Summary of Sotera Health Company FY Conference Call Company Overview - **Company**: Sotera Health Company (NasdaqGS:SHC) - **Date of Conference**: December 03, 2025 Key Industry Insights - **Market Normalization**: The med tech industry is experiencing consistent volume expansion across various customer types, indicating a normalized market without significant transient factors affecting volumes [1][2] - **Outsourcing Trends**: Approximately two-thirds of the sterilization market is outsourced, with a gradual shift towards outsourcing over multiple years, but no significant year-to-year changes are observed [5][6] - **NSHAP Regulations**: The new NSHAP regulations regarding sterilizers, particularly ethylene oxide, are expected to take effect in April 2026, but concerns about compliance have diminished due to extensions [7][9] Company Performance and Strategy - **Capacity Management**: The company is cautious about capital investments in new sterilization capacity, ensuring that new facilities are justified by demand and customer commitments [14][16] - **Future Capacity Plans**: New facilities are expected to come online in late 2026 and 2027, with a strategy to secure about 40% of capacity commitments before construction [16][18] - **Pricing Power**: The company anticipates maintaining a price increase of 3%-4% annually, with Sterigenics positioned at the higher end of this range due to multi-year contracts [21][22] Financial Outlook - **Capital Expenditure (CapEx)**: Current CapEx is elevated due to cobalt development and NSHAP compliance, but is expected to decrease to around $100 million in the long term [22][23] - **Debt Management**: The company aims to reduce net leverage to 2-3 times by the end of 2027, while generating $500-$600 million in free cash flow during the same period [27][30] - **Cash Allocation**: Priorities for cash allocation include organic growth, debt reduction, and potential M&A opportunities, with a focus on maintaining a strong balance sheet [31][32] Business Segments - **Nordion**: The Cobalt-60 business is a significant cash generator with a 60% margin, providing essential sterilization services and maintaining a strong market position [35][36] - **Nelson Labs**: The testing business is crucial for regulatory compliance and product marketability, with a focus on sterility assurance and cross-business synergies with Sterigenics [38][39][40] Litigation and Risk Management - **Litigation Status**: The company has made progress in de-risking its litigation profile, particularly concerning ethylene oxide cases, with confidence in scientific evidence supporting its position [43][44] Conclusion - Sotera Health Company is well-positioned in the med tech industry, with a focus on maintaining growth, managing capacity, and navigating regulatory challenges while ensuring strong financial health and strategic investments in its core businesses.