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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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FY2020 Annual Report · Integer
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2020  
ANNUAL 
REPORT

PERIPHERALVASCULARELECTROPHYSIOLOGYSTRUCTURALHEARTCARDIACRHYTHMMANAGEMENT &NEUROMODULATIONCARDIACRHYTHMMANAGEMENT &NEUROMODULATIONVASCULARACCESS &ANGIOGRAPHYINTERVENTIONAL CARDIOLOGYNEUROVASCULARPORTABLEMEDICALELECTROCHEMCARDIACNon-implantable Battery Packs & ChargersIndustrial Cells & Battery PacksImplantablePulse Generator Systems Delivery Systems Electrophysiology CathetersImaging & SensingDelivery & RetrievalIntroducers & GuidewiresSupportCathetersImplantable Batteries & CapacitorsImplantable LeadsathetersDelivENSystems FeedthroughsImBCgDear fellow stockholders: 

As we emerge from what was truly an unprecedented year, I am even more optimistic 
about Integer’s future. Our leaders and associates did a phenomenal job managing through 
the uncertainty of 2020. Even in the midst of chaos not experienced in most of our 
lifetimes, the team continued delivering the mission-critical devices and components our 
customer’s patients need to improve, sustain and save lives. Their unwavering focus on our 
vision, adherence to our values and progress on our strategy throughout these turbulent 
times prove Integer has the right team in place to resume our pre-pandemic growth 
trajectory and further our position as the market leader for medical device outsource 
manufacturing.  

Our top priority throughout the year was – and continues to be – protecting the health and 
safety of our associates, our families, our customers, and the communities in which we live 
and work. Integer’s Pandemic Team, including 90+ professionals across the company, 
continues to monitor local and global guidance to ensure we have the necessary policies, 
processes, tools and rigor in place to keep our manufacturing facilities safe and open for 
business.  

The progress made on our Journey to Excellence over the last few years positioned us to 
successfully navigate the pandemic by protecting our associates and remaining focused on 
executing our strategy. We sustained our investments in new capabilities and capacity 
while continuing to pay down debt, which gives us confidence we will be even stronger 
after the pandemic. We have transformed our organization with a strong, new leadership 
team that is aligned around a clear strategy to win in the markets we serve and achieve 
excellence in all that we do.  

Though headwinds created by the pandemic kept us from achieving our aggressive growth 
goals, we were able to strengthen customer relationships and solidify our role as a trusted 
business partner, with approximately 70% of our business now under multi-year 
agreements. We also made meaningful progress improving safety, quality and on-time 
delivery and increased our investments in R&D, SGA and operations – all of which will 
enable us to serve our customers better. And they rewarded us with more product 
development programs than projected and an expanded pipeline of new opportunities.  

The operational results we are seeing as we systematically and rigorously implement the 
Integer Production System across all our manufacturing sites prove we are creating a 
competitive advantage with Manufacturing Excellence. In 2021, we will build on this 
success as we invest in mechatronics and begin to implement a manufacturing execution 
system (MES) that will eliminate manual processes and paperwork, provide real-time data 
analytics, and ultimately drive increased quality and efficiency in our operations. 

On the Corporate Citizenship front, we updated our values to be more reflective of where 
the company is today, added a D&I leadership position to drive efforts to create a more 
inclusive culture, and recently added three new board members – each bringing diverse 
backgrounds, skills and perspectives to make our company better. We also continued 
giving back to our local communities in numerous ways, including producing and gifting 
10,000 face shields for first responders on the front lines of fighting the pandemic and 
maintaining our sponsorship of American Heart Association events.  

Now is a good time to be an Integer shareholder. We have a clear vision, a compelling 
strategy and strong values combined with what we believe to be the most talented and 
dedicated associates among all medical device outsourcers. We are committed to investing 
in our associates’ growth and leadership capabilities to advance our performance culture. 
Our business model is resilient with a diverse portfolio mix, unmatched scale, global 
presence, world-class R&D and manufacturing capabilities, and deep customer 
relationships in an industry growing mid-single-digits with high barriers to entry. Finally, 
our recent track record of delivering on our financial commitments and generating strong 
cash flow reinforces our financial strength. 

I am confident in our strategy, in our associates and our ability to earn a valuation premium 
for our shareholders.  

On behalf of the Board of Directors and management, thank you for your continued 
ownership in Integer.  

Stay safe and healthy. 

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

(Mark One)

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

For The Fiscal Year Ended December 31, 2020 

or

☐

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

For the transition period from ____ to ____ 

Commission File Number 1-16137 
 _____________________________________ 

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

Delaware
(State or other jurisdiction of incorporation or organization)

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

5830 Granite Parkway, Suite 1150

Plano, Texas

(Address of principal executive offices)

75024

(Zip Code)

(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

Trading Symbol(s)
ITGR

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 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 has filed a report on and attestation to its management’s assessment of the 
effectiveness of its internal control over financial reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C. 7262(b)) by 
the registered public accounting firm that prepared or issued its audit report. 

 Yes  ☒    No  ☐

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 July 2, 2020 (the last business day of the registrant’s 
most recently completed second fiscal quarter), based on the last sale price of $72.28, as reported on the New York Stock Exchange on 
that date: $2.3 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 12, 2021: 32,957,035

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

DOCUMENTS INCORPORATED BY REFERENCE

Document
Proxy Statement for the 2021 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 Accounting 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 Accounting Fees and Services....................................................................................................................

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

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

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

PART IV

3

15

26

26

26

26

27

28

29

44

46

95

95

95

96

96

96

96

96

97

101

102

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 
markets.  We provide innovative, high quality medical technologies that enhance the lives of patients worldwide.  In addition to 
medical technologies, we develop batteries for high-end niche applications in energy, military, and environmental markets.  Our 
brands include Greatbatch Medical®, Lake Region Medical® and Electrochem®.  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 Rhythm Management & Neuromodulation 
(“Cardiac & Neuromodulation”) and Advanced Surgical, Orthopedics & Portable Medical product lines and the Non-Medical 
segment comprises the Electrochem product line.

Our Acquisitions and Divestitures

On February 19, 2020, we acquired certain assets and liabilities of InoMec Ltd. (“InoMec”), a privately-held company based in 
Israel  that  specializes  in  the  research,  development  and  manufacturing  of  medical  devices,  including  minimally  invasive  tools, 
delivery  systems,  tubing  and  catheters,  surgery  tools,  drug-device  combination,  laser  combined  devices,  and  tooling  and 
production.  The acquisition enables us to create a research and development center in Israel, closer to the customer base in the 
region. Refer to Note 2 “Business Acquisitions, Divestiture and Discontinued Operations” of the Notes to Consolidated Financial 
Statements contained in Item 8 of this report for additional information about the acquisition.

On October 7, 2019, we acquired certain assets and liabilities of US BioDesign, LLC (“USB”), a privately-held developer and 
manufacturer of complex braided biomedical structures for disposable and implantable medical devices. The acquisition added a 
differentiated capability related to the complex development and manufacture of braided and formed biomedical structures to our 
broad portfolio, that we believe further positions us as a partner of choice for innovative medical technologies.  Refer to Note 2 
“Business Acquisitions, Divestiture and Discontinued Operations” of the Notes to Consolidated Financial Statements contained in 
Item 8 of this report for additional information about the acquisition.

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 “Business Acquisitions, Divestiture and 
Discontinued Operations” of the Notes to Consolidated Financial Statements contained in Item 8 of this report for additional 
information about the divestiture.

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.

- 3 -

MEDICAL SEGMENT

Cardio & Vascular

The Cardio & Vascular product line leverages a global footprint to produce a full range of components, subassemblies, and 
finished devices used in interventional cardiology, structural heart, heart failure, peripheral vascular, neurovascular, interventional 
oncology, electrophysiology, vascular access, infusion therapy, hemodialysis, urology, and gastroenterology procedures.

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

Interventional Cardiology.  Our interventional cardiology portfolio is focused primarily on the design, development and 
manufacture of catheter and wire-based technologies intended to diagnose and treat cardiac disease.  Key products and 
capabilities span a full suite of devices including coronary stents, balloon catheters, atherectomy devices, imaging and sensing 
devices, chronic total occlusion solutions, percutaneous transluminal coronary amgioplasty and access guidewires, introducer 
sheaths, and vascular closure devices. Core areas of technical expertise include laser-cut hypotubes, catheter shafts (extrusion, 
filmcast, and reflow), integrated hub assemblies, pad printing, tip shaping, polytetrafluoroethylene (PTFE) coating, complex 
machining, and sensor integration.

Structural Heart and Heart Failure. Structural heart and heart failure products include those used by cardiologists, 
echocardiographers, cardiac surgeons, and heart failure specialists to treat diseases or defects of the heart, such as valvular 
diseases and congenital defects.  Integer provides components, subassemblies, and finished devices to these markets leveraging a 
wide range of technologies and capabilities.  These include laser-cut and machined components, complex braided meshes, 
guidewires, introducer sheaths, steerable sheaths and delivery catheters, and implants used in transcatheter aortic valve 
replacement, balloon aortic valvuloplasty, transcatheter mitral valve repair and replacement, atrial and defect closure, left 
ventricular assist, and shunt procedures. 

Peripheral Vascular, Neurovascular, and Interventional Oncology.  Our peripheral vascular, neurovascular, urology and 
oncology portfolio is primarily focused on the design, development and manufacture of devices used during the treatment of 
peripheral artery disease, transcatheter embolization and occlusion, aortic aneurysm repair, and neurovascular stroke prevention.  
Our broad portfolio of devices, capabilities and technology platforms provides our customers with cost effective, high quality 
solutions ranging from device components to complex assemblies to finished devices such as regulatory approved guidewires and 
introducers. 

Integer’s broad technology and capability portfolio within the peripheral vascular markets enables us to address the full spectrum 
of devices needed in the diagnoses and treatment of peripheral vascular disease.  In the peripheral artery disease markets our 
technologies are focused on the manufacture and development of interventional guidewires, support catheters, introducers and 
guiding sheaths, balloon catheters, self-expanding stents and stent grafts as well as embolic protection devices.  Our neurovascular 
technology portfolio encompasses micro guidewires, micro and access catheters, aspiration catheters, stent retrievers, 
embolization coils, as well as flow diverters.  In the interventional oncology market, we offer customers guidewires and 
microcatheters designed to enable the effective delivery of embolic agents.  

Electrophysiology. Electrophysiology products include devices used by electrophysiologists and interventional cardiologists for 
the treatment of cardiac arrythmias, such as atrial fibrillation.  Integer primarily produces devices used for treatment of atrial 
fibrillation, the most prevalent cardiac arrythmia.   These devices include sheaths and needles for transseptal access, diagnostic 
and mapping catheters to record and map the arrythmia sources, and ablation catheters to create lesions for blocking the arrythmia 
signals.  Integer has the technical capabilities and expertise to provide the full spectrum of products from components to finished 
devices.  Typical components include polyimide tubing, electrode rings, platinum tips and fine wires.  Sub-assemblies include 
electrode ring and wire assemblies, steerable handle assemblies, and spline and basket assemblies.  Finished devices include 
steerable transseptal sheaths, diagnostic catheters and ablation catheters.

Vascular Access, Infusion Therapy and Hemodialysis. Our solutions in these markets are focused on vessel access, treatment 
and device placement for medication and fluid delivery in patients with severe conditions requiring repeated vessel access. We 
design and manufacture a wide range of vascular access guidewires, stylets, catheters, valved / non-valved peelable and micro 
introducers.  Our portfolio of market-ready vascular access guidewires and introducers kits enables a range of venous and arterial 
access applications, including transradial access.  Additionally, we support customers with custom introducer sheaths and kit 
solutions leveraging our deep expertise in thin-wall sheath design, hydrophilic coatings and guidewire manufacturing (including 
poly-jacketed, mandrel, and nitinol core guidewire constructions).

- 4 -

Non-vascular Markets:  Within the Cardio & Vascular group, we also manage non-vascular markets for which we have expertise 
and a broad offering of products, technologies and capabilities. Those markets include:

Urology.  Our main focus is in endourology for which we develop and manufacture finished devices and components for access 
and interventional devices such as guidewires, ureteral access sheaths, dilation devices, retrieval devices, ureteral stents, biopsy 
forceps, holmium laser fibers, and endoscopes.

Gastroenterology.  Our comprehensive range of technologies and capabilities enable us to support our customers’ needs with a 
broad variety of products such as guidewires, dilatation devices, retrieval devices, snares, wire-formed and polymer stents, stent 
delivery systems, RF ablation devices, and endoscopes.

Cardiac & Neuromodulation

The Cardiac & Neuromodulation product line offers design, development and  manufacturing capabilities for components, sub-
assemblies, assemblies, and finished medical device systems.  We support a variety of clinical markets, with an emphasis on the 
following markets:

Cardiac Rhythm Management.  The Cardiac Rhythm Management (“CRM”) market comprises implanted medical devices 
(“IMDs”), implanted leads, procedure accessories, as well as external devices that monitor and treat heart rhythm disorders and 
heart disease.  Examples of CRM products include implantable pacemakers, implantable cardioverter defibrillators (“ICDs”), 
insertable cardiac monitors (“ICMs”), implantable cardiac pacing and defibrillation leads, and heart failure therapies such as 
ventricular assist devices and cardiac resynchronization devices (“CRT-P” and “CRT-D”).  An IMD system generally includes an  
implantable pulse generator (“IPG”) and one or more stimulation leads.  An IPG is a small battery powered device implanted 
under the skin in the chest that can sense and produce electrical pulses through specialized wires called leads. These leads sense 
electrical heart signals and carry them back to the IPG which in turn delivers electrical pulses back through the lead to the heart to 
deliver therapy.  

Our portfolio of technologies and products include components, sub-assemblies, and assemblies for active IPGs, implanted 
sensing and stimulation leads, accessories, or external instruments. Our investments in research and development have created 
leadership positions in battery, capacitor, and feedthrough technology, including filtered feedthroughs.  We are also a  supplier of 
medical stamped components, and shallow and deep draw casings and assemblies.  

Beyond the IPG, Integer’s CRM product line provides lead development and manufacturing solutions including expertise in low-
polarization specialty-coated electrodes and components, and lead and device accessories such as stylets, guidewires, introducers, 
and lead adapters.  Integer also offers fully designed and manufactured epicardial pacing leads.  

Neuromodulation.  Similar to the CRM market, the Neuromodulation (“Neuro”) market comprises IPGs, implanted leads, 
procedure accessories, and external devices, such as battery chargers, trial stimulators and patient controllers.  Examples of Neuro 
products include implantable spinal cord stimulators for chronic pain, sacral nerve stimulators for incontinence, deep brain 
stimulators for movement disorders and other IMDs to treat psychiatric disorders, sleep disorders and hearing loss.  The Neuro 
market also includes several new emerging applications, such as implanted bioelectronic devices aimed at treating chronic 
diseases.

Within the Neuro market we offer IMD component technologies that have been developed to meet the needs of our customers 
including our Xcellion® line of lithium-ion rechargeable batteries, QMR® and CFx non-rechargeable batteries, feedthroughs, 
device enclosures, machined components and lead components and sub-assemblies.  Additionally, Integer helps OEMs and other 
emerging companies with the development and manufacture of complete neuromodulation IMD solutions, including custom IPGs, 
programmer systems, battery chargers, patient controllers, fully finished lead systems and accessories from initial development 
through commercial quantities.  

- 5 -

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.  We are a leading provider of advanced batteries and power solutions for global OEMs. We specialize in the 
design and manufacture of Li-ion battery packs and chargers.  Through the combination of our innovative research and 
development expertise, manufacturing excellence and leading customer partnerships we advance the way healthcare is 
powered. Our offerings include customized rechargeable batteries and chargers to power medical devices across multiple clinical 
markets including patient monitoring, ventilators, portable defibrillators, and portable ultrasound, X-Ray machines, hearing 
devices, and LVAD devices.  We collaborate with our customers on product development opportunities incorporating our power 
solutions into Class I, II or III medical devices.

Minimally Invasive & General Surgery. Our minimally invasive and general surgery products are primarily arthroscopic, 
laparoscopic, and general surgery devices and components used for minimally invasive procedures in the joint, abdominal, 
gastroesophageal reflux disease (“GERD”), ophthalmology, oncology, and general surgery spaces. Our products include, 
harmonic scalpels, shaver blades, burr shavers, radio frequency probes, biopsy probes, trocars, electrocautery components, wound 
dressings, GERD treatment components, and phacoemulsification needles.

Orthopedic. Our orthopedic products include instruments used in hip, knee, and spine surgeries. Our products primarily consist of 
reamers and chisels.

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. Electrochem also 
manufactures complementary technologies in the form of real time battery monitoring, and an alternate power technology in the 
form of high temperature super capacitors. 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.

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, product volumes, length of contractual commitment, ordering patterns, inventory management, and selling 
prices.  Contracts with customers can include rebates and 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.

- 6 -

We have limited visibility into our customers’ future purchases, covering only a relatively short period of time. 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, 
which may cause customer inventory levels to rebalance to match new demand. 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. 

Our Medical customers include large multi-national medical device OEMs and their subsidiaries such as Abbott Laboratories, 
Medtronic, and Boston Scientific.  Our Non-Medical customers include large multi-national OEMs and their subsidiaries serving 
the energy, military and environmental services markets such as Halliburton, and Baker Hughes.  During 2020, sales to Abbott 
Laboratories, Medtronic and Boston Scientific were each in excess of 10% of total sales and collectively accounted for 48% 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 large customer 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.

Sales and Marketing

We sell our products directly to our customers. In 2020, approximately 56% of our products were sold in the U.S.  Sales within 
and 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 18 “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 to secure our revenue base and incentivize growth.

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 31, 2020 were approximately $289 million.  The majority of the orders outstanding at 
December 31, 2020 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.

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.

- 7 -

Acquisitions and Investments

One facet of our growth strategy is to acquire additional technology or manufacturing capability to expand our product offering in 
our key existing growth markets. We expect to continue to engage in business development activities and technology licensing 
arrangements to support our growth in these markets.  

As our customers grow and consolidate, they seek suppliers who can offer broad product capabilities, manufacturing scale and 
facilitate speed to market.  Our strategy aligns with enhancing our portfolio from both organic and inorganic means to partner 
more broadly with our customers to support their growth.  Our inorganic strategy will be primarily focused on smaller strategic 
“bolt-on” acquisitions that will supplement our existing product portfolio.

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 capability development efforts aimed at providing our customers with differentiated solutions, 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

Product Development Projects

Active projects in structural heart delivery systems subassemblies, structural 
heart delivery accessories, structural heart implants, electrophysiology catheters, 
accessories and subassemblies, peripheral vascular catheters and guidewires, 
neurovascular therapies to prevent hemorrhagic, neurovascular therapies to treat 
ischemic stroke, enhanced access introducers, gastrointestinal scope 
components, fractional flow reserve guidewire subassemblies, sensor-enabled 
catheters and guidewires, and oncology catheters.  Technology investments to 
enable our customer’s catheter, delivery system, introducer, guidewire, and 
implant development programs in our core Cardio & Vascular markets.

Cardiac & Neuromodulation

Active projects to develop next generation technology programs for our 
batteries, filtered feedthroughs, high voltage capacitors and finished device 
solutions including both leads and IPG systems that reduce the size and cost, 
while improving performance, for cardiac and neuromodulation devices.

Non-Medical.  Some of the more significant product development opportunities in our Non-Medical segment are next generation 
medium-rate and high-rate batteries that offer extended performance such as higher power pulsing capabilities and increased 
operating temperature range, real time battery monitoring, and high temperature super capacitors.

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 31, 2020, we 
owned 691 U.S. and foreign patents, of which 196 are licensed.

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.

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Manufacturing, Regulatory and Quality Assurance

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 manufacture, and device manufacture. 
We also provide regulatory services including product registration and post-market surveillance in accordance with the regulatory 
requirements of the U.S. and EU as well as other geographies. 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, Ireland, Malaysia, and Israel.

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 (Medical device and component sites) or ISO 9001 (Electrochem). 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, to assure the conformance of devices and components on 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 international regulatory bodies.

Suppliers and Raw Materials

We purchase some 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 safety stocks and partner with suppliers through contract to help ensure the continuity of supply. 
Historically, we have not experienced 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 
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.

We utilize competitive pricing methods such as bulk purchases, precious metal pool buys, blanket orders, and long-term contracts 
to secure supply. 

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.

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 and receive payment terms to customers and from suppliers in the 
normal course of business. 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
Integer develops, manufactures, markets and sells products in multiple countries throughout the world and is therefore subject to 
regulation by numerous agencies and legislative bodies, including the FDA, European Commission, Health Product Regulatory 
Agency, Health Canada, Therapeutics Goods Administration and other comparable foreign counterparts. 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.  

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In the U.S., these regulations are enacted by the Federal Food, Drug and Cosmetic Act and its subsequent amendments, and the 
regulations issued or proposed thereunder. 

The FDA’s Quality System Regulation sets forth basic quality requirements for our sites that includes product design and 
manufacturing processes, requires the maintenance of certain records, and provides 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 use of 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, referred to as General Controls.  Class II devices are higher risk devices than Class I and require greater 
regulatory controls, generally General Controls, and Special Controls which includes a pre-market notification called a 510(k), 
which provides 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 and continued controls in the form of 
amendments or supplements required when product or process changes are made.

The member countries of the European Union (“EU”) have adopted the European Medical Device Directives ("MDD”) and 
Active Implantable Medical Device Directive (“AIMDD”), which create a single set of requirements for all member countries that 
apply to our products.  The MDD and AIMDD are in the process of being replaced by the European Medical Device Regulation 
(“EU-MDR”) which becomes effective in May 2021 after being delayed one (1) year due to the COVID-19 pandemic.  These 
directives require, and the EU-MDR will require, companies that wish to manufacture and distribute medical devices in the EU to 
obtain a CE Mark for those products.  The CE Mark indicates the product has met minimum standards of performance, essential 
requirements, safety conformity assessment and quality.  Companies must work with an EU recognized Notified Body to gain 
approval for the product and manufacturing site before obtaining free movement of products throughout the member countries.  In 
Europe, our devices are considered either Class I, Class IIa, Class III, or AIMD, under MDD or AIMDD and will be with Class I, 
Class IIa or Class III under the EU-MDR.

In addition to the U.S. and EU, we have approval to manufacture or market our products in numerous foreign countries and 
therefore are subject to other regulations affecting, among other things, product standards, sterilization, packaging requirements, 
labeling requirements, and import laws. We are also subject to 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 or EU; however, others vary widely, ranging from 
simple product registrations to detailed submissions such as those required by the FDA.

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.

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.

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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.

Human Capital

As of December 31, 2020, Integer employed approximately 7,500 associates worldwide, of whom approximately 3,400 are 
located in the U.S., 2,300 in Mexico, 1,200 in Ireland, 300 in Uruguay, 300 in Malaysia, as well as a small number of associates 
in Israel and Switzerland.  We also employ approximately 17 temporary employees worldwide to assist with various projects and 
service functions and address peaks in staff requirements.  We believe that we have a good relationship with our employees. Our 
Board of Directors and the executive team put significant focus on our human capital resources, as we strive to build leadership 
capability and create a diverse, inclusive work environment that inspires excellence. This cultural framework recognizes the value 
of individuals as critical to Integer’s operational strategy.  

Associate Management and Development
The internal leaders at Integer are responsible for managing the talent of our associates.  To effectively manage associate 
development, we utilize a “Talent Cycle” framework, which provides an integrated approach to meet the human capital needs of 
the company.   The Talent Cycle (i) defines the major categories of leadership responsibilities in alignment with the employment 
lifecycle and (ii) prioritizes programs and resources to ensure these responsibilities are executed consistently. Stages of the Talent 
Cycle include:

•

•

•

•

•

•

Planning for current and future capabilities

Acquiring the critical talent needed to run our business

Engaging our associates to motivate and retain them

Differentiating our talent at all levels to foster a performance culture

Developing our talent to achieve performance excellence 

Promoting associates who have demonstrated strong leadership capability

Woven throughout this cyclical approach to managing talent is an emphasis on diversity and inclusion.  Developing our talent is 
one of the most critical stages in the Talent Cycle and an ongoing focus at Integer.  To support the advancement of our associates, 
we have defined a model of core skills and competencies to guide associates in their development planning, and we encourage 
associates to actively focus on their own development though individual development plans, designed to help each associate be 
more effective in their current role and to prepare for their next role.  Additionally, we regularly conduct talent reviews and 
succession planning to identify and develop our top leadership talent.

Competitive Pay/Benefits
Our total rewards program is designed to attract, retain and motivate associates to contribute to Integer’s success, and includes 
market-competitive elements reflective of the geographies in which we operate.  We incorporate many factors into associate pay 
decisions, including market comparisons of compensation and benefits for similar roles, individual associate skills and experience 
in their role, individual performance over multiple years, and relative contributions to the Company’s short- and long-term 
success.  We have analyzed the compensation of our senior leadership team and concluded there is no pay gap between genders.

Focus on Inclusion
At Integer, through our values, Code of Conduct, and commitment to diversity and inclusion, we strive to create a culture that 
unifies and embraces the uniqueness each associate brings to Integer, positioning the company for long-term success.  To advance 
our efforts to build a more unified and diverse culture, we have a Senior Director of Diversity and Inclusion, who is tasked with 
leading us in the development of the strategies and actions necessary to create an inclusive environment.  We are committed to 
creating a better, more inclusive company in which all of us accept, respect and value one another’s individual differences, 
encouraging different perspectives and ideas that improve team synergy and communication.  

In 2020, we also formalized our diversity and inclusion strategy, creating a robust engagement platform designed to increase 
innovation and enhance business. We have infused diversity and inclusion into our business processes and created local and 
global engagement opportunities for associates.  

- 11 -

Key successes in 2020 from our diversity and inclusion strategy include: 

•
•

•

•

100% executive leadership actively serve as executive sponsors of D&I initiatives
Formation of two cross functional governing diversity and inclusion councils, which advance the global D&I strategy at 
all levels of the organization

Launched employee resource groups, which are voluntary, employee-led groups comprised of associates who join 
together based on common interests, backgrounds or demographic factors 

Establishment of diversity and inclusion site champions, whose responsibility it is to promote the company’s diversity 
and inclusion initiative at each Integer location 

Impact of COVID-19
Throughout the COVID-19 global pandemic, the health and safety of our associates has remained a priority for us. We 
implemented a comprehensive pandemic plan to safeguard our associates from COVID-19 infection and exposure, including 
policies, procedures, protocols, and guidance related to, among other things, COVID-19 symptom awareness, effective hygiene 
practices, travel restrictions, visitor restrictions, social distancing, face covering expectations, temperature and health screening, 
work-from-home requirements, absenteeism policies, enhanced workplace cleaning, and large-scale decontamination.

To balance cost management during what we expect to be temporary sales declines in certain areas, we utilized reductions-in-
force, furloughs and temporary shutdowns to more closely align labor with customer demand, and we will continue to assess the 
need for further actions in this area. In doing so, we have consistently monitored benefits available to our associates under various 
governmental programs, including assistance for associates unable to work for COVID-19 reasons. We have sought, and will 
continue to seek to understand whether these benefits apply to our associates, how the available benefits support the best interests 
of our associates, and how the available benefits may impact our business now and in the future as we return to more normalized 
operations.

Seasonality

Our business is generally not seasonal in nature. However, since our customers are large OEM businesses, our sales are 
influenced by the inventory levels they carry, which can cause shifts in our sales volume as their inventories fluctuate. 

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.  

INFORMATION ABOUT OUR EXECUTIVE OFFICERS

Information concerning our executive officers is presented below as of February 18, 2021.   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 52, 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 47, 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.  

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Joel Becker, age 53, is President, CRM & Neuromodulation, and joined the Company in April 2019. Mr. Becker is also the leader 
for the Sales Force Excellence strategic imperative. Prior to joining the Company, he was the President of Viking North Ventures 
from October 2016 to April 2019 and served as the Chief Executive Officer of XchangeLabs LLC from August 2017 to August 
2018. Prior to those positions, Mr. Becker had a nearly 20-year career with St. Jude Medical where he held a variety of different 
roles including President, Americas Division from July 2013 to February 2016, and President, United States Division from 
October 2011 to July 2013.

Jennifer M. Bolt, age 52, is Senior Vice President, Global Operations, and has served in that position since April 2019.  From 
October 2015 to April 2019, Ms. Bolt served as President, Electrochem.  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, New York facility.  Prior to joining our Company, she served in a 
variety of engineering and operational roles at General Motors/Delphi and Eastman Kodak.

Anthony Borowicz, age 64, is Senior Vice President, Strategy, Corporate Development & Investor Relations and joined the 
Company in April 2002 and has served in various leadership roles including Vice President, Business Development from 
December 2014 to December 2018 and Executive Director, Business Development from July 2013 to December 2014. Mr. 
Borowicz had served as the Vice President, Finance for Kendall Healthcare from April 2001 until joining the Company.  
Previously, he was the Vice President & Chief Financial Officer for Graphic Controls Corporation from January 1995 to April 
2001.

Joseph Flanagan, age 62, is Executive Vice President for Quality and Regulatory Affairs, a position he has held since October 
2015.  In February 2018, he assumed 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.

Elizabeth Giddens, age 50, is Senior Vice President, General Counsel, Chief Ethics and Compliance Officer and Corporate 
Secretary, and has served in that position since joining the Company in August 2019. Prior to joining the Company, Ms. Giddens 
was Senior Vice President, Deputy General Counsel and Corporate Secretary at Mr. Cooper Group Inc. from June 2012 to August 
2019.  Between 2005 to 2012, she served in a variety of senior legal roles for Quicksilver Resources.  She also worked as an 
attorney in private practice from 1998 to 2005, including at the Jones Day law firm.

Carter Houghton, age 52, is President, Electrochem and Power Solutions. From December 2016 until joining the Company in 
May 2019, Mr. Houghton was President of the Hospital Business Unit at Haemonetics Corporation.  Prior to joining Haemonetics, 
Mr. Houghton had over an 11-year career with Hologic where he served in various leadership roles including Senior Vice 
President & General Manager, GYN Surgical Solutions Division from February 2013 to August 2015, and Vice President & 
General Manager, Interventional Breast Solutions Division from February 2010 to September 2013.

Payman Khales, age 51, 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.

Kirk Thor, age 57, 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.

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CAUTIONARY FACTORS THAT MAY AFFECT FUTURE RESULTS

Some of the statements contained in this report and other written and oral statements made from time to time by us and our 
representatives 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:

•

•

•

•

•

the impact of the COVID-19 global pandemic;

future development and expected growth of our business and industry;

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

having available sufficient cash and borrowing capacity to meet working capital, debt service and capital 
expenditure requirements for the next twelve months; and

projected capital spending.

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.

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:
•
•
•
•
•
•
•
•
•
•
•
•
•

the impact of the COVID-19 global pandemic;
future sales, expenses, and profitability;
our dependence upon a limited number of customers;
pricing pressures that we face from customers;
our ability to respond to changes in technology;
the intense competition we face and our ability to successfully market our products;
our ability to develop new products and expand into new geographic and product markets;
our reliance on third party suppliers for raw materials, key products and subcomponents;
the potential for harm to our reputation caused by quality problems related to our products;
regulatory issues resulting from products complaints, recalls or regulatory audits;
the potential of becoming subject to product liability claims;
our ability to protect our intellectual property and proprietary rights;
our significant amount of outstanding indebtedness and our ability to remain in compliance with financial and other 
covenants under our senior secured credit facilities;
our ability to integrate acquisitions and operate acquired businesses in accordance with expectations;
our dependence upon our senior management team and technical personnel;
our ability to realize the benefits from cost savings and consolidation initiatives;
interruptions in our manufacturing operations;
our ability to comply with environmental regulations;
our complex international tax profile;
our dependence upon our information technology systems and our ability to prevent cyber-attacks and other failures;

•
•
•
•
•
•
•
• market, financial and other risks related to our international operations and sales;
global economic factors, including currency exchange rates and interest rates;
•
the fact that the healthcare industry is highly regulated and subject to various regulatory changes;
•
the dependence of our energy market-related revenues on the conditions in the oil and natural gas industry; 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, and you should carefully consider the following risk factors, together with all of the other 
information included in this report, including the financial statements and related notes, when deciding to invest in us.  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.  Additional risks not currently known to us or that we currently consider immaterial 
also may materially adversely affect our business, financial condition or results of operations in the future.

Operational Risks

Our operations have been and may continue to be adversely impacted by the ongoing global impact of the COVID-19 
pandemic.

The global spread of the novel coronavirus, or COVID-19, has created significant uncertainty and worldwide economic 
disruption.  COVID-19 has negatively impacted our operating results and may continue to do so in the future. The duration and 
scope of the impact is uncertain given the evolving health, economic, social and governmental environments.

Specific impacts to our business have included delayed and reduced customer orders, restrictions on our associates’ ability to 
travel or work, delays in shipments to and from certain countries, and disruptions in our supply chain. We expect delayed and 
reduced customer demand will continue to impact our operations, and the timing of that impact will continue to lag our customers, 
based on varying demand for products and approaches to inventory management. The pandemic has affected and continues to 
affect our manufacturing facilities and our associates’ health. If the operations of any of our manufacturing sites are materially 
impacted as a result of the pandemic, it may not be possible for us to continue to timely manufacture relevant products at required 
levels, or at all. We have modified, and may continue to further modify, our business practices in response to the COVID-19 
pandemic and related third-party responses, including from government authorities. Any continued or renewed business closures, 
operating disruptions, or travel or work restrictions that impact our associates, customers, suppliers or manufacturing facilities 
will likely continue to adversely affect our operations locally and worldwide and could have a material adverse effect on our 
operating results and financial condition.

The ultimate impact of the COVID-19 pandemic on our operations and financial performance depends on many factors that are 
not within our control, including, but not limited, to: governmental, business and individuals’ actions that have been and continue 
to be taken in response to the pandemic (including restrictions on travel, transport and workforce pressures); the impact of the 
pandemic and actions taken in response on global and regional economies, travel, and economic activity; the availability of 
federal, state, local or non-U.S. funding programs; general economic uncertainty in key global markets and financial market 
volatility; global economic conditions and levels of economic growth; and the pace of recovery when the COVID-19 pandemic 
subsides, which could be impacted by a number of factors, including limited provider capacity to perform procedures using our 
products that were deferred as a result of the pandemic.

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 2020, our top three customers collectively accounted for approximately 48% of our revenues.  Reductions in demand from 
these customers, largely because of reduction in demand for medical procedures during the pandemic, has negatively impacted 
our results of operations and may impact our future results of operations if material reductions in demand recur.  These customers 
may not agree to renew or extend our supply agreements with them.  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.  In addition, we are dependent on the continued growth, viability and financial stability of these customers. The 
markets in which these customers operate are subject to rapid technological change, vigorous competition and short product life 
cycles.  As a result, when these customers are adversely affected by these factors, we may be similarly adversely affected.  The 
loss of any large customer, a material 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.

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

Given the highly competitive industry in which we operate, we have reduced price to some of our customers in recent years and 
we expect customer pressure for continued price reductions.  These price reductions may cause our operating results and financial 
condition to suffer. 

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We rely on third party suppliers for raw materials, key products and subcomponents.  Increased prices for, or 
unavailability of, these materials, products or subcomponents could adversely affect our results of operations.

Our business depends on a continuous supply of raw materials. The principal raw materials used in our business include  
platinum, stainless steel, gold, titanium, nitrinol, lithium, palladium, iridium, tantalum, nickel cobalt, ruthenium, gallium 
trichloride, vanadium oxide, CFx and plastics. The supply and price of raw materials may be susceptible to fluctuations due to 
transportation issues, government regulations, price controls, foreign civil unrest, tariffs, worldwide economic conditions or other 
unforeseen circumstances, including the continuing impact of the global pandemic. Increasing global demand for raw materials 
has caused prices of certain materials to increase. Significant increases in the cost of raw materials that cannot be recovered 
through increases in the prices of our products could adversely affect our results of operations. There can be no assurance that the 
marketplace will support higher prices or that price increases and productivity gains, procurement deflation projects or savings 
will fully offset any raw material cost increases in the future.  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.  
A disruption in deliveries from our suppliers, price increases or decreased availability of raw materials could have an adverse 
effect on our ability to meet our commitments to our customers and increase our operating costs. 

In addition, we rely on third party manufacturers to supply many of the products and subcomponents that are incorporated into 
our products and components. These third party manufacturers have their own complex supply chains.  Manufacturing problems 
may occur with these and other outside sources, as a supplier may fail to develop or manufacture products and subcomponents for 
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.

Our business is also subject to risks associated with U.S. and foreign legislation, regulations and trade agreements relating to the 
materials we import, including the tariffs on steel that the U.S. has imposed and other quotas, duties, tariffs or taxes or restrictions 
on imports, which could adversely affect our operations and our ability to import materials used in our products at current or 
increased levels. We cannot predict whether additional U.S. and foreign customs quotas, duties (including antidumping or 
countervailing duties), tariffs, taxes or other charges or restrictions, requirements as to where raw materials must be purchased or 
other restrictions on our imports will be imposed in the future or adversely modified, or what effect such actions would have on 
our costs of operations. Future quotas, duties or tariffs may adversely affect our business, financial condition, results of operations 
or cash flows. Future trade agreements could also provide our competitors with an advantage over us, or increase our costs, either 
of which could adversely affect our business, financial condition, results of operations or cash flows.

Quality problems with our products could result in warranty claims and additional costs, could harm our reputation and 
could erode our competitive advantage.

Quality is important to us and our customers, and our products are held to high quality and performance standards. In the event 
our products fail to meet these standards, we generally allow customers to return defective or damaged products under warranty. 
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 our reserves for warranty claims are inadequate, additional 
warranty costs or inventory write-offs may need to be incurred in the future, which could harm our operating results. We also 
could be subject to negative publicity and our reputation could be harmed if we fail to meet quality standards.  This could erode 
our competitive advantage over competitors, causing us to lose or see a material reduction in business from customers and 
resulting in lower revenues.  In addition, we might be required to devote significant resources to address any quality issues 
associated with our products, which could reduce the resources available for product development and other matters. 

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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.  In the recent past, oil and 
natural gas prices have been subject to significant fluctuation and the oil and gas exploration and production industry has 
historically been cyclical. 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 industry 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. The collapse in the demand for oil caused by the unprecedented global health and economic crisis resulting from the 
worldwide pandemic, coupled with oil oversupply worldwide has had, and is reasonably likely to continue to have, a material 
adverse impact on the demand for our Electrochem products. 

Interruptions of our manufacturing operations could delay production and adversely 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.  Other disruptions in our manufacturing operations for any 
reason, including equipment malfunction, failure to follow specific protocols and procedures, or environmental factors could lead 
to an inability to supply our customers with our products, unanticipated costs, lost revenues and damage to our reputation.  The 
ongoing pandemic has caused, and may continue to cause, delays in production, unanticipated costs and lost revenues.  In 
addition, our business involves complex manufacturing processes and the use of various hazardous materials, chemicals and other 
regulated substances, such as trichloroethylene, that can be dangerous to our associates.  We must also comply with various health 
and safety regulations in the United States and abroad in connection with our operations.  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 adversely affect our operations and harm our 
business.

Our operations are subject to cyber-attacks and other information technology disruptions 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 (“IT”) systems. The COVID-19 pandemic has caused us to modify our business 
practices, including the requirement that many of our office-based employees work from home. As a result, we are increasingly 
dependent upon our technology systems to operate our business and our ability to effectively manage our business depends on the 
security, reliability and adequacy of our technology systems and data. 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. Our IT systems and 
infrastructure have been, and in the future are expected to continue to be, subject to the risk of cyber-attacks by hackers or 
malware, or breach due to associate error, malfeasance or other disruptions, including natural disasters, failures in hardware or 
software, and power fluctuations. 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 
or other IT disruptions prove insufficient, our business could be disrupted, resulting in numerous consequences, including 
temporary or permanent loss of, damage to, third party access to, or misappropriation or public disclosure of 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 such cybersecurity attacks or IT disruptions. 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 proceedings 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 

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our business, financial condition and results of operations.  While we maintain insurance for cyber events, 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.

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 to attract, train and retain qualified personnel.

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 adversely impact our business. We may not 
be able to locate or employ these qualified personnel on acceptable terms or may need to increase spending to attract these 
qualified personnel.

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 reductions for our products or may undertake additional 
vertical integration or supplier diversification initiatives.  If we are forced to reduce our prices, our revenues would decrease and 
our operating results would suffer.

Strategic Risks

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.

If the markets for our products do not grow as we or industry experts forecast, 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 rhythm, neuromodulation, cardio and vascular, environmental, 
military or energy markets in particular would adversely 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 replacement products. 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 any of these events occurs, our business will be harmed and 
our revenues and operating results will be adversely affected.

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We may face intense 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 across all of our product lines has intensified in recent 
years and may continue to intensify in the future.  We encounter significant competition across our product lines and in each 
market in which our medical products are sold from various medical device companies, many of which may have greater 
financial, technical and marketing resources than we do and are more well-established. In addition, one of our medical customers 
has announced vertical integration and others  may do so, and one or more of our customers may implement supplier 
diversification initiatives.  Such actions would result in the customer manufacturing or dual-sourcing some or all of the 
components or products 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 than us and have greater financial, operational, personnel, sales, technical and marketing resources and 
are able to take advantage of greater economies of scale than we can.  These and other companies may develop products that are 
superior, technologically or otherwise, or more cost effective than our products, which could result in lower revenues and 
operating results.

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

We sell our products to customers in several industries that are characterized by extensive research and development, 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 or less 
competitive 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 effort and 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 or acquire 
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 intend to develop new products and expand into new geographic and product markets, which may not be successful 
and could harm our operating results.

We intend to develop new and modified products using our existing technologies and engineering capabilities and expand into 
new geographic and product markets.  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 developing take longer and more resources to develop and commercialize than 
those products we are currently marketing, including more time and resources required to obtain regulatory approvals.

Specific risks in connection with expanding into new products and product 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 existing customers or the market 
generally to accept the new or modified products.  Our inability to develop new products or expand into new geographic and 
product markets, as currently intended, could hurt our business, financial condition and results of operations.

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 or enhanced 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 and any future financing that we may incur, to pursue 
and complete future acquisitions.  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 significant competition for attractive acquisition targets.

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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;

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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.

Financial Risks

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:

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the impact of the ongoing pandemic and the pace of recovery;

timing of orders placed by our customers;

our customers’ approach to inventory management;

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;

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

increased costs and decreased availability of raw materials or supplies; and

our ability to effectively execute on operational initiatives to drive manufacturing efficiencies.

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We have significant indebtedness that could affect our operations, financial condition, and cash flows if we fail to meet 
certain financial covenants required by our debt agreements or if our access to capital markets is interrupted. 

At December 31, 2020,we had $738 million in principal amount of debt outstanding.  As of December 31, 2020, our debt service 
obligations, comprising principal and interest, are estimated to be approximately $60 million for 2021.  The outstanding 
indebtedness and the terms and covenants of the agreements under which this debt was incurred, could, among other things:

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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.

Additionally, our failure to comply with the covenants contained in our debt agreements, if not waived, could cause a default 
under the applicable debt agreement that requires repayment in full, or acceleration, of debt payments.  If that were to occur, there 
can be no assurance that we would be able to refinance or obtain a replacement financing on favorable terms or at all.  Further, 
our senior credit facility matures in October 2022, and the adverse impact of the ongoing pandemic on market and business 
conditions, as well as on our operations, may make it more difficult to refinance this credit facility on favorable terms or at all.  

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.

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 approximately 44% of sales for 2020, and our operations in Europe, Asia, the 
Middle East, Mexico and South America are and will continue to be subject to a number of risks and potential costs, including:

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changes in foreign economic conditions 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.

These risks are also present in connection with our entry into new geographic markets.

Additionally, as a result of our international operations, we are subject to exposure from currency exchange rate fluctuations.  We 
purchase forward currency contracts in certain currencies to reduce our exposure; however, these transactions may not be 
adequate or effective to protect us from the exposure for which they are purchased.  Historically, foreign currency exchange rate 
fluctuations have not had a material effect on our net financial results. However, fluctuations in foreign currency exchange rates 
could have a significant impact on our financial results in the future.

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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.

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

At December 31, 2020, we had $1.6 billion of goodwill and other intangible assets, representing 68% 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 not be 
recoverable. We may not receive the recorded value for our intangible assets if we sell or liquidate our business or assets. In 
addition, our 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 a significant charge to earnings, the market price of our 
common stock could be adversely affected. In addition, intangible assets with definite lives, which represent $666.9 million of our 
net intangible assets at December 31, 2020, will continue to be amortized.  These expenses will continue to reduce our future 
earnings or increase our future losses.  The accounting for intangible assets requires reliance on forward looking estimates of sales 
and/or earnings. Due to the uncertainty surrounding the global pandemic, estimating the future performance of our business is 
extremely challenging and the range of deviation from internal estimates could be more significant in this environment. As of 
December 31, 2020, the pandemic has not had an impact on the carrying value of our goodwill and other intangible assets. A 
prolonged pandemic could have adverse changes on the underlying estimates, assumptions or judgments and could have a 
material adverse impact on the fair value of our goodwill and other indefinite-lived intangible assets.

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Legal and Compliance Risks

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.

The products that we design, manufacture and distribute, including our customers’ finished medical devices, product components 
that are incorporated into our customers’ finished medical devices, and our own finished medical devices, 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, including product components and finished medical devices, 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.  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 other components, systems or medical 
devices not manufactured or sold by us could result in product liability claims or a recall. Many of our products are components 
that interact 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.  Furthermore, the design and manufacturing of finished medical devices of the types 
that we also produce entail an inherent risk of product liability claims. Some of the medical devices that we manufacture and sell 
are designed to be implanted into the human body. A number of factors could result in an unsafe condition or injury to, or death 
of, a patient with respect to these medical devices. These factors could also result in product liability claims, a recall of one or 
more of our medical devices or a safety alert relating to one or more of our medical devices.

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 and whether related to a 
product component or a finished medical device, 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 product 
liability claims made against us.

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, these measures afford only limited protection, and our patent rights, whether issued, subject to license or 
in process, and our other intellectual property protections may be misappropriated, circumvented or invalidated. The laws of some 
foreign countries do not offer the same level of protection for our intellectual property as the laws of the U.S.  Further, no 
assurances can be given that any patent application we have filed or will file will result in a patent being issued, or that any 
existing or future patents will afford adequate or meaningful protection against competitors or against similar technologies.  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.

- 23 -

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 these 
types of actions. 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 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 the 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.  Former employers of our associates may assert claims that these associates have improperly disclosed to us the 
confidential or proprietary information of those former employers.  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, with or without merit, 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.  If we are not successful in defending these claims, we could be required to stop selling, delay shipments of, or 
redesign our products, discontinue the use of related technologies or designs, pay monetary amounts as damages, and satisfy 
indemnification obligations that we have with some of our customers.  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.

A failure to comply with customer-driven policies and standards and third-party certification requirements or standards 
could adversely affect our business and reputation.

Our customers may require us to comply with their own or third-party quality standards, business policies, commercial terms, or 
other policies or standards, which may be even more restrictive than current laws and regulations as well as our pre-existing 
policies or terms with our suppliers, before they commence, or continue, doing business with us. These policies or standards may 
be customer-driven, established by the market sectors in which we operate or imposed by third party organizations.

Our compliance with these heightened or additional policies, standards and third-party certification requirements, and managing a 
supply chain in accordance with those policies, standards and requirements, could be costly, and our failure to comply could 
adversely affect our operations, customer relationships, reputation and profitability. In addition, our adoption of these standards 
could adversely affect our cost competitiveness and ability to provide customers with required service levels. In certain 
circumstances, to meet the requirements or standards of our customers, we may be obligated to select certain suppliers or make 
other sourcing choices, and we may bear responsibility for adverse outcomes even if these matters are the result of third-party 
actions or outside of our control.

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 may 
lose rights granted under licenses for reasons beyond our control or if the license has a finite term and cannot be renewed on 
favorable terms or at all.

- 24 -

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, including a former manufacturing facility located in South 
Plainfield, New Jersey previously operated by a subsidiary of Lake Region Medical, may require expenditures for clean-up in the 
future that could materially adversely affect our financial results.  In addition, 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 adversely affect 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  
U.S. Foreign Corrupt Practices Act (“FCPA”) and other similar anti-corruption laws in other countries that prohibit us and our 
business partners and other intermediaries 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 adversely 
affect our business, reputation, operating results, and financial condition.

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, 
including the new European Medical Device Regulation that goes into effect in May 2021, which was adopted by the European 
Union as a common legal framework for all European Union member states.  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 is time 
consuming, burdensome and expensive and could adversely 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 amending, repealing or replacing the Patient Protection 
and Affordable Care Act.  It is unclear how such reforms will progress under the new presidential administration.  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.

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 this occurs, 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.

- 25 -

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 31, 2020, we 
operated 19 facilities in the U.S., four in Europe, three in Mexico, one in South America, two in Asia, and one in the Middle East.  
Of these facilities, 22 were leased and 8 were owned.  We occupy approximately 1.8 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, expand or dispose of existing facilities.

ITEM 3. 

LEGAL PROCEEDINGS

For information regarding certain legal proceedings pending against us, see Note 13 “Commitments and Contingencies” of the 
Notes to Consolidated Financial Statements contained in Item 8 of this report.

ITEM 4.  MINE SAFETY DISCLOSURES

Not applicable.

- 26 -

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 12, 2021.  Because many of these shares are held by brokers and other institutions on behalf of the ultimate 
beneficial holders of these shares, 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 31, 2020, 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 100 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 1, 2016 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

01/01/16

12/30/16

12/29/17

12/28/18

12/31/19

12/31/20

Integer Holdings Corporation

$ 

100.00  $ 

56.10  $ 

90.97  $ 

152.68  $ 

161.52  $ 

S&P Smallcap 600

Hemscott Peer Group Index

100.00   

100.00   

126.56   

106.06   

143.30   

139.59   

131.15   

156.04   

161.03   

202.99   

163.05 

179.20 

237.14 

- 27 -

Index ValueTotal Return PerformanceInteger Holdings CorporationS&P Smallcap 600Hemscott Peer Group Index01/01/1612/30/1612/29/1712/28/1812/31/1912/31/20$0$50$100$150$200$250 
 
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 2016 though 2017 fiscal years were retrospectively revised from previously reported amounts to reclassify the operations for 
the AS&O Product Line as discontinued operations.

The Company’s 2020, 2019, 2018, 2017 and 2016 fiscal years ended on December 31, 2020, December 31, 2019, December 28, 
2018, December 29, 2017 and December 30, 2016, respectively.

2020(1)(2)

2019(1)(2)

2018(2)

2017(2)(3)

2016(1)(2)

Summary of Operations for the Fiscal Year:

Sales

$ 1,073,442  $ 1,258,094  $ 1,215,012  $ 1,136,080  $ 1,075,502 

Income from continuing operations

Income (loss) from discontinued operations

Net income

77,258 

— 

77,258 

91,218 

5,118 

96,336 

47,033 

120,931 

167,964 

87,087 

24,878 

(20,408)   

(18,917) 

66,679 

5,961 

Basic earnings (loss) per share:

Income from continuing operations

$ 

2.35  $ 

2.80  $ 

1.46  $ 

2.77  $ 

Income (loss) from discontinued operations

Basic earnings per share

— 

2.35 

0.16 

2.95 

3.76 

5.23 

(0.65)   

2.12 

Diluted earnings (loss) per share:

Income from continuing operations

$ 

2.33  $ 

2.76  $ 

1.44  $ 

2.72  $ 

Income (loss) from discontinued operations

Diluted earnings per share

— 

2.33 

0.15 

2.92 

3.71 

5.15 

(0.64)   

2.08 

0.81 

(0.61) 

0.19 

0.80 

(0.61) 

0.19 

Financial Position at Year End:

Working capital

Total assets
Long-term obligations

$  256,746  $  236,317  $  251,680  $  322,906  $  332,087 

  2,371,857 
944,611 

  2,353,093 
  1,021,527 

  2,326,681 
  1,101,618 

  2,848,345 
  1,745,961 

  2,832,543 
  1,922,084 

__________
(1) We acquired certain assets and liabilities of InoMec in 2020 and USB in 2019.  In 2016, we spun-off a portion of our former 

QiG segment, which became Nuvectra Corporation.  This data includes the results of operations of InoMec and USB 
subsequent to acquisition and does not include the result of operations of Nuvectra subsequent to the Spin-off.

(2) From 2016 to 2020, we recorded charges in Other Operating Expenses (“OOE”), primarily related to our cost savings and 

consolidation initiatives and cost of 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.

(3)

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

- 28 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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
Impact of COVID-19
Recent business acquisitions
Discontinued operations and divestiture
Patent litigation
Strategic overview
Financial overview

Our Financial Results

•
•
•
•
•

Fiscal 2020 compared with fiscal 2019
Liquidity and capital resources
Off-balance sheet arrangements
Contractual obligations
Impact of recently issued accounting standards

Critical Accounting Estimates

•
•

Inventories
Valuation of goodwill and intangible assets

Our Business

Integer Holdings Corporation is one of the largest 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 comprises the Electrochem product line.  For more 
information on our segments, please refer to Note 18 “Segment and Geographic Information” of the Notes to Consolidated 
Financial Statements contained in Item 8 of this report.

Impact of COVID-19

Beginning in early March 2020, the global spread of the novel coronavirus (“COVID-19”) created significant uncertainty and 
worldwide economic disruption. Specific impacts to our business include delayed or reduced customer orders and sales, 
restrictions on our associates’ ability to travel or work, delays in shipments to and from certain countries, and disruptions in our  
supply chain.  The extent to which COVID-19 impacts our operations will depend on future developments, which are highly 
uncertain, including, among others, the duration of the outbreak, new information that may emerge concerning the severity of 
COVID-19 and the actions, especially those taken by governmental authorities, to contain the pandemic or treat its impact.  As 
pandemic-related events continue to evolve, additional impacts may arise that we are not aware of currently.  Any prolonged 
material disruption of our associates, suppliers, manufacturing, or customers could materially impact our consolidated financial 
position, results of operations or cash flows.

- 29 -

MANAGEMENT’S DISCUSSION AND ANALYSIS

Recent Business Acquisitions

On February 19, 2020, we acquired certain assets and liabilities of InoMec Ltd. (“InoMec”), a privately-held company based in 
Israel  that  specializes  in  the  research,  development  and  manufacturing  of  medical  devices,  including  minimally  invasive  tools, 
delivery  systems,  tubing  and  catheters,  surgery  tools,  drug-device  combination,  laser  combined  devices,  and  tooling  and 
production.  The acquisition enables us to create a research and development center in Israel, closer to the customer base in the 
region.

In  October  2019,  we  purchased  certain  assets  and  liabilities  of  US  BioDesign,  LLC  (“USB”),  a    privately-held  developer  and 
manufacturer of complex braided biomedical structures for disposable and implantable medical devices. The acquisition added a 
differentiated capability related to the development and manufacture of complex braided and formed biomedical structures to our 
broad portfolio, that we believe further positions us as a partner of choice for innovative medical technologies.

Discontinued Operations and Divestiture

In  July  2018,  we  completed  the  sale  of  the  AS&O  Product  Line  for  net  cash  proceeds  of  approximately  $581  million.    In 
connection  with  the  sale,  the  parties  executed  a  transition  services  agreement  whereby  we  provided  certain  corporate  services 
(including  accounting,  payroll,  and  information  technology  services)  to  Viant  to  facilitate  an  orderly  transfer  of  business 
operations.  Viant paid us for these services as specified in the transition services agreement, which were complete as of June 28, 
2019.  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.

In connection with the closing of the transaction but prior to a net working capital adjustment, we recognized a pre-tax gain on 
sale  of  discontinued  operations  of  $195.0  million  during  the  year  ended  December  28,  2018.    During  2019,  we  received,  and 
recognized as gain on sale from discontinued operations, $4.8 million due to the final net working capital adjustment agreed to 
with Viant.

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.

Refer  to  Note  2  “Business  Acquisitions,  Divestiture  and  Discontinued  Operations”  of  the  Notes  to  Consolidated  Financial 
Statements contained in Item 8 of this report for additional information about the acquisition of certain assets of InoMec and USB 
and the divestiture of the AS&O Product Line.

Patent Litigation

In April 2013, we commenced an action against a competitor alleging they had infringed on the our patents by manufacturing and 
selling filtered feedthrough assemblies used in implantable pacemakers and cardioverter defibrillators that incorporate our 
patented technology.  

Following four trials and an appeal, the United States Court of Appeals for the Federal Circuit affirmed, in all respects, a 
judgment in our favor.  We received proceeds related to the judgment of $28.9 million in October 2020, and after recognizing 
certain related expenses, recognized a net gain of $28.2 million, which is recorded in Selling, general and administrative expenses.  
The proceeds were used to pay down a portion of our Revolving Credit Facility.

Refer to Note 13 “Commitments and Contingencies” of the Notes to Consolidated Financial Statements contained in Item 8 of this 
report for additional information on this matter.

- 30 -

MANAGEMENT’S DISCUSSION AND ANALYSIS

Strategic Overview

We continue to take steps to better align our resources in order to invest to grow and protect, and preserve our portfolio of 
products.  In addition to our portfolio strategy, we continue to execute our six key operational strategic imperatives designed to 
drive excellence in everything we do:

•

Sales Force Excellence: We have changed the organizational structure to match product line growth strategies and customer 
needs. This change is about getting more out of the capabilities we already have, and has increased individual accountability 
and clarity of ownership, while serving customers more effectively.

• Market Focused Innovation: We are ensuring we get the most return on our research and development investments.  We are 

focused on having a clear picture of how we spend our money so we can increase investments to drive future growth.

• Manufacturing 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.  This system will provide standardized systems and 
processes by leveraging best practices and applying them across all of our global sites. 

•

•

•

Business Process Excellence: We are taking a systematic approach to driving excellence in everything we do by 
standardizing, optimizing and ultimately sustaining all of our processes.

Leadership Capability: We have a robust plan to make leadership a competitive advantage for us, and as the success rate is 
higher with internal hires, we are focusing on finding and developing leaders from within the Company to build critical 
capabilities for future success.

Performance Excellence: We are 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 our top performers can see increased results in pay for increased 
results in their performance.

We believe we are 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.

Financial Overview

Fiscal 2020 Compared with Fiscal 2019
Income from continuing operations for 2020 was $77.3 million or $2.33 per diluted share compared to $91.2 million or $2.76 per 
diluted share for 2019. These variances are primarily the result of the following:

•

•

•

•

Sales from continuing operations for 2020 decreased 15% primarily due to the impact of the COVID-19 pandemic.

Gross profit for 2020 decreased $69.3 million or 20%, primarily from a decrease in sales volume, price reductions to our 
customers, and a loss in volume leverage, which resulted from our sales decrease, partially offset by 2019 charges associated 
with a customer bankruptcy (see Customer Bankruptcy under Our Financial Results below).
Operating expenses for 2020 decreased by $32.3 million compared to 2019, due to decreases of $29.7 million in SG&A 
expenses and $4.5 million in Other operating expenses, partially offset by a $1.9 million increase in RD&E expenses.  
Included in SG&A expenses for 2020 is a net gain of $28.2 million recognized in connection with a previously mentioned 
patent litigation judgment.

Interest expense for 2020 decreased by $14.3 million primarily due to lower interest rates and lower outstanding debt 
balances. 

• We recognized a net gain on equity investments of  $5.3 million in 2020, compared to a net loss on equity investments of 

$0.5 million during 2019.  Gains and losses on equity investments are generally unpredictable in nature.

•

Other loss, net for 2020 was $1.5 million compared to other income, net of $0.6 million during 2019, primarily due to 
fluctuations in foreign currency gains and losses in the respective periods.

• We recorded provisions for income taxes of $8.9 million and $14.0 million for 2020 and 2019, respectively.  The decrease in 
provision for income taxes is primarily due to our decrease in pre-tax income and the beneficial impact of the final Treasury 
Regulations issued in 2020.

- 31 -

MANAGEMENT’S DISCUSSION AND ANALYSIS

Fiscal 2019 Compared with Fiscal 2018
Income from continuing operations for 2019 was $91.2 million or $2.76 per diluted share compared to $47.0 million or $1.44 per 
diluted share for 2018. These variances are primarily the result of the following:

•

•

•

•

Sales from continuing operations for 2019 increased 4% primarily driven by growth in Cardio & Vascular and Cardiac & 
Neuromodulation sales.

Gross profit for 2019 decreased $7.7 million, primarily due to higher costs of sales due to inventory write-downs and other 
expenses totaling $21.4 million related to a customer who filed bankruptcy in 2019 (see “Customer Bankruptcy”), partially 
offset by a $43.1 million increase in sales from continuing operations.

Operating expenses for 2019 decreased by 5% compared to 2018, due to decreases of $3.7 million in SG&A expenses, $2.1 
million in RD&E expenses and $3.9 million in Other operating expenses.

Interest expense for 2019 decreased by $46.8 million primarily due to lower outstanding debt balances due to the repayment 
of debt over the last year and extinguishment of debt charges included in 2018 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 
2019 were lower by $40.1 million compared to 2018.

• We recognized a net loss on equity investments of  $0.5 million in 2019, compared to a net gain on equity investments of 

$5.6 million during 2018.  Gains and losses on equity investments are generally unpredictable in nature.

•

Other income, net for 2019 was $0.6 million compared to other loss, net of $0.8 million during 2018, primarily due to foreign 
currency gains in 2019 compared to foreign currency losses in 2018.

• We recorded an income tax provision of $14.0 million for 2019, compared to a provision of $14.1 million for 2018.

- 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):

Medical Sales:

Cardio & Vascular

Cardiac & Neuromodulation
Advanced Surgical, Orthopedics & 
  Portable Medical
Total Medical Sales

Non-Medical 

Total sales

Cost of sales

Gross profit

2020

2019

2018

Change
2020 vs. 2019
%

$

Change
2019 vs. 2018
%

$

$  569,948 

$  610,056 

$  585,464 

$ (40,108) 

 (7) % $  24,592 

  346,242 

  457,194 

  443,347 

 (110,952)   (24) %   13,847 

 4 %

 3 %

  121,788 

  132,429 

  133,225 

  (10,641) 

 (8) %  

(796) 

 (1) %

 1,037,978 

 1,199,679 

 1,162,036 

 (161,701)   (13) %   37,643 

 3 %

35,464 

58,415 

52,976 

  (22,951) 

 (39) %  

5,439 

 10 %

 1,073,442 

 1,258,094 

 1,215,012 

 (184,652)   (15) %   43,082 

  787,735 

  903,084 

  852,347 

 (115,349)   (13) %   50,737 

 4 %

 6 %

  285,707 

  355,010 

  362,665 

  (69,303) 

 (20) %  

(7,655) 

 (2) %

Gross profit as a % of sales

 26.6 %

 28.2 %

 29.8 %

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

  109,006 

  138,695 

  142,441 

  (29,689) 

 (21) %  

(3,746) 

 (3) %

SG&A as a % of sales

 10.2 %

 11.0 %

 11.7 %

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

48,468 

46,529 

48,604 

1,939 

 4 %  

(2,075) 

 (4) %

RD&E as a % of sales

 4.5 %

 3.7 %

 4.0 %

Other operating expenses

7,621 

12,151 

16,065 

(4,530) 

 (37) %  

(3,914) 

 (24) %

Total operating expenses

  165,095 

  197,375 

  207,110 

  (32,280) 

 (16) %  

(9,735) 

 (5) %

Operating income

  120,612 

  157,635 

  155,555 

  (37,023) 

 (23) %  

2,080 

 1 %

Operating income as a % of sales

 11.2 %

 12.5 %

 12.8 %

Interest expense

(Gain) loss on equity investments, net

Other (income) loss, net
Income from continuing operations
   before taxes
Provision for income taxes

38,220 

(5,337) 

1,522 

52,545 

99,310 

  (14,325) 

 (27) %   (46,765) 

475 

(578) 

(5,623) 

(5,812) 

752 

2,100 

NM

NM

6,098 

(1,330) 

 (47) %
NM

NM

86,207 
8,949 

  105,193 
13,975 

61,116 
14,083 

  (18,986) 
(5,026) 

 (18) %   44,077 
(108) 
 (36) %  

 72 %
 (1) %

Income from continuing operations

$  77,258 

$  91,218 

$  47,033 

$ (13,960)   (15) % $  44,185 

 94 %

Effective tax rate

 10.4 %

 13.3 %

 23.0 %

Income from continuing 
operations as a % of sales

 7.2 %

 7.3 %

 3.9 %

Diluted earnings per share from
   continuing operations

NM - Calculated change not meaningful.

$ 

2.33 

$ 

2.76 

$ 

1.44 

$ 

(0.43) 

 (16) % $ 

1.32 

 92 %

Customer Bankruptcy
In November 2019, one of our customers, Nuvectra, filed a voluntary petition in U.S. Bankruptcy Court for the Eastern District of 
Texas seeking relief under Chapter 11 of the U.S. Bankruptcy Code.  During 2020 and 2019, we recorded pre-tax charges totaling 
$1.2 million and $24.2 million, respectively, in connection with the bankruptcy.  These charges were primarily non-cash and were 
associated with certain Nuvectra-related assets, primarily consisting of inventory, accounts receivable, as well as certain non-
cancelable inventory commitments.  The charges for 2020 were included in Cost of sales ($1.1 million) and SG&A expenses 
($0.1 million).  The charges for 2019 were included in Cost of sales ($21.4 million), SG&A expenses ($2.4 million) and Other 
operating expenses ($0.4 million).

- 33 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
MANAGEMENT’S DISCUSSION AND ANALYSIS

The following discussion is a comparison between fiscal year 2020 and fiscal year 2019 results.  For a discussion of our results of 
operations for fiscal year 2019 compared to fiscal year 2018, please refer to Item 7 of Part II, “Management’s Discussion and 
Analysis of Financial Condition and Results of Operations” in our Annual Report on Form 10-K for the fiscal year ended 
December 31, 2019, which was filed with the SEC on February 20, 2020.

Fiscal 2020 Compared with Fiscal 2019 

Sales

Sales by product line for 2020 and 2019 were as follows (dollars in thousands):

Medical Sales:

Cardio & Vascular

Cardiac & Neuromodulation

Advanced Surgical, Orthopedics & Portable Medical

Total Medical Sales

Non-Medical 

Total sales

2020

2019

$

%

Change

$ 

569,948  $ 

610,056  $ 

(40,108) 

 (6.6) %

346,242 

121,788 

457,194 

132,429 

1,037,978 

1,199,679 

35,464 

58,415 

(110,952) 

 (24.3) %

(10,641) 

(161,701) 

(22,951) 

 (8.0) %

 (13.5) %

 (39.3) %

 (14.7) %

$ 

1,073,442  $ 

1,258,094  $ 

(184,652) 

Total 2020 sales decreased 15% to $1.073 billion in comparison to 2019. The most significant drivers of this decrease were as 
follows:

Cardio & Vascular sales for 2020 decreased $40.1 million or 7% in comparison to 2019.  Cardio & Vascular sales were negatively 
impacted by the COVID-19 pandemic and a blend of our customers’ responses across nearly all Cardio & Vascular markets.  
During 2020, price reductions reduced Cardio & Vascular sales by $7.1 million in comparison to 2019.   Foreign currency 
exchange rate fluctuations and acquisitions of USB and Inomec increased Cardio & Vascular sales for 2020 by $0.8 million and 
$7.9 million, respectively, in comparison to 2019.

Cardiac & Neuromodulation sales for 2020 decreased $111.0 million or 24% in comparison to 2019.  Cardiac & Neuromodulation 
sales were negatively impacted by the COVID-19 pandemic and a blend of our customers’ responses.  Additionally, the Nuvectra 
bankruptcy created a headwind of $16.7 million for the 2020 fiscal year.  During 2020, price reductions reduced Cardiac & 
Neuromodulation sales by approximately $10.7 million in comparison to 2019.  Foreign currency exchange rate fluctuations and 
acquisitions did not have a material impact on Cardiac & Neuromodulation sales during 2020 in comparison to 2019.

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 2020 
decreased by $10.6 million in comparison to 2019, driven by the impact of COVID-19 and a blend of our customers’ responses.  
Price reductions reduced Advanced Surgical, Orthopedic & Portable Medical sales by $1.4 million in comparison to 2019.  
Foreign currency exchange rate fluctuations and acquisitions did not have a material impact on Advanced Surgical, Orthopedic & 
Portable Medical sales during 2020 in comparison to 2019.

Non-Medical sales for 2020 decreased $23.0 million or 39% in comparison to 2019.  The decreases in Non-Medical sales were 
primarily driven by a severe decline in the energy market and demand fall-out from the COVID-19 pandemic.  Price and foreign 
currency exchange rate fluctuations did not have a material impact on Non-Medical sales during 2020 in comparison to 2019.

- 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)
Volume Leverage(c)
Customer Bankruptcy(d)

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

% Change

2020 vs. 2019

 (1.3) %

 (0.6) 

 (1.3) 

 1.6 

 (1.6) %

__________
(a) Our Gross Margin for 2020 was negatively impacted by price reductions given to our larger OEM customers in return for 

long-term volume commitments.

(b) Amount represents the impact to our Gross Margin attributable to changes in the mix of product sales during the period.
(c) Our gross margin for 2020 was negatively impacted by lower sales from the COVID-19 pandemic.  Given our indirect labor 
and overhead costs are less variable, and in most cases fixed, the resulting reduction in sales negatively impacted gross 
margin.  However, we continue to execute on our Manufacturing Excellence strategic imperative and maintain our facility 
infrastructure as we expect the sales decline to be temporary.

(d) Amount represents the impact to our Gross Margin attributable to the Customer Bankruptcy.

SG&A Expenses

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

Customer Bankruptcy(a)
Transition services agreement(b)
Patent litigation gain, net(c)
All other SG&A, net(d)

Net decrease in SG&A Expenses

$ Change

2020 vs. 2019

$ 

(2,274) 

2,733 

(28,167) 

(1,981) 

$ 

(29,689) 

__________
(a) Amount consists primarily of a $2.3 million reserve against outstanding receivables recorded during 2019 attributable to the 

Customer Bankruptcy.

(b) Represents the amount included in SG&A expenses which was billed to Viant for transition services during 2019.  We 
executed a transition services agreement in conjunction with the sale of the AS&O Product Line, whereby we agreed to 
provide certain corporate services (including accounting, payroll, and information technology services) to Viant to facilitate 
an orderly transfer of business operations.  This provision of services under the agreement was completed during the second 
quarter of 2019.

(c) We recognized a net gain of $28.2 million during 2020 related to a patent litigation judgment.  Refer to Note 13 

“Commitments and Contingencies” of the Notes to Consolidated Financial Statements contained in Item 8 of this report for 
additional information on this matter.

(d) The net decrease in all other SG&A expenses for 2020 compared to 2019 is primarily attributable to lower compensation and 
benefits cost, travel related expenses and depreciation expense, partially offset by an increase in amortization expense.

RD&E Expenses

RD&E expenses for 2020 and 2019 were $48.5 million and $46.5 million, respectively.  The increase in RD&E expenses for 2020 
compared to 2019 is primarily attributable to increased compensation and benefits costs, consistent with our strategy to invest in 
capabilities for growth.  RD&E expenses are influenced by the number and timing of in-process projects and labor hours and 
other costs associated with these projects. Our research and development initiatives continue to emphasize new product 
development, product improvements, and the development of new technological platform innovations.

- 35 -

 
 
 
 
 
MANAGEMENT’S DISCUSSION AND ANALYSIS

Other Operating Expenses

OOE comprises the following for 2020 and 2019 (in thousands):

Operational excellence(a)
Strategic reorganization and alignment(b)
Manufacturing alignment to support growth(c)
Acquisition and integration costs(d)
Other general expenses(e)

Other operating expenses

2020

2019

Change

$ 

2,791  $ 

—  $ 

686 

241 

(776)   

4,679 

5,812 

2,145 

377 

3,817 

2,791 

(5,126) 

(1,904) 

(1,153) 

862 

$ 

7,621  $ 

12,151  $ 

(4,530) 

__________
(a) These projects focus on changing our organizational structure to match product line growth strategies and customer needs, 
transitioning our manufacturing process into a competitive advantage and standardizing and optimizing our business 
processes.  Costs related to our 2020 initiatives mainly include termination benefits.

(b) As a result of the strategic review of our customers, competitors and markets, we began taking steps in 2017 to better align 

our resources to enhance the profitability of our portfolio of products.  These initiatives primarily included aligning 
resources with our strategic direction, improving profitability to invest in accelerated growth and the expansion of a facility.  
Costs related to these initiatives mainly included termination benefits and fees for professional services.  These actions were 
completed during 2020.

(c)

In 2017, we commenced several initiatives designed to reduce costs, increase manufacturing capacity to accommodate 
growth and improve operating efficiencies.  The plan involved the relocation of certain manufacturing operations and 
expansion of certain of our facilities.  These actions were completed during 2020.

(d) Amounts include expenses related to the purchase of certain assets and liabilities from InoMec and USB.  The 2020 amount 
also includes a $2.0 million adjustment to reduce the fair value of acquisition-related contingent consideration liabilities.  
See Note 17 “Financial Instruments and Fair Value Measurements” of the Notes to Consolidated Financial Statements 
contained in Item 8 of this report for additional information related to the fair value measurement of the contingent 
consideration. 

(e) Amounts include expenses related to other initiatives not described above, which relate primarily to actions to align labor 
with customer demand as a result of COVID-19 and the decline of the energy market and integration and operational 
initiatives to reduce future costs and improve efficiencies.  The 2020 and 2019 amounts primarily include severance, 
information technology systems conversion expenses, expenses incurred in connection with the Customer Bankruptcy, and 
expenses related to the restructuring of certain legal entities of the Company.

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 consists primarily of cash interest and debt related charges, such as amortization of debt issuance costs and 
original issue discount.  Interest expense decreased $14.3 million to $38.2 million in 2020 from $52.5 million in 2019, primarily 
from a decrease in cash interest due to lower interest rates.  The weighted average interest rates paid on the average principal 
amount of debt outstanding during 2020 and 2019 was 3.79% and 4.99%, respectively.  The weighted average interest rates paid 
in 2020 compared to 2019 reflect decreases in LIBOR.  In November 2019, we reduced the applicable interest rate margins by 
amending our Senior Secured Credit Facilities.

Debt related charges included in interest expense were $4.8 million for 2020 compared to $7.8 million for 2019.  The decrease in 
debt related charges during 2020 compared to 2019 is primarily attributable to lower accelerated write-offs (losses from 
extinguishment of debt) of debt issuance costs and unamortized discounts related to prepayments of portions of our Term Loan B 
facility.  We recognized losses from extinguishment of debt during 2020 and 2019 of $0.5 million and $2.5 million, respectively.  

As of December 31, 2020, approximately 27% of our principal amount of debt outstanding was subject to variable rates, in 
comparison to approximately 20% as of December 31, 2019.  We enter into interest rate swap agreements to reduce our exposure 
to fluctuations in the LIBOR rate.  See Note 17 “Financial Instruments and Fair Value Measurements” of the Notes to the 
Consolidated Financial Statements contained in Item 8 of this report for additional information pertaining to our interest rate swap 
agreements.

(Gain) Loss on Equity Investments, Net

During 2020, we realized net gains of $5.3 million on our equity investments compared to net losses of $0.5 million for 2019.  
Gains and losses on equity investments are generally unpredictable in nature.  During 2020 and 2019, we recognized impairment 
charges of $0.4 million and $1.6 million, respectively, related to investments in our non-marketable equity securities.  The 
residual amounts for 2020 and 2019 relate to our share of equity method investee gains/losses, including unrealized appreciation 
of the underlying interests of the investee.  As of December 31, 2020 and December 31, 2019, the carrying value of our equity 
investments were $27.2 million and $22.3 million, respectively.  See Note 17 “Financial Instruments and Fair Value 
Measurements” of the Notes to Consolidated Financial Statements contained in Item 8 of this report for further details regarding 
these investments.

Other (Income) Loss, Net

Other (income) loss, net was a loss of $1.5 million during 2020 compared to income of $0.6 million during 2019. Other (income) 
loss, net primarily comprises gains/losses from the impact of exchange rates on transactions denominated in foreign currencies.  
Our foreign currency transaction gains/losses are based primarily on fluctuations of the U.S. dollar relative to the Euro, Mexican 
peso, Uruguayan pesos, Malaysian ringgits, or Israeli shekel.

The impact of foreign currency exchange rates on transactions denominated in foreign currencies included in Other (income) loss, 
net for 2020 and 2019 were losses of $1.6 million and $0.04 million, respectively.  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.

- 37 -

MANAGEMENT’S DISCUSSION AND ANALYSIS

Provision for Income Taxes

During 2020 and 2019, our provision for income taxes was $8.9 million on worldwide pre-tax income of $86.2 million
 (10.4%) and $14.0 million on worldwide pre-tax income of $105.1 million (13.3%), respectively. The stand-alone U.S. 
component of the effective tax rate for 2020 reflected a $3.1 million provision on $35.3 million of pre-tax book income (8.9%) 
versus a $5.7 million provision on $40.2 million of pre-tax book income (14.2%) for 2019.  The stand-alone International 
component of the effective tax rate for 2020 reflected a $5.8 million provision on $50.9 million of pre-tax book income (11.4%) 
versus a $8.3 million provision on $65.0 million of pre-tax book income (12.7%) for 2019. 

The provision for income taxes for 2020 differs from the U.S. statutory rate due to the following (dollars in thousands):

Income before provision for income taxes

$  35,337 

$  50,870 

$  86,207 

U.S.

International

Combined

$

%

$

%

$

%

Provision at statutory rate

Federal tax credits (including R&D)

Foreign rate differential

Stock-based compensation

Uncertain tax positions

State taxes, net of federal benefit

U.S. tax on foreign earnings, net of §250 deduction

Valuation allowance

Other

Provision for income taxes

$  7,420 

 21.0 % $  10,683 

 21.0 % $  18,103 

 21.0 %

(7,009) 

 (19.9) 

— 

 — 

339 

 1.0 

(5,672) 

 (11.2) 

(1,459) 

 (4.1) 

1,208 

553 

3,216 

(470) 

(674) 

 3.4 

 1.6 

 9.1 

 (1.3) 

 (1.9) 

— 

— 

— 

— 

125 

689 

 — 

 — 

 — 

 — 

 0.2 

 1.4 

(7,009) 

(5,333) 

(1,459) 

1,208 

553 

3,216 

 (8.1) 

 (6.2) 

 (1.7) 

 1.4 

 0.6 

 3.7 

(345) 

 (0.4) 

15 

 0.1 

$  3,124 

 8.9 % $  5,825 

 11.4 % $  8,949 

 10.4 %

The provision for income taxes for 2019 differs from the U.S. statutory rate due to the following (dollars in thousands):

Income before provision for income taxes

$  40,203 

$  64,990 

$ 105,193 

U.S.

International

Combined

$

%

$

%

$

%

Provision at statutory rate

$  8,443 

 21.0 % $  13,648 

 21.0 % $  22,091 

 21.0 %

Federal tax credits (including R&D)
Foreign rate differential

Stock-based compensation
Uncertain tax positions

State taxes, net of federal benefit

U.S. tax on foreign earnings, net of §250 deduction

Valuation allowance

Other

Provision for income taxes

(4,751) 
— 

(2,422) 
(920) 

1,106 

5,201 

 (11.8) 
 — 

 (6.0) 
 (2.3) 

 2.8 

 12.9 

(46) 
(5,479) 

 (0.1) 
 (8.4) 

— 
— 

— 

— 

 — 
 — 

 — 

 — 

(4,797) 
(5,479) 

(2,422) 
(920) 

1,106 

5,201 

 (4.6) 
 (5.2) 

 (2.3) 
 (0.9) 

 1.1 

 4.9 

(956) 

 (2.4) 

(650) 

 (1.0) 

(1,606) 

 (1.5) 

(5) 

 — 

806 

 1.2 

801 

 0.8 

$  5,696 

 14.2 % $  8,279 

 12.7 % $  13,975 

 13.3 %

Our effective tax rate of 10.4% for 2020 is lower than our effective tax rate of 13.3% for 2019, primarily due to the beneficial 
impact of the final Treasury Regulations with respect to the Global Intangible Low-Taxed Income (“GILTI”), Foreign Derived 
Intangible Income “(FDII”) and Foreign Tax Credits that were issued during the third quarter of 2020, producing a non-recurring 
benefit to our effective tax rate in 2020.

- 38 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
MANAGEMENT’S DISCUSSION AND ANALYSIS

The Company’s effective tax rate for 2020 differs from the U.S. federal statutory tax rate of 21% due principally to the estimated 
impact of Federal Tax Credits (including R&D credits and Foreign tax credits), stock based compensation windfalls, and the 
impact of the Company’s earnings realized in foreign jurisdictions with statutory rates that are different than the U.S. federal 
statutory rate.  These benefits are partially offset by the impact of U.S taxes on foreign earnings, including the GILTI provision 
which requires the Company to include foreign subsidiary earnings in excess of a deemed return on a foreign subsidiary’s tangible 
assets in its U.S. income tax return. The U.S. tax on foreign earnings is reflected net of a statutory deduction of 50% of the GILTI 
inclusion (subject to limitations based on U.S. taxable income, if any) and net of FDII that provides a 37.5% deduction to 
domestic companies for certain foreign sales and services income.  The primary foreign 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%).  
We currently have a tax holiday in Malaysia through April 2023 provided certain conditions continue to be met.

There is a 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 $3.4 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 31, 2020, approximately $5.5 million of unrecognized tax benefits would favorably impact the effective tax rate (net of 
federal impact on state issues), if recognized.

Liquidity and Capital Resources 

(dollars in thousands)

Cash and cash equivalents

Working capital from continuing operations

Current ratio from continuing operations

December 31,
2020

December 31,
2019

$ 

$ 

49,206  $ 

13,535 

256,746  $ 

236,317 

2.64 

2.32 

Cash and cash equivalents at December 31, 2020 increased by $35.7 million from December 31, 2019 primarily as a result of cash 
generated from operating activities, inclusive of proceeds from the sale of accounts receivable under a supplier financing program, 
partially offset by purchases of property, plant and equipment and a net reduction of borrowings outstanding on our Senior 
Secured Credit Facility.  The increase in cash and cash equivalents is consistent with our actions to increase liquidity given the 
uncertainty surrounding the COVID-19 pandemic.

During 2020, we began utilizing supplier financing arrangements with financial institutions to sell certain accounts receivable on 
a non-recourse basis.  These transactions are treated as a sale of, and are accounted for as a reduction to, accounts receivable.  The 
agreement transfers control and risk related to the receivables to the respective financial institution. We have no continuing 
involvement in the transferred receivables subsequent to the sale.

Working capital increased by $20.4 million from December 31, 2019, primarily due to an increase in cash and cash equivalents  
supplemented by a decrease in current liabilities primarily from lower purchasing levels in 2020, partially offset by a decrease in 
accounts receivable from lower sales volume.

At December 31, 2020, $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

- 39 -

2020

2019

$ 

181,341  $ 

165,358 

(56,576)   

(88,578)   

(516)   
35,671  $ 

(58,862) 

(117,926) 

(604) 
(12,034) 

$ 

 
 
 
 
 
MANAGEMENT’S DISCUSSION AND ANALYSIS

Operating Activities - During 2020, we generated $181.3 million in cash from operations compared to $165.4 million in 2019.  
The increase of $15.9 million was due to an an increase of $56.2 million in cash flow provided by working capital, offset by a 
decrease of $40.3 million in cash net income (net income plus adjustments to reconcile net income to net cash provided by 
operating activities).  The increase in cash from working capital is the result of changes in certain assets and liabilities affecting 
cash flows, primarily an increase in cash flows from accounts receivable of $45.1 million, which decreased in the current year 
from lower sales and supplier financing, and inventory of $14.7 million, partially offset by a decrease in cash flows from accounts 
payable of $10.9 million.  The decrease in cash net income is primarily from lower gross profit from sales and gross margin 
declines partially offset by lower SG&A expenses, interest expense, and income tax expense.

Investing Activities – The $2.3 million decrease in net cash used in investing activities was primarily attributable to a decrease in 
net cash paid for business acquisitions of $9.8 million and decreased purchases of property, plant, and equipment of $1.4 million, 
partially offset by an increase from the purchase of an intangible asset of $4.6 million in 2020 and lower net cash proceeds from 
the sale of the AS&O Product Line of $4.7 million in 2019.

Financing Activities – Net cash used in financing activities during 2020 was $88.6 million compared to $117.9 million in 2019.   
Financing activities during 2020 included net payments of $87.5 million related to paying down our debt obligations compared to 
$116.5 million in 2019.  The payments made during 2020 include the utilization of proceeds received in conjunction with the 
patent litigation judgment during the fourth quarter of 2020.

Capital Structure - As of December 31, 2020, our capital structure consists of $731.3 million of debt, net of deferred debt 
issuance costs and unamortized discounts, outstanding under our Senior Secured Credit Facilities and 33 million shares of 
common stock outstanding.  We continue to have access to $193.2 million of borrowing capacity under our Revolving Credit 
Facility, available for normal course of business and letters of credit.  We are also authorized to issue up to 100 million shares of 
common stock and 100 million shares of preferred stock.  As of December 31, 2020, our contractual debt service obligations for 
2021, consisting of principal and interest on our outstanding debt, are estimated to be approximately $60 million.  Actual principal 
and interest payments may be higher if, for instance, the applicable interest rates on our Senior Secured Credit Facilities increase, 
we borrow additional amounts on our Revolving Credit Facility, or we pay principal amounts in excess of the required minimums 
reflected in the contractual debt service obligations above.

Based on current expectations, we believe that our projected cash flows provided by operations, available cash and cash 
equivalents and 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.  We continually evaluate and consider various financing alternatives to enhance or supplement 
our existing financial resources, including our Senior Secured Credit Facilities.  However, we cannot be assured that we will be 
able to enter into any such arrangements on acceptable terms or at all.  In addition, the recent COVID-19 pandemic, which has 
caused disruption in the capital markets, could make any such financing more difficult and/or expensive.

Credit Facilities - As of December 31, 2020, 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 available borrowing capacity of 
$193.2 million as of December 31, 2020, (ii)  a term loan A facility (the “TLA Facility”) with outstanding principal balance of  
$230 million, and (iii) a term loan B facility (the “TLB Facility”) with outstanding principal balance of $508 million.  The Senior 
Secured Credit Facilities 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 TLA Facility contain covenants requiring (A) a maximum total net leverage ratio of 4.75:1.00 
subject to a step down to 4.50 to 1.00 for the third fiscal quarter of 2021, and reverting to and remaining at 4.00 to 1.00 beginning 
with the fourth quarter of 2021 through maturity, and (B) a minimum interest coverage ratio of adjusted EBITDA (as defined in 
the Senior Secured Credit Facilities) to interest expense of 3.0:1.0.  Additionally, the total net leverage ratio can be increased by 
0.50 for up to four consecutive quarters commencing in any fiscal quarter in which we consummate an Eligible Adjustment 
Acquisition (as defined in the Amendment) with a $40 million or greater purchase price.  As of December 31, 2020, the Company 
was in compliance with these financial covenants. The TLB Facility does not contain any financial maintenance covenants.  As of 
December 31, 2020, our total net leverage ratio, calculated in accordance with our Senior Secured Credit Facilities agreement, 
was approximately 3.2 to 1.0.  For the twelve month period ended December 31, 2020, our ratio of adjusted EBITDA to interest 
expense, calculated in accordance with our Senior Secured Credit Facilities agreement, was approximately 6.5 to 1.0.

- 40 -

MANAGEMENT’S DISCUSSION AND ANALYSIS

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 31, 2020, our adjusted 
EBITDA would have to decline by approximately $70 million, or approximately 32%, for us to not be in compliance with our 
financial covenants.  The Revolving Credit Facility is supported by a consortium of twelve lenders with no lender controlling 
more than 27% of the facility.

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.

Contractual Obligations

Presented below is a summary of contractual obligations and other minimum commitments as of December 31, 2020.  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)
Other(c)

$ 

737,973  $ 

37,500  $ 

700,473  $ 

41,205 

55,782 

107,217 

22,965 

10,627 

93,275 

18,240 

16,365 

13,023 

—  $ 

— 

12,979 

919 

— 

— 

15,811 

— 

Total 

$ 

942,177  $ 

164,367  $ 

748,101  $ 

13,898  $ 

15,811 

(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 31, 2020, and exclude the impact of the debt issuance cost and discount 
amortization and the 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 14 “Leases” of the Notes to Consolidated Financial Statements contained in Item 8 of this report for additional 

information about our operating lease obligations.

(c) 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 $5.5 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 Financial Accounting Standards 
Board (“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.

- 41 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
MANAGEMENT’S DISCUSSION AND ANALYSIS

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.

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.  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 and Intangible 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.

In the first quarter of 2020, a trigger event was identified as a result of the collapse in the demand for oil caused by this 
unprecedented global health and economic crisis, coupled with oil oversupply, and adversely impacted the demand for products in 
the Company’s Non-Medical reportable segment. The Company performed a quantitative analysis to test goodwill for impairment 
as of April 3, 2020. The fair value of the Non-Medical reporting unit exceeded its carrying amount as of April 3, 2020.

We performed a qualitative assessment of our Medical reporting unit as of December 31, 2020.  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 unit.  The assessment indicated that it was more likely than not that the fair value of the Medical 
reporting unit exceeded its carrying value.  

We elected to bypass the qualitative assessment and performed a quantitative analysis for our Non-Medical reporting unit.  
Resulting from the quantitative analysis, the fair value exceeded the carrying value of the Non-Medical reporting unit by 
approximately 85%.  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. 

- 42 -

MANAGEMENT’S DISCUSSION AND ANALYSIS

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.

We performed a quantitative assessment to test our indefinite-lived intangible assets for impairment as of December 31, 2020.  
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 278% as of December 31, 2020.  The Lake 
Region Medical tradename had an excess of the estimated fair value over carrying value of approximately 43% and a carrying 
value of $70 million at December 31, 2020.  We do not believe that 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 indefinite-lived intangible 
assets in a future period.

Evaluation of long-lived assets for impairment

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, among 
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.

- 43 -

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.

Foreign Currency Exchange Rate Risk

We have foreign operations in Ireland, Israel, Malaysia, Mexico, Switzerland, and Uruguay which expose us to foreign currency 
exchange rate fluctuations due to transactions denominated in Euros, Israeli shekels, Malaysian ringgits, Mexican pesos, Swiss 
francs, and Uruguayan pesos, 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 2020 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 2020 increased sales in comparison to 2019 by $0.8 million.

We had currency derivative instruments outstanding in the notional amount of $43.5 million as of December 31, 2020 and $11.2 
million as of December 31, 2019.   As of December 31, 2020 and December 31, 2019, we recorded assets of $2.1 million and $0.7 
million, respectively, to recognize the fair value of these derivative instruments on our Consolidated Balance Sheets.  The 
amounts recorded during 2020 related to our forward contracts were increases in Sales, Cost of sales and Operating expenses of 
$0.6 million,  $1.2 million and $0.1 million, respectively.  Refer to Note 17 “Financial Instruments and Fair Value Measurements” 
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, for 2020 and 2019 amounted 
to a loss of $1.6 million and $0.04 million, respectively.

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 2020 was a gain of $34.9 million and primarily related to the weakening 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 $40 million on our foreign net assets as of December 31, 2020.

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 reduce the cash flow risk caused by interest rate changes on our outstanding floating rate 
borrowings.  

As of December 31, 2020, we had $738 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%. 
A hypothetical one percentage point (100 basis points) change in the LIBOR rate on the $538 million of unhedged variable rate 
debt outstanding at December 31, 2020 would increase our interest expense by approximately $1 million.

As of December 31, 2020, approximately 27% of our principal amount of debt outstanding was subject to variable rates, in 
comparison to approximately 20% as of December 31, 2019.  We enter into interest rate swap agreements in order to reduce our 
exposure to fluctuations in the LIBOR rate.

- 44 -

Under these swap agreements, we pay a fixed rate of interest and receive a floating rate equal to one-month LIBOR.  The variable 
rate received from the swap agreements and the variable rate paid on the outstanding debt will have the same rate of interest, 
excluding the credit spread, and will reset and pay interest on the same date.  The amount recorded during 2020 related to these 
interest rate swaps was an increase of $3.4 million to Interest expense.  We apply hedge accounting to the interest rate swap and 
account for it as a cash flow hedge.  As of December 31, 2020, these swaps had an unfavorable fair value of $7.0 million.  

Refer to Note 8 “Debt” and Note 17 “Financial Instruments and Fair Value Measurements” of the Notes to Consolidated Financial 
Statements in Item 8 of this report for additional information about our outstanding debt and interest rate swap agreements, 
respectively.

- 45 -

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

47

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

48

Consolidated Balance Sheets as of December 31, 2020 and December 31, 2019...................................................................

51

Consolidated Statements of Operations for the years ended December 31, 2020, December 31 2019 and
    December 28, 2018..............................................................................................................................................................

Consolidated Statements of Comprehensive Income for the years ended December 31, 2020, December 31, 2019
    and December 28, 2018........................................................................................................................................................

Consolidated Statements of Cash Flows for the years ended December 31, 2020, December 31, 2019 and
    December 28, 2018..............................................................................................................................................................

Consolidated Statements of Stockholders’ Equity for the years ended December 31, 2020, December 31, 2019
    and December 28, 2018........................................................................................................................................................

52

53

54

55

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

56

- 46 -

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 31, 2020, 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 31, 2020 is effective.

The effectiveness of internal control over financial reporting as of December 31, 2020 has been audited by Deloitte & Touche 
LLP, the Company’s independent registered public accounting firm.

Dated: February 18, 2021

/s/ Joseph W. Dziedzic

Joseph W. Dziedzic

President & Chief Executive Officer

/s/ Jason K. Garland

Jason K. Garland
Executive Vice President & Chief Financial Officer

- 47 -

 
  
  
  
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 31, 2020, 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 31, 2020, 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 31, 2020 
of the Company and our report dated February 18, 2021 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 18, 2021

- 48 -

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 31, 2020 and December 31, 2019, the related consolidated statements of operations, comprehensive 
income, cash flows, and stockholders’ equity for the years ended December 31, 2020, December 31, 2019, and December 28, 
2018, and the related notes and the schedule listed in the Index at Item 15 (collectively referred to as the “financial statements”).  
In our opinion, the financial statements present fairly, in all material respects, the financial position of the Company as of 
December 31, 2020 and December 31, 2019, and the results of its operations and its cash flows for the years ended December 31, 
2020, December 31, 2019, and December 28, 2018, in conformity with accounting principles generally accepted in the United 
States of America.

We have also audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) 
(PCAOB), the Company’s internal control over financial reporting as of December 31, 2020, 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 18, 2021 expressed an unqualified opinion on the Company’s internal control over 
financial reporting.

Change in Accounting Principle

As discussed in Note 1 to the financial statements, the Company changed its method of accounting for leases in fiscal year 2019 
due to the adoption of Accounting Standards Update No. 2016-02, Leases (Topic 842), as amended, using the option to not restate 
comparative periods and apply the standard as of the date of initial application.

Basis for Opinion

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

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

Critical Audit Matters

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

Inventories - Refer to Notes 1 and 4 to the financial statements

Critical Audit Matter Description
Inventories are stated at the lower of cost, determined using the first-in first-out method, or net realizable value. The valuation of 
inventory requires the Company to estimate obsolete or excess inventory, as well as inventory that is not of saleable quality.  
Variations in assumptions used could have a material impact to the amount of write-downs for excess, obsolete or expired 
inventory. A significant change in the timing or level of demand for specific products may result in recording material 
adjustments for excess, obsolete or expired inventory in the future.

Given the amount of judgment required by management in estimating the timing or level of demand forecast for a specific 
product, performing audit procedures to evaluate the reasonableness of the estimated excess or obsolete inventory, or inventory 
that is not of saleable quality required a high degree of auditor judgment and an increased extent of effort. 

- 49 -

How the Critical Audit Matter Was Addressed in the Audit
Our audit procedures related to the valuation of excess or obsolete inventory or inventory that is not of saleable quality, included 
the following, among others:

• We tested the effectiveness of controls over management’s review of the periodic calculation of the valuation for excess 

or obsolete inventory or inventory that is not of saleable quality.

• We tested management’s process for determining the valuation of inventory, including:

◦ We tested the accuracy and completeness of the source information underlying the determination of the 

valuation for excess or obsolete inventory, or inventory that is not of saleable quality.

◦ We tested the demand forecast by obtaining documentation to support customer orders, contracts with 

customers, as well as historical and future sales that corroborate the amount stated for the demand forecast.

◦ We evaluated whether the methodology and assumptions applied by management are reasonable and consistent 

with the nature of the inventory.

◦ We performed a retrospective review of the prior-year estimates for excess or obsolete inventory, or inventory 
that is not of saleable quality, to determine whether management’s judgments and assumptions relating to those 
estimates indicate a possible bias. 

Other Intangible Assets, Net - Lake Region Medical Tradename - Refer to Notes 1 and 6 to the financial statements

Critical Audit Matter Description 
The carrying value of the Lake Region Medical tradename intangible asset was $70 million as of December 31, 2020. The 
Company assesses its indefinite-lived intangible assets for impairment at least annually by comparing the fair value of the 
indefinite-lived asset to the carrying value. The fair value of the tradename is estimated using the relief-from-royalty method. The 
determination of the fair value requires management to make estimates and use assumptions, including those assumptions related 
to royalty rates for similar transactions and the discount rate to estimate the present value of cash flows that would be derived 
from the royalties. Changes in these assumptions could have a significant impact on the fair value of the Lake Region Medical 
tradename asset and a significant change in fair value could cause a material impairment of the asset.  

Given the determination of fair value of the Lake Region Medical tradename asset requires management to make significant 
estimates and assumptions relating to the selection of royalty and discount rates, performing audit procedures to evaluate the 
reasonableness of such estimates and assumptions required a high degree of auditor judgment and an increased extent of effort, 
including the need to involve our fair value specialists. 

How the Critical Audit Matter Was Addressed in the Audit
Our audit procedures related to the assumptions used for the selection of the royalty rate and discount rate, included the following, 
among others: 

• We tested the effectiveness of controls over management’s intangible asset impairment evaluation, including those over 

the determination of the fair value of the Lake Region Medical tradename asset, such as controls related to 
management’s selection of the royalty and discount rates.

• We performed sensitivity analysis of significant assumptions to evaluate changes in the fair value of the Lake Region 

Medical tradename asset that would result from changes in the underlying assumptions.

• With the assistance of our fair value specialists, we evaluated the reasonableness of the royalty rate and discount rate by:

◦

◦

Testing the source information underlying the determination of the royalty and discount rates and the 
mathematical accuracy of the calculation.

Developing a range of independent estimates and comparing those to both market and industry data as well as to 
the royalty and discount rates selected by management.

/s/ Deloitte & Touche LLP

Williamsville, New York
February 18, 2021

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

- 50 -

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 provision for credit losses of $0.2 million and allowance for 

doubtful accounts of $2.4 million, respectively

Inventories
Refundable income taxes
Contract assets
Prepaid expenses and other current assets

Total current assets

Property, plant and equipment, net
Goodwill
Other intangible assets, net
Deferred income taxes
Operating lease assets
Other assets

Total assets

LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:

Current portion of long-term debt
Accounts payable
Income taxes payable
Operating lease liabilities
Accrued expenses and other current liabilities

Total current liabilities

Long-term debt
Deferred income taxes
Operating lease liabilities
Other long-term liabilities
Total liabilities

Commitments and contingencies (Note 13)
Stockholders’ equity:

December 31,
2020

December 31,
2019

$ 

49,206 

$ 

13,535 

156,207 
149,323 
2,087 
40,218 
15,896 
412,937 
253,964 
859,442 
757,224 
4,398 
45,153 
38,739 

191,985 
167,256 
— 
24,767 
17,852 
415,395 
246,185 
839,617 
775,784 
4,438 
42,379 
29,295 

$ 

2,371,857 

$ 

2,353,093 

$ 

$ 

37,500 
51,570 
1,847 
8,431 
56,843 
156,191 
693,758 
182,304 
37,861 
30,688 
1,100,802 

37,500 
64,975 
3,023 
7,507 
66,073 
179,078 
777,272 
187,978 
37,114 
19,163 
1,200,605 

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; 32,908,178 and 
32,847,017 shares issued, respectively; 32,908,178 and 32,700,471 shares 
outstanding, respectively

Additional paid-in capital
Treasury stock, at cost, no shares as of December 31, 2020 and 146,546 shares as of 

December 31, 2019

Retained earnings
Accumulated other comprehensive income

Total stockholders’ equity

Total liabilities and stockholders’ equity

33 
700,814 

— 
517,516 
52,692 

33 
701,018 

(8,809) 
440,258 
19,988 

1,271,055 

1,152,488 

$ 

2,371,857 

$ 

2,353,093 

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

- 51 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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

Research, development and engineering

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 for income taxes

Income from continuing operations

Discontinued operations:

Income from discontinued operations before taxes

Provision for income taxes

Income from discontinued operations

Net income

Basic earnings per share:

Income from continuing operations

Income from discontinued operations

Basic earnings per share

Diluted earnings per share:

Income from continuing operations

Income from discontinued operations

Diluted earnings per share

Weighted average shares outstanding:

Basic

Diluted

December 31,
2020

Fiscal Year Ended
December 31,
2019

December 28,
2018

$ 

1,073,442  $ 

1,258,094  $ 

1,215,012 

787,735 

285,707 

109,006 

48,468 

7,621 

165,095 

120,612 

38,220 

903,084 

355,010 

138,695 

46,529 

12,151 

197,375 

157,635 

52,545 

(5,337)   

1,522 

86,207 

8,949 

475 

(578)   

105,193 

13,975 

$ 

77,258  $ 

91,218  $ 

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 

$ 

$ 

$ 

— 

— 

5,296 

178 

188,313 

67,382 

—  $ 

5,118  $ 

120,931 

77,258  $ 

96,336  $ 

167,964 

2.35  $ 

2.80  $ 

— 

2.35 

0.16 

2.95 

$ 

2.33  $ 

2.76  $ 

— 

2.33 

0.15 

2.92 

1.46 

3.76 

5.23 

1.44 

3.71 

5.15 

32,845 

33,113 

32,627 

33,037 

32,136 

32,596 

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

- 52 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
INTEGER HOLDINGS CORPORATION
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME

(in thousands)

Comprehensive Income

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

December 31,
2020

Fiscal Year Ended
December 31,
2019

December 28,
2018

$ 

77,258  $ 

96,336  $ 

167,964 

34,907 

(2,052)   

(151)   

32,704 

(7,900)   

(4,580)   

(536)   

(19,925) 

16 

302 

(13,016)   

(19,607) 

Comprehensive income

$ 

109,962  $ 

83,320  $ 

148,357 

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

- 53 -

 
 
 
 
 
 
 
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 charges related to customer bankruptcy
Non-cash lease expense
Non-cash (gain) loss on equity investments
Contingent consideration fair value adjustment
Other non-cash (gains) losses
Deferred income taxes
Gain on sale of discontinued operations

Changes in operating assets and liabilities, net of acquisitions:

Accounts receivable
Inventories
Prepaid expenses and other assets
Contract assets
Accounts payable
Accrued expenses and other liabilities
Income taxes

Net cash provided by operating activities

Cash flows from investing activities:
Acquisition of property, plant and equipment
Purchase of intangible asset
Proceeds from sale of property, plant and equipment
Purchase of equity investments
Proceeds from sale of discontinued operations
Acquisitions, net

Net cash (used in) provided by investing activities

Cash flows from financing activities:
Principal payments of long-term debt
Proceeds from senior secured revolving line of credit
Payments of senior secured revolving line of credit
Proceeds from the exercise of stock options
Payment of debt issuance costs
Tax withholdings related to net share settlements of restricted stock awards
Principal payments on finance leases

Net cash used in financing activities

Effect of foreign currency exchange rates on cash and cash equivalents
Net increase (decrease) in cash and cash equivalents
Cash and cash equivalents, beginning of year
Cash and cash equivalents, end of year

December 31, 
2020

Fiscal Year Ended
December 31, 
2019

December 28, 
2018

$ 

77,258  $ 

96,336  $ 

167,964 

79,324 
4,774 
9,163 
554 
7,810 
(5,337)   
(2,000)   
600 
(6,966)   
— 

38,153 
18,441 

(864)   
(15,451)   
(9,055)   
(10,721)   
(4,342)   

77,895 
7,772 
9,294 
21,695 
7,443 
475 
— 
(162)   
(10,285)   
(4,974)   

(6,976)   
3,724 
(6,293)   
(24,767)   
1,887 
(2,744)   
(4,962)   

181,341 

165,358 

(46,832)   
(4,607)   
82 
— 
— 
(5,219)   
(56,576)   

(87,500)   
185,000 
(185,000)   
3,263 
(515)   
(3,820)   
(6)   
(88,578)   
(516)   

35,671 
13,535 
49,206  $ 

$ 

(48,198)   

— 
28 
(417)   
4,734 
(15,009)   
(58,862)   

(111,500)   
34,000 
(39,000)   
3,242 
(1,385)   
(3,283)   
— 

(117,926)   
(604)   
(12,034)   
25,569 
13,535  $ 

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 

(631,469) 
5,000 
(74,000) 
12,409 
(31,991) 
(5,029) 
— 
(725,080) 
2,584 
(18,527) 
44,096 
25,569 

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

- 54 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
INTEGER HOLDINGS CORPORATION
CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY

(in thousands)

December 31,
2020

Fiscal Year Ended
December 31,
2019

December 28,
2018

Total stockholders’ equity, beginning balance

$ 

1,152,488  $ 

1,060,493  $ 

893,381 

Common stock and additional paid-in capital

Balance, beginning of period

Stock awards exercised or vested

Stock-based compensation

Balance, end of period

Treasury stock

Balance, beginning of period

Treasury shares purchased

Treasury shares reissued

Balance, end of period

Retained earnings

Balance, beginning of period

Reclassification of certain tax effects related to the adoption of 
  ASU 2018-02

Cumulative effect of adopting a new accounting standard (ASC 842)

Net income

Balance, end of period

Accumulated other comprehensive income

Balance, beginning of period

Other comprehensive income (loss)
Reclassification of certain tax effects related to the adoption of 
  ASU 2018-02

Reclassified to earnings due to divestiture, net

701,051 

691,116 

(9,367)   

9,163 

700,847 

641 

9,294 

701,051 

(8,809)   

— 

8,809 

— 

(8,125)   

(2,961)   

2,277 

(8,809)   

669,788 

10,858 

10,470 

691,116 

(4,654) 

(5,025) 

1,554 

(8,125) 

440,258 

344,498 

176,068 

— 

— 

77,258 

517,516 

19,988 

32,704 

— 

— 

— 

(576)   

96,336 

440,258 

466 

— 

167,964 

344,498 

33,004 

(13,016)   

52,179 

(19,607) 

— 

— 

(466) 

898 

Balance, end of period

52,692 

19,988 

33,004 

Total stockholders’ equity, ending balance

$ 

1,271,055  $ 

1,152,488  $ 

1,060,493 

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

- 55 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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 to medical technologies, the Company 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.  Refer to Note 2 “Business Acquisitions, Divestiture and Discontinued Operations” 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.  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 “Business Acquisitions, Divestiture and Discontinued 
Operations.”  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 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 18 “Segment and Geographic 
Information,” for additional information on the Company’s reportable segments.

Fiscal Year

Effective at the end of the 2019 fiscal year, the Company changed its fiscal year end from a 52/53-week year ending on the 
Friday nearest December 31 to a calendar year ending on December 31.

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.

Risks and Uncertainties

Beginning in early March 2020, the global spread of the novel coronavirus (“COVID-19”) created significant uncertainty and 
worldwide economic disruption. Specific impacts to the Company’s business include delayed or reduced customer orders and 
sales, restrictions on its associates’ ability to travel or work, delays in shipments to and from certain countries, and disruptions 
in its supply chain. The extent to which COVID-19 impacts the Company’s operations will depend on future developments, 
which are highly uncertain, including, among others, the duration of the outbreak, new information that may emerge concerning 
the severity of COVID-19 and the actions, especially those taken by governmental authorities, to contain the pandemic or treat 
its impact.  As pandemic-related events continue to evolve, additional impacts may arise that the Company is not aware of 
currently.  Any prolonged material disruption of the Company’s associates, suppliers, manufacturing, or customers could 
materially impact its consolidated financial position, results of operations or cash flows.

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. 

- 56 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

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

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 three 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 19 “Revenue from Contracts with Customers” 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.

Trade Accounts Receivable and Provision for Current Expected Credit Losses

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 a 
provision for those customer receivables that it does not expect to collect. In accordance with Accounting Standards 
Codification (“ASC”) Topic 326, the Company accrues its estimated losses from uncollectable accounts receivable to the 
provision based upon recent historical experience, the length of time the receivable has been outstanding, other specific 
information as it becomes available, and reasonable and supportable forecasts not already reflected in the historical loss 
information. Provisions for current expected credit losses are charged to current operating expenses. Actual losses are charged 
against the provision when incurred.  In 2020 the Company wrote-off $2.3 million of outstanding receivables that were 
previously reserved for as of December 31, 2019, in connection with a customer bankruptcy in the fourth quarter of 2019.

Supplier Financing Arrangements

The Company utilizes supplier financing arrangements with financial institutions to sell certain accounts receivable on a non-
recourse basis. These transactions are treated as a sale of, and are accounted for as a reduction to, accounts receivable. The 
agreements transfer control and risk related to the receivables to the financial institutions. The Company has no continuing 
involvement in the transferred receivables subsequent to the sale.  During the year ended December 31, 2020, the Company 
sold and de-recognized accounts receivable and collected cash of $73.3 million.  The costs associated with the supplier 
financing arrangements were not material for the year ended December 31, 2020.  The Company did not utilize supplier 
financing arrangements prior to 2020.

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, historical sales volume, and 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.  In connection with a customer 
bankruptcy in the fourth quarter of 2019, the Company wrote-down inventory by $19.0 million.

Leases

The Company determines if an arrangement is, or contains, a lease at inception and classifies it at as finance or operating.  The 
Company primarily leases certain office and manufacturing facilities under operating leases, with additional operating leases for 
machinery, office equipment and vehicles. The Company leases certain computer hardware under finance leases.  Finance lease 
assets and corresponding liabilities are included in Other assets and Other long-term liabilities, respectively, on the 
Consolidated Balance Sheets.  Finance leases are not material to the Consolidated Financial Statements as of December 31, 
2020. The Company had no finance leases as of December 31, 2019.

Lease right-of-use (“ROU”) assets and corresponding liabilities are recognized based on the present value of the lease payments 
over the lease term at commencement date. When discount rates implicit in leases cannot be readily determined, the Company 
uses its incremental borrowing rate based on information available at commencement date in determining the present value of 
future payments.  The incremental borrowing rate is determined based on the Company’s recent debt issuances, the Company’s 
specific credit rating, lease term and the currency in which lease payments are made.

- 57 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

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

Lease terms may include options to extend or terminate the lease when it is reasonably certain that the Company will exercise 
such option. Lease expense is recognized on a straight-line basis over the lease term. The Company elected to combine lease 
and non-lease components for all asset classes. For certain leases where rent escalates based upon a change in a financial index, 
such as the Consumer Price Index, the difference between the rate at lease inception and the subsequent fluctuations in that rate 
are included in variable lease costs.  Additionally, because the Company has elected to not separate lease and non-lease 
components, variable costs also include payments to the landlord for common area maintenance, real estate taxes, insurance and 
other operating expenses.  In addition, the Company does not apply the recognition requirements to leases with lease terms of 
12 months or less.  Note 14 “Leases” contains additional information on the Company’s leases.

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, 
whichever is shorter. The costs 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 assets 
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.  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 17 “Financial Instruments and Fair 
Value Measurements” contains additional information on assets and liabilities recorded at fair value in the consolidated 
financial statements.

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 and are recognized as a component of Other operating expenses.  
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.

- 58 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

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

Contingent Consideration

In circumstances where an acquisition involves a contingent consideration arrangement, the Company recognizes a liability 
equal to the fair value of the contingent payments it expects to make as of the acquisition date.  Increases or decreases in the fair 
value of the contingent consideration liability can result from changes in discount periods and rates, as well as changes in the 
timing, amount of, or the likelihood of achieving the applicable performance target.  Increases in projected revenues, estimated 
cash flows and probabilities of payment may result in significantly higher fair value measurements; decreases in these items 
may have the opposite effect.  Increases in the discount rates in periods prior to payment may result in significantly lower fair 
value measurements and decreases in the discount rates may have the opposite effect.

The contingent consideration fair value measurement is based on significant inputs not observable in the market and therefore 
constitute Level 3 inputs within the fair value hierarchy. The Company determines the initial fair value of contingent 
consideration liabilities using a Monte Carlo (“Monte Carlo”) valuation model, which involves a simulation of future revenues 
during the earn out-period using management’s best estimates, or a probability-weighted discounted cash flow analysis.  

In periods subsequent to the initial measurement, contingent consideration liabilities are remeasured to fair value each reporting 
period until the contingent consideration is settled using various assumptions including estimated revenues (based on internal 
operational budgets and long-range strategic plans), discount rates, revenue volatility and projected payment dates.  The current 
portion of contingent consideration liabilities is included in Accrued expenses and other current liabilities and the non-current 
portion is included in Other long-term liabilities on the Consolidated Balance Sheets.  Adjustments to the fair value of 
contingent consideration liabilities are included in Other operating expenses in the Consolidated Statements of Operations, and 
operating activities in the Consolidated Statements of Cash Flows.  Note 17 “Financial Instruments and Fair Value 
Measurements” contains additional information on contingent consideration recorded at fair value in the consolidated financial 
statements.

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’s reporting units are the same as its reportable segments, Medical and Non-Medical. 
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 either performs a qualitative assessment 
or a quantitative assessment. A qualitative assessment requires that the Company 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.  The Company may elect to bypass the qualitative 
analysis and perform a quantitative analysis.

- 59 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

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

If the qualitative assessment indicates that the quantitative analysis should be performed or if management elects to bypass a 
qualitative analysis to perform a quantitative analysis, 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.

Throughout 2020, the Company evaluated the effects of the COVID-19 pandemic and its negative impact on the global 
economy on each of the Company’s reporting units and indefinite-lived intangible assets.  Further, the collapse in the demand 
for oil caused by this unprecedented global health and economic crisis, coupled with oil oversupply, adversely impacted the 
demand for products in the Company’s Non-Medical reportable segment.  In the first quarter of 2020, a trigger event was 
identified and accordingly the Company performed a quantitative analysis to test goodwill for impairment as of April 3, 2020. 
The fair value of the Non-Medical reporting unit exceeded its carrying amount as of April 3, 2020.  No further impairment 
indicators have been identified since the first quarter of 2020 through December 31, 2020.

The Company completed its annual goodwill impairment test as of December 31, 2020 and determined, after performing a 
qualitative review of its Medical reporting unit, that it is more likely than not that the fair value of the Medical reporting unit 
exceeds its carrying amount.  Accordingly, there was no indication of impairment and the quantitative goodwill impairment test 
was not performed for the Medical reporting unit.  The Company bypassed the qualitative analysis for its Non-Medical 
reporting unit and performed a quantitative analysis.  The fair value of the Non-Medical reporting unit exceeded its carrying 
amount as of December 31, 2020.

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 or asset groups 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.

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 relief from royalty method.

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

- 60 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

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

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 that are measured and 
recorded at fair value with changes in fair value recognized within net income.  The Company measures the securities 
at cost minus impairment, if any, plus or minus changes resulting from qualifying observable price changes.  If an 
impairment is recognized on the Company’s non-marketable equity securities during the period, these assets are 
classified as Level 3 within the fair value hierarchy based on the nature of the fair value inputs.

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 are 
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.  
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 17 
“Financial Instruments and Fair Value Measurements” for additional information on the Company’s equity investments.

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 
revolving 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.

- 61 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

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

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 for income taxes.  Penalties, if incurred, are 
recognized as a component of Selling, general and administrative (“SG&A”) expenses.

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.  Under master 
agreements with the respective counterparties to our derivative contracts, subject to applicable requirements, we have the right 
of set-off and are allowed to net settle transactions of the same type with a single net amount payable by one party to the other. 
The Company designated its interest rate swaps and foreign currency forward contracts as cash flow hedges (refer to Note 17 
“Financial Instruments and Fair Value Measurements”).  Gains and losses on cash flow hedges are recorded in Accumulated 
Other Comprehensive Income in the Consolidated Balance Sheets until the underlying transaction is recorded in earnings. 
When the hedged item is realized, gains or losses are reclassified from Accumulated Other Comprehensive Income to the 
Consolidated Statement of Operations on the same line item as the underlying transaction.  In the event the forecasted 
transactions do not occur, or it becomes probable that they will not occur, the Company reclassifies any gain or loss on the 
related cash flow hedge to earnings in the respective period. Cash flows related to these derivative financial instruments are 
included in cash flows from operating activities. The resulting cash flow from the termination of interest rate swap agreements 
is reported in cash flows from operations 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.  
Consideration payable to customers is included in the transaction price.  In accordance with ASC 340-40-25-4, the Company 
expenses incremental costs of obtaining a contract when incurred because the amortization period is less than one year.

The Company evaluates revenue recognition in contracts with customers as performance obligations are satisfied and the 
customer obtains 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 products.  The customer obtains control of the products when title and risk of ownership transfers to 
them, which is primarily based upon shipping terms.  Most of the Company’s revenues are recognized at the point in time when 
the products are shipped to customers.  When contracts with customers for products, which do not have an alternative use to the 
Company, contain provisions that provide the Company with an enforceable right to payment for performance completed to 
date for costs incurred plus a reasonable profit throughout the duration of the contract, revenue is recognized over time as 
control is transferred to the customer.  In contracts with customers where revenue is recognized over time, the Company uses an 
input measure to determine progress towards completion and total estimated costs at completion.  Under this method, sales and 
gross profit are recognized as work is performed generally based on actual costs incurred.  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 are classified as Accrued expenses and other current liabilities on the Consolidated Balance Sheets.  For 
contracts with customers where revenue is recognized over time, the Company records a contract asset for unbilled revenue 
associated with non-cancellable customer orders, which is recorded within Contract assets on the Consolidated Balance Sheets. 

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.  When contracts with customers include consideration 
payable at the beginning of the contract, the transaction price is reduced at the later of when the Company recognizes revenue 
for the transfer of the related goods to the customer or when the Company pays or promises to pay the consideration. Volume 
discounts and rebates and other pricing reductions 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 does 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 scope, price, or both, 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 a process in place to monitor, identify, and assess how the current 
activities for known exposures are progressing against the recorded liabilities. The process is also designed to identify other 
potential remediation sites that are not presently known.

- 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 its resources with the changing needs of its customers and markets, and 
to lower operating costs. This includes realignment of existing manufacturing capacity, facility closures, process optimization, 
or similar actions, either in the normal course of business or pursuant to significant restructuring programs. These actions may 
result in voluntary or involuntary employee termination benefits.  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 experience and other specific 
information as it becomes available.  The product warranty liability is classified as Accrued expenses and other current 
liabilities on the Consolidated Balance Sheets.  Adjustments to pre-existing estimated exposure for warranties are made as 
changes to the obligations become reasonably estimable.  Note 13 “Commitments and Contingencies” contains additional 
information on the Company’s product warranties.

Research, Development and Engineering (“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 compensation plans.  These plans 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 conditions, such as total shareholder return, or performance conditions based on the 
Company’s operating results.  The Company records forfeitures of equity awards in the period in which they occur.

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 valuation 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 valuation 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 volatility 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 expected annual dividend yield on the grant 
date.

The Company recognizes compensation expense over the required service or vesting period based on the fair value of the award 
on the date of grant.  Certain executive stock-based awards contain market, performance and service conditions.  Compensation 
expense for awards with market conditions is recognized over the service period and is not reversed if the market condition is 
not met.  Compensation expense for awards with performance conditions is reassessed each reporting period and recognized 
based upon the probability that the performance targets will be achieved.

- 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.  RSUs 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 Provision for income taxes in the Consolidated 
Statements of Operations.  Note 10 “Stock-Based Compensation” contains additional information on the Company’s stock-
based compensation.

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 
(“AOCI”) on the Consolidated Balance Sheets.  The Company records the service cost component of net benefit costs in Cost 
of sales and SG&A 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.

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 a component of AOCI.  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, Israel, Malaysia, Mexico, Switzerland, and Uruguay, which expose the 
Company to foreign currency exchange rate fluctuations due to transactions denominated in Euros, Israeli shekels, Malaysian 
ringgits, Mexican pesos, Swiss francs, and Uruguayan pesos.  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 losses included in Other 
(income) loss, net amounted to $1.6 million, $0.1 million and $1.6 million for 2020, 2019 and 2018, respectively, and primarily 
related to the fluctuation of the U.S. dollar relative to the Euro and the remeasurement of intercompany loans.

Earnings Per Share (“EPS”)

Basic EPS is calculated by dividing Net Income 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.  Note 15 “Earnings Per Share” contains additional information on the computation of the 
Company’s EPS.

Comprehensive Income

The Company’s comprehensive income as reported in the Consolidated Statements of Comprehensive Income includes net 
income, foreign currency translation adjustments, the net change in cash flow hedges, net of tax, and defined benefit plan 
liability adjustments, net of tax.  The Consolidated Statements of Comprehensive Income and Note 16 “Stockholders’ Equity” 
contain additional information on the computation of the Company’s comprehensive income.

- 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 Standards Updates (“ASU”) and other 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. 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.

Accounting Guidance Adopted in Fiscal Year 2020
Adoption of ASC Topic 326

The Company adopted ASC 326, Financial Instruments-Credit Losses, effective January 1, 2020. Under the current expected 
credit losses (“CECL”) model, the Company immediately recognizes an estimate of credit losses expected to occur over the life 
of the financial asset at the time the financial asset is originated or acquired.  Estimated credit losses are determined by taking 
into consideration historical loss conditions, current conditions and reasonable and supportable forecasts.  Changes to the 
expected lifetime credit losses are recognized each period.  The adoption of ASC 326 did not have a material impact to the 
Company’s Consolidated Financial Statements.

Accounting Guidance Adopted in Fiscal Year 2019
Adoption of ASC Topic 842

The Company adopted ASC 842, Leases, effective December 29, 2018, the first day of the Company’s 2019 fiscal year. ASC 
842 requires the recognition of lease assets and lease liabilities by lessees for those leases classified as operating leases under 
previous guidance. The Company elected to transition to ASC 842 using the option to not restate comparative periods and apply 
the standard as of the date of initial application. In addition, certain practical expedients were elected which permit the 
Company to not reassess whether existing contracts are or contain leases, to not reassess the lease classification of any existing 
leases, and to not reassess initial direct costs for any existing leases. The Company also elected the practical expedient to not 
separate lease and non-lease components for all classes of underlying assets and the practical expedient related to land 
easements, allowing the Company to carry-forward its accounting treatment for land easements on existing agreements. The 
Company did not elect the practical expedient pertaining to the use of hindsight. The Company also made an accounting policy 
election to keep leases with an initial term of 12 months or less and no purchase option the Company is reasonably certain to 
exercise off the balance sheet for all classes of underlying assets.

As a result of the adoption of ASC 842, the Company recognized operating lease right-of-use assets of $40.9 million and 
operating lease liabilities of $43.4 million on December 29, 2018. The difference between the lease assets and lease liabilities 
primarily represents the existing prepaid rent assets, deferred rent liabilities, and tenant improvement allowances, along with a 
cumulative-effect adjustment to beginning retained earnings. The adoption of ASC 842 did not have a material impact on the 
Company’s Consolidated Statement of Operations and Consolidated Statement of Cash Flows for the periods presented.

Refer to Note 14 “Leases” for additional information on the Company’s leases.

Accounting Guidance Not Yet Elected or Adopted

In March 2020, the FASB issued ASU 2020-04, Reference Rate Reform (Topic 848) - Facilitation of the Effects of Reference 
Rate Reform on Financial Reporting, in response to concerns about structural risks of interbank offered rates (“IBORs”). ASU 
2020-04 provides optional expedients and exceptions for applying GAAP to contracts, hedging relationships, and other 
transactions if certain criteria are met.  The ASU applies only to contracts, hedging relationships, and other transactions that 
reference LIBOR or another reference rate expected to be discontinued because of reference rate reform. The amendments in 
ASU 2020-04 are elective for all entities through December 31, 2022. ASU 2020-04 has not yet affected the Company’s 
Condensed Consolidated Financial Statements.

- 66 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(2.)  BUSINESS ACQUISITIONS, DIVESTITURE AND DISCONTINUED OPERATIONS

Business Acquisitions

On February 19, 2020, the Company acquired certain assets and liabilities of InoMec Ltd. (“InoMec”), a privately-
held company based in Israel that specializes in the research, development and manufacturing of medical devices, including 
minimally invasive tools, delivery systems, tubing and catheters, surgery tools, drug-device combination, laser combined 
devices, and tooling and production.  The acquisition enables the Company to create a research and development center in 
Israel, closer to the customer base in the region. The fair value of the consideration transferred was $7.0 million, which included 
an initial cash payment of $5.3 million and $1.7 million in estimated fair value of contingent consideration.

The contingent consideration represents the estimated fair value of the Company’s obligation, under the asset purchase 
agreement, to make additional payments of up to $3.5 million over the next four years based on specified conditions being met.  
Based on the final purchase price allocation, the assets acquired principally comprise $2.0 million of intangible assets, 
$4.8 million of goodwill, $0.3 million of acquired property, plant and equipment, and a net liability for other working capital 
items of $0.1 million.  Intangible assets included developed technology, customer relationships and non-compete provisions, 
which are being amortized over a weighted average period of 5.9 years.

On October 7, 2019, the Company acquired certain assets and liabilities of US BioDesign, LLC (“USB”), a privately-
held developer and manufacturer of complex braided biomedical structures for disposable and implantable medical devices.  
The acquisition added a differentiated capability related to the complex development and manufacture of braided and formed 
biomedical structures to the Company’s broad portfolio.  The fair value of the consideration transferred was $19.1 million, 
which included a cash payment of $14.9 million, which reflects a $0.1 million favorable working capital adjustment finalized in 
the first quarter of 2020, and $4.2 million in estimated fair value of contingent consideration. 

The contingent consideration represents the estimated fair value of the Company’s obligation, under the asset purchase 
agreement, to make additional payments of up to $5.5 million if certain revenue goals are met through 2023.  Based on the final 
purchase price allocation, the assets acquired principally consist of $7.4 million of developed technology, $10.4 million of 
goodwill, $0.7 million of acquired property, plant and equipment, and $0.6 million of other working capital items.  The 
$10.4 million of goodwill reflects a $0.1 million decrease resulting from the working capital adjustment.  The technology 
intangible asset is being amortized over a useful life of 8 years.  

The amount allocated to goodwill for these acquisitions is deductible for income tax purposes.  The fair value of the contingent 
consideration was estimated using the Monte Carlo valuation approach.  See Note 17 “Financial Instruments and Fair Value 
Measurements” for additional information related to the fair value measurement of the contingent consideration.  

For segment reporting purposes, the results of operations and assets from the InoMec and USB acquisitions have been included 
in the Company’s Medical segment since the respective acquisition dates.   For the year ended December 31, 2020, sales related 
to InoMec and USB were $3.4 million and $4.5 million, respectively.  For the year ended December 31, 2019, sales related to 
USB were $0.8 million.  Earnings related to the operations consisting of the assets and liabilities acquired from InoMec and 
USB for the years ended December 31, 2020 and December 31, 2019 were not material.  

During the years ended December 31, 2020 and December 31, 2019, direct costs of these acquisitions of $0.9 million and $0.4 
million, respectively, were expensed as incurred and included in Other Operating Expenses in the Consolidated Statement of 
Operations.  Pro forma financial information has not been presented for these acquisitions as the net effects were not significant 
or material to the Company’s results of operations or financial position.

- 67 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(2.)  BUSINESS ACQUISITIONS, DIVESTITURE AND DISCONTINUED OPERATIONS (Continued)

Discontinued Operations and Divestiture of AS&O Product Line

On July 2, 2018, the Company completed the sale of its AS&O Product Line to Viant, collecting net cash proceeds of 
approximately $581 million.  In connection with the sale, the parties executed a transition services agreement whereby the 
Company agreed to 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 
paid Integer for these services as specified in the transition services agreement, which were completed during 2019.  The 
Company recognized $2.9 million of income under the transition services agreement for the performance of services during 
2019, of which $0.1 million is recorded as a reduction of Cost of Sales and $2.8 million is recorded as a reduction of SG&A 
expenses in the Consolidated Statement of Operations for the year ended December 31, 2019.  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 
recorded as a reduction of Cost of Sales and $3.4 million is recorded as a reduction of SG&A expenses 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 but prior to a net working capital adjustment, the Company recognized a pre-
tax  gain  on  sale  of  discontinued  operations  of  $195.0  million  during  the  year  ended  December  28,  2018.    During  2019,  the 
Company  received,  and  recognized  as  gain  on  sale  from  discontinued  operations,  $4.8  million  due  to  the  final  net  working 
capital adjustment agreed to with Viant.

There were no amounts from discontinued operations for fiscal years 2020.  Income from discontinued operations for fiscal 
years 2019 and 2018 were as follows (in thousands):

Sales

Cost of sales

Gross profit

SG&A expenses

Research, development and engineering costs

Other operating expenses

Interest expense

Gain on sale of discontinued operations

Other (income) loss, net

Income from discontinued operations before taxes

Provision for income taxes

Income from discontinued operations

2019

2018

$ 

—  $ 

— 

— 

— 

— 

— 

— 

178,020 

148,357 

29,663 

8,905 

2,352 

1,805 

22,833 

(4,974)   

(194,965) 

(322)   

5,296 

178 
5,118  $ 

420 

188,313 

67,382 
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.

There were no amounts from discontinued operations for fiscal years 2020.  Cash flow information from discontinued 
operations for fiscal years 2019 and 2018 was as follows (in thousands):

Cash used in operating activities

Cash provided by investing activities

Depreciation and amortization

Capital expenditures

2019

2018

$ 

(78)  $ 

(12,498) 

4,734 

577,833 

—  $ 

— 

7,450 

3,610 

- 68 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(3.)

SUPPLEMENTAL CASH FLOW INFORMATION

The following represents supplemental cash flow information for fiscal years 2020, 2019 and 2018 (in thousands):

Non-cash investing and financing activities:

Property, plant and equipment purchases included in accounts payable

$ 

3,597  $ 

8,646  $ 

2,303 

2020

2019

2018

Cash paid during the year for:

Interest

Income taxes

(4.)    INVENTORIES

Inventories comprise the following (in thousands):

Raw materials

Work-in-process

Finished goods

Total

(5.)    PROPERTY, PLANT AND EQUIPMENT, NET

PP&E comprises 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

33,933 

18,477 

44,784 

30,034 

79,661 

23,155 

December 31,
2020

December 31,
2019

$ 

72,477  $ 

58,806 

18,040 

79,742 

60,042 

27,472 

$ 

149,323  $ 

167,256 

December 31, 
2020

December 31,
2019

$ 

320,807  $ 

285,793 

102,037 

69,969 

77,382 
16,250 

11,598 
26,389 

1,238 

96,539 

64,328 

69,012 
15,517 

11,541 
37,470 

1,181 

625,670 

581,381 

(371,706)   

(335,196) 

$ 

253,964  $ 

246,185 

Depreciation expense for PP&E was as follows for fiscal years 2020, 2019 and 2018 (in thousands):

Depreciation expense

2020

2019

2018

$ 

38,193  $ 

37,819  $ 

40,078 

- 69 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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 years 2020 and 2019 was as follows (in 
thousands):

December 28, 2018

Acquisition (Note 2)

Foreign currency translation

December 31, 2019

Acquisition (Note 2)

Acquisition-related adjustments (Note 2)

Foreign currency translation

December 31, 2020

Medical

Non-Medical

Total

$ 

815,338  $ 

17,000  $ 

832,338 

10,527 

(3,248)   

822,617 

4,800 

(85)   

15,110 

— 

— 

10,527 

(3,248) 

17,000 

839,617 

— 

— 

— 

4,800 

(85) 

15,110 

$ 

842,442  $ 

17,000  $ 

859,442 

As of December 31, 2020, no accumulated impairment loss has been recognized for the goodwill allocated to the Company’s 
Medical or Non-Medical segments.

Intangible Assets

Intangible assets comprise the following (in thousands):

December 31, 2020
Definite-lived:
Purchased technology and patents
Customer lists
Other

Total amortizing intangible assets

Indefinite-lived:

Trademarks and tradenames

December 31, 2019
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

$ 

257,453  $ 
723,791 
4,142 

(152,798)  $ 
(161,856)   
(3,796)   

$ 

985,386  $ 

(318,450)  $ 

104,655 
561,935 
346 

666,936 

$ 

90,288 

$ 

$ 

248,264  $ 
706,852 
3,503 
958,619  $ 

(138,435)  $ 
(131,185)   
(3,503)   
(273,123)  $ 

109,829 
575,667 
— 
685,496 

$ 

90,288 

See Note 2 “Business Acquisitions, Divestiture and Discontinued Operations” for additional details regarding intangible assets 
acquired from business acquisitions during 2020 and 2019.  Included in the Company’s indefinite-lived intangible assets is the 
Lake Region Medical tradename with a carrying value of $70.0 million.

When acquiring certain assets, the Company assesses whether the acquired assets are a result of a business combination or a 
purchase of an asset.  During 2020, the Company acquired a set of similar identifiable intangible assets relating to a license to 
use technology within its Non-Medical segment.  The Company purchased the technology for $4.5 million, which includes 
$1.0 million of contingent consideration paid during 2020 upon completion of certain milestones, and capitalized $0.1 million 
of costs associated with acquiring the license as an intangible asset.  The intangible asset of $4.6 million is being amortized over 
11 years, the remaining useful life of the patented technology.

- 70 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(6.)   GOODWILL AND OTHER INTANGIBLE ASSETS, NET (Continued)

Aggregate intangible asset amortization expense comprises the following for fiscal years 2020, 2019 and 2018 (in thousands):

Cost of Sales

SG&A

RD&E

Other Operating Expenses (“OOE”)

2020

2019

2018

$ 

12,860  $ 

13,111  $ 

28,271 

26,965 

— 

— 

— 

— 

14,134 

26,658 

154 

514 

Total intangible asset amortization expense

$ 

41,131  $ 

40,076  $ 

41,460 

Estimated future intangible asset amortization expense based upon the carrying value as of December 31, 2020 is as follows (in 
thousands):

Amortization Expense

$ 

41,684  $ 

40,607  $ 

39,177  $ 

38,213  $ 

36,888  $  470,367 

2021

2022

2023

2024

2025

After 2025

(7.)  ACCRUED EXPENSES AND OTHER CURRENT LIABILITIES

Accrued expenses and other current liabilities comprise the following (in thousands):

Salaries and benefits
Profit sharing and bonuses
Contract liabilities
Accrued interest
Product warranties
Other

Total

(8.)    DEBT

Long-term debt comprises the following (in thousands):

Senior secured term loan A 

Senior secured term loan B 
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 31, 
2020

December 31,
2019

$ 

$ 

24,512  $ 
19,204 
2,498 
1,644 
163 
8,822 
56,843  $ 

20,997 
26,060 
1,975 
1,885 
1,933 
13,223 
66,073 

December 31, 
2020

December 31,
2019

$ 

229,687  $ 

267,188 

508,286 

(6,715)   

731,258 
(37,500)   
693,758  $ 

558,286 
(10,702) 
814,772 
(37,500) 
777,272 

$ 

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 term loan A facility (the “TLA Facility”), and (iii) a 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.

- 71 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(8.)    DEBT (Continued)

On July 13, 2020, the Company amended the Senior Secured Credit Facilities (the “Amendment”) to increase the total net 
leverage ratio.  In connection with the Amendment, the Company paid consenting lenders advanced amendment fees totaling 
$0.4 million.  The Company will also pay the consenting lenders a deferred amendment fee, payable in installments of 
0.03125% of the outstanding Revolving Credit Facility and TLA Facility each quarter through maturity when the Company’s 
total net leverage ratio equals or exceeds 3.00 to 1.00.  The advanced amendment fees and deferred amendment fees, which 
were not material for the year ended December 31, 2020, are debt issuance costs which will be deferred and amortized over the 
remaining life of the related debt.

Revolving Credit Facility

The Revolving Credit Facility matures on October 27, 2022.  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).  As of December 31, 
2020, the commitment fee on the unused portion of the Revolving Credit Facility was 0.25%.  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 0.50% and 2.00%, based on the Company’s Total Net Leverage Ratio, or (ii) the applicable 
London Interbank Offered Rate (“LIBOR”) plus the applicable margin, which will range between 1.50% and 3.00%, based 
on the Company’s Total Net Leverage Ratio.

As of December 31, 2020, the Company had no outstanding borrowings on the Revolving Credit Facility and an available 
borrowing capacity of $193.2 million after giving effect to $6.8 million of outstanding standby letters of credit.

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 (as defined in the Amendment), 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, 2022.  Interest rates on the TLB Facility are, at the Company’s 
option, either at: (i) the prime rate plus 1.50% or (ii) the applicable LIBOR rate plus 2.50%, with LIBOR subject to a 1.00% 
floor.  As of December 31, 2020, the interest rates on the TLA Facility and TLB Facility were 2.40% and 3.50%, 
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 (as defined in the Amendment), 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 4.75 
to 1.00, subject to a step down to 4.50 to 1.00 for the third fiscal quarter of 2021, and reverting to and remaining at 4.00 to 1.00 
beginning with the fourth quarter of 2021 through maturity, 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 3.00 to 1.00.  Additionally, the net leverage 
ratio can be increased by 0.50 for up to four consecutive quarters commencing in any fiscal quarter in which the Company 
consummates an eligible adjustment acquisition (as defined in the Amendment) with a $40 million or greater purchase price.  
As of December 31, 2020, 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 31, 2020, the Company was in compliance with all negative covenants 
under the Senior Secured Credit Facilities.

- 72 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(8.)    DEBT (Continued)

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 (the “Senior Notes”).  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 for the year ended December 28, 
2018.  Upon completion of the redemption of the Senior Notes, the indenture governing the Senior Notes was satisfied and 
discharged.

As of December 31, 2020, the weighted average interest rate on all outstanding borrowings is 3.16%.

Contractual maturities of the Company’s debt facilities for the next five years and thereafter as of December 31, 2020 are as 
follows (in thousands):

Future minimum principal payments

Debt Issuance Costs and Discounts

2021

2022

$ 

37,500  $  700,473 

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

December 28, 2018

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

December 31, 2019

Financing costs incurred
Amortization during the period

December 31, 2020

$ 

1,817 

302 

(150) 

(939) 

1,030 

289 

(428) 

891 

$ 

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

December 28, 2018

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

December 31, 2019

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

Debt Issuance 
Costs

Unamortized 
Discount on 
TLB Facility

Total

$ 

12,713  $ 

3,753  $ 

16,466 

919 

(1,913)   

— 

(482)   

919 

(2,395) 

(3,440)   
8,279 
359 
(400)   
(2,980)   
5,258  $ 

(848)   
2,423 
— 
(150)   
(816)   
1,457  $ 

(4,288) 
10,702 
359 
(550) 
(3,796) 
6,715 

December 31, 2020
__________
(1) The Company recognized losses from extinguishment of debt in connection with prepaying portions of its TLB Facility and 
amending the Senior Secured Credit Facilities during 2020 and 2019.  The losses from extinguishment of debt are included 
in Interest Expense in the accompanying Consolidated Statements of Operations.

$ 

- 73 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(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 each participant’s deferral made to the Plan up to 6% of their compensation, subject to Internal Revenue Service 
guidelines.  The Company temporarily suspended the Company match beginning in August 2020 through the end of 2020 as 
part of its cost reduction actions to reduce discretionary spending in response to the effect of the COVID-19 pandemic on its 
operations.

Contributions from employees, as well as those matched by the Company, vest immediately.  Net costs related to defined 
contribution plans were $5.0 million in 2020, $7.2 million in 2019 and $6.8 million in 2018.

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.

The aggregated projected benefit obligation for these plans was $3.7 million and $3.0 million as of December 31, 2020 and 
December 31, 2019, respectively.  Net periodic pension cost for fiscal years 2020, 2019 and 2018 was $0.4 million, $0.3 
million and $0.3 million, respectively.  Over the next ten years, we expect gross benefit payments to be $0.8 million in total for 
the years 2021 through 2025, and $1.4 million in total for the years 2026 through 2030.

(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, RSAs, RSUs, stock appreciation rights and stock bonuses to 
employees, non-employee directors, consultants, and service providers.

The 2011 Stock Incentive Plan (the “2011 Plan”), as amended, authorizes 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.  Awards remain outstanding under the 2005 Stock Incentive Plan and the 2009 Stock Incentive Plan, 
as amended, but the plans have been frozen to any new award issuances.  As of December 31, 2020, there were 482,014 and 
1,883 shares available for future grants under the 2016 Plan and 2011 Plan, respectively.

The Company recognized a net tax benefit from the exercise of stock options and vesting of RSAs and RSUs of $1.5 million, 
$2.8 million and $3.8 million for 2020, 2019 and 2018, respectively.  These amounts are recorded as a component of Provision 
for Income Taxes.

- 74 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(10.)   STOCK-BASED COMPENSATION (Continued)

Stock-based Compensation Expense

The components and classification of stock-based compensation expense for fiscal years 2020, 2019 and 2018 were as follows 
(in thousands):

Stock options

RSAs and RSUs

Discontinued operations

Total stock-based compensation expense

Cost of sales

SG&A

RD&E

OOE

Discontinued operations

$ 

$ 

$ 

2020

2019

2018

43  $ 

410  $ 

9,120 

— 

8,884 

— 

873 

9,183 

414 

9,163  $ 

9,294  $ 

10,470 

1,658  $ 

1,011  $ 

6,942 

563 

— 

— 

7,827 

269 

187 

— 

849 

9,090 

112 

5 

414 

Total stock-based compensation expense

$ 

9,163  $ 

9,294  $ 

10,470 

Stock Options

There were no stock options granted in fiscal year 2020 or 2019.  The following table includes the weighted average grant date 
fair value of stock options granted to employees during fiscal years 2018 and the related weighted average assumptions used in 
the Black-Scholes model:

Weighted average fair value of options granted

Assumptions:

Expected term (in years)

Risk-free interest rate

Expected volatility

Expected dividend yield

2018

$ 

14.89 

4.0

 2.21 %

 39 %

 0 %

The following table summarizes stock option activity during the fiscal year ended December 31, 2020:

Outstanding at December 31, 2019

Exercised

Outstanding at December 31, 2020

Vested and expected to vest at December 31, 2020

Exercisable at December 31, 2020

Number of
Stock
Options

Weighted
Average
Exercise
Price

384,013  $ 

(102,140)   

281,873  $ 

281,873  $ 

279,323  $ 

34.96 

31.95 

36.05 

36.05 

35.97 

Weighted
Average
Remaining
Contractual
Term
(in years)

Aggregate
Intrinsic
Value
(in millions)

4.7 $ 

4.7 $ 

4.7 $ 

12.7 

12.7 

12.6 

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 31, 2020 ($81.19) and the weighted average exercise price of 
the underlying stock options, multiplied by the number of options outstanding and/or exercisable.  Shares are distributed from 
the Company’s authorized but unissued reserve and if available, treasury stock, upon the exercise of stock options.

- 75 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(10.)   STOCK-BASED COMPENSATION (Continued)

The following table provides certain information relating to the exercise of stock options during fiscal years 2020, 2019 and 
2018 (in thousands):

Intrinsic value

Cash received

Restricted Stock Units

2020

2019

2018

$ 

4,773  $ 

7,998  $ 

3,263 

3,242 

17,722 

12,409 

The following table summarizes time-vested RSU activity during the fiscal year ended December 31, 2020: 

Nonvested at December 31, 2019

Granted

Vested

Forfeited

Nonvested at December 31, 2020

Time-Vested
Activity

Weighted
Average 
Grant Date
Fair Value

205,223  $ 

143,122 

(125,501)   

(14,921)   

207,923  $ 

64.75 

83.94 

67.74 

75.51 

75.38 

As of December 31, 2020, there was $10.8 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 1.8 years.  The fair value of RSA 
and RSU shares vested in 2020, 2019 and 2018 was $9.9 million, $2.4 million and $9.7 million, respectively.  The weighted 
average grant date fair value of RSAs and RSUs granted during fiscal years 2020, 2019 and 2018 was $83.94, $82.31 and 
$52.14, respectively.

The following table summarizes PRSU activity during the fiscal year ended December 31, 2020:

Nonvested at December 31, 2019

Granted

Vested

Forfeited

Nonvested at December 31, 2020

Performance-
Vested
Activity

Weighted
Average 
Grant Date
Fair Value

191,592  $ 

67,268 

(35,363)   

(4,106)   
219,391  $ 

56.30 

95.06 

31.17 

51.54 
72.33 

For the Company’s PRSUs, in addition to service conditions, the ultimate number of shares 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 (“TSR”) 
performance requirement, on a percentile basis, compared to a defined group of peer companies over three year performance 
periods.

At December 31, 2020, there was $4.9 million of total unrecognized compensation cost related to unvested PRSUs, which is 
expected to be recognized over a weighted-average period of approximately 1.7 years.  The fair value of PRSU shares vested in 
2020, 2019 and 2018 was $2.9 million, $6.7 million and $9.1 million, respectively.  The weighted average grant date fair value 
of PRSUs granted during fiscal years 2020, 2019 and 2018 was $95.06, $101.17 and $45.37, respectively.

- 76 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(10.)   STOCK-BASED COMPENSATION (Continued)

The grant-date fair value of the market-based portion of the PRSUs granted during fiscal year 2020, 2019 and 2018 was 
determined using the Monte Carlo valuation model on the date of grant.  The weighted average fair value and assumptions used 
to value the TSR portion of the PRSUs granted are as follows:

Weighted average fair value

Risk-free interest rate

Expected volatility

Expected life (in years)

Expected dividend yield

2020

2019

2018

$ 

107.27 

$ 

117.03 

$ 

37.46 

 1.29 %

 2.46 %

 2.28 %

 30 %

2.9

 — %

 40 %

2.8

 — %

 40 %

2.9

 — %

(11.)   OTHER OPERATING EXPENSES

The Company continuously evaluates the business and identifies opportunities to realign its resources to better serve its 
customers and markets, improve operational efficiency and capabilities, and lower its operating costs.  To realize the benefits 
associated with these opportunities, the Company undertakes restructuring-type activities to transform its business. In addition, 
from time to time, the Company incurs cost associated with acquiring and integrating businesses and certain other general 
expenses, including asset impairments. The Company classifies costs associated with these items as OOE.

The following tables summarize OOE by program in each of the preceding three years (in thousands):

Operational excellence initiatives

Strategic reorganization and alignment

Manufacturing alignment to support growth

Consolidation and optimization initiatives

Acquisition and integration costs (adjustments)

Other general expenses

Total other operating expenses

Operational excellence initiatives

2020

2019

2018

$ 

2,791  $ 

—  $ 

686 

241 

— 

(776)   

4,679 

5,812 

2,145 

— 

377 

3,817 

$ 

7,621  $ 

12,151  $ 

— 

10,624 

3,089 

844 

— 

1,508 

16,065 

2020 Initiatives
The Company’s 2020 initiatives mainly consist of costs associated with executing on its sales force, manufacturing, business 
process and performance excellence operational strategic imperatives.  These projects focus on changing the Company’s 
organizational structure to match product line growth strategies and customer needs, transitioning its manufacturing process 
into a competitive advantage and standardizing and optimizing its business processes.  Costs related to the Company’s 2020 
initiatives are primarily recorded within the Medical segment and mainly include termination benefits.  As of December 31, 
2020, total restructuring and related charges incurred since inception was $2.8 million.  These actions were substantially 
complete at the end of 2020.

Strategic reorganization and alignment

As a result of the strategic review of its customers, competitors and markets, the Company began taking steps in 2017 to better 
align its resources to enhance the profitability of its portfolio of products. These initiatives primarily included aligning 
resources with the Company’s strategic direction, improving profitability to invest in accelerated growth and the expansion of a 
facility.  Costs related to these initiatives were primarily recorded within the Medical segment and mainly included termination 
benefits and fees for professional services.  As of December 31, 2020, total restructuring and related charges incurred since 
inception, including amounts reported in discontinued operations, was $23.0 million.  These actions were completed during 
2020.

- 77 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(11.)   OTHER OPERATING EXPENSES (Continued)

Manufacturing alignment to support growth 

In 2017, the Company commenced several initiatives designed to reduce costs, increase manufacturing capacity to 
accommodate growth and improve operating efficiencies.  The plan involved the relocation of certain manufacturing operations 
and expansion of certain of the Company’s facilities.  Costs related to the Company’s manufacturing alignment to support 
growth initiative were primarily recorded within the Medical segment.  As of December 31, 2020, total restructuring and related 
charges incurred for this initiative since inception was $5.8 million.  These actions were completed during 2020.

Consolidation and optimization initiatives

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 material additional costs associated with these activities.

The following table summarizes the change in accrued liabilities, presented within Accrued expenses and other current 
liabilities on the Consolidated Balance Sheets, related to the initiatives described above (in thousands):

December 31, 2019

Charges incurred, net of reversals

Cash payments

December 31, 2020

Acquisition and integration costs

Operational 
excellence 
initiatives

Strategic 
reorganization 
and alignment

Manufacturing 
alignment to 
support growth

Total

$ 

$ 

—  $ 

1,985  $ 

2,791 

(2,500)   

291  $ 

686 

(2,671)   

—  $ 

—  $ 

241 

(241)   

—  $ 

1,985 

3,718 

(5,412) 

291 

During 2020, acquisition and integration costs included $1.2 million of expenses primarily related to the acquisition of certain 
assets and liabilities of InoMec, and a $2.0 million adjustment to reduce the fair value of acquisition-related contingent 
consideration liability associated with the Company’s acquisition of USB.  During 2019, acquisition and integration costs 
primarily related to direct acquisition costs incurred in connection with the acquisition of USB.  Acquisition and integration 
costs primarily consist of professional fees and other costs.  See Note 17 “Financial Instruments and Fair Value Measurements” 
for additional information related to the fair value measurement of the contingent consideration. 

Other general expenses

During 2020, 2019 and 2018, the Company recorded expenses related to other initiatives not described above, which relate 
primarily to actions taken to align labor with reduced customer demand as a result of COVID-19 and the decline of the energy 
market, integration and operational initiatives to reduce future costs and improve efficiencies.  The 2020 and 2019 amounts 
primarily include severance, information technology systems conversion expenses, expenses incurred in connection with a 
customer filing Chapter 11 bankruptcy, and expenses related to the restructuring of certain legal entities of the Company.

- 78 -

 
 
 
 
 
INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(12.)   INCOME TAXES

Income from continuing operations before taxes for fiscal years 2020, 2019 and 2018 consisted of the following (in thousands):

U.S.

International

Total income from continuing operations before taxes

2020

2019

2018

$ 

$ 

35,337  $ 

40,203  $ 

(4,273) 

50,870 

64,990 

86,207  $ 

105,193  $ 

65,389 

61,116 

The provision for income taxes from continuing operations for fiscal years 2020, 2019 and 2018 comprises the following (in 
thousands):

2020

2019

2018

Current:

Federal

State

International

Deferred:

Federal

State

International

$ 

7,784  $ 

14,090  $ 

1,233 

6,898 

15,915 

(4,648)   

(1,245)   

(1,073)   

(6,966)   

87 

10,083 

24,260 

(8,813)   

332 

(1,804)   

(10,285)   

Total provision for income taxes

$ 

8,949  $ 

13,975  $ 

80 

166 

9,490 

9,736 

6,610 

103 

(2,366) 

4,347 

14,083 

The provision for income taxes from continuing operations differs from the U.S. statutory rate for fiscal years 2020, 2019 and 
2018 due to the following:

Statutory rate

$  18,103 

 21.0 % $  22,091 

 21.0 % $  12,834 

 21.0 %

2020

2019

2018

Federal tax credits (including R&D)

Foreign rate differential

Stock-based compensation
Uncertain tax positions
State taxes, net of federal benefit

U.S. tax on foreign earnings, net of §250 deduction

Valuation allowance

Other

Effective tax rate

(7,009) 

(5,333) 

(1,459) 
1,208 
553 

3,216 

 (8.1) 

 (6.2) 

 (1.7) 
 1.4 
 0.6 

 3.7 

(4,797) 

(5,479) 

(2,422) 
(920) 
1,106 

 (4.6) 

 (5.2) 

 (2.3) 
 (0.9) 
 1.1 

(1,700) 

(6,040) 

(2,821) 
147 
975 

 (2.8) 

 (9.9) 

 (4.6) 
 0.2 
 1.6 

5,201 

 4.9 

  10,473 

 17.1 

(345) 

 (0.4) 

(1,606) 

 (1.5) 

(567) 

 (0.9) 

15 

 0.1 

801 

 0.8 

782 

 1.3 

$  8,949 

 10.4 % $  13,975 

 13.3 % $  14,083 

 23.0 %

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 availability of Foreign Tax Credits, R&D Credits, the impact of the Company’s earnings realized in 
foreign jurisdictions with statutory rates that are different than the U.S. federal statutory rate, and the provision for Global 
Intangible Low Taxed income (“GILTI”), net of the statutory deduction of 50% of the GILTI inclusion and the Foreign Derived 
Intangible Income (“FDII”) deduction (collectively “Section 250 deduction”).  In 2018, the Section 250 deduction associated 
with GILTI and FDII, were subject to limitations based on U.S. taxable income.  The Company’s foreign earnings are primarily 
derived from Switzerland, Mexico, Uruguay, and Ireland. The Company currently has a tax holiday in Malaysia through April 
2023 provided certain conditions continue to be met.

- 79 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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 
Cuts and Jobs Act of 2017 (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 planned 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 associated with earnings that are intended to be distributed. 

The net deferred tax liability consists of the following (in thousands):

Tax credit carryforwards

Inventories

Net operating loss carryforwards

Operating lease liabilities

Stock-based compensation

Accrued expenses

Gross deferred tax assets

Less valuation allowance

Net deferred tax assets

Property, plant and equipment

Intangible assets

Operating lease assets

Other

Gross deferred tax liabilities

Net deferred tax liability

Presented as follows:

Noncurrent deferred tax asset

Noncurrent deferred tax liability

Net deferred tax liability

As of December 31, 2020, the Company has the following carryforwards available:

December 31,
2020

December 31,
2019

$ 

13,449  $ 

14,099 

10,436 

11,969 

3,276 

8,058 

61,287 

(20,739)   

40,548 

(5,824)   

14,921 

11,333 

8,254 

5,544 

4,844 

4,625 

49,521 

(22,229) 

27,292 

(6,017) 

(197,048)   

(192,091) 

(11,290)   

(4,292)   

(5,161) 

(7,563) 

(218,454)   

(210,832) 

(177,906)  $ 

(183,540) 

4,398  $ 

4,438 

(182,304)   

(187,978) 

(177,906)  $ 

(183,540) 

$ 

$ 

$ 

Tax
Attribute

Amount
(in millions)

Begin to 
Expire

$ 

126.7 

2021

2022

2021

2021

2021

6.9 

7.9 

1.8 

5.7 

Jurisdiction

U.S. State

International

U.S. Federal

Net operating losses(1)
Net operating losses(1)
Foreign tax credits

U.S. Federal and State

R&D tax credits

U.S. State
__________
(1)    Net operating losses (“NOLs”) are presented as pre-tax amounts.

State tax credits

- 80 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(12.)   INCOME TAXES (Continued)

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 it is more likely than not 
that a portion of the deferred tax assets as of December 31, 2020 and December 31, 2019 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  
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 2020, 2019 and 2018 (in thousands):

Balance, beginning of year

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

2020

2019

2018(1)

$ 

4,446  $ 

5,369  $ 

12,088 

300 

738 

— 

— 

300 

(1,223)   

— 

— 

300 

(75) 

(98) 

(6,846) 

Balance, end of year
__________
(1) The amounts for 2018 reflect discontinued operations through the date of divestiture of the AS&O Product Line, which is 

5,484  $ 

4,446  $ 

$ 

5,369 

reflected in the table as a reduction relating to divestiture.

The tax years that remain open and subject to tax audits vary depending on the tax jurisdiction. The Internal Revenue Service 
(“IRS”) is currently examining the U.S. subsidiaries of the Company for the taxable years 2017 - 2018 and the 2019 taxable 
year remains subject to examination by the IRS.  The U.S. subsidiaries of the former Lake Region Medical, acquired by the 
Company in 2015, 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 $3.4 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 31, 
2020, approximately $5.5 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 for Income Taxes on the 
Consolidated Statements of Operations.  During 2020, 2019 and 2018, the recorded amounts for interest and penalties, 
respectively, were not significant.

In response to the COVID-19 pandemic, many governments have enacted or are contemplating measures to provide aid and 
economic stimulus. These measures may include deferring the due dates of tax payments or other changes to their income and 
non-income-based tax laws. The Coronavirus Aid, Relief, and Economic Security Act (the “CARES Act”), which was enacted 
on March 27, 2020 in the U.S., includes measures to assist companies, including temporary changes to income and non-income-
based tax laws.  The CARES Act provides for deferred payment of the employer portion of social security taxes through the end 
of 2020, with 50% of the deferred amount due December 31, 2021 and the remaining 50% due December 31, 2022.  As allowed 
under the CARES Act, the Company is deferring payment of the employer portion of Social Security taxes through the end of 
2020.  As of December 31, 2020,  the Company had deferred a total of $9.7 million of payroll taxes during 2020, to be paid 
equally in the fourth quarters of 2021 and 2022.  The deferred payroll taxes are included within Accrued expenses and other 
current liabilities and Other long-term liabilities on the Consolidated Balance Sheets.

- 81 -

 
 
 
 
 
 
 
 
 
 
 
INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(13.)   COMMITMENTS AND CONTINGENCIES

Contingent Consideration Arrangements

The Company records contingent consideration liabilities related to the earn-out provisions for certain acquisitions.  See Note 
17 “Financial Instruments and Fair Value Measurements” for additional information.

Litigation

The Company is subject to litigation arising from time to time in the ordinary course of its business.  The Company does not 
expect that the ultimate resolution of any 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 will not become material in the future.

The Company records a contingent gain for litigation when all of the following conditions have been met: (a) the amount to be 
paid to the Company is known, (b) there is no potential for appeal or reversal, and (c) collectability is reasonably assured.

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.  
Following four trials and an appeal, the United States Court of Appeals for the Federal Circuit affirmed, in all respects, a 
judgment in favor of the Company.  The Company received the payment of $28.9 million in October 2020, and after 
recognizing certain related expenses, recognized a net gain of $28.2 million.

Selling, general and administrative expenses

The net gain on patent litigation of $28.2 million is recorded in Selling, general and administrative expenses in the Company’s 
Consolidated Statements of Operations for the year ended December 31, 2020.

Environmental Matters

The Company acquired Lake Region Medical Holdings, Inc. (“LRM”) in 2015.  At the direction of the New Jersey Department 
of Environmental Protection (“NJDEP”), LRM has been performing, and has agreed to fund approximately $0.3 million for, 
environmental investigations of a manufacturing facility LRM owned in South Plainfield, New Jersey from 1971 to 2004, and 
where it conducted operations from 1971 to 2007.  NJDEP required LRM to perform and fund these environmental 
investigations due to concerns that prior investigations by LRM at the property were inadequate and because NJDEP concluded 
that the property was a source of local ground water contamination during LRM’s operations, including the Franklin Street 
Regional Groundwater Contamination Area, which has been designated as an immediate environmental concern by NJDEP.  
LRM disagrees with NJDEP’s conclusions but is cooperating with NJDEP and agreed to fund the environmental investigation 
currently being undertaken by NJDEP’s contractor at an anticipated cost of approximately $0.3 million.  These environmental 
investigations may conclude that remediation of the property by LRM, and the reimbursement of costs and damages, including 
natural resource damages, associated with the groundwater immediate environmental concern, are necessary.  Further, the 
current owner of the property claims to have been financially impacted by LRM’s inadequate environmental investigations.  
While the Company does not expect this environmental matter will have a material effect on its consolidated results of 
operations, financial position or cash flows, there can be no assurance that this environmental matter will not become material 
in the future.  As of December 31, 2020, there was $0.3 million recorded in Accrued expenses and other current liabilities in the 
Consolidated Balance Sheets in connection with this environmental matter.

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 $1.2 million, $1.4 million, and 
$1.6 million, for 2020, 2019 and 2018, respectively, and are primarily included in Cost of Sales.

- 82 -

INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(13.)   COMMITMENTS AND CONTINGENCIES (Continued)

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 2020 and 2019 comprises the following (in 
thousands):

Beginning balance

Additions to warranty reserve, net of reversals
Adjustments to pre-existing warranties 
Warranty claims settled

Ending balance

Self-Insurance Liabilities

2020

2019

$ 

$ 

1,933  $ 
(156)   
(119)   
(1,495)   
163  $ 

2,600 
2,605 
(1,039) 
(2,233) 
1,933 

As of December 31, 2020, and at various times in the past, the Company self-funded certain of 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 $5.4 million and 
$4.5 million as of December 31, 2020 and December 31, 2019, respectively. These accruals are recorded in Accrued expenses 
and other current liabilities and Other long-term liabilities on the Consolidated Balance Sheets. 

(14.)   LEASES

The Company primarily leases certain office and manufacturing facilities under operating leases, with additional operating 
leases for machinery, office equipment and vehicles.

The components and classification of lease cost are as follows (in thousands):

Operating lease cost

Short-term lease cost (leases with initial term of 12 months or less)

Variable lease cost
Sublease income

Total lease cost

Cost of sales

SG&A

RD&E

OOE

Total lease cost

December 31,
2020

December 31,
2019

$ 

10,425  $ 

86 
2,615 
(1,495)   

9,870 

57 
2,419 
(1,894) 

$ 

$ 

11,631  $ 

10,452 

9,141  $ 

1,803 

687 

— 

8,772 

1,107 

556 

17 

$ 

11,631  $ 

10,452 

The Company’s sublease income is derived primarily from certain real estate leases to several non-affiliated tenants under 
operating sublease arrangements.  Operating lease expense for fiscal year 2018, under ASC 840, the predecessor to ASC 842, 
was $10.8 million.

- 83 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(14.)   LEASES (Continued)

At December 31, 2020, the maturities of operating lease liabilities were as follows (in thousands):

2021

2022

2023

2024

2025

Thereafter

Total lease payments

Less imputed interest

Total

10,627 

8,584 

7,781 

7,312 

5,667 

15,811 

55,782 

(9,490) 

46,292 

$ 

As of December 31, 2020, the Company did not have any leases that have not yet commenced.

The following table presents the weighted average remaining lease term and discount rate.

Weighted-average remaining lease term of operating leases (in years)

Weighted-average discount rate of operating leases

December 31,
2020

December 31,
2019

7.0

 5.3 %

7.4

 5.5 %

Supplemental cash flow information related to leases for fiscal years 2020 and 2019 is as follows (in thousands):

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

$ 

10,385  $ 

ROU assets obtained in exchange for new operating lease liabilities

9,059 

10,235 

8,778 

2020

2019

During the fiscal year ended December 31, 2020, the Company extended the lease terms for five of its manufacturing facilities.  
As a result of these lease modifications, the Company re-measured the lease liability and adjusted the ROU asset on the 
modification dates.

- 84 -

 
 
 
 
 
 
 
 
 
 
(15.)   EARNINGS PER SHARE

The following table sets forth a reconciliation of the information used in computing basic and diluted EPS for fiscal years 2020, 
2019 and 2018 (in thousands, except per share amounts):

Numerator for basic and diluted EPS:

Income from continuing operations

Income from discontinued operations

Net income

Denominator for basic EPS:

Weighted average shares outstanding

Effect of dilutive securities:

2020

2019

2018

$ 

$ 

77,258  $ 

91,218  $ 

— 

5,118 

77,258  $ 

96,336  $ 

47,033 

120,931 

167,964 

32,845 

32,627 

32,136 

Stock options, restricted stock and restricted stock units

Denominator for diluted EPS

268 

33,113 

410 

33,037 

460 

32,596 

Basic earnings per share:

Income from continuing operations

Income from discontinued operations

Basic earnings per share

Diluted earnings per share:

Income from continuing operations

Income from discontinued operations

Diluted earnings per share

$ 

2.35  $ 

2.80  $ 

— 

2.35 

0.16 

2.95 

$ 

2.33  $ 

2.76  $ 

— 

2.33 

0.15 

2.92 

1.46 

3.76 

5.23 

1.44 

3.71 

5.15 

The diluted weighted average share calculations do not include the following securities for fiscal years 2020, 2019 and 2018, 
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 restricted stock units

2020

2019

2018

98 

89 

30 

47 

237 

144 

- 85 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(16.)   STOCKHOLDERS’ EQUITY

Common Stock

The following table sets forth the changes in the number of shares of common stock for fiscal years 2020 and 2019:

Shares outstanding at December 28, 2018

Stock options exercised

RSAs forfeitures and vesting of RSUs

Shares outstanding at December 31, 2019

Stock options exercised

Vesting of RSUs, net of shares withheld to cover taxes

Shares outstanding at December 31, 2020

Issued

Treasury 
Stock

Outstanding

32,624,494 

(151,327)   

32,473,167 

116,904 

105,619 

21,866 

(17,085)   

138,770 

88,534 

32,847,017 

(146,546)   

32,700,471 

27,544 

33,617 

74,596 

71,950 

102,140 

105,567 

32,908,178 

— 

32,908,178 

Accumulated Other Comprehensive Income

Accumulated other comprehensive income comprises 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 28, 2018

$ 

(295)  $ 

3,439  $ 

30,539  $  33,683  $ 

(679)  $  33,004 

Unrealized loss 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

— 

— 

— 

(4,028)   

(148)   

(1,621)   

(617)   

— 

— 

— 

— 

— 

— 

— 

(4,028)   

(148)   

(1,621)   

(617)   

(7,900)   

(7,900)   

846 

31 

340 

81 

— 

(3,182) 

(117) 

(1,281) 

(536) 

(7,900) 

December 31, 2019

$ 

(912)  $ 

(2,358)  $ 

22,639  $  19,369  $ 

619  $  19,988 

Unrealized loss on cash flow hedges

Realized loss on foreign currency hedges

Realized loss on interest rate swap hedges
Net defined benefit plan adjustments

Foreign currency translation gain

December 31, 2020

— 

— 

— 
(183)   

(6,683)   

638 

3,447 
— 

— 

— 

— 
— 

(6,683)   

1,404 

(5,279) 

638 

3,447 
(183)   

(134)   

(724)   
32 

504 

2,723 
(151) 

— 
(1,095)  $ 

— 
(4,956)  $ 

34,907 
57,546  $  51,495  $ 

34,907 

— 

34,907 
1,197  $  52,692 

$ 

- 86 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(17.)   FINANCIAL INSTRUMENTS AND 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 and 
contingent consideration. The Company does not have any nonfinancial assets or liabilities that are measured at fair value on a 
recurring basis.

The Company is exposed to global market risks, including the effect of changes in interest rates and foreign currency exchange 
rates, and uses derivatives to manage these exposures that occur in the normal course of business. The Company does not hold 
or issue derivatives for trading or speculative purposes.  All derivatives are recorded at fair value on the balance sheet.

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

December 31, 2020

Assets:  Foreign currency contracts

Liabilities:  Interest rate swap

Liabilities:  Contingent consideration

December 31, 2019

Assets:  Foreign currency contracts

Liabilities:  Interest rate swaps

Liabilities:  Contingent consideration

Interest Rate Swaps

Quoted
Prices in
Active
Markets
(Level 1)

Significant
Other
Observable
Inputs
(Level 2)

Significant
Unobservable
Inputs
(Level 3)

Fair Value

$ 

2,070  $ 

—  $ 

2,070  $ 

7,026 

3,900 

— 

— 

7,026 

— 

$ 

710  $ 

—  $ 

710  $ 

3,068 

4,200 

— 

— 

3,068 

— 

— 

— 

3,900 

— 

— 

4,200 

The Company periodically enters into interest rate swap agreements to reduce the cash flow risk caused by interest rate changes 
on its outstanding floating rate borrowings.  Under these swap agreements, the Company pays a fixed rate of interest and 
receives a floating rate equal to one-month LIBOR.  The variable rate received from the swap agreements and the variable rate 
paid on the outstanding debt will have the same rate of interest, excluding the credit spread, and will reset and pay interest on 
the same date.  The Company has designated these swap agreements as cash flow hedges based on concluding the hedged 
forecasted transaction is probable of occurring within the period the cash flow hedge is anticipated to affect earnings.

The Company receives fair value estimates from the swap agreement counterparties.  The fair value of the Company’s swap 
agreements are determined through the use of a cash flow model that utilizes observable market data inputs. These observable 
market data inputs include LIBOR, swap rates, and credit spread curves.  The Company’s interest rate swap agreements are 
categorized in Level 2 of the fair value hierarchy.  The estimated fair value of the swap agreements represents the amount the 
Company would receive (pay) to terminate the contracts.

Information regarding the Company’s outstanding interest rate swap designated as a cash flow hedge as of December 31, 2020 
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 2020

Jun 2023

 2.1785 %  0.1480 % $ 

(7,026)  Other long-term liabilities

- 87 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(17.)   FINANCIAL INSTRUMENTS AND FAIR VALUE MEASUREMENTS (Continued)

Information regarding the Company’s outstanding interest rate swaps designated as cash flow hedges as of December 31, 2019 
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 2017

Jun 2020

 1.1325 %  1.7920 % $ 

543  Accrued expenses and other current liabilities

65,000 

Jul 2019

Jul 2020

  400,000  Apr 2019 Apr 2020

 1.8900 

 2.4150 

Jun 2020

  200,000 
__________
(1)  The interest rate swap was not in effect until June 2020.

Jun 2023

 2.1785 

 1.7920 

(72)  Accrued expenses and other current liabilities

 1.7101 
(1)

(730)  Accrued expenses and other current liabilities

(2,809)  Other long-term liabilities

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 Company receives fair value estimates from the foreign currency contract counterparties.  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. 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.

Information regarding outstanding foreign currency forward contracts designated as cash flow hedges as of December 31, 2020 
is as follows (dollars in thousands):

Notional 
Amount

Start
Date

End
Date

$/Foreign Currency

Fair 
Value

Balance Sheet Location

$  16,132  Nov 2020

Sep 2021

1.1949

Euro

$ 

399  Prepaid expenses and other current assets

10,224 

Jan 2021

Sep 2021

0.0454 MXN Peso

922  Prepaid expenses and other current assets

2,656 

Jan 2021 Mar 2021

0.0443 MXN Peso

341  Prepaid expenses and other current assets

7,269  Apr 2021 Dec 2021

0.0485 MXN Peso

77  Prepaid expenses and other current assets

3,252 

Jan 2021 Aug 2021

3,966 

Jan 2021 Nov 2021

0.0232

0.0227

UYU Peso

UYU Peso

165  Prepaid expenses and other current assets

166  Prepaid expenses and other current assets

Information regarding outstanding foreign currency forward contracts designated as cash flow hedges as of December 31, 2019 
is as follows (dollars in thousands):

Notional 
Amount

Start
Date

End
Date

$/Foreign Currency

Fair 
Value

Balance Sheet Location

$  11,166 

Jan 2020

Jun 2020

0.0490

Peso

$ 

710  Prepaid expenses and other current assets

- 88 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(17.)   FINANCIAL INSTRUMENTS AND FAIR VALUE MEASUREMENTS (Continued)

Derivative Instruments with Hedge Accounting Designation

The following table presents the impact of cash flow hedge derivative instruments on other comprehensive income (“OCI”), 
AOCI and the Company’s Consolidated Statement of Operations for fiscal years 2020, 2019 and 2018 (in thousands):

Gain (Loss) Recognized in OCI

Gain (Loss) Reclassified from AOCI

Derivative
Interest rate swaps

2020

2019
$  (7,405)  $  (5,618)  $  1,589 

2018

Location in Statement 
of Operations 

Interest expense

2020

2019
$  (3,447)  $  1,621  $  1,697 

2018

Foreign exchange contracts

1,017 

(1,044)   

(1,193)  Sales

Foreign exchange contracts

(355)   

2,634 

1,508  Cost of sales

Foreign exchange contracts

60 

— 

—  Operating expenses

618 

(1,334)   

(758) 

(1,177)   

1,482 

(79)   

— 

944 

— 

The Company expects to reclassify net losses totaling $1.3 million related to its cash flow hedges from AOCI into earnings 
during the next twelve months.

Contingent Consideration

The following table presents the changes in the estimated fair values of the Company’s liabilities for contingent consideration 
measured using significant unobservable inputs (Level 3) for fiscal years 2020 and 2019 (in thousands):

December 28, 2018

Amount recorded for current year acquisitions

December 31, 2019

Amount recorded for current year acquisitions

Fair value measurement adjustment

Payments

December 31, 2020

$ 

$ 

— 

4,200 

4,200 

2,700 

(2,000) 

(1,000) 

3,900 

The acquisition-related contingent consideration represents the estimated fair value of the Company’s obligations, under the 
asset purchase agreements, to make additional payments if certain revenue goals are met.  The Company estimated the original 
fair value of the contingent consideration liabilities for the InoMec and USB acquisitions using a Monte Carlo valuation model 
to forecast the value of the potential future payment.  For the February 19, 2020 InoMec acquisition, the Company estimated 
the original fair value of the contingent consideration to be $1.7 million.  For the October 7, 2019 USB acquisition, the 
Company estimated the original fair value of the contingent consideration to be $4.2 million.  See Note 2 “Business 
Acquisitions, Divestiture and Discontinued Operations” for additional information about these acquisitions.

As of December 31, 2020, the current portion of contingent consideration liabilities is $1.7 million and included in Accrued 
expenses and other current liabilities, and the non-current portion is $2.2 million and included in Other long-term liabilities on 
the Consolidated Balance Sheets.  All contingent consideration liabilities were non-current and included in Other long-term 
liabilities as of December 31, 2019.

The following table provides quantitative information associated with the fair value measurement of  the Company’s liabilities 
for contingent consideration:

December 31, 2020

Contingency Type
Revenue-based payments

Maximum 
Payout 
(undiscounted)
$ 

9,000  $ 

Fair Value

Valuation 
Technique

Unobservable Inputs

3,900  Monte Carlo Revenue volatility

Discount rate

Projected year(s) of payment

Weighted 
Average or 
Range

 35.0 %
 4.0 %
2021-2024

- 89 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(17.)   FINANCIAL INSTRUMENTS AND FAIR VALUE MEASUREMENTS (Continued)

December 31, 2019

Contingency Type
Revenue-based payments

Maximum 
Payout 
(undiscounted)
$ 

5,500  $ 

Fair Value

Valuation 
Technique

Unobservable Inputs

4,200  Monte Carlo Revenue volatility

Discount rate

Weighted 
Average or 
Range

 25.0 %

 4.9 %

Projected year(s) of payment

2021-2024

During the first quarter of 2020, the Company acquired a set of similar identifiable intangible assets relating to a license to use 
technology within its Non-Medical segment.  At the date of acquisition, the Company estimated the original fair value of the 
contingent consideration to be $1.0 million, which was paid during 2020 upon achievement of the applicable milestones.  

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, contract assets, 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.

Equity Investments

Equity investments comprise the following (in thousands):

Equity method investment

Non-marketable equity securities

Total equity investments

December 31,
2020

December 31,
2019

$ 

$ 

21,470  $ 

5,723 

27,193  $ 

16,167 

6,092 

22,259 

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

Equity method investment income

Impairment charges

Total (gain) loss on equity investments, net

2020

2019

2018

$ 

$ 

(5,706)  $ 

369 
(5,337)  $ 

(1,100)  $ 

1,575 

475  $ 

(5,623) 

— 
(5,623) 

During 2020 and 2019, the Company determined that certain non-marketable equity securities were impaired.  In 2020, a new 
equity financing by one of the Company’s non-marketable equity securities indicated a new value for the investment.  During 
the fourth quarter of 2020, the Company recorded an impairment charge of $0.4 million to reduce the carrying value of this 
non-marketable equity security to its estimated fair value of $2.2 million.  The fair value of this investment was derived from 
observable price changes of similar securities of the investee.  In 2019, the Company determined the fair value for one of its 
non-marketable equity securities to be zero based upon available market information. This assessment was based on qualitative 
indications of impairment.  Factors that significantly influenced the determination of the impairment loss included the equity 
security’s investee’s financial condition, priority claims to the equity security, distributions rights and preferences, and status of 
the regulatory approval required to bring its product to market.

The Company’s equity method investment is in a Chinese venture capital fund focused on investing in life sciences companies. 
As of December 31, 2020, the Company owned 6.5% of this fund.

Pension Plan Assets

The fair value of the Company’s pension plan assets 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 in Level 2 of the fair value hierarchy.

- 90 -

 
 
 
 
 
INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(18.)   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, 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.

The following table presents sales by product line for fiscal years 2020, 2019 and 2018 (in thousands).

2020

2019

2018

Segment sales by product line:

Medical

Cardio & Vascular 

Cardiac & Neuromodulation

Advanced Surgical, Orthopedics & Portable Medical

Total Medical

Non-Medical

Total sales

Geographic Area Information

$ 

569,948  $ 

610,056  $ 

346,242 

121,788 

457,194 

132,429 

585,464 

443,347 

133,225 

1,037,978 

1,199,679 

1,162,036 

35,464 

58,415 

52,976 

$ 

1,073,442  $ 

1,258,094  $ 

1,215,012 

The following table presents sales by significant country for fiscal years 2020, 2019 and 2018.  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

2020

2019

2018

$ 

596,804  $ 

698,474  $ 

687,259 

96,048 

58,853 

321,737 

154,644 

63,634 

341,342 

146,500 

62,044 

319,209 

$ 

1,073,442  $ 

1,258,094  $ 

1,215,012 

The following table presents revenues by significant customers, which are defined as any customer who individually represents 
10% or more of a segment’s total revenues for fiscal years 2020 and 2019.

Customer

Customer A

Customer B

Customer C

Customer D

Customer E

All other customers
__________

* Less than 10% of segment’s total revenues for the period.

2020

2019

Medical

Non-Medical

Medical

Non-Medical

19%

17%

15%

*

*

49%

*

*

*

22%

10%

68%

22%

18%

12%

*

*

48%

*

*

*

22%

*

78%

- 91 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(18.)   SEGMENT AND GEOGRAPHIC INFORMATION (Continued)

The following table presents revenues by significant ship to location, which is defined as any country where 10% or more of a 
segment’s total revenues are shipped for fiscal years 2020 and 2019.

Ship to Location

United States

Puerto Rico

Canada

Rest of world
__________

2020

2019

Medical

Non-Medical

Medical

Non-Medical

55%

*

*

45%

60%

*

*

40%

55%

13%

*

32%

58%

*

13%

29%

* Less than 10% of segment’s total revenues for the period.

The following table presents income from continuing operations for the Company’s reportable segments for fiscal years 2020, 
2019 and 2018 (in thousands).

Segment income from continuing operations:

Medical

Non-Medical

Total segment income from continuing operations

Unallocated operating expenses

Operating income

Unallocated expenses, net

2020

2019

2018

$ 

169,396  $ 

223,873  $ 

224,893 

4,848 

174,244 

16,289 

240,162 

(53,632)   

(82,527)   

120,612 

157,635 

(34,405)   

(52,442)   

14,697 

239,590 

(84,035) 

155,555 

(94,439) 

Income from continuing operations before taxes

$ 

86,207  $ 

105,193  $ 

61,116 

The following table presents depreciation and amortization expense for the Company’s reportable segments for fiscal years 
2020, 2019 and 2018 (in thousands).

Segment depreciation and amortization:

Medical

Non-Medical

Total depreciation and amortization included in segment
   income from continuing operations

Unallocated depreciation and amortization

Total depreciation and amortization

2020

2019

2018

$ 

72,338  $ 

68,867  $ 

996 

1,039 

73,334 
5,990 

69,906 
7,989 

$ 

79,324  $ 

77,895  $ 

71,922 

1,364 

73,286 
8,252 

81,538 

The following table presents total assets for the Company’s reportable segments as of December 31, 2020 and December 31, 
2019 (in thousands).

Identifiable assets:

Medical

Non-Medical 

Total reportable segments

Unallocated assets

Total assets

- 92 -

December 31,
2020

December 31,
2019

$ 

2,212,489  $ 

2,233,534 

52,682 

51,031 

2,265,171 

2,284,565 

106,686 

68,528 

$ 

2,371,857  $ 

2,353,093 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(18.)   SEGMENT AND GEOGRAPHIC INFORMATION (Continued)

The following table presents capital expenditures for the Company’s reportable segments for fiscal years 2020, 2019 and 2018 
(in thousands).

Expenditures for tangible long-lived assets:

Medical

Non-Medical

Total reportable segments

Unallocated long-lived tangible assets

Total expenditures

2020

2019

2018

$ 

42,435  $ 

44,026  $ 

34,615 

1,038 

43,473 

3,359 

397 

44,423 

3,775 

$ 

46,832  $ 

48,198  $ 

573 

35,188 

6,110 

41,298 

The following table presents PP&E by geographic area as of December 31, 2020 and December 31, 2019.  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

December 31,
2020

December 31,
2019

$ 

170,871  $ 

163,350 

32,723 

38,526 

11,844 

36,238 

33,126 

13,471 

$ 

253,964  $ 

246,185 

(19.)   REVENUE FROM CONTRACTS WITH CUSTOMERS

Disaggregated Revenue

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.  For a 
summary by disaggregated product line sales for each segment, refer to Note 18, “Segment and Geographic Information.”

A significant portion of the Company’s sales for fiscal years 2020, 2019 and 2018 and accounts receivable at December 31, 
2020 and December 31, 2019 were to three customers as follows:

Customer A

Customer B
Customer C

Sales

2019

21%

17%
12%

50%

2020

18%

16%
14%

48%

2018

21%

19%
12%

52%

Accounts Receivable

December 31,
2020

December 31,
2019

15%

19%
13%

47%

13%

19%
20%

52%

Revenue recognized from products and services transferred to customers over time during fiscal years 2020 and 2019 
represented 29% and 12%, respectively, of total revenue.  The Company did not have any significant revenue related to 
contracts recognized over time for fiscal year 2018.  Substantially all of the revenue recognized from products and services 
transferred to customers over time during fiscal years 2020 and 2019 was within the Medical segment.

- 93 -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
INTEGER HOLDINGS CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(19.)   REVENUE FROM CONTRACTS WITH CUSTOMERS (Continued)

Contract Balances

The opening and closing balances of the Company’s contract assets and contract liabilities are as follows (in thousands):

Contract assets

Contract liabilities

December 31,
2020

December 31,
2019

$ 

40,218 

$ 

2,498 

24,767 

1,975 

Contract assets at December 31, 2020, increased $15.5 million from December 31, 2019, due to a new contract with an existing 
customer where control is transferred over time.  During the fiscal year ended December 31, 2020, the Company recognized 
$1.3 million of revenue that was included in the contract liability balance as of December 31, 2019.  During the fiscal year 
ended December 31, 2019, the Company recognized $1.4 million of revenue that was included in the contract liability balance 
as of December 28, 2018.

(20.)   QUARTERLY SALES AND EARNINGS DATA—UNAUDITED

The Company’s first three fiscal quarters in each fiscal year end on the Friday nearest March 31, June 30 and September 30, 
respectively.  The Company’s fourth fiscal quarter ends on December 31.

(in thousands, except per share data)

Fourth 
Quarter

Third 
Quarter

Second 
Quarter

First  
Quarter

Fiscal Year 2020

Sales

Gross profit

Income from continuing operations

EPS—basic

EPS—diluted

Fiscal Year 2019

Sales

Gross profit

Income from continuing operations
EPS—basic

$ 

268,959  (1)
73,209 

$ 

15,427 

0.47 

0.47 

235,942  (1)
57,933 
30,342  (2)
0.92  (2)
0.92  (2)

$ 

240,115  (1)
57,863 

389 

0.01 

0.01 

$ 

328,426 

96,702 

31,100 

0.95 

0.94 

$ 

325,637 
76,030  (3)
11,044  (3)
0.34 

$ 

303,587 

$ 

314,194 

$ 

314,676 

93,386 

30,586 
0.94 

96,984 

28,222 
0.87 

88,610 

21,366 
0.66 

EPS—diluted
__________
(1) Primarily beginning in the second quarter of 2020, sales were were negatively impacted by the COVID-19 pandemic and a 

0.33 

0.85 

0.92 

0.65 

severe decline in the energy market.

(2) The third quarter of 2020 includes a pre-tax net gain of $28.2 million, resulting in an after-tax impact of $0.67 per basic 

and diluted share from a patent litigation judgment affirmed by the United States Court of Appeals in the Company’s favor.  
See Note 13 “Commitments and Contingencies” for additional information.

(3)

In the fourth quarter of 2019, the Company recorded pre-tax charges and other expenses of $24 million related to the 
bankruptcy filing of a customer.  These charges were included in cost of sales ($21 million) and operating expenses ($3 
million).

- 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 SEC as of December 31, 2020. 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 
SEC’s rules and forms. Based on their evaluation, as of December 31, 2020, 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 -

PART III

ITEM 10.  DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE

Information regarding the Company’s directors appearing under the caption “Election of Directors” in the Company’s Proxy 
Statement for its 2021 Annual Meeting of Stockholders is incorporated herein by reference.

Information regarding the Company’s executive officers is presented under the caption “Information About our Executive 
Officers” 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 2021 
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 2021 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 2021 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 2021 Annual Meeting of Stockholders is 
incorporated herein by reference.

ITEM 14.  PRINCIPAL ACCOUNTING 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 2021 Annual Meeting of Stockholders is incorporated herein by reference.

- 96 -

PART IV

ITEM 15.  EXHIBITS AND FINANCIAL STATEMENT SCHEDULES

(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

Column A
Description
December 31, 2020
Provision for credit losses
Valuation allowance for deferred tax assets
December 31, 2019

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

$ 
2,443  $ 
$  22,229  $ 

28  (1) $ 
(275)  (2) $ 

— 
— 

$ 
$ 

(2,316)  (4)
155 
(1,215)  (2)(4)(5) $  20,739 

$ 

Allowance for doubtful accounts

$ 

Valuation allowance for deferred tax assets
December 28, 2018

592  $  1,884  (1) $ 
736  (2) $ 

$  34,339  $ 

2  (3)
— 

(35)  (4)

$ 
2,443 
$  (12,846)  (2)(4)(5) $  22,229 

$ 

Allowance for doubtful accounts

$ 

536  $ 

Valuation allowance for deferred tax assets

$  36,480  $ 

169  (1) $ 
$ 
— 

(2)  (3)
(170)  (3)

$ 

$ 

(111)  (4)

592 
(1,971)  (2)(4)(5) $  34,339 

$ 

(1) Valuation allowance recorded in the provision for credit losses (allowance for doubtful accounts in years prior to 2020).  
The 2019 amount includes a $2.3 million reserve recorded in connection with a customer bankruptcy, net of adjustments 
to the Company’s general and specific reserves.

(2) Valuation allowance recorded in the provision for income taxes for certain net operating losses and tax credits. The 2020 
and 2019 deductions include releases of the allowance for net operating losses utilized during that year and the expiration 
of certain net operating losses, foreign and state tax credits. The decrease in 2018 includes the impact of the divestiture 
of the AS&O Product Line.

(3)

Includes foreign currency translation effect.

(4) Accounts written off and reductions to allowances existing at the beginning of the year.  The 2020 amount includes $2.3 

million of accounts receivable recorded during 2019 in connection with a customer bankruptcy.

(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.

- 97 -

 
 
 
 
 
 
 
(b)   EXHIBITS:

EXHIBIT
NUMBER

DESCRIPTION

2.1

2.2

2.3

3.1

3.2

4.1*

10.1

10.2

10.3

10.4

10.5

10.6

10.7

10.8

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).

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).

Description of Securities of Integer Holdings Corporation registered under Section 12 of the Exchange Act.

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, 
Integer Holdings Corporation, as parent, 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, by and among the lenders party thereto, 
Greatbatch Ltd., as the borrower, Integer Holdings Corporation, as parent, Manufacturers and Traders Trust 
Company, as administrative agent, and Credit Suisse Securities (USA) LLC, as arranger (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, by and among the lenders party thereto, 
Greatbatch Ltd., as the borrower, Integer Holdings Corporation, as parent, Manufacturers and Traders Trust 
Company, as administrative agent, and Credit Suisse Securities (USA) LLC, as arranger (incorporated by reference 
to Exhibit 10.1 to our Current Report on Form 8-K filed on November 7, 2017). 

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).

Amendment No. 5 to Credit Agreement, dated as of November 21, 2019, among Greatbatch Ltd., as the borrower, 
Integer Holdings Corporation, as parent, Manufacturers and Traders Trust Company, as administrative agent and as 
arranger, and the Lenders party thereto. (incorporated by reference to Exhibit 10.1 to our Current Report on Form 
8-K filed on November 21, 2019).

Amendment No. 6 to Credit Agreement, dated as of November 21, 2019, by and among Greatbatch Ltd., as the 
borrower, Integer Holdings Corporation, as the parent, Manufacturers and Traders Trust Company, as 
administrative agent, Credit Suisse Loan Funding LLC, as arranger, and the lenders party thereto (incorporated by 
reference to Exhibit 10.2 to our Current Report on Form 8-K filed on November 21, 2019).

Amendment No. 7 to Credit Agreement, dated as of July 13, 2020, by and among Greatbatch Ltd., as the borrower, 
Integer Holdings Corporation, as the parent, Manufacturers and Traders Trust Company, as administrative agent 
and as arranger, and the lenders party thereto (incorporated by reference to Exhibit 10.1 to our Current Report on 
Form 8-K filed on July 14, 2020).

10.9#

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).

10.10#*

Integer Holdings Corporation Retirement Savings Restoration Plan.

10.11#

Integer Holdings Corporation Director Compensation Policy (incorporated by reference to Exhibit 10.1 to our 
Quarterly Report on Form 10-Q for the period ended October 2, 2020).

- 98 -

EXHIBIT
NUMBER

DESCRIPTION

10.12#

10.13#

10.14#

10.15#

10.16#

10.17#

10.18#

10.19#

10.20#

10.21#

10.22#

10.23#

10.24#

10.25#

10.26#

10.27#

10.28#

10.29#

10.30#

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).

First 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).

Amendment to Integer Holdings Corporation 2016 Stock Incentive Plan, Integer Holdings Corporation 2011 Stock 
Incentive Plan, Integer Holdings Corporation 2009 Stock Incentive Plan (incorporated by reference to Exhibit 
10.31 to our Annual Report on Form 10-K for the year ended December 28, 2018).

Amendment to Integer Holdings Corporation 2016 Stock Incentive Plan and Integer Holdings Corporation 2011 
Stock Incentive Plan (incorporated by reference to Exhibit 10.17 to our Annual Report on Form 10-K for the year 
ended December 31, 2019).

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).

Form of Time-Based Restricted Stock Units Award Agreement (for awards granted on or after February 28, 2019) 
(incorporated by reference to Exhibit 10.1 to our Quarterly Report on Form 10-Q for the period ended March 29, 
2019).

Form of Financial Performance Restricted Stock Units Award Agreement (for awards granted on or after February 
28, 2019) (incorporated by reference to Exhibit 10.2 to our Quarterly Report on Form 10-Q for the period ended 
March 29, 2019).

Form of Market-based Performance Restricted Stock Units Award Agreement (for awards granted on or after 
February 28, 2019) (incorporated by reference to Exhibit 10.3 to our Quarterly Report on Form 10-Q for the period 
ended March 29, 2019).

Form of Time-Based Restricted Stock Units Award Agreement for Joseph Dziedzic (for awards granted on or after 
February 28, 2019) (incorporated by reference to Exhibit 10.4 to our Quarterly Report on Form 10-Q for the period 
ended March 29, 2019).

Form of Financial Performance Restricted Stock Units Award Agreement for Joseph Dziedzic (for awards granted 
on or after February 28, 2019) (incorporated by reference to Exhibit 10.5 to our Quarterly Report on Form 10-Q for 
the period ended March 29, 2019).

Form of Market-based Performance Restricted Stock Units Award Agreement for Joseph Dziedzic (for awards 
granted on or after February 28, 2019) (incorporated by reference to Exhibit 10.6 to our Quarterly Report on Form 
10-Q for the period ended March 29, 2019).

10.31#

Form of Restricted Stock Unit Agreement for Non-Employee Directors (incorporated by reference to Exhibit 10.7 
to our Quarterly Report on Form 10-Q for the period ended March 29, 2019).

- 99 -

EXHIBIT
NUMBER

10.32#

10.33#

10.34#

10.35#

10.36#

10.37#

DESCRIPTION

Form of Time-Based Restricted Stock Units Award Agreement (for awards granted on or after January 1, 2020) 
(incorporated by reference to Exhibit 10.29 to our Annual Report on Form 10-K for the year ended December 31, 
2019).

Form of Financial Performance Restricted Stock Units Award Agreement (for awards granted on or after January 1, 
2020)  (incorporated by reference to Exhibit 10.30 to our Annual Report on Form 10-K for the year ended 
December 31, 2019).

Form of Market-Based Performance Restricted Stock Units Award Agreement (for awards granted on or after 
January 1, 2020) (incorporated by reference to Exhibit 10.31 to our Annual Report on Form 10-K for the year 
ended December 31, 2019).

Form of Time-Based Restricted Stock Units Award Agreement for Joseph Dziedzic (for awards granted on or after 
January 1, 2020) (incorporated by reference to Exhibit 10.32 to our Annual Report on Form 10-K for the year 
ended December 31, 2019).

Form of Financial Performance Restricted Stock Units Award Agreement for Joseph Dziedzic (for awards granted 
on or after January 1, 2020) (incorporated by reference to Exhibit 10.33 to our Annual Report on Form 10-K for the 
year ended December 31, 2019).

Form of Market-Based Performance Restricted Stock Units Award Agreement for Joseph Dziedzic (for awards 
granted on or after January 1, 2020) (incorporated by reference to Exhibit 10.34 to our Annual Report on Form 10-
K for the year ended December 31, 2019).

10.38#*

Form of Time-Based Restricted Stock Units Award Agreement (for awards granted on or after January 1, 2021).

10.39#*

10.40#*

10.41#*

10.42#

10.43#

10.44#

10.45#

10.46#

10.47#

10.48#

10.49#

Form of Market-Based Performance Restricted Stock Units Award Agreement (for awards granted on or after 
January 1, 2021).

Form of Time-Based Restricted Stock Units Award Agreement for Joseph Dziedzic (for awards granted on or after 
January 1, 2021).

Form of Market-Based Performance Restricted Stock Units Award Agreement for Joseph Dziedzic (for awards 
granted on or after January 1, 2021).

Form of Change of Control Agreement between Integer Holdings Corporation and its executive officers 
(incorporated by reference to Exhibit 10.8 to our Annual Report on Form 10-K for the year ended December 28, 
2012).

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).

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).

Employment Offer Letter, dated November 30, 2017, between Integer Holdings Corporation and Kirk Thor 
(incorporated by reference to Exhibit 10.1 to our Quarterly Report on Form 10-Q for the period ended June 28, 
2019).

Employment Offer Letter, dated February 6, 2018, between Integer Holdings Corporation and Payman Khales 
(incorporated by reference to Exhibit 10.1 to our Quarterly Report on Form 10-Q for the period ended July 3, 
2020).

Employment Offer Letter, dated April 16, 2019, between Integer Holdings Corporation and Carter Houghton 
(incorporated by reference to Exhibit 10.1 to our Quarterly Report on Form 10-Q for the period ended July 3, 
2020).

Employment Offer Letter, dated December 14, 2015, between Integer Holdings Corporation and Joseph Flanagan 
(incorporated by reference to Exhibit 10.39 to our Annual Report on Form 10-K for the year ended December 31, 
2019).

Separation Agreement and Release, effective as of January 13, 2020, between Antonio Gonzalez and Integer 
Holdings Corporation  (incorporated by reference to Exhibit 10.40 to our Annual Report on Form 10-K for the year 
ended December 31, 2019).

10.50#*

Form of Director Indemnification Agreement.

21.1*

Subsidiaries of Integer Holdings Corporation

- 100 -

EXHIBIT
NUMBER

23.1*

31.1*

31.2*

32.1**

DESCRIPTION

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 - the instance document does not appear in the Interactive Data File because its XBRL 

tags are embedded within the Inline XBRL document.

101.SCH* XRBL Taxonomy Extension Schema Document

101.CAL* XBRL Taxonomy Extension Calculation Linkbase Document

101.LAB* XBRL Taxonomy Extension Labels Linkbase Document

101.PRE* XBRL Taxonomy Extension Presentation Linkbase Document

101.DEF* XBRL Taxonomy Extension Definition Linkbase Document

104

* -
** -
# -

Cover Page Interactive Data File (embedded within the Inline XBRL document and included in Exhibit 101)

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.

- 101 -

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.

SIGNATURES

INTEGER HOLDINGS CORPORATION

Dated: February 18, 2021

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

Date

Title

/s/ Joseph W. Dziedzic 

Joseph W. Dziedzic

President, Chief Executive Officer and Director

February 18, 2021

(Principal Executive Officer)

/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/ Donald J. Spence

Donald J. Spence

/s/ William B. Summers, Jr.
William B. Summers, Jr.

Executive Vice President and Chief Financial Officer

February 18, 2021

(Principal Financial Officer)

Vice President, Corporate Controller

(Principal Accounting Officer)

February 18, 2021

Chairman

February 18, 2021

February 18, 2021

February 18, 2021

February 18, 2021

February 18, 2021

February 18, 2021

February 18, 2021

February 18, 2021

Director

Director

Director

Director

Director

Director

Director

- 102 -

SUBSIDIARIES OF INTEGER HOLDINGS CORPORATION

EXHIBIT 21.1

Subsidiary

Accellent LLC

Brivant Limited, d/b/a Lake Region Medical 

Jurisdiction of

Colorado

Ireland

Centro de Construcción de Cardioestimuladores del Uruguay SA

Uruguay

Electrochem Solutions, Inc.

Integer EBDO SA

Greatbatch LLC

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 SMI Ltd.

Integer Ireland Medical Limited

Massachusetts

Switzerland

Delaware

New York

Mexico

Switzerland

Mexico

Netherlands

Israel

Ireland

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 18, 2021, relating to the financial statements 
of Integer Holdings Corporation (the “Company”), and the effectiveness of the Company’s internal control over 
financial reporting appearing in this Annual Report on Form 10-K for the year ended December 31, 2020.

/s/ Deloitte & Touche LLP

Williamsville, New York
February 18, 2021

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 31, 2020 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 18, 2021

/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 31, 2020 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 18, 2021

/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 31, 2020 (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 18, 2021

Dated: February 18, 2021

/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 Officer 

Jason K. Garland 
Executive Vice President and 
Chief Financial Officer 

Joel Becker 
President, Cardiac Rhythm 
Management & Neuromodulation 

Jennifer M. Bolt 
Senior Vice President, 
Global Operations and ESG 

Board of Directors 

Sheila Antrum 
Senior Vice President and Chief 
Operating Officer, UCSF Health 

Pamela G. Bailey 
Retired President and Chief Executive 
Officer, The Grocery Manufacturers 
Association 

Anthony Borowicz 
Senior Vice President,  
Strategy, Corporate Development and 
Investor Relations 

Joseph Flanagan 
Executive Vice President, Quality & 
Regulatory Affairs 

Elizabeth K. Giddens 
Senior Vice President, General 
Counsel, Chief Ethics and Compliance 
Officer and Corporate Secretary 

Carter Houghton 
President, Electrochem and 
Power Solutions 

Payman Khales 
President, Cardio & Vascular 

Kirk Thor 
Executive Vice President and Chief 
Human Resources Officer 

James F. Hinrichs 
Former Chief Financial Officer, 
Cibus Ltd., Alere, Inc. and CareFusion 
Corporation 

Filippo Passerini 
Retired Group President and Chief 
Information Officer, Procter & 
Gamble Company 

Jean Hobby 
Retired Partner,  
PricewaterhouseCoopers, LLP 

Bill R. Sanford, Chairman 
Founder and Chairman, Symark LLC 

Donald J. Spence 
Retired President and Chief Executive 
Officer, Ebb Therapeutics 

William B. Summers, Jr. 
Retired Chairman and Chief Executive 
Officer, McDonald Investments Inc. 

Cheryl C. Capps 
Senior Vice President and Chief 
Supply Chain Officer, Corning Inc. 

Tyrone Jeffers 
Vice President, Global Manufacturing 
and Supply Chain, SPX FLOW, Inc. 

Joseph W. Dziedzic 
President and Chief Executive Officer, 
Integer Holdings Corporation 

M. Craig Maxwell 
Retired Vice President and Chief 
Technology and Innovation Officer, 
Parker Hannifin Corporation 

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 

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, Corporate 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 filed reports, including 
financial 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