ITEM 2.02 RESULTS OF OPERATIONS AND FINANCIAL CONDITION

On August 10, 2020, Integra LifeSciences Holdings Corporation (the "Company") issued a press release announcing financial results for the quarter ended June 30, 2020 (the "Press Release"). A copy of the Press Release is attached as Exhibit 99.1 to this Current Report on Form 8-K and is incorporated by reference into this Item. In the financial statements portion of the Press Release, the Company has included a reconciliation of GAAP revenues to organic revenues for the quarters ended June 30, 2020 and 2019, GAAP net income to adjusted earnings before interest, taxes, depreciation and amortization ("EBITDA") for the quarters ended June 30, 2020 and 2019, GAAP net income to adjusted net income for the quarters ended June 30, 2020 and 2019, GAAP earnings per diluted share to adjusted earnings per diluted share for the quarters ended June 30, 2020 and 2019, and GAAP operating cash flow to free cash flow and adjusted free cash flow conversion used by management for the quarters ended June 30, 2020 and 2019. In addition, the Company included a supplemental disclosure of revenue by reporting segments in the financial statements portion of the Press Release.

The information contained in Item 2.02 of this Current Report on Form 8-K (including the Press Release and selected historical financial information) is being furnished and shall not be deemed "filed" for the purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), or otherwise subject to the liabilities of that Section. The information contained in Item 2.02 of this Current Report on Form 8-K (including the Press Release and selected historical financial information) shall not be incorporated by reference into any registration statement or other document pursuant to the Securities Act of 1933, as amended, or the Exchange Act, except as shall be expressly set forth by specific reference in any such filing.

Discussion of Adjusted Financial Measures

In addition to our GAAP results, we provide certain non-GAAP measures, including organic revenues, adjusted earnings before interest, taxes, depreciation and amortization ("EBITDA"), adjusted net income, adjusted earnings per diluted share, free cash flow and adjusted free cash flow conversion. Organic revenues consist of total revenues excluding the effects of currency exchange rates, revenues from current-period acquisitions and product divestitures and discontinuances. Adjusted EBITDA consists of GAAP net income excluding: (i) depreciation and amortization; (ii) other income (expense); (iii) interest income and expense; (iv) income tax expense (benefit); and (v) those operating expenses also excluded from adjusted net income. The measure of adjusted net income consists of GAAP net income, excluding: (i) structural optimization charges; (ii) acquisition and integration-related charges; (iii) COVID-19 related charges; (iv) EU Medical Device Regulation-related charges; (v) litigation charges; (vi) discontinued product lines charges; (vii) intangible asset amortization expense; (viii) convertible debt non-cash interest; (ix) expenses related to debt refinancing; and (x) income tax impact from adjustments. The adjusted earnings per diluted share measure is calculated by dividing adjusted net income attributable to diluted shares by diluted weighted average shares outstanding. The measure of free cash flow consists of GAAP net cash provided by operating activities less purchases of property and equipment.

The Company believes that the presentation of organic revenues and the various adjusted EBITDA, adjusted net income, adjusted earnings per diluted share, free cash flow and adjusted free cash flow conversion measures provides important supplemental information to management and investors regarding financial and business trends relating to the Company's financial condition and results of operations. Management uses non-GAAP financial measures in the form of organic revenues, adjusted EBITDA, adjusted net income, adjusted earnings per diluted share, free cash flow and adjusted free cash flow conversion when evaluating operating performance because we believe that the inclusion or exclusion of the items described below, for which the amounts and/or timing may vary significantly depending upon the Company's acquisition, integration, and restructuring activities, for which the amounts are non-cash in nature, or for which the amounts are not expected to recur at the same magnitude, provides a supplemental measure of our operating results that facilitates comparability of our financial condition and operating performance from period to period, against our business model objectives, and against other companies in our industry. We have chosen to provide this information to investors so they can analyze our operating results in the same way that management does and use this information in their assessment of our core business and the valuation of our Company.

Organic revenues, adjusted EBITDA, adjusted net income, adjusted earnings per diluted share, free cash flow and adjusted free cash flow conversion are significant measures used by management for purposes of:

• supplementing the financial results and forecasts reported to the Company's board of directors; • evaluating, managing and benchmarking the operating performance of the Company;

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• establishing internal operating budgets;
• determining compensation under bonus or other incentive programs;
• enhancing comparability from period to period;
• comparing performance with internal forecasts and targeted business models;
and
• evaluating and valuing potential acquisition candidates.

The measure of organic revenues that we report reflects the increase in total revenues for the quarter ended June 30, 2020 adjusted for the effects of currency exchange rates, revenues from acquisitions, and product discontinuations on current period revenues. We provide this measure because changes in foreign currency exchange rates can distort our reduction favorably or unfavorably, depending upon the strength of the U.S. dollar in relation to the various foreign currencies in which we generate revenues. We generate significant revenues outside the United States in multiple foreign currencies. We believe this measure provides useful information to determine the success of our international selling organizations in increasing sales of products in their local currencies without regard to fluctuations in currency exchanges rates, which we do not control. Additionally, significant acquisitions and discontinued product lines can distort our current period revenues when compared to prior periods.

The measure of adjusted net income reflects GAAP net income adjusted for one or more of the following items, as applicable:



•      Structural optimization charges. These charges, which include employee
       severance and other costs associated with exit or disposal of facilities,
       costs related to transferring manufacturing and/or distribution activities
       to different locations, and rationalization or enhancement of our
       organization, existing manufacturing, distribution, administrative,
       functional and commercial infrastructure. Some of these cost-saving and
       efficiency-driven activities are identified as opportunities in connection
       with acquisitions that provide the Company with additional capacity or
       economies of scale. Although recurring in nature, given management's
       ongoing review of the efficiency of our organization and structure,
       including manufacturing, distribution and administrative facilities and
       operations, management excludes these items when evaluating the operating
       performance of the Company because the frequency and amount of such
       charges vary significantly based on the timing and magnitude of the
       Company's rationalization activities and are, in some cases, dependent
       upon opportunities identified in acquisitions, which also vary in
       frequency and magnitude.



•      Acquisition- and integration-related charges. Acquisition- and
       integration-related charges include (i) up-front fees and milestone
       payments that are expensed as incurred in connection with acquiring
       licenses or rights to technology for which no product has been approved
       for sale by regulatory authorities and such approval is not reasonably
       assured at the time such up-front fees or milestone payments are made,
       (ii) inventory fair value purchase accounting adjustments, (iii) changes
       in the fair value of contingent consideration after the acquisition date,
       (iv) costs related to acquisition integration, including systems,
       operations, retention and severance and (v) legal, accounting and other
       outside consultants expenses directly related to acquisitions or
       divestitures. Inventory fair value purchase accounting adjustments consist
       of the increase to cost of goods sold that occur as a result of expensing
       the "step up" in the fair value of inventory that we purchased in
       connection with acquisitions as that inventory is sold during the
       financial period. Although recurring, given the ongoing character of our
       development and acquisition programs, these acquisition, divestiture and
       in-licensing related charges are not factored into the evaluation of our
       performance by management after completion of development programs or
       acquisitions because they are of a temporary nature, they are not related
       to our core operating performance and the frequency and amount of such
       charges vary significantly based on the timing and magnitude of our
       development, acquisition and divestiture transactions as well as the level
       of inventory on hand at the time of acquisition.



•      COVID-19 related charges. These charges relate to business interruptions
       and cost associated with the COVID-19 pandemic which impacted the
       Company's operations globally, partially offset by Coronavirus government
       relief programs. Due to the extraordinary one-time nature of the pandemic,
       management concluded that certain charges should be classified as special
       charges.



•      EU Medical Device Regulation charges. These charges represent costs
       specific to complying with the medical device reporting regulations and
       other requirements of the European Union's regulation for medical devices.
       Management excludes this item when evaluating the Company's operating
       performance because these costs incurred are not reflective of its ongoing
       operations.



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•      Litigation charges. Management excludes this item when evaluating the
       Company's operating performance because costs incurred related to
       non-recurring litigation are not reflective of its ongoing operations.



•      Discontinued product lines charges. These charges represent charges taken
       in connection with product lines that the Company discontinues. Management
       excludes this item when evaluating the Company's operating performance
       because discontinued products do not provide useful information regarding
       the Company's prospects for future performance.



•      Intangible asset amortization expense. Management excludes this item when
       evaluating the Company's operating performance because it is a non-cash
       expense.



•      Convertible debt non-cash interest. The convertible debt accounting
       requires separate accounting for the liability and equity components of
       the Company's convertible debt instruments, which may be settled in cash
       upon conversion, in a manner that reflects an applicable non-convertible
       debt borrowing rate at the time that we issued such convertible debt
       instruments. Management excludes this item when evaluating the Company's
       operating performance because of the non-cash nature of the expense.



•      Expenses related to the debt refinancing. This item represents either a
       write-off of previously deferred financing costs or the expensing of
       current financing costs related to a modification of the credit agreement.
       Management excludes these items when evaluating Integra's performance
       because of the infrequent nature of these financing activities and related
       costs incurred.



•      Income tax impact from adjustments. Estimated impact on income tax expense
       related to the following:



(i)       Adjustments to income tax expense for the amount of additional tax
          expense that the Company estimates that it would record if it used
          non-GAAP results instead of GAAP results in the calculation of its tax
          provision, based on the statutory rate applicable to jurisdictions in
          which the above non-GAAP adjustments relate.



(ii)      When we calculate the adjusted tax rate, we include a full year
          estimate for all discrete items. We then apply that full year rate to
          the year-to-date results and calculate the current quarter's rate to
          arrive at the year-to-date adjusted tax rate. We believe this removes
          significant variability in our results and creates a more operationally
          consistent result for our investors to use for comparability purposes.

Organic revenues, adjusted EBITDA, adjusted net income, adjusted earnings per diluted share, free cash flow and adjusted free cash flow conversion are not calculated in accordance with GAAP, and should be considered supplemental to, and not as a substitute for, or superior to, financial measures calculated in accordance with GAAP. Non-GAAP financial measures have limitations in that they do not reflect all of the revenues, costs or benefits associated with the operations of the Company's business as determined in accordance with GAAP. As a result, you should not consider these measures in isolation or as a substitute for analysis of the Company's results as reported under GAAP. The Company expects to continue to acquire businesses and product lines and to incur expenses of a nature similar to many of the non-GAAP adjustments described above, and exclusion of these items from its adjusted financial measures should not be construed as an inference that all of these revenue adjustments or costs . . .

ITEM 9.01 FINANCIAL STATEMENTS AND EXHIBITS

(d) Exhibits

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99.1 Press Release with attachments, dated August 10, 2020, issued by Integra LifeSciences Holdings Corporation

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