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STERIS

ste · NYSE Healthcare
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Sector Healthcare
Industry Medical - Devices
Employees 10,000+
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FY2023 Annual Report · STERIS
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Annual Report
Annual Report on Form 10-K

Dear Fellow Shareholders,

Fiscal 2023 was another year of impressive growth for STERIS. Despite macro challenges, we
ended our year strong and grew revenue 8% as reported and 9% on a constant currency organic
basis in fiscal 2023. We are cautiously optimistic that the wide-spread supply chain challenges
have eased in a meaningful way and that surgical procedure rates are improving. Our fourth
quarter and full year are reflective of that, as well as our expectations for fiscal 2024.

Our Healthcare segment revenue ramped up throughout the year, culminating in 8% as reported
revenue growth and 11% constant currency organic growth for the year with very strong
performance in the fourth quarter. Our AST segment grew revenue 7% as reported and 12%
on a constant currency organic basis for the year, despite a reduction in demand for single-use
bioprocessing disposables. Turning to Life Sciences, revenue increased 2% as reported and
constant currency organic revenue grew 5% for the year, with a strong finish in the fourth quarter,
despite the continued reduction in bioprocessing and vaccine demand. And finally, Dental grew
16% as reported and was about flat on a constant currency organic revenue basis for the year.
Dental procedure volumes remain at approximately 95% of pre-COVID levels due to the broader
economic pressure impacting consumer spending.

Turning to our financial performance, even with favorable pricing, gross margins were down 180
basis points for the year, as our costs increased at a faster rate than we could recoup. We did
a nice job managing operating expenses during the year and improved EBIT margins by ten
basis points in the face of gross margin declines. Interest and taxes were a bit of a headwind to
bottom-line growth, but we finished fiscal 2023 at $1.07 in as reported earnings per diluted share
and $8.20 in adjusted earnings per diluted share, an increase of 4% from fiscal 2022.

Our strong fourth quarter allowed us to level out our performance between fiscal years more than
we anticipated. The tide is turning, and we feel optimistic heading into fiscal 2024.

We also saw nice signs of improvement which began in the third quarter and continued
sequentially, leaving us optimistic that we have a few tailwinds in fiscal 2024. In particular, we
anticipate the continued recovery of healthcare procedures and the easing of supply chain
issues, as well as foreign currency leveling out.

As we have said before, our continued long-term goal is to grow revenue mid-to-high single
digits and leverage that growth to deliver double-digit growth in earnings. We strive to achieve
this while generating solid free cash flow, continuing to reduce our debt levels and grow our
dividend. We have a solid track record of achieving these objectives.

In closing, I would like to first thank the 17,000 Associates of STERIS for their determination
and unwavering support of our Customers during fiscal 2023. I would like to thank our Board of
Directors for their steady guidance this past year, and welcome Dr. Esther Alegria to the Board.
And of course, a sincere thank you to all of our shareholders for their ongoing support.

Until next year,

Dan Carestio
President and Chief Executive Officer
June 2023

Non-GAAP financials have been included in this document. Please refer to the reconciliation of Non-GAAP results to GAAP results
contained at the end of this annual report under “Non-GAAP Financial Measures.”

[THIS PAGE INTENTIONALLY LEFT BLANK]

United States Securities and Exchange Commission
Washington, D. C. 20549
________________________________________________
FORM 10-K

(Mark One)

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

☒

For the fiscal year ended March 31, 2023

OR

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

Commission file number 001-38848
STERIS plc

(Exact name of registrant as specified in its charter)

Ireland
(State or other jurisdiction of
incorporation or organization)

70 Sir John Rogerson's Quay, Dublin 2, Ireland
(Address of principal executive offices)

98-1455064
(IRS Employer
Identification No.)

D02 R296
(Zip code)

353 1 232 2000
(Registrant’s telephone number, including area code)

SECURITIES REGISTERED PURSUANT TO SECTION 12(B) OF THE ACT:

Title of each class
Ordinary Shares, $0.001 par value
2.700% Senior Notes due 2031
3.750% Senior Notes due 2051

Trading symbol(s)
STE
STE/31
STE/51

Name of Exchange on Which Registered
New York Stock Exchange
New York Stock Exchange
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 x No o
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 o No x
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 x No o
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to
Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was
required to submit such files). Yes x No o
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting
company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,”
and “emerging growth company” in Rule 12b-2 of the Exchange Act.

Large accelerated filer

Non-accelerated filer

x

o

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. o
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. ☒
If securities are registered pursuant to Section 12(b) of the Act, indicate by check mark whether the financial statements of the registrant
included in the filing reflect the correction of an error to previously issued financial statements. o
Indicate by check mark whether any of those error corrections are restatements that required a recovery analysis of incentive-based
compensation received by any of the registrant's executive officers during the relevant recovery period pursuant to §240.10D-1(b). o
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act). Yes ☐ No x
The aggregate market value of Ordinary Shares held by non-affiliates of the registrant as of September 30, 2022 was $16,561.0 million.
The number of Ordinary Shares outstanding as of May 23, 2023: 98,650,238

DOCUMENTS INCORPORATED BY REFERENCE

Portions of the Proxy Statement for the 2023 Annual Meeting – Part III

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Item 1

Item 1A
Item 1B
Item 2
Item 3
Item 4

Item 5

Item 6
Item 7

Item 7A

Item 8
Item 9
Item 9A
Item 9B
Item 9C

Item 10
Item 11
Item 12
Item 13
Item 14

Item 15
Item 16

Table of Contents

Part I

Business
Introduction
Information Related to Business Segments
Information with Respect to Our Business in General
Risk Factors
Unresolved Staff Comments
Properties
Legal Proceedings
Mine Safety Disclosures

Part II

Market for Registrant's Ordinary Equity, Related Shareholder Matters and Issuer Purchases of Equity
Securities
Reserved
Management's Discussion and Analysis of Financial Condition and Results of Operation
Introduction
Financial Measures
Revenues-Defined
General Overview and Executive Summary
Non-GAAP Financial Measures
Results of Operations
Liquidity and Capital Resources
Capital Expenditures
Material Future Cash Obligations and Commercial Commitments
Supplemental Guarantor Financial Information
Critical Accounting Estimates and Assumptions
Forward-Looking Statements
Quantitative and Qualitative Disclosures About Market Risk
Interest Rate Risk
Foreign Currency Risk
Commodity Risk
Financial Statements and Supplementary Data
Changes in and Disagreements with Accountants on Accounting and Financial Disclosure
Controls and Procedures
Other Information
Disclosure Regarding Foreign Jurisdictions That Prevent Inspections

Part III
Directors, Executive Officers and Corporate Governance
Executive Compensation
Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters
Certain Relationships and Related Transactions, and Director Independence
Principal Accountant Fees and Services

Exhibits and Financial Statement Schedule
Form 10-K Summary
Signatures

Part IV

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PART I

Throughout this Annual Report, STERIS plc and its subsidiaries together are called "STERIS," "the Company," "we," "us,"

or "our," unless otherwise noted. References in this Annual Report to a particular "year," "fiscal," "fiscal year," or "year-end"
mean our fiscal year, which ends on March 31. For example, fiscal year 2023 ended on March 31, 2023.
ITEM 1.

BUSINESS

INTRODUCTION

STERIS is a leading global provider of products and services that support patient care with an emphasis on infection
prevention. WE HELP OUR CUSTOMERS CREATE A HEALTHIER AND SAFER WORLD by providing innovative
healthcare, life sciences and dental products and services. We offer our Customers a unique mix of innovative consumable
products, such as detergents, endoscopy accessories, barrier products, and other products and services, including: equipment
installation and maintenance, microbial reduction of medical devices, dental instruments and tools, instrument and scope repair,
laboratory testing services, outsourced reprocessing, and capital equipment products, such as sterilizers and surgical tables,
automated endoscope reprocessors, and connectivity solutions such as operating room (“OR”) integration.

We operate our business and report our financial information in four reportable business segments: Healthcare, Applied
Sterilization Technologies, Life Sciences and Dental. Non-allocated operating costs that support the entire Company and items
not indicative of operating trends are excluded from segment operating income. We disclose a measure of segment income that
is consistent with the way management operates and views the business. The accounting policies for reportable segments are the
same as those for the consolidated Company.

The bulk of our revenues are derived from the healthcare and pharmaceutical industries. Much of the growth in these
industries is driven by the aging of the population throughout the world, as an increasing number of individuals are entering
their prime healthcare consumption years, and is dependent upon advancement in healthcare delivery, acceptance of new
technologies, government policies, and general economic conditions. The pharmaceutical industry has been impacted by
increased regulatory scrutiny over cleaning and validation processes, mandating that manufacturers improve their processes.
Within healthcare, there is increased concern regarding the level of hospital acquired infections around the world; increased
demand for medical procedures, including preventive screenings such as endoscopies and colonoscopies; and a desire by our
Customers to operate more efficiently, all which are driving increased demand for many of our products and services.

INFORMATION RELATED TO BUSINESS SEGMENTS

Our chief operating decision maker is our President and Chief Executive Officer (“CEO”). The CEO is responsible for

performance assessment and resource allocation. The CEO regularly receives discrete financial information about each
reportable segment and uses this information to assess performance and allocate resources. The accounting policies of the
reportable segments are the same as those described in Note 1 to our consolidated financial statements titled, “Nature of
Operations and Summary of Significant Accounting Policies,” of this Annual Report.

HEALTHCARE SEGMENT

Description of Business. Our Healthcare segment provides a comprehensive offering for healthcare providers worldwide,
focused on sterile processing departments and procedural centers, such as operating rooms and endoscopy suites. Our products
and services range from infection prevention consumables and capital equipment, as well as services to maintain that
equipment; to the repair of re-usable procedural instruments; to outsourced instrument reprocessing services. In addition, our
procedural solutions also include endoscopy accessories and capital equipment infrastructure used primarily in operating rooms,
ambulatory surgery centers, endoscopy suites, and other procedural areas.

Products Offered. Our products include cleaning chemistries and sterility assurance products, automated endoscope
reprocessing systems and tracking products, endoscopy accessories, washers, sterilizers and other pieces of capital equipment
essential to the operations of a sterile processing department ("SPD") and equipment used directly in the procedure rooms,
including surgical tables, lights, equipment management services, and connectivity solutions.

Services Offered. Our Healthcare segment service employees install, maintain, upgrade, repair, and troubleshoot capital
equipment throughout the world. We offer various preventive maintenance programs and repair services to support the effective
operation of capital equipment over its lifetime. Our Healthcare segment also provides comprehensive instrument and
endoscope repair and maintenance services (on-site or at one of our dedicated facilities), custom process improvement
consulting and outsourced instrument sterile processing (on-site at the hospital and in off-site reprocessing centers).

Customer Concentration. Our Healthcare segment sells consumables, services and capital equipment, to Customers in many
countries throughout the world. For the year ended March 31, 2023, no Customer represented more than 10% of the Healthcare
Product segment's total revenues.

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Competition. We compete with a number of large companies that have significant product portfolios and global reach, as well
as a number of small companies with very limited product offerings and operations in one or a limited number of countries. On
a product basis, competitors include 3M, Baxter, Boston Scientific, Belimed, Ecolab, ERBE, Fortive, Getinge, Karl Storz,
Metrex, Olympus, Ruhof, SteelCo, Stryker, Skytron and Wassenburg. On a service line basis, competitors include Agiliti,
BBraun, Berendsen plc, CleanLease (Clean Lease Fortex), Parts Source, Olympus, Owens & Minor, Pentax, Rentex Awé and
Rentex Floren and Sterilog Limited.

APPLIED STERILIZATION TECHNOLOGIES SEGMENT

Description of Business. Our Applied Sterilization Technologies ("AST") segment is a third-party service provider for contract
sterilization, as well as testing services needed to validate sterility for medical device and pharmaceutical manufacturers. Our
technology-neutral offering supports Customers every step of the way, from testing through sterilization.

Services Offered. We offer a wide range of sterilization modalities and an array of testing services that complement the
manufacturing of single use, sterile products. Our facilities are located in regions with a concentration of medical device
manufacturing throughout the Americas, Europe, and Asia. Our technical professionals supports Customers in all phases of
product development, materials testing, and process validation. In addition, we manufacture and supply integrated sterilization
equipment and control systems to medical device manufacturers and research institutions.

Customer Concentration. Our Applied Sterilization Technologies segment’s services are offered to Customers throughout the
world. For the year ended March 31, 2023, no Customer represented more than 10% of the segment’s revenues.

Competition. Applied Sterilization Technologies operates in a highly regulated industry and competes with Sterigenics
International, Inc., other smaller contract sterilization companies and manufacturers that sterilize products in-house.

LIFE SCIENCES SEGMENT

Description of Business. Our Life Sciences segment provides a comprehensive offering of products and services that support
pharmaceutical manufacturing, primarily for vaccine and other biopharma Customers focused on aseptic manufacturing. Our
portfolio includes a full suite of consumable products, equipment maintenance and specialty services, and capital equipment.

Products Offered. These products include formulated cleaning chemistries, barrier products, sterility assurance products,
steam and vaporized hydrogen peroxide sterilizers and washer disinfectors.

Services Offered. Our Life Sciences segment service employees install, maintain, upgrade, repair, and troubleshoot equipment
throughout the world. We offer various preventive maintenance programs and repair services to support the effective operation
of capital equipment over its lifetime.

Customer Concentration. Our Life Sciences segment sells consumables, services and capital equipment, to Customers in
many countries throughout the world. For the year ended March 31, 2023, no Customer represented more than 10% of the Life
Sciences segment’s total revenues.

Competition. Our Life Sciences segment operates in highly regulated environments where the most intense competition results
from technological innovations, product performance, convenience and ease of use, and overall cost-effectiveness. We compete
for pharmaceutical Customers with a number of large companies that have significant product portfolios and global reach, as
well as a number of small companies with very limited product offerings and operations in one or a limited number of
countries. Competitors include Belimed, Ecolab, Fedegari, Getinge, MECO, Stilmas, and Techniplast.

DENTAL SEGMENT

Description of Business. Our Dental segment provides a comprehensive offering for dental practitioners and dental schools,
offering instrumentation, infection prevention consumables, and instrument management systems.

Products Offered. Our products include hand and electric-powered dental instruments, infection control products, conscious
sedation, personal protective equipment and water quality products for the dental suite.

Customer Concentration. Our dental products are sold globally to wholesale Customers and directly to end users in many
countries. Our wholesale Customers primarily include major healthcare distributors, with some group purchasing organizations
and buying co-operatives that sell our products to dental practices, medical facilities, government & educational institutions,
and veterinary clinics. The majority of our dental products are sold under our brand names, but we also supply private label
products for several of our Customers. Three Customers collectively and consistently account for more than 40.0% of our
Dental segment revenue. The percentage associated with these three Customers collectively in any one period may vary due to
the buying patterns of these three Customers as well as other Dental Customers. These three Customers collectively accounted
for approximately 47.4% of our Dental segment revenues for the year ended March 31, 2023.

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Competition. We compete with a number of large companies that have significant product portfolios and global reach, as well
as a number of small companies with very limited product offerings. On a product basis, competitors include 3M, Braun/
Aesculap, Danaher/Sybron, Dentsply/Sultan Healthcare, J&J/Ethicon, Halyard Health, LM Dental, Medicom, Porter
Instrument, Sterisil, Young Dental, and less expensive products from Asia and other lower cost manufacturing locations.

INFORMATION WITH RESPECT TO OUR BUSINESS IN GENERAL

Sources and Availability of Raw Materials. We purchase raw materials, sub-assemblies, components, and other supplies
needed in our operations from numerous suppliers in the United States and internationally. The principal raw materials and
supplies used in our operations include stainless and carbon steel, organic and inorganic chemicals, fuel, and plastic
components. These raw materials and supplies are generally available from several suppliers and in sufficient quantities.
However, in fiscal 2022 and 2023 we experienced delays in receiving materials and significant cost increases. We do not
currently expect any significant disruption to our operations due to sourcing problems in fiscal 2024. We have long-term supply
contracts for certain materials for which there are few suppliers, or those that are single-sourced in certain regions of the world,
such as ethylene oxide ("EO") and cobalt-60, which are necessary to our AST operations. In addition, we continue to expand
our irradiation processing capacity with accelerator-based technologies, in order to mitigate the potential cobalt-60 supply risk.

In response to the active conflict between Russian and Ukraine, we stopped purchasing cobalt-60 from our Russian
supplier. A long-term disruption in cobalt-60 sourced from Russia may negatively impact gamma processing capacity or
increase costs in certain portions of our AST operations but these impacts are not expected to be material to our AST segment
and its results of operations. For additional information about the risks we face concerning the conflict between Russia and
Ukraine, see Part I, Item 1A of this Annual Report titled, "Risk Factors."

Inflation. Historically, our business has not been significantly impacted by the overall effects of inflation. However during
fiscal 2022 and 2023, we experienced a rise in supply chain and labor costs and anticipate continued inflationary pressure in
fiscal 2024. We monitor the prices we charge for our products and services on an ongoing basis and plan to adjust those prices
to take into account future changes in the rate of inflation.

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

As of March 31, 2023, we held 581 United States patents and 2,356 patents in other jurisdictions and had 159 United States
patent applications and 372 patent applications pending in other jurisdictions. Patents for individual products extend for varying
periods according to the date of filing or grant and legal term of patents in various countries where a patent is obtained. The
actual protection a patent provides varies from country to country and depends in part upon the type of patent, the scope of its
coverage, and the availability of legal remedies in each country.

Our products are sold around the world under various brand names and trademarks. We consider our brand names and

trademarks to be valuable in the marketing of our products. As of March 31, 2023, we had a total of approximately 2,482
trademark registrations worldwide.

Quality Assurance. We manufacture, assemble, and package products in several countries. Each of our production facilities
are dedicated to particular processes and products. Our success depends upon Customer confidence in the quality of our
production process and the integrity of the data that supports our product safety and effectiveness. We have implemented
quality assurance procedures to support the quality and integrity of scientific information and production processes.

Government Regulation. Our business is subject to various degrees of governmental regulation in the countries in which we
operate. In the United States, the Food and Drug Administration (“FDA”), the Environmental Protection Agency (“EPA”), the
Occupational Safety and Health Administration ("OSHA"), the Nuclear Regulatory Commission (“NRC”), and other
governmental authorities regulate the development, manufacture, sale, and distribution of our products and services. Our
international operations also are subject to a significant amount of government regulation, including country-specific rules and
regulations and U.S. regulations applicable to our international operations. Government regulations require detailed inspection
of, and controls over, research and development, clinical investigations, product approvals and manufacturing, marketing and
promotion, sampling, distribution, record-keeping, storage, and disposal practices.

Compliance with applicable regulations is a significant expense for us. Past, current or future regulations, their
interpretation, or their application could have a material adverse impact on our operations. Also, additional governmental
regulation may be passed that could prevent, delay, revoke, or result in the rejection of regulatory clearance of our products. We
cannot predict the effect on our operations resulting from current or future governmental regulation or the interpretation or
application of these regulations.

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If we fail to comply with any applicable regulatory requirements, penalties could be imposed on us. For more information
about the risks we face regarding regulatory requirements, see Part I, Item 1A of this Annual Report titled, "Risk Factors." We
are subject to extensive regulatory requirements and must receive and maintain regulatory clearance or approval for many
products and operations. Failure to receive or maintain, or delays in receiving, clearance or approvals may hurt our revenues,
profitability, financial condition, or value.

In the past, we have received warning letters, paid civil penalties, conducted product recalls and field corrections, and been

subject to other regulatory penalties. We believe that we are currently compliant in all material respects with applicable
regulatory requirements. However, there can be no assurance that future or current regulatory, governmental, or private action
will not have a material adverse affect on us or on our performance, results, or financial condition.

Environmental Matters. We are subject to various laws and governmental regulations concerning environmental matters and
employee safety and health in Ireland, the United States and other countries. We have made, and continue to make, significant
investments to comply with these laws and regulations. We cannot predict the future capital expenditures or operating costs
required to comply with environmental laws and regulations. We believe that we are currently compliant with applicable
environmental, health, and safety requirements in all material respects. However, there can be no assurance that future or
current regulatory, governmental, or private action will not have a material adverse affect on our performance, results, or
financial condition. Please refer to Note 10 to our consolidated financial statements titled, "Commitments and Contingencies"
for further information.

In the future, if a loss contingency related to environmental matters, employee safety, health or conditional asset retirement

obligations is significantly greater than the current estimated amount, we would record a liability for the obligation and it may
result in a material impact on net income for the annual or interim period during which the liability is recorded. The
investigation and remediation of environmental obligations generally occur over an extended period of time, and therefore we
do not know if these events would have a material adverse affect on our financial condition, liquidity, or cash flow, nor can
there be any assurance that such liabilities would not have a material adverse affect on our performance, results, or financial
condition.

Competition. The markets in which we operate are highly competitive and generally highly regulated. Competition is intense
in all of our business segments and includes many large and small competitors. Brand, design, quality, safety, ease of use,
serviceability, price, product features, warranty, delivery, service, and technical support are important competitive factors to us.
We expect to face continued competition in the future as new infection prevention, sterile processing, contamination control,
gastrointestinal and surgical support products and services enter the market. We believe many organizations are working with a
variety of technologies and sterilizing agents.

We believe that our long-term competitive position depends on our success in discovering, developing, and marketing
innovative, cost-effective products and services. We devote significant resources to research and development efforts and we
believe STERIS is positioned as a global competitor in the search for technological innovations. In addition to research and
development, we invest in quality control, Customer training programs, distribution systems, technical services, and other
information services.

There can be no assurance that we will develop significant new products or services, or that the new products or services
we provide or develop in the future will be more commercially successful than those provided or developed by our competitors.
In addition, some of our existing or potential competitors may have greater resources than us. Therefore, a competitor may
succeed in developing and commercializing products more rapidly than we do. Competition, as it relates to our business
segments and product categories, is discussed in more detail in the section above titled, “Information Related to Business
Segments.”

Methods of Distribution. Sales and service activities are supported by a staff of regionally based clinical specialists, system
planners, corporate account managers, and in-house Customer service and field support departments. We also contract with
distributors and dealers.

Customer training is important to our business. We provide a variety of courses at Customer locations, at our training and

education centers, and over the internet. Our training programs help Customers understand the science, technology, and
operation of our products and services. Many of our operator training programs are approved by professional certifying
organizations and offer continuing education credits to eligible course participants.

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

Backlog. We define backlog as the amount of unfilled capital equipment purchase orders at a point in time. At March 31, 2023,
we had a backlog of $599.6 million. Of this amount, $494.7 million and $104.9 million related to our Healthcare and Life
Sciences segments, respectively. At March 31, 2022, excluding Cantel, we had backlog orders of $528.3 million. Of this
amount, $423.6 million and $104.7 million related to our Healthcare and Life Sciences segments, respectively.

6

Availability of Securities and Exchange Commission Filings. We make available free of charge on or through our website
our Annual Reports on Form 10-K, Quarterly Reports on Form 10-Q, and Current Reports on Form 8-K, and amendments to
these reports, as soon as reasonably practicable after we electronically file such material with, or furnish such material to, the
Securities and Exchange Commission (“SEC”). You may access these documents, as well as other SEC filings related to the
Company, on the Investor Relations page of our website at http://www.steris-ir.com. You may also obtain copies of these
documents by accessing the SEC’s website at http://www.sec.gov. The content on or accessible through any website referred to
in this Annual Report on Form 10-K is not incorporated by reference into this Form 10-K unless expressly noted.

We also make available free of charge on our website our Corporate Governance Guidelines, our Director Code of Ethics,

and our Code of Business Conduct, as well as the Charters of the Audit Committee, the Compensation and Organization
Development Committee, the Nominating and Governance Committee, and the Compliance Committee of the Company’s
Board of Directors.

ENVIRONMENTAL, SOCIAL, AND GOVERNANCE

Introduction

WE HELP OUR CUSTOMERS CREATE A HEALTHIER AND SAFER WORLD by providing innovative healthcare,

life sciences and dental products and services. Inspired by our Customers’ efforts to create a healthier and safer world, and
guided by our legacy of leadership and innovation, we strive to be a Great Company. To STERIS, this means we will make a
difference by providing world-class products and services for our Customers, safe and rewarding work for our People, and
superior returns for our Shareholders.

We have an Enterprise Risk Management process ("ERM") to manage risk, which is led by our Chief Compliance Officer.

Identifying and managing key risks to our business operations are essential to our future growth, profitability, and successful
execution of strategic plans. We are committed to understanding and managing these risks through a consistent approach to risk
assessment, monitoring, reporting, and mitigation. Key management sponsors are responsible for participating in the risk
assessment process, including a periodic review with the Board of Directors. The objective of ERM is to identify key risks, the
potential impacts of compliance failure, identify key mitigating activities, develop potential improvements for managing the
risks, and to ensure execution of oversight activities on a monthly, annual or as needed basis.

Our Environmental, Social, and Governance ("ESG") function is led by the Vice President of ESG. The ESG function,
with support from our Chief Executive Officer, General Counsel and other senior executives, works to actively develop and
refine our ESG strategies, programs, and policies. The ESG function works closely with our Global Sustainability Steering
Committee to build ESG values and implement strategies, programs, and policies across the Company. The Global
Sustainability Steering Committee is a cross-functional team of senior leadership, subcommittee chairs, and subject matter
experts spanning our businesses and Legal, Investor Relations, Human Resources, Continuous Improvement, Compliance,
Facilities, and Health, Safety and Environment functions. The ESG team regularly updates the Nominating and Governance
Committee of our Board of Directors regarding its activities, including evaluating carbon emissions, preparing for regulatory
requirements, reporting ESG metrics, and reviewing ESG ratings.

Key performance indicators and metrics have been established for those areas we believe to be relevant and potentially
significant to our business. Certain of these disclosures relate to Sustainability Accounting Standards Board (SASB) Standards
for Medical Equipment & Supplies that we have identified to be closely aligned with our business. Our reporting against the
SASB Standards is a voluntary disclosure aligned with our focus on financial materiality. We seek to provide investors with
useful, relevant and meaningful sustainability information and have selected metrics under the SASB Standards. We describe
below how we continuously monitor and track our policies and activities in the areas of ethical business practices, energy and
environmental conservation, employees and human capital management, and quality.

ETHICAL BUSINESS PRACTICES

Code of Business Conduct. Our Code of Business Conduct sets the standard for legal and ethical behavior, addressing topics
such as bribery and corruption, supply chain transparency, proper behavior in the workplace, and avoiding conflicts of interest.
Anti-Bribery and Anti-Corruption. We are committed to conducting our business fairly, honorably, with integrity and in
compliance with the law in all jurisdictions where we operate. Our policy prohibits bribery and corruption in any form, and we
explain our commitment in our Statement on Anti-Corruption Policies and Procedures. As an ongoing due diligence measure,
we have established a program to recognize those sales and marketing intermediaries who demonstrate an elevated commitment
to compliance. Through this Commercial Compliance Program, we formally recognize organizations that have not only met
STERIS's standard ethical requirements for inclusion in our network but have also taken additional steps, such as adopting their
own code of conduct and training their employees on their own firm's ethical values, to ensure compliant behavior. In 2023,
STERIS incurred no monetary losses as a result of legal proceedings associated with bribery or corruption.

Supplier Code of Conduct. Our expectations for ethical behavior extend beyond STERIS to our Suppliers as well. Our
Supplier Code of Conduct defines the minimum requirements and expectations for all Suppliers and their subcontractors. We
have mechanisms in place to identify when suppliers do not meet our Supplier Code of Conduct requirements. Suspicions of

7

supplier non-compliance are promptly investigated and addressed. We believe in conducting business with integrity and
honesty and in accordance with all applicable laws and regulations of the countries in which we operate. We expect our
suppliers to comply with the laws of the countries in which they operate, including but not limited to the European Union
Customs Code, the EU Restriction of Hazardous Substances Directive, the UK Modern Slavery Act, the US Foreign Corrupt
Practices Act, the UK Bribery Act, the US Dodd-Frank Conflict Minerals Rules, applicable data privacy laws, and all
applicable local labor and employment laws.

Conflict Minerals Sourcing Policy. We file reports with the SEC disclosing our use of tin, tantalum, tungsten, and gold
("conflict minerals" or "3TG") in products sold anywhere in the world. In accordance with these legal requirements and as a
part of the overall commitment to responsible sourcing, we are working with our suppliers to ensure transparency to the
smelter/refining source for 3TG materials used in our products. Furthermore, we seek to identify the countries of origin of the
3TG in our products and the smelter/refiners that process the 3TG in our products. We undertake this effort to promote
responsible sourcing. Because of our general downstream position in the supply chain, we rely on our suppliers for information.
We expect suppliers to respond to our requests for complete transparency about the sources whose 3TG materials are used in
our products and to conduct due diligence measures to ensure the information provided is accurate, up-to-date and complete.
This Policy applies to all suppliers of products and materials to the Company and to all our affiliates. We will consider taking
various progressive actions with respect to suppliers who do not make reasonable efforts to cooperate with our requests for
information or requests to take corrective actions to enable us to identify smelters and refiners in our supply chains.

Risks and Prevention. We regularly assess the risks associated with our business, including the risk of potential corruption

or bribery in the environments where we do business, and we have designed our management systems to respond accordingly.
As part of our anti-corruption program, our employees and third-party intermediaries are subject to mandatory comprehensive
anti-bribery and anti-corruption training online and in-person. The training covers the various forms that corruption can take,
red flags, and individuals’ roles in our anti-bribery and anti-corruption efforts.

In accordance with our policy, we engage a third-party due diligence firm to perform background checks, including
bribery and corruption, before entering into commercial relationships with sales and marketing intermediaries, and other service
providers.

We communicate our bribery and corruption policies and expectations to our officers, Directors, employees, dealers,

distributors and agents. It is the expectation of the Company that all of the aforementioned individuals comply with the
requirements set forth in our policy and relevant rules and regulations.

Managing Compliance and Ethics. We require all employees to be lawful and ethically responsible in all business
practices. We expect all employees to comply with all Company policies, applicable laws, and the principles outlined in our
Code of Business Conduct.

Senior members of STERIS’s leadership team are involved in numerous industry associations that focus on setting the

standards and driving change. We hold seats and actively participate on the Boards of AdvaMed and the Medical Device
Manufacturers Association ("MDMA"). We are also an active member of the Association for the Advancement of Medical
Instrumentation ("AAMI") and MedTech Europe. AdvaMed has roughly 400 member companies and promotes policies that
foster the highest ethical standards, timely patient access to safe and effective products, and economic policies that reward value
creation. The AdvaMed Code of Ethics on Interactions with Health Care Professionals ("AdvaMed Code") facilitates ethical
interactions between MedTech companies and health care professionals to ensure that medical decisions are based on the best
interests of the patient. STERIS has adopted and requires compliance with the AdvaMed Code.

MDMA is the leading voice representing the interests of innovative and entrepreneurial medical technology companies.
MDMA's goal is to provide patients and clinicians with timely access to safe and effective medical technologies that improve
the quality of life. AAMI is a nonprofit organization founded in 1967. It is a diverse community of more than 10,000 healthcare
technology professionals united by one important mission-supporting the healthcare community in the development,
management, and use of safe and effective healthcare technology. MedTech Europe is the European trade association for the
medical technology industry including diagnostics, medical devices and digital health. MedTech Europe’s purpose is to make
innovative medical technology available to more people, while helping healthcare systems move towards a more sustainable
path. The MedTech Europe Code of Ethical Business Practice regulates all aspects of the industry’s relationship with
Healthcare Professionals (HCPs) and Healthcare Organizations (HCOs), to ensure that all interactions are ethical and
professional at all times and to maintain the trust of regulators, and patients. STERIS has adopted and requires compliance with
the MedTech Europe Code of Ethical Business Practice.

Using the STERIS Integrity Helpline or Webline, employees can anonymously report potential Code of Conduct concerns.
A management Ethics Committee meets monthly to monitor and investigate reports of Code of Business Conduct violations and
provides quarterly reporting to the Board of Director's Compliance and Technology Committee. With respect to financial
matters, reports are provided to the Board of Director’s Audit Committee.

The STERIS Code of Business Conduct covers ethical marketing and off-label promotion. In fiscal 2023, STERIS incurred

no monetary losses as a result of legal proceedings associated with false marketing claims.

8

ENERGY, GHG EMISSIONS AND ENVIRONMENTAL CONSERVATION

We are subject to various laws and governmental regulations concerning environmental matters and employee safety and
health in Ireland, the United States and other countries. We have made, and continue to make, significant investments to comply
with these laws and regulations. Our Continuous Improvement objectives include efforts to improve energy and water
efficiency and reduce or eliminate certain chemicals used in, and wastes generated from, our operations thereby reducing the
impact of our operations on the environment.

STERIS tracks greenhouse gas ("GHG") emissions and we complete the annual Carbon Disclosure Project ("CDP")
questionnaire. CDP is an internationally recognized nonprofit organization that collects and reports environmental metrics.
Currently, we report our direct (Scope 1) and indirect (Scope 2) energy use and emissions from all legacy STERIS facilities. In
fiscal 2023, we completed an energy assessment of our global operations to identify opportunities for reducing our global GHG
emissions and evaluate potential target setting opportunities. We recognize that a significant portion of our carbon impact is as
a result of our value chain, outside of electricity and energy consumption at our global sites. More recently, we initiated a
comprehensive review to establish the baseline for our Scope 3 carbon emissions.

We have a broad and comprehensive portfolio of sterilization and disinfection products that support the procedural spaces

within hospitals, endoscopy and surgery centers as well as pharmaceutical, medical device and dental Customers. When we
think about new products or next generation products, part of our effort is to reduce the environmental impact of what we do.
That can include anything from reformulating chemistries to eliminating metals-based ingredients or reducing the effluence
produced as a result of the use of our products, to creating ultra-concentrate chemistries such as Prolystica® Ultra Concentrate
Cleaning Chemistries, which offer 10x the uses per container. That means 5 and 10-liter containers of concentrate replace 114-
liter drums, creating benefits from safer lifting, elimination of packaging waste, and less frequent deliveries with smaller trucks.
We also work to utilize containers that can be recycled and build products with materials that can be recycled at the end of their
life.

We are actively evaluating our ability to report in accordance with the Task Force on Climate-related Financial Disclosures

(TCFD) framework and in light of evolving regulatory disclosure requirements.

Risks and Prevention. We actively monitor and take steps to manage the risks associated with environmental matters, none

of which we consider material at this time.
EMPLOYEES AND HUMAN CAPITAL MANAGEMENT

Strategy and Overview. People are the key to our success, which is reflected in our two core values of people and teamwork.
We are committed to the safety and success of our people. We expect the performance of every person to continually improve
with personal initiative and proper support. We expect our people to treat each other with mutual respect. Our ideal business
team is engaged, diverse, inclusive and talented, and we create programs and policies in support of these goals.

We believe unity of purpose and teamwork enables us to do far more than we could individually. We draw strength from
each other and encourage communication with fairness, candor, respect and courage. Our collaboration turns interesting ideas
into great products and services for our Customers.

Our senior management team and Board receive regular updates on our people, including data and metrics on retention,

engagement and safety which are used to determine our human resources priorities, programs and training.

We are committed to upholding human rights in all our operations globally and respect human rights as recognized by the
principles of the United Nations Global Compact. We strongly oppose all forms of slavery, servitude, forced labor, child labor
and human trafficking.

Employees by Segment. As of March 31, 2023, we had over 17,000 employees throughout the world of which less than 12%
are represented by work councils or labor unions. We believe we generally have good relations with our employees.

The average number of persons employed by STERIS plc and its subsidiaries during each of the following fiscal years was

as follows:

Healthcare

Applied Sterilization Technologies

Life Sciences
Dental

Corporate

Total employees

Fiscal 2023

Fiscal 2022

10,629

3,163

965
1,451

892

17,100

10,546

2,961

1,111
1,020

784

16,422

Diversity, Equity & Inclusion (DE&I). We are dedicated to creating and sustaining a diverse, equitable and inclusive work
environment. We believe that the different ideas, experiences, perspectives and backgrounds of our global employees create a

9

stronger organization that allows us to fulfill our ultimate goal of serving our Customers. To put it simply, we believe a diverse
and inclusive workforce is essential to a thriving organization.

We strive to recruit the best available people who are aligned with and embody our core values. We are committed to
equality and assessing candidates based on qualifications. We believe that our success is dependent on attracting and retaining
people from a cross-section of our communities who understand their markets, and in doing so we continue to create a
competitive advantage for STERIS.

Our success depends on our ability to attract and retain talented employees, and we do so without regard to race, color,
social or economic status, religion, national origin, marital status, age, veteran status, sexual orientation, gender identity, or any
protected status. It is the policy of the Company to make all decisions regarding employment, including hiring, compensation,
training, promotions, transfers, or lay-offs, based on the job requirements and skills of the individuals and utilizing the principle
of equal employment opportunity without discrimination. We have biennial training on anti-harassment, except where required
annually.

Total directors and employee’s distribution by gender is shown in the table below:

Non-Executive Directors
Senior Managers
Other employees of the Company

March 31, 2023

March 31, 2022

Male

Female

Male

Female

6
739
10,774

2
297
5,846

6
663
10,294

2
236
5,629

Directors and United States employees by race is shown in the table below:

Non-Executive Directors

Senior Managers

Other employees of the Company

March 31, 2023

March 31, 2022

White

Minority (1)

White

Minority (1)

75%

86%

61%

25%

14%

39%

75%

88%

63%

25%

12%

37%

(1) A minority person is defined as a person who identifies as American Indian/Alaskan Native, Asian, Black or African American, Hispanic or Latino, Native
Hawaiian or Other Pacific Island, or two or more races.

Health, Safety & Environment. We realize the importance of Health, Safety & Environment ("HSE") to the well-being of our
Customers, employees, community, the environment, and ultimately our shareholders. To that end, our HSE teams and
management are committed to supporting HSE programs with ongoing involvement through our continuous improvement
process. Our ultimate goal is to be an incident-free company. The cornerstone of this initiative is the belief that incidents result
from unsafe acts or conditions, both of which are preventable. We apply the U.S. Occupational Safety and Health
Administration (OSHA) recordkeeping practices worldwide. Key metrics for purposes of benchmarking performance include
Total Recordable Incident Rate ("TRIR") and Lost-time Incident Rate ("LTIR") injury and illness incident rates, both of which
are presented in the table below:

Total Recordable Incident Rate (1)
Lost-time Incident Rate (1)

STERIS

Fiscal 2023
1.05

Fiscal 2022
0.85

Industry Benchmarks (2)
Best in
Class
1.43

Average
2.50

0.36

0.24

1.25

0.32

(1) We apply the U.S. Occupational Safety and Health Administration ("OSHA") recordkeeping practices worldwide. All rates are based on 100 full-time
employees ("FTE") working one year. 100 FTEs equals 200,000 work hours. TRIR includes work-related injuries or illnesses requiring medical attention
beyond first-aid. LTIR includes work-related injuries or illnesses that cause an employee to be away from work at least one full day after the date of the
incident.
(2) Our external benchmarks include the OSHA average and 1st Quartile injury/illness rates which are derived from the Bureau of Labor Statistics.

Our annual workplace injury prevention results are within the manufacturing sector's best-in-class performance as defined

by the Bureau of Labor Statistics.

The ISO 14001 and 45001 sets out the criteria that a company can follow to establish an effective HSE management
system. Designed for any type of organization, regardless of its activity or sector, it can provide assurance that environmental
impact is being measured, controlled and improved in a holistic manner. To date, one facility and 14 reprocessing locations
have undergone the formal process to receive ISO 14001.

10

The OSHA Voluntary Protection Program ("VPP") Star Award recognizes employers who have implemented effective
safety and health management systems and maintain injury and illness rates below national Bureau of Labor Statistics averages
for their industry. We currently have 12 locations that hold the OSHA VPP Star Award.

We utilize internal HSE management systems and compliance audits designed to identify percent compliance of our global

operations against our standards.

Employee Engagement and Development. We believe that engaged employees are more productive, innovative, and satisfied
in their work. Examples of how we engage our employees include quarterly management meetings, a robust intranet for
communication with our global teams and various communications efforts within each department. In addition, our global
human resources team has programs focused on career development and training for employees at all levels.

Our employee turnover rate was 15% and 17% for fiscal 2023 and 2022, respectively, and we are continuously working
towards a goal of achieving a rate of 10% or less, excluding retirements and reductions in force. Although reductions in force
are sometimes necessary, we work to avoid them and they must always be approved by executive management. Every year we
encourage all employees to participate in our employee engagement survey which is administered by a third party on a
confidential basis. This process has been valuable in helping us recognize what we do well and foster an open conversation
about how we can make STERIS an even better place to work. We are pleased to report that 85% of our employees completed
our 2023 survey. In our most recent survey, we measured fifteen principal factors and overall employee engagement was 74%,
in-line with our results for the past five years. The results indicate that the majority of our people are committed to serving our
Customers, are proud to work for STERIS, and have confidence in the stability of our business.

We are committed to supporting the development of our people. Employees benefit from hands-on continuous

improvement ("Lean") training, a web-based learning management system and STERIS University. In addition, we provide
biennial Code of Conduct training and other key required training at all levels of the Company. In our manufacturing and
service organizations, we provide training for employees who do not have the necessary experience or background. This
training is conducted through a combination of hands-on and module-based training. Our focus is on safety, quality and
consistency in approach and outcome. As a Lean focused organization, we have created standard work instructions for many
processes and refresher courses are offered regularly for existing employees. Where possible, we look to provide cross-training
for employees looking to expand their knowledge or grow into new roles. We encourage all employees to create individual
development plans and provide the support to assist in that effort.

Compensation and Benefits. Our total rewards offerings include an array of programs to support our employees' financial,
physical, and mental well-being, including providing competitive salaries, variable performance pay, healthcare benefits, tuition
assistance, paid time off, annual merit increases, and incentive plans based on the national norms of employees' employment.
Total employee compensation is presented in the table below:

(in thousands)

Wages and salaries

Commission and incentive plans

Social security costs

Share-based compensation expense

Pension and post-retirement benefits expense

Other, primarily employee benefits
Total employee costs

QUALITY

Fiscal 2023

Fiscal 2022

1,172,234

$

154,840

91,653

38,951

37,936

139,133
1,634,747

$

1,100,357

225,863

65,525

57,660

32,423

130,217
1,612,045

$

$

We are subject to strict regulatory compliance and quality standards to ensure the safety and supply of our products and

services. The quality and regulatory systems are broad in scope and designed to achieve quality from incoming materials
through the design, development, manufacture, storage, handling and distribution of our products and delivery of services. To
monitor compliance with these standards, internal and third-party assessments of our quality and regulatory systems are
conducted. FDA conducts inspections of our manufacturing and contract sterilization facilities on a periodic basis to confirm
compliance. In connection with an inspection, the FDA may initiate warning letters and/or consent decrees, which list
conditions or practices that may indicate a violation of the FDA’s requirements. In fiscal 2023, STERIS did not receive any
warning letters, seizures, or consent decrees. Additionally, STERIS had zero products listed in the FDA’s MedWatch Safety
Alerts for Human Medical Products database.

We have in place processes to monitor and support compliance with product and service regulations worldwide, including

design controls, product changes, labeling and advertising, marketing materials, good manufacturing practices, and adverse
event reporting requirements. We take prompt action whenever we are alerted to regulatory or field-safety issues with a
STERIS product. Following immediate assessment, we take corrective action, including voluntary product recalls, when

11

needed. We examine underlying issues and root cause and work to resolve these to avoid recurrence. STERIS had no Class I
recalls in fiscal 2023, 2022 or 2021.

INFORMATION ABOUT OUR EXECUTIVE OFFICERS

The following table presents certain information regarding our executive officers at March 31, 2023. All executive officers

serve at the pleasure of the Board of Directors.

Name
Karen L. Burton

Daniel A. Carestio

Mary Clare Fraser

Julia K. Madsen

Cary L. Majors

Renato G. Tamaro

Michael J. Tokich

Andrew Xilas

J. Adam Zangerle

Age Position
55

Vice President, Controller and Chief Accounting Officer

50

52

58

48

54

54

58

56

President and Chief Executive Officer

Senior Vice President and Chief Human Resources Officer

Senior Vice President, Life Sciences

Senior Vice President and President, Healthcare

Vice President and Corporate Treasurer
Senior Vice President and Chief Financial Officer

Senior Vice President and General Manager, Dental
Senior Vice President, General Counsel, and Company Secretary

The following discussion provides a summary of each executive officer's recent business experience through March 31,

2023:

Karen L. Burton serves as Vice President, Controller and Chief Accounting Officer. She assumed this role in January

2017.

Daniel A. Carestio serves as President and Chief Executive Officer. He assumed this role in July 2021. From August 2018
to July 2021 he served as Senior Vice President and Chief Operating Officer. From February 2018 to August 2018 he served as
Senior Vice President, Sterilization and Disinfection. From August 2015 to February 2018, he served as Senior Vice President,
STERIS Applied Sterilization Technologies and Life Sciences.

Mary Clare Fraser serves as Senior Vice President and Chief Human Resources Officer. She assumed this role in May
2022. She joined STERIS in July 2020 as the Vice President and Chief Human Resources Officer. From February 2003 to July
2020 she held various positions with Parker-Hannifin Corporation, a global motion control technologies company, serving most
recently from September 2019 to July 2020, as Vice President Human Resources of its Aerospace Group and from March 2017
to September 2019 as its Corporate Director of Human Resources.

Julia K. Madsen serves as Senior Vice President, Life Sciences. She assumed this role in July 2020. From August 2015 to

July 2020 she served as Vice President and General Manager Life Sciences, Consumables.

Cary L. Majors serves as Senior Vice President and President, Healthcare. He assumed this role in August 2022. From

August 2019 to August 2022, he served as Senior Vice President, Americas Commercial Operations. From April 2014 to
August 2019 he served as Vice President, North America Commercial Operations.

Renato G. Tamaro serves as Vice President and Corporate Treasurer. He assumed this role in August 2017. From March

2006 to July 2017, he served as Assistant Treasurer.

Michael J. Tokich serves as Senior Vice President and Chief Financial Officer. He assumed this role in August 2017.

From February 2014 to July 2017, he served as the Senior Vice President, Chief Financial Officer and Treasurer.

Andrew Xilas serves as Senior Vice President and General Manager, Dental. He assumed this role in June 2021. He joined

HuFriedyGroup (now part of STERIS) in 1987, holding roles of increasing responsibility, which included a promotion to
President, HuFriedyGroup in January 2021.

J. Adam Zangerle serves as Senior Vice President, General Counsel, and Company Secretary. He assumed this role in

July 2018. From July 2013 to July 2018 he served as Vice President, General Counsel, and Secretary.

12

ITEM 1A. RISK FACTORS

This section describes certain risk factors that could affect our business, financial condition and results of operations. You

should consider these risk factors when evaluating the forward-looking statements contained in this Annual Report on Form 10-
K, because our actual results and financial condition might differ materially from those projected in the forward-looking
statements should these risks occur. We face other risks besides those highlighted below. These other risks include additional
uncertainties not presently known to us or that we currently believe are immaterial, but may ultimately have a significant
impact. In addition, the impacts of the COVID-19 pandemic, Russia’s invasion of Ukraine and the ongoing inflationary
environment may also exacerbate any of these risks, which could have a material effect on us. Although the risks are organized
by headings, and each risk is discussed separately, many are interrelated. Should any of these risks, described below or
otherwise, actually occur, our business, financial condition, performance, prospects, value, or results of operations could be
negatively affected.
LEGAL, REGULATORY AND TAX RISKS

Doing Business Internationally

Compliance with multiple, and potentially conflicting, international laws and regulations, import and export limitations,
anti-corruption laws, and exchange controls may be difficult, burdensome or expensive.

We are subject to compliance with various laws and regulations, including the U.S. Foreign Corrupt Practices Act, the U.K.

Bribery Act, and similar anti-bribery laws, which generally prohibit companies and their intermediaries from making improper
payments to officials for the purpose of obtaining or retaining business. We are also subject to limitations on trade with persons
in sanctioned countries. While our employees and agents are required to comply with these laws, we cannot assure you that our
internal policies and procedures will always protect us from violations of these laws, despite our commitment to legal
compliance and corporate ethics.

Changes in economic climate may adversely affect us.

Adverse economic cycles or conditions, and Customer, regulatory or government response to those cycles or conditions,
have affected and could further affect our results of operations. The onset of these cycles or conditions may not be foreseeable
and there can be no assurance when they will begin to improve after they occur. There also can be no assurance as to the
strength or length of any recovery from a business downturn or recession. Credit and liquidity problems may make it difficult
for some businesses to access credit markets and obtain financing and may cause some businesses to curtail spending to
conserve cash in anticipation of persistent business slowdowns and liquidity needs. If our Customers have difficulty financing
their purchases due to tight credit markets or related factors or because of other operational or utilization problems they may be
experiencing or otherwise decide to curtail their purchases, our business could be adversely affected. Our exposure to bad debt
losses could also increase if Customers are unable to pay for products previously ordered and delivered.

Some of our Customers are governmental entities or other entities that rely on government healthcare systems or

government funding. If government funding for healthcare becomes limited or restricted in countries in which we operate,
including as a result of the impacts of the COVID-19 pandemic, our Customers may be unable to pay their obligations on a
timely basis or to make payment in full and it may become necessary to increase reserves. In addition, there can be no assurance
that there will not be an increase in collection difficulties. Prospectively, additional adverse effects resulting from these
conditions may include decreased healthcare utilization, further pricing pressure on our products and services, and/or weaker
overall demand for our products and services, particularly capital products.

The effects of geopolitical instability, including as a result of Russia’s invasion of Ukraine, may adversely affect us and

create significant risks and uncertainties for our business, with the ultimate impact dependent on future developments,
which are highly uncertain and unpredictable.

Ongoing geopolitical instability, including as a result of Russia’s invasion of Ukraine, has negatively impacted, and could

in the future negatively impact, the global and U.S. economies, including by causing supply chain disruptions, rising energy
costs, volatility in capital markets and foreign currency exchange rates, rising interest rates and heightened cybersecurity risks.
The extent to which such geopolitical instability adversely affects our business, financial condition and results of operations, as
well as our liquidity and capital profile, will depend on future developments, which are highly uncertain and unpredictable. If
geopolitical instability adversely affects us, it may also have the effect of heightening other risks related to our business.

In response to the military conflict between Russia and Ukraine that began in February 2022, the United States and other
North Atlantic Treaty Organization member states, as well as non-member states, announced targeted economic sanctions on
Russia. The long-term impact on our business resulting from the disruption of trade in the region caused by the conflict and
associated sanctions and boycotts is uncertain at this time due to the fluid nature of the ongoing military conflict and response.
The potential impacts include supply chain and logistics disruptions, financial impacts including volatility in foreign exchange
and interest rates, increased inflationary pressure on raw materials and energy, and other risks, including an elevated risk of

13

cybersecurity threats and the potential for further sanctions. We have stopped commercial operations in Russia and Belarus,
which includes shipments to Customers and purchases of cobalt-60 from our Russian supplier. A long-term disruption in
cobalt-60 sourced from Russia may negatively impact gamma processing capacity or increase costs in certain portions of our
AST operations.
The COVID-19 pandemic disrupted our operations and could have a material adverse effect on our business and financial
condition if further significant disruptions occur.

The COVID-19 pandemic, along with the response to the pandemic by governmental and other actors, disrupted our

operations. We have experienced temporary mandatory and voluntary facility closures in certain jurisdictions in which we
operate. Furthermore, we have experienced less demand for certain of our products and services as a result of reduced volume
of medical procedures, and other factors, which we believe was exacerbated by the impact of stay-at-home orders and
government responses to COVID-19. Additionally, the COVID-19 outbreak has caused temporary disruptions and rising costs
in our labor supply and supply chain and distribution network.

Long-term facility closures or other restrictions could materially adversely affect our ability to adequately staff, supply or
otherwise maintain our operations. Such restrictions also may have a substantial impact on our Customers and our sales cycles.
The COVID-19 pandemic may put pressure on overall spending for our products and services, and may cause our Customers to
modify spending priorities or delay or abandon purchasing decisions. Moreover, because a large number of our employees have
been and will continue to work from home routinely, we may be subject to increased vulnerability to cyber and other
information technology risks. We have modified, and may further modify, our business practices in response to the risks and
negative impacts associated with the COVID-19 pandemic. However, there can be no assurance that these measures will be
temporary or successful.

The impact of the COVID-19 pandemic continues to evolve and its ultimate duration, severity and disruption to our
business, Customers and supply chain, and the related financial impact to us, cannot be accurately forecasted at this time.
Should such additional significant disruptions occur and continue for an extended period, the adverse effect on our business,
results of operations and financial condition could be more severe. Additionally, weak economic conditions, the pace for
economic recovery, and rising inflation, could result in extended weak demand for our products and services. Furthermore,
future public health crises are possible and could involve some or all of the risks discussed above.

Healthcare Laws and Reimbursement

Changes in healthcare laws or government and other third-party payor reimbursement levels to healthcare providers, or
failure to meet healthcare reimbursement or other requirements, might negatively impact our business.

We sell many of our products and services to hospitals and other healthcare providers and pharmaceutical manufacturers.

Many of these Customers are subject to or supported by government programs or receive reimbursement for services from
third-party payors, such as government programs, including Medicare and Medicaid in the U.S., private insurance plans, and
managed care programs. Reimbursement systems vary significantly by country. Government-managed healthcare systems
control reimbursement for healthcare services in many countries. Public budgetary constraints may significantly impact the
ability of hospitals, pharmaceutical manufacturers, and other Customers supported by such systems to purchase our products.
Government or other third-party payors may deny or change coverage, reduce their current levels of reimbursement for
healthcare services, or otherwise implement measures to regulate pricing or contain costs. In addition, our costs may increase
more rapidly than reimbursement levels or permissible pricing increases or we may not satisfy the standards or requirements for
reimbursement.

Various additional health care reform proposals have emerged at the federal and state level, and we are unable to predict

which, if any, of those proposals will be enacted.

Product and Service Related Regulations and Claims

We are subject to extensive regulatory requirements and must receive and maintain regulatory clearance or approval for
many products and operations. Failure to receive or maintain, or delays in receiving, clearance or approvals may negatively
impact our revenues, profitability, financial condition, or value.

Our operations are subject to extensive regulation in the countries where we do business. In the United States, our products

and services are regulated by the FDA and other regulatory authorities. In many foreign countries, sales of our products and
services are subject to extensive regulations that may or may not be comparable to those of the FDA. In Europe, our products
are regulated primarily by country and community regulations of those countries within the European Economic Area and must
conform to the requirements of those authorities.

14

Government regulation applies to nearly all aspects of testing, manufacturing, safety, labeling, storing, recordkeeping,
reporting, promoting, distributing, and importing or exporting of medical devices, products, and services. In general, unless an
exemption applies, a sterilization, decontamination or medical device or product or service must receive regulatory approval or
clearance before it can be marketed or sold. Modifications to existing products or the marketing of new uses for existing
products also may require regulatory approvals, approval supplements or clearances. If there are delays in and/or we are unable
to obtain any required approvals, approval supplements or clearances for any modification to a previously cleared or approved
device, we may be required to cease manufacturing and sale, or recall or restrict the use of such modified device, pay fines, or
take other action until such time as appropriate clearance or approval is obtained. Any elongation or de-prioritization or delay
in regulatory review could materially affect our ongoing device design, development, and commercialization plans.

Regulatory agencies may refuse to grant approval or clearance, or review and disagree with our interpretation of approvals
or clearances, or with our decision that regulatory approval is not required or has been maintained. Regulatory submissions may
require the provision of additional data and may be time consuming and costly, and their outcome is uncertain. Regulatory
agencies may also change policies, adopt additional regulations, or revise existing regulations, each of which could prevent or
delay approval or clearance of devices, or could impact our ability to market a previously cleared, approved, or unregulated
device. Our failure to comply with the regulatory requirements of the FDA or other applicable regulatory requirements in the
United States or elsewhere might subject us to administratively or judicially imposed sanctions. These sanctions include, among
others, warning letters, fines, civil penalties, criminal penalties, loss of tax benefits, injunctions, product seizure, recalls,
suspensions or restrictions, re-labeling, detention, and/or debarment.

Our products are subject to recalls and restrictions, even after receiving United States or foreign regulatory clearance or
approval.

Ongoing medical device reporting regulations require that we report to appropriate governmental authorities in the United

States and/or other countries when our products cause or contribute to a death or serious injury or malfunction in a way that
would be reasonably likely to contribute to a death or serious injury if the malfunction were to recur. Governmental authorities
can require product recalls or impose restrictions for product design, manufacturing, labeling, clearance, or other issues. For the
same reasons, we may voluntarily elect to recall or restrict the use of a product. Any recall or restriction could divert managerial
and financial resources and might harm our reputation among our Customers and other healthcare professionals who use or
recommend our products and services.

We may be adversely affected by product liability claims or other legal actions or regulatory or compliance matters.

We face an inherent business risk of exposure to product liability claims and other legal and regulatory actions. A

significant increase in the number, severity, amount, or scope of these claims and actions may, as described above with respect
to recalls and restrictions, result in substantial costs and harm our reputation or otherwise adversely affect product sales and our
business. Product liability claims and other legal and regulatory actions may also distract management from other business
responsibilities.

We are also subject to a variety of other types of claims, proceedings, investigations, and litigation initiated by government
agencies or third parties and other potential risks and liabilities. These include compliance matters, product regulation or safety,
taxes, employee benefit plans, employment discrimination, health and safety, environmental, antitrust, customs, import/export,
government contract compliance, financial controls or reporting, intellectual property, allegations of misrepresentation, false
claims or false statements, commercial claims, claims regarding promotion of our products and services, or other similar or
different matters. Any such claims, proceedings, investigations or litigation, regardless of the merits, might result in substantial
costs, restrictions on product use or sales, or otherwise injure our business.

Administratively or judicially imposed or agreed sanctions might include warning letters, fines, civil penalties, criminal
penalties, loss of tax benefits, injunctions, product seizure, recalls, suspensions or restrictions, re-labeling, detention, and/or
debarment. We also might be required to take actions such as payment of substantial amounts, or revision of financial
statements, or to take, or be subject to, the following types of actions with respect to our products, services, or business:
redesign, re-label, restrict, or recall products; cease manufacturing and selling products; seizure of product inventory; comply
with a court injunction restricting or prohibiting further marketing and sale of products or services; comply with a consent
decree, which could result in further regulatory constraints; dedication of significant internal and external resources and costs to
respond to and comply with legal and regulatory issues and constraints; respond to claims, litigation, and other proceedings
brought by Customers, users, governmental agencies, and others; disruption of product improvements and product launches;
discontinuation of certain product lines or services; or other restrictions or limitations on product sales, use or operation, or
other activities or business practices.

Some product replacements or substitutions may not be possible or may be prohibitively costly or time consuming. The

impact of any legal, regulatory, or compliance claims, proceeding, investigation, or litigation, is difficult to predict.

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We maintain product liability and other insurance with coverages believed to be adequate. However, product liability or
other claims may exceed insurance coverage limits, fines, penalties and regulatory sanctions may not be covered by insurance,
or insurance may not continue to be available or available on commercially reasonable terms. Additionally, our insurers might
deny claim coverage for valid or other reasons or may become insolvent.

Our business and financial condition could be adversely affected by difficulties in acquiring or maintaining a proprietary
intellectual ownership position.

To maintain our competitive position for our products, we need to obtain patent or other proprietary rights for new and
improved products and to maintain and enforce our existing patents and other proprietary rights. We typically apply for patents
in the United States and in strategic other countries. We may also acquire patents through acquisitions. We may encounter
difficulties in obtaining or protecting patents.

We rely on a combination of patents, trademarks, trade secrets, know-how, and confidentiality agreements to protect the
proprietary aspects of our technology. These measures afford only limited protection, and competitors may gain access to our
intellectual property and proprietary information. Litigation may be necessary to enforce or defend our intellectual property
rights, to protect our trade secrets, and to determine the validity and scope of our proprietary rights. Litigation may also be
brought against us claiming that we have violated the intellectual property rights of others. Litigation may be costly and may
divert management’s attention from other matters. Additionally, in some foreign countries with weaker intellectual property
rights, it may be difficult to maintain and enforce patents and other proprietary rights or defend against claims of infringement.

Tax Risks

We might be adversely impacted by tax legislation or challenges to our tax positions.

We are subject to the tax laws at the federal, state or provincial, and local government levels in the many jurisdictions in

which we operate or sell products or services. Tax laws might change in ways that adversely affect our tax positions, effective
tax rate and cash flow. The tax laws are extremely complex and subject to varying interpretations. We are subject to tax
examinations in various jurisdictions that might assess additional tax liabilities against us. Our tax reporting positions might be
challenged by relevant tax authorities, we might incur significant expense in our efforts to defend those challenges, and we
might be unsuccessful in those efforts. Developments in examinations and challenges might materially change our provision for
taxes in the affected periods and might differ materially from our historical tax accruals. Any of these risks might have a
materially adverse impact on our business operations, our cash flows and our financial position or results of operations.

Current economic and political conditions make tax rules in any jurisdiction subject to significant change.

The U.S. Tax Cuts and Jobs Act (the “TCJA”) was signed into law on December 22, 2017. Guidance continues to be issued

clarifying the application of this new legislation and new changes have been proposed, and in many instances finalized, with
respect to a number of income tax provisions (including foreign tax credit regulations) in the U.S. that could increase our total
tax expense. In addition, beginning January 1, 2022, the limitation on deductibility of interest expense, which generally limits a
deduction for interest expense to 30% of taxable income (subject to certain adjustments), must be determined by reducing
taxable income by depreciation and amortization deductions, which may limit our ability to deduct interest expense in the
future. We cannot predict the overall impact that the additional guidance and recent changes may have on our business. Some
jurisdictions have raised tax rates and it is reasonable to expect that other global taxing authorities will be reviewing current
legislation for potential modifications in reaction to the implementation of the TCJA, current economic conditions, and
COVID-19 response costs.

In August 2022, President Biden signed the Inflation Reduction Act (the “IRA”) into law. One of the provisions in the IRA

added a corporate alternative minimum tax (“CAMT”) to the U.S. Internal Revenue Code of 1986, as amended (the “Code”),
beginning for fiscal years 2023. If income tax liability in the U.S. is lower than the income tax liability calculated under the
CAMT provisions, we will be subject to additional income taxes in the United States. In addition, the IRS added excise tax on
certain stock buybacks by publicly traded corporations. Even though the excise tax mostly impacts publicly traded companies
organized in the U.S., under certain circumstances, the excise tax may be imposed on stock buybacks by a non-U.S. based
publicly traded company like us.

In addition, further changes in the tax laws of other jurisdictions will likely arise, including as a result of the base

erosion and profit shifting (BEPS) project undertaken by the Organization for Economic Cooperation and Development
(OECD). The OECD, which represents a coalition of member countries, has issued recommendations that, in some cases, would
make substantial changes to numerous long-standing tax positions and principles. Following the issuance of such
recommendation, in December 2022, the European Union issued a directive to adopt Global Base Erosion laws (a/k/a GloBE or
Pillar Two) in the EU member countries, in most cases beginning in fiscal year 2024. Many other non-EU member countries
agreed to adopt GloBE between fiscal years 2024 and 2025. The GloBE rules, once implemented in the EU and other
jurisdictions, could subject us to additional income taxes in those jurisdictions if our effective corporate tax rate in those

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jurisdictions (determined under the GloBE rules) is below 15%. Accordingly, the GloBE rules could increase tax uncertainty
and adversely impact our provision for income taxes. In addition, the GloBE rules have certain transition period provisions that
apply to certain intercompany transactions occurring between December 1, 2021 and the effective date of the GloBE rules in a
given jurisdiction. These transition period provisions may have an adverse impact on our effective tax rate, and subject us to
additional income tax, in some of the jurisdictions who adopt the GloBE rules.

Our tax rate is uncertain and may vary from expectations, which could have a material impact on our results of operations
and earnings per share.

There can be no assurance that we will be able to maintain any particular worldwide effective corporate tax rate. We cannot

give any assurance as to what our effective tax rate will be in the future because of, among other things, uncertainty regarding
the tax policies of the jurisdictions in which we and our affiliates operate. Our actual effective tax rate may vary from our
expectations, and such variance may be material. Additionally, tax laws or their implementation and applicable tax authority
practices in any particular jurisdiction could change in the future, possibly on a retroactive basis, and any such change could
have a material adverse impact on us and our affiliates. In addition, the GloBE rules, which are expected to be implemented in
most of the jurisdictions where we have operations, and the CAMT may adversely impact our effective corporate tax rate.

Changes in tax treaties and trade agreements could negatively impact our costs, results of operations and earnings per
share.

Legislative and regulatory action may be taken in the U.S. which, if ultimately adopted, could override or otherwise

adversely impact tax treaties upon which we rely or broaden the circumstances under which STERIS plc would be considered a
U.S. resident, each of which could materially and adversely affect our tax obligations. We cannot predict the outcome of any
specific legislative or regulatory proposals. However, if proposals were adopted that had the effect of disregarding our
organization in Ireland or limiting our ability as an Irish company to take advantage of tax treaties with the U.S., we could be
subject to increased taxation and/or potentially significant expense.

On June 7, 2017, several countries, including many countries that we operate and have subsidiaries in, adopted the OECD’s

Multilateral Convention to Implement Tax Treaty Related Measures to Prevent Base Erosion and Profit Shifting (the "MLI"),
which generally is meant to prevent treaty abuse, improve dispute resolution, prevent the artificial avoidance of permanent
establishment status and neutralize the effect of hybrid mismatch agreements. The MLI came into effect on July 1, 2018. The
MLI may modify affected tax treaties making it more difficult for us to obtain advantageous tax-treaty benefits. The number of
affected tax treaties could eventually be significant. To date, about 100 jurisdictions have joined the BEPS MLI, out of which
about 79 jurisdictions have ratified, accepted, or approved the MLI, and it covers around 1850 bilateral tax treaties. Signatories
include jurisdictions from all continents and all levels of development and other jurisdictions are also actively working towards
signature. As a result, our income may be taxed in jurisdictions where it is not currently taxed and at higher rates than it is
currently taxed, which may increase our effective tax rate.

Existing free trade laws and regulations provide certain beneficial duties and tariffs for qualifying imports and exports,
subject to compliance with the applicable classification and other requirements. Changes in laws and regulations or policies
governing the terms of foreign trade, and in particular, increased trade restrictions, including as a result of the COVID-19
pandemic, tariffs or taxes on imports from countries where we manufacture products could have a material adverse impact on
our business and financial results.

Proposed legislation relating to the denial of U.S. federal or state governmental contracts to U.S. companies that redomicile
abroad could adversely affect our business.

Various U.S. federal and state legislative proposals that would deny governmental contracts to redomiciled companies may
adversely affect us if adopted into law. We are unable to predict the likelihood that any such proposed legislation might become
law, the nature of regulations that may be promulgated under any future legislative enactments, or the effect such enactments or
increased regulatory scrutiny could have on our business.

The U.S. Internal Revenue Service (the “IRS”) may not agree that we are a non-U.S. corporation for U.S. federal tax
purposes.

Although we are organized under the laws of Ireland and are a tax resident in Ireland for Irish tax purposes, the IRS may
assert that we should be treated as a U.S. corporation (and, therefore, a U.S. tax resident) for U.S. federal tax purposes pursuant
to Section 7874 of the Code (“Section 7874”). For U.S. federal tax purposes, a company generally is considered to be a tax
resident in the jurisdiction of its organization. Because we are organized under the laws of Ireland, we would generally be
classified as a non-U.S. corporation (and, therefore, a non-U.S. tax resident) under these rules. Section 7874, however, provides
an exception to this general rule under which a non-U.S. organized entity may be treated as a U.S. corporation for U.S. federal
tax purposes.

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If we were to be treated as a U.S. corporation for U.S. federal tax purposes, we could be subject to substantial additional
U.S. tax liability. Additionally, if we were treated as a U.S. corporation for U.S. federal tax purposes, non-U.S. holders of our
ordinary shares would be subject to U.S. withholding tax on the gross amount of any dividends we paid to such shareholders.
For Irish tax purposes, we are expected, regardless of any application of Section 7874, to be treated as an Ireland tax resident.
Consequently, if we are treated as a U.S. corporation for U.S. federal tax purposes under Section 7874, we could be liable for
both U.S. and Ireland taxes, which could have a material adverse effect on our financial condition and results of operations.

BUSINESS AND OPERATIONAL RISKS

Our businesses are highly competitive, and if we fail to compete successfully, our revenues and results of operations may be
hurt.

We operate in a highly competitive global environment. Our businesses compete with other broad-line manufacturers, as

well as many smaller businesses specializing in particular products or services, primarily on the basis of brand, design, quality,
safety, ease of use, serviceability, price, product features, warranty, delivery, service, and technical support. We face increased
competition from new infection prevention, sterile processing, contamination control, surgical support, cleaning consumables,
gastrointestinal endoscopy accessories, contract sterilization, and other products and services entering the market. Competitors
and potential competitors also are attempting to develop alternate technologies and sterilizing agents, as well as disposable
medical instruments and other devices designed to address the risk of contamination.

Consolidations among our healthcare and pharmaceutical Customers may result in a loss of Customers or more significant
pricing pressures.

A number of our Customers have consolidated. These consolidations are due in part to healthcare cost reduction measures

initiated by competitive pressures as well as legislators, regulators and third-party payors. This may result in greater pricing
pressures on us and in some cases loss of Customers. Additional consolidations could result in a loss of Customers or more
significant pricing pressures.

Decreased availability or increased costs of raw materials or energy supplies or other supplies might increase our production
costs or limit our production capabilities or curtail our operations.

We purchase raw materials, fabricated and other components, and energy supplies from a variety of suppliers. Key raw
materials include stainless steel, organic and inorganic chemicals, fuel, cobalt-60 and EO, and key components include plastic
components, as well as various electronics including control boards and computer chips. The availability and prices of raw
materials and energy supplies are subject to volatility and are influenced by worldwide economic conditions, speculative action,
world supply and demand balances, inventory levels, availability of substitute materials, currency exchange rates, anticipated or
perceived shortages, and other factors. Also, certain of our key materials and components have a limited number of suppliers.
Some are single-sourced in certain regions of the world, such as cobalt-60 and EO, which are necessary to our AST operations.
Changes in regulatory requirements regarding the use of, the unavailability or short supply of these products might disrupt or
cause shutdowns of portions of our AST operations or have other adverse consequences. Shortages in supply, increased
regulatory or security requirements, or increases in the price of raw materials, components and energy supplies may adversely
affect us. In response to the active conflict between Russian and Ukraine, we have stopped purchasing cobalt-60 from our
Russian supplier. A long-term disruption in cobalt-60 sourced from Russia may negatively impact gamma processing capacity
or increase costs in certain portions of our AST operations.

Our operations, and those of our suppliers, are subject to a variety of business continuity hazards and risks, any of which
could interrupt production or operations or otherwise adversely affect our performance, results, or value.

Business continuity hazards and other risks include: explosions, fires, earthquakes, public health crises, inclement weather,

and other disasters; utility or other mechanical failures; unscheduled downtime; labor difficulties; inability to obtain or
maintain any required licenses or permits; disruption of communications; data security, preservation and redundancy
disruptions; inability to hire or retain key management or employees; disruption of supply or distribution; and regulation of the
safety, security or other aspects of our operations.

The occurrence of these types of events has disrupted and may in the future disrupt or shut down operations, or otherwise

adversely impact the production or profitability of a particular facility, or our operations as a whole. Certain casualties also
might cause personal injury and loss of life, or severe damage to or destruction of property and equipment, and for casualties
occurring at our facilities, result in liability claims against us. Although we maintain property and casualty insurance and
liability and similar insurance of the types and in the amounts that we believe are customary for our industries, our insurance
coverages have limits and we are not fully insured against all potential hazards and risks incident to our business.

Expectations relating to ESG considerations expose us to potential liabilities, increased costs, reputational harm and other
adverse effects on our business.

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Many governments, regulators, investors, employees, Customers and other stakeholders are increasingly focused on ESG

considerations relating to businesses, including climate change and greenhouse gas emissions, human capital and diversity,
equity and inclusion. We make statements about our ESG priorities and initiatives through information provided on our
website, press statements and other communications. Responding to these ESG considerations and implementation of these
initiatives involves risks and uncertainties requires investments and is impacted by factors that may be outside our control. In
addition, some stakeholders may disagree with our priorities and initiatives and the focus of stakeholders may change and
evolve over time. Stakeholders also may have very different views on where ESG focus should be placed, including differing
views of regulators in various jurisdictions in which we operate. Any failure, or perceived failure, by us to achieve our goals,
further our initiatives, adhere to our public statements, comply with federal, state or international ESG laws and regulations or
meet evolving and varied stakeholder expectations and standards could result in legal and regulatory proceedings against us that
could materially adversely affect our business, reputation, results of operations, financial condition and stock price.

As we continue to focus on developing our ESG practices, such practices may not meet the standards of all of our

stakeholders and advocacy groups may campaign for further changes. Many of our Customers are also committing to long-term
targets to reduce greenhouse gas emissions within their supply chains. If we are unable to support Customers in achieving these
reductions, we may lose revenue if our Customers find other suppliers who are better able to support such reductions. A failure,
or perceived failure, to respond to expectations of all key stakeholders could cause harm to our business and reputation and
have a negative impact on the market price of our ordinary shares. Further, organizations that provide information to investors
on corporate governance and related matters have developed ratings processes for evaluating companies on ESG matters. Such
ratings are used by some investors to inform their investment or voting decisions. Unfavorable ESG ratings could lead to
negative investor sentiment toward us and/or our industry, which could have a negative impact on our access to and costs of
capital.
We may be adversely affected by global climate change or by existing and future legal, regulatory or market responses to
such change.

The long-term effects of climate change are difficult to assess and predict. The impacts may include physical risks (such as

rising sea levels or frequency and severity of extreme weather conditions), social and human effects (such as population
dislocations or harm to health and well-being), compliance costs and transition risks (such as regulatory or technology changes)
and other adverse effects. The effects could impair, for example, the availability and cost of certain products, commodities and
energy (including utilities), which in turn may impact our ability to procure goods or services required for the operation of our
business at the quantities and levels we require. We may bear losses as a result of, for example, physical damage to or
destruction of our facilities (such as distribution or fulfillment centers), loss or spoilage of inventory, and business interruption
due to weather events that may be attributable to climate change, which could materially and adversely affect our business
operations, financial position or results of operation.

There has also been an increased focus from regulators and stakeholders on greenhouse gas emissions and climate-related
risks. Both the standard setting and regulatory landscapes are extremely complex and present significant compliance challenges.
Many different organizations are promulgating reporting standards and rules that focus on addressing greenhouse gas emissions
and climate-related topics. In March 2022, the SEC published its proposed rule, “The Enhancement and Standardization of
Climate-Related Disclosures for Investors,” which sets forth certain prescriptive rules that, if implemented as proposed, will
significantly increase our reporting obligations and cost of compliance. On January 5, 2023, the European Commission’s
Corporate Sustainability Reporting Directive (“CSRD”) became effective. The CSRD expands the number of companies
required to publicly report ESG-related information and defines the ESG-related information that companies are required to
report in accordance with European Sustainability Reporting Standards (“ESRS”). While CSRD rules are prescriptive for the
types of data to be reported, the standards to quantify and qualify such data are still developing and uncertain, and may impose
increased costs on us related to complying with our reporting obligations and increase risks of non-compliance with ESRS and
the CSRD.

Our operations are subject to regulations and permitting, which may be changed or amended by the relevant authorities, and
which may limit or eliminate our current operations or increase the complexity, burden, or expense of compliance and
regulated materials or processes that we use in our operations may become the focus of litigation.

Our AST segment is a technology-neutral contract sterilization service that offers our Customers a wide range of
sterilization modalities through a worldwide network of over 50 contract sterilization and laboratory facilities. One of the
modalities offered by our AST operations is ethylene oxide (EO) sterilization. In the United States, several regulators, including
the EPA, FDA, and agencies at the state and local level, play a role in regulating the use of EO sterilization. In 2016, the EPA
changed the cancer risk basis for EO and determined that EO is carcinogenic to humans. Recent announcements of the
temporary or permanent closure of EO sterilization facilities operated by others have been associated with state and/or local
regulatory or other legal action related to EO emissions at those facilities. Our AST operations have taken and will continue to
take measures to comply with all applicable emissions regulations and to reduce emissions. However, no assurance can be
given that current or future legislative or regulatory action, or current or future litigation to which we are or may become a

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party, will not significantly increase the costs of conducting our EO contract sterilization operations or curtail or eliminate the
use of EO in our contract sterilization operations. A significant reduction in our EO contract sterilization activities may have a
material adverse effect on our financial condition and results of operations. Further, we could be liable for damages and fines as
a result of legislative or regulatory action or litigation, and any liability could exceed our insurance and indemnification
coverage, if any, and have a material adverse effect on our financial condition. Additionally, for many medical devices, EO
sterilization may be the only current method of sterilization that effectively sterilizes and does not damage the device during the
sterilization process. In the event of regulatory, legislative, or legal action that curtails or eliminates EO sterilization, there
could be a shortage of medical devices and consequently a decline in surgical procedures. A decline in surgical procedures
could result in a decline in demand for the products and services provided by our Healthcare business, which may have a
material adverse effect on our financial condition and results of operations.

Our EO sterilization operations subject us to claims of liability and associated adverse effects.

Some current or past operators of EO sterilization facilities, including us, have been the target of litigation on behalf of
private plaintiffs alleging personal and other injuries as a result of exposure to emissions from such facilities. Certain of those
operators have experienced adverse judgments and entered into settlements. These developments may increase the likelihood
that we will continue to be subject to these claims or that we will be subject to more claims on behalf of similar plaintiffs in the
future. Although we believe we have valid defenses to such claims, there can be no assurance that we will prevail on the merits,
as the outcome of trials before juries and other aspects of litigation can be highly unpredictable.

The financial impact of litigation, particularly mass tort action lawsuits, is also difficult to predict and a judgment entered
or settlement reached in one case is not representative of the outcome of other comparable cases. Regardless of the merits of the
claims at issue or the ultimate outcome of a case, any litigation related to our EO operations could be costly to defend, could
result in an increase of our insurance premiums, and could exhaust available insurance coverage. Furthermore, defense of
litigation may result in diversion of management attention from other priorities, which could have a material adverse effect.

If our continuing efforts to create a lean business and in-source production to reduce costs are not successful, our
profitability may be hurt or our business otherwise might be adversely affected.

We have undertaken various activities to incorporate lean concepts and practices to more efficiently operate our business,
including in-sourcing. We continue to look for opportunities to in-source production that is currently provided by third parties.
These activities may not produce the full efficiencies and cost reduction benefits that we expect or efficiencies and benefits
might be delayed. Implementation costs also might exceed expectations. Increases in costs of doing business may have a
material adverse effect on our financial condition and results of operations.

A pandemic or similar public health crises, such as COVID-19, could have a material adverse impact on ability to staff our
operations.

As supplier to Healthcare and Life Sciences Customers, we fell within a “critical infrastructure” sector, and were also
considered an essential business and therefore were exempt under various stay at home/shelter in place orders associated with
COVID-19. These exemptions, however, may not persist in another pandemic or similar health crisis and there can be no
assurance that in such a crisis, we will be able to operate in the same. During the COVID-19 pandemic, our employees
continued to work because of the importance of our operations to the health and well-being of citizens in the countries in which
we operate, and we implemented telework policies wherever possible for appropriate categories of employees. While based on
our response to the current COVID-19 pandemic, we believe that we have developed appropriate measures to ensure the health
and well-being of our employees for similar or future health crises, there can be no assurances that our measures will be
sufficient to protect our employees in our workplace or that they may not otherwise be exposed to an illness outside of our
workplace. If a number of our essential employees become ill, incapacitated or are otherwise unable or unwilling to continue
working during the current or any future health crises, our operations may be adversely impacted.

Our business and results of operations may be adversely affected if we are unable to recruit and retain qualified
management and other personnel or other compliance matters adversely impact our personnel.

Our continued success depends, in large part, on our ability to hire and retain highly qualified people and if we are unable
to do so, our business and operations may be impaired or disrupted. Labor market conditions, particularly in the United States,
are challenging. The undersupply of highly qualified people has led to increased competition, which has led to higher costs and
other labor-related difficulties. There is no assurance that we will be successful in attracting or retaining replacements to fill
vacant positions, successors to fill retirements or employees moving to new positions, or other highly qualified personnel. In
addition, legal, regulatory or compliance matters create significant distraction or diversion of significant or unanticipated
resources or attention that could have a material adverse effect on the responsibilities and retention of qualified employees.

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We could experience a failure of a key information technology system, process or site or a breach of information security,
including a cybersecurity breach or failure of one or more key information technology systems, networks, processes,
associated sites or service providers.

We rely extensively on information technology (IT) systems to conduct business, including but not limited to interact with
Customers and suppliers, fulfilling orders, generating invoices, collecting and making payments, shipping products, providing
Customer support, and fulfilling contractual obligations. In addition, we rely on networks and services, including internet sites,
cloud and software-as-a-service solutions, data hosting and processing facilities and tools and other hardware, software and
technical applications and platforms, some of which are managed, hosted, provided and/or used by third-parties or their
vendors, to assist in conducting our business. While we have been the previous target of cyberattacks and security breaches,
none of these attacks or breaches to date have had a material adverse effect on the Company. We cannot guarantee that future
cyberattacks, if successful, will not have a material effect on our business or financial results. Numerous and evolving
cybersecurity threats continue to pose potential risks to the security of our IT systems, networks and services, as well as the
confidentiality, availability and integrity of our data. Some of our products, services, and information technology systems
contain or use open-source software, which poses additional risks, including potential security vulnerabilities, licensing
compliance issues, and quality issues. A security breach, whether of our products, of our Customers’ network security and
systems or of third-party hosting services, could impact the use of such products and the security of information stored therein.
While we have made investments seeking to address these threats, including monitoring of networks and systems, hiring of
experts, employee training and security policies for employees and third-party providers, the techniques used in these attacks
change frequently and may be difficult to detect for periods of time and we may face difficulties in anticipating and
implementing adequate preventative measures. When cybersecurity incidents occur, we expect to follow our incident response
protocols and address them in accordance with applicable governmental regulations and other legal requirements. Our response
to these incidents and our investments to protect our information technology infrastructure and data may not shield us from
significant losses and potential liability or prevent any future interruption or breach of our systems. If our IT systems are
damaged or cease to function properly, the networks or service providers we rely upon fail to function properly, or we or one of
our third-party providers suffer a loss or disclosure of our business or stakeholder information due to any number of causes
ranging from catastrophic events or power outages to improper data handling or security breaches and our business continuity
plans do not effectively address these failures on a timely basis, we may be exposed to reputational, competitive and business
harm as well as litigation and regulatory action. In addition, the COVID-19 pandemic may increase the risk of such
vulnerability and attacks, including unauthorized access or attacks exploiting the fact that a large number of employees are
working remotely. Furthermore, there has also been an increase in cyber incidents that appears to be associated with the
Ukraine-Russia military conflict. Enforcement of the General Data Protection Regulation (“GDPR”) was effective as of May
2018. The GDPR is focused on the protection of personal data not merely the privacy of personal data. The GDPR creates a
range of new compliance obligations and will significantly increase financial penalties for noncompliance (including possible
fines of up to 4% of global annual revenues for the preceding financial year or €20 million (whichever is higher) for the most
serious infringements).
Net sales and profitability of our Dental segment are highly dependent on our relationships with a limited number of large
distributors.

The distribution network in the U.S. dental industry is concentrated, with relatively few distributors of consumable
products accounting for a significant share of the sales volume to dentists. Historically, the top three Customers of Cantel's
Dental segment accounted for more than 40.0% of its revenues. The loss of a significant amount of business from any of these
Customers would have a material adverse effect on our Dental segment. In addition, because our Dental segment products are
primarily sold through third-party distributors and not directly to end users, we cannot control the amount and timing of
resources that our distributors devote to our products. There can be no assurance that there will not be a loss or reduction in
business from one or more of our major Customers. In addition, we cannot assure that revenues from Customers that have
accounted for significant revenues in the past, either individually or as a group, will reach or exceed historical levels in any
future period.

RISKS RELATED TO BUSINESS DEVELOPMENT

We engage in acquisitions and affiliations, divestitures, and other business arrangements. Our growth may be adversely
affected if we are unable to successfully identify, price, and integrate strategic business candidates or otherwise optimize our
business portfolio.

Our success depends, in part, on strategic acquisitions and joint ventures, which are intended to complement or expand our

businesses, divestiture of non-strategic businesses and other assets, and other actions intended to optimize our portfolio of
businesses. This strategy depends upon our ability to identify, appropriately price, and complete these types of business
development transactions or arrangements and to obtain any necessary financing. In the last several fiscal years we have made a
number of acquisitions and dispositions. There can be no assurance that any acquisition or disposition will ultimately prove to

21

be a strategic success. Also, we may be unable to find or consummate future acquisitions and divestitures at acceptable prices
and terms. We continually evaluate potential business developments opportunities in the ordinary course of business.

Our success with respect to these recent and future acquisitions will depend on our ability to integrate the businesses
acquired, retain key personnel, realize identified cost synergies, manage the expanded business footprint and otherwise execute
our strategies. Our success will also depend on our ability to develop satisfactory working arrangements with our strategic
partners in joint ventures or other affiliations, or to divest or realign businesses. Competition for strategic business candidates
may result in increases in costs and price for acquisition candidates and market valuation issues may reduce the value available
for divestiture of non-strategic businesses. These types of transactions are also subject to a number of other risks and
uncertainties, including: delays in realizing or failure to realize anticipated benefits of the transactions; diversion of
management’s time and attention from other business concerns; difficulties in retaining key employees, Customers, or suppliers
of the acquired or divested businesses; difficulties in maintaining uniform standards, controls, procedures and policies, or other
integration or divestiture difficulties; adverse effects on existing business relationships with suppliers or Customers; other
events contributing to difficulties in generating future cash flows; risks associated with the assumption of contingent or other
liabilities of acquisition targets or retention of liabilities for divested businesses and difficulties in obtaining financing.

Our acquisition activity and ability to grow organically may be adversely affected if we are unable to continue to access the
financial markets.

Our recent acquisitions have been financed largely through cash on hand, borrowings under our bank credit facilities and
through public note offerings. Future acquisitions or other capital requirements and investments will necessitate additional cash.
To the extent our existing sources of cash are insufficient to fund these or other future activities, we have and may need to raise
additional funds through new or expanded borrowing arrangements or equity. There can be no assurance that we will be able to
obtain additional funds beyond those available under existing bank credit facilities on terms favorable to us, or at all, or that
such facilities can be replaced when they terminate.

The integration of acquired businesses into STERIS may not be as successful as anticipated.

In recent years we have made several large acquisitions of business, including the acquisitions of Cantel Medical and Key
Surgical. The integration of acquired businesses into STERIS involves numerous operational, strategic, financial, accounting,
legal, tax and other risks; potential liabilities associated with the acquired businesses; and uncertainties related to design,
operation and integration of internal controls over financial reporting. Difficulties in integrating acquired businesses into
STERIS may result in the business performing differently than expected, in operational challenges, in strategic changes or in
the failure to realize anticipated expense-related efficiencies. STERIS’s existing businesses could also be negatively impacted
by the integration actions. Potential difficulties that may be encountered in the integration process include, among other factors:

•

•
•

•

•
•
•
•

•

the inability to successfully integrate the business of an acquired business into STERIS in a manner that permits
STERIS to achieve the full revenue and cost savings anticipated from the acquisition;
complexities associated with managing the larger, more complex, integrated business;
not realizing anticipated operating synergies or incurring unexpected costs to realize such synergies;

integrating personnel from acquired businesses into STERIS while maintaining focus on providing consistent, high-
quality products and services;
potential unknown liabilities and unforeseen expenses associated with the acquisition;
loss of key employees;
integrating relationships with Customers, vendors and business partners;
performance shortfalls as a result of the diversion of management’s attention caused by integration activities; and

the disruption of, or the loss of momentum in, an acquired business and STERIS’ ongoing business or inconsistencies in
standards, controls, procedures and policies.

22

Past and future business acquisitions may not be as accretive to STERIS’s earnings per share and cash flow from
operations per share, which may negatively affect the market price of STERIS Shares.

Past and future acquisitions may not be as accretive to STERIS’s earnings per share and cash flow from operations per

share as expected. Future events and conditions could decrease or delay any expected accretion, result in dilution or cause
greater dilution than is currently expected, including adverse changes in market conditions, production levels, operating results,
competitive conditions, laws and regulations affecting STERIS, capital expenditure obligations, higher than expected
integration costs, lower than expected synergies and general economic conditions.

Any decrease or delay of any accretion to, STERIS’s earnings per share or cash flow from operations per share could cause

the price of the STERIS's ordinary shares to decline.
We incurred a substantial amount of additional debt to complete the Cantel Medical acquisition. Our debt level may limit
our financial and business flexibility.

We funded the cash portion of the Cantel Medical acquisition consideration, as well as the refinancing, prepayment,
replacement, redemption, repurchase, settlement upon conversion, discharge or defeasance of certain existing indebtedness of
Cantel and its subsidiaries, transaction expenses, general corporate expenses and working capital needs, through the incurrence
of approximately $2.1 billion of new indebtedness, which includes $1.350 billion of senior notes issued April 1, 2021 and a new
delayed draw term loan agreement in the amount of $750 million. We also refinanced or settled approximately $1.0 billion of
Cantel's long-term indebtedness, including convertible debt, outstanding.

As of March 31, 2023, STERIS had approximately $3.1 billion of indebtedness outstanding. STERIS’s ability to repay all

the forgoing obligations will depend on, among other things, STERIS’s financial position and performance, as well as
prevailing market conditions and other factors beyond our control.

Our increased indebtedness could have important consequences to our shareholders, including increasing STERIS’s
interest obligations, general adverse economic and industry conditions, limiting our ability to obtain additional financing to
fund future working capital, capital expenditures and other general corporate requirements, requiring the use of a substantial
portion of our cash flow from operations for the payment of principal and interest on indebtedness, thereby reducing our ability
to use our cash flow to fund working capital, acquisitions, capital expenditures and general corporate matters, including
dividend payments and stock repurchases, limiting our flexibility in planning for, or reacting to, changes in its business and our
industry and creating a disadvantage compared to our competitors with less indebtedness.

STERIS has incurred and expects to incur significant transaction and related costs in connection with business acquisitions
and dispositions, which may be in excess of those anticipated.

STERIS has incurred substantial expenses in connection with the negotiation and completion of past business acquisitions

and dispositions, including Cantel Medical and Key Surgical, and expects to incur similar costs for any future business
acquisitions or dispositions.

STERIS expects to incur non-recurring costs associated with the integrations of recent acquisitions into STERIS and
working towards achieving the desired synergies of such acquisitions. These fees and costs have been, and may continue to be,
substantial. The non-recurring expenses include, among others, employee retention costs, fees paid to financial, legal and
accounting advisors, and severance and benefit costs.

STERIS also expects to incur and has incurred costs to consolidate facilities and systems. Additional unanticipated costs
may be incurred in the integration of any acquired business. Although STERIS expects that the elimination of duplicative costs,
as well as the realization of other efficiencies related to the integration of acquired businesses, should allow STERIS to offset
integration-related costs over time, this net benefit may not be achieved in the near term, or at all. The costs described above, as
well as other unanticipated costs and expenses, could have a material adverse effect on the financial condition and operating
results.

We may fail to realize all of the anticipated benefits of an acquired business, or those benefits may take longer to realize
than expected.

The success of an acquisition depends, in part, on our ability to realize the anticipated benefits and cost savings from
combining the businesses. The anticipated benefits and cost savings of an acquisition may not be realized fully or at all, may
take longer to realize than expected, may require more non-recurring costs and expenditures to realize than expected or could
have other adverse effects that we do not currently foresee. Assumptions that we have made with respect to acquisitions, such
as with respect to anticipated operating synergies or the costs associated with realizing such synergies, significant long-term
cash flow generation, and the continuation of our investment grade credit profile, may not be realized. The post-acquisition
integration process may result in the loss of key employees, the disruption of ongoing business, changes in strategy or
inconsistencies in standards, controls, procedures, and policies. There could be potential unknown liabilities and unforeseen
expenses associated with acquisitions that were not discovered while performing due diligence. Although we conduct what we
believe to be a prudent level of investigation regarding the operating and financial condition of the businesses, product or

23

service lines, assets or technologies we purchase, an unavoidable level of risk remains regarding their actual operating and
financial condition, as well as their strategic fit. We may not be able to ascertain actual value or understand potential liabilities
until or after we actually assume operation control of these businesses, product or service lines, assets or technologies.

We have recorded goodwill and other intangible assets that could become impaired and result in material non-cash changes
to our results of operation in the future.

Our total assets include goodwill, intangibles and other long-lived assets. If we determine that these items have become

impaired in the future, it may have a material adverse effect on our financial condition and results of operations. As of March
31, 2023, we had recorded goodwill of $4 billion and other intangible assets, net of accumulated amortization of $3 billion.
Goodwill represents the excess of purchase price over the estimated fair value assigned to the net tangible and identifiable
intangible assets of a business acquired. Goodwill is evaluated for impairment annually or more frequently, if indicators of
impairment exist. If the impairment evaluations for goodwill indicate the carrying amount exceeds the estimated fair value, an
impairment loss is recognized in an amount equal to that excess. Our operating results may be significantly impacted from both
the impairment and the underlying trends in the business that triggered the impairment. During the second quarter of fiscal
2023, in connection with the preparation of our quarterly consolidated financial statements, we identified and recognized a
goodwill impairment loss of $490.6 million related to goodwill that arose with respect to Dental segment acquired in the Cantel
acquisition.

ITEM 1B. UNRESOLVED STAFF COMMENTS

None.
ITEM 2.

PROPERTIES

The following discussion sets forth materially important properties of the Company and its subsidiaries as of March 31,
2023. The Company believes that its facilities are adequate for operations and are maintained in good condition. The Company
is confident that, if needed, it will be able to acquire additional facilities at commercially reasonable rates. In the following
discussion “International” is defined as all countries other than Ireland and the United States.

The Company’s principal executive office is located in Dublin, Ireland and its primary administrative offices are located in

Mentor, OH (U.S.).

The Company owns 54 and leases 17 contract sterilization locations, utilized in the Applied Sterilization Technologies
Segment. These locations are strategically located near Customer manufacturing and distribution sites and core distribution
corridors throughout the Americas, Europe and Asia.

The Company operates over 150 locations representing sales, administrative and operational locations in the U.S. and over

25 other countries, the majority of which are leased and support one or multiple business segments. Operational locations are
primarily comprised of service centers and distribution warehouses. Our locations are geographically spread to be in close
proximity to our Customers to ensure timely delivery of products and services.

The Company owns and leases several material manufacturing locations that support one or more of our segments, which

are disclosed in the following table:

24

Location

U.S./INTL*

Montgomery, AL

St. Louis, MO

Mentor, OH

Sharon Hill, PA

Franklin Park, IL

Point Richmond, CA

Clemmons, NC

Des Plaines, IL

Rush, NY

Chicago, IL

Conroe, TX

Plymouth, MN

Sharon, PA

Lawrenceville, GA

West Chicago, IL

Santa Fe Springs, CA

Phoenix, AZ

Stratford, CT

Fidenza, Italy

Pomezia, Italy

Tuttlingen, Germany

Ontario, Canada

Quebec City, Canada

Tuusula, Finland

Bordeaux, France

Leicester, England

Shanghai, China

Guadalupe, Mexico

Bishop Stortford, England

* International includes all countries other than Ireland and the U.S.
ITEM 3.

LEGAL PROCEEDINGS

U.S.

U.S.

U.S.

U.S.

U.S.

U.S.

U.S.

U.S.

U.S.

U.S.

U.S.

U.S.

U.S.

U.S.

U.S.

U.S.

U.S.

U.S.

INTL

INTL

INTL

INTL

INTL

INTL

INTL

INTL

INTL

INTL

INTL

Owned/Leased

Owned/Leased

Owned/Leased

Owned/Leased

Owned

Leased

Leased

Leased

Owned

Owned

Leased

Owned

Owned/Leased

Owned

Leased

Leased

Leased

Leased

Leased

Leased

Owned

Leased

Leased

Owned

Owned

Owned

Owned

Leased

Leased

Leased

Information regarding our legal proceedings is included in Item 7 of Part II, Management's Discussion and Analysis

("MD&A"), and Note 10 to our consolidated financial statements titled, "Commitments and Contingencies," and is incorporated
herein by reference thereto.
ITEM 4. MINE SAFETY DISCLOSURES

None.

25

PART II

ITEM 5. MARKET FOR REGISTRANT’S ORDINARY EQUITY, RELATED

SHAREHOLDER MATTERS AND ISSUER PURCHASES OF EQUITY
SECURITIES

Market Information. Our ordinary shares are traded on the New York Stock Exchange under the symbol “STE.”

Holders. As of March 31, 2023, there were approximately 403 holders of record of our ordinary shares.

Dividend Policy. The Company’s Board of Directors decides the timing and amount of any dividends we may pay. The Board
expects to be able to continue to pay cash dividends for the foreseeable future.

Purchases of Equity Securities by the Issuer and Affiliated Purchasers.

On May 7, 2019, our Board of Directors authorized a share repurchase program of approximately $79.0 million (net of
taxes, fees and commissions). On July 30, 2019, our Board of Directors approved an increase in the May 7, 2019 authorization
of an additional amount of $300.0 million (net of taxes, fees and commissions). This share repurchases program was suspended
on April 9, 2020 and the suspension was lifted effective February 10, 2022, enabling the Company to resume stock repurchases
pursuant to prior authorizations. As of March 31, 2023, there was approximately $13.9 million (net of taxes, fees and
commissions) of remaining availability under the Board authorized share repurchase program. The foregoing authorization was
terminated May 3, 2023 and replaced with a new $500.0 million (net of taxes, fees and commissions) share repurchase
program, which has no specified expiration date. We have not made any repurchases under the new share repurchase program
to date.

Under the authorization, the Company may repurchase its shares from time to time through open market purchases,

including 10b5-1 plans. Any share repurchases may be activated, suspended or discontinued at any time.

During fiscal 2023, we repurchased 1,563,983 of our ordinary shares for the aggregate amount of $295.0 million (net of

taxes, fees and commissions) pursuant to the authorizations.

During fiscal 2023, we obtained 79,169 of our ordinary shares in the aggregate amount of $13.5 million in connection with

share-based compensation award programs.

The following table presents information with respect to purchases STERIS made of its ordinary shares during the fourth

quarter of fiscal year 2023:

Total Number of
Shares Purchased

Average Price Paid
Per Share

Total Number of
Shares Purchased as
Part of Publicly
Announced Plans

Maximum Dollar Value
of Shares that May Yet
Be Purchased Under the
Plans at Period End
(dollars in thousands)

January 1-31
February 1-28
March 1-31

Total

$
122,400
$
230,200
436,063
$
788,663 (1) $

191.10
190.03
182.45
186.00 (1)

122,400
230,200
436,063

788,663

$

$

137,236
93,491
13,932

13,932

(1) Does not include 8 shares purchased during the quarter at an average price of $194.76 per share by the STERIS Corporation 401(k) Plan on

behalf of an executive officer of the Company who may be deemed to be an affiliated purchaser.

26

ITEM 6.

[RESERVED]

27

ITEM 7. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL

CONDITION AND RESULTS OF OPERATIONS

INTRODUCTION

In Management’s Discussion and Analysis (“MD&A”), we explain the general financial condition and the results of

operations for STERIS and its subsidiaries including:

•
•
•
•
•
•
•

what factors affect our business;
what our earnings and costs were;
why those earnings and costs were different from the year before;
where our earnings came from;
how this affects our overall financial condition;
what our expenditures for capital projects were; and
where cash is expected to come from to fund future debt principal repayments, growth outside of core operations,
repurchase ordinary shares, pay cash dividends and fund future working capital needs.

The MD&A also analyzes and explains the annual changes in the specific line items in the Consolidated Statements of

Income. As you read the MD&A, it may be helpful to refer to information in Item 1, "Business," Part I, Item 1A, "Risk
Factors," and Note 10 to our consolidated financial statements titled, "Commitments and Contingencies" for a discussion of
some of the matters that can adversely affect our business and results of operations. This information, discussion, and disclosure
may be important to you in making decisions about your investments in STERIS.

FINANCIAL MEASURES

In the following sections of the MD&A, we may, at times, refer to financial measures that are not required to be presented
in the consolidated financial statements under U.S. GAAP. We sometimes use the following financial measures in the context
of this report: backlog; debt-to-total capital; and days sales outstanding. We define these financial measures as follows:

•

•

•

Backlog – We define backlog as the amount of unfilled capital equipment purchase orders at a point in time. We use
this figure as a measure to assist in the projection of short-term financial results and inventory requirements.
Debt-to-total capital – We define debt-to-total capital as total debt divided by the sum of total debt and shareholders’
equity. We use this figure as a financial liquidity measure to gauge our ability to borrow and fund growth.
Days sales outstanding (“DSO”) – We define DSO as the average collection period for accounts receivable. It is
calculated as net accounts receivable divided by the trailing four quarters’ revenues, multiplied by 365 days. We use
this figure to help gauge the quality of accounts receivable and expected time to collect.

We, at times, may also refer to financial measures which are considered to be “non-GAAP financial measures” under SEC
rules. We have presented these financial measures because we believe that meaningful analysis of our financial performance is
enhanced by an understanding of certain additional factors underlying that performance. These financial measures should not be
considered an alternative to measures required by accounting principles generally accepted in the United States. Our
calculations of these measures may differ from calculations of similar measures used by other companies and you should be
careful when comparing these financial measures to those of other companies. Additional information regarding these financial
measures, including reconciliations of each non-GAAP financial measure, is available in the subsection of MD&A titled, "Non-
GAAP Financial Measures."

28

REVENUES– DEFINED

As required by Regulation S-X, we separately present revenues generated as either product revenues or service revenues on

our Consolidated Statements of Income for each period presented. When we discuss revenues, we may, at times, refer to
revenues summarized differently than the Regulation S-X requirements. The terminology, definitions, and applications of terms
that we use to describe revenues may be different from terms used by other companies. We use the following terms to describe
revenues:

•
•

•

•

•

Revenues – Our revenues are presented net of sales returns and allowances.
Product Revenues – We define product revenues as revenues generated from sales of consumable and capital
equipment products.
Service Revenues – We define service revenues as revenues generated from parts and labor associated with the
maintenance, repair, and installation of our capital equipment. Service revenues also include outsourced reprocessing
services and instrument and scope repairs, as well as revenues generated from contract sterilization and laboratory
services offered through our Applied Sterilization Technologies segment.
Capital Equipment Revenues – We define capital equipment revenues as revenues generated from sales of capital
equipment, which includes: steam and gas sterilizers, low temperature liquid chemical sterilant processing systems,
pure steam/water systems, surgical lights and tables, and integrated OR.

• Consumable Revenues – We define consumable revenues as revenues generated from sales of the consumable family

of products, which includes dedicated consumables including V-PRO, SYSTEM 1 and 1E consumables,
gastrointestinal endoscopy accessories, sterility assurance products, barrier protection solutions, cleaning consumables,
dental and surgical instruments.
Recurring Revenues – We define recurring revenues as revenues generated from sales of consumable products and
service revenues.

GENERAL OVERVIEW AND EXECUTIVE SUMMARY

STERIS is a leading global provider of products and services that support patient care with an emphasis on infection
prevention. WE HELP OUR CUSTOMERS CREATE A HEALTHIER AND SAFER WORLD by providing innovative
healthcare, life sciences and dental products and services. We offer our Customers a unique mix of innovative consumable
products, such as detergents, endoscopy accessories, barrier products, and other products and services, including: equipment
installation and maintenance, microbial reduction of medical devices, dental instruments and tools, instrument and scope repair,
laboratory testing services, outsourced reprocessing, and capital equipment products, such as sterilizers and surgical tables,
automated endoscope reprocessors, and connectivity solutions such as operating room (“OR”) integration.

We operate and report our financial information in four reportable business segments: Healthcare, Applied Sterilization
Technologies, Life Sciences and Dental. Non-allocated operating costs that support the entire Company and items not indicative
of operating trends are excluded from segment operating income. We describe our business segments in Note 11 to our
consolidated financial statements titled, "Business Segment Information."

The bulk of our revenues are derived from the healthcare and pharmaceutical industries. Much of the growth in these
industries is driven by the aging of the population throughout the world, as an increasing number of individuals are entering
their prime healthcare consumption years, and is dependent upon advancement in healthcare delivery, acceptance of new
technologies, government policies, and general economic conditions. The pharmaceutical industry has been impacted by
increased regulatory scrutiny of cleaning and validation processes, mandating that manufacturers improve their processes.
Within healthcare, there is increased concern regarding the level of hospital acquired infections around the world; increased
demand for medical procedures, including preventive screenings such as endoscopies and colonoscopies; and a desire by our
Customers to operate more efficiently, all which are driving increased demand for many of our products and services.

Acquisitions. During fiscal 2023, we completed several tuck-in acquisitions which expanded our product and service offerings
in the Applied Sterilization Technologies and Healthcare segments. Total aggregate consideration was approximately $49.8
million, including potential contingent consideration of $7.3 million.

On June 2, 2021, we acquired all outstanding equity interests in Cantel Medical LLC ("Cantel") through a U.S. subsidiary.

Cantel, formerly headquartered in Little Falls, New Jersey, with approximately 3,700 employees, is a global provider of
infection prevention products and services primarily to endoscopy and dental Customers. The total consideration for Cantel
Common Stock and stock equivalents was $3.6 billion.

We believe that the acquisition will strengthen STERIS’s leadership in infection prevention by bringing together two

complementary businesses able to offer a broader set of Customers a more diversified selection of infection prevention,
endoscopy and sterilization products and services. Cantel’s Dental business extended our business into a new Customer
segment where there is an increasing focus on infection prevention protocols and processes. This business is reported as the
Dental segment. The rest of Cantel was integrated into our existing Healthcare and Life Sciences segments. Additionally, the
acquisition is expected to result in cost savings from optimizing global back-office infrastructure, leveraging best-demonstrated
practices across locations and eliminating redundant public company costs.

29

The results of Cantel are only reflected in the results of operations and cash flows from June 2, 2021 forward, which will

affect results of comparability to the prior period operations and cash flows.

In addition to the acquisition of Cantel, we completed three other tuck-in acquisitions during fiscal 2022, which continued
to expand our product and service offerings in the Healthcare segment. Total aggregate consideration for these transactions was
approximately $3.1 million, net of cash acquired and including deferred consideration of $0.1 million.
Divestitures. In April 2022, we entered into an Asset Purchase Agreement to sell certain assets of our Animal Health business
to Veterinary Orthopedic Implants, LLC. We recorded net proceeds of $5.2 million and recognized a pre-tax loss on the sale of
$4.9 million in the Selling, general, and administrative expenses line of the Consolidated Statements of Income. The business
generated annual revenues of approximately $12.0 million.

In December 2021, we entered into an Asset Purchase Agreement to sell our Renal Care business to Evoqua Water

Technologies Corp. for cash consideration of approximately $196.0 million, subject to certain potential adjustments, including a
customary working capital adjustment and contingent consideration of $12.3 million. We recognized a gain on the sale of $4.9
million. The transaction closed on January 3, 2022. We acquired the Renal Care business as part of the Cantel transaction,
which closed on June 2, 2021, and had been integrated into STERIS's Healthcare segment. The Renal Care business generated
annual revenues of approximately $180.0 million. The proceeds from the sale received at closing were used to repay
outstanding debt. During the third quarter of fiscal 2023, we received an additional $1.4 million in working capital settlements
related to the sale of this business.

For more information regarding our recent acquisitions and divestitures, see Note 2 to our consolidated financial

statements titled, "Business Acquisitions and Divestitures."

Highlights. Revenues increased $372.8 million, or 8.1%, to $4,957.8 million for the year ended March 31, 2023, as compared
to $4,585.1 million for the year ended March 31, 2022. These increases reflect growth in the Healthcare, Applied Sterilization
Technologies, Life Sciences, and Dental segments, partially offset by unfavorable fluctuations in currencies and divestiture
activities.

Our gross profit percentage decreased to 43.6% for fiscal 2023 as compared to 44.0% for fiscal 2022. Unfavorable impacts
from inflation and productivity were partially offset by favorable impacts from pricing, mix, divestiture activity and fluctuations
in currency.

Fiscal 2023 operating income decreased 37.0% to $268.2 million, as compared to fiscal 2022 operating income of $425.6

million. This decline was primarily due to a one time goodwill impairment charge of $490.6 million offset by a decrease in
acquisition and integration expenses, which were primarily related to our acquisition of Cantel, as well as an increase in
amortization of purchased intangible assets.

Cash flows from operations were $756.9 million and free cash flow was $409.6 million in fiscal 2023 compared to cash
flows from operations of $684.8 million and free cash flow of $399.0 million in fiscal 2022 (see subsection of MD&A titled,
"Non-GAAP Financial Measures" for additional information and related reconciliation of cash flows from operations to free
cash flow). The fiscal 2023 increase in cash flows from operations was primarily from lower costs associated with the
acquisition and integration of Cantel, partially offset by higher working capital, particularly inventory and accounts receivable.
The increase in free cash flow was limited by increased capital spending.

Our debt-to-total capital ratio was 33.6% at March 31, 2023. During the year, we increased our quarterly dividend for the

seventeenth consecutive year to $0.47 per share per quarter.

Outlook. In fiscal 2024 and beyond, we expect to manage our costs, grow our business with internal product and service
development, invest in greater capacity, and augment these value creating methods with potential acquisitions of additional
products and services. We anticipate continued supply chain and inflation pressures in fiscal 2024. Please refer to "Information
With Respect to Our Business In General" in Item 1."Business" to this Annual Report on Form 10-K.

30

NON-GAAP FINANCIAL MEASURES

We, at times, refer to financial measures which are considered to be “non-GAAP financial measures” under SEC rules. We,

at times, also refer to our results of operations excluding certain transactions or amounts that are non-recurring or are not
indicative of future results, in order to provide meaningful comparisons between the periods presented.

These non-GAAP financial measures are not intended to be, and should not be, considered separately from or as an

alternative to the most directly comparable GAAP financial measures.

These non-GAAP financial measures are presented with the intent of providing greater transparency to supplemental
financial information used by management and the Board of Directors in their financial analysis and operational decision-
making. These amounts are disclosed so that the reader has the same financial data that management uses with the belief that it
will assist investors and other readers in making comparisons to our historical operating results and analyzing the underlying
performance of our operations for the periods presented.

We believe that the presentation of these non-GAAP financial measures, when considered along with our GAAP financial

measures and the reconciliation to the corresponding GAAP financial measures, provides the reader with a more complete
understanding of the factors and trends affecting our business than could be obtained absent this disclosure. It is important for
the reader to note that the non-GAAP financial measures used may be calculated differently from, and therefore may not be
comparable to, similarly titled measures used by other companies.

We define free cash flow as net cash provided by operating activities as presented in the Consolidated Statements of Cash

Flows less purchases of property, plant, equipment, and intangibles (capital expenditures) plus proceeds from the sale of
property, plant, equipment, and intangibles, which are also presented within investing activities in the Consolidated Statements
of Cash Flows. We use this as a measure to gauge our ability to pay cash dividends, fund growth outside of core operations,
fund future debt principal repayments, and repurchase shares.

The following table summarizes the calculation of our free cash flow for the years ended March 31, 2023 and 2022:

(dollars in thousands)
Net cash provided by operating activities
Purchases of property, plant, equipment and intangibles, net
Proceeds from the sale of property, plant, equipment and intangibles
Free cash flow

RESULTS OF OPERATIONS

Years Ended March 31,
2022
2023

$

$

756,947
(361,969)
14,587
409,565

$

$

684,811
(287,563)
1,741
398,989

In the following subsections, we discuss our performance and the factors affecting it. We begin with a general overview of

our operating results and then separately discuss earnings for our operating segments.

The discussion of and factors affecting our performance for the year ended March 31, 2022 compared to the fiscal year
ended March 31, 2021 is included in Item 7. Management's Discussion and Analysis of Financial Condition and Results of
Operations in Part II of our Annual Report on Form 10-K for the year ended March 31, 2022.

31

FISCAL 2023 AS COMPARED TO FISCAL 2022

Revenues. The following table compares our revenues, in total and by type and geography, for the year ended March 31, 2023
to the year ended March 31, 2022:

(dollars in thousands)
Total revenues

Revenues by type:

Service revenues

Consumable revenues

Capital equipment revenues

Revenues by geography:

Ireland revenues

United States revenues
Other foreign revenues

Years Ended March 31,

2023
4,957,839

$

2022
4,585,064

$

Change

Percent

Change

$

372,775

8.1 %

2,172,512

1,714,857

1,070,470

2,028,783

1,607,101

949,180

143,729

107,756

121,290

74,463

3,586,486
1,296,890

82,011

3,228,864
1,274,189

(7,548)

357,622
22,701

7.1 %

6.7 %

12.8 %

(9.2)%

11.1 %
1.8 %

Revenues increased $372.8 million, or 8.1%, to $4,957.8 million for the year ended March 31, 2023, as compared to

$4,585.1 million for the year ended March 31, 2022. These increases reflect added volume in the Healthcare, Applied
Sterilization Technologies, and Life Sciences segments and the benefits of a full year of Cantel activity and price increases in
all segments. These positives were partially offset by unfavorable fluctuations in currencies and divestiture activities.

Service revenues for fiscal 2023 increased $143.7 million, or 7.1% over fiscal 2022, reflecting growth in the Healthcare,

Life Sciences and Applied Sterilization Technologies business segments. Consumable revenues for fiscal 2023 increased
$107.8 million, or 6.7%, over fiscal 2022, reflecting growth in the Healthcare and Life Sciences segments and the benefit of a
full year of Cantel activity. Capital equipment revenues for fiscal 2023 increased by $121.3 million, or 12.8%, over fiscal 2022,
driven by organic growth in the Healthcare and Life Sciences segments.

Ireland revenues for fiscal 2023 were $74.5 million, representing a decline of $7.5 million, or 9.2%, as compared to fiscal

2022 revenues of $82.0 million, reflecting declines in service and consumable revenues.

United States revenues for fiscal 2023 were $3,586.5 million, representing an increase of $357.6 million, or 11.1%, over

fiscal 2022 revenues of $3,228.9 million, reflecting growth in service and capital equipment revenues.

Revenues from other foreign locations for fiscal 2023 were $1,296.9 million, representing an increase of $22.7 million, or

1.8% over the fiscal 2022 revenues of $1,274.2 million. The increase reflects growth within the EMEA, Canada, and Latin
American regions, which was partially offset by declines in the Asia Pacific region.

Gross Profit. The following table compares our gross profit for the year ended March 31, 2023 to the year ended March 31,
2022:

(dollars in thousands)
Gross profit:
Product
Service
Total gross profit
Gross profit percentage:

Product
Service

Total gross profit percentage

Years Ended March 31,
2022
2023

Change

Percent
Change

$ 1,271,357
888,335
$ 2,159,692

$ 1,136,356
880,006
$ 2,016,362

$

$

135,001
8,329
143,330

11.9 %
0.9 %
7.1 %

45.6 %
40.9 %
43.6 %

44.5 %
43.4 %
44.0 %

Our gross profit is affected by the volume, pricing and mix of sales of our products and services, as well as the costs
associated with the products and services that are sold. Our gross profit percentage decreased to 43.6% for fiscal 2023 as
compared to 44.0% for fiscal 2022. Unfavorable impacts from inflation (330 basis points) and productivity (50 basis points)
were partially offset by favorable impacts from pricing (150 basis points), mix and other adjustments (130 basis points),
divestiture activity (40 basis points), and fluctuations in currency (20 basis points).

32

Operating Expenses. The following table compares our operating expenses for the year ended March 31, 2023 to the year
ended March 31, 2022:

(dollars in thousands)
Operating expenses:

Selling, general, and administrative
Goodwill impairment loss
Research and development
Restructuring expenses

Total operating expenses

NM - Not meaningful

Years Ended March 31,
2022
2023

Change

Percent
Change

$

$

1,298,876
490,565
101,581

485
1,891,507

$

$

1,502,752
—
87,944

48
1,590,744

$ (203,876)
490,565
13,637

437
300,763

$

(13.6)%
NM
15.5 %

910.4 %
18.9 %

Selling, General, and Administrative Expenses. Significant components of total Selling, general, and administrative expenses
(“SG&A”) are compensation and benefit costs, fees for professional services, travel and entertainment, facilities costs, gains or
losses from divestitures, and other general and administrative expenses. SG&A decreased 13.6% in fiscal 2023, as compared to
fiscal 2022. The fiscal 2023 reduction reflects lower spending for acquisition and integration expenses, which were primarily
related to our acquisition of Cantel, and a decline in incentive compensation plan expense.

Goodwill Impairment Loss. A goodwill impairment loss of $490.6 million was recorded during the second quarter of fiscal
2023 as the result of an assessment of the fair value of the Dental segment made in connection with the preparation of our
quarterly consolidated financial statements. For more information regarding our goodwill impairment loss, see Note 3 to our
consolidated financial statements titled, "Goodwill and Intangible Assets."

Research and Development. Research and development expenses increased $13.6 million in fiscal 2023 over fiscal 2022,
primarily due to the addition of Cantel and other recent acquisitions. Research and development 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. During fiscal 2023, our investments in research and development have continued to be
focused on, but were not limited to, enhancing capabilities of sterile processing combination technologies, procedural products
and accessories, and devices and support accessories used in gastrointestinal endoscopy procedures.

Non-Operating Expenses, Net. Non-operating expenses, net consists of interest expense on debt, offset by interest earned on
cash, cash equivalents, short-term investment balances, a fair value adjustment related to convertible debt, and other
miscellaneous expense (income). The following table compares our net non-operating expenses, net for the year ended
March 31, 2023 to the year ended March 31, 2022:

(dollars in thousands)
Non-operating expenses, net:
Interest expense
Fair value adjustment related to convertible debt, premium liability
Interest and miscellaneous expense (income)

Non-operating expenses, net

Years Ended March 31,
2022
2023

Change

$

$

107,989

$

89,593

$

18,396

—
2,848
110,837

$

27,806
(6,284)
111,115

$

(27,806)
9,132
(278)

Interest expense increased $18.4 million during fiscal 2023 over fiscal 2022, primarily due to higher interest rates on

floating rate debt.

During fiscal 2022, we recorded fair value adjustments of $27.8 million, based on appreciation in our share price related to

premium liability associated with the convertible debt assumed in the acquisition of Cantel.

Additional information regarding our outstanding debt and Cantel convertible debt is included in Note 6 to our consolidated

financial statements titled, "Debt," and in the subsection of this MD&A titled, "Liquidity and Capital Resources."

Interest and miscellaneous expense (income) decreased $9.1 million during fiscal 2023, as compared to 2022, primarily due
to losses recognized as a result of mark to market adjustments of our equity investments. Additional information regarding our
mark to market adjustments of our equity investments is included in Note 17 to our consolidated financial statements titled,
"Fair Value Measurements."

33

Income Tax Expense. The following table compares our tax expense and effective income tax rates for the years ended

March 31, 2023 and March 31, 2022:

(dollars in thousands)

Income tax expense
Effective income tax rate

Years Ended March 31,
2022
2023

Change

Percent
Change

$

51,535

$

71,633

$

(20,098)

(28.1)%

32.8 %

22.8 %

The effective income tax rate for fiscal 2023 was 32.8% when compared to 22.8% for fiscal 2022. The fiscal 2023

effective tax rate increased when compared to 2022, primarily due to the tax impact of the goodwill impairment loss recognized
on the Dental segment during the second quarter of fiscal 2023. The fiscal 2023 effective tax rate was also favorably impacted
by changes in U.S. state and local tax rates applied to existing deferred tax assets and liabilities.

Business Segment Results of Operations.

We operate and report our financial information in four reportable business segments: Healthcare, Applied Sterilization
Technologies, Life Sciences and Dental. Non-allocated operating costs that support the entire Company and items not indicative
of operating trends are excluded from segment operating income.

Our Healthcare segment provides a comprehensive offering for healthcare providers worldwide, focused on sterile

processing departments and procedural centers, such as operating rooms and endoscopy suites. Our products and services range
from infection prevention consumables and capital equipment, as well as services to maintain that equipment; to the repair of
re-usable procedural instruments; to outsourced instrument reprocessing services. In addition, our procedural solutions also
include endoscopy accessories and capital equipment infrastructure used primarily in operating rooms, ambulatory surgery
centers, endoscopy suites, and other procedural areas.

Our Applied Sterilization Technologies ("AST") segment is a third-party service provider for contract sterilization, as well
as testing services needed to validate sterility services for medical device and pharmaceutical manufacturers. Our technology-
neutral offering supports Customers every step of the way, from testing through sterilization.

Our Life Sciences segment provides a comprehensive offering of products and services that support pharmaceutical
manufacturing, primarily for vaccine and other biopharma Customers focused on aseptic manufacturing. These solutions
include a full suite of consumable products, equipment maintenance and specialty services, and capital equipment.

Our Dental segment provides a comprehensive offering for dental practitioners and dental schools, offering instruments,

infection prevention consumables and instrument management systems.

We disclose a measure of segment income that is consistent with the way management operates and views the business.
The accounting policies for reportable segments are the same as those for the consolidated Company. Certain prior period costs
were reallocated from the Healthcare segment to Corporate to conform with current year presentation. The prior period
segment operating income measure has been recast for comparability.

For more information regarding our segments please refer to Note 11 to our consolidated financial statements titled,

"Business Segment Information," and Item 1, "Business."

The following table compares business segment revenues as well as impacts from acquisitions, divestitures, and foreign

currency movements for the year ended March 31, 2023 to the year ended March 31, 2022.

Years ended March 31,

As reported, GAAP

Impact of
Acquisitions

Impact of
Divestitures

Impact of
Foreign
Currency
Movements

GAAP
Growth

Organic
Growth

Constant
Currency
Organic
Growth

2023

2022

2023

2022

2023

2023

2023

2023

Segment revenues:

Healthcare

Applied Sterilization Technologies

Life Sciences

Dental

Total

$ 3,085,131

$ 2,845,467

$

98,400

$

(101,631) $

(52,416)

914,431

536,704

421,573

852,972

524,964

361,661

—

2,800

65,009

—

(5,502)

—

(37,750)

(12,842)

(6,442)

$ 4,957,839

$ 4,585,064

$

166,209

$

(107,133) $

(109,450)

8.4 %

7.2 %

2.2 %

16.6 %

8.1 %

8.9 %

7.2 %

2.8 %

(1.4)%

7.0 %

10.8 %

11.6 %

5.3 %

0.4 %

9.4 %

Healthcare revenues increased 8.4% in fiscal 2023, as compared to fiscal 2022, reflecting growth in capital equipment,
service, and consumable revenues of 14.6%, 7.5%, and 4.6% respectively. This increase reflects increased volume and pricing,

34

partially offset by unfavorable fluctuations in currencies. The Healthcare segment’s backlog at March 31, 2023 amounted to
$494.7 million. Excluding Cantel, the Healthcare segment's backlog at March 31, 2022 was $423.6 million. In addition to the
added volume from Cantel, the increase is primarily due to built up demand and supply chain disruptions.

AST revenues increased 7.2% in fiscal 2023, as compared to fiscal 2022. The increase was primarily due to increases in

volume and pricing, partially offset by unfavorable fluctuations in currencies.

Life Sciences revenues increased 2.2% in fiscal 2023, as compared to fiscal 2022 reflecting growth in capital equipment,

service, and consumable revenues of 3.6%, 3.4%, and 0.7% respectively. This increase was driven by increased volume and
pricing, partially offset by divestiture activity and unfavorable fluctuations in currency. The Life Sciences backlog at March 31,
2023 and 2022 amounted to $104.9 million and $104.7 million, respectively.

Dental segment revenues increased 16.6% to $421.6 million in fiscal 2023, as compared to $361.7 million from the Cantel

acquisition date of June 2, 2021 through March 31, 2022. The increase was driven primarily by the timing of the Cantel
acquisition.

The following table compares business segment and Corporate operating income for the year ended March 31, 2023 to the

year ended March 31, 2022

(dollars in thousands)
Operating income (loss):

Healthcare
Applied Sterilization Technologies
Life Sciences
Dental
Corporate

Total operating income before adjustments
Less: Adjustments
Amortization of acquired intangible assets (1)
Acquisition and integration related charges (2)
Tax restructuring costs (3)
Gain on fair value adjustment of acquisition related contingent
consideration (1)
Net gain on divestiture of businesses (1)
Amortization of inventory and property "step up" to fair value (1)

Restructuring charges
Goodwill impairment loss (4)
Total operating income

Years ended March 31,
2022
2023

Change

Percent
Change

706,020
429,020
210,225
89,527
(264,791)
1,170,001

$

$

649,704
410,101
216,188
84,441
(283,665)
1,076,769

$

56,316
18,919
(5,963)
5,086
18,874
93,232

8.7 %
4.6 %
(2.8)%
6.0 %
(6.7)%
8.7 %

376,822

24,196

661

(3,100)

(67)

12,254

485

366,434

205,788

301

(2,350)

(874)

81,804

48

490,565
268,185

$

$

—
425,618

(1) For more information regarding our recent acquisitions and divestitures, refer to Note 2 to our consolidated financial statements titled, "Business Acquisitions

and Divestitures."

(2) Acquisition and integration related charges include transaction costs and integration expenses associated with acquisitions.
(3) Costs incurred in connection with the Redomiciliation and subsequent tax restructuring.
(4) For more information regarding our goodwill impairment loss, refer to Note 3 to our consolidated financial statements titled, "Goodwill and Intangible
Assets."

The Healthcare segment’s operating income increased $56.3 million to $706.0 million in fiscal year 2023, as compared to

$649.7 million in fiscal year 2022, due to higher volumes as well as the favorable impact from pricing. The segment's operating
margins were 22.9% for fiscal year 2023 and 22.8% for fiscal year 2022. The increase in operating margin is primarily due to
the benefits of higher volume and pricing which more than offset increased material costs.

The AST segment’s operating income increased $18.9 million to $429.0 million in fiscal year 2023, as compared to $410.1

million in fiscal year 2022. The AST segment's operating margins were 46.9% for fiscal year 2023 and 48.1% for fiscal year
2022. The increase in segment operating income is primarily due to increased volume. Operating margins declined as higher
labor and energy costs more than offset the benefit of increased volume.

35

The Life Sciences business segment’s operating income decreased $6.0 million to $210.2 million in fiscal year 2023, as

compared to $216.2 million in fiscal year 2022. The segment’s operating margins were 39.2% for fiscal year 2023 and 41.2%
for fiscal year 2022. The decreases in segment operating income and operating margin were primarily due to a reduction in
productivity as well as supply chain and inflationary cost increases partially offset by the benefits of increases in pricing and
volume.

The Dental business segment's operating income increased $5.1 million to $89.5 million in fiscal year 2023 as compared to

$84.4 million in fiscal year 2022. The segment's operating margins were 21.2% for fiscal year 2023 and 23.3% for fiscal year
2022. The Dental segment's increase in operating income is primarily due to an increase in pricing. Operating margins declined
as a reduction in productivity and increased supply chain and labor costs more than offset the benefit of pricing.

LIQUIDITY AND CAPITAL RESOURCES

The following table summarizes significant components of our cash flows for the years ended March 31, 2023 and 2022:

(dollars in thousands)
Net cash provided by operating activities

Net cash used in investing activities

Net cash (used in) provided by financing activities
Debt-to-total capital ratio

Free cash flow

Years Ended March 31,
2022
2023

$

756,947

$

684,811

(383,330)

(498,718)

(666,559)

115,830

33.6 %

32.1 %

$

409,565

$

398,989

Net Cash Provided By Operating Activities – The net cash provided by our operating activities was $756.9 million for the

year ended March 31, 2023, compared to $684.8 million for the year ended March 31, 2022. Net cash provided by operating
activities increased in fiscal 2023 by 10.5% over fiscal 2022, largely due to lower costs associated with the acquisition and
integration of Cantel in the fiscal 2023 period, partially offset by higher working capital, particularly inventory and accounts
receivable.

Net Cash Used In Investing Activities – The net cash used in our investing activities was $383.3 million for the year
ended March 31, 2023, compared to $666.6 million for the year ended March 31, 2022. The following discussion summarizes
the significant changes in our investing cash flows for the years ended March 31, 2023 and 2022:

•

•

•

•

Purchases of property, plant, equipment, and intangibles, net – Capital expenditures totaled $362.0 million and $287.6
million for fiscal 2023 and 2022, respectively. The fiscal 2023 increase was primarily due to additional expenditures in our
AST segment.

Proceeds from the sale of property, plant, equipment and intangibles – During fiscal 2023 and 2022 we received $14.6
million and $1.7 million, respectively, for proceeds from the sale of property, plant, equipment and intangibles. The fiscal
2023 increase was primarily due to the sale of a facility previously used by the Dental segment.

Proceeds from the sale of business – During fiscal 2023 and 2022, we received $6.6 million and $169.7 million,
respectively, for proceeds from the sale of certain non-core businesses. For more information, refer to Note 2 to our
consolidated financial statements titled, "Business Acquisitions and Divestitures."

Acquisition of businesses, net of cash acquired – During fiscal 2023 and 2022, we used $42.6 million and $550.4 million,
respectively, for acquisitions. For more information on these acquisitions refer to Note 2 to our consolidated financial
statements titled, "Business Acquisitions and Divestitures."

Net Cash Provided By/Used In Financing Activities – Net cash used in financing activities was $498.7 million for the year

ended March 31, 2023, compared to net cash provided by financing activities of $115.8 million for the year ended March 31,
2022. The following discussion summarizes the significant changes in our financing cash flows for the years ended March 31,
2023 and 2022:

•

•

•

Proceeds from issuance of senior notes – During fiscal 2022, we received $1,350.0 million in proceeds from the issuance of
our Senior Public Notes. For more information on our Senior Public Notes, refer to Note 6 to our consolidated financial
statements titled, "Debt."

Proceeds from term loan – During fiscal 2022, we borrowed $650.0 million under our Delayed Draw Term Loan. For
more information on our term loans, refer to Note 6 to our consolidated financial statements titled, "Debt."

Payments on term loans – During fiscal 2023, we repaid $156.9 million of our Term Loans. During fiscal 2022, we repaid
$345.0 million of our Term Loans. For more information on our term loans, refer to Note 6 to our consolidated financial
statements titled, "Debt."

36

•

•

•

•

•

•

•

•

•

Payments on long-term obligations – During fiscal 2023, we repaid $91.0 million of Private Placement Senior Notes. For
more information on our Private Placement Senior Notes, refer to Note 6 to our consolidated financial statements titled,
"Debt." During fiscal 2022, we repaid $721.3 million of Cantel's outstanding debt in connection with the acquisition. For
more information on Cantel's debt, refer to Note 2 to our consolidated financial statements titled, "Business Acquisitions
and Divestitures."

Payments on convertible debt obligations – During fiscal 2022, we paid $371.4 million to settle obligations associated
with Cantel's convertible debt assumed at the time of acquisition. For more information on Cantel's debt, refer to Note 6 to
our consolidated financial statements titled, "Debt."

Proceeds/Payments under credit facilities, net – Net proceeds received under credit facilities totaled $241.7 million for
fiscal 2023, compared to net payments under credit facilities of $190.2 million for fiscal 2022. At the end of fiscal 2023,
$301.7 million of debt was outstanding under our bank credit facility, compared to $58.9 million of debt outstanding under
this facility at the end of fiscal 2022. We provide additional information about our bank credit facility in Note 6 to our
consolidated financial statements titled, "Debt."

Deferred financing fees and debt issuance costs – During fiscal 2022, we paid $17.5 million for financing fees and debt
issuance costs primarily related to our Senior Public Notes and Delayed Draw Term Loan. For more information on our
debt, refer to Note 6 to our consolidated financial statements titled, "Debt."

Repurchases of ordinary shares – During fiscal 2023, we obtained 79,169 of our ordinary shares in connection with share-
based compensation award programs in the aggregate amount of $13.5 million. During fiscal 2023, we also purchased
1,563,983 of our ordinary shares in the aggregate amount of $295.0 million through our share repurchase program. Due to
the uncertainty surrounding the COVID-19 pandemic, share repurchases were suspended on April 9, 2020. The suspension
was lifted effective February 10, 2022, enabling the Company to resume stock repurchases pursuant to the prior
authorizations. From February 14, 2022, through March 31, 2022, we repurchased 108,368 of our ordinary shares for the
aggregate amount of $25.0 million pursuant to the authorizations. We also obtained 244,395 of our ordinary shares in the
aggregate amount of $30.8 million in connection with share-based compensation award programs. We provide additional
information about our share repurchases in Note 13 to our consolidated financial statements titled, "Repurchases of
Ordinary Shares."

Acquisition related deferred or contingent consideration – During fiscal 2023, we paid $1.5 million in acquisition related
deferred and contingent consideration. During fiscal 2022, we paid $32.7 million in acquisition related deferred and
contingent consideration, the majority of which was associated with a pre-acquisition arrangement related to an acquisition
made by Cantel prior to our purchase of the company. For more information, refer to Note 2 to our consolidated financial
statements titled, "Business Acquisitions and Divestitures."

Cash dividends paid to ordinary shareholders – During fiscal 2023, we paid cash dividends totaling $183.5 million or $1.84
per outstanding share. During fiscal 2022, we paid cash dividends totaling $163.2 million or $1.69 per outstanding share.

Transactions with noncontrolling interest holders – During fiscal 2023, we paid $0.8 million in distributions to
noncontrolling interest holders. During fiscal 2022, we received contributions from noncontrolling interest holders of $3.7
million and paid $1.0 million in distributions to noncontrolling interest holders.

Stock option and other equity transactions, net – We generally receive cash for issuing shares upon the exercise of options
under our employee stock option program. During fiscal 2023 and fiscal 2022, we received cash proceeds totaling $1.8
million and $10.1 million, respectively, under these programs.

Cash Flow Measures. The net cash provided by our operating activities was $756.9 million in fiscal 2023 compared to
$684.8 million in fiscal 2022. Free cash flow was $409.6 million in fiscal 2023, compared to $399.0 million in fiscal 2022 (see
subsection above titled "Non-GAAP Financial Measures" for additional information and related reconciliation of cash flows
from operations to free cash flow). The fiscal 2023 increase in free cash flow was primarily due to lower costs associated with
the acquisition and integration of Cantel, partially offset by higher working capital, particularly inventory and accounts
receivable, as well as increased capital spending.

Our debt-to-total capital ratio was 33.6% at March 31, 2023 and 32.1% at March 31, 2022.

37

Sources of Credit. Our sources of credit as of March 31, 2023 are summarized in the following table:

(dollars in thousands)

Sources of Credit

Private Placement Senior Notes

Term Loan

Delayed Draw Term Loan
Revolving Credit Agreement (1)
Senior Public Notes
Total Sources of Credit

Maximum
Amounts
Available

Reductions in
Available Credit
Facility for Other
Financial
Instruments

March 31, 2023
Amounts
Outstanding

March 31, 2023
Amounts
Available

$

$

750,302

72,500

625,625
1,250,000

1,350,000
4,048,427

$

— $

750,302

$

—

—
9,942

—
9,942

72,500

625,625
301,672

1,350,000
3,100,099

$

$

—

—

—
938,386

—
938,386

(1) At March 31, 2023, there were $9.9 million of letters of credit outstanding under the Credit Agreement.

Our sources of funding from credit as of March 31, 2023 are summarized below:

•

•

•

•

•

On March 19, 2021, STERIS plc ("the Company"), STERIS Corporation, STERIS Limited (“Limited”), and STERIS Irish
FinCo Unlimited Company ("FinCo", "STERIS Irish FinCo"), each as a borrower and guarantor, entered into a credit
agreement with various financial institutions as lenders, and JPMorgan Chase Bank, N.A., as administrative agent (the
“Revolving Credit Agreement”) providing for a $1,250.0 million revolving credit facility (the “Revolver”), which replaced
a prior revolving credit agreement.

The Revolver provides for revolving credit borrowings, swing line borrowings and letters of credit, with sublimits for
swing line borrowings and letters of credit. The Revolver may be increased in specified circumstances by up to
$625.0 million at the discretion of the lenders. The Revolver matures on the date that is five years after March 19, 2021,
and all unpaid borrowings, together with accrued and unpaid interest thereon, are repayable on that date. The Revolver
bears interest from time to time, at either the Base Rate, the applicable Relevant Rate, or the applicable Adjusted Daily
Simple RFR, as defined in and calculated under and as in effect from time to time under the Revolving Credit Agreement,
plus the Applicable Margin, as defined in the Revolving Credit Agreement. The Applicable Margin is determined based on
the Debt Rating of STERIS, as defined in the Credit Agreement. Interest on Base Rate Advances is payable quarterly in
arrears, interest on Term Benchmark Advances is payable at the end of the relevant interest period therefor, but in no event
less frequently than every three months, and interest on RFR Advances is payable monthly after the date of borrowing.
Swingline borrowings bear interest at a rate to be agreed upon by the applicable swingline lender and the applicable
borrower, subject to a cap in the case of swingline borrowings denominated in U.S. Dollars equal to the Base Rate plus the
Applicable Margin for Base Rate Advances plus the Facility Fee. Advances may be extended in U.S. Dollars or in specified
alternative currencies. In connection with the cessation of British Pound Sterling LIBOR and Swiss Franc LIBOR as of
December 31, 2021, JPMorgan Chase Bank, N.A. as administrative agent, pursuant to authority contained in the Revolver,
amended the Revolver on January 1, 2022 to make Benchmark Replacement Conforming Changes (as defined in the
Revolver). The amendment concerns technical, administrative or operational changes related to borrowings in British
Pounds Sterling and Swiss Francs.

On March 19, 2021, the Company, STERIS Corporation, Limited, and FinCo, each as a borrower and guarantor, entered
into a term loan agreement with various financial institutions as lenders, and JPMorgan Chase Bank, N.A., as
administrative agent (the “Term Loan Agreement”) providing for a $550.0 million term loan facility (the “Term Loan”),
which replaced an existing term loan agreement, dated as of November 18, 2020 (the “Existing Term Loan Agreement”).
The proceeds of the Term Loan were used to refinance the Existing Term Loan Agreement.

The Term Loan matures on the date that is five years after March 19, 2021 (the “Term Loan Closing Date”). No principal
payments are due on the Term Loan for the period beginning from the first full fiscal quarter ended after the Term Loan
Closing Date to and including the fourth full fiscal quarter ended after the Term Loan Closing Date. For the period
beginning from the fifth full fiscal quarter ended after the Term Loan Closing Date to and including the twelfth full fiscal
quarter ended after the Term Loan Closing Date, quarterly principal payments, each in the amount of 1.25% of the original
principal amount of the Term Loan, are due on the last business day of each fiscal quarter. For the period beginning from
the thirteenth full fiscal quarter ended after the Term Loan Closing Date through the maturity of the loan, quarterly
principal payments, each in the amount of 1.875% of the original principal amount of the Term Loan, are due on the last
business day of each fiscal quarter. The remaining unpaid principal is due and payable on the maturity date.

The Term Loan bears interest from time to time, at either the Base Rate or the Adjusted Term SOFR Rate, as defined in
and calculated under and as in effect from time to time under the Term Loan Agreement, plus the Applicable Margin, as
defined in the Term Loan Agreement. The Applicable Margin is determined based on the Debt Rating of STERIS, as
defined in the Term Loan Agreement. Interest on Base Rate Advances is payable quarterly in arrears and interest on Term

38

•

•

•

•

•

•

Benchmark Advances is payable in arrears at the end of the relevant interest period therefor, but in no event less frequently
than every three months.

Also on March 19, 2021, the Company, STERIS Corporation, Limited, and FinCo, each as a borrower and guarantor,
entered into a delayed draw term loan agreement with various financial institutions as lenders, and JPMorgan Chase Bank,
N.A., as administrative agent (the “Delayed Draw Term Loan Agreement”) providing for a delayed draw term loan facility
of up to $750.0 million (the “Delayed Draw Term Loan”) in connection with STERIS’s acquisition of Cantel. During the
first quarter of fiscal 2022, we borrowed $650.0 million under our Delayed Draw Term Loan Agreement. The Delayed
Draw Term Loan was funded by the lenders upon consummation of the Cantel acquisition (the “Acquisition Closing
Date”). The proceeds of the Delayed Draw Term Loan were used, together with the proceeds from other new indebtedness,
to fund the cash consideration for the acquisition, as well as for various other items.

The Delayed Draw Term Loan matures on the date that is five years after the Acquisition Closing Date. No principal
payments are due on the Delayed Draw Term Loan for the period beginning from the first full fiscal quarter ended after the
Acquisition Closing Date to and including the fourth full fiscal quarter ended after the Acquisition Closing Date. For the
period beginning from the fifth full fiscal quarter ended after the Acquisition Closing Date to and including the twelfth full
fiscal quarter ended after the Acquisition Closing Date, quarterly principal payments, each in the amount of 1.25% of the
original principal amount of the Delayed Draw Term Loan, are due on the last business day of each fiscal quarter. For the
period beginning from the thirteenth full fiscal quarter ended after the Acquisition Closing Date through the maturity of the
loan, quarterly principal payments, each in the amount of 1.875% of the original principal amount of the Delayed Draw
Term Loan, are due on the last business day of each fiscal quarter. The remaining unpaid principal is due and payable on
the maturity date.

The Delayed Draw Term Loan bears interest from time to time, at either the Base Rate or the Adjusted Term SOFR Rate,
as defined in and calculated under and as in effect from time to time under the Delayed Draw Term Loan Agreement, plus
the Applicable Margin, as defined in the Delayed Draw Term Loan Agreement. The Applicable Margin is determined
based on the Debt Rating of STERIS, as defined in the Delayed Draw Term Loan Agreement. Interest on Base Rate
Advances is payable quarterly in arrears and interest on Term Benchmark Advances is payable in arrears at the end of the
relevant interest period therefor, but in no event less frequently than every three months.

On May 3, 2023, in connection with the upcoming replacement of U.S. dollar LIBOR with SOFR, the Borrower,
Guarantors, Lenders, and JPMorgan Chase Bank, N.A., each as defined in each of the agreements, amended the Revolving
Credit Agreement, the Term Loan Agreement, and the Delayed Draw Term Loan Agreement. The amendments concern
pricing, technical, administrative, and operational changes related to borrowings in U.S. dollars. The above descriptions
reflect those amendments.

On April 1, 2021, STERIS Irish FinCo Unlimited Company ("FinCo," "STERIS Irish FinCo," the "Issuer") completed an
offering of $1,350.0 million in aggregate principal amount, of its senior notes in two separate tranches: (i) $675.0 million
aggregate principal amount of the Issuer’s 2.70% Senior Notes due 2031 (the “2031 Notes”) and (ii) $675.0 million
aggregate principal amount of the Issuer’s 3.750% Senior Notes due 2051 (the “2051 Notes” and, together with the 2031
Notes, the “Senior Public Notes”). The Senior Public Notes were issued pursuant to an Indenture, dated as of April 1, 2021
(the “Base Indenture”), among FinCo, STERIS plc, STERIS Corporation and STERIS Limited (the “Guarantors”) and U.S.
Bank National Association as trustee (the “Trustee”), as supplemented by the First Supplemental Indenture, dated as of
April 1, 2021, among FinCo, the Guarantors and the Trustee (the “Supplemental Indenture” and, together with the Base
Indenture, the “Indenture”). Each of the Guarantors guaranteed the Senior Public Notes jointly and severally on a senior
unsecured basis (the “Guarantees”). The 2031 Notes will mature on March 15, 2031 and the 2051 Notes will mature on
March 15, 2051. The Senior Public Notes will bear interest at the rates set forth above. Interest on the Senior Public Notes
is payable on March 15 and September 15 of each year, beginning on September 15, 2021, until their respective maturities.

As of March 31, 2023, a total of $301.7 million was outstanding under the Revolving Credit Agreement, based on currency
exchange rates as of March 31, 2023. At March 31, 2023, we had $938.4 million of unused funding available under the
Revolving Credit Agreement. The Revolving Credit Agreement includes a sub-limit that reduces the maximum amount
available to us by letters of credit outstanding. At March 31, 2023, there was $9.9 million in letters of credit outstanding
under the Credit Agreement. As of March 31, 2023, $72.5 million and $625.6 million were outstanding under the Term
Loan and Delayed Draw Term Loan, respectively.

39

Our outstanding Private Placement Senior Notes at March 31, 2023 were as follows:

(dollars in thousands)
$80,000 Senior notes at 3.35%

$25,000 Senior notes at 3.55%

$125,000 Senior notes at 3.45%

$125,000 Senior notes at 3.55%

$100,000 Senior notes at 3.70%

$50,000 Senior notes at 3.93%

€60,000 Senior notes at 1.86%

$45,000 Senior notes at 4.03%

€20,000 Senior notes at 2.04%

£45,000 Senior notes at 3.04%

€19,000 Senior notes at 2.30%
£30,000 Senior notes at 3.17%
Total Senior Notes

Applicable Note Purchase
Agreement

Maturity Date

2012 Private Placement

December 2024

2012 Private Placement

December 2027

2015 Private Placement

2015 Private Placement

2015 Private Placement

May 2025

May 2027

May 2030

2017 Private Placement

February 2027

2017 Private Placement

February 2027

2017 Private Placement

February 2029

2017 Private Placement

February 2029

2017 Private Placement

February 2029

2017 Private Placement
2017 Private Placement

February 2032
February 2032

U.S. Dollar Value
at March 31, 2023
80,000

25,000

125,000

125,000

100,000

50,000

65,254

45,000

21,752

55,579

20,664
37,053
750,302

$

The Private Placement Senior Notes were issued as follows:

•

•

•

•

•

On February 27, 2017, Limited issued and sold an aggregate principal amount of $95.0 million, €99.0 million, and £75.0
million of senior notes in a private placement to certain institutional investors in an offering that was exempt from the
registration requirements of the Securities Act of 1933. These notes have maturities of between 10 years and 15 years from
the issue date. The agreement governing these notes contains leverage and interest coverage covenants.

On May 15, 2015, STERIS Corporation issued and sold $350.0 million of senior notes in a private placement to certain
institutional investors in an offering that was exempt from the registration requirements of the Securities Act of 1933.
These notes have maturities of 10 years to 15 years from the issue date. The agreement governing these notes contains
leverage and interest coverage covenants.

In December 2012 and in February 2013, STERIS Corporation issued and sold $200.0 million of senior notes in a private
placement to certain institutional investors in offerings that were exempt from the registration requirements of the
Securities Act of 1933. The agreement governing the notes contains leverage and interest coverage covenants.

The private placement note purchase agreements specify increases to the coupon interest rates while the ratio of
Consolidated Total Debt to Consolidated EBITDA, as defined in the note purchase agreements, exceeds certain thresholds.
Beginning September 1, 2021, and through March 31, 2023, the coupon rates on the 2012 private placement notes were
increased by 0.50%.

On March 19, 2021, STERIS Corporation as issuer, and the Company, Limited and FinCo, as guarantors, entered into (1) a
First Amendment to Amended and Restated Note Purchase Agreement dated March 5, 2019 (which had amended and
restated certain note purchase agreements originally dated December 4, 2012) per the 2012 and 2013 senior notes (the
“2012 Amendment”), and (2) a First Amendment to Amended and Restated Note Purchase Agreement dated March 5,
2019 (which had amended and restated certain note purchase agreements originally dated March 31, 2015) for the 2015
senior notes (the “2015 Amendment”). Also on March 19, 2021, Limited, as Issuer, and the Company, STERIS
Corporation and FinCo, as guarantors, entered into a First Amendment to Amended and Restated Note Purchase
Agreement dated March 5, 2019 (which had amended and restated a certain note purchase agreement originally dated
January 23, 2017) for the 2017 senior notes (together with the 2012 Amendment and the 2015 Amendment, the “NPA
Amendments”). The NPA Amendments provided, among other things, for the waiver of certain repurchase rights of the
note holders and increased the size of certain baskets to more closely align with other current credit agreement baskets.

At March 31, 2023, we were in compliance with all financial covenants associated with our indebtedness. For additional

information on our sources of funding and credit, refer to Note 6 to our consolidated financial statements titled, “Debt.”

40

CAPITAL EXPENDITURES

Our capital expenditure program is a component of our long-term strategy. This program includes, among other things,
investments in new and existing facilities, business expansion projects, radioisotope (cobalt-60), and information technology
enhancements and research and development advances. During fiscal 2023, our capital expenditures amounted to $362.0
million. We use cash provided by operating activities and our cash and cash equivalent balances to fund capital expenditures. In
fiscal 2024, we plan to continue to invest in facility expansions, particularly within the Healthcare and Applied Sterilization
Technologies segments and in ongoing maintenance for existing facilities.

MATERIAL FUTURE CASH OBLIGATIONS AND COMMERCIAL COMMITMENTS

Cash Requirements. We intend to use our existing cash and cash equivalent balances and cash generated from operations

to fund capital expenditures and meet our other liquidity needs. Our capital requirements depend on many uncertain factors,
including our rate of sales growth, our Customers’ acceptance of our products and services, the costs of obtaining adequate
manufacturing capacities, the timing and extent of our research and development projects, changes in our operating expenses
and other factors. To the extent that existing and anticipated sources of cash are not sufficient to fund our future activities, we
may need to raise additional funds through additional borrowings or the sale of equity securities. There can be no assurance that
our financing arrangements will provide us with sufficient funds or that we will be able to obtain any additional funds on terms
favorable to us or at all.

Our material future cash obligations and commercial commitments as of March 31, 2023 are presented in the following
tables. Commercial commitments include standby letters of credit, letters of credit required as security under our self-insured
risk retention policies, and other potential cash outflows resulting from events that require us to fulfill commitments.

(dollars in thousands)
Material Future Cash Obligations:

Debt

Operating leases

Purchase obligations

Benefit payments under defined benefit
plans
Trust assets available for benefit payments
under defined benefit plans
Benefit payments under other post-
retirement benefits plans
Expected contributions to defined benefit
plans

Total Material Future Cash Obligations

Payments due by March 31,

2024

2025

2026

2027

2028 and
thereafter

Total

$ 60,000

$ 165,938

$ 479,173

$ 614,942

$ 1,780,047

$ 3,100,100

41,709

214,272

33,584

39,418

26,129

19,659

569

569

120,359

1,328

241,440

256,156

6,279

6,265

6,458

6,663

44,160

69,825

(6,279)

(6,265)

(6,458)

(6,663)

(44,160)

(69,825)

1,121

1,019

913

823

3,351

7,227

3,955
$ 321,057

1,992
$ 241,951

—
$ 506,784

—
$ 635,993

—
$ 1,905,085

5,947
$ 3,610,870

The table above includes only the principal amounts of our material future cash obligations. We provide information about
the interest component of our long-term debt in the subsection of MD&A titled, “Liquidity and Capital Resources,” and in Note
6 to our consolidated financial statements titled, “Debt.”

Purchase obligations shown in the table above relate to minimum purchase commitments with suppliers for materials

purchases and long-term construction contracts.

41

The table above excludes contributions we make to our defined contribution plans. Our future contributions to the defined

contribution plans depend on uncertain factors, such as the amount and timing of employee contributions and discretionary
employer contributions. We provide additional information about our defined benefit pension plans, defined contribution plan,
and other post-retirement benefits plan in Note 9 to our consolidated financial statements titled, "Benefit Plans."

(dollars in thousands)
Commercial Commitments:

Letters of credit and surety bonds

Letters of credit as security for self-
insured risk retention policies
Total Commercial Commitments

Amount of Commitment Expiring March 31,

2024

2025

2026

2027

2028 and
thereafter

Totals

$

98,411

$

492

$

358

$

291

$

782

$

100,334

8,036

—

—

—

—

8,036

$

106,447

$

492

$

358

$

291

$

782

$

108,370

SUPPLEMENTAL GUARANTOR FINANCIAL INFORMATION

STERIS plc ("Parent") and its wholly-owned subsidiaries, STERIS Limited and STERIS Corporation (collectively
"Guarantors" and each a "Guarantor"), each have provided guarantees of the obligations of STERIS Irish FinCo Unlimited
Company ("FinCo", "STERIS Irish FinCo"), a wholly-owned subsidiary issuer, under Senior Public Notes issued by STERIS
Irish FinCo on April 1, 2021 and of certain other obligations relating to the Senior Public Notes. The Senior Public Notes are
guaranteed, jointly and severally, on a senior unsecured basis. The Senior Public Notes and the related guarantees are senior
unsecured obligations of STERIS Irish FinCo and the Guarantors, respectively, and are equal in priority with all other
unsecured and unsubordinated indebtedness of the Issuer and the Guarantors, respectively, from time to time outstanding,
including, as applicable, under the Private Placement Senior Notes, borrowings under the Revolving Credit Facility, the Term
Loan and the Delayed Draw Term Loan.

All of the liabilities of non-guarantor direct and indirect subsidiaries of STERIS, other than STERIS Irish FinCo, STERIS

Limited and STERIS Corporation, including any claims of trade creditors, are effectively senior to the Senior Public Notes.
STERIS Irish FinCo’s main objective and source of revenues and cash flows is the provision of short- and long-term

financing for the activities of STERIS plc and its subsidiaries.

The ability of our subsidiaries to pay dividends, interest and other fees to the Issuer and ability of the Issuer and Guarantors
to service the Senior Public Notes may be restricted by, among other things, applicable corporate and other laws and regulations
as well as agreements to which our subsidiaries are or may become a party.

The following is a summary of these guarantees:
Guarantees of Senior Notes
•
•
•
•
The guarantee of a Guarantor will be automatically and unconditionally released and discharged:
•

Parent Company Guarantor – STERIS plc
Subsidiary Issuer – STERIS Irish FinCo Unlimited Company
Subsidiary Guarantor – STERIS Limited
Subsidiary Guarantor – STERIS Corporation

•

•

•

in the case of a Subsidiary Guarantor, upon the sale, transfer or other disposition (including by way of consolidation or
merger) of such Subsidiary Guarantor, other than to the Parent or a subsidiary of the Parent and as permitted by the
indenture;
in the case of a Subsidiary Guarantor, upon the sale, transfer or other disposition of all or substantially all the assets
of such Subsidiary Guarantor, other than to the Parent or a subsidiary of the Parent and as permitted by the indenture;
in the case of a Subsidiary Guarantor, at such time as such Subsidiary Guarantor is no longer a borrower under or no
longer guarantees any material credit facility (subject to restatement in specified circumstances);
upon the legal defeasance or covenant defeasance of the notes or the discharge of the Issuer’s obligations under the
indenture in accordance with the terms of the indenture;
as described in accordance with the terms of the indenture; or
in the case of the Parent, if the Issuer ceases for any reason to be a subsidiary of the Parent; provided that all
guarantees and other obligations of the Parent in respect of all other indebtedness under any Material Credit Facility of
the Issuer terminate upon the Issuer ceasing to be a subsidiary of the Parent; and
upon such Guarantor delivering to the trustee an officer’s certificate and an opinion of counsel, each stating that all
conditions precedent provided for in the indenture relating to such transaction or release have been complied with.
The obligations of each Guarantor under its guarantee are expressly limited to the maximum amount that such Guarantor
could guarantee without such guarantee constituting a fraudulent conveyance. Each Guarantor that makes a payment under its
guarantee will be entitled upon payment in full of all guaranteed obligations under the indenture to a contribution from each

•
•

•

42

Guarantor in an amount equal to such other Guarantor’s pro rata portion of such payment based on the respective net assets of
all the Guarantors at the time of such payment determined in accordance with GAAP.

The following tables present summarized results of operations for the year ended March 31, 2023 and summarized balance

sheet information at March 31, 2023 and 2022 for the obligor group of the Senior Public Notes. The obligor group consists of
the Parent Company Guarantor, Subsidiary Issuer, and Subsidiary Guarantors for the Senior Public Notes. The summarized
financial information is presented after elimination of (i) intercompany transactions and balances among the guarantors and
issuer and (ii) equity in earnings from and investments in any subsidiary that is a non-guarantor or issuer. Transactions with
non-issuer and non-guarantor subsidiaries have been presented separately.

Summarized Results of Operations
(in thousands)

Twelve Months Ended
March 31,
2023

Revenues
Gross profit
Operating costs arising from transactions with non-issuers and non-guarantors - net

Income from operations
Non-operating income (expense) arising from transactions with subsidiaries that are non-issuers
and non-guarantors - net
Net income

$

$

2,377,412
1,349,465

627,084
782,219

728,793
719,486

Summarized Balance Sheet Information
( in thousands)

Receivables due from non-issuers and non-guarantor subsidiaries

Other current assets

Total current assets

Non-current receivables due from non-issuers and non-guarantor subsidiaries

Goodwill

Other non-current assets

Total non-current assets

Payables due to non-issuers and non-guarantor subsidiaries

Other current liabilities

Total current liabilities

Non-current payables due to non-issuers and non-guarantor subsidiaries

Other non-current liabilities

Total non-current liabilities

March 31,
2023

March 31,
2022

$

17,797,185

$

16,033,719

614,233

400,776

$

$

$

$

$

$

$

18,411,418

1,827,125

96,892

206,331

2,130,348

19,347,473

255,746

19,603,219

684,985

3,128,853

$

$

$

$

$

$

16,434,495

2,001,742

95,688

142,711

2,240,141

17,053,749

231,043

17,284,792

1,102,873

3,134,777

3,813,838

$

4,237,650

Intercompany balances and transactions between the obligor group have been eliminated, and amounts due from, amounts

due to, and transactions with non-issuer and non-guarantor subsidiaries have been presented separately. Intercompany
transactions arise from internal financing and trade activities.
Credit Ratings

STERIS's Senior Public Notes have been assigned the following credit ratings:

Credit Ratings (1)
(1) Effective May 18, 2023

Standard & Poor's

BBB

Moody's

Baa2

Fitch

BBB

43

Each of the credit rating agencies reviews its rating periodically and there is no guarantee our current credit ratings will
remain the same. If our credit ratings were lowered, our ability to access the debt markets, our cost of funds, and other terms for
new debt issuances could be adversely impacted.

CRITICAL ACCOUNTING ESTIMATES AND ASSUMPTIONS

The following subsections describe our most critical accounting estimates, and assumptions. Our accounting policies and
recently issued accounting pronouncements are more fully described in Note 1 to our consolidated financial statements titled,
"Nature of Operations and Summary of Significant Accounting Policies."

Estimates and Assumptions. Our discussion and analysis of financial condition and results of operations is based on our
consolidated financial statements that were prepared in accordance with United States generally accepted accounting principles.
We make certain estimates and assumptions that we believe to be reasonable when preparing these financial statements. These
estimates and assumptions involve judgments with respect to numerous factors that are difficult to predict and are beyond
management’s control. As a result, actual amounts could be materially different from these estimates. We periodically review
these critical accounting policies, estimates, assumptions, and the related disclosures with the Audit Committee of the
Company’s Board of Directors.

Revenue Recognition. Revenue is recognized when obligations under the terms of the contract are satisfied and control of the
promised products or services has transferred to the Customer. Revenues are measured at the amount of consideration that we
expect to be paid in exchange for the products or services. Product revenue is recognized when control passes to the Customer,
which is generally based on contract or shipping terms. Service revenue is recognized when the Customer benefits from the
service, which occurs either upon completion of the service or as it is provided to the Customer. Our Customers include end
users as well as dealers and distributors who market and sell our products. Our revenue is not contingent upon resale by the
dealer or distributor, and we have no further obligations related to bringing about resale. Our standard return and restocking fee
policies are applied to sales of products. Shipping and handling costs charged to Customers are included in Product revenues.
The associated expenses are treated as fulfillment costs and are included in Cost of revenues. Revenues are reported net of sales
and value-added taxes collected from Customers.

We have individual Customer contracts that offer discounted pricing. Dealers and distributors may be offered sales

incentives in the form of rebates. We reduce revenue for discounts and estimated returns, rebates, and other similar allowances
in the same period the related revenues are recorded. The reduction in revenue for these items is estimated based on historical
experience and trend analysis to the extent that it is probable that a significant reversal of revenue will not occur. Estimated
returns are recorded gross on the Consolidated Balance Sheets.

In transactions that contain multiple performance obligations, such as when products, maintenance services, and other
services are combined, we recognize revenue as each product is delivered or service is provided to the Customer. We allocate
the total arrangement consideration to each performance obligation based on its relative standalone selling price, which is the
price for the product or service when it is sold separately.

Payment terms vary by the type and location of the Customer and the products or services offered. Generally, the time
between when revenue is recognized and when payment is due is not significant. We do not evaluate whether the selling price
contains a financing component for contracts that have a duration of less than one year.

We do not capitalize sales commissions as substantially all of our sales commission programs have an amortization period

of one year or less.

Certain costs to fulfill a contract are capitalized and amortized over the term of the contract if they are recoverable, directly

related to a contract and generate resources that we will use to fulfill the contract in the future. At March 31, 2023, assets
related to costs to fulfill a contract were not material to our consolidated financial statements.

Allowance for Credit Losses. We maintain an allowance for uncollectible accounts receivable for estimated losses in the
collection of amounts owed by Customers. We estimate the allowance based on analyzing a number of factors, including
amounts written off historically, Customer payment practices, and general economic conditions. We also analyze significant
Customer accounts on a regular basis and record a specific allowance when we become aware of a specific Customer’s inability
to pay. As a result, the related accounts receivable are reduced to an amount that we reasonably believe is collectible. These
analyses require judgment. If the financial condition of our Customers worsens, or economic conditions change, we may be
required to make changes to our allowance for credit losses.

Inventories and Reserves. Inventories are stated at the lower of their cost and net realizable value determined by the first-in,
first-out ("FIFO") cost method. Inventory costs include material, labor, and overhead.

We review inventory on an ongoing basis, considering factors such as deterioration and obsolescence. We record an
allowance for estimated losses when the facts and circumstances indicate that particular inventories will not be usable. If future

44

market conditions vary from those projected, and our estimates prove to be inaccurate, we may be required to write-down
inventory values and record an adjustment to Cost of revenues.

Asset Impairment Losses. Property, plant, equipment, and identifiable intangible assets are reviewed for impairment when
events and circumstances indicate that the carrying value of such assets may not be recoverable. Impaired assets are recorded at
the lower of carrying value or estimated fair value. We conduct this review on an ongoing basis and, if impairment exists, we
record the loss in the Consolidated Statements of Income during that period.

When we evaluate assets for impairment, we make certain judgments and estimates, including interpreting current

economic indicators and market valuations, evaluating our strategic plans with regards to operations, historical and anticipated
performance of operations, and other factors. If we incorrectly anticipate these factors, or unexpected events occur, our
operating results could be materially affected.

Purchase Accounting and Goodwill. Assets and liabilities of the business acquired are accounted for at their estimated fair
values as of the acquisition date. Any excess of the cost of the acquisition over the fair value of the net tangible and intangible
assets acquired is recorded as goodwill. We supplement management expertise with valuation specialists in performing
appraisals to assist us in determining the fair values of assets acquired and liabilities assumed. These valuations require us to
make estimates and assumptions, especially with respect to intangible assets. We generally amortize our intangible assets over
their useful lives with the exception of indefinite lived intangible assets. We do not amortize goodwill, but we evaluate it
annually for impairment. Therefore, the allocation of the purchase price to intangible assets and goodwill has a significant
impact on future operating results.

We evaluate the recoverability of recorded goodwill amounts annually, or when evidence of potential impairment exists.
We may consider qualitative indicators of the fair value of a reporting unit when it is unlikely that a reporting unit has impaired
goodwill. We may also utilize a discounted cash flow analysis that requires certain assumptions and estimates be made
regarding market conditions and our future profitability. In those circumstances, we test goodwill for impairment by reviewing
the book value compared to the fair value at the reporting unit level. We calculate the fair value of our reporting units based on
the present value of estimated future cash flows. Management's judgment is necessary to evaluate the impact of operating and
macroeconomic changes and to estimate future cash flows to measure fair value. Assumptions used in our impairment
evaluations, such as forecasted growth rates and cost of capital, are consistent with internal projections and operating plans. We
believe such assumptions and estimates are also comparable to those that would be used by other marketplace participants.

In the second quarter of fiscal 2023, in connection with the preparation of our quarterly consolidated financial statements,

we identified that the estimated fair value of the Dental segment was below the carrying value and recognized a non-cash
goodwill impairment charge of $490.6 million. For additional information regarding the goodwill impairment charge, refer to
Note 3 to our consolidated financial statements titled, "Goodwill and Intangible Assets."

We evaluate indefinite lived intangible assets annually, or when evidence of potential impairment exists. We evaluate
several qualitative indicators and assumptions, and trends that influence the valuation of the assets to determine if any evidence
of potential impairment exists.

Income Taxes. Our provision for income taxes is based on our current period income, changes in deferred income tax assets
and liabilities, income tax rates, changes in uncertain tax benefits, and tax planning opportunities available to us in the various
jurisdictions in which we operate. Tax laws are complex and subject to different interpretations by the taxpayer and the
respective governmental taxing authorities. We use judgment in determining our annual effective income tax rate and
evaluating our tax positions. We prepare and file tax returns based on our interpretation of tax laws and regulations, and we
record estimates based on these judgments and interpretations. We cannot be sure that the tax authorities will agree with all of
the tax positions taken by us. The actual income tax liability for each jurisdiction in any year can, in some instances, ultimately
be determined several years after the tax return is filed and the financial statements are published.

We evaluate our tax positions using the recognition threshold and measurement attribute in accordance with current
accounting guidance. We determine whether it is more-likely-than-not that a tax position will be sustained upon examination,
including resolution of related appeals or litigation processes, based on the technical merits of the position. In evaluating
whether a tax position has met the more-likely-than-not recognition threshold, we presume that the position will be examined
by the appropriate taxing authority and that the taxing authority will have full knowledge of all relevant information. A tax
position that meets the more-likely-than-not recognition threshold is measured at the largest amount of benefit that is greater
than 50 percent likely of being realized upon ultimate settlement. The appropriate unit of account for determining what
constitutes an individual tax position, and whether the more-likely-than-not recognition threshold is met for a tax position, is a
matter of judgment based on the individual facts and circumstances of that position evaluated in light of all available evidence.
We review and adjust our tax estimates periodically because of ongoing examinations by and settlements with the various
taxing authorities, as well as changes in tax laws, regulations and precedent.

45

We recognize deferred tax assets and liabilities based on the differences between the financial statement carrying amounts

and the tax basis of assets and liabilities. We regularly review our deferred tax assets for recoverability and establish a valuation
allowance based on historical taxable income, projected future taxable income, the expected timing of the reversals of existing
temporary differences, and the implementation of tax planning strategies. If we are unable to generate sufficient future taxable
income in certain tax jurisdictions, or if there is a material change in the effective income tax rates or time period within which
the underlying temporary differences become taxable or deductible, we could be required to increase our valuation allowance,
which would increase our effective income tax rate and could result in an adverse impact on our consolidated financial position,
results of operations, or cash flows.

We believe that adequate accruals have been made for income taxes. Differences between the estimated and actual amounts

determined upon ultimate resolution, individually or in the aggregate, are not expected to have a material adverse effect on our
consolidated financial position, but could possibly be material to our consolidated results of operations or cash flows for any
one period.

Additional information regarding income taxes is included in Note 8 to our consolidated financial statements titled,

“Income Taxes.”

Self-Insurance Liabilities. We record a liability for self-insured risks that we retain for general and product liabilities,
workers’ compensation, and automobile liabilities based on actuarial calculations. We use our historical loss experience and
actuarial methods to calculate the estimated liability. This liability includes estimated amounts for both losses and incurred but
not reported claims. We review the assumptions used to calculate the estimated liability at least annually to evaluate the
adequacy of the amount recorded. We maintain insurance policies to cover losses greater than our estimated liability, which are
subject to the terms and conditions of those policies. The obligation covered by insurance contracts will remain on the balance
sheet as we remain liable to the extent insurance carriers do not meet their obligation. Estimated amounts receivable under the
contracts are included in the "Prepaid expenses and other current assets" line, and the "Other assets" line of our consolidated
balance sheets. Our accrual for self-insured risk retention as of March 31, 2023 and 2022 was $30.4 million and $26.1 million,
respectively.

We are also self-insured for employee medical claims. We estimate a liability for incurred but not reported claims based
upon recent claims experience. Our self-insured liabilities contain uncertainties because management must make assumptions
and apply judgments to estimate the ultimate cost to settle reported claims and claims incurred but not reported as of the balance
sheet date. If actual results are not consistent with these assumptions and judgments, we could be exposed to additional costs in
subsequent periods.

Contingencies. We are, and will likely continue to be, involved in a number of legal proceedings, government investigations,
and claims, which we believe generally arise in the course of our business, given our size, history, complexity, and the nature of
our business, products, Customers, regulatory environment, and industries in which we participate. These legal proceedings,
investigations and claims generally involve a variety of legal theories and allegations, including, without limitation, personal
injury (e.g., slip and falls, burns, vehicle accidents), product liability or regulation (e.g., based on product operation or claimed
malfunction, failure to warn, failure to meet specification, or failure to comply with regulatory requirements), product exposure
(e.g., claimed exposure to chemicals, gases, asbestos, contaminants, radiation), property damage (e.g., claimed damage due to
leaking equipment, fire, vehicles, chemicals), commercial claims (e.g., breach of contract, economic loss, warranty,
misrepresentation), financial (e.g., taxes, reporting), employment (e.g., wrongful termination, discrimination, benefits matters),
and other claims for damage and relief.

We record a liability for such contingencies to the extent we conclude that their occurrence is both probable and estimable.

We consider many factors in making these assessments, including the professional judgment of experienced members of
management and our legal counsel. We have made estimates as to the likelihood of unfavorable outcomes and the amounts of
such potential losses. In our opinion, the ultimate outcome of these proceedings and claims is not anticipated to have a material
adverse affect on our consolidated financial position, results of operations, or cash flows. However, the ultimate outcome of
proceedings, government investigations, and claims is unpredictable and actual results could be materially different from our
estimates. We record expected recoveries under applicable insurance contracts when we are assured of recovery. Refer to Note
10 to our consolidated financial statements titled, "Commitments and Contingencies" for additional information.

We are subject to taxation from federal, state and local, and foreign jurisdictions. Tax positions are settled primarily
through the completion of audits within each individual tax jurisdiction or the closing of a statute of limitation. Changes in
applicable tax law or other events may also require us to revise past estimates. The IRS of the United States routinely conducts
audits of our federal income tax returns.

Additional information regarding our commitments and contingencies is included in Note 10 to our consolidated financial

statements titled, "Commitments and Contingencies."

46

Benefit Plans. We provide defined benefit pension plans for certain employees and retirees. In addition, we sponsor an
unfunded post-retirement benefits plan for two groups of United States retirees. Benefits under this plan include retiree life
insurance and retiree medical insurance, including prescription drug coverage.

Employee pension and post-retirement benefits plans are a cost of conducting business and represent obligations that will

be settled in the future and therefore, require us to use estimates and make certain assumptions to calculate the expense and
liabilities related to the plans. Changes to these estimates and assumptions can result in different expense and liability amounts.
Future actual experience may be significantly different from our current expectations. We believe that the most critical
assumptions used to determine net periodic benefit costs and projected benefit obligations are the expected long-term rate of
return on plan assets and the discount rate. A summary of significant assumptions used to determine the March 31, 2023
projected benefit obligations and the fiscal 2023 net periodic benefit costs is as follows:

Funding Status

Assumptions used to determine
March 31, 2023

Benefit obligations:

Discount rate

Assumptions used to determine fiscal
2023
Net periodic benefit costs:

Discount rate

Expected return on plan assets

NA – Not applicable.

Synergy
Health plc

Isotron BV

Synergy
Health
Daniken AG

Synergy
Health
Radeberg

Synergy
Health
Allershausen

Harwell
Dosimeters
Ltd

U.S. Post-
Retirement
Benefits Plan

Funded

Funded

Unfunded Unfunded Unfunded

Funded

Unfunded

4.70 %

3.70 %

2.05 %

3.80 %

3.70 %

4.80 %

4.75 %

2.80 %

3.20 %

1.80 %

1.80 %

2.05 %

2.00 %

2.20 %

4.80 %

3.25 %

1.95 %

n/a

n/a

n/a

n/a

We develop our expected long-term rate of return on plan assets assumptions by evaluating input from third-party

professional advisors, taking into consideration the asset allocation of the portfolios, and the long-term asset class return
expectations. Generally, net periodic benefit costs increase as the expected long-term rate of return on plan assets assumption
decreases. Holding all other assumptions constant, lowering the expected long-term rate of return on plan assets assumption for
our funded defined benefit pension plans by 50 basis points would have increased the fiscal 2023 benefit costs by less than $0.1
million.

We develop our discount rate assumptions by evaluating input from third-party professional advisers, taking into
consideration the current yield on country specific investment grade long-term bonds which provide for similar cash flow
streams as our projected benefit obligations. Generally, the projected benefit obligations and the net periodic benefit costs both
increase as the discount rate assumption decreases. Holding all other assumptions constant, lowering the discount rate
assumption for our defined benefit pension plans and for the other post-retirement benefits plan by 50 basis points would have
decreased the fiscal 2023 net periodic benefit costs by less than $0.1 million and would have increased the projected benefit
obligations by approximately $8.0 million at March 31, 2023.

We have made assumptions regarding healthcare costs in computing our other post-retirement benefit obligation. The
assumed rates of increase generally decline ratably over a five year-period from the assumed current year healthcare cost trend
rate of 7.5% to the assumed long-term healthcare cost trend rate. A 100 basis point change in the assumed healthcare cost trend
rate (including medical, prescription drug, and long-term rates) would have had the following effect at March 31, 2023:

(dollars in thousands)
Effect on total service and interest cost components

Effect on postretirement benefit obligation

100 Basis Point

Increase

Decrease

$

— $

1

—
(1)

47

We recognize an asset for the overfunded status or a liability for the underfunded status of defined benefit pension and
post-retirement benefit plans in our balance sheets. This amount is measured as the difference between the fair value of plan
assets and the benefit obligation (the projected benefit obligation for pension plans and the accumulated post-retirement benefit
obligation for other post-retirement benefit plans). Changes in the funded status of the plans are recorded in other
comprehensive income in the year they occur. We measure plan assets and obligations as of the balance sheet date. Note 9 to
our consolidated financial statements titled, “Benefit Plans,” contains additional information about our pension and other post-
retirement welfare benefits plans.

Share-Based Compensation. We measure the estimated fair value for share-based compensation awards, including grants of
employee stock options, at the grant date and recognize the related compensation expense over the period in which the share-
based compensation vests. We selected the Black-Scholes-Merton option pricing model as the most appropriate method for
determining the estimated fair value of our share-based stock option compensation awards. This model involves assumptions
that are judgmental and affect share-based compensation expense.

Share-based compensation expense was $39.0 million in fiscal 2023, $57.7 million in fiscal 2022 and $26.0 million million

in fiscal 2021. Note 14 to our consolidated financial statements titled, “Share-Based Compensation,” contains additional
information about our share-based compensation plans.

48

FORWARD-LOOKING STATEMENTS

This Form 10-K may contain statements concerning certain trends, expectations, forecasts, estimates, or other

forward-looking information affecting or relating to STERIS or its industry, products or activities that are intended to qualify
for the protections afforded “forward-looking statements” under the Private Securities Litigation Reform Act of 1995 and other
laws and regulations. Forward-looking statements speak only as to the date the statement is made and may be identified by the
use of forward-looking terms such as “may,” “will,” “expects,” “believes,” “anticipates,” “plans,” “estimates,” “projects,”
“targets,” “forecasts,” “outlook,” “impact,” “potential,” “confidence,” “improve,” “optimistic,” “deliver,” “orders,” “backlog,”
“comfortable,” “trend”, and “seeks,” or the negative of such terms or other variations on such terms or comparable terminology.
Many important factors could cause actual results to differ materially from those in the forward-looking statements including,
without limitation, disruption of production or supplies, changes in market conditions, political events, pending or future claims
or litigation, competitive factors, technology advances, actions of regulatory agencies, and changes in laws, government
regulations, labeling or product approvals or the application or interpretation thereof. Many of these important factors are
outside of STERIS’s control. No assurances can be provided as to any result or the timing of any outcome regarding matters
described in STERIS’s securities filings or otherwise with respect to any regulatory action, administrative proceedings,
government investigations, litigation, warning letters, cost reductions, business strategies, earnings or revenue trends or future
financial results. References to products are summaries only and should not be considered the specific terms of the product
clearance or literature. Unless legally required, STERIS does not undertake to update or revise any forward-looking statements
even if events make clear that any projected results, express or implied, will not be realized. Other potential risks and
uncertainties that could cause actual results to differ materially from those in the forward-looking statements include, without
limitation, (a) the impact of the COVID-19 pandemic or similar public health crises on STERIS’s operations, supply chain,
material and labor costs, performance, results, prospects, or value, (b) STERIS's ability to achieve the expected benefits
regarding the accounting and tax treatments of the redomiciliation to Ireland (“Redomiciliation”), (c) operating costs, Customer
loss and business disruption (including, without limitation, difficulties in maintaining relationships with employees, Customers,
clients or suppliers) being greater than expected, (d) STERIS’s ability to successfully integrate the businesses of Cantel Medical
into our existing businesses, including unknown or inestimable liabilities, impairments, or increases in expected integration
costs or difficulties in connection with the integration of Cantel Medical, (e) uncertainties related to tax treatments under the
TCJA and the IRA, (f) the possibility that Pillar Two Model Rules could increase tax uncertainty and adversely impact
STERIS's provision for income taxes and effective tax rate and subject STERIS to additional income tax in jurisdictions who
adopt Pillar Two Model Rules, (g) STERIS's ability to continue to qualify for benefits under certain income tax treaties in light
of ratification of more strict income tax treaty rules (through the MLI) in many jurisdictions where STERIS has operations, (h)
changes in tax laws or interpretations that could increase our consolidated tax liabilities, including changes in tax laws that
would result in STERIS being treated as a domestic corporation for United States federal tax purposes, (i) the potential for
increased pressure on pricing or costs that leads to erosion of profit margins, including as a result of inflation, (j) the possibility
that market demand will not develop for new technologies, products or applications or services, or business initiatives will take
longer, cost more or produce lower benefits than anticipated, (k) the possibility that application of or compliance with laws,
court rulings, certifications, regulations, or regulatory actions, including without limitation any of the same relating to FDA,
EPA or other regulatory authorities, government investigations, the outcome of any pending or threatened FDA, EPA or other
regulatory warning notices, actions, requests, inspections or submissions, the outcome of any pending or threatened litigation
brought by private parties, or other requirements or standards may delay, limit or prevent new product or service introductions,
affect the production, supply and/or marketing of existing products or services, result in costs to STERIS that may not be
covered by insurance, or otherwise affect STERIS’s performance, results, prospects or value, (l) the potential of international
unrest, including the Russia-Ukraine military conflict, economic downturn or effects of currencies, tax assessments, tariffs and/
or other trade barriers, adjustments or anticipated rates, raw material costs or availability, benefit or retirement plan costs, or
other regulatory compliance costs, (m) the possibility of reduced demand, or reductions in the rate of growth in demand, for
STERIS’s products and services, (n) the possibility of delays in receipt of orders, order cancellations, or delays in the
manufacture or shipment of ordered products, due to supply chain issues or otherwise, or in the provision of services, (o) the
possibility that anticipated growth, cost savings, new product acceptance, performance or approvals, or other results may not be
achieved, or that transition, labor, competition, timing, execution, impairments, regulatory, governmental, or other issues or
risks associated with STERIS’s businesses, industry or initiatives including, without limitation, those matters described in
STERIS's various securities filings, may adversely impact STERIS’s performance, results, prospects or value, (p) the impact on
STERIS and its operations, or tax liabilities, of Brexit or the exit of other member countries from the EU, and the Company’s
ability to respond to such impacts, (q) the impact on STERIS and its operations of any legislation, regulations or orders,
including but not limited to any new trade or tax legislation (including CAMT and excise tax on stock buybacks), regulations or
orders, that may be implemented by the U.S. administration or Congress, or of any responses thereto, (r) the possibility that
anticipated financial results or benefits of recent acquisitions, including the acquisition of Cantel Medical and Key Surgical, or
of STERIS’s restructuring efforts, or of recent divestitures, including anticipated revenue, productivity improvement, cost
savings, growth synergies and other anticipated benefits, will not be realized or will be other than anticipated, (s) the increased
level of STERIS’s indebtedness incurred in connection with the acquisition of Cantel Medical limiting financial flexibility or

49

increasing future borrowing costs, (t) rating agency actions or other occurrences that could affect STERIS’s existing debt or
future ability to borrow funds at rates favorable to STERIS or at all, and (u) the effects of changes in credit availability and
pricing, as well as the ability of STERIS’s Customers and suppliers to adequately access the credit markets, on favorable terms
or at all, when needed.

50

ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT

MARKET RISK

In the ordinary course of business, we are exposed to various risks, including, but not limited to, interest rate, foreign

currency, and commodity risks. These risks are described in the sections that follow.

INTEREST RATE RISK

As of March 31, 2023, we had $2,100.3 million in fixed rate senior notes outstanding. As of March 31, 2023, we had
$301.7 million in outstanding borrowings under our Credit Agreement and $698.1 million in term loans which are exposed to
changes in interest rates. Based upon our debt structure at March 31, 2023, a hypothetical 100 basis point increase in floating
interest rates would increase annual interest expense by approximately $10.0 million. We monitor our interest rate risk, but do
not engage in any hedging activities using derivative financial instruments. For additional information regarding our debt
structure, refer to Note 6 to our consolidated financial statements titled, “Debt.”

FOREIGN CURRENCY RISK

We are exposed to the impact of foreign currency exchange fluctuations. This foreign currency exchange risk arises when
we conduct business in a currency other than the U.S. dollar. For most operations, local currencies have been determined to be
the functional currencies. The financial statements of subsidiaries are translated to their U.S. dollar equivalents at end-of-period
exchange rates for assets and liabilities and at average currency exchange rates for revenues and expenses. Translation
adjustments for subsidiaries whose local currency is their functional currency are recorded as a component of accumulated other
comprehensive income (loss) within equity. Note 18 to our consolidated financial statements titled, “Reclassifications out of
Accumulated Other Comprehensive (Loss) Income,” contains additional information about the impact of translation on
accumulated other comprehensive income (loss) and equity. Transaction gains and losses arising from fluctuations in currency
exchange rates on transactions denominated in currencies other than the functional currency are recognized in the Consolidated
Statements of Income. Since we operate internationally and approximately 30% of our revenues and 30% of our Cost of
revenues are generated outside the United States, foreign currency exchange rate fluctuations can significantly impact our
financial position, results of operations, and competitive position.

We enter into foreign currency forward contracts to hedge monetary assets and liabilities denominated in foreign

currencies, including intercompany transactions. We do not use derivative financial instruments for speculative purposes. At
March 31, 2023, we held foreign currency forward contracts to buy 19.5 million British pounds sterling; and to sell 150.0
million Mexican pesos, and 7.0 million Singapore dollars and 6.0 million euros.

COMMODITY RISK

We are dependent on basic raw materials, sub-assemblies, components, and other supplies used in our operations. Our
financial results could be affected by the availability and changes in prices of these materials. Some of these materials are
sourced from a limited number of suppliers or only a single supplier. These materials are also key source materials for our
competitors. Therefore, if demand for these materials rises, we may experience increased costs and/or limited or unavailable
supplies. As a result, we may not be able to acquire key production materials on a timely basis, which could impact our ability
to produce products and satisfy incoming sales orders on a timely basis. In addition, the costs of these materials can rise
suddenly and result in significantly higher costs of production. We believe that we have adequate sources of supply for many of
our key materials and energy sources. Where appropriate, we enter into long-term supply contracts as a basis to guarantee a
reliable supply. We may also enter into commodity swap contracts to hedge price changes in a certain commodity that impacts
raw materials included in our Cost of revenues. At March 31, 2023, we held commodity swap contracts to buy 753.0 thousand
pounds of nickel.

51

ITEM 8.

FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA

INDEX TO FINANCIAL STATEMENTS AND FINANCIAL STATEMENT SCHEDULE

Report of Independent Registered Public Accounting Firm (PCAOB ID:42)
Consolidated Financial Statements:

Consolidated Balance Sheets
Consolidated Statements of Income
Consolidated Statements of Comprehensive (Loss) Income
Consolidated Statements of Cash Flows
Consolidated Statements of Shareholder's Equity
Notes to Consolidated Financial Statements

Financial Statement Schedule:

Schedule II - Valuation of Qualifying Accounts

Page
53

56
57
58
59
60
61

102

52

Report of Independent Registered Public Accounting Firm

To the Shareholders and the Board of Directors of

STERIS plc

Opinion on the Financial Statements

We have audited the accompanying consolidated balance sheets of STERIS plc and subsidiaries (the Company) as of March 31,
2023 and 2022, the related consolidated statements of income, comprehensive (loss) income, shareholders' equity and cash flows
for each of the three years in the period ended March 31, 2023, and the related notes and financial statement schedule listed in the
Index at Item 15(a) (collectively referred to as the “consolidated financial statements”). In our opinion, the consolidated financial
statements present fairly, in all material respects, the financial position of the Company at March 31, 2023 and 2022, and the
results of its operations and its cash flows for each of the three years in the period ended March 31, 2023, in conformity with U.S.
generally accepted accounting principles.

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States)
(PCAOB), the Company's internal control over financial reporting as of March 31, 2023, based on criteria established in Internal
Control-Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (2013
framework), and our report dated May 26, 2023 expressed an unqualified opinion thereon.

Basis for Opinion

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

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

Critical Audit Matters

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

53

Description of the Matter

Uncertain Tax Positions

How We Addressed the
Matter in Our Audit

As discussed in Note 8 to the consolidated financial statements, the Company received
two notices of proposed tax adjustments from the U.S. Internal Revenue Service (the
“IRS”) regarding deemed dividend inclusions and associated withholding tax for fiscal
year 2018. The IRS adjustments would result in a cumulative tax liability of
approximately $50 million. The Company believes it is more-likely-than-not that they
will be able to sustain the tax benefit recognized in the U.S. and has not recorded a
liability for an uncertain tax position related to this matter.

Auditing management’s analysis of tax positions related to the lack of deemed dividend
inclusions and associated withholding tax was challenging as the analysis is highly
judgmental due to complex interpretations of tax laws and legal rulings. This tax position
must be evaluated, and there may be uncertainties around initial recognition and de-
recognition of tax positions, including regulatory changes, litigation and examination
activity.

We obtained an understanding, evaluated the design and tested the operating effectiveness
of controls over the Company’s accounting process for uncertain tax positions. For
example, we tested controls over management’s identification of uncertain tax positions
and its application of the recognition and measurement principles, including
management’s review of the facts and circumstances and the corresponding tax laws
relied upon to conclude that it is currently more-likely-than-not that they will realize the
benefit recorded.

Our audit procedures included, among others, involving income tax subject matter
resources to assess the technical merits of the Company’s tax positions related to the
deemed dividend inclusions and associated withholding tax. We assessed the Company’s
correspondence with the relevant tax authorities and evaluated income tax opinions and
other third-party advice obtained by the Company. We analyzed the Company’s
assumptions and data used to determine the amount of tax benefit to recognize and we
tested the accuracy of the calculations performed. We also evaluated the adequacy of the
Company’s disclosures included in Note 8 to the consolidated financial statements in
relation to these matters.

54

Description of the Matter

Goodwill impairment assessment of the Dental Reporting Unit

As discussed in Notes 1 and 3 of the consolidated financial statements, the Company’s
goodwill balance was $3,879.2 million as of March 31, 2023. Management tests goodwill
for impairment at least annually in the third quarter at the reporting unit level, or when
evidence of potential impairment exists. This requires management to estimate the fair
value of the reporting units with goodwill allocated to them. As a result of the
deteriorating macroeconomic conditions including rising interest rates and inflationary
pressures on material and labor costs, as well as uncertainty regarding the impact such
economic strains will have on patient and Customer behavior in the short-term,
management performed an interim discounted cash flow analysis for the Dental reporting
unit as of September 30, 2022. Consequently, management determined that the estimated
fair value of the Company’s Dental reporting no longer exceeded it’s carrying value.
Management recognized a goodwill impairment charge of $490.6 million and the
Company has no remaining goodwill associated to the Dental reporting unit.
Auditing management’s quantitative impairment test for the Dental reporting unit
goodwill was complex and judgmental due to the significant estimation uncertainty in the
Company’s determination of the fair value of the reporting unit using the income
approach. The significant estimation uncertainty was primarily due to the sensitivity of
the fair value to underlying assumptions including forecasted revenue growth rates,
forecasted profit margins, and the discount rate. Elements of these significant
assumptions are forward looking and could be affected by future economic and market
conditions.

We obtained an understanding, evaluated the design and tested the operating effectiveness
of controls over the Company’s goodwill impairment review process. For example, we
tested controls over the estimation of the fair value of the reporting unit, including the
Company’s controls over the valuation model, the mathematical accuracy of the valuation
model and development of underlying assumptions used to estimate fair value of the
reporting unit.
To test the estimated fair value of the reporting unit, our audit procedures included,
among others, assessing the valuation methodology and the underlying data used by the
Company in its analysis, including testing the significant assumptions discussed above.
We compared the significant assumptions used by management to current industry and
economic trends, changes to the Company’s business model and other relevant factors.
We assessed the historical accuracy of management’s assumptions of future expected net
cash flows and performed sensitivity analyses of significant assumptions to evaluate the
changes in the fair value of the reporting unit that would result from changes in the
assumptions. We involved valuation specialists to assist in our evaluation of the valuation
methodology and the significant assumptions, including the discount rate used in
determining the fair value of the reporting unit.

How We Addressed the
Matter in Our Audit

We have served as the Company’s auditor since 1989.

/s/ Ernst & Young LLP

Cleveland, Ohio
May 26, 2023

55

STERIS PLC AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS
(in thousands)

March 31,

Current assets:

Assets

2023

2022

Cash and cash equivalents

$

208,357

$

928,315

695,493

179,277

2,011,442

1,705,512

191,741

3,879,219
2,955,780

348,320

799,041

574,999

156,637

1,878,997

1,552,576

188,480

4,404,343
3,328,537

$

$

78,145
10,821,839

$

70,661
11,423,594

279,620

$

43,804

125,642

34,961

60,000

317,817

861,844

225,737

26,873

183,721

36,472

142,875

306,544

922,222

3,018,655

2,945,481

617,538

160,493

76,137

780,619

155,056

75,579

$

4,734,667

$

4,878,957

4,486,375

1,911,533

(320,710)

6,077,198

9,974

6,087,172

4,742,920

1,999,244

(209,808)

6,532,356

12,281

6,544,637

$

10,821,839

$

11,423,594

Accounts receivable (net of allowances of $23,427 and $24,371, respectively)

Inventories, net

Prepaid expenses and other current assets

Total current assets

Property, plant, and equipment, net

Lease right-of-use assets, net

Goodwill
Intangibles, net

Other assets
Total assets

Current liabilities:

Accounts payable

Accrued income taxes

Liabilities and equity

Accrued payroll and other related liabilities

Short-term lease obligations

Short term indebtedness

Accrued expenses and other

Total current liabilities

Long-term indebtedness

Deferred income taxes, net

Long-term lease obligations

Other liabilities

Total liabilities
Commitments and contingencies (see Note 10)
Ordinary shares, with $0.001 par value; 500,000 shares authorized; 98,629 and
100,067 ordinary shares issued and outstanding, respectively

Retained earnings

Accumulated other comprehensive (loss)

Total shareholders’ equity

Noncontrolling interests

Total equity

Total liabilities and equity

See notes to consolidated financial statements.

56

STERIS PLC AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF INCOME
(in thousands, except per share amounts)

Years Ended March 31,

2023

2022

2021

Revenues:

Product

Service

Total revenues
Cost of revenues:

Product

Service

Total cost of revenues
Gross profit
Operating expenses:

Selling, general, and administrative

Goodwill impairment loss

Research and development

Restructuring expenses (credit)

Total operating expenses

Income from operations
Non-operating expenses, net:

Interest expense

Fair value adjustment related to convertible debt, premium liability

Interest income and miscellaneous expense (income)

Total non-operating expenses, net

Income before income tax expense

Income tax expense

Net income

$

2,785,327

$

2,556,281

$

1,443,540

2,172,512

4,957,839

2,028,783

4,585,064

1,513,970

1,284,177

2,798,147
2,159,692

1,419,925

1,148,777

2,568,702
2,016,362

1,663,979

3,107,519

765,076

999,343

1,764,419
1,343,100

1,298,876

1,502,752

731,320

490,565

101,581

485

1,891,507

268,185

107,989

—

2,848

110,837

157,348

51,535

105,813

—

87,944

48

1,590,744

425,618

89,593

27,806

(6,284)

111,115

314,503

71,633

242,870

—

66,326

(2,914)

794,732

548,368

37,180

—

(6,345)

30,835

517,533

120,663

396,870

(530)

Less: Net loss attributable to noncontrolling interests

(1,217)

(1,018)

Net income attributable to shareholders

Net income per share attributable to shareholders:

Basic

Diluted

Cash dividends declared per ordinary share outstanding

$

$

$

$

107,030

$

243,888

$

397,400

1.07

1.07

1.84

$

$

$

2.50

2.48

1.69

$

4.66

4.63

1.57

See notes to consolidated financial statements.

57

STERIS PLC AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF COMPREHENSIVE (LOSS) INCOME
(in thousands)

Years Ended March 31,

2023

2022

2021

Net income

Less: Net loss attributable to noncontrolling interests

Net income attributable to shareholders

$

$

105,813

(1,217)

107,030

$

$

242,870

(1,018)

243,888

$

$

396,870

(530)

397,400

Other comprehensive (loss) income
Pension and postretirement benefit plan changes (net of taxes of $521
$507, and $667, respectively)
Change in cumulative foreign currency translation adjustment
Total other comprehensive (loss) income attributable to shareholders

(1,264)

(109,638)
(110,902)

6,795

(155,360)
(148,565)

Comprehensive (loss) income attributable to shareholders

$

(3,872) $

95,323

$

1,294

172,926
174,220

571,620

See notes to consolidated financial statements.

58

STERIS PLC AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS

(in thousands)

Years Ended March 31,

Operating activities:

Net income

2023

2022

2021

$

105,813

$

242,870

$

396,870

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

Depreciation, depletion, and amortization

Deferred income taxes
Share-based compensation expense

Loss (gain) on the disposal of property, plant, equipment,
and intangibles, net

(Gain) loss on sale of businesses
Fair value adjustment related to convertible debt, premium liability

Amortization of inventory fair value adjustments
Goodwill impairment loss
Other items

Changes in operating assets and liabilities, net of effects of acquisitions:

Accounts receivable, net
Inventories, net
Other current assets
Accounts payable

Accruals and other, net

Net cash provided by operating activities

Investing activities:

Purchases of property, plant, equipment, and intangibles, net

Proceeds from the sale of property, plant, equipment, and intangibles

Proceeds from the sale of businesses

Purchases of investments

Acquisition of businesses, net of cash acquired

Other

Net cash used in investing activities

Financing activities:

Proceeds from issuance of senior public notes

Proceeds from term loans

Payments on term loans

Payments on long-term obligations
Payments on convertible debt

Proceeds (payments) under credit facilities, net

Deferred financing fees and debt issuance costs

Acquisition related deferred or contingent consideration

Repurchases of ordinary shares

Cash dividends paid to ordinary shareholders

Distributions to noncontrolling interest holders

Contributions from noncontrolling interest holders

Stock option and other equity transactions, net

Net cash (used in) provided by financing activities

Effect of exchange rate changes on cash and cash equivalents

(Decrease) increase in cash and cash equivalents

Cash and cash equivalents at beginning of period

Cash and cash equivalents at end of period

552,897

(185,913)
38,951

22,193

(67)
—

7,363
490,565
(24,832)

(133,304)
(123,921)
(24,086)
53,342

(22,054)

756,947

(361,969)

14,587

6,624

—

(42,572)

—

553,104

(106,620)
57,660

15,117

(874)
27,806

66,663
—
(21,639)

(51,969)
(102,922)
7,126
14,887

(16,398)

684,811

(287,563)

1,741

169,712

—

(550,449)

—

219,237

4,240
25,966

(1,982)

2,030
—

—
—
24,273

12,076
3,769
458
(7,213)

9,916

689,640

(239,262)

569

518

(4,400)

(909,192)

(2,392)

(383,330)

(666,559)

(1,154,159)

—

—

(156,875)

(91,000)
—

241,657

—

(1,471)

(308,565)

(183,498)

(794)

—

1,828

(498,718)

(14,862)

(139,963)

348,320

1,350,000

650,000

(345,000)

(721,284)
(371,361)

(190,174)

(17,472)

(32,679)

(55,777)

(163,169)

(997)

3,672

10,071

115,830

(6,293)

127,789

220,531

$

208,357

$

348,320

$

—

550,000

—

(35,000)
—

(30,461)

(12,846)

(2,395)

(14,646)

(133,837)

(4,179)

2,258

26,726

345,620

19,849

(99,050)

319,581

220,531

See notes to consolidated financial statements.

59

STERIS PLC AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF SHAREHOLDERS’ EQUITY

(in thousands, except per share amounts)

Balance at March 31, 2020

Comprehensive income:

Net income (loss)

Other comprehensive income

Repurchases of ordinary shares

Equity compensation programs and other

Cash dividends – $1.57 per ordinary share

Distributions to noncontrolling interest holders

Contributions from noncontrolling interest holders

Other changes in noncontrolling interest

Balance at March 31, 2021

Comprehensive income:

Net income (loss)

Other comprehensive (loss)

Repurchases of ordinary shares

Equity compensation programs and other

Cash dividends – $1.69 per ordinary share

Accumulated
Other
Comprehensive
Income (Loss)

Non-
controlling
Interest

Retained
Earnings

Total
Equity

Ordinary Shares

Number

Amount

84,924 $

1,982,164 $1,658,661 $

(235,463) $

12,848 $

3,418,210

397,400

—

(530)

—

—

(127)

556

—

—

—

—

—

—

—

174,220

(31,830)

17,184

52,491

—

— (133,837)

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

(4,179)

2,258

81

396,870

174,220

(14,646)

52,491

(133,837)

(4,179)

2,258

81

85,353

2,002,825

1,939,408

(61,243)

10,478

3,891,468

—

—

—

—

—

(148,565)

243,888

—

(1,018)

242,870

(353)

(34,894)

(20,883)

770

—

67,499

—

— (163,169)

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

(997)

3,672

146

(148,565)

(55,777)

67,499

(163,169)

2,689,317

175,555

18,173

(175,555)

(997)

3,672

146

—

—

—

—

(794)

(296)

(110,902)

(308,565)

40,777

(183,498)

(794)

(296)

Issuance of shares for acquisition of Cantel Medical LLC ("Cantel")

14,297

2,689,317

Consideration related to equity component of Cantel convertible
debt

Consideration related to Cantel equity compensation programs

Reclassification to Cantel convertible debt, premium liability

Distributions to noncontrolling interest holders

Contributions from noncontrolling interest holders

Other changes in noncontrolling interest

—

—

—

—

—

—

175,555

18,173

(175,555)

—

—

—

—

—

—

—

—

—

—

Balance at March 31, 2022

Comprehensive income:

Net income (loss)

Other comprehensive loss

Repurchases of ordinary shares

Equity compensation programs and other

Cash dividends – $1.84 per ordinary share

Distributions to noncontrolling interest holders

Other changes in noncontrolling interest

100,067 $

4,742,920 $1,999,244 $

(209,808) $

12,281 $

6,544,637

—

—

—

—

—

(110,902)

107,030

—

(1,217)

105,813

(1,642)

(297,322)

(11,243)

204

40,777

—

—

—

—

— (183,498)

—

—

—

—

—

—

—

—

—

Balance at March 31, 2023

98,629 $

4,486,375 $1,911,533 $

(320,710) $

9,974 $

6,087,172

See notes to consolidated financial statements.

60

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

1.NATURE OF OPERATIONS AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

Nature of Operations. STERIS is a leading global provider of products and services that support patient care with an emphasis
on infection prevention. WE HELP OUR CUSTOMERS CREATE A HEALTHIER AND SAFER WORLD by providing
innovative healthcare, life sciences and dental products and services. We offer our Customers a unique mix of innovative
consumable products, such as detergents, endoscopy accessories, barrier products, and other products and services, including:
equipment installation and maintenance, microbial reduction of medical devices, dental instruments and tools, instrument and
scope repair, laboratory testing services, outsourced reprocessing, and capital equipment products, such as sterilizers and
surgical tables, automated endoscope reprocessors, and connectivity solutions such as operating room (“OR”) integration.

We operate and report in four reportable business segments: Healthcare, Applied Sterilization Technologies, Life Sciences,

and Dental. We describe our business segments in Note 11 titled, "Business Segment Information."

Our fiscal year ends on March 31. References in this Annual Report to a particular "year," "fiscal," "fiscal year," or "year-

end" mean our fiscal year. The significant accounting policies applied in preparing the accompanying consolidated financial
statements of the Company are summarized below.

Principles of Consolidation. We use the consolidation method to report our investment in our subsidiaries. Therefore, the
accompanying consolidated financial statements include the accounts of the Company and its wholly-owned and majority-
owned subsidiaries. We eliminate intercompany accounts and transactions when we consolidate these accounts. Investments in
equity of unconsolidated affiliates, over which the Company has significant influence, but not control, over the financial and
operating polices, are accounted for primarily using the equity method. These investments are immaterial to the Company's
consolidated financial statements.

Use of Estimates. We make certain estimates and assumptions when preparing financial statements according to U.S. GAAP
that affect the reported amounts of assets and liabilities at the financial statement dates and the reported amounts of revenues
and expenses during the periods presented. These estimates and assumptions involve judgments with respect to many factors
that are difficult to predict and are beyond our control. Actual results could be materially different from these estimates. We
revise the estimates and assumptions as new information becomes available.

Cash Equivalents and Supplemental Cash Flow Information. Cash equivalents are all highly liquid investments with a
maturity of three months or less when purchased. We invest our excess cash in short-term instruments including money market
funds, money market deposit accounts, bank savings accounts, and time deposits with major banks and financial institutions.
We select investments in accordance with the criteria established in our investment policy. Our investment policy specifies,
among other things, maturity, credit quality and concentration restrictions with the objective of preserving capital and
maintaining adequate liquidity.

Information supplementing our Consolidated Statements of Cash Flows is as follows:

Years Ended March 31,

2023

2022

2021

Cash paid during the year for:
Interest
Income taxes
Cash received during the year for income tax refunds

$

$

108,470
254,661
2,315

$

84,696
138,382
4,605

36,257
109,646
4,631

Revenue Recognition and Associated Liabilities. Revenue is recognized when obligations under the terms of the contract are
satisfied and control of the promised products or services have transferred to the Customer. Revenues are measured at the
amount of consideration that we expect to be paid in exchange for the products or services. Product revenue is recognized when
control passes to the Customer, which is generally based on contract or shipping terms. Service revenue is recognized when the
Customer benefits from the service, which occurs either upon completion of the service or as it is provided to the Customer.
Our Customers include end users as well as dealers and distributors who market and sell our products. Our revenue is not
contingent upon resale by the dealer or distributor, and we have no further obligations related to bringing about resale. Our
standard return and restocking fee policies are applied to sales of products. Shipping and handling costs charged to Customers
are included in Product revenues. The associated expenses are treated as fulfillment costs and are included in Cost of revenues.
Revenues are reported net of sales and value-added taxes collected from Customers.

61

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

We have individual Customer contracts that offer discounted pricing. Dealers and distributors may be offered sales

incentives in the form of rebates. We reduce revenue for discounts and estimated returns, rebates, and other similar allowances
in the same period the related revenues are recorded. The reduction in revenue for these items is estimated based on historical
experience and trend analysis to the extent that it is probable that a significant reversal of revenue will not occur. Estimated
returns are recorded gross on the Consolidated Balance Sheets.

In transactions that contain multiple performance obligations, such as when products, maintenance services, and other
services are combined, we recognize revenue as each product is delivered or service is provided to the Customer. We allocate
the total arrangement consideration to each performance obligation based on its relative standalone selling price, which is the
price for the product or service when it is sold separately.

Payment terms vary by the type and location of the Customer and the products or services offered. Generally, the time
between when revenue is recognized and when payment is due is not significant. We do not evaluate whether the selling price
contains a financing component for contracts that have a duration of less than one year.

We do not capitalize sales commissions as substantially all of our sales commission programs have an amortization period

of one year or less.

Certain costs to fulfill a contract are capitalized and amortized over the term of the contract if they are recoverable, directly

related to a contract and generate resources that we will use to fulfill the contract in the future. At March 31, 2023, assets
related to costs to fulfill a contract were not material to our consolidated financial statements.

Refer to Note 11 titled, "Business Segment Information" for disaggregation of revenue.

Product Revenues

Product revenues consist of revenues generated from sales of consumables and capital equipment. These contracts are
primarily based on a Customer’s purchase order and may include a Distributor, Dealer or Group Purchasing Organization
("GPO") agreement. We recognize revenue for sales of product when control passes to the Customer, which generally occurs
either when the products are shipped or when they are received by the Customer. Revenue related to capital equipment
products is deferred until installation is complete if the capital equipment and installation are highly integrated and form a
single performance obligation.

Service Revenues

Within our Healthcare and Life Sciences segments, service revenues include revenue generated from parts and labor

associated with the maintenance, repair and installation of capital equipment. These contracts are primarily based on a
Customer’s purchase order and may include a Distributor, Dealer, or GPO agreement. For maintenance, repair and installation
of capital equipment, revenue is recognized upon completion of the service. Healthcare service revenues also include
outsourced reprocessing services and instrument repairs. Contracts for outsourced reprocessing services are primarily based on
an agreement with a Customer, ranging in length from several months to 15 years. Outsourced reprocessing services revenue is
recognized ratably over the contract term using a time-based input measure, adjusted for volume and other performance metrics,
to the extent that it is probable that a significant reversal of revenue will not occur. Contracts for instrument repairs are
primarily based on a Customer’s purchase order, and the associated revenue is recognized upon completion of the repair.

We also offer preventive maintenance and separately priced extended warranty agreements to our Customers, which
require us to maintain and repair our products over the duration of the contract. Generally, these contract terms are cancellable
without penalty and range from one to five years. Amounts received under these Customer contracts are initially recorded as a
service liability and are recognized as service revenue ratably over the contract term using a time-based input measure.

Within our Applied Sterilization Technologies segment, service revenues include contract sterilization and laboratory
services. Sales contracts for contract sterilization and laboratory services are primarily based on a Customer’s purchase order
and associated Customer agreement and revenues are generally recognized upon completion of the service.

62

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

Contract Liabilities

Payments received from Customers are based on invoices or billing schedules as established in contracts with Customers.

Deferred revenue is recorded when payment is received in advance of performance under the contract. Deferred revenue is
recognized as revenue upon completion of the performance obligation, which generally occurs within one year. During fiscal
2023, we recognized revenue of $78,752 that was included in our contract liability balance at the beginning of the period.
During fiscal 2022, we recognized revenue of $46,760 that was included in our contract liability balance at the beginning of the
period.

Refer to Note 7 titled, "Additional Consolidated Balance Sheet Information" for deferred revenue balances.

Service Liabilities

Payments received in advance of performance for cancellable preventive maintenance and separately priced extended
warranty contracts are recorded as service liabilities. Service liabilities are recognized as revenue as performance is rendered
under the contract.

Refer to Note 7 titled, "Additional Consolidated Balance Sheet Information" for service liability balances.

Remaining Performance Obligations

Remaining performance obligations reflect only the performance obligations related to agreements for which we have a

firm commitment from a Customer to purchase, and exclude variable consideration related to unsatisfied performance
obligations. With regard to products, these remaining performance obligations include capital equipment and consumable
orders which have not shipped. With regard to service, these remaining performance obligations primarily include installation,
certification, and outsourced reprocessing services. As of March 31, 2023, the transaction price allocated to remaining
performance obligations was approximately $1,553,461. We expect to recognize approximately 60% of the transaction price
within one year and approximately 30% beyond one year. The remainder has yet to be scheduled for delivery.

Accounts Receivable. Accounts receivable are presented at their face amount, less allowances for sales returns and
uncollectible accounts. Accounts receivable consist of amounts billed and currently due from Customers and amounts earned
but unbilled. We generally obtain and perfect security interest in products sold in the United States when we have a concern
with the Customer's risk profile.

We maintain an allowance for uncollectible accounts receivable for estimated losses in the collection of amounts owed by

Customers. We estimate the allowance based on analyzing a number of factors, including amounts written off historically,
Customer payment practices, and general economic conditions. We also analyze significant Customer accounts on a regular
basis and record a specific allowance when we become aware of a specific Customer’s inability to pay. As a result, the related
accounts receivable are reduced to an amount that we reasonably believe is collectible.

We maintain an allowance for sales returns based upon known returns and estimated returns for both capital equipment and

consumables. We estimate returns of capital equipment and consumables based upon recent historical experience.

Inventories, net. Inventories are stated at the lower of their cost and net realizable value determined by the first-in, first-out
(“FIFO”) cost method. Inventory costs include material, labor, and overhead.

We review inventory on an ongoing basis, considering factors such as deterioration, obsolescence, and other items. We
record an allowance for estimated losses when the facts and circumstances indicate that particular inventories will not be usable.
If future market conditions vary from those projected, and our estimates prove to be inaccurate, we may be required to write-
down inventory values and record an adjustment to Cost of revenues.

Property, Plant, and Equipment. Our property, plant, and equipment consists of land and land improvements, buildings and
leasehold improvements, machinery and equipment, information systems, radioisotope (cobalt-60), and construction in
progress. Property, plant, and equipment are presented at cost less accumulated depreciation and depletion. We capitalize
additions and improvements. Repairs and maintenance are charged to expense as they are incurred.

Land is not depreciated and construction in progress is not depreciated until placed in service. Depreciation of most assets
is computed on the cost less the estimated salvage value by using the straight-line method over the estimated remaining useful
lives. Depletion of radioisotope is computed using the annual decay factor of the material, which is similar to the sum-of-the-
years-digits method.

63

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

We generally depreciate or deplete property, plant, and equipment over the useful lives presented in the following table:

Asset Type

Land improvements
Buildings and leasehold improvements
Machinery and equipment
Information Systems
Radioisotope (cobalt-60)

Useful Life
(years)

3-40
2-50
2-20
2-20
20

When we sell, retire, or dispose of property, plant, and equipment, we remove the asset’s cost and accumulated

depreciation from our Consolidated Balance Sheet. We recognize the net gain or loss on the sale or disposition in the
Consolidated Statements of Income in the period when the transaction occurs.

Interest. We capitalize interest costs incurred during the construction of long-lived assets. We capitalized interest costs of
$6,366 and $3,886 for the years ended March 31, 2023 and 2022, respectively. Total interest expense for the years ended
March 31, 2023, 2022, and 2021 was $107,989, $89,593, and $37,180, respectively.

Identifiable Intangible Assets. Our identifiable intangible assets include product technology rights, trademarks, licenses, non-
compete agreements, and Customer and vendor relationships. We record these assets at cost, or when acquired as part of a
business acquisition, at estimated fair value. Determining the fair value of identifiable intangible requires management’s
judgment and often involves the use of significant estimates and assumptions, including assumptions with respect to forecasted
revenue growth rates, forecasted profit margins, and Customer attrition rates, among other items. We generally amortize
identifiable intangible assets over periods ranging from 5 to 20 years using the straight-line method. Our intangible assets also
include indefinite lived assets including certain trademarks and tradenames that were acquired in connection with business
combinations. These assets are tested at least annually for impairment.

Investments. Investments in marketable securities are stated at fair value and are included in Other assets on the Consolidated
Balance Sheets. Changes in the fair value of these investments are recorded in the Interest income and miscellaneous expense
(income) line of the Consolidated Statements of Income.

Asset Impairment Losses. Property, plant, equipment, and identifiable intangible assets are reviewed for impairment when
indicators of impairment exist and circumstances indicate that the carrying value of such assets may not be recoverable.
Impaired assets are recorded at the lower of carrying value or estimated fair value. We monitor for such indicators on an
ongoing basis and if an impairment exists, we record the loss in the Consolidated Statements of Income during that period.

Asset Retirement Obligations. We incur retirement obligations for certain assets. We record initial liabilities for the asset
retirement obligations ("ARO") at fair value. Recognition of ARO includes: estimating the present value of a liability and
offsetting asset, the subsequent accretion of that liability and depletion of the asset, and a periodic review of the ARO liability
estimates and discount rates used in the analysis. We provide additional information about our asset retirement obligations in
Note 5 titled, “Property, Plant, and Equipment.”

Acquisitions of Business. Assets acquired and liabilities assumed in a business combination are accounted for at fair value on
the date of acquisition. Costs related to the acquisition are expensed as incurred.

Goodwill. We perform our annual impairment test for goodwill in the third quarter of each year. We may consider qualitative
indicators of the fair value of a reporting unit when it is unlikely that a reporting unit has impaired goodwill. We may also
utilize a discounted cash flow analysis that requires certain assumptions and estimates be made regarding market conditions and
our future profitability. We review the book value compared to the fair value at the reporting unit level. We calculate the fair
value of our reporting units based on the present value of estimated future cash flows. Management's judgment is necessary to
evaluate the impact of operating and macroeconomic changes and to estimate future cash flows to measure fair value.
Assumptions used in our impairment evaluations, such as forecasted growth rates and cost of capital, are consistent with
internal projections, strategic plans, and operating plans. We believe such assumptions and estimates are also comparable to
those that would be used by other marketplace participants.

64

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

Self-Insurance Liabilities. We record a liability for self-insured risks that we retain for general and product liabilities,
workers’ compensation, and automobile liabilities based on actuarial calculations. We use our historical loss experience and
actuarial methods to calculate the liability. This liability includes estimates for both losses and incurred but not reported claims.
We review the assumptions used to calculate the estimated liability at least annually to evaluate the adequacy of the amount
recorded. We maintain insurance policies to cover losses greater than our estimated liability, which are subject to the terms and
conditions of those policies. We are also self-insured for certain employee medical claims. We estimate a liability for incurred
but not reported claims based upon recent claims experience.

Benefit Plans. We sponsor defined benefit pension plans. We also sponsor a post-retirement benefits plan for certain former
employees. We determine our costs and obligations related to these plans by evaluating input from third-party professional
advisers. These costs and obligations are affected by assumptions including the discount rate, expected long-term rate of return
on plan assets, the annual rate of change in compensation for eligible employees, estimated changes in costs of healthcare
benefits, and other factors. We review the assumptions used on an annual basis.

We recognize an asset for the overfunded status or a liability for the underfunded status of defined benefit pension and

post-retirement benefits plans in our consolidated balance sheets. This amount is measured as the difference between the fair
value of plan assets and the benefit obligation (the projected benefit obligation for pension plans and the accumulated post-
retirement benefit obligation for other post-retirement benefit plans). Changes in the funded status of the plans are recorded in
other comprehensive income in the year they occur. We measure plan assets and obligations as of the balance sheet date. We
provide additional information about our pension and other post-retirement benefits plans in Note 9 titled, “Benefit Plans.”

Fair Value of Financial Instruments. Except for long-term debt, our financial instruments are highly liquid or have short-
term maturities. We provide additional information about the fair value of our financial instruments in Note 17 titled, “Fair
Value Measurements.”

Foreign Currency Translation. Most of our operations use their local currency as their functional currency. Financial
statements of subsidiaries are translated into U.S. dollars using the exchange rate at each balance sheet date for assets and
liabilities and a weighted average exchange rate for each period for revenues, expenses, gains and losses. Translation
adjustments for subsidiaries whose local currency is their functional currency are recorded as a component of accumulated other
comprehensive income (loss) within equity. Transaction gains and losses resulting from fluctuations in currency exchange rates
on transactions denominated in currencies other than the functional currency are recognized as incurred in the accompanying
Consolidated Statements of Income, except for certain intercompany balances designated as long-term in nature.

Forward and Swap Contracts. We enter into foreign currency forward contracts to hedge assets and liabilities denominated
in foreign currencies, including intercompany transactions.We may also enter into commodity swap contracts to hedge price
changes in nickel that impact raw materials included in our Cost of revenues. We may also hold forward foreign exchange
contracts to hedge a portion of our expected non-U.S. dollar denominated earnings against our reporting currency, the U.S.
dollar. We do not use derivative financial instruments for speculative purposes. These contracts are marked to market, with
gains and losses recognized within Selling, general, and administrative expenses or Cost of revenues in the accompanying
Consolidated Statements of Income.

Warranty. Warranties are provided on the sale of certain of our products and services and an accrual for estimated future
claims is recorded at the time revenue is recognized. We estimate warranty expense based primarily on historical warranty
claim experience.

Shipping and Handling. We record shipping and handling costs in costs of revenues. Shipping and handling costs charged to
Customers are recorded as revenues in the period the product revenues are recognized.

Advertising Expenses. Costs incurred for communicating, advertising and promoting our products are generally expensed
when incurred as a component of Selling, general, and administrative expenses. We incurred $21,668, $15,599, and $6,795 of
advertising costs during the years ended March 31, 2023, 2022, and 2021, respectively.

Research and Development. We incur research and development costs associated with commercial products and expense
these costs as incurred. If a Customer reimburses us for research and development costs, the costs are charged to the related
contracts as costs of revenues.

65

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

Income Taxes. We defer income taxes for all temporary differences between pre-tax financial and taxable income and between
the book and tax basis of assets and liabilities. We record valuation allowances to reduce net deferred tax assets to an amount
that we expect will more-likely-than-not be realized. In making such a determination, we consider all available information,
including scheduled reversals of deferred tax liabilities, projected future taxable income, tax planning strategies, and if
applicable, any carryback claims that can be filed. In the event we were to determine that we would be able to realize our
deferred income tax assets in the future in excess of their net recorded amount, we would make an adjustment to the valuation
allowance which would reduce the provision for income taxes and the effective tax rate.

We evaluate uncertain tax positions in accordance with a two-step process. The first step is recognition: The determination

of whether or not it is more-likely-than-not that a tax position will be sustained upon examination, including resolution of any
related appeals or litigation processes, based on the technical merits of the position. In evaluating whether a tax position has met
the more-likely-than-not recognition threshold, we presume that the position will be examined by the appropriate tax authority
and that the tax authority will have full knowledge of all relevant information. The second step is measurement: A tax position
that meets the more-likely-than-not threshold is measured to determine the amount of benefit to recognize in the financial
statements. The measurement process requires the determination of the range of possible settlement amounts and the probability
of achieving each of the possible settlements. The tax position is measured at the largest amount of benefit that is greater than
fifty percent likely of being realized upon ultimate settlement. No tax benefits are recognized for positions that do not meet the
more-likely-than-not threshold. Tax positions that previously failed to meet the more-likely-than-not threshold are recognized
in the first subsequent financial reporting period in which that threshold is met. Previously recognized tax positions that no
longer meet the more-likely-than-not recognition threshold are derecognized in the first subsequent financial reporting period in
which the threshold is no longer met. We describe income taxes further in Note 8 titled, “Income Taxes.”

Share-Based Compensation. We describe share-based compensation in Note 14 titled, “Share-Based Compensation.” We
measure the cost of employee services received in exchange for an award of equity instruments based on the grant-date fair
value of the award. We record liability awards at fair value each reporting period and the change in fair value is reflected as
share-based compensation expense in our Consolidated Statements of Income. The expense is classified as Cost of revenues,
Selling, general, and administrative expenses or Research and development expenses in a manner consistent with the
employee’s compensation and benefits. These costs are recognized in the Consolidated Statements of Income over the period
during which an employee is required to provide service in exchange for the award.

Restructuring. We recognize restructuring expenses as incurred. Asset impairment and accelerated depreciation expenses
primarily relate to inventory write-downs for rationalized products and adjustments in the carrying value of the related facilities
and machinery and equipment to their estimated fair value. In addition, the remaining useful lives of other property, plant, and
equipment associated with the related operations are re-evaluated based on the respective restructuring plan, which may result
in the acceleration of depreciation and amortization of certain assets.

66

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

Recently Issued Accounting Standards Impacting the Company

Recently Issued Accounting Standards Impacting the Company are presented in the following table:

Standard

Date of
Issuance

Description

October
2021

Standards that have been adopted in fiscal 2023.
ASU 2021-08
"Business
Combinations
(Topic 805)
Accounting for
Contract Assets
and Contract
Liabilities from
Contracts with
Customers."

The standard provides guidance to improve the
accounting for acquired revenue contracts with
Customers in a business combination by
addressing diversity in practice and
inconsistency related to the recognition of an
acquired contract liability and payment terms
and their effect on subsequent revenue
recognized by the acquirer.

September
2022

Standards that have not yet been adopted.
ASU 2022-04
"Liabilities -
Supplier Finance
Programs
(Subtopic
405-50)
Disclosure of
Supplier Finance
Program
Obligations

The standard provides guidance to enhance
the transparency of disclosures for entities that
utilize supplier finance programs to include
information about the key terms of the
programs and present a rollforward of any
obligations under the program where those
obligations are presented in the balance sheet.

Date of
Adoption

Effect on the financial
statements or other significant
matters

First
Quarter
Fiscal
2023

We adopted this standard
effective April 1, 2022 with
no material impact to our
consolidated financial
statements.

NA

We are in the process of
evaluating the impact that the
standard will have on our
consolidated financial
statements.

2. BUSINESS ACQUISITIONS AND DIVESTITURES

Fiscal 2023Acquisitions

During fiscal 2023, we completed several tuck-in acquisitions which continued to expand our product and service

offerings in the Applied Sterilization Technologies and Healthcare segments. Total aggregate consideration was approximately
$49,842, including potential contingent consideration of $7,269.

Purchase price allocations will be finalized within the measurement period not to exceed one year from closing.

Fiscal 2022 Acquisition of Cantel Medical LLC

On June 2, 2021, we acquired all outstanding equity interests in Cantel Medical LLC ("Cantel") through a U.S. subsidiary.

Cantel, formerly headquartered in Little Falls, New Jersey, with approximately 3,700 employees, is a global provider of
infection prevention products and services primarily to endoscopy and dental Customers.

We believe that the acquisition will strengthen STERIS’s leadership in infection prevention by bringing together two

complementary businesses able to offer a broader set of Customers a more diversified selection of infection prevention,
endoscopy and sterilization products and services. Cantel’s Dental business extended our business into a new Customer
segment where there is an increasing focus on infection prevention protocols and processes. This business is reported as the
Dental segment. The rest of Cantel was integrated into our existing Healthcare and Life Sciences segments. Additionally, the
acquisition is expected to result in cost savings from optimizing global back-office infrastructure, leveraging best-demonstrated
practices across locations and eliminating redundant public company costs.

67

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

Total Purchase Consideration

The total consideration for Cantel Common Stock and stock equivalents was $3,599,471. The consideration was comprised

of the following:

(shares in thousands)

Cash consideration $16.93 per Cantel share (42,816 shares)

Cash consideration for fractional shares

STERIS plc ordinary shares 14,297 shares at ($188.07 per share)

Consideration related to Cantel equity compensation programs

Consideration related to equity component of Cantel convertible debt

Total purchase consideration

$

$

716,412

14

2,689,317

18,173

175,555

3,599,471

In addition, STERIS assumed and repaid $721,284 of existing Cantel debt obligations and assumed Cantel's obligations

associated with convertible senior notes issued on May 15, 2020, which is described in Note 6 titled, "Debt."

We funded the cash portion of the transaction consideration and repayment of a significant amount of Cantel’s existing

debt obligations with a portion of the proceeds from new debt, which is described in Note 6 titled, "Debt."

Fair Value of Assets Acquired and Liabilities Assumed

The acquisition of Cantel has been accounted for using the acquisition method of accounting which requires, among other

things, the assets acquired and liabilities assumed be recognized at their respective fair values as of the acquisition date.
Acquisition accounting is dependent upon certain valuations and other studies. The process for estimating the fair values of
identifiable intangible assets and certain tangible assets and assumed liabilities requires the use of judgment in determining the
appropriate assumptions and estimates.

Fair value estimates are based on a complex series of judgments about future events and uncertainties and rely heavily on
estimates and assumptions. The judgments used to determine the estimated fair value assigned to each class of assets acquired
and liabilities assumed, as well as asset lives, can materially impact our results of operations. Goodwill has been allocated to the
Healthcare, Dental and Life Sciences segments. Goodwill is the excess of the consideration transferred over the net assets
recognized and represents the expected revenue and cost synergies of the combined company and assembled workforce.
Goodwill recognized as a result of the acquisition is not deductible for tax purposes.

During the second quarter of fiscal 2023, in connection with the preparation of our quarterly consolidated financial

statements, we identified and recognized a goodwill impairment loss of $490,565 related to goodwill that arose with respect to
assets acquired in the Cantel acquisition. For more information on the impairment loss, see Note 3 to our consolidated financial
statements titled, "Goodwill and Intangible Assets."

68

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

The table below presents the allocation of the purchase price to the net assets acquired based on the fair values at the

acquisition date.

Cash

Accounts receivable

Inventory

Property, plant, and equipment

Lease right-of-use assets

Other assets

Intangible assets

Goodwill
Total assets acquired
Convertible debt, par value

Other current liabilities

Long-term lease obligations

Deferred income taxes, net

Long-term indebtedness

Total liabilities assumed
Net assets acquired

Cantel Other Intangible Assets

March 31, 2022
(As Previously Reported)
169,073
$

$

172,226

249,221

267,360

59,720

72,864

2,942,000

1,522,381
5,454,845
168,000

247,549

47,856

670,685

721,284

$

1,855,374
3,599,471

$

Adjustments

Final

— $

—

—

(1,282)

—

—

—

22,088
20,806
—

5,595

—

15,211

—

20,806

— $

169,073

172,226

249,221

266,078

59,720

72,864

2,942,000

1,544,469
5,475,651
168,000

253,144

47,856

685,896

721,284

1,876,180
3,599,471

The estimated fair values of identifiable intangible assets were prepared using income valuation methodologies, which
require a forecast of expected future cash flows using either the relief-from-royalty method or the multi-period excess earnings
method. The estimated useful lives are based on the historical experience of STERIS, available similar industry data and
assumptions made by management.Values and useful lives are presented in the table below.

Customer relationships
Trade names
Developed technology
Non-compete agreements
Total intangible assets acquired

Total
2,278,000
422,000
222,000
20,000
2,942,000

$

$

Useful Life
9-10 years
11 years
9 years
2 years

Contingent liabilities assumed totaled $25,000 and were related to contingent consideration associated with a prior

acquisition completed by Cantel. Payment was made in June, 2021.

Actual and Pro Forma Impact

Our consolidated financial statements for fiscal 2022 include Cantel's results of operations from the date of acquisition on

June 2, 2021 through March 31, 2022. Net sales and operating income attributable to Cantel from the date of acquisition and
included in our consolidated financial statements for the fiscal year ended March 31, 2022 total $974,408 and $41,757,
respectively.

69

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

The following unaudited pro forma information gives effect to our acquisition of Cantel as if the acquisition had occurred

on April 1, 2020 and Cantel had been included in our consolidated results of operations for the fiscal years ended March 31,
2022 and 2021.

Net revenues
Net income from continuing operations

Fiscal Year Ended March 31,
(unaudited)

$

2022
4,790,161 $
449,382

2021
4,190,244
5,849

The historical consolidated financial information of STERIS and Cantel has been adjusted in the pro forma information to

give effect to pro forma events that are directly attributable to the transaction and factually supportable. The unaudited pro
forma results include adjustments to reflect the amortization of the inventory step-up and the incremental depreciation and
amortization to be reported based on the latest draft of valuations of assets acquired. Adjustments to financing costs and income
tax expense also were made to reflect the capital structure and anticipated effective tax rate of the combined entity. These pro
forma amounts are not necessarily indicative of the results that would have been obtained if the acquisition had occurred as of
the beginning of the period presented or that may occur in the future, and does not reflect future synergies, integration costs, or
other such costs or savings.

Other Fiscal 2022 Acquisitions

In addition to the acquisition of Cantel, we completed three other tuck-in acquisitions during fiscal 2022, which continued
to expand our product and service offerings in the Healthcare segment. Total aggregate consideration for these transactions was
approximately $3,146, net of cash acquired and including deferred consideration of $50.

Fiscal 2021 Acquisitions

On January 4, 2021, we purchased the remaining outstanding shares of an entity in which we had initially made an equity

investment in fiscal 2019. Total consideration was approximately $78,045, net of cash acquired and subject to any working
capital adjustments. Total non-cash consideration for this transaction was $41,771, which consisted of the settlement of
outstanding principal and interest on a loan receivable, the initial equity investment, and receivables related to capital
equipment purchases that existed at the acquisition date. The business has been integrated into our Applied Sterilization
Technologies business segment and we funded the transaction through a combination of cash on hand and credit facility
borrowings.

On November 18, 2020, we acquired all of the outstanding units and equity of Key Surgical, LLC ("Key Surgical"). Key
Surgical is a global provider of sterile processing, operating room and endoscopy consumable products serving hospitals and
surgical facilities. Key Surgical has been integrated into our Healthcare segment. The total purchase price of the acquisition was
$853,203, net of cash acquired and remains subject to customary working capital adjustments. The purchase price for the
acquisition was financed with a combination of cash on hand, credit facility borrowings and proceeds from borrowings under a
then new Term loan agreement. Please refer to Note 6 titled, "Debt" for more information.

We also completed two other tuck-in acquisitions during fiscal 2021, which continued to expand our product and service

offerings in the Healthcare segment. Total aggregate consideration for these transactions was approximately $20,909, net of
cash acquired and including deferred consideration of approximately $1,194.

70

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

Fair Value of Assets Acquired and Liabilities Assumed

The table below summarizes the allocation of the purchase price to the net assets acquired based on fair values at the

acquisition dates for our fiscal 2023, 2022 and 2021 acquisitions.

(dollars in thousands)

Cash

Accounts receivable

Inventory

Property, plant, and equipment

Lease right-of-use assets, net

Other assets

Intangible assets (2)

Goodwill

Total assets

Current liabilities

Non-current liabilities

Total liabilities

Net assets

Fiscal Year
2023(1)

All Acquisitions

Fiscal Year
2022
Other
Acquisitions
(Excluding
Cantel)

Fiscal Year 2021(2)

Key Surgical

Other
Acquisitions

$

— $

— $

12,615

$

2,405

12,342

2,131

667

177

27,576

7,024

52,322

(2,007)

(473)

(2,480)

—

—

—

—

—

1,578

1,602

3,180

(34)

—

(34)

13,967

21,414

6,030

4,907

6,680

356,999

527,675

950,287

(21,599)

(62,870)

(84,469)

9,159

9,621

22,123

26,363

4,420

3,378

28,188

42,808

146,060

(28,245)

(9,704)

(37,949)

$

49,842

$

3,146

$

865,818

$

108,111

(1) Purchase price allocation is still preliminary as of March 31, 2023 for certain acquisitions, as valuations have not been finalized, pending further analyses of
the significant drivers of fair value.
(2) The Fiscal 2021 amount includes $315,575, related to the fair value of the Customer relationships intangible asset obtained in the acquisition of Key Surgical.
The estimation of fair value was determined under an income approach using discounted cash flows. The estimate requires assumptions including forecasted
revenue growth rates, forecasted profit margins, and Customer attrition rates.

Goodwill is the excess of the consideration transferred over the net assets recognized and represents the expected revenue

and cost synergies of the combined company and assembled workforce. The deductible portion of goodwill for tax purposes
recognized as a result of the fiscal 2023, 2022 and fiscal 2021 acquisitions was $4,863, $427,035 and $197,344, respectively.

Acquisition related transaction and integration costs totaled $24,196, $205,788, and $35,634 for the fiscal years ended
March 31, 2023, 2022, and 2021, respectively. Fiscal 2022 acquisition and integration expenses were primarily related to the
acquisition of Cantel. These costs are included in Selling, general, and administrative expenses in the Consolidated Statements
of Income.

71

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

Divestitures

Fiscal 2023

Divestitures. In April 2022, we entered into an Asset Purchase Agreement to sell certain assets of our Animal Health business
to Veterinary Orthopedic Implants, LLC. We recorded net proceeds of $5,228 and recognized a pre-tax loss on the sale of
$4,852 in the Selling, general, and administrative expenses line of the Consolidated Statements of Income. The business
generated annual revenues of approximately $12,000.

Fiscal 2022

In December 2021, we entered into an Asset Purchase Agreement to sell our Renal Care business to Evoqua Water
Technologies Corp., for cash consideration of approximately $196,000, subject to certain potential adjustments, including a
customary working capital adjustment and contingent consideration of $12,300. We recognized a pre-tax gain on the sale of
$4,919. The transaction closed on January 3, 2022. We acquired the Renal Care business as part of the Cantel transaction,
which closed on June 2, 2021, and had been integrated into STERIS's Healthcare segment. The Renal Care business generated
annual revenues of approximately $180,000. The proceeds from the sale received at closing were used to repay outstanding
debt. During the third quarter of fiscal 2023, we received an additional $1,396 in working capital settlements related to the sale
of this business.

Fiscal 2021

During fiscal 2021, we sold an Applied Sterilization Technologies laboratory that was located in the Netherlands. We
recorded proceeds of $518, net of cash divested, and recognized a pre-tax loss on the sale of $2,024 in the Selling, general, and
administrative expenses line of the Consolidated Statements of Income. The business generated annual revenues of
approximately $6,000.

3.GOODWILL AND INTANGIBLE ASSETS

Changes to the carrying amount of goodwill for the years ended March 31, 2023 and 2022 were as follows:

Balance at March 31, 2021
Cantel goodwill acquired
Measurement period adjustments to
acquired goodwill
Divestitures
Foreign currency translation adjustments
and other
Balance at March 31, 2022
Goodwill acquired
Measurement period adjustments to
acquired goodwill
Impairment
Divestiture
Foreign currency translation adjustments
and other
Balance at March 31, 2023

Healthcare
Segment
1,384,763
1,019,332

Applied
Sterilization
Technologies
Segment
1,492,239
—

Life Sciences
Segment

149,047
30,356

Dental

—
472,693

Total
3,026,049
1,522,381

(6,533)
(7,000)

(9,286)
—

—
—

—
—

(15,819)
(7,000)

$

(63,732)
2,326,830
6,221

(21,624)
—
(2,358)

(50,095)
1,432,858 $

$

803

—
—
—

(115)
179,288
—

$

(7,326)
465,367 $
—

(121,268)
4,404,343
7,024

3,147
—
—

40,565
(490,565)
—

22,088
(490,565)
(2,358)

(7,796)
2,301,273

$

(37,527)
1,396,134 $

$

(623)
181,812

$

(15,367)

— $

(61,313)
3,879,219

See Note 2 titled, "Business Acquisitions and Divestitures," for additional information regarding our recent business

acquisitions and divestitures.

72

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

We evaluate the recoverability of recorded goodwill annually at the reporting unit level during the third fiscal quarter, or

when evidence of potential impairment exists. The Company's reporting units are equivalent to the reportable operating
segments.

In connection with the preparation of our second quarter consolidated financial statements, we considered the risk of

impairment due to deteriorating macroeconomic conditions including rising interest rates and inflationary pressures on material
and labor costs, as well as uncertainty regarding the impact such economic strains will have on patient and Customer behavior
in the short-term. Our conclusion, based on the qualitative assessment of these factors, was that it was more likely than not that
the goodwill allocated to the Dental segment as of September 30, 2022 was impaired.

Our quantitative analysis to measure the extent of goodwill impairment compared the estimated fair value to the carrying
value of the Dental segment. The fair value is estimated as the present value of future cash flows. Future cash flow projections
are consistent with those used in our forecasting and strategic planning processes. The determination of the discount rate
requires judgement and assumptions to be developed about the weighted average cost of capital that market participants would
employ in evaluating the current fair value of the business. The macroeconomic factors that triggered the interim review are
also the drivers of the increase in the weighted average cost of capital assumption.

In connection with the preparation of our second quarter consolidated financial statements, we identified that the estimated

fair value of the Dental segment was below the carrying value and recognized a non-cash goodwill impairment charge of
$490,565. The impairment charge was recorded within "Goodwill impairment loss" in the Consolidated Statements of Income
during the second quarter of fiscal 2023.

Our review as of the second quarter of fiscal 2023 did not indicate that impairment of goodwill was more likely than not for
any of the remaining segments during the period. The annual goodwill impairment review was conducted in the third quarter of
fiscal 2023 as planned. No additional goodwill impairment was identified during this review.

As a result of our annual impairment review of goodwill for fiscal years 2022 and 2021, no indicators of impairment were

identified.

Information regarding our intangible assets is as follows:

March 31,

Customer relationships

Non-compete agreements

Patents and technology
Trademarks and tradenames

Supplier relationships

Total

2023

2022

Gross
Carrying
Amount
$ 3,099,544

Accumulated
Amortization
818,810
$

Gross
Carrying
Amount
$ 3,117,314

Accumulated
Amortization
539,845
$

23,486

534,539
468,729

54,800

21,535

252,809
111,158

21,006

23,571

518,714
470,919

54,800

12,392

211,822
74,455

18,267

$ 4,181,098

$ 1,225,318

$ 4,185,318

$

856,781

Certain trademarks and tradenames obtained as a result of business combinations are indefinite-lived assets. The
approximate carrying value of these assets at March 31, 2023 and March 31, 2022 was $14,250. We evaluate our indefinite-
lived intangible assets annually during the third quarter or when evidence of potential impairment exists. No impairment was
recognized for fiscal years 2023, 2022 or 2021.

Total amortization expense for intangible assets was $379,752, $368,698, and $86,512 for the years ended March 31, 2023,

2022, and 2021, respectively. Based upon the current amount of intangible assets subject to amortization, the amortization
expense for each of the five succeeding fiscal years is estimated to be as follows:

Estimated amortization expense

2024
369,358

$

2025
363,499

$

2026
354,672

$

2027
348,506

$

2028
343,510

$

The estimated annual amortization expense presented in the preceding table has been calculated based upon March 31,

2023 currency exchange rates.

73

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

4.INVENTORIES, NET

Components of our inventories are presented in the following table.

March 31,

Raw materials

Work in process

Finished goods

Reserve for excess and obsolete inventory

Inventories, net

5.PROPERTY, PLANT, AND EQUIPMENT

Information related to the major categories of our depreciable assets is as follows:

March 31,

Land and land improvements (1)
Buildings and leasehold improvements
Machinery and equipment
Information systems
Radioisotope
Construction in progress (1)
Total property, plant, and equipment
Less: accumulated depreciation and depletion
Property, plant, and equipment, net

2023

2022

$

239,081

$

97,756

404,238

(45,582)

$

695,493

$

195,035

76,021

334,880

(30,937)

574,999

2023

84,313
691,933
994,188
247,873
637,920
478,316
3,134,543
(1,429,031)
1,705,512

$

$

2022

84,015
654,851
903,649
222,620
597,641
356,013
2,818,789
(1,266,213)
1,552,576

$

$

(1) Land is not depreciated. Construction in progress is not depreciated until placed in service.

Depreciation and depletion expense were $173,145, $184,406 and $132,725, for the years ended March 31, 2023, 2022,

and 2021, respectively.

Asset Retirement Obligations

We provide contract sterilization services including Gamma irradiation which utilizes cobalt-60 in the form of cobalt
pencils. We have incurred asset retirement obligations (ARO) associated with the future disposal of these assets once depleted.
Recognition of ARO includes: the present value of a liability and offsetting asset, the subsequent accretion of that liability and
depletion of the asset, and the periodic review of the ARO liability estimates and discount rates used in the analysis.

74

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

The following table summarizes the activity in the liability for asset retirement obligations.

Balance at March 31, 2021

Liabilities incurred during the period

Liabilities settled during the period

Accretion expense and change in estimate

Foreign currency and other

Balance at March 31, 2022

Liabilities incurred during the period

Liabilities settled during the period
Accretion expense and change in estimate
Foreign currency and other

Balance at March 31, 2023

6.DEBT

Indebtedness as of March 31, 2023 and 2022 was as follows:

Short-term debt

Term loan, current portion
Delayed draw term loan, current portion
Private Placement Senior Notes

Total short-term debt

Long-term debt

Private Placement Senior Notes
Revolving Credit Facility
Deferred financing costs
Term loan
Delayed draw term loan
Senior Public Notes

Total long-term debt
Total debt

Asset
Retirement
Obligations

$

13,330

86

(3)

146

(16)

$

13,543

86

(625)
104
23

$

13,131

March 31,
2023

March 31,
2022

$

$

$

$
$

27,500
32,500
—
60,000

750,302
301,672
(21,444)
45,000
593,125
1,350,000
3,018,655
3,078,655

$

$

$

$
$

27,500
24,375
91,000
142,875

758,726
58,908
(25,278)
177,500
625,625
1,350,000
2,945,481
3,088,356

On March 19, 2021, STERIS plc ("the Company"), STERIS Corporation, STERIS Limited (“Limited”), and STERIS Irish

FinCo Unlimited Company ("FinCo", "STERIS Irish FinCo"), each as a borrower and guarantor, entered into a credit
agreement with various financial institutions as lenders, and JPMorgan Chase Bank, N.A., as administrative agent (the
“Revolving Credit Agreement”) providing for a $1,250,000 revolving credit facility (the “Revolver”), which replaced a prior
revolving credit agreement.

The Revolver provides for revolving credit borrowings, swing line borrowings and letters of credit, with sublimits for
swing line borrowings and letters of credit. The Revolver may be increased in specified circumstances by up to $625,000 in the
discretion of the lenders. The Revolver matures on the date that is five years after March 19, 2021, and all unpaid borrowings,
together with accrued and unpaid interest thereon, are repayable on that date. The Revolver bears interest from time to time, at
either the Base Rate, the applicable Relevant Rate, or the applicable Adjusted Daily Simple RFR, as defined in and calculated
under and as in effect from time to time under the Revolving Credit Agreement, plus the Applicable Margin, as defined in the
Revolving Credit Agreement. The Applicable Margin is determined based on the Debt Rating of STERIS, as defined in the
Credit Agreement. Interest on Base Rate Advances is payable quarterly in arrears, interest on Term Benchmark Advances is

75

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

payable at the end of the relevant interest period therefor, but in no event less frequently than every three months, and interest
on RFR Advances is payable monthly after the date of borrowing. Swingline borrowings bear interest at a rate to be agreed
upon by the applicable swingline lender and the applicable borrower, subject to a cap in the case of swingline borrowings
denominated in U.S. Dollars equal to the Base Rate plus the Applicable Margin for Base Rate Advances plus the Facility Fee.
Advances may be extended in U.S. Dollars or in specified alternative currencies. In connection with the cessation of British
Pound Sterling LIBOR and Swiss Franc LIBOR as of December 31, 2021, JPMorgan Chase Bank, N.A. as administrative
agent, pursuant to authority contained in the Revolver, amended the Revolver on January 1, 2022 to make Benchmark
Replacement Conforming Changes (as defined in the Revolver). The amendment concerns technical, administrative or
operational changes related to borrowings in British Pounds Sterling and Swiss Francs.

As of March 31, 2023 a total of $301,672 of Credit Agreement and Swing Line Facility borrowings were outstanding under

the Credit Agreement, based on currency exchange rates as of March 31, 2023.

On March 19, 2021, the Company, STERIS Corporation, Limited, and FinCo, each as a borrower and guarantor, entered
into a term loan agreement with various financial institutions as lenders, and JPMorgan Chase Bank, N.A., as administrative
agent (the “Term Loan Agreement”) providing for a $550,000 term loan facility (the “Term Loan”), which replaced an existing
term loan agreement, dated as of November 18, 2020 (the “Existing Term Loan Agreement”). The proceeds of the Term Loan
were used to refinance the Existing Term Loan Agreement.

The Term Loan matures on the date that is five years after March 19, 2021 (the “Term Loan Closing Date”). No principal
payments are due on the Term Loan for the period beginning from the first full fiscal quarter ended after the Term Loan Closing
Date to and including the fourth full fiscal quarter ended after the Term Loan Closing Date. For the period beginning from the
fifth full fiscal quarter ended after the Term Loan Closing Date to and including the twelfth full fiscal quarter ended after the
Term Loan Closing Date, quarterly principal payments, each in the amount of 1.25% of the original principal amount of the
Term Loan, are due on the last business day of each fiscal quarter. For the period beginning from the thirteenth full fiscal
quarter ended after the Term Loan Closing Date through the maturity of the loan, quarterly principal payments, each in the
amount of 1.875% of the original principal amount of the Term Loan, are due on the last business day of each fiscal quarter.
The remaining unpaid principal is due and payable on the maturity date.

The Term Loan bears interest from time to time, at either the Base Rate or the Adjusted Term SOFR Rate, as defined in
and calculated under and as in effect from time to time under the Term Loan Agreement, plus the Applicable Margin, as defined
in the Term Loan Agreement. The Applicable Margin is determined based on the Debt Rating of STERIS, as defined in the
Term Loan Agreement. Interest on Base Rate Advances is payable quarterly in arrears and interest on Term Benchmark
Advances is payable in arrears at the end of the relevant interest period therefor, but in no event less frequently than every three
months.

Also on March 19, 2021, the Company, STERIS Corporation, Limited, and FinCo, each as a borrower and guarantor,
entered into a delayed draw term loan agreement with various financial institutions as lenders, and JPMorgan Chase Bank,
N.A., as administrative agent (the “Delayed Draw Term Loan Agreement”) providing for a delayed draw term loan facility of
up to $750,000 (the “Delayed Draw Term Loan”) in connection with STERIS’s acquisition of Cantel. During the first quarter of
fiscal 2022, we borrowed $650,000 under our Delayed Draw Term Loan Agreement. The Delayed Draw Term Loan was
funded by the lenders upon consummation of the Cantel acquisition (the “Acquisition Closing Date”). The proceeds of the
Delayed Draw Term Loan were used, together with the proceeds from other new indebtedness, to fund the cash consideration
for the acquisition, as well as for various other items.

The Delayed Draw Term Loan matures on the date that is five years after the Acquisition Closing Date. No principal

payments are due on the Delayed Draw Term Loan for the period beginning from the first full fiscal quarter ended after the
Acquisition Closing Date to and including the fourth full fiscal quarter ended after the Acquisition Closing Date. For the period
beginning from the fifth full fiscal quarter ended after the Acquisition Closing Date to and including the twelfth full fiscal
quarter ended after the Acquisition Closing Date, quarterly principal payments, each in the amount of 1.25% of the original
principal amount of the Delayed Draw Term Loan, are due on the last business day of each fiscal quarter. For the period
beginning from the thirteenth full fiscal quarter ended after the Acquisition Closing Date through the maturity of the loan,
quarterly principal payments, each in the amount of 1.875% of the original principal amount of the Delayed Draw Term Loan,
are due on the last business day of each fiscal quarter. The remaining unpaid principal is due and payable on the maturity date.

The Delayed Draw Term Loan bears interest from time to time, at either the Base Rate or the Adjusted Term SOFR Rate,
as defined in and calculated under and as in effect from time to time under the Delayed Draw Term Loan Agreement, plus the
Applicable Margin, as defined in the Delayed Draw Term Loan Agreement. The Applicable Margin is determined based on the
Debt Rating of STERIS, as defined in the Delayed Draw Term Loan Agreement. Interest on Base Rate Advances is payable

76

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

quarterly in arrears and interest on Term Benchmark Advances is payable in arrears at the end of the relevant interest period
therefor, but in no event less frequently than every three months.

On May 3, 2023, in connection with the upcoming replacement of U.S. dollar LIBOR with SOFR, the Borrower,
Guarantors, Lenders, and JPMorgan Chase Bank, N.A., each as defined in each of the agreements, amended the Revolving
Credit Agreement, the Term Loan Agreement, and the Delayed Draw Term Loan Agreement. The amendments concern pricing,
technical, administrative, and operational changes related to borrowings in U.S. dollars. The above descriptions reflect those
amendments.
Senior Public Notes

On April 1, 2021, STERIS Irish FinCo Unlimited Company ("FinCo," "STERIS Irish FinCo," the "Issuer") completed an

offering of $1,350,000 in aggregate principal amount, of its senior notes in two separate tranches: (i) $675,000 aggregate
principal amount of the Issuer’s 2.70% Senior Notes due 2031 (the “2031 Notes”) and (ii) $675,000 aggregate principal amount
of the Issuer’s 3.750% Senior Notes due 2051 (the “2051 Notes” and, together with the 2031 Notes, the “Senior Public Notes”).
The Senior Public Notes were issued pursuant to an Indenture, dated as of April 1, 2021 (the “Base Indenture”), among FinCo,
and STERIS plc, STERIS Corporation and STERIS Limited (the “Guarantors”) and U.S. Bank National Association, as trustee
(the “Trustee”), as supplemented by the First Supplemental Indenture, dated as of April 1, 2021, among FinCo, the Guarantors
and the Trustee (the “Supplemental Indenture” and, together with the Base Indenture, the “Indenture”). Each of the Guarantors
guaranteed the Senior Public Notes jointly and severally on a senior unsecured basis (the “Guarantees”). The 2031 Notes will
mature on March 15, 2031 and the 2051 Notes will mature on March 15, 2051. The Senior Public Notes will bear interest at the
rates set forth above. Interest on the Senior Public Notes is payable on March 15 and September 15 of each year, beginning on
September 15, 2021, until their respective maturities.
Cantel's Convertible Debt

On May 15, 2020, Cantel issued $168,000 aggregate principal amount of 3.25% convertible senior notes due 2025 (the
“Notes”) in a private placement. The initial conversion price was $41.51 per share of Cantel common stock (based on an initial
conversion rate of 24.0912 shares of Cantel common stock per one thousand dollars in principal amount of Notes) and was,
along with the conversion rate, subject to adjustment if certain events occurred.

On June, 3, 2021, Cantel (a) delivered a notice to holders of its Notes pursuant to the indenture governing the Notes (as

supplemented, the "Cantel Indenture”), notifying holders that, as a result of each of (i) the consummation of the series of
mergers (the “Mergers”) contemplated by the Agreement and Plan of Merger, dated as of January 12, 2021 (as amended by
Amendment to Agreement and Plan of Merger, dated as of March 1, 2021), among Cantel, STERIS plc (“Parent”), Solar New
US Holding Co, LLC (now known as Solar New US Holding Corporation) (“US Holdco”), an indirect and wholly owned
subsidiary of Parent, and Crystal Merger Sub 1, LLC, a direct and wholly owned subsidiary of US Holdco, and (ii) the delisting
of Cantel common stock from the New York Stock Exchange (the “NYSE”), a “Fundamental Change” and a “Make-Whole
Fundamental Change,” each as defined in the Cantel Indenture, had occurred effective as of June 2, 2021 and (b) commenced
an offer to purchase any and all outstanding Notes as a result of the Fundamental Change.

A tender offer statement on Schedule TO (“Schedule TO”) was filed by Cantel with the U.S. Securities and Exchange
Commission ("SEC") with respect to the right of each holder (each, a “Holder”) of the Notes to require Cantel to repurchase, at
the Holder’s option, 100% of the principal amount of the Notes, plus accrued and unpaid interest thereon to, but excluding the
settlement date of July 6, 2021 (as such date was amended by Amendment No. 1 to Schedule TO (“Amendment No. 1”), dated
June 29, 2021).

The offer to purchase the Notes expired at 11:59 p.m. New York City time, on July 1, 2021 (the “Expiration Time,” as such
date was amended by Amendment No. 1), and was not extended. Wells Fargo Bank, National Association, as paying agent and
trustee under the Indenture (the “Cantel Trustee”), informed Cantel that as of the Expiration Time, none of the Notes had been
validly tendered (and not properly withdrawn) for purchase.

Pursuant to the terms of the Cantel Indenture, in connection with the consummation of the Mergers, Cantel, Parent and the
Cantel Trustee entered into a supplemental indenture providing that, following the Mergers, each holder’s right to convert each
one thousand dollar principal amount of Notes into shares of Cantel common stock was changed into a right to convert such
principal amount of Notes into the kind and amount of cash, stock, other securities, other property or assets, subject to
settlement method election provisions of the Indenture, that a holder of Cantel common stock was entitled to receive upon
consummation of the Mergers. At the consummation of the Mergers, holders of Cantel common stock received $16.93 in cash
and 0.33787 ordinary shares, par value $0.001 per share, of the Parent (“Parent Shares”) for each share of Cantel common stock
(each a “unit of Reference Property”).

Because each of the consummation of the Mergers and the delisting of Cantel common stock from the NYSE constituted a

“Make-Whole Fundamental Change” under the Cantel Indenture, any Notes surrendered for conversion from and including
June 2, 2021 until July 2, 2021 (the “Make-Whole Conversion Period”) were subject to conversion at the conversion rate of
25.0843 units of Reference Property (the “Make-Whole Conversion Rate”), which corresponded to 8.4752 Parent Shares and

77

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

approximately $424.68 in cash per one thousand dollars in principal amount of Cantel Notes. The Make-Whole Conversion
Rate was based on an increase in the Conversion Rate by 0.9931 Additional Shares (as defined in the Indenture) based on a
Make-Whole Effective Date of June 2, 2021 and a Stock Price (each as defined in the Indenture) of $81.3520. Cantel settled all
conversions of Notes in connection with the Make-Whole Fundamental Changes that constituted the Mergers and delisting of
Cantel common stock from the NYSE pursuant to the Cash Settlement provisions of the Cantel Indenture.

The Cantel Trustee, acting as conversion agent, informed Cantel that holders of 100% of the outstanding Notes elected to

convert their Notes during the Make-Whole Conversion Period.

The fair value of the Notes exceeded their aggregate par value of $168,000 at the date of consummation of the Mergers.

The fair value was estimated utilizing the closing price of Parent Shares on June 2, 2021. A premium of approximately
$175,555 in excess of the aggregate par value of the Notes represented purchase consideration and was initially classified in
additional paid-in capital in accordance with ASC 2020-06, "Debt—Debt with Conversion and Other Options (Subtopic
470-20) and Derivatives and Hedging—Contracts in Entity’s Own Equity (Subtopic 815-40)."

Because all Holders elected to convert during the Make-Whole Conversion Period, the aggregate par value outstanding was
reclassified to current liabilities in the balance sheet. The premium initially recorded as additional paid in capital at the effective
time of the Mergers was reclassified to "Convertible debt, premium liability," also classified as a current liability, and was
settled in cash.

The final total Cash Settlement value of the Notes was approximately $371,361, comprised of the aggregate par value of

$168,000 and the fair value of the liability representing the premium over par of approximately $203,361.

The liability representing the premium over par value increased between the effective date of the Mergers and settlement
because of the movement in trading prices of Parent Shares during the Observation Periods. The fluctuation in fair value during
such Observation Periods is reported in the statement of income as a component of “Non-operating expense, net.”

Our outstanding Private Placement Senior Notes at March 31, 2023 and 2022 were as follows:

Applicable Note Purchase
Agreement

Maturity Date

$91,000 Senior notes at 3.20%

2012 Private Placement

December 2022

$80,000 Senior notes at 3.35%

2012 Private Placement

December 2024

$25,000 Senior notes at 3.55%

2012 Private Placement

December 2027

$125,000 Senior notes at 3.45% 2015 Private Placement

$125,000 Senior notes at 3.55% 2015 Private Placement

$100,000 Senior notes at 3.70% 2015 Private Placement

May 2025

May 2027

May 2030

$50,000 Senior notes at 3.93%

2017 Private Placement

February 2027

€60,000 Senior notes at 1.86%
$45,000 Senior notes at 4.03%

2017 Private Placement
2017 Private Placement

February 2027
February 2029

€20,000 Senior notes at 2.04%

2017 Private Placement

February 2029

£45,000 Senior notes at 3.04%

2017 Private Placement

February 2029

€19,000 Senior notes at 2.30%

2017 Private Placement

February 2032

£30,000 Senior notes at 3.17%

2017 Private Placement

February 2032

U.S. Dollar Value
at March 31, 2023
—

U.S. Dollar Value
at March 31, 2022
91,000

80,000

25,000

125,000

125,000

100,000

50,000

65,254
45,000

21,752

55,579

20,664

37,053

80,000

25,000

125,000

125,000

100,000

50,000

66,815
45,000

22,271

59,089

21,158

39,393

Total Senior Notes

$

750,302

$

849,726

On February 27, 2017, Limited issued and sold an aggregate principal amount of $95,000, €99,000, and £75,000, of senior
notes in a private placement to certain institutional investors in an offering that was exempt from the registration requirements
of the Securities Act of 1933. These notes have maturities of between 10 years and 15 years from the issue date. The agreement
governing these notes contains leverage and interest coverage covenants.

On May 15, 2015, STERIS Corporation issued and sold $350,000 of senior notes, in a private placement to certain
institutional investors in an offering that was exempt from the registration requirements of the Securities Act of 1933. These
notes have maturities of 10 years to 15 years from the issue date. The agreement governing these notes contains leverage and
interest coverage covenants.

78

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

In December 2012, and in February 2013 STERIS Corporation issued and sold $200,000 of senior notes, in a private
placement to certain institutional investors in offerings that were exempt from the registration requirements of the Securities
Act of 1933. The agreement governing the notes contains leverage and interest coverage covenants.

The private placement note purchase agreements specify increases to the coupon interest rates while the ratio of
Consolidated Total Debt to Consolidated EBITDA, as defined in the note purchase agreements, exceeds certain thresholds.
Beginning September 1, 2021 and through March 31, 2023, the coupon rates on the 2012 private placement notes were
increased by 0.50%.

On March 19, 2021, STERIS Corporation as issuer, and the Company, Limited and FinCo, as guarantors, entered into (1) a
First Amendment to Amended and Restated Note Purchase Agreement dated March 5, 2019 (which had amended and restated
certain note purchase agreements originally dated December 4, 2012) per the 2012 and 2013 senior notes (the “2012
Amendment”), and (2) a First Amendment to Amended and Restated Note Purchase Agreement dated March 5, 2019 (which
had amended and restated certain note purchase agreements originally dated March 31, 2015) for the 2015 senior notes (the
“2015 Amendment”). Also on March 19, 2021, Limited, as Issuer, and the Company, STERIS Corporation and FinCo, as
guarantors, entered into a First Amendment to Amended and Restated Note Purchase Agreement dated March 5, 2019 (which
had amended and restated a certain note purchase agreement originally dated January 23, 2017) for the 2017 senior notes
(together with the 2012 Amendment and the 2015 Amendment, the “NPA Amendments”). The NPA Amendments provided,
among other things, for the waiver of certain repurchase rights of the note holders and increased the size of certain baskets to
more closely align with other current credit agreement baskets.

At March 31, 2023, we were in compliance with all financial covenants associated with our indebtedness.

The combined annual aggregate amount of maturities of our outstanding debt by fiscal year is as follows:

2024

2025

2026

2027

2028 and thereafter

Total

$

60,000

165,938

479,173

614,942

1,780,047

$

3,100,100

79

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

7.ADDITIONAL CONSOLIDATED BALANCE SHEET INFORMATION

Additional information related to our Consolidated Balance Sheets is as follows:

March 31,

Accrued payroll and other related liabilities:

Compensation and related items

Accrued vacation/paid time off

Accrued bonuses

Accrued employee commissions

Other post-retirement benefits obligations-current portion

Other employee benefit plans' obligations-current portion

Total accrued payroll and other related liabilities

Accrued expenses and other:
Deferred revenues

Service liabilities

Self-insured and related risk reserves-current portion

Accrued dealer commissions

Accrued warranty

Asset retirement obligation-current portion

Accrued interest

Other

Total accrued expenses and other

Other liabilities:

Self-insured risk reserves-long-term portion

Other post-retirement benefits obligations-long-term portion

Defined benefit pension plans obligations-long-term portion

Other employee benefit plans obligations-long-term portion

Accrued long-term income taxes

Asset retirement obligation-long-term portion

Other

Total other liabilities

8.INCOME TAXES

2023

2022

$

48,565

$

$

$

$

$

$

$

$

$

11,080

33,605

29,257

1,121

2,014

125,642

92,283

72,033

11,325

31,096

13,683

543

9,243

87,611

317,817

22,171

6,070

2,876

1,153

10,082

12,588
21,197

$

76,137

$

71,878

13,669

64,702

30,171

1,190

2,111

183,721

110,791

51,365

8,995

31,700

14,108

1,181

10,014

78,390

306,544

19,213

7,335

1,772

1,360

12,225

12,362
21,312

75,579

Income from continuing operations before income taxes was as follows:

Years Ended March 31,

2023

2022

2021

United States operations

Ireland operations

Other locations operations

$

$

(16,759) $

79,662

$

62,664

111,443
157,348

$

88,078

146,763
314,503

$

326,991

73,442

117,100
517,533

80

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

The components of the provision for income taxes related to income from continuing operations consisted of the

following:

Years Ended March 31,

Current:

United States federal

United States state and local

Ireland

Other locations

Deferred:

United States federal
United States state and local

Ireland

Other locations

2023

2022

2021

$

138,208

$

88,158

$

33,234

8,837

61,446

241,725

(114,523)
(50,530)
(864)

(24,273)

(190,190)

21,438

12,002

53,354

174,952

(73,833)
(17,124)
(739)

(11,623)

(103,319)

57,550

16,272

9,244

36,699

119,765

7,523
(550)
(787)

(5,288)

898

Total Provision for Income Taxes

$

51,535

$

71,633

$

120,663

The total provision for income taxes can be reconciled to the tax computed at the Ireland statutory tax rate as follows:

Years Ended March 31,

National statutory tax rate

(Decrease) increase in accruals for uncertain tax positions

U.S. state and local taxes, net of federal income tax benefit

(Decrease) increase in valuation allowances

U.S. research and development credit

U.S. foreign income tax credit

Difference in non-Ireland tax rates

U.S. federal audit adjustments

Impairment of nondeductible goodwill

Excess tax benefit for equity compensation

Tax rate changes on deferred tax assets and liabilities

U.S. tax reform impact, GILTI and FDII

Capitalized acquisition, redomiciliation costs

All other, net

Total Provision for Income Taxes

2023

2022

2021

12.5 %

(0.1)%

(10.8)%

(0.1)%

(1.8)%

(1.2)%

8.6 %

— %

29.0 %

(2.7)%

0.4 %

(1.3)%

— %

0.3 %

32.8 %

12.5 %

0.2 %

1.4 %

0.9 %

(0.8)%

(1.1)%

12.6 %

— %

— %

(5.1)%

2.3 %

(0.9)%

1.8 %

(1.0)%

22.8 %

12.5 %

(0.1)%

2.4 %

0.3 %

(0.5)%

(0.3)%

8.3 %

2.1 %

— %

(1.9)%

0.4 %

(0.6)%

0.6 %

0.1 %

23.3 %

81

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

Unrecognized Tax Benefits. We classify uncertain tax positions and related interest and penalties as long-term liabilities
within “Other liabilities” in our accompanying Consolidated Balance Sheets, unless they are expected to be paid within 12
months, in which case, the uncertain tax positions would be classified as current liabilities within “Accrued income taxes.” We
recognize interest and penalties related to unrecognized tax benefits within “Income tax expense” in our accompanying
Consolidated Statements of Income.

A reconciliation of the beginning and ending balances of the total amounts of unrecognized tax benefits is as follows:

Unrecognized Tax Benefits Balance at April 1

Increases for tax provisions of current year

Decreases for tax provisions of prior year

Balances related to acquired/disposed businesses

Other, including currency translation
Unrecognized Tax Benefits Balance at March 31

2023

2022

2,906

$

63

—

(503)

21
2,487

$

2,295

—

(135)

746

—
2,906

$

$

We recognized interest and penalties related to uncertain tax positions in the provision for income taxes. As of March 31,

2023 and 2022, we had $152 and $152 accrued for interest and penalties, respectively. If all unrecognized tax benefits were
recognized, the net impact on the provision for income tax expense would be $2,640. The increase in unrecognized tax benefits
from prior year is due to the additions of new positions. It is reasonably possible that during the next 12 months, there will be
no material reductions in unrecognized tax benefits as a result of the expiration of various statutes of limitations or other
matters.

We operate in numerous taxing jurisdictions and are subject to regular examinations by various United States federal, state
and local, as well as foreign jurisdictions. We are no longer subject to United States federal examinations for years before fiscal
2018 and, with limited exceptions, we are no longer subject to United States state and local, or non-United States, income tax
examinations by tax authorities for years before fiscal 2017. We remain subject to tax authority audits in various jurisdictions
wherever we do business.

In the fourth quarter of fiscal 2021, we completed an appeals process with the U.S. Internal Revenue Service (the “IRS”)

regarding proposed audit adjustments related to deductibility of interest paid on intercompany debt for fiscal years 2016
through 2017. An agreement was reached on final interest rates, which also impacts subsequent years through 2020. We
estimate the total federal, state, and local tax impact of the settlement to be approximately $12,000, for the fiscal years 2016
through 2020, of which approximately $7,500 has been paid through March 31, 2023.

In May 2021, we received two notices of proposed tax adjustment from the IRS regarding deemed dividend inclusions and

associated withholding tax. The notices relate to the fiscal and calendar year 2018. The IRS adjustments would result in a
cumulative tax liability of approximately $50,000. We are contesting the IRS’s assertions. We have not established reserves
related to these notices. An unfavorable outcome is not expected to have a material adverse impact on our consolidated
financial position but it could be material to our consolidated results of operations and cash flows for any one period.

We estimate that the tax benefit from our Costa Rican Tax Holiday is $2,000 (or $0.02 per fully diluted share), annually.

The Tax Holiday runs fully exempt from income tax through 2025, and partially exempt through 2029.

82

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

Deferred Taxes. The significant components of the deferred tax assets and liabilities recorded in our accompanying balance
sheets at March 31, 2023 and 2022 were as follows:

March 31,

2023

2022

Deferred Tax Assets:

Post-retirement benefit accrual

Compensation

Net operating loss carryforwards

Accrued expenses

Insurance

Deferred income

Bad debt
Research & experimental expenditures
Operating leases (1)
Foreign tax credit carryforwards

Other

Deferred Tax Assets

Less: Valuation allowance

Total Deferred Tax Assets

Deferred Tax Liabilities:

Depreciation and depletion
Operating leases (1)
Intangibles

Pension
Other

Total Deferred Tax Liabilities

Net Deferred Tax Assets (Liabilities)

$

1,737

$

15,858

37,667

13,150

2,268

23,967

3,763
15,382
46,781

33,559

11,701

205,833

20,315

185,518

98,601
45,834

630,589
2,644

3,186

780,854

2,086

14,340

25,550

12,092

2,561

20,688

2,187
—
44,401

36,036

8,579

168,520

24,691

143,829

110,951
43,593

755,980
2,004

3,473

916,001

$

(595,336) $

(772,172)

(1) For more information regarding our operating leases, see Note 10 titled, "Commitments and Contingencies."

At March 31, 2023, we had U.S. federal operating loss carryforwards of $9,407, which remain subject to a 20 year
carryforward period. Additionally, we had non-U.S. operating loss carry forwards of $126,443. Although the majority of the
non-U.S. carryforwards have indefinite expiration periods, those carryforwards that have definite expiration periods will expire
if unused between fiscal years 2024 and 2044. In addition, we have recorded pre-valuation allowance tax benefits of $3,391
related to state operating loss carryforwards. If unused, these state operating loss carryforwards will expire between fiscal years
2024 and 2044. At March 31, 2023, we had $35,220 of pre-valuation allowance tax credit carryforwards of which $26,728
relates to offsets of deferred tax liabilities related to German branches of a U.S. subsidiary. These credit carryforwards can be
used through fiscal 2033.

We review the need for a valuation allowance against our deferred tax assets. A valuation allowance of $20,315 has been
applied to a portion of the net deferred tax assets because we do not believe it is more-likely-than-not that we will receive future
benefit. The valuation allowance decreased during fiscal 2023 by $4,376.

Other than the tax expense previously recorded for the one-time transition tax on unremitted earnings of non-US

subsidiaries, no additional provision has been made for income taxes on undistributed earnings of foreign subsidiaries as the
Company’s position is that these amounts continue to be indefinitely reinvested. The amount of undistributed earnings of
subsidiaries was approximately $1,915,000 at March 31, 2023. It is not practicable to estimate the additional income taxes and
applicable withholding taxes that would be payable on the remittance of such undistributed earnings.

On October 8, 2021, the Organization for Economic Co-operation and Development ("OECD") announced the OECD/G20
Inclusive Framework on Base Erosion and Profit Shifting which agreed to a two-pillar solution to address tax challenges arising

83

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

from digitalization of the economy. On December 20, 2021, the OECD released Pillar Two Model Rules defining the global
minimum tax, which calls for the taxation of large corporations at a minimum rate of 15%. The OECD continues to release
additional guidance on the two-pillar framework with widespread implementation anticipated by 2024. We are continuing to
evaluate the potential impact on future periods of the Pillar Two Framework, pending legislative adoption by individual
countries. The legislation is anticipated to be effective for our fiscal year beginning April 1, 2024.

9.BENEFIT PLANS

In the United States, we sponsor an unfunded post-retirement welfare benefits plan for two groups of United States retirees.

Benefits under this plan include retiree life insurance and retiree medical insurance, including prescription drug coverage.

During the second quarter of fiscal 2009, we amended our United States post-retirement welfare benefits plan, reducing the
benefits to be provided to retirees under the plan and increasing their share of the costs. The amendments resulted in a decrease
of $46,001 in the accumulated post-retirement benefit obligation. The impact of this change was recognized in our Consolidated
Balance Sheets in fiscal 2009 and is being amortized as a component of the annual net periodic benefit cost over a period of
approximately thirteen years.

We sponsor several defined benefit pension schemes outside the United States: two in the UK, one in the Netherlands, two

in Germany, and one in Switzerland. The Synergy Health plc Retirement Benefit Scheme is a defined benefit (final salary)
funded pension scheme. In previous years, Synergy sponsored a funded defined benefit arrangement in the Netherlands. This
was a separate fund holding the pension scheme assets to meet long-term pension liabilities for past and present employees.
Accrual of benefits ceased under the scheme effective January 1, 2013. The Synergy Radeberg and Synergy Allershausen
Schemes are unfunded defined pension schemes and are closed to new entrants. The Synergy Daniken Scheme is a defined
benefit funded pension scheme. As a result of our fiscal 2018 acquisition of Harwell Dosimeters Ltd, we also sponsor the
Harwell Dosimeters Ltd Retirement Benefits Scheme which is a defined benefit funded pension scheme.

We recognize the funded status of our defined benefit pension and post-retirement benefit plans in our Consolidated
Balance Sheets, with a corresponding adjustment to accumulated other comprehensive income, net of tax. The funded status is
measured as of March 31 each year and is calculated as the difference between the fair value of plan assets and the benefit
obligation (which is the projected benefit obligation for pension plans and the accumulated post-retirement benefit obligation
for post-retirement benefit plans). Accumulated comprehensive income (loss) represents the net unrecognized actuarial losses
and unrecognized prior service cost. These amounts will be recognized in net periodic benefit cost as they are amortized. We
will recognize future changes to the funded status of these plans in the year the change occurs, through other comprehensive
income.

84

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

Obligations and Funded Status. The following table reconciles the funded status of the defined benefit pension plans and the
other post-retirement benefits plan to the amounts recorded on our Consolidated Balance Sheets at March 31, 2023 and 2022,
respectively. Benefit obligation balances presented in the following table reflect the projected benefit obligations for our
defined benefit pension plans and the accumulated other post-retirement benefit obligation for our post-retirement benefits plan.
The measurement date of our defined benefit pension plans and other post-retirement benefits plan is March 31, for both
periods presented.

Change in Benefit Obligations:

Benefit Obligations at Beginning of Year

Service cost

Interest cost

Actuarial loss (gain)

Benefits and expenses

Employee contributions

Curtailments/settlements

Impact of foreign currency exchange rate changes

Benefit Obligations at End of Year

Change in Plan Assets:

Defined Benefit Pension
Plans

Other
Post-Retirement
Benefits Plan

2023

2022

2023

2022

$ 129,772

$ 149,200

$

8,525

$

10,016

1,276

3,054

1,616

2,820

(27,046)

(12,177)

(5,817)

(5,375)

501

(421)

(7,679)

897

(1,334)

(5,875)

—

256

(807)

(783)

—

—

—

—

232

(640)

(1,083)

—

—

—

93,640

129,772

7,191

8,525

Fair Value of Plan Assets at Beginning of Year

142,172

145,452

(25,828)

4,936

501

(5,772)

(421)

(8,499)

3,421

5,533

897

(5,325)

(1,334)

(6,472)

107,089

142,172

—

—

783

—

—

—

1,083

—

(783)

(1,083)

—

—

—

—

—

—

$

13,449

$

12,400

$

(7,191) $

(8,525)

Defined Benefit Pension
Plans

Other Post-Retirement
Benefits Plan

2023

2022

2023

2022

$

16,325

$

14,172

$

— $

—

—

—

(2,876)

(1,772)

(1,121)

(6,070)

(1,190)

(7,335)

$

13,449

$

12,400

$

(7,191) $

(8,525)

Actual return on plan assets

Employer contributions

Employee contributions

Benefits and expenses paid

Curtailments/settlements

Impact of foreign currency exchange rate changes

Fair Value of Plan Assets at End of Year

Funded Status of the Plans

Amounts recognized in the consolidated balance sheets consist of the following:

Non-current assets

Current liabilities

Non-current liabilities

Net assets (liabilities)

85

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

The pre-tax amount of unrecognized actuarial net loss and unamortized prior service cost included in accumulated other

comprehensive (loss) at March 31, 2023, was approximately $750 and $(5,602), respectively.

Defined benefit plans with an accumulated benefit obligation and projected benefit obligation exceeding the fair value of

plan assets had the following plan assets and obligations at March 31, 2023 and 2022:

Aggregate fair value of plan assets

Aggregate accumulated benefit obligations

Aggregate projected benefit obligations

Defined Benefit Pension
Plans

2023

2022

$ 107,089

$ 142,172

93,640

93,640

129,772

129,772

Components of Net Periodic Benefit Cost and Other Amounts Recognized in Other Comprehensive
Income. Components of the annual net periodic benefit cost of our defined benefit pension plans and our other post-retirement
benefits plan were as follows:

Service cost

Interest cost

Expected return on plan assets

Prior service cost recognition

Net amortization and deferral

Curtailments/settlements

Net periodic benefit (credit) cost

Recognized in other comprehensive
loss (income) before tax:

Net loss (gain) occurring during year

Amortization of prior service credit

Amortization of net loss
Total recognized in other
comprehensive loss (income)

Total recognized in total benefits cost
and other comprehensive loss
(income)

$

$

$

Defined Benefit Pension Plans

Other Post-Retirement Benefits Plan

2023

2022

2021

2023

2022

2021

1,276

3,054

(3,817)

48

19

(49)

$

1,616

$

1,357

$

— $

— $

2,699

(4,412)

61

18

(31)

2,628

(3,463)

71

21

—

256

—

—

329

—

232

—

(267)

444

—

—

317

—

(3,263)

439

—

531

$

(49) $

614

$

585

$

409

$

(2,507)

1,716

$

(11,028) $

(1,635) $

807

$

640

$

(263)

—

(222)

—

(85)

7

1,453

(11,250)

(1,713)

—

(329)

478

267

(444)

463

114

3,263

(439)

2,938

$

1,984

$

(11,299) $

(1,099) $

1,063

$

872

$

431

86

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

Assumptions Used in Calculating Benefit Obligations and Net Periodic Benefit Cost. The following table presents
significant assumptions used to determine the projected benefit obligations at March 31:

Discount Rate:

Synergy Health plc Retirement Benefits Scheme

Isotron BV Pension Plan

Synergy Health Daniken AG

Synergy Health Radeberg

Synergy Health Allershausen

Harwell Dosimeters Ltd Retirement Benefits Scheme

Other post-retirement plan

2023

2022

4.70 %

3.70 %

2.05 %

3.80 %

3.70 %

4.80 %

4.75 %

2.80 %

1.80 %

0.90 %

1.60 %

1.50 %

2.85 %

3.25 %

The following table presents significant assumptions used to determine the net periodic benefit costs for the years ended

March 31:

Discount Rate:

Synergy Health plc Retirement Benefits Scheme

Isotron BV Pension Plan

Synergy Health Daniken AG

Synergy Health Radeberg

Synergy Health Allershausen

Harwell Dosimeters Ltd Retirement Benefits Scheme
Other post-retirement plan

Expected Return on Plan Assets:

Synergy Health plc Retirement Benefits Scheme

Isotron BV Pension Plan

Synergy Health Daniken AG

2023

2022

2021

2.80 %

1.80 %

2.05 %

2.00 %

2.20 %

4.80 %

3.25 %

3.20 %

1.80 %

1.95 %

2.10 %

0.90 %

1.00 %

1.50 %

2.00 %

2.85 %

2.50 %

3.60 %

0.90 %

1.00 %

2.40 %

1.60 %

0.70 %

1.50 %

1.75 %

2.15 %

3.00 %

3.50 %

1.60 %

0.70 %

The net periodic benefit cost and the actuarial present value of projected benefit obligations are based upon assumptions
that we review on an annual basis. These assumptions may be revised annually based upon an evaluation of long-term trends, as
well as market conditions that may have an impact on the cost of providing benefits.

We develop our expected long-term rate of return on plan assets assumptions by evaluating input from third-party
professional advisers, taking into consideration the asset allocation of the portfolios and the long-term asset class return
expectations.

We develop our discount rate assumptions by evaluating input from third-party professional advisers, taking into
consideration the current yield on country specific investment grade long-term bonds which provide for similar cash flow
streams as our projected obligations.

We have made assumptions regarding healthcare costs in computing our other post-retirement benefit obligation. The
assumed rates of increase generally decline ratably over a five-year period from the assumed current year healthcare cost trend
rate to the assumed long-term healthcare cost trend rate noted below.

Healthcare cost trend rate – medical

Healthcare cost trend rate – prescription drug

Long-term healthcare cost trend rate

2023

2022

2021

7.50 %

7.50 %

4.50 %

7.00 %

7.00 %

4.50 %

7.00 %

7.00 %

4.50 %

To determine the healthcare cost trend rates, we evaluate a combination of information, including ongoing claims cost
monitoring, annual statistical analyses of claims data, reconciliation of forecasted claims against actual claims, review of trend

87

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

assumptions of other plan sponsors and national health trends, and adjustments for plan design changes, workforce changes, and
changes in plan participant behavior.

Plan Assets. The investment policies for our plans are generally established by the local pension plan trustees and seek to
maintain the plans' ability to meet liabilities and to comply with local minimum funding requirements. Plan assets are invested
in diversified portfolios that provide adequate levels of return at an acceptable level of risk. The investment policies are
reviewed at least annually and revised, as deemed appropriate to ensure that the objectives are being met. At March 31, 2023,
the targeted allocation for the plans were approximately 75% equity investments and 25% fixed income investments.

Financial instruments included in pension plan assets are categorized into three tiers. These tiers include a fair value hierarchy
of three levels, based on the degree of subjectivity inherent in the valuation methodology as follows:

Level 1 - Quoted prices for identical assets in active markets.

Level 2 - Quoted prices for similar assets in active markets with inputs that are observable, either directly or indirectly.

Level 3 - Unobservable prices or inputs in which little or no market data exists.

The fair value of our pension benefits plan assets at March 31, 2023 and 2022 by asset category is as follows:

(In thousands)

Cash

Insured annuities

Insurance contracts

Common and collective trusts valued at net asset value:

Equity security trusts

Debt security trusts

Total Plan Assets

(In thousands)

Cash

Insured annuities

Insurance contracts

Common and collective trusts valued at net asset value:

Equity security trusts

Debt security trusts

Total Plan Assets

Fair Value Measurements at March 31, 2023

Quoted
Prices in
Active Markets
for Identical
Assets
(Level 1)

Significant
Other
Observable
Inputs
(Level 2)

Significant
Other
Unobservable
Inputs
(Level 3)

Total

$

338

$

338

$

— $

10,285

5,387

48,137

42,942

—

—

—

—

10,285

—

—

—

—

—

5,387

—

—

$

107,089

$

338

$

10,285

$

5,387

Fair Value Measurements at March 31, 2022

Quoted
Prices in
Active Markets
for Identical
Assets
(Level 1)

Significant
Other
Observable
Inputs
(Level 2)

Significant
Other
Unobservable
Inputs
(Level 3)

Total

$

559

$

559

$

— $

14,231

5,383

66,416

55,583

—

—

—

—

14,231

—

—

—

—

—

5,383

—

—

$

142,172

$

559

$

14,231

$

5,383

Collective investment trusts are measured at fair value using the net asset value per share practical expedient. These trusts

have not been categorized in the fair value hierarchy and are being presented in the tables above to permit a reconciliation of the
fair value hierarchy to the total plan assets.

88

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

The fair value measurement of plan assets using significant unobservable inputs (Level 3) changed during fiscal year 2023

due to the following:

Balance at March 31, 2021

Gains (losses) related to assets still held at year-end

Transfers out of Level 3

Foreign currency

Balance at March 31, 2022

Gains (losses) related to assets still held at year-end

Transfers out of Level 3

Foreign currency

Balance at March 31, 2023

Insurance
contracts

5,555

(115)

(210)

153

5,383

(157)

320

(159)

5,387

$

$

$

Cash Flows. We contribute amounts to our defined benefit pension plans at least equal to the minimum amounts required by
applicable employee benefit laws and local tax laws. We expect to make contributions of approximately $3,955 during fiscal
2024.

Based upon the actuarial assumptions utilized to develop our benefit obligations at March 31, 2023, the following benefit

payments are expected to be made to plan participants:

2024

2025

2026

2027

2028

2029 and thereafter

Other Defined
Benefit Pension
Plans

Other Post-
Retirement
Benefits Plan

$

6,279

$

6,265

6,458

6,663

6,845

37,315

1,121

1,019

913

823

731

2,620

The Medicare Prescription Drug, Improvement and Modernization Act of 2003 (the “Act”) provides a prescription drug
benefit for Medicare beneficiaries, a benefit we provide to Medicare eligible retirees covered by our post-retirement benefits
plan. We have concluded that the prescription drug benefit provided in our post-retirement benefit plan is considered to be
actuarially equivalent to the benefit provided under the Act and thus qualifies for the subsidy under the Act. Benefits are subject
to a per capita per month cost cap and any costs above the cap become the responsibility of the retiree. Under the plan, the
subsidy is applied to reduce the retiree responsibility. As a result, the expected future subsidy no longer reduces our
accumulated post-retirement benefit obligation and net periodic benefit cost. We collected subsidies totaling approximately
$477 and $660, during fiscal 2023 and fiscal 2022, respectively, which reduced the retiree responsibility for costs in excess of
the caps established in the post-retirement benefit plan.

Defined Contribution Plans. We maintain 401(k) defined contribution plans for eligible U.S. employees, a 401(k) defined

contribution plan for eligible Puerto Rico employees and similar savings plans for certain employees in Canada, United
Kingdom, Ireland, and Finland. We provide a match on a specified portion of an employee’s contribution. The U.S. plan assets
are held in trust and invested as directed by the plan participants. The Canadian plan assets are held by insurance companies.
The aggregate fair value of the U.S. plan assets was $1,170,835 at March 31, 2023. At March 31, 2023, the U.S. plan held
483,931 STERIS ordinary shares with a fair value of $92,566. We paid dividends of $886, $852, and $839 to the plan and
participants on STERIS shares held by the plan for the years ended March 31, 2023, 2022, and 2021, respectively. We
contributed approximately $36,564, $38,600, and $29,853, to the defined contribution plans for the years ended March 31,
2023, 2022, and 2021, respectively.

89

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

We also maintain a domestic non-qualified deferred compensation plan covering certain employees, which formerly
allowed for the deferral of compensation for an employee-specified term or until retirement or termination. There have been no
employee contributions made to this plan since fiscal 2012. The Plan was amended in fiscal 2012 to disallow deferrals of salary
payable in 2012 and subsequent calendar years and of commissions and other incentive compensation payable in respect of the
2013 and subsequent fiscal years. We hold investments in mutual funds to satisfy future obligations of the plan. We account for
these assets as available-for-sale securities and they are included in “Other assets” on our accompanying Consolidated Balance
Sheets, with a corresponding liability for the plan’s obligation recorded in Accrued expenses and other. The aggregate value of
the assets was $938 and $1,061 at March 31, 2023 and March 31, 2022, respectively. Realized gains and losses on these
investments are recorded in Interest income and miscellaneous expense (income) within Non-operating expenses, net on our
accompanying Consolidated Statements of Income. Changes in the fair value of the assets are recorded in Accumulated other
comprehensive income (loss) on our accompanying Balance Sheets.

10.COMMITMENTS AND CONTINGENCIES

We are, and will likely continue to be, involved in a number of legal proceedings, government investigations, and claims,

which we believe generally arise in the course of our business, given our size, history, complexity, and the nature of our
business, products, Customers, regulatory environment, and industries in which we participate. These legal proceedings,
investigations and claims generally involve a variety of legal theories and allegations, including, without limitation, personal
injury (e.g., slip and falls, burns, vehicle accidents), product liability or regulation (e.g., based on product operation or claimed
malfunction, failure to warn, failure to meet specification, or failure to comply with regulatory requirements), product exposure
(e.g., claimed exposure to chemicals, gases, asbestos, contaminants, radiation), property damage (e.g., claimed damage due to
leaking equipment, fire, vehicles, chemicals), commercial claims (e.g., breach of contract, economic loss, warranty,
misrepresentation), financial (e.g., taxes, reporting), employment (e.g., wrongful termination, discrimination, benefits matters),
and other claims for damage and relief.

We believe we have adequately reserved for our current litigation and claims that are probable and estimable, and further

believe that the ultimate outcome of these pending lawsuits and claims will not have a material adverse effect on our
consolidated financial position or results of operations taken as a whole. Due to their inherent uncertainty, however, there can
be no assurance of the ultimate outcome or effect of current or future litigation, investigations, claims or other proceedings
(including without limitation the matters discussed below). For certain types of claims, we presently maintain insurance
coverage for personal injury and property damage and other liability coverages in amounts and with deductibles that we believe
are prudent, but there can be no assurance that these coverages will be applicable or adequate to cover adverse outcomes of
claims or legal proceedings against us.

Civil, criminal, regulatory or other proceedings involving our products or services could possibly result in judgments,
settlements or administrative or judicial decrees requiring us, among other actions, to pay damages or fines or effect recalls, or
be subject to other governmental, Customer or other third party claims or remedies, which could materially effect our business,
performance, prospects, value, financial condition, and results of operations.

For additional information regarding these matters, see the risks and uncertainties described under the title "product and

service related regulations and claims" in Item 1A. of this Annual Report on Form 10-K.

From time to time, STERIS is also involved in legal proceedings as a plaintiff involving contract, patent protection, and

other claims asserted by us. Gains, if any, from these proceedings are recognized when they are realized.

We are subject to taxation from United States federal, state and local, and foreign jurisdictions. Tax positions are settled
primarily through the completion of audits within each individual jurisdiction or the closing of statutes of limitation. Changes in
applicable tax law or other events may also require us to revise past estimates. We describe income taxes further in Note 8 to
our consolidated financial statements titled, “Income Taxes” in this Annual Report on Form 10-K.

As of March 31, 2023 and 2022, our commercial commitments totaled $108,370 and $98,675, respectively. Commercial
commitments include standby letters of credit, letters of credit required as security under our self-insured risk retention policies,
and other potential cash outflows resulting from an event that requires payment by us. Approximately $8,036 and $13,900 of
the March 31, 2023 and 2022 totals, respectively, relate to letters of credit required as security under our self-insured risk
retention policies.

As of March 31, 2023, we had minimum purchase commitments with suppliers for raw material purchases totaling

$57,221. As of March 31, 2023, we also had commitments of $194,505 for long term construction contracts.

90

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

Leases

We lease manufacturing, warehouse and office space, service facilities, vehicles, equipment and communication systems.
Certain leases contain options that provide us with the ability to extend the lease term. Such options are included in the lease
term when it is reasonably certain that the option will be exercised. We made an accounting policy election to not recognize
lease assets or lease liabilities for leases with a lease term of twelve months or less.

We determine if an agreement contains a lease and classify our leases as operating or finance at the lease commencement
date. Finance leases are generally those leases for which we will pay substantially all the underlying asset’s fair value or will
use the asset for all or a major part of its economic life, including circumstances in which we will ultimately own the asset.
Lease assets arising from finance leases are included in Property, plant, and equipment, net and the liabilities are included in
other liabilities. For finance leases, we recognize interest expense using the effective interest method and we recognize
amortization expense on the lease asset over the shorter of the lease term or the useful life of the asset. Our finance leases are
not material as of March 31, 2023 and for the twelve-month period then ended.

Operating lease assets and liabilities are recognized at the commencement date of the lease based on the present value of

lease payments over the lease term. Lease assets represent the right to use an underlying asset for the lease term and lease
liabilities represent the obligation to make lease payments arising from the lease. As most leases do not provide an implicit
interest rate, we estimate an incremental borrowing rate to determine the present value of lease payments. Our estimated
incremental borrowing rate reflects a secured rate based on recent debt issuances, our estimated credit rating, lease term, as well
as publicly available data for instruments with similar characteristics. For operating leases, we recognize lease cost on a
straight-line basis over the term of the lease. When accounting for leases, we combine payments for leased assets, related
services and other components of a lease.

The components of operating lease expense are as follows:

Year Ended

Year Ended

Fixed operating lease expense
Variable operating lease expense
Total operating lease expense

Supplemental cash flow information related to operating leases is as follows:

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

Right-of-use assets obtained in exchange for operating lease obligations, net

Maturities of lease liabilities at March 31, 2023 are as follows:

2024
2025
2026
2027
2028 and thereafter
Total operating lease payments
Less imputed interest
Total operating lease liabilities

March 31, 2023 March 31, 2022
45,158
$
12,659
57,817

45,249 $
21,486
66,735 $

$

Year Ended

Year Ended

March 31, 2023 March 31, 2022
45,144
$
79,241
$

45,249 $
53,099 $

March 31,
2023

41,709
33,584
26,129
19,659
120,359
241,440
45,986
195,454

$

$

In the preceding table, the future minimum annual rentals payable under noncancelable leases denominated in foreign

currencies have been calculated using March 31, 2023 foreign currency exchange rates.

91

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

Supplemental information related to operating leases is as follows:

Weighted-average remaining lease term of operating leases

Weighted-average discount rate of operating leases

11.BUSINESS SEGMENT INFORMATION

March 31,
2023

March 31,
2022

10.3 years

3.3 %

9.6 years

3.4 %

We operate and report our financial information in four reportable business segments: Healthcare, Applied Sterilization
Technologies, Life Sciences and Dental. Non-allocated operating costs that support the entire Company and items not indicative
of operating trends are excluded from segment operating income.

Our Healthcare segment provides a comprehensive offering for healthcare providers worldwide, focused on sterile

processing departments and procedural centers, such as operating rooms and endoscopy suites. Our products and services range
from infection prevention consumables and capital equipment, as well as services to maintain that equipment; to the repair of
re-usable procedural instruments; to outsourced instrument reprocessing services. In addition, our procedural solutions also
include endoscopy accessories and capital equipment infrastructure used primarily in operating rooms, ambulatory surgery
centers, endoscopy suites, and other procedural areas.

Our Applied Sterilization Technologies ("AST") segment is a third-party service provider for contract sterilization, as well
as testing services needed to validate sterility services for medical device and pharmaceutical manufacturers. Our technology-
neutral offering supports Customers every step of the way, from testing through sterilization.

Our Life Sciences segment provides a comprehensive offering of products and services that support pharmaceutical
manufacturing, primarily for vaccine and other biopharma Customers focused on aseptic manufacturing. These solutions
include a full suite of consumable products, equipment maintenance and specialty services, and capital equipment.

Our Dental segment provides a comprehensive offering for dental practitioners and dental schools, offering instruments,

infection prevention consumables and instrument management systems.

We disclose a measure of segment income that is consistent with the way management operates and views the business.
The accounting policies for reportable segments are the same as those for the consolidated Company. Certain prior period costs
were reallocated from the Healthcare segment to Corporate to conform with current year presentation. The prior period segment
operating income measure has been recast for comparability.

For the year ended March 31, 2023, revenues from a single Customer did not represent ten percent or more of the
Healthcare, AST or Life Sciences segment revenues. Three Customers collectively and consistently account for more than
40.0% of our Dental segment revenue. The percentage associated with these three Customers collectively in any one period
may vary due to the buying patterns of these three Customers as well as other Dental Customers. These three Customers
collectively accounted for approximately 47.4% and 45.1% of our Dental segment revenues for the years ended March 31, 2023
and 2022, respectively.

92

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

Information regarding our segments is presented in the following tables.

Years Ended March 31,

Revenues:

Healthcare

Applied Sterilization Technologies

Life Sciences

Dental

Total revenues
Operating income (loss):

Healthcare

Applied Sterilization Technologies
Life Sciences
Dental

Corporate

Total operating income before adjustments
Less: Adjustments

Amortization of acquired intangible assets (1)

Acquisition and integration related charges (2)

Tax restructuring costs (3)
Gain on fair value adjustment of acquisition related contingent
consideration (1)

Net (gain) loss on divestiture of businesses (1)
Amortization of inventory and property "step up" to fair value (1)

COVID-19 incremental costs (4)

Restructuring charges (credit) (5)
Goodwill impairment loss (6)

2023

2022

2021

$

3,085,131

$

2,845,467

$

1,954,055

914,431

536,704

421,573

852,972

524,964

361,661

$

4,957,839

$

4,585,064

$

706,020

429,020
210,225
89,527

649,704

410,101
216,188
84,441

685,912

467,552

—
3,107,519

427,089

310,648
180,796
—

(264,791)

(283,665)

(219,153)

$

1,170,001

$

1,076,769

$

699,380

376,822

24,196

661

(3,100)

(67)
12,254

—

485

490,565

366,434

205,788

301

(2,350)

(874)
81,804

—

48

—

83,892

35,634

1,592

(500)

2,030
5,600

25,793

(3,029)

—

Total operating income

$

268,185

$

425,618

$

548,368

(1) For more information regarding our recent acquisitions and divestitures, refer to Note 2 titled, "Business Acquisitions and Divestitures."
(2) Acquisition and integration related charges include transaction costs and integration expenses associated with acquisitions.
(3) Costs incurred in tax restructuring.
(4) COVID-19 incremental costs includes the additional costs attributable to COVID-19 such as enhanced cleaning protocols, personal protective equipment for
our employees, event cancellation fees, and payroll costs associated with our response to COVID-19, net of any government subsidies available.
(5) For more information regarding our restructuring efforts, refer to our Annual Report on Form 10-K for the year ended March 31, 2021, dated May 28, 2021.
(6) For more information regarding our goodwill impairment loss, refer to Note 3 titled, "Goodwill and Intangible Assets."

Assets include the current and long-lived assets directly attributable to the segment based on the management of the

location or on utilization. Certain corporate assets were allocated to the reportable segments based on revenues. Assets
attributed to sales and distribution locations are only allocated to the Healthcare and Life Sciences segments.

93

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

Individual facilities, equipment, and intellectual properties are utilized for production by both the Healthcare and Life
Sciences segments at varying levels over time. As a result, an allocation of total assets, capital expenditures, and depreciation
and amortization is not meaningful to the individual performance of the Healthcare and Life Sciences segments. Therefore, their
respective amounts are reported together.

March 31,
Assets
Healthcare and Life Sciences
Applied Sterilization Technologies
Dental
Total assets

Years Ended March 31,

Capital Expenditures
Healthcare and Life Sciences
Applied Sterilization Technologies
Dental
Total Capital Expenditures
Depreciation, Depletion, and Amortization (1)
Healthcare and Life Sciences
Applied Sterilization Technologies
Dental
Total Depreciation, Depletion, and Amortization

2023

2022

6,538,270
3,124,341
1,159,228
10,821,839

2022

84,487
198,350
4,726
287,563

316,222
115,925
120,957
553,104

$

$

$

$

$

$

6,604,893
3,053,116
1,765,585
11,423,594

2021

74,446
164,816
—
239,262

106,266
112,971
—
219,237

$

$

$

$

$

$

2023

98,585
253,914
9,470
361,969

306,377
116,153
130,367
552,897

$

$

$

$

(1) Fiscal 2022 totals include approximately $229,052, $35,531 and $113,099 for Healthcare and Life Sciences, Applied Sterilization Technologies, and Dental,
respectively, of amortization of acquired intangible assets and amortization of property "step-up" to fair value. For more information regarding our recent
acquisitions and divestitures see Note 2 titled, "Business Acquisitions and Divestitures."

Financial information for each of our United States and international geographic areas is presented in the following table.
Revenues are based on the location of these operations and their Customers. Property, plant, and equipment, net are those assets
that are identified within the operations in each geographic area.

March 31,

Property, Plant, and Equipment, Net
Ireland
United States
Other locations
Property, Plant, and Equipment, Net

Years Ended March 31,

Revenues:
Ireland
United States
Other locations
Total Revenues

2023

2022

60,570
946,930
698,012
1,705,512

2022

82,011
3,228,864
1,274,189
4,585,064

$

$

$

$

60,275
881,057
611,244
1,552,576

2021

71,905
2,227,038
808,576
3,107,519

$

$

$

$

2023

$

$

74,463
3,586,486
1,296,890
4,957,839

94

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

Years Ended March 31,
Healthcare:

Capital equipment
Consumables
Service

Total Healthcare Revenues
Applied Sterilization Technologies:

Capital equipment
Service

Total Applied Sterilization Technologies Service Revenues
Life Sciences:

Capital equipment
Consumables
Service

Total Life Sciences Revenues
Dental Revenues
Total Revenues

12.SHARES AND PREFERRED SHARES

Ordinary Shares

2023

2022

2021

896,590
1,050,316
1,138,225
3,085,131

26,460
887,971
914,431

147,420
241,114
148,170
536,704
421,573
4,957,839

$

$

$
$
$

$

$
$

782,505
1,004,605
1,058,357
2,845,467

24,394
828,578
852,972

142,281
239,365
143,318
524,964
361,661
4,585,064

$

$
$
$

$

$
$
$

$

$

$
$
$

$

588,864
510,946
854,245
1,954,055

—
685,912
685,912

128,356
215,005
124,191
467,552

$
$

—
3,107,519

We calculate basic earnings per share based upon the weighted average number of shares outstanding. We calculate diluted

earnings per share based upon the weighted average number of shares outstanding plus the dilutive effect of share equivalents
calculated using the treasury stock method. The following is a summary of shares and share equivalents outstanding used in the
calculations of basic and diluted earnings per share:
Years ended March 31,
Denominator (shares in thousands):

2021

2022

2023

Weighted average shares outstanding—basic

Dilutive effect of share equivalents

Weighted average shares outstanding and share equivalents—
diluted

99,706

540

100,246

97,535

791

98,326

85,203

695

85,898

Options to purchase the following number of shares were outstanding but excluded from the computation of diluted

earnings per share because the combined exercise prices, unamortized fair values, and assumed tax benefits upon exercise were
greater than the average market price for the shares during the periods, so including these options would be anti-dilutive:
Years ended March 31,
Number of ordinary share options (shares in thousands)

2021

2023

2022

243

348

578

Additional Authorized Shares

The Company has an additional authorized share capital of 50,000,000 preferred shares of $0.001 par value each, plus
25,000 deferred ordinary shares of €1.00 par value each, in order to satisfy minimum statutory capital requirements for all Irish
public limited companies.

95

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

13.REPURCHASES OF ORDINARY SHARES

On May 7, 2019, our Board of Directors authorized a share repurchase program resulting in a share repurchase
authorization of approximately $78,979 (net of taxes, fees and commissions). On July 30, 2019, our Board of Directors
approved an increase in the May 7, 2019 authorization of an additional amount of $300,000 (net of taxes, fees and
commissions). As of March 31, 2023, there was approximately $13,932 (net of taxes, fees and commissions) of remaining
availability under the Board authorized share repurchase program. The share repurchase program has no specified expiration
date.

Under the authorization, the Company may repurchase its shares from time to time through open market purchases,

including 10b5-1 plans. Any share repurchases may be activated, suspended or discontinued at any time. Due to the uncertainty
surrounding the COVID-19 pandemic, share repurchases were suspended on April 9, 2020. The suspension was lifted effective
February 10, 2022, enabling the Company to resume stock repurchases pursuant to the prior authorizations.

During fiscal 2023, we repurchased 1,563,983 of our ordinary shares for the aggregate amount of $295,000 (net of fees and
commissions) pursuant to the authorizations. From February 14, 2022, through March 31, 2022, we repurchased 108,368 of our
ordinary shares for the aggregate amount of $25,000 (net of fees and commissions) pursuant to the authorizations. During fiscal
2021, we repurchased 35,000 of our ordinary shares for the aggregate amount of $5,047 (net of fees and commissions) pursuant
to the authorizations.

During fiscal 2023, we obtained 79,169 of our ordinary shares in the aggregate amount of $13,534 in connection with

share-based compensation award programs. During fiscal 2022, we obtained 244,395 of our ordinary shares in the aggregate
amount of $30,775 in connection with share-based compensation award programs. During fiscal 2021, we obtained 91,567 of
our ordinary shares in the aggregate amount of $9,599 in connection with share-based compensation award programs.

On May 3, 2023, our Board of Directors terminated the existing share repurchase program and authorized a new share

repurchase program for the purchase of up to $500,000 (net of taxes, fees and commissions). We have not made any
repurchases under the new share repurchase program to date.

14.SHARE-BASED COMPENSATION

We maintain a long-term incentive plan that makes available shares for grants, at the discretion of the Board of Directors or
Compensation and Organizational Development Committee of the Board of Directors, to officers, directors, and key employees
in the form of stock options, restricted shares, restricted share units, stock appreciation rights and share grants. We satisfy share
award incentives through the issuance of new ordinary shares.

Stock options provide the right to purchase our shares at the market price on the date of grant, or for options granted to
employees in fiscal 2019 and thereafter, 110% of the market price on the date of grant, subject to the terms of the plan and
agreements. Generally, one-fourth of the stock options granted to employees become exercisable for each full year of
employment following the grant date. Stock options granted generally expire 10 years after the grant date, or in some cases
earlier if the option holder is no longer employed by us. Restricted shares and restricted share units generally cliff vest after a
four year period or vest in tranches of one-fourth of the number granted for each year of employment after the grant date. As of
March 31, 2023, 2,794,795 shares remained available for grant under the long-term incentive plan.

The fair value of share-based stock option compensation awards was estimated at their grant date using the Black-Scholes-

Merton option pricing model. This model was developed for use in estimating the fair value of traded options that have no
vesting restrictions and are fully transferable, characteristics that are not present in our option grants. If the model permitted
consideration of the unique characteristics of employee stock options, the resulting estimate of the fair value of the stock
options could be different. The value of the portion of the award that is ultimately expected to vest is recognized as expense
over the requisite service periods in our Consolidated Statements of Income. The expense is classified as Cost of revenues or
Selling, general, and administrative expenses in a manner consistent with the employee’s compensation and benefits.

The following weighted-average assumptions were used for options granted during fiscal 2023, fiscal 2022 and fiscal 2021:

Risk-free interest rate
Expected life of options
Expected dividend yield of stock
Expected volatility of stock

Fiscal 2023

Fiscal 2022

Fiscal 2021

2.44 %
5.9 years
0.80 %
24.49 %

1.10 %
5.9 years
0.95 %
24.27 %

0.46 %
6.0 years
0.96 %
23.04 %

96

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

The risk-free interest rate is based upon the U.S. Treasury yield curve. The expected life of options is reflective of

historical experience, vesting schedules and contractual terms. The expected dividend yield of stock represents our best estimate
of the expected future dividend yield. The expected volatility of stock is derived by referring to our historical stock prices over
a time frame similar to that of the expected life of the grant. An estimated forfeiture rate of 2.54%, 2.85% and 2.78% was
applied in fiscal 2023, 2022 and 2021 respectively. This rate is calculated based upon historical activity and represents an
estimate of the granted options not expected to vest. If actual forfeitures differ from this calculated rate, we may be required to
make additional adjustments to compensation expense in future periods. The assumptions used above are reviewed at the time
of each significant option grant, or at least annually.

A summary of share option activity is as follows:

Outstanding at March 31, 2022
Granted
Exercised
Forfeited
Outstanding at March 31, 2023
Exercisable at March 31, 2023

Number of
Options
1,560,954
235,435
(37,732)
(8,928)
1,749,729
1,124,664

$

$
$

Weighted
Average
Exercise
Price

Average
Remaining
Contractual
Term

Aggregate
Intrinsic
Value

138.37
247.45
50.86
205.25
154.60
122.41

6.2 years $
5.2 years $

83,950
79,561

We estimate that 614,758 of the non-vested stock options outstanding at March 31, 2023 will ultimately vest.

The aggregate intrinsic value in the table above represents the total pre-tax difference between the $191.28 closing price of

our ordinary shares on March 31, 2023 over the exercise prices of the stock options, multiplied by the number of options
outstanding or outstanding and exercisable, as applicable. The aggregate intrinsic value is not recorded for financial accounting
purposes and the value changes daily based on the daily changes in the fair market value of our ordinary shares.

The total intrinsic value of stock options exercised during the years ended March 31, 2023, 2022 and 2021 was $6,502,
$52,952 and $39,055, respectively. Net cash proceeds from the exercise of stock options were $1,828, $10,071 and $26,726 for
the years ended March 31, 2023, 2022 and 2021, respectively. The tax benefit from stock option exercises was $4,945, $18,143
and $11,559 for the years ended March 31, 2023, 2022 and 2021, respectively.

The weighted average grant date fair value of stock option grants was $50.72, $37.52 and $27.66 for the years ended

March 31, 2023, 2022 and 2021, respectively.

A summary of the non-vested restricted share and restricted share unit activity is presented below:

Non-vested at March 31, 2022
Granted
Vested

Forfeited
Non-vested at March 31, 2023

Number of
Restricted
Shares

Number of
Restricted Share
Units

Weighted-Average
Grant Date
Fair Value

485,510
131,650
(148,828)

(17,539)
450,793

33,677
13,884
(16,335)

(2,684)
28,542

$

$

157.37
223.57
127.98

182.75
186.60

Restricted shares and restricted share unit grants are valued based on the closing stock price at the grant date. The value of

restricted shares and units that vested during fiscal 2023 was $21,154.

As of March 31, 2023, there was a total of $64,814 in unrecognized compensation cost related to non-vested share-based

compensation granted under our share-based compensation plans. We expect to recognize the cost over a weighted average
period of 2.1 years.

97

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

Cantel Share-Based Compensation Plan

In connection with the June 2, 2021 acquisition of Cantel, outstanding, non-vested Cantel restricted share units were

replaced with STERIS restricted share units.

A total 280,402 STERIS restricted share units replaced Cantel awards based on a ratio of one Cantel restricted share unit to
0.4262 STERIS restricted share units. These Cantel awards consisted of time and performance based awards. Cantel time based
restricted share units were replaced with STERIS restricted share units with the same three-year pro-rata vesting terms based on
the original award date. Performance based Cantel restricted share units were replaced with time based STERIS restricted share
units that vest pro rata over the remaining one, two or three anniversaries from the original Cantel award date. The number of
performance restricted share units was replaced based on the original target achievement level. All replacement restricted share
units retained dividend accumulation rights.

The fair value of each STERIS restricted share unit awarded on June 2, 2021 to replace outstanding non-vested Cantel

restricted share units was $191.18 based on the closing price of STERIS ordinary shares on June 2, 2021. Approximately
$18,173 of the total $53,607 grant date fair value was attributable to pre-acquisition services provided and was recorded as a
component of purchase consideration in connection with the acquisition of Cantel.

During fiscal 2022, recognition of unamortized share-based compensation expense totaling $20,200 was accelerated in
connection with the termination of certain Cantel employees in fiscal 2022. As a result of the formal notices provided and the
terms of the Cantel share-based compensation plans and Cantel Executive Severance and Change of Control Plan, the restricted
share units vested requiring acceleration of the remaining related compensation cost.

As of March 31, 2023, there was a total of $1,563 in unrecognized compensation cost related to non-vested STERIS
restricted share units awarded to replace Cantel restricted share units. We expect to recognize the cost over a weighted average
period of 0.6 years.

A summary of the non-vested restricted share units activity associated with the Cantel share-based compensation plans is

presented below:

Non-vested at March 31, 2022

Granted

Vested

Forfeited

Non-vested at March 31, 2023

15.FINANCIAL AND OTHER GUARANTEES

Number of
Restricted Share
Units

Weighted-
Average
Grant Date
Fair Value

45,722

$

191.18

—

(25,470)

(4,582)

15,670

$

—

191.18

191.18

191.18

We generally offer a limited parts and labor warranty on capital equipment. The specific terms and conditions of those

warranties vary depending on the product sold and the countries where we conduct business. We record a liability for the
estimated cost of product warranties at the time product revenues are recognized. The amounts we expect to incur on behalf of
our Customers for the future estimated cost of these warranties are recorded as a current liability on the accompanying
Consolidated Balance Sheets. Factors that affect the amount of our warranty liability include the number and type of installed
units, historical and anticipated rates of product failures, and material and service costs per claim. We periodically assess the
adequacy of our recorded warranty liabilities and adjust the amounts as necessary.

Changes in our warranty liability during the periods presented are as follows:

Years Ended March 31,

Balance, Beginning of Year

Liabilities assumed in acquisition of Cantel

Warranties issued during the period

Settlements made during the period

Balance, End of Year

2023

2022

2021

$

$

14,108

$

9,406

$

—

13,268

(13,693)

4,769

12,571

(12,638)

13,683

$

14,108

$

7,381

—

10,574

(8,549)

9,406

98

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

16.DERIVATIVES AND HEDGING

From time to time, we enter into forward contracts to hedge potential foreign currency gains and losses that arise from
transactions denominated in foreign currencies, including intercompany transactions. We may also enter into commodity swap
contracts to hedge price changes in nickel that impact raw materials included in our cost of revenues. During fiscal 2023, we
also held forward foreign currency contracts to hedge a portion of our expected non-U.S. dollar-denominated earnings against
our reporting currency, the U.S. dollar. These foreign currency exchange contracts matured during fiscal 2023. We did not elect
hedge accounting for these forward foreign currency contracts; however, we may seek to apply hedge accounting in future
scenarios. We do not use derivative financial instruments for speculative purposes.

These contracts are not designated as hedging instruments and do not receive hedge accounting treatment; therefore,
changes in their fair value are not deferred but are recognized immediately in the Consolidated Statements of Income. At
March 31, 2023, we held foreign currency forward contracts to buy 19.5 million British pounds sterling; and to sell 150.0
million Mexican pesos, and 7.0 million Singapore dollars and 6.0 million euros. At March 31, 2023, we held commodity swap
contracts to buy 753.0 thousand pounds of nickel.

Balance Sheet Location
Prepaid & Other

Accrued expenses and other

$

Asset Derivatives

Liability Derivatives

Fair Value at
March 31, 2023

Fair Value at
March 31, 2022

Fair Value at
March 31, 2023

Fair Value at
March 31, 2022

378

$

—

2,780

$

—

— $

2,054

—

198

The following table presents the impact of derivative instruments and their location within the Consolidated Statements of

Income:

Foreign currency forward contracts

Commodity swap contracts

Location of (loss) gain recognized in
income
Selling, general, and administrative
Cost of revenues

Amount of (loss) gain recognized in income

Years Ended March 31,

2023

2022

2021

$

5,036

$

4,379

$

(3,630)

3,921

1,178

771

99

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

17.FAIR VALUE MEASUREMENTS

Fair value is defined as the price that would be received to sell an asset or that would be paid to transfer a liability in an
orderly transaction between market participants at the measurement date. We estimate the fair value of financial assets and
liabilities using available market information and generally accepted valuation methodologies. The inputs used to measure fair
value are classified into three tiers. These tiers include Level 1, defined as observable inputs such as quoted prices in active
markets; Level 2, defined as inputs other than quoted prices in active markets that are either directly or indirectly observable;
and Level 3, defined as unobservable inputs in which little or no market data exists, therefore requiring the entity to develop its
own assumptions. The following table shows the fair value of our financial assets and liabilities at March 31, 2023 and
March 31, 2022:

Fair Value Measurements

Carrying Value

Quoted Prices
in Active Markets
for Identical Assets
Level 1

Significant Other
Observable Inputs
Level 2

Significant
Unobservable
Inputs
Level 3

2023

2022

2023

2022

2023

2022

2023

2022

$

208,357 $

348,320

$ 208,357 $ 348,320

$

— $

— $

— $

378

7,069

2,066

2,780

8,520

2,272

—

7,069

2,066

—

8,520

2,272

378

—

—

2,780

—

—

—

—

—

$

2,054 $

198

$

— $

— $

2,054 $

198

$

— $

1,022

1,240

3,078,655

3,088,356

1,022

—

1,240

—

—

— 2,754,218

2,991,680

—

—

—

—

—

—

—

—

—

At March 31,
Assets:

Cash and cash equivalents
Forward and swap contracts (1)
Equity investments (2)

Other investments

Liabilities:

Forward and swap contracts (1)
Deferred compensation plans (2)
Total debt (3)
Contingent consideration obligations (4)

10,550
(1) The fair values of forward and swap contracts are based on period-end forward rates and reflect the value of the amount that we would pay

15,678

15,678

10,550

—

—

—

—

or receive for the contracts involving the same notional amounts and maturity dates.

(2) We maintain a frozen domestic non-qualified deferred compensation plan covering certain employees, which allowed for the deferral of
payment of previously earned compensation for an employee-specified term or until retirement or termination. Amounts deferred can be
allocated to various hypothetical investment options (compensation deferrals have been frozen under the plan). We hold investments to
satisfy the future obligations of the plan. Employees who made deferrals are entitled to receive distributions of their hypothetical account
balances (amounts deferred, together with earnings (losses)). We also hold an investment in the common stock of Servizi Italia, S.p.A, a
leading provider of integrated linen washing and outsourced sterile processing services to hospital Customers. Changes in the fair value of
these investments are recorded in the Interest income and miscellaneous expense (income) line of the Consolidated Statement of Income.
During fiscal 2023 and fiscal 2022, we recorded losses of $(1,176) and $(775), respectively, related to these investments.

(3) We estimate the fair value of our debt using discounted cash flow analyses, based on our current incremental borrowing rates for similar
types of borrowing arrangements. The fair values of our Senior Public Notes are estimated using quoted market prices for the publicly
registered Senior Notes.

(4) Contingent consideration obligations arise from prior business acquisitions. The fair values are based on discounted cash flow analyses

reflecting the possible achievement of specified performance measures or events and captures the contractual nature of the contingencies,
commercial risk, and the time value of money. Contingent consideration obligations are classified in the consolidated balance sheets as
accrued expense (short-term) and other liabilities (long-term), as appropriate based on the contractual payment dates.

100

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

The changes in Level 3 assets and liabilities measured at fair value on a recurring basis are summarized as follows:

Balance at March 31, 2021

Liabilities assumed in acquisition of Cantel

Additions

Payments
Reductions and adjustments

Foreign currency translation adjustments

Balance at March 31, 2022

Additions

Payments
Adjustments

Foreign currency translation adjustments
Balance at March 31, 2023

Contingent
Consideration
19,642
$

25,000

601

(32,336)
(2,350)

(7)

10,550

8,302

(80)
(3,100)

6
15,678

$

$

Additions and payments of contingent consideration obligations during fiscal year 2023 and 2022 were primarily related to

our fiscal year 2023 and 2022 acquisitions. Adjustments are recorded in the Selling, general, and administrative expenses line
of the Consolidated Statements of Income. Refer to Note 2 titled, "Business Acquisitions and Divestitures" for more
information.

18.RECLASSIFICATIONS OUT OF ACCUMULATED OTHER COMPREHENSIVE (LOSS) INCOME

Amounts in Accumulated Other Comprehensive Income (Loss) are presented net of the related tax. Foreign Currency
Translation is not adjusted for income taxes. Accumulated other comprehensive income (loss) shown in our Consolidated
Statements of Shareholders' Equity and changes in our balances, net of tax, for the years ended March 31, 2023, 2022 and 2021
were as follows:

Defined Benefit
Plans (1)

Foreign Currency
Translation (2)

Total Accumulated Other
Comprehensive Income (Loss)

2023

2022

2021

2023

2022

2021

2023

2022

2021

Beginning Balance

$

1,276 $ (5,519) $

(6,813) $ (211,084) $ (55,724) $ (228,650) $ (209,808) $

(61,243) $ (235,463)

Other Comprehensive (Loss) Income
before reclassifications

Reclassified from Accumulated Other
Comprehensive Loss

Net current-period Other Comprehensive
(Loss) Income

(799)

11,148

4,622

(109,638)

(155,360)

172,926

(110,437)

(144,212)

177,548

(465)

(4,353)

(3,328)

—

—

—

(465)

(4,353)

(3,328)

(1,264)

6,795

1,294

(109,638)

(155,360)

172,926

(110,902)

(148,565)

174,220

Ending Balance
(1) Amortization (gain) of defined benefit plan items are reported in the Interest income and miscellaneous expense (income) line of our

(5,519) $ (320,722) $ (211,084) $ (55,724) $ (320,710) $ (209,808) $

12 $ 1,276 $

$

(61,243)

Consolidated Statements of Income.

(2) The effective portion of gain or loss on net debt designated as non-derivative net investment hedging instruments is recognized in
Accumulated Other Comprehensive Income and is reclassified to income in the same period when a gain or loss related to the net
investment is included in income.

101

STERIS PLC AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands, except per share amounts and as noted)

SCHEDULE II – VALUATION AND QUALIFYING ACCOUNTS

Description

(in thousands)

Year ended March 31, 2023

Deducted from asset accounts:

Allowance for credit losses (1)
Inventory valuation reserve

Deferred tax asset valuation
allowance

Recorded within liabilities:
Casualty loss reserves

Year ended March 31, 2022

Deducted from asset accounts:

Allowance for credit losses (1)
Inventory valuation reserve

Deferred tax asset valuation
allowance

Recorded within liabilities:

Casualty loss reserves
Year ended March 31, 2021

Deducted from asset accounts:

Allowance for trade accounts
receivable (1)
Inventory valuation reserve

Deferred tax asset valuation
allowance

Recorded within liabilities:

Casualty loss reserves

Balance at
Beginning
of Period

Charges
to Costs
and
Expenses

Charges
to Other
Accounts

Deductions

Balance at
End of
Period

$

24,371

$

30,937

6,972
14,313 (2)

24,691

1,733

$

26,126

$

7,829

$

11,355

$

19,778

16,442
10,931 (2)

14,143

2,888

$

23,283

$

7,069

$

12,051

$

16,149

3,097
4,423 (2)

13,891

2,684

$

$

$

$

$

598 (3)
332 (3)

(530) (3)

$

(8,514) (4)

$

23,427

—

(5,579)

45,582

20,315

2,040

$

(5,558)

$

30,437

1,840 (3)
228 (3)

8,906 (3)

$

(5,266) (4)

$

24,371

—

(1,246)

30,937

24,691

44

$

(4,270)

$

26,126

349 (3)
(794) (3)

277 (3)

$

(4,142) (4)
—

$

11,355

19,778

(2,709)

14,143

$

23,228

$

5,550

$

2,542

$

(8,037)

$

23,283

(1) Net allowance for credit losses and allowance for sales and returns.
(2) Provision for excess and obsolete inventory, net of inventory written off.
(3) Change in foreign currency exchange rates and acquired reserves.
(4) Uncollectible accounts written off, net of recoveries.

102

ITEM 9.

None.

CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON
ACCOUNTING AND FINANCIAL DISCLOSURE

ITEM 9A. CONTROLS AND PROCEDURES

EVALUATION OF DISCLOSURE CONTROLS AND PROCEDURES

Our management, including the Principal Executive Officer (“PEO”) and Principal Financial Officer (“PFO”), has
evaluated the effectiveness of our disclosure controls and procedures, as defined in Exchange Act Rules 13a-15(e) and
15d-15(e), as of the end of the period covered by this Annual Report on Form 10-K. Based on this evaluation, the PEO and PFO
have determined that, as of the end of the period covered by this Annual Report on Form 10-K, our disclosure controls and
procedures were effective.

CHANGES IN INTERNAL CONTROLS

During the quarter ended March 31, 2023, there were no changes in our internal control over financial reporting that have

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

MANAGEMENT’S REPORT ON INTERNAL CONTROL OVER FINANCIAL REPORTING

Management is responsible for establishing and maintaining adequate internal control over financial reporting, as such term
is defined in the Exchange Act Rules 13a-15(f). Under the supervision and with the participation of management, including the
PEO and PFO, we conducted an evaluation of the effectiveness of internal control over financial reporting as of March 31, 2023
based on the framework in 2013 Internal Control-Integrated Framework issued by the Committee of Sponsoring Organizations
of the Treadway Commission. Based on this evaluation under this framework, management concluded that the internal control
over financial reporting was effective as of March 31, 2023. Our evaluation of internal control over financial reporting did not
include the internal controls of the entities that were acquired during fiscal 2023. Total assets of the acquired businesses
represented approximately 0.50% of our total assets as of March 31, 2023 (of which 0.30% represent goodwill and intangible
assets which were subjected to corporate controls) and approximately 0.30% of our total revenues for the year ended March 31,
2023. Based on this evaluation under this framework, management concluded that the internal control over financial reporting
was effective as of March 31, 2023.

The independent registered public accounting firm that audited the financial statements has issued an attestation report on

internal control over financial reporting.

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

To the Shareholders and the Board of Directors of
STERIS plc

Opinion on Internal Control Over Financial Reporting

We have audited STERIS plc and subsidiaries’ internal control over financial reporting as of March 31, 2023, based on

criteria established in Internal Control-Integrated Framework issued by the Committee of Sponsoring Organizations of the
Treadway Commission (2013 framework) (the COSO criteria). In our opinion, STERIS plc and subsidiaries (the Company)
maintained, in all material respects, effective internal control over financial reporting as of March 31, 2023, based on the COSO
criteria.

As indicated in the accompanying Management’s Report on Internal Control Over Financial Reporting, management’s

assessment of and conclusion on the effectiveness of internal control over financial reporting did not include the internal
controls of the entities that were acquired during the year ended March 31, 2023, which is included in the fiscal 2023
consolidated financial statements of the Company and constituted approximately 0.50% of total assets as of March 31, 2023 and
approximately 0.30% of total revenues for the year then ended. Our audit of internal control over financial reporting of the
Company also did not include an evaluation of the internal control over financial reporting of the entities that were acquired
during the year ended March 31, 2023.

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United
States) (PCAOB), the consolidated balance sheets of the Company as of March 31, 2023 and 2022, the related consolidated
statements of income, comprehensive income, shareholders' equity and cash flows for each of the three years in the period
ended March 31, 2023, and the related notes and the financial statement schedule listed in the Index at Item 15(a) and our report
dated May 26, 2023 expressed an unqualified opinion thereon.

103

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/ Ernst & Young LLP

Cleveland, Ohio
May 26, 2023

104

ITEM 9B. OTHER INFORMATION

None.

ITEM 9C. DISCLOSURE REGARDING FOREIGN JURISDICTIONS THAT

PREVENT INSPECTIONS

Not Applicable.

105

PART III

ITEM 10. DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE

GOVERNANCE

This Annual Report on Form 10-K incorporates by reference the information appearing under the caption "Nominees for

Election as Directors," "Board Meetings and Committees," "Shareholder Nominations of Directors and Nominee Criteria" and
"Shareholder Proposals" of our definitive proxy statement to be filed with the SEC in connection with our 2023 Annual
Meeting of Shareholders (the "Proxy Statement").

Our executive officers serve for a term of one year from the date of election to the next organizational meeting of the Board

of Directors and until their respective successors are elected and qualified, except in the case of death, resignation, or removal.
Information concerning our executive officers is contained in Item 1 of Part 1 of this Annual Report under the heading
"Information about our Executive Officers", and is incorporated herein by reference. We have adopted a code of ethics, our
Code of Business Conduct for Employees, that applies to our CEO and CFO and Principal Accounting Officer as well as all of
our other employees. We have also adopted a code of ethics, our Director Code of Ethics, which applies to the members of the
Company's Board of Directors, including our CEO. Our Code of Business Conduct for Employees and the Director Code of
Ethics can be found on our Investor Relations website at www.steris-ir.com. Any amendments or waivers of either of these
codes will be made available on this website.
ITEM 11. EXECUTIVE COMPENSATION

This Annual Report on Form 10-K incorporates by reference the information appearing beginning under the captions
"Executive Compensation," "Non-Employee Director Compensation," "Pay for Performance," and "Miscellaneous Matters" of
the Proxy Statement.
ITEM 12.

SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND
MANAGEMENT AND RELATED STOCKHOLDER MATTERS

This Annual Report on Form 10-K incorporates by reference the information appearing under the captions "Ownership of

Voting Securities" of the Proxy Statement.

The table below presents information concerning all equity compensation plans and individual equity compensation

arrangements in effect as of our fiscal year ended March 31, 2023.

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

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

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

1,749,729

—
1,749,729

$154.60

—
$154.60

2,794,795

—
2,794,795

Plan Category

Equity compensation plans
approved by security holders

Equity compensation plans
not approved by security
holders
Total

ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS, AND

DIRECTOR INDEPENDENCE

This Annual Report on Form 10-K incorporates by reference the information beginning under the captions "Governance

Generally", "Board Meetings and Committees" and "Miscellaneous Matters" of the Proxy Statement.
ITEM 14.

PRINCIPAL ACCOUNTANT FEES AND SERVICES

This Annual Report on Form 10-K incorporates by reference the information relating to principal accountant fees and

services appearing under the caption "Independent Registered Public Accounting Firm" of the Proxy Statement.

106

PART IV

ITEM 15. EXHIBITS AND FINANCIAL STATEMENT SCHEDULE

LIST OF CONSOLIDATED FINANCIAL STATEMENTS AND FINANCIAL STATEMENT SCHEDULE

(a) (1) The following consolidated financial statements of STERIS plc and subsidiaries are included in Item 8:

Consolidated Balance Sheets – March 31, 2023 and 2022.

Consolidated Statements of Income – Years ended March 31, 2023, 2022, and 2021.

Consolidated Statements of Comprehensive Income – Years ended March 31, 2023, 2022, and 2021.

Consolidated Statements of Cash Flows – Years ended March 31, 2023, 2022, and 2021.

Consolidated Statements of Shareholders’ Equity – Years ended March 31, 2023, 2022, and 2021.

Notes to Consolidated Financial Statements.

(a) (2) The following consolidated financial statement schedule of STERIS plc and subsidiaries is included in Item 8:

Schedule II - Valuation and Qualifying Accounts

All other schedules for which provision is made in the applicable accounting regulation of the SEC are not required
under the related instructions or are inapplicable and, therefore, have been omitted.

(a) (3) Exhibits

Exhibit
Number
2.1

2.2

2.3

3.1

4.1

4.2

4.3

4.4

4.5

Exhibit Description

Agreement and Plan of Merger, dated January 12, 2021, by and among STERIS plc, Solar New
US Holding Co, LLC, Crystal Merger Sub 1, LLC and Cantel Medical Corp. (filed as Exhibit 2.1
to STERIS plc Form 8-K filed January 12, 2021 (Commission File No. 001-38848) and
incorporated herein by reference).

Amendment to the Agreement and Plan of Merger, dated March 1, 2021, by and among STERIS
plc, Solar New US Holding Co, LLC, Crystal Merger Sub 1, LLC and Cantel Medical Corp.
(filed as Annex A-2 to Amendment No. 1 to STERIS plc Registration Statement on Form S-4
filed March 30, 2021 (Commission File No. 333-253799) and incorporated herein by reference).

Purchase Agreement, dated October 2, 2020, by and among KS Holdings LLC, Key Surgical
Shareholders LLC, Key Surgical Management LLC, WSHP KS Investment LLC, Key Surgical
LLC, STERIS Corporation, STERIS plc and Brian O’Connell and Scot Milchman (filed as
Exhibit 2.1 to STERIS plc Form 8-K filed October 6, 2020 (Commission File No. 001-38848)
and incorporated herein by reference).

STERIS plc Memorandum of Association (filed as Exhibit 3.1 to STERIS plc Form 10-K for the
fiscal year ended March 31, 2019 (Commission File No. 001-38848) and incorporated herein by
reference).

Indenture, dated as of April 1, 2021, among STERIS Irish FinCo Unlimited Company, the
guarantors party thereto, and U.S. Bank National Association, as trustee (filed as Exhibit 4.1 to
STERIS plc Form 8-K filed April 1, 2021 (Commission File No. 001-38848) and incorporated
herein by reference).

First Supplemental Indenture, dated as of April 1, 2021, among STERIS Irish FinCo Unlimited
Company, the guarantors party thereto and U.S. Bank National Association, as trustee (filed as
Exhibit 4.2 to STERIS plc Form 8-K filed April 1, 2021 (Commission File No. 001-38848) and
incorporated herein by reference).

Form of 2.700% Notes due 2031 (filed as Exhibit 4.3 to STERIS plc Form 8-K filed April 1,
2021 (Commission File No. 001-38848) and incorporated herein by reference).

Form of 3.750% Notes due 2051 (filed as Exhibit 4.4 to STERIS plc Form 8-K filed April 1,
2021 (Commission File No. 001-38848) and incorporated herein by reference).

Description of Securities Registered Under Section 12 of the Securities Exchange Act of 1934
(filed as Exhibit 4.5 to STERIS plc Form 10-K for the fiscal year ended March 31, 2021
(Commission File No. 001-38848), and incorporated herein by reference).

107

10.1

10.2

10.3

10.4

10.5

10.6

10.7

10.8

10.9

10.10

10.11

10.12

10.13

10.14

10.15

STERIS plc 2006 Long-Term Equity Incentive Plan, as Assumed, Amended and Restated
Effective March 28, 2019 (filed as Exhibit 10.1 to STERIS plc Form 8-K filed March 28, 2019
(Commission File No. 001-38848) and incorporated herein by reference).*

Amendment No. 1 to STERIS plc 2006 Long-Term Equity Incentive Plan (as Assumed,
Amended and Restated Effective March 28, 2019), effective July 27, 2021 (filed as Exhibit 10.2
to Form 10-Q for the fiscal quarter ended September 30, 2021 (Commission File No. 001-38848)
and incorporated herein by reference).*

STERIS Corporation Form of Nonqualified Stock Option Agreement for Employees (filed as
Exhibit 10.13 to Form 10-Q for the fiscal quarter ended December 31, 2012 (Commission File
No. 001-14643) and incorporated herein by reference).*

STERIS Corporation Form of Nonqualified Stock Option Agreement for Employees (filed as
Exhibit 10.14 to Form 10-Q for the fiscal quarter ended December 31, 2012 (Commission File
No. 001-14643) and incorporated herein by reference).*

STERIS Corporation Form of Career Restricted Stock Unit Agreement for Nonemployee
Directors (filed as Exhibit 10.33 to Form 10-K for the fiscal year ended March 31, 2013
(Commission File No. 001-14643) and incorporated herein by reference).*

STERIS Corporation Form of Nonqualified Stock Option Agreement for Nonemployee Directors
(filed as Exhibit 10.34 to Form 10-K for the fiscal year ended March 31, 2013 (Commission File
No. 001-14643) and incorporated herein by reference).*

Form of STERIS plc Nonqualified Stock Option Agreement for Employees (filed as Exhibit 10.2
to STERIS plc Form 10-Q for the fiscal quarter ended December 31, 2015 (Commission File No.
001-37614) and incorporated herein by reference).*

STERIS plc Form of Nonqualified Stock Option Agreement for Nonemployee Directors (filed as
Exhibit 10.20 to STERIS plc Form 10-K for the year ended March 31, 2016 (Commission File
No. 001-37614) and incorporated herein by reference).*

STERIS plc Form of Restricted Stock Agreement for Employees (filed as Exhibit 10.16 to
STERIS plc Form 10-K for the fiscal year ended March 31, 2018 (Commission File No.
001-37614) and incorporated herein by reference).*

Amendment to Nonqualified Stock Option Agreement (filed as Exhibit 10.4 to STERIS plc Form
10-Q for the fiscal quarter ended September 30, 2018 (Commission File No. 001-37614) and
incorporated herein by reference).*

STERIS plc Form of Nonqualified Stock Option Agreement for Employees (filed as Exhibit 10.2
to STERIS plc Form 10-Q for the fiscal quarter ended September 30, 2018 (Commission File No.
001-37614) and incorporated herein by reference).*

Form of STERIS plc Nonqualified Stock Option Agreement for Employees (filed as Exhibit 10.3
to STERIS plc Form 10-Q for the fiscal quarter ended September 30, 2019 (Commission File No.
001-38848) and incorporated herein by reference).*

Form of STERIS plc Career Restricted Stock Unit Agreement for Nonemployee Directors (filed
as Exhibit 10.21 to STERIS plc Form 10-K for the year ended March 31, 2016 (Commission File
No. 001-37614) and incorporated herein by reference).*

Form of STERIS plc Restricted Stock Agreement for Employees (filed as Exhibit 10.3 to
STERIS plc Form 10-Q for the fiscal quarter ended September 30, 2018 (Commission File No.
001-37614) and incorporated herein by reference).*

Form of STERIS plc Restricted Stock Agreement for Employees (filed as Exhibit 10.2 to
STERIS plc Form 10-Q for the fiscal quarter ended September 30, 2019 (Commission File No.
001-38848) and incorporated herein by reference).*

10.16

Form of STERIS plc Restricted Stock Agreement for Employees (filed herewith)*

10.17

Form of STERIS plc Nonqualified Stock Option Agreement for Employees (filed herewith)*

10.18

10.19

Description of STERIS plc Non-Employee Director Compensation Program (filed as Exhibit
10.4 to STERIS plc Form 10-Q for the fiscal quarter ended September 30, 2022 (Commission
File No. 001-38848) and incorporated herein by reference).*

STERIS Corporation Deferred Compensation Plan Document (As Amended and Restated
Effective January 1, 2009) (filed as Exhibit 10.1 to Form 10-Q for the fiscal quarter ended
December 31, 2008 (Commission File No. 001-14643) and incorporated herein by reference).*

108

10.20

10.21

10.22

10.23

10.24

10.25

10.26

10.27

10.28

10.29

10.30

10.31

10.32

10.33

10.34

10.35

Amended and Restated Adoption Agreement related to STERIS Corporation Deferred
Compensation Plan, dated December 16, 2008 (filed as Exhibit 10.2 to Form 10-Q filed for the
fiscal quarter ended December 31, 2008 (Commission File No. 001-14643) and incorporated
herein by reference).*

Amendment No. 1 to STERIS Corporation Deferred Compensation Plan Document (As
Amended and Restated Effective January 1, 2009), dated November 4, 2011 (filed as Exhibit
10.1 to Form 10-Q for the fiscal quarter ended December 31, 2011 (Commission File No.
001-14643), and incorporated herein by reference).*

STERIS plc Management Incentive Compensation Plan (As Assumed, Amended and Restated
Effective March 28, 2019) (filed as Exhibit 10.2 to STERIS plc Form 8-K filed March 28, 2019
(Commission File No. 001-38848) and incorporated herein by reference).*

Amendment No. 1 to STERIS plc Management Incentive Compensation Plan (As Assumed,
Amended and Restated Effective March 28, 2019), dated March 2, 2020 (filed as Exhibit 10.27
to the Form 10-K filed for fiscal year ended March 31, 2020 (Commission File No. 001-38848)
and incorporated herein by reference)*

Amendment No. 2 to STERIS plc Management Incentive Compensation Plan (As Assumed,
Amended and Restated Effective March 28, 2019), dated May 8, 2023 (filed herewith)*

Form of Make-Whole Payment and Related Payment Conditions Agreement Between Former
STERIS Corporation Non-Employee Directors and STERIS Corporation (filed as Exhibit 10.32
to STERIS plc Form 10-K for the year ended March 31, 2016 (Commission File No. 001-37614)
and incorporated herein by reference).*

Form of Make-Whole Payment and Related Repayment Conditions Agreement Between STERIS
Corporation Executive Officers and STERIS Corporation (filed as Exhibit 10.33 to STERIS plc
Form 10-K for the year ended March 31, 2016 (Commission File No. 001-37614) and
incorporated herein by reference).*

STERIS plc Senior Executive Severance Plan, As Adopted Effective March 28, 2019 (filed as
Exhibit 10.3 to STERIS plc 8-K filed March 28, 2019 (Commission File No. 001-38848) and
incorporated herein by reference).*

Form of Indemnification Agreement between STERIS Corporation and each of its directors and
certain executive officers (filed as Exhibit 10.3 to Form 10-Q for the fiscal quarter ended June
30, 2022 (Commission File No. 001-14643) and incorporated herein by reference). *

Form of Deed of Indemnification for STERIS plc directors and executive officers (filed as
Exhibit 10.1 to STERIS plc Form 10-Q for the fiscal quarter ended June 30, 2022 (Commission
File No. 001-38848) and incorporated herein by reference). *

Form of Deed of Indemnification for STERIS plc directors and executive officers (filed as
Exhibit 10.2 to STERIS plc Form 10-Q for the fiscal quarter ended June 30, 2022)(Commission
File No. 001-38848) and incorporated herein by reference).*

Agreement dated as of April 23, 2008 by and among STERIS Corporation, Richard C. Breeden,
Robert H. Fields, and the Breeden Investors identified therein (filed as Exhibit 10.1 to Form 8-K
filed April 24, 2008 (Commission File No. 001-14643) and incorporated herein by reference).

Agreement dated November 4, 2011 between STERIS Corporation and Bank of America, N.A.
providing Transfer and Advised Line for Letters of Credit (filed as Exhibit 10.2 to Form 10-Q for
the fiscal quarter ended December 31, 2011 (Commission File No. 001-14643) and incorporated
herein by reference).

Delayed Draw Term Loan Agreement, dated as of March 19, 2021, among STERIS plc, STERIS
Limited, STERIS Corporation, STERIS Irish FinCo Unlimited Company, the lenders party
thereto and JPMorgan Chase Bank, N.A., as administrative agent (filed as Exhibit 10.1 to Form
8-K filed March 23, 2021 (Commission File No. 001-38848) and incorporated herein by
reference).

Term Loan Agreement, dated as of March 19, 2021, among STERIS plc, STERIS Limited,
STERIS Corporation, STERIS Irish FinCo Unlimited Company, the lenders party thereto and
JPMorgan Chase Bank, N.A., as administrative agent (filed as Exhibit 10.2 to Form 8-K filed
March 23, 2021 (Commission File No. 001-38848) and incorporated herein by reference).

Credit Agreement, dated as of March 19, 2021, among STERIS plc, STERIS Limited, STERIS
Corporation, STERIS Irish FinCo Unlimited Company, the lenders party thereto and JPMorgan
Chase Bank, N.A., as administrative agent (filed as Exhibit 10.3 to Form 8-K filed March 23,
2021 (Commission File No. 001-38848) and incorporated herein by reference).

109

10.36

10.37

10.38

10.39

21.1

22.1

23.1

24.1

31.1

31.2

32.1

Amendment No. 1, dated as of January 1, 2022, to Credit Agreement, dated as of March 19,
2021, among STERIS plc, STERIS Limited, STERIS Corporation, STERIS Irish FinCo
Unlimited Company, the lenders party thereto and JPMorgan Chase Bank, N.A., as
administrative agent (filed as Exhibit 10.40 to Form 10-K filed May 31, 2022 (Commission File
No. 001-38848) and incorporated herein by reference).

First Amendment dated as of March 19, 2021 to Amended and Restated Note Purchase
Agreement, dated as of March 5, 2019, among STERIS Corporation and each of the institutions
signatory thereto (filed as Exhibit 10.4 to Form 8-K filed March 23, 2021 (Commission File No.
001-38848) and incorporated herein by reference).

First Amendment dated as of March 19, 2021 to Amended and Restated Note Purchase
Agreement, dated as of March 5, 2019, among STERIS Corporation and each of the institutions
signatory thereto (filed as Exhibit 10.5 to Form 8-K filed March 23, 2021 (Commission File No.
001-38848) and incorporated herein by reference).

First Amendment dated as of March 19, 2021 to Amended and Restated Note Purchase
Agreement, dated as of March 5, 2019, among STERIS Limited and each of the institutions
signatory thereto (filed as Exhibit 10.6 to Form 8-K filed March 23, 2021 (Commission File No.
001-38848) and incorporated herein by reference).

Subsidiaries of STERIS plc.

List of Guarantor Subsidiaries with respect to the 2.700% Notes due 2031 and 3.750% Notes due
2051 issued by STERIS Irish FinCo Unlimited Company (filed as Exhibit 22.1 to Form 10-K for
the fiscal year ended March 31, 2021 (Commission File No. 001-38848), and incorporated by
reference).

Consent of Independent Registered Public Accounting Firm.

Power of Attorney

Certification of the Principal Executive Officer Pursuant to Exchange Act Rule
13a-14(a)/15d-14(a).

Certification of the Principal Financial Officer Pursuant to Exchange Act Rule
13a-14(a)/15d-14(a).

Certification of the Principal Executive Officer and the Principal Financial Officer Pursuant to
Section 906 of the Sarbanes-Oxley Act of 2002.

101.SCH Inline Schema Document.

101.CAL

Inline Calculation Linkbase Document.

101.DEF

Inline Definition Linkbase Document.

101.LAB Inline Labels Linkbase Document.

101.PRE

Inline Presentation Linkbase Document.

104

Cover Page Interactive Data File (formatted as Inline XBRL and contained in Exhibits 101).

*

A management contract or compensatory plan or arrangement required to be filed as an exhibit
hereto.

ITEM 16.

FORM 10-K SUMMARY

Not Applicable.

110

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, on the date indicated.

SIGNATURES

Date: May 26, 2023

STERIS plc
(Registrant)

By:

/S/ KAREN L. BURTON

Karen L. Burton

Vice President, Controller and Chief Accounting Officer

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

persons on behalf of the Registrant and in the capacities and on the date indicated.

SIGNATURE

TITLE

/S/ DANIEL A. CARESTIO
Daniel A. Carestio

/S/ MICHAEL J. TOKICH

Michael J. Tokich

/S/ KAREN L. BURTON

Karen L. Burton

*

Mohsen M. Sohi

*

Esther M. Alegria

*

Richard C. Breeden

*

Daniel A. Carestio

*

Cynthia L. Feldmann

*

Christopher S. Holland

*

Jacqueline B. Kosecoff

*

Paul E. Martin

*

Nirav R. Shah

*

Richard M. Steeves

President, Chief Executive Officer and Director
(Principal Executive Officer)

Senior Vice President and Chief Financial Officer
(Principal Financial Officer)

Vice President, Controller and Chief Accounting
Officer (Principal Accounting Officer)

Chairman and Director

Director

Director

Director

Director

Director

Director

Director

Director

Director

DATE

May 26, 2023

May 26, 2023

May 26, 2023

May 26, 2023

May 26, 2023

May 26, 2023

May 26, 2023

May 26, 2023

May 26, 2023

May 26, 2023

May 26, 2023

May 26, 2023

May 26, 2023

*

The undersigned, by signing his name hereto, does sign and execute this Annual Report on Form 10-K pursuant to the Powers of
Attorney executed by the above-named directors of the Registrant and filed with the Securities and Exchange Commission on behalf
of such directors.

Date: May 26, 2023

By:

/S/

J. ADAM ZANGERLE

J. Adam Zangerle,
Attorney-in-Fact for Directors

111

[THIS PAGE INTENTIONALLY LEFT BLANK]

This Page is Not Part of STERIS plc's Form 10-K Filing

(In thousands, except per share data)

Non-GAAP Financial Measures. Non-GAAP financial measures are presented with the intent of providing greater transparency to
supplemental financial information used by management and the Board of Directors in their financial analysis and operational decision
making. These amounts are disclosed so that the reader has the same financial data that management uses with the belief that it will assist
investors and other readers in making comparisons to our historical operating results and analyzing the underlying performance of our
operations for the periods presented.

Management and the Board of Directors believe that the presentation of these non-GAAP financial measures, when considered along with our
GAAP financial measures and the reconciliation to the corresponding GAAP financial measures, provides the reader with a more complete
understanding of the factors and trends affecting our business than could be obtained absent this disclosure. It is important for the reader to
note that the non-GAAP financial measure used may be calculated differently from, and therefore may not be comparable to, a similarly titled
measure used by other companies.

Twelve months ended March 31, (unaudited)

As reported, GAAP

Impact of
Acquisitions

Impact of
Divestitures

Impact of
Foreign
Currency
Movements

GAAP
Growth

Organic
Growth

Constant
Currency
Organic
Growth

2023

2022

2023

2022

2023

2023

2023

2023

Segment revenues:

Healthcare

Applied Sterilization Technologies

Life Sciences

Dental

Total

$ 3,085,131

$ 2,845,467

$

98,400

$

(101,631) $

(52,416)

914,431

536,704

421,573

852,972

524,964

361,661

—

2,800

65,009

—

(5,502)

—

(37,750)

(12,842)

(6,442)

$ 4,957,839

$ 4,585,064

$

166,209

$

(107,133) $

(109,450)

8.4 %

7.2 %

2.2 %

16.6 %

8.1 %

8.9 %

7.2 %

2.8 %

(1.4)%

7.0 %

10.8 %

11.6 %

5.3 %

0.4 %

9.4 %

To measure the percentage organic revenue growth, the Company removes the impact of acquisitions and divestitures that affect the
comparability and trends in revenue. To measure the percentage constant currency organic revenue growth, the impact of changes in currency
exchange rates and acquisitions and divestitures that affect the comparability and trends in revenue are removed. The impact of changes in
currency exchange rates is calculated by translating current year results at prior year average currency exchange rates.

GAAP

Adjustments:

Amortization of acquired intangible assets

Acquisition and integration related charges
Redomiciliation and tax restructuring costs
Gain on fair value adjustment of acquisition
related contingent consideration

Net (gain) loss on divestiture of businesses

Amortization of inventory and property "step
up" to fair value

Restructuring charges

Goodwill impairment charge

Fair value adjustment related to convertible
debt, premium liability

Net impact of adjustments after tax*

Twelve months ended March 31, (unaudited)

Gross Profit

Income from
Operations

Net Income
attributable to
shareholders

Diluted EPS

2023

2022

2023

2022

2023

2022

2023

2022

$2,159,686

$ 2,016,362

$ 268,185

$ 425,618

$107,030

$ 243,888

$

1.07

$

2.48

65

376,822

1,891

6,201
—

—

3,126

8,906
—

—

—

9,846

73,864

—

—

—

—

24,196
661

(3,100)

(67)

12,254

485

490,565

366,434

205,788
301

(2,350)

(874)

81,804

48

—

—

27,806

715,187

507,222

Net EPS impact

Adjusted

$2,180,750

$ 2,099,197

$1,170,001 $1,076,769 $822,217

$ 778,916

$

7.13

8.20

5.44

7.92

$

* The tax expense includes both the current and deferred income tax impact of the adjustments.

This Page is Not Part of STERIS plc's Form 10-K Filing

The following table presents a financial measure which is considered to be "non-GAAP financial measures" under

Securities Exchange Commission rules. Free cash flow is defined by the Company as cash flows from operating activities less
purchases of property, plant, equipment and intangibles (capital expenditures) plus proceeds from the sale of property, plant,
equipment and intangibles. The Company uses free cash flow as a measure to gauge its ability to pay cash dividends, fund
growth outside of core operations, fund future debt principal repayments, and repurchase shares.

Calculation of Free Cash Flow:

Cash flows from operating activities
Purchases of property, plant, equipment, and intangibles, net
Proceeds from the sale of property, plant, equipment, and intangibles

Free Cash Flow

Twelve Months Ended March 31,

2023
(Unaudited)

2022
Unaudited)

$

$

756,947 $
(361,969)
14,587
409,565 $

684,811
(287,563)
1,741
398,989

Performance Graph. The following graph shows the cumulative performance for our ordinary shares over the last five years
as of March 31 of each year compared with the performance of the Standard & Poor's 500 Index and the Dow Jones U.S.
Medical Supplies Index as of the same date. The graph assumes $100 invested as of March 31, 2018 in our ordinary shares and
in each of the named indices. The past performance shown in this graph does not necessarily guarantee future performance.

Copyright© 2023 Standard and Poor's, Inc. Used with permission. All rights reserved.
Copyright© 2023 Dow Jones, Inc. Used with permission. All rights reserved.

STERIS plc

S&P 500 Index

Dow Jones US Medical Supplies Index

3/18

100.00

100.00

100.00

3/19

138.75

109.50

103.12

3/20

153.15

101.86

94.32

3/21

210.40

159.25

157.62

3/22

269.15

184.17

173.40

3/23

214.96

169.94

166.87

Corporate Information

BOARD OF DIRECTORS

EXECUTIVE OFFICERS

ANNUAL REPORT

Karen L. Burton
Vice President, Controller and
Chief Accounting Officer

Daniel A. Carestio
President and Chief Executive Officer

Mary Clare Fraser
Senior Vice President and
Chief Human Resources Officer

Julia K. Madsen
Senior Vice President,
Life Sciences

Cary L. Majors
Senior Vice President and President,
Healthcare

Renato G. Tamaro
Vice President and Corporate Treasurer

Michael J. Tokich
Senior Vice President and
Chief Financial Officer

Andrew Xilas
Senior Vice President and General Manager,
Dental

J. Adam Zangerle
Senior Vice President, General Counsel and
Company Secretary

REGISTERED OFFICE

STERIS plc
70 Sir John Rogerson’s Quay
Dublin 2
Ireland

Dr. Mohsen M. Sohi
Chairman of the Board,
STERIS plc
Chief Executive Officer,
Freudenberg SE

Dr. Esther M. Alegria
Founder and Chief Executive Officer,
APIE Therapeutics, Inc

Richard C. Breeden 2,4
Chairman and Chief Executive Officer,
Breeden Capital Management LLC;
Chairman, Richard C. Breeden & Co., LLC

Daniel A. Carestio 3
President and Chief Executive Officer,
STERIS plc

Cynthia L. Feldmann 2,4
Former President and Founder,
Jetty Lane Associates

Christopher S. Holland 1,2
Former Chief Financial Officer,
C.R. Bard

Dr. Jacqueline B. Kosecoff 1,4
Managing Partner,
Moriah Partners, LLC

Paul E. Martin 1,3
Former Senior Vice President and
Chief Information Officer,
Baxter International Inc.

Dr. Nirav R. Shah 1,3
Senior Scholar, Clinical Excellence
Research Center, Stanford University

Dr. Richard Steeves 2,3
Former Chief Executive Officer
and Director of Synergy Health plc

1 Compensation and Organization Development
Committee Member

2 Audit Committee Member

3 Compliance and Technology Committee Member

4 Nominating and Governance Committee Member

Included in this Annual Report is a copy of
STERIS’s Form 10-K filed with the Securities
and Exchange Commission for the year ended
March 31, 2023. Additional copies of the
Company’s Form 10-K and other information are
available at www.steris-ir.com or upon written
request to:

Julie Winter
Vice President, Investor Relations
STERIS
5960 Heisley Road
Mentor, OH 44060-1834 USA

TRANSFER AGENT AND REGISTRAR

Computershare
C/O: Shareholder Services
PO Box 43078
Providence, RI 02940-3078
Toll free: 866-395-6420
Toll: +1-781-575-2662
www.computershare.com/investor

INDEPENDENT REGISTERED
PUBLIC ACCOUNTING FIRM

Ernst & Young LLP
Suite 1800
950 Main Avenue
Cleveland, OH 44113-7214

STOCK EXCHANGE LISTING

STERIS is listed on the New York Stock Exchange
under the symbol STE.

ANNUAL MEETING OF
SHAREHOLDERS

The Company’s 2023 annual meeting will be held
Thursday, July 27, 2023.

Portions of this Annual Report, other than the Form 10-K,
have not been filed with the SEC.

Product and service descriptions and financial information
herein are for illustration purposes only and do not modify
or alter product warranties, labeling, instructions, or other
technical literature, or the financial information contained
in the Form 10-K.