Sales Performance - Total 2022 sales increased 13% to 1.376 billion, driven by strong customer demand and acquisitions[189] - Cardio & Vascular sales for 2022 increased 106.4 million or 18%, including 52.1 million from Aran and Oscor acquisitions[189] - Cardiac Rhythm Management & Neuromodulation sales for 2022 increased 30.3 million or 6%, with 41.7 million from Oscor[190] - Advanced Surgical, Orthopedics & Portable Medical sales for 2022 increased 10.3 million, primarily due to higher demand for Portable Medical exit[191] - Non-Medical sales for 2022 increased 8.1millionor211.38 billion, up from 1.22billionin2021,withgrossprofitrisingto359.0 million from 337.0million[286]AcquisitionsandIntegration−Thecompanyacquired100141.3 million, including a customer lists intangible asset valued at 53.4million[280]−TheCompanyacquired100141.3 million, enhancing its capabilities in high-growth cardiovascular markets[372] - The total consideration for the Aran acquisition includes an initial cash payment of 133.9million(129.3 million net of cash acquired) and 7.4millioninestimatedfairvalueofcontingentconsideration[373]−ThepreliminaryfairvalueofnetassetsacquiredintheAranacquisitionis141.3 million, including 68.5millioningoodwilland71.5 million in definite-lived intangible assets[375] Financial Performance - Gross profit for 2022 increased 22.0millionor736.4 million, primarily due to higher labor costs and restructuring charges[186] - Income from continuing operations for 2022 decreased to 65.4millionor1.96 per diluted share, down from 93.0millionor2.80 per diluted share in 2021[184] - Gross profit for 2022 was 359.0million,adecreaseof150basispointsingrossmarginto26.1160.6 million from 141.4 million in 2021, driven by higher compensation and benefits, amortization, and professional fees due to the Aran and Oscor acquisitions[194] - RD&E expenses for 2022 increased to 60.9 million from 52.0millionin2021,primarilyduetoinvestmentsinlong−termrevenuegrowthandtheAranandOscoracquisitions[195]−Restructuringandotherchargesfor2022totaled16.2 million, up from 7.9millionin2021,primarilyduetoacquisitionandintegrationcostsrelatedtotheAranandOscoracquisitions[198]−Contractualinterestexpensefor2022increasedto35.3 million from 21.0millionin2021,drivenbyhigheraveragedebtoutstandingandrisinginterestrates[201]−Totalinterestexpensefor2022was38.6 million, up from 31.6millionin2021,primarilyduetohigherdebtlevelsandinterestrates[200]−Thecompanyincurred10.1 million in acquisition and integration costs in 2022, compared to 2.5millionin2021,primarilyrelatedtotheAranandOscoracquisitions[198]−Compensationandbenefitsexpensesincreasedto85.9 million in 2022 from 77.2millionin2021,primarilyduetoincreasedheadcountfromtheAranandOscoracquisitions[194]−Professionalfeesincreasedto14.0 million in 2022 from 13.0millionin2021,primarilyduetotheinclusionofAranandOscoroperations[194]−Travelandentertainmentexpensesincreasedto1.7 million in 2022 from 0.5millionin2021,reflectingamodestreturntotravelasCOVID−19restrictionseased[194]−Netincomefor2022was66.4 million, down from 96.8millionin2021,withdilutedearningspershareat1.99 compared to 2.91in2021[286]−Operatingincomefor2022was121.3 million, down from 135.7millionin2021,primarilyduetohigheroperatingexpenses[286]−Thecompany′sretainedearningsgrewto680.7 million in 2022 from 614.3 million in 2021, reflecting continued profitability[284] Product Lines and Market Segments - The company's Cardio & Vascular product line produces components, subassemblies, and finished devices used in interventional cardiology, structural heart, heart failure, peripheral vascular, neurovascular, interventional oncology, electrophysiology, vascular access, infusion therapy, hemodialysis, urology, and gastroenterology procedures[19] - The company's Cardiac Rhythm Management & Neuromodulation product line offers design, development, and manufacturing capabilities for components, sub-assemblies, assemblies, and finished medical device systems[28] - The company's Neuromodulation market includes implantable spinal cord stimulators, sacral nerve stimulators, deep brain stimulators, and other IMDs to treat psychiatric disorders, sleep disorders, and hearing loss[31] - The Advanced Surgical, Orthopedics & Portable Medical (AS&O) product line specializes in Li-ion battery packs and chargers for medical devices, including ventilators, portable defibrillators, and X-Ray machines[33] - The company's Non-Medical segment provides customized battery solutions for extreme environments, including downhole drilling tools, military devices, and oceanographic buoys[37] Research and Development - The company's Medical segment is actively pursuing product development projects in structural heart delivery systems, electrophysiology catheters, and neurovascular therapies[55] - The company is developing next-generation medium-rate and high-rate batteries with extended performance, including higher power pulsing capabilities and increased operating temperature range[55] Operational and Strategic Risks - The company faces supply chain risks due to reliance on a limited number of suppliers for critical raw materials, with safety stocks and long-term contracts in place to mitigate disruptions[61][63][64] - Precious metal prices, such as platinum, are subject to market fluctuations, but the company uses pass-through pricing and firm agreements to minimize exposure[62] - The COVID-19 pandemic has negatively impacted the company's operating results and may continue to do so in the future, with uncertain duration and scope[100] - The company faces operational risks, including supply chain pressures, dependence on a limited number of customers, and reliance on third-party suppliers[98] - Strategic risks include intense competition, the need to respond to technological changes, and challenges in developing new products and expanding into new markets[98] - Financial risks include significant outstanding indebtedness and the need to comply with financial covenants under the Senior Secured Credit Facilities[98] - Legal and compliance risks include regulatory issues, product liability claims, and the need to protect intellectual property[98] Workforce and Human Capital - The company employs approximately 10,000 associates globally, with 48% of the workforce being women and 42% of the U.S. workforce being people of color as of December 31, 2022[77][85] - The company's workforce is distributed globally, with 43% in the U.S., 26% in Mexico, 17% in Ireland, and smaller percentages in other countries[80] - The company has implemented a "Talent Cycle" framework to develop leadership and ensure consistent execution of human capital strategies[78] - The company maintains a commitment to diversity and inclusion, with 100% of associates completing annual anti-harassment and non-discrimination training[82] Regulatory and Compliance - The company maintains ISO 13485 and ISO 9001 certifications across its facilities, ensuring compliance with international quality standards for medical devices and components[59][60] - The company's medical devices are subject to FDA regulations, including 510(k) pre-market notification or pre-market approval (PMA) processes for U.S. market authorization[68] - The company is transitioning to comply with the European Medical Device Regulation (EU-MDR), which became effective in May 2021 and requires full compliance by May 2024[70] - The company is subject to SEC and EU conflict mineral regulations, requiring due diligence on the sourcing of materials like tin, tantalum, tungsten, and gold[74] Financial Reporting and Controls - The company's internal control over financial reporting was effective as of December 31, 2022, based on the COSO framework[261] - The company's management is responsible for maintaining effective internal control over financial reporting, as assessed by an independent registered public accounting firm[266] - The company's audit of internal control over financial reporting was conducted in accordance with PCAOB standards, providing a reasonable basis for the opinion[267] Inventory and Asset Management - Inventories increased to 208.8 million in 2022 from 155.7millionin2021,withpotentialwrite−downsforexcess,obsolete,orexpiredinventorybasedondemandforecasts[276][284]−Totalassetsincreasedto2.79 billion in 2022 from 2.58billionin2021,withgoodwillrisingto982.2 million from 924.7million[284]−Thecompany′stotalliabilitiesroseto1.38 billion in 2022 from 1.23billionin2021,drivenbyanincreaseinlong−termdebtto907.1 million from 812.9million[284]RevenueRecognitionandAccountingPolicies−Revenueisrecognizedwhencontrolofproductsistransferredtocustomers,primarilybasedonshippingterms,andisrecognizednetofsalestaxandothertaxes[343]−Environmentalliabilitiesarerecordedwhenassessmentsaremade,remedialeffortsareprobable,andtheamountcanbereasonablyestimated[351]−Restructuringchargesarerecordedasincurredandincludeexitanddisposalcosts,aswellasothercostsdirectlyrelatedtorestructuringinitiatives[352]−BasicEPSiscalculatedbydividingNetincomebytheweightedaveragenumberofsharesoutstandingduringtheperiod,whileDilutedEPSadjustsforpotentialcommonsharesifdilutive[368]−TheCompanytranslatesforeignsubsidiaries′assetsandliabilitiesatperiod−endexchangeratesandincome/expensesataverageexchangerates,withtheneteffectrecordedinAOCI[366]ValuationandImpairment−ThecompanyusesaMonteCarlovaluationmodeltodeterminetheinitialfairvalueofcontingentconsiderationliabilities,whichinvolvessimulatingfuturerevenuesduringtheearn−outperiodusingmanagement′sbestestimates[320]−Contingentconsiderationliabilitiesareremeasuredtofairvalueeachreportingperiodusingassumptionssuchasestimatedrevenues,discountrates,revenuevolatility,andprojectedpaymentdates[321]−Goodwillistestedforimpairmentannually,andthecompanymayperformaqualitativeorquantitativeassessmentbasedonfactorslikemacroeconomicconditions,markettrends,andfinancialperformance[322]−Definite−livedintangibleassets,suchaspurchasedtechnologyandpatents,areamortizedover5−20years,whilecustomerlistsareamortizedover7−20years[326]−Thecompanyreviewsdefinite−livedintangibleassetsforimpairmentwhenindicatorsexist,andwritesdownthecarryingvaluetofairvalueifitexceedsundiscountedfuturecashflows[327]−Equityinvestmentsaremeasuredusingfairvalue,withgainsorlossesrecordedthrough(Gain)lossonequityinvestments,net[330]−Thecompanyusesaqualitativemodeltotestnon−marketableequitysecuritiesforimpairment,similartothemodelusedforgoodwillandlong−livedassets[333]MarketandCustomerConcentration−Threemajormedicalcustomers(AbbottLaboratories,BostonScientific,andMedtronic)collectivelyaccountedfor46886 million, with the majority expected to be shipped within one year[46] Intellectual Property and Manufacturing - The company owns 672 U.S. and foreign patents and has licensing rights to an additional 398 patents as of December 31, 2022[56] - The company's manufacturing capabilities span across the U.S., Mexico, Uruguay, Ireland, Malaysia, the Dominican Republic, and Israel[58] - The company has implemented a standardized enterprise-wide manufacturing structure, known as the Integer Production System, to enhance operational performance[54] Growth Strategy - The company's growth strategy includes strategic "bolt-on" acquisitions to expand its product portfolio and support customer growth[50] Market Risks - The company is exposed to market risks primarily due to changes in foreign currency exchange rates and interest rates, which could impact earnings and cash flows[251]