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Integer Holdings Corporation Reports Results for Fourth Quarter and Full Year 2016

~ Provides Business Outlook for Full Year 2017 ~

Note: A webcast of Integer’s conference call and accompanying presentation slides will be available at 5:00 p.m. EST today at http://investor.integer.net.

FRISCO, Texas, Feb. 27, 2017 (GLOBE NEWSWIRE) -- Integer Holdings Corporation (NYSE:ITGR), a leading medical device outsource manufacturer, today announced results for the fourth quarter and year-ended December 30, 2016.

Fourth Quarter 2016 Highlights

  • Revenue of $360 million, a 13% increase compared with the same period in the prior year. On a comparable results basis, revenue was flat year-over-year and up 4% sequentially.
  • GAAP Net Income of $8 million; EBITDA of $56 million; and Adjusted EBITDA of $71 million.
  • GAAP Diluted EPS of $0.25 per share; Adjusted Diluted EPS of $0.87.
  • Cash Flow from Operations of $34 million.

Full-Year 2016 Highlights(a)

(a) 2016 adjusted comparable basis amounts exclude the results of Nuvectra Corporation (“Nuvectra”) which was spun out of the Company on 3/14/2016. Refer to Tables A and B at the end of this release for reconciliations of as reported and comparable basis adjusted amounts to GAAP.

  • Revenue of $1,387 million, a 73% increase compared with the prior year. On a comparable results basis, revenue declined 4% year-over-year.
  • GAAP Net Income of $6 million; EBITDA of $203 million and comparable basis Adjusted EBITDA of $280 million.
  • GAAP Diluted EPS of $0.19 per share; comparable basis Adjusted Diluted EPS of $2.68 per share.
  • Cash Flow from Operations of $106 million. Repaid $46 million of debt.
  • Lake Region Medical integration activities and net cost synergies remain ahead of schedule.

“We had solid performance in the fourth quarter and are pleased with the continued operational and financial stabilization of the business,” said Thomas J. Hook, Integer’s president and chief executive officer. “The successful steps we have taken to integrate and stabilize our business establish a strong foundation and increase our confidence as we move into 2017. We are well-positioned to drive profitable revenue growth as we seek to deliver innovative, cost-effective solutions to our customers and drive shareholder returns over the long-term.”

Summary of Fourth Quarter Financial and Product-Line Results
(dollars in thousands, except per share data)

    Three Months Ended
    As Reported   Comparable Basis
    4Q 2016   4Q 2015   %
Change
  4Q 2016   4Q 2015(a)(b)   %
Change
Medical Sales:                        
Cardio & Vascular   $ 142,368     $ 105,890     34 %   $ 142,368     $ 132,616     7 %
Cardiac & Neuromodulation   104,924     107,614     (2 )%   104,924     110,890     (5 )%
Advanced Surgical, Orthopedics & Portable Medical   101,942     92,590     10 %   101,942     105,177     (3 )%
Elimination of interproduct line sales   (961 )   (1,744 )       (961 )   (2,266 )    
Total Medical Sales   348,273     304,350     14 %   348,273     346,417     1 %
Non-Medical Sales   11,318     13,217     (14 )%   11,318     13,217     (14 )%
Total Sales   $ 359,591     $ 317,567     13 %   $ 359,591     $ 359,634     %
Gross Margin   25.8 %   23.0 %       25.8 %   21.5 %    
GAAP Net Income (Loss)   $ 7,933     $ (24,907 )   N/A     $ 7,933       N/A     N/A  
Adjusted Net Income(b)   $ 27,174     $ 27,858     (2 )%   $ 27,174     $ 27,787     (2 )%
EBITDA(b)   $ 55,528     $ 5,592     N/A     $ 55,528     $ (7,008 )   N/A  
Adjusted EBITDA(b)   $ 70,535     $ 69,005     2 %   $ 70,535     $ 78,935     (11 )%
Adjusted EBITDA as a % Sales   19.6 %   21.7 %       19.6 %   21.9 %    
GAAP Diluted EPS   $ 0.25     $ (0.85 )   N/A     $ 0.25       N/A     N/A  
Adjusted Diluted EPS(b)   $ 0.87     $ 0.92     (5 )%   $ 0.87     $ 0.87     %
                                             

Summary of Full Year Financial and Product-Line Results
(Dollars in thousands, except per share data)

    Year Ended
    As Reported   Comparable Basis
    FY 2016   FY 2015   %
Change
  FY 2016(a)(b)   FY 2015(a)(b)   %
Change
Medical Sales:                        
Cardio & Vascular   $ 568,510     $ 143,260     297 %   $ 568,510     $ 562,263     1 %
Cardiac & Neuromodulation   389,403     356,064     9 %   388,223     412,762     (6 )%
Advanced Surgical, Orthopedics & Portable Medical   392,778     243,385     61 %   392,778     418,543     (6 )%
Elimination of interproduct line sales   (5,592 )   (1,744 )       (5,592 )   (10,179 )    
Total Medical Sales   1,345,099     740,965     82 %   1,343,919     1,383,389     (3 )%
Non-Medical Sales   41,679     59,449     (30 )%   41,679     59,449     (30 )%
Total Sales   $ 1,386,778     $ 800,414     73 %   $ 1,385,598     $ 1,442,838     (4 )%
Gross Margin   27.3 %   29.4 %       27.3 %   26.4 %    
GAAP Net Income (Loss)   $ 5,961     $ (7,594 )   N/A       N/A       N/A     N/A  
Adjusted Net Income(b)   $ 80,991     $ 79,271     2 %   $ 83,615     $ 98,104     (15 )%
EBITDA(b)   $ 202,979     $ 62,445     225 %   $ 207,902     $ 161,385     29 %
Adjusted EBITDA(b)   $ 276,184     $ 165,874     67 %   $ 279,849     $ 304,197     (8 )%
Adjusted EBITDA as a % Sales   19.9 %   20.7 %       20.2 %   21.1 %    
GAAP Diluted EPS   $ 0.19     $ (0.29 )   N/A       N/A       N/A     N/A  
Adjusted Diluted EPS(b)   $ 2.59     $ 2.90     (11 )%   $ 2.68     $ 3.11     (14 )%

(a) Comparable basis adjustments for 2016 exclude the results of Nuvectra prior to its spin-off on March 14, 2016. Comparable basis amounts for 2015 exclude Nuvectra results for the entire period and include the former Lake Region Medical results prior to its acquisition on October 27, 2015. Our historical pro forma information presentation, which was filed with the SEC on Form 8-K on February 29, 2016, contains a reconciliation of 2015 comparable basis amounts to as reported amounts.
(b) Refer to Tables A and B at the end of this release for reconciliations of as reported and comparable basis adjusted amounts to GAAP.

Discussion of Financial and Operational Results for the Fourth Quarter
Throughout this press release, we are providing comparable basis amounts, which adjust as reported 2016 amounts to exclude the results of Nuvectra prior to its spin-off on March 14, 2016 and to adjust 2015 as reported results to exclude the results of Nuvectra and include the results of the former Lake Region Medical, which was acquired in October 2015. See our historical pro forma information presentation, which was filed with the SEC on Form 8-K on February 29, 2016, for a reconciliation of 2015 comparable basis amounts to reported amounts.

As a result of the Lake Region Medical acquisition and spin-off of Nuvectra, during 2016 we reorganized our operations including our internal management and financial reporting structure. This reorganization was completed in the fourth quarter of 2016. As a result, we revised our reportable business segments and are now disclosing two reportable segments: (1) Medical and (2) Non-Medical. Our Medical segment includes the operations of our former Lake Region Medical segment, the remaining operations of our QiG segment after the spin-off, and the portion of the previously reported Greatbatch Medical segment not included in the Non-Medical segment. Our Non-Medical segment includes our Electrochem business, which was previously included in our Greatbatch Medical segment. Prior period amounts have been reclassified to conform to the new segment reporting presentation. We are still refining the way we classify product line sales, which may impact the way future product line sales are reported, but will not change total sales.

Sales and Gross Profit

  • Total GAAP revenue for the fourth quarter of 2016 was $359.6 million, a 13% increase over the fourth quarter of the prior year, primarily driven by the acquisition of Lake Region Medical. Foreign currency exchange rate fluctuations did not materially impact our sales for the fourth quarter of 2016, but are expected to have a more material impact in 2017. On a comparable organic constant currency basis, fourth quarter 2016 revenues were flat compared with the fourth quarter of 2015.

    -- Cardio & Vascular GAAP revenue for the fourth quarter of 2016 was $142.4 million, a 34% increase over the fourth quarter of the prior year, primarily driven by the acquisition of Lake Region Medical. On a comparable organic constant currency basis, Cardio & Vascular revenue in the fourth quarter of 2016 increased by 7% over the comparable period of the prior year, primarily driven by increased customer demand for electrophysiology and vascular access products.

    -- Cardiac & Neuromodulation GAAP revenue for the fourth quarter of 2016 was $104.9 million, a 2% decrease over the fourth quarter of the prior year. On a comparable organic constant currency basis, Cardiac & Neuromodulation revenue decreased 5%. The year-over-year decrease is primarily driven by higher demand in the fourth quarter of 2015 as certain customers accelerated shipments prior to year-end in order to meet contractual terms.  Additionally, Cardiac & Neuromodulation sales were impacted by contractual price reductions given in exchange for longer-term volume commitments.

    -- Advanced Surgical, Orthopedics & Portable Medical GAAP revenue for the fourth quarter of 2016 was $101.9 million, a 10% increase over the fourth quarter of the prior year, primarily driven by the acquisition of Lake Region Medical. On a comparable organic constant currency basis, Advanced Surgical, Orthopedics & Portable Medical revenue decreased 3% year-over-year, primarily driven by a reduction in demand for certain products, as well as contractual price reductions given in exchange for longer-term volume commitments.

    -- Non-Medical GAAP revenue for the fourth quarter of 2016 was $11.3 million, a 14% decrease over the fourth quarter of the prior year, primarily reflecting the slowdown in the energy markets. Non-Medical GAAP revenue increased 28% over the sequential third quarter of 2016, reflecting the stabilization of our energy business.

  • Consolidated GAAP gross profit for the fourth quarter of 2016 was $92.9 million, or 25.8% of sales, a 27% increase over the fourth quarter of 2015, primarily driven by the acquisition of Lake Region Medical. On a comparable basis, fourth quarter 2016 gross profit increased 20% over the prior year fourth quarter primarily due to $23.0 million of inventory step-up amortization recorded in 2015 in connection with the acquisition of Lake Region Medical. Excluding this amortization, gross profit declined $7.4 million on a comparable basis primarily due to contractual price reductions given in exchange for longer-term volume commitments and the impact of higher warranty reserves and inventory obsolescence write-offs caused by various customer returns and field actions during the quarter.

Net Income (Loss), Adjusted EBITDA, and Earnings per Share

  • GAAP Net Income for the fourth quarter of 2016 was $7.9 million on an as reported and comparable results basis, an increase of $32.8 million and $55.4 million respectively over the fourth quarter of the prior year, reflecting lower transaction related costs in connection with our acquisition of Lake Region Medical.

  • Adjusted Net Income for the fourth quarter of 2016 declined 2% on an as reported and comparable results basis from the fourth quarter of the prior year.

  • Adjusted EBITDA for the fourth quarter of 2016 was $70.5 million on an as reported and comparable results basis, a 2% increase and an 11% decrease respectively compared with the fourth quarter of 2015. The decrease in comparable results reflects the decline in gross profit discussed above.

  • GAAP diluted EPS for the fourth quarter of 2016 was $0.25 per share compared to a loss of $0.85 per share for the fourth quarter of 2015 and a loss of $1.54 per share on a comparable results basis for the fourth quarter of 2015. The year-over-year improvement in GAAP diluted EPS was primarily driven by lower transaction related costs in connection with our acquisition of Lake Region Medical.

  • Adjusted diluted EPS for the fourth quarter of 2016 was $0.87 per share, a 5% decline over the fourth quarter of 2015 on an as reported basis. This year-over-year decrease reflects the lower gross profit discussed above. On a comparable results basis, adjusted diluted EPS was flat year-over-year.

  • Achieved synergies of $10 million during the quarter and $34 million of cumulative annual run-rate synergies since the acquisition, ahead of our initial $25 million estimate and within the range provided last quarter.

Cash Flows

  • Cash flows provided by operating activities for the fourth quarter of 2016 were $34 million. Cash flows from operations during the fourth quarter of 2016 reflects a $37 million decrease in inventory that was primarily driven by our working capital reduction initiatives, $34 million of interest payments on outstanding debt obligations and $12 million of consolidation, IP-related litigation, acquisition, integration, and spin-off related costs.

  • Capital expenditures were $11 million for the fourth quarter of 2016 and $59 million for the full year.

  • Repaid $17 million of outstanding debt during the fourth quarter of 2016 bringing total debt repayment to $46 million for the year.

Business Outlook

Our current full-year 2017 outlook is as follows (in millions, except for per share amounts):

    GAAP   Adjusted Basis
    High   Low   High   Low
Revenue   $1,430   $1,390   $1,430   $1,390
Earnings per Diluted Share   $1.50   $1.10   $3.10   $2.70
                         

Except as described below, further reconciliations by line item to the closest corresponding GAAP financial measures for Adjusted Basis Earnings per Diluted Share, included in our “Business Outlook” above, are not available without unreasonable efforts on a forward-looking basis due to the high variability, complexity and visibility of the charges excluded from this non-GAAP financial measure.

Adjusted EPS for 2017 is expected to consist of GAAP Net Income and EPS, excluding items such as intangible amortization ($44 million), IP related litigation costs, and consolidation, acquisition, integration, and asset disposition/write-down charges totaling approximately $72 million. The after-tax impact of these items is estimated to be approximately $50 million, or approximately $1.60 per diluted share.

Selected Financial Guidance Items Affecting Cash Flow

  • Capital expenditures in the range of $50 million to $60 million for the year.
  • Depreciation and amortization in the range of $95 million to $100 million for the year.
  • Stock-based compensation expected to be approximately $15 million for the year.
  • Working capital expected to decline $10 million to $20 million for the year, when compared to the prior year.
  • Other operating expense expected to be $18 million to $22 million for the year. A significant decrease from the $62 million incurred in 2016, reflecting lower consolidation, integration and spin-off related charges.
  • Fiscal year 2017 adjusted effective tax rate expected to be approximately 25%; cash taxes expected to be approximately $10 million for the year.

Other Business & Operational Highlights

  • Amended the Company’s senior secured credit agreement providing the Company with further financial flexibility to operate the business and improve its financial position.

  • Expanded relationship with Impulse Dynamics to co-develop its next generation lead system for Cardiac Contractility Modulation therapy to treat moderate-to-severe heart failure. The co-development agreement leverages Integer’s existing technology platform allowing Impulse Dynamics to deliver a fully customized lead solution to the market 12 to 16 months earlier than developing one on their own. The companies also agreed to negotiate a supply agreement for the associated products under the development agreement which may drive future revenue.

Conference Call Information
The Company will host a conference call on Monday, February 27, 2017, at 5:00 p.m. ET to discuss these results. The scheduled conference call will be webcast live and is accessible through our website at www.integer.net or by dialing (877) 201-0168 (U.S.) or (647) 788-4901 (outside U.S.) and the participant passcode is 62621207. The call will be archived on the Company’s website.

About Integer™
Integer Holdings Corporation (NYSE:ITGR) is one of the largest medical device outsource (MDO) manufacturers in the world serving the cardiac, neuromodulation, orthopedics, vascular, advanced surgical and portable medical markets. The company provides innovative, high-quality medical technologies that enhance the lives of patients worldwide. In addition, it develops batteries for high-end niche applications in energy, military, and environmental markets. The company's brands include GreatbatchTM Medical, Lake Region MedicalTM and ElectrochemTM. Additional information is available at www.integer.net.

Notes Regarding Non-GAAP Financial Information
In addition to our results reported in accordance with generally accepted accounting principles (“GAAP”), we provide adjusted net income, adjusted earnings per diluted share, earnings before interest, taxes, depreciation and amortization (“EBITDA”), adjusted EBITDA and organic constant currency sales growth rates. Adjusted net income and adjusted earnings per diluted share consist of GAAP amounts adjusted for the following to the extent occurring during the period: (i) acquisition and integration related charges and expenses, (ii) amortization of intangible assets including inventory step-up amortization, (iii) facility consolidation, optimization, manufacturing transfer and system integration charges, (iv) asset write-down and disposition charges, (v) charges in connection with corporate realignments or a reduction in force, (vi) certain litigation expenses, charges and gains, (vii) unusual or infrequently occurring items, (viii) gain/loss on cost and equity method investments, (ix) the income tax (benefit) related to these adjustments and (x) certain tax items that are outside the normal provision for the period. Adjusted earnings per diluted share are calculated by dividing adjusted net income by diluted weighted average shares outstanding. Adjusted EBITDA consists of GAAP net income (loss) plus (i) the same adjustments as listed above except for items (ix), and (x), (ii) GAAP stock-based compensation, interest expense, and depreciation, (iii) GAAP provision (benefit) for income taxes and (iv) cash gains received from cost and equity method investments during the period. To calculate organic constant currency sales growth rates, which exclude the impact of changes in foreign currency exchange rates, as well as the impact of any acquisitions or divestitures of product lines on sales growth rates, we convert current period sales from local currency to U.S. dollars using the previous periods’ foreign currency exchange rates and exclude the amount of sales acquired/divested during the period from the current/previous period amounts, respectively. Comparable basis amounts for 2016 exclude the results of Nuvectra prior to its spin-off on March 14, 2016. Comparable basis amounts for 2015 exclude the results of Nuvectra and include the results of the former Lake Region Medical prior to its acquisition on October 27, 2015. We believe that the presentation of adjusted net income, adjusted diluted earnings per share, EBITDA, adjusted EBITDA, organic constant currency sales growth rates, and comparable basis amounts provides important supplemental information to management and investors seeking to understand the financial and business trends relating to our financial condition and results of operations.

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

  • future sales, expenses, and profitability;
  • future development and expected growth of our business and industry;
  • our ability to execute our business model and our business strategy;
  • our ability to identify trends within our industries and to offer products and services that meet the changing needs of those markets;
  • our ability to remain in compliance with our debt covenants; and
  • projected capital expenditures.

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

Although it is not possible to create a comprehensive list of all factors that may cause actual results to differ from the results expressed or implied by our forward-looking statements or that may affect our future results, some of these factors include the following: our high level of indebtedness, our inability to pay principal and interest on this high level of outstanding indebtedness or to remain in compliance with financial and other covenants under our senior secured credit facilities, and the risk that this high level of indebtedness limits our ability to invest in our business and overall financial flexibility; our dependence upon a limited number of customers; customer ordering patterns; product obsolescence; our inability to market current or future products; pricing pressure from customers; our ability to timely and successfully implement cost reduction and plant consolidation initiatives; our reliance on third-party suppliers for raw materials, products and subcomponents; fluctuating operating results; our inability to maintain high quality standards for our products; challenges to our intellectual property rights; product liability claims; product field actions or recalls; our inability to successfully consummate and integrate acquisitions, including the acquisition of Lake Region Medical, and to realize synergies and benefits from these acquisitions and to operate these acquired businesses in accordance with expectations; our unsuccessful expansion into new markets; our failure to develop new products including system and device products; the timing, progress and ultimate success of pending regulatory actions and approvals; our inability to obtain licenses to key technology; regulatory changes, including health care reform, or consolidation in the healthcare industry; global economic factors including currency exchange rates and interest rates; the resolution of various legal actions brought against the Company; and other risks and uncertainties that arise from time to time and are described in Item 1A “Risk Factors” of our Annual Report on Form 10-K and in other periodic filings with the SEC. We assume no obligation to update forward-looking statements in this press release whether to reflect changed assumptions, the occurrence of unanticipated events or changes in future operating results, financial conditions or prospects, or otherwise.

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS - Unaudited
(in thousands except per share data)
         
    Three Months Ended   Year Ended
    December 30,
2016
  January 1,
2016
  December 30,
2016
  January 1,
2016
Sales   $ 359,591     $ 317,567     $ 1,386,778     $ 800,414  
Cost of sales   266,700     244,427     1,008,479     565,279  
Gross profit   92,891     73,140     378,299     235,135  
Operating expenses:                
Selling, general and administrative expenses   37,510     33,509     153,291     102,530  
Research, development and engineering costs   12,643     13,088     55,001     52,995  
Other operating expenses (“OOE”)   11,733     37,015     61,737     66,464  
Total operating expenses   61,886     83,612     270,029     221,989  
Operating income (loss)   31,005     (10,472 )   108,270     13,146  
Interest expense   27,875     25,362     111,270     33,513  
(Gain) loss on cost and equity method investments, net   1,765     1,769     833     (3,350 )
Other income, net   (3,178 )   (142 )   (5,018 )   (1,317 )
Income (loss) before income taxes   4,543     (37,461 )   1,185     (15,700 )
Income tax benefit   (3,390 )   (12,554 )   (4,776 )   (8,106 )
Net income (loss)   $ 7,933     $ (24,907 )   $ 5,961     $ (7,594 )
                 
Earnings (loss) per share:                
Basic   $ 0.26     $ (0.85 )   $ 0.19     $ (0.29 )
Diluted   $ 0.25     $ (0.85 )   $ 0.19     $ (0.29 )
                 
Weighted average shares outstanding:                
Basic   30,845     29,178     30,778     26,363  
Diluted   31,254     29,178     30,973     26,363  
                         


CONDENSED CONSOLIDATED BALANCE SHEETS - Unaudited
(in thousands)
     
    December 30,
2016
  January 1,
2016
ASSETS        
Current assets:        
Cash and cash equivalents   $ 52,116     $ 82,478  
Accounts receivable, net   204,626     207,342  
Inventories   225,151     252,166  
Refundable income taxes   13,388     11,730  
Prepaid expenses and other current assets   22,026     20,888  
Total current assets   517,307     574,604  
Property, plant and equipment, net   372,042     379,492  
Amortizing intangible assets, net   849,772     893,977  
Indefinite-lived intangible assets   90,288     90,288  
Goodwill   967,326     1,013,570  
Deferred income taxes   3,970     3,587  
Other assets   31,838     26,618  
Total assets   $ 2,832,543     $ 2,982,136  
LIABILITIES AND STOCKHOLDERS’ EQUITY        
Current liabilities:        
Current portion of long-term debt   $ 31,344     $ 29,000  
Accounts payable   77,896     84,362  
Income taxes payable   3,699     3,221  
Accrued expenses   72,281     97,257  
Total current liabilities   185,220     213,840  
Long-term debt   1,698,819     1,685,053  
Deferred income taxes   208,579     221,804  
Other long-term liabilities   14,686     10,814  
Total liabilities   2,107,304     2,131,511  
Stockholders’ equity:        
Common stock   31     31  
Additional paid-in capital   637,955     620,470  
Treasury stock   (5,834 )   (3,100 )
Retained earnings   109,087     231,854  
Accumulated other comprehensive income (loss)   (16,000 )   1,370  
Total stockholders’ equity   725,239     850,625  
Total liabilities and stockholders’ equity   $ 2,832,543     $ 2,982,136  
                 


CONDENSED CONSOLIDATED STATEMENT OF CASH FLOWS - Unaudited
(in thousands)
     
    Year Ended
    December 30,
2016
  January 1,
2016
Cash flows from operating activities:        
Net income (loss)   $ 5,961     $ (7,594 )
Adjustments to reconcile net income (loss) to net cash provided by operating activities:        
Depreciation and amortization   90,524     44,632  
Debt related charges included in interest expense   7,278     11,320  
Inventory step-up amortization       22,986  
Stock-based compensation   8,408     9,376  
Non-cash loss on cost and equity method investments, net   1,495     275  
Other non-cash losses, net   5,216     1,093  
Deferred income taxes   (7,350 )   (10,298 )
Changes in operating assets and liabilities, net of acquisitions:        
Accounts receivable   (2,169 )   3,684  
Inventories   22,170     (25,752 )
Prepaid expenses and other assets   (3,846 )   (1,861 )
Accounts payable   (1,127 )   3,129  
Accrued expenses   (13,935 )   (28,605 )
Income taxes payable   (7,093 )   (9,906 )
Net cash provided by operating activities   105,532     12,479  
Cash flows from investing activities:        
Acquisition of property, plant and equipment   (58,632 )   (44,616 )
Proceeds from sale of property, plant and equipment   347     746  
Purchase of cost and equity method investments, net   (3,015 )   (6,300 )
Acquisitions, net of cash acquired       (423,389 )
Other investing activities, net   (2,000 )    
Net cash used in investing activities   (63,300 )   (473,559 )
Cash flows from financing activities:        
Principal payments of long-term debt   (46,000 )   (1,232,175 )
Proceeds from issuance of long-term debt, net of discount   57,000     1,749,750  
Issuance of common stock   2,821     6,583  
Payment of debt issuance costs   (1,177 )   (45,933 )
Distribution of cash and cash equivalents to Nuvectra Corporation
  (76,256 )    
Purchase of non-controlling interests   (6,818 )   (9,875 )
Other financing activities, net   (1,716 )   (440 )
Net cash provided by (used in) financing activities   (72,146 )   467,910  
Effect of foreign currency exchange rates on cash and cash equivalents   (448 )   (1,176 )
Net increase (decrease) in cash and cash equivalents   (30,362 )   5,654  
Cash and cash equivalents, beginning of year   82,478     76,824  
Cash and cash equivalents, end of year   $ 52,116     $ 82,478  
                 

Non-GAAP Reconciliations

Table A: Net Income (Loss) and Diluted EPS Reconciliation

    Three Months Ended
    December 30, 2016   January 1, 2016
(in thousands except per share amounts)   Pre-Tax   Net
Income
  Per
Diluted
Share
  Pre-Tax   Net
Income
(Loss)
  Per
Diluted
Share
As reported (GAAP)   $ 4,543     $ 7,933     0.25     $ (37,461 )   $ (24,907 )   (0.85 )
Adjustments:                        
Amortization of intangibles(a)   9,411     6,646     0.21     7,488     5,277     0.18  
Inventory step-up amortization (COS)(a)               22,986     15,605     0.52  
IP related litigation (SG&A)(a)(b)   349     227     0.01     1,131     735     0.02  
Consolidation and optimization expenses (OOE)(a)(c)   4,686     3,884     0.12     7,191     5,736     0.19  
Acquisition and integration expenses  (OOE)(a)(d)   5,173     3,406     0.11     28,083     20,924     0.69  
Asset dispositions, severance and other (OOE)(a)(e)   1,874     1,301     0.04     1,741     1,499     0.05  
Lake Region Medical transaction costs (interest expense)(a)(f)               4,675     3,039     0.10  
Loss on cost and equity method investments, net(a)   1,765     1,147     0.04     1,769     1,150     0.04  
Tax adjustments(g)       2,630     0.08         (1,200 )   (0.04 )
Taxes(a)   (627 )           (9,745 )        
As reported adjusted (Non-GAAP)(h)       27,174     0.87         27,858     0.92  
Comparable basis adjustments, net(i)                   (71 )   (0.05 )
Comparable basis adjusted (Non-GAAP)(h)       $ 27,174     $ 0.87         $ 27,787     $ 0.87  
                         
As reported adjusted diluted weighted average shares(j)       31,254             30,125      
Comparable basis adjusted diluted weighted average shares(j)(k)       31,254             31,805      
                             


    Year Ended
    December 30, 2016   January 1, 2016
(in thousands except per share amounts)   Pre-Tax   Net
Income
  Per
Diluted
Share
  Pre-Tax   Net
Income
(Loss)
  Per
Diluted
Share
As reported (GAAP)   $ 1,185     $ 5,961     $ 0.19     $ (15,700 )   $ (7,594 )   (0.29 )
Adjustments:                        
Amortization of intangibles(a)   37,862     26,771     0.86     17,496     12,273     0.45  
Inventory step-up amortization (COS)(a)               22,986     15,605     0.57  
IP related litigation (SG&A)(a)(b)   3,040     1,976     0.06     4,417     2,871     0.11  
Consolidation and optimization expenses (OOE)(a)(c)   26,490     21,582     0.69     26,393     21,158     0.77  
Acquisition and integration expenses  (OOE)(a)(d)   28,316     18,554     0.59     33,449     25,885     0.95  
Asset dispositions, severance and other (OOE)(a)(e)   6,931     5,760     0.18     6,622     5,099     0.19  
Lake Region Medical transaction costs (interest expense)(a)(f)               9,463     6,151     0.23  
(Gain) loss on cost and equity method investments, net(a)   833     541     0.02     (3,350 )   (2,177 )   (0.08 )
Tax adjustments(g)       (154 )                
Taxes(a)   (23,666 )           (22,505 )        
As reported adjusted (Non-GAAP)(h)       80,991     2.59         79,271     2.90  
Comparable basis adjustments, net(i)       2,624     0.08         18,833     0.21  
Comparable basis adjusted (Non-GAAP)(h)       $ 83,615     $ 2.68         $ 98,104     $ 3.11  
                         
As reported adjusted diluted weighted average shares(j)       31,222             27,304      
Comparable basis adjusted diluted weighted average shares(j)(k)       31,222             31,504      
                             

(a) The difference between pre-tax and net income (loss) amounts is the estimated tax impact related to the respective adjustment. Net income amounts are computed using a 35% U.S., Mexico, Germany, and France statutory tax rate, a 0% Swiss tax rate, a 20% Netherlands statutory tax rate, a 25% Uruguay statutory tax rate, and a 12.5% Ireland statutory tax rate. Expenses that are not deductible for tax purposes (i.e. permanent tax differences) are added back at 100%.
(b) In 2013, we filed suit against AVX Corporation alleging they were infringing our intellectual property. Given the complexity and significant costs incurred pursuing this litigation, we are excluding these litigation expenses from adjusted amounts. This matter proceeded to trial during the first quarter of 2016 and a federal jury awarded the Company $37.5 million in damages. To date, no gains have been recognized in connection with this litigation.
(c) During 2016 and 2015, we incurred costs primarily related to the transfer of our Beaverton, OR portable medical and Plymouth, MN vascular manufacturing operations to Tijuana, Mexico. Additionally, with the acquisition of Lake Region Medical, 2016 costs also include expenses incurred in connection with the closure of Lake Region Medical’s Arvada, CO, site and the consolidation of its two Galway, Ireland sites, which was initiated by Lake Region Medical in 2014.
(d) During 2016 and 2015, we incurred acquisition and integration costs related to the acquisition of Lake Region Medical, which was acquired in October 2015. During 2015, we incurred costs related to the integration of CCC Medical Devices, which was acquired in August 2014.
(e) Costs primarily include legal and professional fees incurred in connection with the spin-off of Nuvectra, which was completed in March 2016, as well as various asset disposition charges.
(f) During the third and fourth quarters of 2015 we recorded transaction costs (i.e. debt commitment fees, interest rate swap termination costs, debt extinguishment charges) in connection with our acquisition of Lake Region Medical.
(g) Tax adjustments for the 2016 periods include a discrete tax benefit related to certain transaction costs of the Lake Region Medical acquisition and the spin-off of Nuvectra recorded in the third quarter and a tax charge recorded in the fourth quarter in connection with the enactment of regulations under §987 of the Internal Revenue Code, which resulted in an adjustment to our deferred tax assets. For the 2015 fourth quarter, tax adjustments consist of the 2015 Federal R&D tax credit, which was enacted during that period and was permanently reinstated.
(h) The per share data in this table has been rounded to the nearest $0.01 and therefore may not sum to the total.
Comparable basis adjustments for 2016 represent the exclusion of the results of Nuvectra prior to its spin-off on March 14, 2016. Nuvectra’s 2016 revenue, tax benefit, adjusted net loss, and adjusted diluted EPS prior to its spin-off was $1.2 million, $1.8 million, $2.6 million, and a loss of $0.08 per share, respectively
(i) Comparable basis adjustments for the 2015 periods represent the exclusion of the Nuvectra results and the inclusion of the former Lake Region Medical results prior to its acquisition on October 27, 2015. Our historical pro forma information presentation, which was filed with the SEC on Form 8-K on February 29, 2016, contains a reconciliation of 2015 comparable basis amounts to as reported amounts.
(j) The as reported and comparable basis adjusted diluted weighted average shares for full year 2016 includes 249,000 potentially dilutive shares not included in the computation of diluted weighted average common shares for GAAP diluted EPS purposes because their effect would have been anti-dilutive given the Company’s net loss in the first and second quarters. Fourth quarter and full year 2015 as reported and comparable basis adjusted diluted weighted average shares include 947,000 and 941,000 additional shares, respectively, related to outstanding equity awards that were not dilutive for GAAP EPS purposes.
(k) Comparable basis diluted weighted average shares for the 2015 periods include the pro forma impact of shares issued in conjunction with the acquisition of Lake Region Medical as if the acquisition occurred at the beginning of the period. No adjustment is necessary for the 2016 periods, as shares issued for the acquisition are included in the Company’s outstanding shares in accordance with GAAP.

Table B: EBITDA and Adjusted EBITDA Reconciliation

    Three Months Ended   Year Ended
(dollars in thousands)   December 30,
2016
  January 1,
2016
  December 30,
2016
  January 1,
2016
Net income (loss) as reported   $ 7,933     $ (24,907 )   $ 5,961     $ (7,594 )
                 
Interest expense   27,875     25,362     111,270     33,513  
Benefit for income taxes   (3,390 )   (12,554 )   (4,776 )   (8,106 )
Depreciation   13,699     10,203     52,662     27,136  
Amortization   9,411     7,488     37,862     17,496  
EBITDA   55,528     5,592     202,979     62,445  
                 
Inventory step-up amortization       22,986         22,986  
IP related litigation   349     1,131     3,040     4,417  
Stock-based compensation   1,160     288     6,933     9,287  
Consolidation and optimization expenses   4,686     7,191     26,490     26,393  
Acquisition and integration expenses   5,173     28,083     28,316     33,449  
Asset dispositions, severance and other   1,874     1,741     6,931     6,622  
Noncash loss on cost and equity method investments   1,765     1,993     1,495     275  
As reported adjusted EBITDA (Non-GAAP)   70,535     69,005     276,184     165,874  
Comparable basis adjustments(a)       9,930     3,665     138,323  
Comparable basis adjusted EBITDA (Non-GAAP)   $ 70,535     $ 78,935     $ 279,849     $ 304,197  
                 
As reported adjusted EBITDA as a % of sales   19.6 %   21.7 %   19.9 %   20.7 %
Comparable basis adjusted EBITDA as a % of sales   19.6 %   21.9 %   20.2 %   21.1 %
                         

(a) Comparable basis adjustments for 2016 represent the exclusion of the results of Nuvectra prior to its spin-off on March 14, 2016. Nuvectra’s 2016 GAAP net loss, EBITDA and adjusted EBITDA prior to its spin-off was $3.4 million, $4.9 million, and $3.7 million, respectively. Comparable basis adjustments for the 2015 periods represent the exclusion of the Nuvectra results for the entire period and the inclusion of the former Lake Region Medical results prior to its acquisition on October 27, 2015. Our historical pro forma information presentation, which was filed with the SEC on Form 8-K on February 29, 2016, contains a reconciliation of 2015 comparable basis amounts to as reported amounts.

Contact Information
Amy Wakeham
VP, Investor Relations
(214) 618-4978
IR@integer.net

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