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Hologic

holx · NASDAQ Healthcare
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Exchange NASDAQ
Sector Healthcare
Industry Medical - Instruments & Supplies
Employees 5001-10,000
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FY2022 Annual Report · Hologic
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

__________________________________________________________ 

FORM 10-K 

(Mark One)

☒ ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES 

EXCHANGE ACT OF 1934

For the fiscal year ended: September 24, 2022 

or 

☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES 

EXCHANGE ACT OF 1934

For the transition period from              to             

Commission File Number: 1-36214 

__________________________________________________________ 

HOLOGIC, INC.

(Exact name of registrant as specified in its charter)

Delaware
(State or Other Jurisdiction of
Incorporation or Organization)

04-2902449
(I.R.S. Employer Identification No.)

250 Campus Drive, Marlborough, Massachusetts 01752 
(Address of Principal Executive Offices) (Zip Code)

Registrant’s Telephone Number, Including Area Code (508) 263-2900 

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

Title of Each Class
Common Stock, $0.01 par value

Trading Symbol(s)
HOLX

Name of Each Exchange on which Registered
The NASDAQ Global Select Market

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

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 whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, 
smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer” 
“smaller reporting company,” and "emerging growth company" in Rule 12b-2 of the Exchange Act (Check one).

 
 
 
 
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Large accelerated filer

Non-accelerated filer

  ☒
  ☐

   Accelerated filer

   Smaller reporting company

Emerging growth company

  ☐
  ☐
☐

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition 

period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the 
Exchange Act.  ☐

Indicate by check mark whether the registrant has filed a report on and attestation to its management’s assessment of the 

effectiveness of its internal control over financial reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C. 
§7262(b)) by the registered public accounting firm that prepared or issued its audit report.  ☒

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act.)    Yes  ☐    No  ☒

The aggregate market value of the registrant's Common Stock held by non-affiliates of the registrant as of March 26, 

2022 was $18,757,846,271 based on the price of the last reported sale on NASDAQ Global Select Market on that date.

As of November 10, 2022, 245,833,759 shares of the registrant’s Common Stock, $0.01 par value, were outstanding.
__________________________________________________________

DOCUMENTS INCORPORATED BY REFERENCE

Portions of the registrant’s Proxy Statement for the registrant’s annual meeting of stockholders to be filed within 120 days 
of the end of its fiscal year ended September 24, 2022 are incorporated into Part III (Items 10, 11, 12, 13 and 14) of this Annual 
Report on Form 10-K where indicated. 

Table of Contents

HOLOGIC, INC.

ANNUAL REPORT ON FORM 10-K
For the Fiscal Year Ended September 24, 2022 

TABLE OF CONTENTS

PART I

Page

Item 1.

Business

Item 1A. Risk Factors

Item 1B. Unresolved Staff Comments

Item 2.

Properties

Item 3.

Legal Proceedings

Item 4. Mine Safety Disclosures

PART II

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

Equity Securities

Item 6.

Reserved

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

Item 7A. Quantitative and Qualitative Disclosures About Market Risk

Item 8.

Financial Statements and Supplementary Data

Item 9.

Changes in and Disagreements with Accountants on Accounting and Financial Disclosure

Item 9A. Controls and Procedures

Item 9B. Other Information

Item 10. Directors, Executive Officers and Corporate Governance

Item 11.

Executive Compensation

PART III

Item 12.

Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters

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

Item 14.

Principal Accounting Fees and Services

Item 15.

Exhibits and Financial Statement Schedules

Item 16.

Form 10-K Summary

PART IV

3

6

20

32

33

33

33

34

35

36

53

54

54

54

58

59

59

59

59

59

60

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SPECIAL NOTE REGARDING FORWARD-LOOKING STATEMENTS

Some  of  the  statements  contained  in  this  report  and  documents  incorporated  by  reference  herein  are  forward-looking 
statements within the meaning of Section 27A of the Securities Act of 1933, as amended (the "Securities Act") and Section 21E 
of  the  Securities  Exchange  Act  of  1934,  as  amended  (the  "Exchange  Act").  These  statements  involve  known  and  unknown 
risks, uncertainties and other factors which may cause our or our industry’s actual results, performance or achievements to be 
materially  different  from  any  future  results,  performance  or  achievements  expressed  or  implied  by  the  forward-looking 
statements. Forward-looking statements may include, but are not limited to, statements regarding:

•

the ongoing and possible future effects of global challenges, including macroeconomic uncertainties, the war in Ukraine, 
other economic disruptions and U.S. and global recession concerns, on our customers and suppliers and on our business, 
financial condition, results of operations and cash flows and our ability to draw down our revolver;

•

• the  effect  of  the  worldwide  political  and  social  uncertainty  and  divisions,  including  the  impact  on  trade  regulation  and 
tariffs, that may adversely impact the cost and sale of our products in certain countries, or increase the costs we may incur 
to purchase materials, parts and equipment from our suppliers;
the ongoing and possible future effects of supply chain constraints, including the availability of critical raw materials and 
components, including semiconductor chips, as well as cost inflation in materials, packaging and transportation;
the possibility of interruptions or delays at our manufacturing facilities, or the failure to secure alternative suppliers if any 
of our sole source third-party manufacturers fail to supply us;
• the development of new competitive technologies and products;
• our ability to predict accurately the demand for our products, and products under development and to develop strategies to 

•

address markets successfully;

• continued demand for our COVID-19 assays; 

•

the timing, scope and effect of further U.S. and international governmental, regulatory, fiscal, monetary and public health 
responses to the COVID-19 pandemic and any future public health crises; 

• potential cybersecurity threats and targeted computer crime;

•

•

•

the  ability  to  execute  acquisitions  and  the  impact  and  anticipated  benefits  of  completed  acquisitions  and  acquisitions  we 
may complete in the future;

the ability to consolidate certain of our manufacturing and other operations on a timely basis and within budget, without 
disrupting our business and to achieve anticipated cost synergies related to such actions; 

the ability to successfully manage ongoing organizational and strategic changes, including our ability to attract, motivate 
and retain key employees and maintain engagement and efficiency in remote work environments; 

• our ability to obtain regulatory approvals and clearances for our products, including the implementation of the European 

Union Medical Device Regulations, and maintain compliance with complex and evolving regulations; 

•

•

•

•

the coverage and reimbursement decisions of third-party payors; 

the  uncertainty  of  the  impact  of  cost  containment  efforts  and  federal  healthcare  reform  legislation  on  our  business  and 
results of operations;

the guidelines, recommendations, and studies published by various organizations relating to the use of our products;

the effect of consolidation in the healthcare industry;

• our ability to meet production and delivery schedules for our products; 

• our ability to protect our intellectual property rights; 

•

•

•

the possibility that products may contain undetected errors or defects or otherwise not perform as anticipated;

the anticipated development of markets we sell our products into and the success of our products in these markets; 

the anticipated performance and benefits of our products; 

• business strategies; 

• anticipated  trends  relating  to  our  financial  condition  or  results  of  operations,  including  the  impact  of  interest  rate  and 

foreign currency exchange fluctuations;

• estimated asset and liability values; 

•

the impact of future tax legislation;

• conducting business internationally;

•

the impact and costs and expenses of any litigation we may be subject to now or in the future; 

• our compliance with covenants contained in our debt agreements; and

• our liquidity, capital resources and the adequacy thereof. 

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In some cases, you can identify forward-looking statements by terms such as “may,” “will,” “should,” “could,” “would,” 
“expects,”  “plans,”  "intends,"  “anticipates,”  “believes,”  “estimates,”  “projects,”  “predicts,”  "likely,"  "future,"  "strategy," 
“potential,” "seeks," "goal" and similar expressions intended to identify forward-looking statements. These statements are only 
predictions and involve known and unknown risks, uncertainties, and other factors that may cause our actual results, levels of 
activity,  performance,  or  achievements  to  be  materially  different  from  any  future  results,  levels  of  activity,  performance,  or 
achievements expressed or implied by such forward-looking statements. Given these uncertainties, you should not place undue 
reliance on these forward-looking statements. Also, these forward-looking statements represent our estimates and assumptions 
only as of the date of this report. Except as otherwise required by law, we expressly disclaim any obligation or undertaking to 
release publicly any updates or revisions to any forward-looking statement contained in this report to reflect any change in our 
expectations or any change in events, conditions or circumstances on which any of our forward-looking statements are based. 
Factors that could cause or contribute to differences in our future financial results include the cautionary statements set forth 
herein and in our other filings with the Securities and Exchange Commission, including those set forth under “Risk Factors” set 
forth  in  Part  I,  Item  1A  of  this  Annual  Report  on  Form  10-K  (this  "Annual  Report").  We  qualify  all  of  our  forward-looking 
statements by these cautionary statements.

TRADEMARK NOTICE

Hologic  is  a  trademark  of  Hologic,  Inc.  Other  trademarks,  logos,  and  slogans  registered  or  used  by  Hologic  and  its 
divisions and subsidiaries in the United States and other countries include, but are not limited to, the following: 3Dimensions, 
3D Mammography, 3D, 3DQuorum, Acessa, Acessa ProVu, Aixplorer, Affirm, Amplidiag, Aptima, ATEC, BioZorb, Brevera, 
Celero, Hologic Clarity HD, CoolSeal, C-View, Definity, DirectRay, Eviva, Faxitron, Fluent, Fluoroscan, Focal Therapeutics, 
Genius  3D,  Genius,  Genius  AI,  Hologic,  Horizon,  InSight,  Intelligent  2D,  ImageChecker,  JustRight,  LOCalizer,  MyoSure, 
NovaSure,  Novodiag,  Panther,  Panther  Fusion,  Progensa,  Quantra,  Rapid  Ffn,  SecurViewDX,  Selenia,  Selenia  Dimensions, 
Sertera, SmartCurve, Smart-Depth, SuperSonic Imagine, ThinPrep, Tigris, Tomcat, and UltraFast.

All  other  brand  names  or  trademarks  appearing  in  this  Annual  Report  are  the  property  of  their  respective  owners. 
Hologic’s use or display of other parties’ trademarks, trade dress or products in this Annual Report does not imply that Hologic 
has a relationship with, or endorsement or sponsorship of, the trademark or trade dress owners. 

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Item 1. Business

Overview

PART I

We are a developer, manufacturer and supplier of premium diagnostics products, medical imaging systems, and surgical 
products  focused  on  women's  health  and  well-being  through  early  detection  and  treatment.  We  sell  and  service  our  products 
through a combination of direct sales and service personnel and a network of independent distributors and sales representatives. 
We  operate  in  four  segments:  Diagnostics,  Breast  Health,  GYN  Surgical  and  Skeletal  Health.  Until  December  30,  2019,  our 
product  portfolio  included  aesthetic  and  medical  treatment  systems  sold  by  our  former  Medical  Aesthetics  business.  We 
completed  the  sale  of  our  Medical  Aesthetics  segment  on  December  30,  2019  (the  first  day  of  the  second  quarter  of  fiscal 
2020).

Through our Diagnostics segment, we offer a wide range of diagnostic products, which are used primarily to aid in the 
screening and diagnosis of human diseases. Our primary Diagnostics products include our molecular diagnostic assays, which 
run  on  our  advanced  instrumentation  systems  (Panther,  Panther  Fusion  and  Tigris),  our  ThinPrep  cytology  system,  and  the 
Rapid  Fetal  Fibronectin  Test.  Our  Aptima  family  of  molecular  diagnostic  assays  is  used  to  detect,  among  other  things,  the 
infectious  microorganisms  that  cause  common  sexually  transmitted  diseases,  or  STDs,  such  as  chlamydia  and  gonorrhea,  or 
CTGC;  certain  high-risk  strains  of  human  papillomavirus,  or  HPV;  Trichomonas  vaginalis,  the  parasite  that  causes 
trichomoniasis; Mycoplasma genitalium; and Herpes Simplex viruses 1 and 2. We also offer viral load tests for the quantitation 
of Hepatitis B virus, Hepatitis C virus, human immunodeficiency virus, or HIV-1, and human cytomegalo virus, or CMV, for 
use on our Panther instrument system. In addition, we offer bacterial vaginosis and candida vaginitis assays for the diagnosis of 
vaginitis, a common and complex ailment affecting millions of women a year. Our assay portfolio also includes diagnostic tests 
for  a  range  of  acute  respiratory  infections,  including  SARS-CoV-2,  various  strains  of  influenza  and  parainfluenza,  and 
respiratory syncytial virus that are run on the Panther Fusion system, a field upgradeable instrument addition to the base Panther 
system. In response to the COVID-19 pandemic, we developed and launched the Aptima SARS-CoV-2 assay and the Aptima 
SARS-CoV-2/Flu  assay  (each  of  which  runs  on  our  standard  Panther  system)  and  the  Panther  Fusion  SARS-CoV-2  assay 
(which  runs  on  our  Panther  Fusion  system).  In  May  2022,  we  CE-marked  two  new  molecular  assays,  Panther  Fusion  EBV 
Quant assay for quantitation of Epstein-Barr virus, and the Panther Fusion BKV Quant assay for quantitation of the BK virus. 
These two new assays are the first quantitative real-time PCR assays on the Panther Fusion system. These assays, along with 
the Aptima CMV Quant assay already available in Europe, expand our Panther Fusion menu of transplant monitoring assays. 
The  ThinPrep  System  is  primarily  used  in  cytology  applications,  such  as  cervical  cancer  screening,  and  the  Rapid  Fetal 
Fibronectin Test assists physicians in assessing the risk of pre-term birth. We also generate service revenues from our CLIA-
certified laboratory for testing related to breast cancer and all metastatic cancers. 

Our Breast Health segment offers a broad portfolio of solutions for breast cancer care primarily in the areas of radiology, 
breast surgery, pathology and treatment. These solutions include 3D digital mammography systems, image analytics software 
utilizing artificial intelligence, reading workstations, ultrasound imaging, minimally invasive breast biopsy guidance systems, 
breast biopsy site markers, localization, specimen radiology, connectivity solutions and breast conserving surgery products. Our 
most advanced breast imaging platforms, Selenia Dimensions and 3Dimensions, utilize tomosynthesis to produce 3D images 
that show multiple contiguous slice images of the breast, which we refer to as the Genius 3D Mammography exam. 

Our GYN Surgical products include our NovaSure endometrial ablation system, or NovaSure, our MyoSure hysteroscopic 
tissue  removal  system,  or  MyoSure,  our  Fluent  fluid  management  system,  or  Fluent,  our  Acessa  ProVu  laparoscopic 
radiofrequency ablation system, or Acessa, as well as our CoolSeal vessel sealing portfolio and our JustRight surgical stapler. 
The NovaSure portfolio is comprised of the NovaSure CLASSIC device, NovaSure ADVANCED device and the NovaSure V5 
device for the treatment of abnormal uterine bleeding. The MyoSure suite of devices offers four options to provide incision-less 
removal  of  fibroids,  polyps,  and  other  pathology  within  the  uterus.  The  Fluent  system  is  a  fluid  management  system  that 
provides  liquid  distention  during  diagnostic  and  operative  hysteroscopic  procedures.  The  Acessa  system  is  a  fully  integrated 
system  that  uses  laparoscopic  ultrasound,  guidance  mapping  and  radiofrequency  ablation  to  treat  nearly  all  types  of  fibroids. 
The  CoolSeal  portfolio  includes  the  Trinity,  Reveal,  and  Mini  advanced  bipolar  vessel  sealing  devices.  The  JustRight  5  mm 
stapler features a smaller instrument profile and is used for laparoscopic general and pediatric surgery.

Our  Skeletal  Health  segment's  products  include  the  Horizon  DXA,  a  dual  energy  x-ray  system,  which  evaluates  bone 
density and performs body composition assessments, and the Fluoroscan Insight FD mini C-arm, which assists in performing 
minimally invasive orthopedic surgical procedures on a patient's extremities, such as the hand, wrist, knee, foot, and ankle.

Unless  the  context  otherwise  requires,  references  to  we,  us,  Hologic  or  the  Company  refer  to  Hologic,  Inc.  and  its 

consolidated subsidiaries. 

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Available Information

Our  internet  website  address  is  www.hologic.com.  Through  our  website,  we  make  available,  free  of  charge,  our  annual 
report on Form 10-K, quarterly reports on Form 10-Q, current reports on Form 8-K and any amendments to those reports, as 
well as proxy statements, and, from time to time, other documents as soon as reasonably practicable after we electronically file 
such  material  with,  or  furnish  it  to,  the  Securities  and  Exchange  Commission  (SEC).  These  SEC  reports  can  be  accessed 
through the investor relations section of our website. The information found on our website is not part of this or any other report 
we file with or furnish to the SEC. 

Investors  and  others  should  note  that  we  announce  material  financial  information  to  our  investors  using  our  investor 
relations  website  (investors.hologic.com),  SEC  filings,  press  releases,  public  conference  calls  and  webcasts.  We  use  these 
channels as well as social media to communicate with our members and the public about our Company, our services and other 
issues. It is possible that the information we post on social media could be deemed to be material information. Therefore, we 
encourage investors, the media, and others interested in our Company to review the information we post on the social media 
channels listed on our investor relations website. We have used, and intend to continue to use, our investor relations website, as 
well as our Twitter account (@Hologic), as means of disclosing material non-public information and for complying with our 
disclosure  obligations  under  Regulation  FD.  Additional  corporate  governance  information,  including  our  certificate  of 
incorporation,  bylaws,  governance  guidelines,  board  committee  charters,  and  code  of  business  conduct  and  ethics,  is  also 
available on our investor relations website under the heading “Governance.” The contents of our websites are not intended to be 
incorporated by reference into this Annual Report or in any other report or document we file with the SEC, and any references 
to our websites are intended to be inactive textual references only.

The  SEC  maintains  an  internet  website  that  contains  reports,  proxy  and  information  statements,  and  other  information 

regarding Hologic and other issuers that file electronically with the SEC. The SEC’s internet website address is www.sec.gov.

Products

We view our operations and manage our current business in four principal reporting segments: Diagnostics, Breast Health, 
GYN  Surgical  and  Skeletal  Health.  Financial  information  concerning  these  segments  is  provided  in  Note  16  to  our  audited 
consolidated financial statements contained in Item 15 of this Annual Report. The following describes our principal products in 
each of our segments.

Diagnostics Product Offerings

Molecular Diagnostic Assay Portfolio

Aptima Family of Molecular Diagnostic Assays. Our Aptima molecular diagnostic assays are used to detect, among other 
things,  the  infectious  microorganisms  that  cause  common  sexually  transmitted  diseases,  or  STDs,  such  as  chlamydia  and 
gonorrhea,  or  CTGC;  certain  high-risk  strains  of  human  papillomavirus,  or  HPV;  Trichomonas  vaginalis,  the  parasite  that 
causes trichomoniasis; Mycoplasma genitalium; and Herpes simplex viruses 1 and 2. In addition, we also offer viral load assays 
for the quantitation of Hepatitis B virus, or HBV, Hepatitis C virus, or HCV, human immunodeficiency virus, or HIV-1, and 
human cytomegalovirus, or CMV, for use on our Panther instrument system. All four of these viral load assays are both CE-
marked and FDA approved. We also offer our Aptima BV and Aptima CV/TV assays for the diagnosis of vaginitis, a common 
and complex ailment affecting millions of women a year. In response to the COVID-19 pandemic, we developed and launched 
our Aptima SARS-CoV-2 assay for the detection of SARS-CoV-2, the virus that causes COVID-19 disease, and our Aptima 
SARS-CoV-2/flu assay for the detection and differentiation of SARS-CoV-2, influenza A and influenza B, each of which runs 
on our standard Panther system. Both of these assays have been granted Emergency Use Authorization by the FDA and are also 
CE-marked. Our Aptima products integrate a number of proprietary core technologies, including our target capture technology, 
our  Transcription  Mediated  Amplification,  or  TMA,  technology,  and  our  hybridization  protection  assay,  or  HPA,  and  dual 
kinetic assay, or DKA, technologies, to produce highly sensitive amplification assays. Each of these technologies is described 
in greater detail below.

Target Capture/Nucleic Acid Extraction Technology. The detection of target organisms that are present in small numbers 
in a large-volume clinical sample requires that target organisms be concentrated to a detectable level. One way to accomplish 
this is to isolate the particular nucleic acid of interest by binding it to a solid support. This support, with the target bound to it, 
can  then  be  separated  from  the  original  sample.  We  refer  to  such  techniques  as  “target  capture.”  We  have  developed  target 
capture techniques to immobilize nucleic acids on magnetic beads by using a “capture probe” that binds to the bead and to the 
target nucleic acid. We use magnetic separation to concentrate the target by drawing the magnetic beads to the sides of a sample 
tube, while the remainder of the sample is removed from the tube. When used in conjunction with our amplification procedures, 
target capture techniques concentrate the nucleic acid target(s) and also remove materials in the sample that might otherwise 
interfere with amplification.

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Transcription-Mediated Amplification (TMA) Technology. The goal of amplification technologies is to increase the copy 
number of a target nucleic acid sequences that may be present in samples in small numbers. These copies can then be detected 
using nucleic acid probes. Amplification technologies can yield results in only a few hours versus the several days or weeks 
required for traditional culture methods. TMA is a transcription-based amplification system that uses two different enzymes to 
drive the process. The first enzyme is a reverse transcriptase that creates a double-stranded DNA copy from an RNA or DNA 
template. The second enzyme, an RNA polymerase, makes thousands of copies of the complementary RNA sequence, known 
as the “RNA amplicon,” from the double-stranded DNA template. Each RNA amplicon serves as a new target for the reverse 
transcriptase  and  the  process  repeats  automatically,  resulting  in  an  exponential  amplification  of  the  original  target  that  can 
produce over a billion copies of the RNA amplicon in less than thirty minutes.

Hybridization Protection Assay (HPA) and Dual Kinetic Assay (DKA) Technologies. With our HPA technology, we have 
simplified  testing,  further  increased  test  sensitivity  and  specificity,  and  increased  convenience.  In  the  HPA  process,  the 
acridinium  ester,  or  AE,  molecule  is  protected  within  the  double-stranded  helix  that  is  formed  when  the  probe  binds  to  its 
specific target. Prior to activating the AE molecule, known as “lighting off,” a chemical is added that destroys the AE molecule 
on any unhybridized probes, leaving the label on the hybridized probes largely unaffected. When the “lighting off” or detection 
reagent is added to the specimen, only the label attached to the hybridized probe is left to produce a signal indicating that the 
target organism’s DNA or RNA is present. All of these steps occur in a single tube and without any wash steps, which were 
required as part of conventional probe tests. Our DKA technology uses two types of AE molecules that can be differentiated 
from each other — one that “flashes” and another one that “glows.” By using DKA technology, we have created nucleic acid 
test, or NAT, assays that can detect two separate targets simultaneously.

Panther Fusion Family of Molecular Diagnostic Assays. The Panther Fusion molecular diagnostic assays are performed 
on  the  Panther  Fusion  system  and  utilize  polymerase  chain  reaction,  or  PCR,  technology  to  amplify  target  nucleic  acid 
sequences  for  easier  detection.  Our  Panther  Fusion  assay  portfolio  includes  diagnostic  tests  for  a  range  of  acute  respiratory 
infections  (influenza  A  virus,  influenza  B  virus,  respiratory  syncytial  virus,  adenovirus,  human  metapneumovirus,  rhinovirus 
and parainfluenza). In addition, in response to the COVID-19 pandemic, in fiscal 2020 we developed and launched the Panther 
Fusion SARS-CoV-2 assay for the detection of SARS-CoV-2. The Panther Fusion SARS-CoV-2 assay was granted Emergency 
Use Authorization by the FDA in March 2020. In countries recognizing the CE-mark, we also offer the Panther Fusion SARS-
CoV-2/Flu  A/B/RSV  assay  for  the  detection  and  differentiation  of  SARS-CoV-2,  influenza  A,  influenza  B  and  respiratory 
syncytial virus, or RSV, the Panther Fusion EBV Quant assay for quantitation of Epstein-Barr virus, the Panther Fusion BKV 
Quant  assay  for  quantitation  of  the  BK  virus,  the  Panther  Fusion  MRSA  assay  for  detection  and  differentiation  of 
Staphylococcus  aureus  and  methicillin-resistant  Staphylococcus  aureus,  and  the  Panther  Fusion  Bordetella  assay  for  the 
detection and differentiation of Bordetella pertussis and Bordetella parapertussis infections.

Molecular Diagnostic Instrumentation

We have developed and continue to develop instrumentation and software designed specifically for use with certain of our 
molecular diagnostic assays. We also provide technical support and service to maintain these instrument systems in the field. 
By  placing  our  proprietary  instrumentation  in  laboratories  and  hospitals,  we  can  establish  a  platform  for  future  sales  of  our 
assays.

Our  instrumentation  includes  the  Tigris  system,  an  integrated,  fully-automated  testing  instrument  for  high-volume 
laboratories which is approved for use with certain of our Aptima assays; the Panther instrument system, an integrated, fully-
automated testing instrument capable of serving high-, medium- and low-volume laboratories; and our semi-automated direct 
tube  sampling,  or  DTS,  instruments  which  are  used  to  run  a  number  of  infectious  disease  assays.  Our  instrumentation  also 
includes  the  Tomcat  instrument,  a  fully  automated  general-purpose  instrument  designed  to  improve  pre-analytical  sample 
processing by eliminating the inefficient and error-prone activities associated with manually transferring samples from one tube 
to another. In addition, our Panther Fusion system, including the related Fusion assays for flu and respiratory testing, extends 
the capabilities of our Panther system by adding the flexibility of PCR, functionality to our existing TMA-based technology. 
The Panther Fusion system is available as a modular in-lab upgrade to our base Panther system.

ThinPrep System

The ThinPrep System is the most widely used method for cervical cancer screening in the U.S. The ThinPrep System has 
multiple  configurations,  including  one  or  more  of  the  following:  the  ThinPrep  2000  Processor,  ThinPrep  5000  Processor, 
ThinPrep5000 Processor with Autoloader, ThinPrep Genesis Processor, ThinPrep Imaging System, ThinPrep Integrated Imager, 
and related reagents, filters and other supplies, such as the ThinPrep Pap Test and our ThinPrep PreservCyt Solution.

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The ThinPrep Process. The ThinPrep process begins with the patient’s cervical sample being obtained by the physician 
using  a  cervical  sampling  device  that,  rather  than  being  smeared  on  a  microscope  slide  as  in  a  conventional  Pap  smear,  is 
inserted into a vial filled with our proprietary ThinPrep PreservCyt Solution. This enables most of the patient’s cell samples to 
be preserved before the cells can be damaged by air drying. The ThinPrep specimen vial is then labeled and sent to a laboratory 
equipped  with  a  ThinPrep  Processor  for  slide  preparation.  At  the  laboratory,  the  ThinPrep  specimen  vial  is  inserted  into  a 
ThinPrep  Processor,  a  proprietary  sample  preparation  device,  which  automates  the  process  of  preparing  cervical  slides  for 
staining and microscopic examination. Additionally, an aliquot used for subsequent molecular testing can be produced using the 
ThinPrep Genesis Processor.

In the case of manual screening, the cytotechnologist screens each Pap test slide with a microscope to first determine the 
adequacy of the slide and then to examine the entire slide to differentiate diseased or abnormal cells from normal cells. With the 
ThinPrep Imaging Systems, the screening process has been automated to combine the power of computer imaging technology 
with human interpretive skills. Prior to human review, the ThinPrep Imaging Systems rapidly scan, locate and highlight areas of 
interest  for  review.  By  directing  the  cytotechnologist  to  areas  of  interest  on  a  slide,  these  systems  may  increase  a  cytology 
laboratory’s screening productivity and diagnostic accuracy. 

Additional Applications. In addition to serving as a replacement for the conventional Pap smear, the ThinPrep System can 
also  be  used  for  non-gynecological  cytology  screening  applications  including  fine-needle  aspiration  specimens  (e.g.,  breast, 
thyroid,  lung  or  liver),  body  fluids  (e.g.,  urine,  pleural  fluid,  ascitic  fluid  or  pericardial  fluid),  respiratory  specimens  (e.g., 
sputum or brushing of respiratory tracts) and ancillary testing (e.g., cell blocks, immunocytochemistry or special stains).

Genius Digital Diagnostics

The  Genius  Digital  Diagnostics  System  is  the  first  CE-marked  digital  cytology  platform  to  combine  a  new  artificial 
intelligence, or AI, algorithm with advanced volumetric imaging technology to help cytotechnologists and pathologists identify 
pre-cancerous  lesions  and  cervical  cancer  cells  in  women.  The  Genius  Digital  Diagnostics  System  consists  of  an  advanced 
digital imager featuring volumetric imaging technology, a secure image management server to store images, a deep learning-
based AI algorithm that is designed to assist healthcare providers in detecting pre-cancerous lesions and cervical cancer cells, 
and  a  high-resolution  review  station  for  local  or  remote  case  review.  The  Genius  Digital  Diagnostics  System  can  rapidly 
analyze all cells on a ThinPrep Pap test digital image, narrowing tens of thousands of cells down to an AI-generated gallery of 
images that have been selected as the most diagnostically relevant images, which gives healthcare providers additional critical 
information  to  help  guide  earlier  detection  and  make  better  treatment  decisions  for  patients.  The  Genius  Digital  Diagnostics 
System was CE-marked for diagnostic use in November 2020, and we have submitted a De Novo request to the FDA to grant 
class II marketing authorization for the product in the U.S.

 Rapid Fetal Fibronectin Test

The Rapid Fetal Fibronectin Test is a single-use disposable test used to determine a woman’s risk of pre-term birth by 
detecting the presence of a specific protein, fetal fibronectin, in vaginal secretions during pregnancy. The test utilizes a single-
use, disposable cassette and is analyzed on our instrument, the TLi IQ System.

 Oncology Product Offerings

In February 2021, we completed the acquisition of Biotheranostics, Inc., or Biotheranostics, and now offer two proprietary 
laboratory developed tests, or LDTs, that support physicians in the treatment of cancer: the Breast Cancer Index test and the 
CancerTYPE ID test. The Breast Cancer Index, or BCI, test is a PCR-based gene expression test used for determining which 
patients  with  early-stage,  hormone-receptor  positive,  or  HR+,  breast  cancer  are  likely  to  benefit  from  extended  endocrine 
therapy. In January 2021, the National Comprehensive Cancer Network revised its clinical practice guidelines to include BCI as 
the  only  gene  expression  assay  to  predict  benefit  from  extended  endocrine  therapy  for  patients  with  early-stage  HR+  breast 
cancer.  In  addition,  in  April  2022  the  American  Society  of  Clinical  Oncology  updated  its  clinical  practice  guidelines,  which 
now include BCI as the only genomic test to help guide extended endocrine therapy decisions in early-stage, HR+ breast cancer 
patients.  The  CancerTYPE  ID  test  is  a  PCR-based  gene  expression  test  that  is  designed  to  identify  the  source  of  metastatic 
cancer  in  order  to  improve  diagnostic  accuracy  and  inform  treatment  decisions.  Both  of  these  LDTs  are  offered  as  a  service 
solely out of Biotheranostics' licensed, CLIA-certified, CAP-accredited laboratory in San Diego, California. 

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Mobidiag Product Offerings

In June 2021, we completed the acquisition of Mobidiag Oy, or Mobidiag, a developer of innovative molecular diagnostic 
tests  and  instrumentation,  headquartered  in  Espoo,  Finland.  Mobidiag  develops  and  markets  PCR-based  tests  for  acute  care 
conditions such as gastrointestinal and respiratory infections (including SARS-CoV-2), antimicrobial resistance management, 
and  healthcare  associated  infections.  The  Amplidiag  and  Novodiag  platforms  are  automated  instruments  that  deliver  rapid 
turnaround  times  ranging  from  50  minutes  to  two  hours.  The  Novodiag  instrument  combines  real-time  PCR  and  microarray 
capabilities to provide high level multiplexing, assisting clinicians in efficiently identifying which organism is responsible for 
an  infection.  Although  Mobidiag  currently  does  not  offer  any  of  its  products  in  the  U.S.,  we  intend  to  invest  in  assay 
development to drive growth of the Novodiag instrument, including seeking clearance for the Novodiag instrument and related 
assays in the U.S.

Breast Health Products

Mammography Solutions

Our Dimensions platform includes the Selenia Dimensions and 3Dimensions systems capable of performing both 2D and 
3D tomosynthesis image acquisition and display. When operating in tomosynthesis mode, each system acquires a series of low 
dose x-ray images taken in a scanning motion at various angles. The images are mathematically processed into a series of small 
slices, allowing for visualization of the breast in multiple contiguous slices. Our clinical results for FDA approval demonstrated 
that  conventional  2D  digital  mammography  with  the  addition  of  our  Genius  3D  Mammography  is  superior  to  2D  digital 
mammography  alone  for  both  screening  and  diagnostics.  Hologic  Clarity  HD  technology  provides  our  highest  resolution 
imaging, and our C-View and Intelligent 2D software products provide 2D images that are mathematically synthesized from the 
data  within  a  tomosynthesis  exam.  Elimination  of  the  2D  exposure  reduces  the  breast  compression  time  and  patient  dose 
compared to the current "combo" exam, which includes a tomosynthesis exam and a conventional digital 2D exam. 

Our 3DQuorum technology, powered by Genius AI, is an artificial intelligence, or AI, powered algorithm that expedites 
mammography  exam  reading  time  without  compromising  image  quality,  sensitivity  or  accuracy.  The  3DQuorum  technology 
uses Genius AI-powered analytics to uniquely reconstruct high-resolution 3D data to produce 6 mm “SmartSlices.” By utilizing 
3DQuorum technology the number of 3D images to review is reduced by two-thirds, saving an estimated average of one hour 
per eight hours of daily image interpretation time. The 3DQuorum technology also reduces the typical Hologic Clarity HD and 
Intelligent 2D study size by approximately 50%, bringing the storage space and network impact back down to that of standard 
resolution 3D imaging. 

The images captured by digital mammography systems are typically transmitted electronically for review by a radiologist 
at  a  reading  workstation.  To  address  this  process,  we  offer  the  SecurViewDX  workstation  approved  for  interpretation  of 
mammograms  from  most  vendors  as  well  as  images  from  other  diagnostic  breast  modalities.  We  also  offer  image  analytic 
products such as Genius AI Detection (Hologic's first artificial intelligence cancer detection algorithm utilizing deep-learning 
technology) and ImageChecker CAD to provide markings of suspicious areas of the breast that may be cancerous, as well as 
Quantra  software  to  automate  breast  density  measurement  tools  for  our  mammography  systems.  These  technologies  provide 
reviewers  with  the  potential  to  focus  on  key  patients  that  might  otherwise  be  overlooked  during  the  review  process,  thus 
potentially increasing cancer detection.

Stereotactic Breast Biopsy Systems

We  provide  clinicians  with  the  flexibility  of  choosing  prone  or  upright  systems  for  breast  biopsy  by  offering  two 
minimally invasive stereotactic breast biopsy guidance systems: the Affirm Prone breast biopsy table and the Affirm upright 
system.  The  Affirm  upright  attachment  is  used  with  our  Dimensions  systems.  These  breast  biopsy  systems  provide  an 
alternative  to  open  surgical  biopsy  and  can  be  performed  as  an  outpatient  procedure  under  local  anesthesia,  allowing  shorter 
recovery times. The Affirm tomosynthesis option provides faster lesion targeting and reduced patient procedure time compared 
to traditional stereotactic biopsy procedures. The Affirm system is pre-programmed for use with our Brevera, Eviva and ATEC 
vacuum-assisted breast biopsy devices.

Ultrasound Solutions

Ultrasound  is  used  extensively  by  clinicians  across  the  breast  health  continuum  including  screening,  diagnosis, 
interventions,  and  surgical  treatments.  Ultrasound  is  commonly  used  as  a  complement  to  3D  mammography  screening  for 
women with dense breast tissue, as a diagnostic tool to further characterize lesions prior to biopsy, and for interventional and 
surgical  guidance.  Our  UltraFast  technology  enables  innovative  imaging  modes  and  frame  rates  of  up  to  20,000  images  per 
second  resulting  in  high  performance  and  image  quality.  Our  portfolio  consists  of  premium  ultrasound  carts  including  the 

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Aixplorer, Mach 20, Mach 30, and Mach 40 ultrasound system. The Supersonic Mach 40 ultrasound systems offers integration 
benefits with our existing breast health portfolio.

Breast Biopsy and Surgery Products

We offer a wide range of minimally invasive products for breast biopsy and breast surgery. Our breast biopsy portfolio 
includes three types of tethered vacuum-assisted breast biopsy products; the Brevera, ATEC, and Eviva devices. Each tethered 
device is powered by a console and utilizes our fluid management system. The ATEC device can be used under all standard 
imaging  guidance  modalities  (stereotactic  x-ray,  ultrasound,  MRI  and  molecular  breast  imaging)  whereas  our  Brevera  and 
Eviva devices are used exclusively under stereotactic x-ray guidance. We also offer the Celero and Sertera biopsy devices, both 
of  which  are  non-tethered  (no  separate  console),  spring-loaded,  disposable  core  biopsy  devices,  which  are  used  exclusively 
under  ultrasound-guidance.  We  also  have  products  for  marking,  localizing  and  filling  the  void  after  surgery  in  addition  to 
specimen imaging products for radiology, surgery and pathology.

GYN Surgical Products

NovaSure

The NovaSure CLASSIC endometrial ablation system allows physicians to treat women suffering from abnormal uterine 
bleeding. The system features Smart-Depth technology that continuously monitors and measures tissue impedance to provide a 
more customized, reliable and reproducible depth of ablation for every patient. The NovaSure system consists of a disposable 
device and a controller that delivers RF energy to ablate the endometrial lining of the uterus in order to eliminate or reduce the 
patient’s  abnormal  bleeding.  The  NovaSure  disposable  device  is  a  hand-held,  single-use  device  that  incorporates  a  flexible 
gold-plated mesh electrode used to deliver the RF energy to the endometrial tissue. The NovaSure RF Controller generates and 
delivers  RF  energy  customized  for  each  patient,  monitors  several  critical  treatment  and  safety  parameters,  and  automatically 
controls  the  endpoint  of  the  procedure.  We  also  offer  the  NovaSure  ADVANCED  and  NovaSure  V5  devices,  which  have  a 
slimmer  diameter.  These  devices  are  designed  to  improve  patient  comfort  and  physician  ease-of-use  while  maintaining  the 
clinical efficacy of the NovaSure system.

MyoSure

The  MyoSure  system  is  designed  to  provide  efficient  and  effective  hysteroscopic  removal  of  tissue  within  the  uterus, 
including  fibroids  and  polyps.  Removal  of  fibroids  can  provide  effective  relief  from  heavy  menstrual  bleeding  commonly 
attributed to such pathology. Unlike other methods of tissue removal, the excavated tissue samples remain intact, which allows 
them to be tested for abnormalities. The MyoSure system consists of a tissue removal device, control unit, and hysteroscope. 
The MyoSure tissue removal device is single-use and features simultaneous tissue cutting and removal. The device incorporates 
a  rapidly  rotating  and  reciprocating  cutting  blade.  During  the  procedure,  the  tissue  removal  device  is  inserted  through  the 
MyoSure hysteroscope. This tissue removal device is powered by a control unit, which features a simple user interface and is 
foot pedal activated. We offer multiple handpiece devices that differ in size and are focused on addressing different pathology 
types.

Fluent Fluid Management System

Our  Fluent  Fluid  Management  System  is  utilized  for  diagnostic  and  operative  hysteroscopic  procedures.  Fluent  is 

designed for simplified setup and operation, and streamlined workflow for the operating room team.

Acessa ProVu System

The Acessa ProVu System is used by laparoscopic surgeons to treat fibroids using controlled radiofrequency energy (heat) 
to cause coagulative necrosis. The treated tissue softens and shrinks over time, allowing fibroid symptoms to resolve without 
more  invasive  treatment.  The  Acessa  System  includes  an  ultrasound  probe  to  locate  the  fibroids,  guidance  mapping  that 
provides visual cues, and a percutaneous handpiece that deploys radiofrequency energy.

Advanced Energy and Surgical Stapling

The  CoolSeal  vessel  sealing  suite  and  JustRight  surgical  stapler  bolster  our  laparoscopic  surgical  offerings  with  its 
advanced vessel sealing, dividing, dissection, and stapling tools. The CoolSeal device allows for dissection, vessel sealing and 
dividing  all  in  one  tool.  The  ability  to  use  a  combination  device  improves  surgical  efficiency  by  reducing  the  need  for 
instrument  exchanges.  In  addition,  the  CoolSeal  Mini  3  mm  sealer  and  the  JustRight  5  mm  stapler  are  designed  for  small 
surgical spaces such as in pediatric cases, which can help reduce the need for larger, overpowered instruments. 

Skeletal Health Products

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Horizon DXA Systems

Bone densitometry is the measurement of bone density to assist in the diagnosis and monitoring of osteoporosis and other 
metabolic bone diseases that can lead to frailty and debilitating bone fractures. Osteoporosis is a disease that is most prevalent 
in  post-menopausal  women.  Our  Horizon  line  of  x-ray  bone  densitometers  incorporates  advanced  features  designed  for  bone 
health  screening  and  body  composition  assessment.  Body  composition  assessment  is  the  precise  measurement  of  bone,  lean 
mass, and fat mass within the body. These measurements are valued within the health and wellness and human performance 
categories, informing nutrition and exercise programming decisions. 

Fluoroscan Insight FD

Our  Fluoroscan  Insight  FD  is  a  mini  C-arm  imaging  system  that  provides  low  intensity,  real-time  x-ray  imaging,  with 
high-resolution  images  at  radiation  levels  and  at  a  cost  below  those  of  conventional  x-ray  and  standard  sized  fluoroscopic 
equipment. Mini C-arm systems are used primarily by orthopedic surgeons to assist in performing minimally invasive surgical 
procedures on a patient’s extremities, such as the hand, wrist, knee, foot and ankle.

Marketing, Sales and Service

We sell and service our products through a combination of direct sales and service forces and a network of independent 
distributors  and  sales  representatives.  In  fiscal  2022,  2021,  and  2020,  no  customer  accounted  for  more  than  10%  of  our 
consolidated  revenues.  In  fiscal  2020,  revenues  from  two  customers  accounted  for  12.5%  and  10.9%,  respectively,  of  our 
Diagnostics segment revenue. These customers were large clinical laboratories reflecting the consolidation in that industry. No 
other customer accounted for more than 10% of our revenues in any other business segment in fiscal 2022, 2021, or 2020. 

Our  U.S.  sales  force  is  structured  to  specifically  target  the  customers  in  each  of  our  business  segments.  We  maintain 
distinct  teams  focused  on  the  Diagnostics,  Breast  Health,  GYN  Surgical,  and  Skeletal  Health  markets.  Our  end  customers 
include  clinical  laboratories,  hospitals,  healthcare  providers  and  surgeons  in  both  hospital  and  office  settings,  and  we  target 
various specialists at healthcare entities who use our products, such as ob-gyns, radiologists and breast surgeons. 

A critical element of our strategy in the U.S. for our Diagnostics, Breast and Skeletal Health, and GYN Surgical divisions 
has been to utilize the results of our clinical trials and expanded FDA labeling to demonstrate safety, efficacy and productivity 
improvements  to  our  target  customers.  Our  U.S.  sales  efforts  also  include  the  use  of  national  account  managers  focused  on 
obtaining purchasing contracts from large purchasing entities, such as managed care organizations, integrated delivery networks 
and government healthcare facilities. In addition, in certain regions of the U.S., we use a limited number of independent dealers 
or distributors to sell and service certain of our products. Internationally, our products in all divisions are marketed and sold 
through a combination of a direct sales force and a network of distributors.

Our  service  organization  is  responsible  for  installing  our  products  and  providing  warranty  and  repair  services, 
applications training and biomedical training. Products sold by our direct sales force typically carry limited warranties covering 
parts  and  labor  for  twelve  months.  Products  sold  through  dealers  also  carry  limited  warranties  that  are  typically  for  twelve 
months and cover only parts and components. We also offer service contracts that generally cover one to three years after the 
original warranty period. We provide both repair services and routine maintenance services under these arrangements, and also 
offer repair and maintenance services on a time and materials basis to customers that do not have service contracts. Our Breast 
Health  business  generates  a  majority  of  our  service  revenue,  primarily  relating  to  service  contracts  for  our  digital 
mammography  and  related  products.  Internationally,  we  primarily  use  distributors,  sales  representatives  and  third  parties  to 
provide maintenance service for our products, however we do provide direct service in countries where we have a subsidiary 
(Germany, UK, France, Spain, Japan, China, and Australia).

Competition

The  healthcare  industry  is  highly  competitive  and  characterized  by  continual  change  and  improvements  in  technology. 
This  is  particularly  the  case  in  the  market  segments  in  which  we  operate.  A  number  of  companies  have  developed  or  are 
expected  to  develop  products  that  compete  or  will  compete  with  our  products.  Many  of  these  competitors  offer  a  broader 
product  portfolio  and  have  greater  brand  recognition  than  we  do,  which  may  make  these  competitors  more  attractive  to 
hospitals, radiology clients, group purchasing organizations, laboratories, physicians and other potential customers. Competitors 
may develop superior products or products of similar quality for sale at the same or lower prices. Moreover, our products could 
be rendered obsolete by changes to industry standards or guidelines or advances in technology. We can give no assurance that 
we will be able to compete successfully with existing or new competitors.

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In the current environment of managed care, economically motivated buyers, consolidation among healthcare providers, 
increased competition and declining reimbursement rates, we have been increasingly required to compete on the basis of price, 
value, reliability and efficiency. We believe the current global economic conditions and healthcare reform measures are putting 
additional competitive pressure on us, including on our average selling prices, overall procedure rates and market sizes.

We believe that the success of our products depends on our ability to differentiate ourselves and to demonstrate that our 
products deliver the clinical and operational attributes that are most important and cost-effective to customers. These attributes 
include,  but  are  not  limited  to,  superiority  in  efficacy,  ease  of  use,  reliability,  accuracy,  quality  and  cost.  We  believe  our 
continued success depends in large part upon our ability to invest in product enhancements and technologies that will help us 
distinguish ourselves from our competitors.

Diagnostics.  Our  ThinPrep  liquid-based  cytology  product  faces  direct  competition  in  the  U.S.  primarily  from  Becton, 
Dickinson and Company, or BD, which manufactures a competitive offering. We also compete with the conventional Pap smear 
and  other  alternative  methods  for  detecting  cervical  cancer  and/or  its  precursors.  Internationally,  our  ThinPrep  product 
competes with a variety of companies and other non-FDA approved tests, since the devices often have lower risk classification 
with  fewer  regulatory  barriers  in  many  international  markets  as  compared  to  the  U.S.  Additionally,  testing  volume  in  this 
category  is  also  under  pressure  due  to  clinical  guideline  changes,  which  lengthen  the  interval  between  screenings  and 
increasingly afford the option of HPV testing as the primary means of detection.

We believe that our Rapid Fetal Fibronectin Test is currently the only available in vitro diagnostic test for predicting the 
risk of pre-term birth in the U.S. Internationally, our Rapid Fetal Fibronectin Test competes with Actim Partus manufactured by 
Medix Biochemica and PartoSure manufactured by Qiagen GmbH, or Qiagen. However, our Rapid Fetal Fibronectin Test could 
also experience competition from companies that manufacture and market pregnancy-related diagnostic products and services. 
In  addition,  healthcare  providers  use  diagnostic  techniques  such  as  clinical  examination  and  transvaginal  ultrasound  to  help 
diagnose the likelihood of pre-term birth and may use these techniques together with the Rapid Fetal Fibronectin Test or instead 
of using the Rapid Fetal Fibronectin Test.

In the molecular diagnostics market, our products compete with many companies in the U.S. and abroad engaged in the 
development,  commercialization  and  distribution  of  similar  products  intended  for  clinical  molecular  diagnostic  applications. 
Clinical  laboratories  also  may  offer  testing  services  that  are  competitive  with  our  products  and  may  use  reagents  purchased 
from us or others to develop their own lab developed tests. The market for our COVID-19 assays is rapidly evolving both in the 
United States and in the rest of the world. For example, in the United States over 400 assays have received Emergency Use 
Authorization  from  the  FDA,  and  we  compete  with  the  providers  of  all  of  these  tests,  including  manufacturers  of  molecular 
diagnostic tests (including so-called high throughput nucleic acid tests, rapid antigen tests and at-home testing solutions), and 
antibody tests, as well clinical laboratories making their own lab developed tests for the detection of SARS-CoV-2.

In  the  global  clinical  diagnostics  market,  we  compete  with  several  companies  offering  alternative  technologies  to  our 
diagnostic products. For example, in the U.S., our Aptima Combo 2 test competes against Abbott Laboratories, BD, Danaher 
Corporation  (through  its  acquisition  of  Cephaid),  and  Roche  Diagnostics  Corporation,  or  Roche,  and  our  Aptima  HPV  test 
competes with tests marketed by BD, Qiagen and Roche.

Breast  Health.  Our  mammography  and  related  products  and  subsystems  compete  on  a  worldwide  basis  with  products 
offered by a number of competitors, including General Electric Company, or GE, Siemens AG, or Siemens, Koninklijke Philips 
NV, or Philips, Planmed Oy, or Planmed, Carestream Health, Inc., or Carestream, FUJIFILM Holdings Corporation, or Fuji, 
Internazionale  Medico  Scientifica  Srl,  or  I.M.S.,  and  Toshiba  Corporation.  In  the  U.S.,  our  digital  mammography  systems 
compete with digital mammography systems from GE, Siemens, Fuji, I.M.S., Philips and Planmed. Our digital mammography 
systems also compete with Fuji’s and Carestream's Computed Radiography, or CR mammography systems, and other lower-
priced  alternatives  to  2D  digital  mammography  and  analog  mammography  systems.  In  the  U.S.,  GE,  Siemens  and  Fuji  have 
received  FDA  approval  for  their  breast  tomosynthesis  systems,  and  we  believe  that  other  competitors  are  developing 
tomosynthesis systems for commercial use in the U.S. Our Dimensions tomosynthesis systems also compete in certain countries 
outside of the U.S. with tomosynthesis systems developed by GE, Siemens, Fuji, and I.M.S.

The  primary  competitor  for  our  breast  biopsy  product  line  is  Devicor  Medical  Products,  Inc.,  part  of  Danaher 
Corporation's Leica Biosystems division. In addition, other competitors include CareFusion, a BD company and Intact Medical 
Corporation.

GYN  Surgical.  Our  NovaSure  system  currently  faces  direct  competition  from  The  Cooper  Companies,  Inc.,  or 
CooperSurgical,  and  Minerva  Surgical,  Inc.,  or  Minerva,  each  of  which  currently  markets  an  FDA-approved  endometrial 
ablation device for the treatment of abnormal uterine bleeding. In addition to these devices, we also compete with alternative 
treatments  to  our  NovaSure  system,  such  as  drug  therapy,  intrauterine  devices,  hysterectomy,  dilation  and  curettage  and 

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rollerball  ablation.  Because  drug  therapy  is  an  alternative  to  our  NovaSure  procedure,  NovaSure’s  competitors  also  include 
many major pharmaceutical companies that manufacture hormonal drugs for women.

Our  MyoSure  product  competes  directly  with  hysteroscopic  loop  resection,  as  well  as  hysteroscopic  tissue  removal 
systems such as Medtronic plc’s TruClear device and Minerva's Symphion device. The MyoSure product also competes with 
alternative therapeutic techniques such as hysteroscopic resection with a monopolar or bipolar loop, which is currently the most 
common technique for removing intrauterine fibroids and polyps.

Our Acessa ProVu System competes directly with Gynesonics, Inc., which currently markets a radiofrequency ablation 
device for treating uterine fibroids. The Acessa ProVu System also competes with alternative fibroid treatment options such as 
hysterectomy, laparoscopic myomectomy, and uterine artery embolization.

Our CoolSeal vessel sealing suite competes directly with Applied Medical's Voyant vessel sealing, Medtronic's LigaSure 
vessel sealing, Ethicon's ENSEAL vessel sealing and Olympus' THUNDERBEAT and POWERSEAL vessel dealing devices. 
CoolSeal also competes with ultrasonic energy sealing procedures done by Medtronic's Sonicision and Ethicon's HARMONIC 
sealing devices.

Skeletal Health. GE is our primary competitor in the bone densitometry market, and we also compete with Orthoscan Inc. 

in the mini-C arm market.

Manufacturing

We purchase many of the components, subassemblies, and raw materials used in our products from numerous suppliers 
worldwide.  For  reasons  of  quality  assurance,  scarcity  and/or  cost  effectiveness,  certain  components,  subassemblies,  and  raw 
materials used in our products are available only from one or a limited number of suppliers. We work closely with our suppliers 
to  develop  contingency  plans  to  ensure  continuity  of  quality  and  reliable  supply.  We  have  established  long-term  supply 
contracts  with  many  of  our  suppliers,  and  in  other  instances,  we  developed  in-house  capability  to  offset  potential  shortages 
caused by sole source suppliers. Due to the high standards and FDA requirements applicable to manufacturing our products, 
such  as  the  FDA's  Quality  System  Regulation  and  Good  Manufacturing  Practices,  we  may  not  be  able  to  quickly  establish 
additional  or  replacement  sources  for  certain  components  or  materials.  In  addition,  the  COVID-19  pandemic  and  associated 
economic disruptions have had an adverse impact on our supply chains. Moreover, we use certain components in our products, 
including  semiconductor  chips,  which  have  been  the  subject  of  recent  global  supply  chain  shortages  and  disruptions.  In  the 
event  we  are  unable  to  obtain  sufficient  quantities  of  raw  materials  or  components  or  subassemblies  on  commercially 
reasonable terms or in a timely manner, our ability to manufacture our products on a timely and cost-competitive basis may be 
compromised,  which  may  have  a  material  adverse  effect  on  our  business,  financial  condition  and  results  of  operations.  For 
additional information about supply chain shortages and disruptions to which our business is subject, see the disclosures under 
the caption “Supply Chain Considerations” in Item 7 of this Annual Report.

Our current supplier of certain key raw materials for certain of our amplified NAT diagnostic assays is Roche, a direct 
competitor of our Diagnostics business. Our Diagnostics business has two supply agreements with GE Healthcare Bio-Sciences 
Corp.,  an  affiliate  of  GE,  for  membranes  used  in  connection  with  our  ThinPrep  product  line  and  for  primers  used  in  the 
manufacture  of  certain  of  our  molecular  products.  GE  is  a  direct  competitor  with  our  Breast  Health  and  Skeletal  Health 
businesses. 

We  have  sole  source  third-party  contract  manufacturers  for  each  of  our  molecular  diagnostics  instrument  product  lines 
and  for  our  Skeletal  Health  products.  KMC  Systems,  Inc.,  or  KMC  Systems,  is  the  only  manufacturer  of  spare  parts  for  our 
Tigris  instrument;  Stratec  SE,  or  Stratec,  is  the  only  manufacturer  of  the  Panther  and  Panther  Fusion  instruments;  and 
Flextronics Medical Sales and Marketing, LTD, or Flextronics, is the only manufacturer of our Skeletal Health finished goods 
products. We are dependent on these sole source third-party manufacturers, and this dependence exposes us to increased risks 
associated  with  production  delays,  delivery  schedules,  manufacturing  capability,  quality  control,  quality  assurance  and  costs. 
We have no firm long-term volume commitments with either KMC Systems, Stratec or Flextronics. If KMC Systems, Stratec, 
Flextronics or any of our other third-party manufacturers experiences delays, disruptions, capacity constraints or quality control 
problems in its development or manufacturing operations, curtails operations or otherwise fails to supply us with products in 
sufficient  quantities,  instrument  and  equipment  shipments  to  our  customers  could  be  delayed  or  cancelled,  which  would 
decrease  our  revenues  and  may  harm  our  competitive  position  and  reputation.  Further,  because  we  place  orders  with  our 
manufacturers  based  on  forecasts  of  expected  demand  for  our  instruments  and  Skeletal  Health  products,  if  we  inaccurately 
forecast demand, we may be unable to obtain adequate manufacturing capacity or adequate quantities of components to meet 
our customers' delivery requirements.

We, and our contract manufacturers, manufacture our products at a limited number of different facilities located in the 
U.S.  and  throughout  the  world.  In  most  cases,  the  manufacturing  of  each  of  our  products  is  concentrated  in  one  or  a  few 

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locations.  An  interruption  in  manufacturing  capabilities  at  any  of  these  facilities,  as  a  result  of  equipment  failure  or  other 
reasons,  could  reduce,  delay  or  prevent  the  production  of  our  products.  Some  of  our  manufacturing  operations  are  located 
outside  of  the  U.S.,  including  in  Costa  Rica  and  the  United  Kingdom.  Those  manufacturing  operations  are  also  subject  to 
additional challenges and risks associated with international operations described under the caption “Risk Factors” set forth in 
Part I, Item 1A of this Annual Report.

From  time-to-time  new  regulations  are  enacted  that  can  affect  the  content  and  manufacturing  of  our  products.  We 
evaluate  the  necessary  steps  for  compliance  with  regulations  as  they  are  enacted.  In  August  2012,  the  SEC  adopted  a  rule 
requiring disclosures of specified minerals, known as conflict minerals, which are necessary to the functionality or production 
of products manufactured or contracted to be manufactured by public companies. The conflict minerals rule requires companies 
annually to disclose and report whether or not such minerals originate from the Democratic Republic of Congo or an adjoining 
country. The conflict minerals rule could affect sourcing at competitive prices and availability in sufficient quantities of certain 
minerals  used  in  the  manufacture  of  our  products,  including  tantalum,  tin,  gold  and  tungsten.  The  number  of  suppliers  who 
provide  conflict-free  minerals  may  be  limited.  In  addition,  there  may  be  material  costs  associated  with  complying  with  the 
disclosure  requirements,  such  as  costs  related  to  determining  the  source  of  certain  minerals  used  in  our  products,  as  well  as 
costs of possible changes to products, processes, or sources of supply as a consequence of such verification activities. Since our 
supply  chain  is  complex,  we  may  not  be  able  to  sufficiently  verify  the  origins  of  the  relevant  minerals  used  in  our  products 
through  the  due  diligence  procedures  that  we  implement,  which  may  harm  our  reputation.  In  addition,  we  may  encounter 
challenges to satisfy those customers who require that all of the components of our products be certified as conflict-free, which 
could place us at a competitive disadvantage if we are unable to do so.

Other  regulations  which  affect  the  content  and  manufacturing  of  our  products  include,  for  example,  the  Registration, 
Evaluation, Authorization and Restriction of Chemical substances, or REACH, the Restriction on the Use of Certain Hazardous 
Substances  in  Electrical  and  Electronic  Equipment  Directive,  or  RoHS,  and  the  Waste  Electrical  and  Electronic  Equipment 
Directive, or WEEE, enacted in the European Union which require the registration of and regulate the use of certain hazardous 
substances and chemicals in, and require the collection, reuse and recycling of waste from, certain products we manufacture. 
Similar legislation that has been or is in the process of being enacted in Japan and China and various states of the U.S. may 
require us to re-design our products to ensure compliance with the applicable standards, for example by requiring the use of 
different types of materials. These redesigns or alternative materials may detrimentally impact the performance of our products, 
add greater testing lead-times for product introductions, result in additional costs or have other similar negative effects.

Research and Development

The markets in which we participate are characterized by rapid technological change, frequent product introductions and 
evolving customer requirements. Investment in research and development is critical to driving our future growth. Our research 
and  development  efforts  are  focused  on  the  further  development  and  improvement  of  our  existing  products,  the  design  and 
development  of  new  innovative  medical  technologies  and  regulatory  compliance  across  all  our  business  segments.  In  fiscal 
2020, in response to the COVID-19 pandemic, we developed and launched the Aptima SARS-CoV-2 assay (which runs on our 
Panther system) and the Panther Fusion SARS-CoV-2 assay (which runs on our Panther Fusion system).

In addition to product development, our research and development personnel play an active role in the review of product 
specifications, clinical protocols and FDA submissions, as well as ensuring that certain of our products conform to European 
health, safety and environmental requirements, or CE-marking. 

Patents and Proprietary Rights

We  rely  primarily  on  a  combination  of  trade  secrets,  patents,  copyrights,  trademarks  and  confidentiality  procedures  to 
protect our products and technology. Due to the rapid technological changes that characterize the markets we operate in, we 
believe that trade secrets and other unpatented know-how relied upon in connection with the development of new products and 
the  enhancement  of  existing  products  are  generally  as  important  as  patent  protection  in  establishing  and  maintaining  a 
competitive  advantage.  Nevertheless,  we  have  obtained  patents  and  will  continue  to  make  efforts  to  obtain  patents,  when 
available, in connection with our product development programs. We do not consider our business to be materially dependent 
upon any individual patent.

We own numerous U.S. patents and have applied for numerous additional U.S. patents relating to our technologies. We 
also own or have applied for corresponding patents in selected foreign countries. These patents relate to various aspects of most 
of our products. We do not know if current or future patent applications will be issued with the full scope of the claims sought, 
if at all, or whether any patents issued will be challenged or invalidated. There is a risk that our patent applications will not 
result in granted patents or that granted patents will not provide significant protection for our products and technology. Third 
parties may infringe, misappropriate or otherwise violate our intellectual property rights, or copy or reverse engineer portions of 

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our technology. Our competitors may independently develop similar or superior technology that our patents do not cover. In 
addition, because patent applications in the U.S. are not generally publicly disclosed until eighteen months after the application 
is filed, unpublished applications may have been filed by third parties that relate to our technology. Moreover, there is a risk 
that foreign intellectual property laws will not protect our intellectual property rights to the same extent as intellectual property 
laws in the U.S. The rights provided by a patent are finite in time. Over the coming years, certain patents relating to current 
products  will  expire  in  the  U.S.  and  abroad  which  may  allow  third  parties  to  exploit  those  technologies.  In  the  absence  of 
significant patent protection, we may be vulnerable to competitors who attempt to copy our products, processes or technology.

In addition to the patents we have been issued or we have acquired, we license patents from others on a variety of terms 

and conditions.

We are engaged in intellectual property litigation as described in Note 14 to our consolidated financial statements entitled 
"Litigation and Related Matters," and as may also be described herein, and we may be notified in the future of claims that we 
may be infringing, misappropriating or otherwise violating the intellectual property rights of third parties. In connection with 
any such claims, we may seek to enter into settlement and/or licensing arrangements. There is a risk in these situations that no 
license will be available or that a license will not be available on reasonable terms. Alternatively, we may decide or be required 
to litigate such claims. A successful claim against us may require us to remove the alleged infringing product from the market 
or to design around the third party's patent, potentially resulting in less market demand for the product.

Regulatory

The  manufacture,  sale,  lease  and  service  of  medical  diagnostic  and  surgical  devices  intended  for  commercial  use  are 
subject to extensive governmental regulation by the FDA in the U.S. and by a variety of regulatory agencies in other countries. 
Under  the  Federal  Food,  Drug  and  Cosmetic  Act,  known  as  the  FD&C  Act,  manufacturers  of  medical  products  and  devices 
must  comply  with  certain  regulations  governing  the  design,  testing,  manufacturing,  packaging,  servicing  and  marketing  of 
medical products. Some of our products are also subject to the Radiation Control for Health and Safety Act, administered by the 
FDA, which imposes performance standards and record keeping, reporting, product testing and product labeling requirements 
for  devices  that  emit  radiation,  such  as  x-rays.  FDA  product  approvals  may  be  withdrawn  or  suspended  if  compliance  with 
regulatory standards is not maintained or if problems occur following initial marketing. 

The FDA classifies medical devices into three classes based on risk. Regulatory control increases from Class I (lowest 
risk)  to  Class  III  (highest  risk).  The  FDA  generally  must  clear  or  approve  the  commercial  sale  of  new  medical  devices  in 
Classes II and III. Commercial sales of our Class II (except for Class II exempt devices) and Class III medical devices within 
the U.S. must be preceded by either a pre-market notification filing pursuant to Section 510(k) of the FD&C Act (Class II) or 
the  granting  of  a  pre-market  approval,  or  PMA  (Class  III).  Our  Class  I  and  Class  II  exempt  medical  devices  must  follow 
Hologic’s internal Quality System processes prior to commercialization and throughout their product lifecycle. All classes of 
devices must meet FDA's quality system (QS), establishment registration, medical device listing, labeling and medical device 
reporting (MDR) regulations. The FDA can authorize the emergency use of an unapproved medical product or an unapproved 
use of an approved medical product, referred to as Emergency Use Authorization, or EUA, for certain emergency circumstances 
after the Health and Human Services Secretary has made a declaration of emergency justifying authorization of emergency use. 
An EUA allows use in an emergency to diagnose, treat, or prevent serious or life-threatening diseases or conditions caused by 
emerging infectious disease threats when there are no adequate, approved, and available alternatives. The FDA may also waive 
otherwise-applicable current good manufacturing practice (CGMP) requirements to accommodate emergency response needs. 
In March 2020, the FDA granted EUA for our Panther Fusion SARS-CoV-2 assay for testing for the COVID-19 virus. In May 
2020, the FDA granted EUA for our Aptima SARS-CoV-2 assay for use on our standard Panther instrument.

A 510(k) pre-market notification filing must contain information establishing that the device to be sold is substantially 
equivalent to a device commercially distributed prior to May 28, 1976 or to a device that has been determined by the FDA to be 
substantially equivalent. The PMA procedure involves a complex and lengthy testing process that is subject to review by the 
FDA and may require several years to obtain. We may need to first obtain an investigational device exemption (for significant 
risk devices), known as an IDE, in order to conduct extensive clinical testing of the device to obtain the necessary clinical data 
for submission to the FDA. The FDA will approve a PMA only if after evaluating the supporting technical data it finds that the 
PMA  contains  sufficient,  valid  scientific  evidence  to  assure  that  the  device  is  safe  and  effective  for  its  intended  use(s).  This 
approval  may  be  granted  with  post-approval  requirements  including  inspection  of  manufacturing  facilities  and/or  additional 
patient follow-up for an indefinite period of time.

Our  Biotheranostics  laboratory  in  San  Diego,  California  and  the  laboratories  that  purchase  certain  of  our  products, 
including the Aptima SARS-CoV-2 EUA, Aptima Flu Multiplex EUA, Fusion SARS-CoV-2 EUA, ThinPrep System, ThinPrep 
Imaging System, Rapid Fetal Fibronectin Test, Aptima Combo 2, Aptima HPV tests and Aptima HIV-1 Quant, HCV Quant Dx, 
HBV Quant, Aptima Trichomonas Vaginalis (Trich), Aptima Mycoplasma Genitalium (MGen), Aptima HSV 1 & 2, Aptima 

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BV, Aptima CV/TV, and Panther Fusion Assays are subject to extensive regulation under the Clinical Laboratory Improvement 
Amendments of 1988, or CLIA, which requires laboratories to meet specified standards in the areas of personnel qualifications, 
administration, participation in proficiency testing, patient test management, quality control, quality assurance and inspections. 
Adverse  interpretations  of  current  CLIA  regulations  or  future  changes  in  CLIA  regulations  could  have  an  adverse  effect  on 
sales of any affected products or services. These laboratories are also licensed by the appropriate state agencies in the states in 
which they operate, where such licensure is required. In addition, our laboratories hold state licenses or permits, as applicable, 
from various states to the extent that they accept specimens from one or more of these states, each of which requires out-of-state 
laboratories  to  obtain  licensure.  If  a  laboratory  is  out  of  compliance  with  CLIA  or  with  state  laws  or  regulations  governing 
licensed laboratories, penalties may include suspension, limitation or revocation of the license or CLIA certificate, assessment 
of financial penalties or fines, or imprisonment. Loss of a laboratory's CLIA certificate or state license may also result in the 
inability to receive payments from state and federal health care programs as well as private third party payors. 

Certain analyte specific reagents, referred to as ASR products, as with other Class I products, may be sold without 510(k) 
clearance  or  PMA  approval.  However,  ASR  products  are  subject  to  significant  restrictions.  The  manufacturer  may  not  make 
clinical or analytical performance claims for the ASR product, may not promote their use with specific laboratory equipment 
and  may  only  sell  the  ASR  product  to  clinical  laboratories  that  are  qualified  to  run  high  complexity  tests  under  CLIA.  Each 
laboratory must validate the ASR product for use in diagnostic procedures as a laboratory developed test. 

We are also subject to a variety of federal, state and foreign laws which broadly relate to our interactions with healthcare 

practitioners and other participants in the healthcare system, including, among others, the following:

•

•

•

anti-kickback and anti-bribery laws, such as the Foreign Corrupt Practices Act, or the FCPA, the UK’s Bribery Act 
2010, or the UK Anti-Bribery Act;
laws  regulating  the  confidentiality  of  sensitive  personal  information  and  the  circumstances  under  which  such 
information may be released and/or collected, such as the Health Insurance Portability and Accountability Act of 1996, 
or  HIPAA,  the  Health  Information  Technology  for  Economic  and  Clinical  Health  Act,  or  HITECH  Act,  and  the 
European Union General Data Protection Regulation, or GDPR; and
healthcare  reform  laws,  such  as  the  Patient  Protection  and  Affordable  Care  Act  and  the  Health  Care  and  Education 
Affordability  Reconciliation  Act  of  2010,  which  we  refer  to  together  as  PPACA,  which  include  new  regulatory 
mandates and other measures designed to constrain medical costs, as well as stringent new reporting requirements of 
financial relationships between device manufacturers and physicians and teaching hospitals.

In  addition,  we  are  subject  to  numerous  federal,  state,  foreign  and  local  laws  relating  to  safe  working  conditions, 
manufacturing  practices,  environmental  protection,  fire  hazard  control  and  disposal  of  hazardous  or  potentially  hazardous 
substances, data privacy and protection among others. We may be required to incur significant costs to comply with these laws 
and regulations in the future and complying with these laws may result in a material adverse effect upon our business, financial 
condition and results of operations.

Sales of medical devices outside of the U.S. are subject to foreign requirements that vary widely from country to country. 
For example, our ability to market our products outside of the U.S. is contingent upon maintaining our International Standards 
Organization, or ISO, Quality System certification, complying with European directives and in some cases receiving specific 
marketing  authorization  from  the  appropriate  foreign  regulatory  authorities.  Foreign  registration  is  an  ongoing  process  as  we 
register additional products and/or product modifications.

The time required to obtain approval from a foreign country to market and sell our products may be longer or shorter than 
that required for FDA approval and the requirements may differ. In addition, we may be required to meet the FDA’s export 
requirements or receive FDA export approval for the export of our products to foreign countries.

Our products are also subject to approval and regulation by foreign regulatory and safety agencies. For example, the EU 
has  adopted  the  EU  Medical  Device  Regulation  (the  "EU  MDR")  and  the  In  Vitro  Diagnostic  Regulation  (the  "EU  IVDR"), 
each  of  which  impose  stricter  requirements  for  the  marketing  and  sale  of  medical  devices,  including  in  the  area  of  clinical 
evaluation  requirements,  quality  systems  and  post-market  surveillance.  Manufacturers  of  currently  approved  medical  devices 
had until May 2021 to meet the requirements of the EU MDR and had until May 2022 to meet the EU IVDR. Complying with 
the  requirements  of  these  regulations  has  required  us  to,  and  may  continue  to  require  us  to,  incur  significant  expenditures. 
Failure  to  meet  these  requirements  could  adversely  impact  our  business  in  the  EU  and  other  regions  that  tie  their  product 
registrations to the EU requirements. The recently rebranded National Medical Products Administration (formerly CFDA), or 
the NMPA, has historically been conservative leading to extended review times. However, more recently, the NMPA has been 

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more interactive, which we attribute to its response to the long delays in getting lifesaving medical devices into China. If this 
continues, this could favorably affect our ability to introduce new products in the Chinese market.

The  regulatory  environment  in  China  continues  to  evolve,  and  officials  in  the  Chinese  government  exercise  broad 
discretion  in  deciding  how  to  interpret  and  apply  regulations.  It  is  possible  that  the  Chinese  government's  current  or  future 
interpretation and application of existing or new regulations will negatively impact our China operations, result in regulatory 
investigations or lead to fines or penalties.

We anticipate that governmental authorities will continue to scrutinize the healthcare industry closely and that changes in 
laws, regulations or policies by governmental authorities may cause increases in uncertainties and compliance costs, exposure 
to  litigation  and  other  adverse  effects  to  our  business  and  operations.  Delays  in  receipt  of,  or  failure  to  obtain,  clearances  or 
approvals for future products could delay or preclude realization of product revenues from new products or result in substantial 
additional costs which could decrease our profitability.

For  additional  information  about  the  regulations  to  which  our  business  is  subject  and  the  impact  such  regulations  may 
have on our business, see the disclosures under the captions “Manufacturing” and “Reimbursement” in this Item 1, and “Risk 
Factors” in Item 1A below.

Reimbursement

Market  acceptance  of  our  medical  products  in  the  U.S.  and  other  countries  is  dependent  upon  the  purchasing  and 
procurement practices of our customers and patient need for our products and procedures and, the coverage and reimbursement 
of patients’ medical expenses by government healthcare programs, private insurers or other healthcare payors. In the U.S., the 
Centers  for  Medicare  &  Medicaid  Services,  known  as  CMS,  establishes  coverage  policies  and  payment  rates  for  Medicare 
beneficiaries. CMS publishes payment rates for physician, hospital, laboratory and ambulatory surgical center services on an 
annual  basis.  Under  current  CMS  policies  and  regulations,  varying  payment  levels  have  been  established  for  tests  and 
procedures performed using our products. Coverage policies for Medicare patients may vary by regional Medicare contractor in 
the  absence  of  a  national  coverage  determination  and  payment  rates  for  procedures  may  vary  based  on  the  geographic  price 
index.  Coverage  policies  and  reimbursement  rates  for  Medicaid  patients  are  dependent  on  each  state  Medicaid  plan  and  will 
vary.  Coverage  policies  and  reimbursement  rates  for  patients  with  private  insurance  is  dependent  on  state  and  federal 
requirements as well as individual private payor’s decisions. Moreover, private insurance carriers may choose not to follow the 
CMS coverage policies or payment rates. The use of our products outside of the U.S. is similarly affected by reimbursement 
policies adopted by foreign regulatory authorities and insurance carriers.

Healthcare policy and payment reform proposals and medical cost containment measures are being adopted in the U.S. 
and  in  many  foreign  countries.  The  ability  of  our  customers  to  obtain  adequate  reimbursement  for  our  products  and  services 
from  private  and  governmental  third-party  payors  is  critical  to  the  success  of  medical  technology  companies  because  it  may 
affect which products customers purchase and the prices they are willing to pay. Reimbursement and coverage vary by country 
and can significantly impact acceptance of new products and technologies. Even if we develop a promising new product, we 
may  find  limited  demand  for  the  product  unless  reimbursement  approval  and  coverage  is  obtained  from  private  and 
governmental third-party payors. Further, ongoing legislative or administrative reform to the reimbursement system in the U.S. 
and  other  countries  may  impact  reimbursement  for  procedures  using  our  medical  products  and/or  limit  coverage  for  those 
procedures facilitated by our products. This includes price regulation, competitive bidding and tendering, coverage and payment 
policies, comparative effectiveness of therapies, technology assessments and managed-care arrangements. These trends could 
have a material adverse effect on our business, financial condition or results of operations.

Human Capital

We  view  human  capital  management  and  the  strength  of  our  employees  as  integral  to  the  long-term  success  of  our 
business  and  the  strengthening  of  our  communities.  We  understand  that  we  rely  on  our  employees  worldwide  to  propel  our 
organization forward with great ideas, innovations and leadership. 

As of September 24, 2022, we had 6,944 full-time employees, including 2,101 in manufacturing operations, 1,684 in sales 
and marketing, 1,480 in support services, 925 in research and development, and 754 in general administration. Approximately 
4,045 of these employees are in the U.S. and approximately 2,899 were outside the U.S. In various countries outside the U.S., 
certain of our employees are unionized and, where local law requires, participate in works councils. 

Employee Engagement

Our  goal  is  to  develop  and  maintain  a  talented,  engaged  and  diverse  workforce  that  has  a  positive  impact  on  our 
performance, and on our customers and their patients. We have been conducting an annual engagement survey since 2015 in 
which most of our employees regularly participate. We believe our foundation of employee engagement, our commitment to 

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our employees, and their commitment to each other fortifies our leaders and teams and improves their business performance. 
We also offer a range of programs to develop our managers and enhance our leadership across the Company. Our professional 
development  efforts  are  aimed  at  increasing  organizational  talent  and  capabilities  and  identifying  and  developing  potential 
successors for key leadership positions. 

Compensation and Benefits

We  invest  in  the  physical,  emotional  and  financial  well-being  of  our  employees  through  our  robust  compensation  and 
benefit  programs.  These  programs  (which  vary  by  country/region)  include  a  variety  of  health  plan  options,  tax-favorable 
savings accounts and other wellness offerings. 

Diversity Drives Performance

We  are  committed  to  creating  an  inclusive  and  diverse  work  environment  that  promotes  equal  opportunity,  dignity  and 
respect,  starting  with  our  Board  and  our  Leadership  team.  Of  our  eight  directors,  three,  representing  38%  of  the  Board,  are 
women and one of our directors self-identifies as Asian. For each of the past 11 years, women have comprised over 30% of our 
Board. Also, three of our directors were born outside of the United States, and two were predominantly educated outside of the 
United States, which we believe promotes global diversity for our Board. We believe that our focus on the lives of women has 
helped  us  to  attract  a  diverse  workforce  and  build  an  inclusive  ethos  where  different  perspectives  are  valued  and  respected. 
Building a diverse workforce begins with our hiring practices and extends to our access to opportunities, strategic development 
and promotion of internal talent. We seek to identify and develop high-potential women and other diverse individuals within the 
Company.  In  addition  to  women  holding  several  key  roles  within  the  Company  (Chief  Financial  Officer;  Chief  Human 
Resources  Officer;  Vice  President,Global  Tax  and  Treasury;  Vice  President  of  Finance,  Breast  and  Skeletal  Health;  Vice 
President of Internal Audit; and Chief of Staff), African American leaders have assumed important leadership roles as Division 
President, GYN Surgical, Vice President of Sales, Breast and Skeletal Health and Corporate Secretary. Additionally, given that 
our  commercial  teams  are  an  important  pipeline  for  senior  management,  we  are  pleased  that  a  significant  number  of  our 
commercial team members below the level of vice president are women and/or people of color. 

We strive to hire the most qualified person for the job and believe that, over time, this will lead to an increasingly diverse 
workforce. As a part of finding the most qualified people, we are committed to ensuring that diverse slates of candidates are 
identified and considered for all roles, from the boardroom and c-suite to all levels of the workforce. We believe our focus on 
talent identification, development, engagement and succession planning has been particularly successful in developing a deep 
and diverse talent pipeline. 

Health and Safety

We seek to comply in letter and in spirit with applicable health and safety laws and regulations and implement programs, 
policies and procedures to achieve compliance throughout the Company. We also establish our own environmental health and 
safety  standards  in  addition  to  those  that  are  legally  required.  We  employ  management  systems  and  procedures  designed  to 
protect  human  safety,  health,  and  the  environment.  We  seek  to  reduce  risk  and  protect  our  employees  and  communities  by 
employing safe technologies and operating procedures, and by maintaining a business continuity program to stay prepared for 
emergencies.  We  have  also  developed  safety  rules  and  procedures  to  address  behaviors  and  work  practices  that  can  lead  to 
accidents  and  injuries.  Safety  performance  is  assessed  throughout  the  year  by  management  and  during  annual  performance 
reviews. 

In the beginning of the COVID-19 pandemic, we took precautions to protect the health and safety of our employees by 
instituting  robust  hygiene  practices,  implementing  temperature  scanning  stations,  installing  temporary  safety  structures,  and 
increasing our cleaning protocols. For our front-line employees who came to our facilities throughout the COVID-19 pandemic 
to  develop  and  manufacture  our  COVID-19  tests,  or  who  installed  Panther  instruments  in  locked-down  hospitals  during  the 
most uncertain times of the COVID-19 pandemic, we were able to provide extraordinary financial awards.

We  continue  to  actively  monitor  the  COVID-19  pandemic  and  variants,  and  respond  based  on  guidance  from  U.S.  and 
global health organizations, relevant governmental guidance and evolving practices. In addition, in response to the continuing 
challenges  stemming  from  the  COVID-19  pandemic,  we  developed  several  employee-focused  initiatives  to  support  the 
physical, mental, and financial well-being of our employees. These initiatives include providing enhanced accident and critical 
illness  insurance,  increasing  access  to  telehealth  services,  developing  an  employee  assistance  program  that  provides  mental 
health therapy, wellness coaching, and medication management, and offering subscriptions to self-care mobile apps.

Community Engagement and Volunteerism

We  take  the  role  we  play  as  leaders  in  the  communities  where  we  live  and  work  seriously.  Our  philanthropic  and 
charitable  efforts  are  an  important  part  of  our  culture.  We  center  our  giving  efforts  in  three  specific  areas  to  maximize  our 
impact in ways that align with the values of our employees and customers: (i) women's health, and other healthcare fields in 
which  Hologic  operates;  (ii)  science,  technology,  engineering,  and  math  education  (STEM),  especially  for  underprivileged 
groups;  and  (iii)  social  and  racial  equality,  especially  in  healthcare.  In  fiscal  2022,  we  announced  an  expansion  of  our 

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philanthropic activities, pledging to donate $5 million from our charitable fund over the year to further support the communities 
where our employees live and work.

We also support employees in giving back to community organizations through volunteering and matching donations. To 
that end, we further expanded our support for local non-profit groups, by providing our U.S. colleagues an additional paid day 
off  to  engage  in  community  service.  We  also  have  continued  to  strengthen  our  scholarship  funds.  The  Hologic  Scholarship 
Fund awards scholarships of $2,500 to $5,000 for employees' children and grandchildren. We also support minority students 
near  our  largest  U.S.  facilities  by  providing  scholarship  funding  to  three  non-profit  organizations  that  help  students  from 
underserved communities become the first in their family to attend college.

Seasonality

Worldwide sales, including U.S. sales, do not reflect any significant degree of seasonality; however, customer purchases 
of our GYN Surgical products have been historically lower in our second fiscal quarter compared to our other fiscal quarters. 
Our respiratory infectious disease product line (including our assays for the detection of SARS-CoV-2) within our Diagnostics 
segment is also subject to significant seasonal and year-over-year fluctuations. In addition, the summer months, which occur 
during our fourth fiscal quarter, typically have had lower order rates internationally for most of our products.

Item 1A. Risk Factors 

In evaluating our business, the risks described below, as well as other information contained in this Annual Report and in 
our other filings with the SEC should be considered carefully. Additional risks not presently known to us or that we currently 
deem  immaterial  may  also  adversely  affect  our  business.  The  occurrence  of  any  of  these  events  or  circumstances  could 
individually  or  in  the  aggregate  have  a  material  adverse  effect  on  our  business,  financial  condition,  cash  flow  or  results  of 
operations. This report contains forward-looking statements; please refer to the cautionary statements made under the heading 
"Special Note Regarding Forward-Looking Statements" for more information on the qualifications and limitations on forward-
looking statements.

GLOBAL CHALLENGES, INCLUDING MACROECONOMIC CONDITIONS AND RELATED FINANCIAL RISKS

The  continuing  worldwide  macroeconomic  and  geopolitical  uncertainty  may  adversely  affect  our  business  and  prospects, 
both domestically and internationally. 

Continued concerns about the systemic impact of potential long-term and wide-spread recession and geopolitical issues, 
including the war in Ukraine, have contributed to increased market volatility and diminished expectations for economic growth 
in  the  world.  Our  business  and  results  of  operations  have  been  and  may  continue  to  be  adversely  impacted  by  changes  in 
macroeconomic conditions, including inflation, rising interest rates and availability of capital markets. Uncertainty about global 
economic conditions, particularly in emerging markets and countries with government-sponsored healthcare systems, may also 
cause decreased demand for our products and services and increased competition, which could result in lower sales volume and 
downward pressure on the prices for our products, longer sales cycles, and slower adoption of new technologies. A weakening 
of macroeconomic conditions may also adversely affect our suppliers, which could result in interruptions in supply.

Market  acceptance  of  our  medical  products  in  the  U.S.  and  other  countries  is  dependent  upon  the  medical  equipment 
purchasing and procurement practices of our customers, patient need for our products and procedures and the reimbursement of 
patients' medical expenses by government healthcare programs and third-party payors. The continuing uncertainty surrounding 
global  economic  conditions  and  financial  markets  may  cause  the  purchasers  of  medical  equipment  to  decrease  their  medical 
health  insurance  premiums  and  procurement  activities.  Economic  uncertainty,  an  increase  in  unemployment  rates,  as  well  as 
increasing  health  insurance  premiums,  co-payments  and  deductibles  may  continue  to  result  in  cost-conscious  consumers 
making  fewer  trips  to  their  physicians  and  specialists,  which  in  turn  would  adversely  affect  demand  for  our  products  and 
procedures. Furthermore, governments and other third-party payors around the world facing tightening budgets could move to 
further reduce the reimbursement rates or the scope of coverage offered, which could adversely affect sales of our products. 

Our  international  sales  are  often  denominated  in  foreign  currencies,  including  the  Euro,  UK  Pound  and  Renminbi. 
Changes in currency exchange rates, particularly the increase in the value of the dollar against any such foreign currencies, may 
reduce the reported value of our revenues outside the U.S. and associated cash flows and our ability to compete effectively in 
foreign markets. In addition, such fluctuations can also result in foreign currency exchange losses. We cannot predict changes 
in currency exchange rates, the impact of exchange rate changes, nor the degree to which we will be able to manage the impact 
of currency exchange rate changes. We currently have limited hedging arrangements in place to mitigate some of the impact of 
negative exchange rates. 

Our  international  operations  and  foreign  acquisitions  expose  us  to  additional  operational  challenges  that  we  might  not 
otherwise face.

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International  expansion  is  a  key  component  of  our  growth  strategy.  In  fiscal  2022,  28.7%  of  our  revenue  came  from 
outside of the U.S. As we grow internationally, our future and existing international operations may subject us to a number of 
additional risks and expenses, any of which could harm our operating results. These risks and expenses include:
political and economic changes and disruptions, export/import controls and tariff regulations;
difficulties in developing staffing and simultaneously managing operations in multiple locations as a result of, among 
other things, distance, language and cultural differences; 
governmental currency controls;

•
• multiple, conflicting and changing government laws and regulations (including, among other things, antitrust and tax 

•
•

requirements);
protectionist laws and business practices that favor local companies; 
difficulties in the collection of trade accounts receivable; 
difficulties and expenses related to implementing internal controls over financial reporting and disclosure controls and 
procedures; 
expenses associated with customizing products for clients in foreign countries; 
possible adverse tax consequences; 
the inability to obtain and maintain required regulatory approvals or favorable third-party reimbursement;
operation  in  parts  of  the  world  where  strict  compliance  with  anti-bribery  laws  may  conflict  with  local  customs  and 
practices; 
the  inability  to  effectively  obtain,  maintain,  protect  or  enforce  intellectual  property  rights,  reduced  protection  for 
intellectual  property  rights  in  some  countries,  and  the  inability  to  otherwise  protect  against  clone  or  “knock  off” 
products; 
the lack of ability to enforce non-compete agreements with former owners of acquired businesses competing with us in 
China and other foreign countries; and
lower margins on a number of our products sold outside of the U.S.

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•

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•

In addition, government policies on international trade and investment such as import quotas, capital controls or tariffs, 
whether adopted by individual governments or addressed by regional trade blocks, can affect the demand for our products and 
services, impact the competitive position of our products or prevent us from being able to sell products in certain countries. The 
implementation  of  more  restrictive  trade  policies,  such  as  more  detailed  inspections,  higher  tariffs  or  new  barriers  to  entry, 
could negatively impact our business, results of operations and financial condition. For example, a government's adoption of 
"buy national" policies or retaliation by another government against such policies could have a negative impact on our results of 
operations.

Additionally, the regulatory environment in China continues to evolve, and officials in the Chinese government exercise 
broad discretion in deciding how to interpret and apply regulations. It is possible that the Chinese government's current or future 
interpretation and application of existing or new regulations will negatively impact our China operations, result in regulatory 
investigations or lead to fines or penalties.

BUSINESS CONTINUITY AND RELIANCE ON THIRD PARTIES

Supply Chain and Manufacturing

Supply chain disruptions and constraints and inflationary pressures have had, and may continue to have, a material adverse 
effect on our ability to procure raw materials and components, including semiconductor chips, and are adversely affecting 
our ability to meet customer demand for, and increasing our costs to manufacture, warehouse, and transport, certain of our 
products.

Global  supply  constraints  and  cost  impacts  as  a  result  of  worldwide  economic  disruptions,  electronic  component 
shortages, fear of future or ongoing pandemics, inflation, recessionary conditions and geopolitical events, including the war in 
Ukraine,  are  impacting  our  ability  to  procure  critical  raw  materials  and  components,  including  semiconductor  chips,  and  are 
adversely affecting our ability to meet customer demand for, and increasing our costs to manufacture, transport and warehouse 
a certain subset of our products. Obtaining alternative sources of raw materials and components could involve significant costs 
and regulatory challenges and may not be available to us on reasonable terms, if at all. In particular, our ability to manufacture 
our  Breast  Health  capital  equipment  products,  primarily,  but  not  limited  to,  our  3D  Dimensions  systems,  Trident  specimen 
radiography systems, Affirm Prone Biopsy systems and Brevera systems, is dependent on the supply of such raw materials and 
components,  including  semiconductor  chips.  If  we  remain  unable  to  obtain  sufficient  quantities  of  raw  materials  and 
components  on  commercially  reasonable  terms  or  in  a  timely  manner,  our  ability  to  manufacture  our  capital  equipment 
products, in particular, our Breast Health products, on a timely and cost-competitive basis could materially adversely affect our 
revenues and results of operations and harm our competitive position and reputation.

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Our reliance on one third-party manufacturer for certain of our product lines and a limited number of suppliers for some 
key raw materials, components and subassemblies for our products exposes us to increased risks associated with production 
delays, delivery schedules, manufacturing capability, quality control, quality assurance and costs. 

We have sole source third-party manufacturers for each of our Panther and Tigris molecular diagnostics instruments and 
for  our  Skeletal  Health  products.  Similarly,  we  rely  on  one  or  a  limited  number  of  suppliers  for  some  key  components  or 
subassemblies  for  our  products  due  to  cost,  quality,  expertise  or  other  considerations.  We  have  no  firm  long-term  volume 
commitments  with  certain  of  our  sole  source  suppliers,  including  the  manufacturers  of  our  Panther  or  Tigris  instruments. 
Similarly, we rely on one or a limited number of suppliers for some key raw materials for our products due to cost, quality, 
expertise or other considerations, and some of these suppliers are competitors. For example, F. Hoffmann-LaRoche Ltd, a direct 
competitor of our Diagnostics business, is the parent company of Roche, our current supplier of certain key raw materials for 
certain  of  our  amplified  NAT  diagnostic  assays.  GE  Healthcare  Bio-Sciences  Corp.,  an  affiliate  of  GE,  supplies  us  with  the 
membranes used in connection with our ThinPrep product line. GE is a direct competitor with our Breast Health and Skeletal 
Health  businesses.  Moreover,  we  use  certain  components  in  our  products,  including  semiconductor  chips,  that  have  been  the 
subject of global supply chain shortages and disruptions. If any of our sole source manufacturers or suppliers, or other third-
party  manufacturers  or  suppliers,  experiences  delays,  disruptions,  capacity  constraints  or  quality  control  problems  in  its 
development  or  manufacturing  operations  or  becomes  insolvent  or  otherwise  fails  to  supply  us  with  goods  in  sufficient 
quantities,  including  as  a  result  of  disruptions  caused  by  the  continued  impact  of  COVID-19,  other  epidemics  or  pandemics, 
natural  disasters,  supplier  facility  shutdowns,  or  otherwise,  then  shipments  to  our  customers  could  be  delayed,  which  would 
decrease  our  revenues  and  harm  our  competitive  position  and  reputation.  Moreover,  the  failure  of  a  supplier  to  provide 
sufficient quantities, acceptable quality and timely delivery of goods at an acceptable price, or an interruption in the delivery of 
goods  from  such  a  supplier  could  adversely  affect  our  business  and  results  of  operations.  Obtaining  alternative  sources  of 
supply of products, components, subassemblies or raw materials could involve significant delays and other costs and regulatory 
challenges and may not be available to us on reasonable terms, if at all.

We may in the future need to find new contract manufacturers or suppliers to replace existing manufacturers or suppliers, 
increase our volumes or reduce our costs. We may not be able to find contract manufacturers or suppliers that meet our needs, 
including regulatory requirements, and even if we do, the process of qualifying such alternative manufacturers and suppliers is 
often expensive and time consuming. As a result, we may lose revenues and our customer relationships may suffer.

Business Continuity

Interruptions, delays, shutdowns or damage at our manufacturing or laboratory facilities could harm our business.

In most cases, the manufacturing and warehousing of each of our products is concentrated in one or a few locations. In 
addition, we rely on a single laboratory facility to process each of our Biotheranostics gene expression tests for breast cancer. 
An interruption in manufacturing, testing capabilities or warehousing at any of these facilities, as a result of equipment failure, 
transportation interruptions, disruptions caused by the continued impact of COVID-19, other epidemics or pandemics, natural 
disaster,  environmental  factors  or  property  damage  could  reduce,  delay  or  prevent  the  production  and  distribution  of  our 
products. Our facilities and those of our contract manufacturers or suppliers are also subject to the risk of catastrophic loss due 
to unanticipated events, such as fires, earthquakes, explosions, floods or weather conditions. Our facilities may experience plant 
shutdowns, strikes or other labor disruptions, or periods of reduced production as a result of equipment failures, loss of power, 
gray outs, delays in deliveries or extensive damage, which could harm our business and prospects. Some of our manufacturing 
operations are located outside the U.S., including in Costa Rica and the United Kingdom. Those manufacturing operations are 
also subject to additional challenges and risks associated with international operations described herein.

COMPETITION AND BUSINESS DEVELOPMENT 

We face intense competition from other companies and may not be able to compete successfully.

The markets in which we sell our products are intensely competitive, subject to rapid technological change and may be 
significantly affected by new product introductions and other market activities of industry participants, and these competitive 
pressures may reduce the demand and prices for our products. Other companies may develop products that are superior to and/
or  less  expensive  than  our  products.  Improvements  in  existing  competitive  products  or  the  introduction  of  new  competitive 
products  may  reduce  our  ability  to  compete  for  sales,  particularly  if  those  competitive  products  demonstrate  better  safety  or 
effectiveness, clinical results, ease of use or lower costs. Organizational changes we have made or may make to streamline and 
improve customer experience may not have the intended effect and may instead harm our competitive position and reputation.

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We also developed assays to detect COVID-19. While we have seen significant demand for our COVID-19 assays, other 
companies  are  working  to  produce  or  have  produced  tests  for  COVID-19  (including  so-called  high  throughput  nucleic  acid 
tests, rapid antigen tests and at-home testing solutions) which may lead to the diversion of customers away from us and toward 
other companies. Moreover, considerable uncertainty remains as to the demand for ongoing COVID-19 testing, and thus, for 
our COVID-19 assays. There is no guarantee that current or anticipated demand will continue, or if demand does continue or 
increases, that we will be able to produce in quantities to meet the demand. As COVID-19 testing declines, customers may also 
consolidate  their  molecular  testing  menu  to  high  throughput,  high  automation  platforms  which  may  further  increase  the 
competition our Panther and Panther Fusion instruments face. A significant decline in demand for our COVID-19 assays or a 
reduction in the reimbursement rates for our COVID-19 assays without a corresponding increase in our other businesses could 
have a material, adverse effect on our results of operations, cash flow and financial position. 

In addition, some companies may have significant competitive advantages over us, which may make them more attractive 

to hospitals, clinics, radiology clients, group purchasing organizations, laboratories, and physicians, including:

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greater brand recognition;
larger or more established distribution networks and customer bases;
a broader product portfolio, resulting in the ability to offer rebates or bundle products to offer discounts or incentives 
to gain a competitive advantage;
higher levels of automation and greater installed bases of such equipment;

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• more  extensive  research,  development,  sales,  marketing,  and  manufacturing  capabilities  and  greater  financial 

•

resources; and
greater  technical  resources  positioning  them  to  continue  to  improve  their  technology  in  order  to  compete  in  an 
evolving industry. 

Challenges in the development of our products could materially impact our long-term success. 

Our  growth  depends  in  large  part  on  our  ability  to  identify  and  develop  new  products  or  new  indications  for  or 
enhancements  of  existing  products.  The  development  of  new  products  and  enhancement  of  existing  products  requires 
significant  investment  in  research  and  development,  clinical  trials  and  regulatory  approvals.  The  results  of  our  product 
development efforts may be affected by a number of factors, including our ability to anticipate customer needs, innovate and 
develop new products, complete clinical trials, obtain regulatory clearances and approvals and reimbursement in the U.S. and 
abroad, manufacture products in a cost-effective manner, obtain, maintain, protect and enforce appropriate intellectual property 
protection  for  our  products,  gain  and  maintain  market  approval  of  our  products  and  access  capital.  If  we  are  not  able  to 
successfully enhance existing products or develop new products, our products may be rendered obsolete or uncompetitive by 
changing technology or new industry standards. We cannot assure that any products now in development or that we may seek to 
develop in the future will achieve technological feasibility, obtain regulatory approval or gain market acceptance, and we may 
be unable to recover all or a meaningful part of our investment in such products and technologies. 

The markets for our newly developed products and newly introduced enhancements to our existing products may not develop 
as expected. 

The successful commercialization of our newly developed products and newly introduced enhancements to our existing 

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products are subject to numerous risks, both known and unknown, including:
uncertainty of the development of a market for such product;
trends relating to, or the introduction or existence of, competing products or technologies that may be more effective, 
safer or easier to use than our products or technologies;
the perception of our products as compared to other products;
recommendation and support for the use of our products by influential customers, such as highly regarded hospitals, 
physicians and treatment centers;
the availability and extent of data demonstrating the clinical efficacy of our products or treatments;
competition,  including  the  presence  of  competing  products  sold  by  companies  with  longer  operating  histories,  more 
recognizable names and more established distribution networks; and
other technological developments.

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•

Often, the development of a significant market for a product will depend upon the establishment of a reimbursement code 
or  an  advantageous  reimbursement  level  for  use  of  the  product.  Moreover,  even  if  addressed,  such  reimbursement  codes  or 
levels  frequently  are  not  established  until  after  a  product  is  developed  and  commercially  introduced,  which  can  delay  the 
successful commercialization of a product. If we are unable to successfully commercialize and create a significant market for 
our newly developed products and newly introduced enhancements to our existing products our business and prospects could be 
harmed. 

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If  we  cannot  maintain  our  current  corporate  collaborations  and  enter  into  new  corporate  collaborations,  our  product 
development could be delayed and our revenue could be adversely impacted. 

We have relied and/or expect to rely on corporate collaborators for funding development, marketing, distribution, and the 
commercialization  of  certain  products.  If  any  of  our  corporate  collaborators  were  to  breach,  terminate,  fail  to  renew  our 
agreements or otherwise fail to properly conduct its obligations in a timely manner, the development or commercialization and 
subsequent marketing of the products contemplated by the collaboration could be delayed or terminated. Further, we would be 
required to devote additional resources to product development or marketing, to terminate some development programs or to 
seek alternative corporate collaborations with certain partners or companies that could make it more difficult for us to enter into 
advantageous  business  transactions  or  relationships  with  others.  Any  of  the  foregoing  risks  could  harm  our  business  and 
prospects. 

Our  long-term  success  will  depend  upon  our  ability  to  execute  on  business  development  activities  and  integrate  acquired 
businesses.

As  part  of  our  long-term  strategy,  we  are  engaged  in  business  development  activities  including  evaluating  future 
acquisitions, joint development opportunities, technology licensing arrangements and other opportunities to further expand our 
presence in or diversify into priority growth areas by accessing new products and technologies. We may not be able to identify 
appropriate  business  development  activities  or  acquisition  candidates,  consummate  transactions  or  obtain  agreements  with 
favorable terms, if at all. We may also be subject to increasing regulatory scrutiny from competition and antitrust authorities in 
connection  with  acquisitions.  If  we  are  successful  in  pursuing  future  acquisitions,  we  may  face  significant  competition,  be 
required  to  expend  significant  funds,  incur  additional  debt  or  other  obligations,  or  issue  additional  securities,  which  may 
negatively  affect  our  operating  results  and  financial  condition.  If  we  spend  significant  funds  or  incur  additional  debt  or 
obligations, our ability to obtain financing for working capital or other purposes could be adversely affected, and we may be 
more  vulnerable  to  economic  downturns  and  competitive  pressures.  During  fiscal  2021,  we  made  a  number  of  tactical 
acquisitions  which  complemented  our  existing  businesses.  We  continue  to  integrate  those  acquisitions.  Any  inability  to 
successfully integrate new businesses, including our recent acquisitions, decreases in customer loyalty or product orders, failure 
to retain or develop the acquired workforce, failure to realize anticipated economic, operational and other benefits and synergies 
in a timely manner, failure to establish and maintain appropriate controls or unknown or contingent liabilities could adversely 
affect our ability to realize the anticipated benefits of any new product or acquisition. The integration of an acquired business, 
whether or not successful, requires significant efforts which may result in additional expenses and divert the attention of our 
management  and  technical  personnel  from  other  projects.  Acquisitions,  in  particular,  are  inherently  risky,  and  we  cannot 
guarantee that any past or future transaction will be successful.

GLOBAL PUBLIC HEALTH CONCERNS

Public  health  crises,  such  as  the  COVID-19  pandemic,  have  had,  and  could  in  the  future  have,  a  negative  effect  on  our 
business.

Pandemics or disease outbreaks, such as the COVID-19 pandemic, have created and may continue to create significant 
volatility,  uncertainty  and  economic  disruption  in  the  markets  we  sell  our  products  into  and  operate  in,  primarily  the  U.S., 
Europe, and Asia-Pacific and may negatively impact business and healthcare activity globally. In response to the COVID-19 
pandemic,  governments  around  the  world  have  imposed  measures  designed  to  reduce  the  transmission  of  COVID-19  and 
individuals continue to respond to the fear of contracting COVID-19. In particular, elective procedures and exams were delayed 
or  cancelled,  there  has  been  a  significant  reduction  in  physician  office  visits,  and  hospitals  postponed  or  canceled  capital 
purchases as well as limited or eliminated services. While elective procedures and exams and capital purchases have increased 
from initially depressed levels, the reduction in elective procedures, exams and capital purchases has had, and we believe may 
continue to have, a negative impact on the sales of most of our products (other than our COVID-19 assays and related systems 
and ancillaries). Additionally, governments and other third-party payors around the world facing tightening budgets could move 
to further reduce the reimbursement rates or the scope of coverage offered, which could further adversely affect sales of our 
products. 

The  extent  to  which  fear  of  exposure  to  or  actual  effects  of  COVID-19,  new  variants,  disease  outbreak,  epidemic  or  a 
similar widespread health concern impacts our business will depend on future developments, which are highly uncertain and 
cannot  be  predicted  with  confidence,  such  as  the  speed  and  extent  of  geographic  spread  of  the  disease,  the  duration  of  the 
outbreak, travel restrictions, the efficacy of vaccination and treatment; impact on the U.S. and international healthcare systems, 
the  U.S.  economy  and  worldwide  economy;  the  timing,  scope  and  effectiveness  of  U.S.  and  international  governmental 
response; and the impact on the health, well-being and productivity of our employees.

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CUSTOMER CONCENTRATION AND DISTRIBUTORS

Our Diagnostics segment depends on a small number of customers for a significant portion of its product sales, and the loss 
of  any  of  these  customers  or  any  cancellation  or  delay  of  a  large  purchase  by  any  of  these  customers  could  significantly 
reduce revenues in our Diagnostics segment.

Although we do not currently have any customers that represent more than 10% of our consolidated revenues, or more 
than  10%  of  a  business  segment's  revenue  in  fiscal  2022  and  2021,  historically  a  material  portion  of  product  sales  in  our 
Diagnostics segment came from (and we anticipate will continue to come from) a limited number of customers. The loss of any 
of these key customers, or a significant reduction in sales volume or pricing to these customers, could significantly reduce our 
Diagnostics segment revenues or profitability.

We utilize distributors for a portion of our sales, the loss of which could harm our revenues in the territory serviced by these 
distributors.

We rely on strategic relationships with a number of key distributors for sales and service of our products. If any of our 
strategic relationships terminate without replacement or if our strategic partners fail to perform their contractual obligations, our 
revenues and/or ability to service our products in the territories serviced by these distributors could be adversely affected. We 
do  not  control  our  distributors,  and  these  parties  may  not  be  successful  in  marketing  our  products.  These  parties  may  fail  to 
commit the necessary resources to market and sell our products to the level of our expectations. 

If  we  elect  to  distribute  new  products  directly,  we  will  have  to  invest  in  additional  sales  and  marketing  resources, 
including  additional  field  sales  personnel,  which  would  significantly  increase  future  selling,  general  and  administrative 
expenses. If we fail to successfully market our products, our product sales will decrease. We may also be exposed to risks as a 
result  of  transitioning  a  territory  from  a  distributor  sales  model  to  a  direct  sales  model,  such  as  difficulties  maintaining 
relationships  with  specific  customers,  hiring  appropriately  trained  personnel  or  ensuring  compliance  with  local  product 
registration  requirements,  any  of  which  could  result  in  lower  revenues  than  previously  received  from  the  distributor  in  that 
territory.

TALENT AND EMPLOYEE RETENTION

Our success depends on our ability to attract, motivate and retain key personnel and plan for future executive transitions. 

The  loss  of  any  of  our  key  personnel,  particularly  executive  management  or  key  research  and  development  personnel, 
could  harm  our  business  and  prospects  and  could  impede  the  achievement  of  our  research  and  development,  operational  or 
strategic  objectives.  We  also  continue  to  face  the  challenges  of  maintaining  employee  well-being,  recognizing  that  the 
continued additional financial, family and health burdens that many employees may be experiencing due to the ongoing impacts 
of COVID-19, macroeconomic uncertainties, including inflation, and other factors, may adversely impact job performance and 
employee retention. Additionally, in our industry, there is substantial competition for key personnel in the regions in which we 
operate. We face intense competition for employees, particularly as employees are increasingly able to work remotely. Also, 
facilitating seamless leadership transitions for key positions is a critical factor in sustaining the success of our organization. If 
our  succession  planning  efforts  are  not  effective,  it  could  adversely  impact  our  business.  We  continue  to  assess  the  key 
personnel that we believe are essential to our long-term success. Future organizational changes could also cause our employee 
attrition rate to increase. If we fail to effectively manage any organizational and/or strategic changes, our financial condition, 
results of operations, and reputation, as well as our ability to successfully attract, motivate and retain key employees, could be 
harmed. 

CYBERSECURITY AND DATA PRIVACY

Increased  cybersecurity  requirements,  vulnerabilities,  threats  and  more  sophisticated  and  targeted  computer  crime  could 
pose a risk to our systems, networks, products, solutions, services and data.

Increased  global  cybersecurity  vulnerabilities,  threats,  computer  viruses,  ransomware  and  phishing  attacks  and  more 
sophisticated and targeted cyber-related attacks, as well as cybersecurity failures resulting from human error and technological 
errors, pose a risk to the security of Hologic and its customers, business partners' and suppliers' products, systems and networks 
and the confidentiality, availability and integrity of data on these products, systems and networks. As the perpetrators of such 
attacks  become  more  capable,  as  cybercrime  becomes  commoditized,  and  as  critical  infrastructure  is  increasingly  becoming 
digitized, the risks in this area continue to grow. While we attempt to mitigate these risks by employing a number of measures, 
including employee training, monitoring and testing, and maintenance of protective systems and contingency plans, we remain 
potentially vulnerable to additional known or unknown threats, and we cannot assure that the impact from such threats will not 

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be material. In addition to existing risks, flexible work arrangements, the adoption of new technologies and acquisitions of new 
businesses may also increase our exposure to cybersecurity breaches and failures. We also have access to sensitive, confidential 
or personal data or information that is subject to privacy and security laws, regulations or customer-imposed controls. Despite 
our implementation of controls to protect our systems and sensitive, confidential or personal data or information, we may be 
vulnerable to material security breaches, theft, misplaced, lost or corrupted data, employee errors and/or malfeasance (including 
misappropriation by departing employees) that could potentially lead to the compromising of sensitive, confidential or personal 
data  or  information,  improper  use  of  our  systems,  software  solutions  or  networks,  unauthorized  access,  use,  disclosure, 
modification or destruction of information, defective products, production downtimes and operational disruptions. In addition, a 
cyber-related  attack  could  result  in  other  negative  consequences,  including  damage  to  our  reputation  or  competitiveness, 
remediation  or  increased  protection  costs,  litigation  or  regulatory  action.  Although  we  have  experienced  occasional  actual  or 
attempted breaches of our computer systems, to date we do not believe any of these breaches has had a material effect on our 
business, operations or reputation.

Failure  to  comply  with  laws  relating  to  the  confidentiality  of  sensitive  personal  information  or  standards  related  to  the 
transmission  of  electronic  health  data,  may  require  us  to  make  significant  changes  to  our  products,  or  incur  penalties  or 
other liabilities.

State,  federal  and  foreign  laws,  such  as  the  federal  Health  Insurance  Portability  and  Accountability  Act  of  1996,  or 
HIPAA, regulate the confidentiality of sensitive personal information and the circumstances under which such information may 
be released. These measures may govern the disclosure and use of personal and patient medical record information and may 
require users of such information to implement specified security measures, and to notify individuals in the event of privacy and 
security  breaches.  Evolving  laws  and  regulations  in  this  area  could  restrict  the  ability  of  our  customers  to  obtain,  use  or 
disseminate patient information, or could require us to incur significant additional costs to re-design our products in a timely 
manner, either of which could have an adverse impact on our results of operations. Other health information standards, such as 
regulations under HIPAA, establish standards regarding electronic health data transmissions and transaction code set rules for 
specified electronic transactions, for example transactions involving submission of claims to third-party payors. These standards 
also  continue  to  evolve  and  are  often  unclear  and  difficult  to  apply.  Outside  the  U.S.,  we  are  impacted  by  privacy  and  data 
security  requirements  at  the  international,  national  and  regional  level,  and  on  an  industry  specific  basis.  More  privacy  and 
security laws and regulations are being adopted, and more are being enforced, with potential for significant financial penalties. 
In  the  EU,  increasingly  stringent  data  protection  and  privacy  rules  have  been  enacted.  The  EU  General  Data  Protection 
Regulation (GDPR) applies uniformly across the EU and includes, among other things, a requirement for prompt notice of data 
breaches to data subjects and supervisory authorities in certain circumstances. The GDPR also requires companies processing 
personal data of individuals residing in the EU to comply with EU privacy and data protection rules. Failure to maintain the 
confidentiality  of  sensitive  personal  information  in  accordance  with  the  applicable  regulatory  requirements,  or  to  abide  by 
electronic  health  data  transmission  standards,  could  expose  us  to  breach  of  contract  claims,  fines  and  penalties,  costs  for 
remediation and harm to our reputation.

THIRD-PARTY REIMBURSEMENT AND GUIDELINES

Healthcare cost containment legislation and the failure of third-party payors to provide appropriate levels of coverage and 
reimbursement for the use of products and treatments facilitated by our products could harm our business and prospects.

Sales  and  market  acceptance  of  our  diagnostics,  breast  and  skeletal  health  and  surgical  products  and  the  treatments 
facilitated by these products are dependent upon the coverage decisions and reimbursement policies established by government 
healthcare programs and private health insurers. These policies affect which products customers purchase and the prices they 
are  willing  to  pay.  Reimbursement  varies  by  country  and  can  significantly  impact  the  acceptance  of  new  products  and 
technologies.  Even  if  we  develop  a  promising  new  product,  we  may  find  limited  demand  for  the  product  unless  appropriate 
reimbursement  approval  is  obtained  from  private  and  governmental  third-party  payors.  Further  legislative  or  administrative 
reforms to the reimbursement systems in the U.S. and other countries in a manner that significantly reduces reimbursement for 
procedures  using  our  diagnostics,  breast  and  skeletal  health  and  surgical  products  or  denies  coverage  for  those  procedures 
facilitated  by  our  products,  including  price  regulation,  competitive  bidding  and  tendering,  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 or results of operations.

Guidelines, recommendations and studies published by various organizations may reduce the use of our products.

Professional  societies,  government  agencies,  practice  management  groups,  private  health/science  foundations,  and 
organizations involved in healthcare issues may publish guidelines, recommendations or studies to the healthcare and patient 
communities. Organizations like these have in the past made recommendations about our products and those of our competitors. 
If followed by healthcare providers and insurers, such publications could result in decreased use of our products. For example, 

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in November 2012, the American Congress of Obstetrics and Gynecologists, known as the ACOG, released updates in which it 
recommended  less  frequent  cervical  cancer  screening  similar  to  guidelines  released  in  March  2012  by  the  U.S.  Preventative 
Services Task Force, or the USPSTF, and the American Cancer Society. We believe that these recommendations and guidelines 
may have contributed to increased screening intervals for cervical cancer, which we believe has and may continue to adversely 
affect  our  ThinPrep  revenues.  Our  ThinPrep  revenues  may  also  be  adversely  affected  by  the  July  2020  American  Cancer 
Society  cervical  cancer  screening  recommendation  for  a  primary  human  papillomavirus  (HPV)  test  rather  than  a  Pap  test.  In 
addition,  on  October  20,  2015,  the  American  Cancer  Society  issued  guidelines  recommending  that  women  start  annual 
mammograms  at  age  45  instead  of  40  and  have  a  mammogram  every  two  years  instead  of  annually.  We  believe  that  this 
recommendation could result in a decrease in use and purchases of our mammography systems.

REGULATORY AND LEGAL

We operate in a highly regulated industry, and changes in healthcare laws and regulations or our inability to obtain in a 
timely manner or at all U.S. or foreign regulatory clearances or approvals for our current and newly developed products and 
services or product or service enhancements, could adversely affect our business and prospects.

We operate in a highly regulated industry. As a result, governmental actions may adversely affect our business, operations 

or financial condition, including:

•

•

•

•

new laws, regulations or judicial decisions, or new interpretations of existing laws, regulations or decisions, related to 
healthcare availability, method of delivery and payment for healthcare products and services; 
changes in the FDA and foreign regulatory approval processes that may delay or prevent the approval of new products 
and result in lost market opportunity; 
changes in FDA and foreign regulations that may require additional safety monitoring, labeling changes, restrictions 
on product distribution or use, or other measures after the introduction of our products to market, which could increase 
our costs of doing business, adversely affect the future permitted uses of approved products, or otherwise adversely 
affect the market for our products; and 
new laws, regulations and judicial decisions affecting pricing or marketing practices. 

Given the high level of regulatory oversight to which our products are subject, the process of obtaining clearances and 
approvals can be costly and time consuming. In addition, there is a risk that any approvals or clearances, once obtained, may be 
withdrawn. Most medical devices cannot be marketed in the U.S. without 510(k) clearance or pre-market approval by the FDA. 
Any  modifications  to  a  device  that  has  received  a  pre-market  approval  that  affect  the  safety  or  effectiveness  of  the  device 
require  a  pre-market  approval  supplement  or  possibly  a  separate  pre-market  approval,  either  of  which  is  likely  to  be  time 
consuming, expensive and uncertain to obtain. If the FDA requires us to seek one or more pre-market approval supplements or 
new pre-market approvals for any modification to a previously approved device, we may be required to cease marketing or to 
recall  the  modified  device  until  we  obtain  approval,  and  we  may  be  subject  to  significant  criminal  and/or  civil  sanctions, 
including, but not limited to, regulatory fines or penalties. States may also regulate the manufacture, sale and use of medical 
devices, particularly those that employ x-ray technology. 

Our products are also subject to approval and regulation by foreign regulatory and safety agencies. For example, the EU 
has adopted the EU Medical Device Regulation (the “EU MDR”) and the In Vitro Diagnostic Regulation (the “EU IVDR”), 
each  of  which  impose  stricter  requirements  for  the  marketing  and  sale  of  medical  devices,  including  in  the  area  of  clinical 
evaluation requirements, quality systems and post-market surveillance. Implementation of the compliance requirements of these 
regulations requires us to incur significant expenditures and utilize resources. Failure to continue to meet these requirements 
could adversely impact our business in the EU and other regions that tie their product registrations to the EU requirements. 

We anticipate that governmental authorities will continue to scrutinize the healthcare industry closely and that changes in 
laws, regulations or policies by governmental authorities may cause increased uncertainties and compliance costs, exposure to 
litigation  and  other  adverse  effects  to  our  business  and  operations.  Delays  in  receipt  of,  or  failure  to  obtain  or  maintain, 
clearances  or  approvals  for  future  products  could  delay  or  preclude  realization  of  product  revenues  from  new  or  existing 
products or result in substantial additional costs which could decrease our profitability.

In addition, maintaining compliance with multiple regulators, and multiple centers within the FDA, adds complexity and 
cost  to  our  manufacturing  processes.  Our  manufacturing  facilities  and  those  of  our  contract  manufacturers  are  subject  to 
periodic regulatory inspections by the FDA and other regulatory agencies, and these facilities are subject to the FDA's Quality 
System Regulation and Good Manufacturing Practices. We or our contractors may fail to satisfy these regulatory requirements 
in the future, and any failure to do so may prevent us from selling our products.

Some of our activities may subject us to risks under federal and state laws prohibiting “kickbacks” and false or fraudulent 
claims.

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We are subject to the provisions of a federal law commonly known as the anti-kickback statute, and several similar state 
laws, which prohibit payments intended to induce physicians or others either to refer patients or to acquire or arrange for or 
recommend  the  acquisition  of  healthcare  products  or  services.  While  the  federal  law  applies  only  to  products  or  services  for 
which payment may be made by a federal healthcare program, state laws often apply regardless of whether federal funds may 
be involved. These laws constrain the sales, marketing and other promotional activities of manufacturers of medical devices by 
limiting the kinds of financial arrangements, including sales programs that may be used with hospitals, physicians, laboratories 
and other potential purchasers of medical devices. Other federal and state laws generally prohibit individuals or entities from 
knowingly presenting, or causing to be presented, claims for payment from Medicare, Medicaid, or other third-party payors that 
are  false  or  fraudulent,  or  are  for  items  or  services  that  were  not  provided  as  claimed.  Similarly,  the  Patient  Protection  and 
Affordable Care Act also includes stringent reporting requirements of financial relationships between device manufacturers and 
physicians and teaching hospitals. Specifically, under one provision of the law, which is commonly referred to as the Physician 
Payment Sunshine Act, we are required to collect data on and annually report to CMS certain payments or other transfers of 
value to physicians and teaching hospitals and annually report certain ownership and investment interests held by physicians or 
their immediate family members. Anti-kickback and false claims laws and the Physician Payment Sunshine Act prescribe civil 
and criminal penalties (including fines) for noncompliance that can be substantial.

Similarly, our international operations are subject to the provisions of the U.S. Foreign Corrupt Practices Act of 1977, as 
amended ("FCPA"), which prohibits U.S. companies and their representatives from offering or making improper payments to 
foreign officials for the purpose of obtaining or retaining business. In many countries, the healthcare professionals we regularly 
interact  with  may  meet  the  definition  of  a  foreign  official  for  purposes  of  the  FCPA.  Our  international  operations  are  also 
subject to various other international anti-bribery laws such as the UK Anti-Bribery Act. Despite meaningful measures that we 
undertake to facilitate lawful conduct, which include training and compliance programs and internal policies and procedures, 
we  may  not  always  prevent  unauthorized,  reckless  or  criminal  acts  by  our  employees  or  agents,  or  employees  or  agents  of 
businesses  or  operations  we  may  acquire.  Violations  of  these  laws,  or  allegations  of  such  violations,  could  disrupt  our 
operations, involve significant management distraction and have a material adverse effect on our business, financial condition 
and results of operations. We also could be subject to adverse publicity, severe penalties, including criminal and civil penalties, 
disgorgement, further changes or enhancements to our procedures, policies and controls, personnel changes and other remedial 
actions. Moreover, our failure to comply with domestic or foreign laws could result in various adverse consequences, including 
possible delay in approval or refusal to approve a product, recalls, seizures, and withdrawal of an approved product from the 
market.

We are subject to the risk of product liability claims relating to our products for which we may not have adequate insurance.

Our business involves the risk of product liability and other claims inherent to the medical device business. If even one of 
our products is found to have caused or contributed to injuries or deaths, we could be held liable for substantial damages. We 
maintain product liability insurance subject to deductibles and exclusions. There is a risk that the insurance coverage will not be 
sufficient to protect us from product and other liability claims, or that product liability insurance will not be available to us at a 
reasonable cost, if at all. An under-insured or uninsured claim could harm our business and prospects. In addition, claims could 
adversely affect the reputation of the related product, which could damage that product’s competitive position in the market.

The sale and use of our diagnostic products could also lead to product liability claims if someone were to allege that one 
of  our  products  contained  a  design  or  manufacturing  defect  that  resulted  in  inaccurate  test  results  or  the  failure  to  detect  a 
disorder for which it was being used to screen, or caused injuries to a patient. Any product liability claim brought against us, 
with  or  without  merit,  could  result  in  an  increase  in  our  product  liability  insurance  rates  or  the  inability  to  secure  additional 
coverage in the future. Also, even a meritless or unsuccessful product liability claim could be time consuming and expensive to 
defend. This could result in a diversion of management’s attention from our business and adversely affect the perceived safety 
and efficacy of our products, which could harm our business and prospects.

We  are  subject  to  environmental,  health  and  safety  laws  and  regulations,  including  related  to  our  use  and  recycling  of 
hazardous materials and the composition of our products.

Our  research  and  development  and  manufacturing  processes  involve  the  controlled  use  of  hazardous  materials,  such  as 
toxic  and  carcinogenic  chemicals  and  various  radioactive  compounds,  and  the  risk  of  contamination  or  injury  from  these 
materials cannot be eliminated. In such event, we could be held liable for any resulting damages, and any such liability could be 
extensive.  From  time  to  time  new  regulations  are  enacted,  and  it  is  difficult  to  anticipate  how  such  regulations  will  be 
implemented and enforced. We continue to evaluate the necessary steps for compliance with regulations as they are enacted. 
These regulations include, for example, regulations enacted in the EU such as the Registration, Evaluation, Authorization and 
Restriction of Chemical Substances, or REACH, which requires the registration of and regulates use of certain chemicals, the 
Restriction  on  the  Use  of  Certain  Hazardous  Substances  in  Electrical  and  Electronic  Equipment  Directive,  or  RoHS,  which 
regulates the use of certain hazardous substances in certain products we manufacture, and the Waste Electrical and Electronic 

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Equipment  Directive,  or  WEEE,  which  requires  the  collection,  reuse  and  recycling  of  waste  from  certain  products  we 
manufacture. These and similar legislation that has been or is in the process of being enacted in Japan, China and various states 
of  the  U.S.  may  require  us  to  re-design  our  products  to  ensure  compliance  with  the  applicable  standards,  for  example  by 
requiring the use of different types of materials. These redesigns or the use of alternative materials may detrimentally impact 
the performance of our products, add greater testing lead times for product introductions, result in additional costs or have other 
similar  effects.  In  addition,  changes  in  environmental  laws  and  regulations,  in  particular  relating  to  climate  change  and 
greenhouse  gas  (“GHG”)  emissions,  could  require  us,  or  our  contract  manufacturers  or  suppliers,  to  install  additional 
equipment,  or  alter  operations  to  incorporate  new  technologies  or  processes,  which  may  result  in  additional  expenses  and 
adversely affect our operating results. We may also incur significant costs and utilize additional resources to comply with future 
regulations related to climate-related disclosures.

We  are  also  subject  to  other  substantial  regulation  relating  to  environmental,  health  and  safety  matters,  including 
occupational  health  and  safety,  environmental  protection,  hazardous  substance  control,  and  waste  management  and  disposal. 
The failure to comply with such regulations could subject us to, among other things, fines and criminal liability. We may also 
be required to incur significant costs to comply with these and future regulations, which may result in a material adverse effect 
upon our business, financial condition and results of operation.

Changes in tax laws or exposures to additional tax liabilities could negatively impact the Company's operating results.

We are subject to income taxes, as well as taxes that are not income-based, in both the U.S. and jurisdictions outside of 
the  U.S.  Our  future  effective  tax  rate  could  be  unfavorably  affected  by  numerous  factors  including  a  change  in,  or  the 
interpretation of, tax rules and regulations in the jurisdictions in which we operate (including changes in legislation currently 
being considered), a change in our geographic earnings mix, and/or to the jurisdictions in which we operate, or a change in the 
measurement of our deferred taxes. We are also subject to ongoing tax audits in various jurisdictions, and tax authorities may 
disagree with certain positions we have taken and assess additional taxes. 

INTELLECTUAL PROPERTY

Our business is dependent on technologies we license, and if we fail to maintain these licenses or license new technologies 
and rights to particular nucleic acid sequences for targeted diseases in the future, we may be limited in our ability to develop 
new products.

Our  business  is  dependent  on  licenses  from  third  parties  for  some  of  our  key  technologies.  For  example,  our  patented 
TMA  technology  is  based  on  technology  we  licensed  from  Stanford  University.  We  anticipate  that  we  will  enter  into  new 
licensing  arrangements  in  the  ordinary  course  of  business  to  expand  our  product  portfolio  and  access  new  technologies  to 
enhance  our  products  and  develop  new  products.  Many  of  these  licenses  will  provide  us  with  exclusive  rights  to  the  subject 
technology or disease marker. If our license with respect to any of these technologies or markers is terminated for any reason, 
we may not be able to sell products that incorporate that technology. Similarly, we may lose competitive advantages if we fail 
to maintain exclusivity under an exclusive license.

Our  ability  to  develop  additional  diagnostic  tests  for  diseases  may  depend  on  the  ability  of  third  parties  to  discover 
particular sequences or markers and correlate them with disease, as well as the rate at which such discoveries are made. Our 
ability  to  design  products  that  target  these  diseases  may  depend  on  our  ability  to  obtain  the  necessary  rights  from  the  third 
parties that make any of these discoveries. In addition, there are a finite number of diseases and conditions for which our NAT 
diagnostic assays may be economically viable. If we are unable to access new technologies or the rights to particular sequences 
or markers necessary for additional diagnostic products on commercially reasonable terms, we may be limited in our ability to 
develop new diagnostic products.

Our products and manufacturing processes may require access to technologies and materials that may be subject to patents 
or other intellectual property rights held by third parties. Our business could be adversely affected if we are unable to obtain the 
additional intellectual property rights necessary to commercialize our products.

Our business could be harmed if we are unable to protect our proprietary technology.

We have relied primarily on a combination of trade secrets, patents, copyrights, trademarks and confidentiality procedures 
to protect our products and technology. Despite these precautions, unauthorized third parties may infringe, misappropriate or 
otherwise violate our intellectual property, or copy or reverse engineer portions of our technology. The pursuit and assertion of 
a  patent  right,  particularly  in  areas  like  nucleic  acid  diagnostics  and  biotechnology,  involve  complex  determinations  and, 
therefore, are characterized by substantial uncertainty. We do not know if current or future patent applications will be issued 
with the full scope of the claims sought, if at all, or whether any patents that are issued will be challenged or invalidated. The 
patents  that  we  own  or  license  could  also  be  subjected  to  invalidation  proceedings  or  similar  disputes,  and  an  unfavorable 

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outcome  could  require  us  to  cease  using  the  related  technology  or  to  attempt  to  license  rights  to  the  technology  from  the 
prevailing party. There is also a risk that intellectual property laws outside of the U.S. will not protect our intellectual property 
rights to the same extent as intellectual property laws in the U.S. Even if our proprietary information is protected by patents or 
otherwise, the initiation of actions to protect our proprietary information could be costly and divert the efforts and attention of 
our  management  and  technical  personnel,  and  the  outcome  of  such  litigation  is  often  uncertain.  As  a  result  of  these 
uncertainties, we could also elect to forego such litigation or settle such litigation without fully enforcing our proprietary rights. 
In  the  absence  of  significant  patent  protection,  we  may  be  vulnerable  to  competitors  who  attempt  to  copy  our  products, 
processes  or  technology.  Additionally,  rights  provided  by  a  patent  are  finite  in  time.  Over  the  coming  years,  certain  patents 
relating to current products will expire in the U.S. and abroad thus allowing third parties to utilize certain of our technologies.

Our business could be harmed if we infringe upon the intellectual property rights of others.

There  has  been  substantial  litigation  regarding  patent  and  other  intellectual  property  rights  in  the  medical  device, 
diagnostic products and related industries. We are and have been involved in patent litigation and may in the future be subject 
to further claims of infringement of intellectual property rights possessed by third parties. In connection with claims of patent 
infringement,  we  may  seek  to  enter  into  settlement  and/or  licensing  arrangements.  There  is  a  risk  in  these  situations  that  no 
license will be available or that a license will not be available on reasonable terms. Alternatively, we may decide to litigate such 
claims  or  to  design  around  the  technology.  These  actions  could  be  costly  and  would  divert  the  efforts  and  attention  of  our 
management  and  technical  personnel.  As  a  result,  any  infringement  claims  by  third  parties  or  claims  for  indemnification  by 
customers resulting from infringement claims, whether or not proven to be true, may harm our business and prospects.

INDEBTEDNESS

We have a significant amount of indebtedness outstanding, which limits our operating flexibility, and could adversely affect 
our operations and financial results and prevent us from fulfilling our obligations.

As of September 24, 2022, we had approximately $2.85 billion aggregate principal of indebtedness outstanding (exclusive 
of additional funds that would be available to draw under our revolver). We also have other contractual obligations and deferred 
tax  liabilities,  which  as  of  September  24,  2022,  are  described  under  “Notes  to  Consolidated  Financial  Statements  —  Income 
Taxes, and Non-cancelable Purchase Commitments.” This significant level of indebtedness and our other obligations may:

• make it more difficult for us to satisfy our obligations with respect to our outstanding indebtedness; 
•
•

increase our vulnerability to general adverse economic and industry conditions, including increases in interest rates; 
require us to dedicate a substantial portion of our cash flow from operations to interest and principal payments on our 
indebtedness,  which  would  reduce  the  availability  of  our  cash  flow  to  fund  working  capital,  capital  expenditures, 
expansion efforts, strategic transactions and other general corporate purposes; 
limit our flexibility in planning for, or reacting to, changes in our business and the markets in which we participate; 
place us at a competitive disadvantage compared to our competitors that have less debt; and 
limit  our  ability  to  borrow  additional  funds  for  working  capital,  capital  expenditures,  expansion  efforts,  strategic 
transactions or other general corporate purposes. 

•
•
•

In  addition,  the  terms  of  our  financing  obligations  contain  certain  covenants  that  restrict  our  ability,  and  that  of  our 
subsidiaries,  to  engage  in  certain  transactions  and  may  impair  our  ability  to  respond  to  changing  business  and  economic 
conditions, including, among other things, limitations on our ability to:
incur indebtedness or issue certain preferred equity; 
pay dividends, repurchase our common stock, or make other distributions or restricted payments; 

•
•
• make certain investments; 
•
•
•
•
•
•
•

agree to payment restrictions affecting the restricted subsidiaries; 
sell or otherwise transfer or dispose of assets, including equity interests of our subsidiaries; 
enter into transactions with our affiliates; 
create liens; 
designate our subsidiaries as unrestricted subsidiaries; 
consolidate, merge or sell substantially all of our assets; and 
use the proceeds of permitted sales of our assets. 

Our credit facilities also require us to satisfy certain financial covenants. Our ability to comply with these provisions may 
be affected by general economic conditions, political decisions, industry conditions and other events beyond our control. Our 
failure to comply with the covenants contained in our credit facilities, including financial covenants, could result in an event of 
default, which could materially and adversely affect our results of operations and financial condition.

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If there were an event of default under one of our debt instruments or a change of control, the holders of the defaulted debt 
could cause all amounts outstanding with respect to that debt to be due and payable immediately and may be cross-defaulted to 
other debt, including our outstanding notes. Our assets or cash flow may not be sufficient to fully repay borrowings under our 
outstanding debt instruments if accelerated upon an event of default or a change of control, and there is no guarantee that we 
would be able to repay, refinance or restructure the payments on such debt. See “Management’s Discussion and Analysis of 
Financial Condition and Results of Operations-Liquidity and Capital Resources.”

We may not be able to generate sufficient cash flow to service all of our indebtedness and other obligations.

Our  ability  to  make  payments  on  and  to  refinance  our  indebtedness  and  to  fund  planned  capital  expenditures,  strategic 
transactions and expansion efforts will depend on our ability to generate cash in the future. This, to a certain extent, is subject to 
general economic, financial, competitive, legislative, regulatory and other factors that are beyond our control. Our business may 
not be able to generate sufficient cash flow from operations, and we cannot assure that future borrowings will be available to us 
in amounts sufficient to enable us to pay our indebtedness as such indebtedness matures and to fund our other liquidity needs. If 
this occurs, we will need to refinance all or a portion of our indebtedness on or before maturity, and there can be no assurance 
that we will be able to refinance any of our indebtedness on commercially reasonable terms, or at all. We may need to adopt one 
or more alternatives, such as reducing or delaying planned expenses and capital expenditures, selling assets, restructuring debt, 
or obtaining additional equity or debt financing. These alternative strategies may not be affected on satisfactory terms, if at all. 
Our  ability  to  refinance  our  indebtedness  or  obtain  additional  financing,  or  to  do  so  on  commercially  reasonable  terms,  will 
depend on, among other things, our financial condition at the time, restrictions in agreements governing our indebtedness, and 
other  factors,  including  the  condition  of  the  financial  markets  and  the  markets  in  which  we  compete.  If  we  do  not  generate 
sufficient cash flow from operations, and additional borrowings, refinancings or proceeds from asset sales are not available to 
us, we may not have sufficient cash to enable us to meet all of our obligations.

A  significant  portion  of  our  indebtedness  is  subject  to  floating  interest  rates,  which  may  expose  us  to  higher  interest 
payments.

A significant portion of our indebtedness is subject to floating interest rates, which makes us more vulnerable in the event 
of adverse economic conditions, increases in prevailing interest rates, or a downturn in our business. As of September 24, 2022, 
approximately $1.5 billion aggregate principal of our indebtedness, which represented the outstanding principal under our credit 
facilities, was subject to floating interest rates. We currently have a hedging arrangement (an interest rate swap that expires on 
December 17, 2023) in place to partially mitigate the impact of higher interest rates. We cannot assure that we would be able to 
extend this hedge at an attractive price and terms.

GENERAL RISK FACTORS

Provisions  in  our  charter,  bylaws,  and  indebtedness  may  have  the  effect  of  discouraging  advantageous  offers  for  our 
business or common stock and limit the price that investors might be willing to pay in the future for shares of our common 
stock.

Our charter, bylaws, and the provisions of the Delaware General Corporation Law include provisions that may have the 
effect of discouraging or preventing a change of control. Our indebtedness also contains provisions which either accelerate or 
require us to offer to repurchase the indebtedness at a premium upon a change of control. These provisions could limit the price 
that our stockholders might receive in the future for shares of our common stock.

Our stock price is volatile.

The market price of our common stock has been, and may continue to be, highly volatile. We believe that a variety of 

factors could cause the price of our common stock to fluctuate, perhaps substantially, including:

•
•

•
•
•
•
•
•
•
•
•

new, or changes in, recommendations, guidelines or studies that could affect the use of our products; 
announcements  and  rumors  of  developments  related  to  our  business,  including  changes  in  reimbursement  rates  or 
regulatory requirements, proposed and completed acquisitions, or the industry in which we compete; 
published studies and reports relating to the comparative efficacy of products and markets in which we participate; 
quarterly fluctuations in our actual or anticipated operating results and order levels; 
general conditions in the U.S. or worldwide economy; 
our stock repurchase program; 
announcements of technological innovations; 
new products or product enhancements by us or our competitors; 
developments in patents or other intellectual property rights and litigation; 
developments in relationships with our customers and suppliers; 
the implementation of healthcare reform legislation and the adoption of additional reform legislation in the future; and 

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•

the success or lack of success of integrating our acquisitions. 

In  addition,  the  stock  market  in  general  and  the  markets  for  shares  of  “high-tech”  and  life  sciences  companies,  have 
historically experienced extreme price fluctuations which have often been unrelated to the operating performance of affected 
companies. Any such fluctuations in the future could adversely affect the market price of our common stock, and the market 
price of our common stock may decline.

Item 1B. Unresolved Staff Comments

None.

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Item 2. Properties

We own and lease real property to support our business, including manufacturing, marketing, research and development, 
logistical support and administration. The following lists those properties that we own or lease that we believe are material to 
our  business.  We  believe  that  we  have  adequate  space  for  our  anticipated  needs  and  that  suitable  additional  space  will  be 
available at commercially reasonable prices as needed. 

Material Properties Owned:
Newark, DE

Primary Use
DirectRay digital detector research and development and plate 
manufacturing operations

Manchester, UK
Londonderry, NH
San Diego, CA 

San Diego, CA

Material Properties 
Leased:
Danbury, CT
Danbury, CT

Marlborough, MA

Administrative and supply chain operations
Manufacturing operations
Diagnostics headquarters, including administrative and 
manufacturing operations
Diagnostics research and development, administrative and 
manufacturing operations

Primary Use
Manufacturing facility
Manufacturing operations and 
research and development
Headquarters, including research 
and development, manufacturing 
and distribution operations
Manufacturing operations

Marlborough, MA
Alajuela, Costa Rica Manufacturing facility
Manchester, England Manufacturing operations and 

Ougrée, Belgium

research and development
Manufacturing operations and 
research and development

Lease
Expiration
(fiscal year)
2026
2023

2025

2024
2028
2035

2032

Renewals
None
None

2, five-yr. periods

1, five-yr. period
2, five-yr. periods
None

None

We also lease various administrative and customer support centers throughout the world including in Brussels, Belgium, 
Kerpen,  and  Berlin  Germany,  Madrid,  Spain,  and  Shanghai  and  Beijing,  China.  In  addition,  we  also  lease  space  for  smaller, 
specialized research and development and manufacturing operations at various additional locations including Aix-en-Provence, 
France, and Espoo, Finland.

Item 3. Legal Proceedings

For a discussion of legal matters as of September 24, 2022, please see Note 14 to our consolidated financial statements 

entitled “Litigation and Related Matters,” which is incorporated by reference into this item.

Item 4. Mine Safety Disclosures

Not Applicable.

33

  
  
  
  
  
  
  
  
  
  
 
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PART II

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

Market Information. Our common stock is traded on the Nasdaq Global Select Market under the symbol “HOLX.” 

Number  of  Holders.  As  of  November  10,  2022,  there  were  approximately  827  holders  of  record  of  our  common  stock, 
including  multiple  beneficial  holders  at  depositories,  banks  and  brokers  listed  as  a  single  holder  in  the  street  name  of  each 
respective depository, bank or broker.

Dividend Policy. We have never declared or paid cash dividends on our capital stock, and we currently have no plans to 
do so. Our current policy is to retain all of our earnings to finance future growth (including acquisitions), pay down our existing 
indebtedness and repurchase our common stock. The existing covenants under certain of our credit facilities also place limits on 
our ability to issue dividends and repurchase stock.

Recent Sales of Unregistered Securities. We did not sell unregistered securities during the fourth quarter of fiscal 2022.

Issuer's Purchases of Equity Securities

Total Number of
Shares 
Purchased As 
Part of Publicly
Announced 
Plans or
Programs 
(#) (2)

Average Price 
Paid Per
Share As Part of 
Publicly
Announced 
Plans or
Programs 
($) (2)

Maximum
Number (or 
Approximate 
Dollar Value) of 
Shares That May 
Yet Be Purchased 
Under Our
Programs 
(in millions) 
($) (2)

Total Number of
Shares Purchased
(#) (1)

Average Price
Paid Per Share
($) (1)

1,120  $ 

2,245 

552 

3,917  $ 

70.14 

70.95 

68.42 

70.36 

—  $ 

—  $ 

565,047 

1,984,671 

71.44 

67.86 

2,549,718  $ 

68.66  $ 

324.7 

284.4 

1,000.0 

1,000.0 

Period of Repurchase
June 26, 2022 – July 23, 2022

July 24, 2022 – August 20, 2022

August 21, 2022 – September 24, 2022

Total

 ___________________________________

(1) For the majority of restricted stock units granted, the number of shares issued on the date that the restricted stock units vest 
is  net  of  the  minimum  statutory  tax  withholding  requirements  that  we  pay  in  cash  to  the  appropriate  tax  authorities  on 
behalf  of  our  employees.  These  repurchases  of  our  common  stock  were  to  cover  employee  income  tax  withholding 
obligations in connection with the vesting of restricted stock units under our equity incentive plans.

(2) On December 9, 2020, the Board of Directors authorized a share repurchase plan to repurchase up to $1.0 billion of the 
Company's  outstanding  common  stock,  effective  December  11,  2020.  On  September  22,  2022,  the  Board  of  Directors 
authorized  a  new  stock  repurchase  program,  with  a  five-year  term,  to  repurchase  up  to  $1.0  billion  of  the  Company’s 
outstanding  common  stock,  effective  as  of  the  close  of  trading  on  September  23,  2022.  This  new  stock  repurchase 
authorization  replaces  the  previous  $1.0  billion  authorization,  which  had  approximately  $150  million  remaining  as  of 
September 22, 2022.

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Stock Performance Graph

The following information shall not be deemed to be "filed" with the SEC nor shall the information be incorporated by 
reference into any filings under the Securities Act, except to the extent that we specifically incorporate it by reference into a 
document filed under the Securities Act or the Exchange Act.

The following graph compares cumulative total shareholder return on our common stock since September 30, 2017 with 
the cumulative total return of the Standard & Poor’s 500 Index and the S&P Health Care Supplies Index. This graph assumes 
the  investment  of  $100  on  September  30,  2017  in  our  common  stock.  Measurement  points  are  the  last  trading  day  of  each 
respective fiscal year.

Item 6. Reserved

Not applicable.

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

The  following  discussion  and  analysis  should  be  read  in  conjunction  with  the  Consolidated  Financial  Statements,  the 
information  described  under  the  caption  “Risk  Factors”  in  Part  I,  Item  1A  of  this  Annual  Report  and  our  Special  Note 
Regarding Forward-Looking Statements at the outset of this Annual Report.

OVERVIEW

We are a developer, manufacturer and supplier of premium diagnostics products, medical imaging systems and surgical 
products  focused  on  women's  health  and  well-being  through  early  detection  and  treatment.  We  sell  and  service  our  products 
through a combination of direct sales and service personnel and a network of independent distributors and sales representatives. 
We operate in four segments: Diagnostics, Breast Health, GYN Surgical and Skeletal Health. 

Through our Diagnostics segment, we offer a wide range of diagnostic products, which are used primarily to aid in the 
screening and diagnosis of human diseases. Our primary Diagnostics products include our molecular diagnostic assays, which 
run  on  our  advanced  instrumentation  systems  (Panther,  Panther  Fusion  and  Tigris),  our  ThinPrep  cytology  system,  and  the 
Rapid  Fetal  Fibronectin  Test.  Our  Aptima  family  of  molecular  diagnostic  assays  is  used  to  detect,  among  other  things,  the 
infectious  microorganisms  that  cause  common  sexually  transmitted  diseases,  or  STDs,  such  as  chlamydia  and  gonorrhea,  or 
GTGC;  certain  high-risk  strains  of  human  papillomavirus,  or  HPV;  Trichomonas  vaginalis,  the  parasite  that  causes 
trichomoniasis; Mycoplasma genitalium; and Herpes Simplex viruses 1 and 2. We also offer viral load tests for the quantitation 
of Hepatitis B virus, Hepatitis C virus, human immunodeficiency virus, and human cytomegalo virus for use on our Panther 
instrument  system.  In  addition,  we  offer  bacterial  vaginosis  and  candida  vaginitis  assays  for  the  diagnosis  of  vaginitis,  a 
common and complex ailment affecting millions of women a year. Our assay portfolio also includes diagnostic tests for a range 
of acute respiratory infections, including SARS-CoV-2, various strains of influenza and parainfluenza, and respiratory syncytial 
virus that are run on the Panther Fusion system, a field upgradeable instrument addition to the base Panther system. In response 
to  the  COVID-19  pandemic,  we  developed  and  launched  the  Aptima  SARS-CoV-2  assay  and  the  Aptima  SARS-CoV-2/Flu 
assay  (each  of  which  runs  on  our  standard  Panther  system)  and  the  Panther  Fusion  SARS-CoV-2  assay  (which  runs  on  our 
Panther  Fusion  system).  In  May  2022,  we  CE-marked  two  new  molecular  assays,  Panther  Fusion  EBV  Quant  assay  for 
quantitation of Epstein-Barr virus, and the Panther Fusion BKV Quant assay for quantitation of the BK virus. These two new 
assays are the first quantitative real-time PCR assays on the Panther Fusion system. These assays, along with the Aptima CMV 
Quant  assay  already  available  in  Europe,  expand  our  Panther  Fusion  menu  of  transplant  monitoring  assays.  The  ThinPrep 
System  is  primarily  used  in  cytology  applications,  such  as  cervical  cancer  screening,  and  the  Rapid  Fetal  Fibronectin  Test 
assists physicians in assessing the risk of pre-term birth. We also generate service revenues from our CLIA-certified laboratory 
for testing related to breast cancer and all metastatic cancers.

Our Breast Health segment offers a broad portfolio of solutions for breast cancer care primarily in the areas of radiology, 
breast surgery, pathology and treatment. These solutions include 3D digital mammography systems, image analytics software 
utilizing artificial intelligence, reading workstations, ultrasound imaging, minimally invasive breast biopsy guidance systems, 
breast biopsy site markers, localization, specimen radiology, connectivity solutions and breast conserving surgery products. Our 
most advanced breast imaging platforms, Selenia Dimensions and 3Dimensions, utilize tomosynthesis to produce 3D images 
that show multiple contiguous slice images of the breast, which we refer to as the Genius 3D Mammography exam. 

Our  GYN  Surgical  products  include  our  NovaSure  Endometrial  Ablation  System,  or  NovaSure,  our  MyoSure 
Hysteroscopic  Tissue  Removal  System,  or  MyoSure,  our  Fluent  Fluid  Management  system,  or  Fluent,  our  Acessa  ProVu 
laparoscopic  radiofrequency  ablation  system,  or  Acessa,  as  well  as  our  CoolSeal  vessel  sealing  portfolio  and  our  JustRight 
surgical  stapler.  The  NovaSure  portfolio  is  comprised  of  the  NovaSure  CLASSIC  and  NovaSure  ADVANCED  devices  and 
most recently, the NovaSure portfolio V5 device for the treatment of abnormal uterine bleeding. The MyoSure suite of devices 
offers  four  options  to  provide  incision-less  removal  of  fibroids,  polyps,  and  other  pathology  within  the  uterus.  The  Fluent 
system is a fluid management system that provides liquid distention during diagnostic and operative hysteroscopic procedures. 
The  Acessa  system  is  a  fully  integrated  system  that  uses  laparoscopic  ultrasound,  guidance  mapping  and  radio  frequency 
ablation  to  treat  nearly  all  types  of  fibroids.  The  CoolSeal  portfolio  includes  the  Trinity,  Reveal,  and  Mini  advanced  bipolar 
vessel sealing devices. The JustRight 5 mm stapler features a smaller instrument profile and is used for laparoscopic general 
and pediatric surgery.

Our  Skeletal  Health  segment's  products  includes  the  Horizon  DXA,  a  dual  energy  x-ray  system,  which  evaluates  bone 
density and performs body composition assessments, and the Fluoroscan Insight FD mini C-arm, which assists in performing 
minimally invasive orthopedic surgical procedures on a patient's extremities, such as the hand, wrist, knee, foot, and ankle.

Unless  the  context  otherwise  requires,  references  to  we,  us,  Hologic  or  our  company  refer  to  Hologic,  Inc.  and  its 

consolidated subsidiaries.

Supply Chain Considerations

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The  current  worldwide  supply  chain  shortages  and  constraints  are  impacting  our  ability  to  obtain  certain  critical  raw 
materials  and  components  used  primarily  in  our  Breast  Health  capital  equipment  products.  The  supply  chain  shortages  and 
disruptions  primarily  affecting  our  Breast  Health  manufacturing  lines  are  related  to  electronic  components,  primarily 
semiconductor chips. We are dependent on a small number of semiconductor manufacturers and their allocation of chips to us. 
Based  on  our  current  understanding  of  their  allocation  of  chips  to  us  we  expect  we  will  be  able  to  increase  production  on  a 
sequential quarterly basis throughout fiscal 2023. If such allocation does not meet our expectations or we are not able to obtain 
alternative  sources  of  chips,  we  believe  we  will  not  be  able  to  manufacture  sufficient  quantities  of  our  capital  equipment 
products, primarily 3D Dimension systems, Trident specimen radiography systems, Affirm Prone biopsy systems and Brevera 
systems to meet customer demand. As a result, if we are unable to obtain sufficient quantities of chips, sales of these products 
may  decline  or  will  not  increase  in  fiscal  2023  compared  to  fiscal  2022  levels.  In  addition,  the  prices  of  raw  materials  and 
components, as well as freight, have been rising and continued supply chain shortages could increase the costs further. These 
factors may result in a lower gross margin for Breast Health in fiscal 2023 for our affected products. Our procurement team has 
and will continue to expend significant time and resources to try to secure sufficient quantities to meet demand. 

Acquisitions

The following sets forth a description of certain of our acquisitions we have completed in our last two fiscal years:

Bolder Surgical

On  November  29,  2021,  we  completed  the  acquisition  of  Bolder  Surgical  Holdings,  Inc.,  or  Bolder,  for  a  purchase 
price  of  $160.1  million.  Bolder,  located  in  Louisville,  Colorado,  is  a  developer  and  manufacturer  of  energy  vessel  sealing 
surgical devices used in both laparoscopic and open procedures. Based on our preliminary valuation, we allocated $96.7 million 
of  the  purchase  price  to  the  value  of  intangible  assets  and  $68.8  million  to  goodwill.  The  allocation  of  the  purchase  price  is 
preliminary as we continue to gather information supporting the valuation of the acquired assets and liabilities. Bolder's results 
of operations are reported in our GYN Surgical segment. 

Mobidiag

On June 17, 2021, we completed the acquisition of Mobidiag Oy, or Mobidiag, for a purchase price of $729.6 million. 
Mobidiag,  located  in  Finland,  manufactures  molecular  diagnostic  solutions  for  gastrointestinal  infections,  antimicrobial 
resistance management and other infections. We also acquired $66.1 million of debt, which was paid off in fiscal 2022. Based 
on  our  valuation,  we  allocated  $399.9  million  of  the  purchase  price  to  the  value  of  intangible  assets  and  $427.7  million  to 
goodwill. This acquisition expands our molecular diagnostics portfolio into the near-patient testing market. Mobidiag's results 
of operations are reported in our Diagnostics segment.

Biotheranostics

On February 22, 2021, we completed the acquisition of Biotheranostics, Inc., or Biotheranostics, for a purchase price 
of  $231.3  million.  Biotheranostics,  located  in  San  Diego,  California,  manufactures  molecular  diagnostic  tests  that  support 
physicians in the treatment of breast cancer and all metastatic cancers and performs lab testing procedures at its CLIA-certified 
laboratory. Based on our valuation, we allocated $162.4 million of the purchase price to the value of intangible assets and $80.9 
million to goodwill. Biotheranostics' results of operations are included in our Diagnostics segment, and its revenues are reported 
within Service and Other Revenue in our Consolidated Statements of Income. 

Diagenode

On March 1, 2021, we completed the acquisition of Diagenode SA, or Diagenode, for a purchase price of $155.1 million. 
Diagenode,  located  in  Belgium,  is  a  developer  and  manufacturer  of  molecular  diagnostic  assays  based  on  polymerase  chain 
reaction  (PCR)  technology  to  detect  infectious  diseases  of  bacterial,  viral  or  parasite  origin.  Based  on  our  valuation,  we 
allocated $79.0 million of the purchase price to the value of intangible assets and $83.5 million to goodwill. Diagenode's results 
of operations are included in our Diagnostics segment.

Somatex Medical Technologies

On  December  30,  2020,  we  completed  the  acquisition  of  Somatex  Medical  Technologies  GmbH,  or  Somatex,  for  a 
purchase price of $62.9 million. Somatex, located in Germany, is a manufacturer of biopsy site markers, including the Tumark 
product  line  of  tissue  markers,  which  we  distributed  in  the  U.S.  prior  to  the  acquisition.  Somatex'  results  of  operations  are 
included in our Breast Health segment. 

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RESULTS OF OPERATIONS

Fiscal Year Ended September 24, 2022 Compared to Fiscal Year Ended September 25, 2021 

Product Revenues

Product Revenues

Diagnostics
Breast Health
GYN Surgical
Skeletal Health

September 24, 2022

Fiscal Years Ended

September 25, 2021

Change

Amount

% of Total
Revenue

Amount

% of Total
Revenue

Amount

%

$ 

$ 

2,924.6 
680.5 
521.4 
64.7 
4,191.2 

 60.1 % $ 
 14.0 %  
 10.7 %  
 1.3 %  
 86.2 % $ 

3,596.1 
815.1 
486.8 
69.3 
4,967.3 

 63.9 % $ 
 14.5 %  
 8.6 %  
 1.2 %  
 88.2 % $ 

(671.5) 
(134.6) 
34.6 
(4.6) 
(776.1) 

 (18.7) %
 (16.5) %
 7.1 %
 (6.6) %
 (15.6) %

We had a decrease in product revenue of 15.6% in fiscal 2022 compared to fiscal 2021. This decrease was primarily due 
to the decline in revenues in the Diagnostics business as a result of lower COVID-19 assay sales, a decrease in Breast Health 
revenue, which we primarily attribute to supply chain constraints, and to a lesser extent the negative effect from the unfavorable 
foreign  currency  exchange  impact  of  the  strengthened  U.S.  dollar  against  a  number  of  currencies.  The  decrease  in  product 
revenues in fiscal 2022 compared to fiscal 2021 was partially offset by an increase in GYN Surgical product revenue due to an 
increase in sales volume of these products which we attribute to a recovery of elective procedures as COVID-19 restrictions 
eased, as well as an increase from our recent acquisitions.

Diagnostics  product  revenues  decreased  18.7%  in  fiscal  2022  compared  to  fiscal  2021  primarily  due  to  decreases  in 
Molecular Diagnostics of $656.4 million and a decrease in blood-screening of $15.8 million, partially offset by an increase in 
Cytology and Perinatal revenue of $0.7 million. While we divested our blood screening business in the second quarter of fiscal 
2017, we continue to provide long-term access to Panther instrumentation and certain supplies to the purchaser of that business. 
Molecular Diagnostics product revenue was $2,427.5 million in fiscal 2022 compared to $3,083.9 million in fiscal 2021. The 
decrease was primarily attributable to a reduction of $729.0 million in sales our two SARS-CoV-2 assays (primarily the Aptima 
SARS-CoV-2 assay and to a lesser extent the Panther Fusion SARS-CoV-2 assay) to $1,430.5 million in fiscal 2022 compared 
to $2,159.5 million in fiscal 2021 primarily due to lower demand from an improvement in the COVID-19 pandemic and, to a 
lesser extent, the impact of at-home testing alternatives and lower average selling prices on a worldwide basis . We also had a 
decrease  in  Panther  and  Panther  Fusion  instrument  sales  in  fiscal  2022  compared  to  fiscal  2021  as  sales  in  fiscal  2021  were 
higher primarily due to the COVID-19 pandemic as customers expanded their Covid assay testing capacity. These decreases 
were  partially  offset  by  an  increase  of  $53.6  million  in  our  Aptima  assays  and  STD  collection  kits  (exclusive  of  our  SARS-
CoV-2  assay),  which  primarily  consist  of  our  CTGC,  Bacterial  Vaginosis,  and  CV  Candida  assays,  on  a  worldwide  basis  as 
volumes increased, partially offset by lower HPV assay volumes and a decrease in average selling prices. In addition, we had an 
increase  of  $32.6  million  in  worldwide  sales  of  our  Quant  Viral  assays  and  Fusion  respiratory  products  in  the  current  fiscal 
year.  The  inclusion  of  Diagenode  and  Mobidiag  products  contributed  $13.3  million  of  incremental  product  revenue  in  the 
current fiscal year. We also experienced a decrease in revenue from international sales denominated in foreign currencies from 
the unfavorable foreign currency exchange impact of the strengthened U.S. dollar against a number of currencies. We expect 
that sales of our COVID-19 assays will continue to decline in fiscal 2023 compared to the current fiscal year as the pandemic 
recedes and given the continued distribution of vaccines and boosters.

Breast Health product revenues  decreased 16.5% in fiscal  2022 compared to fiscal 2021 primarily due to a decrease in 
volumes  of  our  digital  mammography  systems,  primarily  3D  Dimensions  systems,  related  software  and  workflow  products, 
Affirm biopsy systems and Brevera biopsy systems. The decrease in volume was primarily driven by supply chain constraints 
related to electronic components, primarily semiconductor chips, that impacted our ability to manufacture sufficient quantities 
to meet customer demand. We continue to have strong back orders for our capital equipment. These decreases were partially 
offset by an increase in average selling prices, as well as an increase in sales of our interventional breast solutions products, 
primarily  driven  by  ATEC  and  Brevera  disposables.  We  also  experienced  a  decrease  in  revenue  from  international  sales 
denominated  in  foreign  currencies  from  the  unfavorable  foreign  currency  exchange  impact  of  the  strengthened  U.S.  dollar 
against a number of currencies.

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GYN Surgical product revenues increased 7.1% in fiscal 2022 compared to fiscal 2021, primarily due to increases in the 
sales  volume  of  our  Fluent  Fluid  Management  products,  Bolder  products  (comprised  of  CoolSeal  vessel  sealing  devices  and 
JustRight  surgical  staplers),  MyoSure  system  sales  and  Acessa  ProVu  systems.  These  increases  were  partially  offset  by 
decreases in NovaSure system sales. We also experienced a decrease in revenue from international sales denominated in foreign 
currencies  from  the  unfavorable  foreign  currency  exchange  impact  of  the  strengthened  U.S.  dollar  against  a  number  of 
currencies.

Skeletal Health product revenues decreased 6.6% in fiscal 2022 compared to fiscal 2021 primarily due to a decrease in 
sales volume of our Horizon DXA systems and Insight FD Fluoroscan systems. We attribute this sales volume decrease largely 
to  supply  chain  constraints.  We  also  experienced  a  decrease  in  revenue  from  international  sales  denominated  in  foreign 
currencies  from  the  unfavorable  foreign  currency  exchange  impact  of  the  strengthened  U.S.  dollar  against  a  number  of 
currencies.

Product revenues by geography as a percentage of total revenues were as follows:

United States
Europe
Asia-Pacific
Rest of world

Years ended

September 24,
2022

September 25,
2021

 69.4 %
 19.7 %
 7.7 %
 3.2 %
 100.0 %

 68.3 %
 21.9 %
 6.7 %
 3.1 %
 100.0 %

The percentage of product revenue derived from the U.S. and Asia-Pacific increased while Europe decreased, which we 
primarily  attribute  to  a  steeper  decline  in  SARS-CoV-2  assay  sales  in  Europe  compared  to  the  U.S.,  partially  offset  by  an 
increase  in  HIV  assay  sales  in  Africa,  and  an  increase  in  SARS-CoV-2  assay  sales  in  Australia  and  New  Zealand.  The 
percentage of product revenue increased in Asia-Pacific is primarily due to an increase in volume of ThinPrep and HPV assays 
in  China.  In  addition,  the  strengthening  of  the  U.S.  dollar  against  a  number  of  currencies  contributed  to  the  increase  in  the 
percentage of revenue derived from the U.S. compared to revenue derived from the other geographic regions.

Service and Other Revenues

Years Ended

September 24, 2022

September 25, 2021

Change

Amount

% of
Total
Revenue

Amount

% of
Total
Revenue

Amount

%

Service and Other Revenues

$ 

671.6 

 13.8 % $ 

665.0 

 11.8 % $ 

6.6 

 1.0 %

Service and other revenues are primarily comprised of revenue generated from our field service organization to provide 
ongoing service, installation and repair of our products. The majority of these revenues are generated within our Breast Health 
segment.  Service  and  other  revenues  increased  1.0%  in  fiscal  2022  compared  to  fiscal  2021  primarily  due  to  an  increase  in 
Breast  Health  service  contract  revenue  as  the  Breast  Health  business  continued  to  convert  a  high  percentage  of  our  installed 
base of digital mammography systems to service contracts upon expiration of the warranty period, as well as additions from our 
distributor acquisitions. This increase was partially offset by a decrease in installation and training services that are provided 
with  capital  product  sales  as  a  result  of  lower  unit  sales  in  the  current  fiscal  year.  In  our  Diagnostics  business,  lab  testing 
revenue from the inclusion of our Biotheranostics acquisition in the second quarter of fiscal 2021, increased $35.9 million in the 
current  year.  This  was  offset  by  a  decrease  in  royalty  revenue  of  $46.2  million  from  Grifols,  S.A.,  or  Grifols,  related  to 
licensing our intellectual property to our COVID-19 assays for their sale in Spain, as the contract expired in December 2021. 

Cost of Product Revenues

39

 
 
 
 
 
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Cost of Product Revenues

Amortization of Acquired 
Intangible Assets
Impairment of Acquired  
Intangible Assets and Equipment

** Percentage not meaningful

September 24, 2022

Years Ended

September 25, 2021

Change

Amount

% of Product
Sales

Amount

% of Product
Sales

Amount

%

$ 

1,166.1 

 27.8 % $ 

1,205.1 

 24.3 % $ 

(39.0) 

 (3.2) %

295.7 

 7.1 %  

276.7 

 5.5 %  

19.0 

 6.9 %

17.4 
1,479.2 

$ 

 0.4 %  
 35.3 % $ 

— 
1,481.8 

 — %  
 29.8 % $ 

17.4 
(2.6) 

**
 (0.2) %

Product gross margin was 64.7% in fiscal 2022 compared to 70.2% in fiscal 2021. 

Cost of Product Revenues. The cost of product revenues as a percentage of product revenues was 27.8% in the current 
year  compared  to  24.3%  in  the  prior  year.  Cost  of  product  revenues  as  a  percentage  of  revenue  increased  in  fiscal  2022 
primarily  due  to  a  decrease  in  sales  of  our  SARS-CoV-2  assays,  which  have  higher  gross  margins  compared  to  our  other 
Diagnostic products, and comprised 34.1% and 43.5% of total product revenue in fiscal 2022 and fiscal 2021, respectively. 

Diagnostics' product costs as a percentage of revenue increased in fiscal 2022 compared to fiscal 2021 primarily due to 
lower  sales  of  our  SARS-CoV-2  assays,  a  slight  decline  in  average  selling  prices  of  certain  assays,  an  increase  in  inventory 
reserves,  higher  field  service  costs  for  our  expanded  instrument  installed  base  and  higher  freight  charges  internationally, 
partially offset by lower sales of instruments, which carry low margins, and an increase in sales of our Aptima and Quant Viral 
assays.

Breast Health’s product costs as a percentage of revenue increased in fiscal 2022 compared to fiscal 2021 primarily due to 
the  impact  of  the  COVID-19  pandemic  on  the  supply  chain  resulting  in  lower  sales  volumes  of  our  higher  margin  products, 
reduced  manufacturing  utilization  and  higher  prices  of  raw  materials  and  components,  partially  offset  by  a  slight  increase  in 
average selling prices of our 3Dimensions systems and related workflow products.

GYN Surgical’s product costs as a percentage of revenue increased in fiscal 2022 compared to fiscal 2021 primarily due 
to  product  mix  of  higher  volumes  of  lower  margin  products,  mostly  attributable  to  sales  of  our  Fluent  Fluid  Management 
systems,  Bolder  products  (comprised  of  CoolSeal  vessel  sealing  devices  and  JustRight  surgical  staplers)  and  Acessa  ProVu 
systems.

Skeletal Health’s product costs as a percentage of revenue increased in fiscal 2022 compared to fiscal 2021 primarily due 
to  increased  costs  for  our  Horizon  DXA  systems  workstation  upgrades  and  lower  sales  volumes  of  our  Horizon  DXA  and 
Insight FD systems primarily due to supply chain constraints, partially offset by a slight increase in average selling prices of our 
Horizon DXA and Insight FD systems.

Amortization  of  Acquired  Intangible  Assets.  Amortization  of  intangible  assets  included  in  cost  of  product  revenues 
relates to acquired developed technology, which is generally amortized over its estimated useful life of between 5 and 15 years 
using a straight-line method or, if reliably determinable, based on the pattern in which the economic benefits of the assets are 
expected to be consumed. Amortization expense increased in fiscal 2022 compared to fiscal 2021 primarily due to intangible 
assets acquired in the Mobidiag, Biotheranostics, Diagenode and Bolder acquisitions as well as accelerated amortization related 
to shortening the life of certain intangible assets acquired in the acquisitions of SuperSonic Imagine SA, or SSI and Faxitron. 
This was partially offset by lower amortization of intangible assets acquired in the Cytyc acquisition which reduces over time.

Impairment of Intangible Assets and Equipment. As discussed in Note 2 to the consolidated financial statements, we 
determined that certain developed technology assets acquired in the Focal and Faxitron acquisitions were impaired as a result of 
decisions  to  no  longer  sell  certain  low-volume  products.  As  a  result,  we  recorded  an  impairment  charge  of  $17.4  million  to 
write-off these developed technology assets in fiscal 2022. 

Cost of Service and Other Revenues

40

 
 
 
 
 
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Years Ended

September 24, 2022

September 25, 2021

Change

Amount

% of Service
and Other
Revenues

Amount

% of Service
and Other
Revenues

Amount

%

Cost of Service and Other 
Revenues

$ 

386.2 

 57.5 % $ 

354.7 

 53.3 % $ 

31.5 

 8.9 %

Service and other revenues gross margin was 42.5% in fiscal 2022 compared to 46.7% in fiscal 2021. The decrease in 
gross  margin  was  primarily  due  to  a  decrease  in  royalty  revenue  from  Grifols  related  to  licensing  our  intellectual  property 
related  to  our  COVID-19  assays  for  their  sale  in  Spain,  which  had  a  high  margin.  This  decrease  is  partially  offset  by  the 
inclusion  of  lab  testing  revenue  from  Biotheranostics,  which  has  higher  margins  than  our  legacy  service  business  and  an 
increase in Breast Health service contract revenue which benefited gross margin as service contract revenue has higher margins 
compared to revenue from spare parts, installation and training. 

Operating Expenses

Operating Expenses

Research and development

$ 

Selling and marketing

General and administrative

Amortization of acquired 
intangible assets
Impairment of acquired 
intangible assets and 
equipment
Contingent consideration—
fair value adjustments
Restructuring and divestiture 
charges

** Percentage not meaningful

283.4 

630.3 

407.7 

45.2 

27.7 

September 24, 2022

September 25, 2021

Change

Amount

% of Total
Revenue

Amount

% of Total
Revenue

Amount

%

Years Ended

 5.8 % $ 

 13.0 %  

 8.4 %  

276.3 

561.2 

433.2 

 4.9 % $ 

 10.0 %  

 7.7 %  

7.1 

69.1 

(25.5) 

 2.6 %

 12.3 %

 (5.9) %

 0.9 %  

42.2 

 0.7 %  

3.0 

 7.1 %

 0.6 %  

— 

 — %  

27.7 

(39.5) 

 (0.8) %  

(6.7) 

 (0.1) %  

(32.8) 

**

**

2.4 

 — %  

9.3 

$ 

1,357.2 

 27.9 % $ 

1,315.5 

 0.2 %  

 23.4 % $ 

(6.9) 

41.7 

 (74.2) %

 3.2 %

Research and Development Expenses. Research and development expenses increased 2.6% in fiscal 2022 compared to 
fiscal 2021 primarily due to the inclusion of incremental expenses from the Mobidiag, Biotheranostics, Diagenode and Bolder 
acquisitions aggregating $26.7 million. Partially offsetting this increase was the prior year period inclusion of a $7.0 million 
charge related to the purchase of intellectual property in Breast Health that has no future alternative use, the reversal of a $5.2 
million research and development tax credit reserve related to the SSI acquisition in fiscal 2022, a higher credit of $3.2 million 
recorded  to  research  and  development  expenses  in  fiscal  2022  from  the  Biomedical  Advanced  Research  and  Development 
Authority  (BARDA)  in  connection  with  a  grant  to  obtain  FDA  approval  of  our  SARS-CoV-2  assays  and  develop  sampling 
pooling  capability  and  other  enhancements  to  our  SARS-CoV-2  assays,  a  reduction  in  spend  to  implement  the  European 
Medical  Device  Regulation  (MDR)  and  In  Vitro  Diagnostic  Regulation  (IVDR)  requirements,  and  lower  bonus  and  expense 
under our deferred compensation plan. At any point in time, we have a number of different research projects and clinical trials 
being conducted and the timing of these projects and related costs can vary from period to period.

Selling  and  Marketing  Expenses.  Selling  and  marketing  expenses  increased  12.3%  in  fiscal  2022  compared  to  fiscal 
2021 primarily due to increased spend on marketing initiatives including our sponsorship of the Women's Tennis Association 
and  our  Super  Bowl  commercial,  the  inclusion  of  expenses  from  the  Mobidiag,  Biotheranostics,  Diagenode  and  Bolder 
acquisitions  aggregating  $28.9  million  and  an  increase  in  travel,  meetings  and  trade  shows  that  were  lower  in  the  prior  year 
primarily due to canceled or curtailed events as a result of the COVID-19 pandemic. Partially offsetting these increases in the 
current year is a decrease in Breast Health commissions due to lower revenue, a decrease in consulting spend and lower bonus.

General and Administrative Expenses. General and administrative expenses decreased 5.9% in fiscal 2022 compared to 
fiscal 2021 primarily due to a decrease in acquisition transactions costs of $19.7 million, lower bonus and expense from our 
deferred  compensation  plan,  a  decrease  in  bad  debt  expense  of  $10.1  million,  lower  litigation  and  settlement  costs,  lower 

41

 
 
 
 
 
 
 
 
 
 
 
 
Table of Contents

integration  costs  and  a  reduction  in  consulting  spend.  Partially  offsetting  these  decreases  was  the  inclusion  of  incremental 
expenses  from  the  Mobidiag,  Biotheranostics,  Diagenode  and  Bolder  acquisitions  aggregating  $13.1  million,  an  increase  in 
charitable donations of $9.0 million, an increase in non-income tax charges, higher information systems infrastructure project 
spend, an increase in tax and accounting projects and increased travel. In addition, in fiscal 2021 we recorded a $3.5 million 
credit related to services provided under the transition services agreement for the Cynosure medical aesthetics business we sold 
in fiscal 2020.

Amortization of Acquired Intangible Assets. Amortization of intangible assets results from customer relationships, trade 
names  and  distributor  relationships  related  to  our  acquisitions.  These  intangible  assets  are  generally  amortized  over  their 
estimated useful lives of between 5 and 30 years using a straight-line method or, if reliably determinable, based on the pattern in 
which  the  economic  benefits  of  the  assets  are  expected  to  be  consumed  utilizing  expected  undiscounted  future  cash  flows. 
Amortization  expense  increased  7.1%  in  fiscal  2022  compared  to  fiscal  2021  primarily  due  to  increases  from  recent 
acquisitions, partially offset by assets from older acquisitions becoming fully amortized.

Impairment of Intangible Assets and Equipment. As discussed in Note 2 to the consolidated financial statements, we 
recorded an impairment charge of $27.7 million during fiscal 2022 to record our only IPR&D asset to fair value. The reduction 
in fair value was due to an increase in the discount rate from higher interest rates, a reduction in forecasted revenues and timing 
of completing the project.

Contingent  Consideration  Fair  Value  Adjustments.  In  connection  with  the  acquisition  of  Acessa,  we  are  obligated  to 
make contingent earn-out payments. The payments are based on achieving incremental revenue growth over a three-year period 
ending annually in December of each 2021, 2022, and 2023. As of the acquisition date for Acessa, we recorded a contingent 
consideration liability for the estimated fair value of the amount we expected to pay to the former shareholders of the acquired 
business. This liability is not contingent on future employment, and we recorded our estimate of the fair value of the contingent 
consideration  liability  utilizing  the  Monte  Carlo  simulation  based  on  future  revenue  projections  of  Acessa,  comparable 
company revenue growth rates, implied volatility and applying a risk adjusted discount rate. Increases or decreases in the fair 
value of contingent consideration liabilities can result from the passage of time, changes in discount rates, and changes in the 
timing, probabilities and amount of revenue estimates. In the current year, we recorded a gain of $39.5 million to decrease the 
liability  to  its  fair  value.  The  reduction  in  fair  value  was  primarily  due  to  a  decrease  in  forecasted  revenues  over  the 
measurement period and to a lesser extent an increase in interest rates. In 2021, we recorded a gain of $6.7 million primarily 
due to a decrease in forecasted revenues over the measurement period.

Restructuring  and  Divestiture  Charges.  We  have  implemented  various  cost  reduction  initiatives  to  align  our  cost 
structure  with  our  operations  and  related  to  integration  activities.  These  actions  have  primarily  resulted  in  the  termination  of 
employees. As a result, we recorded charges of $2.4 million in fiscal 2022 and $9.3 million in fiscal 2021, primarily related to 
severance benefits. For additional information, please refer to Note 6 to our consolidated financial statements.

Interest Expense

September 24, 2022

September 25, 2021

Change

Amount

Amount

Amount

%

Years Ended

Interest Expense

$ 

(95.1)  $ 

(93.6)  $ 

(1.5) 

 1.6 %

Interest expense in fiscal 2022 and 2021 consists primarily of the cash interest costs and the related amortization of the 
debt discount and deferred issuance costs on our outstanding debt. Interest expense in fiscal 2022 increased compared to fiscal 
2021 primarily due to an increase in the variable interest rate under our 2021 Credit Agreement partially offset by lower interest 
rate swap expense as our hedged benchmark interest rate increased throughout the year, lower debt refinancing costs of $4.0 
million, and lower interest on our Senior Notes due to issuing our 2029 Senior Notes and paying off our 2025 Senior Notes in 
the prior year, which had a higher fixed rate. 

Debt Extinguishment Loss

Debt Extinguishment Loss

$ 

(0.7)  $ 

(21.6)  $ 

20.9 

September 24, 2022

September 25, 2021

Change

Amount

Amount

Amount

Years Ended

%
 (100.0) %

42

 
 
 
 
 
 
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In the first quarter of fiscal 2022, we entered into a Refinancing Amendment No. 2 to the 2021 Credit Agreement with 
Bank  of  America,  N.A.  The  proceeds  were  used  to  pay  off  the  term  loan  outstanding  under  the  2018  Credit  Agreement.  In 
connection with this transaction we recorded a debt extinguishment charge of $0.7 million. In the first quarter of fiscal 2021, we 
completed a private placement of $950 million aggregate principal amount of our 2029 Senior Notes. The proceeds under the 
2029  Senior  Notes  offering,  together  with  available  cash,  were  used  to  redeem  our  2025  Senior  Notes  in  the  same  principal 
amount. In connection with this transaction, we recorded a debt extinguishment loss of $21.6 million in the first quarter of fiscal 
2021. 

Other Income (Expense), net

Other Income (Expense), net

$ 

30.9  $ 

(5.4)  $ 

36.3 

September 24, 2022

September 25, 2021

Change

Amount

Amount

Amount

Years Ended

%
 (672.2) %

In fiscal 2022, this account primarily consisted of net foreign currency exchange gains of $48.5 million, primarily from 
settling  forward  foreign  currency  hedging  transactions  and  mark-to-market  of  outstanding  foreign  currency  contracts,  and  a 
$2.4 million gain on life insurance proceeds as a result of the death of a former employee, partially offset by a loss of $12.2 
million from the change in cash surrender value of life insurance contracts related to our deferred compensation plan primarily 
driven by stock market losses, a $4.0 million impairment charge of an equity investment and a charge of $4.3 million to write-
off an equity method investment acquired in the Mobidiag acquisition.

In fiscal 2021, this account primarily consisted of a net foreign currency exchange loss of $17.1 million, partially driven 
by the mark-to-market and settling of outstanding foreign currency contracts, and a charge of $1.8 million for the write-off of 
an equity investment, partially offset by a gain of $13.4 million on the cash surrender value of life insurance contracts related to 
our deferred compensation plan driven by prior year stock market gains.

Provision for Income Taxes.

Provision for Income Taxes

$ 

286.2  $ 

491.4  $ 

(205.2) 

 41.8 %

September 24, 2022

September 25, 2021

Change

Amount

Amount

Amount

%

Years Ended

Our effective tax rate for fiscal 2022 was a provision of 18.0%. The effective tax rate was lower than the U.S. statutory 
tax rate primarily due to the impact of the U.S. deduction for foreign derived intangible income, reserve releases resulting from 
statute  of  limitations  expirations  and  favorable  audit  settlements  (net  of  reserve  additions  for  uncertain  tax  positions),  the 
geographic  mix  of  income  earned  by  the  Company's  international  subsidiaries,  which  are  taxed  at  rates  lower  than  the  U.S. 
statutory  tax  rate  and  a  tax  benefit  related  to  an  internal  restructuring,  partially  offset  by  state  income  taxes  and  the  global 
intangible low-taxed income inclusion.

Our effective tax rate for fiscal 2021 was a provision of 20.8%. The effective tax rate was lower than the U.S. statutory 
tax  rate  primarily  due  to  the  impact  of  the  U.S.  deduction  for  foreign  derived  intangible  income  and  the  geographic  mix  of 
income earned by our international subsidiaries, which are taxed at rates lower than the U.S. statutory tax rate, partially offset 
by state income taxes and the global intangible low-taxed income inclusion.

Segment Results of Operations

We operate in four segments: Diagnostics, Breast Health, GYN Surgical, and Skeletal Health. The accounting policies of 
the segments are the same as those described in the footnotes to the accompanying consolidated financial statements contained 
in  Item  15  of  this  Annual  Report.  We  measure  segment  performance  based  on  total  revenues  and  operating  income  (loss). 
Revenues from product sales of each of these segments are described in further detail above. The discussion that follows is a 
summary analysis of total revenues and the primary changes in operating income or loss by segment. 

Diagnostics

43

 
 
 
 
 
 
Table of Contents

Total Revenues
Operating Income

Years Ended

September 24, 2022

September 25, 2021

Change

Amount

Amount

Amount

%

$ 

$ 

3,018.5 

1,359.4 

$ 

$ 

3,695.0 

2,140.1 

$ 

$ 

(676.5) 

(780.7) 

 (18.3) %

 (36.5) %

Operating Income as a % of Segment Revenue

 45.0 %

 57.9 %

Diagnostics revenues, as discussed above, decreased in fiscal 2022 compared to fiscal 2021 primarily due to a decrease in 
sales of our SARS-CoV-2 assays and a decrease in royalty revenue from Grifols related to licensing our intellectual property of 
our COVID-19 assays for their sale in Spain, partially offset by revenue from recent acquisitions and an increase in sales of our 
Aptima and Quant Viral assays.

Operating income for this business segment decreased in fiscal 2022 compared to fiscal 2021 primarily due to a decrease 
in  gross  profit  from  lower  revenues  and  an  increase  in  operating  expenses.  Gross  margin  was  67.1%  in  the  current  year 
compared to 73.2% in the prior year. The decrease in gross margin was primarily due to decreased sales of our SARS-CoV-2 
assays which have a higher margin, an increase in intangible asset amortization expense from recent acquisitions, lower Grifols 
license revenue, an increase in inventory reserves, higher field service costs for our expanded install bases and an increase in 
freight internationally, partially offset by the inclusion of Biotheranostics lab testing revenue which has a higher gross margin 
than our legacy businesses.

Operating expenses increased in fiscal 2022 compared to fiscal 2021 primarily due to the IPR&D charge of $27.7 million, 
the  inclusion  of  operating  expenses  from  the  Biotheranostics,  Mobidiag,  and  Diagenode  acquisitions  in  the  amount  of  $67.6 
million,  an  increase  in  allocated  advertising  and  charitable  contributions,  an  increase  in  marketing  initiatives,  trade  shows, 
meetings  and  travel  expenses.  These  increases  were  partially  offset  by  lower  acquisition  transaction  costs,  lower  bonus  and 
expense  from  our  deferred  compensation  plan,  lower  integration  costs,  lower  bad  debt  expense,  lower  MDR/IVDR 
implementation costs, and a higher BARDA credit of $3.2 million in the current year.

Breast Health

Total Revenues
Operating Income

Years Ended

September 24, 2022

September 25, 2021

Change

Amount

Amount

Amount

%

$ 

$ 

1,227.8 

183.2 

$ 

$ 

1,352.2 

284.2 

$ 

$ 

(124.4) 

(101.0) 

 (9.2) %

 (35.5) %

Operating Income as a % of Segment Revenue

 14.9 %

 21.0 %

Breast Health revenues decreased in fiscal 2022 compared to fiscal 2021 primarily due to a decrease of $134.6 million in 
product revenue as discussed above, partially offset by an increase of $10.1 million in service and other revenue. The increase 
in service revenue is primarily due to an increase in service contract revenue as the Breast Health business continued to convert 
a high percentage of our installed base of digital mammography systems to service contracts upon expiration of the warranty 
period.

Operating income for this business segment decreased in fiscal 2022 compared to fiscal 2021 primarily due to a decrease 
in product sales and service gross profit, partially offset by a decrease in operating expenses. Gross margin was 51.9% in the 
current year compared to 56.4% in the prior year. The decrease in gross margin is primarily due to lower volumes of capital 
equipment  sales,  the  reduced  manufacturing  utilization  from  supply  chain  shortages,  higher  costs  for  raw  materials  and 
components, an intangible asset charge of $17.4 million related to certain developed technology assets our Faxitron and Focal 
acquisitions and an increase in intangible asset amortization expense.

Operating  expenses  decreased  in  fiscal  2022  compared  to  fiscal  2021  primarily  due  to  the  reversal  of  a  research  and 
development credit reserve related to the SSI acquisition, a decrease in compensation and commissions from lower sales and 
sales force headcount, lower bad debt expense, lower bonus and expense from our deferred compensation plan, lower MDR/
IVDR implementation costs, lower legal expenses, and a reduction of restructuring charges. These decreases are partially offset 
by an increase in allocated advertising and charitable contributions, higher marketing initiatives, an increase in travel and higher 
trade shows and seminars.

GYN Surgical

44

 
 
 
 
 
 
Table of Contents

Total Revenues
Operating Income

Operating Income as a % of Segment Revenue

September 24, 2022

September 25, 2021

Change

Amount

Amount

Amount

%

Years Ended

$ 

$ 

522.9 

104.9 

$ 

$ 

 20.1 %

488.1 

58.9 

$ 

$ 

 12.1 %

34.8 

46.0 

 7.1 %

 78.1 %

GYN  Surgical  revenues  increased  in  fiscal  2022  compared  to  fiscal  2021  due  to  the  increase  in  product  revenues 

discussed above. 

Operating income for this business segment increased in fiscal 2022 compared to fiscal 2021 primarily due to an increase 
in  gross  profit  from  higher  revenues  and  a  decrease  in  operating  expenses.  Gross  margin  was  59.2%  in  the  current  year, 
compared to 61.0% in the prior year. The decrease in gross margin was primarily due to product mix as we sold more lower 
margin  products,  including  our  Fluent  Fluid  Management  systems,  Bolder  products  (comprised  of  CoolSeal  vessel  sealing 
devices and JustRight surgical staplers) and Acessa ProVu systems in the current fiscal year. 

Operating expenses decreased in fiscal 2022 compared to fiscal 2021 primarily due to a gain of $39.5 million related to 
the fair value adjustments to the contingent consideration liability related to the Acessa acquisitions compared to a gain of $6.7 
million  in  the  prior  year.  There  was  also  a  decrease  in  research  and  development  project  spend,  marketing  initiatives,  legal 
expenses and bad debt, and lower bonus and expense from our deferred compensation plan partially offset by the inclusion of 
operating  expenses  from  Bolder  of  $12.5  million,  an  increase  in  commissions  from  higher  sales,  an  increase  in  allocated 
marketing and charitable contributions, and an increase in travel expenses.

Skeletal Health

September 24, 2022

September 25, 2021

Change

Amount

Amount

Amount

%

Years Ended

Total Revenues
Operating Loss
Operating Loss as a % of Segment Revenue

$ 
$ 

$ 
$ 

93.6 
(7.3) 
 (7.8) %

$ 
$ 

96.9 
(2.9) 
 (3.0) %

(3.3) 
(4.4) 

 (3.4) %
 151.7 %

Skeletal  Health  revenues  decreased  in  fiscal  2022  compared  to  fiscal  2021  primarily  due  to  the  decrease  in  product 

revenues discussed above, partially offset by an increase in service revenue.

Operating loss increased in fiscal 2022 compared to fiscal 2021 primarily due to a decrease in gross profit from lower 
revenues and an increase in product cost. Gross margin decreased to 28.2% in the current year compared to 31.4% in the prior 
year  primarily  due  to  increased  costs  for  our  Horizon  DXA  systems  workstation  upgrades  and  lower  sales  volume  of  our 
Horizon DXA and Insight FD systems primarily due to supply chain constraints, partially offset by a slight increase in average 
selling prices of our Horizon DXA and Insight FD systems.

Operating expenses were consistent in fiscal 2022 compared to fiscal 2021.

Fiscal Year Ended September 25, 2021 Compared to Fiscal Year Ended September 26, 2020

Discussions of year-to-year comparisons between fiscal 2021 and 2020 that are not included in this Form 10-K can be 
found in “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in Part II, Item 7 of the 
Company’s Annual Report on Form 10-K for the fiscal year ended September 25, 2021.

LIQUIDITY AND CAPITAL RESOURCES

At September 24, 2022, we had working capital of $2,924.3 million, and our cash and cash equivalents totaled $2,339.5 
million.  Our  cash  and  cash  equivalents  balance  increased  by  $1,169.2  million  during  fiscal  2022  principally  due  to  cash 
generated  from  operating  activities  partially  offset  by  cash  used  in  financing  and  investing  activities  related  to  a  business 
acquisition,  repurchases  of  our  common  stock  and  the  pay-off  of  amounts  outstanding  under  the  accounts  receivable 
securitization program (the "Securitization Program"). 

In fiscal 2022, our operating activities provided cash of $2,125.7 million, primarily due to net income of $1,302.0 million, 
non-cash  charges  for  depreciation  and  amortization  aggregating  $430.1  million,  stock-based  compensation  expense  of  $66.7 
million  and  acquired  intangible  asset  impairment  charges  of  $45.1  million.  These  adjustments  to  net  income  were  partially 

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offset by a decrease in net deferred taxes of $166.2 million primarily due to recording a deferred tax asset in connection with an 
internal  restructuring  and  intangible  asset  impairments,  and  a  $39.5  million  non-cash  adjustment  to  decrease  the  contingent 
consideration liability to the former shareholder of Acessa. Cash provided by operations included a net cash inflow of $454.2 
million from changes in our operating assets and liabilities. The net cash inflow was primarily driven by a $384.3 million dollar 
decrease in prepaid expenses and other assets primarily due to tax refunds received in the second quarter related to federal and 
state loss carryback claims partially offset by a payment for our Women's Tennis Association sponsorship, and a decrease in 
accounts receivable of $272.3 million due to strong collections in the current year and lower revenues in fiscal 2022 compared 
to fiscal 2021. These cash inflows were partially offset by an increase in inventory of $136.6 million primarily due to a strategic 
buildup of emergency sourced components for our Breast Health business to hedge against the continuing worldwide supply 
constraints, a $15.8 million decrease in accrued expenses and other liabilities related to a decrease in accrued compensation and 
benefits and payments of value-add taxes partially offset by accrued federal and state income taxes due to timing of payments, a 
$23.3 million increase in prepaid income taxes, and a $14.4 million decrease in accounts payable due to the timing of payments.

In  fiscal  2022,  our  investing  activities  used  cash  of  $206.3  million  primarily  due  to  net  cash  paid  for  our  acquisitions 
(primarily Bolder) of $158.6 million and capital expenditures of $127.2 million, which consisted of the purchases of property 
and  equipment  of  $70.6  million  and  $56.6  million  for  the  placement  of  equipment  under  customer  usage  agreements.  These 
uses of cash in investing activities were partially offset by $75.0 million of proceeds received from the Department of Defense 
under a grant to increase production capacity of our two SARS-CoV-2 assays. 

In fiscal 2022, our financing activities used cash of $756.0 million, primarily due to $542.1 million for repurchases of our 
common  stock,  $248.5  million  for  the  repayment  under  the  Securitization  Program,  $63.7  million  for  the  repayment  of  debt 
acquired in the Mobidiag acquisition, $22.9 million for the payment of employee taxes withheld for the net share settlement of 
vested stock units, and a $12.2 million contingent consideration payment as a result of the completion of the first annual earn-
out period related to the Acessa acquisition. Partially offsetting these uses of cash were net proceeds of $103.7 million from the 
refinancing of the 2021 Credit Agreement and $33.5 million from our equity plans, primarily from the exercise of stock options.

Debt

We had total recorded debt outstanding of $2.82 billion at September 24, 2022, which was comprised of our term loan 
under our 2021 Credit Agreement of $1.49 billion (principal of $1.50 billion), 2029 Senior Notes of $936.6 million (principal of 
$950.0 million), and 2028 Senior Notes of $396.1 million (principal of $400.0 million). 

2021 Credit Agreement 

On September 27, 2021, we refinanced our existing term loan and revolving credit facility with Bank of America, N.A. in 
its  capacity  as  Administrative  Agent,  Swing  Line  Lender  and  L/C  Issuer,  and  certain  other  lenders  from  time  to  time  party 
thereto (the "2018 Credit Agreement") by entering into Refinancing Amendment No. 2 dated as of September 27, 2021, to the 
Amended  and  Restated  Credit  and  Guaranty  Agreement,  dated  as  of  October  3,  2017,  as  amended  (the  "2021  Credit 
Agreement"). Borrowings under the 2021 Credit Agreement are secured by first-priority liens on, and a first priority security 
interest  in,  substantially  all  of  our  U.S.  assets  and  the  assets  of  the  Subsidiary  Guarantors.  These  liens  are  subject  to  release 
during the term of the facilities if we are able to achieve certain corporate or corporate family ratings and other conditions are 
met. The credit facilities under the 2021 Credit Agreement (the "2021 Credit Facilities") consist of:

•

•

A $1.5 billion secured term loan ("2021 Term Loan") with a stated maturity date of September 25, 2026; and

A secured revolving credit facility (the "2021 Revolver") under which the Borrowers may borrow up to $2.0 billion, 
subject to certain sublimits, with a stated maturity date of September 25, 2026.

As of the date of this Annual Report, there have been no borrowings under the 2021 Revolver. 

On  August  22,  2022,  the  Company  and  its  subsidiaries  amended  the  2021  Credit  Agreement  by  entering  into  an 
amendment (the "Third Amendment") related to the planned phase out of LIBOR by the UK Financial Conduct Authority. The 
interest rate applicable to the loans under the 2021 Credit Agreement, after giving effect to the Third Amendment, denominated 
in U.S. Dollars were converted to a variant of the secured overnight financing rate (“SOFR”), as established from time to time 
by the Federal Reserve Bank of New York, plus a corresponding spread. The Third Amendment converted the Eurocurrency 
Rate to Term SOFR plus the SOFR Adjustment of 0.10% and the LIBOR Daily Floating Rate to Daily SOFR Rate plus the 
SOFR Adjustment of 0.10%, effective September 23, 2022.

Borrowings under the 2021 Credit Agreement, other than Swing Line Loans, bear interest, at our option, at the Base Rate, 
at the Term SOFR Rate, at the Alternative Currency Daily Rate, or at the Daily SOFR Rate, in each case plus the Applicable 
Rate.

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The  Applicable  Rate  in  regards  to  the  Base  Rate,  the  Term  SOFR  Rate,  the  Alternative  Currency  Daily  Rate,  the 
Alternative Currency Term Rate and the Daily SOFR Rate is subject to change depending on the Total Net Leverage Ratio (as 
defined in the 2021 Credit Agreement). The borrowings of the Term Loan under the 2021 Credit Facilities, after giving effect to 
the  Third  Amendment,  initially  bear  interest  at  an  annual  rate  equal  to  the  Term  SOFR  Rate  plus  the  SOFR  Adjustment  of 
0.10%  for  a  one  month  interest  period  plus  an  Applicable  Rate  equal  to  1.00%.  As  of  September  24,  2022,  the  interest  rate 
under the 2021 Term Loan was 4.18% per annum.

We are also required to pay a quarterly commitment fee calculated on a daily basis equal to the Applicable Rate as of such 
day multiplied by the undrawn committed amount available under the Revolver. As of September 24, 2022, this commitment 
fee was 0.15% per annum for the 2021 Revolver.

We are required to make scheduled principal payments under the 2021 Term Loan in increasing amounts ranging from 
$3.75 million per three-month period commencing with the three-month period ending on December 29, 2022 to $18.75 million 
per  three-month  period  commencing  with  the  three  month  period  ending  on  December  26,  2025.  The  remaining  scheduled 
balance of $1.335 billion (or such lesser aggregate principal amount of the Term Loans then outstanding) on the 2021 Term 
Loan and any amounts outstanding under the 2021 Revolver are due at maturity. In addition, subject to the terms and conditions 
set forth in the 2021 Credit Agreement, we may be required to make certain mandatory prepayments from the net proceeds of 
specified types of asset sales (subject to certain reinvestment rights), debt issuances (excluding permitted debt) and insurance 
recoveries (subject to certain reinvestment rights). Certain of the mandatory prepayments are subject to reduction or elimination 
if certain financial covenants are met. These mandatory prepayments are required to be applied first to the 2021 Term Loan, 
second to any outstanding amount under any Swing Line Loans, third to the 2021 Revolver, fourth to prepay any outstanding 
reimbursement obligations with respect to letters of credit and fifth to cash collateralize any letters of credit. Subject to certain 
limitations,  we  may  voluntarily  prepay  any  of  the  2021  Credit  Facilities  without  premium  or  penalty.  As  of  September  24, 
2022, the outstanding principal balance of the 2021 Term Loan was $1.5 billion, and there were no amounts outstanding under 
the 2021 Revolver. 

The 2021 Credit Agreement contains affirmative and negative covenants customarily applicable to senior secured credit 
facilities, including covenants restricting our ability subject to negotiated exceptions, to incur additional indebtedness and grant 
additional liens on our assets, engage in mergers or acquisitions or dispose of assets, enter into sale-leaseback transactions, pay 
dividends  or  make  other  distributions,  voluntarily  prepay  other  indebtedness,  enter  into  transactions  with  affiliated  persons, 
make  investments,  and  change  the  nature  of  our  business.  In  addition,  the  2021  Credit  Agreement  requires  the  Borrowers  to 
maintain certain financial ratios. The 2021 Credit Agreement also contains customary representations and warranties and events 
of default, including payments defaults, breach of representations and warranties, covenant defaults, cross defaults and an event 
of default upon a change of control of the company. 

The  2021  Credit  Agreement  contains  two  financial  covenants  (a  total  net  leverage  ratio  and  an  interest  coverage  ratio) 
measured  as  of  the  last  day  of  each  quarter  for  the  previous  twelve  month  period.  As  of  September  24,  2022,  we  were  in 
compliance with these covenants.

2028 Senior Notes

The  total  aggregate  principal  balance  of  the  2028  Senior  Notes  is  $400.0  million.  The  2028  Senior  Notes  are  general 
senior unsecured obligations and are guaranteed on a senior unsecured basis by certain of our domestic subsidiaries. The 2028 
Senior Notes mature on February 1, 2028 and bear interest at the rate of 4.625% per year, payable semi-annually on February 1 
and  August  1  of  each  year.  We  may  redeem  the  2028  Senior  Notes  at  any  time  prior  to  February  1,  2023  at  a  price  equal 
to 100% of the aggregate principal amount so redeemed, plus accrued and unpaid interest, if any, to the redemption date and a 
make-whole premium set forth in the indenture. We also have the option to redeem the 2028 Senior Notes on or after: February 
1, 2023 through February 1, 2024 at 102.312% of par; February 1, 2024 through February 1, 2025 at 101.541% of par; February 
1, 2025 through February 1, 2026 at 100.770% of par; and February 1, 2026 and thereafter at 100% of par. In addition, if there 
is a change of control coupled with a decline in ratings, as provided in the indenture, we will be required to make an offer to 
purchase each holder’s 2028 Senior Notes at a price equal to 101% of their principal amount, plus accrued and unpaid interest, 
if any, to the repurchase date.

2029 Senior Notes

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  The  total  aggregate  principal  balance  of  the  2029  Senior  Notes  is  $950.0  million.  The  2029  Senior  Notes  are  general 
senior unsecured obligations and are guaranteed on a senior unsecured basis by certain domestic subsidiaries. The 2029 Senior 
Notes mature on February 15, 2029 and bear interest at the rate of 3.250% per year, payable semi-annually on February 15 and 
August 15 of each year. We may redeem the 2029 Senior Notes at any time prior to September 28, 2023 at a price equal to 
100% of the aggregate principal amount so redeemed, plus accrued and unpaid interest, if any, to the redemption date and a 
make-whole premium set forth in the indenture. We may also redeem up to 40% of the aggregate principal amount of the 2029 
Senior  Notes  with  the  net  cash  proceeds  of  certain  equity  offerings  at  any  time  and  from  time  to  time  before  September  28, 
2023,  at  a  redemption  price  equal  to  103.250%  of  the  aggregate  principal  amount  so  redeemed,  plus  accrued  and  unpaid 
interest, if any, to the redemption date. We have the option to redeem the 2029 Senior Notes on or after: September 28, 2023 
through  September  27,  2024  at  101.625%  of  par;  September  28,  2024  through  September  27,  2025  at  100.813%  of  par;  and 
September 28, 2025 and thereafter at 100% of par. In addition, if there is a change of control coupled with a decline in ratings, 
as provided in the indenture, we will be required to make an offer to purchase each holder’s 2029 Senior Notes at a price equal 
to 101% of their principal amount, plus accrued and unpaid interest, if any, to the repurchase date.

Accounts Receivable Securitization Program

 On June 11, 2021, we amended and restated the Credit and Security agreement to restart the Securitization Program (the 
"Securitization  Program")  and  increased  the  maximum  borrowing  amount  to  $320.0  million.  Under  the  terms  of  the 
Securitization Program, we and certain of our wholly-owned subsidiaries sell our customer receivables to a bankruptcy remote 
special purpose entity, which is wholly-owned by us. The amount that the special purpose entity may borrow at a given point in 
time is determined based on the amount of qualifying receivables that are present in the special purpose entity at such point in 
time.  The  assets  of  the  special  purpose  entity  secure  the  amounts  borrowed  and  cannot  be  used  to  pay  our  other  debts  or 
liabilities. The Securitization Program provides for annual renewals.

 During fiscal 2022, we repaid the outstanding balance of $248.5 million under the Securitization Program. On June 10, 
2022, we amended the Credit and Security agreement and temporarily suspended the ability to borrow and the need to comply 
with covenants for up to a year. As of September 24, 2022, we did not have any borrowings under this program.

Contingent Consideration Earn-Out Payments

In connection with certain of our acquisitions, we have incurred the obligation to make contingent earn-out payments tied 
to  performance  criteria,  principally  revenue  growth  of  the  acquired  business  over  a  specified  period.  In  addition,  contractual 
provisions relating to these contingent earn-out obligations may result in the risk of litigation relating to the calculation of the 
amount due or our operation of the acquired business. Such litigation could be expensive and divert management attention and 
resources. Our obligation to make contingent payments may also result in significant operating expenses.

Contingent  consideration  arrangements  are  recorded  as  either  additional  purchase  price  or  compensation  expense  if 
continuing  employment  is  required  to  receive  such  payments.  Pursuant  to  ASC  805,  Business  Combinations,  contingent 
consideration that is deemed to be part of the purchase price is recorded as a liability based on the estimated fair value of the 
consideration we expect to pay to the former shareholders of the acquired business as of the acquisition date. This liability is re-
measured  each  reporting  period  with  the  change  in  fair  value  recorded  through  a  separate  line  item  within  our  Consolidated 
Statements of Income. Increases or decreases in the fair value of contingent consideration liabilities can result from changes in 
discount  rates,  changes  in  the  timing,  probabilities  and  amount  of  revenue  estimates,  and  accretion  of  the  liability  for  the 
passage of time. 

Currently,  our  only  contingent  consideration  liability  is  from  our  Acessa  acquisition.  We  have  an  obligation  to  the 
former  Acessa  shareholders  to  make  contingent  payments  based  on  a  multiple  of  annual  incremental  revenue  growth  over  a 
three  year  period  ending  annually  in  December.  There  is  no  maximum  earnout.  Pursuant  to  ASC  805,  the  contingent 
consideration  was  deemed  to  be  part  of  the  purchase  price,  and  we  recorded  our  estimate  of  the  fair  value  of  the  contingent 
consideration  liability  utilizing  the  Monte  Carlo  simulation  based  on  future  revenue  projections  of  the  business,  comparable 
companies  revenue  growth  rates,  implied  volatility  and  applying  a  risk  adjusted  discount  rate.  The  first  earn-out  period  was 
completed in December 2021, and we paid $12.2 million to the former shareholders in the second quarter of fiscal 2022. As of 
September 24, 2022 this liability was recorded at its fair value of $23.4 million.

Stock Repurchase Program

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On December 9, 2020, our Board of Directors authorized a new five-year share repurchase program, to repurchase up to 
$1.0 billion of our outstanding common stock. During fiscal 2022, we repurchased 7.7 million shares of our common stock for a 
total  consideration  of  $542.1  million.  On  September  22,  2022,  our  Board  of  Directors  authorized  a  new  stock  repurchase 
program, with a five-year term, to repurchase up to $1.0 billion of our outstanding common stock, effective as of the close of 
trading on September 23, 2022. This new stock repurchase authorization replaced the previous $1.0 billion authorization, which 
had $149.7 million remaining as of September 22, 2022. Subsequent to September 24, 2022, we repurchased 1.5 million shares 
of our common stock for total consideration of $100.0 million. The timing of any future share repurchases will be based upon 
our continuing analysis of market, financial, and other factors. Repurchases under the authorized share repurchase program may 
be  made  using  a  variety  of  methods,  which  may  include,  but  are  not  limited  to,  open  market  purchases,  privately  negotiated 
transactions, accelerated share repurchase agreements, or purchases pursuant to a Rule 10b5-1 plan under the Exchange Act. 
The authorized share repurchase program may be suspended, delayed or discontinued at any time.

Future Liquidity Considerations

We expect to continue to review and evaluate potential strategic transactions that we believe will complement our current 
or future business. Subject to the "Risk Factors" set forth in Part I, Item 1A of this Annual Report and the general disclaimers 
set forth in our Special Note Regarding Forward-Looking Statements at the outset of this Annual Report, we believe that our 
cash  and  cash  equivalents,  cash  flows  from  operations,  the  cash  available  under  our  2021  Revolver  will  provide  us  with 
sufficient funds in order to fund our expected normal operations and debt payments over the next twelve months. Our longer-
term  liquidity  is  contingent  upon  future  operating  performance.  We  may  also  require  additional  capital  in  the  future  to  fund 
capital expenditures, repayment of debt, acquisitions, strategic transactions or other investments. As described above, we have 
significant  indebtedness  outstanding  under  our  2021  Credit  Agreement,  2028  Senior  Notes,  and  2029  Senior  Notes.  These 
capital  requirements  could  be  substantial.  Our  operating  performance  may  also  be  affected  by  matters  discussed  under  the 
above-referenced Risk Factors set forth elsewhere in this report. These risks, trends and uncertainties may also adversely affect 
our long-term liquidity.

Legal Contingencies

We are currently involved in certain legal proceedings and claims. In connection with these legal proceedings and claims, 
management  periodically  reviews  estimates  of  potential  costs  to  be  incurred  by  us  in  connection  with  the  adjudication  or 
settlement, if any, of these proceedings. These estimates are developed, as applicable in consultation with outside counsel, and 
are based on an analysis of potential litigation outcomes and settlement strategies. In accordance with ASC 450, Contingencies, 
loss contingencies are accrued if, in the opinion of management, an adverse outcome is probable and such financial outcome 
can  be  reasonably  estimated.  It  is  possible  that  future  results  for  any  particular  quarter  or  annual  period  may  be  materially 
affected by changes in our assumptions or the effectiveness of our strategies relating to these proceedings.

Guarantees and Other Off-Balance Sheet Arrangements

We  do  not  have  guarantees  or  other  off-balance  sheet  financing  arrangements,  including  variable  interest  entities,  of  a 

magnitude that we believe could have a material impact on our financial condition or liquidity.

CRITICAL ACCOUNTING POLICIES AND ESTIMATES

The 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  U.S.  generally  accepted  accounting  principles.  The  preparation  of 
these consolidated financial statements requires us to make estimates and judgments that affect the reported amounts of assets, 
liabilities, revenues and expenses, and related disclosure of contingent assets and liabilities. On an on-going basis, we evaluate 
our  estimates,  including  those  related  to  revenue  recognition  for  multiple  element  arrangements,  allowance  for  doubtful 
accounts,  reserves  for  excess  and  obsolete  inventories,  valuations,  purchase  price  allocations  and  contingent  consideration 
related to business combinations, expected future cash flows including growth rates, discount rates, terminal values and other 
assumptions used to evaluate the recoverability of long-lived assets and goodwill, estimated fair values of intangible assets and 
goodwill,  amortization  methods  and  periods,  warranty  reserves,  certain  accrued  expenses,  restructuring  and  other  related 
charges,  stock-based  compensation,  contingent  liabilities,  tax  reserves  and  recoverability  of  our  net  deferred  tax  assets  and 
related valuation allowances. We base our estimates on historical experience and various other assumptions that are believed to 
be reasonable under the circumstances. Actual results could differ from these estimates if past experience or other assumptions 
do not turn out to be substantially accurate. Any differences may have a material impact on our financial condition and results 
of operations.

The following is a discussion of what we believe to be the more significant critical accounting policies and estimates used 

in the preparation of our consolidated financial statements.

Inventory

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Our inventories include material, labor and overhead, and are stated at the lower of cost (first-in, first-out) or market. As a 
developer and manufacturer of high technology medical equipment and diagnostic test kits, we may be exposed to a number of 
economic and industry factors that could result in portions of our inventory becoming either obsolete or in excess of anticipated 
usage. Our policy is to establish inventory reserves when conditions exist that suggest that our inventory may be in excess of 
anticipated  demand  or  is  obsolete  based  upon  our  assumptions  about  future  demand  for  our  products  and  market  conditions. 
Although  considerable  effort  is  made  to  ensure  the  accuracy  of  our  forecasts  of  future  product  demand,  any  significant 
unanticipated changes in demand or expected usage could have a significant negative impact on the value of our inventory and 
our operating results.

Business Combinations

We  record  tangible  and  intangible  assets  acquired  and  liabilities  assumed  in  business  combinations  under  the  purchase 
method of accounting. Amounts paid for each acquisition are allocated to the assets acquired and liabilities assumed based on 
their  fair  values  at  the  dates  of  acquisition.  Contingent  consideration,  which  is  not  deemed  to  be  linked  to  continuing 
employment,  is  recorded  at  fair  value  measured  on  the  date  of  acquisition  using  an  appropriate  valuation  model,  such  as  the 
Monte Carlo simulation model. The value recorded is based on estimates of future financial projections under various potential 
scenarios, in which the model runs many simulations based on comparable companies' growth rates and their implied volatility. 
These cash flow projections are discounted with a risk adjusted rate. Each quarter until such contingent amounts are earned, the 
fair value of the liability is remeasured at each reporting period and adjusted as a component of operating expenses based on 
changes to the underlying assumptions. The estimates used to determine the fair value of the contingent consideration liability 
are  subject  to  significant  judgment,  specifically  projected  revenues,  and  given  the  inherent  uncertainties  in  making  these 
estimates, actual results are likely to differ from the amounts originally recorded and could be materially different.

The  fair  value  of  identifiable  intangible  assets  is  based  on  detailed  valuations  that  use  information  and  assumptions 
provided  by  management,  which  consider  management’s  best  estimate  of  inputs  and  assumptions  that  a  market  participant 
would  use.  We  allocate  any  excess  purchase  price  over  the  fair  value  of  the  net  tangible  and  intangible  assets  acquired  and 
liabilities assumed to goodwill. 

We generally use the income approach in which cash flow projections on an after-tax basis are discounted using a risk 
adjusted rate to determine the estimated fair value of certain identifiable intangible assets including developed technology, in-
process  research  and  development  projects,  customer  relationships,  and  trade  names.  The  significant  assumptions  used  to 
estimate the fair value of intangible assets include discount rates and certain assumptions that form the basis of the forecasted 
results  specifically  revenue  growth  rates.  These  significant  assumptions  are  forward  looking  and  could  be  affected  by  future 
economic and market conditions.

With respect to property, plant and equipment, we estimate the fair value of these assets using a combination of the cost 
and market approaches, depending on the component. Generally, we apply the cost or income approach as the primary methods 
in  estimating  the  fair  value  of  land  and  buildings  as  the  market  approach  is  less  reliable  based  on  potential  significant 
differences between the property being valued and the potentially comparable sales of similar properties.

Goodwill

We  test  goodwill  at  the  reporting  unit  level  for  impairment  on  an  annual  basis  and  between  annual  tests  if  events  and 
circumstances indicate it is more likely than not that the fair value of a reporting unit is less than its carrying value. Events that 
could indicate impairment and trigger an interim impairment assessment include, but are not limited to current economic and 
market conditions, including a decline in market capitalization, a significant adverse change in legal factors, business climate, 
operational  performance  of  the  business  or  key  personnel,  and  an  adverse  action  or  assessment  by  a  regulator.  Our  annual 
impairment test date is the first day of our fiscal fourth quarter.

In performing the test, we either use the qualitative assessment permitted by ASC 350, Intangibles—Goodwill and Other, 
or  the  single  step  quantitative  approach  prescribed  under  ASC  350  including  amendments  under  ASU  2017-04.  Under  the 
qualitative approach we consider a number of factors, including the amount by which the previous quantitative test's fair value 
exceeded the carrying value of the reporting units, the forecasts in our then-current strategic plan compared to the forecasts in 
the  previous  quantitative  test,  an  evaluation  of  discount  rates,  long-term  growth  rates  including  the  terminal  year  rate,  if  tax 
rates  would  have  significantly  changed,  an  evaluation  of  current  economic  factors  for  both  the  worldwide  economy  and 
specifically the medical device industry, and any significant changes in customer and supplier relationships. We weigh these 
factors  to  determine  if  it  is  more  likely  than  not  that  the  fair  value  of  the  reporting  unit  exceeds  its  carrying  value.  If  after 
performing a qualitative assessment, indicators are present, or we identify factors that cause us to believe it is appropriate to 
perform a more precise calculation of fair value, we would move beyond the qualitative assessment and perform a quantitative 
impairment test.

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Under the quantitative impairment test, we perform a comparison of the reporting unit’s carrying value to its fair value. 
We consider a number of factors to determine the fair value of a reporting unit, including an independent valuation to conduct 
this test. The valuation is based upon expected future discounted operating cash flows of the reporting unit as well as analysis of 
recent sales and ratio comparisons of similar companies. We base the discount rate on the weighted average cost of capital, or 
WACC, of market participants. If the carrying value of a reporting unit exceeds its estimated fair value, we apply the single step 
approach under ASU 2017-04. As a result of this simplified approach the goodwill impairment is calculated as the amount by 
which the carrying value of the reporting unit exceeds its fair value to the extent of the goodwill balance.

We conducted our fiscal 2022 annual impairment test on the first day of the fourth quarter and utilized the quantitative 
approach. We used discounted cash flows, or DCF, and market approaches to estimate the fair value of our reporting units as of 
June 26, 2022 and ultimately used the fair value determined by the DCF in making our impairment test conclusions. We believe 
we used reasonable estimates and assumptions about future revenue, cost projections, cash flows, market multiples and discount 
rates as of the measurement date. As a result of completing this analysis, all of our reporting units had fair values exceeding 
their carrying values.

At September 24, 2022, we believe that our reporting units, with goodwill aggregating $3.2 billion, were not at risk of 

failing the goodwill impairment test based on our current forecasts and qualitative assessment.

Since the fair value of our reporting units was determined by use of the DCF, and the key assumptions that drive the fair 
value in this model are the WACC, terminal values, growth rates, and the amount and timing of expected future cash flows, 
significant judgment is applied in determining fair value. If the current economic environment were to deteriorate, this would 
likely result in a higher WACC because market participants would require a higher rate of return. In the DCF as the WACC 
increases, the fair value decreases. The other significant factor in the DCF is our projected financial information (i.e., amount 
and timing of expected future cash flows and growth rates) and if these assumptions were to be adversely impacted, this could 
result in a reduction of the fair value of a reporting unit.

Intangible Assets

Intangible  assets  are  initially  recorded  at  fair  value  and  stated  net  of  accumulated  amortization  and  impairments.  We 
amortize intangible assets that have finite lives using either the straight-line method, or if reliably determinable, based on the 
pattern in which the economic benefit of the asset is expected to be utilized. We evaluate the recoverability of our definite lived 
intangible assets whenever events or changes in circumstances or business conditions indicate that the carrying value of these 
assets  may  not  be  recoverable  based  on  expectations  of  future  undiscounted  cash  flows  for  each  asset  group.  If  the  carrying 
value of an asset or asset group exceeds its undiscounted cash flows, we estimate the fair value of the assets, generally utilizing 
a discounted cash flow analysis based on the present value of estimated future cash flows to be generated by the assets using a 
risk-adjusted discount rate. To estimate the fair value of the assets, the Company uses market participant assumptions pursuant 
to ASC 820, Fair Value Measurements.

Indefinite lived intangible assets, such as IPR&D assets, are initially recorded at fair value and are required to be tested 
for  impairment  annually,  or  more  frequently  if  indicators  of  impairment  are  present.  The  Company’s  annual  impairment  test 
date  is  as  of  the  first  day  of  its  fourth  quarter.  We  estimate  the  fair  value  of  IPR&D  assets  utilizing  a  discounted  cash  flow 
analysis and key assumptions are revenue growth rates, timing of completion of the project, costs to complete the project and 
discount  rates.  These  estimates  require  significant  judgment  and  adverse  changes  in  assumptions  could  result  in  a  lower  fair 
value.

Revenue Recognition

We  generate  revenue  from  the  sale  of  our  products,  primarily  medical  imaging  systems  and  diagnostic  and  surgical 
disposable  products,  and  related  services,  which  are  primarily  support  and  maintenance  services  on  our  medical  imaging 
systems. See Note 3 for further discussion of revenue recognition.

We  consider  revenue  to  be  earned  when  all  of  the  following  criteria  are  met:  we  have  a  contract  with  a  customer  that 
creates enforceable rights and obligations; promised products or services are identified; the transaction price, or the amount that 
we expect to receive, including an estimate of uncertain amounts subject to a constraint to ensure revenue is not recognized in 
an amount that would result in a significant reversal upon resolution of the uncertainty, is determinable; and we have transferred 
control of the promised items to the customer. A performance obligation is a promise in a contract to transfer a distinct good or 
service  to  the  customer  and  is  the  unit  of  account  in  the  contract.  The  transaction  price  for  the  contract  is  measured  as  the 
amount of consideration we expect to receive in exchange for the goods and services expected to be transferred. A contract's 
transaction  price  is  allocated  to  each  distinct  performance  obligation  and  recognized  as  revenue  when,  or  as,  control  of  the 
distinct good or service is transferred. Transfer of control for our products is generally at shipment or delivery, depending on 
contractual terms, but occurs when title and risk of loss transfers to the customer which represents the point in time when the 

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customer obtains the use of and substantially all of the remaining benefit of the product. As such, the performance obligation 
related to product sales is satisfied at a point in time. Revenue from support and maintenance contracts and extended warranties 
are recognized over time based on the contract term, which represents a faithful depiction of the transfer of goods and services 
given  the  stand-ready  nature  of  the  performance  obligations.  Service  revenue  related  to  professional  services  for  installation, 
training and repairs is recognized as the services are performed based on the specific nature of the service.

We recognize receivables when we have an unconditional right to payment, which represents the amount we expect to 
collect in a transaction and is most often equal to the transaction price in the contract. Payment terms are typically 30 days in 
the U.S. but may be longer in international markets. We treat shipping and handling costs performed after a customer obtains 
control of the good as a fulfillment cost and record these costs within costs of product revenue when the corresponding revenue 
is recognized.

Some of our contracts have multiple performance obligations. For contracts with multiple performance obligations, we 
are required to allocate the transaction price to each performance obligation using our best estimate of the standalone selling 
price of each distinct good or service in the contract. We determine the best estimate of standalone selling price using average 
selling  prices  over  3-  to  12-month  periods  of  data  depending  on  the  products  or  nature  of  the  services  coupled  with  current 
market considerations. If the product or service does not have a history of sales or if sales volume is not sufficient, we rely on 
prices set by our pricing committees or applicable marketing department adjusted for expected discounts. 

We  exercise  judgement  in  estimating  variable  consideration,  which  includes  volume  discounts,  sales  rebates,  product 
returns and other adjustments. These amounts are recorded as a reduction to revenue and classified as a current liability. We 
base our estimates for volume discounts and sales rebates on historical information to the extent it is reasonable to be used as a 
predictive  tool  of  expected  future  rebates.  To  the  extent  the  transaction  price  includes  variable  consideration,  we  apply 
judgment in constraining the estimated variable consideration due to factors that may cause reversal of revenue recognized. We 
evaluate constraints based on our historical and projected experience with similar customer contracts. Our contracts for the sale 
of capital equipment and related components, and assays and tests typically do not provide the right to return product, however, 
our contracts for the sale of our interventional breast and surgical handpieces provide for a right of return for a limited period of 
time. In general, estimates of variable consideration and constraints are not material to our financial statements. 

We also place instruments (or equipment) at customer sites but retain title to the instrument (for example, the ThinPrep 
Processor, ThinPrep Imaging System, and the Panther system). The customer has the right to use the instrument for a period of 
time,  and  then  we  recover  the  cost  of  providing  the  instrument  through  the  sales  of  disposables,  namely  tests  and  assays  in 
Diagnostics and handpieces in GYN Surgical. These types of agreements include an embedded operating lease for the right to 
use an instrument and no instrument revenue is recognized at the time of instrument delivery. We recognize a portion of the 
revenue allocated to the embedded lease concurrent with the sale of disposables over the term of the agreement.

Income Taxes

We use the asset and liability method for accounting for income taxes in accordance with ASC 740, Income Taxes. Under 
this method, we recognize deferred income tax assets and liabilities for the future tax consequences of differences between the 
financial statement carrying amount of existing assets and liabilities and their respective tax bases, and also for operating loss 
and tax credit carry-forwards at each reporting period. We measure deferred tax assets and liabilities using enacted tax rates and 
laws applicable to the period and jurisdiction in which we expect the differences to affect taxable income. We evaluate both the 
positive  and  negative  evidence  that  affects  the  realizability  of  net  deferred  tax  assets  and  assess  the  need  for  a  valuation 
allowance.  The  future  benefit  to  be  derived  from  our  deferred  tax  assets  is  dependent  upon  our  ability  to  generate  sufficient 
future  taxable  income  in  each  jurisdiction  of  the  right  type  to  realize  the  assets.  We  establish  a  valuation  allowance  when 
necessary to reduce deferred tax assets to the amounts expected to be realized. To the extent we establish or release a valuation 
allowance, a tax charge or benefit will be recorded as a component of the income tax provision on the statement of operations in 
the reporting period that such determination is made.

We  have  recognized  $74.6  million  in  net  deferred  tax  liabilities  at  September  24,  2022  and  $228.6  million  at 
September  25,  2021.  The  decrease  was  primarily  due  to  recording  a  deferred  tax  asset  in  connection  with  an  internal 
restructuring and intangible asset impairments in fiscal 2022. The liabilities primarily relate to deferred taxes associated with 
our acquisitions. The tax assets primarily relate to net operating and capital loss carryforwards, accruals and reserves, stock-
based compensation, and research credits. 

Accounting  for  income  taxes  requires  a  two-step  approach  to  recognize  and  measure  uncertain  tax  positions.  The  first 
step is to evaluate the tax position for recognition by determining if, based on the technical merits, it is more likely than not that 
the position will be sustained upon audit, including resolutions of related appeals or litigation processes, if any. The second step 
is to measure the tax benefit as the largest amount that is more than 50% likely of being realized upon ultimate settlement. We 
evaluate  these  uncertain  tax  positions  on  a  quarterly  basis.  This  evaluation  is  based  on  factors  including,  but  not  limited  to, 

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changes in facts or circumstances, changes in tax law, effectively settled issues under audit and new audit activity. Any change 
in these factors could result in the recognition of a tax benefit or an additional charge to the tax provision.

As of September 24, 2022, we had $247.6 million in gross unrecognized tax benefits excluding interest, of which $231.6 
million,  if  recognized,  would  reduce  our  effective  tax  rate.  As  of  September  25,  2021,  we  had  $212.8  million  in  gross 
unrecognized tax benefits excluding interest, of which $197.0 million, if recognized, would have reduced our effective tax rate. 

In  the  ordinary  course  of  business,  there  are  many  transactions  and  calculations  where  the  ultimate  tax  outcome  is 
uncertain. Judgment is required in determining our worldwide income tax provision. In our opinion, we have made adequate 
provisions  for  income  taxes  for  all  years  subject  to  audit.  While  we  consider  our  estimates  reasonable,  no  assurance  can  be 
given  that  the  final  tax  outcome  will  not  be  different  than  amounts  reflected  in  our  historical  income  tax  provisions  and 
accruals.  If  our  assumptions  are  incorrect,  the  differences  could  have  a  material  impact  on  our  income  tax  provision  and 
operating results in the period in which such determination is made.

Recent Accounting Pronouncements

See Note 2 to our consolidated financial statements contained in Item 15 of this Annual Report.

Item 7A. Quantitative and Qualitative Disclosures About Market Risk

Financial  Instruments,  Other  Financial  Instruments,  and  Derivative  Commodity  Instruments.  Financial  instruments 
consist of cash and cash equivalents, accounts receivable, equity investments, foreign currency derivative contracts, an interest 
rate  swap  agreement,  insurance  contracts,  accounts  payable  and  debt  obligations.  Except  for  our  outstanding  2028  and  2029 
Senior Notes, the fair value of these financial instruments approximate their carrying amount. The fair value of our 2028 and 
2029  Senior  Notes  was  approximately  $365.7  million  and  $783.9  million,  respectively,  as  of  September  24,  2022.  Amounts 
outstanding  under  our  2021  Credit  Agreement  of  $1.5  billion  aggregate  principal  as  of  September  24,  2022  are  subject  to 
variable  rates  of  interest  based  on  current  market  rates,  and  as  such,  we  believe  the  carrying  amount  of  these  obligations 
approximates fair value.

Primary  Market  Risk  Exposures.  Our  primary  market  risk  exposure  is  in  the  areas  of  interest  rate  risk  and  foreign 
currency exchange rate risk. We incur interest expense on borrowings outstanding under our 2028 and 2029 Senior Notes, and 
2021 Credit Agreement. The 2028 and 2029 Senior Notes have fixed interest rates. Effective September 25, 2022 (the first day 
of fiscal 2023), borrowings under our 2021 Credit Agreement bear interest at the SOFR Rate plus SOFR Adjustment of 0.10% 
plus the applicable margin of 1.00% per annum.

As of September 24, 2022, there was $1.5 billion of aggregate principal outstanding under the 2021 Credit Agreement. 
Since this debt obligation is a variable rate instrument, our interest expense associated with this debt instrument is subject to 
change.  A  hypothetical  10%  adverse  movement  (increase  in  the  SOFR  rate)  would  increase  annual  interest  expense  by 
approximately $1.6 million, which is net of the impact of our interest rate swap hedge. We previously entered into an interest 
rate  swap  agreement  to  help  mitigate  the  interest  rate  volatility  associated  with  the  variable  rate  interest  on  the  amounts 
outstanding  under  our  credit  facilities.  The  critical  terms  of  the  interest  rate  swap  were  designed  to  mirror  the  terms  of  our 
SOFR-based borrowings under the 2021 Credit Agreement, and therefore the interest rate swap is highly effective at offsetting 
the  cash  flows  being  hedged.  We  designated  this  derivative  instrument  as  a  cash  flow  hedge  of  the  variability  of  the  Term 
SOFR-based interest payments on $1.0 billion of principal. The interest rate swap contract expires on December 17, 2023.

The return from cash and cash equivalents will vary as short-term interest rates change. A hypothetical 10% increase or 

decrease in interest rates, however, would not have a material adverse effect on our financial condition.

Foreign  Currency  Exchange  Risk.  Our  international  business  is  subject  to  risks,  including,  but  not  limited  to:  unique 
economic  conditions,  changes  in  political  climate,  differing  tax  structures,  other  regulations  and  restrictions,  and  foreign 
exchange  rate  volatility.  Accordingly,  our  future  results  could  be  materially  adversely  impacted  by  changes  in  these  or  other 
factors.

We  conduct  business  worldwide  and  maintain  sales  and  service  offices  outside  the  U.S.  as  well  as  manufacturing 
facilities in Costa Rica and the United Kingdom. Our international sales are denominated in a number of currencies, primarily 
the  Euro,  U.S.  dollar,  UK  Pound  and  Chinese  Renminbi.  The  majority  of  our  foreign  subsidiaries  functional  currency  is  the 
local  currency,  although  certain  foreign  subsidiaries  functional  currency  is  the  U.S.  dollar  based  on  the  nature  of  their 
operations or functions. Fluctuations in the foreign currency rates could affect our sales, cost of goods and operating margins 
and could result in exchange losses. In addition, currency devaluations can result in a loss if we hold deposits of that currency. 
We  have  executed  forward  foreign  currency  contracts  to  hedge  a  portion  of  results  denominated  in  the  Euro,  UK  Pound, 
Australian dollar, Japanese Yen, Canadian dollar and Chinese Renminbi. These contracts do not qualify for hedge accounting. 

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As a result, we may experience volatility in our Consolidated Statements of Income due to (i) the impact of unrealized gains 
and  losses  reported  in  other  income,  net  on  the  mark-to-market  of  outstanding  contracts  and  (ii)  realized  gains  and  losses 
recognized in other income, net, whereas the offsetting economic gains and losses are reported in the line item of the underlying 
cash flow, for example, revenue. 

We believe that the operating expenses of our international subsidiaries that are incurred in local currencies will not have 
a material adverse effect on our business, results of operations or financial condition. Our operating results and certain assets 
and  liabilities  that  are  denominated  in  foreign  currencies  are  affected  by  changes  in  the  relative  strength  of  the  U.S.  dollar 
against  those  currencies.  Our  expenses,  denominated  in  foreign  currencies,  are  positively  affected  when  the  U.S.  dollar 
strengthens against those currencies and adversely affected when the U.S. dollar weakens. However, we believe that the foreign 
currency  exchange  risk  is  not  significant.  We  believe  a  hypothetical  10%  increase  or  decrease  in  foreign  currencies  that  we 
transact in would not have a material adverse impact on our financial condition or results of operations. During fiscal 2022, we 
incurred net foreign exchange gains of $48.5 million, net foreign exchange losses of $15.1 million in fiscal 2021 and net foreign 
exchange gains of $3.4 million in fiscal 2020.

Item 8. Financial Statements and Supplementary Data

Our  Consolidated  Financial  Statements  and  Supplementary  Data  are  set  forth  under  Part  IV,  Item  15,  which  is 

incorporated herein by reference.

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

None.

Item 9A. Controls and Procedures

Evaluation of Disclosure Controls and Procedures

We maintain disclosure controls and procedures that are designed to ensure that information required to be disclosed in 
our Exchange Act reports is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules 
and  forms,  and  that  such  information  is  accumulated  and  communicated  to  our  management,  including  our  Chief  Executive 
Officer and Chief Financial Officer, as appropriate, to allow timely decisions regarding required disclosure. In designing and 
evaluating  the  disclosure  controls  and  procedures,  management  recognized  that  any  controls  and  procedures,  no  matter  how 
well  designed  and  operated,  can  provide  only  reasonable  assurance  of  achieving  the  desired  control  objectives,  as  ours  are 
designed to do, and management necessarily was required to apply its judgment in evaluating the cost-benefit relationship of 
possible controls and procedures.

As  of  September  24,  2022,  we  carried  out  an  evaluation,  under  the  supervision  and  with  the  participation  of  our 
management,  including  our  Chief  Executive  Officer  and  Chief  Financial  Officer,  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. 
Based upon that evaluation, our Chief Executive Officer and Chief Financial Officer concluded that our disclosure controls and 
procedures are effective.

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Report of Management on Internal Control over Financial Reporting

We  are  responsible  for  establishing  and  maintaining  adequate  internal  control  over  financial  reporting.  Internal  control 
over financial reporting is defined in Rule 13a-15(f) and 15d-15(f) under the Exchange Act, as amended, as a process designed 
by, or under the supervision of our principal executive and principal financial officers and effected by our board of directors, 
management  and  other  personnel  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 and 
includes those policies and procedures that:

•

•

•

pertain  to  the  maintenance  of  records  that  in  reasonable  detail  accurately  and  fairly  reflect  the  transactions  and 
disposition of our assets;
provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in 
accordance with generally accepted accounting principles, and that our receipts and expenditures are being made only in 
accordance with authorization of our management and directors; and
provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use or disposition of 
our assets that could have a material effect on the financial statements.

Our  internal  control  system  was  designed  to  provide  reasonable  assurance  to  our  management  and  board  of  directors 
regarding  the  preparation  and  fair  presentation  of  published  financial  statements.  Because  of  its  inherent  limitations,  internal 
control over financial reporting may not prevent or detect misstatements. Projections of any evaluation of effectiveness to future 
periods  are  subject  to  the  risks  that  controls  may  become  inadequate  because  of  changes  in  conditions,  or  that  the  degree  of 
compliance with the policies or procedures may deteriorate.

Management has assessed the effectiveness of our internal control over financial reporting as of September 24, 2022. In 
making  this  assessment,  we  used  the  criteria  set  forth  by  the  Committee  of  Sponsoring  Organizations  of  the  Treadway 
Commission (2013 framework) (COSO) in Internal Control-Integrated Framework.

Management has excluded from our assessment of and conclusion on the effectiveness of internal control over financial 
reporting the internal controls of Bolder Surgical Holdings, Inc., which is included in the consolidated financial statements of 
Hologic, Inc. as of and for the year ended September 24, 2022 and constituted $168.2 million and $142.4 million of our total 
assets and net assets, respectively, as of September 24, 2022 and $9.9 million and $18.0 million of revenues and pre-tax losses, 
respectively, for the year then ended.

Subject  to  the  foregoing,  based  on  management’s  assessment,  we  believe  that,  as  of  September  24,  2022,  our  internal 

control over financial reporting is effective at a reasonable assurance level based on these criteria.

Ernst  &  Young  LLP,  an  independent  registered  public  accounting  firm,  has  issued  an  attestation  report  on  the 
effectiveness  of  our  internal  control  over  financial  reporting.  This  report  in  which  they  expressed  an  unqualified  opinion  is 
included below.

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Report of Independent Registered Public Accounting Firm

To the Board of Directors and Stockholders of Hologic, Inc.

Opinion on Internal Control over Financial Reporting

We  have  audited  Hologic,  Inc.’s  internal  control  over  financial  reporting  as  of  September  24,  2022,  based  on  criteria 
established in Internal Control—Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway 
Commission (2013 framework) (the COSO criteria). In our opinion, Hologic, Inc. (the Company) maintained, in all material 
respects, effective internal control over financial reporting as of September 24, 2022, based on the COSO criteria.

As indicated in the accompanying Report of Management on Internal Control over Financial Reporting, management’s 
assessment  of  and  conclusion  on  the  effectiveness  of  internal  control  over  financial  reporting  did  not  include  the  internal 
controls of Bolder Surgical Holdings, Inc., which is included in the 2022 consolidated financial statements of the Company and 
constituted $168.2 million and $142.4 million of total and net assets, respectively, as of September 24, 2022 and $9.9 million 
and  $18.0  million  of  revenues  and  pre-tax  losses,  respectively,  for  the  year  then  ended.  Our  audit  of  internal  control  over 
financial reporting of the Company also did not include an evaluation of the internal control over financial reporting of Bolder 
Surgical Holdings, Inc.

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United 
States)  (PCAOB),  the  2022  consolidated  financial  statements  of  the  Company  and  our  report  dated  November  15,  2022 
expressed an unqualified opinion thereon.

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  Report  of 
Management  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.

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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/ Ernst & Young LLP

Boston, Massachusetts
November 15, 2022

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Changes in Internal Control over Financial Reporting

During the quarter ended September 24, 2022, there have been no changes in our internal control over financial reporting 

that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

Item 9B. Other Information

None.

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PART III

Item 10. Directors, Executive Officers and Corporate Governance

Pursuant  to  Section  406  of  the  Sarbanes-Oxley  Act  of  2002,  we  have  adopted  a  Code  of  Ethics  for  Senior  Financial 
Officers  that  applies  to  our  principal  executive  officer,  principal  financial  officer,  and  principal  accounting  officer  and 
controller,  and  other  persons  performing  similar  functions.  Our  Code  of  Ethics  for  Senior  Financial  Officers  is  publicly 
available on our website at investors.hologic.com as Appendix A to our Code of Conduct. We intend to satisfy the disclosure 
requirement under Item 5.05 of Current Report on Form 8-K regarding an amendment to, or waiver from, a provision of this 
code by posting such information on our website, at the address specified above.

The additional information required by this item is incorporated by reference to our Definitive Proxy Statement for our 

annual meeting of stockholders to be filed with the SEC within 120 days after the close of our fiscal year.

Item 11. Executive Compensation

The  information  required  by  this  item  is  incorporated  by  reference  to  our  Definitive  Proxy  Statement  for  our  annual 

meeting of stockholders to be filed with the SEC within 120 days after the close of our fiscal year.

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

We  maintain  a  number  of  equity  compensation  plans  for  employees,  officers,  directors  and  others  whose  efforts 
contribute to our success. The table below sets forth certain information as of the end of our fiscal year ended September 24, 
2022 regarding the shares of our common stock available for grant or granted under stock option plans and equity incentives 
that (i) were approved by our stockholders, and (ii) were not approved by our stockholders.

Equity Compensation Plan Information

Plan Category
Equity compensation plans approved by security 
holders (1)
Equity compensation plans not approved by security 
holders

Total

___________

Number of
securities to be
issued upon
exercise of
outstanding
options, warrants
and rights
(a)

Weighted-average
exercise price of
outstanding
options,
warrants and  rights
(b) (2)

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

7,255,678  $ 

—  $ 
7,255,678  $ 

48.46 

— 
48.46 

3,345,813 

— 
3,345,813 

(1) Includes 2,920,969 shares that are issuable upon restricted stock units (RSUs), performance stock units (PSUs) and market 

stock units (MSUs) vesting. The remaining balance consists of outstanding stock option grants.

(2) The  weighted  average  exercise  price  does  not  take  into  account  the  shares  issuable  upon  vesting  of  outstanding  RSUs, 

PSUs and MSUs, which have no exercise price.

The additional information required by this item is incorporated by reference to our Definitive Proxy Statement for our 

annual meeting of stockholders to be filed with the SEC within 120 days after the close of our fiscal year.

Item 13. Certain Relationships and Related Transactions and Director Independence

The  information  required  by  this  item  is  incorporated  by  reference  to  our  Definitive  Proxy  Statement  for  our  annual 

meeting of stockholders to be filed with the SEC within 120 days after the close of our fiscal year.

Item 14. Principal Accounting Fees and Services

The  information  required  by  this  item  is  incorporated  by  reference  to  our  Definitive  Proxy  Statement  for  our  annual 
meeting  of  stockholders  to  be  filed  with  the  SEC  within  120  days  after  the  close  of  our  fiscal  year.  Our  independent  public 
accounting firm is Ernst & Young LLP, New York, NY, PCAOB Auditor ID [PCAOB ID: 42].

59

 
 
 
 
 
 
 
Table of Contents

PART IV

Item 15. Exhibits and Financial Statement Schedules

(a) The following documents are filed as part of this report:

(1) Financial Statements

Report of Independent Registered Public Accounting Firm on Consolidated Financial Statements

Consolidated  Statements  of  Income  for  the  years  ended  September  24,  2022,  September  25,  2021  and 
September 26, 2020 

Consolidated Statements of Comprehensive Income for the years ended September 24, 2022, September 25, 
2021 and September 26, 2020 

Consolidated Balance Sheets as of September 24, 2022 and September 25, 2021 

Consolidated Statements of Stockholders’ Equity for the years ended September 24, 2022, September 25, 
2021 and September 26, 2020 

Consolidated Statements of Cash Flows for the years ended September 24, 2022, September 25, 2021 and 
September 26, 2020 

Notes to Consolidated Financial Statements

(2) Financial Statement Schedules

All schedules have been omitted because they are not required or because the required information is given 
in the Consolidated Financial Statements or Notes thereto.

(b) Listing of Exhibits

Exhibit
Number

Exhibit Description

2.1  Asset Purchase Agreement, dated December 14, 2016, by and among Hologic, 

Inc., Grifols Diagnostic Solutions Inc. and Grifols, S.A.

Securities Purchase Agreement, dated as of November 20, 2019, by and among 
Hologic, Inc., Hologic Holdings Limited and Lotus Buyer, Inc. (6)

2.2 

2.3  Share Purchase Agreement, dated as of April 8, 2021, by and among Hologic, 

Inc. and certain sellers listed therein (6)

3.1   

Certificate of Incorporation of Hologic, with amendments

3.2 
4.1   

  Seventh Amended and Restated Bylaws of Hologic, Inc.

Specimen Certificate for Shares of Hologic’s Common Stock (filed in paper 
format)

4.2 

Indenture, dated September 28, 2020, by and among Hologic, Inc., the 
guarantors party thereto and Wells Fargo Bank, National Association, as Trustee

4.3  First Supplemental Indenture dated as of May 18, 2021 among Hologic, Inc., 
The Subsidiary Guarantor Party Hereto and Wells Fargo Bank, National 
Association, as Trustee

4.4  Form of 3.250% Senior Note due 2029 (included in Exhibit 4.2)

4.5 

Indenture dated January 19, 2018, by and among Hologic, the Guarantors party 
thereto and Wells Fargo Bank, National Association, as Trustee

60

Incorporated by
Reference

Form

8-K

8-K

8-K

Filing Date/
Period End
Date

12/15/2016

11/20/2019

04/08/2021

10-K

09/30/2017

8-K

8-A

8-K

06/25/2019

01/31/1990

09/28/2020

10-K

09/25/2021

8-K

8-K

09/28/2020

01/19/2018

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
Exhibit
Number

Exhibit Description

4.6  First Supplemental Indenture dated January 19, 2018, by and among Hologic, 
the Guarantors party thereto and Wells Fargo Bank, National Association, as 
Trustee

4.7  Form of 4.625% Senior Note due 2028 (included in Exhibit 4.5)

4.8  Second Supplemental Indenture dated as of November 9, 2018 among Hologic, 
Inc., The Subsidiary Guarantor Parties Hereto and Wells Fargo Bank, National 
Association, as Trustee

4.9  Third Supplemental Indenture dated as of January 8, 2019 among Hologic, Inc., 
the Subsidiary Guarantors Party Hereto and Wells Fargo Bank, National 
Association, as Trustee 

4.10  Fourth Supplemental Indenture dated as of March 14, 2019 among Hologic, Inc., 
The Subsidiary Guarantor Party Hereto and Wells Fargo Bank, National 
Association, as Trustee

4.11  Fifth Supplemental Indenture dated as of May 18, 2021 among Hologic, Inc., the 
Subsidiary Guarantor Party Hereto and Wells Fargo Bank, National Association, 
as Trustee

4.12  Description of Securities

10.1* Hologic Amended and Restated 2008 Equity Incentive Plan.

10.2* Form of Stock Option Award Agreement Under 2008 Equity Incentive Plan 

(adopted fiscal 2016).

10.3* Form of Stock Option Award Agreement Under 2008 Equity Incentive Plan 

(adopted fiscal 2017).

Incorporated by
Reference

Form
8-K

8-K

10-K

Filing Date/
Period End
Date
01/19/2018

01/19/2018

09/25/2021

10-K

09/25/2021

10-K

09/25/2021

10-K

09/25/2021

10-K

09/28/2019

8-K

8-K

8-K

03/15/2018

10/14/2015

11/09/2016

10.4* Form of Stock Option Award Agreement Under 2008 Equity Incentive Plan 

(Outside US) (adopted fiscal 2017)

Filed 
Herewith

10.5* Form of Restricted Stock Unit Award Agreement Under 2008 Equity Incentive 

8-K

11/09/2016

Plan (adopted fiscal 2017).

10.6* Form of Restricted Stok Unit Award Agreement Under 2008 Equity Incentive 

Plan (Outside US) (adopted fiscal 2017)

Filed 
Herewith

10.7* Form of Performance Stock Unit Award Agreement Under 2008 Equity 

Incentive Plan (relative TSR) (adopted fiscal 2020).

10.8* Form of Performance Stock Unit Award Agreement Under 2008 Equity 

Incentive Plan (ROIC) (adopted fiscal 2020).

10.9* Form of Performance Stock Unit Award Agreement Under 2008 Equity 

Incentive Plan (Free Cash Flow) (adopted fiscal 2020).

10.10* Form of Performance Stock Unit Award Agreement Under 2008 Equity 

Incentive Plan (relative TSR) (adopted fiscal 2021).

10.11* Form of Performance Stock Unit Award Agreement Under 2008 Equity 

Incentive Plan (ROIC) (adopted fiscal 2021).

10.12* Form of Performance Stock Unit Award Agreement Under 2008 Equity 

Incentive Plan (Free Cash Flow) (adopted fiscal 2021).

10.13* Form of Performance Stock Unit Award Agreement Under 2008 Equity 

Incentive Plan (ROIC – Outside US) (adopted fiscal 2021).

10.14* Form of Performance Stock Unit Award Agreement Under 2008 Equity 
Incentive Plan (relative TSR – Outside US) (adopted fiscal 2021).

61

8-K

8-K

8-K

8-K

8-K

8-K

8-K

8-K

11/08/2019

11/08/2019

11/08/2019

11/06/2020

11/06/2020

11/06/2020

11/06/2020

11/06/2020

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
Exhibit
Number

Exhibit Description

10.15* Form of Performance Stock Unit Award Agreement Under 2008 Equity 

Incentive Plan (Free Cash Flow – Outside US) (adopted fiscal 2021).

10.16* Form of Performance Stock Unit Award Agreement Under 2008 Equity 

Incentive Plan (relative TSR) (adopted fiscal 2022).

10.17* Form of Performance Stock Unit Award Agreement Under 2008 Equity 

Incentive Plan (ROIC) (adopted fiscal 2022).

10.18* Form of Performance Stock Unit Award Agreement Under 2008 Equity 

Incentive Plan (Free Cash Flow) (adopted fiscal 2022). 

10.19* Form of Performance Stock Unit Award Agreement Under 2008 Equity 

Incentive Plan (ROIC – Outside US) (adopted fiscal 2022).

10.20* Form of Performance Stock Unit Award Agreement Under 2008 Equity 
Incentive Plan (relative TSR – Outside US) (adopted fiscal 2022).

10.21* Form of Performance Stock Unit Award Agreement Under 2008 Equity 

Incentive Plan (Free Cash Flow – Outside US) (adopted fiscal 2022).

10.22* Form of Performance Stock Unit Award Agreement Under 2008 Equity 

Incentive Plan (relative TSR) (adopted fiscal 2023).

10.23* Form of Performance Stock Unit Award Agreement Under 2008 Equity 

Incentive Plan (ROIC) (adopted fiscal 2023).

10.24* Form of Performance Stock Unit Award Agreement Under 2008 Equity 

Incentive Plan (Free Cash Flow) (adopted fiscal 2023). 

10.25* Form of Performance Stock Unit Award Agreement Under 2008 Equity 

Incentive Plan (ROIC – Outside US) (adopted fiscal 2023).

10.26* Form of Performance Stock Unit Award Agreement Under 2008 Equity 
Incentive Plan (relative TSR – Outside US) (adopted fiscal 2023).

10.27* Form of Performance Stock Unit Award Agreement Under 2008 Equity 

Incentive Plan (Free Cash Flow – Outside US) (adopted fiscal 2023).

Incorporated by
Reference

Form
8-K

8-K

8-K

8-K

8-K

8-K

8-K

8-K

8-K

8-K

8-K

8-K

8-K

Filing Date/
Period End
Date
11/06/2020

11/04/2021

11/04/2021

11/04/2021

11/04/2021

11/04/2021

11/04/2021

11/04/2022

11/04/2022

11/04/2022

11/04/2022

11/04/2022

11/04/2022

10.28* Form of Independent Director Restricted Stock Unit Award Agreement Under 

10-K

09/28/2013

2008 Equity Incentive Plan (annual grant).

10.29* Hologic, Inc. 2012 Employee Stock Purchase Plan, as amended

10.30* Hologic Short-Term Incentive Plan, as amended and restated

10.31* Hologic Amended and Restated Deferred Equity Plan

10.32*

  Rabbi Trust Agreement.

10.33* Form of Indemnification Agreement (as executed with each director of Hologic).
10.34*  

Employment Agreement dated December 6, 2013 by and between Stephen P. 
MacMillan and Hologic.

10.35*  

Amended and Restated Employment Agreement by and between the Company 
and Stephen P. MacMillan, dated September 18, 2015.

8-K

8-K

8-K

03/04/2016

11/07/2018

12/16/2015

10-K

  09/28/2013

8-K

8-K

8-K

03/06/2009

12/09/2013

09/21/2015

10.36* Amendment No. 1 to Amended and Restated Employment Agreement by and 
between the Company and Stephen P. MacMillan, dated September 24, 2016.

10-K

09/24/2016

10.37* Amendment No. 2 to Amended and Restated Employment Agreement by and 

8-K

10/06/2020

between the Company and Stephen P. MacMillan, dated October 5, 2020.

10.38* Form of Matching Restricted Stock Unit Award Agreement

8-K

12/09/2013

62

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
Exhibit
Number

Exhibit Description

10.39* Change of Control Agreement dated December 6, 2013 by and between Stephen 

P. MacMillan and Hologic.

Incorporated by
Reference

Form
8-K

Filing Date/
Period End
Date
12/09/2013

10.40* Severance and Change of Control Agreement dated July 31, 2018 by and 

8-K

07/31/2018

between Karleen M. Oberton and Hologic, Inc.

10.41* Severance and Change of Control Agreement dated February 2, 2015 by and 

10-Q

03/28/2015

between John M. Griffin and Hologic.

10.42* Severance and Change of Control Agreement dated September 15, 2020 by and 

8-K

09/15/2020

between Kevin R. Thornal and Hologic, Inc.

10.43* Amended Contract of Employment between Jan Verstreken and Hologic dated 

10-Q

12/26/2020

December 11, 2020

10.44* Severance and Change of Control Agreement dated June 28, 2021 by and 

10-Q

06/26/2021

between Elisabeth (Lisa) Hellmann and Hologic, Inc.

10.45* Transition Agreement by and between Sean S. Daugherty and Hologic, Inc. 

dated October 1, 2022 

10.46* Form of Division President Severance Agreement (1)

10.47* Form of Senior Vice President Severance Agreement (2)

10.48* Form of Change of Control Agreement (3)

Filed 
Herewith

Filed 
Herewith

Filed 
Herewith

Filed 
Herewith

10.49   

Office Lease dated December 31, 2003 between Cytyc and Marlborough 
Campus Limited Partnership.

10.50  First Amendment to that Office Lease dated December 31, 2003 between Cytyc 
and Marlborough Campus Limited Partnership, entered into August 23, 2017, by 
and between Hines Global REIT Marlborough Campus LLC and Hologic, Inc. 
(4)

Cytyc
Corporation
10-K

12/31/2003

10-K

09/30/2017

10.51   

Lease Agreement by and between Zona Franca Coyol S.A. and Cytyc Surgical 
Products Costa Rica S.A. dated April 23, 2007.

10-K

09/29/2007

10.52  Addendum 1 to Lease Agreement by and between Zona Franca Coyol S.A. and 

10-K

09/28/2019

Cytyc Surgical Products Costa Rica S.A. dated July 22, 2007. (5) (6)

10.53  Addendum 2 to Lease Agreement by and between Zona Franca Coyol S.A. and 

10-K

09/28/2019

Cytyc Surgical Products Costa Rica S.A. dated September 22, 2008. (5) (6)

10.54  Addendum No. 3 to Current Lease by and Between BCR Fondo de Inversion 

10-Q

12/30/2017

Inmobiliario and Hologic Surgical Products Costa Rica S.R.L. (4)

10.55   

Lease Agreement by and between 445 Simarano Drive, Marlborough LLC and 
Cytyc dated July 11, 2006.

10-K

09/29/2007

10.56   

First Amendment to Lease by and between 445 Simarano Drive Marlborough 
LLC and Hologic, Inc. dated July 14, 2016. (5)

10-K

09/28/2019

10.57  Lease of land situate at Crewe Road, Wythenshawe in the City of Manchester 

10-K

09/25/2021

between the Council of the City of Manchester and V.G. Instruments Group 
Limited dated February 8, 1988 (5)

63

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
Exhibit
Number

10.58 

10.59 

Exhibit Description

Amended and Restated Credit and Guaranty Agreement, originally dated May 
29, 2015, and amended and restated as of October 3, 2017 among Hologic, 
Hologic GGO 4 Ltd, each Designated Borrower from time to time party thereto, 
the Guarantors from time to time party thereto, each Lender from time to time 
party thereto and Bank of America, N.A., as Administrative Agent, Swing Line 
Lender and L/C Issuer.

Incorporated by
Reference

Form

8-K

Filing Date/
Period End
Date

10/04/2017

Refinancing Amendment No. 1 dated as of December 17, 2018 to the Amended 
and Restated Credit and Guaranty Agreement dated as of October 3, 2017.

8-K

12/18/2018

10.60  Refinancing Amendment No. 2, dated as of September 27, 2021, to the 

8-K

09/27/2021

Amended and Restated Credit and Guaranty Agreement dated as of October 3, 
2017, as amended.

10.61  Refinancing Amendment No. 3, dated as of August 22, 2022, to the Amended 
and Restated Credit and Guaranty Agreement dated as of October 3, 2017, as 
amended.

Filed 
Herewith

10.62 

Supply Agreement for Panther Instrument System effective November 22, 2006 
between Gen-Probe Incorporated and STRATEC Biomedical Systems AG. (4)

Gen-Probe
10-Q

09/30/2007

10.63  Amendment No. 1 dated June 1, 2011 to Supply Agreement for Panther 

10-K

09/24/2016

Instrument System. (4)

10.64  Amendment No. 2 dated February 28, 2013 to Supply Agreement for Panther 

10-K

09/24/2016

Instrument System. (4)

10.65 

Intellectual Property License, dated as of January 31, 2017, by and among 
Hologic, Inc., Gen-Probe Incorporated and Grifols Diagnostics Solutions Inc.

8-K

02/02/2017

10.66  First Amendment, dated as of April 9, 2019, to Intellectual Property License, 
dated as of January 31, 2017, by and among Hologic, Inc., Gen-Probe 
Incorporated and Grifols Diagnostic Solutions.

10-Q

03/30/2019

21.1   

Subsidiaries of Hologic.

23.1   

Consent of Independent Registered Public Accounting Firm.

31.1 

Certification of Hologic’s CEO pursuant to Item 601(b)(31) of Regulation S-K, 
as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

Filed 
herewith

Filed 
herewith

Filed 
herewith

31.2 

Certification of Hologic’s CFO pursuant to Item 601(b)(31) of Regulation S-K, 
as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

Filed 
herewith

32.1   

Certification of Hologic’s CEO pursuant to 18 U.S.C. Section 1350, as adopted 
pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

32.2   

Certification of Hologic’s CFO pursuant to 18 U.S.C. Section 1350, as adopted 
pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

101.INS

Inline XBRL Instance Document - the instance document does not appear in the 
Interactive Data File because its XBRL tags are embedded within the Inline 
XBRL document.

101.SCH  

101.CAL  

Inline XBRL Taxonomy Extension Schema Document.

Inline XBRL Taxonomy Extension Calculation Linkbase Document.

Furnished 
herewith

Furnished 
herewith

Filed 
herewith

Filed 
herewith

Filed 
herewith

64

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
Incorporated by
Reference

Exhibit
Number
101.DEF  

101.LAB  

101.PRE  

Inline XBRL Taxonomy Extension Definition Linkbase Document.

Exhibit Description

Inline XBRL Taxonomy Extension Label Linkbase Document.

Inline XBRL Taxonomy Extension Presentation Linkbase Document.

104  Cover Page Interactive Data File (formatted as inline XBRL and contained in 

Exhibit 101)

Form
Filed 
herewith

Filed 
herewith

Filed 
herewith

Filed 
herewith

Filing Date/
Period End
Date

Indicates management contract or compensatory plan, contract or arrangement.

______________
* 
(1)           The registrant has entered into this agreement with the following executive officers: Essex D. Mitchell.
(2)           The registrant has entered into this agreement with the following executive officers: Erik S. Anderson.
(3)           The registrant has entered into this agreement with the following executive officers: Essex D. Mitchell and Erik S.            
                Anderson.
(4) 

Confidential treatment has been granted with respect to certain portions of this exhibit. A complete version of this
exhibit has been filed separately with the SEC.
Certain portions of this exhibit are considered confidential and have been omitted as permitted under SEC rules and 
regulations.
Schedules and exhibits have been omitted pursuant to Item 601(b)(2) of Regulation S-K.

(5) 

(6) 

65

 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
Item 16. Form 10-K Summary

None.

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.

SIGNATURES

HOLOGIC, INC.

By:

/S/    STEPHEN P. MACMILLAN       
Stephen P. MacMillan
  Chairman, President and Chief Executive Officer

Date: November 15, 2022 

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.

Signature

Title

Date

/S/             STEPHEN P. MACMILLAN

STEPHEN P. MACMILLAN 

/S/               KARLEEN M. OBERTON
KARLEEN M. OBERTON

/S/                    BENJAMIN J. COHN

BENJAMIN J. COHN

/S/                SALLY W. CRAWFORD
SALLY W. CRAWFORD

/S/             CHARLES DOCKENDORFF
CHARLES DOCKENDORFF

/S/                  SCOTT T. GARRETT

SCOTT T. GARRETT

/S/                 LUDWIG N. HANTSON
LUDWIG N. HANTSON

/S/                     NAMAL NAWANA
NAMAL NAWANA

/S/             CHRISTIANA STAMOULIS
CHRISTIANA STAMOULIS

/S/                    AMY M. WENDELL
AMY M. WENDELL

   Chairman, President and Chief 

Executive Officer (Principal Executive 
Officer)

November 15, 2022

   Chief Financial Officer (Principal 

Financial Officer)

November 15, 2022

   Vice President, Corporate Controller 
(Principal Accounting Officer)

November 15, 2022

   Lead Independent Director

November 15, 2022

November 15, 2022

November 15, 2022

November 15, 2022

November 15, 2022

November 15, 2022

November 15, 2022

Director

Director

Director

Director

Director

Director

66

 
 
 
  
 
 
 
 
 
  
 
  
 
  
 
  
 
  
 
Table of Contents

Hologic, Inc.

Consolidated Financial Statements

Years ended September 24, 2022, September 25, 2021 and September 26, 2020 

Contents 

Report of Independent Registered Public Accounting Firm

Consolidated Financial Statements

Consolidated Statements of Income

Consolidated Statements of Comprehensive Income

Consolidated Balance Sheets

Consolidated Statements of Stockholders’ Equity

Consolidated Statements of Cash Flows
Notes to Consolidated Financial Statements

F-2

F-5

F-6

F-7

F-8

F-10

F-12

F-1

  
 
  
  
  
 
  
  
 
  
  
 
  
  
 
  
  
 
  
  
 
  
Table of Contents

Report of Independent Registered Public Accounting Firm

To the Board of Directors and Stockholders of Hologic, Inc.

Opinion on the Financial Statements

We  have  audited  the  accompanying  consolidated  balance  sheets  of  Hologic,  Inc.  (the  Company)  as  of  September  24, 
2022 and September 25, 2021, the related consolidated statements of income, comprehensive income, stockholders’ equity and 
cash flows for each of the three years in the period ended September 24, 2022, and the related notes (collectively referred to as 
the  “consolidated  financial  statements”).  In  our  opinion,  the  consolidated  financial  statements  present  fairly,  in  all  material 
respects, the financial position of the Company at September 24, 2022 and September 25, 2021, and the results of its operations 
and  its  cash  flows  for  each  of  the  three  years  in  the  period  ended  September  24,  2022,  in  conformity  with  U.S.  generally 
accepted accounting principles.

We also have 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  September  24,  2022,  based  on  criteria 
established in Internal Control—Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway 
Commission (2013 framework) and our report dated November 15, 2022 expressed an unqualified opinion thereon.

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  audits.  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  audits  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  audits  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 audits 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 audits provide a reasonable basis for our opinion.

Critical Audit Matters

The  critical  audit  matters  communicated  below  are  matters  arising  from  the  current  period  audit  of  the  financial 
statements that were communicated or required to be communicated to the audit committee and that: (1) relate to accounts or 
disclosures  that  are  material  to  the  financial  statements  and  (2)  involved  our  especially  challenging,  subjective  or  complex 
judgments.  The  communication  of  critical  audit  matters  does  not  alter  in  any  way  our  opinion  on  the  consolidated  financial 
statements, taken as a whole, and we are not, by communicating the critical audit matters below, providing separate opinions on 
the critical audit matters or on the accounts or disclosures to which they relate.

Description of 
the Matter

Product Revenue Recognition
As discussed in Note 3 to the consolidated financial statements, the Company generates product revenue 
from  the  sale  of  medical  imaging  systems  and  diagnostic  and  surgical  disposable  products.  The 
Company’s contracts for capital equipment sales generally have multiple performance obligations. 

Auditing  the  timing  and  amount  of  revenue  recognized  for  product  sales  required  significant  auditor 
judgment  because  it  involves  several  subjective  management  assumptions  and  estimates  including  the 
identification  of  performance  obligations  within  the  contracts,  the  estimation  of  the  standalone  selling 
price of each performance obligation, the determination of the transaction price and the allocation of the 
transaction price to each performance obligation, and a determination of the point in time at which those 
performance obligations were satisfied.   

F-2

 
Table of Contents

How We 
Addressed the 
Matter in Our 
Audit

We  obtained  an  understanding,  evaluated  the  design  and  tested  the  operating  effectiveness  of  controls 
over  the  Company’s  processes  to  account  for  product  revenue  recognition,  including  management’s 
controls over determining the transaction price, the identification of performance obligations in revenue 
contracts, the estimation of the standalone selling price for each performance obligation, the allocation of 
the transaction price to each performance obligation, and the determination of the point in time at which 
the Company transferred control of the promised items to the customer. 

To test product revenue, we evaluated whether management’s revenue recognition policies are appropriate 
and  in  accordance  with  ASC  606  Revenue  from  Contracts  with  Customers.  We  tested  management’s 
determination  of  the  transaction  price  by  comparing  the  price  to  the  customer  contract  for  a  sample  of 
transactions. We tested management’s identification of the performance obligations and the allocation of 
transaction price to each performance obligation by performing an independent assessment, in comparison 
to the standard, on a sample of customer contracts. We tested management’s estimated standalone selling 
prices for its identified performance obligations based on actual prices charged for similar products and 
services sold on a standalone basis.   We also tested management’s assertion that control was transferred 
to the customer by inspecting documentation supporting the transfer of control for a sample of contracts. 
In  addition,  we  performed  other  procedures  which  included,  among  others,  analytical  procedures  over 
product revenue and testing a sample of revenue transactions that occurred near the end of the fiscal year 
to  evaluate  accounting  cut-off.  We  also  compared  the  Company’s  revenue  recognition  disclosures 
included  in  Note  3  to  the  consolidated  financial  statements  to  disclosures  required  by  the  relevant 
accounting guidance.

Description of 
the Matter

Business Combination
As described in Note 5 to the consolidated financial statements, during 2022, the Company completed one 
business combination for total consideration of $160.1 million. The business combination resulted in the 
recognition of intangible assets of $96.7 million. 

Auditing  the  Company’s  accounting  for  the  business  combination  was  complex  due  to  the  significant 
estimation  required  by  management  to  determine  the  fair  value  of  identified  intangible  assets,  which 
principally  consisted  of  developed  technology  related  to  currently  marketed  products,  totaling  $73.6 
million.  The  Company  used  an  income  approach  to  measure  the  fair  value  of  the  acquired  developed 
technology  intangible  assets.  The  significant  assumptions  used  to  estimate  the  fair  value  of  these 
intangible  assets  included  discount  rates  and  certain  assumptions  that  form  the  basis  of  the  forecasted 
results, specifically revenue growth rates. These significant assumptions are forward looking and could be 
affected by future economic and market conditions.

F-3

Table of Contents

How We 
Addressed the 
Matter in Our 
Audit

We obtained an understanding, evaluated the design and tested the operating effectiveness of the controls 
over the Company’s accounting for the business combination. For example, we tested controls over the 
identification  and  valuation  of  intangible  assets,  including  the  valuation  models  and  underlying 
assumptions used to develop such estimates. 

To test the estimated fair value of the developed technology, we performed audit procedures that included, 
among others, evaluating the Company's use of the selected valuation model for each estimate and testing 
the significant assumptions described above that were used in the models. We tested the completeness and 
accuracy of the underlying data used in each analysis. For example, to evaluate revenue growth rates, we 
compared the assumptions used to current industry, market and economic trends, to the historical results 
of the acquired business, and to other guideline companies within the same industry. We also performed 
sensitivity analyses over the significant assumptions used to evaluate the changes in the fair value of each 
estimate that would result from changes in the assumptions. We involved our valuation professionals to 
test  the  models  and  the  significant  assumptions  noted  above.  We  also  compared  the  Company’s 
disclosures  included  in  Note  5  to  the  consolidated  financial  statements  to  disclosures  required  by  the 
relevant accounting guidance.

/s/ Ernst & Young LLP

 We have served as the Company’s auditor since 2002.

Boston, Massachusetts
November 15, 2022

F-4

Table of Contents

Consolidated Statements of Income
(In millions, except number of shares, which are reflected in thousands, and per share data)

Hologic, Inc.

Revenues:

Product

Service and other

Costs of revenues:

Product

Amortization of acquired intangible assets
Impairment of acquired intangible assets and 
equipment

Service and other

Gross Profit

Operating expenses:

Research and development

Selling and marketing

General and administrative

Amortization of acquired intangible assets
Impairment of acquired intangible assets and 
equipment

Contingent consideration – fair value adjustments

Restructuring and divestiture charges

Income from operations

Interest income

Interest expense

Debt extinguishment loss

Other income (expense), net

Income before income taxes
Provision (benefit) for income taxes

Net income

Net loss attributable to noncontrolling interest
Net income attributable to Hologic
Net income per common share attributable to Hologic:

Basic

Diluted

Weighted average number of shares outstanding:

Basic

Diluted

September 24,
2022

Years ended

September 25,
2021

September 26, 
2020

$ 

4,191.2  $ 

4,967.3  $ 

3,227.0 

671.6 

4,862.8 

1,166.1 

295.7 

17.4 

386.2 

2,997.4 

283.4 

630.3 

407.7 

45.2 

27.7 

(39.5)   

2.4 

1,357.2 

1,640.2 

12.9 

(95.1)   

(0.7)   

30.9 

1,588.2 
286.2 
1,302.0  $ 
— 
1,302.0  $ 

665.0 

5,632.3 

1,205.1 

276.7 

— 

354.7 

3,795.8 

276.3 

561.2 

433.2 

42.2 

— 

(6.7)   

9.3 

1,315.5 

2,480.3 

1.4 

(93.6)   

(21.6)   

(5.4)   

2,361.1 
491.4 
1,869.7  $ 
(1.8)   
1,871.5  $ 

549.4 

3,776.4 

953.7 

253.2 

25.8 

316.2 

2,227.5 

222.5 

484.6 

355.7 

39.7 

4.4 

0.3 

15.3 

1,122.5 

1,105.0 

4.3 

(116.5) 

— 

9.1 

1,001.9 
(108.6) 
1,110.5 
(4.7) 
1,115.2 

5.18  $ 

5.13  $ 

7.28  $ 

7.21  $ 

4.24 

4.21 

251,527 

253,845 

257,046 

259,706 

262,727 

264,613 

$ 

$ 

$ 

$ 

See accompanying notes.

F-5

  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Table of Contents

Net income

Hologic, Inc.

Consolidated Statements of Comprehensive Income
(In millions)

September 24,
2022

Years ended

September 25,
2021

September 26,
2020

$ 

1,302.0  $ 

1,869.7  $ 

1,110.5 

Changes in foreign currency translation adjustment

(224.1)   

(20.2)   

Changes in pension plans, net of taxes of $0.4 in 2022, 
$0.2 in 2021, and $0.1 in 2020.
Gain (loss) recognized, net of tax of $13.7 in 2022, $2.5 in 
2021, and $(8.3) in 2020 for interest rate swaps

Changes in value of hedged interest rate caps, net of tax of 
$0.2 in 2021, and $0.5 in 2020
      Gain (loss) recognized in other comprehensive loss
      Loss reclassified from accumulated other    
      comprehensive loss to the statement of operations, 
      net
Other comprehensive loss

Comprehensive income

Components of comprehensive income attributable to 
noncontrolling interest:

Net loss attributable to noncontrolling interest

Comprehensive loss attributable to noncontrolling interest

1.0 

44.0 

— 
— 

0.5 

9.4 

0.4 
0.5 

18.5 

(0.1) 

(27.6) 

(0.5) 
2.3 

(179.1)   

(9.4)   

(7.4) 

$ 

1,122.9  $ 

1,860.3  $ 

1,103.1 

— 
— 

1.8 
1.8 

4.7 
4.7 

Comprehensive income attributable to Hologic

$ 

1,122.9  $ 

1,862.1  $ 

1,107.8 

See accompanying notes.

F-6

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Table of Contents

Consolidated Balance Sheets
(In millions, except number of shares, which are reflected in thousands, and par value)

Hologic, Inc.

September 24,
2022

September 25,
2021

ASSETS

Current assets:

Cash and cash equivalents
Accounts receivable
Inventory
Prepaid expenses and other current assets
Prepaid income taxes

Total current assets

Property, plant and equipment, net
Intangible assets, net
Goodwill
Other assets

Total assets

LIABILITIES AND STOCKHOLDERS’ EQUITY

Current liabilities:

Current portion of long-term debt
Accounts payable
Accrued expenses
Deferred revenue
Finance lease obligations

Total current liabilities

Long-term debt, net of current portion
Finance lease obligations, net of current portion
Deferred income tax liabilities
Deferred revenue, net of current portion
Other long-term liabilities
Commitments and contingencies (Note 13 and 14)
Stockholders’ equity:

Preferred stock, $0.01 par value – 1,623 shares authorized; 0 shares issued
Common stock, $0.01 par value – 750,000 shares authorized; 298,533 and 
297,306 shares issued, respectively
Additional paid-in-capital
Retained earnings
Treasury stock, at cost – 51,401 and 43,653 shares, respectively
Accumulated other comprehensive loss

Total stockholders’ equity
Total liabilities and stockholders’ equity

See accompanying notes.

$ 

$ 

$ 

$ 

2,339.5  $ 
617.6 
623.7 
232.2 
49.0 
3,862.0 
481.6 
1,280.6 
3,236.5 
210.5 
9,071.2  $ 

15.0  $ 
197.7 
535.3 
186.5 
3.2 
937.7 
2,808.4 
18.0 
90.8 
9.4 
330.7 

1,170.3 
942.7 
501.2 
528.8 
25.7 
3,168.7 
564.7 
1,659.2 
3,281.6 
245.7 
8,919.9 

313.0 
215.9 
596.2 
198.0 
3.7 
1,326.8 
2,712.2 
22.8 
250.5 
20.3 
368.7 

— 

— 

3.0 
6,042.6 
1,600.3 
(2,531.5)   
(238.2)   
4,876.2 
9,071.2  $ 

3.0 
5,965.8 
298.3 
(1,989.4) 
(59.1) 
4,218.6 
8,919.9 

F-7

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Table of Contents

Balance at September 28, 
2019

Noncontrolling interest 
created in acquisition

Accounting standard 
transition adjustment - ASC 
842
Exercise of stock options

Vesting of restricted stock 
units, net of shares withheld 
for employee taxes
Common stock issued 
under the employee stock 
purchase plan

Stock-based compensation 
expense

Net income (loss)

Foreign currency 
translation adjustment

Adjustment to minimum 
pension liability, net

Repurchase of common 
stock

Accelerated share 
repurchase agreement

Unrealized loss on interest 
rate cap

Unrealized loss on interest 
rate swap

Interest cost of interest rate 
cap reclassified to income

Purchase of non-controlling 
interest

Balance at September 26, 
2020

Exercise of stock options

Vesting of restricted stock 
units, net of shares withheld 
for employee taxes
Common stock issued 
under the employee stock 
purchase plan
Stock-based compensation 
expense

Net income (loss)

Foreign currency 
translation adjustment

Adjustment to minimum 
pension liability, net

Repurchase of common 
stock

Unrealized gain on interest 
rate cap

Unrealized gain on interest 
rate swap

Interest cost of interest rate 
cap reclassified to income

Purchase of non-controlling 
interest

Balance at September 25, 
2021

Hologic, Inc.

Consolidated Statements of Stockholders' Equity
(In millions, except number of shares, which are reflected in thousands)

Common Stock

Number of
Shares

Par 
Value

Additional
Paid-in-
Capital

Retained
Earnings 
(Accumulated 
Deficit)

Accumulated
Other
Comprehensive
Loss

Treasury Stock

Number of
Shares

Amount

Noncontrolling 
Interest

Total
Stockholders’
Equity

  292,323  $  2.9  $  5,769.8  $ 

(2,688.7)  $ 

(42.3) 

24,638  $ 

(926.0)  $ 

—  $ 

2,115.7 

— 

  — 

— 

— 

  — 

1,761 

  — 

— 

48.3 

611 

  — 

(14.2) 

412 

  — 

— 
— 

  — 
  — 

— 

  — 

— 

  — 

— 

  — 

— 

  — 

— 

  — 

— 

  — 

— 

  — 

17.6 

83.3 
— 

— 

— 

— 

— 

— 

— 

— 

— 

0.3 

— 

— 

— 
1,115.2 

— 

— 

— 

— 

— 

— 

— 

—  $  —  $ 

—  $ 

—  $ 

— 

— 

— 

— 

— 

— 
— 

18.5 

(0.1) 

— 

— 

(0.5) 

(27.6) 

2.3 

— 

— 

— 

— 

— 

— 

— 
— 

— 

— 

— 

— 

— 

— 

— 

— 
— 

— 

— 

9,064 

(448.6) 

3,907 

(205.0) 

— 

— 

— 

—  $ 

— 

— 

— 

— 

8.6 

— 

— 

— 

— 

— 
(4.7) 

— 

— 

— 

— 

— 

— 

— 

(1.8) 

8.6 

0.3 

48.3 

(14.2) 

17.6 

83.3 
1,110.5 

18.5 

(0.1) 

(448.6) 

(205.0) 

(0.5) 

(27.6) 

2.3 

(1.8) 

  295,107  $  2.9  $  5,904.8  $ 

(1,573.2)  $ 

(49.7) 

37,609  $ (1,579.6)  $ 

2.1  $ 

2,707.3 

857 

  — 

32.9 

980 

0.1 

(47.6) 

362 

  — 

— 

— 

  — 

  — 

— 

  — 

— 

  — 

— 

  — 

— 

  — 

— 

  — 

— 

  — 

18.9 

65.0 

— 

— 

— 

— 

— 

— 

— 

— 

  — 

(8.2) 

— 

— 

— 

— 

1,871.5 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

(20.2) 

0.5 

— 

0.4 

9.4 

0.5 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

6,044 

(409.8) 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

(1.8) 

— 

— 

— 

— 

— 

— 

32.9 

(47.5) 

18.9 

65.0 

1,869.7 

(20.2) 

0.5 

(409.8) 

0.4 

9.4 

0.5 

(0.3) 

(8.5) 

  297,306  $  3.0  $  5,965.8  $ 

298.3  $ 

(59.1) 

43,653  $ (1,989.4)  $ 

—  $ 

4,218.6 

F-8

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Table of Contents

Exercise of stock options

Vesting of restricted stock 
units, net of shares withheld 
for employee taxes
Common stock issued 
under the employee stock 
purchase plan
Stock-based compensation 
expense

Net income

Foreign currency 
translation adjustment

Adjustment to minimum 
pension liability, net

Repurchase of common 
stock

Unrealized gain on interest 
rate swap

Balance at September 24, 
2022

336 

  — 

13.8 

561 

  — 

(22.9) 

330 

  — 

— 

— 

  — 

  — 

— 

  — 

— 

  — 

— 

  — 

— 

  — 

19.2 

66.7 

— 

— 

— 

— 

— 

— 

— 

— 

— 

1,302.0 

— 

— 

— 

— 

— 

— 

— 

— 

— 

(224.1) 

1.0 

— 

44.0 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

7,748 

(542.1) 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

13.8 

(22.9) 

19.2 

66.7 

1,302.0 

(224.1) 

1.0 

(542.1) 

44.0 

  298,533  $  3.0  $  6,042.6  $ 

1,600.3  $ 

(238.2) 

51,401  $ (2,531.5)  $ 

—  $ 

4,876.2 

See accompanying notes.

F-9

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Table of Contents

Hologic, Inc.

Consolidated Statements of Cash Flows
(In millions)

Years ended

September 24,
2022

September 25,
2021

September 26,
2020

$ 

1,302.0  $ 

1,869.7 

$ 

1,110.5 

83.1 

292.9 

83.3 

(94.4) 

30.2 

0.3 

— 

27.0 

(427.1) 

(25.3) 

(3.8) 

(286.2) 

(4.9) 

96.0 

15.0 

896.6 

(119.4) 

139.3 

(98.3) 

— 

(58.1) 

— 

(5.1) 

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 and other non-cash taxes
Intangible asset and equipment impairment charges

Contingent consideration fair value adjustments

Debt extinguishment loss

Other adjustments and non-cash items
Changes in operating assets and liabilities, excluding the effect of 
acquisitions and dispositions:

Accounts receivable

Inventory

Prepaid income taxes

Prepaid expenses and other assets

Accounts payable

Accrued expenses and other liabilities

Deferred revenue

89.2 

340.9 

66.7 

(166.2) 

45.1 

(39.5) 

0.7 

32.6 

272.3 

(136.6) 

(23.3) 

384.3 

(14.4) 

(15.8) 

(12.3) 

88.0 

318.9 

65.0 

(70.1) 

— 

(6.7) 

21.6 

31.0 

110.9 

(84.1) 

13.0 

(56.3) 

20.4 

(4.9) 

14.0 

Net cash provided by operating activities

2,125.7 

2,330.4 

INVESTING ACTIVITIES

Acquisition of businesses, net of cash acquired

(158.6) 

(1,164.7) 

Net proceeds from sale of business

Purchase of property and equipment

Proceeds from the Department of Defense

Increase in equipment under customer usage agreements

Purchase of intellectual property

Other activity

— 

(70.6) 

75.0 

(56.6) 

— 

4.5 

— 

(118.3) 

21.5 

(59.4) 

(6.5) 

(2.2) 

Net cash used in investing activities

(206.3) 

(1,329.6) 

(141.6) 

FINANCING ACTIVITIES

Proceeds from long-term debt, net of issuance costs

Repayment of long-term debt

Proceeds from senior notes, net of issuance costs

Repayment of senior notes

Proceeds from revolving credit line

Repayments under revolving credit line

Proceeds from accounts receivable securitization agreement

Repayments under accounts receivable securitization agreement

Repayment of acquired long-term debt

Purchase of non-controlling interest

Payment of contingent consideration

Payment of deferred acquisition consideration

Repurchases of common stock

F-10

1,491.2 

(1,387.5) 

— 

— 

— 

— 

— 

(248.5) 

(63.7) 

— 

(12.2) 

— 

— 

(75.0) 

936.3 

(970.8) 

— 

(250.0) 

320.0 

(71.5) 

— 

(8.5) 

— 

(1.9) 

(542.1) 

(409.8) 

— 

(45.8) 

— 

— 

750.0 

(500.0) 

16.0 

(250.0) 

— 

(1.8) 

— 

(24.3) 

(653.6) 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Table of Contents

Net proceeds from issuance of common stock under employee stock plans

33.5 

51.3 

65.6 

Payment of minimum tax withholdings on net share settlements of equity 
awards

Payments under finance lease obligations

Net cash used in financing activities

Effect of exchange rate changes on cash and cash equivalents

Net increase in cash and cash equivalents

Cash and cash equivalents, beginning of period

Cash and cash equivalents, end of period

(22.9) 

(3.8) 

(756.0) 

5.8 

1,169.2 

1,170.3 

(47.5) 

(2.4) 

(529.8) 

(1.7) 

469.3 

701.0 

$ 

2,339.5  $ 

1,170.3 

$ 

(14.3) 

(1.7) 

(659.9) 

4.1 

99.2 

601.8 

701.0 

See accompanying notes.

F-11

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Table of Contents

Notes to Consolidated Financial Statements
(all tabular amounts in millions, except number of shares which are reflected in thousands)

Hologic, Inc.

1. Operations

Hologic, Inc. (the “Company” or “Hologic”) develops, manufactures and supplies premium diagnostics products, medical 
imaging  systems,  and  surgical  products  with  an  emphasis  on  women's  health  and  well-being  through  early  detection  and 
treatment.  Until  December  30,  2019,  the  Company's  product  portfolio  included  light-based  aesthetic  and  medical  treatment 
systems sold by its former Medical Aesthetics business. The Company completed the sale of its Medical Aesthetics segment on 
December 30, 2019 (the first day of the second quarter of fiscal 2020). 

2. Summary of Significant Accounting Policies

Principles of Consolidation

The  consolidated  financial  statements  include  the  accounts  of  the  Company  and  its  wholly  owned  subsidiaries.  All 
intercompany  transactions  and  balances  have  been  eliminated  in  consolidation.  The  Company’s  fiscal  year  ends  on  the  last 
Saturday  in  September.  Fiscal  2022,  2021  and  2020  ended  on  September  24,  2022,  September  25,  2021  and  September  26, 
2020, respectively. Fiscal 2022, 2021 and 2020 were 52-week years. Fiscal 2023 will be a 53-week year. 

Subsequent Events Consideration

The  Company  considers  events  or  transactions  that  occur  after  the  balance  sheet  date  but  prior  to  the  issuance  of  the 
financial  statements  to  provide  additional  evidence  for  certain  estimates  or  to  identify  matters  that  may  require  additional 
disclosure. Subsequent events have been evaluated as required. There were no material recognized or unrecognized subsequent 
events recorded in the consolidated financial statements as of and for the year ended September 24, 2022.

Management’s Estimates and Uncertainties

The  preparation  of  financial  statements  in  conformity  with  U.S.  generally  accepted  accounting  principles  ("GAAP") 
requires management to make significant estimates and assumptions that affect the reported amounts of assets and liabilities and 
disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and 
expenses  during  the  reporting  periods.  Significant  estimates  and  assumptions  by  management  affect  the  Company’s  revenue 
recognition  for  multiple  performance  obligation  arrangements,  valuations,  purchase  price  allocations  and  contingent 
consideration  related  to  business  combinations,  expected  future  cash  flows  including  growth  rates,  discount  rates,  terminal 
values and other assumptions and estimates used to evaluate the recoverability of long-lived assets and goodwill, estimated fair 
values of intangible assets and goodwill, amortization methods and periods, accounts receivable reserves, inventory excess and 
obsolescence  reserves,  warranty  reserves,  certain  accrued  expenses,  restructuring  and  other  related  charges,  contingent 
liabilities,  tax  reserves,  deferred  tax  rates  and  recoverability  of  the  Company’s  net  deferred  tax  assets  and  related  valuation 
allowances, and stock-based compensation.

Although  the  Company  regularly  assesses  these  estimates,  actual  results  could  differ  materially  from  these  estimates. 
Changes in estimates are recorded in the period in which they become known. The Company bases its estimates on historical 
experience and various other assumptions that it believes to be reasonable under the circumstances.

The Company is subject to a number of risks similar to those of other companies of similar size in its industry, including 
supply chain constraints primarily related to electronic components, primarily semiconductor chips, dependence on third-party 
reimbursements  to  support  the  markets  of  the  Company’s  products,  early  stage  of  development  of  certain  products,  rapid 
technological changes, recoverability of long-lived assets (including intangible assets and goodwill), competition, stability of 
world  financial  markets,  ability  to  obtain  regulatory  approvals,  changes  in  the  regulatory  environment,  limited  number  of 
suppliers, customer concentration, integration of acquisitions, substantial indebtedness, government regulations, management of 
international activities, protection of proprietary rights, patent and other litigation, dependence on contract manufacturers and 
dependence on key individuals.

Cash Equivalents

Cash equivalents are highly liquid investments with insignificant interest rate risk and maturities of three months or less 

at the time of acquisition.

F-12

Table of Contents

Concentrations of Credit Risk

Financial  instruments  that  subject  the  Company  to  credit  risk  primarily  consist  of  cash  and  cash  equivalents,  equity 
investments and trade accounts receivable. The Company invests its cash and cash equivalents with high credit quality financial 
institutions.

The Company’s customers are principally located in the U.S., Europe and Asia. The Company performs ongoing credit 
evaluations  of  the  financial  condition  of  its  customers  and  generally  does  not  require  collateral.  Although  the  Company  is 
directly  affected  by  the  overall  financial  condition  of  the  healthcare  industry,  as  well  as  global  economic  conditions, 
management  does  not  believe  significant  credit  risk  exists  as  of  September  24,  2022.  The  Company  generally  has  not 
experienced  any  material  losses  related  to  receivables  from  individual  customers  or  groups  of  customers  in  the  healthcare 
industry.  The  Company  maintains  an  allowance  for  doubtful  accounts  based  on  accounts  past  due  and  historical  collection 
experience.

There  were  no  customers  with  a  balance  greater  than  10%  of  accounts  receivable  as  of  September  24,  2022  and 
September 25, 2021. There were no customers that represented greater than 10% of consolidated revenues for fiscal years 2022, 
2021 and 2020.

Concentration of Suppliers

The Company purchases certain components of its products from a single or small number of suppliers. A change in or 
loss of these suppliers could cause a delay in filling customer orders and a possible loss of sales, which could adversely affect 
results of operations.

Supplemental Cash Flow Statement Information

Years ended

Cash paid during the period for income taxes
Cash paid during the period for interest

Non-Cash Financing Activities:

Fair value of contingent consideration at acquisition

$ 

$ 

$ 

36.2  $ 

99.7  $ 

615.1  $ 

93.2  $ 

—  $ 

—  $ 

265.9 

109.5 

82.7 

September 24, 2022

September 25, 2021

September 26, 2020

Cash paid for income taxes presented above is net of tax refunds of $430.4 million, $13.7 million and $15.5 million for 

fiscal years 2022, 2021 and 2020, respectively, driven primarily by federal and state loss carryback claims.

Inventories

Inventories  are  valued  at  the  lower  of  cost  or  market  on  a  first-in,  first-out  basis.  Work-in-process  and  finished  goods 
inventories consist of materials, labor and manufacturing overhead. The valuation of inventory requires management to estimate 
excess and obsolete inventory. The Company employs a variety of methodologies to determine the net realizable value of its 
inventory.  Provisions  for  excess  and  obsolete  inventory  are  primarily  based  on  management’s  estimates  of  forecasted  sales, 
usage levels and expiration dates, as applicable for certain disposable products. A significant change in the timing or level of 
demand for the Company’s products compared to forecasted amounts may result in recording additional charges for excess and 
obsolete  inventory  in  the  future.  The  Company  records  charges  for  excess  and  obsolete  inventory  within  cost  of  product 
revenues.

Inventories consisted of the following:

Raw materials
Work-in-process
Finished goods

September 24, 2022

September 25, 2021

$ 

$ 

252.9  $ 

60.1 
310.7 
623.7  $ 

163.3 
53.0 
284.9 
501.2 

F-13

 
 
 
 
 
 
 
Table of Contents

Property, Plant and Equipment

Property,  plant  and  equipment  is  recorded  at  cost  less  accumulated  depreciation  and  impairments.  The  straight-line 

method of depreciation is used for all property and equipment. 

Property, plant and equipment consisted of the following:

Equipment
Equipment under customer usage agreements
Buildings and improvements
Leasehold improvements

Land
Furniture and fixtures
Finance lease right-of-use asset

Less - accumulated depreciation and 
amortization

Estimated Useful Life
3–10 years
3–8 years
20–35 years
Shorter of the Original Term 
of Lease
or Estimated Useful Life

5–7 years

September 24, 2022

September 25, 2021

$ 

$ 

394.8  $ 
486.5 
196.0 

44.8 
40.9 
16.7 
7.5 
1,187.2 

(705.6)   
481.6  $ 

467.1 
484.6 
191.2 

49.7 
41.3 
16.8 
9.9 
1,260.6 

(695.9) 
564.7 

Equipment under customer usage agreements primarily consists of diagnostic instruments located at customer sites but 
owned by the Company. Generally, the customer has the right to use the equipment for a period of time provided they meet 
certain agreed to conditions. The Company recovers the cost of providing the equipment from the sale of disposables, primarily 
assays, tests and handpieces. The depreciation costs associated with equipment under customer usage agreements are charged to 
cost of product revenues over the estimated useful life of the equipment. The costs to maintain the equipment in the field are 
charged to cost of product revenue as incurred.

In September 2020 and October 2020, the Company was awarded grants of $7.6 million and $119.3 million, respectively, 
from the Department of Defense Joint Acquisition Task Force ("DOD") to expand production capacity for the Company's two 
SARS-CoV-2 assays. These grants are specifically to fund capital equipment and labor investments to increase manufacturing 
capacity to enable the Company to provide a certain amount of COVID-19 tests per month for the U.S. market. The Company is 
accounting  for  the  funds  received  under  these  grants  as  a  reimbursement  of  the  purchased  capital  equipment.  The  Company 
procures and pays for the capital equipment and necessary resources to build out its facility and construct the manufacturing 
lines to meet the requirements specified in the grant agreement. Subsequent to the Company paying for the capital equipment, 
the DOD will reimburse the Company upon it meeting certain requirements. However, the DOD retains title to assets purchased 
under the agreement, and title is transferred to the Company upon meeting certain milestones of the manufacturing efforts and 
obtaining  approval  from  the  DOD  that  the  respective  milestone  has  been  met.  As  of  September  24,  2022,  the  Company  had 
$20.5 million of capital equipment that was awaiting approval from the DOD pending completion of the defined milestones. In 
fiscal 2022 and 2021, the Company received $75.0 million and $21.5 million, respectively, from the DOD for reimbursement of 
capital equipment, which has been recorded as a reduction of the cost basis of the purchased equipment. In addition, a portion 
of the DOD grant funds expenditures in connection with the project that don't qualify for capitalization and are recorded as a 
reduction to expenses, which was $7.6 million and $1.3 million in fiscal 2022 and 2021, respectively. Payments under these 
grants are subject to satisfaction of the conditions of the grants, including applicable governmental appropriations.

Long-Lived Assets

The  Company  reviews  its  long-lived  assets,  which  includes  property,  plant  and  equipment  and  identifiable  intangible 
assets (see below for discussion of intangible assets), for impairment whenever events or changes in circumstances indicate that 
the carrying amount of an asset may not be recoverable in accordance with ASC 360-10-35-15, Property, Plant and Equipment
—Impairment  or  Disposal  of  Long-Lived  Assets  (ASC  360).  Recoverability  of  these  assets  is  evaluated  by  comparing  the 
carrying  value  of  the  assets  to  the  undiscounted  cash  flows  estimated  to  be  generated  by  those  assets  over  their  remaining 
economic  life.  If  the  undiscounted  cash  flows  are  not  sufficient  to  recover  the  carrying  value  of  the  assets,  the  assets  are 
considered impaired. The impairment loss is measured by comparing the fair value of the assets to their carrying value. Fair 
value is determined by either a quoted market price, if any, or a value determined by a discounted cash flow technique. 

Business Combinations and Acquisition of Intangible Assets

F-14

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Table of Contents

The Company accounts for the acquisition of a business in accordance with ASC 805, Business Combinations (ASC 805). 
Amounts paid to acquire a business are allocated to the assets acquired and liabilities assumed based on their fair values at the 
date of acquisition. Contingent consideration not deemed to be linked to continuing employment is recorded at fair value on the 
date of acquisition. The value recorded is based on estimates of future financial projections under various potential scenarios 
using a Monte Carlo simulation. These cash flow projections are discounted with an appropriate risk adjusted rate. Each quarter 
until such contingent amounts are earned, the fair value of the liability is remeasured and adjusted as a component of operating 
expenses  based  on  changes  to  the  underlying  assumptions.  The  estimates  used  to  determine  the  fair  value  of  the  contingent 
consideration  liability  are  subject  to  significant  judgment  and  actual  results  are  likely  to  differ  from  the  amounts  originally 
recorded.  The  Company  determines  the  fair  value  of  acquired  intangible  assets  based  on  detailed  valuations  that  use  certain 
information and assumptions provided by management. The Company allocates any excess purchase price over the fair value of 
the net tangible and intangible assets acquired to goodwill.

The Company uses the income approach to determine the fair value of developed technology and in-process research and 
development ("IPR&D") acquired in a business combination. This approach determines fair value by estimating the after-tax 
cash  flows  attributable  to  the  respective  asset  over  its  useful  life  and  then  discounting  these  after-tax  cash  flows  back  to  a 
present value. The Company bases its revenue assumptions on estimates of relevant market sizes, expected market growth rates, 
expected  trends  in  technology  and  expected  product  introductions  by  competitors.  Developed  technology  represents  patented 
and unpatented technology and know-how. The value of the in-process projects is based on the project's stage of completion, 
the  complexity  of  the  work  completed  as  of  the  acquisition  date,  the  projected  costs  to  complete,  the  contribution  of  core 
technologies  and  other  acquired  assets,  the  expected  introduction  date,  the  estimated  cash  flows  to  be  generated  upon 
commercial  release  and  the  estimated  useful  life  of  the  technology.  The  Company  believes  that  the  estimated  developed 
technology and IPR&D amounts represent the fair value at the date of acquisition and do not exceed the amount a third-party 
would pay for the assets. The significant assumptions used to estimate the fair value of intangible assets include discount rates 
and  certain  assumptions  that  form  the  basis  of  the  forecasted  results  specifically  revenue  growth  rates.  These  significant 
assumptions are forward looking and could be affected by future economic and market conditions.

The Company also uses the income approach, as described above, to determine the estimated fair value of certain other 
identifiable  intangible  assets  including  customer  relationships,  and  trade  names.  Customer  relationships  represent  established 
relationships  with  customers,  which  provide  a  ready  channel  for  the  sale  of  additional  products  and  services.  Trade  names 
represent acquired company and product names.

Intangible Assets and Goodwill

Intangible Assets

Intangible  assets  are  initially  recorded  at  fair  value  and  stated  net  of  accumulated  amortization  and  impairments.  The 
Company amortizes its intangible assets that have finite lives using either the straight-line method, or if reliably determinable, 
based on the pattern in which the economic benefit of the asset is expected to be utilized. Amortization is recorded over the 
estimated  useful  lives  ranging  from  5  to  30  years.  The  Company  evaluates  the  recoverability  of  its  definite  lived  intangible 
assets whenever events or changes in circumstances or business conditions indicate that the carrying value of these assets may 
not be recoverable based on expectations of future undiscounted cash flows for each asset group. If the carrying value of an 
asset or asset group exceeds its undiscounted cash flows, the Company estimates the fair value of the assets, generally utilizing 
a discounted cash flow analysis based on the present value of after-tax cash flows to be generated by the assets using a risk-
adjusted discount rate. To estimate the fair value of the assets, the Company uses market participant assumptions pursuant to 
ASC 820, Fair Value Measurements.

Indefinite lived intangible assets, such as IPR&D assets, are initially recorded at fair value and are required to be tested 
for  impairment  annually,  or  more  frequently  if  indicators  of  impairment  are  present.  The  Company’s  annual  impairment  test 
date is as of the first day of its fourth quarter. 

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Table of Contents

Intangible assets consisted of the following:

Description
Acquired intangible assets:

Developed technology
In-process research and development
Customer relationships
Trade names

Total acquired intangible assets

Internal-use software
Capitalized software embedded in products

Total intangible assets

September 24, 2022

September 25, 2021

Gross
Carrying
Value

Accumulated
Amortization

Gross
Carrying
Value

Accumulated
Amortization

$ 

$ 

$ 

4,565.6  $ 
33.0 
601.9 
265.2 
5,465.7  $ 

26.0 
26.5 
5,518.2  $ 

3,458.2  $ 
— 
535.6 
203.3 
4,197.1  $ 

19.9 
20.6 
4,237.6  $ 

4,597.7  $ 
71.6 
591.7 
268.1 
5,529.1  $ 

23.5 
25.5 
5,578.1  $ 

3,184.2 
— 
510.1 
191.8 
3,886.1 

17.2 
15.6 
3,918.9 

During  the  fourth  quarter  of  fiscal  2022,  the  Company  performed  its  annual  impairment  test  of  its  only  IPR&D 
intangible  asset,  which  was  acquired  in  the  Mobidiag  Oy  acquisition.  The  Company  determined  the  fair  value  of  the  asset 
utilizing a DCF model and recorded a $27.7 million impairment charge. The reduction in fair value was due to an increase in 
the discount rate from higher interest rates, a reduction in forecasted revenues and timing of completing the project. During the 
fourth  quarter  of  fiscal  2022,  the  Company  identified  a  certain  product  line  associated  with  the  Focal  Therapeutics,  Inc. 
acquisition that would no longer be commercially sold. As a result, the Company recorded an impairment charge to write-off a 
developed  technology  asset  of  $8.2  million.  During  the  third  quarter  of  fiscal  2022,  the  Company  identified  certain  product 
lines  associated  with  the  Faxitron  Bioptics,  LLC  acquisition  that  would  no  longer  be  commercially  sold.  As  a  result,  the 
Company recorded an impairment charge to write-off the developed technology assets of $9.2 million. During the first quarter 
of  fiscal  2022,  the  Company  acquired  Bolder  Surgical  Holdings,  Inc.  and  recorded  $73.6  million  of  developed  technology, 
$21.7 million of customer relationships and $1.4 million of trade names based on its preliminary purchase accounting. 

During  the  third  quarter  of  fiscal  2021,  the  Company  acquired  Mobidiag  and  recorded  $285.0  million  of  developed 
technology, $74.0 million of in-process research and development, $20.9 million of customer relationships and $20.0 million of 
trade names. During the second quarter of fiscal 2021, the Company acquired Biotheranostics, Inc. and recorded $160.3 million 
of  developed  technology  and  $2.1  million  of  trade  names.  During  the  second  quarter  of  fiscal  2021,  the  Company  acquired 
Diagenode  SA  and  recorded  $69.8  million  of  developed  technology  and  $9.2  million  of  customer  relationships.  During  the 
second  quarter  of  fiscal  2021,  the  Company  acquired  Somatex  Medical  Technologies  GmbH  and  recorded  $38.0  million  of 
developed technology, $1.2 million of customer relationships and $0.9 million of trade names.

Amortization  expense  related  to  developed  technology  is  classified  as  cost  of  product  revenues—amortization  of 
intangible  assets.  Amortization  expense  related  to  customer  relationships,  and  trade  names  is  classified  as  a  component  of 
amortization of intangible assets within operating expenses.

The estimated amortization expense at September 24, 2022 for each of the five succeeding fiscal years was as follows:

Fiscal 2023
Fiscal 2024
Fiscal 2025
Fiscal 2026
Fiscal 2027

$ 
$ 
$ 
$ 
$ 

234.8 
221.1 
207.4 
175.8 
84.6 

F-16

 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Table of Contents

Goodwill

In accordance with ASC 350, Intangibles—Goodwill and Other (ASC 350), the Company tests goodwill for impairment 
annually at the reporting unit level and between annual tests if events and circumstances indicate it is more likely than not that 
the fair value of a reporting unit is less than its carrying value. Events that could indicate impairment and trigger an interim 
impairment assessment include, but are not limited to, current economic and market conditions, including a decline in market 
capitalization,  a  significant  adverse  change  in  legal  factors,  business  climate,  operational  performance  of  the  business  or  key 
personnel, and an adverse action or assessment by a regulator. 

In performing the impairment test, the Company utilizes the single-step approach prescribed under Accounting Standards 
Update  No.  2017-04,  Intangibles-Goodwill  and  Other  (Topic  350):  Simplifying  the  Test  for  Goodwill  Impairment  (ASU 
2017-04). This approach requires a comparison of the carrying value of each reporting unit to its estimated fair value and to the 
extent  the  carrying  value  exceeds  the  fair  value  a  charge  is  recorded  up  to  the  amount  of  goodwill  in  the  reporting  unit.  To 
estimate  the  fair  value  of  its  reporting  units,  the  Company  primarily  utilizes  the  income  approach.  The  income  approach  is 
based on a DCF analysis and calculates the fair value by estimating the after-tax cash flows attributable to a reporting unit and 
then  discounting  the  after-tax  cash  flows  to  present  value  using  a  risk-adjusted  discount  rate.  Assumptions  used  in  the  DCF 
require  significant  judgment,  including  judgment  about  appropriate  discount  rates  and  terminal  values,  growth  rates,  and  the 
amount and timing of expected future cash flows. The forecasted cash flows are based on the Company’s most recent budget 
and strategic plan and for years beyond this period, the Company’s estimates are based on assumed growth rates expected as of 
the measurement date. The Company believes its assumptions are consistent with the plans and estimates used to manage the 
underlying businesses. The discount rates used are intended to reflect the risks inherent in future cash flow projections and are 
based on estimates of the weighted-average cost of capital (“WACC”) of market participants. The market approach considers 
comparable  market  data  based  on  multiples  of  revenue  or  earnings  before  interest,  taxes,  depreciation  and  amortization 
(“EBITDA”)  and  is  primarily  used  as  a  corroborative  analysis  to  the  results  of  the  DCF  analysis.  The  Company  believes  its 
assumptions  used  to  determine  the  fair  value  of  its  reporting  units  are  reasonable.  If  different  assumptions  were  used, 
particularly  with  respect  to  forecasted  cash  flows,  terminal  values,  WACCs,  or  market  multiples,  different  estimates  of  fair 
value may result and there could be the potential that an impairment charge could result. Actual operating results and the related 
cash flows of the reporting units could differ from the estimated operating results and related cash flows.

The Company conducted its fiscal 2022 impairment test for its reporting units on the first day of the fourth quarter, and as 
noted  above  used  DCF  and  market  approaches  to  estimate  the  fair  value  of  its  reporting  units  as  of  June  26,  2022,  and 
ultimately  used  the  fair  value  determined  by  the  DCF  approach  in  making  its  impairment  test  conclusions.  As  a  result  of 
completing this analysis, all of the Company's reporting units had fair values exceeding their carrying values. 

At September 24, 2022, the Company believes that its reporting units, with goodwill aggregating $3.2 billion, were not at 

risk of failing the goodwill impairment test based on its current forecasts and qualitative assessment.

The Company conducted its fiscal 2021 and 2020 impairment tests for its reporting units on the first day of the fourth 
quarter  of  its  respective  fiscal  year,  and  as  noted  above  used  DCF  and  market  approaches  to  estimate  the  fair  value  of  its 
reporting units as of the measurement date, and ultimately used the fair value determined by the DCF approach in making its 
impairment test conclusions. The Company believes it used reasonable estimates and assumptions about future revenue, cost 
projections,  cash  flows,  market  multiples  and  discount  rates  as  of  each  measurement  date.  As  a  result  of  completing  these 
analyses, all of the Company's reporting units had fair values exceeding their carrying values.

A rollforward of goodwill activity by reportable segment from September 25, 2021 to September 24, 2022 is as follows: 

Diagnostics

Breast Health

GYN Surgical

Skeletal Health

Total

Balance at September 25, 2021 $ 
Mobidiag acquisition
Bolder acquisition
Foreign currency and other 
adjustments
Balance at September 24, 2022 $ 

1,410.8  $ 
(4.9)   
— 

797.1  $ 
— 
— 

1,065.6  $ 
— 
68.8 

8.1  $ 
— 
— 

3,281.6 
(4.9) 
68.8 

(92.1)   
1,313.8  $ 

(15.3) 
781.8  $ 

(1.5)   
1,132.9  $ 

(0.1)   
8.0  $ 

(109.0) 
3,236.5 

Other Assets

Other assets consisted of the following:

F-17

 
 
 
 
 
 
 
 
 
 
 
Table of Contents

September 24, 2022

September 25, 2021

Other Assets
Tax receivable
Operating lease right of use 
assets
Life insurance contracts
Deferred tax assets
Equity investments
Other

$ 

$ 

30.4  $ 
68.9 
49.2 
16.2 
5.5 
40.3 

210.5  $ 

24.7 
83.6 
64.3 
21.9 
9.5 
41.7 
245.7 

The  right  of  use  assets  were  recorded  in  connection  with  the  adoption  of  ASC  842,  Leases,  and  pertains  to  operating 
leases. Life insurance contracts were purchased in connection with the Company’s Nonqualified Deferred Compensation Plan 
(“DCP”) and are recorded at their cash surrender value (see Note 12 for further discussion). 

Research and Software Development Costs

Costs  incurred  for  the  research  and  development  of  the  Company’s  products  are  expensed  as  incurred.  Nonrefundable 
advance  payments  for  goods  or  services  to  be  received  in  the  future  by  the  Company  for  use  in  research  and  development 
activities are deferred. The deferred costs are expensed as the related goods are delivered or the services are performed.

The Company accounts for the development costs of software embedded in the Company’s products in accordance with 
ASC  985,  Software.  Costs  incurred  in  the  research,  design  and  development  of  software  embedded  in  products  to  be  sold  to 
customers  are  charged  to  expense  until  technological  feasibility  of  the  ultimate  product  to  be  sold  is  established.  The 
Company’s policy is that technological feasibility is achieved when a working model, with the key features and functions of the 
product,  is  available  for  customer  testing.  Software  development  costs  incurred  after  the  establishment  of  technological 
feasibility and until the product is available for general release are capitalized, provided recoverability is reasonably assured. 
Capitalized software development costs are amortized over their estimated useful life and recorded within cost of revenues - 
product.

Foreign Currency Translation

The  financial  statements  of  the  Company’s  foreign  subsidiaries  are  translated  in  accordance  with  ASC  830,  Foreign 
Currency  Matters.  The  reporting  currency  for  the  Company  is  the  U.S.  dollar.  The  functional  currency  of  the  Company’s 
foreign  subsidiaries  is  determined  based  on  the  guidance  in  ASC  830.  The  majority  of  the  Company's  foreign  subsidiaries' 
functional currency is the applicable local currency, although certain of the Company's foreign subsidiaries' functional currency 
is  the  U.S.  dollar  based  on  the  nature  of  their  operations  or  functions.  Assets  and  liabilities  of  subsidiaries  whose  functional 
currency  is  the  local  currency  are  translated  at  the  exchange  rate  in  effect  at  each  balance  sheet  date.  Before  translation,  the 
Company  re-measures  foreign  currency  denominated  assets  and  liabilities,  including  inter-company  accounts  receivable  and 
payable, into the functional currency of the respective entity, resulting in unrealized gains or losses recorded in other income 
(expense), net in the Consolidated Statements of Income. Revenues and expenses are translated using average exchange rates 
during the respective period. Foreign currency translation adjustments are accumulated as a component of other comprehensive 
income (loss), which is a separate component of stockholders’ equity. Gains and losses arising from transactions denominated 
in foreign currencies are included in other income (expense), net in the Consolidated Statements of Income. During fiscal years 
2022,  2021  and  2020,  the  Company  recorded  net  foreign  exchange  gains  (losses)  of  $48.5  million,  $(15.1)  million,  and 
$3.4 million, respectively.

Accumulated Other Comprehensive Income (Loss)

Other  comprehensive  income  (loss)  includes  certain  transactions  that  have  generally  been  reported  in  the  statement  of 
stockholders’  equity.  The  following  tables  summarize  the  components  and  changes  in  accumulated  balances  of  other 
comprehensive loss for the periods presented:

F-18

 
 
 
 
 
 
 
 
 
 
Table of Contents

Year Ended September 24, 2022

Year Ended September 25, 2021

Foreign 
Currency 
Translation

Pension 
Plans

Hedged 
Interest 
Rate 
Swaps

Foreign 
Currency 
Translation 

Pension 
Plans

Hedged 
Interest 
Rate Caps

Total

Hedged 
Interest 
Rate 
Swaps

Total

Beginning Balance

$ 

(43.1)  $ 

(1.3)  $ 

(14.7)  $ 

(59.1)  $ 

(22.9)  $ 

(1.8)  $ 

(0.9)  $ 

(24.1)  $ 

(49.7) 

Other comprehensive income 
(loss) before reclassifications

Charges reclassified to statement 
of operations

(224.1) 

— 

1.0 

— 

44.0 

(179.1) 

(20.2) 

— 

— 

— 

0.5 

— 

0.4 

0.5 

9.4 

— 

(9.9) 

0.5 

Ending Balance

$ 

(267.2)  $ 

(0.3)  $ 

29.3  $ 

(238.2)  $ 

(43.1)  $ 

(1.3)  $ 

—  $ 

(14.7)  $ 

(59.1) 

Derivatives

Interest Rate Risk - Cash Flow Hedge

The  Company  is  exposed  to  certain  risks  arising  from  both  its  business  operations  and  economic  conditions.  The 
Company  manages  its  exposure  to  some  of  its  interest  rate  risk  through  the  use  of  interest  rate  swaps,  which  are  derivative 
financial instruments. The Company does not use derivatives for speculative purposes. For a derivative that is designated as a 
cash  flow  hedge,  changes  in  the  fair  value  of  the  derivative  are  recognized  in  accumulated  other  comprehensive  income 
("AOCI") to the extent the derivative is effective at offsetting the changes in the cash flows being hedged until the hedged item 
affects earnings.

During  fiscal  2018,  the  Company  entered  into  separate  interest  rate  cap  agreements  with  multiple  counter-parties  to 
mitigate the interest rate volatility associated with the variable interest rate on its amounts borrowed under the term loan feature 
of its credit facilities (see Note 7). Interest rate cap agreements provide the right to receive cash if the reference interest rate 
rises  above  a  contractual  rate.  During  fiscal  2019,  the  Company  entered  into  additional  separate  interest  rate  cap  agreements 
with multiple counter-parties to extend the expiration date of its hedges by an additional year. 

The critical terms of the interest rate caps were designed to mirror the terms of the Company’s LIBOR-based borrowings 
under its Credit Agreement, that has been amended multiple times, and therefore were highly effective at offsetting the cash 
flows  being  hedged.  The  Company  designated  these  derivatives  as  cash  flow  hedges  of  the  variability  of  the  LIBOR-based 
interest  payments  on  $1.0  billion  of  principal,  which  ended  on  December  27,  2019  (the  first  quarter  of  fiscal  2020)  for  the 
contracts  entered  into  in  fiscal  2018,  and  on  December  23,  2020  (the  first  quarter  of  fiscal  2021)  for  the  interest  rate  cap 
agreements entered into in fiscal 2019.

During fiscal 2021 and 2020, interest expense of $0.5 million and $2.3 million, respectively, was reclassified from AOCI 
to  the  Company's  Consolidated  Statements  of  Income  related  to  the  interest  rate  cap  agreements.  The  last  interest  rate  cap 
agreement matured as of December 26, 2020.

In fiscal 2019, in order to hedge a portion of its variable rate debt, the Company entered into an interest rate swap contract 
with an effective date of December 23, 2020 and a termination date of December 17, 2023. On August 25, 2022, the interest 
rate swap agreement (consistent with the Company's Credit Agreement; see Note 7) was restructured to convert the benchmark 
interest rate from LIBOR to the SOFR rate effective September 23, 2022 with a termination date of December 17, 2023. The 
Company  applied  the  practical  and  optional  expedients  in  ASC  848,  Reference  Rate  Reform,  in  evaluating  the  impact  of 
modifying the contract, which resulted in no change to the accounting for this derivative contract. The notional amount of this 
swap is $1.0 billion. The restructured interest rate swap effectively fixes the SOFR component of the variable interest rate on 
$1.0 billion of the notional amount under the 2021 Credit Agreement at 1.23%. The critical terms of the restructured interest 
rate swap are designed to mirror the terms of the Company’s SOFR-based borrowings under its credit agreement and therefore 
are highly effective at offsetting the cash flows being hedged. The Company designated this derivative as a cash flow hedge of 
the  variability  of  the  SOFR-based  interest  payments  on  $1.0  billion  of  principal.  Therefore,  changes  in  the  fair  value  of  the 
swap are recorded in AOCI and net of taxes were a gain of $44.0 million, a gain of $9.4 million and a loss of $27.6 million for 
fiscal years 2022, 2021, and 2020, respectively. The fair value of this derivative was in an asset position of $38.9 million as of 
September 24, 2022.

Forward Foreign Currency Contracts and Foreign Currency Option Contracts

The Company enters into forward foreign currency exchange contracts and foreign currency option contracts to mitigate 
certain operational exposures from the impact of changes in foreign currency exchange rates. Such exposures result from the 
portion of the Company's cash and operations that are denominated in currencies other than the U.S. dollar, primarily the Euro, 
the  UK  Pound,  the  Australian  dollar,  the  Canadian  dollar,  the  Chinese  Yuan  and  the  Japanese  Yen.  These  foreign  currency 
exchange contracts are entered into to support transactions made in the ordinary course of business and are not speculative in 
nature.  The  contracts  are  generally  for  periods  of  one  year  or  less.  The  Company  did  not  elect  hedge  accounting  for  these 
contracts; however, the Company may seek to apply hedge accounting in future scenarios. The change in the fair value of these 
contracts is recognized directly in earnings as a component of other income, net. 

F-19

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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September 24, 2022

September 25, 2021

September 26, 2020

Years Ended

Amount of realized (loss) gain recognized in income
Forward foreign currency contracts
Foreign currency option contracts

Amount of unrealized (loss) gain recognized in income
Forward foreign currency contracts
Foreign currency option contracts

Amount of gain (loss) recognized in income

Total

$ 

$ 

$ 

$ 

$ 

68.5  $ 
— 
68.5  $ 

14.7  $ 
5.5 
20.2  $ 

(3.6)  $ 
(6.1)   
(9.7)  $ 

0.5  $ 
(4.0)   
(3.5)  $ 

88.7  $ 

(13.2)  $ 

0.7 
(1.9) 
(1.2) 

(0.2) 
4.0 
3.8 

2.6 

As of September 24, 2022, the Company had outstanding forward foreign currency contracts that were not designated for 
hedge accounting and are used to hedge fluctuations in the U.S. dollar of certain of the Company's cash balances denominated 
in the Euro and UK pound, as well as forecasted transactions denominated in the Euro, UK pound, Australian Dollar, Canadian 
Dollar, Chinese Yuan and Japanese Yen with an aggregate notional amount of $458.1 million. 

Financial Instrument Presentation

The table below presents the fair value of the Company's derivative financial instruments as well as their classification on 

the balance sheet as of September 24, 2022:

Balance Sheet Location

September 24, 2022

September 25, 2021

Assets:

Derivative instrument designated as a cash flow hedge:

Interest rate swap contract

Prepaid expenses and 
other current assets

Interest rate swap contract

Other assets

Derivatives not designated as hedging instruments:

Forward foreign currency contracts

Foreign currency option contracts

Prepaid expenses and 
other current assets
Prepaid expenses and 
other current assets

Liabilities:

Derivative instruments designated as a cash flow hedge:

Interest rate swap contract

Interest rate swap contract

Total

Accrued expenses
Other long-term 
liabilities

Derivatives not designated as hedging instruments:

Forward foreign currency contracts

Accrued expenses

$ 

$ 

$ 

$ 

$ 

$ 

$ 

31.9  $ 

7.0 

38.9  $ 

15.8  $ 

10.6 
26.4  $ 

—  $ 

— 

—  $ 

—  $ 

— 

— 

— 

1.7 

— 
1.7 

11.1 

7.6 

18.7 

0.6 

The following table presents the unrealized gain (loss) recognized in AOCI related to the interest rate caps and interest 

rate swap for the following reporting periods:

F-20

 
 
 
 
 
 
 
 
 
 
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Amount of gain (loss) recognized in other 
comprehensive income (loss), net of taxes:

Interest rate swap

Interest rate cap agreements

Total

September 24, 
2022

Years Ended

September 25, 
2021

September 26, 
2020

$ 

$ 

44.0  $ 

— 

44.0  $ 

9.4  $ 

0.4 

9.8  $ 

(27.6) 

(0.5) 

(28.1) 

Trade Receivables and Allowance for Credit Losses

Effective September 27, 2020, the Company adopted ASU No. 2016-13, Financial Instruments - Credit Losses (Topic 
326), which requires that financial assets measured at amortized cost be presented at the net amount expected to be collected. 
The  expected  credit  losses  are  developed  using  an  estimated  loss  rate  method  that  considers  historical  collection  experience, 
current conditions, and reasonable and supportable forecasts that affect the collectability of the reported amount. The estimated 
loss  rates  are  applied  to  trade  receivables  with  similar  risk  characteristics  such  as  the  length  of  time  the  balance  has  been 
outstanding and the location of the customer. In certain instances, the Company may identify individual trade receivable assets 
that do not share risk characteristics with other trade receivables, in which case the Company records its expected credit losses 
on  an  individual  asset  basis.  For  example,  potential  adverse  changes  to  customer  liquidity  from  new  macroeconomic  events, 
such  as  the  COVID-19  pandemic,  must  be  taken  into  consideration.  To  date,  the  Company  has  not  experienced  significant 
customer  payment  defaults,  or  identified  other  significant  collectability  concerns  as  a  result  of  the  COVID-19  pandemic.  In 
connection with assessing credit losses for individual trade receivable assets, the Company considers significant factors relevant 
to collectability including those specific to the customer such as bankruptcy, length of time an account is outstanding, and the 
liquidity  and  financial  position  of  the  customer.  If  a  trade  receivable  asset  is  evaluated  on  an  individual  basis,  the  Company 
excludes those assets from the portfolios of trade receivables evaluated on a collective basis. 

The following is a rollforward of the allowance for credit losses for fiscal 2022, 2021 and 2020:

Period Ended:

September 24, 2022
September 25, 2021
September 26, 2020

Balance at
Beginning
of Period

Charged to
Costs and
Expenses

Divested

Write-
offs and
Payments

Balance at
End of
Period

$ 
$ 
$ 

40.5  $ 
31.6  $ 
17.8  $ 

3.4  $ 
15.0  $ 
26.8  $ 

—  $ 
—  $ 
(5.8)  $ 

(6.2)  $ 
(6.1)  $ 
(7.2)  $ 

37.7 
40.5 
31.6 

Cost of Service and Other Revenues

Cost  of  service  and  other  revenues  primarily  represents  payroll  and  related  costs  associated  with  the  Company’s 
professional  services,  employees,  consultants,  infrastructure  costs  and  overhead  allocations,  including  depreciation,  rent  and 
materials consumed in providing the service.

Stock-Based Compensation

The  Company  accounts  for  share-based  payments  in  accordance  with  ASC  718,  Stock  Compensation  (ASC  718).  As 
such, all share-based payments to employees, including grants of stock options, restricted stock units, performance stock units 
and  market  stock  units  and  shares  issued  under  the  Company’s  employee  stock  purchase  plan,  are  recognized  in  the 
Consolidated  Statements  of  Income  based  on  their  fair  values  on  the  date  of  grant.  In  addition,  all  excess  tax  benefits  and 
deficiencies  are  recognized  as  a  component  of  the  provision  for  income  taxes  on  a  discrete  basis  in  the  period  in  which  the 
equity awards vest and/or are settled. 

Net Income Per Share

Basic  net  income  per  share  is  computed  by  dividing  net  income  by  the  weighted  average  number  of  common  shares 
outstanding.  Diluted  net  income  per  share  is  computed  by  dividing  net  income  by  the  weighted  average  number  of  common 
shares and the dilutive effect of potential future issuances of common stock from outstanding stock options and restricted stock 
units for the period outstanding determined by applying the treasury stock method. In accordance with ASC 718, the assumed 
proceeds  under  the  treasury  stock  method  include  the  average  unrecognized  compensation  expense  of  in-the-money  stock 
options and restricted stock units. This results in the assumed buyback of additional shares, thereby reducing the dilutive impact 
of equity awards.

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A reconciliation of basic and diluted share amounts for fiscal 2022, 2021, and 2020 was as follows:

Basic weighted average common shares outstanding

Weighted average common stock equivalents from 
assumed exercise of stock options and restricted stock 
units

Diluted weighted average common shares outstanding

Weighted-average anti-dilutive shares related to:

September 24, 2022

September 25, 2021

September 26, 2020

251,527 

257,046 

262,727 

2,318 

253,845 

2,660 

259,706 

1,886 

264,613 

Outstanding stock options and restricted stock units

1,049 

528 

1,158 

Product Warranties

The  Company  generally  offers  a  one-year  warranty  for  its  products.  The  Company  provides  for  the  estimated  cost  of 
product warranties at the time product revenue is recognized. Factors that affect the Company’s warranty reserves include the 
number  of  units  sold,  historical  and  anticipated  rates  of  warranty  repairs  and  the  cost  per  repair.  The  Company  periodically 
assesses the adequacy of the warranty reserve and adjusts the amount as necessary.

Product warranty activity for fiscal 2022 and 2021 was as follows:

Period ended:

September 24, 2022
September 25, 2021

Advertising Costs

Balance at
Beginning of
Period

Provisions

Acquired

Settlements/
Adjustments

Balance at End
of Period

$ 
$ 

8.8 
9.9 

$ 
$ 

6.3  $ 
7.7  $ 

— 
0.3 

$ 
$ 

(7.1)  $ 
(9.1)  $ 

8.0 
8.8 

Advertising  costs  are  charged  to  operations  as  incurred.  The  Company  does  not  have  any  direct-response  advertising. 
Advertising  costs,  which  include  trade  shows  and  conventions,  were  approximately  $78.1  million,  $9.8  million  and  $15.6 
million for fiscal 2022, 2021 and 2020, respectively, and were included in selling and marketing expense in the Consolidated 
Statements of Income. The increase in advertising costs in fiscal 2022 was primarily due to the Company's agreement to be a 
sponsor of the Women's Tennis Association and the production and running of its Super Bowl commercial.

New Accounting Pronouncements

In December 2019, the FASB issued ASU No. 2019-12, Income Taxes (Topic 740) Simplifying the Accounting for Income 
Taxes. The FASB issued this Update as part of its initiative to reduce complexity in accounting standards (the Simplification 
Initiative). For public business entities, the amendments in this Update are effective for fiscal years, and interim periods within 
those fiscal years, beginning after December 15, 2020, and are applicable to the Company in fiscal 2022. The adoption of ASU 
No. 2019-12 did not have a material impact on the Company's consolidated financial position and results of operations.

In January 2020, the FASB issued ASU No. 2020-01, Investments - Equity Securities (Topic 321), Investments - Equity 
Method  and  Joint  Ventures  (Topic  323),  and  Derivatives  and  Hedging  (Topic  815).  The  FASB  issued  this  Update  to  clarify 
certain interactions between the guidance to account for certain equity securities under Topic 321, the guidance to account for 
investments under the equity method of accounting in Topic 323, and the guidance in Topic 815. This update could change how 
an  entity  accounts  for  an  equity  security  under  the  measurement  alternative  or  a  forward  contract  or  purchased  option  to 
purchase securities that, upon settlement of the forward contract or exercise of the purchased option, would be accounted for 
under  the  equity  method  of  accounting  or  the  fair  value  option  in  accordance  with  Topic  825,  Financial  Instruments.  For 
entities that have adopted the amendments in Update 2020-01, the updated guidance is effective for annual periods beginning 
after December 15, 2020, and is applicable to the Company in fiscal 2022. The adoption of ASU No. 2020-01 did not have a 
material impact on the Company's consolidated financial position and results of operations.

In January 2020, the FASB issued ASU No. 2020-04, Reference Rate Reform (Topic 848). The FASB issued this Update 
as  optional  guidance  for  a  limited  period  of  time  to  ease  the  potential  burden  in  accounting  for  or  recognizing  the  effects  of 
reference rate reform on financial reporting. This update will provide optional expedients and exceptions for applying GAAP to 
only  contracts,  hedging  relationships,  and  other  transactions  that  reference  LIBOR  or  another  reference  rate  expected  to  be 

F-22

 
 
 
 
 
 
 
 
 
 
 
 
 
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discontinued because of reference rate reform. For entities that have adopted the amendments in Update 2020-04, the updated 
guidance is effective for all entities as of March 12, 2020 through December 31, 2022. The Company adopted ASU 2020-04 in 
the  first  quarter  of  fiscal  2022,  which  did  not  have  a  material  impact  on  the  Company's  consolidated  financial  position  and 
results of operations.

In  January  2021,  FASB  issued  ASU  No.  2021-01,  Reference  Rate  Reform  (Topic  848)  Scope.  The  FASB  issued  this 
Update  in  response  to  stakeholder  concerns  about  potential  diversity  in  practice.  The  FASB  decided  to  clarify  the  scope  of 
Topic  848  so  that  derivatives  affected  by  the  discounting  transition  are  explicitly  eligible  for  certain  optional  expedients  and 
exceptions in Topic 848. This update provides optional expedients and exceptions for applying generally accepted accounting 
principles (GAAP) to only contracts, hedging relationships, and other transactions that reference LIBOR or another reference 
rate  expected  to  be  discontinued  because  of  reference  rate  reform.  For  entities  that  have  adopted  the  amendments  in  Update 
2021-01, the updated guidance is effective for all entities immediately as of January 2021. The Company adopted ASU 2021-01 
in the first quarter of fiscal 2022, which did not have a material impact on the Company's consolidated financial position and 
results of operations. 

In May 2021, the FASB issued ASU No. 2021-05, Leases (Topic 842), Lessors - Certain Leases with Variable Lease 
Payments. This Update addresses an issue related to a lessor's accounting for certain leases with variable lease payments. The 
amendments  in  this  Update  affect  lessors  with  lease  contracts  that  (1)  have  variable  lease  payments  that  do  not  depend  on  a 
reference index or a rate and (2) would have resulted in the recognition of a selling loss at lease commencement if classified as 
a sales-type lease or a direct financing lease. The Company adopted the amendments in ASU No. 2021-05 in the first quarter of 
fiscal 2022, which did not have a material effect on the Company's consolidated financial statements.

3. Revenue

The  Company  accounts  for  revenue  pursuant  to  ASC  606,  Revenue  from  Contracts  with  Customer  (ASC  606)  and 
generates  revenue  from  the  sale  of  its  products,  primarily  medical  imaging  systems  and  related  components  and  software, 
diagnostic tests and assays and surgical disposable products, and related services, which are primarily support and maintenance 
services  on  its  medical  imaging  systems,  and  to  a  lesser  extent  installation,  training  and  repairs.  In  addition,  the  Company 
generates service revenue from performing laboratory testing services acquired in its Biotheranostics, Inc. acquisition, which is 
included  in  its  Molecular  Diagnostics  business.  The  Company's  products  are  sold  primarily  through  a  direct  sales  force,  and 
within  international  markets,  there  is  more  reliance  on  distributors  and  resellers.  Revenue  is  recorded  net  of  sales  tax.  The 
following table provides revenue from contracts with customers by business and geographic region on a disaggregated basis:

F-23

Table of Contents

Business (in 
millions)

Diagnostics:

Cytology & 
Perinatal

Molecular 
Diagnostics

Blood 
Screening

September 24, 2022

September 25, 2021

September 26, 2020

United 
States

Intl.

Total

United 
States

Intl.

Total

United 
States

Intl.

Total

Years Ended

$  300.4  $  174.3  $  474.7  $  304.6  $  169.3  $  473.9  $  266.3  $  143.8  $  410.1 

  1,694.5   

816.9    2,511.4 

  2,038.9    1,132.6    3,171.5 

  1,272.5   

375.9    1,648.4 

32.4   

—   

32.4 

49.6   

—   

49.6 

43.6   

—   

43.6 

Total

  2,027.3   

991.2    3,018.5 

  2,393.1    1,301.9    3,695.0 

  1,582.4   

519.7    2,102.1 

Breast Health:

Breast 
Imaging
Interventional 
Breast 
Solutions

735.1   

216.5   

951.6 

830.4   

253.0    1,083.4 

722.0   

231.6   

953.6 

222.1   

54.1   

276.2 

221.4   

47.5   

268.9 

166.6   

31.7   

198.3 

Total

957.2   

270.6    1,227.8 

  1,051.8   

300.5    1,352.3 

888.6   

263.3    1,151.9 

GYN Surgical

423.8   

99.1   

522.9 

396.4   

91.7   

488.1 

310.1   

66.0   

376.1 

Skeletal Health

59.6   

34.0   

93.6 

61.0   

35.9   

96.9 

51.2   

29.8   

81.0 

Medical Aesthetics  

—   

—   

— 

—   

—   

— 

30.9   

34.4   

65.3 

Total

$ 3,467.9  $ 1,394.9  $ 4,862.8  $ 3,902.3  $ 1,730.0  $ 5,632.3  $ 2,863.2  $  913.2  $ 3,776.4 

Geographic Regions (in millions)

September 24, 
2022

September 25, 
2021

September 26, 
2020

Years Ended

United States

Europe

Asia-Pacific
Rest of World

$ 

3,467.9  $ 

888.5   

359.7   
146.7   

3,902.3  $ 

1,201.8   

365.0   
163.2   

2,863.2 

569.8 

226.8 
116.6 

$ 

4,862.8  $ 

5,632.3  $ 

3,776.4 

The following table provides revenue recognized by source:

Revenue by type (in millions)
Disposables
Capital equipment, 
components and software
Service
Other

Years Ended

September 24, 
2022

September 25, 
2021

September 26, 
2020

$ 

3,603.6  $ 

4,198.2  $ 

2,561.1 

587.6   
652.4   
19.2   
4,862.8  $ 

769.1   
598.1   
66.9   
5,632.3  $ 

665.9 
516.6 
32.8 
3,776.4 

$ 

The Company considers revenue to be earned when all of the following criteria are met: the Company has a contract with 
a customer that creates enforceable rights and obligations; promised products or services are identified; the transaction price, or 
the  amount  the  Company  expects  to  receive,  including  an  estimate  of  uncertain  amounts  subject  to  a  constraint  to  ensure 
revenue  is  not  recognized  in  an  amount  that  would  result  in  a  significant  reversal  upon  resolution  of  the  uncertainty,  is 

F-24

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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determinable; and the Company has transferred control of the promised items to the customer. A performance obligation is a 
promise  in  a  contract  to  transfer  a  distinct  good  or  service  to  the  customer  and  is  the  unit  of  account  in  the  contract.  The 
transaction price for the contract is measured as the amount of consideration the Company expects to receive in exchange for 
the  goods  and  services  expected  to  be  transferred.  A  contract's  transaction  price  is  allocated  to  each  distinct  performance 
obligation and recognized as revenue when, or as, control of the distinct good or service is transferred. Transfer of control for 
the Company's products is generally at shipment or delivery, depending on contractual terms, but occurs when title and risk of 
loss transfers to the customer which represents the point in time when the customer obtains the use of and substantially all of 
the remaining benefit of the product. As such, the Company's performance obligation related to product sales is satisfied at a 
point in time. Revenue from support and maintenance contracts, extended warranty and professional services for installation, 
training and repairs is recognized over time based on the period contracted or as the services are performed as these methods 
represent a faithful depiction of the transfer of goods and services. 

The  Company  recognizes  a  receivable  when  it  has  an  unconditional  right  to  payment,  which  represents  the  amount  the 
Company expects to collect in a transaction and is most often equal to the transaction price in the contract. Payment terms are 
typically  30  days  in  the  U.S.  but  may  be  longer  in  international  markets.  The  Company  treats  shipping  and  handling  costs 
performed  after  a  customer  obtains  control  of  the  good  as  a  fulfillment  cost  and  records  these  costs  within  costs  of  product 
revenue when the corresponding revenue is recognized.

The Company also places instruments (or equipment) at customer sites but retains title to the instrument. The customer 
has the right to use the instrument for a period of time, and the Company recovers the cost of providing the instrument through 
the sales of disposables, namely tests and assays in Diagnostics and handpieces in GYN Surgical. These types of agreements 
include an embedded lease, which is generally an operating lease, for the right to use an instrument and no instrument revenue 
is recognized at the time of instrument delivery. The Company recognizes a portion of the revenue allocated to the embedded 
lease concurrent with the sale of disposables over the term of the agreement.

Revenue  from  laboratory  testing  services,  which  are  generated  by  the  Company's  Biotheranostics  acquisition,  is 
recognized  based  upon  contracted  amounts  with  payors  and  historical  cash  collection  experience  for  the  same  test  or  same 
payor group. Revenue is recognized once the laboratory services have been performed, the results have been delivered to the 
ordering physician, the payor has been identified, and insurance has been verified. The estimated timeframes for cash collection 
are three months for Medicare payors, six months for Medicare Advantage payors, and nine months for commercial payors.

Some  of  the  Company's  contracts  have  multiple  performance  obligations.  For  contracts  with  multiple  performance 
obligations, the Company allocates the transaction price to each performance obligation using its best estimate of the standalone 
selling price of each distinct good or service in the contract. The Company determines its best estimate of standalone selling 
price  using  average  selling  prices  over  3-  to  12-month  periods  of  data  depending  on  the  products  or  nature  of  the  services 
coupled with current market considerations. If the product or service does not have a history of sales or if sales volume is not 
sufficient, the Company relies on prices set by its pricing committees or applicable marketing department adjusted for expected 
discounts. 

Variable Consideration

The  Company  exercises  judgment  in  estimating  variable  consideration,  which  includes  volume  discounts,  sales  rebates, 
product returns and other adjustments. These amounts are recorded as a reduction to revenue and classified as a current liability. 
The Company bases its estimates for volume discounts and sales rebates on historical information to the extent it is reasonable 
to be used as a predictive tool of expected future rebates. To the extent the transaction price includes variable consideration, the 
Company  applies  judgment  in  constraining  the  estimated  variable  consideration  due  to  factors  that  may  cause  reversal  of 
revenue recognized. The Company evaluates constraints based on its historical and projected experience with similar customer 
contracts. The Company's contracts for the sale of capital equipment and related components, and assays and tests typically do 
not  provide  the  right  to  return  product,  however,  its  contracts  for  the  sale  of  its  GYN  Surgical  and  Interventional  Breast 
Solutions  surgical  handpieces  provide  for  a  right  of  return  for  a  limited  period  of  time.  In  general,  estimates  of  variable 
consideration and constraints are not material to the Company's financial statements. 

Remaining Performance Obligations

As  of  September  24,  2022,  the  estimated  revenue  expected  to  be  recognized  in  the  future  related  to  performance 
obligations that are unsatisfied was approximately $867.6 million. These remaining performance obligations primarily relate to 
support  and  maintenance  obligations  and  extended  warranty  in  the  Company's  Breast  Health  and  Skeletal  Health  reportable 
segments.  The  Company  expects  to  recognize  approximately  43%  of  this  amount  as  revenue  in  2023,  29%  in  2024,  17%  in 
2025, 8% in 2026, and 3% thereafter. As permitted, the Company does not include remaining performance obligations related 
to contracts with original expected durations of one year or less in the amounts above.

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Table of Contents

Contract Assets and Liabilities

The Company discloses accounts receivable separately in the Consolidated Balance Sheets at their net realizable value. 
Contract  assets  primarily  relate  to  the  Company's  conditional  right  to  consideration  for  work  completed  but  not  billed  at  the 
reporting date. Contract assets at the beginning and end of the period, as well as the changes in the balance, were immaterial. 

Contract liabilities primarily relate to payments received from customers in advance of performance under the contract. 
The  Company  records  a  contract  liability,  or  deferred  revenue,  when  it  has  an  obligation  to  provide  service,  and  to  a  much 
lesser extent product, to the customer and payment is received or due in advance of performance. Deferred revenue primarily 
relates  to  support  and  maintenance  contracts  and  extended  warranty  obligations  within  the  Company's  Breast  Health  and 
Skeletal Health reportable segments. Contract liabilities are classified as other current liabilities and other long-term liabilities 
on the Consolidated Balance Sheets. The Company recognized revenue of $119.7 million and $112.1 million in the years ended 
September 24, 2022 and September 25, 2021, respectively, that was included in the contract liability balance at September 25, 
2021 and September 26, 2020, respectively. 

Practical Expedients

The Company applies a practical expedient to expense costs to obtain a contract with a customer as incurred when the 
amortization  period  would  have  been  one  year  or  less.  These  costs  solely  comprise  sales  commissions  and  typically  the 
commissions are incurred at the time of shipment of product and upon billings for support and maintenance contracts.

4. Leases

In February 2016, the FASB issued ASU No. 2016-02, Leases (Topic 842), referred to as ASC 842. The purpose of ASU 
2016-02 was to increase the transparency and comparability among organizations by recognizing lease assets and liabilities on 
the balance sheet, including those previously classified as operating leases under GAAP, and disclosing key information about 
leasing arrangements. ASC 842, as amended, was effective for the Company in fiscal 2020. The Company adopted the standard 
using  the  transition  method  provided  by  ASC  Update  No.  2018-11,  Leases  (Topic  842):  Targeted  Improvements.  Under  this 
method,  the  Company  applied  the  new  lease  standard  on  September  29,  2019,  rather  than  at  the  earliest  comparative  period 
presented in the financial statements.

Upon transition, the Company applied the package of practical expedients permitted under ASC 842 transition guidance to 
its entire lease portfolio at September 29, 2019. As a result, the Company was not required to reassess (i) whether any expired 
or existing contracts are or contain leases, (ii) the classification of any expired or existing leases, and (iii) initial direct costs for 
any existing leases. Furthermore, as a lessee the Company elected to combine lease and non-lease components together for the 
majority of its leases. As a result, for these applicable classes of underlying assets, the Company accounted for each separate 
lease component and the non-lease components associated with that lease component as a single lease component. 

Under ASC 842 as a lessor, in instances where the Company places instruments (or equipment) at customer sites as part of 
its  reagent  rental  contracts,  certain  of  the  Company's  reagent  rental  contracts  could  be  classified  as  sales-type  leases.  Under 
sales-type leases, there is accelerated expense recognition for the cost of the placed equipment and potentially up-front revenue 
in the event there are fixed rental payments, a portion of which would be allocated to the equipment. The Company does not 
have a significant amount of sales-type leases. Prior to the adoption of ASC 842, all instruments placed under the Company's 
reagent rental programs were classified as operating leases and instrument revenue and cost were recognized over the term of 
the contract. 

Lessee Activity - Leases where Hologic is the Lessee

The majority of the Company's facilities are occupied under operating lease arrangements with various expiration dates 
through 2035, some of which include options to extend the term of the lease, and some of which include options to terminate 
the  lease  within  one  year.  The  Company  has  operating  leases  for  office  space,  land,  warehouse  and  manufacturing  space, 
vehicles and certain equipment. Leases with an initial term of 12 months or less are generally not recorded on the balance sheet 
and expense for these leases is recognized on a straight-line basis over the lease term. For leases executed in fiscal 2020 and 
later,  the  Company  accounts  for  the  lease  components  and  the  non-lease  components  as  a  single  lease  component.  The 
Company's leases have remaining lease terms of one year to approximately 13 years, some of which may include options to 
extend  the  leases  for  up  to  10  years  and  some  include  options  to  terminate  early.  These  options  have  been  included  in  the 

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determination of the lease liability when it is reasonably certain that the option will be exercised. The Company does not have 
any leases that include residual value guarantees. 

The  Company  determines  whether  an  arrangement  is  or  contains  a  lease  based  on  the  unique  facts  and  circumstances 
present  at  the  inception  of  an  arrangement.  The  right-of-use  assets  and  related  liabilities  for  operating  leases  are  included  in 
other assets, accrued expenses, and other long-term liabilities in the consolidated balance sheet as of September 24, 2022.

Right-of-use  assets  represent  the  Company's  right  to  use  an  underlying  asset  for  the  lease  term  and  lease  liabilities 
represent  the  Company's  obligation  to  make  lease  payments  arising  from  the  lease  contract.  Operating  and  finance  lease 
liabilities and their corresponding right-of-use assets are recorded based on the present value of fixed lease payments over the 
expected lease term. The interest rate implicit in lease contracts is typically not readily determinable. As such, the Company 
utilizes the incremental borrowing rate, which is the estimated rate that would be incurred to borrow on a collateralized basis 
over  a  similar  term  at  an  amount  equal  to  the  lease  payments  in  a  similar  economic  environment.  The  weighted  average 
discount rate utilized on the Company's operating and finance lease liabilities as of September 24, 2022 was 1.97%.

The  following  table  presents  supplemental  balance  sheet  information  related  to  the  Company's  operating  and  finance 

leases:

Balance Sheet Location

Operating Leases Finance Leases Operating Leases Finance Leases

September 24, 2022

September 25, 2021

Assets

Lease right-of-use assets 
Finance lease right-of-use 
assets (non-current)

Liabilities
Operating lease liabilities 
(current)
Finance lease liabilities 
(current)
Operating lease liabilities 
(non-current)
Finance lease liabilities (non-
current)

Other assets
Property, plant and 
equipment, net

Accrued expenses
Finance lease obligations - 
short term
Other long-term liabilities

Finance lease obligations - 
long term

$ 

$ 

$ 

$ 

$ 

$ 

68.9  $ 

—  $ 

83.6  $ 

—  $ 

6.0  $ 

—  $ 

23.2  $ 

—  $ 

26.8  $ 

—  $ 

3.2  $ 

—  $ 

53.8  $ 

—  $ 

66.1  $ 

— 

9.3 

— 

3.7 

— 

—  $ 

18.0  $ 

—  $ 

22.8 

In connection with the Diagenode SA acquisition, the Company acquired two finance leases. The Company accounted for 
these lease agreements pursuant to ASC 842 and ASC 805 and recorded both an asset and liability at the present value of future 
lease payments as part of the purchase accounting. The finance leases are for two facilities with remaining lease terms of 7 and 
11 years and contain a bargain purchase option of 3% at the end of the lease term. 

The  following  table  presents  the  weighted  average  remaining  lease  term  and  discount  rate  information  related  to  the 

Company's operating and finance leases:

Weighted average remaining lease term

Weighted average discount rate

4.51

 1.3 %

6.53

 4.3 %

4.95

 1.6 %

7.52

 4.3 %

As of September 24, 2022

As of September 25, 2021

Operating Leases

Finance Lease

Operating Leases

Finance Lease

The following table provides information related to the Company’s operating and finance leases:

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Table of Contents

Year Ended 
September 24, 2022

Year Ended 
September 25, 2021

Operating lease cost (a)

Finance lease cost - amortization of right-of-use assets

Finance lease cost - interest cost

Cash paid for amounts included in the measurement of lease liabilities:

Operating cash flows from finance leases

Operating cash flows from operating leases

Financing cash flows from finance leases
Total cash paid for amounts included in the measurement of lease 
liabilities

ROU assets arising from entering into new operating lease obligations

ROU assets arising from entering into new finance lease obligations

$ 

$ 

$ 

$ 

$ 

$ 

$ 

$ 

$ 

28.6  $ 

0.8  $ 

1.0  $ 

1.0  $ 

29.3  $ 

3.3  $ 

33.6  $ 

16.6  $ 

—  $ 

30.1 

0.6 

1.0 

1.0 

28.2 

2.4 

31.6 

28.6 

9.1 

(a) Includes short-term lease expense and variable lease costs, which were immaterial for the year ended September 24, 

2022.

The  following  table  presents  the  future  minimum  lease  payments  under  non-cancellable  operating  lease  liabilities  and 

finance lease as of September 24, 2022:

Fiscal Year

2023

2024

2025

2026

2027

Thereafter

Total future minimum lease payments

Less: imputed interest

Present value of lease liabilities

Lessor Activity - Leases where Hologic is the Lessor

Operating Leases

Finance Leases

$ 

$ 

24.2  $ 

19.5   

14.0   

8.8   

6.2   

6.8   

79.5   

(2.5)  

77.0  $ 

4.0 

3.8 

3.7 

3.7 

3.9 

4.9 

24.0 

(2.8) 

21.2 

Certain  assets,  primarily  diagnostics  instruments,  are  leased  to  customers  under  contractual  arrangements  that  typically 
include  an  operating  lease  and  performance  obligations  for  disposables,  reagents  and  other  consumables.  These  contractual 
arrangements  are  subject  to  termination  provisions  which  are  evaluated  in  determining  the  lease  term  for  lease  accounting 
purposes. Contract terms vary by customer and may include options to terminate the contract or options to extend the contract. 
Where instruments are provided under operating lease arrangements, some portion or the entire lease revenue may be variable 
and subject to subsequent non-lease component (e.g., reagent) sales. Sales-type leases are immaterial. The allocation of revenue 
between the lease and non-lease components is based on stand-alone selling prices. Lease revenue represented less than 3% of 
the Company’s consolidated revenue for all periods presented.

In  connection  with  the  disposition  of  the  Medical  Aesthetics  business  in  fiscal  2020,  the  Company  entered  into  an 
agreement  to  sublease  to  Cynosure  its  U.S.  headquarters  and  manufacturing  location.  As  such,  the  Company  derecognized 
$10.2  million  for  the  right-of-use  asset  for  the  finance  lease  and  recorded  a  lease  receivable,  which  is  $15.2  million  as  of 
September 24, 2022.

The Company leases a portion of a building it owns and subleases some of its rented facilities and has received aggregate 
rental  income  of  $2.8  million,  $2.6  million  and  $2.0  million  in  fiscal  2022,  2021  and  2020,  respectively,  which  has  been 
recorded  as  an  offset  to  operating  lease  costs.  The  future  minimum  annual  rental  income  payments  under  these  lease  and 
sublease agreements at September 24, 2022 are as follows:

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Fiscal 2023
Fiscal 2024
Fiscal 2025

Fiscal 2026
Fiscal 2027
Thereafter
Total

5. Business Combinations

$ 

$ 

2.7 
2.5 

1.7 
0.8 
0.9 
1.3 
9.9 

During fiscal 2022, 2021, and 2020, the Company completed several business combinations for a total consideration of 
$160.1  million,  $1,178.9  million,  and  $269.0  million,  respectively.  The  business  combinations  resulted  in  the  recognition  of 
intangible  assets,  goodwill  and  other  assets  and  liabilities  summarized  below.  During  2021,  the  Company  also  completed  an 
asset acquisition of customer relationship assets of $5.6 million.

Fiscal 2022 Acquisitions

Bolder Surgical

On  November  29,  2021,  the  Company  completed  the  acquisition  of  Bolder  Surgical  Holdings,  Inc.  ("Bolder"),  for  a 
purchase  price  of  $160.1  million.  Bolder,  located  in  Louisville,  Colorado,  is  a  developer  and  manufacturer  of  energy  vessel 
sealing  surgical  devices  used  in  both  laparoscopic  and  open  procedures.  Bolder's  results  of  operations  are  reported  in  the 
Company's GYN Surgical reportable segment from the date of acquisition.

The total purchase price was allocated to Bolder's preliminary tangible and identifiable intangible assets and liabilities 

based on the estimated fair values as of November 29, 2021, as set forth below.

Cash

Accounts receivable

Inventory

Other assets

Accounts payable and accrued expenses

Identifiable intangible assets: 

Developed technology

Customer relationship

Trade names

Deferred income taxes, net

Goodwill

Purchase Price

$ 

$ 

1.9 

1.3 

3.3 

3.0 

(3.2) 

73.6 

21.7 

1.4 

(11.7) 

68.8 

160.1 

In  performing  the  preliminary  purchase  price  allocation,  the  Company  considered,  among  other  factors,  the  intended 
future  use  of  acquired  assets,  analysis  of  historical  financial  performance  and  estimates  of  future  performance  of  Bolder's 
business.  The  allocation  of  the  purchase  price  is  preliminary  as  the  Company  continues  to  gather  information  supporting  the 
acquired assets and liabilities, including, but not limited to, deferred income taxes.

As  part  of  the  preliminary  purchase  price  allocation,  the  Company  determined  the  identifiable  intangible  assets  are 
developed  technology,  customer  relationships  and  trade  names.  The  preliminary  fair  value  of  the  intangible  assets  was 
estimated using the income approach, and the cash flow projections were discounted using a 16.0% rate. The cash flows were 
based on estimates used to price the transaction, and the discount rate applied was benchmarked with reference to the implied 
rate of return from the transaction model and the weighted average cost of capital. 

The developed technology assets are comprised of know-how, patents and technologies embedded in Bolder's products 

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and relate to currently marketed products. The developed technology assets comprise the primary product families under the 
JustRight and CoolSeal technology platforms.

The  preliminary  estimate  of  the  weighted  average  life  for  the  developed  technology,  customer  relationship,  and  trade 
name  assets  is  10  years.  The  preliminary  calculation  of  the  excess  of  the  purchase  price  over  the  estimated  fair  value  of  the 
tangible  net  assets  and  intangible  assets  acquired  was  recorded  to  goodwill.  Factors  contributing  to  the  recognition  of  the 
preliminary amount of goodwill were primarily based on anticipated strategic and synergistic benefits that are expected to be 
realized  from  the  Bolder  acquisition.  These  benefits  include  expanding  the  Company's  surgical  portfolio  and  utilizing  GYN 
Surgical's  sales  and  regulatory  expertise  to  drive  adoption  and  revenue  growth.  None  of  the  goodwill  is  expected  to  be 
deductible for income tax purposes.

Fiscal 2021 Acquisitions

Mobidiag

On  June  17,  2021,  the  Company  completed  the  acquisition  of  Mobidiag  Oy  ("Mobidiag"),  for  a  purchase  price  of 
$729.6  million.  Mobidiag,  located  in  Finland,  manufactures  molecular  diagnostic  solutions  for  gastrointestinal  infections, 
antimicrobial  resistance  management  and  other  infections.  Mobidiag's  results  of  operations  are  reported  in  the  Company's 
Diagnostics reportable segment from the date of acquisition.

The total purchase price was allocated to Mobidiag's tangible and identifiable intangible assets and liabilities based on the 

estimated fair values as of June 17, 2021, as set forth below.

Cash

Accounts receivable

Inventory

Other assets

Accounts payable and accrued expenses

Other liabilities

Identifiable intangible assets: 

Developed technology

In-process research and development

Customer relationships

Trade names

Current debt

Deferred income taxes, net

Goodwill

Purchase Price

$ 

$ 

7.0 

4.2 

12.1 

29.6 

(16.5) 

(12.2) 

285.0 

74.0 

20.9 

20.0 

(66.1) 

(56.1) 

427.7 

729.6 

In  performing  the  purchase  price  allocation,  the  Company  considered,  among  other  factors,  the  intended  future  use  of 

acquired assets, analysis of historical financial performance and estimates of future performance of Mobidiag's business. 

As  part  of  the  purchase  price  allocation,  the  Company  determined  the  identifiable  intangible  assets  are  development 
technology,  in-process  research  and  development  ("IPR&D"),  customer  relationships  and  trade  names.  The  fair  value  of  the 
intangible assets was estimated using the income approach, and the cash flow projections were discounted using rates ranging 
from 15.0% to 19.0%. The cash flows were based on estimates used to price the transaction, and the discount rates applied were 
benchmarked with reference to the implied rate of return from the transaction model and the weighted average cost of capital. 

The developed technology assets are comprised of know-how, patents and technologies embedded in Mobidiag's products 
and relate to currently marketed products. The developed technology assets comprise the primary product families under the 
Novodiag and Amplidiag technology platforms.

The IPR&D project relates to an in-process project that had not reached technological feasibility as of the acquisition date 
and  has  no  alternative  future  use.  The  primary  basis  for  determining  technological  feasibility  of  the  project  is  obtaining 
regulatory approval to market the underlying product. The asset recorded relates to one project, and the Company expects to 

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complete the project in approximately three years. In the fourth quarter of fiscal 2022 in connection with the annual impairment 
test for indefinite-lived intangible assets the Company recorded an impairment charge of $27.7 million to record the asset at fair 
value. The reduction in fair value was due to an increase in the discount rate from higher interest rates, a reduction in forecasted 
revenues  and  timing  of  completing  the  project.  Given  the  uncertainties  inherent  with  product  development  and  introduction, 
there can be no assurance that the Company's product development efforts will be successful, completed on a timely basis or 
within budget, if at all. The IPR&D asset was valued using the income approach.

The weighted average life for the developed technology assets was 11.7 years, for customer relationships was 9.1 years, 
and  for  tradenames  was  11.6  years.  The  calculation  of  the  excess  of  the  purchase  price  over  the  estimated  fair  value  of  the 
tangible  net  assets  and  intangible  assets  acquired  was  recorded  to  goodwill.  Factors  contributing  to  the  recognition  of  the 
amount of goodwill were primarily based on anticipated strategic and synergistic benefits that are expected to be realized from 
the Mobidiag acquisition. These benefits include expanding the Company's molecular diagnostics portfolio into the near-patient 
testing  market  and  utilizing  the  Diagnostic's  commercial  sales,  manufacturing  and  regulatory  expertise  to  drive  adoption  and 
revenue growth. None of the goodwill is expected to be deductible for income tax purposes.

Biotheranostics

On February 22, 2021, the Company completed the acquisition of Biotheranostics, Inc. ("Biotheranostics"), for a purchase 
price of $231.3 million. Biotheranostics, located in San Diego, California, manufactures molecular diagnostic tests that support 
physicians in the treatment of breast cancer and all metastatic cancers and performs the lab testing procedures at its Clinical 
Laboratory Improvement Amendments ("CLIA") certified laboratory. Biotheranostics' results of operations are reported in the 
Company's Diagnostics reportable segment from the date of acquisition and its revenues are reported within Service and other 
revenue  in  the  Company's  Consolidated  Statement  of  Income  and  within  service  revenue  in  the  disclosure  of  disaggregated 
revenue in Note 3.

The total purchase price was allocated to Biotheranostics' tangible and identifiable intangible assets and liabilities based 

on the estimated fair values as of February 22, 2021, as set forth below.

Cash

Accounts receivable

Other assets

Accounts payable and accrued expenses

Other liabilities

Identifiable intangible assets: 

Developed technology

Trade names

Deferred income taxes, net

Goodwill

Purchase Price

$ 

$ 

9.6 

6.6 

6.5 

(8.2) 

(8.1) 

160.3 

2.1 

(18.4) 

80.9 

231.3 

In  performing  the  purchase  price  allocation,  the  Company  considered,  among  other  factors,  the  intended  future  use  of 
acquired assets, analysis of historical financial performance and estimates of future performance of Biotheranostics' business. 
As part of the purchase price allocation, the Company determined the identifiable intangible assets are developed technology 
and trade names. The fair value of the intangible assets was estimated using the income approach, and the cash flow projections 
were discounted using a 18.0% rate. The cash flows were based on estimates used to price the transaction, and the discount rate 
applied was benchmarked with reference to the implied rate of return from the transaction model and the weighted average cost 
of capital. The weighted average life of developed technology and trade names was 10 years. The calculation of the excess of 
the  purchase  price  over  the  estimated  fair  value  of  the  tangible  net  assets  and  intangible  assets  acquired  was  recorded  to 
goodwill.  Factors  contributing  to  the  recognition  of  the  amount  of  goodwill  were  primarily  based  on  anticipated  synergistic 
benefits of adding Biotheranostics' CLIA lab to the Company's portfolio of offerings and of utilizing Diagnostic's marketing and 
regulatory expertise to drive adoption and revenue growth. None of the goodwill is expected to be deductible for income tax 
purposes.

Diagenode

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On  March  1,  2021,  the  Company  completed  the  acquisition  of  Diagenode  SA  ("Diagenode")  for  a  purchase  price  of 
$155.1 million. Diagenode, located in Belgium, is a developer and manufacturer of molecular diagnostic assays based on PCR 
(polymerase chain reaction) technology to detect infectious diseases of bacterial, viral or parasite origin. Diagenode's results of 
operations are reported in the Company's Diagnostics reportable segment from the date of acquisition. 

The total purchase price was allocated to Diagenode's tangible and identifiable intangible assets and liabilities based on 

the estimated fair values as of March 1, 2021, as set forth below.

Cash

Accounts receivable

Inventory

Other assets

Accounts payable and accrued expenses

Other liabilities

Identifiable intangible assets: 

Developed technology

Customer relationships

Deferred income taxes, net

Goodwill

Purchase Price

$ 

$ 

5.6 

9.3 

9.0 

13.9 

(16.7) 

(9.2) 

69.8 

9.2 

(19.3) 

83.5 

155.1 

In  performing  the  purchase  price  allocation,  the  Company  considered,  among  other  factors,  the  intended  future  use  of 
acquired assets, analysis of historical financial performance and estimates of future performance of Diagenode's business. As 
part of the purchase price allocation, the Company determined the identifiable intangible assets are developed technology and 
customer  relationships.  The  fair  value  of  the  intangible  assets  was  estimated  using  the  income  approach,  and  the  cash  flow 
projections were discounted using a 14.5% rate for developed technology and a 13.5% rate for customer relationships. The cash 
flows were based on estimates used to price the transaction, and the discount rate applied were benchmarked with reference to 
the implied rate of return from the transaction model and the weighted average cost of capital. The weighted average life of 
developed  technology  and  customer  relationships  was  10  years.  The  calculation  of  the  excess  of  the  purchase  price  over  the 
estimated fair value of the tangible net assets and intangible assets acquired was recorded to goodwill. Factors contributing to 
the recognition of the amount of goodwill were based on anticipated synergistic benefits of Diagenode's products broadening 
the  Diagnostics  portfolio  of  molecular  diagnostics  products  primarily  in  the  transplant  and  acute  care  gastrointestinal  and 
respiratory  space  as  customers  seek  a  broader  menu  of  tests,  utilizing  Diagnostic's  sales  force  to  drive  menu  expansion  and 
revenue growth and gaining additional PCR assay development expertise. None of the goodwill is expected to be deductible for 
income tax purposes.

Somatex Medical Technologies

On December 30, 2020, the Company completed the acquisition of Somatex Medical Technologies GmbH ("Somatex") 
for  a  purchase  price  of  $62.9  million.  Somatex,  located  in  Germany,  is  a  manufacturer  of  biopsy  site  markers,  including  the 
Tumark  product  line  of  tissue  markers,  which  were  distributed  by  the  Company  in  the  U.S.  prior  to  the  acquisition.  The 
allocation of the purchase price was based on the Company's valuation, and it allocated $38.0 million to the value of developed 
technology  with  a  weighted  average  life  of  8  years,  $1.2  million  to  customer  relationships,  $0.9  million  to  trade  names  and 
$32.4 million to goodwill. The remaining $9.6 million of the purchase price was allocated to the net acquired tangible assets 
and liabilities. Somatex' results of operations are reported in the Company's Breast Health reportable segment from the date of 
acquisition. None of the goodwill is expected to be deductible for income tax purposes.

NXC Imaging

On  September  28,  2020,  the  Company  completed  the  acquisition  of  assets  from  NXC  Imaging  for  a  purchase  price  of 
$5.6 million. NXC Imaging was a long-standing distributor of the Company's Breast and Skeletal Health products in the U.S. 
The majority of the purchase price was allocated to a customer relationships intangible asset with a useful life of 5 years.

Fiscal 2020 Acquisitions

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Acessa Health

On August 23, 2020, the Company completed the acquisition of Acessa Health, Inc. ("Acessa") for a purchase price of 
$162.0 million, which included a hold-back of $3.0 million that was paid in January 2021, and contingent consideration, which 
the  Company  estimated  the  fair  value  to  be  $81.8  million  as  of  the  measurement  date.  Acessa,  located  in  Austin,  Texas, 
manufactures  and  markets  the  ProVu  system,  a  laparoscopic  radio  frequency  ablation  system  for  use  in  treatment  of  uterine 
fibroids.  Acessa's  results  of  operations  are  reported  in  the  Company's  GYN  Surgical  reportable  segment  from  the  date  of 
acquisition.

The contingent payments are based on a multiple of annual incremental revenue growth over a three-year period ending 
annually  in  December  of  each  2021,  2022,  and  2023.  There  is  no  maximum  earnout.  Pursuant  to  ASC  805,  Business 
Combinations (ASC 805), the Company recorded its estimate of the fair value of the contingent consideration liability utilizing 
the  Monte  Carlo  simulation  based  on  future  revenue  projections  of  Acessa,  revenue  growth  rates  of  comparable  companies, 
implied volatility and applying a risk adjusted discount rate. Each quarter the Company is required to remeasure the fair value 
of the liability as assumptions change and such adjustments are recorded in operating expenses. This fair value measurement 
was based on significant inputs not observable in the market and thus represented a Level 3 measurement as defined in ASC 
820,  Fair  Value  Measurements.  This  fair  value  measurement  is  directly  impacted  by  the  Company's  estimate  of  future 
incremental revenue growth of the business. Accordingly, if actual revenue growth is higher or lower than the estimates within 
the fair value measurement, the Company would record additional charges or gains. During the year ended September 24, 2022, 
the Company remeasured the contingent consideration and recorded a gain of $39.5 million to record the liability at fair value. 
The reduction in fair value was primarily due to a decrease in forecasted revenues over the measurement period and to a much 
lesser extent an increase in the discount rate driven by market rates. During the year ended September 25, 2021, the Company 
remeasured the contingent consideration liability and recorded a gain of $6.7 million to record the liability at fair value. The 
reduction in fair value was primarily due to a decrease in forecasted revenues over the measurement period, partially offset by a 
lower discount rate and accretion of the liability based on the passage of time. During the second quarter of fiscal 2022, the 
Company  made  a  payment  of  $12.2  million  for  the  first  earn-out  period.  As  of  September  24,  2022,  the  contingent 
consideration liability was $23.4 million, $12.0 million of which was recorded within accrued expenses and $11.4 million was 
recorded within other long-term liabilities.

The total purchase price was allocated to Acessa's tangible and identifiable intangible assets and liabilities based on the 

estimated fair values as of August 23, 2020, as set forth below.

Cash

Inventory

Other assets

Accounts payable and accrued expenses

Identifiable intangible assets: 

Developed Technology

Trade names

Deferred income taxes, net

Goodwill

Purchase Price

$ 

$ 

1.2 

4.0 

4.4 

(4.7) 

127.0 

1.2 

(20.2) 

49.1 

162.0 

In  performing  the  purchase  price  allocation,  the  Company  considered,  among  other  factors,  the  intended  future  use  of 
acquired assets, analysis of historical financial performance and estimates of future performance of Acessa's business. As part 
of  the  purchase  price  allocation,  the  Company  determined  the  identifiable  intangible  assets  were  developed  technology  and 
trade  names.  The  fair  value  of  the  intangible  assets  was  estimated  using  the  income  approach,  and  the  cash  flow  projections 
were discounted using an 18.0% rate. The cash flows were based on estimates used to price the transaction, and the discount 
rate applied was benchmarked with reference to the implied rate of return from the transaction model and the weighted average 
cost of capital. The weighted average life of developed technology and trade names is 10 years. The calculation of the excess of 
the  purchase  price  over  the  estimated  fair  value  of  the  tangible  net  assets  and  intangible  assets  acquired  was  recorded  to 
goodwill.  Factors  contributing  to  the  recognition  of  the  amount  of  goodwill  were  based  on  synergistic  benefits  of  Acessa's 
products being complementary to the GYN Surgical portfolio of products and utilizing the GYN Surgical sales force to drive 
adoption and revenue growth. None of the goodwill is expected to be deductible for income tax purposes.

F-33

 
 
 
 
 
 
 
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Health Beacons

On February 3, 2020, the Company completed the acquisition of Health Beacons, Inc. ("Health Beacons") for a purchase 
price  of  $19.7  million.  Health  Beacons  manufactures  the  LOCalizer  product.  Based  on  the  Company's  valuation,  it  allocated 
$10.7  million  to  developed  technology  and  $6.2  million  to  goodwill.  The  remaining  $2.8  million  of  the  purchase  price  was 
allocated to acquired tangible assets and liabilities. Health Beacons' results of operations are reported in the Company's Breast 
Health reportable segment from the date of acquisition.

Alpha Imaging

On December 30, 2019, the Company completed the acquisition of assets from Alpha Imaging, LLC ("Alpha Imaging") 
for  a  purchase  price  of  $18.0  million.  Alpha  Imaging  was  a  long-standing  distributor  of  the  Company's  Breast  and  Skeletal 
Health products in the U.S. The majority of the purchase price was allocated to a customer relationships intangible asset with a 
useful life of 5 years. 

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Table of Contents

6. Restructuring and Divestiture Charges

The  Company  evaluates  its  operations  for  opportunities  to  improve  operational  effectiveness  and  efficiency,  including 
facility and operations consolidation, and to better align expenses with revenues. As a result of these assessments, the Company 
has undertaken various restructuring actions which are described below. The following table displays charges taken related to 
restructuring actions in fiscal 2022, 2021 and 2020 and a rollforward of the charges to the accrued balances as of September 24, 
2022:

Fiscal 2022 
Actions

Fiscal 2021 
Actions

Fiscal 2020 
Actions

Other

Total    

Restructuring Charges

Fiscal 2020 charges:

Workforce reductions

Facility closure costs

Fiscal 2020 restructuring charges

Fiscal 2021 charges:

Workforce reductions

Fiscal 2021 restructuring charges

Fiscal 2022 charges:

Workforce reductions

Facility closure costs

Fiscal 2022 restructuring charges

Rollforward of Accrued Restructuring

Balance as of September 28, 2019

Fiscal 2020 restructuring charges

Stock-based compensation

Severance payments and adjustments

Other payments and adjustments (1)

Balance as of September 26, 2020

Fiscal 2021 restructuring charges

Stock-based compensation

Severance payments and adjustments

Balance as of September 25, 2021

Fiscal 2022 restructuring charges

Severance payments and adjustments

Balance as of September 24, 2022

$ 

$ 

$ 

$ 

$ 

$ 

$ 

$ 

$ 

$ 

$ 

$ 

$ 

—  $ 
— 

—  $ 

—  $ 

—  $ 

2.6  $ 

0.5 

3.1  $ 

— 
— 
— 

8.7 

8.7 

$ 

$ 

$ 

$ 

13.2 

$ 

1.9 

15.1 

$ 

0.6 

0.6 

$ 

(0.3)  $ 

(0.4)  $ 

— 

— 

(0.3)  $ 

(0.4)  $ 

0.2  $ 

— 

0.2  $ 

$ 

—  $ 

—  $ 

— 

—  $ 

13.4 

1.9 

15.3 

9.3 

9.3 

1.9 

0.5 

2.4 

Fiscal 2022 
Actions

Fiscal 2021 
Actions

Fiscal 2020 
Actions

Previous 
Other Charges

Total    

—  $ 

—  $ 

—  $ 

5.9  $ 

5.9 

—  $ 

—  $ 

15.1  $ 

0.2  $ 

— 

— 

— 

— 

— 

— 

(7.5) 

(4.4) 

0.5 

— 

(1.5) 

(3.8) 

—  $ 

—  $ 

3.7  $ 

0.8  $ 

—  $ 

8.7  $ 

0.6  $ 

—  $ 

— 

— 

(0.9) 

(4.6) 

— 

(3.4) 

— 

(0.8) 

—  $ 

3.2  $ 

0.9  $ 

—  $ 

3.1  $ 

(0.4) 

2.7  $ 

(0.3)  $ 

(2.5) 

0.4  $ 

(0.4)  $ 

(0.5) 

—  $ 

—  $ 

— 

—  $ 

15.3 

(7.5) 

(5.9) 

(3.3) 

4.5 

9.3 

(0.9) 

(8.8) 

4.1 

2.4 

(3.4) 

3.1 

(1) In fiscal 2020, as part of the adoption of ASC 842, the Company reclassified $3.8 million from a lease liability to offset the right of use 
asset on the Company's consolidated balance sheet.

F-35

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Table of Contents

Fiscal 2022 Actions

During  the  first  quarter  of  fiscal  2022,  the  Company  finalized  its  decision  to  close  its  Danbury,  Connecticut  facility 
where it manufactures its Breast Health capital equipment products. The manufacturing of the Breast Health capital equipment 
products and all other support services will be moved to the Company's Newark, Delaware facility. In addition, research and 
development,  sales  and  services  support  and  administrative  functions  will  be  moved  to  the  Newark,  Delaware  and 
Marlborough,  Massachusetts  facilities.  The  transition  is  expected  to  be  completed  by  the  third  quarter  of  fiscal  2025.  The 
majority of employees located in Danbury were given the option to relocate to the new locations. As a result of this plan, the 
Company  expects  a  number  of  employees  to  not  relocate  resulting  in  their  termination.  The  employees  were  notified  of  the 
closure  during  the  first  quarter  of  fiscal  2022,  but  were  not  communicated  about  their  termination  and  related  severance  and 
benefits until the third quarter of fiscal 2022. The Company is recording severance benefits pursuant to pursuant to ASC 420, 
Exit or Disposal Cost Obligations (ASC 420) and the benefits will be expensed ratably over the required service period. As a 
result, the Company recorded $1.6 million of severance and benefits charges in fiscal 2022. The Company estimates that total 
severance and benefits charges, including retention, will be approximately $7.0 million.

During fiscal 2022, the Company made various other decisions to terminate certain individuals across multiple divisions, 
outsource one of its U.S. distribution locations and consolidate its German office locations. The Company recorded $0.3 million 
for severance and benefits and $0.5 million in property closure costs related to these actions, which occurred in the U.S. and 
various 
to  ASC  712,  Compensation-Nonretirement 
Postemployment Benefits, (ASC 712) or ASC 420, depending on the employee and country location. The Company expects the 
total charges from these actions to be approximately $3.5 million. 

locations.  The  charges  were  recorded  pursuant 

international 

Fiscal 2021 Actions

During fiscal 2021, the Company made various decisions to terminate certain individuals across all divisions in multiple 
departments  and  close  certain  manufacturing  facilities  for  minor  product  lines.  The  Company  recorded  $8.7  million  for 
severance and benefits related to these actions, which occurred in the U.S. and various international locations. The charges were 
recorded pursuant to ASC 712 or ASC 420, depending on the employee and country location. These actions were completed.

Fiscal 2020 Actions

During fiscal 2020, the Company made various decisions to terminate certain personnel across all divisions in multiple 
departments,  transfer  production  and  close  certain  manufacturing  facilities  for  minor  product  lines.  The  Company  recorded 
charges totaling $13.4 million for severance and benefits related to these actions. The charges were recorded pursuant to ASC 
712 or ASC 420, depending on the employee and country location. Included within this charge was $5.0 million related to the 
modification of equity awards for a certain executive. These actions were completed.

During  the  second  quarter  of  fiscal  2020,  the  Company  recorded  net  divestiture  charges  of  $1.9  million.  The  charge 
included $1.3 million to dispose of the Company's life sciences testing business located in the UK, which performed research 
testing for pharmaceutical companies. Separately, in connection with the Cynosure divestiture, the Company accelerated stock 
compensation expense and other benefits of $2.6 million, partially offset by other adjustments of $2.0 million.

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Table of Contents

7. Borrowings and Credit Agreements

The Company’s borrowings consisted of the following: 

Current debt obligations, net of debt discount and deferred issuance costs:
Term Loan
Securitization Program
Other
Total current debt obligations

Long-term debt obligations, net of debt discount and issuance costs:
Term Loan
2028 Senior Notes
2029 Senior Notes
Total long-term debt obligations
Total debt obligations

September 24,
2022

September 25,
2021

$ 

$ 

$ 

15.0  $ 
— 
— 
15.0  $ 

1,475.7 
396.1 
936.6 
2,808.4 
2,823.4  $ 

— 
248.5 
64.5 
313.0 

1,382.3 
395.4 
934.5 
2,712.2 
3,025.2 

The debt maturity schedule for the Company’s obligations as of September 24, 2022 was as follows:

Term Loan
2028 Senior Notes
2029 Senior Notes

2023

2024

2025

$ 

$ 

15.0  $ 
— 
— 
15.0  $ 

37.5  $ 
— 
— 
37.5  $ 

37.5  $ 
— 
— 
37.5  $ 

2026
1,410.0  $ 
— 
— 
1,410.0  $ 

2027

2028 and 
Thereafter 

—  $ 
— 
— 
—  $ 

—  $ 

400.0 
950.0 
1,350.0  $ 

Total
1,500.0 
400.0 
950.0 
2,850.0 

2021 Credit Agreement

On September 27, 2021, the Company and certain of its subsidiaries refinanced its then existing term loan and revolving 
credit  facility  with  Bank  of  America,  N.A.  in  its  capacity  as  Administrative  Agent,  Swing  Line  Lender  and  L/C  Issuer,  and 
certain other lenders (the "2018 Credit Agreement") by entering into Refinancing Amendment No. 2 dated as of September 27, 
2021,  to  the  Amended  and  Restated  Credit  and  Guaranty  Agreement  as  of  October  3,  2017,  as  amended  (the  "2021  Credit 
Agreement")  Borrowings  under  the  2021  Credit  Agreement  are  secured  by  first-priority  liens  on,  and  a  first-priority  security 
interest in, substantially all of the Company's U.S. assets and the assets of the Subsidiary Guarantors. These liens are subject to 
release during the term of the facilities if the Company is able to achieve certain corporate or corporate family ratings and other 
conditions are met. The credit facilities under the 2021 Credit Agreement (the "2021 Credit Facilities") consist of:

•
•

A $1.5 billion secured term loan ("2021 Term Loan") with a maturity date of September 25, 2026; and
A  secured  revolving  credit  facility  ("2021  Revolver")  under  which  the  Company  may  borrow  up  to  $2.0  billion, 
subject to certain sublimits, with a maturity date of September 25, 2026.

On  August  22,  2022,  the  Company  and  its  subsidiaries  amended  the  2021  Credit  Agreement  by  entering  into  an 
amendment (the "Third Amendment") related to the planned phase out of LIBOR by the UK Financial Conduct Authority. The 
interest rate applicable to the loans under the 2021 Credit Agreement, after giving effect to the Third Amendment, denominated 
in U.S. Dollars were converted to a variant of the secured overnight financing rate (“SOFR”), as established from time to time 
by the Federal Reserve Bank of New York, plus a corresponding spread. The Third Amendment converted the Eurocurrency 
Rate to Term SOFR plus the SOFR Adjustment of 0.10% and the LIBOR Daily Floating Rate to Daily SOFR Rate plus the 
SOFR Adjustment of 0.10%, effective September 23, 2022.

After  giving  effect  to  the  Third  Amendment,  borrowings  under  the  2021  Credit  Agreement,  other  than  Swing  Line 
Loans, bear interest, at the Company's option, at the Base Rate, at the Term SOFR Rate, at the Alternative Currency Daily Rate, 
or at the Daily SOFR Rate, in each case plus the Applicable Rate (as such terms are defined in the 2021 Credit Agreement).

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Table of Contents

The  Applicable  Rate  in  regards  to  the  Base  Rate,  the  Term  SOFR  Rate,  the  Alternative  Currency  Daily  Rate,  the 
Alternative Currency Term Rate, and the Daily SOFR Rate is subject to change depending on the Total Net Leverage Ratio (as 
defined in the 2021 Credit Agreement). The borrowings of the Term Loan under the 2021 Credit Facilities, after giving effect to 
the  Third  Amendment,  initially  bear  interest  at  an  annual  rate  equal  to  the  Term  SOFR  Rate  plus  the  SOFR  Adjustment  of 
0.10%  for  a  one  month  interest  period  plus  an  Applicable  Rate  equal  to  1.00%.  As  of  September  24,  2022,  the  interest  rate 
under the 2021 Term Loan was 4.18% per annum. 

The Company is also required to pay a quarterly commitment fee calculated on daily basis equal to the Applicable Rate 
as  of  such  day  multiplied  by  the  undrawn  committed  amount  available  under  the  2021  Revolver  (taking  into  account  any 
outstanding amounts under the LC Sublimit). As of September 24, 2022, this commitment fee was 0.15% per annum for the 
2021 Revolver.

The  Company  is  required  to  make  scheduled  principal  payments  under  the  2021  Term  Loan  in  increasing  amounts 
ranging from $3.75 million per three-month period commencing with the three-month period ending on December 29, 2022 to 
$18.75 million per three-month period commencing with the three month period ending on December 26, 2025. The remaining 
balance of $1.335 billion (or such lesser aggregate principal amount of the Term Loans then outstanding) on the 2021 Term 
Loan and any amounts outstanding under the 2021 Revolver are due at maturity. In addition, subject to the terms and conditions 
set forth in the 2021 Credit Agreement, the Company is required to make certain mandatory prepayments from the net proceeds 
of specified types of asset sales (subject to certain reinvestment rights), debt issuances (excluding permitted debt) and insurance 
recoveries (subject to certain reinvestment rights). Certain of the mandatory prepayments are subject to reduction or elimination 
if  certain  financial  covenants  are  met.  These  mandatory  prepayments  are  required  to  be  applied  by  the  Company  first  to  the 
2021 Term Loan, second to any outstanding amount under any Swing Line Loans, third to the 2021 Revolver, fourth to prepay 
any outstanding reimbursement obligations with respect to letters of credit and fifth to cash collateralize such letters of credit. 
Subject  to  certain  limitations,  the  Company  may  voluntarily  prepay  any  of  the  2021  Credit  Facilities  without  premium  or 
penalty. As of September 24, 2022, the outstanding principal balance of the 2021 Term Loan was $1.5 billion, and there were 
no amounts outstanding under the 2021 Revolver.

The 2021 Credit Agreement contains affirmative and negative covenants customarily applicable to senior secured credit 
facilities,  including  covenants  restricting  the  ability  of  the  Company,  subject  to  negotiated  exceptions,  to  incur  additional 
indebtedness  and  grant  additional  liens  on  its  assets,  engage  in  mergers  or  acquisitions  or  dispose  of  assets,  enter  into  sale-
leaseback transactions, pay dividends or make other distributions, voluntarily prepay other indebtedness, enter into transactions 
with affiliated persons, make investments, and change the nature of their businesses. In addition, the 2021 Credit Agreement 
requires the Borrowers to maintain certain financial ratios. The 2021 Credit Agreement also contains customary representations 
and warranties and events of default, including payment defaults, breach of representations and warranties, covenant defaults, 
cross defaults and an event of default upon a change of control of the Company.

The Company evaluated the 2021 Credit Agreement for derivatives pursuant to ASC 815, Derivatives and Hedging, and 
identified  embedded  derivatives  that  required  bifurcation  as  the  features  are  not  clearly  and  closely  related  to  the  host 
instrument.  The  embedded  derivatives  were  a  default  provision,  which  could  require  additional  interest  payments,  and  a 
provision  requiring  contingent  payments  to  compensate  the  lenders  for  changes  in  tax  deductions.  The  Company  determined 
that the fair value of these embedded derivatives was immaterial as of September 24, 2022.

Pursuant to ASC 470, Debt (ASC 470), the accounting for the refinancing was evaluated on a creditor-by-creditor basis 
to determine whether each transaction should be accounted for as a modification or extinguishment. Certain creditors under the 
2018  Credit  Agreement  did  not  participate  in  this  refinancing  transaction  and  ceased  being  creditors  of  the  Company.  As  a 
result, the Company recorded a debt extinguishment loss of $0.7 million in the first quarter of fiscal 2022 to write-off the pro-
rata  amount  of  unamortized  debt  discount  and  deferred  issuance  costs  related  to  these  creditors.  For  the  remainder  of  the 
creditors,  this  transaction  was  accounted  for  as  a  modification.  Pursuant  to  ASC  470,  third-party  costs  of  $7.0  million  were 
recorded as a reduction to debt representing deferred issuance costs and fees paid directly to the lenders.

2018 Amended and Restated Credit Agreement

On December 17, 2018, the Company and certain of its subsidiaries refinanced its term loan and revolving credit facility 
by  entering  into  an  Amended  and  Restated  Credit  and  Guaranty  Agreement  as  of  December  17,  2018  (the  "2018  Credit 
Agreement")  with  Bank  of  America,  N.A.  in  its  capacity  as  Administrative  Agent,  Swing  Line  Lender  and  L/C  Issuer,  and 
certain  other  lenders.  The  2018  Credit  Agreement  amended  the  Company's  Amended  and  Restated  Credit  and  Guaranty 
Agreement dated as of October 3, 2017 ("2017 Credit Agreement"). 

The credit facilities under the 2018 Credit Agreement consisted of:

F-38

Table of Contents

•
•

A $1.5 billion secured term loan ("2018 Term Loan") with a maturity date of December 17, 2023; and 
A  secured  revolving  credit  facility  ("2018  Revolver")  under  which  the  Company  could  borrow  up  to  $1.5  billion, 
subject to certain sublimits, with a maturity date of December 17, 2023.

Borrowings under the 2018 Credit Agreement bore interest, at the Company's option and in each case plus an applicable 

margin as follows: 

•
•

2018 Term Loan: at the Base Rate, Eurocurrency Rate or LIBOR Daily Floating Rate, 
2018  Revolver:  if  funded  in  U.S.  dollars,  the  Base  Rate,  Eurocurrency  Rate,  or  LIBOR  Daily  Floating  Rate,  and,  if 
funded  in  an  alternative  currency,  the  Eurocurrency  Rate;  and  if  requested  under  the  swing  line  sublimit,  the  Base 
Rate.

Interest expense, non-cash interest expense, the weighted average interest rate, and the interest rate at the end of period 

under the 2021 Credit Agreement and the 2018 Credit Agreement were as follows:

Interest expense (1)

Non-cash interest expense

Weighted average interest rate

Interest rate at end of period

Years Ended

September 24, 2022

September 25, 2021

September 26, 2020

$ 

$ 

31.8 

2.2 

$ 

$ 

 1.74 %

 4.18 %

22.0 

2.5 

$ 

$ 

 1.13 %

 1.08 %

46.6 

2.5 

 2.25 %

 1.40 %

(1)  Interest  expense  includes  non-cash  interest  expense  related  to  the  amortization  of  the  deferred  issuance  costs  and 
accretion of the debt discount.

Senior Notes

2028 Senior Notes

On January 19, 2018, the Company completed a private placement of $1.0 billion aggregate principal amount of senior 
notes and allocated $400 million in aggregate principal amount to its 4.625% Senior Notes due 2028 (the "2028 Senior Notes") 
at an offering price of 100% of the aggregate principal amount of the 2028 Senior Notes. The 2028 Senior Notes are general 
senior unsecured obligations of the Company and are guaranteed on a senior unsecured basis by certain domestic subsidiaries. 
The 2028 Senior Notes mature on February 1, 2028 and bear interest at the rate of 4.625% per year, payable semi-annually on 
February 1 and August 1 of each year, commencing on August 1, 2018. 

The Company may redeem the 2028 Senior Notes at any time prior to February 1, 2023 at a price equal to 100% of the 
aggregate  principal  amount  so  redeemed,  plus  accrued  and  unpaid  interest,  if  any,  to  the  redemption  date  and  a  make-whole 
premium set forth in the indenture. The Company has the option to redeem the 2028 Senior Notes on or after: February 1, 2023 
through February 1, 2024 at 102.312% of par; February 1, 2024 through February 1, 2025 at 101.541% of par; February 1, 2025 
through February 1, 2026 at 100.770% of par; and February 1, 2026 and thereafter at 100% of par. In addition, if the Company 
undergoes a change of control coupled with a decline in ratings, as provided in the indenture, the Company will be required to 
make an offer to purchase each holder’s 2028 Senior Notes at a price equal to 101% of their principal amount, plus accrued and 
unpaid interest, if any, to the repurchase date.

The Company evaluated the 2028 Senior Notes for derivatives pursuant to ASC 815 and did not identify any embedded 

derivatives that require bifurcation. All features were deemed to be clearly and closely related to the host instrument.

2029 Senior Notes

On September 28, 2020, the Company completed a private placement of $950 million aggregate principal amount of its 
3.250% Senior Notes due 2029 (the "2029 Senior Notes") at an offering price of 100% of the aggregate principal amount of the 
2029 Senior Notes. The 2029 Senior Notes are general senior unsecured obligations of the Company and are guaranteed on a 
senior unsecured basis by certain domestic subsidiaries. The 2029 Senior Notes mature on February 15, 2029 and bear interest 
at the rate of 3.250% per year, payable semi-annually on February 15 and August 15 of each year, commencing on February 15, 
2021.

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Table of Contents

The Company may redeem the 2029 Senior Notes at any time prior to September 28, 2023 at a price equal to 100% of the 
aggregate  principal  amount  so  redeemed,  plus  accrued  and  unpaid  interest,  if  any,  to  the  redemption  date  and  a  make-whole 
premium set forth in the indenture. The Company may also redeem up to 40% of the aggregate principal amount of the 2029 
Senior  Notes  with  the  net  cash  proceeds  of  certain  equity  offerings  at  any  time  and  from  time  to  time  before  September  28, 
2023,  at  a  redemption  price  equal  to  103.250%  of  the  aggregate  principal  amount  so  redeemed,  plus  accrued  and  unpaid 
interest,  if  any,  to  the  redemption  date.  The  Company  also  has  the  option  to  redeem  the  2029  Senior  Notes  on  or  after: 
September  28,  2023  through  September  27,  2024  at  101.625%  of  par;  September  28,  2024  through  September  27,  2025  at 
100.813% of par; and September 28, 2025 and thereafter at 100% of par. In addition, if the Company undergoes a change of 
control  coupled  with  a  decline  in  ratings,  as  provided  in  the  indenture,  the  Company  will  be  required  to  make  an  offer  to 
purchase each holder’s 2029 Senior Notes at a price equal to 101% of their principal amount, plus accrued and unpaid interest, 
if any, to the repurchase date.

The Company evaluated the 2029 Senior Notes for derivatives pursuant to ASC 815, Derivatives and Hedging, and did 
not identify any embedded derivatives that require bifurcation. All features were deemed to be clearly and closely related to the 
host instrument.

2025 Senior Notes

The Company had 4.375% Senior Notes due 2025 (the “2025 Senior Notes”) outstanding and bore interest at the rate of 
4.375% per year, payable semi-annually on April 15 and October 15 of each year. The Company used the net proceeds of the 
2029 Senior Notes offering in the first quarter of fiscal 2021 to redeem in full the 2025 Senior Notes in the aggregate principal 
amount of $950.0 million on October 15, 2020 at an aggregate redemption price of $970.8 million, which included a premium 
payment of $20.8 million. Since the Company planned to use the proceeds from the 2029 Senior Notes offering to redeem the 
2025 Senior Notes, the Company evaluated the accounting for this transaction under ASC 470 to determine modification versus 
extinguishment accounting on a creditor-by-creditor basis. Certain 2025 Senior Note holders either did not participate in this 
refinancing transaction or reduced their holdings and these transactions were accounted for as extinguishments. As a result, the 
Company  recorded  a  debt  extinguishment  loss  in  the  first  quarter  of  fiscal  2021  of  $21.6  million,  which  comprised  pro-rata 
amounts  of  the  premium  payment,  debt  discount  and  debt  issuance  costs.  For  the  remaining  2025  Senior  Notes  holders  who 
participated in the refinancing, these transactions were accounted for as a modification because on a creditor-by-creditor basis 
the  present  value  of  the  cash  flows  between  the  debt  instruments  before  and  after  the  transaction  was  less  than  10%.  The 
Company  recorded  a  portion  of  the  transaction  expenses  of  $5.8  million  to  interest  expense  pursuant  to  ASC  470,  subtopic 
50-40.  The  remaining  debt  issuance  costs  of  $7.9  million  and  debt  discount  of  $6.4  million  related  to  the  modified  debt  are 
being amortized over the new term of the 2029 Senior Notes using the effective interest method.

Interest expense for the 2029 Senior Notes, 2028 Senior Notes and 2025 Senior Notes was as follows:

September 24, 2022

September 25, 2021

September 26, 2020

Years Ended

2029 Senior Notes
2028 Senior Notes

2025 Senior Notes

Total

Interest 
Rate

Interest 
Expense (1)

 3.250 % $ 
 4.625 %  

 4.375 %  

32.9  $ 
19.2   

—   

Non-Cash 
Interest 
Expense

Interest 
Expense (1)

Non-Cash 
Interest 
Expense

Interest 
Expense (1)

Non-Cash 
Interest 
Expense

2.1  $ 
0.7 

— 

32.7  $ 
19.2   

2.3   

2.1  $ 
0.7 

0.1 

—  $ 
19.2   

43.5   

62.7  $ 

— 
0.7 

2.1 

2.8 

$ 

52.1  $ 

2.8  $ 

54.2  $ 

2.9  $ 

  (1)  Interest  expense  includes  non-cash  interest  expense  related  to  the  amortization  of  the  deferred  issuance  costs  and 
accretion of the debt discount.

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Accounts Receivable Securitization Program

On April 25, 2016, the Company entered into a one-year $200.0 million accounts receivable securitization program (the 
"Securitization Program") with several of its wholly owned subsidiaries and certain financial institutions, which provides for 
annual renewals. Under the terms of the Securitization Program, the Company and certain of its wholly-owned subsidiaries sell 
their respective customer receivables to a bankruptcy remote special purpose entity, which is also a wholly-owned subsidiary of 
the Company. In addition, the Company also contributed a portion of its customer receivables to the special purpose entity in 
connection with its establishment. The Company retains servicing responsibility. The special purpose entity, as borrower, and 
the  Company,  as  servicer,  entered  into  a  Credit  and  Security  Agreement  with  several  lenders  pursuant  to  which  the  special 
purpose entity, at that time, could borrow up to $200.0 million from the lenders, with the loans secured by the receivables. The 
amount that the special purpose entity may borrow at a given point in time is determined based on the amount of qualifying 
receivables that are present in the special purpose entity at such point in time. Borrowings outstanding under the Securitization 
Program bore interest at LIBOR plus the applicable margin of 0.8% and were included as a component of current liabilities in 
the Company's consolidated balance sheet, while the accounts receivable securing these obligations remain as a component of 
net  receivables  in  the  Company's  consolidated  balance  sheet.  The  Company  and  the  special  purpose  entity  are  operated  and 
maintained as separate legal entities. The assets of the special purpose entity secure the amounts borrowed and cannot be used 
to pay other debts or liabilities of the Company. In subsequent years, the Company amended the agreement to extend it for one-
year periods and increased the borrowing capacity up to $250.0 million and lowered the applicable margin to 0.7%. 

 On June 11, 2021, the Company amended and restated the Credit and Security Agreement and increased the maximum 
borrowing amount to $320.0 million. During fiscal 2022, the Company repaid the outstanding balance of $248.5 million under 
the accounts receivable securitization program. On June 10, 2022, the Company amended the Credit and Security agreement 
and temporarily suspended the ability to borrow and the need to comply with covenants for up to a year. As of September 24, 
2022, the Company did not have any borrowings under the program. 

Borrowings under the Securitization Program for fiscal 2022, through the second quarter of fiscal 2022, had a weighted-
average  interest  rate  of  0.81%.  Interest  expense  under  the  Securitization  Program  was  $1.6  million,  $0.9  million  and  $3.1 
million for fiscal 2022, 2021 and 2020, respectively.

The  Credit  and  Security  Agreement  contains  customary  representations  and  warranties  and  events  of  default,  including 
payment defaults, breach of representations and warranties, covenant defaults, and an event of default upon a change of control 
of the Company. In addition, it contains financial covenants consistent with that of the Credit Agreement. As of September 24, 
2022, the Company was not required to be in compliance with the Credit and Security Agreement covenants.

Other 

Other  represents  debt  acquired  in  the  Mobidiag  acquisition,  which  was  primarily  with  the  European  Investment  Bank 
("EIB").  Mobidiag  had  withdrawn  multiple  tranches  under  the  agreement,  which  were  primarily  used  to  fund  research  and 
development  projects  and  expansion  efforts.  The  debt  agreement  contained  change-in-control  provisions  allowing  the  EIB  to 
call  the  debt  at  any  time  after  a  change-in-control,  which  occurred  as  a  result  of  Hologic  acquiring  Mobidiag.  The  tranches 
withdrawn  under  this  agreement  had  interest  rates  ranging  from  6.0%  to  7.0%.  The  debt  agreement  included  additional 
payments to the EIB based on revenues generated by products developed under the funding as well as prepayment penalties. 
During  the  first  quarter  of  fiscal  2022,  the  Company  paid  off  the  outstanding  debt  obligation  of  $63.7  million,  and  the  debt 
agreement with the EIB was terminated.

8. Fair Value Measurements

The Company applies the provisions of ASC 820 for its financial assets and liabilities that are re-measured and reported 
at fair value each reporting period and its nonfinancial assets and liabilities that are re-measured and reported at fair value on a 
non-recurring  basis.  Fair  value  is  the  price  that  would  be  received  from  selling  an  asset  or  paid  to  transfer  a  liability  in  an 
orderly transaction between market participants at the measurement date. When determining fair value, the Company considers 
the principal or most advantageous market in which it would transact and considers assumptions that market participants would 
use when pricing the asset or liability.

Fair Value Hierarchy

ASC  820  establishes  a  three-level  valuation  hierarchy  for  disclosure  of  fair  value  measurements.  Financial  assets  and 
liabilities  are  categorized  within  the  valuation  hierarchy  based  upon  the  lowest  level  of  input  that  is  significant  to  the 
measurement of fair value. The three levels of the hierarchy are defined as follows:

•

Level 1—Inputs to the valuation methodology are quoted market prices for identical assets or liabilities.

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•

•

Level 2—Inputs to the valuation methodology are other observable inputs, including quoted market prices for similar 
assets or liabilities and market-corroborated inputs.
Level 3—Inputs to the valuation methodology are unobservable inputs based on management’s best estimate of inputs 
market participants would use in pricing the asset or liability at the measurement date, including assumptions about risk.

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

The  Company  has  investments  in  derivative  instruments  comprised  of  an  interest  rate  swap,  forward  foreign  currency 
contracts  and  foreign  currency  option  contracts,  which  are  valued  using  analyses  obtained  from  independent  third-party 
valuation  specialists  based  on  market  observable  inputs,  representing  Level  2  assets.  The  fair  values  of  these  derivative 
contracts represent the estimated amounts the Company would receive or pay to terminate the contracts. Refer to Note 2 for 
further  discussion  and  information  on  these  derivative  contracts.  In  addition,  the  Company  has  contingent  consideration 
liabilities  that  are  recorded  at  fair  value  and  are  based  on  Level  3  inputs.  The  contingent  consideration  liability  as  of 
September 24, 2022 and September 25, 2021 was related to the Acessa acquisition (see Note 5). 

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Assets and liabilities measured and recorded at fair value on a recurring basis consisted of the following: 

Assets:
Interest rate swap
Forward foreign currency contracts

Total

Liabilities:
Contingent consideration
Total

Assets:
Forward foreign currency contracts

Total

Liabilities:
Contingent consideration
Interest rate swap
Forward foreign currency contracts

Total

Fair Value Measurements at September 24, 2022

Quoted Prices in
Active Market for
Identical Assets
(Level 1)

Significant
Other
Observable
Inputs (Level 2)

Significant
Unobservable
Inputs (Level 3)

Carrying Value

$ 

$ 

$ 
$ 

38.9  $ 
26.4 
65.3  $ 

23.4  $ 
23.4  $ 

—  $ 
— 
—  $ 

—  $ 
—  $ 

38.9  $ 
26.4 
65.3  $ 

—  $ 
—  $ 

— 
— 
— 

23.4 
23.4 

Fair Value Measurements at September 25, 2021

Quoted Prices in
Active Market for
Identical Assets
(Level 1)

Significant
Other
Observable
Inputs (Level 2)

Significant
Unobservable
Inputs (Level 3)

Carrying Value

$ 
$ 

$ 

$ 

1.7  $ 
1.7  $ 

75.1  $ 
18.7 
0.6 
94.4  $ 

—  $ 
—  $ 

—  $ 
— 
— 
—  $ 

1.7  $ 
1.7  $ 

—  $ 

18.7 
0.6 
19.3  $ 

— 
— 

75.1 
— 
— 
75.1 

Changes  in  the  fair  value  of  recurring  fair  value  measurements  using  significant  unobservable  inputs  (Level  3),  which 
solely consisted of contingent consideration liabilities, during the years ended September 24, 2022, September 25, 2021, and 
September 26, 2020 were as follows:

Balance at beginning of period

Contingent consideration recorded at acquisition

Fair value adjustments

Payments/Accruals

Balance at end of period

Years Ended

2022

2021

2020

$ 

$ 

75.1  $ 

— 

(39.5)   

(12.2)   

23.4  $ 

81.8  $ 

— 

(6.7)   

— 

75.1  $ 

9.1 

82.7 

0.3 

(10.3) 

81.8 

Assets Measured and Recorded at Fair Value on a Nonrecurring Basis

The Company remeasures the fair value of certain assets and liabilities upon the occurrence of certain events. Such assets 
are  comprised  of  equity  investments  and  long-lived  assets,  including  property,  plant  and  equipment,  intangible  assets  and 
goodwill.  During  the  fourth  quarter  of  fiscal  2022,  the  Company  recorded  a  $27.7  million  impairment  charge  to  record  an 
IPR&D asset at fair value, which is a Level 3 measurement, and it recorded an $8.2 million impairment charge to write-off a 
developed technology asset from its Focal acquisition. In addition, the Company recorded an impairment charge of $4.0 million 
to  record  an  equity  investment  at  its  estimated  fair  value.  During  the  third  quarter  of  fiscal  2022,  the  Company  recorded  a 
$9.2 million impairment charge to write-off two developed technology assets from its Faxitron acquisition. During the second 
quarter  of  fiscal  2022,  the  Company  recorded  a  $4.3  million  impairment  charge  to  write-off  an  equity  method  investment 
acquired in the Mobidiag acquisition. During the fourth quarter of fiscal 2021, the Company recorded an impairment charge of 

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$1.8  million  to  record  an  equity  investment  to  its  fair  value.  During  the  first  quarter  of  fiscal  2020,  the  Company's  Medical 
Aesthetics division met the criteria to be classified as assets-held-for sale, and the Company recorded a $30.2 million loss to 
record the asset group at its fair value less costs to sell. This was a level 1 measurement. Refer to Note 6 for disclosure of the 
nonrecurring fair value measurement related to the debt extinguishment losses recorded in fiscal 2022 and 2021. 

Disclosure of Fair Value of Financial Instruments

The  Company’s  financial  instruments  mainly  consist  of  cash  and  cash  equivalents,  accounts  receivable,  equity 
investments, an interest rate swap, forward foreign currency contracts, foreign currency option contracts, insurance contracts, 
accounts payable and debt obligations. The carrying amounts of the Company’s cash and cash equivalents, accounts receivable 
and accounts payable approximate their fair value due to the short-term nature of these instruments. The Company’s interest 
rate  swap,  forward  foreign  currency  contracts  and  foreign  currency  option  contracts  are  recorded  at  fair  value.  The  carrying 
amount of the insurance contracts are recorded at their cash surrender value, as required by U.S. GAAP, which approximates 
fair value. The Company believes the carrying amounts of its equity investments approximate fair value.

Amounts  outstanding  under  the  Company’s  2021  Credit  Agreement  of  $1.5  billion  aggregate  principal  as  of 
September 24, 2022 are subject to variable rates of interest based on current market rates, and as such, the Company believes 
the carrying amount of these obligations approximates fair value. The Company’s 2028 Senior Notes and 2029 Senior Notes 
had  fair  values  of  approximately  $365.7  million  and  $783.9  million,  respectively,  as  of  September  24,  2022  based  on  their 
trading price, representing a Level 1 measurement. Refer to Note 7 for the carrying amounts of the various components of the 
Company's debt.

9. Income Taxes

The Company’s income before income taxes consisted of the following:

Domestic
Foreign

Years ended

September 24, 
2022

September 25, 
2021

September 26, 
2020

$ 

$ 

1,340.3  $ 
247.9 
1,588.2  $ 

2,267.8  $ 
93.3 
2,361.1  $ 

921.1 
80.8 
1,001.9 

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The provision (benefit) for income taxes contained the following components:

Federal:

Current
Deferred

State:

Current
Deferred

Foreign:

Current
Deferred

Years ended

September 24, 
2022

September 25, 
2021

September 26, 
2020

$ 

$ 

298.6  $ 
(129.8)   
168.8 

54.8 
(9.5)   
45.3 

99.0 
(26.9)   
72.1 
286.2  $ 

453.6  $ 
(45.6)   
408.0 

84.7 
(11.9)   
72.8 

23.2 
(12.6)   
10.6 
491.4  $ 

(62.1) 
(76.6) 
(138.7) 

33.9 
(12.5) 
21.4 

14.0 
(5.3) 
8.7 
(108.6) 

The income tax provision differed from the tax provision computed at the U.S. federal statutory rate due to the following:

Income tax provision at federal statutory rate
Increase (decrease) in tax resulting from:
Cynosure loss on sale and carryback
State income taxes, net of federal benefit
U.S. tax on foreign earnings
Internal restructuring
Tax credits
Unrecognized tax benefits
Compensation
Foreign rate differential
Change in deferred tax rate
Change in valuation allowance
Other

Years ended

September 24, 
2022

September 25, 
2021

September 26, 
2020

 21.0 %

 21.0 %

 21.0 %

 (1.2) 
 2.9 
 (2.6) 
 (0.9) 
 (0.5) 
 0.2 
 0.2 
 (0.8) 
 0.4 
 0.4 
 (1.1) 
 18.0 %

 — 
 2.7 
 (2.7) 
 — 
 (0.3) 
 0.3 
 0.1 
 (0.7) 
 (0.3) 
 — 
 0.7 
 20.8 %

 (31.3) 
 2.9 
 (2.6) 
 — 
 (0.6) 
 — 
 0.4 
 (1.2) 
 (0.6) 
 1.3 
 (0.1) 
 (10.8) %

The Company's effective tax rate for fiscal 2022 was lower than the U.S. statutory tax rate primarily due to the impact of 
the U.S. deduction for foreign derived intangible income, reserve releases resulting from statute of limitations expirations and 
favorable audit settlements (net of reserve additions for uncertain tax positions), the geographic mix of income earned by the 
Company's international subsidiaries, which are taxed at rates lower than the U.S. statutory tax rate, and a tax benefit related to 
an internal restructuring, partially offset by state income taxes and the global intangible low-taxed income inclusion.

The Company’s effective tax rate for fiscal 2021 was lower than the U.S. statutory tax rate primarily due to the impact of 
the  U.S.  deduction  for  foreign  derived  intangible  income  and  the  geographic  mix  of  income  earned  by  the  Company's 
international subsidiaries, which are taxed at rates lower than the U.S. statutory tax rate, partially offset by state income taxes 
and the global intangible low-taxed income inclusion.

The  Company’s  effective  tax  rate  for  fiscal  2020,  which  was  a  net  benefit,  differed  from  the  U.S.  statutory  tax  rate 
primarily due to a $313.4 million net tax benefit related to the sale of the Medical Aesthetics business, the impact of the U.S. 
deduction for foreign derived intangible income, federal and state tax credits, and the geographic mix of income earned by the 
Company's  international  subsidiaries,  which  are  taxed  at  rates  lower  than  the  U.S.  statutory  tax  rate,  partially  offset  by  state 

F-45

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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income taxes, reserves for uncertain tax positions (net of releases resulting from statute of limitations expirations and favorable 
audit settlements), the global intangible low-taxed income inclusion, and unbenefited foreign losses. 

The Company uses the asset and liability method to account for income taxes in accordance with ASC 740, Accounting 
for Income Taxes. Under this method, deferred income tax assets and liabilities are recognized for the future tax consequences 
of differences between the financial statement carrying amount of existing assets and liabilities and their respective tax bases 
and also for operating loss and tax credit carry-forwards at each reporting period. Deferred income taxes are based on enacted 
tax laws and statutory tax rates applicable to the period and jurisdiction in which these differences are expected to affect taxable 
income.  A  valuation  allowance  is  established  when  necessary  to  reduce  deferred  tax  assets  to  the  amounts  expected  to  be 
realized.

The Company’s significant deferred tax assets and liabilities were as follows:

Deferred tax assets

Net operating loss carryforwards
Capital losses
Non-deductible accruals
Non-deductible reserves
Stock-based compensation
Tax credits
Nonqualified deferred compensation plan
Lease liability
Other temporary differences

Less: valuation allowance

Deferred tax liabilities

Depreciation and amortization
Right of use asset
Other temporary differences

September 24, 
2022

September 25, 
2021

$ 

$ 

$ 

$ 
$ 

91.4  $ 
54.3 
30.1 
44.6 
18.8 
8.9 
13.2 
11.8 
— 
273.1 
(115.3)   
157.8  $ 

(220.6)  $ 
(11.4)   
(0.4)   
(232.4)  $ 
(74.6)  $ 

91.5 
52.0 
34.9 
41.8 
17.6 
10.0 
16.8 
16.2 
17.4 
298.2 
(121.3) 
176.9 

(389.7) 
(15.8) 
— 
(405.5) 
(228.6) 

Under ASC 740, the Company can only recognize the future benefit of deferred tax assets to the extent that it is “more 
likely than not” that these assets will be realized. After considering all available positive and negative evidence, the Company 
established a valuation allowance against specifically identified deferred tax assets because it is more-likely-than-not that these 
assets  will  not  be  realized.  In  making  this  determination,  the  Company  considered  numerous  factors  including  historical 
profitability, estimated future taxable income and the character of such income. The valuation allowance decreased $6.0 million 
in  fiscal  2022  from  fiscal  2021  primarily  due  to  valuation  allowance  releases,  currency  translation  adjustments,  and  attribute 
utilization and expiration, partially offset by valuation allowances recorded against loss carryforwards and to reflect the impact 
of an internal restructuring on state credit carryforwards.

As of September 24, 2022, the Company had $89.3 million, $143.3 million, and $266.7 million in gross federal, state, and 
foreign  net  operating  losses,  respectively,  $4.3  million,  $4.2  million,  and  $0.2  million  in  federal,  state,  and  foreign  credit 
carryforwards,  respectively,  and  $26.2  million,  and  $32.2  million  in  gross  state  and  foreign  capital  loss  carryforwards, 
respectively. These losses, credits, and capital loss carryforwards expire between 2023 and 2042, except for $314.8 million in 
losses,  $2.4  million  in  credits,  and  $32.2  million  in  capital  loss  carryforwards  that  have  unlimited  carryforward  periods.  The 
state  and  foreign  net  operating  losses  include  $78.8  million,  and  $3.4  million,  respectively,  and  the  state  capital  loss 
carryforwards include $26.2 million, that the Company expects will expire unutilized.

As  of  September  24,  2022,  the  Company  had  $247.6  million  in  gross  unrecognized  tax  benefits  excluding  interest,  of 
which $231.6 million, if recognized, would reduce the Company's effective tax rate. As of September 25, 2021, the Company 
had $212.8 million in gross unrecognized tax benefits excluding interest, of which $197.0 million, if recognized, would have 
reduced the Company's effective tax rate. The $34.8 million increase in gross unrecognized tax benefits from fiscal 2021 was 
primarily  due  to  the  effect  of  an  internal  restructuring,  intercompany  transfer  pricing  for  ordinary  business  operations,  a 

F-46

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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carryback  claim,  capital  losses  and  other  current  year  positions,  partially  offset  by  reserve  releases  resulting  from  statute  of 
limitations expirations and audit settlements. In the next twelve months it is reasonably possible that the Company will reduce 
its gross unrecognized tax benefits excluding interest by up to $2.0 million due to expiring statutes of limitations.

The Company’s unrecognized income tax benefits activity for fiscal 2022 and 2021 was as follows:

Balance at beginning of fiscal year
Tax positions related to current year:

Additions
Reductions

Tax positions related to prior years:

Additions related to change in estimate
Reductions
Payments
Lapses in statutes of limitations and settlements

Acquired tax positions:

Additions related to reserves acquired from 
acquisitions

Balance as of the end of the fiscal year

2022

2021

$ 

212.8  $ 

197.1 

45.9 
— 

21.5 
(6.6)   
— 
(26.0)   

8.0 
— 

7.9 
(0.3) 
— 
(1.7) 

— 
247.6  $ 

1.8 
212.8 

$ 

The Company’s policy is to include accrued interest and penalties related to unrecognized tax benefits and income tax 
liabilities, when applicable, as a component of income tax expense. As of September 24, 2022, and September 25, 2021, gross 
accrued interest was $14.3 million and $13.7 million, respectively, and accrued penalties were immaterial. 

The  Company  and  its  subsidiaries  are  subject  to  examination  by  U.S.  federal,  state,  and  foreign  tax  authorities.  The 
Company is currently undergoing several income tax audits including examinations by the U.S. Internal Revenue Service (fiscal 
years  2017-2020),  U.K.  HM  Revenue  and  Customs  (fiscal  years  2016-2020)  and  various  state  tax  authorities.  Excluding 
jurisdictions under audit, the Company’s income tax returns are generally no longer subject to examination prior to fiscal year 
2018. Income tax examinations in Massachusetts (fiscal years 2016-2017) and California (fiscal years 2017-2018) were settled 
in fiscal 2022. The amounts assessed were fully accrued.

In fiscal 2022, the Company received $422.6 million in refunds related to federal and state carryback claims, including 
interest.  At  September  25,  2021,  $404.9  million  of  these  federal  and  state  carryback  claims  was  recorded  as  a  current  tax 
receivable and included in prepaid expenses and other current assets in the Consolidated Balance Sheet.

The  Company  has  determined  that  unremitted  foreign  earnings  are  not  considered  indefinitely  reinvested  to  the  extent 
foreign  earnings  can  be  distributed  without  a  significant  tax  cost.  As  such,  the  Company  records  foreign  withholding  tax 
liabilities related to the future repatriation of such earnings. The Company continues to indefinitely reinvest all other outside 
basis differences to the extent reversal would incur a significant tax liability. It is not practicable for the Company to calculate 
the unrecognized deferred tax liability related to such incremental tax costs on those outside basis differences.

The Tax Cuts and Jobs Act of 2017

The  Tax  Cuts  and  Jobs  Act  of  2017  currently  requires  taxpayers  to  capitalize  research  and  experimental  expenditures 
effective  for  tax  years  beginning  after  December  31,  2021  and  amortize  the  capitalized  costs  over  a  period  of  5  or  15  years 
depending  on  where  the  research  is  conducted.  If  the  capitalization  requirement  is  not  modified  or  repealed,  the  Company 
expects the capitalization of research and experimental expenditures to increase its fiscal 2023 U.S. federal and state income tax 
liabilities. The Company does not expect a significant impact to its effective tax rate related to this change.

Other Tax Accounting Pronouncements

ASU 2016-16 removes the prohibition in ASC 740 against the immediate recognition of the current and deferred income 
tax effects of intra-entity transfers of assets other than inventory. In accordance with ASU 2016-16, the Company recorded a 
$77.2 million increase to current income tax expense, a $39.4 million increase to current income tax liabilities, a $37.8 million 
increase to long-term liabilities, and a $90.8 million decrease to deferred tax expense and net deferred tax liabilities related to 
an internal restructuring for the year ended September 24, 2022. The net result was an increase to net income of $13.6 million, 
or $0.05 to diluted net income per share.

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Non-Income Tax Matters

The  Company  is  subject  to  tax  examinations  for  value  added,  sales-based,  payroll  and  other  non-income  tax  items.  A 
number of these examinations are ongoing in various jurisdictions. The Company takes certain non-income tax positions in the 
jurisdictions in which it operates and records loss contingencies pursuant to ASC 450, Contingencies. In the normal course of 
business,  the  Company's  positions  and  conclusions  related  to  its  non-income  tax  positions  could  be  challenged,  resulting  in 
assessments  by  governmental  authorities.  While  the  Company  believes  estimated  losses  previously  recorded  are  reasonable, 
certain audits are still ongoing and additional charges could be recorded in the future.

During  the  fourth  quarter  of  fiscal  2021,  based  in  part  on  developments  in  an  ongoing  tax  audit  as  well  as  ongoing 
operations, the Company determined that it was probable it had incurred a loss related to a non-income tax issue. The Company 
estimated the probable amount of additional loss to be $11.2 million through fiscal 2021 and recorded this charge to general and 
administrative expenses. While the Company believes its estimate is reasonable and appropriate, the matter is still ongoing and 
additional charges could be recorded in the future. 

10. Stockholders' Equity and Stock-Based Compensation

Stock Repurchase Program

On June 13, 2018, the Board of Directors authorized the repurchase of up to $500.0 million of the Company's outstanding 
common stock. This share repurchase plan was effective August 1, 2018 and expired March 27, 2020. Under this authorization, 
during fiscal 2019, the Company repurchased 4.8 million shares of its common stock for total consideration of $200.1 million. 
During the first and second quarters of fiscal 2020, the Company repurchased 3.9 million shares of its common stock for a total 
consideration of $210.9 million. As of March 28, 2020, the Company had completed this authorization. 

On  November  19,  2019,  the  Board  of  Directors  authorized  the  Company  to  repurchase  up  to  $205  million  of  its 
outstanding  shares  pursuant  to  an  accelerated  share  repurchase  ("ASR")  agreement.  On  November  22,  2019,  the  Company 
executed  the  ASR  agreement  with  Goldman  Sachs  &  Co.  ("Goldman  Sachs")  pursuant  to  which  the  Company  repurchased 
$205  million  of  the  Company's  common  stock.  The  initial  delivery  of  approximately  80%  of  the  shares  under  the  ASR  was 
3.3 million shares for which the Company initially allocated $164.0 million of the $205 million paid to Goldman Sachs during 
the first quarter of fiscal 2020. The Company evaluated the nature of the forward contract aspect of the ASR under ASC 815 
and concluded equity classification was appropriate. Final settlement of the transaction under the ASR occurred in the second 
quarter  of  fiscal  2020.  At  settlement,  Goldman  Sachs  delivered  an  additional  0.6  million  shares  of  the  Company's  common 
stock.

On December 11, 2019, the Board of Directors authorized a new share repurchase plan to repurchase up to $500.0 million 
of the Company's outstanding common stock, effective at the beginning of the third quarter of fiscal 2020. On March 2, 2020 
the Board of Directors approved accelerating the effective date of the new share repurchase plan from March 27, 2020 to March 
2, 2020. Under this revised authorization during fiscal 2020, the Company repurchased 5.1 million shares of its common stock 
for a total consideration of $237.7 million. During the first quarter of fiscal 2021, the Company repurchased 1.5 million shares 
of its common stock under this plan for a total consideration of $101.3 million. 

On December 9, 2020, the Board of Directors authorized a new five-year share repurchase program to repurchase up to 
$1.0  billion  of  the  Company's  outstanding  common  stock.  The  prior  program  was  terminated  in  connection  with  this  new 
authorization. Under the authorization, during fiscal 2021, the Company repurchased 4.6 million shares of its common stock for 
a  total  consideration  of  $308.5  million.  During  fiscal  2022,  the  Company  repurchased  an  additional  7.7  million  shares  of  its 
common stock for a total consideration of $542.1 million.

On  September  22,  2022,  the  Board  of  Directors  authorized  a  new  stock  repurchase  program,  with  a  five-year  term,  to 
repurchase up to $1.0 billion of the Company’s outstanding common stock, effective as of the close of trading on September 23, 
2022. This new stock repurchase program replaced the previous $1.0 billion authorization. Subsequent to September 24, 2022, 
under the new stock repurchase program, the Company repurchased 1.5 million shares of its common stock for $100.0 million.

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Stock-Based Compensation

Equity Compensation Plans

The  Company  has  one  share-based  compensation  plan  pursuant  to  which  awards  are  currently  being  issued—the  2008 
amended  and  restated  Equity  Incentive  Plan  (“2008  Equity  Plan”).  The  purpose  of  the  2008  Equity  Plan  is  to  provide  stock 
options,  restricted  stock  units  and  other  equity  interests  in  the  Company  to  employees,  officers,  directors,  consultants  and 
advisors of the Company and any other person who is determined by the Board of Directors to have made (or is expected to 
make) contributions to the Company. The 2008 Equity Plan is administered by the Board of Directors of the Company, and a 
total of 31.5 million shares were reserved for issuance under this plan. As of September 24, 2022, the Company had 3.3 million 
shares available for future grant under the 2008 Equity Plan.

The following presents stock-based compensation expense in the Company’s Consolidated Statements of Operations in 

fiscal 2022, 2021 and 2020:

Cost of revenues
Research and development
Selling and marketing
General and administrative
Restructuring

2022

2021

2020

$ 

$ 

9.1  $ 
8.8 
10.5 
38.3 
— 
66.7  $ 

8.0  $ 
7.7 
9.5 
38.9 
0.9 
65.0  $ 

6.7 
8.0 
10.2 
50.9 
7.5 
83.3 

Grant-Date Fair Value

The Company uses a binomial model to determine the fair value of its stock options. The Company considers a number of 
factors to determine the fair value of options including the assistance of an outside valuation adviser. Information pertaining to 
stock options granted during fiscal 2022, 2021 and 2020 and related assumptions are noted in the following table:

Options granted (in millions)
Weighted-average exercise price
Weighted-average grant date fair value
Assumptions:

Risk-free interest rates
Expected life (in years)
Expected volatility
Dividend yield

Years ended

September 24, 
2022

September 25, 
2021

September 26, 
2020

0.7 
71.07 
21.01 

$ 
$ 

0.6 
68.62 
19.86 

$ 
$ 

1.0 
45.96 
13.92 

$ 
$ 

 1.1 %
4.8
 34.2 %
— 

 0.4 %
4.8
 35.0 %
— 

 1.7 %
4.8
 33.6 %
— 

The risk-free interest rate is based on a treasury instrument whose term is consistent with the expected life of the stock 
options. In projecting expected stock price volatility, the Company uses a combination of historical stock price volatility and 
implied  volatility  from  observable  market  prices  of  similar  equity  instruments.  The  Company  estimated  the  expected  life  of 
stock options based on historical experience using employee exercise and option expiration data.

Stock-Based Compensation Expense Attribution

The Company uses the straight-line attribution method to recognize stock-based compensation expense for stock options 
and restricted stock units ("RSUs"), unless the employee meets the plan retirement provision of reaching a certain age and years 
of  service  criteria  in  which  case  the  expense  is  accelerated  to  match  the  required  service  period  to  receive  such  benefit.  The 
vesting term of stock options is generally four years with annual vesting of 25% per year on the anniversary of the grant date, 
and RSUs generally vest over three years with annual vesting at 33% per year on the anniversary of the grant date. 

The amount of stock-based compensation recognized during a period is based on the value of the portion of the awards 
that  are  ultimately  expected  to  vest.  Under  ASC  718,  the  Company's  accounting  policy  is  to  estimate  forfeitures  at  the  time 
awards are granted and revise, if necessary, in subsequent periods if actual forfeitures differ from those estimates. Based on an 
analysis  of  historical  forfeitures,  the  Company  has  determined  a  specific  forfeiture  rate  for  certain  employee  groups  and  has 
applied forfeiture rates ranging from 0% to 6.0% as of September 24, 2022 depending on the specific employee group. This 

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analysis is re-evaluated annually and the forfeiture rate adjusted as necessary. Ultimately, the actual stock-based compensation 
expense recognized will only be for those stock options and RSUs that vest.

Stock-based compensation expense related to stock options was $12.0 million, $13.0 million, and $15.5 million in fiscal 
2022,  2021  and  2020,  respectively.  Stock  compensation  expense  related  to  stock  units,  including  RSUs,  performance  stock 
units  ("PSUs"),  free  cash  flow  performance  stock  units  ("FCFs")  and  market  stock  units  ("MSUs")  was  $48.2  million,  $46.1 
million,  and  $63.3  million  in  fiscal  2022,  2021  and  2020,  respectively.  The  related  tax  benefit  recorded  in  the  Consolidated 
Statements  of  Income  was  $8.6  million,  $7.9  million  and  $9.5  million  in  fiscal  2022,  2021  and  2020,  respectively.  At 
September 24, 2022, there was $15.2 million and $53.6 million of unrecognized compensation expense related to stock options 
and stock units, respectively, to be recognized over a weighted average period of 2.2 years and 1.8 years, respectively.

Share Based Payment Activity

The  following  table  summarizes  all  stock  option  activity  under  the  Company’s  stock  option  plans  for  the  year  ended 

September 24, 2022:

Options outstanding at September 25, 2021

Granted

Canceled/ forfeited

Exercised

Options outstanding at September 24, 2022

Options exercisable at September 24, 2022

Options vested and expected to vest at September 
24, 2022 (1)

Number
of Shares
(in millions)

Weighted-
Average
Exercise Price

4.2  $ 

0.7 

(0.2)   

(0.3)   

4.4  $ 

2.8  $ 

44.66 

71.07 

59.36 

41.32 

48.46 

41.57 

4.3  $ 

48.38 

Weighted-
Average
Remaining
Contractual Life
(in Years)

Aggregate
Intrinsic
Value
(in millions)

6.6 $ 

132.7 

6.1 $ 

5.2 $ 

6.1 $ 

11.1 

71.0 

61.6 

70.9 

(1) This represents the number of vested stock options as of September 24, 2022 plus the unvested outstanding options at 

September 24, 2022 expected to vest in the future, adjusted for estimated forfeitures.

During fiscal 2021 and 2020, the total intrinsic value of options exercised (i.e., the difference between the market price on 
the  date  of  exercise  and  the  price  paid  by  the  employee  to  exercise  the  options)  was  $30.4  million  and  $44.8  million, 
respectively.

A summary of the Company’s RSU, PSU, FCF and MSU activity during the year ended September 24, 2022 is presented 

below:

Non-vested Shares
Non-vested at September 25, 2021
Granted
Vested
Forfeited
Non-vested at September 24, 2022

Number of
Shares 
(in millions)

Weighted-Average
Grant-Date Fair
Value

1.7  $ 
1.0 
(0.9)   
(0.1)   
1.7  $ 

54.21 
71.45 
50.03 
55.24 
64.43 

The  number  of  RSUs  vested  includes  shares  withheld  on  behalf  of  employees  to  satisfy  minimum  statutory  tax 
withholding requirements. The Company pays the minimum statutory tax withholding requirement on behalf of its employees. 
During  fiscal  2022,  2021  and  2020  the  total  fair  value  of  RSUs  vested  was  $43.8  million,  $73.1  million  and  $34.9  million, 
respectively.

The Company granted 0.7 million, 0.5 million and 0.6 million RSUs during fiscal 2022, 2021 and 2020, respectively. In 
addition,  included  in  the  above  chart,  the  Company  also  granted  0.1  million,  0.1  million  and  0.1  million  PSUs  during  fiscal 
2022, 2021, and 2020, respectively, to members of the Company's senior management team, which includes additional shares 

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issued upon achieving metrics within the performance criteria. The PSUs were valued at $71.16, $68.51 and $45.38 per share 
based on the ending stock price on the date of grant in fiscal 2022, 2021 and 2020, respectively. Each recipient of the PSUs is 
eligible to receive between zero and 200% of the target number of shares of the Company’s common stock at the end of three 
year performance period provided the Company’s defined Return on Invested Capital metrics are achieved. The Company also 
granted $0.1 million of FCF PSUs based on a three-year cumulative free cash flow measure (FCF) to its senior management 
team in fiscal 2022. The Company granted 0.1 million and 0.1 million of FCF PSUs based on a one-year measurement period to 
its senior management team in fiscal 2021 and 2020, respectively. Each recipient of FCF PSUs is eligible to receive between 
zero  and  200%  of  the  target  number  of  shares  of  the  Company's  common  stock  at  the  end  of  the  three-year  or  one-year 
measurement  periods.  The  PSUs  and  FCF  PSUs  cliff-vest  three  years  from  the  date  of  grant,  and  the  Company  recognizes 
compensation expense ratably over the required service period based on its estimate of the number of shares that will vest upon 
achieving the measurement criteria. If there is a change in the estimate of the number of shares that are probable of vesting, the 
Company will cumulatively adjust compensation expense in the period that the change in estimate is made. The Company also 
granted  0.1  million,  0.1  million  and  0.1  million  MSUs  during  fiscal  2022,  2021  and  2020,  respectively,  to  its  senior 
management team. Each recipient of MSUs is eligible to receive between zero and 200% of the target number of shares of the 
Company’s common stock at the end of three year performance period based upon achieving a certain total shareholder return 
relative  to  a  defined  peer  group.  The  MSUs  were  valued  at  $75.43,  $82.31  and  $43.54  per  share  using  the  Monte  Carlo 
simulation model in fiscal 2022, 2021 and 2020, respectively. These awards cliff-vest three years from the date of grant, and the 
Company recognizes compensation expense for the MSUs ratably over the service period.

Employee Stock Purchase Plan

The  Hologic,  Inc.  2012  Employee  Stock  Purchase  Plan  (“2012  ESPP”)  provides  for  the  granting  of  up  to  2.5  million 
shares  of  the  Company’s  common  stock  to  eligible  employees.  The  2012  ESPP  plan  period  is  semi-annual  and  allows 
participants to purchase the Company’s common stock at 85% of the lower of (i) the market price per share of the common 
stock on the first day of the offering period or (ii) the market price per share of the common stock on the purchase date. Stock-
based compensation expense in fiscal 2022, 2021 and 2020 was $6.5 million, $5.9 million and $4.5 million, respectively.

The Company uses the Black-Scholes model to estimate the fair value of shares to be issued as of the grant date using the 

following weighted average assumptions:

Assumptions:

Risk-free interest rates
Expected life (in years)
Expected volatility
Dividend yield

September 24, 
2022

September 25, 
2021

September 26, 
2020

 0.96 %
0.5
 34.0 %
— 

 0.26 %
0.5
 34.1 %
— 

 1.32 %
0.5
 26.9 %
— 

11. 401(k) Plan

The  Company's  U.S.  employees  have  access  to  a  qualified  401(k)  defined  contribution  plan.  The  Company  made 

contributions of $21.8 million, $20.9 million and $19.6 million for fiscal 2022, 2021 and 2020, respectively.

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12. Deferred Compensation Plans

Nonqualified Deferred Compensation Plan

Effective March 15, 2006, the Company adopted its Nonqualified Deferred Compensation Plan ("DCP") to provide non-
qualified retirement benefits to a select group of executive officers, senior management and highly compensated employees of 
the Company. Eligible employees may elect to contribute up to 75% of their annual base salary and 100% of their annual bonus 
to  the  DCP  and  such  employee  contributions  are  100%  vested.  In  addition,  the  Company  may  elect  to  make  annual 
discretionary contributions on behalf of participants in the DCP. Each Company contribution is subject to a three-year vesting 
schedule, such that each contribution vests one third annually. Employee contributions are recorded within accrued expenses.

Upon  enrollment  into  the  DCP,  employees  make  investment  elections  for  both  their  voluntary  contributions  and 
discretionary  contributions,  if  any,  made  by  the  Company.  Earnings  and  losses  on  contributions  based  on  these  investment 
elections are recorded as a component of compensation expense in the period earned.

Annually, the Compensation Committee of the Board of Directors has approved a discretionary cash contribution to the 
DCP for each year. Discretionary contributions by the Company to the DCP are held in a Rabbi Trust. The Company records 
compensation  expense  for  the  DCP  discretionary  contributions  ratably  over  the  three-year  vesting  period  of  each  annual 
contribution, unless the participant meets the plan retirement provision of reaching a certain age and years of service criteria in 
which  case  the  expense  is  accelerated  to  match  the  required  service  period  to  receive  such  benefit.  Under  the  DCP,  the 
Company recorded compensation expense related to Company contributions of $4.0 million, $3.2 million and $3.1 million in 
fiscal  2022,  2021  and  2020,  respectively.  The  full  amount  of  the  discretionary  contribution,  net  of  forfeitures,  along  with 
employee deferrals is recorded within accrued expenses and totaled $61.8 million and $76.1 million at September 24, 2022 and 
September 25, 2021, respectively.

The Company has purchased Company-owned group life insurance contracts, in which both voluntary and discretionary 
Company DCP contributions are invested, to partially fund payment of the Company’s obligation to the DCP participants. The 
total amount invested at September 24, 2022 and September 25, 2021 was $49.2 million and $64.3 million, respectively. The 
values  of  these  life  insurance  contracts  are  recorded  in  other  long-term  assets.  Changes  in  the  cash  surrender  value  of  life 
insurance contracts, which were not significant in fiscal 2022, 2021 and 2020, are recorded within other income (expense), net.

Deferred Equity Plan

Effective  September  17,  2015,  the  Company  adopted  the  Hologic,  Inc.  Deferred  Equity  Plan  (the  “DEP”).  The  DEP  is 
designed to allow executives and non-employee Directors to accumulate Company stock in a tax-efficient manner to meet their 
long-term equity accumulation goals and shareholder ownership guidelines. Under the DEP, eligible participants may elect to 
defer the settlement of stock units granted under the 2008 Equity Plan until separation from service or separation from service 
plus a fixed number of years. Participants may defer settlement by vesting tranche. Although the equity will vest on schedule, if 
deferral  of  settlement  is  elected,  no  shares  are  issued  until  the  settlement  date.  The  settlement  date  is  the  earlier  of  death, 
disability,  change  in  control  of  the  Company  or  separation  from  service  plus  the  number  of  years  of  deferral  elected  by  the 
participant.  While  these  shares  upon  vesting  are  not  distributed  to  the  individuals  and  are  not  outstanding,  these  shares  are 
included in basic weighted average shares outstanding used to calculate earnings per share.

13. Non-cancelable Purchase Commitments

The  Company  has  certain  non-cancelable  purchase  obligations  primarily  related  to  inventory  purchases  and  diagnostics 
instruments, primarily Panther systems, and to a lesser extent other operating expense commitments. These obligations are not 
recorded  in  the  Consolidated  Balance  Sheets.  For  reasons  of  quality  assurance,  sole  source  availability  or  cost  effectiveness, 
certain key components and raw materials and instruments are available only from a sole supplier and the Company has certain 
long-term supply contracts to assure continuity of supply. At September 24, 2022, non-cancelable purchase commitments were 
as follows:

Fiscal 2023
Fiscal 2024
Fiscal 2025
Fiscal 2026
Fiscal 2027
Thereafter
Total

302.9 
45.4 
12.5 
2.8 
2.7 
0.3 
366.6 

$ 

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14. Litigation and Related Matters

On November 6, 2015, the Company filed a suit against Minerva Surgical, Inc. (“Minerva”) in the United States District 
Court for the District of Delaware, alleging that Minerva’s endometrial ablation device infringes U.S. Patent 6,872,183 (the '183 
patent), U.S. Patent 8,998,898 and U.S. Patent 9,095,348 (the '348 patent). On January 25, 2016, the Company amended the 
complaint  to  include  claims  against  Minerva  for  unfair  competition,  deceptive  trade  practices  and  tortious  interference  with 
business  relationships.  On  February  5,  2016,  the  Company  filed  a  second  amended  complaint  to  additionally  allege  that 
Minerva’s endometrial ablation device infringes U.S. Patent 9,247,989 (the '989 patent). On March 4, 2016, Minerva filed an 
answer and counterclaims against the Company, seeking declaratory judgment on the Company’s claims and asserting claims 
against  the  Company  for  unfair  competition,  deceptive  trade  practices,  interference  with  contractual  relationships,  breach  of 
contract  and  trade  libel.  On  June  2,  2016,  the  Court  denied  the  Company’s  motion  for  a  preliminary  injunction  on  its  patent 
claims and denied Minerva’s request for preliminary injunction related to the Company’s alleged false and deceptive statements 
regarding  the  Minerva  product.  On  June  28,  2018,  the  Court  granted  the  Company's  summary  judgment  motions  on 
infringement  and  no  invalidity  with  respect  to  the  ‘183  and  ‘348  patents.  The  Court  also  granted  the  Company’s  motion  for 
summary  judgment  on  assignor  estoppel,  which  bars  Minerva’s  invalidity  defenses  or  any  reliance  on  collateral  findings 
regarding  invalidity  from  inter  partes  review  proceedings.  The  Court  also  denied  all  of  Minerva’s  defenses,  including  its 
motions for summary judgment on invalidity, non-infringement, no willfulness, and no unfair competition. On July 27, 2018, 
after  a  two-week  trial,  a  jury  returned  a  verdict  that:  (1)  awarded  the  Company  $4.8  million  in  damages  for  Minerva’s 
infringement;  (2)  found  that  Minerva’s  infringement  was  not  willful;  and  (3)  found  for  the  Company  regarding  Minerva’s 
counterclaims. Damages continued to accrue as Minerva continued its infringing conduct. On May 2, 2019, the Court issued 
rulings  that  denied  the  parties'  post-trial  motions,  including  the  Company's  motion  for  a  permanent  injunction  seeking  to 
prohibit Minerva from selling infringing devices. Both parties appealed the Court's rulings regarding the post-trial motions. On 
March  4,  2016,  Minerva  filed  two  petitions  at  the  United  States  Patent  and  Trademark  Office  ("USPTO")  for  inter  partes 
review of the '348 patent. On September 12, 2016, the Patent Trial and Appeal Board of the USPTO ("PTAB") declined both 
petitions to review patentability of the ‘348 patent. On April 11, 2016, Minerva filed a petition for inter partes review of the 
'183 patent. On October 6, 2016, the PTAB granted the petition and instituted a review of the '183 patent. On December 15, 
2017, the PTAB issued a final written decision invalidating all claims of the ‘183 patent. On February 9, 2018 the Company 
appealed this decision to the United States Court of Appeals for the Federal Circuit ("Court of Appeals"). On April 19, 2019, 
the  Court  of  Appeals  affirmed  the  PTAB's  final  written  decision  regarding  the  '183  patent.  On  July  16,  2019,  the  Court  of 
Appeals denied the Company’s petition for rehearing in the appeal regarding the '183 patent. On April 22, 2020, the Court of 
Appeals affirmed the district court’s summary judgment ruling in favor of the Company of no invalidity and infringement, and 
summary judgment that assignor estoppel bars Minerva from challenging the validity of the ‘348 patent. The Court of Appeals 
also denied the Company’s motion for a permanent injunction and ongoing royalties for infringement of the ‘183 patent. The 
Court  of  Appeals  denied  Minerva’s  arguments  for  no  damages  or,  alternatively,  a  new  trial.  On  May  22,  2020  both  parties 
petitioned for en banc review of the Court of Appeals decision. On July 22, 2020, the Court of Appeals denied both parties' 
petitions for en banc review. On August 28, 2020, the district court entered final judgment against Minerva but stayed execution 
pending resolution of Minerva’s intent to petition for Supreme Court review. On September 30, 2020, Minerva filed a petition 
requesting Supreme Court review on the issue of assignor estoppel. On November 5, 2020, the Company filed a cross- petition 
requesting Supreme Court review on the issue of assignor estoppel. On January 8, 2021, the Supreme Court granted Minerva's 
petition to address the issue of assignor estoppel and denied the Company's petition. Oral argument before the Supreme Court 
was  held  on  April  21,  2021.  On  June  29,  2021,  the  Supreme  Court  ruled  5-4  to  uphold  the  assignor  estoppel  but  limited  its 
application  to  situations  in  which  an  assignor's  claim  of  invalidity  contradicts  a  prior  representation  the  assignor  made  in 
assigning the patent. The Court also vacated the ruling of the Court of Appeals and remanded the case for further proceedings 
consistent with its opinion. On August 11, 2022, the Court of Appeals affirmed the district court ruling on the issue of assignor 
estoppel, which barred Minerva from challenging the validity of the patent rights it assigned to the Company, and reinstated its 
earlier judgment against Minerva on infringement. On September 11, 2022, Minerva petitioned for en banc review of the Court 
of Appeals decision. The Company filed its response on October 25, 2022, and on November 10, 2022, the Court of Appeals 
denied Minerva's petition.

On April 11, 2017, Minerva filed suit against the Company and Cytyc Surgical Products, LLC (“Cytyc”) in the United 
States District Court for the Northern District of California alleging that the Company’s and Cytyc’s NovaSure ADVANCED 
endometrial ablation device infringes Minerva’s U.S. patent 9,186,208 (the '208 patent). Minerva is seeking a preliminary and 
permanent  injunction  against  the  Company  and  Cytyc  from  selling  this  NovaSure  device  as  well  as  enhanced  damages  and 
interest,  including  lost  profits,  price  erosion  and/or  royalty.  On  January  5,  2018,  the  Court  denied  Minerva's  motion  for  a 
preliminary injunction. On February 2, 2018, at the parties’ joint request, this action was transferred to the District of Delaware. 
On March 26, 2019, the Magistrate Judge issued a claims construction ruling regarding the disputed terms in the patent, which 
the District Court Judge adopted in all respects on October 21, 2019. The original trial date of July 20, 2020 was vacated. On 
October 21, 2020, the trial court scheduled a 10 day trial beginning on August 9, 2021. On July 27. 2021, the Delaware district 
court  granted  Hologic's  motion  for  summary  judgment  on  invalidity  of  the  '208  patent  and  entered  judgment  in  favor  of  the 

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Company. On August 24, 2021, Minerva appealed this and the other rulings to the Court of Appeals. An oral argument was 
held  on  October  3,  2022.  At  this  time,  based  on  available  information  regarding  this  litigation,  the  Company  is  unable  to 
reasonably assess the ultimate outcome of this case or determine an estimate, or a range of estimates, of potential losses.

The Company is a party to various other legal proceedings and claims arising out of the ordinary course of its business. 
The Company believes that except for those matters described above there are no other proceedings or claims pending against it 
the ultimate resolution of which could have a material adverse effect on its financial condition or results of operations. In all 
cases, at each reporting period, the Company evaluates whether or not a potential loss amount or a potential range of loss is 
probable and reasonably estimable under ASC 450. Legal costs are expensed as incurred.

15. Disposition

Sale of Medical Aesthetics

On  November  20,  2019,  the  Company  entered  into  a  definitive  agreement  to  sell  its  Medical  Aesthetics  business  to 
Clayton Dubilier & Rice ("CD&R") for a sales price of $205.0 million in cash, less certain adjustments. The sale was completed 
on December 30, 2019, and the Company received cash proceeds of $153.4 million in the second quarter of fiscal 2020. The 
sale price was subject to adjustment pursuant to the terms of the definitive agreement, and in the fourth quarter of fiscal 2020 
the parties agreed to a final sales price of $150.0 million. The Company agreed to provide certain transition services for three to 
fifteen months, depending on the nature of the service. The Company also agreed to indemnify CD&R for certain legal and tax 
matters  that  existed  as  of  the  date  of  disposition.  In  connection  with  its  accounting  for  the  sale,  the  Company  recorded 
indemnification liabilities of $10.9 million within accrued expenses associated with its obligations under the sale agreement. 

As  a  result  of  this  transaction,  the  Medical  Aesthetics  asset  group  was  designated  as  assets  held-for-sale  in  the  first 
quarter  of  fiscal  2020.  Pursuant  to  ASC  360,  Impairment  and  Disposal  of  Long-Lived  Assets,  asset  groups  under  this 
designation  are  required  to  be  recorded  at  fair  value  less  costs  to  sell.  The  Company  determined  that  this  disposal  did  not 
qualify as a discontinued operation as the sale of the Medical Aesthetics business was deemed to not be a strategic shift having 
or that will have a major effect on the Company's operations and financial results. Based on the terms in the agreement of the 
sales price and formula for net working capital and related adjustments, its estimate of the fair value for transition services and 
the amount that must be carved out of the sale proceeds, and liabilities the Company will retain or for which it has agreed to 
indemnify  CD&R,  the  Company  recorded  an  impairment  charge  of  $30.2  million  in  the  first  quarter  of  fiscal  2020.  The 
impairment  charge  was  allocated  to  Medical  Aesthetics  long-lived  assets,  of  which  $25.8  million  was  allocated  to  cost  of 
product revenues and $4.4 million to operating expenses.

Loss  from  operations  of  the  disposed  business  presented  below  represents  the  operating  loss  of  the  business  as  it  was 
operated  prior  to  the  date  of  disposition.  The  operating  expenses  include  only  those  that  were  incurred  directly  by  and  were 
retained  by  the  disposed  business.  As  noted  above,  the  Company  had  performed  a  number  of  transition  services  and  the 
financial  impact  from  these  services  is  not  included  in  the  amount  presented  below.  In  addition,  the  Company  continued  to 
incur  expenses  related  to  this  business  under  the  indemnification  provisions  primarily  related  to  legal  and  tax  matters  that 
existed as of the date of disposition. Subsequent to the disposition, the Company recorded additional expenses of $6.2 million in 
fiscal  2020  primarily  for  accelerated  stock  compensation,  inventory  reserves  under  the  manufacturing  supply  agreement,  and 
legal expenses and settlements, which are not included in the below amounts. Loss from operations of the disposed business for 
fiscal 2020 was as follows:

Loss from operations

Year Ended

September 26, 2020

$ 

(46.5) 

16. Business Segments and Geographic Information

The  Company  reports  segment  information  in  accordance  with  ASC  280,  Segment  Reporting.  Operating  segments  are 
identified as components of an enterprise about which separate, discrete financial information is available for evaluation by the 
chief  operating  decision  maker,  or  decision-making  group,  in  making  decisions  about  how  to  allocate  resources  and  assess 
performance.  The  Company’s  chief  operating  decision  maker  is  its  chief  executive  officer,  and  the  Company’s  reportable 
segments have been identified based on the types of products manufactured and the end markets to which the products are sold. 
Each  reportable  segment  generates  revenue  from  either  the  sale  of  medical  equipment  and  related  services  and/or  sale  of 
disposable  supplies,  primarily  used  for  diagnostic  testing  and  surgical  procedures.  During  fiscal  2022  and  fiscal  2021,  the 
Company had four reportable segments: Diagnostics, Breast Health, GYN Surgical and Skeletal Health. During the first quarter 
of fiscal 2020, the Company had five reportable segments: Diagnostics, Breast Health, Medical Aesthetics, GYN Surgical and 
Skeletal  Health.  The  Company  completed  the  sale  of  its  Medical  Aesthetics  business  on  December  30,  2019.  The  Company 

F-54

 
 
Table of Contents

measures and evaluates its reportable segments based on segment revenues and operating income adjusted to exclude the effect 
of  non-cash  charges,  such  as  intangible  asset  amortization  expense,  goodwill  and  intangible  asset  impairment  charges, 
transaction and integration expenses for acquisitions, restructuring, consolidation and divestiture charges, litigation charges, and 
other one-time or unusual items.

Identifiable assets for the reportable segments consist of inventories, intangible assets, goodwill, and property, plant and 
equipment. The Company fully allocates depreciation expense to its reportable segments. The Company has presented all other 
identifiable assets as corporate assets. There were no intersegment revenues. Segment information for fiscal 2022, 2021, and 
2020 was as follows:

Total revenues:

Diagnostics

Breast Health

GYN Surgical

Skeletal Health

Medical Aesthetics

Operating income (loss):

Diagnostics

Breast Health

GYN Surgical

Skeletal Health

Medical Aesthetics

Depreciation and amortization:

Diagnostics

Breast Health

GYN Surgical

Skeletal Health

Medical Aesthetics

Capital expenditures:

Diagnostics
Breast Health
GYN Surgical

Skeletal Health

Medical Aesthetics

Corporate

Identifiable assets:

Diagnostics

Breast Health

GYN Surgical

Skeletal Health

Corporate

September 24,
2022

Years ended

September 25,
2021

September 26,
2020

$ 

3,018.5  $ 

3,695.0  $ 

1,227.8 
522.9 

93.6 

— 

1,352.3 
488.1 

96.9 

— 

2,102.1 

1,151.9 
376.1 

81.0 

65.3 

$ 

$ 

$ 

$ 

$ 

$ 

$ 

$ 

4,862.8  $ 

5,632.3  $ 

3,776.4 

1,359.4  $ 

2,140.1  $ 

183.2 
104.9 

(7.3)   

— 

284.2 
58.9 

(2.9)   

— 

929.7 

192.8 
42.0 

(2.4) 

(57.1) 

1,640.2  $ 

2,480.3  $ 

1,105.0 

274.0  $ 

260.4  $ 

237.3 

58.8 
96.6 

0.7 

— 

52.7 
93.1 

0.7 

— 

48.8 
85.1 

0.7 

4.1 

430.1  $ 

406.9  $ 

376.0 

96.8  $ 
14.6 
12.8 

0.3 

— 

2.7 

147.7  $ 
14.2 
14.5 

0.3 

— 

1.0 

110.7 
22.4 
17.9 

0.2 

1.4 

3.8 

127.2  $ 

177.7  $ 

156.4 

2,881.7  $ 

3,348.8  $ 

1,245.8 
1,461.5 

27.5 

3,454.7 

1,233.9 
1,369.7 

31.9 

2,935.6 

2,161.4 

1,200.9 
1,438.7 

38.9 

2,355.9 

7,195.8 

$ 

9,071.2  $ 

8,919.9  $ 

F-55

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Table of Contents

The  Company  operates  in  the  following  major  geographic  areas  as  noted  in  the  below  chart.  Revenue  data  is  based 
upon customer location. Other than the United States, no single country accounted for more than 10% of consolidated revenues. 
The  Company’s  sales  in  Europe  are  predominantly  derived  from  France,  Italy,  the  Netherlands,  the  United  Kingdom  and 
Germany.  The  Company’s  sales  in  Asia-Pacific  are  predominantly  derived  from  China,  Australia  and  Japan.  The  “Rest  of 
world” designation includes Canada, Latin America and the Middle East.

Revenues by geography as a percentage of total revenues were as follows:

United States
Europe
Asia-Pacific
Rest of world

September 24,
2022

Years ended

September 25,
2021

September 26,
2020

 71.3 %
 18.3 %
 7.4 %
 3.0 %
 100.0 %

 69.3 %
 21.3 %
 6.5 %
 2.9 %
 100.0 %

 75.8 %
 15.1 %
 6.0 %
 3.1 %
 100.0 %

The Company’s property, plant and equipment, net were geographically located as follows:

United States
Europe
Costa Rica
Rest of world

September 24, 
2022

September 25, 
2021

September 26, 
2020

$ 

$ 

332.4  $ 
103.8 
32.1 
13.3 
481.6  $ 

403.2  $ 
122.9 
26.9 
11.7 
564.7  $ 

383.0 
77.5 
20.8 
10.2 
491.5 

17. Accrued Expenses and Other Long-Term Liabilities

Accrued expenses and other long-term liabilities consisted of the following:

Accrued Expenses
Compensation and employee benefits
Income and other taxes
Operating leases
Contingent consideration
Accrued interest
Other

Other Long-Term Liabilities
Reserve for income tax uncertainties
Operating leases
Contingent consideration
Interest rate swap
Pension liabilities
Other

F-56

September 24, 
2022

September 25, 
2021

$ 

$ 

292.2  $ 
44.2 
23.2 
12.0 
7.3 
156.4 
535.3  $ 

297.2 
70.9 
26.8 
16.3 
16.9 
168.1 
596.2 

September 24, 
2022

September 25, 
2021

$ 

$ 

251.6  $ 
53.8  $ 
11.4  $ 
— 
6.8 
7.1 
330.7  $ 

210.0 
66.1 
58.8 
7.6 
10.0 
16.2 
368.7 

 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Table of Contents

F-57

Subsidiaries of Hologic*

Jurisdiction of Incorporation or Organization

Exhibit 21.1

Acessa Health Inc.

Beijing Hologic Technology Co., Ltd.

Benassar Diagnostica-Equipamientos Medicos Unipessoal, Lda.

BioLucent, LLC

Bioptics, Inc.

Biotheranostics, Inc.

Bolder Surgical Holdings, Inc.

Bolder Surgical, LLC

Cytyc Corporation

Cytyc Prenatal Products Corp.

Cytyc Surgical Products, LLC

Diagenode Co., Ltd.

Diagenode SA

Diagenode SPA

Diagenode, LLC

Direct Radiography Corp.

Emsor, Sociedad de responsabilidad limitada 

Faxitron Bioptics, LLC

Genewave SAS

Gen-Probe Incorporated

Gen-Probe Prodesse, Inc.

Health Beacons, Inc.

Hologic (Australia & New Zealand) Pty Ltd.

Hologic (Hainan) Medical Co., Ltd.

Hologic ASE, LLC

Hologic Asia Limited

Hologic Asia Pacific Limited

Hologic Austria GmbH
Hologic BV

Hologic Bermuda Limited
Hologic Canada ULC
Hologic Denmark ApS

Hologic Deutschland GmbH

Hologic Espana S.A.

Hologic Finance Ltd.

Hologic France SARL

Hologic GGO 2, LLC

Hologic GGO 3 LLP

Hologic GGO 4 LTD

Hologic Global Holding LTD

Hologic Hitec-Imaging GmbH

Hologic Holdings Limited

Hologic HUB LTD

Hologic Iberia, S.L.

Delaware

China

Portugal

Delaware

Arizona

Delaware

Delaware

Colorado

Delaware

Delaware

Massachusetts

Japan

Belgium

Chile

Delaware

Delaware

Spain

Delaware

France

Delaware

Wisconsin

Washington

Australia

China

Delaware

Hong Kong

Hong Kong

Austria
Belgium

Bermuda
Canada
Denmark

Germany

Spain

Bermuda

France

Delaware

United Kingdom

United Kingdom

United Kingdom

Germany

United Kingdom

United Kingdom

Spain

Subsidiaries of Hologic*

Jurisdiction of Incorporation or Organization

Hologic India LLP

Hologic International Holdings B.V.

Hologic IP LTD

Hologic Ireland Limited

Hologic Italia S.r.l.

Hologic Japan KK

Hologic Korea Ltd.

Hologic Latin America (Servicos Em Marketing E Negocios) Ltda.

Hologic Ltd.

Hologic Malaysia SDN. BHD.

Hologic Medical Technologies (Beijing) Co., Ltd.

Hologic Medicor GmbH

Hologic Medicor Suisse GmbH

Hologic Netherlands B.V.

Hologic Nordic Holdings Oy

Hologic (Shanghai) Medical Supplies Co., Ltd.

Hologic Sales and Service, LLC

Hologic Singapore Pte. Ltd

Hologic Suisse SA

Hologic Surgical Products Costa Rica, S.R.L.

Hologic Sweden AB

Hologic Taiwan Ltd.

Hologic UK Finance Ltd.

Hologic US Finance Co LLC

Mobidiag Oy

Mobidiag Sverige AB

Mobidiag UK Ltd.

Navigation Three Limited

Somatex (HK) Limited

Somatex Medical Technologies GmbH
SuperSonic Imagine SA

SuperSonic Imagine GmbH
SuperSonic Imagine Ltd

India

Netherlands

United Kingdom

Ireland

Italy

Japan 

Korea

Brazil

United Kingdom

Malaysia

China

Germany

Switzerland

Netherlands

Finland

China

Massachusetts

Singapore

Switzerland

Costa Rica

Sweden

Taiwan

United Kingdom

Delaware

Finland

Sweden

United Kingdom

Hong Kong

China

Germany
France

Germany
United Kingdom

SuperSonic Imagine (Shanghai) Medical Devices Co., Ltd.

China

Suros Surgical Systems, Inc.

TCT International Co., Ltd.

Delaware

British Virgin Islands

*Subsidiaries not included in the list are omitted because, in aggregate, they are insignificant as defined by Item 601(b)(21) of 
Regulation S-K.

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

Consent of Independent Registered Public Accounting Firm 

Exhibit 23.1

(1) Registration Statement (Form S-3ASR No. 333-235287) pertaining to Hologic, Inc.’s shelf registration 

statement for common stock, preferred stock, debt securities, rights, warrants, purchase contracts, units or 
any combination of the foregoing, and

(2) Registration Statements (Form S-8 Nos. 333-150796, 333-181126, 333-188468, 333-210968, 

333-224613) pertaining to the equity incentive plans and employee stock purchase plan of Hologic, Inc.;

of our reports dated November 15, 2022, with respect to the consolidated financial statements of Hologic, Inc. and the 
effectiveness of internal control over financial reporting of Hologic, Inc., included in this Annual Report (Form 10-K) of 
Hologic, Inc. for the year ended September 24, 2022. 

/s/ Ernst & Young LLP 

Boston, Massachusetts
November 15, 2022

CERTIFICATION PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

Exhibit 31.1

I, Stephen P. MacMillan, certify that:

1.

I have reviewed this annual report on Form 10-K of Hologic, Inc.;

2. 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;

3. 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;

4. The registrant’s other certifying officer 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 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 change 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 officer 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 the 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 control 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 control over financial reporting.

Date: November 15, 2022 

/s/    Stephen P. MacMillan        
Stephen P. MacMillan
Chairman, President and Chief Executive Officer

 
CERTIFICATION PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

Exhibit 31.2

I, Karleen M. Oberton, certify that:

1.

I have reviewed this annual report on Form 10-K of Hologic, Inc.;

2. 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;

3. 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;

4. The registrant’s other certifying officer 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 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 change 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 officer 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 the 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 control 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 control over financial reporting.

Date: November 15, 2022 

/s/    Karleen M. Oberton
Karleen M. Oberton
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 32.1

I, Stephen P. MacMillan, Chief Executive Officer of Hologic, Inc., a Delaware corporation (the “Company”), do hereby 

certify, 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), that:

(1) The Annual Report on Form 10-K for the year ended September 24, 2022 (the “Form 10-K”) of the Company 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.

Dated: November 15, 2022

/s/    Stephen P. MacMillan        
Stephen P. MacMillan
Chairman, President and Chief Executive Officer

A SIGNED ORIGINAL OF THIS WRITTEN STATEMENT REQUIRED BY SECTION 906 OF THE SARBANES-OXLEY 
ACT OF 2002 HAS BEEN PROVIDED TO HOLOGIC, INC. AND WILL BE RETAINED BY HOLOGIC, INC. AND 
FURNISHED TO THE SECURITIES AND EXCHANGE COMMISSION OR ITS STAFF UPON REQUEST.

 
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 32.2

I, Karleen M. Oberton, Chief Financial Officer of Hologic, Inc., a Delaware corporation (the “Company”), do hereby 
certify, 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), that:

(1) The Annual Report on Form 10-K for the year ended September 24, 2022 (the “Form 10-K”) of the Company 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.

Dated: November 15, 2022

/s/    Karleen M. Oberton
Karleen M. Oberton
Chief Financial Officer

A SIGNED ORIGINAL OF THIS WRITTEN STATEMENT REQUIRED BY SECTION 906 OF THE SARBANES-OXLEY 
ACT OF 2002 HAS BEEN PROVIDED TO HOLOGIC, INC. AND WILL BE RETAINED BY HOLOGIC, INC. AND 
FURNISHED TO THE SECURITIES AND EXCHANGE COMMISSION OR ITS STAFF UPON REQUEST.