the definitive proxy statement to be filed pursuant to Regulation 14A promulgated under the Securities 
Exchange Act of 1934 in connection with the 2018 Annual Meeting of Stockholders of Registrant are hereby incorporated by reference into Part III of this 
Form 10-K and certain documents are incorporated by reference into Part IV.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

TABLE OF CONTENTS

Business

Risk Factors
Unresolved Staff Comments

Properties
Legal Proceedings

Mine Safety Disclosures

PART I

PART II

Market for Registrant's Common Equity, Related Stockholder Matters and Issuer Purchases 
of Equity Securities
Selected Consolidated Financial Data
Management's Discussion and Analysis of Financial Condition and Results of Operations
Quantitative and Qualitative Disclosures About Market Risk
Financial Statements and Supplementary Data

Reports of Independent Registered Public Accounting Firm
Consolidated Balance Sheets

Consolidated Statements of Income

Consolidated Statements of Comprehensive Income

Consolidated Statements of Changes in Stockholders' Equity

Consolidated Statements of Cash Flows

Notes to Consolidated Financial Statements
Schedule II - Schedule of Valuation and Qualifying Accounts

Changes in and Disagreements with Accountants on Accounting and Financial Disclosure

Controls and Procedures

Other Information

Directors, Executive Officers and Corporate Governance
Executive Compensation

PART III

Security Ownership of Certain Beneficial Owners and Management and Related Stockholder 
Matters
Certain Relationships and Related Transactions, and Director Independence
Principal Accountant Fees and Services

Exhibits, Financial Statement Schedules
Form 10-K Summary

PART IV

Item 1.

Item 1A.
Item 1B.

Item 2.
Item 3.

Item 4.

Item 5.

Item 6.
Item 7.
Item 7A.
Item 8.

Item 9.

Item 9A.

Item 9B.

Item 10.
Item 11.
Item 12.

Item 13.
Item 14.

Item 15.
Item 16.
Signatures.

Page No.

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46
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2

 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

PART I

Item 1.  Business.

Overview:

Throughout this document, references to “Cantel,” “us,” “we,” “our” and the “Company” are references to Cantel Medical 
Corp. and its subsidiaries, except where the context makes it clear the reference is to Cantel Medical Corp. itself and not its 
subsidiaries. Unless otherwise indicated, references in this Form 10-K to 2018, 2017, 2016 or “fiscal” 2018, 2017, 2016 or other 
years refer to our fiscal year ended July 31, of that respective year, and references to “fiscal” 2019 refer to our fiscal year ending 
July 31, 2019.

We are a leading provider of infection prevention and control products and services in the healthcare market, specializing 
in the following reportable segments: Endoscopy, Water Purification and Filtration, Healthcare Disposables and Dialysis. Most 
of our products are used to help prevent the occurrence or spread of infections. We operate our four operating segments through 
wholly-owned subsidiaries in the United States and internationally.

Net Sales by Reportable Segment

Year Ended July 31,

Endoscopy
Water Purification and Filtration
Healthcare Disposables
Dialysis

Information Related to Reportable Segments:

Endoscopy

2018

2017

2016

$ 473,937
211,209
155,180
31,596

54.4% $ 398,773
24.2% 196,446
17.8% 144,457
30,481
3.6%

51.8% $ 341,752
25.5% 177,669
18.7% 112,584
32,750
4.0%

51.4%
26.7%
17.0%
4.9%

$ 871,922

100.0% $ 770,157

100.0% $ 664,755

100.0%

General. Our Endoscopy segment designs, develops, manufactures, sells and installs a comprehensive offering of products 
and services comprising a complete circle of infection prevention solutions. Our products include endoscope reprocessing and 
endoscopy procedure products. Our endoscope reprocessing products and services include:

a full range of automated endoscope reprocessing systems,
high-level disinfectants and sterilants,
detergents,
leak testing and manual cleaning products,
storage cabinets, transport systems and mobile medical carts,

• 
• 
• 
• 
• 
•  manual cleaning products,
• 
• 

endoscope process tracking products, including software,
other consumables, accessories and supplies used to high-level disinfect rigid endoscopes, flexible endoscopes and 
other instrumentation, and
technical maintenance service on our products.

• 

Our endoscopy procedure products are designed to eliminate the challenges associated with proper cleaning and high-

level disinfection of numerous reusable components used in GI endoscopy procedures. Our procedure products include:

•  CO2 and water irrigation pumps and disposable procedure kits,
• 
• 

sterile irrigation tubing, and
single-use valves.

Our endoscopy products, most of which are proprietary medical devices subject to rigorous standards and regulations, 
contribute to the safe and effective use of endoscopes in healthcare facilities throughout the world and improve the quality of 
healthcare  delivery  by  reducing  the  threat  of  nosocomial  (hospital/healthcare  facility  acquired)  infections.  In  addition,  our 
disposable procedure products provide greater patient safety and infection prevention, through the replacement of reusable devices 
requiring  disinfection  with  our  single-use  sterile  products.  In  particular,  such  products  are  intended  to  reduce  the  challenges 

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    3

 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

associated  with  proper  cleaning  and  high-level  disinfection  of  numerous  reusable  components  used  in  gastrointestinal  (GI) 
endoscopy procedures.

We design, develop and manufacture most of our endoscopy products. Our Endoscopy segment offers various preventative 
maintenance programs, repair services and user training programs to support the effective operation of reprocessing systems over 
their lifetime. Our field service personnel and international third-party distributors install, maintain, upgrade and repair equipment. 

Sales, Marketing and Distribution. We sell and service our full line of endoscopy products through our direct field sales 
and clinical support service organizations in the United States, Canada, the United Kingdom, Italy, the Netherlands, Belgium, 
Germany, France, Singapore, Malaysia, Australia and Dubai. Elsewhere in Europe, Asia Pacific and Latin America, we sell primarily 
through independent distribution partners. In China, we sell both directly and through distributors, based on regional market 
demands.

Competition. We compete with a number of large companies that have significant product portfolios, market share and 
global  reach,  which  enable  them  to  offer  wide-ranging  product  bundles  to  larger  customers,  such  as  General  Purchasing 
Organizations (“GPOs”) and Integrated Delivery Networks (“IDNs”). This competition has the potential to impact our net sales, 
market share and profit margin. We also compete with a number of small companies with very limited product offerings and 
operations in one or a limited number of countries. On a product basis, our principal competitors are Steris, Olympus, Boston 
Scientific, ASP (a division of Johnson & Johnson), Metrex, Ruhof, Ecolab, ERBE, Getinge, SteelCo and Wassenburg. We believe 
that our principal competitive advantages include the strength of our dedicated sales teams, our comprehensive product line of 
differentiated automated endoscope reprocessors, disposable procedure products and proprietary chemistries, and our reputation 
for providing high-quality and reliable products supported by our highly responsive clinical support and service teams.

Acquisitions. On March 21, 2018, we purchased all of the issued and outstanding stock of Aexis Medical BVBA (“Aexis 
Medical”). Aexis  Medical  specializes  in  advanced  software  solutions  focused  on  the  tracking  and  monitoring  of  instrument 
reprocessing for hospitals and healthcare professionals.

On August 23, 2017, we purchased all of the issued and outstanding stock of BHT Hygienetechnik Holding GmbH (“BHT 
Group”), a leader in the German market in automated endoscope reprocessing and related equipment and services. BHT Group 
consists of a portfolio of high-quality automatic endoscope reprocessors, advanced endoscope storage and drying cabinets (products 
globally distributed by our Company prior to the acquisition under an agreement with BHT Group), washer-disinfectors for central 
sterile applications, associated technical service and parts as well as flexible endoscope repair services.

On April 1, 2017, we purchased certain endoscopy-related net assets of CR Kennedy related to its distribution and sale 
of our Medivators endoscopy products in Australia. The CR Kennedy business includes a full sales and service organization and 
our Medivators-branded automated endoscope reprocessors, chemistries, endoscopy procedure products and other consumables 
in Australia.

On September 26, 2016, we acquired certain net assets of Vantage related to its distribution and sale of our Medivators 
endoscopy products in Canada. Vantage was our exclusive distributor of Medivators capital equipment (e.g., automated endoscope 
reprocessors) and related consumables and accessories in Canada.

Water Purification and Filtration

General.  Our  Water  Purification  and  Filtration  segment  designs,  develops,  manufactures,  sells,  and  installs  water 
purification systems for medical, pharmaceutical and other bacteria controlled applications. We also provide filtration/separation 
and disinfectant technologies to the medical and life science markets through a worldwide distributor network. Our products and 
services include:

• 
• 
• 
• 
• 
• 
• 
• 

central dialysis water purification systems,
portable dialysis water purification systems,
bicarbonate mixing systems,
hollow fiber filters and other filtration and separation products,
liquid disinfectants and cold sterilization products,
“dry fog” products,
room temperature sterilization equipment and services, and
clean-room certification and decontamination services.

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    4

 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

Our products are generally designed for dialysis and other specific healthcare applications, research laboratories and 
pharmaceutical, food and beverage, and commercial industrial customers. Our water systems provide biologically pure water 
specific to our customers’ needs and site conditions, ranging from low-volume, reverse osmosis (“RO”) and deionization systems, 
to high-volume, complete turnkey purification systems. We provide service and maintenance for water purification systems through 
an extensive network of regional offices in the United States and, to a smaller degree, in Canada.

Our  expertise  includes  designing  systems  capable  of  delivering  water  for  hemodialysis  that  meets  the  water  quality 
standards and good manufacturing standards of the Association for the Advancement of Medical Instrumentation (“AAMI”) and 
all grades of U.S. Pharmacopeia (“USP”) water (i.e., water meeting the U.S. Food and Drug Administration (“FDA”) enforced 
standards of the USP including “USP Purified Water,” which is a FDA requirement for the labeling of “purified” bottled water). 
We also package these same technologies and expertise in industrial designs to meet the requirements for high-purity water in the 
commercial industrial markets, such as boiler feedwater production or high quality rinse water production.

We also offer a full line of proprietary and third party filters utilizing hollow fiber membrane technology to remove 
impurities from liquid streams for a wide range of applications. Such applications include the filtering of ultrapure water to remove 
endotoxins, bacteria and other contaminants in medical environments to provide protection for patients undergoing treatments 
that use ultrapure water. Our therapeutic filtration products include hemoconcentrators, hemofilters and specialty filters utilized 
for therapeutic medical applications.

Our liquid disinfectant and cold sterilant products are used in the dialysis, medical, pharmaceutical and other industries. 
These products include surface disinfectants as well as chemistries used to disinfect ultrapure water systems as part of overall 
procedures to control the contamination of systems by microorganisms and spores. Our “Dry Fog” equipment dispenses our cold 
sterilant products in a mist form into rooms and certain structures with complex geometries in order to achieve validated surface 
disinfection.

Our REVOX® Sterilization Systems and Services business provides an innovative room-temperature vapor sterilization 
method for the medical device, pharmaceutical and biomedical industries. It provides customers the capability to sterilize their 
products at room temperature, through either contract service or on-site agreements, while reducing overall processing times and 
inventory and capital requirements associated with other industrial sterilization methods.

Sales, Marketing and Distribution. We generally sell our equipment on a direct basis in the United States and Canada 
and through third-party distributors in other international markets. We are the market leader in the supply of FDA 510(k) cleared 
water purification systems to the dialysis industry in North America. During fiscal 2018, a significant portion of our sales in this 
segment were derived from sales of products and service to dialysis clinics and hospitals in North America.

Competition. We compete with a number of large companies that have significant product portfolios and global reach, 
as well as a number of small companies with very limited product offerings and operations in one or a limited number of countries. 
On a product basis, competitors include Evoqua, IsoPure, Baxter and Steris. We believe that the ability of our Water Purification 
and Filtration segment to successfully compete in the water purification, filtration and disinfectant market derives from our expertise 
in a FDA regulated environment, our broad product offerings and the high value and quality of our products and our national 
service coverage.

We have observed a continued trend toward formal or informal bundling partnerships and arrangements between kidney 
dialysis machine suppliers and companies offering medical water purification systems that compete with our systems. The ability 
to bundle these products offers a competitive advantage to such suppliers, which include Baxter (dialysis machine)/Gambro (water 
system), B. Braun (dialysis machine)/Lauer (water system), and Fresenius (dialysis machine)/Vivonic (water system). The bundling 
approach being used in the United States by B. Braun/Lauer represents a competitive threat to our dialysis water business, as does 
the business combination of Fresenius and Vivonic. See Item 1A, “Risk Factors.”

Acquisitions. On August 1, 2018, we acquired certain net assets of Stericycle Inc. related to its controlled environmental 
solutions business (“CES Business”). The CES Business is a leading provider of testing and certification, environmental monitoring 
and decontamination services for clean rooms and other controlled environments to ensure safety, regulatory compliance and 
quality control.

Healthcare Disposables

General. We design, manufacture, sell, supply and distribute a broad selection of infection prevention healthcare products, 

the majority of which are single-use products used by dental practitioners. Our products include the following:

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Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

• 
• 
• 
• 

sterility assurance products such as biological indicators, chemical integrators and sterilization pouches,
consumables such as towels, bibs, tray liners and sponges,
nitrous oxide/oxygen sedation equipment and related single-use disposable nasal masks,
personal barrier products such as face masks, shields, and hand protection products such as hand sanitizers and 
germicidal wipes,
• 
cleaning solutions, high level disinfectants and surface disinfectants,
•  waterline treatment products for maintaining safe dental unit waterlines,
• 
• 
• 

amalgam separators,
treatment accessories such as saliva ejectors, evacuator tips and plastic cups, and
preventatives such as prophy angles and prophy paste.

Significant brand names for our healthcare disposable products include SECURE FIT® Masks, ISOFLUID® Masks, 

RAPICIDE® Disinfectant and DentaPure® Cartridges.

Our most significant business in this segment derives from our sterility assurance business. We offer both mail-in services 
and  in-office  biological  monitoring  (spore  test)  systems  enabling  healthcare  professionals  to  verify  the  performance  of  their 
sterilizers in accordance with the U.S. Centers for Disease Control and Prevention (“CDC”) and industry guidelines for daily or 
weekly testing. Our expanded portfolio in the dental wastewater management market now includes amalgam separator technology 
which will help dental practitioners meet a U.S. Environmental Protection Agency (“EPA”) ruling on wastewater management 
compliance. Our products also include a wide-array of biological indicators, chemical integrators and related products and services 
that enable hospitals, surgical centers, office-based practitioners and dental facilities to safely and accurately monitor and verify 
their sterilization practices and protocols.

We maintain a leading market position in the United States for face masks and dental unit waterline treatments as well 

as several of our other products used in the dental market.

Sales, Marketing, and Distribution. Our healthcare disposable products are sold globally to approximately 350 wholesale 
customers in over 100 countries, with a significant majority located in the United States. Our distribution partners generally include 
major healthcare distributors, group purchasing organizations and buying co-operatives that sell our products to dental practices, 
medical  facilities,  veterinary  clinics,  and  government  and  educational  institutions. The  majority  of  our  healthcare  disposable 
products are sold under the Crosstex brand name. We also produce private label products for several of our distribution partners.

Competition. We compete with a number of large companies that have significant product portfolios and global reach, 
as well as a number of small companies with very limited product offerings. On a product basis, competitors include Halyard 
Health, 3M, ASP, Steris, Danaher/Sybron, Dentsply/Sultan Healthcare, Amcor, Porter Instrument, Sterisil, ProEdge and more less 
expensive imported generic products from Asia and other lower cost manufacturing locations. We believe that our long-standing 
brands, product quality, superior customer service and breadth of portfolio are competitive advantages and are the basis for our 
success in this segment.

Acquisitions. On August 1, 2016, we acquired all of the issued and outstanding stock of Accutron, a Phoenix-based 
company. The Accutron business designs, manufactures and sells nitrous oxide conscious sedation equipment and single use nasal 
masks for use in dental procedures.

Dialysis

General.   We design, develop, manufacture, sell and service reprocessing systems and sterilants for dialyzers (a device 
serving as an artificial kidney), as well as dialysate concentrates and supplies utilized for renal dialysis. Our renal dialysis products 
include:

hemodialysis concentrates and other ancillary supplies

• 
•  medical device reprocessing systems, and
• 

sterilants and disinfectants.

Our  renal  dialysis  treatment  products  include  a  line  of  acid  and  bicarbonate  concentrates,  referred  to  as  dialysate 
concentrates, used by kidney dialysis centers to prepare dialysate, a chemical solution that draws waste products from the patient’s 
blood through a dialyzer membrane during the hemodialysis treatment. Dialysate concentrates are used in the dialysis process, 
whether single-use or reuse dialyzers (described below) are being utilized.

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Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

Our dialyzer reprocessing products are limited to use by centers that choose to clean, disinfect and reuse dialyzers for 
the same patient, known as “dialyzer reuse,” rather than discard the dialyzers after a single use. There has been a significant 
downward trend in dialyzer reuse since 2001, which has significantly decreased sales of our dialysis products tied to reuse during 
that period. We are exploring dialysis-related opportunities with the potential to mitigate the loss of such business. Likewise, we 
are  expanding  marketing  efforts  of  reuse  products  in  emerging  markets  in Asia,  South America  and  elsewhere.  However,  no 
assurance can be given that such opportunities and efforts will prove successful. See Item 1A, “Risk Factors.” 

Sales,  Marketing  and  Distribution.    Our  products  are  sold  in  the  United  States  and,  to  a  significantly  lesser  extent, 
throughout the world. Our customer base is comprised of large and small dialysis chains as well as independent dialysis clinics. 
We sell products in the United States primarily through our own direct distribution network, and in many international markets 
either directly or under various third-party distribution agreements.

Competition.  In our Dialysis segment, our most significant competition comes from manufacturers of single-use dialyzers, 
particularly Fresenius, the largest dialysis chain in the United States and a manufacturer of single-use dialyzers. All or substantially 
all Fresenius dialysis clinics exclusively use single-use dialyzers and therefore have no need for dialyzer reprocessing equipment. 

Information with Respect to Our Business Generally:

Government Regulation

Our business and products are subject to various degrees of governmental regulation in the countries in which we operate. 
In the United States, the FDA, EPA and other governmental authorities regulate the development, manufacture, labeling, sale, 
storage and distribution of our products and services. Our international operations also are subject to a significant amount of 
government  regulation,  including  country-specific  rules  and  regulations  and  U.S.  regulations  applicable  to  our  international 
operations. Compliance with applicable government regulations is a significant expense for us. 

Numerous aspects of our business are subject to government regulations including, among other things, research and 
development, product approvals, product manufacturing, labeling, marketing and promotion, distribution, record-keeping, storage 
and disposal practices. For example, the FDA inspects medical device manufacturers for compliance with the current Quality 
Systems Regulations (“QSRs”), which govern the methods used in, and the facilities and controls used for, the design, manufacture, 
packaging and servicing of all finished medical devices intended for human use. In addition, introductions of new medical devices 
are generally subject to regulatory clearance or approval. Failure to receive or maintain, or delays in receiving, such clearance or 
approvals may hurt our competitiveness and have other material adverse consequences on our business and results of operations.  

We  cannot  predict  the  effect  on  our  operations  resulting  from  current  or  future  governmental  regulations  or  the 
interpretation or application of these regulations. However, such governmental regulations could prevent, delay, or result in the 
revocation or rejection of regulatory clearance of our products. In addition, if we fail to comply with any applicable regulatory 
requirements, fines, sanctions, regulatory actions and other penalties could be imposed on us.

We believe that we are currently compliant in all material respects with applicable regulatory requirements. However, 
there can be no assurance that future or current regulatory, governmental, or private action will not have a material adverse effect 
on us or on our performance, results, or financial condition. See Item 1A, “Risk Factors.”

Sources and Availability of Raw Materials

We purchase raw materials, sub-assemblies, components and other supplies from numerous suppliers in the United States 
and abroad. The principal raw materials and supplies that we use to conduct operations include chemicals, paper, resin, stainless 
steel and plastic components. These raw materials are generally obtainable from several sources and in sufficient quantities within 
the lead times specified to vendors.

Intellectual Property

We protect our technology and products by, among other means, filing U.S. and foreign patent applications. There can 
be no assurance, however, that any patent will provide adequate protection for the technology, system, product, service or process 
it covers. In addition, the process of obtaining and protecting patents can be long and expensive. We also rely upon trade secrets, 
technical know-how and continuing technological innovation to develop and maintain our proprietary position.

As of July 31, 2018, we held approximately 65 U.S. patents and 272 foreign patents, with approximately 48 U.S. patents 
pending and 101 foreign patents pending. The majority of our U.S. and foreign patents, for individual products, are effective for 
twenty years from the initial filing date. The actual protection afforded by a patent, which can vary from country to country, 

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    7

 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

depends upon the type of patent, the scope of its coverage and the availability of legal remedies in the country. In addition, we 
license from independent third parties under patents, trade secrets and other intellectual property, the right to manufacture and sell 
certain of our products. In the aggregate, these intellectual property assets and licenses (each of which is long-term) are of material 
importance to our business.

Our products and services are sold around the world under various trade names, trademarks and brand names. We consider 
our trade names, trademarks and brand names to be valuable in the marketing of our products in each segment. As of July 31, 
2018, we had approximately 2,128 trademark registrations in the United States and in various foreign countries in which we 
conduct business, as well as 37 trademark applications pending worldwide.

Seasonality

Our businesses generally are not seasonal in nature.

Principal Customers

None of our customers accounted for 10% or more of our consolidated net sales during fiscal 2018, 2017 or 2016. As 
described below, none of our segments are reliant upon a single customer, but some of our segments are currently reliant on a few 
customers. See Item 1A, “Risk Factors.”

Our Water Purification and Filtration segment is reliant on two customers, who collectively accounted for approximately 

48.0% of our segment net sales during fiscal 2018. 

Our Healthcare Disposables segment is reliant on three customers, who collectively accounted for approximately 45.1%

of our segment net sales during fiscal 2018. 

Our Dialysis segment is reliant on two customers (which are the same two customers noted above under our Water 
Purification and Filtration segment), who collectively accounted for approximately 40.6% of our segment net sales during fiscal 
2018. 

Backlog

On July 31, 2018, our consolidated backlog was approximately $91,687 compared with approximately $88,004 on July 31, 
2017. The majority of the backlog was in our Water Purification and Filtration segment which had backlog of $58,556 and $65,760 
at July 31, 2018 and July 31, 2017, respectively. The entire backlog is expected to be recognized as revenue within one year of 
such date.

Competition

The markets in which our business is conducted are highly competitive. Competition is intense in all of our business 
segments and includes many large and small competitors. Important competitive factors generally include breadth of product 
offering, product design and quality, safety, ease of use, brand, product service and support, and price. We expect to face continued 
intense competition and believe that the long-term competitive position for all of our segments depends principally on our success 
in developing, manufacturing and marketing innovative, cost-effective products and services.

Many of our competitors have greater financial, technical, and human resources than we do, are well-established with 
reputations for success in the sale and service of their products, and may have certain other competitive advantages over us. 
However, we believe that the worldwide reputation for the quality and innovation of our products among customers and our 
reputation for providing quality product service give us a competitive advantage with respect to many of our products.

In addition, certain companies have developed, or may be expected to develop, new technologies or products that directly 
or indirectly compete with our products. We anticipate that we may face increased competition in the future as new infection 
prevention products and services enter the market. Numerous organizations are believed to be working with a variety of technologies 
and sterilizing agents. In addition, a number of companies have developed or are developing disposable medical instruments and 
other devices designed to address the risks of infection and contamination. There can be no assurance that new products or services 
developed by our competitors will not be more commercially successful than those provided or developed by us in the future.

For further discussion of competition-related and other risk factors, see Item 1A, “Risk Factors.” 

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Cantel Medical Corp.  

Research and Development

 2018 Annual Report on Form 10-K

Research and development expenses (which include continuing engineering costs) increased by $6,279 to $24,646 in 
fiscal 2018 from $18,367 in fiscal 2017. Our research and development expenses primarily relate to development work on new 
products  in  our  three  largest  segments,  Endoscopy, Water  Purification  and  Filtration,  and  Healthcare  Disposables,  as  well  as 
continuing engineering costs primarily related to endoscopy products.

Quality Assurance

We manufacture, assemble and package most of our products in the United States and, to a significantly lesser extent in 
Italy,  Germany  and  elsewhere.  Each  of  our  production  facilities  is  dedicated  to  particular  processes  and  products.  We  have 
implemented quality assurance procedures to support the quality and integrity of our production processes.

Environmental Matters

We anticipate that our compliance with federal, state, and local laws and regulations, relating to the discharge of materials 
into the environment, or otherwise relating to the protection of the environment, will not have any material effect on our capital 
expenditures, earnings or competitive position.

Employees

As of July 31, 2018, we employed 2,693 persons, of whom 1,892 are located in the United States, 523 are located in 
Europe, the Middle East and Africa, 178 are located in Asia and Australia, and 100 are located in Canada. None of our employees 
are represented by labor unions. We consider our relations with our employees to be satisfactory.

Financial Information about Geographic Areas

Although the majority of our manufacturing is performed in the United States, we conduct manufacturing, sales, and 
distribution operations on a worldwide basis and are subject to a variety of risk associated with doing business internationally. 
These operations involve the same business segments as our domestic operations. U.S. net sales represented 73.9% of our fiscal 
2018 net sales. Net sales from Europe, Middle East and Africa (“EMEA”), Asia Pacific and Canada were 15.0%, 6.6%, and 3.8%, 
respectively, of our fiscal 2018 net sales. The remaining 0.7% was generated in Latin American and South American regions. For 
a geographic presentation of net sales and other financial data for the three years ended July 31, 2018, see Note 16 to our consolidated 
financial statements in Part II, Item 8 of this report.

We ship certain of our products to Iran, and conduct related activities, in accordance with licenses issued by the Office 
of Foreign Assets Control (“OFAC”) of the U.S. Department of the Treasury. The Iranian sales were generally conducted through 
distributors, some of whose customers may include public hospitals owned or controlled directly or indirectly by the Iranian 
government.

Available Information

Under the Securities Exchange Act of 1934, as amended, we are required to file with or furnish to the SEC annual, 
quarterly and current reports, proxy and information statements and other information. You may read and copy any document we 
file with the SEC at the SEC’s Public Reference Room at 100 F Street, NE, Washington, D.C. 20549. Please call the SEC at 
1.800.SEC.0330  for  further  information  about  the  public  reference  room. The  SEC  maintains  a  website  at  www.sec.gov  that 
contains reports, proxy and information statements, and other information regarding issuers that file electronically with the SEC. 
We file electronically with the SEC.

We make available, free of charge through the investor relations section of our website, our reports on Forms 10 K, 10 Q 
and 8 K, and amendments to those reports, filed with or furnished to the SEC as soon as reasonably practicable after they are filed 
or furnished to the SEC. The address for our website is www.cantelmedical.com.

Also available on our website are our Corporate Governance Guidelines, Charters of the Nominating and Governance 
Committee, Compensation Committee and Audit Committee, and Code of Business Conduct and Ethics. Information contained 
on our website is not part of, and is not incorporated in, this or any other report we file with or furnish to the SEC.

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Cantel Medical Corp.  

Forward Looking Statements 

 2018 Annual Report on Form 10-K

This Annual  Report  on  Form 10-K  contains  “forward-looking  statements”  as  that  term  is  defined  under  the  Private 
Securities Litigation Reform Act of 1995 and other securities laws. These statements are based on current expectations, estimates, 
or forecasts about our businesses, the industries in which we operate, and the current beliefs and assumptions of management; 
they  do  not  relate  strictly  to  historical  or  current  facts.  Without  limiting  the  foregoing,  words  or  phrases  such  as  “expect,” 
“anticipate,”  “goal,”  “project,”  “intend,”  “plan,”  “believe,”  “seek,”  “may,”  “could”  and  variations  of  such  words  and  similar 
expressions generally identify forward-looking statements. In addition, any statements that refer to predictions or projections of 
our future financial performance, anticipated growth and trends in our businesses, and other characterizations of future events or 
circumstances are forward-looking statements. Readers are cautioned that these forward-looking statements are only predictions 
about future events, activities or developments and are subject to numerous risks, uncertainties, and assumptions that are difficult 
to predict. We caution that undue reliance should not be placed on such forward-looking statements, which speak only as of the 
date made. Some of the factors which could cause results to differ from those expressed in any forward-looking statement are set 
forth under Item 1A of this Annual Report on Form 10-K, entitled Risk Factors. We expressly disclaim any obligation or undertaking 
to  release  publicly  any  updates  or  revisions  to  any  forward-looking  statements  contained  herein  to  reflect  any  change  in  our 
expectations with regard thereto or any change in events, conditions or circumstances on which any such statement is based.

Item 1A.  Risk Factors.

We are subject to various risks and uncertainties relating to or arising out of the nature of our businesses and general business, 
economic, financing, legal and other factors or conditions that may affect us. We provide the following cautionary discussion of 
risks and uncertainties relevant to our businesses, which we believe are factors that, individually or in the aggregate, could have 
a material and adverse impact on our business, results of operations and financial condition, or could cause our actual results to 
differ materially from expected or historical results. We note these factors for investors as permitted by the Private Securities 
Litigation Reform Act of 1995. You should understand that it is not possible to predict or identify all such factors. Consequently, 
you should not consider the following to be a complete discussion of all potential risks or uncertainties.

We face intense competition and may not be able to keep pace with the rapid technological changes in the medical device 
industry, which could have a material adverse effect on our business, financial condition, results of operations or cash flows. 
The medical device markets in which we primarily participate are highly competitive. We encounter significant competition across 
our product lines and in each market in which our products are sold from various medical device companies, many of which may 
have greater financial, technical and marketing resources than we do and are well-established. Some competitors have developed 
or may be expected to develop technologies or products that could compete with our products or that would render our products 
obsolete  or  noncompetitive.  In  addition,  our  competitors  may  achieve  patent  protection,  regulatory  approval  or  product 
commercialization  that  would  limit  our  ability  to  compete  with  them. Additionally,  the  medical  device  markets  in  which  we 
primarily  participate  are  characterized  by  extensive  research  and  development,  new  product  introductions  and  product 
enhancements, rapid technological change and evolving industry standards. Developments by other companies of new or improved 
products, processes or technologies may make our products or proposed products obsolete or less competitive and may negatively 
impact our net sales. Accordingly, our ability to compete is in part dependent on our ability to continually offer enhanced and 
improved products that meet the changing requirements of our customers. As such, we are required to devote continued efforts 
and financial resources to develop or acquire scientifically advanced technologies and products, apply our technologies cost-
effectively across product lines and markets, obtain patent and other protection for our technologies and products, obtain required 
regulatory  and  reimbursement  approvals  and  successfully  manufacture  and  market  our  products  consistent  with  our  quality 
standards. If we fail to develop new products or enhance existing products, it could have a material adverse effect on our business, 
financial condition, results of operations or cash flows.

We face continued competition in our endoscopy disposable procedure products from larger competitors. We have seen increased 
activity by our larger competitors to include infection prevention endoscopy disposable procedure products in their existing market 
share and bundling agreements. As purchasing decisions continue to be consolidated with GPOs and in a smaller number of IDNs, 
competitors with broader portfolios will have a competitive advantage in offering a wider range of discounts. If such approach 
expands, we could face declines in growth or loss of market share, as well as reduced profit margin, for our endoscopy procedural 
products.

We face increased competition in the water purification system market due to the alliance of kidney dialysis machine suppliers 
and water purification system suppliers. Outside of the United States, we believe there is a trend in formal or informal bundling 
partnerships and arrangements between kidney dialysis machine suppliers and companies offering medical water purification 
systems that compete with our systems. The ability to bundle these products offers a competitive advantage to such suppliers, 
which include Baxter (dialysis machine)/Gambro (water system), B. Braun (dialysis machine)/Lauer (water system), and Fresenius 
(dialysis machine)/Vivonic (water system). The bundling approach being used by B. Braun/Lauer, and the business combination 

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    10

 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

of Fresenius and Vivonic, represent competitive threats to our dialysis water business. If such business combinations and bundling 
approaches expand in the United States and we do not succeed in forming an alliance with a high-quality supplier of kidney dialysis 
machines, we can lose our current competitive advantages and experience a material loss of net sales and a decrease in margins 
in our water purification system business.  

The market for our dialysis reprocessing products is limited to dialysis centers that reuse dialyzers. The decrease in the reuse 
portion of the dialysis market in the United States accelerated significantly during fiscal 2016, 2017 and 2018 and such decrease 
is expected to continue. Our dialyzer reprocessing products are limited to use by clinics that choose to clean, sterilize and reuse 
dialyzers, rather than discard the dialyzers after a single-use. Today, only a small number of all dialysis procedures in the United 
States reuse dialyzers. The downward trend in reuse dialyzers in the United States accelerated during fiscal 2016, 2017 and 2018 
which  resulted  in  the  sale  of  no  reuse  dialyzers  in  the  United  States  during  such  fiscal  years.  Further,  the  most  significant 
manufacturers of reuse dialyzers have indicated that they will be ceasing their manufacture of such products. As such, clinics that 
currently utilize reuse dialyzers will be forced to convert to single use dialyzers, which will accelerate the downward trend in 
fiscal 2019 and likely eliminate our sale of dialyzer reprocessors and related single-use products in the United States by the end 
of the fiscal year. The reduction of our dialysis reuse business has had an adverse effect on our Dialysis segment business, which 
has reduced our margins and net income in this segment.

We face significant challenges in growing our dialysate concentrate sales. The reduced sales of our dialysis reuse products was 
significantly mitigated by increased sales in our dialysate concentrate sales during fiscal 2017 and 2018, which sales are anticipated 
to remain at similar levels during fiscal 2019. However, no assurance can be given that we will succeed at increasing sales in the 
near or long term. Fresenius, the largest dialysis chain in the United States, manufactures dialysate concentrate itself and therefore 
provides dialysate concentrate to its own dialysis clinics. DaVita and certain international customers have also continued their 
reduction of dialysate concentrate purchases from us as a result of the highly competitive and price sensitive market for such 
product. In addition, there is increased demand in the market for powdered dialysate products principally due to the lower costs 
associated with shipping such products. However, we do not manufacture powdered dialysate products.

Because a significant portion of our Water Purification and Filtration and Healthcare Disposables segments net sales comes 
from a few large customers, any significant decrease in sales to these customers, due to industry consolidation or otherwise, 
could harm our operating results. In our Water Purification and Filtration segment, two customers collectively accounted for 
48.0% of our fiscal 2018 net sales for this segment. The loss of a significant amount of business from either of these two customers 
would have a material adverse effect on our Water Purification and Filtration segment. The distribution network in the United 
States dental industry is concentrated, with relatively few distributors of consumable products accounting for a significant share 
of the sales volume to dentists. Accordingly, net sales and profitability of our Healthcare Disposables segment are highly dependent 
on our relationships with a limited number of large distributors. During fiscal 2018, the top three customers of our Healthcare 
Disposables segment accounted for 45.1% of its net sales. The loss of a significant amount of business from any of these three
customers would have a material adverse effect on our Healthcare Disposables segment. In addition, because our Healthcare 
Disposables segment products are primarily sold through third-party distributors and not directly to end users, we cannot control 
the amount and timing of resources that our distributors devote to our products. There can be no assurance that there will not be 
a loss or reduction in business from one or more of our major customers. In addition, we cannot assure that net sales from customers 
that have accounted for significant net sales in the past, either individually or as a group, will reach or exceed historical levels in 
any future period.

Our  industry  is  experiencing  significant  scrutiny  and  regulation  by  governmental  authorities,  which  may  lead  to  greater 
regulation in the future. Our medical devices and our business activities are subject to rigorous regulation, including by the FDA, 
EPA, Department of Justice (“DOJ”), and numerous other federal, state, and foreign governmental authorities. These authorities 
and members of Congress have been increasing their scrutiny of our industry. In addition, certain state governments and the federal 
government have enacted legislation aimed at increasing transparency of our interactions with healthcare providers. As a result, 
we are required by law to disclose payments and other transfers of value to healthcare providers licensed by certain states and to 
all  U.S.  physicians  and  U.S.  teaching  hospitals  at  the  federal  level. Any  failure  to  comply  with  these  legal  and  regulatory 
requirements could adversely impact our business. In addition, we may continue to devote substantial time and financial resources 
to further develop and implement policies, systems, and processes to comply with enhanced legal and regulatory requirements, 
such as the General Data Protection Regulation, several of which may expose us to significant penalties or fines and may also 
impact our business. We anticipate that governmental authorities will continue to scrutinize our industry closely, and that additional 
regulation may increase compliance and legal costs, exposure to litigation, and other adverse effects to our operations. Moreover, 
as directed by the Dodd-Frank Wall Street Reform and Consumer Protection Act (Dodd-Frank), the SEC has implemented reporting 
and disclosure requirements related to the use of certain minerals, known as “conflict minerals” (specifically, tantalum, tin, tungsten 
(or their ores), and gold) which are mined from the Democratic Republic of the Congo and adjoining countries. There are costs 
associated with complying with these disclosure requirements, including for diligence in regards to the sources of any conflict 
minerals used in our products, in addition to the cost of remediation and other changes to products, processes, or sources of supply 

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Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

as a consequence of such verification activities, if appropriate. Although we have not historically had any issues, that could change 
if such materials are found to be used in our products. As of the date of our conflict minerals report for the 2017 calendar year, 
although we fully complied with the regulation, we were unable to obtain the necessary information on conflict minerals from all 
of our suppliers and were unable to determine that all of our products are conflict free. We may continue to face difficulties in 
gathering this information in the future. We may face reputational challenges if we determine that certain of our products contain 
minerals not determined to be conflict free or if we are unable to sufficiently verify the origins for all conflict minerals used in 
our products through the procedures we implement.

Our implementation of an Enterprise Resource Planning (“ERP”) software solution and other information technology systems 
could result in significant disruptions to our operations. We are in the process of implementing an ERP solution and other 
complementary  information  technology  systems,  which  implementation  is  expected  to  be  completed  over  the  next  several 
years. Implementation  of  these  solutions  and  systems  is  highly  dependent  on  coordination  of  numerous  software  and  system 
providers and internal business teams. The interdependence of these solutions and systems is a significant risk to the successful 
completion of the initiatives and the failure of any one system could have a material adverse effect on the implementation of our 
overall information technology infrastructure. We may experience difficulties as we transition to these new or upgraded systems 
and processes, including loss or corruption of data, delayed shipments, decreases in productivity as our personnel and third party 
providers implement and become familiar with new systems, increased costs and lost revenues. In addition, transitioning to these 
new  systems  requires  significant  capital  investments  and  personnel  resources.  Difficulties  in  implementing  new  or  upgraded 
information systems or significant system failures could disrupt our operations and have a material adverse effect on our capital 
resources, financial condition, results of operations or cash flows. Implementation of this new information technology infrastructure 
has a significant impact on our business processes and information systems across a significant portion of our operations. As a 
result,  we  will  be  undergoing  significant  changes  in  our  operational  processes  and  internal  controls  as  our  implementation 
progresses, which in turn will require significant change management, including recruiting and training of qualified personnel. If 
we are unable to successfully manage these changes as we implement these systems, including harmonizing our systems, data, 
processes and reporting analytics, our ability to conduct, manage and control routine business functions could be negatively affected 
and significant disruptions to our business could occur. In addition, we could incur material unanticipated expenses, including 
additional costs of implementation or costs of conducting business. These risks could result in significant business disruptions or 
divert management’s attention from key strategic initiatives and have a material adverse effect on our capital resources, financial 
condition, results of operations or cash flows.

Our  businesses  are  heavily  reliant  on  certain  raw  materials  and  can  be  adversely  impacted  by  rising  prices  and  potential 
governmental changes to import and tariff policies. We purchase raw materials, sub-assemblies, components and other supplies 
essential to our operations from numerous suppliers in the United States and abroad. The principal raw materials that we use to 
conduct operations include chemicals, paper, resin, stainless steel and plastic components. From time to time we experience price 
increases for raw materials, with no guarantee that such increases can be passed along to our customers. In addition, although fuel 
and oil prices have been at relatively low levels, an increase in prices can also have a significant adverse impact on transportation 
costs related to both the purchasing and delivery of products and services. If costs materially increase in the future, we may not 
be able to implement price increases to our customers, which would adversely impact our gross margins. Our business is also 
subject to risks associated with U.S. and foreign legislation and regulations relating to imports, including quotas, duties, tariffs or 
taxes, and other charges or restrictions on imports, which could adversely affect our operations and our ability to import products 
at current or increased levels. We cannot predict whether additional U.S. and foreign customs quotas, duties (including antidumping 
or countervailing duties), tariffs, taxes or other charges or restrictions, requirements as to where raw materials must be purchased, 
additional workplace regulations or other restrictions on our imports will be imposed upon the importation of our products in the 
future or adversely modified, or what effect such actions would have on our costs of operations. Future quotas, duties or tariffs 
may have a material adverse effect on our business, financial condition, results of operations or cash flows. Future trade agreements 
could also provide our competitors with an advantage over us, or increase our costs, either of which could have a material adverse 
effect on our business, financial condition, results of operations or cash flows.

The acquisition of new businesses and product lines, which has inherent risks, is an important part of our growth strategy.
We intend to grow, in part, by acquiring new products and businesses. The success of this strategy depends upon several factors, 
including our ability to:

• 
• 
• 

• 
• 
• 

identify and acquire appropriate products and businesses,
obtain financing for acquisitions on terms that are favorable or acceptable,
integrate acquired operations, personnel, products, technologies and regulatory procedures into our organization 
effectively,
retain and motivate key personnel and retain the customers and suppliers of acquired companies,
realize perceived synergies, and
successfully promote and increase sales and profits of acquired product lines.

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    12

 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

Even if acceptable financing is obtained, such financing may result in charges associated with the potential write-off of existing 
deferred financing costs. We also may not be able to sustain the rates of growth that we have experienced in the past, whether by 
acquiring businesses or otherwise.  In addition, we often experience competition from third parties interested in the same acquisition 
candidate. This may result in increases in the price paid for acquisition candidates. In addition, assumptions regarding the growth 
of businesses we acquire may differ from actual results.

Other risks and uncertainties related to acquisitions include:

• 

• 
• 
• 

delays in realizing the benefits of the transactions, including achievement of anticipated operating efficiencies and 
synergies and other transaction benefits as well as forecasted sales and earnings,
diversion of management’s time and attention,
difficulties in implementing and maintaining uniform standards, controls, procedures and policies, and
risks associated with the assumption of contingent or undisclosed liabilities of acquired companies.

Given the subjective nature of the assumptions used in the determination of fair value calculations, we may potentially have 
significant  earnings  volatility  in  our  future  results  of  operations.  In  addition,  we  have  occasionally  used  our  stock  as  partial 
consideration for acquisitions. Our common stock may not remain at a price at which it can be used as consideration for acquisitions 
without diluting our existing stockholders, and potential acquisition candidates may not view our stock attractively. We have a 
significant amount of goodwill and intangible assets on our balance sheet related to acquisitions. If future operating results of the 
acquired businesses are significantly less than the results anticipated at the time of the acquisitions, we may be required to incur 
impairment charges. 

The indemnification provisions of acquisition agreements by which we have acquired companies may not fully protect us and 
as a result we may face unexpected liabilities. Certain of the acquisition agreements by which we have acquired companies require 
the former owners to indemnify us against certain liabilities related to the operation of the company before we acquired it. In most 
of these agreements, however, the liability of the former owners is limited and certain former owners may be unable to meet their 
indemnification responsibilities. We cannot assure you that these indemnification provisions will protect us fully or at all, and as 
a result we may face unexpected liabilities that adversely affect our business, financial condition, results of operations or cash 
flows.  

Our international business subjects us to a number of risks and our limited operating experience and market recognition in 
new international markets may limit our international expansion strategy and cause our international return on investments 
and growth to suffer. Our international business subjects us to a number of risks and complications associated with manufacturing, 
sales, services, and other operations outside of the United States. These include: risks associated with foreign currency exchange 
rate fluctuations; difficulties in enforcing agreements and collecting receivables through some foreign legal systems; enhanced 
credit risks in certain European countries as well as emerging market regions; foreign customers with longer payment cycles than 
customers in the United States; tax laws that restrict our ability to use tax credits, offset gains, or repatriate funds; tariffs and 
exchange controls or other trade restrictions including transfer pricing restrictions when products produced in one country are sold 
to an affiliated entity in another country. Our future growth depends in part on our international expansion efforts, including efforts 
in emerging markets such as China. We have limited experience with regulatory environments and market practices internationally, 
and we may not be able to penetrate or successfully operate in locations and environments unfamiliar to us. Additionally, global 
operations  are  subject  to  risks  and  uncertainties,  including  political  and  economic  instability,  general  economic  conditions, 
imposition of government controls, the need to comply with a wide variety of foreign and U.S. export laws and trade restrictions. 
In connection with our expansion efforts we may encounter obstacles we did not face in North America, including cultural and 
linguistic differences, differences in regulatory environments, labor and market practices, difficulties in keeping abreast of market, 
business and technical developments, foreign customers’ requirements and preferences, and the difficulty of administering business 
overseas. Further, sales practices in certain international markets may be inconsistent with our desired business practices and U.S. 
and other legal requirements, which may impact our ability to expand as planned. We may also encounter difficulty expanding in 
new international markets because of competitors already entrenched in the market, and our limited brand recognition leading to 
delayed acceptance of our products in these new international markets. Our failure to develop new markets or disappointing growth 
outside of existing markets may negatively affect our return on investments relating to our international expansion efforts. In 
addition, we may experience difficulties in enforcing intellectual property rights or weaker intellectual property right protections 
in some countries. 

On June 23, 2016, the United Kingdom held a referendum in which voters approved an exit from the European Union (“E.U.”), 
commonly referred to as “Brexit.” As a result of the referendum, the British government has begun negotiating the terms of the 
U.K.’s future relationship with the E.U. Although it is unknown what the final outcome of such negotiated terms will be, it is 
possible that there will be greater restrictions on imports and exports between the U.K. and E.U. countries and increased regulatory 
complexities. These changes may adversely affect our operations and financial results since we have a significant presence in the 

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    13

 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

U.K. Further, international markets are increasingly being affected by economic pressure to contain reimbursement levels and 
healthcare costs, and certain international markets may also be impacted by foreign government efforts to understand healthcare 
practices and pricing in other countries, which could result in increased pricing transparency across geographies and pressure to 
harmonize reimbursement and ultimately reduce the selling prices of our products. Most international jurisdictions have regulatory 
approval and periodic renewal requirements for medical devices, and countries that previously did not have regulatory requirements 
for medical devices may adopt such requirements; we must comply with these requirements in order to market our products in 
these jurisdictions. In addition, the trend in countries around the world toward more stringent regulatory requirements for product 
clearance, changing reimbursement models, and more rigorous inspection and enforcement activities has generally caused or may 
cause us and other medical device manufacturers to experience more uncertainty, delay, risk and expense, including the E.U.'s 
enactment of the Medical Devices Regulation. We expect that the international regulatory environment will continue to evolve, 
which could impact our ability to obtain approvals for our products in those jurisdictions, and thereby have a material impact on 
our  business.  Further,  any  significant  changes  in  the  competitive,  political,  legal,  regulatory,  reimbursement  or  economic 
environment where we conduct international operations may have a material impact on our business, financial condition, results 
of operations or cash flows.  

Health care policy changes on both the federal and state levels may have a material adverse effect on us. In response to perceived 
increases in health care costs in recent years, there have been and continue to be proposals by the federal government, state 
governments, regulators, and third-party payers to control these costs and, more generally, to reform the U.S. health care system. 
Certain of these proposals could limit the prices we are able to charge for our products or the amounts of reimbursement available 
for our products and could limit the acceptance and availability of our products. The adoption of some or all of these proposals 
could have a material adverse effect on our financial position, results of operations or cash flows. In addition, the U.S. Patient 
Protection and Affordable Care Act, as amended by the Health Care and Education Affordability Reconciliation Act, contains 
provisions that could have a material impact on our business. Among other provisions, this legislation imposes a 2.3% excise tax 
on all U.S. medical device sales. Late in 2015, Congress enacted legislation that suspended the excise tax for calendar years 2016 
and 2017, and in January 2018, Congress enacted legislation that further suspended the excise tax until calendar year 2020. During 
fiscal 2016 and 2015, our total excise tax incurred was $2,035 and $4,369, respectively, which decreased our gross profit by such 
amounts. Furthermore, we have been required to commit significant resources to “Sunshine Act” compliance.  In addition, various 
healthcare reform proposals have also emerged at the state level. We cannot predict with certainty what healthcare initiatives, if 
any, will be implemented at the state level, or what the ultimate effect of federal healthcare reform or any future legislation or 
regulation may have on us or on our customers’ purchasing decisions regarding our products and services.  

Our stock price and trading volume has been volatile from time to time and has experienced significant fluctuations over the 
past several months and years as a result of various market factors. We may experience continued fluctuations in price and 
volume in the future that could negatively impact the value of our outstanding shares. The market for our common stock has, 
from time to time, experienced significant price and volume fluctuations that may have been unrelated to our operating performance.  
In addition, the trading market for our common stock relies in part on the research and reports that industry and other financial 
analysts publish about us, our business and our industry. We do not control these or any other analysts, nor do we control their 
respective reports. Our future operating results are subject to substantial uncertainty, and our stock price could decline significantly 
if we fail to meet or exceed analysts’ forecasts and expectations. If any of the analysts who cover us downgrade our stock, lower 
their price target or issue commentary or observations about us or our stock that are perceived by the market as negative, our stock 
price would likely decline rapidly. In addition, there are many other large, well-established, publicly traded companies active in 
our industry and market, which may cause our company to garner less attention from industry analysts. If these analysts decrease 
coverage or otherwise cease to cover our company, we could lose visibility in the market, which in turn could cause our stock 
price to decline. 

Competition from lower cost manufacturing facilities such as those located in China, Southeast Asia and certain locations 
within North America could result in a reduction in our net sales of healthcare disposable products due to reduced average 
selling prices or our customers no longer purchasing certain products from us. Despite expensive shipping costs, quality concerns, 
sustainability issues and other matters, some of our competitors manufacture certain healthcare disposable products in lower cost 
locations  such  as  China,  Southeast Asia  and  certain  locations  within  North America. Although  we  believe  the  quality  of  our 
healthcare disposable products, which are generally produced in the United States, are superior, our sales in the future may be 
adversely affected by either loss of sales or reductions in the prices of our products as a result of this lower cost competition. Price 
erosion resulting from lower cost competition did not have a material adverse impact on our business during fiscal 2018, but no 
assurance can be given that we will not face increased competition in the future.

We are subject to extensive government regulation, which may delay or prevent new product introduction and subject us to 
citations, fines and other regulatory actions. Our operations are subject to extensive regulation by governmental and private 
agencies in both the United States and in other countries where we do business. In the United States, our products and services 
are regulated by the FDA and other regulatory authorities. In many foreign countries, sales of our products are subject to extensive 

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    14

 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

regulations that may or may not be comparable to those of the FDA. In Europe, our products are regulated primarily by country 
and community regulations of those countries within the European Economic Area and must conform to the requirements of those 
authorities. The regulatory agencies regulate the testing, manufacturing, recordkeeping, storage, packaging, labeling, marketing, 
distribution, marketing, reporting, safety and import and export of medical supplies and devices. Certain international regulatory 
bodies also impose import restrictions, tariff regulations, duties and tax requirements. In general, unless an exemption applies, a 
medical device or product or service must receive regulatory approval or clearance before it can be marketed or sold. Delays in 
agency review can significantly delay new product introduction and may result in a product becoming “dated” or losing its market 
opportunity before it can be introduced. In addition, the FDA and other agency clearances generally are required before we can 
make significant modifications to existing products or market new claims or uses for existing products. The FDA also has the 
authority to require a recall or modification of products in the event of a defect or other issues. The process of obtaining marketing 
clearances and approvals from regulatory agencies for new products (or modifications to, or additional claims or uses for, existing 
products) can be time consuming and expensive. There is no assurance that clearances or approvals will be granted or that agency 
review will not involve delays that would adversely affect our ability to commercialize our products. During the past several years, 
the FDA, in accordance with its standard practice, has conducted a number of inspections of our manufacturing facilities to ensure 
compliance with regulatory standards relating to our testing, manufacturing, storage and packaging of products. On occasion, 
following an inspection, the FDA has called our attention to certain “Good Manufacturing Practices” compliance deficiencies. If 
we fail to meet QSRs or violate applicable FDA, EPA or other laws or regulations or if any of our medical devices are found to 
be ineffective or pose an unreasonable health risk, or if we fail to adequately correct violations or comply with requests by regulatory 
agencies, we could be subject to reports or warning letters, citations and fines as well as additional regulatory action including an 
order to recall, replace, repair, or refund non-compliant medical devices, which may have material reputational and financial 
impacts. Further, regulatory agencies could detain or seize adulterated or misbranded medical devices, or ban such medical devices. 
The regulatory agencies may also impose operating restrictions, enjoin and/or restrain certain conduct resulting in violations of 
applicable law pertaining to medical devices, including a hold on approving new devices until issues are resolved to its satisfaction, 
and  assess  civil  or  criminal  penalties  against  our  officers,  employees,  or  us.  The  regulatory  agencies  may  also  recommend 
prosecution to the DOJ. Federal, state and foreign regulations regarding the manufacture and sale of our products are subject to 
change. We cannot predict what impact, if any, such changes might have on our business. In addition, there can be no assurance 
that regulation of our products will not become more restrictive in the future and that any such development would not have a 
material adverse effect on our business, financial condition, results of operations or cash flows.

Compliance with international laws and regulations, import and export limitations, anti-corruption laws, and exchange controls 
may be difficult, burdensome and expensive. We are subject to compliance with various laws and regulations, including the U.S. 
Foreign Corrupt Practices Act, the U.K. Bribery Act, and similar anti-bribery laws, which generally prohibit companies and their 
intermediaries from making bribes or other improper payments to officials for the purpose of obtaining or retaining business. We 
are also subject to limitations on trade with persons in sanctioned countries. Our growing exposure to international markets increase 
the inherent risks of encountering such issues. While our employees, distributors and agents are required to comply with these 
laws, no assurance can be given that our training and internal policies and procedures will always protect us from violations of 
these laws, despite our commitment to legal compliance and corporate ethics. The failure to comply with these laws and regulations 
could subject us to severe fines and penalties material in scope.

Our operations, products and services expose us to the risk of environmental, health and safety liabilities, costs and violations 
that could adversely affect our reputation and financial results. In the ordinary course of certain of our manufacturing processes, 
we use various chemicals and other regulated substances. Our operations, products and services are subject to environmental laws 
and regulations, which impose limitations on the discharge of pollutants into the environment and establish standards for the use, 
generation, treatment, storage and disposal of hazardous and non-hazardous wastes. Although we are not aware of any material 
claims involving violation of environmental or occupational health and safety laws or regulations, there can be no assurance that 
such a claim may not arise in the future, which could have a material adverse effect on us. We must also comply with various 
health and safety regulations in the United States and abroad in connection with our operations. We can give no assurance that 
our environmental, health and safety compliance programs have been or will at all times be effective. Failure to comply with any 
of these laws and regulations could result in civil and criminal, monetary and non-monetary penalties and damage to our reputation. 
In addition, we cannot provide assurance that our costs of complying with current or future environmental protection and health 
and safety laws and regulations will not exceed our estimates or adversely affect our financial condition, results of operations or 
cash flows. In addition, we may incur costs related to remedial efforts or alleged environmental damage associated with past or 
current waste disposal practices or other hazardous materials handling practices. We are also from time to time party to personal 
injury or other claims brought by private parties alleging injury due to the presence of or exposure to hazardous substances. We 
may also become subject to additional remedial, compliance or personal injury costs due to future events such as changes in 
existing laws or regulations, changes in agency direction or enforcement policies, developments in remediation technologies, 
changes in the conduct of our operations and changes in accounting rules. We cannot assure you that any liabilities arising from 
past or future releases of, or exposures to, hazardous substances will not adversely affect our reputation or adversely affect our 
business, financial condition, results of operations or cash flows.

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    15

 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

Healthcare cost containment pressures and legislative or administrative reforms resulting in restrictive reimbursement practices 
of third-party payors or preferences for alternate therapies could decrease the demand for our products, the prices which 
customers are willing to pay for those products and the number of procedures performed using our devices, which could have 
an adverse effect on our business, financial condition, results of operations or cash flows. Many of our products are purchased 
by  hospitals,  physicians  and  other  healthcare  providers  that  typically  bill  various  third-party  payors,  including  governmental 
programs (e.g., Medicare and Medicaid), private insurance plans and managed care programs, for the healthcare services provided 
to their patients. The ability of customers to obtain appropriate reimbursement for (or associated with) their products and services 
from  private  and  governmental  third-party  payors  is  critical  to  the  success  of  medical  device  companies. The  availability  of 
reimbursement affects which products customers purchase and the prices they are willing to pay. Reimbursement varies from 
country to country and can significantly impact the acceptance of new products and services. Even if we offer a promising new 
product, we may find limited demand for the product unless reimbursement approval is obtained from private and governmental 
third-party payors for such product (or associated with its use). Further legislative or administrative reforms to the reimbursement 
systems in the United States and foreign countries in a manner that significantly reduces reimbursement for procedures using our 
medical devices or denies coverage for those procedures, including price regulation, competitive pricing, coverage and payment 
policies, comparative effectiveness of therapies, technology assessments and managed-care arrangements, could have a material 
adverse effect on our business, financial condition, results of operations or cash flows. 

Currency fluctuations and trade barriers could adversely affect our results of operations. A portion of our products in all of our 
business segments are exported to and imported from a variety of geographic locations, and our business could be materially and 
adversely affected by the imposition of trade barriers, fluctuations in the rates of exchange of various currencies, tariff increases 
and import and export restrictions, affecting all of such geographies including but not limited to the United States, Canada, the 
European Union, the United Kingdom, Australia, and Asia. Changes in the value of the Euro, British Pound, Canadian dollar, 
Australian dollar, Singapore dollar, Chinese Renminbi and Sri Lankan Rupee against the U.S. dollar affect our results of operations 
because certain cash bank accounts, accounts receivable and liabilities of Cantel and its subsidiaries are denominated and ultimately 
settled in U.S. dollars, Euros, British Pounds, Canadian dollars, Australian dollars, Singapore dollars, Chinese Renminbi or Sri 
Lanka Rupees, but must be converted into each entity’s functional currency. Furthermore, the financial statements of our Italy, 
the Netherlands, United Kingdom, Canada, Australia, China and Sri Lanka subsidiaries are translated using the accounting policies 
described in Note 2 to our consolidated financial statements in Part II, Item 8 of this report, and therefore are impacted by changes 
in the Euro, British Pound, Canadian dollar, Australian dollar, Chinese Renminbi and Sri Lankan Rupee exchange rates relative 
to the U.S. dollar.

We may be exposed to product liability claims resulting from the use of products we sell and distribute. Our sales and distribution 
of products may expose us to product liability claims. We maintain product liability insurance, which we believe is adequate for 
our businesses. However, there can be no assurance that insurance coverage for these risks will continue to be available or, if 
available, that it will be sufficient to cover potential claims or that the present level of coverage will continue to be available at a 
reasonable cost. A partially or completely uninsured successful claim against us could have a material adverse effect on us. In 
addition, we may not have insurance covering claims of emotional harm or mental distress related to our products or services 
when not associated with physical injury. This could result in our incurring significant uninsured damages. 

We rely on intellectual property and proprietary rights to maintain our competitive position. We rely heavily on proprietary 
technology that we protect primarily through licensing arrangements, patents, trade secrets and proprietary know-how. There can 
be no assurance that any pending or future patent applications will be granted or that any current or future patents, regardless of 
whether we are an owner or a licensee of the patent, will not be challenged, rendered unenforceable, invalidated or circumvented 
or that the rights will provide a competitive advantage to us. There can also be no assurance that our trade secrets or non-disclosure 
agreements will provide meaningful protection of our proprietary information. There can also be no assurance that others will not 
independently develop similar technologies or duplicate any technology developed by us or that our technology will not infringe 
upon patents or other rights owned by others.

Breaches of our information technology systems could have a material adverse effect on our operations. We rely on information 
technology systems to process, transmit, and store electronic information in our day-to-day operations and install certain software 
systems on our customers' networks. Our information technology systems have been subjected to computer viruses, or other 
malicious codes, and cyber or phishing attacks. Although past attacks did not have a significant adverse impact on our business, 
these types of attacks could result in our intellectual property and other confidential information being lost or stolen, disruption 
of our operations, or other negative consequences, such as increased costs for security measures or remediation costs, diversion 
of management attention and adverse impact on our relationships with vendors and customers. Such attacks could also impact our 
customers' networks. Cyber attacks are becoming more sophisticated and frequent and the techniques used in such attacks change 
rapidly. While we have made investments seeking to address these threats, including monitoring of networks and systems, hiring 
of experts, employee training and security policies for employees and third-party providers, the techniques used in these attacks 
change frequently and may be difficult to detect for periods of time and we may face difficulties in anticipating and implementing 

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    16

 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

adequate preventative measures. If our IT systems are damaged or cease to function properly, the networks or service providers 
we rely upon fail to function properly, or we or one of our third-party providers suffer a loss or disclosure of our business or 
stakeholder information due to any number of causes ranging from catastrophic events or power outages to improper data handling 
or security breaches and our business continuity plans do not effectively address these failures on a timely basis, we may be 
exposed to reputational, competitive and business harm as well as litigation and regulatory action. There can be no assurances 
that our protective measures will prevent future attacks that could have a significant impact on our business. 

If we are unable to retain key personnel, our business could be adversely affected. Our success is dependent to a significant 
degree upon the efforts of key members of our management. Although none of our key executives has an employment agreement 
with the Company, each executive, including division CEOs, is party to a severance agreement with the Company. In addition, 
we have short and long term incentive plans for our key executives that are designed in part to have a retentive effect on the 
executives. However, there can be no assurance that the terms of the severance agreements or incentive plans will have such an 
effect. We believe the loss or unavailability of any such individuals could have a material adverse effect on our business. In addition, 
our success depends in large part on our ability to attract and retain highly qualified scientific, technical, sales, marketing and 
other personnel. Competition for such personnel is intense and there can be no assurance that we will be able to attract and retain 
the personnel necessary for the development and operation of our businesses.

Some of our facilities are located near coastal zones, and the occurrence of a hurricane or other natural disasters could damage 
our facilities and equipment, which could harm our operations. Some of our facilities are vulnerable to damage from hurricanes 
and from other types of disasters, including fire, floods, power loss, communications failures, terrorism and similar events since 
any insurance we may maintain may not be adequate to cover our losses. If any disaster were to occur, our ability to operate our 
business at our facilities could be seriously, or potentially completely, impaired.

Item 1B.  Unresolved Staff Comments.

None.

Item 2.  Properties.

Our corporate headquarters are located at 150 Clove Road, Little Falls, NJ. Listed below are our manufacturing facilities 
and the principal warehouses, distribution centers, research facilities and administrative offices that we own or lease. In addition, 
we maintain administrative and sales offices and warehousing and distribution centers in other locations domestically and globally. 
We believe that our properties are suitable and adequate for the manufacture and distribution of our products.

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    17

 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

Location

Plymouth, MN

Plymouth, MN

Pomezia, Italy

Owned/
Leased

Owned

Owned

Owned

Purpose

Executive, administrative, sales and marketing
and research staff

Executive, administrative and sales staff,
research, manufacturing and warehousing

Square 
Footage

159,000

110,000

Segment

Endoscopy, Dialysis, Water
Purification and Filtration

Endoscopy, Dialysis, Water
Purification and Filtration

Manufacturing, warehousing and administrative
offices

108,000 Endoscopy

Plymouth, MN

Owned

Manufacturing, warehousing and vacant land

65,000

Endoscopy, Dialysis, Water
Purification and Filtration

Hauppauge, NY

Conroe, TX

Owned

Owned

Executive, administrative and sales staff,
manufacturing and warehousing

65,000

Healthcare Disposables

Manufacturing, warehousing and administrative,
sales and other staff

60,000

Endoscopy

Hauppauge, NY

Leased

Warehousing

52,000

Healthcare Disposables

Sharon, PA

Southend-on-Sea,
England

Pomezia, Italy

Leased

Manufacturing and warehousing

50,000

Healthcare Disposables

Owned

Owned

Manufacturing, warehousing and administrative
offices

Manufacturing, warehousing and administrative
offices

49,500

Endoscopy

48,000

Endoscopy

Plymouth, MN

Leased

Warehousing

44,000 Water Purification and Filtration

Plymouth, MN

Owned

Manufacturing, warehousing, administrative and
sales staff

43,000 Water Purification and Filtration

Lawrenceville, GA

Leased

Manufacturing and warehousing

41,000

Healthcare Disposables

Rush, NY

Phoenix, AZ

Owned

Leased

Gersthofen, Germany

Leased

Manufacturing, warehousing and administrative,
sales and other staff

38,000

Healthcare Disposables

Manufacturing, administrative offices and
warehousing

Manufacturing, administrative offices and
warehousing

37,000

Healthcare Disposables

35,000

Endoscopy

Santa Fe Springs, CA

Leased

Manufacturing and warehousing

32,000

Healthcare Disposables

Heerlen, the Netherlands

Leased

Sales and service offices, warehouse and
distribution hub

26,000

All segments

Lowell, MA

Skippack, PA

Leased

Leased

Sales and administrative offices, manufacturing,
warehousing and regeneration plant

Sales and administrative offices, manufacturing,
warehousing and regeneration plant

26,000 Water Purification and Filtration

23,000 Water Purification and Filtration

Burlington, Ontario

Leased

Cuba, NY

Conroe, TX

Ridgeland, MS

Leased

Leased

Leased

Markham, Ontario

Leased

Sales and administrative offices, research and
engineering, manufacturing and warehousing

Administrative offices, manufacturing,
warehousing and laboratory

Executive, sales and finance offices, research
and development, training

Warehousing, administrative offices and
regeneration plan

Administrative offices, manufacturing, and
warehousing

22,000 Water Purification and Filtration

19,000

Healthcare Disposables

18,000

Endoscopy

16,000 Water Purification and Filtration

16,000 Water Purification and Filtration

Mebane, NC

Leased

Administrative offices and warehousing

16,000 Water Purification and Filtration

Buena Park, CA

Owned

Warehousing and regeneration plan

14,000 Water Purification and Filtration

Conroe, TX

Owned

Manufacturing and vacant land

12,000

Endoscopy

18

 
 
 
 
 
 
 
Cantel Medical Corp.  

Item 3.  Legal Proceedings.

 2018 Annual Report on Form 10-K

In the normal course of business, we are subject to pending and threatened legal actions. It is our policy to accrue for 
amounts related to these legal matters if it is probable that a liability has been incurred and an amount of anticipated exposure can 
be reasonably estimated. We do not believe that any of these pending claims or legal actions will have a material adverse effect 
on our business, financial condition, results of operations or cash flows.

Item 4.  Mine Safety Disclosures.

Not applicable.

PART II

Item 5.  Market for Registrant's Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities.

Our common stock trades on the New York Stock Exchange ("NYSE") under the symbol “CMD.”  The following table 

sets forth, for the periods indicated, the high and low sales prices for the common stock as reported by the NYSE.

Fiscal Year Ended July 31, 2018
First Quarter

Second Quarter
Third Quarter

Fourth Quarter
Fiscal Year Ended July 31, 2017

First Quarter

Second Quarter

Third Quarter
Fourth Quarter

HIGH

LOW

$

99.27

$

115.82
121.26

129.78

$

81.39

$

85.85

85.31
81.02

73.30

96.32
103.06

91.26

68.19

69.37

71.41
70.19

On August 31, 2018, we had 363 record holders of common stock. A number of such holders of record are brokers and 

other institutions holding shares of common stock in “street name” for more than one beneficial owner.

The following table represents information with respect to purchases of common stock made by the Company during the 

fourth quarter of fiscal 2018:

May 1 - May 31
June 1 - June 30

July 1 - July 31

Period

Total number of
shares purchased

Average price
paid per share

2,197 (1) $
3,888 (1) $
858 (1) $
6,943 (1) $

124.47

128.69

97.56

123.51

Total number of shares
purchased as part of
publicly announced
plans or programs

Maximum number of
shares that may yet be
under the plan or
programs

—

—

—

—

—

—

—

—

_______________________________________________

(1)  The Company does not currently have a share repurchase program. All of the shares purchased during the fourth quarter of fiscal 2018 

represent shares surrendered to the Company to pay employee withholding taxes due upon the vesting of restricted stock.

Dividends

During fiscal 2018, we paid semi-annual cash dividends of $0.085 per share that totaled $0.17 per outstanding share of 
common  stock,  that  was  paid  on  each  of  January 31,  2018  and  July 31,  2018. During  fiscal  2017,  we  paid  semi-annual  cash 
dividends totaling $0.14 per outstanding share of common stock, of which $0.07 per share was paid on each of January 27, 2017 
and July 27, 2017. Future declaration of dividends and the establishment of future record and payment dates are subject to the 
final determination of our Board of Directors. However, it is our current expectation that semi-annual cash dividends of at least 
$0.085 per common share will continue to be paid in the foreseeable future. 

19

 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
Cantel Medical Corp.  

Stock Performance Graph

 2018 Annual Report on Form 10-K

The following graph compares the cumulative total stockholder return on our common stock for the last five fiscal years 
with the cumulative total returns of the Russell 2000 index and the Dow Jones U.S. Health Care Equipment & Services index over 
the same period (assuming an investment of $100 in our common stock and in each of the indexes on July 31, 2013, and where 
applicable, the reinvestment of all dividends).

Comparison of 5 Year Cumulative Total Return
Among Cantel Medical Corp. Common Stock, the Russell 2000 Index
and the Dow Jones U.S. Health Care Equipment & Services Index

Cantel Medical Corp.(1)
Russell 2000 Index
Dow Jones U.S. Health Care Equipment & Services Index

________________________________________________

July 31,

2013
$ 100.00
$ 100.00
$ 100.00

2014
$ 126.66
$ 108.56
$ 118.42

2015
$ 207.75
$ 121.62
$ 155.16

2016
$ 253.92
$ 121.62
$ 164.17

2017
$ 281.94
$ 144.06
$ 189.85

2018
$ 352.85
$ 171.05
$ 237.50

(1)  $100 invested on July 31, 2013 in Cantel Medical Corp.'s common stock or index, including reinvestment of dividends. Indexes are calculated 

on month-end basis.

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    20

 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

Item 6.  Selected Consolidated Financial Data.

Consolidated Statements of Income Data
Net sales
Cost of Sales
Gross profit

Income from operations

Interest expense, net
Other income

Loss on sale of business
Income before income taxes

Income taxes
Net income
Earnings per share data:

$

$

2018
871,922
457,951
413,971

2017
770,157
402,997
367,160

$

July 31,

2016
664,755
355,569
309,186

121,664

5,289
(1,138)
—
117,513

110,410

4,303
(126)
—
106,233

26,472
91,041

$

34,855
71,378

$

$

97,251

3,320
—

—
93,931

33,978
59,953

2015
565,004
311,537
253,467

80,761

2,364
—

2,206
76,191

28,238
47,953

$

$

2014
488,749
275,450
213,299

70,928

2,317
—

—
68,611

25,346
43,265

$

$

Weighted average basic shares outstanding

41,567,722

41,468,487

41,344,013

41,139,467

40,751,629

Weighted average diluted shares outstanding

41,635,078

41,542,765

41,390,194

41,202,600

40,911,314

Basic earnings per common share

Diluted earnings per common share

Dividends per common share

$

$

$

2.18

2.18

0.17

$

$

$

1.71

1.71

0.14

$

$

$

1.44

1.44

0.12

$

$

$

1.16

1.15

0.10

$

$

$

1.05

1.04

0.09

Other Financial Data

Net cash provided by operating activities

$

125,912

108,193

$

80,268

$

59,070

$

Capital expenditures

Acquisition of businesses, net of cash acquired

Depreciation
Amortization

37,698

87,488

17,473
17,357

27,065

70,044

15,045
18,407

18,889

94,528

11,989
13,095

12,760

43,567

10,692
13,265

64,272

13,541

33,547

8,245
10,641

Consolidated Balance Sheets Data

Cash and cash equivalents

$

94,097

$

36,584

$

28,367

$

31,720

$

31,781

Total assets

Working capital
Long-term debt
Stockholders' equity

963,708

203,460
187,302
608,867

786,373

150,592
126,000
523,932

694,532

126,407
116,000
454,370

584,031

117,737
78,500
406,633

536,145

97,410
80,500
365,246

Item 7.  Management's Discussion and Analysis of Financial Condition and Results of Operations.

The following Management’s Discussion and Analysis of Financial Condition and Results of Operations (“MD&A”) is 
intended to help you understand Cantel and its subsidiaries. The MD&A is provided as a supplement to and should be read in 
conjunction with the consolidated financial statements and the accompanying notes included elsewhere in this report. 

Overview

Cantel is a leading provider of infection prevention and control products and services in the healthcare market, specializing 
in the following reportable segments: Endoscopy, Water Purification and Filtration, Healthcare Disposables and Dialysis. Most 
of our equipment, consumables and supplies are used to help prevent the occurrence or spread of infections. We operate our four 
operating segments through wholly-owned subsidiaries in the United States and internationally.

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    21

 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

Fiscal 2018 Highlights

 2018 Annual Report on Form 10-K

Some of our key financial results for fiscal 2018 compared with fiscal 2017 were as follows: 

•  Net sales increased by 13.2% to $871,922 from $770,157, with organic sales growth of 8.4%,

•  Net income increased by 27.5% to $91,041 from $71,378,

•  Non-GAAP net income increased by 20.3% to $104,346 from $86,740,

•  Diluted EPS increased by 27.6% to $2.18 from $1.71,

•  Non-GAAP diluted EPS increased by 20.6% to $2.51 from $2.08, and

•  Adjusted EBITDAS increased by 10.8% to $178,270 from $160,942.

See Non-GAAP Financial Measures below.

U.S. Tax Reform

On December 22, 2017, the U.S. government enacted wide-ranging tax legislation, the Tax Cuts and Jobs Act (the “2017 
Tax Act”). The 2017 Tax Act, among other provisions, lowered the applicable U.S. federal statutory income tax rate from 35% to 
21% and implemented the imposition of a one-time transition tax on previously deferred foreign earnings. All of the undistributed 
earnings of our foreign subsidiaries are deemed repatriated and considered previously taxed income (“PTI”.)  We continue to be 
indefinitely reinvested and continue to evaluate our assertion of certain legal entities. Accounting Standards Codification (“ASC”) 
740 requires the effects of changes in tax laws to be recognized in the period in which the legislation is enacted, including the 
revaluation of deferred income tax assets and liabilities. During fiscal 2018 we recorded a favorable benefit of $8,657 related to 
a revaluation of our deferred tax assets and liabilities as a result of the 2017 Tax Act. See Non-GAAP Financial Measures below.

Legal Matter

In May 2017, Cantel Medical (UK) Limited and Cantel (UK) Limited filed a lawsuit in the UK High Court of Justice 
against ARC  Medical  Design  Limited  (“ARC”)  seeking  a  judgment  of  invalidity  on  two  of ARC’s  patents  and  additionally/
alternatively a declaration of non-infringement of our AmplifEYETM Endoscopic device. ARC filed counterclaims alleging that 
the AmplifEYETM device infringed the two patents as well as registered community design marks and unregistered design rights 
that ARC had in its EndocuffTM and Endocuff VisionTM devices. In February 2018, the trial judge entered a judgment in favor of 
ARC, and we decided not to appeal the decision. We entered into a settlement agreement with ARC in March 2018 under which 
we agreed not to make, use, sell or offer to sell the AmplifEYETM device in the European Union until ARC’s rights expire, and 
reimbursed ARC for a portion of their legal costs. During fiscal 2018, we recorded $2,608 of litigation costs associated with this 
matter. 

Cybersecurity

We have established an enterprise risk management committee to monitor and escalate enterprise level issues, including 
cybersecurity matters, to the appropriate management levels within our organization and to members of our Board of Directors 
as appropriate. Utilizing an escalation framework, our enterprise risk management committee and internal auditor are charged 
with reviewing cybersecurity risks and incidents for potential financial, operational, and reputational risks. Matters determined to 
present potential material impacts to our financial results, operations or reputation are reported by management to the chair of our 
Audit Committee. In addition, the enterprise risk committee is charged with ensuring that management responsible for overseeing 
the  effectiveness  of  disclosure  controls  is  informed  in  a  timely  manner  of  known  cybersecurity  risks  and  incidents  that  may 
materially impact our operations so that timely public disclosure can be made as appropriate. 

Our directors and executive officers are subject to our Securities Trading Policy, which is designed to facilitate compliance 
with insider trading laws and governs transactions in our common stock and related derivative securities. Our Stock Trading Policy 
designates certain blackout periods, dictated by our financial quarters and the release of financial results, during which trading is 
restricted for individuals in information-sensitive positions, including directors and executive officers. Our Stock Trading Policy 
also expressly restricts trading at any time while in possession of material non-public information, and permits designated officers 
to impose additional blackout periods. Cybersecurity risks are one of several matters that may be deemed material information 
under our Stock Trading Policy, and therefore form the basis of restricting participation in the market outside of a blackout period, 
or for designating a blackout period. 

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    22

 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

Acquisitions

Post-Fiscal 2018

 2018 Annual Report on Form 10-K

On August 1, 2018, we acquired certain net assets of Stericycle Inc. related to its controlled environmental solutions 
business (“CES business”) for total cash consideration, excluding acquisition-related costs, of $17,000. The CES business is a 
leading provider of testing and certification, environmental monitoring and decontamination services for clean rooms and other 
controlled environments to ensure safety, regulatory compliance and quality control, and will be included in our Water Purification 
and Filtration segment.

Fiscal 2018

On  March  21,  2018,  we  purchased  all  of  the  issued  and  outstanding  stock  of Aexis  Medical  for  total  consideration, 
excluding acquisition-related costs, of $21,600, consisting of $20,308 of cash consideration (net of cash acquired), plus contingent 
consideration ranging from zero to a maximum of $1,850, which is payable upon the achievement of certain purchase order targets 
through March 21, 2020. Aexis Medical specializes in advanced software solutions focused on the tracking and monitoring of 
instrument reprocessing for hospitals and healthcare professionals, and is included in our Endoscopy segment.

On August 23, 2017, we purchased all of the issued and outstanding stock of BHT Hygienetechnik Holding GmbH (“BHT 
Group”), a leader in the German market in automated endoscope reprocessing and related equipment and services, for total cash 
consideration, excluding acquisition related costs, of $60,216. The BHT Group consists of a portfolio of high-quality automatic 
endoscope reprocessors, advanced endoscope storage and drying cabinets (products globally distributed by our Company prior to 
the acquisition under an agreement with BHT Group), washer-disinfectors for central sterile applications, associated technical 
service and parts as well as flexible endoscope repair services. BHT Group is included in our Endoscopy segment.

See Note 3 to our consolidated financial statements in Part II, Item 8 of this report.

Results of Operations

The following table gives information as to the percentages of net sales represented by selected items reflected in our 

consolidated statements of income.

Statement of income data

2018

2017

2016

Year Ended July 31

Net sales

Cost of sales

Gross profit

$ 871,922

100.0 % $ 770,157

100.0 % $ 664,755

100.0%

457,951

413,971

52.5 %

47.5 %

402,997

367,160

52.3 %

47.7 %

355,569

309,186

53.5%

46.5%

13.6 %

12.7 %

Percentage Change

2018 / 2017
13.2 %

2017 / 2016
15.9%

Selling

General and administrative
Research and development

Total operating expenses

129,642

138,019
24,646
292,307

14.9 %

15.8 %
2.8 %
33.5 %

116,113

122,270
18,367
256,750

15.1 %

15.9 %
2.4 %
33.4 %

99,062

97,463
15,410
211,935

14.9%

14.7%
2.3%
31.9%

11.7 %

12.9 %
34.2 %
13.8 %

Income from operations

121,664

14.0 %

110,410

14.3 %

97,251

14.6%

10.2 %

13.5%

Interest expense, net
Other income

Income before income taxes

Income taxes

Net income

5,289
(1,138)
117,513
26,472

0.6 %
(0.1)%
13.5 %
3.1 %

4,303
(126)
106,233
34,855

0.5 %
— %
13.8 %
4.5 %

3,320
—
93,931
33,978

0.5%
—%
14.1%

22.9 %
— %
10.6 %
5.1% (24.1)%

$

91,041

10.4 % $

71,378

9.3 % $

59,953

9.0%

27.5 %

29.6%
—%
13.1%
2.6%

19.1%

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    23

13.3%

18.8%

17.2%

25.5%
19.2%
21.1%

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

The following table gives information as to the net sales by reporting segment and geography, as well as the related 

percentage of such sales to the total net sales.

Net sales by segment

Endoscopy

Water Purification and Filtration
Healthcare Disposables

Dialysis
Total net sales
Net sales by geography

United States
International

Total net sales

Year Ended July 31,

2018

2017

2016

$ 473,937

54.4% $ 398,773

51.8% $ 341,752

211,209
155,180

24.2% 196,446
17.8% 144,457

25.5% 177,669
18.7% 112,584

51.4%

26.7%
17.0%

31,596
$ 871,922

3.6%

30,481
100.0% $ 770,157

4.0%

32,750
100.0% $ 664,755

4.9%
100.0%

$ 643,744
228,178
$ 871,922

73.9% $ 599,657
26.1% 170,500
100.0% $ 770,157

77.9% $ 515,055
22.1% 149,700
100.0% $ 664,755

77.4%
22.6%
100.0%

The following table gives information as to the amount of income from operations, as well as income from operations 

as a percentage of net sales, for each of our reporting segments.

Income from operations

Endoscopy
Water Purification and Filtration
Healthcare Disposables
Dialysis

Operating income by segment

General corporate expenses

Income from operations

Fiscal 2018 compared with Fiscal 2017

Net Sales

Year Ended July 31,

2018

2017

2016

$ 86,833
35,100
31,707
7,380

18.3% $ 73,440
33,159
16.6%
28,000
20.4%
8,154
23.4%

18.4% $ 61,021
30,620
16.9%
24,486
19.4%
7,907
26.8%

161,020

18.5% 142,753

18.5% 124,034

39,356

4.5%

32,343

4.2%

26,783

17.9%
17.2%
21.7%
24.1%

18.6%

4.0%

$ 121,664

14.0% $ 110,410

14.3% $ 97,251

14.6%

Total net sales increased by $101,765, or 13.2%, to $871,922 for fiscal 2018 from $770,157 for fiscal 2017. The 13.2%
increase in net sales includes an increase of 8.4% in organic sales, an increase of 4.0% in net sales due to acquisitions and an 
increase of 0.8% due to foreign currency translation. International net sales increased by $57,678, or 33.8%, to $228,178 for fiscal 
2018 from $170,500 for fiscal 2017. The 33.8% increase in international net sales consists of a 17.2% increase due to acquisitions, 
12.7% organic sales growth and an increase of 3.9% due to foreign currency translation. 

Endoscopy. Net sales increased by $75,164, or 18.8%, for fiscal 2018 compared with fiscal 2017, which consisted of 
10.0% organic sales growth, a 7.4% increase due to acquisitions and an increase of 1.4% due to foreign currency translation. The 
increase in organic net sales was primarily due to volume increases in the United States and internationally for endoscopy procedure 
products, including storage cabinets and mobile medical carts, disinfectants and service due to the increased installed base of our 
endoscope reprocessing equipment.

Water Purification and Filtration. Net sales of water purification and filtration products and services increased by $14,763, 
or 7.5%, for fiscal 2018 compared with fiscal 2017. The increase was primarily due to increased demand for our water purification 
equipment and increased sales of our chemistries products. Foreign currency translation increased net sales by 0.3% for fiscal 
2018.

Healthcare Disposables. Net sales of healthcare disposables products increased by $10,723, or 7.4%, for fiscal 2018
compared with fiscal 2017. The increase was primarily driven by our higher margin products such as sterility assurance and 
waterline disinfection products, as well as our branded products, and to a lesser extent, improved pricing.

Dialysis.  Net sales of dialysis products and services increased by $1,115 or 3.7%, for fiscal 2018 compared with fiscal 

2017. The increase was primarily due to the increase in sales volume for our domestic concentrate. 

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    24

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

Gross Profit

 2018 Annual Report on Form 10-K

Gross profit increased by $46,811, or 12.7%, to $413,971 for fiscal 2018 from $367,160 for fiscal 2017. Gross profit as 
a percentage of net sales for fiscal 2018 and 2017 was 47.5% and 47.7%, respectively. Excluding the impact of acquisition-related 
and restructuring-related items, gross profit as a percentage of net sales for fiscal 2018 and 2017 was 47.8% and 47.7%, respectively.

The decrease in gross profit as a percentages of net sales for fiscal 2018 was primarily due to the reclassification of certain 
salary and benefit related costs that had previously been recorded in operating expenses into cost of sales and the dilutive effect 
of the BHT acquisition, partially offset by increased productivity and operational efficiencies. The reclassification negatively 
impacted gross profit as a percentage of net sales by approximately 0.7% for fiscal 2018.

Operating Expenses

  Operating expenses as a percentage of net sales for fiscal 2018 and 2017 were 33.5% and 33.4%, respectively. As stated 
above, there was a reclassification of certain salary and benefit related costs that had previously been recorded in operating expenses 
into cost of sales, which positively impacted operating expenses as a percentage of net sales by approximately 0.7% for fiscal 
2018.

Selling expenses increased by $13,529, or 11.7%, to $129,642 for fiscal 2018 from $116,113 for fiscal 2017. The increase 
was due to higher sales incentive compensation-related costs primarily in our Endoscopy segment, additional sales and marketing 
initiatives to expand into new markets (including international markets) and the inclusion of selling and marketing expenses of 
our recent acquisitions. Selling expenses as a percentage of net sales were 14.9% and 15.1% for fiscal 2018 and 2017, respectively.

General and administrative expenses increased by $15,749, or 12.9%, to $138,019 for fiscal 2018 from $122,270 for 
fiscal 2017. The increase was primarily due to incremental internal and external resources to support various growth initiatives 
and compliance requirements and higher acquisition-related items such as transaction and integration-related costs. General and 
administrative expenses were also negatively impacted by the fiscal 2018 settlement of a patent infringement matter. These cost 
increases were partially offset by a decrease in costs associated with the fiscal 2016 retirement of our former Chief Executive 
Officer.  General  and  administrative  expenses  as  a  percentage  of  net  sales  were  15.8%  and  15.9%  for  fiscal  2018  and  2017, 
respectively.

 Research and development expenses (which include continuing engineering costs) increased by $6,279, or 34.2%, to 
$24,646 for fiscal 2018 from $18,367 for fiscal 2017. The increase was primarily due to additional product development initiatives 
primarily in our Endoscopy segment. Research and development expenses as a percentage of net sales were 2.8% and 2.4% for 
fiscal 2018 and 2017, respectively.

Operating Income

Endoscopy. The Endoscopy segment’s operating income increased by $13,393, or 18.2%, for fiscal 2018 compared with 
fiscal 2017. The increase was primarily due to increased sales volume in the United States and internationally for our endoscopy 
products and services, as further explained above. This was partially offset by increases in acquisition-related and restructuring-
related costs, litigation matters, sales commission expense and other compensation-related costs due to increased headcount. The 
settlement of a patent infringement matter affected operating income as a percentage of sales by approximately 0.5% for fiscal 
2018.  

Water Purification and Filtration. The Water Purification and Filtration segment’s operating income increased by $1,941, 
or 5.9%, for fiscal 2018 compared with fiscal 2017. The increase was primarily due to higher sales, partially offset by compensation-
related costs, research and development costs and higher sales commission expense.

Healthcare Disposables. The Healthcare Disposables segment’s operating income increased by $3,707, or 13.2%, for 
fiscal 2018 compared with fiscal 2017. The increase was due to higher sales (primarily acquisition-related) and improved gross 
margins resulting from increased productivity and favorable mix, mostly offset by inventory adjustments, increased compensation-
related costs and increased research and development.

Dialysis. The Dialysis segment’s operating income decreased by $774, or 9.5%, for fiscal 2018 compared with fiscal 

2017. The decrease was primarily due to the shift to lower margin products, partially offset by higher net sales. 

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    25

 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

General Corporate Expenses

 2018 Annual Report on Form 10-K

General corporate expenses relate to unallocated corporate costs primarily related to executive management personnel 
as well as costs associated with certain facets of our acquisition program and being a publicly traded company. Such expenses 
increased by $7,013, or 21.7%, for fiscal 2018 from fiscal 2017. These increases were primarily due to the addition of internal 
and external resources to address our continued growth initiatives, compliance requirements and various restructuring-related 
activities. This was partially offset by a decrease in costs associated with the fiscal 2016 retirement of our former Chief Executive 
Officer.

Interest Expense, Net

Interest expense, net increased by $986, or 22.9%, to $5,289 for fiscal 2018 from $4,303 for fiscal 2017. The increase 

resulted from an increase in the average outstanding borrowings due to the funding of acquisitions.

Other Income

Other income of $1,138 for fiscal 2018 represents the favorable resolution of the contingent liability associated with a 

previous acquisition. 

Income Taxes

The consolidated effective tax rate decreased to 22.5% for fiscal 2018 from 32.8% for fiscal 2017. The decrease was 
attributed to the recording of the discrete net tax benefits associated with the $8,657 impact of the revaluation of our U.S. net 
deferred tax liabilities as a result of the 2017 Tax Act, which includes an adjustment to prior reported excess tax benefits as a result 
of the change in the U.S. federal statutory rate applicable to stock compensation. The decrease was partially offset by the recording 
of a $2,785 valuation allowance on deferred tax assets related to a previous acquisition. 

As a result of the 2017 Tax Act, we revised our annual effective rate to reflect the change in the U.S. federal statutory 
rate by computing a tentative tax under both rates, and then prorating the tentative tax based on the number of days with and 
without the rate change to arrive at a blended tax rate of 26.9%. This blended rate was applied for fiscal 2018, and the new U.S. 
federal statutory rate of 21% will apply to fiscal 2019 and beyond.

Fiscal 2017 compared with Fiscal 2016

Net Sales

Total net sales increased by $105,402, or 15.9%, to $770,157 for fiscal 2017 from $664,755 for fiscal 2016. The 15.9% 
increase in net sales includes an increase of 11.0% in organic sales, an increase of 5.9% in sales due to acquisitions, partially offset 
by a decrease of 1.0% due to foreign currency translation. International net sales increased by $20,800, or 13.9%, to $170,500 for 
fiscal 2017 from $149,700 for fiscal 2016. The 13.9% increase in net sales consists of an increase of 9.2% in organic sales and an 
increase of 8.9% in net sales due to acquisitions, partially offset by a decrease of 4.2% due to foreign currency translation. 

Endoscopy. Net sales of endoscopy products and services increased by $57,021, or 16.7%, for fiscal 2017 compared with 
fiscal 2016. The 16.7% increase in net sales consists of an increase of 15.0% in organic net sales and an increase of 3.5% in net 
sales due to acquisitions, partially offset by a decrease of 1.8% due to foreign currency translation. The increase in organic net 
sales was primarily due to volume increases in the United States and internationally for endoscopy procedure products, storage 
cabinets and mobile medical carts, and disinfectants and service due to the increased installed base of our endoscope reprocessing 
equipment. We expect net sales of disinfectants, service, filters and equipment accessories, most of which carry higher margins, 
to continue to benefit as the installed base of endoscope reprocessing equipment increases. 

Water Purification and Filtration. Net sales of water purification and filtration products and services increased by $18,777, 
or 10.6%, for fiscal 2017 compared with fiscal 2016. The 10.6% increase in net sales was primarily due to an increase in demand 
for our water purification equipment. 

Healthcare Disposables. Net sales of healthcare disposables products increased by $31,873, or 28.3%, for fiscal 2017 
compared with fiscal 2016. The 28.3% increase in net sales consists of an increase of 23.9% in net sales due to acquisitions and 
an increase of 4.4% in organic net sales. The increase in organic net sales was driven by our higher margin products such as sterility 
assurance and waterline disinfection products, as well as our branded products.

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    26

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

Dialysis. Net sales of dialysis products and services decreased by $2,269, or 6.9%, for fiscal 2017 compared with fiscal 
2016, principally due to the decrease in demand for our sterilant product and reprocessing equipment, both internationally and in 
the United States, due to the continued market shift from reusable to single-use dialyzers.

Gross Profit

Gross profit increased by $57,974, or 18.8%, to $367,160 for fiscal 2017 from $309,186 for fiscal 2016. Gross profit as 
a percentage of net sales for fiscal 2017 and 2016 was 47.7% and 46.5%, respectively. Excluding the impact of acquisition-related 
items, gross profit as a percentage of net sales for fiscal 2017 and 2016 was 47.7% and 46.6%, respectively.

The increase in gross profit as a percentages of net sales for fiscal 2017 was primarily attributable to favorable sales mix 
due to increases in sales volume of certain higher margin products, such as our endoscopy procedure products and disinfectants 
in our Endoscopy segment and sterility assurance and waterline disinfection products in our Healthcare Disposables segment, 
lower manufacturing costs primarily due to cost control initiatives, increased plant productivity due to increased sales volume and 
the favorable impact of the suspension of the U.S. medical device excise tax, partially offset by an increase in net sales of lower 
margin capital equipment primarily in our Water Purification and Filtration segment and increased warranty charges primarily 
relating to our water purification equipment.

In December 2015, the Consolidated Appropriations Act of 2016 was signed into law and included a two-year moratorium 
effective January 1, 2016 on the medical device excise tax, which was a tax on medical device manufacturers in the form of a 
2.3% excise tax on all U.S. medical device sales. A significant portion of our net sales are considered U.S. medical device sales 
and therefore our gross profit percentage will continue to be favorably impacted until the two-year moratorium expires. However, 
we are investing a significant portion of the savings from this moratorium into sales and marketing, product development and 
human resources initiatives.

Operating Expenses

Selling expenses increased by $17,051, or 17.2%, to $116,113 for fiscal 2017 from $99,062 for fiscal 2016. Selling 
expenses increased primarily due to higher commission expense relating to increased net sales in our Endoscopy segment, increased 
sales and marketing initiatives to expand into new markets, including international markets, and to gain or maintain market share 
by hiring and training additional sales and marketing personnel, the inclusion of selling and marketing expenses of acquisitions, 
and an increase in salary and incentive compensation costs. Selling expenses as a percentage of net sales were 15.1% and 14.9% 
for fiscal 2017 and 2016, respectively.

General and administrative expenses increased by $24,807, or 25.5%, to $122,270 for fiscal 2017 from $97,463 for fiscal 
2016. General and administrative expenses increased primarily due to increases in compensation related costs, including stock-
based  compensation,  the  addition  of  internal  and  external  resources  to  address  various  growth  initiatives  and  compliance 
requirements, an increase in amortization expense related to recent acquisitions and various restructuring-related activities. This 
was partially offset by lower acquisition related items such as transaction and integration-related charges and fair value adjustments. 
General and administrative expenses as a percentage of net sales were 15.9% and 14.7% for fiscal 2017 and 2016, respectively.

 Research and development expenses (which include continuing engineering costs) increased by $2,957, or 19.2%, to 
$18,367 for fiscal 2017 from $15,410 for fiscal 2016. The increase was primarily due to additional product development initiatives 
primarily in our Endoscopy segment, including projects relating to recent acquisitions. Research and development expenses as a 
percentage of net sales were 2.4% and 2.3% for fiscal 2017 and 2016, respectively.

Operating Income

Endoscopy. The Endoscopy segment’s operating income increased by $12,419, or 20.4%, for fiscal 2017 compared with 
fiscal 2016, primarily due to favorable product mix and increased sales volume in the United States and internationally for our 
endoscopy products and services, as further explained above and the impact of our recent acquisitions, partially offset by increased 
compensation-related costs and investments in our sales team and other selling initiatives. 

Water Purification and Filtration. The Water Purification and Filtration segment’s operating income increased by $2,539, 
or 8.3%, for fiscal 2017 compared with fiscal 2016, primarily as a result of higher sales, partially offset by increased compensation-
related costs, higher commission expenses, and lower margins due to increased bad debt and warranty expenses. 

Healthcare Disposables. The Healthcare Disposables segment’s operating income increased by $3,514, or 14.4%, for 
fiscal 2017 compared with fiscal 2016, primarily due to the sales impact of our recent acquisition and favorable product mix of 

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    27

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

both core and acquired products. This was partially offset by increased salary and incentive compensation costs, the hiring of 
additional sales personnel and commission expense associated with our recent acquisition. 

Dialysis. The Dialysis segment’s operating income increased by $247, or 3.1%, for fiscal 2017 compared with fiscal 

2016, primarily due to cost control initiatives, partially offset by lower net sales, as further explained above. 

General Corporate Expenses

General corporate expenses relate to unallocated corporate costs primarily related to executive management personnel 
as well as costs associated with certain facets of our acquisition program and being a publicly traded company. Such expenses 
increased by $5,560, or 20.8% for fiscal 2017 compared with fiscal 2016, primarily due to various restructuring-related and business 
optimization  activities,  the  addition  of  internal  and  external  resources  to  address  various  growth  initiatives  and  compliance 
requirements  and  increases  in  compensation-related  costs,  including  stock-based  compensation  expense,  partially  offset  by  a 
decrease in costs associated with the retirement of our former Chief Executive Officer in fiscal 2016.

Interest expense. net

Interest expense, net increased by $983 to $4,303 for fiscal 2017 from $3,320 for fiscal 2016, as a result of an increase 

in the average outstanding borrowings due to the funding of acquisitions. 

Income Taxes

The consolidated effective tax rate decreased to 32.8% for fiscal 2017 from 36.2% for fiscal 2016, due to the favorable 
impact recording the excess tax benefits relating to stock awards as a result of the adoption of ASU 2016-09 on August 1, 2016 
and the favorable impact in the current year from the retroactive application for the research and experimentation tax credit for 
fiscal 2016, 2015, and 2014 in Minnesota where our principal research and development activities occur. Additionally, the fiscal 
2017 consolidated effective tax rate was negatively impacted by increased state tax expense due to expanded presence within 
various U.S. tax jurisdictions.

Non-GAAP Financial Measures

In evaluating our operating performance, we supplement the reporting of our financial information determined under 
generally accepted accounting principles in the United States (“GAAP”) with certain non-GAAP financial measures including (i) 
non-GAAP  net  income,  (ii)  non-GAAP  earnings  per  diluted  share  (“EPS”),  (iii)  earnings  before  interest,  taxes,  depreciation, 
amortization, loss on disposal of fixed assets, and stock-based compensation expense (“EBITDAS”), (iv) adjusted EBITDAS, (v) 
net debt and (vi) organic sales. These non-GAAP financial measures are indicators of our performance that are not required by, 
or presented in accordance with, GAAP. They are presented with the intent of providing greater transparency to financial information 
used by us in our financial analysis and operational decision-making. We believe that these non-GAAP measures provide meaningful 
information to assist investors, stockholders and other readers of our consolidated financial statements in making comparisons to 
our historical operating results and analyzing the underlying performance of our results of operations. These non-GAAP financial 
measures are not intended to be, and should not be, considered separately from, or as an alternative to, the most directly comparable 
GAAP financial measures.

To measure earnings performance on a consistent and comparable basis, we exclude certain items that affect comparability 
of operating results and the trend of earnings. These adjustments are irregular in timing, may not be indicative of our past and 
future performance and are therefore excluded to allow investors to better understand underlying operating trends. The following 
are examples of the types of adjustments that are excluded: (i) amortization of purchased intangible assets, (ii) acquisition-related 
items, (iii) business optimization and restructuring-related charges, (iv) certain significant and discrete tax matters and (v) other 
significant items management deems irregular or non-operating in nature.

Amortization expense of purchased intangible assets is a non-cash expense related to intangibles that were primarily the 
result of business acquisitions. Our history of acquiring businesses has resulted in significant increases in amortization of intangible 
assets that reduce our net income. The removal of amortization from our overall operating performance helps in assessing our 
cash generated from operations including our return on invested capital, which we believe is an important analysis for measuring 
our ability to generate cash and invest in our continued growth.

Acquisition-related items consist of (i) fair value adjustments to contingent consideration and other contingent liabilities 
resulting from acquisitions, (ii) due diligence, integration, legal fees and other transaction costs associated with our acquisition 
program and (iii) acquisition accounting charges for the amortization of the initial fair value adjustments of acquired inventory 

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    28

 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

and deferred revenue. The adjustments of contingent consideration and other contingent liabilities are periodic adjustments to 
record such amounts at fair value at each balance sheet date. Given the subjective nature of the assumptions used in the determination 
of fair value calculations, fair value adjustments may potentially cause significant earnings volatility that are not representative 
of our operating results. Similarly, due diligence, integration, legal and other acquisition costs associated with our acquisition 
program, including accounting charges relating to recording acquired inventory and deferred revenue at fair market value, can be 
significant and also adversely impact our effective tax rate as certain costs are often not tax-deductible. Since these acquisition-
related items are irregular and often mask underlying operating performance, we exclude these amounts for purposes of calculating 
these non-GAAP financial measures to facilitate an evaluation of our current operating performance and a comparison to past 
operating performance.

  The 2017 Tax Act significantly revised U.S. tax law by, among other provisions, (a) lowering the applicable U.S. federal 
statutory income tax rate from 35% to 21%, (b) creating a partial territorial tax system that includes imposing a mandatory one-
time transition tax on previously deferred foreign earnings, (c) creating provisions regarding the (1) Global Intangible Low Tax 
Income, (2) the Foreign Derived Intangible Income deduction, and (3) the Base Erosion Anti-Abuse Tax and (d) eliminating or 
reducing certain income tax deductions, such as interest expense, executive compensation expenses and certain employee expenses. 
During fiscal 2018, we recorded a favorable benefit related to a revaluation of our deferred tax assets and liabilities as a result of 
the 2017 Tax Act. Since the tax benefit is largely unrelated to our results and unrepresentative of our normal effective tax rate, we 
excluded the impact on net income and diluted EPS to arrive at our non-GAAP financial measures.

The portion of the excess tax benefits related to stock compensation which is recorded as a reduction of income tax 
expense at the time of settlement or vesting amounted to $2,173 and $2,241 in fiscal 2018 and 2017, respectively. The magnitude 
of the impact of excess tax benefits generated in the future, which may be favorable or unfavorable, are dependent upon our future 
grants of equity awards, our future share price on the date awards vest in relation to the fair value of awards on grant date and the 
exercise  behavior  of  our  stock  option  holders.  Since  these  favorable  tax  benefits  are  largely  unrelated  to  our  results  and 
unrepresentative of our normal effective tax rate, we excluded their impact on net income and diluted EPS to arrive at our non-
GAAP financial measures.

During fiscal 2018, the Israeli Government notified us that they would forgive any future amounts due under a contingent 
obligation payable from a previous acquisition. As a result of this formal notification, we reduced the $1,138 contingent obligation 
payable to $0 during fiscal 2018, resulting in a gain through other income. Since this gain was irregular, we made an adjustment 
to our net income and diluted EPS to exclude this gain to arrive at our non-GAAP financial measures.

During fiscal 2018, we settled a patent infringement matter and also recorded an adjustment to another minor litigation 
matter in our consolidated financial statements. Since these costs are irregular and mask our underlying operating performance, 
we made an adjustment to our net income and diluted EPS to exclude such costs to arrive at our non-GAAP financial measures.

During fiscal 2018, we recorded a $2,785 valuation allowance on deferred tax assets related to a prior acquisition. Since 
this tax adjustment is related to acquired net operating losses and is not representative of our normal effective tax rate, we excluded 
its impact on net income and diluted EPS for fiscal 2018 to arrive at our non-GAAP financial measures.

During fiscal 2016, we announced the retirement plans of our former Chief Executive Officer and recorded the majority 
of the costs associated with his retirement in our consolidated financial statements. Since these costs are irregular and mask our 
underlying operating performance, we made an adjustment to our net income and diluted EPS to exclude such costs to arrive at 
our non-GAAP financial measures.

Tax legislation was enacted internationally that enabled us to record favorable tax benefits in fiscal 2016 relating to the 
2015 calendar year. Since these favorable tax benefits were largely unrelated to fiscal 2016, we excluded its impact on net income 
and diluted EPS for fiscal 2016 for purposes of calculating these non-GAAP financial measures to facilitate an evaluation of our 
current performance and a comparison to past performance.

Fiscal 2018

We made adjustments to net income and diluted EPS to exclude (i) amortization expense of purchased intangible assets, 
(ii) acquisition-related items, (iii) other business optimization and restructuring-related charges, (iv) litigation matter, (v) a loss 
on debt extinguishment, (vi) the resolution of the contingent liability associated with a previous acquisition, (vii) the excess tax 
benefits applicable to stock compensation, (viii) the establishment of a valuation allowance on deferred tax assets related to a prior 
acquisition and (ix) the net tax benefit associated with the estimated impact of the revaluation of our U.S. net deferred tax liabilities 
as a result of the 2017 Tax Act to arrive at our non-GAAP financial measures, non-GAAP net income and non-GAAP diluted EPS.

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    29

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

Fiscal 2017

 2018 Annual Report on Form 10-K

We made adjustments to net income and diluted EPS to exclude (i) amortization expense of purchased intangible assets, 
(ii) acquisition-related items, (iii) costs associated with the retirement of our former Chief Executive Officer, (iv) other business 
optimization and restructuring-related charges and (v) the excess tax benefits applicable to stock compensation to arrive at our 
non-GAAP financial measures, non-GAAP net income and non-GAAP diluted EPS.

Fiscal 2016

We made adjustments to net income and diluted EPS to exclude (i) amortization expense of purchased intangible assets, 
(ii) acquisition-related items, (iii) costs associated with the retirement of our former Chief Executive Officer and (iv) the favorable 
impact of tax legislation to arrive at our non-GAAP financial measures, non-GAAP net income and non-GAAP diluted EPS.

The reconciliations of net income and diluted EPS to non-GAAP net income and non-GAAP diluted EPS were calculated 

as follows:

Net income/Diluted EPS, as reported
Intangible amortization, net of tax(1)
Acquisition-related items, net of tax(2)
CEO retirement costs, net of tax(1)
Business optimization and restructuring-related 
charges, net of tax(3)
Litigation matters, net of tax(1)
Loss on debt extinguishment, net of tax(4)
Resolution of contingent liability(5)
Excess tax benefit(6)
Tax valuation allowance(6)
Tax legislative changes(6)
Non-GAAP net income/Non-GAAP diluted EPS

2018
$

$ 91,041

13,267

2,835

—

4,658

1,637

91
(1,138)
(2,173)
2,785
(8,657)
$ 104,346

$

2.18

0.32

0.07

—

0.11

0.04

—
(0.03)
(0.05)
0.07
(0.20)
2.51

July 31,

2017
$

$ 71,378

12,800

1,533

1,213

2,057

—

—
—
(2,241)
—
—

1.71

0.30

0.04

0.03

0.05

—

—
—
(0.05)
—
—

$ 86,740

$

2.08

2016
$

$ 59,953

9,283

2,290

2,212

—

—

—
—

—

1.44

0.22

0.06

0.05

—

—

—
—

—

—
(800)
$ 72,938

$

—
(0.02)
1.75

________________________________________________
(1)  Amounts were recorded in general and administrative expenses.
(2)  In fiscal 2018, pre-tax acquisition-related items of $893 were recorded in cost of sales and $3,154 were recorded in general and administrative 
expenses. In fiscal 2017, pre-tax acquisition-related items of $353 were recorded in cost of sales and $2,094 were recorded in general and 
administrative expenses. In fiscal 2016, pre-tax acquisition-related items of $959 were recorded in cost of sales and $2,254 were recorded 
in general and administrative expenses.

(3)  In  fiscal  2018,  pre-tax  restructuring-related  items  of  $1,517  were  recorded  in  cost  of  sales  and  $3,814  were  recorded  in  general  and 
administrative expenses. In fiscal 2017, pre-tax restructuring-related items of $3,284 were recorded in general and administrative expenses.

(4)  Amounts were recorded in interest expense, net.
(5)  Amounts were recorded in other income.
(6)  Amounts were recorded in income taxes.

We believe EBITDAS is an important valuation measurement for management and investors given the increasing effect 
that non-cash charges, such as stock-based compensation, amortization related to acquisitions and depreciation of capital equipment 
have on net income. In particular, acquisitions have historically resulted in significant increases in amortization of purchased 
intangible assets that reduce net income. Additionally, we regard EBITDAS as a useful measure of operating performance and 
cash flow before the effect of interest expense and is a complement to income from operations, net income and other GAAP 
financial performance measures.

We  define  adjusted  EBITDAS  as  EBITDAS  excluding  the  same  non-GAAP  adjustments  to  net  income  discussed 
previously in this document. We use adjusted EBITDAS when evaluating operating performance because we believe the exclusion 
of such adjustments, of which a significant portion are non-cash items, is necessary to provide the most accurate measure of on-
going core operating results and to evaluate comparative results period over period.

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    30

 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

The reconciliations of net income to EBITDAS and adjusted EBITDAS were calculated as follows:

2018

July 31, 

2017

2016

59,953
3,320

33,978
11,989

13,095
553

8,361
131,249

3,213

3,487

—

—
—

Net income, as reported
Interest expense, net

Income taxes
Depreciation

Amortization
Loss on disposal of fixed assets

Stock-based compensation expense
EBITDAS

Acquisition-related items
CEO retirement costs(1)
Restructuring-related charges(2)
Litigation matters
Resolution of contingent liability

Adjusted EBITDAS

$

$

91,041
5,289

26,472
17,473

17,357
768

9,615
168,015

4,047

—

5,001

2,345
(1,138)
178,270

$

$

71,378
4,303

34,855
15,045

18,407
966

8,844
153,798

2,447

1,937

2,760

—
—

$

160,942

$

137,949

________________________________________________
(1)  For comparative purposes, we have revised the amounts associated with CEO retirement costs for the twelve months ended July 31, 2017 

to exclude stock-based compensation expense which was reported in "Stock-based compensation expense" above.

(2)  Excludes stock-based compensation expense.

We define net debt as long-term debt less cash and cash equivalents. Each of the components of net debt appears on our 
consolidated balance sheets. We believe that the presentation of net debt provides useful information to investors because we 
review net debt as part of our management of our overall liquidity, financial flexibility, capital structure and leverage.

Long-term debt (excluding debt issuance costs)

Less cash and cash equivalents

Net debt

2018

200,000
(94,097)
105,903

$

$

$

$

July 31,

2017

126,000
(36,584)
89,416

$

$

2016

116,000
(28,367)
87,633

We define organic sales as net sales less (i) the impact of foreign currency translation, (ii) net sales related to acquired 
businesses during the first twelve months of ownership and (iii) divestitures during the periods being compared. We believe that 
reporting organic sales provides useful information to investors by helping identify underlying growth trends in our business and 
facilitating easier comparisons of our revenue performance with prior periods. We exclude the effect of foreign currency translation 
from organic sales because foreign currency translation is not under management’s control, is subject to volatility and can obscure 
underlying  business  trends.  We  exclude  the  effect  of  acquisitions  and  divestitures  because  the  nature,  size,  and  number  of 
acquisitions and divestitures can vary dramatically from period to period and can obscure underlying business trends and make 
comparisons of financial performance difficult. The reconciliation of net sales to organic sales can be found elsewhere in this 
MD&A in “Net Sales.”

Liquidity and Capital Resources

 We assess our liquidity in terms of our ability to generate cash to fund operating, investing and financing activities. 
Significant factors affecting the management of liquidity are cash flows generated from operating activities, capital expenditures, 
acquisitions of businesses and cash dividends. Cash provided by operating activities continues to be a primary source of funds. 
As necessary, we supplement operating cash flow with borrowings from our revolving credit facility to fund our acquisitions and 
related business activities. 

Cash Flows

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    31

 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

Net Cash Provided by Operating Activities. Net cash provided by operating activities increased by $17,719 to $125,912
in fiscal 2018 from $108,193 in fiscal 2017, primarily due to the increase in net income (after adjusting for non-cash items) and 
the timing of receipts associated with accounts receivable and the timing of payments associated with accounts payable (both net 
of acquisitions). This was partially offset by an increase in prepaid expenses primarily due to a change in the timing of our annual 
insurance program. Net cash provided by operating activities increased by $27,925 to $108,193 in fiscal 2017 from $80,268 in 
fiscal 2016 primarily due to the increase in net income (after adjusting for non-cash items) and decreases in inventory levels (net 
of acquisitions), partially offset by decreases in accounts payable due to the timing of payments.

Net Cash Used in Investing Activities. Net cash used in investing activities increased by $28,124 to $125,186 in fiscal 
2018 from $97,062 in fiscal 2017, primarily due to an increase in cash paid for acquisitions and by an increase in capital expenditures. 
Net cash used in investing activities decreased by $15,920 to $97,062 in fiscal 2017 from $112,982 in fiscal 2016, primarily due 
to a decrease in cash consideration paid for acquisitions, partially offset by an increase in capital expenditures. During fiscal 2018, 
2017 and 2016, net cash used in investing activities included capital expenditures of $37,698, $27,065 and $18,889, respectively, 
which included expenditures for ERP software, building improvements and purchases of manufacturing and computer equipment. 

Net Cash Provided by (used in) Financing Activities. Net cash provided by (used in) financing activities increased by 
$59,888 to $57,137 of cash provided in fiscal 2018 from $2,751 cash used in fiscal 2017. Net cash used in financing activities 
increased by $32,693 to $2,751 of cash used in fiscal 2017 from $29,942 of cash provided in fiscal 2016. The changes in net cash 
provided by (used in) financing activities were primarily due to the refinancing of our credit facility, resulting in $200,000 in term 
loan borrowings in fiscal 2018, and the net effect of borrowings and repayments under our revolving credit facility.

Dividends

For a discussion of our dividend policy, see the information set forth under the heading "Dividends" in Part II, Item 5 of 

this report.

Debt

On June 28, 2018, we entered into a Fourth Amended and Restated Credit Agreement (the “2018 Credit Agreement”). 
The Amended  Credit Agreement  refinances  our  credit  facility  under  the Third Amended  and  Restated  Credit Agreement  (the 
“Existing Credit Agreement”) dated March 4, 2011, to include a $200,000 tranche A term loan and a $400,000 revolving credit 
facility. Subject to the satisfaction of certain conditions precedent, including the consent of the lenders, we may from time to time 
increase our borrowing capacity under the revolving credit facility or tranche A term loan by an aggregate amount not to exceed 
$300,000. The 2018 Credit Agreement expires on June 28, 2023. Additionally, subject to certain restrictions and conditions (i) 
any of our domestic or foreign subsidiaries may become borrowers and (ii) borrowings may occur in multi-currencies.

As of July 31, 2018, we had $200,000 of term loan A borrowings under the 2018 Credit Agreement. Subsequent to July 31, 
2018, we utilized cash on hand from term loan A borrowings under our new credit facility to fund the $17,000 purchase price of 
the CES business acquisition.

Borrowings under the 2018 Credit Agreement bear interest at rates ranging from 0.00% to 1.00% above prime rate for 
base rate borrowings, or at rates ranging from 1.00% to 2.00% above the London Interbank Offered Rate (“LIBOR”), depending 
upon our “Consolidated Leverage Ratio,” which is defined as the consolidated ratio of total funded debt to earnings before interest, 
taxes,  depreciation  and  amortization,  and  as  further  adjusted  under  the  terms  of  the  2018  Credit Agreement  (“Consolidated 
EBITDA”). The Amended Credit Agreement also provides for fees on the unused portion of the revolving credit facility at rates 
ranging from 0.20% to 0.35%, depending on our Consolidated Leverage Ratio.

We are in compliance with all financial and other covenants under the 2018 Credit Agreement. For further information 
regarding the 2018 Credit Agreement, including a description of affirmative and negative covenants, see Note 9 to our consolidated 
financial statements in Part II, Item 8 of this report.

Financing Needs

At July 31, 2018, our total long-term debt (excluding debt issuance costs) of $200,000, net of our cash and cash equivalents 
of $94,097, was $105,903. Stockholders' equity as of that date was $608,867. Our operating segments generate significant cash 
from operations. At July 31, 2018, we had a cash balance of $94,097, of which $30,041 was held by foreign subsidiaries. Our 
foreign cash is needed by our foreign subsidiaries for working capital purposes as well as for current international growth initiatives. 
Accordingly, our foreign unremitted earnings are considered indefinitely reinvested and unavailable for repatriation. We believe 
that our current cash position, anticipated cash flows from operations and the funds available under our 2018 Credit Agreement 

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    32

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

will be sufficient to satisfy our worldwide cash operating requirements for the foreseeable future based upon our existing operations, 
particularly  given  that  we  historically  have  not  needed  to  borrow  for  working  capital  purposes.  At  September 27,  2018, 
approximately $400,000 was available under our 2018 Credit Agreement.

Inflation

Although overall inflation did not have a significant effect on our business, an increase in commodity prices can adversely 
affect our gross margin. Specifically, our businesses can be adversely impacted by rising fuel and oil prices and are heavily reliant 
on certain raw materials, such as chemicals, paper, resin, stainless steel and plastic components. From time to time, we experience 
price increases for raw materials. If we are unable to implement price increases to our customers, our gross margin could be 
adversely affected.

Compensation Agreements

We have previously entered into various severance contracts with our senior executives, including our corporate executive 
officers and certain of our subsidiary principal executive officers, which define certain compensation arrangements relating to 
various employment termination scenarios. Additionally, in March 2016 we entered into a succession plan agreement due to the 
planned retirement of our former Chief Executive Officer who was succeeded on July 31, 2016, but remained employed as a senior 
advisor until October 15, 2016. This succession plan agreement required payments to our former Chief Executive Officer which 
began  in  fiscal  2017  for  transition-related  services.  The  majority  of  those  future  payments  were  recorded  in  general  and 
administrative expenses from March 17, 2016 through his October 15, 2016 retirement date.

Other Long-Term Obligations

Other long-term obligations include monies owed to the central bank of Italy related to a liability assumed as part of the 
International  Medical  Service  S.r.l.  acquisition  in  fiscal  2015  and  deferred  compensation  arrangements  for  certain  former 
Medivators directors and officers that is recorded in other long-term liabilities.

Commitments and Contractual Obligations

As of July 31, 2018, aggregate annual required payments over the next five years and thereafter under our contractual 

obligations that have long-term components are as follows:

2019
$ 10,000

2020
$ 10,000

2021
$ 10,000

2022
$ 10,000

2023
$ 160,000

Year Ended July 31,

Thereafter
$

— $ 200,000

Total

7,346

7,011

6,676

6,341

5,521

—

32,895

7,958
5,954
—
385
$ 31,643

6,208
1,238
1,298
619
$ 26,374

4,666
386
—
128
$ 21,856

2,904
292
—
18
$ 19,555

2,104
292
—
—
$ 167,917

$

3,593
—
—
—
3,593

27,433
8,162
1,298
1,150
$ 270,938

Maturity of the credit facility

Expected interest payments under
the credit facility
Minimum commitments under
noncancelable operating leases
Compensation agreements
Contingent consideration
Other long-term obligations
Total contractual obligations

Critical Accounting Policies

Our discussion and analysis of our financial condition and results of operations are based upon our consolidated financial 
statements, which have been prepared in accordance with accounting principles generally accepted in the United States. The 
preparation of these financial statements requires us to make estimates and judgments that affect the reported amounts of assets, 
liabilities, revenues and expenses, and related disclosures of contingent assets and liabilities. On an ongoing basis, we continually 
evaluate our estimates. We base our estimates on historical experience and on various other assumptions that are believed to be 
reasonable under the circumstances, the results of which form the basis for making judgments about the carrying values of assets 
and liabilities that are not readily apparent from other sources. Actual results may differ from these estimates.

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    33

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

Our significant accounting policies are described more fully in Note 2 to our consolidated financial statements in Part II, 
Item 8 of this report. We believe the following critical accounting policies affect our more significant judgments and estimates 
used in the preparation of our consolidated financial statements.

Revenue Recognition

Revenue on product sales is recognized as products are shipped to customers and title passes. The passing of title is 
determined based upon the FOB terms specified for each shipment. With respect to endoscopy and dialysis products, shipment 
terms are generally FOB origin for common carrier and when our distribution fleet is utilized (except for one large customer in 
our Dialysis segment and several customers in our Endoscopy segment whereby all products are shipped FOB destination and 
include risk of loss provisions). With respect to water purification and filtration and healthcare disposable products, shipment 
terms may be either FOB origin or destination. Customer acceptance for the majority of our product sales occurs at the time of 
delivery. With respect to a portion of water purification and filtration and endoscopy product sales, equipment is sold as part of a 
system for which the equipment is functionally interdependent or the customer’s purchase order specifies “ship-complete” as a 
condition of delivery. Revenue recognition on such sales is deferred until all equipment has been delivered, or post-delivery 
obligations such as installation have been substantially fulfilled such that the products are deemed functional by the end-user. All 
shipping and handling fees invoiced to customers, such as freight, are recorded as revenue (and related costs are included within 
cost of sales) at the time the sale is recognized.

A  portion  of  our  endoscopy,  water  purification  and  filtration  and  dialysis  sales  are  recognized  as  multiple  element 
arrangements, whereby revenue is allocated to the equipment, installation and consumable components based upon vendor specific 
objective evidence, which includes comparable historical transactions of similar equipment, installation and consumables sold as 
stand-alone components. If vendor-specific objective evidence of selling price is not available, we allocate revenue to the elements 
of the bundled arrangement using the estimated selling price method in order to qualify the components as separate units of 
accounting. Revenue on the equipment and consumables components is recognized as the equipment or consumable is shipped 
to customers and title passes. Revenue on the installation component is recognized when the installation is complete.

  Revenue  on  service  sales  is  recognized  when  repairs  are  completed  at  the  customer’s  location  or  when  repairs  are 
completed at our facilities and the products are shipped to customers. With respect to certain endoscopy and water purification 
and filtration service contracts, service revenue is recognized on a straight-line basis over the contractual term of the arrangement.

None of our sales contain right-of-return provisions. Customer claims for credit or return due to damage, defect, shortage 
or other reason must be pre-approved by us before credit is issued or such product is accepted for return. No cash discounts for 
early payment are offered except with respect to a small portion of our product sales in each segment. We do not offer price 
protection, although advance pricing contracts or required notice periods prior to implementation of price increases exist for certain 
customers with respect to many of our products. With respect to certain of our dialysis, healthcare disposables, water purification 
and filtration and endoscopy customers, rebates are provided. Such rebates, which consist primarily of volume rebates, are provided 
for as a reduction of sales at the time of revenue recognition, and amounted to $8,401, $6,291, and $5,944 in fiscal 2018, 2017, 
and 2016, respectively. Such allowances are determined based on estimated projections of sales volume for the entire rebate 
periods. If it becomes known that sales volume to customers will deviate from original projections, the rebate provisions originally 
established would be adjusted accordingly.

Accounts Receivable and Allowance for Doubtful Accounts

Accounts receivable consist of amounts due to us from normal business activities. Allowances for doubtful accounts are 
reserves for the estimated loss from the inability of customers to make required payments. We use historical experience as well 
as  current  market  information  in  determining  the  estimate.  While  actual  losses  have  historically  been  within  management’s 
expectations and provisions established, if the financial condition of our customers were to deteriorate, resulting in an impairment 
of their ability to make payments, additional allowances may be required. Alternatively, if certain customers paid their delinquent 
receivables, reductions in allowances may be required.

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    34

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

Inventories

 2018 Annual Report on Form 10-K

Inventories consist of raw materials, work-in-process and finished products which are sold in the ordinary course of our 
business and are stated at the lower of cost (first-in, first-out) or net realizable value. In assessing the value of inventories, we 
must make estimates and judgments regarding reserves required for product obsolescence, aging of inventories and other issues 
potentially affecting the saleable condition of products. In performing such evaluations, we use historical experience as well as 
current market information. With few exceptions, the saleable value of our inventories has historically been within management’s 
expectation and provisions established, however, rapid changes in the market due to competition, technology and various other 
factors could impact the saleable value of our inventories, resulting in the need for additional reserves.

Goodwill and Intangible Assets

Certain of our identifiable intangible assets, including customer relationships, technology, brand names, non-compete 
agreements and patents, are amortized using the straight-line method over their estimated useful lives which range from 3 to 20 
years. Additionally, we have recorded goodwill and trademarks and trade names, all of which have indefinite useful lives and are 
therefore not amortized. All of our intangible assets and goodwill are reviewed for impairment whenever events or changes in 
circumstances indicate that the carrying amount of an asset may not be recoverable, and goodwill and intangible assets with 
indefinite lives are reviewed for impairment at least annually. Our management is responsible for determining if impairment exists 
and considers a number of factors, including third-party valuations, when making these determinations.

While the results of these annual reviews have historically not indicated impairment, impairment reviews are highly 
dependent  on  management’s  projections  of  our  future  operating  results  and  cash  flows  (which  management  believes  to  be 
reasonable), discount rates based on our weighted average cost of capital and appropriate benchmark peer companies. Assumptions 
used in determining future operating results and cash flows include current and expected market conditions and future sales and 
earnings  forecasts.  Subsequent  changes  in  these  assumptions  and  estimates  could  result  in  future  impairment. Although  we 
consistently  use  the  same  methods  in  developing  the  assumptions  and  estimates  underlying  the  fair  value  calculations,  such 
estimates are uncertain by nature and can vary from actual results. 

Long-Lived Assets

We evaluate the carrying value of long-lived assets including property, equipment and other assets whenever events or 
changes in circumstances indicate that the carrying value may not be recoverable. An assessment is made to determine if the sum 
of the expected future non-discounted cash flows from the use of the assets and eventual disposition is less than the carrying value. 
If the sum of the expected non-discounted cash flows is less than the carrying value, an impairment loss is recognized based on 
fair value. Our historical assessments of our long-lived assets have not differed significantly from the actual amounts realized. 
However, the determination of fair value requires us to make certain assumptions and estimates and is highly subjective. On 
July 31, 2018, management concluded that no other events or changes in circumstances have occurred that would indicate that 
the carrying amount of our long-lived assets may not be recoverable.

Stock-Based Compensation

Stock compensation expense is recognized for any option or stock award grant based upon the fair value of the award. 
We estimate the fair value of our stock-based compensation using fair value pricing models which require the use of significant 
assumptions.  The determination of fair value using valuation models is affected  by  our  stock  price  as  well  as  assumptions 
regarding a numbers of subjective variables. These variables may include, but are not limited to, the expected stock price volatility 
over the term of the expected life of the award, the expected dividend yield, the expected life of the award, the probability of 
meeting performance objectives and the stock price of our peers in the S&P Healthcare Equipment Index.

The stock-based compensation expense recorded in our financial statements may not be representative of the effect of 
stock-based compensation expense in future periods due to the level of awards issued in prior years (which level may not be similar 
in the future), modifications to existing awards, accelerated vesting related to certain employment terminations, the level of actual 
forfeitures, the ability to meet performance objectives and assumptions used in determining fair value.

Business Combinations

Acquisitions require significant estimates and judgments related to the fair value of assets acquired and liabilities assumed. 
We determine fair value based on the estimated price that would be received to sell an asset or paid to transfer a liability in an 
orderly transaction between market participants at the measurement date. Such initial fair value amounts as well as other acquired 
assets and liabilities, including deferred tax assets and liabilities, are sometimes refined requiring subsequent adjustments.

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    35

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

Certain liabilities and reserves are subjective in nature. We reflect such liabilities and reserves based upon the most recent 
information available. In conjunction with our acquisitions, such subjective liabilities and reserves principally include contingent 
consideration, certain deferred income tax liabilities, income tax and sales and use tax exposures, including tax liabilities related 
to our foreign subsidiaries, as well as reserves for accounts receivable, inventories, warranties and contingent obligations. We 
account for contingent consideration relating to business combinations as a liability and an increase to goodwill at the date of the 
acquisition and continually re-measure the liability at each balance sheet date by recording changes in the fair value through our 
consolidated statements of income. We determine the fair value of contingent consideration based on future operating projections 
under various potential scenarios and weight the probability of these outcomes. Similarly, other acquisition related liabilities can 
be required to be recorded at fair value at the date of the acquisition and continually re-measured at each balance sheet date. The 
ultimate settlement of liabilities relating to business combinations may be for amounts which are materially different from the 
amounts initially recorded and may cause volatility in our results of operations.

Off-balance Sheet Arrangements

As of July 31, 2018, we did not have any off-balance sheet arrangements as defined in Item 303(a)(4)(ii) of Regulation 

S-K.

Recent Accounting Pronouncements

Refer to Note 2 to the consolidated financial statements in Part II, Item 8 of this report.

Item 7A.  Quantitative and Qualitative Disclosures About Market Risk.

We are exposed to market risks arising principally from changes in interest rates and foreign currency.

Interest Rate Market Risk

With respect to interest rate risk, since our credit facility consists of outstanding debt at prevailing market rates of interest, 
principally under LIBOR contracts ranging from one to twelve months, our market risk with respect to such debt is the increase 
in interest expense which would result from higher interest rates associated with LIBOR. Our outstanding debt of $200,000 at 
July 31, 2018 has expected annual interest payments of approximately $7,346 using an effective interest rate of 3.35% as described 
above. Therefore, a 100 basis-point increase in average LIBOR interest rates would result in incremental interest expense of 
approximately $2,000. We monitor our interest rate risk, but presently do not utilize any interest rate derivatives that would mitigate 
our interest rate exposure. Additionally, we maintained a cash balance of $94,097 at July 31, 2018 which is maintained in cash or 
invested in low risk and low return cash equivalents such as U.S. money market funds with leading banking institutions. An 
increase in interest rates would generate additional interest income for us from these low risk cash equivalents, which would 
partially offset the adverse impact of the additional interest expense.

Foreign Currency Market Risk

Changes in the value of the Euro, British Pound, Singapore dollar, Canadian dollar, Australian dollar, Chinese Renminbi 
and the Sri Lanka Rupee against the U.S. dollar affect our results of operations because certain cash bank accounts, accounts 
receivable and liabilities of Cantel and its subsidiaries are denominated and ultimately settled in U.S. dollars or these foreign 
currencies, but must be converted into each entity’s functional currency. Furthermore, the financial statements of most of our 
international subsidiaries are translated using the accounting policies described in Note 2 to the consolidated financial statements 
in Part II, Item 8 of this report, and therefore are impacted by changes in the international entities’ functional currency relative to 
the U.S. dollar.

We use a sensitivity analysis to assess the market risk associated with our foreign currency transactions. Market risk is 
defined here as the potential change in fair value resulting from an adverse movement in foreign currency exchange rates. Overall 
for fiscal 2018 and 2017, a uniform 15% adverse movement in foreign currency rates would have resulted in realized losses (after 
tax) of approximately $4,778 and $3,595, respectively. Conversely, for fiscal 2018 and 2017, a uniform 15% favorable movement 
in foreign currency rates would have resulted in realized gains (after tax) of approximately $4,778 and $3,595, respectively.

For fiscal 2018 and 2017, the realized losses (after tax) primarily resulted from increases in the values of the Euro and 
Canadian dollar relative to the U.S. dollar and decreases in the values of the British Pound and Singapore dollar relative to the 
U.S. dollar due to the composition of our assets and liabilities denominated in foreign currencies and the translation of our foreign 
subsidiaries’ financial statements. However, the use of foreign currency forward contracts partially offset such realized losses.

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    36

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

In order to hedge against the impact of fluctuations in the value of the Euro, British Pound, Canadian dollar, Australian 
dollar and Singapore dollar relative to the U.S. dollar on the conversion of such net assets into the functional currencies, we enter 
into short-term contracts to purchase Euros, British Pounds, Canadian dollars, Australian dollars and Singapore dollars forward, 
which contracts are one-month in duration. These short-term contracts are designated as fair value hedge instruments. There were 
eight foreign currency forward contracts with an aggregate notional value of $30,159 at July 31, 2018, which covered certain 
assets and liabilities that were denominated in currencies other than each entity’s functional currency. These foreign currency 
forward  contracts  are  continually  replaced  with  new  one-month  contracts  as  long  as  we  have  significant  net  assets  that  are 
denominated and ultimately settled in currencies other than each entity’s functional currency. Gains and losses related to these 
hedging contracts to buy Euros, British Pounds, Canadian dollars, Australian dollars and Singapore dollars forward are immediately 
realized within general and administrative expenses due to the short-term nature of such contracts. For fiscal 2018, such forward 
contracts partially offset the impact on operations related to certain assets and liabilities that are denominated in currencies other 
than each entity’s functional currency. We do not currently hedge against the impact of fluctuations in the value of the Chinese 
Renminbi  and  Sri  Lankan  Rupee  relative  to  the  U.S.  dollar  because  the  overall  foreign  currency  exposures  relating  to  those 
currencies are currently not deemed significant. 

Overall, fluctuations in the rates of currency exchange did not have a material impact upon our net income in fiscal 2018
compared with fiscal 2017. For purposes of translating the balance sheet at July 31, 2018 compared with July 31, 2017, the total 
of the foreign currency movements resulted in a foreign currency translation loss of $1,556 for fiscal 2018, primarily due to the 
increase in the value of the U.S. dollar relative to the Australian dollar, British Pound and Canadian dollar, partially offset by the 
strengthening of the Euro relative to the U.S. dollar.

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    37

 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

Item 8.  Financial Statements and Supplementary Data.

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

To the stockholders and the Board of Directors of Cantel Medical Corp.

Opinion on the Financial Statements

We have audited the accompanying consolidated balance sheet of Cantel Medical Corp. and subsidiaries (the “Company”) as of 
July 31, 2018, the related consolidated statements of income, comprehensive income, changes in stockholders' equity, and cash 
flows, for the year ended July 31, 2018, and the related notes and the schedule listed in the Index at Item 15 (collectively referred 
to as the “financial statements”). In our opinion, the financial statements present fairly, in all material respects, the financial position 
of the Company as of July 31, 2018, and the results of its operations and its cash flows for the year ended July 31, 2018, in 
conformity with accounting principles generally accepted in the United States of America.

We have also audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) 
(PCAOB), the Company's internal control over financial reporting as of July 31, 2018, based on criteria established in Internal 
Control - Integrated Framework (2013) issued by the Committee of Sponsoring Organizations of the Treadway Commission and 
our report dated September 27, 2018, expressed an unqualified opinion on the Company's internal control over financial reporting.

Basis for Opinion 

These financial statements are the responsibility of the Company's management. Our responsibility is to express an opinion on 
the Company's financial statements based on our audit. We are a public accounting firm registered with the PCAOB and are 
required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable 
rules and regulations of the Securities and Exchange Commission and the PCAOB.

We conducted our audit in accordance with the standards of the PCAOB. Those standards require that we plan and perform the 
audit to obtain reasonable assurance about whether the financial statements are free of material misstatement, whether due to error 
or fraud. Our audit included performing procedures to assess the risks of material misstatement of the financial statements, whether 
due to error or fraud, and performing procedures that respond to those risks. Such procedures included examining, on a test basis, 
evidence regarding the amounts and disclosures in the financial statements. Our audit also included evaluating the accounting 
principles used and significant estimates made by management, as well as evaluating the overall presentation of the financial 
statements. We believe that our audit provides a reasonable basis for our opinion.

/s/ DELOITTE & TOUCHE LLP

Parsippany, New Jersey
September 27, 2018

We have served as the Company's auditor since 2017.

38

 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM  

To the stockholders and the Board of Directors of Cantel Medical Corp. 

Opinion on Internal Control over Financial Reporting 

We have audited the internal control over financial reporting of Cantel Medical Corp. and subsidiaries (the “Company”) as of July 
31, 2018, based on criteria established in Internal Control - Integrated Framework (2013) issued by the Committee of Sponsoring 
Organizations of the Treadway Commission (COSO). In our opinion, the Company maintained, in all material respects, effective 
internal control over financial reporting as of July 31, 2018, based on criteria established in Internal Control - Integrated Framework 
(2013) issued by COSO. 

We have also audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) 
(PCAOB), the consolidated financial statements as of and for the year ended July 31, 2018, of the Company and our report dated 
September 27, 2018, expressed an unqualified opinion on those financial statements. 

As described in Management’s Report on Internal Control Over Financial Reporting, management excluded from its assessment 
the internal control over financial reporting at BHT Group and Aexis Medical which were acquired on August 23, 2017 and March 
21, 2018, respectively and whose financial statements constitute 10.2% and 13.8% of total assets and net assets, respectively, 3.4% 
of net sales, and 2.4% of net income of the consolidated financial statement amounts as of and for the year ended July 31, 2018. 
Accordingly, our audit did not include the internal control over financial reporting at BHT Group and Aexis Medical.

Basis for Opinion  

The Company’s management is responsible for maintaining effective internal control over financial reporting and for its assessment 
of the effectiveness of internal control over financial reporting, included in the accompanying Management’s Report on Internal 
Control Over Financial Reporting. Our responsibility is to express an opinion on the Company’s internal control over financial 
reporting based on our audit. We are a public accounting firm registered with the PCAOB and are required to be independent with 
respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities 
and Exchange Commission and the PCAOB.

We conducted our audit in accordance with the standards of the PCAOB. Those standards require that we plan and perform the 
audit to obtain reasonable assurance about whether effective internal control over financial reporting was maintained in all material 
respects. Our audit included obtaining an understanding of internal control over financial reporting, assessing the risk that a material 
weakness exists, testing and evaluating the design and operating effectiveness of internal control based on the assessed risk, and 
performing such other procedures as we considered necessary in the circumstances. We believe that our audit provides a reasonable 
basis for our opinion. 

Definition and Limitations of Internal Control over Financial Reporting 

A company’s internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability 
of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted 
accounting principles. A company’s internal control over financial reporting includes those policies and procedures that (1) pertain 
to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets 
of the company; (2) provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial 
statements in accordance with generally accepted accounting principles, and that receipts and expenditures of the company are 
being made only in accordance with authorizations of management and directors of the company; and (3) provide reasonable 
assurance regarding prevention or timely detection of unauthorized acquisition, use, or disposition of the company’s assets that 
could have a material effect on the financial statements. 

Because  of  its  inherent  limitations,  internal  control  over  financial  reporting  may  not  prevent  or  detect  misstatements. Also, 
projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because 
of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.

/s/ DELOITTE & TOUCHE LLP

Parsippany, New Jersey
September 27, 2018

39

 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

The Board of Directors and Stockholders
Cantel Medical Corp.

We  have  audited  the  accompanying  consolidated  balance  sheet  of  Cantel  Medical  Corp.  as  of  July  31,  2017  and  the  related 
consolidated statements of income, comprehensive income, changes in stockholders’ equity and cash flows for each of the two  
years in the period ended July 31, 2017. Our audits also included the financial statement schedule included in the Index at Item 
15(a) for the two year period ended July 31, 2017. These financial  statements  and  schedule  are the responsibility of the Company’s 
management. Our responsibility is to express an opinion on these financial statements and schedule based on our audits.

We conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board (United States). 
Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements 
are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures 
in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by 
management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable 
basis for our opinion.

In our opinion, the financial statements referred to above present fairly, in all material respects, the consolidated financial position 
of Cantel Medical Corp. at July 31, 2017, and the consolidated results of its operations and its cash flows for each of the two years 
in the period ended July 31, 2017, in conformity with U.S. generally accepted accounting principles. Also, in our opinion, the 
related financial statement schedule, when considered in relation to the basic financial statements taken as a whole, presents fairly 
in all material respects the information set forth therein.

/s/ Ernst & Young LLP 

New York, New York
September 28, 2017

40

 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

Consolidated Balance Sheets

Current assets:

Assets

Cash and cash equivalents
Accounts receivable, net of allowance for doubtful accounts of $1,149 and $1,808
Inventories, net
Prepaid expenses and other current assets

Total current assets

Property and equipment, net
Intangible assets, net
Goodwill
Other assets
Deferred income taxes

Total assets

Liabilities and stockholders’ equity

Current liabilities:

Accounts payable
Compensation payable
Accrued expenses
Deferred revenue
Current portion of long-term debt
Income taxes payable

Total current liabilities

Long-term debt
Deferred income taxes
Other long-term liabilities

Total liabilities

Commitments and Contingencies (Note 11)

Stockholders’ equity:

$

$

$

July 31,

2018

2017

$

$

$

94,097
118,642
107,592
17,912
338,243

111,417
137,361
368,027
5,749
2,911
963,708

34,258
30,595
28,525
28,614
10,000
2,791
134,783

187,302
27,624
5,132
354,841

36,584
110,656
98,724
11,407
257,371

88,338
124,512
311,445
4,707
—
786,373

27,469
27,468
23,393
25,282
—
3,167
106,779

126,000
24,714
4,948
262,441

Preferred Stock, par value $1.00 per share; authorized 1,000,000 shares; none issued
Common Stock, par value $.10 per share; authorized 75,000,000 shares; issued
46,243,582 shares and outstanding 41,706,084 shares as of July 31, 2018; issued
46,194,374 shares and outstanding 41,728,934 shares as of July 31, 2017
Additional paid-in capital
Retained earnings
Accumulated other comprehensive loss
Treasury Stock, at cost; 4,537,498 shares as of July 31, 2018; 4,465,440 shares as of July
31, 2017

Total stockholders’ equity
Total liabilities and stockholders' equity

—

—

4,624
184,212
491,540
(11,456)

(60,053)
608,867
963,708

$

$

4,619
174,602
407,590
(9,900)

(52,979)
523,932
786,373

See accompanying Notes to Consolidated Financial Statements.

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    41

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

Consolidated Statements of Income

Net sales

Product sales
Product service

Total net sales

Cost of sales

Product sales
Product service
Total cost of sales

Gross profit

Expenses:

Selling

General and administrative

Research and development

Total operating expenses

Income from operations

Interest expense, net

Other income

Year Ended July 31,

2018

2017

2016

$

$

765,158
106,764

871,922

$

684,678
85,479

770,157

584,750
80,005

664,755

385,597
72,354
457,951

343,641
59,356
402,997

300,704
54,865
355,569

413,971

367,160

309,186

129,642

138,019

24,646

292,307

116,113

122,270

18,367

256,750

99,062

97,463

15,410

211,935

121,664

110,410

97,251

5,289
(1,138)

4,303
(126)

3,320

—

Income before income taxes

117,513

106,233

93,931

Income taxes

Net income

Earnings per common share:

Basic
Diluted

Dividends per common share

26,472

34,855

33,978

91,041

$

71,378

$

59,953

2.18
2.18
0.17

$
$
$

1.71
1.71
0.14

$
$
$

1.44
1.44
0.12

$

$
$
$

See accompanying Notes to Consolidated Financial Statements.

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    42

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

Consolidated Statements of Comprehensive Income

Net income

Other comprehensive (loss) income:
Foreign currency translation

Total other comprehensive (loss) income

Year Ended July 31,

2018

2017

2016

$

91,041

$

71,378

$

59,953

(1,556)
(1,556)

1,895
1,895

(13,019)
(13,019)

Comprehensive income

$

89,485

$

73,273

$

46,934

See accompanying Notes to Consolidated Financial Statements.

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    43

 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

Consolidated Statements of Changes in Stockholders' Equity

Balance, August 1, 2015

Repurchases of shares

Stock-based compensation

Issuance of restricted stock

Cancellations of restricted stock

Excess tax benefit from exercises of
stock options and vesting of
restricted stock

Dividends on common stock

Net income

Other comprehensive loss

Common Stock

Shares

Amount

Additional
Paid-in
Capital

Retained
Earnings

Accumulated
Other
Comprehensive
Loss

Treasury 
Stock, 
at cost

Total
Stockholders'
Equity

41,604,359

$ 4,591

$ 156,050

$287,105

$

1,224

$ (42,337) $

406,633

(67,038)

—

175,700

(4,807)

—

—

—

—

—

—

17

—

—

—

—

—

—

8,361

(17)

—

1,179

—

—

—

—

—

—

—

—

(5,005)

59,953

—

—

—

—

—

—

—

—

(13,019)

(3,732)

—

—

—

—

—

—

—

(3,732)

8,361

—

—

1,179

(5,005)

59,953

(13,019)

Balance, July 31, 2016

41,708,214

$ 4,608

$ 165,573

$342,053

$

(11,795) $ (46,069) $

454,370

Repurchases of shares

Stock-based compensation

Issuance of restricted stock

Cancellations of restricted stock

Excess tax benefit from exercises of
stock options and vesting of
restricted stock

Dividends on common stock

Net income

Other comprehensive income

(89,607)

—

116,506

(6,179)

—

—

—

—

—

—

12

(1)

—

—

—

—

—

8,844

(12)

1

196

—

—

—

—

—

—

—

—

(5,841)

71,378

—

—

—

—

—

—

—

—

1,895

(6,910)

—

—

—

—

—

—

—

(6,910)

8,844

—

—

196

(5,841)

71,378

1,895

Balance, July 31, 2017

41,728,934

$ 4,619

$ 174,602

$407,590

$

(9,900) $ (52,979) $

523,932

Repurchases of shares

Stock-based compensation

Issuance of restricted stock

Cancellations of restricted stock

Dividends on common stock

Net income

Other comprehensive loss

(62,559)

—

46,551

(6,842)

—

—

—

—

—

5

—

—

—

—

—

9,615

(5)

—

—

—

—

—

—

—

—

(7,091)

91,041

—

—

—

—

—

—

—

(1,556)

(7,074)

—

—

—

—

—

—

(7,074)

9,615

—

—

(7,091)

91,041

(1,556)

Balance, July 31, 2018

41,706,084

$ 4,624

$ 184,212

$491,540

$

(11,456) $ (60,053) $

608,867

See accompanying Notes to Consolidated Financial Statements.

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    44

 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

Consolidated Statements of Cash Flows

Cash flows from operating activities

Net income

Adjustments to reconcile net income to net cash provided by operating activities:

Depreciation

Amortization

Stock-based compensation expense

Deferred income taxes

Excess tax benefits from stock-based compensation

Other non-cash items, net

Changes in assets and liabilities, net of effects of business acquisitions/
divestitures:

Accounts receivable

Inventories

Prepaid expenses and other assets

Accounts payable and other liabilities

Income taxes

Net cash provided by operating activities

Cash flows from investing activities

Capital expenditures

Proceeds from disposal of fixed assets

Acquisition of businesses, net of cash acquired

Other, net

Net cash used in investing activities

Cash flows from financing activities

Proceeds from issuance of long-term debt

Borrowings under revolving credit facility

Repayments under revolving credit facility

Debt issuance costs

Dividends paid

Excess tax benefits from stock-based compensation

Purchases of treasury stock

Net cash provided by (used in) financing activities

Effect of exchange rate changes on cash and cash equivalents

Increase (decrease) in cash and cash equivalents

Cash and cash equivalents at beginning of period

Cash and cash equivalents at end of period

Supplemental disclosures of cash flow information:

Cash interest payments

Cash income tax payments

Accruals related to purchases of property and equipment

Year Ended July 31,

2018

2017

2016

$

91,041

$

71,378

$

59,953

17,473

17,357

9,615

(7,520)

—

1,076

(3,700)

(3,785)

(5,169)

10,614

(1,090)

15,045

18,407

8,844

118

—

1,102

(12,860)

887

(957)

7,124

(895)

125,912

108,193

11,989

13,095

8,361

(1,710)

(1,179)

267

(12,729)

(15,558)

(2,850)

17,657

2,972

80,268

(37,698)

(27,065)

(18,889)

—

47

(87,488)

(70,044)

—

—

96

(94,528)

339

(125,186)

(97,062)

(112,982)

200,000

82,300

(208,300)

(2,698)

(7,091)

—

(7,074)

57,137

(350)

57,513

36,584

—

74,000

(64,000)

—

(5,841)

—

(6,910)

(2,751)

(163)

8,217

28,367

94,097

$

36,584

$

—

96,500

(59,000)

—

(5,005)

1,179

(3,732)

29,942

(581)

(3,353)

31,720

28,367

5,156

35,251

2,281

$

$

$

3,455

35,858

192

$

$

$

3,001

33,559

—

$

$

$

$

See accompanying Notes to Consolidated Financial Statements.

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    45

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

Notes to Consolidated Financial Statements.

1. 

Business Description

Throughout this document, references to “Cantel,” “us,” “we,” “our,” and the “Company” are references to Cantel Medical Corp. 
and its subsidiaries, except where the context makes it clear the reference is to Cantel itself and not its subsidiaries.  Unless otherwise 
indicated, references in this Form 10-K to 2018, 2017, 2016 or “fiscal” 2018, 2017, 2016 or other years refer to our fiscal year 
ended July 31 of that respective year, and references to 2019 or “fiscal” 2019 refer to our fiscal year ending July 31, 2019.

Cantel is a leading provider of infection prevention and control products and services in the healthcare market, specializing in the 
following reportable segments:

Endoscopy: designs, develops, manufactures, sells and installs a comprehensive offering of products and services comprising a 
complete circle of infection prevention solutions. Our products include endoscope reprocessing and endoscopy procedure products.

Water Purification and Filtration: designs, develops, manufactures, sells and installs water purification systems for medical, 
pharmaceutical and other bacteria controlled applications. We also provide filtration/separation and disinfectant technologies to 
the medical and life science markets through a worldwide distributor network. 

Healthcare Disposables: designs, manufactures, sells, supplies and distributes a broad selection of infection prevention healthcare 
products, the majority of which are single-use products used by dental practitioners.

Dialysis: designs, develops, manufactures, sells and services reprocessing systems and sterilants for dialyzers (a device serving 
as an artificial kidney), as well as dialysate concentrates and supplies utilized for renal dialysis.

See Note 16, "Reportable Segments."

Most of our equipment, consumables and supplies are used to help prevent the occurrence or spread of infections.

2. 

Summary of Significant Accounting Policies

The following is a summary of our significant accounting policies used to prepare our consolidated financial statements.

Principles of Consolidation

The  consolidated  financial  statements  include  the  accounts  of  Cantel  and  its  wholly-owned  subsidiaries. All  intercompany 
transactions and balances have been eliminated in consolidation. Certain prior year amounts have been reclassified to conform to 
the current year's presentation.

Use of Estimates

The preparation of financial statements in conformity with accounting principles generally accepted in the United States requires 
us to make estimates and assumptions that affect the amounts reported in the financial statements and accompanying notes. Actual 
results could differ from those estimates. On an ongoing basis, we evaluate the adequacy of our reserves and the estimates used 
in calculations of reserves as well as other judgmental financial statement items, including, but not limited to: collectability of 
accounts  receivable,  volume  rebates  and  trade-in  allowances,  inventory  values  and  obsolescence  reserves,  warranty  reserves, 
contingent  consideration,  contingent  guaranteed  obligations,  depreciation  and  amortization  periods,  deferred  income  taxes, 
goodwill and intangible assets, impairment of long-lived assets, unrecognized tax benefits for uncertain tax positions, reserves for 
legal exposure, stock-based compensation and expense accruals. Such estimates and assumptions are subjective in nature. We 
reflect such amounts based upon the most recent information available.

Subsequent Events

We performed a review of events subsequent to July 31, 2018 through the date of issuance of the accompanying consolidated 
financial statements. 

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    46

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

Revenue Recognition

 2018 Annual Report on Form 10-K

Revenue on product sales is recognized as products are shipped to customers and title passes. The passing of title is determined 
based upon the FOB terms specified for each shipment. With respect to endoscopy and dialysis products, shipment terms are 
generally FOB origin for common carrier and when our distribution fleet is utilized (except for one large customer in dialysis and 
several endoscopy customers whereby all products are shipped FOB destination and include risk of loss provisions). With respect 
to water purification and filtration and healthcare disposable products, shipment terms may be either FOB origin or destination. 
Customer  acceptance  for  the  majority  of  our  product  sales  occurs  at  the  time  of  delivery. With  respect  to  a  portion  of  water 
purification and filtration and endoscopy product sales, equipment is sold as part of a system for which the equipment is functionally 
interdependent or the customer’s purchase order specifies “ship-complete” as a condition of delivery. Revenue recognition on such 
sales is deferred until all equipment has been delivered, or post-delivery obligations such as installation have been substantially 
fulfilled such that the products are deemed functional by the end-user. All shipping and handling fees invoiced to customers, such 
as freight, are recorded as revenue (and related costs are included within cost of sales) at the time the sale is recognized.

A portion of our endoscopy, water purification and filtration and dialysis sales are recognized as multiple element arrangements, 
whereby revenue is allocated to the equipment, installation and consumable components based upon vendor specific objective 
evidence, which includes comparable historical transactions of similar equipment, installation and consumables sold as stand-
alone components. If vendor-specific objective evidence of selling price is not available, we allocate revenue to the elements of 
the bundled arrangement using the estimated selling price method in order to qualify the components as separate units of accounting. 
Revenue on the equipment and consumables components are recognized as the equipment or consumable is shipped to customers 
and title passes. Revenue on the installation component is recognized when the installation is complete.

Revenue on service sales is recognized when repairs are completed at the customer’s location or when repairs are completed at 
our facilities and the products are shipped to customers. With respect to certain endoscopy and water purification and filtration 
service contracts, service revenue is recognized on a straight-line basis over the contractual term of the arrangement.

Our  endoscopy  products  and  services  are  sold  directly  to  hospitals  and  other  end-users  in  the  United  States  and  primarily  to 
distributors internationally except for certain countries where we sell directly to hospitals and other end-users. Water purification 
and filtration products and services are sold directly to hospitals, dialysis clinics, pharmaceutical and biotechnology companies, 
laboratories, medical products and service companies and other end-users as well as through third-party distributors. The majority 
of our healthcare disposable products are sold to third party distributors, and with respect to some of our sterility assurance products, 
to hospitals, surgery centers, physician and dental offices, dental schools, medical research companies, laboratories and other end-
users. The majority of our dialysis products are sold to dialysis clinics and hospitals. Sales to all of these customers follow our 
revenue recognition policies.

None of our sales contain right-of-return provisions. Customer claims for credit or return due to damage, defect, shortage or other 
reason must be pre-approved by us before credit is issued or such product is accepted for return. No cash discounts for early 
payment are offered except with respect to a small portion of our product sales in each segment. We do not offer price protection, 
although advance pricing contracts or required notice periods prior to implementation of price increases exist for certain customers 
with respect to many of our products. With respect to certain of our dialysis, healthcare disposables, water purification and filtration 
and endoscopy customers, rebates are provided. Such rebates, which consist primarily of volume rebates, are provided for as a 
reduction of sales at the time of revenue recognition and amounted to $8,401, $6,291, and $5,944 in fiscal 2018, 2017, and 2016, 
respectively. Such allowances are determined based on estimated projections of sales volume for the entire rebate periods. If it 
becomes known that sales volume to customers will deviate from original projections, the rebate provisions originally established 
would be adjusted accordingly.

Translation of Foreign Currency Financial Statements

Assets and liabilities of our foreign subsidiaries are translated into U.S. dollars at year-end exchange rates; sales and expenses are 
translated using average exchange rates during the year. The cumulative effect of the translation of the accounts of the foreign 
subsidiaries is presented as a component of accumulated other comprehensive income or loss. Foreign exchange gains and losses 
related to the purchase of inventories denominated in foreign currencies are included in cost of sales and foreign exchange gains 
and losses related to the incurrence of operating costs denominated in foreign currencies and the conversion of foreign assets and 
liabilities into functional currencies are included in general and administrative expenses.

Cash and Cash Equivalents

We consider all highly liquid investments with maturities of three months or less when purchased to be cash equivalents. 

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    47

 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

Accounts Receivable and Allowance for Doubtful Accounts

Accounts receivable consist of amounts due to us from normal business activities. Allowances for doubtful accounts are reserves 
for the estimated loss from the inability of customers to make required payments. We use historical experience as well as current 
market information in determining the estimate. While actual losses have historically been within management’s expectations and 
provisions established, if the financial condition of our customers were to deteriorate, resulting in an impairment of their ability 
to make payments, additional allowances may be required. Alternatively, if certain customers paid their delinquent receivables, 
reductions in allowances may be required.

Inventories

Inventories consist of raw materials, work-in-process and finished products which are sold in the ordinary course of our business 
and are stated at the lower of cost (first-in, first-out) or net realizable value. In assessing the value of inventories, we must make 
estimates and judgments regarding reserves required for product obsolescence, aging of inventories and other issues potentially 
affecting the saleable condition of products. In performing such evaluations, we use historical experience as well as current market 
information. With few exceptions, the saleable value of our inventories has historically been within management’s expectation 
and provisions established, however, rapid changes in the market due to competition, technology and various other factors could 
impact the value of our inventories, resulting in the need for additional reserves.

Property and Equipment

Property and equipment are stated at cost. Additions and improvements are capitalized, while maintenance and repair costs are 
expensed. When assets are retired or otherwise disposed, the cost and related accumulated depreciation or amortization is removed 
from the respective accounts and any resulting gain or loss is included in income. Depreciation and amortization is provided on 
the straight-line method over the estimated useful lives of the assets which generally range from 2-15 years for furniture and 
equipment, 5-40 years for buildings and improvements and the shorter of the life of the asset or the life of the lease for leasehold 
improvements. Depreciation expense related to property and equipment in fiscal 2018, 2017 and 2016 was $17,473, $15,045 and 
$11,989, respectively.

Goodwill and Intangible Assets

Certain of our identifiable intangible assets, including customer relationships, technology, brand names, non-compete agreements 
and  patents,  are  amortized  using  the  straight-line  method  over  their  estimated  useful  lives  which  range  from  3  to  20  years. 
Additionally, we have recorded goodwill and trademarks and trade names, all of which have indefinite useful lives and are therefore 
not amortized. All of our intangible assets and goodwill are reviewed for impairment whenever events or changes in circumstances 
indicate that the carrying amount of an asset may not be recoverable, and goodwill and intangible assets with indefinite lives are 
reviewed for impairment at least annually. Our management is responsible for determining if impairment exists and considers a 
number of factors, including third-party valuations, when making these determinations.

We first assess qualitative factors to determine whether it is more likely than not that the fair value of the reporting unit is less than 
the  carrying  amount  before  proceeding  to  step  one  of  the  two-step  quantitative  goodwill  impairment  test,  if  necessary.  Such 
qualitative  factors  that  are  assessed  include  evaluating  a  segment’s  financial  performance,  industry  and  market  conditions, 
macroeconomic  conditions  and  specific  issues  that  can  directly  affect  the  segment  such  as  changes  in  business  strategies, 
competition, supplier relationships, operating costs, regulatory matters, litigation and the composition of the segment’s assets due 
to acquisitions or other events. At May 1, 2018, because we determined through qualitative factors that the fair values of our 
Endoscopy, Water Purification and Filtration and Healthcare Disposables segments were unlikely to be less than the carrying value, 
we did not proceed to step one of the two-step quantitative goodwill impairment test for those three segments. We performed step 
one of the two-step quantitative goodwill impairment test for Dialysis due to the continuing shift by our customers from reusable 
to single-use dialyzers, which is having an adverse impact on our business and is expected to continue. In performing a detailed 
quantitative review for goodwill impairment, management uses a two-step process that begins with an estimation of the fair value 
of the related reporting units by using weighted fair value results of the discounted cash flow methodology, as well as the market 
multiple and comparable transaction methodologies, where applicable. The first step is a review for potential impairment, and the 
second step measures the amount of impairment, if any.  

Historically, goodwill and indefinite lived intangible assets were tested annually for impairment as of July 31 of each fiscal 
year. In fiscal 2018, we changed our measurement date to May 1 of each year to better align the annual impairment test with the 
timing of our annual strategic planning process.

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    48

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

We perform our annual impairment review for indefinite lived intangibles by first assessing qualitative factors, such as those 
described above, to determine whether it is more likely than not that the fair value of such assets is less than the carrying values, 
and if necessary, we perform a quantitative analysis comparing the current fair value of our indefinite lived intangibles assets to 
their carrying values. At May 1, 2018, because we determined through qualitative factors that the fair values of all of our indefinite 
lived intangible assets were unlikely to be less than the carrying value, we did not perform a quantitative analysis for those assets. 
With respect to amortizable intangible assets when impairment indicators are present, management would determine whether 
expected future non-discounted cash flows would be sufficient to recover the carrying value of the assets; if not, the carrying value 
of the assets would be adjusted to their fair value.

We did not recognize any impairment charges for goodwill or indefinite lived intangibles in the years presented.

Long-Lived Assets

We evaluate the carrying value of long-lived assets including property, equipment and other assets whenever events or changes in 
circumstances indicate that the carrying value may not be recoverable. An assessment is made to determine if the sum of the 
expected future non-discounted cash flows from the use of the assets and eventual disposition is less than the carrying value. If 
the sum of the expected non-discounted cash flows is less than the carrying value, an impairment loss is recognized based on fair 
value. Our historical assessments of our long-lived assets have not differed significantly from the actual amounts realized. However, 
the determination of fair value requires us to make certain assumptions and estimates and is highly subjective. On July 31, 2018, 
management concluded that no other events or changes in circumstances have occurred that would indicate that the carrying amount 
of our long-lived assets may not be recoverable.

Debt Issuance Costs

Debt issuance costs are capitalized and amortized to interest expense over the term of the related credit agreements. As of July 31, 
2018, such debt issuance costs, net of related amortization, were included as a reduction to long-term debt and amounted to $2,698.  

Warranties

We provide for estimated costs that may be incurred to remedy deficiencies of quality or performance of our products at the time 
of revenue recognition. Most of our products have a one year warranty, although certain endoscopy and water purification and 
filtration products that require installation may carry a warranty period of up to 24 months. Additionally, many of our consumables, 
accessories, parts and service have a 90-day warranty. We record provisions for product warranties as a component of cost of sales 
based upon an estimate of the amounts necessary to settle existing and future claims on products sold. As of July 31, 2018 and 
2017, our warranty reserves are included in accrued expenses in the consolidated balance sheets and amounted to $3,280 and 
$2,328, respectively. Our warranty provisions and settlements in fiscal 2018 and 2017 were not material and principally relate to 
our endoscope reprocessing and water purification products. 

Stock-Based Compensation

Stock-based compensation expense is recognized for any option or stock award grant based upon the fair value of the award. Our 
stock options and time-based stock awards are subject to graded vesting in which portions of the award vest ratably over the vesting 
period. We recognize compensation expense for the awards with performance conditions using the accelerated attribution method 
over the requisite service period for each separately vesting portion of the award when it is probable that the performance condition 
will be achieved. We record expense for the awards with market conditions ratably over the vesting period regardless of whether 
the market condition is satisfied. We account for forfeitures as they occur, rather than estimate forfeitures over the course of the 
vesting period.

We determine the fair value of each time-based stock award and performance-based stock award by using the closing market price 
of our common stock on the last trading date immediately prior to the date of grant. We determine the fair value of each award 
with market conditions using a Monte Carlo simulation model on the date of grant. We estimate the fair value of each option grant 
on the date of grant using the Black Scholes option valuation model. The determination of fair value using valuation models is 
affected by our stock price as well as assumptions regarding a number of subjective variables. These variables may include, but 
are not limited to, the expected price volatility over the term of the award, the expected dividend yield, the expected term of the 
award, the probability of meeting performance objectives and the stock price of our peers in the S&P Healthcare Equipment Index.

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    49

 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

Advertising Costs

 2018 Annual Report on Form 10-K

Our policy is to expense advertising costs as they are incurred. Advertising costs charged to expense were $4,115, $3,694 and 
$3,349 in fiscal 2018, 2017 and 2016, respectively.

Income Taxes

Our provision for income taxes is based on our current period income, changes in deferred income tax assets and liabilities, statutory 
income tax rates, changes in uncertain tax benefits and the deductibility of expenses or availability of tax credits in various taxing 
jurisdictions. Tax laws are complex, subject to different interpretations by the taxpayer and the respective governmental taxing 
authorities and are subject to future modification, expiration or repeal by government legislative bodies. We use significant judgment 
on a quarterly basis in determining our annual effective income tax rate and evaluating our tax positions.

We regularly review our deferred tax assets for recoverability and establish a valuation allowance, if necessary, based on historical 
taxable  income,  projected  future  taxable  income,  and  the  expected  timing  of  the  reversals  of  existing  temporary  differences. 
Although realization is not assured, management believes it is more likely than not that the recorded deferred tax assets, as adjusted 
for valuation allowances, will be realized. Additionally, deferred tax liabilities are regularly reviewed to confirm that such amounts 
are appropriately stated. A review of our deferred tax items considers known future changes in various income tax rates, principally 
in the United States. If income tax rates were to change in the future, particularly in the United States and to a lesser extent Germany, 
the U.K. and Italy, our items of deferred tax could be materially affected. All of such evaluations require significant management 
judgments.

We record liabilities for an unrecognized tax benefit when a tax benefit for an uncertain tax position is taken or expected to be 
taken on a tax return, but is not recognized in our consolidated financial statements because it does not meet the more-likely-than-
not recognition threshold that the uncertain tax position would be sustained upon examination by the applicable taxing authority. 
Any adjustments upon resolution of income tax uncertainties are recognized in our results of operations. Unrecognized tax benefits 
are analyzed periodically and adjustments are made as events occur to warrant adjustment to the related liability. Historically, we 
have not had significant unrecognized tax benefits.

Newly Adopted Accounting Standards

In September 2015, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2015-16, 
“(Topic 805) Simplifying the Accounting for Measurement-Period Adjustments,” (“ASU 2015-16”). The new guidance requires an 
acquirer in a business combination to recognize a measurement-period adjustment during the period in which it determines the 
amount, and eliminates the requirement for an acquirer to account for measurement-period adjustments retrospectively. The acquirer 
must also disclose the amounts and reasons for adjustments to the provisional amounts. ASU 2015-16 is effective for fiscal years 
beginning after December 15, 2016 (our fiscal year 2018), including interim periods within that reporting period. Accordingly, we 
adopted ASU 2015-06 on August 1, 2017. The adoption of ASU 2015-16 did not have a material impact on our financial position, 
results of operations or cash flows.

In July 2015, the FASB issued ASU 2015-11, “(Topic 330) Simplifying the Measurement of Inventory,” (“ASU 2015-11”).  The 
new guidance requires companies using the first-in, first-out and average costs methods to measure inventory using the lower of 
cost and net realizable value, where net realizable value is the estimated selling prices in the ordinary course of business, less 
reasonably predictable costs of completion, disposal and transportation. ASU 2015-11 is effective for fiscal years beginning after 
December 15, 2016 (our fiscal year 2018), including interim periods within that reporting period. Accordingly, we adopted ASU 
2015-11 on August 1, 2017. The adoption of ASU 2015-11 did not have a material impact on our financial position, results of 
operations and cash flows.

In January 2017, the FASB issued ASU 2017-01, “(Topic 805) Clarifying the Definition of a Business,” (“ASU 2017-01”) to clarify 
the definition of a business. The revised guidance creates a more robust framework to use in determining whether a set of assets 
and activities is a business. The guidance will be applied on a prospective basis on or after the effective date. ASU 2017-01 is 
effective for fiscal years beginning after December 15, 2017 (our fiscal year 2019), including interim periods within that reporting 
period. We early adopted ASU-2017-01 on August 1, 2017. The adoption of ASU 2017-01 did not have a material impact on our 
financial position, results of operations or cash flows.

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    50

 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

Recently Issued Accounting Standards

 2018 Annual Report on Form 10-K

In February 2018, the FASB issued ASU 2018-02, “Reclassification of Certain Tax Effects from Accumulated Other Comprehensive 
Income” (“ASU 2018-02”) to allow for the reclassification from accumulated other comprehensive income to retained earnings 
of stranded tax effects resulting from the Tax Cuts and Jobs Act enacted in December 2017. ASU 2018-02 is effective for fiscal 
years beginning after December 15, 2018 (our fiscal year 2020), including interim periods within that reporting period. The adoption 
of ASU 2018-02 is not expected to have a significant impact on our financial position, results of operations or cash flows.

In August 2017, the FASB issued ASU 2017-12, “Targeted Improvements to Accounting for Hedging Activities” (“ASU 2017-12”) 
to improve the financial reporting of hedging relationships to better portray the economic results of an entity's risk management 
activities in its financial statements. ASU 2017-12 is effective for fiscal years beginning after December 15, 2018 (our fiscal year 
2020), including interim periods within that reporting period. The adoption of ASU 2017-12 is not expected to have a significant 
impact on our financial position, results of operations or cash flows.

In May 2017, the FASB issued ASU 2017-09, “(Topic 718) Scope of Modification Accounting,” ("ASU 2017-09") to provide 
guidance about which changes to the terms or conditions of a share-based payment award require an entity to apply modification 
accounting in Topic 718. ASU 2017-12 is effective for fiscal years beginning after December 15, 2017 (our fiscal year 2019), 
including interim periods within that reporting period. The adoption of ASU 2017-09 is not expected to have a significant impact 
on our financial position, results of operations or cash flows.

In January 2017, the FASB issued ASU 2017-04, “(Topic 350) Simplifying the Test for Goodwill Impairment,” (“ASU 2017-04”) 
to simplify the test for goodwill impairment. The revised guidance eliminates the existing Step 2 of the goodwill impairment test 
which required an entity to compute the implied fair value of its goodwill at the testing date in order to measure the amount of the 
impairment charge when the fair value of the reporting unit failed Step 1 of the goodwill impairment test. Under the revised 
guidance, an entity would recognize an impairment charge for the amount by which the carrying amount of the reporting unit 
exceeds its fair value; however, the loss recognized would not exceed the total amount of goodwill allocated to the reporting unit. 
The guidance will be applied on a prospective basis on or after the effective date. ASU 2017-04 is effective for fiscal years beginning 
after December 31, 2019 (our fiscal year 2021) and early adoption is permitted for interim or annual goodwill impairment tests 
performed on testing dates after January 1, 2017. The adoption of ASU 2017-04 is not expected to have a significant impact on 
our financial position, results of operations or cash flows.

In August 2016, the FASB issued ASU 2016-15, “(Topic 230) Classification of Certain Cash Receipts and Cash Payments,” (“ASU 
2016-15”). This new guidance will make eight targeted changes to how cash receipts and cash payments are presented and classified 
in the statement of cash flows. ASU 2016-15 is effective for fiscal years beginning after December 15, 2017 (our fiscal year 2019). 
ASU 2016-15 will require adoption on a retrospective basis unless it is impracticable to apply, in which case we would be required 
to apply the amendments prospectively as of the earliest date practicable. The adoption of ASU 2016-15 is not expected to have 
a significant impact on our financial position, results of operations or cash flows.

In February 2016, the FASB issued ASU 2016-02, “(Topic 842) Leases,” (“ASU 2016-02”). The new guidance requires the recording 
of assets and liabilities arising from leases on the balance sheet accompanied by enhanced qualitative and quantitative disclosures 
in the notes to the financial statements. The new guidance is expected to provide transparency of information and comparability 
among organizations. ASU 2016-02 is effective for fiscal years beginning after December 31, 2018 (our fiscal year 2020), including 
interim periods within that reporting period. Early adoption is permitted as of the beginning of an interim or annual period. We 
are currently in the process of evaluating the impact of ASU 2016-02 on our financial position, results of operations and cash 
flows.

In May 2014, the FASB issued ASU 2014-09, “Revenue from Contracts with Customers (Topic 606),” (“ASU 2014-09”), which 
will supersede the revenue recognition requirements in Accounting Standards Codification 605, “Revenue Recognition” (“ASC 
605”). ASU 2014-09 is based on the principle that revenue is recognized to depict the transfer of goods or services to customers 
in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services. It 
also requires additional disclosure about the nature, amount, timing and uncertainty of revenue and cash flows arising from customer 
contracts, significant judgments and changes in judgments, and assets recognized from costs incurred to obtain or fulfill a contract. 
In August 2015, the FASB issued ASU 2015-14, “Revenue from Contracts with Customers (Topic 606),” (“ASU 2015-14”), which 
defers the effective date of ASU 2014-09 by one year to fiscal years beginning after December 15, 2017 (our fiscal year 2019), 
including interim periods within that reporting period. In May 2016, the FASB issued ASU 2016-12, “Revenue from Contracts 
with Customers (Topic 606),” (“ASU 2016-12”), which provided narrow scope improvements and practical expedients relating 
to ASU 2014-09. 

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    51

 
 
 
 
 
 
 
       
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

In preparation for our adoption of ASU 2014-09 and ASU 2016-12 on August 1, 2018, we have obtained representative samples 
of contracts and other forms of agreements with our customers in the United States and international locations and have evaluated 
the provisions contained therein in light of the five-step model specified by the new guidance. We have also evaluated the impact 
of the new standard on certain common practices currently employed by us and by other health care manufacturers and service 
providers, such as multiple-element arrangements, deferred revenues, warranties, rebates and other pricing allowances. 

We have reached conclusions on our accounting assessments related to the standard and finalized updates to our accounting policies, 
processes and controls and will adopt the new standard on August 1, 2018 using the modified retrospective approach. We expect 
to record an immaterial adjustment to retained earnings upon adoption of Topic 606 in the first quarter of fiscal 2019, primarily 
related to the timing of revenue recognition for the shipment of products in both our Endoscopy and Water Purification and Filtration 
segments where risk of loss provisions are present (“synthetic FOB destination”). The new standard does not require us to defer 
revenue for these products and allows us to recognize revenue at the time of shipment. The adjustment to retained earnings also 
includes the impact of the change in timing of revenue recognition associated with software licensing arrangements in our Endoscopy 
segment. Overall, we expect the adoption of Topic 606 to have an immaterial impact on our fiscal 2019 financial position, results 
of operations or cash flows. The timing of revenue recognition for our primary revenue streams will not change.

Additionally, we have completed our assessment of new disclosure requirements. Upon adoption of Topic 606, we will provide 
additional disclosures in the notes to the consolidated financial statements, specifically related to performance obligations and 
multiple-element revenue streams. We have designed new internal controls that will be implemented in the first quarter of fiscal 
2019 to address risks associated with applying the five-step model. Additionally, we have established monitoring controls to identify 
new sales arrangements and changes in our business environment that could impact our current accounting assessment.

3. 

Acquisitions

Post-Fiscal 2018 

On August 1, 2018, we acquired certain net assets of Stericycle Inc.'s controlled environmental solutions business (“CES business”) 
for total cash consideration, excluding acquisition-related costs, of $17,000. The CES business is a leading provider of testing and 
certification, environmental monitoring and decontamination services for clean rooms and other controlled environments to ensure 
safety, regulatory compliance and quality control, and will be included in our Water Purification and Filtration segment.

Fiscal 2018

Aexis Medical

On March 21, 2018, we purchased all of the issued and outstanding stock of Aexis Medical for total consideration, excluding 
acquisition-related  costs,  of $21,600, consisting  of $20,308 of  cash  consideration  (net  of  cash  acquired),  plus  contingent 
consideration ranging from zero to a maximum of $1,850, which is payable upon the achievement of certain purchase order targets 
through March 21, 2020. Aexis Medical specializes in advanced software solutions focused on the tracking and monitoring of 
instrument reprocessing for hospitals and healthcare professionals, and is included in our Endoscopy segment.

BHT Group

On August 23, 2017, we purchased all of the issued and outstanding stock of BHT Group, a leader in the German market in 
automated endoscope reprocessing and related equipment and services for total cash consideration, excluding acquisition related 
costs, of $60,216. BHT Group consists of a portfolio of high-quality automatic endoscope reprocessors, advanced endoscope 
storage and drying cabinets (products globally distributed by our Company prior to the acquisition under an agreement with BHT 
Group), washer-disinfectors for central sterile applications, associated technical service and parts as well as flexible endoscope 
repair services. BHT Group is included in our Endoscopy segment.

Fiscal 2017

CR Kennedy

On April 1, 2017, we purchased certain endoscopy-related net assets of CR Kennedy related to its distribution and sale of our 
Medivators endoscopy products in Australia for total cash consideration, excluding acquisition related costs, of $11,999. The CR 
Kennedy business includes a full sales and service organization and our Medivators-branded automated endoscope reprocessors, 
chemistries, endoscopy procedure products and other consumables in Australia, and is included in our Endoscopy segment.

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    52

 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

Vantage Endoscopy Inc.’s Medivators® Endoscopy Business 

On September 26, 2016, we acquired certain net assets of Vantage related to its distribution and sale of our Medivators endoscopy 
products in Canada for total cash consideration, excluding acquisition-related costs, of $4,044. Vantage was our exclusive distributor 
of Medivators capital equipment (e.g., automated endoscope reprocessors) and related consumables and accessories in Canada, 
and is included in our Endoscopy segment.

Accutron, Inc.

On August 1, 2016, we acquired all of the issued and outstanding stock of Accutron, a Phoenix-based company, for total cash 
consideration, excluding acquisition-related costs, of $53,049. The Accutron business designs, manufactures and sells nitrous oxide 
conscious sedation equipment and single use nasal masks for use in dental procedures, and is included in our Healthcare Disposables 
segment.

Purchase Price Allocation

Purchase Price:

Cash paid

Fair value of contingent consideration

Total

Allocation:

Property and equipment

Amortizable intangible assets:

Customer relationships
Technology

Brand names

Goodwill

Deferred income taxes

Other working capital

Contingent consideration

Total

2018

2017

Aexis 
Medical(1)

BHT 
Group(1)

CR Kennedy

Vantage(1)

Accutron(1)

(Preliminary)

(Final)

(Final)

(Final)

(Final)

$

$

20,308

1,292

21,600

$

$

60,216

—

60,216

$

$

11,999

—

11,999

$

$

4,044

—

4,044

$

$

53,049

—

53,049

130

835

—

1,800
4,600

—

17,092
(1,639)
909
(1,292)
21,600

$

12,500
6,200

—

40,934
(5,881)
5,628

—
60,216

$

4,200
—

—

5,894

—

1,905

—
11,999

$

$

433

992
—

—

2,299

—

320

—
4,044

$

1,676

12,800
10,000

2,000

21,989

112

4,472

—
53,049

_______________________________________________

(1)  The excess purchase price over net assets acquired was assigned to goodwill, all of which is deductible for income tax purposes.

Unaudited Pro Forma Summary of Operations

The acquisitions above, both individually and in the aggregate, were not material to our consolidated results of operations or 
financial position and, therefore, pro forma financial information is not presented. 

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    53

 
 
 
 
 
 
 
Cantel Medical Corp.  

4. 

Inventories, Net

A summary of inventories, net, is as follows:

Raw materials and parts
Work-in-process
Finished goods
Less: reserve for excess and obsolete inventory

Total inventories, net

5. 

Property and Equipment, Net

A summary of property and equipment, net, is as follows:

Land, buildings and improvements

Furniture, equipment and software

Leasehold improvements

Construction in process

Less: accumulated depreciation
Total property and equipment, net

6. 

Derivatives

 2018 Annual Report on Form 10-K

July 31, 

2018

2017

$

$

49,054
13,189
53,948
(8,599)
107,592

$

$

45,831
13,484
48,262
(8,853)
98,724

July 31, 

2018

2017

$

50,162

$

121,248

9,544

26,003
(95,540)
111,417

$

$

46,921

114,735

7,858

4,947
(86,123)
88,338

We recognize all derivatives on the balance sheet at fair value. Derivatives that are not designated as hedges must be adjusted to 
fair value through earnings. If the derivative is designated as a hedge, depending on the nature of the hedge, changes in the fair 
value of the derivative will either be offset against the change in the fair value of the hedged assets, liabilities or firm commitments 
through earnings or recognized in other comprehensive income until the hedged item is recognized in earnings. The ineffective 
portion of the change in fair value of a derivative that is designated as a hedge will be recognized immediately in earnings. As of 
July 31, 2018, all of our derivatives were designated as hedges. We do not hold any derivative financial instruments for speculative 
or trading purposes.

Changes in the value of the Euro, British Pound, Singapore dollar, Canadian dollar, Australian dollar and the Chinese Renminbi 
against the U.S. dollar affect our results of operations because certain cash bank accounts, accounts receivable, and liabilities of 
Cantel and its subsidiaries are denominated and ultimately settled in U.S. dollars or these foreign currencies, but must be converted 
into each entity’s functional currency.

In order to hedge against the impact of fluctuations in the value of the Euro, British Pound, Canadian dollar, Australian dollar and 
Singapore dollar relative to the U.S. dollar on the conversion of such net assets into the functional currencies, we enter into short-
term  forward  contracts  to  purchase  Euros,  British  Pounds,  Canadian  dollars, Australian  dollars  and  Singapore  dollars,  which 
contracts are one-month in duration. These short-term contracts are designated as fair value hedge instruments. There were seven
foreign currency forward contracts with an aggregate notional value of $30,159 at July 31, 2018, which covered certain assets and 
liabilities that were denominated in currencies other than each entity’s functional currency. These foreign currency forward contracts 
are continually replaced with new one-month contracts as long as we have significant net assets that are denominated and ultimately 
settled in currencies other than each entity’s functional currency. For the fiscal year ended July 31, 2018, such forward contracts 
partially offset the impact on operations relating to certain assets and liabilities that were denominated in currencies other than 
each entity’s functional currency. This resulted in an immaterial amount of net currency conversion gains, net of tax, on the hedged 
items. Gains and losses related to hedging contracts to buy Euros, British Pounds, Canadian dollars, Australian dollars and Singapore 
dollars forward are immediately realized within general and administrative expenses due to the short-term nature of such contracts. 
We do not currently hedge against the impact of fluctuations in the value of the Chinese Renminbi or Sri Lankan Rupee relative 
to the U.S. dollar because the overall foreign currency exposures relating to those currencies are currently not deemed significant.

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    54

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

7. 

Fair Value Measurements

Fair Value Hierarchy

 2018 Annual Report on Form 10-K

We apply the provisions of ASC 820, “Fair Value Measurements and Disclosures,” (“ASC 820”), for our financial assets and 
liabilities that are re-measured and reported at fair value each reporting period and our nonfinancial assets and liabilities that are 
re-measured and reported at fair value on a non-recurring basis. We define fair value as the price that would be received to sell an 
asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. ASC 820 establishes 
a three level fair value hierarchy to prioritize the inputs used in valuations, as defined below:

Level 1: Observable inputs that reflect unadjusted quoted prices for identical assets or liabilities in active markets.

Level 2: Inputs other than quoted prices included within Level 1 that are observable for the asset or liability, either directly 
or indirectly.

Level 3: Unobservable inputs for the asset or liability.

Assets and Liabilities Measured and Recorded at Fair Value on a Recurring Basis

Our financial assets that are re-measured at fair value on a recurring basis include money market funds that are classified as cash 
and cash equivalents in the consolidated balance sheets. These money market funds are classified within Level 1 of the fair value 
hierarchy and are valued using quoted market prices for identical assets.

For  the Aexis  Medical  acquisition,  additional  purchase  price  payments  ranging  from  $0  to  $1,850  are  contingent  upon  the 
achievement of certain purchase order targets through March 21, 2020. We estimated the original fair value of the contingent 
consideration using the weighted probabilities of the possible contingent payments. As of the date of acquisition, we estimated the 
original fair value of the contingent consideration to be $1,292. We are required to reassess the fair value of contingent payments 
on a periodic basis. The significant inputs used in these estimates include numerous possible scenarios for the payments based on 
the contractual terms of the contingent consideration, for which probabilities are assigned to each scenario. Given the short term 
nature of the financial instrument, the contingent consideration will not be discounted to present value. Although we believe our 
assumptions are reasonable, different assumptions or changes in the future may result in different estimated amounts.

In connection with the Jet Prep Ltd. (“Jet Prep”) acquisition in fiscal 2014, we assumed a contingent obligation payable to the 
Israeli Government based on future sales. This fair value measurement was based on significant inputs not observed in the market 
and thus represent Level 3 measurements. In November 2017, the Israeli Government formally notified us that they would forgive 
any future amounts payable due to our decision to exit the Jet Prep business. During the first quarter of fiscal 2018, we reduced 
the fair value of this obligation to $0. See Note 11, “Commitments and Contingencies.”

The fair values of our financial instruments measured on a recurring basis were categorized as follows:

Assets:
Cash and cash equivalents:

Money markets

Total assets
Liabilities:
Other long-term liabilities:

Contingent consideration

Total other long-term liabilities:

Total liabilities

Level 1

Level 2

Level 3

Total

July 31, 2018

$

$

$

104
104

—

—
— $

— $
—

—

—
— $

— $
—

104
104

1,298

1,298
1,298

$

1,298

1,298
1,298

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    55

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

Assets:
Cash and cash equivalents:

Money markets

Total assets

Liabilities:
Accrued expenses:

Assumed contingent obligation
Total accrued expenses

Other long-term liabilities:

Assumed contingent obligation

Total other long-term liabilities:

Total liabilities

Level 1

Level 2

Level 3

Total

July 31, 2017

$
$

$

102
102

$
$

—
—

—

—
— $

— $
— $

—
—

—

—
— $

— $
— $

12
12

1,126

1,126
1,138

$

102
102

12
12

1,126

1,126
1,138

A reconciliation of our liabilities that are measured and recorded at fair value on a recurring basis using significant unobservable 
inputs (Level 3) for fiscal 2018, 2017 and 2016 is as follows:

Balance, August 1, 2015

(Income) loss included in general and administrative
expense

Net purchases, issuances, sales and settlements

Balance, July 31, 2016

Income included in general and administrative expense

Net purchases, issuances, sales and settlements

Balance, July 31, 2017
Original fair value of contingent consideration
Loss included in general and administrative expense

Net purchases, issuances, sales and settlements

Aexis Medical
Contingent
Consideration
$

— $

Jet Prep
Contingent
Consideration
751

Jet Prep
Assumed
Contingent
Obligation

Cantel
Medical (U.K.)
Contingent
Guaranteed
Obligation

$

1,138

$

888

Total
$ 2,777

—

—

—

—

—

—
1,292
6

—

(751)
—

—

—

—

—
—
—

—

—

—

1,138

—

—

1,138
—
—
(1,138)

64
(511)
441
(265)
(176)
—
—
—

(687)
(511)
1,579
(265)
(176)
1,138
1,292
6
(1,138)
— $ 1,298

—

Balance, July 31, 2018

$

1,298

$

— $

— $

Disclosure of Fair Value of Financial Instruments

As of July 31, 2018 and 2017, the carrying amounts for cash and cash equivalents (excluding money markets), accounts receivable 
and accounts payable approximated fair value due to the short maturity of these instruments. As of July 31, 2018 and 2017, the 
carrying value of our outstanding borrowings under our credit facility approximated the fair value of these obligations as the 
borrowings rates reflect prevailing market interest rates.

8. 

Intangibles and Goodwill

Our  intangible  assets  with  definite  lives  consist  primarily  of  customer  relationships,  technology,  brand  names,  non-compete 
agreements and patents. These intangible assets are being amortized on the straight-line method over the estimated useful lives of 
the assets ranging from 3-20 years and have a weighted average amortization period of 14 years. Amortization expense related to 
intangible assets was $17,357, $18,407 and $13,095 for fiscal 2018, 2017 and 2016, respectively. Our intangible assets that have 
indefinite useful lives, and therefore are not amortized, consist of trademarks and trade names.

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    56

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

Our intangible assets consist of the following:

July 31, 2018

Accumulated
Amortization

Gross

Net

Gross

July 31, 2017

Accumulated
Amortization

Intangible assets with finite lives:

Customer relationships
Technology(1)
Brand names

Non-compete agreements
Patents and other registrations

Trademarks and tradenames

Total intangible assets

$ 133,347

$

54,585
8,141

3,060
2,826

201,959
7,520

$ 209,479

$

87,729

$ 119,576

$

34,749
4,284

1,432
1,647

(45,618) $
(19,836)
(3,857)
(1,628)
(1,179)
(72,118)
—

129,841
7,520
(72,118) $ 137,361

39,064
8,188

3,092
2,783

172,703
7,548

$ 180,251

$

Net

84,803

23,804
4,963

1,664
1,730

(34,773) $
(15,260)
(3,225)
(1,428)
(1,053)
(55,739)
—

116,964
7,548
(55,739) $ 124,512

_______________________________________________
(1) The gross and accumulated amortization amounts previously reported as of July 31, 2017 have been revised to exclude the $3,730 fully 

amortized technology intangible asset and associated accumulated amortization related to the Jet Prep business. This did not result in any 
change to the net technology intangible asset as of July 31, 2017.

During fiscal 2017, we decided to exit the Jet Prep business that was acquired in fiscal 2014. The Jet Prep acquisition was a fully 
integrated business within our Endoscopy segment. The useful life of the technology related intangible asset was revised to its 
respective cease use date, which resulted in accelerated amortization of approximately $2,401 that was recorded in the consolidated 
statements of income. In addition, we performed a relative fair value analysis for the goodwill recorded as part of the Jet Prep 
acquisition and determined that all of the goodwill would remain within the Endoscopy segment. We performed our annual goodwill 
impairment test of all of our reportable segments as of July 31, 2017, including the Endoscopy segment, which did not result in 
any impairment of our goodwill.

We expect to recognize $17,639, $15,893, $15,892, $15,550 and $15,177 of amortization expense related to intangible assets in 
fiscal 2019, 2020, 2021, 2022 and 2023, respectively.

Goodwill changed during fiscal 2018 and 2017 as follows:

Balance, August 1, 2016

Acquisitions

Foreign currency translation

Balance, July 31, 2017

Acquisitions
Foreign currency translation

Balance, July 31, 2018

Endoscopy

$

$

121,015
8,193

737
129,945
58,026
(1,281)
186,690

Water
Purification
and Filtration
58,880
$
—

208
59,088
—
(163)
58,925

$

Healthcare
Disposables

Dialysis

Total 
Goodwill

$

$

92,290
21,989

—
114,279
—
—
114,279

$

$

8,133
—

—
8,133
—
—
8,133

$

$

280,318
30,182

945
311,445
58,026
(1,444)
368,027

On May 1, 2018, we performed impairment analysis of our goodwill and indefinite lived trademarks and trade names and concluded 
that such assets were not impaired, as more fully described in Note 2, “Summary of Significant Accounting Policies.”

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    57

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

9. 

Financing Arrangements

Our long-term debt consists of the following:

Revolving credit loans outstanding
Tranche A term loan outstanding
Unamortized debt issuance costs

Total long-term debt, net of unamortized debt issuance costs

Current portion of long-term debt

Long-term debt, net of unamortized debt issuance costs and excluding current portion

 2018 Annual Report on Form 10-K

Year Ended July 31,

2018

— $

200,000
(2,698)
197,302
(10,000)
187,302

$

2017
126,000
—
—
126,000
—
126,000

$

$

On June 28, 2018, we entered into a Fourth Amended and Restated Credit Agreement (the “2018 Credit Agreement”). The Amended 
Credit Agreement refinances our credit facility under the Third Amended and Restated Credit Agreement (the “Existing Credit 
Agreement”) dated March 4, 2011, to include a $200,000 tranche A term loan and a $400,000 revolving credit facility. Subject to 
the satisfaction of certain conditions precedent, including the consent of the lenders, we may from time to time increase its borrowing 
capacity under the revolving credit facility or tranche A term loan by an aggregate amount not to exceed $300,000. The 2018 Credit 
Agreement expires on June 28, 2023. Additionally, subject to certain restrictions and conditions (i) any of our domestic or foreign 
subsidiaries may become borrowers and (ii) borrowings may occur in multi-currencies.

As of July 31, 2018, we had $200,000 of term loan A borrowings outstanding and no revolver borrowings under the 2018 Credit 
Agreement. The tranche A term loan is subject to principal amortization, with $10.0 million due and payable in each of fiscal 2019, 
2020, 2021 and 2022, with the remaining $160.0 million due and payable at maturity on June 28, 2023.

Borrowings under the 2018 Credit Agreement bear interest at rates ranging from 0.00% to 1.00% above prime rate for base rate 
borrowings, or at rates ranging from 1.00% to 2.00% above the London Interbank Offered Rate (“LIBOR”), depending upon our 
“Consolidated Leverage Ratio,” which is defined as the consolidated ratio of total funded debt to earnings before interest, taxes, 
depreciation and amortization, and as further adjusted under the terms of the 2018 Credit Agreement (“Consolidated EBITDA”). The 
Amended Credit Agreement also provides for fees on the unused portion of the revolving credit facility at rates ranging from 0.20%
to 0.35%, depending on our Consolidated Leverage Ratio. At July 31, 2018, the lender’s base rate was 5.00% and the LIBOR rate 
was 1.25%. The margins applicable to our outstanding borrowings were 0.25% above the lender’s base rate or 1.25% above LIBOR. 
All of our outstanding borrowings were under LIBOR contracts at July 31, 2018. The 2018 Credit Agreement also provides for 
fees on the unused portion of our facility at rates ranging from 0.20% to 0.35%, depending upon our Consolidated Leverage Ratio, 
which was 0.20% at July 31, 2018. At July 31, 2018, the tranche A term loan interest rate was approximately 3.35%.

The 2018 Credit Agreement contains affirmative and negative covenants reasonably customary for similar credit facilities and is 
secured by (i) substantially all assets of Cantel and its U.S.-based subsidiaries, (ii) a pledge by Cantel of all of the outstanding 
shares of its U.S.-based subsidiaries and 65% of the outstanding shares of certain of Cantel’s foreign-based subsidiaries and (iii) 
a guaranty by Cantel’s domestic subsidiaries. We are in compliance with all financial covenants under the 2018 Credit Agreement.

During fiscal 2018, in connection with the refinancing of our credit agreement, we incurred a loss on extinguishment of debt which 
included a write-off of debt financing costs of $127, which is recorded in interest expense, net for the fiscal year ended July 31, 
2018.

10. 

Income Taxes

On December 22, 2017, the U.S. government enacted wide-ranging tax legislation, the Tax Cuts and Jobs Act (the “2017 Tax Act”). 
The 2017 Tax Act significantly revises U.S. tax law by, among other provisions, (a) lowering the applicable U.S. federal statutory 
income tax rate from 35% to 21%, (b) creating a partial territorial tax system that includes imposing a mandatory one-time transition 
tax on previously deferred foreign earnings, (c) creating provisions regarding the (1) Global Intangible Low Tax Income (“GILTI”), 
(2)  the  Foreign  Derived  Intangible  Income  (“FDII”)  deduction,  and  (3)  the  Base  Erosion Anti-Abuse Tax  (“BEAT”),  and  (d) 
eliminating or reducing certain income tax deductions, such as interest expense, executive compensation expenses and certain 
employee expenses.

ASC 740, “Income Taxes,” requires the effects of changes in tax laws to be recognized in the period in which the legislation is 
enacted. However, due to the complexity and significance of the 2017 Tax Act’s provisions, the SEC staff issued Staff Accounting 

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    58

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

Bulletin No. 118 (“SAB 118”), which allows companies to record the tax effects of the 2017 Tax Act on a provisional basis based 
on a reasonable estimate and then, if necessary, subsequently adjust such amounts during a limited measurement period as more 
information  becomes  available.  The  measurement  period  ends  when  a  company  has  obtained,  prepared,  and  analyzed  the 
information necessary to finalize its accounting, but cannot extend beyond one year from enactment. 

Section 15 of the Internal Revenue Code governs rate changes and was not amended by the 2017 Tax Act. Section 15 requires a 
blended tax rate for fiscal-year taxpayers for their fiscal year that includes the effective date of the rate change, which was January 
1, 2018. As a result of the 2017 Tax Act, we revised our estimated annual effective rate to reflect the change in the U.S. federal 
statutory rate by computing a tentative tax under both rates, and then prorating the tentative tax based on the number of days with 
and without the rate change to arrive at a blended tax rate of 26.9%, as required by the code. This blended rate was applied for 
fiscal 2018 and the new U.S. federal statutory rate of 21% will apply to fiscal 2019 and beyond. 

During the second quarter ended January 31, 2018, we recorded a net benefit of $8,398 to the income tax provision as a provisional 
estimate of the net accounting impact of the 2017 Tax Act in accordance with SAB 118. The net benefit was comprised of the 
following: (i) expense of $294 related to the mandatory transition tax for unrepatriated foreign income and (ii) a benefit of $8,692
related to a revaluation of our deferred tax assets and liabilities. During the third quarter ended April 30, 2018, we reduced the 
mandatory transition tax by $294 to $0. Furthermore, during the fourth quarter ended July 31, 2018, upon reassessment of the 
revaluation of our deferred tax assets and liabilities, we recorded a benefit of $8,657, as compared to the provisional estimate of 
$8,692, which we recorded in the second quarter ended January 31, 2018.

Given the significant complexity of the 2017 Tax Act, anticipated guidance from the U.S. Treasury concerning implementation of 
the 2017 Tax Act, and the potential for additional guidance from the SEC or the FASB related to the 2017 Tax Act, the provisional 
estimates  we  recorded  may  require  adjustment  during  the  measurement  period. The  provisional  estimates  were  based  on  our 
understanding  of  the  2017  Tax Act  and  other  information  available  at  the  time  of  the  estimates,  including  assumptions  and 
expectations about future events, such as projected financial performance, and are subject to further refinement as additional 
information becomes available, including potential new or interpretative guidance issued by the SEC, the FASB, or the Internal 
Revenue Service (“IRS”). We continue to analyze the calculations of earnings and profits in certain foreign subsidiaries, including 
whether those earnings are held in cash or other assets, as well as the state tax impact of the 2017 Tax Act. Furthermore, such 
analysis includes but is not limited to provisions that take effect in fiscal 2019 and not subject to SAB 118 such as GILTI and 
certain employee expense deductions. In the fourth quarter ended July 31, 2018 we revised our assessment of the impact of the 
2017 Tax Act on our deferred tax assets and liabilities based on actual fiscal year 2018 results of operations.

The consolidated effective tax rate was 22.5%, 32.8% and 36.2% for fiscal 2018, 2017 and 2016, respectively, and reflects income 
tax expense for our U.S. and international operations at their respective statutory rates.

The provision for income taxes consists of the following:

United States:
Federal
State
International
Total

2018

Year Ended July 31,

2017

2016

Current

Deferred

Current

Deferred

Current

Deferred

$

$

24,288
5,078
4,626
33,992

$

$

(7,308) $
491
(703)
(7,520) $

28,900
4,352
1,545
34,797

$

$

2,020
261
(2,223)
58

$

$

29,392
4,433
1,863
35,688

$

$

(216)
(153)
(1,341)
(1,710)

The geographic components of income (loss) before income taxes are as follows:

United States

International

Total

Year Ended July 31,

2018
115,697

1,816

117,513

$

$

2017
108,329
(2,096)
106,233

$

$

2016

92,744

1,187

93,931

$

$

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    59

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

The consolidated effective income tax rate differed from the U.S. statutory tax rate of 26.9% in fiscal 2018 and 35.0% in fiscal 
2017 and 2016 due to the following:

Expected statutory tax(1)
Differential attributable to:

Foreign operations
State and local taxes

Domestic production deduction
Acquisition-related items, net
Impact of tax legislation on deferred taxes
R&E tax credit
Change in foreign tax rates
Excess tax benefits
Valuation allowance
Other

Consolidated effective income tax rate

Year Ended July 31,

2018

2017

2016

26.9 %

35.0 %

35.0 %

0.6 %
3.7 %

(1.8)%
— %
(7.4)%
(0.7)%
— %
(1.7)%
2.4 %
0.5 %

22.5 %

— %
3.9 %

(2.7)%
0.1 %
— %
(1.4)%
— %
(2.2)%
— %
0.1 %

32.8 %

0.6 %
3.2 %

(2.3)%
— %
— %
(1.1)%
(0.4)%
— %
— %
1.2 %

36.2 %

_______________________________________________
(1) We revised our estimated annual rate to reflect a blended U.S. federal statutory rate of 26.9% as compared to 35.0%.

Tax assets and liabilities, shown before and after jurisdictional netting of deferred tax assets (liabilities), are comprised of the 
following:

Deferred tax assets:

Accrued expenses
Inventories

Accounts receivable

Other long-term liabilities

Stock-based compensation

Capital investment
Foreign NOLs

Subtotal

Valuation allowance

Deferred tax liabilities:

Property and equipment
Intangible assets
Goodwill

Net deferred income taxes

Reported in Consolidated Balance Sheets as:

Deferred income taxes (assets)
Deferred income taxes (liabilities)

July 31, 

2018

2017

$

5,354
3,165

306

103

2,700

426
8,605

20,659
(6,358)
14,301

(7,352)
(21,300)
(10,362)
(39,014)
(24,713) $

6,308
4,655

729

180

3,402

545
6,490

22,309
(2,984)
19,325

(9,957)
(20,107)
(13,975)
(44,039)
(24,714)

$

2,911
(27,624)
(24,713) $

—
(24,714)
(24,714)

$

$

$

$

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    60

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

For foreign tax reporting purposes, our Net Operating Losses (“NOLs”) at July 31, 2018 are $8,605 and originated primarily from 
foreign acquisitions. Most of these NOLs do not expire and are fully available for utilization against future profits in certain non-
U.S. tax jurisdictions. However, we have recorded a valuation allowance of $6,358 for these foreign NOLs, which are primarily 
associated with certain early-stage foreign operations as well as $2,785 recorded in fiscal 2018 relating to pre-acquisition losses 
attributed to our U.K. operations. Furthermore, the accumulated loss is also related to the exit of the Jet Prep business which is 
more fully described in Note 8, “Intangibles and Goodwill.” We believe it is more likely than not that we will be unable to utilize 
these NOLs.

During fiscal 2018 and 2017, no dividends were repatriated from our foreign subsidiaries. As a result of the mandatory one-time 
transition tax required under the 2017 Tax Act, all of the undistributed earnings of our foreign subsidiaries are deemed repatriated 
and considered previously taxed income (“PTI”). Additionally, we continue to be indefinitely reinvested and continue to evaluate 
our assertion for certain legal entities.  Accordingly, deferred taxes are not provided on undistributed earnings of foreign subsidiaries 
that are indefinitely reinvested. Determining the tax liability that would arise if these earnings were remitted is not practicable. At 
July 31, 2018, the cumulative amount of such undistributed earnings, inclusive of PTI, indefinitely reinvested outside the United 
States was approximately $32,774.

We record liabilities for an unrecognized tax benefit when a tax benefit for an uncertain tax position is taken or expected to be 
taken on a tax return, but is not recognized in our consolidated financial statements because it does not meet the more-likely-than-
not recognition threshold that the uncertain tax position would be sustained upon examination by the applicable taxing authority. 
The tax benefits recognized in the financial statements from such a position are measured based on the largest benefit that has a 
greater than fifty percent likelihood of being realized upon settlement with the tax authorities. Any adjustments upon resolution 
of income tax uncertainties are recognized in our results of operations. Our policy is to record potential interest and penalties 
related to income tax positions in interest expense and general and administrative expense, respectively, in our consolidated financial 
statements. However, such amounts have been relatively insignificant due to the nominal amount of our unrecognized tax benefits 
relating to uncertain tax positions. We have no uncertain tax positions at July 31, 2018 and 2017.

We concluded an audit by the IRS for fiscal years 2015, 2013 and 2012. With respect to state or foreign income tax examinations, 
we are generally no longer subject to examinations for fiscal years ended prior to July 31, 2010.

11. 

Commitments and Contingencies

Operating Leases

We have several non-cancelable operating leases, primarily for our corporate headquarters, certain of our leased manufacturing 
facilities, warehouses, office space and equipment. Total rental expense related to our operating leases was $8,801, $7,715 and 
$6,675 for fiscal 2018, 2017 and 2016, respectively.

As of July 31, 2018, future minimum lease payments under non-cancelable operating leases (with initial or remaining lease terms 
in excess of one year) for the periods set forth below were as follows: 

Fiscal year ending:

2019
2020
2021
2022
2023
Thereafter

Total

Contingent Consideration

Total

7,958
6,208
4,666
2,904
2,104
3,593
27,433

$

$

We have $1,298 recorded as of July 31, 2018 related to the Aexis Medical acquisition, which is for the estimated fair value of 
contingent consideration payable upon the achievement of certain purchase order targets through March 21, 2020. During fiscal 
2017, we decided to exit the Jet Prep business that was acquired in fiscal 2014. At the time of the acquisition, we assumed a 
contingent obligation payable to the Israeli Government based on future sales. In November 2017, the Israeli Government formally 
notified us that they would forgive any future amounts payable due to our decision to exit the Jet Prep business. As a result of this 

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    61

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

formal notification, we reduced the $1,138 contingent obligation to $0 during the first quarter of fiscal 2018, resulting in a benefit 
through other income for the fiscal year ended July 31, 2018.

Legal Proceedings

In May 2017, Cantel Medical (UK) Limited and Cantel (UK) Limited filed a lawsuit in the UK High Court of Justice against ARC 
Medical  Design  Limited  (“ARC”)  seeking  a  judgment  of  invalidity  on  two  of ARC’s  patents  and  additionally/alternatively  a 
declaration of non-infringement of our AmplifEYETM Endoscopic device. ARC filed counterclaims alleging that the AmplifEYETM
device infringed the two patents as well as registered community design marks and unregistered design rights that ARC had in its 
EndocuffTM and Endocuff VisionTM devices. In February 2018, the trial judge entered a judgment in favor of ARC, and we decided 
not to appeal the decision. We entered into a settlement agreement with ARC in March 2018 under which we agreed not to make, 
use, sell or offer to sell the AmplifEYETM device in the European Union until ARC’s rights expire, and reimbursed ARC for a 
portion of their legal costs. During the third quarter of fiscal 2018, we recorded $2,608 of litigation costs within selling, general 
and administrative expenses associated with this matter. 

In the normal course of business, we are subject to pending and threatened legal actions. It is our policy to accrue for amounts 
related to these legal matters if it is probable that a liability has been incurred and an amount of anticipated exposure can be 
reasonably estimated. We do not believe that any of these pending claims or legal actions will have a material effect on our business, 
financial condition, results of operations or cash flows.

12. 

Accumulated Other Comprehensive Loss

The components and changes in accumulated other comprehensive loss for fiscal 2018, 2017 and 2016 were as follows:

Balance, August 1, 2015

Other comprehensive loss

Balance, July 31, 2016

Other comprehensive income

Balance, July 31, 2017

Other comprehensive loss

Balance, July 31, 2018

13. 

Earnings Per Common Share

Foreign Currency
Translation Adjustments
1,224
$
(13,019)
(11,795)
1,895
(9,900)
(1,556)
(11,456)

$

Basic EPS is computed based upon the weighted average number of common shares outstanding for the year. Diluted EPS is 
computed based upon the weighted average number of common shares outstanding for the year plus the dilutive effect of common 
stock equivalents using the treasury stock method and the average market price of our common stock for the year. We include 
participating  securities  (nonvested  share-based  payment  awards  that  contain  non-forfeitable  rights  to  dividends  or  dividend 
equivalents) in the computation of EPS pursuant to the two-class method. Our participating securities consist solely of nonvested 
restricted stock awards, which have contractual participation rights equivalent to those of stockholders of unrestricted common 
stock. The two-class method of computing earnings per share is an allocation method that calculates earnings per share for common 
stock and participating securities.

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    62

 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

The following table sets forth the computation of basic and diluted EPS available to stockholders of common stock (excluding 
participating securities):

Numerator for basic and diluted earnings per share:

Net income

Less income allocated to participating securities

Net income available to common shareholders

Denominator for basic and diluted earnings per share, as adjusted for
participating securities:

Denominator for basic earnings per share - weighted average number of
shares outstanding attributable to common stock
Dilutive effect of stock options using the treasury stock method and the
average market price for the year

Denominator for diluted earnings per share - weighted average number of
shares and common stock equivalents attributable to common stock
Earnings per share attributable to common stock:

Basic earnings per share

Diluted earnings per share

Stock options excluded from weighted average dilutive common shares
outstanding because their inclusion would have been antidilutive

$

$

$

$

Year Ended July 31,

2018

2017

2016

91,041
(320)
90,721

$

$

71,378
(431)
70,947

$

$

59,953
(488)
59,465

41,567,722

41,468,487

41,344,013

67,356

74,278

46,181

41,635,078

41,542,765

41,390,194

2.18

2.18

$

$

1.71

1.71

$

$

—

—

1.44

1.44

—

A reconciliation of weighted average number of shares and common stock equivalents attributable to common stock, as determined 
above, to our total weighted average number of shares and common stock equivalents, including participating securities, is set 
forth in the following table:

Denominator for diluted earnings per share - weighted average number of
shares and common stock equivalents attributable to common stock
Participating securities
Total weighted average number of shares and common stock equivalents
attributable to both common stock and participating securities

2018

Year Ended July 31,
2017

2016

41,635,078
148,700

41,542,765
254,727

41,390,194
340,363

41,783,778

41,797,492

41,730,557

14. 

Stock-Based Compensation

2016 Equity Incentive Plan

On January 7, 2016, we terminated the Cantel Medical Corp. 2006 Equity Incentive Plan (the “2006 Plan”) and adopted the Cantel 
Medical Corp. 2016 Equity Incentive Plan (the “2016 Plan”). As a result, no further options or awards will be granted under the 
2006 Plan. The 2016 Plan provides for the granting of stock options, stock appreciation rights (SARs), restricted stock awards, 
restricted stock units (RSUs) and performance-based awards to our employees, independent contractors and consultants. It also 
provides the flexibility to grant equity-based awards to our non-employee directors. The 2016 Plan does not permit the granting 
of discounted options or discounted stock appreciation rights.

The maximum number of shares as to which equity awards may be granted under the 2016 Plan is 1,200,000 shares. The 2016 
Plan will terminate on the date of our annual meeting of stockholders following the close of our fiscal year ending in 2025, unless 
terminated earlier by the Board of Directors. Stock awards under this plan:   

•  will be granted at the closing market price at the time of the grant,
•  will include terms which may not exceed ten years, subject to certain exceptions set forth in the Plan, and
•  may be granted in the form of Restricted Stock and Restricted Stock Units, Performance Awards, or Dividends.

Stock awards outstanding under this plan are subject to risk of forfeiture solely due to an employment length-of-service restriction, 
with such restriction lapsing as to one-third of the shares of each of the first three anniversaries of the grant date subject to being 

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    63

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

employed through such vesting date. At July 31, 2018, 179,133 unvested restricted stock shares were outstanding under the 2016 
plan. No options were outstanding under the 2016 plan. At July 31, 2018, 974,659 shares are collectively available pursuant to 
restricted stock and other stock awards, stock options and stock appreciation rights.

2006 Equity Incentive Plan

A total of 5,591,000 shares of common stock were granted under the 2006 Plan, of which 2,700,000 shares were authorized for 
issuance pursuant to stock options and stock appreciation rights and 2,891,000 shares were authorized for issuance pursuant to 
restricted stock and other stock awards. Restricted stock shares outstanding under this plan are subject to risk of forfeiture solely 
due to an employment length-of-service restriction, with such restriction lapsing as to one-third of the shares on each of the first 
three anniversaries of the grant date subject to being employed through such vesting date. At July 31, 2018, options to purchase 
70,000 shares of common stock were outstanding, and 32,973 unvested restricted stock shares were outstanding under the 2006 
Plan.

The following table shows the components of stock-based compensation expense recognized in the consolidated statements of 
income:

Cost of sales

Operating expenses:

Selling

General and administrative
Research and development

Total operating expenses

Year Ended July 31,

2018

2017

2016

$

663

$

371

$

438

1,458

7,292
202

8,952

1,582

6,774
117

8,473

929

6,881
113

7,923

8,361

Stock-based compensation before income taxes

$

9,615

$

8,844

$

Our stock options and time-based stock awards are subject to graded vesting in which portions of the awards vest at different times 
during the vesting period. We recognize compensation expense for awards subject to graded vesting using the straight-line basis 
over the vesting period.

In October 2016, we granted for the first time to certain employees both equity awards with performance conditions and equity 
awards with market conditions. The actual number of equity awards earned and eligible to vest will be determined based on the 
level of achievement against budgeted revenue and a defined gross profit percentage, with respect to the awards with performance 
conditions, and our 3-year relative total stockholder return performance as measured against the S&P Healthcare Equipment Index, 
with respect to the awards with market conditions. The maximum share attainment of these awards are 200% of the initial granted 
shares. We recognize compensation expense for the awards with performance conditions using the accelerated attribution method 
over the requisite service period for each separately vesting portion of the award when it is probable that the performance condition 
will be achieved. We record expense for the awards that are subject to market conditions ratably over the vesting period regardless 
of whether the market condition is satisfied.

At July 31, 2018, total unrecognized stock-based compensation expense, before income taxes, related to total nonvested stock 
options and restricted stock awards was $12,102 with a remaining weighted average period of 18 months over which such expense 
is expected to be recognized. The majority of our nonvested awards relate to restricted stock awards. We account for forfeitures 
as they occur, rather than estimate expected forfeitures over the vesting period.

We determine the fair value of each time-based stock award and performance-based stock award by using the closing market price 
of our common stock on the date of grant. We determine the fair value of each stock award with market conditions using a Monte 
Carlo simulation on the date of grant using the following assumptions:

Volatility of common stock
Average volatility of peer companies
Average correlation coefficient of peer companies

Risk-free interest rate

2018

2017

26.60%
33.72%
32.26%

1.62%

27.75%
32.98%
35.35%

0.96%

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    64

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

A summary of nonvested stock award activity for fiscal 2018, 2017 and 2016 follows:

August 1, 2015
Granted
Vested(1)
Forfeited

July 31, 2016
Granted
Vested(1)
Forfeited

July 31, 2017
Granted
Vested(1)
Forfeited

July 31, 2018

Number of
Time-based
Shares
343,519
175,700
(183,045)
(4,807)
331,367
86,305
(214,932)
(5,922)
196,818
94,309
(115,943)
(6,864)
168,320

Number of
Performance-
based Shares
—
—

—
—

—
16,960
(725)
—

16,235
17,486
(5,845)
(1,800)
26,076

Number of
Market-based
Shares

—
—

—
—

—
9,800
(555)
—

9,245
10,465

—
(2,000)
17,710

Number of
Total Shares
$
343,519
$
175,700
(183,045) $
(4,807) $
$
331,367
113,065
$
(216,212) $
(5,922) $
$
222,298
122,260
$
(121,788) $
(10,664) $
$
212,106

Weighted
Average Fair
Value

32.77
55.40

30.06
45.06

46.09
81.77
43.62
59.40

66.28
101.74

60.25
95.09

88.87

_______________________________________________

(1)  The aggregate fair value of all nonvested stock awards which vested was approximately $7,338, $9,431 and $5,503 in fiscal 2018, 2017

and 2016, respectively.

There were no options granted during fiscal 2018 and 2017. The fair value of each option grant in fiscal 2016 was estimated on 
the date of grant using the Black-Scholes option valuation model with the following assumptions:

Dividend yield
Expected volatility(1)
Risk-free interest rate(2)
Expected lives (in years)(3)

________________________________________________

(1)  Volatility was based on historical closing prices of our common stock.
(2)  The U.S. Treasury rate based on the expected life at the date of grant.
(3)  Based on historical exercise behavior.

A summary of stock option activity for fiscal 2018 follows:

2016

0.22%
55.90%

1.41%

5.00

Outstanding at August 1, 2017

Granted
Exercised

Outstanding at July 31, 2018
Exercisable at July 31, 2018

Weighted Average
Exercise Price

Weighted Average
Contractual Life
Remaining
(Years)

Aggregate
Intrinsic Value

$

$
$

29.36
—
17.04
38.60
37.31

0.95 $
0.86 $

3,788
3,601

Number of shares
122,500
—
(52,500)
70,000
65,000

In fiscal 2018, 2017 and 2016, 13,333, 23,333 and 35,834, respectively, options vested, with an aggregate fair value of approximately 
$226, $349 and $344, respectively. The weighted average fair value of options granted was $26.49 in fiscal 2016. At July 31, 2018, 
2017 and 2016, there were 70,000, 122,500 and 122,500, respectively, outstanding options with an aggregate fair value of $3,788, 
$5,493 and $4,605, respectively. At July 31, 2018 and 2017, all of the outstanding options had vested or were expected to vest in 
future periods.

We do not currently have a publicly announced stock repurchase program. All of the shares purchased during fiscal 2018 and 2017
represent shares surrendered relating to cashless exercises of stock options and to pay employee withholding taxes due upon the 

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    65

 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

vesting of restricted stock or the exercise of stock options. In fiscal 2018 and 2017, such purchases amounted to 72,058 and 89,607
shares at a total average price per share of $98.16 and $77.12, respectively.

Upon exercise of stock options or grant of stock awards, we typically issue new shares of our common stock as opposed to using 
treasury shares. Additionally, all options were considered to be deductible for tax purposes in the valuation model. Such non-
qualified options were tax-effected using our estimated U.S. effective tax rate at the time of grant. All of our stock options and 
restricted stock awards are expected to be deductible for tax purposes, except for certain stock awards granted to employees residing 
outside of the United States, and were tax-effected using our estimated U.S. effective tax rate at the time of grant.

Excess tax benefits arise when the ultimate tax effect of the deduction for tax purposes is greater than the income tax benefit on 
stock-based compensation described above. For fiscal 2018, income tax deductions of $4,161 were generated, of which $1,988
were recorded as a reduction in income tax expense over the equity awards’ vesting period and the remaining excess tax benefit 
of $2,173 was recorded as a reduction in income tax expense. For fiscal 2017, income tax deductions of $5,592 were generated, 
of which $3,351 were recorded as a reduction in income tax expense over the equity awards’ vesting period and the remaining 
excess tax benefits of $2,241 were recorded as a reduction in income tax expense. 

15. 

Retirement Plans

We have 401(k) Savings and Retirement Plans for the benefit of eligible U.S. employees. Additionally, our Canadian and certain 
European  subsidiaries  maintain  profit  sharing  plans  for  the  benefit  of  eligible  employees.  Employer  contributions  are  both 
discretionary and non-discretionary and are limited in any year to the amount allowable by government tax authorities.

Aggregate employer contributions recognized under these plans were $4,676, $3,863 and $3,406 for fiscal 2018, 2017 and 2016, 
respectively.

16. 

Reportable Segments

In accordance with ASC Topic 280, “Segment Reporting,” (“ASC 280”), we have determined our reportable business segments 
based upon an assessment of product types, organizational structure, customers and internally prepared financial statements. The 
primary factors used by us in analyzing segment performance are net sales and income from operations.

None of our customers accounted for 10% or more of our consolidated net sales during fiscal 2018, 2017 and 2016. 

Our reportable segments are as follows:

Endoscopy: designs, develops, manufactures, sells and installs a comprehensive offering of products and services comprising a 
complete circle of infection prevention solutions. Our products include endoscope reprocessing and endoscopy procedure products.

Water Purification and Filtration: designs, develops, manufactures, sells, and installs water purification systems for medical, 
pharmaceutical and other bacteria controlled applications. We also provide filtration/separation and disinfectant technologies to 
the medical and life science markets through a worldwide distributor network. 

Two customers collectively accounted for approximately 48.0%, 50.2% and 43.7% of our Water Purification and Filtration segment 
net sales in fiscal 2018, 2017 and 2016, respectively.

Healthcare Disposables: designs, manufactures, sells, supplies and distributes a broad selection of infection prevention healthcare 
products, the majority of which are single-use products used by dental practitioners.

Three customers collectively accounted for approximately 45.1% and 43.4% of our Healthcare Disposables segment net sales in 
fiscal 2018 and 2017, respectively. Four customers collectively accounted for approximately 49.1% in fiscal 2016.

Dialysis: designs, develops, manufactures, sells and services reprocessing systems and sterilants for dialyzers (a device serving 
as an artificial kidney), as well as dialysate concentrates and supplies utilized for renal dialysis.

Two customers collectively accounted for approximately 40.6%, 44.2% and 42.6% of our Dialysis segment net sales in fiscal 2018, 
2017 and 2016, respectively. These customers are the same two customers noted above under our Water Purification and Filtration 
segment.

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    66

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

Information as to reportable segments is summarized below:

Net sales:

Endoscopy

Water Purification and Filtration
Healthcare Disposables

Dialysis

Total

Income from operations:

Endoscopy

Water Purification and Filtration

Healthcare Disposables

Dialysis

General corporate expenses

Income from operations

Interest expense, net

Other income

Income before income taxes

Identifiable assets:
Endoscopy

Water Purification and Filtration

Healthcare Disposables

Dialysis

General corporate, including cash and cash equivalents

Year Ended July 31,

2018

2017

2016

$

473,937

$

398,773

$

211,209
155,180

31,596
871,922

$

196,446
144,457

30,481
770,157

$

$

341,752

177,669
112,584

32,750
664,755

Year Ended July 31,

2018

2017

2016

$

86,833

$

73,440

$

35,100

31,707

7,380
161,020

39,356

121,664

5,289
(1,138)
117,513

$

$

33,159

28,000

8,154
142,753

32,343

110,410

4,303
(126)
106,233

61,021

30,620

24,486

7,907
124,034

26,783

97,251

3,320

—

$

93,931

2018

July, 31

2017

2016

$

490,702

$

368,820

$

151,460

210,831

22,614

88,101

147,477

208,328

17,211

44,537

347,107

137,731

157,918

20,147

31,629

Total

$

963,708

$

786,373

$

694,532

Capital expenditures:

Endoscopy
Water Purification and Filtration
Healthcare Disposables
Dialysis

General corporate

Total

Year Ended July, 31

2018

2017

2016

$

$

$

18,996
4,409
2,441
644

11,208

37,698

$

13,816
3,689
2,492
1,296

5,772

27,065

11,299
3,376
2,606
667

941

18,889

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    67

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

Depreciation and amortization:

Endoscopy

Water Purification and Filtration
Healthcare Disposables

Dialysis
General corporate

Total

Year Ended July, 31

2018

2017

2016

$

19,002

$

18,245

$

14,333

5,628
8,756

711
733

5,706
8,556

427
518

5,441
4,361

681
268

$

34,830

$

33,452

$

25,084

Information as to geographic areas (including net sales which represent the geographic area from which we derive its net sales 
from external customers) is summarized below:

Net sales:

United States

Europe/Africa/Middle East

Asia/Pacific

Canada

Latin America/South America

Total

Total long-lived assets:

United States

Europe/Africa/Middle East

Asia/Pacific

Canada

Total

Goodwill and intangible assets, net

Total

Year Ended July, 31

2018

2017

2016

$

643,744

$

599,657

$

515,055

131,130

57,108

33,524

6,416
871,922

$

95,753

40,964

26,648

7,135
770,157

$

$

88,355

33,374

20,975

6,996
664,755

2018

July 31, 

2017

2016

$

80,918

$

74,401

$

35,824

2,531

804

120,077
505,388

16,209

1,381

1,054

93,045
435,957

$

625,465

$

529,002

$

62,820

14,863

1,607

463

79,753
392,037

471,790

17. 

Quarterly Results of Operations (unaudited)

The following is a summary of the quarterly results of operations for fiscal 2018 and 2017:

Fiscal 2018

Net sales
Cost of sales

Gross profit

Gross profit percentage

Net income

Earnings per common share:

Basic

Diluted

First Quarter
212,766
112,107
100,659

Second Quarter
213,034
$
111,799
101,235

Third Quarter
217,268
$
112,594
104,674

Fourth Quarter
228,854
$
121,451
107,403

47.3%

22,929

0.55

0.55

$

$

$

47.5%

32,488

0.78

0.78

$

$

$

48.2%

18,736

0.45

0.45

$

$

$

46.9%

16,888

0.41

0.41

$

$

$

$

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    68

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

Fiscal 2017

Net sales
Cost of sales

Gross profit
Gross profit percentage

Net income
Earnings per common share:

Basic
Diluted

18. 

Subsequent Event

$

First Quarter
187,725
98,218

Second Quarter
184,817
$
96,340

Third Quarter
192,113
$
100,665

Fourth Quarter
205,502
$
107,774

89,507

47.7%

18,800

0.45
0.45

$

$
$

88,477

47.9%

18,070

0.43
0.43

$

$
$

91,448

47.6%

17,511

0.42
0.42

$

$
$

97,728

47.6%

16,997

0.41
0.41

$

$
$

On August 29, 2018, we purchased a new facility in Plymouth, Minnesota for total cash consideration of $22,486. We expect to 
occupy this facility during the second half of fiscal 2019.  

Schedule II - Valuation and Qualifying Accounts

Allowance for doubtful accounts

Year ended July 31, 2018

Year ended July 31, 2017

Year ended July 31, 2016

Reserve for excess and obsolete inventory

Year ended July 31, 2018

Year ended July 31, 2017

Year ended July 31, 2016

Deferred tax asset valuation allowance

Year ended July 31, 2018

Year ended July 31, 2017

Year ended July 31, 2016

Balance 
at Beginning 
of Period

Additions

  Deductions

Translation
Adjustments

Balance 
at End 
of Period

$

$

$

$

$

$

$

$

$

1,808

1,850

2,092

8,853

5,390

3,895

2,984

2,334

2,037

$

$

$

$

$

$

$

$

$

326

998

15

1,719

5,016

3,182

3,538

615

929

$

$

$

$

$

$

$

$

$

(977) $
(1,056) $
(223) $

(8) $
16
$
(34) $

(1,862) $
(1,580) $
(1,569) $

(111) $
$
27
(118) $

(119) $
— $
(712) $

(45) $
$
35

80

$

1,149

1,808

1,850

8,599

8,853

5,390

6,358

2,984

2,334

Item 9.  Changes in and Disagreements with Accountants on Accounting and Financial Disclosure.

Not applicable.

Item 9A.  Controls and Procedures.

Under the supervision and with the participation of our Chief Executive Officer and our Chief Financial Officer, we 
conducted an evaluation of the effectiveness of the design and operation of our disclosure controls and procedures (as defined in 
Rules 13a-15(e) and 15d-15(e) under the Exchange Act) as of July 31, 2018. Based on this evaluation, our Chief Executive Officer 
and Chief Financial Officer each concluded that the design and operation of these disclosure controls and procedures were, as of 
the end of the period covered by this report, effective and designed to ensure that material information relating to the Company, 
including our consolidated subsidiaries, required to be disclosed in our SEC reports is (i) recorded, processed, summarized and 
reported within the time periods specified by the SEC and (ii) accumulated and communicated to the Company’s management, 
including the Chief Executive Officer and the Chief Financial Officer, as appropriate to allow timely decisions regarding disclosure.

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    69

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

Management’s Report on Internal Control over Financial Reporting

The management of Cantel Medical Corp. is responsible for establishing and maintaining adequate internal control over 
financial reporting for the Company. The Company’s internal control over financial reporting is designed to provide reasonable 
assurance  regarding  the  reliability  of  financial  reporting  and  the  preparation  of  financial  statements  for  external  purposes  in 
accordance with U.S. generally accepted accounting principles. The Company’s internal control over financial reporting includes 
those policies and procedures that:

(i)  pertain  to  the  maintenance  of  records  that,  in  reasonable  detail,  accurately  and  fairly  reflect  the  transactions  and 

dispositions of the assets of the Company,

(ii)  provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements 
in accordance with generally accepted accounting principles, and that receipts and expenditures of the Company are 
being made only in accordance with authorizations of management and directors of the Company, and

(iii) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use or disposition 

of the Company’s assets that could have a material effect on the financial statements.

Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. 
Also, projections of any evaluation of the effectiveness to future periods are subject to the risk that controls may become inadequate 
because of changes in condition, or that the degree of compliance with the policies and procedures included in such controls may 
deteriorate.

We, under the supervision and with the participation of our Chief Executive Officer and our Chief Financial Officer, 
carried out an evaluation of the effectiveness of our internal controls over financial reporting based on the framework and criteria 
established  in  “Internal  Control  —  Integrated  Framework  (2013  framework),”  issued  by  the  Committee  of  Sponsoring 
Organizations of the Treadway Commission (“COSO”). Based on that evaluation, the Chief Executive Officer and the Chief 
Financial Officer each concluded that our internal control over financial reporting was effective as of July 31, 2018.

Our independent auditors, Deloitte & Touche LLP, have issued a report on our internal control over financial reporting, 

which is included in Part II, Item 8 of this report.

Changes in Internal Control

We have evaluated our internal control over financial reporting and determined that no changes occurred during the period 
covered by this report that have materially affected, or are reasonably likely to materially affect, our internal control over financial 
reporting, except as described below.

On August 23, 2017 we acquired BHT Group and on March 21, 2018, we acquired Aexis Medical, as more fully described 
in Note 3 to the consolidated financial statements. These businesses are included in our 2018 consolidated financial statements 
and constituted 10.2% and 13.8% of total assets and net assets, respectively, as of July 31, 2018, and 3.4% and 2.4% of net sales 
and net income, respectively, for the year then ended. During the initial transition period following the acquisitions, we enhanced 
our internal control process to ensure that all financial information related to these acquisitions was properly reflected in our 
consolidated financial statements. However, since BHT Group was acquired on August 23, 2017, and Aexis Medical was acquired 
on March 21, 2018, a complete integration of the internal controls relating to the acquired businesses was not practical for purposes 
of inclusion in our evaluation of the effectiveness of our internal control over financial reporting. We expect that all aspects of 
BHT Group and Aexis Medical will be fully integrated into our existing internal control structure in fiscal 2019.

Item 9B.  Other Information.

None.

Item 10.  Directors, Executive Officers and Corporate Governance.

PART III

Information required to be disclosed by this Item with respect to our executive officers is incorporated in this Annual 
Report on Form 10-K by reference from the section entitled “Executive Officers of Cantel” contained in our definitive proxy 
statement for our 2018 annual meeting of stockholders, which we intend to file within 120 days of the end of our fiscal year.

70

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

Information required to be disclosed by this Item with respect to our board of directors is incorporated in this Annual 
Report on Form 10-K by reference from the section entitled “Election of Directors” contained in our definitive proxy statement 
for our 2018 annual meeting of stockholders, which we intend to file within 120 days of the end of our fiscal year.

Information  required  to  be  disclosed  by  this  Item  with  respect  to  the  Section 16(a) compliance  of  our  directors  and 
executive  officers  is  incorporated  in  this  Annual  Report  on  Form 10-K  by  reference  from  the  section  entitled 
“Section 16(a) Beneficial Ownership Reporting Compliance” contained in our definitive proxy statement for our 2018 annual 
meeting of stockholders, which we intend to file within 120 days of the end of our fiscal year.

Information required to be disclosed by this Item with respect to the audit committee of our board of directors, our audit 
committee financial expert, and other board of directors and corporate governance matters is incorporated in this Annual Report 
on Form 10-K by reference from the sections entitled “Board Matters; Committees” and “Corporate Governance Matters” contained 
in our definitive proxy statement related to our 2018 annual meeting of stockholders, which we intend to file within 120 days of 
the end of our fiscal year.

We have adopted a Code of Ethics for the Chief Executive Officer, the Chief Financial Officer and other officers and 
management personnel that is posted on our website, www.cantelmedical.com. We intend to satisfy the disclosure requirement 
regarding any amendment to, or a waiver of, a provision of the Code of Ethics for the Chief Executive Officer, Chief Financial 
Officer and other officers and management personnel by posting such information on our website.

Item 11.  Executive Compensation.

Information required to be disclosed by this Item is incorporated in this Annual Report on Form 10-K by reference from 
the sections entitled “Board Matters; Committees,” “Compensation Committee Report” and “Executive Compensation” contained 
in our definitive proxy statement for our 2018 annual meeting of stockholders, which we intend to file within 120 days of the end 
of our fiscal year.

Item 12.  Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters.

The following sets forth certain information as of July 31, 2018 with respect to our equity compensation plans under 

which our securities may be issued:

Number of securities 
to be issued 
upon exercise of 
outstanding options

Weighted-average
exercise price of
outstanding options

Number of securities remaining 
available for future issuance 
under compensation plans 
(excluding securities reflected in (a))

Plan Category

(a)  

(b)  

(c)  

Equity compensation plans approved
by security holders

Equity compensation plans not
approved by security holders

Total

70,000

$

—
70,000

$

38.60

—
38.60

974,659 (1)

—  
974,659 (1)

________________________________________________
(1)  Collectively consists of stock option and SARs awards and restricted stock and performance awards available for grant under the plans.

Other Information required to be disclosed by this Item is incorporated in this Annual Report on Form 10-K by reference 
from the section entitled “Security Ownership of Principal Stockholders and Management” contained in our definitive proxy 
statement for our 2018 annual meeting of stockholders, which we intend to file within 120 days of the end of our fiscal year.

Item 13.  Certain Relationships and Related Transactions and Director Independence.

The information required to be disclosed by this Item is incorporated in this Annual Report on Form 10-K by reference 
from the sections entitled “Corporate Governance,” “Election of Directors,” and “Board Matters; Committees” contained in our 
definitive proxy statement for our 2018 annual meeting of stockholders, which we intend to file within 120 days of the end of our 
fiscal year.

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    71

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

Item 14.  Principal Accounting Fees and Services.

The information required to be disclosed by this Item is incorporated in this Annual Report on Form 10-K by reference 
from  the  section  entitled  “Ratification  of Appointment  of  Independent  Registered  Public Accounting  Firm”  contained  in  our 
definitive proxy statement for our 2018 annual meeting of stockholders, which we intend to file within 120 days of the end of our 
fiscal year.

Item 15.  Exhibits, Financial Statement Schedules. 

PART IV

(a) 

The following documents are filed as part of this Annual Report on Form 10-K for the fiscal year ended July 31, 2018.

1.  Consolidated Financial Statements: 

(i)  Report of Independent Registered Public Accounting Firm.

(ii)  Consolidated Balance Sheets as of July 31, 2018 and 2017.

(iii) Consolidated Statements of Income for the years ended July 31, 2018, 2017 and 2016.

(iv)  Consolidated Statements of Comprehensive Income for the years ended July 31, 2018, 2017 and 2016.

(v)  Consolidated Statements of Changes in Stockholders’ Equity for the years ended July 31, 2018, 2017 and 

2016.

(vi)  Consolidated Statements of Cash Flows for the years ended July 31, 2018, 2017 and 2016.

(vii) Notes to Consolidated Financial Statements.

2.  Consolidated Financial Statement Schedules: 

(i)  Schedule II - Valuation and Qualifying Accounts for the years ended July 31, 2018, 2017 and 2016.

All other financial statement schedules are omitted since they are not required, not applicable, or the information 
has been included in the Consolidated Financial Statements or Notes thereto.

3.  Exhibits:

3(a) - Registrant’s Restated Certificate of Incorporation, dated July 20, 1978. (Incorporated herein by reference to 

Exhibit 3(a) to Registrant’s 1981 Annual Report on Form 10-K.)

3(b) - Certificate of Amendment of Certificate of Incorporation of Registrant, filed on February 16, 1982. 

(Incorporated herein by reference to Exhibit 3(b) to Registrant’s 1982 Annual Report on Form 10-K.)

3(c) - Certificate of Amendment of Certificate of Incorporation of Registrant, filed on May 4, 1984. (Incorporated 

herein by reference to Exhibit 3(c) to Registrant’s Quarterly Report on Form 10-Q for the quarter ended April 30, 1984.)

3(d) - Certificate of Amendment of Certificate of Incorporation of Registrant, filed on August 19, 1986. 

(Incorporated herein by reference to Exhibit 3(d) to Registrant’s 1986 Annual Report on Form 10-K.)

3(e) - Certificate of Amendment of Certificate of Incorporation of Registrant, filed on December 12, 1986. 
(Incorporated herein by reference to Exhibit 3(e) to Registrant’s 1987 Annual Report on Form 10-K [the “1987 10-K”].)

3(f) - Certificate of Amendment of Certificate of Incorporation of Registrant, filed on April 3, 1987. (Incorporated 

herein by reference to Exhibit 3(f) to Registrant’s 1987 10-K.)

3(g) - Certificate of Change of Registrant, filed on July 12, 1988. (Incorporated herein by reference to 

Exhibit 3(g) to Registrant’s 1988 Annual Report on Form 10-K, File No. 001-31337.)

(dollar amounts in thousands except share and per share data or as otherwise specified)                                                                                    72

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

3(h) - Certificate of Amendment of Certificate of Incorporation of Registrant, filed on April 17, 1989. 

(Incorporated herein by reference to Exhibit 3(h) to Registrant’s 1989 Annual Report on Form 10-K, File No. 001-31337.)

3(i) - Certificate of Amendment of Certificate of Incorporation of Registrant, filed on May 10, 1999. 

(Incorporated herein by reference to Exhibit 3(i) to Registrant’s 2000 Annual Report on Form 10-K, File No. 001-31337 [the 
“2000 10-K”].)

3(j) - Certificate of Amendment of Certificate of Incorporation of Registrant, filed on April 5, 2000. (Incorporated 

herein by reference to Exhibit 3(j) to Registrant’s 2000 10-K.)

3(k) - Certificate of Amendment of Certificate of Incorporation of Registrant, filed on September 6, 2001. 

(Incorporated herein by reference to Exhibit 3(k) to Registrant’s 2001 Annual Report on Form 10-K, File No. 001-31337.)

3(l) - Certificate of Amendment of Certificate of Incorporation of Registrant, filed on June 7, 2002. (Incorporated 

herein by reference to Exhibit 3(l) to Registrant’s 2002 Annual Report on Form 10-K, File No. 001-31337.)

3(m) - Certificate of Amendment of Certificate of Incorporation of Registrant, filed on December 22, 2005. 

(Incorporated herein by reference to Exhibit 3(m) to Registrant’s 2006 Annual Report on Form 10-K, File No. 001-31337.)

3(n) - Certificate of Amendment of Certificate of Incorporation of Registrant filed on January 14, 2013. 

(Incorporated herein by reference to Exhibit 3(n) to Registrant’s 2013 Annual Report on Form 10-K, File No. 001-31337.)

3(o) - Registrant’s By-Laws, as amended through November 1, 2013. (Incorporated herein by reference to 

Exhibit 3.1 to Registrant’s Current Report on Form 8-K filed on November 7, 2013, File No. 001-31337.)

3(p) - Registrant's By Laws as amended through January 3, 2018. (Incorporated herein by reference to Exhibit 3.1 

to Registrant’s Current Report on Form 8-K filed on January 9, 2018, File No. 001-31337.)

10(a) - 2006 Equity Incentive Plan, as amended. (Incorporated herein by reference to Exhibit 10(a) to Registrant’s 

Quarterly Report on Form 10-Q for the quarter ended October 31, 2013, File No. 001-31337.)*

10(b) - Form of Stock Option Agreement for option grants to directors and executive officers under Registrant’s 

2006 Equity Incentive Plan. (Incorporated herein by reference to Exhibit 10.4 to Registrant’s Current Report on Form 8-K filed 
on October 27, 2011, File No. 001-31337 [the “October 2011 8-K”].)*

10(c) - Form of Restricted Stock Agreement under Registrant’s 2006 Equity Incentive Plan for grants to executive 

officers. (Incorporated herein by reference to Exhibit 10.5 to Registrant’s October 2011 8-K.)*

10(d) - Form of Restricted Stock Agreement under Registrant’s 2006 Equity Incentive Plan for grants to directors. 

(Incorporated herein by reference to Exhibit 10.6 to Registrant’s October 2011 8-K.)*

10(e) - Third Amended and Restated Credit Agreement dated as of March 4, 2014 among Registrant, Bank of 

America N.A., PNC Bank, National Association, and Wells Fargo Bank, National Association. (Incorporated herein by 
reference to Exhibit 10.1 to Registrant’s Current Report on Form 8-K filed on March 10, 2014, File No. 001-31337.)

10(f) - Succession Plan Agreement dated as of March 17, 2016 between Registrant and Andrew A. Krakauer. 

(Incorporated herein by reference to Exhibit 10.1 to Registrant’s Current Report on Form 8-K filed on March 17, 2016, File 
No. 001-31337.)*

10(g) - Amended and Restated Executive Severance Agreement dated as of August 1, 2016 between Registrant 
and Jorgen B. Hansen. (Incorporated herein by reference to Exhibit 10.1 to Registrant’s Current Report on Form 8-K filed on 
August 1, 2016, File No. 001-31337.)*

10(h) - Amended and Restated Executive Severance Agreement dated as of November 17, 2014 between 

Registrant and Eric W. Nodiff (Incorporated herein by reference to Exhibit 10.3 to Registrant’s Current Report on Form 8-K 
filed on November 19, 2014, File No. 001-31337.)*

73

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

10(i) - Executive Severance Agreement dated as of March 23, 2015 between Registrant and Peter Clifford 

(Incorporated herein by reference to Exhibit 10.1 to Registrant’s Current Report on Form 8-K filed on March 25, 2015, File 
No. 001-31337 [the “March 2015 8-K”].)*

10(j) - Confidentiality and Non-Competition Agreement dated as of January 1, 2010 between Registrant and 

Andrew A. Krakauer (Incorporated herein by reference to Exhibit 10.6 to Registrant’s Current Report on Form 8-K filed on 
February 12, 2010, File No. 001-31337 [the “February 2010 8-K”].)*

10(k) - Confidentiality and Non-Competition Agreement dated as of November 15, 2012 between Registrant and 

Jorgen B. Hansen (Incorporated herein by reference to Exhibit 10(m) to Registrant’s Annual Report on Form 10-K for the fiscal 
year ended July 31, 2012, File No. 001-31337.)*

10(l) - Confidentiality and Non-Competition Agreement dated as of January 1, 2010 between Registrant and Eric 

W. Nodiff (Incorporated herein by reference to Exhibit 10.9 to Registrant’s February 2010 8-K.)*

10(m) - Confidentiality and Non-Competition Agreement dated as of March 23, 2015 between Registrant and 

Peter Clifford (Incorporated herein by reference to Exhibit 10.2 to Registrant’s March 2015 8-K.)*

10(n) - Cantel Medical Corp. 2016 Equity Incentive Plan (Incorporated herein by reference to Annex A to 

Registrant’s Proxy Statement for the 2015 Annual Meeting of Stockholders, filed with the SEC on November 30, 2015, File 
No. 001-31337.)*

10(o) - Form of Restricted Stock Agreement (Time-Based Grants) under Cantel Medical Corp. 2016 Equity 

Incentive Plan for grants to executive officers (Incorporated herein by reference to Exhibit 10(r) to Registrant's Annual Report 
on From 10-K for the fiscal year ended July 31, 2016, File No. 001-31337 [the "2016 10-K"].) *

10(p) - Form of Restricted Stock Agreement (Time-Based Grants) under Cantel Medical Corp. 2016 Equity 

Incentive Plan for grants to directors (Incorporated herein by reference to Exhibit 10(s) to Registrant's 2016 10-K.)*

10(q) - Form of Restricted Stock Agreement (Performance-Based Grants – Revenue Based) under Cantel Medical 

Corp. 2016 Equity Incentive Plan for grants to executive officers (Incorporated herein by reference to Exhibit 10(t) to 
Registrant's 2016 10-K.) *

10(r) - Form of Restricted Stock Agreement (Performance-Based Grants – TSR Based) under Cantel Medical 

Corp. 2016 Equity Incentive Plan for grants to executive officers (Incorporated herein by reference to Exhibit 10(u) to 
Registrant's 2016 10-K.)*

10(s) - Form of Restricted Stock Agreement (Time-Based) under Cantel Medical Corp. 2016 Equity Incentive 

Plan for annual grants to directors (Incorporated herein by reference to Exhibit 10(v) to Registrant's 2016 10-K.)*

10(t) - Fourth Amended and Restated Credit Agreement dated as of June 28, 2018 among Cantel Medical Corp., 

Bank of America, N.A., Wells Fargo Bank, National Association, JPMorgan Chase Bank, N.A., and the other lenders party 
hereto. (Incorporated herein by reference to Exhibit 10.1 to Registrant’s Current Report on Form 8-K filed on July 2, 2018, File 
No. 001-31337.)

Exhibit 21 - Subsidiaries of Registrant.

Exhibit 23.1 - Consent of Deloitte & Touche LLP

Exhibit 23.2 - Consent of Ernst & Young LLP.

Exhibit 31.1 - Certification of Principal Executive Officer.

Exhibit 31.2 - Certification of Principal Financial Officer.

Exhibit 32 - Certification of Chief Executive Officer and Chief Financial Officer pursuant to 18 U.S.C. 

Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

74

 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
  
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

101         The following materials from Cantel Medical Corp.’s Form 10-K for the fiscal year ended July 31, 2018, 

formatted in Extensible Business Reporting Language (XBRL): (i) Consolidated Balance Sheets at July 31, 2018 and 2017, 
(ii) Consolidated Statements of Income for each of the three years in the period ended July 31, 2018, (iii) Consolidated 
Statements of Comprehensive Income for each of the three years in the period ended July 31, 2018, (iv) Consolidated 
Statements of Changes in Stockholders’ Equity for each of the three years in the period ended July 31, 2018, (v) Consolidated 
Statements of Cash Flows for each of the three years in the period ended July 31, 2018 and (vi) Notes to Consolidated Financial 
Statements.

*Management contract or compensatory plan or arrangement of the Company required to be filed as an exhibit.

Item 16.  Form 10-K Summary

None.

75

 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

SIGNATURES

Pursuant to the requirements of Section 13 or 15(d) 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.

CANTEL MEDICAL CORP.

Date: September 27, 2018

/s/ Jorgen B. Hansen

By:
Jorgen B. Hansen, President and Chief Executive

Officer (Principal Executive Officer)

/s/ Peter G. Clifford

By:
Peter G. Clifford, Executive Vice President,
Chief Financial Officer
(Principal Financial Officer)

By:

/s/ Brian R. Capone

Brian R. Capone, Vice President,

Chief Accounting Officer
(Principal Accounting Officer)

76

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cantel Medical Corp.  

 2018 Annual Report on Form 10-K

Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following 

persons on behalf of the registrant and in the capacities and on the dates indicated:

/s/ Charles M. Diker

    Date:

    September 27, 2018

Charles M. Diker, a Director and Chairman of the Board

/s/ George L. Fotiades
George L. Fotiades, a Director and Vice Chairman of the Board

  Date:

  September 27, 2018

/s/ Alan. R. Batkin

Alan R. Batkin, a Director

/s/ Ann E. Berman
Ann E. Berman, a Director

/s/ Mark N. Diker
Mark N. Diker, a Director

/s/ Anthony B. Evnin

Anthony B. Evnin, a Director

/s/ Laura L. Forese

Laura L. Forese, a Director

  Date:

  September 27, 2018

  Date:

  September 27, 2018

  Date:

  September 27, 2018

  Date:

  September 27, 2018

  Date:

  September 27, 2018

/s/ Jorgen B. Hansen
Jorgen B. Hansen, a Director, President and CEO

  Date:

  September 27, 2018

/s/ Ronnie Myers

Ronnie Myers, a Director

  Date

  September 27, 2018

/s/ Peter J. Pronovost, M.D., Ph.D.

Peter J. Pronovost, M.D., Ph.D., a Director

Date:

September 27, 2018

77

 
 
 
 
 
 
 
 
   
   
 
   
   
   
   
 
   
   
   
   
 
   
   
   
   
 
   
   
   
   
 
   
   
   
   
 
   
   
   
   
 
   
   
   
   
 
   
   
   
   
CANTEL MEDICAL CORP. 
Subsidiaries of Registrant

EXHIBIT 21 

Carsen Group, Inc.

Medivators Inc.
Medivators B.V.

Cantel Medical Asia/Pacific Pte. Ltd.
Biolab Equipment Ltd.

Mar Cor Purification, Inc.
Crosstex International, Inc.

SPS Medical Supply Corp.
Cantel Medical International LLC

CMCI C.V.
Cantel Medical International B.V.
Aexis Medical BVBA

(Incorporated under the laws of Ontario, Canada)

(Incorporated under the laws of Minnesota)
(Incorporated under the laws of the Netherlands)

(Incorporated under the laws of Singapore)
(Amalgamated under the laws of Canada)

(Incorporated under the laws of Pennsylvania)
(Incorporated under the laws of New York)

(Incorporated under the laws of New York)
(Organized under the laws of Delaware)

(Incorporated under the laws of the Netherlands)
(Incorporated under the laws of the Netherlands)
(Incorporated under the laws of the Belgium)

Ecode Lanka Software (Private) Limited

(Incorporated under the laws of the Sri Lanka)

Cantel Medical (UK) Limited

Cantel Medical (Italy) S.r.l.

Cantel Medical Devices (China) Co., Ltd.

Cantel (UK) Limited
Medical Innovations Group Limited

Medi-Cart International Limited

Accutron, Inc.

Cantel Medical (Hong Kong) Limited

Cantel Medical (Malaysia) Sdn. Bhd.
Cantel Medical Middle East FZ-LLC

Cantel (Germany) GmbH

Cantel (France) SAS

Cantel (Australia) PTY LLTD

(Incorporated under the laws of England and Wales)

(Incorporated under the laws of Italy)

(Incorporated under the laws of China)

(Incorporated under the laws of England and Wales)
(Incorporated under the laws of England and Wales)

(Incorporated under the laws of England and Wales)

(Incorporated under the laws of Arizona)

(Incorporated under the laws of Hong Kong)

(Incorporated under the laws of Malaysia)
(Incorporated under the laws of Dubai (UAE))

(Incorporated under the laws of Germany)

(Incorporated under the laws of France)

(Incorporated under the laws of Australia)

TIV Technisches Institut fur Validieung GmbH

(Incorporated under the laws of Germany)

Cantel (Production) Germany GmbH
BHT Hygienetechnik Holding GmbH
BHT Hygienetechnik GmbH
ESCAD Medical GmbH

(Incorporated under the laws of Germany)
(Incorporated under the laws of Germany)
(Incorporated under the laws of Germany)
(Incorporated under the laws of Germany)

CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

We consent to the incorporation by reference in Registration Statement Nos. 333-140388, 333-157033, 333-163806, 333-180171, and 
333-210073 on Form S-8 of our reports dated September 27, 2018, relating to the consolidated financial statements and financial statement 
schedule of Cantel Medical Corp. and subsidiaries (the “Company”), and the effectiveness of the Company’s internal control over financial 
reporting, appearing in this Annual Report on Form 10-K of the Company for the year ended July 31, 2018.

EXHIBIT 23.1 

/s/ DELOITTE & TOUCHE LLP

Parsippany, New Jersey
September 27, 2018

EXHIBIT 23.2 

Consent of Independent Registered Public Accounting Firm 

We consent to the incorporation by reference in the following Registration Statements:

(1)  Registration Statements (Form S-8 Nos. 333-140388, 333-157033, 333-163806 and 333-180171) pertaining to the 

Cantel Medical Corp. 2006 Equity Incentive Plan, as amended, and

       (2)   Registration Statement (Form S-8 No. 333-210073) pertaining to the Cantel Medical Corp. 2016 Equity Incentive

Plan;

of our report dated September 28, 2017, with respect to the consolidated financial statements of Cantel Medical Corp., as of 
July 31, 2017 and for each of the two years in the period ended July 31, 2017, included in this Annual Report (Form 10-K) 
of Cantel Medical Corp., for the year ended July 31, 2018. 

New York, New York 
September 27, 2018

   /s/ Ernst & Young LLP

 
 
 
 
 
 
EXHIBIT 31.1

I, Jorgen B. Hansen, certify that:

CERTIFICATIONS

1. 

2. 

3. 

4. 

I have reviewed this Annual Report on Form 10-K of Cantel Medical Corp.;

Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material 
fact necessary to make the statements made, in light of the circumstances under which such statements were made, not 
misleading with respect to the period covered by this report;

Based on my knowledge, the financial statements, and other financial information included in this report, fairly 
present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and 
for, the periods presented in this report;

The registrant’s other certifying officers and I are responsible for establishing and maintaining disclosure controls and 
procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15 (e)) and internal control over financial reporting 
(as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and we have:

a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be 
designed under our supervision, to ensure that material information relating to the registrant, including its 
consolidated subsidiaries, is made known to us by others within those entities, particularly during the period 
in which this report is being prepared;

b) Designed such internal control over financial reporting, or caused such internal control over financial 

reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of 
financial reporting and the preparation of financial statements for external purposes in accordance with 
generally accepted accounting principles;

c) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report 
our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period 
covered by this report based on such evaluation; and

d) Disclosed in this report any changes in the registrant’s internal control over financial reporting that occurred 
during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual 
report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control 
over financial reporting; and

5. 

The registrant’s other certifying officers and I have disclosed, based on our most recent evaluation of internal control 
over financial reporting, to the registrant’s auditors and the audit committee of registrant’s board of directors (or 
persons performing the equivalent functions):

a) All significant deficiencies and material weaknesses in the design or operation of internal controls over 

financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, 
summarize and report financial information; and

b) Any fraud, whether or not material, that involves management or other employees who have a significant role 

in the registrant’s internal controls over financial reporting.

Date:  September 27, 2018 

/s/ Jorgen B. Hansen

By:
Jorgen B. Hansen, President and Chief Executive Officer (Principal Executive Officer)

 
 
 
 
EXHIBIT 31.2

I, Peter G. Clifford, certify that:

CERTIFICATIONS

1. 

2. 

3. 

4. 

I have reviewed this Annual Report on Form 10-K of Cantel Medical Corp.;

Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material 
fact necessary to make the statements made, in light of the circumstances under which such statements were made, not 
misleading with respect to the period covered by this report;

Based on my knowledge, the financial statements, and other financial information included in this report, fairly 
present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and 
for, the periods presented in this report;

The registrant’s other certifying officers and I are responsible for establishing and maintaining disclosure controls and 
procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15 (e)) and internal control over financial reporting 
(as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and we have:

a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be 
designed under our supervision, to ensure that material information relating to the registrant, including its 
consolidated subsidiaries, is made known to us by others within those entities, particularly during the period 
in which this report is being prepared;

b) Designed such internal control over financial reporting, or caused such internal control over financial 

reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of 
financial reporting and the preparation of financial statements for external purposes in accordance with 
generally accepted accounting principles;

c) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report 
our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period 
covered by this report based on such evaluation; and

d) Disclosed in this report any changes in the registrant’s internal control over financial reporting that occurred 
during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual 
report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control 
over financial reporting; and

5. 

The registrant’s other certifying officers and I have disclosed, based on our most recent evaluation of internal control 
over financial reporting, to the registrant’s auditors and the audit committee of registrant’s board of directors (or 
persons performing the equivalent functions):

a) All significant deficiencies and material weaknesses in the design or operation of internal controls over 

financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, 
summarize and report financial information; and

b) Any fraud, whether or not material, that involves management or other employees who have a significant role 

in the registrant’s internal controls over financial reporting.

Date:  September 27, 2018

/s/ Peter G. Clifford

By:
Peter G. Clifford, Executive Vice President and Chief Financial Officer

 
 
 
 
CERTIFICATION
PURSUANT TO SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002
(SUBSECTIONS (a) AND (b) OF SECTION 1350, CHAPTER 63 OF
TITLE 18, UNITED STATES CODE)

Exhibit 32

Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 (subsections (a) and (b) of section 1350, chapter 63 of Title 18, 
United States Code), the undersigned officers of Cantel Medical Corp. (the “Company”), do hereby certify with respect to the 
Annual Report of the Company on Form 10-K for the year ended July 31, 2018 as filed with the Securities and Exchange 
Commission (the “Form 10-K”) that, to the best of their knowledge:

1.  The Form 10-K fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 

1934; and

2.  The information contained in the Form 10-K fairly presents, in all material respects, the financial condition and results 

of operations of the Company.

Date:  September 27, 2018

/s/ Jorgen B. Hansen

Jorgen B. Hansen

President and Chief Executive Officer

(Principal Executive Officer)

/s/ Peter G. Clifford
Peter G. Clifford

Executive Vice President, Chief Financial Officer

(Principal Financial Officer)

 
 
 
 
 
 
 
Executive Leadership Team 

Bill Haydon 
Senior Vice President and General Manager, 
Medical  

Daniel Khalili 
Chief Technology Officer 

David Rosen 
President, Continental Europe, MEA, and Asia-
Pacific  

Michael G. Spicer 
President, Americas Sales, UK and Global Service 

Gary D. Steinberg 
President, Dental 

Scott Thome 
Senior Vice President, Operations 

Curtis D. Weitnauer 
President, Life Sciences 

Corporate Communications &  
Investor Relations 

Milicent J. Brooks 
Director, Corporate Communications 

Matthew Micowski 
Director, Financial Planning and Analysis 

Auditors 
Deloitte & Touche LLP 
100 Kimball Drive 
Parsippany, New Jersey 07054 

Transfer Agent 
American Stock Transfer & Trust Company 
6201 15th Avenue 
Brooklyn, New York 11219 

Form 10-K Report 
Stockholders may obtain without charge a copy of 
Cantel Medical Corp.’s 2018 Annual Report on 
Form 10-K filed with the Securities and Exchange 
Commission by visiting our website at 
www.cantelmedical.com or writing to Ms. Ann Marie 
Gitin, Executive Assistant and Office Manager, 
Cantel Medical Corp. 

Corporate Information 

Directors 

Charles M. Diker 
Chairman of the Board 
Chairman, Diker Management LLC 

George L. Fotiades1,2 
Vice Chairman of the Board 
Operating Partner, Five Arrows Capital 
Partners, Rothschild & Co. 

Alan R. Batkin1,3,4 
Chairman and CEO, Converse  
Associates, Inc. 

Ann E. Berman1 
Former Chief Financial Officer, 
Harvard University 

Mark N. Diker 
CEO, Diker Management LLC 

Anthony Evnin2 
Partner, Venrock 

Laura L. Forese, MD3 
Executive Vice President and 
Chief Operating Officer, 
New York-Presbyterian 

Jorgen B. Hansen 
President and Chief Executive Officer 

Ronnie Myers, DDS3 
Dean, Touro College of 
Dental Medicine at New York Medical College 

Peter Pronovost, MD, Ph.D.2 
Chief Clinical Transformation Officer, University 
Hospitals  

Corporate Officers 

Charles M. Diker 
Chairman of the Board 

Jorgen B. Hansen 
President and Chief Executive Officer 

Brian Capone 
Senior Vice President, Corporate Controller and 
Chief Accounting Officer 

Peter G. Clifford 
Executive Vice President and Chief Financial Officer 

Lawrence Conway 
Senior Vice President, Business Systems and 
Integration 

Dottie Donnelly  
Senior Vice President and Chief Human Resources 
Officer 

Eric W. Nodiff 
Executive Vice President, General Counsel and 
Secretary 

Seth M. Yellin 
Executive Vice President, Strategy and Corporate 
Development 

____________________________________________________ 
1 Audit Committee 
2 Nominating & Governance Committee 
3 Compensation Committee 
4 Presiding Independent Director 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
150 Clove Road, 9th FloorLittle Falls, New Jersey 07424Telephone: 973-890-7220Fax: 973-890-7270www.cantelmedical.com