CONMED Corporation Announces Fourth Quarter and Full-Year 2021 Financial Results

CONMED Corporation (NYSE: CNMD) today announced financial results for the fourth quarter and full year ended December 31, 2021.

Fourth Quarter 2021 Highlights

  • Sales of $274.0 million increased 8.4% year over year as reported and 9.1% in constant currency.
  • Domestic revenue increased 5.0% year over year.
  • International revenue increased 12.7% year over year as reported and 14.3% in constant currency.
  • Diluted net earnings per share (GAAP) were $0.75, compared to diluted net earnings per share of $0.81 during the fourth quarter of 2020.
  • Adjusted diluted net earnings per share(1) were $1.07, compared to adjusted diluted net earnings per share of $0.84 during the fourth quarter of 2020.

Full-Year 2021 Highlights

  • Sales of $1.01 billion increased 17.2% year over year as reported and 16.3% in constant currency.
  • Domestic revenue increased 14.6% year over year.
  • International revenue increased 20.4% year over year as reported and 18.4% in constant currency.
  • Diluted net earnings per share (GAAP) were $1.94, compared to diluted net earnings per share of $0.32 in 2020.
  • Adjusted diluted net earnings per share(1) were $3.21 versus adjusted diluted net earnings per share of $2.18 in 2020.

“Our 2021 financial performance finished favorably against the expectations we set at the beginning of the year despite the challenging environment. I am proud that CONMED has exceeded $1 billion in annual revenue, and our team remains focused on positioning the Company for long-term success,” commented Curt R. Hartman, CONMED’s Chair of the Board, President, and Chief Executive Officer.

2022 Outlook

The Company expects full-year 2022 revenue in the range of $1.075 billion to $1.125 billion. Based on recent exchange rates, the Company expects foreign exchange rates to be immaterial to full-year 2022 revenue growth.

The Company expects full-year 2022 adjusted diluted net earnings per share in the range of $3.60 to $3.85.

Supplemental Financial Disclosures

(1) A reconciliation of reported diluted net earnings per share to adjusted diluted net earnings per share, a non-GAAP financial measure, appears below.

Conference Call

The Company’s management will host a conference call today at 4:30 p.m. ET to discuss its fourth quarter and full-year 2021 results.

To participate in the conference call, dial 1-844-889-7792 (domestic) or +1-661-378-9936 (international) and refer to the passcode 5936618.

This conference call will also be webcast and can be accessed from the “Investors” section of CONMED's website at www.conmed.com. The webcast replay of the call will be available at the same site approximately one hour after the end of the call.

A recording of the call will also be available from 7:30 p.m. ET on Wednesday, January 26, 2022, until 7:30 p.m. ET on Wednesday, February 2, 2022. To hear this recording, dial 1-855-859-2056 (domestic) or +1-404-537-3406 (international) and enter the passcode 5936618.

Consolidated Condensed Statements of Income

(in thousands except per share amounts, unaudited)

 

 

 

 

 

 

 

 

 

Three Months Ended

 

Year Ended

 

 

December 31,

 

December 31,

 

 

2021

 

2020

 

2021

 

2020

 

 

 

 

 

 

 

Net sales

 

$

273,971

 

$

252,828

 

 

$

1,010,635

 

$

862,459

 

Cost of sales

 

 

118,115

 

 

117,314

 

 

 

442,599

 

 

402,159

 

Gross profit

 

 

155,856

 

 

135,514

 

 

 

568,036

 

 

460,300

 

% of sales

 

 

56.9

%

 

53.6

%

 

 

56.2

%

 

53.4

%

Selling & administrative expense

 

 

107,279

 

 

99,097

 

 

 

414,754

 

 

373,817

 

Research & development expense

 

 

11,361

 

 

11,716

 

 

 

43,565

 

 

40,473

 

Income from operations

 

 

37,216

 

 

24,701

 

 

 

109,717

 

 

46,010

 

% of sales

 

 

13.6

%

 

9.8

%

 

 

10.9

%

 

5.3

%

Interest expense

 

 

7,569

 

 

11,114

 

 

 

35,485

 

 

44,052

 

Other expense

 

 

-

 

 

89

 

 

 

1,127

 

 

355

 

Income before income taxes

 

 

29,647

 

 

13,498

 

 

 

73,105

 

 

1,603

 

Provision (benefit) for income taxes

 

 

5,203

 

 

(10,642

)

 

 

10,563

 

 

(7,914

)

Net income

 

$

24,444

 

$

24,140

 

 

$

62,542

 

$

9,517

 

 

 

 

 

 

 

 

Basic EPS

 

$

0.83

 

$

0.84

 

 

$

2.14

 

$

0.33

 

Diluted EPS

 

 

0.75

 

 

0.81

 

 

 

1.94

 

 

0.32

 

 

 

 

 

 

 

 

Basic shares

 

 

29,349

 

 

28,745

 

 

 

29,162

 

 

28,581

 

Diluted shares

 

 

32,769

 

 

29,941

 

 

 

32,216

 

 

29,464

 

Sales Summary

(in millions, unaudited)

 

Three Months Ended December 31,

% Change

Domestic

International

2021

 

2020

 

As

Reported

 

Impact of

Foreign

Currency

 

Constant

Currency

 

As

Reported

 

As

Reported

 

Impact of

Foreign

Currency

 

Constant

Currency

Orthopedic Surgery

$

117.6

$

112.7

4.3

%

0.9

%

5.2

%

0.7

%

6.5

%

1.4

%

7.9

%

General Surgery

 

156.4

 

140.1

11.6

%

0.6

%

12.2

%

6.8

%

23.4

%

1.9

%

25.3

%

$

274.0

$

252.8

8.4

%

0.7

%

9.1

%

5.0

%

12.7

%

1.6

%

14.3

%

 

Single-use Products

$

222.8

$

205.9

8.2

%

0.8

%

9.0

%

2.8

%

16.1

%

1.7

%

17.8

%

Capital Products

 

51.2

 

46.9

8.9

%

0.6

%

9.5

%

18.0

%

2.0

%

1.0

%

3.0

%

$

274.0

$

252.8

8.4

%

0.7

%

9.1

%

5.0

%

12.7

%

1.6

%

14.3

%

 

Domestic

$

148.6

$

141.6

5.0

%

0.0

%

5.0

%

International

 

125.4

 

111.2

12.7

%

1.6

%

14.3

%

$

274.0

$

252.8

8.4

%

0.7

%

9.1

%

 
 

Year Ended December 31,

% Change

Domestic

International

2021

 

2020

 

As

Reported

 

Impact of

Foreign

Currency

 

Constant

Currency

 

As

Reported

 

As

Reported

 

Impact of

Foreign

Currency

 

Constant

Currency

Orthopedic Surgery

$

438.4

$

374.7

17.0

%

-1.3

%

15.7

%

13.5

%

19.1

%

-2.1

%

17.0

%

General Surgery

 

572.2

 

487.8

17.3

%

-0.6

%

16.7

%

15.1

%

22.6

%

-2.1

%

20.5

%

$

1,010.6

$

862.5

17.2

%

-0.9

%

16.3

%

14.6

%

20.4

%

-2.0

%

18.4

%

 

Single-use Products

$

820.1

$

703.0

16.7

%

-0.9

%

15.8

%

13.1

%

21.6

%

-2.0

%

19.6

%

Capital Products

 

190.5

 

159.5

19.5

%

-1.1

%

18.4

%

23.3

%

16.4

%

-2.1

%

14.3

%

$

1,010.6

$

862.5

17.2

%

-0.9

%

16.3

%

14.6

%

20.4

%

-2.0

%

18.4

%

 

Domestic

$

552.5

$

482.1

14.6

%

0.0

%

14.6

%

International

 

458.1

 

380.4

20.4

%

-2.0

%

18.4

%

$

1,010.6

$

862.5

17.2

%

-0.9

%

16.3

%

Reconciliation of Reported Net Income to Adjusted Net Income

(in thousands, except per share amounts, unaudited)

 

Three Months Ended December 31, 2021

Gross Profit

Selling &

Administrative

Expense

Operating

Income

Interest

Expense

Tax

Expense

Effective

Tax Rate

Net Income

Diluted EPS

As reported

$

155,856

 

$

107,279

 

$

37,216

 

$

7,569

 

$

5,203

 

17.6

%

$

24,444

$

0.75

 

% of sales

 

56.9

%

 

39.2

%

 

13.6

%

Amortization(1)

$

1,500

 

 

(6,811

)

 

8,311

 

 

(3,386

)

 

2,744

 

 

8,953

 

Adjusted net income

$

100,468

 

$

45,527

 

$

4,183

 

$

7,947

 

19.2

%

$

33,397

$

1.07

 

% of sales

 

 

36.7

%

 

16.6

%

 
 

Diluted shares outstanding

 

30,594

 

Additional potential dilutive shares from in-the-money convertible notes(4)

 

2,175

 

Diluted shares, as reported

 

32,769

 

Convertible note hedges(5)

 

(1,446

)

Diluted shares, as adjusted

 

31,323

 

 
 
 
 

 

Three Months Ended December 31, 2020

Gross Profit

Selling &

Administrative

Expense

Operating

Income

Interest

Expense

Tax

Expense/

(Benefit)

Effective

Tax Rate

Net Income

Diluted EPS

As reported

$

135,514

 

$

99,097

 

$

24,701

 

$

11,114

 

$

(10,642

)

-78.8

%

$

24,140

$

0.81

 

% of sales

 

53.6

%

 

39.2

%

 

9.8

%

Restructuring and related costs (2)

 

-

 

 

(1,649

)

 

1,649

 

 

-

 

 

1,548

 

 

101

Acquisition and integration costs (3)

 

567

 

 

-

 

 

567

 

 

-

 

 

532

 

 

35

$

136,081

 

$

97,448

 

$

26,917

 

$

11,114

 

$

(8,562

)

 

$

24,276

 

Adjusted gross profit %

 

53.8

%

Amortization(1)

$

1,500

 

 

(6,998

)

 

8,498

 

 

(3,479

)

 

11,242

 

 

735

 

Adjusted net income

$

90,450

 

$

35,415

 

$

7,635

 

$

2,680

 

9.7

%

$

25,011

$

0.84

 

% of sales

 

35.8

%

 

14.0

%

 

Diluted shares outstanding

 

29,705

 

Additional potential dilutive shares from in-the-money convertible notes(4)

 

236

 

Diluted shares, as reported

 

29,941

 

Convertible note hedges(5)

 

(236

)

Diluted shares, as adjusted

 

29,705

 

(1) Includes amortization of intangible assets, deferred financing fees and debt discount.

(2) In 2020, the Company incurred restructuring costs related to a restructuring of our sales force.

(3) In 2020, the Company incurred inventory adjustments associated with a prior acquisition.

(4) In 2021 and 2020 , the Company's average share price exceeded the conversion price of our 2.625% convertible notes due in 2024 (the "Notes") resulting in additional potential diluted shares.

(5) Non-GAAP adjusted dilutive weighted average shares outstanding exclude dilution that is expected to be offset by the Company's convertible note hedge transactions.

Reconciliation of Reported Net Income to Adjusted Net Income

(in thousands, except per share amounts, unaudited)

                   
 

Year Ended December 31, 2021

 

Gross Profit

 

Selling &

Administrative

Expense

 

Operating

Income

 

Interest

Expense

 

Other

Expense

 

Tax

Expense

 

Effective

Tax Rate

 

Net Income

 

Diluted EPS

As reported

 

$

568,036

 

 

$

414,754

 

 

$

109,717

 

 

$

35,485

 

 

$

1,127

 

 

$

10,563

 

 

14.4

%

 

$

62,542

 

$

1.94

 

% of sales

 

 

56.2

%

 

 

41.0

%

 

 

10.9

%

           

Restructuring and related costs (1)

 

 

-

 

 

 

(414

)

 

 

414

 

 

 

-

 

 

 

-

 

 

 

109

 

   

 

305

 

Debt refinancing costs (2)

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(1,127

)

 

 

281

 

   

 

846

 
 

$

568,036

 

 

$

414,340

 

 

$

110,131

 

 

$

35,485

 

 

$

-

 

 

$

10,953

 

 

 

 

$

63,693

 

 

Adjusted gross profit %

 

 

56.2

%

               

Amortization(7)

 

$

6,000

 

 

 

(27,133

)

 

 

33,133

 

 

 

(13,943

)

 

 

-

 

 

 

11,394

 

 

 

 

 

35,682

 

 

Adjusted net income

   

$

387,207

 

 

$

143,264

 

 

$

21,542

 

 

$

-

 

 

$

22,347

 

 

18.4

%

 

$

99,375

 

$

3.21

 

% of sales

   

 

38.3

%

 

 

14.2

%

           
                   
                   

Diluted shares outstanding

                 

 

30,437

 

Additional potential dilutive shares from in-the-money convertible notes(8)

                 

 

1,779

 

Diluted shares, as reported

                 

 

32,216

 

Convertible note hedges(9)

                 

 

(1,273

)

Diluted shares, as adjusted

                 

 

30,943

 

                   
                   
                   
 

Year Ended December 31, 2020

 

Gross Profit

 

Selling &

Administrative

Expense

 

Operating

Income

 

Interest

Expense

 

Other

Expense

 

Tax

Expense/

(Benefit)

 

Effective

Tax Rate

 

Net Income

 

Diluted EPS

As reported

 

$

460,300

 

 

$

373,817

 

 

$

46,010

 

 

$

44,052

 

 

$

355

 

 

$

(7,914

)

 

-493.9

%

 

$

9,517

 

$

0.32

 

% of sales

 

 

53.4

%

 

 

43.3

%

 

 

5.3

%

           

Plant underutilization costs (3)

 

 

6,586

 

 

 

-

 

 

 

6,586

 

 

 

-

 

 

 

-

 

 

 

739

 

   

 

5,847

 

Product rationalization costs (4)

 

 

2,169

 

 

 

(2,095

)

 

 

4,264

 

 

 

-

 

 

 

-

 

 

 

460

 

   

 

3,804

 

Restructuring and related costs (1)

 

 

1,087

 

 

 

(4,782

)

 

 

5,869

 

 

 

-

 

 

 

-

 

 

 

1,807

 

   

 

4,062

 

Acquisition and integration costs (5)

 

 

2,820

 

 

 

(1,192

)

 

 

4,012

 

 

 

-

 

 

 

-

 

 

 

888

 

   

 

3,124

 

Manufacturing consolidation costs (6)

 

 

3,993

 

 

 

-

 

 

 

3,993

 

 

 

-

 

 

 

-

 

 

 

485

 

   

 

3,508

 
 

$

476,955

 

 

$

365,748

 

 

$

70,734

 

 

$

44,052

 

 

$

355

 

 

$

(3,535

)

 

 

 

$

29,862

 

 

Adjusted gross profit %

 

 

55.3

%

               

Amortization(7)

 

$

6,000

 

 

 

(27,945

)

 

 

33,945

 

 

 

(13,414

)

 

 

-

 

 

 

13,037

 

 

 

 

 

34,322

 

 

Adjusted net income

   

$

337,803

 

 

$

104,679

 

 

$

30,638

 

 

$

355

 

 

$

9,502

 

 

12.9

%

 

$

64,184

 

$

2.18

 

% of sales

   

 

39.2

%

 

 

12.1

%

           

(1) In 2021, the Company incurred restructuring costs related to restructuring of our sales force. In 2020, the Company incurred restructuring costs related to a voluntary separation arrangement with employees as a result of the COVID-19 pandemic and restructuring of our sales force.

(2) In 2021, the Company incurred costs related to a loss on early extinguishment and third party fees associated with the seventh amended and restated senior credit agreement.

(3) In 2020, the Company incurred a charge related to plant underutilization due to abnormally low production as a result of decreased sales caused by the COVID-19 pandemic.

(4) In 2020, the Company performed an analysis of product lines and determined certain catalog numbers, principally related to capital equipment, would be discontinued and consolidated into existing product offerings resulting in a charge to cost of sales. The Company also wrote-off related field inventory used for customer demonstration and evaluation of the discontinued products to selling and administrative expense.

(5) In 2020, the Company incurred inventory adjustments associated with a prior acquisition and severance and integration costs mainly related to the Buffalo Filter, LLC acquisition.

(6) In 2020, the Company incurred costs related to the consolidation of certain manufacturing operations. These costs related to winding down operations at certain locations and moving production lines to other facilities.

(7) Includes amortization of intangible assets, deferred financing fees and debt discount.

(8) In 2021, the Company's average share price exceeded the conversion price of our 2.625% convertible notes due in 2024 (the "Notes") resulting in additional potential diluted shares.

(9) Non-GAAP adjusted dilutive weighted average shares outstanding exclude dilution that is expected to be offset by the Company's convertible note hedge transactions.

Reconciliation of Reported Net Income to EBITDA & Adjusted EBITDA

(in thousands, unaudited)

 

 

 

 

 

 

 

Three Months Ended

 

Year Ended

 

 

December 31,

 

December 31,

 

 

2021

 

2020

 

2021

 

2020

 

 

 

 

 

 

 

 

 

Net income

 

$

24,444

 

 

$

24,140

 

 

$

62,542

 

 

$

9,517

 

Provision (benefit) for income taxes

 

 

5,203

 

 

 

(10,642

)

 

 

10,563

 

 

 

(7,914

)

Interest expense

 

 

7,569

 

 

 

11,114

 

 

 

35,485

 

 

 

44,052

 

Depreciation

 

 

3,975

 

 

 

4,427

 

 

 

16,494

 

 

 

18,044

 

Amortization

 

 

13,502

 

 

 

13,608

 

 

 

54,249

 

 

 

54,581

 

EBITDA

 

$

54,693

 

 

$

42,647

 

 

$

179,333

 

 

$

118,280

 

 

 

 

 

 

 

 

 

 

Stock based compensation

 

 

4,332

 

 

 

2,992

 

 

 

16,335

 

 

 

13,111

 

Debt refinancing costs

 

 

-

 

 

 

-

 

 

 

1,127

 

 

 

-

 

Plant underutilization costs

 

 

-

 

 

 

-

 

 

 

-

 

 

 

6,586

 

Product rationalization costs

 

 

-

 

 

 

-

 

 

 

-

 

 

 

4,264

 

Restructuring and related costs

 

 

-

 

 

 

1,649

 

 

 

414

 

 

 

5,869

 

Acquisition and integration costs

 

 

-

 

 

 

567

 

 

 

-

 

 

 

4,012

 

Manufacturing consolidation costs

 

 

-

 

 

 

-

 

 

 

-

 

 

 

3,993

 

Adjusted EBITDA

 

$

59,025

 

 

$

47,855

 

 

$

197,209

 

 

$

156,115

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EBITDA Margin

 

 

 

 

 

 

 

 

EBITDA

 

 

20.0

%

 

 

16.9

%

 

 

17.7

%

 

 

13.7

%

Adjusted EBITDA

 

 

21.5

%

 

 

18.9

%

 

 

19.5

%

 

 

18.1

%

About CONMED Corporation

CONMED is a medical technology company that provides surgical devices and equipment for minimally invasive procedures. The Company’s products are used by surgeons and physicians in a variety of specialties, including orthopedics, general surgery, gynecology, thoracic surgery, and gastroenterology. For more information, visit www.conmed.com.

Forward-Looking Statements

This press release and the associated conference call may contain forward-looking statements based on certain assumptions and contingencies that involve risks and uncertainties, which could cause actual results, performance, or trends to differ materially from those expressed in the forward-looking statements herein or in previous disclosures. For example, in addition to general industry and economic conditions, factors that could cause actual results to differ materially from those in the forward-looking statements may include, but are not limited to, the risks posed to the Company’s business, financial condition, and results of operations by the COVID-19 global pandemic and the various government responses to the pandemic, including deferral of surgeries, reductions in hospital and ambulatory surgery center operating volumes, disruption to potential supply chain reliability, as well as the risk factors discussed in the Company's Annual Report on Form 10-K for the full year ended December 31, 2020 and listed under the heading Forward-Looking Statements in the Company’s most recently filed Form 10-Q. Any and all forward-looking statements are made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995 and relate to the Company’s performance on a going-forward basis. The Company believes that all forward-looking statements made by it have a reasonable basis, but there can be no assurance that management’s expectations, beliefs or projections as expressed in the forward-looking statements will actually occur or prove to be correct.

Supplemental Information - Reconciliation of GAAP to Non-GAAP Financial Measures

The Company supplements the reporting of its financial information determined under accounting principles generally accepted in the United States (GAAP) with certain non-GAAP financial measures, including percentage sales growth in constant currency; adjusted gross profit; cost of sales excluding specified items; adjusted selling and administrative expenses; adjusted operating income; adjusted interest expense; adjusted other expense; adjusted income tax expense (benefit); adjusted effective income tax rate; adjusted net income, adjusted diluted shares and adjusted diluted net earnings per share (EPS). The Company believes that these non-GAAP measures provide meaningful information to assist investors and shareholders in understanding its financial results and assessing its prospects for future performance. Management believes percentage sales growth in constant currency and the other adjusted measures described above are important indicators of its operations because they exclude items that may not be indicative of, or are unrelated to, its core operating results and provide a baseline for analyzing trends in the Company’s underlying business. Further, the presentation of EBITDA is a non-GAAP measurement that management considers useful for measuring aspects of the Company’s cash flow. Management uses these non-GAAP financial measures for reviewing the operating results and analyzing potential future business trends in connection with its budget process and bases certain management incentive compensation on these non-GAAP financial measures.

Net sales on a constant currency basis is a non-GAAP measure. The Company analyzes net sales on a constant currency basis to better measure the comparability of results between periods. To measure percentage sales growth in constant currency, the Company removes the impact of changes in foreign currency exchange rates that affect the comparability and trend of net sales. To measure earnings performance on a consistent and comparable basis, the Company excludes certain items that affect the comparability of operating results and the trend of earnings. These adjustments are irregular in timing, may not be indicative of past and future performance and are therefore excluded to allow investors to better understand underlying operating trends.

Because non-GAAP financial measures are not standardized, it may not be possible to compare these financial measures with other companies' non-GAAP financial measures having the same or similar names. These adjusted financial measures should not be considered in isolation or as a substitute for reported sales growth, gross profit, cost of sales, selling and administrative expenses, operating income, interest expense, other expense, income tax expense (benefit), effective income tax rate, net income, diluted shares and diluted net earnings per share, the most directly comparable GAAP financial measures. These non-GAAP financial measures are an additional way of viewing aspects of the Company’s operations that, when viewed with GAAP results and the reconciliations to corresponding GAAP financial measures above, provide a more complete understanding of the business. The Company strongly encourages investors and shareholders to review its financial statements and publicly filed reports in their entirety and not to rely on any single financial measure.

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