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Integer

itgr · NYSE Healthcare
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Ticker itgr
Exchange NYSE
Sector Healthcare
Industry Medical - Devices
Employees 5001-10,000
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FY2018 Annual Report · Integer
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2018 
Annual 
Report

Dear fellow stockholders: 

We made significant improvements throughout 2018 in our financial metrics while 
executing our growth strategy and improving operational performance. We exceeded 
our financial guidance, substantially reduced our debt, strengthened our leadership 
team, divested our Advanced Surgical & Orthopedics product line, and launched 
operational strategic imperatives designed to achieve excellence in everything we do.  

Through our portfolio strategy, we are driving increased market penetration in the 
high growth Cardio & Vascular and Neuromodulation markets, re-establishing 
Electrochem’s growth, improving the profitability of Portable Medical and 
maintaining our Cardiac Rhythm Management market leadership position. Our 
operational strategy includes multi-year plans to partner more broadly with our 
customers, improve operating leverage through increased manufacturing efficiency 
and establish a culture of learning, accountability and excellence. By significantly 
lowering our debt leverage, we have increased financial flexibility to invest more 
aggressively to drive accelerated growth. 

Integer is well-positioned to achieve our long-term strategy to grow revenue faster 
than our markets, while increasing profit at least two times the revenue growth rate. 
Our unmatched scale, global presence, world-class manufacturing capabilities and 
high standards for excellence create a competitive advantage.   We are committed to 
executing our strategy to realize our vision of enhancing patient’s lives. 

Sincerely, 

Joseph W. Dziedzic 
President & Chief Executive Officer 

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

_____________________________________ 

FORM 10-K

_____________________________________ 

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

For The Fiscal Year Ended December 28, 2018 

Commission File Number 1-16137
 _____________________________________ 

INTEGER HOLDINGS CORPORATION
(Exact name of Registrant as specified in its charter)

 _____________________________________ 

Delaware
(State of
Incorporation)

16-1531026
(I.R.S. Employer
Identification No.)

5830 Granite Parkway
Suite 1150
Plano, Texas 75024
(Address of principal executive offices)

(214) 618-5243
(Registrant’s telephone number, including area code)

Securities Registered Pursuant to Section 12(b) of the Act:

Title of Each Class:
Common Stock, Par Value $0.001 Per Share

Name of Each Exchange on Which Registered:
New York Stock Exchange

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 checkmark whether the registrant has submitted electronically every Interactive Data File required to be submitted  

pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that 
the registrant was required to submit such files).    Yes  

    No  

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

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller 

reporting company, or emerging growth company. See the definitions of large accelerated filer, accelerated filer, smaller reporting 
company, and emerging growth company in Rule 12b-2 of the Exchange Act. 

Large accelerated filer

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 is a shell company (as defined in Rule 12b-2 of the Act).    Yes  

    No  

The aggregate market value of common stock held by non-affiliates as of June 29, 2018 (the last business day of the 
registrant’s most recently completed second fiscal quarter), based on the last sale price of $64.65, as reported on the New York 
Stock Exchange on that date: $2.1 billion. Solely for the purpose of this calculation, shares held by directors and officers and 10 
percent stockholders of the registrant have been excluded. This exclusion should not be deemed a determination or an admission 
that these individuals are, in fact, affiliates of the registrant.

Shares of common stock outstanding as of February 15, 2019: 32,516,677

DOCUMENTS INCORPORATED BY REFERENCE

Portions of the following document are specifically incorporated by reference into the indicated parts of this report:

Document
Proxy Statement for the 2019 Annual Meeting of
Stockholders

Part

Part III, Item 10
“Directors, Executive Officers and Corporate Governance”

Part III, Item 11
“Executive Compensation”

Part III, Item 12
“Security Ownership of Certain Beneficial Owners and 
Management and Related Stockholder Matters”

Part III, Item 13
“Certain Relationships and Related Transactions, and 
Director Independence”

Part III, Item 14
“Principal Accountant Fees and Services”

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.

Selected Financial Data.............................................................................................................................................

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......................................................................................................................................................

PART III

Item 10. Directors, Executive Officers and Corporate Governance........................................................................................

Item 11. Executive Compensation...........................................................................................................................................

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 Accountant Fees and Services....................................................................................................................

Item 15. Exhibits and Financial Statement Schedules.............................................................................................................

Item 16. Form 10-K Summary.................................................................................................................................................

Signatures..................................................................................................................................................................

PART IV

3

14

23

23

24

24

25

26

27

47

49

94

95

95

96

96

96

96

96

97

100

101

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PART I

ITEM 1. 

BUSINESS

OVERVIEW

Integer Holdings Corporation, headquartered in Plano, Texas, is among the world’s largest medical device outsource (“MDO”) 
manufacturing companies, serving the cardiac, neuromodulation, orthopedics, vascular, advanced surgical and portable medical 
market.  We provide innovative, high quality medical technologies that enhance the lives of patients worldwide.  In addition, we 
develop batteries for high-end niche applications in energy, military, and environmental markets.  Our brands include 
GreatbatchTM Medical, Lake Region MedicalTM and ElectrochemTM.  Our primary customers include large, multi-national original 
equipment manufacturers (“OEMs”) and their affiliated subsidiaries.  When used in this report, the terms “Integer,” “we,” “us,” 
“our” and the “Company” mean Integer Holdings Corporation and its subsidiaries.

We organize our business into two reportable segments, Medical and Non-Medical, and derive our revenues from four principal 
product lines.  The Medical segment includes the Cardio & Vascular, Cardiac & Neuromodulation and Advanced Surgical, 
Orthopedics & Portable Medical product lines and the Non-Medical segment is comprised of the Electrochem product line.

Our Acquisitions and Divestitures

On July 2, 2018, we completed the sale of the Advanced Surgical and Orthopedic product lines (the “AS&O Product Line”) to Viant.   
As a result, we classified the results of operations of the AS&O Product Line as discontinued operations in the Consolidated Statements 
of Operations for all periods presented and classified the related assets and liabilities associated with the discontinued operations as 
held for sale in the Consolidated Balance Sheet as of December 29, 2017.  All results and information presented exclude the AS&O 
Product Line unless otherwise noted.  Refer to Note 2 “Discontinued Operations and Divestiture” of the Notes to Consolidated 
Financial Statements contained in Item 8 of this report for additional information about the divestiture.

On March 14, 2016, we completed the spin-off of a portion of our former QiG segment through a tax-free distribution of all of the 
shares of our former QiG Group, LLC subsidiary to Integer’s stockholders of record as of the close of business on March 7, 2016 
(the “Spin-off”).  Immediately prior to completion of the Spin-off, QiG Group, LLC was converted into a corporation 
incorporated under the laws of Delaware and changed its name to Nuvectra Corporation (“Nuvectra”).  Each Integer stockholder 
received one share of Nuvectra common stock for every three shares of Integer common stock held as of the record date.  As a 
result, Nuvectra became an independent, publicly traded company listed on the NASDAQ stock exchange.  Integer retains no 
ownership interest in Nuvectra.

On October 27, 2015, we completed the acquisition of Lake Region Medical Holdings, Inc. (“LRM”), headquartered in 
Wilmington, MA, in a cash and stock transaction for a total purchase price including debt assumed of approximately $1.77 billion.  
LRM was primarily a manufacturer of interventional and diagnostic wire-formed medical devices and components specializing in 
minimally invasive devices for cardiovascular, endovascular, and neurovascular applications. The acquisition of LRM added scale 
and diversity to our legacy operations, which has enhanced our opportunities to access customers and customer experience by 
providing a more comprehensive portfolio of technologies.

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MEDICAL SEGMENT

Cardio & Vascular

The Cardio & Vascular product line offers a full range of products and services from our global facilities for the development of 
diagnostic and interventional cardiac and endovascular devices. Our comprehensive design and development services produce 
components, subassemblies and finished devices for a range of cardiac and endovascular procedures.

The following are the principal products and services offered by our Cardio & Vascular product line:

Cardiovascular and Structural Heart. Cardiovascular and structural heart products include products used for vascular, cardiac 
surgery and structural heart disease such as guidewire and catheter components, subassemblies and completed devices for 
cardiovascular, cardiac surgery and structural heart disease applications.  For vascular procedures, product applications include 
introducers, steerable sheaths, guidewires, guide catheters, microcatheters, ultrasound catheters, and delivery systems, balloon 
expandable delivery systems, stents, atherectomy devices, embolic protection devices, catheter design and assembly, sterile 
packaging, catheter shafts, radiopaque marker bands, molded hubs, fabricated hypotube assembly, and wire stent frames. For 
cardiac surgery and structural heart disease procedures, product applications are comprised of access and delivery systems for 
patent foramen ovale closure devices, vessel harvesting systems, beating heart surgery systems, transcatheter heart valves, heart 
valves and leaflets, and anastomosis devices.

Peripheral Vascular, Neurovascular, Urology and Oncology.  Our peripheral vascular, neurovascular, urology and oncology 
products are primarily focused on the design and manufacturing of devices used during the treatment of peripheral arterial 
disease, peripheral transcatheter embolization and occlusion, aortic aneurysm repair, arteriovenous malformations and endoscopic 
retrograde cholangiopancreatography.  We design and manufacture guidewire and catheter components, subassemblies and 
completed devices for various applications.

The primary neurovascular applications for these products are cerebrovascular aneurysms, while the urology and oncology 
applications are stone retrieval, thermal tumor ablation, transarterial chemoembolization and radio frequency probes. Our 
products within this area include peripheral vascular and urology guidewires, neurovascular and oncology micro-guidewires, 
angiographic and diagnostic guidewires, guiding catheters, support and crossing catheters, embolic protection devices, micro-
catheters, and delivery systems.

Electrophysiology, Infusion Therapy & Hemodialysis. Our electrophysiology and infusion therapy products include devices that 
are used in the electrophysiology ablation catheter and cardiac rhythm systems such as guidewire and catheter components, 
subassemblies and completed devices for the various electrophysiology applications, as well as components and assemblies for 
cardiac and neurostimulation leads and implantable pulse generators (“IPG”).

Electrophysiology atrial fibrillation ablation catheters, which deliver therapy to the heart and eliminate tissue paths for irregular 
electrical impulses, and electrophysiology catheters, which diagnose irregular electrical impulses in the heart’s electrical system, 
are the focal points of our electrophysiology offering.  For stimulation therapy applications, cardiac rhythm management 
(“CRM”) devices, such as pacemakers, implantable cardioverter defibrillator, cardiac leads and neurostimulation devices for 
spinal cord and deep brain stimulation, are the primary applications of focus.

Cardiac & Neuromodulation

The Cardiac & Neuromodulation product line offers a comprehensive collection of technologies and capabilities. Our complete 
spectrum of design, development, and manufacturing expertise provides our customers with a superior quality solution in an 
efficient, cost-effective and consistent manner.  

Cardiac and neuromodulation products include batteries, capacitors, filtered and unfiltered feedthroughs, engineered components, 
implantable stimulation leads and enclosures used in implantable medical devices (“IMD”).  Additionally, we offer value-added 
assembly for these IMDs. An IMD is an instrument that is surgically inserted into the body to provide diagnosis and/or therapy. 
One sector of the IMD market is cardiac, which is comprised of devices such as implantable pacemakers, implantable cardioverter 
defibrillators (“ICD”), cardiac resynchronization therapy (“CRT”) devices, cardiac resynchronization therapy with backup 
defibrillation devices (“CRT-D”), insertable cardiac monitors (“ICM”), and ventricular assist devices.  Another sector of the IMD 
market is neuromodulation, comprised of pacemaker-type devices that stimulate nerves for the treatment of various conditions. 
Beyond established therapies for pain control, incontinence, movement disorders (Parkinson’s disease, essential tremor and 
dystonia) and epilepsy, nerve stimulation for the treatment of other disabilities such as sleep apnea, heart failure, migraines, 
obesity and depression has shown promising results.

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The following are the main categories of battery-powered IMDs and the principal illness or symptoms treated by each device:

Device

Pacemakers

ICDs

CRT/CRT-Ds

ICMs

Principal Illness or Symptom

Abnormally slow heartbeat (Bradycardia)

Rapid and irregular heartbeat (Tachycardia)

Congestive heart failure

Unexplained fainting or risk of cardiac arrhythmias

Neurostimulators

Chronic pain, incontinence, movement disorders, epilepsy, obesity or depression

Cochlear hearing devices

Hearing loss

IMD systems generally include an IPG and one or more stimulation leads. An IPG is a battery powered device that produces 
electrical pulses. A lead then carries this electrical pulse from the IPG to the heart, spinal cord or other location in the body. Our 
portfolio of proprietary technologies, products, and capabilities has been built to provide our cardiac and neuromodulation 
customers with a single source for the vast majority of the components and subassemblies required to manufacture an IPG or lead, 
including complete lead systems. Our investments in research and development have generated proprietary products such as the 
QHR®, QMR®, and QCAPSTM primary battery and capacitor lines, which have enabled our OEM partners to make improvements 
in their system offerings in terms of device reliability, size, longevity and power. Our XcellionTM line of lithium-ion rechargeable 
batteries leverages decades of implantable battery research, development and manufacturing expertise. This line of battery cells 
includes the optional CoreGuardTM feature, which enables batteries to discharge to zero volts without performance degradation.

The following are the principal products and services offered by our Cardiac & Neuromodulation product line:

Cardiac Rhythm Management.  We provide a broad range of products and services to enable next generation CRM medical 
devices to address heart disease and heart rhythm disorders through such systems as: pacemakers, implantable cardiac 
defibrillators, cardiac resynchronization therapy devices, implantable cardiac monitors and other novel implantable devices.  Our 
battery and capacitor technologies provide a reliable and safe power source for our customers’ CRM system, based on decades of 
research, development and manufacturing experience.  As a leading supplier of low-polarization specialty-coated electrodes and 
lead components, we provide a full range of therapy delivery development and manufacturing solutions.  We are also a leading 
supplier of medical stamped components, and shallow and deep draw casings and assemblies.

Neuromodulation.  We offer a wide range of products and services for our customers’ next generation neuromodulation medical 
devices. Examples include implantable medical devices that address chronic pain, hearing loss, incontinence, movement 
disorders, psychiatric disorders and sleep disorders. 

We help our customers develop and manufacture unique neuromodulation solutions, including IPGs, programmer systems, battery 
chargers, and patient controllers.  We offer a full range of therapy delivery development and manufacturing solutions for low-
polarization specialty-coated electrodes, lead components and fully finished lead systems.

Advanced Surgical, Orthopedics & Portable Medical

The Advanced Surgical, Orthopedics & Portable Medical (“AS&O”) product line offers a broad range of products and services 
across the many businesses it serves.  This product line includes sales to the acquirer of our AS&O Product Line, Viant.  In 
partnership with customers, AS&O offers advanced development, engineering and program management, which provides us with 
an in-depth understanding of our customers’ market drivers and end-user needs.

The following are the principal products and services offered by our AS&O product line:

Portable Medical.  Our comprehensive capabilities include expertise in a range of cell technologies.  Today, our batteries power 
over 100 external medical devices.  We provide complete mission critical batteries and other power solutions through the 
combined efforts of innovative research, product development, manufacturing and customer partnerships to advance the way 
healthcare is powered. Our offerings include state of the art customized rechargeable batteries and chargers and non-rechargeable 
batteries.  We design and develop basic and “smart” chargers and docking stations of varying complexities to safely and reliably 
maximize the efficiency of the rechargeable batteries.  We develop batteries, and the attendant chargers, for patient monitoring, 
portable defibrillators, and portable ultrasound, X-Ray machines, hearing devices and other devices.  We collaborate with our 
customers on product development opportunities incorporating our power solutions into Class I, II or III medical devices.

Arthroscopic Devices & Components.  Our arthroscopic devices & component products include devices used for minimally 
invasive surgery in the joint space, also referred to as “sports medicine.”  Our products include shaver blades and burrs, ablation 
probes, and suture anchors, which are used in procedures such as arthroscopic ACL reconstruction, arthroscopic repair, rotator 
cuff repair, and hip labrum repair.  

- 5 -

Laparoscopic & General Surgery. Our laparoscopic & general surgery products include devices used primarily for minimally 
invasive procedures in the abdominal space, but may also be used in open or general surgery. Customers of our laparoscopy and 
general surgery products require energy-based devices and endomechanical devices that are efficient and reliable.  Our products 
include, harmonic scalpels, radio frequency probes, and ophthalmic surgery devices.

Orthopedic. Our orthopedic products include hip and shoulder joint reconstruction implants, plates, screws and spinal devices, as 
well as instruments and delivery systems used in hip and knee replacement, trauma fixation, extremity and spine surgeries. 
Orthopedic implants are used in reconstructive surgeries to replace or repair hips, knees and other joints, such as shoulders, ankles 
and elbows that have deteriorated as a result of disease or injury. Trauma implant systems are used primarily to reattach or 
stabilize damaged bone or tissue while the body heals. Spinal implant systems are used by orthopedic surgeons and neurosurgeons 
in the treatment of degenerative diseases, deformities and injuries in various regions of the spine.

Each implant system typically has an associated instrument set that is used specifically in the surgical implant procedure. 
Instruments included in a set vary by implant system. Orthopedic trays have generally been designed to allow for sterilization and 
re-use after an implant or other surgical procedure is performed.  Recently, the industry trend is moving towards single use 
instrumentation.  Cases are used to store, transport and arrange implant systems and other medical devices and related surgical 
instruments. The majority of cases are tailored for a specific implant procedure so that the instruments, implants, and other 
devices are arranged to match the order of use in the procedure and are securely held in clearly labeled, custom-formed pockets or 
brackets.

NON-MEDICAL SEGMENT

Our power solutions enable the success and advancement of our customers’ critical non-medical applications. We provide custom 
battery packs to the energy, military and environmental markets for use in extreme environments where failure is not an option.

The following are the principal products and services offered by our Non-Medical product line:

Electrochem. Electrochem provides customized battery power and management systems, charging and docking stations, and 
power supplies to markets where safety, reliability, quality and durability are critical. We design customized primary (non-
rechargeable) and secondary (rechargeable) battery solutions, which are used in the energy, military and environmental markets. 

Electrochem’s primary lithium power solutions, which include high, moderate and low rate non-rechargeable cell solutions, are 
utilized in extreme conditions and can withstand exceptionally high and low temperatures, and high shock and vibration. 
Electrochem’s product design capability includes protective circuitry, glass-to-metal hermetic seals, fuses and diodes to help 
ensure safe, durable and reliable power as devices using our battery solutions are subjected to harsh conditions. Our primary 
batteries are often used in remote and demanding environments, including down hole drilling tools, military devices, and 
oceanographic buoys. 

In addition to primary power solutions, Electrochem offers customized secondary or rechargeable battery packs, in a diverse range 
of chemistries for critical applications requiring rechargeable solutions. Rechargeable chemistries include lithium ion, lithium ion 
polymer, nickel metal hydride, nickel cadmium, lithium iron phosphate and sealed lead acid. Electrochem’s rechargeable battery 
packs include advanced electronics, smart charging and battery management systems and are used in critical military and 
industrial applications. 

OTHER FACTORS IMPACTING OUR OPERATIONS

Customers

Our products are designed to provide reliable, long-lasting solutions that meet the evolving requirements and needs of our 
customers. The nature and extent of our commercial relationships with each of our customers are different in terms of breadth of 
products purchased, purchased product volumes, length of contractual commitment, ordering patterns, inventory management, 
and selling prices.  Contracts with customers can include tiered pricing arrangements based on pre-determined volume levels, in 
which higher volume levels typically have lower pricing, or fixed annual price downs that are offered to customers in exchange 
for increased volume levels and/or longer contract terms.  Typically, our contracts specify minimum order quantities and lead 
times.  Revenue from contracts with customers is recognized based upon the transaction price and when performance obligations 
are satisfied and the customer has obtained control of the products, which typically occurs when title and risk of loss ownership 
transfers to the customer, primarily determined by shipping terms.  The transaction price is determined based on the unit price and 
the number of units ordered, less any rebates or other price concessions expected to be earned on those units, and is allocated to 
each performance obligation on a relative standalone selling price basis.

- 6 -

Our visibility into customer forecasted purchases is only over a relatively short period of time into the future. Our customers may 
have inventory management programs, vertical integration plans and/or alternate supply arrangements that may not be 
communicated to or shared with us.  Additionally, the relative market share among the OEM manufacturers changes periodically. 
Consequently, these and other factors can significantly impact our sales in any given period. Our customers may initiate field 
actions with respect to market-released products. These actions may include product recalls or communications with a significant 
number of physicians about a product or labeling issue. The scope of such actions can range from very minor issues affecting a 
small number of units to more significant actions. There are a number of factors, both short-term and long-term, related to these 
field actions that may impact our results. In the short-term, if a product has to be replaced, or customer inventory levels have to be 
restored, demand will increase. Also, changing customer order patterns due to market share shifts or accelerated device 
replacements may also have a positive or negative impact on our sales results in the near-term. These same factors may have 
longer-term implications as well. Customer inventory levels may ultimately have to be rebalanced to match new demand.

Our Medical customers include large multi-national medical device OEMs and their subsidiaries such as Abbott Laboratories, 
Biotronik, Boehringer Ingelheim, Boston Scientific, Cardinal Health, Johnson & Johnson, LivaNova, Medtronic, Nevro Corp., 
Philips Healthcare, Smith & Nephew, Stryker, Viant and Zimmer Biomet.  During 2018, sales to Abbott Laboratories, Medtronic 
and Boston Scientific were each in excess of 10% of total sales and collectively accounted for 52% of our total sales.  We believe 
that the diversification of our sales among the various subsidiaries and market segments with those three customers reduces our 
exposure to negative developments with any one customer.  The loss of a significant amount of business from any of these three 
customers or a further consolidation of such customers could have a material adverse effect on our financial condition and results 
of operations, as further explained in Item 1A “Risk Factors” of this report.

Our Non-Medical customers include large multi-national OEMs and their subsidiaries serving the energy, military and 
environmental services markets such as Halliburton, Teledyne Technologies and Weatherford International.

Sales and Marketing

We sell our products directly to our customers. In 2018, approximately 57% of our products were sold in the U.S.  Sales outside 
the U.S. are primarily to customers whose corporate offices are located and headquartered in the U.S.  Information regarding our 
sales by geographic area is set forth in Note 17 “Segment and Geographic Information” of the Notes to Consolidated Financial 
Statements contained in Item 8 of this report.

Although the majority of our customers contract with us to develop custom components and assemblies to fit their product 
specifications, we also provide system and device solutions ready for market distribution by OEMs. We have established close 
working relationships between our internal program managers and our customers. We market our products and technologies at 
industry meetings and trade shows domestically and internationally.  We have placed additional emphasis on reaching long-term 
agreements with our OEM customers in order to secure our revenue base.

Internal account executives support all sales activity and involve engineers and technology professionals in the sales process to 
address customer requests across all product lines.  For system and device solutions, we partner with our customers’ research, 
marketing, and clinical groups to jointly develop technology platforms in alignment with their product roadmaps and therapy 
needs.

We leverage our account executives with support from our engineers to design and sell product solutions into our targeted 
markets. Our account executives are trained to assist our customers in selecting appropriate materials and configurations. We 
market our products and services through well-defined selling strategies and marketing campaigns that are customized for each of 
the industries we target.

Firm backlog orders at December 28, 2018 were approximately $268 million.  The majority of the orders outstanding at 
December 28, 2018 are expected to be shipped within one year.

Competition

The MDO manufacturing industry has traditionally been highly fragmented with several thousand companies, many of which we 
believe have limited manufacturing capabilities and limited sales and marketing expertise. We believe that very few companies 
offer the scope of manufacturing capabilities and services that we provide to medical device companies, however, we may 
compete in the future against other companies that provide broad manufacturing capabilities and related services. We compete 
against different companies depending on the type of product or service offered or the geographic area served.  We also face 
competition from existing and prospective customers that employ in-house capabilities to produce some of the products we 
provide. 

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Our existing or potential competitors include suppliers with different subsets of our manufacturing capabilities, suppliers that 
concentrate in niche markets, and suppliers that have, are developing, or may in the future develop, broad manufacturing 
capabilities and related services. We compete for new business at all phases of the product life cycle, which includes development 
of new products, the redesign of existing products and transfer of mature product lines to outsourced manufacturers. Competitive 
advantage is generally based on reputation, quality, delivery, responsiveness, breadth of capabilities, including design and 
engineering support, price, customer relationships and increasingly the ability to provide complete supply chain solutions rather 
than only producing and providing individual components.

Many of our customers, if they choose to undertake vertical integration initiatives, also have the capability to manufacture similar 
products, in house, to those that we currently supply to them.

Acquisitions and Investments

One facet of our growth strategy is to make acquisitions that complement our core competencies in technology and manufacturing 
to enable us to manufacture and sell additional products to our existing customers and to expand our business into related markets.

The rapid pace of technological development in the medical industry and the specialized expertise required in different areas of 
medicine make it difficult for one company alone to develop an all-encompassing portfolio of technological solutions. In addition 
to internally generated growth through our research, development and engineering (“RD&E”) efforts, we have relied, and expect 
to continue to rely, upon acquisitions, investments, and alliances to provide access to new technologies both in areas served by our 
existing businesses as well as in new areas and markets.  This strategy also aligns with our customers’ expectations of increasing 
the speed to market of critical solutions.

We expect to make future investments or acquisitions where we believe that we can stimulate the development of, or acquire, new 
technologies and products to further our strategic objectives, and strengthen our existing businesses. Our acquisition focus will be 
primarily directed at smaller “bolt-on” or adjacent acquisition opportunities that have a strategic fit with our existing core 
businesses, particularly opportunities that support our enterprise strategy and enhance the value proposition of our product 
offerings.

Research and Product Development

Our position as a leading developer and manufacturer of medical devices and components is largely the result of our long history 
of technological innovation.  Our scientists, engineers and technicians focus on developing new products, improving and 
enhancing existing products, and expanding the use of our products in new or tangential applications. In addition to our internal 
technology and product development efforts, we also engage outside research institutions for unique technology projects.

Medical.  We believe our core business is well positioned because our OEM customers leverage our portfolio of intellectual 
property.  We continue to build a healthy pipeline of diverse medical technology opportunities and provide a new level of industry 
leading capabilities and services to our OEM customers across the full range of medical device products and services continuum.  
We are at the forefront of innovating technologies and products that help change the face of healthcare, enabling us to provide our 
customers with a distinct advantage as they bring complete medical systems and solutions to market. In turn, our customers are 
able to accelerate patient access to life enhancing therapies.  We offer our customers a comprehensive portfolio comprising the 
best technologies, providing a single point of support, and driving optimal outcomes. Some of the more significant product 
development opportunities our Medical segment is pursuing are as follows:

Product Line

Cardio & Vascular

Cardiac & Neuromodulation

Product Development Opportunities

Developing a portfolio of catheter, introducer, wire-based, sensor and coating
products for the cardio and vascular markets.

Developing next generation technology programs for our batteries, filtered
feedthroughs, high voltage capacitors and lead solutions to reduce the size and
cost, while increasing performance for cardiac and neuromodulation devices.

Non-Medical.  Some of the more significant product development opportunities our Non-Medical segment is pursuing include 
developing the next generation medium-rate and high rate batteries, as well as products with extended performance such as higher 
power pulsing capabilities and increased operating temperature range.

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Patents and Proprietary Technology

Our policy is to protect our intellectual property rights related to our technologies and products, and we rely on a combination of 
patents, licenses, trade secrets and know-how to establish and protect our rights.  Where appropriate, we apply for U.S. and 
foreign patents.  We also are a party to license agreements with third parties under which we have obtained, on varying terms, 
exclusive or non-exclusive rights to patents held by them.  In the aggregate, these intellectual property assets and licenses are of 
material importance to our business; however, we believe that no single patent, technology, trademark, intellectual property asset 
or license is material in relation to any segment of our business or to our business as a whole.  As of December 28, 2018, we 
owned 695 U.S. and foreign patents and held licenses to an additional 270 U.S. and foreign patents.

Design, development and regulatory aspects of our business also provide competitive advantages, and we require our employees, 
consultants and other parties having access to our confidential information to execute confidentiality agreements. These 
agreements prohibit disclosure of confidential information to third parties, except in specified circumstances. In the case of 
employees and consultants, the agreements generally provide that all confidential information relating to our business is the 
exclusive property of Integer.

Manufacturing and Quality Control

We leverage our strength as an innovative designer and manufacturer of finished devices and components to the medical device 
industry. Our manufacturing and engineering services include: design, testing, component production, and device assembly. We 
have integrated our proprietary technologies in our own products and those of our customers. Our flexible, high productivity 
manufacturing capabilities span sites across the United States, Mexico, Uruguay, Europe, and Malaysia.

Due to the highly regulated nature of the products we produce, we have implemented strong quality systems across all sites. The 
quality systems at our sites are compliant with and certified to various recognized international standards, requirements, and 
directives. Each site’s quality system is certified under an applicable International Organization for Standardization (“ISO”) 
quality system standard, such as ISO 13485 or ISO 9001. This certification requires, among other things, an implemented quality 
system that applies (where applicable) to the design and manufacture of components, assemblies and finished medical devices, 
including component quality and supplier control. Maintenance of these certifications for each facility requires periodic re-
examination from an independent notified body.

Along with ISO 13485, the facilities producing finished medical devices are subject to oversight by Notified Bodies and extensive 
and rigorous regulation by numerous government bodies, including the U.S. Food and Drug Administration (“FDA”) and other 
international regulatory agencies and, in order to assure the conformance of devices and components of a worldwide basis.  For 
these facilities, we maintain FDA registration and compliance with all applicable domestic and international regulations. 
Compliance with applicable regulatory requirements is subject to continual review and is monitored through periodic inspections 
by the FDA and other international regulatory bodies.

Suppliers and Raw Materials

We purchase critical raw materials from a limited number of suppliers due to the technically challenging requirements of the 
supplied product and/or the lengthy process required to qualify these materials both internally and with our customers. We cannot 
quickly establish additional or replacement suppliers for these materials because of these rigid requirements. For these critical raw 
materials, we maintain minimum safety stock levels and partner with suppliers through contract to help ensure the continuity of 
supply. Historically, we have not experienced any significant interruptions or delays in obtaining critical raw materials.

Many of the raw materials that are used in our products are subject to fluctuations in market price.  In particular, the prices of 
stainless steel, titanium and precious metals, such as platinum, have historically fluctuated, and the prices that we pay for these 
materials, and, in some cases, their availability, are dependent upon general market conditions.  In most cases, we have pass-
through pricing arrangements with our customers that purchase components containing precious metals or have established firm-
pricing agreements with our suppliers that are designed to minimize our exposure to market fluctuations.

For non-critical raw material purchases, we utilize competitive pricing methods such as bulk purchases, precious metal pool buys, 
blanket orders, and long-term contracts to secure supply. We believe that there are alternative suppliers or substitute products 
available at competitive prices for all of these non-critical raw materials. 

As discussed more fully in Item 1A “Risk Factors” of this report, our business depends on a continuous supply of raw materials 
from a limited number of suppliers.  If an unforeseen interruption of supply were to occur, we may be unable to obtain substitute 
sources for these raw materials on a timely basis, on terms acceptable to us or at all, which could harm our ability to manufacture 
our products profitably or on time. Additionally, we may be unable to quickly establish additional or replacement suppliers for 
these materials as there are a limited number of worldwide suppliers.

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Working Capital Practices

Our goal is to carry sufficient levels of inventory to ensure that we have adequate supply of raw materials from suppliers and meet 
the product delivery needs of our customers. We also provide payment terms to customers in the normal course of business and 
rights to return product under warranty to meet the operational demands of our customers. It will continue to be a priority for us to 
maintain appropriate working capital levels while improving our operating cash flow and pay down outstanding debt.

Government Regulation

Medical Device Regulation

The development, manufacture and sale of our products is subject to regulation by numerous agencies and legislative bodies, 
including the FDA and comparable foreign counterparts.  In the U.S., these regulations were enacted under the Medical Device 
Amendments of 1976 to the Federal Food, Drug and Cosmetic Act and its subsequent amendments, and the regulations issued or 
proposed thereunder. These regulatory requirements subject our products and our business to numerous risks that are specifically 
discussed within “Risks Related to Our Industries” under Item 1A “Risk Factors” of this report. A summary of critical aspects of 
our regulatory environment is included below.

The FDA’s Quality System Regulations set forth requirements for our product design and manufacturing processes, require the 
maintenance of certain records, and provide for on-site inspection of our facilities and continuing review by the FDA.  
Authorization to commercially market our non-exempt products in the U.S. is granted by the FDA under procedures referred to as 
510(k) pre-market notification or pre-market approval (“PMA”).  These processes require us to notify the FDA of the new product 
and obtain FDA clearance or approval before marketing the device. 

The FDA classifies medical devices based on the risks associated with the device. Devices are classified into one of three 
categories - Class I, Class II, or Class III.  Class I devices are deemed to be low risk and are therefore subject to the least 
regulatory controls.  Class II devices are higher risk devices than Class I and require greater regulatory controls, generally a 
510(k) pre-market notification, to provide reasonable assurance of the device’s safety and effectiveness as well as substantial 
equivalence to a previously cleared device, as demonstrated by data.  Class III devices are generally the highest risk devices and 
are therefore subject to the highest level of regulatory control, requiring a PMA by the FDA before they are marketed.

We market our products in numerous foreign countries and therefore are subject to regulations affecting, among other things, 
product standards, sterilization, packaging requirements, labeling requirements, import laws and onsite inspection by independent 
bodies with the authority to issue or not issue certifications we may require to be able to sell products in certain countries.  Many 
of the regulations applicable to our devices and products in these countries are similar to those of the FDA.  The member 
countries of the European Union (“EU”) have adopted the European Medical Device Directives, which create a single set of 
medical device regulations for all member countries.  These regulations require companies that wish to manufacture and distribute 
medical devices in the EU to maintain quality system certifications through EU recognized Notified Bodies.  These Notified 
Bodies authorize the use of the CE Mark, which allows for free movement of our products throughout the member 
countries.  Requirements pertaining to our products vary widely from country to country, ranging from simple product 
registrations to detailed submissions such as those required by the FDA.

In the U.S., our introducer, guidewire, and delivery catheter products are considered Class II devices and generally the 510(k) 
process applies.  Orthopedic instruments are considered Class I exempt, while pacing leads are subject to the Class III PMA 
process.  In Europe, these devices are considered either Class I, Class IIa, Class III, or AIMD, under European Medical Device 
Directives.  These Directives require companies that wish to manufacture and distribute medical devices in EU member countries 
to obtain a CE Mark for those products, which indicate that the products meet minimum standards of performance, essential 
requirements, safety conformity assessment and quality.

We believe that the procedures we use for quality controls, development, testing, manufacturing, labeling, marketing and 
distribution of our medical devices conform to the requirements of all pertinent regulations.

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Environmental Health and Safety Laws

We are subject to direct governmental regulation, including the laws and regulations generally applicable to all businesses in the 
jurisdictions in which we operate. We are subject to federal, state and local environmental laws and regulations governing the 
emission, discharge, use, storage and disposal of hazardous materials and the remediation of contamination associated with the 
release of these materials at our facilities and at off-site disposal locations. Our manufacturing and RD&E activities may involve 
the controlled use of small amounts of hazardous materials. Liabilities associated with hazardous material releases arise 
principally under the Federal Comprehensive Environmental Response, Compensation and Liability Act and analogous state laws 
that impose strict, joint and several liability on owners and operators of contaminated facilities and parties that arrange for the off-
site disposal of hazardous materials.  We are not aware of any material noncompliance with the environmental laws currently 
applicable to our business and we are not subject to any material claim for liability with respect to contamination at any of our 
facilities or any off-site location. We may, however, become subject to these environmental liabilities in the future as a result of 
our historic or current operations.

Conflict Minerals and Supply Chain

We are subject to Securities and Exchange Commission (“SEC”) rules adopted pursuant to the Dodd-Frank Wall Street Reform 
and Consumer Protection Act concerning “conflict minerals” (generally tin, tantalum, tungsten and gold) and similar rules are 
being implemented by the EU. Certain of these conflict minerals are used in the manufacture of our products. These rules require 
us to investigate the source of any conflict minerals necessary to the production or functionality of our products. If any such 
conflict minerals originated in the Democratic Republic of the Congo or adjoining countries (the “DRC region”), we must 
undertake due diligence efforts to determine whether such minerals financed or benefited armed groups in the DRC region. Since 
our supply chain is complex, our ongoing compliance with these rules could affect the pricing, sourcing and availability of 
conflict minerals used in the manufacture of our products.

We are also subject to disclosure requirements regarding abusive labor practices in portions of our supply chain under the 
California Transparency in Supply Chains Act and the UK Modern Slavery Act.

Other Laws and Regulations

Our sales and marketing practices are subject to regulation by the U.S. Department of Health and Human Services pursuant to 
federal anti-kickback laws, and are also subject to similar state laws.

Employees

As of December 28, 2018, we employed approximately 8,250 persons, of whom approximately 3,650 are located in the U.S., 
2,700 are located in Mexico, 1,300 are located in Europe, 300 are located in South America, and 250 are located in Asia.  We also 
employ approximately 150 temporary employees worldwide to assist us with various projects and service functions and address 
peaks in staff requirements.  We believe that we have a good relationship with our employees.

Seasonality

Our financial results have been, from time to time, subject to seasonal patterns. We cannot assure you that these patterns will 
continue.

Available Information

Our Internet address is www.integer.net.  We also make available free of charge through our website our annual report on Form 
10-K, quarterly reports on Form 10-Q, current reports on Form 8-K and amendments to those reports filed or furnished pursuant 
to Section 13(a) or 15(d) of the Exchange Act as soon as reasonably practicable after we electronically file those reports with, or 
furnish them to, the SEC.  The information contained on our website is not incorporated by reference in this annual report on 
Form 10-K and should not be considered a part of this report.  The SEC maintains a website that contains reports, proxy and 
information statements, and other information regarding issuers, including the Company, that file electronically with the SEC. The 
public can obtain any documents that we file with the SEC at www.sec.gov.  

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EXECUTIVE OFFICERS OF THE COMPANY

Information concerning our executive officers is presented below as of February 22, 2019.   The officers’ terms of office run from 
year to year until the first meeting of the Board of Directors occurring immediately following our Annual Meeting of 
Stockholders, and until their successors are elected and qualified, except in the case of earlier death, retirement, resignation or 
removal.

Joseph W. Dziedzic, age 50, is President and Chief Executive Officer of the Company and a member of our Board of Directors.  
He assumed that role on July 16, 2017 following his appointment as interim President & Chief Executive Officer on March 27, 
2017.  Mr. Dziedzic was the Executive Vice President and Chief Financial Officer of The Brink’s Company from 2009 to 2016, 
and prior to joining The Brink’s Company in 2009, he had a 20-year career with General Electric.

Jason K. Garland, age 45, is the Company’s Executive Vice President and Chief Financial Officer.  Mr. Garland had served as 
Divisional Vice President & Chief Financial Officer, Global Sales, for Tiffany & Co. from October 2017 until joining the 
Company in October 2018, and had served as Divisional Vice President & Chief Financial Officer, Diamond & Jewelry Supply, 
for Tiffany & Co. from July 2015 to October 2017.  From 1995 to 2015, Mr. Garland served in various financial and operational 
roles at General Electric, including as Chief Financial Officer, GE Industrial Solutions, from March 2010 to June 2015.  

Jennifer M. Bolt, age 50, is President, Electrochem, and has served in that position since October 2015.  In November 2017, Ms. 
Bolt assumed leadership of the Portable Medical product line, and in February 2018, she assumed leadership for the Integer 
Manufacturing Excellence strategic imperative.  From June 2013 to October 2015 she was Vice President, Supply Chain and 
Operational Excellence for Greatbatch.  Ms. Bolt held the position of Vice President, Operations for Electrochem from May 2012 
to June 2013, and prior to that served as Director of Operations of our Raynham, MA facility from September 2007 to May 2012. 
 Ms. Bolt joined our Company in May 2005 as the Manufacturing Engineering Manager for our Alden, NY facility.  Prior to 
joining our Company, she served in a variety of engineering and operational roles at General Motors/Delphi and Eastman Kodak.

Joseph Flanagan, age 60, is Executive Vice President for Quality and Regulatory Affairs, a position he has held since October 
2015.  In February 2018, he assumed co-leadership for the Integer Business Process Excellence strategic imperative. From 
January 2012 until the Company’s acquisition of Lake Region Medical in October 2015, he was Vice President of Quality and 
Regulatory Affairs for Lake Region Medical.  Prior to joining Lake Region Medical, Mr. Flanagan served as Vice President of 
Quality and Regulatory Affairs for NP Medical from April 2008 until January 2012.

Antonio Gonzalez, age 45, is President, CRM & Neuromodulation, and has served in that office since October 2015.  Mr. 
Gonzalez is also the leader for the Integer Sales Force Excellence strategic imperative.  From October 2014 to October 2015, he 
served as Vice President, Operations, Greatbatch Medical Mexico. Previously, Mr. Gonzalez served as Executive Director, 
Operations Mexico between November 2011 and October 2014, Director of Global Supply Chain from November 2007 to 
November 2011, Director of Strategic Projects from March 2006 to November 2007, and Supply Chain Manager for Greatbatch 
Tecnologías de Mexico from January 2005 to March 2006. Prior to joining our Company, he served in a variety of finance, 
operations, supply chain and customer management roles with Sanmina-SCI, BellSouth Telecommunications, HSBC and ING 
Bank.

Payman Khales, age 49, is President, Cardio & Vascular, and joined the company on February 20, 2018.  Mr. Khales is also the 
leader for the Integer Market Focused Innovation strategic imperative.  Prior to joining Integer, Mr. Khales was the President of 
the Environmental Technologies Segment at CECO Environmental Company from May 2014 through July 2017.  Previously, he 
was employed by Ingersoll Rand Company where he held a variety of different roles in the United States and Canada, including 
Vice President Product Management for the global Power Tools division from January 2012 through April 2014, and Vice 
President Strategic Accounts & Channels from February 2010 through December 2011.

Timothy G. McEvoy, age 61, is Senior Vice President, General Counsel & Secretary, and has served in that office since joining 
our Company in February 2007. From 1992 until January 2007, he was employed in a variety of legal roles by Manufacturers and 
Traders Trust Company.

Michael L. Spencer, age 49, is Senior Vice President and Chief Ethics & Compliance Officer.  Prior to joining the Company in 
October 2015, Mr. Spencer was Chief Ethics and Compliance Officer of Orthofix Inc. where he had served since August of 2013.  
Prior to that, between 2001 and 2013, he served as Ethics and Compliance Officer for the Smith and Nephew Advanced Surgical 
Division.

Kirk Thor, age 54, is Executive Vice President and Chief Human Resources Officer.  From 2013 until joining the Company in 
January 2018, Mr. Thor was Vice President for Global Talent Management & Organization Effectiveness at Flowserve 
Corporation.  From 2007 to 2012, he served as Vice President for Talent Management & Organization Development at JC Penney.  
In February 2018, he assumed leadership for the Integer Culture strategic imperative.

- 12 -

CAUTIONARY FACTORS THAT MAY AFFECT FUTURE RESULTS

Some of the statements contained in this annual report on Form 10-K and other written and oral statements made from time to 
time by us are not statements of historical or current fact. As such, they are “forward-looking statements” within the meaning of 
Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended (the 
“Exchange Act”).  We have based these forward-looking statements on our current expectations, and these statements are subject 
to known and unknown risks, uncertainties and assumptions. Forward-looking statements include statements relating to:

• 

• 

• 

• 

• 

future sales, expenses and profitability;

future development and expected growth of our business and industry;

our ability to execute our business model and our business strategy;

our ability to identify trends within our industries and to offer products and services that meet the changing needs of 
those markets; and

projected capital expenditures.

You can identify forward-looking statements by terminology such as “may,” “will,” “should,” “could,” “expects,” “intends,” 
“plans,” “anticipates,” “believes,” “estimates,” “predicts,” “potential” or “continue” or “variations” or the negative of these terms 
or other comparable terminology. These statements are only predictions. Actual events or results may differ materially from those 
stated or implied by these forward-looking statements. In evaluating these statements and our prospects, you should carefully 
consider the factors set forth below. All forward-looking statements attributable to us or persons acting on our behalf are expressly 
qualified in their entirety by these cautionary factors and to others contained throughout this report.  Except as required by 
applicable law, we are under no duty to update any of the forward-looking statements after the date of this report or to conform 
these statements to actual results.

Although it is not possible to create a comprehensive list of all factors that may cause actual results to differ from the results 
expressed or implied by our forward-looking statements or that may affect our future results, some of these factors include the 
following: our high level of indebtedness, our inability to pay principal and interest on this high level of outstanding indebtedness 
or to remain in compliance with financial and other covenants under our senior secured credit facilities, and the risk that this high 
level of indebtedness limits our ability to invest in our business and overall financial flexibility; our dependence upon a limited 
number of customers; customer ordering patterns; product obsolescence; our inability to market current or future products; pricing 
pressure from customers; our ability to timely and successfully implement cost savings and consolidation initiatives; our reliance 
on third party suppliers for raw materials, products and subcomponents; fluctuating operating results; our inability to maintain 
high quality standards for our products; challenges to our intellectual property rights; product liability claims; product field 
actions or recalls; our inability to successfully consummate and integrate acquisitions and to realize synergies and to operate these 
acquired businesses, in accordance with expectations; our unsuccessful expansion into new markets; our failure to develop new 
products; the timing, progress and ultimate success of pending regulatory actions and approvals; our inability to obtain licenses to 
key technology; regulatory changes, including health care reform, or consolidation in the healthcare industry; global economic 
factors, including currency exchange rates and interest rates; the resolution of various legal actions brought against the Company; 
enactment related and ongoing impacts related to the U.S. Tax Cuts and Jobs Act (the “Tax Reform Act”), including the Global 
Intangible Low-Taxed Income (“GILTI”) tax; and other risks and uncertainties that arise from time to time and are described in 
Item 1A “Risk Factors” of this report.

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ITEM 1A.  RISK FACTORS

Our business faces many risks. Any of the risks discussed below, or elsewhere in this report or in our other SEC filings, could 
have a material impact on our business, financial condition or results of operations.

Risks Related To Our Business

We depend heavily on a limited number of customers, and if we lose any of them or they reduce their business with us, we 
would lose a substantial portion of our revenues.

In 2018, our top three customers collectively accounted for approximately 52% of our revenues. Our supply agreements with 
these customers may not be renewed. Furthermore, many of our supply agreements do not contain minimum purchase level 
requirements and therefore there is no guaranteed source of revenue that we can depend upon under these agreements. The loss of 
any large customer, a reduction of business with that customer, or a delay or failure by that customer to make payments due to us, 
would harm our business, financial condition and results of operations.

If we do not respond to changes in technology, our products may become obsolete and we may experience a loss of 
customers and lower revenues.

We sell our products to customers in several industries that experience rapid technological changes, new product introductions 
and evolving industry standards. Without the timely introduction of new products, technologies and enhancements, our products 
and services will likely become technologically obsolete over time and we may lose or see a reduction in business from a 
significant number of our customers. We dedicate a significant amount of resources to the development of our products, 
technologies and enhancements.  Our product development efforts may be affected by a number of factors, including our ability to 
anticipate customer needs, develop new technologies and enhancements, secure intellectual property protection for our products, 
and manufacture products in a cost effective manner. We would be harmed if we did not meet customer requirements and 
expectations. Our inability, for technological or other reasons, to successfully develop and introduce new and innovative products, 
technologies and enhancements could result in a loss of customers and lower revenues.

We may face competition that could harm our business and we may be unable to compete successfully against new 
entrants and established companies with greater resources.

Competition in connection with the manufacturing of our medical products has intensified in recent years and may continue to 
intensify in the future. One or more of our medical customers may undertake additional vertical integration and/or supplier 
diversification initiatives and begin to manufacture or dual-source some or all of their components that we currently supply to 
them, which could cause our operating results to suffer. The market for commercial power sources is competitive, fragmented and 
subject to rapid technological change. Many other commercial power source suppliers are larger and have greater financial, 
operational, economies of scale, personnel, sales, technical and marketing resources than us. These and other companies may 
develop products that are superior, technologically or otherwise, or more cost effective to ours, which could result in lower 
revenues and operating results.

If we are unable to successfully market our current or future products, our business will be harmed and our revenues and 
operating results will be adversely affected.

The markets for our products have been changing in recent years. If the markets for our products do not grow as forecasted by 
industry experts, our revenues could be less than expected.  Furthermore, it is difficult to predict the rate at which the markets for 
our products will grow or if new and increased competition will result in market saturation. Slower growth in the cardiac, 
neuromodulation, cardio and vascular, environmental, military or energy markets in particular would negatively impact our 
revenues. In addition, we face the risk that our products will lose widespread market acceptance. Our customers may not continue 
to utilize the products we offer and a market may not develop for our future products.

We may at times determine that it is not technically or economically feasible for us to continue to manufacture certain products 
and we may not be successful in developing or marketing them. Additionally, new technologies that we develop may not be 
rapidly accepted because of industry-specific factors, including the need for regulatory clearance, entrenched patterns of clinical 
practice and uncertainty over third party reimbursement. If this occurs, our business will be harmed and our revenues and 
operating results will be adversely affected.

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We intend to develop new products and expand into new markets, which may not be successful and could harm our 
operating results.

We intend to expand into new markets and develop new and modified products based on our existing technologies and 
engineering capabilities.  These efforts have required and will continue to require us to make substantial investments, including 
significant RD&E expenditures and capital expenditures for new, expanded or improved manufacturing facilities. Additionally, 
many of the new products we are working on and developing take longer and more resources to develop and commercialize, 
including obtaining regulatory approval.

Specific risks in connection with expanding into new products and markets include: longer product development cycles, the 
inability to transfer our quality standards and technology into new products, the failure to receive or the delay in receipt of 
regulatory approval for new products or modifications to existing products, and the failure of our customers to accept the new or 
modified products.  Our inability to develop new products or expand into new markets, as currently intended, could hurt our 
business, financial condition and results of operations.

We may never realize the full value of our intangible assets, which represent a significant portion of our total assets.

At December 28, 2018, we had $1.6 billion of goodwill and other intangible assets, representing 71% of our total assets. These 
intangible assets consist primarily of goodwill, trademarks, tradenames, customer lists and patented technology arising from our 
acquisitions. Goodwill and other intangible assets with indefinite lives are not amortized, but are tested annually or upon the 
occurrence of certain events that indicate that the assets may be impaired. Definite lived intangible assets are amortized over their 
estimated useful lives and are tested for impairment upon the occurrence of certain events that indicate that the assets may be 
impaired. We may not receive the recorded value for our intangible assets if we sell or liquidate our business or assets. In addition, 
this significant amount of intangible assets increases the risk of a large charge to earnings in the event that the recoverability of 
these intangible assets is impaired. In the event of such a charge to earnings, the market price of our common stock could be 
negatively affected. In addition, intangible assets with definite lives, which represent $722.1 million of our net intangible assets at 
December 28, 2018, will continue to be amortized.  These expenses will continue to reduce our future earnings or increase our 
future losses.

We are subject to pricing pressures from customers, which could harm our operating results.

Given the competitive industry in which we operate, we have made price concessions to some of our larger customers in recent 
years and we expect customer pressure for price concessions will continue in the future.  Price concessions or reductions may 
cause our operating results to suffer. 

We rely on third party suppliers for raw materials, key products and subcomponents, and if we are unable to obtain these 
materials, products and/or subcomponents on a timely basis or on terms acceptable to us, our ability to manufacture 
products will suffer.

Our business depends on a continuous supply of raw materials. The principal raw materials used in our business include lithium, 
iodine, gold, CFx, palladium, stainless steel, aluminum, cobalt chrome, tantalum, platinum, ruthenium, gallium trichloride, 
vanadium oxide, iridium, titanium and plastics. The supply and price of these raw materials are susceptible to fluctuations due to 
transportation issues, government regulations, price controls, foreign civil unrest, tariffs, worldwide economic conditions or other 
unforeseen circumstances. Increasing global demand for these raw materials has caused prices of these materials to increase. In 
addition, there are a limited number of worldwide suppliers of several raw materials needed to manufacture our products.  For 
reasons of quality, cost effectiveness or availability, we obtain some raw materials from a single supplier. Although we work 
closely with our suppliers to seek to ensure continuity of supply, we may not be able to continue to procure raw materials critical 
to our business at all or to procure them at acceptable price levels.

In addition, we rely on third party manufacturers to supply many of the products and subcomponents that are incorporated into 
our own products and components. Manufacturing problems may occur with these and other outside sources, as a supplier may 
fail to develop and supply products and subcomponents to us on a timely basis, or may supply us with products and 
subcomponents that do not meet our quality, quantity and cost requirements. If any of these problems occur, we may be unable to 
obtain substitute sources for these products and subcomponents on a timely basis or on terms acceptable to us, which could harm 
our ability to manufacture our own products and components profitably or on time. In addition, to the extent the processes our 
suppliers use to manufacture products and subcomponents are proprietary, we may be unable to obtain comparable products and 
subcomponents from alternative suppliers.

Quality problems with our products could harm our reputation and erode our competitive advantage.

Quality is important to us and our customers, and our products, given their intended uses, are held to high quality and 
performance standards. In the event our products fail to meet these standards, our reputation could be harmed, which could erode 
our competitive advantage over competitors, causing us to lose or see a reduction in business from customers and resulting in 
lower revenues.

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Quality problems with our products could result in warranty claims and additional costs.

We generally allow customers to return defective or damaged products for credit, replacement or repair. We generally warrant that 
our products will meet customer specifications and will be free from defects in materials and workmanship. Additionally, we carry 
a safety stock of inventory for our customers that may be impacted by warranty claims. We reserve for our exposure to warranty 
claims based upon recent historical experience and other specific information as it becomes available. However, these reserves 
may not be adequate to cover future warranty claims.  If these reserves are inadequate, additional warranty costs or inventory 
write-offs may need to be incurred in the future, which could harm our operating results.

Regulatory issues resulting from product complaints, or recalls, or regulatory audits could harm our ability to produce 
and supply products or bring new products to market.

Our products are designed, manufactured and distributed globally in compliance with applicable regulations and standards. 
However, a product complaint, recall or negative regulatory audit may cause our products to be removed from the market and 
harm our operating results or financial condition. In addition, during the period in which corrective action is being taken by us to 
remedy a complaint, recall or negative audit, regulators may not allow our new products to be cleared for marketing and sale.

If we become subject to product liability claims, our operating results and financial condition could suffer.

Our business exposes us to potential product liability claims, which may take the form of a one-off claim from a single claimant 
or a class action lawsuit covering multiple claimants, that are inherent in the design, manufacture and sales of our products. 
Product failures, including those that arise from the failure to meet product specifications, misuse or malfunction, or design flaws, 
or the use of our products with components or systems not manufactured or sold by us could result in product liability claims or a 
recall. Many of our products are components and function in interaction with our customers’ medical devices. For example, our 
batteries are produced to meet electrical performance, longevity and other specifications, but the actual performance of those 
products is dependent on how they are utilized as part of our customers’ devices over the lifetime of their products. Product 
performance and device interaction from time to time have been, and may in the future be, different than expected for a number of 
reasons. Consequently, it is possible that customers may experience problems with their medical devices that could require device 
recall or other corrective action, where our batteries met the specification at delivery, and for reasons that are not related primarily 
or at all to any failure by our product to perform in accordance with specifications. It is possible that our customers (or end-users) 
may in the future assert that our products caused or contributed to device failure. Even if these assertions do not lead to product 
liability or contract claims, they could harm our reputation and our customer relationships.

Provisions contained in our agreements with key customers attempting to limit our damages, including provisions to limit 
damages to liability for negligence, may not be enforceable in all instances or may otherwise fail to adequately protect us from 
liability for damages. Product liability claims or product recalls, regardless of their ultimate outcome, could require us to spend 
significant time and money in litigation and require us to pay significant damages and could divert the attention of our 
management from our business operations.  The occurrence of product liability claims or product recalls could affect our 
operating results and financial condition.

We carry product liability insurance with coverage that is limited in scope and amount. We may not be able to maintain this 
insurance at a reasonable cost or on reasonable terms, or at all. This insurance may not be adequate to protect us against a product 
liability claim that arises in the future.

Our operating results may fluctuate, which may make it difficult to forecast our future performance and may result in 
volatility in our stock price.

Our operating results have fluctuated in the past and are likely to continue to fluctuate from quarter to quarter, making forecasting 
future performance difficult and resulting in volatility in our stock price.  These fluctuations are due to a variety of factors, 
including the following:

•

•

•

•

a substantial percentage of our costs are fixed in nature, which results in our operations being particularly sensitive to
fluctuations in production volumes;

changes in the mix of our revenue represented by our various products and customers could result in reductions in our
profits if the mix of our revenue represented by lower margin products increases;

timing of orders placed by our principal customers who account for a significant portion of our revenues; and

increased costs of raw materials or supplies.

- 16 -

If we are unable to protect our intellectual property and proprietary rights, our business could be harmed.

We rely on a combination of patents, licenses, trade secrets and know-how to establish and protect our rights to our technologies 
and products.  However, we cannot assure you that any of our patent rights, whether issued, subject to license or in process, will 
not be misappropriated, circumvented or invalidated.  In addition, competitors may design around our technology or develop 
competing technologies that do not infringe our proprietary rights.  As patents and other intellectual property protection expire, 
we may lose our competitive advantage.  If third parties infringe or misappropriate our patents or other proprietary rights, our 
businesses could be seriously harmed.

In addition, we cannot be assured that our existing or planned products do not or will not infringe on the intellectual property 
rights of others or that others will not claim such infringement. Our industry has experienced extensive ongoing patent litigation 
which can result in the incurrence of significant legal costs for indeterminate periods of time, injunctions against the manufacture 
or sale of infringing products and significant royalty payments. At any given time, we may be a plaintiff or defendant in such an 
action. We cannot assure you that we will be able to prevent competitors from challenging our patents or other intellectual 
property rights or entering markets we currently serve.

In addition to seeking formal patent protection whenever possible, we attempt to protect our proprietary rights and trade secrets 
by entering into confidentiality agreements with employees, consultants and third parties with which we do business. However, 
these agreements may be breached and, if a breach occurs, there may be no adequate remedies available to us and we may be 
unable to prevent the unauthorized disclosure or use of our technical knowledge, practices and/or procedures. If our trade secrets 
become known, we may lose our competitive advantages. 

We may be subject to intellectual property claims, which could be costly and time consuming and could divert our 
management’s attention from our business operations.

In producing our products, third parties may claim that we are infringing on their intellectual property rights, and we may be 
found to have infringed on those intellectual property rights. We may be unaware of intellectual property rights of others that may 
be used in our technology and products. In addition, third parties may claim that our patents have been improperly granted and 
may seek to invalidate our existing or future patents. If any claim for invalidation prevailed, third parties may manufacture and 
sell products that compete with our products and our revenues from any related license agreements would decrease accordingly. 
We also typically do not receive significant indemnification from parties that license technology to us against third party claims of 
intellectual property infringement.

Any litigation or other challenges regarding our patents or other intellectual property could be costly and time consuming and 
could divert the attention of our management and key personnel from our business operations. The complexity of the technology 
involved in producing our products and the uncertainty of intellectual property litigation increases these risks. Claims of 
intellectual property infringement may also require us to enter into costly royalty or license agreements. However, we may not be 
able to obtain royalty or license agreements on terms acceptable to us, or at all. We also may be made subject to significant 
damages or injunctions against development and sale of our products.

Our failure to obtain licenses from third parties for new technologies or the loss of these licenses could impair our ability 
to design and manufacture new products and reduce our revenues.

We occasionally license technologies from third parties rather than depending exclusively on our own proprietary technology and 
developments. Our ability to license new technologies from third parties is and will continue to be critical to our ability to offer 
new and improved products. We may not be able to continue to identify new technologies developed by others and even if we are 
able to identify new technologies, we may not be able to negotiate licenses on favorable terms, or at all. Additionally, we could 
lose rights granted under licenses for reasons beyond our control.

We may not be able to attract, train and retain a sufficient number of qualified associates to maintain and grow our 
business.

We monitor the markets in which we compete and assess opportunities to better align expenses with revenues, while preserving 
our ability to make needed investments in RD&E projects, capital and our associates that we believe are critical to our long-term 
success. Our success will depend in large part upon our ability to attract, train, retain and motivate highly skilled associates. There 
is currently aggressive competition for employees who have experience in technology and engineering. We compete intensely 
with other companies to recruit and hire from this limited pool. The industries in which we compete for employees are 
characterized by high levels of employee attrition. Although we believe we offer competitive salaries and benefits, we may have 
to increase spending in order to attract, train and retain qualified personnel.

- 17 -

We are dependent upon our senior management team and key technical personnel and the loss of any of them could 
significantly harm us.

Our future performance depends to a significant degree upon the continued contributions of our senior management team and key 
technical personnel.  In general, only highly qualified and trained scientists have the necessary skills to develop our products, 
which are often highly technical in nature. The loss or unavailability to us of any member of our senior management team or a key 
technical employee could significantly harm us. We face intense competition for these professionals from our competitors, 
customers and companies operating in our industry. To the extent that the services of members of our senior management team 
and key technical personnel would be unavailable to us for any reason, we would be required to hire other personnel to manage 
and operate our Company and to develop our products and technology, which could negatively impact our business. We may not 
be able to locate or employ these qualified personnel on acceptable terms or may need to increase spending in order to attract 
these qualified personnel.

We have significant indebtedness that could affect our operations and financial condition, and our failure to meet certain 
financial covenants required by our debt agreements may materially and adversely affect our assets, financial position and 
cash flows. 

At December 28, 2018,we had $942 million in principal amount of debt outstanding.  As of December 28, 2018, our debt service 
obligations, comprised of principal and interest, during the 2019 fiscal year ending January 3, 2020 are estimated to be 
approximately $86 million.  The outstanding indebtedness and the terms and covenants of the agreements under which this debt 
was incurred, could, among other things:

•

•

•

•

•

•

require us to dedicate a large portion of our cash flow from operations to the servicing and repayment of our outstanding
indebtedness, thereby reducing funds available for working capital, capital expenditures, RD&E expenditures and other
general corporate requirements;

limit our ability to obtain additional financing to fund future working capital, capital expenditures, RD&E expenditures
and other general corporate requirements in the future;

limit our flexibility in planning for, or reacting to, changes in our business and the industry in which we operate;

restrict our ability to make strategic acquisitions or dispositions or to exploit business opportunities;

place us at a competitive disadvantage compared to our competitors that have less outstanding indebtedness; and

adversely affect the market price of our common stock.

If we are not successful in making acquisitions to expand and develop our business, our operating results may suffer.

One facet of our growth strategy is to make acquisitions that complement our core competencies in technology and manufacturing 
to enable us to manufacture and sell additional products to our existing customers and to expand our business into related markets. 
Our continued growth may depend on our ability to successfully identify and acquire companies that complement or enhance our 
existing business on acceptable terms. We may not be able to identify or complete future acquisitions.   In addition, we will need 
to comply with the terms of our Senior Secured Credit Facility.  In connection with pursuing this growth strategy, some of the 
risks that we may encounter include expenses associated with and difficulties in identifying potential targets, the costs associated 
with unsuccessful acquisitions, and higher prices for acquired companies because of competition for attractive acquisition targets.

We may not realize the expected benefits from our cost savings and consolidation initiatives or those initiatives may have 
unintended consequences, which may harm our business.

We have incurred significant charges related to various cost savings and consolidation initiatives. These initiatives were 
undertaken to improve our operational effectiveness, efficiencies and profitability. Information regarding some of these initiatives 
is discussed in Note 11 “Other Operating Expenses” of the Notes to Consolidated Financial Statements contained in Item 8 of this 
report. Cost reduction efforts under these initiatives include various cost and efficiency improvement measures, such as headcount 
reductions, the relocation of resources and administrative and functional activities, the closure of facilities, the transfer of 
production lines, the sale of non-strategic assets and other efforts to streamline our business, among other actions. These measures 
could yield unintended consequences, such as distraction of our management and associates, business disruption, disputes with 
customers, attrition beyond our planned reduction in workforce and reduced associate productivity. If any of these unintended 
consequences were to occur, they could negatively affect our business, financial condition and results of operations. In addition, 
headcount reductions and customer disputes may subject us to the risk of litigation, which could result in the incurrence of 
substantial costs. Moreover, our cost reduction efforts result in charges and expenses that impact our operating results. Our cost 
savings and consolidation initiatives, or other expense reduction measures we take in the future, may not result in the expected 
cost savings.

- 18 -

Successful integration and anticipated benefits of acquisitions cannot be assured and integration matters could divert 
attention of management away from operations. 

Part of our business strategy includes acquiring additional businesses and assets. If we do not successfully integrate acquisitions, 
we may not realize anticipated operating advantages and cost savings.  Our ability to realize the anticipated benefits from 
acquisitions will depend, to a large extent, on our ability to integrate these acquired businesses with our legacy businesses. 
Integrating and coordinating aspects of the operations and personnel of the acquired business with legacy businesses involves 
complex operational, technological and personnel-related challenges. This process is time-consuming and expensive, disrupts the 
businesses of both companies and may not result in the achievement of the full benefits expected by us, including cost synergies 
expected to arise from supply chain efficiencies and overlapping general and administrative functions.

The potential difficulties, and resulting costs and delays, include: 

• managing a larger combined company;

•

•

•

•

•

•

•

consolidating corporate and administrative infrastructures;

issues in integrating manufacturing, warehouse and distribution facilities, RD&E and sales forces;

difficulties attracting and retaining key personnel;

loss of customers and suppliers and inability to attract new customers and suppliers;

unanticipated issues in integrating information technology, communications and other systems;

incompatibility of purchasing, logistics, marketing, administration and other systems and processes; and

unforeseen and unexpected liabilities related to the acquired business.

Additionally, the integration of our legacy businesses with an acquired company’s operations, products and personnel may place a 
significant burden on management and other internal resources. The attention of our management may be directed towards 
integration considerations and may be diverted from our day-to-day business operations, and matters related to the integration 
may require commitments of time and resources that could otherwise have been devoted to other opportunities that might have 
been beneficial to us and our business.  The diversion of management’s attention, and any difficulties encountered in the transition 
and integration process, could harm our business, financial condition and operating results. 

We may not be able to maintain the levels of operating efficiency that acquired companies have achieved or might achieve 
separately. Successful integration of each acquisition will depend upon our ability to manage those operations and to eliminate 
redundant and excess costs. Difficulties in integration may be magnified if we make multiple acquisitions over a relatively short 
period of time. Because of difficulties in combining and expanding operations, we may not be able to achieve the cost savings and 
other size-related benefits that we hoped to achieve after these acquisitions.

Any of the matters described above could adversely affect our business or harm our financial condition, results of operations or 
business prospects. 

Interruptions of our manufacturing operations could delay production and negatively affect our operations.

Our products are designed and manufactured in facilities located around the world. In most cases, the manufacturing of specific 
product lines is concentrated in one or a few locations.  If an event (including any weather or natural disaster-related event) 
occurred that resulted in material damage or loss of one or more of these manufacturing facilities or we lacked sufficient labor to 
fully operate the facility, we might be unable to transfer the manufacture of the relevant products to another facility or location in 
a cost-effective or timely manner, if at all. This potential inability to transfer production could occur for a number of reasons, 
including but not limited to a lack of necessary relevant manufacturing capability at another facility, or the regulatory 
requirements of the FDA or other governmental regulatory bodies.  In addition, our business involves complex manufacturing 
processes and hazardous materials that can be dangerous to our associates.  Although we employ safety procedures in the design 
and operation of our facilities, there is a risk that an accident or death could occur. Any accident, such as a chemical spill or fire, 
could result in significant manufacturing delays or claims for damages resulting from injuries, which would harm our operations 
and financial condition. The potential liability resulting from any such accident or death, to the extent not covered by insurance, 
could harm our financial condition or operating results. Any disruption of operations at any of our facilities, and in particular our 
larger facilities, could result in production delays, which could affect our operations and harm our business.

- 19 -

We have a complex tax profile due to the global nature of our operations and may experience significant variability in our 
quarterly and annual effective tax rate due to several factors, including changes in the mix of pre-tax income and the 
jurisdictions to which it relates, business acquisitions, settlements with taxing authorities, and changes in tax rates. 

Our global operations encompass multiple taxing jurisdictions. Variability in the mix and profitability of domestic and 
international activities, identification and resolution of various tax uncertainties, changes in tax laws and rates, and the extent to 
which we are able to realize net operating loss and other carryforwards included in deferred tax assets and avoid potential adverse 
outcomes included in deferred tax liabilities, among other matters, may significantly affect our effective income tax rate in the 
future.

Changes in international tax laws or additional changes in U.S. tax laws could materially affect our financial position and results 
of operations.  In addition, many countries in the EU, as well as a number of other countries and organizations such as the 
Organization for Economic Cooperation and Development, are also actively considering changes to existing tax laws. If tax laws 
and related regulations change, our financial results could be materially impacted. Given the unpredictability of these possible 
changes and their potential interdependency, it is possible such changes could adversely impact our financial results.

Our effective income tax rate is the result of the income tax rates in the various countries in which we do business. Our mix of 
income and losses in these jurisdictions affects our effective tax rate. For example, relatively more income in higher tax rate 
jurisdictions would increase our effective tax rate and thus lower our net income. Similarly, if we generate losses in tax 
jurisdictions for which no benefits are available, our effective income tax rate will increase. Our effective income tax rate may 
also be impacted by the recognition of discrete income tax items, such as required adjustments to our liabilities for uncertain tax 
positions or our deferred tax asset valuation allowance. A significant increase in our effective income tax rate could have a 
material adverse impact on our earnings. 

We have recorded deferred tax assets based on our assessment that we will be able to realize the benefits of our net operating 
losses and other favorable tax attributes. Realization of deferred tax assets involve significant judgments and estimates which are 
subject to change and ultimately depends on generating sufficient taxable income of the appropriate character during the 
appropriate periods. Changes in circumstances may affect the likelihood of such realization, which in turn may trigger a write-
down of our deferred tax assets, the amount of which would depend on a number of factors. A write-down would reduce our 
reported net income, which may adversely impact our financial condition or results of operations or cash flows.  In addition, we 
are potentially subject to ongoing and periodic tax examinations and audits in various jurisdictions, including with respect to the 
amount of our net operating losses and any limitation thereon. An adjustment to such net operating loss carryforwards, including 
an adjustment from a taxing authority, could result in higher tax costs, penalties and interest, thereby adversely impacting our 
financial condition, results of operations or cash flows.

Our operations are subject to cyber-attacks that could have a material adverse effect on our business, consolidated results 
of operations and consolidated financial condition. 

In the ordinary course of business, our operations are, and in the future are expected to continue to be,  dependent on digital 
technologies and information technology systems. We use these technologies and systems for internal purposes, including data 
storage, processing and transmissions, as well as in our interactions with customers and suppliers. The security of this information 
and these systems are important to our operations and business strategy. Digital technologies and systems have been, and in the 
future are expected to continue to be, subject to the risk of cyber-attacks. Despite our security measures, our information 
technology systems and infrastructure may be vulnerable to cyber-attacks by hackers or malware, or breached due to associate 
error, malfeasance or other disruptions. As the techniques used to obtain unauthorized access, disable or degrade service, or 
sabotage infrastructure and systems change frequently and may be difficult to detect for long periods of time, we may be unable to 
anticipate these techniques or implement adequate preventive measures. If our systems for protecting against cybersecurity risks 
prove insufficient, we could be adversely affected by, among other things: loss of or damage to intellectual property, proprietary 
or confidential information, or customer, supplier, or employee data; interruption of our business operations; and increased costs 
required to prevent, respond to, or mitigate cybersecurity attacks. In addition, any such breach could compromise our networks 
and the information stored there could be accessed, publicly disclosed or stolen. These risks could harm our reputation and brand, 
and our relationships with customers, suppliers, employees and other third parties, and may result in claims or proceeding against 
us. In certain circumstances, we may rely on third party vendors to process, store and transmit data for our business whose 
operations are subject to similar risks. These risks could have a material adverse effect on our business, financial condition and 
results of operations.  While we maintain cyber-liability insurance, our insurance may not be sufficient to cover us against all 
losses that could potentially result from a breach of our systems or loss of sensitive data.

- 20 -

The failure of our information technology systems to perform as anticipated could disrupt our business and affect our 
financial condition.

The efficient operation of our business is dependent on our information technology (“IT”) systems. Accordingly, we rely upon the 
capacity, reliability and security of our IT hardware and software infrastructure and our ability to expand and update this 
infrastructure in response to our changing needs. Despite our implementation of security measures, our systems are vulnerable to 
damages from computer viruses, natural disasters, incursions by intruders or hackers, failures in hardware or software, power 
fluctuations, cyber terrorists and other similar disruptions. The failure of our IT systems to perform as anticipated for any reason 
or any significant breach of security could disrupt our business and result in numerous consequences, including reduced 
effectiveness and efficiency of operations, inappropriate disclosure of confidential information, increased overhead costs and loss 
of important information, which could have a material effect on our business and results of operations. In addition, we may be 
required to incur significant costs to protect against damage caused by these disruptions or security breaches in the future.

Our international sales and operations are subject to a variety of market and financial risks and costs that could affect our 
profitability and operating results.

Our sales outside the U.S., which accounted for 43% of sales for 2018, and our operations in Europe, Asia, Mexico and South 
America are and will continue to be subject to a number of risks and potential costs, including:

• 

• 

• 
• 

• 

• 

• 

changes in foreign economic conditions and/or regulatory requirements;

changes in foreign currency exchange rates;

local product preferences and product requirements;
outstanding accounts receivables that take longer to collect than is typical in the U.S.;

difficulties in enforcing agreements through foreign legal systems;

less protection of intellectual property in some countries outside of the U.S.;

trade protection measures and import and export licensing requirements;

•  work force instability;

• 

• 

political and economic instability; and

complex tax and cash management issues.

We earn revenue and incur expenses related to our foreign sales and operations that are denominated in a foreign currency. 
Additionally, to the extent that monetary assets and liabilities, including short-term and long-term intercompany loans, are 
recorded in a currency other than the functional currency of our foreign subsidiaries, these amounts are remeasured each period, 
with the resulting gain or loss being recorded in Other (Income) Loss, Net.  We may buy hedges in certain currencies to reduce or 
offset our exposure to currency exchange fluctuations; however, these transactions may not be adequate or effective to protect us 
from the exposure for which they are purchased.  Historically, foreign currency fluctuations have not had a material effect on our 
net financial results. However, fluctuations in foreign currency exchange rates could have a significant impact, positive or 
negative, on our financial results in the future.

Economic and credit market uncertainty could interrupt our access to capital markets, borrowings, or financial 
transactions to hedge certain risks, which could adversely affect our financial condition.

To date, we have been able to access debt and equity financing that has allowed us to complete acquisitions, make investments in 
growth opportunities and fund working capital requirements. In addition, we enter into financial transactions to hedge certain 
risks, including foreign exchange and interest rate risk. Our continued access to capital markets, the stability of our lenders under 
our Senior Secured Credit Facility and their willingness to support our needs, and the stability of the parties to our financial 
transactions that hedge risks are essential for us to meet our current and long-term obligations, fund operations, and fund our 
strategic initiatives. An interruption in our access to external financing or financial transactions to hedge risk could affect our 
business prospects and financial condition.

- 21 -

Risks Related To Our Industries

Our business is subject to environmental regulations that could be costly to comply with.

Federal, state and local regulations impose various environmental controls on the manufacturing, transportation, storage, use and 
disposal of batteries and hazardous chemicals and other materials used in, and hazardous waste produced by the manufacturing of 
our products. Conditions relating to our historical operations may require expenditures for clean-up in the future and changes in 
environmental laws and regulations may impose costly compliance requirements on us or otherwise subject us to future liabilities. 
Additional or modified regulations relating to the manufacture, transportation, storage, use and disposal of materials used to 
manufacture our products or restricting disposal or transportation of batteries may be imposed that may result in higher costs or 
lower operating results. In addition, we cannot predict the effect that additional or modified environmental regulations may have 
on us or our customers.

Our international operations expose us to legal and regulatory risks, which could have a material effect on our business.

Our profitability and international operations are, and will continue to be, subject to risks relating to changes in foreign legal and 
regulatory requirements. In addition, our international operations are governed by various U.S. laws and regulations, including the  
Foreign Corrupt Practices Act (“FCPA”) and other similar laws that prohibit us and our business partners from making improper 
payments or offers of payment to foreign governments and their officials and political parties for the purpose of obtaining or retaining 
business. Any alleged or actual violations of these regulations may subject us to government scrutiny, severe criminal or civil sanctions 
and other liabilities and could negatively affect our business, reputation, operating results, and financial condition.

Consolidation in the healthcare industry could result in greater competition and reduce our revenues and harm our 
business.

Many healthcare industry companies are consolidating to create new companies with greater market power. As the healthcare 
industry consolidates, competition to provide products and services to industry participants will become more intense. These 
industry participants may try to use their market power to negotiate price concessions or reductions for our products or may 
undertake additional vertical integration and/or supplier diversification initiatives.  If we are forced to reduce our prices, our 
revenues would decrease and our operating results would suffer.

The healthcare industry is highly regulated and subject to various political, economic and regulatory changes that could 
increase our compliance costs and force us to modify how we develop and price our products.

The healthcare industry is highly regulated and is influenced by changing political, economic and regulatory factors. Several of 
our product lines are subject to international, federal, state and local health and safety, packaging and product content regulations. 
In addition, medical devices are subject to regulation by the FDA and similar governmental agencies. These regulations cover a 
wide variety of product activities from design and development to labeling, manufacturing, promotion, sales and distribution. 
Compliance with these regulations may be time consuming, burdensome and expensive and could negatively affect our ability to 
sell products. This may result in higher than anticipated costs or lower than anticipated revenues.

Furthermore, healthcare industry regulations are complex, change frequently and have tended to become more stringent over time. 
Federal and state legislatures have periodically considered and implemented programs to reform or amend the U.S. healthcare 
system at both the federal and state levels. In addition, these regulations may contain proposals to increase governmental 
involvement in healthcare, lower reimbursement rates or otherwise change the environment in which healthcare industry 
participants operate. We may be required to incur significant expenses to comply with these regulations or remedy past violations 
of these regulations. Our failure to comply with applicable government regulations could also result in cessation of portions or all 
of our operations, impositions of fines and restrictions on our ability to carry on or expand our operations. In addition, because 
many of our products are sold into regulated industries, we must comply with additional regulations in marketing our products.

In response to perceived increases in healthcare costs in recent years, there have been and continue to be proposals by the 
Presidential administrations, members of Congress, state governments, regulators and third-party payors to control these costs 
and, more generally, to reform the U.S. healthcare system, including by repealing or replacing the Patient Protection and 
Affordable Care Act.  Health care reform imposed a Medical Device Excise Tax (“the MDET”) on medical device manufacturers 
through the end of 2015.  The Consolidated Appropriations Act, 2016, enacted in December 2015, included a two-year 
moratorium on MDET such that medical device sales in 2016 and 2017 were exempt from the MDET.  New legislation was 
passed in January 2018 such that implementation of the MDET was suspended until January 1, 2020.  Although the MDET was 
suspended, if this suspension is not continued or made permanent thereafter, the MDET will be automatically reinstated starting 
on January 1, 2020 and would result in a significant increase in the tax burden on our industry, which could have a material 
negative impact on our financial condition, results of operations and our cash flows.  Other elements of health care reform such as 
comparative effectiveness research, an independent payment advisory board, payment system reforms including shared savings 
pilots and other provisions could meaningfully change the way healthcare is developed and delivered, and may materially 
adversely impact numerous aspects of our business, results of operations and financial condition.

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Our business is indirectly subject to healthcare industry cost containment measures that could result in reduced sales of 
our products.

Several of our customers rely on third party payors, such as government programs and private health insurance plans, to 
reimburse some or all of the cost of the procedures in which our products are used. The continuing efforts of governments, 
insurance companies and other payors of healthcare costs to contain or reduce those costs could lead to patients being unable to 
obtain approval for payment from these third party payors for procedures in which our products are used. If that occurred, sales of 
medical devices may decline significantly and our customers may reduce or eliminate purchases of our products, or demand 
further price reductions. The cost containment measures that healthcare payors are instituting, both in the U.S. and internationally, 
could reduce our revenues and harm our operating results.

Our energy market revenues are dependent on conditions in the oil and natural gas industry, which historically have been 
volatile.

Sales of our products into the energy market depends upon the condition of the oil and gas industry. Currently, oil and natural gas 
prices have been subject to significant fluctuation and the oil and gas exploration and production industry has historically been 
cyclical, and it is likely that oil and natural gas prices will continue to fluctuate in the future. The current and anticipated prices of 
oil and natural gas influence the oil and gas exploration and production business and are affected by a variety of political and 
economic factors, including worldwide demand for oil and natural gas, worldwide and domestic supplies of oil and natural gas, 
the ability of the Organization of Petroleum Exporting Countries (“OPEC”) to set and maintain production levels and pricing, the 
level of production of non-OPEC countries, the price and availability of alternative fuels, political stability in oil producing 
regions and the policies of the various governments regarding exploration and development of their oil and natural gas reserves. A 
change in the oil and gas exploration and production industry or a reduction in the exploration and production expenditures of oil 
and gas companies could cause our energy market revenues to decline.

ITEM 1B.  UNRESOLVED STAFF COMMENTS

None.

ITEM 2. 

PROPERTIES

Our principal executive office and headquarters is located in Plano, Texas, in a leased facility.  As of December 28, 2018, we 
operated 18 facilities in the U.S., three in Europe, three in Mexico, one in South America, and two in Southeast Asia.  Of these 
facilities, 19 were leased and 8 were owned. We occupy approximately 1.7 million square feet of manufacturing and RD&E space 
worldwide. We believe the facilities we operate and their equipment are effectively utilized, well maintained, generally are in 
good condition, and will be able to accommodate our capacity needs to meet current levels of demand. We continuously review 
our anticipated requirements for facilities and, on the basis of that review, may from time to time acquire additional facilities or 
dispose of existing facilities.

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ITEM 3. 

LEGAL PROCEEDINGS

In April 2013, the Company commenced an action against AVX Corporation and AVX Filters Corporation (collectively “AVX”) 
alleging that AVX had infringed the Company’s patents by manufacturing and selling filtered feedthrough assemblies used in 
implantable pacemakers and cardioverter defibrillators that incorporate the Company’s patented technology.  Two juries in the 
United States District Court for the District of Delaware have returned verdicts finding that AVX infringed three of the 
Company’s patents and awarded the Company $37.5 million in damages. In March 2018, the U.S. District Court for the District of 
Delaware vacated the original damage award and ordered a retrial on damages.  In the January 2019 retrial on damages, the jury 
awarded the Company $22.2 million in damages.  The finding is subject to post-trial proceedings.

In January 2015, LRM was notified by the New Jersey Department of Environmental Protection (“NJDEP”) of NJDEP’s intent to 
revoke a no further action determination made by NJDEP in favor of LRM in 2002 pertaining to a property on which a subsidiary 
of LRM operated a manufacturing facility in South Plainfield, New Jersey beginning in 1971. LRM sold the property in 2004 and 
vacated the facility in 2007. In response to NJDEP’s notice, LRM further investigated the matter and submitted a technical report 
to NJDEP in August of 2015 that concluded that NJDEP’s notice of intent to revoke was unwarranted. After reviewing the 
technical report, NJDEP issued a draft response in May 2016, stating that NJDEP would not revoke the no further action 
determination at that time but would require some additional site investigation to support the Company’s conclusion. The 
Company is cooperating with NJDEP and has begun the requested additional investigation. The Company does not expect that 
this environmental matter will have a material effect on its consolidated results of operations, financial position or cash flows.

We are party to various other legal actions arising in the normal course of business. A description of pending legal actions against 
the Company is set forth in Note 13 “Commitments and Contingencies” of the Notes to Consolidated Financial Statements 
contained in Item 8 of this report. Other than as discussed in Note 13, we do not believe that the ultimate resolution of any 
pending legal actions will have a material effect on our consolidated results of operations, financial position or cash flows. 
However, litigation is subject to inherent uncertainties and there can be no assurance that any pending legal action, which we 
currently believe to be immaterial, does not become material in the future.

ITEM 4.  MINE SAFETY DISCLOSURES

Not applicable.

- 24 -

PART II

ITEM 5.  MARKET FOR REGISTRANT’S COMMON EQUITY, RELATED STOCKHOLDER MATTERS AND

ISSUER PURCHASES OF EQUITY SECURITIES

Market Information for Common Stock.  The Company’s common stock trades on the New York Stock Exchange (“NYSE”) under 
the symbol “ITGR.”  

Stockholders.  According to the records of our transfer agent, there were approximately 100 holders of record of our common 
stock on February 15, 2019.  Because many of these shares are held by brokers and other institutions on behalf of stockholders, 
we are unable to estimate the total number of stockholders represented by these record holders.

Dividends.  We have not paid cash dividends and do not anticipate paying any cash dividends in the foreseeable future.

PERFORMANCE GRAPH

The following graph compares, for the five year period ended December 28, 2018, the cumulative total stockholder return for 
Integer Holdings Corporation, the S&P SmallCap 600 Index, and the Hemscott Peer Group Index. The Hemscott Peer Group 
Index includes approximately 110 comparable companies included in the Hemscott Industry Group 520 Medical Instruments & 
Supplies and 521 Medical Appliances & Equipment. The graph assumes that $100 was invested on January 3, 2014 and assumes 
reinvestment of dividends. No adjustments have been made for the value provided to shareholders for spin-offs, including the 
spin-off of Nuvectra by the Company in March 2016. The stock price performance shown on the following graph is not 
necessarily indicative of future price performance.

Company/Index

01/03/14

01/02/15

01/01/16

12/30/16

12/29/17

12/28/18

Integer Holdings Corporation

$

100.00 $

111.10 $

119.86 $

79.12 $

121.70 $

S&P Smallcap 600

Hemscott Peer Group Index

       100.00

       100.00

105.76

120.38

- 25 -

103.67

128.36

131.20

136.03

148.56

178.54

204.26

135.96

199.50

ITEM 6. 

SELECTED FINANCIAL DATA

Five-Year Summary Financial Data
(in thousands, except per share amounts)

This data should be read along with Item 7 “Management’s Discussion and Analysis of Financial Condition and Results of 
Operations” and Item 8 “Financial Statements and Supplementary Data” appearing elsewhere in this report.   Operating results for 
the 2014 though 2017 fiscal years were retrospectively revised from previously reported amounts to reclassify the operations for 
the AS&O Product Line as discontinued operations.

Summary of Operations for the Fiscal Year:

Sales

Income (loss) from continuing operations

Income (loss) from discontinued operations

Net income (loss)

Basic earnings (loss) per share:

Income (loss) from continuing operations

Income (loss) from discontinued operations

Basic earnings (loss) per share

Diluted earnings (loss) per share:

Income (loss) from continuing operations

Income (loss) from discontinued operations

Diluted earnings (loss) per share

Financial Position at Year End:

Working capital

Total assets

2018(1)(2)

2017(1)(2)(3)

2016(1)(2)

2015(1)(2)

2014(1)(2)

$ 1,215,012

$ 1,136,080

$ 1,075,502

$

47,033

120,931

167,964

87,087
(20,408)
66,679

24,878
(18,917)
5,961

638,995
(3,176)
(4,418)
(7,594)

$

547,937

46,980

5,778

55,458

$

$

$

$

1.46

3.76

5.23

1.44

3.71

5.15

$

$

2.77
(0.65)
2.12

2.72
(0.64)
2.08

$

$

0.81
(0.61)
0.19

0.80
(0.61)
0.19

(0.12) $
(0.17)
(0.29)

(0.12) $
(0.17)
(0.29)

2.00

0.23

2.23

1.91

0.22

2.14

$

251,680

$

322,906

$

332,087

$

360,764

$

242,022

2,326,681

2,848,345

2,832,543

2,982,136

955,122
233,099  

Long-term obligations
__________
(1)  From 2014 to 2018, we recorded material charges in Other Operating Expenses (“OOE”), primarily related to our cost 

1,917,671

1,922,084

1,745,961

1,101,618

savings and consolidation initiatives and our acquisitions. Additional information is set forth in Note 11 “Other Operating 
Expenses” of the Notes to Consolidated Financial Statements contained in Item 8 of this report.

In 2015 and 2014, we acquired LRM and Centro de Construcción de Cardioestimuladores del Uruguay, respectively.  In 
2016, we spun-off a portion of our former QiG segment, which is now an independent, publicly traded company known as 
Nuvectra. This data includes the results of operations of these acquired companies subsequent to their acquisition and does 
not include the result of operations of Nuvectra subsequent to the Spin-off. 

In the fourth quarter of 2017, we recognized a net benefit of $39.4 million as a result of the Tax Reform Act.

(2) 

(3) 

- 26 -

ITEM 7.  MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF

OPERATIONS

The following discussion and analysis of our financial condition and results of operations should be read together with our 
selected financial data and our consolidated financial statements and the related notes appearing elsewhere in this report.
This discussion and analysis contains forward-looking statements that involve risks, uncertainties and assumptions. Our actual 
results may differ materially from those anticipated in these forward-looking statements as a result of many factors, including but 
not limited to those under the heading “Risk Factors” in Item 1A of this report.

Our Business

•
•
•
•
•

Our business
Discontinued operations and divestiture
Use of non-GAAP financial information
Strategic overview
Financial overview

Our Financial Results

•
•
•
•
•
•

Fiscal 2018 compared with fiscal 2017
Fiscal 2017 compared with fiscal 2016
Liquidity and capital resources
Off-balance sheet arrangements
Contractual obligations
Impact of recently issued accounting standards

Critical Accounting Estimates

•
•
•

Inventories
Valuation of goodwill, intangible and other long-lived assets
Income taxes

We utilize a fifty-two or fifty-three week fiscal year ending on the Friday nearest December 31.  Fiscal years 2018, 2017 and 2016 
each consisted of fifty-two weeks and ended on December 28, 2018, December 29, 2017 and December 30, 2016, respectively.

The results of operations of the AS&O Product Line have been classified as discontinued operations for all periods presented.  
Prior period amounts have been reclassified to conform to the continuing operations reporting presentation.  All results and 
information presented exclude the AS&O Product Line unless otherwise noted. 

Our Business

Integer Holdings Corporation is one of the largest medical device outsource (“MDO”) manufacturers in the world serving the 
cardiac, neuromodulation, orthopedics, vascular and advanced surgical markets. We also develop batteries for high-end niche 
applications in the non-medical energy, military, and environmental markets. Our vision is to enhance the lives of patients 
worldwide by being our customers’ partner of choice for innovative technologies and services.

We organize our business into two reportable segments, Medical and Non-Medical, and derive our revenues from four principle 
product lines.  The Medical segment includes the Cardio & Vascular, Cardiac & Neuromodulation and Advanced Surgical, 
Orthopedics & Portable Medical product lines and the Non-Medical segment is comprised of the Electrochem product line.  For 
more information on our segments, please refer to Note 17 “Segment and Geographic Information” of the Notes to Consolidated 
Financial Statements contained in Item 8 of this report.

- 27 -

MANAGEMENT’S DISCUSSION AND ANALYSIS

Discontinued Operations and Divestiture

On July 2, 2018, we completed the sale of the AS&O Product Line for net cash proceeds of approximately $581 million, resulting 
in a pre-tax gain of approximately $195 million.  In connection with the sale, the parties executed a transition services agreement 
whereby we will provide certain corporate services (including accounting, payroll, and information technology services) to Viant 
for a period of up to one year from the date of the closing to facilitate an orderly transfer of business operations. Viant will pay us 
for these services, with such payments varying in amount and length of time as specified in the transition services agreement.  In 
addition, the parties executed long-term supply agreements under which the parties have agreed to supply the other with certain 
products at prices specified in the agreements for a term of three years.

Refer to Note 2 “Discontinued Operations and Divestitures” of the Notes to Consolidated Financial Statements contained in Item 8 
of this report for additional information about the divestiture of the AS&O Product Line.

Strategic Overview

During 2017 we undertook a thorough strategic review of our customers, competitors and markets.  As a result of this review, 
during the fourth quarter of 2017, we began to take steps to better align our resources in order to invest to grow, protect, preserve 
and to enhance the profitability of our portfolio of products.  In addition to our portfolio strategy, we have launched the execution 
of six key operational strategic imperatives designed to drive excellence in everything we do:  (1) Sales Force Excellence, (2) 
Market Focused Innovation, (3) Manufacturing Process Excellence, (4) Business Process Excellence, (5) Performance Excellence, 
and (6) Leadership Capability.

• 

Sales Force Excellence: We're changing the organization structure to match product line growth strategies and customer 
needs. This change is about getting more out of the capability we already have, and will increase individual 
accountability and clarity of ownership.

•  Market Focused Innovation: We're ensuring we get the most return on our Research & Development (R&D) investments. 
Integer is currently focusing on getting a clearer picture of how we spend our money and ensuring we're spending it in 
the right places so we can increase investments to drive future growth. 

•  Manufacturing Process Excellence: The goal is to deliver world-class operational performance in the areas of safety, 

quality, delivery and overall efficiency. We want to transition our manufacturing into a competitive advantage through a 
single, enterprise-wide manufacturing structure known as the Integer Production System (IPS). This system will provide 
standardized systems and processes by leveraging best practices and applying them across all our global sites. 

•  Business Process Excellence: Integer is taking a systematic approach to driving excellence in everything we do by 

standardizing, optimizing and ultimately sustaining all of our processes.

• 

Performance Excellence: We're raising the bar on associate performance to maximize our impact. This includes aligning 
key roles with critical capabilities, positioning the best talent against the biggest work, and putting tools and processes in 
place to provide higher financial rewards for top performers, so you can see increased results in pay for increased results 
in your performance. 

•  Leadership Capability: We have a robust plan to make leadership a competitive advantage for Integer. And since the 

success rate is higher with internal hires, we're focusing on finding and developing leaders from within the company to 
build critical capabilities for future success.

We believe Integer is well-positioned within the medical technology and MDO manufacturing market and that there is a robust 
pipeline of opportunities to pursue. We have expanded our medical device capabilities and are excited about opportunities to 
partner with customers to drive innovation. We believe we have the scale and global presence, supported by world-class 
manufacturing and quality capabilities, to capture these opportunities. We are confident in our capabilities as one of the largest 
MDO manufacturers, with a long history of successfully integrating companies, driving down costs and growing revenues over 
the long-term. Ultimately, our strategic vision is to drive shareholder value by enhancing the lives of patients worldwide by being 
our customers’ partner of choice for innovative technologies and services.

- 28 -

MANAGEMENT’S DISCUSSION AND ANALYSIS

Financial Overview

Fiscal 2018 Compared with Fiscal 2017

Income from continuing operations for 2018 was $47.0 million or $1.44 per diluted share compared to $87.1 million or $2.72 per 
diluted share for 2017. These variances are primarily the result of the following:

•

•

•

•

•

•

Sales from continuing operations for 2018 increased 7% primarily driven by market growth and new business wins.  During
2018, price concessions given to our larger OEM customers in return for long-term volume commitments lowered sales by 
approximately $15 million in comparison to 2017.   In comparison to the prior year, foreign currency exchange rates 
increased sales by $1.9 million for 2018.

Gross profit for 2018 increased $8.7 million primarily due to the increase in sales from continuing operations discussed
above, partially offset by higher incentive compensation ($5.1 million) costs.

Operating expenses for 2018 were lower by $21.3 million compared to 2017, due to a decrease in other operating expenses
($20.4 million) attributable to the completion of spending on integration activities partially offset by higher incentive 
compensation ($6.0 million).

Interest expense for 2018 increased by $35.3 million primarily due to extinguishment of debt charges related to the
repayment of indebtedness in connection with the divestiture of the AS&O Product Line.  Debt extinguishment expenses 
included in interest expense for 2018 were higher by $39.2 million compared to 2017.

Net gains on equity investments, which are unpredictable in nature, increased income by $5.6 million in 2018 compared to
losses of $1.6 million during 2017.

Other loss, net for 2018 was $0.8 million compared to $10.9 million during 2017, primarily due to the non-recurrence of a
non-cash foreign currency charge in the prior year on inter-company loans.

• We recorded an income tax provision of $14.1 million for 2018, compared to a benefit of $37.8 million for 2017.  The 2017

amount included a tax benefit of $39.4 million related to the Tax Reform Act that was recorded in the fourth quarter of 2017.  
Refer to Note 12 “Income Taxes” of the Notes to Consolidated Financial Statements contained in Item 1 of this report and the 
“Provision for Income Taxes” section of this Item for additional information.

Fiscal 2017 Compared with Fiscal 2016

Income from continuing operations for 2017 was $87.1 million or $2.72 per diluted share compared to $24.9 million or $0.80 per 
diluted share for 2016. These variances are primarily the result of the following:

•

•

•

•

•

•

Sales from continuing operations for 2017 increased 6% primarily driven by market growth, new business wins, and lower
comparables versus 2016 in our Cardio & Vascular and Non-Medical product lines.  These increases were partially offset by
price concessions given to our larger OEM customers in return for long-term volume commitments.

Gross profit for 2017 increased $16.3 million primarily due to the increase in sales discussed above, as well as production
efficiencies.

Operating expenses for 2017 were lower by $16.4 million primarily due to the results of Nuvectra not being included after
the Spin-off ($4.7 million), and lower other operating expenses attributable to reduced spending on integration and
consolidation initiatives.

Interest expense for 2017 declined $4.4 million primarily due to the amendment of our Term Loan B Facility in 2017, which
lowered the interest rate paid on that debt by 100 basis points, as well as scheduled and accelerated debt repayments during
2017.  These reductions were partially offset by the accelerated write-off of deferred fees and original issue discount of $3.5
million due to the accelerated pay down of debt during 2017, as well as the increase in LIBOR during 2017.

Net gains on equity investments, which are unpredictable in nature, were by $1.6 million and $0.8 million during 2017 and
2016, respectively.

Other (income) loss, net for 2017 was a loss of $10.9 million in 2017 versus a gain of $4.4 million in 2016, due to higher
foreign currency exchange rate losses driven by the remeasurement of intercompany loans as a result of the weakening of the
U.S. dollar relative to the Euro during 2017, which are primarily non-cash in nature.

• We recorded an income tax benefit of $37.8 million in 2017 compared to an income tax provision of $3.3 million in 2016.  As

a result of the Tax Reform Act, we recognized a $39.4 million net income tax benefit in the fourth quarter of 2017, primarily
related to the revaluation of our net deferred tax liabilities, but partially offset by a one-time mandatory tax on the repatriation
of undistributed foreign subsidiary earnings and profits.

- 29 -

MANAGEMENT’S DISCUSSION AND ANALYSIS

Use of Non-GAAP Financial Information

We prepare our consolidated financial statements in accordance with generally accepted accounting principles in the United States 
of America (“GAAP”).  Additionally, we consistently report and discuss in our earnings releases and investor presentations 
adjusted pre-tax income, adjusted income, adjusted earnings per diluted share (“EPS”), earnings before interest, taxes, 
depreciation, and amortization (“EBITDA”) and adjusted EBITDA, all from continuing operations. 

Adjusted pre-tax income, adjusted income and adjusted diluted EPS from continuing operations consist of GAAP amounts 
adjusted for the following to the extent occurring during the period: (i) acquisition and integration related charges and expenses, 
(ii) amortization of intangible assets, (iii) facility consolidation, optimization, manufacturing transfer and system integration 
charges, (iv) asset write-down and disposition charges, (v) charges in connection with corporate realignments or a reduction in 
force, (vi) certain litigation expenses, charges and gains, (vii) unusual or infrequently occurring items, (viii) gain/loss on equity  
investments, (ix) extinguishment of debt charges, (x) the net impact of long-term supply agreements (“LSAs”) between the 
Company and Viant, (xi) the income tax (benefit) related to these adjustments (not for adjusted pre-tax income) and (xii) certain 
tax items that are outside the normal provision for the period (not for adjusted pre-tax income).  Adjusted diluted EPS is 
calculated by dividing adjusted income from continuing operations by diluted weighted average shares outstanding. 

Adjusted EBITDA from continuing operations consists of GAAP income from continuing operations plus (i) the same 
adjustments as listed above except for items (ix) and (xii), (ii) GAAP stock-based compensation, interest expense, and 
depreciation, and (iii) GAAP provision (benefit) for income taxes.

We believe that the presentation of adjusted income, adjusted diluted earnings per share, EBITDA, and adjusted EBITDA, all 
from continuing operations, provides important supplemental information to management and investors seeking to understand the 
financial and business trends relating to our financial condition and results of operations, including compliance with our bank 
covenant calculations.

A reconciliation of GAAP net income and diluted EPS to GAAP income from continuing operations and GAAP diluted EPS from 
continuing operations for 2018, 2017 and 2016 is as follows (in thousands, except per share amounts):

2018

Net of
Tax

Pre-Tax

As reported (GAAP)

$249,429

$167,964

2017

Net of
Tax

Pre-Tax

$ 21,827

$ 66,679

Per
Diluted
Share
$ 5.15

Per
Diluted
Share
$ 2.08

2016

Net of
Tax

Pre-Tax

$

1,185

$

5,961

Per
Diluted
Share
$ 0.19

Less:  Income (loss) from
  discontinued operations 

Income from continuing
operations

188,313

120,931

3.71

(27,432)

(20,408)

(0.64)

(26,980)

(18,917)

(0.61)

$ 61,116

$ 47,033

$ 1.44

$ 49,259

$ 87,087

$ 2.72

$ 28,165

$ 24,878

$ 0.80

- 30 -

MANAGEMENT’S DISCUSSION AND ANALYSIS

A reconciliation of GAAP income from continuing operations and diluted EPS to adjusted amounts for 2018, 2017 and 2016 is as 
follows (in thousands, except per share amounts):

2018

Net of
Tax

Pre-Tax

$ 61,116

$ 47,033

2017

Net of
Tax

Pre-Tax

$ 49,259

$ 87,087

Per
Diluted
Share
1.44

Per
Diluted
Share
$ 2.72

2016

Net of
Tax

Pre-Tax

$ 28,165

$ 24,878

Per
Diluted
Share
0.80

As reported (GAAP)
Adjustments:

833

1.03

0.38

0.07

0.03

1.44

0.80

0.06

0.09

0.80

0.88

0.99

2,228

3,524

2,820

1,017

1,565

1,976

3,040

2,844

4,375

(0.14)

42,674

40,568

44,850

60,413

25,789

36,438

16,065

25,080

35,470

28,322

40,946

33,712

12,495

32,338

(4,442)

(5,322)

(5,623)

Amortization (excluding
  OOE)(a)
IP related litigation
  (SG&A)(a)(b)
Other operating expenses(c)
(Gain) loss on equity 
  investments, net(a)
Loss on extinguishment 
  of debt(a)(d)
LSA and other non-recurring
  adjustments(a)(e)
Tax adjustments(f)
Nuvectra results(a)(g)
Adjusted income from
  continuing operations
  (Non-GAAP)
Diluted weighted average
  shares for adjusted EPS(h)
__________
(a)  The difference between pre-tax and income (loss) amounts is the estimated tax impact related to the respective adjustment. 
Income (loss) amounts are computed using a 21% U.S. tax rate (35% U.S. tax rate for 2016 and 2017), and the statutory tax 
rates in Mexico, Netherlands, Uruguay, Ireland and Switzerland, as adjusted for the existence of net operating losses (“NOLs”).  
Amortization of intangibles and OOE expense have also been adjusted to reflect the estimated impact relating to our disallowed 
deduction of the GILTI tax, as described in footnote (f) below.  Expenses that are not deductible for tax purposes (i.e. permanent 
tax differences) are added back at 100%.

(8,431)
— (39,806)
—
—

(7,058)
(154)
2,624

(0.26)
(1.24)
—

(10,858)
—

$ 99,113

$124,391

$121,100

$122,757

$ 92,737

$152,676

(12,972)

(4,204)

32,768

31,222

32,056

$ 3.80

$ 3.09

$ 2.97

(0.23)

(0.13)

2,291

4,037

5,231

0.08

0.16

0.02

0.07

541

—

—

—

—

—

—

—

—

(b) 

In 2013, we filed suit against AVX Corporation alleging they were infringing our intellectual property. Given the complexity 
and significant costs incurred pursuing this litigation, we are excluding these litigation expenses from adjusted amounts. This 
matter proceeded to trial during the first quarter of 2016 and again in the third quarter of 2017 that resulted in a jury awarding 
damages in the amount of $37.5 million.  In March 2018, the court vacated that damage award and ordered a new trial on 
damages.  In the January 2019 retrial on damages, the jury awarded damages in the amount of $22.2 million.  That finding is 
subject to post-trial proceedings.  To date, no gains have been recognized in connection with this litigation.

(c)  Represents expenses related to various initiatives which were undertaken to improve our operational efficiencies and profitability, 
integrate  acquisitions  and  increase  manufacturing  capacity  to  accommodate  growth.    Refer  to  Note  11  “Other  Operating 
Expenses” of the Notes to Consolidated Financial Statements contained in Item 8 of this report for further details on these 
initiatives.

(d)  Represents debt extinguishment charges in connection with pre-payments made on our Term B Loan Facility, which are included 
in interest expense.  In addition, 2018 includes a “make-whole” premium of $31.3 million, paid as a result of redeeming our 
9.125% senior notes due on November 1, 2023 (the “Senior Notes”) in July 2018.

(e)  LSA and other non-recurring adjustments primarily reflect the net impact on prior periods of the LSAs entered into as of the 
closing of the divestiture of the AS&O Product Lines. These LSAs govern the sale of products supplied by Viant to us for further 
resale to customers and by us to Viant for further resale to customers.

- 31 -

MANAGEMENT’S DISCUSSION AND ANALYSIS

(f)  Tax adjustments for 2018 primarily includes the estimated impact relating to our disallowed deduction of the GILTI tax, as 
mandated by the Tax Reform Act.  This disallowed deduction of the GILTI tax (approximately 50% of the total GILTI tax) is 
due to our utilization of U.S. NOLs, and will be eliminated once our U.S. NOLs are fully utilized, which is expected to be in 
2019.    This  adjustment  makes  our Adjusted  Diluted  EPS  from  continuing  operations  more  comparable  with  other  global 
companies that are not subject to this disallowed GILTI tax deduction and more comparable to our results following the full 
utilization of our U.S. NOLs.  Tax adjustments for 2017 includes the net tax benefit resulting from the Tax Reform Act and 
include a discrete tax charge in connection with the enactment of regulations under §987 of the Internal Revenue Code, which 
resulted in an adjustment to our deferred tax assets.

(g)  Represents the results of Nuvectra prior to its Spin-off on March 14, 2016.
(h)  The diluted weighted average shares for adjusted EPS for 2018 and 2016 include potentially dilutive shares not included in the 
computation of diluted weighted average common shares for GAAP diluted EPS purposes because their effect would have been 
anti-dilutive.

Adjusted diluted EPS from continuing operations, which excludes the impact of amortization of intangible assets, losses on 
extinguishment of debt and various other operating expenses, among others, was $3.80 per share for 2018 compared to $3.09 per 
share in 2017.  These results reflect the benefit of our increased sales and the completion of spending on integration activities, 
partially offset by higher incentive compensation expense in 2018 compared to 2017.

For 2017, adjusted diluted EPS increased 4% to $3.09 per share in comparison to 2016 primarily due to our increased gross profit 
and lower interest expense partially offset by higher incentive compensation ($8.8 million (SG&A, RD&E)) and higher foreign 
currency exchange losses ($15.2 million).

A reconciliation of GAAP income from continuing operations to EBITDA from continuing operations and adjusted EBITDA from 
continuing operations for 2018, 2017 and 2016 is as follows (dollars in thousands): 

Income from continuing operations (GAAP)

2018

2017

2016

$

47,033

$

87,087

$

24,878

Interest expense

Provision (benefit) for income taxes

Depreciation

Amortization (excluding OOE)

EBITDA (Non-GAAP)

IP related litigation

Stock-based compensation expense (excluding OOE)

Strategic reorganization and alignment

Manufacturing alignment to support growth
Consolidation and optimization expenses

Acquisition and integration expenses

Asset dispositions, severance and other

(Gain) loss on equity investments, net

LSA and other non-recurring adjustments

Nuvectra results prior to Spin-off

99,310

14,083

40,078

40,946

241,450

2,820

10,051

10,624

3,089
844

—

1,508
(5,623)
(5,322)
—

63,972
(37,828)
38,077

40,568

191,876

4,375

11,283

5,891

—
12,803

10,870

6,874

2,965
(12,972)
—

68,331

3,287

37,398

35,470

169,364

3,040

6,631

—

—
25,510

28,112

6,791

1,495

(10,858)

3,665

Adjusted EBITDA from continuing operations (Non-GAAP)

$

259,441

$

233,965

$

233,750

The changes in adjusted EBITDA for 2018 versus 2017 and 2016 are primarily the result of the same factors that drove the 
changes in adjusted diluted EPS as discussed above.

- 32 -

MANAGEMENT’S DISCUSSION AND ANALYSIS

Our Financial Results

The following table presents selected financial information derived from our Consolidated Financial Statements, contained in 
Item 8 of this report, for the periods presented (dollars in thousands, except per share amounts):

2018

2017

2016

Change
2018 vs. 2017
%

$

Change
2017 vs. 2016
%

$

Medical Sales:

Cardio & Vascular

Cardiac & Neuromodulation
Advanced Surgical, Orthopedics & 
  Portable Medical

9 %

(3)%

10 %

4 %

37 %

6 %

6 %

5 %

$ 585,464

$ 530,831

$ 484,891

$ 54,633

443,347

428,275

439,375

15,072

10 % $ 45,940
4 % (11,100)

133,225

120,006

109,557

Total Medical Sales

1,162,036

1,079,112

1,033,823

Non-Medical

Total sales

Cost of sales

Gross profit

52,976

56,968

41,679

1,215,012

1,136,080

1,075,502

852,347

362,665

782,070

354,010

737,823

337,679

13,219

82,924
(3,992)
78,932

70,277

8,655

11 %

8 %

(7)%

7 %

9 %

2 %

10,449

45,289

15,289

60,578

44,247

16,331

Gross profit as a % of sales

29.8%

31.2 %

31.4%

Selling, general and administrative
  expenses (“SG&A”)

142,441

143,073

136,444

(632) — %

6,629

5 %

SG&A as a % of sales

11.7%

12.6 %

12.7%

Research, development and engineering
   costs (“RD&E”)

48,604

48,850

47,899

(246)

(1)%

951

2 %

RD&E as a % of sales

4.0%

4.3 %

4.5%

Other operating expenses

Operating income

16,065

155,555

36,438

125,649

60,413

92,923

(20,373)
29,906

(56)% (23,975)
32,726
24 %

(40)%

35 %

Operating margin

12.8%

11.1 %

8.6%

Interest expense

(Gain) loss on equity investments, net

Other (income) loss, net

Income from continuing operations
   before taxes

Provision (benefit) for income taxes

99,310

(5,623)

752

61,116

14,083

63,972

1,565

10,853

49,259

(37,828)

68,331

833
(4,406)

28,165

3,287

35,338
(7,188)
(10,101)

55 %
NM

NM

(4,359)
732

15,259

(6)%

88 %
NM

11,857

51,911

24 %
NM

21,094
(41,115)

75 %
NM

Income from continuing operations

$

47,033

$ 87,087

$

24,878

$(40,054)

(46)% $ 62,209

NM

Effective tax rate

23.0%

(76.8)%

11.7%

Income (loss) from continuing
operations as a % of sales

3.9%

7.7 %

2.3%

Diluted earnings per share from
   continuing operations

$

1.44

$

2.72

$

0.80

$ (1.28)

NM

$

1.92

NM

NM - Calculated change not meaningful.

- 33 -

MANAGEMENT’S DISCUSSION AND ANALYSIS

Fiscal 2018 Compared with Fiscal 2017 

Sales

Sales by product line for 2018 and 2017 were as follows (dollars in thousands):

Medical Sales:

Cardio & Vascular

Cardiac & Neuromodulation

Advanced Surgical, Orthopedics & Portable Medical

Total Medical Sales

Non-Medical

Total sales

2018

2017

$

%

Change

$

585,464

$

530,831

$

443,347

133,225

428,275

120,006

1,162,036

1,079,112

52,976

56,968

$

1,215,012

$

1,136,080

$

54,633

15,072

13,219

82,924
(3,992)
78,932

10.3 %

3.5 %

11.0 %

7.7 %

(7.0)%

6.9 %

Total 2018 sales increased 6.9% to $1.2 billion in comparison to 2017. The most significant drivers of this increase were as 
follows:

Cardio & Vascular sales for 2018 increased $54.6 million or 10% in comparison to 2017.  This increase was primarily due to 
continued strong demand in the electrophysiology market stemming from customer share gains, new product launches, and timing 
from customer inventory replenishment.  During 2018, price concessions to our larger OEM customers reduced Cardio & 
Vascular sales by approximately $8 million in comparison to 2017.  During 2018, foreign currency exchange rate fluctuations 
increased our Cardio & Vascular sales in comparison to 2017 by approximately $1.9 million primarily due to U.S. dollar 
fluctuations relative to the Euro.

Cardiac & Neuromodulation sales for 2018 increased $15.1 million or 4% in comparison to 2017.  The increases in Cardiac & 
Neuromodulation sales were driven by increased components market penetration and a lower 2017 due to customer inventory 
adjustments.  Neuromodulation remained strong, with growth driven by spinal cord stimulation market demand and increased 
components market penetration.  During 2018, price concessions to our larger OEM customers reduced Cardiac & 
Neuromodulation sales by approximately $8 million in comparison to 2017.  Foreign currency exchange rate fluctuations did not 
have a material impact on Cardiac & Neuromodulation sales during 2018 in comparison to 2017.

In addition to Portable Medical sales, Advanced Surgical, Orthopedic & Portable Medical includes sales to the acquirer of our 
AS&O Product Lines, Viant, under the LSA for the sale of products by the Company to Viant.  Advanced Surgical, Orthopedics & 
Portable Medical sales for 2018 increased $13.2 million or 11% in comparison to 2017.  The sales increase was driven by above 
market demand.  Neither price concessions nor foreign currency exchange rate fluctuations had a material impact on AS&O sales 
during 2018 in comparison to 2017.

Non-Medical sales for 2018 decreased $4.0 million or 7% in comparison to 2017.  The decline in Non-Medical sales was 
primarily due to North American drilling activity leveling off, which has led to customer inventory adjustments.  2018 sales were 
also impacted by a planned phase out of certain rechargeable battery pack products.  We expect sales growth in 2019 from new 
customers and products, and renewed military market government funding.  Foreign currency exchange rates and price 
fluctuations did not have a material impact on Non-Medical sales during 2018 in comparison to 2017.

- 34 -

 
MANAGEMENT’S DISCUSSION AND ANALYSIS

Gross Profit

Changes to gross profit as a percentage of sales (“Gross Margin”) from the prior year were due to the following:

Price(a)
Mix(b)
Incentive compensation(c)
Production efficiencies and volume(d)

Total percentage point change to gross profit as a percentage of sales

% Change

2018 vs. 2017

(1.3)%

(0.2)%

(0.4)%

0.5 %

(1.4)%

__________
(a)  Our Gross Margin for 2018 was negatively impacted by price concessions given to our larger OEM customers in return for 

long-term volume commitments.

(b)  Our Gross Margin for 2018 was negatively impacted by a higher mix of sales of lower margin products.
(c)  Amount represents the impact to our Gross Margin attributable to our cash and stock incentive programs, including 

performance-based compensation, which is accrued based upon actual results achieved.

(d)  Represents various increases and decreases to our Gross Margin.  Overall, our Gross Margin for 2018 was positively 

impacted by production efficiencies and synergies gained as a result of our integration and consolidation initiatives as well as 
higher volume in comparison to 2017.

Over the long-term, we expect our Gross Margin to improve as we execute our manufacturing excellence strategic imperative and 
continue to deliver supply chain savings.  However, we also expect our Gross Margin to continue to be negatively impacted by 
pricing pressures from our customers.  It is imperative to drive manufacturing efficiencies and supply chain savings to offset these 
pricing pressures.

SG&A Expenses

Changes to SG&A expenses were primarily due to the following (in thousands): 

Legal expenses(a)
Intangible asset amortization(b)
Incentive compensation programs(c)
Transition services agreement(d)
Other(e)

Net decrease in SG&A Expenses

$ Change

2018 vs. 2017

$

(1,293)

1,818

5,174

(3,419)

(2,912)
(632)  

$

__________
(a)  Amount represents the change in legal costs compared to the prior year period, including legal expenses incurred related to 

our on-going patent infringement case.  Refer to Note 13 “Commitments and Contingencies” of the Notes to the Consolidated 
Financial Statements contained in Item 8 of this report for information related to this patent infringement litigation.
(b)  Amount represents the increase in intangible asset amortization (i.e. customer list), which is amortized based upon the 

forecasted cash flows at the time of acquisition for the respective asset.

(c)  Amount represents the impact to our SG&A attributable to our cash and stock incentive programs, including performance-

based compensation, which is accrued based upon actual results achieved.

(d)  Represents the amount included in SG&A Expenses, which was charged to Viant for transition services provided during the 
second half of 2018.  We executed a transition services agreement in conjunction with the sale of the AS&O Product Line, 
whereby we will provide certain corporate services (including accounting, payroll, and information technology services) to 
Viant for a period of up to one year from the date of the closing to facilitate an orderly transfer of business operations.
(e)  Represents various increases and decreases to our SG&A, resulting in a net decrease in SG&A expense from 2017 to 2018.

- 35 -

 
 
MANAGEMENT’S DISCUSSION AND ANALYSIS

RD&E Expenses

Changes to RD&E expenses for 2018 and 2017 were as follows (in thousands):

Intangible asset amortization(a)
Incentive compensation programs(b)
Other(c)

Net decrease in RD&E

$ Change
2018 vs. 2017

$

$

(391)

836

(691)

(246)

__________
(a)  Amount represents the decrease in intangible asset amortization, which is amortized based upon the forecasted cash flows at 

the time of acquisition for the respective asset.

(b)  Amount represents the impact to our RD&E attributable to our cash and stock incentive programs, including performance-

based compensation, which is accrued based upon actual results achieved.

(c)  Represents the net impact of various increases and decreases to our RD&E, resulting in a net decrease in RD&E expense 

from 2017 to 2018.

Other Operating Expenses

OOE was comprised of the following for 2018 and 2017 (in thousands):

Strategic reorganization and alignment(a)
Manufacturing alignment to support growth(b)
Consolidation and optimization costs(c)
Acquisition and integration expenses(d)
Asset dispositions, severance and other(e)

Other operating expenses

2018

2017

Change

$

10,624

$

5,891

$

4,733

3,089

844

—

1,508

—

12,803

10,870

6,874

$

16,065

$

36,438

$

3,089
(11,959)
(10,870)
(5,366)
(20,373)  

__________
(a)  As a result of the strategic review of our customers, competitors and markets we undertook during the fourth quarter of 
2017, we began to take steps to better align our resources in order to invest to grow, protect, preserve and to enhance the 
profitability of our portfolio of products. This will include focusing our investment in RD&E and manufacturing, improving 
our business processes and redirecting investments away from projects where the market does not justify the investment. 
The expenses incurred during 2018 primarily included severance costs and fees for professional services.

(b) 

In 2017, we began several initiatives designed to reduce costs, improve operating efficiencies and increase manufacturing 
capacity to accommodate growth.  The plan involves the relocation of certain manufacturing operations and expansion of 
certain of our facilities.

(c)  During 2018 and 2017, we incurred costs primarily related to the closure of our Clarence, NY facility and the transfer of our 

Beaverton, OR portable medical and Plymouth, MN vascular manufacturing operations to Tijuana, Mexico.

(d)  Reflects acquisition and integration costs related to the acquisition of LRM, which occurred in October 2015.  This initiative 

was substantially complete as of December 29, 2017.

(e)  Amounts for 2017 primarily include expenses related to our CEO and CFO transitions.

Refer to Note 11 “Other Operating Expenses” of the Notes to Consolidated Financial Statements contained in Item 8 of this 
report for additional information regarding these initiatives.

- 36 -

 
MANAGEMENT’S DISCUSSION AND ANALYSIS

Interest Expense 

Interest expense increased $35.3 million to $99.3 million in 2018 from $64.0 million in 2017.  The weighted average interest rates 
paid on the average principal amount of debt outstanding during 2018 and 2017 was 4.88% and 4.66%, respectively.  The 
weighted average interest rates paid in 2018 reflect an increase in LIBOR during 2017 and 2018, partially offset by a cumulative 
125 basis point and 75 basis point reduction to the applicable interest rate margins of our Term Loan B and Term Loan A facilities.  
The Term Loan B facility margin decrease resulted from amendments of our Senior Secured Credit Facilities in March 2017 and 
again in November 2017, and the step down in the third quarter of 2018 resulting from the upgrade of our corporate family credit 
rating, while the Term Loan A facility margin decrease resulted from contractual reductions due to our lower leverage ratio.  Cash 
interest expense decreased $3.4 million for 2018 when compared to 2017.  Debt related charges included in interest expense (i.e. 
deferred fee and discount amortization) increased $38.7 million during 2018 when compared to 2017, primarily attributable to 
higher accelerated write-offs (losses from extinguishment of debt) of deferred fees and original issue discount related to 
prepayments of portions of our Term Loan B facility and Senior Notes and a “make-whole” premium of $31.3 million paid as a 
result of redeeming our Senior Notes in July 2018.  We recognized losses from extinguishment of debt during 2018 and 2017 of 
$42.7 million and $3.5 million, respectively.  We repaid a net $700.5 million of debt during 2018.  See Note 8 “Debt” of the Notes 
to Consolidated Financial Statements contained in Item 8 of this report for additional information pertaining to our debt.

(Gain) Loss on Equity Investments, Net

During 2018 we realized net gains of $5.6 million on our equity investments compared to net losses of $1.6 million for 2017.  We 
recognized income of $5.6 million and $3.7 million in 2018 and 2017, respectively, related to our share of equity method investee 
gains.  In addition, during 2017, we recognized impairment charges of $5.3 million on our equity investments previously 
accounted for under the cost method.  As of December 28, 2018 and December 29, 2017, we held $22.8 million and $20.8 
million, respectively, of equity investments.  See Note 16 “Fair Value Measurements” of the Notes to Consolidated Financial 
Statements contained in Item 8 of this report for further details regarding these investments.

Other Loss, Net

Other Loss, Net was a $0.8 million and $10.9 million during 2018 and 2017, respectively. The impact of foreign currency 
exchange rates on transactions denominated in foreign currencies included in Other Loss, Net for 2018 and 2017 were losses of 
$1.6 million and $10.9 million, respectively.  The losses in 2017 were primarily driven by the impact of the weakening U.S. dollar 
relative to the Euro on our intercompany loans and are primarily non-cash in nature.  We continually monitor our foreign currency 
exposures and seek to take steps to mitigate these risks.  However, fluctuations in foreign currency exchange rates could have a 
significant impact, positive or negative, on our financial results in the future.

Provision for Income Taxes

During 2018 and 2017, our provision (benefit) for income taxes from continuing operations was $14.1 million and ($37.8) 
million, respectively. The stand-alone U.S. component of the effective tax rate for 2018 reflected a $7.0 million provision on $4.3 
million of pre-tax book losses (-162.8%) versus a $47.0 million benefit on $0.3 million of pre-tax book income for 2017.  The 
stand-alone International component of the effective tax rate for 2018 reflected tax expense of $7.1 million on $65.4 million of 
pre-tax book income (10.9%) versus a tax expense of $9.2 million on $49.0 million of pre-tax book income (18.7%) for 2017. The 
benefit for income taxes for 2018 differs from the U.S. statutory rate due to the following (dollars in thousands):

Income (loss) before provision (benefit) for income taxes $ (4,273)

$ 65,389

$ 61,116

U.S.

$

%

International

$

%

Combined

$

%

Provision (benefit) at statutory rate

$

21.0 % $ 13,731

Federal tax credits

Foreign rate differential

Uncertain tax positions
State taxes, net of federal benefit

U.S. tax on foreign earnings

Valuation allowance

Other

Provision (benefit) for income taxes

39.8

—

(3.4)
(22.8)

—

47.7

—
(6,040)
—
—

—
(567)
—

(162.8)% $

7,124

21.0% $ 12,834
(1,700)
(6,040)
147
975

—
(9.2)
—

—

—
(0.9)
—

10,473
(567)
(2,039)
10.9% $ 14,083

21.0%

(2.8)

(9.9)

0.2
1.6

17.1

(0.9)

(3.3)

23.0%

10,473

(245.1)

(897)
(1,700)
—

147
975

—
(2,039)
6,959

$

- 37 -

 
 
MANAGEMENT’S DISCUSSION AND ANALYSIS

On December 22, 2017, the Tax Reform Act was signed into law. This legislation significantly changes U.S. tax law by, among 
other things, lowering corporate income tax rates, implementing a territorial tax system and imposing a repatriation tax on 
deemed repatriated earnings of foreign subsidiaries. The Tax Reform Act permanently reduces the U.S. corporate income tax rate 
from a maximum of 35% to a flat 21% rate, effective January 1, 2018.

The Tax Reform Act provided for a one-time deemed mandatory repatriation of post-1986 undistributed foreign subsidiary 
earnings and profits (“E&P”) through the year ended December 29, 2017. We had an estimated $147.5 million of undistributed 
foreign E&P subject to the deemed mandatory repatriation and recognized a provisional $14.7 million of income tax expense for 
the year ended December 29, 2017.  Additionally, we recorded $2.3 million in deferred taxes associated with foreign withholding 
taxes in accordance with the change in our permanent reinvestment assertion related to the undistributed earnings subject to the 
deemed mandatory repatriation provisions. We have sufficient U.S. NOLs to offset cash tax liabilities associated with these 
repatriation taxes. Based on additional regulatory guidance issued, and additional analysis conducted, it was determined that the 
one-time transition tax amounted to $18.9 million as of December 29, 2017, representing an increase of $4.2 million over the 
$14.7 million provisional amount previously recorded. The final computations were reported in our 2017 income tax return 
filings. Sufficient NOLs were available to offset cash tax liabilities associated with the total repatriation taxes. 

Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which 
those temporary differences are expected to reverse.  As a result of the reduction in the U.S. corporate income tax rate from 35% 
to 21% under the Tax Reform Act, we revalued our ending net deferred tax liabilities at December 29, 2017 and recognized a 
provisional $56.5 million tax benefit for the year ended December 29, 2017. In part, due to the utilization of additional NOLs to 
offset the additional repatriation tax, The Company adjusted its revaluation of the ending net deferred tax liabilities as of 
December 29, 2017, resulting in a recognized tax benefit of $60.7 million, representing an increase of $4.2 million to the 
originally recorded $56.5 million tax benefit recorded in the Company’s Consolidated Statement of Operations for the year ended 
December 29, 2017.  

While the Tax Reform Act provides for a territorial tax system, beginning in 2018, it also includes a new U.S. tax on foreign 
earnings: the global intangible low-taxed income (“GILTI”) provision. 

The GILTI provisions require us to include foreign subsidiary earnings in excess of a deemed return on the foreign subsidiary’s 
tangible assets in our U.S. income tax return.  The Company has adopted the approach of recording the consequences of the new 
GILTI provision of the Tax Reform Act as a period cost when incurred. 

The Company’s effective tax rate for 2018 differs from the U.S. federal statutory tax rate of 21% due principally to the estimated 
impact of the GILTI tax, as well as the impact of the Company’s earnings realized in foreign jurisdictions with statutory rates that 
are different than the federal statutory rate. The GILTI provisions require the Company to include foreign subsidiary earnings in 
excess of a deemed return on the foreign subsidiary’s tangible assets in its U.S. income tax return. There is a statutory deduction 
of 50% of the GILTI inclusion, however the deduction is subject to limitations based on U.S. taxable income. The Company 
currently has NOLs to offset forecasted U.S. taxable income and as such, is temporarily subject to the deduction limitation which 
correspondingly imposes an incremental impact on U.S. income tax. The primary jurisdictions in which we operate and the 
statutory tax rate for each respective jurisdiction include Switzerland (22%), Mexico (30%), Uruguay (25%), and Ireland (12.5%).  
In addition, we currently have a tax holiday in Malaysia through April 2023 if certain conditions are met. 

In addition to the impact of the Tax Reform Act described above, there is a prospective potential for volatility of our effective tax 
rate due to several factors, including changes in the mix of pre-tax income and the jurisdictions to which it relates, business 
acquisitions, settlements with taxing authorities, changes in tax rates, and foreign currency exchange rate fluctuations. In addition, 
we continue to explore tax planning opportunities that may have a material impact on our effective tax rate.

We believe it is reasonably possible that a reduction of approximately $0.9 million of the balance of unrecognized tax benefits 
may occur within the next twelve months as a result of the lapse of the statute of limitations and/or audit settlements. As of 
December 28, 2018, approximately $5.3 million of unrecognized tax benefits would favorably impact the effective tax rate (net of 
federal impact on state issues), if recognized.

- 38 -

MANAGEMENT’S DISCUSSION AND ANALYSIS

Fiscal 2017 Compared with Fiscal 2016

Sales

Sales by product lines for 2017 and 2016 were as follows (dollars in thousands): 

Medical Sales:

Cardio & Vascular

Cardiac & Neuromodulation

Advanced Surgical, Orthopedics & Portable Medical

Total Medical Sales

Non-Medical

Total sales

2017

2016

$

%

Change

$

530,831

$

484,891

$

428,275

120,006

439,375

109,557

1,079,112

1,033,823

56,968

41,679

$

1,136,080

$

1,075,502

$

45,940
(11,100)
10,449

45,289

15,289

60,578

9.5 %

(2.5)%

9.5 %

4.4 %

36.7 %

5.6 %

Total 2017 sales increased 5.6% to $1.1 billion in comparison to 2016. The most significant drivers of this increase were as 
follows:
Cardio & Vascular sales for 2017 increased $45.9 million in comparison to 2016.  This increase was primarily attributable to 
market growth and new business wins, especially for guidewires, as well as lower comparables in 2016 due to the disruption of 
supply caused by our consolidation initiatives, which occurred throughout 2016.

Cardiac & Neuromodulation sales for 2017 decreased $11.1 million or 2.5% in comparison to 2017.  Approximately $1.2 million 
of this decrease was a result of the Spin-off in the first quarter of 2016.  Additionally, during 2017, price concessions to our larger 
OEM customers reduced Cardiac & Neuromodulation sales by approximately $9 million in comparison to 2016. Finally, this 
decrease is also the result of market declines, as well as customer inventory management and in-sourcing initiatives.  Partially 
offsetting these decreases was growth in our neuromodulation products, which was not enough to offset the declines in our 
cardiac rhythm management products. Foreign currency exchange rate fluctuations did not have a material impact on Cardiac & 
Neuromodulation sales during 2017 in comparison to 2016. 

Advanced Surgical, Orthopedics & Portable Medical sales for 2017 increased $10.4 million or 9.5% in comparison to 2016, 
primarily due to the timing of customer inventory builds, new product ramps, and lower comparables due to the disruption of 
supply caused by our consolidation initiatives which occurred during 2016.

Non-Medical sales for 2017 increased $15.3 million or 36.7% in comparison to 2016. This increase was primarily driven by the 
recovery in the energy markets, as well as new business wins and market share gains. During the downturn in the energy markets, 
we were able to advance our competitive position with key strategic customers resulting in multi-year supply agreements. 
Additionally, we actively pursued new customer and market opportunities, developed new product solutions and invested in 
research and development to advance our technology. These efforts benefitted 2017 sales as we were able to increase our market 
share as the markets recovered.  Foreign currency exchange rates and price fluctuations did not have a material impact on Non-
Medical sales during 2017 in comparison to 2016.

- 39 -

 
MANAGEMENT’S DISCUSSION AND ANALYSIS

Gross Profit

Changes to Gross Margin were primarily due to the following: 

Price(a)
Mix(b)
Incentive compensation(c)
Production efficiencies and volume(d)

Total percentage point change to gross profit as a percentage of sales

% Change

2017 vs. 2016

(1.4)%

(0.3)%

(0.6)%

2.1 %

(0.2)%

__________
(a)  Our Gross Margin for 2017 was negatively impacted by price concessions given to our larger OEM customers in return for 

long-term volume commitments.

(b)  Our Gross Margin for 2017 was negatively impacted by a higher mix of sales of lower margin products.
(c)  Amount represent the impact to our Gross Margin attributable to our cash and stock incentive programs, including 

performance-based compensation, which is accrued based upon actual results achieved.

(d)  Represents various increases and decreases to our Gross Margin.  Overall, our Gross Margin for 2017 was positively 

impacted by production efficiencies and synergies gained as a result of our integration and consolidation initiatives as well as 
higher volumes in comparison to 2016.

SG&A Expenses

Changes to SG&A expenses were primarily due to the following (in thousands): 

Nuvectra SG&A(a)
Legal expenses(b)
Intangible asset amortization(c)
Incentive compensation programs(d)
Other(e)

Net increase in SG&A Expenses

$ Change

2017 vs. 2016

$

$

(1,913)

(401)

5,250

6,187

(2,494)
6,629  

__________
(a)  Amount represents the impact to our SG&A related to the overhead costs divested as a result of the Spin-off of Nuvectra in 

March 2016.

(b)  Amount represents the change in legal costs compared to the prior year period.  This variance is primarily due to the timing 

of legal expenses incurred related to our IP infringement case.

(c)  Amount represents the increase in intangible asset amortization (i.e. customer list), which is amortized based upon the 

forecasted cash flows at the time of acquisition for the respective asset.

(d)  Amount represents the impact to our SG&A attributable to our cash and stock incentive programs, including performance-

based compensation, which is accrued based upon actual results achieved.

(e)  Represents various increases and decreases to our SG&A, resulting in a net increase in SG&A expense from 2016 to 2017.

- 40 -

 
 
MANAGEMENT’S DISCUSSION AND ANALYSIS

RD&E Expenses

Changes to RD&E expenses for 2017 and 2016 were as follows (in thousands):

Nuvectra RD&E(a)
Incentive compensation programs(b)
Intangible asset amortization(c)
Other(d)

Net increase in RD&E

$ Change
2017 vs. 2016

$

$

(2,830)

2,623

33

1,125

951

__________
(a)  Represents the impact to our RD&E related to the divested costs as a result of the Spin-off in March 2016.
(b)  Represents the impact to our RD&E attributable to our cash and stock incentive programs. Performance-based compensation 

is accrued based upon actual results achieved.

(c)  Amount represents the decrease in intangible asset amortization, which is amortized based upon the forecasted cash flows at 

the time of acquisition for the respective asset.

(d)  Represents various increases and decreases to our RD&E, resulting in a net increase in RD&E expense from 2016 to 2017.

Other Operating Expenses

OOE was comprised of the following for 2017 and 2016 (in thousands):

Consolidation and optimization initiatives(a)
Acquisition and integration expenses(b)
Asset dispositions, severance and other(c)
Strategic reorganization and alignment(d)

Other operating expenses - continuing operations

2017

2016

Change

$

$

12,803

10,870

$

$

6,874

5,891

25,510

$

28,112

6,791

—

36,438

$

60,413

$

(12,707)
(17,242)
83

5,891
(23,975)  

__________
(a)  Refer to Note 11 “Other Operating Expenses” of the Notes to Consolidated Financial Statements contained in Item 8 of this 

report for additional information regarding these initiatives.

(b)  During 2017 and 2016, we incurred costs related to the acquisition of LRM, consisting primarily of professional, consulting, 
severance, retention, relocation, and travel costs.  In addition, 2016 included change-in-control payments to former LRM 
executives.

(c)  During 2017 and 2016, we recorded losses in connection with various asset disposals and/or write-downs.  The 2017 amount 
also includes approximately $5.3 million in expense related to our leadership transitions.  Additionally, during 2016 we 
incurred legal and professional costs in connection with the Spin-off of $4.4 million.

(d)  During the fourth quarter of 2017, we incurred charges related to the initial steps of this initiative, which included lease 

termination charges and accelerated amortization of certain intangible assets.  

Interest Expense 

Interest expense decreased $4.4 million to $64.0 million in 2017 from $68.3 million in 2016.  The decrease was due to lower 
weighted average rates combined with a lower principal amount of debt outstanding due to debt repayments during 2017.  The 
weighted average interest rates paid on average borrowings outstanding in 2017 were lower when compared to 2016 primarily 
due to the amendment of our Senior Secured Credit Facilities in March 2017 and again in November 2017, which resulted in a 
cumulative 100 basis point reduction to the applicable interest rate margins of our Term Loan B facility, partially offset by an 
increase in LIBOR during 2017.  Included in interest expense for 2017 are losses from extinguishment of debt of $3.5 million, 
primarily attributable to the accelerated write-off of deferred fees and discounts due to prepayments of a portion of our Term Loan 
B Facility during 2017.  

- 41 -

 
MANAGEMENT’S DISCUSSION AND ANALYSIS

(Gain) Loss on Equity Investments, Net

During 2017 and 2016, we realized net losses on our cost and equity method investments of $1.6 million and $0.8 million, 
respectively.  We recognized income of $3.7 million and $0.1 million in 2017 and 2016, respectively, related to our share of 
equity method investee gains.  We also recorded a $0.7 million gain from the sale of a cost method investment during 2016.  
During 2017 and 2016, we recognized impairment charges of $5.3 million and $1.6 million, respectively, on our equity 
investments previously accounted for under the cost method.  As of December 29, 2017 and December 30, 2016, we held $20.8 
million and $22.8 million of equity investments, respectively.

Other (Income) Loss, Net

Other (Income) Loss, Net was a $10.9 million loss during 2017 compared to income of $4.4 million during 2016.  The impact of 
foreign currency exchange rates on transactions denominated in foreign currencies included in Other (Income) Loss, Net for 2017 
was a loss of $10.9 million, compared to a gain of $4.3 million in 2016.  The losses in 2017 were primarily driven by the impact 
of the weakening U.S. dollar relative to the Euro on our intercompany loans and are primarily non-cash in nature.  

Provision (Benefit) for Income Taxes

During 2017 and 2016, our provision (benefit) for income taxes from continuing operations was ($37.8) million and $3.3 million, 
respectively. The stand-alone U.S. component of the effective tax rate for 2017 reflected a ($47.0) million benefit on $0.3 million 
of pre-tax book losses versus a ($2.2) million benefit on $12.5 million of pre-tax book losses for 2016.  The stand-alone 
international component of the effective tax rate for 2017 reflected tax expense of $9.2 million on $49.0 million of pre-tax book 
income (18.7%) versus a tax expense of $5.5 million on $40.7 million of pre-tax book income (13.5%) for 2016.

The (benefit) provision for income taxes for 2017 differs from the U.S. statutory rate due to the following (dollars in thousands):

Income (loss) before provision (benefit) for income taxes $

306

$ 48,953

$ 49,259

U.S.

$

%

International

$

%

Combined

$

%

Provision (benefit) at statutory rate

$

Federal tax credits

Foreign rate differential

Uncertain tax positions

State taxes, net of federal benefit

Valuation allowance

Other

Tax expense (benefit) before U.S. Tax Reform items

 U.S. Tax Reform items:

Change in tax rates

Toll charge on unremitted earnings

Change in unremitted earnings assertion

Tax expense related to U.S. Tax Reform items

Provision (benefit) for income taxes
__________
NM  Calculated change not meaningful.

107
(1,628)
109

34
(543)
546
(3,387)

(4,762)

35.0% $ 17,133
NM
(46)
(11,572)
—

35.6

11.1
NM

—

484

329

35.0% $ 17,240
(1,674)
(0.1)
(11,463)
(23.6)
34
—
(543)
1,030
(3,058)

1.0

0.7

—

6,328

13.0

1,566

35.0 %

(3.4)

(23.3)

0.1

(1.1)

2.1

(6.2)

3.2

(56,408)

14,719

(545)

(42,234)

$ (46,996)

(45)

—

2,885

2,840

(0.1)

(56,453)

(114.6)

—

5.9

5.8

14,719

2,340

29.9

4.8

(39,394)

(79.9)

$

9,168

18.7% $ (37,828)

(76.8)%

NM

NM

NM

NM

NM

NM

NM

NM

The difference between our effective tax rate and the U.S. federal statutory income tax rate for 2017 is primarily attributable to the 
components of the Tax Reform Act as well as our overall lower effective tax rate in the foreign jurisdictions in which we operate 
and where our foreign earnings are derived.  The lower tax rate jurisdictions in which we operate and the respective statutory tax 
rate for each respective jurisdiction include Switzerland (22%), Mexico (30%), Uruguay (25%), and Ireland (12.5%).  In addition, 
we currently have a tax holiday in Malaysia through April 2023, if certain conditions are met. While we are not currently aware of 
any material trends in these jurisdictions that are likely to impact our current or future tax expense, our future effective tax rates 
could be adversely affected by earnings being lower than anticipated in countries where we have lower effective tax rates and 
higher than anticipated in countries where we have higher effective tax rates, or by changes in tax laws or regulations. We 
regularly assess any significant exposure associated with increases in tax rates in international jurisdictions and adjustments are 
made as events occur that warrant adjustment to our tax provisions.

- 42 -

 
 
MANAGEMENT’S DISCUSSION AND ANALYSIS

Liquidity and Capital Resources 

(dollars in thousands)

Cash and cash equivalents
Working capital from continuing operations(1)
Current ratio from continuing operations(1)
__________
(1)  Excludes assets held for sale at December 29, 2017.

December 28,
2018

December 29,
2017

$

25,569

$

251,680

2.53

37,341

263,863

2.64

Cash and cash equivalents at December 28, 2018 decreased by $11.8 million from December 29, 2017 as excess cash on hand was 
used to pay down our debt.  Working capital from continuing operations decreased by $12.2 million from December 29, 2017, 
primarily due to the reduced cash balances.

At December 28, 2018, $12.9 million of our cash and cash equivalents were held by foreign subsidiaries.  We intend to limit our 
distributions from foreign subsidiaries to previously taxed income or current period earnings.  If distributions are made utilizing 
current period earnings, we will record foreign withholding taxes in the period of the distribution.

Summary of Cash Flow

The following cash flow summary information includes cash flows related to discontinued operations (in thousands):

Cash provided by (used in):

Operating activities

Investing activities

Financing activities

Effect of foreign currency exchange rates on cash and cash equivalents

Net change in cash and cash equivalents

2018

2017

$

167,299

$

536,670
(725,080)
2,584
(18,527) $

$

149,357

(47,936)

(111,669)

2,228

(8,020)

Operating Activities - During 2018, we generated $167.3 million in cash from operations compared to $149.4 million in 2017. 
This increase was primarily due to a $31.3 million increase in cash income (i.e. income from continuing operations plus 
adjustments to reconcile income from continuing operations to net cash provided by operating activities) partially offset by an 
$13.3 million decrease in cash flow provided by working capital.  The cash flow from working capital change during the period 
was primarily due to lower accrued interest as a result of our lower debt levels.

Investing Activities – The $584.6 million increase in cash flows from investing activities was primarily attributable to net cash 
proceeds from the sale of the AS&O Product Line of approximately $581 million.  Our current expectation is that capital spending 
for continuing operations for 2019 will be in the range of $50 million to $55 million.  We anticipate that cash on hand, cash flows 
from operations and available borrowing capacity under our Revolving Credit Facility will be sufficient to fund these capital 
expenditures.  Property, plant, and equipment purchases related to our AS&O Product Line were approximately $17 million per 
year.

Financing Activities – Net cash used in financing activities during 2018 was $725.1 million compared to $111.7 million in 2017.   
Financing activities during 2018 included net payments of $700.5 million related to paying down our debt obligations compared 
to $128.6 million in 2017.  In addition, we paid debt issuance costs totaling $32.0 million during 2018 compared to $2.4 million 
in 2017.  The 2018 amount includes a “make-whole” premium of $31.3 million paid as a result of redeeming our Senior Notes, as 
described below.

In connection with the completion of the sale of our AS&O Product Line, during the third quarter of 2018 we repaid $548 million 
of our debt, which included $360 million of our 9.125% Senior Notes, $114 million of our Term Loan B Facility and $74 million 
outstanding on our Revolving Credit Facility.

Capital Structure - As of December 28, 2018, our capital structure consists of $926 million of debt, net of deferred fees and 
discounts, under our Senior Secured Credit Facilities and approximately 33 million shares of common stock outstanding.  We 
have access to $188 million of borrowing capacity under our Revolving Credit Facility.  We are also authorized to issue up to 100 
million shares of common stock and 100 million shares of preferred stock.  As of December 28, 2018, our debt service obligations 
for 2019, consisting of principal and interest on our outstanding debt, are estimated to be approximately $86 million. 

- 43 -

MANAGEMENT’S DISCUSSION AND ANALYSIS

Based on current expectations, we believe that our projected cash flows provided by operations, available cash and cash 
equivalents and potential borrowings under our revolving credit facility are sufficient to meet our working capital, debt service 
and capital expenditure requirements for the next twelve months. If our future financing needs increase, we may need to arrange 
additional debt or equity financing. Accordingly, we evaluate and consider from time to time various financing alternatives to 
supplement our existing financial resources.  However, we cannot be assured that we will be able to enter into any such 
arrangements on acceptable terms or at all. 

Credit Facilities - As of December 28, 2018, we had senior secured credit facilities (the “Senior Secured Credit Facilities”) that 
consist of (i) a $200 million revolving credit facility (the “Revolving Credit Facility”), which had $5 million of borrowings and 
letters of credit totaling $7 million drawn against it as of December 28, 2018, (ii) a $305 million term loan A facility (the “TLA 
Facility”), and (iii) an $632 million term loan B facility (the “TLB Facility”).  The Revolving Credit Facility will mature on 
October 27, 2020, the TLA Facility will mature on October 27, 2021 and the TLB Facility will mature on October 27, 2022. The 
Senior Secured Credit Facilities include a mandatory prepayment provision customary for credit facilities of its nature.

The Revolving Credit Facility and the TLA Facility contain covenants requiring (A) a maximum total net leverage ratio of 
5.50:1.0, subject to step downs beginning in the first quarter of 2019 and (B) a minimum interest coverage ratio of adjusted 
EBITDA (as defined in the Senior Secured Credit Facilities) to interest expense of not less than 2.75:1.0, subject to step ups 
beginning in the first quarter of 2019.  As of December 28, 2018, the Company was in compliance with these financial covenants.  
The TLB Facility does not contain any financial maintenance covenants.  As of December 28, 2018, our total net leverage ratio, 
calculated in accordance with our credit agreement, was approximately 3.3 to 1.0.  For the twelve month period ended 
December 28, 2018, our ratio of adjusted EBITDA to interest expense, calculated in accordance with our credit agreement, was 
approximately 5.4 to 1.0.

Failure to comply with these financial covenants would result in an event of default as defined under the Revolving Credit 
Facility and TLA Facility unless waived by the lenders. An event of default may result in the acceleration of our indebtedness. As 
a result, management believes that compliance with these covenants is material to us.  As of December 28, 2018, we were in full 
compliance with the financial covenants described above.  However, a significant increase in the LIBOR interest rate or a decline 
in our operating performance, and in particular our sales or adjusted EBITDA, could result in our inability to meet these financial 
covenants and lead to an event of default if a waiver or amendment could not be obtained from our lenders.   As of December 28, 
2018, our adjusted EBITDA would have to decline by approximately $109 million, or approximately 39%, in order for us to not 
be in compliance with our financial covenants.  The Revolving Credit Facility is supported by a consortium of thirteen lenders 
with no lender controlling more than 27% of the facility.

Upon completion of the redemption in full of the Senior Notes in July 2018, the indenture governing the Senior Notes was 
satisfied and discharged.  Refer to Note 8 “Debt” of the Notes to Consolidated Financial Statements contained in Item 8 of this 
report for further description of our outstanding debt.

Off-Balance Sheet Arrangements

We have no off-balance sheet arrangements within the meaning of Item 303(a)(4) of Regulation S-K.

- 44 -

MANAGEMENT’S DISCUSSION AND ANALYSIS

Contractual Obligations

Presented below is a summary of contractual obligations and other minimum commitments as of December 28, 2018.  Refer to 
Note 13 “Commitments and Contingencies” of the Notes to Consolidated Financial Statements contained in Item 8 of this report 
for additional information regarding self-insurance liabilities, which are not reflected in the table below.

Payments due by period

Total

Less than 1
year

1-3 years

3-5 years

More than 5
years

Principal amount of debt outstanding
Interest on debt(a)
Operating lease obligations(b)
Foreign currency contracts(b)
Defined benefit plan obligations(c)
Other(d)

$

941,973

$

37,500

$

272,187

$

632,286

$

165,754

48,170

55,665

1,592

94,436

48,421

8,562

55,665

104

74,893

89,252

14,638

—

245

19,543

28,081

10,381

—

279

—

Total

$

1,307,590

$

225,145

$

395,865

$

671,027

$

—

—

14,589

—

964

—
15,553  

(a)  Interest payments in the table above reflect the contractual interest payments on our outstanding debt based upon the balance 
outstanding and applicable interest rates at December 28, 2018, and exclude the impact of the debt discount amortization and 
impact of interest rate swap agreements.  Refer to Note 8 “Debt” of the Notes to Consolidated Financial Statements contained 
in Item 8 of this report for additional information regarding long-term debt. 

(b)  Refer to Note 13 “Commitments and Contingencies” of the Notes to Consolidated Financial Statements contained in Item 8 

of this report for additional information about our operating lease obligations and foreign currency contracts.

(c)  Refer to Note 9 “Benefit Plans” of the Notes to Consolidated Financial Statements contained in Item 8 of this report for 

additional information about our defined benefit plan obligations.

(d)  Amounts include inventory purchase commitments, which are legally binding and specify minimum purchase quantities. 

These commitments do not include open purchase orders.

This table does not reflect $5.4 million of unrecognized tax benefits, as we are uncertain if or when such amounts may be settled. 
Refer to Note 12 “Income Taxes” of the Notes to Consolidated Financial Statements in Item 8 of this report for additional 
information about these unrecognized tax benefits.

Impact of Recently Issued Accounting Standards

In the normal course of business, we evaluate all new accounting pronouncements issued by the FASB, SEC, or other 
authoritative accounting bodies to determine the potential impact they may have on our Consolidated Financial Statements. Refer 
to Note 1 “Summary of Significant Accounting Policies” of the Notes to Consolidated Financial Statements contained in Item 8 of 
this report for additional information about these recently issued accounting standards and their potential impact on our financial 
condition or results of operations.

CRITICAL ACCOUNTING ESTIMATES

Management’s discussion and analysis of financial condition and results of operations are based upon our consolidated financial 
statements which have been prepared in accordance with GAAP.  We make estimates and assumptions in the preparation of our 
consolidated financial statements that affect the reported amounts of assets and liabilities, revenue and expenses and related 
disclosures of contingent assets and liabilities.  We base our estimates and judgments upon historical experience and other factors 
that are believed to be reasonable under the circumstances.  Changes in estimates or assumptions could result in a material 
adjustment to the consolidated financial statements.

We have identified several critical accounting estimates. An accounting estimate is considered critical if both: (a) the nature of the 
estimates or assumptions is material due to the levels of subjectivity and judgment involved, and (b) the impact of changes in the 
estimates and assumptions would have a material effect on the consolidated financial statements.  This listing is not a 
comprehensive list of all of our accounting policies. For further information regarding the application of these and other 
accounting policies, see Note 1 “Summary of Significant Accounting Policies” of the Notes to Consolidated Financial Statements 
contained in Item 8 of this report.

- 45 -

 
MANAGEMENT’S DISCUSSION AND ANALYSIS

Inventories

Inventories are measured on a first-in, first-out basis at the lower of cost or net realizable value.  Net realizable value is the 
estimated selling prices in the ordinary course of business, less reasonably predictable costs of completion, disposal, and 
transportation.  Inventory costing requires complex calculations that include assumptions for overhead absorption, scrap, sample 
calculations, manufacturing yield estimates, costs to sell, and the determination of which costs may be capitalized.  The valuation 
of inventory requires us to estimate obsolete or excess inventory, as well as inventory that is not of saleable quality.

Historically, our inventory adjustment has been adequate to cover our losses.  However, variations in methods or assumptions 
could have a material impact on our results.  If our demand forecast for specific products is greater than actual demand and we 
fail to reduce manufacturing output accordingly, we could be required to record additional inventory write-down or expense a 
greater amount of overhead costs, which would negatively impact our net income.

Valuation of Goodwill, Intangible and Other Long-Lived Assets

We make assumptions in establishing the carrying value, fair value and, if applicable, the estimated lives of our goodwill, 
intangible and other long-lived assets.  Goodwill and intangible assets determined to have an indefinite useful life are not 
amortized. Instead, these assets are evaluated for impairment on an annual basis on the last day of our fiscal year and whenever 
events or business conditions change that could indicate that the asset is impaired. Long-lived assets are reviewed for impairment 
whenever events or changes in circumstances indicate that the carrying amount of an asset (asset group) may not be recoverable.

Evaluation of goodwill for impairment

We test each reporting unit’s goodwill for impairment on the last day of our fiscal year and between annual tests if an event occurs 
or circumstances change that would more-likely-than-not reduce the fair value of a reporting unit below its carrying value.  In 
conducting this annual impairment testing, we may first perform a qualitative assessment of whether it is more-likely-than-not 
that a reporting unit’s fair value is less than its carrying value. If not, no further goodwill impairment testing is required. If it is 
more-likely-than-not that a reporting unit’s fair value is less than its carrying value, or if we elect not to perform a qualitative 
assessment of a reporting unit, a quantitative analysis is performed, in which the fair value of the reporting unit is compared to its 
carrying value.  If the carrying value of a reporting unit exceeds its fair value, an impairment loss is recognized equal to the 
excess, limited to the amount of goodwill allocated to that reporting unit.

We performed a qualitative assessment of our reporting units as of December 28, 2018.  As part of this analysis, we evaluated 
factors including, but not limited to, our market capitalization and stock price performance, macro-economic conditions, market 
and industry conditions, cost factors, the competitive environment, and the operational stability and overall financial performance 
of the reporting units.  The assessment indicated that it was more likely than not that the fair value of each of the reporting units 
exceeded its respective carrying value.  We do not believe that any of our reporting units are at risk for impairment.  However, 
changes to the factors considered above could affect the estimated fair value of one or more of our reporting units and could result 
in a goodwill impairment charge in a future period.  We may be unaware of one or more significant factors that, if we had been 
aware of, would cause our conclusion to change, which could result in a goodwill impairment charge in a future period. 

Evaluation of indefinite-lived intangible assets for impairment

Our indefinite-lived intangible assets include the Greatbatch Medical and Lake Region Medical tradenames.  Similar to goodwill, 
we perform an annual impairment review of our indefinite-lived intangible assets on the last day of our fiscal year, unless events 
occur that trigger the need for an interim impairment review. We have the option to first assess qualitative factors in determining 
whether it is more-likely-than-not that an indefinite-lived intangible asset is impaired. If we elect not to use this option, or we 
determine that it is more-likely-than-not that the asset is impaired, we perform a quantitative assessment that requires us to 
estimate the fair value of each indefinite-lived intangible asset and compare that amount to its carrying value. Fair value is 
estimated using the relief-from-royalty method.  Significant assumptions inherent in this methodology include estimates of 
royalty rates and discount rates. The discount rate applied is based on the risk inherent in the respective intangible assets and 
royalty rates are based on the rates at which comparable tradenames are being licensed in the marketplace.  Impairment, if any, is 
based on the excess of the carrying value over the fair value of these assets.

- 46 -

MANAGEMENT’S DISCUSSION AND ANALYSIS

We performed a quantitative assessment to test our other indefinite-lived intangible assets for impairment as of December 28, 
2018.  For the Greatbatch Medical tradename, the excess of the estimated fair value over carrying value (expressed as a 
percentage of carrying value) was in excess of its carrying value of $20 million by approximately 350% at December 28, 2018.  
The Lake Region Medical tradename had an excess of the estimated fair value over carrying value of approximately 70% and a 
carrying value of $70 million at December 28, 2018.  We do not believe that any of our indefinite-lived intangible assets are at 
risk for impairment.  However, a significant increase in the discount rate, decrease in the terminal growth rate, increase in tax 
rates, decrease in the royalty rate or substantial reductions in our end markets and volume assumptions could have a negative 
impact on the estimated fair values of either of our tradenames and require us to recognize impairments of these other indefinite-
lived intangible assets in a future period.

Evaluation of long-lived assets for impairment

Our long-lived assets consist primarily of property, plant and equipment and definite-lived intangible assets, including purchased 
technology and patents, and customer lists.  Property, plant and equipment and definite-lived intangible assets are carried at cost.  
The cost of property, plant and equipment is charged to depreciation expense over the estimated life of the operating assets, 
primarily on a straight-line basis.  Definite-lived intangible assets are amortized over the expected life of the asset.  We assess 
long-lived assets and definite-lived intangible assets for impairment when events occur or circumstances change that would 
indicate that the carrying value of the asset may not be recoverable.

Factors that we consider in deciding when to perform an impairment review include, but are not limited to: a significant decrease 
in the market price of the asset (asset group); a significant change in the extent or manner in which the asset (asset group) is being 
used or in its physical condition; a significant change in legal factors or business climate that could affect the value of a long-lived 
asset (asset group), including an action or assessment by a regulator; an accumulation of costs significantly in excess of the 
amount originally expected for the acquisition or construction of a long-lived asset (asset group); a current-period operating or 
cash flow loss combined with a history of operating or cash flow losses or a projection or forecast that demonstrates continuing 
losses associated with the use of a long-lived asset (asset group); and a current expectation that it is more likely than not that a 
long-lived asset (asset group) will be sold or otherwise disposed of significantly before the end of its previously estimated useful 
life.

When impairment indicators exist, we determine if the carrying value of the long-lived asset(s) or definite-lived intangible 
asset(s) exceeds the related undiscounted future cash flows. In cases where the carrying value exceeds the undiscounted future 
cash flows, the carrying value is written down to fair value. Fair value is generally determined using a discounted cash flow 
analysis.  When it is determined that the useful life of an asset (asset group) is shorter than the originally estimated life, and there 
are sufficient cash flows to support the carrying value of the asset (asset group), we accelerate the rate of depreciation/
amortization in order to fully depreciate/amortize the asset over its shorter useful life.

Estimation of the cash flows and useful lives of long-lived assets and definite-lived intangible assets requires significant 
management judgment.  Events could occur that would materially affect our estimates and assumptions.  Unforeseen changes, 
such as the loss of one or more significant customers, technology obsolescence, or significant manufacturing disruption, amongst 
other factors, could substantially alter the assumptions regarding the ability to realize the return of our investment in long-lived 
assets, definite-lived intangible assets or their estimated useful lives. Also, as we make manufacturing process conversions and 
other facility consolidation decisions, we must make subjective judgments regarding the remaining cash flows and useful lives of 
our assets, primarily manufacturing equipment and buildings.  Significant changes in these estimates and assumptions could 
change the amount of future depreciation or amortization expense or could create future impairments of these long-lived assets 
(asset groups) or definite-lived intangible assets.

ITEM 7A.  QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

MARKET RISK

In the normal course of business, we are exposed to market risk primarily due to changes in foreign currency exchange rates and 
interest rates. Changes in these rates could result in fluctuations in our earnings and cash flows. We regularly assess these risks 
and have established policies and business practices to help protect against the adverse effects of these and other potential 
exposures. However, fluctuations in foreign currency exchange rates and interest rates could have a significant impact, positive or 
negative, on our financial results in the future.

- 47 -

Foreign Currency Exchange Rate Risk

We have foreign operations in Ireland, Switzerland, Mexico, Uruguay, and Malaysia which expose us to foreign currency 
exchange rate fluctuations due to transactions denominated in Euros, Swiss francs, Mexican pesos, Uruguayan pesos, and 
Malaysian ringgits, respectively. We continuously evaluate our foreign currency risk, and we use operational hedges, as well as 
forward currency exchange rate contracts, to manage the impact of currency exchange rate fluctuations on earnings and cash 
flows. We do not enter into currency exchange rate derivative instruments for speculative purposes. A hypothetical 10% change in 
the value of the U.S. dollar in relation to our most significant foreign currency exposures would have had an impact of 
approximately $5 million on our 2018 annual sales.  This amount is not indicative of the hypothetical net earnings impact due to 
the partially offsetting impacts on cost of sales and operating expenses in those currencies. We estimate that foreign currency 
exchange rate fluctuations during 2018 increased sales in comparison to 2017 by approximately $2 million.

We had currency derivative instruments outstanding in the notional amount of $55.7 million as of December 28, 2018 and $65.4 
million as of December 29, 2017.   As of December 28, 2018 and December 29, 2017, we recorded a $0.7 million and $0.9 
million liability, respectively, to recognize the fair value of these derivative instruments on our Consolidated Balance Sheets.  The 
amounts recorded during 2018 related to our forward contracts were a decrease in Sales of $0.8 million and a decrease in Cost of 
Sales of $0.9 million.  Refer to Note 13 “Commitments and Contingencies” to the Consolidated Financial Statements contained in 
Item 8 of this report for additional information regarding our outstanding forward contracts.

To the extent that our monetary assets and liabilities, including short-term and long-term intercompany loans, are recorded in a 
currency other than the functional currency of the subsidiary, these amounts are remeasured each period at the period-end 
exchange rate, with the resulting gain or loss being recorded in Other (Income) Loss, Net, in the Consolidated Statements of 
Operations. Net foreign currency transaction gains and losses included in Other (Income) Loss, Net, amounted to a loss of $1.6 
million for 2018 and a loss of $10.9 million for 2017 and primarily related to the remeasurement of intercompany loans and 
fluctuations of the U.S. dollar relative to the Euro. During 2017 and 2018, we took steps to eliminate the majority of these 
intercompany balances. As such, we expect foreign currency exchange rate gains (losses) to be significantly less than the 2017 
and 2018 amounts. 

We translate all assets and liabilities of our foreign operations where the U.S. dollar is not the functional currency at the period-
end exchange rate and translate sales and expenses at the average exchange rates in effect during the period. The net effect of 
these translation adjustments is recorded in the Consolidated Financial Statements as Comprehensive Income (Loss). The 
translation adjustment for 2018 was a $19.9 million loss and primarily related to the strengthening of the U.S. dollar relative to 
the Euro. Translation adjustments are not adjusted for income taxes as they relate to permanent investments in our foreign 
subsidiaries.  A hypothetical 10% change in the value of the U.S. dollar in relation to our most significant foreign currency net 
assets would have had an impact of approximately $39 million on our foreign net assets as of December 28, 2018.

Interest Rate Risk

We regularly monitor interest rate risk attributable to our outstanding debt obligations.  From time to time, we enter into interest 
rate swap agreements in order to hedge against potential changes in cash flows on our outstanding variable rate debt.

During 2016, we entered into a three year $200 million interest rate swap to hedge against potential changes in cash flows on our 
outstanding variable rate debt, which is indexed to the one-month LIBOR rate. The variable rate received on the interest rate swap 
and the variable rate paid on the variable rate debt will have the same rate of interest, excluding the credit spread, and will reset 
and pay interest on the same day.  The swap is being accounted for as a cash flow hedge. As of December 28, 2018, this swap had 
a positive fair value of $4.2 million. The amount recorded during 2018 related to this interest rate swap was a reduction of $1.7 
million to Interest Expense.

As of December 28, 2018, we had $942 million in principal amount of debt outstanding. Interest rates on our Revolving Credit 
Facility, TLA Facility and TLB Facility, reset, at our option, based upon the prime rate or LIBOR rate, thus subjecting us to 
interest rate risk.  Our TLB Facility has a 1.00% LIBOR floor, thus is only variable when LIBOR interest rates are above 1.00%. 
Refer to Note 8 “Debt” of the Notes to Consolidated Financial Statements in Item 8 of this report for additional information about 
our outstanding debt.  A hypothetical one percentage point (100 basis points) change in the LIBOR rate on the $742 million of 
unhedged variable rate debt outstanding at December 28, 2018 would increase/decrease our interest expense by approximately $7 
million.

- 48 -

ITEM 8. 

FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA

INTEGER HOLDINGS CORPORATION
Index to Consolidated Financial Statements

Page

Management’s Report on Internal Control Over Financial Reporting.....................................................................................

50

Reports of Independent Registered Public Accounting Firm...................................................................................................

51

Consolidated Balance Sheets as of December 28, 2018 and December 29, 2017...................................................................

53

Consolidated Statements of Operations for the years ended December 28, 2018, December 29, 2017 and
    December 30, 2016..............................................................................................................................................................

Consolidated Statements of Comprehensive Income (Loss) for the years ended December 28, 2018, December 29, 2017
    and December 30, 2016........................................................................................................................................................

Consolidated Statements of Cash Flows for the years ended December 28, 2018, December 29, 2017 and
    December 30, 2016..............................................................................................................................................................

Consolidated Statements of Stockholders’ Equity for the years ended December 28, 2018, December 29, 2017
    and December 30, 2016........................................................................................................................................................

54

55

56

57

Notes to Consolidated Financial Statements............................................................................................................................

58

- 49 -

MANAGEMENT’S REPORT ON INTERNAL CONTROL OVER FINANCIAL REPORTING

The Company’s certifying officers are responsible for establishing and maintaining adequate internal control over financial 
reporting. The Company’s internal control over financial reporting is designed and maintained under the supervision of its 
certifying officers to provide reasonable assurance regarding the reliability of financial reporting and the preparation of the 
Company’s consolidated financial statements for external reporting purposes in accordance with accounting principles generally 
accepted in the United States of America.

As of December 28, 2018, management conducted an assessment of the effectiveness of the Company’s internal control over 
financial reporting based on the framework established in Internal Control – Integrated Framework (2013) issued by the 
Committee of Sponsoring Organizations of the Treadway Commission. Based on this assessment, management has determined 
that the Company’s internal control over financial reporting as of December 28, 2018 is effective.

The effectiveness of internal control over financial reporting as of December 28, 2018 has been audited by Deloitte & Touche 
LLP, the Company’s independent registered public accounting firm.

Dated: February 22, 2019

/s/ Joseph W. Dziedzic

Joseph W. Dziedzic
President & Chief Executive Officer

/s/ Jason K. Garland

Jason K. Garland
Executive Vice President & Chief Financial Officer

- 50 -

 
  
  
  
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

To the stockholders and the Board of Directors of Integer Holdings Corporation

Opinion on Internal Control over Financial Reporting

We have audited the internal control over financial reporting of Integer Holdings Corporation and subsidiaries (the “Company”) 
as of December 28, 2018, based on criteria established in Internal Control - Integrated Framework (2013) issued by the 
Committee of Sponsoring Organizations of the Treadway Commission (COSO).  In our opinion, the Company maintained, in all 
material respects, effective internal control over financial reporting as of December 28, 2018, based on criteria established in 
Internal Control - Integrated Framework (2013) issued by COSO.

We have also audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) 
(PCAOB), the consolidated financial statements and financial statement schedule as of and for the year ended December 28, 2018 
of the Company and our report dated February 22, 2019 expressed an unqualified opinion on those consolidated financial 
statements and financial statement schedule. 

Basis for Opinion

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

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

Definition and Limitations of Internal Control over Financial Reporting

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

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

/s/ Deloitte & Touche LLP

Williamsville, New York
February 22, 2019

- 51 -

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

To the stockholders and the Board of Directors of Integer Holdings Corporation  

Opinion on the Financial Statements

We have audited the accompanying consolidated balance sheets of Integer Holdings Corporation and subsidiaries (the 
“Company”) as of December 28, 2018 and December 29, 2017, the related consolidated statements of operations, comprehensive 
income (loss), cash flows, and stockholders’ equity for the years ended December 28, 2018, December 29, 2017, and December 
30, 2016, and the related notes and the schedule listed in the Index at Item 15 (collectively referred to as the “financial 
statements”).  In our opinion, the financial statements present fairly, in all material respects, the financial position of the Company 
as of December 28, 2018 and December 29, 2017, and the results of its operations and its cash flows for the years ended 
December 28, 2018, December 29, 2017, and December 30, 2016, in conformity with accounting principles generally accepted in 
the United States of America.

We have also audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) 
(PCAOB), the Company’s internal control over financial reporting as of December 28, 2018, based on criteria established in 
Internal Control - Integrated Framework (2013) issued by the Committee of Sponsoring Organizations of the Treadway 
Commission and our report dated February 22, 2019 expressed an unqualified opinion on the Company’s internal control over 
financial reporting. 

Basis for Opinion

These financial statements are the responsibility of the Company’s management.  Our responsibility is to express an opinion on 
the Company’s financial statements based on our 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.

/s/ Deloitte & Touche LLP

Williamsville, New York
February 22, 2019

We have served as the Company’s auditor since 1985.

- 52 -

INTEGER HOLDINGS CORPORATION
CONSOLIDATED BALANCE SHEETS

(in thousands except share and per share data)

ASSETS

Current assets:

Cash and cash equivalents

Accounts receivable, net of allowance for doubtful accounts of $0.6 million and $0.5

million, respectively

Inventories

Prepaid expenses and other current assets

Current assets of discontinued operations held for sale

Total current assets

Property, plant and equipment, net

Goodwill

Other intangible assets, net

Deferred income taxes

Other assets

Noncurrent assets of discontinued operations held for sale

Total assets

LIABILITIES AND STOCKHOLDERS’ EQUITY

Current liabilities:

Current portion of long-term debt

Accounts payable

Income taxes payable

Accrued expenses

Current liabilities of discontinued operations held for sale

Total current liabilities

Long-term debt

Deferred income taxes

Other long-term liabilities

Noncurrent liabilities of discontinued operations held for sale

Total liabilities

Commitments and contingencies (Note 13)

Stockholders’ equity:

Preferred stock, $0.001 par value, authorized 100,000,000 shares; no shares issued or

outstanding

Common stock, $0.001 par value; 100,000,000 shares authorized; 32,624,494 and
31,977,953 shares issued, respectively; 32,473,167 and 31,871,427 shares
outstanding, respectively

Additional paid-in capital

Treasury stock, at cost, 151,327 and 106,526 shares, respectively
Retained earnings

Accumulated other comprehensive income

Total stockholders’ equity

Total liabilities and stockholders’ equity

December 28,
2018

December 29,
2017

$

25,569

$

37,341

185,501

190,076

15,104

—

416,250

231,269

832,338

812,338

3,937

30,549

—

194,845

176,738

16,239

106,746

531,909

235,180

839,870

862,873

3,451

30,428

344,634

$

2,326,681

$

2,848,345

$

37,500

$

57,187

9,393

60,490

—

164,570

888,007

203,910

9,701

—

30,469

64,551

5,904

60,376

47,703

209,003

1,578,696

140,964

11,335

14,966

1,266,188

1,954,964

—

33

691,083
(8,125)
344,498

33,004

1,060,493

—

32

669,756

(4,654)
176,068

52,179

893,381

$

2,326,681

$

2,848,345

The accompanying notes are an integral part of these consolidated financial statements.
- 53 -

INTEGER HOLDINGS CORPORATION
CONSOLIDATED STATEMENTS OF OPERATIONS

(in thousands except per share data)

Sales

Cost of sales

Gross profit

Operating expenses:

Selling, general and administrative expenses

Research, development and engineering costs

Other operating expenses

Total operating expenses

Operating income

Interest expense

(Gain) loss on equity investments, net

Other (income) loss, net

Income from continuing operations before taxes

Provision (benefit) for income taxes

Income from continuing operations

Discontinued operations:

Income (loss) from discontinued operations before taxes

Provision (benefit) for income taxes

Income (loss) from discontinued operations

Net income

Basic earnings (loss) per share:

Income from continuing operations

Income (loss) from discontinued operations

Basic earnings per share

Diluted earnings (loss) per share:

Income from continuing operations

Income (loss) from discontinued operations

Diluted earnings per share

Weighted average shares outstanding:

Basic

Diluted

December 28,
2018

Fiscal Year Ended
December 29,
2017

December 30,
2016

$

1,215,012

$

1,136,080

$

1,075,502

852,347

362,665

142,441

48,604

16,065

207,110

155,555

99,310
(5,623)
752

61,116

14,083

$

47,033

$

188,313

67,382

120,931

167,964

1.46

3.76

5.23

1.44

3.71

5.15

$

$

$

$

$

$

$

$

$

$

782,070

354,010

143,073

48,850

36,438

228,361

125,649

63,972

1,565

10,853

49,259
(37,828)
87,087

$

737,823

337,679

136,444

47,899

60,413

244,756

92,923

68,331

833

(4,406)

28,165

3,287

24,878

(27,432)
(7,024)
(20,408) $

(26,980)

(8,063)

(18,917)

66,679

$

5,961

$

2.77
(0.65)
2.12

2.72
$
(0.64) $
2.08

0.81

(0.61)

0.19

0.80

(0.61)

0.19

32,136

32,596

31,402

32,056

30,778

30,973

The accompanying notes are an integral part of these consolidated financial statements.

- 54 -

 
INTEGER HOLDINGS CORPORATION
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)

(in thousands except per share data)

Comprehensive Income (Loss)

Net income

Other comprehensive income (loss):

Foreign currency translation gain (loss)

Net change in cash flow hedges, net of tax

Defined benefit plan liability adjustment, net of tax

Other comprehensive income (loss), net

Comprehensive income (loss)

December 28,
2018

Fiscal Year Ended
December 29,
2017

December 30,
2016

$

167,964

$

66,679

$

5,961

(19,925)
16

302
(19,607)
148,357

$

65,860

2,243

76

68,179

$

134,858

$

(19,269)

2,478

(579)

(17,370)

(11,409)

The accompanying notes are an integral part of these consolidated financial statements.

- 55 -

 
INTEGER HOLDINGS CORPORATION
CONSOLIDATED STATEMENTS OF CASH FLOWS

(in thousands)
Cash flows from operating activities:

Net income

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

Depreciation and amortization

Debt related charges included in interest expense

Stock-based compensation

Non-cash (gain) loss on equity investments

Other non-cash losses

Deferred income taxes

Gain on sale of discontinued operations

Changes in operating assets and liabilities:

Accounts receivable

Inventories

Prepaid expenses and other assets

Accounts payable

Accrued expenses

Income taxes payable

Net cash provided by operating activities

Cash flows from investing activities:

Acquisition of property, plant and equipment

Proceeds from sale of property, plant and equipment

Purchase of equity investments

Proceeds from sale of discontinued operations

Other investing activities

Net cash provided by (used in) investing activities

Cash flows from financing activities:

Principal payments of long-term debt

Proceeds from issuance of long-term debt

Proceeds from the exercise of stock options

Payment of debt issuance and redemption costs

Distribution of cash and cash equivalents to Nuvectra Corporation

Purchase of non-controlling interests

Tax withholdings related to net share settlements of restricted stock awards

Other financing activities

Net cash used in financing activities

Effect of foreign currency exchange rates on cash and cash equivalents

Net decrease in cash and cash equivalents

Cash and cash equivalents, beginning of year

Cash and cash equivalents, end of year

December 28,
2018

Fiscal Year Ended
December 29,
2017

December 30,
2016

$

167,964

$

66,679

$

5,961

88,988

49,110

10,470
(5,623)
148

61,126
(194,965)

9,289
(16,094)
8,527
(94)
(11,756)
209

167,299

(44,908)
1,379
(1,230)
581,429

—

536,670

(705,469)
5,000

12,409
(31,991)
—

—
(5,029)
—
(725,080)
2,584
(18,527)
44,096

102,796

10,911

14,680

2,965

7,110
(59,212)
—

(34,597)
(986)
4,854

4,887

14,977

14,293

149,357

(47,301)
472
(1,316)
—

209
(47,936)

(178,558)
50,000

19,324
(2,360)
—

—
(75)
—
(111,669)
2,228
(8,020)
52,116

$

25,569

$

44,096

$

90,524

7,278

8,408

1,495

5,216

(7,350)

—

(2,169)

22,170

(3,846)

(1,127)

(13,935)

(7,093)

105,532

(58,632)

347

(3,015)

—

(2,000)

(63,300)

(46,000)

57,000

2,821

(1,177)

(76,256)

(6,818)

(3,982)

2,266

(72,146)

(448)

(30,362)

82,478

52,116

The accompanying notes are an integral part of these consolidated financial statements.
- 56 -

 
 
INTEGER HOLDINGS CORPORATION
CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY

Common Stock

Shares Amount

Additional
Paid-In
Capital

Treasury
Stock

Shares Amount

Accumulated
Other
Comprehensive
Income (Loss)

Total
Stockholders’
Equity

Retained
Earnings

(in thousands)

January 1, 2016

Comprehensive loss:

Net income

Other comprehensive loss, net

Share-based compensation plans:

Stock-based compensation

Net shares issued (acquired)
Excess tax benefit on share-based

compensation

Spin-off of Nuvectra Corporation

30,664

—

—

—

395

—

—

December 30, 2016

31,059

Cumulative effect adjustment of the
adoption of ASU 2016-09

Comprehensive income:

Net income

Other comprehensive income, net

Share-based compensation plans:

Stock-based compensation

Net shares issued

December 29, 2017

Comprehensive income:

Net income

Other comprehensive loss, net

Accumulated other comprehensive
income reclassified to earnings,
net (Note 15)

Reclassification of certain tax
    effects related to the adoption of
    ASU 2018-02 (Note 1)

Share-based compensation plans:

Stock-based compensation

Net shares issued

December 28, 2018

—

—

—

—

919

31,978

$

—

—

—

—

—

646

32,624

$

31

—

—

—

—

—

—

31

—

—

—

—

1

32

—

—

—

—

—

1

33

620,470

(63)

(3,100)

231,854

1,370

850,625

—

—

8,408

1,570

2,266

5,241

—

—

—

(71)

—

—

—

—

—

(2,734)

—

5,961

—

—

—

—

— (128,728)

—

(17,370)

—

—

—

—

637,955

(134)

(5,834)

109,087

(16,000)

(812)

—

—

14,680

17,933

—

—

—

—

27

—

—

—

—

1,180

302

66,679

—

—

—

—

—

68,179

—

—

5,961

(17,370)

8,408

(1,164)

2,266

(123,487)

725,239

(510)

66,679

68,179

14,680

19,114

$ 669,756

(107) $ (4,654) $ 176,068

$

52,179

$

893,381

—

—

—

—

—

—

—

—

10,470

10,857

—

(44)

— 167,964

—

—

—

—

(3,471)

—

—

466

—

—

—

(19,607)

167,964

(19,607)

898

(466)

—

—

898

—

10,470

7,387

$ 691,083

(151) $ (8,125) $ 344,498

$

33,004

$

1,060,493

The accompanying notes are an integral part of these consolidated financial statements.

- 57 -

 
INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(1.)    SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

Integer Holdings Corporation (together with its consolidated subsidiaries, “Integer” or the “Company”) is a publicly traded 
corporation listed on the New York Stock Exchange under the symbol “ITGR.”  Integer is one of the largest medical device 
outsource manufacturers in the world serving the cardiac, neuromodulation, orthopedics, vascular, advanced surgical and 
portable medical markets. The Company provides innovative, high-quality medical technologies that enhance the lives of 
patients worldwide.  In addition, it develops batteries for high-end niche applications in the energy, military, and environmental 
markets.  The Company’s customers include large multi-national original equipment manufacturers (“OEMs”) and their 
affiliated subsidiaries.

On May 3, 2018, the Company entered into a definitive agreement to sell the Advanced Surgical and Orthopedic product lines 
(the “AS&O Product Line”) within its Medical segment to Viant (formerly MedPlast, LLC), and on July 2, 2018 completed the 
sale.  On March 14, 2016, the  Company completed the spin-off of a portion of its former QiG segment through a tax-free distribution 
of all of the shares of its former QiG Group, LLC subsidiary to the stockholders of Integer on a pro rata basis (the “Spin-off”).  
Refer to Note 2 “Discontinued Operations and Divestitures” for further details of these transactions.

Basis of Presentation and Principles of Consolidation

The consolidated financial statements have been prepared in conformity with accounting principles generally accepted in the 
United States of America (“GAAP”) and include the accounts of Integer Holdings Corporation and its wholly owned 
subsidiaries.  All intercompany balances and transactions have been eliminated in consolidation.

The results of operations of the AS&O Product Line are reported as discontinued operations in the Consolidated Statements of 
Operations for all periods presented and the related assets and liabilities associated with the discontinued operations are 
classified as held for sale in the Consolidated Balance Sheet as of December 29, 2017.  The Consolidated Statements of Cash 
Flows includes cash flows related to the discontinued operations due to Integer’s (parent) centralized treasury and cash 
management processes, and, accordingly, cash flow amounts for discontinued operations are disclosed in Note 2 “Discontinued 
Operations and Divestitures.”  All results and information in the consolidated financial statements are presented as continuing 
operations and exclude the AS&O Product Line unless otherwise noted specifically as discontinued operations. 

The Company’s results for periods prior to the Spin-off on March 14, 2016 include the financial and operating results of QiG 
Group, LLC, which did not qualify for presentation as discontinued operations.

The Company organizes its business into two reportable segments: (1) Medical and (2) Non-Medical.  The discontinued 
operations of the AS&O Product Line were reported in the Medical segment.  Refer to Note 17 “Segment and Geographic 
Information,” for additional information on the Company’s reportable segments.

Fiscal Year

The Company utilizes a fifty-two or fifty-three week fiscal year ending on the Friday nearest December 31. Fiscal years 2018, 
2017 and 2016 consisted of fifty-two weeks and ended on December 28, 2018, December 29, 2017 and December 30, 2016, 
respectively.

Use of Estimates

The preparation of financial statements in conformity with GAAP requires management to make 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 reported amounts of sales and expenses during the reporting periods.  Actual results could differ materially from 
those estimates.

Cash and Cash Equivalents

Cash and cash equivalents consist of cash and highly liquid, short-term investments with maturities at the time of purchase of 
three months or less. 

Concentration of Credit Risk

Financial instruments that potentially subject the Company to concentration of credit risk consist principally of accounts 
receivable. A significant portion of the Company’s sales and accounts receivable are to four customers, all in the medical device 
industry, and, as such, the Company is directly affected by the condition of those customers and that industry. However, the 
credit risk associated with trade receivables is partially mitigated due to the stability of those customers. The Company 
performs on-going credit evaluations of its customers.  Note 17 “Segment and Geographic Information” contains information 
on sales and accounts receivable for these customers. The Company maintains cash deposits with major banks, which from time 
to time may exceed insured limits. The Company performs on-going credit evaluations of its banks.

- 58 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(1.)    SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Continued)

Trade Accounts Receivable and Allowance for Doubtful Accounts

The Company provides credit, in the normal course of business, to its customers in the form of trade receivables. Credit is 
extended based on evaluation of a customer’s financial condition and collateral is not required. The Company maintains an 
allowance for those customer receivables that it does not expect to collect. The Company accrues its estimated losses from 
uncollectable accounts receivable to the allowance based upon recent historical experience, the length of time the receivable has 
been outstanding and other specific information as it becomes available. Provisions to the allowance for doubtful accounts are 
charged to current operating expenses. Actual losses are charged against this allowance when incurred.

Inventories

Inventories are stated at the lower of cost, determined using the first-in first-out method, or net realizable value. Net realizable 
value is the estimated selling prices in the ordinary course of business, less reasonably predictable costs of completion, disposal, 
and transportation. Write-downs for excess, obsolete or expired inventory are based primarily on how long the inventory has 
been held as well as estimates of forecasted net sales of that product. A significant change in the timing or level of demand for 
products may result in recording additional write-downs for excess, obsolete or expired inventory in the future. Note 4 
“Inventories” contains additional information on the Company’s inventory.

Property, Plant and Equipment (“PP&E”)

PP&E is carried at cost less accumulated depreciation. Depreciation is computed by the straight-line method over the estimated 
useful lives of the assets, as follows: buildings and building improvements 12-30 years; machinery and equipment 3-10 years; 
office equipment 3-10 years; and leasehold improvements over the remaining lives of the improvements or the lease term, if 
less. The cost of repairs and maintenance are expensed as incurred; renewals and betterments are capitalized. Upon retirement 
or sale of an asset, its cost and related accumulated depreciation or amortization is removed from the accounts and any gain or 
loss is recorded in operating income or expense.  The Company also reviews its PP&E for impairment when impairment 
indicators exist. When impairment indicators exist, the Company determines if the carrying value of its fixed asset(s) exceeds 
the related undiscounted future cash flows. In cases where the carrying value of the Company's long-lived assets or asset groups 
(excluding goodwill and indefinite-lived intangible assets) exceeds the related undiscounted cash flows, the carrying value is 
written down to fair value. Fair value is generally determined using a discounted cash flow analysis.  Note 5 “Property, Plant 
and Equipment, Net” contains additional information on the Company’s PP&E.

Fair Value Measurements
Fair value is defined as the price that would be received to sell an asset or paid to transfer a liability (i.e. the “exit price”) in an 
orderly transaction between market participants at the measurement date.  Accounting Standards Codification (“ASC”) 820, 
Fair Value Measurements, establishes a hierarchy for inputs used in measuring fair value that maximizes the use of observable 
inputs and minimizes the use of unobservable inputs by requiring that the most observable inputs be used when available. 
Observable inputs are inputs that market participants would use in pricing the asset or liability developed based on market data 
obtained from sources independent of the Company. Unobservable inputs are inputs that reflect the Company’s assumptions 
about the assumptions market participants would use in pricing the asset or liability developed based on the best information 
available in the circumstances. The hierarchy is broken down into three levels based on the reliability of inputs as follows:

Level 1 – Valuation is based on quoted prices in active markets for identical assets or liabilities that the Company has the 
ability to access. Level 1 valuations do not entail a significant degree of judgment.

Level 2 – Valuation is determined from quoted prices for similar assets or liabilities in active markets, quoted prices for 
identical instruments in markets that are not active or by model-based techniques in which all significant inputs are 
observable in the market.

Level 3 – Valuation is based on unobservable inputs that are significant to the overall fair value measurement. The degree 
of judgment in determining fair value is greatest for Level 3 valuations.

Fair value is a market-based measure considered from the perspective of a market participant rather than an entity-specific 
measure. Therefore, even when market assumptions are not readily available, assumptions are required to reflect those that 
market participants would use in pricing the asset or liability at the measurement date. Note 16 “Fair Value Measurements” 
contains additional information on assets and liabilities recorded at fair value in the consolidated financial statements.

- 59 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(1.)    SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Continued)

Acquisitions

Results of operations of acquired companies are included in the Company’s results of operations as of the respective acquisition 
dates. The purchase price of each acquisition is allocated to the net assets acquired based on estimates of their fair values at the 
date of the acquisition. Any purchase price in excess of these net assets is recorded as goodwill.  All direct acquisition-related 
costs are expensed as incurred.  The allocation of purchase price in certain cases may be subject to revision based on the final 
determination of fair values during the measurement period, which may be up to one year from the acquisition date.

Discontinued Operations

In determining whether a group of assets which has been disposed of (or is to be disposed of) should be presented as a 
discontinued operation, the Company analyzes whether the group of assets being disposed of represented a component of the 
entity; that is, whether it had historic operations and cash flows that were clearly distinguished (both operationally and for 
financial reporting purposes). In addition, the Company considers whether the disposal represents a strategic shift that has or 
will have a major effect on the Company’s operations and financial results.

The assets and liabilities of a discontinued operation held for sale, other than goodwill, are measured at the lower of carrying 
amount or fair value less cost to sell.  When a portion of a goodwill reporting unit that constitutes a business is to be disposed 
of, the goodwill associated with that business is included in the carrying amount of the business based on the relative fair values 
of the business to be disposed of and the portion of the reporting unit that will be retained.  The Company allocates interest to 
discontinued operations if the interest is directly attributable to the discontinued operations or is interest on debt that is required 
to be repaid as a result of the disposal transaction.  

Goodwill

Goodwill represents the excess of cost over the fair value of identifiable net assets of a business acquired and is assigned to one 
or more reporting units. The Company tests each reporting unit’s goodwill for impairment at least annually as of the last day of 
the fiscal year and between annual tests if an event occurs or circumstances change that would more-likely-than-not reduce the 
fair value of a reporting unit below its carrying amount.  In conducting its goodwill test, the Company first performs a 
qualitative assessment, which requires that it consider events or circumstances including, but not limited to, macro-economic 
conditions, market and industry conditions, cost factors, competitive environment, changes in strategy, changes in customers, 
changes in the Company’s stock price, results of the last impairment test, and the operational stability and the overall financial 
performance of the reporting units.  If, after assessing the totality of events or circumstances, the Company determines that it is 
more likely than not that the fair values of its reporting units are greater than the carrying amounts, then the quantitative 
goodwill impairment test is not performed.

If the qualitative assessment indicates that the quantitative analysis should be performed, the Company then evaluates goodwill 
for impairment by comparing the fair value of each of its reporting units to its carrying value, including the associated goodwill.  
To determine the fair values, the Company uses a weighted combination of the market approach based on comparable publicly 
traded companies and the income approach based on estimated discounted future cash flows.  The cash flow assumptions 
consider historical and forecasted revenue, operating costs and other relevant factors.

The Company completed its annual goodwill impairment test as of December 28, 2018 and determined, after performing a 
qualitative review of each reporting unit, that it is more likely than not that the fair value of each of its reporting units exceeds 
the respective carrying amounts.  Accordingly, there was no indication of impairment and the quantitative goodwill impairment 
test was not performed.  The Company does not believe that either of its reporting units are at risk for impairment.

Other Intangible Assets

Other intangible assets consist of purchased technology and patents, customer lists and trademarks.  Definite-lived intangible 
assets are amortized on an accelerated or straight-line basis, which approximates the projected cash flows used to determine the  
fair value of those definite-lived intangible assets at the time of acquisition, as follows: purchased technology and patents 5-15 
years; customer lists 7-20 years and other intangible assets 1-10 years.  Certain trademark assets are considered indefinite-lived 
intangible assets and are not amortized. The Company expenses the costs incurred to renew or extend the term of intangible 
assets. 

The Company reviews its definite-lived intangible assets for impairment when impairment indicators exist. When impairment 
indicators exist, the Company determines if the carrying value of its definite-lived intangible assets exceeds the related 
undiscounted future cash flows. In cases where the carrying value exceeds the undiscounted future cash flows, the carrying 
value is written down to fair value. Fair value is generally determined using a discounted cash flow analysis.

- 60 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(1.)    SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Continued)

The Company assesses its indefinite-lived intangible assets for impairment periodically to determine if any adverse conditions 
exist that would indicate impairment or when impairment indicators exist. The Company assesses its indefinite-lived intangible 
assets for impairment at least annually by comparing the fair value of the indefinite-lived intangible asset to its carrying value. 
The fair value is determined using the income approach.

Refer to Note 6 “Goodwill and Other Intangible Assets, Net” for further details of the Company’s goodwill and other intangible 
assets.

Equity Investments

The Company holds long-term, strategic investments in companies to promote business and strategic objectives.  These 
investments are included in Other Assets on the Consolidated Balance Sheets. Equity investments are measured and recorded as 
follows:

•  Non-marketable equity securities are equity securities without readily determinable fair value are measured and 
recorded at fair value with changes in fair value recognized within net income.  The Company has elected the 
practicability exception to use an alternative that measures the securities at cost minus impairment, if any, plus or 
minus changes resulting from qualifying observable price changes. Prior to fiscal 2018, these securities were 
accounted for using the cost method of accounting, measured at cost less other-than-temporary impairment.

•  Equity method investments are equity securities in investees the Company does not control but over which it has the 
ability to exercise influence.  Equity method investments are measured at cost minus impairment, if any, plus or minus 
our share of equity method investee income or loss.

Realized and unrealized gains and losses resulting from changes in fair value or the sale of these equity investments is recorded 
through (Gain) Loss on Equity Investments, Net.  The carrying value of the Company’s non-marketable equity securities is 
adjusted for qualifying observable price changes resulting from the issuance of similar or identical securities by the same issuer. 
Determining whether an observed transaction is similar to a security within the Company’s portfolio requires judgment based 
on the rights and preferences of the securities. Recording upward and downward adjustments to the carrying value of the 
Company’s equity securities as a result of observable price changes requires quantitative assessments of the fair value of these 
securities using various valuation methodologies and involves the use of estimates. 

Non-marketable equity securities and equity method investments (collectively referred to as non-marketable equity 
investments) are also subject to periodic impairment reviews. The Company’s quarterly impairment analysis considers both 
qualitative and quantitative factors that may have a significant impact on the investee's fair value. Qualitative factors considered 
include the investee's financial condition and business outlook, market for technology, operational and financing cash flow 
activities, technology and regulatory approval progress, and other relevant events and factors affecting the investee.  When 
indicators of impairment exist, quantitative assessments of the fair value of the Company’s non-marketable equity investments 
are prepared. 

To determine the fair value of these investments, the Company uses all pertinent financial information available related to the 
investees, including financial statements, market participant valuations from recent and proposed equity offerings, and other 
third-party data.

•  Non-marketable equity securities are tested for impairment using a qualitative model similar to the model used for 
goodwill and long-lived assets. Upon determining that an impairment may exist, the security's fair value is calculated 
and compared to its carrying value and an impairment is recognized immediately if the carrying value exceeds the fair 
value. Prior to 2018, non-marketable equity securities were tested for impairment using the other-than-temporary 
impairment model. 

•  Equity method investments are subject to periodic impairment reviews using the other-than-temporary impairment 
model, which considers the severity and duration of a decline in fair value below cost and the Company’s ability and 
intent to hold the investment for a sufficient period of time to allow for recovery.

The Company has determined that its investments are not considered variable interest entities. The Company’s exposure related 
to these entities is limited to its recorded investment. These investments are in start-up research and development companies 
whose fair value is highly subjective in nature and subject to future fluctuations, which could be significant.  Refer to Note 16 
“Fair Value Measurements” for additional information on the Company’s equity investments.

- 61 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(1.)    SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Continued)

Debt Issuance Costs and Discounts

Debt issuance costs and discounts associated with the issuance of debt by the Company are deferred and amortized over the 
lives of the related debt.  Debt issuance costs incurred in connection with the Company’s issuance of its revolving credit facility 
are classified within Other Assets and amortized to Interest Expense on a straight-line basis over the contractual term of the 
credit facility.  Debt issuance costs and discounts related to the Company’s term-debt are recorded as a reduction of the carrying 
value of the related debt and are amortized to Interest Expense using the effective interest method over the period from the date 
of issuance to the put option date (if applicable) or the maturity date, whichever is earlier.  The amortization of debt issuance 
costs and discounts are included in Debt Related Charges Included in Interest Expense in the Consolidated Statements of Cash 
Flows.  Upon prepayment of the related debt, the Company accelerates the recognition of a proportionate amount of the costs as 
refinancing or extinguishment of debt.  Note 8 “Debt” contains additional information on the Company’s debt issuance costs 
and discounts.

Income Taxes

The consolidated financial statements of the Company have been prepared using the asset and liability approach to account for 
income taxes, which requires the recognition of deferred income taxes for the expected future tax consequences of net operating 
losses, credits, and temporary differences between the financial statement carrying amounts and the tax bases of assets and 
liabilities. A valuation allowance is provided on deferred tax assets if it is determined, within each taxing jurisdiction, that it is 
more likely than not that the asset will not be realized.

The Company accounts for uncertain tax positions using a more likely than not recognition threshold. The evaluation of 
uncertain tax positions is based on factors including, but not limited to, changes in tax law, the measurement of tax positions 
taken or expected to be taken in tax returns, the effective settlement of matters subject to audit, new audit activity and changes 
in facts or circumstances related to a tax position. These tax positions are evaluated on a quarterly basis. The Company 
recognizes interest expense related to uncertain tax positions as Provision (Benefit) for Income Taxes.  Penalties, if incurred, are 
recognized as a component of Selling, General and Administrative Expenses (“SG&A”).

The Company and its subsidiaries file a consolidated U.S. federal income tax return. State tax returns are filed on a combined or 
separate basis depending on the applicable laws in the jurisdictions where the tax returns are filed. The Company also files 
foreign tax returns on a separate company basis in the countries in which it operates.

Derivative Financial Instruments
The Company recognizes all derivative financial instruments in its consolidated financial statements at fair value. Changes in 
the fair value of derivative instruments are recorded in earnings unless hedge accounting criteria are met.  The Company 
designated its interest rate swap (refer to Note 8 “Debt”) and foreign currency contracts (refer to Note 13 “Commitments and 
Contingencies”) entered into as cash flow hedges. The effective portion of the changes in fair value of these cash flow hedges is 
recorded each period, net of tax, in Accumulated Other Comprehensive Income until the related hedged transaction occurs. Any 
ineffective portion of the changes in fair value of these cash flow hedges is recorded in earnings. In the event the hedged cash 
flow for forecasted transactions does not occur, or it becomes probable that they will not occur, the Company reclassifies the 
amount of any gain or loss on the related cash flow hedge to income (expense) at that time. Cash flows related to these 
derivative financial instruments are included in cash flows from operating activities. The cash flows from the termination of 
interest rate swap agreements are reported as operating activities in the Consolidated Statements of Cash Flows.

Revenue Recognition

The majority of the Company’s revenues consist of sales of various medical devices and products to large, multinational OEMs 
and their affiliated subsidiaries.  The Company considers the customer’s purchase order, which in some cases is governed by a 
long-term agreement, and the Company’s corresponding sales order acknowledgment as the contract with the customer.  The 
Company has elected to adopt the practical expedient provided in ASC 340-40-25-4 and recognize the incremental costs of 
obtaining a contract, which are primarily sales commissions, as expense when incurred because the amortization period is less 
than one year.

The Company evaluates the pattern of revenue recognition as a performance obligation is satisfied and the customer has 
obtained control of the products.  Control is defined as the ability to direct the use of and obtain substantially all of the 
remaining benefits of the product.  The customer obtains control of the products when title and risk of ownership transfers to 
them, which is primarily based upon shipping terms.  Accordingly, the majority of the Company’s revenues are recognized at 
the point of shipment.  In instances where title and risk of ownership do not transfer to the customer until the products have 
reached the customer’s location, revenue is recognized at that point in time.  Revenue is recognized net of sales tax, value-
added taxes and other taxes.

- 62 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(1.)    SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Continued)

Performance Obligations

The Company considers each shipment of an individual product included on a purchase order to be a separate performance 
obligation, as each shipment is separately identifiable and the customer can benefit from each individual product separately 
from the other products included on the purchase order.  Accordingly, a contract can have one or more performance obligations 
to manufacture products.  Standard payment terms range from 30 to 90 days and can include a discount for early payment.

The Company does not offer its customers a right of return. Rather, the Company warrants that each unit received by the 
customer will meet the agreed upon technical and quality specifications and requirements. Only when the delivered units do not 
meet these requirements can the customer return the non-compliant units as a corrective action under the warranty.  The remedy 
offered to the customer is repair of the returned units or replacement if repair is not viable.  Accordingly, the Company records a 
warranty reserve and any warranty activities are not considered to be a separate performance obligation.

Contract Balances

The timing of revenue recognition, billings and cash collections results in billed accounts receivable and less frequently, 
unearned revenue.  Accounts receivable are recorded when the right to consideration becomes unconditional.  Unearned 
revenue is recorded when customers pay or are billed in advance of the Company’s satisfaction of performance obligations. 
Contract liabilities were $2.3 million and $2.2 million as of December 28, 2018 and December 29, 2017, respectively, and are 
classified as Accrued Expenses on the Consolidated Balance Sheets.  During the year ended December 28, 2018, the Company 
recognized $1.9 million of revenue that was included in the contract liability balance as of December 29, 2017.  The Company 
does not have any contract assets.

Transaction Price

Generally, the transaction price of the Company’s contracts consists of a unit price for each individual product included in the 
contract, which can be fixed or variable based on the number of units ordered.  In some instances, the transaction price also 
includes a rebate for meeting certain volume-based targets over a specified period of time.  The transaction price of a contract is 
determined based on the unit price and the number of units ordered, reduced by the rebate expected to be earned on those units.  
Rebates are estimated based on the expected achievement of the volume-based target using the most likely amount method and 
updated quarterly.  Any adjustments to these estimates are recognized under the cumulative catch-up method, such that impact 
of the adjustment is recognized in the period in which it is identified.  Volume discounts and rebates and other pricing 
concessions earned by customers are offset against their receivable balances.

The transaction price is allocated to each performance obligation on a relative standalone selling price basis.   As the majority 
of products sold to customers are manufactured to meet the specific requirements and technical specifications of that customer, 
the products are considered unique to that customer and the unit price stated in the contract is considered the standalone selling 
price.

The Company has elected to adopt the practical expedient provided in ASC 606-10-50-14 and not disclose the aggregate 
amount of the transaction price allocated to unsatisfied performance obligations and an expectation of when those amounts are 
expected to be recognized as revenue because the majority of contracts have an original expected duration of one year or less.  

Contract Modifications

Contract modifications, which can include a change in either or both scope and price, most often occur related to contracts that 
are governed by a long-term arrangement.  Contract modifications typically relate to the same products already governed by the 
long-term arrangement, and therefore, are accounted for as part of the existing contract.  If a contract modification is for 
additional products, it is accounted for as a separate contract. 

Environmental Costs

Environmental expenditures that relate to an existing condition caused by past operations and that do not provide future benefits 
are expensed as incurred. Liabilities are recorded when environmental assessments are made, the requirement for remedial 
efforts is probable and the amount of the liability can be reasonably estimated. Liabilities are recorded generally no later than 
the completion of feasibility studies. The Company has an ongoing monitoring and identification process to assess how the 
activities, with respect to known exposures, are progressing against the recorded liabilities, as well as to identify other potential 
remediation sites that are presently unknown.

- 63 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(1.)    SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Continued)

Restructuring Expenses

The Company continually evaluates alternatives to align the business with the changing needs of its customers and to lower 
operating costs. This includes the realignment of its existing manufacturing capacity, facility closures, or similar actions, either 
in the normal course of business or pursuant to significant restructuring programs. These actions may result in employees 
receiving voluntary or involuntary employee termination benefits, which may be pursuant to contractual agreements. Voluntary 
termination benefits are accrued when an employee accepts the related offer. Involuntary termination benefits are accrued upon 
the commitment to a termination plan and the benefit arrangement is communicated to affected employees, or when liabilities 
are determined to be probable and estimable, depending on the existence of a substantive plan for severance or termination.  All 
other exit costs are expensed as incurred. Refer to Note 11 “Other Operating Expenses” for additional information.

Product Warranties

The Company allows customers to return defective or damaged products for credit, replacement, or repair. The Company 
warrants that its products will meet customer specifications and will be free from defects in materials and workmanship. The 
Company accrues its estimated exposure to warranty claims, through Cost of Sales, based upon recent historical experience and 
other specific information as it becomes available. Note 13 “Commitments and Contingencies” contains additional information 
on the Company’s product warranties.

Research, Development and Engineering Costs (“RD&E”)

RD&E costs are expensed as incurred. The primary costs are salary and benefits for personnel, material costs used in 
development projects and subcontracting costs. 

Stock-Based Compensation

The Company recognizes stock-based compensation expense for its related compensation plans, which include stock options, 
restricted stock awards (“RSAs”), restricted stock units (“RSUs”) and performance-based restricted stock units (“PRSUs”).  For 
the Company's PRSUs, in addition to service conditions, the ultimate number of shares to be earned depends on the 
achievement of targets based on market-based conditions, such as total shareholder return, or financial metrics based on the 
Company’s operating results.  The Company recognizes forfeitures of equity awards as incurred.

The fair value of the stock-based compensation is determined at the grant date.  The Company uses the Black-Scholes standard 
option pricing model (“Black-Scholes model”) to determine the fair value of stock options.  The fair value of each RSU and 
RSA is determined based on the Company's closing stock price on the date of grant.  The fair value of each PRSU is determined 
based on either the Company's closing stock price on the date of grant or through a Monte Carlo simulation valuation model 
(“Monte Carlo model”) for those awards that include a market-based condition.   In addition to the closing stock price on the 
date of grant, the determination of the fair value of awards using both the Black-Scholes and Monte Carlo models is affected by 
other assumptions, including the following:

Expected Term - The Company analyzes historical employee exercise and termination data to estimate the expected term 
assumption for stock options.  For market-based awards, the term is commensurate with the performance period remaining 
as of the grant date.

Risk-free Interest Rate - A risk-free rate is based on the U.S. Treasury rates in effect on the grant date for a maturity equal to 
or approximating the expected term of the award.

Expected Volatility - For stock options, expected volatility is calculated using historical volatility based on the daily closing 
prices of the Company's common stock over a period equal to the expected term.  For market-based awards, a combination 
of historical and implied volatilities for the Company and members of its peer group are used in developing the expected 
volatility assumption.

Dividend Yield - The dividend yield assumption is based on the Company’s history and the expected annual dividend yield 
on the grant date.

The Company recognizes compensation expense based on the fair value of the award on the date of grant.  For stock options, 
RSAs and RSUs, compensation expense is recognized over the respective service period using the straight-line amortization 
method.  Compensation expense for PRSUs with financial metrics is reassessed each reporting period and recognized based 
upon the probability that the performance targets will be achieved.  Compensation expense for market-based awards is not 
adjusted based on actual achievement of the performance goals.  Based on the vesting terms of the grant, compensation expense 
for PRSUs is amortized over the service period using either a graded vesting method or the straight-line amortization method.  
The actual expense recognized over the vesting period will only be for those awards that ultimately vest, excluding market-
based award considerations.

- 64 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(1.)    SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Continued)

All stock option awards granted under the Company’s compensation plans have an exercise price equal to the closing stock 
price on the date of grant, a ten-year contractual life and generally, vest annually over a three-year vesting term.  RSUs typically 
vest in equal annual installments over a three or four year period.  Stock options and RSAs issued to members of the 
Company’s Board of Directors as a portion of their annual retainer vest quarterly over a one-year vesting term.  Earned PRSUs 
typically vest two or three years from the date of grant.

The Company records deferred tax assets for awards that result in deductions on the Company's income tax returns, based on 
the amount of stock-based compensation expense recognized and the statutory tax rate in the jurisdiction in which it will 
receive a deduction. Differences between the deferred tax assets recognized for financial reporting purposes and the actual tax 
deduction reported on the income tax return are recorded as a component of income tax expense in the Consolidated Statements 
of Operations.  Note 10 “Stock-Based Compensation” contains additional information on the Company’s stock-based 
compensation.

Foreign Currency Translation and Remeasurement

The Company translates all assets and liabilities of its foreign subsidiaries, where the U.S. dollar is not the functional currency, 
at the period-end exchange rate and translates income and expenses at the average exchange rates in effect during the period. 
The net effect of this translation is recorded in the consolidated financial statements as Accumulated Other Comprehensive 
Income.  Translation adjustments are not adjusted for income taxes as they relate to permanent investments in the Company’s 
foreign subsidiaries.

The Company has foreign operations in Ireland, Switzerland, Mexico, Uruguay, and Malaysia, which expose the Company to 
foreign currency exchange rate fluctuations due to transactions denominated in Euros, Swiss francs, Mexican pesos, Uruguayan 
pesos, and Malaysian ringgits. To the extent that monetary assets and liabilities, including short-term and long-term 
intercompany loans, are recorded in a currency other than the functional currency of the subsidiary, these amounts are 
remeasured each period at the period-end exchange rate, with the resulting gain or loss being recorded in Other (Income) Loss, 
Net in the Consolidated Statements of Operations.  Net foreign currency transaction gains (losses) included in Other (Income) 
Loss, Net amounted to $(1.6) million, $(10.9) million and $4.3 million for 2018, 2017 and 2016, respectively, and primarily 
related to the remeasurement of intercompany loans and the fluctuation of the U.S. dollar relative to the Euro.

Defined Benefit Plans

The Company recognizes in its balance sheet as an asset or liability the overfunded or underfunded status of its defined benefit 
plans provided to its employees located in Mexico and Switzerland.  This asset or liability is measured as the difference 
between the fair value of plan assets, if any, and the benefit obligation of those plans. For these plans, the benefit obligation is 
the projected benefit obligation, which is calculated based on actuarial computations of current and future benefits for 
employees.  Actuarial gains or losses and prior service costs or credits that arise during the period, but are not included as 
components of net periodic benefit expense, are recognized as a component of Accumulated Other Comprehensive Income.  
The Company records the service cost component of net benefit costs in Cost of Sales and Selling, General and Administrative 
expenses.  The interest cost component of net benefit costs is recorded in Interest Expense and the remaining components of net 
benefit costs, amortization of net losses and expected return on plan assets, are recorded in Other (Income) Loss, Net.  Note 9 
“Benefit Plans” contains additional information on these costs.

Earnings (Loss) Per Share (“EPS”)

Basic EPS is calculated by dividing Net Income (Loss) by the weighted average number of shares outstanding during the 
period. Diluted EPS is calculated by adjusting the weighted average number of shares outstanding for potential common shares 
if dilutive to the EPS calculation and consist of stock options, unvested RSAs and RSUs and, if applicable, contingently 
convertible instruments such as convertible debt. Note 14 “Earnings (Loss) Per Share” contains additional information on the 
computation of the Company’s EPS.

Comprehensive Income (Loss)

The Company’s comprehensive income (loss) as reported in the Consolidated Statements of Comprehensive Income (Loss) 
includes net income (loss), foreign currency translation adjustments, the net change in cash flow hedges, and defined benefit 
plan liability adjustments. The Consolidated Statements of Comprehensive Income (Loss) and Note 15 “Accumulated Other 
Comprehensive Income” contains additional information on the computation of the Company’s comprehensive income (loss).

- 65 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(1.)    SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Continued)

Recent Accounting Pronouncements

In the normal course of business, management evaluates all new accounting pronouncements issued by the Financial 
Accounting Standards Board (“FASB”), Securities and Exchange Commission (“SEC”), or other authoritative accounting 
bodies to determine the potential impact they may have on the Company’s Consolidated Financial Statements. Based upon this 
review, except as noted below, management does not expect any of the recently issued accounting pronouncements, which have 
not already been adopted, to have a material impact on the Company’s Consolidated Financial Statements.

Recently Adopted Accounting Guidance

On May 28, 2014, the FASB issued Accounting Standards Update (“ASU”) 2014-09, “Revenue from Contracts with 
Customers,” requiring an entity to recognize revenue in a way that depicts the transfer of promised goods or services to 
customers in an amount that reflects the consideration to which the entity expects to be entitled to in exchange for those goods 
or services. The new guidance provided alternative methods of adoption.  Subsequent guidance issued after May 2014 did not 
change the core principle of ASU 2014-09.

The Company adopted the new guidance in the first quarter of fiscal 2018, using the modified retrospective transition method 
applied to those contracts which were not completed as of December 30, 2017.  Prior period amounts have not been adjusted 
and continue to be reflected in accordance with the Company’s historical accounting.  The adoption of this ASU did not have an 
impact on the consolidated financial statements and therefore no cumulative adjustment was recorded to equity.  The Company 
has updated its internal controls for changes and expanded disclosures have been made in the Notes to the Financial Statements 
as a result of adopting the standard.  Refer to Note 17, “Segment and Geographic Information for additional revenue 
disclosures.

ASU 2016-01, “Financial Instruments - Overall (Subtopic 825-10) - Recognition and Measurement of Financial Assets and 
Financial Liabilities,” became effective prospectively for the Company in the first quarter of fiscal 2018.  This ASU requires 
entities to carry all investments in equity securities, including other ownership interests such as partnerships, unincorporated 
joint ventures, and limited liability companies, at fair value with changes in fair value recognized within net income. 
This ASU does not apply to equity method investments, investments that result in consolidation of the investee or investments 
in certain investment companies.  For investments in equity securities without a readily determinable fair value, an entity is 
permitted to elect a practicability exception, under which the investment will be measured at cost, less impairment, plus or 
minus observable price changes from orderly transactions of an identical or similar investment of the same issuer.

Additionally, this ASU eliminated the requirement to assess whether an impairment of an equity investment is other than 
temporary.  The impairment model for equity investments subject to this election is now a single-step model whereby an entity 
performs a qualitative assessment to identify impairment. If the qualitative assessment indicates that an impairment exists, the 
entity would estimate the fair value of the investment and recognize in net income an impairment loss equal to the difference 
between the fair value and the carrying amount of the equity investment.

The Company’s non-marketable equity securities formerly classified as cost method investments are measured and recorded 
using the measurement alternative.  The Company has elected the practicability exception whereby these investments are 
measured at cost, less impairment, plus or minus observable price changes from orderly transactions of identical or similar 
investments of the same issuer.  Refer to Note 16 “Fair Value Measurements” for additional information on the Company’s 
equity investments.

In February 2018, the FASB issued ASU 2018-02, “Reclassification of Certain Tax Effects from Accumulated Other 
Comprehensive Income,” which allows for the reclassification of certain income tax effects related to the U.S. Tax Cuts and 
Jobs Act (the “Tax Reform Act”) between accumulated other comprehensive income and retained earnings, thereby eliminating 
the stranded tax effects that were created as a result of the reduction of the U.S. federal corporate income tax rate. The effective 
date of this ASU for the Company is the first quarter of fiscal 2019, with early adoption permitted.  The Company elected to 
early adopt this ASU during the fourth quarter of fiscal 2018 and reclassified the related tax effects from the change in the 
federal corporate tax from accumulated other comprehensive income to retained earnings.  The reclassification was adopted on 
a prospective basis and is reflected in the Consolidated Statements of Stockholders’ Equity.

- 66 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(1.)    SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Continued)

Recent Accounting Pronouncements Not Yet Effective

On February 24, 2016, the FASB issued ASU 2016-02, “Leases,” requiring lessees to recognize in the statement of financial 
position a lease liability, which represents the obligation to make future payments, and a right-of-use asset, which represents the 
Company’s right to use the underlying asset for the lease term, for all leases except short-term leases.  The classification of a 
lease as financing or operating will affect the pattern and classification of expense recognition in the statement of operations.  

The new standard offers several optional practical expedients in transition.  The Company plans to elect the “Package of 
Three,” which allows the Company to not reassess its prior conclusions regarding lease identification, lease classification and 
initial direct costs, and the practical expedient for short-term lease recognition exemption for all leases that qualify.  
Additionally, in July 2018, the FASB issued ASU 2018-11, “Leases -Targeted Improvements,” which provides an alternative 
transition method that allows entities to initially apply the new guidance at the adoption date and recognize a cumulative-effect 
adjustment to the opening balance of retained earnings in the period of adoption.  The Company intends to adopt the new 
standard using this transition method.

This new guidance is effective for public companies in fiscal years beginning after December 15, 2018 and interim periods 
within those fiscal years, with early adoption permitted.  This guidance was effective for the Company on December 29, 2018, 
the first day of fiscal 2019. 

The Company has substantially completed its evaluation of the new accounting standard and its impact on the Company’s lease 
portfolio. The Company believes the largest impact will be the recognition of right-of-use assets and lease liabilities on the 
consolidated balance sheets, as the Company’s lease portfolio primarily consists of operating leases for facilities and 
equipment, which are not recognized on the consolidated balance sheets under current accounting standards.  The Company 
expects to recognize right-of-use assets and corresponding lease liabilities of approximately $40 million to $50 million at the 
date of adoption. The results of operations are not expected to change significantly as a result of adopting the new standard.  
During the first quarter of fiscal 2019, the Company will finalize its accounting assessment and quantification of the impact of 
adoption on the Company’s financial statements and corresponding disclosures. 

As the Company completes its evaluation, new information may arise that could change the Company’s current understanding 
of the impact of the new standard on its lease portfolio. The Company will continue to monitor industry activities and any 
additional guidance provided by regulators, standards setters, or the accounting profession, and adjust the Company’s 
assessment and adoption plans accordingly.

- 67 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(2.)  DISCONTINUED OPERATIONS AND DIVESTITURES

Discontinued Operations and Divestiture of AS&O Product Line

On May 3, 2018, the Company entered into a definitive agreement to sell its AS&O Product Line to Viant, and on July 2, 2018, 
completed the sale, collecting cash proceeds of approximately $581 million, which is net of transaction costs and adjustments set 
forth in the definitive purchase agreement.  In connection with the sale, the parties executed a transition services agreement whereby 
the Company will provide certain corporate services (including accounting, payroll, and information technology services) to Viant 
for a period of up to one year from the date of the closing to facilitate an orderly transfer of business operations. Viant will pay 
Integer for these services, with such payments varying in amount and length of time as specified in the transition services agreement.  
The Company recognized $3.6 million of income under the transition services agreement for the performance of services during 
2018, of which $0.2 million is within Cost of Sales and $3.4 million is within Selling, General and Administrative expenses in the 
Consolidated Statement of Operations for the year ended December 28, 2018.  In addition, the parties executed long-term supply 
agreements under which the Company and Viant have agreed to supply the other with certain products at prices specified in the 
agreements for a term of three years.

In connection with the closing of the transaction, the Company recognized a pre-tax gain on sale of discontinued operations of 
$195.0 million.  The Company is in the process of finalizing the net working capital adjustment with Viant as provided for in the 
definitive purchase agreement.  The final net working capital adjustment, as determined through the established process outlined 
in the definitive purchase agreement, may be different from the Company’s estimates. The impact of any changes in the net working 
capital adjustment will be recorded as an adjustment to the gain on sale from discontinued operations in the period such change 
occurs. Additionally, the income taxes associated with the gain will be impacted by the final allocation of the sales price, which 
must be agreed to with Viant as required in the definitive purchase agreement and may be materially different from the Company’s 
estimates. The impact of any changes in estimated income taxes will be recorded as an adjustment to discontinued operations in 
the period such change in estimate occurs.

As the AS&O Product Line was a portion of the Medical goodwill reporting unit, and management determined it met the 
definition of a business, goodwill was allocated to the AS&O Product Line on a relative fair value basis.  The fair value of the 
AS&O Product Line assets was based primarily on the purchase price of $600 million prior to closing adjustments.

The carrying amounts of the AS&O Product Line assets and liabilities that were classified as assets and liabilities of 
discontinued operations held for sale were as follows (in thousands):

Cash and cash equivalents

Accounts receivable, net of allowance for doubtful accounts of $0.3 million

Inventories

Prepaid expenses and other current assets

Current assets of discontinued operations held for sale

Property, plant and equipment, net

Goodwill

Other intangible assets, net

Other noncurrent assets

Noncurrent assets of discontinued operations held for sale

Total assets

Accounts payable and other current liabilities held for sale

Deferred taxes and other long-term liabilities held for sale

Total liabilities
Net assets

- 68 -

December 29,
2017

$

$

6,755

47,611

50,796

1,584

106,746

135,195

150,368

57,520

1,551

344,634

451,380

47,703

14,966

62,669
388,711

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(2.)  DISCONTINUED OPERATIONS AND DIVESTITURES (Continued)

Income (loss) from discontinued operations, net of taxes, for fiscal years 2018, 2017 and 2016 were as follows (in thousands):

2018

2017

2016

$

178,020

$

325,841

$

Sales

Cost of sales

Gross profit

Selling, general and administrative expenses

Research, development and engineering costs

Other operating expenses

Interest expense

Gain on sale of discontinued operations

Other (income) loss, net

Income (loss) from discontinued operations before taxes

Provision (benefit) for income taxes

148,357

29,663

8,905

2,352

1,805

22,833
(194,965)
420

188,313

67,382

286,300

39,541

18,500

6,397

854

42,488

—
(1,266)
(27,432)
(7,024)
(20,408) $

311,276

270,656

40,620

16,847

7,102

1,324

42,939

—
(612)
(26,980)
(8,063)
(18,917)

Income (loss) from discontinued operations

$

120,931

$

Interest expense included in discontinued operations reflects an estimate of interest expense related to the debt that was required 
to be repaid with the proceeds from the sale of the AS&O Product Line.

Cash flow information from discontinued operations for fiscal years 2018, 2017 and 2016 was as follows (in thousands):

Cash used in operating activities

Cash provided by (used in) investing activities

Depreciation and amortization

Capital expenditures

Spin-off of Nuvectra Corporation

$

$

2018

2017

2016

(12,498) $
577,833

$

3,167
(16,771)

3,596
(17,367)

7,450

$

21,613

$

3,610

16,844

17,656

17,656

On March 14, 2016, Integer completed the spin-off of a portion of its former QiG segment through a tax-free distribution of all 
of the shares of its former QiG Group, LLC subsidiary to the stockholders of Integer on a pro rata basis. Immediately prior to 
completion of the Spin-off, QiG Group, LLC was converted into a corporation organized under the laws of Delaware and 
changed its name to Nuvectra Corporation (“Nuvectra”).  On March 14, 2016, each of the Company’s stockholders of record as 
of the close of business on March 7, 2016 (the “Record Date”) received one share of Nuvectra common stock for every three 
shares of Integer common stock held as of the Record Date.  Upon completion of the Spin-off, Nuvectra became an independent 
publicly traded company whose common stock is listed on the Nasdaq stock exchange under the symbol “NVTR.” 

The portion of the former QiG segment spun-off consisted of QiG Group, LLC and its subsidiaries: (i) Algostim, LLC 
(“Algostim”), (ii) PelviStim LLC (“PelviStim”), and (iii) the Company’s NeuroNexus Technologies (“NeuroNexus”) 
subsidiary. The operations of Centro de Construcción de Cardioestimuladores del Uruguay (“CCC”) and certain other existing 
QiG research and development capabilities were retained by the Company and not included as part of the Spin-off. As the 
Company continues to focus on the design and development of complete medical device systems and components, and more 
specifically on medical device systems and components in the neuromodulation market, the Spin-off was not considered a 
strategic shift that had a major effect on the Company’s operations and financial results. Accordingly, the Spin-off is not 
presented as a discontinued operation in the Company’s Consolidated Financial Statements. The results of Nuvectra are 
included in the Consolidated Statements of Operations through the date of the Spin-off.

In connection with the Spin-off, during the first quarter of 2016, the Company made a cash capital contribution of $75 million 
to Nuvectra and divested assets of $130.8 million and liabilities of $2.1 million.  Nuvectra contributed a pre-tax loss of $5.2 
million to the Company’s results of operations for the fiscal year ended December 30, 2016.

- 69 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(3.)  SUPPLEMENTAL CASH FLOW INFORMATION

The following represents supplemental cash flow information, including supplemental information related to discontinued 
operations, for fiscal years 2018, 2017 and 2016 (in thousands):

Noncash investing and financing activities:

Property, plant and equipment purchases included in accounts payable

$

2,303

$

3,474

$

3,499

2018

2017

2016

Cash paid (refunded) during the year for:

Interest

Income taxes

79,661

23,155

93,839
(8,185)

106,475

7,263

Cash and cash equivalents, end of period, are comprised of:

Cash and cash equivalents

Cash included in current assets of discontinued operations held for sale

Total cash and cash equivalents, end of period

$

$

25,569

—

25,569

$

$

37,341

6,755

44,096

(4.)    INVENTORIES

Inventories are comprised of the following (in thousands):

Raw materials

Work-in-process

Finished goods

Total

(5.)    PROPERTY, PLANT AND EQUIPMENT, NET

PP&E is comprised of the following (in thousands):

Manufacturing machinery and equipment

Buildings and building improvements

Information technology hardware and software

Leasehold improvements

Furniture and fixtures

Land and land improvements

Construction work in process

Other

Accumulated depreciation

Total

December 28,
2018

December 29,
2017

$

$

80,213

$

75,711

34,152

85,050

63,620

28,068

190,076

$

176,738

December 28,
2018

December 29,
2017

$

261,912

$

249,233

95,886

60,901

61,418

15,082

11,544

23,886

1,048

97,346

54,302

58,918

15,068

13,146

19,758

829

531,677
(300,408)
231,269

$

508,600
(273,420)
235,180

$

Depreciation expense for PP&E was as follows for fiscal years 2018, 2017 and 2016 (in thousands):

Depreciation expense

2018

2017

2016

$

40,078

$

38,077

$

37,398

- 70 -

 
INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(6.)   GOODWILL AND OTHER INTANGIBLE ASSETS, NET

Goodwill

The change in the carrying amount of goodwill by reportable segment during fiscal year 2018 was as follows (in thousands):

December 29, 2017

Foreign currency translation

December 28, 2018

Medical

Non-Medical

Total

$

$

822,870
(7,532)
815,338

$

$

17,000

—

17,000

$

$

839,870
(7,532)
832,338

As of December 28, 2018, no accumulated impairment loss has been recognized for the goodwill allocated to the Company’s 
Medical or Non-Medical segments.

Intangible Assets

Intangible assets are comprised of the following (in thousands):

December 28, 2018
Definite-lived:
Purchased technology and patents
Customer lists
Other

Total amortizing intangible assets

Indefinite-lived:

Trademarks and tradenames

December 29, 2017
Definite-lived:
Purchased technology and patents
Customer lists
Other

Total amortizing intangible assets

Indefinite-lived:
Trademarks and tradenames

Gross
Carrying
Amount

Accumulated
Amortization

Net
Carrying
Amount

$

$

$

$

241,726
710,406
3,503
955,635

243,679
718,649
4,660
966,988

$

$

$

$

(125,540) $
(104,556)
(3,489)
(233,585) $

116,186
605,850
14
722,050

$

90,288

(111,185) $
(78,621)
(4,597)
(194,403) $

132,494
640,028
63
772,585

$

90,288

Aggregate intangible asset amortization expense is comprised of the following for fiscal years 2018, 2017 and 2016 (in 
thousands):

Cost of sales

SG&A

RD&E

Other Operating Expenses (“OOE”)

Total intangible asset amortization expense

2018

2017

2016

$

$

14,134

$

15,183

$

26,658

154

514

24,840

545

2,538

15,368

19,590

512

—

41,460

$

43,106

$

35,470

Estimated future intangible asset amortization expense based upon the carrying value as of December 28, 2018 is as follows (in 
thousands):

Amortization Expense

$

40,200

$

40,511

$

39,658

$

38,623

$

36,779

$

526,279

2019

2020

2021

2022

2023

After 2023

- 71 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(7.)  ACCRUED EXPENSES

Accrued expenses are comprised of the following (in thousands):

Salaries and benefits
Profit sharing and bonuses
Product warranties
Deferred revenue
Accrued interest
Other

Total

(8.)    DEBT

Long-term debt is comprised of the following (in thousands):

Senior secured term loan A

Senior secured term loan B

9.125% senior notes due 2023
Revolving line of credit
Unamortized discount on term loan B and debt issuance costs

Total debt

Current portion of long-term debt

Total long-term debt

Senior Secured Credit Facilities

December 28,
2018

December 29,
2017

$

$

21,830
22,912
2,600
2,482
1,944
8,722
60,490

$

$

25,103
13,625
2,820
1,610
8,523
8,695
60,376

December 28,
2018

December 29,
2017

$

304,687

$

632,286

—
5,000
(16,466)
925,507
(37,500)
888,007

$

$

335,157

873,286

360,000
74,000
(33,278)
1,609,165
(30,469)
1,578,696

The Company has senior secured credit facilities (the “Senior Secured Credit Facilities”) consisting of (i) a $200 million 
revolving credit facility (the “Revolving Credit Facility”), (ii) a $305 million term loan A facility (the “TLA Facility”), and (iii) 
a $632 million term loan B facility (the “TLB Facility”). The TLA Facility and TLB Facility are collectively referred to as the 
“Term Loan Facilities.”  The TLB Facility was issued at a 1% discount.

On June 8, 2018, the Company amended the Senior Secured Credit Facilities to permit the sale of the AS&O Product Line.  As 
required by the amended terms of the Company’s Senior Secured Credit Facilities, the Company paid down indebtedness as a 
result of the disposition of the AS&O Product Line.  On July 10, 2018, the Company completed the redemption in full of its 
9.125% senior notes due on November 1, 2023 (the “Senior Notes”) at a redemption price of 100% of the principal amount of 
the Senior Notes plus the applicable “make-whole” premium of $31.3 million and accrued and unpaid interest through the 
redemption date.  Upon completion of the redemption of the Senior Notes, the indenture governing the Senior Notes was 
satisfied and discharged.  The Company utilized the remaining net proceeds to pay down an additional $188 million outstanding 
under the Senior Secured Credit Facilities, consisting of $114 million on the TLB Facility and $74 million on the  Revolving 
Credit Facility.

Revolving Credit Facility

The Revolving Credit Facility matures on October 27, 2020.  The Revolving Credit Facility includes a $15 million sublimit 
for swingline loans and a $25 million sublimit for standby letters of credit.  The Company is required to pay a commitment 
fee on the unused portion of the Revolving Credit Facility, which will range between 0.175% and 0.25%, depending on the 
Company’s Total Net Leverage Ratio (as defined in the Senior Secured Credit Facilities agreement).  Interest rates on the 
Revolving Credit Facility, as well as the TLA Facility, are at the Company’s option, either at: (i) the prime rate plus the 
applicable margin, which will range between 0.75% and 2.25%, based on the Company’s Total Net Leverage Ratio, or (ii) the 
applicable LIBOR rate plus the applicable margin, which will range between 1.75% and 3.25%, based on the Company’s 
Total Net Leverage Ratio.

- 72 -

 
INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(8.)    DEBT (Continued)

As of December 28, 2018, the Company had $5 million of outstanding borrowings on the Revolving Credit Facility and an 
available borrowing capacity of $188.2 million after giving effect to $6.8 million of outstanding standby letters of credit.  As 
of December 28, 2018, the weighted average interest rate on outstanding borrowings under the Revolving Credit Facility was 
5.01%.

Subject to certain conditions, commitments under the Revolving Credit Facility may be increased through an incremental 
revolving facility so long as, on a pro forma basis, the Company’s first lien net leverage ratio does not exceed 4.25:1.00.  

Term Loan Facilities

The TLA Facility and TLB Facility mature on October 27, 2021 and October 27, 2022, respectively.  Interest rates on the 
TLB Facility are, at the Company’s option, either at: (i) the prime rate plus 2.00% or (ii) the applicable LIBOR rate plus 
3.00%, with LIBOR subject to a 1.00% floor.  As of December 28, 2018, the interest rates on the TLA Facility and TLB 
Facility were 5.01% and 5.39%, respectively.

Subject to certain conditions, one or more incremental term loan facilities may be added to the Term Loan Facilities so long 
as, on a pro forma basis, the Company’s first lien net leverage ratio does not exceed 4.25:1.00.

Covenants

The Revolving Credit Facility and the TLA Facility contain covenants requiring (A) a maximum total net leverage ratio of 
5.50:1.0, subject to step downs beginning in the first quarter of 2019 and (B) a minimum interest coverage ratio of adjusted 
EBITDA (as defined in the Senior Secured Credit Facilities) to interest expense of not less than 2.75:1.0, subject to step ups 
beginning in the first quarter of 2019.  As of December 28, 2018, the Company was in compliance with these financial 
covenants.  The TLB Facility does not contain any financial maintenance covenants.

The Senior Secured Credit Facilities also contain negative covenants that restrict the Company’s ability to (i) incur additional 
indebtedness; (ii) create certain liens; (iii) consolidate or merge; (iv) sell assets, including capital stock of the Company’s 
subsidiaries; (v) engage in transactions with the Company’s affiliates; (vi) create restrictions on the payment of dividends or 
other amounts from the Company’s restricted subsidiaries; (vii) pay dividends on capital stock or redeem, repurchase or retire 
capital stock; (viii) pay, prepay, repurchase or retire certain subordinated indebtedness; (ix) make investments, loans, advances 
and acquisitions; (x) make certain amendments or modifications to the organizational documents of the Company or its 
subsidiaries or the documentation governing other senior indebtedness of the Company; and (xi) change the Company’s type of 
business. These negative covenants are subject to a number of limitations and exceptions that are described in the Senior 
Secured Credit Facilities agreement.  As of December 28, 2018, the Company was in compliance with all negative covenants 
under the Senior Secured Credit Facilities.

The Senior Secured Credit Facilities provide for customary events of default. Upon the occurrence and during the continuance 
of an event of default, the outstanding advances and all other obligations under the Senior Secured Credit Facilities become 
immediately due and payable.

9.125% Senior Notes due 2023

On October 27, 2015, the Company completed a private offering of $360 million aggregate principal amount of 9.125% senior 
notes due on November 1, 2023.  On July 10, 2018, the Company completed the redemption in full of the Senior Notes at a 
redemption price of 100% of the principal amount of the Senior Notes plus the applicable “make-whole” premium of $31.3 
million and accrued and unpaid interest through the redemption date.  The “make-whole” premium is included in Interest 
Expense in the accompanying Consolidated Statements of Operations.  Upon completion of the redemption of the Senior Notes, 
the indenture governing the Senior Notes was satisfied and discharged.

As of December 28, 2018, the weighted average interest rate on all outstanding borrowings is 5.27%.

(8.)    DEBT (Continued)

Contractual maturities of the Company’s debt facilities for the next five years and thereafter, excluding any discounts or 
premiums, as of December 28, 2018 are as follows (in thousands):

Future minimum principal payments

$

37,500

42,500

229,687

632,286

—

2019

2020

2021

2022

After 2022

- 73 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Debt Issuance Costs and Discounts

The Company incurred debt issuance costs in conjunction with the issuance of the Senior Secured Credit Facilities and the 
Senior Notes.  The change in deferred debt issuance costs related to the Company’s Revolving Credit Facility is as follows (in 
thousands):

December 30, 2016

Amortization during the period

December 29, 2017

Amortization during the period

December 28, 2018

$

$

3,800
(992)
2,808
(991)
1,817

The change in unamortized discount and debt issuance costs related to the Term Loan Facilities and Senior Notes is as follows 
(in thousands):

Debt
Issuance
Costs

Unamortized
Discount on
TLB Facility

Total

December 30, 2016

$

32,096

$

8,741

$

Financing costs incurred
Write-off of debt issuance costs and unamortized discount(1)
Amortization during the period

December 29, 2017

Write-off of debt issuance costs and unamortized discount(1)
Amortization during the period

December 28, 2018

$

2,360
(2,421)
(5,146)
26,889
(9,757)
(4,419)
12,713

$

—
(1,104)
(1,248)
6,389
(1,610)
(1,026)
3,753

$

40,837

2,360
(3,525)
(6,394)
33,278
(11,367)
(5,445)
16,466

__________
(1)  The Company redeemed its Senior Notes and prepaid portions of its TLB Facility during 2018 and 2017 and recognized 

losses from extinguishment of debt of $11.4 million and $3.5 million, respectively, which are included in Interest Expense, 
Net in the Consolidated Statements of Operations.  The loss from extinguishment of debt represents the unamortized debt 
issuance costs related to the Senior Notes and the portion of the unamortized discount and debt issuance costs related to the 
portion of the TLB Facility that was prepaid and is included in Interest Expense in the accompanying Consolidated 
Statements of Operations.

(8.)    DEBT (Continued)

Interest Rate Swap

During 2016, the Company entered into a three year $200 million interest rate swap to hedge against potential changes in cash 
flows on the outstanding variable rate debt, which is indexed to the one-month LIBOR rate. The variable rate received on the 
interest rate swap and the variable rate paid on the variable rate debt will have the same rate of interest, excluding the credit 
spread, and will reset and pay interest on the same day.  The swap is being accounted for as a cash flow hedge.

Information regarding the Company’s outstanding interest rate swap designated as a cash flow hedge as of December 28, 2018 
is as follows (dollars in thousands):

Notional
Amount

Start
Date

End Date

Pay
Fixed
Rate

Receive
Current
Floating
Rate

Fair
Value

Balance Sheet Location

$ 200,000

Jun-17

Jun-20

1.1325% 2.5063% $

4,171 Other Assets

- 74 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

The estimated fair value of the interest rate swap agreements represents the amount the Company expects to receive (pay) to 
terminate the contract.  No portion of the change in fair value of the Company’s interest rate swaps during 2018, 2017, or 2016 
were considered ineffective.  The amount recorded to Interest Expense related to the Company’s interest rate swaps was a 
reduction of $1.7 million and $0.5 million during 2018 and 2017, respectively, and an increase of $0.1 million during 2016.  
The estimated Accumulated Other Comprehensive Income related to the Company’s interest rate swaps that is expected to be 
reclassified into earnings within the next twelve months is a $2.8 million gain.

(9.)   BENEFIT PLANS

Savings Plan

The Company sponsors a defined contribution 401(k) plan (the “Plan”), for its U.S. based employees.  The Plan provides for 
the deferral of employee compensation under Internal Revenue Code §401(k) and a Company match. 

The Company matches $0.50 per dollar of participant deferral, up to 6% of the compensation of each participant.  Contributions 
from employees, as well at those matched by the Company, vest immediately.  Net costs related to defined contribution plans 
were $6.8 million in 2018, $6.0 million in 2017 and $4.6 million in 2016.

Defined Benefit Plans

The Company is required to provide its employees located in Switzerland and Mexico certain statutorily mandated defined 
benefits. Under these plans, benefits accrue to employees based upon years of service, position, age and compensation.  The 
defined benefit pension plan provided to the Company’s employees located in Switzerland is a funded contributory plan, while 
the plans that provide benefits to the Company’s employees located in Mexico are unfunded and noncontributory.  The assets of 
the Switzerland plan are held at an AA- rated insurance carrier who bears the pension risk and longevity risk, and will be used 
to cover the pension liability for the remaining retirees of the Swiss plan, as well as the remaining employees at that location.  
The liability and corresponding expense related to these benefit plans is based on actuarial computations of current and future 
benefits for employees.

- 75 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(9.)   BENEFIT PLANS (Continued)

The Company’s fiscal year end dates are the measurement dates for its defined benefit plans. Information relating to the funding 
position of the Company’s defined benefit plans for fiscal years 2018 and 2017 were as follows (in thousands):

Change in projected benefit obligation:
Projected benefit obligation at beginning of year

Service cost

Interest cost

Plan participants’ contribution

Actuarial gain

Benefits (paid) transferred in, net
Settlements
Foreign currency translation

Projected benefit obligation at end of year

Change in fair value of plan assets:

Fair value of plan assets at beginning of year

Employer contributions

Plan participants’ contributions

Actual loss on plan assets

Benefits transferred in, net
Settlements
Foreign currency translation

2018

2017

$

2,608

$

2,285

214

48

84
(150)
42
(619)
(24)
2,203

1,358

83

84
(11)
62
(619)
(11)
946

1,257

54

1,203

1,809

$

$

$

$

200

42

75
(90)
(11)
—
107

2,608

1,172

56

75

—

—
—
55

1,358

1,250

32

1,218

2,189

Fair value of plan assets at end of year

Projected benefit obligation in excess of plan assets at end of year

Defined benefit liability classified as other current liabilities

Defined benefit liability classified as long-term liabilities

Accumulated benefit obligation at end of year

$

$

$

$

Amounts recognized in Accumulated Other Comprehensive Income (Loss) for fiscal years 2018 and 2017 are as follows (in 
thousands):

Net (gain) loss occurring during the year

Amortization of losses

Prior service cost

Amortization of prior service cost

Pre-tax adjustment (gain) loss

Tax benefit

Net (gain) loss

2018

2017

$

$

(130) $
(101)
1
(2)
(232)
(70)
(302) $

74
(45)
1
(2)
28
(5)
23

The amortization of amounts in Accumulated Other Comprehensive Income expected to be recognized as components of net 
periodic benefit expense during fiscal year 2019 are as follows (in thousands):

Amortization of net prior service cost

$

Amortization of net loss

1

5

- 76 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(9.)   BENEFIT PLANS (Continued)

Net pension cost for fiscal years 2018 and 2017 is comprised of the following (in thousands):

Service cost

Interest cost

Settlements loss

Expected return on assets

Recognized net actuarial loss

Net pension cost

2018

2017

2016

214

$

200

$

48

69
(17)
33

42

—
(19)
44

347

$

267

$

173

36

—
(18)
38

229

$

$

The weighted-average rates used in the actuarial valuations to determine the net pension cost for fiscal years 2018, 2017 and 
2016 were as follows:

Discount rate
Salary growth

Expected rate of return on assets

2018

3.1%
3.2%

1.3%

2017

2.9%
3.1%

1.5%

2016

2.3%
2.4%

2.0%

The weighted-average rates used in the actuarial valuations to determine the projected benefit obligation for fiscal years 2018, 
2017 and 2016 were as follows:

Discount rate

Salary growth

Expected rate of return on assets

2018

6.0%

4.1%

1.4%

2017

3.1%

3.2%

1.3%

2016

2.9%

3.1%

1.5%

The following table provides information by level for the defined benefit plan assets that are measured at fair value as of 
December 28, 2018 and December 29, 2017 (in thousands).  

December 28, 2018

Insurance contract
December 29, 2017

Insurance contract

Quoted
Prices in
Active
Markets
(Level 1)

Significant
Other
Observable
Inputs
(Level 2)

Significant
Unobservable
Inputs
(Level 3)

Fair Value

$

$

946

1,358

$

$

— $

946

— $

1,358

$

$

—

—

The fair value of Level 2 plan assets are obtained from quoted market prices in inactive markets or valuation models with 
observable market data inputs to estimate fair value.  These observable market data inputs include benchmark yields, reported 
trades, broker/dealer quotes, issuer spreads, benchmark securities, bids, offers and reference data.  Refer to Note 1 “Summary of 
Significant Accounting Policies” for discussion of the fair value measurement terms of Levels 1, 2, and 3.

Estimated benefit payments over for the next ten years as of December 28, 2018 are as follows (in thousands):

Estimated benefit payments

$

104

121

124

134

145

964

2019

2020

2021

2022

2023

2024-2028

- 77 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(10.)   STOCK-BASED COMPENSATION

Stock-based Compensation Plans

The Company maintains certain stock-based compensation plans that were approved by the Company’s stockholders and are 
administered by the Board of Directors, or the Compensation and Organization Committee of the Board.  The stock-based 
compensation plans provide for the granting of stock options, shares of restricted stock awards, restricted stock units, stock 
appreciation rights and stock bonuses to employees, non-employee directors, consultants, and service providers.

The 2009 Stock Incentive Plan (“2009 Plan”), as amended, and 2011 Stock Incentive Plan (“2011 Plan”), as amended, each 
authorize the issuance of up to 1,350,000 shares of equity incentive awards and the 2016 Stock Incentive Plan (the “2016 Plan”) 
authorizes the issuance of up to 1,450,000 shares of equity incentive awards.  The 2009 Plan limits the amount of restricted 
stock, restricted stock units and stock bonuses that may be awarded in the aggregate to 200,000 shares of the 1,350,000 shares 
authorized.  Stock options remain outstanding under the 2005 Stock Incentive Plan, but the plan has been frozen to any new 
award issuances.

As of December 28, 2018, there were 722,766, 119,866 and 65,190 shares available for future grants under the 2016 Plan, 2011 
Plan and 2009 Plan, respectively.  Due to plan sub-limits, of the shares available for grant, 7,488 shares may be awarded under 
the 2009 Plan in the form of restricted stock, restricted stock units or stock bonuses.

The Company recognized a net tax benefit from the exercise of stock options and vesting of restricted stock and restricted stock 
units of $3.8 million, $1.9 million and $2.3 million for 2018, 2017 and 2016, respectively.  Beginning in 2017, this amount was 
recorded as a component of income tax expense.  In 2016, these amounts were recorded as increases in additional paid-in 
capital on the Consolidated Balance Sheets and as cash from financing activities on the Consolidated Statements of Cash Flows.

Stock-based Compensation Expense

The components and classification of stock-based compensation expense for fiscal years 2018, 2017 and 2016 were as follows 
(in thousands):

2018

2017

2016

Stock options

RSAs and RSUs (time-based)

PRSUs

Stock-based compensation expense - continuing operations

Discontinued operations

Total stock-based compensation expense

Cost of sales

SG&A

RD&E

OOE

Discontinued operations

$

$

$

873

$

1,633

$

$

$

$

6,024

3,159

10,056

414

10,470

849

9,090

112

5

414

$

$

$

4,952

6,867

13,452

1,228

14,680

748

9,893

642

2,169

1,228

Total stock-based compensation expense

$

10,470

$

14,680

$

2,455

1,764

3,887

8,106

302

8,408

208

6,086

337

1,475

302

8,408

During the first quarter of 2017, the Company recorded $2.2 million of accelerated stock-based compensation expense in 
connection with the transition of its former Chief Executive Officer per the terms of his contract, which was classified as OOE.  
During the first quarter of 2016, the Company recorded $0.5 million of accelerated stock-based compensation expense in 
connection with the Spin-off, which was classified as OOE.

- 78 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(10.)   STOCK-BASED COMPENSATION (Continued)

Stock Options

The following table includes the weighted average grant date fair value of stock options granted to employees during fiscal 
years 2018, 2017 and 2016 and the related weighted average assumptions used in the Black-Scholes model:

Weighted average fair value of options granted

$

14.89

$

12.86

$

8.52

2018

2017

2016

Assumptions:

Expected term (in years)

Risk-free interest rate

Expected volatility

Expected dividend yield

4.0

2.21%

39%

0%

4.5

1.77%

37%

0%

4.7

1.49%

27%

0%

The following table summarizes stock option activity during the fiscal year ended December 28, 2018:

Outstanding at December 29, 2017

Granted

Exercised

Forfeited or expired

Outstanding at December 28, 2018

Vested and expected to vest at December 28, 2018

Exercisable at December 28, 2018

Number of
Stock
Options

Weighted
Average
Exercise
Price

931,353

$

28,447
(413,317)
(23,700)
522,783

522,783

488,468

$

$

$

30.89

45.13

30.02

41.28

31.88

31.88

31.37

Weighted
Average
Remaining
Contractual
Term
(in years)

Aggregate
Intrinsic
Value
(in millions)

5.8

5.8

5.6

$

$

$

23.1

23.1

21.8

Intrinsic value is calculated for in-the-money options (exercise price less than market price) as the difference between the 
market price of the Company’s common shares as of December 28, 2018 ($76.03) and the weighted average exercise price of 
the underlying stock options, multiplied by the number of options outstanding and/or exercisable.  As of December 28, 2018, 
$0.5 million of unrecognized compensation cost related to non-vested stock options is expected to be recognized over a 
weighted-average period of 1.2 years.  Shares are distributed from the Company’s authorized but unissued reserve upon the 
exercise of stock options.

The following table provides certain information relating to the exercise of stock options during fiscal years 2018, 2017 and 
2016 (in thousands):

Intrinsic value

Cash received

2018

2017

2016

$

17,722

$

13,928

$

12,409

19,324

690

2,821

- 79 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(10.)   STOCK-BASED COMPENSATION (Continued)

Restricted Stock Awards and Restricted Stock Units

The following table summarizes time-vested RSA and RSU activity during the fiscal year ended December 28, 2018: 

Nonvested at December 29, 2017

Granted

Vested

Forfeited

Nonvested at December 28, 2018

Time-Vested
Restricted 
Stock Units 
and Awards

Weighted
Average 
Grant Date
Fair Value

163,431

$

167,514
(134,423)
(54,286)
142,236

$

35.96

52.14

38.88

42.44

49.78

As of December 28, 2018, there was $5.8 million of total unrecognized compensation cost related to time-based RSAs and 
RSUs, which is expected to be recognized over a weighted-average period of approximately 2.3 years.  The fair value of RSA 
and RSU shares vested in 2018, 2017 and 2016 was $9.7 million, $6.4 million and $1.3 million, respectively.  The weighted 
average grant date fair value of RSAs and RSUs granted during fiscal years 2018, 2017 and 2016 was $52.14, $34.18 and 
$47.95, respectively.

Performance-Based Shares

The following table summarizes the maximum number of PRSUs which could be earned and related activity during the fiscal 
year ended December 28, 2018:

Nonvested at December 29, 2017

Granted

Vested

Forfeited

Nonvested at December 28, 2018

Performance-
Vested
Restricted 
Stock Units 
and Awards

Weighted
Average 
Grant Date
Fair Value

469,889

$

159,669
(161,674)
(180,750)
287,134

$

32.37

45.37

35.28

35.24

36.15

For the Company's PRSUs, in addition to service conditions, the ultimate number of shares to be earned depends on the 
achievement of financial performance or market-based conditions.  The financial performance condition is based on the 
Company's sales targets.  The market conditions are based on the Company’s achievement of a relative total shareholder return 
performance requirement, on a percentile basis, compared to a defined group of peer companies over two and three year 
performance periods.

Compensation expense for the PRSUs is initially estimated based on target performance and adjusted as appropriate throughout 
the performance period.  At December 28, 2018, there was $3.3 million of total unrecognized compensation cost related to 
unvested PRSUs, which is expected to be recognized over a weighted-average period of approximately 1.9 years.  The fair 
value of PRSU shares vested in 2018 and 2016 was $9.1 million and $10.5 million, respectively.   There were no PRSU shares 
vested in 2017.  The weighted average grant date fair value of PRSUs granted during fiscal years 2018, 2017 and 2016 was 
$45.37, $31.62 and $30.83, respectively.

The grant-date fair value of the market-based portion of the PRSUs granted during fiscal year 2018 was determined using the 
Monte Carlo simulation model on the date of grant, assuming the following (i) expected term of 2.92 years, (ii) risk free interest 
rate of 2.28%, (iii) expected dividend yield of 0.0% and (iv) expected stock price volatility over the expected term of the award 
of 40%.

- 80 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(11.)   OTHER OPERATING EXPENSES

OOE for fiscal years 2018, 2017 and 2016 is comprised of the following (in thousands):

Strategic reorganization and alignment

Manufacturing alignment to support growth

Consolidation and optimization initiatives

Acquisition and integration costs

Asset dispositions, severance and other

Other operating expenses

Strategic reorganization and alignment

2018

2017

2016

$

10,624

$

5,891

$

3,089

844

—

1,508

—

12,803

10,870

6,874

$

16,065

$

36,438

$

—

—

25,510

28,112

6,791

60,413

During the fourth quarter of 2017, the Company began to take steps to better align its resources in order to enhance the 
profitability of its portfolio of products. This includes improving its business processes and redirecting investments away from 
projects where the market does not justify the investment, as well as aligning resources with market conditions and the 
Company’s future strategic direction.  The Company estimates that it will incur aggregate pre-tax charges in connection with 
the strategic reorganization and alignment plan of between approximately $28 million to $30 million, of which an estimated 
$16 million to $20 million are expected to result in cash outlays.  During 2018, the Company incurred charges relating to this 
initiative which primarily included severance and personnel related costs for terminated employees and fees for professional 
services.  These expenses were primarily recorded within the Medical segment.  As of December 28, 2018, total expense 
incurred for this initiative since inception, including amounts reported in discontinued operations, was $16.5 million.  These 
actions are expected to be substantially completed by the end of 2019.

Manufacturing alignment to support growth 

In 2017, the Company initiated several initiatives designed to reduce costs, improve operating efficiencies and increase 
manufacturing capacity to accommodate growth.  The plan involves the relocation of certain manufacturing operations and 
expansion of certain of the Company's facilities.  The Company estimates that it will incur aggregate pre-tax restructuring 
related charges in connection with the realignment plan of between approximately $9 million to $11 million, the majority of 
which are expected to be cash expenditures, and capital expenditures of between approximately $4 million to $6 million. Costs 
related to the Company’s manufacturing alignment to support growth initiative were primarily recorded within the Medical 
segment.   As of December 28, 2018, total expense incurred for this initiative since inception was $3.4 million.  These actions 
are expected to be substantially completed by the end of 2019.

Consolidation and optimization initiatives

In 2014, the Company initiated plans to transfer certain manufacturing functions performed at its facility in Beaverton, OR to a 
new facility in Tijuana, Mexico.   Additionally, during 2016, the Company announced it would be closing its facility in 
Clarence, NY after transferring the machined component product lines manufactured in that facility to other Integer locations in 
the U.S.  Costs related to the Company’s consolidation and optimization initiatives were primarily recorded within the Medical 
segment.  The Company does not expect to incur any additional material costs associated with these activities as these activities 
are substantially complete.

The following table summarizes the change in accrued liabilities related to the initiatives described above (in thousands):

December 29, 2017

Restructuring charges

Write-offs

Cash payments

December 28, 2018

Severance
and
Retention

Accelerated
Depreciation/
Asset Write-
offs

Other

Total

1,308

$

— $

— $

3,812

—
(3,452)
1,668

514
(514)
—

$

— $

10,231

—
(10,029)
202

$

1,308

14,557
(514)
(13,481)
1,870

$

$

- 81 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(11.)   OTHER OPERATING EXPENSES (Continued)

Acquisition and Integration Expenses

The Company did not incur any additional costs associated with these activities during the year ended December 28, 2018. 
Acquisition and integration costs are predominantly related to the acquisition of LRM and primarily include professional, 
consulting, severance, retention, relocation, and travel costs.  Integration costs primarily include professional, consulting, 
severance, retention, relocation, and travel costs.  The $0.4 million of acquisition and integration costs accrued as of December 
29, 2017 were paid during the first quarter of 2018.  These projects were completed as of December 29, 2017.

Asset Dispositions, Severance and Other

During 2018, 2017 and 2016, the Company recorded losses in connection with various asset disposals and/or write-downs.  The 
2017 amount also includes approximately $5.3 million in expense related to the Company’s leadership transitions, which were 
recorded within the corporate unallocated segment.  In addition, the 2016 amount includes the legal and professional costs 
incurred in connection with the Spin-off of $4.4 million.  Expenses related to the Spin-off were primarily recorded within the 
corporate unallocated and the Medical segment.

(12.)   INCOME TAXES

On December 22, 2017, the Tax Cuts and Jobs Act of 2017 (the “Tax Reform Act”) was signed into law making significant 
changes to the Internal Revenue Code. Changes include, but are not limited to, a corporate tax rate decrease from 35% to 21% 
effective for tax years beginning after December 31, 2017, the transition of U.S international taxation from a worldwide tax 
system to a territorial system, and a one-time transition tax on the mandatory deemed repatriation of cumulative foreign 
earnings as of December 31, 2017.

Under GAAP, the effect of a change in tax laws or rates is to be recognized in income from continuing operations in the period 
that includes the enactment date.  As such, the Company recognized an estimate of the impact of the Tax Reform Act in the year 
ended December 29, 2017. The Company had an estimated $147.5 million of undistributed foreign earnings and profit subject 
to the deemed mandatory repatriation as of December 29, 2017 and recognized a provisional $14.7 million in 2017 for the one-
time transition tax. The Company has sufficient U.S. net operating losses to offset cash tax liabilities associated with the 
repatriation tax. In addition, as a result of the reduction in the U.S. corporate income tax rate from 35% to 21% under the Tax 
Reform Act, the Company revalued its ending net deferred tax liabilities at December 29, 2017 and recognized a $56.5 
million tax benefit in the Company’s Consolidated Statement of Operations for the year ended December 29, 2017.

On December 22, 2017, the SEC issued Staff Accounting Bulletin (“SAB”) No. 118 to address the application of GAAP in 
situations when a registrant does not have the necessary information available, prepared, or analyzed (including computations) 
in reasonable detail to complete the accounting for certain income tax effects of the Tax Reform Act. The Company recognized 
the tax impact of the revaluation of deferred tax assets and liabilities and the provisional tax impact related to deemed 
repatriated earnings and included these amounts in its consolidated financial statements for the year ended December 29, 2017.  
Based on additional analysis conducted, the Company updated the provisional amount of the one-time transition tax to $18.9 
million, representing an increase of $4.2 million over the $14.7 million amount recorded as of December 29, 2017. As stated 
above, the Company has sufficient U.S. net operating losses to offset cash tax liabilities associated with the repatriation tax. In 
part, due to the utilization of additional net operating losses to offset the additional transition tax, the Company adjusted its 
revaluation of the adjusted ending net deferred tax liabilities as of December 29, 2017, resulting in a recognized tax benefit 
of $60.7 million, representing an increase of $4.2 million to the originally recorded $56.5 million tax benefit recorded in the 
Company’s Consolidated Statement of Operations for the year ended December 29, 2017.

In 2018, the Company completed its determination of the accounting implications of the Tax Reform Act. The impact of these 
adjustments has been reflected in the Company’s financial results for the year ended December 28, 2018 and its timely filed 
2017 U.S. corporate income tax return. Further, the Company has adopted the approach of recording the consequences of the 
new Global Intangible Low-Taxed Income (“GILTI”) provision of the Tax Reform Act as a period cost when incurred.

- 82 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(12.)   INCOME TAXES (Continued)

Income from continuing operations before provision (benefit) for income taxes for fiscal years 2018, 2017 and 2016 consisted 
of the following (in thousands):

U.S.

International

Total income before income taxes from continuing operations

2018

2017

2016

$

$

(4,273) $
65,389

61,116

$

306

48,953

49,259

$

$

(12,547)
40,712

28,165

The provision (benefit) for income taxes from continuing operations for fiscal years 2018, 2017 and 2016 was comprised of the 
following from continuing operations (in thousands):

2018

2017

2016

Current:

Federal

State

International

Deferred:

Federal

State

International

$

80

$

166

9,490

9,736

6,610

103
(2,366)
4,347

Total provision (benefit) for income taxes

$

14,083

$

(1,558) $
(29)
8,539

6,952

(45,114)
(295)
629
(44,780)
(37,828) $

(8,327)
149

7,230
(948)

5,457

527
(1,749)
4,235

3,287

The provision (benefit) for income taxes from continuing operations differs from the U.S. statutory rate for fiscal years 2018, 
2017 and 2016 due to the following:

2018

2017

2016

Statutory rate

Federal tax credits

Foreign rate differential

Uncertain tax positions

State taxes, net of federal benefit

U.S. tax on foreign earnings

Valuation allowance

Tax Reform Act

Change in tax rates

Non-deductible transaction costs

Change in tax law (Internal Revenue Code §987)

Other

Effective tax rate

$ 12,834
(1,700)
(6,040)
147

975

10,473
(567)
11

—

—

21.0% $ 17,240
(1,674)
(2.8)
(12,934)
(9.9)
34
0.2
(543)
1,471

1.6

17.1
(0.9)
—

—

—

1,030
(39,394)
—

—

—
(2,050)
$ 14,083

—
—
(3,058)
(3.3)
23.0% $ (37,828)

35.0 % $

(3.4)

(26.3)

0.1

(1.1)

3.0

2.1

(80.0)

—

—

—

(6.2)

(76.8)% $

9,858
(1,570)
(9,665)
219
(311)
1,508

1,273

—
(270)
1,012

2,630
(1,397)
3,287

35.0%
(5.6)
(34.3)
0.8
(1.1)
5.4

4.5

—
(1.0)
3.6

9.3
(5.0)
11.7%

The difference between the Company’s effective tax rate and the U.S. federal statutory income tax rate in the current year is 
primarily attributable to the components of Tax Reform Act as well as the impact of the Company’s earnings realized in foreign 
jurisdictions with statutory rates that are different than the federal statutory rate. The Company’s foreign earnings are primarily 
derived from Switzerland, Mexico, Uruguay, and Ireland. In addition, the Company currently has a tax holiday in Malaysia 
through April 2023 provided certain conditions are met. Beginning in 2018, certain earnings realized in foreign jurisdictions are 
subject to U.S. tax in accordance with the Tax Reform Act. 

- 83 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(12.)   INCOME TAXES (Continued)

Difference Attributable to Foreign Investment: Certain foreign subsidiary earnings are subject to U.S. taxation under the Tax 
Reform Act.  The Company intends to permanently reinvest substantially all of our foreign subsidiary earnings, as well as our 
capital in our foreign subsidiaries, with the exception of distributions made out of current year earnings and profits (E&P) and 
E&P previously taxed as of and for the year ended December 29, 2017, including E&P subject to the toll charge under the Tax 
Reform Act.  The Company accrues for withholding taxes on distributions in the year that distributions are made. 

The net deferred tax liability, including discontinued operations at December 29, 2017, consists of the following (in thousands):

Net operating loss carryforwards
Tax credit carryforwards
Inventories
Accrued expenses
Stock-based compensation
Gross deferred tax assets

Less valuation allowance
Net deferred tax assets
Property, plant and equipment
Intangible assets
Convertible subordinated notes
Other

Gross deferred tax liabilities
Net deferred tax liability

Presented as follows:
Noncurrent deferred tax asset
Noncurrent deferred tax liability
Net deferred tax liability

The components of the net deferred tax liability, by balance sheet account, were as follows:

Deferred income tax asset

Noncurrent assets of discontinued operations held for sale

Deferred income tax liabilities

Noncurrent liabilities of discontinued operations held for sale

Net deferred tax liability

As of December 28, 2018, the Company has the following carryforwards available:

December 28,
2018

December 29,
2017

$

$

$

$

$

18,088
24,593
3,408
39
2,340
48,468
(34,339)
14,129
(9,445)
(198,648)
—
(6,009)
(214,102)
(199,973) $

107,005
28,215
4,956
3,815
5,531
149,522
(36,480)
113,042
(27,547)
(219,576)
(806)
(6,325)
(254,254)
(141,212)

$

3,937
(203,910)
(199,973) $

4,152
(145,364)
(141,212)

December 28,
2018

December 29,
2017

$

3,937

$

3,451

—
(203,910)
—

$

(199,973) $

701
(140,964)
(4,400)
(141,212)

Tax
Attribute

Amount
(in millions)

Begin to
Expire

Jurisdiction

U.S. Federal

U.S. State
International

U.S. Federal

Net operating loss

Net operating loss
Net operating loss

Foreign tax credit

U.S. Federal and State

R&D tax credit

U.S. State

Investment tax credit

Net operating losses are presented as pre-tax amounts.

39.1

130.6
31.1

17.0

3.6

6.8

2034

2019
2019

2019

2019

2019

$

- 84 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(12.)   INCOME TAXES (Continued)

Certain U.S. tax attributes are subject to limitations of Internal Revenue Code §382, which in general provides that utilization is 
subject to an annual limitation if an ownership change results from transactions increasing the ownership of certain 
shareholders or public groups in stock of a corporation by more than 50 percentage points over a three-year period. Such an 
ownership change occurred upon the consummation of the acquisition of LRM in 2015. The Company does not anticipate that 
these limitations will affect utilization of these carryforwards prior to their expiration.

The Company’s federal net operating loss carryforward and certain other federal tax credits reported on its income tax returns 
included uncertain tax positions taken in prior years. Due to the application of the accounting for uncertain tax positions, the 
actual tax attributes are larger than the tax amounts for which a deferred tax asset is recognized for financial statement 
purposes.

In assessing the realizability of deferred tax assets, management considers, within each taxing jurisdiction, whether it is more 
likely than not that some portion or all of the deferred tax assets will not be realized. Management considers the scheduled 
reversal of deferred tax liabilities, projected future taxable income and tax planning strategies in making this assessment. Based 
on the consideration of the weight of both positive and negative evidence, management has determined that a portion of the 
deferred tax assets as of December 28, 2018 and December 29, 2017 related to certain foreign tax credits, state investment tax 
credits, and foreign and state net operating losses will not be realized. 

The Company files annual income tax returns in the U.S., various state and local jurisdictions, and in various foreign 
jurisdictions. A number of years may elapse before an uncertain tax position, for which the Company has unrecognized tax 
benefits, is examined and finally settled. While it is often difficult to predict the final outcome or the timing of resolution of any 
particular uncertain tax position, the Company believes that its unrecognized tax benefits reflect the most probable outcome. 
The Company adjusts these unrecognized tax benefits, as well as the related interest, in light of changing facts and 
circumstances. The resolution of an uncertain tax position, if recognized, would be recorded as an adjustment to the Provision 
(Benefit) for Income Taxes and the effective tax rate in the period of resolution.

Below is a summary of changes to the unrecognized tax benefit for fiscal years 2018, 2017 and 2016.  The amounts for 2016 
and 2017 include discontinued operations.  The amounts for 2018 reflect discontinued operations through the date of divestiture 
of the AS&O product line, which is reflected in the table below as a reduction during 2018 (in thousands):

2018

2017

2016

Balance, beginning of year

$

12,088

$

10,561

$

Additions based upon tax positions related to the current year

Additions (reductions) related to prior period tax returns

Reductions relating to settlements with tax authorities

Reductions relating to divestiture

Reductions as a result of a lapse of applicable statute of limitations

Revaluation due to change in tax rate (Tax Reform Act)

Reductions relating to business combinations

300
(75)
(98)
(6,846)
—

—

—

3,833
(14)
—

—
(510)
(1,782)
—

Balance, end of year

$

5,369

$

12,088

$

9,271

1,450

240

—

—

—

—
(400)
10,561

Integer and its subsidiaries file income tax returns in the U.S. federal jurisdiction and various state and foreign jurisdictions. 
The tax years that remain open and subject to tax audits varies depending on the tax jurisdiction. The Internal Revenue Service 
finalized an audit of the 2012 and 2013 U.S. Federal income tax returns of the Company in the first quarter of 2015. The impact 
to the income tax expense was not material. The IRS is currently examining the U.S. subsidiaries of the Company for the 
taxable years 2014 - 2016 and the 2017 - 2018 taxable years remain subject to examination by the IRS.  The U.S. subsidiaries 
of the former LRM are still subject to U.S. federal, state, and local examinations for the taxable years 2006 to 2014.

It is reasonably possible that a reduction of approximately $0.9 million of the balance of unrecognized tax benefits may occur 
within the next twelve months as a result of the lapse of the statute of limitations and/or audit settlements. As of December 28, 
2018, approximately $5.3 million of unrecognized tax benefits would favorably impact the effective tax rate (net of federal 
impact on state issues), if recognized.

The Company recognizes interest related to unrecognized tax benefits as a component of Provision (Benefit) for Income Taxes 
on the Consolidated Statements of Operations.  During 2018, 2017 and 2016, the recorded amounts for interest and penalties, 
respectively, were not significant.

- 85 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(13.)   COMMITMENTS AND CONTINGENCIES

Litigation

In April 2013, the Company commenced an action against AVX Corporation and AVX Filters Corporation (collectively “AVX”) 
alleging that AVX had infringed on the Company’s patents by manufacturing and selling filtered feedthrough assemblies used in 
implantable pacemakers and cardioverter defibrillators that incorporate the Company’s patented technology.  Two juries in the 
U.S. District Court for the District of Delaware have returned verdicts finding that AVX infringed on three of the Company’s 
patents and awarded the Company $37.5 million in damages.  In March 2018, the U.S. District Court for the District of 
Delaware vacated the original damage award and ordered a retrial on damages.  In the January 2019 retrial on damages, the jury 
awarded the Company $22.2 million in damages.  That matter is subject to post-trial proceedings.  To date, the Company has 
recorded no gains in connection with this litigation.

The Company is a party to various other legal actions arising in the normal course of business. The Company does not expect 
that the ultimate resolution of any other pending legal actions will have a material effect on its consolidated results of 
operations, financial position, or cash flows. However, litigation is subject to inherent uncertainties. As such, there can be no 
assurance that any pending legal action, which the Company currently believes to be immaterial, will not become material in 
the future.

Environmental Matters

In January 2015, Lake Region Medical (“LRM”), which was acquired by the Company in October 2015, was notified by the 
New Jersey Department of Environmental Protection (“NJDEP”) of NJDEP’s intent to revoke a no further action determination 
made by NJDEP in favor of LRM in 2002 pertaining to a property on which a subsidiary of LRM operated a manufacturing 
facility in South Plainfield, New Jersey beginning in 1971. LRM sold the property in 2004 and vacated the facility in 2007. In 
response to NJDEP’s notice, the Company further investigated the matter and submitted a technical report to NJDEP in August 
of 2015 that concluded that NJDEP’s notice of intent to revoke was unwarranted.  After reviewing the Company’s technical 
report, NJDEP issued a draft response in May 2016, stating that NJDEP would not revoke the no further action determination at 
that time, but would require some additional site investigation to support the Company’s conclusion. The Company met with 
NJDEP representatives to discuss the appropriate scope of the requested additional investigation, and the requested additional 
investigation is ongoing.  The Company does not expect this environmental matter will have a material effect on its 
consolidated results of operations, financial position or cash flows.

License Agreements

The Company is a party to various license agreements for technology that is utilized in certain of its products. The most 
significant of these agreements are the licenses for basic technology used in the production of wet tantalum capacitors, filtered 
feedthroughs and MRI compatible lead systems. Expenses related to license agreements were $1.6 million, $1.1 million, and 
$1.0 million, for 2018, 2017 and 2016, respectively, and are primarily included in Cost of Sales.

Product Warranties

The Company generally warrants that its products will meet customer specifications and will be free from defects in materials 
and workmanship. The change in product warranty liability for fiscal years 2018 and 2017 was comprised of the following (in 
thousands):

Beginning balance

Additions to warranty reserve, net of reversals
Warranty claims settled

Ending balance

Operating Leases

2018

2017

2,820
620
(840)
2,600

$

$

2,764
917
(861)
2,820

$

$

The Company is a party to various operating lease agreements for buildings, machinery, equipment and software. The Company 
primarily leases buildings, which accounts for the majority of the future lease payments. Lease expense includes the effect of 
escalation clauses and leasehold improvement incentives which are accounted for ratably over the lease term. Operating lease 
expense for fiscal years 2018, 2017 and 2016 was as follows (in thousands):

Operating lease expense

2018

2017

2016

$

10,753

$

14,320

$

12,127

- 86 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(13.)   COMMITMENTS AND CONTINGENCIES (Continued)

At December 28, 2018, the Company had the following future minimum lease payments under non-cancelable operating leases 
(in thousands):

Future minimum lease payments

$

8,562

7,290

7,348

5,269

5,112

14,589

2019

2020

2021

2022

2023

After 2023

Self-Insurance Liabilities

As of December 28, 2018, and at various times in the past, the Company self-funded its workers' compensation and employee 
medical and dental expenses. The Company has established reserves to cover these self-insured liabilities and also maintains 
stop-loss insurance to limit its exposures under these programs.  Claims reserves represent accruals for the estimated uninsured 
portion of reported claims, including adverse development of reported claims, as well as estimates of incurred but not reported 
claims. Claims incurred but not reported are estimated based on the Company’s historical experience, which is continually 
monitored, and accruals are adjusted when warranted by changes in facts and circumstances.  The Company’s actual experience 
may be different than its estimates, sometimes significantly. Changes in assumptions, as well as changes in actual experience 
could cause these estimates to change. Insurance and claims expense will vary from period to period based on the severity and 
frequency of claims incurred in a given period. The Company’s self-insurance reserves totaled $4.2 million and $5.8 million as 
of December 28, 2018 and December 29, 2017, respectively. These accruals are recorded in Accrued Expenses and Other Long-
Term Liabilities in the Consolidated Balance Sheets. 

Foreign Currency Contracts

The Company periodically enters into foreign currency forward contracts to hedge its exposure to foreign currency exchange 
rate fluctuations in its international operations.  The Company has designated these foreign currency forward contracts as cash 
flow hedges.  The estimated Accumulated Other Comprehensive Income related to the Company’s foreign currency contracts 
that is expected to be reclassified into earnings within the next twelve months is a $0.7 million loss.

The impact to the Company’s results of operations from its forward contracts for fiscal years 2018, 2017 and 2016 was as 
follows (in thousands):

Increase (decrease) in sales

Increase (decrease) in cost of sales

Ineffective portion of change in fair value

2018

2017

2016

$

(758) $
(944)
—

1,327

$

84

—

—

3,516

—

Information regarding outstanding foreign currency contracts designated as cash flow hedges as of December 28, 2018 is as 
follows (dollars in thousands):

Aggregate
Notional
Amount

$

12,621

10,991

10,535

11,019

10,499

Start
Date

Jan 2019

Jan 2019

Jan 2019

Jan 2019

Jul 2019

End
Date

Jun 2019

Jun 2019

Jun 2019

Jun 2019

Dec 2019

$/Foreign
Currency

Fair
Value

Balance Sheet Location

$

1.1686

0.0523

1.1705

0.0483

0.0500

Euro

Peso

Euro

Peso

Peso

(149) Accrued Expenses
(494) Accrued Expenses
(141) Accrued Expenses
(316) Accrued Expenses
368 Accrued Expenses

- 87 -

(14.)   EARNINGS (LOSS) PER SHARE

The following table sets forth a reconciliation of the information used in computing basic and diluted EPS for fiscal years 2018, 
2017 and 2016 (in thousands, except per share amounts):

Numerator for basic and diluted EPS:

Income from continuing operations

Income (loss) from discontinued operations

Net income

Denominator for basic EPS:

Weighted average shares outstanding

Effect of dilutive securities:

Stock options, restricted stock and restricted stock units

Denominator for diluted EPS

Basic earnings (loss) per share:

Income from continuing operations

Income (loss) from discontinued operations

Basic earnings per share

Diluted earnings (loss) per share:

Income from continuing operations

Income (loss) from discontinued operations

Diluted earnings per share

$

$

$

$

2018

2017

2016

47,033

120,931

167,964

$

$

87,087
(20,408)
66,679

$

$

24,878
(18,917)
5,961

32,136

31,402

30,778

460

32,596

654

32,056

195

30,973

$

$

1.46

3.76

5.23

1.44

3.71

5.15

$

$

2.77
(0.65)
2.12

2.72
(0.64)
2.08

0.81
(0.61)
0.19

0.80
(0.61)
0.19

The diluted weighted average share calculations do not include the following securities for fiscal years 2018, 2017 and 2016, 
which are not dilutive to the EPS calculations or the performance criteria have not been met (in thousands):

Time-vested stock options, restricted stock and restricted stock units

Performance-vested stock options and restricted stock units

2018

2017

2016

237

144

676

285

657

357

- 88 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(15.)   ACCUMULATED OTHER COMPREHENSIVE INCOME

Accumulated Other Comprehensive Income is comprised of the following (in thousands): 

Defined
Benefit
Plan
Liability

Cash
Flow
Hedges

Foreign
Currency
Translation
Adjustment

Total
Pre-Tax
Amount

Net-of-
Tax
Amount

Tax

December 30, 2016

$

(1,475) $

1,420

$

(15,660) $ (15,715) $

Unrealized gain on cash flow hedges

Realized gain on foreign currency hedges

Realized gain on interest rate swap hedges

Net defined benefit plan adjustments

Foreign currency translation gain

—

—

—

53

—

3,707
(1,243)
(466)
—

—

—

—

—

3,707
(1,243)
(466)
53

—

65,860

65,860

December 29, 2017

$

(1,422) $

3,418

$

50,200

$

52,196

$

Unrealized gain on cash flow hedges

Realized gain on foreign currency hedges

Realized gain on interest rate swap hedges

Net defined benefit plan adjustments

Foreign currency translation loss
Reclassifications to earnings(1)
Reclassification to retained earnings(2)

—

—

—

232

—

895

—

1,904
(186)
(1,697)
—

—

—

—

—

—

—

—
(19,925)
264

—

1,904
(186)
(1,697)
232
(19,925)
1,159

—

(285) $ (16,000)
(353)
3,354
(808)
435
(303)
76

163

23

—
(17) $
(400)
39

356

70

—
(261)
(466)
(679) $

65,860

52,179

1,504
(147)
(1,341)
302
(19,925)
898
(466)
33,004

December 28, 2018
__________
(1)  Accumulated foreign currency translation losses of $0.3 million and defined benefit plan liabilities of $0.6 million (net of 
income taxes of $0.3 million) were reclassified to earnings in during 2018 as a result of the divestiture of the AS&O 
Product Line.

(295) $

30,539

33,683

3,439

$

$

$

$

(2)  Represents the stranded tax effects reclassified from accumulated other comprehensive income to retained earnings 

resulting from the adoption of ASU 2018-02 during the fourth quarter of 2018.  Refer to Note 1 “Summary of Significant 
Accounting Policies” for discussion of the adoption of ASU 2018-02.

The realized gains relating to the Company’s foreign currency hedges were reclassified from Accumulated Other 
Comprehensive Income and included in Cost of Sales or Sales as the transactions they are hedging occur.  The realized gains 
relating to the Company’s interest rate swap hedges were reclassified from Accumulated Other Comprehensive Income and 
included in Interest Expense as interest on the corresponding debt being hedged is accrued.  Refer to Note 9 “Benefit Plans” for 
details on the change in net defined benefit plan adjustments.

- 89 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(16.)   FAIR VALUE MEASUREMENTS

Assets and Liabilities Measured at Fair Value on a Recurring Basis

Fair value measurement standards apply to certain financial assets and liabilities that are measured at fair value on a recurring 
basis (each reporting period). For the Company, these financial assets and liabilities include its derivative instruments. The 
Company does not have any nonfinancial assets or liabilities that are measured at fair value on a recurring basis.

Foreign Currency Contracts

The fair value of foreign currency contracts are determined through the use of cash flow models that utilize observable market 
data inputs to estimate fair value. These observable market data inputs include foreign exchange rate and credit spread curves. 
In addition to the above, the Company received fair value estimates from the foreign currency contract counterparty to verify 
the reasonableness of the Company’s estimates. The Company’s foreign currency contracts are categorized in Level 2 of the fair 
value hierarchy. The fair value of the Company’s foreign currency contracts will be realized as Sales or Cost of Sales as the 
inventory, which the contracts are hedging, is sold.

Interest Rate Swap

The fair value of the Company’s interest rate swap outstanding at December 28, 2018 was determined through the use of a cash 
flow model that utilized observable market data inputs. These observable market data inputs included LIBOR, swap rates, and 
credit spread curves. In addition to the above, the Company received a fair value estimate from the interest rate swap 
counterparty to verify the reasonableness of the Company’s estimate.  This fair value calculation was categorized in Level 2 of 
the fair value hierarchy.  The fair value of the Company’s interest rate swap will be realized as a component of Interest Expense 
as interest on the corresponding borrowings is accrued.

The following tables provide information regarding assets and liabilities recorded at fair value on a recurring basis (in 
thousands):

Quoted
Prices in
Active
Markets
(Level 1)

Significant
Other
Observable
Inputs
(Level 2)

Significant
Unobservable
Inputs
(Level 3)

Fair Value

December 28, 2018

Assets:  Interest rate swap (Note 8)

Liabilities:  Foreign currency contracts (Note 13)

December 29, 2017

Assets:  Interest rate swaps (Note 8)

Liabilities:  Foreign currency contracts (Note 13)

$

$

4,171

$

732

— $

—

4,171

$

732

4,279

$

861

— $

—

4,279

$

861

—

—

—

—

Assets and Liabilities Measured at Fair Value on a Nonrecurring Basis

Fair value standards also apply to certain assets and liabilities that are measured at fair value on a nonrecurring basis. The 
carrying amounts of cash, accounts receivable, accounts payable and accrued expenses approximate fair value due to the short-
term nature of these items.

Borrowings under the Company’s Revolving Credit Facility, TLA Facility and TLB Facility accrue interest at a floating rate 
tied to a standard short-term borrowing index, selected at the Company’s option, plus an applicable margin.  The carrying 
amount of this floating rate debt approximates fair value based upon the respective interest rates adjusting   with market rate 
adjustments.

- 90 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(16.)   FAIR VALUE MEASUREMENTS (Continued)

Equity Investments

Equity investments are comprised of the following (in thousands):

Equity method investment

Non-marketable equity securities

Total equity investments

December 28,
2018

December 29,
2017

$

$

15,148

7,667

22,815

$

$

13,800

7,008

20,808

The components of (Gain) Loss on Equity Investments, Net for each period were as follows (in thousands):

Equity method investment income and other(1)
Impairment charges(2)

Total (gain) loss on equity investments, net

2018

2017

2016

$

$

(5,623) $
—
(5,623) $

(3,685) $
5,250

1,565

$

(737)
1,570

833

__________
(1)  Equity method investment income and other includes the Company’s share of equity method investee gains (losses) and 

realized gains on sales of non-marketable equity investments.

(2)  Prior to the adoption of ASU 2016-01, the Company accounted for its non-marketable equity securities under the cost 
method of accounting.  The other than temporary impairment charges during 2017 and 2016 relate to non-marketable 
equity securities under the cost method of accounting.

There were no observable price adjustments on non-marketable equity securities related to the adoption of ASU 2016-01 in 
2018 and this is not applicable in prior periods.

Equity method investments and non-marketable equity securities, as described above, are included within Level 2 of the fair 
value hierarchy.

The Company’s equity method investment is in a Chinese venture capital fund focused on investing in life sciences companies. 
As of December 28, 2018, the Company owned 6.7% of this fund.

Pension Plan Assets

The fair value of the Company’s pension plan assets disclosed in Note 9 “Benefit Plans” are determined based upon quoted 
market prices in inactive markets or valuation models with observable market data inputs to estimate fair value. These 
observable market data inputs include benchmark yields, reported trades, broker/dealer quotes, issuer spreads, benchmark 
securities, bids, offers and reference data. The Company’s pension plan assets are categorized Level 2 of the fair value 
hierarchy.

(17.)   SEGMENT AND GEOGRAPHIC INFORMATION

The Company organizes its business into two reportable segments: (1) Medical and (2) Non-Medical. This segment structure 
reflects the financial information and reports used by the Company’s management, specifically its Chief Operating Decision 
Maker (“CODM”), to make decisions regarding the Company’s business, including resource allocations and performance 
assessments. This segment structure reflects the Company’s current operating focus in compliance with ASC 280, Segment 
Reporting.

The Company defines segment income from operations as sales less cost of sales including amortization and expenses 
attributable to segment-specific selling, general, administrative, research, development, engineering and other operating 
activities.  The remaining unallocated operating and other expenses are primarily administrative corporate headquarter expenses 
and capital costs that are not allocated to reportable segments. Transactions between the two segments are not significant.

- 91 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(17.)   SEGMENT AND GEOGRAPHIC INFORMATION (Continued)

The following table presents sales by product line for fiscal years 2018, 2017 and 2016 (in thousands).

Segment sales by product line:

Medical

Cardio & Vascular

Cardiac & Neuromodulation

Advanced Surgical, Orthopedics & Portable Medical

Total Medical

Non-Medical

Total sales

2018

2017

2016

$

585,464

$

530,831

$

443,347

133,225

428,275

120,006

484,891

439,375

109,557

1,162,036

1,079,112

1,033,823

52,976

56,968

41,679

$

1,215,012

$

1,136,080

$

1,075,502

A significant portion of the Company’s sales for fiscal years 2018, 2017 and 2016 and accounts receivable at December 28, 
2018 and December 29, 2017 were to three customers as follows:

Customer A

Customer B
Customer C

Sales

2017

22%

20%
11%
53%

2018

21%

19%
12%
52%

2016

24%

21%
12%
57%

Accounts Receivable

December 28,
2018

December 29,
2017

11%

18%
20%
49%

11%

21%
20%
52%

The following table presents income from operations for the Company’s reportable segments for fiscal years 2018, 2017 and 
2016 (in thousands).

Segment income from operations:

Medical

Non-Medical

Total segment income from operations

Unallocated operating expenses

Operating income

Unallocated expenses, net

2018

2017

2016

$

224,893

$

197,212

$

170,101

14,697

239,590
(84,035)
155,555
(94,439)
61,116

$

11,335

208,547
(82,898)
125,649
(76,390)
49,259

$

1,513

171,614
(78,691)
92,923
(64,758)
28,165

Income before benefit for income taxes

$

The following table presents depreciation and amortization expense for the Company’s reportable segments for fiscal years 
2018, 2017 and 2016 (in thousands).

Segment depreciation and amortization:

Medical

Non-Medical

Total depreciation and amortization included in segment
   income from operations

Unallocated depreciation and amortization

Total depreciation and amortization

2018

2017

2016

$

71,922

$

72,314

$

1,364

73,286

8,252

2,675

74,989

6,194

$

81,538

$

81,183

$

65,528

2,346

67,874

4,994

72,868

- 92 -

 
 
INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(17.)   SEGMENT AND GEOGRAPHIC INFORMATION (Continued)

The following table presents total assets for the Company’s reportable segments as of December 28, 2018 and December 29, 
2017 (in thousands).

December 28,
2018

December 29,
2017

$

2,186,565

$

2,687,227

53,812

2,240,377

86,304

54,071

2,741,298

107,047

$

2,848,345

Identifiable assets:

Medical(1)
Non-Medical

Total reportable segments

Unallocated assets

Total assets
__________
(1)  Medical segment identifiable assets at December 29, 2017 includes $451.4 million of assets held sale.

$

2,326,681

The following table presents capital expenditures for the Company’s reportable segments for fiscal years 2018, 2017 and 2016 
(in thousands).

Expenditures for tangible long-lived assets:

Medical

Non-Medical

Total reportable segments

Unallocated long-lived tangible assets

Total expenditures

Geographic Area Information

2018

2017

2016

$

$

34,615

$

20,896

$

573

35,188

6,110

661

21,557

8,783

41,298

$

30,340

$

27,014

1,451

28,465

8,251

36,716

The following table presents sales by significant country for fiscal years 2018, 2017 and 2016.  In these tables, sales are 
allocated based on where the products are shipped (in thousands).

Sales by geographic area:

United States

Non-Domestic locations:

Puerto Rico

Costa Rica

Rest of world

Total sales

2018

2017

2016

$

687,259

$

662,133

$

625,670

146,500

62,044

319,209

140,184

55,364

278,399

162,343

53,501

233,988

$

1,215,012

$

1,136,080

$

1,075,502

The following table presents PP&E by geographic area as of December 28, 2018 and December 29, 2017.  In these tables, 
PP&E is aggregated based on the physical location of the tangible long-lived assets (in thousands).

Long-lived tangible assets by geographic area:

United States

Mexico

Ireland

Rest of world

Total

- 93 -

December 28,
2018

December 29,
2017

$

151,851

$

157,808

34,606

32,190

12,622

28,985

33,992

14,395

$

231,269

$

235,180

 
INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(17.)   SEGMENT AND GEOGRAPHIC INFORMATION (Continued)

Disaggregation of Revenue by Segment

In general, the Company's business segmentation is aligned according to the nature and economic characteristics of its products 
and customer relationships and provides meaningful disaggregation of each business segment's results of operations. 
Additionally, the tables below disaggregate the Company’s revenues based upon significant customers, which are defined as 
any customer who individually represents 10% or more of a segment’s total revenues, and ship to country, which is defined as 
any country where 10% or more of a segment’s total revenues are shipped to.  The Company believes that these categories best 
depict how the nature, amount, timing and uncertainty of revenues and cash flows are affected by economic factors.

The following table presents sales by customer for fiscal year 2018.

Customer

Customer A

Customer B

Customer C

Customer D

All other customers

The following table presents revenues by ship to country for fiscal year 2018.

Ship to Location

United States

Puerto Rico

Canada

All other Countries

Medical

22%

19%

12%

—%

47%

Medical

56%

13%

—%

31%

  Non-Medical
—%

—%

—%

28%

72%

  Non-Medical
66%

—%

11%

23%

(18.)   QUARTERLY SALES AND EARNINGS DATA—UNAUDITED

(in thousands, except per share data)
Fiscal Year 2018

Sales

Gross profit

Net income (loss)

EPS—basic

EPS—diluted

Fiscal Year 2017

Sales

Gross profit

Net income

EPS—basic

EPS—diluted
__________

Fourth
Quarter

Third
Quarter

Second
Quarter

First
Quarter

$

303,034

$

305,088

$

314,464

$

292,426

88,445

19,196

0.59

0.58

91,923
(8,303) (1)
(0.26)
(0.26)

98,765

23,056

0.72

0.70

83,532

13,084

0.41

0.40

$

302,260

$

286,168

$

280,916

$

266,736

93,621
54,698 (2)
1.73

1.69

89,186

19,882

0.63

0.62

89,175

9,559

0.31

0.30

82,028

2,948

0.10

0.09

(1) 

(2) 

Includes pre-tax charges totaling $41 million for the extinguishment of debt, primarily in connection with the divestiture of 
the AS&O Product Line.

Includes one-time net tax benefit of $40 million, primarily resulting from the Tax Reform Act.

- 94 -

ITEM 9. 

CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND
FINANCIAL DISCLOSURE

None.

ITEM 9A.  CONTROLS AND PROCEDURES

Management’s Report on Internal Control Over Financial Reporting appears in Part II, Item 8, “Financial Statements and 
Supplementary Data” of this report and is incorporated into this Item 9A by reference.

a. Evaluation of Disclosure Controls and Procedures

Our management, including the principal executive officer and principal financial officer, evaluated our disclosure controls and 
procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934) related to the recording, 
processing, summarization and reporting of information in our reports that we file with the Securities and Exchange Commission 
as of December 28, 2018. These disclosure controls and procedures have been designed to provide reasonable assurance that 
material information relating to us, including our subsidiaries, is made known to our management, including these officers, by our 
employees, and that this information is recorded, processed, summarized, evaluated and reported, as applicable, within the time 
periods specified in the Securities and Exchange Commission’s rules and forms. Based on their evaluation, as of December 28, 
2018, our principal executive officer and principal financial officer have concluded that our disclosure controls and procedures are 
effective.

b. Changes in Internal Control Over Financial Reporting

There were no changes in our internal control over financial reporting during our last fiscal quarter to which this Annual Report 
on Form 10-K relates that have materially affected, or are reasonably likely to materially affect, internal control over financial 
reporting.

ITEM 9B.  OTHER INFORMATION

None.

- 95 -

ITEM 10.  DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE

PART III

Information regarding the Company’s directors appearing under the caption “Election of Directors” in the Company’s Proxy 
Statement for its 2019 Annual Meeting of Stockholders is incorporated herein by reference.

Information regarding the Company’s executive officers is presented under the caption “Executive Officers of the Company” in 
Part I of this Annual Report on Form 10-K.

The other information required by Item 10 is incorporated herein by reference from the Company’s Proxy Statement for its 
2019 Annual Meeting of Stockholders.

ITEM 11.  EXECUTIVE COMPENSATION

Information regarding executive compensation appearing under the captions “Compensation Discussion and Analysis”, 
“Executive Compensation” and “Compensation Committee Interlocks and Insider Participation” in the Company’s Proxy 
Statement for the 2019 Annual Meeting of Stockholders is incorporated herein by reference.

ITEM 12.  SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND

RELATED STOCKHOLDER MATTERS

Information regarding security ownership of certain beneficial owners and management and related stockholder matters, including 
the table titled “Equity Compensation Plan Information” and under the caption “Stock Ownership by Directors and Executive 
Officers” in the Company’s Proxy Statement for the 2019 Annual Meeting of Stockholders is incorporated herein by reference.

ITEM 13.  CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS, AND DIRECTOR INDEPENDENCE

Information regarding certain relationships and related transactions, and director independence under the captions “Related 
Person Transactions” and “Board Independence” in the Company’s Proxy Statement for the 2019 Annual Meeting of Stockholders 
is incorporated herein by reference.

ITEM 14.  PRINCIPAL ACCOUNTANT FEES AND SERVICES

Information regarding the fees paid to and services provided by Deloitte & Touche LLP, the Company’s independent registered 
public accounting firm under the caption “Ratification of the Appointment of Independent Registered Public Accounting Firm” in 
the Company’s Proxy Statement for the 2019 Annual Meeting of Stockholders is incorporated herein by reference.

- 96 -

ITEM 15.  EXHIBITS AND FINANCIAL STATEMENT SCHEDULES

PART IV

(a)   LIST OF DOCUMENTS FILED AS PART OF THIS REPORT

(1)  Financial statements and financial statement schedules filed as part of this Annual Report on Form 10-K. Refer to Part II, 

Item 8. “Financial Statements and Supplementary Data.”

(2)  The following financial statement schedule is included in this Annual Report on Form 10-K (in thousands):

Schedule II—Valuation and Qualifying Accounts

Col. C—Additions

Col. B 
Balance at 
Beginning
of Period

Charged 
to Costs 
&
Expenses

Charged
to Other
Accounts-
Describe

Col. D 
Deductions
- Describe

Col. E 
Balance at 
End of
Period

Column A
Description
December 28, 2018

Allowance for doubtful accounts

Valuation allowance for deferred tax assets
December 29, 2017

Allowance for doubtful accounts

Valuation allowance for deferred tax assets
December 30, 2016

$

536

$ 36,480

$

475

$ 35,391

Allowance for doubtful accounts

$

639

Valuation allowance for deferred tax assets

$ 39,171

$

$

$

$

$

$

169

—

$

$

(2) (2)
(170) (2)

194

$
3,284 (1) $

—

—

$

$

$

$

(111) (4)

592
(1,971) (1)(4)(5) $ 34,339

$

(133) (4)
(2,195) (4)(5)

$

536

$ 36,480

(90)
$
641 (1) $

—

$
(5,135) (2)(3) $

(74) (4)
714 (5)

$

475

$ 35,391

(1)  Valuation allowance recorded in the provision for income taxes for certain net operating losses and tax credits. The 

decrease in 2018 includes the impact of the divestiture of the AS&O Product Lines.  The increase in 2017 includes the 
impact of the adoption of the Tax Reform Act, which increased the value of our state deferred tax assets to which a 
corresponding valuation allowance was recorded.

(2) 

Includes foreign currency translation effect.

(3)  Amount represents measurement-period adjustments related to the acquisition of LRM.
(4)  Accounts written off.
(5) 

Includes return to provision adjustments for prior years.

Schedules not listed above have been omitted because the information required to be set forth therein is not applicable or is 
shown in the financial statements or notes thereto.

(3)  See exhibits listed under Part (b) below. 

(b)   EXHIBITS:

EXHIBIT
NUMBER

DESCRIPTION

2.1

2.2

2.3

Agreement and Plan of Merger, dated as of August 27, 2015, by and among Lake Region Medical Holdings, Inc., 
Greatbatch, Inc. and Provenance Merger Sub Inc. (incorporated by reference to Exhibit 2.1 to our Current Report 
on Form 8-K filed on August 31, 2015).

Separation and Distribution Agreement, dated March 14, 2016, between Greatbatch, Inc. and QiG Group, LLC 
(incorporated by reference to Exhibit 2.1 to our Current Report on Form 8-K filed on March 18, 2016).

Master Purchase and Sale Agreement, dated as of May 3, 2018, by and among Greatbatch Ltd., Bandera 
Acquisition, LLC and, solely for purposes of being bound by Section 10.1(f), Section 10.3 and Section 11.13, 
Integer Holdings Corporation (incorporated by reference to Exhibit 2.1 to our Current Report on Form 8-K filed on 
July 9, 2018).

- 97 -

 
 
 
 
 
 
 
EXHIBIT
NUMBER

DESCRIPTION

3.1

3.2

10.1#

10.2#

10.3

10.4

10.5

10.6

10.7#

10.8#

10.9#

10.10#

10.11#

10.12#

10.13#

10.14#

10.15#

10.16#

10.17#

10.18#

Restated Certificate of Incorporation of Integer Holdings Corporation (incorporated by reference to Exhibit 3.1 to 
our Quarterly Report on Form 10-Q for the period ended July 1, 2016).

By-laws of Integer Holdings Corporation (Amended as of August 3, 2016) (incorporated by reference to Exhibit 
3.2 to our Quarterly Report on Form 10-Q for the period ended July 1, 2016).

Integer Holdings Corporation Executive Short Term Incentive Compensation Plan (incorporated by reference to 
Exhibit A to our Definitive Proxy Statement on Schedule 14A filed on April 17, 2017).

Form of Change of Control Agreement between Integer Holdings Corporation and its executive officers (Jason K. 
Garland, Jennifer M. Bolt, Jeremy Friedman, Antonio Gonzalez, Michael L. Spencer, Joseph Flanagan, Kirk Thor, 
and Payman Khales) (incorporated by reference to Exhibit 10.8 to our Annual Report on Form 10-K for the year 
ended December 28, 2012).

Credit Agreement, dated as of October 27, 2015, by among Greatbatch Ltd., as the borrower, Greatbatch, Inc., as 
parent, the financial institutions party thereto and Manufacturers and Traders Trust Company, as administrative 
agent (incorporated by reference to Exhibit 10.1 to our Current Report on Form 8-K filed on October 28, 2015).

Amendment No. 1 to Credit Agreement, dated as of November 29, 2016, between Greatbatch Ltd., as the borrower, 
and Manufacturers and Traders Trust Company, as administrative agent, and the Lenders party thereto. 
(incorporated by reference to Exhibit 10.8 to our Annual Report on Form 10-K for the year ended December 30, 
2016).

Amendment No. 2 to Credit Agreement, dated as of March 17, 2017, between Greatbatch Ltd., as the borrower, and 
Manufacturers and Traders Trust Company, as administrative agent, and the Lenders party thereto (incorporated by 
reference to Exhibit 10.1 to our Current Report on Form 8-K filed on March 20, 2017).

Amendment No. 3 to Credit Agreement, dated as of November 7, 2017, between Greatbatch Ltd., as the borrower, 
and Manufacturers and Traders Trust Company, as administrative agent, and the Lenders party thereto 
(incorporated by reference to Exhibit 10.1 to our Current Report on Form 8-K filed on November 7, 2017).

Employment Agreement, dated July 16, 2017, between Integer Holdings Corporation and Joseph W. Dziedzic 
(incorporated by reference to Exhibit 10.1 to our Current Report on Form 8-K filed on July 17, 2017).

2005 Stock Incentive Plan (incorporated by reference to Exhibit B to our Definitive Proxy Statement on Schedule 
14A filed on April 20, 2007 (File No. 001-16137)).

2009 Stock Incentive Plan (incorporated by reference to Exhibit A to our Definitive Proxy Statement on Schedule 
14A filed on April 13, 2009 (File No. 001-16137)).

2011 Stock Incentive Plan (incorporated by reference to Exhibit A to our Definitive Proxy Statement on Schedule 
14A filed on April 14, 2014).

Greatbatch, Inc. 2016 Stock Incentive Plan  (incorporated by reference to Exhibit A to our Definitive Proxy 
Statement on Schedule 14A filed on April 18, 2016).

Amendment to Greatbatch, Inc. 2011 Stock Incentive Plan, Greatbatch, Inc. 2009 Stock Incentive Plan, Greatbatch, 
Inc. 2005 Stock Incentive Plan (incorporated by reference to Exhibit 10.14 to our Annual Report on Form 10-K for 
the year ended January 3, 2014).  

Second Amendment to Greatbatch, Inc. 2011 Stock Incentive Plan and Greatbatch, Inc. 2009 Stock Incentive Plan 
(incorporated by reference to Exhibit 10.15 to our Annual Report on Form 10-K for the year ended December 30, 
2016).

Amendment to Greatbatch, Inc. 2016 Stock Incentive Plan (incorporated by reference to Exhibit 10.16 to our 
Annual Report on Form 10-K for the year ended December 30, 2016).

Form of Restricted Stock Award Agreement (incorporated by reference to Exhibit 10.15 to our Annual Report on 
Form 10-K for the year ended January 3, 2014). 

Form of Performance-Based Restricted Stock Units Award Agreement (incorporated by reference to Exhibit 10.3 to 
our Quarterly Report on Form 10-Q for the period ended March 31, 2017).

Form of Nonqualified Stock Option Award Letter (incorporated by reference to Exhibit 10.1 to our Quarterly 
Report on Form 10-Q for the period ended March 31, 2017).

Form of  Restricted Stock Units Award Letter (incorporated by reference to Exhibit 10.2 to our Quarterly Report on 
Form 10-Q for the period ended March 31, 2017).

- 98 -

EXHIBIT
NUMBER

10.19#

10.20

10.21

10.22

10.23

10.24#

10.25#

10.26#

10.27#

10.28

10.29#

10.30#

10.31#*

10.32#*

21.1*

23.1*

31.1*

31.2*

32.1**

DESCRIPTION

Form of Time-Based Restricted Stock Units Award Letter to Interim President and Chief Executive Officer 
(incorporated by reference to Exhibit 10.4 to our Quarterly Report on Form 10-Q for the period ended March 31, 
2017).

Transition Services Agreement, dated March 14, 2016, between Greatbatch, Inc. and QiG Group, LLC 
(incorporated by reference to Exhibit 10.1 to our Current Report on Form 8-K filed on March 18, 2016).

Amendment No. 1 to the Transition Services Agreement between Greatbatch, Inc. and Nuvectra Corporation 
(incorporated by reference to Exhibit 10.1 to our Quarterly Report on Form 10-Q for the period ended July 1, 
2016).

Tax Matters Agreement, dated March 14, 2016, between Greatbatch, Inc. and QiG Group, LLC (incorporated by 
reference to Exhibit 10.2 to our Current Report on Form 8-K filed on March 18, 2016).

Employee Matters Agreement, dated March 14, 2016, between Greatbatch, Inc. and QiG Group, LLC (incorporated 
by reference to Exhibit 10.3 to our Current Report on Form 8-K filed on March 18, 2016).

Employment Offer Letter, dated October 7, 2016, between Integer Holdings Corporation and Jeremy Friedman 
(incorporated by reference to Exhibit 10.1 to our Quarterly Report on Form 10-Q for the period ended September 
30, 2016).

Employment Offer Letter, dated February 13, 2017, between Integer Holdings Corporation and Gary J. Haire 
(incorporated by reference to Exhibit 10.5 to our Quarterly Report on Form 10-Q for the period ended March 31, 
2017).

Letter dated February 18, 2018, amending certain terms of the Employment Offer Letter, dated October 7, 2016, 
between Integer Holdings Corporation and Jeremy Friedman (incorporated by reference to Exhibit 10.1 to our 
Quarterly Report on Form 10-Q for the period ended March 30, 2018).

Release Agreement and Acknowledgement, dated May 25, 2018, between Integer Holdings Corporation and Gary 
J. Haire (incorporated by reference to Exhibit 10.1 to our Quarterly Report on Form 10-Q for the period ended June 
29, 2018).

Amendment No. 4 to Credit Agreement, dated as of June 8, 2018, among Greatbatch Ltd., as the borrower, Integer 
Holdings Corporation, as parent, Manufacturers and Traders Trust Company, as administrative agent, and the 
Lenders party thereto. (incorporated by reference to Exhibit 10.1 to our Current Report on Form 8-K filed on June 
8, 2018).

Employment Offer Letter, dated September 14, 2018, between Integer Holdings Corporation and Jason Garland 
(incorporated by reference to Exhibit 10.1 to our Quarterly Report on Form 10-Q for the period ended September 
28, 2018).

Form of Change of Control Agreement between Greatbatch, Inc. and Timothy G. McEvoy (incorporated by 
reference to Exhibit 10.1 to our Quarterly Report on Form 10-Q for the period ended July 1, 2011 (File No. 
001-16137)).

Amendment to Greatbatch, Inc. 2016 Stock Incentive Plan, Greatbatch, Inc. 2011 Stock Incentive Plan, Greatbatch, 
Inc. 2009 Stock Incentive Plan.

Separation Agreement and Release, dated December 31, 2018, between Integer Holdings Corporation and Jeremy 
Friedman.

Subsidiaries of Integer Holdings Corporation

Consent of Independent Registered Public Accounting Firm

Certification of Chief Executive Officer pursuant to Rule 13a-14(a) of the Securities Exchange Act.

Certification of Chief Financial Officer pursuant to Rule 13a-14(a) of the Securities Exchange Act.

Certification of Chief Executive Officer and Chief Financial Officer pursuant to 18 U.S.C. Section 1350 as adopted 
pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

101.INS* XBRL Instance Document

101.SCH* XRBL Taxonomy Extension Schema Document

101.CAL* XBRL Taxonomy Extension Calculation Linkbase Document

- 99 -

EXHIBIT
NUMBER

DESCRIPTION

101.LAB* XBRL Taxonomy Extension Labels Linkbase Document

101.PRE* XBRL Taxonomy Extension Presentation Linkbase Document

101.DEF* XBRL Taxonomy Extension Definition Linkbase Document

* -
** -
# -

Filed herewith.
Furnished herewith.
Indicates exhibits that are management contracts or compensation plans or arrangements required to be filed pursuant
to Item 15(b) of Form 10-K.

ITEM 16.  FORM 10-K SUMMARY

None.

- 100 -

Pursuant to the requirements of Sections 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.

INTEGER HOLDINGS CORPORATION

SIGNATURES

Dated: February 22, 2019

By /s/ Joseph W. Dziedzic

Joseph W. Dziedzic (Principal Executive Officer)

President and Chief Executive Officer

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 date indicated. 

Signature

Title

Date

President, Chief Executive Officer and Director

February 22, 2019

(Principal Executive Officer)

Executive Vice President and Chief Financial Officer

February 22, 2019

(Principal Financial Officer)

Vice President, Corporate Controller

(Principal Accounting Officer)

February 22, 2019

Chairman

February 22, 2019

/s/ Joseph W. Dziedzic

Joseph W. Dziedzic

/s/ Jason K. Garland

Jason K. Garland

/s/ Tom P. Thomas

Tom P. Thomas

/s/ Bill R. Sanford

Bill R. Sanford

/s/ Pamela G. Bailey

Pamela G. Bailey

/s/ James F. Hinrichs

James F. Hinrichs

/s/ Jean M. Hobby

Jean M. Hobby

/s/ M. Craig Maxwell

M. Craig Maxwell

/s/ Filippo Passerini

Filippo Passerini

/s/ Peter H. Soderberg

Peter H. Soderberg

/s/ Donald J. Spence

Donald J. Spence

Director

Director

Director

Director

Director

Director

Director

/s/ William B. Summers, Jr.

Director

William B. Summers, Jr.

- 101 -

February 22, 2019

February 22, 2019

February 22, 2019

February 22, 2019

February 22, 2019

February 22, 2019

February 22, 2019

February 22, 2019

SUBSIDIARIES OF INTEGER HOLDINGS CORPORATION

EXHIBIT 21.1

Subsidiary

Brivant Limited, d/b/a Lake Region Medical

Jurisdiction of

Ireland

Centro de Construcción de Cardioestimuladores del Uruguay SA

Uruguay

Electrochem Solutions, Inc.

Massachusetts

Greatbatch European Business Development Organization, SA

Switzerland

Greatbatch Ltd., d/b/a Greatbatch Medical

Greatbatch Medical, S. de R.L. de C.V.

Greatbatch Medical SA

Greatbatch MCSO, S. de R.L. de C.V

Greatbatch Netherlands B.V.

Integer Finance GmbH

Integer (Switzerland) GmbH

New York

Mexico

Switzerland

Mexico

Netherlands

Switzerland

Switzerland

Lake Region Manufacturing, Inc., d/b/a Lake Region Medical

Minnesota

Lake Region Medical Limited

Ireland

Lake Region Medical, Inc., d/b/a Lake Region Medical

Maryland

Lake Region Medical Holdings Limited

Lake Region Medical Sdn. Bhd.

Lake (Shanghai) Medical Device Trading Co., Ltd.

Venusa de Mexico, S. de R.L. de C.V.

Venusa, Ltd

Ireland

Malaysia

China

Mexico

New York

EXHIBIT 23.1

CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

We consent to the incorporation by reference in Registration Statement Nos. 333-61476, 333-97209, 333-129002, 
333-143519, 333-161159, 333-174559, 333-184604, 333-196320, and 333-211609 on Form S-8, and Registration 
Statement No. 333-210967 on Form S-3 of our reports dated February 22, 2019, relating to the consolidated 
financial statements and financial statement schedule of Integer Holdings Corporation and subsidiaries (the 
“Company”), and the effectiveness of the Company’s internal control over financial reporting, appearing in this 
Annual Report on Form 10-K of Integer Holdings Corporation for the year ended December 28, 2018.

/s/ Deloitte & Touche LLP

Williamsville, New York
February 22, 2019

CERTIFICATION 

EXHIBIT 31.1 

I, Joseph W. Dziedzic, certify that: 

1.

I have reviewed this annual report on Form 10-K for the fiscal year ended December 28, 2018 of Integer Holdings
Corporation;

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 the 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.

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 auditor and the audit committee of registrant’s board of directors (or persons
performing the equivalent functions):

a. All significant deficiencies and material weaknesses in the design or operation of internal 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.

Dated: February 22, 2019

/s/ Joseph W. Dziedzic

Joseph W. Dziedzic

President and Chief Executive Officer

(Principal Executive Officer)

CERTIFICATION 

EXHIBIT 31.2 

I, Jason K. Garland, certify that: 

1.

I have reviewed this annual report on Form 10-K for the fiscal year ended December 28, 2018 of Integer Holdings
Corporation;

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 the 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.

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 auditor and the audit committee of registrant’s board of directors (or persons
performing the equivalent functions):

a. All significant deficiencies and material weaknesses in the design or operation of internal 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.

Dated: February 22, 2019

/s/ Jason K. Garland

Jason K. Garland

Executive Vice President and Chief Financial Officer

(Principal Financial Officer)

EXHIBIT 32.1 

CERTIFICATION PURSUANT TO 18 U.S.C. SECTION 1350 AS ADOPTED PURSUANT TO 
SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002 

Pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, each of the 
undersigned officers of Integer Holdings Corporation (the “Company”), does hereby certify, to such officer’s knowledge, that: 

The Annual Report on Form 10-K for the fiscal year ended December 28, 2018 (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 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: February 22, 2019

Dated: February 22, 2019

/s/ Joseph W. Dziedzic

Joseph W. Dziedzic

President and Chief Executive Officer

(Principal Executive Officer)

/s/ Jason K. Garland

Jason K. Garland

Executive Vice President and Chief Financial Officer

(Principal Financial Officer)

Leadership Team

Joseph W. Dziedzic
President and Chief Executive Offi  cer
Jason K. Garland
Executive Vice President and 
Chief Financial Offi  cer
Jennifer M. Bolt
President, Electrochem

Board of Directors

Pamela G. Bailey
Retired President and Chief Executive 
Offi  cer, The Grocery Manufacturers 
Association
Joseph W. Dziedzic
President and Chief Executive Offi  cer, 
Integer Holdings Corporation
James F. Hinrichs
Chief Financial Offi  cer, Cibus Ltd.

Investor Information

Stock Exchange Listing
NYSE: ITGR
Global Headquarters
5830 Granite Parkway, Suite 1150
Plano, TX  75024
Independent Registered 
Public Accounting Firm
Deloitte & Touche LLP
Williamsville, NY

Anthony Borowicz
Senior Vice President, 
Strategy, Business Development and 
Investor Relations
Joseph Flanagan
Executive Vice President, 
Quality and Regulatory Aff airs

Antonio Gonzalez
President, CRM & Neuromodulation
Payman Khales
President, Cardio & Vascular
Kirk Thor
Executive Vice President, 
Chief Human Resources Offi  cer

Jean Hobby
Retired Partner, 
PricewaterhouseCoopers, LLP
M. Craig Maxwell
Vice President and Chief Technology 
and Innovation Offi  cer, 
Parker Hannifi n Corporation
Filippo Passerini
Operating Executive in 
U.S. Buyouts, Carlyle Group

Bill R. Sanford, Chairman
Founder and Chairman, Symark LLC
Peter H. Soderberg
Managing Partner, 
Worthy Ventures Resources, LLC
Donald J. Spence
President and Chief Executive Offi  cer, 
Ebb Therapeutics
William B. Summers, Jr.
Retired Chairman and Chief Executive 
Offi  cer, McDonald Investments, Inc.

Transfer Agent
Computershare Shareholder Services 
P.O. Box 505000 
Louisville, KY 40233-5000

(877) 832-7265
(201) 680-6578

www.computershare.com/investor

For Overnight Delivery:
462 South 4th Street, Suite 1600 
Louisville, KY 40202

Investor Relations
Anthony Borowicz
Senior Vice President, 
Strategy, Business Development and 
Investor Relations

(716) 759-5809

You may also contact us by sending 
an email to IR@integer.net or by 
visiting the Investor Relations section 
of the Company’s website at 
investor.integer.net. The Company’s 
publicly fi led reports, including 
fi nancial statements, are available on the 
Securities and Exchange Commission’s 
EDGAR system (www.sec.gov).

Integer Holdings Corporation 
5830 Granite Parkway, Suite 1150
Plano, TX  75024

(214) 618-5243 | Integer.net