Introduction


In Management's Discussion and Analysis of Financial Condition and Results of
Operations (the "MD&A"), we explain the general financial condition and the
results of operations for STERIS including:
•what factors affect our business;
•what our earnings and costs were in each period presented;
•why those earnings and costs were different from prior periods;
•where our earnings came from;
•how this affects our overall financial condition;
•what our expenditures for capital projects were; and
•where cash will come from to fund future debt principal repayments, growth
outside of core operations, repurchases of shares, pay cash dividends and fund
future working capital needs.
As you read the MD&A, it may be helpful to refer to information in our
consolidated financial statements, which present the results of our operations
for the first quarter of fiscal 2022 and fiscal 2021. It may also be helpful to
read the MD&A in our Annual Report on Form 10-K for the year ended March 31,
2021, dated May 28, 2021. In the MD&A, we analyze and explain the
period-over-period changes in the specific line items in the Consolidated
Statements of Income. Our analysis 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."
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 hospital sterilization
services, instrument and scope repairs, as well as revenues generated from
contract sterilization and laboratory services offered through our Applied
Sterilization Technologies segment.
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•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 Company Overview and Executive Summary
STERIS is a leading global provider of products and services that meet the needs
of healthcare growth areas: procedures, devices, pharmaceuticals and dental. Our
MISSION IS TO HELP OUR CUSTOMERS CREATE A HEALTHIER AND SAFER WORLD by providing
innovative healthcare and life science products and services around the globe.
We offer our Customers a unique mix of innovative consumable products, such as
detergents, gastrointestinal ("GI") endoscopy accessories, barrier product
solutions, and other products and services, including: equipment installation
and maintenance, microbial reduction of medical devices, dental instruments and
tools, instrument and scope repair solutions, 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 9 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. On June 2, 2021, we acquired all outstanding equity interests
Cantel Medical Corp. ("Cantel") through a U.S. subsidiary. Cantel, 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 is being integrated
into our existing Healthcare and Life Sciences segments. Cantel's Dental
business extends our business into a new Customer segment where there is an
increasing focus on infection prevention protocols and processes. This business
will be reported as the Dental segment. 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.
Fiscal 2022 first quarter acquisition and integration expenses related to the
Cantel acquisition totaled $140.3 million and are reported in the selling,
general and administrative expenses line of our Consolidated Statements of
Income.
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.

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COVID-19 Pandemic. We do not believe that the COVID-19 pandemic has had a
material impact on our operations, as we have been able to continue to operate
our manufacturing facilities and meet the demand for essential products and
services of our Customers. In response to the COVID-19 pandemic, we implemented
several measures that we believe helped us protect the health and safety of our
employees, preserve liquidity and enhance our financial flexibility. We allowed
employees to work remotely when possible and implemented additional safety
measures in compliance with applicable regulations to allow personnel to
continue to work in our facilities. We have successfully managed our liquidity
throughout the COVID-19 pandemic and continue to invest in expansion projects as
planned. We obtained additional funding in the second half of fiscal 2021 to
continue to advance our growth strategy to supplement organic growth with
acquisitions. As a result, we do not believe that the COVID-19 pandemic or the
actions we took in response to the pandemic will negatively impact our long-term
ability to generate revenues or meet existing and future financial obligations.
For additional information and our risk factors related to the COVID-19
pandemic, please refer to our Annual Report on Form 10-K for the year ended
March 31, 2021 dated May 28, 2021.
Highlights. Revenues for the first quarter of fiscal 2022 were $968.4 million,
representing an increase of 44.8% over the first quarter of fiscal 2021 revenues
of $668.9 million with growth in all segments. The increase was primarily
related to organic growth in the Healthcare and Applied Sterilization
Technologies segments, added volume from Cantel and other recent acquisitions,
and favorable fluctuations in currencies. Additionally, during the prior year
period we experienced reduced demand for our products and services resulting
from the reduction of deferrable surgical procedures as a result of the COVID-19
pandemic.
Gross margin percentage for the first quarter of fiscal 2022 was 44.0%, compared
to 43.0% for the first quarter of fiscal 2021. Favorable impacts from increased
productivity, incremental costs associated with COVID-19 in the prior year
period and our recent acquisitions were partially offset by unfavorable impact
from inflation, fluctuations in currencies, and mix and other adjustments.
Operating income during the first quarter of fiscal 2022 was $14.3 million,
compared to $115.8 million for the first quarter of fiscal 2021. Contributing to
the decline in operating income was $140.3 million in acquisition and
integration expenses in the fiscal 2022 period, related to our acquisition of
Cantel.
Cash flows from operations were $97.4 million and free cash flow was $41.2
million in the first three months of fiscal 2022 compared to cash flows from
operations of $134.1 million and free cash flow of $67.4 million in the first
three months of fiscal 2021 (see the subsection below titled "Non-GAAP Financial
Measures" for additional information and related reconciliation of cash flows
from operations to free cash flow). The fiscal 2022 decreases in cash flows from
operations and free cash flow were primarily due to anticipated costs associated
with the acquisition of Cantel.
Our debt-to-total capital ratio was 34.3% at June 30, 2021 and 29.8% at
March 31, 2021. During the first three months of fiscal 2022, we declared and
paid quarterly cash dividends of $0.40 per ordinary share.
Additional information regarding our financial performance during the first
quarter of fiscal 2022 is included in the subsection below titled "Results of
Operations."
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, provide 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.
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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 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
three months ended June 30, 2021 and 2020:
                                                                              Three Months Ended June 30,
(dollars in thousands)                                                          2021                  2020
Net cash provided by operating activities                                 $       97,426          $ 134,122
Purchases of property, plant, equipment and intangibles, net                     (56,396)           (66,861)
Proceeds from the sale of property, plant, equipment and
intangibles                                                                          217                137
Free cash flow                                                            $       41,247          $  67,398


Results of Operations
In the following subsections, we discuss our earnings and the factors affecting
them for the first quarter of fiscal 2022 compared with the same fiscal 2021
period. We begin with a general overview of our operating results and then
separately discuss earnings for our operating segments.
Revenues. The following tables compare our revenues for the three months ended
June 30, 2021 to the revenues for the three months ended June 30, 2020:
                                                      Three Months Ended June 30,
(dollars in thousands)                                  2021                  2020              Change           Percent Change

Total revenues                                    $      968,422          $ 668,932          $ 299,490                    44.8  %

Revenues by type:
Service revenues                                         479,143            367,824            111,319                    30.3  %
Consumable revenues                                      298,887            142,596            156,291                   109.6  %
Capital equipment revenues                               190,392            158,512             31,880                    20.1  %

Revenues by geography:
Ireland revenues                                          21,945             14,373              7,572                    52.7  %
United States revenues                                   679,250            491,708            187,542                    38.1  %
Other foreign revenues                                   267,227            162,851            104,376                    64.1  %


Revenues increased 44.8% to $968.4 million for the three months ended June 30,
2021, as compared to $668.9 million for the same period in the prior year with
growth in all segments. The increase of was primarily related to organic growth
in the Healthcare and Applied Sterilization Technologies segments, added volume
of $141.3 million from Cantel and other recent acquisitions and favorable
fluctuations in currencies. Additionally, during the prior year period we
experienced reduced demand for our products and services resulting from the
reduction of deferrable surgical procedures as a result of the COVID-19
pandemic.
Service revenues increased 30.3% for the first three months of fiscal 2022, as
compared to the same period in fiscal 2021, reflecting organic growth in the
Healthcare, Applied Sterilization Technologies and Life Sciences segments, as
well as added volume from Cantel and our other recent acquisitions. Consumable
revenues increased by 109.6% for the first three months of fiscal 2022, as
compared to the same period in fiscal 2021, reflecting organic growth in the
Healthcare segment, as well as added volume from Cantel and our other recent
acquisitions. The growth was partially offset by a decline in the Life Sciences
segment as the increased demand from our pharma Customers focused on vaccines
and biologics that we experienced during fiscal 2021 shifted back to more normal
levels. Capital equipment revenues increased 20.1%, for the first three months
of fiscal 2022, as compared to the same period in fiscal 2021, reflecting
organic growth in the Healthcare and Life Sciences segments and added volume
from Cantel and our other recent acquisitions.
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Ireland revenues increased 52.7% to $21.9 million for the three months ended
June 30, 2021, as compared to $14.4 million for the same period in the prior
year, reflecting growth in service, consumable and capital equipment revenues.
United States revenues increased 38.1% to $679.3 million for the three months
ended June 30, 2021, as compared to $491.7 million for the same period in the
prior year, reflecting growth in service, consumable and capital equipment
revenues, primarily due to the impact of Cantel and our other recent
acquisitions.
Revenues from other foreign locations increased 64.1% to $267.2 million for the
three months ended June 30, 2021, as compared to $162.9 million for the same
period in the prior year, reflecting growth in Canada and in the Europe, Middle
East & Africa ("EMEA"), Latin American and Asia Pacific regions.
Gross Profit. The following table compares our gross profit for the three months
ended June 30, 2021 to the three months ended June 30, 2020:
                                                          Three Months Ended June 30,                                      Percent
(dollars in thousands)                                   2021                    2020                 Change               Change
                                                                           (*as adjusted)
Gross profit:
Product                                            $     217,873           $      146,369          $  71,504                    48.9  %
Service                                                  208,409                  141,015             67,394                    47.8  %
Total gross profit                                 $     426,282           $      287,384          $ 138,898                    48.3  %

Gross profit percentage:
Product                                                     44.5   %                 48.6  %
Service                                                     43.5   %                 38.3  %
Total gross profit percentage                               44.0   %                 43.0  %


*Certain amounts have been adjusted to reflect the change in inventory
accounting method, as described in our Annual report on Form 10-K filed with the
SEC on May 28, 2021.
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.
Gross profit percentage for the first three months of fiscal 2022 was 44.0%
compared to the gross profit percentage for the first three months of fiscal
2021 of 43.0%. Favorable impacts from increased productivity (330 basis points),
incremental costs associated with COVID-19 in the prior year period (120 basis
points) and our recent acquisitions (70 basis points) were partially offset by
unfavorable impact from inflation (30 basis points), fluctuations in currencies
(40 basis points), and mix and other adjustments (350 basis points).
Operating Expenses. The following table compares our operating expenses for the
three months ended June 30, 2021 to the three months ended June 30, 2020:
                                                          Three Months Ended June 30,                                    Percent
(dollars in thousands)                                      2021                  2020              Change               Change
Operating expenses:
Selling, general, and administrative                  $      393,752          $ 155,170          $ 238,582                   153.8  %
Research and development                                      18,192             16,231              1,961                    12.1  %
Restructuring expenses                                            14                166               (152)                        NM
Total operating expenses                              $      411,958          $ 171,567          $ 240,391                   140.1  %


NM - Not meaningful.
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, and other general and administrative expenses. SG&A increased
153.8% in the first three months of fiscal 2022 over the same period in fiscal
2021, primarily due to acquisition and integration costs of $141.0 million and
added expenses from Cantel and our other recent acquisitions.
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Research and Development. For the three month period ended June 30, 2021,
research and development expenses increased 12.1% over the same prior year
period. 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 the first quarter of fiscal 2022, our
investments in research and development 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.
Restructuring Expenses. Amounts related to restructuring expenses were not
material for the three month periods ending June 30, 2021 or 2020, respectively.
For information on our restructuring efforts, refer to our Annual Report on Form
10-K filed with the SEC on May 28, 2021.
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, and other miscellaneous income. The following table
compares our net non-operating expenses for the three months ended June 30, 2021
and 2020:
                                                                    Three Months Ended June 30,
(dollars in thousands)                                                2021                  2020              Change
Non-operating expenses, net:
Interest expense                                               $        21,812          $   9,492          $  12,320

Fair value adjustment related to convertible debt, premium liability

                                                       22,923                  -             22,923
Interest (income) and miscellaneous expense                             (1,434)            (2,289)               855
Non-operating expenses, net                                    $        43,301          $   7,203          $  36,098


Interest expense increased $12.3 million during the first quarter of fiscal 2022
as compared to the first quarter of fiscal 2021, primarily due to our Senior
Public Notes which were issued in fiscal 2022. For more information on the
Senior Public Notes refer to note 5 of our Consolidated Financial Statements
totaled, "Debt".
During the first quarter of fiscal 2022, we recorded a fair value adjustment of
$22.9 million related to the convertible debt assumed in the acquisition of
Cantel. For more information on the Cantel convertible debt refer to note 5 of
our Consolidated Financial Statements titled, "Debt".
Interest (income) and miscellaneous expense is not material.
Income Tax Expense. The following table compares our income tax expense and
effective income tax rates for the three months ended June 30, 2021 and June 30,
2020:
                                                        Three Months Ended June 30,                                     Percent
(dollars in thousands)                                  2021                    2020                Change               Change
                                                                            (*as adjusted)
Income tax (credit) expense                       $      (7,075)          $      19,083          $ (26,158)             (137.1)%
Effective income tax rate                                  24.4   %         

17.6 %




*Certain amounts have been adjusted to reflect the change in inventory
accounting method, as described in our Annual report on Form 10-K filed with the
SEC on May 28, 2021.
We record income tax expense during interim periods based on our estimate of the
annual effective income tax rate, adjusted each quarter for discrete items. We
analyze various factors to determine the estimated annual effective income tax
rate, including projections of our annual earnings and taxing jurisdictions in
which the earnings will be generated, the impact of state and local income
taxes, our ability to use tax credits and net operating loss carryforwards, and
available tax planning alternatives.
The effective income tax rates for the three month periods ended June 30, 2021
and 2020 were 24.4% and 17.6%, respectively.The fiscal 2022 effective tax rate
increased when compared to fiscal 2021, primarily due to Cantel and our other
recent acquisitions, which historically have had higher effective tax rates than
STERIS. The fiscal 2022 effective tax rate also includes one-time,
non-deductible acquisition related costs.
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Business Segment Results of Operations. As a result of the acquisition of
Cantel, we have reassessed the organization of our business and have added a new
segment called Dental. We now 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, endoscopy suites, and renal dialysis centers.
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 single-use devices
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 the 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.
For the three months ended June 30, 2021, revenues from a single Customer did
not represent ten percent or more of the Healthcare, Applied Sterilization
Technologies or Life Sciences segment's revenues. Three customers collectively
accounted for approximately 35.8% of our Dental segment revenues for the three
months ended June 30, 2021. Additional information regarding our segments is
included in our consolidated financial statements included in our Annual Report
on Form 10-K for the year ended March 31, 2021, dated May 28, 2021.
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.
Additional information regarding our segments is included in our consolidated
financial statements included in its Annual Report on Form 10-K for the year
ended March 31, 2021, dated May 28, 2021.

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Financial information for each of our segments is presented in the following
table:
                                                                                  Three Months Ended
                                                                                       June 30,
(dollars in thousands)                                                                      2021                  2020
Revenues:                                                                                                    (*as adjusted)
Healthcare                                                                              $ 602,817          $       399,658
Applied Sterilization Technologies                                                        208,902                  152,362
Life Sciences                                                                             121,471                  116,912
Dental                                                                                     35,232                        -
Total revenues                                                                          $ 968,422          $       668,932
Operating income (loss):
Healthcare                                                                              $ 136,160          $        84,173
Applied Sterilization Technologies                                                        101,927                   63,955
Life Sciences                                                                              49,088                   48,461
Dental                                                                                     10,119                        -
Corporate                                                                                 (75,060)                 (52,367)
Total operating income before adjustments                                               $ 222,234          $       144,222
Less: Adjustments
Amortization of acquired intangible assets (1)                                          $  41,741          $        17,500
Acquisition and integration related charges (2)                                           140,996                    1,286
Tax restructuring costs (3)                                                                   (49)                     170

Net loss on divestiture of businesses (1)                                                     419                       10

Amortization of inventory and property "step up" to fair value (1)

                24,789                      603
COVID-19 incremental costs (4)                                                                  -                    8,670
Restructuring charges (5)                                                                      14                      166
Total operating income                                                                  $  14,324          $       115,817


*Certain amounts have been adjusted to reflect the change in inventory
accounting method, as described in our Annual report on Form 10-K filed with the
SEC on May 28, 2021.
(1) For more information regarding our recent acquisitions and divestitures
refer to Note 2 titled, "Business Acquisitions" and to our Annual Report on Form
10-K for the year ended March 31, 2021, dated May 28, 2021.
(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.

Healthcare revenues increased 50.8% to $602.8 million for the three months ended
June 30, 2021, as compared to $399.7 million for the same prior year period.
This increase reflects growth in consumable, service and capital equipment
revenues of 146.8%, 30.6% and 17.8%, respectively and reflects organic growth,
favorable fluctuations in foreign currencies and the impact of Cantel in June
and our other recent acquisitions. Additionally, during the fiscal 2021 period
we experienced reduced demand for our products and services resulting from the
reduction of deferrable surgical procedures as a result of the COVID-19
pandemic.
Excluding Cantel's backlog, the Healthcare segment's backlog was $254.3 million
at June 30, 2021, representing an increase of 54.9% compared to the backlog of
$164.2 million at June 30, 2020. The increase is primarily due to built up
demand as a result of the COVID-19 pandemic.
Applied Sterilization Technologies segment revenues increased 37.1% to $208.9
million for the quarter ended June 30, 2021, as compared to $152.4 million for
the same prior year period. The fiscal 2022 increase reflects organic growth,
favorable fluctuations in currencies and the impact of a fiscal 2021
acquisition.
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Life Sciences segment revenues increased 3.9% to $121.5 million for the first
three months ended June 30, 2021, as compared to $116.9 million for the same
prior year period. This increase reflects growth in service and capital
equipment revenues of 16.5% and 7.6% respectively primarily due to the
acquisition of Cantel in June and favorable fluctuations in foreign currencies.
Consumable revenues declined by 3.9%, as the increased demand from our pharma
Customers focused on vaccines and biologics that we experienced in fiscal 2021
shifted back to more normal levels.
Excluding Cantel's backlog, the Life Sciences segment's backlog amounted to
$92.1 million at June 30, 2021, representing an increase of 36.0% compared to
the backlog of $67.7 million at June 30, 2020. The increase is primarily due to
built up demand as a result of the COVID-19 pandemic.
Dental segment revenues in June 2021 were $35.2 million.
The Healthcare segment's operating income increased $52.0 million to $136.2
million for the first three months of fiscal 2022, as compared to $84.2 million
for the same prior year period. The segment's operating margins were 22.6% and
21.1% for the first three months of fiscal 2022 and 2021, respectively. The
segment's operating income and margin improvements were primarily due to to
increased volume.
The Applied Sterilization Technologies segment's operating income increased
$38.0 million to $101.9 million for the first three months of fiscal 2022, as
compared to $64.0 million for the same prior year period. The segment's
operating margins were 48.8% and 42.0% for the first three months of fiscal 2022
and fiscal 2021, respectively. The segment's operating income and margin
improvements were primarily due to to increased volume.
The Life Sciences segment's operating income increased $0.6 million to $49.1
million for the first three months of fiscal 2022, as compared to $48.5 million
for the same prior year period. The segment's operating margins were 40.4% and
41.5% for the first three months of fiscal 2022 and fiscal 2021, respectively.
The Dental segment's operating income and operating margin were $10.1 million
and 28.7%, for the month of June 2021.
Liquidity and Capital Resources
The following table summarizes significant components of our cash flows for the
three months ended June 30, 2021 and 2020:
                                                             Three Months Ended June 30,
(dollars in thousands)                                          2021        

2020


Net cash provided by operating activities                $       97,426        $  134,122
Net cash (used in) investing activities                  $     (603,532)       $  (66,724)
Net cash provided by (used in) financing activities      $      818,810        $ (134,000)
Debt-to-total capital ratio                                        34.3   %          23.3  %
Free cash flow                                           $       41,247        $   67,398


Net Cash Provided by Operating Activities - The net cash provided by our
operating activities was $97.4 million for the first three months of fiscal 2022
and $134.1 million for the first three months of fiscal 2021. The fiscal 2022
decrease in cash flows from operations was primarily due to anticipated costs
associated with the acquisition of Cantel.
Net Cash (Used In) Investing Activities - The net cash used in investing
activities totaled $603.5 million for the first three months of fiscal 2022 and
$66.7 million for the first three months of fiscal 2021. The following
discussion summarizes the significant changes in our investing cash flows for
the first three months of fiscal 2022 and fiscal 2021:
•Purchases of property, plant, equipment, and intangibles, net - Capital
expenditures were $56.4 million for the first three months of fiscal 2022 and
$66.9 million during the same prior year period. The decrease was primarily due
to higher spending related to expansion projects in the Applied Sterilization
Technologies segment which occurred in the fiscal 2021 period.
•Acquisitions of businesses, net of cash acquired - During the first three
months of fiscal 2022, we used $547.4 million for the acquisition of Cantel. For
more information refer to our note 2 of our Consolidated Financial Statements
titled, "Business Acquisitions".
Net Cash Provided by (Used In) Financing Activities - The net cash provided by
financing activities amounted to $818.8 million for the first three months of
fiscal 2022 compared with net cash used in financing activities of $134.0
million for the first three months of fiscal 2021. The following discussion
summarizes the significant changes in our financing cash flows for the first
three months of fiscal 2022 and fiscal 2021:
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•Proceeds from Issuance of Senior Notes - During the first three months of
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 5 of our Consolidated Financial Statements titled, "Debt".
•Proceeds from Term Loan - During the first three months of fiscal 2022, we
borrowed $650.0 million under our Delayed Draw Term Loan. For more information
on our Delayed Draw Term Loan, refer to our annual report on Form 10-K filed
with the SEC on May 28, 2021.
•Payments on Term Loan - During the first three months of fiscal 2022, we repaid
$125.0 million of our Term Loan. For more information on our Term Loan, refer to
our annual report on Form 10-K filed with the SEC on May 28, 2021.
•Payments on Long-term Obligations, net - During the first three months of
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 of
our Consolidated Financial Statements titled, "Business Acquisitions".
•Payments under credit facilities, net - Net payments under credit facilities
totaled $249.4 million in the first three months of fiscal 2022, compared to net
payments under credit facilities of $95.8 million in the first three months of
fiscal 2021. For more information on our debt, refer to note 5 of our
Consolidated Financial Statements titled, "Debt".
•Deferred financing fees and debt issuance costs - During the first three months
of fiscal 2022, we paid $17.2 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 5 of our Consolidated Financial
Statements titled, "Debt".
•Repurchases of ordinary shares -During the first three months of fiscal 2022,
we obtained 59,648 of our ordinary shares in connection with share-based
compensation award programs in the aggregate amount of $10.7 million. During the
first three months of fiscal 2021 through April 9, 2020, we purchased 35,000 of
our ordinary shares in the aggregate amount of $5.0 million. During the first
three months of fiscal 2021, we obtained 63,150 of our ordinary shares in
connection with share-based compensation award programs in the aggregate amount
of $9.2 million. Due to the uncertainty surrounding the COVID-19 pandemic, share
repurchases were suspended on April 9, 2020.
•Acquisition related deferred or contingent consideration - During the first
three months of fiscal 2022, we paid $25.2 million in 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.
•Cash dividends paid to ordinary shareholders - During the first three months of
fiscal 2022, we paid total cash dividends of $34.1 million, or $0.40 per
outstanding share. During the first three months of fiscal 2021, we paid total
cash dividends of $31.5 million, or $0.37 per outstanding share.
•Contributions from noncontrolling interest - During the first three months of
fiscal 2021, we received contributions from noncontrolling interest holders of
$2.3 million.
•Stock option and other equity transactions, net - We generally receive cash for
issuing shares under our stock option programs. During the first three months of
fiscal 2022 and fiscal 2021, we received cash proceeds totaling $1.7 million and
$5.4 million, respectively, under these programs.
Cash Flow Measures. Free cash flow was $41.2 million in the first three months
of fiscal 2022 compared to $67.4 million in the first three months of fiscal
2021 (see the subsection above titled "Non-GAAP Financial Measures" for
additional information and related reconciliation of cash flows from operations
to free cash flow). The fiscal 2022 decrease in cash flows was primarily due to
anticipated costs associated with the acquisition of Cantel.
Our debt-to-total capital ratio was 34.3% at June 30, 2021 and 23.3% at June 30,
2020.
Sources of Credit and Contractual and Commercial Commitments. Information
related to our sources of credit and contractual and commercial commitments is
included in our Annual Report on Form 10-K for the year ended March 31, 2021
dated May 28, 2021. Our commercial commitments were approximately $81.7 million
at June 30, 2021, reflecting a net increase of $2.6 million in surety bonds and
other commercial commitments from March 31, 2021. We had no outstanding
borrowings under the Credit Agreement as of June 30, 2021. We had $13.0 million
of letters of credit outstanding under the Credit Agreement at June 30, 2021.
Cash Requirements. We intend to use our existing cash and cash equivalent
balances and cash generated from operations for short-term and long-term capital
expenditures and 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
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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
existing 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.
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Supplemental Guarantor Financial Information
STERIS plc (STERIS) and its wholly-owned subsidiaries, STERIS Limited and STERIS
Corporation (collectively Guarantors), 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 and borrowings under the credit facilities.
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 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 the Senior Public Notes guarantees:
Guarantees of Senior Notes
•Parent Company Guarantor - STERIS plc
•Subsidiary Issuer - STERIS Irish FinCo Unlimited Company
•Subsidiary Guarantor - STERIS Limited
•Subsidiary Guarantor - STERIS Corporation
The guarantee of a Guarantor will be automatically and unconditionally released
and discharged:
•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 Senior Public 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 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 three
months ended June 30, 2021 and summarized balance sheet information at March 31,
2021 for the obligor group of the Senior Notes. The obligor group consists of
the Parent Company Guarantor, Subsidiary Issuer, and Subsidiary Guarantors for
the Senior 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 non-issuer. Transactions with non-issuer and
non-guarantor subsidiaries have been presented separately.

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Summarized Results of Operations
(in thousands)                                                                  Three Months Ended
                                                                                     June 30,
                                                                                       2021

Revenues                                                                       $          401,332
Gross profit                                                                              237,037

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

                                                                       79,951
  Income from operations                                                                   78,440

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


               89,177
  Net income                                                                   $           63,781



Summarized Balance Sheet Information
( in thousands)
                                                                         June 30,        March 31,
                                                                           2021            2021
Receivables due from non-issuers and non-guarantor subsidiaries       $ 15,178,327    $ 14,102,215
Other current assets                                                       442,474         348,937
Total current assets                                                  $ 15,620,801    $ 14,451,152

Non-current receivables due from non-issuers and non-guarantor
subsidiaries                                                          $  1,876,959    $  1,091,809
Goodwill                                                                    94,979          94,979
Other non-current assets                                                   200,583         207,240
Total non-current assets                                              $  2,172,521    $  1,394,028

Payables due to non-issuers and non-guarantor subsidiaries            $ 15,874,013    $ 15,549,831
Other current liabilities                                                  213,697         128,665
Total current liabilities                                             $ 16,087,710    $ 15,678,496

Non-current payables due to non-issuers and non-guarantor
subsidiaries                                                          $  1,203,174    $  1,203,274
Other non-current liabilities                                            3,307,125       1,695,772
Total non-current liabilities                                         $  4,510,299    $  2,899,046

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.


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Critical Accounting Policies, Estimates, and Assumptions
Information related to our critical accounting policies, estimates, and
assumptions is included in our Annual Report on Form 10-K for the year ended
March 31, 2021, dated May 28, 2021. Our critical accounting policies, estimates,
and assumptions have not changed materially from March 31, 2021.
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, 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 8 of our consolidated financial statements titled, "Commitments
and Contingencies" for additional information.
We are subject to taxation from United States federal, state and local, and
non-U.S. 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 routinely conducts audits of our
federal income tax returns.
Off-Balance Sheet Arrangements
We do not have any off-balance sheet arrangements, that have or are reasonably
likely to have, a material current or future impact on our financial condition,
changes in financial condition, revenues, expenses, results of operations,
liquidity, capital expenditures or capital.
Forward-Looking Statements
This quarterly report 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. Other risk factors are described in
STERIS's other securities filings, including Item 1A of our Annual Report on
Form 10-K for the year ended March 31, 2021. 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 on STERIS's operations, 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
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limitation, difficulties in maintaining relationships with employees, Customers,
clients or suppliers) being greater than expected following the Redomiciliation,
(d) STERIS's ability to successfully integrate the businesses of Cantel Medical
into our existing businesses, including unknown or inestimable liabilities, or
increases in expected integration costs or difficulties in connection with the
integration of Cantel Medical (e) STERIS's ability to meet expectations
regarding the accounting and tax treatment of the Tax Cuts and Jobs Act ("TCJA")
or the possibility that anticipated benefits resulting from the TCJA will be
less than estimated, (f) 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, (g) the potential for increased pressure on pricing or
costs that leads to erosion of profit margins, (h) 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, (i) the possibility that application of or compliance
with laws, court rulings, certifications, regulations, 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, 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 or otherwise affect STERIS's
performance, results, prospects or value, (j) the potential of international
unrest, 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, (k) the possibility of reduced demand, or reductions in the
rate of growth in demand, for STERIS's products and services, (l) the
possibility of delays in receipt of orders, order cancellations, or delays in
the manufacture or shipment of ordered products or in the provision of services,
(m) 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, regulatory,
governmental, or other issues or risks associated with STERIS's businesses,
industry or initiatives including, without limitation, those matters described
in our Annual Report on Form 10-K for the year ended March 31, 2021, and other
securities filings, may adversely impact STERIS's performance, results,
prospects or value, (n) 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, (o) the impact on STERIS and
its operations of any legislation, regulations or orders, including but not
limited to any new trade or tax legislation, regulations or orders, that may be
implemented by the U.S. administration or Congress, or of any responses thereto,
(p) 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, (q) the increased level of STERIS's indebtedness incurred in
connection with the acquisition of Cantel Medical limiting financial flexibility
or increasing future borrowing costs, (r) rating agency actions that could
affect STERIS's existing debt or future ability to borrow funds at rates
favorable to STERIS or at all, (s) the potential impact of the acquisition of
Cantel Medical on relationships, including with suppliers, Customers, employees
and regulators, and (t) the effects of contractions in credit availability, as
well as the ability of STERIS's Customers and suppliers to adequately access the
credit markets when needed.
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, Current Reports on Form 8-K, and
amendments to these reports as soon as reasonably practicable after we file such
material with, or furnish such material to, the Securities Exchange Commission
("SEC.") You may access these documents on the Investor Relations page of our
website at http://www.steris-ir.com. The information on our website and the
SEC's website is not incorporated by reference into this report.

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