Sotera Health Reports Fourth-Quarter and Full-Year 2020 Results; Provides 2021 Outlook

Sotera Health Company, a leading global provider of mission-critical end-to-end sterilization solutions, lab testing and advisory services for the healthcare industry, announced financial results for the fourth-quarter and full-year 2020.

  • Q4 2020 net revenues of $217 million increased 12%, compared to Q4 2019
  • Q4 2020 net loss of $44 million or $0.17 per diluted share, compared to a net loss of $28 million or $0.12 per diluted share in Q4 2019; Q4 2020 and Q4 2019 include losses on extinguishment of debt of $44 million and $30 million, respectively
  • Q4 2020 Adjusted EBITDA of $113 million increased 20%, compared to Q4 2019
  • Q4 2020 Adjusted EPS of $0.09 improved by $0.04 per diluted share, compared to Q4 2019
  • December 31, 2020 total debt of $1,861 million, net debt of $1,797 million, and net leverage ratio reduced to 4.3x
  • Full-year 2021 outlook revenue growth of 9% to 12%

CLEVELAND, March 09, 2021 (GLOBE NEWSWIRE) -- Sotera Health Company (Nasdaq: SHC), a leading global provider of mission-critical end-to-end sterilization solutions, lab testing and advisory services for the healthcare industry, today announced financial results for the fourth-quarter and full-year 2020.

Fourth-quarter 2020 net revenues increased 12% to $217 million, compared with $193 million in the fourth-quarter a year ago. Net loss attributable to Sotera Health (“net loss”) was $44 million, or $0.17 per diluted share, compared with a net loss of $28 million, or $0.12 per diluted share in the fourth-quarter 2019. Fourth-quarter 2020 net loss included a $44 million charge related to the previously announced paydown of $1,111 million of debt with proceeds from the Company’s initial public offering, and fourth-quarter 2019 net loss included a $30 million charge related to the refinancing of debt. Adjusted EBITDA for the fourth-quarter 2020 increased by 20% to $113 million over the prior-year quarter. Fourth-quarter 2020 Adjusted earnings per diluted share (“Adjusted EPS”) was $0.09, an increase of $0.04 per diluted share, compared to the fourth-quarter 2019. Please refer to the section “Non-GAAP Financial Measures” provided later in this release.

For full-year 2020, net revenues increased 5% to $818 million, compared with $778 million for 2019. Full-year 2020 net loss was $39 million, or $0.16 per diluted share, compared with a net loss of $21 million, or $0.09 per diluted share, for 2019. Full-year 2020 and 2019 net losses included the $44 million and $30 million charges referenced above. Full-year 2020 Adjusted EBITDA increased nearly 11% to $420 million, compared to 2019. Adjusted EPS was $0.42 in 2020, a decrease of 2% over 2019 as interest expense increased by approximately $58M for full-year 2020. Please refer to the section “Non-GAAP Financial Measures” provided later in this release.

“Our fourth-quarter and full-year 2020 results demonstrate the resilience of our business model and ability of our company to perform in a rapidly shifting environment,” said Chairman and Chief Executive Officer, Michael B. Petras, Jr. “Our three businesses – Sterigenics, Nordion and Nelson Labs – successfully navigated a global pandemic, pivoting to meet increased demand for products and services critical to protecting against the coronavirus, while ensuring continuity and quality of service for our broad-spectrum of healthcare customers. Our focus has been, and continues to be, supporting our Sotera Health global team members, providing a healthy and safe work environment and additional support and flexibility as needed.”

Petras continued, “Despite the external challenges, we delivered double-digit Adjusted EBITDA growth, expanded margins, continued to make necessary infrastructure enhancements, completed the acquisition of Iotron and executed a highly successful IPO. I am tremendously proud of, and grateful to, the entire Sotera Health team for their dedication and professionalism during this important time for the company. We look forward to building on our momentum as 2021 proceeds.”

Fourth-Quarter and Full-Year 2020 Review by Business Segment

Sterigenics

For fourth-quarter 2020, net revenues from Sterigenics were $135 million, an increase of 11% compared to the fourth-quarter a year ago. Segment income was $74 million, an increase of more than 14%.

For full-year 2020, Sterigenics net revenues were $499 million, an increase of 6% compared to 2019. Segment income increased 9% to $267 million.

Revenue and segment income growth for both the fourth-quarter and full-year 2020 were driven by enhanced utilization of existing capacity, favorable pricing, and the acquisition of Iotron.

Nordion

For fourth-quarter 2020, net revenues from Nordion were $29 million, an increase of 18%, compared to the fourth-quarter a year ago. Segment income increased nearly 30% to $16 million. The increases in both revenue and segment income were driven by favorable pricing and harvest schedules for industrial-use Co-60, which often vary quarter to quarter. Segment income also benefited from favorable pricing and Co-60 mix.

For full-year 2020, net revenues from Nordion were $115 million, a decline of 1% compared to 2019. The slight decline in sales for the year was driven by lower volumes of medical-use Co-60 impacted by COVID-19. Segment income increased by more than 7% to $67 million, driven by favorable pricing and Co-60 mix.

Nelson Labs

For fourth-quarter 2020, net revenues from Nelson Labs were $53 million, an increase of more than 11% compared to the fourth-quarter a year ago. Segment income increased more than 30% to $23 million.

For full-year 2020, net revenues from Nelson Labs were $205 million, an increase of more than 7% compared to 2019. Segment income increased 19% to $86 million.

Revenue and segment income growth for both the fourth-quarter and full-year 2020 were driven by increased demand for testing related to personal protective equipment, partially offset by a reduction in other lab testing volumes.

Balance Sheet and Liquidity

As of December 31, 2020, Sotera Health had $1,861 million in total debt, and $102 million in cash and cash equivalents, compared to $2,848 million in total debt and $63 million in cash and cash equivalents as of December 31, 2019. No material debt balances currently outstanding mature until 2026. Sotera Health’s net leverage ratio as of December 31, 2020 was 4.3x, compared to 7.5x at December 31, 2019. Please refer to the section “Non-GAAP Financial Measures” provided later in this release.

Full-Year 2021 Outlook

Today, Sotera Health is providing its full-year 2021 outlook:

  • Net revenues in the range of $890 million to $920 million, representing growth of approximately 9% to 12%, compared to the prior year,
  • Adjusted EBITDA in the range of $465 million to $485 million, representing growth of approximately 11% to 16%, compared to the prior year,
  • Tax rate applicable to Adjusted Net Income of approximately 28%,
  • Adjusted EPS in the range of $0.78 to $0.86,
  • A fully diluted share count in the range of 281 million to 283 million shares on a weighted-average basis,
  • Capital expenditures in the range of $100 million to $110 million, and
  • Net leverage reduction of approximately ¾ of a turn.

The guidance provided above contains a number of assumptions, including, among others, the company’s current expectations regarding the impact of the COVID-19 pandemic including the rate of recoveries of elective procedures and new product development testing, and that exchange rates remain constant for the full year 2021.

The company does not provide a reconciliation of the forward-looking Adjusted EBITDA, Adjusted Net Income, and Adjusted EPS guidance to the most directly comparable GAAP measure, as this cannot be done without unreasonable effort due to the variability and low visibility with respect to certain items, including, among others, uncertainties caused by the global COVID-19 pandemic, changes to the regulatory landscape, restructuring items and certain fair value measurements, all of which are potential adjustments for future earnings. The variability of these items could have a potentially unpredictable, and a potentially significant, impact on our future GAAP results.

The guidance provided above is based on current plans and expectations and is subject to a number of known and unknown certainties and risks, including those set forth below under “Forward-Looking Statements.”

Recent Accomplishments

  • Closing of initial public offering in November 2020.
  • Paydown of $1,111 million of debt and expansion of Revolving Credit Facility in November and December 2020, respectively.
  • Successful repricing of First Lien Term Loan facility in January 2021.

Upcoming Investor Events

  • Barclays Global Healthcare Conference at 9:10 am Eastern, March 10, 2021.
  • KeyBanc Capital Markets’ Life Sciences & MedTech Investor Forum at 9:15 am Eastern, March 23, 2021.

Earnings Webcast
Sotera Health management will host a conference call and webcast to discuss the Company’s operating highlights and financial results at 9:00 a.m. Eastern today. To participate in the live call, please dial 1-833-303-1211 if dialing from within the United States and Canada or 1-918-922-6527 if dialing from other locations, using conference ID #1765289, at least 10 minutes prior to the scheduled start time. A live webcast of the conference call and accompanying materials also may be accessed via the Investor Relations section of the Company’s website at https://investors.soterahealth.com/. A replay of the webcast will be available beginning at 12 noon Eastern on March 9 for a period of one year.

Forward-Looking Statements

This release contains forward-looking statements that reflect management’s expectations about future events and the Company’s operating plans and performance and speak only as of the date hereof. You can identify these forward-looking statements by the use of forward-looking words such as “will,” “may,” “plan,” “estimate,” “project,” “believe,” “anticipate,” “expect,” “intend,” “should,” “would,” “could,” “target,” “goal,” “continue to,” “positioned to,” “are confident” or the negative version of those words or other comparable words. Any forward-looking statements contained in this release are based upon our historical performance and on our current plans, estimates and expectations in light of information currently available to us. The inclusion of this forward-looking information should not be regarded as a representation by us that the future plans, estimates or expectations contemplated by us will be achieved. These forward-looking statements are subject to various risks, uncertainties and assumptions relating to our operations, financial results, financial condition, business, prospects, growth strategy and liquidity. These risks and uncertainties include, without limitation, any disruption in the availability or supply of ethylene oxide (EO) or Cobalt-60; changes in industry trends, environmental, health and safety regulations or preferences; the impact of current and future legal proceedings and liability claims, including litigation related to purported exposure to emissions of EO from our facilities in Illinois, Georgia and New Mexico and the possibility that other claims will be made in the future relating to these or other facilities; our ability to increase capacity at existing facilities, renew leases for our facilities and build new facilities in a timely and cost-effective manner; the risks of doing business internationally; and any inability to pursue strategic transactions or find suitable acquisition targets. For additional discussion of these risks and uncertainties, please refer to Company’s filings with the SEC, such as its annual and quarterly reports. We do not undertake any obligation to publicly update or revise these forward-looking statements, except as otherwise required by law.

Non-GAAP Financial Measures

To supplement our consolidated financial statements presented in accordance with GAAP, we consider Adjusted EBITDA, Adjusted Net Income, Adjusted EPS, Net Debt and Net Leverage Ratio, financial measures that are not based on any standardized methodology prescribed by GAAP.

We define Adjusted Net Income as net income (loss) before amortization and certain other adjustments that we do not consider in our evaluation of our ongoing operating performance from period to period.

We define Adjusted EBITDA as Adjusted Net Income before interest expense, depreciation (including depreciation of Co-60 used in our operations) and income tax provision applicable to Adjusted Net Income. Adjusted EBITDA Margin is equal to Adjusted EBITDA divided by net revenues.

We define Adjusted EPS as Adjusted Net Income divided by the weighted average number of diluted shares outstanding.

Our Net Debt is equal to our total debt, plus unamortized debt issuance costs and debt discounts, less cash and cash equivalents.

Our Net Leverage Ratio is equal to Net Debt divided by Adjusted EBITDA.

We use these non-GAAP financial measures as the principal measures of our operating performance. Management believes these are useful because they allow management to more effectively evaluate our operating performance and compare the results of our operations from period to period without the impact of certain non-cash items and non-routine items that we do not expect to continue at the same level in the future and other items that are not core to our operations. We believe that these measures are useful to our investors because they provide a more complete understanding of the factors and trends affecting our business than could be obtained absent this disclosure. In addition, we believe these measures will assist investors in making comparisons to our historical operating results and analyzing the underlying performance of our operations for the periods presented. Our management also uses these measurements in their financial analysis and operational decision-making and Adjusted EBITDA serves as the metric for attainment of our primary annual incentive program. These measures may be calculated differently from, and therefore may not be comparable to, a similarly titled measure used by other companies.

About Sotera Health

Sotera Health Company is a leading global provider of mission-critical end-to-end sterilization solutions and lab testing and advisory services for the healthcare industry. Sotera Health goes to market through three businesses – Sterigenics®, Nordion® and Nelson Labs®. Sotera Health is committed to its mission, Safeguarding Global Health®.

INVESTOR RELATIONS CONTACTS
Sally J. Curley, IRC
Curley Global IR, LLC
IR@soterahealth.com
Jenny Kobin
IR Advisory Solutions
IR@soterahealth.com
   
MEDIA CONTACT
Kristin Gibbs
Chief Marketing Officer, Sotera Health
kgibbs@soterahealth.com
 

Source: Sotera Health Company

Sotera Health Company
Consolidated Statements of Operations
(in thousands, except per share amounts)
(unaudited)

  Three Months Ended
December 31,
  Year Ended
December 31,
  2020   2019   2020   2019
Revenues:              
Service $ 189,495     $ 171,162     $ 713,520     $ 673,037  
Product 27,350     22,323     104,638     105,290  
Total net revenues 216,845     193,485     818,158     778,327  
Cost of revenues:              
Service 85,973     84,884     333,359     333,290  
Product 10,295     11,380     41,227     49,606  
Total cost of revenues 96,268     96,264     374,586     382,896  
Gross profit 120,577     97,221     443,572     395,431  
Operating expenses:              
Selling, general and administrative expenses 53,156     37,120     178,525     147,480  
Amortization of intangible assets 15,040     14,620     59,029     58,562  
Impairment of long-lived assets     11         5,792  
Total operating expenses 68,196     51,751     237,554     211,834  
Operating income 52,381     45,470     206,018     183,597  
Interest expense, net 48,117     43,251     215,259     157,729  
Loss on extinguishment of debt 44,262     30,168     44,262     30,168  
Foreign exchange loss (gain) 140     (4,582 )   (5,230 )   3,862  
Other income, net (5,060 )   (2,500 )   (9,413 )   (7,246 )
Loss before income taxes (35,078 )   (20,867 )   (38,860 )   (916 )
Provision (benefit) for income taxes 8,308     6,879     (1,369 )   19,509  
Net loss (43,386 )   (27,746 )   (37,491 )   (20,425 )
Less: Net income attributable to noncontrolling interests 294     154     1,126     425  
Net loss attributable to Sotera Health Company $ (43,680 )   $ (27,900 )   $ (38,617 )   $ (20,850 )
               
Loss per share:              
Basic and diluted $ (0.17 )   $ (0.12 )   $ (0.16 )   $ (0.09 )
Weighted average number of shares outstanding:              
Basic and diluted 253,470     232,400     237,696     232,400  

Sotera Health Company
Segment Data
(in thousands)
(unaudited)

  Three Months Ended
December 31,
  Year Ended
December 31,
  2020   2019   2020   2019
Segment revenues:              
Sterigenics $ 134,819     $ 121,321     $ 498,773     $ 471,708  
Nordion 28,711     24,296     114,745     116,165  
Nelson Labs 53,315     47,868     204,640     190,454  
Total net revenues $ 216,845     $ 193,485     $ 818,158     $ 778,327  
Segment income:              
Sterigenics $ 73,836     $ 64,542     $ 266,639     $ 244,904  
Nordion 16,111     12,498     66,803     62,196  
Nelson Labs 23,115     17,435     86,417     72,832  
Total segment income 113,062     94,475     419,859     379,932  
Less adjustments:              
Interest expense, net 48,117     43,251     215,259     157,729  
Depreciation and amortization(a) 36,406     36,591     143,564     146,719  
Impairment of long-lived assets and intangible assets(b)     11         5,792  
Share-based compensation(c) 6,968     1,762     10,987     16,882  
Capital restructuring bonuses(d) 2,702     1,510     2,702     2,040  
(Gain) loss on foreign currency and embedded derivatives(e) (3,663 )   (5,636 )   (8,454 )   2,662  
Acquisition and divestiture related charges, net(f) 962     386     3,932     (318 )
Business optimization project expenses(g) 40     2,710     2,524     4,195  
Plant closure expenses(h) 261     567     2,649     1,712  
Loss on extinguishment of debt(i) 44,262     30,168     44,262     30,168  
Professional services relating to EO sterilization facilities(j) 11,301     3,428     36,671     11,216  
Accretion of asset retirement obligation(k) 470     594     1,946     2,051  
COVID-19 expenses(l) 314         2,677      
Consolidated loss before income taxes $ (35,078 )   $ (20,867 )   $ (38,860 )   $ (916 )
(a) Includes depreciation of Co-60 held at gamma irradiation sites.
(b) Represents impairment charges related to the decision to not reopen the Willowbrook, Illinois facility in September 2019.
(c) Includes non-cash share-based compensation expense. 2019 also includes $10.0 million of one-time cash share-based compensation expense related to the pre-IPO Class C Units, which vested in the third quarter of 2019.
(d) Represents cash bonuses for members of management relating to the November 2020 IPO and the December 2019 refinancing.
(e) Represents the effects of (i) fluctuations in foreign currency exchange rates, primarily related to remeasurement of intercompany loans denominated in currencies other than subsidiaries’ functional currencies, and (ii) non-cash mark-to-fair value of embedded derivatives relating to certain customer and supply contracts at Nordion.
(f) Represents (i) certain direct and incremental costs related to the acquisitions of Gibraltar Laboratories, Inc. (“Nelson Fairfield”) in 2018 and Iotron Industries Canada, Inc. in July 2020, and certain related integration efforts as a result of those acquisitions, (ii) the earnings impact of fair value adjustments (excluding those recognized within amortization expense) resulting from the businesses acquired, and (iii) transition services income and non-cash deferred lease income associated with the terms of the divestiture of the Medical Isotopes business in 2018.
(g) Represents professional fees, contract termination and exit costs, severance and other payroll costs, and other costs associated with business optimization and cost savings projects relating to the integration of Nelson Labs, the Sotera Health rebranding, operating structure realignment and other process enhancement projects.
(h) Represents professional fees, severance and other payroll costs, and other costs including ongoing lease and utility expenses associated with the closure of the Willowbrook, Illinois facility.
(i) Represents expenses incurred in connection with the refinancing of our debt capital structure in December 2019 and paydown of debt following the November 2020 IPO, including accelerated amortization of prior debt issuance and discount costs, premiums paid in connection with early extinguishment and debt issuance and discount costs incurred for the new debt.
(j) Represents professional fees related to litigation associated with our EO sterilization facilities and other related professional fees.
(k) Represents non-cash accretion of asset retirement obligations related to Co-60 and gamma processing facilities, which are based on estimated site remediation costs for any future decommissioning of these facilities (without regard for whether the decommissioning services would be performed by employees of Nordion, instead of by a third party) and are accreted over the life of the asset.
(l) Represents non-recurring costs associated with COVID-19 pandemic, including donations to related charitable causes and special bonuses for front-line personnel working on-site during lockdown periods.

Sotera Health Company
Condensed Consolidated Balance Sheets
(in thousands)
(unaudited)

  As of December 31,
  2020   2019
Assets      
Current assets:      
Cash and cash equivalents $ 102,454     $ 63,025  
Accounts receivable, net 91,735     88,644  
Inventories, net 34,093     37,396  
Other current assets 86,733     63,289  
Total current assets 315,015     252,354  
Property, plant, and equipment, net 609,814     581,954  
Operating lease assets 45,963      
Other intangible assets, net 643,366     696,006  
Goodwill 1,115,936     1,035,865  
Other assets 31,185     14,495  
Total assets $ 2,761,279     $ 2,580,674  
Liabilities and equity      
Total current liabilities $ 140,598     $ 123,990  
Long-term debt, less current portion 1,824,789     2,800,873  
Other noncurrent liabilities 219,502     159,708  
Deferred income taxes 121,816     137,235  
Total liabilities 2,306,705     3,221,806  
Total equity (deficit)   454,574     (641,132 )
Total liabilities and equity $ 2,761,279     $ 2,580,674  

Sotera Health Company
Condensed Consolidated Statements of Cash Flows
(in thousands)
(unaudited)

  Year Ended December 31,
  2020   2019
Operating activities:      
Net loss $ (37,491 )   $ (20,425 )
Non-cash items   169,869       177,817  
Changes in operating assets and liabilities   (11,793 )     (8,351 )
Net cash provided by operating activities   120,585       149,041  
Investing activities:              
Purchases of property, plant and equipment   (53,507 )     (57,257 )
Purchase of Iotron Industries Canada, Inc., net of cash acquired   (105,187 )      
Net cash used in investing activities   (158,694 )     (57,257 )
Financing activities:              
Proceeds from issuance of common stock, net of underwriting discounts and issuance costs   1,155,961        
Proceeds from revolving credit facility and long-term borrowings   150,000       3,144,600  
Dividends and distributions to shareholders         (691,170 )
Repurchase of common shares   (34,000 )      
Payments of debt issuance costs and prepayment premium   (19,746 )     (17,034 )
Payments on revolving credit facility and long-term borrowings   (1,177,325 )     (2,561,084 )
Other   (1,458 )     (1,342 )
Net cash provided by (used in) financing activities   73,432       (126,030 )
Effect of exchange rate changes on cash and cash equivalents   4,106       485  
Net increase (decrease) in cash and cash equivalents, including restricted cash   39,429       (33,761 )
Cash and cash equivalents, including restricted cash, at beginning of period   63,025       96,786  
Cash and cash equivalents, including restricted cash, at end of period $ 102,454     $ 63,025  
               
Supplemental disclosures of cash flow information:              
Cash paid during the period for interest $ 211,276     $ 151,005  
Cash paid during the period for income taxes, net of tax refunds received   23,988       44,614  
Equipment purchases included in accounts payable   14,288       5,197  

Sotera Health Company
Non-GAAP Financial Measures
(in thousands, except per share amounts)
(unaudited)

  Three Months Ended
December 31,
  Year Ended
December 31,
  2020   2019   2020   2019
Net loss $ (43,386 )     $ (27,746 )     $ (37,491 )     $ (20,425 )  
Amortization 20,431       20,005       80,255       80,048    
Impairment of long-lived assets and intangible assets (a)       11             5,792    
Share-based compensation(b) 6,968       1,762       10,987       16,882    
Capital restructuring bonuses(c) 2,702       1,510       2,702       2,040    
(Gain) loss on foreign currency and embedded derivatives(d) (3,663 )     (5,636 )     (8,454 )     2,662    
Acquisition and divestiture related charges, net(e) 962       386       3,932       (318 )  
Business optimization project expenses(f) 40       2,710       2,524       4,195    
Plant closure expenses(g) 261       567       2,649       1,712    
Loss on extinguishment of debt(h) 44,262       30,168       44,262       30,168    
Professional services relating to EO sterilization facilities(i) 11,301       3,428       36,671       11,216    
Accretion of asset retirement obligation(j) 470       594       1,946       2,051    
COVID-19 expenses(k) 314             2,677          
Income tax benefit associated with pre-tax adjustments(l) (18,682 )     (15,270 )     (43,536 )     (35,637 )  
Adjusted Net Income 21,980       12,489       99,124       100,386    
Interest expense, net 48,117       43,251       215,259       157,729    
Depreciation(m) 15,975       16,586       63,309       66,671    
Income tax provision applicable to Adjusted Net Income(n) 26,990       22,149       42,167       55,146    
Adjusted EBITDA $ 113,062       $ 94,475       $ 419,859       $ 379,932    
               
Net Revenues $ 216,845       $ 193,485       $ 818,158       $ 778,327    
Adjusted EBITDA Margin 52.1   %   48.8   %   51.3   %   48.8   %
Weighted average number of shares outstanding 253,470       232,400       237,696       232,400    
Basic and diluted EPS $ (0.17 )     $ (0.12 )     $ (0.16 )     $ (0.09 )  
Adjusted EPS $ 0.09       $ 0.05       $ 0.42       $ 0.43    
(a) Represents impairment charges related to the decision to not reopen the Willowbrook, Illinois facility in September 2019.
(b) Includes non-cash share-based compensation expense. 2019 also includes $10.0 million of one-time cash share-based compensation expense related to the pre-IPO Class C Units, which vested in the third quarter of 2019.
(c) Represents cash bonuses for members of management relating to the November 2020 IPO and the December 2019 refinancing.
(d) Represents the effects of (i) fluctuations in foreign currency exchange rates, primarily related to remeasurement of intercompany loans denominated in currencies other than subsidiaries’ functional currencies, and (ii) non-cash mark-to-fair value of embedded derivatives relating to certain customer and supply contracts at Nordion.
(e) Represents (i) certain direct and incremental costs related to the acquisitions of Gibraltar Laboratories, Inc. (“Nelson Fairfield”) in 2018 and Iotron Industries Canada, Inc. in July 2020, and certain related integration efforts as a result of those acquisitions, (ii) the earnings impact of fair value adjustments (excluding those recognized within amortization expense) resulting from the businesses acquired, and (iii) transition services income and non-cash deferred lease income associated with the terms of the divestiture of the Medical Isotopes business in 2018.
(f) Represents professional fees, contract termination and exit costs, severance and other payroll costs, and other costs associated with business optimization and cost savings projects relating to the integration of Nelson Labs, the Sotera Health rebranding, operating structure realignment and other process enhancement projects.
(g) Represents professional fees, severance and other payroll costs, and other costs including ongoing lease and utility expenses associated with the closure of the Willowbrook, Illinois facility.
(h) Represents expenses incurred in connection with the refinancing of our debt capital structure in December 2019 and paydown of debt following the November 2020 IPO, including accelerated amortization of prior debt issuance and discount costs, premiums paid in connection with early extinguishment and debt issuance and discount costs incurred for the new debt.
(i) Represents professional fees related to litigation associated with our EO sterilization facilities and other related professional fees.
(j) Represents non-cash accretion of asset retirement obligations related to Co-60 and gamma processing facilities, which are based on estimated site remediation costs for any future decommissioning of these facilities (without regard for whether the decommissioning services would be performed by employees of Nordion, instead of by a third party) and are accreted over the life of the asset.
(k) Represents non-recurring costs associated with COVID-19 pandemic, including donations to related charitable causes and special bonuses for front-line personnel working on-site during lockdown periods.
(l) Represents the tax benefit or provision associated with the reconciling items between net loss and Adjusted Net Income. To determine the aggregate tax effect of the reconciling items, we utilized statutory income tax rates ranging from 0% to 35%, depending upon the applicable jurisdictions of each adjustment.
(m) Includes depreciation of Co-60 held at gamma irradiation sites.
(n) Represents the difference between income tax expense or benefit as determined under U.S. GAAP and the income tax benefit associated with pre-tax adjustments described in footnote (l).

Sotera Health Company
Non-GAAP Financial Measures
($ in thousands)
(unaudited)

  Year Ended December 31,
  2020   2019
Current portion of long-term debt $     $ 16,331  
Long-term debt less current portion 1,824,789     2,800,873  
Current portion of finance leases 1,173     1,288  
Finance leases less current portion 34,939     29,883  
Total Debt $ 1,860,901     $ 2,848,375  
       
Add: unamortized debt issuance costs and debt discounts 38,761     73,677  
Less: cash and cash equivalents (102,454 )   (63,025 )
Total Net Debt $ 1,797,208     $ 2,859,027  
       
Adjusted EBITDA $ 419,859     $ 379,932  
Net Leverage   4.3 x     7.5 x


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