~ Strong 2019 Results from Strategy and Operational Execution ~
~ Full Year GAAP: Sales up 4% and EPS up 92% ~
~ Full Year Adjusted: Sales up 4%, EBITDA up 9%, and EPS up 23% ~

PLANO, Texas, Feb. 20, 2020 (GLOBE NEWSWIRE) -- Integer Holdings Corporation (NYSE:ITGR), a leading medical device outsource manufacturer, today announced results for the fourth quarter and fiscal year ended December 31, 2019.  Unless otherwise stated, all results and comparisons are from continuing operations.

Fourth Quarter 2019 Highlights

  • Sales increased 7% to $326 million.

  • GAAP income decreased $8 million to $11 million, down 42%.  Adjusted income increased $7 million to $41 million, up 20%.

  • GAAP diluted EPS decreased $0.25 per share to $0.33 per share, down 43%.  Adjusted diluted EPS increased $0.21 per share to $1.25 per share, up 20%.

  • Adjusted EBITDA increased $6 million to $73 million, up 8%.

  • Completed the bolt-on acquisition of certain assets of US BioDesign, adding complex braiding capability to the Cardio & Vascular portfolio.

  • Paid down $14 million of debt, reducing total debt to $815 million.

Full Year 2019 Highlights

  • Sales increased 4% to $1.258 billion.

  • GAAP income increased $44 million to $91 million, up 94%.  Adjusted income increased $30 million to $154 million, up 24%.

  • GAAP diluted EPS increased $1.32 per share to $2.76 per share, up 92%.  Adjusted diluted EPS increased $0.88 per share to $4.68 per share, up 23%.

  • Adjusted EBITDA increased $24 million to $284 million, up 9%.

  • Generated $165 million of cash flow from operating activities.

  • Paid down $117 million of debt, resulting in a leverage ratio of 2.9 times adjusted EBITDA at year-end versus 3.5 times at the beginning of the year.

“Integer delivered strong earnings growth in 2019 as our Manufacturing Excellence strategic imperative is delivering operational and financial improvements.  We exceeded our original 2019 adjusted profit guidance as we continue to deliver on our commitments to investors. We further strengthened our leadership team to enable us to accelerate the execution of our strategy and deliver for our customers,” said Joseph Dziedzic, Integer’s president and chief executive officer.  “Yesterday we completed a bolt-on acquisition, which further strengthens our R&D capabilities and expands our global footprint into Israel, which is widely recognized as a leading innovation center.

Our 2020 financial guidance delivers on our commitment to grow profit at least twice as fast as our sales growth rate, while making investments to execute our remaining strategic financial objective to deliver above market revenue growth.”

Discussion of Product Line Fourth Quarter and Full Year Sales

  • Cardio & Vascular sales increased 6% in the fourth quarter led by a strong increase in peripheral vascular demand from a customer launching an existing program into a new geography and market growth.  Incremental sales from the signing of a customer contract on existing business fully offset the impact of an end of life electrophysiology program.  Full year sales increased 4% with the strong growth of peripheral vascular and structural heart, overcoming an approximate 200 basis point headwind from the aforementioned end of life electrophysiology program.

  • Cardiac & Neuromodulation sales increased 10% in the fourth quarter as new and next generation product launches, underlying strength in existing cardiac rhythm management (“CRM”) programs, and a new customer agreement on existing business was partially offset by lost sales due to the impact of Nuvectra Chapter 11 bankruptcy filing.  Full year sales increased 3% as CRM growth was partially offset by slight neuromodulation decline.  Higher market demand and the new customer agreement on existing business drove the CRM increase, whereas neuromodulation sales declined as a result of the Nuvectra Chapter 11 bankruptcy filing and market contraction.

  • Advanced Surgical, Orthopedics & Portable Medical includes sales to the acquirer of our AS&O product line, Viant, under supply agreements associated with the divestiture. Fourth quarter sales increased 7% driven by increased end-market demand for advanced surgical and orthopedic products.  Full year sales decreased 1%.

  • Electrochem sales increased 9% in the fourth quarter driven by increased military market demand and growth in the energy market.  Full year sales increased 10% driven by strong demand in the military market and high-single-digit growth with energy customers.

2020 Outlook (adjusted basis)

Our 2020 financial guidance delivers on our commitment to grow profit at least twice as fast as our sales growth rate.  Sales growth in 2020 is projected to be 3% to 4%.  This growth includes approximately 2% year-over-year headwinds from the loss of sales due to the impact of the Nuvectra Chapter 11 bankruptcy filing and fewer days in our 2020 fiscal year versus 2019.  Adjusted income growth is projected to be even faster at 9% to 14% from lower interest expense.

2020 Outlook(a)
(dollars in millions, except per share amounts)

  GAAP Non-GAAP(b)
  As Reported Growth Adjusted Growth
Sales $1,290 to $1,310 3% to 4% $1,290 to $1,310 3% to 4%
Income $127 to $134 39% to 47% $169 to $176 9% to 14%
EBITDA N/A N/A $300 to $307 6% to 8%
Earnings per Diluted Share $3.83 to $4.03 39% to 46% $5.10 to $5.30 9% to 13%

(a) Except as described below, further reconciliations by line item to the closest corresponding GAAP financial measure for Adjusted Income, Adjusted EBITDA, and Adjusted Earnings per Diluted Share (“EPS”), all from continuing operations, included in our “2020 Outlook” above, are not available without unreasonable efforts on a forward-looking basis due to the high variability, complexity and visibility of the charges excluded from these non-GAAP financial measures.

(b) Adjusted Income and Adjusted Diluted EPS, both from continuing operations, for 2020 are expected to consist of GAAP income from continuing operations and diluted EPS from continuing operations, excluding items such as intangible amortization, certain legal expenses, reorganization and realignment costs, asset dispositions, severance, gains and losses on equity investments and loss on extinguishment of debt totaling approximately $52 million, pre-tax. The after-tax impact of these items is estimated to be approximately $42 million, or approximately $1.27 per diluted share.

Adjusted EBITDA from continuing operations is expected to consist of Adjusted income from continuing operations, excluding items such as depreciation, interest, stock-based compensation and taxes totaling approximately $131 million.

Supplemental Financial Information

 2020
Outlook
 2019
Actual
 
Capital Expenditures, Net$60 - $70 $48 
Depreciation and Amortization$75 - $85 $78 
Stock-Based Compensation$13 - $15 $9 
Other Operating Expense$8 - $12 $12 
Adjusted Effective Tax Rate16.5% - 18.5% 17.3% 
Cash Tax Payments$30 - $35 $30 
     

Summary of Financial and Product Line Results from Continuing Operations
(dollars in thousands, except per share data)

 Three Months Ended
GAAPDecember 31,
2019
 December 28,
2018
 Change Organic
Growth(a)
Medical Sales       
Cardio & Vascular$158,504  $149,605  5.9% 5.6%
Cardiac & Neuromodulation119,262  108,876  9.5% 9.5%
Advanced Surgical, Orthopedics & Portable Medical33,885  31,744  6.7% 6.8%
Total Medical Sales311,651  290,225  7.4% 7.2%
Non-Medical Sales13,986  12,809  9.2% 9.2%
Total Sales$325,637  $303,034  7.5% 7.3%
        
Income from continuing operations$11,044  $19,196  (42.5)%  
Diluted EPS from continuing operations$0.33  $0.58  (43.1)%  
        
 Year Ended
GAAPDecember 31,
2019
 December 28,
2018
  Change Organic
Growth(a)
Medical Sales       
Cardio & Vascular$610,056  $585,464  4.2% 4.5%
Cardiac & Neuromodulation457,194  443,347  3.1% 3.1%
Advanced Surgical, Orthopedics & Portable Medical132,429  133,225  (0.6)% 1.0%
Total Medical Sales1,199,679  1,162,036  3.2% 3.6%
Non-Medical Sales58,415  52,976  10.3% 10.3%
Total Sales$1,258,094  $1,215,012  3.5% 3.9%
        
Income from continuing operations$91,218  $47,033  93.9%  
Diluted EPS from continuing operations$2.76  $1.44  91.7%  

(a) Organic Growth for sales is a Non-GAAP measure.  Please see “Notes Regarding Non-GAAP Financial Information” for additional information regarding our use of non-GAAP financial measures and refer to Table C at the end of this release for a reconciliation of these amounts.

 Three Months Ended
Non-GAAP(a)December 31,
2019
 December 28,
2018
 Change Organic
Growth(b)
Adjusted EBITDA from continuing operations$73,273  $67,534  8.5% 8.8%
Adjusted income from continuing operations$41,421  $34,378  20.5% 20.6%
Adjusted diluted EPS from continuing operations$1.25  $1.04  20.2% 21.2%
        
 Year Ended
Non-GAAP(a)December 31,
2019
 December 28,
2018
 Change Organic
Growth(b)
Adjusted EBITDA from continuing operations$283,770  $259,441  9.4% 9.0%
Adjusted income from continuing operations$154,468  $124,391  24.2% 23.2%
Adjusted diluted EPS from continuing operations$4.68  $3.80  23.2% 22.3%

(a) Refer to Tables A and B at the end of this release for reconciliations of adjusted amounts to the closest corresponding GAAP financial measures.

(b) Organic Growth for Adjusted EBITDA from continuing operations, Adjusted income from continuing operations, and Adjusted diluted EPS from continuing operations are Non-GAAP measures.  Please see “Notes Regarding Non-GAAP Financial Information” for additional information regarding our use of non-GAAP financial measures and refer to Table D at the end of this release for a reconciliation of these amounts.

Conference Call Information
The Company will host a conference call on Thursday, February 20, 2020, at 9:00 a.m. ET / 8:00 a.m. CT to discuss these results.  The scheduled conference call will be webcast live and is accessible through our website at investor.integer.net or by dialing (833) 236-5762 (U.S.) or (647) 689-4190 (outside U.S.) and the conference ID is 8069250. The call will be archived on the Company’s website.  An earnings call slide presentation containing supplemental information about the Company’s results will be posted to our website at investor.integer.net prior to the conference call and will be referenced during the conference call.

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

Contact Information
Tony Borowicz
SVP, Strategy, Business Development & Investor Relations
716.759.5809
tony.borowicz@integer.net

Notes Regarding Non-GAAP Financial Information

In addition to our results reported in accordance with generally accepted accounting principles (“GAAP”), we provide adjusted sales, adjusted income, adjusted diluted EPS, earnings before interest, taxes, depreciation and amortization (“EBITDA”), adjusted EBITDA, adjusted EBITDA margin, and organic growth rates, all from continuing operations.  Adjusted income and adjusted diluted EPS from continuing operations consist of GAAP amounts adjusted for the following to the extent occurring during the period: (i) acquisition and integration related expenses, (ii) amortization of intangible assets, (iii) facility consolidation, optimization, manufacturing transfer and system integration charges, (iv) asset write-down and disposition charges, (v) charges in connection with corporate realignments or a reduction in force, (vi) certain legal expenses, charges and gains, (vii) unusual or infrequently occurring items, (viii) gain (loss) on equity investments, (ix) extinguishment of debt charges, (x) the net impact of the long-term supply agreements (“LSAs”) entered into as of the closing of the divestiture of the AS&O product line, (xi) the income tax provision (benefit) related to these adjustments and (xii) certain tax items that are outside the normal provision for the period.  Adjusted diluted EPS from continuing operations are calculated by dividing adjusted income from continuing operations by diluted weighted average shares outstanding.  EBITDA from continuing operations is calculated by adding back interest expense, GAAP provision (benefit) for income taxes, depreciation and amortization expense, to income from continuing operations, which is the most directly comparable GAAP measure.  Adjusted EBITDA from continuing operations consists of EBITDA from continuing operations plus GAAP stock-based compensation and the same adjustments as listed above except for items (ii), (ix), (xi) and (xii).

Adjusted EBITDA margin is adjusted EBITDA as a percentage of adjusted sales, all from continuing operations.  Organic sales growth is reported sales growth adjusted for item (x) above, the impact of foreign currency, and the contribution of acquisitions.  To calculate the impact of foreign currency on sales growth rates, we convert current period sales from local currency to U.S. dollars using the previous period’s foreign currency exchange rates and exclude the amount of sales acquired/divested during the period from the current/previous period amounts, respectively.  Adjusted sales from continuing operations consist of GAAP sales adjusted for item (x) above.  Organic growth rates for adjusted EBITDA from continuing operations, adjusted income from continuing operations and adjusted diluted EPS from continuing operations exclude the impact of foreign currency exchange gains and losses included in other (income) loss, net, and the contribution of acquisitions. Contributions of acquisitions represents results, based on the growth rate being presented, attributable to acquired entities for the first four full quarters plus any partial period since the entities' acquisition date.  After the completion of four full fiscal quarters, results of the acquired entity are treated as organic for current and comparable historical periods.

We believe that the presentation of adjusted sales, adjusted income, adjusted diluted EPS, EBITDA, adjusted EBITDA, adjusted EBITDA margin, and organic growth rates, all from continuing operations, provides important supplemental information to management and investors seeking to understand the financial and business trends relating to our financial condition and results of operations.  In addition to the performance measures identified above, we believe that leverage ratio provides a meaningful measure of liquidity and a useful basis for assessing our ability to fund our activities, including the financing of acquisitions and debt repayments.  We calculate leverage ratio as total principal amount of debt outstanding less cash and cash equivalents divided by trailing 4 quarters adjusted EBITDA.

Forward-Looking Statements

Some of the statements contained in this press release are “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, including statements relating to future sales, expenses, profitability and cash flows; our ability to execute our business model and our business strategy; projected capital expenditures; and other events, conditions or developments that will or may occur in the future. You can identify forward-looking statements by terminology such as “may,” “will,” “should,” “could,” “expects,” “intends,” “plans,” “anticipates,” “believes,” “estimates,” “predicts,” “potential” or “continue” or “variations” or the negative of these terms or other comparable terminology. These statements are only predictions and actual events or results may differ materially from those stated or implied by these forward-looking statements. In evaluating these statements and our prospects, you should carefully consider the factors set forth below.

Although it is not possible to create a comprehensive list of all factors that may cause actual results to differ from the results expressed or implied by our forward-looking statements or that may affect our future results, some of these factors include the following: our dependence upon a limited number of customers; our ability to respond to changes in technology; the intense competition we face and our ability to successfully market our products; our ability to develop new products and expand into new geographic and product markets; pricing pressures that we face from customers; our reliance on third party suppliers for raw materials, key products and subcomponents; the potential for harm to our reputation caused by quality problems related to our products; regulatory issues resulting from products complaints, recalls or regulatory audits; the potential of becoming subject to product liability claims; our ability to protect our intellectual property and proprietary rights; our dependence upon our senior management team and technical personnel; our significant amount of outstanding indebtedness and our ability to remain in compliance with financial and other covenants under our senior secured credit facilities; our ability to realize the benefits from cost savings and consolidation initiatives; our ability to integrate acquisitions and operate acquired businesses in accordance with expectations; interruptions in our manufacturing operations; our ability to comply with environmental regulations; our complex international tax profile; our dependence upon our information technology systems and our ability to prevent cyber-attacks and other failures; market, financial and other risks related to our international operations and sales; global economic factors, including currency exchange rates and interest rates; the fact that the healthcare industry is highly regulated and subject to various regulatory changes; the dependence of our energy market-related revenues on the conditions in the oil and natural gas industry; and other risks and uncertainties that arise from time to time and are described in Item 1A “Risk Factors” of our Annual Report on Form 10-K and in our other periodic filings with the SEC. Except as may be required by law, we assume no obligation to update forward-looking statements in this press release whether to reflect changed assumptions, the occurrence of unanticipated events or changes in future operating results, financial conditions or prospects, or otherwise.

Condensed Consolidated Statements of Operations - Unaudited    
(in thousands except per share data)       
    
 Three Months Ended Year Ended
 December 31,
2019
 December 28,
2018
 December 31,
2019
 December 28,
2018
Sales$325,637  $303,034  $1,258,094  $1,215,012 
Cost of sales249,607  214,589  903,084  852,347 
Gross profit76,030  88,445  355,010  362,665 
Operating expenses:       
Selling, general and administrative expenses (SG&A)37,661  35,141  138,695  142,441 
Research, development and engineering costs (RD&E)11,809  10,159  46,529  48,604 
Other operating expenses (OOE)3,912  3,450  12,151  16,065 
Total operating expenses53,382  48,750  197,375  207,110 
Operating income22,648  39,695  157,635  155,555 
Interest expense12,766  13,955  52,545  99,310 
(Gain) loss on equity investments, net(191) (78) 475  (5,623)
Other (income) loss, net343  495  (578) 752 
Income from continuing operations before income taxes9,730  25,323  105,193  61,116 
Provision (benefit) for income taxes(1,314) 6,127  13,975  14,083 
Income from continuing operations$11,044  $19,196  $91,218  $47,033 
        
Discontinued operations:       
Income (loss) from discontinued operations before taxes(20) 62  5,296  188,313 
Provision (benefit) for income taxes  (6,487) 178  67,382 
Income (loss) from discontinued operations$(20) $6,549  $5,118  $120,931 
        
Net income$11,024  $25,745  $96,336  $167,964 
        
Basic earnings per share:       
Income from continuing operations$0.34  $0.59  $2.80  $1.46 
Income from discontinued operations$  $0.20  $0.16  $3.76 
Basic earnings per share$0.34  $0.79  $2.95  $5.23 
        
Diluted earnings per share:       
Income from continuing operations$0.33  $0.58  $2.76  $1.44 
Income from discontinued operations$  $0.20  $0.15  $3.71 
Diluted earnings per share$0.33  $0.78  $2.92  $5.15 
        
Weighted average shares outstanding:       
Basic32,688  32,392  32,627  32,136 
Diluted33,089  33,029  33,037  32,596 


Condensed Consolidated Balance Sheets - Unaudited
(in thousands)
  
 December 31,
2019
 December 28,
2018
ASSETS   
Current assets:   
Cash and cash equivalents$13,535  $25,569 
Accounts receivable, net191,985  185,501 
Inventories167,256  190,076 
Contract assets24,767   
Prepaid expenses and other current assets17,852  15,104 
Total current assets415,395  416,250 
Property, plant and equipment, net246,185  231,269 
Goodwill839,617  832,338 
Other intangible assets, net775,784  812,338 
Deferred income taxes4,438  3,937 
Operating lease assets42,379   
Other assets29,295  30,549 
Total assets$2,353,093  $2,326,681 
LIABILITIES AND STOCKHOLDERS’ EQUITY   
Current liabilities:   
Current portion of long-term debt$37,500  $37,500 
Accounts payable64,975  57,187 
Income taxes payable3,023  9,393 
Operating lease liabilities7,507   
Accrued expenses66,073  60,490 
Total current liabilities179,078  164,570 
Long-term debt777,272  888,007 
Deferred income taxes187,978  203,910 
Operating lease liabilities37,114   
Other long-term liabilities19,163  9,701 
Total liabilities1,200,605  1,266,188 
Stockholders’ equity:   
Common stock33  33 
Additional paid-in capital701,018  691,083 
Treasury stock(8,809) (8,125)
Retained earnings440,258  344,498 
Accumulated other comprehensive income19,988  33,004 
Total stockholders’ equity1,152,488  1,060,493 
Total liabilities and stockholders’ equity$2,353,093  $2,326,681 
        


Condensed Consolidated Statements of Cash Flows - Unaudited (a)
(in thousands)
  
 Year Ended
 December 31,
2019
 December 28,
2018
Cash flows from operating activities:   
Net income$96,336  $167,964 
Adjustments to reconcile net income to net cash provided by operating activities:   
Depreciation and amortization77,895  88,988 
Debt related charges included in interest expense7,772  49,110 
Stock-based compensation9,294  10,470 
Non-cash charges related to customer bankruptcy21,695   
Non-cash lease expense7,443   
Non-cash (gain) loss on equity investments475  (5,623)
Other non-cash (gains) losses(162) 148 
Deferred income taxes(10,285) 61,126 
Gain on sale of discontinued operations(4,974) (194,965)
Changes in operating assets and liabilities, net of acquisition:   
Accounts receivable(6,976) 9,289 
Inventories3,724  (16,094)
Prepaid expenses and other assets(31,060) 8,527 
Accounts payable1,887  (94)
Accrued expenses(2,744) (11,756)
Income taxes payable(4,962) 209 
Net cash provided by operating activities165,358  167,299 
Cash flows from investing activities:   
Acquisition of property, plant and equipment(48,198) (44,908)
Proceeds from sale of property, plant and equipment28  1,379 
Purchase of equity investments(417) (1,230)
Proceeds from sale of discontinued operations4,734  581,429 
Acquisition(15,009)  
Net cash (used in) provided by investing activities(58,862) 536,670 
Cash flows from financing activities:   
Principal payments of long-term debt(111,500) (631,469)
Proceeds from senior secured revolving line of credit34,000  5,000 
Payments of senior secured revolving line of credit(39,000) (74,000)
Proceeds from the exercise of stock options3,242  12,409 
Payment of debt issuance and redemption costs(1,385) (31,991)
Tax withholdings related to net share settlements of restricted stock unit awards(3,283) (5,029)
Net cash used in financing activities(117,926) (725,080)
Effect of foreign currency exchange rates on cash and cash equivalents(604) 2,584 
Net decrease in cash and cash equivalents(12,034) (18,527)
Cash and cash equivalents, beginning of year25,569  44,096 
Cash and cash equivalents, end of year$13,535  $25,569 
        

(a) The Condensed Consolidated Statements of Cash Flows - Unaudited includes cash flows related to discontinued operations.

Reconciliations of Non-GAAP Measures from Continuing Operations
Table A: Income from Continuing Operations and Diluted EPS Reconciliations
(dollars in thousands, except per share data)

 Three Months Ended
 December 31, 2019 December 28, 2018
 Pre-Tax Net of
Tax
 Per
Diluted
Share
 Pre-Tax Net of
Tax
 Per
Diluted
Share
As reported income from continuing operations (GAAP)$9,730  $11,044  $0.33  $25,323  $19,196  $0.58 
Adjustments:           
Amortization of intangibles (excluding amounts in OOE)(a)10,609  8,310  0.25  9,878  7,815  0.24 
Certain legal expenses (SG&A)(a)(b)402  318  0.01  1,274  1,007  0.03 
Strategic reorganization and alignment (OOE)(a)(c)1,460  1,127  0.03  2,200  1,728  0.05 
Manufacturing alignment to support growth (OOE)(a)(d)484  326  0.01  596  416  0.01 
Consolidation and optimization expenses (OOE)(a)(e)      146  117   
Acquisition and integration expenses (OOE)(a)(f)225  178  0.01       
Other general expenses (OOE)(a)(g)1,743  1,389  0.04  508  402  0.01 
Gain on equity investments, net(a)(191) (150)   (78) (61)  
Loss on extinguishment of debt(a)(h)1,280  1,012  0.03  546  431  0.01 
Customer bankruptcy (excluding amounts in OOE)(a)(i)23,827  18,823  0.57       
LSA and other non-recurring adjustments(a)(j)      797  630  0.02 
Tax adjustments(k)  (956) (0.03)   2,697  0.08 
Adjusted income from continuing operations (Non-GAAP)$49,569  $41,421  $1.25  $41,190  $34,378  $1.04 
            
Diluted weighted average shares for adjusted EPS  33,089      33,029   
            
 Year Ended
 December 31, 2019 December 28, 2018
 Pre-Tax Net of
Tax
 Per
Diluted
Share
 Pre-Tax Net of
Tax
 Per
Diluted
Share
As reported income from continuing operations (GAAP)$105,193  $91,218  $2.76  $61,116  $47,033  $1.44 
Adjustments:           
Amortization of intangibles (excluding amounts in OOE)(a)40,076  31,634  0.96  40,946  32,338  0.99 
Certain legal expenses (SG&A)(a)(b)2,577  2,036  0.06  2,820  2,228  0.07 
Strategic reorganization and alignment (OOE)(a)(c)5,812  4,504  0.14  10,624  8,390  0.26 
Manufacturing alignment to support growth (OOE)(a)(d)2,145  1,499  0.05  3,089  2,257  0.07 
Consolidation and optimization expenses (OOE)(a)(e)      844  670  0.02 
Acquisition and integration expenses (OOE)(a)(f)377  298  0.01       
Other general expenses (OOE)(a)(g)3,817  3,025  0.09  1,508  1,178  0.04 
(Gain) loss on equity investments, net(a)475  376  0.01  (5,623) (4,442) (0.14)
Loss on extinguishment of debt(a)(h)2,545  2,011  0.06  42,674  33,712  1.03 
Customer bankruptcy (excluding amounts in OOE)(a)(i)23,827  18,823  0.57       
LSA and other non-recurring adjustments(a)(j)      (5,322) (4,204) (0.13)
Tax adjustments(k)  (956) (0.03)   5,231  0.16 
Adjusted income from continuing operations (Non-GAAP)$186,844  $154,468  $4.68  $152,676  $124,391  $3.80 
            
Diluted weighted average shares for adjusted EPS(l)  33,037      32,768   

(a) The difference between pre-tax and net of tax amounts is the estimated tax impact related to the respective adjustment.  Net of tax amounts are computed using a 21% U.S. tax rate, and the statutory tax rates in Mexico, Netherlands, Uruguay, Ireland and Switzerland, as adjusted for the existence of net operating losses (“NOLs”).  Amortization of intangibles and other operating expense for 2018 were adjusted to reflect the estimated impact relating to our disallowed deduction of the GILTI tax, as described in footnote (k) below.  Expenses that are not deductible for tax purposes (i.e. permanent tax differences) are added back at 100%.

(b) In 2013, we filed suit against AVX Corporation alleging they were infringing our intellectual property.  Given the complexity and significant costs incurred pursuing this litigation, we are excluding these litigation expenses from adjusted amounts. This matter proceeded to trial during the first quarter of 2016 and again in the third quarter of 2017 that resulted in a jury awarding damages in the amount of $37.5 million.  In March 2018, the court vacated that damage award and ordered a new trial on damages.  In the January 2019 retrial on damages, the jury awarded damages in the amount of $22.2 million.  To date, no gains have been recognized in connection with this litigation.  During 2019, we also incurred expenses associated with a legal matter to which we are a non-party witness and in conjunction with the modification of our credit facilities.

(c) Amounts include expenses related to implementing our strategy that is designed to better align our resources in order to invest to grow, protect, preserve and to enhance the profitability of our portfolio of products, including focusing our investment in RD&E and manufacturing, improving our business processes and redirecting investments away from projects where the market does not justify the investment.  During 2019 and 2018, we incurred charges related to this strategy, which primarily consisted of severance costs and fees for professional services.

(d) Includes expenses related to several initiatives designed to reduce costs, improve operating efficiencies and increase manufacturing capacity to accommodate growth.  The plan involves the relocation of certain manufacturing operations and expansion of certain of our facilities.

(e During 2018, we incurred costs primarily related to the closure of our Clarence, NY facility.

(f) Expenses related to the purchase of certain assets from US BioDesign, LLC.

(g) Amounts include expenses related to other initiatives not described above, which relate primarily to integration and operational initiatives to reduce costs and improve operational efficiencies.

(h) Represents debt extinguishment charges in connection with pre-payments made on our Term Loan B Facility, which are included in interest expense.

(i) In November 2019, one of our customers, Nuvectra Corporation (“Nuvectra”), filed a voluntary Chapter 11 bankruptcy petition (the “Customer Bankruptcy”).  During the fourth quarter of 2019, we recorded pre-tax charges totaling $24.2 million in connection with the Customer Bankruptcy.  These expenses were primarily non-cash and included charges associated with certain Nuvectra-related assets, primarily consisting of inventory, accounts receivable, as well as certain non-cancelable inventory commitments.  These charges were included in cost of sales ($21.4 million), SG&A expenses ($2.4 million) and Other Operating Expenses ($0.4 million) in our consolidated statement of operations.

(j) LSA and other non-recurring adjustments primarily reflects the net impact of the LSAs entered into as of the closing of the divestiture of the AS&O product line.  These LSAs govern the sale of products supplied by Viant to the Company for further resale to customers and by the Company to Viant for further resale to customers.

(k) The 2019 amount represents an adjustment to the valuation allowance for certain foreign tax credits.  The tax adjustment for 2018 represents the estimated impact relating to our disallowed deduction of the GILTI tax, as mandated by the Tax Reform Act.  This disallowed deduction of the GILTI tax (approximately 50% of the total GILTI tax) is due to the Company making use of its U.S. NOLs during 2018.  This adjustment makes our adjusted diluted EPS from continuing operations more comparable with other global companies that are not subject to this disallowed GILTI tax deduction and more comparable to the Company’s results following the full utilization of its U.S. NOLs.

(l) The diluted weighted average shares for adjusted EPS for the year ended December 28, 2018 includes potentially dilutive shares not included in the computation of diluted weighted average common shares for GAAP diluted EPS purposes because their effect would have been anti-dilutive.

Table B: EBITDA and Sales Reconciliations
(in thousands)

 Three Months Ended Year Ended
 December 31,
2019
 December 28,
2018
 December 31,
2019
 December 28,
2018
Income from continuing operations (GAAP)$11,044  $19,196  $91,218  $47,033 
        
Interest expense12,766  13,955  52,545  99,310 
Provision (benefit) for income taxes(1,314) 6,127  13,975  14,083 
Depreciation9,889  10,149  37,819  40,078 
Amortization of intangibles (excluding amounts in OOE)10,609  9,878  40,076  40,946 
EBITDA from continuing operations (Non-GAAP)42,994  59,305  235,633  241,450 
Certain legal expenses402  1,274  2,577  2,820 
Stock-based compensation (excluding amounts in OOE)2,329  2,786  9,107  10,051 
Strategic reorganization and alignment1,460  2,200  5,812  10,624 
Manufacturing alignment to support growth484  596  2,145  3,089 
Consolidation and optimization expenses  146    844 
Acquisition and integration expenses225    377   
Other general expenses (OOE)1,743  508  3,817  1,508 
(Gain) loss on equity investments, net(191) (78) 475  (5,623)
Customer bankruptcy (excluding amounts in OOE)23,827    23,827   
LSA and other non-recurring adjustments  797    (5,322)
Adjusted EBITDA from continuing operations (Non-GAAP)$73,273  $67,534  $283,770  $259,441 
        
Total sales (GAAP)$325,637  $302,260  $1,258,094  $1,215,012 
LSA adjustments      (2,003)
Adjusted sales from continuing operations (Non-GAAP)$325,637  $302,260  $1,258,094  $1,213,009 
        
Adjusted EBITDA margin22.5% 22.3% 22.6% 21.4%


Table C: Organic Sales from Continuing Operations Growth Rate Reconciliation (% Change)

 GAAP
Reported
Growth
 Impact of
LSAs(a)
 Impact of
Acquisition
and Foreign
Currency(b)
 Non-GAAP
Organic
Growth
Quarter over Quarter Change (4Q 2019 vs. 4Q 2018)       
Medical Sales       
Cardio & Vascular5.9% —% (0.3)% 5.6%
Cardiac & Neuromodulation9.5% —     9.5%
Advanced Surgical, Orthopedics & Portable Medical6.7% —    0.1% 6.8%
Total Medical Sales7.4% —% (0.2)% 7.2%
Non-Medical Sales9.2% —     9.2%
Total Sales7.5% —% (0.2)% 7.3%
        
Year over Year Change (2019 vs. 2018)       
Medical Sales       
Cardio & Vascular4.2% —  0.3% 4.5%
Cardiac & Neuromodulation3.1% —   3.1%
Advanced Surgical, Orthopedics & Portable Medical(0.6)% 1.5% 0.1% 1.0%
Total Medical Sales3.2% 0.2% 0.2% 3.6%
Non-Medical Sales10.3% —   10.3%
Total Sales3.5% 0.2% 0.2% 3.9%

(a) Reflects the net impact of the LSAs entered into as of the closing of the divestiture of the AS&O product line.

(b) Fourth quarter and full year 2019 sales have been adjusted to exclude the contribution of acquisitions.  Fourth quarter and full year 2019 sales were negatively impacted by $0.4 million and $2.6 million, respectively, due to foreign currency exchange rate fluctuations, primarily in our Cardio & Vascular product line.

Table D: Non-GAAP Organic Growth Rate Reconciliation (% Change)

 GAAP
Reported
Growth
 Impact of
Non-GAAP
Adjustments(a)
 Impact of
Acquisition
and Foreign
Currency(b)
 Non-GAAP
Organic
Growth
Quarter over Quarter Change (4Q 2019 vs. 4Q 2018)       
EBITDA(27.5)% 36.0% 0.3% 8.8%
Net Income(42.5)% 63.0% 0.1% 20.6%
Diluted EPS(43.1)% 63.3% 1.0% 21.2%
        
Year over Year Change (2019 vs. 2018)       
EBITDA(2.4)% 11.8% (0.4)% 9.0%
Net Income93.9% (69.7)% (1.0)% 23.2%
Diluted EPS91.7% (68.5)% (0.9)% 22.3%

(a) Represents the impact to our growth rate from our Non-GAAP adjustments. See Tables A and B for further detail on these items.

(b) Represents the impact to our growth rate due to changes in foreign currency exchange rates realized in income and reported in other (income) loss, net in the consolidated statements of operations, and the adjustment to exclude the contribution of acquisitions.