shc-20220301
0001822479FALSE00018224792022-03-012022-03-01

 
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
_______________________
FORM 8-K
_______________________
CURRENT REPORT
Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934
Date of Report (Date of Earliest Event Reported): March 1, 2022
_______________________
SOTERA HEALTH COMPANY
(Exact Name of Registrant as Specified in Charter)
_______________________
Delaware001-3972947-3531161
(State or Other Jurisdiction of Incorporation)
(Commission File Number)
(IRS Employer Identification No.)
9100 South Hills Blvd, Suite 300
Broadview Heights, Ohio 44147
(Address of Principal Executive Offices) (Zip Code)
(440) 262-1410
(Registrant’s telephone number, including area code)
Not Applicable
(Former name or former address, if changed since last report)
_______________________
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below):
 
Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
Securities registered pursuant to Section 12(b) of the Act:
 
Title of Each Class
Trading
Symbol
Name of Exchange
on which registered
Common stock, $0.01 par value per shareSHCThe Nasdaq Stock Market LLC
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (17 CFR 230.405) or Rule 12b-2 of the Securities Exchange Act of 1934 (17 CFR 240.12b-2).
Emerging growth company  
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.  ☐
 
 




Item 2.02. Results of Operations and Financial Condition.
On March 1, 2022, Sotera Health Company (the “Company”) issued a press release (the “Press Release”) announcing its financial results for the fourth quarter and year ended December 31, 2021. The Company will hold its previously announced conference call on March 1, 2022, at 9:00 a.m. Eastern Time to discuss its financial results and full-year 2022 outlook. A copy of the Press Release is attached hereto as Exhibit 99.1 and is incorporated herein by reference.
The information in this Item 2.02, including Exhibit 99.1, is being furnished and shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to liability under that section, and shall not be deemed to be incorporated by reference in any filing under the Securities Act of 1933, as amended, or the Exchange Act, unless expressly incorporated by specific reference in such filing.
Item 9.01. Financial Statements and Exhibits.
(d) Exhibits  
Exhibit NumberDescription
99.1



SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
 
Sotera Health Company
(Registrant)
Date: March 1, 2022By:/s/ Scott. J. Leffler
Scott J. Leffler
Chief Financial Officer and Treasurer

Document
Exhibit 99.1                
https://cdn.kscope.io/f7b8a15e3bc4c5c3a69d52a5c1be1bb5-soterahealth_vxclrxrgbxreg.jpg

Sotera Health Reports Fourth-Quarter and Full-Year 2021 Results;
Provides 2022 Outlook
Q4 2021 net revenues increased 11% to $241 million, compared to Q4 2020
Q4 2021 net income of $36 million or $0.13 per diluted share, compared to a net loss of $44 million or $(0.17) per diluted share in Q4 2020
Q4 2021 Adjusted EBITDA increased 10% to $125 million, compared to Q4 2020
Q4 2021 Adjusted EPS of $0.23 improved by $0.14 per diluted share, compared to Q4 2020
Full-year 2021 net revenues increased 14% to $931 million, compared to full-year 2020
Full-year 2021 net income of $117 million or $0.41 per diluted share, compared to a net loss of $39 million or $(0.16) per diluted share for full-year 2020
Full-year 2021 Adjusted EBITDA increased 15% to $481 million, compared to full-year 2020
December 31, 2021 total debt of $1.8 billion, net debt of $1.7 billion, and net leverage ratio further reduced to 3.5x
Full-year 2022 outlook revenue and Adjusted EBITDA growth of 7% to 11%
Increased investment in capacity expansions across all segments and technologies
CLEVELAND, OH, March 1, 2022 – 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 2021.
Fourth-quarter 2021 net revenues increased 11.3% to $241 million, compared with $217 million in the fourth quarter a year ago. Net income attributable to Sotera Health (“net income”) was $36 million, or $0.13 per diluted share, compared with a net loss of $44 million, or $(0.17) per diluted share in the fourth-quarter 2020. Adjusted EBITDA for the fourth-quarter 2021 increased by 10.3% to $125 million over the prior-year quarter. Fourth-quarter 2021 adjusted earnings per diluted share (“Adjusted EPS”) was $0.23, an increase of $0.14 per diluted share, compared to the fourth-quarter 2020. Please refer to the section “Non-GAAP Financial Measures” provided later in this release.
For full-year 2021, net revenues increased 13.9% to $931 million, compared with $818 million for full-year 2020. Full-year 2021 net income was $117 million, or $0.41 per diluted share, compared with a net loss of $39 million, or $(0.16) per diluted share, for full-year 2020. Full-year 2021 Adjusted EBITDA increased 14.6% to $481 million, compared to full-year 2020. Adjusted EPS was $0.88 in 2021, an increase of $0.46 over 2020; this includes an interest expense reduction of approximately $141 million for full-year 2021. Please refer to the section “Non-GAAP Financial Measures” provided later in this release.
“This past year has been an exceptional one for Sotera Health as we navigated a challenging macro environment,” said Chairman and Chief Executive Officer, Michael B. Petras, Jr. “During 2021, we executed on a number of initiatives to position ourselves well for the future, which included organic investments in our facility network to better meet our customers’ needs, two tuck-in acquisitions, the
1


creation of our Expert Advisory Services organization, the launch of a formal ESG initiative, and a significant reduction of our leverage to further strengthen our balance sheet.”
Petras continued, “We are pleased to report another quarter of strong top-line, net income, and Adjusted EBITDA growth, which translated to double-digit revenue and Adjusted EBITDA growth for both the quarter and full-year. We have now delivered double-digit revenue and Adjusted EBITDA growth in all 5 periods that we have reported as a public company. I am extremely proud of the Sotera Health team and look forward to another strong year in 2022. Our excitement for 2022 is anchored by a significant escalation in our investment in capacity expansions, which demonstrates the strength we see in long-term customer demand for our services.”
Fourth-Quarter and Full-Year 2021 Review by Business Segment
Sterigenics
For fourth-quarter 2021, net revenues from Sterigenics were $150 million, an increase of 11.4% compared to the fourth quarter a year ago. Segment income was $83 million, an increase of 12.5%.
For full-year 2021, Sterigenics net revenues were $572 million, an increase of 14.6% compared to 2020. Segment income increased 16.4% to $310 million.
Revenue and segment income growth for both the fourth-quarter and full-year 2021 were driven by organic volume growth and favorable pricing, while full-year results also benefited from the July 31, 2020 Iotron acquisition.
Nordion
For fourth-quarter 2021, net revenues from Nordion were $37 million, an increase of 27.8%, compared to the fourth quarter a year ago. Segment income increased 32.8% to $21 million.
For full-year 2021, net revenues from Nordion were $141 million, an increase of 22.5% compared to 2020. Segment income increased by 23.8% to $83 million.
Revenue and segment income growth for both the fourth-quarter and full-year 2021 were primarily driven by volume growth, a favorable impact from pricing and changes in foreign exchange rates.
Nelson Labs
For fourth-quarter 2021, net revenues from Nelson Labs were $54 million, an increase of 2.0% compared to the fourth quarter a year ago. Segment income declined 12.6% to $20 million.
For full-year 2021, net revenues from Nelson Labs were $219 million, an increase of 7.1% compared to 2020. Segment income increased 1.9% to $88 million.
Revenue and segment income changes for both the fourth-quarter and full-year 2021 were driven by the acquisitions of BioScience Labs and Regulatory Compliance Associates (“RCA”) and favorable pricing offset by a decline in demand for testing related to new personal protective equipment.
Balance Sheet and Liquidity
As of December 31, 2021, Sotera Health had $1.8 billion in total debt, and $107 million in cash and cash equivalents, compared to $1.9 billion in total debt and $102 million in cash and cash equivalents as of December 31, 2020. Material debt balances currently outstanding do not mature until 2026. Sotera Health’s net leverage ratio as of December 31, 2021 was 3.5x, compared to 4.3x at December 31, 2020. Please refer to the section “Non-GAAP Financial Measures” provided later in this release.
2


Full-Year 2022 Outlook
Today, Sotera Health is providing its full-year 2022 outlook:
Net revenues in the range of $1,000 million to $1,030 million, representing growth of approximately 7% to 11%, compared to the prior year,
Adjusted EBITDA in the range of $515 million to $535 million, representing growth of approximately 7% to 11%, compared to the prior year,
Tax rate applicable to Adjusted Net Income in the range of 29% to 30%,
Adjusted EPS in the range of $0.93 to $0.99, representing growth of 6% to 13% versus the prior year,
A fully diluted share count in the range of 280 million to 282 million shares on a weighted-average basis,
Capital expenditures in the range of $140 million to $170 million, and
Net leverage reduction of approximately 1/2 of a turn.
The outlook provided above contains a number of assumptions, including, among others, the Company’s current expectations regarding supply chain continuity, particularly for the supply of ethylene oxide (“EO”) and cobalt-60 (“Co-60”), the impact of inflationary trends including the impact on the supply of labor, the impact of the COVID-19 pandemic including the rate of recoveries of elective procedures and new product development testing, and the expectation that exchange rates as of Q1 2022 remain constant for the remainder of 2022. Our outlook is based on current plans and expectations and is subject to a number of known and unknown risks and uncertainties, including those set forth below under “Forward-Looking Statements.”
Upcoming Investor Events
Barclays Global Healthcare Conference on March 15, 2022 at 9:00 a.m. Eastern
KeyBanc Capital Markets’ Life Sciences & MedTech Investor Forum on March 22, 2022 at 10:30 a.m. Eastern
Updates can be found from time to time on recent developments in matters relevant to investors on the Investor Relations section of the Company’s website at https://investors.soterahealth.com/special-notices. For developments related to Ethylene Oxide, updates can be found at https://investors.soterahealth.com/ethylene-oxide-eo-overview.
3


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 #6076057, 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 12:00pm Eastern on March 1, 2022 for a period of one year.
Forward-Looking Statements
Unless expressly indicated or the context requires otherwise, the terms “Sotera Health,” “Company,” “we,” “us,” and “our” in this document refer to Sotera Health Company, a Delaware corporation, and, where appropriate, its subsidiaries on a consolidated basis. 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 EO or Co-60, including geopolitical risks related to the supply of Co-60 from Russia; 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 leased facilities and build new facilities in a timely and cost-effective manner; competition for qualified employees in the industries in which we operate; 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
The Company does not provide a reconciliation of the forward-looking Adjusted EBITDA, Adjusted Net Income, Adjusted EPS, and Net Leverage Ratio outlook 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.
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.
4


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                    Jenny Kobin             
Curley Global IR, LLC                    IR Advisory Solutions
IR@soterahealth.com                     IR@soterahealth.com
MEDIA CONTACT
Kristin Gibbs
Chief Marketing Officer, Sotera Health
kgibbs@soterahealth.com
Source: Sotera Health Company
###
5

Sotera Health Company
Consolidated Statements of Operations
(in thousands, except per share amounts)
(unaudited)
Three Months Ended December 31,Year Ended December 31,
2021202020212020
Revenues:
Service$207,594 $189,495 $805,501 $713,520 
Product33,655 27,350 125,977 104,638 
Total net revenues
241,249 216,845 931,478 818,158 
Cost of revenues:
Service92,429 85,973 357,205 333,359 
Product14,867 10,295 55,601 41,227 
Total cost of revenues
107,296 96,268 412,806 374,586 
Gross profit
133,953 120,577 518,672 443,572 
Operating expenses:
Selling, general and administrative expenses51,827 53,156 198,158 178,525 
Amortization of intangible assets15,700 15,040 63,781 59,029 
Total operating expenses
67,527 68,196 261,939 237,554 
Operating income
66,426 52,381 256,733 206,018 
Interest expense, net15,607 48,117 74,192 215,259 
Loss on extinguishment of debt4 44,262 20,681 44,262 
Foreign exchange (gain) loss(65)140 1,345 (5,230)
Other income, net(7,854)(5,060)(15,201)(9,413)
Income (loss) before income taxes
58,734 (35,078)175,716 (38,860)
Provision (benefit) for income taxes22,737 8,308 58,595 (1,369)
Net income (loss)
35,997 (43,386)117,121 (37,491)
Less: Net income attributable to noncontrolling interests
 294 239 1,126 
Net income (loss) attributable to Sotera Health Company
$35,997 $(43,680)$116,882 $(38,617)
Earnings (loss) per share:
Basic$0.13 $(0.17)$0.41 $(0.16)
Diluted0.13 (0.17)0.41 (0.16)
Weighted average number of shares outstanding:
Basic279,616 253,470 279,228 237,696 
Diluted279,774 253,470 279,382 237,696 

6

Sotera Health Company
Segment Data
(in thousands)
(unaudited)
Three Months Ended December 31,Year Ended December 31,
2021202020212020
Segment revenues:
Sterigenics$150,182 $134,819 $571,829 $498,773 
Nordion36,696 28,711 140,507 114,745 
Nelson Labs54,371 53,315 219,142 204,640 
Total net revenues
$241,249 $216,845 $931,478 $818,158 
Segment income:
Sterigenics$83,096 $73,836 $310,470 $266,639 
Nordion21,388 16,111 82,673 66,803 
Nelson Labs20,191 23,115 88,086 86,417 
Total segment income
124,675 113,062 481,229 419,859 
Less adjustments:
Interest expense, net15,607 48,117 74,192 215,259 
Depreciation and amortization(a)
38,146 36,406 150,902 143,564 
Share-based compensation(b)
3,381 6,968 13,870 10,987 
Capital restructuring bonuses(c)
 2,702  2,702 
Gain on foreign currency and embedded derivatives(d)
(943)(3,663)(58)(8,454)
Acquisition and divestiture related charges, net(e)
(4,015)962 (6,018)3,932 
Business optimization project expenses(f)
168 40 948 2,524 
Plant closure expenses(g)
763 261 2,327 2,649 
Loss on extinguishment of debt(h)
4 44,262 20,681 44,262 
Professional services relating to EO sterilization facilities(i)
12,164 11,301 45,656 36,671 
Accretion of asset retirement obligations(j)
501 470 2,252 1,946 
COVID-19 expenses(k)
165 314 761 2,677 
Consolidated income (loss) before income taxes$58,734 $(35,078)$175,716 $(38,860)
(a)Includes depreciation of Co-60 held at gamma irradiation sites.
(b)Includes non-cash share-based compensation expense.
(c)Represents cash bonuses for members of management primarily relating to our initial public offering (“IPO”).
(d)Represents the effects of (i) fluctuations in foreign currency exchange rates, 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 RCA, the noncontrolling interests in our China subsidiaries, and BioScience Labs in 2021; Iotron in July 2020; Nelson Labs Fairfield in 2018 (including the first quarter 2021 gain on the mandatorily redeemable noncontrolling interest), 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, (iii) transition services income and non-cash deferred lease income associated with the terms of the divestiture of the Medical Isotopes business in 2018, (iv) a $3.4 million gain recognized in the third quarter of 2021 related to the settlement of an insurance claim for Nordion, and (v) a $5.1 million non-cash gain arising from the derecognition of an ARO liability no longer attributable to Nordion pursuant to the terms of the sale 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 acquisitions, 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 repricing of our Term Loan in January 2021, full redemption of the First Lien Notes in August 2021, 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 the COVID-19 pandemic, including incremental costs to implement workplace health and safety measures. For the year ended December 31, 2020, costs also included donations to related charitable causes and special bonuses for front-line personnel working on-site during lockdown periods.
7

Sotera Health Company
Condensed Consolidated Balance Sheets
(in thousands)
(unaudited)
As of December 31,
20212020
Assets
Current assets:
Cash and cash equivalents$106,924 $102,454 
Accounts receivable, net 108,183 91,735 
Inventories, net54,288 34,093 
Other current assets76,566 86,733 
Total current assets345,961 315,015 
Property, plant, and equipment, net650,797 609,814 
Operating lease assets39,946 45,963 
Other intangible assets, net598,844 643,366 
Goodwill1,120,320 1,115,936 
Other assets33,634 31,185 
Total assets$2,789,502 $2,761,279 
Liabilities and equity
Total current liabilities$161,161 $140,598 
Long-term debt1,743,534 1,824,789 
Other noncurrent liabilities164,210 219,502 
Deferred income taxes134,501 121,816 
Total liabilities2,203,406 2,306,705 
Total equity586,096454,574 
Total liabilities and equity$2,789,502$2,761,279 
8

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

Year Ended December 31,
20212020
Operating activities:
Net income (loss)$117,121 $(37,491)
Non-cash items177,015 169,869 
Changes in operating assets and liabilities(12,591)(11,793)
Net cash provided by operating activities281,545 120,585 
Investing activities:
Purchases of property, plant and equipment(102,162)(53,507)
Purchase of Iotron Industries Canada, Inc., net of cash acquired (105,187)
Purchase of BioScience Laboratories, LLC, net of cash acquired(13,530)— 
Purchase of mandatorily redeemable noncontrolling interest in Nelson Laboratories Fairfield, Inc.(12,425)— 
Purchase of Regulatory Compliance Associates Inc., net of cash acquired(31,015)— 
Other investing activities(701)— 
Net cash used in investing activities(159,833)(158,694)
Financing activities:
Proceeds from revolving credit facility and long-term borrowings 150,000 
Proceeds from issuance of common stock, net of underwriting discounts and issuance costs 1,155,961 
Repurchase of common shares (34,000)
Purchase of noncontrolling interests in China subsidiaries(8,418)— 
Payments of debt issuance costs and prepayment premium(6,792)(19,746)
Payments on revolving credit facility and long-term borrowings(100,000)(1,177,325)
Shares withheld for employee taxes on equity awards(1,434)— 
Other financing activities(642)(1,458)
Net cash (used in) provided by financing activities(117,286)73,432 
Effect of exchange rate changes on cash and cash equivalents44 4,106 
Net increase in cash and cash equivalents, including restricted cash4,47039,429 
Cash and cash equivalents, including restricted cash, at beginning of period102,454 63,025 
Cash and cash equivalents, including restricted cash, at end of period$106,924$102,454 
Supplemental disclosures of cash flow information:
Cash paid during the period for interest$58,772$211,276 
Cash paid during the period for income taxes, net of tax refunds received52,007 23,988 
Equipment purchases included in accounts payable14,524 14,288 
9

Sotera Health Company
Non-GAAP Financial Measures
(in thousands, except per share amounts)
(unaudited)
Three Months Ended December 31,Year Ended December 31,
2021202020212020
Net income (loss)$35,997 $(43,386)$117,121 $(37,491)
Amortization of intangible assets21,443 20,431 86,742 80,255 
Share-based compensation(a)
3,381 6,968 13,870 10,987 
Capital restructuring bonuses(b)
 2,702  2,702 
Gain on foreign currency and embedded derivatives(c)
(943)(3,663)(58)(8,454)
Acquisition and divestiture related charges, net(d)
(4,015)962 (6,018)3,932 
Business optimization project expenses(e)
168 40 948 2,524 
Plant closure expenses(f)
763 261 2,327 2,649 
Loss on extinguishment of debt(g)
4 44,262 20,681 44,262 
Professional services relating to EO sterilization facilities(h)
12,164 11,301 45,656 36,671 
Accretion of asset retirement obligations(i)
501 470 2,252 1,946 
COVID-19 expenses(j)
165 314 761 2,677 
Income tax benefit associated with pre-tax adjustments(k)
(5,728)(18,682)(38,500)(43,536)
Adjusted Net Income63,900 21,980 245,782 99,124 
Interest expense, net15,607 48,117 74,192 215,259 
Depreciation(l)
16,703 15,975 64,160 63,309 
Income tax provision applicable to Adjusted Net Income(m)
28,465 26,990 97,095 42,167 
Adjusted EBITDA(n)
$124,675 $113,062 $481,229 $419,859 
Net Revenues$241,249 $216,845 $931,478 $818,158 
Adjusted EBITDA Margin51.7 %52.1 %51.7 %51.3 %
Weighted average number of shares outstanding
Basic279,616 253,470 279,228 237,696 
Diluted279,774 253,470 279,382 237,696 
Earnings (loss) per share
Basic$0.13 $(0.17)$0.41 $(0.16)
Diluted0.13 (0.17)0.41 (0.16)
Adjusted earnings per share
Basic$0.23 $0.09 $0.88 $0.42 
Diluted0.23 0.09 0.88 0.42 
(a)Includes non-cash share-based compensation expense.
(b)Represents cash bonuses for members of management primarily relating to the IPO.
(c)Represents the effects of (i) fluctuations in foreign currency exchange rates, and (ii) non-cash mark-to-fair value of embedded derivatives relating to certain customer and supply contracts at Nordion.
(d)Represents (i) certain direct and incremental costs related to the acquisitions of RCA, the noncontrolling interests in our China subsidiaries, and BioScience Labs in 2021; Iotron in July 2020; Nelson Labs Fairfield in 2018 (including the first quarter 2021 gain on the mandatorily redeemable noncontrolling interest), 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, (iii) transition services income and non-cash deferred lease income associated with the terms of the divestiture of the Medical Isotopes business in 2018, (iv) a $3.4 million gain recognized in the third quarter of 2021 related to the settlement of an insurance claim for Nordion, and (v) a $5.1 million non-cash gain arising from the derecognition of an ARO liability no longer attributable to Nordion pursuant to the terms of the sale of the Medical Isotopes business in 2018.
(e)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 acquisitions, the Sotera Health rebranding, operating structure realignment and other process enhancement projects.
(f)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.
(g)Represents expenses incurred in connection with the repricing of our Term Loan in January 2021, full redemption of the First Lien Notes in August 2021, 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.
(h)Represents professional fees related to litigation associated with our EO sterilization facilities and other related professional fees.
10


(i)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.
(j)Represents non-recurring costs associated with the COVID-19 pandemic, including incremental costs to implement workplace health and safety measures. For the year ended December 31, 2020, costs also included donations to related charitable causes and special bonuses for front-line personnel working on-site during lockdown periods.
(k)Represents the income tax impact of adjustments calculated based on the tax rate applicable to each item. We eliminate the effect of significant changes to income tax valuation allowances, tax rate changes as applied to tax assets and liabilities, and unusual items from our presentation of adjusted net income.
(l)Includes depreciation of Co-60 held at gamma irradiation sites.
(m)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 (k).
(n)$22.0 million and $20.6 million of the adjustments for the three months ended December 31, 2021 and 2020, respectively, and $85.3 million and $82.6 million of the adjustments for the year ended December 31, 2021 and 2020, respectively, are included in cost of revenues, primarily consisting of amortization of intangible assets, depreciation, and accretion of asset retirement obligations.
11

Sotera Health Company
Non-GAAP Financial Measures
($’s in thousands)
(unaudited)
Year Ended December 31,
20212020
Long-term debt$1,743,534 $1,824,789 
Current portion of finance leases1,160 1,173 
Finance leases less current portion40,877 34,939 
Total Debt$1,785,571 $1,860,901 
Add: unamortized debt issuance costs and debt discounts20,016 38,761 
Less: cash and cash equivalents(106,924)(102,454)
Net Debt$1,698,663 $1,797,208 
Adjusted EBITDA$481,229 $419,859 
Net Leverage3.5x4.3x
12